Pancreatitis yosatha ndi imodzi mwazomwe zimachitika mu kapamba. Matendawa amadziwika ndi nthawi yayitali yomwe kusintha kosasintha kwa maselo kumachitika m'maselo ndi minyewa ya ndulu.
Ngati chifuwa chachikulu chimakhala chovuta, kuchuluka kwakukulu kwa minofu yathanzi yokhala ndi minyewa yolumikizana ndi mafuta imatha kuwonedwa m'matumbo. Zotsatira zake pakusintha kwa thupi la munthu kumayamba:
- exocrine kusowa, komwe kumawonetsedwa kwathunthu chifukwa cha kusowa kwa michere yam'mimba;
- kukomoka kwa chidwi, komwe kumayambitsa kulekerera kwa maselo ndi minyewa ya thupi kufikira shuga, kenako ndikuyambitsa kukula kwa matenda osokoneza bongo.
Nthawi zambiri mtundu uwu wa shuga umatchedwa chiratidzo kapena kapamba, ndiye kuti, umachitika monga chiwonetsero cha matenda kapamba. Komabe, makina awa siwokhazikika.
Anthu ambiri odwala matenda ashuga a mtundu woyamba komanso wachiwiri posachedwa amadwala matendawa.
Ndipo odwala omwe ali ndi pancreatitis yosatha amatha kupewa matenda ashuga.
Matenda a shuga a pancreatic amakula bwanji
Limagwirira a chitukuko cha matenda a shuga akhoza kufotokozedwa mosavuta ngati wopambana wa syndromes:
- kupweteka
- kugaya chakudya
- matenda ashuga.
Ngati nkhaniyi yatchulidwa mwatsatanetsatane, zitha kudziwika kuti kusintha kwachilengedwe kumachitika molingana ndi chiwonetsero chotsatirachi:
Gawo lalikulu la kapamba, ndi kuchotsedwa kwakanthawi ndi kutuluka kwa kufalikira kwa chotupa. Zimaphatikizidwa ndi zowawa zamphamvu komanso kukula kwawomwe. Kutalika kwa gawo ili mpaka zaka khumi.
Pa gawo lotsatila, zizindikiro za kukanika kugaya chakudya zimayamba kukhala malo oyamba: kutentha kwa mtima, nseru, kusanza, kugona, kutsegula m'mimba, kusowa kwa chakudya. Kusokonezeka koyambirira kwa kagayidwe kazakudya kumadziwonetsa ngati gawo la hypoglycemic state. Izi ndichifukwa choti ma cell a beta omwe adakwiyitsa chifukwa cha matenda kapamba amatulutsa mpweya wa insulin.
Pancreatitis yayitali ikadutsa pagawo losasamala, maselo a chiwalo amawonongeka, ndipo kulolerana kwa shuga kumapangidwa. Pamimba yopanda kanthu, kuchuluka kwa shuga m'magazi kumakhalabe kwabwinobwino, ndipo ndikatha kudya kumawonjezereka, komanso nthawi yovomerezeka ya hyperglycemia.
Chotsirizira chake ndi matenda a shuga, omwe amapitilira mu gawo limodzi mwa magawo atatu a odwala omwe ali ndi mbiri yodwala kapamba. DM ya etiology yosiyanasiyana imapezeka mwa odwala kawiri.
Zizindikiro za Pancreaticabetes
Kodi matenda ashuga ali ndi vuto lotani pancreatitis? Mtundu uwu wa matenda ashuga umadziwika ndi munthu payekha. Ndi omwe amasiyanitsa matenda a shuga a pancreatic ndi shuga a mtundu wina.
Odwala nthawi zambiri amakhala ndi kuchepa kwakukulu kwa shuga m'magazi, chifukwa chake hypoglycemia imayamba. The anati diabetesic ketoacidosis chifukwa insulin akusowa sikuti chizindikiro cha matenda.
Kugonjetsedwa kwa mitsempha yayikulu, ziwiya zapakati, ma capillaries ndi arterioles kumawonedwa pafupipafupi kuposa mtundu 1 ndi matenda ashuga a 2.
M'magawo oyamba a matenda ashuga, mapiritsi ochepetsa magazi ndi othandiza. M'tsogolo, kugwiritsa ntchito kwawo sikumveka bwino. Kufunika kwa mankhwala a insulin ndi kochepa.
Kuchira kutha kuchitika pogwiritsa ntchito mankhwala a gulu la sulfonylurea, kudya komanso kuchita zolimbitsa thupi.
Momwe pancreatitis imawonekera mu shuga yachiwiri
Nthawi zambiri, motsutsana ndi maziko a kutupa kwapa pancreatic, matenda a shuga a 2 amayamba. Izi zimachitika ngati, munthawi ya zotupa, kuchuluka kwa shuga m'magazi kumawonjezeka. Matendawa amapitilira ululu wamkati pamimba komanso matenda am'mimba.
Madokotala amati magawo angapo a momwe matendawa amayambira:
- Alternating exacerbations of pancreatitis ndi chikhululukiro.
- Vuto la metabolism la carbohydrate lomwe limachitika chifukwa cha kukwiya kwa beta-cell.
- Kuyamba ndi kukula kwa matenda ashuga amtundu wa 2.
Zofunika! Matenda a shuga ndi kapamba amayamba pafupifupi 35-40% ya anthu.
Matenda onsewa amangokulitsa mphamvu ya mzake pamthupi la munthu. Chifukwa chake, odwala pancreatitis sayenera kuchiza matendawa osati njira zochiritsira, komanso kutsatira zakudya zoyenera.
Matenda a shuga ndi kapamba
Ndi chitukuko cha matenda ashuga, kapamba amasintha kwambiri. Munthawi imeneyi, zotupa za dystrophic za zisumbu za Langerhans zimawonedwa. Pakadali pomwe kusinthika kwawo kumachitika, maselo a endocrine amachepetsedwa kukula. Komanso, maselo ena amafa.
Pambuyo pake, mitundu iwiri ya kusintha m'maselo a kapamba ndizovomerezeka. Njira yoyamba ndikukhazikika kwa kapamba, ndipo chachiwiri chimadziwika ndi zotsatirapo zomvetsa chisoni - kutaya kwathunthu kwa kugwira ntchito kwa gland.
Izi ndichifukwa choti m'malo mwa maselo akufa, minofu yolumikizana imamera, yomwe imafinya maselo abwinobwino, ndipo imafa.
Chifukwa chake, matenda a shuga amellitus samangopanga kusintha kowononga mu kapamba, komanso amatha kuwononga thupilo.
Momwe mungachiritsire ndikubwezeretsa kapamba
Ngati munthu nthawi yomweyo akudwala matenda a shuga ndi kapamba, kuchitira wodwala chotere kumakhala kovuta kwambiri. Izi ndichifukwa chakuti kugwiritsa ntchito mankhwala othandizira m'malo mwake sikofunikira kungobwezeretsa kagayidwe kabwino, komanso kuti muchepetse kuchepa kwa enzymatic.
Pankhaniyi, ndikofunikira kuchitira ndi kukonzekera kwapadera kwa mahomoni ndi enzymatic. Tiyenera kukumbukira kuti kuchiritsa kwa mapiritsi sikungabweretse zotsatira zabwino.
Ndizofunikanso kuthandizira pancreatitis ndi hyperglycemia kusunga zakudya zoyenera. Pachifukwa ichi, ndikofunikira kupatula pamenepo zinthu zonse zovulaza. Pokhapokha ngati malamulo onse akusungidwa omwe amatha kuwoneka bwino polimbana ndi matenda onse awiri.
Zakudya za matenda a shuga a pancreatic
Kuthandiza odwala matenda a shuga komanso kapamba, wodwalayo ayenera kutsatira malangizo onse a zakudya zomwe zingachitike. Choyamba, muyenera kusiya zakudya zonunkhira komanso zamafuta. Ndikofunikira kukhazikitsa zinthu zophika buledi m'zakudya, ndimaswiti okhawo a odwala matenda ashuga omwe amaloledwa, komanso mkate wa matenda ashuga.
Ndikofunika kupewa kudya nyama msuzi, kabichi, maapulo, msuzi ndi mayonesi. Zakudya zotere zimakwiyitsa matumbo epithelium.
Ngati pali mbiri ya matenda onsewa, madokotala amalimbikitsa kuti mutsatire zakudya zotsatirazi:
- Zipatso ndi masamba (300-400 g).
- Mavalidwe azakudya (60 g).
- Zakudya zambiri zomanga thupi (100-200 g).
Mukamatsatira malangizowo, kuchiritsa England kumakhala kosavuta. Pang'onopang'ono, imayamba kubwezeretsa ntchito zomwe zidatayika, ndipo mkhalidwe wa wodwalayo umakhazikika. Zakudya izi ziyenera kuchitika molumikizana ndi chithandizo chachikulu cha mankhwala.
