Kev txiav (txiav ua leeg) yog ncaj qha koom nrog kev zom zaub mov, ua cov enzymes tseem ceeb tshaj plaws rau cov txheej txheem no, thiab tswj hwm kev ua rau lub cev metabolism. Hauv cov kab mob pancreatitis, thaum lub tso pa tawm ntawm lub caj pas hauv nws cov ducts tshwm sim thiab necrosis thiab autolysis (tus kheej yaj) ntawm cov ntaub so ntswg ntawm lub cev pib, tus neeg mob txoj kev mob loj zuj zus. Tsis tsuas yog vim muaj mob hnyav, tab sis kuj yog los ntawm kev ua rau cov ntshav qabzib hauv lub cev tsis muaj zog thiab tsim cov kev qaug cawv. Lub sijhawm no, kev pabcuam neeg mob yuav tsum tau pab sai thiab tsuas yog pw hauv tsev kho mob.
Kev tswj hwm kev tsim kho yog tsim los txwv kev tsim cov zom cov hlab ntsha los ntawm thaj chaw uas muaj kab mob hauv lub cev ua kom lub cev ua haujlwm, kom paub tseeb tias muaj cov kua paug mus rau hauv cov kua paug, kom ua kom cov ntshav ntawm cov co toxins thiab cov khoom ua kom tsis zoo, thiab cuam tshuam rau lub peev xwm ua kom cov ntshav muaj zog. Qhov no yog ua tiav tsis tsuas yog los ntawm kev siv cov txheej txheem ntawm cov tshuaj. Kev noj zaub mov noj rau mob hnoos qeev ua lub luag haujlwm tseem ceeb, thiab nws cov txiaj ntsig yog qhov sib piv ntawm cov txiaj ntsig ntawm kev kho tshuaj.
Lub hom phiaj thiab kev xaiv kev noj haus
Cov kev ua ntawm lub voos plaub yaig yog voj voog thiab yog txiav txim siab kiag li los ntawm kev noj cov zaub mov hauv lub cev, uas yog hom "teeb liab" rau kev tsim cov enzymes. Nrog rau kev txhim kho ntawm cov txheej txheem inflammatory, nws yog ib qho tseem ceeb heev kom tshem tawm cov txheej txheem no ntawm kev hloov khoom nruab nrog, txij li kev zais ntxiv muaj qhov cuam tshuam loj heev rau ntawm tus txiav. Microcirculation yog qhov cuam tshuam thiab o ntawm cov ntaub so ntswg nce, uas ua rau muaj kev nyuaj nrog kev tso cai ntawm cov ducts ntawm cov khoom hauv nruab nrog. Cov enzymes tseem nyob hauv cov hlau pib cov txheej txheem ntawm nws (kev rhuav tshem).
Thaum ntxov ntawm exacerbation ntawm pancreatitis, kev kho mob yog nqa tawm hauv tsev kho mob uas niam txiv kev noj haus zoo ntawm tus neeg mob yog nqa tawm.
Kev txiav tawm ntawm qhov ncauj mus rau qhov ncauj yog qhov txiaj ntsig zoo tshaj plaws rau ntawm tus txiav ua kab mob. Kev ua haujlwm "so" ntawm cov khoom hauv nruab nrog yog tsim, cov zais cia uas twb muaj lawm yog raug tshem tawm, autolysis yog inhibited, thiab lub caj pas muaj peev xwm tiv thaiv nrog cov txheej txheem pathological thiab pib nws rov ua haujlwm.
Feem ntau, kev noj haus rau cov mob hnoos qeev muaj cov hom phiaj hauv qab no:
- txo qis hauv qhov mob hnyav thiab kev pab tsis zoo ntawm kev tawm tsam;
- kev txo qis hauv qhov kev ua si enzymatic ntawm caj pas;
- kom ntseeg tau tias qhov tau txais ntawm cov khoom noj zoo tshaj plaws ntawm cov rog, protein, carbohydrates, ntxhia pob zeb, vitamins hauv tus neeg mob lub cev;
- sparing ntawm tag nrho cov plab hnyuv siab raum ntawm lub plab zom mov;
- ntxiv dag zog rau kev tiv thaiv;
- cuam tshuam rau qhov ua tau rov ua dua ntawm cov txiav
Cov yam ntxwv ntawm kev noj haus hauv chaw soj ntsuam hauv pancreatitis tau cuam tshuam los ntawm ntau yam. Yog li, hauv kev mob hnyav, theem ntawm exacerbation tseem ceeb heev, uas yog ncaj qha ntsig txog qib ntawm kev puas tsuaj ntawm txiav thiab pib ntawm nws rov qab los. Tsis tas li ntawd, qhov ntev ntawm tus kab mob yog qhov tseem ceeb, uas yog, seb puas yog tus mob pancreatitis yog mob ntev los yog raug tsim hauv cov neeg laus thawj zaug.
Tsis muaj tsawg tshaj li qhov tseem ceeb yog daim ntawv ntawm tus kabmob, muaj cov teebmeem thiab pathologies ntawm lwm qhov plab hnyuv plab hnyuv. Piv txwv, nrog biliary pancreatitis, muaj qhov mob ntawm lub siab, lub zais zis thiab lub plab zom mov, uas tsis tuaj yeem cuam tshuam rau tus neeg mob noj zaub mov tsis zoo. Tsis tas li ntawd, kev siv tshuaj tua kab mob, suav nrog kev noj zaub mov, nyob ntawm thaj chaw ntawm kev puas tsuaj rau tus txiav thiab nws cov tshuaj ntsiav, muaj cov qog ntshav lossis necrotic foci.
Yog li no, kev noj haus rau exacerbation ntawm pancreatitis, lossis rooj 5p, muaj ob txoj kev xaiv, uas tau txiav txim siab los ntawm kev siv ntawm cov txheej txheem inflammatory:
Qhov Xaiv 1: tau tsa nrog qhov pom tseeb ntawm tus txheej txheem pathological lossis nrog hais tawm dhau los ntawm tus mob ntawm daim tawv nqaij qog nqaij hlav.
Qhov Kev Xaiv Thib 2: nws yog kho rau cov kev mob tshwm sim tsawg thiab qhov chaw ruaj khov ntawm tus neeg mob pib, nrog rau thawj cov cim qhia ntawm kev txhim kho nyob rau hauv lub sij hawm ntawm exacerbation ntawm kev mob tshwm sim ntawm pathology.
Kev cais tawm ntawm kev kib, roj, ntsim yuav tsum txo cov kev ua si enzymatic ntawm lub txiav
Tab sis, thaum tus neeg mob nkag mus rau hauv tsev kho mob, nyob rau thawj hnub nws yuav tsum tau ua kom tsis txhob noj cov zaub mov noj los ntawm lub qhov ncauj kom thiaj li tsim tau cov chaw so ntawm lub qhov quav, plab, plab hnyuv, mob siab. Yog li, kho kev yoo mov yog kho rau lub sijhawm 2-4 hnub, uas tau txiav txim los ntawm daim ntawv thiab qhov loj ntawm kev mob ua paug. Nyob rau tib lub sijhawm, tib neeg lub cev xav tau cov khoom noj muaj txiaj ntsig rau kev rov ua haujlwm, yog li nws tau txais lawv rau cov niam txiv, hauv txoj kev daws teeb meem rau txoj kev tswj hwm tawm tshiab. Tom qab ntawd, tom qab ob peb hnub, lub cev rov qab muaj peev xwm noj nyob rau hauv txoj kev ib txwm.
Kev xaiv tooj 1
Khoom noj khoom haus nyob rau hauv kev mob caj dab, thaum tus neeg mob lub cev hnyav, nrog mob hnyav thiab qaug cawv, thiab thaum lwm yam hauv nruab nrog cev mob, yog qhov chaw kho mob tseem ceeb tshaj plaws. Lub sijhawm no, kev saib xyuas tshwj xeeb yog them tsis tas rau kev cais tawm ntawm cov khoom "tsis tsim nyog" tshaj plaws, tab sis kuj rau txoj kev ua noj ua haus.
Dab tsi ntawm cov txiav tsis nyiamTxij li thaum tus neeg mob nyob hauv tsev kho mob, nws tau txais zaub mov los ntawm chav ua noj hauv tsev kho mob, qhov twg cov khoom lag luam raug ua raws li cov kev cai nruj, thiab cov zaub mov thaum exacerbation tau soj ntsuam txhua hnub. Cov khoom noj khoom noj yog hau los yog fim, grated thiab tau txais kev pab hauv daim ntawv tsis muaj zog, kua zaub, cereals, mashed qos yaj ywm. Tsis tas li, txhua lub lauj kaub tais diav muaj qhov ua kom zoo tshaj kub, uas tsis ua kom mob plab zom mov. Lawv yuav tsum tsis txhob txhawb lub zais ntshis hauv cov kab mob no, txhua yam khoom yuav tsum ua kom yooj yim thiab sai sai.
Cov pluas noj raug ua rau ntau yam, txog li 8 zaug hauv ib hnub, tab sis hauv qhov ntau me me (ntau kawg yog 300 grams), qee qhov kev haus dej haus cawv yog nruj me ntsis. Tom qab txhua pluas noj, lub xeev ntawm txiav thiab lwm yam kabmob, nrog rau kev noj qab haus huv ntawm tus neeg mob, tau txheeb xyuas.
Ua ntej npaj cov nqaij qaib, nws yog ib qho tseem ceeb kom tshem tawm daim tawv nqaij uas muaj roj ntau.
Koj tuaj yeem noj dab tsi thiab haus nrog exacerbations ntawm tus neeg mob ua rau tus ua tsis tuaj yeem, yog pom tseeb los ntawm cov npe khoom no:
| Tso cai |
| Cov kua txiv npluav ntawm dej los yog ib nrab nrog mis nyuj los ntawm mov, buckwheat, semolina, oatmeal |
| Boa nplej zom cov feem me me |
| Cov nqaij noj (qaib cov txwv, luav, qaib) |
| Cov ntses uas muaj roj tsawg (cod, pikeperch, pollock) |
| Kefir, yog tsis muaj rog roj yogurt |
| Cov qoob loo taub dag (taub dag, taub dag, taub dag) |
| Qos yaj ywm, carrots |
| Ci Apples |
| Tshaj tawm, jelly, tsis muaj zog tshuaj yej |
Ntxiv rau, nws yog ib qho tseem ceeb kom tsis txhob ntsev rau 6 grams tauj ib hnub (tus neeg mob yuav tsum tsis txhob ntxiv rau lub lauj kaub tais diav). Tag nrho cov calories ntau txhua hnub tsis ntau tshaj 1800 kcal.
Qhov kev xaiv 5p no yog siv hauv tsev kho mob rau 5-7 hnub tom qab ib lub sijhawm ntawm kev yoo mov. Tom qab kev tawm tsam ntawm tus mob voos tas, thaum tus neeg mob tau raug kho los kho kom zoo rau sab nrauv, kev noj zaub mov noj tseem yog ib qho tseem ceeb ntawm kev kho, thiab kev xaiv No. 2 yog tshuaj rau tus neeg mob.
Kev xaiv thib 2
Kev noj haus tom qab kev tawm tsam ntawm tus mob pancreatitis yuav tsum ua raws nraim hauv tsev, txhua lub luag haujlwm rau qhov no sawv nrog tus neeg mob thiab nws cov neeg txheeb ze. Ntxiv rau kev noj tshuaj, tus neeg mob tau txais cov lus pom zoo los ntawm tus kws kho mob uas koom nrog kev coj noj coj ua thiab kev noj zaub mov kom zoo rau hauv daim ntawv uas teev dab tsi los noj thaum tus mob exacerbation tsawg zuj zus thiab yam uas yuav tsum tau cais tawm ntawm kev noj haus.
Nyob ntawm daim ntawv thiab qhov hnyav ntawm tus kab mob thiab seb puas tau phais los ua, lub sijhawm ntawm kev siv cov khoom noj rau kev xaiv zaub mov 2 tuaj yeem sib txawv ntawm 8 hlis txog 1 xyoos. Qee lub sij hawm, nrog kev tshem tawm sai sai ntawm kev mob ua tus txiav ua ke ntawm daim ntawv ntev, cov khoom noj zoo li no tsim nyog rau ntau xyoo thiab txawm rau lub neej.
Tom qab cov tsos mob ntawm tus mob pancreatitis zuj zus lawm, pluas noj zaub mov seem, 5-6 zaug ib hnub thiab nrog ib ntim ntawm 400-500 ml. Cov ntsiab lus ntawm cov protein thiab cov vitamins nce ntxiv, tsiaj thiab zaub tsiaj rog, carbohydrates, thiab coarse fiber ntau txo. Ntsev tuaj yeem siv mus txog 10 g hauv ib hnub, cov ntsiab lus caloric txhua hnub nce ntxiv mus rau 2700 kcal. Kev haus dej haus tshuaj fractional yuav tsum tau ua, thiab cov kua ntim txhua hnub yog tsawg kawg yog 2 litres.
Hnyav haus nrog pancreatitis txhawb nqa rov qab
Qhov tseem ceeb tshaj plaws hauv kev npaj cov tais diav yuav tsum tau muab rau cov hau kev ntawm cov khoom lag luam. Nrog rau lub pancreatitis thaum lub sijhawm tso, exacerbations tseem yuav tsum tau muab hau thiab siav hauv "da dej", tab sis cov hau kev xws li muab cub thiab ci tseem raug tso cai. Cov tais diav yuav tsum tau npaj rau hauv cov qauv ntawm cov kua zaub, cereals, mashed qos yaj ywm lossis nqaij minced, zaub tuaj yeem muab rau hauv cov ntawv me me, thiab txiv hmab txiv ntoo tuaj yeem ua rau tag nrho, tab sis nco ntsoov ci hauv qhov cub. Los ntawm qhov kub thiab txias, txhua lub lauj kaub tais diav yuav tsum tsis txhob txias lossis kub, tsis muaj cov kua ntsw thiab cov txuj lom, yog li kom tsis txhob ua rau cov neeg ua haujlwm uas tsis muaj kev tiv thaiv ntau dhau los tso rau hauv lub txiav.
Khoom noj khoom haus thaum lub sij hawm pab maj mam dhau ntawm kev ua kom tsis zoo ntawm tus kab mob, txawm tias muaj kev txwv tsis txaus, tseem muaj ntau yam thiab muaj txiaj ntsig rau txhua yam khoom xyaw tsim nyog.
Qhov koj tuaj yeem noj thiab tsis tuaj yeem noj nrog pancreatitis muaj teev hauv qab no:
| Tau | Nws yog tsis yooj yim sua |
| Nplej zom, khob cij “nag hmo” los ntawm hmoov nplej 1 thiab 2 qib | Mov tshiab ua los ntawm cov hmoov nplej zoo |
| Ntshiv Nqaij | Rog rog, nqaij npuas, nqaij yaj, nqaij ntses |
| Cov ntses tsis muaj roj, dej hav dej thiab hiav txwv | Rog Ntses |
| Qe dawb | Qaib Yolks |
| Cov khoom noj muaj roj tsawg (kefir, mis nyuj, kua mis nyeem yog mis nyuj, uas yog fermented cov kua mis, tsev cheese, cheese txeej) | Rog qaub cream, tsev me cheese, ntsim cheeses |
| Mov, buckwheat, oat, semolina | Plab (mob siab, mob ntsws, raum), cov kaus poom zaub mov thiab hnyuv ntxwm |
| Qos yaj ywm, carrots, zaub kav, zaub paj thiab zaub cob pob, beets | Concentrated nqaij thiab ntses broths |
| Kissels thiab stewed txiv hmab txiv ntoo thiab berries, kua txiv hmab txiv ntoo | Nceb, legumes, zaub qhwv dawb, radish, turnip, radish, sorrel |
| Tsis muaj zog tshuaj yej | Kas fes, haus dej qab zib, cocoa, cawv |
| Cov khoom tsis sib haum yam tsis muaj cov rog (meringues, marshmallows, khaub noom, marmalade, txiv ntseej mousses thiab jellies) | Butter ci |
| Ci txiv hmab txiv ntoo | Cov txuj lom, ntsim ntses |
Raws li tuaj yeem pom los ntawm lub rooj, nrog kab mob pancreatitis, koj tuaj yeem noj tag nrho thiab muaj ntau yam sib txawv, siv cov lis, zaub, ntau hom nqaij, ntses, khoom qab zib thiab khoom qab zib. Tus neeg mob, uas ua raws li kev cai noj haus, yuav tau txais txhua yam tsim nyog ntawm cov rog, protein, carbohydrates, vitamins thiab lub zog uas nws xav tau los rov qab noj qab haus huv lub xeev ntawm txiav thiab lwm yam plab hnyuv siab raum.
Koj tuaj yeem noj pastille, marmalade, jelly lossis marshmallows nrog pancreatitis tsawg kawg rau txhua hnub
Qee cov piv txwv ntawm cov ntawv qhia zaub mov
Hauv tsev, nws yog qhov zoo dua los ua cov ntawv qhia zaub mov rau ib lim tiam, thiab tsis yog rau txhua hnub. Yog li nws yooj yim dua rau kev xav txog kev noj haus tom ntej ua ntej thiab yuav cov khoom lag luam tsim nyog, uas yuav ua rau koj ua tiav cov khoom noj khoom haus ntau tshaj plaws. Nrog rau qhov thib ob ua piv txwv ntawm kev noj haus 5p, kwv yees zaub mov rau 3 hnub yuav zoo li no:
Pluas tshais 1: buckwheat porridge-buttermilk ntawm dej nrog mis nyuj, khob cij qhuav, khob dej tsis muaj zog tshuaj yej;
Pluas tshais 2: ob lub txiv av ci;
Noj su: mis kua zaub nrog vermicelli, mashed qos yaj ywm nrog lub zog nqaij qaib cutlet, txiv hmab txiv ntoo jelly, ncuav.
Khoom txom ncauj: lub khob ntawm tshuaj yej uas tsis muaj zog, 3 daim ntawm vanilla marshmallow.
Noj hmo: zaub stew, hau pollock, qhob cij, compote.
Pluas tshais 1: oatmeal porridge rau hauv dej nrog mis nyuj, hauv tsev jam, tshuaj yej.
Pluas tshais 2: tsev me cheese kua zaub, mov ci.
Noj su: ntses kua zaub nrog haddock, protein omelette, compote, ncuav.
Khoom noj txom ncauj: ob qho ncuav ci.
Noj hmo: nqaij qaib mis stewed nrog qos yaj ywm, tshuaj yej, khob cij.
Pluas tshais 1: semolina, qhob cij, tshuaj yej.
Pluas tshais 2: zaub qhwv zaub, mov ci, tshuaj yej.
Noj su: nqaij qaib curly broth nrog qe dawb, hau mov nrog ntses meatballs, khob cij, txiv hmab txiv ntoo stewed.
Khoom txom ncauj: yogurt nrog biscuits qhuav, tshuaj yej.
Noj hmo: hau nqaij nyug nrog nplej zom, qhob cij, jelly.
Hauv nruab nrab tsib pluas noj, koj tuaj yeem muaj 2-3 qhov khoom noj ntxiv “khoom noj txom ncauj”. Txhawm rau ua qhov no, noj cov txiv hmab txiv ntoo ci, kua mis nyeem qaub, ib khob ntawm jelly los yog compote, ncuav qab zib biscuit.
Ua kom tiav tag nrho cov lus pom zoo rau kev kho mob thiab ua raws li kev noj haus, nws muaj peev xwm ua kom tiav qhov ua tiav siab tshaj plaws ntawm kev ua haujlwm ntawm pancreatic thaum lub sijhawm exacerbations ntawm pancreatitis nyob rau lub sijhawm luv luv, thiab tseem yuav ua rau muaj kev ncua ntev hauv hom mob.
