Pancreatitis ndimatenda omwe amatha kudwala komanso kuipiraipira nthawi ndi nthawi. Pafupipafupi komanso kuchuluka kwa kukomoka mwachindunji zimatengera moyo wa wodwala komanso chakudya. Kumwa pafupipafupi zakudya zamafuta, zokazinga ndi zonunkhira, komanso zakumwa zoledzeretsa ndi zinthu zomwe zingayambitse vuto.
Zizindikiro
Zizindikiro zazikuluzikulu za kapamba zimaphatikizira kupweteka pamimba, kudzimbidwa ndi chimbudzi, kutentha thupi komanso kuphwanya thupi. Ndizofunikira kudziwa kuti popita nthawi yayitali pancreatitis, ululu umayamba kusokonekera, womwe umalumikizidwa ndikuwonongeka pancreatic parenchyma, kuyika kwa ma calcication ndi kuchepa kwa chiwerengero cha mathero amitsempha.
Ngati kapamba amakakamizidwa ndi biliary thirakiti, zizindikiro za kufalikira zili motere:
- chikasu pakhungu;
- mkodzo wakuda;
- malungo
- ndowe zowala;
- kupweteka kumanja pansi pa nthiti kapena lamba.
Ndikofunikira kudziwa kuti zizindikiro zoyambirira za kukoka zimawonekera koyambirira kwa kapamba. Chifukwa chake, tikulimbikitsidwa kukaonana ndi dokotala posachedwa kuti tiyambe kuthandizira kapamba munthawi yake.
Njira zothandizira
Kuchulukana kwa pancreatic kumatha kuyambitsa kudya kwambiri komanso mowa, komanso kusokonezeka kwa mahomoni m'thupi, matenda a chikhodzodzo ndi duodenum, komanso kudya molakwika kwa mankhwala ena.
Kusala kudya ndi kuchuluka kwa kapamba ndizofunikira kuti muchepetse kutupa
Pakakhala vuto, ndikofunika kusiya zonse zofunika kudya ndi zakumwa, kupatula madzi opanda kanthu. Zoletsa zoterezi zimafotokozedwa ndikuti kulowetsedwa kwa zinthu m'magayidwe am'mimba kumayambitsa kupanga kwa ma enzyme komanso kupweteka kwambiri kwa kapamba.
Kusala kochizira kuyenera kupitilira kwa maola osachepera 24. Muyenera kuti mutuluke pang'onopang'ono, kenako muyenera kudya zopanda zotsalira, kenako ndikuyambitsa zakudya zamagulu azakudya. Ndikulimbikitsidwa kuti mumwe madzi amchere osakhala ndi mpweya, makamaka wothandiza pancreatitis Narzan ndi Borjomi.
Kuti muchepetse ululu, muyenera kukhala pansi ndikutsamira. Ndikosatheka kugona pansi, makamaka m'maola atayamba kuukira, chifukwa izi zimapangitsa kuchuluka kwa zizindikiro. Compress yozizira - chotenthetsera ayezi kapena thumba la chakudya chozizira kuchokera mufiriji zingathandize kuchepetsa kutupa. Ndikwabwino kuziyika kumbuyo, pamwamba pake pamunsi, ndikukulungirani ndi thaulo.
Zovuta zina nthawi zambiri zimayendetsedwa ndi nseru komanso kusanza, komwe kumabweretsa mpumulo, komanso kwakanthawi. Kutulutsidwa kwa m'mimba pazomwe zimathandizira kumasula kapamba. Chifukwa chake, ndikusanza, mutha kufulumizitsa njirayo mwakuwapanikiza ndi zala ziwiri pamizu ya lilime.
Tiyenera kukumbukira kuti chithandizo chachulukitsa cha kapamba chiyenera kuchitika kuchipatala, popeza pali chowopseza osati thanzi, komanso moyo wa wodwalayo. Nthawi zina, ntchito ya pancreatic pancreatic imachulukitsidwa kwambiri, zomwe zimapangitsa kuti ma enzymes apangidwe kwambiri.
Ma enzyme ochulukirapo ndi owopsa chifukwa amayamba kuwongolera England ndipo amatha kulowa mu kayendedwe kazinthu. Zotsatira zake, kugwira ntchito kwa ziwalo zonse ndi machitidwe, kuphatikizira kupuma ndi mtima, kumasokonezedwa.
Mchipatala, wodwalayo amawunikira zida zamakono zodziwitsira, ndipo potengera mapeto ake, njira zochiritsira zidzachitika.
Njira zodziyimira panokha komanso zosagwiritsidwa ntchito masiku ano sizingokhala zopanda ntchito, koma zimatha kuvulaza thupi ndikukulitsa vutolo. Chifukwa chake, muyenera kuyitanitsa gulu la ambulansi zikafika zizindikiro zoyambirira za kutupa kwa kapamba.
Asanachitike madokotala, ndizoletsedwa kumwa mankhwala aliwonse kupatula antispasmodics. Kukonzekera kwa enzyme, ma analgesics ndi mapiritsi osagwiritsa ntchito mankhwala a anti-kutupa ndi oletsedwa. Zoletsedwazo zimagwira ntchito ngakhale kuchuluka kwa madzi omwe mumamwa - mutha kumwa madzi theka lililonse la ola, koma osapitirira 50-70 ml panthawi imodzi.
Mankhwala
Momwe mungachitire ndi momwe mungathandizire ziphuphu pakukula, dokotala ayenera kusankha. Munthawi zonsezi, chithandizo chamankhwala chimatha kusiyanasiyana kutengera kuopsa kwa zizindikiro ndi gawo la matendawa.
Zochizira kapamba, mankhwala a magulu angapo amodzi:
Momwe mungathandizire kupweteka ndi kapamba- antispasmodics (Papaverine, Drotaverin, No-shpa);
- ma enzyme (Mezim, Pancreatin, Creon);
- maantacid (Almagel, Phosphalugel);
- corticosteroids (prednisone);
- analgesics (Baralgin);
- choleretic (Allohol, Ginseng);
- proton pump zoletsa zomwe zimachepetsa kupanga kwa hydrochloric acid am'mimba (Omeprazole, Lansoprazole, Pantoprazole);
- ma antibayotiki (cefuroxime);
- mavitamini ma protein;
- hepatoprotectors (Wofunika Forte, Essliver Forte);
- enterosorbents ndi ma probiotic (Smecta, Polysorb, Hilak Forte).
Nthawi zina, diuretics (diuretics) ndi sedative amathanso kutumikiridwa. Gawo lachiwopsezo cha pancreatitis nthawi zambiri limayendera limodzi ndi kuchuluka kwa michere, motero, kwa ena odwala, ndalama zoponderezera pancreatic zawonetsedwa poyamba.
Panzinorm ndi mankhwala otsika mtengo komanso othandiza omwe amalembedwa chifukwa cha kapamba, koma atachotsedwa kale
Hepatoprotectors adalembedwa kuti abwezeretse maselo a chiwindi, limodzi ndi njira ya maantibayotiki.
Mphamvu yamphamvu
A achire chakudya ndi gawo limodzi lofunika la mankhwalawa exacerbation wa kapamba. Mndandanda wopangidwa moyenera ndikutsatira malangizo azachipatala kumatha kugwetsa ziwalo zam'mimba ndikuwapatsa mtendere.
Kuletsedwa kwa chakudya chilichonse kumatha mpaka masiku atatu. Ingomwa zamchere zamchere zamchere zamchere mpaka 1.5 malita patsiku. Kenako, amadzimadzi amadzimadzi amadzimadzi amadzimadzi amadzola - msuzi wosenda, zakudya. Imayenera kudyedwa m'magawo ang'onoang'ono, koma nthawi zambiri. Zakumwa zoledzeretsa zamphamvu zilizonse, zamafuta, zonunkhira komanso zokazinga ndizoletsedwa.
Ngati mumatsatira zakudya zosavomerezeka kwa miyezi ingapo, ndiye kuti mutha kukwanitsa kuchotsedwa kwakhazikika ndikuchepetsa kwambiri kuchuluka kwa mankhwalawa omwe amwedwa. Ndikofunikira kwambiri kukwaniritsa kufunikira kwa mapuloteni, chifukwa chake pokhapokha nthawi yanjala ndikulimbikitsidwa kuyambitsa zopangidwa ndi nyama muzakudya.
Mitundu yotsika monga kalulu, nkhuku, nkhuku ndi nyama yamchere ndi yabwino kwambiri. Asanaphike, nyamayo iyenera kutsukidwa mitsempha ndi kudulidwa mu chopukusira nyama. Mukachira, imatha kuphika kapena kuphika muzidutswa chonse.
Popeza insulini imapangidwa m'matumba, simungadye shuga kwa mwezi umodzi ukatha. Pambuyo pokhazikika, amaloledwa kupanga zakudya zamafuta ndi zipatso pa fructose.
Pakutha sabata yoyamba yamatenda, nsomba zamafuta ochepa ndi zodula zamkati zimatha kuphatikizidwa mumenyu. Zakudya zamitundu mitundu zimaphatikizapo cod, pollock, perch ndi safironi cod. Mafuta a 2% amakhala ndi pike, pike perch, flounder ndi crucian carp. Nsomba zamatenda ndi nyama, mchere, zouma ndi zouma, hering'i ndizoletsedwa panthawi yonseyi.
Pambuyo panjala, tikulimbikitsidwa kudya mpunga ndi phala la oatmeal m'madzi, yophika bwino. Suzi, mafuta ndi mchere sizingawonjezedwe. Ndikosayenera kuphatikiza phala ya chimanga, mapira ndi barele pamenyu, chifukwa ndizovuta kugaya.
Zakudya pa chikhululukiro
Zomwe zikuwopseza zikatha ndipo palibe zizindikiro zowopsa, gawo lolepheretsa lazakudya limachotsedwa, ndipo mitundu yonse yazololedwa imakulitsidwa. Komabe, sikofunikira kuti munthu azinyamula zikondwerero zambiri, motero, malamulo ena ayenera kutsatiridwanso:
- zakudya zabwino. Kudya chakudya m'magawo ang'onoang'ono mpaka sikisi patsiku kumathandizira kuti ayamwa bwino, ndipo ndizosavuta kuti munthu akane zakudya zovulaza;
- mbale zonse ziyenera kutenthetsedwa pang'ono, osati kutentha kapena kusazizira;
- kuchuluka kwamafuta, mapuloteni ndi chakudya chamagulu m'zakudya ndizochepa, ndipo zimakhala 60, 120 ndi 400 g, motsatana.
- Chakudya chosavomerezeka chimaletsedwa: chakudya chimayenera kuwiritsa kapena kuwotcha.
Zakudya zopatsa thanzi zopezeka popanda shuga zimasokoneza chakudya cha wodwalayo ndikupangitsa kuti thupi lanu lisafe ndi mavitamini
Msuzi wokazinga wamasamba, dzulo kapena mkate wopanda chofufumitsa wochokera ku ufa wa 1 ndi 2 giredi, pasitala ndi chimanga - mpunga, oats, buckwheat zimayambitsidwa pang'ono ndi pang'ono pakadyedwe. Mukamasankha pasitala, ndibwino kupereka zokonda zazing'ono (nyenyezi, mphete, makutu).
Zakudya zamagulu omwe amalimbikitsidwa kuti azikhala ndi pancreatitis yayitali ndi monga mapiritsi am'mapuloteni, masamba ophika kapena ophika - mbatata, dzungu, zukini, kaloti ndi beets. Mutha kudya zinthu zamafuta ochepa mkaka wowawasa, mwachitsanzo, tchizi yanyumba, mkaka wowotchera, kefir ndi tchizi. Mkaka watsopano ndiwovomerezeka pochepa pokha komanso kuchepetsedwa, ndibwino kuwonjezera pakudya kapena tiyi wokonzekera.
Monga mafuta, batala ndi mafuta a masamba amagwiritsidwa ntchito pazovomerezeka. Mwa zipatso, maapulo okhala ndi kuchuluka kwa acidity ndi maswiti, komanso kupanikizana, ma jelly, mousses ndi zipatso zopatsidwa, ndizothandiza kwambiri.
Kuti athandizire kugwira ntchito kwa chiwalo chowonongeka ndikuthandizira kugaya chakudya, pamafunika boma loyenera kumwa. Kuchuluka kwa madzi omwe amamwa kuli pafupifupi malita awiri. Mutha kumwa zamasamba ndi zipatso zamadzimadzi, msuzi wa rosehip, mchere wamchere wamchere, mankhwala azitsamba, zakudya zamafuta ndi zipatso.
Madzi a pichesi amafunika kuphikidwa kokha mu nyengo, chifukwa timadziti tomwe timagulidwa timakhala ndi zoteteza komanso shuga wambiri
Zothandiza kwambiri zidzakhala timadziti kuchokera ku pichesi, maapulo, mapeyala, apricot, mbatata, maungu, tomato ndi nkhaka. Zakumwa izi zimakonzedwa bwino pazokha, chifukwa utoto ndi mankhwala osungira amawonjezedwa kuti asunge zinthu. Kuphatikiza apo, timadziti tomwe tangofika kumene timayenera kudya nthawi yomweyo, sitha kusungidwa mufiriji.
Tiyi yobiriwira ndi yofiira ya hibiscus imakhala yofatsa kwambiri; Ma Kissels amatha kuphika kuchokera ku oatmeal, zipatso zouma, flaxseed, mkaka, komanso kutengera zipatso ndi zipatso.
Zakudya zoletsedwa komanso njira zophikira
Ngakhale gawo la kapamba, zotsatirazi ndizoletsedwa:
- nyama yamafuta - nkhumba, mwanawankhosa, atsekwe ndi abakha, mafuta anyama;
- masamba ndi zipatso zina - radish, kabichi, mphesa, nthochi, adyo ndi sorelo;
- nyemba zonse - nyemba, nandolo, chimanga, mphodza, soya;
- ma pickles ndi ma pickles;
- margarine, khofi ndi cocoa;
- ayisikilimu, matsenga, makeke.
Odwala ayenera kuchenjezedwa makamaka kuti asamwe mowa uliwonse.
Kuti muchepetse kuthekera kokuchulukirachulukira kwa kapamba ndi kutalikitsanso nthawi yachikhululukiro, zinthu zonse ziyenera kuponderezedwa. Kenako amathira kuwiritsa, kuwuphika kapena kuwaphika mu owiritsa pawiri. Sikulimbikitsidwa kudya mitundu yambiri ya mapuloteni pachakudya chimodzi - mwachitsanzo, mazira ndi nkhuku, nsomba ndi nkhuku, tchizi ndi ng'ombe, ndi zina zambiri.
Kuletsa kuukira kwa chifuwa sikukutanthauza kuchira kwathunthu. Pambuyo pochotsa zizindikiro zowopsa, ndikofunikira kuwonedwa ndi gastroenterologist kwa chaka chimodzi kapena zingapo. Dokotala adzapereka malingaliro amomwe angachiritsire kapamba pakachotsedwa, ndikuti apatseni mankhwala okonza.
