Matenda a kapamba ndi kutupa komwe kumachitika pancreas, zomwe zimapangitsa kuti maselo ndi ziwalo zamkati zisinthe. Woopsa, gawo lalikulu la tiziwalo timene timalowetsedwa, limasinthidwa ndi lipid ndi minofu yolumikizana.
Mthupi, mumakhala kuphwanya kubisika kwamkati ndi kunja. Poyerekeza ndi vuto lakunja kwa chinsinsi, kupezeka kwa michere kumapezeka, ndipo motsutsana ndi mbali ya mkati, kuphwanya shuga kulolerako.
Chifukwa chake, funso ndikuti, kodi kapamba angasanduke shuga, yankho ndi inde. Malinga ndi ziwerengero, mawonekedwe akale a kapamba amayambitsa matenda amtundu wachiwiri mu 35% ya zithunzi zamankhwala.
Komabe, kudya moyenera, komwe kumatanthauza kudya ndi kugwiritsa ntchito zakudya zovomerezeka zokha, kumakupatsani mwayi wopewa matenda ashuga m'mayambiriro a chitukuko cha pathological process.
Limagwirira kukula kwa kapamba matenda ashuga
Akatswiri azachipatala sanapeze mgwirizano pokhudzana ndi etiological pathogenis ya matendawa monga matenda a shuga a pancreatic. Kukula kwa matenda "okoma" kumabweretsa kuwonongeka pang'onopang'ono komanso kusakanikirana kwa zida zamagetsi, komwe kuyankha ndi kutupa m'maselo, zomwe zimapangitsa kuti ma enzyme apangidwe.
Gland yaumunthu imadziwika ndi katundu wachinsinsi chosakanikirana. Ntchito yake ndikupanga ma enzyme omwe amatulutsidwa m'mimba, omwe amathandiza kukonza chimbudzi. Ntchito yachiwiri ndikupanga insulini. Ndi mahomoni omwe amayang'anira shuga m'magazi mwakugwiritsa ntchito kwake.
Maphunziridwe okhalitsa a chidakwa kapena matenda a pancreatitis okhalitsa, kufalikira kwa matendawa kumabweretsa chakuti kuwonjezera pa England, komwe kumayambitsa chimbudzi, zida za insulin, zomwe zili ngati ma islets a Langerhans, zimakhudzidwa.
Nthawi zambiri zolimbikitsira kukula kwa matenda ashuga ndizovuta zina zomwe zimachitika mu endocrine system. Zizindikiro za matenda ashuga achiwiri amafanana ndi mtundu woyamba wa matenda, koma kusiyana ndikuti minyewa ya m'matumbo sinakhudzidwe ndi autoantibodies.
Zotsatirazi zimayambitsa kukana insulini:
- Matenda a Itsenko-Cushing.
- Pheochromocytoma.
- Glucagonoma.
- Pathology ya Wilson-Konovalov.
- Hemochromatosis.
Cohn's syndrome imayendera limodzi ndi vuto la metabolism ya potaziyamu m'thupi. Hepatocytes a chiwindi sangathe kugwira bwino ntchito popanda potaziyamu yokwanira kugwiritsa ntchito shuga. Pankhaniyi, zizindikiro za matenda ashuga zimayamba zomwe zimayenderana ndi hyperglycemic state.
Mavuto a matenda a kapamba - parapancreatitis, chotupa pancreatic neoplasms, somatostatinoma angayambitse kukula kwa matenda osokoneza bongo.
Chiwalo chamkati chimatha kukhala chiopsezo cha ziphe ndi poizoni - mankhwala ophera tizilombo, corticosteroids, etc.
Zomwe zimayambitsa ndi zizindikiro za matenda a shuga ndi kapamba
Pancreatitis ndi matenda ashuga ndi matenda awiri omwe amakumana nawo machitidwe azachipatala nthawi imodzi. Matenda a shuga a pancreatic amakula chifukwa cha kuwonongeka kwa zida za insulin. Madokotala ena azindikira kuti kusokonezeka kwa autoimmune m'thupi kumapangitsa kuti chikhale chopangitsa.
Amadziwika kuti gulu la anthu odwala matenda ashuga amasiyanitsa mitundu iwiri yazofala kwambiri - iyi ndi yoyamba komanso yachiwiri. Pali mitundu yamitundu yosowa yomwe imayambika chifukwa cha kusachita bwino kwa autoimmune.
Matenda a shuga a pancreatogenic ali ofanana ndi zizindikiro zamatenda amtundu woyamba, komabe ali a matenda "okoma" a 3. Momwemo, chithandizo ndi njira yothetsera matendawa ndizosiyana ndi njira yodwalitsira ya matenda ashuga.
Zomwe zimasiyanitsa matenda a shuga a pancreatogenic:
- Mankhwala a insulin, pachimake zinthu zina zimakhala.
- Kuperewera kwa insulin nthawi zambiri kumabweretsa ketoacidosis.
- Mawonekedwe a pancreatic matendawa amawongoleredwa mosavuta kudzera menyu yazakudya zomwe zimakhala ndi zopatsa mphamvu zazakudya zambiri.
- Matenda a shuga a pancreatic ndi othandiza kwambiri pochiza matenda a shuga.
Matenda a shuga a Classical 2 amapezeka chifukwa cha kuperewera kwathunthu kapena gawo la insulin. Kuperewera kwake kumachitika chifukwa cha kukana insulini, chomwe ndi zotsatira za zakudya zopatsa mphamvu kwambiri zama calorie ambiri. Mosiyana ndi matenda a shuga a mtundu wachiwiri, matenda a shuga a pancreatogenic amatengera kuwonongeka mwachindunji kwa maselo a beta ndi ma enzymes am'mimba.
Pancreatitis kumbuyo kwa matenda a shuga mellitus (matenda oyamba ndi njira yodziyimira payokha, ndipo matenda ashuga ndi "maziko" ake) amapitilira mosiyanasiyana: njira zotupa za kapamba zimakhala ndi vuto losatha, chizolowezi cha ulesi chimayambira, kuwukira kovuta sikuchitika.
Mawonetsero akulu azachipatala:
- Ululu wamankhwala wokhala ndi mphamvu zosiyanasiyana.
- Kudzimbidwa.
- Kuphulika, kutsegula m'mimba, kutentha kwa mtima.
Matenda a shuga amapezeka 35% ya odwala omwe ali ndi vuto losatha la kapamba, ndipo izi zimachitika kawiri kuposa matenda a shuga omwe amayamba chifukwa cha matenda ena a pathologies.
Zida zamankhwala othandizira
Kodi ndingathe kumwa kapamba wamatenda a 2 shuga? Mankhwalawa sachiritsa matenda ashuga, koma cholinga chake ndi kukonza chimbudzi, motero ndikovomerezeka kuutenga ndi matenda awa. Monga analogues angalimbikitse Pangrol, Mezim.
Pancreatin mu mtundu 2 wa shuga amathandizira kukonza maldigestion syndrome. Ndikofunikira monga chithandizo chamankhwala. Mankhwalawa amatha kumwa mukamakalamba, mukalamba.
Malangizo ogwiritsa ntchito akuti organic kusalolerana kwa zinthu ndi kuphwanya. Chithandizo cha mankhwala cha mapiritsi sichofunikira. Mlingo umakhazikitsidwa payekhapayekha, uyenera kumwedwa ndi chakudya kapena pambuyo pake.
Zochizira matenda ashuga, mankhwala a Diabeteson MV angalimbikitsidwe. Mankhwala amaphatikizidwa ndi mndandanda wa mankhwala abwino kwambiri a hypoglycemic. Ndi chisamaliro chapadera amalimbikitsidwa kwa okalamba.
Pancreatitis mu shuga amathandizidwa ndi zakudya zomwe ndizofunikira kwambiri kwa odwala. Awa ndiye maziko olosera zabwino. Simungadye mafuta, amchere, okoma komanso onunkhira, ndizoletsedwa kumwa zakumwa zoledzeretsa.
Pofuna kupewa zovuta zomwe zingayambitse chisokonezo m'thupi, muyenera kutsatira mfundo za zakudya:
- Idyani zakudya zamaproteni mpaka 200 g patsiku.
- Zakudya zopatsa thanzi mpaka 6 pa tsiku. Kutumikira Kukula 230 g
- Maziko azakudya ndi masamba osaphika ndi zipatso.
Matenda a pancreatic a shuga samakula mwa odwala onse, koma mwa 35% okha. Kuphatikiza kwa matenda awiriwa kuli ndi chiwopsezo chachikulu. Kuperewera kwa chithandizo chokwanira kumatha kuyambitsa pancreatic abscess, matenda ashuga a neuropathy, nephropathy ndi zovuta zina, chifukwa, kulumala, imfa siyiyikidwa pambali.
Therapy ndi yokwanira. Mankhwala a enzyme zochizira matenda osokoneza bongo a chithokomiro komanso mankhwala a hypoglycemic (mawonekedwe a piritsi, insulin tiba) amalimbikitsidwa.
Katswiri mu kanema mu nkhaniyi adzayankhula za zomwe zimachitika pancreatitis ya shuga.
