Kuchuluka kwa ziwalo zam'mimba zamagetsi zomwe zimakhala ndi endocrine ntchito secrete pancreatic madzi, omwe amakhala ndi ma enzymes. Zotsatira zazomwe zimayambitsa, enzymatic pancreatic insuffence grow. Kodi ndi ziti zomwe zimapangitsa kuti matenda azitsamba azikhala? Kodi chofunikira ndi chiyani kuti mubwezeretse zachilengedwe?
Magulu a michere ndi zochita zawo
Chigoba chaching'ono chimapezeka pansipa ndi kumbuyo kwa mimba. Zikondazo zili pafupi ndi msana pamlingo winawake - m'chigawo cha chapamwamba cha lumbar vertebrae. Malo ake opingasa amafanana ndi chilembo "S". Itha kupukusa mpaka malita 4 a kapamba wa pancreatic patsiku. Mchitidwewo umayamba munthu akangodya chakudya. Ntchito ya chinsinsi imapitilira kwa maola angapo.
Madzi a pancreatic ndi 98% madzi. Gawo latsalalo likugwera pa ma enzymes (ma enzymes). Zinthu zachilengedwe izi ndi mapuloteni m'chilengedwe. Amathandizira kusintha kwazinthu zambiri zam'mthupi. Zokha siziyenera kuwonongedwa ndikuwonongeka. Koma pali zifukwa zomwe zimayambitsa zotsatirapo - kusowa kwa ma enzymes kapena kusachita kwawo. Mwachitsanzo, asayansi azachipatala atsimikizira kuti ma enzyme amagwira ntchito pafupipafupi kwambiri ma hydrogen ion ndi zina mwa zinthu zina.
Imadziwika ndi michere ya ma enzymes ndi kusankha kwawo. Iliyonse mwamankhwala omwe amagwiritsidwa ntchito kwambiri amayang'ana gulu lake lazinthu:
- lipase limaphwanya mafuta;
- trypsin (chymotrypsin) - mapuloteni;
- amylase - chakudya.
Ma Enzymes amagwira ntchito pamankhwala osokoneza bongo omwe ali ndi kulemera kwakukulu kuti athe kuwapangitsa kupanga magawo osavuta: mapuloteni - amino acid, chakudya - ku monosaccharides.
Zomwe Zimayambitsa ndi Zizindikiro za Kukanika
Mankhwala osokoneza bongoMadzi am'mimba amayenda kudzera mu duodenum kupita m'matumbo. Ndi kuchepa kwa ma pancreatic enzymes, zakudya sizimamwa, khalani osaperewera. Matendawa amatha kukhala majini, kuchokera kwa makolo kupita kwa ana. Imapezedwa pa moyo, mu mawonekedwe ake oyambirira - chifukwa cha kusintha komwe kumakhudzana ndi chimbudzi (zokhudzana ndi zaka, atrophy, kuwonongeka kwa makina - miyala mu ma pancreatic ducts, zotupa, zipsera).
Matenda a enzymatic amatenga mawonekedwe achiwonetsero osakhudzidwa ndi ziwalo (atherosermosis, matenda a shuga, kunenepa kwambiri, kuperewera kwa zakudya m'thupi). Njira zakuzindikira zimakupatsani mwayi wodziwitsa kapena kuchepa kwathunthu kwa michere mthupi.
Nthawi zambiri zizindikiro za kuperewera kwa enzymatic zimawonekera ngati zovuta za pachimake komanso chifukwa chachikulu cha kapamba.
Wodwalayo akhazikitsa kuphwanya kwa zamisala molingana ndi zizindikiro zotsatirazi:
- kuchepa thupi;
- kutulutsa nthawi zonse;
- matenda;
- matumbo ofooketsa (zotulutsa zomasuka).
Dokotala wa gastroenterologist wogwiritsa ntchito njira zasayansi yophunzirira katulutsidwe wakunja wa kapamba (kuyesa kafukufuku, mapulogalamu, kudziwa mulingo wa michere), njira zothandizira (ultrasound, MRI, CT, radiography) imatsimikiza kuchuluka kwa enzymatic pancreatic insuffence.
Osaphulika ma molekyulu opaka mafuta okhala mu manyowa. Anthu oyamba:
- kuchuluka kuchuluka;
- osapangidwa, amadzimadzi;
- kukhala ndi fungo la fetid;
- imvi chamafuta.
Chithandizo cha Zizindikiro ndicholinga chothetsa kuwonetsera kwa enzymatic kusalinganika. Izi zimafuna kuwonjezeka kwa 100% kwamadzi achinsinsi. Akatswiri amati odwala omwe ali ndi matenda a shuga, zotsatira za kuwongolera pamankhwala nthawi zambiri zimakhala zabodza. Kuyesa kwabwino kwa ziwalo zopanda ntchito.
Chithandizo cha mankhwalawa ndikuthandizira thupi kupukusa ndi kuperewera kwa chakudya
Zoyambitsa ndi Zopezeka Zomwe Zimapangitsa Kuti Muli ndi Enzyme
Matenda omwe kapamba sangathe kutulutsa madzi am'mimba kuchokera masiku oyamba a moyo amatchedwa hypoplasia. Zikuwoneka nthawi yomweyo. Amayamba chifukwa chakukula kwa thupi. Mwanayo akuzunzidwa ndi chizindikiro chachikulu komanso chodziwikiratu - kutsegula m'mimba pafupipafupi. Kutsekula m'mimba kumachitika chifukwa cha kusapezeka kwa ma enzyme m'matumbo.
Nthawi zambiri kapamba wosakwanira samatulutsa mahomoni, ndiye kuti, samakwaniritsa gawo lachiwiri la zomwe amafunikira thupi. Poyerekeza ndi kusapezeka kapena kuchuluka kwa insulin, matenda a shuga amakula.
Odwala omwe amasowa mavitamini osungunuka ndi michere ina amakhala ofooka. Ntchito zoteteza thupi sizitha kuthana ndi matenda (chimfine, SARS, matenda apakhungu). Mankhwala othandizira pancreas osakhazikika amachitika ndi kukonzekera kwa enzymatic. Zinthu zina zofunika zimayambitsidwanso (insulin, mavitamini).
Matenda enanso omwe madzi ammimbamo samapitilira monga momwe amafunira ndi chifukwa chakuti sangathe kutuluka m'matumba ang'onoang'ono momwe amapangidwira. Theology ya cystic fibrosis ya kapamba imatha kubereka kapena kutenga. M'moyo wonse, izi zimachitika chifukwa chakuti msuzi umakhala wonenepa kwambiri. Sangadutse mu ndulu zopyapyala ndikuzipukutira pamodzi.
Ennthesized Enzymes
Kutenga kwa enzyme kwenikweni ndikosiyana. Pa pachimake kapamba, wodwalayo amamulembera kudya kwambiri kwa masiku angapo, nthawi zina mpaka milungu iwiri. Pakadali pano, wodwalayo amapaka jakisoni wa michere njira yake. Ndikofunikira kuti muchepetse kutupa ndi kutupa kwa kapamba. Ikani mankhwala omwe amachepetsa zinsinsi za thupi (Mexicoidol, Pantripin, Sandostatin).
Mu chifuwa chachikulu, makonzedwe a enzymatic amagwiritsidwa ntchito omwe angapangitse kuchepa kwa othandizira amitundumitundu (mathamangitsidwe):
- Mezim Forte
- Chiboni
- Pancreatin
- Chikondwerero
- Zothandiza.
Mankhwala amagwiritsidwa ntchito motsutsana ndi maziko a kupatula kwathunthu kwa mowa komanso kutsatira kwambiri zakudya zomwe zili ndi zakudya zomanga thupi kwambiri. Mapulogalamu azapuloteni amafunikira ngati chida chomanga cha ziwopsezo za kapamba, kuphatikizapo.
Kukonzekera kosakanikirana kumakhala ndi ma enzymes achilengedwe a nyama
Mlingo woyenera wa mankhwalawa amasankhidwa ndi dokotala payekhapayekha, kutengera zotsatira za mayeso, zomwe wodwala akuonetsa. Chidziwitso chofunikira ndichakuti ma enzyme omwe amapezeka m'mabotolo kapena mapiritsi amapota. Zimateteza kwathunthu mankhwalawa kuti asawonongedwe m'mimba. Zovalazi sizingawonongeke, kutafuna kapisolo kapena piritsi. Chidachi chimafikira chilengedwe m'matumbo, chimagwira ntchito yake.
Zomwe zimachitika pakumwa mankhwala ndizoti zimagwiritsidwanso ntchito pakudya kapena, nthawi zina, zitatha. Amatsukidwa ndimadzimadzi ambiri, koma osati amchere (madzi wamba kapena timadziti ta zipatso). Contraind zingaphatikizire tsankho la munthu pa mankhwalawa, momwe thupi lawo siligwirizana. Odwala omwe ali ndi gastritis amamva kupweteka kwam'mimba panthawi ya chithandizo.
Kupewa matenda ndikusuta kufafaniza, mitundu yake yonse (kungokhala, yogwira, panthawi yoyembekezera), mowa wamphamvu. Pathology imayamba chifukwa cha kufa kwa gawo lalikulu la maselo omwe amapanga madzi a pancreatic. Kuzindikiritsa kwakanthawi kumathandizira kumayambiriro kwa chitukuko cha kusakhazikika kwina kokwanira kuti kubwezeretsa kwathunthu kapena pang'ono pang'onopang'ono ntchito ya khunyu, anthu omwe ali ndi matenda obadwa nawo kuti akhale ndi thanzi labwino mthupi.
