Ukukhulelwa isikhathi esihle empilweni yowesifazane, kepha ngalesi sikhathi umzimba wakhe uzizwa ulayisha kabili.
Ngokuqondene noshintsho ngemuva kwesizinda se-hormonal, izifo ezingalapheki zingaqina emzimbeni noma izinqubo ezintsha zokuvuvukala zingavela.
Enye yazo ukuvuvukala kwamanyikwe - i-pancreatitis.
Ezimweni eziningi, ngesikhathi sokukhulelwa, ukwanda kwe-pancreatitis engamahlalakhona kwenzeka, kodwa izimpawu ezibandayo nazo zingavela okokuqala.
Izimbangela ze-pancreatitis ekukhulelweni
I-pancreatitis imvamisa inendlela yohlobo lwezifundo futhi ibonakala kuphela lapho kuvela izici ezimbi.
Lokhu kufaka phakathi:
- Ukudla okungenampilo nokungagcinwa kokudla kakhulu. Ukusetshenziswa kwamafutha, upelepele, ukudla okunosawoti kuvusa ukuthuthukiswa kokuvuvukala futhi kuthwala umthwalo oqinile kumanyikwe.
- Indlela yokuphila engenampilo - ukuba khona kwemikhuba emibi ngendlela yotshwala nogwayi.
- Izifo ezifanayo zesibindi, isimangalo senyongo, isisu nezinye izitho zokugaya ukudla. Inhlanganisela yezifo ezinjenge-pancreatitis ne-cholecystitis kubhekwa njengeyona ndlela evame kakhulu kwabesifazane abakhulelwe.
- Ukutheleleka okuthelelekile futhi kungabakhokheli balesi sifo.
- Isikhathi eside isifo sikashukela sifaka ukuvuvukala kwendlala.
- Umlutha wobubi. Uma kukhona izihlobo zegazi ezihlushwa i-pancreatitis, khona-ke ingozi yokugula inyuka ngezikhathi ezithile.
- Izingcindezi ezingokomzwelo.
- Izinguquko zeHormonal.
- Ukwanda kosayizi wesibeletho nabe-fetus kuholela ekucindezelweni kwezitho zokugaya kanye nokwephulwa kwemisebenzi yabo.
Ividiyo: yini engenziwa ngesikhathi sokukhulelwa?
Izimpawu zesifo
Ukukhulelwa akuzithinti izimpawu zesifo - awahlukile ezimpawu zabanye abantu abahlushwa i-pancreatitis.
Esimweni esijabulisayo, ungadida kuphela izimpawu zokulimala kwe-pancreatic nezimpawu ze-toxicosis.
Ngokukhuphuka kwe-pancreatitis engapheli, izimpawu ezilandelayo ziyabonakala:
- lesi sifo siqhubeka nezimpawu ezingakhanyisiwe;
- kwesinye isikhathi izinhlungu zibonakala ngakwesobunxele ngaphansi kobambo, zingadubula emuva noma ohlangothini lwesokunene;
- izinhlungu azinamandla, zi-paroxysmal emvelweni;
- amathuba okuba kwenzeke ngemuva kokudla;
- kunokuphazamiseka kokugaya ukudla;
- ukulahleka kwesifiso sokudla;
- ngezinye izikhathi isicanucanu, ngisho nokuhlanza;
- i-stool iyaxhuma futhi iqukethe okufakiwe kokudla okungaphanjwanga;
- ngenxa yokugaya ukudla, ukwehla kwesisindo kwenzeka.
I-pancreatitis ye-acute ibonakala ngezimpawu eziphinyiselwe kakhulu:
- ubuhlungu obukhali, obukhulu ohlangothini lwesobunxele noma akunakwenzeka ukuthola indawo ethile (kubonakala sengathi ihlukumeza yonke indawo);
- Ubuhlungu bubonakala ngokubonakaliswa okungazelelwe, kwesinye isikhathi abesifazane bakhala ngokuhlaselwa kobuhlungu obukhulu;
- isicanucanu esinamandla nokuhlanza okuqhubekayo;
- ukuqhakaza nokuqhuma kwesisu;
- isitebhisi sinokuvumelana okungamanzi nezicucu zezingcezu zokudla ezingaphanjwanga;
- kukhona ukwanda kwezinga lokushisa;
- isikhumba siphuzi;
- isisulu sakhathala ngokuphelele;
- ukuthuthumela kuvela ezingalweni nasemilenzeni;
- umfutho wegazi wehla kakhulu futhi umuntu angaze alahlekelwe ukwazi.
Isimo esijwayelekile somzimba sithola ukwephulwa okunzima, okunomthelela ongemuhle ngesimo sengane.
Izici Zokuxilonga
Kunzima kakhulu ukuxilonga ngokubheka kuphela ukuveza obala kwesifo. Ukukuqinisekisa, inqwaba yezifundo zokuxilonga ziyadingeka.
Lokhu kufaka phakathi:
- Ukulethwa kokuhlolwa kwegazi okujwayelekile kuyisifinyezo sesimo somuntu, kodwa futhi kusiza ekuqinisekiseni ukutholakala kwesifo. Ukwanda kwe-ESR kanye nenani eliphelele lama-leukocytes libonisa ubukhona bokuvuvukala emzimbeni. Ukwehla kwe-hemoglobin namaseli amhlophe egazi nakho kungakhombisa i-pancreatitis.
- Isampula yegazi yezifundo ezinamakhemikhali ayinkomba efundisa kakhulu lapho wenza ukuxilongwa. Ukwanda kwenani lama-enzymes athile, ushukela uqinisekisa ukutholakala kwezifo. Okuqukethwe kwe-alpha-amylase ephansi kukhombisa ukubhujiswa kwama-pancreas kanye nokufa kwezicubu zawo. Ukwanda kwe-elastase-1 kubonisa ukuba khona kwenkambo yesifo esibi.
- I-Urinalysis - ukubonakala komchamo we-glucose ne-hemoglobin kuqinisekisa ukutholwa.
- Ukuhlolwa kwezindunduma - ukuguquguquka okungamanzi kwesitulo esingenamfucuza futhi ukuba khona kwamafutha kukhombisa i-pancreatitis.
- I-Ultrasound yesistimu yokugaya ukudla ikuvumela ukuthi ubone izinguquko ezihlelekile e-gland futhi uqinisekise ukutholwa. Kumama wesikhathi esizayo nengane yakhe, lokhu kutholwa kuyindlela ephephe kunazo zonke, engafani ne-MRI, evinjelwe ku-1 trimester yokukhulelwa.
Ukuxilonga ngakunye kokushiwo ngenhla kuzosiza udokotela ukuthi ahlonzwe ngokunembile.
Ukwelashwa nokudla
Uma ukuxilongwa kwenziwa ngokunembile, kufanele uqhubeke nokwelashwa.
Okokuqala, abesifazane abasezikhundleni ezihehayo kufanele basungule indlela yokudla. Kuyadingeka ukuthi ungafaki konke ukudla okunamafutha, okuphekwe ngopelepele, okunosawoti, okubunjiwe, okuthosiwe, okunosawoti. Thatha ukudla okuphekwe kuphela ukushisa futhi kufomu elifudumele.
Kulokhu, ukudla okuphulukisayo kunqunyelwe - itafula 5P.
Izimiso zalokhu kudla yilezi:
- Ukusetshenziswa kwemikhiqizo elashwa kuphela ukushisa. Kungcono ukukhiqiza usebenzisa umusi oshisayo wamanzi. Imifino nezithelo ezintsha akuvunyelwe ekudleni.
- Ukusetshenziswa kwemikhiqizo kwifomu lewuketshezi noma oluketshezi. Khipha ukudla okuqinile; hlanza imifino nezithelo ngokuphelele.
- Ukudla ukudla kufudumele. Ukudla okubandayo noma okushisa kakhulu akuvunyelwe.
- Ukudla ukudla okungenamafutha.
- Ukukhishwa kwakho konke ukudla okuthosiwe.
- Ukukhishwa kwanoma yikuphi ukudla okusemathinini.
Ividiyo mayelana nokwelashwa nokudla kwe-pancreatitis:
Kulesi sidlo, kunohlu lokumisa, okungukuthi, leyo mikhiqizo enqatshelwe ngokuphelele:
- utshwala
- iziphuzo ezinekhofi
- inyama enamafutha;
- isinongo
- umhluzi wemifino;
- sorrel, isipinashi;
- anyanisi, ugarlic, upelepele obabayo futhi omnandi;
- izindle;
- amakhowe;
- izithelo ezisawolintshi;
- ubisi
- amaqanda
- amantongomane
- uju;
- imikhiqizo chocolate;
- ukubhaka.
Le mikhiqizo inethonya elibi kakhulu esimweni samanyikwe, ngakho-ke kufanele iqedwe ngokuphelele. Lokhu kudla kumele kulandelwe okungenani izinyanga ezimbili.
Izidakamizwa ze-antispasmodic zingabekelwa ukunciphisa izinhlungu. Kwabesifazane abakhulelwe kuvunyelwe ukusebenzisa - No-shpu, Papaverin, Drotaverin.
Ngokushoda kwe-enzyme, kunikezwa ukwelashwa okubuyiselwa esikhundleni. Ukuze wenze lokhu, sebenzisa i-Festal, iPancreatin, iMezim - iphephile umama nengane.
Ukuqeda izimpawu ezingemnandi, udokotela angakunquma ama-antacid - uSmecta, uRenny, uAlmagel.
Ukubuyisela i-microflora yamathumbu, kunqunywa ama-pro- kanye nama-prebiotic.
Ukulungisa umsebenzi wesibindi kanye nenyongo, kufakwa i-Allahol, iHolosas.
Ukungafaki ukusweleka kwevithamini, udokotela angakhombisa ukwelashwa kwe-vithamini, kepha ama-Vitamin complexes kuphela abesifazane abakhulelwe noma amaqembu athile amavithamini.
Zonke izidakamizwa zingachazwa kuphela ngudokotela.
Uma lesi sifo siqhubeka ngesimo esibi, isiguli cishe sizothunyelwa esibhedlela. Lapho, umama okhulelwe uzoba ngaphansi kokubhekwa kwezokwelapha ubusuku nemini. Lokhu kuzogcina yena nengane yakhe bephilile.
Ingabe i-pancreatitis iyingozi ku-fetus?
Ukuba khona kwe-pancreatitis akufaki ukukhulelwa. Inkambo ye-pancreatitis engapheli ngesikhathi sokukhulelwa akuyona ingozi ebulalayo enganeni esibelethweni. Kepha umama okhulelwe kufanele abe kulesi sikhathi ngaphansi kokuqashwa ngokuqinile kodokotela, futhi alandele ukunakekelwa komsoco emtholampilo, khona-ke ubungozi buzoncishiswa.
Uma i-pancreatitis eyingozi ivela ezinsukwini zokuqala, lapho ingane ingakavikelwa yi-placenta, khona-ke ingozi yokuthola ukungalungi kwengane ikhula kakhulu. Usongo lubuyele phezu kukamama. Esimweni esinjalo, udokotela anganquma ukubiza ukuzalwa ngaphambi kwesikhathi. Kepha le nqubo yenziwa ngokuqinile ngokuya izinkomba (ezimweni ezinzima kakhulu).
Uma ukuvuvukala kwe-purulent of the gland kwenzeka, khona-ke kwenziwa ukuhlinzwa. Esikhathini esingafika emavikini ayi-12 sokukhulelwa, imiphumela yengane idabukisa kakhulu. Ezimweni eziningi, odokotela banquma ukuqeda ukukhulelwa.
Uma lesi simo senzeka ngemuva kwamasonto angama-35 ekhulelwe, khona-ke ithuba lokusinda enganeni liphezulu kakhulu. Ukuhlinzwa kuyenziwa futhi ukuzalwa kwengane kuxazululwa yisigaba se-caesarean, khona-ke konke kuncike kuziqu ze-neonatologists.
Ukuze zivikeleke nengane engakazalwa, owesifazane ngamunye kufanele ahlole umzimba wakhe ngaphambi kokuhlela ukukhulelwa. Lokhu kuzosusa imiphumela emibi. Owesifazane kufanele alaphe zonke izifo ezikhona, futhi adlulisele izifo ezingamahlalakhona esigabeni sokuzola okuphelele, khona-ke ngeke kube nezinkinga ezinkulu ngenxa yokukhulelwa okulandelayo.
