I-pancreatitis kanye nesifo sikashukela kuyizifo ezimbili eziyingozi kakhulu ezihambisana. Ngaphezu kwalokho, uhlobo 1 nesifo sikashukela sesibili kuvame ukuba ngumphumela we-pancreatitis ephezulu.
Ukuvela kwezimpawu zokuqala zokungasebenzi kahle kwe-pancreatic, cishe ku-70%, ukusetshenziswa kabi kotshwala, ngo-20% - isifo sesibindi, kufaka phakathi ukungabi nalutho kwe-gallstone, futhi ku-10% - ezinye izimbangela, kufaka phakathi ukwephula njalo ukudla, ukucindezelwa, ukuntuleka kokuphumula kanye nokuphendula komzimba okuphathelene nezidakamizwa ezithile nezinhlanganisela zamakhemikhali.
Ukuxilongwa kusenesikhathi kanye nokwelashwa kwe-pancreatitis engapheli kuyinkimbinkimbi ngokuthuthuka kwayo kancane kancane futhi kunalokho. Kwesinye isikhathi inqubo ithatha amashumi eminyaka. Ngalesi sikhathi, izinhlungu zokusika ezibukhali kwi-hypochondrium yesobunxele zithathelwa indawo yizinkanuko ezinde, lapho umuntu ezizwa ephilile. Kepha lesi yisimo esikhohlisayo futhi, noma yikuphi, okuncane, ukwephulwa kokudla kungavusa ukuvuvukala okukhulu kwamanyikwe, ekugcineni kuguqulwe kube yisimo esingamahlalakhona.
Izinhlobo ze-Pancreatitis
Lesi sifo sivela ngezindlela ezibucayi nezingapheli.
Ngefomu elibi, ngenxa yokuvuvukala, ijusi le-pancreatic alidluleli ku-lumen ye-duodenum, kepha ligaya izicubu zepancreas uqobo. Le nqubo ibangela ushintsho lwama-necrotic kumaseli wesitho esinegciwane, futhi ezimweni ezinzima kakhulu, ukufa okuphelele kwalo lonke i-gland.
Izimpawu ze-necrosis:
- Phezulu t;
- Isicanucanu
- Ukuqhafaza
- Ukusika izinhlungu.
I-pancreatitis engapheli, kuya ngembangela, ihlukaniswa ngokulandelayo:
- Okuyinhloko - ekuqaleni okuvela kumanyikwe ngenxa yesizathu esithile.
- Okwesibili - kungumphumela wezifo zezinye izitho zomzimba: cholecystitis, ulcers, enterocolitis.
- I-Post-traumatic - umphumela wokucindezelwa okwenziwe ngemishini noma ukuhlinzwa.
Umshini wesifo sikashukela
Uhlobo 1 sikashukela i-mellitus, ene-pancreatitis, kuvela ngenxa yokuthi ama-ducts we-pancreatic angalimali awadlulisi ama-enzymes wokugaya ku-lumen ye-duodenum 12 bese ukuzithambisa kuqala, ukukhiqizwa kwezicubu zamangqamuzana kube ngamafutha, ukubonakala noma ukufa okuphelele kwezitho zezitho. Umzimba uhlangabezana nokushoda okuphelele kwe-insulin, futhi izinga likashukela wegazi liyakhuphuka, okuthinta kabi zonke izinhlelo zomzimba.
Isifo sikashukela sohlobo 2 senzeka ngokukhiqizwa kwe-insulin okwanele. Kodwa ngenxa yokwephulwa kwezindlela ze-metabolic, ayifezi umsebenzi wayo oyinhloko, ukudala ukungalingani okuhlobene.
Izinguquko ze-pathological ziqongelela ngokuhamba kwesikhathi futhi zihlukaniswe ngezigaba ezine:
- Esigabeni sokuqala, ukukhukhumeza kwesikhashana kufakwa phakathi kwezintambo ezinde. E-gland, amafomu wokuvuvukala okungamahlalakhona, ikakhulukazi ageleza kamuva kakhulu ngama-syndromes ezinqabile ezinqabile. Le nkathi ingahlala kuze kube yiminyaka eyi-10-15.
- Isigaba sesibili sibonisa ukungasebenzi kahle kwesistimu yokugaya ukudla. Ukuvuvukala kukhipha ukukhishwa kwe-insulin okungalawulwa egazini, okungaholela ngisho naku-hypoglycemia yesikhashana. Isimo esijwayelekile siyinkimbinkimbi yesitulo esingasebenzi kahle, isicanucanu, isifiso esinciphile, ukwakheka kwegesi kuzo zonke izingxenye zethumbu lesisu.
- Ukusebenza kwamanyikwe kuncishiswe kakhulu. Futhi, uma esiswini esingenalutho, izivivinyo azivezi ukuphambuka, khona-ke ngemuva kokudla, ushukela osegazini le-plasma unqunywa ngaphezu kwesikhathi esivamile.
- Futhi esigabeni sokugcina, ukwakheka kwesifo sikashukela sesibili kwenzeka, kuthinta ingxenye yesithathu yeziguli ezine-pancreatitis engapheli.
Izici zenkathi yesifo sikashukela in pancreatitis engapheli
Kungaba nengqondo ukuphetha ngokuthi izifo ezimbili okunzima kakhulu ukuzelapha ukwedlula esisodwa. Kepha ukuzijwayeza kukhombisa ukwehluleka kwesiphetho esinjalo. Inqubo yesibili inezici eziningi, ngenxa yokuthi ingalapheka kahle:
- Iqhubeka cishe ngaphandle kwe-ketoocytosis;
- Ukwelashwa kwe-insulin kuvame ukuholela kwi-hypoglycemia;
- Ilungele ukudla okuphansi kwe-carb;
- Esigabeni sokuqala, izidakamizwa zomlomo zesifo sikashukela ziyasebenza impela.
Ukuvimbela kanye nokwelashwa kwesifo sikashukela se-pancreatic
Akuyona yonke i-pancreatitis engapheli ebangela ukukhula kwesifo sikashukela. Ngokulashwa okufanele nokudla okuqinile, awukwazi ukuthuthukisa kuphela ama-pancreas, kodwa futhi uvikele ukuqala kwesifo sikashukela.
Udokotela we-endocrinologist ukhetha ukwelashwa komuntu ngamunye esimweni ngasinye. Ngokuya ngendices zokukhiqizwa kwensimbi kwama-enzymes wokugaya, uchwepheshe onekhono unquma ukwelashwa okubuyiselwe esikhundleni ngokusekelwe kuma-enzyme wezidakamizwa zesenzo esifanayo. Kanye nemijovo ye-insulin uma kunesidingo.
Umsoco we-pancreatitis kanye nesifo sikashukela
Udinga ukwazi ukuthi ukwelashwa okuyikho kanye nokubambelela ngokuqinile ekudleni kungaholela ekuphulukisweni okuphelele kusuka kwezifo ezinzima. Yidla kaningi futhi ngezingxenye ezincane - amagremu angama-250-300 ngokudla ngakunye.Nikeza okuthandwa yimikhiqizo equkethe amaprotheni: i-soy, iqanda elimhlophe, inyama, inhlanzi, amantongomane.
Khipha ekudleni okune-acidic okuvusa ukukhipha okusheshayo kwejusi yesisu: i-acidic, isipayisi, ukubhema, okuthosiwe, okuqukethe utshwala, obushisayo noma obandayo kakhulu. Ngamagama, zonke izitsha. ezingadala ukucindezelwa okwengeziwe kwi-pancreatic secretion.
Ukudla kukhethelwa ngokunambitheka futhi kudliwa kufudumele, kunokushisa noma kubanda.
Uma kunzima ukukhetha ngokuzimela ukudla okulungile, ungafaka izincomo zokudla eziklanyelwe ngokukhethekile eziqoqwe ngaphansi kwamagama: itafula No. 5 kwiziguli ezinepancreatitis kanye netafula No. 9 zabanesifo sikashukela. Kepha ngaphambi kokukhetha lokhu noma lokho kudla, kuyadingeka ukubonisana nodokotela wakho.
Ngokubheka kuphela zonke izici zenkambo yesifo kanye nesimo esigcwele sesiguli, udokotela unikeza izincomo ezinembile kakhulu ngokudla okunempilo.
Ukukhetha komkhiqizo
Ngezikhathi ezihlukile zesifo, ukudla kungahluka kancane. Ngakho-ke, ngokwesibonelo, izithelo ezimnandi nezomuncu noma izitsha ezisuselwa kwelayisi, i-oatmeal ne-semolina ziyamukeleka impela ngesikhathi sokukhishwa isikhathi eside, azikhishwa ngokuphelele lapho lesi sifo siba sibi.
Imikhiqizo efanelekayo kufanele ikhethwe ngulunye esigulini ngasinye, kucatshangelwa:
- Okuthandwa nguwe;
- Ukwazi ukubona ushukela;
- Ukungabekezeleleki kunoma yiziphi izinto;
- Ukulungiswa kokufakwa emzimbeni kwezakhi zomzimba.
Esikhathini esibi kakhulu, kwenqatshelwe ngokuphelele ukudla izitsha ezinokudla okunoshukela omningi, ukudla okunamafutha futhi obhemayo, ama-pastries, ukudla okuthosiwe, okusanhlamvu: ilayisi, i-oatmeal, i-semolina; izithelo nemifino eluhlaza, isinkwa esimhlophe.
Ngokuqondene namafutha zemifino, kungcono ukusebenzisa, ngokwesilinganiso, kufakwe emvinini kanye nomnqumo webandayo lokuqala elicindezelwe, elinempahla yokuphilisa. Izolimaza nobisi olunamafutha amancane. Ubisi lucebisa umzimba ngamavithamini, amaminerali futhi lusiza ukudambisa izinqubo zokuvuvukala emgodini wokugaya ukudla.
Iziphetho
Ngeshwa, abantu bahleleke ngendlela yokuthi, bebona inani eliphelele lempilo, basalokhu "bambe ithuna labo ngesipuni." Kepha ukuhlakanipha kwabantu okufanayo sekuyisikhathi eside kuthola isisombululo esilula sezinkinga ngamanyikwe - ukulamba, ukubanda nokuthula.
Ngokulandela lo mthetho olula nokulandela ukwelashwa okukhethwe ngokukhethekile, iziguli eziningi zingahlula izifo eziningi zibuyele esimweni esihle, esigcwele.
