Pancreatic enzyme insufficiency ndi matenda momwe mumakhala zoletsa pobisalira kapena kuchepetsedwa kwa zochitika za pancreatic enzyme zopangidwa ndi thupi. Kuchepetsa kotereku kumabweretsa kuphwanyidwa kwa kusweka ndi kuyamwa kwa zakudya zopindulitsa m'matumbo.
Pathology imawonetsedwa ndi kuchepa kwamphamvu kwa wodwala, kupezeka kwa flatulence, kuchepa magazi, kuwonda, polyficalia, kutsegula m'mimba ndi mawonekedwe a polyhypovitaminosis.
Kuzindikira matendawa kumatengera kugwiritsa ntchito njira za labotale pophunzira ntchito ya chiwalo.
Kuphatikiza apo, kuphunzira ndowe kumachitika ndikuwongolera pulogalamu ndikuwona kukhalapo kwa ma enzyme ndi kuchuluka kwake mu ndowe.
Therapy a matenda akuphatikiza zochizira matenda, kuchepa kwa michere kudya m'thupi la wodwalayo, enzyme m'malo mankhwala, ndi chizindikiro mankhwala.
Mitundu ya Enzymatic Kukwanira
Pancreatic enzyme akusowa zingachitike pazifukwa zingapo.
Kutengera zifukwa zomwe zinayambitsa kukhazikitsa matenda, pali mitundu ingapo ya kulephera.
Mtundu uliwonse wamatenda umakhala ndi zomwe umayambitsa ndi zomwe zimayambitsa. Kudziwa zomwe zimayambitsa kuphwanyaku ndikusankha njira yamankhwala.
Madokotala amasiyanitsa mitundu inayi ya kusowa kwa enzymatic:
- exocrine;
- endocrine;
- enzymatic;
- exocrine.
Zinthu zomwe zimapangitsa kukhazikika kwa matenda a m'matumbo ndi izi:
- Kuphwanya kukhulupirika kwa minyewa.
- Maonekedwe m'thupi la kuchepa kwama mavitamini ofunika.
- Kutsitsa mapuloteni m'mwazi seramu.
- Anachepetsa hemoglobin m'magazi.
- Kuledzera kwa zakudya zomwe sizimalola kudzaza kwathunthu zosowa za michere komanso kumwa kwambiri zonunkhira komanso mafuta.
- Kukhalapo kwa cholowa chamtsogolo ku chitukuko chamthupi la zovuta zomwe zimakhudzana ndi ntchito ya thupi.
Kutengera ndi momwe zinthu ziliri, izi kapena zifukwa zina zimakhala zomwe zimatsogolera pakuwoneka ngati vuto la pathological.
Zizindikiro zodziwika bwino zamitundu yonse ya kusakwanira ndizovuta m'matumbo am'mimba.
Zizindikiro, zoyambitsa ndi chithandizo cha kulephera kwa exocrine
Kuperewera kwa procrine ndi kusakwanira kupanga timadziti timene timakhudzana ndi chimbudzi.
Nthawi zambiri, zomwe zimayambitsa kuphwanyidwa kotereku ndimavuto pogwira ntchito m'mimba. Mavuto m'mimba am'mimba amayamba chifukwa cha matenda am'mimba, matumbo, chikhodzodzo.
Kuphatikiza apo, kugwiritsa ntchito mankhwala osokoneza bongo osiyanasiyana kumabweretsa mavuto ngati amenewa, zomwe zimapangitsa kuti pakhale kusakhazikika kwa thupi ndi michere komanso kufunitsitsa kumwa zakumwa zoledzeretsa.
Kuperewera kwa Enzone pancreatic enzyme kumadziwika ndi zizindikiro zotsatirazi:
- kutulutsa;
- phokoso mokhumudwa;
- maonekedwe akumva kuwawa m'mimba;
- The kumverera kwa nseru;
- kuphwanya chimbudzi cha chakudya.
Sizingatheke kuzindikira bwino lomwe pazizindikiro zomwe zadziwika. Kuti mumvetse bwino mtundu wa kusakwanira ndikuwona momwe mankhwalawo amathandizira, mapangidwe onse a kafukufuku wa labotale amafunika.
Kuti mudziwe bwino mtundu wa matenda, mayeso otsatirawa ayenera kuchitika:
- kuyezetsa magazi konse.
- Kuyesa kwa magazi pazomwe zili ndi shuga.
Kuchita mayeso amwazi wa shuga ndizovomerezeka, chifukwa kupezeka kwamtundu wanthawi zambiri kumeneku kumakhudzana kwambiri ndi kukula kwa matenda osokoneza bongo m'thupi la wodwala.
Chithandizo cha kuperewera kwa procrine chimachitika powona zakudya zapadera, kupatula mowa ku chakudya, kupatsa thanzi zakudya zamagulu omwe ali ndi mavitamini A, C, E.
Kuphatikiza apo, chithandizo chimafunika pomwa mankhwala apadera omwe amathandizira kupanga ma enzyme.
Zizindikiro, zoyambitsa ndi chithandizo cha exocrine kusakwanira
Kuperewera kwa procrine amadziwika chifukwa chosowa ma enzymes pakugwira ntchito bwino kwa chakudya cham'mimba komanso kuwonongeka kwazomwe zimachitika mu gawo la chakudya.
Izi zimachitika chifukwa chotukuka kwa ma pathologies pomwe kuchuluka kwa maselo am'mimba mwa ziwalo zomwe zimayambitsa kupendekera kumachepa.
Chizindikiro chachikulu cha kuphwanya koteroko ndi ndowe za mushy zomwe zimakhala ndizambiri zamafuta ndi mawonekedwe a mafuta a sheen.
Kuphatikiza apo, chisokonezo chotere mu zikondamoyo za munthu wamkulu chimayendera limodzi ndi mawonekedwe a zotsatirazi:
- chisangalalo;
- colic;
- kupuma movutikira
- kugwidwa kogwedeza;
- pamakhala kumverera kolemetsa pamimba;
- magwiridwe antchito a magazi a m'magazi amasokonekera;
- khungu louma limawonekera;
- kukanidwa kwamafuta ndi mbale zazonunkhiritsa;
- tachycardia amakula;
- kupweteka kwa mafupa kumachitika.
Zomwe zimayambitsa kuphwanya izi zitha kukhala kuchepa kwa chiwerengero cha maselo otuluka komanso kuchepa kwa ma enzymes opangidwa ndi chitsulo pakugaya.
Njira zochiritsira pamene zotere zimachitika ndikuwongolera zakudya. Ndikulimbikitsidwa kugwiritsa ntchito njira yokhotakhota pazakudya, zakudya zimayenera kumwa pafupipafupi, koma m'magawo ang'onoang'ono. Kuletsedwa kwamafuta ndi zakudya za zonunkhira kumayambitsidwa, kudya nyama ndi nsomba ndizochepa .Zinthu zanyama zomwe zimagwiritsidwa ntchito muzakudya ziyenera kukhala ndi mafuta ochepa, mkaka womwe umagwiritsidwa ntchito pazakudya uyenera kukhala ndi mafuta ochepa.
Choletsedwa chimayambitsidwa pakudya chakudya chamadzulo ndi usiku; panthawiyi, dongosolo logaya chakudya liyenera kupuma mokwanira. Mowa ndi mtundu uwu wa matenda ayenera kupatula kwathunthu kuzakudya.
Ndikulimbikitsidwa kudya zakudya zam'mera zambiri, zipatso ndi ndiwo zamasamba. Ndi vuto lamtunduwu, chisamaliro chapadera chimayenera kulipidwa pazochuluka zamafuta omwe amwedwa. Kuti muchepetse kukula kwa kapangidwe ka gasi, tikulimbikitsidwa kugwiritsa ntchito mankhwala monga Mezim ndi Creon.
Kuchita bwino kwa mankhwalawa kumapangitsa kuti chakudya chizikhala ndi mphamvu, monga momwe zimapangidwira ndikumapangira ndewu yabwino komanso kugwira ntchito bwino kwapulogalamu.
Zizindikiro, zoyambitsa ndi chithandizo cha kuperewera kwa pancreatic enzyme
Ma Enzymes opangidwa ndi maselo a organ ndiyo amachititsa kuti chakudya chizilowa m'thupi. Zikachitika kuti chiwerengero chawo chichepe, kufooka kwa pancreatic kumayamba. Pali zifukwa zingapo zoonekera ngati matenda.
Zomwe zimayambitsa matenda a pathological ndi awa:
- Zotsatira zoyipa za gland ya mankhwala omwe amagwiritsidwa ntchito pochiza matenda ena m'thupi.
- Kukula kwa matenda opatsirana mthupi.
- Pathology mu kapangidwe ndi kapangidwe ka duct.
- Kubadwa kwatsopano kwa chiwalo.
- Kukula kwa dysbiosis m'thupi la wodwalayo.
Mukazindikira matenda amtunduwu, zizindikiro zotsatirazi zimawululidwa:
- munthu amakula ndi kufooka;
- mapangidwe a fecal madzimadzi okhala ndi fungo losasangalatsa;
- pali kuchepa kwa chikhumbo;
- kupangidwe kwamagesi kwambiri kumachitika;
- wodwala amachepetsa kwambiri thupi;
- pali kumverera kosokoneza mseru;
- munthu amakhala ndi mawonekedwe opweteka m'mimba.
Njira zotsatirazi zoyezetsera zimagwiritsidwa ntchito pofufuza mtundu wamtunduwu mu kapamba:
- Kuyesa kwa magazi.
- Kusanthula kwamaganizidwe.
- Urinalysis
- Yogwirizana tomography ya limba.
- Ultrasound kuwunika kwam'mimba ziwalo.
Popanga matenda a pathology, mankhwala apadera amagwiritsidwa ntchito omwe angapangitse kuti chimbudzi chikhale. Ndi matenda oterewa, timalimbikitsidwanso kuti tizitsatira zakudya zapamwamba zopatsa mphamvu.
Zizindikiro, zoyambitsa ndi chithandizo cha endocrine pancreatic insuffence
Kukwaniritsidwa kwa Endocrine nthawi zambiri kumachitika chifukwa cha kuvulala kwakumunthu komwe kumakhudza kapamba, komanso kupezeka kwa zotumphukira zotulutsa ziwalo.
Vuto la kuwonongeka kwa minofu ya minyewa yomwe imayambitsa kupezeka kwa lipocaine, insulin ndi glucagon, kuthekera kwakukulu kokhala mtundu woyamba wa matenda a shuga m'thupi kumawonekera.
Pali zisonyezo zingapo zamtunduwu wamatenda.
Zomwe zikuluzikulu ndi:
- maonekedwe ofuna kusanza;
- kupezeka kwa mpweya wa fetid ndi m'mimba;
- kusowa kwamadzi
- kukula kwa m'mimba;
- kuchuluka kwamatumbo;
- mawonekedwe a kutupa.
Mukamayesa magazi, kupatuka kowala kuchokera ku chizolowezi kumapezeka. Kuphatikiza pa kugwiritsira ntchito kuyezetsa wamagazi ndi ambiri, kuwunikira kumapangidwa kwa mahomoni apanchipisidi ndi zomwe zili ndi shuga mu plasma.
Njira zoyeserera zovomerezeka kuti zizindikire za matendawa ndi za ultrasound, zowerengera za m'maganizo, kuwunika kwa pulogalamu yolemba ndi urinalysis.
Chithandizo cha vutoli ndikuwongolera mwamphamvu kuchuluka kwa shuga mthupi pogwiritsa ntchito zakudya zapadera. Ngati ndi kotheka, ngati zakudya zakudya sizikwanira kusunga shuga m'magazi, chikhalidwe chimagwiritsa ntchito mankhwala apadera a hypoglycemic ndi insulin.
Kuperewera kwa kapamba kukufotokozedwa mu kanema munkhaniyi.
