Lipodystrophy ndiko kuzindikira komwe kumapangidwa chifukwa chopanda mafuta mwa munthu. Nthawi yomweyo, chithandizo cha zakudya sizimapereka zotsatira zoyenera, kuchuluka kwa mafuta sikokwanira. Kugonana ndi zaka sizikhudzana ndi matendawa; mwa abambo ndi amayi, mawonekedwe owonetsa amasiyana pang'ono.
Zilibe kanthu zomwe zimaphatikizidwa muzakudya za wodwala yemwe akudwala matendawa, kuchuluka kwa mafuta, mapuloteni komanso zakudya zomwe amamwa. Popeza palibe zochitika zolimbitsa thupi ndi masewera, m'malo modekha amisala, samapeza kulemera chifukwa cha mafuta m'thupi.
Kwa ena, milomo ya milomo imawoneka ngati mphatso yosangalatsa. M'malo mwake, uwu ndi matenda owopsa omwe amawopseza zotsatira zoyipa komanso zovuta. Mafuta amakhudzidwa ndimayendedwe ambiri a metabolic ndipo amafunikira m'njira zambiri kwa thupi lililonse.
Lipodystrophy imasiyana ndi dystrophy wamba mwakuti kuchepa kwa minofu kumachitika. M'chithunzichi, munthuyo samawoneka wotopa. Koma, komabe, amafunikira chithandizo.
Mitundu ya lipodystrophy ndi mawonekedwe awo
Madokotala amasiyanitsa mitundu ingapo ya matendawa.
- Gynoid lipodystrophy. Matenda amtunduwu ndi amtundu wa akazi. Mafuta amaikidwa mokhazikika m'malo ena - pamimba, m'chiuno ndi matako. Zachilengedwe zimapereka thandizo lachilengedwe kwa zigawo izi - zotchedwa septum, zomwe zimakhala ndi collagen ulusi. Ndipo maziko a collagen, nawonso, ndi estrogen. Chifukwa chake, madongosolo a cellulite amakhudzana mwachindunji ndi kupanga kwa estrogen.
- Hepatic lipodystrophy. Matenda owononga, akupanga maziko a kusokonekera kwamafuta kagayidwe m'thupi la munthu. Hepatocytes ndi omwe amachititsa kuti pakhale chiwopsezo cha lipids m'chiwindi. Ngati vutoli litayamba kugwira ntchito yawo, minofu ya adipose imalowa m'malo mwa hepatocytes, minyewa yolumikizira minofu imapangidwanso.
- Lipodystrophy pambuyo kubayidwa mobwerezabwereza. Pankhaniyi, kusintha kwa atrophic ndi hypertrophic mu minofu ya adipose kumachitika komwe kubayidwa. Nthawi yomweyo, khungu limakhudzidwa. Amapezeka m'dera laling'ono la minofu pomwe jakisoni nthawi zambiri amapangidwa.
- Insulin lipodystrophy. Popeza matenda a shuga amafunika kuperekera insulin pafupipafupi, khungu ndi subcutaneous adipose minofu imakhudzidwanso pa malo angapo jakisoni. Nthawi zambiri mtundu uwu umawonedwa mwa akazi ndi ana kuposa amuna. Zilonda za atrophic zimadziwika kwambiri.
Kodi lipodystrophy mu shuga ndi chiyani? Ichi ndi chimodzi mwazovuta zake. Ndi matendawa, pali kuphwanya kapangidwe ka mahomoni. Chifukwa chake, kupanga zinthu zomwe zimakwaniritsa ntchito yothandizira minofu ndipo ndizomwe zimayambitsa kuphwanya koyenera ndikugawa mafuta kumathandizidwanso.
Zotsatira zake, kusintha kwa atrophic ndi hypertrophic pama subcutaneous mafuta ndi minofu yapakhungu, makamaka komwe insulin imayendetsedwa. Chithandizo cha matenda amtunduwu ndi chovuta kwambiri komanso chachitali, chifukwa makonzedwe a insulin sangathe kuyimitsidwa, ndipo nkovuta kubwezeretsa maziko am'mbuyomu ndi matenda otere.
Nthawi zina, matenda a shuga a lipodystrophy amawonekera pakangotha masabata angapo atayamba jakisoni wa insulin, nthawi zina pokhapokha zaka zochepa. Pankhaniyi, mawonekedwe a matendawa, kupezeka kwa matenda ena osachiritsika, komanso momwe wodwala alili ndi gawo lofunikira.
Zifukwa zachitukuko
Pakadali pano, zinthu zonse zomwe zimakhudza matenda monga lipodystrophy sizinakhazikike kwathunthu. Zoyambitsa zomwe zimayambitsa ndi izi:
- Mavuto aliwonse a metabolic, kuphatikiza mahomoni;
- Zizolowezi zoyipa - kusuta fodya komanso kumwa mowa kwambiri;
- Zakudya zopanda pake - kusowa kwa regimen, kuperewera kwa zakudya m'thupi kapena kudya kwambiri;
- Kugwiritsa ntchito kwambiri zakudya zotsekemera ndi zamafuta;
- Giardiasis;
- Chithandizo cha mankhwala a mahomoni (ma steroid);
- Matenda a chiwindi;
- Kulowetsa thupi, kuphatikiza mukamagwira ntchito m'mafakitori owopsa kapena kukhala m'dera lomwe mulibe chilengedwe.
Ngati matendawa ndi "diabetesic lipoatrophy", ndiye kuti, chifukwa chake, ali jakisoni wobwerezabwereza wa insulin.
Chithandizo ndi kupewa matendawa
Kodi ndichifukwa chiyani ndikofunikira kwambiri kuti musanyalanyaze matenda akuti lipoatrophy a shuga mellitus ndikuwasamalira munthawi yake? Matupi atrophied amasokoneza mayamwidwe athunthu a insulin pambuyo pobayira. Ndipo izi zimasokoneza mawerengero olondola a mankhwalawo omwe mankhwalawo amalandiridwira m'thupi.
Choopsa chachikulu ndikukula kwa insulin - chinthu chomwe thupi limaleka kuyankha pokhazikitsa mlingo wa insulin. Mavuto omwewo amawonedwa mwa 25% ya odwala matenda a shuga.
Kusintha kwa atrophic pakhungu kumakhalanso koopsa. Masamba othandizira amadzaza maselo owonda am'mimba, ngati nthendayo ikafika pano jekeseni kapena dera litavulala, chiwopsezo cha zilonda zam'mimba ndizovuta kwambiri, chifukwa chomwe chithandizo chanthawi zonse cha phazi la matenda ashuga ndi chotupa chidzafunika.
Mankhwalawa pazotsatira zonsezi komanso zovuta ndizovuta kwambiri, nthawi zina zimakhala zosatheka. Chifukwa chake, prophylaxis yamatenda omwe ali ndi matenda ashuga ayenera kuchitika. Izi zimaphatikizapo zochitika ndi njira izi:
- Mankhwala othandizira pakudya - ndikofunikira kuyang'anitsitsa zakudya zomwe zakhazikitsidwa osaziphwanya;
- Ultrasound ndi inductometry - maphunzirowa amakhala ndi magawo a 10-15, omwe amachitika tsiku lililonse. Kenako muyenera kupuma kwa miyezi 2-3, ndikubwereza maphunzirowo
- Chidziwitso Chofunikira: Ultrasound imatha kulowa minofu yakuya masentimita 10. Kusinthasintha kwake kumapangitsa kuti magazi azithamanga komanso kuti magazi azikundana kwambiri. Nthawi zambiri, mafuta a hydrocortisone amagwiritsidwa ntchito pakhungu - izi zimathandizira kubwezeretsa mwachangu minofu ya atrophied.
Nthawi zambiri, njirazi ndizokwanira kupewa kupezeka kwa lipodystrophy kwa miyezi isanu ndi umodzi mpaka zaka ziwiri.
Ngati ndi matenda a shuga a lipodystrophy hepatic amawonekanso, ndiye kuti mumathandizidwa ndi mankhwalawa:
- Hepatoprotectors - Ofunika, Essliver.
- Mankhwala othandizira a metabolism - methyluracil, methionini.
- Mavitamini a gulu B, A ndi E.
- Antispasmodics, ngati pali zodandaula za kupweteka ndi colic.
- M'matenda oopsa kwambiri, mankhwala okhala ndi mahomoni amayikidwa.
Zimatenga pafupifupi miyezi isanu ndi umodzi kubwezeretsa chiwindi. Pazaka zina ziwiri zotsatirazi, muyenera kuyang'anira kwambiri zakudya, kumwa mankhwala othandizira.