Ezinye izifo zichazwe ngqo. Lezi yi-pancreatitis kanye nesifo sikashukela.
Ngenxa yalokhu, kungabonakala sengathi abanakho ukuxhumana nabanye. Eqinisweni, yini evamile phakathi kokuvuvukala kwamanyikwe noshukela wegazi ophakeme?
Okwamanje, zombili lezi zifo ezinkulu ziyahlangana futhi zivame ukubonwa esigulini esisodwa. I-pancreas inemisebenzi emibili. Ikhiqiza ama-enzymes ne-insulin. Esokuqala siyadingeka ekuqhekekeni kokudla, okwesibili - ushukela.
Ukuphazamiseka kumakhanse kuholela kwisifo sikashukela. Ezimweni eziningi, kuvela “isifo” esimnandi sohlobo lwesibili. Ukuxakaniseka okunamandla okunjalo kwenzeka ezigulini ezingaphezu kwe-1/3 kweziguli ezitholakala zinepancreatitis engapheli.
Indlela yokuthuthukiswa kwesifo sikashukela
Ukuze i-pancreatitis ingene ifomu elingapheli, kuzothatha isikhathi esiningi, kuze kube iminyaka eyi-10. Ngalesi sikhathi, isiguli sizwa izinhlungu ngezikhathi ezithile ku-hypochondrium yangakwesobunxele. Yile mizwa engemnandi ebhekwa njengezibonakaliso eziphambili zokugula.
Kepha izinhlungu zingadlula masinyane ngokwanele, futhi isiguli siyakhohlwa ngokuqhekeka kwakhe kuze kube ukuhlaselwa okulandelayo. Uma ungalandeli ukudla, ungathathi umuthi, i-pathology iba engalapheki. Kulokhu, isiguli asinendaba kuphela nobuhlungu ohlangothini lwesobunxele.
Izimpawu ziyavela ezibonisa ukungasebenzi kokugaya ukudla:
- ukushisa kwenhliziyo;
- isifo sohudo
- ukuqhakaza;
- isicanucanu
- ukuntuleka kokudla;
- ukuhlanza
Lesi sigaba se-pancreatitis sibuye sivezwe yi-carbohydrate metabolism ephazamisekile. Izinga le-glucose egazini liyancipha, lokhu kwenzeka ngokungazenzisi nangokuzenzakalelayo. Le nto iyaqondakala - amaseli we-beta ayacasulwa, aphendula ukuvuvukala ngokukhishwa kwemithamo ephezulu ye-insulin.
Lapho i-pancreatitis iqhubeka, ama-pancreas awasakwazi ukubhekana nemisebenzi yayo ye-endocrine. Kulokhu, isiguli sinokubekezelelwa kwe-glucose. Okusho ukuthi, ngemuva kokudla egazini lesiguli, kungatholakala ukutholakala kokuqukethwe ushukela obalulekile, izinga lawo elinganciphi isikhathi eside.
Sesikushilo ukuthi i-pancreatitis ingena esigabeni esingapheli kungakapheli iminyaka eyishumi.
Kuzothatha isikhathi ukuthuthukisa ngokuphelele isifo sikashukela. Lokhu kuvame ukuthatha iminyaka emihlanu.
Imvamisa, isifo sikashukela sohlobo lwesibili sikhula lapho inani elanele le-insulin ligcinwa, kepha ukungena kwalo egazini kunzima.
I-glucose ethe xaxa ayikho esibindini nasemisipha, kodwa ibandakanyeka ekubhujisweni kwemithambo yegazi. Uma kwenzeka isifo sikashukela sohlobo 1, ukuvuvukala kwepancreatic kuvusa ukumiselela kwamaseli we-pancreatic ngamafutha noma izicubu ezithintekayo. Amaseli ajwayelekile ayacindezelwa, abe mancane ngosayizi, futhi atrophy.
Kumane nje abasakwazi ukufeza umsebenzi wabo - bayayeka ukugcoba ujusi ne-insulin egazini futhi bafe ngenxa yalokho. Le nqubo iholela ekuthuthukisweni kwesifo sikashukela sohlobo 1. Kulokhu, kufanele wazi ukuthi i-pancreatic cell necrosis yinto engenakuphikwa. Ukukhiqizwa kwe-insulin akwenzeki, egazini kukhona ukwanda kwamazinga kashukela.
Izimpawu ze-Pancreatitis
Ekuqaleni kwesifo, isiguli sihlushwa izinhlungu zokusika. Zenziwe endaweni ese-hypochondrium yangakwesobunxele. Ubuhlungu buvela ngenxa yesizathu. Lokhu kusabela ekudleni. Ukubonakaliswa kobuhlungu kwenzeka cishe emahoreni amabili ngemuva kokudla kwasekuseni, kwasemini, njll. Ngalesi sikhathi, ukudla kungena amathumbu. Udinga ujusi we-pancreatic.
Isakhiwo samanyikwe
Izinyanga zokuqala zokukhula kwalesi sifo zibonakaliswa yizinhlungu ngezikhathi ezithile nokukhandleka okulandelayo. Uma ungakunaki lokhu kuhlaselwa okuhlala kwenzeka, musa ukulandela lokhu kudla - i-pancreatitis iba esingamahlalakhona.
Isifo esinganakwa sibonakaliswa yizimpawu ezihlobene ngqo nepheshana lesisu. Isikhuxungu, ukushaya kwenhliziyo, isicanucanu, ukuntuleka kwesifiso - kude nohlu oluphelele lokubonakaliswa okungathandeki kwe-pancreatitis engapheli. Lesi sifo sithinta amangqamuzana athola ujusi. Ukuntuleka kwabo kuholela enkingeni enkulu - i-indigestibility yokudla.
Imvamisa, lesi sifo siqala ngokuqhamukayo. Isiguli sizwa ubuhlungu obukhulu, besika izinhlungu ohlangothini lwesobunxele. Lokhu kuhlasela kungaqhubeka amahora amaningi.
Akunakwenzeka ukubekezelela lobu buhlungu, kufanele ushayele udokotela. Uma kusolwa i-pancreatitis, isiguli sinikezwa ukwelashwa esibhedlela.
Ezimpawu zokuqala zalesi sifo, kufanele uthintane nodokotela ngokushesha futhi wenze konke ukuqokwa kwakhe, ngoba ukubhebhetheka kwengqondo kusongela ngokucindezela okukhulu okucekela phansi wonke umzimba.
Ungayiphatha kanjani i-pancreatitis?
Isiguli esithole lokhu kufanele sazi kahle ukuthi isifo sikashukela kungaba yisifo sakhe sesibili.Kwesinye isikhathi akwenzeki ukuvikela ukukhula kwesifo "esimnandi". Impi nokugula okubili kuleli cala kuzothatha umzamo omkhulu nemali.
Kodwa-ke, kuleli cala, umuntu akufanele ayeke, ngoba ukwanda kwe-glycemia kubhubhisa zonke izitho nezinhlelo, okuholela ekufeni kwezicubu.
Umgomo wokwelashwa ukuvimbela ukonakala kwe-pancreatic. Ukuyifeza, kuzodingeka usebenzise ama-statins, izidakamizwa ze-hormonal ezisiza indlala ukuthi isebenze kahle, yehlise ukubulawa kwamaseli. Ngaphezu kwalokho, kunikezwa ama-enzymes akhethekile anikezela umzimba ojwayelekile we-carbohydrate metabolism.
Ngohlobo 1 sikashukela, imijovo ye-insulin iyadingeka. Uma kukhulunywa ngohlobo lwesibili, amaphilisi angasetshenziswa ekuqaleni kwalesi sifo. Lapho lesi sifo siqhubeka, ukwelashwa okunjalo akusizi ngalutho, ngoba ukuntuleka kwe-insulin kuba ngokuphelele. Kodwa-ke, imithamo ephezulu yalesi sidakamizwa, edingekayo kohlobo lwesifo sokuqala, ayidingeki lapha.
Ukuhlela kanjani umsoco ofanele?
Enye yezimbangela eziphambili ze-pancreatitis sekuyisikhathi eside ikhonjwa. Lokhu kudla okungenampilo.
Ungahlala iminyaka eminingi ekwelashweni, usebenzisa zonke izidakamizwa ezingenzeka zalokhu, futhi uthole umphumela omuhle uma ungakunaki ukudla.
Ukudla komuntu onesifo sikashukela kuhlukile etafuleni lesiguli esithole ukuthi sinokulimazeka okungajwayelekile kwe-pancreas. Ukuhlushwa i-pancreatitis, kuyadingeka ukunciphisa kakhulu ukudla okungenamafutha, ama-carbohydrate asheshayo. Okokugcina kufanele kushiwo ngokuningiliziwe.
Ukwehla kuphela kokudla okusheshayo kwe-carbohydrate kunciphisa ubungozi bokuba nesifo sikashukela sohlobo 2 kaningi. Amaswidi, imikhiqizo kafulawa ingafakwa ekudleni ngamanani amancane, ngoba lokhu kudla kwenyusa izinga likashukela egazini. Ukwehluleka ukuthobela lo mthetho kuholela ekuxinaniseni ngokweqile kwamanyikwe. Kulokhu, uphuma ngokushesha okukhulu.
Odokotela bavame ukwazisa isiguli ukuthi singafaki kulokhu kudla okulandelayo ekudleni:
- iklabishi;
- inyama, umhluzi kuphekwe kuwo;
- ama-apula
- okuthosiwe, okubhemayo, okunamafutha, okubabayo, okunezipayisi;
- imayonesi;
- amasoseji.
Ukulayisha ngokweqile ama-pancreas ngokudla okuningana akunconywa kakhulu. Ukudla okuhlanu ngosuku kumane nje kunesilinganiso esifanele, kahle, iziguli ezine-pancreatitis kufanele zidle kaningi kakhulu. Kufanelekile ukukhohlwa ngokudla okusheshayo ohambeni, ukusetshenziswa kokudla okusheshayo.
Kuzofanele sikhumbule isiko elidala elihle - ukudla etafuleni, ukuhlafunisisa ukudla. I-pancreatitis yisifo lapho i-iron enganele egazini ivame ukubonwa. Kulokhu, isiguli akufanele sidle inyama nama-apula.
Kuzodingeka ukwandisa okuqukethwe kwe-hemoglobin ngosizo lweminye imikhiqizo. Lokhu kufaka phakathi:
- isibindi;
- i-buckwheat;
- inhlanzi
- amaqanda.
Amavithamini kanye namaminerali adlala indima ebalulekile ekudleni kwesiguli nge-pancreatitis. I-300-400 g yemifino nezithelo izodingeka nsuku zonke.
Amaprotheni ekudleni kufanele abe ngama-200 g, amanoni - angabi ngaphezu kwama-120 g. Ukunakwa ngokukhethekile kufanele kukhokhwe ezitsheni zokugqoka, ngosuku akufanele kudlule i-60 g.
Ukudla
Zonke izinyathelo kufanele zithathwe ukuzinza isiguli. Lokhu akulula, kepha kungenzeka ngempela. Ngaphandle kokubambelela ngokuqinile ohlelweni lokwelashwa, olusekelwa ekudleni okucatshangelwe ngokucophelela, awukwazi ukukwenza.
Izinongo zesipayisi kufanele zingafakwa ekudleni.
Inani lemifino, izithelo, amaprotheni namafutha sekuxoxwe ngenhla. Le mininingwane kufanele ithathwe njengesisekelo. Kufanele ukubala nsuku zonke inani lamandla wokudla. Kwabesilisa, inani lamandla nsuku zonke lokudla akufanele lidlule i-2500 Kcal, kwabesifazane - 2000 Kcal.
Okufanele kulezi zifo kubhekwa njengokudla okungenampilo. Kuyafaneleka ukusho ngokwahlukana ngemikhiqizo ethukuthelisa i-mucosa yesisu. Kuyenqatshelwa ukuzifaka ekudleni. Lezi izinongo ezishisayo, uviniga, isithombo, ugalikhi.
Okufanelekile yizitsha ezintshontshiwe. Ukudla okubilisiwe nakho akulimazi isiguli.
Lapho isiguli sithola isigaba sokuxolelwa, ukudla kwakhe kuphekwe kuhhavini, noma ku-stewed. Isipayisi, okuthosiwe, okunosawoti, obhemayo, kanye nebhotela ngalesi sikhathi kuvunyelwe ukudliwa, kepha umthamo wokudla okungenamsoco kufanele ube mncane.
Okunye okudingekayo ukuthi imikhiqizo efakwe kuhlu ingabonakala etafuleni lesiguli uma ukuvumela nsuku zonke kilojoule, ama-carbohydrate, amafutha namaprotheni kuyakuvumela.
Ezigabeni ezinzima zesifo, ukululama ngemuva kwaso, imikhiqizo enobungozi iyabandakanywa ngokuphelele futhi ngokwezigaba ekudleni. Lezi yizidingo ezijwayelekile zemenyu yeziguli ezine-pancreatitis eyinkimbinkimbi yesifo sikashukela.
Ukudla kwesiguli esithile kuzosiza ukudweba udokotela ozobheka, ozocabangela zonke izici zomzimba womuntu, indlela yakhe yokuphila. Ngakho-ke, abanesifo sikashukela nge-pancreatitis abangena kwezemidlalo badinga ama-carbohydrate amaningi, i-lactating, abesifazane abakhulelwe badinga amafutha amaningi.
Amavidiyo ahlobene
Mayelana nenkathi ye-pancreatitis yesifo sikashukela kuvidiyo:
