Hoʻohālikelike nā loli i ka pancreas
ʻO ka wehewehe e pili ana i 19.03.2018
- Kupanaha: hopena hopena ma hope o 14-21 lā
- Nā lā: 1-6 mahina / mau
- Uihana Hua: 1600-1700 rub. i kela pule
Nā rula nui
ʻO ka wehe ʻana i nā loli i ka pancreas (pancreas) ʻike ʻia e ka ultrasound a hōʻailona i kahi hoʻololi o ke ʻano o ke kiko o ke kino. ʻO ka heleʻana o nā loli like ʻole / ko lākou ʻano i ka hele ʻana o nā maʻi a i ʻole nā loli o nā makahiki i pili i ka pancreas. ʻO ka maʻamau, he ʻano homogeneous ka ʻōnaehana gland. I mua o kahi kaʻina hana maʻi maʻi, lilo ka iwi i ka ʻeha, hoʻoneʻe i nā maʻi momona a momona, a me nā wahi o ka helu a me nā alana e kūkulu ʻia i loko. ʻO nā hōʻailona o nā lono e pili ana i nā loli o ka pancreatic kiko e loaʻa ana: hoʻonui / hoʻohaʻahaʻa i ka echogenicity (ʻoi aku ka māmā o ke kiʻi / ʻeleʻele), hoʻonui i ka echogenicity me ka pūnaehana hyperechoic, i nā alala ʻole, hoʻonui ʻia / hōʻemi i ka nui o ka pancreas e kūʻē i ka fibrosis.
ʻO nā ʻano nui o nā loli hoʻololi i ka pancreas:
- Lipomatosis (momona degeneration), kahi i hoʻopili ʻia ai ka pancreas parenchyma (pancreatocytes) e ka adipose tissue (adipocytes). ʻOi aku ka maʻamau i nā poʻe kahiko a me nā poʻe makua maʻi maʻi.
- ʻŌpotia - ka hoʻokaʻawale ʻana i nā kiko o ka prostate me nā kāpili pili.
Hiki ke hoʻolaha ʻia nā loli a me ke ʻano maʻalahi. ʻO ka loli maʻalahi i loko o ka pancreas he ʻano ʻano o ka hoʻomaka mua ʻana o ke kaʻina fibrosis / lipomatosis, kahi i ʻike ʻole ai ka hemahema o ka enzyme. E hele pū me ka hoʻopiʻi o ka ʻuhane ma hope o ka ʻai, ka ʻoluʻolu, ka hōʻeha ʻana o ka hōʻeha ʻana ma ka wahi o ka epigastric, nā maʻi hōʻuluʻulu kūloko. I ka ultrasound i hōʻike ʻia ai ʻoi a me ke kani o ka pancreas, (kahi hui o nā wahi o ka hoʻonui a emi i lalo). ʻO ke kumu nui o nā loli ākea i lōkohu mālie / edema o ka pancreas. I mea e pale ai i ka holomua o nā loli, e kau ʻia ka papaʻai me ke ʻano conservative maʻamau.
Hōʻailona ka ʻike ʻana i nā loli hou i nā kūlana holomua (pinepine ʻia nā maʻi) o ka mea make, e hele pū ana me ka hapa o ka enzymatic a hele pū ʻia me ka hoʻowalewale ʻana, hōʻemi i ka hoʻemi ʻana, hoʻemi ʻana ke kaupaona ʻana, a me ka hana hewa ʻole. ʻO ka hoʻohuli i nā loli, i ke ʻano he lula hou, ʻaʻole hoʻi i huli hou ʻia. ʻO ka lapaʻau, ʻo ka hoʻohui ʻana i ke ʻano conservative maʻamau, pili i ka wae ʻana o ka hoʻoulu ʻana o ka enzyme.
Hoʻomaopopo ʻokoʻa ka hoʻonui ʻana i nā loli i ka hōʻailona o ka hōʻeha ʻana i nā maʻi maʻi o ka kelepona (aʻokiʻoki / maʻi pancreatitis). Hōʻike ka Ultrasound i ka hoʻonui ʻana / ʻūlū o ka nui i ka nui o ka pankreas, ua ʻōnoʻo ia nā contour fuzzy, hoʻemi ʻia ka chogenicity ma muli o ka hoʻomohala ʻana i kahi edema i haʻi ʻia, ʻo ka echostructure o ka kiko heterogeneous ma muli o ke ʻano o nā wahi hypoechoic, he mau wahi o ka necrosis, aia kahi hoʻonui ʻana o ka pankocatic, i kekahi mau kūlana pseoc. I ka poʻe maʻi maʻi kahiko, hiki i nā loli kuihue ke lilo i hōʻailona o ka hoʻololi ʻana i ke ʻano o ka nui o ke kino momona me nā momona momona me ka hoʻopili ʻana.
ʻO kaʻai ʻana me nā lula ʻē aʻe i ka pancreas kahi mea waiwai i ka mālama ʻana i nā manawa āpau o nā maʻi maʻi pancreatic. Hoʻokumu ʻia ka mea lapaʻau hauola ma ka maʻamau Mea ʻai №5P a hiki iā ʻoe ke hōʻemi i ka stasis ma nā papa, hoʻohiolo i ka hyperfermentation i ka wā ʻoi a hoʻomaikaʻi i nā hana kūloko ma ka pancreas, hoʻihoʻi i kāna hana i ke ʻano maʻi. I loko o nā kūlana koʻikoʻi, nā pahuhopu nui o ka mālama ʻana i nā meaʻai: ʻo ka pani ʻana i ka hana o ka wai pancreatic, ka mea i loaʻa e ka pōloli a me ka hoʻomaha hoʻomaha moe.
I ka wā mua, ke hōʻike ʻia nei ka mea maʻi e inu wale ana: kaʻaʻa rosehip, kīwīwaliwali, ka wai alkaline wai (Borjomi, Essentuki No. 17), ka wai ʻūa ma ka lumi ʻana o ka lumi ma nā wahi liʻiliʻi. Hūlū, ma ke ʻano he kānāwai, ma muli o ke ʻano o ka mea maʻi e kuhikuhi ʻia no nā lā 1-3. ʻOi aku ka hoʻomaka o ka hoʻonui ʻana i ka meaʻai me ka hōʻuluʻulu ʻana o nā huahana hou, ka hoʻonui ʻana i ka nui o ka meaʻai a me kāna kinona o ka calorie me ka kiaʻi ʻana o ka mechanical / chemical sparing of the gland.
Kaiʻai 5P ʻElua mau koho: ke koho mua ʻia ʻana o ka koho ma hope o kahi pōloli me ka pancreatitis a i ʻole he exacerbation o ke ʻano maʻi. Hoʻopili kēia koho meaʻai i ka ʻeha a hāʻawi i ka spre pancreas kiʻekiʻe. ʻO nā mea kanu i kēia manawa he haʻahaʻa o ka calorie, ʻaʻole i kūpono i nā hana physiological (80 g o nā protein, 40-60 g nā peʻa a me 200 g o nā hōʻalo, a me nā calorie ma ka pae o 1500-1600 kcal / lā) a hiki ke kuhikuhi no ka manawa ʻaʻole iʻoi aku ma mua o 4-6 mau lā. Hoʻopili i nā manawa 6 i ka lā, ma nā wahi liʻiliʻi liʻiliʻi (a hiki i 100 g).
ʻO ka nui o ka wai manuahi a hiki i 1.5-2.0 l, ʻo ka sodium klorika ʻo 8-10 g. ʻO ka kaila pono ke loaʻa i nā huahana konsistra semi-fluid a hiki wale i nā lā 6-7 ke hāʻawi ʻia i nā kīʻaha semi-viscous. Ka hoʻohaʻahaʻa ʻia ka pona pancreatic e nā meaʻai kākā, ʻo ia ke kumu i komo pū ai me ka pōʻaiʻai - cereals wai hoʻōla ʻia, decoction huapalaʻi, ʻono palupalu slimy, ʻaila keʻokeʻo / ʻaihue, huaʻai palupalu, ʻōpala palupalu me ka kō, nā hua aʻa ʻia mai loko o ka wai hua me ka xylitol. Mai nā lā 2-3, ua hoʻokomo ʻia nā meaʻai o ka protein i loko o ka meaʻai: ka ʻeke kīwī mai nā hua moa, curd paste, cereals ma ka waiʻu i hoʻoheheʻe ʻia, ka ʻono ʻaʻī mai ka ʻano i hānai ʻia, ka ʻono ʻono / iʻa, ʻokiʻoki kiki, mau heihei, pipi.
Me ka hoʻomaikaʻi ʻana o ka hana kūlohelohe a me ka hōʻemi o ka ʻeha, ua koho ʻia ke koho lua, kahi mea e hoʻopiha ai i ke kino kūneke (100-120 g o ka protein, 70 g momona a me 350 g o nā paʻakai) ma kahi o ka mea maʻi me ka haʻi e hoʻohuli i nā loli i ka pancreas e pono ai ka lōʻihi (6-12 mau mahina ) Kuke ʻia ka meaʻai i loko o kahi ʻano i hoʻolapalaha / ʻōmole, holoi ʻia nā kīʻaha, a ma hope aku - ʻoki wale. Maʻa liʻiliʻi ka meaʻai, ma nā wahi liʻiliʻi. I nā hihia o ka lawa o ka hoʻoweliweli ʻana o ka hapa o ka protein, ua hoʻemi iki ʻia ke ʻano o ka protein, ʻoiai e hoʻonui ʻia ka ʻike o ka hāleʻe. Nā mea ola / kīpona (nā iʻa iʻa, nā ʻiʻo a me nā mea ʻona o nā iwi, nā mea inu wai i lawena ʻia, nā meaʻai iʻa ʻia, nā mea kanu huaʻai a hua ʻole. ʻO ka paʻakai - a hiki i 6 g. Ua hōʻike ʻia nā meaʻai e kālai ana i nā enzyme proteolytic i loko o ka meaʻai: ka hua keʻokeʻo keʻokeʻo, nā ʻuala, ka oatmeal, soybeans.
I ka wā o ka kala, ua hoʻolilo ʻia ka papa inoa o nā huahana, ua hoʻokomo ʻia nā mea kanu i ka puka maka, me nā kīʻaha kūʻokoʻa, a i ka ʻano o nā vinaigrettes, salads, nā kīʻaha ʻaoʻao. Ua kuke ʻia nā mea ʻai i mea ʻole ʻia, e hoʻomaikaʻi i ka ʻono, hoʻohana i nā ʻano i kūʻokoʻa kūʻokoʻa. I ke kala ʻana ke kala, pono ia e lawe i nā wai minuke o ka mineralization medium me kahi papa o 3 pule. I ka pancreatitis kūlohelohe, mālama ka meaʻai i ke ola.
Hoʻohana pū ʻia me nā loli like ʻole o ka pancreas i nā lā wikiwiki i hoʻokahi pule ma ka hebedoma ma nā huahana i hoʻohālikelike ʻia (oat, ke kīwī, keʻa kīwī, hua, hua wai, wai wai, pala). No ka hoʻopauʻana i nā hana kūnaʻi, ua kuhikuhi ʻia nā mea maʻi Kahi. ^ E Ha yM. Ma ke kaʻina hana lapaʻau, hiki iā ʻoe ke hoʻohui i nā mea lapaʻau o nā kānaka (kahi inu mai chicory, kahi decoction mai burdock, kahi inu mai nā oats). Me nā pathology hui like (cholecystopancreatitis, gaugitis, gastroduodenitis) Hoʻololi ʻia ka meaʻaiʻaiʻai e like me ka meaʻai no kekahi maʻi kūikawā.
Nā ʻĀina huahana
Meaʻai ʻole no ka hoʻololi ʻana i nā loli i ka papa pancreas:
- ʻO nā hupa i ka mauʻu i hoʻomoʻa ʻia me nā kuala a ʻāpala ʻia i hoʻōla ʻia, ʻono ʻia i ka pata, ka ʻala ʻala, kaʻaila.
- ʻO nā cereal (buckwheat, semolina, oatmeal, kahi laiki) i kuke ʻia i ka wai a lawe ʻia i ka papa me ka hoʻomau pinepine ʻia.
- Keliʻi ʻia / kālai ʻia, kāloti, nā ʻuala, ka pākiki, kaopala, nā iʻa uliuli, beets. Ma hope mai - ʻoti mau kāmoti / paukena a me nā kukama kūpaʻa, ʻōpala i ʻoki
- ʻO ka iʻa haʻahaʻa haʻahaʻa (kālai, pike perch, hake, cod, perch, pike, pollock), steamed / iʻa ʻia i loko o kahi ʻāpana a i ʻole ke ʻano o ka cutlets.
- ʻO ka ʻiʻo momona paʻu (pipi, veal), ʻai manu, moa i loko o ke ʻano o nā huahana mea ʻala (meatballs, meatballs, souffles, meatballs), steamed. ʻO ka moa iʻa ʻia / kelepona i ʻai ʻia i nā ʻāpana.
- ʻO nā huahana waiū waiū o ka haʻahaʻa haʻahaʻa haʻahaʻa. Ke ʻae ʻia ka waiū a hoʻohui ʻia i nā kīʻaha. ʻŌmole waiū - ma ke ʻano mālama ʻana no nā kīʻaha, ʻīwī paloma i loko o nā ʻano pā.
- ʻO nā omelets protote (1 huaʻai i kēlā me kēia lā).
- He palaoa palaoa palaoa, biscuit cookies.
- Kūkulu i ka home i ka mea momona hua me ka hoʻohui o kaʻaila a me ka waiū.
- Nā huaʻala - i ka wā lahilahi, ʻāpala i mau ʻala maikaʻi. Nā hua maloʻo. Ma hope mai - jelly, mousse, kukui. I ka hana kala ʻana, ʻae ʻia nā huaʻai hua ʻai / hua mua ma ke ʻano kala.
- Ma hope o ka exacerbation, mālama pono nā umauma i nā mea mua, mua - pata, a ma hope - ka ʻālana ʻia.
He aha nā hoʻololi hoʻololi pancreatic a me kā lākou mau hōʻailona
Ua unuhi i ka lāʻau lapaʻau kēia ʻaʻole he maʻi, akā he ʻoiaʻiʻo i nānā ʻia ma kahi scan ultrasound. ʻAuhea ke pancreas i nā kānaka? Aia ia ma hope o ka ʻōpū ma ka pā hope o ka ʻōpū o ka ʻōpū, ʻokoʻa i ka hypochondrium hema. Hana ke kino i kahi hana exocrine a hoʻopili i nā hormones. Hōʻike ka hoʻohālikelike ʻana i nā loli i ka hana i ka hōʻemi a hoʻonui ʻana paha i ka echogenicity - kahi hōʻailona o ka nānā ʻana i ka ultrasound ma kekahi ōiwi hāpana. I nā wā mua, ʻike ʻia nā kā aʻe:
- aila hupa
- i nā kihi ʻokoʻa
- tiakumuha o na kahaha.
Hoʻohālikelike i nā loli i ka parenchyma pancreatic
Hiki ke hoʻopili ʻia ka mea ʻala ʻia i nā ʻōpala, nā puʻu momona. Parenchyma - kahi hoʻonohonoho o nā hana e pili ana i nā hana o ka nui, ka hoʻololi i ka hopena o kona kū. Hiki i ka maʻi āpau ke huli i loko o kahi pilikia i ke keiki. Aia ke kumu o ka maʻi pancreatic ma ka hoʻopili ʻana o ke kino. Me kēlā mau ʻōlelupa, e pale ʻia kāna hana. Ua hoʻonāukiuki ʻia ka ʻatikala mākaʻikaʻi ʻia e:
- meaʻai nā meaʻai
- makemake no ka paʻakai, ka ʻala, ka aila,
- mau ʻano maikaʻi
- hopohopo, hoʻāhewa ʻia,
- makahiki
- nā maʻiʻeha.
Hoʻololi i nā loli
I ka hapanui o nā hihia, ʻaʻole ia e hoʻokūkū i kēlā me nā hōʻailona i ka leʻaleʻa, ʻaʻole pono ia i ka maʻi. He mahele kuʻina i nā loli a puni ka parenchyma. Inā he mau hoʻopiʻi, ka nānā ʻana o ka hana o ke pancreas, ate, ka ʻōpū, a me nā mea ʻuʻina hana ʻē aʻe. Hoʻopili lākou, a ʻano like nā hōʻailona o ka maʻi me nā pilikia me kēia mau kino.
Ma ke ʻano o lipomatosis
Hiki ke loli iki ka piha o ka parenchyma i nā hua momona. Ke hoʻomau nei ke kāohi i ka pae o ka pae o 30%, ʻaʻole kokoke i ka mea maʻi ka hū. Hoʻohui ka ulu ʻana o ka iwi adipose me ka maʻi palupalu, kahi laʻala, a me nā mea hōʻeha. Hoʻomaopopo pinepine aku i nā kānaka i nā makahiki, nā maʻi me ka maʻi maʻi. Inā hele ke kaʻina hana, alakaʻi kēia i nā hana hoʻohaunaele ma ka hana o ke kino.
Hana ʻana me ka hoʻoponopono ʻana o nā kānaka
ʻAʻole hoʻonā ka pathology lehulehu i ka hoʻoweliweli i ke ola, akā ʻaʻole hiki ke mālama ʻia. Hoʻokomo wale nā mea ʻuʻuku liʻiliʻi. I kekahi mau manawa'ē aʻe, ke kauka nei ke kauka i kahi mea ʻai no nā maʻi o ka pancreas, nā lāʻau lapaʻau no ka mālama ʻana i nā hōʻailona o ka maʻi, ka hoʻololi hou ʻana (me nā enzymes). Loaʻa i nā lāʻau kūlohelohe a me kāna kumu ponoʻī - e hōʻoluʻolu ana i kahi maʻi a me ka hoʻōla lohi.
ʻO ka ʻōmaʻomaʻo Oatmeal kahi kumu nui i ka mea nui i ka hoʻomākaukau mua i ka waihona. ʻO kahi pahu wai 3 mīlī 1/3 moe hiamoe me nā huaʻa palaoa ʻokiʻoki, ninini ma luna o ka lei me ka wai paʻa. A laila:
- E like me ka moʻomeheu starter, e hoʻohana i ka kīʻaha o ke kīʻaha kehi he 0.5, a i ʻole kahi lau o ka palaoa rye.
- Ke kuhi ʻia ka mea hana no ka hoʻomalu no 3-4 lā.
- Kānana, hoʻopaʻa i nā hola 12, hoʻoheheʻe i ka wai, waiho i ka mānoanoa i loko o ka friji.
- Kissel - 8 tbsp. la l sediment me ka 2 mau aniani o ka wai - 5 mau minmer simmer ma luna o ka wela wela.
- ʻAi ma mua o ka ʻaina kakahiaka. Ua ʻae ʻia e hoʻohui i ka waiū, kaʻaila.
Ua hoʻomākaukau ʻē ʻia ka waiʻai iʻa me nā oats. Hoʻopili ʻia nā mea kanu a hoʻāwili ʻia: 4 mau ʻāpana purulent papale, 5 mau wahi o ka pakiaka fennel, 4 mau ʻāpana o ka centaury, 1 ʻāpana o ka lemona lemon, 6 mau ʻāpana o nā waiū. Pehea e kuke ai a hoʻohana:
- Ke Kuhi Mokuhi. L o nā mea kanu e lawe i ka 0.5 l o ka wai hoʻolapalapa.
- 2 mau minuke i ka wela wela. A laila he 1 hola e koi ai.
- E inu i ka momona o 50 ml ma mua o ka ʻaina kakahiaka, a me ka ʻaina awakea.
He mea maʻalahi ia e hoʻomākaukau i ka infusion me ka sage.
- Kāwili ʻia i ka lā 3 tsp. kalendula, 2 tsp puna, 1 tsp hao hao.
- E ninini i ka pāwili me ke aniani o ka wai kō.
- ʻĀpono, kānana. Inu i nā ʻāpana a hiki i ka 0.5 kīʻaha i ʻelua i ka lā.
Video: he aha ka hōʻailona o ka ultrasound o nā loli hoʻololi pancreatic?
Ka hoʻonui ʻia ʻana o ka echogenicity e hōʻike i kahi kaʻina hana, a i ʻole ka wehe ʻana i ka wehe ʻana i nā parenchyma kūlohelohe. ʻO nā pōpō pōpoki i ke aʻo ʻia e hōʻike pinepine ʻia i ka hemorrhage a i ʻole nā nekrosis o nā pona. Hoʻopau i ka echogenicity - no ka hiki ke hoʻonui i ka duct. Pehea e hōʻeha ai ka pancreas? Hōʻalo ʻole ka ʻeha a me ka nalu ʻole ma ka wahi hoʻokahi, e hāʻawi i hope. E nānā i ke wikiō, ʻoiai ʻaʻole ia he pōʻino i nā hōʻekele i hiki ʻole ke hoʻokuʻu ʻia i kahi manawa lōʻihi.