Kodi kuchitira chiwindi ndi matenda ashuga?

Matenda a shuga amakhudza thupi lonse. Matenda a shuga ndi chiwindi ndi oyamba kulumikizana, chifukwa pali kuphwanya njira za metabolic zomwe zimakhudza gawo mwachindunji. Mitundu yosiyanasiyana ya matenda ashuga imakhudza chiwindi, ina imayambitsa kuwonongeka msanga, inayo siyibweretsa zovuta kwazaka zambiri. Komabe, magwiridwe antchito a chiwindi amachitika pokhapokha pozindikira kuti mankhwalawa amachitika, apo ayi zotsatira zake sizingasinthe.

ZOFUNIKA KUDZIWA! Ngakhale odwala matenda ashuga kwambiri amatha kuchiritsidwa kunyumba, popanda opaleshoni kapena zipatala. Ingowerenga zomwe Marina Vladimirovna akunena. werengani zonena zake.

Zotsatira za matenda a shuga pachiwindi

Mavuto a shuga amtundu wa 1 pachiwindi samadziwika, choncho wodwalayo samamva msanga zosokoneza zomwe zimachitika m'chiwindi. Mtundu wachiwiri wa shuga, zosokoneza pakugwira ntchito kwa chiwindi zimamveka pompopompo, ziwalo zimayamba kuwonongeka mwachangu komanso kuwonongeka. Chiwindi nthawi ya matendawa imakulitsidwa chifukwa cha kuchuluka kwa mafuta, zomwe zimapangitsa kuti pakhale cirrhosis.

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.

Cirrhosis - kuwonongeka kwa chiwalo

Cirrhosis ya chiwindi imawonetsedwa ndikusinthidwa kwa maselo abwinobwino ndi maselo amafuta, omwe amakhudza kwambiri ntchito zomwe zimachitika. Pakupanga matenda, kufooka kwa chiwindi kapena chikomokere kumawonekera. Cirrhosis wopangidwa samachiritsidwa; tsambali silingasinthe. Komabe, ngati matenda atalephera kufika pano, chithandizo chomwe chikuyambitsa matendawa chikuthandizira kukhala chiwindi chokhazikika.

Kulephera kwa chiwindi

Nthawi zambiri, matenda ashuga, nthawi zambiri, mtundu 1 umakhala wowonjezera pa chitukuko cha ziwalo. Matendawa amakwiya osati kumagwira ntchito m'chiwindi, komanso amayambitsa kusokonezeka kwa endocrine system. Zotsatira zake ndikuthothoka kwa khungu, kakulidwe ka potency mwa amuna, kuchepa kwa zotupa za amayi. Kulephera kuli ndi magawo angapo a chitukuko.

Zomwe zimachitika m'chiwindi

Chiwindi chokhala ndi matenda amtundu wa 1 chikukula, chimapweteka palpation, nthawi ndi nthawi wodwalayo amasokonezeka ndikusanza, mseru. Kusasangalala kumalumikizidwa ndi njira yayitali ya acidosis. Mlingo wa shuga ukachuluka, kugwiritsa ntchito insulin kumakulitsa kuchuluka kwa glycogen, pachifukwa ichi, hepatomegaly imachulukitsidwa kumayambiriro kwa chithandizo.

Matendawa akamakulirakulira, zotupa zimakhumudwitsa fibrosis, kusintha kosasintha komwe kumachitika m'thupi lathu, ndipo chiwindi chimataya magwiridwe antchito. Popanda chithandizo, hepatocytes amafa, matenda a cirrhosis amapezeka limodzi ndi insulin.

Mtundu wachiwiri wa matenda ashuga, chiwindi chimakulitsidwa, m'mphepete mwake chimalozedwa, kupweteka. Kusokonezeka kwa chiwalo kumayamba pang'onopang'ono, kumalumikizidwa ndi kuchuluka kwa mafuta mu hepatocytes. Pafupifupi 85% ya anthu odwala matenda ashuga a 2 amaphatikizidwa ndi kunenepa kwambiri, ndipo ma pancreatic pathologies sangakhalepo konse.

Wodwalayo amawona kufooka, kukodza pafupipafupi, kukamwa kowuma komanso ulesi. Pambuyo pake, chiwonetsero chonse cha matenda omwe amachitika chifukwa cha kusokonekera kwa michere ya chiwindi chimakulirakulira:

pachimake chiwindi kulephera
hepatocellular carcinoma,
steatosis
kutupa.

Nthawi zambiri, ndi mtundu uwu wa shuga, munthu amakhalanso ndi matenda a chiwindi C.

Momwe mungazindikire ndikuzichitira

Wodwalayo ayenera kufunsa dokotala kuti ayesedwe ngati chiwindi chikuyenda bwino, komanso pamaso pa matenda: a atherosclerosis, mtima wamtima, matenda oopsa, kulowetsedwa kwa myocardial, hypothyroidism, angina pectoris.

Pankhaniyi, kuyesedwa kwa magazi kwa Laborator kukuwonetsedwa pakupanga cholesterol, lipoproteins, bilirubin, glycated hemoglobin, zizindikiro za alkaline phosphatase, AST, ALT.

Malinga ngati chisonyezo chilichonse chikuwonjezereka, kudziwitsidwa mozama kwa thupi kumafunikira, izi zimathandiza kumveketsa bwino za matendawo ndikuzindikiritsa njira zina zochiritsira. Kudzipatsa nokha mankhwala ngati amenewa kumakhala kukuwonjezeka ndi matendawa.

Dokotala makamaka amatenga njira kuti athetse zinthu zomwe zimakhudza chiwindi. Kutengera ndi kuopsa kwa matenda, momwe thupi la wodwalayo limayendera, zotsatira za mayeso, mankhwala amathandizidwa kuti athetse vutoli.

Oyenera odwala matenda ashuga amati:

Kuphatikiza apo, akuwonetsa kuti amamwa mankhwala kuti achulukitse chitetezo chokwanira, kubwezeretsa matumbo a microflora.

Mu matenda a shuga amtundu wachiwiri, ntchito yofunikanso ndikubwezeretsa chidwi cha chiwindi mu insulin ya mahomoni, ngati sichitha, hyperglycemia ichulukira, ndipo sipadzakhalanso mphamvu zina zamatenda.

Zotsatira zabwino pa chiwindi ndizakudya za anthu odwala matenda ashuga (zochulukira zazakudya za odwala matenda ashuga), ziyenera kupereka zakudya zabwino kwambiri m'thupi lililonse la wodwala.

Kukwanira bwino kwa chakudya mu zinthu zofunika pa moyo wabwinobwino wodwala matenda ashuga zimatengera kuyenera kwa chiwindi. Nthawi yomweyo, ndikugwiritsa ntchito bwino, chiwindi chimakhala pafupifupi 70% kuchotsera zonyansa.

Magawo a mankhwalawa amadalira mkhalidwe waumoyo komanso kuuma kwa matenda ashuga, ndikofunikira kumvetsetsa bwino:

kukhala bwino sikufulumira,
Matendawa amatenga nthawi.

Ndi ntchito yofanana, mankhwala ndi njira zina zochiritsira, kuyeretsa chiwindi kumagwiritsidwa ntchito.

Kutsukidwa kwa chiwindi

Anthu akuyeretsa chiwindi ndi matenda ashuga akukhudzidwa ndi kusiyanasiyana kwawo, wodwala amatha kusankha njira yoyenera kwambiri.

Njira yakuyeretsa mothandizidwa ndi mchere wamadzi amadzitsimikizira mwangwiro. Pambuyo pogona, ndikupumula kwa mphindi 20, magalasi awiri amadzi amchere aledzera, amaloledwa kuwonjezera pamadzi supuni ya magnesium sulfate kapena sorbitol. Kenako muyenera kukagona, kuyika chitseko chotenthetsera pansi pa dzanja lamanja ndipo osadzuka kwa maola awiri.

Kunyumba, kuyeretsa chiwindi kungachitike pogwiritsa ntchito zitsamba zosakaniza:

supuni ya tiyi ya tsabola, fennel, nthangala zonyamula, ma coriander, katsabola,
5 supuni senna udzu
Supuni 8 za khungwa la buckthorn.

Zosakaniza zake ndizosakanikirana, pansi ndi chopukusira khofi. Ola limodzi asanagone usiku, kutsanulira supuni ya mchere wosakaniza mu 50 ml ya madzi owiritsa ndikumwa mumtsuko umodzi. Pitilizani mankhwala a chiwindi m'mawa, mutatenga supuni ya osafunikira, mankhwala a chamomile, makungwa a barkthorn ndi masamba a buluzi (supuni imodzi iliyonse). Zitsamba zithupsa osaposa mphindi 5 mu 400 ml ya madzi, kunena maola 5 mu thermos.

Ndi mtundu wachiwiri wa matenda ashuga a shuga, njirayi imakhala motere: tsiku lililonse kwa maola 2,5 amamwa supuni ya ufa woyamba, kumwa kotsiriza kuyenera kukhala nthawi ya 15:30 masana, 5 koloko madzulo amwe msuzi wachiwiri (m'mawa).

Pa tsiku lomwelo pa 18.00 iwo amatenga mafuta a maolivi achilengedwe okwanira 120 ml, amamwa ndi msuzi wa ndimu imodzi, kupita kukagona, ndikuikanso chiwiya chotenthetsera pansi pa chiwindi. Mafuta ayenera kumwedwa pa 23.00, kubwereza njirayi.

Pa tsiku lachitatu, akuwonetsedwa kupanga ma 3 kuyeretsa enemas ndi nthawi ya 1 ora, kumwa chopereka cha chiwindi kapena kapu ya madzi a mbatata. Nthawi yoyamba patsikuli idyedwa pa 14,00 zokha, chakudyacho chizikhala chopepuka momwe zingathere. Ngati kunyumba mutayeretsa chiwindi chanu ndi matenda ashuga pogwiritsa ntchito njira imeneyi, thupi lidzatha kupirira bwino ndi kusefera kwa magazi ndikuchotsa poizoni.

Kutsuka chiwindi ndi kusintha njira za choleretic, mbewu zimagwiritsidwa ntchito:

Nthiti yamkaka ya shuga imatengedwa ngati ufa, kuti ichitike bwino kwambiri, ndikuwonetsedwa mphindi 30 asanadye kuti mugwiritse ntchito supuni yaudzu, muthanso kutenga kulowetsedwa kwa mbewu ya mbewu. Kusamba kwamadzi kwa mphindi 20, thirani supuni ya mbewu ndi kapu yamadzi otentha. Ikazizira, kulowetsedwa kumasefedwa kudzera mu cheesecloth, iwo amaledzera theka kapu ya theka la ola musanadye. Kutalika kwa nthawi yamankhwala kumagwirizana ndi adotolo.

Ngati matenda a shuga adakula ndipo chiwindi chayamba kuda nkhawa kwambiri ndi wodwalayo, ululu umamveka, simungathe kusiya izi osakhudzidwa. Ngati mankhwala sanalandiridwe, mankhwalawo amatha kukulitsidwa, mpaka matenda a chiwindi.

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!

Matenda a shuga sikuti amangokhala azachipatala, komanso vuto la mayanjano. Matendawa amasiyanitsidwa osati kokha ndi mawonekedwe a maphunzirowa, komanso kukula kwa zovuta pazonse zamunthu. Chiwindi chimakhalanso ndi matenda osokoneza bongo, mosasamala mtundu wake, zomwe zimagwirizanitsidwa ndi kuyankha kwake kukwezeka kwa magazi ndi matenda osokoneza bongo posinthana ndi insulin. Ngati chithandizo sichinachitike pa nthawi yake, chiwindi cha chiwindi chimayamba.

Monga lamulo, matenda ashuga operewera amachepetsa chiwindi, chifukwa chake odwala samamva zizindikiro zowonongeka kwa chiwalo ichi kwa nthawi yayitali. Koma matenda ashuga amtundu wophatikizika amatsogolera ku chiwonongeko chake chamagulu ndi kusintha kwa kapangidwe kake.

Nthawi zambiri chiwindi chokhala ndi shuga chimakulitsidwa. Cholinga cha izi ndizochulukirapo zamafuta mkati mwake. Kukula kwakukulu kwa chiwindi, madokotala amalankhula za otchedwa hepatomegaly.

Ngati kukulira kwa chiwindi kumachitika muubwana, chotchedwa Moriak matenda amakula. Chiwindi ndi chachikulu, ndipo kukula kumachedwetsedwa. Nthawi zambiri kumachepa kukula kwamitundu.

Chifukwa cha kuchepa kwamafuta kwa chiwindi, pali chiyembekezo chachikulu choti matendawa amayamba.

Cirrhosis ya chiwindi ndikukonzanso pang'onopang'ono kwachilengedwe. Maselo a chiwindi amayamba kuchepa ndipo m'malo mwake mumakhala mafuta. Ntchito zake ndizodwala. Pambuyo pake, kulephera kwa hepatic ndi kupweteka kwa chiwindi.

Wodwala wodwala matenda enaake omwe akuwaganizira kuti ali ndi vuto lotere amakhala ndi zodandaula:

kutopa,
kusokonezeka kwa tulo,
kuchepa kwamtima
ukufalikira
Madontho a khungu ndi chovala chamaso m'maso achikasu,
Kusintha kwa ndowe,
kupweteka m'mimba
kutupa kwamiyendo,
kuchuluka kwam'mimba chifukwa cha kuchuluka kwa madzi mkati mwake,
pafupipafupi matenda oyamba ndi bakiteriya
kupweteka m'chiwindi
dyspepsia (belching, nseru, kusanza, kugwedezeka),
kuyabwa kwa khungu ndi mawonekedwe a "nyenyezi" zam'mimba pakhungu.

Ngati matenda a cirrhosis apangidwa kale, ndiye, mwatsoka, sakusintha. Koma chithandizo cha zomwe zimayambitsa matenda amitsempha cha m'mimba chimakupatsani mwayi woti chiwindi chizikhala chokwanira.

Nthawi zambiri, matenda ashuga, makamaka mtundu woyamba, amayambitsa kulephera kwa chiwindi. Sizimangoyambitsa kusokonezeka kwa chiwindi, komanso zimathandizira kulakwitsa kwa dongosolo la endocrine. Zotsatira zake, tsitsi la munthu limagwa, potency imasokonekera mwa amuna, ndipo gland ya mammary imachepetsedwa mwa akazi.

Pali magawo atatu a matendawa. Pa gawo loyamba, khungu limasintha, wodwalayo ali ndi vuto lalikulu la endocrine. Mwa ana, kutha msala kumavulala. Nthawi zambiri amakhala ndi nkhawa chifukwa cha malungo, kuzizira, kusowa kudya.

Gawo lachiwiri limadziwika ndi zovuta zamtundu wamanjenje, pokhudzana ndi kuwonongeka kwapang'onopang'ono kwa dongosolo lamanjenje lamkati. Amadziwika ndi mkhalidwe wosakhazikika kwambiri wamtundu komanso ngakhale kutaya kolowera nthawi ndi malo. Chochititsa chidwi ndi kugwedeza kwamanja, kulankhulika kwachilendo, maluso oyendetsa galimoto.

Mu gawo lachitatu, zizindikirozi zimakulitsidwa ndipo kukomoka kwa hepatic kumakula. Pali magawo atatu pakukula kwa mkhalidwe wowopsa kwambiriwu.

Ndi precom, pali kusweka, chisokonezo. Njira zamaganizidwe zimachepetsera, thukuta, zosokoneza tulo zimadziwika.
Gawo lachiwiri likuwonjezeka. Pali chisokonezo chokwanira cha wodwalayo, chisangalalo chimasintha mosasamala ndi mosemphanitsa. Nthawi yowopseza kukomoka imatha kukhala masiku khumi.
Pa siteji ya kukomoka palokha, kununkhira kwa ammonia kuchokera mkamwa kumawonekera, kupuma kwamkokomo kumawonekera. Ngati chithandizo sichiperekedwa, kukomoka kumayamba, kenako kupumira kwathunthu kumachitika.

Matenda a shuga amtundu woyamba amakula ali aang'ono. Cirrhosis ya chiwindi sichimakula pamene chithandizo chokwanira chikuchitika. Kumbukirani kuti chithandizo cha insulin poyamba chimawonjezera zovuta pa chiwindi. Chowonadi ndi chakuti insulin yoyamba imachulukitsa zomwe zili glycogen. Koma zinthu zimakhazikika.

Ngati matenda ashuga sawagwiritsa bwino ntchito kapena samalandira chithandizo konse, ndiye kuti maselo a chiwindi amatha kufa ndipo matenda ena amayamba.

Mtundu wachiwiri wa matenda ashuga, mafuta a chiwindi amayamba. Ngati mankhwala a shuga amaperekedwa, ndiye kuti nthawi zambiri izi sizichitika ndipo chiwindi chimakhala chokhazikika kwanthawi yayitali. Ndiponso, ngati wodwalayo angachotsedwe kumwa mankhwalawa, ndiye kuti chiwindi chokhala ndi matenda a shuga chizikhudzidwabe.

Mosasamala mtundu wa shuga, chithandizo cha chiwindi ndizovomerezeka.Zimatengera gawo lomwe kuwonongeka kwa chiwindi kumadziwika.

M'magawo oyamba a matenda a chiwindi, kukonza madigiri a magazi nthawi yake kuli kothandiza. Mothandizidwa bwino ndi matenda a chiwindi ntchito ndi zakudya.

Pofuna kuteteza maselo a chiwindi, ndikofunikira kumwa mankhwala a hepatoprotective. Amabwezeretsa bwino ma cell a chiwindi. Pakati pawo - Essentiale, Hepatofalk, Hepamerz, etc. Ndi steatosis, Ursosan amatengedwa.

Ndi kulephera kwa chiwindi, chithandizo chimachitika mogwirizana ndi mfundo zotsatirazi:

Kuchotsa matenda obweretsa chiwindi,
Chithandizo
kupewa chiwindi kulephera,
zakudya kuti ammonia wochepa apangidwe m'thupi,
kuyeretsa kwamatumbo bwino, popeza microflora yake yoyipa imakhudza chiwindi.
kukonza cholesterol ndi bilirubin m'magazi,
kutenga ndalama zoyeselera kupewa matenda a cirrhosis.

Mosalephera, odwala amalembedwa kukonzekera kwa potaziyamu, lactulose, mavitamini. Pankhani ya kulephera kwa chithandizo cha mankhwala, hemodialysis, plasmapheresis (kuyeretsa kwa plasma ndi zosefera, kutsatiridwa ndikubwerera ku thupi).

Mosasamala mtundu wa matenda ashuga, zakudya zimawonetsedwa chifukwa cha kuwonongeka kwa chiwindi. Koma nthawi yomweyo ndikofunikira kuwongolera shuga.

Ndikofunikira kuyendetsa mosamalitsa kudya kwamafuta. Ziwerengero zake ndizochepa, ndipo zina zimapangidwa m'malo mwake. Nthawi yomweyo, zakudya zomwe zimakhala ndi chakudya chamafuta ndizochepa. Ndi zoletsedwa kumwa mowa mwa mtundu uliwonse.

Zokonda zimaperekedwa ku zakudya zamapuloteni, komanso zinthu zomwe zimakhala ndi zovuta kugaya chakudya (makamaka, zipatso zowawasa, mkate wa Wholemeal).

M'malo mwa shuga, mutha kugwiritsa ntchito zotsekemera. Mafuta a masamba othandiza omwe samapereka katundu waukulu pachiwindi. Menyuyi muyenera kukhala ndi mafuta a maolivi okwanira.

Kukhazikika kwapakati pa matenda a chiwindi mu shuga mellitus kumathandizira kusunga chiwalo ndikuchepetsa kuyambika kwa chiwindi kulephera.

Gawo loyamba limadziwika ndi kusintha kwa kamvekedwe ka khungu, kusokonekera mu dongosolo la endocrine. Kuwonongeka kwa chiwindi ali aang'ono kumasokoneza kutha msinkhu. Ndi matendawa, matendawa amakula, kuzizira, kumva njala kumalepheretsa. Kukula kwa gawo lachiwiri kumawonetsedwa ndi kusokonezeka kwamanjenje chifukwa cha kuwonongeka kwa dongosolo lamanjenje. Amadziwika ndi kusakhazikika kwamalingaliro, kusokonezeka mu nthawi ndi malo.

Kukula kumawonekera mwa kulimbikitsidwa kwa zizindikiro zonse komanso kukula kwa chikomokere. Pali magawo angapo pakukula kwa chikomokere:

Precoma. Kusokonezeka ndi kuchepa mphamvu kwa mphamvu kwalembedwa, njira zamaganizidwe zimachepetsa, ndipo kugona tulo kumakulirakulira.
Kuchepetsa gawo. Wodwalayo amataya kwathunthu mawonekedwe. Dziko lokondwereralo limasinthidwa ndikusamvetseka komanso mosemphanitsa. Kutalika kwa siteji kumafika masiku 10.
Coma Fungo la ammonia limamveka pamkono wamkamwa, kupuma kumakhala kaphokoso. Kuperewera kwa zamankhwala kumayambitsa kukhudzidwa, ndipo pamapeto pake kumangidwa.

Bweretsani ku zomwe zalembedwa

Ndi matenda ashuga, ntchito ya chiwindi imaletsa. Pankhaniyi, matenda a chiwindi osakhala chidakwa omwe amapezeka kawirikawiri amatanthauza chitukuko cha steatosis, zophatikizika zama deposits amafuta.

Steatosis imayamba chifukwa cha kusokonezeka kwa metabolic komwe kumayambitsa kunenepa kwambiri. Mafuta amaunjikidwa m'chiwindi, omwe amatha kupanga ma cyst ndikulepheretsa kugwira ntchito kwa chiwalo, zomwe zimapangitsa kukulitsa matenda a shuga komanso a mtima. Maziko akuluakulu a steatosis ndi insulin kukana ndi kuphwanya chakudya ndi lipid metabolism. Matendawa amakula pang'onopang'ono ndipo ndi owopsa chifukwa chakuyenda mu cirrhosis.

Matenda a shuga 1 amayamba kukula ali aang'ono kwambiri, shuga wamagazi amawongoleredwa ndi jakisoni wa insulin. Pankhaniyi, kukula kwa hepatic pathologies sikupita, ndi kufedwa kwa mankhwala, matenda ena amayamba. Poyamba, zochita za insulin zimapangitsa kuti chiwindi chizikhala chovuta, komabe, pakapita nthawi, mankhwalawa amapereka mawonekedwe komanso mawonekedwe okhazikika.

Mtundu wachiwiri wa matenda a shuga, kusintha kwa maselo a chiwindi athanzi ndi kuchuluka kwa mafuta kumawonedwa. Kuchita mankhwala osokoneza bongo kumalepheretsa kukula kwa zotupa zamafuta, ntchito ya chiwalo imachitika mosangalatsa kwa nthawi yayitali. Komabe, mukanyalanyaza mankhwala othandizira odwala matenda ashuga, kusintha kwa chiwindi sikusintha.

Zotsatira za chiwindi mu shuga zimadziwika ndi zizindikiro monga:

ulesi
vuto la kugona
kuchepa kwamtima
kutulutsa m'mimba
khungu la chikaso ndimatumbo oyera amaso amaso,
Kusintha kwa ndowe,
kupweteka pamimba,
Kutupa kwamiyendo,
kukula kwa m'mimba chifukwa cha kuchuluka kwa madzi,
kupweteka m'chiwindi.

Bweretsani ku zomwe zalembedwa

Matenda a shuga ayenera kuthandizidwa ndi njira zovuta. Poyamba, adotolo amawona zomwe zimayambitsa kukula kwa matendawa, ndikuti afotokozere njira zomwe zingathandize kuti athetse matendawa. Mankhwalawa, njira zosiyanasiyana zimaphatikizidwa, monga njira zamankhwala, chakudya, kusunga mankhwala olimbitsa thupi tsiku lililonse, kugwiritsa ntchito mavitamini, kuchepetsa thupi.

Matenda a hepatatic, mosasamala za gawo la matenda ashuga, amafuna chakudya, owerenga shuga amawunikiranso. Zakudya zimafuna choletsa kwambiri mu mafuta, kupatula mafuta owonjezera, kukana mowa. Shuga samachotsedwa, m'malo mwa shuga mumagwiritsiridwa ntchito. Mafuta ophikira, mafuta a maolivi amakhala othandiza, ndipo chiwindi cha nkhuku zodala chimagwiritsidwa ntchito ngati chakudya.

Choyamba, kuchitidwa kwa chiwindi kumachitika ndikusamutsira shuga kumalo operekera chipukuta misozi. Amagwiritsa ntchito mankhwala omwe amachepetsa kuchuluka kwa shuga m'magazi, mosasamala mtundu wa matenda, komanso jakisoni wa insulin. Gawo lotsatira likufuna kupewa kukulitsa zovuta. Kutsukidwa kwa chiwindi mu shuga kumachitika pogwiritsa ntchito hepatoprotectors, antioxidant zinthu, mankhwala ogwiritsira ntchito cholesterol, komanso kubwezeretsanso matumbo microflora. Ndi kuchulukitsa kwa matendawa, opaleshoni, hemodialysis, plasmapheresis amagwiritsidwa ntchito.

Matenda a shuga ndi chiwindi amalumikizidwa. Kukula kwa matenda ashuga kumakhudza onse, kupatula, ziwalo mthupi. Chiwindi chimavutika makamaka mthupi chifukwa kagayidwe kazakudya kamasokonekera, kamene kamayambitsa kuwonongeka kwa magwiridwe antchito ndikuyambitsa zotsatira zowopsa. Kusamalira mosamala matenda a shuga komanso matenda opatsirana kumatha kubweretsa kulephera kapena matenda ena.

Ntchito ya chiwindi

Kuphatikiza pa ntchito ya fyuluta, kuyimirira pakati pa ziwalo zozungulira thupi lonse komanso thirakiti la m'mimba. Chiwindi chimagwira ntchito yopanga ndi depot. Thupi ili limathandizira kutsegula ndi kuchitika kwa mahomoni ambiri omwe amayendetsa magwiridwe antchito amthupi. Chimodzi mwa izo ndi glucagon wopangidwa ndi ma pancreatic alpha cell. Hormone iyi imathandizira kuwonjezera magazi. Izi zikachitika, zimamasulidwa kuchokera ku ziwalo zina.

Ntchito yachiwindi ya chiwindi ndikusunga kuchuluka kwa shuga m'magazi ake. Nthawi yomweyo, shuga amatha kusungidwa munthawi yake yokhazikika komanso m'njira yovuta yotchedwa glycogen. Polysaccharide iyi ikakumana ndi zovuta, kutopa kwambiri kwa thupi, kugwira ntchito kwambiri, mothandizidwa ndi michere ya chiwindi imayamba kusokonekera ndikubweretsa shuga m'magazi.

Glucose ndi shuga

Chizindikiro chachikulu cha matenda a shuga ndi kuchuluka kwa shuga m'magazi. Glucose ndi gawo lapansi lopanda mphamvu, popanda kutenga nawo mbali, mitochondria ya intracellular sangathe kupanga mphamvu yokwanira kuchita bwino kwa thupi.

Koma kuchuluka kwa glucose kumakhala ndi zotsatirapo zake. Kupezeka kwa kuchuluka kwa shuga m'magazi motsutsana ndi maziko ochepa a insulin kumabweretsa mphamvu yanjala ya thupi. Popeza glucose samatha popanda insulini. Pankhaniyi, pali kugawanika kwa magawo ena komwe mphamvu zimatha kutengedwa (mafuta ndi mapuloteni), ndipo zomwe zimapangitsa kuti zinthu zake ziwonongeke. Choyamba, ubongo umavutika, kenako dystrophy ya chiwindi imachitika, yomwe imawopseza kukula kwa matenda a cirrhosis.

Kugwiritsidwa ntchito kwa chiwindi

Ndi shuga wokwezeka wokhala ndi magazi nthawi zonse, shuga amayamba kuyikika m'matupi ndi ziwalo. Zomwe zimabweretsa chisokonezo chomaliza. Popeza chiwindi ndi mtundu wa madontho a glucose mthupi, amakhudzidwa koyamba. Mu shuga mellitus, shuga amasandulika kukhala adipose minofu, mu chiwindi parenchyma, kuyika kwa adipose minofu akuyamba - steatosis.

Steatosis imatha kupezeka mwa anthu omwe alibe shuga. Koma anthu oterewa ndi onenepa kwambiri, momwe kumalowerera minofu yamafuta am'mimba kumachitika mwachangu. Izi zitha kubweretsa chitukuko cha matenda ashuga amtundu wa 2.

Mtunduwu umadziwika ndi kupanga bwino kwa insulin, koma motsutsana ndi maziko a mafuta ochulukirapo, kuchepa kwa minofu kumadzi amachepa. Pali shuga wambiri wamagazi nthawi zonse. Poterepa, chiwindi chimagwira ntchito molimbika, chimagwira glucose ndikudziunjikira parenchyma yake.

Anthu omwe ali ndi chiwindi steatosis nthawi zambiri samadandaula.

Ndi kukula kwa matendawo, chiwindi chimatha kuyamba kutupa, ndipo steatosis imadutsa mu steatohepatitis. Matendawa amadziwika ndi kuwonjezeka kwa kukula kwa chiwindi, kufalikira kwa khungu komanso khungu kumatha kuchitika, odwala amadandaula za kupweteka komanso kumva kuti akulemera mbali yakumanja, kutopa kwambiri, nseru ndi kusanza ndizotheka. Poyerekeza ndi machitidwe a kutupa mu chiwindi parenchyma, kusintha kwapangidwe pang'onopang'ono ndi minyewa yolumikizana kumachitika. Fibrosis ya chiwindi imawoneka, zomwe zikuwonetsa kuyambira kwa kupangika kwa cirrhosis.

Cirrhosis ya chiwindi ndi shuga imakhala ndi vuto lapadera. Kupatula apo, ziwalo zazikuluzikulu zimavutika kale ndi poizoni wambiri, ndipo kuphatikiza apo pali kulakwitsa kwa gawo lalikulu. Mu magawo oyambilira a cirrhosis, kuphatikiza ndi chizindikiro cha steatohepatosis, ena amawonekera. Odwala amadandaula za kuyabwa kwambiri, kugona tulo komanso kudzutsidwa, kuwoneka kupweteka m'mimba yonse, kuwonjezeka kwakukulu pamimba, mawonekedwe a venous network pa khoma lakunja lam'mimba. Zizindikiro zonsezi zimakhala ndi matenda oopsa a portal, limodzi ndi mawonekedwe a madzi osalala a m'mimba, kukula kwa mitsempha ya esophagus komanso magazi pafupipafupi.

Pofuna kupewa kufalikira kwa matenda a chiwindi, komanso matenda ashuga, kapena ngati pakuwoneka kuwonetsa matendawa, ndiye kulipira ngongoleyo, ndikofunikira kuchita zinthu zingapo zofunika kukonza thupi. Gawo loyamba ndi kulumikizana ndi katswiri. Pankhaniyi, amatha kukhala gastroenterologist, endocrinologist, hepatologist. Adzaunikira wodwalayo, omwe adzadziwitse mayendedwe ake pankhaniyi.

Ngati wodwala akudwala matenda amtundu woyamba wa shuga, ndikofunikira kupereka mankhwala othandizira, ngati sangakwanitse, ndikofunikira kuyambiranso chithandizo chamankhwala. Pachifukwa ichi, mankhwala othandizira a insulin amagwiritsidwa ntchito mu mawonekedwe a piritsi kapena mawonekedwe a jakisoni.

Kukhazikika kwa mtundu wachiwiri wa matenda ashuga nthawi zambiri kumawonedwa mwa anthu onenepa kwambiri.

Pankhaniyi, yothandiza kwambiri ndikusintha kwa moyo wanu, masewera, cholinga chochepetsa thupi, komanso chithandizo chamankhwala.

Zakudya zamtundu uliwonse wa shuga ziyenera kuphatikizapo:

Kumwa kwambiri - chifukwa chotaya madzi ambiri ndi thupi,
Chiwerengero chachikulu cha zipatso - ndikofunikira kusankha bwino zipatso zomwe mulibe kapena zochepa, monga gawo lamaofesi othamanga, kupewa kuthamanga kwadzidzidzi m'magazi a shuga.
Masamba ndi ofunikira ku thupi chifukwa amapanga mchere wambiri, kufunafuna zinthu, ma fiber ndi mavitamini, omwe amachepetsedwa kwambiri mthupi pamaso pa matenda a shuga.
Zakudya zamafuta ochepa ndizofunikira monga gwero lamapuloteni, kuti magwiridwe antchito amthupi atha kulipira.
Nsomba yamafuta ochepa - ndizofunikira kwa odwala omwe ali ndi matenda osokoneza bongo kuti abwezeretse kuchuluka kwa amino acid, mapuloteni ndi michere ina.
Zakudya - kubwezeretsanso mphamvu chifukwa cha zovuta zam'makanidwe, zomwe zimagawika nthawi yayitali mthupi ndikusunga magwiridwe antchito a mthupi lonse.

Odwala ayenera kutsatira zakudya pafupipafupi, kupatuka kulikonse kungayambitse kulumpha kosafunikira kwa shuga m'magazi, komwe kumabweretsa zotsatira zoyipa.

Kuti mupewe vutoli ndi zakudya za wodwalayo sakhudzidwa:

Zakudya zamafuta
Zinthu zouma ndi kusuta,
Maswiti ndi zakudya zambiri zamafuta,
Zogula zophika zophika mkate ndi makeke owumba
Zipatso za carbohydrate zambiri
Wolemera wowuma.

Popewa kukula kwa hepatosis yamafuta, ndikofunikira kuti muchepetse thupi. Zakudya zina sizikhala zokwanira izi, anthu amalimbikitsidwa kusewera masewera, kukhala ndi moyo wokangalika, kukhala ndi nthawi yocheperako kunyumba, ndikuwononga nthawi yambiri pamsewu. Kutembenukira kwa madokotala kuti athandizidwe, amalimbikitsa akatswiri abwino. zomwe zithandiza odwala pankhani yovutayi. Ophunzitsa oyenerera amapanga masewera olimbitsa thupi omwe angakuthandizeni kuonda. Ngati odwala amatha kutaya ma kilogalamu osangalatsa, ndiye kuti sangawope pakukula kwa steatosis ndi kukula kwake mu cirrhosis.

Ndi chitukuko cha matenda a cirrhosis komanso kulephera kulipirira ndi mankhwala, amayamba kugwiritsa ntchito mankhwala osokoneza bongo. Hepatoprotectors, mavitamini othandizira, mankhwala omwe amachepetsa kuthamanga kwa magazi, angioprotectors, glucocorticosteroids amagwiritsidwa ntchito.

Gawo loyamba ndi lachiwiri

Mbali yayikulu (3)

Kukula kumawonekera mwa kulimbikitsidwa kwa zizindikiro zonse komanso kukula kwa chikomokere. Pali magawo angapo pakukula kwa chikomokere:

Precoma. Kusokonezeka ndi kuchepa mphamvu kwa mphamvu kwalembedwa, njira zamaganizidwe zimachepetsa, ndipo kugona tulo kumakulirakulira.
Kuchepetsa gawo. Wodwalayo amataya kwathunthu mawonekedwe. Dziko lokondwereralo limasinthidwa ndikusamvetseka komanso mosemphanitsa. Kutalika kwa siteji kumafika masiku 10.
Coma Fungo la ammonia limamveka pamkono wamkamwa, kupuma kumakhala kaphokoso. Kuperewera kwa zamankhwala kumayambitsa kukhudzidwa, ndipo pamapeto pake kumangidwa.

Bweretsani ku zomwe zalembedwa

Steatosis kapena matenda osakhala oledzera a mafuta

Ndi matenda ashuga, ntchito ya chiwindi imaletsa. Pankhaniyi, matenda a chiwindi osakhala chidakwa omwe amapezeka kawirikawiri amatanthauza chitukuko cha steatosis, zophatikizika zama deposits amafuta.

Zomwe zimaphwanya malinga ndi mtundu wa shuga

Zizindikiro zamatsenga

Zotsatira za chiwindi mu shuga zimadziwika ndi zizindikiro monga:

ulesi
vuto la kugona
kuchepa kwamtima
kutulutsa m'mimba
khungu la chikaso ndimatumbo oyera amaso amaso,
Kusintha kwa ndowe,
kupweteka pamimba,
Kutupa kwamiyendo,
kukula kwa m'mimba chifukwa cha kuchuluka kwa madzi,
kupweteka m'chiwindi.

Bweretsani ku zomwe zalembedwa

Chithandizo cha matenda

Zakudya za wodwala

Mankhwala ogwiritsira ntchito

Mawu omaliza

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 amathira mafuta ambiri mgalimoto, ndiye kuti imatuluka mu tank lamagesi, 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.

Zotsatira za matenda a shuga pachiwindi. Malangizo azithandizo

Ndi chitukuko cha matenda ashuga koyambirira, matendawa amagwirizanitsidwa ndi kapamba, komwe sikolondola konse. Popeza mwa mtundu woyamba wa shuga pamakhala kuphwanya kapangidwe ka insulin ndi maselo opangidwa a Langerhans mu kapamba. Ndi kukula kwa matendawa, ziwalo zina ndi machitidwe zimakhudzidwa. Choyamba, matenda a shuga amtundu uliwonse amakhudza chiwindi.

Anthu omwe ali ndi chiwindi steatosis nthawi zambiri samadandaula.

Kukhazikika kwa mtundu wachiwiri wa matenda ashuga nthawi zambiri kumawonedwa mwa anthu onenepa kwambiri.

Pankhaniyi, yothandiza kwambiri ndikusintha kwa moyo wanu, masewera, cholinga chochepetsa thupi, komanso chithandizo chamankhwala.

Zakudya zamtundu uliwonse wa shuga ziyenera kuphatikizapo:

Kumwa kwambiri - chifukwa chotaya madzi ambiri ndi thupi,
Chiwerengero chachikulu cha zipatso - ndikofunikira kusankha bwino zipatso zomwe mulibe kapena zochepa, monga gawo lamaofesi othamanga, kupewa kuthamanga kwadzidzidzi m'magazi a shuga.
Masamba ndi ofunikira ku thupi chifukwa amapanga mchere wambiri, kufunafuna zinthu, ma fiber ndi mavitamini, omwe amachepetsedwa kwambiri mthupi pamaso pa matenda a shuga.
Zakudya zamafuta ochepa ndizofunikira monga gwero lamapuloteni, kuti magwiridwe antchito amthupi atha kulipira.
Nsomba yamafuta ochepa - ndizofunikira kwa odwala omwe ali ndi matenda osokoneza bongo kuti abwezeretse kuchuluka kwa amino acid, mapuloteni ndi michere ina.
Zakudya - kubwezeretsanso mphamvu chifukwa cha zovuta zam'makanidwe, zomwe zimagawika nthawi yayitali mthupi ndikusunga magwiridwe antchito a mthupi lonse.

Odwala ayenera kutsatira zakudya pafupipafupi, kupatuka kulikonse kungayambitse kulumpha kosafunikira kwa shuga m'magazi, komwe kumabweretsa zotsatira zoyipa.

Kuti mupewe vutoli ndi zakudya za wodwalayo sakhudzidwa:

Zakudya zamafuta
Zinthu zouma ndi kusuta,
Maswiti ndi zakudya zambiri zamafuta,
Zogula zophika zophika mkate ndi makeke owumba
Zipatso za carbohydrate zambiri
Wolemera wowuma.

Nkhani zamakono za endocrinology. Nkhani 1, State Publishing House of Medical Literature - M., 2011. - 284 c.
John F. Lakecock, a Peter G. Weiss Fundamentals of Endocrinology, Medicine - M., 2012. - 516 p.
Kohout P., Pavlichkova J. Zakudya za shuga (kutanthauzira kuchokera ku Czech). Moscow, Kron-Press Publishing House, 1998, masamba 142, makope 10,000

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.

Ntchito ya chiwindi mu chakudya kagayidwe

Chiwindi ndi gawo la glucose, lomwe limasungidwa mu mawonekedwe a glycogen polysaccharide, wopangidwa ndi zotsalira zambiri za chakudya. Ndi kufunika kwachilengedwe, mothandizidwa ndi michere, glycogen imasweka mpaka glucose, ndipo imalowa m'magazi. Njira yofunika ya biochemical, gluconeogeneis, imachitikanso m'chiwindi. Ndimomwe zimapangidwira ndikupanga shuga kuchokera ku zinthu zina zachilengedwe. Gluconeogenesis imalola kuti thupi libwezereni chakudya m'malo okhala kwambiri: mwa kufooketsa thupi mwamphamvu ndi kufa kwa nthawi yayitali.

Matenda a shuga ndi chiwindi zimagwirizana kwambiri, ndipo izi zimakhudza thanzi la wodwalayo komanso thanzi labwinobwino. M'maselo a chiwalochi, kuchuluka kwa ma enzymes ofunikira pakupanga glucose amachepetsa. Chifukwa cha izi, amalowa m'magazi m'miyeso yayikulu kwambiri kuposa momwe amafunikira. Izi sizimayima ngakhale ndi hyperglycemia, ngakhale zili mwanjira zoterezi chiwindi chiyenera kusiya kuponya shuga m'magazi ndikuyamba kupanga depo ya glycogen.

Gluconeogeneis ndizofala zomwe zimachitika mu shuga mellitus, chifukwa pomwe wodwalayo amatha kuwonjezera kuchuluka kwa shuga m'magazi. Makinawa amathanso kugwira ntchito molakwika, ndipo samangoyamba munthawi zokhazo akafunika. Adipose minofu ya chiwindi imachulukanso voliyumu chifukwa chosowa insulin mu mtundu 1 shuga komanso kuchuluka kwa triglycerides. Izi zimabweretsa mafuta a chiwindi hepatosis ndi kuchuluka kwake kwakuchulukirapo, kusokonekera kwa magwiridwe antchito komanso mavuto ammimba.

Matenda a shuga a Type 1 nthawi zambiri amagwirizanitsidwa ndi hepatitis osachiritsika. Poyerekeza ndi maziko a pancreatic pathology, wodwalayo amatha kuyamba kupanga chitetezo chotsutsana ndi maselo ake a chiwindi. Pankhaniyi, tikulankhula za autoimmune hepatitis, yomwe imafuna kuyang'aniridwa ndi achipatala mosalekeza.

Cirrhosis ndi mafuta hepatosis

Cirrhosis ndimatenda a chiwindi omwe amakhala osakhazikika mwachilengedwe ndipo amadziwika ndi kuphwanya mtundu wake wachilengedwe. Minofu yolumikizana imayamba kukula kwambiri, ndipo kusintha kwamphamvu kumachitika m'maselo ake ogwirira ntchito. Zonsezi zimabweretsa kuthekera kwa ntchito yonse ya thupi komanso kuwonongeka kwa thanzi la wodwalayo.

Zomwe zimayambitsa matenda a cirrhosis ndi monga:

matenda opatsirana ndi ma virus
uchidakwa
matenda oyamba ndi fungus
helminthic infestations.

Chifukwa cha kudwala matenda enaake, chiwindi sichingagonjetse insulin mokwanira, zomwe zimapangitsa kuti magazi ake azikula. Kuzindikira kwa minyewa ku timadzi timeneti kumachepa, munthu amakula ndi kagayidwe kachakudya koyambitsa matenda a shuga.

Ngati matenda ena amayamba kale motsutsana ndi matenda a shuga, omwe ndi osowa kwambiri, matulukidwe ake amakhala osavomerezeka, ndipo maphunzirowo amakhala othamanga. Chifukwa cha kusokonezeka kwakukulu kwa metabolic, thupi la wodwalayo limafooka ndipo silingathe kukana matenda ena. Cirrhosis mu matenda ashuga ndi ovuta kwambiri kuchiza poyerekeza ndi odwala omwe alibe vuto la carbohydrate metabolism. Izi ndi chimodzi mwazifukwa zomwe madokotala amalephera kupereka mowa kwa odwala omwe ali ndi matenda ashuga.

Mafuta a hepatosis ndi vuto lopweteka la chiwindi momwe mafuta ochulukirapo amatsimikizika mu kapangidwe kake. Mafuta ochulukirapo amalepheretsa kugwira ntchito mwachizolowezi, chifukwa chomwe wodwala amakhala ndi vuto la metabolic ndikuwonjezera mwayi wokhala ndi matenda osokoneza bongo omwe samadalira insulin. Koma hepatosis imatha kupezeka mwa anthu omwe ali kale ndi matenda ashuga 1. Chifukwa cha kusakhazikika kwa ma cell m'maselo a chiwindi, kusintha kowawa kumayamba, komwe kumatha kupewa mothandizidwa ndi zakudya komanso nthawi zonse.

Zizindikiro za Mavuto

Sikuti nthawi zonse matenda a chiwindi amayamba kuvutitsa wodwalayo akangoyamba kumene. Ngakhale kunenepa kwambiri kwa chiwindi kungakhale asymptomatic, kuwonjezera apo, kumatha kuchitika osati kokha, komanso ndi kunenepa kwakanthawi. Ululu m'chiwindi umachitika pokhapokha kapisozi kapena ndulu za bile zimakokedwa mu njira ya pathological.

Sikoyenera kuchezerana ndi dokotala ngati munthu akuwona izi:

kulemera m'mimba mutatha kudya,
kupweteka mu hypochondrium yoyenera,
kulawa kowawa mkamwa pamimba yopanda kanthu kapena mutatha kudya,
kutulutsa pafupipafupi,
kusanza ndi kusanza
zotupa pakhungu,
pafupipafupi thupi lawo siligwirizana.

Zokha, izi sizimangotanthauza zovuta za chiwindi, koma ndi dokotala wokhazikika amene angadziwe izi ndi kukhazikitsa zenizeni zomwe zimayambitsa matenda. Kuphatikiza pa kuyesedwa kwakunja ndi khunyu yam'mimba, njira zowonjezera zowerengera ndi zida zothandizira zitha kuperekedwa kwa munthu.

Zizindikiro

Kuzindikira kwakanthawi zamatenda a chiwindi kumakupatsani mwayi woti muyambe kulandira chithandizo chofunikira ndikuchepetsa mwayi wokhala ndi matenda akulu mtsogolo. Odwala onse omwe ali ndi matenda ashuga amayenera kuyesa kuwunika kwa chiwindi, chikhodzodzo ndi dongosolo la biliary kamodzi pa miyezi isanu ndi umodzi.

Kuchokera ku zasayansi yantchito yokhudza kuyesa magwiridwe antchito a chiwalochi, kuyesedwa kwamwazi wamwazi kumakhala kothandiza:

ntchito ya michere AST ndi ALT (aspartate aminotransferase ndi alanine aminotransferase),
mulingo wa bilirubin (mwachindunji komanso wosalunjika),
kuchuluka kwamapuloteni onse
albin ndende
kuchuluka kwa zamchere phosphatase (ALP) ndi gamma-glutamyltransferase (GGT).

Ndi zotsatira za kusanthula uku (amatchedwanso "mayesero a chiwindi") komanso mathero a kuyezetsa magazi, wodwalayo ayenera kuwona dokotala, ndipo ngati apatuka pazikhalidwe zawo, osadzilimbitsa. Pambuyo pokhazikitsa kuzindikira koyenera komanso kuzindikira kwathunthu, katswiri amatha kulimbikitsa chithandizo chofunikira, poganizira mawonekedwe a matenda a shuga.

Popeza chiwindi chimakonda kuvutika chifukwa chodwala mankhwalawa. Mankhwala ochepa okha ndi omwe amagwiritsidwa ntchito pochiza, omwe sangapatsidwe mankhwala. Monga lamulo, izi zikuphatikiza:

mankhwala oyamba omwe amathandizira kukonza kagayidwe kazakudya (insulin kapena mapiritsi),
hepatoprotectors (mankhwala oteteza chiwindi ndi kuchititsa magwiridwe antchito ake),
ursodeoxycholic acid (imathandiza kutuluka kwa ndulu ndipo imateteza kutupa),
mavitamini ndi michere
lactulose (yoyeretsa thupi pafupipafupi m'njira yachilengedwe).

Maziko a mankhwala osagwiritsa ntchito mankhwala osokoneza bongo ndi zakudya. Ndi matenda a chiwindi, wodwala amatha kutsatira mfundo zakupatsa thanzi zomwe zimalimbikitsidwa kwa onse odwala matenda ashuga. Chakudya chofatsa komanso kudya kwamadzi kokwanira kumathandizira kusintha kagayidwe kazinthu, ndipo kuphatikizika kolondola kwa mankhwala kumatha kuchepetsa kuchuluka kwa shuga. Kuchokera pazakudya za wodwalayo, shuga ndi zinthu zomwe zimakhala ndimtundu wake, buledi woyera ndi zinthu zopangidwa ndi ufa, maswiti, nyama zamafuta ndi nsomba, nyama zomwe zimanunkhidwa ndi maapulo sizimayikidwa konse. Ndi bwinonso kukana masamba osankhidwa, chifukwa, ngakhale ali ndi zakudya zochepa zopatsa mphamvu komanso zimakhala zochepa, amatha kukhumudwitsa kapamba ndikuwonjezera chikhalidwe cha chiwindi.

Mankhwala ena ochizira matenda a shuga ali ndi hepatotoxicity. Uku ndi katundu wopanda pake, komwe kumayambitsa kusokonezeka kwa chiwindi komanso kusintha kowawa m'maganizo mwake. Ichi ndichifukwa chake, posankha mankhwala okhazikika, ndikofunikira kuti endocrinologist iganizire za ma nuances onse ndikudziwitsa wodwalayo za zoyipa zomwe zingachitike komanso zododometsa. Kuyang'anira shuga pafupipafupi komanso kuonetsa magazi pafupipafupi kumakupatsani mwayi wodziwa zovuta za chiwindi ndikusintha chithandizo.