Noj cov zaub mov tom qab tshem tawm ntawm lub txiav

Lub txiav ua xaim yog rhiab rau neeg kho tshuab cuam tshuam. Cov kev cuam tshuam kev phais ntawm tus kab mob no ua rau lub plab zom mov tseem ceeb. Qhov no yog vim qhov ua haujlwm ntawm lub caj pas, nws ua cov enzymes uas yaj cov zaub mov. Ua raws li kev noj haus tom qab phais mob pancreatic zam kev rau lub txim uas tsis xav tau.

Cov kab mob uas xav tau kev phais mob

Kev kho mob nrog kev phais mob yog qhia yog tias nws tsis tuaj yeem pab tus neeg noj tshuaj. Cov sijhawm ua haujlwm yog tseem ua haujlwm yog kev txuag kho tsis tau pab. Cov kab mob pancreatic hauv qab no yog yuav raug phais mob:

• mob caj dab, nrog los ntawm exacerbations 2 zaug hauv ib xyoos thiab ntau dua,
• mob pancreatitis nrog cov nqaij mos uas tawg,
• kev tuag ntawm ib feem lossis tag nrho cov khoom hauv nruab nrog cev,
• mob caj pas ntev,
• malignant qog
• lub qog loj loj
• ntau lub hlwv
• duct pob zeb.

Kev phais mob rau cov kab mob ntawm daim siab thiab nplooj siab yog nyuaj rau kev nqa tawm. Cov teeb meem nyuaj yog tshwm sim los ntawm cov kev ua haujlwm ze, nrog cov leeg ntshav coob. Cov ntaub so ntswg mob yog mos, thiab nws nyuaj rau plooj nws.

Kev xaiv phais mob Pancreatic:

• suturing qhov txhab tsis xws luag,
• kev xa tawm ntawm ib qho khoom hauv nruab nrog cev, i.e. tshem tawm ntawm ib feem ntawm nws
• ua tiav kev tshem tawm ntawm lub txiav.

Cov cai ntawm kev ua haujlwm yog txiav txim siab los ntawm tus kws phais neeg, suav txog tus mob thiab tus mob ntawm tus neeg mob. Ua ntej npaj kev kho mob phais, tus neeg mob yuav tsum tau txais kev qhia tshwj xeeb. Noj yog qhov tseem ceeb nyob rau qib no. Ua ntej kev phais mob rau mob pancreatic, tus neeg raug xaj kom noj cov zaub mov tshwj xeeb, thiab nyob rau Hmo ua ntej ntawm kev cuam tshuam, kev tshaib plab.

Nta ntawm postoperative kev noj haus

Kev teem sij hawm ntawm kev noj haus kev noj qab haus huv tom qab kev khiav hauj lwm rau ntawm lub txiav me me yog lub ntsiab lus tseem ceeb hauv qib mob rov qab. Kev puas tsuaj rau cov nqaij hauv lub cev thaum phais mob cuam tshuam kev tsim cov hnyuv enzymes. Txhua yam khoom uas nkag mus txog txoj hnyuv tawm hauv nws yuav luag tsis hloov. Tus neeg tsis tau txais cov zaub mov tsim nyog, tab sis muaj thauj khoom ntawm txoj hnyuv.

Ua raws li kev phais mob phais noj pancreatic muaj ntau theem:

• ua kom tiav kev tshaib plab rau ob hnub,
• maj mam nthuav ntawm kev noj haus,
• kev noj kev haus nyob mus ib txhis.

Qhov theem ob ntawm kev noj haus kav ib hlis txog rau rau lub hlis, nyob ntawm seb hom kev cuam tshuam tau ua dab tsi. Qhov theem peb ntawm kev noj haus tsis yog qhov ib txwm yuav tsum ua, tsuas yog hloov khoom hauv lub cev tau raug tshem tawm tag nrho.

Pub thiab Txwv cov Khoom

Ib qho kev phais twg cuam tshuam nrog kev tsim cov caj pas so tsawg kawg ob hnub. Nyob rau lub sijhawm no, cov khoom noj pub dawb hauv niam txiv yog nqa nrog cov khoom sib xyaw tshwj xeeb.

Hauv ib lub lis piam tom qab kev phais mob los ntawm hom kev rov qab, lossis ob lub lis piam tom qab tshem tawm ntawm cev, maj mam nthuav cov zaub mov ntxiv, ntxiv ntawm cov khoom tshiab tshwm sim. Tom qab ib hlis ntawm kev rov kho dua tshiab, ib tus neeg raug tso cai rau hloov mus rau kev noj zaub mov zoo nrog qee cov kev txwv. Yog hais tias lub cev raug tshem tawm vim li cas kho mob, kev noj haus tau raug tswj tseg rau lub neej.

Dab tsi tuaj yeem noj thiab tsis tuaj yeem noj tom qab phais mob pancreatic yog txiav txim los ntawm tus kws kho mob lossis kws qhia noj haus ntxiv. Cov kev cai rau kev soj ntsuam cov zaub mov noj hauv cov neeg mob tom qab phais mob pancreatic:

• noj txhua plaub teev, rau txawm faib ntawm lub nra rau ntawm hloov,
• ib qho khoom noj tsawg tsawg hauv ib zaug (tus neeg mob txhais tes me me),
• cov ntsiab lus calorie - tsis ntau tshaj 2000 kcal ib hnub,
• zaub mov kub tsis tshaj 40 * C,
• hau los sis ncu,
• txwv tus nqi ntawm cov carbohydrates thiab cov rog,
• tsawg kawg ib thiab ib nrab litres ntawm cov dej huv rau ib hnub.

Raws li kev noj zaub mov kev noj haus cuam tshuam nrog kev siv cov enzymes - kom tswj hwm thiab rov ua haujlwm rau cov nruab nrog.

Cov khoom lag luam hauv qab no yog tshwm sim hauv tus neeg mob noj qab haus huv tom qab kev phais:

• zaub thiab cov nqaij uas tsis muaj rog rog,
• noj nqaij nqaij - nqaij qaib, qaib cov txwv, nqaij tsiaj,
• protein omelet,
• buckwheat, mov, oatmeal,
• khoom noj siv mis - tsev cheese, whey, kefir,
• txiv mab txiv ntoo, haus kua txiv,
• zaub los yog txiv hmab txiv ntoo puree.

Chav cutlets yog tsim los ntawm nqaij, wiped nws los ntawm ib sab cib. Boil zaub los yog ci. Cov tais diav tseem ceeb hauv daim ntawv ntawm souffles, mousses. Haus dej ntau npaum li cas thiab haus ntau npaum li cas nws thiaj txiav txim siab los ntawm tus kws kho mob. Qhov nruab nrab ntim yog 30 ml ib kilogram ntawm tus neeg mob hnyav. Tus neeg hnyav 60 kg yuav tsum haus dej 1800 ml ntawm ib hnub. Qhov ntim no suav nrog tsis tsuas haus cov dej haus, tab sis kuj tseem muaj cov kua zaub, jelly, kua txiv hmab txiv ntoo.

Dab tsis

Tom qab phais kab mob pancreatic, cov khoom lag luam hauv qab no tsis suav nrog hauv kev noj haus:

• cov nqaij rog - nqaij yaj, nqaij npuas,
• nyuj mis nyuj, qab zib, qaub cream,
• cov zaub tsis zoo - radish, zaub qhwv, radish, qej, dos,
• legumes
• nplej thiab pob kws
• butter ci,
• nceb
• kas fes, muaj zog tshuaj yej,
• cawv
• muab nqaij noj
• cov kaus poom zaub mov
• txuj lom.

Cov khoom lag luam no xav tau ntau lub enzymes rau kev ua tiav kev zom. Lub txiav txiav tom qab phais tas tsis zais cov enzymes. Cov tshuaj tiv thaiv ntawm nws cov khoom tsis xis nyob provokes rov qab o.

Qauv ntawv qhia zaub mov

Kev noj zaub mov noj txhua hnub hauv kev kho mob ntawm qab txiav yog raws li nram no:

• noj tshais - oatmeal nrog chav cutlet, rosehip Txoj kev lis ntshav,
• noj su - protein omelet, tshuaj ntsuab tshuaj ntsuab,
• noj su - zaub kua zaub nrog lub zog patty, mashed boiled carrots, compote,
• tav su tshuaj yej - muaj roj tsawg hauv tsev cheese souffle, tshuaj yej,
• noj hmo - txiv hmab txiv ntoo puree, tshuaj yej nrog crackers,
• ua ntej mus pw lub khob ntawm kefir.

Oatmeal yog hau hauv dej, ntxiv me me ntawm qab zib thiab ntsev. Txhawm rau ua kua mis, skim mis, khaub noom lossis txhuv siv. Jelly yog zoo rau cov txiv hmab txiv ntoo.

Kev noj haus tom qab txiav phais plawv pancreatic tau pom tsawg kawg ib hlis, yog tias tsim nyog, lub sijhawm tau nce. Yog hais tias lub cev tau raug tshem tawm, kev noj haus tau raug tswj tseg rau lub neej.

Cov kev cai dav dav

Kev tshem tawm Pancreatic (txiav tus mob hlwb) yog nqa tawm ntawm qhov muaj mob hnyav tuag taus pathology nrog kev ua tsis tau zoo ntawm kev txuag kev kho. Qhov qhia rau rau pancreatectomy yog: mob mob nrog pancreatic necrosis, kev mob ntshav tawm ntawm lub qhov txhab qog ntshav, voos, hlwv / pseudocysts, necrotic pancreatitis nrog suppuration, cov pob zeb loj loj hauv cov roj ntsha ua ke, mob hlav hlav.

Muaj ntau yam kev ua haujlwm ntawm kev txiav (txiav) (tshem tawm) ntawm kev tshem ntawm ib feem ntawm cov khoom (phais) - tshem tawm ntawm lub taub hau ntawm lub qog (pancreatoduodenal resection), tshem tawm tus Tsov tus tw / lub cev (distal rov qab), ua tiav kev tshem tawm ntawm lub qog (tag nrho cov txiav) thiab cov menyuam (tshem tawm cov ntaub so ntswg tuag).

Txij li thaum tus txiav yog qhov tseem ceeb tshaj plaws secretory hloov hauv lub cev, cov enzymes ntawm uas muab kev zom, nws ua tiav / ib feem ntawm qhov rov qab yog qhov txaus ntshai rau kev txhim kho nws txoj haujlwm tsis txaus.

Khoom noj khoom haus tom qab tshem tawm pancreatic, nrog rau kev hloov kho rau kev ua haujlwm rau endo / exogenous pancreatic, yog qhov tseem ceeb tshaj plaws thiab kev sib xyaw ntawm lub sijhawm postoperative thiab tag nrho lub sijhawm ntawm kev kho mob ntawm cov neeg mob. Cov chaw pabcuam kev noj haus tau suav hais tias yog qhov kev sib txuas tseem ceeb tshaj plaws hauv kev muab tshuaj kho ntawm cov txheej txheem kev tsis txaus siab metabolism hauv thiab yog lub hauv paus rau qhov tsim nyog / qhov ntau npaum li cas ntawm tus neeg mob lub cev hauv lub zog / yas kev xav tau.

Kev noj zaub mov tom qab tshem tawm ntawm lub txiav nyob rau tom qab lub sij hawm postoperative yog nce raws qhov ua kom kws kho mob phais Ntxhuav tooj 0A, 0B, 0VCov. Hauv qhov no, kev noj haus Cov pluas noj zaub mov naj npawb 0A tom qab ua haujlwm rau ntawm lub txiav, nws yog tshuaj rau 5-7 hnub, thiab tsis yog 2-3 hnub, zoo li nrog kev phais mob ntawm lwm yam kabmob. Qhov no yog vim qhov yuav tsum tau mus sib xyaw ntawm kev noj haus ntawm niam txiv thiab kev noj zaub mov zoo, vim tias tom qab kev phais mob ntawm tus neeg mob lub cev ua kab mob siab yuav tsum tau txais cov khoom noj kom muaj txiaj ntsig / muaj txiaj ntsig, uas tau tshwm sim los ntawm qhov xav tau ntawm cov khoom noj khoom noj kom muaj feem rau hauv lub cev kev tsim txiaj.

Kev tsis ua raws li txoj ntsiab cai no ua rau muaj kev pheej hmoo tom qab hla dhau thiab qhov tsis raug ntawm cov txheej txheem kev tsim dua tshiab. Nws tau ntseeg tau tseeb tias qhov tshwm sim / kev ua haujlwm ntawm kev phais mob ncaj qha nyob ntawm lub sijhawm ntawm khoom noj khoom haus dag, lub zog thiab qhov tsis txaus ntawm kev txhawb nqa kev noj haus. Yog li, lub sijhawm yam tsawg kawg nkaus rau tus neeg mob yuav tsum tau txais kev noj haus puv npo ntawm cov neeg mob yuav tsum yog li 5-7 hnub, thiab rau cov neeg uas tau ua tag nrho txiav tus mob hlwb tsis pub tsawg tshaj 10-12 hnub.

Kev sib xyaw ntawm cov khoom noj khov / maj mam nce zuj zus nrog kev noj zaub mov noj me ntsis yog qhov tseem ceeb ntawm kev noj zaub mov noj yog qhov tseem ceeb rau kev kho khoom noj khoom haus hauv cov xwm txheej ntawm kev kho mob tom qab kev kho mob ntawm txoj hnyuv kom mus rau qhov tsis ua mob qog nqaij hlav. Cov kauj ruam no tso cai rau peb tswj cov kev mob lub cev kom txaus cov protein-lub zog ntawm tus neeg mob lub cev thaum lub sijhawm rov txhim kho kom ntxov thiab kom pom tseeb tias kev noj zaub mov zoo vim muaj kev noj zaub mov ntau ntau uas ua rau lub plab zom mov sparing. Kev hloov ntawm tag nrho niam txiv mus rau kev noj haus uas siv lub plab zom mov yog nqa los ntawm kev teem caij ntawm kev noj zaub mov phais, thiab yav tom ntej - qhov rubbed version Cov khoom noj muaj naj npawb 5p.

Lub sijhawm tag nrho ntawm txhua qhov kev phais mob noj zaub mov tuaj yeem yog 3-4 lub lis piam, vim tias qhov kev xav qeeb tshaj plaws ntawm cov khoom noj khoom haus tom qab kev phais plawv phais. Cov lus nug txog kev nthuav dav ntawm cov khoom noj / lub chaw muag khoom, lub sijhawm ntev npaum li cas nyob rau ntawm lub rooj kho mob tshwj xeeb, cov tseev kom muaj rau kev noj zaub mov noj tom qab lub sijhawm tom qab txiav txim siab yuav tsum txiav txim siab rau tus kheej raws li kev ntsuas ntawm tus neeg mob zaub mov noj, qhov xwm txheej ntawm lub cev, thiab cov yam ntxwv ntawm cov txheej txheem kom rov zoo.

Nyob rau theem ntawm kev kho mob sab nraud ntawm cov neeg mob nyob rau hauv cov mob uas tsis yoojyim tom qab phais mob ntawm tus txiav, kev noj zaub mov rau tus neeg mob tau siv. Ntxhuav tooj 5p, qhov wiped version ntawm uas tau sau rau lub sijhawm 1.5-2 lub hlis, thiab tom qab ntawd rau 6-12 lub hlis tus neeg mob nyob rau ntawm qhov tsis muaj tseeb ntawm lub rooj no.

Cov lus hais ntawm kev nyob twj ywm ntawm lawv ib tus tuaj yeem sib txawv raws li cov txheej txheem kev ua kom rov zoo. Nyob rau hauv ib txwm ib txwm ntawm cov txheej txheem kev txhim kho kom rov zoo li qub, kev noj zaub mov maj mam nthuav dav los ntawm kev suav nrog cov khoom tshiab thiab nce kev noj haus. Hauv kev zawv plab cov khoom noj yog ntxiv nrog cov zaub nyoos, cov nqaij kom huv, tshwj xeeb yog cov carrots / zaub qhwv noj 3-4 zaug hauv ib hnub thaum pib noj mov ntawm 100/150 g.

Thaum muaj kev txhim kho hauv cov ntawv pov thawj cov kab mob / tso tawm kom tsis txaus ntxiv, cov tsos mob yuav tshwm sim pancreatogenic enteropathymanifesting zawv plab, steatorrhea, malabsorption thiab kev tsim cov protein-lub zog tsis txaus. Rau pawg no ntawm cov neeg mob, kev noj zaub mov nce ntxiv cov ntsiab lus ntawm protein mus rau 120-130 g vim qhov nce ntxiv ntawm kev noj cov nqaij ntshiv (luav, nqaij qaib, nqaij menyuam), cov rog tsis muaj rog, cov khoom noj muaj mis, ntses, qe dawb thiab txo cov ntsiab lus rog mus rau 60-70 g. cov khoom noj muaj fiber ntau.

Cov khoom muaj cov ntsev ntsev (suav sau los ntawm cov txiv hmab txiv ntoo qhuav, kua txiv) thiab calcium (tsev cheese calcinated, vitamin-ntxhia pub ntxiv) tau qhia rau hauv cov khoom noj.

Nws raug nquahu kom xyaum ua kev suav rau hauv kev noj zaub mov ntawm cov khoom lag luam tshwj xeeb - cov khoom xyaw protein ntau sib xyaw ntawm cov nqaij nyuj, nqaij nyug, nqaij qaib, nqaij homogenized / pureed cov kaus poom zaub mov rau cov menyuam mos / zaub mov noj. Qee qhov xwm txheej, tom qab phais mob phais mob hauv cov neeg mob, cov zaj lus los ntawm cov hnyuv cuam tshuam, uas ua rau muaj kev txhim kho ntawm cem quav thiab dysbiosis. Nyob rau hauv cov xwm txheej zoo li no, qhov kev faib ua feem ntawm cov zaub thiab txiv hmab txiv ntoo tsis qab zib ntau hauv cov zaub mov nce, tab sis tib lub sijhawm, cov ntsiab lus ntawm cov khoom noj tau yooj yim zom zaws carbohydrates txo, uas zam kev ua kom muaj zog ntawm cov txheej txheem thiab flatulence.

Rau qhov tsis hnov ​​qab zoo cov ntshav tsis ua taus pa / cim ntawm kev txhim kho mob ntshav qab zib Kev kho kev noj haus tau kho kom haum rau cov metabolism metabolism tsis hnov ​​lus. Kev zom cov zaub mov tau yooj yim tsis suav nrog cov khoom noj tsis txaus, thiab cov ntsiab lus ntawm cov carbohydrates muaj nyob rau theem ntawm 200-250 g, thaum lub hauv paus ntawm carbohydrates tau faib tusyees los ntawm cov zaub mov noj, sij hawm kom sib haum nrog lub sijhawm noj tshuaj tiv thaiv kab mob.

Kev noj zaub mov zoo rau cov neeg mob hauv lub sijhawm postoperative nrog kev nthuav dav exocrine tsis txaus ntseeg yuav tsum muaj qhov tshwj xeeb tshwj xeeb ntawm tus kheej, txiav txim siab los ntawm kev noj zaub mov zoo ntawm pancreatic tsis txaus, uas tuaj yeem tshwm sim nkag rau cov protein, cov rog thiab carbohydrates. Hauv qhov no, nws yog qhov yuav tsum tau hais meej txog qhov ntau thiab qhov zoo ntawm cov kev tsis zoo xws li: cov khoom twg / hauv cov khoom dab tsi thiab kev sib xyaw ua ke tus neeg mob tsis tso cai. Raws li, nws yog qhov yuav tsum muaj nyob rau hauv cov khoom noj khoom noj uas muaj kev tiv thaiv zoo los ntawm tus neeg mob, coj mus rau hauv tus account lub cev kev xav ntawm kev muab BJU thiab lub zog xav tau.

Txhua tus neeg mob uas tau ua ib qib rov kuaj / ua tiav tshem tawm ntawm tus txiav yuav tsum tau kho cov enzyme tas li, nrog rau kev saib xyuas / kho txhauvCov. Qhov ntim thiab kev npaj ntawm kev hloov kho txoj kev kho (kev nqus ntawm digestive enzymes), thiab, yog tias tsim nyog, kev qhia tshuaj insulinyog txiav txim los ntawm tus kws kho mob ib leeg zuj zus.

Cov Khoom Uas Tso Cai

Kev noj zaub mov tom qab tshem tawm ntawm lub txiav kab mob nrog:

• Cov kua zaub tau ua rau tshwj xeeb ntawm cov zaub kua zaub nrog rau cov zaub ua kom siav thiab zoo zoo rau / ua kom siav zoo nqaij (semolina, hercules, txhuv). Koj tuaj yeem sau cov kua zaub nrog butter / zaub roj, qaub cream, hmoov nplej qhuav, thiab qab zib.
• Cov zaub hau / ci (cov qos yaj ywm, zucchini, taub dag, carrots, zaub paj dawb, beets, taum ntsuab). Tom qab ntawd, nrog kev kam rau ua tau zoo, koj tuaj yeem noj cov khoom noj ntawm cov taub dag, carrots, cucumbers thiab txiv lws suav.
• Lub cev tawv nqaij ntawm cov nqaij liab (nqaij nyuj, nqaij), nqaij, nqaij qaib luav, hau / ncu cov qaib cov txwv, cov khoom lag luam uas siv me me (nqaij qaib, nqaij pob kws, nqaij qab zib, khaub noom, nqaij xyaw zaub). Nqaij qaib / luav nqaij tuaj yeem siv rau hauv cov nqaij.
• Cov pob kws (buckwheat, oatmeal, mov, semolina thiab oatmeal) siav rau ntawm dej thiab grated kom khov.
• Tsawg roj-rhaub / hau ntses nyob hauv daim ntawv ntawm cutlets thiab ib daim (cod, pollock, perch, pike, bluebird, pike perch, hake, carp). Ua noj ntses ua ntu / ntov tag nrho. Nqaij ntses tsis pub, vim tias nws muaj ntau qhov kev xav tau.
• Ncuav nplej nplej tsis zoo (qib I thiab II), ncuav qab zib inedible
• Qaub-mis cov khoom ntawm cov roj tsawg cov ntsiab lus: yogurt, kefir, acidophilus, bold curd nyob rau hauv qhov muaj pes tsawg leeg puddings, casseroles, soufflé lossis hauv hom, tsis muaj ntxhiab dawb cheese.
• Mos-hau qe / ncu protein omelettes (1 pc hauv ib hnub).
• Cov kua ntses rau ntawm ib qho zaub / hnoos qeev decoction ntawm cereals nrog ntxiv ntawm qaub cream. Hmoov nplej
• Ci siav qab zib txiv apples.
• Cov rog, thawj butter, uas tau nkag rau hauv cereal / puree nyob rau hauv ib qho nyiaj ntawm 15-20 g hauv ib hnub, tom qab ntawd ua kom zoo zoo roj paj noob hlis (5-15 g).
• Txiv hmab txiv ntoo / berries hauv daim ntawv ntawm jelly, jam, jelly thiab mousse. Cov txiv hmab txiv ntoo qhuav - mashed, jelly marmalade, lub puab tsaig, txiv hmab txiv ntoo nyoo / cov txiv ntoo hauv cov ntawv ci.
• Ntawm cov dej qab zib - rosehip Txoj kev lis ntshav, cov kua txiv hmab txiv ntoo diluted nrog dej, tsis muaj zog tshuaj yej nrog txiv qaub, rooj dej tsis muaj roj, compotes ntawm cov txiv hmab txiv ntoo tshiab thiab qhuav.

Cov yam ntxwv noj haus zoo

Lub txiav ua cov enzymes thiab cov tshuaj hormones, yam tsis tau ua kom zom thiab zom cov zaub mov ntawm cov zaub mov tsis yooj yim sua. Lub luag haujlwm ntawm hloov khoom nruab nrog yuav tsum tau hloov los ua cov tshuaj noj.

Yog li, tom qab ib ntu lossis ua tiav ntu ntawm cov khoom nruab nrog cev no, tus neeg mob lub neej yuav hloov pauv ntau yam, thiab nws yuav tsum:

• nruj ua raws cov khoom noj uas tsis suav nrog tag nrho cov npe ntawm cov khoom lag luam thiab cov hau kev ua noj: kib, haus luam yeeb, pickling,
• pheej tswj cov theem ntawm cov kua dej, txhawb nws ua kom mob,
• lossi noj cov enzymes rau kev zom,
• Zam lub cev overvoltage thiab kub hloov ceev.

Ntxiv rau, tom qab phais mob phais plawv, tus kws kho mob tau sau ntawv ntxiv cov tshuaj vitamin ntxiv: E, A, K, B12 thiab D.

Tom qab lub lag luam, tus neeg mob yuav muaj khoom noj khoom haus parenterally los yog siv kev sojntsuam. Nyob ntawm qhov muaj teeb meem ntawm kev phais mob thiab kev ua haujlwm ntawm lub cev ntawm tus neeg mob, lub sijhawm khoom noj khoom haus cuav tuaj yeem dhau ib lub lis piam mus rau 12 hnub.

Qhov ua tau ntawm kev xa tus neeg mob mus rau cov khoom noj khoom haus sib xyaw (niam txiv + cov khoom noj khoom haus ntuj), nrog rau kev hloov pauv zaum kawg rau noj mov ntuj, raug txiav txim los ntawm tus kws kho mob uas koom nrog.

Txhawm rau kom tsis txhob cuam tshuam cov kabmob ntawm cov hnyuv, qhov hloov mus rau kev noj zaub mov zoo yuav tsum muaj kev vam meej:

• Thawj 7 hnub tom qab phais kab mob ntshav ntswg, tus neeg mob tau noj raws li lub rooj noj mov No. 0. Noj zaub mov zoo rau kev rov ua kom zoo dua ntawm cov neeg mob tom qab phais ntawm lub plab zom mov.
• Txij 7 txog 14 hnub - cov rooj noj haus muaj pes tsawg 1a.
• Los ntawm 14 txog 21 hnub - lub rooj noj haus ntawm No. 1b.

Ntxiv mus, kwv yees li 2 hlis, tus neeg mob noj raws li qhov system No. 5p, uas xav tias cov khoom noj uas tsis muaj calorie tsawg, cov zaub mov noj tsis txaus (cov khoom noj no tau sau tseg rau mob hnyav ua kab mob pancreatitis). Tom qab ntawd, tus neeg mob yuav noj mov tsis muaj caij nyoog raws li zaum ob ntawm qhov system No. 5p. Cov kab noj haus no tau teev tseg rau lub sijhawm ntawm kev kho nyob rau hauv kev mob caj dab ntev, tag nrho cov khoom noj hauv calorie yog los ntawm 2500 txog 3200 kcal.

Cov ntaub ntawv dav dav

Cov kws kho mob hu ua lub txiav ua kab mob rau lub cev thiab neeg tsis paub txaus. Thaum phais mob, nws feem ntau "ua qauv" coj cwj pwm tsis tau npaj siab. Cov haujlwm ua haujlwm yog txoj.

Qhov uas pom tias muaj neeg tuag coob dua li no. Qhov kwv yees ntawm kev ciaj sia nyob ntawm lub hnub nyoog thiab xeev ntawm tib neeg kev noj qab haus huv. Lub sijhawm ntev yuav tsum dhau mus ua ntej tag nrho rov qab. Kev tshem tawm qee qhov ntawm txiav tawm hu ua pancreatectomy.

Lub lag luam yuav cuam tshuam rau:

• txoj hnyuv me
• cov mob ua paug
• plab
• gall zais zis
• tus spleen.

Cov ntsiab cai ntawm khoom noj khoom haus

Kev noj zaub mov tom qab tshem tawm ntawm lub txiav yog txiav txoj cai uas tso cai rau koj saib xyuas tus neeg mob thiab tiv thaiv kom tsis txhob mob tom qab. Tus neeg mob yuav tsum tau siv cov khoom noj tshiab, uas tsis suav nrog feem ntau ntawm cov khoom ib txwm muaj, thiab cov ntsiab lus tshwj xeeb ntawm khoom noj khoom haus:

• Teem sij hawm noj mov. Muab cov xwm txheej tshiab rau kev ua haujlwm ntawm lub plab zom mov, koj yuav tsum muab lub sijhawm rau lub cev kom tau siv.
• Koj yuav tsum tau noj txhua txhua 3-4 teev, nyob rau hauv feem tsis ntau tshaj qhov ntim ntawm 200-250 g Cov zaub mov kawg - tsis pub dhau 3 teev ua ntej mus pw.
• Tag nrho cov zaub mov uas txhawb kev tsim cov kua txiv (cov zaub mov muaj ntau nyob rau hauv cov tshuaj:: qej, dos thiab zom zom) tsis suav nrog kev noj haus.
• Cov zaub mov muaj fiber ntau, nrog rau cov zaub mov uas ua rau lub ntsej muag ua paug tsis haum rau lub cev, yuav raug txwv. Ua ntej siv, zaub yog siav los yog stewed, thiab zaub mov ntxhib yog av rau lub qab zib lossis kua ua kom sib xws.
• Cov zaub mov yuav tsum tsis txhob sib thab ntawm cov nqaij mos. Nws tsis tsim nyog siv cov dej haus carbonated, cov khoom noj sai, cov zaub mov yooj yim (dumplings, dumplings, thiab lwm yam), khaws cia thiab marinades (suav nrog cov zaub mov hauv kaus poom hauv tsev), txhua yam zaub mov uas tsis yooj yim zom, saturated nrog dyes thiab tshuaj tsw qab muaj zog.
• Nws yog ib qho tsim nyog yuav tau soj ntsuam kev haus dej haus cawv: cov dej haus zoo li qub thiab cov dej cawv alkaline tau txais tos. Cov dej hauv dej yog qaug hauv daim ntawv sov, ua ntej noj mov, peb zaug ib hnub.
• Qhov yuav tsum tau ceev faj yog tias qhov ntsuas kub ntawm cov zaub mov thiab dej haus yuav tsum muaj sov: cov quav yog spasmodic los ntawm tus mob khaub thuas, thiab kub ua rau cov nqaij mos ua paug.
• Koj tuaj yeem haus tsis pub ntau tshaj 10-12 g ntsev ib hnub twg, uas tsis suav nrog kev noj mov uas muaj haus thiab noj qaub haus. Txhawm rau kom tsis pub dhau qhov txwv, ntsev yuav tsum tau ntxiv rau cov zaub mov ua tiav.
• Ua noj tsuas yog ua tau los ntawm kev rhaub, ncu, ci thiab ncu.

Cov kev cai no tsis tsuas yog ua kom ceev nrawm tom qab rov qab, tab sis kuj pab tus neeg mob txo qis ntawm qhov muaj mob ntawm qhov mob, maj mam kho nws tus mob.

Thaum twg thiab ntawm yam ntsuas twg yog lub lag luam tsim nyog thiab nws nyuaj

Vim nws qhov muaj qab hau, txiav (leeg quav) ua rau muaj kev ntxhov siab ntau rau tus kws kho mob plab thiab kws phais neeg, yog li kev kho mob phais yog nqa los ntawm cov kws paub tshwj xeeb thiab tsuas yog tshwj xeeb yog thaum muaj qhov mob sai sai rau nws.

Qhov laj thawj rau kev phais mob tawm ntawm tus txiav yog:

• Mob ntsws ntev nrog rau rov huam tuaj.
• Kev puas tsuaj nrog pancreatitis nrog mob mob sai.
• Pancreatic nrog cov tsos mob ntawm tus mob pancreatic necrosis.
• Kev puas tsuaj rau lub pancreas.
• Malignant hlav.
• Lub xub ntiag ntawm cov pob zeb uas thaiv cov kwj ntawm lub caj pas.
• Lub npe Fistulas.
• Quav cuav cyst.

Kev khiav haujlwm yog cov txheej txheem nyuaj vim yog cov qauv tshwj xeeb thiab kev paub ntawm lub cev hloov. Qhov txiav thiab duodenum muaj kev sib koom tes ntawm cov ntshav. Tsis tas li ntawd, lub caj pas nyob hauv qhov chaw muaj kev phom sij nrog cov kabmob tseem ceeb heev: lub plab aorta, cov leeg nqaij leeg thiab cov leeg ntshav, cov leeg ntu ntawm lub raum, ob lub raum, sab sauv thiab sab hauv ntshav qis.

Kev siv ntawm kev kho kev phais mob ntawm tus neeg mob qog nqaij hlav ntawm qhov mob los yog mob ntev ntawm lub cev ua tus kab mob kuj tseem nyuaj los ntawm cov yam ntxwv ntawm lub luag haujlwm hauv lub cev, xws li kev tsim cov enzymes, uas, vim lawv lub zog ntau dhau, muaj peev xwm "ua tiav" nws cov ntaub so ntswg.

Tsis tas li ntawd, tus txiav yog daim tawv nqaij parenchymal (ntaub so ntswg), uas yog tus cwj pwm los ntawm huab tsis yooj yim thiab raug mob. Nws yog qhov tsis txaus siab los txhim kho sutures rau nws, thiab nyob rau lub sijhawm postoperative feem ntau muaj cov kev mob hnyav tshwm sim, piv txwv li, cov tsos ntawm fistulas thiab los ntshav.

Cov teeb meem feem ntau uas cuam tshuam tom qab kev phais mob yog kev mob tom qab txiav kab mob nrog hlwv ntse, uas cov tsos mob hauv qab no yog cov raug:

1. Kev mob hnyav rau hauv lub qhov ntawm lub plab.
2. Lub cev tsis zoo sai sai ntawm kev noj qab nyob zoo ntawm kev ua haujlwm thiab kev poob siab.
3. Ib qho kev nce ntxiv ntawm amylase nyob rau hauv cov zis thiab ntshav.
4. Mob Leukocytosis.
5. Ntev heev.

Raws li txoj cai, kev tsim cov mob hlab ntsha txhaws tom qab zoo li yog:

• Cov nqaij pob txha mos.
• Cov kev phais mob hauv thaj av uas nyob ib sab ntawm lub zais plab thiab hauv thaj chaw ntawm tus txha nqaj ntawm Vater ampoule.

Tsis tas li ntawd, kev txiav mob tom qab zoo tuaj yeem ua lwm yam kev mob ntxiv:

• Txoj kev sib kis ntawm tus mob hauv cov txiav ua tus kab mob rau cov neeg mob ulcerative pathology.
• Rov qab pib ntawm qhov pom tam sim no los ntawm qhov tshwm sim hauv cov neeg txiav.
• Ntshav.
• Pancreatic necrosis.
• Mob ntsws hnoos qeev
• Ntshav qab zib heev.
• Cov hlwv thiab hepatic anomaly.
• Kev ntshav khiav tsis zoo.

Xav txog tag nrho cov laj thawj saum toj no uas yuav pib tom qab kev phais mob phais mob txiav tiav, tus neeg mob tau saib xyuas zoo nyob hauv qhov chaw mob, thiab kev saib xyuas tshwj xeeb kuj tseem muaj.

Nyob rau hnub thib ob tom qab phais mob, tus neeg mob pauv mus rau chav kho mob, qhov chaw nws tau txais kev saib xyuas tshwj xeeb, kev kho tshwj xeeb thiab kev noj zaub mov zoo. Tag nrho cov txheej txheem no muaj cov tib neeg mus kom ze, nyob ntawm qhov teeb meem ntawm kev ua haujlwm ntawm nws tus kheej, nrog rau muaj lossis tsis muaj teeb meem.

Yam dab tsi ntawm cov khoom noj khoom haus hauv tus kheej tom qab ua haujlwm ntawm cov txiav ua tiav rau tus neeg ua haujlwm yuav tau piav qhia hauv qab no.

Cov yam ntxwv ntawm kev noj haus tom qab phais tas

Kev noj zaubmov tom qab phais mob phais mob yog lub sijhawm tseem ceeb tshaj plaws rau kev kho kom zoo tom qab kawg ntawm cov neeg mob uas tau tshem tawm lub txiav.

Kev noj haus tom qab kev phais mob rau tus txiav ua ntej pib nrog kev yoo mov ob hnub, thiab tsuas yog hnub peb tus neeg mob tau pub ib qho khoom noj sparing hauv cov qib no.

• Lim dej los yog ci ntsa dej (1 liter ib hnub).
• Rosehip broth.

• Unsweetened thiab ntsuab ntsuab tsis muaj zog.
• Rusk (ua ntej-soaked).
• Puree-puab zaub kua zaub uas tsis muaj ntsev.

• Buckwheat los yog mov ci cereal mis nyuj hauv mis nyuj, thaum nws yog diluted nrog dej, ntxiv rau, feem ntawm cov zaub mov yuav tsum tsis txhob ntau dua 100-150 g.

• Butter tsis ntau tshaj 15 g (1-2 tsp) ib hnub.
• Ib qho ntawm cov khob cij ua nag hmo uas ua los ntawm hmoov nplej dawb.
• Tsawg-rog tsev cheese lossis curd yam tsis muaj qab zib.
• Zaub smoothie.
• Kua zaub nrog ntau yam zaub (carrots, qos yaj ywm, beets), thaum zaub qhwv tseem raug txwv vim cov ntsiab lus fiber ntau.

Rau 1 lub lim tiam, tag nrho cov zaub mov ua noj los ntawm zog, tom qab ntawd cov tais diav tau tso cai. Tom qab 7-10 hnub, thaum tsis muaj kev cuam tshuam, nws yog qhov ua tau nqaij thiab nqaij ntses.

Nyob rau lub sijhawm no, 1 qhov hloov pauv ntawm kev noj haus No. 5 yog kho. Tom qab li 2 lub lis piam, qhov nce ntawm cov ntsiab lus tsis zoo ntawm cov tais diav yog tso cai, raws li qhov no, koj tuaj yeem mus rau txoj kev xaiv 2 ntawm kev noj zaub mov noj zaub mov No. 5, uas hais txog cov khoom noj tsis tu ncua thiab feem ntau, thiab ib qho kev tsis ua tiav ntawm kev noj zaub mov ntawm cov khoom lag luam hauv qab no:

Ua tib zoo ua raws li cov cai khoom noj khoom haus txo qhov muaj peev xwm ntawm kev tsis tuaj yeem tsim.

Dab tsi yuav tsum yog cov ntawv qhia zaub mov rau ib tus neeg tom qab phais?

Hais txog dab tsi xyov yuav tsum zam los ntawm tus neeg mob tom qab txiav tawm ntawm lub txiav, hais saum toj no, tam sim no peb yuav qhia koj dab tsi koj tuaj yeem noj tom qab phais mob ntawm tus txiav, dab tsi los saib xyuas zoo thaum ua noj.

Ua ntej yuav txav mus rau cov yam ntxwv ntawm lub rooj noj mov, uas tau qhia rau tib neeg tom qab kev phais mob, Kuv xav rov hais dua ib ntu ntawm ntu tseem ceeb. Lub luag haujlwm tseem ceeb ntawm cov txiav ua ntej yog kev tsim cov khoom noj khoom noj khoom haus, uas yog lub luag haujlwm rau kev tawg ntawm cov khoom noj mus rau cov tib neeg lub cev uas tau nqus los ntawm tib neeg lub cev. Raws li koj tuaj yeem pom, lub caj pas ua haujlwm siv txoj hauv kev zom zaub mov.

Txwv tsis pub, thaum nws raug tshem tawm, tom qab ntawd tus so ntawm lub neej ntawm tus neeg mob yuav tsum:

1. Saib xyuas nruj me ntsis ntawm cov khoom noj kom tsim nyog.
2. Rov qab siv cov tsis muaj peev xwm ntawm cov enzymes nrog kev tsim nyog enzymatic npaj.
3. Nco ntsoov soj ntsuam cov insulin ntau ntxiv kom tsis txhob muaj ntshav qab zib.
4. Ua tiav qhov kev tawm dag zog lub cev thiab tsis txhob hloov kub ceev ceev.

Yog li, koj tuaj yeem noj dab tsi tom qab tshem tawm ntawm lub txiav me me? Nws yuav tsum tau hais tias nrog txoj hauv kev tseem ceeb rau khoom noj khoom haus, koj tuaj yeem ua zaub mov sib txawv, tab sis tib lub sijhawm nruj me ntsis rau cov cai hauv qab no:

• Txhua yam khoom lag luam yuav tsum yog khoom tshiab, thiab cov tais diav tau npaj hauv chav rhaub lossis hau kev.
• Fried zaub mov yog txwv kiag li.
• Noj yuav tsum tau nquag, uas yog, tsawg kawg yog 5-6 zaug hauv ib hnub.
• Saib xyuas tus nqi ntawm cov ntsev noj (tsis pub ntau tshaj 10 g nyob rau ib hnub), thaum coj mus rau hauv tus account nws muaj nyob rau hauv cov tais diav thiab cov zaub mov yooj yim.
• Nqaij thiab ntses cov khoom lag luam tshwj xeeb rau ntau hom zaub mov (nqaij qaib, tsiaj, nqaij qaib ntxhw, thiab lwm yam)
• Txhua yam khaws cia thiab khoom noj nrog vinegar yog txwv tsis pub.
• Cov khoom noj siv mis nyuj yog tsuas yog cov kev xaiv muaj roj tsawg (yogurt, kefir, tsev cheese, cheese).

Txawm hais tias cov npe ntawm cov kev txwv no, nrog txoj hauv kev thiab qhov tus cwj pwm zoo rau cov cai ntawm khoom noj khoom haus, koj tuaj yeem yooj yim npaj cov khoom noj muaj txiaj ntsig thiab qab los noj txhua hnub.

Yuav ua li cas kom lub cev nyhav?

Cov neeg mob uas yuav tsum tau mus dhau los ntawm kev tshem tawm ntawm tus txiav tawm txom nyem tsis yog los ntawm enzyme tsis txaus, muaj cov ntshav qab zib mellitus, lawv tseem yuav tsum muaj kev txom nyem sai sai poob phaus. Qhov tshwm sim pathological tau piav qhia los ntawm qhov tseeb tias cov as-ham uas los ntawm cov zaub mov mus rau hauv lub cev yog qhov ua tsis zoo, ntxiv rau, cov zaub mov kev noj zaub mov tsis ua rau tsis muaj ntau cov zaub mov muaj zaub mov ntau.

Raws li qhov no, lo lus nug tshwm sim, yuav ua li cas nce phaus tom qab phais ntawm tus txiav? Hauv qhov no, tus kws qhia noj haus qhia:

• Ua kom cov khoom noj muaj protein ntau: nqaij, ntses, thiab mov ci dawb, tab sis tsis nquag.
• Tsis txhob hnov ​​qab txog kev nquag noj cov vitamins thiab minerals.
• Khoom noj yuav tsum yog feem me me.
• Haus dej haus protein.

Saib xyuas cov axioms yooj yim no, ib tus neeg maj mam nce phaus. Txawm li cas los xij, ua ntej siv lawv, nws zoo dua rau sab laj tus kws kho mob txog lawv txoj kev siv tsim nyog.

Yuav ua li cas thiaj ua tau noj cov zaub mov noj

Cov zaub mov tom qab phais kab mob pancreatic yuav tsum tau muab tshwj xeeb los ntawm kev ncu lossis hau kev, lossis muab ci hauv qhov cub. Txawm li cas los xij, cov kev xaiv ua noj ua haus kawg tau tso cai lawm nrog lub xeev stably zoo ntawm kev noj qab haus huv ntawm tus neeg mob.

Xaus

Raws li koj tuaj yeem pom, kev noj haus tom qab kev phais mob rau cov txiav yog lub sijhawm tseem ceeb tshaj plaws hauv tus neeg mob lub neej. Nws yog qhov tsim nyog txhawm rau txo qis lub nra rau cov kabmob uas ua rau lub plab zom mov. Qhov tseeb yog tias tom qab phais lawv cov haujlwm tsis muaj zog, thiab lawv tsis ua haujlwm puv ntoob.

Tus neeg mob txoj haujlwm yog los pab cov plab hnyuv siab raum nyob hauv lub cev rov qab ua haujlwm kom raug. Hauv qhov no, tus neeg mob yuav tsum tau saib xyuas tas li los ntawm tus kws kho mob. Yog tias muaj kev hloov pauv, ob qho tib si rau qhov tsis zoo thiab tsis zoo, nws yog qhov yuav tsum tau qhia rau tus kws paub tshwj xeeb txog qhov no kom txhawm rau kho cov zaub mov kom zoo.

• Kev siv cov tsev neeg them nqi kho tsev teev ntuj rau kev kho tus mob pancreatitis

Koj yuav xav tsis thoob sai npaum li cas tus kab mob recedes. Saib xyuas ntawm lub pancreas! Ntau tshaj 10,000 tus neeg tau pom muaj kev txhim kho tseem ceeb hauv lawv txoj kev noj qab haus huv tsuas yog haus thaum sawv ntxov ...

Cov zaub mov ua piv txwv thiab cov yam ntxwv ntawm kev noj haus muaj txiaj ntsig rau pancreatic necrosis ntawm pancreatic ntaub so ntswg

Ua raws li cov cai yooj yim no yuav pab ua kom tus neeg mob nyob tus yees, thiab tiv thaiv kom rov mob huam tuaj. Noj zaub mov kom zoo yog lub neej ntev thiab yuav tsum tsis pub ua txhaum ib txoj kev twg.

Dab tsi muaj nyob rau hauv kev kho cov zaub mov noj kom haum rau cholecystitis thiab pancreatitis?

Kev noj haus rau cholecystitis thiab pancreatitis yog qhov sib txawv ntawm cov neeg noj zaub mov feem ntau, uas cov neeg uas xav kom poob phaus mus rau, txawm hais tias, qhov tseeb, qhov ntau nrog cov khoom noj no yuav txo qis.

Kev kho mob nrawm nrog ntau yam mob ntawm pancreatitis

Thaum qhov kev tshem tawm ntawm tus kab mob tshwm sim, ntau tus kws kho mob hais tias tus neeg mob xav tau kev tshaib kev nqhis, txias thiab kev thaj yeeb nrog pancreatitis. Ib txwm, cov kab lus no tsis tas yuav tsum coj raws lus.

Cov yam ntxwv ntawm kev noj zaub mov nrog exacerbation ntawm pancreatitis

Lub luag haujlwm tseem ceeb ntawm kev noj zaub mov muaj lub siab ntev tshaj plaws rau kev txiav, uas yog ua tiav los ntawm kev txo qis kev zais cia ntawm cov enzymes digestive, uas yog qhov ua rau kom muaj kev mob rau cov leeg ntshav.

Lub nuances ntawm pancreatic phais

Qhov tsis yooj yim, txoj kev xav thiab tsis tuaj yeem xav tau - xws li cov qauv zoo li feem ntau muab rau txiv plig txiv ntoo los ntawm tus kws kho mob thiab sim ua haujlwm nws tsuas yog tshwj xeeb. Cov khoom hauv nruab nrog yog qhov "muaj teeb meem" - nws nyuaj rau suture nws cov nqaij mos, thiab lub sijhawm postoperative feem ntau yog los ntawm los ntshav thiab lwm yam kev nyuaj.

Tsis tas li ntawd, nrog kev cuam tshuam ntxiv, lwm yam kabmob ntawm cov hnyuv tau cuam tshuam. Thiab qhov no tsis yog tsuas yog duodenum 12, uas txuas nrog lub caj pas nrog cov ntshav sib luag thiab cov kua tsib. Ntawm kev pheej hmoo kuj yog lub plab, lub zais zis thiab tus po. Txhawm rau rov qab rau lawv, ib lub sijhawm tshwj xeeb yog xav tau, tsis txhob hais txog cov txiav tawv nqaij nws tus kheej, uas yog ncaj qha cuam tshuam rau txoj kev zom zaub mov.

Cov lus qhia: nws yog ib qho tseem ceeb kom nkag siab tias qhov tus kab mob yias tsis muaj peev xwm los tsim nws cov ntaub so ntswg, thiab yog li ntawd, tom qab kev ua haujlwm zoo li no, yuav tsum tau noj zaub mov tshwj xeeb tas li.

Cov Qauv Khoom Noj Tseem Ceeb

Cov neeg mob uas tau txais phais mob phais plawv yuav tsum paub peb txoj cai tseem ceeb ntawm kev noj zaub mov, uas yog qhov tsim nyog soj ntsuam thoob plaws lub neej:

1. cov khoom noj yuav tsum yog feem me - koj yuav tsum tau noj ntau (5, lossis tseem 6 zaug hauv ib hnub) thiab me ntsis (cov khoom noj ib zaug yuav tsum tsis pub ntau tshaj 300 ml),
2. tsuas yog tau hau, ua mov ci lossis ua tais diav los ntawm cov khoom noj muaj zaub mov yuav tsum nyob hauv zaub mov, lawv yuav tsum noj tsuas yog hauv daim ntawv sov,
3. cov kua dej ntau yuav tsum muaj nyob rau hauv cov zaub mov noj (los ntawm ib mus rau ob liv txhua hnub, nyob ntawm seb cov teeb tsa ntawm tus neeg ua haujlwm) - qhov no tiv thaiv kev pheej hmoo ntawm cov ntshav txhaws vim qhov tshwm sim ntau ntawm kev cuam tshuam kev phais.

Cov lus qhia: cov qauv ntsiab lus saum toj no muab cov txheej txheem los tiv thaiv lub cev rau lub plab zom mov. Nws tshem tawm cov kev ua kom tsis txaus siab uas ua rau muaj kev npau taws tom qab. Nws yog qhov tshwj xeeb tshaj yog rau lawv nyob rau tom qab ua tiav kev tshem tawm ntawm tus txiav (pancreatectomy). Nws yuav tsum nco ntsoov tias tam sim no lub cev uas tsim cov enzymes rau kev zom cov zaub mov ploj lawm, thiab cov tshuaj hauv cov ntsiav tshuaj tsuas tuaj yeem kho tau qee qhov ntawm lub luag haujlwm no.

Noj tam sim ntawd tom qab phais tas

Tam sim ntawd tom qab phais, tus neeg mob nyob hauv tsev kho mob. Yav thaum ntxov, kev noj zaub mov noj hauv txoj hauv ntuj yog nruj me ntsis. Lawv "pub" nws rau cov leeg ncaj ncaj, siv cov kev daws teeb meem nrog cov khoom sib xyaw ua ke. Lub sijhawm ntau npaum li cas hauv lub cev yuav muab nrog cov as-ham nkaus xwb ntawm txoj kev ua niam txiv yog nyob ntawm qhov hnyav ntawm kev ua haujlwm thiab seb yuav ua li cas lub sijhawm tom qab tau yug menyuam.

Feem ntau, tom qab ob rau peb hnub, kev noj haus sib xyaw ntau tau muab rau noj, uas tuaj yeem kav ntev li ob asthiv. Lub plab zom mov yog hloov maj mam hloov mus rau cov zaub mov ntuj, ua ntej siv kev sojntsuam, tom qab ntawd ib txwm muaj. Kev mob siab rau thaum lub sijhawm no maj txo. Txoj kev hloov mus qeeb heev:

• ua ntej, tus neeg mob tsuas yog muab dej lossis ib qho rosehip decoction,
• rau ob peb hnub tom ntej no, cov ntawv qhia zaub mov suav nrog cov tshuaj yej tsis muaj zog thiab kua zaub zom zaub ua kua,
• tom qab ntawd ib qho me me (tsis pub dhau 150 g) ntawm cov txhuv lossis buckwheat cereal hauv mis, mashed thiab diluted nrog dej, yog qhia rau hauv cov khoom noj txhua hnub,
• tom qab lwm peb lossis plaub hnub, tus neeg mob tau raug tso cai kom noj cov khaub noom dawb ntawm cov qhob cij dawb, zaub ntxuav, zaub mov dawb, tsis qab zib, ntxiv rau lub porridge tsis ntau tshaj li ib feem peb ntawm ib me nyuam diav ntawm butter (qab zib los yog zaub),
• tom qab li ntawm ib lub limtiam, txoj kev noj haus tau "diluted" nrog cov tais los yog nqaij ntses minced nqaij ntawm cov zaub mov muaj ntau yam (soufflé, meatballs), omelet los ntawm ib qho protein (raws li kev xaiv - qe dawb, qe muag-hau qe), kua los ntawm nqaij qaib uas muaj roj tsawg,
• ntxiv rau cov tais diav tseem ceeb, koj tuaj yeem haus tshuaj yej hibiscus, mashed qos yaj ywm thiab txiv mab txiv ntoo uas tsis muaj qab zib, mis, cov kua mis nyeem qaub uas muaj roj tsawg.

Yuav ua li cas npaj cov zaub mov hauv tsev tom qab phais mob pancreatic?

Nws raug nquahu kom ua raws li kev noj haus no tom qab kev phais mob phais mob tsawg kawg yog peb mus rau plaub lub lis piam. Los ntawm lub sijhawm ntawd, tus neeg mob, raws li txoj cai, yog twb hloov mus rau kev kho mob hauv tsev, thiab yog tias nws tus mob txhim kho, cov tais diav tshiab tau qhia rau hauv kev noj haus. Kev nthuav tawm ntawm cov ntawv qhia zaub mov yog vim li cas los ntawm cov khoom lag luam nrog cov muaj protein ntau, thaum txo cov khoom noj carbohydrates thiab cov rog kom tsawg.

Tseem ceeb: kev noj zaub mov hauv tsev tom qab kev phais mob rau kab mob yias yias ua kom yuag yauv tsum yuav tsum ua raws li cov cai khoom noj khoom haus tau teev saum toj no.

Cov load ntawm txoj hnyuv yog nce ntau maj. Nws yog ib qho tseem ceeb uas saib xyuas seb lub cev ua li cas rau kev qhia txog cov khoom tshiab hauv cov ntawv qhia zaub mov. Nws yog qhov yuav tsum tau sab laj nrog tus kws kho mob soj ntsuam txog kev kho zaub mov kom zoo yog tias cov tsos mob tsis zoo tshwm sim hauv daim ntawv mob plab, tso quav (mob raws plab lossis, ntawm qhov tsis haum, ua rau tawv ncauj tas li), xeev siab.

Peb pom zoo kom koj txheeb xyuas cov tsos mob ntawm lub plab voos Syndrome no.

Yuav ua li cas nrog quav tso zis?

Cov neeg mob tom qab phais mob pancreatic feem ntau txhawj xeeb txog quav tawv. Txog kev tiv thaiv thiab kho cov teeb meem no, cov zaub mov muaj fiber ntau tau ntxiv rau tus neeg mob lub cev, uas txhim kho plab hnyuv, tab sis tsis nce fermentation thiab tsim roj. Hauv cov ntawv tshwj xeeb, cov khoom lag luam zoo li no:

• cov nplej tshwj xeeb cov nplej (nag hmo), xua, hmoov nplej,
• tej zaub hau los siav los ci - zaub paj, carrots,
• decoctions thiab infusions ntawm cov txiv hmab txiv ntoo qhuav, kua zaub ntug hauv paus,
• cov khoom noj siv mis - muaj roj tsawg pureed tsev cheese lossis kua mis nyeem qaub.

Koj tuaj yeem noj dab tsi, thiab cov khoom noj twg yog qhov zoo tshaj plaws?

Hauv cov lus hauv qab no yog cov npe uas tau tso cai thiab txwv tsis pub siv tom qab phais mob pancreatic (suav nrog pancreatectomy) cov khoom. Kuj tau qhia yog cov uas tuaj yeem siv nrog qee qhov kev txwv.

Peb qhia koj kom pom cov ntawv qhia rau ncuav ci tsis pub gluten rau cov cooker qeeb.

Nyeem: Yuav siv cov tshuaj Solcoseryl li cas.

Piv txwv ntawm cov ntawv qhia zaub mov tom qab phais kab mob phais

Raws li cov khoom lag luam saum toj no, koj tuaj yeem ua tej yam zoo li cov ntawv no:

• thawj zaug noj tshais - casserole (tuaj yeem hloov nrog mis mov nplej porridge),
• noj su - taub dag (lossis paj npleg zaub ntug) thiab hnia,
• pluas su - kua zaub nrog ntxiv ntawm cov zaub mov thiab ib qho nqaij ntses (ntses lossis nqaij), ntawm ob - ib qho zaub ntxuav, ntawm peb - ​​hibiscus lossis tshuaj yej tsis muaj zog,
• khoom txom ncauj rau yav tav su - curd soufflé los yog yogurt nrog ncuav qab zib biscuit,
• thawj noj hmo - chav ua mov omelet ua los ntawm cov nqaij qaib lossis nqaij qaib (ntses) cov nqaij ntses,
• thib ob noj hmo - khob haus kua txiv (piv txwv li, txiv pos nphuab) lossis kefir.

Tom qab phais kab mob phais, kev qee qhov kev txi gastronomic tsuas yog tsim nyog. Thiab tsis tas li txawm tias ib qho kev noj haus nruj me ntsis tej zaum yuav tsis txaus nyiam thiab tsis qab dab tsi li nws yuav zoo li thaum xub thawj siab.

Kuv yuav noj dab tsi tom qab phais tas?

Ntau nyob ntawm lub sijhawm ua khoom noj khoom neeg tsim. Niam txiv txoj kev sib haum xeeb yog tsim nyog rau cov neeg mob niaj hnub rov kawm dua lossis lwm yam kev phais mob nyuaj ua tiav. Lub sijhawm ua haujlwm ntawm cov khoom noj khoom haus zoo li kav ntev txog 10 txog 12 hnub. Qhov no yuav pab txo qis kev daws teeb meem tom qab.

Hauv kev ua haujlwm tsis tshua muaj txiaj ntsig, kev hloov mus rau kev noj zaub mov noj siv txoj hnyuv plab feem ntau yuav tshwm sim tom qab 6-7 hnub. Qhov no tso cai rau koj los ua kom lub cev ntws zoo ntawm cov txheej txheem hauv lub cev, nrog rau tsim cov kev mob ua kom muaj kev thaj yeeb nyab xeeb rau cov txheej txheem ntawm cov kabmob tseem ceeb.

Thaum kho dua tshiab, khoom noj muaj txiaj ntsig niam txiv ib feem siv. Qhov no pab txhawb kev ua tiav ntawm kev mob plab hnyuv mus rau kev mob tom qab.

Tom qab hloov mus rau kev noj haus zoo li qub, tus neeg mob tau noj zaub mov noj No. 0a. Tom qab phais mob ntawm tus txiav, nws lub sij hawm yog los ntawm 5 hnub rau 1 lub lis piam.

Tom qab ntawv, kev noj haus kev noj haus No. 1a muab rau tib lub sijhawm. Nws ua rau kom hloov cov protein-lub zog tsis txaus.

Tom qab ntawd tus neeg mob pauv mus rau kev noj haus No. 16. Ua raws kev noj haus li 5 rau 7 hnub. Tom qab ntawd 1 qhov kev xaiv ntawm kev noj haus No. 5p tau muab rau. Tus neeg mob pom zoo ua raws nws li 45-60 hnub. Tom qab ntawd, nyob rau lub sijhawm xyoo, tus thib 2 variant ntawm kev noj haus No. 5p yog kho.

Nta tom qab kev noj zaub mov khiav lag luam

Ib tug neeg mob uas tau txiav tawm lub voos thawj 2 hnub ua raws kev yoo mov thov zaub mov noj. Tom qab ntawv, cov hom kev ntawm sparing zog raug muab.

Kev noj zaub mov zoo pib txij li 3 hnub. Txhawm rau zam kom tsis txhob muaj teeb meem, tus neeg mob yuav tsum paub dab tsi noj tom qab phais mob.

Cov khoom lag luam hauv qab no raug tso cai:

1. Unsweetened tshuaj yej nrog cracker.
2. Meej kua zaub.
3. Porridge nrog buckwheat lossis mov.
4. Chav protein omelet.
5. Nag hmo lub khob cij dawb.

Tshuaj yej tsis muaj suab thaj nrog cov kab nrib pleb raug tso cai thaum pib. Pounded kua zaub tuaj yeem noj tsuas yog tias tsis muaj kev cuam tshuam tom qab ua haujlwm. Thaum npaj cov cereals, tso kua mis homogenized raug tso cai. Nws yog diluted nrog dej. Lub ncuav dawb tuaj yeem noj tau txij hnub 6 xwb.

Tso cai rau noj cheese-tsev muaj roj tsawg. Yog hais tias tus neeg mob mloog zoo, tom qab ntawd ib hnub nws raug tso cai kom noj li 15 gram ntawm butter zoo.

Yog tias muaj ob peb txoj hlab ntshav txiav tawm ntawm tus txiav, tus neeg mob yuav tsum xyuas kom nws cov zaub mov tsis tshua zoo rau thawj 14 hnub. Tom qab txog 7-8 hnub, nws tau tso cai rau cov zaub mov sib txawv nrog cov ntses dej ntses, ib qho me me ntawm cov nqaij ntshiv.

Ua ntej, cov zaub mov yog siav los ntawm chav. Tom qab ntawd tus neeg mob cov khoom noj tuaj yeem noj nrog cov zaub mov siav. Tom qab phais tas, "cov yuag" carbohydrates thiab cov rog uas hloov nrog cov protein.

Ua ntej koj khwb, koj yuav tsum haus 150-180 grams yogurt. Cov khoom no tuaj yeem hloov nrog zib ntab tshiab lossis dej rhaub.

Cov khoom noj khoom haus kev txwv

Nws pom zoo kom txo kev siv cov khoom qab zib, rog, qe, txuj lom. Koj tuaj yeem them ob peb daim marmalade zoo. Rau ib hnub, nws raug tso cai kom noj ntau txog 100 g ntawm waffles tsis tau sau thiab 3 litres. apricot jam.

Raws li cov qauv tseem ceeb ntawm kev noj zaub mov noj, 2-3 zaug hauv ib lub lis piam tus neeg mob tau noj 1 qe protein. Lawv zoo txaus rau kev zom zaub mov. Yolks yuav tsum tsis txhob noj, vim tias lawv muaj cov roj ntau.

Thaum nruab hnub, nws yog ib qho tsim nyog kom haus 1 tablespoon ntawm txiv roj roj. Thaum ua noj, nws raug tso cai rau siv me me ntawm vanilla qab zib, ntsev hiav txwv, cinnamon.

Kev Tsim Kho Tsis Tau

Kev noj haus tom qab kev phais mob ntawm tus txiav tsis ua rau kev siv cov khoom uas ua kom muaj cov enzymes ntau lawm. Txhawm rau kom zam dhau qhov ua rau mob hnyav, nws raug nquahu kom tsis suav nrog koj cov zaub mov noj:

• kib zaub mov
• cov khoom noj muaj roj
• hmoov
• khoom qab zib
• muab nqaij noj
• cov kaus poom zaub mov
• cov hnyuv ntxwm
• mayonnaise
• txiv hmab
• qaub txiv apples
• txiv kab ntxwv
• hoob pob
• txaij
• dawb cabbage
• nceb
• dib, txiv lws suav,
• turnip
• txiv duaj, txiv kab ntxwv qaub, kua txiv, kua txiv kab ntxwv,
• dej txias
• muaj zog tshuaj yej, kas fes,
• txiv qaub.

Nws yog txwv tsis pub haus cawv. Koj muaj peev xwm tsis tuaj yeem haus txawm tias haus dej cawv tsawg.

Khoom noj khoom haus rau pancreatic necrosis

Nrog cov kev mob siab dua ntawm kev txiav tus mob pancreatic necrosis, tus neeg mob yog kws kho ua haujlwm. Tom qab ntawd, tus kws kho mob tawm tswv yim los noj ib ce nqaij. Lub hom phiaj tseem ceeb yog ua kom muaj lub siab ntev tshaj plaws ntawm lub txiav.

Ib tus neeg yog qhia tias kev siv qhov ntau ntawm cov kua dej sov. Qhov txiaj ntsig zoo rau lub cev yog kua zaub nrog buckwheat thiab mis nyuj haus. Rau nws cov kev npaj, nws raug nquahu kom siv cov khoom ntawm 3.2% cov ntsiab lus rog. Nws raug tso cai rau lub caij ua kua zaub nrog 1 tsp. 60% butter. Qab zib yog undesirable.

Thaum tus neeg mob qhov mob nyob tus yees, nws tau tso cai rau ntau yam kev noj haus. Tus neeg raug tso cai kom noj cov nqaij patties ua noj los ntawm chav rhawv. Minced nqaij zoo dua los siv nqaij nyug. Nws raug nquahu kom hloov cov paj noob hlis nrog txiv roj. Hloov ntsev, nws yog qhov zoo tshaj plaws los siv ntsev hiav txwv.

Txhua yam hloov ntawm cov khoom noj khoom haus hauv kev noj qab haus huv hauv pancreatic necrosis tom qab kev phais mob tau tham nrog tus kws kho mob plab zom mov. Kev noj haus yuav tsum tau ua raws li tsis tsuas yog lub sijhawm kho mob, tab sis thoob plaws lub neej.