Pancreatic enzyme akusowa > Matenda a shuga

Pancreatic enzyme akusowa - chinsinsi chochepa kapena ntchito yochepa ya michere ya pancreatic, zomwe zimayambitsa kusokonekera kwa kuwonongeka ndikupezeka kwa michere m'matumbo. Imadziwonetsa ngati kunenepa kwambiri, kuwonda, kuchepa kwa magazi, kusinza, polypecal, kutsekula m'mimba ndi polyhypovitaminosis. Kuzindikira kumakhazikitsidwa ndi njira zasayansi zophunzirira katulutsidwe wakunja wa kapamba, kuchititsa pulogalamu, kutsimikiza kuchuluka kwa ma enzymes mu ndowe. Chithandizo chimaphatikizapo chithandizo cha matenda oyambitsidwa, kuchuluka kwa michere, kusintha kwa michere ya pancreatic, ndi chithandizo chamankhwala.

Zambiri

Pancreatic enzyme akusowa ndi amodzi mwa mitundu ya chakudya tsankho, yomwe imayamba motsutsana ndi maziko a zoletsa za pokerreatic exocrine. Sizotheka kuwerengera kuchuluka kwa pancreatic exocrine kuperewera kwa anthu, popeza maphunziro pazomwezi sakukwaniritsidwa, komanso pafupipafupi kupezeka kwa kuchepa kwa enzyme ndikwapamwamba kwambiri kuposa, mwachitsanzo, matenda apakhungu a pancreatitis. Komabe, kulephera kupanga michere ya pancreatic ndi vuto lalikulu lomwe lingayambitse kutopa kwambiri komanso ngakhale kufa kwa wodwala pakalibe chithandizo chokwanira. Kafukufuku wothandiza pantchito ya gastroenterology imapangidwa kuti akwaniritse kukonzekera kwamakono kwa enzyme komwe kumatha kusintha ntchito ya pancreas ndikuwonetsetsa kuti magwiridwe antchito.

Kuperewera kwa exocrine pancreatic ntchito kungakhale kwobadwa nako (vuto la chibadwa lomwe limasokoneza kapena kutsekereza chinsinsi cha michere) ndikupeza, choyambirira komanso chachiwiri, wachibale komanso mtheradi. Kusakwanira kwapancreatic kumalumikizidwa ndi kuwonongeka kwa kapamba ndi kuletsa kwake ntchito yake ya exocrine. Mwanjira yachiwiri ya matenda, ma enzyme amapangidwa mokwanira, komabe, m'matumbo ocheperawo amakhala kuti alibe kapena ma activation awo samachitika.

Zomwe zimapangidwira kuperewera kwa kapamba kapamba kwambiri zimaphatikizapo mitundu yonse ya kuperewera kwa kapamba, khansa ya kapamba, cystic fibrosis, kuchepa kwamafuta kwa kapamba motsutsana ndi maziko a kunenepa kwambiri, opaleshoni yamankhwala, kuperewera kwa enzyme, Schwachman syndrome, ageneis kapena gland hypoplasia, Johanson-Blizzard. Njira za pathogenetic za kupangika kwa procrine pancreatic insufficiency zikuphatikiza: atrophy ndi fibrosis ya kapamba (chifukwa chododometsa, uchidakwa, kuwerengetsa kapena osawerengeka kapamba, atherosulinosis, kusintha kwokhudzana ndi zaka, kuperewera kwa zakudya m'thupi, khansa ya m'matumbo, hemosidera mitundu yina ya matenda kapamba - syphilitic, uchidakwa, fibrous-calculous), kapamba ka necosis ( kufa kwa gawo kapena maselo onse a kapamba), kapangidwe ka miyala m'miyendo ya kapamba.

Sekondale ya enzymatic pancreatic insufficiency imayamba ndi kuwonongeka kwa mucous membrane wamatumbo ang'ono, gastrinoma, kugwira ntchito pamimba ndi matumbo, chopinga cha enterokinase secretion, protein-energy insufficiency, ndi matenda a hepatobiliary system.

Kuthekera kwathunthu kwa kakhansa chifukwa cha kulepheretsa kubisalira kwa michere ndi ma bicarbonates motsutsana ndi maziko a kuchepa kwa kuchuluka kwa ziwalo parenchyma. Kuchepa kwa wachibale kumalumikizidwa ndi kuchepa kwa kayendedwe ka madzi a pancreatic m'matumbo chifukwa cha kutsekeka kwa lumen ya ma pancreatic ducts ndi mwala, chotupa, ndi zipsera.

Zizindikiro za kuperewera kwa enzyme

Mu chithunzi cha chipatala cha kuperewera kwa pancreatic enzyme, maldigestion syndrome (kuletsa chimbudzi pamatumbo lumen) ndikofunikira kwambiri. Mafuta osakhazikika, olowa m'matumbo am'mimba, amathandizira kubisala kwa colonocytes - polyfecalia ndi m'mimba amapangika (zimbale zowonjezereka, kuchuluka kwake), ndowe zimakhala ndi fungo la fetid, imvi mu utoto, mafuta, wonyezimira. Zakudya zoperewera zitha kuwoneka bwino.

Maldigestion a mapuloteni amatsogolera pakukula kwa mphamvu ya mapuloteni-mphamvu, yowonetsedwa ndi kuchepa thupi, kuchepa thupi, kuchepa kwa mavitamini ndi michere, kuchepa magazi. Kuchepetsa thupi mosalekeza kumakhudzidwa kwambiri ndi zakudya zomwe zimachepetsa mafuta ndi chakudya, komanso mantha a kudya, omwe amapezeka mwa odwala ambiri omwe ali ndi pancreatitis yosatha.

Kusokonezeka kwa chapamimba m'mimba (mseru, kusanza, kutentha kwa mtima, kumva kupweteka m'mimba) kumatha kugwirizanitsidwa ndi kuchulukana kwa kapamba, komanso kusadziwika bwino kwa kusokonekera kwa kapamba chifukwa cha kusokonekera kwa m'mimba, kukhazikika kwa duodeno-gastric Reflux, ndi zina zambiri.

Zizindikiro

Kufunika kofunikira kuti muzindikire kuperewera kwa pancreatic enzyme ndizoyesa kwapadera (kafukufuku ndi zosafunikira), zomwe nthawi zambiri zimaphatikizidwa ndi njira za ultrasound, radiology ndi endoscopic. Njira za Probe ndizokwera mtengo kwambiri ndipo zimapangitsa kuti odwala asamasangalale, koma zotulukapo zawo ndizolondola. Mayeso osafunikira ndi otsika mtengo, ofatsa omwe amalekeredwa ndi odwala, koma amapangitsa kuti azitha kudziwa kuperewera kwa pancreatic kokha ndi kuchepa kwakukulu kapena kusowa kwathunthu kwa ma enzymes.

Mayeso achindunji a probe secretin-cholecystokinin ndi muyezo wagolide wofufuza kuperewera kwa mapiritsi a pancreatic. Njira imakhazikitsidwa ndi kukondweretsedwa kwa katemera wa pancreatic ndi makina a secretin ndi cholecystokinin, otsatiridwa ndi zitsanzo zingapo zam'mapepala a duodenal ndi gawo la mphindi 10. Mu zitsanzo zomwe zapezeka, ntchito ndi kuchuluka kwa katemera wa pancreatic, mulingo wa ma bicarbonate, zinc, ndi lactoferrin amaphunziridwa. Nthawi zambiri, kuwonjezeka kwa kuchuluka kwa kubisika pambuyo poyeserera ndi 100%, kuwonjezeka kwa mabicarbonates osachepera 15%. Kuwonjezeka kwa kuchuluka kwa katulutsidwe ochepera 40%, kusoweka kwa kuchuluka kwa mabicarbonates, kumayankhula za kuchepa kwa mapangidwe a kapamba. Zotsatira zabodza zimatheka ndi matenda a shuga, matenda a celiac, hepatitis, ndikadzakhala gawo limodzi la m'mimba.

Kuyesedwa kosadziwika kwa Lund kuli kofanana ndi njira yapita, koma kubisala kwapancreatic kumatheka chifukwa chobweretsa chakudya chama test. Kuwerenga uku ndikosavuta kuchita (sikutanthauza jakisoni wa mankhwala okwera mtengo), koma zotulukapo zake zimadalira kapangidwe ka chakudya choyesa. Zotsatira zabwino zabodza zimatheka ngati wodwala ali ndi matenda a shuga, matenda a celiac, gastrostomy.

Njira zosafunikira zimachokera pakubweretsa zinthu zina mthupi zomwe zimatha kulumikizana ndi ma enzymes mu mkodzo ndi seramu yamagazi. Kafukufuku wazinthu za metabolic za kuyanjana uku kumapangitsa kuti ntchito yama pancreatic igwiritse ntchito. Mayeso omwe sangatheke amaphatikizapo bentiramide, pancreato-lauryl, iodolipol, triolein ndi njira zina.

Kuphatikiza apo, kuchuluka kwa katulutsidwe ka pancreatic kungadziwike ndi njira zosakhudzika: ndi kuchuluka kwa mayamwidwe a plasma amino acid ndi kapamba, mwakuwunikira bwino kwa pulogalamuyo (zomwe zimakhala zamafuta ndi sopo) kudzachulukitsidwa motsutsana ndi maziko a mafuta achilengedwe), kuchuluka kwa kutsekeka kwa ndowe, fecal chymotrypsin elastase-1.

Njira zozindikira ngati chida (radiography of the m'mimba patsekeke, MRI, CT, ultrasound ya kapamba ndi hepatobiliary system, ERCP) amagwiritsidwa ntchito pozindikira matenda oyamba komanso opatsirana.

Chithandizo cha kuperewera kwa enzyme

Chithandizo cha exocrine pancreatic insufficiency iyenera kukhala yokwanira, kuphatikizapo kukonza zakudya zaumoyo, etiotropic ndi mankhwala othandizira, othandizira chithandizo. Etiotropic therapy imapangidwa makamaka poletsa kupitirira kwa imfa ya pancreatic parenchyma. Kuwongolera machitidwe a kudya kumakhala ndikuchotsa kugwiritsa ntchito mowa ndi kusuta fodya, kuwonjezera kuchuluka kwa mapuloteni m'zakudya mpaka 150g / tsiku, kuchepetsa kuchuluka kwa mafuta osachepera kawiri pazachilengedwe, komanso kumwa mavitamini pazithandizo zochizira. Ndi kukomoka kwambiri, zakudya zochepera kapena zathunthu za makolo zingafunike.

Chithandizo chachikulu cha kuperewera kwa pancreatic enzyme ndikutengera moyo wonse kudya michere ndi chakudya. Zisonyezo za enzyme m'malo mankhwala pancreatic akusowa: steatorrhea ndi kutaya kwamafuta oposa 15 g kugogoda, pang'onopang'ono mapuloteni mphamvu mphamvu.

Kukonzekera kwa michere ya microganular mu chipolopolo chosagwira asidi, chokhala ndi kapisozi ya gelatin, imakhala ndi ntchito yabwino kwambiri masiku ano - kaphatikizidwe kamasungunuka m'mimba, ndikupangitsa kuti pakhale kusakanikirana kwa magawo a mankhwala ndi chakudya. Mu duodenum, mutafika pH ya 5.5, zomwe zili m'mipukutuyi zimamasulidwa, ndikupereka kuchuluka kokwanira kwa michere ya pancreatic mu madzi a duodenal. Mlingo wa mankhwala amasankhidwa payekha, kutengera kuopsa kwa matendawa, kuchuluka kwa chinsinsi cha pancreatic. Miyezo yothandiza pakubwezeretsa mankhwala ndikwanira kwamalingaliro a kukonzekera kwa enzyme ndikulemera kwambiri, kuchepa kwaulesi, komanso chopondapo chambiri.

Zotsogola ndi kupewa

Kukula kwa matenda a kapamba chifukwa cha kuchepa kwa matenda oyambitsidwa ndi kuwonongeka kwa pancreatic parenchyma. Popeza kuti kuperewera kwa pancreatic encyme kumayamba ndi kufa kwa gawo lalikulu la chiwalo, matendawa nthawi zambiri amakayikira. Ndikotheka kuti muchepetse kukula kwa vutoli pozindikira matenda ake komanso kupewa matenda a kapamba, kukana kumwa mowa, ndi kusuta.

Kufotokozera kwamthupi

Ganizirani kapangidwe ndi kapamba. Ili m'malo opezekanso pakati pa madera a duodenum ndi chapamwamba kumbuyo kwa m'munsi, pamwamba pa impso, ndipo imawoneka ngati "comma" yayitali. Kulemera kwa chiwalo cha munthu wamkulu kumayambira 80-90 g.

Kapangidwe kapamba kameneka ndi kuphatikiza kwa ma glandular lobes komwe ma mitsempha a magazi amadutsa ndi ma ducts. Magawo amatulutsa timadzi ta pancreatic, ma enzyme omwe (lactase, amylase, trypsin, invertase, lipase) amakhudza njira zomwe zimasokoneza chakudya. Njira imadutsa ndulu yonseyo, pomwe msuzi umalowa mu duodenum, pomwe umasakanikirana ndi bile ndikupereka chimbudzi cha m'mimba. Ma cell omwe ali pakati pa lobules omwe ali ndi intaneti yotsogola amatchedwa islets of Langerhans. Mapangidwe awa kuchokera ku alpha, beta ndi maselo a delta amapanga mahomoni (insulin ndi glucagon).

Thupi lili ndi mawonekedwe awa:

mutu (kukula kwake ndi masentimita 2,5,5,5).
Thupi lopingasa (2,5 cm) lili kumanzere kwa msana
khosi
mchira woboola pakati (3 cm), womwe umalowetsa kutulutsa tizi.

Kumene kapamba amapweteka mwa anthu, tidzafotokozera pansipa.

Ntchito zolimbitsa thupi

Zikondamoyo, monga tafotokozera kale, zimatulutsa madzi a kapamba. Mu duodenum, chakudya chimasungidwa kumayiko omwe amafunikira kumizidwa. Izi zimachitika mchikakamizo cha michere ya hydrolytic yokumba michere, yomwe imayang'anira kulumikizana kwa chakudya ndi madzi.

Madzi a pancreatic amakhala ndi ma hydrolases, omwe amagwira ntchito zosiyanasiyana. Agawidwa m'magulu anayi:

Lipase ndi enzyme yomwe imaphwanya mafuta pazinthu zovuta: glycerin ndi mafuta ochulukirapo. Amaperekanso digestibility ya mavitamini A, E, D, K.
Mapuloteni (chymotrypsin, carboxypeptidase, trypsin), ndikuyambitsa ma enzymes omwe amawononga mapuloteni kuti amino acid.
Zakudya zomanga thupi (amylase, maltase, lactase, invertase), zofunikira pakuwonongeka kwa chakudya cham'magazi.
Ma nyukiliya ndi ma enzyme omwe amaphwanya ma nucleic acid ndipo amapanga majini awoawo.

Mfundo zoyendetsera kapamba ndizovuta kwambiri. Enzymes zimayamba kupangidwa mwa kuchuluka kwa mphindi 2-3 chakudya chikamalowa m'mimba. Kuphatikiza apo, zonse zimatengera kuchuluka kwa mafuta, mapuloteni ndi zakudya zomwe zimakhalamo. Pamaso pa bile, kupanga kapamba wa pancreatic wokhala ndi ma enzyme amatha mpaka maola 12.

Ntchito ya endocrine

Ntchito ya endocrine ya gland imachitika chifukwa cha insulocytes - maselo apadera azilumba za Langerhans. Amapanga mahomoni angapo: thyroliberin, c-peptide, somatostatin, insulin, gastrin, glucagon.

Exocrine pancreatic kuchepa

Ndi chimodzi mwazomwe zimachitika chifukwa cha kutupa kwa ziwalo, makamaka ngati matenda amtunduwu amadziwika ndi njira yodwala.

Chowoneka mosiyana ndi exocrine pancreatic insuffence ndi kuchepa kwa mayamwidwe azakudya (malabsorption) chifukwa cha kupezeka kwa maldigestion - kuphwanya kwa kugawidwa kwa chakudya kukhala zigawo zovomerezeka pakugaya. Izi matenda amatchedwanso enzyme. Ngakhale kufalikira kwa ma pathologies oterewa m'magulu onse a anthu, kupanga ma enzymes osakwanira kumawoneka ngati vuto lalikulu lomwe lingayambitse kutopa komanso ngakhale kufa kwa wodwalayo ngati sanalandire.

Zosiyanasiyana

Exocrine pancreatic insuffuffing ndi kubereka (vuto la chibadwa lomwe limasokoneza kapena kutsekereza chinsinsi cha ma enzymes) ndi mtundu womwe wapezeka. Kuphatikiza apo, zamatsenga zimatha kukhala zoyamba komanso zachiwiri, kukhala mtheradi kapena wachibale.

Kuperewera kwa procrine koyambirira kumachitika chifukwa cha kuwonongeka kwa gland ndi kuchepa kwa ntchito yake ya exocrine. Mu mtundu wachiwiri wa matenda, ma enzyme amapangidwa mokwanira, koma ma activation awo samapezeka m'matumbo aang'ono.

Zolinga zakukula kwa matenda amisala

Zomwe zimapangitsa kukula kwa exocrine pancreatic kusakwanira kwa mtundu woyambirira ndizophatikizira mitundu yonse yamatenda a kapamba, cystic fibrosis, khansa ya kapamba, kuchepa kwa pancreatic mu kunenepa kwambiri, kuchepa kwa opaleshoni ya gland, matenda a Schwachman, kufalikira kwa enzyme, organ agenesis kapena hypoplasia, komanso matenda a Johanson.

Zomwe zimayambitsa mapangidwe a patathogenetic a mapangidwe a exocrine gland kupanda:

fibrosis ndi organrr atrophy (chifukwa cha chidakwa, chopinga, chosawerengeka kapena chowerengera kapamba, kuchepa kwa matendawa, kusowa kwa zakudya, kusintha kwokhudzana ndi zaka, kusintha kwa hemosiderosis, matenda a shuga.
pancreatic cirrhosis (amaganiza za zotsatira zamitundu ina: kaprous -ous, mowa, syphilitic),
pancreatic necrosis (kufa kwa maselo a tizi m'mimba),
mapangidwe a calculi mu pancreatic ducts.

Sekondale exocrine kukanika kumayamba ndi zotupa za mucous nembanemba yaingʻono matumbo, pambuyo ntchito pamimba ndi matumbo, ndi gastrinoma, utachepa katulutsidwe wa enterokinase, matenda a hepatobiliary dongosolo, mapuloteni mphamvu mphamvu.

Kufupika kwa puloteni ya England kumachitika chifukwa cha kuponderezedwa kwa kubisalira kwa ma bicarbonate ndi ma enzymes motsutsana ndi kuchepa kwa voliyumu ya limba. Kuchepa kwa wachibale kumachitika chifukwa chakuchepetsa kudya kwa pancreatic madzi m'matumbo chifukwa cha kutsekeka kwa tiziwalo timene timatulutsa timene timagwira ndi chotupa, mwala, ndi zipsera.

Zipsera za pancreatic zimachitika chifukwa cha kufa kwa maselo a ma cell parenchyma. M'magawo awa, minyewa yokhala ndi khungu lalikulu imapangidwa. Njira yofananira yamankhwala imatchedwa fibrosis, ndipo imayambitsanso kukulira kwa kukomoka kwa exocrine.

Tiyeni tiwone komwe kapamba amaponyera mwa anthu. Chofunika kwambiri pazachipatala cha matenda awa ndi maldigestion syndrome, omwe amadziwika ndi chopinga chimbudzi m'matumbo. Mafuta osaphatikizidwa m'matumbo amalimbikitsa kupangika kwa colonocytes - kutsekula m'mimba ndi polyphecal, ma ndowe amapeza fungo la fetid, mtundu wa imvi, mawonekedwe ake amakhala onyezimira komanso mafuta. Tinthu tating'onoting'ono topezeka ndi chakudya titha kupezekanso.

Protein maldigestion imathandizira kuti pakhale kuchepa kwa mphamvu zama protein, zomwe zimawonetsedwa ndi kuchepa kwa thupi, kuchepa thupi pang'onopang'ono, kuchepa kwa zinthu zomwe zimapezeka ndi mavitamini, kuchepa kwa magazi m'thupi. Kuchepetsa thupi kumakhudzidwa kwambiri ndi chakudya chochepa chamafuta ndi mafuta, komanso mantha a kudya, omwe amapangidwa mwa odwala ambiri omwe ali ndi pancreatitis.

Zizindikiro za exocrine pancreatic insufficiency ndizosasangalatsa. Kuphwanya kwamatumbo motility (kukomoka kwa dyspeptic, kumverera kwodzaza) kungakhale chifukwa cha kukokoloka kwa kapamba komanso chifukwa cha kuperewera kwa chotupa chifukwa cha kusintha kwa m'mimba, kumachitika kwa duodeno-chapamimba Reflux.

Pancreatitis monga chifukwa cha matenda

Matenda a kapamba ndi chinthu chachikulu chomwe chimatsogolera ku vuto la enzyme. Ichi ndi chotupa cha zikondwerero zoyambitsa kutupa ndi zowonongeka, zomwe zimayambitsa kuphwanya magazi. Zotsatira za kapamba, anthu ochepa amadziwa. Ndi kuchulukitsa kwa matendawa, kupweteka kumachitika pamimba ndi kumanzere kwa hypochondrium, pali zizindikiro zosokoneza, kufooka kwa sclera ndi khungu.

Zomwe zimayambitsa chachikulu cha pancreatitis ya achikulire (code for ICD-10 K86) ndi cholelithiasis ndi uchidakwa, zomwe ndizopweteka kwambiri parenchyma ya chiwalochi. Pankhani ya cholelithiasis, njira yotupa imakhala chifukwa chodutsa matendawa kuchokera kumtsempha wa bile kupita ku gland kudzera m'mitsempha ya m'mimba, kukula kwa ziwongo zamankhwala, kapena ndulu kulowa.

Conservative zochizira matendawa zimaphatikizapo njira zingapo. Mankhwalawa adatengera izi:

chakudya chimafunika
kuperewera kwa kapamba kumawongoleredwa,
ululu uyenera kuthetsedwa
zovuta ziyenera kupewedwa.

Pochizira pancreatitis, ndikofunikira kupatula kumwa mowa, kugwiritsa ntchito mankhwala omwe amatha kuwonongeka pancreas (maantibayotiki, antidepressants, sulfonamides, diuretics: hypothiazide ndi furosemide, anticoagulants, indomethacin, brufen, paracetamol, glucocortids ambiri.

Zotsatira za kapamba zimatha kukhala zosiyana: kuperewera kwa gland, jaundice wovuta, matenda oopsa a m'matumbo, matenda (parapancreatitis, abscess, retoperitoneal cellulitis, kutupa kwa biliary thirakiti), kutulutsa magazi mkati. Ndi chitukuko cha matendawa, matenda ashuga, kuchepa thupi, komanso khansa ya kapamba zingachitike.

Chithandizo cha matenda a mtima

Chithandizo cha exocrine pancreatic insufficiency nthawi zambiri zimakhala zovuta. Zimaphatikizanso kukonza matenda okhudzana ndi zakudya, kusinthanitsa ndi mankhwala a etiotropic, komanso chithandizo chamankhwala. Etiotropic mankhwala cholinga chake kuti kupewa kufalikira kwa maselo a glandular cell. Kuwongolera njira yamoyo ndikumapatula kumwa mowa ndi fodya. Palinso kuwonjezeka kwa kuchuluka kwa mapuloteni muzakudya, kutsika kwa kuchuluka kwa mafuta, komanso kuchuluka kwa mavitamini.

Njira yayikulu yochitira hr. kapamba ndi cholowa m'malo mwa michere (kwa moyo wonse). Steatorrhea yotsika mafuta opitilira 15 g patsiku, kuperewera kwa mphamvu ya mapuloteni ndi chisonyezo chothandizira kusintha kwa ma enzymes.

Ma Microgranular enzyme othandizira omata osagwira asidi komanso m'mapiritsi a gelatin, omwe amasungunuka m'mimba, ndi othandiza kwambiri, omwe amapereka mwayi wophatikizira magawo a mankhwala ndi chakudya. Mlingo wa mankhwalawa amasankhidwa payekha ndipo zimatengera kuopsa kwa matendawa, ntchito ya pancreatic secretion.

Mitundu ya kusakwanira ndi zizindikiro

Zovuta za kapamba ndiz mitundu 4.

Kuperewera kwa katulutsidwe wakunja wa michere ya kapamba.
Exocrine pancreatic kuchepa.
Kuperewera kwa enzyme mumadzi am'mimba.
Kukula kwa kuchuluka kwa glucose, lipocaine ndi glucagon wokhala ndi kuchepa kwa mphamvu ya thupi.

Chifukwa cha kusowa kwa chinsinsi cha pancreatic, pali kuchepa kwa ntchito ya zinthu zapadera zobisika zomwe zimaphwanya zinthu zomwe zadyedwa kuzinthu zomwe zimayamwa mosavuta ndi thupi kapena makina achinsinsi a zam'mimba zomwe zimasungidwa m'matumbo chifukwa chakuchepa kwa ma ducts chifukwa cha zotupa zomwe zilipo, fibrosis. Ntchito ya enzyme ikasokonekera, chinsinsi chake chimakhala kachulukidwe komanso kachulukidwe, chakudya chimasowa bwino. Ngati malembawo akucheperachepera m'matumbo, zinthu zosakwanira zama enzyme zimabwera, zomwe sizimalimbana ndi ntchito yawo ngati pakufunika.

Mwa zizindikiro zazikulu kusiyanitsa:

kulekerera kwakudya kwamafuta ndi zonunkhira,
kumva kuwawa m'mimba,
phokoso mokhumudwa
colic pamimba, kutulutsa.

Chifukwa cha kuchepa kwa mphamvu ya mapuloteni, izi zimapangitsa kuti:

kupuma movutikira
kuchepa magazi
kufooka m'thupi
kutopa
tachycardia.

Kuperewera kwa puloteni ya pancreatic enzyme kumawonetsedwa ndi kuchepa kwachulukidwe kwamadzi a pancreatic, omwe amachititsa kuti masoka azigwira ntchito m'mimba.

Matendawa amapangidwa ndi zizindikiro zotsatirazi:

kudzimbidwa
nseru
kulemera m'mimba,
mpweya wambiri m'matumbo,
kusowa kwa matumbo.

Kutsika kwa pancreas kumachitika:

wachibale - wodziwika ndi njira yosasinthika, kukhulupirika kwa kapamba sikusintha, malaise nthawi zambiri imakhala chifukwa cha kusakhazikika kwa kapamba kapena kuphwanya chinsinsi. Nthawi zambiri zimawonedwa ndili mwana,
chisokonezo chokwanira - chimafalikira ndi necrosis ya acini, fibrosis ya zimakhala za chiwalo, kuchepa kwa kupanga kwa michere ya pancreatic. Amayamba chifukwa chodwala komanso kupweteka kwambiri kwa kapamba, cystic fibrosis, Schwachmann-Diamond syndrome.

Kuchepa kwa michere ya ziwalo kumawonekera mwa kugaya chakudya.

Zachisangalalo.
Kuchepetsa mseru
Kubweza
Feces fungo losasangalatsa.
Kutaya kwamadzi m'thupi.
Zofooka.

Chizindikiro chofunikira kwambiri cha kuchepa kwa enzyme ndikusintha kwa chopondapo. Wodwalayo amalimbikitsa kuchuluka kwa matumbo, mafinya amakhala ndi mafuta ochulukirapo, osatsukidwa bwino, mpando umakhala wonunkhira bwino komanso fungo loipa.

Pankhani ya vuto la endocrine, mtunduwu ndiwowopsa, chifukwa umapangitsa kuti pakhale kusokonezeka kwa ziwalo zina mthupi komanso zosasintha. Kusintha pakupanga insulin, shuga imayamba. Mwa zizindikiro zazikulu zomwe zikusonyeza kuchepa kwa mahomoni a insulin, pali:

kuchuluka kwa shuga wamagazi mutatha kudya,
kumverera kwa ludzu
kukodza pafupipafupi
kuyamwa mwa maliseche mwa akazi.

Pamene kukokoloka kwa glucagon kumachepa, wodwalayo amadandaula za kufooka, chizungulire, kukokana m'mphepete, kusokonezeka kwamalingaliro, kutayika kwa malingaliro.

Zomwe zimachitika

Kuphwanya ma pancreatic michere a mitundu iwiri:

Mitundu yatsopano - imapangidwa chifukwa cha chilema chomwe chimaphwanya ndikuletsa ma pancreatic gland enema omwe amapangidwa.
Mtundu wopezeka - nthawi zambiri umadziwoneka ngati chifukwa cha matenda kapamba kapena chifukwa cha kuperewera kwa zakudya m'thupi.

Kuphatikiza apo, kuchepa kwa enzyme kumagawika: kukhala woyamba ndi sekondale, wachibale komanso wopanda vuto lililonse.

Kukula kwa matenda oyambitsidwa kumapangidwa chifukwa cha matenda omwe amapanga chiwalo parenchyma ndipo amatsogolera kukakamiza kwa ntchito yake. Njira yachiwiri ya mwadzidzidzi ndiyosiyana - michere imapangidwa modabwitsa, koma polowa m'matumbo, ndi zinthu zosadziwika sizikhala zogwira ntchito.

Zinthu zomwe zingayambitse kukula kwa njira ya pathological.

Matenda a kapamba.
Zimapumira mumapancisi.
Kunenepa kwambiri, komwe kumapangitsa kuti maselo a mafuta aziwoneka m'thupi la chiwalo.
Ntchito.
Schwachmann syndrome, Johanson-Blizzard.

Nthawi zambiri, zinthu za kuperewera kwa procrine zimagona pakugwira ntchito m'mimba ndi m'matumbo. Kuphatikiza apo, vutoli limadza chifukwa chogwiritsa ntchito zakudya zosiyanasiyana, zomwe zimapangitsa kuti pakhale kusalinganika kwamthupi ndi michere komanso kuchuluka kwa mowa.

Zizindikiro sizomwe kulumikizana kwakukulu komwe kumachitika. Pofuna kufotokozera zakuphwanya ndi kudziwa njira yamankhwala, mayeso angapo amachitika.

Chomwe chimapangitsa kuti pakhale vuto la procrine chisawonekere pakuwoneka matenda omwe amathandizira kuchepa kwa maselo aminyewa ya glandular ya glandular, omwe amachititsa kuti chinsinsi chizipanga.

Pazinthu zazikulu pakukula kwa michere ya enzymatic, pali:

mawonekedwe a matenda
zovuta zoyipa zomwe zimagwiritsidwa ntchito pochiza matenda ena,
kubadwa kwatsopano
kupezeka kwa dysbiosis.

Ndi kuchepa kwa michere ya pancreatic, zizindikiro zimawonetsedwa ndi zochitika zapanyumba zakukhumudwa.

Kutsika kwa Endocrine kumapangidwa chifukwa cha kuvulala kosiyanasiyana komwe kumakhudza chithaphwi, kuwoneka kwa zidutswa zowonongeka pazinthu zake.

Kuchiza matenda

Kuti achititse ntchitoyi kukhala yambiri kapamba komanso kuthetsa kusintha, chithandizo chimayendetsedwa molingana ndi mtundu wochepera. Pamaso pa kapamba, pamene zizindikiro za matenda zimawululidwa, pomwe zimapweteka, mankhwalawa amachitika mothandizidwa ndi mankhwala a multienzyme, m'malo mwa zinthu zomwe zasowa.

Ngati vuto la kusowa kwa ma enzymes limalumikizidwa ndi matenda osachiritsika a m'mimba mwa munthu wamkulu, kapamba, matenda ashuga ndi zina, ndiye kuti mankhwala amagwiritsidwa ntchito omwe amabwezeretsa kuchuluka kwa michere mthupi.

Kusankha kwa mankhwalawa pakuthandizira kufooka kwa enzyme kumachitika mosiyanasiyana, kutengera mawonekedwe a thupi.

Pofuna kuchepetsa matenda, matenda amafunika, omwe cholinga chake ndi kuwongolera mgawo wamagazi m'magazi, kugwiritsa ntchito mankhwala operekedwa kwa wodwala. Zakudya za wodwalayo ndizosiyanasiyana, mpaka katatu pa tsiku. Chakudyacho chimakhala ndikumatenga masamba, chimanga chomwe chili ndi chakudya chamagulu omwera, zakudya zamapuloteni.

Ntchito ya enzyme ikachepa, mankhwala amathandizidwa kuti amalimbikitsa kugaya chakudya, kukhazikika m'malo a zamchere.

Pazovuta za enzymatic osakwanira ndi shuga, mankhwalawa amachitika ndi mankhwala omwe amachepetsa shuga kapena jakisoni.

Ichi ndi chiyani

Kuperewera kwa Enzymatic ndi mtundu wamtundu wa chakudya, kusakhazikika komwe kumachitika chifukwa chophwanya lamulo la pancreatic pancreatic. Izi matenda amadziwika mwa anthu nthawi zambiri kuposa pancreatitis yodwala, ndipo kwa nthawi yayitali imatha kuchitika popanda zizindikiro zazikulu.

Koma ndiye chiopsezo cha izi, popeza kuchepa kwa enzymatic ndi matenda oopsa, omwe pakalibe chithandizo chokwanira angayambitse kuchepa thupi komanso ngakhale kufa. Ndipo popewa kupezeka kwa zovuta zotere ndi kuperewera kwa michere ya pancreatic mthupi, madokotala amalimbikitsa kuti mayeso azodzikongoletsa azichitika zaka zonse ziwiri zilizonse.

Kulephera kwa Enzymatic ndi kwamitundu iwiri: obadwa mwatsopano. Kukwanira kobadwa nako kumakula motsutsana ndi kumbuyo kwa vuto la chibadwa lomwe limasokoneza kapena kulepheretsa kupanga kwa michere ya pancreatic. Mawonekedwe omwe amapezeka matendawa nthawi zambiri amapezeka chifukwa cha pancreatic pathologies (mwachitsanzo, ndi kapamba) kapena kuperewera kwa m'thupi.

Komanso, kuchepa kwa enzyme kumachitika:

yoyamba komanso yachiwiri
wachibale komanso mtheradi.

Kulephera koyambirira kumachitika motsutsana ndi maziko a zochita za m'mitsempha ya gland, zomwe zimapangitsa kuti ziletso zake zigwire ntchito. Ndipo kulephera kwachiwiri kuli ndi njira yosiyanitsira pang'ono. Ndi matenda awa, kapamba amatulutsa michere yokwanira, koma kulowa m'matumbo aang'ono, pazifukwa zina siziyambitsa.

Mukuyankhula mwachindunji, ndi zinthu ziti zomwe zingayambitse kukula kwa matendawa, ndiye zotsatirazi zimatha kusiyanitsidwa:

Schwachman ndi Johanson-Blizzard syndrome,
chifuwa chachikulu,
khansa ya kapamba
cystic fibrosis,
kunenepa kwambiri, komwe ma cell amafuta amayamba kuyikika m'matumbo a gland,
othandizira opaleshoni
kapamba hypoplasia.

Komanso, kukulira kwa vuto la enzyme kumatha kuchitika motsutsana ndi maziko a:

kapamba kapena chifrosis,
kapamba wamanyazi,
kapamba,
madipoziti a zinthu zamiyala mu zikondamoyo.

Monga momwe zamankhwala zimasonyezera, kuchepa kwa enzyme nthawi zambiri kumachitika chifukwa cha kapamba (oletsedwa, oledzera, osawerengeka komanso osawerengeka), popeza njira za pathological zimayikidwa mu minofu ya kapamba pa nthawi yomwe ikukula, zomwe zimapangitsa atrophy ndi fibrosis ya gland. Komabe, izi zimatha kupweteketsanso matenda ena, mwachitsanzo, atherosulinosis ndi matenda ashuga.

Mwachilengedwe, kudwala kwa wodwala kumathandizira kuti pakhale vuto la enzyme. Zikondazo zimayambitsa kapangidwe ka michere panthawi yomwe chakudya chimalowa m'maselo. Ngati zilipo zochuluka kwambiri kapena zili ndi mawonekedwe olemera, chitsulo sichikhala ndi nthawi yopanga kuchuluka kwa ma enzymes pakugaya kwake, chifukwa chomwe chimayamba kuwona katundu wolimba, ndikupangitsa kuphwanya magwiridwe ake. Pachifukwa ichi, madotolo amalimbikitsa mwamphamvu kuti anthu onse aziona zakudya zawo pakudya zakudya zopatsa thanzi komanso kupatula kudya kwambiri.

Kukwanira kwachiwiri kumachitika nthawi zotsatirazi:

ndi zotupa zosiyanasiyana zamatumbo ang'ono,
gastrinoma
osakwanira syntokinase,
kuchepa kwa mphamvu zama protein
matenda a ndulu, chiwindi ndi bile ducts.

Mtundu wamphumphu wa matenda amodzi umadziwika ndi zoletsa za ntchito za exocrine komanso kapangidwe ka bicarbonates chifukwa cha dystrophy ya parenchyma ya gland. Kuperewera kwa pachibale ndi chifukwa chakutseka kwa lumen kwa ma dancts a pancreatic, chifukwa chomwe njira yolowera madzi a pancreatic m'matumbo ang'onoang'ono imasokonezeka. Izi zimachitika, monga lamulo, pamene miyala yamiyala ikuma, zotupa kapena zipsera zimachitika m'mizere ya kutulutsa tizi.

Zizindikiro za matendawa

Njira yogaya imasokonezeka chifukwa chosowa ma enzymes apakhungu, omwe amachititsa zomwe zimatchedwa maldigestion syndrome (ziletsa zam'mimba ntchito m'matumbo lumen). Imadziwoneka yokha pamaso pa mapupa osaphatikizika azakudya kapena ndowe zowonjezera m'mafuta, chifukwa zomwe ndowe zimakhala zanzeru komanso zamafuta.

Mafuta osalowetsedwa amalowa m'matumbo, amathandizira kaphatikizidwe ka colonocytes, zomwe zimapangitsa kuti pakhale polypecal ndi m'mimba. Pankhaniyi, chopondapo chimayamba kutulutsa fungo loipa ndipo zimayamba kupindika.

Kuphwanya kotereku kwamatumbo kumapangitsa kuti pakhale kuperewera kwa mphamvu zama protein, zomwe nthawi zambiri zimawonetsedwa ndi kuperewera kwa vitamini, kuchepa magazi m'thupi komanso kuchepa magazi m'thupi. Komanso, mkhalidwe uwu umadziwika ndi kuchepa kwambiri kwa thupi. Pali zinthu zingapo zomwe zimakhudza kuchepa kwa thupi:

Zakudya zabwino kwambiri zomwe zili ndi mafuta komanso zakudya zopatsa mphamvu kwambiri,
kukhalapo kwa mantha a munthu kudya, zomwe nthawi zambiri zimachitika pambuyo pancreatitis yayikulu.

Wodwala amathanso kudziwa zotsatirazi za kuchepa kwa enzyme:

kusanza
kutentha kwa mtima
nseru
kumverera kolemetsa m'mimba.

Zizindikiro za matendawa

Chizindikiro cha kuchepa kwa michere ya pancreatic imadziwika ndi zizindikiro zotsatirazi:

chopondapo chopindika, chomwe chimasungidwa nthawi zambiri m'madzi,
kufooka kwa chamoyo chonse
kusowa kwa chakudya
kupanga mafuta okwanira kwambiri,
kutsika kwakukulu kwa kulemera kwa wodwalayo, komanso kuchepa kwa zochitika zake zolimbitsa thupi.
pafupipafupi nseru
kupweteka kokwanira m'mimba.

Chizindikiro chimodzi chofunikira kwambiri cha kuchepa kwa enzyme chimawonedwa ngati kusintha kwa chopondapo cha wodwalayo. Monga tanenera kale pamwambapa, ndi chopondapo chamadzi chomwe chimadziwika ndi matendawa, ndi fungo linalake.

Mankhwala Ovuta a Pancreatic Enzyme

Atalandira zonse zofunikira pazoyeserera ndi mayeso, adotolo azitha kutumiza mankhwala ofunikira omwe angapangitse kusowa kwa michere yofunikira yogaya chakudya. Zochizira matendawa, mitundu yayikulu yamankhwala imagwiritsidwa ntchito, awa: enzyme ndi mankhwala othandizira.

Nkhani yoyamba, chifukwa ch kumwa mankhwalawa, wodwalayo amatha kulandira ma enzy omwe sanakwanitse mthupi lake. Nkhani yachiwiriyi, kugwiritsa ntchito mankhwalawa kumatha kuthetsa mavuto osiyanasiyana obwera chifukwa cha michere yakuthupi.
Kodi chithandizo cha matendawa chimakhala bwanji? Pofuna kuthana ndi vuto la enzyme, akatswiri amapereka mankhwala otsatirawa:

Pancreatin ndi mankhwala omwe amapezeka kuchokera ku zifuyo za ziweto. Kuphatikizika kwa mankhwalawa kumaphatikizapo trypsin ndi amylase. Kutenga mankhwalawa ndikofunikira panthawi yotsitsa acidity yam'mimba m'mimba mwa wodwala, ndikulingalira kwa gland ndi zovuta zina pakugaya.
Festal ndi mankhwala omwe ali ndi michere yofunika ndi michere ya bile. Mankhwalawa amatha kusintha mgawo wonse ndikuthandizira kusapeza bwino m'mimba.
Oraza ndi mankhwala, omwe amaphatikizapo mitundu yonse ya michere yofunika. Kugwiritsidwa ntchito kwake kumayikidwa kuti ziletse ntchito za chisautso chamatumbo.

Ngati wodwala ali ndi mahomoni okwanira okwanira, ndiye kuti kukonzekera kwa enzyme kumeneku kumagwiritsidwa ntchito monga:

Pantripine ndi mankhwala omwe angachepetse ntchito yowonjezera ya michere ya proteinolytic. Panthawi yochiza wodwala ndi mankhwalawa, ndikofunikira kuyang'anira ma amylase omwe samangokhala m'magazi a wodwalayo, komanso mkodzo wake.
Aprotinin ndi mankhwala a polypeptide omwe amatha kusokoneza ntchito zapamwamba za ma enzymes mu kapamba onse.

Kuphatikiza pa mankhwala ofunikira omwe adalandira wodwala ndi katswiri woyenera, ayenera kuvomerezanso zakudya zapadera.

Mankhwala ndi zakudya zimasankhidwa payekha kwa wodwala aliyense, pomwe mawonekedwe ake onse amakhudzidwa.

Dokotala akuwunikira kuleza mtima kwa wodwalayo mankhwala ena.

Kumbukirani kuti kugwiritsa ntchito mankhwala, limodzi ndi kadyedwe, ndi imodzi mwazinthu zofunika kwambiri panjira yakuchira kwathunthu ndikuchira.

Kuperewera kwa kapamba ndi chiyeso choopsa kwambiri kwa munthu aliyense amene wakumana nacho. Ndiye chifukwa chake, zizindikiro zoyambirira za matendawa zikaonekera, muyenera kulumikizana ndi katswiri yemwe angakuthandizeni kuthetsa vutoli.

Zoyambitsa Mavuto

Thupi limatulutsa michere yapadera m'thupi, popanda zomwezi sizingatheke kugwira ntchito yopukusa chakudya. Nthawi zina magwiridwe antchito a kapamba amasokonezeka ndipo kuchuluka kwa zinthu zomwe zimapangidwa kumachepetsedwa, kulephera kwa pathological kumeneku kumatchedwa kuchepa kwa kapamba. Zomwe zimapangitsa kuti pakhale ziwalo paliponse pazitha kukhala izi:

kuwonongeka kwa zimakhala zomwe zimapanga thupi,
kupezeka kwa kuchepa kwa mavitamini m'thupi,
dontho la kuchuluka kwa mapuloteni m'magazi,
hemoglobin wotsika m'magazi ofiira,
zakudya zosayenera, zomwe zimayambitsa mavuto m'thupi.

Kuphatikiza pa zifukwa zomwe zidalembedwera pakupanga zisokonezo, pali zinthu zambiri zomwe zingakhudze kupangika kwa zofunikira mu gland. Nthawi zina, cholowa chamunthu chimagwira ntchito yayikulu kwambiri pakukula kwa miluza. Muzochitika zoterezi, ngakhale mutakhala ndi moyo wathanzi komanso zakudya zoyenera, zovuta m'matumbo zimachitika. Kulephera pakugwira ntchito kwa gland kumatha kuyambitsa matenda osiyanasiyana.

Mavuto Osagwidwa

Mpaka pano, mitundu inayi yolephera kugwira ntchito imadziwika. Mtundu uliwonse wamavuto uli ndi mawonekedwe ena ake. Mitundu yayikulu yakulephera kugwira ntchito ndi:

exocrine kusowa,
kulephera kwadzikoli,
kuchepa kwa puloteni
endocrine kusowa.

Mtundu uliwonse wamavuto uli ndi zosiyana zake. Kuphwanya kachitidwe ka thupi ndi chinthu chosasangalatsa.

Kuti akhazikitse zolephera m'thupi ndikuzindikira mtundu wa kusakwanira, ndikofunikira kukayezetsa moyang'aniridwa ndi katswiri wazachipatala.

Pambuyo pa kufufuza ndi kufunsira, katswiri wa zamankhwala amapanga chidziwitso cholondola ndikuti apatsidwe mankhwala oyenera, omwe cholinga chake ndi kusintha ziphuphu.

Chodziwika kwambiri mu ntchito ya thupi ndi kulephera kwa ntchito zachinsinsi. Mwa mitundu yosiyanasiyana ya kusakwanira kwachinsinsi, mtundu wa insocrine wa kusakwanira, womwe umapezeka mu kusowa kwazinsinsi zomwe zimakhudzidwa pakukhazikitsa njira zogaya, zimawerengedwa kuti ndizofala kwambiri. Kuperewera kwamtunduwu kumayamba chifukwa cha kuchepa kwa chiwerengero cha ma cell azinsinsi zomwe zimayambitsa kuphatikizana kwa ma secretion.

Kukula kwa exocrine kusakwanira

Kusakwanira kwachinsinsi chakunja, monga zovuta zina mthupi, zimakhala ndi zisonyezo zingapo komanso mawonekedwe omwe amatha kutsimikizira bwino kukhalapo kwa thupi la kuphwanya kwamtunduwu. Zizindikiro zazikulu zomwe procrine pancreatic insufficiency ikuyenera ndi izi:

kulolera zakudya zamafuta ndi zonunkhira,
kuwoneka kolemetsa m'mimba mutatha kudya zakudya zamafuta ndi zonunkhira zomwe sizimatha thupi;
kupezeka kwa chopondapo champhala chamafuta,
ukufalikira
mawonekedwe a colic m'mimba
kupezeka kwa zowawa m'mafupa.

Kuphatikiza pa zomwe zalembedwedwa, kusayenda bwino kwa minyewa kumadziwika chifukwa cha kuchuluka kwa mtima, kukokana kwa minofu, kufupika, kupatuka kwadongosolo komwe kumatsimikizira kugwira ntchito kwa magazi, khungu lowuma ndi zina. Kupezeka kwa zizindikiro izi kumachitika chifukwa chosowa mafuta komanso mafuta achilengedwe mthupi. Chifukwa chophwanya kuchuluka kwa kugaya chakudya kwawo, mavuto amawoneka omwe amayambitsa mavuto ambiri, okulirapo kuposa matenda omwewo.

Zoyambitsa matenda a kapamba

Akatswiri azachipatala adapeza zifukwa zingapo zomwe zimatsogolera pakupanga matenda a pathological mu gland. Kutengera kutengera kwa thupi pazifukwa zosiyanasiyana, kuphwanya kwina kumakula. Zomwe zimayambitsa kukula kwa kuphwanya malamulo ndi izi:

Kuchepetsa minyewa ya minyewa
kutulutsa kwazinsinsi kulowa m'matumbo a duodenal,
kusowa nawo gawo kwa michere pokonza chakudya,
gwiritsani ntchito pochiza mankhwalawa.

Njira yayikulu yosinthira kapamba ndi kukhalabe ndi chakudya choyenera. Mfundo zikuluzikulu zakusamalitsa zakudya zoyenera, zomwe zimapangitsa kuti thupi lizisintha, ndi:

kugwiritsa ntchito zakudya zamagulu ochepa, momwe kuchuluka kwa chakudya kumachulukitsa ndikuchepetsa kuchuluka kwa zakudya zomwe zimagwiritsidwa ntchito nthawi imodzi,
Kuchepetsa kuchuluka kwa mafuta omwe amadya,
kuletsa zakudya nthawi ina, asanagone komanso pakati pausiku,
kukana zakumwa zoledzeretsa.

Zinthu zomwe zimaloledwa kudya zimayendetsedwa ndi akatswiri odziwa zamankhwala omwe amayang'anira zakudya zomwe wodwala amadya. Poteteza zoletsa zamafuta zomwe zimachokera ku nyama, zimasinthidwa ndi zakudya zam'mera zomwe zimakhala ndi masamba azomera. Mitundu yambiri yamasamba ndi zipatso zimayambitsidwa muzakudya. Kwa iwo omwe ali ndi vuto la kusokonekera kwa procrine, zakudya zomwe zimakhala ndi zakudya zimabwera kutsogolo m'zakudya, zomwe zimayenera kudyedwa zochuluka kuti athandize thupi kulimbana ndi vutoli. Chinthu chachikulu chomwe chimafunikira ndikupeza chakudya chamafuta kuchokera ku zakudya zabwino, osati maswiti.

Ndikusintha kwathunthu kwa chakudya chomera, kuchuluka kwa kupangika kwamagesi m'mimba kumawonedwa.

Kuphatikiza pa kudya zakudya, wodwala amene ali ndi vuto lotere amafunika kugwiritsa ntchito mankhwalawa pochiza, zomwe zimayambitsa kubwezeretsa ntchito za chiwalo. Mankhwalawa ndi monga Creon, Pancreatin, Mezim ndi ena. Nthawi zambiri, kudya mankhwala ngati awa kumachitika nthawi yomweyo ndimadyedwewo.

Kukula kwa mtundu wa exocrine walephera

Kuperewera kwa procrine pancreatic ndi amodzi mwa mitundu ya vuto lachiberekero, chomwe chimawonetsedwa ndi kuperewera kwa kapangidwe ka timadziti ndi tinthu tating'onoting'ono tothandiza kugaya.

Zizindikiro zikuluzikulu zakukula kwa vuto ili ndi:

chakudya chambiri,
mpweya wowonjezereka m'mimba,
kuphwanya njira yopanga ndowe,
kumverera kwa nseru
maonekedwe akumawonda.

Zomwe zimayambitsa kuphwanya izi zingakhale izi:

chisokonezo chitha kuchitika chifukwa cha kusintha kosasinthika,
mavuto mu ntchito zam'mimba,
kukomoka kwa duodenum,
mavuto mu ndulu,
mavuto azakudya
uchidakwa
chakudya.

Chithandizo cha matenda amtunduwu amayamba ndikuzindikira zomwe zimayambitsa kukula kwake. Ngati chomwe chikuyambitsa ndikuphwanya zakudya kapena kumwa mowa, ndiye kuti ndiyofunikira kusintha zakudya za wodwalayo ndikumapatula kumwa mowa.

Kusokonezeka kwa kapamba mwa ana kuli pachiwopsezo chachikulu, chifukwa kusagwira ntchito kwa chiwalo chofunikira chotere kumayambitsa kusokonezeka kwakukulu kwa ziwalo za ana zomwe zikukula. Kulephera kwa kapamba kumayambitsa kusokonezeka kwa metabolic, kusintha kotereku kumatha kuyambitsa kusokonezeka kwa chitukuko cha mwana.

Njira zochizira

Njira yothandizira kuperewera kwa enzyme imasankhidwa payekha ndipo zimatengera zinthu zingapo:

zoyambitsa matenda,
kuopsa kwa matenda.

Ngati kuperewera kwa enzyme kumachitika chifukwa cha chitukuko cha oncology, cysts kapena cholelithiasis, njira yayikulu yothandizira ndi kuchitidwa opaleshoni kuti muchotse neoplasms. Pakupanga opaleshoni, ma neoplasms onse ndi magawo a kapamba omwe amapanga amatha kuchotsedwa.

Ngati choyambitsa chitukuko cha kuperewera kwa enzyme chikugwirizana ndi kapamba, matenda a shuga, kapena matenda ena omwe angachiritsidwe ndimankhwala, salowerera pakuchita opaleshoni. Potere, mankhwala amagwiritsidwa ntchito omwe amabwezeretsa kuchuluka kwa michere ya m'mimba m'thupi la munthu. Izi zikuphatikiza:

Mankhwalawa amasankhidwa payekha, kutengera umunthu wake. Monga lamulo, mankhwalawa amachokera ku zikondamoyo zomwe zimakonzedwa, zomwe zimakhala ndi michere yam'mimba. Koma ngati wodwala sakukhudzidwa ndi zinthu zotere, mankhwala azitsamba amayatsidwa. Koma amachita zinthu zoipa kwambiri kuposa mankhwala omwe amayambitsidwa ndi nyama, motero amapatsidwa mankhwala okwanira.

Pofanananso ndi mankhwala othandizira, zakudya (tebulo la mankhwala No. 5) ndizovomerezeka, zomwe zimakupatsani mwayi wochepetsa kapamba ndikuwapatsa nthawi kuti achire. Zakudya izi sizipatula pazakudya za wodwala:

zakudya zamafuta ndi zokazinga,
Chocolate ndi Cocoa
ayisikilimu
nyama zamafuta ndi nsomba,
bowa
ankasuta nyama
maapulo
marinade
chakudya zamzitini
kuphika batala,
khofi wamphamvu ndi tiyi,
zakumwa zoledzeretsa komanso zakumwa zoledzeretsa.

Dotolo afotokozere mwatsatanetsatane zomwe waloledwa kudya ndi kuchepa kwa enzyme ndi zomwe siziri. Ndipo ndikofunikira kutsatira malingaliro ake, popeza wodwalayo adzadalira izi.