Pancreatic steatosis: zimayambitsa, Zizindikiro ndi chithandizo

Mu moyo wonse, thupi la munthu limakumana ndi zovuta. Amayenera kukumana ndi matenda othandizira ndi ma virus, kumenyana ndi zochitika za zomera za pathogenic. Pali gulu lonse la matenda omwe chitukuko chimatha kupewedwa. Kuti muchite izi, muyenera kudya moyenera komanso kutsatira moyo wathanzi. Chimodzi mwazovuta izi ndi steatosis. Zomwe zimayambitsa, zizindikiritso ndi chithandizo cha matendawa zidzafotokozedwanso m'nkhani yamakono.

Pancreatic steatosis: ndi chiyani?

Kuti muyankhe funsoli, muyenera kuyang'anitsitsa mu thupi mwapang'izi. Imayimiriridwa ndi ziwalo zingapo, pomwe zikondazo zimayenera kuyang'aniridwa mwapadera. Ili ndi ntchito zambiri:

Kutenga nawo gawo pakukonza (kupanga ma enzyme ofunikira kuti athandizidwe).
Kuwongolera kwa endocrine dongosolo (chakudya cha metabolism, kupanga insulin).
Zokhudzana ndi kusintha kwamzimu m'thupi.

Kugwira ntchito kwa kachitidwe kakakulu ka ziwalo zamkati kumatengera ndi ntchito ya kapamba. Kuphatikizidwa kwake mu pathological process kumakhudza thanzi la chamoyo chonse.

Nthawi zambiri, anthu omwe amakonda zakudya zopanda pake amakhala ndi pancreatic steatosis. Ichi ndi matenda oopsa omwe maselo a ziwalo amasinthidwa ndi mafuta. Ngozi yake yayikulu imakhala kuti poyamba palibe zodziwikiratu zomwe zimayambitsa matenda. Wodwalayo sangakhale akudziwa za mavuto azaumoyo zaka zambiri.

Kodi makina a chitukuko cha matendawa ndi ati? Mothandizidwa ndi zinthu zina, maselo a gland amayamba kufa. Chitetezo cha mthupi chimatipatsa izi pochita izi. Amayamba kupanga zinthu zamafuta zomwe zimakhala m malo m'thupi. Chifukwa cha izi, mawonekedwe a gland amasungidwa, koma ntchito zake zazikulu zimatayika.

Zoyambitsa zisanu zikuluzikulu za steatosis

Kukula kwa matendawa kumayambitsa:

Zakudya zopanda pake (kudya zamchere, zamafuta kapena zamafuta).
Zizolowezi zoipa (kusuta, kumwa mowa).
Pachimake kapena mawonekedwe a cholecystitis.
Matenda osiyanasiyana a matenda am'mimba.
Matenda a Gallstone.

Pancreatic steatosis nthawi zina chimakhala cholowa. Ngati abale apamtima apezeka ndi matendawa, mwayi womwe umapezeka ndiwonso umachulukana kangapo. Chodziwika kwambiri mu njira ya pathological mu kapamba ndimunthu wa msinkhu wokhwima. Gulu loopsalo limaphatikizapo amuna ndi akazi opitirira zaka 60, komanso oledzera.

Zizindikiro zoyambira

Pancreatic steatosis sichinawonedwe ngati matenda kwa nthawi yayitali. Pa magawo oyamba obwezeretsa maselo amoyo wathanzi ndi mafuta, odwala samakumana ndi mavuto azaumoyo. Posachedwa, madokotala azindikira kuti vutoli sililivulaza konse. Ngati mutchera khutu kusintha pang'ono pa machitidwe a kudya, mutha kuzindikira zizindikiro zoyambirira za pancreatic steatosis.

Matendawa amayamba kukula kwake ndikuwoneka ngati kutentha kwamtima mutatha kudya, kusisita komanso kutulutsa. Kuphatikiza apo, odwala ambiri amakayikira zomwe sizigwirizana ndi mitundu ina yazogulitsa. Njira ya pathological ikafalikira pamadera akuluakulu a gland (zoposa 30% ya voliyumu yake), chithunzi cha chipatala chimathandizidwa ndi zizindikiro zatsopano. Pakati pawo muyenera kudziwika:

Zowawa zazing'ono pansi pa chifuwa, zomwe zimayang'ana kumbuyo.
Kufooka nthawi zonse mthupi lonse.
Kupanda chilimbikitso
Khungu loyera.

Ngati mafuta akwaniritsa cholowa m'malo mwake, wodwalayo amayamba kusanza komanso mavuto ena am'mimba. Kapamba sangathenso kuthana ndi ntchito zake, amasiya kutulutsa ma enzyme ofunikira. Pa nthawi imeneyi yokha, odwala amasankha kufunsa dokotala.

Kuyesa Kwachipatala ndi Kuzindikira

Ngati mukukayikira kuti pancreatic steatosis, muyenera kupita kukakumana ndi a gastroenterologist. Kuzindikira matendawa kumayamba ndi kafukufuku wodwalayo. Ndikofunika kuti adotolo adziwe nthawi yomwe malaise adatulukira, momwe wodwalayo amadya, ngakhale ali ndi zizolowezi zoyipa. Pambuyo pakuphunzira mbiri ya wodwalayo, adatumizidwa kukamuwunika kwathunthu. Nthawi zambiri imakhala ndi zotsatirazi:

Ultrasound ya kapamba (amakupatsani mwayi kuti muwone malo a echogenic).
Kuyesa kwa magazi (ndi steatosis, mulingo wa alpha-amylase ndi wokwera kangapo kuposa wabwinobwino).
Organ MRI (imathandizira kupatula ma neoplasms oyipa).
X-ray yogwiritsa ntchito mosiyanitsa (imakupatsani mwayi wowerengera zokonza zonse za thupi, momwe muliri).

Ngati, atalandira zotsatira za mayeso, adotolo amakayikira kuwunika koyambirira, laparoscopy yokhala ndi biopsy imaperekedwanso. Mothandizidwa ndi kafukufukuyu, mutha kunena motsimikiza ngati kapamba ndiwabwino, ndikuzindikiranso mtundu wa zotupa.

Mitundu iwiri ya matendawa imasiyanitsidwa kutengera kuchuluka kwa maselo omwe akukhudzidwa ndimayendedwe am'magazi: ozama ndikuwonetsa. Mtundu woyamba umawonetsedwa ndi madongosolo amodzi amafuta. Diffuse pancreatic steatosis imakhudza gawo lonselo, kotero, ma infological omwe amalowetsedwa amawonekera m'matipi onse. Atatsimikizira kuti adziwe, dokotala amamulembera mankhwala. Zitha kukhala zonse zachipatala komanso zogwira ntchito.

Njira Zochizira

Kukula kwa matendawa kumatsimikizira njira zamankhwala. Ndi chotupa chaching'ono, thupi likapitiliza kugwira ntchito bwino, chithandizo chochepa chimatha kumwa mankhwala komanso kudya. Kodi kuchiritsa kapamba? Kuteteza matenda m'mimba, mankhwala otsatirawa ndi mankhwala:

Ma Enzymes ("Creon", "Digestal", "Festal"). Kugwiritsa ntchito kwawo kumathandizira kuti pakhale kusowa kwa zinthu zomwe zimathandiza kugaya chakudya.
Proton pump inhibitors (Omeprazole, Lansoprazole). Mankhwala atatenga nthawi yayitali amatha kuchepetsa kupanga hydrochloric acid m'mimba.
Blockers a mayamwidwe ("Xenical", "Zabwino"). Zotsatira zazikuluzikulu za mankhwalawa ndicholinga chofulumira kuchotsa mafuta m'matumbo.

Mankhwala, kuphatikizapo kuchuluka kwa mankhwalawa komanso kutalika kwa kayendetsedwe kake, amasankhidwa payekha.

Mfundo zoyambirira za zakudya

Sizotheka kuchiritsa matendawa kwathunthu. Zida zowonongeka sizingasinthidwe ndi maselo athanzi. Kodi pancreatic steatosis imatha kuyimitsidwa? Kuti muchepetse kupita patsogolo kwa matendawa, ndikofunikira kutsatira mokhazikika zakudya pafupifupi miyezi itatu.

Odwala amalangizidwa kuti aziphatikiza nyama ndi nsomba, tchizi tchizi, mafuta mkaka wotsika, komanso zipatso ndi ndiwo zamasamba m'zakudya zawo. Komabe, muyenera kusiya zakumwa zoledzeretsa, zakudya zotsekemera ndi zotsekemera. Zakudya zokometsera komanso zamafuta ndizoletsedwa. Zakudya za steatosis zikutanthauza kutsatira malamulo ena:

Muyenera kudya pang'ono komanso m'magawo ang'onoang'ono (nthawi 5-6 patsiku).
Ndi zoletsedwa kuti muchepetse zopatsa mphamvu za caloric (osachepera 2600-2800 kcal patsiku).
Zinthu zonse zimaphikidwa makamaka mu boiler kapena kuphika mu uvuni.

Popanda kutsatira mfundo zakumwambazi, ndizosatheka kuyimitsa kapamba. Zakudya, kuphatikizapo mankhwala osokoneza bongo zimakupatsani mwayi wabwino wolimbana ndi matendawa, kupewa kupewa opaleshoni.

Opaleshoni mankhwala a steatosis

Chithandizo cha opaleshoni chimaphatikizapo opareshoni yomwe dokotala amachotsa zamlomo. Izi neoplasms zimatha kufinya ma intracecretory ducts ndi ma cell organ. Chitetezo chimachitika pogwiritsa ntchito mankhwala opaleshoni. Ndondomeko imeneyi imachitika nthawi zambiri. Kuthandizira opaleshoni sikugwiritsidwa ntchito paliponse. Opaleshoniyo ndi yoyenera pamaso pa kuchuluka kwakukulu kwamafuta, komwe kumalepheretsa kutulutsa kwathunthu kwa katulutsidwe.

Chithandizo cha kunyumba

Madokotala a Folk amadziwa momwe angachiritsire kapamba. Njira yosavuta yoletsera zizindikiro zosasangalatsa ndi kuphika zakudya za oatmeal. Kuti mukonzekere, muyenera kudzaza theka la Hercules ndi madzi owiritsa ndikusiya pamalo otentha. Madziwo ayenera kuphimba ma flakes onse. Pakatha masiku awiri, chimacho chikuyenera kusefedwa, ndipo nkhungu ichotsedwe. Kissel yophika mpaka kuphika, ndendende, mpaka thovu kuonekera pamwamba pake. Zotsatira zomwe zimapangidwazo ziyenera kutsanuliridwa m'makapu ndikuyika mufiriji. M'mawa uliwonse pamimba yopanda kanthu muyenera kudya gawo limodzi la zakudya.

Njira zopewera

Pancreatic steatosis: ndi chiyani? Funso lofananalo masiku ano limafunsanso kwa anthu ambiri. Mukawerenga nkhaniyi, mutha kuzindikira kuopsa konse kwa matendawa. Kodi ndizotheka kuteteza kuti zisachitike?

Kupewera kwa steatosis kumakhala ndi njira ziwiri: chithandizo cha matenda omwe angapangitse chitukuko chake, ndi kukana zizolowezi. Chowonadi ndi chakuti kusuta fodya komanso kumwa mowa mwauchidakwa zimakhudza mkhalidwe wa kapamba. Kuti muthane ndi matendawa, muyenera kuwonjezera zotsatirazi:

Nthawi zambiri mumayesedwa ndi madokotala.
Yang'anirani zakudya, kupewa kukula kwa kunenepa kwambiri.
Tsatirani moyo wokangalika, sewera masewera.
Pewani zochitika zovuta.

Aliyense ayenera kudziwa zomwe zizindikiro za pancreatic steatosis zili. Chithandizo chochitidwa kumayambiriro kwa matenda nthawi zambiri chimadziwika ndi zabwino. Ngati wodwala amatsatira zakudya zokhwima ndipo amamwa mapiritsi, ali ndi mwayi uliwonse woderera matendawa. Kupanda kutero, pakufunika kuchitapo opaleshoni yayikulu. Komabe, zotulukapo zake sizingathe kunenedweratu.

Kodi chifuwa chachikulu cha kapamba ndi chiyani

Steatosis amatanthauza njira ya pathological yochotsa maselo abwinobwino ndi mafuta, chifukwa cha kusuta, kumwa mowa ndi zina zovulaza.

Kugwira ntchito kwa pafupifupi ziwalo zonse za thupi kumadalira kagwiridwe kabwinobwino ka kapamba.

Njira yotsatsira ma cell a pancreatic ndi maselo amafuta imachitika pamene maselo a ziwalo amafa chifukwa chodziwonetsa pazinthu zovulaza. Maselo osowa amadzazidwa ndi mafuta. Zikuyimira mtundu wamtundu waminyewa yamafinya.

Komabe, maselo amafuta sangathe kugwira ntchito za maselo a pancreatic athanzi. Pankhaniyi, maselo otsala a chiwalo amagwira ntchito mopitirira muyeso, kuyesera kukhazikitsa ntchito yake. Thupi likuyesera kuti lipange maselo omwe adzalowe m'malo mwa omwe akusowa ndipo nthawi zambiri amakhala maselo amafuta. Zotsatira zake, kwanthawi yayitali minofu yonse ya kapamba imasinthidwa ndimafuta.

Zotsatira zake zimatha kukhala kufa kwathunthu kwa kapamba ndi kupanga chiwalo chatsopano, chokhala ndi minyewa ya adipose. Thupi ili limakhala ndi ntchito zosiyana ndi zomwe zimachitika chifukwa cha kapamba ndipo izi zimabweretsa njira zosasintha zina mthupi ndi kuphwanya kwakukulu mu ntchito yake.

Komanso, maselo amafuta amakonda kukula komanso kukhudza ziwalo zina. Chifukwa chake, ndikofunikira kudziwa matendawa kumayambiriro ndikuyamba chithandizo kapena kupewa matendawa.

Zimayambitsa steatosis

Mwa zina zomwe zimayambitsa matendawa, akatswiri amasiyanitsa izi:

kumwa kwambiri mowa,
kudya zakudya zonona ndi zosuta,
kusuta
matenda a ndulu
kutupa kwapakatha, komwe kunayambitsa kufa kwa maselo amoyo wathanzi,
aakulu cholecystitis,
mtundu uliwonse wa matenda ashuga
onenepa kwambiri
Matenda am'mimba
anasamutsa ntchito pamimba.

Nthawi zina pancreatic steatosis imatha kukhala matenda obadwa nawo. Komabe, milandu ngati imeneyi ndiyosowa. Pafupifupi nthawi zonse, steatosis imadziwika ndi kupezeka kwa matenda ophatikizika, monga kuperewera kwa chikhodzodzo, chiwindi, komanso matenda am'mimba dongosolo.

Poyerekeza ndi mbiri ya steatosis, matenda oopsa amatha - chiwindi cha chiwindi, chomwe chimakhala chowopsa m'thupi la munthu.

Omwe amatenga matenda amtunduwu kapamba ndi anthu amsinkhu wokhwima. Malinga ndi ziwerengero zamankhwala, abambo azaka zapakati pa 50 ndi azimayi opitilira 60 omwe ali ndi zizolowezi zoyipa ndipo amadya mafuta, mchere wambiri komanso wosuta kwambiri ali pachiwopsezo.

Zizindikiro za matendawa

Pancreatic steatosis nthawi zambiri imakhalapo popanda chizindikiro chodziwika bwino. Njira yopezera matendawa ndiyosachedwa. Zizindikiro zoyambirira za matenda a ziwalo zimawoneka ngakhale pafupifupi theka la tiziwalo ta pancreatic limasinthidwa ndi mafuta.

Zizindikiro za matendawa ndi motere:

Zizindikiro zoyambirira: kutsegula m'mimba, kutentha pakatha nthawi iliyonse mukatha kudya, zomwe zimapangitsa kuti pakhale zovuta zina pakudya, kumatulutsa,
kupweteka, m'chiuno kupweteka pamimba, pansi pa chifuwa. Ululu wambiri wamtunduwu umachitika mutatha kudya,
kumva mseru
kufooka kwa thupi
kusowa kwa chakudya
pafupipafupi matenda ogwirizana ndi kuchepa kwa chitetezo chokwanira,
kutulutsa maso ndi khungu kuzungulira maso, khungu louma ndi chizindikiro cha matenda apamwamba.

Njira Zodziwitsira

Mankhwala amakono amazindikira pancreatic steatosis potengera kuyesedwa kwathunthu ndi mayeso a labotale. Njira zotsatirazi zimagwiritsidwa ntchito pofufuza matendawa:

kupimidwa kwa ultrasound kwa thupi. Kuchulukana kwachilengedwe kumawonetsa kukhalapo kwa matenda,
kuchuluka kwa alpha-amylase m'magazi ndi mkodzo,
MRI ya chiwalo. Kudzikundikira kwamaselo amafuta kumalo amodzi pazithunzi kumatilola kusiyanitsa steatosis ndi khansa,
retrogade endoscopic pancreatocholangiography, pomwe kusiyana kumayambitsidwa mu ma ducts. Pambuyo pake, X-ray ya chiwalo imatengedwa ndipo mawonekedwe ake akutsimikizika kuchokera pazithunzi.

Mukamaphunzira kapamba, kuyezetsa kwa chiwindi kumachitika. Izi ndichifukwa choti imatha kutengeka kwambiri ndi kufalikira kwa minyewa ya adipose kuchokera ku zikondamoyo kupita ku ziwalo zina, ndiye kuti, kufalikira kwamafuta a kapamba ndi chiwindi kungapezekenso nthawi yomweyo.

Pambuyo podziwikiratu atakhazikitsidwa, katswiriyo amamulembera mankhwala omwe angakhale mankhwala kapena opareshoni.

Pancreatic steatosis

Akazindikira, zoyambirira za wodwala ziyenera kukhala kusiya mowa ndi ndudu, komanso zakudya zopanda pake ndi kuwonda, ngati kuli kofunikira. Kutsika kwa kulemera kwa thupi pafupifupi 10% kumapangitsa kuti wodwalayo akhale bwino.

Zakudya zamatendawa zimangoperekedwa ndi dokotala, yemwe, akamasankha, aziganizira mawonekedwe onse ndi matenda amthupi. Kupanga kochita masewera olimbitsa thupi kosavuta kwapangidwa kwa odwala omwe ali ndi steatosis. Cholinga chake ndizofanana ndi ntchito ya ziwalo zonse zamkati, komanso kuchepetsa thupi.

Komanso, pochiza matenda, mankhwalawa amaperekedwa omwe amakhala ndi ma pancreatic enzymes omwe amathandizirana mu metabolic njira ndikuthandizira kubwezeretsanso ntchito ya pancreatic. Njira zochizira opaleshoni zimachokeranso ku zochitika zowopsa, pomwe matendawa amatha kupha ziwalo zina.

Matendawa samatsogolera kuti munthu afe, komabe, ntchito za thupi zopanda pake zimatha kuyambitsa kuwonongeka kwake.

Kodi chiwopsezo cha kapamba ndi chiyani?

Mwa njira ya pathological imatanthawuza kusintha kwakanthawi kwa maselo amoyo wathanzi ndi zinthu zomwe zimayambitsa fodya, kudalira mowa ndi zina.

Imfa yokhazikika ya ma cell a pancreatic cell amabweretsa m'malo mwake ndi minofu yamafuta, yomwe imathandizira minofu ina. Zinthu izi sizimasinthidwa kuti zizigwira ntchito ngati maselo wamba, zomwe zimayambitsa kusintha kwa ziwalo kuti zizigwira ntchito movuta.

Maselo athanzi amagwira ntchito molingana ndi kukhoza kwawo, atatopa ndikudzipangitsa okha kufa. Zotsatira zake ndi kusinthidwa kwathunthu kwa minofu ya prostate ndi mafuta. Zotsatira za ngoziyi ndi imfa ya chiwalo, njira zosasunthika m'thupi, kuphwanya kwambiri magwiridwe ake.

Kuphatikizika kwa steatosis kwa chiwindi ndi kapamba kumapangitsa kuti ziwalo zonse ziwonongeke. Pambuyo pakufika pazizindikiro zovuta m'mafuta, njira yotupa imayambira, zomwe zimayambitsa matenda a chiwindi, komanso necrotization mu kapamba.

Gulu

Akatswiri amakonda kugawa gawo la chiwindi ndi kapamba m'magulu otsatirawa:

Mtundu wamowa - vutoli limapangidwa ndikudalira kwa nthawi yayitali mowa kwa zaka 8-10.
Osamwa mowa - zitha kuphatikizira zifukwa zosiyanasiyana.
Focal - ndikupanga njira yopanda khansa pachiwonetsero chimodzi cha ziwalo.

Kugawika kwa minofu yazinthu zowonongeka kumayambitsa magawo owonjezera:

Pa cholinga - podzikundikira gawo limodzi la thupi,
Kutulutsa - pomwe ma cell a cellological amawonekera ponseponse.

Pancreatic ndi chiwindi steatosis, kutengera mawonekedwe omwe adachokera, agawidwa:

Poyamba - ndi zovuta zatsopano zamapangidwe a metabolic,
Kuti wachiwiri - m'maphunziro chifukwa cha pathologies ena.

Magawo a momwe matendawa amakulira:

Droplet yaying'ono - yodziwika ndi mtundu wosavuta wa kunenepa kwambiri, amatanthauza magawo oyamba a mapangidwe a matendawa, pomwe palibe kuwonongeka komwe kumawonedwa mu minofu ya ziwalo zonse ziwiri.
Dontho lalikulu - ndi kusintha kwa ma cell a chiwindi, kapamba.

Zomwe zimayambitsa matendawa

Nthawi zina, steatosis imapangidwa mothandizidwa ndi chibadwa chathu. Nthawi zambiri, njira ya pathological imapangidwa motsogozedwa ndi moyo wa wodwalayo, zizolowezi zoyipa zomwe amakonda komanso zomwe amakonda. Madokotala amasiyanitsa zinthu zingapo zingapo zoyambirira zofunikira kuti pakhale vuto.

Ndi mankhwala oopsa pakudwala:

Kumwa kwambiri - mowa wambiri ukhoza kusokoneza ntchito za ziwalo. Kuchitiridwa nkhanza nthawi zambiri kumayambitsa kupangika kwakanthawi kwamatumbo.
Poizoni wa mankhwala osokoneza bongo - Zakudya zopanda mankhwala, mankhwala osankhidwa molakwika zitha kubweretsa vuto. Matendawa amapangidwa mothandizidwa ndi antibacterial, corticosteroid, mankhwala a cytostatic.
Mankhwala osokoneza bongo a Nikotine - kugwiritsa ntchito fodya nthawi zonse kumawononga thanzi la ziwalozi.

Ndi kagayidwe kachakudya matenda:

Ndi kunenepa kwambiri kwa thupi komanso kunenepa kwambiri kwamadigiri osiyanasiyana - kuphwanya zofunika pa chakudya chamagulu, okhala ndi mafuta ambiri, mafuta, omata, omwe dongosolo la m'mimba silingathe kuchita. Kukonda kwachidziwitso kumayambitsa kupezeka kwa steatosis.
Ndi matenda a shuga a 2 - kupanga insulin yokwanira, yomwe imayambitsa kuchepa kwa shuga m'magazi, imayambitsa matendawa. Kupatuka kumapangidwa chifukwa cha kukanika kwa pancreatic.
Njala yachinyengo - steatosis imapangidwa motsutsana ndi maziko osowa zinthu zofunikira, kuchepa thupi msanga - zopitilira 2 kilogalamu sabata imodzi.
Zakudya zopatsa mphamvu - kudya kudzera mwa makulidwe a makolo, kudutsa ziwalo zonse zam'mimba, kumayambitsa matenda am'mapapo, chiwindi.

Pa opaleshoni kuchitapo kanthu - ntchito zomwe zimachitika mwa mawonekedwe a zilonda zam'mimba, zodzikongoletsera za magawo ang'onoang'ono a m'matumbo ang'onoang'ono, amalola kuti pakhale matenda. Magwero apakati pa chitukuko cha matendawa ndi monga:

matenda a ndulu
aakulu cholecystitis,
zotupa mu ziwalo zovuta,
matenda osiyanasiyana am'mimba.

Matendawa amadziwika ndi kukula pang'onopang'ono poyenda pang'onopang'ono. Kuwonongeka kwamafuta kumakhala ndizotsatira zamankhwala:

kutsegula m'mimba mwachangu
chisangalalo,
kutentha kwa mtima
zimachitika zokha zomwe thupi lanu limadya
kupweteka m'dera la epigastric,
zilonda m'dera la zovuta ziwalo zomwe zimachitika mutatha kudya,
mwadzidzidzi nseru
kuchepa kwamtima
kufooka wamba
kuchepa magwiridwe antchito a autoimmune system - motsutsana ndi maziko pakupatuka, mawonekedwe apafupipafupi matenda,
kusintha kwa khungu, sclera pamtambo wachikasu,
Osakhudzika pakhungu.

Zizindikiro

Polumikizana ndi chipatala chakumaloko, wodwalayo amatumizidwa kuti akaonane ndi dokotala wa gastroenterologist. Katswiri amatenga kafukufuku wa anamnesis, palpation. Pambuyo pakuwonetseratu kuti wodwala wapezeka kale, wodwalayo amatumizidwa kuti akapatule njira zotsimikizira:

Ultrasound - imakupatsani mwayi kuti mupeze madera omwe asinthidwa minofu,
maphunziro a mkodzo, magazi - ma reginiti kuchuluka kwa alpha-amylase,
MRI - imazindikira bwino malo omwe malo amapezeka, amakulolani kusiyanitsa steatosis pakusintha kwa minyewa yoyipa,
Pancreatocholangiography - imatanthawuza kukhazikitsidwa kwa wothandizira wosiyana ndi ma ducts, kuti aphunzire momwe aliri mu zithunzi za x-ray.

Njira zochizira

Conservative mankhwala amamuthandiza odwala omwe ali ndi mafuta ochepa, popanda kukakamiza kwa ma ducts, kupatsira kugawa kwa pathological foci. Mwa ndalama zomwe zimakhazikitsidwa nthawi zambiri ndi:

Mankhwala a enzyme - idapangidwa kuti ipange kuchuluka kosakwanira kwa chinsinsi chomwe chimapangidwa motsutsana ndi maziko a kuchepa kwa dera la gland - Creon, Festal, Digestal,
Proton pump zoletsa - lolani kuti muchepetse kuchuluka kwa hydrochloric acid wopangidwa ndi m'mimba - Lansoprazole, Omeprazole,
Mafuta Ochotsa Mafuta -loleni kuthamangitsa kuchotsedwa kwa zinthu - Zabwino, Xenical.

Kuchitapo kanthu kwa opaleshoni kumayikidwa pothandizira. Opaleshoniyo akulimbikitsidwa kupondereza ma ducts omwe amakula ndi ma lymph node. Kudzimbidwa kumachitika pansi pa mankhwala ochititsa dzanzi, mwa njira ya endoscopic.

Kusintha kwa kadyedwe kumalepheretsa kuwonjezereka kwa mawonekedwe a ma cell. Pokhala ndi patebulo lokha kudya, madipoziti amafuta amathandizidwa ndi zinthu kuchokera kumalo osungirako. Maziko a tebulo la mankhwalawa akuphatikizapo:

choletsa kugwiritsa ntchito yokazinga, kusuta, mafuta, mchere,
kupatula zilizonse zomwe zimamwa mowa,
kuchepetsa kuchuluka kwa muffin, maswiti, confectionery,
menyu tsiku ndi tsiku amaphatikiza tchizi chamafuta ochepa, nyama yophika, nsomba, zinthu kuchokera ku buttermilk, soya,
kuchuluka kwa dzungu lophika mkate, kolifulawa, zukini,
phala, zinthu zamkaka zokhala ndi mafuta ochepa ndizomwe zimayambitsidwa.

Zotheka

Chopinga chachikulu ndikusokoneza minofu ya kapamba, matenda amitsempha yamagazi.

Kulephera kugwira ntchito kumabweretsa:

Kuchulukana kwamadzi mu peritoneal patsekeke - ascites.
Kukula kwakukula kwa venous - esophageal chosinthika cha mitsempha ya varicose, ndikupanga magazi.
Hepatic encephalopathy - ndi kuwonongeka kwa minyewa yaubongo ndi kuyankhula kwadzidzidzi, kugona pang'ono, kumveka bwino kwa chikumbumtima.
Ma neoplasms woopsa mu ziwalo.

Cirrhosis ya chiwindi imawonedwa mwa wodwala aliyense wachisanu wokhala ndi mtundu wina wa steatosis, ndi kumwa mowa kwambiri, chiwerengerochi chikuwonjezeka kangapo. Njira ya pathological imatha kubweretsa kupezeka kwa pachimake kapamba, imfa yotsatira yamapangidwe a ma pancreatic cell. Kupsinjika kumeneku kumadzetsa imfa mu 20% ya odwala.

Kupewa

Pofuna kupewa kupatuka kwamatenda, madokotala amalimbikitsa kuti mutsatire malamulo awa:

Maulendo obwereza pafupipafupi kukakumana ndi akatswiri - kamodzi pachaka.
Kuchepetsa kuchezera malo odyera mwachangu.
Kukana mafuta, mchere, kusuta.
Chosiyana ndi mtundu wina uliwonse wa mankhwala osokoneza bongo ndi mowa, nikotini.
Kuchepetsa zovuta zomwe zimabweretsa zovuta - kuwongolera kwathunthu pamalingaliro am'maganizo.
Kuyang'ana kulemera, ngati kuli kotheka, muchepetseni pogwiritsa ntchito zakudya zapadera.
Zizindikiro zowonjezereka zamagetsi, zolimbitsa thupi.

Kodi Steatosis ndi chiyani?

Pancreatic steatosis

Pantchito yolumikizidwa ya thupi, ziwalo zonse ndi kachitidwe ziyenera kukwaniritsa ntchito zomwe zapatsidwa kwa iwo kwathunthu. Chikhansa ndichimodzi mwazinthu zofunika kwambiri zomwe zimagwira ntchito iyi:

Malangizo ochokera kwa mkulu parasitologist.

Masiponji, giardia, ntchentche, helminths, tapeworm. Mndandandandawo umapitilizabe, koma mupita nthawi yayitali bwanji kuti muziloleza tiziromboti? Koma majeremusi ndi omwe amayambitsa matenda ambiri, kuyambira mavuto a khungu mpaka zotupa za khansa. Koma wamkulu wa Institute of Parasitology ya Russian Federation Germany Shaevich Gandelman akutsimikizira kuti ndikosavuta kuyeretsa thupi lanu ngakhale kunyumba, mukungofunika kumwa.

Amatenga nawo gawo mgawo la chakudya - ali ndi udindo wopanga ma enzymes omwe amafunikira kuti chimbudzi chikhale chokwanira komanso chakudya.
Amatenga nawo mbali popanga insulini komanso kukonza kwa chakudya chamafuta.
Imayang'anira momwe thanzi limaperekera komanso imapereka chidziwitso cha kufooka kwa thupi.

Lipomatosis kapena steatosis ndimatenda omwe amadziwonetsa pang'onopang'ono m'matumbo a chiwindi (chiwindi) pa ma cellular. Kusintha kotereku kapangidwe ka chiwalo kumachitika zaka zambiri. M'malo mwa maselo omwe akhudzidwa, maselo amafuta amapangika, izi zimachitika kuti zibwezeretse ndikusunga chiwalocho. Ngakhale kuchuluka kwa maselo amafuta kuli kotsika, thupi limathana ndi vutoli. Pakakhala gawo lalikulu la chiwalocho, thupi limasokonekera.

Zizindikiro za steatosis

Matendawa ndi m'gulu la matenda omwe akukula pang'onopang'ono. Pakadali koyambirira, ndizosavuta kudziwa kuti ndi matenda ati, chifukwa wodwalayo sawona zolakwika zilizonse kuchokera mbali ya chiwalo.

Chifukwa cha izi, matenda a pathology samapezeka kwa nthawi yayitali, pomwe kuyang'ana kwamafuta omwe amalowedwa kumawonjezeka mpaka pamlingo waukulu.

Pamene mkhalidwe ukuipiraipira, odwala amadandaula za zovuta zosonyeza matendawa:

Poyamba wodwalayo amasokonezedwa ndi zodabwitsazi zomwe zimapangitsa kuti pakhale kugaya chakudya: kutentha kwa mtima, kusapeza bwino pamimba, mawonekedwe a zakudya zomwe sizinali kale,
kuwonda m'mimba,
kusanza kosalekeza
kusowa kwa chakudya kapena kuchepa kwake.
kufooka
chimfine pafupipafupi monga kuchepa kwa chitetezo chamthupi,
chikasu cham'mimba, khungu,
mawonekedwe a pakhungu pakhungu, izi zikuwonetsa kuti akuthamanga.

Zimayambitsa kuwonongeka kwa cell cell

Nthawi zambiri, steatosis imayamba nthawi yomweyo mu chiwindi ndi kapamba. Anthu omwe ali ndi vuto la steatosis ndi:

Nthawi zambiri amamwa mowa
zophika, mafuta, zonunkhira komanso zamchere,
utsi
onenepa
kukhala ndi cholesterol yayikulu,
akudwala matenda otupa
ali ndi matenda monga matenda a shuga ndi cholecystitis aakulu,
Imwani mankhwala: mahomoni, ma pinkiller, maantibayotiki, cytostatics,
anachitidwa opareshoni ya m'mimba.

Njira zodziwira steatosis

Kupanga matenda, njira zotsatirazi zimagwiritsidwa ntchito:

kuyezetsa magazi komwe mulingo wa amylase umaphunziridwa, zotsatira zake zikuwonetsa kuyimitsidwa kwa chiwindi, kuwonjezeka kwa kuchuluka kwa ma enzymes a chiwindi kumatha kupezeka,
MRI, yomwe imathandizira kuzindikira kupezeka kwa zotupa zamtundu uliwonse,
ultrasound kapena CT kuti mupeze mawonekedwe a echogenic,
Kusiyanitsa ndi X-ray, yomwe imathandizira kupenya kwa milomo ya chida.

1. Kodi Steatopancreatitis ndi chiyani?

Steatopancreatitis ndimatenda omwe amayamba chifukwa cholowetsa minofu yamafinya. Izi ndizathuzambiri, komabe, ndimodzi mwa matenda ochepa omwe amayambitsidwa ndi moyo wa munthu. Mosiyana ndi matenda omwe amayamba chifukwa chobadwa nawo, matenda, ndi zina zomwe sizitha kupezeka, matenda otupa amatha kupewedwa ndikusiya zizolowezi zoipa, kudya mopambanitsa, kukhala phee, komanso kudya zamafuta.

Kukula kwachilendo kwa steatopancreatitis ndikuti ikhoza kukhala yacymptomatic kwa nthawi yayitali, ndipo pamapeto pake imapangitsa kuzungulira kwadzidzidzi - kukokoloka kwa pancreatic.

Gululi lomwe lili pachiwopsezo chachikulu cha matenda a steatopancreatitis, amuna ndi okhwima komanso okalamba, popeza panthawiyi ambiri a iwo anali akugwiritsa ntchito chikonga ndi mowa kwa nthawi yayitali, anali ndi zovuta zolakwika pakudya, komanso kudya kwambiri mafuta. Zotsatira za pancreatogenic mwa akazi ndizotsika, komabe, patatha zaka 60, chiopsezo chokhala ndi steatosis chimakulanso.

Mu chipatala chathu muli akatswiri aluso pankhaniyi.

2. Zimayambitsa steatopancreatitis

Zowopsa zomwe zingawopseze pancreatic lipomatosis zimagawidwa m'magulu awiriawiri: poizoni ndi metabolic.

Zowopsa, makamaka zazitali, zimayambitsa kuwonongeka kwa maselo a pancreatic athanzi. Kusunga voliyumu ndikusunga geometry ya chiwalo, makina amaloza m'malo mwa adipose minofu imayambitsidwa. Kukula kwa zigawo zamafuta m'makutu a maselo omwe amatha kugwira bwino ntchito zimakhudza ntchito ya chiwalo chonse, chomwe pang'onopang'ono chimataya magwiridwe antchito.

Zoopsa zomwe zimapezeka kwambiri chifukwa cha kapamba:

kuledzera kwa chikonga kwa nthawi yayitali,
kumwa mwadongosolo
kumwa mankhwala ena omwe amachepetsa kapamba.

Kwambiri, zinthu za metabolic zimatha kuwongoleredwa ndikusintha. Uku ndi kunenepa kwambiri, kudya, kudya, kudya mokwanira, kuchita masewera olimbitsa thupi. Gawo la zinthu zosakhala zaumunthu zokhudzana ndi metabolism limaphatikizapo matenda osagwirizana a m'mimba ndi chiwindi, matenda a shuga. Steatopancreatitis imatha kukhala yachiwiri motsutsana ndi maziko awo.

Posachedwa, zomwe zimayambitsa kusala komanso kudya kwambiri komanso akuti zimayambitsa ngozi. Kusintha kofulumira mu kuchuluka kwa chakudya komwe kumabwera kumapangitsa njira zamafuta ochulukirira kumankhwala ndi ziwalo zathu pakachitika zinthu zabwino pamenepa.

Mitundu ina ya chithandizo chamankhwala ingayambitsenso matenda a steatosis (mwachitsanzo, zakudya zamtsogolo), koma muzochitika zambiri pakaperekedwa zakudya zapakati, palibe njira ina.

Gulu labizinesi yotsika mtengo!
Ultrasound yamagawo awiri aliwonse 1900 ma ruble. Akuyembekezera inu!

Kufufuza kwa ultrasound kwa ziwalo ndi minofu kwakhala njira yofunika kwambiri yodziwonera. Ubwino wazazindikira ndikuwonekeratu, umaphatikizidwa muzoyang'anira zonse, zitha kuchitidwa mwachangu komanso mosakwanira. Chifukwa chake tidaganiza kuti tizitsatira kwathunthu izi, tiyenera kuchepetsa mtengo wa ultrasound momwe tingathere! Zidakhala chonchi!

3. Zizindikiro za pancreatic steatosis ndi kuzindikira

Zizindikiro zakuwoneka bwino kwakanthawi koyamba kumatha kukhala kopanda tanthauzo kwambiri ndipo kumatha kufotokozeredwa ndi zovuta zam'mimba. Panthawi inayake, popanda chifukwa, munthu sanawonepo zochitikazo:

kutentha kwa mtima
nseru
chisangalalo
thupi lawo siligwirizana
kutsegula m'mimba
kupweteka kumanzere hypochondrium atatha kudya.

Kafukufuku omwe adachitika kale pa nthawi iyi akhoza kuwonetsa kusintha kwa minyewa ndi kuperewera kwa mphamvu kwa kapamba: kukhalapo kwa zigawo zamafuta, metabolic syndrome, hyperamylasemia, kuchepa kwa ma densitometric indices.

Kuzindikira kwa steatopancreatitis omwe akuganiziridwa kumayamba ndi mbiri yachipatala. Wodwalayo afotokozere madandaulo ake, makamaka kuwonetsa pafupipafupi, pafupipafupi komanso kuopsa kwa zovuta zina zamatenda. Ndikofunika kufotokoza mtundu wa ululu, kusasinthasintha kwa chopondapo, ngakhale kusanza pamaso pa nseru kumabweretsa mpumulo, momwe zizindikirazi zikugwirizana ndi nthawi yakudya komanso kusala kudya. Kafukufuku wa Laborator amatha kumveketsa bwino kuti wapezeka kuti wapezeka. Izi zikuphatikiza:

kuwunika ndowe za kupezeka kwa michere,
kusanthula kwamkodzo ndi seramu yamagazi,
kuphunzira kapangidwe ka pancreatic madzi.

Njira zodziwonera zogwiritsa ntchito ndi zida (ultrasound ya kapamba, laparoscopy ndi biopsy) zimawulula kusintha kwamapangidwe amisempha, voliyumu ndi kutulutsa mafuta kokhazikika.

4. Chithandizo cha steatopancreatitis

Ndi mwayi wa kupeza chithandizo chamankhwala panthawi yake, mankhwala a pancreatic steatosis amachitika mosamala. Choyamba, chakudya chokhwima chimakhazikitsidwa, kukonza kwa moyo kumachitika, kusintha kumapangidwa muzakudya, zolimbitsa thupi. Kudya kwamtundu uliwonse wa maola 3-4 aliwonse kumalimbikitsidwa, kupatula mafuta, zonunkhira, zokazinga. Zotulutsa za Lipotropic, mosiyana, zimayenera kuperekedwa muzambiri. Izi ndi nsomba, ng'ombe, tchizi chamafuta ochepa, soya.

Pamene milomo ya lipomatous imakhala ndi mavoliyumu akuluakulu ndikuletsa kutulutsa kwa ma pancreatic secretion, opaleshoni yothandizira ndi yofunika. Komabe, ziyenera kumvedwa kuti thandizo la opaleshoni lingakhale lingaliro kwakanthawi ngati mtsogolo munthu akapitiliza kumwa mowa, kusuta, kudya zakudya zamafuta. Mwansanga, moyo wopanda nkhawa umayambitsa zinthu zomwe zimapangitsa kuti pakhale malo enaake a ziwalo zina ndi ziwalo, kuphatikizapo kapamba.