Momwe mungachiritsire kapamba ndi shuga

Chikhansa ndi chiwalo chovuta chomwe chimagwira ntchito ziwiri nthawi imodzi - endocrine ndi m'mimba. Madzi a pancreatic ndi mahomoni omwe amapanga amakhudzidwa ndi metabolism. Chifukwa chake, kuphwanya kulikonse mu ntchito ya thupilo kumatha kudzetsa matenda akulu, monga, mwachitsanzo, shuga kapena kapamba. Momwe mungachiritsire kapamba ndi matenda ashuga ndipo ndizotheka kubwezeretsanso kugwira ntchito kwathunthu?

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Kodi matendawa amakula bwanji?

Pali matenda a 2, mawonekedwe awo samasankhidwa bwino pantchito ya kapamba - shuga ndi kapamba. Matenda a shuga ndi kapamba amakhala paubwenzi. Kuti muwongolere kukhala bwino, muyenera kumvetsetsa momwe mungachitire ndi zothandizira pakusintha kwa ntchito yake.

Nthawi zambiri, kuyambika kwa matenda ashuga kumawonedwa pakakhala kusokonezeka kwa endocrine ntchito ya kapamba. Chiwalo chovuta kupanga. Zisumbu za Langerhans zimabisa 2% ya kukula kwa chiwalo, zomwe zimayang'anira magwiridwe antchito a mahomoni ofunikira kuzinthu zachilengedwe.

Maselo a beta akapezeka pa masisiti akuwonongeka, kuperewera kwa insulini, shuga kumachitika. Hormone yowonjezera yomwe imapangidwa imayambitsa kukhazikitsidwa kwa dziko la hypoglycemic, ndikuchepetsa kwa kukhalapo kwa insulin m'magazi oyenda.

Ma pathologies osiyanasiyana amadziwika chifukwa cha kuwonongeka kwa maselo a beta, pomwe kuwonongeka kwa ma islets a Langerhans nthawi zambiri kumakhala kovuta chifukwa cha pancreatitis.

Chifukwa cha mawonekedwe a kutupa, kutha kwa kutulutsidwa kwa michere ya pancreatic mu duodenum kumawonedwa. Amadzilowetsa m'thupi la tinthu tating'onoting'ono ndikuyamba kudzipenda.

Zomwe zimayambitsa kutupa ndizophatikizira:

Komabe, vuto lodziwika bwino la kapamba limapezeka mwa anthu omwe amamwa mowa kwambiri. Komanso matendawa amapezeka pambuyo pochita opareshoni ya kapamba.

Kuopsa kwa kapamba ndikuti matendawa amasokonezeka mosavuta ndi poyizoni wosavuta. Vutoli limasowa, wodwalayo sapempha chithandizo, kenako matendawa amakhala osachiritsika. Njira yotupa imakhala ndi zowononga m'maselo a beta, zomwe zimapangitsa kutsika kwa glucose.

Kuphwanya malamulo a kapamba amapatsirana ndi zizindikiro:

kupweteka m'mimba
kupezeka kwa zovuta ndi chopondapo.

Kapangidwe koyamba ka zinthu zotupa kamadziwika ndi matenda opweteka a njira ina, omwe amatha kuwonekera m'malo osiyanasiyana.

Kutalika kwa chiwonetsero chachikulu cha matenda a pancreatic ndi pafupifupi zaka 10.

Zovuta zam'mimba zimavutikira pansi pa nthiti yakumanja ndi epigastrium, pomwe mutu wa kapamba umakhudzidwa kwambiri kapena wadutsa thupi.
Kapangidwe ka gawo la epigastric komanso mbali yakumanzere kwa nthiti kumawonetsa kuwonongeka kwa thupi ndi kukhudzidwa kwa mchira.
Ululu pansi pa nthiti ndikubwerera kudera lumbar, mkono, chibwano, chofanana ndi ululu ngati angina pectoris, mawonekedwe a chovala chimawonekera pakuwonongeka kwathunthu kwa ziwalo zonse za kapamba ndimatumbo amkati.

Zowawa zikamakula, ndi:

Gawo lotsatira likayamba, wolakwiridwayo amakhala akusanza, kusanza, kuphulika, mseru ndi m'mimba. Pamene matenda anyalanyaza, zovuta pamankhwala zimachitika, popeza kuwola kwa cell kumawonedwa komanso chizolowezi cha shuga chimapangidwa.

Mwazi wamagazi umakwera mutatha kudya, nthawi zina, kuchuluka kwa insulini ndikwabwinobwino.

Pamaso pa matenda a shuga a giredi 2, mitundu yovuta ya kapamba imapezeka. Matendawa amawonekera chifukwa cha kusintha kwa zochitika za pancreatic chifukwa cha kuwonongeka komanso pamene glucose ayamba. Wodwalayo amamva kupweteka kwambiri pamimba, pamakhala kusintha m'mimba.

Pancreatitis ndi gawo lachiwiri la shuga limadziwika motere:

wodwala nthawi zina amakhala wachulukirachulukira, matenda amapita kukhululuka,
kusintha kwa kagayidwe kazakudya wapezeka,
adokotala akuwonetsa kukula kwa 2 digiri ya matenda ashuga.

Zizindikiro

Kukula kwa ululu mu kapamba ndi matenda a shuga m'magawo oyamba sikumachitika. Chiwalo chimapweteka pang'ono, pomwe pancreatitis imadziwonekera. Poyamba, nkwanzeru kupereka thandizo kwa wofunsidwa ngati mayeso amachitika mwachangu ndipo mankhwala akumuyikira. Nthawi zina, ngati mawonekedwe oopsa a kapamba amayamba chifukwa cha matenda ashuga, gland imayamba kupweteka panthawi yogunda pancreatic komanso kuchuluka kwa glucose.

Kuphatikiza pa zowawa za matenda ashuga, kusamvetseka kwapafupi kwakanthawi kumachitika ngati zomwe zimachitika pazinthu zomwe zimatengedwa, kapena kuwonetsa matenda ena. Ndi mphamvu yosiyana ya ululu wamankhwala, ngakhale osafotokozeredwa, pitani kwa dokotala kuti mukamufufuze, chifukwa cha matenda a shuga pali kuchepa kwa njira ya ululu - kupweteka kumamvekanso ngakhale ndi kusintha kwakung'ono kapena kovuta komwe kumafunikira chithandizo chamankhwala msanga.

Ngati simuyamba kulandira chithandizo munthawi yake, zinthu zingakuyambitseni.

Chifukwa cha kutupa kwambiri, thanzi la wodwalayo limakulirakulira. Matendawa amatha:

onjezerani ndikuchepetsa zolimbikira,
Kutentha kokwanira kumawonjezeka
Khungu limakhala lotuwa
wodwala wodwala
imakuma mkamwa
wozunzidwa amasanza ndi zosayenera za bile.

Ngati matendawa atapezeka, wodwalayo ayenera kutsatira gome la zakudya kwa masiku angapo, ndiye kuti matendawa amathandizidwa ndi matenda ashuga.

Kuphatikiza apo, wodwala amatha kukhala ndi zizindikiro:

kutsegula m'mimba
kudzimbidwa
kupuma movutikira kumachitika
thukuta, nthawi zambiri ndikasanza,
ukufalikira chifukwa chosatheka kubereka kwamatumbo ndi m'mimba.

Kwa matenda a gland yomwe yakhudzidwa, mthunzi wachikuda wa pakhungu la dera lumbar kapena msomali umatchulidwa.

Pankhani ya kusintha kocheperako kapamba, zizindikiro zaumoyo wovuta zimayamba chifukwa cha zovuta za kapamba. Zomwe zimayambitsa kupweteka kwa matenda ashuga ndi izi:

zilonda zam'mimba
ketoacidosis
matenda a chiwindi
Yankho la Metformin chifukwa cha kuperewera kwa zakudya m'thupi kapena matenda ashuga amatenga biguanides ndi mowa.

Kodi kubwezeretsa kapamba ndi shuga? Pakadali pano, njira zachipatala zothandizira kuyambiranso ntchito za pancreatic kulibe pamene wodwala ali ndi matenda a shuga. Komabe, maselo a ziwalo amatha kukhalanso amoyo. Izi zikuphatikiza kuphatikiza kapena kufalitsa moopseza popanda chiwopsezo chochepa kwambiri.

Matenda a shuga ndi kapamba

Chithandizo cha chiwalo chokhala ndi matenda a shuga chikuyang'aniridwa ndi dokotala. Ndi dokotala yekhayo amene amatha kusankha njira yoyenera yolandirira chithandizo chomwe chithandiza muzochitika zonse.

Ngati vuto la kapamba limapezeka mu mtundu wachiwiri wa matenda ashuga, nthawi zambiri zimakhala zovuta kupewetsa shuga. Kupanga kwa mahomoni mu kuchuluka kofunikira kumatsimikiziridwa kudzera mu maphunziro olimbitsa thupi komanso kugwiritsa ntchito bwino zinthu. Pakatikati pa tebulo pali zakudya zotsika kwambiri.

Ngati wozunzidwayo ali ndi mtundu umodzi, ndiye kuti zinthu zili zosiyana mosiyana. Ntchito yayikulu ndikuyang'ana njira zakukonzanso maselo a beta mu voliyumu yofunikira kuti zikondamoyo zizichita moyenera.

Wodwala amafunikira chithandizo chovuta, chomwe ndi:

kuchokera pagome la zakudya
kugwiritsa ntchito mankhwala
kutikita minofu
zolimbitsa thupi
pamavuto akulu, opaleshoni.

Dokotala wa endocrinologist angathenso kutumiza njira zina zaphikidwe ngati glycemia ili yotsika, kugwiritsa ntchito mankhwala azitsamba omwe amakhudza index ya insulin.

Mankhwala

Chithandizo chokwanira ndi mankhwalawa pancreatic a matenda a shuga amatengedwa ngati njira yofunika kwambiri yochira. Wodwalayo amathandizidwa ndi gastroenterologist ndi endocrinologist, akuyenera kugwiritsa ntchito mankhwala ochepetsa shuga, mavitamini, nootropics chifukwa cha kuwonongeka kwamitsempha yama mitsempha ndi mitsempha. Mulingo wosiyanasiyana wa mankhwalawa udzatsimikizidwa ndi glycemia komanso kufalikira kwa shuga.

Momwe mungachiritsire kapamba ndi matenda ashuga:

Ngati kupweteka kumimba kumveka, ndikofunikira kutenga antispasmodics ndi mankhwala omwe amachepetsa ululu - Papaverine, No-shpa.
Kuthandizira ntchito ya gland, amafunika kumwa mankhwala - Mezim, Pancreatin, Digestal.
Mankhwala a antibacterial amafunika kupewa matenda. Dokotala amatipatsa mankhwala ochepetsa mphamvu.
Ngati pali gawo 2, Metformin 500 ndi yofunika kwambiri. Kuphatikiza pa mankhwalawa odwala matenda ashuga, tengani Dibicor. Zimakhudza gawo lowonongeka ndipo limasintha njira za metabolic.
Mankhwala a Antisecretory omwe ali ndi magwiritsidwe osiyanasiyana - mankhwala omwe amachepetsa hydrochloric acid a mucosa, H-2 histamine receptor blockers, anacids.

Kuthandizira opaleshoni

Kuphatikizika kwa pancreatic mu matenda a shuga ndi ntchito yovuta komanso yosatetezeka, komabe, kuyendetsa koteroko kumathandizira kukonzanso kwa maselo a beta.

M'mayeso azachipatala, omwe akuzunzidwa adasinthidwa ndikuyika ma cell a Langerhans kuchokera kwa wopereka. Izi zidapangitsa kuti zitheke kubwezeretsanso mphamvu ya thupi kukonza mndandanda wazomangamanga. Mu nthawi ya opaleshoni, chithandizo cha immunosuppressive chikuchitika.

Kuika sikunachitike ngati:

kukhala ndi vuto kupeza thupi loyenera
chidwi chachikulu cha kutulutsa kwatsoka kwa oxygen.
chifuwa chachikulu
Edzi
pali chotupa cha khansa
matenda amisala
kumwa mankhwala osokoneza bongo, mowa, kusuta,
kuvuta kwa chiwindi ndi mapapu.

Njira ina ndi xenotransplantation, yomwe imaphatikizapo kufalikira kwa chiwalo cha nkhumba. Zolemba zake zidagwiritsidwa ntchito pochiza matenda ashuga asanafike pozindikira insulin.

Pancreatic massage ya shuga

Nthawi zambiri zotchulidwa General kutikita minofu. Kubera kumachitika ndi mphamvu yapakatikati, njira zonse zitha kugwiritsidwa ntchito.
Chifukwa cha kunyenga, mkhalidwe umakhala bwino:

Pali mathamangitsidwe a kagayidwe.
Kuonjezera ntchito.
Mokwanira insulin.

Maphunzirowa alipo 30.

Chitani masewera olimbitsa thupi

Mtundu woyamba wa matenda ashuga, index ya insulin mu magazi imadumphadumpha. Kuchita masewera olimbitsa thupi ndikofunikira kuti muwonjezere shuga. Zochita zolimbitsa thupi zimasankhidwa mosamala. Kusankhidwa kwa pulogalamuyi kumachitika ndi adokotala.

Kuchita masewera olimbitsa thupi ndi gawo lachiwiri la shuga ndi njira yeniyeni yochiritsira. Kuchita masewera olimbitsa thupi kumathandizira kukulitsa chiwopsezo cha maselo kwa shuga, kumalimbikitsa kupanga mahomoni.

Momwe mungabwezeretsere zikondamoyo ndi zakudya

Mobwerezabwereza, ozunzidwa akufuna kudziwa ngati zingatheke kuyambiranso ntchito yodwala, momwe angachiritsire kapamba ndi matenda ashuga, momwe mungachepetse kuchuluka kwa shuga.

Kuti muchiritse, imwani mankhwalawa ndikudya zakudya zopatsa thanzi zomwe zimathandizira kapamba.
Nthawi yobwezeretsa matendawa ndi yayitali, chifukwa chake ndikofunikira kutsatira malamulo opatsa thanzi pancreatitis kuti athandize magwiridwe antchito amthupi, kutsatira magwiritsidwe a kumwa mafuta, mapuloteni ndi chakudya.

Amaloledwa kudya zakudya zamafuta mu 300 gr., Mapuloteni 100 gr. ndi mafuta 60 g.
Muyenera kudya zakudya zambiri nthawi 5-6 tsiku lonse, ndikugawa magawo ang'onoang'ono.
Odwala odwala matenda ashuga amagwiritsa ntchito chophika, chakudya chofewa.
Chotsani zakudya zonse zokazinga.
Amba, kuphika, mwina chikhululukiro.
Kubwezeretsanso nkoletsedwa ndi zonunkhira zomwe zimatsogolera pakupanga mphamvu kwa matumbo mucosa.
Ngati pali kuchuluka kwa mankhwalawo ndipo munthawi ya mankhwalawa ndizosavomerezeka kudya mafuta, zonunkhira, mbale zosuta, ma bun.

Musanagwiritse chithandizo cha matenda, ndikofunikira kufunsa dokotala, chifukwa zovuta za matendawa ndizotheka.

Njira yogwirira ntchito

Kapangidwe kameneka kamafanana ndi maselo osakanikirana ndi maselo omwe amabalalidwa mwachisawawa ndi ma islets (islets of Langerhans) mkati. Mulingo wa mahomoni a peptide (insulin) ndi glucose amathandizidwa ndi maselo a magulu osiyanasiyana:

alpha - kupanga glaconon,
beta - perekani katemera wa insulin,
gamma - ikhale ngati yowongolera magwiridwe antchito awiri am'mbuyomu.

Pogwiritsa ntchito zinthu zokhala ndi shuga, kuchuluka kwa shuga m'magazi kumawonjezeka kwambiri komanso motsatana ndi izi, katulutsidwe ka insulin m'maselo a beta amakula. Ndi njira yosinthira, maselo a alpha amaphatikizidwa ndi ntchitoyi, omwe amasintha zomwe zimakhala ndi glucanone ndikuchepetsa kuchuluka kwa mahomoni a peptide.

Zoyambitsa Insulin

Malinga ndi etiology yamatendawa, matenda a shuga ndi kapamba nthawi zambiri sizokhudzana mwachindunji. Itha kuyambitsidwa ndi insulin kukaniza minofu, mwanjira ina, chidwi chawo chochepa cha mahomoni opangidwa ndi maselo a beta. Ili ndiye mtundu wachiwiri wa matenda ashuga 2, dzina lina lomwe silodalira insulin. Ndi mawonekedwe amtunduwu, kuyezetsa magazi kwa glucose kumatha kukhala kwabwinobwino. Mosiyana ndi mtundu wachiwiri wa matenda ashuga, M'malo mwake, umagwirizana mwachindunji ndi kusagwira bwino ntchito kwa chobisalira cha mtundu womwe umafunidwa wa mahomoni. The etiology yamtunduwu wamatenda imachulukitsidwa ndipo imatha kuyambitsidwa ndi:

cholowa m'mabadwa, maselo obadwa nawo a maselo a beta,
njira zotupa zomwe zimalepheretsa kubisala,
kufooka kwa mtima
enzyme secretion mavuto,
kufooka chitetezo chokwanira chifukwa cha matenda opatsirana komanso opatsirana,
zochitika zovuta komanso kugwira ntchito mwadongosolo, komwe kumaphwanya magazi m'njira yoyenera.
kuchita masewera olimbitsa thupi mopitirira muyeso kapena osakwanira zomwe zimakhudza kagayidwe kachakudya,
benign kapena zilonda zam'mimba pa kapamba.

A wamba matenda a kapamba mu matenda ashuga ndi kapamba, amene limodzi ndi kusintha kwa wathanzi minofu kukhala cholumikizira kapena mafuta. Matendawa amatchedwa matenda a shuga a pancreatic.

Zizindikiro zamakhalidwe

Kuphwanya kwakukulu kwa matenda ashuga kumatha kudziwonetsa ndi chizindikiro cha kutupa, limodzi ndi zizindikiritso za matenda ashuga. Mndandandawu ukhoza kuphatikiza zowonetsera izi:

kupweteka kwambiri ndi kufalikira kumanzere kumanja kapena kumanzere kwa hypochondrium,
kutentha kukwera, magazi osasunthika,
khungu
pafupipafupi kumata ndi pakamwa pouma
kukhalapo kwa bile mu masanzi,
matenda am`mimba thirakiti la pakhungu, m'mimba kapena, m'malo mwake, kudzimbidwa,
kupuma movutikira (kupuma movutikira) komanso thukuta kwambiri,
kutupa kwa buluu kudera lumbar komanso pafupi ndi navel.

Kupanga chithunzi chathunthu chachipatala, zizindikiro zomwe zalembedwa nthawi zambiri sizokwanira. Mosamala kudziwa zomwe zimayambitsa mavomerezo lolani njira zodziwira matenda.

Matenda a shuga ndi kapamba: njira zochizira

Asanachize kapamba ndi matenda a shuga mothandizidwa ndi mapiritsi, wodwalayo ayenera kutsatira zakudya zosamalitsa.Chithandizo chotere chimathandizira kupanganso insulin ndikupanga magwiridwe antchito amkati.

Ambiri ali ndi chidwi ndi momwe angabwezeretsere kapamba komanso ngati zingatheke kuchiritsa matendawa. Popeza mankhwalawa ndi ovuta kwambiri, palibe chomwe mungachite popanda mankhwala.

Wodwalayo amatenga mankhwala a mahomoni ndi ma enzyme. Ndikofunikanso kudya moyenera, kupatula zinthu zonse zoyipa kuchokera muzakudya ndikutsatira malangizo onse azachipatala.

Kwa ululu pamimba, painkillers ndi antispasmodic mankhwala Papaverine, No-Shpa ndi mankhwala.
Mukafuna kuthandizira ntchito ya kapamba, tengani mankhwala Mezim, Pancreatin, Digestal.
Pofuna kupewa kuteteza matenda, mankhwala opha maantibayotiki amagwiritsidwa ntchito, maopaleshoni opepuka amayankhidwa ndi adokotala.
Mankhwala Metformin 500 ndi kapamba amapangidwira wina ndi mnzake pamaso pa mtundu wachiwiri wa matenda ashuga. Kuphatikiza apo, odwala matenda ashuga amatenga Dibicor, yomwe imakhudza gawo lomwe limakhudzidwa ndipo limasintha kagayidwe kachakudya.

Dokotala angalangize momwe mungatsukire ziphuphu zanu kunyumba ndikukhala ndi shuga wochepa. Pali njira zamitundu mitundu zochitira izi, ndipo chithandizo choterechi chimathandizadi.

Mizu ya chicory imadulidwa, supuni ziwiri zosakaniza ndi kapu yamadzi otentha amawonjezeranso mumtsuko. Mankhwalawa amawiritsa kwa mphindi zisanu, akumazizira, kusefera. Tengani chida chothandizira ntchito zamkati mkati zingapo masana. Kutalika kwa mankhwalawa ndi mwezi, pambuyo pake sabata imatha, ndipo mankhwalawa amabwerezedwa.
Kuchepetsa shuga kungapezeke mwa kuwongolera tincture wa masamba a buckthorn masamba. Zida zoyipa mu kuchuluka kwa supuni ziwiri zimathiridwa ndi madzi otentha, ndikuthiriridwa kwa mphindi 50, kusefedwa. Mankhwalawa amagwiritsidwa ntchito theka chikho katatu patsiku musanadye. Chida choterocho chimayamikiridwa ndikusunga kapamba poyeretsa ndikuchotsa bile.

Matenda a kapamba

Zoyambira zazikulu zomwe kapamba imakhala nazo ndi izi:

mtundu 1 shuga
mtundu 2 shuga
kapamba
cystic fibrosis,
khansa
ma neoplasms pama ma islets amaselo,
kukulitsa ziwalo.

Matenda a shuga ndi kapamba ndizodziwika kwambiri mwazomwe zimayambitsa ma kapamba. Zochita zawo zidzafotokozedwa.

Chovuta ndi chiyani?

Gawo la lida lomwe limayang'anira chitetezo cha endocrine lili ndi magulu ambiri a maselo - zisumbu za Langerhans. Magawo amenewa amaphatikizanso mitundu inayi ya maselo:

maselo alpha omwe ali ndi vuto lopanga shuga komanso kuchuluka kwa shuga m'magazi,
maselo a beta omwe akukhudzidwa ndi kuchepetsa kuchuluka kwa shuga (insulin secretion). Ili ndiye mtundu wofunikira kwambiri wa foni. Kuchuluka kwaiwo kumabweretsa kukula kwa matenda ashuga,
ma cell a gamma ali ndi udindo wopanga somatostatin komanso kayendedwe ka maselo amtundu woyamba ndi wachiwiri,
Maselo a PP amachita ndi pancreatic polypeptide.

Pazonse, kusamalira komanso makamaka kubwezeretsa bwino ntchito yogwira ntchito yovuta ngati imeneyi si ntchito yovuta, chifukwa kusokonezeka kwa gulu limodzi kumawonetsedwa ndi kudumphadumpha kowonjezera m'magazi a glucose, omwe ndi osavomerezeka mu shuga mellitus ndikuwonjezera njira zamankhwala.

Kuphatikiza pa kusintha njira yodyetsera, madokotala amakupatsiraninso mankhwala okhazikika.

Ngati chakudya ndi masewera olimbitsa thupi sizothandiza kwenikweni, katswiriyo amakupatsani mankhwala. Ichi chitha kukhala chida chomwe chimalimbikitsa kupanga kwa homon kapena mankhwala omwe amalimbikitsa thupi kuti ligwiritse ntchito insulin yake.

Kubwezeretsa kapamba m'malo mwa matenda ashuga ndi kapamba ndi ntchito yovuta kwambiri.

Chithandizo chimayamba ndikuika wodwala kuchipatala. Ntchito yayikulu ndikuchotsa kutupa. Pankhani ya kapamba, njirayi imagwira ntchito moyang'aniridwa ndi dokotala. Anti-yotupa ndi analgesic mankhwala omwe amachepetsa zochita za ma pancreatic Enzone amaperekedwa kwa wodwala ndi kukapumira. Woopsa makamaka, wodwala mankhwala mankhwala.

M'masiku awiri oyamba, wodwalayo amapatsidwa mankhwala osala kudya. Izi zimathandizira kwambiri kuchotsedwa kwa kutupa pachimake, komanso kumachepetsa kuchuluka kwa ma enzyme opangidwa ndi gland.

Gawo lotsatira ndikudya kwamankhwala kwa milungu iwiri komanso kuyambitsidwa kwa mankhwala kwa wodwala komwe kumapangitsa kuchepa kwa michere yawo. Zakumwa zoledzeretsa, zonse zokometsera, mafuta, osuta, osankhika, sizipezeka mndandanda wazinthu zomwe zingagwiritsidwe ntchito.

Pancreatitis imabweretsa kuchepa kwa chiwerengero cha ma cell a beta omwe sangathe kubwezeretsedwanso ndi mankhwala. Kugulitsa ma islets a Langerhans kumangokhala ndi kwakanthawi, pambuyo pake maselo ayambanso kufa. Vutoli limachitika nthawi zonse ndi mtundu woyamba wa matenda ashuga. Njira yokhayo yotithandizira ndi insulin.

Mawonekedwe Amphamvu

Zakudya pankhaniyi zimangofunika kuti muchepetse kulemera komanso kupewa kuchuluka kwa mahomoni. Ndi kuchepetsa kudya kwamafuta ambiri, chakudya chamafuta ndi mafuta osakola. Kuphatikiza apo, muyenera kuyiwalako za ma broth omwe ali olemera.

Chovuta chomwe wodwalayo amakhala nacho chimasinthira chakudya chama protein, chifukwa kumwa kwambiri mapuloteni, makamaka nyama, kumakhudza magwiridwe antchito a kapamba ndipo kungayambitse mavuto mu impso.

Ponena za chakudya chamafuta, pano simuyenera kupitanso mopambanitsa. Kuchepetsa kudya shuga, kumangonena, koma kukana kwathunthu kwamakanema sikuvomerezeka, popeza mahomoni ochulukirapo amalowetsa ndikuyamba kuyikiridwa "m'malo osungira" ndipo tsiku lina angayambitse insulin kukana. Ngakhale munthu wathanzi lokhala ndi chakudya chamagulu amamva kuwonongeka, ndipo kwa wodwala yemwe ali ndi matenda ashuga, izi zimatha kukhala phokoso la hypoglycemic. Kusankha koyenera kudzakhala kudya zovuta zamankhwala.

Kuti mupewe zoterezi, ndikwabwino kupatsa makanema osunga zakudya ndikupanga zakudya zina monga gawo la moyo.

Kudya ndikofunikira pamagawo ochepa kuyambira 4 mpaka 6 pa tsiku.

Pophika, njira yabwino kwambiri ndiyowonjezera mphamvu. Mukachotsedwa chikhululukiro, mutha kuphika, kuphika ngakhale mukuphika mu uvuni, koma ndibwino kuti muzikonda zakudya zomwe zaphika.

Zinthu zopangidwa pancreatic za shuga ndi izi:

nyama yodyetsa (yotsamira)
nsomba
msuzi wamasamba ndi msuzi wamkaka wokhala ndi tirigu wathunthu,
durum tirigu
chimanga (popanda kuwonjezera batala ndi shuga),
buledi wodwala
mkaka (osaposa mamililita 100 patsiku),
zopangidwa mkaka,
anakanda mazira
zipatso, masamba ndi zipatso (zatsopano ndi zophika),
tiyi (wofowoka mkaka), zipatso zatsopano zomwedwa ndi zipatso zamasamba (osati wowawasa),
uchi kapena kupanikizana - pokhapokha nthawi yachikhululukiro.

Monga tanenera pamwambapa, kuchitapo kanthu pakuchita opaleshoni sikutsimikizira kuchira. Chifukwa chake, yankho la mafunso okhudza momwe tiyenera kuchitira ziphuphu ndi matenda ashuga komanso kupewa misempha komanso kufalikira.

Njira Zodziwitsira

Kusankha kwa njira zokwanira kumakuthandizani kudziwa momwe mungachitire kapamba, popanda kubwezeretsa komwe nthawi zambiri kumakhala kovuta kuchiza matenda ashuga. Kumbali ina, kuzindikira koyambirira kwa pathogenesis yotsirizira, kumathandizira komanso kufulumizitsa chithandizo cha kapamba. Pazifukwa izi, njira zovuta zimagwiritsidwa ntchito:

kuyezetsa magazi pafupipafupi magazi
kuyesa kwa ultrasound kwa kapamba komanso kupindika kwa echogenic kwa digiri ya kusokonezeka,
kuwomba kwam'mimba komanso moyandikana ndi catheter, yomwe imalola kusintha kwa kapangidwe ka mankhwala pazomwe zili,
X-ray kuti mudziwe zigawo za pathogenic m'mimba.

Thandizo lofunikira kwa dotolo popanga chithunzi cha matendawa lidzaperekedwa ndi zotsatira za kudziwunikira komwe kumachitika mu thupi, mtundu wa mkodzo ndi ndowe, kapangidwe kake. Izi zikuthandizani kudziwa molondola momwe mungachiritsire matendawa ndikuperekanso mwayi wokulitsa kapamba.

Njira zochizira

Kutengera ndi zomwe azindikira, dokotalayo amasankha momwe angabwezeretsere ziphuphu popanda mavuto. Malangizo a mankhwalawa zimatengera mtundu wa matenda ndi kuchuluka kwake. Kutengera ndi chithunzi cha chipatala, chikhoza kuphatikizapo:

chakudya
kulimbitsa thupi kolimbitsa thupi
mankhwala
opaleshoni kuchitapo kanthu.

Lingaliro la adotolo wokhudzana ndi kupatsirana, njira zina zothandizira opaleshoni, limatengedwa kwambiri, pamene njira zina zochiritsira sizinabweretse zotsatira zomwe mukufuna.

Lamulo la zopatsa thanzi

Zakudya za tsiku ndi tsiku ziyenera kupereka chakudya chosalira chomwe chimachotsa kuchuluka kokwanira komwe kumakhudzana ndi kudya mafuta, mchere wambiri, kapena shuga. Zakudya zoyenera zimaphatikizapo:

zopezeka bwino monga mapuloteni, zakudya zamafuta ndi mafuta (350, 100, 60 g, motsatira),
zinayi, makamaka zakudya zisanu ndi chimodzi m'magawo ang'onoang'ono,
kugwiritsa ntchito zophika zokha kapena zophika pabedi yophika ziwiri, yokazinga ndizosavomerezeka, yoyendetsedwa ndi yophika imaloledwa pakukhululuka,
kusiyanitsidwa ndi zakudya za zonunkhira zomwe zimakwiyitsa mucosa wam'mimba,
kukana mafuta, mchere, zonunkhira, kusuta mbale, panthawi yochira kapena kuchulukitsa kwa matenda.

Kuphatikizika kwina kwa menyu, kuphatikiza kwa malonda kumatsimikiziridwa kutengera mawonekedwe a wodwalayo, zosankha za moyo wake. Mukamapereka mankhwala kwa amayi, momwe mimbayo imakhalira ndi nthawi yotsira imakhudzidwa.

Masewera olimbitsa thupi

Kuchita masewera olimbitsa thupi mwamphamvu, limodzi ndi kutopa kwambiri, omwe ali ndi matendawa saloledwa. Koma masewera olimbitsa thupi apadera modekha komanso povomerezedwa ndi dokotala zingakhale zothandiza. Zimakhudza momwe zinthu zilili, zimapatsirana tondovi, kapangidwe kake. Zomwe amapangira masewera olimbitsa thupi nthawi zambiri zimaphatikizapo:

ntchito zolimbitsa thupi
zosankha zosiyanasiyana zoyenda modekha,
amasintha manja ataimirira ndikugona.

Makalasi ayenera kukhala okhazikika, koma adotolo ayenera kudziwa magawo ake, kuchuluka kobwereza, kuchuluka kwa zolimbitsa thupi, komanso makalasi ambiri.

Mankhwala

Chithandizo chamtunduwu chimafuna kuikidwa kwa mankhwala osokoneza bongo. Funso la momwe angachitire ziphuphu mu mkhalidwe wa kapamba ndi matenda ashuga zimathetsedwa poganizira zazomwe zimachitika pachipatalachi. Nthawi zambiri, awa ndi mankhwala a mahomoni ndi enzyme. Amakulolani kuti muchotse zizindikiro zina, kukulimbikitsani kapena kulipirira ntchito zoletsa, kupewa matenda oyanjana:

Mphamvu ya analgesic imaperekedwa pogwiritsa ntchito No-shpa, Papaverine, ndi mankhwala ena omwe amachitanso chimodzimodzi.
Kuperewera kwa enzyme kumayambitsa kusankhidwa kwa Digestal, Mezim, Pancreatin.
Maantiamu opepuka limodzi ndi ma immunomodulators amalimbikitsa chitetezo cha antibacterial.

Kutsatira mosamalitsa zomwe adotolo adalandira, ndalama zomwe zidatchulidwa limodzi ndi zakudya komanso zolimbitsa thupi zimapereka chithandizo chofunikira.

Opaleshoni

Chithandizo chotere chimachitika pokhapokha ngati njira zina zamankhwala zimatha kapena nthawi yayitali ya matenda. Opaleshoniyo angathe kuchitika monga:

kusinthana kwa ma islets a Langerhans, omwe atsimikizira kukonzanso kwa maselo a beta,
zopereka zothandizira nkhumba (xenograft)
kukhazikitsidwa kwa prosthesis, kukonzanso ntchito yotayika ya insulin katulutsidwe.

Chosungitsa kwambiri kwa thupi ndi ntchito yobwezeretsa maselo a beta. Ngati chitetezo cha mthupi chimaloleza kwa wopereka, opareshoniyo ali ndi mwayi wopambana, kubisirana kwina kwamphamvu kwa insulin komanso kuchuluka kwa glucose m'magazi kungabwezeretsedwe. Pankhaniyi, matendawa amatha kuchira ngakhale pamagawo ovuta.

Pancreas amagwira ntchito mu shuga

Chikhansa ndi gawo lofunikira lomwe limatsimikizira magwiridwe antchito oyenera a m'mimba ndi endocrine. Popanda madzi a pancreatic ndi mahomoni ena opangidwa ndi gland, metabolism imasokonezeka. Ngati kapamba sachita ntchito zake, pakapita nthawi munthu amadzuka kwambiri.

Matenda a shuga amawoneka chifukwa cha kusokonekera kwa endocrine organ. Zikondwererozo zimakhala ndi mawonekedwe ovuta kwambiri. Zilumba za Langerhans zimangokhala 2% yokha ya gawo lachiwalocho, ndipo ndi omwe ali ndi mwayi wopanga mahomoni ofunikira kuti kagayidwe kazikhala.

Ngati maselo a beta omwe ali pachisumbu atawonongeka, pali insulini - timadzi tambiri timene timatulutsa shuga. Zowonjezera zake zimayambitsa dziko la hypoglycemic, ndipo kuchepa kwake kumawonjezera shuga.

Maselo a Beta amayamba chifukwa cha matenda osiyanasiyana. Koma nthawi zambiri, kuwonongeka kwa zisumbu za Langerhans kumachitika chifukwa cha khungu lotchuka ngati kapamba. Chifukwa cha kukula kwa njira yotupa, kapamba amasiya kuponyera ma enzymes mu duodenum. Amakhalabe m'thupi la chiwalo ndikuyamba kudzipukusa.

Zomwe zimayambitsa kutupa ndiziphuphu, sitiroko, matenda a mafangasi kapena ndulu. Koma nthawi zambiri, kapamba amadziwika mwa anthu omwe amamwa mowa kwambiri.

Pancreatitis ndiowopsa chifukwa ndikosavuta kusokoneza ndikulamulira kwachizolowezi. Kuukira kumachoka, palibe amene amafunafuna chithandizo. Matendawa amathanso kukhala osachiritsika. Kutupa kumawononga pang'onopang'ono maselo a beta, ndikupangitsa insulin kuchepa.

Odwala nthawi zambiri amafunsa ngati kapamba amayamba ndi matenda ashuga. Popeza matenda ashuga ndi kapamba "amapita" limodzi, pakadwala matenda osachiritsika, ululu umatha kupezeka pamimba kumanzere kwakumanzere.

Kodi kuchitira kapamba ndimatenda a shuga?

Yankho ndi limodzi - moyang'aniridwa ndi dokotala. Katswiri wodziwa bwino yekha ndi amene amasankha njira zoyenera zomwe zingagwire bwino ntchito inayake. Kuonetsetsa kuti wodwalayo akumva bwino, dokotala akuyenera kuwonetsetsa kuti akumwabe insulin nthawi zonse. Wodwalayo amayenera kumwa mankhwalawo ndikutsatira zakudya.

Ndi matenda 2 a shuga, nthawi zambiri, mankhwala omwe ali ndi insulin amatha kupewedwa. Kupanga kwa mahomoni mu kuchuluka koyenera kumaperekedwa kudzera mu masewera olimbitsa thupi komanso zakudya zapadera.

Maziko azakudya ayenera kukhala zakudya zotsika kwambiri.

Ngati munthu ali ndi matenda amtundu 1, vutolo limasiyana. Asayansi akufunafuna chithandizo chatsopano. Ntchito yayikulu ndikupeza njira zothetsera maselo a beta mokwanira kukwanira koyenera kwa kapamba.

Kafukufuku akuchitika izi:

Katemera wachidziwitso
Kufalitsa kwamasamba a Beta,
Kuphatikizika kwa ziwalo: Opaleshoni ya chifuwa cha shuga

Kuphatikizika kwa pancreatic mu shuga kumawerengedwa ngati ntchito yovuta komanso yowopsa. Koma njirayi imapangitsa kukonzanso mawonekedwe a maselo a beta.

Panthawi ya mayesero azachipatala, maselo aopereka a isanger a Langerhans adawayika kwa odwala, omwe adathandizira kubwezeretsa mphamvu ya thupi pakulimbitsa thupi. Kwa nthawi ya postoperative, mankhwala a immunosuppress amatchulidwa ndi adokotala.

Njira ina yolimbikitsa ndi xenotransplantation. Pankhaniyi, wodwalayo amamuika ndi kapamba wam'mimba. Insulin isanapezeke, zopanga zake zinagwiritsidwa ntchito pochiza matenda ashuga.

Mankhwala Pancreatic a shuga

Mapiritsi a pancreatic a shuga amapanga gawo lalikulu la chithandizo chamankhwala. Dokotala amayenera kukulemberani mankhwala potengera kupenda komanso thanzi la wodwalayo. Kudzichitira nokha, kumwa mankhwala omwe amalangizidwa ndi abwenzi kapena anzanu omwe akumanapo ndi vuto lofananalo, ndizoletsedwa.

Chiwalo chilichonse chilichonse chimayankha mosiyanasiyana chithandizo. Ngati china chake chikugwirizana ndi bwenzi lanu, amalume, azakhali kapena m'bale wina aliyense, sizitanthauza kuti ikuyenerani.

Kudzidzidzimutsa nokha kumatha kuyipa kwambiri mu thanzi komanso kufalikira kwa matenda osachiritsika.

Momwe mungathandizire kapamba ndi matenda ashuga

Kapamba wa matenda a shuga a 2 amafunikira chisamaliro. Izi sizitanthauza kuti muyenera kusiya moyo wabwino. Koma zizolowezi zina zimayenera kusintha.

Mwa kuwathetsa, njira yofunika kwambiri yochizira imatheka. Chifukwa chake, choyambirira, dokotala amakupatsani zakudya zapadera, zomwe maziko ake ndi otsika-carb. Kuonjezera mphamvu ya chakudya, wodwalayo amalimbikitsidwanso kuchita masewera olimbitsa thupi pafupipafupi. Mutha kuyamba ndi masewera olimbitsa thupi a m'mawa, mukamachepetsa thupi, ndikuwonjezera ndi maulendo olimbitsa thupi, masewera olimbitsa thupi kapena masewera olimbitsa thupi, yoga kapena Pilates.

Zakudya zoyenera komanso moyo wathanzi zingathandize kwa nthawi yayitali kukankhira zovuta zakumbuyo ndi kapamba. Ngati zakudya zomwe adotolo akuwonetsa zikuwoneka ngati zosasangalatsa kwa inu, mupeza maphikidwe ambiri pa intaneti a zinthu za shuga zomwe sizabwino zokha, komanso zosangalatsa.

Kuphatikiza apo, muyenera kusiya kusuta ndi kumwa mowa.. Zizolowezi izi ndizowopsa kwa chamoyo chathanzi, ndipo kwa odwala matenda ashuga amakhala atha kufa kwathunthu.

Zochita Pancreatic a shuga

Amadziwika kuti anthu omwe amakonda kusewera masewera amawoneka komanso kumva bwino kuposa ena. Mukawonjezera maphunziro akuthupi m'moyo wanu, m'masabata ochepa chabe mudzamva momwe thanzi lanu likuyendera, khungu lanu likulimba, thupi lanu limapeza mpumulo.

Koma kuti mukufuna kuchita masewera tsiku lililonse, muyenera kuthera nthawi yochepa ndikupeza mtundu womwe ungasangalatse komanso kusangalala.

Masiku ano pali masewera olimbitsa thupi osiyanasiyana, komwe mitundu yambiri yamakonzedwe amtundu uliwonse imaperekedwa. Zolimba ndikuwumba, aerobics kapena Pilates, yoga, calanetics - sizovuta kusankha masewera olimbitsa thupi osangalatsa. Ngati simukufuna kudzipereka kuchita masewera olimbitsa thupi, pitani povina.

Odwala amtundu wa shuga 1 amakonda kuthira shuga m'magazi, kutopa kwambiri, ndi kukhumudwa. M'dziko lino, sindikufuna kusewera masewera, koma kusuntha kochepa kumangokulitsa mavuto azaumoyo. Ndi matenda a shuga amtundu woyamba, maphunziro akuthupi amatha kuwonjezera shuga m'magazi, koma chifukwa cha izi muyenera kusankha masewera olimbitsa thupi mosamala.

Kwa odwala omwe ali ndi matenda a shuga a 2, masewera amatha kukhala panacea weniweni. Amathandizira kukulitsa chidwi cha maselo kuti apange insulini, amathandizira kupanga mahomoni ndi kapamba.

Kukana kwa insulin kumachepetsedwa chifukwa cha kukula kwa minofu. Komabe, mutha kukwaniritsa izi pogwiritsa ntchito pafupipafupi Cardio. Zimatsimikiziridwa kuti kuchita masewera olimbitsa thupi kosavuta ndizothandiza kwambiri maulendo 10 kuposa mapiritsi aliwonse omwe amalimbikitsa chidwi cha insulin.

Monga matenda aliwonse, mphamvu ya mankhwalawa matenda a shuga ndi kapamba zimadalira wodwalayo. Ntchito ya dotolo ndikusankha pulogalamu yonse yomwe imaphatikizapo mankhwala, zakudya ndi masewera olimbitsa thupi.