Matenda a shuga amayambitsa zovuta m'mavuto. Chifukwa chake, funso la momwe lingachiritsire matenda a chiwindi chamafuta mu shuga limakhalabe lotseguka. Mafuta hepatosis ndi amodzi mwa zovuta kwambiri zomwe zimayenderana ndi matenda a shuga.
Munthu wathanzi amakhala ndi ma hepatocytes m'chiwindi - maselo okhala ndi enzyme yapadera yomwe imathandizira kuti thupi lisasinthe zinthu zovulaza. Mu matenda a shuga, njirayi imasokonekera. Lipids imadziunjikira m'maselo a chiwindi. Mafuta a hepatocytes amayamba kufa pang'onopang'ono ndipo m'malo mwa lipids.
Zizindikiro za chiwindi dystrophy sizimawoneka nthawi yomweyo. Njira yothandizira matenda amtunduwu ikupitilira pang'onopang'ono kwa nthawi yayitali. Kuphatikiza apo, hepatosis imangokhala zotsatira za matenda ashuga, komanso chifukwa chake. Poyamba, pamene hepatosis yamafuta amachitika chifukwa cha kufa kwa maselo a hepatocyte, amatchedwa matenda a shuga.
Izi zitha kukhala chimodzimodzi. Ngati munthu ali ndi mtundu wovuta kwambiri wa matenda ashuga a II, ndiye kuti zimayambitsa kuvutika kwamphamvu kwa mahomoni. Zotsatira zake, pali kusowa kwa chakudya chamafuta enzyme, chomwe chimatulutsa kapamba. Chifukwa chakusowa kwa timadzi ta m'matomawa, kukoka kwa glucose kumachitika. Thupi limatulutsa mafuta ochulukirapo, chifukwa chake, matenda a shuga a chiwindi amayamba.
Tsopano ndikudziwika kuti hepatosis yamafuta ndichimodzi mwazinthu zowopsa kwambiri zomwe zingayambitse matenda a shuga a II.
Mafuta hepatosis ndi ovuta kwambiri kudziwa nthawi yoyamba. Choyamba, chifukwa cha matendawo pang'onopang'ono.
Kuphatikiza apo, chiwindi ndi chimodzi mwazinthu zochepa zomwe "sizimapweteka," popeza mulibe mathero amitsempha.
Mavuto a chiwindi amayamba kuvutikira makamaka muzochitika pamene chiwalo chimakulitsidwa kwambiri ndikukhudza oyandikana nawo. Chifukwa chake, palibe njira yodziwira pawokha matendawa.
Mphindi yokhayo yomwe ingathe kudziwitsa ndikuwonekera kwa zikhalidwe:
- kutaya mtima;
- kufooka
- ulesi.
Koma kuperewera kwa matendawa pamenepa ndikuti zizindikiro ngati izi zitha kupezeka molakwika kuwonekera kwa matenda ena, koma makamaka kutopa wamba pambuyo pa tsiku lovuta. Pa gawo loyambirira, matendawa amatha kuonekera pang'onopang'ono ndikuwona mavuto ena azaumoyo omwe amakhudza wodwalayo.
Ndi chiwonongeko cha maselo a chiwindi, hepatocytes, ma enzymes omwe amachititsa kuti mankhwala ophatikizana ndi poizoni alowe m'magazi. Chifukwa chake, njira yolondola kwambiri yodziwira matenda a chiwindi chamafuta ndikuyesera magazi. Tithokozetse iye, ndizotheka kudziwa kukhalapo komanso zenizeni zomwe zimapanga ma cell a chiwindi mu magazi.
Kuphatikiza pa kusanthula kwamachitidwe am'mwazi, ultrasound kapena tomography imalola kukula kwamafuta. Popeza chiwindi mu matenda a shuga chimayang'ananso, mutha kudziwa za matendawa posintha mawonekedwe.
Kuwonjezeka kwa kukula kwa chiwindi, kusintha kwa mtundu wake pankhaniyi kudzakhala zizindikilo zomveka zonenepa.
Kuti mupeze zotsatira zoyenera kwambiri, wodwalayo amatha kudwala mtundu wa chiwindi - njira yomwe magawo a minofu yaying'ono amatengedwa kuti amupime.
Kuzindikiridwa kwa "mafuta osachedwa" kumapangidwa pokhapokha 10% ya minyewa ya chiwalo imalo m'malo mwa adipose minofu.
Mpaka pano, mitundu inayi yamatendawa imasiyanitsidwa, iliyonse yomwe ili ndi mawonekedwe ake. Magawo amasiyanasiyana mu zovuta za matenda:
- Zero. Madontho ochepa a mafuta amawonekera mu limba.
- Pa gawo loyamba, gawo la chiwindi cholowa m'malo ndi mafuta limawonekera. Kugawa hepatocytes ndi lipids kumachitika moder.
- Gawo lachiwiri limadziwika ndi zotumphukira zosiyanasiyana zazikulu: zimatha kukhala zazing'ono komanso zazikulu. Munthawi imeneyi m'pamene wodwalayo amatha kuwona kuwonongeka kwakukuru m'moyo wabwino.
- Gawo lachitatu limadziwika ndi kudziunjikira kwakukulu kwamafuta, osati mkati mwa maselo okha, komanso kumbuyo kwawo. Poyerekeza ndi kukhazikitsidwa kwa minyewa ya chiwindi, mapangidwe a mafuta cysts amayamba.
Gawo lachinayi la matendawa - kusokoneza hepatosis - kuli pachiwopsezo cha thupi. Chifukwa chake, wodwalayo amafunikira chithandizo chokwanira komanso njira zina zowonjezera.
Ngati matendawa atapezeka pa zero kapena koyamba ndipo chithandizo choyenera chidasankhidwa, ndiye kuti pakanthawi kochepa matenda a chiwindi amatha kunenepa.
Kupanda kutero, matendawa amapita patsogolo. Pachigawo chachiwiri, zimadzipangitsa kumveka:
- pali kumverera kolemetsa kumbali yakumanja;
- mgwirizano wasweka;
- popanda chifukwa chowoneka, nseru imawonekera;
- kutopa kumachuluka.
Muzovuta kwambiri, matenda a shuga a chiwindi amachititsa kuchuluka kwa zizindikirozi. Kuphatikiza apo, pali kuwonongeka kowonekera, matenda am'mimba (kudzimbidwa, kuphimba).
Pamapeto omaliza, chiwindi chimakulirakulira kukula - mokwanira kotero kuti chimatha kuchitika. Zizindikiro za jaundice zimawonekera. Chikhalidwe china chodziwika bwino cha gawo la III hepatosis ndi kupweteka kwambiri m'mbali.
Mwa magawo apamwamba a kuwonongeka kwamafuta m'chiwindi, kuwonongeka kwambiri pakulakalaka kumakhala kotchuka, mpaka mawonekedwe a kuda chakudya.
Poyambirira, kuchiritsa kwamphamvu kwa chiwindi chamafuta ndikotheka. Ngati njira yoyenera yosankhidwa ndiyosankhidwa, ndipo matendawa pawokha saopseza kuti asunthire gawo lachitatu, ndiye kuti njira ya pathological ndiyotheka kuimitsa. Pafupifupi, kuwongolera kumawonedwa kale masabata awiri atayamba chithandizo.
Pakapita nthawi, mutha kuchiritsa matenda a hepatosis kwathunthu. Pankhaniyi, kugwira ntchito kwa chiwindi posachedwa kusintha.
Koma ngakhale matendawa atapitilira koyamba, osavomerezeka kuchitira nokha. Mankhwala osankhidwa mwachisawawa mu mankhwala, zitsamba ndi zowonjezera zachilengedwe sizikhala zokwanira. Njira zochizira kuchepa kwamafuta m'chiwindi zimayikidwa kokha ndi dokotala potengera zotsatira za mayeso athunthu. Amatha kudziwa zomwe zimayambitsa matendawa ndikuyesetsa kuzithetsa.
Mankhwalawa chiwindi kutsatira malangizo otsatirawa:
- Kutulutsidwa kwa zinthu zomwe zimayipa maselo a chiwindi. Izi zitha kukhala ngati kumwa mankhwala osokoneza bongo, uchidakwa, kapena matenda a ziwalo zina, monga kapamba. Ngati sizingatheke kupatula kwathunthu kukhudzidwa kwa zinthu izi, njira zimatengedwa kuti muchepetse kukhudzika kwake pachiwindi.
- Popeza chomwe chimayambitsa matenda a hepatosis ndi kudya zakudya “zowopsa” zochuluka, wodwalayo amamuika mankhwala othandiza kuchiritsa (tebulo Na. 9).
- Wodwala amalimbikitsidwa kuchita masewera olimbitsa thupi kwa odwala matenda ashuga.
- Mankhwala opangidwa ndi mbewu adayikidwa kuti athandizire kuthandizira ntchito ya thupi ndikubwezeretsanso kugwira ntchito kwa hepatocytes.
Kuphatikiza apo, hepatosis ikhoza kukhala chifukwa cha kunenepa kwambiri. Ndi mitundu ina ya matendawa, mafuta samangokhala pansi pakhungu, komanso ziwalo, kuphatikizapo chiwindi. Pofuna kuchepetsa mphamvu ya chinthuchi, wodwalayo amafunikira kulemetsa. Mutha kudziwa kuchuluka kwanu kuposa momwe mungagwiritsire ntchito mtundu wa BMI (cholozera cha misa):
BMI = kulemera kwa thupi, kg / (kutalika, cm)2
Katswiri wazakudya amathandizanso kuchepetsa kunenepa. Amasankha zakudya zabwino zomwe wodwala sangazipweteke.
Zomwe zimachitika pakuchotsa mafuta ku chiwindi zimadalira kwambiri momwe mankhwalawa amathandizira, makamaka pakakhala matenda a shuga.
Ndi hepatosis, mitundu yosiyanasiyana yamankhwala, physiotherapy imagwiritsidwa ntchito mwachangu; kugwiritsa ntchito mankhwala azikhalidwe kumaloledwa (pambuyo povomerezana ndi adokotala).
Kusintha chiwindi, wodwalayo ndi Urosan. Ngati ndi kotheka, imasinthidwa ndi ursodeoxycholic acid, kapena analogi ina. Mlingo woyenera wa tsiku lililonse wa mankhwalawa ndi okhawo omwe amapita kuchipatala.
Mphamvu ya chithandizo ndi Urosan imatha kuyesedwa pogwiritsa ntchito mayeso. Wodwalayo amatchulidwa kuti akayeze magazi amomwe ammwazi. Zotsatira zimathandizira akatswiri kuwunika momwe njira zakuchira zimayendera. Ngati kuchira kumachepa kwambiri, chisankho chimapangidwa kuti chiwonjezere zotsatira mothandizidwa ndi mankhwala ena - Hepatral.
Pofuna kusintha njira ya choleretic, wodwalayo akulimbikitsidwa kutenga mafuta a Hofitol kapena dzungu. Njira yothira madzi amchere osagwiritsa ntchito kaboni ingathandizenso. Mutha kubwereza maphunzirowa mpaka 4 pachaka.
Kuwongolera chimbudzi kumathandiza kutenga kukonzekera kwina kulikonse, monga Hermitage kapena Mezim. Ndikofunika pakumwa kumwa Essentiale, mankhwala omwe amathandizira kubwezeretsa chiwindi.
Chofunika kwambiri pa matenda a chiwindi chamafuta ndimatumbo. Cholinga choyambirira cha wodwala matenda ashuga ndikuletsa kuchuluka kwambiri kwa shuga. Maswiti onse sayenera kuphatikizidwa muzakudya. Ndikofunikira kutsatira mfundo zachakudya zoyenera.
Ndi hepatosis, odwala akulimbikitsidwa kudya No. 9. Zimaphatikizapo zofooka zambiri, koma mwayi ukapangidwa wopeza mitundu yosiyanasiyana komanso yosangalatsa. Wodwalayo amaloledwa kudya nyama yopendekera (makamaka nkhuku) ndi nsomba, zipatso ndi ndiwo zamasamba, bufa lonse la ufa, tirigu wopanda mafuta, mafuta ochepa amkaka. Kuti musinthe mndandanda, mutha kugwiritsa ntchito maphikidwe osazolowereka kwa odwala matenda ashuga ophika pang'onopang'ono.
Tiyenera kudziwa kuti popanda kusintha kadyedwe, nkovuta kudalira kupambana pochiza matendawa.
Ponena za mankhwala achikhalidwe, pali maphikidwe ambiri abwino omwe angathandize kukonza chiwindi. Koma palibe dokotala amene angavomereze chisankho chofuna kudzipereka yekha ku mankhwala azitsamba. Hepatosis - matendawo ndi akulu kwambiri osiyiratu mankhwala. Chifukwa chake, mankhwala wowerengeka azitsamba angokhala abwino ngati njira yowonjezera, koma osati njira yayikulu yamankhwala.
Mwa mbewu zonse, ndizoyenera kusankha makamaka zomwe zimapangitsa kuti muchepetse mafuta m'thupi, kukonza kuyeretsa kwa thupi kwa poizoni ndi zakumwa zomwe zimathandizira kuchepetsa thupi. Zomera zotere zimaphatikizira mkaka nthula, ma stigmas a chimanga, artichokes. Amathandizanso pakuchotsa matenda a bile ndipo amakhala ndi phindu pa chiwindi.
Mwachitsanzo, nthula zamkaka zimatha kumwedwa mu ufa wa supuni ya tiyi musanadye kaye. Mutha kupanga kulowetsedwa kwa mbewu. Kuti muchite izi, supuni imodzi idzafunika kapu imodzi ya madzi otentha. Mbewu zimafunika kuthiridwa ndi madzi otentha, zilekeni, kenako kuzunza. Musanadye, muyenera kumwa theka lagalasi la kulowetsedwa kotere. Mulimonsemo, kuthekera kwa chithandizo cha anthu ndi nthawi ya maphunzirowa kuyenera kuvomerezana ndi adokotala.
Kuti mumve zambiri za hepatosis yoyambitsidwa ndi matenda a shuga, onani vidiyo iyi.
