Kodi kapamba ndi shuga zimagwirizana bwanji?

Pancreatitis ndi matenda ashuga nthawi zambiri amakumana nthawi imodzi. Otsatirawa ndi matenda ovuta a endocrine, omwe amadziwika ndi kuphwanya mitundu yonse ya njira za metabolic.

Zolemba za njira ya matenda ashuga aakulu kapamba

Matenda a shuga a pancreatic samakhazikika nthawi zonse ndi kutupa kwa kapamba. Koma ngati izi zidachitika, zimakhala ndi zingapo.

Pancreatitis ndi matenda ashuga nthawi zambiri amakumana nthawi imodzi.

Mu chifuwa chachikulu cha pancreatitis, zovuta za endocrine zimachitika, zomwe zimatha kupezeka mu mawonekedwe a hypoglycemia komanso mawonekedwe monga pancreatogenic shuga mellitus. Hypoglycemia imachitika ndi zizindikiro zonse zamatendawa, zomwe zimaphatikizapo kumangokhala ndi njala, kufooka, kugwedezeka mwamphamvu kapena kunjenjemera thupi lonse.

Ponena za matenda ashuga, awa si mtundu wa 2, koma osiyana nawo, omwe ali okhaokha mu mtundu 3.

Mwachitsanzo, shuga ngati awa nthawi zambiri amakula mwa anthu omwe ali ndi thupi lolimbitsa thupi kapena loonda, ndipo palibe mgwirizano ndi kunenepa kotere. Palinso kuyanjana ndi insulin kukaniza kapena kutengera kwa chibadwa. Kuchuluka kwa shuga m'magazi kumachitika kawirikawiri.

Zizindikiro zimawonekera patapita zaka zingapo pambuyo poti ululu wam'mimba woyamba wokhudzana ndi kusintha kwa maselo ambiri a kapamba amadziwika.

Zomwe zimachitika pancreatogenic shuga mellitus ndi:

• kusowa kwenikweni kwa insulin;
• zimachitika kawirikawiri ketoacidosis;
• kuchuluka kwa matenda opatsirana komanso khungu.

Limagwirira kusintha kwa kapamba kuti shuga

Pancreatitis ndi matenda a shuga sizimakula nthawi imodzi. Makina osinthira a pancreatitis aakulu (CP) ku matenda ashuga samveka bwino. Pali zambiri zowonjezera pancreatitis (OP) ya pachimake, chifukwa ndizosavuta kuzindikira.

Ndi kuchulukitsa kwa matenda kapamba, kufupika kwa hyperglycemia kumayamba, komwe kumalumikizidwa ndi edema ya pancreatic.

Ziwerengero zikuwonetsa kuti kufupika kwa vuto la hyperglycemia muzochitika izi zimachitika mu 50% ya milandu, koma khola limangokhala 15% pambuyo povutika ndi OP.

Ndi kuchulukitsa kwa mtundu wodwala, matenda ochedwa hyperglycemia amakonzanso, omwe amakhudzana ndi edema ya pancreatic.

Nthawi yomweyo, mulingo wa trypsin umakwera m'magazi, ndipo umachepetsa kupanga insulin. Pamene kukomoka kumachoka, shuga m'magazi amabwerera mwakale.

Zifukwa

Chiwopsezo chotenga matenda ashuga sichimadalira kuchuluka kwa pancreatic necrosis, koma pazomwe amagwiritsidwa ntchito pochita opareshoni. Mwachitsanzo, ndi pancreatoduodenectomy, mwayi wokhala ndi matenda a postoperative umafikira 50%.

Zotsatira zotsatirazi za mtundu wa matenda ashuga a 3 zimawonekera:

1. Kutupa kosalekeza kwa kapamba. Zimayambitsidwa ndi zinthu zosiyanasiyana, mwachitsanzo, kusowa kwa chithandizo chanthawi ya poyizoni wa chakudya, kuperewera kwa zakudya m'thupi, etc. Pali kuchuluka kwa michere ya kapamba, ndipo amawononga chiwalochi.
2. Opaleshoni.
3. Kukhalapo kwa zizolowezi zoyipa.
4. Kunenepa kwambiri chifukwa cha kuperewera kwa zakudya m'thupi.
5. Matenda ena a kapamba ndi m'mimba thirakiti, chifukwa cha momwe endocrine imagwirira ntchito komanso kuchuluka kwa shuga m'magazi kumachuluka.

Zithandizo za opaleshoni zimatha kuyambitsa matenda a shuga a mtundu 3.

Matenda a shuga a Type 3 amatha kuchitika chifukwa cha kunenepa kwambiri chifukwa cha kuperewera kwa zakudya m'thupi.

Kukhala ndi zizolowezi zoipa kumayambitsa matenda ashuga a 3.

Kutupa kosalekeza kwa kapamba kungayambitse matenda ashuga atatu.

Kuchita mseru popanda kusanza ndi chizindikiro cha kuwonongeka kwa minofu ya kapamba.

Zizindikiro zakuwonongeka kwa minofu ya pancreatic ndi chopondapo chosakhazikika.

Zowonongeka kwa minofu ya pancreatic zimawonetsedwa ndi zowawa za epigastrium.

Zizindikiro

Choyamba, pali zizindikiro zokhudzana ndi kuwonongeka kwa minofu ya pancreatic:

• kusanza popanda kusanza;
• kutentha kwapafupipafupi;
• kusangalatsa ndi kutulutsa;
• kupweteka kwa epigastric;
• chopondapo chosakhazikika, kutsekula m'mimba, kapena matenda ena am'mimba.

Matenda amtunduwu a shuga ndi ofatsa. Kuyesedwa kukuwonetsa kuchuluka pang'ono kwa shuga m'magazi. Koma nthawi zambiri pamakhala kuukira kwa hypoglycemia. Popita nthawi, shuga wamagazi amayamba kuchuluka kwambiri, pali kale zizindikiro za matenda ashuga, kuphatikizapo ludzu losatha komanso khungu louma.

Vuto longa ketoacidosis kapena ketonuria pamenepa ndi losowa. Koma mavuto a ziwalo zina amatha kuonekera - matenda ashuga, kuwonongeka kwa impso, retinopathy.

Kupewa komanso kuchiza matenda a shuga a pancreatic

Chithandizo cha chifuwa chachikulu cha m'mimba chimachitika nthawi yomweyo ndi chithandizo cha matenda ashuga. Mulinso zazikuluzikulu:

1. Kutsatira zakudya. Popeza matendawa amayambitsidwa ndi vuto la metabolic, ndikofunikira kusintha zakudya kuti muthe kusintha kagayidwe kazinthu ndikuchepetsa kuchepa kwa hypovitaminosis ndi protein.
2. Kumwa mankhwala omwe amachepetsa shuga. Ndikofunikira kuteteza kagayidwe kazakudya, dongosolo la endo ndi exocrine. Kuti muchite izi, imwani insulini - yaying'ono Mlingo wochepa ndipo kwa nthawi yochepa, ndiye - mankhwala a sulfa, mwachitsanzo, Diabetes.
3. Postoperative m'malo mwake, mutatenga ma enzymes (mwachitsanzo, Pancreatinum).
4. Kuteteza maselo a chiwindi (mankhwala ofunika Forte).
5. Autotransplantation ya maselo ofanana.

Chithandizo cha matenda a shuga a pancreatic chimaphatikizanso insulin yotsika.

Zochizira matenda a shuga a pancreatic, mankhwala a sulfonamide Diabeteson amagwiritsidwa ntchito.

Forte ofunikira amagwiritsidwa ntchito kuteteza maselo a chiwindi.

Postoperative m'malo mwa mankhwalawa kumaphatikizapo kumwa Pancreatinum.

Chithandizo cha chifuwa chachikulu chimaphatikizanso islet cell autotransplantation.

Zakudya malamulo a matenda

Kuti mupewe kusintha kwamomwe maselo a pancreatic a thupi, muyenera kupatula kwathunthu zinthu zingapo.

Zinthu zomwe sizitha

Ndi matendawa, zotsatirazi siziphatikizidwa ndi zakudya:

• nyama zamafuta;
• zopangidwa mkaka (kirimu, kirimu wowawasa, mafuta amkaka onse);
• chakudya china chilichonse;
• masamba (radish, adyo, anyezi, sipinachi);
• zipatso - mphesa, zinanazi;
• nyemba;
• zonunkhira
• kuphika batala, chokoleti, ayisikilimu;
• msuzi wokonzeka wopangidwa - mayonesi, ketchup, msuzi wa soya, phala la phwetekere ngakhale msuzi.

Zoletsedwa zokhala ndi nsomba komanso msuzi wa nyama.

Mu matenda a shuga a pancreatic, zakudya zachangu ndizoletsedwa.

Kuchokera pakudya kwa wodwala yemwe ali ndi matenda a shuga a pancreatic, mphesa ndi zinanazi siziyenera kuphatikizidwa.

Ndi matenda ashuga ndi kapamba, nsomba zolemera ndi msuzi wa nyama ndizoletsedwa.

Ndi shuga wa pancreatic, zonunkhira sizimachotsedwa muzakudya.

Ndi shuga wa pancreatic, kuphika ndi chokoleti ndizoletsedwa.

Mu chifuwa chachikulu, nyemba zimaperekedwa kunja kwa zakudya.

Kwa matenda a shuga a pancreatic, msuzi wopangidwa bwino ndi oletsedwa - mayonesi, ketchup, msuzi wa soya, phala lamatama.

Idyani zakudya

Pomwe amapezeka mapuloteni azomera ndi nyemba. Koma ndi chifuwa chachikulu, amaletsedwa, ndiye kuti, zakudya zamatenda awa sizinakhazikitsidwe.

Zakudya 9 za kapamba

Zakudya zomwe zimagwiritsa ntchito zakudya zomwe zimagwiritsidwa ntchito popanga zakudya zachilengedwe sizipezeka muzakudya. Awa ndi nthochi, madeti, nkhuyu, tomato, mphesa.

Zipatso ndi zipatso zotsekemera zimavomerezedwa - pafupifupi zipatso zonse za malalanje (kupatula zipatso za mphesa ndi mandimu - zimakhala ndi asidi wambiri), maapulo, kiwi, chitumbuwa, zipatso zakuda, cranberries ndi lingonberries.

Zakudya 5 za anthu odwala matenda ashuga

Chithandizo cha tebulo la Na. 5 malinga ndi M. Pevzner chimalembedwa kwa odwala omwe ali ndi chifuwa cham'mimba kapena matenda a hepatobiliary system. Mfundo zazikuluzikulu zimaphatikizidwa ndi zofunika zokhudzana ndi chakudya chamagulu a shuga:

1. Kuchepetsa kumwa kwa mafuta, kukanidwa kwa zokazinga, zokometsera, zakudya zamchere, nyama zam'chitini ndi masamba, kusuta nyama.
2. Kutsatira malamulo a kuphika. Kuphika, kudyetsa, kuwotcha, kuphika popanda kutumphuka kumaloledwa.
3. Chakudya chizikhala chosakanizika, chinagawidwa m'mbale 5-6. Ndi kuchulukitsa kwa kapamba, mbale zonse zimaphikidwa mu mawonekedwe amadzimadzi kapena amadzimadzi amadzimadzi, ndi chikhululukiro, kudula mutizidutswa tating'ono.
4. Zosagwiritsidwa ntchito ndi zinthu zomwe zimapangitsa kuti matumbo asamayende bwino, zimayikiridwa kwa nthawi yayitali, ndipo zimatha kuyambitsa kupsa - mkate watsopano, nyemba, kabichi, ndi zina zambiri.

Ndikofunika kumwa madzi okwanira - malita 1.5 amadzi oyera opanda mpweya patsiku.

Ndi matenda a shuga, zakudya zomwe zimayambitsa kupatsa mphamvu zimasankhidwa - mkate watsopano, nyemba, kabichi.

Ndi matenda a shuga, muyenera kusiya zakudya zokhazika, zonunkhira, zamchere,

Ndi matenda, nthochi, madeti, nkhuyu, phwetekere, mphesa siziyikidwa muzakudya.

Zakudya za matenda ashuga ziyenera kukhala zazing'ono, zogawika mu zakudya zisanu ndi zisanu ndi chimodzi.

Ndikulimbikitsidwa kuphatikiza zipatso ndi zipatso zosapatsa thanzi mwa wodwala.

Ndikofunika kumwa madzi okwanira - malita 1.5 amadzi oyera opanda mpweya patsiku.

Momwe mungaphatikizire matebulo 9 ndi 5?

Mkhalidwe wamtunduwu, momwe pancreatitis imayendera limodzi ndi matenda a shuga, amafunika njira yapadera yokhudza zakudya. Koma Zakudya zonse ziwiri zothandizirazi zili pafupi kwambiri, zikutanthauza malamulo angapo komanso zoletsa.

Zakudya za sabata ndi sabata

An endocrinologist akupatseni zakudya, koma muyenera kupanga mapulani azakudya sabata iliyonse.

Zitsanzo:

Ena maphikidwe osavuta

Zakudya zoyenera zimakhala ndi gawo lofunikira. Koma izi sizitanthauza kuti ziyenera kukhala zosasangalatsa. Nthawi ndi nthawi mumatha kudzichitira nokha mchere.

Lolemba, pachakudya cham'mawa, wodwalayo amalimbikitsidwa ndi oatmeal pamadzi, ndi magawo a nthochi.

Lachiwiri, wodwalayo amatha kupatsidwa kachakudya kenakake kochepa mafuta kefir ndi ma biscuit owuma.

Lachitatu masana, wodwalayo amaloledwa saladi wa zipatso wokhala ndi yogurt yamafuta ochepa.

Chakudya cham'mawa Lachinayi, wodwalayo akulimbikitsidwa kanyumba tchizi casserole ndi zipatso.

Loweruka masana, msuzi wamkaka wokhala ndi Zakudyazi umalimbikitsidwa.

Lachisanu pakudya kwamadzulo, wodwalayo amaloledwa kudula nkhuku ndi mbale ya masamba yophika.

Lamlungu, pachakudya chamadzulo, wodwalayo amalimbikitsidwa kuti azidzaza ndi timadzi totha ndi nyama yoonda.

Nyama ikudula

Pophika, tengani nyama yokonda, mwachitsanzo, ng'ombe - 150 g. Iyenera kuwiritsa ndi kudutsa chopukusira nyama.

Komanso, pokoka mudzafunika dzira 1, 1 tbsp. semolina, mafuta pang'ono masamba.

Semolina amadzazidwa ndi madzi owiritsa (chikho 1/3) kotero kuti chimatupa. Dzira ndi semolina zimawonjezeredwa ku nyama yokonzedwa yoboola, chilichonse chimasakanizidwa, chimasungidwa mchere. Mafuta amapaka mafuta mawonekedwe asanayike mu boiler owonjezera.

Vinaigrette

Ndi kapamba, mutha kuphika vinaigrette. Idzatenga 100 g ya mbatata, 90 g ya beets, 60 g wa kaloti, 60 g atsopano nkhaka, mchere kulawa, 1 tbsp. mafuta a masamba opangira mphamvu.

Mbatata, beets ndi kaloti ziyenera kuphikidwa mosiyana wina ndi mnzake, kuziziritsa ndi kudula mu cubes. Sendani nkhaka ndi kudula pakati pawo. Ngati mukufuna, mutha kuwonjezera tsamba letesi. Masamba amasakanikirana ndikuwonjezera mchere ndi mafuta.

Curd Souffle

Pa chakudya ichi mufunika 300 g ya tchizi chamafuta ochepa komanso maapulo omwewo, mazira awiri, 100 g zoumba zoumba, zomwe zimasambitsidwa kale ndikuwotcha m'madzi otentha.

Pulogalamuyo iyenera kusomedwa kuchokera ku mbewu ndi peel, kenako grated pa grater yabwino. Zoumba, mazira ndi zipatso zomwe zimatulutsa zimawonjezeredwa pa curd misa, zonse zimasakanikirana bwino, zimasinthidwa ndikukhala mu mawonekedwe ndikuyika mu uvuni, zotenthetsedwa mpaka 180 ° C. Muyenera kuphika soufflé kwa mphindi 40.

Chakumwa cha Rosehip

Konzani kuchokera ku zipatso zouma za mbewuyi. Yotengedwa yomweyo mu thermos. Pa 1 lita imodzi ya madzi otentha muyenera kutenga 4 tbsp. zipatso. Thirani zakumwa kwa maola angapo. Mutha kuwonjezera shuga kwa icho.