Tus mob pancreatitis yog ib qho mob ntawm tus txiav. Feem ntau, nws tshwm sim hauv cov neeg laus, thaum tus kab mob tshwm sim hauv cov menyuam yaus, cov tsos mob tsis tshua muaj tshwm sim. Tab sis yog tias qhov kev kuaj mob tsis ua raws sijhawm, qhov no tuaj yeem ua rau muaj teeb meem loj heev vim mob pancreatitis. Thaum muaj hnub nyoog li cas tus kab mob tuaj yeem tshwm sim, nws ua rau, cov tsos mob thiab kev kho mob txaus - qhov no tau piav qhia hauv kab lus.
kab mob
Feem ntau, tus kws kho mob gastroenterologist paub qhov txawv ntawm ob hom kab mob:
- Interstitial (edematous-serous) - daim ntawv no muaj ntau dua rau cov menyuam yaus, nws teb tau zoo rau kev kho mob thiab kev pheej hmoo ntawm cov teeb meem nrog nws tsawg heev. Cov menyuam yaus tsis tshua muaj kub taub hau.
- Kev puas tsuaj (pancronecrosis) - nws tau kuaj pom hauv cov menyuam yaus tsawg dua, tab sis yog tias kuaj pom, nws yuav tsum tau ceev mus rau tsev kho mob sai sai. Muaj tsawg zaus, txawm tias yuav tsum tau resuscitate cov neeg mob. Yog koj tsis hucov kws tshaj lij, tus menyuam tsuas tuaj yeem tsis tuaj yeem ua rau muaj kev lom lom ntawm lub cev. Qhov feem pua ntawm kev tuag hauv pancronecryosis nce mus txog 70%. Feem ntau, pancronecrosis yog ib qho teeb meem ntawm interstitial o. Yog vim li no thaum thawj cov tsos mob tshwm sim, nws yog ib qho ceev mus rau lub tsev kho mob kom pab cov kws kho mob.
Interstitial shape
Thawj cov tsos mob ntawm tus kab mob yog mob hnyav nyob rau hauv lub plab mog. Feem ntau cov mob xws li mob hnyav thiab hnyav los ntawm kev soj ntsuam. Nws tuaj yeem kav ntev rau kev tawm tsam nrog kev maj mam nce zaus ntawm kev tshwm sim thiab qhov mob. Qhov mob yog heev aggravated nyob rau hauv lub supine txoj hauj lwm. Muaj ob peb lwm yam tsos mob:
- Hnyav hauv plab.
- Bloating.
- Tseem xeev siab nrog ntuav ntuav uas tsis tuaj yeem pab tau.
- Kev qaug zog ntawm lub cev, blanching ntawm daim tawv nqaij.
- High heart rate.
Destructive form
Cov tsos mob ntawm tus mob pancreatitis hauv tus menyuam ntawm daim ntawv puas yuav ua raws li hauv qab no:
- Nthuav qhov mob nyob rau sab laug ntawm lub plab. Feem ntau cov mob no hu ua mob txha caj qaum, vim nws zoo nkaus li tus neeg mob tias qhov mob nyob hauv lub nraub qaum.
- ntuav heev.
- plab thiab tawv nqaij hauv plab.
- Ua npaws hnyav, feem ntau lub cev kub nce mus rau qhov txawv txav (40 degrees). Yog tsis muaj kev nqis tes uatshem tawm cov tsos mob no, tus menyuam yuav tawg thiab hlawv.
- Yellow sclera (daj ntawm qhov muag dawb). Qhov no yog ib qho mob hnyav heev, qhia tias muaj kev puas tsuaj loj rau cov kab mob hauv nruab nrog cev, daim siab, pancreas, gallbladder. Nws tuaj yeem qhia tau tias mob siab, mob qog noj ntshav, thiab lwm yam kab mob sib kis.
- Kev mob hnyav ntawm lub cev, kiv taub hau, mob taub hau, txawm tias qaug zog tuaj yeem ua tau.
- Easy superficial mem tes.
Yuav ua li cas rau tus mob pancreatitis hauv menyuam yaus?
Yog tias koj pom cov tsos mob, koj yuav tsum hu rau lub tsheb thauj neeg mob tam sim ntawd. Cia txoj kev hu ua cuav es ua rau tus me nyuam lub neej thiab kev noj qab nyob zoo.
Peb tus pab cuam tseem ceeb ua ntej cov kws kho mob tuaj txog:
- cold,
- tshaib plab,
- kev kaj siab.
Yuav tsum tsis kam noj mov thiab dej kiag li. Kev siv cov zaub mov ntxiv ua rau cov phab ntsa puas lawm ntawm cov txiav. Vim li ntawd, qhov mob yuav nce ntxiv.
Txhawm rau txo qhov mob thiab mob, nws yog ib qho tsim nyog yuav tsum tau muab ib yam dab tsi txias rau qhov chaw mob. Piv txwv li, cov dej khov qhwv hauv polyethylene, los yog, piv txwv li, ib lub hnab zaub pw hauv lub freezer.
Nws yog txwv tsis pub noj tshuaj, suav nrog tshuaj tua kab mob. Lawv yuav muffle qhov mob, tab sis ua rau cov txheej txheem kuaj mob nyuaj dua. Tom qab tuaj txog thiab kuaj, tus kws kho mob nws tus kheej yuav muab cov tshuaj tsim nyog rau tus neeg mob.
Tsis yogyuav tsum zam kev mus pw hauv tsev kho mob. Cov kab mob ntawm lub plab kab noj hniav yog kev dag ntxias, thiab txawm tias tus me nyuam tau zoo dua, qhov no tsis tau txhais hais tias tus kab mob tau dhau mus, ntawm qhov tsis sib xws, tom qab ib lub sijhawm nws yuav tshwm sim nws tus kheej dua, tab sis nrog lub zog ntau dua thiab muaj qhov tshwm sim tsis zoo.
Tus kws kho mob xwm txheej ceev yuav tsum tau muab cov tshuaj tua kab mob rau menyuam yaus thiab tshuaj tua kab mob. Lawv pab tshem tawm spasm los ntawm cov leeg du ntawm cov kab mob hauv nruab nrog cev thiab pab txhawb kom tshem tawm cov kua txiv hmab txiv ntoo los ntawm cov qog. Tsis tas li ntawd, tus kws kho mob yuav tsum sim tshem tawm cov seem ntawm lub plab los ntawm lub raj kom tsis txhob tso cov kua txiv hmab txiv ntoo.
Kev tshwm sim hauv menyuam yaus
Qhov feem ntau ua rau muaj mob hauv menyuam yaus:
- Kev noj zaub mov tsis zoo. Tus me nyuam cov ntawv qhia zaub mov muaj ntau cov rog lossis cov khoom qab zib.
- Kab mob ntau yam. Qaib pox, influenza, pseudotuberculosis, salmonellosis, dysentery, enterovirus, herpes, mumps hepatitis, rubella thiab lwm yam kab mob sib kis.
- Kev raug mob rau lub txiav, suav nrog kev tshuab rau lub plab, ntog.
- Hypercalcemia yog qhov nce ntawm calcium hauv cov ntshav. Feem ntau, tus kab mob congenital no tuaj yeem tshwm sim nws tus kheej li kev puas hlwb thiab muaj kab mob plawv hauv tus neeg mob. Feem ntau qhov ua rau tus kab mob tuaj yeem yog kev siv cov vitamin D ntau ntau.
- Pathology ntawm lub plab zom mov lossis daim siab.
- Tshuaj lom los yog kho mob raug mob. Noj tshuaj tsis raug lossis noj tshuaj lom.
- Kab mob uas ua rau tus kab mob pancreatic ua kom puas.
- qog nqaij hlav ntawm pancreas.
Kev kuaj mob pancreatitis
thawj qhov cim ntawm tus mob pancreatitis yog mob plab heev. Yog li ntawd, kev kuaj mob yog nqa tawm los ntawm kev pov tseg cov kab mob nrog cov tsos mob tsis tsim nyog. Ua ntej tshaj plaws, nrog cov tsos mob zoo sib xws, cov kws kho mob tsis suav nrog cov kab mob xws li mob cholecystitis, mob plab hnyuv, plab hnyuv, exacerbation ntawm peptic ulcer (tsis tshua muaj heev hauv cov menyuam yaus, feem ntau kuaj pom hauv cov hluas).
Tus mob pancreatitis raug kuaj pom siv cov kev kuaj hauv qab no:
- Tau suav cov ntshav (kuaj seb cov qe ntshav dawb nce ntxiv).
- Kev tshuaj ntsuam fecal (kuaj xyuas cov khoom noj tsis zoo)
- Ntshav biochemistry (siv los kuaj xyuas qhov nce ntawm amylase enzymes, nrog rau kev txheeb xyuas cov ntshav qabzib).
- Y Ultrasound ntawm lub plab (siv kuaj mob ntawm lub plab kab noj hniav, muaj cov kab mob peptic, lub siab, txiav, kab poov xab, ob lub raum thiab cov qog adrenal raug kuaj xyuas seb puas muaj cov qog nqaij hlav neoplasms, thiab cov qog nqaij hlav. kev mob ntawm lub cev).
- Computed tomography (tso cai rau koj los txiav txim siab qhov kev puas tsuaj rau lub txiav txiav).
- X-ray (ua kom pom cov teeb meem hauv cov neeg hlau: plab, ob lub raum, siab, hnyuv, spleen thiab diaphragm). Nrog rau kev kuaj mob kom raug, tsawg kawg yog ob daim duab raug coj los ntawm cov ces kaum sib txawv.
Kev kuaj mob yuav tsum tau ua hauv tsev kho mob nkaus xwb thiab nyob rau hauv kev saib xyuasgastroenterologist. Thaum txiav txim siab mob pancreatitis, nws tseem ceeb heev kom txiav txim siab tam sim nws daim ntawv. Qhov no tseem ceeb heev rau kev kho mob ntxiv thiab xaiv txoj kev tiv thaiv.
Kev kho mob
Kev kho tus mob pancreatitis hauv tus menyuam yuav tsum ua tsuas yog hauv tsev kho mob thiab nyob rau hauv kev saib xyuas ntawm tus kws kho mob plab. Kev teem caij kho mob yog ua raws li tus kheej nruj me ntsis, thiab tag nrho vim qhov tseeb tias kom rov ua tiav nws yuav tsum tau noj tag nrho cov tshuaj thiab ua tiav ntau cov txheej txheem.
Txhua qhov xwm txheej, kev kho tshuaj tiv thaiv enzyme yog qhov yuav tsum tau ua, uas nres cov txheej txheem kev puas tsuaj hauv cov txiav.
Thaum kho tus mob pancreatitis hauv tus menyuam yaus, tus neeg mob tau muab lub txaj so thiab noj zaub mov. Nws yog nruj me ntsis txwv tsis pub noj cov zaub mov kib, nrog rau cov zaub mov muaj roj, vim tias lub cev muaj mob tsuas yog tsis tuaj yeem tiv nrog nws. Thawj peb hnub, tus kws kho mob yuav sau ntawv yoo mov, lub sijhawm no tus neeg mob raug txwv tsis pub noj zaub mov uas tsis yog dej. Qhov no yog qhov tsim nyog thiaj li ua rau cov hlwb puas ntawm pancreas pib rov qab los. Txhawm rau kom lub cev tau txais cov vitamins thiab cov zaub mov tsim nyog, tus neeg mob tau muab tso rau hauv cov hlab ntsha.
Rau kev saib xyuas tsis tu ncua ntawm hemodynamic tsis thiab, yog tias tsim nyog, kho sai sai ntawm cov teeb meem, tus neeg mob tau muab tso rau hauv chav saib xyuas hnyav. Hauv kev mob pancreatitis hauv cov menyuam yaus, tsuas yog kws kho mob plab tuaj yeem sau tshuaj kho thiab siv tshuaj, vim qee zaummuaj ib tug neeg intolerance rau lub Cheebtsam. Thiab nyob rau hauv cov ntaub ntawv no, cov kev phiv thiab cov tsos mob ntawm concomitant kab mob yuav tshwm sim.
Yog tias tus neeg mob muaj daim ntawv hnyav lossis txawm tias qib siab, tus kws kho mob tuaj yeem txiav txim siab txog kev phais mob sai. Thaum lub sijhawm ua haujlwm, txoj kev laparoscopy feem ntau yog siv, ua raws li kev teeb tsa ntawm cov kav dej, uas yog qhov tsim nyog kom ntws cov kua dej lossis ntshav. Raws li txoj cai, cov raj xa dej raug tshem tawm hauv ib lub sijhawm ntawm ib mus rau xya hnub. Nws tag nrho yog nyob ntawm cov kua dej ntws tawm, tab sis muaj qee lub sij hawm thaum cov raj xa dej raug tshem tawm tam sim tom qab ua haujlwm.
Tom qab ua haujlwm, tus neeg mob yuav tsum tau muab cov tshuaj uas thaiv cov txheej txheem inflammatory, feem ntau yog tshuaj tua kab mob. Cov kws kho mob kuj tuaj yeem sau tshuaj kho lub cev qhuav dej raws li xav tau. Qhov no yog ib txoj kev uas cov dej ntau dhau raug tshem tawm ntawm lub cev los ntawm kev noj tshuaj. Cov tshuaj diuretic feem ntau siv.
Yuav siv dab tsi?
Txhawm rau kom rov zoo sai, tus neeg mob tau sau ib chav kawm hloov kho nrog kev npaj enzyme, uas yog tsim los rau kev kho mob ntev. Tsis tas li ntawd, tus kws kho mob yuav sau ntawv (raws li ib qho ntxiv) cov tshuaj hauv qab no:
Hormones
Thaum muaj mob, tshwj xeeb tshaj yog nyob rau thawj hnub ntawm kev kho mob, tus menyuam tau txais cov tshuaj uas tshem tawm qhov mob thiab spasms. RauQhov no yog qhov zoo tshaj plaws rau cov tshuaj no rau mob pancreatitis xws li tshuaj tua kab mob thiab tshuaj tua kab mob:
- "No-shpa";
- "Baralgin";
- "Promedol".
Feem ntau, nrog mob pancreatitis, muaj kev sib txuas ntawm cov enzymes ntau ntxiv, rau lawv txoj kev sib haum xeeb, cov menyuam yaus tau muab cov tshuaj hauv qab no:
- "Famotidine";
- "Pirenzepine";
- "Ranitidine".
Antacids kuj yog ib feem tseem ceeb ntawm kev kho mob - tshuaj rau mob pancreatitis uas pab txo qis hydrochloric acid. Cov nyiaj no suav nrog: "Almagel", "Malux" thiab lwm yam.
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Khoom noj khoom haus rau mob pancreatitis
Cov lus nug ntawm yuav noj dab tsi nrog tus mob pancreatitis hauv tus menyuam txhawj xeeb ntau tus niam txiv. Tom qab tag nrho, xaiv cov khoom noj kom zoo yuav ua kom lub cev muaj mob sai sai.
Nyob rau hauv mob pancreatitis, tus txiav yuav tsum tau noj tshwj xeeb. Cov kws kho mob qhia kom ci zaub mov hauv qhov cub lossis steaming. Txwv tsis pubnoj nqaij npuas, nws muaj roj ntau, yog li nws yog qhov zoo dua los hloov nws nrog ziab, tab sis tsis muaj tsawg cua nqaij: nqaij nyug, nqaij nyuj, nqaij qaib, qaib ntxhw lossis luav. Ntses yog qhov zoo tshaj plaws los ntawm steamed los yog boiled. Thaum xaiv ntses, koj yuav tsum tau them sai sai rau cov roj tsawg, piv txwv li: pike perch, bream, cod, pike, saffron cod lossis carp. Thaum xaiv cov khoom noj siv mis, nws yog qhov zoo dua los xaiv cov kev xaiv uas tsis yog acidic: kefir, yogurt, tsev cheese, acidophilus. Cheese yog qhov zoo dua los xaiv hom me me, piv txwv li, Dutch lossis Yaroslavl. Butter lossis zaub roj yog qhov zoo tshaj plaws ntxiv rau cov zaub mov npaj tau, vim tsuas yog hauv txoj kev no koj tuaj yeem tau txais txiaj ntsig siab tshaj plaws los ntawm lawv. Tsis tas li ntawd, ntau hom cereals yuav muaj txiaj ntsig, tshwj xeeb tshaj yog oatmeal thiab buckwheat nyob rau hauv daim ntawv ntawm pureed cereals, thiab koj tuaj yeem noj pasta thiab noodles.
Cov zaub uas muaj kab mob xws li mob pancreatitis hauv tus menyuam hnub nyoog 2 xyoos thiab laus dua yog cov av zoo tshaj plaws thiab ua rau boil. Yuav luag txhua yam yog haum rau zaub: carrots, taub dag, qos yaj ywm, zucchini, zaub qhwv, beets, lawv tsuas yog yuav pab tau koj lub cev. Lub khob cij tsuas yog siv dawb, nyiam dua qhuav, lossis crackers. Cov kua zaub nrog ib qho ntawm cov cereals saum toj no kuj tseem muaj txiaj ntsig zoo, tib yam uas tsis pom zoo yog ua kua zaub nrog zaub qhwv thiab cov txuj lom kub.
Tsis tas li, koj tuaj yeem noj cov txiv hmab txiv ntoo uas tsis yog acidic, txiv apples yog tev zoo tshaj plaws, thiab txoj hauv kev zoo tshaj plaws los npaj cov txiv hmab txiv ntoo yog ci lossis mashing. Koj tuaj yeem noj txiv hmab txiv ntoo qhuav, npaj compotes, jellies thiab kua txiv hmab txiv ntoo uas tsis muaj kua qaub.
rau koj tus kheej zooNws yog qhov zoo tshaj kom tsis txhob suav nrog cov khoom noj: nqaij rog, dumplings, dumplings, smoked nqaij, sausages thiab ntsim cheeses. Xws li nws yog qhov zoo dua los tsis kam siv: nqaij qaib, nqaij, nceb broths, fatty qaub cream, qe, nqaij npuas thiab yaj rog, legumes, dawb cabbage, radishes thiab sorrel. Cov kua txiv acidic thiab txiv hmab txiv ntoo, khoom qab zib, pickles, marinades, txuj lom, kua txob thiab ntsim seasonings kuj yuav muaj qhov tsis zoo. Txwv tsis pub noj zaub mov ceev ceev.
Tau kawg, ntau yam khoom qab zib yog txwv tsis pub noj, tab sis ntau yam zaub mov txawv tso cai rau koj ua noj tiag tiag ntawm lub ntiaj teb ua noj los ntawm cov khoom tso cai. Thiab noj qab nyob zoo noj yuav pab tsis tau tsuas yog lub txiav, tab sis lub cev tag nrho. Raws li koj tuaj yeem pom, kev noj zaub mov hauv tus mob pancreatitis hauv tus menyuam hnub nyoog 10 xyoo (thiab tsis yog xwb) muaj ntau haiv neeg. Tom qab tag nrho, ntau lub tais tuaj yeem npaj los ntawm cov khoom lag luam nthuav tawm.
Tiv thaiv kab mob pancreatitis
Thaum kuaj pom cholecystitis thiab cholelithiasis, tsis muaj qhov xwm txheej yuav tsum tau tso tseg. Nws yog qhov tseeb tias cov kab mob no tuaj yeem dhau los ua qhov pib ntawm pancreatitis. Sim zam qhov xwm txheej ntxhov siab. Saib xyuas koj tus menyuam cov zaub mov noj, tsis txhob cia nws overeat. Sim muab rau koj tus menyuam tsis txias heev, tab sis tsis yog zaub mov kub, nws yuav tsum yog qhov kub nruab nrab. Ua kom me me, tab sis pub ntau zaus, qhov kev xaiv zoo tshaj plaws yog rau pluas noj ib hnub. Kuj piav qhia rau koj tus menyuam tias zaub mov yuav tsum tau chew zoo, ces nws yuav yooj yim dua rau lub plab zom nws. Ntxiv cov zaub mov rau koj nojib tug loj tus naj npawb ntawm cov vitamins: A, C, B1, B2, B12, PP thiab K. Nws tseem yog ib qho tseem ceeb rau kev ua si lub cev, qoj ib ce, ua si ua si. Kev ua lub cev ua kom cov metabolism sai thiab cov txheej txheem ntawm kev zom zaub mov.
Tus mob pancreatitis yog ib yam kab mob loj uas yuav tsum tau kho mob hnyav thiab ntev, thiab qee zaus txawm tias phais. Thaum thawj cov tsos mob, tsis txhob ncua, tab sis tam sim ntawd nrhiav kev pab los ntawm kws kho mob. Hauv cov theem siab, mob pancreatitis yog kho tsis tau. Hauv cov xwm txheej nyuaj tshwj xeeb, txawm tias muaj kev tuag.
Sim saib xyuas koj tus menyuam. Tsis txhob muab rau nws vim li cas rau kev ntxhov siab, mus rau hauv kev ua kis las. Sim ua kom nws zoo rau kev noj zaub mov kom zoo thiab kev noj qab nyob zoo. Txaus siab, hlub thiab tiv thaiv koj cov menyuam, vim lawv yog cov khoom muaj nqis tshaj peb.
