I-pancreatitis yisifo esingahlala singamahlalakhona futhi siba sibi kakhulu ngezikhathi ezithile. Imvamisa nobukhulu bokuxhuzula ngokuthe ngqo kuxhomeke endleleni yokuphila nasekudla komuntu ogulayo. Ukudla njalo ukudla okunamafutha, okuthosiwe kanye nezinongo, kanye nokuluthwa uphuzo oludakayo kuyizici zobungozi ezenza kube nezimpawu ezingemnandi.
Izimpawu
Izimpawu eziphambili zokukhuculula kwamanyikwe zihlanganisa nobuhlungu esiswini esingenhla, ukuqunjelwa kanye nesitulo, umkhuhlane kanye nokuqubuka okujwayelekile. Kuyaqapheleka ukuthi ngokuqhubeka kwesikhathi eside kwe-pancreatitis engapheli, izinhlungu ziba buteketeke, ezihambisana nokubhujiswa kancane kancane kwe-pancreatic parenchyma, ukubekwa kokubalwa kanye nokwehla kwenani lokuphela kwezinzwa esithobeni.
Lapho ama-pancreas ecindezelwa yipheshana le-biliary, izimpawu zokudlanga zimi ngale ndlela elandelayo:
- kuphuzi kwesikhumba;
- umchamo omnyama;
- umkhuhlane
- indle ekhanyayo;
- Ubuhlungu ngakwesokudla ngaphansi kwezimbambo noma amabhande.
Kubalulekile ukwazi ukuthi izimpawu zokuqala zokuqina zivela ezigabeni zokuqala ze-pancreatitis. Ngakho-ke, kunconywa ukubonana nodokotela ngokushesha ngangokunokwenzeka ukuze uqale ukwelashwa kwama-pancreas ngesikhathi esifanele.
Izindlela zosizo lokuqala
I-pancreatic exacerbation ayinakubangela kuphela ukukhuluphala ngokweqile notshwala, kodwa futhi nokuphazamiseka kwe-hormonal emzimbeni, izifo zesinye i-gallder kanye ne-duodenum, kanye nokudla okungalungile kwemithi ethile.
Ukuzila ukudla okwandayo kwama-pancreas kuyindlela yokudambisa ukuvuvukala
Lapho ukuhlaselwa kwenzeka, kubalulekile okokuqala ukulahla noma yikuphi ukudla neziphuzo, ngaphandle kwamanzi. Imikhawulo enjalo ichazwa iqiniso lokuthi ukungena kwemikhiqizo ohlelweni lokugaya ukudla kubangela ukukhiqizwa kwama-enzyme kanye nokucasulwa okwengeziwe kwama-pancreas.
Ukuzila ukudla okwelashwa kufanele kuqhubeke okungenani amahora angama-24. Udinga ukuphuma kulo kancane kancane, bese uqale udle ama-crackers angenazimpawu, bese uletha ukudla kokudla ekudleni. Kunconywa ukuphuza amanzi amaminerali ngaphandle kwegesi, ikakhulukazi ewusizo pancreatitis Narzan neBorjomi.
Ukuze udambise izinhlungu, udinga ukuhlala phansi uncike phambili. Akunakwenzeka ukulala phansi, ikakhulukazi emahoreni okuqala ngemuva kokuhlaselwa, ngoba lokhu kuzobangela ukwanda kwezimpawu. I-compress ebandayo - ukufudumeza iqhwa noma isikhwama sokudla eqandisiwe kusuka esiqandisini kuzosiza ukunciphisa ukuvuvukala. Kungcono ukuzifaka emhlane, ngaphezulu ngaphezu komhlane ophansi, bese usonga ngaphambili ngethawula.
Ukuhlaselwa kuvame ukuhambisana nokuhlatshwa umdlandla nokuhlanza, okuletha ukukhululeka, yize kungokwesikhashana. Ukukhishwa kwesisu kokuqukethwe kusiza ukukhulula ama-pancreas. Ngakho-ke, ngokuhlanza, ungasheshisa inqubo ngokucindezela ngeminwe emibili empandeni yolimi.
Kumele kukhunjulwe ukuthi ukwelashwa okwenyanyisa i-pancreatitis kufanele kwenziwe esibhedlela, ngoba kukhona usongo hhayi empilweni kuphela, kepha nasempilweni yesiguli. Kwezinye izimo, i-exocrine pancreatic function yanda kakhulu, okubangela ukukhiqizwa okwandisiwe kwama-enzyme.
Ukweqisa kwama-enzyme kuyingozi ngoba aqala ukulawula i-gland futhi angangena ekujikelezweni kwe-systemic. Ngenxa yalokhu, ukusebenza kwazo zonke izitho nezinhlelo, kufaka phakathi ukuphefumula kanye nenhliziyo, kuyaphazamiseka.
Esibhedlela, isiguli siyahlolwa ngemishini yesimanje yokuxilonga, futhi ngokuya ngesiphetho, izindlela zokwelapha zizokwenziwa.
Ukwelashwa okuzimele nangendlela ehlukile kuleli cala ngeke kusebenze nje kuphela, kodwa kungalimaza umzimba futhi kwandise isimo. Ngakho-ke, kufanele ushayele iqembu le-ambulensi lapho kuvela izimpawu zokuqala zokuvuvukala kwamanyikwe.
Ngaphambi kokufika kodokotela, kwenqatshelwe ukuthatha noma yimuphi umuthi ngaphandle kwe-antispasmodics. Ukulungiswa kwama-enzyme, ama-analgesics kanye namathebulethi angewona ama-anti-steroidal anqatshelwe ngokuphelele. Imikhawulo isebenza ngisho nakubungako boketshezi obudliwe - ungaphuza amanzi njalo uhhafu wehora, kepha ungabi ngaphezu kuka-50-70 ml ngasikhathi.
Ukwelashwa ngezidakamizwa
Udokotela kufanele anqume kanjani nokuthi yini okufanele ayiphathe. Esimweni ngasinye, ukwelashwa kungahluka kakhulu ngokuya ngobukhulu bezimpawu nesigaba salesi sifo.
Ukwelashwa kwe-pancreatitis, izidakamizwa zamaqembu amaningana zibekiwe:
Ungasusa kanjani ubuhlungu nge-pancreatitis- ama-antispasmodics (uPapaverine, iDrotaverin, uNo-shpa);
- Ama-enzyme (Mezim, Pancreatin, Creon);
- ama-antacid (i-Almagel, i-Phosphalugel);
- i-corticosteroids (i-prednisone);
- ama-analgesics (Baralgin);
- i-choleretic (Allohol, Ginseng);
- ama-proton pump inhibitors anciphisa ukukhiqizwa kwe-hydrochloric acid yesisu (i-Omeprazole, iLansoprazole, iPantoprazole);
- ama-antibiotics (cefuroxime);
- amavithamini izakhiwo;
- ama-hepatoprotectors (i-Essential Forte, i-Essliver Forte);
- ama-enterosorbents nama-probiotic (uSmecta, Polysorb, uHilak Forte).
Kwezinye izimo, ama-diuretics (ama-diuretics) nama-sedative nawo angabekwa. Isigaba esibi se-pancreatitis sivame ukuhambisana nokwanda kwama-enzymes, ngenxa yalokho, kwezinye iziguli, imali yokucindezela umsebenzi we-pancreatic ibonisiwe ekuqaleni.
I-Panzinorm isidakamizwa esingabizi futhi esisebenzayo esibekelwe i-pancreatitis, kepha ngemuva kokususwa kwezimpawu ezinzima
Ama-Hepatoprotectors anqunyelwe ukubuyisela amaseli wesibindi, ngokuhambisana nenkambo yama-antibiotics.
Imodi yamandla
Ukudla okwelapha kuyinto ebalulekile yokwelashwa yokwandisa i-pancreatitis. Imenyu ehlanganiswe kahle nokuhambisana nezincomo zezokwelapha kungakhululeka izitho zokugaya ukudla futhi inikeze nokuthula.
Ukuvinjwa kokudla kungathatha izinsuku ezintathu. Phuza kuphela amaminerali we-alkaline kuze kufike kumalitha ayi-1.5 ngosuku. Ngemuva kwalokho, kwethulwa izitsha eziwuketshezi nezine-ketshezi - isobho eligcotshisiwe, jelly. Kufanele idliwe izingxenye ezincane, kepha kaningi. Uphuzo oludakayo lwanoma yimaphi amandla, okunamafutha, okunezipayisi nokuthosiwe akuvunyelwe.
Uma unamathela ekudleni okuchithekile okungenani izinyanga ezimbalwa, khona-ke ungafinyelela ukuxolelwa okuzinzile futhi unciphise kakhulu inani lemithi elithathiwe. Kubaluleke kakhulu ukwanelisa isidingo samaprotheni, ngakho-ke ngokushesha nje ngemuva kokubulawa kwendlala kunconywa ukuthi kungeniswe imikhiqizo yenyama ekudleni.
Izinhlobo ezi-lean ezifana nonogwaja, inkukhu, i-turkey ne-veal zithakwa kakhulu. Ngaphambi kokupheka, inyama kumele ihlanzwe emithanjeni bese ifakwa ku-grinder yenyama. Njengoba usalulama, ungabhakwa noma kuphekwe ucezu lonke.
Njengoba i-insulin ikhiqizwa kuma-pancreas, awukwazi ukudla ushukela inyanga eyodwa ngemuva kokukhuphuka. Ngemuva kokuzinza, kuvunyelwe ukwenza iziphuzo ze-jelly nezithelo ku-fructose.
Ekupheleni kweviki lokuqala lokugula, izinhlanzi ezinamafutha aphansi kanye nezinqamu ezinomphunga kuzo zingafakwa kwimenyu. Izinhlobo zokudla zibandakanya i-cod, pollock, i-perch ne-saffron cod. 2% amafutha aqukethe i-pike, i-pike perch, i-flounder ne-crucian carp. Izinhlanzi ezihlanganisiwe nenyama, inhlanzi enosawoti, eyomile neyomile, i-herring iyimikhiqizo engavunyelwe kuyo yonke inkathi yokwelashwa.
Ngemuva kokubulawa yindlala, kunconywa ukuthi udle irayisi ne-oatmeal porridge emanzini, ubilisiwe kahle. Ushukela, uwoyela nosawoti ngeke kungezwe kubo. Kuyinto engathandeki ukufaka ummbila, amabele ne-barley porridge kwimenyu, ngoba kunzima kakhulu ukugaya.
Ukudla ngesikhathi sokuxolelwa
Lapho ukuhlasela sekudlulile futhi kungabikho zimpawu ezibonakalayo, kususwa ingxenye enkulu yemikhawulo yokudla okunempilo, futhi uhla lwemikhiqizo evunyelwe luyanwetshwa. Kodwa-ke, akudingekile ukulayisha kakhulu ama-pancreas, ngakho-ke, imithetho ethile kusamele ilandelwe:
- umsoco oyimpilo. Ukudla ukudla ngezingxenye ezincane kuze kube izikhathi eziyisithupha ngosuku kunomthelela ekutholakaleni okungcono, futhi kulula kumuntu ukwenqaba ukudla okulimazayo;
- zonke izitsha kufanele zishiswe kancane, zingashisi futhi zingabandi;
- inani lamafutha, amaprotheni nama-carbohydrate ekudleni lilinganiselwe, futhi lifinyelela ku-60, 120 no-400 g, ngokulandelana.
- Ukudla okungafanelekile akuvunyelwe: ukudla kufanele kubiliswe noma kubiwe.
I-dessert ekhanyayo yemikhiqizo etholakala ngaphandle ushukela izokwehluka ekudleni kwesiguli futhi ithuthukise umzimba obuthakathaka ngamavithamini
Izoso zemifino enosiwe, izolo noma isinkwa esimhlophe esandulelwe kusuka kufulawa we-1 ne-2nd grade, pasta nezinhlamvu - ilayisi, i-oats, i-buckwheat ingeniswa kancane kancane ekudleni. Lapho ukhetha i-pasta, kungcono ukunikeza ukuthanda imikhiqizo emincane (izinkanyezi, izindandatho, izindlebe).
Ukudla okudla okunconyelwe i-pancreatitis engamahlalakhona kufaka ama-omeleette ama-protein, imifino ebilisiwe noma ebhakwe - amazambane, ithanga, i-zucchini, izaqathe kanye nama-beet Ungadla imikhiqizo yobisi olunobisi olunamafutha amancane, ngokwesibonelo, ushizi we-cottage shizi, ubisi olubilisiwe olubisiwe, i-kefir noshizi. Ubisi olusha lwamukeleka ngamanani amancane kuphela futhi luhlanjululwe, kungcono ukulufaka ekudleni okwenziwe ngomumo noma itiye.
Njengamafutha, ibhotela namafutha zemifino asetshenziswa ngaphakathi kwesimo esivumelekile. Ezithelo, ama-apula anezinga eliphakathi le-acidity namaswidi, kanye ne-jam, jelly, mousses nezithelo ezi-stewed, azoba wusizo kakhulu.
Ukwenza lula ukusebenza kwesitho esonakalisiwe futhi ukusheshise inqubo yokugaya ukudla, kuyadingeka umbuso ofanele wokuphuza. Inani lamanzi aqediwe cishe amalitha amabili. Ungaphuza imifino nezithelo, umhluzi we-rosehip, amanzi amaminerali we-alkal, itiye le-herbal, ijeli nezithelo ezihlotshisiwe.
Ijusi le-peach lidinga kuphekwe kuphela ngesizini, ngoba ama-juices athengiwe aqukethe izivimbamzimba noshukela omningi
Okuwusizo kakhulu kuzoba ama-juices kusuka ku-peach, ama-apula, ithini lamapheya, i-apricot, amazambane, amathanga, utamatisi kanye namakhukhamba. Lezi ziphuzo zilungiselelwe ngokwazo, njengoba kudayiswa amadayi neziqukathi zokugcina imikhiqizo. Ngaphezu kwalokho, ama-juices asanda kufakwa kufanele aqedwe ngokushesha, awakwazi ukugcinwa esiqandisini.
Itiye le-hibiscus eliluhlaza okotshani obomvu linomphumela omnene; isiphuzo sikakhowa wetiyi sivunyelwe Ama-Kissels angaphekwa kusuka ku-oatmeal, izithelo ezomile, ifilakisi, ubisi, futhi kususelwa kumajikijolo nezithelo.
Ukudla okuvinjelwe nezindlela zokupheka
Akunandaba nesigaba se-pancreatitis, imikhiqizo elandelayo ayivunyelwe:
- inyama enamafutha - ingulube, iwundlu, amahansi namadada, isaladi;
- eminye imifino nezithelo - isithombo, iklabishi, amagilebhisi, ubhanana, ugalikhi kanye nesigaxa;
- wonke amagebhu - ubhontshisi, uphizi, ummbila, udali, u-soya;
- ukhukhamba no-ukhukhamba;
- imajarini, ikofi kanye nokhokho;
- u-ayisikhilimu, izangoma, amakhekhe.
Iziguli kufanele zixwayiswe ikakhulukazi ngokuphuza noma yikuphi ukuphuza utshwala.
Ukwehlisa amathuba okuqhamuka kwe-pancreatitis nokwelula isikhathi sokuxolelwa, yonke imikhiqizo kufanele ichotshozwe ngaphambi kwesikhathi. Ngemuva kwalokho zingabiliswa, zibhakwe noma kuphekwe ku-boiler kabili. Akunconyelwe ukuthi kudle izinhlobo eziningana zamaprotheni ekudleni okukodwa - ngokwesibonelo, amaqanda nenkukhu, inhlanzi ne-turkey, ushizi nenyama yenkomo, njll.
Ukumisa ukuhlaselwa kwe-pancreatitis akusho ukuthi kufanele uthole ukululama ngokuphelele. Ngemuva kokususwa kwezimpawu ezibucayi, kubalulekile ukuthi ubonwe ngudokotela wezitho zomzimba unyaka noma ngaphezulu. Udokotela uzonikeza izincomo zendlela yokuphatha ama-pancreas ngesikhathi sokuxolelwa, futhi anikeze nokwelashwa kokulungiswa.
