Iningi leziguli linentshisekelo embuzweni wokuthi yikuphi ukudla ekudleni kwe-pancreatic necrosis okubhekwa njengokusebenza kakhulu. Noma isiphi isidlo isiguli esinezifo esizikhethelayo kufanele sizikhethele izithako ezivunyelwe kuphela futhi zingabi nomphumela omubi esitho esilimele.
Ezigulini eziningi, i-pancreatitis engapheli ibonakala njengento ebuyela emuva, isifo esingamahlalakhona esidinga ukwelashwa. Okokuqala, kubalulekile ukuqeda izinhlungu esiswini futhi wenze yonke imizamo yokugcina amakhono omzimba asebenzayo.
Izinketho zokwelapha ubuhlungu besisu zifaka izindlela zokuhlinzwa nezokwelashwa. Ngokuhamba kwesikhathi, njengoba lesi sifo siqhubeka, iziguli zizodinga ukuthatha ama-enzyme e-pancreatic ukusiza ukugaya ukudla.
Ngaphezu kwalokho, ukuphuza i-insulin uma kwenzeka kungakhiqizi okwanele kuzodingeka ukuqeda imiphumela yesifo sikashukela.
Ngakho-ke, ukudla ngemuva kwe-pancreatic necrosis kufanele kukhethwe ngokuqinile enconyweni kadokotela futhi kuqukethe imikhiqizo evunyelwe kuphela. Kungcono uma udokotela ohambelayo ekhetha imenyu yokudla. Kulokhu, kufanele enze ukuhlolwa okukhethekile futhi athole imbangela yangempela yalesi sifo futhi anqume ukuthi isiguli sinokuhlonza okukhona yini.
Inani elincane lokudla nemikhawulo yokudliwayo
Kunezifundo ezimbalwa ezinikelwe ekuboneni usayizi ofanele wokudla kwesiguli esine-pancreatitis engamahlalakhona.
Uma kungekho ucwaningo lomtholampilo, kuwukuhlakanipha ukuphakamisa ukudla okuncane ngomzamo wokunciphisa inani lokugcinwa kwe-pancreatic enzyme secretion kanye nokwakheka kwamanzi ku-patity esiswini.
Kunconywa ukugwema ukudla ngokweqile, futhi esikhundleni salokho kudla ukudla okuncane, kepha kaningi, kusetshenziselwa inqubo yokudla okungenamsoco kule nhloso.
Ukudla okunamafutha aphansi ngokwesiko kubekelwe iziguli ezine-pancreatitis engapheli ukunciphisa umngcele we-pancreatic enzyme. Kodwa-ke, lapho uxoxa ngohlelo lokudla olungenamafutha neziguli, odokotela kufanele bakhumbule ukuthi i-cholecystokinin ikhishwa ngokungaphenduli ama-asidi wamahhala kuphela, kodwa futhi nama-oligopeptides nama-amino acid angena ukugaya ukudla. La maqiniso asikisela ukuthi ukunciphisa umgomo wamaprotheni wokudla kumanani aphansi kuzonciphisa ukukhiqizwa kwama-enzyme e-pancreatic. Ukudla okunjalo kwe-pancreatic pancreatic necrosis kusetshenziselwa injongo yomsebenzi wezimfihlo kanye njengomphumela wezinhlungu.
Utshwala bungadala ukuvuvukala kwamanyikwe, kuholele ebuhlungwini. Lesi senzo sotshwala sidinga ukuthi isiguli sikuyeke ngokuphelele ukusetshenziswa kwaso. Ukuyeka ngokuphelele utshwala kunconywa kuzo zonke iziguli ezitholakale zinepancreatitis engalapheki ngenxa yokusebenzisa kabi utshwala obunzima.
Ngaphezu kokunciphisa utshwala, odokotela beluleka iziguli zabo ukuthi ziyeke ukubhema. Ucwaningo luye lwabonisa ukuthi ukubhema kuyizinto ezizimele eziyingozi zokuthuthukisa i-pancreatitis equkethe izifo ezingapheli futhi ezingalapheki. Ngaphezu kwalokho, ukubhema kukhulisa nengozi yokuba nomdlavuza we-pancreatic.
Iziguli ezitholakala ukuthi zine-pancreatic necrosis zisengozini enkulu yokuba nomdlavuza, ngakho-ke kungcono ukungazibeki engcupheni.
Ukwelashwa nge-enzyme kanye nokusetshenziswa kwama-vithamini
Umgomo we-pancreatic replacement therapy weziguli ezine-pancreatitis steatorrhea ukufeza umsebenzi omuhle we-enodme ku-duodenum. Lokhu kubalulekile kuwo wonke umuntu olahlekelwe ngokuphelele noma ingxenye ethile yomsebenzi oyimfihlo wamanyikwe. Ukwelashwa kwe-enzyme kusetshenziselwa ukunciphisa ubuhlungu besisu obuhambisana ne-pancreatitis engapheli.
Ama-enzymes e-pancreatic anqunywa uma kutholakala amanoni ezinduneni zesiguli. Ngokwesiko, lokhu kwenziwa ngokulinganisa inani lamafutha eqoqweni lezinsuku ezintathu (3) ngemuva kokudla ukudla okunqunyiwe okuqukethe inani elaziwayo (100 g) lalawo mafutha.
Enye indlela yokuthola ukuthi isiguli sinenkinga nalesi sitho ukukalwa kwe-fecal elastase. Ukwehla kwe-fecal elastase kukhombisa ukuthi kukhona isilinganiso esithile sokuntuleka kwe-pancreatic.
Lapho wenza izifundo ezinjalo, kubalulekile ukuba ulondoloze umsoco ofanele uma kwenzeka kuba ne-pancreatic necrosis.
Ukuxilongwa okubambezelekile kuholela ekwelashweni okubambezelekile kanye nokukhula kwezinkinga ezibucayi ezigulini.
Yini okufanele ifakwe ekudleni?
Kumele kuqashelwe ukuthi ukondleka ngemuva kwe-pancreatic necrosis noma ngesikhathi sokusungulwa kokuqala kwalokhu kutholwa kubandakanya ukusetshenziswa kokudla okuthile, kanye nokubambelela esimisweni sokudla esifanele.
Kwezinye izimo, kunconyelwa ukwenqaba ngokuphelele ukudla, noma ukunciphisa umkhawulo wokudla okuchithiwe.
Isibonelo, imifino idliwa kangcono kusitshulu. Inyama enamafutha kufanele ilahlwe ngokuphelele. Imikhiqizo yokusanhlamvu ilusizo, lokhu kungaba:
- ama-oat groats;
- Buckwheat
- irayisi
- ukolweni okusanhlamvu nokuningi.
Ngokuvamile, namuhla kunendlela engaphezu kweyodwa ehlanganisa ukupheka kweziguli ezikulesi sifo. Ngakho-ke, uma ufisa, ungapheka isidlo esimnandi kakhulu semikhiqizo yokudla. Ngenxa yalokhu, ukudla kudliswa futhi ngasikhathi sinye kube lusizo.
Indlela enjalo njengompheki ohamba kancane uzosiza ekuphekeni. Kule divayisi yesimanje, izindlela eziningi zokuthokozela zokupheka izitsha ezimnandi sezakhiwe.
Uma isiguli sihlinzelwa, noma sanda kuqala, ukudla kufanele kube okuqinile ngangokunokwenzeka. Ukudla okunezipayisi kuzodingeka kushiywe noma kunjalo. Ukushaywa yindlala izinsuku eziningana kwesinye isikhathi kuyasiza.
Odokotela abaningi banethemba lokuthi ukwenqatshwa okuphelele kokudla kusiza ekwelapheni ngisho nesigaba esithuthuke kakhulu se-pancreatitis.
Izeluleko ezivela kodokotela abanolwazi
Kunohlu olinganiselayo lwemikhiqizo oluvunyiwe ukuthi lusetshenziswe yiziguli ezitholakala nge-pancreatic necrosis.
Lolu hlu luqukethe izinhlobo ezahlukahlukene zokudla, kepha inyama enamafutha izodinga ukushiywa.
Ngaphezu kwalokho, kunconywa ukuthi ungafaki ukudla:
- Kubhema.
- Usawoti.
- Ukuhluza.
- Okuthosiwe.
Ama-enzymes we-pancreatic ngendlela yamathebulethi angahlaselwa i-acid inactivation esiswini, ngenxa yalokho anciphise ukusebenza kwawo ku-duodenum. Amasu wokunciphisa lo mphumela afaka ukuphatha ama-enzyme amaningi e-pancreatic kanye nokwandisa i-pH yesisu usebenzisa i-proton pump inhibitor.
Enye into izidakamizwa ezinesembozo esikhethekile esivikela ama-enzym pancreatic emazingeni aphansi we-pH akhona esiswini, okuvumela ama-enzyme ukuthi alondoloze umsebenzi wawo lapho efika ku-duodenum. Ama-enzymes adlula esiswini akhishwa eluswini oluvikelayo oluse-duodenum, lapho amazinga e-pH ekhulu khona kuno-5.5.
Ochwepheshe bathi iningi leziguli ezine-pancreatitis engapheli zizosizakala ngokungezelelwa ngamavithamini ancibilikisa amafutha. Kepha, uma sikhuluma ngabesifazane abakhulelwe, khona-ke ukusetshenziswa kwaoma yiziphi izithasiselo kufanele kuxoxwe futhi nodokotela wakho.
Imininingwane nge-pancreatic necrosis inikezwe kuvidiyo ekulesi sihloko.
