Zizindikiro komanso zochizira kunenepa

Kuopsa kwa matenda kwa anthu?

Udindo wa kapamba m'thupi umatsimikiziridwa ndi ntchito yake yapawiri: ndi gawo loyambira la chimbudzi ndipo ndilimodzi mwa dongosolo la endocrine. Chifukwa chake, njira zilizonse za pathological zomwe zimachitika mu gland zimasokoneza kagayidwe, zimayambitsa masinthidwe owopsa mu ziwalo zina. Pokhudzana ndi kupukusa chakudya chambiri, mafuta a hepatosis amayamba m'chiwindi - kuwonongeka kwa minofu ndikuwonongeka pang'onopang'ono kwa hepatocytes ndi kuyika kwa mafuta ambiri mumisempha. Izi zimasokoneza ntchito yake. Kusakhalapo kwa mankhwala a etiological ndi pathogenetic kumapangitsanso zovuta zomwe zikubweretsa moyo.

Chotupa cha ndulu chimakhudzidwanso, kulowetsa komwe kumalumikizana ndi pancreatic yodziwika ndikuyenda m'njira ya duodenum. Chifukwa cha zotupa m'matumba, makoma a Wirsung duct amasintha - amayamba kunenepa, ndikuwala kwake. Miyala ikhoza kupanga, cholecystitis imayamba chifukwa cha kusayenda kwa ndulu.

Pa magawo 2 ndi 3 a lipomatosis, kukula kwamafuta kumaphwanya kwambiri ntchito za kapamba. Koma ngakhale pamaso pa malo osinthika pang'ono osagwira ntchito, ma enzyme atapanikizika ndi ducts yopapatiza amatuluka kulowa mu minyewa ya minyewa ndikuyamba kugwira ntchito ya autolysis - kudzimbidwa kwa tiziwalo tamadutsamo. Pali kutupa, muzovuta kwambiri - necrosis, kusintha kwazovuta kwamkati, kusinthika kwa fibrotic ndi kuchepa kwamafuta kumapangidwa. Ndondomeko imapeza bwalo loipa ndikupanga fibrolipomatosis - madera osindikizidwa mawonekedwe a fibrosis ndi lipoid inclusions.

Matenda a kapamba amayamba, chifukwa pakapita nthawi amakhala ndi chikhalidwe:

• kukula kwa minofu
• kapangidwe ka zisindikizo ndi mfundo kuchokera ku minofu yolumikizana,
• kupezeka kwa ma fibroma ambiri.

Njira zodziwira matenda amisempha

Kuti muzindikire kusintha kwamafuta mu michere ya kapamba, njira zogwiritsira ntchito ma labotale ndi zothandiza zimagwiritsidwa ntchito. Njira yosavuta kwambiri komanso yotsika mtengo kwambiri ndiyowunikira ma pancreas ndi ziwalo zam'mimba. Ndiotetezeka, imagwiritsidwa ntchito ngakhale kwa makanda. Iyi ndi njira yothandiza yomwe imazindikira kusintha kulikonse mu ziwalo za ziwalo.

Ndikusintha kwamafuta m'mapako a pa ultrasound, kukula kwake kumatha kukhalabe kwabwinobwino, malire a thupi ali omveka. Kuchulukana kwachulukidwe kazinthu zina zimatsimikiziridwa, kuwonetsa momwe ma pathological akufotokozera. Izi zikuwonetsedwa ndi ma sign a echo okhala ndi ma pulows osasinthika:

• kunenepa kumawonetsedwa mu chithunzi cha ultrasound ndikuwonjezereka kwa echogenicity,
• fibrolipomatosis - mitengo yochepetsedwa, koma yotupa kwambiri chifukwa cha minofu yolumikizika.

Ngati munthu wapimidwa chifukwa china, kusintha kwamafuta m'matumba kumatha kupezeka m'magawo oyambilira ngati kupezeka kwa scan ya ultrasound. Akatsimikiziridwa ndi biopsy, chithandizo chanthawi yake chimaperekedwa, ndipo zimatha kupewa kupita patsogolo.

Muzochitika zokayikira MRI - kulingalira kwa maginito a kutsitsa kumayikidwa. Zimakuthandizani kuti mufufuze bwino bwino kapangidwe kake, kapangidwe kake konse, ngakhale gawo loyambirira. Pamene lipomatosis pa MRI itsimikiza:

• kukula kwa kapamba,
• masamba oyambilira
• minofu yafupika
• kusintha kwa minofu kapangidwe - kupukusa, kupukusa-knotted, knot.

MRI ndi njira yothandiza yomwe idalandila mayankho abwino kuchokera kwa akatswiri onse omwe akuthandizidwa pancreatic pathology (akatswiri azachipatala, othandizira ma gastroenterologists, madokotala othandizira opaleshoni) chifukwa chakuwonetsetsa kwambiri. Ili ndi malire angapo: pakati, pachipala chokumba chakunja, zidutswa zachitsulo mu chigaza.

CT imagwiritsidwanso ntchito - computer tomography yochokera ku ionizing radiation, chifukwa chake imaphatikizidwa mwa ana ndi amayi apakati. Kujambula kwa CT kumayikidwa ngati sikutheka pazifukwa zilizonse kukhala ndi MRI.

Udindo wofunikira pakufufuzaku umaseweredwa ndimayeso amalebhu. Kuti mupeze matenda amtundu wa chiwindi ndi chiwindi, tsimikizani:

• diastasis yamagazi ndi mkodzo,
• shuga m'magazi
• bilirubin - kwathunthu, mwachindunji, m'njira, transaminases - ALT, AST, GGT, mapuloteni athunthu ndi tizigawo.

Njira zochizira matenda

Lipomatosis ndi chotupa chofinya cha kapamba, koma m'magawo omaliza amaphwanya ntchito za chiwalo. Kusintha komwe kumachitika minyewa sikungasinthe, sikotheka kubwezeretsanso maselo otayika, chifukwa chake, ndizosatheka kuchiritsa zotupa zomwe zimapezeka m'matumbo. Chifukwa chake, chithandizo chake chimatengera matenda a matenda ndi gawo la vutoli ndipo cholinga chake ndi:

• kuchepetsa kuchepa kwa maselo amafuta a pancreatic,
• Kusunga minofu yathanzi,
• kukonza vutoli komanso kusowa kwa mahomoni.

Ndikofunikira kuti muzindikiritse nthawi moyenera ndikuyamba chithandizo. Ngati chomwe chimadziwika chitha ndipo chitha, chithandiza kuchepetsa kulowa kwa khungu. Mpaka pano, palibe chithandizo chamankhwala cha pancreatic lipomatosis. Kuphatikiza mankhwala kumaphatikizapo:

• kusintha kwa moyo
• zakudya zamankhwala
• mankhwala.

Nthawi zina, chithandizo cha opaleshoni chikugwiritsidwa ntchito ngati chithandizo cha njira zaumoyo sichingatheke.

Zakudya ndi gawo la moyo, komanso kuchepa thupi, kukana zizolowezi zoyipa. Amagwiritsidwa ntchito nthawi imodzi ndi njira zina zochizira. Poyamba, nthawi yokwanira imatsimikizika pomwe zakudya zina zimasiyidwa konse. Kutengera zomwe zadziwika, zakudya zapadera zitha kuperekedwa kwa moyo wonse.

Funso la kusankha njira zamankhwala limasankhidwira munjira iliyonse payekhapayekha, kutengera kusintha komwe kulipo mu kapamba.

Njira zopumira

Popeza chithandizo cha etiological ndi pathogenetic cha kusintha kwa chiwindi chamafuta sichikupezeka, chithandizo chamankhwala chimachitika. Adalangiza:

• kusiya zizindikilo,
• kuthetsa vuto,
• kusintha moyo wabwino.

Mankhwala othandizira ovuta omwe amagwiritsidwa ntchito ndi magulu angapo:

• odana ndi yotupa
• ma pinkiller
• antispasmodics
• enzymatic
• hepatoprotectors
• PPI (proton pump inhibitors), H2-blockers of histamine receptors omwe amachepetsa kupanga kwa hydrochloric acid m'mimba,
• othandizira antifoam omwe amathandiza kuchepetsa kupindika m'matumbo,
• hypoglycemic.

Mankhwala enieni, kuchuluka kwake ndi nthawi yake yoyendetsedwa ndi dokotala zimatsimikiziridwa ndi dokotala kutengera chizindikiro chomwe chilipo.

Zochita mosinthasintha

Kukula kwa zizindikiro sikuti nthawi zonse kumagwirizana ndi kuopsa kwa matenda. Zosintha pamafungo amisempha yocheperako wamba ndizopanda tanthauzo, popanda kubweretsa mavuto. Koma ngati zitatulutsidwa m'zikondamoyo pafupi ndi ma ducts, kufinya kwawo ndi kuphwanya kwakukulu kwamatumbo, komanso kuwonongeka kwambiri kwa ziwalo za thupi ndi kukula kwa necrosis kumatha kuchitika. Zikatero, chithandizo cha opaleshoni chimafunika.

Zisonyezero zothandizira opaleshoni ndikonso:

• kuchuluka kwakukulu kwa minofu ya adipose, komwe kumayambitsa kupsinjika kwa minofu yayikulu,
• kuphatikiza kwa lipomatosis ndi neignlasms woipa komanso woipa.

Zithandizo za anthu

Maphikidwe achikhalidwe chachikhalidwe nthawi zambiri amafotokozedwa, kutengera zophatikiza zingapo zamankhwala azitsamba zomwe zimachiritsa lipomatosis. Kusintha kwamafuta m'matumba a pancreatic ndi njira yosasinthika, ndipo mawonetseredwe azachipatala amachitika ngakhale ndi kusintha kwakukulu mu chiwalo, chomwe chimagwirizanitsidwa ndi kuzindikira mochedwa. Chifukwa chake, wowerengeka azitsamba sangabwezeretse ma cell otayika ndikuchotsa milomo yomwe idalowa m'malo mwake, koma amatha kuyambitsa zopweteka kapena kuyambitsa mavuto.

Sikulimbikitsidwa kuchiza matenda ovuta awa popanda kufunsa dokotala.

Zakudya zamatumbo

Cholinga chachikulu cha zakudya za pancreatic lipomatosis ndikuchotsa mafuta ochulukirapo komanso kunenepa kwambiri. Mfundo zake zazikulu:

• pafupipafupi zakudya zamafupipafupi (katatu patsiku m'magawo ang'onoang'ono),
• njira yophikira - yofunda, kuphika, kutumiza,
• kutsatira mphamvu moyenera komanso kudya mokwanira.

Chofunikira ndicho kupatula zakumwa zoledzeretsa ndi kusuta, zakudya zopatsa mphamvu kwambiri komanso zamafuta, kuchepa kwakukulu kwa zakudya za khofi, cocoa, chokoleti, tiyi wamphamvu. Kukana kwakanthawi kwakudya kumalimbikitsidwa: Kusala kwachithandizo kumakhala ndi zotsatira zabwino ndi kapamba, chifukwa chake akatswiri amawona kuti ndi njira yothandiza pakusintha kwa lipomatous m'mapapo. M'tsogolomu, chakudya chizikhala ndi kuchuluka kwa mapuloteni, ochepetsedwa - mafuta ndi chakudya.

Zakudya zopanda chilolezo zimaphatikizapo mafuta, okazinga, osuta, okoma ndi mchere. Zokonda ziyenera kuperekedwa kubzala zakudya. Zothandiza kwambiri ndizo dzungu, Yerusalemu artichoke, zukini, komanso buluwheat, mpunga ndi oatmeal, tiyi wobiriwira, zakudya zamafuta ochepa komanso mkaka wowawasa.

Zakudya za calorie tsiku ndi tsiku ndi 2,800 kcal.

Pankhani ya kuphwanya kwa pancreatic ntchito, zakudya zina zowonjezera tebulo No. 9 malinga ndi Pevzner yoletsedwa ndi chakudya. Zikatero, maziko a chakudyacho amayenera kuonedwa mosamalitsa, popeza kupatuka kulikonse kumayambitsa chiopsezo cha moyo komanso kusintha kosasintha m'matumbo a retina, impso, miyendo yam'munsi, ndi zotumphukira za miyendo.

Pokonzekera menyu, pali matebulo apadera omwe amalemba zomwe zaletsedwa komanso zovomerezeka, mtengo wawo wa caloric.

Kuneneratu Kuchiritsa

Kukula kwa lipomatosis kumadalira kuzindikira koyambirira, ngakhale kuli kovuta chifukwa chosowa Zizindikiro panthawiyi. Kuchuluka kwa minyewa yomwe yakhudzidwa, nthawi yake ya chithandizo chamankhwala komanso zakudya, kukana zizolowezi zolimbitsa thupi, masewera olimbitsa thupi, masewera olimbitsa thupi kuyambira nthawi yayitali. Amuna ayenera kusiya mowa kwathunthu kuti ateteze kukula kwa fibrolipomatosis.

Kutengera malingaliro onse a dokotala, kupititsa patsogolo kwa kusintha kwa mafuta mu kapamba kumatha.

Kupewa kufalikira kwa matenda

Kuti muchepetse kupitilira kwamphamvu kwa kusintha kwa mafuta mu kapamba, ndikofunikira kukhazikitsa zakudya zoyenera komanso machitidwe: ndikofunikira kuti musamadye kwambiri, kudya pang'ono komanso nthawi zambiri, kuchotsa zakudya zovulaza. Ndikofunikira kusintha moyo: kusiya mowa ndi kusuta, kusuntha kwambiri, kuchita zochizira zovuta. Lipomatosis imafuna kuthandizidwa ndi akatswiri oyenerera, chifukwa chake, ngati zizindikiro zakuwala ziziwoneka, muyenera kufunsa dokotala, osangodzisamalira. Kutengera ndi malamulowa, munthu akhoza kukwaniritsa zaka zochuluka zakhululukidwa.

Zizindikiro za kufinya minofu yapafupi

Kuvulala kwa peritoneum ndichizindikiro kuti kuphwanya kwamachitidwe a m'mimba kumachitika. Ndipo ndi mafuta steotosis, izi zimachitika nthawi zambiri, chifukwa maselo oterewa amatha kuchulukana mwachangu, kudzaza malo akulu okha. Momwe kufalikira kwamafuta kapamba kumachitika chimodzimodzi, izi sizimayambitsa nkhawa.

Komabe, kukulira kwazinthu kumatha kuchitika ma cell atayamba kupanga magulu. Munthu amakhala ndi chotupa chovomerezeka - lipoma. Yokha, siyokhala yankhanza ndipo singafanane ndi ziwalo zina; chifukwa chake, palibe chiopsezo ku ziwalo zoyandikana.

Koma zovuta zake zimawoneka pomwe mapangidwe a chotupa akukulira ndikuyamba kukanikiza pamatumbo, mathero amitsempha ndi ma pancreatic ducts. Izi zimayambitsa izi:

Mankhwala ochizira pancreatic steatosis

Pancreatic kunenepa kwambiri zovuta kuti achire zotsatira. Nthawi zambiri, akatswiri amapereka chithandizo chokwanira, kuphatikizapo:

• kukonza moyo wabwino wodwala,
• kumwa mankhwala
• kuchotsedwa kwa adipose minofu kudzera mwa opaleshoni.

Ngati khalidweli lithandizidwa kumayambiriro kwa njira ya pathological, ndiye kuti vutolo limayenda bwino nthawi yomweyo, ndipo ndizotheka kuchita popanda kugwiritsa ntchito mankhwala. Kuchepetsa kukula kwa mawonekedwe osasangalatsa a lipomatosis kungachitike pogwiritsa ntchito njira zotsatirazi:

• kusintha kwa zakudya
• kuwonda kwa wodwala
• kukana kumwa mowa
• kuchuluka zolimbitsa thupi.

Palibe amene angadalire kumwa mankhwala, chifukwa salola kuikidwa magazi. Udindo wa ambiri aiwo ndikungochepetsa mawonetsedwe osangalatsa a matendawa.

Mankhwala othandizira, mankhwala otsatirawa amagwiritsidwa ntchito:

1. Mankhwala okhala ndi tanthauzo la analgesic - Ibuprofen ndi fanizo lake: Nurofen, Brufen, Burana, Ibufen, Mig 200 kapena 400, Faspik ndi ena, komanso Drotaverin (No-shpa).
2. Njira zomwe zimathandizira kugaya chakudya: Pancreatin, Biozyme, Penzital, Mezim Forte ndi mankhwala ena okhala ndi michere yokugaya.
3. Mankhwala a Antidiarrheal: Loperamide, Diar, Lopedium, Imodium.
4. Mankhwala omwe amachepetsa nseru: Metoclopramide, Perinorm, Cerucal, Metamol.
5. Ma Antispasmodics omwe amachepetsa kukokana kwamatumbo: mebeverin hydrochloride ndi ma analogu achilengedwe - Mebeverin, Duspatalin, Sparex.

Kuphatikiza apo, wodwalayo angafunike kumwa mankhwala omwe amachepetsa mphamvu ya maholidi, kuchuluka kwa shuga m'magazi a shuga ndikupereka chithandizo chazomwe zimachitika.

Dokotala akazindikira hepatosis yamafuta, amawunika mkhalidwe wa wodwalayo ndikupereka mankhwala ena mwamankhwala malinga ndi zotsatira za mayeso. Ndipo popeza kuti mankhwala aliwonse ali ndi zotsatirapo zoyipa ndi zotsutsana, amayenera kumwedwa kokha moyang'aniridwa ndi adokotala.

Ngati wodwala atembenukira kwa katswiri pamene matendawo ali patsogolo, ndiye kuti simungathe kuchita popanda kuchitapo kanthu opaleshoni. Opaleshoniyo cholinga chake ndikuchotsa lipomatosis, koma izi ndizochepa chabe - minyewa ya adipose imasinthidwa ndi minofu yaying'ono.

Muzochita zachipatala, njirayi imalembedwa kawirikawiri, chifukwa pali zovuta zingapo pakukhazikitsa kwake komanso chiopsezo chovuta kwambiri. Malinga ndi akatswiri, osati mankhwala kapena opareshoni, koma kudya kunenepa kwambiri kwa chiwindi ndi kapamba kumachepetsa kwambiri chipangizocho.

Zakudya zamkati zamafuta

Ngati cholowa chamafuta chikapezeka m'gululi, ndiye kuti chimafunika kutulutsa kovomerezeka, popeza chitha kugwira ntchito zake mokwanira. Ngati tikunena za kapamba, ndiye kuti tiyenera kutsatira mfundo zotsatirazi zakudya:

1. Zakudya ziyenera kukhala zopindika - 5-6 pa tsiku pazigawo zing'onozing'ono.
2. Kuchuluka kwa chakudya chamafuta muzakudya kuyenera kukhala kochepa.
3. Zokonda zimaperekedwa ku zakudya zama calorie otsika.

Odwala omwe ali ndi kunenepa kwambiri amalimbikitsidwa kuti azikhala ndi zakudya zapadera malinga ndi tebulo la chakudya No. 5. Pankhaniyi, zinthu zingapo zoletsedwa:

• nsomba, nyama, mafuta ambiri,
• nyama zosuta, marinade, msuzi - mayonesi, ketchup,
• zonunkhira
• zinthu zomwe zingasungidwe
• mafuta amkaka,
• chakudya chokazinga
• confectionery ndi mbale zotsekemera.

Ndikofunika kuphatikiza mbale zotsatirazi menyu:

• masamba - atsopano, owiritsa kapena owotcha,
• msuzi wokonzekera msuzi wamasamba wopanda nyama yokhala ndi zitsamba zatsopano,
• msuzi wamkaka
• tchizi chamafuta ochepa
• tchizi chamafuta ochepa
• mafuta omwera,
• masamba casseroles
• oat, Buckwheat, mpunga ndi semolina phala, komanso mbewu izi monga mbale yam'mbali,
• zinthu zamkaka zamafuta ochepa: yogati, kefir, yogati, mkaka wowotchera.

Komanso, zakudya zimatanthawuza kuchepa kwa mchere wambiri mpaka 6-10 g patsiku. Gawo lofunika la chithandizo pamene mitundu yamafuta ikulowerera ndikutsatira kwadongosolo labwino. Pafupifupi, amalimbikitsidwa kumwa pafupifupi malita awiri amadzi patsiku. Mwa njira zosinthira zinthu, kuwotcha, kuwongolera ndi kuphika mu uvuni ndikofunikira.

Anthu ophikira maphikidwe olowera mafuta

Mankhwala osagwiritsidwa ntchito, monga mankhwala ovomerezeka, amapereka njira zingapo zochizira matenda monga kulowa m'mimba pancreatic. Chithandizo chimachokera pa kugwiritsa ntchito zida zochiritsa.

Mankhwala azitsamba sangathe kupulumutsa wodwala ku matendawa, koma amathandizira kapamba. Kukonzekera kwazitsamba kumeneku ndikothandiza kwambiri:

• valerian, hypericum, calendula ndi nettle,
• wosachiritsika, mbewa komanso chiwongola,
• stigmas, timbewu tonunkhira ndi mafuta a fennel,
• zitsamba za tsitsi, matsamba, maluwa a birch ndi maluwa a calendula,
• tsamba la timbewu tonunkhira, geranium, chomera, mbewu za katsabola ndi masamba a birch,
• Muzu wa primrose, medunica, maluwa a mullein, violet ndi tsamba la rasipiberi,
• maluwa a meadowsweet, motsatizana, plantain, muzu wa zofukizira ndi dandelion,
• zipatso za mbalame chitumbuwa, maluwa chamomile, muzu wa elecampane, magazus ndi marshmallow.

Ma infusions amakonzedwa mophweka - zigawo zake zimaphwanyidwa pogwiritsa ntchito chopukutira kapena chopukusira nyama, chothira madzi otentha. Ndikofunika kuphika chida chotere mu thermos kotero kuti amadzimadzi amathiridwa kwa maola 8-10. Nthawi zambiri, infusions ndi decoctions amatengedwa katatu patsiku, ndipo nthawi yayitali ya mankhwala ndi masabata 10-12. Pambuyo pakupuma kwa sabata la 2, kudya kwa infusions kumatha kupitilizidwa molingana ndi zomwe zidagwiritsidwa ntchito kale.

Ubwino wa mankhwala azitsamba ndikutha kugwiritsa ntchito decoctions ndi infusions kuphatikiza ndi mankhwala ena. Koma poyamba, ndibwino kukambirana ndi dokotala.

Kodi kunenepa kwambiri kwa kapamba kumachitika motani? Momwe mungazindikire zizindikiro ndikupereka zakudya zoyenera ku hepatosis, kulowetsedwa kapena mafuta oblique? Kodi matenda ndi chiyani?

Zowopsa

Pancreatic lipomatosis - kunenepa kwambiri kwa kapamba.

Chifukwa chomwe anthu ena amakhala ndi lipomatosis, pomwe ena satero, sichidziwika.

Komabe, kafukufuku wochitidwa amatipangitsa kuti tizindikire zinthu zina zoopsa, chifukwa chake kupangika kwa maselo osafunikira amafuta m'matumba kumachitika.

Nthawi zambiri zomwe zimapangitsa kuti lipomatosis ichitike:

1. mbiri ya kapamba pachimake
2. matenda apakhungu apano
3. kumwa kwambiri mowa,
4. olemedwa ndi chibadwa,
5. matenda ashuga amakono kapena chiwindi chachikulu,
6. kunenepa
7. kuchuluka kwa mahomoni a chithokomiro.

Zoti zinthu zomwe zili pamwambazi zimatha kudzetsa kukula kwa lipomatosis sizitanthauza kuti iwo omwe ali ndi chibadwidwe chamtunduwu amadzayamba kunenepa kwambiri. Komabe, pakalibe zinthu zonsezi, matendawa pafupifupi samayamba.

Etiology ndi pathogenesis

Kukula kwa matendawa kumatengera njira zomwe zimayambitsa kusintha kwa ziwalo kapena kuyambitsa kuwonongeka kwake.

Choyamba, kupezeka kwamafuta am'mimba kumayenderana ndi matenda monga pachimake kapena kupweteka kwa kapamba ndi matenda a shuga.

Mankhwala ena kapena zinthu zina zapoizoni zomwe zimatha kuwononga maselo a ziwalo zimatha kuyambitsa mphamvu ya mafuta m'thupi.

Udindo wina ndi gawo la cholowa, kuvulala kwa kapamba ndi njira zina zamatumbo zomwe zimagaya chakudya (chiwindi, m'mimba ndi duodenum ndi zina).

Zotsatira zake zimakhudzidwa ndi kusokonezeka kwa ma pituitary control kapena kuchepa kwa mahomoni a chithokomiro.

Maselo okufa amasinthidwa ndi chinthu china cholumikizira kapena minofu ya adipose. Izi ndizofunikira kuti thupi likhalebe ndi mawonekedwe komanso umphumphu. Nthawi yomweyo, zomwe zidalowetsedwa sizigwira ntchito zofunika, chifukwa chake, ntchito ya chiwalo imasokonekera pang'onopang'ono.

Ngati kuchuluka kwa zotupa kumakhala kochepa, ndiye kuti njirayi imatenga nthawi yayitali osazindikira. Koma "kubadwanso" komweko ndikapita ndikugwira gawo lina la chiwalo, ndiye kuti wodwalayo amakhala ndi zisonyezo zokhudzana ndi kusayenda bwino kwa nduluyo.

Zoyipa Pancreatic

Chifukwa cha kuchepa kwa peresenti ya athanzi, omwe nthawi zambiri amagwira ntchito mothandizidwa ndi omwe akhudzidwa, chimbudzi chimasokonekera. Makamaka kwambiri kudziwa zakudya zama protein ndi chilichonse mafuta. Munthuyu ali ndi izi:

• nseru
• kupweteka m'mimba
• chisangalalo
• kuwonda, kupweteka pamimba,
• chopondapo pafupipafupi, momwe mumapezeka mafuta ndi zinthu zina zosayera.

Chifukwa cha matendawa, kupanga mahomoni kumalephera. Zotsatira zake, zovuta za endocrinological zimayamba. Kukula kwakukulu, izi zimagwira ntchito pa carbohydrate metabolism. Nthawi yomweyo, kuchuluka kwa shuga kumawonjezeka kwambiri.

Mlingo wa kapamba wa kapamba

Poganizira magawo omwe matenda amakula pakakulidwe kwake, madigiri atatu a njirayi amatha kusiyanitsidwa:

• Gawo 1 - lipomatosis imagwira pafupifupi 30% ya chiwalo, pomwe kuchepa kwa ntchito ya gland kumakhala koyenera (nthawi zambiri, pakadali pano, matendawa ndi asymptomatic kwathunthu),
• 2 digiri - lipomatosis imafalikira mpaka 30-60% ya tiziwalo tamadontho,
• Gawo lachitatu - minofu ya adipose imafalikira kupitirira 60% ya kuchuluka kwa kapamba (pali chipatala chowala cha matenda omwe amaphatikizidwa ndi kupukusa ndi endocrine kusakwanira).

Zimayambitsa pancreatic dystrophy

Chifukwa chachikulu chomwe chikutsogolera mafuta amayambika ndikusokonezeka kwa kayendedwe ka metabolic komwe kamachitika mthupi.

Zotsatira za kukula kwa matendawa, kufa kwa maselo a pancreatic kumachitika. Ndipo m'malo mwa maselo akufa pamakhala madipoziti amafuta.

Kukhazikitsidwa kwa njira yolowa mmalo ndi thupilo kumathandiza kuti thupi likhalebe lolimba.

Nthawi zambiri, matendawo amapezeka mu zotsatirazi:

• ngati matenda a pancreatitis aakulu kapena pachimake m'thupi,
• chithandizo chokwanira kapena chosasankhidwa molakwika cha kutupa komwe kwapezeka m'maselo a kapamba,
• uchidakwa
• kukula kwa kunenepa kwambiri m'thupi,
• chibadwire.

Nthawi zambiri, kupita patsogolo kwa matendawa kumaonedwa mwa okalamba. Chiwindi ndi chiwalo chomwe, mpaka zaka 40, chimatha kulimbana ndi zovuta zomwe zikubwera, koma patatha zaka 40, zosungirako zamthupi zimatha, zomwe zimapangitsa kuti kutaya kwa minyewa ya chiwindi kuthane ndi mavuto omwe akutuluka.

Kuti athetse matendawa, wodwala amayenera kuthandizidwa osati chokhacho chomwe chasintha, komanso zovuta zomwe zimayenderana ndi zomwe zimapangitsa kuti matendawa atukuke.

Kupweteka kwam'mimba ndi chizindikiro cha kuphwanya kwam'mimba.

Maselo amafuta amatha kukula, ndikudzaza malo akulu. Zotsatira zake, minofu ya adipose imakula, yomwe imatenga malo ochulukirapo kuposa maselo athanzi isanachitike.

Ngati maselo amafuta agawidwa paliponse ndimalinso, ndiye kuti izi sizingabweretse mavuto. Vutoli limakulirakulira maselo atasonkhana m'magulu.

Kenako amayamba kulankhula za lipoma, chotupa chovuta. Palibe chomwe chimawopsa m'mutu mwake, chifukwa sichidzapereka metastases, zomwe zikutanthauza kuti sizingavulaze ziwalo zoyandikana.

Mavuto amabwera pamene chotupacho chikukula mpaka kukula kotero chimayamba kupanikizana ndi zotengera, zotumphukira, ndi mapeto amitsempha. Kuonekera koteroko kumadzetsa zowawa, nseru, ulemu, ndi zizindikiro zina zosasangalatsa.

Chithunzi cha chipatala, zizindikiro za lipomatosis

Zizindikiro zambiri za matendawa ndi monga:

• kupweteka kosiyanasiyanaku, kumva kusasangalala kapena kutonthola mukulumikizidwa kwa England, zomwe zimakhudzana mwachindunji ndi chakudya,
• Zizindikiro zam'mimba monga mseru, kusanza, kutuphuka ndi kuyambitsa m'mimba.
• Odwala nthawi zambiri amakhala onenepa kwambiri, owopsa komanso owopsa,
• Ndi njira yomwe ikuchitika, wodwalayo amathanso kukhala ndi shuga, zomwe zimapangitsa kuti matenda komanso matenda ashuga azikhala bwino.

Zakudya za lipomatosis

M'moyo watsiku ndi tsiku, pali lingaliro kuti kuchepetsa kuchuluka kwa mafuta muzakudya kumathandizira kuyimitsa lipomatosis. Awa ndi abodza.

Ngakhale kukhetsa mafuta kwakanthawi sikungaletse kuchepa kwa maselo athanzi m'maselo a mafuta. Kukula kwa lipomatosis sikukugwirizana mwanjira iliyonse ndi zakudya. Komabe, ndibwino kupatula mafuta. Izi zitha kukhala ndi zotsatira zopindulitsa thupi:

• mpumulo wachipani
• kuchotsa mapaundi owonjezera.

Kuchepetsa kuchuluka kwa mafuta omwe akubwera kumathandizira kuti vutoli lithe, zizindikiro zambiri zamatenda zimachepa, zimayamba kuchepa. Pakanalibe mawonetseredwe akunja a matendawa, titha kuyankhula za magwiridwe osungidwa a kapamba.

Izi zikutanthauza kuti ma ducts onse amagwira ntchito moyenera, samatayidwa ndi minofu ya adipose. Ndi magwiridwe antchito a kapamba, kuletsa mafuta m'magawo kumathandiza kuti muchepetse thupi, koma sikungakhudze kupititsa patsogolo kwa matendawa.

Kuzindikira ndi kuchiza matenda a England

Njira zodziwira matendawa zikuphatikiza kuyezetsa kwakanthawi kachipatala ndikusonkha zambiri zokhudzana ndi mbiri yamatenda, ambiri, ndipo ngati kuli kotheka, kuyezetsa magazi mwatsatanetsatane. Kuunika kwa biopsy ndi hardware kumathandizira kumveketsa matendawa: ultrasound, CT kapena MRI.

Chithandizo cha hepatosis cha kapamba chimayamba ndi kulimbana ndi zizolowezi zanu. Ngati zomwe zikuyambitsa matendawa zili pakumwa zakumwa zoledzeretsa - ziyenera kuchotsedwa kwathunthu ku mankhwalawa, apo ayi zonse zidzatha mwachangu komanso moipa.

Zofunika! Idyani nthawi zambiri 5-6 patsiku, koma ochepa. Ponena za zakudya, odwala omwe ali ndi matenda a hepatosis amadzipaka okhawo amafuta, osuta, okometsera, amchere, zakudya zama acid komanso mbale zomwe zimakonzedwa ndi ntchito yawo. Kugawana ndi mapaundi owonjezera ndikofunikira kuti mumenye nkhondo yolimbana ndi matendawa.

Ponena za mankhwala osokoneza bongo, amapezeka, kutengera ndi zizindikiro, za ma immunostimulants, mankhwala omwe amathandizira ntchito ya chiwindi, ndipo izi, monga lamulo, mankhwala ogwiritsidwa ntchito pogwiritsa ntchito mankhwalawa amkaka wam'mimba, michere yam'mimba, ma pinkiller, ndi mankhwala osokoneza bongo. Pankhani ya zovuta zapancreatic, kuwonjezera mwa mawonekedwe a insulin group kukonzekera ndikotheka.

Dziwani kuti pamene gawo lopitirira theka la ziwalo za thupi limakhudzidwa ndi matendawa, kulowererapo kwa opaleshoni kukuwonetsedwa komwe kumapangitsa kuti tiziwalo timene timamasulidwa ku "coco" lamafuta. Opaleshoniyo ndi yovuta kwambiri komanso yoopsa, chifukwa chake amachita izi makamaka muzovuta kwambiri.

Dziwani kuti kupewa mafuta osagwiritsa ntchito mafuta kumawononga mtengo wodwala wotsika mtengo kuposa chithandizo chake. Ndikokwanira kuyang'anira mosamala kuti kulemera kwanu sikuposa chovomerezeka kwa inu, chomwe muyenera kudya moyenera.

Mukapatula mowa pazakudya, mumalepheretsa matenda ena mwayi wokhala mthupi lanu. Osamagwiritsa ntchito maswiti, koloko, kuwunikira momwe akumvera, ndipo koposa zonse - onani pafupipafupi momwe thupi liliri, potengera akatswiri.

Kukhalapo kwa zodandaula mwa wodwala zokhudzana ndi dyspeptic ndi sensation ululu kumathandizira dokotala kuti azikayikira njira zamatumbo zomwe zimakhala mu kapamba. Mbiri ya matenda am'mbuyomu mu chiwalo (mitundu yosiyanasiyana ya kapamba, matenda a shuga ndi ena) imayang'aniridwa. Dokotala amafotokozera kudalira kwa zizindikiritso pazakudya zambiri ndi zina.

Mokulira zimatengera mkhalidwe wa khungu la wodwalayo, kuchuluka kwa thupi kapena kunenepa kwambiri. Pa palpation m'dera la cholocha cha England pali kupweteka kapena kumva kusasangalala. Lilime la wodwala ndilovala zoyera.

Zambiri za labotale sizimawonetsa chithunzi chenicheni cha zomwe zikuchitika. Ndi kuopsa kwa njirayi, kusayenerana kwa zizindikiro za enzyme kumawonedwa. Kuyesa kochulukirapo kumachitika, cholinga chake ndicho kudziwa kuchuluka kwa kuphwanya kwazinthu za chofufumitsa (kudziwa kuchuluka kwa kuphwanya, kuchuluka kwa kusakwanira, ndi zina zambiri).

Udindo wapadera pakuwonetsetsa kuti mafuta achilengedwe ndi osathandiza:

• kuwunika kwa radiograph kumakupatsani mwayi wowona malo olowetsa ndere, timuyo tating'ono, etc.
• Ultrasound imawulula mwachindunji malo osinthira mafuta, malo omwe amagawidwa, kukula kwa ziwalo, kuchuluka kwa zigawo zina ndi zina zambiri,
• SCT ndi MRI ya kapamba amakhala ndi chidziwitso chodziwikiratu chazidziwitso komanso chofunikira kwambiri pakupanga kuzindikira koyenera.

Njira zopewera

Zakudya zoyenera ndizothandiza kupewa kunenepa kwambiri.

Mafuta a pancreatic amatha kupewedwa, koma osachiritsidwa.

Chifukwa chake, ndikofunikira kuchita zingapo zosavuta kuti mukhale ndi thanzi komanso osakumana ndi kufunika kochiza matenda a lipomatosis. Upangiri wa akatswiri popewa matendawa ndi motere:

1. Kunenepa.
2. Kukana mowa.
3. Kukana mafuta.
4. Kuchotsedwa kwa zovuta pamoyo.

Imafooketsa kapangidwe ka kapamba ndi kusuta, motero ndi bwino kukana. Kupatula apo, kapamba ndi chifukwa cha kusuta, ndipo lipomatosis imayamba chifukwa cha kapamba. Popewa kukula kwa kunenepa kwambiri kwa pancreatic, ndikofunikira kuti chiwindi, impso ndi ziwalo zina zamkati zizikhala bwino. Ndikofunikira kwambiri kuti chiwindi chizigwira bwino ntchito.

Kodi mwazindikira kulakwitsa? Sankhani ndikusindikiza Ctrl Enter kuti mutiwuze.

Gawani nkhaniyi ndi anzanu pa tsamba lanu lolimba pogwiritsa ntchito mabatani ochezera. Zikomo!

Mitundu ndi madigiri a pancreatic dystrophy

Kutengera mtundu wa zosintha zomwe zidachitika mu kapamba, machitidwe azachipatala, kusinthaku kumaikidwa m'magulu angapo.

Kusintha kovuta ndi chikhalidwe cha lipomas minofu, maselo a lipid amakonda kukulira limodzi ndi minofu ya minofu, malire a minyewa yabwinobwino komanso yamatsenga amatsukidwa.

Nodular dystrophy imadziwika ndi mapangidwe omwe amakhala ndi ma symmetrically, amawazunguliridwa ndi kapisozi kapadera. Nthawi zambiri, mawonekedwe amitsempha yamagetsi ambiri. Maganizo osakanikirana amaphatikiza mawonekedwe a mitundu iwiri yapitayi.

Kusintha kovuta mumapensulo mwa mtundu wamafuta obisika kumawerengedwa molingana ndi kuopsa kwa njirayi. Pali madigiri atatu:

• Digiri yoyamba. Kunenepa kwambiri kwatenga pafupifupi 30% ya thupi, pomwe mphamvu zake zimagwira. Pakadali pano, matendawa samayenda ndi zizindikiro zilizonse,
• Digiri yachiwiri imadziwika ndi kufalikira kwa minyewa ya lipid ndi 50-60% ya chiwalo chonse, kusachita bwino kwa kapamba kumadziwika,
• Digiri yachitatu - lipid minofu oposa 60%. Pali chiwonetsero chazachipatala chowala cha matenda, omwe amayamba chifukwa cha kupukusa ndi kuperewera kwa endocrine.

Akatswiri ambiri azachipatala sagwirizana ndi gawoli, chifukwa nthawi zambiri digiri yoyamba imakhala yovuta kwambiri kuposa gawo la 2-3 la matendawa.

Zomwe zimayambitsa ndi Zizindikiro zakuwoneka kwamafuta gland dystrophy

Mu pathogenesis ndi njira zomwe zimayambitsa kusunthika kwamphamvu mu chiwalo kapena kumayambitsa kuwonongeka kwa poizoni. Choyamba, mafuta pancreatic kulowetsedwa amakula chifukwa cha matenda: matenda a shuga, pachimake ndi mawonekedwe a kapamba.

Mankhwala ena kapena zinthu zina zapoizoni zomwe zimakhala ndi zowononga m'maselo a ziwalo zimatsogolera pakusintha kwachinyengo. Udindo wofunikira mu genesis umaperekedwa ku kutengera kwa chibadwa, kuvulala kwa kapamba.

Matenda ena am'mimba amachititsa kuti mafuta asinthe:

1. Matenda a chiwindi.
2. Cholecystitis.
3. KDP.
4. Mavuto am'mimba, matumbo.

Hormonal usawa mu thupi imakhala ndi zosakhudzika pakukula, makamaka kuchepa kwa kuchuluka kwa mahomoni a chithokomiro. Nthawi zambiri, limodzi ndi "kukonzanso" kwa chithokomiro, kuwonongeka kwa minyewa ya chiwindi kumawonedwa, hepatosis imapezeka.

Ndi kapamba, zovuta zina nthawi zambiri zimabuka. Parapancreatic kulowetsedwa kumachitika chifukwa cha kutupa - uku ndi kuyankha kwamthupi kwa minofu necrosis. Zotsatira zomwe zingatheke zimaphatikizanso resorption, mapangidwe a pancreatic cysts, purulent process.

Dystrophy ya gland ndi asymptomatic, koma nthawi zina, minofu ya adipose pamutu kapena mchira wa chiwalocho imatha kupondereza ma ducts, omwe amatsogolera kumverera kowawa ndi zizindikiro zina kumayambiriro.

Kodi mafuta olowetsa pancreatic, amapezeka. Ganizirani za chipatala cham'tsogolo:

• Ululu wamalingaliro osiyanasiyana mwamphamvu, pakuphatikizika kwa ndulu, kumva kosasangalatsa komanso kupsinjika - kumachitika mutatha kudya,
• Mawonetseredwe a Dyspeptic - kuukira kwa mseru, kusanza, kuchuluka kwa mpweya, kupweteka kwam'mimba,
• Lethargy ndi malaise wamba (nthawi zambiri odwala omwe ali onenepa kwambiri nthawi zambiri amadandaula).

Pa gawo lotsogola la pancreatic steatosis, shuga m'magazi amayamba kudzikundikira, chifukwa minyewa singathe kugwira ntchito bwino, zomwe zimayambitsa matenda a shuga ndi zovuta.

Pancreatic lipomatosis mankhwala

Njira yosinthira thupi ndi chinthu choopsa chomwe sichingabwezeredwe ngakhale mothandizidwa ndi mankhwala. Tiziwalo tomwe tasinthidwa kale samasinthika kukhala ma cell athanzi. Koma izi sizitanthauza kuti chithandizo sichofunikira. Kuchita bwino kwantchito kungachepetse kupita patsogolo kwa matenda.

Odwala amalimbikitsidwa kusintha moyo wawo - zakudya, zolimbitsa thupi, kuchepa thupi. Kuchokera pachakudya, amafunika kupatula mbale zonse zamafuta, kusiya njira yophika - yokazinga. Ndikosayenera kumwa mowa, popeza mowa umalimbitsa zovuta zapakhansa. M'pofunika kusiyira mankhwala omaliza. Zinthu zomwe zimakhala ndi mafuta a lipoid (masamba) zimaloledwa pang'ono.

Kuti muchepetse kupsinjika kuchokera ku chiwalo chofooka, chakudyacho chimaphatikizapo kumwa kwa zipatso zambiri komanso masamba ambiri, msuzi wachilengedwe. Idyani nthawi zambiri, koma pang'ono.

Ndikofunika kuwona mtundu wa zakumwa. Kugwiritsa ntchito madzi oyera mokwanira kumathandizira kusintha kagayidwe kachakudya mu thupi, kuphatikiza mu ndulu yeniyeniyo. Wodwala amafunika kumwa kuchokera ku malita awiri amadzi patsiku.

Ngati mumanyalanyaza zotsatira za ultrasound yowonetsa njira yopopera, ndiye kuti wakupha. Posachedwa maselo onse athanzi adzasinthidwa, ndulu zimasiya kugwira ntchito. Kuneneratu za chithunzi choterocho sikotonthoza.

Cholinga cha chithandizo chosasamala ndikubwezeretsanso njira yotseguka, njira yochiritsira imachitidwanso. Gawani othandizira omwe ali ofanana ndi zinthu zopangidwa ndi kapamba:

Kuti muteteze chiwindi ndikuwongolera ntchito yake, ndikulimbikitsidwa kugwiritsa ntchito hepatoprotectors. Pofuna kuthana ndi matenda am'mimba, m'mimba mumagwiritsidwa ntchito mankhwala omwe amachepetsa ntchito ya madzi am'mimba (proton pump inhibitors). Maantibayotiki amatchulidwa pokhapokha ngati kachilombo ka bacteria kakukula m'thupi.

Wodwala akakhala ndi vuto la insulin, mankhwala ogwiritsa ntchito mahomoni amagwiritsidwa ntchito pochiza, omwe amathandizanso kuchuluka kwa shuga. Kuphatikiza apo, mutha kugwiritsa ntchito njira zina (ma decoctions ndi infusions ndi zitsamba), zomwe mukufuna kuti muchepetse shuga. Mankhwala a chamomile, yarrow, dieelle, masamba a plantain, masamba a birch ndi mbewu zamankhwala zomwe zimathandiza kupewa kusintha kwa dystrophic mu kapamba.

Zambiri pazizindikiro za matenda a kapamba zimaperekedwa mu kanema munkhaniyi.

Zizindikiro zapamwamba zakuthamanga

Pancreatic steatosis amatanthauza matenda omwe alibe msanga, ndipo ndizosatheka kuzindikira wodwalayo poyambira. Chifukwa cha kusowa kwa matchulidwe, matendawo samadziwika kwa nthawi yayitali. Zizindikiro zoyambirira za steatosis zimawoneka pokhapokha kukula kwa mafuta kumakhala kwakukulu (oposa 20%).

Chithunzi cha chipatala cha pancreatic steatosis chimakhala ndi madandaulo a odwala a mseru, kusokonezeka kwa chifuwa (kutsegula m'mimba), kutentha kwapadera kwapakati ndi bloating (flatulence). Zizindikiro zomwe zimawonetsa kukhalapo kwa mafuta a lipomatosis ndi ululu pamimba kumtunda pansi pa nthiti. Nthawi zina ululu umatha kukhala wopindika.

Odwala omwe ali ndi steatosis, chilonda chimachepa, kufooka, kuwodzera kumawonekera, ndipo chitetezo chochepa chimachepa. Thupi lawo siligwirizana limatha kuchitika mwa kuyabwa kwa zakudya zomwe kale zimadziwika. Nthawi zambiri, kuyabwa kumakhala m'malo mofatsa ndipo kumafanana ndi kumverera kochepa. Chizindikiro chodziwika bwino cha mawonekedwe apamwamba a pancreatic steatosis ndi mtundu wambiri wa pakhungu, mucous nembanemba ndi mapuloteni amaso.

Mankhwala a Steatosis

Chikhansa ndi chimodzi mwazofunikira kwambiri mthupi, chomwe chimagwira ntchito zingapo, motero, kupatuka kulikonse mu ntchito yake kumayambitsa kuwoneka kwa matenda ambiri oyipa. Mokumana ndi pancreatic steatosis, ambiri ali ndi chidwi ndifunsoli, kodi ndizotheka kuchotsa matenda. Kulowetsedwa kwamafuta sikungathetsedwe, ndizotheka kokha ndi chithandizo chakanthawi kuti muchepetse chitukuko chake komanso kuti tisasinthe.

Kudzipangira nokha sikofunikira, chifukwa nthawi zambiri kumatha kubweretsa zotsatirapo zoipa. Katswiri wokha ndi amene angadziwe momwe angachiritsire matenda omwe amayenda ndi zofooka. Mukakumana ndi dokotala, wodwalayo amapima mayeso athunthu, kuphatikizapo mbiri yakale yakuchipatala, mayeso ndi zida zofufuzira za ziwalo zamkati (ultrasound, MRI, ndi zina). Pambuyo povomereza zotsatira zake, wodwalayo amapatsidwa chithandizo chomaliza ndipo amamuthandiza.

Chithandizo cha mafuta lipomatosis zitha kuchitidwa mwamphamvu kapena operatively. Njira yayikulu yothandizira ndikuchotsa zomwe zimapangitsa kuti pakhale kusowa kwamafuta mthupi. Pa vuto lililonse, munthu amapanga njira yodziwira zinthu zomwe zimaganizira zinthu zambiri: kutengera kwa zotupa zamafuta, gawo lachitukuko, mkhalidwe wa wodwalayo komanso m'badwo wake. Pakachitika kuti gawo la chakudya cham'mimba limakhudzidwa pang'ono ndikuthanso kugwira ntchito mokwanira, chithandizo chimangokhala pakumwa mankhwala, kusiya zizolowezi zoipa ndikutsatira zakudya. Mankhwala osokoneza bongo amakhala ndi kuperekedwa kwa mankhwala monga:

• Ma enzyme (amathandizira kapamba ndikuthandizira kugaya chakudya),
• mankhwala a antisecretory kapena proton pump inhibitors (oletsa mapangidwe a hydrochloric acid m'mimba),
• mafuta blockers (ziletsa mayamwidwe ndi mayamwidwe mafuta mu m'mimba thirakiti),
• ma pinkiller
• maantibayotiki
• antiemetic and antidiarrheal agents,
• mavitamini zovuta.

Pankhani ya zotupa zochulukitsa za England ndi zotupa zamafuta zomwe zimalepheretsa magwiridwe ake ntchito, amachitidwa opareshoni. Kuthandizira opaleshoni kumatha kuchitika m'njira ziwiri. Kusiyana kwawo kofunikira ndi mtundu wofikira pa intaneti. Malinga ndi izi, opaleshoni ya laparotomy ndi laparoscopic imasiyanitsidwa. Poyerekeza ndi opaleshoni yam'mimba yakale, njira za endoscopic ndizosavuta kwambiri ndipo nthawi yochira pambuyo pawo imakhala yachangu komanso yopweteka.

Zakudya za pancreatic steatosis ndiye gawo lalikulu la chithandizo. Zakudya zopatsa thanzi ziyenera kukhala zopatsa mphamvu zochepa, zimakhala ndi mapuloteni olimbitsa thupi omwe ali ndi malire oletsa mafuta ndi chakudya. Ndikofunikira kukumbukira kuti zakudya ziyenera kukhala zopindika - muyenera kudya maulendo 5-6 patsiku, koma m'malo ochepa. Potengera chakudyacho, wodwalayo ayenera kudya zakudya zowiritsa kapena zonona. Ndikoletsedwa kugwiritsa ntchito yokazinga, mafuta, amchere, osuta, zonunkhiritsa. Zakudya zowawasa ndi zamzitini ndizoletsedwa. Ndikofunika kusiya kumwa mowa ndi fodya. Kuchokera pachakudya, muyenera kuchotsa maswiti ndi ma bun. Sitikulimbikitsidwa kugwiritsa ntchito zinthu zamkaka zokhala ndi mafuta ambiri.

Muyenera kuyiwala za zakumwa za khofi ndi kaboni. Mutha kumwa mopepuka tiyi wakuda kapena wobiriwira. Menyu yatsiku ndi tsiku imayenera kukhala ndi zinthu zomwe zimathandizira kuthamanga ndi kuchotsa kwa mafuta. Izi zimaphatikizapo nsomba zamafuta ochepa, ng'ombe yophika ndi nkhuku, soya, buttermilk, tchizi chamafuta ochepa kapena zochepa zamafuta (osaposa 5%).

Ndikofunika kupatsa chidwi ndi msuzi wopepuka wokhala ndi chimanga ndi masamba. Pakuphika chimanga, ndibwino kugwiritsa ntchito mpunga, hercules ndi buckwheat. Kuyambira masamba omwe mungadye: mbatata, zukini, biringanya, dzungu, radish, nkhaka, kolifulawa, phwetekere.

Makina opangidwa mwaluso ayenera kuwonedwa nthawi zonse. Kutsatira kwambiri chithandizo chamankhwala othandizira kungakuthandizeni kupewa zovuta komanso kupita patsogolo kwa matendawa.

Kuwonongeka kwamafuta kwa kapamba: ndi chiyani?

Kuwonongeka kwamafuta kwa kapamba, kulowetsedwa, steatosis kapena lipomatosis - onsewa ndi mayina a matenda omwewo. Chomwe chimatulutsira matendawa ndi kusinthasintha pang'onopang'ono kwa maselo a ziwalo wamba kukhala ma membala ofunikira kapena a adipose, omwe sangathe kugwira ntchito zingapo zapadera zomwe zapatsidwa kwa kapamba. Nthawi zambiri izi zimachitika motsutsana ndi maziko a njira yotupa yotenga nthawi yayitali, pansi pazinthu zoterezi, thupi limayesetsa kukhalabe ndi mawonekedwe ndi kukhulupirika, motero limayamba kusintha maselo owonongeka ndi mawonekedwe a mtundu wina. Mapeto ake, izi zimapangitsa kuti gland igwire bwino ntchito komanso kulephera kupanga michere yokwanira kugaya chakudya.

Monga lamulo, kusintha kwa dystrophic kumachitika mwa wodwala kwazaka zambiri, motero munthu samamva chilichonse chomwe chingakhale chizindikiro chodandaula. Komabe, pakapita nthawi, m'mene izi zikuyendera, madera a dystrophic atayamba kukhala ndi gawo lalikulu la kapamba, chizindikiro china chake chimayamba, chikuwonetseratu kuti mtundu wina wa kusowa bwino kwa ntchito kumachitika mthupi.

Ndani ali pachiwopsezo chotenga matenda amisempha?

Lipomatosis imakula popanda maziko, nthawi zambiri imayambitsidwa ndi zochitika zina: zizolowezi zoyipa za wodwalayo, kuperewera kwa zakudya m'thupi, kapena kupezeka kwa matenda ena osachiritsika.

Malinga ndi izi, magulu a anthu omwe atenga nawo gawo pang'onopang'ono pakukula kwa mafuta opanikizika amapezeka:

• Zidakwa
• Anthu odwala matenda ashuga
• Anthu onenepa kwambiri kapena onenepa kwambiri
• Odwala a kapamba - lipomatosis pamenepa amayamba ngati vuto la matendawa),
• Anthu omwe zakudya zawo zimakhazikitsidwa ndi zakudya zamafuta ndi zokazinga, komanso iwo omwe amaphwanya zakudya mwadongosolo pamaso pachitetezo cha ziphuphu.

Malinga ndi akatswiri, cholowa pa nkhaniyi chimakhalanso ndi gawo lofunikira, motero, sizoyenera kuilemba.

Zizindikiro za pancreatic steatosis

Kusintha maselo abwinobwino ndi maselo amafuta omwe sangathe kugwira ntchito ndikuchita zomwe maselo am'mbuyomu ndi njira yomwe sikuyenera kusintha. Nthawi zambiri, matendawa amapezeka mwanjira yapadera, izi zikusonyeza kuti wodwalayo samakayikiranso zakuphwanya komwe kumachitika mthupi lake. Monga lamulo, amaphunzira izi pa scan ya ultrasound, kukhazikitsa komwe nthawi zina sikumakhudzana kwenikweni ndi chiphunzitsochi.

Steatosis imayamba kupitilira zaka zingapo, kotero, zizindikiro zake zimatha kudziwonetsa patatha zaka 2-3, nthawi zina zimatenga nthawi yambiri, mwachitsanzo, zaka khumi. Chizindikiro chodabwitsa kwambiri chimakhala gawo limodzi mwa magawo atatu a chiwalocho: mawonekedwe a matendawa pakadali pano sangatchulidwe, amakhala ndi mawonekedwe otchulidwa. Choyamba, kusokonezeka kumawonedwa kuchokera m'matumbo am'mimba, makamaka, kumakulitsidwa chifukwa cha kudya zamafuta ndi zonunkhira. Zizindikiro za lipomatosis zikuphatikiza:

• Ululu mu peritoneum,
• Kusanza, nthawi zina kusanza,
• Kufalikira ndi kutulutsa kwamimba,
• Mpando wapafupipafupi
• Kupezeka kwa mafuta ndi zinthu zina zosayera mu ndowe,
• General malaise: kufooka, kugona, kutopa.

Kuwonongeka kwamafuta kwa kapamba sikuti amangoyambitsa vuto logaya chakudya, komanso gwero la vuto la mahomoni. Choyamba, kuperewera kwa chakudya m'thupi kumachitika, zomwe zimadzetsa kuwonjezeka kowopsa m'magulu a shuga. Kunyalanyaza izi posachedwa kumabweretsa kukula kwa matenda monga matenda a shuga, komabe, kudalirana kumawonedwa pano, popeza matendawa pawokha nthawi zambiri amakhala ngati dothi labwino pakachitika lipomatosis.

Chithunzi cha chipatala chimakonda kuwonjezeka kwambiri pamene minofu yam'mimba imayamba kukulira modabwitsa. Lipoma lotchedwa lipoma limapangidwa - chotupa cha chikhalidwe chosaoneka bwino, chomwe sichimabweretsa chiopsezo pamoyo wamunthu, komabe, chimakhudza thanzi la ziwalo zoyandikana. Kuchulukana kukula, neoplasm imayamba kuphwanya mathero amanjenje ndikufinya ma ducts, mitsempha yamagazi, nthawi zambiri ziwalo zoyandikana zimawululidwa motere. Wodwalayo amakhala ndi vuto lopweteka kwambiri, lomwe nthawi zambiri limatchulidwira kumanzere kwa hypochondrium, pamakhala mseru, limodzi ndi kusanza, komanso kusilira komanso kutulutsa magazi.

Zoyambitsa Steatosis

Monga matenda ena aliwonse, kuchepa kwamafuta sikuchitika modziyimira pawokha. Maziko a pathogenesis ake ndi njira yotupa ya kapamba, zomwe zimapangitsa kusintha kosiyanasiyana parenchyma yake. Zomwe zimayambitsa matenda a steatosis ndi matenda a shuga, kapamba mu mawonekedwe owopsa kapena aakulu. Otsiriza a matendawa ali ndi zovuta zambiri, pakati pomwe sipangakhale mafuta ochepa okha, komanso minofu necrosis, mapangidwe a cysts, madera abwino.

Kugwiritsa ntchito mankhwala osokoneza bongo kwa nthawi yayitali kapena kwina komwe kumakhudza maselo a pancreatic kumatha kubweretsa kusintha kwamphamvu mkati mwa thupi. Nthawi zina zomwe zimayambitsa lipomatosis zimagona pakuvulala kwapakhungu kapena kutengera kwa chibadwa cha wodwalayo.

Zithandizirani pachiyambidwe cha kuchepa kwamafuta ndi matenda ena am'mimba. Izi zikuphatikiza:

• Cholecystitis
• Matenda a chiwindi
• Matenda aliwonse a duodenum kapena m'mimba.

Kuchepa kwa mahormoni kungapangitse mwanjira inayake kulowetsa minofu yathanzi yathanzi yamafuta, makamaka zovuta za chithokomiro, m'mene magwiridwe ake amachepetsa.

Mitundu ya chithandizo cha matenda amisempha

Muzochita zachipatala, njira ziwiri zimagwiritsidwa ntchito pochotsa kuchepa kwamafuta: opaleshoni ndi mphamvu. Yoyamba ya iwo imagwira ntchito kumapeto kwa njira ya pathological, pomwe zoposa 60% ya zikondamoyo zimakhudzidwa, ndipo magwiridwe akewo amakhala operewera kwambiri. Monga chithandiziro cha madigiri oyamba ndi achitatu a matendawa, kuphatikiza kwamankhwala apadera kumagwiritsidwa ntchito kuyimitsa kuwonongeka.

Chofunika kwambiri ndikutsatira zakudya zamagulu onse, zomwe zimakhazikitsidwa ndi mfundo yotulutsira ziphuphu zowonongeka: wodwalayo ayenera kukana kudya zakudya zamafuta ndi zowotcha, zakudya zamchere kwambiri komanso zonunkhira, chakudya chofulumira, nyama zosuta. Chakudya choterocho chimafuna ntchito yowonjezera ya chiwalo: kuti thupi lizitha kugaya zakudya zolemera, zofunikira zimatulutsa timadzi tambiri tambiri tambiri tofa nato. Ndipo izi, machitidwe a kutupa, ndizosayenera kwambiri. Choopsa chachikulu ku kapamba ndimakumwa a zakumwa zoledzeretsa - wodwala wawo sayenera kuphatikizidwa atazindikira kale.

Mafuta hepatosis mankhwala

Nthawi zambiri, pancreatic lipomatosis imachitika, kuphatikiza ndi mafuta a chiwindi. Mankhwala, matendawa ali ndi mayina ena - mafuta a hepatosis kapena mafuta a chiwindi.

Kuwonongeka kwamafuta cha chiwalochi ndi matenda osachiritsika, omwe chikhalidwe chake sichimagwirizana konse ndi matenda aliwonse. Pathology, yotsatana ndi kuchulukana kwamafuta m'chiwindi, imapezeka kwambiri mwa anthu azaka zopitilira zaka 45, pomwe azimayi amatenga nawo gawo kusiyana ndi oyimira kugonana kwamphamvu.

Kuchepa kwa ma hepatocytes m'maselo amafuta kumalimbikitsidwa osati chifukwa cha kuperewera kwa zakudya, kuledzera kapena kudya mopitirira muyeso, komanso pazinthu zina:

• Mankhwala osokoneza bongo
• Makamaka
• Mankhwala autali komanso osasangalatsa
• Kulumikizana kosalekeza ndi mankhwala ndi mankhwala oopsa (nthawi zambiri izi zimachitika chifukwa cha ntchito zaluso),
• Kagayidwe kachakudya, kunenepa kwambiri,
• Matenda a shuga
• Kuchedwa kunyamula mafuta kumankhwala a thupi lonse,
• Matenda a chiwindi, kupweteka kwa chiwindi, kuledzera kosatha - zonsezi zimapangitsa kutsika kwa mafuta m'mankhwala,
• Giardiasis

Malingaliro amachitidwe azachipatala a matenda awa amatengera, choyambirira, pachifukwa chomwe chidayambitsa matendawa. Mitundu yazovomerezeka za akatswiri zikuphatikiza:

• Kusiya zizolowezi zoipa,
• Sinthani muzakudya: kusiyanitsidwa ndi zakudya zamafuta ndi chakudya chamafuta,
• Kukhala ndi moyo wogwira ntchito moyenera.

Pochizira hepatosis yamafuta, onse mankhwala ndi mankhwala achikhalidwe amagwiritsidwa ntchito. Ganizirani njira izi mwatsatanetsatane.

Mankhwala

Chithandizo cha mankhwala osokoneza bongo a chiwindi ndi cholinga:

• Kuthetsa zinthu zomwe zimayambitsa kukula kwa kunenepa kwa chiwalo ichi,
• Malangizo a kagayidwe kachakudya,
• Kuchotsa zinthu zowola ndi poizoni m'thupi,
• Kukonzanso maselo owonongeka a chiwindi,
• Matenda a kayendetsedwe ka ziwalo.

Pochiza hepatosis yamafuta, mankhwalawa amagwiritsidwa ntchito omwe amalimbitsa ziwalo zam'mimba ndikulimbikitsa kukonzanso kwa hepatocytes. Izi ndi ma phospholipids ofunikira (Fosfogliv, Forte ofunika, Essliver Forte).

Kuphatikiza apo, ikani izi:

• Hepatoprotectors, wopangidwa pamaziko a chomera, ndikofunikira kubwezeretsa chiwindi kugwira ntchito ndi kukonza lipid metabolism ("Hepabene", "Karsil", "Silimar", "Hofitol",
• Mankhwala, omwe amachokera ku ma amino acid, amapereka mphamvu yochotsera, imathandizira kuchira kwa hepatocytes, amathandiza kwambiri mafuta a hepatosis omwe amayamba chifukwa chodalira mowa (Glutargin, Heptral, Gala Merz),
• Kukonzekeraokhala ndi ursodeoxycholic acid, okhala ndi choleretic, immunomodulating and hypoglycemic effect of "Ursosan", "Ursofalk"),
• Zakudya zowonjezera zakudya, ndizofunikira kukonza lipid metabolism, komanso kusinthika kwa maselo a chiwindi, ndalamazo zimapangidwa kuchokera kuzomera zokha - tamarix, oats, thistle ya mkaka, emblica, capers, nightshade (Galstena, Ovesol, Liv 52).

Mankhwala monga Progepar, Heptral amagwiritsidwanso ntchito pochiza mafuta a chiwindi. Amapangidwa pamaziko a hydrolyzate opangidwa ndi chiwindi cha ng'ombe kapena nkhumba. Popeza mankhwalawa amatha kuyambitsa mavuto ambiri, amayenera kumwedwa pokhapokha ngati dokotala akuwonetsa, kuwonetsetsa kuti palibe zotsutsana pamankhwala awo.

Chithandizo cha anthu

Zomera zina zamankhwala zitha kukhala ndi zotsatira zabwino pakuyimitsidwa kwa pancreatic degeneration process. Komabe, ndikofunikira kukumbukira kuti kugwiritsa ntchito maphikidwe achikhalidwe monga chithandizo chachikulu ndikosavomerezeka. Njira yabwino ndikumwa mankhwala, komanso kugwiritsa ntchito mankhwala achilengedwe. Musanayambe chithandizo chanyumba, ndikofunikira kukaonana ndi katswiri, kuti mupeze mwayi wogwiritsa ntchito mankhwala azitsamba kapena mankhwala enaake.

Onetsetsani:

• Kupanda tsankho kwa anthu azitsamba,
• Kuthekera kokuwaphatikiza ndi mankhwala omwe adotolo adatipatsa.

Zodzikongoletsera za dieelle, chowawa, maluwa a calendula ndi zipatso za rosehip ndizodziwika bwino pa chithandizo cha steatosis. Palinso njira yovuta kwambiri, yomwe mudzafunika kuti muthe kutola mbewu zosiyanasiyana:

• Masamba angapo a rasipiberi ndi masamba obiriwira (30 g iliyonse),
• Muzu wa licorice (40 g),
• Chowawa (20 g),
• Maluwa a Linden, yarrow, muzu wa magazus (10 g iliyonse).

Zinthu zouma ziyenera kusakanikirana bwino, pambuyo pake 40 g iyenera kutengedwa kuchokera ku misa yonse, kuthira bukuli ndi lita imodzi ya madzi owiritsa. Nditathira madziwo mumtsuko, ayenera kutsekedwa ndikusiyidwa usiku wonse kuti awalowetse. M'pofunika kutenga msuzi mu mawonekedwe a masiku angapo.

Chithandizo cha kunyumba cha steatosis chitha kuchitidwa molingana ndi maphikidwe ena.

• Kulowetsedwa kwa immortelle ndi chamomile. 7 g ya zopangira ziyenera kudzazidwa ndi 250 ml ya madzi otentha. Msuzi amatengedwa katatu patsiku kwa masiku 20, 100 ml iliyonse.
• Kutenga kwazitsamba zamaluwa a valerian, nettle, hypericum ndi calendula. Kutenga magawo ofanana a chomera chilichonse, kuthira madzi osakaniza a 200 ml ya madzi owiritsa, kenako ndikulunga mosamala muchotengera ndikuchisiya mu mawonekedwe kwa maola angapo. Msuzi wokhazikika umatengedwa m'magawo ang'onoang'ono tsiku lonse. Njira ya maphunzirowa ndi motere: milungu itatu yakuvomerezedwa ndi sabata yopuma. Kutalika kwa chithandizo chotere kuyenera kukhala kuyambira miyezi itatu mpaka inayi.
• Kulowetsedwa kwa nyemba ndi masamba a birch. Chomwa ichi chimakonzedwa mosavuta: 10 g yaiwisi imadzazidwa ndi 200-250 ml ya madzi otentha, pambuyo pake madzi amasefa ndikuthira. Muyenera kumwa mankhwalawa monga momwe mungapangire tiyi (magalasi awiri okwanira).
• Kulowetsedwa kwa lilac masamba kapena decoction wa masamba oyamwa - 10 mg katatu patsiku kwa mphindi 20-30 musanadye.

Thandizo lofunikira pakuwathandiza kuchepa kwamafuta, osati kokha kapamba, komanso mbewu zina zomwe zimatha kupereka chiwindi.

1. Turmeric - ali ndi antioxidant katundu, amathandiza kuchepetsa cholesterol ndi glucose, bwino kagayidwe kachakudya michere minofu ya thupi, matenda a bile kupanga.
2. Sorrel - imapangidwanso kuti ipititse patsogolo kagayidwe ka lipid, imabwezeretsa magwiridwe antchito owonongeka, imachotsa bile stasis.
3. Thistle yamkaka ndi chomera chomwe ndi maziko a mankhwala ambiri a hepatoprotective (Gepabene, Karsil, Silymarin). Mafuta kapena mafuta a chomera ichi amagwiritsidwa ntchito kubwezeretsa maselo a chiwindi ndi kapamba, komanso kukhazikitsa ntchito ya chikhodzodzo, chotsani ma spasms omwe amayambitsa kupweteka.

Nettle, hawthorn, yarrow, chimma stigmas, motsatizana, chomera cham'madzi, elecampane ndi primrose, zipatso za chitumbuwa zimakhala ndi zotsutsana ndi kutupa komanso choleretic. Zinthu izi zitha kugwiritsidwa ntchito ngati maziko a decoctions, omwe amalimbikitsidwa kuti atenge m'malo mwa tiyi.

Ntchito ya zakudya mankhwalawa steatosis

Pozindikira steatosis, wodwalayo amamulembera tebulo la chakudya No. 5, momwe zotsatirazi zimapangira zakudya:

• Zamasamba (zatsopano kapena zaphokoso),
• Zakudya zamasamba odedwa,
• Tchizi tchizi komanso chilichonse mkaka wopanda mafuta ambiri,
• Nsomba yamafuta ochepa, nyama yakudya,
• Mbewu za Mucous (buckwheat, oatmeal, mpunga, semolina).

Chakudya choletsedwa m'mafuta ophatikizika ndi:

• Mafuta onenepa, nsomba zonenepa,
• Zakudya zakumwa,
• Marinade ndi kutetezedwa,
• Ketchup, mayonesi, msuzi wosiyanasiyana,
• Zonunkhira ndi zokometsera,
• Mkaka ndi mkaka wokhathamiritsa wokhala ndi mafuta ambiri,
• Zophika zatsopano, makeke,
• Chocolate, Cocoa,
• Zakudya zokazinga
• Kofi, kaboni ndi zakumwa zoledzeretsa.

Kuphatikiza poti wodwalayo ayenera kusankha posankha zinthu, ayenera kutsatira mfundo zina zamtundu wa zakudya, zomwe sizingangochepetsa katundu pazinthu zowonongeka, komanso kukonza bwino thanzi. Choyamba, ndikofunikira kukonza phwando, koma nthawi yomweyo chakudya (6 pa tsiku). Chakudya chizikhala chama calorie otsika, chophika kapena chofewa, makamaka chosankhidwa ndi grated. Kwa matenda aliwonse a kapamba, sikuti ndikulimbikitsidwa kudya zakudya zozizira kwambiri kapena zowotcha kwambiri, kudya kwambiri, kudya mokwanira musanagone usiku.Chofunika kwambiri ndi zakumwa zakumwa: muyenera kumwa osachepera 2 malita a madzi oyera tsiku lililonse - izi ndizofunikira kuteteza kapamba komanso kugaya chakudya chonse.

Kupewa kwa kuchepa kwamafuta

Monga tafotokozera pamwambapa, steatosis sangathe kuchiritsidwa, koma kupewa. Kutsatira maupangiri osavuta, mudziteteza kwathunthu ku izi, zomwe zakhala kutali kwambiri ndizotsatira zabwino kwambiri.

Malangizo a akatswiri ndi awa:

• Kusiya mowa ndi kusuta,
• Chotsani zakudya zamafuta pazakudya,
• Chitani masewera olimbitsa thupi
• Kuchotsedwa kwa zochitika zopsinja.

Kutsatira zakudya zoyenera komanso zoyambira zaumoyo wathanzi ndizomwe zimafunikira kuti zikhale bwino pancreas okha, komanso ziwalo zonse zamkati mwakudya.

Tsoka ilo, mafuta onenepa a kapamba sangachiritsidwe kwathunthu. chifukwa cha mankhwala ambiri amakono, matenda amenewa atha kuyimitsidwa bwino. Kuleza mtima komanso kupirira kwa wodwalayo payekha kumakhala ndi gawo lalikulu, popeza udindo wotsatira chakudya umakhala mwa iye, malamulo ake ayenera kutsatiridwa ngakhale kumapeto kwa maphunziro, pokhapokha pakuyembekezereka kuti kuchepa kwa minofu ya chiwalo chomwe chawonongeka sikupitilizabe kupitabe patsogolo.

Okondedwa owerenga, lingaliro lanu ndilofunika kwambiri kwa ife - chifukwa chake, tidzakhala okondwa kukumbukira zisonyezo zakunyumba zamafuta a pancreatic mu ndemanga, izi zingakhale zothandizanso kwa ogwiritsa ntchito ena a tsambali.

Christina

Mafuta anga a kapamba am'mimba amapezeka pachimake pa chifuwa chachikulu. Zachidziwikire, ndidakhumudwa kwambiri nditakumana ndi ultrasound yotsatira ndidamvanso matenda ena. Tsopano ndimwanso mankhwala omwe amathandizira kulimbana ndi mliriwu.

Victoria

Ngati kapamba adachitika kamodzi, ndiye kuti chilichonse, muyenera kukhala pachakudya chokhwima ndikuchotsa mowa kwathunthu, apo ayi kuukira kwachiwiri, necrosis kapena dystrophy yomweyo sikungapeweke. Ndipo samachita nthabwala ndi zinthu zotere, chifukwa chimodzi mwazotsatira zoyipa kwambiri ndi imfa.