Tus mob pancreatitis yog dab tsi thiab nws muaj mob dab tsi nrog, coob leej paub. Xws li tus kab mob pathology yog qhov mob ntawm lub cev, nws ua rau mob hnyav thiab cuam tshuam kev ua haujlwm ntawm kev ua haujlwm hauv nruab nrog.
Tab sis qee qhov xwm txheej, txheej txheem mob yog ploj. Thiab lub enzymatic zog ntawm lub txiav yog tseem impaired. Xws li exocrine tsis txaus ntseeg hu ua tsis muaj dab tsi ntau tshaj li pancreatopathy.
Tsis tas li, qhov kev ua haujlwm tsis zoo no hu ua pancreatic insufficiency, uas ua rau muaj kev ua haujlwm tsis zoo ntawm lub txiav. Tus mob no tshwm sim tsis muaj tus mob, tab sis ua nrog xeev siab, mob plab, tsis qab los noj mov thiab lwm cov tsos mob. Cov laj thawj rau qhov no tuaj yeem nyob hauv cov kab mob muaj keeb, kab mob ua ntej, tsis muaj enzymes.
Tus mob pancreatopathy tshwm sim li cas rau cov neeg laus?
Qhov txiav ua rau kev koom tes nrog ob qho kev tiv thaiv sab nraud thiab sab hauv. Cov roj ntsha tshwj xeeb, cov islets ntawm Langerhans, tsim tawm cov insulin tsim nyog rau cov piam thaj yuav tsum tau nqus.
Yog tias cov tshuaj ntshav tsis txaus, ntshav qab zib yuav pib ua haujlwm. Xws li lub luag haujlwm yog kev zais hauv zais cia. Kev ua haujlwm sab nraud yam tsis pub leejtwg paub suav nrog kev tsim cov zom cov hlab ntsha - lipase, amylase thiab trypsin.
Lipase yog lub luag haujlwm rau kev tawg ntawm cov rog, amylase - rau kev hloov pauv ntawm cov carbohydrates, thiab trypsins pab kom zom cov protein zoo dua. Yog tias tsis muaj cov enzymes txaus, pancreatopathy tshwm sim. Cov kab mob no feem ntau tuaj yeem tshwm sim hauv menyuam yaus, tab sis cov neeg laus kuj mob yog tias lawv noj tsis txhua thiab ntau heev. Hauv lub hnub nyoog laus, tus kab mob feem ntau muaj ischemic lossis vascular xwm.
Tus kab mob yog pom cov cim hauv qab no:
- Tus neeg mob yws yws ntawm qhov mob me ntsis hauv sab laug hypochondrium lossis pij ntaws.
- Nyob rau tib lub sijhawm, qab los noj mov tsawg, cov quav yuav tsis ruaj khov, xeev siab, pom tshwm sim.
- Kev soj ntsuam ntawm cov quav ua kom pom tseeb tias muaj cov steatorrhea, nyob rau hauv uas cov rog tsis tau tag nrho kev zom.
- Hauv kev kuaj ntshav thiab zis, kom pom cov ntshav tsawg kawg ntawm cov enzymes.
- Ultrasound kev soj ntsuam ntawm lub txiav, raws li txoj cai, tsis qhia pom qhov hloov pauv pom tseeb, tab sis qee kis muaj tus kab mob pancreas nce me ntsis, pathology tuaj yeem nce echogenicity.
Cov theem ntawm kev siv thiab qhov loj ntawm cov cim saum toj no yog nyob ntawm seb qhov cuam tshuam tsis zoo ntawm tus kab mob nrog txiav. Kev kuaj pom kev hloov pauv ntawm cov khoom hauv nruab nrog sab hauv tuaj yeem qhia qhov nce lossis txo qis hauv cov pa ncha. Yog tias tsis muaj kev ua txhaum, lub ncha yog li qub.
Txhawm rau kev txiav txim siab raug tus mob, koj yuav tsum hu rau koj tus kws kho mob tiag, kev kuaj kab mob pathology koj tus kheej tuaj yeem nyuaj vim tias muaj cov tsos mob zoo li lwm yam kab mob. Tom qab cov kev tshawb fawb tsim nyog, kev kho cov tshuaj enzyme tau kho.
Nws yog ib qho tseem ceeb kom nkag siab tias pancreatopathy tsis yog qhov mob nyhav, nws feem ntau yog cov cim ntawm qhov tshwm sim ntawm kev ua txhaum thawj zaug. Yog tias koj nrhiav kev kho mob kom raws sijhawm, koj tuaj yeem zam qhov kev txhim kho ntawm lub txim loj.
Kev Tsis Txaus Siab Kho
Pancreatic tsis txaus ua thawj thiab theem nrab. Hauv thawj kis, kev txhim kho kev tsis sib haum xeeb tshwm sim thaum lub npe hu ua kev tsis hloov pauv uas tsis yog nyob ntawm tus neeg mob lossis tus kws kho mob cuam tshuam.
Cov no suav nrog cov kabmob ua rau kev mob cystic fibrosis ntawm lub txiav, mob txhaws qog nqaij hlav ntawm tus kab mob pancreatic ducts, Schwachmann-Diamond syndrome, cais lipase thiab trypsin deficiency, cov kab mob txha caj qaum.
Cov kev mob ntawm thawj thiab theem nrab yuav tsum tau kho nrog cov tshuaj uas muaj enzymes. Lub sijhawm ntev, Pancreatin, ua rau lub hauv paus ntawm enzymes ntawm tsiaj keeb kwm, tau siv rau lub hom phiaj no. Tab sis vim tias yog vim li cas rau kev tsim muaj ntau cov kua qaub rau hauv lub plab, cov tshuaj zoo li no tsis ua haujlwm thiab tsis muaj kev kho kom zoo.
Niaj hnub no, cov chaw muag tshuaj niaj hnub muaj ntau yam tshuaj hauv ntsiav tshuaj, granules thiab dragees. Xws li cov tshuaj muaj lub plhaub tiv thaiv thiab microsphere, vim tias nws muaj qhov tsim nyog ua haujlwm.
Yog tias qhov teeb meem tsis loj, nws raug tso cai siv lwm txoj hauv kev kho nrog kev pab ntawm tshuaj ntsuab.
Rov qab txiav pancreatopathy hauv ib tug menyuam
Rov qab pib pancreatopathy yog qhov tshuaj tiv thaiv ntawm lub txiav ua rau lwm yam kev tawm tsam. Yog li no, qhov tshwm sim no tsis yog ib qho kab mob cais, tab sis yog lub teeb liab ntawm lub cev txog kev cuam tshuam tsis zoo rau nws.
Cov tsos mob ntawm kev ua txhaum ntawm cov menyuam yaus tuaj yeem raug kuaj pom tom qab muaj mob ua pa nyuaj lossis lwm yam mob, ua kom lom neeg zaub mov vim yog siv cov khoom lag luam qis. Kev tsis haum khoom noj rau qhov khoom noj kuj tseem yog vim li cas.
Nrog tshuaj tiv thaiv pancreatopathy hauv txoj hnyuv quav, ua mob ua paug thiab lub plab hnyuv sab hauv nws tus kheej o tuaj. Hauv cov menyuam mos thiab menyuam yaus txog ib xyoos, qhov xwm txheej no yuav tshwm sim vim:
- Cov lus qhia tsis raug ntawm cov khoom noj ntxiv;
- Haus kua txiv txiv hmab;
- Taw qhia cov khoom noj ntawm cov tais diav nqaij;
- Ntxiv cov caij nyoog thiab txuj lom rau khoom noj rau menyuam yaus.
Raws li qhov tshwm sim, tus menyuam nce roj tsim nyob rau hauv txoj hnyuv, cuam tshuam kev ua haujlwm ntawm lub cev qias neeg hauv lub cev.
Feem ntau, tus kab mob pathology muaj cov tsos mob hauv qab no:
- Saum toj ntawm txoj hlab ntaws, tus menyuam hnov lub ntsej muag mob siab, uas ploj mus yog tias koj zaum lub rooj zaum thiab thawb koj lub cev rau pem hauv ntej.
- Tus kab mob no nrog tus neeg mob ntuav, ntuav, kub cev kom txog 37 degrees, ua kom quav, quav tawv, qhov tsos ntawm lub tsho dawb ntawm tus nplaig.
- Tus me nyuam yuav npau taws, chim siab, tsis kam ua si.
Yog tias kev mob plab tsis tu ncua ntev thiab lwm yam cim tau pom, nws yog qhov yuav tsum tau kuaj mob los ntawm tus kws kho menyuam yaus lossis kws kho mob plab. Hauv kev mob hnyav, tsheb thauj neeg mob hu.
Tus kws kho mob yuav sau daim ntawv kuaj mob ultrasound thiab kuaj, tom qab uas yuav tsum tau kho nrog tshuaj.
Cov lus pom zoo khoom noj khoom haus
Txhawm rau zam kev txhim kho ntawm kev mob hnyav, nws yog ib qho tseem ceeb kom ua raws li kev kho kev noj haus thiab ua raws li kev noj haus. Qhov no tseem ceeb heev yog tias pom muaj tus kab mob pancreatopathy hauv ib tug menyuam yaus, txij li menyuam yaus nyiam noj ntau yam zaub mov nrog cov khoom txuag thiab cov khoom tsis zoo.
Koj yuav tsum noj txhua txhua plaub teev, yam tsawg kawg yog rau lub sijhawm ib hnub. Cov kev pabcuam yuav tsum yog qhov me me kom cov nqaj tawv tawv tuaj yeem ua kom tag nrho cov zaub mov, thiab tus neeg mob tsis kub siab. Khoom noj yuav tsum yog av thiab noj nyob hauv qhov chaw sov.
Hauv cov mob hnoos qhuav, thawj 15 hnub tsis tuaj yeem noj cov txiv ntoo thiab zaub nyoos. Tshwj xeeb tshaj yog yuav tsum tso tseg cov zaub qhwv dawb thiab sorrel, cov Cheebtsam uas txhawb kev ua kom tso kua tso kua txiv rau lub plab.
Koj kuj yuav tsum tso tseg:
- ib qho kua zaub;
- rog, ntsim thiab qaub khoom noj;
- haus nqaij thiab nqaij hnyuv ntxwm;
- pickles thiab pickles;
- noob txiv ntoo, legumes, nceb;
- ci, qhob cij qhob cij, ncuav, ncuav khob noom;
- mis nyuj khov, chocolate, qab zib, zib ntab;
- kasfes, cocoa;
- txiv hmab, txiv qaub;
- haus dej haus.
Cov zaub mov muaj mis kua zaub nrog cereals, mashed tus neeg tsis noj nqaij zaub mov, omelettes, tsev cheese, cov zaub mov nrog cov zaub, cov ntses rog, nqaij qaib muaj roj tsawg, khoom noj muaj mis thiab khoom noj muaj roj tsawg. Cov tais diav yuav tsum tau muab rhaub lossis dej npau npau. Ob zaug ib lub lim tiam koj tuaj yeem kho koj tus kheej mus rau ib lub qe muag muag.
Los ntawm qab zib hauv ib qho me me, koj tuaj yeem siv cov ncuav qab zib, marshmallows, txiv hmab txiv ntoo ci, marmalade. Nqhis yog quenched nrog kua kissels, rosehip broths, txiv hmab txiv ntoo qhuav compotes, dej me ntsis alkaline ntxhia.
Thaum tus mob pancreatic ua tsis zoo, nws raug nquahu kom muaj cov tsiaj protein hauv tus neeg mob cov zaub mov txhua hnub. Ua li no, siv cov nqaij zoo tshiab tsis muaj roj - nqaij qaib ntxhw, nqaij qaib, nqaij menyuam nyuj, luav. Cod, zander, perch thiab carp nquag yog cov ua tau zoo heev. Nco ntsoov noj cov kua zaub ua kua zaub txhua hnub yam tsis muaj nqaij los yog nceb pob.
Rau kev ua noj, tsis txhob siv cov roj zaub. Yog tias qhov mob hloov kho, ib qho me me ntawm txiv roj roj tau tso cai.
Cov qauv thiab kev khiav dej num ntawm tus txiav yog piav nyob rau hauv video hauv tsab xov xwm no.
