Pancreatogenic shuga

Monga ziwerengero zimawonetsa, odwala matenda a shuga a pancreatogenic amakula mu 30% ya odwala omwe ali ndi kutupa kosatha kwa kapamba. Chithandizo cha matendawa ndichovuta kwambiri. Mwayi wochira kwathunthu ndi wochepa.

Ichi ndi chiyani

Kuti mumvetsetse za shuga ya kapamba ndi momwe zimakhalira, ndikofunikira kunena mawu ochepa za momwe kapamba amagwirira ntchito. Chiwalochi chimakhala ndi maselo otulutsa ma cell omwe amapanga chinsinsi chapadera chofunikira pakubowoleza chakudya. Pakati pa maselo amenewa pali zisumbu za Langerhans, zomwe "ntchito" zake zimaphatikizapo kupanga insulin ndi glucagon. Amakhala ndi maselo a endocrine.

Popeza ma cell a exocrine ndi endocrine amakhala pafupi kwambiri wina ndi mzake, pamene njira zotupa zimachitika mwa iwo, enawo amakhudzidwa. Ndiye kuti, kuwonjezera pa kuti kupanga madzi a enzyme kusokonezeka, pali vuto lina pakupanga mahomoni ofunikira kuti kufalikira kwa glucose ndikusintha kwake kukhala mphamvu. Ndipo chifukwa cha chifukwa ichi, kapamba ndi matenda a shuga amakhazikika nthawi imodzi.

Zifukwa

Monga tafotokozera pamwambapa, choyambitsa chachikulu cha matenda a shuga a 3 ndi njira yotupa yomwe imachitika m'maselo a kapamba. Koma osati pancreatitis yovuta kapena yokhazikika yomwe ingayambitse matendawa. Palinso ma pancreatic pathologies omwe angayambitse matenda a shuga a pancreatogenic mwa anthu. Izi ndi:

• pancreatic necrosis, yodziwika ndi vuto la kapamba, momwe imayamba kugaya maselo ake, ndikupangitsa kufa kwawo;
• matenda a pancreatic oncological, momwe maselo a ziwalo amawonongeka, amasiya kugwira ntchito mwachilungamo ndipo pang'onopang'ono amafa;
• kuvulala komwe kumakhalapo panthawi ya sitiroko kapena njira zopangira opaleshoni momwe umphumphu wa kapamba unasokonezeka, ndikutsatiridwa ndikupanga njira yotupa;
• kapangidwe kanyumba ka kapamba, mwachitsanzo, pakapezeka chotupa, pomwe kuchotsedwa kwachiwalo ndi njira yokhayo yopulumutsira munthu;
• cystic fibrosis, komwe ndi matenda obadwa nawo omwe matendawa amakumana;
• hemochromatosis, yomwe imadziwika ndi kuphwanya kosinthanitsa ndi utoto wokhala ndi chitsulo mthupi, womwe umayambitsa vuto pantchito ya ziwalo zambiri, kuphatikizapo kapamba;
• kapamba wodziwika ndi pancreatic hyperfunctionality.

Ndikofunika kuyang'anitsitsa kuchuluka kwa shuga m'magazi, chifukwa ndizopatuka kuchoka pazomwe zimatha kukhala zoyamba kuwonetsa kuphwanya ntchito za kapamba

Mwachidule, tiyenera kudziwa kuti kukulitsa kwa matenda a shuga a pancreatogenic ndi njira ina yokhudzana ndi kuphwanya kwa kapamba. Chifukwa chake, pamaso pa matenda oterewa, odwala amalangizidwa kuti aziwunika pafupipafupi kuchipatala kuti azindikire zomwe zikuchitika ndikuyamba chithandizo chawo.

Dziwani kuti matenda monga kapamba ndi matenda ashuga nthawi zambiri amakulira nthawi imodzi mwa anthu omwe ali ndi kunenepa kwambiri komanso hyperlipidemia. Ndipo ngati chilichonse chili chomveka bwino ndi kulemera mopitirira muyeso, ndiye kuti sichoncho kwenikweni, chifukwa ambiri sadziwa kuti ali ndi matenda otani. Ndipo ndi mkhalidwe womwe zinthu zoyipa zimayamba kudziunjikira m'magazi, omwe ndi lipids, omwe mwa iwo ndi cholesterol, mafuta ndi triglycerides.

Chachilendo cha hyperlipidemia ndikuti chimayamba makamaka mwa anthu omwe ali ndi vuto la kunenepa kwambiri, matenda a shuga kapena cholesterol. Pafupifupi asymptomatic. Ngati pali zizindikiro zilizonse za hyperlipidemia, nthawi zambiri zimakhala zaulesi, ndipo anthu samangotsatira. Chifukwa chake, amaphunzira za kukhalapo kwa vutoli pokhapokha atayeza mayeso osiyanasiyana.

Malinga ndi madokotala ambiri, anthu omwe ali onenepa kwambiri osachita chilichonse kuti athetse vutoli, amaika matupi awo pachiwopsezo chachikulu. Inde, pamaso pa kuchuluka kwa thupi, kuopsa kwa kutupa kosatha kwa kapamba kumachulukitsa kangapo. Nthawi yomweyo, mwayi wolephera wa endocrine ukuwonjezeka, womwe umakhudzanso mawonekedwe a matendawa.

Kunenepa kwambiri kumapangitsa osati chitukuko cha matenda a shuga a pancreatogenic, komanso maonekedwe a zovuta zina zaumoyo.

Kuphatikiza apo, odwala omwe ali ndi pancreatitis yayikulu chifukwa cha kunenepa kwambiri amakhala ndi hyperglycemia, yomwe imadziwika ndi kuwonjezeka kwambiri kwa shuga m'magazi. Nthawi zambiri, zimatha ndikumayambira kwa vuto la hyperglycemic.

Kupezeka kwa hyperglycemia kumalumikizidwa makamaka ndi zochitika zotere:

• kutupa kwambiri kwa kapamba chifukwa chotupa;
• kuchuluka kwa trypsin pa insulin kaphatikizidwe, komwe motsutsana ndi maziko a kutupa pachimake kumawonjezeka kangapo.

Zolemba za maphunziro a shuga a pancreatogenic shuga

Pancreatogenic shuga mellitus ili ndi njira zake zachitukuko. Monga lamulo, anthu omwe akudwala matendawa amakhala ndi thupi lopyapyala ndipo ndi choleric. Mosiyana ndi matenda a shuga a mtundu woyamba 1 ndi odwala matenda ashuga amtundu wa 2, mwa odwala matenda ashuga a 3, kuchuluka kwa shuga m'magazi kumaloledwa ndi odwala nthawi zonse. Kuphatikiza apo, amatha kumva bwino ngakhale muzochitika izi pomwe kuchuluka kwa shuga m'magazi kumakwera mpaka 10-11 mmol / l. Mu matenda ashuga wamba, kuchuluka kwa shuga kotereku kumabweretsa kuwonongeka kwakukuru m'moyo wabwino, ndipo mwanjira iyi, palibe zizindikiro zomwe zimadziwika.

Komanso, pakukula kwa matendawa, cholowa chamtsogolo sichilibe kanthu. Itha kuonekanso mwa anthu omwe m'mabanja mwawo simunawonepo. Nthawi yomweyo, pancreatogenic shuga mellitus alibe insulin kukana ndipo samadziwika ndi koopsa maphunziro. Koma anthu omwe amadwala matendawa, monga odwala omwe ali ndi matenda ashuga a mtundu woyamba 1 komanso omwe ali ndi matenda ashuga a 2, amatenga matenda pafupipafupi komanso matenda a pakhungu. Munthawi yake, mabala ndi mafinya pamthupi amachira kwakanthawi yayitali komanso kuopsa kwa kusinthika kwawo ndi kukula kwatsoka kwa gangrene kulinso.

Matenda a shuga a Pancreatogenic amakula pafupifupi asymptomically. Zizindikiro zoyambirira za kupezeka kwake zimawonekera pokhapokha patatha zaka zingapo zowawa mobwerezabwereza m'mimba.

Kupweteka kwam'mimba kungakhale chizindikiro chokhacho cha matenda a shuga a pancreatogenic

Mbali yake yosiyanitsa ndikuti imakonda kutsika shuga m'magazi ndipo nthawi zambiri imapereka zovuta. Kuphatikiza apo, mosiyana ndi T1DM ndi T2DM, imayankha bwino chithandizo ndipo sikutanthauza kuti munthu azigwiritsa ntchito mankhwala osokoneza bongo nthawi zonse. Monga chithandizo chake, zolimbitsa thupi zolimbitsa thupi, kudya, kukana zizolowezi zoyipa ndikugwiritsa ntchito mankhwala okhudzana ndi sulvonylurea ndi zidongo zimagwiritsidwa ntchito.

Zizindikiro

Monga tafotokozera pamwambapa, matenda a shuga a pancreatogenic amatha kukhala asymptomatic pazaka zambiri. Ndipo chinthu chokhacho chomwe chitha kuvutitsa odwala ndi kupweteka kwam'mimba kwapakati komanso kuwonjezeka kwa shuga m'magazi.

Zomwe zimayambitsa matenda a shuga

Komabe, ngati nthendayo imayendera limodzi ndi hyperinsulinism (matendawa amapezeka kawirikawiri ndi zotupa za kapamba ndi endocrine), ndiye kuti chithunzi cham'chipatala chitha kuphatikizidwa ndi zizindikiro zotere:

• kumangokhalira kumva njala;
• kutsitsa minofu kamvekedwe;
• kufooka
• thukuta lakumwa kozizira;
• kunjenjemera
• kuchita chidwi kwambiri.

Nthawi zambiri, hyperinsulinism yophatikiza ndi matenda a shuga a pancreatogenic imatsutsa maonekedwe a kukomoka komanso kukomoka. Kuphatikiza apo, ndi matendawa, kuvomerezedwa kwa makoma a minyewa kumasokonezeka ndikuwuma kwawo kumawonjezereka, zomwe zimatsogolera kuwoneka kwa edema ndi mikwingwirima yomwe imawoneka pakhungu popanda chifukwa.

Chithandizo

Chofunikira kwambiri pa mankhwalawa a shuga a pancreatogenic ndi kudya. Wodwala ayenera kusamala kwambiri posankha zakudya. Ndikofunika kulipira chisamaliro chakuchepa kwa mphamvu ya mapuloteni, komanso kupewa kuteteza thupi kwambiri chifukwa izi zimatha kutopa.

Mndandanda woyenera wazinthu zololedwa komanso zoletsedwa za matenda a shuga a pancreatogenic

Kuphatikiza apo, ndikofunikira kumwa mankhwala omwe amabwezeretsa ma electrolyte mthupi ndi kubwezeretsanso mavitamini ndi michere kuti mupewe kuwoneka kwa hypovitaminosis, pomwe ziwalo zonse zamkati ndi machitidwe a munthu, kuphatikiza kapamba, zimavutikira.

Chofunikira pakuchiza matendawa ndi kubwezeretsedwa kwa exocrine pancreatic insufficiency. Pachifukwa ichi, makonzedwe apadera amatengedwa omwe amasintha mphamvu ya chamoyo ndikuwonjezera mphamvu zake.

Pamaso pa kupweteka kwambiri pamimba, ma analgesics amagwiritsidwa ntchito. Ndikofunika kuti agwirizane ndi mankhwala omwe si a narcotic. Izi zimapewe kuzolowera komanso mavuto ena azaumoyo.

Nthawi zina, chithandizo cha opaleshoni chimagwiritsidwa ntchito pochiza matenda a shuga a pancreatogenic. Nthawi zina ndi okhawo omwe amathandizira matendawa. Ngati mulibe opaleshoni, ndiye kuti pali zoopsa kwambiri za pacreatomy. Ngati ikuwoneka, mwina pangafunike kugwiritsa ntchito insulin yosavuta. Amagwiritsidwa ntchito kuchuluka kosaposa 30 mayunitsi. Ndipo kuchuluka kwake kwa wodwala kumawerengeredwa payekhapayekha, poganizira zifukwa zina:

• mulingo wothira magazi a wodwalayo (wowunikira kwa sabata lathunthu ngati ali osasunthika kapena kunyumba pogwiritsa ntchito glucometer, zotsatira zonse zalembedwa mu diary);
• kuchuluka ndi thanzi la wodwalayo (zimatengera kuchuluka kwa zakudya, kuchuluka kwa zakudya zomwe zimagwiritsidwa ntchito, kuchuluka kwa mafuta, chakudya komanso mapuloteni muzakudya);
• mulingo wakuchita zolimbitsa thupi.

Ndipo apa ndikofunikira kwambiri kugwiritsa ntchito mankhwala okhala ndi insulin molondola. Ngati magazi a shuga ali mgulu la 4-4.5 mmol / l, ndiye kuti sayenera kugwiritsidwa ntchito mwanjira iliyonse. Popeza mankhwalawa amathandizira kuchepetsa kuchuluka kwa glucose ndipo amatha kubweretsa kuyambika kwa hypoglycemia kapena, moyipa kwambiri, vuto la hypoglycemic, lomwe munthu angagwe kapena atha kufa.

Madokotala atatha kusintha kagayidwe kazakudya zam'mimba ndi pancreatic ntchito, amathandizira mankhwala omwe cholinga chake ndikukhazikitsa shuga. Ndi mitundu yanji ya mankhwalawa yomwe idzagwiritsidwa ntchito, ndi dokotala yekha amene amasankha, poganizira izi.

Chithandizo cha matenda a shuga a pancreatogenic sichimabweretsa zovuta ngati wodwala adayankha mwachangu kukula kwa matendawa ndikuyang'ana kwa dokotala kuti amuthandize. Chifukwa chake, khalani ndi chidwi ndi thanzi lanu komanso ngati zizindikiro zoyambirira za matendawa zikuwoneka (ndiko kuti, ululu wam'mimba), pitani kwa katswiri ndikutsatira zonse zomwe akulangizani. Munjira imeneyi mokha mudzatha kukhala ndi thanzi lanu kwazaka zikubwerazi!