Pancreatogenic shuga mellitus ndi zomwe zimayambitsa

Pancreatogenic shuga mellitus ndi njira yachiwiri yodziwika bwino yowonjezera hyperglycemia motsutsana ndi maziko a chotupa chachikulu cha pancreatic. M'mawu osavuta, chifukwa cha kutukusira kwa kapamba kapena zovuta zina za thupi, kuletsa kupanga kwa insulin kumachitika. Kudya kwa insulin kosakwanira m'magazi, kumapangitsa kuti kagayidwe kachakudya kagayidwe kachakudya ndi kuchuluka kwa magazi ake. Kuchokera pamawonekedwe azachipatala, matenda oterewa amadziwika ndi vuto la dyspeptic, komanso Zizindikiro zapadera za hyperglycemia. Njira ya pathological iyi imakhala ndi zotsimikizika zabwino ndipo imayankha bwino mokwanira pochiza ndi njira yolumikizidwa. Komabe, ngati zachitika patsogolo, zitha kuchititsa kuti ziwalo zambiri zamkati zisinthe, monga impso, dongosolo lamanjenje, ndi zina zotero.

Pali dzina lachiwiri losalembetsa lolembedwera matendawa - matenda a shuga a 3. Malinga ndi magwero osiyanasiyana, kuyambira khumi mpaka makumi asanu mwa anthu 100 aliwonse omwe ali ndi vuto lotupa la kapamba amakumana ndi matenda otere. Malinga ndi ziwerengero, pambuyo pancreatitis yovuta kwambiri, mwayi wokhala ndi hyperglycemia ukuwonjezeka ndi 15 peresenti. Amadziwika kuti nthawi zambiri oyimilira achimuna omwe amadziwika kuti amamwa kwambiri amadwala matendawa.

Mwambiri, pancreatogenic shuga mellitus amakula motsutsana ndi maziko a chifuwa chachikulu. Kuphatikiza apo, kuchuluka kochulukirachulukira, ndikoyenera kuti kuphwanya lamulo lotere. Njira yotupa yotupa pakapita nthawi imabweretsa kuwonongeka pang'onopang'ono komanso kusakanikirana kwa zisumbu za Langerhans, zomwe zimayambitsa mwachindunji ntchito ya endocrine.

Kuphatikiza pa chifuwa chachikulu, nthawi zina chomwe chimayambitsa matendawa chimachitika ndi ma opaleshoni othandizira opaleshoni. Kuopsa kwa postoperative hyperglycemia kudzatengera mwachindunji kuchuluka kwa maopaleshoni. Acute pancreatitis, pancreatic necrosis kapena zotupa zake zoyipa - zonsezi zimatha kuyambitsa vuto la endocrine, kenako ndikuwonjezereka kwa shuga wamagazi.

Kutengera ndi zomwe tafotokozazi, titha kusiyanitsa zinthu zingapo zomwe zikudziwikiratu zomwe zimathandizira kupangika kwa matenda a shuga a pancreatogenic. Choyamba, ndi uchidakwa. Monga mukudziwira, ndi mowa omwe ndi chimodzi mwazomwe zimayambitsa zotupa zotupa za kapamba. Kugwiritsa ntchito kwambiri zakudya zamafuta kwambiri kapena zakudya zopatsa mphamvu m'mimba zamagetsi, kunenepa kwambiri, zamadzimadzi m'magazi - zonsezi zimawonjezera mwayi wokhala ndi matendawa. Chinthu china chofunikira kwambiri chotsimikiza ndi kudya kosalamulira kwa glucocorticosteroids.

Chikhansa ndi chimodzi mwazinthu zofunika kwambiri m'thupi la munthu zomwe zimayambitsa chimbudzi ndi metabolism. M'mapangidwe ake, timagulu tamaselo tomwe timapanga timagulu tomwe timapanga ma cell, timene timakhala mchala wa chiwalocho ndipo timatchedwa islets of Langerhans, timasiyidwa tokha. Ndi ma cell omwe ndi omwe amapanga insulin, yomwe, imakhudzanso kukonzanso kwa glucose yoyenera m'magazi. Pamaso pa zovuta zilizonse kuchokera ku kapamba, zomwe timakambirana pamwambapa, ntchito yake ya endocrine imalephera. Matenda obwera chifukwa cha kutupa amakupangitsa kuti pang'onopang'ono kuwonongedwa kwa zida zamagetsi komanso kusintha minofu yolumikizika. Katswiri wochepa kwambiri wa insulin amayamba kulowa m'magazi, chifukwa chomwe kumayamba kuchuluka kwa glucose pang'onopang'ono, kenako hyperglycemia wolimbikira. Umu ndi momwe limagwirira ntchito yopanga matenda a shuga a pancreatogenic.

Zinthu zomwe mungathe komanso zomwe simungathe kuchita ndi kapamba ndi matenda ashuga

Wodwalayo ayenera kusiyiratu kumwa mowa, zopangidwa ndi ufa, chakudya chofulumira komanso zopangidwa ndi confectionery. Mafuta ndi zonunkhira, amchere ndi zonunkhira - zonsezi zimagwera mndandanda wazoletsa zomwe zingasokoneze mkhalidwe wa wodwalayo. Zakumwa zotsekemera za kaboni, zakumwa zokhala ndi zinthu zakunja, marinade, soseji, ndi ma nyemba sizikulimbikitsidwa. Zakudya za tsiku ndi tsiku zimawerengedwa kuchokera kuchuluka kwa michere. Chakudya chimadyedwa nthawi zambiri, komanso m'magawo ang'onoang'ono.

Matenda a shuga a pancreatogenic amapereka chidziwitso chabwino. Njira yamatendawa imatha kuimitsidwa, makamaka koyambirira, msambo umatha kuchepetsedwa kukhala wabwinobwino. Mulingo waukulu ndikutsatira malangizo onse a adokotala.

Pancreatogenic shuga mellitus - endocrine matenda, amene amapezeka kumbuyo kwa maziko a chotupa cha zikondamoyo zosiyanasiyana zoyambira (nthawi zambiri matenda a kapamba). Amawonetsedwa ndi vuto la dyspeptic (kutentha kwa mtima, kutsegula m'mimba, kupweteka kwapafupipafupi mu epigastrium) ndi kukula kwapang'onopang'ono kwa hyperglycemia. Kuzindikira kumakhazikika pofufuza mbiri ya glycemic, zamankhwala amwazi za m'magazi, ma ultrasound, ndi MRI ya kapamba. Kuchiza kumaphatikiza kudya zakudya zamafuta ochepa komanso kudya “chakudya chambiri”, kugwiritsa ntchito mphamvu ya mankhwala oledzeretsa komanso kuchepetsa shuga, komanso kukana kumwa mowa ndi kusuta fodya. Pambuyo pakuchita opaleshoni yayikulu, mankhwala a insulin m'malo mwake amapatsidwa.

Pancreatogenicabetes mellitus (mtundu 3 shuga mellitus) ndi kuphwanya kwachiwiri kwa kagayidwe kazakudya kamene kamayamba chifukwa cha kuwonongeka kwa endocrine pancreas (kapamba). Matendawa amapezeka 10-90% ya odwala omwe ali ndi matenda kapamba. Kusinthika kwa deta kotereku kumalumikizidwa ndi zovuta kuneneratu kukula kwa kusokonezeka kwa pancreatic endocrine dysfunction ndi kuvuta kwa kusiyanitsa kwa matenda. Pambuyo pancreatitis pachimake, chiopsezo cha matenda a shuga a 3 ndi 15%. Matendawa amakhudza amuna nthawi zambiri omwe amamwa mowa wambiri, zakudya zamafuta.

Matendawa amatuluka ndikuphwanya endocrine ndi exocrine ntchito za kapamba. Zotsatirazi zomwe zimapangitsa kuwonongeka kwa gululi ndi zida za gland zimasiyanitsidwa:

Kutupa kosalekeza kwa kapamba. Kuchulukana kwapafupipafupi kumapangitsa ngozi ya matenda ashuga. Kutupa kosafunikira kumayambitsa kuwonongeka pang'onopang'ono komanso kufooka kwa zisumbu za Langerhans.
Opaleshoni yamapazi. Zomwe zimachitika chifukwa cha matenda a postoperative amasiyana kuchokera 10% mpaka 50% kutengera kuchuluka kwa maopareshoni. Nthawi zambiri, matendawa amakula pambuyo pancreatectomy, pancreatoduodenal resection, pancreatojejunostomy yotengera, gawo lachiwindi la kapamba.
Matenda ena a kapamba. Khansa yapancreatic, pancreatic necrosis imayambitsa kuphwanya kwa endocrine ntchito ndikupanga hyperglycemia wolimbikira.

Pali zinthu zowopsa zomwe zimayambitsa matenda a shuga a pancreatogenic kwa odwala omwe ali ndi vuto la kulephera. Izi zikuphatikiza:

Mowa. Kukhazikika kwa zakumwa zoledzeretsa kangapo kumawonjezera chiopsezo cha kapamba ka zakumwa zoledzeretsa pokhazikika kwa hyperglycemia wosakhalitsa.
Kuperewera kwa zakudya m'thupi. Kugwiritsa ntchito kwambiri zakudya zamafuta, zopatsa mphamvu mosavuta kumathandizira kuti thupi likhale ndi kunenepa kwambiri, hyperlipidemia komanso kulolerana kwa glucose (prediabetes).
Kugwiritsa ntchito mankhwala kwakanthawi (corticosteroids) nthawi zambiri kumayendera limodzi ndi kupezeka kwa hyperglycemia.

Ntchito ya endocrine ya kapamba ndikutulutsa kwa insulin ndi glucagon m'magazi. Ma Horoni amapangidwa ndi zisumbu za Langerhans zomwe zimakhala mchira wake. Kukhalitsa kwakunja kwakanthawi (mowa, mankhwala), kufalikira kwamphamvu kwa kapamba, kuchitidwa opaleshoni ya gland kumayambitsa matenda a insulin. Kupita patsogolo kwa kutupa kosatha kwa chithaphwi kumayambitsa chiwonongeko ndi chifuwa cha zida zam'mapapo. Panthawi yotupa, pancreatic edema imapangidwa, zomwe zimachitika mu trypsin m'magazi zimachulukana, zomwe zimapangitsa kuti insulin itulutsidwe. Zotsatira za kuwonongeka kwa zida za endocrine za gland, zomwe zimapangika pang'onopang'ono komanso kenako hyperglycemia imachitika, matenda a shuga amapangidwa.

Pathology nthawi zambiri imapezeka mwa anthu omwe ali ndi thupi loonda kapena lozolimbitsa thupi lomwe limapangitsa kuchuluka kwamanjenje. Kuwonongeka kwa kapamba kumayendetsedwa ndi zizindikiro za dyspeptic (kutsegula m'mimba, nseru, kutentha pa chifuwa, kugonthana). Zomverera zowawa panthawi yowonjezera ya kutupa kwa glandular zimatchulidwira kumalo a epigastric ndipo zimakhala zosiyanasiyana. Mapangidwe a hyperglycemia aakulu kapamba amayamba pang'onopang'ono, pafupifupi patatha zaka 5-7. Pamene nthawi yodwala komanso pafupipafupi imachulukirachulukira, chiwopsezo cha matenda a shuga chikuwonjezeka. Matenda a shuga amathanso kuwonekera pakuwonekera kwa pancreatitis yovuta kwambiri. Postoperative hyperglycemia imapangidwa nthawi imodzi ndipo imafuna kukonza ndi insulin.

Matenda a shuga a pancreatogenic ndiwofatsa komanso kuwonjezeka kwamphamvu kwa shuga wamagazi ndi kupumira pafupipafupi kwa hypoglycemia. Odwala amasinthidwa mokwanira ndi hyperglycemia mpaka 11 mmol / L. Kuwonjezeka kwinanso kwa shuga m'magazi kumayambitsa matenda a shuga (ludzu, polyuria, khungu louma). Matenda a shuga a Pancreatogenic amayankha bwino akalandira chithandizo chamankhwala othandizira odwala komanso amachepetsa shuga. Njira ya matendawa imayendera limodzi ndi matenda opatsirana komanso khungu.

Odwala omwe ali ndi matenda a shuga a mtundu wachitatu, ketoacidosis ndi ketonuria sizichitika kawirikawiri. Odwala omwe ali ndi matenda a shuga a pancreatogenic amadziwika ndi kupweteka kwakanthawi kwa hypoglycemia, komwe kumayendetsedwa ndi kumverera kwanjala, thukuta lozizira, kutsekeka kwa khungu, kusangalala kwakukulu, kunjenjemera. Kutsika kwina kwa shuga m'magazi kumapangitsa kutsika kapena kusazindikira, kukula kwa khunyu ndi kuperewera kwa hypoglycemic. Ndi nthawi yayitali ya pancreatogenic matenda a shuga, zovuta zamagulu ena a ziwalo ndi ziwalo zam'mimba.

Kuzindikira matenda a shuga a pancreatogenic ndi kovuta. Ichi ndichifukwa chosakhalapo kwa nthawi yayitali ngati zizindikiro za matenda ashuga, kuvuta kovomereza matenda a kapamba. Ndi chitukuko cha matendawa, zizindikiro za kuwonongeka kwa kapamba nthawi zambiri zimanyalanyazidwa, kumangofotokozera chithandizo chokhacho cha hypoglycemic. Matenda a carbohydrate kagayidwe kachakudya amachitika m'malo otsatirawa:

Kufunsira kwa endocrinologist. Udindo wofunikira umachitika pofufuza mozama mbiri yamatendawa komanso chiyanjano cha anthu odwala matenda ashuga kapamba, ntchito pa kapamba, uchidakwa, mavuto a kagayidwe kachakudya, komanso kugwiritsa ntchito mankhwala a steroid.
Kuwunika kwa glycemia. Zimaphatikizapo kudziwa kuchuluka kwa shuga pamimba yopanda kanthu komanso maola awiri atatha kudya. Ndi matenda a shuga a 3, kuchuluka kwa glucose kosala kumakhala mkati mwa malire, ndipo mukatha kudya kumakwezedwa.
Kuwunika kwa pancreatic ntchito. Amachitika pogwiritsa ntchito biochemical kusanthula ntchito ya diastase, amylase, trypsin ndi lipase m'magazi. Zambiri za OAM ndizodziwika: mu shuga wa pancreatogenic, kuchuluka kwa glucose ndi acetone mumkodzo nthawi zambiri kulibe.
Malingaliro opanga zida. Ultrasound yamimba yam'mimba, kapamba Manc imakupatsani mwayi kuti mufufuze kukula, echogenicity, kapangidwe ka kapamba, kukhalapo kwa mawonekedwe ena ndi ma inclusions.

Mu endocrinology, kusiyanitsa matenda kumachitika ndi mtundu 1 ndi matenda ashuga 2. Matenda a shuga amtundu 1 amadziwika ndi kuyamba kwakuthwa komanso koopsa kwa matenda adakali aang'ono komanso zizindikiro zazikulu za hyperglycemia. Pakuwunika magazi, ma antibodies opita ku cell ya pancreatic beta amapezeka. Zosiyanitsa za mtundu wa matenda ashuga a 2 zidzakhala kunenepa kwambiri, kukana insulini, kupezeka kwa C-peptide m'magazi komanso kusowa kwa kukokana kwa hypoglycemic. Kukula kwa mitundu iwiri yonseyi ya shuga sikumayenderana ndi matenda opatsirana a kapamba, komanso kulowererapo kwa chiwalo.

Zotsatira zabwino, ndikofunikira kuchitira limodzi mankhwala othandizira a kapamba ndi matenda ashuga. Iyenera kusiya kusiya kumwa zakumwa zoledzeretsa ndi fodya, kusintha kadyedwe ndi moyo wanu. Chithandizo chophatikizika chili ndi malangizo awa:

Ndi zovuta mankhwala a pancreatic kuwonongeka ndi kukonza kwa hyperglycemia, zakutsogolo kwa matendawo ndi zabwino. Nthawi zambiri, ndizotheka kukwaniritsa zomwe wodwala amakhala nazo komanso zomwe zimapangitsa kuti shuga akhale wathanzi. M'matenda akulu a oncological, opaleshoni yayikulu paminyewa, matendawo amadzadalira kulowererapo ndi nthawi yokonzanso. Njira yamatendawa imakulitsidwa ndi kunenepa kwambiri, kuledzera, kugwiritsa ntchito mafuta osaneneka, zakudya zotsekemera komanso zonunkhira. Pofuna kupewa matenda a shuga a pancreatogenic, muyenera kukhala ndi moyo wathanzi, kusiya mowa, pamaso pa kapamba, kumayesedwa ndi katswiri wa gastroenterologist.

Zomwe zimayambitsa matenda a shuga a pancreatogenic ndi chithandizo chiti chomwe chikuwonetsedwa?

Mwa odwala ena, pancreatogenic shuga mellitus amakula motsutsana ndi maziko a pancreatic pathology. Mtundu uwu wa matenda a shuga sugwira ntchito kwa mtundu woyamba (T1DM) kapena wachiwiri (T2DM). Malinga ndi akatswiri ambiri, matenda a shuga a pancreatogenic ndi mtundu wachitatu wa matenda ashuga, omwe ali ndi zizindikiritso ndi maphunzirowa.

Zikondamoyozi zimakhala ndi minyewa ya exocrine ndi endocrine. Ndi kapamba, pangani kusintha kwakumaso ndi koipa mu minyewa ya ziphuphu kumachitika, nkumatsata atrophy ya acini, gawo lalikulu la gawo la gland.

Kusintha koteroko kungathenso ku zilumba za Langerhans (zigawo za endocrine mbali ya kapamba), ntchito yomwe ndikupanga insulin. Zotsatira zake, ntchito ya zida za endocrine pancreas imasokonekera, zomwe zimabweretsa kuwoneka kwa matenda a shuga a pancreatogenic.

Matenda a shuga a Mtundu 3 ali ndi mikhalidwe:

Odwala nthawi zambiri amakhala ndi thupi lolimbitsa thupi,
Palibe chibadwa
Zizolowezi zopanga hypoglycemia,
Odwala nthawi zambiri amapezeka ndi matenda apakhungu,
Kufunika kochepa kwa mankhwala a insulin,
Choleric kutentha kumachitika mwa odwala,
Kuwonetsedwa mochedwa kwa zizindikiro (mawonekedwe). Zizindikiro zolakwika za matendawa zimamveka patatha zaka zisanu ndi ziwiri kuyambira pachiwonetsero cha matenda oyambitsidwa.

Pafupipafupi kuposa ndi shuga wamba, macroangiopathy, microangiopathy, ndi ketoacidosis zimachitika.

Choyambitsa chachikulu cha matenda a shuga a 3 ndi kapamba. Koma pali zinthu zina zomwe zimayambitsa matendawa.

Izi zikuphatikiza:

Kuvulala komwe kuperewera kwa kapamba kumayipa,
Zochita zamankhwala ochita opaleshoni (pancreatoduodenectomy, pancreatojejunostomy ya nthawi yayitali, pancreatectomy,
Kaphatikizidwe kapamba)
Mankhwala a nthawi yayitali (kugwiritsa ntchito corticosteroid),
Matenda ena a kapamba, monga khansa, kapamba, kapamba, kapamba,
Cystic fibrosis,
Hemochromatosis

Amawonjezera mwayi wokhala ndi matenda ashuga a 3:

Kunenepa kwambiri Kunenepa kwambiri kumakulitsa pancreatitis ndipo kumawonjezera mwayi wokhala ndi zovuta zake. Odwala omwe ali ndi kunenepa kwambiri, kukana minofu (kukana) kwa insulin kumakhala kofala, zomwe zimawonjezera chiopsezo cha matenda a shuga.
Hyperlipidemia. Kuchuluka kwa lipids m'magazi a munthu kumayendetsa magazi, chifukwa cha zomwe ma cell a kapamba samalandira kuchuluka kofunikira kwa michere ndipo kutupa kumayamba.
Mowa Ndi kumwa mwadongosolo, kuchuluka kwa kupita patsogolo kwa exocrine gland kusowa kwambiri.

Zizindikiro za matenda a shuga a pancreatogenic:

Kumva njala mosalekeza
Polyuria
Polydipsia
Kutsitsa kwamiseche,
Zofooka
Thukuta lozizira
Kugwedezeka thupi lonse
Chisangalalo.

Ndi pancreatogenic shuga mellitus, makoma otupa amachepetsa, kupezeka kwawo kumawonjezeka, komwe kumadziwonetsera ngati mabala ndi kutupa.

Mankhwala ovomerezeka samazindikira mtundu wa shuga wachitatu, ndipo pozindikira matenda ngati amenewo ndi osowa kwambiri. Zotsatira zake, chithandizo cholakwika chimaperekedwa chomwe sichimapereka zotsatira zomwe mukufuna.

Chowonadi ndi chakuti ndi matenda a shuga a pancreatogenic, mosiyana ndi shuga amitundu iwiri yoyambayo, ndikofunikira kukopa osati hyperglycemia, komanso matenda oyambitsa (pancreatic pathology).

Chithandizo cha matenda a shuga a 3 amaphatikizaponso:

Zakudya
Mankhwala
Jakisoni wa insulin
Kuthandizira opaleshoni.

Zakudya za pancreatogenic shuga mellitus zimakonzanso kusowa kwa mapuloteni-mphamvu, kuphatikizapo hypovitaminosis. Ndikofunikira kupatula zakudya zamafuta, zonunkhira komanso zokazinga, chakudya chosavuta (chakudya, batala, maswiti).

Zakudya zomwe zimatengedwa ziyenera kudzaza bwino mavitamini ndi mchere wambiri m'thupi. Ndikofunikanso kusiya mowa kwathunthu.

Mankhwala osokoneza bongo amaphatikizapo kumwa mankhwala:

Zosangalatsa

Mankhwala othandizira enzyme ndi njira ina yowonjezera (yodalirika) yothandizira matendawa. Kukonzekera kwa enzyme kochizira matenda a shuga a 3 kuyenera kukhala ndi amylase, peptidase, ndi lipase michere mosiyanasiyana.

Cholinga chogwiritsira ntchito mankhwalawa ndikuwongolera kugaya komanso chakudya chamafuta, omwe amathandizira kuwongolera kuchuluka kwa glucose, amachepetsa zovuta, amakonzanso kuchuluka kwa glycogemoglobin ndikuwongolera thanzi la wodwalayo.

Chimodzi mwa zokonzekera zomwe zimagwiritsidwa ntchito kwambiri ndi Creon, yomwe kuwonjezera pa cholinga chake chachikulu chimathandizanso kuchepetsa kupweteka kwapancreatic.

Kupweteka kwapancreatic kumatha kubweretsa sitophobia (kuwopa kudya), zomwe zimangoyambitsa kukula kwa hypoglycemia. Kuti muchepetse kupweteka, tikulimbikitsidwa kugwiritsa ntchito ma nonges a narcotic analgesics.

Tikuyankhula za autotransplantation of islets of Langerhans kuchokera kwa wopereka kupita kwa wodwala yemwe ali ndi matenda a shuga. Pambuyo pakuika, maselo amtundu wa endocrine amayamba kupanga insulin, kuyang'anira glycemia mwachangu.

Pambuyo pa opaleshoni yotere, pancreatic resection kapena kapamba amatha kuchitidwa.

Ngati ndi kotheka, lembani kuyambitsa kwa mankhwala omwe amapezeka ndi insulin, kuchuluka kwake komwe kumadalira kuchuluka kwa shuga m'magazi, chakudya chomwe chimadyedwa mu chakudya, zochita zolimbitsa thupi.

Pancreatogenic shuga mellitus - zakudya ndi mankhwala a kapamba

Pancreatogenic shuga mellitus ndi matenda omwe amapezeka chifukwa cha chotupa chachikulu cha kapamba. Pakati pa endocrinologists, tanthauzo la matendawa monga mtundu 3 wa shuga ndilofala. Kuthekera kopanga matenda am'mimba kumayambira 10 mpaka 90% kwa odwala omwe ali ndi mawonekedwe a kapamba. Pofuna kupatula matendawa, ndikofunikira kumvetsetsa zomwe zimayambitsa chitukuko chake, zizindikiro, njira zopewera.

Pancreatogenic shuga mellitus ndikuphwanya kwachiwiri kwa kupanga shuga. Vutoli limayamba chifukwa cha chotupa cha zida zapamba za kapamba. Dziwani izi:

Kuchepa kwa matenda a m'matumbo kumayenderana ndi zovuta molingana ndi kuneneratu kwa endocrine organ dysfunction komanso kuvuta kwa matenda osiyanasiyana.
Pambuyo pancreatitis yodziwika bwino, chiopsezo cha matenda a shuga 3 chikhala 15%,
Matenda a shuga a pancreatogenic nthawi zambiri amakhudza amuna, omwe amamwa mowa wambiri komanso zakudya zamafuta.

Ndikofunikira kumvetsetsa mwatsatanetsatane zomwe zimayambitsa matenda ndi chithunzi cha chipatala.

Zomwe zimayambitsa kutsogolera kwa matenda a shuga a pancreatogenic zimaphatikizira kuwonongeka kwachangu komanso kupweteka kwapancreatic. Kuphatikiza apo, zinthu zomwe zingayambitse kupangika kwa thupi mkati zimasiyanitsidwa. Tikuyankhula za kumwa zakumwa zoledzeretsa, njira zopangira opaleshoni pa kapamba.

Matenda a shuga ndi kapamba amatha kupezeka chifukwa cha kupezeka kwa calculi mu ndulu. Kunenepa kwambiri, kugwiritsa ntchito zakudya zoyipa, komanso kuwonongeka kwa mankhwala m'thupi kumayeneranso chisamaliro chapadera. Matenda a oncological (kuphatikizapo metastatic komanso osatengera gawo) akhoza kukhala oyambitsa. Tisaiwale za zopsinjika zotupa za kapamba, kakulidwe ka kapamba (motsutsana ndi maziko a kapamba) komanso chibadwa cham'tsogolo.

Mkhalidwe wamatumbo umapangidwa mwa anthu omwe ali ndi thupi loonda kapena labwinobwino kwambiri lomwe lili ndi chiwopsezo chachikulu chamatsenga. Kuwonongeka kwa kapamba nthawi zonse kumagwirizanitsidwa ndi zizindikiro za dyspeptic (kutsegula m'mimba, nseru, kutentha pa chifuwa, ndi flatulence). Zosasangalatsa zomverera ndi kuwonjezeka kwa kutukusira kwa nduluyo zidzapangidwa kumtunda wa epigastric ndikukhala ndi mphamvu zosiyana.

Mapangidwe a hyperglycemia mu kapamba ndi mtundu 2 wa shuga amachitika mwadongosolo. Tiyenera kukumbukira kuti:

pafupifupi, zimatenga zaka zisanu mpaka zisanu ndi ziwiri,
Kutalika kwa matendawa kukuchulukirachulukira, kuchuluka kwa matendawa kumachulukirachulukira,
matendawa amatha kukhala nthawi yoyamba ndikuwonetseredwa kwamatenda kapamba. Nthawi zina, izi zimagwiranso ndi matenda apamba a pancreatitis,
hyperglycemia pambuyo pancreatic opaleshoni amapangidwa nthawi imodzi ndipo amatanthauza kukakamizidwa kwa mahomoni.

Zizindikiro za matenda am'mimba a chifuwa cha pancreatogenic nthawi zambiri amapezeka wofatsa komanso kuwonjezeka pang'ono kwa shuga m'magazi. Nthawi zambiri ma hypoglycemia amadziwika. Odwala nthawi zambiri amasintha mofulumira ku hyperglycemia mpaka 11 mmol. Kuwonjezeka kwa shuga m'magazi kumapangitsa kuti zizindikire za matenda ashuga, omwe ndi ludzu, polyuria, khungu louma. Njira ya matendawa imakhudzana ndi matenda opatsirana pafupipafupi komanso matenda a pakhungu.

Kuti mutsimikizire matendawa, njira zofufuzira zotere monga kusanthula magazi ndi mkodzo ndizomwe zimayikidwa, kuyezetsa kwamagazi ndizofunikira.

Owerenga mabakera anena zowona zonse zokhudza matenda ashuga! Matenda a shuga amapita pakatha masiku 10 ngati mumamwa m'mawa. »Werengani zambiri >>>

Musaiwale za kudziwa kuchuluka kwa shuga m'magazi, kuchita ma ultrasound a peritoneum ndikuyesa kuchuluka kwa diastase mkodzo ndi magazi.

Mu shuga yapancreatic, chithandizo chimakhala kukana kumwa mowa ndi chizolowezi cha chikonga. Ndikofunikira kwambiri kusintha zakudya ndi moyo. Pofuna kulipirira kusowa kwa pancreatic encyme, mankhwalawa amagwiritsidwa ntchito omwe amaphatikizapo ma enzymes ena osiyanasiyana. Tikulankhula za amylase, proteinase ndi lipase. Kukonzekera komwe adapereka kumathandizira kuti njira zamagayidwe zikhale bwino, kuchotsedwa kwa mapuloteni komanso kuchepa kwa mphamvu.

Mukunena za chithandizo cha matenda a shuga a 2, mverani:

kufunika kogwiritsa ntchito mayina ochepetsa shuga,
Kukonzekera kwa sulfonylurea ndi kotheka kusintha kagayidwe kazachilengedwe
kufunikira kwa kukhazikitsa mankhwala obwezeretsa opaleshoni,
kuwongolera makulidwe a mahomoni sikupitilira magawo 30 patsiku atachitapo kanthu pakuchita opaleshoni. Mulingo wovomerezeka wama shuga uyenera kukhala osachepera 4.5 mmol chifukwa chotukuka cha hypoglycemia,
ndi kukula kwa glycemia, tikulimbikitsidwa kusinthana ndi mayina ochepetsa shuga a pakamwa.

Pancreatitis mu shuga angachiritsidwe ndi autotransplantation ya maselo a islet. Njira yowonetsedwa imachitika m'malo opezeka azachipatala a endocrinological. Pambuyo pakuika bwino, odwala matenda ashuga amapita pancreatotomy kapena pancreatectomy.

Zakudya za pancreatitis ndi matenda a shuga ndi njira yayikulu yosinthira mkhalidwe. Polankhula za chakudyacho, samalani ndikusintha kwa protein ya kusakwanira. Ndikofunikira kupatula hypovitaminosis komanso zosokoneza zochepa zamagetsi zomwe zimawononga thupi lonse.

Thanzi la kapamba ndi matenda ashuga liyenera kuchepetsa kuchuluka kwa mafuta "othamanga", omwe ali ndi mayina olemera, buledi, maswiti ndi makeke. Ndikofunika kukana zakudya zokazinga, zokometsera komanso zamafuta. Kulankhula za mawonekedwe azakudya, samalani chifukwa chakuti:

maziko ake ayenera kukhala mapuloteni, omwe ndi mitundu ya nyama ndi nsomba zomwe zimakhala ndi mafuta ochepa, zakudya zovuta, mwachitsanzo, chimanga ndi ndiwo zamasamba.
Chakudya chimalimbikitsidwa kuti chizidyedwa m'magawo ochepa, kuyambira kasanu mpaka kasanu ndi kamodzi patsiku,
Ndikulimbikitsidwa kuti musiye kugwiritsa ntchito maapulo atsopano, nyemba, msuzi wa nyama, sosi ndi mayonesi.

Mukazindikira zomwe mungadye ndi matendawa, muyenera kutsatira zakudya zoterezi mosalekeza. Kwa odwala matenda ashuga, izi zingakhale zopewera kwabwino kwambiri pakukula kwa matenda m'tsogolo, komanso kupewa kupewa zovuta ndi zotsatirapo zovuta.

Ndi zovuta chithandizo cha zovuta ntchito ya kapamba ndi kukonza kwa hyperglycemia, matulukidwe a matendawa amakhala abwino. Nthawi zambiri, ndizotheka kukwaniritsa zomwe zili ndi matenda ashuga komanso abwino.

M'matenda akulu a oncological komanso opaleshoni yayikulu ya pancreatic, matendawa adzadalira kwathunthu kuchuluka kwa kulowererapo, nthawi yayitali komanso kugwira ntchito bwino pakukonzanso.

Njira ya matendawa, kumene, imakulitsidwa ndi kunenepa kwambiri, kudalira mowa. Zimanenanso za kuzunza kwamafuta, zakudya zotsekemera komanso zonunkhira.

Pofuna kuthana ndi matenda a shuga a pancreatogenic, tikulimbikitsidwa kuti mukhale ndi moyo wathanzi komanso wokangalika. Ndikofunika kusiya kumwa mowa, nikotini. Pamaso pancreatitis ndi zina pancreatic pathologies, munthu sangathe kuchita popanda kufufuza koyenera ndi dokotala wa gastroenterologist.

Vasyutin, A. M. Bweretsani chisangalalo cha moyo, kapena Momwe mungachotsere matenda ashuga / A.M. Vasyutin. - M: Phoenix, 2009 .-- 224 p.
Tsyb, A.F. Radioiodine mankhwala a thyrotoxicosis / A.F. Tsyb, A.V. Dreval, P.I. Garbuzov. - M: GEOTAR-Media, 2009. - 160 p.
Aleksandrov, D. N. Mfundo Zazikulu Zazachuma. Umunthu ndi chidziwitso cha wabizinesi: monograph. / D.N. Alexandrov, M.A. Alieskerov, T.V. Akhlebinin. - M: Flint, Nauka, 2016 .-- 520 p.
Smolyansky B.L., Livonia VT. Matenda a shuga ndi shuga. Moscow-St. Petersburg. Kusindikiza Nyumba Neva Publishing House, OLMA-Press, 2003, masamba 157, kufalitsa makope 10,000.
Skorobogatova, E.S. Vision chilema chifukwa cha matenda a shuga mellitus / E.S. Skorobogatova. - M: Mankhwala, 2003. - 208 p.

Ndiloleni ndidziwitse. Dzina langa ndi Elena. Ndakhala ndikugwira ntchito ya endocrinologist kwa zaka zoposa 10. Ndikukhulupirira kuti pakadali pano ndili katswiri pantchito yanga ndipo ndikufuna kuthandiza alendo onse omwe amapezeka patsamba lino kuti athetse zovuta koma osati ntchito. Zinthu zonse za tsambalo amazisonkhanitsa ndikuzikonza mosamala kuti athe kufotokoza zambiri zofunikira. Musanagwiritse ntchito zomwe zikufotokozedwa pa webusaitiyi, kufunsana ndi akatswiri ndizofunikira nthawi zonse.

Zizindikiro zodziwika ndi matenda a shuga a pancreatogenic

Ndikofunikira kudziwa kuti ndi matenda, hyperglycemia yambiri imachulukana pang'onopang'ono. Pafupifupi, kupezeka kwake kumatenga zaka zisanu mpaka zisanu ndi ziwiri kuchokera pakukhazikika kwa matenda a kapamba. Komabe, mu mawonekedwe a postoperative, hyperglycemia amapanga nthawi imodzi.

Poyamba, ndimatenda awa, mavuto a dyspeptic alipo. Zizindikiro monga mseru, kutulutsa thukuta, kutentha pang'ono kwapakati, ndi kutsegula m'mimba kumadziwika. M'matumbo otupa a kapamba, monga lamulo, pali ululu womwe umapezeka m'malo a epigastric.

Njira yodutsitsa madzi nthawi zambiri imakhala yofatsa komanso yokhala ndi hyperglycemia. Ndi kuchuluka kwa glucose mpaka mamilion khumi ndi imodzi pa lita, munthu akumva wokhutira. Komabe, ndi kuchuluka kwina kwa glucose, zizindikiro monga ludzu, kufunsa kukodza pafupipafupi, khungu lowuma komanso zimagwira pakhungu limalumikizana.

Ndizofunikira kudziwa kuti ndi matenda amtunduwu nthawi zambiri pamakhala kuukira kwa hypoglycemia. Amakhala ndi chibadwa chochepa ndipo amayenda ndi zizindikilo monga khungu la khungu, kukalamba ndi nkhawa, kunjenjemera, njala, ndi zina zotero.

Kuzindikira ndi kuchiza matendawa

Poyamba, matendawa amatha kumakayikiridwa potengera kuwunika kwa glucose. Ndizachilendo kuti hyperglycemia imachitika mutatha kudya, pomwe ilibe pamimba yopanda kanthu. Kuphatikiza apo, kuyesa kwamwazi wamagazi am'magazi, kuwonetsa urinalysis, kuyesa kwa mapangidwe am'mimba ndi zina zotero.

Pancreatogenic shuga mellitus amathandizidwa ndi zakudya zapadera komanso mankhwala ochepetsa shuga. Mofananamo, tikulimbikitsidwa kuti kuperewera kwa pancreatic enzyme kukonzedwe. Mukamachita opaleshoni yamapapo, muyenera kusankha nthawi yomweyo chithandizo chamankhwala ndi insulin.

Zomwe zimayambitsa ndi zomwe zimapangitsa kukula kwa matenda a zam'tsogolo

Zomwe zimayambitsa pancreatogenic shuga mellitus zimaphatikizira ndi zotupa zopweteka kwambiri komanso zopweteka. Komanso zimatulutsa zinthu zomwe zimayambitsa kuwoneka kwa kutupa kwamkati, pambuyo pake matenda a shuga a pancreatic:

Shuga amachepetsedwa nthawi yomweyo! Matenda a shuga m'kupita kwa nthawi angayambitse matenda ambiri, monga mavuto amawonedwe, khungu ndi tsitsi, zilonda zam'mimba, zilonda zam'mimba komanso matenda otupa! Anthu amaphunzitsa zinzake zowawa kuti azisintha shuga. werengani.

kumwa mowa
opaleshoni yam'mimba,
ma gallstones
onenepa kwambiri
kudya zakudya zopanda pake
mankhwala owononga a pancreatic,
matenda oncological
zotupa zowopsa za kapamba,
chitukuko cha pancreatic necrosis,
chibadwa.

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Zochitika pamaphunzirowa

Kuwoneka kwa zovuta mu carbohydrate metabolism mu pancreatogenic shuga nthawi zambiri zimawonedwa pambuyo pa zaka 5 kuyambira kumayambiriro kwa kapamba mwa anthu.Matenda a Endocrine motsutsana ndi maziko a njira yotupa yopatsirana m'mapapo amapezeka mu mawonekedwe a kuchepa kwa shuga wamagazi ndi matenda a shuga a pancreatic. Ngakhale ndi chifuwa chachikulu cha kapamba, zambiri mwa njira za matenda ashuga zimasiyanitsidwa:

Nthawi zambiri matendawa amakhudza anthu omwe amakonda kuonda.
Kuchulukitsa shuga m'mikhalidwe iyi anthu amalekerera mosavuta.
Mukamamwa zakudya zamagulu ochepa, shuga imadziwika ndi kosi yofatsa ndipo sikutanthauza kugwiritsa ntchito insulin.
Pambuyo pazizindikiro zoyambirira za matenda a kapamba, zizindikiro za matenda ashuga zimawoneka zaka zochepa.
Chizolowezi chochepetsa magazi.
Nthawi zambiri amawonetsa matenda a pakhungu ndi matenda a matenda opatsirana.
Pambuyo pake, kuposa matenda am'mbuyomu, zovuta monga ketoacidosis zimachitika. Mikhalidwe ya Hyperosmolar ndi ma microangiopathies amathanso kuchitika.
Pathology imathandizidwa bwino pansi pazakudya, masewera olimbitsa thupi komanso kugwiritsa ntchito sulfonylureas.
Pakufunika pang'ono kowonjezera kwa insulin.

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Zambiri

Pancreatogenicabetes mellitus (mtundu 3 shuga mellitus) ndi kuphwanya kwachiwiri kwa kagayidwe kazakudya kamene kamayamba chifukwa cha kuwonongeka kwa endocrine kapamba (kapamba). Matendawa amapezeka 10-90% ya odwala omwe ali ndi matenda kapamba. Kusinthika kwa deta kotereku kumalumikizidwa ndi zovuta kuneneratu kukula kwa kusokonezeka kwa pancreatic endocrine dysfunction ndi kuvuta kwa kusiyanitsa kwa matenda. Pambuyo pancreatitis pachimake, chiopsezo cha matenda a shuga a 3 ndi 15%. Matendawa amakhudza amuna nthawi zambiri omwe amamwa mowa wambiri, zakudya zamafuta.

Zizindikiro za matendawa

Ndi matenda a shuga a pancreatogenic, zizindikiro zotsatirazi ndizodziwika bwino:

kupweteka m'mimba
matumbo
njala
thukuta lolemera
kutsitsa minofu kamvekedwe
kunjenjemera
chisangalalo champhamvu
kuwonongeka kwa mtima
kukula kwa zilonda zam'mimba.

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Zomwe zimayambitsa matenda a shuga a pancreatogenic

Matendawa amatuluka ndikuphwanya endocrine ndi exocrine ntchito za kapamba. Zotsatirazi zomwe zimapangitsa kuwonongeka kwa gululi ndi zida za gland zimasiyanitsidwa:

Kutupa kosalekeza kwa kapamba. Kuchulukana kwapafupipafupi kumapangitsa ngozi ya matenda ashuga. Kutupa kosafunikira kumayambitsa kuwonongeka pang'onopang'ono komanso kufooka kwa zisumbu za Langerhans.
Opaleshoni yamapazi. Zomwe zimachitika chifukwa cha matenda a postoperative amasiyana kuchokera 10% mpaka 50% kutengera kuchuluka kwa maopareshoni. Nthawi zambiri, matendawa amakula pambuyo pancreatectomy, pancreatoduodenal resection, pancreatojejunostomy yotengera, gawo lachiwindi la kapamba.
Matenda ena a kapamba. Khansa yapancreatic, pancreatic necrosis imayambitsa kuphwanya kwa endocrine ntchito ndikupanga hyperglycemia wolimbikira.

Pali zinthu zowopsa zomwe zimayambitsa matenda a shuga a pancreatogenic kwa odwala omwe ali ndi vuto la kulephera. Izi zikuphatikiza:

Mowa. Kukhazikika kwa zakumwa zoledzeretsa kangapo kumawonjezera chiopsezo cha kapamba ka zakumwa zoledzeretsa pokhazikika kwa hyperglycemia wosakhalitsa.
Kuperewera kwa zakudya m'thupi. Kugwiritsa ntchito kwambiri zakudya zamafuta, zopatsa mphamvu mosavuta kumathandizira kuti thupi likhale ndi kunenepa kwambiri, hyperlipidemia komanso kulolerana kwa glucose (prediabetes).
Kugwiritsa ntchito mankhwala kwakanthawi (corticosteroids) nthawi zambiri kumayendera limodzi ndi kupezeka kwa hyperglycemia.

Njira yopititsira patsogolo

Matenda a shuga a Mtundu 3 ali ndi mikhalidwe:

Odwala nthawi zambiri amakhala ndi thupi lolimbitsa thupi,
Palibe chibadwa
Zizolowezi zopanga hypoglycemia,
Odwala nthawi zambiri amapezeka ndi matenda apakhungu,
Kufunika kochepa kwa mankhwala a insulin,
Choleric kutentha kumachitika mwa odwala,
Kuwonetsedwa mochedwa kwa zizindikiro (mawonekedwe). Zizindikiro zolakwika za matendawa zimamveka patatha zaka zisanu ndi ziwiri kuyambira pachiwonetsero cha matenda oyambitsidwa.

Pafupipafupi kuposa ndi shuga wamba, macroangiopathy, microangiopathy, ndi ketoacidosis zimachitika.

Mankhwala

Mankhwala osokoneza bongo amaphatikizapo kumwa mankhwala:

Zosangalatsa
Kuchepetsa shuga,
Ophera
Kupereka kubwezeretsa kwa electrolyte bwino,
Vitamini ovuta.

Chimodzi mwa zokonzekera zomwe zimagwiritsidwa ntchito kwambiri ndi Creon, yomwe kuwonjezera pa cholinga chake chachikulu chimathandizanso kuchepetsa kupweteka kwapancreatic.

Opaleshoni

Pambuyo pa opaleshoni yotere, pancreatic resection kapena kapamba amatha kuchitidwa.

Njira zoyesera

Ngati munthu wadwala matenda a shuga a pancreatogenic, ayenera kupita kuchipatala kuti akawone akatswiri. Dokotala amvera madandaulo onse ndikupanga kafukufuku wazolinga. Kusanthula pamimba kumawulula kupweteka m'mimba. Komanso, katswiriyo amathandizira kuzindikira matenda ena osiyanasiyana. Kuti atsimikizire matendawa, adotolo adzafotokozanso njira zina zowerengera:

kuyezetsa magazi konse
urinalysis
kuyesa kwamwazi wamagazi,
kuyezetsa magazi kwa shuga,
Ultrasound yam'mimba
kusanthula kuchuluka kwa diastase mu mkodzo ndi magazi.

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Zizindikiro za pancreatogenicabetes mellitus

Pancreatogenic shuga mellitus chithandizo

Ngati munthu ali ndi zizindikiro zoyambirira za matendawa, simungayesere kudzichiritsa nokha kunyumba, chifukwa izi zimabweretsa zotsatira zowopsa. Chifukwa chake, muyenera kuwona dokotala. Akavomera, katswiriyo amatenga mbiri yakale yakuchipatala, kumuyesa wodwalayo ndikupereka njira zapadera zochitira kafukufuku. Pambuyo pakuzindikira moyenera, dokotalayo apanga njira ya chithandizo.

Monga chithandizo, mankhwala ndi zakudya zimayikidwa.

Zakudya za matenda

Ndi mtundu uwu wa shuga, zakudya zopatsa mphamvu zambiri zopatsa mphamvu zamafuta ochepa komanso zamafuta ochepa zimalimbikitsidwa - osaposa 25% ya zopatsa mphamvu zonse. Chiwerengero cha zakudya ziyenera kukhala 5 kasanu patsiku m'magawo ang'onoang'ono. Kuchokera pazakudya muyenera kupatula mafuta, okazinga, amchere ndi ufa. Ndikulimbikitsidwa kuchepetsa kugwiritsa ntchito mkate wathunthu ndi maswiti, komanso zakudya zomwe zimakhala ndi fiber yambiri. Sitikulimbikitsidwa kugwiritsa ntchito kabichi, msuzi wa nyama, maapulo atsopano. Muyeneranso kuchotsa misuzi yosiyanasiyana ndi mayonesi pazakudya.

Kodi zikuwonekabe zosatheka kuchiritsa matenda ashuga?

Poona kuti mukuwerenga izi tsopano, kupambana polimbana ndi shuga wambiri sikuli kumbali yanu.

Ndipo mudaganizapo kale za chithandizo kuchipatala? Ndizomveka, chifukwa shuga ndi matenda oopsa, omwe, ngati sanapatsidwe, amatha kufa. Udzu wokhazikika, kukodza mwachangu, masomphenya osalala. Zizindikiro zonsezi mumazidziwa nokha.

Koma kodi ndizotheka kuchitira zomwe zimayambitsa m'malo mothandizira? Timalimbikitsa kuwerenga nkhani yokhudza matenda aposachedwa a shuga. Werengani nkhani >>

Mavuto

Zotsogola ndi kupewa

Kodi kapamba ndi shuga zimagwirizana bwanji?

Kodi matenda ashuga amapezeka bwanji pakhungu la kapamba. Zizindikiro za chifuwa chachikulu. Kuchuluka kwa shuga kumakhudzana ndi kapamba. Chakudya chomwe muyenera kutsatira ngati munthu ali ndi matenda onse nthawi imodzi. Mankhwala ati omwe angabwezeretse matendawa ndi matenda awa.

Pancreatitis ndi matenda a shuga ndi matenda omwe amakhudza kapamba.

Matenda a pancreatitis ndi njira yowonongeka mu chiwalochi chomwe chimakhala nthawi yayitali, chimakhudza maselo ake ndikupangitsa kuti minyewa yake isinthe. Ngati imatenga nthawi yayitali, ndiye kuti matendawa amakhala osachiritsika ndipo amatsogolera kuti pakhale minofu yamoyo yokhala ndi minofu yamafuta kapena minofu yolumikizika.

Izi zimapangitsa kuti pakhale kusakwanira kwa procrine, komwe kumadziwonetsa pokhapokha poti ma enzyme ochepa a m'mimba amapangidwa. Nthawi yomweyo, vuto la kusokonekera kwa zinthu limayamba, pomwe glucose amapezeka m'maselo a thupi, omwe pambuyo pake amadzetsa matenda a shuga.

Koma kutengera kotereku kwa matenda sikofunikira. Nthawi zina anthu omwe ali ndi matenda a shuga a 2 amayamba kudwala kapamba. Ndipo anthu omwe ali ndi matenda osatha a kapamba sayenera kukhala ndi matenda ashuga.

Kodi kapamba amayamba bwanji shuga

Poyamba, matendawa amawonekera kupweteka, kenako kugaya chakudya kumayamba, pambuyo pake matenda a shuga amayamba.

Gawo loyamba limatha kukhala zaka zingapo, limodzi ndi zowawa zamphamvu zosiyanasiyana.

Pa gawo lachiwiri, wodwalayo amayamba kutentha, kutulutsa. Amatha kudya, amakhala ndi nkhawa ndi matenda am'mimba opitilira m'mimba. Izi ndi zina chifukwa cha insulini kumasulidwa kwa cell ya beta yomwe yasokonekera.

Mu gawo lachitatu, maselo a chiwalochi atawonongedwa kale ndi matendawa, shuga m'magazi amadzuka pamwamba pamwambo utatha kudya. Vutoli mu 30% ya milandu limatha ndi matenda a shuga 2.

Kusintha kwa kapamba mu Matenda a shuga

Ndi matenda amtundu wa 2 shuga, kusintha kowopsa kosasintha kumachitika m'gululi. Matendawa amatsogolera zotupa za dystrophic zazilumba zazing'ono za Langerhans. Zikatero, maselo amtundu wa endocrine amatsitsidwa, ndipo ena a iwo amafa.

Chotsatira chimayamba chimodzi mwazosankha zamakanidwe azisamba mu kapamba. Poyamba, kapamba amayamba, chachiwiri, chiwalo chimasiya kugwira ntchito zake. Imasiya kugwira ntchito chifukwa minofu yolumikizidwa imatenga malo a maselo akufa. Kukula, kumafinya maselo athanzi, ndipo nawonso amafa. Chifukwa chake matenda a shuga amatsogolera ku chiwonongeko chonse cha kapamba.

Momwe mungachiritsire kapamba ndi matenda ashuga

sinthani kagayidwe kazakudya,
kuthetsa kusowa kwa michere yam'mimba.

Odwala omwe ali ndi matenda a shuga a 2 komanso kapamba amadziwika kuti ndi mankhwala a enzymatic komanso mahomoni.

Nthawi yomweyo monga kumwa mankhwala, wodwalayo ayenera kutsatira kadyedwe. Kupatula zakudya zovulaza kapamba pazakudya, komanso kumwa mankhwala operekedwa ndi dokotala, omwe ali ndi matenda ashuga, kutupa kwa chiwalochi kungathe kuthandizidwa.

Zolemba zamagulu azakudya

misuzi ndi zonunkhira zotentha
mayonesi
msuzi wamafuta
masoseji, nyama zotsekemera,
maapulo ndi kabichi, komanso zakudya zina zomwe zimakhala ndi fiber yambiri.

Mtundu wachiwiri wa matenda ashuga, zakudya zopatsa mphamvu zamagetsi zimayenera kuwerengedwa komanso kudya kwawo ndizochepa. Shuga sayenera kupatula pamenyu kwathunthu.

300 g masamba tsiku lililonse,
zipatso zochepa
mafuta mpaka 60 g
zakudya za mapuloteni mpaka 200 g patsiku.

Ndi kusalolera kwa shuga, thupi liyenera kupatsidwa mavitamini onse ofunikira kuti zovuta zomwe zimayenderana ndi matendawa zisamere. Chakudya chimatengedwa nthawi 4-5 patsiku, onetsetsani kuti mumayang'anira zochitika za tsiku ndi tsiku. Izi zimachitika kuti madzi am'mimbamo amatulutsidwa nthawi inayake musanadye.

Zakudya za anthu ziyenera kukhala zabwino komanso zokhala ndi masamba ambiri ophika mu boiler kapena uvuni wowonjezera. Ndi matenda ashuga, msuzi wamasamba, mphodza, anyezi wophika angagwiritsidwe ntchito, ndipo mbatata ndi chimanga ziyenera kukhala zochepa. Ndi zoletsedwa kudya yokazinga m'matendawa.

Pochizira mafupa, owerenga athu adagwiritsa ntchito DiabeNot bwino. Kuwona kutchuka kwa malonda, tidaganiza zoperekera chidwi chanu.

Mankhwala ochizira kapamba

Kodi kapamba angathandizidwe ndimankhwala? Inde! Kuphatikiza pa chakudyacho, madokotala omwe ali ndi matenda a shuga a mtundu wachiwiri komanso matenda a kapamba amaletsa mapiritsi okhala ndi michere yomwe kapamba sangathe kutulutsa pamlingo woyenera chifukwa cha matendawa. Nthawi zambiri amapereka mankhwala a pancreatin ndi chikondwerero.

Mankhwalawa amasiyana mu kuchuluka kwa zinthu zomwe zimagwira. Pali ambiri a iwo mu chikondwererochi, koma ali ndi zotsutsana zambiri ndipo amatha kupangitsa kudzimbidwa, nseru ndi zovuta zina. Pancreatin ndiosavuta kunyamula ndipo nthawi zambiri samayambitsa chifuwa. Dokotala munthawi iliyonse amasankha mankhwalawa ndi mlingo wake kuti azisintha kapamba.

Kutsatira zomwe amalangizidwa ndi adotolo komanso kudya zakudya zoyenera kumathandiza kuti thupi lanu libwezeretse ntchito. Pang'onopang'ono, mkhalidwe wa wodwala umayamba kuyenda bwino. Zakudya za anthu odwala matenda ashuga komanso kapamba nthawi yomweyo akamwa mankhwala zimathandiza munthu kupewa zovuta za matenda oyambawa.

Matenda a shuga ndi kapamba

Endocrine matenda a shuga mellitus ndi kapamba amagwirizana kwambiri. Kupezeka kwa matenda ambiri mthupi la munthu kumatengera ntchito ya gawo ili la chobisalira mkatikati. Matenda a shuga - chimodzi mwa izo, chimawonetsedwa ndikuwonjezereka kwa shuga wamagazi ndikuchepetsa kupanga kwa insulin, komwe ndikofunikira kuti glucose imamangirire ndikuyiyendetsa minofu ya minofu kuti isinthidwe kukhala mphamvu. Kapamba mu shuga samachita ntchito yopanga timadzi tambiri tambiri tambiri.

Kapangidwe ka kapamba ndi mitundu ya matenda ashuga

Mphepoyi ndi chisa chachikulu chamkati chakunja ndi chakunja chomwe chimakhudzidwa ndi chimbudzi. Mbali yomweyo, imatulutsa madzi a pancreatic, omwe amaphatikizapo michere yomwe imakhudzidwa ndi chimbudzi. Kumbali ina, ntchito yake yachinsinsi yamkati ndiyomwe imayambitsa kupangidwa kwa insulin. Kuphatikiza apo, ilinso ndi katundu wina, ndikuwongolera kwa metabolism m'thupi la mapuloteni, mafuta ndi chakudya.

Mu kapangidwe ka kapamba pali magawo atatu:

Mutu mu kapamba umagundidwa ndi duodenum. Imalekanitsidwa ndi thupi la chiwalo ndi poyambira ndipo imakhala ndi kachotsekera komwe kamatuluka m'matumbo kudzera pa papilla yaying'ono.
Mawonekedwe atatu a thupi la chiwalochi ali ndi mbali zitatu ndi malo atatu.
Mchira wowoneka ngati peyala umafikira ku ndulu.

Chitsulo chimakhala ndi mitundu yosiyanasiyana ya minyewa, iliyonse imayang'anira ntchito yake. Kutulutsa kwa procrine kumachitika pogwiritsa ntchito magawo ang'onoang'ono azinsinsi zapanja - acini. Amakhala ndi ma ducti omwe amalumikizana kumodzi, ndipo kudzera m'mutu wa kapamba amapita mu duodenum, momwe madzi a pancreatic amalowera.

Ntchito ya Endocrine imatengera maselo omwe ali pakati pa acini. Awa ndi mabwalo am'midzi ya Langerhars, omwe alibe duchu, ndipo chifukwa cha maukonde amitsempha yamagazi omwe amawalumikiza, ma insulin omwe amalowa m'magazi.

Kuti mumvetsetse momwe shuga imawonekera, muyenera kudziwa kuti imagawidwa m'mitundu yambiri:

Matenda a mtundu woyamba amawonetsedwa ndi kupundika kwa kapamba komanso kusapezeka kwa insulini yopanga ma cell a chiwalochi.
Matenda amtundu wachiwiri samawonetsedwa ndi kuchepa kwa insulin, chifukwa maselo amatulutsa mokwanira. Thupi limaleka kuzindikira timadzi tating'onoting'ono'yo ndipo timayamba kugonjera insulin. Iron akhoza kukhala wathanzi kwathunthu.
Zizindikiro
Fomu yobisika.
Matenda a shuga.
Amayambitsa ndi chakudya chosakwanira.

Matenda a shuga a mtundu 1 amawoneka bwanji

Matenda a shuga ndi kapamba chifukwa cha mtundu woyamba wa matenda amadziwika ndi kulumikizana kwa zochitika za chitukuko:

Njira zotupa, kapamba amasonyezedwa ndi kupweteka kwachilengedwe china, chokhalitsa kwa zaka zambiri, ndikuchulukana kwakanthawi ndi nthawi yotikhululuka.

Ndipo pali kugaya chakudya komwe kumapangitsa kuti munthu asamadyedwe, kutentha kwa mtima, kutsekula m'mimba komanso kusilira. Maselo omwe amayambitsa kupangira insulin amakhala osakwiya ndipo amayamba kugwira ntchito mosinthana. Nthawi zambiri pamakhala kutulutsidwa kwa insulin, chifukwa chomwe kuphwanya kwa kagayidwe kazachilengedwe ndi zinthu za hypoglycemic.

Kutupa kotereku kumayamba kukula kwa kapamba, ma cell omwe amachititsa kuti timadzi timene timapanga timadzi ta ma cell timawonongeka ndikusintha minyewa ya adipose kapena minyewa yolumikizana. Mlingo wa shuga m'magazi m'mimba yopanda kanthu ndi wabwinobwino, mutatha kudya umatuluka pamwamba pazovomerezeka. Mikhalidwe ya Hyperglycemic imawonetsedwa nthawi zambiri.

Opitilira gawo limodzi mwa odwala onse omwe ali ndi pancreatitis yayitali amakhala eni matenda a shuga. Izi ndizofala kwambiri poyerekeza ndi odwala omwe ali ndi matenda ena okhalitsa.

Mtundu wachiwiri wa matenda ashuga ndi kapamba

Nthawi zambiri, kukula kwa matendawa kumachitika chifukwa cha kapamba. Njira zotupa zimathandizira kuchuluka kwa shuga m'magazi. Kupweteka pachimake kupweteka kwa m'mimba ndi kupukusira kwa m'mimba kumayambitsa matenda ndikutukuka kwa matenda a shuga ndikotheka.

Kuchulukirachulukira komwe kumachitika ndi kuchotsera kwina kungasokoneze magwiridwe antchito, komanso zolakwika zazakudya zitha kukulitsa vuto.
Nthawi zambiri, mtundu uwu wa shuga umapezeka mu chithokomiro chathanzi ndikumakhala ndi michere yambiri mthupi ndi glucose m'mwazi ndi mkodzo. Izi zimachitika chifukwa cha kusakwanira kwa thupi kukhala ndi insulin, sizimamva.
Kunenepa kwambiri komanso kutengera kwa chibadwa pamunthu wokhwima kwambiri kumawonjezera mwayi wolimbana ndi insulin mthupi komanso kukula kwa matenda ashuga. Minofu yowonjezera ya adipose imasokoneza zovuta za insulin.

Kuchita zolimbitsa thupi pafupipafupi kumatha, limodzi ndi zakudya, kukhazikitsa njira zama metabolic ndi insulin sensitivity, zimatha kuchuluka.

Mitundu ina yamatenda awo kukula

Njira yodziwika bwino ya matenda ashuga, monga tawonera kale, imayamba chifukwa cha kutupa kwapakhansa.

Kuphatikiza apo, pali zifukwa zingapo zakapangidwe ake:

khansa ya m'matumbo,
hemochromatosis,
matenda a m'magazi a adrenal.

Zizindikiro za matenda amtundu woyamba 1 amayamba ndi kuchotsedwa kapena khansa ya kapamba, komanso hemochromatosis, vuto la chibadwa cha kagayidwe kachitsulo komanso kuchuluka kwa thupi.

M'mayendedwe a pathological mu gren ya adrenal, kumasulidwa kosalamulika kwama mahomoni omwe amakhudza insulin, omwe amachititsa kukula kwa matenda a shuga a 2.

Mitundu yomaliza ya matenda ashuga imachitika ndi shuga enaake musanadye komanso pambuyo chakudya. Kuyesedwa kwa magazi pambuyo pochulukitsa thupi ndi shuga m'mawonekedwe, manambala amawonedwa kwambiri. Ngati simuchepetsa zakudya zamafuta, matenda ashuga am'mawa amadziwika.

Nthawi yapakati, shuga ndi kapamba mwa azimayi amayang'aniridwa ndi madokotala.

Chifukwa panthawiyi, mkazi, mogwirizana ndi kusintha kwa mahomoni, amatha kudwala.

Chifukwa cha izi, kusokonezedwa m'mimba kumachitika, mwana wakufa kapena mwana wamoyo komanso wathanzi, koma wokhala ndi kulemera kwakukulu, adzabadwa. M'tsogolomo, matenda a shuga amatha pambuyo pa nthawi ya bere, ndipo atha kukhalabe ndi moyo.

Mtundu wa matenda ashuga omwe umayamba chifukwa cha chakudya chamagulu omwe amakhala ndi chakudya chokwanira, izi zimatha kuchitika m'magawo athu ngati mwana wakhanda amadwala kwambiri kapena amadya kwambiri.

Chithandizo ndi kupewa

Chithandizo chamakono chimazindikira matenda a shuga, ndikuwunikanso mkodzo wa shuga momwe kamapangidwira pogwiritsa ntchito njira zasayansi, kuyezetsa magazi kumachitidwanso.

Chithandizo cha mankhwala ndi dokotala yemwe amadziwitsa za matenda ake omwe amatsimikizira mtundu wa matenda ashuga m'thupi la wodwalayo:

Kwa odwala omwe ali ndi matenda a shuga 1, mankhwalawa amaphatikizapo mankhwala a insulini komanso zakudya, komanso mankhwala a kapamba.
Mtundu wachiwiri, zakudya zochepa zamafuta ndi mankhwala omwe amabwezeretsa chidwi cha insulin m'maselo amasankhidwa.
Amayi oyembekezera amapatsidwa zakudya ndi insulin, mankhwala ena aliwonse angapangitse ana kuwonongeka, chifukwa chake chithandizo chimachitika motsogozedwa ndi dokotala wazamankhwala ndi endocrinologist.

Matenda a 2 a shuga amawerengera moyo. Kudya moyenera komanso kuchita masewera olimbitsa thupi kumathandizanso thupi kupeza matenda a shuga.