Mgbanwe mgbanwe na pancreas

Nkọwa dị mkpa maka ya 19.03.2018

• Arụmọrụ: ọgwụgwọ ọgwụgwọ mgbe ụbọchị 14-21 gasịrị
• Ụbọchị: Ọnwa 1-6 / na-adịgide adịgide
• Efu Ahịa: 1600-1700 nkp. kwa izu

Iwu izugbe

Mgbanwe dị iche na pancreas (pancreas) bụ ihe ultrasound achọpụtara ma nọchite anya mgbanwe nke usoro anụ ahụ. Ọnụnọ nke mgbanwe mgbasa / ụdị ha pụtara ọnụnọ nke ọrịa ma ọ bụ mgbanwe afọ nke metụtara afọ. Dị ka ọ na-adịkarị, anụ ahụ a na-ahụ maka ihe arụrụ ọrụ. Na ọnụnọ nke usoro mkpali, anụ ahụ na-acha ọkụ, na -ebi mmebi fibrous / abụba, ebe a na-ehibe klọọkụ na nkụ. Ihe omuma nke mgbanwe mgbasa na akwara nke puru iche na-abawanye: echogenicity mụbara / belatara (onyonyo dị mfe / ọchịchịrị), ịbawanye ụba nke echogenicity na hyperechoic foci, uneven contours, ịmụba / mbelata ogo nke pancreas megide fibrosis.

Changesdị mgbanwe nke ụdị mgbasa na pancreas bụ:

• Lipomatosis (abuba), nke eji eme aru aru (adipocytes) dochie anya pancreas parenchyma (pancreatocytes). A na-ahụkarị ndị okenye na ndị tozuru etozu na ọrịa shuga.
• Fibrosis - na - agbasawanye akụkụ nke prostate na usoro njikọ.

Enwere ike ịkọwa mgbanwe dị iche iche na agafeghị oke. Mgbanwe agafeghị oke na pancreas bụ njiri mara nke mmalite nke usoro fibrosis / lipomatosis, nke na-egotabeghị enzyme. Soro mkpesa nke ọgbụgbọ mgbe erichara nri, ahụ erughị ala, mgbu oge na mpaghara epigastric, nsogbu ọgbụgba nke oge. Na ultrasound kpughere enweghị nkwupụta izizi nke pancreas, (nchikota nke mmụba na mbelata). Isi ihe kpatara mgbanwe mgbanwe agafe agafe bụ pancreatitis dị nwayọọ / edema nke pancreas. Iji gbochie mgbanwe nke mgbanwe, a na-enye usoro nri nri ọkọlọtọ.

A na-ahụ mgbanwe mgbanwe egosipụtara na ọnọdụ ndị ọzọ dị elu (na-arịa ọrịa na-adịghị ala ala) nke anụ ahụ, na-eme ụkọ enzymatic ma na-eso mgbari nri, ụkọ protein, oke ibu, na imebi ọnọdụ izugbe. Mgbanwe mgbanwe dị iche iche, dịka iwu, anaghịzi atụgharị. Ọgwụgwọ, na mgbakwunye na usoro ọgwụgwọ ọkọlọtọ, na-agụnye nhọpụta ọgwụgwọ nnọchi enzyme.

Ọ na-anabatakarị na mgbanwe mgbanwe bụ ihe ịrịba ama nke ọnụnọ nke ọrịa mgbu nke gland (nnukwu / ọrịa na-adịghị ala ala). Ultrasound na-ekpughe ihe dị iche / mmụba nke mpaghara nke pancreas, o nwere fuzzy uneven contours, belata chogenicity n'ihi mmepe nke edema, usoro nke anụ ahụ bụ heterogeneous n'ihi ọdịdị nke mpaghara hypoechoic, nke bụ mpaghara nke necrosis, enwere mgbasawanye nke ebe a na-eme pacocic, n'ọnọdụ ụfọdụ. N'ime ndị ọrịa merela agadi, mgbanwe mgbanwe nwere ike ịbụ ihe nnọchi afọ nke nnọchi anụ ahụ gland nkịtị na nsị anụ ahụ na anụ ahụ jikọtara ya na afọ.

Nri nwere mgbanwe mgbanwe na pancreas bụ ihe dị mkpa maka ọgwụgwọ n'oge oge niile dị n'ọrịa dị iche iche. Clinical oriri na-edozi dabeere na kpochapụwo Nri №5P ma na - enye gị ohere iwelata stasis na ducts, na - ebelata hyperfermentation n'oge oke ma melite usoro metabolic na pancreas, weghachi ọrụ ya na ụdị ala. Na usoro dị oke mkpa, ebumnuche bụ isi nke usoro ọgwụgwọ nri bụ: ịkwụsị mmepụta ihe ọ juiceụ pancụ mmiri, nke agụụ na-enweta site na agụụ na izu ike siri ike.

N'oge mbido, a na-egosi onye ọrịa naanị ị drinkingụ mmanya: rosehip tii, tii na-adịghị ike, mmiri alkaline ịnweta (Borjomi, Essentuki Nke 17), sie mmiri na-ekpo ọkụ n'ime ụlọ n'ime obere akụkụ. Agụụ, dịka iwu, dabere n'ọnọdụ onye ọrịa ka edepụtara maka ụbọchị 1-3. Ọzọkwa, mgbasawanye nri na-amalite site na ntinye nke nwayọ nke ngwaahịa ọhụrụ, mmụba nke olu nri yana kalori ya site na iji nlezianya na-agbatị usoro ọrụ kemịkal / kemịkal nke gland.

5P nri O nwere uzo abuo: a na-enyezi nhọrọ nke mbụ mgbe oge agụụ gụsịrị ya na nnukwu ọrịa ụjọ ọ bụrụ na ọ na-arịa ọrịa na-adịghị ala ala. Nhọrọ nke nri a na - ewepu ihe mgbu ma na - eme ka akwara puru iche. Oriri na-edozi ahụ n’oge a bụ obere kalori, ọ dabaghị n’ihe gbasara physiological (80 g nke protein, 40-60 g nke abụba na 200 g nke carbohydrates, kalori na ọkwa nke 1500-1600 kcal / ụbọchị) ma enwere ike ịkọwa ya oge ọ na-erughị ụbọchị 4-6. Nri rue ugboro isii n’ụbọchị, n’otu obere akụkụ (ruo 100 g).

Ọnụego mmiri adịghị akwụ ụgwọ ruru 1.5-2.0 l, sodium chloride bụ 8-10 g. Okike ahụ kwesịrị ịnwe ngwaahịa na-agbanwe agbanwe nke mmiri mmiri naanị ka ụbọchị 6-7 ka enyere ịme ka esi nri ọkara viscous. Nri pancreatic nwere obere ihe mkpali site na nri carbohydrate, nke bụ ya mere eji etinye ha na nri nri mgbe agụụ - mmiri mashed ọka, ihe ịchọ mma, slimy sọks, achịcha stale / crackers, mkpụrụ osisi stewed, tii tii na-adịghị ike na shuga, ihe ọ juiceụ fruitụ mkpụrụ osisi jelii na xylitol. Site na ụbọchị 2-3, a na-ewebata nri protin n’ime nri: steepụ omelet sitere na akwa ọkụkọ, tapawa anụ ezi, ọka n’ime mmiri ara ehi a gwakọtara ọnụ, ofe ude site na anụ esiri esi, anụ esi / azu, ube achara nke toki, ọkụkọ, bọta.

Site na mmụba nke usoro nri na mbelata ihe mgbu, a na-ahọpụta nhọrọ nke abụọ, nke bụ nri nri anụ ahụ zuru oke (100-120 g nke protein, 70 g nke abụba na 350 g nke carbohydrates) na nke onye ọrịa nwere mgbanwe mgbanwe na pancreas kwesịrị ịdị ogologo oge (ọnwa 6-12) ) A na-esi nri ahụ n'ụdị esi esi mmiri / uzuoku, a na-ehichapu efere ndị ahụ, ma emesịa - naanị ata. Nri nri, na obere mpaghara. N'ihe banyere mgbaze nke protein na-ezughi ezu, a na-ebelata ọdịnaya protein ruo nwa oge, ebe ọ na-aba ụba ọdịnaya carbohydrate. Ewepụrụ / ngwaa akwara (azu azu, anu ya na ahihia nke okpukpu, ihe ọ alcoholu -u na-aba n'anya, nri eghe, akwukwo nri / nkpuru). Nnu - ruru 6 g. E gosipụtara na nri ndị na - egbochi enzymes proteolytic bụ nri: akwa ọcha, poteto, oatmeal, soybeans.

N'ime oge mgbaghara, ndepụta nke ngwaahịa na-agbasa, a na-etinyebe akwụkwọ nri n'ụdị raw, dị ka efere kwụụrụ onwe ya, yana na nchịkọta nke vinaigrettes, salads, efere akụkụ. A na-ete ofe na-etebeghị aka, iji mee ka uto dị mma, jiri sauces ndị a kwadebere n'adabereghị. N'ime ọkwa mgbaghara, ọ dị mkpa iji mmiri dị omimi were mepụta izu atọ. Na pancreatitis na-adịghị ala ala, a na-edozi nri ahụ maka ndụ.

Nri nwere mgbanwe mgbanwe na anụ a na - enyekwa ụbọchị ebu ọnụ otu ugboro n'izu na ngwaahịa na - adịghị contraindicated (oat, obi chiiz, cheese, mkpụrụ osisi, ihe ọ fruitụ fruitụ mkpụrụ osisi osikapa, anyụ, ugu). Iji wepu nsogbu nri, a na-enye ndị ọrịa ọgwụ Creon. N'ime usoro ọgwụgwọ, ịnwere ike ịgụnye ọgwụgwọ ndị mmadụ (ihe ọ fromụ fromụ sitere na chicory, ihe ịchọ mma site na burdock, ihe ọ drinkụ fromụ sitere na otis). Na jikọtara pathology (cholecystopancreatitis, eriri afọ, gastroduodenitis) a na-edozi nri nri na nri maka otu ọrịa.

Ngwaahịa hapụrụ

Nri maka mgbanwe mgbanwe na pancreas gụnyere:

• Mpekere na broths akwukwo nri nke nwere ogwu a mịrị amị nke ọma, nke nwere bọta, utoojoo, ude.
• Akara ọka (buckwheat, semolina, oatmeal, osikapa) esiri mmiri ma wetara ya ntụpọ.
• Sụchaa skwọsh, karọt, poteto, ugu, kọlịflawa, ahịhịa ndụ, beets. Ka oge na-aga - carrots / pumpkins na cucumbers, cucumbers na-achaghị acha.
• Azụ nwere obere nri (azu kaapu, pike perch, hake, cod, perch, pike, pollock), steamed / sie ya na mpempe ma ọ bụ n'ụdị cutlets.
• Anụ anụ na-acha ọbara ọbara (anụ ehi, anụel), anụ oke bekee, ọkụkọ n'ụdị mkpụrụ osisi bekee (meatballs, meatballs, souffles, meatballs), steamed. Enwere ike sie anụ ọkụkọ / oke bekee na iberibe.
• Achịcha mmiri ara ehi nke ọdịnaya nwere obere abụba. A na-ahapụ mmiri ara ehi ka etinye ya na efere. Utoojoo ude - dị ka sizinin maka efere, chiiz dị nro na mpempe grated.
• Omelet protin (1 akwa kwa ụbọchị).
• Achịcha ọka stale, kuki biskiiti.
• Ihe ndozi a na-eme n’ite n’ime ahihia n’iri nri na mgbakwunye nke uto uto / mmiri ara ehi.
• Mkpụrụ - na nnukwu oge, butere ụtọ apụl. Mkpụrụ osisi mịrị amị. Mgbe e mesịrị - jelii, mousse, swiiti. N'ime oge mgbaghara, a na-anabata mkpụrụ / udara ụkọ / berry n'ụzọ dị ọcha.
• Mgbe iwe dasịrị, a na-edozi abụba ahụ nke ọma, buru ụzọ - bọta, ma mesịa - sunflower a nụchara anụcha.

Kedu ihe na - agbasa mgbanwe pancreatic na akara ha

Medicine sụgharịrị nke a abụghị ọrịa, mana eziokwu hụrụ na nyocha nke ultrasound. Kedụ ebe pancreas dị na mmadụ? Ọ dị n'azụ afọ nke azụ nke oghere nke apịtị, akụkụ aka ekpe hypochondrium. Ahụ mmadụ na-arụ ọrụ exocrine ma na-arụ ọrụ homonụ. Mgbanwe mgbanwe dị iche iche na gland bụ mbelata ma ọ bụ mmụba na mmiri nke echogenicity - ihe ngosipụta nke echiche ultrasound n’otu njupụta akụkụ. N'oge mbido, achọpụtara ihe ndị a:

• mgbasa usoro dị iche iche
• mkpumkpu
• nkwanye ugwu nke ducts.

Mgbanwe mgbanwe dị na parenchyma nke pancreatic

A ga-enwe ike dochie ọnya anụ ahụ mebiri emebi, mkpụrụ ndụ abụba. Parenchyma - usoro nke ihe na-arụ ọrụ nke gland, mgbanwe nke na-emetụta ogo ya. Ihe nketa nwere ike ibu nsogbu di na nwata. Ihe kpatara oria akwara di na ngwakọta nke aru. Site na ihe mgbaàmà nkuzi dị otú ahụ, a na-emebi ọrụ ya. Usoro ihe omume na - akpata iwere:

• nri akpachapụghị anya
• na-achọ nnu, ose, mmanụ mmanụ,
• omume ojoo
• nchekasị, ndakpọ nke ụjọ,
• afọ
• ọrịa na-adịghị ala ala.

Mgbanwe mgbanwe na-agafeghị oke

N'ọtụtụ oge, ụdị ọrịa a anaghị akpata mgbaàmà na-adịghị mma, ọ chọghị ọgwụgwọ. Ọ bụ nkesa nke mgbanwe na parenchyma niile. Ọ bụrụ na -eme mkpesa, a na-enyocha arụ ọrụ nke akwara afọ, imeju, eriri afọ, na akwara ndị ọzọ. Ha jikọtara ọnụ, ihe mgbaàmà nke ọrịa ahụ na nsogbu yana akụkụ ndị a yiri.

Site na ụdị lipomatosis

A pụrụ iji mkpụrụ ndụ abụba dochie akụkụ ahụ parenchyma. Ọ bụrụhaala na-edochi mkpụrụ ọgwụ ahụ ruo ogo 30%, onye ọrịa ahụ agaghị enwe nsogbu ọ bụla. Uto anụ ahụ nwere ihe jikọtara ya na mbufụt na-egbu egbu, ọnya na-egbu egbu, na mmerụ ahụ. A na-ahụkarị na ndị agadi, ndị ọrịa na-arịa ọrịa shuga. Ọ bụrụ na usoro ahụ na-aga n’ihu, nke a na-eduga n’agha na ọrụ nke ahụ.

Ọgwụ ọgwụgwọ na ọgwụ ndiife

Otutu ogwu adighi ebi ndu ya, ma enweghi ike gwọ ya. Naanị obere mkpo akụkụ nwere ike iwepu. N'akụkụ ndị ọzọ, dọkịta na-edepụta nri maka ọrịa nke ọrịa pancreas, ọgwụ maka ọgwụgwọ nke mgbaàmà nke ọrịa ahụ, ọgwụgwọ nnọchi (gụnyere enzymes). Ọgwụ ọdịnala nwere ụzọ nke ya - belata ọrịa ma jiri nwayọ gwọọ.

Jelụ Oatmeal bụ ụzọ dị mkpa iji buru ụzọ dozie ntọala ahụ. Nnukwu ite 3/3 n'ụra nwere oke mkpụrụ ọka chara acha, wụsa mmiri n'ọkụ. Mgbe ahụ:

1. Dịka ọdịbendị mbido, jiri iko 0,5 nke kefir, ma ọ bụ achịcha achịcha rye.
2. A na-ahapụ ịrụ ọrụ ahụ ka ọ gbaa ụka maka ụbọchị 3-4.
3. Nyo, kugide awa 12, igbapu mmiri mmiri, tinye oke ya na friji.
4. Kissel - 8 tbsp. l sedimenti na iko mmiri abụọ - 5 nkeji simmer obere okpomọkụ.
5. Nri tupu nri ụtụtụ. A na-ahapụ ya ka ịgbakwunye mmiri ara ehi, ude.

A na-akwadebe ahịhịa herbal na otis dị iche iche. A na-egwepịa ihe ndị ahụ ma gwakọta ya: akụkụ 4 nke purulent na-acha odo odo, akụkụ 5 nke fennel mgbọrọgwụ, akụkụ 4 nke centaury, 1 akụkụ lemon wormwood, akụkụ 6 nke mmiri ara ehi. Etu esi esi nri ma jiri ya:

1. Na Art na-ezughi ezu. L nke osisi buru 0,5 l nke esi mmiri.
2. 2 nkeji simmer obere okpomọkụ. Wee 1 hour esi ọnwụ.
3. Na-a 50ụ 50 ml tupu nri ụtụtụ, nri ehihie na nri abalị.

Ọ dị mfe ịkwadebe infusion na sage:

1. Mix 3 tsp. calendula, 2 tsp sage, 1 tsp iron ore.
2. Wunye ngwakọta na otu iko esi mmiri.
3. Ọnwụ, iyo. Na-a Drinkụ na akụkụ ruo 0,5 iko ugboro abụọ n'ụbọchị.

Vidiyo: kedu ihe akara ultrasound nke ịgbasa mgbanwe pancreatic pụtara?

Mmụba na echogenicity na-egosi usoro mkpali, ma ọ bụ nnọchi akụkụ ahụ parenchyma. Ihe kpuru ìsì n’ọmụmụ ihe nwere ike igosipụta ọbara ọgbụgba ma ọ bụ necrosis nke gland. Belata akuko nke echogenicity - ka enwere ike ịgbatị duct ahụ. Kedu ka pancreas si emerụ ahụ? Mgbu ma ọ bụ nfegharị mmiri nwere ike ọ gaghị etinye uche n'otu ebe, nye na azụ. Lelee vidio ahụ, ka ị ghara ịbụ onye mwakpo nke nwere ike ịhapụ ịhapụ ogologo oge.