Steatorrhea, creatorrhea, amylorrhea: ndi chiyani ndi kapamba?

Fomu lomaliza kapena lopweteka limadziwika mu 5% ya milandu ndipo limasiyana pazinthu zotsatirazi:

- Zowawa sizingachitike konse kapena zikufotokozedwa pang'ono,

- odwala ambiri akuda nkhawa ndi mseru, kutentha kwa mtima, kupindika, kuchepa kwa chakudya, kutsegula m'mimba, kapena chimbudzi cha mushy,

- zowerengera zasayansi ikuwonetsa kuti ndikuphwanya kwa ntchito yakunja kapena intrasecretory

- ndi kupenda kwapofukula, steatorrhea, creatorrhea, amylorrhea apezeka,

Fomu yobwererera (yopweteka) - imawonedwa mwaoposa theka la odwala ndipo amadziwika ndi kupweteka kwakanthawi. Zowawa zimatha kukhala herpes zoster kapena zowonetsedwa epigastrium kapena hypochondrium yamanzere. Kuchulukitsa nthawi zambiri kumayendetsedwa ndi kusanza.

Pseudotumor kapena icteric mawonekedwe - amapezeka mu 10% ya milandu, nthawi zambiri mwa amuna. Monga momwe dzinalo likunenera, chiwonetsero chachikulu cha mawonekedwe awa ndi kupezeka kwa jaundice, komwe kumayamba pamene kufinya ndi zikondamoyo zokulitsidwa za thirakiti la biliary. Chifukwa chake, jaundice, kuyabwa pakhungu, mkodzo wakuda, ndowe zosapezekanso, kupweteka kwa epigastric, komanso kuchepa kwakukulu kwa thupi kudzadziwika.

Pancreatitis yosatha yokhala ndi ululu wothandizira kupweteka - mawonekedwe awa amadziwika ndi kupweteka kosalekeza kupweteka kwam'mimba, kupweteka kumabweza. Kuphatikiza pa zowawa za odwala, palinso kuchepa kwa thupi, kosakhazikika.

Sclerosing mawonekedwe a kapamba - ndi khalidwe

kupweteka kwam'mimba kwambiri pambuyo chakudya, kuchepa kudya, nseru ndi m'mimba. Monga mitundu ina, kuchepa thupi kumayamba. Mbali yodziwika bwino ya kapangidwe ka kapamba ndi kakulidwe kofulumira ka kuphwanya chimbudzi ndi kulowetsedwa kwa chakudya.

Kuti muwone bwino mawonekedwe a pancreatitis, ndikofunikira kuchita njira zowonjezera zasayansi ndi zothandizira.

Steatorrhea ndi ... Steatorrhea: Zizindikiro, zimayambitsa, matenda ndi mankhwala

Steatorrhea ndi matenda, chiwonetsero chachikulu chomwe chiri kupezeka kwa mafuta osungidwa mu ndowe. Kupitilira muyeso ndi kukhalapo kwamafuta opitirira magalamu asanu m'matumbo. Mwa anthu, chizindikiro ichi chitha kufikira magalamu mazana angapo.

Mitundu yayikulu ya matenda

Zomwe zimapangitsa kuti masinthidwe azinyalala azitha kukhala steatorrhea, creatorrhea, amylorrhea. Timaganizira za chochitika chilichonse mosiyana.

  1. Steatorrhea ndi vuto la m'mimba, momwe mafuta osaloleka kapena mafuta achilengedwe amadzisonkhanitsa ndowe.
  2. Creatrhea ndimatenda omwe amapezeka poyankha malabsorption a michere m'matumbo. Zimaphatikizidwa ndi kudzikundikira kwa nayitrogeni mu ndowe. Pakakhala chithandizo choyenera, chimatha kukhala kapamba.
  3. Amylorrhea ndi chochitika chodziwika ndi mawonekedwe ampweya wamafuta wowuma, omwe sagawika mu shuga ndi m'mimba.

Mitundu ya cholembera

Akatswiri amasiyanitsa mitundu iyi ya matenda:

  1. Alimentary steatorrhea - yomwe imayambitsidwa ndi mafuta ochulukirapo m'thupi, dongosolo logaya chakudya limatha kuthana ndi chimbudzi.
  2. Steestinal steatorrhea - kulephera kwamatumbo kuti amwe mafuta kumabweretsa kukula kwa matendawa.
  3. Pancreatic steatorrhea ndi njira yomwe kapamba samatulutsira zokwanira za lipase zofunikira pakuwonongeka kwa mafuta.

Zovuta za kubadwa kwa chitukuko cha ziwalo zam'mimba, zomwe zitha kuchitika zaka zochepa, zimatha kuyambitsa matendawa. Nthawi zambiri kuoneka kwa zolephera zotere m'thupi kumabweretsa kupangika kwa zakudya za tsiku ndi tsiku kutengera kuchuluka kwa zakudya zamafuta, zomwe m'njira zoyipa kwambiri zimakhudza ntchito ya kapamba.

Ndi chiani chinanso chomwe chingapangitse munthu kuti akhale wosabereka? Zomwe zimayambitsa matendawo zimagonekanso pakutha kwa mphamvu ya gland ya endocrine. Makamaka, matenda a ndulu, kutupa kwa ma ducts ake kumathandizira kukulitsa kwa matenda a mtima.

Zizindikiro

Steatorrhea, creatorrhea imatsogolera ku zochuluka zokhala zotayirira. Calla amapeza imvi kapena kuwala. Odwala nthawi zambiri amafuna kuti azilephera. Ndi mafuta ochulukirapo kwambiri mu mafoni, kudzimbidwa kumatha kuchitika. Pamodzi ndi mawonekedwe owonetsedwa, odwala nthawi zina amakhala ndi chizungulire chachikulu, akung'ung'uza m'matumbo, ndipo akuvutika kutulutsa.

Chowonetsa chachikulu cha steatorrhea kumachepetsa thupi msanga ndi zakudya zambiri komanso kuchita masewera olimbitsa thupi pang'ono.

Khungu la anthu omwe adakhudzidwa ndi matendawa adakutidwa ndi kutumphuka kowuma, akumerera. Popita nthawi, milomo yotuwa imawonedwa, ming'alu imakhazikika m'makona amkamwa.

Umu ndi momwe steatorrhea imadziwonekera, zizindikiritso zake zomwe zimawonetsa kukwaniritsidwa kwa minofu yokhala ndi mafuta acids.

Zizindikiro

Kuti atsimikizire matenda okhumudwitsa, wodwalayo ayenera kupita kukakumana ndi gastroenterologist. Dokotala amamvera madandaulo, amatulutsa pakhungu pamimba, zomwe zimakuthandizani kuti muzindikire kuchuluka kwa mafuta m'matumbo aang'ono.

Kenako, bwerezani njira zofufuzira. Makamaka, retroscopy yamatumbo am'mimba imathandizira kudziwa kuchuluka kwa atrophous a membrane wa mucous, kuti azindikire kudzimbira.

Chofunikira kwambiri pakupezeka kwazofufuza ndikusanthula kwa chopondapo, kafukufuku watsatanetsatane wa kapangidwe kake. Apa mukuyang'ana kuwunika kwa ma microscopic ndi macroscopic a matumbo a matumbo. Kuphatikiza apo, colonoscopy, njira yofufuzira ya radioisotope, ma ultrasound angagwiritsidwe ntchito.

Kupewa

Monga njira zothanirana ndi matenda zomwe zingathandize kupewa matenda, tiyeni tiwone izi:

  • Kukhazikitsidwa kwa kadyedwe ka zakudya zamafuta, chakudya chopatsa mphamvu komanso zomanga thupi,
  • kukana kumwa mowa, zomwe zingayambitse kusagwira bwino ntchito kwa ziwalo zomwe zimayambitsa chimbudzi ndikuchotsa zinthu zakupha m'thupi,
  • kudya moyenera zakudya zokazinga ndi zakudya zokhala ndi zonunkhira zambiri.

Njira zachiwiri zodzitetezera zimaphatikizira kudziwonera kwakanthawi ndikuchotsa matenda omwe angayambitse kuperewera kwa mafuta m'thupi ndipo, chifukwa chake, mapangidwe ofikira amayikamo ndowe. Mwachitsanzo, pazifukwa izi, nthawi zambiri amatengera mankhwala osokoneza bongo omwe amapezeka m'matumbo aang'ono.

Zizindikiro zophatikiza

Creatrhea samapezeka mwayekha. Nthawi zambiri, chakudya chogaya chakudya chimaphwanyidwa, ziwalo zonse zimawonongeka. Creatrhea nthawi zambiri amakhala ndi:

  • lientorea - mawonekedwe a ndowe za chakudya chosapezeka,
  • steatorrhea - kumasulidwa kwa mafuta osakwanira, kupopera ndowe,
  • amilorrhea - kutulutsidwa kwa wowuma, zomwe zikuwonetsa kuphwanya mayamwidwe am'madzi,
  • nthawi zina chowonjezera ndi dysbiosis, koma sizofunikira.

Njira za anthu

Mankhwala achikhalidwe amagwira ntchito yothandiza, chifukwa zitsamba zonse zopangidwa ndi manja zimakhala ndi zinthu zochepa kwambiri, ndipo zimatenga nthawi kuti zisonkhane ndikugwira ntchito.

Zithandizo za anthu zimatha kupereka chithandizo chachikulu. Otsatirawa agwiritsidwa ntchito:

  • tincture wa Krefei - mtundu wapadera wa moss, mitundu ya Amur yalembedwa mu Red Book kuti ikasowa m'dziko lathu, makinawo amapangidwa ndi krefei mbali zosiyanasiyana (amakula ku Balkan, Caucasus ndi Krasnodar Territory),
  • chakumwa cha chicory
  • oat odzola
  • msuzi wa mbatata
  • decoction wa barberry,
  • Chithunzi cha mbewu ya fulakesi,
  • decoction ofanana magawo a chisafa, chowawa ndi chamomile,
  • mkaka wamafuta onyozeka.

Mavuto omwe angakhalepo komanso chidziwitso cha matendawo

Matendawa amakhala abwino, chithandizo chakunja, kuchipatala chimangofunikira makamaka povulala kwambiri.

Mavuto ndi osowa, popeza zovuta zakudya zam'mimba zimakopa chidwi, chithandizo sichichedwa.

Mu chifuwa chachikulu cha khansa, muyenera kudzipatula pakudya, kumwa mankhwala ndikutsatira regimen moyo wanu wonse. Kulemera kwa thupi kumachepa, moyo umakhala wokwera pang'ono, koma nthawi siyachepa.

Steatorrhea: chithandizo

Mankhwala, wodwalayo amapatsidwa njira yokhala ndi mankhwala ambiri okhala ndi lipase. Zogwira pophika mankhwala omwe ali ndi mapulani ofananawo zimalepheretsa kuwonongeka msanga kwa michere yogaya chakudya mothandizidwa ndi timadziti tam'mimba.

Mwa mankhwala ogwiritsa ntchito, omwe amagwiritsa ntchito omwe amachotsa mawonetsero a steatorrhea, ziyenera kudziwika:

Odwala apamwamba kwambiri, odwala amamwa mankhwala omwe amakhala ndi adrenocorticotropic timadzi ndi hydrochloric acid. Odwala amalangizidwa kuti azitenga mavitamini. Mofananamo, mankhwalawa amachitika pogwiritsa ntchito ascorbic ndi nicotinic acid.

Pochizira steatorrhea, kutsimikizika ndikugwiritsa ntchito nyama yamafuta ochepa, nsomba yophika, mkaka wopanda mafuta. Odwala amaloledwa msuzi wamasamba. Pochepa, msuzi wachiwiri kuchokera ku nkhuku yoyonda kapena nyama yodala imaloledwa.

Steatorrhea pa nthawi yapakati

Steatorrhea ndi chikhalidwe cha azimayi omwe ali ndi mwana wosabadwa. Nthawi zambiri, matenda amadziwonekera okha pakatha mimba. Nthawi zambiri, mapangidwe amakanema am'madzi mu chopondapo chimayambitsa kutsika kwa kutuluka kwa bile chifukwa cha kukondoweza kwa chiberekero.

Mwa amayi apakati, matendawa amawonekera mu kupangika kowonjezereka kwamadzi am'madzi a fetid, omwe ali ndi mtundu wopanda pake. Pankhaniyi, ntchofu zomwe zimalandidwa ndi thupi zimasanduka chikaso.

Pambuyo pake, matendawa amatha kupangitsa kuchepa kwa magazi m'magazi, zomwe zimapangitsa kuti zikhale zovuta kusiya magazi mwachindunji pakubadwa kwa mwana. Popanda chidziwitso chokwanira komanso chithandizo, kuphwanya kumayambitsa kufooka kwa minofu ya mafupa a mwana wosabadwayo. Nthawi zina, zotsatira za zomwe zimachitika pakukula kwa matendawo ndi kuwonongeka kwakuthupi kwa mayi ndi mwana.

Kugwiritsa ntchito njira zovuta zamankhwala kumathandizira kuti kuthetseratu mawonekedwe a steatorrhea pa nthawi ya bere. Kuphatikiza pa kumwa mankhwala oyenera, mayi woyembekezera amakupatsani chakudya chokhacho. Makamaka, mayi woyembekezera amakulimbikitsidwa kukana zokometsera, mafuta, zakudya zokazinga, ndi mavitamini a magulu A, D, E, K ndi mankhwala.

Steatorrhea mu makanda

Kukula kwa matendawa nthawi zambiri kumachitika chifukwa cha chiwindi chosakwanira, chomwe chimayambitsa chibadwa. Chofunikira pakuwonekera kwa matendawa chimatha kukhala zotupa za ziwalo zam'mimba thirakiti.

Ponena za zifukwa zazikuluzikulu za steatorrhea mu makanda, ndikofunikira kudziwa, choyambirira, kuchuluka kosakwanira kwa michere ya m'mimba yomwe ikukhudzidwa ndi kuwonongeka kwamafuta.

Kapangidwe ka zinthu zomwe zimathandizira kuti mapangidwe a metabolism athanzi apangidwe mwachilengedwe m'miyezi itatu yoyambirira ya moyo.

Mpaka nthawi ino (ngati pali vuto m'thupi), kugwiritsa ntchito mankhwala kumathandizira kuthetsa kusowa kwa michere.

Pomaliza

Steatorrhea ndimavuto osasangalatsa, chiwopsezo chachikulu chomwe chiri kuthekera kwakukulu kwa chitukuko chonse cha kupatuka pakugwira ntchito yamagulu ndi machitidwe ofunikira.

Monga momwe masewera amasonyezera, kuthana ndi matenda moyenera kumapangitsa kuti muzitha kudya zakudya zamagulu ochepa zamafuta ndikuwonjezera thupi mavitamini. Njira zosavuta ngati izi zimakulolani kuti musamutsireni matendawa mwachangu pachikhululukiro ndi kupewa zoyipa.

Biliary pancreatitis: zimayambitsa, zizindikiro ndi chithandizo

Nthawi zambiri kuposa mitundu ina ya kutupa kwa kapamba, ma biliary-pancreatitis amayamba (limodzi ndi mowa). Biliary pancreatitis imachitika chifukwa chophwanya kutuluka kwa ndulu kudzera munjira ya biliary.

Zotsatira zake, kupanikizika kumawonjezeka mumizere ya bile poyerekeza ndi milomo ya kapamba ndipo bile limayamba kulowa m'matumbo a ma pancreatic. Chifukwa cha bile regurgation, maselo a pancreatic amawonongeka ndikuyamba kwa kutupa ndi zochitika zowonongeka.

Malinga ndi maphunziro azaumoyo, pancreatitis ya biliary-yodalira imakhala yovuta komanso yopweteka.

Biliary pancreatitis ndimatenda osachiritsika omwe amapezeka ndi matenda amtundu wa biliary, zomwe zimapangitsa kuti chiwopsezo cha ducts cha ndulu ndi kulowa kwa bile mu ducts.

Khalani mu zikondamoyo

Etiology ndi pathogenesis

Vuto lodziwika bwino limachitika pazifukwa zofanana ndi chifuwa chapakati cha biliary pancreatitis. Zolinga zodziwika:

  • kuwerengetsa cholecystitis ndi bile sludge (yaying'ono yaying'ono mu bile),
  • cholowa cholowa cha ma ducts a bile,
  • dyskinesia wa bile ducts,
  • kutupa kwa ndulu,
  • kutupa kwa bile ducts,
  • matenda a duodenal papilla (dyskinesia wa sphincter wa Oddi, njira zotupa, kuwonda, kukhalapo kwa matupi akunja kapena njira za volumetric mkati mwake),
  • cirrhosis ndi zina chiwindi matenda.

Pali njira zopangidwira pancreatitis yochokera ku biliary:

  1. Chifukwa cha matenda a biliary system mu bile ducts, kukakamizidwa kumawonjezeka, bile Reflux kupita pancreatic panjira kumachitika.
  2. Kuchulukitsa kwa bile chifukwa cha ma pathologies a Vater papilla.
  3. Kuwonongeka kwa ma pancreatic ducts ndi Calculator (sludge) opangidwa mu bile ducts.
  4. Kufalikira kwa othandizira opatsirana kuchokera pa biliary dongosolo kupita ku pancreatic (mwina kudzera mu dongosolo la mitsempha yam'mimba).

Maphunziro azachipatala

Njira yowuma kwambiri imadziwika ndi kuwukira kamodzi kokha kwamatenda omwe ali ndi zizindikiro zamphamvu kwambiri komanso kutuluka kwadzidzidzi. Pambuyo povulazidwa, pancreatitis yovuta kwambiri imadutsa popanda kufufuza, ndipo kuchira kwathunthu kumachitika.

Njira yayitali imadziwika ndi njira yonga mafunde yomwe imakhala nthawi yochulukirapo komanso kuchotsedwa, kusasunthika kosalekeza kwa matenda amisempha.

Kuchulukitsa kwa matenda osachiritsika kapena kupezeka kwa matenda owopsa nthawi zambiri kumachitika chifukwa cha zolakwika za chakudya - kudya mafuta ambiri, okazinga ndi zakudya zonunkhira usiku. Kuukira kwa kapamba kumadziwika ndi zizindikiro:

  • Shingles ululu waukulu mu epigastrium, kwambiri kumanzere, kwamuyaya. Ngati wodwala akudwala pancreatitis ya biliary-yodalira, ndiye kuti ululu ukupweteka. Pochita zowawa, amakhala olimba, osalephera.
  • Kumva nseru, kusanza.
  • Amayimitsa pansi kapena kudzimbidwa.
  • Kumva kuwawa lilime.
  • Hyperthermia yotheka.
  • Mitsempha yamagazi imatha kuchuluka kapena kuchepa chifukwa cha kusokonezeka pakupanga insulin ndi glucagon ndimaselo a gland.

Mukamayang'ana wodwala, zizindikiro za biliary pancreatitis zidzakhala zabwino: kupweteka kwa Mayo-Robson, Desjardins, Shoffar point, Voskresensky dalili (kusowa kwa pulpation pa palpation 5 centimeter diagonal kuchokera ku msana kupita kumunsi kumanzere, chizindikiro cha Razdolsky (kupweteka pakugunda pancreatic dera) , Chizindikiro cha Mondor (mawanga ofiirira pamthupi la wodwalayo), chizindikiro cha Tuzhilin (kukhalapo kwa zotupa pakhungu).

Ngati nthendayo yapezeka ndi matenda, muyenera kuyimbira ambulansi.Brigade isanafike, chakudya kapena mankhwala osavomerezeka, kugona pabedi ndi compress yozizira pancreatic dera ndikofunikira.

Ngati chomwe chikuyambitsa matendawa ndikuti ndulu yadzazidwa ndi miyala, iyenera kuchotsedwa. Pamaso pa calculi yaying'ono, miyala imatha kuchotsedwa pogwiritsa ntchito ultrasound.

Ndipo ma microscopic sludge amatha kuthetsedwa ndi kukonzekera kwa urodisoxycholic acid.

Njira zochizira opaleshoni zimachitidwanso pogwiritsa ntchito endoscope pamayendedwe osiyanasiyana a duodenal papilla ndi sphincter ya Oddi.

Conservative chithandizo cha biliary pancreatitis imaphatikizapo mankhwala osokoneza bongo komanso zakudya. Chithandizo chamankhwala chikuyenera kuperekedwa ndi dokotala, kudzipereka nokha ndi owopsa ku moyo komanso thanzi.

M'masiku oyambilira ochulukirachulukira komanso matenda owawa, mfundozi zimawonedwa: "kuzizira, njala ndi mtendere." Pamafunika kupumula pakama, kupatula kupsinjika kwamalingaliro ndi thupi.

Odwala akuwonetsedwa kuti abwezeretsere kuchuluka kwa madzimadzi pogwiritsa ntchito njira zamchere zamkati ndi madzi osakhala a carbonated mkati.

Odwala amatchulidwa antispasmodics (no-shpa, drotaverin), omwe amachepetsa ululu, amachepetsa spasms mu bile ducts ndi ducts. Gwiritsani ntchito mankhwala omwe amachepetsa acidity m'mimba (omeprazole, almagel, talcid).

Kuti muthane ndi exocrine ntchito ya kapamba, kukonzekera kwa ma enzyme (konson, festal, mezim) kumagwiritsidwa ntchito. Kuphatikiza pa mankhwalawa pamavuto, heparin, diuretics, mankhwala othandizira, mavitamini tata amagwiritsidwa ntchito.

Pofuna kupewa ndi kuchiza matendawa, chakudya chomwe chimapezeka pancreatitis yothandiza. Masiku atatu oyamba, wodwalayo ayenera kufa ndi njala ndipo akhoza kumwa madzi okha (akadali madzi).

Kenako chakudya chochepa kwambiri chimayambitsidwa, ndipo wodwalayo amasintha pang'onopang'ono kuti adye Na. 5. Imalola kugwiritsa ntchito masamba ophika, ophika kapena owotcha (kupatula sipinachi, radish ndi mpiru), nyama yamafuta ochepa, chimanga mumkaka wamafuta ochepa kapena madzi, owuma buledi, maapulo ophika ndi zipatso zouma, soups zamasamba, omeletanga amaba, compotes.

Ndi biliary-amadalira pancreatitis, mafuta onenepa, okazinga ndi zakudya zonunkhira, nyama yofuka, zakudya zokhala ndi caffeine wambiri, maswiti ena kupatula mabisiketi owuma, masamba a marmalade ndi marshmallows, masamba obiriwira ndi zipatso, chakudya chofulumira sichimaletsedwa.

Chakudya cha matendawa chizikhala pafupipafupi komanso zazing'ono, zazing'ono.

Pali njira zina zochizira matendawa - kugwiritsa ntchito mitundu ingapo ya mankhwala osiyanasiyana (ma rosehip, chamomile, calendula, oats), ma tinctures (draris, masharubu agolide), ndi maphikidwe ena. Kumbukirani, kugwiritsa ntchito mankhwalawa ndizovomerezeka kwa nthawi yayitali chifukwa cha matenda atakambirana ndi adokotala. Kudzichitira nokha mankhwala kungavulaze.

Pancreatitis ndi vuto lalikulu lomwe nthawi zambiri limabweretsa zovuta ndi kufa.

Mwa zovuta za matendawa, pali: kuperewera kwa machitidwe osiyanasiyana a thupi (chiwindi, aimpso, kupuma ndi ena), mikhalidwe yododometsa, mawonekedwe a necrosis kapena mapangidwe a chimbudzi mu kapamba, ma cysts.

Ndi chithandizo chanthawi yake, kuphatikizapo opaleshoni, ndizotheka kupewa zovuta zoyipa. Pemphani thandizo chizindikiro choyambirira cha matenda.

Steatorrhea: zoyambitsa, mitundu, chithandizo

Steatorrhea ndimatenda omwe mumakhala momwe mumapezeka mafuta. Mtunduwu ungaganizidwe kupitilira ngati mafuta opitilira magalamu asanu alipo. Nthawi zina, chizindikirocho chimatha kufikira ma gramu mazana angapo.

Mitundu itatu yamtundu wa steatorrhea

Mitundu yayikulu yamatumbo amawonedwa motere:

  1. Mtundu woyamba wa nthendayi, chopondapo pamtanda chimapezeka m'miyala, yomwe ndi gawo lalikulu lamafuta azimadzi ndi mafuta a nyama.
  2. Mu mtundu wachiwiri wa steatorrhea, mafuta acids, kaboni, oksijeni ndi ma hydrogen mankhwala omwe amatha kuthana ndi alkali, komanso zitsulo zamchere ndi mafuta acids, amapezeka ndindowa.
  3. Ndi mtundu wachitatu wa cholembera, pali kuphatikiza kwa chizindikiro cha mitundu iwiri yoyambayo.

Zoyambitsa Fatty Stool

Tizilomboti timatha kusintha masinthidwe awo chifukwa cha cholephera, maperekedwe am'mimba ndi amylorrhea. Gawo lililonse liyenera kulingaliridwa mwatsatanetsatane:

  1. Steatorrhea ndi kusagwira bwino kwamatumbo, komwe kumayendetsedwa ndi kuphatikiza mafuta acid kapena mafuta osalowerera ndowe.
  2. Creatrhea ndi njira ya m'magazi momwe mayamwidwe am'mimba kuchokera m'matumbo amalephera ndipo kuyankhidwa kwa izi kumachitika. Nitrogen imadziunjikira ndowe. Ngati wodwala salandira chithandizo choyenera pa nthawi yake, matendawa amatha kupita ku kapamba.
  3. Amylorrhea ndichinthu chomwe chimapanga dzinthu zambiri zachifumizo, zomwe sizimaphwanyidwa ndi dongosolo logaya chakudya kukhala mashuga.

Zomwe zimayambitsa kukula kwa zomwe zafotokozedwazo zimatha kukhala zofooka zam'mimba zomwe zimawonetsedwa pakubadwa, ndikuwonetseredwa pamsinkhu wokhwima. Nthawi zambiri, maonekedwe a zovuta zina mthupi la munthu amayamba chifukwa chopanga kolakwika tsiku lililonse. Odwala amamwa mafuta ambiri mu chakudya, chomwe chimakhudza magwiridwe antchito a kapamba.

Njira Zodziwitsira

Njira zotsatirazi zodziwira matendawa amagwiritsidwa ntchito pa matenda omwe amafunsidwa:

  1. Kuwunikira kwa mapangidwe am'matenda a matendawa, ndikutsimikiza molondola nthawi yomwe wodwalayo anali ndi madandaulo, pomwe chopondacho chinayamba kupaka bwino kumakoma a chimbudzi chifukwa cha mafuta, mafuta ake atawonekera. Muyeneranso kudziwa ngati chidwi cha wodwalayo chacheperachepera, kaya magazi adatuluka mu ndowe zake. Ndikofunikira kufunsa wodwalayo ndikupeza mayina omwe amaphatikiza ndi kupezeka kwa zizindikirozi.
  2. Kuwunika kwa mbiri ya moyo wodwala kumachitika. Zimapezeka ngati wodwalayo ali ndi zizolowezi zoipa, chibadwa kapena matenda osachiritsika, komanso zotupa zingapo zoyipa. Kaya panali phwando la odwala omwe ali ndi mankhwala osiyanasiyana, komanso kulumikizana ndi zinthu zovulaza.
  3. Kuyeserera kwakuthupi kumachitika. Kuchepa kapena kuwonjezeka kwa thupi, kutsekeka kwa khungu lake, maonekedwe a khungu la wodwalayo, komanso kuwonekera kwa zotupa pakhungu kumadziwika. Pambuyo pakuchita palpation, kupweteka kumatha kuchitika m'malo osiyanasiyana a thupi. Kuyika pamimba kumathandizira kudziwa kukula kwa chiwindi, kapamba ndi ndulu.
  4. Kafukufuku wopangidwa ndi macroscopic amachitika, chifukwa cha zomwe mtundu wa ndowe umatsimikizika, komanso kupezeka kwa zolengeza pamaso pawo, zomwe zimakhala ndi mafuta oundana.
  5. Kusanthula kumachitika pogwiritsa ntchito ma microscope kuti mupeze kuchuluka kwamafuta osaphatikizika. Mwa iwo tchulani:
  • mafuta acids: mankhwala a oxygen, haidrojeni ndi nayitrogeni, omwe mu kapangidwe kawo amatha kuthana ndi alkali,
  • mafuta osalowerera: kukhala gawo lalikulu lamafuta a masamba ndi mafuta a nyama, omwe ndi mankhwala osakanizika a mowa wophatikiza ndi mafuta acids,
  • Sopo, omwe ndi mchere wa zitsulo ndi mafuta acids.

Mafuta mu ndowe zimatha kutsimikizika ndi kuchuluka kwake mwantchito, kuchuluka kwake kwachilengedwe kumakhala kuchuluka kwa mafuta okwana magalamu 5 patsiku.

Kafukufuku wogwiritsa ntchito njira ya radioisotope adzagwiritsidwa ntchito pakakhala kukumana kwamafuta osagwirizana kapena mafuta achilengedwe omwe amalembedwa ndi zinthu zamagetsi.

Ngati pakufunikanso zomwezo, mayeso ena angathe kuperekedwa ndi madokotala:

  • njira zakufufuzira pogwiritsa ntchito zida, makamaka kuwunika kwa patsekeke pamimba, komanso kupenda chigoba chamkati chamatumbo akulu ndi endoscope,
  • njira zakufufuzira pogwiritsa ntchito zida zapachipatala kuti mupeze kuchuluka kwa mahomoni a chithokomiro komanso tiziwalo tamadontho tambiri,
  • kupeza upangiri kuchokera kwa akatswiri a mbiri yoyenera.

Mwa amayi apakati

Kwa azimayi apakati, steatorrhea ndi chikhalidwe pamakhalidwe. Imadziwonekera yokha, monga lamulo, pakutha kwa kubereka kwa mwana wosabadwayo ndi mkazi. Nthawi zambiri, izi zimawonekera chifukwa cha kupendekera pang'onopang'ono kwa bile kuchokera kukakamizidwa kwa chiberekero pa ndulu. Zotsatira zake zimachitika ndizambiri mafuta.

Mwa amayi apakati, kuyambika kwa chikhalidwe chofotokozedwachi kumawonetsedwa ndi mawonekedwe akununkhira kopanda ndi fungo losasangalatsa lomwe silikhala ndi utoto. Mtundu wa ntchofu womwe umatulutsidwa ndi thupi ndi wachikaso.

Matendawa akamakula, amayamba kuchepa kwa magazi m'magazi, zomwe zimapangitsa kuti pakhale zovuta kusiya magazi mwachindunji panthawi yobereka. Mvuu, yomwe imabisidwa ndi thupi, imakhala ndi kuwala kwa chikasu.

Popanda chidziwitso chapadera ndi chithandizo, zotsatira za zovuta zotere ndi kufooka kwa minofu yam'tsogolo ya mwana wosabadwayo.

Nthawi zina, zotsatira za izi zimatha kukhala kuchepa kwa masomphenya mwa mayi ndi mwana wake wosabadwa.

Mawonetseredwe athunthu atha kuthetsedwa pokhapokha pogwiritsa ntchito njira zochizira. Kuphatikiza pa mankhwala, mkazi akulimbikitsidwa kutsatira zofunika pakudya, osadya zonunkhira, zokazinga ndi mafuta, imwani mavitamini A, D, K, E.

Mu makanda

Mu makanda, kukula kwa steatorrhea kumalumikizidwa ndi kusokonezeka kwa chiwindi chawo. Zomwe zimapangitsa izi ndiz kuphwanya kulephera mu pulogalamu ya majini a mwana. Chimodzi mwazomwe zofunikira kwambiri matendawa ndikuphwanya chitukuko cha m'mimba thirakiti lomwe limapezeka pobadwa.

Ngati tizingolankhula zazomwe zimayambitsa mvulayi m'matanda, ziyenera kudziwidwa pazomwe zimakhala ndi michere ya m'mimba yomwe imakhudzidwa mwachindunji mukuwonongeka kwa mafuta a nyama.

Zinthu zomwe zimayambitsa metabolism yachilengedwe imapangidwa m'miyezi yoyambirira ya moyo wa mwana.

Izi zisanachitike, kuperewera kwa enzyme kumatha kuthetsedwa kokha mwa kugwiritsa ntchito mankhwala.

Chithandizo cha Steatorrhea

Mankhwala othandiza kwambiri, machitidwe omwe amatha kuthetsa chiwonetsero chonse cha steatorrhea, amawonedwa motere:

Ngati milanduyi ikanyalanyazidwa, ndikulimbikitsidwa kutenga hydrochloric acid kuphatikiza ndi andrecotricotropic hormone. Ndikulimbikitsidwanso kutenga mavitamini okhala ndi mavitamini. Nthawi yomweyo, chithandizo chimachitika ndi zithandizo zokhudzana ndi kudya kwa nicotinic ndi asidi a ascorbic.

Njira zopewera

Kupewa kwa steatorrhea kumasiyana pakati ndi sekondale. Mwa njira zofala kwambiri komanso zothandiza popewa matenda abwinobwino, muyenera kudziwa izi:

  • kukana kwathunthu kumwa mowa,
  • normalization wa zakudya, kukana kudya kwambiri, komanso zonunkhira, zamchere komanso zamafuta, kudya magawo ang'onoang'ono.

Kupewetsa matenda kwachiwiri kumatanthauza kuchiza kwathunthu komanso kwakanthawi kwa matenda omwe amayenda ndi steatorrhea, makamaka kumwa mankhwala opatsirana m'matumbo.

Ndi zovuta za momwe wodwalayo alili, tikulimbikitsidwa kufunafuna chithandizo chanthawi yake.

Nthawi zina, nkotheka kupereka njira yachiwiri yamankhwala kuti muchepetse zowawa zomwe wodwalayo adzibweretsa.

Ndi zovuta zovuta za momwe wodwalayo alili, tikulimbikitsidwa kuti agonekere kuchipatala ndi chithandizo chapadera komanso chithandizo chofunikira.

Zifukwa zopumira

Amawona m'mimba

Kutsegula m'mimba mwa amayi apakati

Matenda a matumbo: mankhwala ndi mankhwala

Mitundu 1 yamatenda

Steatorrhea ndimatenda pakakhala mafuta ochulukirapo mu chopondera cha wodwalayo. Polankhula za mitundu yake, madokotala amasiyanitsa mitundu iyi:

  • chakudya, pamene kudya kwambiri mafuta m'zakudya kumabweretsa matendawa, chifukwa m'mimba sitingathe kuwameta, kuwachotsa mwachilengedwe.
  • m'mimba, momwe makoma omenyera komanso mucous m'mimba, m'matumbo amalephera kuyamwa mafuta,
  • kapamba, pamene kapamba wogwira ntchito molakwika samatulutsa mankhwala enzyme okwanira kuti athane ndi mafuta pazakudya.

2 Zomwe zimayambitsa matendawa

Nthawi zambiri, matendawa amayamba chifukwa chakufooka kwa ntchito ya kudya chakudya kapena kuthira mafuta m'mimba. Pamodzi ndi izi, chomwe chimayambitsa matenda obwera chifukwa cha matenda chimatha kukhalanso matenda am'mimba, komanso kapamba ndi chiwindi.

Chomwe chimayambitsa matendawa ndi kapamba mu mawonekedwe ake osaneneka, omwe amayamba chifukwa chomwa mowa kwambiri.

Kusasunthika kwa bile yodziyimira kumakhala chifukwa champhamvu, chifukwa chomwe ndowe zonyowa zimayamba kunenepa komanso kuwala.

3 Zizindikiro za matenda

Pofotokoza za chizindikiro cha matendawa, chizindikiridwe choyambirira cha chiwonetserochi chikuyenera kuwunikidwa - ndikulimbikitsidwa kwambiri kupita kuchimbudzi pomwe chopondapo chadzaza ndi madzi komanso kuchuluka.

Koma kudzimbidwa kumathanso kukhala chizindikiro cha matendawa, komabe, pamtundu uliwonse wamatendawa, mapangidwe amaloza chimbudzi ndi chimbudzi cha chimbudzi chosachotsedwa bwino, mawanga osambitsidwa ndimadzi ndi mafuta, sheen wamafuta ndi chikhalidwe.

Potere, mtundu ndi mtundu wa mpando sizingasinthe komanso kukhala zabwinobwino, kapena zingasinthe pang'ono, zizikhala zakuda pang'ono kapena zopepuka kuposa masiku onse.

Wodwala yemwe wapezeka ndi steatorrhea amakhudzidwa ndi:

  • mutu ndi chizungulire,
  • ukufalikira
  • kuyanika kosalekeza kwa mucous nembanemba osati mkamwa, komanso pakamwa.
  • ulesi ndi kufooka.

Monga lamulo, odwala oterewa amadwala chifukwa chouma chifuwa, amakhala ndi matumbo pafupipafupi komanso kupweteka molumikizana.

Munthu amene akudwala matendawa amataya thupi msanga, thupi lake limatha msanga. Wosanjikiza wamafuta ambiri mwa odwalawa samapangidwa, khungu limakhala louma kukhudza ndipo milomo, milomo yowuma ndi ming'alu pakona pakamwa imawonedwa. Zitsamba zimatha kumasuka komanso kutuluka magazi, lilime limakhala utoto wowala.

Mukazindikira matenda ndi palpation, chizindikiro monga kung'ung'uza ndi kutulutsa madzi kumatha kuwonekera makamaka kumanzere kwa peritoneum kapena komwe cecum ili. Zotsatira za rectoscopy zikuwonetsa atrophy ya mucosa wam'mimba, ndipo zithunzi za x-ray zimawonetsa kukhalapo kwa kutupa, kufalikira ndi kuchepa kwa toni m'makhola a mucosa.

Nthawi zambiri, wodwalayo amapezeka kuti amatupa m'matumbo olumikizidwa, ndipo kuwonongeka kwakukulu kumawonedwa mu mitsempha ya mitsempha.

Kuperewera kotereku kumachepetsa mphamvu ya m'mimba kuyamwa chakudya, mawonekedwe osakhazikika matendawa amakhala ndi zizindikiro ngati mafunde, chikhululukiro chake pakapita nthawi iliyonse chimakhala chofupikitsika komanso chofupikitsa, ndikuyambiranso kumayambitsa cholakwika chazakudya, kukulira kwa matenda oyambitsidwa ndi matenda ndi mavuto amanjenje.

4 Kuzindikira komanso kulandira chithandizo

Pakukhazikitsa matenda, ndowe zimatengedwa kuti zifufuzidwe. Kwambiri, kusasinthika kwake kumamizidwa, ndipo mtundu wake ndi wopepuka. Mukamapanga kusanthula mu labotale, kuchuluka kwa mafuta ochulukirapo, sopo ndi mafuta achilengedwe omwe amapezeka ndizimbudzi.

Steatorrhea imapezeka ngati 7 g yamafuta kapena kuposa iwotulutsidwa tsiku ndi ndowe. Zotsatira zofananazo zimaperekedwa ndi kafukufuku wa radioisotope.

Zimawonetsa matendawa, zomwe zimapangitsa kuti azioneka, zimagwirizanitsidwa ndi kusweka ndi kuyamwa kwa mafuta omwe amapezeka kuchokera ku chakudya.

Mankhwalawa, madokotala amapereka mankhwala kwa odwala omwe ali ndi lipase yambiri.Ndiwa mankhwalawa omwe amaphimbidwa ndi chipolopolo chomwe sichimalola ma enzyme kuwonongedwa mothandizidwa ndi madzi am'mimba.

Ambiri mwa mankhwalawa ndi a Creon ndi Pancreatitis, Pancytrate.

Monga chithandizo chowonjezereka, madokotala amalembera ma antacid: Maalox ndi Almagel, Fosfalugel, omwe amatha kusokoneza ndi kuchepetsa acidity m'mimba, kukulitsa mankhwala a enzyme.

Chofunikira pakuchiritsa moyenera pofufuza matenda monga steatorrhea ndikutsatira njira yazakudya, yomwe imapangidwa ndi zinthu zambiri zama protein.

Chofunikira ndikutenga mavitamini. Kwambiri, mavitamini osasintha a mafuta monga A ndi D, E ndi K ndiabwino.

Mavitamini omwe amapatsidwa gulu B ndi omwe adayikidwa, makamaka, ndikofunikira kuyang'anira chidwi cha kukhalapo kwa vitamini B12 ndi B15.

Ndikofunika kutenga maphunziro othandizira onse a nicotinic acid ndi ascorbic acid, komanso kulimbikitsa kudya mavitamini monga P ndi K. Petechial totupa makamaka kumafuna kuyambitsa mavitamini awiri omaliza mu zakudya.

Ponena za chakudyacho, kutsatira zakudya, zakudya zazikulu ziyenera kukhala mkaka ndi mafuta ochepa a nyama ndi nkhuku, tchizi cha kanyumba, mafuta ochepa kwambiri, motero nsomba zamafuta ochepa, makamaka zam'madzi. Amakonza mbale ndikuyika patebulo mu mawonekedwe owiritsa kapena otentha, kwinaku akuwonetsa msuzi wamafuta ochepa, nyama ndi nsomba. Wodwala wawo amapatsidwa mosalephera.

5 Mavuto a matendawa

Matendawa pawokha amayenda ndi zovuta zina pakakhala kulephera m'matumbo mwake pakuyamwa kwa ntchito ya m'mimba.

Zotsatira zake, zonsezi zimabweretsa kuchepa kwa mapuloteni, kuchepa kwa mavitamini ndi kuchepa thupi, pamene chizindikiro chomaliza chikufika ku cachexia, thupi likakhala kuti limatha mphamvu komanso limafooka. Zizindikiro za matendawa zimawonekera chifukwa chakuti madzi amchere amchere amasokonezeka.

Potengera maziko awa, pali ludzu losatha ndikutupa, kuchepa kwa madzi ndi ziwalo zamkati ndi mucous membrane, kukomoka ndikotheka.

Chimodzi mwazizindikiro za steatorrhea ndikupanga oxaluria, pakakhala kubisala kwambiri kwa oxalic acid ndi oxalates, komwe kumabweretsa vuto ndi impso ndi ureter. Ndi matendawa, mtima ndi ziwalo zam'magazi kupuma, ubongo umakhudzidwa, mavuto amuka omwe amakhala mumalingaliro: kugona kumasokonekera, thupi limafooka, kugwira ntchito kumachepa.

Njira zopewera

Pomaliza, ndikofunikira kunena kuti zakudya zabwino zomwe ndizothandiza kupewa ziwonetsero.

Pamagawo oyamba kupewa, gawo lofunikira poletsa kukula kwa matendawa ndi chakudya chabwino, koma ndi malamulo ena.

Zakudya zomwe zikukayikira kuti chitukuko cha matendawa ndikulephereka ndikukula kwake ziyenera kulemekezedwa ndi mafuta a nyama, kupatula mafuta a masamba.

Pamodzi ndi izi, ndikofunikira kuchepetsa kumwa kwa zokometsera zonse komanso zamafuta, komanso zakudya yokazinga. Sinthani njira yachilendo yazakudya chanu kukhala chakudya chamagulu, i.e.

ndikofunikira kudya pafupipafupi, kubweretsa chakudya chambiri mpaka 5-6 patsiku, koma m'malo ochepa.

Lamulo lofunika lazakudya zabwino ndikukana zakumwa zoledzeretsa ndi zakudya zomwe zimakhala ndi gluten, zomwe zimapezeka kwambiri mu mbewu za tirigu ndi tirigu.

Ndi njira yachiwiri yotetezera, matendawa atapezeka kale ndikuwazindikira, mfundo yayikulu ndi chithandizo cha matenda omwe amayenda ndi steatorrhea ndi zizindikiro zake zoyipa. Pankhaniyi, madokotala amakupatsani mankhwala oti atengere kachilombo ka m'mimba.

Kukhala ndi chidwi ndi thanzi lanu, pakapita nthawi kuti mupeze thandizo loyenera, mutha kupatula matenda aliwonse, kuphatikizapo steatorrhea.

Creatrhea: zimayambitsa, Zizindikiro ndi chithandizo (zakudya, mankhwala osokoneza bongo, wowerengeka)

Chikalacho - Uku ndi kupezeka kwa chopondapo cha minofu ya minofu yolumikizika ndi minyewa yolumikizika. Chizindikirochi chimayamba kukonzekera pokhapokha ngati pali michere yokwanira ya protein. Creatrhea ndi umboni kuti chimbudzi cha m'mimba sichili bwino.

Steatorrhea ndi amylorrhea nthawi zambiri zimadziwika pamodzi ndi creatorrhea.

Steatorrhea ndi ... Steatorrhea: Zizindikiro, zimayambitsa, matenda ndi mankhwala

Steatorrhea ndi matenda, chiwonetsero chachikulu chomwe chiri kupezeka kwa mafuta osungidwa mu ndowe. Kupitilira muyeso ndi kukhalapo kwamafuta opitirira magalamu asanu m'matumbo. Mwa anthu, chizindikiro ichi chitha kufikira magalamu mazana angapo.

Zingwe zama minofu mu stool Coprogram mu mwana ndi wamkulu - chizindikiro cha creatorrhea

Timadya kukhala ndi moyo! Njira zakuchera za michere kuchokera kuzakudya zimayengedwa ndi chisinthiko.

Komabe, ngati mpaka posachedwa, vuto lalikulu linali njala, ndipo kupeza chakudya kunali kovuta, lero kusiyanasiyana ndi kupezeka kwa chakudya sikumadabwitsanso aliyense.

Kugwiritsa ntchito molakwika chakudya, osati kupulumuka kumabweretsa mavuto ambiri ndi m'mimba. M'nkhaniyi, tikambirana zodabwitsa monga creatorrhea - vuto la kukonza mapuloteni.

Momwe vuto limayambira

Vutoli limatha kupezeka pokhapokha mothandizidwa ndi kupenda ndowe. Ma microscopy akagwiritsidwa ntchito, michere yopanda chakudya ya protein, ndiye kuti nyama, imatha kupezeka ndowe.

Ngati ululu wampweya woterewo limodzi ndi tizinthu tating'onoting'ono tating'onoting'ono tikapezeka tambiri tambiri, timeneti timapangika.

Zodabwitsazi mwa izo zokha si matenda, ndichizindikiro chomwe chingalankhule za zolephera zam'mimba. Mafuta okhala ndi ulusi wa minofu ocheperako samawonetsa matenda. Izi zili choncho makamaka kwa ana omwe sagaya chakudya chokwanira m'matumbo omwe amapezeka m'mimba.

Mitundu yazakudya zomanga thupi zomwe zimatuluka ndi ndowe zikuwonetsa zomwe zimayambitsa vutoli:

  • ulusi wa minofu yolimba ndikuwonetsa kusowa kwa michere ina yomwe imalimbikitsa kugaya bwino,
  • ngati pali mitundu yambiri ya mapuloteni popanda kukondoweza mu pulogalamu, izi zikuwonetsa kuti zomwe zili mkati zikuyenda mofulumira kwambiri m'matumbo.

Mawonekedwe Ozindikira

Tinthu tating'onoting'ono tambiri tomwe timapezeka mu ndowe timatha kuwonekera pongowunika ma microscopic. Dokotala amatha kuperekera pulogalamu yamapulogalamu ya prophylactic komanso chifukwa cha matenda omwe amamuganizira. Kuti phunziroli likhale lodalirika momwe mungathere, muyenera kudziwa za malamulo oyendetsera.

  • Sizoletsedwa kupanga enemas kapena kugwiritsa ntchito mankhwala ofewetsa thukuta ngati momwe mungakhalire. Ndikofunikira kuti matumbo a matumbo azichitika mwachilengedwe.
  • Musanadutse pulogalamuyi, muyenera kupewa zakudya zambiri, mazira ndi zakudya zokometsera kwa masiku awiri. Ngati m'mawa wa kusanthula, ma skewing angapo am'madzi oyesedwa amamezedwa mwachangu, mawonekedwe a zidutswa zopanda mapuloteni adzabwera chifukwa chodya kwambiri nyama, osati zotsatira za kusowa kwa m'mimba.
  • Pazinthu zonyamula ndowe, zotengera zosafunika ziyenera kugwiritsidwa ntchito, osati zotengera kukhitchini.
  • Azimayi ayenera kupewa kulowa mu kusanthula kwachinsinsi. Popewa izi, mutha kugwiritsa ntchito swab yaukhondo.
  • Ndikwabwino kusonkhanitsa chopondapo cham'mawa. Komabe, munthu wamkulu akhoza kukhala ndi gulu lina lokhazikika. Zikakhala zoterezi, mutha kutolera chakudya chamadzulo ndikuyika usiku mufiriji.

Kodi kuwonanso ndowe zikuwonetsa chiyani?
Kugwiritsa ntchito pulogalamu ya pakompyuta, mutha kudziwa osati chokhacho, komanso zizindikilo zina zomwe zikulephera kugaya chakudya. Kodi chikhala chazovuta pati powunikira?

Kuchuluka kwa minofu yolumikizidwa, mafuta osalowerera, mafuta acids. Ndipo masamba osalimba omwe amagwiritsidwa ntchito muzakudya ndi zopsinja minofu (detritus) atha kukhala paliponse.

Kukhalapo kwina kwa epithelium ya cylindrical kumaloledwa, komanso kuchuluka kochepa kwamaselo oyera. Koma maselo ofiira amphongo, ntchofu, wowuma ndi chimbudzi chokwanira mu ndowe siziyenera kutero.

Maselo ofiira amatha kulankhula za zilonda zamatumbo, zotupa kapena zotupa za sphincter.

Zomwe zimayambitsa kuwuma wowuma (amylorrhea) mu chopondapo chagona matenda am'matumbo ang'ono. Peristalsis yothamanga imatsogolera ku chakuti ma carbo zovuta monga starch alibe nthawi yowonongeka.

Ngati mafuta ambiri amachotsedwa m'thupi limodzi ndi ndowe (steatorrhea), izi zitha kukhala chizindikiro cha exocrine pancreatic insuffidence. Chimodzi mwazomwe zimayambitsa steatorrhea ndi matenda obadwa nawo omwe amabwera chifukwa cha kuchepa kwa gluten - matenda a celiac. Kuzindikiritsa mazira osiyanasiyana a helminths, protozoa (mwachitsanzo, giardia) amadziwikanso kuti ndi gawo lalikulu la stool microscopy.

Kodi kuchitira?

Kukhazikitsidwa kwa creatorrhea si matenda odziyimira pawokha, koma chizindikiro chokhacho chomwe chikuwonetsa dyspepsia (magawo othandizira kugaya chakudya) kapena matumbo akulu a m'mimba. Chifukwa chake, sikofunikira kuchitira creatorrhea, ngati kuwunika kunawonetsa kupezeka kwa ulusi wamapuloteni osafunikira, ndikofunikira kuyang'ana chifukwa choyambirira pogwiritsa ntchito mayeso oyenera.

M'matenda akulu, mankhwala othandizira kapena ngakhale opaleshoni ingafunike. Komabe, chinthu choyamba choyambira ndi creatorrhea ndi kudzimbidwa ndi chakudya.

Muyenera kuyiwala za makeke, makeke, chakudya mwachangu ndi zakudya zina zomwe ndizovuta kugaya. Gastroenterologist amatha kuyambitsa ma enzyme, omwe amamwa omwe amachepetsa katundu paziphuphu ndikuthandizira kugaya chakudya. Kukonzekera kwamphamvu kwa creatorrhea kumatha kuchitika kwa nthawi yayitali osavulaza thupi, koma ngakhale chithandizo chophweka choterechi chikuyenera kuvomerezedwa ndi adokotala.

Pamene creatorrhea yapezeka mwa ana aang'ono, nthawi zina ndikokwanira kungosintha zakudya, kuchepetsa mapuloteni (akuti nyama) pamimba. Mpaka wazaka zitatu, ndibwino kuti muzikonda zakudya zamkaka ndi mkaka wowawasa, komanso nsomba yamafuta ochepa, kuchokera pachakudya chama protein.

Kusiya Ndemanga Yanu