Mafuta hepatosis amtundu wa 2 shuga

Inde, muli ndi matenda ambiri komanso osiyanasiyana mankhwala.

Ponena za merkazolil: inde, ndi mankhwala ofunikira a thyrotooticosis, koma angawononge chiwindi. Lankhulani ndi madotolo m'chipatala chanu, mudzafunika zida za hepatoprotectors - mankhwala othandizira kusintha kwa chiwindi (mwachitsanzo, Heptral, Hepa-Merz kudzera m'mitsempha).

Ponena za Invokan: iyi ndi mankhwala abwino ochepetsa shuga, omwe, chifukwa cha kuchepa kwa shuga m'magazi, amachepetsa chiopsezo chokhala ndi mavuto a shuga, kuphatikizapo matenda am'mimba, komanso zovuta zina monga kugwidwa ndi matenda a mtima.

Zachidziwikire, palibe mankhwala amodzi omwe angakhale osagwiritsa ntchito zakudya omwe amachepetsa shuga kukhala abwinobwino. Ngati timadya mafuta ochulukirapo ndipo timadya mosavomerezeka, pamenepa, mavuto amakula pakukonzekera kulikonse, kuphatikiza pa kogwiritsa, ndi miyendo ingadulidwenso, mwina kumenyedwa, kugunda kwamtima ndi zina.

Chifukwa chake, tsatirani kadyedwe, yesani kusuntha kwambiri (zolimbitsa thupi kumachepetsa shuga) ndikuyang'ana mashuga (abwino kwambiri a 5-10 mmol / l) ndipo koposa zonse, kuyang'anira chiwindi chanu. Pali mankhwala ambiri omwe amalandiridwa, ndipo amapereka katundu pa chiwindi, chomwe sichabwino kale.

Mafuta hepatosis - Zizindikiro ndi chithandizo

Owerenga athu adagwiritsa ntchito bwino Leviron Duo pachipatala. Kuwona kutchuka kwa malonda, tidaganiza zoperekera chidwi chanu.

Matenda aliwonse amayambitsa ndi prerequisites, ndipo nthawi zambiri munthu amayenera kudziwika kuti wadwala. Izi ndizowona makamaka matenda a chiwindi. Kunyalanyaza malangizo a madotolo, kudzichiritsa nokha komanso chidwi ndi mankhwala a anthu, kugwiritsa ntchito chakudya choyipa, mankhwala osokoneza bongo - chifukwa chakuwonongeka kwa thupi limodzi, chiwindi chamafuta kapena mafuta amayamba.

Zomwe Zimayambitsa Mafuta A chiwindi cha Hepatosis

Kulowa kwamafuta m'chiwindi ndi njira yomwe thupi limadziunjikira minofu ya lipid ndipo ma hepatocytes amayamba kutha. Ndi kudziwika kwakanthawi, chithandizo choyenera ndikutsatira zakudya, mafuta a hepatosis ndi njira yosinthira.

Chifukwa chiyani m'malo mwa maselo athanzi ndi maselo amafuta? Madokotala amasiyanitsa zifukwa zotsatirazi:

• mtundu II matenda a shuga,
• kunenepa kwambiri (kulemera kwam'mimba zoposa 30), matenda a metabolic,
• Hyperlipidemia - nthenda yodziwika ndi kuchuluka kwa zamadzimadzi m'magazi,
• kuphwanya kwam'mimba dongosolo - kapamba, enteritis, dysbiosis
• endocrine pathologies (hypothyroidism, hyperfunction ya adrenal cortex),
• kuperewera kwa thupi, kumwa mowa kwambiri
• Zakudya zopanda pake, kusala kudya, zakudya zopatsa mphamvu,
• kumwa mankhwala, mwachitsanzo: tetracycline, methotrexate, Vitamini A, estrogens, antiretroviral therapy, maantibayotiki nthawi yayitali komanso popanda ma proiotic.
• kuyamwa kwambiri poizoni (mafuta, bowa wapoizoni, phosphorous yoyenera, mankhwala ena ophera tizilombo, ndi zina) ndi radiation.

Mowa ndi kumwa mankhwala osokoneza bongo, poyizoni ndi ziphe kapena mankhwala, poizoniyu angayambitse poizoni wa chiwindi - vuto lomwe limafunikira kuchipatala msanga.

Njira zakukula kwa matendawa

Kulowerera kwa chiwindi chamafuta kumachitika kawiri pazifukwa ziwiri. Nthawi zambiri, izi zimachitika chifukwa chamafuta ambiri olowa mthupi, zimatha ku:

• Mafuta ochulukirapo ndi chakudya chamagulu m'zakudya.
• Kuchuluka kwa glycogen. Zikatero, mafuta amachotsedwa mu depot ndikudziunjikira m'chiwindi.
• Kuchepetsa kuchepa kwa lipid chifukwa cha uchidakwa kapena kunenepa kwambiri, kuchepa kwa magazi, matenda ashuga, matenda a endocrine.
• Kuzama pakupanga mahomoni okula. Izi zimapanga kutulutsa kwa maselo amafuta ku depos.
• Kukana kwa insulini kumapangitsa kuti mayamwidwe am'magazi azitha kuchokera ku zotumphukira za adipose.

Chifukwa chachiwiri ndikuvutikira pochotsa mafuta m'chiwindi. Izi zitha kuchitika chifukwa cha zinthu ngati izi:

• Kuperewera kwa zinthu zomwe zimayambitsa kukonzekera kwa mafuta (mapuloteni, zinthu za lipotropic). Zotsatira zake, lipids sasintha kukhala phospholipids kapena lecithin, koma amayikidwa mu mawonekedwe a mafuta aulere mkati mwa maselo.
• Poizoni, mowa, ndi matenda ena amawononga mitochondria ndi ma cell ena ma cell, mwakutero amasokoneza kugwiritsa ntchito mafuta acids.

Nthawi yomwe chiwindi cha parenchyma chikukhudzidwa kwambiri kotero kuti hepatocytes singagwire ntchito bwino, kutupa kwa minyewa kumatha kuyamba. Zotsatira za kutupako nthawi zina zimakhala poizoni wa chiwindi. Matendawa nthawi zambiri amakhala ndi maphunziro opweteka kwambiri, opweteka kwambiri ndipo amafunika kulandira chithandizo kuchipatala msanga.

Zizindikiro za Hepatosis yamafuta

Kuwonongeka kwamafuta kwa chiwindi kwa nthawi yayitali ndi asymptomatic. Kukula kwamtunduwu kumatanthauza ma pang'onopang'ono omwe amapita patsogolo. Ndi chitukuko cha chiwindi dystrophy, zizindikiro zimachitika:

• kulemera ndi ululu wosakhazikika pamimba pamanja,
• matumbo dysbiosis,
• kutsika kwamawonedwe owoneka,
• Khungu limakhala louma, lotuwa, louma,
• kusanza ndi kusanza

Hepatosis ya chiwindi, zomwe zizindikiro zake zimasokonezeka mosavuta ndikuwonongeka kwazomwe zikuchitika muumoyo wawo, ndizowopsa pakuyamba kwake. Zizindikiro zimawonjezeka pang'onopang'ono ndikuwonekera ndi gawo lachitatu la matendawa. Tsoka ilo, chotupa cha chiwindi chimatha kuthandizidwa ndikupatsirana ziwalo.

Chifukwa chake, ngati muli pachiwopsezo (alembedwa pazomwe zimayambitsa matenda a chiwindi chamafuta), muyenera kusamala kwambiri ndi thupi lanu kuti musaphonye zizindikiro za kuyambika kwa dystrophy. Njira yabwinoko kwambiri ingakhale yoyeserera pakatha miyezi 6 mpaka 12: kuyezetsa magazi ndi mkodzo. Kusintha kwaposachedwa kwakapangika ka minofu ya ziwalo kumapezeka, ndizotheka ndikutinso kubwezeretsa chiwindi.

Madokotala amasiyanitsa magawo anayi a matenda:

• zero - mafuta ochepa omwe amapezeka pang'ono,
• yoyamba ndi madontho akulu amafuta, madera ang'onoang'ono osintha,
• chachiwiri ndi kunenepa kwambiri kwa chiwindi komwe kumakhala madera ambiri,
• chachitatu ndiko kupangika kwa lipomas - mafuta a cysts.

Gawo lachitatu limatsatiridwa ndi chiopsezo chachikulu cha fibrosis. Cysts ikhoza kuyamba kufinya madera oyandikana ndi chiwindi, kutseka ma ducts a bile. Kuzindikira kumakhazikitsidwa ndi madandaulo a wodwala, ma Ultra ndi makina opatsirana amawerengedwa. Ndi matenda okayikitsa, mtundu wa chiwindi womwe umayikidwa.

Njira Zachithandizo

Palibe chithandizo chachindunji cha matenda. Koma simungathe kusiya! Kutenga matenda oyang'aniridwa, kupangitsa ziwonetsero zazikulu zamatenda ndizotheka.

Zomwe mungachite kuti zinthu zikhale bwino:

1. Funsani kwa dokotala, mukayezetsa, kutsatira malangizo ndi malangizo onse,
2. Kukonzanso zakudya. Uku si kudya kwakanthawi, koma moyo wa munthu yemwe ali ndi matenda a chiwindi,
3. Ngati mankhwala oopsa a chiwindi akudwala, ndiye kuti mwayi wokhudzana ndi ziphe, mankhwala okayikitsa, mankhwala ophera tizilombo ndi mankhwala ophera tizilombo ayenera kuchepetsedwa.

Zakudya za hepatosis

Ndi matenda awa, chinthu chachikulu ndikuchepetsa kuchuluka kwamafuta. Zakudya zokazinga ndizoletsedwa, zimangophika, zophikidwa kapena zaphika.

Zakudya zotsatirazi ziyenera kuchotsedwa muzakudya:

• msuzi wonenepa, makamaka msuzi wamafupa ndi bowa,
• nyama yamafuta ndi nsomba,
• anyezi watsopano ndi adyo,
• nyemba
• tomato
• bowa
• radish ndi radish,
• Zakudya zamzitini - kuphatikizapo zinthu zopangidwa tokha,
• nyama zofukiza, zopangidwa ndi mchere,
• mafuta amkaka ndi mkaka,
• khofi ndi koko, koloko zosiyanasiyana.

Zakudya za mafuta a chiwindi hepatosis ziyenera kuphatikizapo:

• masamba abwino, owiritsa, owuma,
• msuzi, borsch pamadzi ndipo wopanda nyama,
• msuzi wamkaka
• tchizi chamafuta ochepa ndi tchizi chanyumba,
• mazira owiritsa - osaposa 1 patsiku,
• amamu omele,
• chimanga - oatmeal, buckwheat, semolina ndi mpunga,
• mkaka
• kefir, yogurt yamafuta ochepa.

Matenda aliwonse a chiwindi ndi kapamba sangachiritsidwe popanda kudya.

Ili ndiye mwala wapangiri wa njira zonse zochizira matendawa komanso njira yothandiza kwambiri yoletsa kupititsa patsogolo kwa chiwindi chamafuta. Koma ngakhale kutsatira zakudya, ndi hepatosis ndikofunikira kuyang'anira kuchuluka kwamafuta ndi mapuloteni omwe amabwera ndi chakudya.

Mankhwala osokoneza bongo a hepatosis yamafuta

Gastroenterologist amatenga matenda a chiwindi ndi kapamba.

Zochizira mafuta hepatosis ntchito magulu atatu a mankhwala:

1. Kukonzekera ndi phospholipids ofunikira. Zinthu izi zimateteza ma cell ku poizoni osiyanasiyana. Dokotala atha kukulemberani Zofunika, Phosphogliv.
2. Sulfoamino acid - "Heptral" kapena "Dibicor",
3. Kukonzekera kochokera pazomera zomera - "Karsil" ndi mawonekedwe ake,

Mlingo ndi nthawi yayitali ya mankhwala zimayikidwa ndi dokotala malinga ndi matenda komanso kuchuluka kwa matendawo. Kuphatikiza ndi kukonza chithandizo, ma antioxidants ndi zovuta zamavitamini okhala ndi mchere zimapangidwanso.

Folk azitsamba mankhwalawa matenda a chiwindi ndi kapamba

Anthu amatcha matenda a chiwindi a hepatosis kapena chiwindi chamafuta chabe. Kuyambira kale, anthu akhala akutumizirana njira za "agogo" kuti abwezeretse zosefera zachilengedwe. Ena a iwo amayanjana mokwanira ndi upangiri wa mankhwala ovomerezeka pakusankhidwa kwa mankhwala opezeka pakudya kwa wodwala wokhala ndi mafuta a chiwindi. Mu maphikidwe a wowerengeka, amalangizidwa kuti adye anyezi ndi adyo, olemera ma enzyme, dzungu ndi kabichi, odzaza ndi utsi, uchi ndi kanyumba tchizi, omwe ali ndi mavitamini ndi mchere.

Komabe, pali maphikidwe omwe amayenera kuthandizidwa mosamala, makamaka podzipaka nokha ndi zitsamba. Kuchiritsa zitsamba kulibe vuto lililonse monga momwe lingawoneke. Ngati mukukhulupirira kuti udzu ukhoza kuchiritsa matenda oopsa, ndiye kuti muyenera kumvetsetsa kuti uli ndi mphamvu osati kuti uchiritse, komanso malemu. Munthu amene ali ndi matenda a chiwindi amayenera kusamala kwambiri ndi zomwe zimalowa mthupi lake, chifukwa ndi chiwalo chake chomwe chakhudzidwa kale. Zitsamba zamafuta nthawi zambiri zimayenera kuledzera malinga ndi chiwembu chokhwima, kuyang'anira mlingo, nthawi ya makonzedwe, kutentha kwa kulowetsedwa. Zotsatira za kudya kosagwiritsidwa ntchito pakukonzekera kwazitsamba kapena ma minyewa zingakhale zowopsa kuposa matenda a chiwindi.

Ndi mankhwala ati omwe ali ndi chitetezo ndipo ndi othandiza?

• Dzungu mu mtundu uliwonse - phala, casseroles, yaiwisi mu saladi. Odwala opatsa chidwi komanso ochenjera amatha kuyesa uchi wopaka maungu. Pachifukwa ichi, mbewu zimatengedwa kuchokera mumasamba, uchi uliwonse watsopano umathiridwa mumkati. Chithandizo cha wowerengeka chimapatsidwa kwa masiku 14 m'malo amdima. Tengani supuni zitatu patsiku.
• Madzi a karoti ali ndi vitamini A. Koma retinol ndi mafuta osungunuka. Hafu ya kapu ya msuzi wa karoti ayenera kudzazidwa ndi mkaka womwewo wamafuta abwinobwino (2,5%). Tengani kapu imodzi ya zakumwa m'mawa.
• Apricot kernel pachimake - tengani mbewu zisanu tsiku lililonse.

Maphikidwe achikhalidwe monga kudya tchizi choko ndi dzungu atha "kulembedwa" nokha - sipangakhale vuto lililonse, koma ngati mukufuna kuyesa china chopitilira, muyenera kufunsa dokotala. Dokotala wa m'mimba amadziwa bwino kwambiri momwe mungachitire kuti muchepetse kunenepa kwambiri kwa chiwindi. Ngati simukufuna kumwa mankhwala, dokotala amakupatsirani mankhwala omwe mungamwere mankhwala azitsamba - mkaka nthula, leza, ndi yarrow. Komabe, simuyenera kuyamba kumwa zitsamba popanda kuuzidwa ndi dokotala, mulingo woyenera sungathe kuchiritsa matenda a chiwindi, koma umakulitsa vutolo.

Malingaliro ena

• Ndi kunenepa kwambiri kwa chiwindi, chithandizo sichingangokhala pa mankhwalawa. Matendawa ndi osachiritsika, ndikosatheka kuchiritsiratu, chifukwa chake, ndikofunikira kuti thupi lanu lisasokonekere.
• Njira ya chithandizo imaphatikizapo chakudya. Muyenera kuchiza matendawa pokhapokha pokhapokha ngati mwalandira dokotala. Zithandizo za anthu ndichabwino, koma izi sizopanda vuto.
• Zonse zimatengera wodwala. Ngati akufuna kusintha zizolowezi zam'madyedwe, kutsatira zakudya, kuchiza zomwe zimayambitsa komanso matenda ena, ndiye kuti njira yowonongera imatha kubwezeretsedwanso.

Chifukwa chiyani hepatomegaly imachitika?

Chiwindi chimagwira gawo lofunikira mthupi la munthu. Imalimbikitsa kuwonongeka kwa zinthu za metabolic kukhala zigawo zina, zomwe zimaperekedwa kudzera mkodzo ndi ndowe. Thupi ili limatha kusintha ndikuchotsa poizoni. Kuphwanya ntchito yake, hepatomegaly imayamba. Akatswiri amachitcha kuti matenda, omwe amawonetsa mavuto mu thupi lonse.

Kusintha kwina kulikonse kwa chiwindi kukuwonetsa zovuta mmalo mwake, momwe amasiyanira mtundu wawo.

Kuphwanya kotereku kumatha kukhala ndi matenda amtima, matenda enaake komanso matenda a oncology. Chiwindi chimakula ndi matenda awa. Bacteria amawoneka m'maselo a chiwalo, zomwe zimapangitsa kuti magawo ake azikula.

Ndi hepatomegaly, ndikofunikira kuchita mayeso angapo kuti mudziwe zomwe zimayambitsa chitukuko chake. Izi zingaphatikizepo zopatukazo:

• matenda opatsirana
• chiwindi
• kuchepa kwamafuta,
• oncology
• kuledzera ndi mowa kapena mankhwala,
• Mafuta a m'chiwindi ndi mafuta,
• kuperewera kwa zakudya m'thupi
• kuwoneka kwa metastases yokhala ndi madzimadzi,
• Kutupa kwa mitsempha yathupi,
• matenda a kagayidwe kachakudya njira,
• benign neoplasms,
• matenda amatsenga
• kudzikundikira zamkuwa.

Hepatomegaly imatsimikiziridwa mosavuta ndi kuyezetsa thupi pogwiritsa ntchito palpation. Pakakhala zosokoneza zilizonse, chiwindi sichimagwira. Ndi chiwalo chomwe chakhudzidwa, zotsatira zakunja zimayendera limodzi ndi kupweteka.

Nthawi zambiri, izi zimachitika chifukwa cha kachilomboka, njira yotupa komanso kuchuluka kwa poizoni.

Ndi kumwa mowa mwauchidakwa, zinthu zapoizoni zimadziunjika m'chiwindi, zomwe zimapangitsa kukula kwa chiwalochi ndi ndulu (hepatosplenomegaly).

Ndi kuphwanya kwa zochitika za mtima, stasis ya magazi imayamba. Ngati kuphwanya kumeneku kumachitika mwadongosolo, ndiye kuti zotsatira zake zingakhudze chiwindi. Koma nthawi zambiri, hepatomegaly imayamba ndi oncology. Matenda ofananawo amakhudza chiwindi, kukulira kukula kwake ndikuwononga magwiridwe antchito.

Mavuto osokoneza

Mitundu yovuta ya hepatomegaly imakhala ngati kukula kwa chiwindi kumaposa masentimita 13. Chilichonse mwazinthu ziwiri zokhudzana ndi chiwalochi zimakhala ndimagazi enaake amwazi ndi mitsempha. Minofu yawo ndi maselo omwe amalowetsedwa ndi ma capillaries ambiri amitsempha. Loko lililonse limakhala ndi mitsempha yake yapakati komanso ndulu. Pankhani ya kupatuka panjira, chilichonse cha zinthu izi cholakwika.

Amatha kuyambitsidwa ndi matenda a streptococcal. Wodwalayo amadzimva kuti ndi wolemera kumbali yakumanja, nthawi zina akupatsa tsamba. Pankhaniyi, kuzizira kumapezeka pafupipafupi. Pankhaniyi, mankhwala othandizira adzakhala osathandiza, ndipo kuchitapo kanthu kwa opaleshoni kuyenera.

Ndikusintha kwa mawonekedwe obwera chifukwa cha kuledzera ndi zakumwa zoledzeretsa, zakumwa za poizoni kapena zovulaza, ululu umapezeka m'malo, ndikuwonjezereka kwa magawo a ndulu.

Ndi mafuta hepatosis

Mwa wodwala yemwe wapezeka ndi hepatosis yamafuta, chiwindi chimawonjezeka chifukwa cha kusintha kwa hepatocytes m'maselo a mafuta. Nthawi zambiri izi zimachitika chifukwa cha kudzikundana kwamafuta chifukwa chakugwiritsa ntchito kwambiri zakudya zamafuta, zakumwa zoledzeretsa komanso mankhwala osokoneza bongo. Zinthu zapoizoni, kamodzi chiwindi, zimasandulika m'maselo amafuta.Ndipo kuchuluka kwawo kwakukulu kumakhala chifukwa cha chitukuko cha hepatomegaly.

Owerenga athu adagwiritsa ntchito bwino Leviron Duo pachipatala. Kuwona kutchuka kwa malonda, tidaganiza zoperekera chidwi chanu.

Kusintha kotereku kungayambitse matenda ena. Maselo amafuta amadziunjikira, ndikukula, amapanga minofu yolumikizana. Chakumapeto kwa hepatosis yamafuta, zidutswa zonse za zotumphukira zotulutsa zimawonekera. Ndi omwe amakhala chifukwa cha hepatomegaly.

Matenda oterewa amapezeka mu matenda a shuga, kugaya chakudya m'thupi, kuledzera, kuperewera kwa m'thupi, kugwiritsa ntchito mankhwala osokoneza bongo, kapena kusintha pafupipafupi pakudya.

Pankhaniyi, wodwala amatha kuwonetsa zotsatirazi:

• kupweteka mu hypochondrium yoyenera,
• kusanza ndi mseru
• khungu ndi kamvekedwe ka khungu,
• kudzimbidwa
• kuwonongeka kwamawonekedwe.

Mu gawo lomaliza la matendawa, zizindikiro zimatchulidwa kwambiri kuposa zina.

Hepatomegaly imatha kukhazikika pazifukwa zosiyanasiyana, koma izi nthawi zonse zimakhala chizindikiro cha zovuta zina mthupi. Zizindikiro zake zimatengera chomwe chikuwoneka. Ndi matenda otchulidwa, zizindikiro za matendawa zimawonekera kunja, i.e. kukulira m'mimba. Koma kumayambiriro, ndi adokotala okha omwe angazindikire zisonyezo.

• kumverera kwa kupweteka mu hypochondrium yoyenera,
• kuteteza khungu
• zotupa ndi kuyabwa,
• mpweya wabwino
• madzimadzi pamimba
• nseru
• kudzimbidwa kapena kutsegula m'mimba.

Lobe lamanzere silimachulukitsidwa, nthawi zambiri limakhala loyenerera. Lobe yakumanzere imakhala pafupi ndi kapamba, chifukwa chake chiwonjezero cha gawo ili la chiwindi nthawi zambiri chimalumikizidwa ndi vuto la gland. Potere, wodwalayo amayenera kupimidwa.

Mulingo woyenera wa chiwindi nthawi zambiri umakonda kuchita hepatomegaly. Izi zimachitika chifukwa cha katundu wamkulu yemwe amayikidwa pamenepo. Komanso, kuchuluka kwake kungakhale kwachilengedwe, osati zotsatira za matendawa. Pozindikiritsa, chidwi chachikulu chimalipidwa kumbali yakumanja ya chiwindi, chifukwa ndi chomwe chimayendetsa katundu wamkulu komanso magwiridwe antchito.

Ana ndi amayi

Muubwana, hepatomegaly imatha kukula msinkhu uliwonse - kuchokera kwa akhanda mpaka achinyamata. Chochititsa chachikulu cha vutoli ndi kuperewera kwa zakudya m'thupi. Mu ana a zaka zapakati pa 5-7, izi ndi zachilengedwe, motero, hepatomegaly imakhala yochepa. Pankhaniyi, chithandizo sichofunikira.

Komabe, ngati pamodzi ndi chiwindi chiwonjezeke, mwana ali ndi mseru, kusanza, kupweteka, kusowa chilakolako chokwanira ndi zotupa, ndiye kuti dokotala amayenera kufufuzidwa posachedwa, chifukwa pali mwayi waukulu wodwala matenda oopsa.

Choyambitsa hepatomegaly mwa ana ndi:

• njira zotupa (rubella, herpes, tiziromboti, ndi zina zotere),
• kobadwa nako chiwindi fibrosis,
• Kulephera kwa kagayidwe kachakudya
• kuphwanya chiwindi (lymphoma, leukemia),
• matenda kupuma
• matenda amtsempha wamagazi ndi dongosolo la biliary.

Hepatomegaly muubwana simagulu osiyanasiyana, koma chizindikiro cha zomwe zili paliponse. Ngati dokotala akuwonetsa kuwonjezeka kwa chiwindi nthawi ya palpation, izi zikutanthauza kuti gawo loyenera la matenda lipangidwe.

Pathology ndi intrauterine chitukuko

Hepatomegaly mu fetus ndi chiwindi chomwe chimaposa kukula kwake. Popeza matenda amtunduwu amachititsa kuchuluka kwa m'mimba, sizivuta kuzindikira. Pankhaniyi, ultrasound imawulula za ecoscopic zizindikiro za matenda.

Zifukwa zakuphwanya izi ndi izi:

• matenda (chikuku, syphilis, rubella, ndi zina),
• matenda a mtima
• mavuto a metabolic
• mapangidwe osiyanasiyana a ziwindi mu chiwindi,
• hemolysis.

Nthawi zina matenda a ndulu amathanso kupangitsa kuti chiwindi cha hepatomegaly chikhale mwa mwana pa nthawi yomwe akukula. Mutha kuzindikira zolengedwa izi m'miyezi yotsiriza ya mimba.

Malinga ndi ziwerengero, mwana wosabadwayo amakula, chiwindi chimakhala chochepa kwambiri poyerekeza ndi mwa akhanda. Kuphatikiza apo, kwa ana akhanda, kuwonjezeka kwa kukula kwa chiwalo mpaka masentimita awiri kumawonedwa ngati koyenera. Koma ndikuwonjezeka kwakukulu, tikulankhula kale za kukhalapo kwa matenda obadwa nawo, omwe adayambitsa hepatomegaly.

Kuphwanya amayi apakati

Osatinso kawirikawiri, kukula kwa chiwindi kumawonedwa mwachindunji mwa amayi apakati okha. Zomwe zimayambitsa izi zimatha kukhala matenda amtima, kutsekeka kwa biliary thirakiti, neoplasms, kupatuka mu lipid metabolism, kusokonezeka kwa fetal, etc.

Pankhaniyi, mayiyo ali ndi zilembo monga:

• jaundice
• nseru
• kusadya bwino
• Kutopa
• mitsempha yam'mimba pamimba,
• kutupa kwa msuzi.

Ma pathologies ofananawa nthawi zambiri amawonekera mochedwa chifukwa cha kukula kwa chiberekero. Nthawi yomweyo, chiwindi chimasunthira ndikuchulukanso, ndipo zimapangitsa kuti pakhale kuchotsedwa kwa bile. Pankhaniyi, hepatomegaly samakula chifukwa cha matenda ena, monga nthawi yoyembekezera.

Magawo a chitukuko cha matenda

Zomwe zimachitika pakukula kwa kupatuka uku zimapangitsa kudziwa gawo lake. Pazonse, kukula kwa matenda am'magazi kumakhala magawo atatu:

Gawo losawerengeka limawonetsa kuwonjezeka pang'ono kwa chiwindi - masentimita 1-2. Chophimbacho chitha kupezeka ndi ultrasound kokha, chifukwa pakokha sichimayambitsa zovuta. Koma izi zitha kuyambitsa kukwiya, kulephera kudya ndi kufooka, komanso kutentha kwa mtima komanso kupsinjika pamimba. Wodwala akapita kwa dokotala, amamulembera mankhwala ndi zakudya.

Chofunikira kwambiri pakubwera bwino pakadali pano ndikusungidwa kwa zakudya zoyenera komanso kukana zizolowezi zoyipa.

Gawo loyenera kusintha kwa hepatomegaly - kuwunika kwake kumatanthauza kuti kukula kwa chiwindi kumachulukitsidwa pang'ono kuposa kwabwinobwino. Pankhaniyi, zizindikiro zomwezo zimawoneka ngati ndi mawonekedwe osaphunzitsidwa. Izi zitha kuyamba ndi kuledzera komanso kusowa kwa zakudya m'thupi. Ndizothekanso kuzindikira matendawa pogwiritsa ntchito ultrasound. Pathology ikupitilirabe ndikupitiliza kukhala moyo womwewo.

Gawo lotchulidwa limadziwika ndi kuwonjezeka kwakukulu kwa magawo a chiwindi. Ambiri mwa m'mimba atsekedwa ndi gawo ili. Zotsatira zakuchulukitsidwa kwakukulu kotero ndizovuta kwa ziwalo zina. Matenda a mawonekedwe amtunduwu amapezeka ndikuwoneka. Kuchiza ndi gawo lotchulidwa kuyenera kuyikidwa nthawi yomweyo.

Njira Zodziwitsira

Mutha kukhazikitsa chitukuko cha hepatomegaly ndi njira zingapo. Choyamba, dokotalayo amalankhula ndikuwunika momwe wodwalayo alili kuti ayang'anire mamvekedwe a khungu ndi kuthekera kwa ma thumba am'mimba omwe amapezeka pamimba. Kenako, wodwalayo amakhala ndi kale zizindikiro za matendawa komanso mankhwala omwe amamwa. Ndikofunikira kuti mudziwe kuti amamwa kangati.

Pamaso pa zizindikiro zazikulu, kuphatikiza kusanthula kwa magazi ndi kuyezetsa kwake chifukwa cha kupangika kwake, ndikofunikira kuyesedwa kwathunthu kuti muwone mayesero amomwe matendawa ali:

• MRI
• Ultrasound yam'mimba
• X-ray
• biopsy.

Chithandizo cha gawo lililonse la hepatomegaly cholinga chake ndikuchotsa zomwe zimayambitsa chitukuko cha matenda ndi kuthetsa zizindikiro zomwe zimagwirizana nawo. Mosakayikira, zakudya ndi njira zodzitchinjiriza zimayikidwa. Nthawi yomweyo, zolimbitsa thupi ndizochepa.

Ngati chifukwa cha matenda a chiwindi ndi hepatitis, ndiye kuti mwalandira chithandizo chapadera, pambuyo pake kuphwanya konse mu chiwindi kuyenera kudutsa. Koma ndikupatuka kutsutsana ndi maziko a cirrhosis, munthu akhoza kungowonjezera kuchepa kwa chiwindi, koma osachira kwathunthu.

Zakudya za hepatosplenomegaly komanso hepatomegaly yosavuta ziyenera kuphatikizapo zakudya zamafuta ochepa komanso mapuloteni ambiri. Mankhwala amakhazikikanso. Woopsa pathologies, okodzetsa ndi mankhwala.

Wodwala akapezeka ndi matenda enaake, zomwe zimapangitsa kuti chiwindi chikhale bwino, ndiye kuti wodwalayo amamuika kuti amuwonjezere.

Chithandizo cha anthu

Chithandizo cha mankhwala wowerengeka chitha kugwiritsidwa ntchito nthawi iliyonse yamatenda. Koma koposa zonse, imagwira ntchito poyambira.

Nayi maphikidwe osavuta a anthu wamba:

• Sage ndi mamawort amasakanikirana, 0,5 l yamadzi otentha amathiridwa. Mutha kuwonjezera kwa iwo mizu ya dandelion ndi chicory. Msuzi umawiritsa kwa mphindi 30. pa moto wochepa, kenako wokutidwa kwa maola angapo kuti uumirire. Mutatha kusefa, ndi wokonzeka kugwiritsa ntchito. Tincture wofananira amatengedwa musanadye.
• Mukadzuka komanso usiku gwiritsani ntchito madzi pafupipafupi 2 tsp. uchi ndi mandimu.
• Kangapo patsiku, kununkhira kuchokera ku sauerkraut waledzera.
• Tsiku lililonse, dzungu limadyedwa - mpaka 0,5 kg. Masamba amatha kukhala osaphika kapena ophika kapena kuwotcha, koma osagwiritsa ntchito mafuta.
• Hafu ya beets imadyedwa yaiwisi kapena mu saladi tsiku lililonse.

Komanso, ndi hepatomegaly, ndizothandiza kugwiritsa ntchito zipatso za juniper, mafuta a azitona, maapulo, msuzi wa sitiroberi ndi walnuts.

Zakudya zamankhwala

Lamulo lalikulu pochiza matenda oterewa ndi zakudya.

Zakudya ziyenera kumwedwa pang'ono. Ndikofunikira kupatula zakudya zamchere, zokometsera, zokazinga ndi mafuta ndi mbale, soseji ndi zinthu zosuta, nyama yamafuta, batala, marinade, zakudya zamzitini, nyemba ndi anyezi. Komanso, simungathe kudya chokoleti, mankhwala a ufa ndi maswiti.

Gawo lalikulu la chakudya cha wodwalayo liyenera kukhala ndi mbale zowotchera komanso zophika osagwiritsa ntchito mafuta ndi zokometsera. Kuchuluka kwa masamba ndi zipatso zomwe zimadyedwa ziyenera kuchuluka.

Mndandanda wazinthu zololedwa umaphatikizaponso zipatso zouma, zinthu mkaka, nkhuku, nsomba zonenepa kwambiri, chimanga, msuzi, jamu ndi uchi.

Njira zopewera

Njira zopewetsedwera zimaphatikizapo kukhala ndi moyo wathanzi, wophatikizira kukana mowa ndi ndudu, zakudya zoyenera, masewera olimbitsa thupi komanso kugwiritsa ntchito mavitamini. Musamamwe mankhwala ochuluka, ndikuyembekeza kuti muchiritse hepatomegaly. Kugwiritsa ntchito molakwa mankhwala osokoneza bongo m'malo mwake kungachititse chiwindi kukula kwambiri.

Kodi kuchira kungakhale kotani?

Chithandizo ndi matenda a hepatomegaly zimatengera gawo la matendawo ndi zomwe zimayambitsa. Ngati matendawa adayamba chifukwa cha kachilombo kapena kachilombo, ndiye kuti sizivuta kuchiritsa. Njira yochira komanso poyizoni wa chiwindi imakhala yovuta pang'ono. Koma ngati wodwalayo ali ndi hepatosis yamafuta kapena cirrhosis, ndiye kuti ndizosatheka kuwachiritsa kwathunthu.

STABILIN ndi kuyimitsidwa kwapadera komwe kumagwiritsidwa ntchito kuwongolera njira zama metabolic ndikubwezeretsa kukonzanso ndi ntchito zama cell a chiwindi ...

1. Ma metastases a chiwindi - angati akukhala nawo?
2. Njira zodziwira ndi kuchiza kwa capillary hemangioma ya chiwindi
3. Chifukwa chiyani mafinya amapangika m'chiwindi? Zomwe zimayambitsa, Zizindikiro, ndi Therapy Therapy
4. Cytolytic syndrome - ndi chiyani? Amayambitsa, Zizindikiro ndi chithandizo cha cytolysis

• Panyumba
• Matenda a chiwindi
• Matenda a chiwindi
• Matenda a shuga ndi mafuta a chiwindi

Matenda a shuga ndi mafuta a chiwindi

Vyalov Sergey Sergeevich
Woyankha wa Sayansi ya Zamankhwala,
European Medical Center
gastroenterologist-hepatologist wa European Medical Center,
Membala wa American Gastroenterological Association (AGA),
Membala wa European Society for the Study of theibindi (EASL),
Membala wa Russian Gastroenterological Association (RGA),
Membala wa Russian Society for the Study of theibindi (ROPIP).

Kuzindikira ndi njira zamankhwala

Ngati pali zizindikiro za matendawa, muyenera kulumikizana ndi achipatala kuti akumuyang'anireni. Kutsimikizira hepatosis ndikuwona kukula kwake, ndikofunikira kugwiritsa ntchito njira zotsimikizira izi:

1. Kufunsidwa kwa gastroenterologist (mbiri ya zamankhwala, palpation),
2. Ma Ultrasound diagnostics (ultrasound),
3. Angiography
4. Magnetic resonance imaging (MRI),
5. Laborator kusanthula kwa chiwindi michere.

Pambuyo pofufuza wodwalayo, njira yochizira imapangidwa yolingana ndi kusintha kwa thupi, kupangidwanso kwa ziwalo, kukonza njira za kagayidwe kachakudya ndikuchotsa zovuta. Maziko a maphunziro ndi chithandizo chamankhwala, chomwe chiyenera kuchitika kwa nthawi yayitali.

Zakudya za hepatosis yamafuta

Zakudya zapadera zapangidwa kwa odwala omwe ali ndi hepatosis yamafuta - imodzi mwa zakudya 15 zochiritsa za Pevzner.

Zakudya zomwe zimapangidwazo zimakupatsani mwayi wopewa kuchepa kwa thupi ndi mafuta, koma nthawi yomweyo amakwaniritsa zonse zofunikira za munthu yemwe akutsogolera moyo wokangalika.

Zakudya Nambala 5 zimathandizanso kuchepetsa kulemera kwathunthu kwa thupi - ndikotheka kutaya pafupifupi 5 kg kulemera m'masiku 30. Kuchepetsa thupi kuchepa thupi kumakhala kosautsa kwambiri komanso kumakupatsani mwayi wosunga nthawi yayitali.

Zovomerezeka (Zakudya No. 5 malinga ndi Pevzner):

1. Nyama yodontha (yopanda mafilimu, tendons, cartilage). Gwiritsani ntchito chidutswa kapena chidutswa,
2. Zoyipa. Kuchokera pagawo lino mutha kungolankhula chilankhulo,
3. Mbalame - nkhuku, nkhuku, koma ndi khungu loyera komanso mafuta,
4. Nsomba - mitundu yamchere yotsika mafuta (nsomba zam'madzi, nsomba za nsomba, nsomba za pike). Pochulukitsa, mutha kuphika caviar wakuda ndi hering'i yonyowa,
5. Kuphika make, mkate - zouma (dzulo) rye ndi tirigu, makeke osakanika, makeke owuma ndi mabisiketi. Chepetsani izi ngati wodwalayo ali wonenepa kwambiri,
6. Mazira a nkhuku - 1 pc. patsiku
7. Msuzi: pamadzi, msuzi wa masamba, mkaka ndi kuwonjezera mbewu monga chimanga kapena masamba,
8. Zopangira mkaka - tchizi tchizi, mkaka, kefir, mkaka wowotchera ndi zinthu zina mkaka wowawasa, makeke ofatsa. Zakudya zamafuta zimaletsa
9. Porridge, mbale za chimanga - zophika m'madzi mpaka zokongola, zotentha kapena zophika mikate,
10. Pasitala imangokhala mtengo wowerengeka. Kunenepa kwambiri
11. Masamba, zipatso, zipatso, amadyera. Chilichonse kupatula tomato, sorelo, adyo, anyezi, nyemba, radara, radishes, zipatso zouma ndi zipatso,
12. Maswiti: maswiti, marmalade, uchi, shuga pang'ono,
13. Zonunkhira: tsamba la Bay, koriori,
14. Zakumwa: madzi osapsa-acid, msuzi wa rosehip, tiyi wopanda mphamvu. Kofi ndiyolandirika, koma osowa kwambiri.

Kutengera zinthu zomwe zaloledwa, muyenera kupanga menyu womwe umakwaniritsa izi:

• Tsiku lililonse mapuloteni omwe amadya ndi 120 g,
• Mafuta tsiku lililonse ndi 80 g,
• Zakudya za tsiku ndi tsiku zopatsa mphamvu mpaka 300 g (pomwe shuga sayenera kupitirira 60 g),
• Mchere - mpaka 6 g
• Madzi, zakumwa (kuphatikiza madzi m'mbale) - osachepera 2 malita.

Kuphatikiza pa zakudya, ndikofunikira kusiya zizolowezi zoipa, makamaka kuchokera pakumwa mowa.

Ndikulimbikitsidwa kupita kumasewera, chifukwa kulephera kuchita masewera olimbitsa thupi ndi mowa ndichimodzi mwazinthu zazikulu zomwe zimapangitsa kuti pakhale matendawa.

Kuphatikiza pa zakudya ndi masewera (awa ndiye maziko a mankhwalawa), mankhwala ndi zowonjezera zamankhwala zimagwiritsidwanso ntchito kuti chiwindi chiigwire.

Mankhwala a hepatitis

Kuphatikiza pa chakudyacho, adotolo angalangizire mankhwala pogwiritsa ntchito mankhwalawa:

1. Hepatoprotectors - Essentiale, Essliver, Berlition, Hepaforte, Phosphogliv, Essel Forte, Maksar, FanDetox, Liv 52, Heptral, Heptor, Karsil, Ovesol, Ursofalk, Hofitol, Gepabene, Galstena, Rezalyut Pro. Gulu la mankhwalawa limathandizira kagayidwe ka chiwindi - poizoni amachotsedwa mwachangu, pomwe kuphatikiza kwa membrane wa maselo a chiwalo
2. Ma antioxidants - Retinol, Tocopherol,
3. Mavitamini B,
4. Kukonzekera ndi selenium.

Ma antioxidants, mavitamini a selenium ndi B amatha kuwamwa ngati mtundu wa vitamini-mineral tata.

Zina mwazomwe zimagwira ntchito ya hepatoprotective, kukonzekera molingana ndi iwo komanso mlingo

Hepatoprotectors amachokera pazinthu zingapo zogwira ntchito, koma zimagwira ntchito mofananamo. Zina mwazo ndizophatikiza, ndiye kuti, sangokhala ndi kuthekera kosungira kuchuluka kwa membrane ndikuchotsa poizoni, komanso ali ndi antidepressant, choleretic, kukonzanso, anti-kutupa, komanso kukulitsa chidwi cha chakudya.

Mankhwala othandiza:

1. Phospholipids ndi zinthu zomwe zimapangitsa kuti pakhale ziwalo za chiwindi. Kuperewera kwa chinthu ichi kumalepheretsa kubwezeretsanso thupi. Mankhwala okhala ndi phospholipid amagwira ntchito kokha ngati atagwiritsidwa ntchito kwa nthawi yayitali, angagwiritsidwe ntchito hepatosis, yomwe imayamba chifukwa cha zakumwa zoledzeretsa kapena matenda ashuga. Ntchito zogwira ntchito zimaphatikizaponso: kubwezeretsa ma membrane am' cell, kupatsanso khungu, komanso kupewa zilonda. Kutengera phospholipids, mankhwala otsatirawa amapangidwa: Zofunikira za Forte N (katatu: makapisozi / katatu patsiku, kupewa: kapisozi / katatu patsiku), Essliver forte (phospholipids + mavitamini, Mlingo woyambirira - 2 kapisozi / katatu pa tsiku, mwezi umodzi pambuyo pake, tengani kapisozi 1 / katatu pa tsiku), Rezalyut Pro (2 makapisozi / katatu patsiku), Phosphogliv (makapisozi 1-2 / katatu patsiku, kapena ngati jekeseni). Sangokhala ndi zotsutsana, zimaperekedwa popanda mankhwala. Zotsatira zoyipa zimaphatikizapo thupi lawo siligwirizana, kutsegula m'mimba,
2. Ornithine - sagwiritsidwa ntchito pochiza matenda a chiwindi omwe amayamba chifukwa chomwa mowa kwambiri. Ndi zoletsedwa kutenga pakati, kuyamwa, kuchepa kwambiri kwaimpso. Kukonzekera: Ornithine (mlingo wa tsiku ndi tsiku - 3-6 g, wogawidwa mu Mlingo wambiri), Hepa-Merz,
3. Ursodeoxycholic acid. Analimbikitsa kuti azigwiritsidwa ntchito mu hepatosis yovuta kwambiri ndi cholestasis: mankhwalawa ali ndi choleretic, amasungunula miyala ndikuletsa mapangidwe atsopano, ndikutsitsa cholesterol yamagazi. Musagwiritse ntchito kulephera kwa hepatic ndi aimpso, miyala yayikulu, mapangidwe ndi calcium yayitali, ndikutchinga kwamitsempha yamavuto. Kukonzekera: Ursoliv, Ursosan, Ursodez, Ursofalk, Urdox, Livodex. Mlingo wa 10-15 mg / 1 kg wa kulemera kwa thupi, logawidwa pakati Mlingo 2-3, amatenga miyezi isanu ndi umodzi,
4. Ademethionine - imasintha thupi ndipo imagwira ntchito ngati mankhwala oletsa kuponderezana. Itha kugwiritsidwa ntchito kumatenda omwe amayamba chifukwa cha uchidakwa. Osagwiritsa ntchito mu 1, 2 trimesters am'mimba komanso mkaka wa m'mawere. Mankhwala: Heptor (piritsi limodzi / katatu patsiku), Heptral (mapiritsi 2 / katatu patsiku),
5. Kutulutsa mkaka ndi antioxidant wachilengedwe womwe umabwezeretsa maselo a chiwindi, kumawonjezera kulakalaka, koma chithandizo cha mankhwala osokoneza bongo omwe ali ndi mankhwalawa sichingathandize. Kukonzekera: Hepabene (1 kapisozi / katatu patsiku), Silimar (mapiritsi 2 / katatu patsiku), Sibektan (mapiritsi 2/4 pa tsiku),
6. Mankhwala owononga maso - mankhwala azitsamba omwe amalimbikitsidwa ku hepatosis, kuphipha kwa ndulu ndi ma ducts. Ndi koletsedwa kutenga ndi kutupa kwa chiwindi, biliary thirakiti, nthawi yoyembekezera
7. Thioctic acid - yogwiritsidwa ntchito hepatosis yomwe idayamba motsutsana ndi maziko a kukula kwa matenda osokoneza bongo kapena kumwa kwa nthawi yayitali. Ndi zoletsedwa kutenga pakati, ndi yoyamwitsa, lactose tsankho. Kukonzekera: Berlition (2 mapiritsi / 1 nthawi patsiku), Lipoic acid, Oktolipen (mapiritsi 2/1 nthawi patsiku), Thiogamma, Thioctacid 600 T, Thioctacid BV, Tiolept, Espa-Lipon.

Hepatoprotectors ndiye mankhwala akuluakulu othandizira matenda a hepatosis omwe amachokera pakupanga shuga kapena uchidakwa.

Mankhwala osokoneza bongo ndi gawo laling'ono chabe la maphunziro ambiri, omwe amachokera pazakudya.

Kodi kapamba amatani mthupi?

Pancreas imakhala ndi zigawo ziwiri zomwe zili mkati mw enawo. Chimodzi mwazinthu zomwe timadziwa bwino zimakhala ndi ntchito yokumba. Imasunga zinthu zosiyanasiyana - ma enzyme omwe amapukusa makamaka mafuta ndi chakudya. Kuyang'aniridwa kwa ntchito iyi ya kapamba, komwe kumakhudzana ndi kutupa kwake ndi kuchepa kwake kwa michere, imatchedwa pancreatitis. Ndi pachimake komanso matenda. Komabe, pankhani ya matenda ashuga, izi sizotikhudza kwenikweni.

Gawo lina la kapamba, lomwe limapangidwa monga zotchedwa Isanger of Langerhans, limatulutsa zinthu zochulukirapo - mahomoni. Zina mwazomwezi zimapangitsa kuti thupi lizikula komanso kuti lizikula komanso lofunika kwambiri pa zaka zazing'ono. Gawo lina la mahomoni, ndipomwe limayang'anira kuwongolera kwa shuga m'thupi.

Chifukwa chiyani timafunikira shuga?

Glucose ndiye gwero lamphamvu mthupi; maselo, minyewa, komanso ziwalo zonse, kuphatikizapo ubongo, zimadya. Popeza mtengo wa shuga m'thupi ndiwokwera kwambiri, thupi m'njira zosiyanasiyana limasunga kuchuluka kwake m'magazi. Titha kudziwa kuchuluka kwa shuga, nthawi zambiri kukhazikika kwake m'magazi kumayambira 3.5 mpaka 5.5 mmol / l (mtunduwu ungasiyane muma labotale osiyanasiyana kutengera ma reagents omwe amagwiritsa ntchito).

Chifukwa chake, pakachitidwe koyenera, makamaka ubongo ndi ziwalo zina m'magazi, kuphatikiza shuga kokhazikika kuyenera kupitilizidwa. Kutsika kwa kuchuluka kwake kumatchedwa hypoglycemia ndipo kungayambitse zovuta zazikulu, mpaka kukomoka kwa hypoglycemic! Kukula kwa glucose kumatchedwa hyperglycemia ndipo kungayambitsenso kukula kwa matenda osokoneza bongo, ku zovuta zazikulu zochokera mumtima, ubongo, mitsempha ya magazi, ngakhale hyperglycemic kapena hyperosmolar coma!

Mlingo wa shuga (shuga) m'thupi ungafanane ndi kuchuluka kwa mafuta omwe amakhala mgalimoto. Mwachitsanzo, dalaivala akazindikira mafuta ochepa pomwe injiniyo ikuyenda, amapita kumalo opangira mafuta ndi kukabwezeretsanso mafuta mu tank. Momwemonso, thupi, pozindikira kuchuluka kwa shuga, mothandizidwa ndi ubongo limatiuza zoti tidye. Woyendetsa amayendetsa galimoto yake ndi mafuta ambiri monga amafunikira kukafika kokwerera mafuta kapena kumene akupita. Ubongo umaperekanso chisonyezo cha kusintha polemba kuchuluka kwa zakudya zomwe zimamwa, zokwanira mpaka chakudya chotsatira.

Kodi matenda ashuga amakula bwanji?

Matendawa amakula tikachulukitsa matupi athu mopitirira muyeso, ndi kuchuluka komwe sakusowa. Koma, ngati dalaivalayo akathira mafuta ochuluka mgalimoto, ndiye kuti imatuluka m'mathanki a gasi, ndikupanga ngozi yamoto osati yagalimoto yokha, koma malo onse amagetsi. M'malo mwake, munthu, akadzaza thupi lake ndi chakudya chamafuta kwambiri, amapanga chiwopsezo chochuluka pachiwindi ndi kapamba. Ngati kudya kwambiri, zakudya zopatsa mphamvu kwambiri zamafuta ndi mafuta, kumachitika pafupipafupi, kumapeto kwake thupi silimalimbana ndi katunduyu ... Ndiye matenda apakhungu, shuga, matenda a chiwindi chamafuta.

Kodi shuga imagwirizana bwanji ndi chiwindi?

Likukhalira kuti chilichonse ndi chosavuta. Magazi athu amayendetsedwa mwanjira yoti zinthu zonse zomwe zimayikiridwa m'mimba ndipo matumbo amatengedwa m'matumbo kulowa m'magazi, omwe kenako amalowa m'chiwindi. Kuphatikiza pa kuchuluka kwambiri m'mimba mwa kapamba, chifukwa amayenera kugaya chakudya chonsechi, katundu wambiri amapangidwa pa chiwindi ndi gawo loyendetsera kapamba.

Chiwindi chimayenera kudutsa mafuta onse kuchokera pachakudyacho, ndipo chimakhala ndi zowonongeka. Zikondazo zimayenera "kuzikhatikiza" zonse zopatsa mphamvu ndi shuga zomwe zimalandira ndi chakudya - chifukwa mulingo wake uyenera kukhala wokhazikika. Chifukwa chake thupi limasintha chakudya chamafuta kukhala mafuta ndikuwonekanso kuwonongeka kwamafuta pachiwindi! Ndipo kapamba wamasamba, amakakamizidwa kuti apange ma homon enanso ochulukirapo. Mpaka nthawi inayake, pamene kutupa kumayamba. Ndipo chiwindi, chomwe chimakhala chikuwonongeka nthawi zonse, sichimalira mpaka penapake.

Hepatic steatosis ndi steatohepatitis

Mafuta onse omwe amapezeka amakhala ndi cholesterol, triglycerides ndi lipoprotein osiyanasiyana. Amadziunjikira m'chiwindi mokulira, amatha kuwononga ma cell a chiwindi ndikupangitsa kutupa. Ngati mafuta ochulukirapo sangathe kusungidwa konse ndi chiwindi, amatengedwa ndi magazi kupita ziwalo zina. Kukhazikika kwa mafuta ndi cholesterol m'mitsempha yamagazi kumabweretsa chitukuko cha atherosclerosis, kumakwiyitsanso kukula kwa matenda a mtima, kugunda kwa mtima ndi stroko. Kukhazikika kwa mafuta ndi cholesterol kumawononga kapamba, kusokoneza kagayidwe kakang'ono ka shuga ndi shuga mthupi, potero kumathandizira kukulitsa shuga.

Mafuta omwe amaphatikizidwa m'chiwindi amadziwika ndi ma free radicals, ndipo peroxidation yawo imayamba. Zotsatira zake, mitundu yosinthika yazinthu imapangidwa yomwe imakhudzanso chiwindi. Amayambitsa maselo ena a chiwindi (maselo okhathamira) ndipo minyewa yabwinobwino ya chiwindi imayamba kulowa m'malo mwa minyewa yolumikizira. Fibrosis ya chiwindi imayamba.

Chifukwa chake, zosintha zonse zomwe zimakhudzana ndi kagayidwe ka mafuta m'thupi zimawononga chiwindi, zimatsogolera pakupanga:

- steatosis (kuchuluka kwa mafuta m'chiwindi),

- steatohepatitis (kusintha kwa kutupa m'chiwindi cha mafuta),

- chiwindi fibrosis (kapangidwe ka minyewa yolumikizana ndi chiwindi),

- chiwindi cirrhosis (kuphwanya chiwindi chonse ntchito).

Kodi ndi liti ndipo mukayikira bwanji zosinthazi?

Choyambirira, muyenera kuyamba kufuula alamu omwe adapezeka kale. Ichi mwina ndi chimodzi mwazofufuza zotsatirazi: atherosulinosis, dyslipidemia, matenda a mtima, angina pectoris, myocardial infarction, postinfarction atherosulinosis, ochepa matenda oopsa, matenda oopsa, matenda oopsa a shuga, kufooka kwa shuga, matenda a insulin, metabolic syndrome,

Ngati muli ndi imodzi mwazodziwira pamwambapa, funsani dokotala kuti ayang'anire mawonekedwe a chiwindi, komanso kusankha mankhwala.

Ngati, chifukwa cha mayeso, mwawonetsa kupatuka kwa magawo amodzi kapena angapo a labotale poyesa magazi, mwachitsanzo, cholesterol yokwezeka, triglycerides, lipoproteins, kusintha kwa glucose kapena glycosylated hemoglobin, komanso kuwonjezeka kwa zizindikiro zomwe zikuwonetsa ntchito ya chiwindi - AST, ALT, TSH, alkaline phosphat. , nthawi zina, bilirubin.

Ngati magawo awiri kapena angapo akwezedwa, onaninso ndi dokotala kuti afotokozere zaumoyo wanu, chitulukiraninso matenda ena ndikuwapatseni mankhwala.

Ngati muli ndi chizindikiro chimodzi kapena zingapo kapena zofunikira pakukula kwa matenda, mukufunikiranso kukaonana ndi dokotala kuti athe kuwunika moyenera, kudziwa kufunikira kwa mayeso ndikupereka mankhwala. Zomwe zimayambitsa kapena zizindikiro za metabolic syndrome ndizonenepa kwambiri, m'chiuno kwambiri, kuwonjezeka kwa magazi pafupipafupi, kugwiritsa ntchito mafuta ochulukirapo kapena zakudya zokazinga, zotsekemera, ufa, mowa.

Kodi dokotala angavomereze chiyani?

Mulimonsemo, pamaso pa matenda kapena kukhalapo kwa zowonetsa pakuwunikira kapena kupezeka kwa zizindikiro ndi zinthu zowopsa, upangiri waukatswiri ndi wofunikira!

Muyenera kulumikizana ndi akatswiri angapo nthawi imodzi - katswiri, cardiologist, endocrinologist ndi gastroenterologist. Ngati muli ndi vuto lotereku m'chiwindi, mungathe kulumikizana ndi gastroenterologist kapena hepatologist.

Dokotala adzazindikira kuopsa kwa vutoli kapena kuopsa kwa matendawa, kutengera izi, ngati kuli kufunikira kwenikweni, sankhani mayeso ndikukuwuzani zomwe zikuwoneka kuti zili bwino pakuwunika kumeneku.

Asanachitike, atapima matendawa kapena atadwala, adokotala amatha kukupatsani chithandizo, izi zimatengera kuuma kwa zizindikiro ndi zovuta zomwe zapezeka.

Nthawi zambiri, mankhwala angapo amagwiritsidwa ntchito pochiza matenda amchiberekero chamafuta kuphatikiza matenda a shuga. ndi mikwingwirima, ndi ena.

Sizowopsa kuyesa palokha kusinthidwa kwa mankhwala kapena kusankha kwa mankhwala! Funsani dokotala kuti amupatse chithandizo!

Ndi mankhwala ati omwe amagwiritsidwa ntchito kuti abwezeretse chiwindi?

Udindo wofunikira kwambiri pa mankhwalawa umachepetsedwa ndikuchepetsa thupi, kuwonjezera masewera olimbitsa thupi, kudya kwapadera kokhala ndi mafuta ochepa komanso mafuta othamanga, kutengera momwe zinthu zilili, mwina mungaganizire "magawo a mkate".

Zochizira matenda amchiwindi, pali gulu lonse la mankhwala otchedwa hepatoprotectors. Kunja, gulu la mankhwalawa limatchedwa cytoprotectors. Mankhwalawa ali ndi chikhalidwe chosiyana ndi kapangidwe kazinthu - pali mankhwala azitsamba, kukonzekera kwa chiyambi cha nyama, mankhwala opangira. Inde, zomwe mankhwalawa amapanga ndizosiyana ndipo amagwiritsidwa ntchito makamaka matenda osiyanasiyana a chiwindi. M'mikhalidwe yovuta, mankhwala angapo amagwiritsidwa ntchito nthawi imodzi.

Zochizira matenda amafuta a chiwindi, kukonzekera kwa ursodeoxycholic acid ndi ma phospholipids ofunikira nthawi zambiri amapatsidwa. Mankhwalawa amachepetsa lipid peroxidation, kukhazikika ndikukonza maselo a chiwindi. Chifukwa cha izi, kuwonongeka kwamafuta ndi ma free radicals kumachepetsedwa, kusintha kwa chiwindi, njira zopangira minofu yolumikizira imachepetsedwa, chifukwa chake, kukula kwa fibrosis ndi cirrhosis ya chiwindi kumachepa.

Kukonzekera kwa ursodeoxycholic acid (Ursosan) kumathandizanso kwambiri zimagwira ma cell, motero zimalepheretsa kuwonongeka kwa maselo a chiwindi komanso kukula kwa kutupa m'chiwindi. Ursosan amakhalanso ndi choleretic zotsatira ndikuwonjezera mafuta a cholesterol limodzi ndi bile. Ichi ndichifukwa chake imagwiritsidwa ntchito mu metabolic syndrome. Kuphatikiza apo, Ursosan imakhazikika ndulu ya ndulu yomwe imagwiritsidwa ntchito mu ndulu ndi kapamba, imakhala yopindulitsa pa ziwalo izi, zomwe ndizofunikira kwambiri kapamba.

Matenda a chiwindi chamafuta, kuphatikiza matenda a shuga ndi shuga, amafunika kugwiritsa ntchito mankhwala ena mankhwalawo.

Nkhaniyi imapereka chidziwitso chochepa cha njira ndi njira zochizira matenda a chiwindi. Kuzindikira kumafunikira kupita kwa dokotala kuti akapeze njira yoyenera yolandirira!