Kunenepa kwambiri: Chenjezo - Mdani Wosaoneka

Panthawi yamavuto amtundu wa metabolic, kuperewera kwa chakudya, kusagwira bwino ntchito kwa thupi, kunenepa kwambiri kwa kapamba kumayamba. Vutoli likuwoneka bwino ndi kukula kwa khansa ya pancreatic necrosis. Poyamba, zimakhala zovuta kuzindikira kusintha chifukwa cha zomwe sizinawonetsedwe. Kuzindikira kowopsa kumaphatikizapo kuyezetsa magazi, ma ultrasound ndi njira zina. Werengani zambiri za kunenepa kwambiri kwa pancreatic, mawonekedwe ake ndi chithandizo chake, werengani mopitilira nkhaniyi.

Werengani nkhaniyi

Kodi chiwopsezo cha kapamba ndi chiyani?

Kudzikundikira kwamafuta mumankhwala otulutsa pancreatic amatchedwa steatosis, kapena kufooka kwamafuta. Muthanso kukumana ndi matenda otizindikira - matenda osakhala a mafuta. Vutoli limakonda kukhala ndi kunenepa kwambiri, mtundu wa 2 shuga ndi metabolic syndrome (kuphatikiza kunenepa kwambiri, cholesterol owonjezera, glucose wamagazi, matenda oopsa).

Izi zikuchitika chifukwa chakuti kapamba amatulutsa enzyme yakuwonongeka kwamafuta - lipase. Ndi iye amene amalumikizana koyamba m'matumbo ang'onoang'ono ndi zakudya zokhala ndi lipids. Ndi chithandizo chake, mafuta amasintha kukhala glycerin ndi mafuta acids. Madzi a pancreatic amakhalanso ndi sodium (sodium bicarbonate), yomwe imapangitsa malo okhala ndi zamchere kuti lipase igwire ntchito.

Pancreatic steatosis

Ngati mafuta ochulukirapo amachokera ku chakudya, ndiye kuti mafuta ochulukirapo a mafuta amapangidwa ngati zotulukapo. Pansi pa zochita zawo:

• pamakhala zotupa, kenako ndikulandidwa ndi mafuta,
• kubisalira kwa insulini komanso kuzindikira kwake ndikusokonekera, kukana insulin kumawonekera,
• maselo a gland alibe mphamvu, ntchito zawo zimachepa, ndipo lipase yocheperako imapangidwa.

Mitundu ina ya biologological yogwira ntchito yomwe imasungidwa kwambiri ndi minofu ya adipose, monga interleukin 6, leptin, adiponectin, ndi chotupa necrosis factor, imathandizanso kuwonongeka kwa ziwalo.

Ndipo pali zambiri za ultrasound ya kapamba.

Zomwe Zimayambitsa Kunenepa kwambiri

Zomwe zimawonjezera chiopsezo cha kulowetsedwa kwamafuta (kuphatikizidwa kwa minofu yokhala ndi mafuta) ya chiwalo ndi:

• onenepa kwambiri, makamaka kuyika mafuta pamimba,
• carbohydrate kagayidwe kachakudya - mtundu 2 matenda a shuga, prediabetes, kagayidwe kachakudya matenda,
• matenda obadwa nawo osintha mayamwidwe m'matumbo ang'onoang'ono kapena mapangidwe osalimba a lipase,
• kuchuluka kwa chitsulo (hemochromatosis) mu kapamba, kuthiridwa magazi pafupipafupi, mankhwala osokoneza bongo omwe ali ndi chitsulo,
• owonjezera cortisol wa matenda am'matumbo a adrenal, ntchito kwa nthawi yayitali yopanga mapangidwe (mwachitsanzo, mankhwala a prednisolone),
• kachilombo kavairasi - HIV, chiwindi B, matenda obwezeretsanso (matumbo am'mimba),
• aakulu yotupa njira mu kapamba (kapamba), chiwindi (chiwindi), ndulu (cholecystitis), duodenum (duodenitis),
• ntchito kwa nthawi yayitali, nthawi zambiri osagwiritsa ntchito mankhwalawa omwe amachepetsa cholesterol, somatostatin, mankhwala osokoneza bongo, zakudya zowonjezera pakuchepetsa thupi.

Zomwe zili pachiwopsezo cha pancreatic steatosis zadziwikanso:

• kudya kosayenera pogwiritsa ntchito mafuta ochulukirapo, makamaka nyama, kusowa kwamasamba ndi zipatso pamenyu, kudya kwambiri,
• Njala, zakudya zopanda pake, makamaka zomanga thupi, ketogenic,
• unyamata ndi ukalamba wa odwala,
• kumwa mowa nthawi zonse
• amuna
• kusuta
• triglycerides owonjezera, cholesterol m'mwazi,
• kunenepa kwambiri, matenda a kapamba, matenda a shuga, kukana insulini pachibale,
• zolimbitsa thupi.

Zizindikiro za kusowa kwa ziwalo

Chovuta pakuzindikira matendawa ndikuti nthawi zambiri, odwala samapanga madandaulo. Njira ya asymptomatic imadziwika makamaka mu magawo oyamba a steatosis, pomwe imachiritsidwa kwathunthu.

Pambuyo pake, mothandizidwa ndi njira yaulesi yotupa ndi dystrophy (kutaya kwazosungira), zotsatirazi zimachitika:

• kupweteka mumimba ya m'mimba, kufikira kumbuyo. Kulimba kwake kumakhala kocheperako kapena kofoka, kumawonjezeka mukamadya zakudya zamafuta, nthawi zambiri kumawonekera mphindi 30-45 mutadya,
• nseru, kusanza kwambiri,
• kugudubuka m'mimba, kutulutsa,
• kusinthana ndi kutsekula m'mimba ndi kudzimbidwa kapena chopondapo pafupipafupi.

Nthawi zambiri pamakhala kuwonjezeka kwa thupi, kuwonjezeka kwa voliyumu, pomwe ndi kapamba wamba, odwala amachepetsa thupi. Pa matenda omwe ali kale, amapezeka nthawi zambiri:

• ochepa matenda oopsa
• matenda a mtima (angina pectoris),
• mafuta chiwindi
• atherosulinotic ischemic colitis, enteritis (kuukira kwam'mimba chifukwa cha kusowa kwa magazi kupita m'matumbo),
• kusayenda kwa bile (cholestasis),
• xanthomatosis (mafupa amafuta) pakhungu lakumaso, kuwerama kwa mkono, nkhope, khosi,
• aneurysms yaying'ono yamitsempha - m'malovu ofiira pamthupi (ma capillaries osungunuka omwe samatha ndi kupanikizika).

Kodi pansi pamimba ndi chiyani?

Kansa ndi yomwe ili pansi pamimba, ndichifukwa chake ili ndi dzina lotere - chiwalo chomwe ndichofunikira kwambiri kuti thupi lathu lizigwira ntchito bwino. Kodi ndinganene kuti, kodi pali chilichonse chopanda ntchito mthupi lathu?

Amayi Zachilengedwe amabwera ndi chilichonse molondola, koma osati ma cogu onse amagwira ntchito momwe amayenera kukhalira. Nthawi zina zimachitika kuti zimawoneka ngati ife kuti zonse sizabwino. Koma, monga momwe zilili masiku ano, simungadziwe kwa nthawi yayitali kuti kulephera kudachitika kwinakwake. Kulephera ndikwachikulu, komwe kumatha kubweretsa zotsatira zosasinthika.

Kodi chimamukwiyitsa chiyani?

Koma kodi chiwopsezo cha kunenepa kwambiri kwa kapamba ndi chiyani? Apa, ngakhale malingaliro a akatswiri amasiyana. Ena amakhulupirira kuti izi ndi zotsatira za kapamba. Ena amatcha kuti chibadwa chosankha bwino.

Koma madotolo amavomereza kuti lipomatosis ndi matenda achibadwa. Uku ndikuchita kanyumba konyansa. Kutsatira malingaliro a kudzisungira, thupi likuyesayesa kulowetsa maselo akufa ndi atsopano. Pankhaniyi, adipose minofu. Koma maselo oterowo sangathe kugwira ntchito zofunika pa chiwalo. Chifukwa chomwe mayankho achilengedwe munthawiyi ndiwopanda pake komanso osavulaza nthawi imodzi.

Zomwe zimayambitsa matendawa

Tsopano lingalirani za zoyambitsa (ndendende, zoyambitsa) za lipomatosis:

• Zowonongeka zowopsa m'mapamba.
• Kufooka kwa chitetezo chathupi.
• Angapo matenda oyamba: kapamba, chiwindi, gastritis, shuga.
• Choyipa.
• Zosintha zokhudzana ndi zaka m'thupi.
• Mankhwala osalamulirika.
• Kusuta kwa zakudya zopanda pake - mafuta, mchere, kusuta, zonunkhira.
• Zizolowezi zoyipa - kusuta, kumwa pafupipafupi.
• Kuzolowera kukhala wonenepa kwambiri.

Chifukwa chake, lipomatosis ndi chotsatira cha kusokonezeka kwakukulu kwa metabolic m'thupi. Matenda oyamba (kapamba, matenda ashuga, ndi ena) samatitsogolera nthawi zonse - amatengera kutengera kwa munthu. Komabe, ziwerengero zikuwonetsa kuti nthawi zambiri mkhalidwewu umapezeka mwa anthu onenepa kwambiri, odwala omwe amamwa mowa kwambiri.

Chithunzi cha kuchipatala

Tawona kale kuti zizindikiro za kunenepa kwambiri kwa pancreatic kumayambiriro kwa matendawa sizingachitike konse. Ndikotheka kuzindikira matenda pano pokhapokha pakuyesa kwa ultrasound. Pali zinthu ziwiri zomwe zimakhudza matenda.

• Kuphwanya kwachilengedwe kwa kapamba.
• Kuchepetsa minofu ya adipose osati malo abwino a zofunikira, komanso ziwalo zoyandikana.

Kukula kwa mafuta ochulukirapo kumatha kukhala kosiyana kwambiri, kutengera malo omwe kapamba awonongeka. Titha kulankhula za kunenepa kwambiri pamene zopitilira 30% ya ziwalo zomwe zachitika.

Koma kudziwiratu tanthauzo la matendawa si kuchuluka kwa maselo osinthika, koma malo omwe ali m'ziwalozo. Ngati mafuta am'madzi amadzisonkhana malo amodzi, zimakhala zomveka kunena za mawonekedwe osakhazikika - lipoma. Sangadziwonetse yekha kwa zaka zambiri. Koma mapangidwe atayamba kuchuluka, kupanikizika ma ducts oyandikira ndi mitsempha yamagazi, njira zamitsempha, zizindikiro za matendawa zimayamba kuwonekera bwino.

Zizindikiro zazikulu

Kodi kupweteka kwa hypochondrium yoyenera pambuyo pamafuta azakudya kumawonetsa chitukuko cha lipomatosis? Tilembapo zizindikiro zazikulu za matendawa:

• Shingles, womverera mu hypochondrium yoyenera atatha kudya (iliyonse, mwanjira yoyenera ngakhale mafuta).
• Kutumphuka kwakanthawi, limodzi ndi bata.
• Udzu wokhazikika.
• Maonekedwe a zilonda zazing'ono pamkamwa.
• Kusanza kwamkati, nseru.
• Kubwera pansi kwa chopondapo. Nthawi zambiri mu ndowe za wodwala, zimapezeka magazi kapena mafuta amapezeka.
• Zofooka zambiri, ulesi.
• Ngati matendawa ayamba, ndiye kuti wodwalayo amayamba kuchepa thupi kwambiri.

Magawo a matenda

Magawo atatu akuluakulu a lipomatosis ndi osiyana:

1. Mu gawo loyamba, kusintha kumakhudza zosaposa 30% ya zimakhala.
2. Gawo lachiwiri, 30-60% ya zotsekemera zimakhala masisitimu amafuta osuntha.
3. Pa gawo lomaliza la matendawa, chiwalo chimaposa 60% mafuta.

Izi ndizowopsa pazotsatira, zovuta za matenda. Zimathandizira kukulitsa endocrine pathologies, kukulitsa kuchuluka kwa shuga m'magazi. Kutengera izi, matenda a shuga amatha. Komanso, njira ya kunenepa kwambiri imatha kufalikira ku chiwalo chofunikira kwambiri - chiwindi. Ndipo yambitsani kukulitsa kwa hepatosis.

Njira zoyesera

Ngati mukukayikira kuti muli ndi zizindikiro zosonyeza matendawa, muyenera kulumikizana ndi dokotala wa gastroenterologist, endocrinologist. Choyamba, adotolo amawunika wodwalayo, akumvetsera madandaulo ake azaumoyo. Khalani okonzeka kuyankha mafunso otsatirawa:

• Zizindikiro zake zidawoneka liti?
• Kodi mumatsata zakudya zamtundu wanji?
• Ndi matenda ati omwe adakumana nawo?
• Kodi muli ndi zizolowezi zoyipa?
• Kodi achibale anu adadwala matenda ampamba?

Kenako chimba chamimba chimachitidwa. Ndi izi, adotolo amawona momwe aliri. Koma osati popanda labotale, yothandizira. Kukonzekera koyenera kwa ultrasound ya kapamba. Muli muyezo - dokotala adzakudziwitsani malamulo onse ndi mawonekedwe asanachitike.

Mayendedwe azithandizo

Chithandizo cha kunenepa kwambiri kwa pancreatic ndizovuta. Zimaphatikiza njira zingapo nthawi imodzi:

• Kumwa mankhwala. Makamaka, izi ndi zinthu za enzymatic, insulin.
• Nthawi zina, mwachilolezo cha adokotala, chithandizo chamankhwala chovomerezeka chimaloledwa monga chodwala.
• Kusintha kwa moyo. Makamaka, kukhazikitsidwa kwa zakudya zapadera zofatsa, zakudya zopatsa thanzi, kukana kwathunthu kumwa zakumwa zoledzeretsa.
• Muzochitika zoopsa kwambiri (pamene matenda adapezeka muyezo wapamwamba kwambiri, digiri yachitatu), amamuika opaleshoni.

Nthawi yayitali ya chithandizo ili pafupifupi miyezi iwiri. Pambuyo pa nthawi imeneyi, adotolo amapatsanso wodwalayo mwayi wina wofufuzira wa ziwalo zam'mimba, kuyezetsa magazi m'magazi. Pakatha miyezi isanu ndi umodzi, njira ya mankhwalawa imabwerezedwa.

Mankhwala

Mapiritsi onenepa a pancreatic amalembedwa ndi adokotala okha. Ichi ndi matenda oopsa okwanira kusinkhasinkha. Mankhwala otsatirawa nthawi zambiri amaperekedwa:

• Ibuprofen Analgesic, analgesic. Zimathandizira kuchotsa ululu wammbuyo wozunza wodwala. Kusintha mankhwala - No-Shpa, Plifillin.
• Metoclopramide. Kodi mapiritsiwa akuchokera kuti? Mankhwala amatha kuthana ndi zotsatira za lipomatosis, monga mseru komanso kusanza.
• "Mebeverin". Mankhwalawa adapangidwa kuti aletse kukokana kwamatumbo.
• Pancreatin Ndi mankhwala a enzymatic. Muli mankhwala okhala ndi biology omwe amathandizira pakuwonongeka kwa michere - mapuloteni, chakudya, mafuta. Chifukwa chake, zimapangitsa kuti chimbudzi chizibowoleza. Njira zina zochiritsira ndi Festal kapena Mezim.
• Loperamide. Mukunenepa kwambiri kwa chiwindi, odwala nthawi zambiri amadwala matenda otsegula m'mimba, matenda a stool. Mankhwalawa amakulolani kupirira zovuta ngati izi.
• Vitamini ovuta. Cholinga chawo ndi kukulitsa chitetezo chathupi.

Nthawi zina, dokotala amatipatsa mankhwala a insulin.

Chithandizo chothandizira

Monga wowonjezera mankhwala, wowerengeka azitsamba amagwiritsidwa ntchito. Awa ndi ma infusions komanso ma decoctions ochokera kukonzekera kwazitsamba. Gwiritsani ntchito pokhapokha mwachilolezo chodwala.

Quoction wodziwika bwino amachokera ku valerian, nettle, calendula, wort wa St. Zitsamba zonse zimasakanizidwa palimodzi chimodzimodzi - 10 g pa chikho chimodzi cha madzi otentha. Gwiritsani kulowetsedwa m'malo ofanana kasanu ndi kawiri pa tsiku.

Zojambula za mbewa, rose m'chiuno, chamomile, chosafa, ndi chowawa zimagwiritsidwanso ntchito.

Amatembenukiranso ku physiotherapy, hirudotherapy (kugwiritsa ntchito leeches), chithandizo cha spa, komanso kugwiritsa ntchito madzi amchere.

Kudya

Ndi kunenepa kwambiri kwa kapamba, zakudya zina zimasonyezedwa - Ayi. 5. Ichi ndiye chakudya chapadera chamankhwala. Chachikulu ndichakuti kupatulidwa kuchokera muzakudya za zinthu zina zomwe zimakhumudwitsa m'mimba. Awa ndi urea, creatine, tyrosine, inosinic ndi glutamic acid.

Wodwala sayenera kutsatira zotsatirazi pazakudya zake:

• Zinthu zomwe zimakhala ndi mafuta ofunikira (ma citruse, zitsamba).
• Zakudya zokhala ndi mafuta ochulukitsa (mwanawankhosa, ng'ombe).
• Zogulitsa zomwe zimakhala ndi cholesterol yambiri. Mazira, tchizi, chiwindi, sardine, shrimp, mackerel, makeke okoma, mabisiketi.
• Mchere, marinade, chakudya chofulumira, ayisikilimu, muffin.
• Zakumwa zokoma za kaboni.
• Nyama, mkaka, nsomba zamzitini.

M'malo mwake, gwiritsitsani izi:

• Mulingo woyenera zakudya: pafupipafupi, koma pang'ono.
• Kukana zokhwasula asanagone.
• Kuchepetsa kuchuluka kwa zopatsa mphamvu tsiku lililonse.
• Zakudya makamaka zomanga thupi ndi zakudya zopatsa mphamvu.
• Kuyambitsa chakudya chokhala ndi zakudya zamafuta ambiri: zipatso, masamba, zipatso. Awa ndi peyala, mabulosi abulu, rasipiberi, maapulo, sitiroberi, beets, kaloti, nandolo, kabichi, broccoli.
• Pophika, gwiritsani ntchito njira monga kudyetsa ndi kuphika.

Kupewa

Njira zodzitetezera ndizosavuta komanso zopezeka kwa aliyense:

• Kusiya mowa ndi kusuta.
• Kunenepa.
• Matendawa amadya zakudya zamafuta.
• Chidwi cha moyo wokangalika, wathanzi.

Lipomatosis ndi matenda oopsa omwe amakhudza chofunikira, kapamba. Imakhala yovuta ndi zotsatira zake, zovuta. Chifukwa chake, ndikofunikira kuchita prophylaxis munthawi yake, musaiwale za kukonzedwa kwa ultrasound kwam'mimba.

Kafukufuku woyeserera

Kufunika kwa kunenepa kwambiri monga chiopsezo cha zovuta za OP kwatsimikiziridwa mu kafukufuku woyesera. Poyeserera OP yomwe imayambitsa makoswe onenepa, komanso makoswe onenepa kwambiri chifukwa cha zakudya zam'mbuyo zopatsa thanzi kwambiri, kupulumuka kwa nyama zoyeserera ndikosiyana kwambiri.

Pakadutsa maola makumi asanu ndi awiri kuchokera pakubwezeretsedwa kwa OP, 25% yokha ya makoswe omwe ali ndi kunenepa kwambiri kwamtundu wamoyo amapulumuka, 73% ya makoswe omwe ali ndi kunenepa kwambiri kwamankhwala, pomwe kufa kwa gulu la makoswe popanda kupatuka kulemera kwa thupi sikunalembedwe konse. Kuchuluka kwa kupulumuka kukugwirizana ndi kuopsa kwa chiwindi chamafuta. Pafupipafupi komanso kufalikira kwa pancreatic necrosis kumachitika kwambiri m'magulu onenepa kwambiri poyerekeza ndi nyama zoyesera pagulu lolamulira.

Pathophysiology

Mukamayang'ana pathogenesis ya OP kunenepa kwambiri, ndikofunikira kuyankha mafunso awiri: chifukwa chiyani ndizofala kwambiri m'magulu onenepa kwambiri komanso onenepa kwambiri ndipo chifukwa chiyani zimakhala zovuta kwambiri? Kuyankha funso loyamba, titha kulankhula za kuphatikiza kwa zinthu za OP zomwe zimachitika mwa anthu onenepa kwambiri. Pachiwonetsero chachiwiri, ndikumveka kuwunikira maphunziro akuluakulu azachipatala komanso oyesera, omwe adaphunzira momwe amapezekera ndikukula kwa OP mwa odwala onenepa kwambiri.

Chodziwika bwino ndi ubale wapakati pa cholelithiasis ndi kunenepa kwambiri, ndichifukwa chake olemba ena amafotokozera kuwopsa kokhala ndi pancreatitis (pachimake komanso chovuta) kwa odwala onenepa. Mwanjira ina, mwa odwala onenepa kwambiri, chinthu choyambirira chomwe chimapangitsa kupezeka kwa kapamba ndi kudalira kwadyera. Komabe, iyi si njira yokhayo, chifukwa odwala onenepa nthawi zambiri amakumana ndi zovuta zamankhwala ochulukitsa (shuga mellitus) ndi mafuta metabolism (hyperlipidemia).

Muzochitika izi, njira zopangira pathogenetic zowonongeka pancreatic zimaphatikizidwa.

Kuwonjezeka kwa kuchuluka kwamankhwala omwe amapezeka mu peripancreatic zone ndi malo a retroperitoneal kumawonjezera chiopsezo cha necrosis cha peripancreatic fiber, zovuta zowonjezera matendawa ndi kufa. Chiwindi Steatosis mu kunenepa kwambiri amathandizira pakukula kwa matenda a pathological mu OP, mwina chifukwa cha kuchepa kwa ntchito ya chiwindi, chifukwa kupulumuka mu OP kumayenderana ndi kuopsa kwa steatosis.

Ubale womwe ungafunike kuwunikira kowonjezereka ndi kusintha kwa kapangidwe ka bile panthawi ya kunenepa kwambiri ndi kuwonjezereka kwa lithogenicity, kukula kwa biliary sludge ndi cholelithiasis, popeza kuchuluka kwaphatikizana ndi cholesterol ndi bile kumawonedwa mu kunenepa kwambiri. Komanso, kuchuluka kwa cholesterol yomwe imapangidwa imakhala yofanana ndi kuchuluka kwa thupi. Tiyenera kudziwa kuti zakudya zamafuta ochepa zimagwiritsidwa ntchito pakuchepetsa thupi kwa odwala omwe ali ndi kunenepa kwambiri, mu 25% ya milandu imayendera limodzi ndi kupanga biliary sludge ndi calculi.

Ngati akuchita mankhwalawa a kunenepa kwambiri, mwayi wa cholelithiasis ndiwokulirapo; 50% ya odwala, cholecystolithiasis amapezeka mkati mwa miyezi 6. Mwa amuna, matenda a gallstone pambuyo pa njira za opaleshoni omwe cholinga chake ndi kuwongolera kunenepa kwambiri amakula pafupipafupi.

Tisaiwale za mawonekedwe a zakudya, moyo wa odwala omwe ali ndi kunenepa kwambiri, popeza zakudya zawo mokulira zimakhala ndi zomwe zingayambitse kuwonongeka kwa zinthu za OP. Moyo, womwe nthawi zambiri sugwira ntchito, pamlingo wina, ungathenso kutsegukira ku OP. Chiwopsezo chokhala ndi OP ndichipamwamba kwambiri mwa anthu omwe ali ndi vuto losakhazikika (RR = 1.3566), komanso mwa anthu omwe ali ndi vuto la kuperewera kwa zakudya m'thupi (RR = 2.9547), kudya kwambiri pambuyo pamagawo am'malo a njala (RR = 1.9603), kudya nyama yambiri (RR = 1.9333) ndi mafuta a nyama (RR = 1.5652). Mosiyana ndi izi, anthu omwe amadya mpunga, mafuta a mkaka, nsomba zam'madzi, ndi ndiwo zamasamba ali ndi chiopsezo chochepa kwambiri chokhala ndi OP (OR kuyambira 0,3 mpaka 0.6).

Odwala onenepa kwambiri, kuthamanga kwa m'mimba kumakhala kwakukulu kuposa kwa odwala omwe ali ndi BMI yovomerezeka. Pali zifukwa zitatu izi:
• choyambirira, chifukwa cha kuchuluka kwa mafuta mu ziwalo zam'mimba (chiwindi, omentum, mesentery, komanso retroperitoneal fiber),
• Chachiwiri, moyo wongokhala umakonzeranso kuchulukana kwam'mimba,
• Chachitatu, anthu omwe ali ndi kunenepa kwambiri amakhala ndi chakudya chimodzi chambiri, chomwe chimakhala chokwanira kwambiri kuposa masiku onse, chomwe chonse chimangokulitsa kukakamiza m'mimba, komanso kumawonjezera nthawi yomwe imakhala m'mimba.

Kuwonjezeka kwa kupanikizika kwa lumen kwa duodenum kumatha kuyambitsa kuphatikizanso zomwe zili mu GLP ndikutulutsa kwina kwama protein mkati mwake, komwe kumatha kukhala chothandizira pakukula kwa OP. Kuchuluka kwa kukhudzidwa kwa m'mimba ndi 1 mmHg imawonjezera mwayi wokhala ndi nthawi yayikulu ya OP 2.23.

Odwala onenepa kwambiri amasuta. Kusuta, monga momwe tawonera kale, ndizoyambitsa thupi ku OP ndi CP, zomwe zimawonjezera chiopsezo chokhala ndi kapamba kawiri konse. Kuphatikiza apo, mwa anthu omwe amasuta, kapamba amayamba ali ochepa zaka, ndipo chiopsezo chotenga matendawa chimakulanso kutengera kuchuluka kwa ndudu.

Kuopsa komanso pafupipafupi kwa zovuta za OP kunenepa kwambiri kumachitika chifukwa cha kuthekera kwatsatanetsatane kotsutsa, kusakwanira komanso kufotokozera kokwanira kwa mapuloteni komanso mapuloteni oyambitsa. Kunenepa kwambiri ndi kudziyimira pawokha kwa kupuma kwambiri kulephera kwa kunenepa kwambiri. Anthu omwe ali ndi kunenepa kwambiri amakhala ndi chiopsezo chachikulu cha kugunda kwa pancreatogenic, kupweteka kwa impso ndi kupuma.

Pomaliza, ziyenera kudziwidwa kuti zotsatira za kafukufuku wamatenda ndi kuyesa zikuwonetsa unansi wina pakati pa kunenepa kwambiri, kuwopsa, kuuma komanso kudziwika kwa maphunziro a OP. Za kuwunika kwa ubale wotere ndi CP, zomwe zikupezeka sizokwanira kungomaliza.

Komabe, malinga ndi zotsatira za maphunziro athu, ubale wotere ulipobe. Pakufufuza koyambiranso, tinabwezera kupezeka kwa kuchuluka kwa thupi mu 72.8% ya ma inpatients m'madipatimenti opangira opaleshoni ndikuchiritsa ndi CP of biliary etiology (mkuyu. 7-1). Ndikofunikira kudziwa kuti njira yovuta yothandizira ma biliary CP kwa odwala omwe ali ndi BMI yayikulu imachitika, monga, nthawi yayitali ya chithandizo chamankhwala.

Matenda a shuga, kunenepa kwambiri komanso khansa ya kapamba

Kwa nthawi yayitali, matenda a shuga amawonedwa ngati chimodzi mwazinthu zomwe zimatha kuyambitsa kukulitsa khansa ya kapamba. Popeza kunenepa kwambiri nthawi zambiri kumaphatikizidwa ndi matenda ashuga, ndizovuta kunena zomwe kukula kwa khansa kumayenderana: matenda a shuga kapena kunenepa kwambiri. Kafukufuku waposachedwa waposachedwa wa kafukufuku 14 wokhudza odwala opitilira 6,000 a khansa yapakhungu akuwonetsa kuti chiopsezo chokhala ndi khansa ya kapamba chimakhala pafupifupi 20% kuposa odwala omwe ali ndi mafuta onenepa (omwe ali ndi BMI yoposa 30 kg / m2) poyerekeza ndi odwala omwe ali ndi mfundo za BMI zoyenera.

Mukunenepa kwambiri, kuchuluka kwa insulin kukokana kumadziwika, komwe kumayambitsa kukondoweza kwa maselo a b ndikukula kwakutali kwa hyperplasia yawo. Chifukwa chake, kuchuluka kwa 6-maselo kuyenera kugwirizana ndi BMI.

Komabe, maselo a "β-cell" amapeza Refractoriness ena, omwe amaphatikizidwa ndi kuchuluka kwa hyperglycemia ndi kukula kwa matenda a shuga. "" Insolvent "β-cell imasandulika kukhala osagwirizana ndi hyperglycemia, pomwe mitundu ina ya maselo othandizira amapitilira shuga. Izi zitha kufotokozera chifukwa chake shuga yosalekeza imalumikizidwa ndi chiwopsezo cha khansa ya kapamba. Chifukwa chake, mwa kuchepetsa kukana kwa insulin, mutha kuchepetsa chiopsezo cha khansa ya kapamba.

Lingaliro limatsimikiziridwa ndi kafukufuku woyesera nyama, momwe adawonetsedwa kuti chithandizo ndi metformin chimalepheretsa kukula kwa khansa ya kapamba yomwe imayambitsidwa ndi mankhwala osokoneza bongo. Odwala onenepa kwambiri omwe amakhala ndi zolimbitsa thupi pafupipafupi (zolimbitsa thupi ndi zomwe zimadziwika zomwe zimapangitsa kuti insulini), chiopsezo chokhala ndi khansa ya kapamba ndiyotsika.

Zomwe zimawopseza kunenepa kwambiri ndi ntchito yolakwika ya pancreatic

Kutupa mu tiziwalo tamadutsa tambiri tomwe timalowa m'mafuta ndikovuta kuchiza. Popita nthawi, ma fibrosis amapezeka m'malo mwake - ulusi wophatikizika umakula. Pakadali pano, zosinthazo zimakhala zosasinthika, ndipo kumasulidwa kwa ma enzymes ndi mahomoni (insulin, glucagon) amachepetsa msanga. Izi zimayendera limodzi ndi kuphwanya kwa chimbudzi cha chakudya, kuchepa thupi, zizindikiro za kuchepa kwa Vitamini, kutsekula m'mimba kwambiri, matenda a shuga.

Mafuta ochulukirapo angayambitse kutsekeka kwamitsempha yamagazi ndi ma ducts, kukula kwa kapamba ndi kupweteka kwa thupi - kapangidwe ka pancreatic necrosis.

Pancreatic steatosis imayambitsanso kusintha (kusintha) kwa maselo abwinobwino kukhala chotupa cha khansa. Chofunikira pa chiphunzitsochi ndichakuti chiopsezo cha khansa ndichachikulu ngati kunenepa kwambiri kumachitika mwa achinyamata kapena kuubwana.

Matenda a Steatosis

Njira zoyenera kuzindikirira ndi izi:

• Zizindikiro zakunja kunenepa, index of body (kulemera / lalikulu masentimita) kuposa 27-30,
• m'magazi - owonjezera mafuta m'thupi, triglycerides, shuga. Ntchito za Amylase zimachepetsedwa, gamma-glutamyltranspeptidase imachulukitsidwa. Ndi kutupa, mitengo yapamwamba ya leukocytes, ESR, zochitika za amylase zapezeka,
• kuyeserera kwa glucose - prediabetes, shuga,
• Ultrasound - kuchuluka kukula, kupatula kusintha: osasinthika, inhomogeneous kapangidwe, yafupika tirigu, blurry kunja contour. Pancreatic duct nthawi zambiri imakulitsidwa. Nthawi zambiri amakhala ndi chiwindi cha chiwindi,
• CT kapena MRI - kachulukidwe ka kapamba ndi magawo 20-30 pansi pa ndulu, pali magawo a mafuta pakati pa lobules. Mutha kuwona mtundu wamtundu wamafuta obisika kapena kuchuluka kochepa kwamafuta m'thupi ndi mchira,
• chabwino singano biopsy ndikofunikira kuti gawo loyambira lamafuta kuwasiyanitsa ndi chotupa.

Pancreatic Kunenepa kwambiri Chithandizo

Mkhalidwe waukulu ndi kuwonda. Pa izi, zakudya zochepa zopatsa mphamvu zimakhazikitsidwa (chosowa cha 500 kcal kuchokera kuwerengera), zolimbitsa thupi kwa mphindi zosachepera 45 patsiku. Popanda ululu ndi kupukusira kwa m'mimba, chithandizo chamankhwala chimalimbikitsa matenda a metabolism (chithandizo cha matenda ashuga, prediabetes), mafuta (mankhwala ochepetsa cholesterol), kukonza kutuluka kwa bile.

Ndi zizindikiro za kuchepa kwa kapamba (kupweteka, kutulutsa thukuta, chopondapo chosakhazikika) komanso kusokonezeka kwakukulu kwa metabolic, mankhwala amalembedwa:

• kuchepetsa acidity - Omez, Control,
• Ma enzyme okhala ndi lipase mu ma microspheres - Creon, Pangrol, Hermitage,
• lipid-kutsitsa (Crestor, Tricor) kutsika kokhazikika kwa mafuta m'thupi, kusintha kwa kuchuluka kwa lipid,
• amatsenga - Enterosgel, Polysorb, Atoxil,
• ma probiotic kuti asinthe microflora - Linex, Hilak forte,
• kukulitsa kuyankha kwamisempha ku insulin - Metformin, Januvia,
• antioxidants - vitamini E, Berlition, Mexicoidol,
• hepatoprotectors kusintha chiwindi ntchito - Essentiale, Hepabene, Citrarginine,
• antispasmodics for ululu - No-shpa, Riabal, Buskopan,
• othandizira mtima - Mikardis, Prestarium.

Woopsa milandu, magawo kuyeretsa magazi ikuchitika ntchito plasmapheresis, mtsempha wa magazi a heparin ndi yochepa insulin kuchita zina lipase.

Wantchito Wosaoneka

Kupatula apo, thupi limayang'anira zochitika zofunikira kwambiri monga

• katulutsidwe ka michere yambiri yokugaya - imathandizira kugaya ndi kuyamwa kwa michere
• kupanga kwa mahomoni, zomwe zimapangitsa kuti ikhale yofunika kutenga nawo mbali pa kayendedwe ka chakudya chamafuta, mafuta ndi metabolism, mwanjira ina, kagayidwe.
• kupanga insulin, kuchepa komwe kumayambitsa matenda ashuga.

Zovuta

Nthawi zina ntchito zonsezi zimayamba kulephera, kenako mafuta amayamba - kunenepa kwambiri kwa kapamba, kapena lipomatosis.

Ichi ndi chiyani Zomwe zimatchedwa njira yotsatsira maselo odwala kapena akufa ndi minofu ya adipose. Maselo owonongeka ndi njira yotupa sangathenso kugwira ntchito zawo, amakhala ofooka, amafa. Ndipo malo awo amatenga malo okhala ndi mafuta.

Kuphatikiza apo, kunja, zosintha izi zitha kuoneka kwa nthawi yayitali ndipo mwina sizimadzipangitsa kumva. Osachepera mpaka mafuta oyamba ayambe kufinya minofu ndikusokoneza ntchito ya ziwalo zoyandikana. Nthawi zambiri, matendawa amatha kuonekeranso mwamwayi, panthawi ya kukina kwa ultrasound.

Vutoli silibwera lokha

Chovuta ndichakuti njira yofananira kusintha maselo athanzi ndi mafuta sichikhala yokhayokha. Popeza thupi lathu limangokhala limodzi, kuyambika kwa matendawa m'ziwalo chimodzi kumabweretsa mavuto ndi ena. Pankhaniyi, chiwindi chimadwala kwambiri, chomwe chimakhudzanso matendawa - mafuta a hepatosis - kusinthika kwa maselo ake m'magulu amafuta.

Zizindikiro ndi kusapezeka kwawo

Matenda akuluakulu onsewa sangawonekere kwa nthawi yayitali. Nthawi zina pamakhala kutopa pang'ono, pakamwa pouma, mawonekedwe am'mimba a zilonda pamlomo wamkamwa.

Koma matendawa atakula, matendawo amawonekera kwambiri:

• kusanza, kutsegula m'mimba, kusanza
• chisangalalo
• kupweteka mu hypochondrium yoyenera, nthawi zambiri ya zoster
• makamaka muzovuta kwambiri - kuwonda

Tikuyang'ana zifukwa

Komabe, mavutowo amachokera kuti ndipo chifukwa chiyani? Kuchokera ku zovuta za metabolic. Koma zimayambitsa zifukwa zingapo nthawi imodzi.

Lipomatosis sichomwe chimayambitsa, koma zotsatira za kusintha kwa ziwalo m'thupi zomwe zimachitika poyankha:

1. kapamba, onse pachimake komanso mawonekedwe osakhazikika
2. uchidakwa
3. hepatosis (kusintha kwa maselo ndi mafuta) a chiwindi
4. molakwika mankhwala a kapamba
5. chibadwa
6. onenepa kwambiri wodwala
   

Ndizofunikira kudziwa kuti lipomatosis sichimachitika mwa aliyense yemwe ali ndi matenda a pancreatitis. Nthawi zambiri, vutoli limakumana ndi anthu onenepa kwambiri. Chifukwa chake, iwo omwe amapezeka kuti ali ndi kunenepa kwambiri ayenera kuonetsetsa kuti kapamba sikugwidwa ndi mafuta m'thupi.

Maphikidwe othandizira

Ndipo apa tafika pa funso la zoyenera kuchita ngati muli ndi matenda otere? Palibe chifukwa chomwe muyenera kukhala osinkhasinkha! Ngati mukuwona kuti china chake sichabwino, osataya nthawi, ndibwino kupita kwa dokotala nthawi yomweyo.

Apa nditha kungopereka malingaliro onse othandizira othandizira mafuta ochulukitsa.

• kupatula pakudya, zakudya zopatsa thanzi, kukana mowa, kugwiritsa ntchito zinthu za enzyme ndi insulin yoyesedwa ndi dokotala.
• opaleshoni ngati kusintha kwa minyewa kwafika pa digiri ya III.
  Analimbikitsa ndi kutumikiridwa ndi dokotala yekha.

Pazomwe zitsamba zimathandizira pancreas, vidiyoyi imati:

Kodi pancreatic lipodystrophy amathandizira bwanji? Monga lamulo, kuphatikiza ndi mafuta a chiwindi hepatosis, matenda onsewa, monga tafotokozera pamwambapa, amalumikizana ndipo amafunikira chithandizo chofanana.

Popanda kudya - palibe

Pancreatic Obesity Diet ndi zakudya zapadera zochiritsa zomwe zimatchedwa chakudya nambala 5. Chosangalatsa ndichakuti, zakudya zomwezi, monga momwe amanenera, zimatha kugwiritsidwa ntchito pakuchepetsa thupi - zimakuthandizani kuti muchepe mpaka makilogalamu 5 pamwezi.

Mfundo yayikulu yothandizidwa ndi izi - osapatula zinthu zina zowonjezera m'zakudya (zomwe zimapanga acid, urea, glutamic ndi ma inosinic acid, tyrosine ndi ena angapo omwe amachotsedwa pakuphika), zomwe zimakhumudwitsa thupi.

Komanso oletsedwa

• zinthu zamafuta ofunikira (zipatso za zipatso, zokometsera zokometsera)
• zakudya zokazinga
• Zakudya zamafuta owonjezera (monga mwanawankhosa ndi ng'ombe)
• chakudya chokhala ndi cholesterol yambiri (mazira, chiwindi, tchizi, mackerel, sardines, shrimp, komanso mabandi otsekemera, makamaka mabisiketi).

Menyu imalemedwa ndi zipatso ndi ndiwo zamasamba zomwe zimakhala ndi fiber (mapeyala, zipatso - rasipiberi, ma buluu, maapulo, sitiroberi, beets, kabichi, kaloti, nandolo, broccoli).

Kupatula pokhapokha, zakudya siziyenera kukhala zoperewera, chifukwa mafuta kapena mafuta ambiri sangatayiridwe.

Kuchuluka kwa zakudya za tsiku ndi tsiku monga izi:

• mapuloteni - 110-120 g
• chakudya - 250-300 g
• mafuta - 80 g
• madzi - kuchokera 1.5 mpaka malita awiri (kuphatikiza madzi m'mbale)

Zakudya zoyenera zimawoneka motere:

Pazakudya, ndikofunikanso kutenga mavitamini, mavitamini a mankhwala azitsamba amaloledwa - chowawa, dogrose, chosafa, chamomile, wort wa St. Mwanjira iliyonse, chakudyacho chimakhazikitsidwa ndi dokotala wanu pokhapokha ngati mwamuyesa.

Kugwiritsira ntchito mankhwala osokoneza bongo ndikothekanso kuyang'aniridwa ndi dokotala. Ndi iye yekha amene angayesere momwe thupi lanu liliri ndikusankha kuti ndi mankhwala ati omwe ali oyenera kwa inu.

Kenako osapita kwa adotolo

Monga mukudziwa, matenda aliwonse ndi bwino kupewa kuposa kuchiza pambuyo pake. Chochita pankhaniyi? Ndi njira ziti zodzitetezera zomwe zilipo kuti mupewe kunenepa kwambiri?

• Osamaledzera kapena kusuta fodya.
• Yendetsani kulemera kwanu. Musati muphonye chiwopsezo choterocho, chomwe nthawi zambiri chimakhala cholakwika chifukwa chomangirira m'mimba.
• Osamagwiritsira ntchito zakudya zamafuta.
• Khalani ndi moyo wathanzi: khalani ndi nthawi yambiri mu mpweya wabwino, mugone mokwanira, pewani kupsinjika, idyani moyenera ndikupatsa thupi lanu masewera olimbitsa thupi.
  

Zingakhale zothandiza kwambiri kuwerengera buku labwino momwe mfundo zachakudya zoyenera zimayikidwa padera. Mwachitsanzo, buku la Svetlana Bronnikova, woyamba yekha mpaka pano mphunzitsi ku Russia pankhani yokhudza kudya, katswiri wama psychologist komanso katswiri wama psychologist, katswiri pa kapangidwe kazakudya “Chakudya chopatsa thanzi. Muleka bwanji kusiya kuda nkhawa za chakudya komanso kuchepetsa thupi. "

Mmenemo, Svetlana, m'njira yosavuta komanso yomveka kwa gulu lalikulu la owerenga, amalankhula za momwe angapangitsire zakudya zake mwanjira yofananira, yopanda zakudya. Zotsatira zake, muchepetse kunenepa ndipo potero pewani mavuto omwe amabwera ndi kunenepa kwambiri.

Zofunika kukumbukira

• M'malo mwa maselo okhala ndi mafuta omwe amapezeka m'mapapo ndi njira imodzi yomwe singawonongeke, koma owopsa komanso osasinthika. Choyambitsa matendawa ndi matenda osokoneza bongo.
• Kuzindikira ndi kulandira chithandizo ndizotheka ndi dokotala wokha.
• Kupewa matenda - moyo wathanzi komanso wathanzi labwino.

Ndikulakalaka mutakhala ndi thanzi labwino ndikuwonani m'nkhani yotsatira!

Kunenepa kwambiri: ndi chiyani komanso momwe mungachitire

Udindo wa kakang'ono kameneka (kutalika kwa 6 masentimita) chobisika mkati mwa m'mimba sikungatheke kupitilira. Imapereka chimbudzi cha michere, imayang'anira kagayidwe kachakudya ndi ntchito zina zambiri zofunika.

Ndizosadabwitsa kuti kulephera kulikonse pantchito yake kumakhudza thanzi la munthu. Nthawi zambiri, anthu amakumana ndi kunenepa kwambiri kwa kapamba, wotchedwa lipomatosis m'zipatala, kuchepa kwamafuta, kapena kungokhala ndi milomo.

Ichi ndi chiyani

Maganizo pazomwe zimathandizira poyambitsa matendawa zimasiyana. Madokotala ena amati kapamba wam'mimba ndi "chifukwa" chachindunji, ena amaganiza kuti chibadwa chimatha kusankha zochita.

Cinthu cimodzi cotsimikizika: lipomatosis ndi nthenda yachiwiri.

Ikumva chofooka champhamvu pachokha, kapamba, pomvera "nzeru zodzisunga", amafufuza maselo omwe adamwalira pakusintha kwatsamba.

M'malo mwawo muli ma analogues onenepa omwe sangathe kukwaniritsidwa kwazomwe zimachitika. Kuchita kotereku kwa chiwalocho kukhudzidwa ndikwachilengedwe, koma tsoka - zopanda pake.

Zomwe zimayambitsa, ndikukhala olondola kwambiri - zomwe zimayambitsa kunenepa kwambiri kwa kapamba ndizo:

• kuvulala kwamtundu wake.
• matenda oyamba am'thupi: kapamba, matenda am'mimba, chiwindi, shuga,
• Kuchepetsa chitetezo chokwanira,
• cholowa
• zosintha zokhudzana ndi zaka
• kumwa kwambiri mankhwala osokoneza bongo
• kusuta kwa zakudya zamafuta ndi mafuta okazinga:
• zizolowezi zoipa.

Kutsogolo kwa gulu lachiwopsezo ndi zakumwa zoledzeretsa ndipo anthu amakonda kunenepa kwambiri.

Malangizo pomaliza

Ndizachisoni, koma ndizosatheka kuchiritsa kwathunthu kunenepa kwa kapamba. Pambuyo pa matendawo, sadzadzakhalanso ndi mikhalidwe yake yakale ndi mwayi wogwira ntchito.

Koma kuti muchepetse kupitilira kwa matendawa ndikuti musataye moyo wabwino ndi ntchito zotheka: chifukwa muyenera kutsatira malangizo onse azachipatala, kuphatikiza njira zomwe zanenedwedwa.

Momwe mungabwezeretsere zikondamoyo ndi chiwalo chamafuta onenepa

Kunenepa kwambiri kwa pancreatic ndimkhalidwe womwe maselo abwinobwino mkati mwa chiwalo chamkati amaloledwa ndi maselo amafuta. Izi zimakhudza kugwira ntchito kwa ndulu. Mu magawo oyamba, zamatsenga ndi asymptomatic.

Ichi ndichifukwa chake odwala nthawi zambiri amapita kuchipatala ali ndi vuto lokalamba ndipo chithandizo chimayamba pomwe njira zosasamalira sizithandiza. Kunenepa kwambiri kwamankhwala amkati kumakhudza kugwira ntchito kwa dongosolo lonse la m'mimba. Pamaso pa matenda, wodwalayo amadandaula ndi mseru komanso kusanza Reflex.

Ndi chithandizo chosayembekezereka, mapangidwe azovuta amapezeka, ena omwe sangasinthe.

Lipomatosis ndi matenda oopsa, sanganyalanyazidwe

Za kuphwanya

Kulowa kwamafuta pancreatic kumatchedwanso lipomatosis. Pathology imadziwika ndi kusintha kwa maselo abwinobwino ndi maselo amafuta. Satha kuchita ntchito zomwe amafunikira, ndipo ntchito yamkati imalimba kwambiri. Kuphwanya malamulo kumathandizanso kugaya chakudya.

Kunenepa kwambiri kumawerengedwa ngati njira yoteteza thupi. Mwambiri, lipomatosis ndi zotsatira zamankhwala osakanikirana a kapamba. Komabe, izi sizitanthauza kuti, kukhala ndi matendawa, mwayi wa 100% wogwirizira maselo wamba ndi mafuta maselo. Vutoli silipezeka mwa odwala onse

Kunenepa kwambiri kumayenda pang'onopang'ono. Kwa nthawi yayitali, munthu sangakayikire ngakhale pang'ono zam'tsogolo. Zomwe zimayambitsa kuphwanyidwa komanso zoopsa zikufotokozedwa pagome.

Nthawi zambiri, vuto la kapamba mu kunenepa kwambiri limawonekera mwa anthu am'gulu lokalamba. Izi ndichifukwa choti patatha zaka 40, ziwalo zambiri sizingathe kupirira zomwe zingatheke.

Zonyansa zili pansi pamimba. Chiwalo chamkati chimayang'anira ntchito zotsatirazi:

• katemera wa enzyme
• kupanga ziwalo zofunika,
• kupanga insulin.

Ndiye kapamba yemwe amayambitsa ntchito yopanga insulini

Pamaso pa kunenepa kwambiri, chitsulo sichitha kugwira bwino ntchito zofunika. Zakudya zofunika sizingakhale zofunikira kumamwa. Nthawi zambiri, vuto la kapamba limapezeka ngati mafuta amthupi ayamba kufinya minofu ndikulepheretsa kugwira ntchito kwa ziwalo zoyandikana.

Kunenepa kwambiri sikuchitika zokha. Pafupifupi nthawi yomweyo, kuphwanya kwa kapamba kumapangitsa kuti chiwindi chiwonekere mafuta. Nthawi zina kusinthidwa kwa maselo abwinobwino kumachitika chifukwa cha kusintha kwa ma pathological mu mphamvu ya mahomoni.

Zizindikiro zakupatuka

Magawo oyamba a kunenepa kwambiri m'matumbo ndi asymptomatic. Chithunzi cha chipatala chimatchulidwa ngati ntchito yapadera ya pancreatic sichingatheke. Pathology imayenda pang'onopang'ono kwambiri.

Zizindikiro zimawoneka pomwe kapamba wayamba kuponderezana ziwalo zoyandikana. Pang'onopang'ono, chithunzi cha chipatala chimakulirakulira komanso kutchulidwa. Kuwonetsa kwa zizindikiro kumalumikizidwa ndi:

• kusowa kwa kapamba,
• kufinya ziwalo zozungulira komanso ziwalo.

Kwa zovuta ndi kapamba, odwala nthawi zambiri amadandaula ndi mseru.

Choyamba, kugwira ntchito kwa dongosolo la m'mimba kumasokonekera. Chovuta kwambiri m'thupi panthawi ya kunenepa kwambiri chimadziwika kuti ndi chakudya chokhala ndi mapuloteni ambiri. Zizindikiro zazikulu za glandular lipodystrophy ndi monga:

• nseru
• kupweteka m'mimba
• kuchuluka kwa mpweya,
• kulemera ndi chidzalo m'mimba,
• mafuta onenepa nthawi zambiri.

Komanso kunenepa kwambiri kwa kapamba kumawonetsedwa ndi kuphwanya mzere wa mahomoni. Pali kuwonjezeka kwa shuga. Zoyipa zimawonedwa pazinthu zachinsinsi.

Kupweteka kwa wodwala pamimba pamimba ndi chizindikiro chosonyeza kupangika kwa magwiridwe antchito m'mimba. Ndi chithandizo chosayembekezereka, maselo amafuta amayamba kupanga magulu. Mu wodwala, pamenepa, kunenepa kwambiri mu kapamba kumayendetsedwa ndi kukula kwa benign neoplasm. Poyamba, vutolo silikhala pachiwopsezo chachikulu.

Vuto lakuchuluka kwanyini limayang'aniridwa.

Kuzindikira kumachitika pamene mawonekedwe opanga ayamba kukula msanga. Mitsempha ya m'maso imakankhira mitsempha yamagazi ndi mathero amanjenje. Pankhaniyi, wodwalayo ali ndi izi:

• ukufalikira
• khungu
• mseru msanga ndi kusanza.

Vutoli limafunikira chithandizo chamwadzidzidzi.

Madera a Kunenepa Kwambiri

Kunenepa kwambiri kwa kapamba kumachitika m'magawo angapo. Kuchuluka kwa kunyalanyaza kumawerengeredwa peresenti ya minyewa yomwe imakhudzidwa. Madokotala amasiyanitsa magawo atatu a mapangidwe a kuphwanya.

Ndi madokotala okha omwe angadziwe gawo la matendawa

Gawo loyamba ndi gawo loyamba la kukhazikika kwa kunenepa. Kuchuluka kwa minofu ya adipose pamenepa ndi ochepera 30%. Zizindikiro pafupifupi nthawi zonse zimakhala palibe.

Gawo lachiwiri ndi kunenepa kwambiri. Mpaka 60% ya minofu ya adipose ilipo m'matumbo. Zizindikiro zake ndizochepa kwambiri. Nthawi zina, vutoli limakula.

Mu gawo lachitatu, vutoli limawonedwa ngati lalikulu. Kunenepa kwambiri kumakhudza kwambiri 60% minofu. Chithunzi cha chipatala ndichachikulu.

Pali chiopsezo cha benign neoplasms nthawi zonse.

Njira zoyesera

Ngati mukukayikira maphunziro a lipomatosis, muyenera kupangana ndi gastroenterologist kapena endocrinologist. Gawo loyamba lazachipatala ndi kuyesa kwa wodwalayo, palpation yam'mimba komanso kusonkhanitsa chithunzithunzi chonse chapano. Pambuyo pake, adotolo amapanga zodziwikiratu ndipo amapereka mayendedwe ofufuza.

Ndikofunika kwambiri kuti mupite mayeso ndikuzindikira

Kuti adziwitse matenda, wodwala amapatsidwa malangizo oti:

• kusanthula kwa magazi ndi mkodzo,
• Ultrasound wa kapamba,
• kufufuza kosatha kwa zisa za ndulu,
• MRI yam'mimba.

Pambuyo pokhazikitsa maphunziro onse omwe adalimbikitsa, dokotala amatha kukhazikitsa matenda odalirika. Kenako, chithandizo chovuta chitha kuperekedwa.

Mawonekedwe Amphamvu

Pancreatic stenosis imafuna chakudya. Izi zikuthandizira kuchepetsa kulemera kwa chiwalo chamkati ndikufulumizitsa njira yochira. Amakhulupirira kuti kuthetseratu matenda, ndizokwanira kuchepetsa kuchuluka kwa mafuta. Komabe, sizili choncho.

Madokotala amalimbikitsa kuti pakhale mankhwala othandiza kusintha kwa thupi komanso kuwonda

Ngakhale kusiyanitsidwa kwathunthu kwamafuta m'zakudya sikungakuthandizeni kuyimitsa njira yothandizira. Chifukwa chake, mutha:

• chepetsani nkhawa pa kapamba,
• chotsani mapaundi owonjezera omwe amathandizira kupanga kunenepa kwambiri kwa pancreatic.

Monga lamulo, odwala amalangizidwa kuti azitsatira patebulo la mankhwala Na. 5. Kuchokera pachakudyacho, akuyenera kupatula:

• nyama zamafuta ndi nsomba,
• kuteteza
• mafuta amkaka ambiri,
• yokazinga
• confectionery ndi ufa,
• msuzi ndi marinade,
• zakumwa zoledzeretsa.

Wodwalayo ayenera kutsatira njira yoledzera. Tsiku lililonse muyenera kumwa magalasi 9 amadzi oyera. Kuchuluka kumeneku sikuphatikizapo tiyi ndi khofi.

Zakudya zimaloledwa kuphika, kuphika, kuwira ndikuphika pamoto. Wodwalayo amatha kudya masamba ophika, soups ndi zipatso zopanda zipatso. Zomwe zikusonyezedwanso ndikumwa za chimanga pamadzi ndi mkaka zomwe zimakhala ndi mafuta ochepa.

Mu kanemayi, alankhula mwatsatanetsatane za matendawa, komanso njira zina zoperekera chithandizo:

Kunenepa kwambiri: Chithandizo cha Lipomatosis

Pancreatic lipomatosis ndi njira yomwe maselo abwinobwino amasinthidwa ndi maselo amafuta. Kusintha kotereku kumakhudza magwiridwe amthupi. Zinthu zikuchulukirachulukira chifukwa chokhala nthawi yayitali.

M'malo mwake, munthu amayamba kulandira chithandizo kwina ngati sizingatheke kusintha zina kukhala zabwino mwa njira zosasamala. Nkhaniyi ikupereka upangiri waukadaulo womwe ungakuthandizeni kuzindikira matendawa moyenera komanso kuyankha moyenera.

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.

Zowona kuti 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.

Zizindikiro za mafuta a pancreatic

Ultrasound ikuthandizira kuzindikira matendawa.

matenda a matenda ali m'malo mwa parenchyma ndi mafuta maselo. Izi zimachitika pang'onopang'ono, ndipo nthawi zambiri zimatha kutenga zaka zingapo kapena zaka.

Itha kuwoneka mwamwayi panthawi ya diagnostics a ultrasound a chiwalo ichi. Zoyipa zoyambirira zimawoneka pokhapokha gawo limodzi mwa magawo atatu a chiwalo limasinthidwa.

Kenako amayamba kulimba, ndikupangitsa zizindikilo zambiri. Koma ndi mawonetseredwe onse azisonyezo zazikuluzonse, zonsezi ndi chifukwa cha zovuta ziwiri zapadziko lonse lapansi:

1. kusowa kwa kapamba,
2. kufinya minofu yathanzi ya chiwalochi ndi zina zomwe zimazungulira.

Werengani: Zikondamoyo zimapweteka - ndi matenda ati?

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.

Ngati simuletsa izi, ndiye kuti pakapita nthawi munthu amadwala matenda ashuga.

Zakudya kuti abwezeretse thupi ntchito

Mankhwala osokoneza bongo samathandiza popanda kusintha kwa thanzi. Kuphatikiza pa kufunika kwa zakudya zamafuta ochepa, tikulimbikitsidwa:

• kupatula pa menyu wamafuta, nyama yankhosa, chakudya zamzitini, masoseji onse,
• siyani mowa kwathunthu mwanjira iliyonse, amamwa ndi utoto, zonunkhira,
• tsiku ndi tsiku muyenera kudya osachepera 400 g a masamba ndi 200 g zipatso, 30 g mtedza kapena mbewu (osati yokazinga komanso wopanda mchere),
• gwiritsani ntchito zinthu zathanzi - dzungu, kaloti, nyanja yamchere, ma apricots, zukini, kolifulawa ndi broccoli, chimanga pamadzi, saladi nkhaka, amadyera, tchizi chatsopano chofika 5% mafuta, zakumwa mkaka wowawasa,
• kuphika ndi kuwira m'madzi, kusenda, kuphika mu uvuni, nkoletsedwa mwachangu ndi kuphika ndi mafuta,
• Kuphika zamasamba zoyamba maphunziro
• nyama yopendekera ndi nsomba yophika 1-2 kamodzi patsiku, 100-150 g iliyonse imaloledwa, masamba ophika ndi oyenera kukongoletsa, pakalibe njira yotupa, yatsopano mu mawonekedwe a saladi ndi mafuta a masamba.

Ndi kulemera mopitirira muyeso, kulekerera kwa chakudya cham'mimba kapena shuga, shuga, maswiti, zopangidwa ndi ufa, zipatso zotsekemera, uchi samaphatikizidwa kwathunthu ndi zakudya. Ngati pali matenda oopsa oopsa, ndiye kuti mchere wa tebulo umakhala wochepa kwa 3-5 g patsiku. Pankhani ya kuwonongeka kwamafuta munthawi yomweyo, ndikofunikira kusiya zokometsera, zokometsera, kugula sosi, kusuta fodya, ndi zakudya zam'chitini.

Ndipo izi ndizambiri za mahomoni somatotropin.

Kunenepa kwambiri kwa pancreatic kumachitika ndi mafuta ochulukirapo kuchokera ku chakudya, kuchuluka kwa thupi, kusokonezeka kwa metabolic. Poyambirira, kulowa pansi kwamafuta sikuchita chizindikiro kwambiri. Ndi chiwonetsero chachikulu cha lipids, pali kusowa kwobisika kwa michere, mahomoni. Odwala ali ndi chiopsezo chowonjezereka cha pancreatic necrosis, zotupa za khansa.

Pozindikira, kuyezetsa magazi, ma ultrasound ndi tomography ndi omwe amapatsidwa. Kuchiza kumaphatikizapo chithandizo chamankhwala ndi mankhwala.

Kuphatikizika kwa minofu yoyandikana

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.

Za chiopsezo chotenga matenda a shuga ndi kunenepa kwambiri, onani vidiyo:

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 zimathandiza thupi:

• mpumulo wachipani
• kuchotsa mapaundi owonjezera.

Werengani: Kodi iyi ikhoza kukhala: mwala mu zikondamoyo?

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 kwamafuta m'zakudya kungathandize kuti muchepetse thupi, koma sikungakhudze kupitanso kwa matendawa.

Mankhwala a lipomatosis

Ibuprofen ndi mankhwala ochotsera ululu wam'mimba.

Nangu cingafumamo ukwipusha lipomatosis. Njira yamankhwala yomwe ilipo pano ikupita njira zitatu:

Kusintha moyo wanu m'njira yoyenera kungathandize kukonza zinthu zonse. Ndi chipiriro ndi kupirira, zambiri zitheka.

Mkhalidwe wa odwala omwe akufunafuna kuchira umakhala bwino ngakhale popanda mankhwala owonjezera. Zoyambira zakuchotsa matenda ndi kusiya mowa ndi zizolowezi zina, kupanga zakudya zizolowere, komanso kuthana ndi kunenepa kwambiri.

Kuti mupeze zotsatira zabwino, ndikofunikira kuyendetsa chithunzithunzi. Chofunikira chachiwiri ndi zakudya. Kutsatira mfundo zopatsa thanzi zomwe zili pansipa kungakuthandizeni kuthana ndi mavuto ambiri. Mfundo zake ndi izi:

1. Chakudya cham'mbali. Kuchuluka kwa chakudya - osachepera 5, mulingo woyenera - 6.
2. Kuletsedwa kwamafuta. Kupatula zakudya zamafuta okoma.
3. Kutsika kwapang'onopang'ono mu zopatsa mphamvu za calorie mbale, kufunitsitsa kuchepetsa kuchuluka kwa zopatsa mphamvu tsiku ndi tsiku.

Palibe chovuta kuthetsa vutoli ndi mankhwala. Kumwa mankhwala kumangothandiza kuchotsa zizolowezi zosasangalatsa. Kuti muthane ndi zovuta zomwe zimachitika chifukwa cha kunenepa kwambiri kwa pancreatic, imwani mankhwalawa:

• Ibuprofen wothandizira kupweteka.
• Pancreatin pokonza chimbudzi.
• Loperamide yoletsa kutsekula m'mimba.
• Metoclopramide kuti muchepetse nseru.
• Mebeverin pochepetsa kukokana kwamatumbo.

Simungatengeke ndimankhwala awa. Kupatula apo, onse ali ndi zoyipa zoyipa mthupi. Kudzichitira nokha mankhwala ndikosayenera. Kupatula apo, vutoli limatha kukhala lovuta, ndipo kuchotsa zizindikirazi sikungathandize kuimitsa minofu.

Kuchulukana kwama cell kwamafuta kumatha kukhala kowopsa kwambiri. Mlingo wazowopseza ungathe kutsimikizidwa ndi katswiri ndipo, ngati kuli kofunikira, watumizidwa kuti akalandire chithandizo.

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.

Sankhani ndikusindikiza Ctrl + Enter kuti mutiwuze.

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

Kunenepa kwambiri: Chenjezo - Mdani Wosaoneka

Masana abwino, owerenga okondedwa a blog yanga! Mutu wathu lero ndiwowopsa ngati kunenepa kwa kapamba, yemwe nthawi zambiri samadziwonetsa kwa nthawi yayitali. Ndipo, pakadali pano, imakhala yovuta ndi mavuto akulu kwambiri chifukwa chamoyo wa thupi ndipo, sichingasinthe.

Kodi chiwopsezo chake ndi chotani, zoyenera kuchita ndi zoyenera kuchita ngati mwapezeka nazo?

Kodi kunenepa kwambiri kwa kapamba kumaonekera bwanji?

Cancreas ndi glandular organis, kutalika kwake sikupita masentimita 7. Kapangidwe kameneka ndi gawo lozama la m'mimba. Zakudya zikalowa m'thupi la munthu, ntchito ya gululi imapanga michere yapadera yomwe imayenera kuwononga chakudya, mapuloteni komanso mafuta.

Ntchito inanso (endocrine) yamapangidwe amtunduwu ndikupanga timadzi tating'onoting'ono timene timayambitsa matenda a shuga m'thupi.

Potengera kuseri kwa matenda osachiritsika monga matenda ashuga ndi kapamba, zomwe zimatchedwa kunenepa kwambiri kwa kapamba zimayamba.

Izi matenda opweteka kwambiri amafunika kuwapeza pa nthawi yake ngati ali ndi chithandizo chamankhwala chotsatira.

Makhalidwe

Kunenepa kwambiri kapena kapangidwe ka matenda a pancreatic lipomatosis amadziwika ndi kusintha kwa maselo a glandular a thupi ndi zinthu zamafuta. Kusintha kwachilendo kumeneku kumakhudza magwiridwe antchito a kapamba, zomwe zimayambitsa kukula kwa njira zosasintha mu thupi.

Sianthu onse omwe ali ndi vuto la kapamba kapena matenda a shuga omwe amadwala matendawa.

Izi pathological zambiri zimachitika motsutsana maziko a kunenepa kwambiri mu chiwindi ndi ziwalo zina.

Kutengera ndi manambala azachipatala omwe amapezeka chifukwa cha kafukufuku wofunsidwa, zomwe zimapangitsa kuti lipomatosis ipangidwe idadziwika. Izi ndi monga:

• Kumwa pafupipafupi zakumwa zoledzeretsa,
• Pancreatitis yam'mbuyomu kapena mawonekedwe ake,
• Kudzipereka kwa matenda am'mimba,
• Kunenepa kwambiri
• Matenda a chiwindi kapena matenda ashuga
• Kuperewera kwa mahomoni a chithokomiro.

Kukhalapo kwa chinthu chimodzi kapena zingapo sizitanthauza kuti munthu ali ndi 100% yomwe ingayambitse mafuta osowetsa kapamba kapena chiwindi, koma kusapezeka kwa zotere kumachepetsa chiopsezo cha pathologies.

Kuwonongeka kwamafuta kwamatenda a pancreatic amadziwika ndi njira yayitali ya asymptomatic, osayendetsedwa ndi chiwonetsero chilichonse chachipatala.

Nthawi zambiri, matenda amtunduwu amadziwika nthawi zonse akamayeserera pogwiritsa ntchito njira yoyezera ululu pamimba.

Mutha kuyankhula za kuwoneka kwa chithunzi cha matenda ngati 1/3 ya gland parenchyma yasinthidwa ndi minofu ya adipose.

Kuwonekera kwachipatala kwamatenda kumayenderana mwachindunji ndi zinthu monga kukakamizidwa kwa ziwalo zopyola wathanzi, komanso kusokonekera kwa magwiridwe ntchito mu tiziwalo tokha. Ngati munthu wayamba kunenepa kwambiri kwa kapamba, ndiye kuti zotsalazo ndi izi:

• Anapweteka ululu pamimba
• Kusanza ndi kusanza popanda mpumulo
• Zovuta za Stool mu mawonekedwe am'mimba. Kuphatikiza apo, mafuta ochulukitsa (steatorrhea) amatha kuwonedwa mu ndowe za anthu
• Kuchulukana kwamatumbo m'matumbo,
• Zovuta komanso kulemera mu epigastrium ndikusiya hypochondrium.

Poyerekeza ndi kusintha kwa kapangidwe ka zinthu parenchyma, sikuti gawo lake lodzala limavutika, komanso endocrine imodzi. Chizindikiro china cha kuwonongeka kwa mafuta m'thupi ndi kulumpha lakuthwa m'magazi a magazi.

Ngati mafuta am'magazi amapanga magulu omwe amatchedwa maguluwo, ndiye kuti pathological mkhalidwewu ndi wovuta ndi chotupa chotupa - lipoma. Kutsatsa uku sikumakhala ndi ngozi, chifukwa sikumakonda kupita patsogolo kwambiri komanso metastasis.

Gawo Lipomatosis

Mlingo wonyalanyaza njira ya pathological mu lipomatosis imatheka chifukwa cha kuchuluka kwa minyewa ya m'magazi ndi adipose mu chiwalo parenchyma. Pankhaniyi, magawo otsatirawo amadwala:

• Gawo loyamba. Mutha kuyankhula za kukula koyambirira kwa matendawa makamaka peresenti ya ma adipose minofu yoposa 30%,
• Gawo lachiwiri. Matendawa atadzaza kwathunthu, ndi digiri yachiwiri ya lipomatosis, pafupifupi 60% ya ma adipose minofu amawonekera,
• Gawo lachitatu. Poterepa, tikulankhula za mafuta ochulukirapo, momwe maselo a lipid amaposa 60% ya kuchuluka kwa ziwalo parenchyma.

Chithandizo ndi kupewa

Ngati munthu wapezeka ndi kunenepa kwambiri kwa minofu ya kapamba, chithandizo cha matendawa chimaphatikizapo njira zonse zosasamala komanso za opareshoni.

Ndizosatheka kuthetseratu mkhalidwe wamtunduwu, komabe, ntchito yophatikizidwa pamtundu wa kapamba imatha kukonza magwiridwe antchito a chiwalo. Malangizo a zakudya komanso kukana kumwa mowa amathandizira kuti thupi lizilimbitsa thupi komanso kuti thupi likhale lolimba.

Palibe njira zapadera zothetsera matendawa. Kuti athetse chiwonetsero cha matenda, odwala omwe ali ndi matenda ofananawo amapatsidwa mankhwala otsatirawa:

• Metoclopramide. Mankhwalawa amalimbana bwinobwino ndi zizindikiro zokhala ndi mseru komanso kusanza,
• Ibuprofen, wogwiritsidwa ntchito ngati analgesic kupweteka kwambiri,
• Mebeverin. Cholinga cha mankhwalawa ndi chifukwa chofunitsanso kukokana kwamatumbo,
• Pancreatin Kukonzekera kwa enzymatic kumeneku kumakhala ndi zinthu zina zomwe zimapangitsa kuti mapuloteni a mafuta ndi chakudya zizipezeka, potero amatulutsa chimbudzi.
• Loperamide. Mwa anthu omwe ali ndi lipomatosis, kusokonezeka kwa chopondapo mu mawonekedwe am'mimba kumawonedwa nthawi zambiri. Mapiritsi a Loperamide amalembedwa kuti athetse chizindikiro ichi.

Ngati kunenepa kwambiri kwa kapamba kumayendetsedwa ndi hypofunction ya chithokomiro cha chithokomiro kapena matenda a shuga, ndiye kuti wodwalayo amamulembera mankhwala oyenerera a mahomoni ndi osakhala m'thupi.

Njira yodziwika monga achire imathandizira pogwiritsa ntchito njira za spa, kuphatikiza kugwiritsa ntchito matope achire, komanso kugwiritsa ntchito madzi amchere.

Pa njira yonse ya chithandizo, wodwalayo amayenera kuwonedwa pafupipafupi ndi katswiri wa gastroenterologist, komanso kuyesa kufufuza kwa kapamba kuti awone momwe alili mphamvu zake. Zambiri mwatsatanetsatane zamomwe mungagwiritsire mafuta kusowa kwa chiwindi ndi kapamba zimatha kupezeka mukamakumana ndi madokotala.

Njira zochitira opaleshoni kukonza lipomatosis amaphatikizana ndi mwachangu kuchotsedwa kwa foci wa kudzikundikira kwa adipose minyewa parenchyma. Maluso awa sikuti ndiwope la kununkhira kwa pancreatic, monga minofu ya adipose imayamba kudzikundikira, kenako ndikuwusintha kukhala minofu yolumikizana.

Njira zodzitetezera, zomwe cholinga chake ndi kupewa kufalikira kwa mafuta m'thupi, ndikugwiritsa ntchito malamulo osavuta awa:

• Kutsatira malangizo oyambira azakudya omwe amaletsa kugwiritsa ntchito zakudya zokazinga, zokometsera komanso zamafuta. Ndikulimbikitsidwa kuti musinthe masamba owonjezera a kalori ndi masamba abwino kapena masamba, zipatso, ndi mkaka.
• Kuyang'anira kunenepa komanso kupewa kunenepa kwambiri,
• Kuchita masewera olimbitsa thupi pang'ono komanso kupewa kupewa kuchita masewera olimbitsa thupi,
• Kusiya mowa ndi kusuta,
• Munthawi yake chithandizo cha matenda a m'mimba dongosolo ndi kagayidwe.

Popeza kunyalanyaza njira ya pathological, zizindikiro ndi chithandizo cha lipomatosis zimatha kusiyanasiyana.

Kodi mwapeza cholakwika m'mawuwo? Sankhani ndikusindikiza Ctrl + Lowanindipo tidzakonza!

Kanema wothandiza

Onani kanemayo pamaneti pakati pa khansa ya kapamba ndi kunenepa kwambiri:

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

Ngati matenda ena amakayikiridwa (khansa, kapamba, chotupa, chotupa, cyst), chifuwa cha pancreatic ndi mankhwala a shuga. Njira yotsika mtengo imeneyi imakuthandizani kuti mupeze zizindikiro zosintha ndi zovuta, kuti mupeze zofanana mu kukula kwake. Momwe mungakonzekerere? Kodi ndichifukwa chiyani echogenicity ikufunika?

Pancreatic MRI imalembedwa ngati ndizosatheka kuzindikira vutoli ndi ultrasound. Kukonzekera pang'ono mayeso kumafunika. Zisonyezero zogwiritsidwa ntchito: kukayikira kwakusintha kwa kuphatikiza, khansa, cysts. MRI mosiyana ndi iyi ithandizira kuzindikira kukula kocheperako. Chili bwino ndi chiyani - CT kapena MRI?

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

Kwenikweni, mahomoni a somatostatin ndi omwe amakulitsa, koma ntchito zazikuluzikulu za mapangidwe ophatikizika zimagwiritsidwanso ntchito pamatenda ena akuluakulu. Chimachitika ndi chiani ngati kuchulukitsa kwa ma pancreatic timadzi?