PANCREATITIS (MOB NTEV, MOB) THIAB MOB NTSHAV QAB ZIB (QAB ZIB, HOM 1 THIAB 2): KEV NOJ ZAUB MOV, ZAUB MOV, KHOOM NOJ KHOOM HAUS, KEV KHO MOB, YUAV UA LI CAS ZAM DHAU

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Pancreatitis thiab mob ntshav qab zib feem ntau tshwm sim ua ke. Qhov tom kawg yog qhov mob endocrine nyuaj, uas yog tus cwj pwm los ntawm kev ua txhaum ntawm txhua yam ntawm cov txheej txheem hauv kev zom zaub mov.

Nta ntawm chav kawm ntawm mob ntshav qab zib nyob rau hauv ntev kev mob pancreatitis

Pancreatic mob ntshav qab zib tsis tas ua rau muaj mob ntawm cov txiav ua qab. Tab sis yog tias qhov no tau tshwm sim, nws muaj ntau tus lej.

Pancreatitis thiab mob ntshav qab zib feem ntau tshwm sim ua ke.

Hauv cov kab mob pancreatitis, cov mob endocrine tshwm sim, uas tuaj yeem tshwm sim ob qho tib si rau hauv daim ntawv ntawm hypoglycemia thiab hauv ib daim ntawv xws li mob ntshav qab zib pancreatogenic mellitus. Kev mob ntshav qab zib tsawg tshwm sim nrog txhua tus tsos mob tshwm sim ntawm tus kab mob, uas suav nrog kev tshaib plab tsis muaj zog, tsis muaj zog, tawm ntawm qhov chua leeg lossis tshee ntawm lub cev.

Raws li rau ntshav qab zib, qhov no tsis yog hom 2, tab sis nyias muaj nyias qhov txawv, uas cais nyob hauv hom 3.

Piv txwv li, cov ntshav qab zib no feem ntau loj hlob rau hauv cov neeg uas muaj lub cev ib txwm los yog nyias txawm, thiab tsis muaj kev cuam tshuam nrog cov rog rog xws li. Kuj tseem tsis muaj kev sib txuas nrog kev tiv thaiv cov tshuaj insulin lossis kev hloov caj dab. Kev nce siab hauv cov ntshav qab zib feem ntau tshwm sim yuav luag tsis paub.

Cov tsos mob tshwm sim li ob peb xyoos tom qab thawj zaug mob plab ua rau muaj kev hloov pauv hauv ntau ntawm cov kab mob pancreatic.

Cov yam ntxwv ntawm ntshav qab zib ntawm ntshav qab zib mellitus yog:

kev xav tau qis rau cov tshuaj insulin;
tsis tshua muaj tshwm sim ntawm ketoacidosis;
muaj kev tiv thaiv ntau ntxiv rau kev kis tus kab mob thiab tawv nqaij.

Tus txheej txheem ntawm kev hloov ntawm pancreatitis rau ntshav qab zib

Pancreatitis thiab ntshav qab zib tsis tshwm sim hauv tib lub sijhawm. Tus txheej txheem ntawm kev hloov pauv ntawm tus mob leeg qhuav qa (CP) rau ntshav qab zib tsis tau to taub zoo. Muaj cov lus qhia ntxiv me ntsis txog kev mob ntsig ua tus kabmob (OP), vim nws yooj yim dua rau kev kuaj mob.

Nrog exacerbation ntawm kev mob caj dab, hloov zuj zus hyperglycemia kev loj hlob, uas cuam tshuam nrog pancreatic edema.

Txheeb cais qhia tau hais tias cov neeg muaj mob hyperglycemia hauv cov xwm txheej zoo li no tshwm sim hauv 50% ntawm tus neeg mob, tab sis kev ruaj khov tsawv tsuas yog hauv 15% tom qab kev mob siab OP

Nrog rau kev tshem tawm tsis zoo ntawm cov mob ntev ntev ntawm tus kab mob, kev hloov zuj zus hyperglycemia kuj tseem muaj, uas cuam tshuam nrog kev ua mob rau hauv pancreatic.

Nyob rau tib lub sijhawm, theem ntawm trypsin nce hauv cov ntshav, thiab nws txo qis tsim kom muaj cov insulin. Raws li qhov qaug dab peg ploj, cov piam thaj hauv ntshav rov qab los li qub.

Vim li cas

Txoj kev pheej hmoo ntawm kev tsim muaj ntshav qab zib tsis yog nyob ntawm qib ntawm pancreatic necrosis, tab sis ntawm kev siv cov kev kho mob phais dab tsi. Piv txwv, nrog cov kab mob pancreatoduodenectomy, qhov feem ntau ntawm kev tsim cov ntshav qab zib tom qab tau ncav cuag 50%.

Cov hauv qab no ua rau kev txhim kho ntawm hom 3 mob ntshav qab zib mellitus raug cais:

Ntev o ua mob rau ntawm tus txiav. Nws tshwm sim los ntawm ntau yam, piv txwv li, tsis muaj kev kho mob tsis tu ncua sij hawm rau mob lom neeg lub cev, kev noj zaub mov tsis zoo, thiab lwm yam. Muaj kev nce ntxiv ntawm tus kabmob pancreatic enzymes, thiab lawv rhuav tshem cov khoom nruab nrog cev no.
Kev phais mob.
Muaj cov cwj pwm tsis zoo.
Tshaj lub cev nyhav dhau los ntawm kev ua haujlwm tsis zoo.
Lwm yam kab mob ntawm cov txiav ua kab mob thiab lub plab zom mov, vim tias endocrine muaj nuj nqi ua tsis taus thiab cov ntshav cov ntshav yuav nce ntxiv.

Kev phais mob tuaj yeem ua rau muaj kev mob ntshav qab zib hom 3.

Ntshav qab zib Hom 3 tuaj yeem tshwm sim vim yog lub cev nyhav dhau los vim yog kev noj zaub tsis txaus.

Muaj tus cwj pwm tsis zoo tuaj yeem ua rau cov ntshav qab zib hom 3.

Ntev o ua mob rau ntawm tus txiav ua rau mob ntshav qab zib hom 3.

Xeev siab tsis ntuav yog cov tsos mob ntawm kev puas tsuaj rau lub cev ua mob pancreatic.

Cov tsos mob ntawm pancreatic cov ntaub so ntswg mob yog cov quav tsis khov.

Kev puas tsuaj rau lub cev pancreatic yog pom los ntawm qhov mob nyob hauv epigastrium.

Symptomatology

Ua ntej, muaj cov tsos mob tshwm sim ntawm pancreatic cov ntaub so ntswg kev puas tsuaj:

xeev siab tsis ntuav ntuav;
nquag kub siab;
flatulence thiab tsam plab;
mob epigastric;
cov quav tsis ruaj, raws plab, lossis lwm yam kev mob plab zom mov.

Hom ntshav qab zib no tsis hnyav. Kev ntsuam xyuas qhia pom kev nce ntshav hauv cov ntshav tsawg tsawg. Tab sis feem ntau muaj kev tawm tsam ntawm kev mob ntshav qab zib. Sij hawm dhau mus, cov ntshav piam thaj tau pib nce ntau zog, twb muaj cov tsos mob ntawm cov ntshav qab zib, suav nrog tas li kev nqhis dej thiab cov tawv nqaij qhuav.

Qhov kev tsis txaus siab xws li ketoacidosis lossis ketonuria hauv qhov no tsis tshua muaj. Tab sis cov teeb meem cuam tshuam los ntawm lwm qhov hauv plab hnyuv siab raum tuaj yeem tshwm sim - kev mob ntshav qab zib neuropathy, ua rau lub raum khiav tsis zoo, rov ua haujlwm.

Kev tiv thaiv thiab kho kab mob ntshav qab zib

Kev kho kab mob ntsig ua mob txhawm rau nqa nrog kho mob ntshav qab zib. Nws suav nrog cov hauv qab no:

Ua kom tau raws li cov khoom noj. Txij li thaum tus kab mob tshwm sim los ntawm kev cuam tshuam ntawm metabolic, nws yuav tsum kho cov zaub mov kom txhim kho metabolism thiab tshem tawm hypovitaminosis thiab protein tsis txaus.
Siv cov tshuaj uas txo cov suab thaj. Nws yog ib qho tsim nyog los ua kom muaj cov pluas plav metabolism, endo thiab exocrine system. Ua li no, siv cov tshuaj insulin - hauv kev txhaj tshuaj me me thiab rau ib lub sijhawm luv luv, tom qab ntawd - cov tshuaj sulfa, piv txwv li, ntshav qab zib.
Cov kev kho tom qab hloov tas zog, noj cov enzymes (piv txwv li, Pancreatinum).
Kev tiv thaiv ntawm daim siab mob (sau tseg Qhov Tseem Ceeb Forte).
Autotransplantation ntawm islet hlwb.

Kev kho mob rau cov ntshav qab zib ntawm pancreatic suav nrog cov tshuaj insulin tsawg tsawg.

Rau kev kho mob ntawm cov mob ntshav qab zib pancreatic, cov tshuaj sulfonamide Diabeton siv.

Qhov tseem ceeb Forte yog siv los tiv thaiv lub siab ua haujlwm.

Txoj kev kho tom qab hloov tas suav nrog kev noj Pancreatinum.

Kev kho mob ntawm kev mob ntsig ua leeg nrog suav nrog islet cell autotransplantation.

Kev noj haus raws cai rau kab mob

Txhawm rau kom tsis txhob hloov pauv pathological hauv hlwb pancreatic ntawm lub cev, koj yuav tsum cais tag nrho cov khoom.

Cov khoom lag luam tuaj yeem thiab tsis tau

Nrog rau cov kab mob no, cov hauv qab no raug cais tawm ntawm kev noj haus:

rog rog;
cov khoom noj siv mis (qab zib, qaub cream, muaj roj ua rau mis nyuj ntau);
tej yoo mov;
zaub (radishes, qej, dos, spinach);
txiv hmab txiv ntoo - txiv quav, txiv ntoo liab;
legumes;
txuj lom
butter ci, chocolate, ice cream;
npaj kom txhij-cov kua ntsw - mayonnaise, ketchup, kua ntses, lws suav muab tshuaj thiab kua txiv.

Txwv nplua nuj ntses thiab nqaij nqaij nqaij.

Hauv cov ntshav qab zib ntawm pancreatic, cov khoom noj khoom haus ceev ceev txwv tsis pub.

Los ntawm kev noj haus ntawm cov neeg mob uas muaj mob ntshav qab zib pancreatic, txiv quav ntswv nyoos thiab txiv ntoo thuv txiv yuav tsum raug cais tawm.

Nrog ntshav qab zib thiab pancreatitis, nplua nuj ntses thiab nqaij nqaij nqaij si yog txwv tsis pub.

Nrog mob ntshav qab zib pancreatic, cov txuj lom tsis suav nrog cov khoom noj.

Nrog mob ntshav qab zib pancreatic, ci thiab chocolate yog txwv tsis pub.

Hauv cov kab mob ua rau pancreatitis, legumes raug cais tawm tsis tau.

Rau cov ntshav qab zib ntawm pancreatic, cov kua ntsw npaj khoom ua si txwv tsis pub - mayonnaise, ketchup, kua ntses, kua txiv lws suav.

Cog kev noj haus

Qhov chaw ntawm zaub protein yog legumes. Tab sis nrog kev mob caj dab ntev, lawv tau raug txwv, yog li ntawd, khoom noj tsob ntoo rau cov kab mob no tsis tau sau tseg.

Noj cov zaub mov 9 rau ua mob pancreatitis

Cov zaub mov hauv cov khoom noj uas muaj cov roj carbohydrates ua lub luag haujlwm ntawm kev tiv thaiv ib txwm tsis suav nrog kev noj zaub mov. Cov no yog cov txiv tsawb, hnub tim, figs, txiv lws suav, txiv quav ntswv nyoos.

Cov txiv hmab txiv ntoo thiab qab zib thiab cov txiv hmab txiv ntoo yog qhov pom zoo - yuav luag txhua cov txiv qaub (nrog rau kev zam ntawm txiv kab ntxwv qaub thiab txiv qaub - lawv muaj kua qaub ntau dhau), txiv apples, kiwi, cherry, blackcurrant, cranberries thiab lingonberries.

Noj 5 rau cov ntshav qab zib

Cov txheej txheem kev kho mob No. 5 raws li M. Pevzner tau raug tshaj tawm rau cov neeg mob uas muaj mob txhaws qog lossis pathologies ntawm cov kab mob hepatobiliary. Cov ntsiab lus tseem ceeb ua ke nrog ntawm cov tseev kom muaj kev noj haus rau ntshav qab zib:

Txo kev noj cov rog, cov kev tsis kam ntawm cov kib, ntsim, zaub mov qab, nqaij kaus poom thiab zaub, nqaij noj.
Ua raws li kev cai ua noj ua haus. Ua noj ua haus, muab cub, muab cub, ua kom ci uas tsis muaj kaub puab.
Cov zaub mov yuav tsum tau fractional, muab faib ua 5-6 pluas noj. Nrog exacerbation ntawm pancreatitis, tag nrho cov tais diav tau txais kev ua kua lossis ib nrab ua kua, nrog rau kev tshem tawm, txiav rau hauv me me.
Raug tshem tawm yog cov khoom lag luam uas txhim kho plab hnyuv kom muaj zog, zom rau lub sijhawm ntev, thiab tuaj yeem ua rau muaj kev sib luag - cov cij tshiab, legumes, zaub qhwv, thiab lwm yam.

Nws yog ib qho tseem ceeb kom haus dej txaus - 1.5 liv dej ntshiab tsis muaj roj rau ib hnub.

Nrog ntshav qab zib, cov zaub mov uas ua rau muaj kev sib cais tsis suav nrog - cij tshiab, legumes, zaub qhwv.

Ntshav qab zib, koj yuav tsum tso tseg tej khoom kib, ntsim, qab ntsev, zaub mov,

Nrog rau muaj tus kabmob, txiv tsawb, hnub tim, txiv mab txiv ntoo, txiv lws suav, txiv quav ntswv nyoos tau raug cais tawm ntawm kev noj haus.

Noj zaub mov rau cov ntshav qab zib yuav tsum muaj feem, muab faib ua 5-6 pluag mov.

Nws raug nquahu kom suav cov txiv hmab txiv ntoo qab zib thiab cov txiv ntoo hauv cov neeg noj zaub mov.

Nws yog ib qho tseem ceeb kom haus dej txaus - 1.5 liv dej ntshiab tsis muaj roj rau ib hnub.

Yuav ua li cas ua ke cov ntxhuav 9 thiab 5?

Lub xeev ntawm lub cev, uas cov kab mob pancreatitis nrog mob ntshav qab zib mellitus, yuav tsum muaj kev qhia tshwj xeeb rau kev noj zaub mov zoo. Tab sis ob qho tib si kev kho mob kev noj haus yog qhov zoo heev, qhia ntau txoj cai dav dav thiab kev txwv.

Kev noj zaub mov noj rau txhua lub lim tiam

Tus kws kuaj mob endocrinologist yuav muab tshuaj noj, tab sis koj yuav tsum tau kos ib daim phiaj khoom noj khoom haus rau txhua lub lim tiam ntawm koj tus kheej.

Tus qauv piv txwv:

Hnub ntawm lub lim tiam	Kev noj haus
Hnub Monday	thaum sawv ntxov: oatmeal siav rau hauv dej nrog me me ntawm txiv tsawb; noj su: curd soufflé, lub khob dej xas ntsuab tsis muaj qab zib; noj su: zaub kua zaub, ncu nqaij qaib cutlets nrog ib sab zaub mov ntawm cov qos yaj ywm hau; khoom noj txom ncauj yav tav su: kua txiv apple; noj hmo: ci ntses muaj roj tsawg nrog sab zaub ntawm zaub, ib khob ntawm jelly.
Hnub Tuesday	noj tshais: ncu protein omelet, mov ci nqaij tsis haus kas fes; noj su: ib qho mov ci taub dag, ib khob ntawm cov pob zeb dej tsis muaj roj; cov pluas su: pob ntseg tsis muaj roj, buckwheat porridge, ib daim ntawm cov ntses hau, cov txiv hmab txiv ntoo qhuav compote; cov khoom noj txom ncauj tom qab: kefir ntawm cov ntsiab lus tsis muaj roj, ua kom qhuav ncuav qab zib; noj hmo: zaub stew, rosehip broth.
Hnub Wednesday	tshais: mov siav rau hauv dej nrog me me ntxiv mis nyuj, khob khob uas tsis muaj qab zib; noj su: ib khob ntawm jelly los ntawm cov txiv hmab txiv ntoo tsis muaj kua qaub, noj nqaij qaib cutlet; pluas su: zaub puree kua zaub, pasta, ib qho nqaij ntses ua noj, lub khob ntawm cov tshuaj yej tsis muaj zog; khoom noj txom ncauj rau yav tav su: cov txiv hmab txiv ntoo ua ke nrog cov kua mis nyeem roj tsawg; noj hmo: curd soufflé, stewed qaub berries.
Hnub Thursday	thaum sawv ntxov: tsev qaib cheese casserole nrog txiv hmab txiv ntoo, tshuaj yej; pluas su: zaub xam lav (piv txwv li, vinaigrette), ntses souffle; noj su: taub dag kua zaub, mov, cub nqaij qaib xyaw ua noj cutlets; cov khoom noj txom ncauj yav tav su: cov khaub noom tawg, paj txiv hmab txiv ntoo qhuav; noj hmo: zucchini ci nrog nqaij, Berry jelly.
Hnub Friday	noj tshais: buckwheat porridge, lub khob ntawm chicory broth; tshais thib ob: tsev me cheese kua zaub nrog txiv apples; noj su: tsis muaj kua zaub kua zaub, siav rau ntawm lub khob nqaij qaib thib ob, nqaij paj npleg, khob khob ntawm cov txiv hmab txiv ntoo qhuav; khoom noj txom ncauj rau yav tav su: ib lub txiv tsawb nrog cov txiv ntoo thiab me me zib ntab; noj hmo: nqaij qaib chop nrog ib sab zaub mov ntawm zaub zaub, mis nyuj jelly.
Hnub Saturday	pluas tshais: 2 hau qe, tshuaj yej tsis qab zib; thib ob noj tshais: ci pear lossis kua, rosehip broth; noj su: zaub kua zaub, nqaij nyoos nqaij nyoos cutlets nrog ib sab zaub mov ntawm buckwheat; khoom noj txom ncauj rau yav tav su: mis kua zaub nrog vermicelli; noj hmo: souffle los ntawm cov ntses uas muaj roj tsawg, zaub xam lav los ntawm grated boiled beets, ib khob uas tsis muaj zog tshuaj yej.
Hnub Sunday	thaum sawv ntxov: oatmeal ntawm dej, txiv hmab txiv ntoo compote; pluas su: cov nqaij nyuj uas tsis muaj roj, cheeseauce; pluas su: suam kua zaub nrog buckwheat lossis mov, ib daim ua hau siav; khoom txom ncauj yav tav su: omelet los ntawm ob qho protein nrog zaub; noj hmo: eggplant stuffed nrog nqaij ntshiv.

Ib co yooj yim zaub mov txawv

Khoom noj kom zoo yog lub luag haujlwm tseem ceeb. Tab sis qhov no tsis txhais tau hais tias nws yuav tsum tau xaiv. Qee lub sijhawm koj tuaj yeem kho koj tus kheej kom ua khoom qab zib.

Hnub Monday, rau pluas tshais, tus neeg mob tau pom zoo oatmeal rau hauv dej, nrog cov hlais ntawm txiv tsawb.

Hnub Tuesday, tus neeg mob tuaj yeem muab cov khoom noj txom ncauj uas tsis muaj rog tsawg kefir thiab khaub noom biscuit ncuav qab zib.

Hnub Wednesday thaum tav su, tus neeg mob raug tso cai noj txiv hmab txiv ntoo nrog cov kua mis nyeem roj tsawg yog tsis muaj.

Rau pluas tshais hnub Thursday, tus neeg mob pom zoo kom tsev me cheese ncuav nrog txiv hmab txiv ntoo.

Hnub Saturday yav tav su, mis kua zaub nrog mij yog pom zoo.

Hnub Friday rau noj hmo, tus neeg mob tau tso cai rau nqaij qaib nrog ib sab ntawm zaub hau.

Hnub Sunday, rau noj hmo, tus neeg mob tau pom zoo eggplant stuffed nrog nqaij ntshiv.

Nqaij pudding

Rau ua noj ua haus, noj nqaij ntshiv, piv txwv li nqaij nyug - 150 g. Nws yuav tsum tau muab rhaub thiab dhau los ntawm nqaij grinder.

Tsis tas li, rau paj npleg koj yuav xav tau 1 qe, 1 tbsp. semolina, ib me ntsis zaub roj.

Semolina tau npaj ua ntej nrog cov rhaub dej (1/3 khob) kom nws o tuaj. Qe thiab semolina ntxiv rau qhov npaj cov nqaij minced, txhua yam yog sib xyaw, salted mus saj. Cov roj lubricates daim ntawv ua ntej muab nws tso rau hauv ob lub rhaub dej.

Vinaigrette

Nrog rau pancreatitis, koj tuaj yeem ua noj vinaigrette. Nws yuav siv 100 g ntawm qos yaj ywm, 90 g ntawm beets, 60 g ntawm carrots, 60 g ntawm tshiab cucumbers, ntsev kom saj, 1 tbsp. cov roj zaub rau roj.

Qos yaj ywm, beets thiab carrots yuav tsum tau muab cais ua noj sib cais, txias thiab txiav mus rau hauv fab. Tev lub cucumbers thiab txiav lawv mus rau hauv cubes. Yog tias xav tau, koj tuaj yeem ntxiv zaub pob zaub xas lav. Zaub yog tov los ntawm kev ntxiv ntsev thiab roj.

Curd Souffle

Rau cov zaub mov no koj yuav xav tau 300 g ntawm cov nqaij nyuj uas tsis muaj roj thiab cov nqi ntawm cov txiv apples, 2 qe, 100 g ntawm raisins, uas tau npaj ua ntej ntxuav thiab muab faus rau hauv cov dej npau npau.

Pancreatitis nyob rau hauv cov ntshav qab zib

Pancreatogenic mob ntshav qab zib mellitus - qhov sib txuas ntawm cov ntshav qab zib thiab pancreatitis

Cov kua yuav tsum tau tev tawm los ntawm cov noob thiab tev, tom qab ntawd paub txog cov grater zoo. Raisins, qe thiab cov txiaj ntsig applesauce ntxiv rau qhov loj kawg, txhua yam yog sib tov, hloov mus rau parchment hauv daim ntawv thiab muab tso rau hauv qhov cub, rhuab kom 180 ° C. Koj yuav tsum ci curd soufflé rau 40 feeb.

Rosehip haus

Npaj nws los ntawm cov txiv hmab txiv ntoo qhuav ntawm cov nroj tsuag no. Brewed tam sim ntawd nyob rau hauv ib lub thermos. Rau 1 liter ntawm dej npau koj yuav tsum tau noj 4 tbsp. txiv hmab txiv ntoo. Ua txhaum qhov dej haus rau ob peb teev. Koj tsis tuaj yeem ntxiv qab zib rau nws.

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