Chithandizo cha Chiwindi pa matenda A shuga: Fatty Hepatosis

Hepatosis ndimatenda a chiwindi, omwe amatengera zovuta za metabolic muma cell a chiwindi (hepatocytes) ndikupanga kusintha kwa dystrophic m'maselo a chiwindi. Pankhaniyi, odwala sangamve kusintha kulikonse muumoyo wonse. Komabe, pakapita nthawi, matenda a hepatosis osaphunzitsidwa amatha kusintha chiwindi chachikulu - chiwindi.

Pazomwe zimayambitsa matendawa, mawonetseredwe a hepatosis, chithandizo chake ndi kupewa chitukuko, werengani mopitilira nkhaniyi.

Werengani nkhaniyi

Chifukwa chake hepatosis imayamba mu shuga

Chiwindi chimagwira nawo gawo la metabolism yamafuta, mapuloteni, chakudya. Imasunga magetsi ambiri - glycogen, ndipo imapanganso mamolekyulu atsopano a glucose. Mu shuga mellitus chifukwa cha kusowa kwa insulin, ndipo makamaka pokana (insulin kukana), kusintha kwa thupi

• Glycogen kaphatikizidwe kamene amachepetsa,
• mafuta ochulukirapo amadziunjikira mkati mwa ma cell a chiwindi,
• kupanga chiwindi kwa chakudya chamafuta ndi mafuta kumachuluka
• Kupha kwa lipid kumachepetsa.

Zomwe zimayambitsa kuwonongeka kwa chiwindi mu odwala matenda ashuga atha kukhala:

• kunenepa
• kumwa mowa
• matenda
• kuvulala
• poyizoni
• mafuta ochulukirapo komanso chakudya chamagulu m'zakudya,
• makulidwe a bile mu matenda am'mimba,
• njira zotsatsira autoimmune,
• kugwiritsa ntchito mankhwala
• kuphwanya njira zoyamwa matumbo,
• ntchito pamimba.

Ndipo izi ndizambiri pazithandizo za matenda a shuga.

Zizindikiro za hepatosis yamafuta amafuta

Kusintha kwamphamvu kwamapangidwe kumachitika mkati mwa chiwindi nthawi ya hepatosis: kuchuluka kwa maselo ogwira ntchito kumatsika, minofu imasinthika pang'ono kukhala minofu ya adipose, minofu yolumikizika (khungu) imamera. Mawonetsedwe azachipatala a njirayi samachotsedwa, pali mitundu ya kachitidwe ka asymptomatic kapena kuwonetsa zizindikiro zosatsata:

• khungu lamaso ndi khungu la maso,
• kulemera mu hypochondrium kumanja,
• nseru
• kukoma koyipa mkamwa
• redness ya m'manja
• Khungu
• Mitsempha ya kangaude, zotupa zikuluzikulu pakhungu,
• kutopa,
• kusintha matendawa ndi kudzimbidwa,
• wosawoneka, ululu wopweteka wam'mimba.

Chifukwa cha kukana insulini, odwala ambiri amakhala ndi kunenepa kwambiri, khungu lawo limachita khungu. Gawo lalikulu la chiwindi likakhudzidwa, odwala nthawi zambiri amakhala ndi mavuto okomoka, ndipo kuthamanga kwa magazi awo kumachepa. Ichi ndichifukwa cholowera mankhwala opanga ma biologic m'magazi owonongeka.

Ndi mapangidwe a shuga a mellitus, omwe amapezeka pafupipafupi ndi ketoacidosis (kuchuluka kwa matupi oopsa a ketone m'magazi), hepatosis imadutsa mu chiwindi cha chiwindi ndi kusakwanira kwa ntchito yake.

Zizindikiro

Mukamayang'ana wodwala, dokotala amatha kukayikira kukhalapo kwa hepatosis malinga ndi njira zotsatirazi:

• kukulitsa chiwindi
• kuteteza khungu
• kunenepa.

Ichi ndi chifukwa chololera mayeso owonjezera. M'malo mwake, zizindikilo zotere zimapezeka (mwa kuyesa kwa magazi):

• chiwonongeko cha maselo a chiwindi - kuchuluka kwa ALT, ntchito ya AST mpaka nthawi 4, mndandanda wa AST / ALT uli pansi pa umodzi,
• kusayenda kwa ndulu - kuchuluka zamchere phosphatase, mwachindunji bilirubin,
• kuphwanya kagayidwe kazitsulo - kuchuluka kwa transerrin ndi ferritin,
• yokhudza matenda a shuga - shuga ochulukirapo, hemoglobin wa glycated, cholesterol ndi triglycerides,
• kusintha kwa mapangidwe a coagulation - kuchepa kwa mapulosi, kuwonjezeka kwa prothrombin time,
• kupatuka kwazomwe zimapangidwa ndi mapuloteni - kuchepa kwa albumin komanso kuwonjezeka kwa ma globulins.

Ma labotale magawo a chiwindi mwa odwala ena ali pamlingo woyenera, zomwe sizimapatula hepatosis. Kuti mupeze hepatitis yovomerezeka, kuyezetsa magazi ndikofunikira pakuthana ndi ma antibodies, matenda a cytomegalovirus, Epstein-Barr.

Kuti muphunzire kapangidwe ka minofu ya chiwindi, imasankhidwa:

• Ultrasound - yothandiza kokha ndi kuwonongeka kwa zoposa 35% ya chiwalo,
• MRI - imakuthandizani kuzindikira kusintha koyambira,
• scintigraphy - kugawa kwa radioisotope kosasinthika, kuchuluka kwakukulu.

Chithandizo cha wodwala ndi hepatosis mu shuga

Mosasamala kanthu za kuwonongeka kwa chiwindi, chakudya cha mankhwala ndicholembera. Mitundu yofatsa yamatendawa, imatha kukhala yokhayo yothandizira. Ngati chiwopsezo cha ntchito ya enzyme komanso kusintha kwakukulu kwa chiwindi kwapezeka, chakudyacho chimathandizidwa ndi mankhwala.

Thanzi lachipatala limaphatikizapo:

• choletsa cholesterol, mafuta nyama - choletsa mafuta nkhumba, mwanawankhosa, mankhwala omalizidwa, offal, masoseji, chakudya zamzitini, nyama yankhumba yolimba,
• kupindulitsa kwa zakudya ndi zopangika zosavuta kugaya - cauliflower, zukini, broccoli, buckwheat ndi oatmeal, zipatso zosaphatikizika ndi zipatso,
• kukana mowa kwathunthu,
• zakudya zabwino zazing'onozing'ono,
• kuonetsetsa kuti chakudya chikhoza kukhala ndi mapuloteni ambiri - nsomba yophika, tchizi 5%, zakumwa za mkaka zopanda mafuta, bere la nkhuku,
• kupewa kudzimbidwa - Popeza kulibe edema osachepera malita 2 a madzi oyera patsiku, dzungu mbale, mankhwala otsekemera (decoctions of masamba a senna, barkthorn bark),
• choletsa zokometsera, zokometsera, zakudya zamchere, masuzi ogulidwa,
• Kuwotcha kapena kuwira m'madzi.

Ndikulimbikitsidwa kuti muchepetse pazakudya zomwe zimakonzedwa kuchokera kuzinthu zomwe zimakhumudwitsa matumbo ndi biliary thirakiti - radish, radish, nyemba, ngale balere ndi grits za chimanga, kabichi yatsopano, biringanya, tomato.

Kuti muchepetse chidwi cha chiwindi kuti mukhale ndi insulin, ndikofunikira kuti muchepetse kunenepa kwambiri. Pachifukwa ichi, odwala matenda ashuga ayenera kusankha zakudya zamagulu ochepa a glycemic, kuwerengetsa zakumwa za calorie, ndikutha kusala kudya kamodzi pa sabata.

Kuthamanga kwa kuchepa thupi kuyenera kukhala pafupifupi 500 g pa sabata, popeza kuchepa kwambiri kwa thupi kumapangitsa kuti mafuta azikundana kwambiri, amathandizira kupanga miyala mu chikhodzodzo. Kupititsa patsogolo kuwotcha kwamafuta, kuchita masewera olimbitsa thupi osachepera mphindi 30 patsiku kumagwiritsidwa ntchito..

Chofunikira pakuchiritsa moyenera ndi momwe matenda a shuga amasinthira. Ndi matenda amtundu wa 1, kuunikanso mtundu wa insulin Therapy kumafunikira, ndipo chachiwiri, metformin (Siofor, Glucofage), Pioglar amagwiritsidwa ntchito. Zochizira hepatosis mu matenda ashuga, magulu otsatirawa a mankhwala awonetsedwa:

• lipotropic - ikuthandizira kuchotsa mafuta ku chiwindi folic acid, Thiogamma, Espa-lipon, Chofunikira, vitamini B12, B6,
• kutsitsa cholesterol (maphunziro apafupi) - Atokor, Krestor, Nicotinamide,
• hepatoprotectors - Hepabene, Thiotriazolin, Taurine.

Ndi mavuto amisempha omwewo, Trental ndi angiotensin-kutembenuza ma enzyme inhibitors (Kapoten, Prestarium) amalimbikitsidwa. Chithandizo chilichonse cha mankhwala chimachitika motsogozedwa ndi kuchuluka kwa ma enzymes a chiwindi. Kwa odwala matenda ashuga omwe ali ndi vuto la kumwa mowa mwauchidakwa, kugwiritsa ntchito mankhwala osokoneza bongo, kusiya kugwiritsa ntchito mankhwala osokoneza bongo, imawerengedwa kuti ndi chinthu choyamba kuchita.

Ndipo nazi zambiri za hypoglycemia mu shuga.

Hepatosis mu shuga mellitus imachitika chifukwa cha kuchuluka kwa shuga, magazi m'magazi, komanso kuphwanya kachitidwe ka maselo a chiwindi kupita ku insulin. Kuwonetsedwa kwa matendawa kumachotsedwa, zizindikiro zitha kusapezeka, kapena odwala amapereka madandaulo osakhala achindunji. Kuti muzindikire matendawa, kuyesa kwa magazi, ma ultrasound, MRI, scintigraphy ndi mankhwala. Chithandizo chimaphatikizapo zakudya zopatsa thanzi, kukana mowa, kunenepa kwambiri, komanso kunenepa.

Kanema wothandiza

Onerani kanemayo pa chiwindi hepatosis mu shuga:

Ngati matenda a shuga amachititsa kuti munthu azidwala matenda a shuga, mankhwalawa amachitika pogwiritsa ntchito njira zingapo: mankhwala ndi mapiritsi kuti muchepetse ululu, kusintha magawo am'munsi, komanso kutikita minofu.

Hypoglycemia imapezeka mu matenda osokoneza bongo osachepera kamodzi mu 40% ya odwala. Ndikofunikira kudziwa zizindikiro zake ndi zomwe zimayambitsa kuti muyambe kulandira chithandizo munthawi yake ndikukhala ndi prophylaxis yokhala ndi mtundu 1 ndi 2. Usiku ndizowopsa.

Ngati wodwala ali ndi cholecystitis ndi matenda a shuga nthawi imodzi, ndiye kuti ayenera kuyambiranso kudya, ngati matenda oyambawo atakula. Zomwe zimachitika zimagona mu insulin yowonjezera, uchidakwa komanso ena. Ngati pachimake kuwerengetsa kwambiri cholecystitis kwayamba ndi matenda a shuga, kungafunike opaleshoni.

Kulephera ndi matenda a shuga kumapangidwa, kutali ndi odwala onse. Apatseni, ngati pali vuto lodzithandiza nokha, mutha kulipeza ndi kuyenda kochepa. Kuchotsedwa kwa ana, ngakhale ndi shuga yemwe amadalira insulin, ndi kotheka pazaka za 14. Gulu liti ndipo amalembetsa kuti?

Nthawi zina, ultrasound ya kapamba imachitika pa mwana. Ndikofunikira kuti kafukufuku wophunzitsidwa bwino azichita kukonzekera koyambirira. Kodi miyambo ndi zopatuka ndi ziti?

Dzira kapena nkhuku: shuga mellitus kapena hepatosis yamafuta

Monga matenda a shuga angayambitse hepatosis yamafuta, matenda onenepa omwe amakhudza chiwindi angayambitse matenda a shuga. Poyamba, hepatosis yamafuta amatchedwa matenda ashuga.

Chifukwa chake, mwa odwala omwe ali ndi vuto lalikulu la matenda osokoneza bongo omwe ali ndi vuto la kuthana ndi mahomoni - kusowa kwa insulin komanso kuchuluka kwa glucagon, kuwonongeka kwa glucose kumachepetsa, mafuta ochulukirapo amapangidwa. Zotsatira za njirazi ndi mafuta a chiwindi cha hepatosis. Mankhwala amakono amagwiritsa ntchito zinthu zosatsimikizira kuti matenda a chiwindi chamafuta ndichimodzi mwazinthu zowopsa kwambiri zomwe zimayambitsa matenda a shuga.

Matenda a chiwindi Mafuta Matenda a chiwindi cha mafuta Zizindikiro ndi kuzindikira Kudziwonetsa nokha kuti muli ndi matenda osokoneza bongo a hepatosis ndikosatheka. Zowonadi, chifukwa cha kuchepa kwa mathero a mitsempha, chiwindi sichimapweteka. Chifukwa chake, zizindikiro za kupsinjikizo ndizodziwika bwino m'matenda ambiri: ulesi, kufooka, kulephera kudya. Kuwononga makoma a ma cell a chiwindi, ma enzyme omwe amapanga mawonekedwe kuti asokoneze poizoni amalowa m'magazi. Chifukwa chake, njira imodzi yodziwira matenda a chiwindi chamafuta ndi kuyesa kwamwazi wamagazi. Amawonetsa kukhalapo ndi kuchuluka kwa ma enzymes a hepatocyte m'magazi.

Kuphatikiza apo, chiwindi cha odwala matenda ashuga, chomwe chimakhudzidwa ndi kuwonongeka kwamafuta, chimayesedwa pogwiritsa ntchito zida za ultrasound kapena tomograph. Kukula kwa chiwalo, kusintha kwa mtundu wake ndi zizindikiro zotsimikizika za hepatosis yamafuta. Kupatula cirrhosis, chiwindi chokwanira chimatha kuchitika.

Kuunika nthawi zambiri kumayikidwa ndi endocrinologist kapena gastroenterologist.

Zolondola kapena ayi? - mankhwala a matenda a shuga a chiwindi

M'magawo oyamba a matenda amafuta, chiwindi chokhudzidwa chimatha kubwezeretsedweratu. Chifukwa cha izi, madokotala amalimbikitsa kupatula zakudya zamafuta, zakumwa zoledzeretsa, zimapatsa phospholipids ofunikira pamapiritsi. Pambuyo pa miyezi itatu ya chithandizo chotere, chiwindi chake chimadwalanso.

Kusintha kwamakhalidwe komwe kumayambitsa minyewa ya chiwindi kudzachitika pakusintha kwina: kuthekera kwapadera kwa chiwindi kumezedwa motsutsana ndi kuyang'ana dongosolo lazakudya ndi kumwa mankhwala. Kupatula apo, chiwalo cha munthu ichi ndi chokhacho chomwe chimatha kusinthika kwathunthu!

Mankhwala

Kupambana kwa njira zochizira matenda a shuga a hepatosis mwachindunji zimatengera momwe mankhwalawa amathandizira matenda omwe amayambitsa matenda - shuga. Kusintha kwa chiwindi ntchito, mankhwalawa ndi mankhwala monga urosan, ursodeoxycholic acid kapena analogues awo amachitika.

Ngati ndi kotheka, chithandizo chidzalimbikitsidwa ndi heptral. Naturalization ya choleretic njira amapatsidwa hofitol, dzungu mafuta, mchere akadali madzi. Muyenera kumwa madzi otere tsiku lililonse kwa mwezi umodzi.

Njira zosinthira zotere zamadzi amchere zimachitika nthawi 4 pachaka. Kusintha chimbudzi, kukonzekera enzyme amalembera: mezim, hermital kapena analogues. Komanso, pofuna kuthandizira kubwezeretsa chiwindi, akatswiri amalimbikitsa kuti odwala amwe mankhwala omwe amalimbikitsa njira zothandizira kubwezeretsa, monga hepabene, essentiale, etc.

Phytotherapy

Kupanga chidziwitso chabwino ngati mukuyesa kuchiza matenda oopsa monga matenda a shuga ndi matenda a shuga a hepatosis omwe ali ndi wowerengeka, palibe dokotala aliyense wovomerezeka yemwe angachite. M'malo mwake, amalangiza mankhwala azitsamba monga thandizo labwino pochizira matenda awa.

Pakati pa mbewu zomwe zimateteza chiwindi, zimathandizira kukula kwa kulemera ndi kayendedwe ka choleretic, kuchepetsa cholesterol ndikuthandizira kuchotsa poizoni m'thupi - chimanga stigmas, nthula mkaka, artichoke.

Chifukwa chake, nthula zamkaka zitha kutengedwa mu ufa - supuni 1 theka la ola musanadye, kapena ikhoza kukhala ngati kulowetsedwa kwa mbewu. Kuti mukonzekere, muyenera kuthira supuni ya mbewu zamkaka ndi kapu ya madzi otentha, ndikukakamira pakusamba kwamadzi kwa mphindi 20. Pambuyo pozizira, kulowetsedwa kumasefedwa ndikuwamwa makapu 0,5 mphindi 30 chakudya chisanachitike. Pafupipafupi komanso nthawi yayitali yamaphunziro iyenera kuvomerezedwa ndi dokotala.

Mfundo za kudwala odwala

Kwa odwala matenda ashuga omwe ali ndi mafuta a hepatosis, chinthu chachikulu ndikuwongolera kuchuluka kwa shuga. Odwala oterowo ayenera kutsatira mfundo za zakudya zabwino mosaphika.

Kodi mfundozi ndi ziti?

• Kudya zakudya zokhala ndi index yayikulu ya glycemic.
• Kukana mafuta amafuta am'mbale, zakudya yokazinga, nyama zosuta, zakudya zonunkhira, mowa, zonunkhira, zonunkhira, mayonesi, maswiti.
• Makeke ndi kupanikizana, kufinya mkaka ndi makeke: ngakhale kumwa mopitilira muyeso kuzinthu izi kudzatsogolera kusintha kwa mafuta kukhala mafuta ndipo, chifukwa chake, kukulitsa matenda owopsa.
• Muyenera kupewanso makeke ndi pasiti.
• Zowotcha, zakudya zimathanso kuphika, kudyetsa kapena kuwiritsa.
• Onjezerani zakudya mpaka katatu pa tsiku. Kutsika kwa kuchuluka kwa chakudya chamafuta ndi mafuta mu zakudya.
• Koma mapuloteni a anthu odwala matenda ashuga omwe ali ndi mafuta a hepatosis ayenera kudya nawo chimodzimodzi anthu athanzi.
• Kukana shuga mokomera wogwirizira amene akulimbikitsidwa ndi dokotala.

Zakudya izi zimalimbikitsidwa kwa odwala matenda ashuga okhala ndi mafuta owononga chiwindi. Ngakhale "zosatheka" zambiri, menyu a odwala oterewa akhoza kukhala osiyanasiyana, ndipo mbale zomwe zimapangitsa kuti zikhale zofunikira sizothandiza, komanso ndizokoma kwambiri!

Kodi zakudya zochiritsazi zimalola chiyani?

Nayi mndandanda wazakudya ndi mbale zina:

• nyama yankhuku
• kalulu
• ma turkeys
• nsomba zowonda
• mbewu zonse
• masamba abwino ndi zipatso
• nguluwe, tirigu, oatmeal
• mkaka wamafuta ochepa ndi mkaka wowawasa
• Saladi ziyenera kukonzedwa ndi wowawasa wowawasa zonona, mandimu, yogurt wamba yokhala wopanda mafuta.
• Mutha kudya mazira, koma osapitilira amodzi patsiku.

Chifukwa chake, mwachitsanzo, chakudya cha tsiku ndi tsiku cha wodwala chikhoza kukhala ndi:

• kanyumba tchizi casseroles ndi msuzi wa rosehip kadzutsa, msuzi wa kabichi ndi tsabola wokongoletsedwa ndi nkhomaliro, chakudya chophika mazira a tiyi wamasana ndi nsomba yophika ndi mchere wamasamba atsopano chakudya chamadzulo.

Tiyenera kukumbukira kuti kuchiza popanda kudya ndi matenda awa sikuthandiza.

Za matenda

Ma hepatocytes omwe amapanga chiwindi amadziunjikira mafuta ndikuleka kusefa zinthu zakupweteka. Pang'onopang'ono, mafuta ochulukirapo amatsogolera ku kuwonongeka kwa maselo a chiwindi, zomwe zimapangitsa kuti ma enzyme atulutsidwe m'magazi omwe amapangidwira kuti asawononge poizoni.

Pankhani ya hepatosis yamafuta, oposa 5% ya chiwalo chokwanira ndi adipose minofu (triglycerides).Ngati chizindikiro ichi chikuposa 10%, ndiye kuti izi zikutanthauza kuti pafupifupi theka la maselo onse a chiwindi amakhala ndi mafuta.

Zoyambitsa Mafuta a Hepatosis

Chifukwa chachikulu chophatikizira mafuta m'chiwindi ndimavuto a metabolic m'thupi. Kusintha kwa mahomoni kumathandizanso kwambiri.

Kuphatikiza apo, matendawa amayambitsidwa ndi izi:

• kumwa kwambiri
• kunenepa kwambiri komanso kunenepa kwambiri,
• kukhalapo kwa matenda oyamba ndi kachilombo mwa munthu (mwachitsanzo, hepatitis B kapena C),
• kuphwanya zakudya
• kuchuluka kwa michere ya chiwindi,
• kuphwanya kayendedwe ka urea ndi njira ya oxidation wamafuta acid (cholowa)
• zamtundu
• kumwa mankhwala ena (mwachitsanzo, mankhwala omwe si a antiidal.

Zowopsa

Mafuta chiwindi hepatosis ndi matenda amene amapezeka pamene kuphatikiza zinthu zingapo nthawi imodzi, mwa zomwe:

• kukula kwa chiuno kupitirira masentimita 80 mwa akazi ndi masentimita 94 mwa amuna (kunenepa kwambiri pamimba),
• kuchuluka kwa cholesterol ndi triglycerides m'magazi komanso nthawi yomweyo lipoproteins,
• kuthamanga kwa magazi
• hyperglycemia yomwe imatenga nthawi yayitali, ndiko kuti, mtundu wachiwiri wa shuga, kakulidwe kamene munthu sangadziwe nkomwe
• insulin kukana.

Tsoka ilo, magawo oyamba a matendawa ndi asymptomatic, kotero kudziwonetsa ndikosatheka.

Kuchulukitsa kwa chiwindi kumatha kuchitika pokhapokha minofu yolumikizana itakulirakulira kale mkati mwake, ndipo chiwindi chimayamba kukakamiza ziwalo zoyandikana. Kukhala kwa hepatatic kumayamba - munthu akumva kupweteka kumbali yakumanja, amatha kusokonezedwa ndi kuchepa kwa chilakolako chofuna kudya komanso kufooka kwathunthu. Chiwindi chokula chimayamba kuonekera ngakhale ndi maliseche.

Mavuto

Mafuta a hepatosis ndi owopsa chifukwa, mosadziwika ndi munthu, amatha kukhala chiwindi cha chiwindi. Madokotala amalosera za kuchulukana kwa cirrhosis makamaka chifukwa cha nthenda yamafuta chamagulu.

Hepatosis imakhalanso yoopsa mwakuwonjezera ngozi ya matenda amtima.

Mafuta hepatosis a shuga ndi matenda opatsirana, chifukwa amatha kupha. Osanyalanyaza kuwunikira kwathunthu kwa thupi, chifukwa ndiyo njira yokhayo yodziwira chiwindi hepatosis kumayambiriro ndikuyamba chithandizo munthawi yake.

Matenda a chiwindi mu shuga mellitus: Zizindikiro zamatenda (cirrhosis, mafuta hepatosis)

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

Matenda a shuga amakhudza thanzi la chiwindi. Thupi limatulutsa ndikusunga glucose, umakhala mtundu wamtundu wa shuga, womwe umakhala mafuta m'thupi, umasunga shuga wofunikira m'magazi.

Glucose ndi chiwindi

Chifukwa cha zosowa za thupi, kusungidwa kapena kumasulidwa kwa shuga kumanenedwa ndi glucagon ndi insulin. Mukamadya, zotsatirazi zimachitika: chiwindi chimasungidwa mu glucose mu mawonekedwe a glycogen, omwe amatha kudya pambuyo pake, pakufunika.

Kuchuluka kwa insulinkomanso kuponderezedwa madigiri a glucagon panthawi yakudya kumathandizira kuti shuga ikhale glycogen.

Thupi la munthu aliyense amatulutsa shuga, ngati kuli kotheka. Chifukwa chake, munthu akasiya kudya (usiku, nthawi yodyera chakudya cham'mawa komanso chamasana), ndiye kuti thupi lake limayamba kupanga shuga. Glycogen amakhala glucose chifukwa cha glycogenolysis.

Chifukwa chake, zakudya ndizofunikira kwambiri kwa odwala matenda ashuga, kapena anthu omwe ali ndi shuga komanso magazi ambiri.

Thupi lilinso ndi njira ina yotulutsira glucose kuchokera ku mafuta, amino acid, ndi zinthu zonyansa. Njirayi imatchedwa gluconeogeneis.

Zomwe zimachitika ndi vuto:

• Thupi likakhala loperewera mu glycogen, amayesetsa kupulumutsa glucose mosalekeza kwa ziwalo zomwe zimafunikira malo oyamba - impso, ubongo, maselo am magazi.
• Kuphatikiza pakupereka shuga, chiwindi chimapanga njira ina yamafuta akuluakulu a ziwalo - ma ketones ochokera ku mafuta.
• Chofunikira pakuyamba kwa ketogenesis ndichinthu chotsika cha insulin.
• Cholinga chachikulu cha ketogenosis ndikusunga masitolo a shuga a ziwalo zomwe zimafunikira kwambiri.
• Kapangidwe ka ma ketones ambiri silili vuto wamba, komabe ndizowopsa, chifukwa chake, thandizo lachipatala lingafunike.

Zofunika! Nthawi zambiri, shuga wambiri m'mawa wokhala ndi matenda ashuga ndi chifukwa cha kuchuluka kwa gluconeogenesis usiku.

Anthu omwe sakudziwika ndi matenda monga matenda ashuga ayenera kudziwa kuti kuchuluka kwa mafuta m'maselo a chiwindi kumawonjezera mwayi wa matendawa.

Komanso kuchuluka kwa mafuta m'magawo ena a thupi kulibe kanthu.

Mafuta hepatosis. Pambuyo pochita maphunziro ambiri, zidapezeka kuti mafuta a hepatosis ndi owopsa kwa matenda ashuga.

Asayansi apeza kuti odwala omwe ali ndi hepatosis yamafuta ali pachiwopsezo chachikulu cha kupitirira kwa matenda ashuga a 2 kwa zaka zisanu.

Kuzindikira kwa hepatosis yamafuta kumafuna kuti munthu asamale zaumoyo wawo kuti asayambitse matenda ashuga. Izi zikutanthauza kuti zakudya zidzagwiritsidwa ntchito, komanso chithandizo chokwanira cha chiwindi pamavuto aliwonse omwe ali ndi chiwalochi.

Dziwani hepatosis yamafuta pogwiritsa ntchito ultrasound. Phunziro lotereli limatha kuneneratu za kupangidwa kwa matenda ashuga ngakhale kuzungulira kwa insulin m'magazi.

Tcherani khutu! Ngakhale ndi zomwe zili ndi insulin yomwe ili m'magazi, anthu omwe ali ndi mafuta a hepatosis ali pachiwopsezo cha matenda ashuga kawiri kuposa omwe sakudziwika bwino ndi matendawa.

Mafuta a hepatosis adapezeka mu 1/3 mwa okhala ku US. Nthawi zina zizindikiro za matendawa sizitchulidwa, koma zimachitika kuti matendawa amatha kupangitsa kuti chiwindi chilephere komanso kuwonongeka kwa chiwindi ndikotheka.

Ambiri amati hepatosis yamafuta ndimatenda a chiwindi chauchidakwa, koma matendawa amatha kukhala ndi zifukwa zina komanso zizindikiro.

Zofunika! Kunenepa kwambiri mu chiwindi kumakhudza insulin kukana.

Ziwerengero

Mu kafukufuku yemwe adafalitsidwa mu magazini yotchedwa Metabolism and Clinical Endocrinology, asayansi adachita kafukufuku wofufuza momwe mafuta a hepatosis amakhudzira chitukuko cha matenda ashuga.

Ntchitoyi idakhudza anthu 11,091 okhala ku South Korea. Kumayambiriro (2003) kwa phunziroli komanso atatha zaka zisanu mwa anthu, insulin concentration ndi chiwindi ntchito zinayeza.

1. Pa gawo loyambirira la kafukufukuyu, mafuta a hepatosis adapezeka 27% ya aku Korea.
2. Nthawi yomweyo, kunenepa kwambiri kunawonedwa mu 60% ya omwe adayesedwa, poyerekeza ndi 19% popanda kuwonongeka kwa chiwindi.
3. 50% ya anthu omwe ali ndi chiwindi chambiri onenepa kwambiri amakhala ndi insulin yambiri pamimba yopanda kanthu (chizindikiro cha insulin), poyerekeza ndi 17% yopanda mafuta a hepatosis.
4. Zotsatira zake, ndi 1% yokha ya aku Korea omwe alibe mafuta a hepatosis omwe adapanga shuga mellitus (mtundu 2), poyerekeza ndi 4% akuvutika ndi chiwindi.

Pambuyo pakusintha chizindikiro cha kukana insulini koyambirira koyambirira kwa kafukufukuyu, mwayi wa matenda ashuga udakulabe kuposa mafuta a hepatosis.

Mwachitsanzo, pakati pa anthu omwe ali ndi insulin yayikulu kwambiri, chiopsezo cha matenda ashuga chinali chowirikiza kawiri kumayambiriro kwa maphunziro a kunenepa kwambiri kwa chiwindi.

Kuphatikiza apo, pakuyamba kwa phunziroli, anthu omwe ali ndi mafuta otupa a hepatosis anali okhudzidwa kwambiri ndi vuto la insulin (kuchuluka kwa cholesterol ndi glucose).

Chifukwa chake, mafuta othandizira hepatosis amawonjezera mwayi wa matenda ashuga. Poona izi, anthu omwe ali ndi chiwindi chambiri onenepa amafunika kudya kwapadera, komwe kumayenera kupewa shuga, kuwongolera shuga wamagazi ndikuchepetsa kudya zakudya ndi zakudya zopatsa mphamvu zamagulu ambiri.

Tcherani khutu! Kwa iwo onenepa kwambiri, zakudya zoterezi zimapangitsa kuti zizikhala zogwirizana, ngakhale kuti zakudya zake sizimakhudzidwa kwambiri ndi kuchepetsa thupi monga momwe amathandizira komanso kupewa matenda a hepatosis.

Komanso, chakudya chapadera chimaphatikizapo kukana mowa. Izi ndizofunikira kuti chiwindi chizigwira bwino ntchito, zomwe zimagwira ntchito zoposa 500.

Cirrhosis

Poyesedwa m'magazi a glucose, anthu omwe ali ndi matenda enaake okhala ndi cirrhosis nthawi zambiri amakhala ndi hyperglycemia. Zomwe zimayambitsa cirrhosis sizikumveka bwinobwino.

• Monga lamulo, ndi cirrhosis, kukana kwa zotumphukira kwa insulin kumayamba ndipo chilolezo cha insulin chimachepa.
• Mlingo wa kuzindikira kwa adipocytes kwa insulin umacheperanso.
• Poyerekeza ndi gulu loyendetsa, cirrhosis imachepetsa kuyamwa kwa insulin panthawi yoyambira kudutsa chiwalo.
• Kwenikweni, kuwonjezeka kwa insulini kumakhala koyenera chifukwa cha kuchuluka kwa katulutsidwe ndi kapamba.
• Zotsatira zake, pali kuchuluka kwa insulini komanso kusintha kwa shuga m'magazi m'mawa ndi kuchepa pang'ono kwa kulolerana kwa shuga.

Nthawi zina, pambuyo poyamwa shuga wambiri, insulin katulutsidwe kamachepa. Izi zikutsimikizira kuchepa kwa C-peptide. Chifukwa cha izi, kukoka kwa glucose kumachepetsedwa kwambiri.

Kuchuluka kwa shuga pamimba yopanda kanthu kumakhalabe kwachilendo. Ndi hypoecretion wodziwika bwino wa insulin, shuga kuchokera ku chiwindi amalowa m'magazi chifukwa chosowa mphamvu ya insulini pakapangidwe ka shuga.

Zotsatira za kusinthika kotero ndi hyperglycemia pamimba yopanda kanthu komanso vuto lalikulu la hyperglycemia atatha kudya shuga. Umu ndi momwe matenda a shuga amakhalira, ndipo mankhwalawa ayenera kuganiziridwanso.

Kutsika kwa kulekerera kwa glucose mu cirrhosis kumatha kusiyanitsidwa ndi shuga weniweni, chifukwa shuga wa munthu yemwe samadya chakudya, kwenikweni amakhala wabwinobwino. Pankhaniyi, zizindikiro zamatenda a shuga sizinafotokozedwe.

Ndiosavuta kuzindikira matenda am'matumbo a shuga. Kupatula apo, ndi kuchepa kwa insulin, zizindikiro monga:

1. ascites
2. mitsempha ya kangaude,
3. hepatosplenomegaly,
4. jaundice.

Ngati ndi kotheka, mutha kudziwa matenda amisempha pogwiritsa ntchito chiwindi.

Chithandizo cha matenda a cirrhosis chimaphatikizapo kugwiritsa ntchito mankhwala ochulukitsa, ndipo pano chakudya chimabwera koyamba. M'malo mwake, zakudya zapadera zimaperekedwa kwa wodwala, makamaka, ndikofunikira kwa encephalopathy, chithandizo pano chikugwirizana kwambiri ndi zakudya.

Zizindikiro za chiwindi

Ndi chifuwa chachikulu cha matenda a shuga, kusintha kulikonse kwa ziwindi za chiwindi sikumawonedwa. Ndipo ngakhale atapezeka, zizindikiro zawo ndi zomwe sizikugwirizana ndi matenda ashuga.

Ndi kuphwanya kwa kagayidwe kazakudya, mawonekedwe a hyperglobulinemia ndi zizindikiro zosonyeza kuchuluka kwa bilirubin mu seramu kumatha kuchitika.

Kwa odwala matenda ashuga, zizindikiro zoterezi sizikhalidwe. 80% ya odwala matenda ashuga ali ndi chiwindi chifukwa cha kunenepa kwambiri. Chifukwa chake, zosintha zina za seramu zimawonetsedwa: GGTP, transaminases ndi alkaline phosphatase.

Kuwonjezeka kwa chiwindi chifukwa cha glycogen wokwanira mu mtundu 1 wa shuga kapena kusintha kwamafuta ngati matendawa ndi amtundu wachiwiri sagwirizana ndi kuwunika kwa chiwindi.

Chithandizo chophweka chothandizira pano chithandizira kupewa, pomwe chithandizo chovuta chikuvomereza kupezeka kwa chithandizo chamankhwala.

Kugwirizana kwa matenda am'mimba komanso chiwindi ndi shuga

Mu matenda ashuga, matenda enaake amayamba pang'ono. Monga lamulo, cirrhosis imayamba kupezeka ndipo pambuyo pake ikupezeka ndi insulin, ndipo mankhwala akupangidwa.

Matenda a shuga amathanso kukhala chizindikiro cha chibadwa cha hemochromatosis. Amaphatikizidwanso ndi matenda oopsa a autoimmune hepatitis komanso ma antigen of the main histocompatability tata DR3, HLA-D8.

Ngakhale ndi shuga yemwe amadalira insulin, ma gallstones amatha kupanga. Mwambiri, izi sizikugwirizana ndi matenda ashuga, koma kusintha kwa kapangidwe ka bile chifukwa cha kunenepa kwambiri. Zakudya zochiritsira, monga chithandizo, pankhaniyi zimatha kupewa mapangidwe amiyala yatsopano.

Kungatchulidwenso ndi zizindikiro zakuchepa kwa ntchito yolerera mu ndulu.

Kuchita opaleshoni ya gallbladder mu odwala matenda ashuga sikuti kwangozi, koma opaleshoni yamitsempha yantchito nthawi zambiri imadzetsa matenda opatsirana ndi kufa.

Mankhwalawa sulfonylurea atha kuyambitsa zilonda zam'mimba kapena za cholestatic.

Mafuta chiwindi matenda a shuga

• 1 Kodi matenda ndi chiani?
• Zifukwa 2 za kukula kwa hepatosis yamafuta
• 3 Zizindikiro za hepatosis
• 4 Chithandizo cha matenda a shuga a m'matumbo
  • 4.1 Mankhwala
  • 4.2 Zakudya zopatsa thanzi
• 5 Mankhwala ena

Matenda a shuga amabweretsa matenda ambiri owopsa ndipo amodzi mwa iwo ndi matenda a shuga. Kuwonongeka kwa chiwindi kotereku kumawonedwa panthawi ya matenda a shuga m'magawo a kuwonongeka. Hepatosis imawonetsedwa ndikusamva bwino mu hypochondrium kumanja, kutopa kwambiri, komanso "fungo la chiwindi" kuchokera mkamwa. Mukapanda kuyamba nthawi yake komanso chithandizo chokwanira cha matenda a chiwindi, wodwalayo amatha kudwala matenda oopsa - matenda a chiwindi, omwe nthawi zambiri amatha kufa. Chifukwa chake, zizindikiro zoyambirira zikaonekera, muyenera kupita kwa dokotala.

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

Kodi matenda ndi chiyani?

Kuwonongeka kwamafuta kwa chiwindi ndi chotupa cha chiwindi chomwe chimayamba chifukwa cha kusokonekera kwa metabolic mu hepatocytes, chifukwa chomwe mafuta ambiri amawayika mwa iwo. Nthawi zambiri matenda ngati amenewa amapezeka ndi matenda ashuga. Maselo a chiwindi amakhala ndi enzyme yomwe imalepheretsa zinthu zovulaza thupi, koma ndi hyperglycemia yomwe imatenga nthawi yayitali, izi zimasokoneza. Izi zimabweretsa kudzikundikira kwa lipids mu hepatocytes. Ndi kuchulukana kwamafuta kwambiri, ma cell a chiwindi amafa ndipo amasinthidwa ndi maselo amafuta.

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Zizindikiro za Hepatosis

Khansa yokhala ndi vuto la chiwindi ndizofala.

Mafuta a hepatosis a shuga amawonetsedwa ndi zizindikiro zotsatirazi:

• kutopa
• ulesi
• chisangalalo mu hypochondrium kumanja,
• kuwoneka kwa mseru wamphamvu,
• kusadya bwino
• kukulitsa chiwindi
• kumverera kwa "fungo la chiwindi" kuchokera mkamwa.

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Matenda a shuga a matenda a shuga

Ngati wodwala ali ndi vuto la kuwonongeka kwa chiwindi, pitani kuchipatala. Kudzilanga nokha mu izi kumabweretsa zotsatira zowopsa. Akavomera kuchipatala, dokotalayo amayesa wodwalayo, amve madandaulo ndikupereka maphunziro owonjezera kuti adziwe zoyenera kudziwa. Pambuyo pake, adotolo adzalemba njira zapadera za mankhwala. Monga chithandizo pakuwonongeka kwa chiwindi, mankhwala ndi zakudya zamafuta zimayikidwa. Amaperekanso njira zachikhalidwe zamankhwala ndikuthandizira kusintha momwe akukhalira.

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Mankhwala

Zochizira zamafuta a chiwindi, mankhwala omwe akuwonetsedwa patebulopo ndi mankhwala:

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Zakudya zamagulu

Ndi matendawa, zakudya zimagwira gawo lofunikira kwambiri.

Popereka chithandizo cha chiwindi, ndikofunikira kutsatira zakudya. Ndikulimbikitsidwa kuti:

• osanenepetsa zakudya zamafuta, okazinga ndi mchere
• osamwa mowa
• Kanani mbale zotentha ndi zosuta,
• kuphika owiritsa, kuphika ndi kuwiritsa,
• kudya m'magawo ang'onoang'ono kasanu patsiku,
• Kanani zotsekemera (mutha kugwiritsa ntchito zotsekemera),
• nyama yophika ndi nsomba kuphika,
• idyani zamasamba atsopano ndi zipatso,
• mumatha kudya zakudya zamafuta ochepa,
• kupatula zakudya za ufa muzakudya (mutha kuthira mkate wopanda tirigu m'miyeso yaying'ono).

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Chithandizo china

Monga njira zowonjezera zochizira, njira zina zimagwiritsidwa ntchito. Pazomwezi, maphikidwe otsatirawa amagwiritsidwa ntchito:

• Rosehip. Hafu ya lita imodzi yamadzi otentha amathiriridwa mu 50 magalamu a zipatso zouma. Muyenera kukakamira kwa maola 10. Gwiritsani kulowetsedwa kwa 200 ml katatu patsiku.
• Mint Onjezani magalamu 20 a masamba a peppermint ku ½ chikho cha madzi otentha ndikuyika kulowetsa. Pambuyo pa izi, kulowetsedwa kumagawika magawo atatu ndikuwadyedwa tsiku lonse.
• Nthula wamkaka. 1 tbsp. l sakanizani mbeu mu 600 ml yamadzi ndikuphika kwa mphindi 30. Zitatha izi, zosefera zonse ndikudya za 2 pa tsiku.

Wodwala aliyense ayenera kusintha moyo wawo. Ndikulimbikitsidwa kuyenda kwambiri, kuchita masewera olimbitsa thupi nthawi zonse. Komabe muyenera kutsatira zakudya ndi kusiya kumwa mowa ndi kusuta. Ndikofunika kuyang'anira kuchuluka kwanu komanso shuga tsiku lililonse. Ngati mukuvutikiranso kumanja pansi pa nthiti, muyenera kufunsa dokotala.

Amayambitsa, Zizindikiro, mankhwala ndi kuzindikira kwa hyperinsulinism mwa ana ndi akulu

• Kodi chiwopsezo cha hyperinsulinism ndi chiyani?
• Zizindikiro za matendawa
• Zomwe zimachitika
• Gulu la Hyperinsulinism
• Matenda a Pathology
• Chithandizo ndi Thanzi
• Kupewa komanso kudwala

Hyperinsulinism amatchedwa matenda a hypoglycemic. Mkhalidwe wamatumbo ungatengedwe kapena kubereka. Kachiwiri, matendawa ndi osowa kwambiri, makamaka amodzi mwa akhanda 50,000. Hyperinsulinism yopezeka yomwe imapangidwa nthawi zambiri imapangidwa zaka zapakati pa 35 ndi 50, ndipo nthawi zambiri zimakhudza azimayi.

Kodi chiwopsezo cha hyperinsulinism ndi chiyani?

Mkhalidwe womwe umaperekedwa koopsa ndi chifukwa cha zovuta zake, zomwe zitha kugawidwa koyambirira komanso mochedwa. Gulu loyambalo limaphatikizapo omwe amapangidwira maola angapo otsatira atawukira, awa:

• sitiroko
• myocardial infaration
• kukulira kwakukuru kwa kagayidwe kazigawo zam'mimba ndi ubongo,
• Pazovuta kwambiri, chikomokere chimapangidwa.

Mavuto omaliza omwe amadza chifukwa cha hyperinsulinemia amakula miyezi ingapo kapena zaka pambuyo pa matenda. Amadziwika ndi zovuta zingapo, monga: kusokonezeka kwa kukumbukira ndi kuyankhula, parkinsonism, encephalopathy (kuwonongeka kwa ubongo ntchito).

Kuperewera kwa chidziwitso ndikuchizira matenda kumayambitsa kukulira kwa kapamba ndi mapangidwe a shuga, komanso matenda a metabolic komanso kunenepa kwambiri.

The kobadwa nako mawonekedwe a hyperinsulinism mu 30% ya milandu amakhumudwitsa mawonekedwe a ubongo hypoxia, komanso kukula kwazonse kwamalingaliro okhudza ana. Chifukwa chake, hyperinsulinism ndi vuto lomwe limakhala ndi zovuta zambiri komanso zotsatira zoyipa.

Zizindikiro za matendawa

Kuukira kumayambira ndikusintha kudya, kuoneka thukuta ndi kufooka, komanso tachycardia, njala yayikulu. Kenako mayiko ena mwamantha amalumikizana: mantha, nkhawa, kusakwiya komanso kunjenjemera miyendo. Pomwe chiwopsezo cha hyperinsulinemia chikukula, zotsatirazi zadziwika:

• kusanja m'mlengalenga,
• diplopia (kuchuluka kwa zinthu zooneka),
• paresthesia (dzanzi, kumva kukoma) m'miyendo, mpaka mawonekedwe a kugwidwa.

Ngati chithandizo sichikupezeka, kutha kwa chikumbumtima komanso kukomoka kwa hypoglycemic kumatha kuchitika. Nthawi yolumikizidwa imakhudzana ndikukulira kukumbukira, kusakhazikika m'maganizo, kusaganizira, komanso zizindikiro zina zosasangalatsa. Poyerekeza zakumbuyo chakudya chambiri chomwe chimadzaza ndi chakudya cham'mimba mosavuta, kuwonjezeka kwa thupi komanso kunenepa kwambiri kumayamba.

Akatswiri azindikira madigiri atatu a hyperinsulinism, zomwe zimatengera kuopsa kwa maphunzirowa: ofatsa, odziletsa komanso okhwima. Zowunikira kwambiri zimagwirizanitsidwa ndi kusakhalapo kwa mawonetseredwe munthawi pakati pa kukomoka ndi kuwonongeka kwa organic ku colortex. Kuchulukitsa kwa matendawa kumawonekera kangapo kamodzi pamwezi. Imaletsedwa mwachangu ndi mankhwala kapena zakudya zotsekemera.

Ndi zovuta zolimbitsa thupi, kukomoka kumachitika kangapo pamwezi, kuchepa kwa mawonekedwe a ntchito ndi chikomokere ndikotheka. Nthawi pakati povutitsidwa imawonetsedwa ndikuphwanya malamulo, mwachitsanzo, kuyiwalako kapena kuchepa kwa malingaliro. Mulingo wadzaoneni umayamba chifukwa cha kusintha kosasintha kwa ubongo. Zovuta zimachitika kawiri kawiri ndipo zimapangitsa kuti anthu asamadziwe. Munthawi yakukhudzidwa, wodwala amataya malo, kukumbukira kumakulitsidwa, kugwedezeka kwamphamvu kumadziwika. Khalidwe ndikusintha kwa kusintha kwamkati komanso kusokonekera kwambiri. Popeza zonsezi, ndikofunikira kumvetsetsa mwatsatanetsatane zomwe zimayambitsa, chithandizo ndi kuzindikira kwa vutoli.

Zomwe zimachitika

Mawonekedwe obadwa nawo amapezeka chifukwa cha kukomoka kwa intrauterine mu chitukuko, chifukwa cha kuchedwa pakupanga mwana wosabadwayo. Matenda a m'mimba amathanso kukhala ndi masinthidwe amtundu. Zomwe zimayambitsa matendawa mwa anthu omwe amapezeka ndi matendawa amagawidwa m'magulu:

• kapamba, kamene kamayambitsa kupangitsa matenda a hyperinsulinemia,
• yopanda pancreatic, kupangitsa kuchuluka kwa insulin,
• mawonekedwe a pancreatic amapezeka mu zilonda zapakhosi kapena benign neoplasms, komanso pancreatic beta cell hyperplasia.

Njira yopanda pancreatic ya hyperinsulinism mwa ana ndi akulu imatha kuyamba chifukwa cha zovuta zakudya (kusala kudya kwa nthawi yayitali, kutsegula m'mimba, ndi zina), kuwonongeka kwa chiwindi (oncology, cirrhosis, hepatosis yamafuta). Mukamayankha funso lomwe limayambitsa matenda, chidwi chimakopa mayina osagwiritsa ntchito shuga, mitundu ina ya ma endocrine. Mwachitsanzo, myxedema, matenda a Addison, kapena pituitary dwarfism.

China chomwe chingakhale kuperewera kwa ma enzymes omwe amaphatikizidwa ndi glucose metabolism (hepatic phosphorylase, aimpso insulinase, glucose-6-phosphatase).

Zoyambitsa ndi Zoopsa

Kapangidwe ka chiwindi kwa anthu athanzi kumakhala ndi hepatocytes. Iwo ali ndi udindo woletsa mbali zovulaza. Mu shuga mellitus, njirayi imasintha - mafuta amadzaza m'maselo a chiwindi, ndipo hepatocytes yomwe imasefukira ndi lipids pang'onopang'ono imafa. Matendawa amakula pang'onopang'ono.

Chinanso chomwe chimapangitsa munthu kudwala matenda a shuga a chiwindi ndi chotsatira cha matenda a shuga a 2. Pathology imayambitsa kuphwanya kwa maziko amakulu a mahomoni. Chifukwa cha kusowa kwa mahomoni, kuperewera kwa insulin m'magazi kumayamba, kapamba imapangidwa kuti ipangidwe. Chifukwa chosowa insulini, njira yogwiritsira ntchito shuga imasokonekera. Njirayi imakwiyitsa kupanga kwa lipid ndipo imakhala chinthu champhamvu kwambiri pakukula kwa matenda a shuga.

Chifukwa chachikulu chomwe kuphatikizira kwa lipids m'maselo a chiwindi ndikuphwanya magwiridwe antchito a thupi. Malo ofunikira pakukula kwa njira ya pathological imaseweredwa ndi kusokonekera kwa mahomoni. Kuphatikiza apo, zinthu zotsatirazi zimakhala provocateurs kukula kwa mafuta hepatosis:

• uchidakwa
• kunenepa
• matenda a chiwindi (hepatitis B),
• kuperewera kwa zakudya m'thupi
• cholowa
• mankhwala ndi mankhwala ena (NSAIDs).

Zizindikiro ndi zovuta zake

Kudzilimbitsa kwa hepatosis yamafuta ndikovuta kudziwa. M'magawo oyamba, zamatsenga zilibe chiwonetsero chazachipatala chowoneka bwino. Chiwindi sichikhala ndi machitidwe a mitsempha ndi mathero, chifukwa chake, kusintha kwamomwe kumachitika mwa iko, kunja kwenikweni sikuwoneka.

Zizindikiro zoyambirira za hepatosis yamafuta zimatuluka chiwindi chikakula ndikukulira ziwalo zoyandikana. Pakadali pano, wodwala matenda a shuga amakhala ndi nkhawa nthawi zonse:

• kufooka
• kusakondweretsa kosavomerezeka mbali yakumanja,
• kusowa kwa chakudya
• mphwayi
• nseru
• ulesi
• mgwirizano wamachitidwe akusintha.

Mafuta hepatosis amawerengedwa m'magawo anayi:

1. Zero - mkati mwamkati mumakhala kachulukidwe kakang'ono ka madontho a lipid.
2. Choyamba, kukhazikika kwa maselo athanzi ndi lipids kumayamba.
3. Chachiwiri - the foci imakula kwambiri. Amatha kukhala ambiri kapena kukhala ndi kukula kwakukulu. Kwa gawo ili la hepatosis yamafuta, kuwonetsa kwa zizindikiro zoyambirira zamakhalidwe ndizodziwika.
4. Chachitatu, ma lipids samadzimanga okha mkati mwa maselo a chiwalo, komanso kumbuyo kwawo. Njira yopanga ma cysts ambiri opangidwa ndi lipid cell imayamba.

Ngati pali matenda am'matenda a shuga, tikulimbikitsidwa kulumikizana ndi achipatala ndikuti adziwe matenda omwe adokotala adapereka. Mafuta hepatosis amatsimikiziridwa ndi kuyesedwa kwa magazi (kupezeka kwa ma enzymes a chiwindi m'magazi). Ultrasound kapena CT scan ya pamimba pamimba imaphatikizidwanso m'njira zodziwitsa (kutsimikiza kwa matenda mwa kusintha kwakunja kwa ziwalo zamkati). Ngati ndi kotheka, komanso kupatula chitukuko cha matenda amitsempha, dokotala amamulembera ngati ali ndi vuto lililonse.

Kuzindikira moyenera kumathandizira adokotala kuti amvetsetse momwe mafuta a chiwindi amachiritsira matenda a shuga. Ndikofunika kusankha njira yoyenera yamankhwala, chifukwa kunyalanyaza malangizo azachipatala kumapangitsa kuti pakhale zovuta zina (cirrhosis) kapena kukulitsa njira ya matenda.

Kodi kuchitira mafuta hepatosis mu shuga?

Chithandizo cha mafuta a hepatosis kumayambiriro kwa chitukuko chimaphatikizaponso kutsatira zamasamba othandizira odwala, komanso kumwa mankhwala omwe amathandizira magwiridwe antchito a chiwindi (Chofunikira Forte, Hetral, Hepa-Merz). Kutalika kwa mankhwala ndi miyezi itatu. Panthawi imeneyi, chiwindi chimachira, komanso kusintha kwazinthu zonse m'maselo ake kumakhala kosinthidwa.

Chithandizo cha hepatosis yamafuta idzagwiritsidwa ntchito pokhapokha ngati chithandizo cha matenda oyamba - matenda ashuga. Kusintha ndi kukhazikika kwa chiwindi, dokotala amafotokozera wodwala mankhwala otsatirawa:

Kugwiritsa ntchito mafuta a dzungu, komanso kusankha njira yodzatenga madzi amchere, ndikulimbikitsidwa ngati chithandizo chofanana. Kuti matendawa agwire ntchito m'mimba, amamuthandizira monga Mezim akusonyezedwa.

Anthu odwala matenda ashuga okhala ndi mafuta a hepatosis ayenera kutsatira zakudya zoyenera komanso zoyenera, zomwe zimayang'anira kudya shuga. Zakudya za odwala zimadalira izi:

• Konzani menyu wophatikizidwa ndi kudya zakudya ndi mbale ndi mndandanda wokwera wa glycemic.
• Siyani mbale ndi zakumwa zilizonse zoyipa (zakumwa zoledzeretsa, zakumwa, zonunkhira, zonona, zonunkhira, maswiti).
• Makonda kupatula makeke, makeke amafuta, mkaka wokometsedwa, kupanikizana kuchokera pamenyu.
• Konzani kugwiritsa ntchito muffin ndi pasitala.
• Chakudya chiziphikidwa ndi kudyetsa, kuphika kapena kuwira.
• Konzani zakudya zisanu ndi chimodzi patsiku.
• Kuchepetsa kudya zamafuta ndi mafuta pazakudya.
• M'malo shuga ndi lokoma.

Kwa odwala omwe ali ndi matenda a shuga a shuga a hepatosis, akatswiri a zanyengo amalimbikitsa kutsatira masanjidwe azakudya zochizira No. 9.

• nyama yokonda - nyama ya kalulu, nkhuku, nkhuku (yopanda khungu),
• nsomba zam'madzi zamafuta ochepa
• mbewu zonse
• masamba
• Zipatso zatsopano
• phala wamkaka wamtchire, oatmeal, tirigu,
• mkaka wowonda, komanso mafuta ochepa amkaka,
• mazira - osaposa 1 pc / sabata.,

Chofunikira kwambiri pazotsatira zabwino zamankhwala othandizira mafuta mu hepatosis ya shuga ndi masewera olimbitsa thupi, masewera olimbitsa. Kuchita masewera olimbitsa thupi pafupipafupi, komanso kuyenda m'malo oyera mwachilengedwe, kumathandizira kukonza minyewa komanso kutsekeka kwa lipid m'maselo a chiwindi ndi ziwalo zina zamkati.

Kodi shuga ndi cirrhosis zimagwirizana bwanji? Zida zamankhwala othandizira odwala matenda ashuga

Matenda a shuga ndi matenda amitsempha. Chithandizo cha odwala matenda ashuga matenda a chiwindi chimakhala chovuta chifukwa chakuti ambiri odwala matenda ashuga ali ndi hepatotoxic. Werengani za momwe mungazindikire matenda a cirrhosis komanso kuthandizira matenda ashuga omwe alembedwa mu nkhaniyi.

Mu matenda a shuga, kapangidwe kake kapamba kamasokonekera, komwe kumaphwanya shuga ndikuwongolera kagayidwe. Izi zimakhudza kugwira ntchito kwa chiwindi.

Kukula kwa matenda a endocrine nthawi zambiri kumayamba pakati pa kumwa mowa kwambiri, fodya komanso zakudya zopanda thanzi, zomwe zimayambitsa kunenepa kwambiri. Zakudya zamafuta ndi zakumwa zoledzeretsa zimakhudzanso mikwingwirima ya kapamba ndi chiwindi - ayenera kugwira ntchito mopitilira muyeso. Zotsatira zake, pali kufooka kwa ziwalozi komanso kuwonjezereka kwa magwiridwe antchito athu onse.

Mafuta amapanga hepatosis yamafuta, yomwe imathandizira kukulitsa steatosis, steatohepatitis, fibrosis ndi cirrhosis. Mafuta amakhudza kwambiri hepatocytes, motsutsana ndi kumbuyo komwe njira yotupa imapangika, pang'onopang'ono imayambitsa matenda a cirrhosis.

M'malo mwa maselo owonongeka a hepatocyte, mafupa amtundu wa chiwindi, chiwindi sichingagwire mafuta ochuluka, chifukwa chake amagawika m'magulu onse amkati. Chifukwa chake, zovuta zamatenda monga atherosulinosis, kutsekeka kwa magazi mu mtima ndi ubongo kumatulukira.

Ndi mtundu woyamba wa matenda ashuga (mtundu womwe umadalira matenda a insulin), wodwalayo sangachite popanda kuvulaza insulin. Insulin ndi timadzi tomwe ma glycogen amadziunjikira m'chiwindi. Mtundu wachiwiri, kusintha kumachitika mwanjira yomweyo, koma chomwe chimayambitsa nthawi zambiri ndikutulutsa mafuta.

Ngati simukuchita bwino mankhwalawa, chiwindi chimayamba kuchuluka, zomwe zimabweretsa kuwawa. Koma zikafufuzidwa pa chiwalo, mapangidwe azomwe zimapezeka sazindikira. Ndikofunikira kuyambitsa chithandizo chanthawi yake, ndiye kuti chiwindi chibwerera mwachizolowezi. Kupanda kutero, kukula kwa matenda a cirrhosis ndikotheka.

Ma pathologies a chiwindi amadziwonetsa pomwe akupita patsogolo, chifukwa chake, poyambira, matenda a cirrhosis nthawi zonse satha kuzindikira. Zizindikiro zomwe zimawonekera pambuyo potenga nawo gawo pazitupa za ndulu:

• kulawa kuwawa mutatha kudya musanadye chakudya cham'mawa choyamba,
• kumva kuwawa komanso kusasangalala pambuyo chakudya,
• kupweteka kudzanja lamanja pansi pa nthiti,
• mpweya m'mimba (ukufalikira),
• zotupa pakhungu,
• nseru, limodzi ndi kusanza ndi kusanza,
• osayanjana chifukwa
• kuchuluka kwa kugona ndi kuwodzera masana,
• kugona usiku
• kusowa kwa chakudya
• kuteteza khungu ndi mapuloteni amaso,
• kuwonongeka kwachilendo kwa ndowe ndi madzi amkodzo,
• kutupa kwa miyendo.

Kuti mankhwalawa akhale ndi zotsatira zabwino, matenda a chiwindi ayenera kupezeka koyambirira kwa chitukuko. Ngati wodwala matenda ashuga amalabadira zoyamba zizindikiro munthawi yake, matendawo amatha kuwongolera ndipo chiwindi chimachira. Onetsetsani kuti mwatsatila malangizo onse a dokotala. Makamaka chidwi chake chikuyenera kulipira.

Ngati mwayikidwa mankhwala okwanira antidiabetes, pitilizani kumwa mankhwalawa, koma onetsetsani kuti mwadziwitsa endocrinologist wanu za mavuto a chiwindi. Mwina atenga mapiritsi ena kapena njira zovomerezeka.

Kukulitsa maselo a chiwindi, katswiri wa matenda opatsirana, limodzi ndi endocrinologist, amafotokoza za hepatoprotectors. Amabwezeretsa ndikuyeretsa chiwalocho. Nthawi zambiri awa ndimankhwala Heptral, Essentiale, Hepa-Merz, Hepatofalk. Mankhwala ali ndi contraindication komanso zoyipa zomwe zimachitika, motero lingaliro pa kugwiritsidwa ntchito kwake limapangidwa pamlingo payekha, kutengera ndi matendawa, mawonekedwe a thupi, komanso kupezeka kwa ma pathologies.

Pa gawo loyamba la cirrhosis, pokhapokha pokhapokha steatohepatitis kapena steatosis, mankhwala ozikidwa ndi ursodeoxycholic acid, mwachitsanzo, Ursosan, ndi omwe amapatsidwa. Cholinga chake ndi kuteteza maselo a chiwindi kuti asawonongeke, kubwezeretsa kayendedwe ka bile ndikuchotsa kutupa, kuyeretsa ndikukhazikitsa magwiridwe antchito a chiwalo.

Ndikofunika kumwa mavitamini ndi michere yambiri ndikudya zakudya zokhala ndi michere yambiri.

Anthu odwala matenda ashuga amakakamizidwa kuti azilamulira shuga palokha komanso mu labotale pochiza matenda oyambitsidwa. Ndiko kusanthula kwamwazi ndi mkodzo komwe kumathandizira kuzindikira kuphwanyidwa kwa chiwindi ndi ziwalo zina.

Munthu wodwala matenda ashuga ayenera kudya moyenerera, koma izi ndizofunikira kwambiri pamaso pa matenda a chiwindi. Zakudya zoyenera zimachepetsa kuwonongeka kwa maselo ndikuwongolera kwambiri thanzi la wodwalayo.

Chakudya chabwino kwambiri pamwambapa chimawerengedwa kuti ndi tebulo 5, chifukwa chimakhala ndi kuchuluka kwa mapuloteni komanso zakudya zopatsa mphamvu.

Zambiri za chakudya chololedwa:

Zambiri za Zakudya Zoletsedwa:

• ndizoletsedwa kugwiritsa ntchito msuzi wamafuta ndi msuzi,
• Simungadye mkate watsopano, ophika,
• Zakudya zilizonse zosuta
• ndizosavomerezeka kudya masamba osanunkha,
• zakudya zazonunkhira, zamchere komanso zamafuta, chakudya chofulumira komanso zakudya zina zosavuta, chakudya cham'mbali,
• zolimba dzira ndi yolimba dzira yolk
• mndandanda wazakudya zoletsedwa ndizophatikizira radish, sipinachi, belu ndi tsabola wotentha, bowa aliyense,
• muyenera kukana ayisikilimu, chokoleti, tiyi wamphamvu ndi khofi, koloko kapena zakumwa,
• mkaka wonse ndi mafuta amkaka omwe amapangitsa kuti mafuta azikula,
• Ndi mawonekedwe a cirrhosis, kudzimbidwa kwa zakudya zamapuloteni, motero, amachepetsa,
• zakumwa zoledzeretsa ndizoletsedwa kwathunthu, chifukwa zimayambitsa chiwindi chomwe chakhudzidwa kale, zimasokoneza kapamba, metabolism, kuwononga maselo onse.

Cirrhosis ya chiwindi imatha kupezeka pamaso pa matenda ashuga mwachangu mokwanira. Izi zimapangitsa kuperewera kwa zakudya m'thupi, kunenepa kwambiri, kusowa kwa chithandizo chokwanira. Anthu odwala matenda ashuga omwe ali ndi mtundu woyamba 1 ndi mtundu wa 2 amatha kutenga matenda a chiwindi.

Ndani adanena kuti ndizosatheka kuchiritsa matenda oopsa a chiwindi?

• Njira zambiri zoyesedwa, koma palibe chomwe chimathandiza.
• Ndipo tsopano mwakonzeka kugwiritsa ntchito mwayi uliwonse womwe ungakupatseni mwayi wokhala ndi chiyembekezo chomwe mukuyembekezera!

Chithandizo chothandiza pa chiwindi chilipo. Tsatirani ulalo ndikuwona zomwe madokotala amalimbikitsa!

Matenda a shuga ndi matenda ogwirizana ndi kuphwanya kwina kwa ntchito za kapamba, ndiko kukhazikitsidwa kwa shuga (m'magazi) m'magazi. Umu ndi momwe ziliri ngati kapamba ndi zinthu zotulutsidwa zomwe sangathe kuthana nazo nkhawa zomwe zimaperekedwa kwa iwo.

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.

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.

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.

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.

Ziwalo zonse zija zikaonongeka ndikuyatsidwa, zomwe zimadziwika kuti metabolic syndrome zimayamba. Amaphatikiza zigawo zinayi zazikulu: chiwindi steatosis ndi steatohepatitis, matenda a shuga kapena kukokana kwa glucose, kukhumudwa kwa mafuta mthupi, komanso kuwonongeka kwa mtima ndi mitsempha yamagazi.

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

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

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

- steatosis (kuchuluka kwa mafuta m'chiwindi),

- steatohepatitis (kusintha kwamphamvu mu chiwindi cha mafuta achilengedwe),

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

- chiwindi matenda enaake (chiwindi ntchito zonse za chiwindi).

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

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

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

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

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

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

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

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

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

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

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

Ndi mankhwala ati omwe amagwiritsidwa ntchito kuti abwezeretse chiwindi?

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

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

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

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

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

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

Matenda a shuga ndi matenda ogwirizana ndi kuphwanya kwina kwa ntchito za kapamba, ndiko kukhazikitsidwa kwa shuga (m'magazi) m'magazi. Umu ndi momwe ziliri ngati kapamba ndi zinthu zotulutsidwa zomwe sangathe kuthana ndi katundu yemwe wazipeza.

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.

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.

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.

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.

Ziwalo zonse zija zikaonongeka ndikuyatsidwa, zomwe zimadziwika kuti metabolic syndrome zimayamba. Amaphatikiza zigawo zinayi zazikulu: chiwindi steatosis ndi steatohepatitis, matenda a shuga kapena kukokana kwa glucose, kukhumudwa kwa mafuta mthupi, komanso kuwonongeka kwa mtima ndi mitsempha yamagazi.

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

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

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

- steatosis (kuchuluka kwa mafuta m'chiwindi),

- steatohepatitis (kusintha kwamphamvu mu chiwindi cha mafuta achilengedwe),

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

- chiwindi matenda enaake (chiwindi ntchito zonse za chiwindi).

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

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

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

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

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

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

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

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

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

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

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