Steatorrhea ndi njira yodutsitsa momwe ndowe za wodwalayo zimakhala ndi mafuta ochulukirapo. Kuchuluka kwamafuta m'matumbo komwe kumatha kufika pa 5-10 g, komwe kumakhala kambiri.
Nthawi zambiri ndowe zimakhala ndimadzi nthawi zonse, koma nthawi zina wodwalayo amadandaula za kudzimbidwa. Amisili amakhala ndi ma sheen okhala ndi mafuta, amachotsedwa bwino kukhoma la chimbudzi ndipo amatha kusiya mafuta.
Odwala ambiri amadabwa kuti zimapezeka kuti ndi matenda amtundu wa mankhwalawa ndi kuti ndi ati. Nthenda yofanana imatha kuvulaza munthu wamkulu komanso mwana; mwa azimayi ndi abambo, chiopsezo chotenga matenda ndi matenda omwewo ndi omwewo.
Mitundu ndi zoyambitsa za steatorrhea
Matendawa ali ndi mitundu ingapo, kutengera mtundu wa chitukuko cha matenda. Mtundu wa 1 kapena zakudya za mtundu wa chakudya zimatha kugwiritsidwa ntchito mopitirira muyeso wamafuta omwe ngakhale thupi labwino satha kugaya.
Matumbo amtunduwu amadziwika pamene ziwalo zomwe zimakhudza matumbo ang'onoang'ono sizingatenge mafuta.
Pancreatic steatorrhea imapezeka ngati kapamba kofooka ndipo lipase, yomwe imaphwanya mafuta, imapangidwa mopanda kuchuluka.
Komanso, kamangidwe ka matendawa kamagawika magawo atatu:
- Steatorrhea - chifukwa cha kusagwira ntchito mu chakudya chamagaya, kupezeka kwa mafuta osaloweka mu chopondapo kumapezeka;
- Creatrhea - chifukwa cha kuchepa kwa michere m'matumbo, ndowe zimaphatikizapo nayitrogeni, mafuta acid ndi sopo;
- Amylorrhea - mu ndowe, kusanthula kwa zamankhwala amuzolengedwa kumawulula kuphatikiza kwamafuta osaloleka komanso mafuta acids.
Pathogenesis yamatendawa, monga lamulo, imagwirizanitsidwa ndikuti thupi silitha kugaya bwino komanso kuyamwa mafuta.
Chochititsa china chovuta kwambiri cha matendawa ndichotuluka mofulumira cha ndowe. Zofananazo zimawonedwa ngati munthu agwiritsa ntchito mankhwala ozunguza bongo.
Komanso matendawa amatha kudzutsa matumbo m'matumbo ang'onoang'ono, chiwindi ndi kapamba. Nthawi zambiri chovalacho chimakhala chamba chovuta, makamaka ngati chayamba chifukwa cha uchidakwa.
Cardiospasm imatha kuyambitsa steatorrhea pokha pokha. Kusasunthika kwa bile kumatha kubweretsa zotsatira zosasangalatsa, chifukwa chake ndowe ndizopepuka.
Zizindikiro zakuzizira
Ngati munthu wayamba kudya, chizindikiro chachikulu cha matendawa chimakhala chovuta kwambiri chofuna kusiya. Nthawi yomweyo, ndowe zimasinthasintha ndimadzimadzi, chopondacho chimakhala chochulukirapo, zolimbikitsana zimadza nthawi zambiri. Nthawi zina, wodwalayo, kudzimbidwa.
Kuyenda kwamatumbo amtundu uliwonse kumayendera limodzi ndi mapangidwe azitseko za chimbudzi cha chimbudzi cha malo osambira osasamba amafuta komanso onyezimira. Fandi amatha kukhala opanda mbali, opepuka kapena amtundu utoto.
Wodwala amakhala ndi chizungulire, ukufalikira ndi kugundana m'matumbo, kuyanika kwamtundu wamkamwa ndi m'mphuno, kuwonda, kuchepa kwa magwiridwe antchito, kupweteka kwakanthawi.
Komanso, odwala omwe ali ndi matenda a steatorrhea ali ndi zizindikiro zotsatirazi:
- Kuyanika chifuwa, kuchuluka kwamatumbo kawirikawiri;
- Ululu m'dera la mafupa a tubular, mafupa ndi msana;
- Kuchepetsa kwambiri thupi komanso kutopa, nthawi zina magazi amawonongeka;
- Milomo yowuma ndikutembenuka, ngodya pakamwa imasweka;
- Pamkamwa patsekemera, zizindikiro za stomatitis zimayang'aniridwa, lilime limakhala ndi mtundu wowala, papillae imatha kusefukira, zotsekemera zimatha.
- Chifukwa cha mafuta osakwanira, khungu limawuma, limapindika, ndipo nthawi zambiri limakhudzidwa ndi erythema ya polymorphic.
Nthawi yodwala, madokotala azachipatala amatha kudziwa kuwonongeka ndikumayendayenda mbali yamanzere pamimba, m'dera la cecum. Ndulu ndi chiwindi sizokoma.
Nthawi yayitali imadziwika ndi matendawa. Kutalika kwa chikhululukiro nthawi zina kumafupika. Matenda apakati, zovuta za neuropsychic zimayambiranso. Zofananazo zimachitika ngakhale popanda zifukwa zomveka.
Chifukwa cha matenda, pali kuchepa kwamafuta ndi mapuloteni, chifukwa zomwe ziwalo zamkati ndi minofu yake zimatha. Munthu alibe mavitamini, nikotini ndi folic acid. Izi zimabweretsa hypoproteinemia, hypocholesterolemia, hypolipemia, leukopenia, hypochromia, nthawi zambiri hyperchromia, kuchepa magazi, hypocalcemia, hyponatremia.
Kusiyanitsa mosiyanasiyana ndi chithandizo cha matendawa
Kuti azindikire kuwonongeka kwa mucous nembanemba, dokotala amalembera rectoscopy. Mothandizidwa ndi mayeso a X-ray, kuchuluka kwa kutupa, kukulitsa ndi kuchepa kwa kamvekedwe ka mapangidwe a mucosa kumawululidwa.
A biopsy imakulolani kuti muwone ngati pali atrophy, palibe tsitsi losakhalitsa, villi idafupikitsidwa, epylindrical epithelium ili pansi pa mulingo wabwinoko, ma cell a cell cell amakhala m'malo osadziwika.
Ziwalo zolumikizirana nthawi zina zimatupa, ndipo mitsempha ya mitsempha imapunduka. Kuphwanya kotereku kumachepetsa kwambiri ntchito yamatumbo.
- Mukayang'ana ndowe, kusinthasintha kwamafuta kumatha kupezeka. Ndibwino kuti mumakhala ndende zambiri zamadzimadzi ndipo zimakhala ndi mthunzi wowala.
- Kusanthula kwa Laborator kumawonetsa kuchuluka kwamafuta acid, mafuta ndi sopo. Steatorrhea imapezeka ngati chopondapo chili ndi mafuta ochulukirapo 7 g.
- Kuti mudziwe chomwe chimayambitsa kuphwanya kusweka ndi kuthira kwa zinthu zamafuta, kafukufuku wa radioisotope amachitika. Kupatula matenda a kapamba (yogwira pancreatitis, shuga, cyst), njira yotsitsa mafuta imagwiritsidwa ntchito.
- Pulogalamuyi imakuthandizani kuzindikira matenda angapo am'mimba.
Ndikofunika kusamalira osati steatorrhea, koma matenda omwe adatsogolera kukula kwa matenda. Mankhwalawa amachitika ndi mankhwala omwe ali ndi lipase yayikulu, mapiritsi oterewa ali ndi nembanemba wapadera yemwe amalepheretsa kuwonongeka kwa ma enzymes atayamwa madzi a m'mimba.
Dotoloyo amatsimikiza Pantsitrat, Creon ndi Pancreatin, kuwonjezera apo amagwiritsa ntchito mankhwala a antacid: maantacid: Almagel, Maalox, Phosphalugel, Gastal, iwo amatha kusokoneza zotsatira za m'mimba acid. Komanso, wodwalayo amapatsidwa hydrochloric acid, Cortisone ndi adrenocorticotropic timadzi. Monga othandizira pa chithandizo chachikulu, njira zochiritsira zosagwiritsidwa ntchito masiku onse ndizothandiza.
Popewa kukonzanso kwa matendawo, chakudya chofunikira komanso chopatsa thanzi ndichofunikira. Wodwalayo adapangidwa kuti azigwiritsa ntchito mapuloteni omwe ali ndi mapuloteni, mavitamini A, B12, B15, D, E, K. Nicotinic ndi ascorbic acid amagwiritsidwa ntchito ngati adjunct.
Ngati munthu ali ndi chizindikiro cha kuzizira kwa petechial, chisamaliro chimayenera kutengedwa kuti atenge mavitamini P ndi K. Mndandanda uyenera kukhala wa mkaka, tchizi tchizi, nsomba, mitundu yamafuta ochepa am'mafuta, nsomba zamafuta ochepa ndi msuzi wa nyama.
Zakudya zoterezi zimapangitsa kuti chakudya chizikhala chabwino. Pakugaya bwino, nyama ndi nsomba zimaphika.
Kupewa matenda
Ngati matenda obwezerawo sanalandiridwe panthawi, wodwala amakumana ndi zovuta zina. Chifukwa chophwanya mayamwidwe a michere, thupi sililandira kuchuluka kwa mapuloteni, chifukwa cha kuchepa kwa mapuloteni.
Kuperewera kwa mavitamini a kapamba ndi zina zomwe zimayambitsa kugaya kwam'mimba kumakwiyitsa hypovitaminosis, thupi limafooka ndikuchepera, munthu amachepetsa thupi. Ndi kusowa kwamchere wamchere, ludzu limamvekedwa nthawi zonse, minofu imatupa ndi kuchepa thupi, khungu ndi minyewa yake imatha, ndipo kupweteka kumawonekera nthawi ndi nthawi.
Impso ndi thirakiti la mkodzo limakhomedwa ndi miyala yosasungunuka komanso mchere wambiri wa oxalic acid. Ndi steatorrhea, calcium imakumana ndi mafuta ndikuchoka m'thupi, ma oxalates ochulukirapo amalowa m'mitsempha yamagazi.
Chifukwa chake, wodwala:
- Ziwalo zamkati zimakhudzidwa - matenda a mtima amakhudza mtima, impso, kupuma, ubongo;
- Zotsatira zake, khungu limasintha, adokotala amatha kuzindikira matenda a jekeseni;
- Mavuto a zamaganizidwe amakula - mphamvu yogwira ntchito imachepa, kugona kumasokonezedwa, kumakhala kovuta kwambiri kuti munthu athe kulumikizana ndi ena.
Pofuna kupewa matendawa, muyenera kudya moyenera ndikukhala ndi moyo wathanzi. Mapuloteni amanyama ayenera kuphatikizidwa muzakudya, pomwe mapuloteni am'mitundu mwazizindikiro amakankhidwa kunja momwe angathere.
Simungadye zakudya zamafuta, zokometsera komanso zokazinga, kumwa zakumwa zoledzeretsa. Ndikofunikanso kuchepetsa kuchuluka kwa chakudya chambiri. Chakudya chizikhala chopindika, chakudya chizikhala ndi nthawi sikisi patsiku m'magawo ang'onoang'ono.
Pa kuwonetsedwa koyamba kwa zizindikiro za steatorrhea, muyenera kufunsa dokotala kuti muchepetse matendawo m'nthawi yake komanso kupewa kukula kwa zotsatira zoyipa.
Kodi steatorrhea adzauzidwa ndi akatswiri mu kanema munkhaniyi.
