Matenda a shuga ndi chilichonse chokhudza izi

Matenda ena amakhala achindunji. Awa ndi kapamba ndi matenda ashuga.

Chifukwa cha izi, zitha kuwoneka kuti sizigwirizana. M'malo mwake, pali chiyani pakati pa kutupa kwa kapamba ndi shuga wambiri?

Pakadali pano, nthenda zonse ziwiri izi zimagwirizanirana ndipo nthawi zambiri zimawonedwa mwa wodwala m'modzi. Pancreas ili ndi ntchito ziwiri. Amatulutsa ma enzymes ndi insulin. Yoyamba ndikofunikira pakuwonongeka kwa chakudya, chachiwiri - glucose.

Zovuta zam'mimba zimayambitsa matenda a shuga. Nthawi zambiri, matenda “okoma” amtundu wachiwiri amakula. Mavuto oterewa amapezeka mwa anthu opitilira 1/3 a odwala omwe amapezeka ndi chifuwa chachikulu.

Limagwirira kukula kwa matenda ashuga

Kuti kapamba azikhala kosatha, zimatenga nthawi yambiri, mpaka zaka 10. Munthawi imeneyi, wodwalayo amamva kupweteka kwakanthawi mu hypochondrium yamanzere. Ndizosangalatsa izi zomwe zimatengedwa ngati zizindikiro zazikulu za matenda.

Koma ululu umatha msanga, ndipo wodwalayo amaiwala za kudwala kwake kufikira nthawi yotsatira. Ngati simutsatira zakudya, musamwe mankhwala, matenda am'kati amadwala. Poterepa, wodwalayo samangokhala ndi chidwi ndi zowawa zakumanzere.

Zizindikiro zikuwoneka zomwe zikusonyeza kugaya chakudya:

Gawo ili la kapamba amadziwikanso ndi kuperewera kwa thupi kagayidwe kachakudya. Mlingo wa glucose m'magazi umachepa, izi zimachitika pang'onopang'ono komanso mosazungulira. Zodabwitsazi ndizomveka - maselo a beta sakwiya, amayankha kutupa ndikutulutsidwa kwa insulin yayikulu.

Pancreatitis ikayamba, kapamba sangathenso kupirira ntchito zake za endocrine. Poterepa, wodwalayo amakhala ndi kulolera kwa glucose. Ndiye kuti, mutadya m'magazi a wodwalayo, shuga wambiri atha kupezeka, zomwe sizikuchepa kwa nthawi yayitali.

Zimatenga nthawi kuti mukhale ndi matenda ashuga kwathunthu. Izi nthawi zambiri zimatenga pafupifupi zaka zisanu.

Nthawi zambiri, mtundu wachiwiri wa matenda ashuga umayamba pamene insulin yokwanira yatulutsidwa, koma kulowa kwake m'magazi ndikovuta.

Glucose owonjezera sakhala m'chiwindi ndi minofu, koma amatenga nawo mbali pakuwonongeka kwa mitsempha yamagazi. Ngati matenda amtundu wa shuga 1 apezeka, kutupa kwapancreatic kumakwiyitsa maselo a pancreatic okhala ndi mafuta kapena minofu yolumikizika. Zikatero, maselo abwinobwino amaponderezedwa, amakhala ochepa kukula, komanso atrophy.

Sangathe kukwaniritsa ntchito yawo - amasiya kutulutsa madzi ndi insulin m'magazi ndikufa chifukwa. Njirayi imabweretsa kukula kwa matenda ashuga amtundu 1. Pankhaniyi, muyenera kudziwa kuti pancreatic cell necrosis ndichinthu chosasintha. Kupanga kwa insulin sikuchitika, m'magazi mumakhala kuchuluka kwa shuga.

Zizindikiro za Pancreatitis

Kumayambiriro kwenikweni kwamatenda, wodwalayo amazunzika ndi ululu wosoka. Amasanjidwa mu hypochondrium yamanzere. Ululu umabuka pachifukwa. Uku ndikuchita pakudya. Mawonekedwe owawa amapezeka pafupifupi maola awiri mutatha kadzutsa, nkhomaliro, etc. Panthawi imeneyi, chakudya chimalowa m'matumbo. Amasowa madzi a kapamba.

Kapangidwe ka kapamba

Miyezi yoyamba yakukula kwa matendawa imadziwika ndi kupweteka kwakanthawi komanso kupunduka pambuyo pake. Ngati simulabadira izi zomwe zimachitika pafupipafupi, musatsatire zakudya - kapamba amayamba kudwala.

Matenda onyalanyazidwa amawonetsedwa ndi zizindikiritso zokhudzana ndi m'matumbo. Kukomoka, kutentha kwa mtima, nseru, kusowa kwa chakudya - kutali ndi mndandanda wathunthu wazosangalatsa za chifuwa chachikulu. Matendawa amakhudza maselo omwe amapanga madzi. Kuperewera kwawo kumabweretsa vuto lalikulu - kudzimana chakudya.

Nthawi zambiri, matendawa amayamba kwambiri. Wodwalayo amamva kupweteka kwambiri, kudula ululu mbali yakumanzere. Kuukira kumatha maola angapo.

Ndikosatheka kulekerera zowawa zoterezi, muyenera kuyitanitsa adokotala. Ngati pancreatitis ikukayikira, wodwalayo amaperekedwa kuti akalandire kuchipatala.

Pazizindikiro zoyambirira za matendawa, muyenera kufunsa dokotala ndipo muzigwira nthawi yonse yomwe mwamulembera, popeza matenda amiseche amayambitsa zovuta zonse zomwe zimawononga thupi lonse.

Kodi kuchitira kapamba?

Nthawi zina sizotheka kuletsa kukula kwa matenda "okoma". Nkhondo yolimbana ndi matenda onse awiriwa pamatenga nthawi yayitali komanso ndalama zambiri.

Komabe, pankhaniyi, munthu sayenera kusiya, chifukwa kuchuluka kwa glycemia kumawononga ziwalo zonse ndi machitidwe, zomwe zimatsogolera ku kufa kwa minofu.

Cholinga cha mankhwalawa ndikuletsa kufooka kwa kapamba. Kuti mukwaniritse, muyenera kugwiritsa ntchito ma statins, mahomoni omwe amathandiza kuti gland igwire bwino ntchito, kuchepetsa kuchepa kwa maselo. Kuphatikiza apo, michere yapadera imalembedwa yomwe imapatsa kagayidwe kazachilengedwe.

Mtundu wa matenda a shuga 1, jakisoni wa insulin amafunikira. Ngati zifika pamtundu wachiwiri, mapiritsi angagwiritsidwe ntchito koyambirira kwa matendawa. Matendawa akapita patsogolo, chithandizo chotere sichothandiza kwenikweni, chifukwa kuperewera kwa insulin kumakhala kotheratu. Komabe, mulingo waukulu wa mankhwalawa, wofunikira mtundu woyamba wa matenda, sofunikira pano.

Momwe mungapangire zakudya zoyenera?

Chimodzi mwazomwe zimayambitsa pancreatitis chadziwika. Ichi ndi chakudya chopanda thanzi.

Mutha kukhala zaka zambiri pa chithandizo chamankhwala, kugwiritsa ntchito mankhwala onse omwe mungathe chifukwa cha izi, ndipo musapeze zotsatira zabwino ngati mumanyalanyaza zakudya.

Zakudya za munthu yemwe akudwala matenda ashuga ndizosiyana ndi tebulo la wodwala yemwe wapezeka kuti ali ndi ziphuphu zosavuta. Kuvutika ndi pancreatitis, ndikofunikira kuchepetsa kwambiri zakudya zomwe zimakhala ndi mafuta, chakudya chambiri. Izi zikuyenera kunenedwa mwatsatanetsatane.

Kuchepetsa kokhako kwa zakudya zopatsa mphamvu za m'thupi kumachepetsa chiopsezo chokhala ndi matenda ashuga a 2 kangapo. Maswiti, zopangidwa ndi ufa zimatha kuphatikizidwa m'zakudya zazing'ono, popeza izi zimapangitsa kuchuluka kwa shuga m'magazi. Kulephera kutsatira lamuloli kumadzetsa kusokonekera kwambiri kwa kapamba. Kuchokera pamenepa, limayenda mofulumira kwambiri.

Madokotala nthawi zambiri amalimbikitsa wodwalayo kupatula zakudya zotsatirazi pazakudya:

Kukutitsa zikondamoyo ndi chakudya chochuluka sikulimbikitsidwa kwambiri. Zakudya zisanu patsiku ndi gawo lochepera chabe, chifukwa, odwala kapamba ayenera kudya pafupipafupi. Ndikofunika kuiwalako zokhwasula-khwasula zapaulendo, kugwiritsa ntchito zakudya mwachangu.

Tiyenera kukumbukira mwambo wakale wakale - kudya pagome, kutafuna kwathunthu chakudya. Pancreatitis ndi matenda omwe chitsulo chosakwanira m'magazi chimawonedwa nthawi zambiri. Pankhaniyi, wodwala sayenera kudya nyama ndi maapulo.

Ndikofunikira kuonjezera zomwe zili hemoglobin mothandizidwa ndi zinthu zina. Izi zikuphatikiza:

Mavitamini ndi michere amagwira ntchito yofunika kwambiri m'thupi la odwala omwe ali ndi kapamba. 300-400 g zamasamba ndi zipatso zidzafunika tsiku lililonse.

Mapuloteni muzakudya azikhala mpaka 200 g, mafuta - osaposa 120 g. Makamaka chidwi chake chiyenera kuperekedwa pakutsuka mbale, patsiku sayenera kupitirira 60 g.

Njira zonse ziyenera kuchitidwa kuti wodwalayo akhazikike. Izi ndizosavuta, koma zitheka. Popanda kutsatira kwambiri njira zochizira, zothandizidwa ndi zakudya zomwe zimaganiziridwa mosamala, sizingatheke.

Zonunkhira zokometsera siziyenera kuphatikizidwa ndi zakudya.

Kuchuluka kwa masamba, zipatso, mapuloteni ndi mafuta zomwe takambirana pamwambapa. Izi ndizofunika kuzitenga ngati maziko. Muyenera kuwerengera tsiku lililonse phindu la zakudya. Kwa amuna, mphamvu yamasiku onse ya chakudya sayenera kupitirira 2500 Kcal, kwa akazi - 2000 Kcal.

Zothandiza pamatendawa zimawonedwa ngati chakudya chamagulu. Ndikofunikira kutchula padera pazinthu zomwe zimakwiyitsa mucosa wam'mimba. Sizoletsedwa kuphatikiza nawo muzakudya. Izi ndi zonunkhira zotentha, viniga, radish, adyo.

Zoyenera ndi mbale zowotchera. Chakudya chophika nacho sichimavulaza wodwala.

Wodwala akayamba gawo lomasulidwa, chakudya chake chimaphikidwa mu uvuni, kapena akapatsidwa mafuta. Zonunkhira, zokazinga, zamchere, zonunkhira, ndi batala nthawi imeneyi zimaloledwa kudya, koma zakudya zopanda pake ziyenera kukhala zochepa.

Chofunikira china ndikuti zinthu zomwe zalembedwazo zitha kuwoneka pa tebulo la wodwala ngati gawo lililonse la zopatsa mphamvu, chakudya, mafuta ndi mapuloteni amalola.

Mu magawo owopsa a matendawo, kuchira pambuyo pake, zinthu zovulaza ndizopanda tanthauzo komanso zimagwiritsidwa ntchito mopanda chakudya. Izi ndizofunikira mwatsatanetsatane kwa odwala omwe ali ndi pancreatitis yovuta ndi shuga.

Zakudya za wodwala wina zimathandizira kupeza dokotala yemwe adzayang'ane mbali zonse za thupi la munthu, momwe amakhalira. Chifukwa chake, odwala matenda ashuga omwe ali ndi kapamba omwe amalowera masewera amafuna zakudya zambiri, kukhathamiritsa, amayi apakati amafunika mafuta owonjezera.

Pancreatitis mu shuga: chilichonse chomwe muyenera kudziwa

Pancreatitis yachilendo ndi chodabwitsa chotupa chomwe chimayamba m'mapapo, chimapangitsa kusintha kosasintha kwa maselo ndi minofu. Pankhani ya matenda oopsa, mbali yofunika kwambiri yamatumba a pancreatic imasinthidwa. Poterepa, minofu ya glandular imasandulika kukhala minyewa yogwirizana komanso yamafuta. Mthupi, kubisika kwakunja ndi kwakunja kumasokonekera. Pa mulingo wakusowa kwa chinsinsi kunja, kukulira kwa kuchepa kwa enzymatic kumachitika, ndipo pamlingo mkati mwa chinsinsi cha kulekerera kwa glucose ndipo, monga chotsatira, matenda a shuga. Mtunduwu umatchedwa pancreatogenic, ndiye kuti, umapangidwa motsutsana ndi maziko akumimba kwa kapamba. Ndi chifuwa chachikulu chomwe chimayambitsa matenda a shuga mellitus (DM), m'mawu ena. Mosakayikira, shuga amatha kukhala ngati matenda odziyimira pawokha, kotero kuti odwala omwe ali ndi matenda amtundu wa 1 kapena mtundu wa 2 amatha kukhala ndi kapamba wam'mimba. Pankhaniyi, kapamba amadziwika kuti ndi matenda akumbuyo.

Pancreatitis ndi matenda ashuga: makina otukuka

Asayansi sanapeze malingaliro amodzi pa zovuta za pathogenesis. Koma sizowona kuti kuwonongeka pang'onopang'ono ndi kufooka kwa zida zamagetsi zomwe zimayambitsa matenda a shuga zimayambitsa matenda a shuga poyankha kupangika kwa maselo oyandikana nawo omwe amapanga michere yothandiza kugaya chakudya.

Zikondwererozo zimakhala ndi chuma chobisika. Ntchito yake yoyamba ndikupanga ma enzymes ndikutulutsa kwa chakudya chake chakugaya chakudya, ntchito yachiwiri ndikupanga insulini - mahomoni omwe amawongolera kuchuluka kwa glucose pogwiritsa ntchito. Phunziro lokhalitsa la kapamba limatha kuwopseza kuti kuwonjezera pa malo a kapamba, omwe amachititsa chimbudzi (enzymatic zida), malo osungirako, omwe ali ngati ma islets a Langerhans, nawonso angakhudzidwe.

Matenda ena a endocrine nthawi zambiri amakhala ngati amachititsa. Makamaka, shuga yachiwiri ya shuga imafanana ndi matenda amtundu 1, koma imasiyana popanda kuwonongeka kwa minyewa ya gland ndi autoantibodies.

Mu matenda a Itsenko-Cushing, kumasulidwa kwa mahomoni kuchokera ku adrenal cortex kumatheka. Ndipo kuchuluka kwa cortisol kumachepetsa kuthana ndi shuga ndi minofu, yomwe imawonjezera kuchuluka kwake m'magazi.
Pheochromocytoma - chotupa chokhala ndi ntchito ya mahomoni. Chotupa chimatha kuponya mwendo waukulu wama katekisimu m'magazi, omwe, monga tafotokozera pamwambapa, amawonjezera shuga. Ndi acromegaly, mahomoni ambiri okula ali ndi zotsatira ngati insulin. Izi zikugwirizana ndi mfundo yoti kupanga insulin ndi kapamba ndi betta kufooka - maselo pang'onopang'ono akuwonekera.
Glucagonoma imatulutsa glucagon wa contra-hormone. Ndi kuchulukana kwake kwa katulutsidwe, kusayenerera kwa dongosolo la endocrine lomwe limayambitsa kagayidwe kazakudya kumachitika ndipo matenda ashuga amapezekanso.
Hemochromatosis imathandizira kuchuluka kwa chitsulo mu kapamba, ndipo izi zimabweretsa kuwonongeka kwake, kuphatikizapo kuwonongeka kwa maselo a betta.
Matendawa a Wilson-Konovalov amaphatikizidwa ndi kuchuluka kwa mkuwa m'chiwindi, ndipo izi zimaphwanya kuyamwa kwa shuga mkati mwake ndipo, chifukwa chake, kumabweretsa matenda a shuga.

Matenda a Cohn amagwirizanitsidwa ndimatenda a potaziyamu. Hepatocytes a chiwindi sangathe kuchita popanda thandizo la potaziyamu, kugwiritsa ntchito shuga. Ndipo mu nkhani iyi, Symbergatic hyperglycemia imachitikanso.

Kuphatikiza pa matenda a endocrine, omwe amachulukitsa glucose mwanjira imodzi, zotupa zamapamba ndizotheka. Izi zimaphatikizapo zovuta za pambuyo pancreatectomy, khansa ya pancreatic, somatostatinoma. Zikondazo, kuphatikiza apo, zimatha kukhala chandamale pamene ziphe zoopsa zikavulazidwa m'thupi (mankhwala ophera tizilombo, glucocorticosteroids) Kukula kwa hyperglycemia ndi matenda a shuga kumachitikanso chimodzimodzi.

Matenda a shuga a pancreatogenic: zomwe zimayambitsa ndi zizindikiro

Ulalo wotsogola wa pathogenesis wa matenda a shuga a pancreatogenic ndi kuchepa kwapang'onopang'ono ndi kuwonongeka kwa zida zama insular (sikuti betta iliyonse ndi khungu, koma peresenti yake). Asayansi ena samazipatula zomwe zimayambitsa matendawa.

Matenda a shuga a Pancreatogenic amakula, omwe amasiyana ndi mtundu 1 kapena shuga yachiwiri:

Ndi mankhwala a insulin, zochitika za hypoglycemic ndizambiri.
Kuperewera kwa insulin kumayambitsa zochitika zambiri za ketoacidosis.
Matenda a shuga a pancreatogenic ndiosavuta kuwongolera ndi zakudya zama carb ochepa.
Kuthandiza mankhwalawa mapiritsi a shuga.

Classical mtundu wa 2 matenda a shuga amayamba motsutsana ndi maziko a kusakwanira kwathunthu kapena pang'ono. Kuperewera kwa insulin kumayamba chifukwa cha kukana insulin, komwe, kumawoneka ngati chinthu chochitika chifukwa cha michere ya michere yambiri. Mosiyana ndi matenda amtundu wa 2 shuga, matenda a shuga a pancreatogenic amakula chifukwa cha kuwonongeka mwachindunji kwa maselo a beta ndi ma enzyme.

Pancreatitis mu shuga mellitus (matenda achiwiri adakula okha, ndipo yoyamba ndi yakutsogolo) ikuwoneka mosiyana: kutupa kwa kapamba kumakhala kosapiririka, palibe kutulutsa mawu, mtundu waulesi wakale.

Gulu lowopsa kwambiri ndi anthu omwe ali ndi zidakwa. Oposa 50% ya odwala amayamba kukhala ndi pancreatitis ya zakumwa zoledzeretsa. Magulu omwe ali pachiwopsezo akuphatikizapo omwe akuvutika ndi zilonda zam'mimba, anthu omwe ali ndi vuto la kuchepa kwa mapuloteni.

Matendawa amaphatikizidwa ndi zochitika zitatu zazikulu: matenda a shuga, kupweteka komanso kuphwanya kugaya chakudya thirakiti. Makamaka komanso pathogenetically, matendawa atha kufotokozedwa motere:

Choyamba, pali kusinthana kwa njira za kuchulukitsa ndi kuchotsedwa kwa matendawa. Pankhaniyi, kupweteka kumachitika ndi ululu wamphamvu kapena kutulutsa kwina. Nthawi imatenga zaka 10.
Dyspeptic phenomenena atulukirepo: kutsegula m'mimba, kutentha kwa mtima, kuchepa kwa chilimbikitso ndi kusangalala. Posakhalitsa ma epogode a hypoglycemic nawonso amalumikizana (kagayidwe kazakudya kamene kamayambitsa matenda). Hypoglycemia imachitika chifukwa cha ma spikes omwe ali m'magazi a insulin m'magazi chifukwa cholimbikitsidwa ndi maselo a beta mwa michere yamphamvu ya pancreatic.
Mukamayambitsa kupweteka kwa kapamba, maselo ndi minyewa zimapitilirabe, ndipo kusokonekera kwa glucose kumayamba. Pamenepo, shuga osala kudya ali ndi malire, koma mukatha kudya kapena kuyesedwa kwa glucose ndi apamwamba kuposa masiku onse.
Hyperglycemia ikachuluka, ndipo kuwonongeka kwa kagayidwe kazakudya kamene kamafika pachimake, matenda a shuga amakula. Matenda a shuga amapanga kuwonekera kwake kwa odwala 30 omwe ali ndi pancreatitis yotalika, yomwe nthawi zambiri imakhala yachilendo kuposa matenda ashuga omwe amayambitsidwa ndi zifukwa zina.

Pancreatogenic shuga mellitus

Pancreatogenic shuga mellitus - endocrine matenda, amene amapezeka kumbuyo kwa maziko a zotupa zakumaso zosiyanasiyana zoyambira (nthawi zambiri kapamba). Amawonetsedwa ndi vuto la dyspeptic (kutentha kwa mtima, kutsegula m'mimba, kupweteka kwapafupipafupi mu epigastrium) ndi kukula kwapang'onopang'ono kwa hyperglycemia. Kuzindikira kumakhazikika pofufuza mbiri ya glycemic, zamankhwala amwazi za m'magazi, ma ultrasound, ndi MRI ya kapamba. Kuchiza kumaphatikiza kudya zakudya zamafuta ochepa komanso kudya “chakudya chambiri”, kugwiritsa ntchito mphamvu ya mankhwala oledzeretsa komanso kuchepetsa shuga, komanso kukana kumwa mowa ndi kusuta fodya. Pambuyo pakuchita opaleshoni yayikulu, mankhwala a insulin m'malo mwake amapatsidwa.

Zomwe zimayambitsa matenda a shuga a pancreatogenic

Matendawa amatuluka ndikuphwanya endocrine ndi exocrine ntchito za kapamba. Zotsatirazi zomwe zimapangitsa kuwonongeka kwa gululi ndi zida za gland zimasiyanitsidwa:

Kutupa kosalekeza kwa kapamba. Kuchulukana kwapafupipafupi kumapangitsa ngozi ya matenda ashuga. Kutupa kosafunikira kumayambitsa kuwonongeka pang'onopang'ono komanso kufooka kwa zisumbu za Langerhans.
Opaleshoni yamapamba. Zomwe zimachitika chifukwa cha matenda a postoperative amasiyana kuchokera 10% mpaka 50% kutengera kuchuluka kwa maopareshoni. Nthawi zambiri, matendawa amakula pambuyo pancreatectomy, pancreatoduodenal resection, kotenga nthawi ya pancreatojejunostomy, resection ya caudal gawo la kapamba.
Matenda ena a kapamba. Khansa yapancreatic, pancreatic necrosis imayambitsa kuphwanya kwa endocrine ntchito ndikupanga hyperglycemia wolimbikira.

Pali zinthu zowopsa zomwe zimayambitsa matenda a shuga a pancreatogenic kwa odwala omwe ali ndi vuto la kulephera. Izi zikuphatikiza:

Mowa. Kukhazikika kwa zakumwa zoledzeretsa kangapo kumawonjezera chiopsezo cha kapamba ka zakumwa zoledzeretsa pokhazikika kwa hyperglycemia wosakhalitsa.
Kuperewera kwa zakudya m'thupi. Kugwiritsa ntchito kwambiri zakudya zamafuta, zopatsa mphamvu mosavuta kumathandizira kuti thupi likhale ndi kunenepa kwambiri, hyperlipidemia ndi kulolerana kwa glucose (prediabetes).
Kugwiritsa ntchito mankhwala kwakanthawi (corticosteroids) nthawi zambiri kumayendera limodzi ndi kupezeka kwa hyperglycemia.

Ntchito ya endocrine ya kapamba ndikutulutsa kwa insulin ndi glucagon m'magazi. Ma Horoni amapangidwa ndi zisumbu za Langerhans zomwe zimakhala mchira wake. Kukhalitsa kwakunja kwakanthawi (mowa, mankhwala), kufalikira kwamphamvu kwa kapamba, kuchitidwa opaleshoni ya gland kumayambitsa matenda a insulin. Kupita patsogolo kwa kutupa kosatha kwa chithaphwi kumayambitsa chiwonongeko ndi chifuwa cha zida zam'mapapo. Panthawi yotupa, pancreatic edema imapangidwa, zomwe zimachitika mu trypsin m'magazi zimachulukana, zomwe zimapangitsa kuti insulin itulutsidwe. Zotsatira za kuwonongeka kwa zida za endocrine za gland, zomwe zimapangika pang'onopang'ono komanso kenako hyperglycemia imachitika, matenda a shuga amapangidwa.

Zizindikiro za pancreatogenicabetes mellitus

Pathology nthawi zambiri imapezeka mwa anthu omwe ali ndi thupi loonda kapena lozolimbitsa thupi lomwe limapangitsa kuchuluka kwamanjenje. Kuwonongeka kwa kapamba kumayendetsedwa ndi zizindikiro za dyspeptic (kutsegula m'mimba, nseru, kutentha pa chifuwa, kugonthana). Zomverera zowawa panthawi yowonjezera ya kutupa kwa glandular zimatchulidwira kumalo a epigastric ndipo zimakhala zosiyanasiyana. Mapangidwe a hyperglycemia aakulu kapamba amayamba pang'onopang'ono, pafupifupi patatha zaka 5-7. Pamene nthawi yodwala komanso pafupipafupi imachulukirachulukira, chiwopsezo cha matenda a shuga chikuwonjezeka. Matenda a shuga amathanso kuwonekera pakuwonekera kwa pancreatitis yovuta kwambiri. Postoperative hyperglycemia imapangidwa nthawi imodzi ndipo imafuna kukonza ndi insulin.

Matenda a shuga a pancreatogenic ndiwofatsa komanso kuwonjezeka kwamphamvu kwa shuga wamagazi ndi kupumira pafupipafupi kwa hypoglycemia. Odwala amasinthidwa mokwanira ndi hyperglycemia mpaka 11 mmol / L. Kuwonjezeka kwinanso kwa shuga m'magazi kumayambitsa matenda a shuga (ludzu, polyuria, khungu louma). Matenda a shuga a Pancreatogenic amayankha bwino akalandira chithandizo chamankhwala othandizira odwala komanso amachepetsa shuga. Njira ya matendawa imayendera limodzi ndi matenda opatsirana komanso khungu.

Mavuto

Odwala omwe ali ndi matenda a shuga a mtundu wachitatu, ketoacidosis ndi ketonuria sizichitika kawirikawiri. Odwala omwe ali ndi matenda a shuga a pancreatogenic amadziwika ndi kupweteka kwakanthawi kwa hypoglycemia, komwe kumayendetsedwa ndi kumverera kwanjala, thukuta lozizira, kutsekeka kwa khungu, kusangalala kwakukulu, kugwedezeka. Kutsika kwina kwa shuga m'magazi kumapangitsa kutsika kapena kusazindikira, kukula kwa khunyu ndi kuperewera kwa hypoglycemic. Ndi nthawi yayitali ya pancreatogenic matenda a shuga, zovuta zamagulu ena a ziwalo ndi ziwalo zam'mimba.

Zizindikiro

Kuzindikira matenda a shuga a pancreatogenic ndi kovuta. Ichi ndichifukwa chosakhalapo kwa nthawi yayitali ngati zizindikiro za matenda ashuga, kuvuta kovomereza matenda a kapamba. Ndi chitukuko cha matendawa, zizindikiro za kuwonongeka kwa kapamba nthawi zambiri zimanyalanyazidwa, kumangofotokozera chithandizo chokhacho cha hypoglycemic. Matenda a carbohydrate kagayidwe kachakudya amachitika m'malo otsatirawa:

Kufunsira kwa endocrinologist. Udindo wofunikira umachitika pofufuza mozama mbiri yamatendawa komanso chiyanjano cha anthu odwala matenda ashuga kapamba, ntchito pa kapamba, uchidakwa, mavuto a kagayidwe kachakudya, komanso kugwiritsa ntchito mankhwala a steroid.
Kuwunika kwa glycemia. Zimaphatikizapo kudziwa kuchuluka kwa shuga pamimba yopanda kanthu komanso maola awiri atatha kudya. Ndi matenda a shuga a 3, kuchuluka kwa glucose kosala kumakhala mkati mwa malire, ndipo mukatha kudya kumakwezedwa.
Kuwunika kwa pancreatic ntchito. Amachitika pogwiritsa ntchito biochemical kusanthula ntchito ya diastase, amylase, trypsin ndi lipase m'magazi. Zambiri za OAM ndizodziwika: mu shuga wa pancreatogenic, kuchuluka kwa glucose ndi acetone mumkodzo nthawi zambiri kulibe.
Malingaliro opanga zida. Ultrasound yam'mimba, pancreatic MRI imakupatsani mwayi kuti mufufuze kukula, echogenicity, kapangidwe ka kapamba, kukhalapo kwa mawonekedwe ena ndi ma inclusions.

Mu endocrinology, kusiyanitsa matenda kumachitika ndi mtundu 1 ndi matenda ashuga 2. Matenda a shuga amtundu 1 amadziwika ndi kuyamba kwakuthwa komanso koopsa kwa matenda adakali aang'ono komanso zizindikiro zazikulu za hyperglycemia. Pakuwunika magazi, ma antibodies opita ku cell ya pancreatic beta amapezeka. Zosiyanitsa za mtundu wa matenda ashuga a 2 zidzakhala kunenepa kwambiri, kukana insulini, kupezeka kwa C-peptide m'magazi komanso kusowa kwa kukokana kwa hypoglycemic. Kukula kwa mitundu iwiri yonseyi ya shuga sikumayenderana ndi matenda opatsirana a kapamba, komanso kulowererapo kwa chiwalo.

Pancreatogenic shuga mellitus chithandizo

Zotsatira zabwino, ndikofunikira kuchitira limodzi mankhwala othandizira a kapamba ndi matenda ashuga. Iyenera kusiya kusiya kumwa zakumwa zoledzeretsa ndi fodya, kusintha kadyedwe ndi moyo wanu. Chithandizo chophatikizika chili ndi malangizo awa:

Zakudya. Zakudya za matenda a shuga a pancreatogenic zimaphatikizapo kukonza kwa kuchepa kwa mapuloteni, hypovitaminosis, kusokonezeka kwa electrolyte. Odwala amalangizidwa kuti achepetse zakudya zamafuta "othamanga" (mafuta a batala, mkate, maswiti, makeke), okazinga, zokometsera komanso zakudya zamafuta. Chakudya chachikulu chimakhala ndi mapuloteni (mitundu yamafuta ochepa yamafuta ndi nsomba), zakudya zovuta (zomanga), masamba. Chakudya chimayenera kuthandizidwa m'magawo ang'onoang'ono 5-6 patsiku. Ndikulimbikitsidwa kupatula maapulo atsopano, nyemba, msuzi wa nyama, sosi ndi mayonesi.
Kubwezera kuchepera kwa pancreatic enzyme. Mankhwala okhala ndi michere ya amylase, proteinase, lipase pamitundu yosiyanasiyana imagwiritsidwa ntchito. Mankhwala osokoneza bongo amathandizira kukhazikitsa njira yogaya, amachepetsa kuchepa kwa mphamvu ya protein.
Kumwa mankhwala ochepetsa shuga. Kuthetsa kagayidwe kazakudya, zotsatira zabwino zimaperekedwa mwa kuperekedwa kwa mankhwala ozikidwa pa sulfonylurea.
Postoperative m'malo mankhwala. Pambuyo pa kuchitapo kanthu kwa opaleshoni ya kapamba ndi mchira wa England, kutulutsa kwa insulin kumawonetsedwa kuti sikumatha magawo 30 patsiku. Mlingo wama glucose olimbikitsidwa satsika kuposa 4.5 mmol / l chifukwa choopsa cha hypoglycemia. Ndi kukhazikika kwa glycemia ayenera kusinthana poika pakamwa hypoglycemic mankhwala.
Autotransplantation ya maselo ofanana. Imachitika m'malo apadera azachipatala a endocrinological. Kutsatira kwachipambano, odwala amapita pancreatotomy kapena pancreatectomy.

Zotsogola ndi kupewa

Ndi zovuta mankhwala a pancreatic kuwonongeka ndi kukonza kwa hyperglycemia, zakutsogolo kwa matendawo ndi zabwino. Nthawi zambiri, ndizotheka kukwaniritsa zomwe wodwala amakhala nazo komanso zomwe zimapangitsa kuti shuga akhale wathanzi. M'matenda akulu a oncological, opaleshoni yayikulu paminyewa, matendawo amadzadalira kulowererapo ndi nthawi yokonzanso. Njira yamatendawa imakulitsidwa ndi kunenepa kwambiri, kuledzera, kugwiritsa ntchito mafuta osaneneka, zakudya zotsekemera komanso zonunkhira. Pofuna kupewa matenda a shuga a pancreatogenic, muyenera kukhala ndi moyo wathanzi, kusiya mowa, pamaso pa kapamba, kumayesedwa ndi katswiri wa gastroenterologist.