Pancreatitis yog ib tug kab mob uas tuaj yeem ua rau mob ntev mus thiab mob heev los ntawm lub sijhawm. Qhov nquag thiab khov ntawm chua leeg ncaj qha nyob ntawm tus neeg mob lub neej thiab kev noj haus. Kev noj cov zaub mov rog, roj kib thiab ntsim, ntxiv rau kev haus dej haus cawv yog qhov muaj kev pheej hmoo ua rau cov tsos mob tsis zoo.
Cov tsos mob
Cov cim tseem ceeb ntawm kev ua kom tsis txhob mob ntawm tus kab mob ua paug nrog kev mob plab hauv plab, kem plab thiab quav, kub taub hau thiab malaise. Nws yog tsim nyog sau cia tias nrog ntev cov kev mob ntawm kev mob caj dab ntev, qhov mob yuav tsis zoo li, uas cuam tshuam nrog kev maj mam ua kom puas ntawm pancreatic parenchyma, kev tso tawm ntawm calcifications thiab txo qis ntawm cov hlab hauv qhov hloov khoom nruab nrog cev.
Thaum tus kabmob nqus nrog lub cev nrog lub biliary, cov tsos mob ntawm exacerbation yog li hauv qab no:
- daj daj ntawm daim tawv nqaij;
- tsaus nti zis;
- npaws
- lub teeb quav;
- mob ntawm sab xis hauv qab tav lossis txoj phuam.
Nws yog ib qho tseem ceeb kom paub tias thawj cov cim ntawm exacerbation tshwm sim nyob rau thaum ntxov ntawm pancreatitis. Yog li, nws raug nquahu kom sab laj nrog tus kws kho mob sai li sai tau thiaj li yuav pib kho tus kab mob ntawm cov txiav ua kom raws sijhawm.
Thawj pab ntsuas
Pancreatic exacerbation tuaj yeem ua rau tsis tsuas yog kev ua haujlwm ntau dhau ntawm dej cawv thiab haus dej cawv, tab sis kuj cuam tshuam txog kev cuam tshuam hauv lub cev hauv lub cev, cov kab mob ntawm lub zais zis thiab duodenum, nrog rau kev noj tsis raug ntawm qee yam tshuaj.
Kev yoo mov nrog exacerbation ntawm lub txiav yog qhov yuav tsum tau ua ua ntej rau kev txo mob
Thaum muaj kev tawm tsam, nws yog qhov tsim nyog ua ntej ntawm txhua yam tso tseg cov zaub mov thiab dej haus, tshwj tsis yog dej dawb. Cov kev txwv no tau piav qhia los ntawm qhov tseeb tias kev nkag mus ntawm cov khoom lag luam rau hauv cov zom zaub mov ua rau tsim cov enzymes thiab haj yam ua rau mob siab ntawm cov txiav.
Txoj kev kho ua kom yoo mov yuav tsum txuas ntxiv tsawg kawg 24 teev. Koj yuav tsum tau tawm ntawm nws maj mam, thiab thawj zaug noj cov khoom qab zib tsis muaj qab hau, thiab tom qab ntawd qhia cov zaub mov noj rau hauv cov zaub mov. Nws raug nquahu kom haus cov dej ntxhia tsis muaj roj, tshwj xeeb tshaj yog siv rau kev mob pancreatitis Narzan thiab Borjomi.
Txhawm rau txo qhov mob, koj yuav tsum zaum thiab khoov rau pem hauv ntej. Nws tsis yooj yim sua pw, tshwj xeeb hauv thawj teev tom qab pib ntawm kev tawm tsam, vim tias qhov no yuav ua rau muaj kev cuam tshuam ntau ntxiv. Kev kaw txias - cov dej khov ua kom sov lossis ib lub hnab khov ntawm cov khoom noj txias los ntawm lub tub yees yuav pab txo qhov mob. Nws yog qhov zoo dua los thov lawv rau sab nraub qaum, tsuas yog sab dua sab nraub qaum, thiab ua ntej-qhwv nrog phuam.
Kev tawm tsam feem ntau yog nrog mob xeev siab thiab ntuav, uas coj tau qee yam nyem, txawm tias yog ib ntus. Qhov uas tso tawm ntawm lub plab los ntawm cov ntsiab lus yuav pab ua kom tsis txhob txiav cov leeg nqaij hlav. Yog li, nrog ntuav, koj tuaj yeem ceev cov txheej txheem los ntawm nias nrog ob tug ntiv tes ntawm lub hauv paus ntawm tus nplaig.
Nws yuav tsum nco ntsoov tias kev kho rau exacerbation ntawm pancreatitis yuav tsum tau nqa tawm hauv tsev kho mob chaw, vim tias muaj kev hem thawj tsis tsuas yog ua rau muaj kev noj qab haus huv, tab sis kuj tseem ua rau lub neej ntawm tus neeg mob. Qee qhov xwm txheej, exocrine pancreatic muaj nuj nqi yog qhov nce ntxiv, uas ua rau ntau zog ntawm cov enzymes ntau ntxiv.
Ib qho dhau heev ntawm cov enzymes yog qhov txaus ntshai vim tias lawv pib corrode lub caj pas thiab tuaj yeem nkag mus rau qhov kev ncig cov kab ke. Raws li qhov tshwm sim, kev ua haujlwm ntawm txhua qhov nruab nrog cev thiab kab ke, suav nrog lub tshuab ua pa thiab hlab plawv yog cuam tshuam.
Hauv tsev kho mob, tus neeg mob tau soj ntsuam cov khoom siv niaj hnub kuaj mob, thiab raws li qhov xaus, qhov ntsuas kev kho yuav ua raws.
Kev kho ywj siab thiab kho lwm txoj hauv qhov no yuav tsis tsuas yog qhov tsis muaj txiaj ntsig, tab sis tuaj yeem tsim kev puas tsuaj rau lub cev thiab ua rau mob hnyav. Yog li, koj yuav tsum hu rau pab neeg ua haujlwm thaum lub tsheb thauj neeg mob thaum thawj cov tsos mob ntawm tus mob hnoos qhuav tshwm sim.
Ua ntej tuaj txog ntawm cov kws kho mob, nws yog txwv tsis pub noj tshuaj tshwj tsis yog tshuaj antispasmodics. Kev txhim kho enzyme, analgesics thiab tsis-steroidal anti-inflammatory ntsiav tshuaj yog nruj me ntsis txwv tsis pub. Qhov kev txwv tsis pub siv txawm tias haus dej ntau npaum li cas - koj tuaj yeem haus dej ib nrab ib teev, tab sis tsis ntau tshaj 50-70 ml ib zaug.
Tshuaj kho mob nkeeg
Yuav ua li cas thiab nrog dab tsi los kho tus txiav ua pa thaum lub sij hawm exacerbation, tus kws kho mob yuav tsum txiav txim siab. Hauv txhua kis, kev kho mob tuaj yeem sib txawv raws ntau qhov sib txawv ntawm cov tsos mob thiab theem ntawm tus kab mob.
Rau kev kho mob ntawm kab mob pancreatitis, tshuaj ntawm ntau pawg tau sau tseg:
Yuav ua li cas daws mob nrog mob pancreatitis- antispasmodics (Papaverine, Drotaverin, No-shpa);
- cov enzymes (Mezim, Pancreatin, Creon);
- antacids (Almagel, Phosphalugel);
- corticosteroids (prednisone);
- analgesics (Baralgin);
- choleretic (Allohol, Ginseng);
- proton twj tso kua mis inhibitors uas txo qis ntawm cov kua qaub (hydrochloric acid) ntawm lub plab (Omeprazole, Lansoprazole, Pantoprazole);
- tshuaj tua kab mob (cefuroxime);
- vitamin complexes;
- hepatoprotectors (Qhov tseem ceeb Forte, Essliver Forte);
- enterosorbents thiab probiotics (Smecta, Polysorb, Hilak Forte).
Qee qhov xwm txheej, tso tshuaj diuretics (tshuaj ua kom ntshav qab zib) thiab sedatives kuj tseem yuav raug kho. Qhov mob tsis meej ntawm tus mob pancreatitis feem ntau yog nrog kev nce ntxiv ntawm cov enzymes, yog li ntawd, rau qee cov neeg mob, pob nyiaj rau kev tshem tawm cov kev ua haujlwm ntawm pancreatic tau pom thaum xub thawj.
Panzinorm yog ib qho tshuaj pheej yig thiab muaj txiaj ntsig zoo uas tau sau tseg rau kev txiav mob ntawm pancreatitis, tab sis tom qab tshem tawm cov tsos mob tshwm sim
Hepatoprotectors tau muab tshuaj kho kom lub siab ua haujlwm hauv lub siab, ua kom tiav nrog chav kawm ntawm cov tshuaj tua kab mob.
Fais fab tuag hom
Ib qho kev noj qab haus huv kho tau yog ib qho tseem ceeb ntawm kev kho mob rau exacerbation ntawm pancreatitis. Cov zaub mov raug suav ua kom zoo thiab ua raws li cov lus pom zoo rau kev kho mob tuaj yeem daws cov plab hnyuv plab zom mov thiab muab kev thaj yeeb nyab xeeb rau lawv.
Kev txwv txiav ntawm ib qho khoom noj twg tuaj yeem ntev txog peb hnub. Tsuas yog haus dej haus alkaline ntxhia dej txog 1.5 litres ib hnub. Tom qab ntawd, cov kua ua kua thiab ib nrab ua kua tau qhia - mashed kua zaub, jelly. Nws yuav tsum noj hauv ntu me me, tab sis ntau zaus. Cawv dej cawv los ntawm ib lub zog twg, muaj rog, ntsim thiab kib yog txwv tsis pub.
Yog tias koj ua raws li cov khoom noj tsis sib haum rau tsawg kawg yog ntau lub hlis, tom qab ntawd koj tuaj yeem ua tiav txoj kev daws kom ruaj khov thiab txo qis kev noj tshuaj. Nws yog qhov tseem ceeb heev rau kev txaus siab rau qhov xav tau ntawm cov protein, yog li yuav luag tam sim ntawd tom qab tshaib plab nws raug nquahu kom muab cov khoom noj nqaij rau hauv cov khoom noj.
Cov nqaij ntshiv xws li luav, nqaij qaib, qaib ntxhw thiab veal yog qhov zoo tshaj. Ua ntej ua noj, cov nqaij yuav tsum ntxuav ntawm cov leeg thiab txhoov hauv cov nqaij ci. Raws li koj rov qab, nws tuaj yeem muab ci lossis siav hauv ib qho tseem.
Vim tias cov tshuaj insulin yog tsim nyob rau hauv lub txiav, koj tsis tuaj yeem noj qab zib rau ib hlis tom qab kev tshem tawm. Tom qab ruaj khov, nws raug tso cai kom ua kua txiv qaub thiab kua txiv ntawm fructose.
Thaum kawg ntawm thawj lub lim tiam ntawm kev muaj mob, nqaij ntses uas muaj roj tsawg thiab roj txiav txiav los ntawm nws tuaj yeem tso rau hauv ntawv qhia zaub mov. Muaj ntau hom kev noj haus muaj xws li cod, pollock, perch thiab saffron cod. 2% rog muaj pike, pike perch, flounder thiab crucian carp. Cov ntses kaus poom thiab cov nqaij, cov ntsev, cov ntses uas tsis muaj kab thiab ntses kom qhuav, herring yog cov khoom txwv tsis pub rau tag nrho lub sijhawm kho.
Tom qab tshaib plab, nws raug nquahu kom noj mov thiab oatmeal porridge hauv dej, zoo hau. Tsis muaj piam thaj, roj thiab ntsev ntxiv rau lawv. Nws yog qhov tsis tsim nyog suav nrog cov pob kws, millet thiab barley porridge hauv cov zaub mov, vim lawv nyuab nyuab heev kom zom.
Noj thaum lub caij so
Thaum qhov kev tawm tsam dhau lawm thiab tsis muaj cov tsos mob, muaj qhov tseem ceeb ntawm cov khoom noj khoom haus raug tshem tawm, thiab cov khoom lag luam uas tau tso cai nthuav dav. Txawm li cas los xij, nws tsis tsim nyog los ua kom ntau dhau ntawm lub txiav, yog li ntawd, qee qhov kev cai tseem yuav tsum tau ua raws:
- fractional khoom noj khoom haus. Noj cov zaub mov hauv qhov me me li 6 zaug hauv ib hnub ua rau nws nqus tau zoo, thiab nws yooj yim rau tus neeg tsis kam lees noj zaub mov tsis zoo;
- tag nrho cov tais diav yuav tsum tau sov me ntsis, tsis txhob kub thiab tsis txias;
- tus nqi ntawm cov rog, cov protein thiab carbohydrates hauv cov zaub mov tsis tshua muaj, thiab qhov nyiaj mus txog 60, 120 thiab 400 g, raws li dhau ntawm cov qauv no tsis pom zoo;
- cov zaub mov tawv yog txwv tsis pub: cov zaub mov yuav tsum tau muab rhaub lossis dej kom dhau.
Ib qho khoom noj qab zib me me ntawm cov khoom qab zib tsis muaj suab thaj yuav ua rau cov neeg mob lub cev ntau ntxiv thiab ua rau lub cev tsis muaj zog nrog cov vitamins
Grated zaub puree kua zaub, nag hmo los yog pre-ziab dawb qhob cij los ntawm hmoov nplej ntawm qib 1 thiab 2, nplej zom thiab cereals - mov, oats, buckwheat yog maj maj rau hauv cov zaub mov noj. Thaum xaiv cov nplej zom, nws yog qhov zoo dua los muab kev nyiam rau cov khoom me (hnub qub, ib ncig, pob ntseg).
Kev noj zaub mov kom zoo rau kev ua kab mob ntsig txog suav nrog protein omelettes, hau los yog ci zaub - qos yaj ywm, taub dag, zucchini, carrots thiab beets. Koj tuaj yeem noj cov khoom noj uas muaj roj tsawg-rau mis, piv txwv li, tsev cheese, fermented ci mis, kefir thiab cheese. Cov mis nyuj tshiab tau txais txiaj ntsig tsuas yog hauv cov zaub mov me thiab diluted, nws yog qhov zoo dua rau nws ntxiv rau cov zaub mov npaj lossis ua tshuaj yej.
Raws li cov rog, butter thiab zaub roj tau siv hauv qhov tsis tso cai. Ntawm cov txiv hmab txiv ntoo, txiv av txiv ntoo nrog qhov nruab nrab ntawm acidity thiab khoom qab zib, nrog rau jam, jelly, mousses thiab txiv hmab txiv ntoo stewed, yuav muaj txiaj ntsig zoo tshaj.
Txhawm rau kom ua haujlwm ntawm lub cev uas puas lawm thiab ua kom lub plab zom mov, kev haus dej haus kom tsim nyog. Tus nqi ntawm cov kua dej haus dej yog li ob litres. Koj tuaj yeem haus cov zaub thiab kua txiv, kua rosehip si, kua dej alkaline, kua tshuaj ntsuab, jelly thiab txiv hmab txiv ntoo.
Peach kua txiv yuav tsum tau siav tsuas yog nyob rau hauv lub caij, txij li thaum cov kua txiv yuav muaj cov kua tshuaj thiab muaj suab thaj ntau
Qhov txiaj ntsig zoo tshaj yuav yog cov kua txiv los ntawm txiv duaj, txiv apples, pears, apricot, qos yaj ywm, taub, txiv lws suav thiab dib. Cov dej qab zib no tau npaj rau lawv tus kheej zoo tshaj plaws, raws li cov xim tso dej thiab tshuaj ntxiv rau lub khw muag khoom. Tsis tas li ntawd, cov dej tshiab uas tau zom zaws yuav tsum tau haus tam sim ntawd, tsis tuaj yeem khaws cia rau hauv tub yees.
Cov tshuaj yej ntsuab thiab liab hibiscus muaj qhov tshwm sim tsawg tshaj plaws; haus dej ntawm cov tshuaj yej nceb haus tau txais. Kissels tuaj yeem ua tiav los ntawm oatmeal, txiv hmab txiv ntoo qhuav, flaxseed, mis, thiab tseem nyob ntawm cov txiv ntoo thiab txiv hmab txiv ntoo.
Txwv tsis pub cov zaub mov thiab cov hau kev ua
Tsis hais txog ntawm theem ntawm kev txiav npluav, cov khoom lag luam hauv qab no raug txwv:
- cov nqaij rog - nqaij npuas, nqaij yaj, geese thiab os, lard;
- qee cov zaub thiab txiv hmab txiv ntoo - radish, zaub qhwv, txiv hmab, tsawb, qij thiab sorrel;
- tag nrho cov legumes - taum, taum pauv, pob kws, lentils, kua taum;
- pickles thiab pickles;
- margarine, kas fes thiab cocoa;
- mis nyuj khov, sorbets, khoom qab zib.
Cov neeg mob yuav tsum tau ceev faj tshwj xeeb ntawm kev haus cawv tsis haus cawv.
Txhawm rau txo qhov kev txaus siab ntawm exacerbation ntawm pancreatitis thiab ncua lub sijhawm ntawm kev tshem tawm, tag nrho cov khoom lag luam yuav tsum tau npaj ua ntej. Tom qab ntawd lawv tuaj yeem raug hau, ci lossis siav hauv ob lub rhaub dej. Nws tsis pom zoo kom haus ntau hom protein rau ib pluag mov - piv txwv li, qe thiab nqaij qaib, ntses thiab qaib cov txwv, cheese thiab nqaij nyuj, thiab lwm yam.
Tsum nres ntawm kev mob pancreatitis tsis tau txhais tau tias yog ib qho kev ua kom tiav. Tom qab tshem tawm cov kev mob tshwm sim, nws yog ib qho tsim nyog yuav tau soj ntsuam los ntawm tus kws kho mob gastroenterologist rau ib xyoos lossis ntau dua. Tus kws kho mob yuav muab cov lus pom zoo yuav ua li cas kho mob ntawm lub txiav thaum lub caij so, thiab sau ntawv kho kev kho mob.
