Pancreatic steatosis: Zoyenera kuchita ngati minyewa ikayamba kusanduka mafuta

M'moyo wonse, munthu amakhala ndi matenda omwe amayamba chifukwa cha zinthu zambiri. Komabe, pali ma pathologies omwe amatha kupewedwa, mwachitsanzo, ngati mumatsatira moyo wathanzi ndikutsatira zakudya zoyenera. Chimodzi mwa matenda amenewa ndi kapamba wambiri. Ndi chiyani, ndizomwe zimayambitsa kupezeka, zizindikiritso ndi chithandizo cha matenda am'thupi? Kuti mumvetsetse nkhanizi, muyenera kudziwa bwino za matendawa.

Zifukwa zachitukuko

Chofunikira pokhudzana ndi kuopsa kwa matenda a m'mimba ndikuti sizingatheke kudziwa matendawa pa chitukuko. Amaphunzira za pathology pomwe ndizosatheka kale kukonza chilichonse.

Kusintha komwe kumachitika pancreas pafupipafupi monga mtundu wa steatosis kumawonedwa ndi kumwa mopitirira muyeso komanso kumbuyo kwa zopatuka zosiyanasiyana mu thupi.

Pancreatic steatosis imayamba chifukwa cha mphamvu ya zinthu zakunja ndi zamkati.

1. Kukhalapo kwa matenda ashuga.
2. Kuonjezera thupi.
3. Kulandila kwa chakudya chamafuta komanso mafuta ochulukirapo.
4. Kuchepetsa thupi mwachangu chifukwa chokana chakudya.
5. Mowa, kusuta.
6. Zakudya Zamakolo

Ndipo palinso kuthekera kwa kulandira cholowa cham'tsogolo. Komanso, zochitika zofananira zimawonedwa nthawi zina. Pafupipafupi, steatosis imawoneka ndi kukhalapo kwa matenda ophatikizika - njira zamafinya mu kapamba, kusintha kwa ntchito ya chikhodzodzo, chiwindi, ndi matenda am'mimba.

Poyerekeza ndi maziko a matenda, mawonekedwe a cirrhosis a chiwindi ndi otheka, omwe amabweretsa chiopsezo m'thupi la munthu.

Mankhwala othandizira opaleshoni omwe adachitidwa m'mimba ndi m'matumbo amathandizanso kupangitsa kuti matenda a chiwalo chikhalepo.
Mwa zina zomwe zimayambitsa matenda a steatosis, pali:

• matenda a ndulu
• aakulu cholecystitis
• matenda am'mimba.

Okalamba ndi achikulire omwe ali ndi mwayi wokhala ndi matenda amtunduwu. Anthu opitilira 45 ali pachiwopsezo. Kukula kwa matendawa zaka zachepetsedwa ndi njira ya metabolic.

Zizindikiro zapamwamba zakuthamanga

Nthawi zambiri ndi kuphatikiza pang'ono kapena pang'ono kwamafuta, gawo lowopsa la chitukuko cha matenda a kapamba silinawonedwe. Steatosis imapezeka makamaka matendawa atakhala osachiritsika. Zimapezeka ngati kafukufuku wa ma pathologies ena atachitika.

Njira yotsata maselo a mafuta a pancreatic athanzi ndimatumbo amamera pang'onopang'ono, njirayi imakhala yopanda mawonetsero.

Zizindikiro zimachitika pamene pafupifupi theka la maselo abwinobwino a ndulu amasinthidwa ndi maselo amafuta, minofu ya adipose imapangidwa pafupi ndi ma pancreatic ducts, omwe madzi am'mimbamo amatulutsidwa.
Pancreatic steatosis imadziwika ndi zizindikiro zingapo:

• kutsegula m'mimba
• ukufalikira
• kutentha kwa mtima
• nseru
• kupweteka m'mimba kumanzere pansi pa nthiti, nthawi zambiri atadya,
• kufooka
• kulakalaka kudya,
• matenda pafupipafupi ogwirizana ndi kuchepa kwa chitetezo chathupi,
• utoto wamaso ndi khungu limalipira kunyalanyaza kwamatenda,
• kuyabwa, kutikumbutsa pang'ono moto woyaka.

Mankhwala a Steatosis

Zikondamoyo ndizofunikira kwa thupi. Chiwerengero chachikulu cha ntchito zosiyanasiyana zimapatsidwa kwa iwo, chifukwa chake, ndikupatuka pacholinga cha gland, izi zimayambitsa matenda akulu.

Odwala akakumana ndi zovuta za steatosis, funso limafunsidwa nthawi zambiri, kodi ndizotheka kuchira ku steatosis? Kuthiridwa kwamafuta sikungathetsedwe; ndikotheka pokhapokha ngati mankhwala ayamba panthawi yake, kuyimitsa kapangidwe kake ndikukhala kapamba.

Palibe nzeru kuchitira nokha ntchito, koma izi zimadzetsa mavuto osaneneka. Chithandizo cha pancreatic steanosis chofunikira, funsani kwa dokotala. Dokotala adzalemba mayeso athunthu.

Steatosis imapezeka pogwiritsa ntchito njira zingapo zotchuka.

1. Kuyesedwa kwa magazi, powunikira, chizindikiro cha serum alpha-amylase chimadziwika.
2. Ma tumor, zilonda zoopsa komanso mapangidwe oopsa amatha kupezeka pogwiritsa ntchito MRI.
3. Madera a echogenic amatsimikiza ndi ultrasound.
4. Ma-X-ray amachitika kuti awone ngati kuchuluka kwa zikondamoyo.
5. Ndondomeko laparoscopy, biopsy.

Kutengera ndi zotsatira za kafukufukuyu, kuchuluka kwa matendawa kudzakhazikitsidwa, molingana ndi kuchuluka kwa madera omwe akhudzidwa ndi chiwalocho, ndipo mankhwalawa adzayikidwa.

Njira zochizira pancreatic steatosis zimaphatikizira njira yothanirana kapena yothetsera vutoli. Njira yayikulu yothandizira ndikuchotsa zinthu zomwe zimayambitsa mafuta m'thupi kapamba.
Pazinthu zina, dokotala amakulitsa njira zochizira zomwe zimayang'ana pazinthu zingapo.

1. Malo omwe amapangidwira mafuta.
2. Mulingo wa mapangidwe awo.
3. Kukhala bwino kwa wodwala.
4. M'badwo.

Ngati chiwindi ndi kapamba ziwonongeka pang'ono ndipo zikutha kugwira ntchito bwino, njira yochizira imathandizira kugwiritsa ntchito mankhwala, kukana mowa, kusuta, tebulo lazakudya.

Chithandizo cha mankhwala chikuchitika pogwiritsa ntchito njira zotsatirazi:

• Ma enzyme - omwe cholinga chake ndi kuthandizira ntchito ya chiwalo, thandizanso kugaya chakudya,
• mankhwala a antisecretory - ndi ofunika kuteteza kupezeka kwa hydrochloric acid m'mimba,
• mafuta oyimitsa - musalole kuti mafuta amidwe ndikuyamwa m'mimba ndi matumbo,
• ma pinkiller
• mankhwala a antibacterial
• anti-kusanza ndi mankhwala am'mimba
• mavitamini zovuta.

Ngati gland imakhudzidwa kwambiri ndi zotupa zamafuta zomwe zimalepheretsa chiwalo kugwira ntchito mwachizolowezi, chithandizo cha opaleshoni chimayikidwa.

Opaleshoniyo imagwiridwa ndi njira ziwiri, amasiyana m'njira zopezera. Ichi ndi chipangizo cha laparoscopic ndi laparotomy. Poyerekeza ndi njira zamasiku onse zam'mimba, njira yothandizidwa ndi endoscope ndiyosavuta, ndipo kuchira msanga sikupweteka.

Pancreatic steatosis: Zizindikiro ndi chithandizo

Pancreatic steatosis - ndi chiyani? Imayimiranso ntchito ya kukula kwa adipose minofu yake parenchyma, imalowa m'malo owonongeka a cell glandular - pancreatocytes. Makamaka uku ndi mafuta kuwonongeka kwa parenchyma, kapena mafuta kuwonongeka, amatchedwanso pancreatic lipomatosis.

Zofunika! Ichi ndi matenda oopsa, omwe akupanga pang'onopang'ono ndipo pang'onopang'ono kumayambitsa kutayika kwa ntchito za kapamba, kutenga nawo gawo pakudya ndi kugwiritsa ntchito shuga m'magazi.

Malo a steatosis m'dera la mutu wa gland - m'malo ndi adipose minofu

Madigirii komanso mawonetseredwe azachipatala

Kutengera ndi gawo liti la minofu ya tinyezi yomwe idawonongeka mafuta, madigiri atatu a steatosis amadziwika

1st, pamene chotupa sichidutsa 30% ya tiziwalo ta m'mimba,

2 - kuchuluka kwa minofu yomwe yakhudzidwa ndi 30-60%,

3 - yoposa 60% ya parenchyma imasinthidwa ndi minofu ya adipose.

Ndi pamlingo wotani wa gland womwe unasiya kugwira ntchito, ndipo mawonekedwe ake amatengera matendawo. Pa digiri yoyamba ya steatosis, kuchepa kwa minofu kumalipiridwabe ndi kupititsa patsogolo ntchito ya 70% yotsala ya maselo. Chifukwa chake, zizindikiro sizimakhalapo.

Chithunzi cha chipatala chimaseweredwa, kuyambira ku 2nd degree. Pali ululu ndi kumva kupsinjika pamimba mutatha kudya, nseru, kusanza kwakanthawi, kudzimbidwa kwa chakudya mwa njira zokhazikika zokhazikika, zotupa. Ndi digiri ya 3 ya steatosis, zomwe zimakhudzidwanso zimasokonezeka: chilakolako chimalimba, kulemera kumachepa, chitetezo chamthupi chimagwera, matenda ena amalowa. Zonsezi zimachitika chifukwa chosowa michere m'matumbo, zomwe zimapangitsa kuti pakhale kusowa kwa michere mthupi, ntchito ya ziwalo zonse imasokonekera.

Malo opumira pafupipafupi ndi chimodzi mwazinthu zosasangalatsa kwambiri za steatosis.

Kuphatikiza apo, ndikuwopseza kwa maselo a beta a mchira wa gland, omwe amapanga insulin ya mahomoni, matenda a shuga amakula.

Zofunika! Ndizosatheka kuthetsa steatosis, izi ndizosintha mosasinthika, mungathe kuyimitsa chitukuko chake.

Zizindikiro

Poyamba, pancreatic steatosis imadziwika ndi ultrasound, yomwe imawululira kusintha kwa mphamvu ya echo ya parenchyma ya gland ndi kuchuluka kwa zotupa. Kuti mupeze kafukufuku wolondola kwambiri wa foci, kuwasiyanitsa ndi mitundu ina ya kusintha, zotupa, MRI (maginidwe a maginito a michere) ndi mankhwala. Ngati ndi kotheka, laparoscopy yodziwikiratu imachitika ndi biopsy - kutenga gawo la minofu yomwe yakhudzidwa kuti ipimidwe.

Kafukufuku wolondola kwambiri wa steatosis - MRI

Perekani maphunziro a labotale: kuyezetsa magazi ndi zamankhwala am'mwazi, kutsimikiza kwa minyewa ya m'magazi ndi mkodzo, kutsimikiza kuchuluka kwa shuga, ndowe zamkati mwakupezeka kwa fiber yoperewera.

Njira zochizira

Steatosis ndi matenda opita pang'onopang'ono.ngati sichingathandizidwe koyambira, njira yodutsidwira yamafuta siyimayima, izi zidzapangitsa kuti ntchito yake ichitike ndi chindimbwende ndi zovuta zake.

Chithandizo cha pancreatic steatosis koyambirira ndikutsatira zakudya, tanthauzo lake ndi lotere:

kupatula pa zakudya mafuta a nyama, ufa ndi zopukutira, zokometsera zotentha ndi zakudya zamzitini, zakudya yokazinga, zakudya zotsekemera, zakumwa zoledzeretsa komanso kaboni, khofi wamphamvu ndi tiyi,

kuphatikiza kokha Mitundu yamafuta ochepa a nyama ndi nsomba, mafuta ochepa osapsa, masamba, masamba abwino ndi ophikira, zitsamba, maswiti asinthidwe ndi zipatso, zakumwa ndi tiyi yazitsamba,

onjezerani chakudya kangapo patsiku, kuchepetsa chiwerengero chake, kuti asadzaze zochuluka.

Zofunika! Zakudyazi ziyenera kuonedwa mosalekeza, chifukwa cha zolakwa zake zilizonse, matendawa amapita patsogolo.

Zogulitsa zomwe ndizothandiza kuphatikiza pa menyu a steatosis

Muyeneranso kusiya zizolowezi zoyipa, kukhala ndi moyo wathanzi komanso wathanzi, kuphatikiza kupuma kwabwino ndi masewera olimbitsa thupi, komanso kupewa kunenepa kwambiri.

Steatosis, kapena mafuta ochulukirapo a kapamba, amafunikira chisamaliro chapadera, kutsatira kwambiri zakudya, kusintha moyo, kuyang'aniridwa ndi dokotala ndi chithandizo chofunikira. Wolemba econet.ru.

Ngati muli ndi mafunso, afunseni.apa

Kodi mumakonda nkhaniyo? Kenako tithandizireni kanikiza:

Zimayambitsa matenda a chiwindi ndi kapamba

Muzochita zamankhwala, pancreatic ndi chiwindi steatosis zimachitika nthawi imodzi.

• cholowa
• mphamvu ya mankhwala (cytostatics, glucocordicoids),
• zakudya zamafuta
• Kuthamanga kwa magazi pamtunda wa 130/80 mm Hg,
• kumwa kwambiri mowa,
• matenda am'mimba thirakiti
• kugwiritsa ntchito chikonga
• onenepa kwambiri
• kuchepa thupi msanga
• matenda a ndulu
• kusintha kwa muloproteins m'magazi,
• matenda ashuga
• chapamimba
• aakulu cholecystitis.

Kuzindikira kwa steatosis kumakhazikitsidwa ndi zomwe zimayambitsa matendawa, zotsatira za labotale ndi maphunziro othandizira. Popanga matenda, dokotala amawona kuti ndikofunikira kusankhira anamnesis amoyo komanso matenda.

Matendawa amakula nthawi yayitali mwa amuna opitirira zaka 50. Komabe, azimayi opitirira zaka 60 nawonso ali pachiwopsezo. Anthu omwe amadya kalori yayikulu, zakudya zamafuta zimatha kutengera matenda.

Zizindikiro za Steatosis

Steatosis ya chiwindi ndi kapamba koyambirira poyamba asymptomatic. Chithunzi cha chipatala chimawonekera mu mawonekedwe a kutupa. Pa gawo loyambirira la matendawa, munthu amamva kupweteka kwambiri, nseru, zomwe zimagwirizana ndi zomwe amadya.

M'tsogolomu, zizindikiro zotsatirazi zikuwonekera:

• kupweteka kwa chiwindi,
• malaise, kufooka,
• kusowa kwa chakudya
• pafupipafupi lamba wamkati wam'mimba, ndikuwonjezera kwacha mu hypochondrium,
• kusanza, kusanza kwa acidic,
• chikaso cha khungu, khungu.

Zizindikiro zonse zimawoneka zokha ndipo sizigwirizana ndi chakudya. Pankhaniyi, muyenera kufunsa dokotala nthawi yomweyo.

Zakudya za steatosis chiwindi ndi kapamba

Zakudya za chiwindi steatosis ndiye maziko othandizira matenda. Zakudya ziyenera kukhala zama calorie ochepa, zokhala ndi mapuloteni tsiku ndi tsiku, komanso zochepa m'mafuta ndi chakudya. Wodwala amadya pang'ono - 7-8 pa tsiku pazigawo zochepa. Amalangizidwa kuti azidya masamba ndi zipatso zatsopano, nyama imayendetsedwa kapena kuwiritsa.

Sizoletsedwa kudya mafuta, amchere, zakudya zokazinga, mkaka. Ndikofunikira kukana kumwa mowa ndi khofi. Mwa zakumwa pakudya, mutha kumwa tiyi wobiriwira kapena wakuda. Zimatenga mphindi imodzi kuti zithe.

Tsiku lililonse, chakudya cha wodwalayo chimayenera kukhala ndi zakudya zomwe zimalimbikitsa kuthothoka komanso kuchotsedwa kwa lipids. Izi zimaphatikizapo nyama yophika wopanda mafuta, soya ndi Turkey.

Tsiku lililonse muyenera kudya sopo wopepuka wokhala ndi chimanga kapena masamba. Porridge amaphika kuchokera ku oats kapena mpunga, makamaka m'madzi. Kuchokera masamba omwe amadya zakudya, nkhaka, mbatata, tomato, zukini amaloledwa.

Wodwala amayenera kutsatira mosamalitsa zakudya zomwe adamupangira. Ndi kuphwanya kwawo, kuchulukitsa kwa matendawa kumachitika, komwe kumapangitsa kuti pakhale zovuta. Ndi chakudya chomwe chimathandizira kuti thupi likhale lolimba pamlingo wokwanira.

Kupewa steatosis ya chiwindi ndi kapamba ndizosavuta kuposa kuchiza zovuta. Ndikofunikira kuti mukhale ndi moyo wathanzi komanso kukhala ndi zakudya zoyenera.