Odwala ambiri ali ndi chidwi ndi funso lomwe amadya kwambiri matenda a pancreatic necrosis. Zakudya zilizonse zomwe wodwala yemwe ali ndi vutoli amadzisankhira yekha ziyenera kukhala ndi zosakaniza zovomerezeka zokha ndipo zisakhale ndi vuto pa chiwonongeko.
Odwala ambiri, matenda a pancreatitis amawonekera ngati kubwereranso, matenda osachiritsika omwe amafunikira chithandizo chamankhwala. Choyamba, ndikofunikira kuchotsa ululu pamimba ndikupanga kuyesetsa kuti thupi lizigwira ntchito bwino.
Zosankha zochizira ululu wam'mimba zimaphatikizapo njira za opaleshoni ndi zamankhwala. Popita nthawi, matendawa akamapitilira, odwala amafunika kutenga ma enni enanso othandizira kupukusa chakudya.
Kuphatikiza apo, insulin kudya ngati sangakwanitse kupanga pangafunike kuti athetse mavuto obwera chifukwa cha matenda ashuga.
Chifukwa chake, zakudya pambuyo pancreatic necrosis ziyenera kusankhidwa mosamalitsa adotolo ndipo zimakhala ndi zinthu zovomerezeka zokha. Ndikwabwino ngati sing'anga wakusankhirani zakudya asankhe zakudya. Pankhaniyi, ayenera kuchita kafukufuku wapadera ndi kupeza chomwe chimayambitsa matendawa ndikuwonetsetsa ngati wodwalayo adziwa.
Zakudya zochepa komanso zoletsa pazakudya
Pali maphunziro ochepa operekedwa kuti adziwe kukula kwakudya kwa wodwala wokhala ndi pancreatitis yayikulu.
Pakufunika kofufuza zamankhwala, ndikwanzeru kupereka zakudya zazing'ono poyesa kuchepetsa kuchuluka kwa chimbudzi cha pancreatic encyme komanso mapangidwe amadzimadzi pamimba.
Ndikulimbikitsidwa kupewa kudya kwambiri, m'malo mwake mumangodya zakudya zochepa, koma nthawi zambiri, njira yodyetsera michere imagwiritsidwa ntchito pazinthu izi.
Zakudya zamafuta ochepa zimakhazikitsidwa mwachangu kwa odwala omwe ali ndi pancreatitis yayitali kuti achepetse kubisala kwa enzime ya kapamba. Komabe, pokambirana dongosolo la zakudya lopanda mafuta ndi odwala, madokotala ayenera kukumbukira kuti cholesterstokinin imamasulidwa chifukwa chongopeza mafuta aulere, komanso ma oligopeptides ndi ma amino acid omwe amabwera kuti azigaya chakudya. Izi zikuwonetsa kuti kuletsa kudya mapuloteni azakudya zambiri moyenera kumachepetsa kupanga kwa ma pancreatic enzymes. Zakudya zotere za pancreatic pancreatic necrosis zimagwiritsidwa ntchito pazinthu zachinsinsi komanso chifukwa cha ululu.
Mowa ungayambitse kutupa kwa kapamba, kumabweretsa zowawa. Mowa uwu umafunika kuti wodwalayo asiye ntchito yake. Kudziletsa kwathunthu kwa zakumwa kumalimbikitsidwa kwa odwala onse omwe apezeka ndi chifuwa chachikulu chifukwa chogwiritsa ntchito moledzera.
Kuphatikiza pa kuchepetsa mowa, madokotala amalangiza odwala awo kuti asiye kusuta. Kafukufuku wasonyeza kuti kusuta fodya ndi chiopsezo chodziyimira pawokha pakulimbitsa matenda a pancreatitis pachimake komanso aakulu. Kuphatikiza apo, kusuta kumakulitsanso chiopsezo chokhala ndi khansa ya pancreatic.
Odwala omwe apezeka ndi pancreatic necrosis ali pachiwopsezo chachikulu chotenga khansa, choncho ndibwino kuti musayike pachiwopsezo.
Mankhwala a enzyme komanso kugwiritsa ntchito mavitamini
Cholinga cha pancreatic m'malo mwa chithandizo cha odwala omwe amapezeka pancreatitis steatorrhea ndikukwaniritsa ntchito yabwino ya enzodenum. Izi ndizofunikira kwa aliyense amene wataya mwanjira yapadera kapamba kapamba. Mankhwala a enzyme amagwiritsidwa ntchito kuchepetsa ululu wam'mimba womwe umaphatikizidwa ndi chifuwa cham'mimbazi.
Ma pancreatic enzymes amawonetsedwa ngati mafuta adapezeka mu ndowe za wodwalayo. Pachikhalidwe, izi zimachitika poyesa kuchuluka kwa mafuta mu chopondera cha masiku atatu mutatha kudya zakudya zomwe zimakhala ndi 100 g) zamafuta amenewo.
Njira ina yodziwira kuti wodwala ali ndi vuto ndi chiwalochi ndi muyezo wa fecal elastase. Kutsika kwa fecal elastase kukuwonetsa kuti pali gawo lina la kapangidwe ka kapamba.
Mukamachititsa maphunziro ngati awa, ndikofunikira kuti muzikhala ndi zakudya zoyenera pancreatic necrosis.
Kuzengereza kwakanthawi kumabweretsa wodwala chithandizo ndikukula kwa zovuta zingapo zovuta wodwalayo.
Kodi zakudya ziyenera kuphatikizidwa ndi chiyani?
Tiyenera kudziwa kuti kudya pambuyo pancreatic necrosis kapena nthawi yoyamba kukhazikitsidwa kwamtunduwu kumaphatikizanso kugwiritsa ntchito zakudya zina, komanso kutsatira dongosolo lolondola la chakudya.
Nthawi zina, zimalimbikitsidwa kukana chakudya chokwanira, kapena kuchepetsa kuchuluka kwa chakudya chomwe mumadya.
Mwachitsanzo, ndiwo zamasamba zomwe zimadyedwa bwino mu mphodza. Nyama zamafuta ziyenera kutayidwa paliponse. Zogulitsa za tirigu ndizothandiza, izi zitha kukhala:
- oat groats;
- Buckwheat
- mpunga
- mbewu za tirigu ndi zina zambiri.
Mwambiri, masiku ano pali njira zingapo zomwe zimaphatikizira kuphika kwa odwala omwe ali ndi vutoli. Chifukwa chake, ngati mungafune, mutha kuphika chakudya chokoma kwambiri cha zakudya. Zotsatira zake, zakudya zimakhuta ndipo nthawi yomweyo zimakhala zothandiza.
Njira ngati yophika pang'onopang'ono imathandizanso kuphika. Pa chipangizochi chamakono, maphikidwe ambiri osangalatsa ophikira zakudya zabwino amapangidwa.
Ngati wodwalayo adachitidwa opaleshoni, kapena kufalikira kwayamba, zakudya ziyenera kukhala zovuta kwambiri momwe zingathere. Zakudya zokometsera siziyenera kusiyidwa. Kumenyedwa ndi njala kwa masiku angapo nthawi zina kumakhala kothandiza.
Madokotala ambiri ali ndi chidaliro kuti kukana chakudya kwathunthu kumathandiza kuchiritsa ngakhale gawo loyambirira kwambiri la kapamba.
Malangizo ochokera kwa madokotala odziwa ntchito
Pali mndandanda woyenerana wazinthu zomwe zimavomerezedwa kuti zigwiritsidwe ntchito ndi odwala omwe amapezeka ndi pancreatic necrosis.
Mndandandandawu umakhala ndi mitundu yosiyanasiyana ya chakudya, koma nyama zamafuta ziyenera kusiyidwa.
Kuphatikiza apo, tikulimbikitsidwa kupatula chakudya:
- Kusuta.
- Amchere.
- Kumwaza.
- Zokazinga.
Ma pancreatic michere mu mawonekedwe a mapiritsi amatengeka ndi asidi osakwaniritsidwa ndi m'mimba, motero, amachepetsa ntchito yawo mu duodenum. Njira zopewera izi zimaphatikizapo kuyendetsa ma enzymes ochulukirapo komanso kuwonjezera pH yamimba pogwiritsa ntchito proton pump inhibitor.
Njira ina ndi mankhwala omwe amaphatikiza wapadera omwe amateteza ma pancreatic enzyme ku ma pH otsika omwe amapezeka m'mimba, omwe amalola ma enzyme kuti azisungabe zochitika zawo akafika ku duodenum. Ma Enzym akudutsa pamimba amamasulidwa kuchokera ku membrane woteteza mu duodenum, pomwe milingo ya pH imaposa 5.5.
Akatswiri amati odwala ambiri omwe ali ndi pancreatitis yosatha amapindula ndikuphatikiza ndi mavitamini osungunuka a mafuta. Koma, ngati tikulankhula za amayi apakati, ndiye kuti kugwiritsa ntchito mankhwala ena alionse kuyenera kukambirana ndi adokotala.
Zambiri pancreatic necrosis zimaperekedwa mu kanema munkhaniyi.
