Dr. Alma Uzunova-Genova: Tus txiav txiav tsis zam cawv thiab cov khoom noj rog

Cov txheej txheem:

Dr. Alma Uzunova-Genova: Tus txiav txiav tsis zam cawv thiab cov khoom noj rog
Dr. Alma Uzunova-Genova: Tus txiav txiav tsis zam cawv thiab cov khoom noj rog
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Dab tsi yog cov kab mob ntau tshaj plaws ntawm tus txiav? Dab tsi provokes lawv? Lawv raug kho li cas? Saib cov lus teb rau cov lus nug no thiab lwm cov lus nug hauv kev xam phaj nrog Dr. Alma Uzunova-Genova - tus kws kho mob gastroenterologist ntawm Lyulin Tsev Kho Mob - Sofia. Dr. Genova ua hauj lwm hauv Great Britain, muaj kev tshwj xeeb hauv Netherlands

Dr. Genova, pancreas puas yog lub cev tsis muaj zog?

- Tau kawg, pancreas yog ib lub cev muaj zog heev. Nws nyob rau ntawm phab ntsa tom qab plab. Yog li ntawd, nws yog ib qho nyuaj rau kev kuaj mob thiab sib txawv ntawm qhov mob pancreatic los ntawm mob plab, vim tias ob lub cev nyob rau hauv lub plab mog. Tab sis tsis zoo li mob plab, mob pancreatic yog qhov txaus ntshai.

Peb paub me ntsis txog lub cev no. Dab tsi yog nws lub luag haujlwm tseem ceeb rau lub cev?

- Lub cev no tsim cov enzymes uas yog lub hauv paus ntawm kev zom zaub mov, ntawm cov txheej txheem digestive. Vim tias, ntxiv rau kev tsim cov tshuaj hormones rau kev zom cov rog, carbohydrates thiab cov protein, nws tseem muab cov tshuaj hormones insulin thiab glucagon, uas tseem ceeb rau cov ntshav qab zib.

Peb yuav tsum paub dab tsi txog kab mob pancreatic?

- Feem ntau hais lus, mob hnyav lossis mob pancreatitis feem ntau tshwm sim. Cov neeg mob uas mob pancreatitis yuav raug phais, thaum nyob rau hauv mob pancreatitis, qhov mob ntawm qhov txaus ntshai yog yam ntxwv, raws li kuv tau hais lawm. Nws kuj yog nrog raws plab. Thiab qee zaum nrog yellowing, uas qhia tias muaj kev nce hauv amylase.

Kev kuaj mob li cas?

- Kev kuaj mob yog tsim los ntawm kev kuaj mob ultrasound thiab kuaj amylase. Thiab yog tias xav tias qog nqaij hlav, cov qog nqaij hlav tshwj xeeb C 19-9 raug siv. Nws yog tshwj xeeb rau cov txiav, tab sis nws tuaj yeem hais tau tias muaj txiaj ntsig zoo hauv lwm cov kab mob qog thiab.

Koj puas tuaj yeem hais tias dab tsi ua rau mob pancreatitis ntev?

- Feem ntau nws yog kev tsim txom ntawm cawv thiab khoom noj rog, tshwj xeeb tshaj yog cawv. Nws muaj ntau dua rau cov txiv neej raws li kuv tau hais. Nws yog vim muaj kev tsim txom ntawm kev haus dej cawv ntev ntev uas ua rau mob pancreas tshwm sim, qib ntawm amylase nce, thiab qhov mob no yog nrog los ntawm qhov mob hnyav. Tshwj xeeb tshaj yog ua ke nrog cov khoom noj rog. Qhov no yog mob pancreatitis, feem ntau cuam tshuam rau cov neeg uas siv cov khoom noj rog, kib. Thiab thaum cov tshuaj tua kab mob tsis pab, lawv feem ntau tig mus rau kws kho mob.

Dr. Genova, kev kho mob pancreatitis yog dab tsi?

- Peb feem ntau kho tus mob pancreatitis nrog kev npaj enzyme uas txwv lub caj pas los ntawm kev zom nws tus kheej. Peb feem ntau siv "Creon" npaj ntawm cov chav kawm siab - 25,000 units. Nrog rau qhov koob tshuaj siab - 3 zaug 1. Peb kuj muab HB blocker los yog hu ua proton twj blocker. Ib zaug ntxiv nyob rau hauv ib koob tshuaj ntau hauv ampoule daim ntawv. Cov neeg mob zoo li no feem ntau kuj ntuav, yog li muab cov tshuaj antiemetic. Kuj mob mob. Thiab nyob rau hauv lub xub ntiag ntawm fibrillation, tshuaj tua kab mob kuj siv.

Thiab qee zaum nws puas tuaj phais?

- Raws li kuv tau hais thaum pib, kev phais tuaj yeem ua rau mob pancreatitis. Nws yog qhov kev phais thiab feem ntau cov neeg mob zoo li no tau saib xyuas los ntawm kws kho mob. Thaum cov neeg mob uas mob pancreatitis tuaj rau peb. Cov no yog cov neeg haus cawv thiab cov khoom noj rog, kuv twb tau taw qhia ntau zaus. Lawv tuaj nrog raws plab, nrog mob hnyav, ntuav, poob phaus, uas yog yam ntxwv. Yog tias tus neeg mob kuj tau daj, nws yuav tsum xav txog cov txheej txheem qog ntawm lub txiav.

Yog tias kev kho tsis tau pib thiab ua tiav, nws tuaj yeem ua rau tuag taus ntawm lub caj pas nws tus kheej. Yog li ntawd, mob pancreatitis tau ua haujlwm tam sim ntawd txhawm rau cawm tus neeg mob txoj sia. Nyob rau hauv cov ntaub ntawv ntawm tsis ua hauj lwm ntawm conservative kev kho mob. Cov neeg mob no tsis noj mov, lawv tshaib plab.

Qee tus neeg nyiam siv tshuaj kho mob. Koj yuav hais li cas?

- Tsis yog! Qhov no yog ib qho fallacy uas tus kws kho mob yuav tsis pom zoo. Nrog rau qhov mob no, kev saib xyuas dynamic yog qhov tsim nyog, vim tias muaj teeb meem tuaj yeem tshwm sim. Yog li ntawd, nws tsis tsim nyog rau tus neeg mob, tshwj xeeb tshaj yog mob hnyav, tsis nyob hauv tsev, tab sis yuav tsum tau saib xyuas.

Dab tsi yuav tsum noj rau tus mob pancreatitis - mob thiab mob ntev? Tej zaum nws tseem ceeb heev?

- Thaum tus neeg mob nyob rau theem mob hnyav - tsis pub noj, tsuas yog tshaib plab xwb. Thiab thaum nws los txog rau tus mob pancreatitis, uas tau them nyiaj rau cov txiaj ntsig zoo, ces kev noj zaub mov tsis muaj cawv thiab rog yog qhov tseem ceeb tshaj plaws. Tag nrho cov rog yuav tsum raug zam - cov nqaij rog, margarines, mayonnaise, roj, thiab lwm yam, thiab cov zaub mov kib.

Koj xav li cas txog kev kho yoo mov raws li tus kws tshaj lij hauv daim teb no?

- Koj txhais tias kev tshaib kev nqhis hauv cov neeg noj qab haus huv tej zaum? Kuv, zoo li feem ntau gastroenterologists, yog tawm tsam lub thiaj li hu kev tshaib kev nqhis. Tsis muaj txoj hauv kev uas peb yuav txhawb nqa tus cwj pwm zoo li no yog tias tus neeg noj qab nyob zoo. Prof. Baikova kuj yog qhov kev xav no, nws tau hais ntau dua ib zaug. Txawm tsis ntev los no muaj cov lus piav qhia ntxaws txog qhov kev tshaib kev nqhis. Hauv kev nkag siab tias nws tsis pom zoo, vim tias qhov sib npaug ntawm cov as-ham hauv lub cev raug cuam tshuam, nrog rau cov vitamins, rog, feem ntau, ntawm txhua yam uas tau zom. Thiab qhov kawg tab sis qhov kawg, kev tshaib plab ua rau mob ntshav qab zib.

Tej zaum nws yuav tsis rov nug koj txog kev tiv thaiv kab mob pancreatitis tom qab peb tau qhia meej tias nws ua rau nws?

- Kev tiv thaiv yog raws nraim li - tsis txhob siv cov khoom noj rog thiab cawv, ua kom meej dua - tsis txhob tsim txom lawv. Qhov ntawd yog qhov tseem ceeb. Lawv ua rau cov kab mob pancreas. Lub ntsiab provocateur yog cawv, ntawm chav kawm, nws yuav siv tau, tab sis nyob rau hauv nruab nrab kom muaj nuj nqis thiab tsis tu ncua. Tom ntej no yog cov rog, raws li peb twb tau hais ob peb zaug - lawv yuav tsum tsis txhob overdone ib yam, lawv yuav tsum tsis txhob yog ib feem ntawm cov zaub mov txhua hnub, nyob rau hauv cov zaub mov. Hydrogenated rog tshwj xeeb yog qhov phem heev hauv qhov no. Lawv ua rau muaj kev puas tsuaj tsis yog rau cov txiav, tab sis kuj rau cov hlab ntsha thiab lub plawv. Thiab ua rau muaj ntau yam kab mob plawv.

Kuv xav kom txhua tus neeg noj qab haus huv, tsis txhob siv cov roj ntsha uas muaj roj hydrogenated. Ceev faj ntawm xibtes roj, uas, hmoov tsis, yog siv nyob rau hauv zus tau tej cov khoom qab zib thiab chocolates. Thiab dab tsi yuav tsum tau txwv nyob rau hauv Bulgaria! Ceev faj cov qe thiab, tsis txhob siv ntau ntau!

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