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当“吃货”有多危险?34岁二胎妈妈产后“大补”被紧急送医!

2020-10-10 浙大一院 浙大一院

坐月子期间,妈妈营养补得够不够

坐月子期间,妈妈营养补得够不够

可是关系到宝宝“口粮”的大事

面对三姑六婆送来的各种补品

家里婆婆悉心准备的煲汤

是不是准备放纵自我

畅快吃喝呢

但是在大快朵颐的同时

千万注意不要补过头哦

34岁的二胎妈妈钱女士

就因为在月子期间大吃大喝

为“急性胰腺炎”开了“绿灯”!

34岁二胎妈妈月子期间大吃大喝,

营养过剩吃出“急性胰腺炎”

钱女士今年34岁,十年前从安徽嫁到杭州的她与老公感情和睦,育有一子。今年六月,钱女士又生下二胎,更是成了全家人关心的对象。婆婆每天都想尽办法给媳妇多做好吃的补充营养,“女人月子坐不好,后悔一辈子,营养千万不能亏”,在家人的悉心照料下,同时也为了把最好的营养通过乳汁传递给宝贝女儿,钱女士几乎一天要吃八两到一斤的猪头肉或牛肉,,另外鸡汤、鸽子汤、鱼汤等各种营养煲汤更是不落下。

就这样每天大吃大喝两个月后,原本身高1.65米,体重110斤的钱女士进补两个月,足足重了十斤。8月下旬开始,钱女士开始觉得腹部疼痛难忍,从肚脐眼周围蔓延到右下腹及腰部,总是恶心想吐,一天要吐好几次,吐到没东西吐为止,痛了十多天实在忍不住的钱女士在家人陪同下到附近的医院就诊,经过腹部CT检查显示,钱女士“胰腺周围有广泛渗出性改变”。

同时钱女士的尿淀粉酶急剧升高,达到4298U/L,普通人尿淀粉酶正常值为100--330U/L,达到普通人的十倍还多,她被诊断为“急性胰腺炎”需要入院治疗。住院期间,医生对钱女士进行了一个星期的补液和药物治疗,钱女士的腹部疼痛症状得到缓解,然而腹部CT复查显示,她胰腺周围积液渗出的症状并没有得到改变。医生建议立即转院治疗。

穿刺引流术积液引流

为大吃大喝后悔不迭

钱女士一家人听说浙大一院肝胆胰外科的胰腺疾病临床综合诊治水平全国领先,赶紧将她转入浙大一院急诊科就诊,经过检查,钱女士以“急性胰腺炎”被收治入院转入肝胆胰外科进行治疗。

肝胆胰外科副主任俞军主任医师对钱女士进行了仔细诊治,“即使是坐月子,也不能大吃大喝呀!这会刺激胰腺和肝脏旺盛分泌胰液和胆汁,如果情况再严重一点,可能有生命危险!”鉴于钱女士的甘油三酯、空腹血糖、尿淀粉酶等都严重超标,同时胰腺周围有大面积的积液渗出,俞军主任医师首先对钱女士给予护肝、护胃、止痛、止吐等对症治疗,同时于9月8日对钱女士行B超引导下的穿刺引流术置管引流。经由腹部置入引流管,将胰腺部位渗出积液引出之后,钱女士的症状得到明显缓解,胰腺部位渗出性积液大部分得到吸收,腹痛腹胀的情况也得到缓解,半个月后出院了。俞军主任医师表示“这次症状还不算特别严重,如果转成重症急性胰腺炎,后果就不堪设想了,任何时候都不能暴饮暴食,要注意饮食均衡。”钱女士听了后悔不迭,表示今后一定注意合理饮食。

坐月子期间嘴馋,

当心惹上胰腺炎!

坐月子期间要注意补充营养,可是你知道新手妈妈也是胰腺炎的高发人群,新妈妈如果在月子期间摄入过多高脂肪、高糖及高蛋白物质,就为胰腺炎的发病开了“绿灯”。

浙大一院产科主任李央副主任医师表示产妇产后抵抗力下降、体内各种腺体的分泌及代谢发生改变,因此可能引起控制胰腺分泌的器官发生痉挛;而另一方面,妈妈们为了弥补在生宝宝时的消耗,坐月子期间都要加强营养。于是,家人便会为妈妈们准备一些高脂、高糖、高蛋白食物,这些食物又迫使胆液、胰腺分泌增加,从而增加了妈妈们胰腺炎发病的几率。值得注意的是,急性胰腺炎是一种很危险的急腹症,尤其是出血、坏死型胰腺炎,死亡率高,产褥期发病危险性更大。

李央主任表示,传统的坐月子方法中“大量进补”这一项并不科学。事实上,只要在生产后的一两周时间内适当增加些营养即可,还得适当进行运动。产妇在孕期及产后哺乳期,需定期复查血脂、戒烟酒、避免暴饮暴食、低脂饮食、控制体重,防止胰腺炎发生。

长假来袭,小心这种“富贵病”偷袭

俞军主任医师表示随着人们生活水平不断提高和膳食结构的改变,由于暴饮暴食引发急性胰腺炎的病例也逐渐增多,平均一个月就能接诊十多位胰腺炎患者,节假日期间胰腺炎患者数量更是明显增多。胰腺炎的发生主要与暴饮暴食、大量饮酒、长期油腻饮食有关,“大吃大喝”会刺激胰腺、肝脏猛烈分泌胰液、胆汁,造成胰胆两条“河流”洪水暴涨,导致消化道内压力骤升,从而导致急性胰腺炎的发生。

中秋国庆长假,走亲访友,团聚欢庆少不了。但是在举家团圆,饱尝美味的同时千万胰腺炎的偷袭,如何预防胰腺炎,专家表示:

1. 注意均衡饮食,忌食油腻性食物。油腻食物不易消化,并能刺激胆汁分泌,而胆汁又能激活胰腺中的消化酶,使胰腺负担加重。因此,含脂肪较多的食物,如肥肉、花生、芝麻、油酥点心、油炸食品等均应较少食用。

2.忌暴饮暴食。暴饮暴食使肠道的正常活动及排空发生障碍,阻碍胆汁和胰液的正常引流,引起胰腺炎。所以,不可暴饮暴食。

3.少喝酒。酒精会使得胰腺的分泌物产生变化,变得比正常情况更加粘稠,这样就会导致胰腺管道的堵塞,进而产生一系列的炎症。因此建议大家爱护身体,早日戒酒。

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    2021-06-30 gous
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    2021-03-23 1436749007

    学习到了谢谢老师

    0

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    2020-12-29 1436749007

    长知识

    0

  4. [GetPortalCommentsPageByObjectIdResponse(id=2040465, encodeId=09ac204046588, content=<a href='/topic/show?id=198f240495b' target=_blank style='color:#2F92EE;'>#二胎妈妈#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=39, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=24049, encryptionId=198f240495b, topicName=二胎妈妈)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=7a9987, createdName=gous, createdTime=Wed Jun 30 06:49:44 CST 2021, time=2021-06-30, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=950312, encodeId=027495031291, content=学习到了谢谢老师, beContent=null, objectType=article, channel=null, level=null, likeNumber=0, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=2c5b3006368, createdName=1436749007, createdTime=Tue Mar 23 11:32:22 CST 2021, time=2021-03-23, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=911826, encodeId=bfc89118262c, content=长知识, beContent=null, objectType=article, channel=null, level=null, likeNumber=84, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=2c5b3006368, createdName=1436749007, createdTime=Tue Dec 29 08:45:01 CST 2020, time=2020-12-29, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=895915, encodeId=831a895915f3, content=好东西,值得学习, beContent=null, objectType=article, channel=null, level=null, likeNumber=80, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=2c5b3006368, createdName=1436749007, createdTime=Sat Oct 31 19:12:12 CST 2020, time=2020-10-31, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=894982, encodeId=bf4d89498226, content=长知识了,多看看, beContent=null, objectType=article, channel=null, level=null, likeNumber=73, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=2c5b3006368, createdName=1436749007, createdTime=Wed Oct 28 06:49:32 CST 2020, time=2020-10-28, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=893461, encodeId=06868934612d, content=讲的很好值得学习, beContent=null, objectType=article, channel=null, level=null, likeNumber=104, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=2c5b3006368, createdName=1436749007, createdTime=Wed Oct 21 09:02:06 CST 2020, time=2020-10-21, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=891400, encodeId=ccb98914004f, content=学习, beContent=null, objectType=article, channel=null, level=null, likeNumber=73, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=2c5b3006368, createdName=1436749007, createdTime=Mon Oct 12 09:32:56 CST 2020, time=2020-10-12, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1480233, encodeId=81bb14802336d, content=<a href='/topic/show?id=d47d2404839' target=_blank style='color:#2F92EE;'>#二胎#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=44, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=24048, encryptionId=d47d2404839, topicName=二胎)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=4a257628025, createdName=ms1065684921169360, createdTime=Sun Oct 11 15:49:44 CST 2020, time=2020-10-11, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1523312, encodeId=2ac61523312e4, content=<a href='/topic/show?id=1a1de7006b0' target=_blank style='color:#2F92EE;'>#紧急#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=50, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=77006, encryptionId=1a1de7006b0, topicName=紧急)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=b88211514540, createdName=guguangxiang, createdTime=Sun Oct 11 15:49:44 CST 2020, time=2020-10-11, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=891081, encodeId=c124891081b1, content=学习, beContent=null, objectType=article, channel=null, level=null, likeNumber=69, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://img.medsci.cn/20201010/4e21c7d3fb60494da9102ddb783f5f54/a94d1de1410a4e6fac607dd3ccae1017.jpg, createdBy=ee855424624, createdName=ms2000001778797381, createdTime=Sat Oct 10 15:12:53 CST 2020, time=2020-10-10, status=1, ipAttribution=)]
    2020-10-31 1436749007

    好东西,值得学习

    0

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    2020-10-28 1436749007

    长知识了,多看看

    0

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    2020-10-21 1436749007

    讲的很好值得学习

    0

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    2020-10-12 1436749007

    学习

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    2020-10-10 ms2000001778797381

    学习

    0

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