Mukalowetsa maselo achilengedwe a pancreatic ndi minofu yamafuta, lipomatosis imapezeka. Izi matenda amawonedwa ngati compensatory zochita za chiwalo kusinthidwa kwachilendo. Mwanjira ina, kulowa pansi kwamafuta kumachitika chifukwa cha kutupa kwa kapamba (kapamba), koma osati chifukwa chake.
Si odwala onse omwe ali ndi mbiri ya pancreatitis omwe ali ndi mwayi wamafuta a chiwindi. Njira ya pathological imakonda kupezeka mwa odwala olemera kwambiri, chifukwa nthawi zambiri amakhala ndi kunenepa kwa ziwalo zina. Chofunika kwambiri ndi zaka za wodwalayo, zomwe zimawonetsa matendawo.
Kunenepa kwambiri kwa pancreatic kumadziwika ndi kuchepa pang'onopang'ono, kuwonetsa kachipatala komwe kulibe. Nthawi zambiri, palibe zizindikiro, koma ngati minyewa yambiri ya adipose ikayamba kufinya ngalande ya pancreatic, chithunzicho chimakulirakulira.
Chithandizo cha kunenepa kwambiri kwa limba ndi cholinga chopewa kufalikira kwa njira zamafuta, kupewetsa kuchepa kwa magwiridwe antchito. Ganizirani zomwe zimayambitsa, Zizindikiro ndi njira zochizira pancreatic lipomatosis.
Etiology ya kapamba ndi chiwindi lipomatosis
Akatswiri azachipatala ambiri amakhulupirira kuti lipomatosis si matenda odziyimira pawokha, koma matenda oyambitsidwa ndi matenda ena. Dzinalo lina lolowetsedwa m'mafuta ndi steatosis kapena mafuta osowa.
Popeza maselo a kapamba amafa, motero, chiwalo chimachepa, amayamba kusanduka ma lipid cell. Koma maselo amafuta sangathe kugwira ntchito ngati minofu yofananira, chifukwa chomwe chida chake chimasokonekera.
Matendawa amapita patsogolo pang'onopang'ono, amakhala ndi nthawi yayitali ya asymptomatic, yomwe imapangitsa kupezeka koyambirira komanso chithandizo chamanthawi.
Kusintha kwamafuta a pancreatic kuli ndi zifukwa zotsatirazi:
- Kutupa mu kapamba (pachimake kapena matenda a kapamba);
- Kusokonezeka kwa kayendedwe ka magazi mthupi ndi kapangidwe ka madera a ischemia kapena necrosis;
- Kuvulala kwa kapamba;
- Kuledzera kwanthawi zonse (uchidakwa);
- Kumwa mankhwala ena kwanthawi yayitali (zotsatira zoyipa);
- Kuwonongeka kwa shuga m'magazi;
- Kunenepa kwambiri kwaumunthu;
- Kuperewera kwa mahomoni a chithokomiro.
Nthawi zambiri, limodzi ndi kunenepa kwambiri, chiwindi chamafuta mafuta chimapezekanso. Zopereka zina zimaphatikizapo kumwa zakumwa zoledzeretsa, kuperewera kwa zakudya m'thupi, ndi matenda osakhazikika. Mafuta hepatosis kumayambiriro kwa chitukuko sikuwoneka. Monga lamulo, amapezeka ndi ultrasound panthawi yopima mayeso.
Ma cell a hepatatic amadziunjikira lipids, ndipo pakapita nthawi, kuwonjezereka kwake kumakwiyitsa membrane wa hepatocyte. Pakadali pano, cyst yamafuta imapangidwa. Minofu ya chiwindi imasintha kapangidwe kake: imakhala yowuma, imasanduka minofu yaying'ono. Zotsatira za njirayi ndi chimodzi - chiwindi cirrhosis posachedwa.
Pokonza mafuta a lipomatosis, zaka za munthu zimagwira ntchito yofunika. Malinga ndi ziwerengero, nthawi zambiri matenda am'mimba amapezeka mwa odwala omwe ali ndi zaka zopitilira 40.
Makulidwe ndi Chipatala cha Kunenepa Kwambiri
Kuwonongeka kwamafuta kwa kapamba kumayendetsedwa m'madigiri omwe amadziwika ndi gawo la kutayika kwa magwiridwe antchito amkati. The digiri amadziwika yochokera chithunzi cha ultrasound. Zida za lipid zimadziwika ndi mawonekedwe a denser, chifukwa chake, ndi ma ultrasound pazowunikira, zimawoneka ngati madera omwe ali ndi kusintha kwakukulu.
Digiri yoyamba ndi minofu ya lipid yodzaza gawo limodzi mwa magawo atatu a chiwalo. Chachiwiri - kusintha kunakhudza 2/3 yamkati. Madigiri oopsa kwambiri ndi achitatu, chifukwa amaphatikizidwa ndi kunenepa kwambiri mu 2/3 ya gland.
Magawo omwe amafotokozedwawo matendawa samayenderana ndi kuuma kwa mawonetseredwe azachipatala, chifukwa ngakhale gawo laling'ono la kunenepa kwambiri ndi kuthekera m'dera la chimbudzi chachikulu chitha kuponderezana, zomwe zimasokoneza magwiridwe antchito.
Chiyambireni cha pathological process sichitha kutsimikizika. Palibe zizindikiro, wodwalayo akumva bwino. Ntchito ya thupi imalipidwa ndi maselo athanzi. Pambuyo pake, minyewa yonyansa imalowetsa gawo lalikulupo, lomwe limapangitsa kuti pakhale matenda osakwanira am'mimba komanso ma pancreatic mahomoni, ndipo njira ya kugaya chakudya imasokonekera.
Zizindikiro za kunenepa kwambiri kwa kapamba:
- Zomverera zowawa mu dera la epigastric, mpaka kumbuyo kapena kumanzere kwa hypochondrium.
- Kusasangalala mutatha kudya, kumva kupsinjika m'mimba.
- Mseru womwe umayambitsa kusanza kosayembekezeka.
- Kudzimbidwa - kuwonetsedwa ndi kutsekula m'mimba kwa nthawi yayitali kapena kudzimbidwa.
- Kuchepa kwa ntchito, kutopa kwambiri.
Chifukwa cha matendawa, kusapeza bwino mu kupanga mahomoni kumapezeka, zomwe zimayambitsa zovuta za endocrinological. Carbohydrate metabolism imakula kwambiri, pomwe kuchuluka kwa shuga m'magazi a seramu kumakwera kwambiri.
Ngati simuletsa izi, ndiye kuti matenda ashuga apanga posachedwa.
Njira zochizira
Kuwongolera njira ya pathological munjira ya mankhwala, nthawi zambiri pamakhala nthawi yambiri, chifukwa imayamba pang'onopang'ono. Chithandizo chimaphatikizapo kugwiritsa ntchito njira zochizira pogwiritsa ntchito zakudya ndi mankhwala.
Kuthandizira bwino kwa kunenepa kwambiri kwa pancreatic kumafuna kusiya zakumwa zoledzeretsa, ndikofunikira kutsatira zakudya. Ngati simutsatira malangizowa, ndiye kuti palibe mapiritsi omwe angakuthandizeni. Patulani mankhwala aliwonse omwe amasokoneza kapamba.
Ndi lipomatosis, munthu ayenera kusiya mafuta aliwonse omwe amalowa mthupi ndi chakudya. Pafupifupi zakudya zisanu. Mafuta ndi nyama yamafuta, mafuta amkaka okwera kwambiri sawerengedwa pacakudya. Chakudya chimangoyatsidwa kapena kuwiritsa. Palibe zakudya zotsekemera - makeke, makeke, ma buns.
Zakudya za tsiku ndi tsiku zimaphatikizapo:
- Nyama yamafuta ochepa (turkey kapena fillet nkhuku);
- Maphunziro oyambira;
- Porridge pamadzi;
- Ma Yoghurts, kirimu wowawasa ndi tchizi tchizi (ochepa mafuta okha);
- Masamba ophika;
- Zipatso ndizabwino zokha komanso zosowa.
Ndikulimbikitsidwa kumwa madzi amamineral popanda mpweya. Njira zakumwa zimawonetsedwa: amamwa pafupipafupi, koma pang'ono. Ngati onenepa kwambiri, muyenera kuchepetsa thupi, moyenerera, kuti wathanzi aziganizira menyu pozindikira zolimbitsa thupi.
Mankhwala othandizira kunenepa kwambiri kwa chiwindi ndi kapamba sizithandiza kuthetsa vutoli, amangochotsera zizindikiro zoyipa. Dokotala atha kulimbikitsa izi:
- Ibuprofen (amathandiza kuchepetsa ululu).
- Pancreatin 8000 kapena enzyme ina yokonzekera (ikakonza chimbudzi).
- Loperamide (amathandizanso kutsekula m'mimba).
- Metoclopramide (nausea).
- Mebeverin (amathandizanso kupindika m'matumbo am'mimba).
Mapiritsi a kunenepa kwambiri kwa chiwindi ndi kapamba sanapangidwe. Monga njira yakunyumba, wowerengeka azitsamba monga mankhwala omwe amagwiritsidwa ntchito ngati mankhwala amagwiritsidwa ntchito - magazus marsh, chamomile, immortelle ndi sage. Amasintha magwiridwe antchito a kapamba ndi chiwindi.
Woopsa milandu, kuchitapo kanthu kwa opaleshoni kumafunika. Pochita mankhwalawa, dokotalayo amatulutsa minyewa ya lipid mu England. Njira imeneyi imathandiza kukonza vutolo kwakanthawi, koma osati kwamuyaya. Kupatula apo, minofu ya adipose posachedwa imasinthidwa ndi minofu yaying'ono.
Zizindikiro za matenda a kapamba zimakambidwa mu kanema munkhaniyi.
