Cov kab mob plab (GIT) yog lub cev ua haujlwm nyuaj thiab tshwj xeeb tsim los ua zaub mov, tso tawm thiab zom cov as-ham, nqus rau hauv cov hlab ntsha, thiab tshem tawm cov khoom seem uas tsis tau zom. Txhua yam ntawm nws lub cev ua haujlwm sib cais thiab tseem ceeb heev. Yog li, pancreas yog qhov loj tshaj plaws ntawm tag nrho cov qog. Nws secretes digestive kua txiv thiab enzymes uas zom cov proteins, rog, starch thiab carbohydrates. Hauv cov kab mob ntawm tus txiav, kev noj zaub mov raug sau tseg yam tsis poob.
Txoj Cai Ua Haujlwm
Txhua lub cev ntawm lub plab zom mov muaj cov qauv tshwj xeeb thiab ua haujlwm. Yog li, pancreas yog koom nrog hauv cov txheej txheem digestive. Nws ua ob txoj haujlwm tseem ceeb. Ua ntej, txiav txiav tso tawm cov enzymes tsis ua haujlwm rau hauv duodenum los pab zom zaub mov.
Cov no suav nrog:
- pancreatic lipase, uas zom cov lipids rau hauv glycerol thiab fatty acids;
- chymotrypsin thiab trypsin, enzymes uas catalyze hydrolysis ntawm proteins thiab peptides;
- amylase, uas ua rau cov hmoov txhuv nplej siab.
Tom qab cov zaub mov nkag mus rau hauv duodenum, cov enzymes no tau qhib thiab pib zom zaub mov. Qhov no yog lub npe hu ua exocrine ua haujlwm ntawm pancreas. Qhov thib ob yog endocrine. Nyob nruab nrab ntawm lub lobules ntawm lub pancreas muaj ntau pawg ntawm cov hlwb uas tsis muaj excretory ducts. Lawv tseem hu ua cov islets ntawm Langerhans. Lawv ua haujlwm ntawm kev tso tawm sab hauv thiab tso glucagon thiab insulin rau hauv cov hlab ntsha. Cov no yog cov tshuaj hormones uas koom nrog hauv cov metabolism ntawm carbohydrates.
Kab mob pancreas
Vim tias lub cev no ua tau ob txoj haujlwm, cov kab mob tuaj yeem muab faib ua ob pawg. Thawj suav nrog cov uas cuam tshuam nrog cov enzymes thiab kev zom zaub mov, thiab qhov thib ob - nrog kev tswj hwm hormonal ntawm endocrine muaj nuj nqi. Pancreatitis yog ib qho ntawm cov kab mob ntau tshaj plaws ntawm tus txiav, thiab kev noj zaub mov hauv qhov no yog qhov yuav tsum tau ua. Thaum kev ua haujlwm ntawm endocrine cuam tshuam, ntshav qab zib mellitus tshwm. Tus kab mob no xav tau kev noj zaub mov zoo ib yam li pancreatitis, tab sis nws tsis suav tag nrho cov khoom noj uas muaj piam thaj. Nws yog ib qho tseem ceeb rau cov neeg mob ntshav qab zib kom khaws lawv cov ntshav qab zib kom nyob rau qib uas tau txais.
Raws li tau hais ua ntej, thaum lub sijhawm ua haujlwm ntawm lub cev, cov enzymes uas zom cov rog, cov protein thiab carbohydrates nkag mus rau hauv duodenum tsuas yog tom qab cov zaub mov nkag mus rau ntawd. Nrog rau qhov mob ntawm tus txiav, cov hauv qab no tshwm sim: lipase, trypsin thiab amylase tau qhib rau hauv caj pas nws tus kheej thiab rhuav tshem nws. Rau lawv, tsis muaj qhov sib txawv tseem ceebdab tsi raws nraim yuav zom, tog twg los phab ntsa ntawm lub caj pas, los yog ib pob khoom noj. Nyob rau tib lub sijhawm, ntawm chav kawm, enzymes tsis nkag mus rau hauv duodenum, uas ua rau muaj cov tsos mob xws li xeev siab thiab ntuav ntawm cov zaub mov tsis raug. Qhov txaus ntshai kuj yog nyob rau hauv qhov tseeb hais tias cov co toxins uas tawm los ntawm qhov no, los ntawm cov hlab ntsha nkag mus rau lwm yam tseem ceeb hauv nruab nrog cev, ua kom puas.
Vim tias tus kab mob pancreatitis yog tus kab mob tseem ceeb ntawm tus txiav, kev noj zaub mov tshwj xeeb tau tsim rau cov neeg uas muaj tus kab mob no. Txawm li cas los xij, kev noj zaub mov zoo sib xws yuav tsum tau ua raws li txhua yam kab mob ntawm tus txiav, tshwj xeeb tshaj yog vim nws yog pancreatitis uas ua rau muaj teeb meem feem ntau thiab pathologies.
Yog vim li cas
Ntau qhov kev tshawb fawb hauv cheeb tsam no ua pov thawj tias ntau yam tuaj yeem cuam tshuam cov kab mob hauv plab:
- kev mob;
- txoj kev xav;
- noj qee yam tshuaj;
- kev noj haus tsis zoo;
- cawv.
Tab sis, raws li kev txheeb cais qhia, feem ntau cov kab mob pancreatic tshwm sim vim yog kev noj cov rog, kib thiab ntsim zaub mov thiab dej cawv. Qhov khoom yog tias nws yog rau cov khoom lag luam uas nws tso tawm qhov siab tshaj plaws ntawm cov enzymes. Nyob rau hauv cov ntaub ntawv no, muaj ib tug zoo kawg li load rau tag nrho cov plab hnyuv ib ntsuj av thiab, vim li ntawd, ncua kev tso tawm ntawm lipase, trypsin thiab amylase. Vim li no, hauv cov kab mob pancreas, kev noj zaub mov yog qhov yuav tsum tau.
Koj xav tau dab tsidiet?
Thaum kuaj pom tus kab mob pancreas (pancreatitis), kev noj zaub mov tau raug sau tseg txhawm rau txo qhov hnyav ntawm lub cev. Nws yog ib qho tseem ceeb heev kom tsis txhob noj cov zaub mov uas txhawb kev tsim cov enzymes muaj zog thiab ua rau mob. Piv txwv li, nyob rau hauv daim ntawv mob ntawm tus mob pancreatitis, ib tug neeg tau txais kev kho mob hauv tsev kho mob, nrog rau kev so, kev tshaib kev nqhis thiab txias. Txij li thaum zaub mov yuav tsis nkag mus rau hauv txoj hlab pas, kev ua haujlwm enzymatic yuav txo qis, thiab qhov no yuav ua rau lub caj pas rov ua dua tshiab.
Kab mob hauv me nyuam
Tus kab mob zoo li pancreatitis tshwm sim hauv cov menyuam yaus hnub nyoog qis dua ib xyoos. Koj yuav tsum tau ceev faj heev txog cov txheej txheem kho mob, vim tias yog tias koj tsis kho nws raws sijhawm, yav tom ntej pathology yuav dhau mus ntev. Tau kawg, theem mob ntawm tus mob pancreatitis yuav tsum tau saib xyuas tus neeg mob yuav tsum tau ua. Tus kws kho mob yuav sau tshuaj kho thiab noj zaub mov kom raug. Feem ntau, kev noj zaub mov rau tus txiav txiav rau cov menyuam yaus thiab cov neeg laus tsis txawv thiab muaj cov khoom noj uas tsis muaj rog thiab rog.
ntse zoo
Tus kab mob kis tau sai heev. Muaj kev tawm tsam ntawm qhov mob, thaj chaw nyob rau sab laug hypochondrium, qhov kub thiab txias nce. Cov tsos mob tshwm sim kuj yuav ntuav thiab tsis qab los noj mov. Tau kawg, tam sim ntawd yuav tsum hu rau lub tsheb thauj neeg mob. Raws li txoj cai, nrog mob pancreatitis ntawm tus txiav, tus neeg mob tau mus pw hauv tsev kho mob, vim qhov mob ntawm lub cev tsis muaj kev kho mob tsim nyog tuaj yeem ua rau tuag taus. Tsis tas li ntawd, thawj ob peb hnub, tus neeg mob tau pom zoo khotshaib plab, uas yog, tag nrho cov khoom noj. Nws raug tso cai haus dej Borjomi ntxhia dej thiab rosehip broth. Intravenously muab parenteral khoom noj khoom haus.
Thaum tus neeg mob tau zoo dua me ntsis, noj zaub mov rau tus mob pancreatic pancreatitis. Nws yog ib qho tsim nyog kom tsis suav kib, haus luam yeeb, pastries tshiab thiab ntsev. Mucous soups, oatmeal, low-fat ntau yam ntawm cov khoom muaj protein (nqaij thiab ntses) raug tso cai. Nws yog ib qho tsim nyog kom tau tawm ntawm kev kho mob tshaib plab heev, ua kom cov calories noj txhua hnub. Thawj hnub, qhov siab tshaj plaws ntawm 400 kcal yuav tsum tau txais, thib ob - 500 kcal, thiab lwm yam. Nyob rau hauv rooj plaub ntawm cov kab mob pancreas, kev noj zaub mov yog ib feem me me.
Koj yuav tsum tau coj mus rau hauv tus account qhov tseeb tias tom qab tus kab mob hnyav, nws raug nquahu kom ua raws li kev noj zaub mov tsawg kawg 3 lub hlis. Txwv tsis pub, kev tawm tsam ntawm tus mob pancreatitis tuaj yeem tshwm sim. Hauv cov kab mob ntawm tus txiav, cov zaub mov thiab cov zaub mov rau txhua hnub tuaj yeem muab tso ua ke ntawm tus kheej, coj mus rau hauv tus account qhov xwm txheej ntawm lwm yam kabmob ntawm lub plab zom mov. Feem ntau, nws raug nquahu kom tso cov zaub mov kib thiab ntsim, nrog rau cov cwj pwm phem.
Chronic form
Daim ntawv kab mob no tsis tshua pom. Thaum lub sij hawm exacerbation, tus neeg mob raug kev txom nyem los ntawm kub siab, mob sab laug, xeev siab, thiab tsam plab. Hauv daim ntawv mob ntev, txhua tus kws kho mob yuav sau ntawv noj zaub mov rau pancreatic pancreatitis. Cov ntawv qhia zaub mov suav nrog cereals thiab cov khoom noj muaj protein (nqaij thiab ntses), zaub kua zaub. Thaum lub sij hawm exacerbation nws raug tso cai siv:
- slimy soups and zaub puree soup;
- crackers;
- Cov nqaij muaj roj tsawg ntawm cov nqaij (qaib, qaib ntxhw, nqaij, luav);
- omelette;
- ntses tsis rog (perch, perch, cod, hake, pollock);
- mashed boiled zaub yam tsis muaj roj;
- qaug tshuaj yej thiab dej ntxhia.
Remission stage
Thaum qhov hnyav dhau mus, kev noj zaub mov tuaj yeem hloov kho me ntsis: nce cov rog me ntsis thiab ntxiv qee cov tais diav rau noj. Tab sis tib lub sij hawm, koj yuav tsum tsis txhob overeat thiab koj yuav tsum tsis txhob noj kib thiab haus luam yeeb. Hauv cov kab mob ntev (tawm ntawm exacerbation) ntawm pancreas, cov zaub mov noj thiab cov qauv zaub mov yuav muaj cov khoom hauv qab no:
- nag hmo lub ncuav thiab buns;
- boiled nqaij broths (los ntawm nqaij qaib los yog nqaij nyug);
- mos-boiled lossis scrambled qe;
- tsev cheese thiab kefir;
- cereals (buckwheat, bulgur, oatmeal, semolina, mov), koj tuaj yeem ntxiv roj, tab sis tsis ntau tshaj 20 g ib hnub;
- txiv hmab txiv ntoo, marshmallows, marmalade, biscuits;
- qaug tshuaj yej thiab compotes.
Cov zaub mov txwv tsis pub
Kev noj zaub mov tseem ceeb thiab tsim nyog rau tus kab mob pancreatitis. Cov ntawv qhia zaub mov yuav tsum muaj cov khoom tso cai nkaus xwb. Tsis tas li ntawd, muaj cov npe nres. Cov tais diav no txwv tsis pub siv, tshwj xeeb tshaj yog thaum lub sijhawm exacerbation. Lawv tuaj yeem ua rau muaj teeb meem, thiab qee zaum txawm ua rau necrosis ntawm cov qog nqaij hlav. Los ntawm kev noj zaub mov yuav tsum tsis suav nrog:
- dej cawv, kua txiv qab zib, dej qab zib, kas fes;
- nqaij npuas,nqaij npuas kib, nqaij npuas kib, hnyuv ntxwm, ntsim, kib, khoom noj ceev;
- zaub qhwv tshiab thiab legumes;
- -roj cream, khoom qab zib, ncuav qab zib, ncuav qab zib, mis nyuj khov, chocolate;
- fried thiab nyuaj boiled qe;
- butter khob cij thiab qhob cij tshiab.
Cov khoom zoo li no, nkag mus rau hauv txoj hlab pas, xav tau ntau cov enzymes. Tab sis txij li thaum lub sij hawm tus kab mob muaj ib tug pov ntawm cov ntsiab lus ntawm lub plab mus rau hauv lub ducts ntawm lub caj pas, amylase, trypsin thiab lipase yuav pib ua tiav nyob rau hauv lub ducts lawv tus kheej. Qhov no yuav ua rau muaj kev nce hauv cov txheej txheem inflammatory hauv lub txiav.
khoom noj kom raug
Qee lub sij hawm nws tuaj yeem nyuaj heev los ntawm qhov tseeb tias koj yuav tsum ua raws li kev noj haus ib ntus. Tab sis kev noj qab haus huv tseem ceeb dua. Thiab yog tias koj ua raws li tag nrho cov kev cai lij choj, tom qab ntawd qhov kev kho tau zoo tuaj yeem nce ntxiv.
Nws yog ib qho tseem ceeb heev los npaj cov khoom noj kom zoo kom nws tsis tsuas yog pab tau koj txoj hnyuv, tab sis tsis ua rau koj lub siab xav. Ua ntej, sau ib daim ntawv teev cov khoom tso cai. Los ntawm lawv koj tuaj yeem ua noj ntau cov zaub mov qab thiab noj qab haus huv uas yuav tsis ua mob rau lub txiav. Tag nrho cov khoom noj yuav tsum tau muab faib ua 5 pluas noj, vim tias koj yuav tsum tau noj hauv qee qhov me me thiab tib lub sijhawm kom tsis txhob tawg loj hauv cov zaub mov. Lub pancreas "tsis nyiam" kub thiab txias, yog li nws yog qhov zoo yog tias cov zaub mov nyob nruab nrab kub.
Kev noj zaub mov rau cov kab mob pancreas yog ib qho kev ntsuas tsim nyog uas yuav tsum tsis txhob saib xyuas. Raws nraim qhov kev zamntau yam khoom los ntawm kev noj haus pab txo qhov mob ntawm lub caj pas thiab normalize lub plab zom mov.
