Lipodystrophy imapezeka ngati munthu alibe mafuta. Nthawi yomweyo, zakudya zomwe amalimbikitsa adokotala sizipereka chifukwa, kuchuluka kwa mafuta sikungokulira ngakhale mutadya zakudya zopatsa mphamvu kwambiri. Ndi matendawa, zaka za munthu ndi jenda sizikhudzana, komabe, zizindikilo zimatha kusiyana mwa amuna ndi akazi.
Zilibe kanthu kuti wodwala amadya chiyani, kuchuluka kwa chakudya chamafuta, mafuta ndi mapuloteni. Samapezanso kulemera chifukwa chosakhalapo ndi zochitika zam'maganizo, zolimbitsa thupi, masewera olimbitsa thupi.
Lipodystrophy ndi njira yoopsa, imapereka zotsatira zoyipa komanso zovuta, chifukwa lipids imatenga gawo lofunikira mu kagayidwe kachakudya mthupi la munthu, ndizofunikira.
Kusiyana kwakukulu kuchokera ku dystrophy wamba ndikuti kuchepa kwa minofu sikuchitika. M'mawonekedwe, munthu samawoneka wotopa, koma popanda chithandizo, zosokoneza pakugwira ntchito kwamkati ndi machitidwe ake zimayamba.
Mitundu ya lipodystrophy, mawonekedwe awo
Ndi mwambo kusiyanitsa mitundu ingapo ya matendawa. Ndi chachilendo kwambiri kuzindikira chibadwa cha matenda obadwa nawo, mwa mwana mafuta amapezeka kokha pamutu ndi kumapazi kwa miyendo. Njira yofala yamtundu wa makolo imachitika, mwa odwala mafuta omwe ali pakhosi, nkhope ndi chifuwa. Matendawa amapezeka mwa amuna ndi akazi a misinkhu iliyonse.
Pafupifupi anapeza lipodystrophy, imakhudza azimayi okha. Zosiyanitsa - kusowa kwamafuta kwathunthu, kumayamba kutha nthawi yakutha. Pafupifupi nthawi zonse, odwala amadwala matenda a impso.
China chake ndi lipodystrophy yodziwika bwino, zimachitika chifukwa cha matenda opatsirana: matenda a chiwindi, chibayo, diphtheria. Pamene m'thupi mumakhala kuphwanya magwiridwe antchito a hepatocytes oyambitsa kagayidwe kachakudya, kuwonongeka kwa mafuta, hepatic lipodystrophy kumayamba mwa munthu.
Ndikofunikira makamaka kupatula lipodystrophy mu shuga mellitus (insulin lipodystrophy), zimachitika chifukwa cha kubayidwa pafupipafupi kwa insulin. Malo omwe jakisoni nthawi zambiri amaperekedwa nthawi yayitali:
- kukwiya;
- mbisoweka.
Mu pathogenesis yamtundu wamtunduwu wa lipodystrophy, kufunikira kwakukulu kumaperekedwa kwa kuvulala kwakutali kwa minofu, kupangika kwa mitsempha yapadera chifukwa cha kukwiya kwamayendedwe, makina ndi matenthedwe. Komanso ndikulakwa kupatula gawo la zomwe thupi lanu siligwirizana ndi kayendedwe ka mahomoni.
Madokotala akutsimikiza kuti thupi la odwala ena limayankha jakisoni patatha ma insulin angapo. Komabe, pazochulukitsa zambiri, mtunduwu wa lipodystrophy umangokhala zaka 10-15 mutatha maphunziro a zamankhwala. Kuzama kwa zotupa kumatha kusintha mamilimita angapo mpaka kusakhalapo kwa minyewa yolowerera m'malo akuluakulu a thupi.
Masiku ano, zinthu zonse zomwe zingakhudze kusintha kwa kuchuluka kwa mafuta sizinakhazikitsidwe. Zomwe zimayambitsa kwambiri ndizovuta za metabolic, kuphatikiza ma mahomoni, mankhwala osokoneza bongo (kusuta fodya, kumwa mowa mwauchidakwa), giardiasis, hepatitis yopatsirana, kudya kwambiri mafuta komanso shuga, komanso zakudya zopanda thanzi.
Chochititsa chodziwikiratu cha lipodystrophy ndi kuledzera kwa thupi, monga izi:
- poyizoni m'makampani owopsa;
- khalani nthawi yayitali m'malo okhala ndi chilengedwe.
Dokotala akapeza matenda a shuga a lipodystrophy, zomwe zimayambitsa zimayenera kufunafuna jakisoni wa insulin pafupipafupi.
Chithandizo cha matenda a mtima
Pambuyo pa kufufuza koyambirira, adotolo akuvomereza kuti ayesedwe ma laboratori, uku ndi kuwunika kwamikodzo ndi magazi, kuwunika kwa kuchuluka kwa shuga m'thupi. Pambuyo lipodystrophy imalumikizidwa ndi ma pathologies omwe alipo, yambani maphunziro.
Ngati munthu akudwala matenda a shuga, palibe munthu amene anganyalanyaze kukhalapo kwa lipodystrophy, popeza matupi atrophied salola kuti insulin imwenso pambuyo pobayidwa. Zotsatira zake, zimakhala zovuta kuwerengera moyenera kuchuluka kwa mahomoni, omwe amayenera kulowa m'thupi la wodwalayo.
Matenda a shuga a Lipoatrophic ndi oopsa kwambiri, momwe minyewa ya wodwala matenda ashuga imayambiranso kuyankha insulin. Vutoli limawonedwa pafupifupi 25% ya anthu odwala matenda ashuga. Kusintha kwa atrophic pakhungu sikukuwopseza. Maselo onenepa amakumana m'malo a jakisoni, pomwe malowa akuvulala kapena kachilomboka kamafikamo, mwayi wam'matumbo am'mimba, phazi la matenda ashuga limachulukana kwambiri, mawonekedwe a zovuta - gangrene mu shuga mellitus.
Pamene lipodystrophy imavutikanso ndi mtundu wa matenda a chiwindi, amasonyezanso kuchitira ndi mankhwala:
- hepatoprotectors (Essliver, Essential);
- kulimbikitsa kagayidwe (methionine, methyluracil);
- mavitamini zovuta.
Ngati pali zodandaula za colic, dokotala amafotokozera antispasmodics. Muzovuta kwambiri, chithandizo cha mahomoni sichingagawidwe nawo.
Nthawi zambiri, kubwezeretsa chiwindi kumatenga miyezi isanu ndi umodzi, ndiye osachepera zaka ziwiri motsatana, muyenera kulabadira mwapadera zakudya, kumwa mankhwala kuti mukhale ndi thupi.
Nthawi zina chithandizo chimayamba ndikusintha kwa mtundu wa insulin, multicomponent kapena insulin ya anthu imakhala yothandiza kwambiri. Jakisoni amapangidwa m'malire a minofu yathanzi komanso lipodystrophy. Mukatsata njira ya jakisoni, gwiritsani ntchito ma insulin oyenera ndi pH osalowerera, lipodystrophy sichimakula.
Kuti mupewe gwero lokhumudwitsa ndi kusintha matendawa, mumaphatikizidwa insulin ndi Novocaine. Timadzi timene timasakanizidwa ndi yankho la Novocaine la 0.5%, malo omwe amakhudzidwa ndi lipodystrophy amadzaza ndi osakaniza.
Njira zopewera
Kuti tichotse izi ndizovuta kwambiri, mwina sizingatheke.
Njira yokhayo yodzitetezera ndikuletsa panthawi yake.
Kuti musayambitse lipodystrophy mu matenda a shuga, muyenera kuyang'anira kudya kwanu nthawi zonse, osapatula kumwa:
- chakudya chamoto mwachangu;
- chakudya chamafuta.
Ndikulimbikitsidwa kuti mupite maphunziro angapo a ultrasound, inductometry. Nthawi yoyamba yomwe muyenera kugwiritsa ntchito magawo a 10-15, mankhwalawa amachitika tsiku lililonse. Pambuyo pa maphunziro onse, amapumula kwa miyezi 2-3 ndipo kupatsanso magawo 15 ena.
Ultrasound imatha kulowa m'matipi ndi masentimita 10, kugwedeza kumathandizira kusintha khungu, kumapangitsa magazi kuyenda. Panthawi ya mafutawa, mafuta a hydrocortisone amawaika pakhungu, amathandizira kubwezeretsa minyewa yomwe yakhudzidwa. Monga lamulo, njira zomwe zimathandizidwazo zimathandizira kupewa kuwonetsa kwa lipodystrophy kwa miyezi isanu ndi umodzi mpaka zaka ziwiri.
Ndikofunika kupewa kupewa kusintha malo obayira jakisoni; insulin imayendetsedwa pokhapokha ngati ikukonzekera kutentha kwa thupi. Zimawonetsedwanso kuchitira malo a jakisoni ndi mowa, pambuyo poti jakisoni apukuta ndi nsalu yosabala kapena dikirani kuti vutoli lithe.
Insulin imalowetsedwa kwambiri komanso pang'onopang'ono pansi pa khungu, ndizoletsedwa kugwiritsa ntchito singano zakale, zimavulaza khungu kwambiri.
