Matenda a chiwindi omwe amapezeka kwambiri mu shuga ndi njira zawo

Matenda a shuga si matenda, koma njira ya moyo. Mosakayikira, malankhulidwe awa ndiotsutsana, koma palibe amene angavomereze - pafupifupi njira zonse za metabolic zimakonzedwanso, zomwe zimatsogolera kusintha kotchulidwa kwa dystrophic komwe kumakhudza pafupifupi chiwalo chilichonse, kuphatikizapo chiwindi.

Popeza kuchuluka kwa matenda ashuga a 2 kukuchulukirachulukira, kuwunika kwa ziwopsezo za ziwopsezo za matendawa kudayamba kukhala kofunikira.

Kodi chiwindi chimakhudzidwa bwanji ndi matenda ashuga?

Pokhala "fakitale" yodziwika bwino m'thupi la munthu, iyenera "kuwombera", popeza ndi ma hepatocytes pomwe zinthu zonse zoyipa zimagwiritsidwa ntchito, kulimba kwa mapangidwe ake komwe kumawonjezeka kwambiri ndikuyambika kwa matenda a shuga.

Mwachilengedwe, zonsezi zimabweretsa kufooka koyambirira kwa mphamvu zolimbitsa thupi komanso kukulira koyambirira kwachilengedwe, kenako matenda a morphological (kachitidwe).

Ponena za kusintha kwamaselo a chiwindi, zonsezi zimawoneka motere:

1. chifukwa cha kupha mphamvu kwa mafuta ndi metabolidi ya lipid, zinthu izi, komanso ma metabolites awo, ochulukirapo nthawi zambiri kuposa zabwinobwino, amalowa m'maselo a chiwindi kuti ataye pambuyo pake. Popita nthawi yayitali, thupi lidzalimbana ndi kuchuluka kochulukira, koma poganizira kuti sizisintha pakapita nthawi (zikuwoneka kuti, zidzachulukanso), ndipo mwayi wokhala ndi zotsalazo siwopanda malire, ndizotheka kulosera za chitukuko cha mafuta a hepatosis mwamphamvu kwambiri. Ichi ndiye chikhalidwe chomwe mafuta osafukulidwa amadzisonkhanitsa mu ziwalo. Kuphwanya kumeneku kudzayambitsa zochitika zambiri zamatenda, ndikupanga bwalo loyipa, pamene cholumikizana chimodzi chikukulitsa wachiwiri, motsatizana;
2. gawo lotsatira ndikupita patsogolo kwa njira ya pathological, yomwe imakhala pakuwonongeka kwathunthu kwa maselo a chiwindi (chachikulu necrosis). Vutoli limayamba chifukwa chakuti ma metabolites ambiri omwe sanatulutsidwe amadziunjikira mumaselo omwe amawononga ma organelles amachitika kale ndi chiwonongeko chotsatira. Chiwindi, ngakhale ali ndi kuthekera kokukonzanso, sasiya kukwaniritsa (osakwanira) ntchito zake. Bwalo lachiwiri loyipa likupanga - kuphwanya kwa kagayidwe kazakudya kumapangika chifukwa cha kulephera kwa chiwindi, ndipo kuchuluka kwa glucose komwe kumapangitsa kukula kwa dyslipidemia, komwe sikuli ndi zotsatira zabwino kwambiri pazomwe zimayambitsa "kuyeretsa" kwa thupi kuchokera kuzakumwa;
3. Zotsatira zake zonsezi ndikupanga matenda a chiwindi - ziwopsezo za chiwindi. Izi ndizinthu zomwe zimapangitsa kuti hepatocytes yakufa isinthidwe ndi minofu yolumikizidwa. Mwanjira ina, kusinthika kwa zinthu kumatha kukhala kosatheka mu chiwindi, matenda osakwanira a chiwalochi akupitiliza kukula, omwe amatha kulowa movutikira, ndikupangitsa kuledzera.

Sinthani Kuzindikira

Kuzindikira kuyambitsa kuphwanya malamulo kumachitika pochita mayeso otsatirawa:

1. kuwunika madandaulo ndi cholinga. Zonsezi zimayamba ndi izi, komabe, ndizosatheka kuzindikira zovuta za chiwindi ndi njira iyi koyambirira koyamba. Dandaulo limakhala kukoma kwa mkamwa. Kuphatikiza apo, wodwalayo adanenanso kuti kufooka, chizungulire, kusowa kudya komanso kusachita chidwi. Gawo lodziwika bwino limakhalanso ictericity (yellowness) ya sclera ndi khungu totupa. Percussion kudziwa kuchuluka kwa chiwindi. Kusintha kwa mtundu wa mkodzo ndi ndowe sizisiyidwa kunja;
2. kuphunzitsa njira zasayansi yantchito. Kuyesedwa kwa biochemical magazi ndi kutsimikiza kwa kupindika kwa chiwindi kukuwonetsedwa. Cholinga cha phunziroli ndikuwunika momwe chiwindi chimagwirira ntchito - m'mawu ena, chimakhazikitsidwa momwe gawo limasungirako ntchito zake. Choyamba, zidzakhala zofunikira kulabadira zizindikiro monga kuchuluka kwa bilirubin yachindunji komanso yathunthu, mayeso a thymol, kuchuluka kwa mapuloteni onse ndi albumin, ALT ndi AST. Kutsika kwa ndende yawo kumawonetsa bwino za matenda a chiwindi;
3. kupanga njira zofufuzira zothandizira - ultrasound, CT, MRI, biopsy. Njira zitatu zoyambirira ndizowonera. Ndiye kuti, wofufuzira amafufuza mwatsatanetsatane za momwe thupilo likuyambira pa chithunzicho - kutengera kwa zomwe zimayang'ana m'maganizidwe, kuchuluka kwake kumaonekera, koma mbiri ndi chiyambi sizingadziwike mwanjira imeneyi. Pazifukwa zosiyanitsa za metabolic hepatosis ndi khansa ya chiwindi, chitsanzo cha biopsy chikusonyezedwa. Njirayi imakhala kuti kugwiritsa ntchito singano yapadera, zitsanzo za minyewa yosinthika mwanjira zimatengedwa kuti zidziwike kukula kwa kusiyanasiyana kwa maselo ndi komwe adachokera. Chowonadi ndi chakuti nthawi zambiri zovuta za metabolic zimakhala zoyambitsa zomwe zimakwiyitsa kutuluka kwa maselo a khansa. Ndipo njira zamomwe angayendetsere odwala omwe ali ndi vuto la khansa ndi khansa ya chiwindi amasiyana m'njira zofunika kwambiri.

Kupweteka kwa chiwindi mu shuga: chithandizo

Kupezeka kwa zowawa pamenepa kumasonyezeratu kunyalanyaza kwa matenda, pomwe kusintha kwa histology kumabweretsa kuwonongeka kwa manyuroni.

Pankhaniyi, chizindikiro chokhacho chomwe chidzakhala chithandizo chokwanira, chifukwa, mwatsoka, kungoyatsidwa chiwindi ndi komwe kungathetse zomwe zakuphwanya zomwe zachitika.

Onse a hepatoprotectors ndi mankhwala omwe ali ndi ntchito yotchulidwa ya metabolic, panthawiyi, sangathe kuletsa kuwonetsa kuwawa - monga lamulo, Baralgin kapena Baralgetas amagwiritsidwa ntchito kuthetsa mawonetseredwe a hepatic colic (ampoule imodzi imayendetsedwa intramuscularly).

Kukula kwa chiwindi (chotchedwa hepatomegaly)

Chifukwa chophwanya mbiri ya chiwindi, ma hepatocytes amasinthidwa ndi ma cell ofunikira, ndipo njirayi sikuti nthawi zonse imasunga umphumphu wa chiwalo.

Mwachilengedwe, kusintha konseku kumakhala chifukwa choti chiwindi chimakula kukula.

Koma pamapeto omaliza a matenda a cirrhosis, m'malo mwake, amadzuka kwambiri ndikuchepa, omwe angafotokozedwe ndi kuwonongeka kwa minofu ndikuwola kwa ziwalo.

Mafuta hepatosis

Njira ya metabolic ya metabolic yomwe imachitika chifukwa cha kudzikundikira kwa lipids zosagwira mu maselo a chiwindi.

Mafuta hepatosis

Vuto la metabolic posachedwa limayambitsa kupezeka kwa kuwonongeka kwa organic ku hepatocytes, komwe kumakhala chifukwa cha kusowa pachimake komanso kuperewera kwa chiwindi (mawonekedwe onse azachipatala omwe angadziwike kwa odwala omwe chiwindi chake sichikukwaniritsa ntchito zomwe adapatsidwa).

Cirrhosis

Cirrhosis ndi chikhalidwe chomwe chimatsatira mafuta a hepatosis. Kupanga kwake kwa zochitika kumatha kudziwika motere:

1. kagayidwe kachakudya matenda kumachitika zomwe zimabweretsa kuwonongeka kwa chiwindi minofu;
2. pali imfa yayikulu ya hepatocytes (necrosis);
3. m'malo mwa maselo akufa, minofu yolumikizana imawoneka, yomwe imangodzaza malo omasuka, koma osagwira ntchito ya maselo a necrotic. Kuphwanya kachulukidwe ka chiwindi kumachitika, zomwe zimapangitsa kuti ziwalozi zikwaniritse, zomwe zimapangitsa kuti chiwindi chilephereke.

Mankhwala obwezeretsa chiwindi

Chithandizo nthawi zambiri chimachitika m'njira ziwiri - wodwalayo adapangidwira kukonzekera mankhwala othandizira chiwindi (artichoke, Karsil, Darsil, Mkaka Thistle) ndi hepatoprotectors, zomwe zimateteza maselo a chiwindi ku zotsatira zosafunikira zowopsa (zitsanzo za hepatoprotectors ndi Essentiale Forte N, Hepabene, Glutargin).

Mapiritsi a Carsil

Ngati odwala atenga mankhwalawo kuchokera ku gulu loyamba (mafomu apiritsi amatanthauza), ndiye kuti hepatoprotectors amaperekedwa nthawi zambiri, kudzera m'mitsempha, kapena kudzera m'mitsempha.

Kukonza chiwindi ndi wowerengeka mankhwala

Komanso njira yothandiza yolimbana ndi matenda a chiwindi.

Kugwiritsa ntchito njira yokhala ndi zotsatirazi ndikulimbikitsidwa:

1. udzu wa coltsfoot, 100 g;
2. maluwa a chamomile, 200 g;
3. chitsa chokhazikika, 300 g;
4. zitsamba za yarrow, 100 g;
5. udzu wowuma, 100 g;
6. zipatso za artichoke, 200 g;
7. Udzu wamphamvu, 50 g.

Zinthu zonse zomwe zili pamwambazi zidzafunika kusakanikirana bwino, kenako ndi kuwonjezera malita awiri amadzi otentha. Ikani m'malo abwino amdima ndipo mulole kuti afikire kwa tsiku limodzi. Muyenera kudya 1 galasi katatu patsiku, kwa mwezi umodzi. Ndi bwino kudya musanadye, chifukwa kulowetsedwa kwatchulidwa choleretic ntchito.

Chinsinsi china chomwe chatchuka ponseponse:

1. masamba a burdock, 200 g;
2. zipatso za artichoke, 200 g;
3. Mizu ya Yerusalemu artichoke, 100 g.

Kuphatikizikaku kudzafunika kudzazidwa ndi madzi (1.5 malita a madzi otentha) ndikuphika kwa ola limodzi. Kuphatikiza apo, zomwe zimapangidwazo zidzafunikira kusefedwa mwa kupukutira bwino ndikuloledwa kupweteketsa kwa maola angapo. Imwani kapu 1 kasanu patsiku, chifukwa - masabata awiri.

Zakudya

Tebulo lolimbikitsidwa D-5, kupatula zakudya zonunkhira, kusuta, mafuta ndi okazinga. Chitsimikiziro chake ndi mafuta a chimanga ndi zakudya zophatikizika mu utsi wazomera, nyama zopanda mphamvu.

Makanema okhudzana nawo

Kodi shuga ndi chiwindi zimagwirizana bwanji? Mayankho mu kanema:

Ndikosatheka kuchiritsa matenda ashuga, komabe, kusamutsa matenda mpaka gawo kuti chikhululukiro chachipatala ndichowona. Izi zimayimitsa kupitilira kwa chiwonongeko cha chiwindi, kupsinjika ndi vuto la metabolic. Mankhwala a hepatoprotective amathandizira kuti thupi lizipangidwanso.