Kev noj haus rau diffuse pancreatic hloov > Mob ntshav qab zib muaj teeb meem

Kev piav qhia cuam tshuam rau 19.03.2018

Efficiency: kho cov nyhuv tom qab 14-21 hnub
Cov Hnub: 1-6 lub hlis / tas mus li
Tus nqi khoom: 1600-1700 rub. ib lis piam

Cov kev cai dav dav

Diffuse hloov hauv qhov txiav (txiav) pom los ntawm ultrasound thiab sawv cev rau kev hloov ntawm cov qauv ntawm cov nqaij hauv lub cev. Lub xub ntiag ntawm qhov kev hloov pauv txawv / lawv hom txhais tau tias muaj cov kabmob lossis kev hloov pauv hnub nyoog ntawm kev txiav. Nquag, lub qog caj pas tau cov qauv hauv tsev. Thaum muaj cov txheej txheem ua mob, cov nqaij yuav ua mob, undergoes fibrous / fatty degeneration, thiab thaj chaw ntawm calcifications thiab petrificates yog tsim hauv nws. Echo cov cim qhia ntawm kev hloov pauv txawv ntawm daim tawv nqaij pancreatic muaj xws li: nce / txo qis echogenicity (duab yog qhov sib dua / tsaus dua), nce echogenicity nrog hyperechoic foci, tsis muaj contours, nthuav dav / txo ntawm qhov loj me ntawm lub txiav tawm tsam fibrosis.

Cov qauv tseem ceeb ntawm cov kev hloov pauv txawv ntawm cov txiav ua qab:

Pob Tsuas Lis (rog ua lub ntsej muag tsis muaj roj), uas cov nqaij hlav tawv (parecreatocytes) tau hloov los ntawm cov nqaij mos adipose (adipocytes). Muaj ntau dua rau cov neeg laus thiab cov neeg laus nrog mob ntshav qab zib.
Fibrosis - diffuse hloov lub prostate nqaij nrog kev sib txuas.

Diffuse hloov tuaj yeem hais tau thiab hais txog theem nrab. Cov kev hloov pauv ntawm cov nqaij hlav me me yog cov xeeb ceem ntawm cov theem pib ntawm txoj kev ua fibrosis / lipomatosis, uas cov enzyme deficiency tsis tau pom. Muaj kev yws yws nrog kev tsis txaus siab ntawm xeev siab tom qab noj mov, tsis xis nyob, mob raws caij nyoog hauv thaj av epigastric, ntu quav tsis xis nyob. Ntawm ultrasound qhia tsis sib xws echo ntom ntom ntawm qhov txiav, (ua ke ntawm thaj chaw nce thiab txo qis). Lub hauv paus tseem ceeb ntawm kev hloov pauv nruab nrab yog pancreatitis mob me / edema ntawm tus txiav. Txhawm rau tiv thaiv qhov ua tau zoo ntawm kev hloov pauv, kev noj zaub mov nrog cov qauv kev txuag txhawm rau kho yog yam tshuaj.

Tshaj tawm cov kev hloov pauv tau pom nyob hauv ntau yam kev mob ntau dua (feem ntau mob ntsig txog kev ua haujlwm) ntawm lub cev, tshwm sim nrog enzymatic tsis muaj peev xwm thiab muaj nrog kev zom plab, cov protein tsis txaus, poob phaus, thiab kev cuam tshuam dav dav. Txawv hloov pauv, raws li txoj cai, yog tsis thim rov qab. Txoj kev kho, ntxiv rau txoj kev kho kom zoo, suav nrog kev kho kom hloov cov enzyme.

Nws yog feem ntau lees txais tias diffuse hloov yog qhov pom ntawm qhov muaj cov kab mob ntawm lub caj pas (mob ua paug / mob ntsig ua leeg). Ultrasound qhia tawm qhov txawv txav / thaj chaw nce ntawm qhov loj me ntawm lub cev, nws muaj qhov tsis meej tsis sib xws, txo chogenicity vim qhov kev txhim kho ntawm kev hais tawm, qhov tawm ntawm cov ntaub so ntswg yog qhov txawv vim qhov tshwm sim ntawm thaj chaw hypoechoic, uas yog thaj chaw ntawm necrosis, muaj ib qho kev nthuav dav ntawm cov hlab ntsws ua pa, nyob rau qee kis. Hauv cov neeg mob laus, cov kev hloov pauv tuaj yeem yog qhov cim ntawm kev muaj hnub nyoog hloov ntawm cov qog ua qog li qub nrog cov roj sib xyaw nrog cov nqaij sib txuas.

Kev noj haus nrog rau kev hloov pauv ntawm qhov txiav ua ke yog qhov tseem ceeb rau kev kho mob hauv txhua lub sijhawm ntawm ntau cov kab mob pancreatic. Clinical khoom noj khoom haus yog ua raws li qhov qub Cov pluas noj №5P thiab tso cai rau koj los txo qis stasis nyob rau hauv cov ducts, txwv hyperfermentation nyob rau hauv lub sij hawm mob thiab txhim kho metabolic kev nyob rau hauv lub txiav, rov qab nws txoj haujlwm nyob rau hauv daim ntawv ntev. Hauv cov qauv mob, cov hom phiaj tseem ceeb ntawm kev kho kev noj haus yog: txwv tsis pub tsim cov kua txiv kom ua kua txiv kab ntxwv, uas ua tiav los ntawm kev tshaib plab thiab nruj txaj.

Lub sijhawm thaum ntxov, tus neeg mob tau qhia tsuas yog haus: rosehip tshuaj yej, tshuaj yej tsis muaj zog, dej ntxhia dej (Borjomi, Essentuki No. 17), rhaub dej hauv chav kub hauv qhov me me. Kev tshaib plab, raws li txoj cai, nyob ntawm seb tus mob ntawm tus neeg mob yog tshuaj rau 1-3 hnub. Ntxiv mus, nthuav dav ntawm cov khoom noj pib nrog kev maj mam ua tiav ntawm cov khoom lag luam tshiab, qhov nce ntawm qhov ntim ntawm cov zaub mov thiab nws cov calorie cov ntsiab lus nrog kev ceev faj ntawm cov tshuab / tshuaj sparing ntawm lub caj pas.

5P kev noj haus Nws muaj ob txoj kev xaiv: thawj qhov kev xaiv yog tshuaj tom qab lub sij hawm tshaib plab nrog mob pancreatitis los yog mob hnyav dhau ntawm mob ntev. Qhov kev xaiv noj zaub mov no tshem tawm qhov mob thiab muaj qhov siab tshaj plaws rau kev thov ua kom tiav. Khoom noj khoom haus nyob rau lub sijhawm no tsis tshua muaj calorie, tsis sib thooj rau kev ua haujlwm ntawm lub cev (80 g ntawm cov protein, 40-60 g ntawm cov rog thiab 200 g ntawm carbohydrates, calories nyob rau theem ntawm 1500-1600 kcal / hnub) thiab tuaj yeem kho rau lub sijhawm tsis ntau tshaj 4-6 hnub. Noj mov li 6 zaug hauv ib hnub, hauv seem me me (txog 100 g).

Tus nqi ntawm cov kua ua kom dawb yog li 1.5-2.0 l, sodium chloride yog 8-10 g. Kev faib ua kua yuav tsum muaj cov khoom ntim dej ib nrab thiab tsuas yog 6-7 hnub tau tso cai kom qhia txog cov tais diav semi. Pancreatic secretion yog qhov tsawg tshaj tawm los ntawm cov zaub mov carbohydrate, uas yog vim li cas lawv suav nrog kev noj zaub mov tom qab kev tshaib plab - kua zaub zom zom, zaub ua kom qab, zaub kua qab tsis qab, cov kua cij dawb / kib zom, cov txiv hmab txiv ntoo uas tsis muaj roj, qab zib qaug zog nrog qab zib, kua txiv kua txiv nrog kua xylitol. Los ntawm 2-3 hnub, cov zaub mov muaj protein ntau tau qhia rau hauv kev noj haus: chav omelet los ntawm nqaij qaib qe, muab tshuaj txhuam curd, cereals hauv kua mis yaj, kua zaub qab los ntawm cov nqaij hau, nqaij souffle / nqaij ntses, ncu txiav ntawm qaib cov txwv, nqaij qaib, butter.

Nrog kev txhim kho ntawm cov zom zaub mov thiab txo qhov mob, qhov kev xaiv thib ob yog tau sau tseg, uas yog lub cev kev noj qab haus huv (100-120 g ntawm cov protein, 70 g ntawm cov rog thiab 350 g ntawm carbohydrates) uas tus neeg mob nrog tshaj tawm hais txog kev hloov pauv hauv lub txiav yuav tsum siv sijhawm ntev (6-12 lub hlis) ) Cov zaub mov tau siav hauv daim ntawv rhaub / ncu, cov tais diav tau so, thiab tom qab ntawd - tsuas yog txho. Khoom noj muaj feem, feem me me. Yog tias kev zom zaub mov tsis txaus ntawm cov protein, cov ntsiab lus protein raug txo qis ib ntus, thaum cov ntsiab lus carbohydrate yog nce. Cov tshuaj rho tawm / fiber ntau (ntses nceb, nqaij thiab pob txha nqaij, haus cawv muaj cawv, mov kib, zaub / txiv hmab txiv ntoo) tsis suav nrog. Ntsev - txog 6 g. Nws tau qhia tias cov khoom noj uas thaiv cov tshuaj tiv thaiv proteolytic muaj nyob hauv cov khoom noj: qe dawb, qos yaj ywm, oatmeal, taum pauv.

Thaum lub sijhawm hloov kho, daim ntawv teev cov khoom lag luam nthuav dav, zaub tau suav nrog hauv daim ntawv nyoos, raws li cov tais diav ywj pheej, ntxiv rau hauv cov khoom xyaw vinaigrettes, zaub nyoos, sab lauj kaub tais diav. Kua zaub yog siav tsis siav, txhawm rau txhim kho qhov saj, siv cov kua ntsw uas npaj rau nws tus kheej. Hauv kev tshem tawm theem, nws yog ib qho tsim nyog yuav tsum tau coj cov dej ntxhia ntawm cov nruab nrab mineralization nrog chav kawm ntawm 3 lub lis piam. Hauv kev mob caj dab ntev, kev noj haus tau khaws cia rau lub neej.

Kev noj zaub mov nrog cov kev hloov pauv txawv ntawm kab mob yauv tawm kuj muab hnub yoo mov ib hnub ib zaug ntawm cov khoom uas tsis sib kis (oat, tsev cheese, tsev cheese, txiv hmab txiv ntoo, kua txiv kua txiv, dib liab, taub dag). Txhawm rau tshem tawm cov plab zom mov, cov neeg mob tau sau tseg CreonCov. Hauv cov txheej txheem kev kho mob, koj tuaj yeem suav nrog kev kho ntawm pej xeem (haus dej los ntawm chicory, ib qho decoction los ntawm burdock, haus los ntawm oats). Nrog ua ke pathology (cholecystopancreatitis, mob plab, mob hnyuv) kev noj zaub mov kom raug kho kom haum raws li kev noj zaub mov noj rau ib qho kab mob tshwj xeeb.

Cov Khoom Uas Tso Cai

Kev noj haus rau cov kev hloov pauv ntawm daim nyias nyias muaj xws li:

Kua zaub on zaub broth nrog grated thiab zoo-boiled pub cereals, seasoned nrog butter, qaub cream, cream.
Cov pob kws (buckwheat, semolina, oatmeal, mov) siav rau ntawm dej thiab coj mus rau hauv pem teb nrog khov khov.
Lub taub hau ci / npog zom, carrots, qos yaj ywm, taub dag, zaub paj dawb, ntsuab taum, beets. Tom qab - raw carrots / taub thiab grated cucumbers, tev txiv lws suav.
Cov ntses muaj roj tsawg (carp, pike perch, hake, cod, perch, pike, pollock), faus / hau rau hauv ib thooj lossis hauv daim ntawv ntawm cutlets.
Tawv liab nqaij (nqaij nyuj, nqaij), nqaij luav, nqaij qaib hauv daim ntawv ntawm cov khoom txhoov (nqaij pob kws, nqaij pob kws, nqaij ntses, nqaij xyaw nqaij), ua noj. Hau qaib / luav yuav ua tau siav hauv tej daim.
Qaub-mis cov khoom lag luam ntawm cov roj tsawg cov ntsiab lus. Mis nyuj tsuas yog txwv tsis pub muab ntxiv rau cov tais diav. Qaub cream - raws li lub seasoning rau cov tais diav, me me cheese hauv daim ntawv grated.
Protein omelets (1 qe hauv ib hnub).
Ncuav nplej ncuav, ncuav qab zib biscuit.
Cov kua ntses hauv tsev sau rau ntawm cov nqaij zaub nrog ntxiv cov qaub cream / mis nyuj.
Txiv hmab txiv ntoo - nyob rau hauv lub sij hawm mob, ci qab txiv apples. Dried txiv ntoo. Tom qab - jelly, mousse, khaub noom. Hauv qhov kev zam txim theem, txwv tsis pub cov txiv ntoo / cov txiv cev sib xyaw ua ke hauv cov foos.
Tom qab exacerbation, cov rog siv tau ua tib zoo saib, ua ntej - butter, thiab tom qab ntawd - ua kom zoo zoo sunflower.

Dab tsi yog diffuse pancreatic hloov thiab lawv cov paib

Cov tshuaj txhais qhov no tsis yog kab mob, tab sis qhov tseeb pom ntawm ib qho kev thaij duab hluav taws xob. Ua dej hiav txwv rau tib neeg nyob qhov twg? Nws yog nyob tom qab lub plab ntawm sab nram qab phab ntsa ntawm lub plab kab noj hniav, ib feem ntawm sab laug hypochondrium. Lub cev ua ib qho kev ua haujlwm exocrine thiab synthesizes cov tshuaj hormones. Diffuse cov kev hloov hauv lub qog tau pom los ntawm kev poob qis lossis nce hauv echogenicity - qhov taw qhia ntawm kev xav txog ultrasound ntawm qee yam khoom hauv lub cev. Hauv cov theem thaum ntxov, hauv qab no raug kuaj pom:

diffuse heterogeneous qauv
sis tsis ncaj hau
tortuosity ntawm lub ducts.

Txawv lub cev hloov pauv ntawm kev tiv thaiv kab mob pancreatic

Lub cev pov tseg cov ntaub so ntswg yog tuaj yeem hloov los ntawm qhov nti, roj ntsha tsis zoo. Parenchyma - txheej txheej ntawm cov haujlwm ua haujlwm ntawm lub caj pas, hloov pauv uas cuam tshuam nws ntom. Niam txiv muaj peev xwm hloov mus rau hauv cov teeb meem menyuam yaus. Qhov ua rau ntawm tus kab mob hu ua pancreatic yog nyob hauv kev cog lus ntawm cov khoom nruab nrog. Nrog xws li lub suab ncha, nws txoj haujlwm ua txhaum. Diffuse pathology yog provoked los ntawm:

ua tib zoo noj zaub mov
yees rau qab ntsev, ntsim, roj,
cwj pwm tsis zoo
kev nyuaj siab, kev ntshaus siab,
muaj hnub nyoog
kab mob ntev.

Kev hloov sib txuam sib xyaw

Feem ntau, xws li pathology tsis ua rau muaj kev mob tsis txaus ntseeg, nws tsis xav tau kev kho mob. Nws yog qhov kev faib khoom yam tsis hloov pauv thoob plaws qhov chaw parenchyma. Yog tias muaj kev yws, cov haujlwm ntawm lub cev, kab mob siab, lub zais zis, thiab lwm lub plab zom mov. Lawv sib cuam tshuam, thiab cov tsos mob ntawm tus kab mob nrog teeb meem nrog cov kabmob no zoo ib yam nkaus.

Los ntawm hom ntawm lipomatosis

Qhov hloov khoom nruab nrog plab hloov maj mam hloov los ntawm cov rog rog. Raws li ntev raws li qhov hloov pauv yuav tsum nce siab txog qib 30%, tus neeg mob yuav luag tsis muaj teeb meem. Kev loj hlob ntawm daim tawv Adipose yog txuam nrog mob o, mob txhab, thiab raug mob. Ntau pom nyob hauv cov neeg laus, cov neeg mob ntshav qab zib. Yog tias cov txheej txheem hloov zuj zus, qhov no ua rau muaj kev tsis sib haum xeeb hauv kev ua haujlwm ntawm lub cev.

Kev kho mob nrog tshuaj ntsuab tshuaj

Ntau hom kab mob kev nkeeg tsis ua teeb meem rau lub neej, tab sis kuj tsis tuaj yeem kho. Tsuas yog lub cev me me thiaj yuav raug tshem tawm. Hauv lwm qhov xwm txheej, tus kws kho mob tau sau ntawv noj zaub mov rau cov kab mob ntawm cov txiav, cov tshuaj rau kev kho mob ntawm cov tsos mob ntawm tus kabmob, hloov kho txoj kev kho (suav nrog enzymes). Cov tshuaj ib txwm muaj nws tus kheej txhais tau tias - daws qhov mob thiab maj mam kho.

Oatmeal jelly yog ib qho txhais tau tias qhov tseem ceeb los xub npaj lub hauv paus. Ib qho 3-liter hub 1/3 lub caij nplooj zeeg nrog tws siav oats nplej, ncuav thoob lub caj dab nrog dej ntws. Tom qab ntawd:

Raws li kab lis kev cai kab lis kev cai, siv 0.5 khob ntawm kefir, los yog ib qho cij ntawm rye cij.
Lub workpiece tau tso cai rau kev muab rhawv rau 3-4 hnub.
Lim, ntxig rau 12 teev, tso cov kua, muab cov tuab tuab tso rau hauv tub yees.
Kissel - 8 tbsp. l kev ziab nrog 2 khob dej - 5 feeb simmer tshaj qhov uas tsis muaj cua sov.
Noj ua ntej noj tshais. Nws raug tso cai ntxiv mis nyuj, qab zib.

Herbal broth nrog oats yog npaj sib txawv. Cov khoom xyaw yog tsoo thiab sib xyaw: 4 qhov hauv cov paj tshab purulent, 5 ntu ntawm fennel hauv paus, 4 seem ntawm centaury, 1 feem ntawm txiv qaub wormwood, 6 qhov chaw ntawm cov mis oats. Yuav ua li cas ua noj thiab siv:

Ntawm Tsis tiav Kos duab. L ntawm cov nroj tsuag noj 0.5 l ntawm cov dej npau npau.
2 feeb simmer tshaj tsawg tshav kub. Tom qab ntawd 1 teev insist.
Haus 50 ml ua ntej noj tshais, noj su thiab noj hmo.

Nws yog ib qho yooj yim los npaj ib txoj kev lis ntshav nrog sage:

Sib tov 3 tsp. calendula, 2 tsp sage, 1 tsp hlau ore.
Ncuav qhov sib tov nrog ib khob ntawm dej npau npau.
Ntsig, lim. Haus hauv qee qhov txog li 0.5 khob ib hnub ob zaug.

Yees duab: dab tsi ua lub cim ultrasound ntawm diffuse pancreatic hloov txhais tau tias?

Kev nce hauv echogenicity qhia tau hais tias muaj cov txheej txheem mob, lossis hloov ib nrab ntawm hloov khoom nruab nrog cev. Qhov muag tsis pom nyob rau hauv txoj kev tshawb no yog qhov yuav qhia tau tias hemorrhage lossis necrosis ntawm lub caj pas. Txo qis echogenicity - rau qhov ua tau nthuav dav ntawm cov roj khov. Lub paj hlwb puas mob li cas? Mob taub hau lossis yoj ib ce yuav tsis mloog ntau qhov chaw, muab nraub qaum. Saib cov vis dis aus, thiaj li tsis raug kev tsim txom los tawm tsam uas tej zaum yuav tsis tso lub sijhawm ntev.