Pancreatogenic shuga > Matenda a shuga

Malinga ndi ziwerengero, matenda a shuga a pancreatogenic amapezeka mu 30% ya odwala omwe ali ndi kutupa kwa kapamba. Chithandizo cha matendawa ndichovuta kwambiri. Mwayi wochira kwathunthu ndi wochepa.

Odwala matenda ashuga ayenera kudziwa! Shuga ndiwabwinobwino kwa aliyense.Kukwanira kumwa makapu awiri tsiku lililonse musanadye ... Zambiri >>

Ichi ndi chiyani

Kuti mumvetsetse matenda a shuga a kapamba komanso momwe amakulira, muyenera kunena mawu ochepa onena za kapangidwe kake kapamba. Chiwalochi chimakhala ndi maselo otulutsa ma cell omwe amapanga chinsinsi chapadera chofunikira pakubowoleza chakudya. Pakati pa maselo amenewa pali zilumba za Langerhans, zomwe "ntchito" zake zimaphatikizapo kupanga insulin ndi glucagon. Amakhala ndi maselo a endocrine.

Popeza ma cell a exocrine ndi endocrine amakhala pafupi kwambiri wina ndi mzake, pamene njira zotupa zimachitika mwa iwo, enawo amakhudzidwa. Ndiye kuti, kuwonjezera pa kuti kupanga madzi a enzyme kusokonezeka, pali vuto lina pakupanga mahomoni ofunikira kuti kufalikira kwa glucose ndikusintha kwake kukhala mphamvu. Pazifukwa izi, kapamba ndi matenda a shuga amakhazikika nthawi imodzi.

Monga tafotokozera pamwambapa, choyambitsa chachikulu cha matenda a shuga a 3 ndi njira yotupa yomwe imachitika m'maselo a kapamba. Koma sikuti pancreatitis yovuta kapena yokhayo yomwe imapangitsa kuti matendawa akhalepo. Palinso ma pancreatic pathologies omwe angayambitse matenda a shuga a pancreatogenic mwa anthu. Izi ndi:

chifuwa chachikulu cha kapamba, chomwe chimadziwika ndi vuto la kapamba, momwe chimayamba kugaya maselo ake, ndikupangitsa kufa.
Matenda a pancreatic oncological, momwe maselo a ziwalo amawonongeka, amasiya kugwira ntchito mwachilungamo ndipo pang'onopang'ono amafa,
kuvulala komwe kumachitika chifukwa cha sitiroko kapena njira zopangira opaleshoni pomwe kukhulupirika kwa kapamba kunayipa, kutsatiridwa ndikupanga njira yotupa.
mwachitsanzo pancreatic resection, mwachitsanzo, pakapezeka chotupa kapena matenda ena, momwe kuchotsa gawo la chiwalo ndi njira yokhayo yopulumutsira munthu,
cystic fibrosis, komwe ndi matenda obadwa nawo omwe ma gland endocrine amakhudzidwa.
hemochromatosis, yomwe imadziwika ndi kuphwanya kwa mitundu yosiyanasiyana yazitsulo m'thupi, yomwe imalowetsedwa m'mavuto ambiri, kuphatikizapo kapamba,
kapamba wokhala ndi pancreatic hyperfunctionality.

Mwachidule, tiyenera kudziwa kuti kukulitsa kwa matenda a shuga a pancreatogenic ndi njira ina yokhudzana ndi kuphwanya kwa kapamba. Chifukwa chake, pamaso pa matenda oterewa, odwala amalangizidwa kuti aziwunika pafupipafupi kuchipatala kuti azindikire zomwe zikuchitika ndikuyamba chithandizo chawo.

Dziwani kuti matenda monga kapamba ndi matenda ashuga nthawi zambiri amakulira nthawi imodzi mwa anthu omwe ali ndi kunenepa kwambiri komanso hyperlipidemia. Ndipo ngati chilichonse chili chomveka bwino ndi kulemera mopitirira muyeso, ndiye kuti sicholondola, chifukwa ambiri sakudziwa kuti ndi matenda otani. Ndipo ndi mkhalidwe womwe zinthu zoyipa zimayamba kudziunjikira m'magazi, omwe ndi lipids, omwe mwa iwo ndi cholesterol, mafuta ndi triglycerides.

Chachilendo cha hyperlipidemia ndikuti chimayamba makamaka mwa anthu omwe ali ndi vuto la kunenepa kwambiri, matenda a shuga kapena cholesterol. Ndi pafupi asymptomatic. Ngati pali zizindikiro zilizonse za hyperlipidemia, nthawi zambiri zimakhala zaulesi, ndipo anthu samangotsatira. Chifukwa chake, amaphunzira za kukhalapo kwa vutoli pokhapokha atayeza mayeso osiyanasiyana.

Malinga ndi madotolo ambiri, anthu omwe ali onenepa kwambiri osachita chilichonse kuti athetse vutoli, amaika matupi awo pachiwopsezo chachikulu. Inde, pamaso pa kuchuluka kwa thupi, kuopsa kwa kutupa kosatha kwa kapamba kumachulukitsa kangapo. Izi zimawonjezera mwayi wokhala ndi kuchepa kwa endocrine, womwe umaphatikizanso kuwoneka kwa matendawa.

Kuphatikiza apo, mwa odwala omwe ali ndi pancreatitis yovuta kwambiri chifukwa cha kunenepa kwambiri, hyperglycemia imayamba, yomwe imadziwika ndi kuwonjezeka kwambiri kwa shuga m'magazi. Nthawi zambiri, zimatha ndikumayambira kwa vuto la hyperglycemic.

Kupezeka kwa hyperglycemia kumalumikizidwa makamaka ndi zochitika zotere:

kutupa kwambiri kwa kapamba chifukwa chotupa,
kuchuluka kwa trypsin pa insulin kaphatikizidwe, komwe motsutsana ndi maziko a kutupa pachimake kumawonjezeka kangapo.

Zolemba za maphunziro a matenda a shuga a pancreatogenic

Pancreatogenic shuga mellitus ili ndi njira zake zachitukuko. Monga lamulo, anthu omwe akudwala matendawa amakhala ndi thupi lopyapyala ndipo ndi choleric. Mosiyana ndi matenda amtundu wa shuga 1 komanso odwala matenda ashuga amtundu wa 2, odwala omwe ali ndi matenda amtundu wa 3, kuchuluka kwa shuga m'magazi kumaloledwa ndi odwala nthawi zonse. Kuphatikiza apo, amatha kumva bwino ngakhale muzochitika izi pomwe kuchuluka kwa shuga m'magazi kumakwera mpaka 10-11 mmol / l. Mu matenda ashuga wamba, kuchuluka kwa shuga kotereku kumabweretsa kuwonongeka kwakukuru m'moyo wabwino, ndipo mwanjira iyi, palibe zizindikiro zomwe zimadziwika.

Komanso, cholowa chamtsogolo sichikukhudzana ndikukula kwa matendawa. Itha kuchitika mwa anthu omwe m'mabanja mwawo simunawonepo. Nthawi yomweyo, pancreatogenic shuga mellitus alibe insulin kukana ndipo samadziwika ndi koopsa maphunziro. Koma anthu omwe amadwala matendawa, monga odwala omwe ali ndi matenda ashuga a mtundu woyamba 1 komanso omwe ali ndi matenda ashuga a 2, amatenga matenda pafupipafupi komanso matenda a pakhungu. Munthawi yake, mabala ndi mafinya pamthupi amachira kwakanthawi yayitali komanso kuopsa kwa kusinthika kwawo ndi kukula kwatsoka kwa gangrene kulinso.

Matenda a shuga a Pancreatogenic amakula pafupifupi asymptomically. Zizindikiro zoyambirira za kupezeka kwake zimawonekera pokhapokha patatha zaka zingapo kupweteka kokhazikika kwamkati pamimba.

Chomwe chimasiyanitsa ndikuti amatha kutsika ndi shuga m'magazi ndipo samayambitsa zovuta. Komanso, mosiyana ndi T1DM ndi T2DM, imayankha bwino chithandizo ndipo sizitanthauza kuti tizigwiritsa ntchito mankhwala a insulin nthawi zonse. Monga chithandizo chake, zolimbitsa thupi zolimbitsa thupi, kudya, kukana zizolowezi zoyipa ndikugwiritsa ntchito mankhwala omwe ali m'magulu a sulfonylurea ndi maidongo.

Monga tafotokozera pamwambapa, matenda a shuga a pancreatogenic amatha kukhala asymptomatic pazaka zambiri. Ndipo chinthu chokhacho chomwe chitha kuvutitsa odwala ndi kupweteka kwam'mimba kwapakati komanso kuwonjezeka kwa shuga m'magazi.

Komabe, ngati nthendayo imayendera limodzi ndi hyperinsulinism (matendawa amapezeka kawirikawiri ndi kutupa kwa kapamba ndi vuto la endocrine), ndiye kuti chithunzi cham'chipatala chitha kuphatikizidwa ndi zizindikiro zotere:

njala yosalekeza
kutsitsa minofu kamvekedwe
kufooka
thukuta lozizira
kunjenjemera
kuchita chidwi kwambiri.

Nthawi zambiri, hyperinsulinism kuphatikiza ndi matenda a shuga a pancreatogenic amakhumudwitsa maonekedwe a kukomoka komanso kukomoka. Kuphatikiza apo, ndi matendawa, kuvomerezedwa kwa makoma a minyewa kumasokonezeka ndikuwuma kwawo kumawonjezereka, zomwe zimatsogolera kuwoneka kwa edema ndi mabala omwe amawoneka thupi popanda chifukwa.

Chofunikira kwambiri pa mankhwalawa a matenda a shuga a pancreatogenic ndi kudya. Wodwala ayenera kusamala kwambiri posankha zakudya. Pankhaniyi, ndikofunikira kulipira chisamaliro chapadera pakuchepa kwa mphamvu ya mapuloteni, komanso kupewa kunenepa kwambiri, chifukwa izi zimatha kutopa.

Kuphatikiza apo, ndikofunikira kumwa mankhwala omwe amabwezeretsa ma electrolyte mthupi ndi kubwezeretsanso mavitamini ndi michere kuti mupewe kuchitika kwa hypovitaminosis, yomwe imakhudza kwathunthu ziwalo zamkati ndi machitidwe a munthu, kuphatikiza kapamba.

Chofunikira pakuchiza matendawa ndi kubwezeretsedwa kwa exocrine pancreatic insufficiency. Pachifukwa ichi, mankhwala apadera amatengedwa omwe amasintha mphamvu ya thupilo ndikuwonjezera mphamvu zake zobwezeretsanso.

Pamaso pa kupweteka kwambiri pamimba, ma analgesics amagwiritsidwa ntchito. Ndikofunika kuti agwirizane ndi mankhwala omwe si a narcotic. Izi zimapewe kuzolowera komanso mavuto ena azaumoyo.

Nthawi zina, chithandizo cha opaleshoni chimagwiritsidwa ntchito pochiza matenda a shuga a pancreatogenic. Nthawi zina ndi okhawo omwe amathandizira matendawa. Ngati mulibe opaleshoni, ndiye kuti pali zoopsa kwambiri za pacreatomy. Ngati ikuwoneka, mwina pangafunike kugwiritsa ntchito insulin yosavuta. Amagwiritsidwa ntchito kuchuluka kosaposa 30 mayunitsi. Ndipo kuchuluka kwake kwa wodwala kumawerengeredwa payekhapayekha, poganizira zifukwa zina:

mulingo wothira magazi a wodwalayo (wowunikidwa kwa sabata limodzi ngati ali ndi mawonekedwe osokoneza bongo kapena kunyumba pogwiritsa ntchito glucometer, zotsatira zonse zalembedwa mu diary),
kuchuluka kwa thanzi la wodwala (kuchuluka kwa zakudya, kuchuluka kwa zakudya zomwe zimagwiritsidwa ntchito, kuchuluka kwamafuta, zakudya zama protein ndi mapuloteni pazakudya zimawerengedwa)
mulingo wakuchita zolimbitsa thupi.

Ndipo apa ndikofunikira kwambiri kugwiritsa ntchito mankhwala okhala ndi insulin molondola. Ngati magazi a shuga ali mgulu la 4-4.5 mmol / l, ndiye kuti sayenera kugwiritsidwa ntchito mwanjira iliyonse. Popeza mankhwalawa amathandizira kutsika kwa shuga m'magazi ndipo kumatha kuyambitsa kuyambika kwa hypoglycemia kapena, moyipa kwambiri, vuto la hypoglycemic, lomwe munthu angagwe kapena atha kufa.

Madokotala atatha kusintha kagayidwe kazakudya zam'mimba komanso ntchito ya pancreatic, amathandizira mankhwala omwe amathandizira kukhazikika kwa shuga m'magazi. Ndi mitundu yanji ya mankhwalawa yomwe idzagwiritsidwa ntchito, adokotala okha ndi amene amasankha, poganizira zinthu zomwe zili pamwambazi.

Kuchiza kwa matenda a shuga a pancreatogenic sikubweretsa zovuta zambiri ngati wodwala amayankha mwachangu kukula kwa matendawa ndikupita kwa dokotala kuti amuthandize. Chifukwa chake, khalani ndi chidwi ndi thanzi lanu komanso ngati zizindikiro zoyambirira za matendawa zikuwoneka (ndiko kuti, ululu wam'mimba), pitani kwa katswiri ndikutsatira malingaliro ake onse. Munjira imeneyi mokha mudzatha kukhala ndi thanzi lanu kwazaka zikubwerazi!

Limagwirira kukula kwa kapamba matenda a shuga

Matenda a shuga a pancreatogenic ndi kuphwanya kwachilengedwe kwa kagayidwe kazachilengedwe kam shuga, kamene kamakhala chifukwa cha matenda kapamba. Zimachitika makamaka mu nyengo ya kapamba. Kafukufuku wachipatala awonetsa kuti gawo lanyengo, kuwoneka kwa PSD ndikocheperako, komanso kungakhale zotsatira zake zachilengedwe. Mu theka la odwala ndi kapamba, matenda a shuga omwe amadalira insulin amakula, ndipo ena - pancreatogenic. Ndikosavuta kuzindikira chifukwa cha kusakhazikika kwa zinthu zomwe zimayambitsa matenda ena. Kupanga kwa kapangidwe ka matenda ashuga kumayamba kumayambiriro kwa matenda a kapamba, omwe pang'onopang'ono amapita kumalo owopsa.

Gawo 2 kapamba wam'mimba ali kale ndi ma pathological of the general process - glycemia ozungulira. Zimafotokozedwa ndikutulutsidwa kwa insulin m'madzi am'magazi, omwe amapangidwa ndi maselo a beta, amakwiya chifukwa chopitilira kutupa. Kulekerera kwa glucose komanso kuchuluka kwachulukidwe ka shuga m'magazi kumawonedwa kale m'magawo anayi, ndipo pamapeto pake pali kusokonezeka kwathunthu kwa endocrine gland. Izi zimachitika chifukwa cha kuwonongeka kotsiriza kwa maselo othandiza komanso kusintha kwa ma cell a adipose.

Kuphwanya kwa endocrine ntchito ya kapamba kumawonedwa ndi vuto lililonse pa chiwalo, chomwe chikuwononga mwachilengedwe.

kutupa kosalekeza komwe kumachitika mwa nthawi yayitali, munthawi yakukhathamira,
opaleshoni yamapazi, makamaka pambuyo pancreatectomy ya voliyumu iliyonse,
matenda aliwonse a kapamba (oncology, pancreatic necrosis),
Kugwiritsa ntchito molakwika zinthu zomwe zingayambitse kusokonekera kwa ziwalo (mavuto azakudya, mowa ndi kusuta fodya, kugwiritsa ntchito mankhwala kwa nthawi yayitali).

Monga gawo lililonse lofunika la endocrine system, kapamba amatulutsa mahomoni - insulin ndi glucagon. Kugwira ntchito kwa maselo omwe amachititsa kuti timadzi tambiri tating'onoting'ono timene timapanga chifukwa cha kugwiritsidwa ntchito kwa anthu ndi zinthu zovulaza. Ndipo kutupa kosatha kumawononga ndikuwononga zisumbu za Langerhans, zomwe zimayambitsa kupanga insulini. Matenda a shuga amapangidwa ndi kuchuluka kwa trypsin, choletsa insulin katulutsidwe.

Zizindikiro za matendawa

Matenda a kapamba komanso matenda ashuga, omwe amapezeka motsutsana ndi maziko a matenda a gland, nthawi zambiri amawonedwa mwa anthu omwe ali ndi mantha ambiri amisala. Choyambitsa chachikulu chomwe chili pachiwopsezo cha gawo loyamba ndicho kudzimbidwa ndi kutentha kwamkati, kufalikira, kutsegula m'mimba komanso kutsegula m'mimba. Kugonjetsedwa kwa kapamba kumadziwika kale ndi kupweteka kwambiri mu gawo la epigastric. Hyperglycemia pambuyo pakuchita opaleshoni imatha kuchitika m'nthawi yochepa, zizindikiro zodziwikiratu ndizotheka motsutsana ndi maziko a kutupa.

Carbohydrate vutoli imayamba zaka zingapo. Zizindikiro zimawonjezeka pakusintha kuchoka pagawo kupita pagawo, zovuta za endocrine zimawonjezeka:

kumayambiriro kwa chitukuko cha matenda ashuga, kuchuluka kwa shuga m'magazi ndizochepa
pamene ikupita, imayamba kutsagana ndi kupindika pafupipafupi kwa hypoglycemia,
khungu louma, ludzu losalekeza komanso kukodzanso kwamwano pafupipafupi
kusala kudya kwa glucose kumapereka mulingo woyenera, ndipo mutatha kudya kumawonetsa kuchuluka,
kufooka chitetezo chokwanira kumabweretsa kukula kwa matenda opatsirana ndi matenda a khungu.

Kugwedezeka, kusisita khungu, kulumwa kwambiri, thukuta lozizira komanso matenda oopsa a patali ndi chizindikiro cha kukhalapo kwa matenda m'thupi. Komabe, milandu pamene ketoacidosis kapena ketonuria imachitika ndi PSD, ochepa amafotokozedwa muzochita zamankhwala. Ndi mtundu wa matenda a shuga a 3, kuthamanga kwa chikumbumtima kapena kuwonongeka kwake chifukwa cha kutsika kwa shuga. Kupita nthawi yayitali kumatha kudzetsa kukomoka kapena vuto la hypoglycemic popanda chithandizo choyenera.

Pancreatitis ndi shuga

Pancreatitis mu shuga ndi chimodzi mwazifukwa zake zazikuluzikulu. Matenda a kapamba amatsogolera nthawi ziwiri paziwonetsero ziwiri: kuphwanya zonse za exocrine ndi endocrine.Matenda oledzera, nthawi yopuma yoyambitsidwa ndi zovuta zina, chifuwa cham'mimba - mitundu yonseyi yamatenda imaphwanya kuyanjana kwachilengedwe koyenera pakugwira ntchito kwamatumbo. Kusintha kopambana kumachitika:

kuchuluka kwa kuthamanga kwa zinthu kumabweretsa kubwezeretsa kwa ma proenzymes osagwira ntchito mu gland, omwe amayamba kugaya maselo a ziwalo,
njira yowerengera ndi sclerotization kumabweretsa kulowa yabwinobwino mkati minofu maselo ndi cholumikizira (fibrous),
pancreatocytes atrophy, kuphatikiza kwa mahomoni kumayima, ndipo pafupifupi theka la izi, matenda a shuga amakula.

Pamene, chifukwa cha kuchepa kwa mahomoni, glucose amayendayenda momasuka m'magazi, amawononga ma cell ndi ma cell, ndikuwatsogolera ku matenda a shuga a 2. Amadziwika ndi njira ya pathological osati chifukwa chosowa insulini, koma chifukwa cha kulephera kwa magawo omwe awonongedwa kuti athe kuzindikira. Limagwirira a chitukuko matenda ndi osiyana:

mtundu 1 shuga mellitus imachitika nthawi zonse poyerekeza ndi kusowa kwa mahomoni ngati maselo obwezeretsedwa sangathe kupanga,
Matendawa a Mtundu Wachiwiri amakula motsutsana ndi kumbuyo kwa ma cell receptor komanso ma cell omwe sangathe kusintha mahomoni omwe amapezeka,
mtundu wa 3 matenda ashuga ndiwachikale ndipo umaphatikiza mbali ziwiri zoyambirira, ndichifukwa chake WHO sazindikira.

Komabe, endocrinologists omwe akhala akuchita kwa zaka zambiri awona mobwerezabwereza kukula kwa matenda a shuga a pancreatogenic ndipo amadziwa bwino njira zamankhwala zofunikira. Munjira zambiri, zimatsimikiziridwa ndi zifukwa zoyipa za kutupa kwa kapamba, gawo lake ndi mkhalidwe wa thupilo pakalipano. Zomwe siziri zogwirizana ndi zomwe zimachokera. Mtundu uliwonse wa shuga uli ndi zomwe umakhala nawo, ndipo pancreatogenic, uwu ndi mulingo wabwinobwino wa glucose musanadye ndikuwukitsidwa pambuyo pake. Kuphatikiza apo, kukhazikitsidwa kwa mitundu iwiri yoyambirira ya shuga kungakhale chifukwa cha chifuwa chachikulu, koma osati zotsatira zake, ndipo chachitatu ndi chifukwa cha matenda apamba.

Mankhwala

Ngati munthu ali ndi pancreatitis ndi matenda ashuga, amafunikira chithandizo chofanana cha matenda onse awiri, apo ayi sizingabweretse zotsatira zomwe zikuyembekezeka.

Monga chithandizo, mankhwala ndi zakudya zimayikidwa.

Cholinga chachikulu cha chithandizo cha mankhwala ndikuwongolera vutoli. Chifukwa chake, mitundu ingapo ya mankhwala imayikidwa. Zolinga zake ndi:

Kuperewera kwa vuto la kuperewera kwa mphamvu ya mapuloteni, kubwezeretsanso kwa kuperewera kwa michere ndi kayendedwe kazakudya zam'mimba (chithandizo cha enzymatic othandizira monga amylase, lipase kapena proteinase),
Matenda a kagayidwe kazakudya - kumwa mankhwala ochepetsa shuga,
kuti muchepetse zotsatira za opaleshoni, insulin imayikidwa, yomwe pakapita nthawi imatha kusintha mankhwala omwe amachepetsa shuga.

Mankhwala osokoneza bongo komanso magawo ena a njira yovutikayo ali kokha mu luso la endocrinologist, yemwe amaganizira mbiri yakale, etiology ndi digiri ya chitukuko cha matendawa, ndi gastroenterologist yemwe akuchita nawo mankhwalawa a pancreatitis.

Mankhwala othandizira

Zakudya zomwe amalimbikitsa zimafanana ndi zakudya za kapamba ndi matenda a shuga a 2. Amakhala ndi mapuloteni komanso zakudya zovuta, ndipo chakudya chambiri sichikupezeka muzakudya za tsiku ndi tsiku. Chakudya chimalimbikitsidwa mwachangu komanso pafupipafupi, kupatula mafuta, zonunkhira komanso zamchere, ndipo zinthu zina zimaphatikizidwa pamndandanda woletsa.

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

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

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

Matenda a Pancreatitis

Ofufuzawo akufufuzira momwe amapangira pancreatitis ndi matenda ashuga ndi exocrine pancreatic insuffence:

kusowa kwa michere kumalumikizidwa ndi shuga, yomwe ingawononge kapamba, kusokoneza kupanga kwa ma enzyme ndi mahomoni,
ma virus kapena matenda a autoimmune achulukitsa chiopsezo cha ma pathologies awa,
kapamba, monga chifukwa cha kulephera kwa exocrine, chikhala chinthu chofunikira kwambiri kwa matenda ashuga.

Matenda a shuga a pancreatogenic ndi mtundu wina wa matenda ashuga omwe amayamba chifukwa cha nthenda ya kapamba - pancreatitis yosatha. Momwemonso, mu cystic fibrosis, kulephera kwa exocrine kumayambitsa endocrine matenda.

Nthawi zambiri, odwala amapezeka nthawi imodzi akudwala matendawa komanso matenda ashuga, omwe amatchedwa pancreatogenic.

Pathogenesis yamatendayi inafotokozedwa posachedwa, pamene adapanga malingaliro othandizira kuti adziwe matenda. Palinso mitundu ina yocheperako yomwe imayamba pa khansa ya kapamba kapena pambuyo pancreatectomy.

Zilumba za Largenhans zimaperekedwa ndi mitsempha ya insulin-acinar m'magazi. Gawo lazopanda pancreas limalandira magazi ambiri kudzera m'misumbu mothandizidwa ndi mahomoni ambiri. Insulin imafunika kuti kugwira ntchito kwa minyewa kapena minyewa yachinsinsi.

Aakulu matenda kapamba, kapamba minofu scleroses, pang'onopang'ono m'malo maselo kumachitika. Mwanjira imeneyi, malekezero ndi mitsempha yam'mimba yomwe imadutsa imatha kugwira ntchito, zomwe zimasokoneza kapamba mu shuga. Maselo omwe amapanga insulin samavutika mwachindunji, koma chifukwa cha kuchepa kwa magazi. Coronary atrophy ya limba imayambitsa kukula kwa matenda a shuga a pancreatogenic.

Momwemonso, mu kuperewera kwa kapamba, fibrosis imayamba, koma maselo a islet samawonongeka. Njira ya matenda a shuga a pancreatogenic ndi yosiyana ndi matenda a shuga a shuga omwe amadalira insulin, omwe amayamba chifukwa cha chiwonongeko cha autoimmune cha maselo a beta. Komanso matenda a shuga a mtundu wachiwiri amatsimikizidwa ndikusintha kwa maselo a Largenhans ndi mapuloteni amyloid, sizomwe zimachitika ndi chifuwa chachikulu.

Pakutupa koyamba, zosintha zotsatirazi zimachitika:

kuchuluka kwa ma cell a beta kumachepa, kuchepa kwa insulin,
kupanga mahomoni a glucagon, omwe ali ndi vuto lina la insulin, akuwonjezeka.

Odwala, amapanga ma pancreatic enzymes omwe ali ndi vuto, malabsorption syndrome amakula. Popanda chithandizo ndikuchulukirachulukira, makulidwe a pancreatic necrosis amadziwika.

Chithandizo cha Conservative

Hyperglycemia control - imakhalabe imodzi mwanjira zochizira zamtundu uliwonse. Kuletsa matenda ashuga a pancreatic pamsika wa kuwonongeka kwa minofu ya tinyezi, wodwalayo amaperekedwa kuti asinthe moyo wake: asiye mowa ndi kusuta.

Mowa umachepetsa kupanga chiwindi cha hepatic ndipo umayambitsa hypoglycemia - kutsika lakuthwa kwa shuga m'magazi, makamaka ngati wodwalayo ali kale ndi insulin.

Kuchiritsa kwa kapamba chifukwa cha zakudya zomwe zimakhala ndi mafuta osungunuka pang'ono komanso mafuta ochepa. Mlingo uliwonse wa exocrine osakwanira, chithandizo cha pancreatitis chovomerezeka chimachitika ndi ma enzymes chifukwa cha mayamwidwe achilengedwe a macronutrients.

Ma pancreatic enzymes amafunikira kuyamwa mafuta ndikuletsa zovuta zowopsa: steatorrhea ndi kuchepa kwa mavitamini osungunuka a mafuta. Kusunga kuchuluka kwa mavitamini D ndikofunikira kuti muchepetse kukula kwa matenda a mafupa a metabolic ndi mafupa. Mathandizo amathandizira kulolerana kwa shuga ndi chakudya.

Chithandizo chachikulu cha kapamba mu shuga yayikulu ndi insulin, yomwe imathandiza kupewa hyperglycemia. Poyerekeza ndi vuto la kuperewera kwa zakudya m'thupi, ma anabolic omwe ali ndi mahomoni ndi othandiza.

Mu matenda a shuga a pancreatic ndi hyperglycemia, momwe kuchuluka kwa hemoglobin kosaposa 8%, mutha kuchita ndi mapiritsi ochepetsa kuchuluka kwa shuga m'magazi amitundu ingapo:

ma sekretaleti - amalimbikitsa kupanga kwa insulin chifukwa cha sulufilil, koma sioyenera kukhala ndi matenda amtundu wa 2,
alpha glucosidase inhibitors (acarbose) - amasokoneza mayamwidwe a insulin m'malo ena amkati, koma amatchulidwa ngati ndalama zowonjezera,
m'badwo watsopano wa mankhwala ndi repagnylide, womwe umagwira pa kashiamu wama cell a beta ndikuthandizira kupanga insulin.

Sensitization ndi metformin imagwiritsidwa ntchito pochepetsa chiopsezo cha khansa ya kapamba.

Malo omaliza ndikungodzipatula zokha - kupatsidwa kwa maselo a Largenhans. Choyamba, madokotala ochita opaleshoni amawunika mphamvu ya kapamba, kapangidwe kake ka maselo a beta malinga ndi kuchuluka kwa mapuloteni m'magazi a seramu atatha kudya shuga.

Zakudya zamankhwala

Mu chifuwa chachikulu, nthawi zambiri pamakhala kutopa. Panalibe tebulo la chithandizo linalake lomwe linapangidwira mtundu uwu. Tsatirani zakudya zoyenera. Zakudya za pancreatitis ndi matenda a shuga a 2 zimakhazikitsidwa ndi kuchuluka kwa macronutrients:

Kuperewera kwamafuta, mavitamini ndi ma electrolyte mu chakudya kumakonzedwa kotero kuti wodwalayo amasiya kuchepa thupi.

Zakudyazo zimagwiritsidwa ntchito pokhapokha pamodzi ndi kukonzekera kwa enzymatic kukonzekera - Creon. Chifukwa cha microsanu ndi kuchuluka kwambiri kwa colipase ndi lipase, malonda amathandizira kuwonongeka kwa mafuta. Odwala omwe ali ndi matenda ashuga okhala ndi kapamba amawopa kudya chifukwa cha ululu waukulu. Chifukwa chake, pamodzi ndi Creon, ma analgesics ndi ma Mlingo ang'onoang'ono a insulin amagwiritsidwa ntchito kulimbikitsa kagayidwe kazachilengedwe.

Zakudya Zoyambira Pancreatitis ndi Matenda Ovutika

Ndi kapamba, amayamba pamene kutupa kwakukula kumayamba. Pa gawo la zovuta zam'mimba, ndikofunikira kupewa kuchulukana mothandizidwa ndi zakudya zoyenera:

lekani zakumwa zoledzeretsa, zamafuta ndi mafuta okazinga,
Idyani katatu patsiku, pang'ono,
kupatula mafuta osavuta, onjezerani kuchuluka kwa masamba kuchokera kumasamba.

Ndikofunikira kuchotsa mpunga, semolina ku chakudya, gwiritsani ntchito buckwheat ndi oatmeal muzakudya. Kukana madeti, nthochi, mphesa, mitengo yamapulogalamu ndi plums.

Zipatso pa exacerbation ziyenera kudyedwa mu mawonekedwe a yophika mbatata yosenda. Pewani adyo ndi anyezi, zokometsera zokometsera ndi nyama zofunikira.

Zonenedweratu Ndi Upangiri Wonse

Zochita za kapamba mu shuga zimapangidwira potsegula gawo la thoracic ndikuthandizira kupindika kwa diaphragm. Kupuma kumeneku komwe kumatsegulira nthiti sikumatsegulira nthiti zam'mimba, kuphatikizapo kusokoneza magazi kupita kumitsempha.

Munthawi yopanda kukokomeza, masewera awiri olimbitsa thupi amachitidwa chifukwa cha kapamba ndi matenda ashuga pofuna kusinthanso ziwalo:

Wogona kumbuyo kwanu, wokutira pansi nthiti ndi thaulo. Inhale, ndikutsegula nthiti kumbali, koma kumbuyo kwakumanzere kumakankhidwa pansi popanda kuwonongeka. Kuvulala kumachitika ndi kukana kudzera thaulo. Mpweya wabwino umayenda limodzi ndi mavuto m'mimba. Bwerezani kangapo ka 10, katatu patsiku.
Bodza kudzanja lako lamanzere, ikani chopukutira pansi paz nthiti. Inhale pokankha nthiti za khushoni. Sunthani mzere wa axillary, ndikupereka malo osunthika onse.

Matenda a shuga ayenera kuperekedwa panthawi ya vuto logaya chakudya. Ndi hyperglycemia yosatha, kutsatira kwambiri zakudya zamafuta ochepa, kukana mowa ndi zakudya zamafuta kumafunika. Kuwongolera glucose ndikofunikira, limodzi ndi mawonekedwe amitundu yosiyanasiyana ya kapamba. Shuga wokwera amadziwika ndi glucometer yonyamula. Kuzindikira ndi kulandira chithandizo kuyenera kuyambitsidwa mu nthawi ndi kubwereza zingapo za kupweteka kwa hypochondrium yamanzere.

Kodi matenda ashuga a 3 ndi otani?

Mtundu wachitatu wa shuga mellitus ndimatenda amtundu wa endocrine omwe amachitika motsutsana ndi kumbuyo kwa chotupa chachikulu cha pancreatic ochokera kumayendedwe osiyanasiyana. Mwasayansi, mumankhwala amatchedwa pancreatogenicabetes mellitus.

Ndi matendawa, dongosolo la endocrine limaleka kugwira ntchito mwachilungamo, kuphwanya thanzi la ziwalo zonse. matenda a shuga a pancreatogenic amaletsa mapangidwe a insulin mu kapamba, kuwonjezera kuchuluka kwa shuga m'magazi. Mitsempha yapakati imadwala matendawa. Mankhwala, pali mitundu inayi ya matenda ashuga.

Type 3 matenda a shuga ndi matenda ovuta kwambiri pamoyo wamunthu, kuphatikiza mtundu wina 1 ndi matenda ashuga a 2. Matenda a Alzheimer amatha. Kwa zaka zambiri asayansi ayesa kumvetsetsa komwe kunayambira matenda ashuga. Ndi 2005 kokha pomwe adatha kudziwa chifukwa chachikulu - uku ndikusowa kwa insulini mwachindunji. Akatswiri samapereka chithandizo chamankhwala ena, chifukwa zizindikiro zake zimakhala zosiyanasiyana.

M'magawo onse a matendawa, matenda a shuga a pancreatogenic 3 amapezeka 15% ya anthu. Amuna amatenga kwambiri matenda amtunduwu, makamaka pambuyo pa zaka 40.

Zomwe zimayambitsa matenda a shuga a pancreatogenic

Chifukwa chophwanya ntchito ya kapamba, shuga amawoneka. M'mawu osavuta, titha kunena kuti dongosolo lonse la endocrine limagwira bwino ntchito. Zoyambitsa zazikulu za matenda ashuga a 3 ndi izi:

aakulu dysbiosis
kapamba,gastritis ndi zilonda zam'mimba,
kutupa kwamatumbo,
anasamutsa matenda opatsirana,
zakudya zosayenera, zomwe zimapangitsa kuti thupi lizikula,
cholowa.

Nthawi zambiri, gawo lalikulu pakupezeka kwa chifuwa cha shuga cha pancreatogenic imaseweredwa ndi kukokoloka kwa pafupipafupi kwa kapamba. Chifukwa chake, ayodini amaphatikizidwa ndi kubwezera. Izi zimakhudza ziwalo zonse zam'mimba. Kusokonezeka kwa endocrine kumachitika.

Pambuyo kuwonongeka kwa kapamba kumayambira, kuchotsedwa pang'ono kumachitika. Pambuyo pazaka 5, kapamba wamtundu wa shuga 3 amapangitsa kuti amveke. Anthu panthawiyi amazindikira amangokhalira kukwiya ndipo sagwirizana ndi izi.

Pancreas imalimbikitsa kutulutsa kwa insulin m'magazi ndikuwongolera glucagon. Mahomoni ali ndi vuto la mahomoni. Malo awo amatsimikizika kumapeto kwa gland. Zotsatira zakopa zakunja, mwachitsanzo, kumwa mowa, mankhwala osokoneza bongo, kusintha kwa magwiridwe antchito amtundu wa insularus kumachitika.

Kuchulukana kwapafupipafupi kapena kupanikizika kwa kapamba kumayambitsa kupangika kwa shuga wa 3 kapamba. Matendawa akapita patsogolo, magawo oyamba a matenda a alzheimer amayamba.

Trypsin m'magazi amatuluka, ndikupanga kutupira kwa ndulu. Insulin imasiya kulowa m'maselo aubongo, zomwe zimayambitsa hyperglycemia. Chipangizo cha endocrine sichilamulira ntchito yake. Umu ndi momwe mtundu 3 wa shuga umapangidwanso.

Zizindikiro za pancreatogenicabetes mellitus

Poyamba, matendawa amawoneka ofooka, kuyambira mitundu iwiri yoyamba. Zizindikiro ngati ludzu losalekeza, kamwa yowuma ndi khungu. Munthu ayamba kumangokhalira kusilira thupi, kumva kuti ndinu wotopa komanso opanda chidwi. Kukopa kumakhala kowonjezereka. Kulemera kwa thupi, monga lamulo, kumawonjezeka, koma kumatha kukhalabe pamlingo womwewo.

Ngati chimodzi mwazisonyezo wapezeka, muyenera kufunsa katswiri kuti musatchule zovuta za glycemic. Mtundu wa matenda a shuga a 3 umayamba pang'onopang'ono kuchokera pamagawo onenepa kwambiri.

Zizindikiro za mawonekedwe ofatsa:

kuiwalika, monga kuiwalika. Ntchito zamalingaliro zimachepa
kupsinjika ndi kusasamala, kusakwiya ndi mantha,
kutayika kwa nthawi ndi malo,
mavuto a chopondapo, kutentha kwa mtima.

malingaliro amisala ndi machitidwe, mawonekedwe a kuyerekezera zinthu pang'ono,
kukokana thupi, dzanzi la miyendo.

Ndikofunika kusintha mtundu wa matenda ashuga a 3 omwe atha kukhala okhululukidwa. Komabe, mawonekedwe awa amakhalanso ndi mawonekedwe ake, omwe muyenera kuyang'anira munthu amene ali ndi matendawa. Zizindikiro zomwe zimawonetsa kukhalapo kwa matenda osokoneza bongo:

kusweka mtima, kupweteka kwakanthawi,
mutu makamaka m'mawa
kulemera kwamiyendo
kukulitsa chiwindi kumadziwika,
ziwalo zosokoneza masomphenya ndi kumva,
kuthamanga kwa magazi kukwera
kutupa ndi miyendo ndi nkhope,
dzanzi mikono ndi miyendo.

Mavuto

Mu anthu omwe akudwala matenda a shuga a 3 kapamba, ketonuria ndi ketoacidosis amachitika, nthawi zina ndimatsutsana a hypoglycemia. Munthu salola kuti chikhumbo chake chisadye, ngakhale adye zolimba.

Imaponya thukuta lozizira, khungu la paker, makamaka milomo, komanso kusefukira kumawonjezeka. Kuchuluka kwadzidzidzi m'magazi a magazi kumapangitsa kukomoka ndipo kungayambitse kudwala matenda ashuga. Mavitamini samayamwa mthupi; Metabolism imayamba kuchepa.

Zizindikiro

Zimakhala zovuta kwa odwala matenda ashuga a mtundu wachitatu kuzindikira ndi kupereka chithandizo choyenera. Kutupa mu kapamba nthawi zambiri kumabisika. Chithandizo chapadera cha hypoglycemic ndi zakudya zapadera sizimapereka zotsatira zomwe mukufuna.

Diagnostics imaphatikizapo zochitika zotsatirazi:

Kufunsira kwa endocrinologist. Ndikofunikira kuphunzira mwatsatanetsatane matendawa, zomwe zingayambike ndikuzindikira zizindikiro zoyenera.
khalidwe la pancreatic limayesedwa. Kuyesedwa kwa biochemical kwa magazi kumayikidwa. Mkoyo imaperekedwa kuti itsimikizidwe kuti mudziwe kuchuluka kwa acetone ndi glucose pazomwe zili,
glycemia imayang'aniridwa. Dotolo ayenera kudziwa kuchuluka kwa glucose m'magazi atatha kudya komanso m'mimba yopanda kanthu,
Ultrasound ndi MRI. Kuti mupeze matenda oyipa a shuga ayenera kudutsa m'mimba. Gland MRI imatha kuwonetsa kukula kolondola ndi kapangidwe kake kupatula zotupa ndi ma neoplasms.

Ndiosavuta kudziwa mtundu 2 komanso matenda ashuga 2. Matenda a shuga a Pancreatogenic samayenda kwa nthawi yayitali. Phunziro lonse liyenera kuchitidwa kuti pakhale matendawa. Mtsogolo, njira yosankhidwa yoyenera yamankhwala imathandizira kuti matenda athetse.

Pancreatogenic shuga mellitus chithandizo

Pambuyo pa kupezeka kwa matendawa, ndikofunikira kuthana ndi mankhwalawa kapamba ndikuwathandiza kupewa. Zizolowezi zoipa zimangokulitsa zinthu, kuwasiya ndi chisankho chabwino. Muyenera kudya zakudya zoyenera ndikusintha moyo wanu powonjezera ntchito zolimbitsa thupi, kapena mosavutikira kuti mupumule.

Zovuta za chithandizo cha mankhwala ndi izi:

Zakudya zoyenera. Zakudya zomanga thupi ndi zipatso ziyenera kukhala zazikulupo. Chakudya cha batala, wokazinga, wokoma, wosuta ndi zonunkhira amaletsedwa kwa odwala matenda ashuga atatu. Nyama ndi nsomba ndizomwe zimapezanso mphamvu. Mitundu yosiyanasiyana ya chimanga yopanda shuga imapezeka kuti idyedwe. Muyenera kuyesa kuzimitsa nthawi ndi nthawi momwe mungathere. Kamodzi maola 4 aliwonse akhale okwanira. Zowonjezera mu mawonekedwe a msuzi ndi mayonesi sizimayikidwa konse.
Mankhwala. Makonzedwe opangidwa mwapadera oyang'anira chimbudzi. Amasintha kagayidwe ndipo amalimbana ndi kuchuluka kwa kapamba. Mankhwala ochepetsa shuga amadziwika.
Maphunziro ogwira ntchito. Madokotala amadziwitsa insulin pambuyo pazochita za kapamba.

Zotsogola ndi kupewa

Matendawa amathandizidwa mothandizidwa ndi maphunziro omwe cholinga chake ndi kukonza kapamba. Hypoglycemia imazira kumbuyo. Chifukwa cha zabwino, ndikutheka kukhazikika kwa shuga m'magazi. Mkhalidwe waumunthu ukupita patsogolo.

Odwala a Oncology ayenera kukhala nthawi yayitali m'malo okonzanso. Zizolowezi zoyipa komanso kudya zakudya zochepa zimachepetsa chithandizo. Gastroenterologist ayenera kukhala mnzanu wapamtima ngati mukukayikira matenda a shuga a 3cancreatogenic.

Zizindikiro za pancreatogenicabetes mellitus

Tanena kale kuti kupangika kwa hyperglycemia wolimba ndi matenda otere nthawi zambiri kumatenga nthawi yayitali. Zizindikiro zoyambirira zomwe zikuwonetsa kuchuluka kwa shuga m'magazi nthawi zambiri kumachitika patatha zaka zochepa. Komabe, pankhaniyi, tikulankhula mwachindunji za kuperewera kwamatenda oyamba mu kapamba. Mu chifuwa chachikulu cha pancreatitis kapena atachitidwa opaleshoni, chithunzi cha chipatala chosonyeza hyperglycemia chimayamba msanga.

Nthawi zambiri, njira yotereyi imayendera limodzi ndi zizindikiro zofowoka. Hyperglycemia mpaka ma micromoles khumi ndi imodzi pa lita imodzi sindiwumvere. Komabe, kuwonjezeka kwina kwa glucose kumatha kubweretsa mawonekedwe owoneka ngati matenda akumakhala akumva ludzu, kuchuluka kwa mkodzo kumachotsedwa, komanso kufooka.

Nthawi zambiri, munthu wodwala amawonetsa chidwi chachikulu, kusintha kwam'maganizo. Pakufufuzidwa, khungu lowuma limapezeka. Odwala oterewa amakonda kutengera matenda amtundu komanso matenda opatsirana. Ndikofunika kudziwa kuti zizindikiro zonse pamwambazi zimayima mosavuta mothandizidwa ndi mankhwala ochepetsa shuga.