Matenda a shuga nthawi zambiri amatha kukulira njira yotupa kapamba. Ndizachilendo kuti kuchuluka kwa odwala omwe akudalira insulin komanso matenda odziimira pawokha azikhala ofanana.
Mu pancreatitis yovuta kwambiri, kusintha kwa mtundu wa hyperglycemia kumatha kudziwika mu milandu 50, 15 yomwe idzakhala yodziwika ndi mtundu wa hyperglycemia.
Munthawi ya chithandizo chamankhwala kuti muchotse matenda a pancreatic, kuchuluka kwa shuga kwa wodwala kumachepa mpaka kufikira chizindikiro chokhazikika.
Zinthu zoyambirira zimayambitsa matendawa
Pancreatogenic shuga mellitus amakula pamene kutupa kwapancreatic kumapitilira. Kuphatikiza apo, matendawa amatengedwa ndi chiwonongeko ndi matenda a zida zobweretsa munthu.
Zotsatira za pathogenic zimaperekedwanso pamaselo a mashopu a Langerhans. Mutha kudziwa zambiri pazomwe amawauza ma Langerhans patsamba lathu.
Udindo wofunikira mu tizilombo toyambitsa matenda a shuga m'matumbo osachiritsika a kapamba amatumizidwa kukhazikitso ya kukhazikika kwa minofu. Amadziwika kwambiri ndi anthu omwe ali onenepa kwambiri komanso matenda oopsa.
Kunenepa kwambiri kumakhala chodwala chachikulu cha kapamba ndipo kungayambitse zovuta zakuchipatala.
Malinga ndi ziwerengero zamankhwala, momwe thupi limachulukira, mwayi wokhala ndi zovuta za kutupa kosatha mu kapamba, komanso kuperewera kwa endocrine kumawonjezeka. Kuphatikiza apo, odwala omwe ali ndi pancreatitis pachimake pakati pa thupi, hyperglycemia imayamba.
Ngati kuchulukitsa kwa chotupa kumachitika, ndiye kuti, kudutsa hyperglycemia kumalumikizidwa ndi:
- kutupa kwa kapamba;
- kuchuluka zoletsa za trypsin pakupanga kwa insulin (kuchuluka kwa zomwe zimachulukana kwambiri panthawi yotupa komanso kuchulukitsa).
Chithunzi cha kuchipatala
Pancreatitis ndi matenda ashuga ndizophatikiza matenda. Kusagwirizana kwa kulekerera kwa kachulukidwe kumakhala kodziwika kumayambiriro kwa chifuwa chachikulu. Monga lamulo, kuphwanya kosalekeza kwa kagayidwe kachakudya kumawonedwa pafupifupi zaka 5 pambuyo poyambitsa matenda.
Mavuto amtundu wa endocrine mu kutupa kosatha amatha kuwonekera m'njira ziwiri:
- hypoglycemia (hyperinsulinism);
- shuga wa kapamba.
Hyperinsulinism imatha kuchitika ndi zizindikiro zomwe zimatsatiridwa ndi:
- njala;
- thukuta lozizira;
- kufooka kwa minofu;
- kunjenjemera m'thupi lonse;
- chisangalalo chachikulu.
Pafupifupi gawo limodzi mwa magawo atatu a matenda a hypoglycemia, kupsinjika komanso kutayika kwa chikumbumtima kumatha kuchitika.
Pancreatogenic shuga mellitus imakhala ndi zinthu zingapo:
- nthendayi imakhudza, monga lamulo, odwala ochepa thupi omwe ali ndi mawonekedwe a choleric;
- matendawa samayenderana ndi kulemera mopitirira muyeso, kulolera shuga kapena kudziika kwa banja;
- munthawi imeneyi, hyperglycemia imalekeredwa mosavuta, mpaka 11,5 mmol / l;
- shuga mellitus amadutsa wofatsa ndipo palibe chifukwa chogwiritsira ntchito insulin yotsutsana ndi maziko a kuchepa kwa chakudya cha caloric, komanso malabsorption;
- pali mawonetseredwe a matenda a shuga patangopita zaka zochepa mutawona kuwonekera koyamba kwa ululu pamimba;
- pali chizolowezi cha hypoglycemia;
- Nthawi zambiri khungu, komanso matenda opatsirana;
- mochedweratu kuposa ndi matenda a shuga akale: ketoacidosis; Hyperosmolar zinthu, microangiopathy;
- matendawa amathandiza kwambiri kuchiritsa mothandizidwa ndi zakudya zapadera, zolimbitsa thupi ndi kukonzekera kwa sulfonylurea;
- kufunikira kwa insulini yowonjezereka sikungatheke.
Kuzindikira ndi chithandizo
Kuzindikirika kwa matenda a shuga a pancreatogenic ndikotheka ngati kuyesedwa kwa matenda apamwamba kumachitika.
Kuti tichotse matendawa, zakudya zoyenera ziyenera kupangidwa. Ndikofunika kulabadira mwatsatanetsatane kukonza kwa kuperewera kwa mphamvu zama protein, komanso kuwonda. Kuphatikiza apo, ndizosatheka kuchita popanda mawonekedwe a hypovitaminosis ndi kusokonezeka kwa ma electrolyte.
Exocrine pancreatic insuffuffence iyenera kulipidwa mokwanira momwe mungathere. Izi zimafunikira kukonzekera kwa enzyme kukonzekera gawo lomwe lakhudzidwa.
Zosafunanso pankhani yochepetsera kupweteka pamimba pamimba ndizomwe zimagwiritsidwa ntchito moyenera ma analgesics osachokera ku narcotic.
Ngati dokotala angalimbikitse kuchitapo kanthu pochita opaleshoni, ndiye pankhaniyi ndikofunikira kupewa palreatomy ya distal. Ngati ndi kotheka, mankhwala a insulin yosavuta adzayikidwa. Mankhwala osaposa 30 mayunitsi. Mlingo weniweniwo udzadalira kakhalidwe kameneka:
- kuchuluka kwa mtima wamagazi;
- chikhalidwe cha zakudya;
- mulingo wakuchita zolimbitsa thupi;
- kuchuluka kwa chakudya chamafuta.
Simungatsitse magazi a shuga m'magazi, ngati ali pansi pa 4.5 mmol / L. Kupanda kutero, hypoglycemia ikhoza kukhala.
Malangizo a kagayidwe kakangokhazikika, wodwalayo amayenera kupita ku mankhwala amkamwa omwe cholinga chake ndi kuchepetsa shuga m'magazi.
