Pancreatic lipomatosis - ndi chiyani

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Lipomatosis ndi njira ya pathological pomwe pali kuphwanya mapangidwe ndi kukula kwa maselo amafuta. Mkhalidwe umadziwika ndi kupangika kwa lipomas yambiri, yomwe imatha kutulutsidwa osati mafuta ochepa, komanso ziwalo zamkati. Pancreatic lipomatosis akufotokozedwa m'malo mwa limba minofu ndi mafuta maselo - adipocytes. Vutoli limatha kukhala la asymptomatic kwa nthawi yayitali.

About matenda

M'malo mwa zotulutsa za pancreatic ndi mafuta amatchedwa lipomatosis kapena steatosis. Mbiri ya dzina latsopanoli ndi kusandulika kwamafuta kwa kapamba. Pakusowa kwa maselo a gland, imayika ntchito, zomwe zimayendetsedwa ndi kuchepa kwa kupanga zinthu zofunika kugaya. Kusintha kotere ndikosasintha.

Maziko a minofu yamafuta am'mimba ndi njira yotupa. Kutupa kwanthawi yayitali kumayambitsa maselo a pancreatic, omwe amasinthidwa ndi adipocytes. Matenda ena akhoza kukhala zowonjezera zomwe zimathandizira kukulitsa kwa steatosis. Endocrine pathologies, kuphatikizapo matenda a shuga, amakulitsa kwambiri chiopsezo cha kufinya. Monga mukudziwa, mu pathogenesis ya shuga imakhudzana ndi kapamba, yemwe amapanga insulin. Kuperewera kwa kukonzanso kwa shuga kumapangitsa kuti chiwonetsero cha ntchito chiwonjezeke, kuchititsa kuwonongeka, chifukwa chake, mafuta amisempha. Kuvulala kwa minyewa ya minyewa kumachitika ndi kuledzera kapena kuledzera kwambiri ndi zinthu zina. Kuvulala kwa gland, komwe munthawi yake komanso chithandizo chonse sikunachitike, kumayambitsanso lipomatosis.
Kuphatikiza pazifukwa izi, pali zinthu zingapo zomwe zingakhudze kusintha kwa matenda:
• pancreatitis yovuta komanso yopweteka,
• onenepa kwambiri,
• magawo ochepa a chithokomiro.
Kukonzekera kubadwa komwe kungatengedwe pamibadwo ingapo sikusiyidwa.
Komabe, palibe mgwirizano pazomwe zimayambitsa kupangika kwa matenda awa.

Chifukwa chakuti kapamba amatulutsa zinthu zofunika kuti chimbudzi, zizindikiro zoyambirira zimagwirizanitsidwa ndi kuphwanya kwa ntchito m'mimba. Kusakomoka pang'ono mukatha kudya kungakhale chizindikiro chokhacho cha matenda omwe, monga lamulo, odwala samalabadira. Kuphatikiza apo, matendawa kwa nthawi yayitali satha kukhala ndi mawonetseredwe azachipatala, omwe amamasokoneza kwambiri njira yodziwira matenda.
Zizindikiro zoyambirira ndi mawonekedwe a dyspeptic. Gulu la zizindikirozi limaphatikizapo:
• nseru mukatha kudya mafuta kapena nyama yokazinga,
• kumva kuwawa m'mimba,
• mawonekedwe a flatulence, omwe samagwirizanitsidwa ndi kulandiridwa kwa zinthu zopititsa mpweya.
Ndi kukula kwa matendawa, kupweteka kwam'mimba kumawonekera, komwe kumatha kukhala kosatha komanso kwakanthawi, mutatha kudya zakudya zina. Pambuyo pake, kusintha kwa kusinthasintha kwa chopondapo kumawonjezeredwa kutsogolo kwa liquefaction, kuwonjezeka kwa pafupipafupi. Kuperewera kwakokwanira kwa michere ya m'mimba kumapangitsa kuti mafuta asawonongeke, chifukwa chake chopondapo chimakhala ndi mafuta ndikupeza luster yachilendo.
Kuphatikiza pa michere yokugaya, kapamba amatulutsanso mahomoni. Pachifukwa ichi, kuphwanya kayendedwe ka ziwalo sikumakhudza chimbudzi chokha, komanso dongosolo la endocrine. Zotsatira za zovuta za endocrine zimagwirizanitsidwa ndi kuphwanya kagayidwe kazakudya komanso kuwonjezeka kwa shuga m'magazi.

Gulu

Kugawika kwaposachedwa kumasiyanitsa madigiri atatu a pancreatic lipomatosis.
• Pa digiri yoyamba, zosaposa 30% zama cell zomwe zimakhudzidwa. Monga lamulo, pakadali pano, matenda a pathology samatsatiridwa ndi mawonetseredwe azachipatala.
• Gawo lachiwiri limadziwika ndi kuwonongeka kwa 30-60% ya chiwalo komanso kupezeka kwamavuto osaletseka mumimba. Odwala ambiri amayamba kuwona mawonedwe nthawi imeneyi, omwe amawakakamiza kuti apite kuchipatala.
• Zilonda ku madigiri 3 chimakwirira minofu yoposa 60%, motero manjenje sangatulutse timadzi tokwanira. Kupanga kwambiri kwa insulin, komwe kumanenedwa pakupanga shuga.

Zizindikiro

Chifukwa chakuti matendawa amapitilira kwa nthawi yayitali popanda kunyozedwa, kuwunika kumachitika ndi kusintha kwakukulu mu chiwalo. Njira yayikulu yodziwira koyambira ndi ultrasound, yomwe imakulolani kuti muwone kusintha kwa kapangidwe ka chiwalo. Phunziroli, kuwonjezeka kwa thupi chifukwa cha kukula kwa minofu ya adipose, komanso kupezeka kwa ma node mu thekelemma ya gland, amadziwika. Kuzindikira komaliza kumakhazikitsidwa pamtundu wa biopsy ya minofu, yomwe imakupatsani mwayi wowona ma cell omwe ali ndi zomwe zili ndi adipocytes.

Pancreatic lipomatosis mankhwala

Pa gawo loyamba, chithandizo cha matendawa chimatha kuchitika popanda opaleshoni. Malo ofunikira kwambiri ndikuchiritsa ndikumwa mankhwala. Chifukwa chakuti mankhwalawa amadziwika ndi nthawi yayitali ya chithandizo, njira izi, monga kudziyimira pawokha, sizimagwiritsidwa ntchito kwambiri.

Mankhwala okhazikika a lipomatosis amatha kuchitika kokha, njira zamankhwala zimapangidwa kuti muchepetse zizindikiro za matenda. Chithandizo cha opaleshoni chimakhala ndikuwononga minofu yowonongeka, yomwe imakupatsani mwayi wosiya chiwalo chathanzi komanso chogwira ntchito. Njirayi imalepheretsa kudwala, koma si njira yokhayo yowongolera matenda.
Kubwezeretsa mokwanira ntchito ya thupi, chithandizo chovuta kwambiri chikuyenera kuchitika, chomwe chimaphatikizapo:
• kukonza zamakhalidwe ndi kadyedwe,
• kupatula zakumwa zoledzeretsa,
• kugwiritsa ntchito mankhwala omwe amakonza shuga komanso kuthetsa zizindikiro za matendawa.
Gawo lofunika la chithandizo chamankhwala ndi zakudya. Ndikulimbikitsidwa kuti muzichita zakudya 6 patsiku, osachulukitsa zakudya zopatsa mphamvu za tsiku ndi tsiku, kupatula zakudya zamafuta ndi mafuta.

Kuteteza Lipomatosis

Kufunika kwa kupewetsa matenda kumawonetsedwa ndi zovuta za mankhwalawo komanso kusinthika kwa kuwonongeka kwa tiziwalo tamatumbo. Kuti achepetse vuto la matenda, munthu ayenera kuyendetsa thupi, kuchepetsa kuchuluka kwa mowa, komanso kupatula mavuto ena ndi kuvulala kwa gland. Ngati zizindikiro zoyambirira zikuchitika, muyenera kufunsa katswiri ndikupita kukayezetsa koyenera.

Monga tafotokozera pamwambapa, chitsulo chimakhudzidwa ndi chimbudzi, ndikupanga michere yofunikira. Pa chifukwa ichi, ndi kuchuluka kwa chakudya, maselo ofooketsa ndi ziwindi zimachitika. Kupatula ndikusintha mkhalidwewu, zakudya zamankhwala ziyenera kutsatiridwa. Zopangidwira: nyama zokhala ndi mafuta ochepa komanso nsomba, zinthu zamkaka, chimanga ndi masamba. Zakudya zonse ziyenera kukhala zophika kapena kuphika, kupatula kugwiritsa ntchito mafuta ndi mafuta ena. Muyeneranso kuchepetsa kuchuluka kwa chakudya chambiri - ma muffin, chokoleti, zakumwa zozizilitsa kukhosi. Kuyeza kumeneku kumakupatsani mwayi wochepetsera chiopsezo cha matenda ashuga ndi kapamba.

Pathology

Pancreatic lipomatosis ndi njira yomwe kapangidwe kazinthu kameneka kamasinthira. Maselo ake omwe amagwira ntchito zofunika amasinthidwa ndi maselo amafuta omwe sanyamula katundu aliyense wogwira ntchito. Izi zimapangitsa kuti malambe azigwira bwino ntchito, chifukwa choti dongosolo lonse logaya chakudya la thupi limavutika.

Matendawa amadziwika ndi kukula pang'onopang'ono komanso kupita patsogolo pang'onopang'ono. Kuti pakhale kusintha, pali zinthu zingapo zoyipa zomwe zimakhudza minofu ya chiwalo. Ndi chitukuko cha matenda, kapangidwe ka minofu ya pancreatic amasintha pang'onopang'ono. Maselo a chiwalochi amafa, m'malo mwake lipomas (maselo amafuta) amapangika.

Ponena za njira zamankhwala ndikudya, tikukulimbikitsani kuti mudziwe zomwe ananena adotolo ku chipatala cha Botkinskaya kuti mudziwe momwe wodwalayo angadziwire: https://health.mail.ru/consultation/2289709/.

Etiology ya matenda

Cholinga chachikulu cha mawonekedwe a pathological ngati cha 2019 sichinakhazikitsidwe, komabe, pali zinthu zina zomwe zimapangitsa kwambiri chiopsezo cha lipomatosis. Zina mwazinthu izi ndi izi:

1. Njira zotupa zomwe zimakhudza minofu ya kapamba (pancreatitis),
2. Matenda oyamba am'mimba,
3. Kumwa mwadongosolo
4. Kulemedwa ndi cholowa (ngati abale apafupi kwambiri a munthuyo anali ndi mavuto omwewo),
5. Endocrine pathologies (mwachitsanzo, matenda a shuga),
6. Mavuto owopsa a chiwindi (chiwindi mu mtundu uliwonse),
7. Kusokonezeka kwa maziko a mahomoni (makamaka, kuchuluka kocheperako kwa mahomoni a chithokomiro).

Maphunziro azachipatala a zamatenda

Chithunzi chachipatala cha matenda mwachindunji chimatengera kuwonongeka kwa chiwalo, ndiko kuti, pa gawo la chitukuko cha matenda.

Magawo otukuka	Zizindikiro zamakhalidwe	Mavuto omwe angakhalepo
Gawo 1, momwe zosaposa 30% ya minofu ya kapamba zimasinthidwa.	Pathology pakadali pano ya chitukuko nthawi zambiri imakhala yovuta, wodwalayo amatha kumangomva kusasangalala komanso kuvutika kwambiri atatha kudya. Mwambiri, matenda am'mimba amapezeka pakuwunika kwathunthu.	Popanda chithandizo, ma pathological process of pancreatic minus m'malo mwake akupitiliza, matendawa amapita gawo lachiwiri la chitukuko chake. Palibe zovuta zina pakadali pano.
Gawo lachiwiri, momwe 30-60% ya zomimba zimakhala.	Zizindikiro monga:

1. Ululu womwe wapezeka kumanzere kwa hypochondrium komanso pakati pamimba. Matenda a ululu amakhala ofatsa, koma nthawi zambiri amawonjezeka usiku,
2. Kukhumudwa, kutulutsa. Zotsalira za zakudya zopanda pake zimadziunjikira m'matumbo, pamapeto pake zimayamba kuwola, izi zimabweretsa kuwonekera kwa chizindikirochi.
3. Kuluma komanso kutentha kwa mtima, kulawa koyipa mkamwa mutatha kudya,
4. Kuchepa pang'ono pang'onopang'ono, kufooka ndi mseru (osasanza) mukatha kudya,
5. Minofu ya subcutaneous adipose imatha kuwoneka thupi la wodwalayo - zisindikizo zosapweteka zomwe zimakhala ndi maziko olimba.

Pakadali pano pa chitukuko cha matenda a zamizere, mavuto osiyanasiyana amatha kuonedwa. Mwachitsanzo, ngati minofu yamafuta ikukhala m'malo akuluakulu, thupi la wodwalayo silitha kulandira chakudya chomwe chimalowa m'mimba. Izi zimangogwira ntchito pazakudya zolemera (mwachitsanzo zokometsera, zamafuta, chakudya chokazinga). Zotsatira zake, munthu amakhala ndi kusokonezeka kwakukulu mu thanzi, kusanza, ndi kufooka pambuyo chakudya.Gawo 3, lodziwika ndi kusintha kwina kwathunthu kwamasisitimu.Pakadali pano, mawonetsedwe azachipatala a matenda am'mimba akuyamba kutchulika, zizindikiro monga:

1. Ululu wam'mimba mwadongosolo womwe sudalira chakudya,
2. Sinthani mu chopondera, pomwe kudzimbidwa kumasinthana ndi matenda otsegula m'mimba,
3. Kusintha kwa kapangidwe ka ndowe momwe zimapangidwira mafuta.
4. Kuchepetsa mseru limodzi ndi kusanza
5. Khungu lowuma, mawonekedwe a mkwiyo,
6. Ludzu lalikulu
7. Kulakalaka kwambiri, mawonekedwe a kunenepa kwambiri,
8. Kuphwanya njira pokodza (kuchuluka kwa zokakamiza ndi kuchuluka kwa mkodzo wotulutsidwa kumachepa).

Chovuta chachikulu komanso chowopsa kwambiri ndikuwopseza kuchepa thupi, komwe, ngati palibe chithandizo choyenera, chitha kupha. Ndi chitukuko cha gawo 3 lipomatosis, osati chimbudzi, komanso dongosolo la endocrine limavutika. Zonsezi zimadzetsa kuwonongeka kwakukuru mu thanzi komanso thanzi.

Njira Zodziwitsira

Ndikosavuta kuzindikira matenda kumayambiriro, chifukwa kulibe mawonekedwe amtunduwu. Ngati matendawa alowa mu gawo 2 kapena 3, kuwunika kwa mawonetseredwe azachipatala, komanso anamnesis (kukhazikitsa zomwe zimayambitsa matendawa, kuwunika zomwe wodwalayo amakonda, momwe amakhalira, kuwerenga mbiri yamatendawa ndi cholowa chake, ndikofunikira pakupanga matenda).

Kuti mupeze chithunzi chatsatanetsatane, njira zowonjezera zowunikira zimagwiritsidwa ntchito. Izi ndi:

1. Ultrasound yam'mimba yogaya kuti itsimikizire malo ndi kukula kwa mafuta m'thupi,
2. Pulogalamu yodziwitsa kapangidwe ka ndowe (ndikukula kwa lipomatosis, mafuta a zinthu amapezeka mkati mwake, mwa kuchuluka kwake komwe kungatheke kuweruza kuchuluka kwa kuwonongeka),
3. Kuyesedwa kwa magazi kwa mahomoni kuti awone kuwonongeka kwa kapamba ndi ziwalo za endocrine system.

Malangizo

Chithandizo cha pancreatic lipomatosis ndizovuta. Pali mitundu itatu ya njira zochizira, monga:

1. Sinthani pakudya ndi kukonza kwamunthu,
2. Chithandizo cha mankhwala osokoneza bongo chofuna kuthetseratu zomwe zimayambitsa ndi kuwonetsa kwa matenda,
3. Opaleshoni ya opaleshoni, yomwe imapangidwira pakukhazikitsidwa kwa mawonekedwe apamwamba a matendawa, pamene chiwalo choposa 60% chawonongeka, ndipo njira zochizira sizikupereka zomwe zikuyembekezeka.

Kuwongolera zakudya ndi moyo

Kuthetsa chiwonetsero cha matenda ndi kusintha kapamba, ndikofunikira:

1. Kanani mowa
2. Tsatirani malamulo azakudya zabwino (zakudya zapakati pa 6 ndi 6),
3. Chotsani zakudya zolemera za chimbudzi. Mwachitsanzo, izi ndi zakudya zokometsera komanso zokazinga, ma pickles, zakudya zamafuta,
4. Kudya zakudya zochepa zama calorie.

Mankhwala

Kutengera ndi zomwe wodwala akukumana nazo, wodwalayo adalandira mankhwala awa:

1. Ophera
2. Mankhwala omwe amathandizira kugaya,
3. Mankhwala a Antidiarrheal,
4. Mankhwala ochepetsa mseru,
5. Antispasmodics.

Mankhwala othandizira

Ndi kukula kwa zamatenda, kuwonongeka kwa ziwalo zazikulu, kuchitidwa opaleshoni ndikofunikira. Kutengera ndi kukula ndi malo, kuchuluka kwake kaphatikizidwe ndi minofu ya chiwalo, gwiritsani ntchito njira zoterezi kuti muchotse minofu ya adipose:

1. Kuchepetsa pamene chotupa chamafuta chimasiyanitsidwa mosamala ndi ziwalo zolimba za thupi. Njirayi siyowonjezeka ndipo ili ndi machiritso abwinoko,
2. Kasitomala kapenanso. Njira imeneyi imagwiritsidwa ntchito ngati chotupa chakhazikika limodzi ndi ziwalo. Pa opaleshoni, adokotala samachotsa minofu yamafuta okha, komanso minyewa yamphamvu yapancreatic. Kuchita koteroko kumawonedwa ngati kovuta, kumafunikira nthawi yayitali kuti ichiritse.

Makhalidwe a mankhwala omwe amagwiritsidwa ntchito

Chofunikira pakukonzekera mankhwalawa lipomatosis ndimankhwala, wokhudza kuperekera ndalama zamagulu osiyanasiyana.

Dzinalo	Kufotokozera	Kugwiritsa	Mtengo
Ibuprofen

Mankhwala okhala ndi mapiritsi amathandizira kuthetsa ululu ndi kutupa m'misempha yomwe ikukhudzidwa.Mankhwalawa amatengedwa pakamwa popanda kutafuna komanso kumwa madzi ambiri. Ana akulimbikitsidwa kumwa piritsi 1 katatu patsiku, akulu - mapiritsi awiri 3-4 pa tsiku. Kutalika - pafupifupi masiku 5.35-45 rub. mapiritsi 10. Pancreatin

Imapezeka m'mitundu yosiyanasiyana: mapiritsi okhala ndi chipolopolo, ndi makapisozi, ma dragees.Kapangidwe ka mankhwala kamaphatikizira michere yogwira pophika kwa chakudya. Cholinga chake ndichoti akonzenso michere yomwe yasowa ndikuwathandizira kugaya.Mankhwala amatengedwa pakamwa, popanda kuphwanya umphumphu wa phale, kutsukidwa ndi madzi ambiri. Mlingo wake umasankhidwa payekha, kutengera kuchuluka kwa kuwonongeka kwa dongosolo logaya chakudya, zaka komanso mawonekedwe a thupi la wodwalayo (mapiritsi a 2-4 nthawi zambiri amatsimikiziridwa patsiku).230-250 rub. Loperamide

Amapezeka mu mawonekedwe a mapiritsi oyera. Zomwe zimagwira ndi loperamide hydrochloride. Mankhwalawa amakhudza matumbo, amachepetsa mphamvu zake komanso amasangalatsa makhoma, omwe amathandiza kuchepetsa kutsegula m'mimba, amachepetsa kutulutsa komanso kusapeza bwino.Ana amayikidwa mapiritsi 0,5 pambuyo pa chopondapo chilichonse, akulu mapiritsi awiri patsiku, ndipo 1 atachotsedwa. Njira ya chithandizo mpaka masiku 5.15 rub kwa ma PC 10. Metoclopramide

Amapezeka mu mawonekedwe a miyala yaying'ono yoyera yokhala ndi m'mbali mwake. Mankhwala amathandizira kutsegula kwa matumbo a motility, amakulolani kukankhira mwachangu zakudya zosasunthika. Chifukwa cha izi, nseru, kutentha kwa mtima ndi zinthu zina zosasangalatsa zomwe zimakhudzana ndikusokonekera kwa chakudya zimachepetsedwa.Tafuna matalalawo bwino, ndikumeza ndi madzi. Mlingo ndi 20-60 MG. patsiku (izi zimagawidwa pawiri). Kutalika kwa maphunzirowa kumatsimikiziridwa payekhapayekha.40 rub kwa ma PC 10.

Kukonzanso zakudya

Kudyetsa chakudya ndi gawo lofunikira pothandizira lipomatosis. Wodwalayo amayenera kuwunika zakudya zake zonse, ndi kumadziletsa.

Zololedwa	Zoletsedwa
Zakudya za nyama (nkhuku, kalulu), Zamasamba Chipatso chopanda Malonda amkaka opepuka Mbewu za chimanga ndi mkaka pang'ono, Tiyi yobiriwira, madzi, zakumwa zouma zouma, Azungu azira (ochepa okha)	Mowa ndi zakumwa zoledzeretsa, Nyama zosemedwa ndi zipatso Zonunkhira Pake yatsopano, makeke, Zakudya zamafuta ambiri Tiyi wamphamvu kapena khofi, Chocolate

Zakudya zoyenera kwa sabata limodzi

Kudya kwa wodwala sabata iliyonse (muyenera kusankha njira imodzi):

1. Chakudya cham'mawa: nyama yophika yophika, phala pamadzi ndi mkaka wocheperako, chopumira cha nthunzi ndi mbale yakumbuyo yamasamba otenthedwa, phala la dzungu. Kuchokera zakumwa - tiyi wokhala ndi mkaka kapena tiyi wobiriwira,
2. Chakudya chamasana: omelet ya protein, zipatso zophika, tchizi chochepa kwambiri. Zakumwa - msuzi wothira madzi kapena madzi a mabulosi,
3. Chakudya chamadzulo: msuzi wamasamba kapena mkaka, nyama yophika yophika kapena nsomba yamafuta ochepa yokhala ndi mbali yamasamba, tiyi,
4. Zakudya zazing'ono: skit yogurt, zipatso zosapsa, zakudya,
5. Chakudya chamasana: masamba ophika ndi nkhuku, nyama yonyowa yokhala ndi mbale yazipatso kapena pasitala, masamba a masamba, tiyi wamasamba,
6. Musanagone: chikho chimodzi chopanda mafuta wopanda kefir wopanda shuga.