Ngabe i-pancreatitis kanye nesifo sikashukela kuhlobene kanjani?

I-pancreatitis kanye nesifo sikashukela kuvame ukuvela ngasikhathi sinye. Lesi sakamuva yisifo esiyinkimbinkimbi se-endocrine, esibonakaliswa ukwephulwa kwazo zonke izinhlobo zezinqubo ze-metabolic.

Izici zenkathi yesifo sikashukela in pancreatitis engapheli

Isifo sikashukela se-pancreatic kasihlali sikhula ngokuvuvukala kwamanyikwe. Kepha uma lokhu kwenzeka, inezici eziningi.

I-pancreatitis kanye nesifo sikashukela kuvame ukuvela ngasikhathi sinye.

Kwi-pancreatitis engapheli, ukuvela kwe-endocrine kwenzeka, okungenzeka zombili ngesimo se-hypoglycemia nangendlela efana ne-pancreatogenicabetes mellitus. I-Hypoglycemia yenzeka nazo zonke izinkomba ezijwayelekile zesifo, ezibandakanya umuzwa ojwayelekile wendlala, ubuthakathaka, ukuquleka noma ukuthuthumela emzimbeni wonke.

Ngokuqondene nesifo sikashukela, lesi akusona isifo sohlobo 2, kodwa ukwahlukahlukana okuhlukile, okuhlukaniswe kuhlobo 3.

Isibonelo, isifo sikashukela esinjalo sivame ukuvela kubantu abanomzimba ojwayelekile noma ngisho nomzimba omncane, futhi akukho ukuxhumana nokukhuluphala okunjalo. Futhi akukho ukuhlangana kokumelana ne-insulin noma isakhi sofuzo. Ukwanda ushukela wegazi kuvame ukwenzeka cishe kungabonakali.

Izimpawu zivela eminyakeni eminingana ngemuva kokuba kubuhlungu bokuqala besisu obuhambisana nezinguquko enanini elikhulu lamaseli e-pancreatic.

Izici ze-pancreatogenicabetes mellitus yilezi:

• isidingo esiphansi se-insulin;
• ukuvela okungavamile kwe-ketoacidosis;
• ukwanda kokucabanga kwezifo ezithathelwanayo nezesikhumba.

Indlela yokuguqulwa kwe-pancreatitis kuya kushukela

I-pancreatitis kanye nesifo sikashukela akuhlali kukhula ngasikhathi sinye. Ukuthi inqubo yokuguqulwa kwe-pancreatitis engapheli (CP) kwisifo sikashukela ayiqondakali kahle. Kunolwazi oluncane mayelana ne-pancreatitis acute (OP), ngoba kulula ukuyithola.

Ngokukhula ngokweqile kwe-pancreatitis engapheli, i-hyperglycemia yesikhashana iyakhula, ehambisana ne-pancreatic edema.

Izibalo zikhombisa ukuthi i-hyperglycemia yesikhashana ezimweni ezinjalo yenzeka ngamaphesenti angama-50, kepha okuzinzile kuphikelela ngo-15% kuphela ngemuva kokuhlaselwa i-OP.

Ngokuphakama kwefomu lesifo okungamahlalakhona, i-hyperglycemia yesikhashana nayo iyakhula, ehambisana ne-edema ye-pancreatic.

Ngasikhathi sinye, izinga le-trypsin likhuphuka egazini, futhi kunciphisa ukwenziwa kwe-insulin. Lapho ukubanjwa kudlula, amazinga kashukela egazi abuyele kwesejwayelekile.

Izizathu

Ingozi yokuthola isifo sikashukela ayincike ebangeni le-pancreatic necrosis, kepha yiziphi izindlela zokwelapha ezisetshenziswayo. Isibonelo, nge-pancreatoduodenectomy, amathuba okukhula kwesifo sikashukela se-postoperative afinyelela ku-50%.

Izimbangela ezilandelayo zokukhula kohlobo lwesifo sikashukela sohlobo 3 zihlukaniswa:

1. Ukuvuvukala okungapheli kwama-pancreas. Kubangelwa yizici ezahlukahlukene, ngokwesibonelo, ukuntuleka kokwelashwa okufika ngesikhathi kokudla okunoshevu kokudla okunempilo, ukungondleki, njll. Kukhuphuka kwenani lama-enzyme e-pancreatic, futhi abhubhisa lesi sitho.
2. Ukuhlinzwa.
3. Ukuba khona kwemikhuba emibi.
4. Isisindo ngokweqile ngenxa yokungondleki.
5. Ezinye izifo ze-pancreas kanye ne-gastrointestinal, ngenxa yokuthi umsebenzi we-endocrine ukhubazeka futhi amazinga e-glucose akhuphuka.

Ukungenelela kokuhlinzwa kungadala ukukhula kwesifo sikashukela sohlobo 3.

Isifo sikashukela sohlobo 3 singenzeka ngenxa yesisindo ngokweqile ngenxa yokungondleki.

Ukuba nemikhuba emibi kungadala uhlobo lweshukela sikashukela.

Ukuvuvukala okungapheli kwama-pancreas kungadala isifo sikashukela sohlobo lwesithathu.

Isicanucanu ngaphandle kokuhlanza kuwuphawu lomonakalo wezicubu ze-pancreatic.

Izimpawu zokulimala kwezicubu ze-pancreatic yizitofu ezingazinzile.

Ukulimala kwezicubu ze-pancreatic kuboniswa kobuhlungu epigastrium.

ISymbomatology

Okokuqala, kunezimpawu zokulimala kwezicubu ze-pancreatic:

• isicanucanu ngaphandle kokuhlanza;
• ukushaya kwenhliziyo njalo;
• ukuzithoba nokuqhakaza;
• Ubuhlungu be-epigastric;
• isisu esingazinzile, isifo sohudo, noma okunye ukuphazamiseka kokugaya ukudla.

Lolu hlobo lwesifo sikashukela lumnene. Uvivinyo lukhombisa ukwanda okuncane kweglucose yegazi. Kepha kaningi kuba nokuhlaselwa kwe-hypoglycemia. Ngokuhamba kwesikhathi, ushukela wegazi uqala ukwanda kakhulu, sekuvele kunezimpawu zakudala zesifo sikashukela, kubandakanya ukoma okuqhubekayo nesikhumba esomile.

Izinkinga ezifana ne-ketoacidosis noma i-ketonuria kuleli cala azivamile. Kepha izinkinga ezivela kwezinye izitho zingavela - isifo sikashukela sezinzwa, ukungasebenzi kahle kwezinso, i-retinopathy.

Ukuvimbela kanye nokwelashwa kwesifo sikashukela se-pancreatic

Ukwelashwa kwe-pancreatitis engapheli kwenziwa ngasikhathi sinye nokwelashwa kwesifo sikashukela. Kufaka phakathi amaphuzu avelele alandelayo:

1. Ukuhambisana nokudla. Njengoba lesi sifo sibangelwa ukuphazamiseka kwe-metabolic, kuyadingeka ukulungisa lokho kudliwayo ukuze uthuthukise imetabolism futhi uqede ukusilela kwe-hypovitaminosis kanye nokuntuleka kwamaprotheni.
2. Ukuthatha izidakamizwa ezinciphisa ushukela. Kuyadingeka ukuguqula i-carbohydrate metabolism, uhlelo lwe-endo kanye ne-exocrine. Ukuze wenze lokhu, thatha i-insulin - ngemithamo emincane futhi isikhashana, ke - izidakamizwa ze-sulfa, ngokwesibonelo, uDiabetes.
3. Ukwelashwa okubuyiselwe esikhundleni, ukuthatha ama-enzymes (isb., Pancreatinum).
4. Ukuvikelwa kwamaseli wesibindi (Forte Essential Forte).
5. Autotransplantation of islet cell.

Ukwelashwa kwesifo sikashukela se-pancreatic kufaka i-insulin ephansi.

Ukwelashwa kwesifo sikashukela se-pancreatic, kusetshenziswa isidakamizwa i-sulfonamide Diabeteson.

I-Essential Forte isetshenziselwa ukuvikela amaseli wesibindi.

Ukwelashwa kokubuyisela esikhundleni kuhlanganisa ukuthatha i-Pancreatinum.

Ukwelashwa kwe-pancreatitis engapheli kufaka i-islet cell autotransplantation.

Imithetho yokudla yezifo

Ukugwema ushintsho lwe-pathological kumaseli we-pancreatic womzimba, udinga ukukhipha ngokuphelele inani lemikhiqizo.

Imikhiqizo engakwazi futhi engakwazi

Ngalezi zifo, okulandelayo akufakiwe ekudleni:

• inyama enamafutha;
• imikhiqizo yobisi (ukhilimu, ukhilimu omuncu, amafutha amaningi aphezulu ubisi);
• noma yikuphi ukudla okusheshayo;
• imifino (isithombo, ugarlic, u-anyanisi, isipinashi);
• izithelo - amagilebhisi, uphayinaphu;
• izindle;
• izinongo
• ukubhaka ibhotela, ushokoledi, u-ayisikhilimu;
• amasoso akhiwe ngomumo - imayonnaise, i-ketchup, isoso lesoso, unamathisele utamatisi ngisho nejusi.

Izinhlanzi ezivinjelwe ezinothile kanye nomhluzi wenyama.

Esikhathini sikashukela we-pancreatic, ukudla okusheshayo kwenqatshelwe.

Kusukela ekudleni kwesiguli esinesifo sikashukela se-pancreatic, amagilebhisi nophayinaphu kufanele angabandakanywa.

Ngesifo sikashukela kanye ne-pancreatitis, izinhlanzi ezicebile nemhluzi yenyama akuvunyelwe.

Ngesifo sikashukela se-pancreatic, izinongo azifakwa ekudleni.

Ngoshukela we-pancreatic, ukubhaka kanye noshokoledi kuvinjelwe.

Kwi-pancreatitis engapheli, ama-legamu awafakwa ekudleni.

Ngokwesifo sikashukela se-pancreatic, amasosi enziwe ngomumo anqatshelwe - imayonnaise, i-ketchup, isosi le-soya, unama utamatisi.

Ukudla kwezitshalo

Imithombo yamaprotheni yemifino imidumba. Kodwa nge-pancreatitis engapheli, bavinjelwe, ngakho-ke, ukudla kwesitshalo salezi zifo akunqunyelwe.

Ukudla 9 nge-pancreatitis

Ukudla lapho ama-carbohydrate adlala khona indima yokulondolozwa kwemvelo kungafakwa ekudleni. Lezi ngamabhanana, izinsuku, amakhiwane, utamatisi, amagilebhisi.

Amajikijolo amnandi futhi amuncu nezithelo anconyiwe - cishe zonke izithelo zezithelo zomdiliya (ngaphandle kwezithelo zomvini nezithelo - ziqukethe i-acid eningi kakhulu), ama-apula, i-kiwi, i-cherry, i-blackcurrant, ama-cranberries kanye nama-lingonberry.

Ukudla 5 kwesifo sikashukela

Ithebula lokwelashwa No. 5 ngokusho kukaM. Pevzner libekelwe iziguli ezine-pancreatitis engapheli noma i-pathologies yohlelo lwe-hepatobiliary. Amaphuzu amakhulu ahlanganiswe nezidingo zokudla kwesifo sikashukela:

1. Yehlisa ukusetshenziswa kwamafutha, ukwenqatshwa okuthosiwe, okubabayo, ukudla okunosawoti, inyama ekheniwe nemifino, inyama ebhemayo.
2. Ukuhambisana nemithetho yokupheka. Ukupheka, ukusizakala, ukuhoya, ukubhaka ngaphandle kokugcwala kuvunyelwe.
3. Ukudla kufanele kube yimicu, kuhlukaniswe izidlo ezi-5-6. Ngokukhuphuka kwe-pancreatitis, zonke izitsha ziphiwa ngefomu le-ketshezi noma oluketshezi, ngokuthethelelwa, uthathe izingcezu ezincane.
4. Kukhishwe imikhiqizo ekhulisa ukuhamba kwamathumbu, kugaywe isikhathi eside, futhi kungadala ukuvutshelwa - isinkwa esisha, amasimu, iklabishi, njll.

Kubalulekile ukuphuza uketshezi olwanele - amalitha ayi-1.5 wamanzi ahlanzekile ngaphandle kwegesi ngosuku.

Isifo sikashukela, ukudla okubangela ukuvutshelwa ngaphandle - isinkwa esisha, ugaxekile, iklabishi.

Ngesifo sikashukela, kufanele uyeke ukudla okuthosiwe, okunoshukela, okunosawoti,

Ngesifo, ubhanana, izinsuku, amakhiwane, utamatisi, amagilebhisi awafakwa ekudleni.

Ukudla kwesifo sikashukela kufanele kube ngokuxhamazanayo, kuhlukaniswe izidlo ezi-5-6.

Kunconywa ukufaka amajikijolo amnandi futhi amuncu nezithelo ekudleni kweziguli.

Kubalulekile ukuphuza uketshezi olwanele - amalitha ayi-1.5 wamanzi ahlanzekile ngaphandle kwegesi ngosuku.

Ungahlanganisa kanjani amatafula 9 no-5?

Lesi simo somzimba, lapho i-pancreatitis ihambisana nesifo sikashukela mellitus, sidinga indlela ekhethekile yokudla okunempilo. Kepha konke ukudla okuselapha kusondele impela, phakamisa imithetho nemithetho evamile.

Ukudla kweviki kwesifo esihlanganisiwe

Udokotela we-endocrinologist uzobeka indlela yokudla, kepha kuyodingeka enze uhlelo lokudla okwenzelwe isonto ngalinye.

Isabelo sesampula:

Ezinye izindlela ezilula

Ukudla ngendlela efanele kudlala indima ebalulekile. Kepha lokhu akusho ukuthi kufanele kube monotonous. Ngezikhathi ezithile ungaziphatha ku-dessert.

NgoMsombuluko, ngesidlo sasekuseni, isiguli sinconyelwe i-oatmeal emanzini, ngezingcezu zebhanana.

NgoLwesibili, isiguli singanikezwa umthamo wama-kefir aphansi namakhukhi e-biscuit owomile.

NgoLwesithathu ntambama, isiguli sivunyelwe isaladi lezithelo elinama-yogurt amancane.

Ukudla kwasekuseni ngoLwesine, isiguli sinconywa i-cottage shizi casserole ngezithelo.

NgoMgqibelo ntambama, kunconywa isobho sobisi ngama-noodle.

NgoLwesihlanu esidlweni sakusihlwa, isiguli sivunyelwe inkukhu yenkukhu ngendishi eseceleni yemifino ebilisiwe.

NgeSonto, ngesidlo sakusihlwa, isiguli sinconywa isitshalo seqanda esigcotshwe inyama enamafutha.

Inyama pudding

Ukuze upheke, thatha inyama ebondayo, ngokwesibonelo, inyama yenkomo - eyi-150 g. Kumele ibhosiwe futhi idlule nge-grinder yenyama.

Futhi, ukuze ukhiye uzodinga iqanda eli-1, 1 tbsp. i-semolina, uwoyela omncane wemifino.

ISemolina igcwaliswa kwangaphambili ngamanzi abilisiwe (1/3 inkomishi) ukuze ikhukhumele. Iqanda ne-semolina yengezwe enyameni elungiselelwe enamakhasi, konke kuxutshwe, kusawoti ukunambitha. Uwoyela ugcoba leli fomu ngaphambi kokulifaka ku-boiler kabili.

I-Vinaigrette

Nge-pancreatitis, ungapheka i-vinaigrette. Kuzothatha amazambane ayi-100 g, ama-90 g ama-beet, ama-60 g we izaqathi, 60 g wamakhukhamba amasha, usawoti ukunambitha, 1 tbsp. uwoyela yemifino yokwandisa.

Amazambane, ama-beet kanye nezaqathi kufanele kuphekwe ngokuhlukile komunye nomunye, kupholile bese kusikwa ku-cubes. Cwecwa ukhukhamba bese uwasika ku-cubes. Uma ufisa, ungangeza ulethisi wamaqabunga. Imifino ixutshwa ngokufaka usawoti kanye no-oyela.

Curd Souffle

Ngalesi sidlo uzodinga u-300 g we-cottage shizi ophansi kanye nenani elilinganayo lama-apula, amaqanda ama-2, ama-100 g amagilebhisi omisiwe, angahlanjwa ngaphambili futhi antshontshwe emanzini abilayo.

I-apula kumele ihlolwe kusuka ezinhlanzini nasekhweni, bese ifakwa ku-grater enhle. Ama-raisin, amaqanda kanye ne-applesauce ephumela lapho ingezelelwa ku-curd mass, yonke into ihlanganiswa kahle, idluliselwe kwesikhumba ngesimo bese ifakwa kuhhavini, kufuthelwe ku-180 ° C. Udinga ukubhaka i-soufflé ye-curd imizuzu engama-40.

Isiphuzo seRosehip

Lungiselela kusuka ezitsheni ezomile zalesi sitshalo. Iqhutshwa ngokushesha ku-thermos. 1 litre wamanzi abilayo udinga ukuthatha i-4 tbsp. izithelo. Faka isiphuzo amahora amaningi. Awungeke ushukela kuyo.