Tib neeg kev noj qab haus huv nyob ncaj qha ntawm kev zom zaub mov. Txhua qhov sib txawv ua rau muaj kev hloov pauv hauv kev ua haujlwm ntawm lub cev. Lub pancreas yog lub luag haujlwm rau lub xeev ntawm endocrine system. Pancreatitis tshwm sim thaum lub txiav ua haujlwm tsis zoo. Dab tsi yog parenchymal chronic pancreatitis thiab yuav kho li cas?
Tus kab mob pancreatitis yog dab tsi?
Thaum daim ntawv parenchymal ntawm pancreatitis yog kev puas tsuaj ntawm tus txiav. Tus kab mob pathological cuam tshuam rau cov ntaub so ntswg pancreatic, nws txoj haujlwm raug cuam tshuam. Yog tias tsis kho, tus kab mob ua rau txo qis hauv kev ua haujlwm ntawm lub cev.
Nrog kev txhim kho qeeb ntawm parenchymal mob pancreatitis, cov tsos mob yuav tsis tuaj. Vim li no, kev kuaj mob tsis tau ua tam sim ntawd, uas ua rau atrophy ntawm pancreatic ntaub so ntswg. Raudaim ntawv ntev yog tus yam ntxwv los ntawm kev hloov pauv ntawm qhov mob hnyav thiab kev zam txim.
YTim mob pancreatitis
Tus kab mob pancreatitis tau muab faib ua ob peb hom, nyob ntawm seb tus kab mob. Txhua daim ntawv yog txaus ntshai rau tib neeg thiab yuav tsum tau kho raws sijhawm.
Tus kab mob parenchymal biliary-dependent pancreatitis tshwm sim ntev. Nws yog raws li ib tug congenital kab mob ntawm lub biliary ib ntsuj av. Ib tug neeg kho cov kab mob cuam tshuam. Thaum mob tshwm sim, nws tsis tuaj yeem mus rau tus kws kho mob tam sim ntawd, yog li mob pancreatitis tshwm sim. Tus kab mob no tuaj yeem ua rau mob ntshav qab zib thiab malignant neoplasms ntawm caj pas.
Parenchymal rov tshwm sim ntawm tus mob pancreatitis yog txiav txim siab los ntawm kev hloov pauv tas li ntawm lub sijhawm nyob ntsiag to thiab exacerbation. Nws yooj yim rau kev kuaj mob, tab sis ua rau tus neeg mob tshem tawm tas li.
Cov txheej txheem Fibrous pancreatic yog theem tom ntej ntawm kev kho mob pancreatitis. Kev kuaj mob tsuas yog kuaj ultrasound ntawm tus neeg mob parenchyma.
Ua rau kab mob
Cov kab mob biliary parenchymal pancreatitis tshwm sim tom qab comorbidities:
- mob pancreatitis;
- cholecystitis;
- plab plab;
- kab mob siab;
- pob zeb pob zeb;
- kab mob ntawm lub gallbladder thiab nws tshem tawm.
Ntxiv rau cov kab mob, mob pancreatitis tshwm sim tawm tsam keeb kwm ntawm cov hauv qab no:
- dej cawv;
- tsis txaus siab biliary patencytxoj kev;
- tshuaj lom los yog tshuaj;
- nrog kev tsis lees paub ntawm pancreatic hlwb vim muaj kev ua haujlwm tsis zoo hauv lub cev tiv thaiv kab mob;
- kis kab mob uas tau nkag mus rau pancreas;
- metabolic disorder.
Qhov no tuaj yeem ua rau pom tus kab mob pancreatitis ntev, tab sis qee zaum nws tsis tuaj yeem tshawb pom qhov ua rau tus kab mob.
Kev ua neej nyob thiab ib puag ncig cuam tshuam qhov tshwm sim ntawm tus kab mob. Kev tsim txom ntau cov khoom qab ntsev, haus luam yeeb thiab kib ua rau muaj kev pheej hmoo ntawm tus kab mob. Ib puag ncig tsis zoo cuam tshuam rau kev ua haujlwm ntawm lub txiav. Txo kev tiv thaiv kab mob, noj khoom txom ncauj thaum khiav, kis kab mob helminths tuaj yeem ua lub zog rau kev loj hlob ntawm parenchymal pancreatitis.
Cov tsos mob
Tus kab mob parenchymal pancreatitis yog qhov nyuaj heev rau kev kuaj mob. Cov tsos mob yuav tsis tshwm sim ntev. Tab sis thaum lub sij hawm exacerbation, tus neeg mob ceeb toom hloov nyob rau hauv nws tus mob. Cov tsos mob feem ntau ntawm tus kab mob yog:
- mob plab;
- xav qaug zog;
- plab hnyuv;
- pom cov pob liab liab hauv plab;
- poob phaus sai;
- kev txhim kho ntshav qab zib;
- daim tawv nqaij daj.
Cov tsos mob zoo ib yam li ntau yam kab mob. Mob hauv plab nrog pancreatitis tshwm sim tsuas yog tom qab noj mov, tawg hauv qhov xwm txheej thiab nyob rau sab laug sab hauv qab tav. MobUa rau hnyav dua tom qab noj zaub mov muaj roj, dej cawv thiab noj ntau dhau.
qaug zog yog nrog los ntawm kev xav pw tsis tu ncua. Kev nco qab tshwm sim, tus neeg tsis tuaj yeem mloog zoo.
Kev tshaib plab yog qhov tshwm sim los ntawm kev hloov hauv cov quav, tsam plab, xeev siab. Cov zaub mov uas tsis tau muab tso rau hauv cov quav.
Yog tias cov tsos mob rov zoo dua tom qab lub sijhawm, qhov no qhia tau tias tus kab mob tau dhau mus rau theem ntev.
Diagnosis
Tus kws kho mob yuav kuaj ua ntej raws li tus neeg mob qhov kev tsis txaus siab. Txhawm rau kom paub meej tias mob pancreatitis ntev ntawm daim ntawv parenchymal, kev kuaj hauv qab no yog qhov tsim nyog:
- Ultrasound txiav txim siab qib ntawm deformation ntawm pancreas. Nws tuaj yeem nce, txo lossis hloov cov duab. Thaum lub caj pas mob, nws yuav denser thiab thiaj li txo qhov loj.
- suav ntshav kom tiav. Nws feem ntau pom tias muaj kev nce hauv siab enzymes. Hauv daim ntawv mob hnyav, ESR thiab cov ntsiab lus ntawm leukocytes yuav nce.
- kuaj ntshav biochemical. Hauv kev mob pancreatitis ntev, cov ntshav qab zib nce siab, dhau qhov ntsuas.
- Angiography nthuav tawm lub patency ntawm pancreas thiab nws cov kev hloov hauv cov qauv.
Kev kho mob
Tom qab kuaj pom tus mob pancreatitis ntev, tus kws kho mob yuav xaiv txoj kev kho mob nyob ntawm tus neeg mob tus mob. Thaum kho, nws yuav tsum raug coj mus rau hauv tus account tias mob pancreatitis tsis dhau yam tsis muaj kab. Nws yog tsis yooj yim sua kom rov qab pancreas rau nws qhov qub. Tab sis nws muaj peev xwm txo tau tus kab mob thiab txhim kho lub neej zoo.
Thaum mob hnyav, tus neeg mob yuav tsum haus dej ntxhia xwb ob hnub, tsis kam noj. Nws raug tso cai siv txias compresses rau sab laug hypochondrium.
Kev kho mob feem ntau ua hauv tsev kho mob. Txhawm rau txo qhov mob, Diclofenac, Ketorol, No-shpu yog siv. Tom qab noj cov tshuaj antispasmodics thiab analgesics, nws yog ib qho tsim nyog los txo qhov o ntawm pancreas, tshem tawm intoxication thiab suppress nws cov dej num.
Hauv tsev kho mob, cov tshuaj tee nrog cov kua qabzib tau muab tshuaj. Nyob ntawm seb puas yuav tsum tau muaj cov enzymes ntxiv los yog tsis, cov tshuaj raug coj los ua kom cov zais zis ntau ntxiv lossis txo nws.
txhais tau hais tias pab rov qab ua haujlwm pancreatic yog tus kws kho mob sau. Feem ntau nws yog Methyluracil lossis Cobamamide.
Kev phais yuav tsum tau muaj nyob rau qee kis. Yog tias qhov kev kho mob tsis pab, thiab tus neeg mob qhov mob hnyav zuj zus, tom qab ntawd kev ua haujlwm yog ua kom cov kab mob pancreatic dawb.
kev kho neeg zoo
Cov tshuaj pej xeem tuaj yeem siv los kho tus mob pancreatitis ntev. Exacerbation yog contraindications. Thaum xaiv ib qho twg, kev txais tos yog pib nrog me me, maj mam nce mus rau qhov qauv. Yog tias, thaum siv tshuaj kho pej xeem, tsis xis nyob lossis mob tshwm sim, ces kev txais tos yuav tsum tau nres.
Cov zaub mov txawv, uas suav nrog tshuaj ntsuab, yuav tsum tsis txhob nce acidity ntawm lub plab. Txhim kho kev tiv thaiv kab mob ntawm lub cevpab tiv thaiv kab mob. Tshuaj ntsuab rau decoctions yuav tsum tau yuav ntawm lub tsev muag tshuaj los yog sau los ntawm nws tus kheej.
Ib txoj hauv kev nrov tshaj plaws hauv kev kho mob ntawm cov kab mob plab yog oatmeal. Nws muaj suab tsis muaj contraindications, thiab koj tuaj yeem haus nws txhua lub hnub nyoog. Ib khob ntawm oats yuav tsum tau nchuav nrog dej txias thiab boiled. Cov nplaum nplaum uas tshwm sim thaum ua noj yuav haus cawv ua ntej noj mov hauv ib nrab khob.
Decoction ntawm chamomile, St. John's wort thiab qus sawv yog noj 30 feeb ua ntej noj mov. Tag nrho cov khoom xyaw yog poured nrog boiling dej, boil rau 5 feeb thiab sab laug rau infuse kom txog thaum txias tag. Txhua tsob nroj tuaj yeem muab sib cais.
Cov kua txiv qos yog siv txhua hnub ua ntej noj mov. Koj yuav tsum ua noj tshiab txhua lub sijhawm.
Cov tshuaj kho neeg pej xeem tuaj yeem ua rau muaj kev fab tshuaj. Yog khaus lossis tsis xis nyob, lawv yuav tsum txiav tawm.
Kev Noj Qab Haus Huv
Kev noj zaub mov rau tus mob parenchymal pancreatitis tau raug tshuaj nruj. Daim ntawv naj npawb 5 raug pom zoo. Yog tias muaj kev mob hnyav, ua kom tiav kev yoo mov yog pom zoo rau ob hnub. Ntawm peb, ib qho me me ntawm cov zaub mov tsis muaj ntsev yog qhia. Cov zaub mov tso cai thaum muaj mob:
- khob cij stale, nyiam qhob cij qhuav;
- -nqaij qaib, nqaij nyuj, nqaij nyug;
- boiled protein los yog steamed omelet;
- zaub mov hauv zaub broth nrog cereals;
- steamed zaub;
- fermented mis nyuj khoom;
- fruit;
- decoctions;
- jelly.
Cov khoom ntawdYuav tsum tsis txhob siv rau hauv tus mob parenchymal pancreatitis:
- cawv nyob rau ib qho twg;
- coffee;
- tshuaj yej, cocoa;
- khoom haus luam yeeb;
- nqaij qaib broth;
- nqaij thiab ntses;
- qaib yolk;
- fried and s alty foods;
- marinades;
- dej qab zib;
- khob cij tshiab thiab ci khoom.
Cov ntsiab lus ntawm kev noj zaub mov hauv pancreatitis
Khoom noj khoom haus rau tus mob parenchymal pancreatitis nrog exocrine insufficiency yuav tsum ua raws li cov hauv paus ntsiab lus ntawm kev noj zaub mov kom raug:
- feem ntau noj tsawg kawg 5-6 zaug hauv ib hnub;
- feem tsawg;
- ua kom haus dej haus, haus tsawg kawg 1.5 litres dej ib hnub;
- zaub mov yuav tsum sov, tsis txhob kub lossis txias tais;
- prefer mashed lauj kaub;
- tsis suav kib thiab haus luam yeeb, marinades thiab pickles;
- ua mov hauv qhov cub lossis dej npau;
- txo ntsev;
- noj cov protein kom txaus, txo cov rog thiab carbohydrates;
- muab zaub ntsim.
Khoom noj yuav tsum saturate lub cev nrog cov vitamins thiab minerals. Thaum lub sij hawm tshem tawm, koj tuaj yeem noj cov tais diav uas tsis yog mashed, tab sis koj tsis tuaj yeem noj cov zaub mov uas txwv tsis pub.
Kev mob tom qab mob
Tus kab mob parenchymal pancreatitis yuav tsum tau txheeb xyuas sai li sai tau. Ntev ntev ua rau muaj teeb meem ntau yam. Pathology tshwm sim los ntawm pancreatitis:
- cov qog nqaij hlav hauv lub txiav;
- mob ntshav qab zib mellitus;
- gastritis thiab peptic ulcer;
- pob zeb pob zeb;
- sepsis;
- oncology;
- pleurisy;
- colitis.
Nws yuav luag tsis pom muaj kab mob hauv kev zam txim, vim tsis muaj cov tsos mob tseem ceeb. Yog li ntawd, ntawm thawj cov tsos mob ntawm tus kab mob, nws yog ib qho tsim nyog yuav tsum tau mus kuaj thiab sau tshuaj kho kom raug.
tiv thaiv kab mob
Txhawm rau tiv thaiv tus kab mob, koj yuav tsum ua raws li cov cai yooj yim ntawm kev noj qab haus huv. Noj ntau yam khoom noj thiab zam cov zaub mov tsis zoo. Tsis txhob haus cawv thiab haus luam yeeb. Yog tias kuaj pom muaj kab mob sib kis, raug kho raws sijhawm. Kev ua si lub cev thiab huab cua ntshiab ua lub luag haujlwm tseem ceeb hauv kev tiv thaiv tus kab mob no. Saib xyuas lub xeev ntawm lub paj hlwb thiab tshem tawm cov kev ntxhov siab.
Thaum mob tshwm sim, koj yuav tsum mus ntsib kws kho mob kom kuaj mob. Thaum kho, koj yuav tsum ua raws li cov lus pom zoo ntawm tus kws kho mob tshwj xeeb kom txo qis kev pheej hmoo ntawm kev mob tshwm sim tom qab pancreatitis.
