Lipodystrophy (kuchepa kwamafuta) Kodi ndimtundu wa pathological, womwe nthawi zambiri umadziwika ndi matenda a adipose minofu. Pali mitundu iwiri yayikulu ya lipodystrophy: atrophy ndi hypertrophy. Ndi lipoatrophy, kupangika kwa minofu ya adipose ndikosatheka pamutu ngakhale pakalibe zochitika zolimbitsa thupi, masewera olimbitsa thupi, komanso kudya kwambiri mafuta (makeke amkaka kapena makeke, nyama yamafuta, zakudya zamafuta kwambiri, mafuta amafuta ndi zina zotere) kupanga mafuta osakanikirana (mowa, mitundu ina ya zakumwa zoledzeretsa, zakumwa zojambulidwa ndi mpweya, etc.). Kusiyanitsa kwakukulu pakati pa lipodystrophy ndi dystrophy ndikuti mutuwu sukusowa chifukwa cha kuchepa kwa minofu ndi zinthu zina zokhala ndi dystrophics, minofu ya adipose yokha imakhalapo, pomwe minofu yambiri imakhalabe yabwinobwino kapenanso kuwonjezeka, komwe kumakhudza bwino thupi.

Kodi lipodystrophy ndi chiyani? Kodi zimayambitsa kupezeka kwake ndi mitundu yanji yomwe ilipo?

Mankhwala a insulin, ngakhale atachitidwa molingana ndi malingaliro azachipatala, ali ndi zovuta zambiri zosatsimikizika (onani nkhani yokhudza insulini regimens).

Popeza vuto lililonse la matenda ashuga limangokhala munthu payekhapayekha (monga momwe amachitira ena ma endocrinologists ena, pali mitundu yambiri ya matenda amtundu wa shuga monga odwala omwewo), zomwe zimachitika pakuwonjezera kwa mahomoni a insulini m'thupi sianthupi. Chimodzi mwazotsatira zoyipa za insulin.

Onani zomwe anomatic iyi ndi yotani, momwe imawonekera, momwe ingathetsedwere, ndi njira zomwe zikuyenera kuchitidwa kuti muchepetse kukula kwa lipodystrophy.

Kodi lipodystrophy (zambiri)

Mwa njira yayitali ya mawu akuti lipodystrophy ndi chodabwitsa cha kukhalapo kwa minofu ya adipose m'thupi.
Nthawi zina, kuwonjezeka kwa minofu ya adipose kwa munthu amene akudwala matendawa nkosatheka ngakhale atasintha mtundu wazakudya (kuwonjezera zakudya zamafuta, "zopatsa mphamvu" zopatsa mphamvu ku zakudya).

Kusiyanitsa kwakukulu pakati pa lipodystrophy ndi classical dystrophy: ndi kuchepa kwamafuta, minofu ya minofu ndi zizindikiro zina zofoola thupi sizimachepetsedwa. Nthawi zambiri pamakhala zotsutsana - minofu yambiri (yokhala ndi chakudya choyenera ndi masewera olimbitsa thupi) ikukula, yomwe imakhala ndi phindu pa chithunzi.

Lipodystrophy mu shuga imayamba chifukwa cha jakisoni wa insulin. Anomaly nthawi zambiri amakhala mderalo ndipo amapezeka kokha m'malo omwe amapezeka jekeseni wothandizirana. Atrophy ya adipose minofu nthawi zambiri amapezeka mwa akazi ndi ana.

Pali njira yosinthira: hypertrophy adipose minofu - mapangidwe a mafuta owonda (lipoma) pamalo a jakisoni wa insulin. Kwakukulu, lipodystrophy yokhala ndi insulin mankhwala imawonedwa mwa magawo anayi mwa odwala onse omwe amapatsidwa mahomoni olowa. Potere, mankhwalawa amadziwonetsera okha popanda kugwirizana ndi Mlingo ndi mtundu wa mankhwala omwe amaperekedwa. Zisakhudze kukhalapo kwa lipodystrophy ndi kuopsa kwa matenda, komanso kuchuluka kwa chipukutiro.

Bweretsani ku nkhani

Mitundu, zizindikiro ndi zotheka za lipodystrophy

Kwakukulukulu, milomo yocheperako komanso yofatsa yomwe ilibe vuto lalikulu ku thanzi: ili ndi vuto lochita zodzikongoletsera. Komabe, nthawi zina zimakhudza malingaliro a odwala, makamaka azimayi.

Mantha amayamba chifukwa cha zilonda zam'mimba kwambiri m'magawo osiyanasiyana a thupi, ndipo makamaka, panalibe jakisoni wa insulin. Kwambiri, lipodystrophy imadziwika ndi kusowa mafuta kwathunthu pakhungu. Patsamba la lipoatrophy, pamakhala kuipiraipira kwa vascularization (mkhalidwe wa mtima wam'mimba), womwe umapangitsa kuphatikizira kwa insulin. Izi, zimalepheretsa kubwezeretsa matendawa ndikulepheretsa kuwerengera kwa nthawi ya kukonzekera kwa insulin. Zochitika zotsirizazi ndizowona makamaka kwa mankhwala omwe ali ndi mphamvu yayitali.

Kuwonongeka kwamafuta kumayamba munthawi zosiyanasiyana za mankhwala a insulin - kuyambira mwezi umodzi mpaka zaka zingapo. Kukula kwake kumasiyanasiyana kuchokera ku fossa yaying'ono yomwe imalowa m'malojekesheni mpaka kufika pakalibe mafuta osunthika a malo ambiri. Jakisoni amakhala wowawa kwambiri, zomwe ndizovuta kawiri kwa odwala.

Ponena za hypertrophy (kuchuluka kwa mawonekedwe) a zotupa za adipose mu zigawo za jakisoni, kusinthaku kumakhudzanso kudana ndi kulowa kwa zinthu zomwe zimagwiritsa ntchito mankhwala a insulin m'mitsempha yamagazi. Kuphatikiza apo, lipomas (adipose) ndi chilema chooneka bwino.

Milandu yokhudzana ndi kukula kwa lipodystrophy popanda jakisoni wa insulin amadziwika: zinthu zotere zimabuka motsutsana ndi maziko a cholowa cha metabolism. Lipodystrophy yopanda jakisoni imatha kukhala chifukwa cha kukana insulini ndipo nthawi zambiri imaphatikizidwa ndi kupezeka kwa metabolic syndrome. Matendawa amakhala ndi kuphwanya kwa lipid komanso carbohydrate metabolism.

Diabetes: malangizo ogwiritsira ntchito. Kapangidwe kake ndi zotsatira zakepi

Zoyambira yoga pa mankhwalawa matenda a shuga. Nanga ndi chiyani chomwe chingathandize odwala matenda ashuga? Werengani zambiri //saydiabetu.netjipmetody-i-sposoby-lecheniya/netradicionnaya-medicina/joga/

Kodi matenda a shuga a impso ndi chiyani? Werengani zambiri mu nkhaniyi.

Bweretsani ku nkhani

Zimayambitsa lipodystrophy

Chomwe chimayambitsa matenda osokoneza bongo a adipose minofu ndi mankhwala a insulin. Komabe, mapangidwe a pathogenis komanso omwe amapezeka a lipodystrophy kwa odwala omwe ali ndi matenda osokoneza bongo samadziwika bwino ndi mankhwala. Amakhulupirira kuti chitukuko cha pathological zimachitika chifukwa cha acidic malo okonzekera insulin.

Zoyambitsa zina zomwe zingayambitse komanso zolimbikitsa za lipodystrophy:

• Makonzedwe olakwika a insulin (njira yolakwika ya jekeseni yomwe imatsogolera kuzunzika),
• Kutsitsa kutentha kwa mankhwala,
• Minofu kuvulala m'malo jakisoni insulin,
• Zochita za insulin monga chinthu chomwe chimapangitsanso lipolysis,
• Osakwanira mayankho chitetezo.

Ofufuza ambiri a matendawa amakhulupirira kuti kuwonongeka kwa mafuta m'thupi la wodwala yemwe ali ndi jakisoni wa jakisoni wambiri chifukwa cha njira yoteteza thupi. Thupi laumunthu limawona kuti jekeseniyo ndiwopseza thanzi lake ndipo m'njira inayake imayankha jakisoni.

Pali malingaliro akuti zotsatira za mahomoni "achilendo" pamthupi zimawonetsedwa mu "kubwezeretsanso" kwa ma metabolic metabolism. Zotsatira zake, njira za metabolic zimayamba kuchitika m'njira zopanda pake - makamaka, metabolism yamafuta imasokonekera: minofu ya lipoid imayamba kusandulika mphamvu.

Posachedwa, malingaliro awonjezereka afotokozedwa za ntchito yakuperewera kwa insulin. Izi zimawerengedwa kuti ndizomwe zimayambitsa kwambiri lipodystrophy. Pankhaniyi, insulin imagwira ntchito ngati antigen yomwe imagwiritsa ntchito chitetezo cha mthupi, nthawi yomweyo imawononga zigawo za mafuta.

Katundu wotchuka kwambiri wa antigenic amadziwika kuti amakonzekera insulin yomwe imapezeka kuchokera ku ng'ombe. Pachifukwa ichi, odwala omwe amakonda lipodystrophy ali osavomerezeka kuti azigwiritsa ntchito mankhwala ochepetsa kuyera. Makonda ndi insulin yaumunthu.

Ndi mavitamini otani osungunuka? Kodi ntchito zawo zazikulu ndi mfundo yanthawi yowonekera ndi chiyani?

Kodi chifukwa chiyani kuyendetsa magazi kumakhala kofunikira mu shuga? Werengani //saydiabetu.netjipkontrol-diabeta/kontrol-serdca-i-sosudov/kontrol-davleniya/

Pukusani ndi shuga. Pazifukwa ndi njira zamankhwala, werengani nkhaniyi.

Bweretsani ku nkhani

Chithandizo cha Mankhwala ndi Kupewa

Chithandizo cha matenda a matenda a m'mitsempha cholinga chake ndi kuchepetsa kapena kuthetseratu zinthu zomwe zimapangitsa kuti mafuta azichoka. Pofuna kupewa makina, kutentha ndi kukwiya kwa mankhwala, njira yolondola ya insulin iyenera kutsatiridwa mosamalitsa.

Sichikhala chopanda pake kukumbukira kuti:

• Insulin iyenera kugwiritsidwa ntchito pokhapokha kutentha, komanso kutentha kwa thupi (koletsedwa kugwiritsa ntchito mankhwalawo mwachangu mufiriji),
• Ndikofunikira kuti musinthe njira yoperekera mankhwala - jakisoni pamalo omwewo simunachitikenso masiku 60 aliwonse (dokotala adzakuwuzani mwatsatanetsatane za kutembenuka koyenera kwa jakisoni wa insulin),
• Jakisoni amapangidwa ndi jakisoni wa pulasitiki wotayika (ndi singano zopyapyala) kapena zolembera, womwe umachepetsa mwayi wovulala minofu.
• Kuchepetsa tsamba la jakisoni pambuyo poti jekeseni sakusokoneza.
• Ngati kupukuta khungu ndi njira yothanirana ndi jekeseni musanayambe jekeseni (zomwe sizimagwiritsidwa ntchito masiku ano), muyenera kuyembekezera nthawi zonse mpaka mowa utayamba kufalikira kuchokera pakhungu.

Madokotala ena amalimbikitsa kugwiritsa ntchito mapampu a insulin, omwe amachepetsa mwayi wokhala ndi jakisoni wina pambuyo pobayidwa. Ofufuza ena a lipodystrophy akuti akamagwiritsa ntchito munthu kapena porcine monocomponent insulin (osachita nawo ph ph), ndiye kuti palibe milandu yamafuta ofooka.

Ngati lipodystrophy yoopsa ilipo kale, musanathetse zotsatirapo zake, ndikofunikira kupenda zomwe zidapangitsa kuti matenda amenewa afalikire. Poyamba, kuyika kwa mankhwala a mahomoni kumadera omwe adipose minofu ya atipor imayenera kutsimikiziratu. Mwa ena, kuyambitsa insulin kumathandiza ndi mankhwala a Novocaine.

Kuthetsa zotsatira za lipodystrophy, njira zotsatirazi zitha kuperekedwa:

• Electrophoresis ya madera omwe akhudzidwa (makonzedwe a Novocaine kapena Lidase mwa kukondoweza kwa magetsi),
• Ntchito za parafini pamadera omwe akhudzidwa,
• Inductometry ndi njira yolimbitsa thupi yochokera pakukonzekera mphamvu yayitali yamagetsi,
• Kusintha kukonzekera kwa insulini (kuphatikiza kutikita minofu pamalo a jekeseni),
• Ultrasound mankhwala - ultrasound imakwiyitsa makina ogwiririka mu minofu yakuya kwambiri, yomwe imathandizira kuyendetsa magazi ndi kagayidwe: zotsatira za ultrasound zimaphatikizidwa ndi chithandizo cha omwe akhudzidwa ndi mafuta a hydrocortisone,
• Kukhazikitsidwa kwa mankhwala a mahomoni a gulu la anabolic kuti mulimbikitse kupangika kwamafuta.

Chithandizo chabwino kwambiri chazachipatala chimapezeka ngati njira zingapo zamankhwala zimaphatikizidwa - electrostimulation, kukhudzana ndi mankhwala, kutikita minofu (zida zam'manja kapena zolemba zamanja) Kuphatikiza kwa inductometry ndi phonophoresis kumagwiritsidwanso ntchito. Mulimonsemo mwangozi ya lipodystrophy ndi munthu payekha, chifukwa chake njira zamankhwala zochizira zimapangidwa ndi adotolo pamaziko a chithunzi chomwe apezeka pano. Kuyesa kwodziyimira kwa odwala kuti athetse mafuta a atrophy nthawi zambiri sikuti kumabweretsa zotsatira zabwino, ndipo nthawi zina zitha kukulitsa vutoli.

Lingaliro la Cellulite

Vutoli limakonda kuvutitsa akazi. Mthupi la amayi, makonzedwe apadera a adipose minofu sizofanana ndi amuna, chifukwa chake atsikana amadwala cellulite.

Choyambitsa chachikulu cha kusokonekera kwamafuta kagayidwe kachakudya ka ma mahomoni ogonana - estrogens, omwe ali ochepa mthupi la amuna. Gynoid lipodystrophy, kapena cellulitis, imawonetsedwa ndikusintha kwa mafuta ochulukirapo, zomwe zimayambitsa kuphwanya kwa kutuluka kwa zamitsempha.

Mu minofu ya adipose, kusayenda kumayamba, komwe kumatha kutsogola kwake. Kuzindikira cellulite ndikosavuta mokwanira. Ndikofunikira kufinya khungu pa ntchafu kapena gawo lina la thupi ndi zala zanu. Ngati pali zosagwirizana ndi ma tubercles, omwe amatchuka kuti "lalanje la lalanje", ndiye kuti gynoid lipodystrophy ikuwonekera.

Malinga ndi ziwerengero, azimayi opitilira 90% amakumana ndi vutoli, mwa amuna ambiri chiwerengerochi chimatsika kwambiri - 2% yokha.

Kunenepa kwambiri kapena cellulite?

Ena amakhulupirira kuti cellulite imatha kuwoneka mwa anthu onenepa kwambiri, koma vutoli lilibe kanthu kochita ndi kunenepa kwambiri. Ngati munthu ali ndi kuwonjezeka kwa thupi, ndiye kuti maselo amafuta amangodziunjikira, ndipo ndi cellulite, kuchuluka kwa magazi m'matumbo am'mimba kumachepa, kukoka kwamitsempha kumachepa, ndipo kamvekedwe ka khungu kumafooka.

Cellulite nthawi zonse imakhala yofanana kwa aliyense, ndipo njira yodzikundikira mafuta imachitika mosiyanasiyana. Pali kunenepa kwambiri kwa gynoid ndi android, komanso mtundu wake wosakanikirana.

1. Kunenepa kwambiri kwa Android (kapena kumatchedwanso zamtundu wamphongo) kumadziwika ndi kudziunjikira kwa kuchuluka kwa madipoziti m'thupi. Mtunduwu ndi wowopsa chifukwa mafuta amadziunjikira ziwalo zamkati, zomwe zimatha kusokoneza ntchito yawo.
2. Kunenepa kwambiri kwa Gynoid kumachitika kwambiri mwa akazi. Ndalama zimadziunjikira m'chiuno, matako, komanso m'mimba. Makonzedwe amaselo amafuta sakhala oopsa, ngati kuchuluka kwamakilogalamu ambiri sikufika pamlingo wovuta, ndiye kuti izi sizingasokoneze ntchito ya ziwalo zamkati.
3. Mtundu wosakanikirana umadziwika ndi kufalikira kofanana kwamayendedwe mafuta pamthupi.

Kuphatikiza pa kapangidwe ka minofu ya adipose, palinso kusiyana kwakukulu pakati pa cellulite ndi kulemera kwakukulu, zomwe, zoyambirira, ndizomwe zimayambitsa mawonekedwe awo.

Zomwe cellulite zimachitikira

Poona kuchuluka kwa azimayi omwe akudwala matendawa, titha kunena kuti pali zifukwa zambiri zomwe zimachitikira. Nawa ochepa mwa iwo:

• zosokoneza mu endocrine system,
• matenda amchifuwa,
• Zina mwa michere ya protein,
• kusadya bwino,
• Kusokoneza njira ya kaphatikizidwe, kuwonongeka ndi kugwiritsa ntchito minofu ya adipose,
• kusowa zolimbitsa thupi
• kupezeka kwa zizolowezi zoipa (makamaka nthawi zambiri vutoli limachitika ngati mayi amasuta).

Mndandandawu ukhoza kupitilizidwa kwanthawi yayitali, koma chinthu chimodzi chokha ndichachidziwikire: pafupifupi mayi aliyense amatha kuyendera gynoid lipodystrophy, pali zifukwa zonse zomwe zimayambitsa matendawa.

Zoyambitsa

Kuphatikiza pazifukwa zomwe tafotokozazi, pali zinthu zina zomwe sizingakhale zomwe zimayambitsa cellulite, koma ndizotheka kuyambitsa chitukuko. Mutha kusankha awa:

• cholowa, ndiye kuti, mawonekedwe a adipose minofu omwe amaikidwa pamtundu wa majini,
• madzi ochepa mthupi,
• osagwirizana ndi zakudya,
• kusiya mankhwala osokoneza bongo kuti muchepetse thupi,
• Zakudya zokhwima (panthawi yakupanikizika kotero, thupi limayamba kutembenuza pafupifupi michere yonse kukhala mafuta),
• zovuta zokhazikika, ndipo zochuluka za izo m'miyoyo yathu.

Zinthu zonsezi, limodzi ndi zomwe zimayambitsa, zimayambitsa kusokonezeka kwa ma microcirculation m'malo amenewo momwe kuchuluka kwa maselo amafuta ndikokulira. Pang'onopang'ono izi zimapangitsa kufa kwa milomo yina, yomwe imayamba m'malo mwake ndi minofu yolumikizana. Ndiye mayi yemwe amachititsa kuti pakhale ma tubercles komanso osakhazikika pakhungu.

Magawo a chitukuko cha gynoid lipodystrophy

Kuti muthane ndi vutoli, ndikofunikira kuphunzira magawo a kukula kwa matendawo. Pali anayi okha aiwo.

1. Pa gawo loyamba, kusintha pakhungu ndi kosawoneka bwino: kumakhalabe kosalala komanso kopanda ma tubercles. Ngati mzimayi amadziyang'ana yekha, atha kuzindikira kuti mafuta ambiri ali m'chiuno ndi pamimba.Chomwe chimapangitsa izi ndi kutupa kwa adipose minofu.
2. Gawo lachiwiri likuwonekera ndi kupezeka kwa ma tubercles osawoneka popanda kukakamizidwa. Ngati mungayesere malowa, mutha kuzindikira zisindikizo, ndipo nthawi zina ngakhale kuphwanya kumvetsetsa komwe kumakwaniritsidwa.
3. Gynoid lipodystrophy mu gawo lachitatu limadziwika ndi kukhalapo kwa "lalanje la lalanje", lomwe limatha kupezeka popanda zovuta. Khungu limakhala losasinthika komanso losagwirizana ndi kukhudza. Zimamva kuwawa ndi kuwonongeka kwa kusintha kwa kutentha kumachepetsedwa.
4. Gawo lachinayi ndi lalikulu kwambiri. Khungu limayamba kupeza mtundu wamtambo wabuluu, kukhudza kwake kumazizira komanso kulimba. Mu cellulite zone, ngakhale zowawa zina zimawonedwa.

Chithandizo chake chimaganizira magawo a kukula kwa matendawo. Munthawi zonsezi, njira zawo zimasankhidwa.

Cellulite mankhwala

Ngati mukumenyana ndi cellulite, ndiye kuti muyenera kukumbukira kuti palibe mankhwala amatsenga ngati amenewo omwe angakupulumutseni ku vuto ili m'masabata angapo. Njira yokhayo yophatikizidwa komanso kuchitidwa pafupipafupi yomwe ingapereke zotsatira zabwino, kenako godyoid lipodystrophy idzachira. Chithandizo cha matendawa chimakhala ndi zotsatirazi:

• imathandizira kuwonongeka kwa maselo amafuta,
• Chotsani chotupa
• limbitsa makoma a mtima
• chepetsa ntchito ya fibroblast,
• yambitsa minofu ntchito
• mubweretse khungu.

Kuthetsa mavutowa, mankhwala ali ndi njira zambiri zochiritsira.

Njira zolimbana ndi gynoid lipodystrophy

Pali njira zambiri zochitira cellulite, mwa izi ndi izi:

• kutikita minofu
• kukulunga
• kugwedezeka kwamagetsi
• ultrasound
• mesotherapy
• mankhwala ozoni
• carboxytherapy
• chidwi changa.

Kumbukirani kuti kugwiritsa ntchito njirazi ndizokhazo zomwe zimatha kuthana ndi cellulite.

Njira zazikulu zochizira gynoid lipodystrophy ndi kutikita minofu. Pali mitundu ingapo.

1. Anti-cellulite. Panthawi ya njirayi, sikuti minofu ya adipose yokha imasinthidwa, komanso minofu. Izi zimayambitsa kukoka kwa mitsempha ya m'mimba.
2. Kutikita minofu Iyamba Kuthamanga Kuchepetsa kwa poizoni, bwino microcirculation, imayendetsa lipolysis.
3. Kutikita minofu ya LPG Kuphatikiza pa mawonekedwe omwe ali pamwambapa, amathandizanso kupanga collagen ndi elastin, kotero mawonekedwe a khungu amakhala bwino.

Zochizira zowonjezera

Gynoid lipodystrophy imayankhanso njira zina zamankhwala, ndipo ngati zimaphatikizidwa ndi kutikita minofu, zotsatira zake zimachitika mwachangu kwambiri.

1. Kugwiritsa ntchito ultrasound kumakuthandizani kuti muchepetse mafuta osakanikirana, kumawonjezera kutuluka kwa zamitsempha, zimathandizira kuchotsa kwa poizoni.
2. Mesotherapy imatengera kukhazikitsidwa kwa mankhwala kumadera ovuta omwe amachititsa kuti lipolysis ikhale yogwira ntchito, kukonza ma microcirculation. Ubwino wa njira yothandizira mankhwalawa ndi chilengedwe cumulative, chomwe nthawi zambiri chimawonjezera mphamvu ya mankhwalawa.
3. Chithandizo cha Ozone ndichabwino ngati njira yabwino yosamalirira khungu. Ndondomeko amachepetsa owonjezera mafuta maselo, bwino kagayidwe.
4. Jakisoni wa kaboni dayokisai amayambitsa hypercapnia, mitsempha ya magazi imangokhala yankho, kuyenderera kwa magazi kumayenda bwino, maselo obwezeretsanso kuchuluka, ndipo kaphatikizidwe ka collagen ndi elastin kamakhudzidwa.
5. Kugwiritsa ntchito magetsi kumalimbikitsa ntchito ya minofu, yomwe poyankha imakongoletsa kuyambika. Chothandiza mmalo mwa njirayi ndi masewera olimbitsa thupi.
6. Pakakulungidwa, minofu imadzaza ndi michere yothandiza. Pazopanga zotentha gwiritsani ntchito Tingafinye wa tsabola kapena mpiru, chifukwa cha kuzizira - matope achire.

Cellulite (gynoid lipodystrophy) imakhala yothandiza kwambiri ngati mugwiritse ntchito zovuta, ndikuwunikiranso zakudya zanu, chizolowezi chatsiku ndi tsiku ndikuchotsa zizolowezi zoyipa.

Cellulite prophylaxis

Matenda aliwonse amakhala ovuta kwambiri kupewa kuposa pamenepo kufunafuna njira ndi njira zochotsera. Gynoid lipodystrophy ndiowona makamaka. Otsatirawa atha kulimbikitsidwa ngati othandizira abwino a prophylactic:

• khalani ndi moyo wathanzi
• yang'anirani zakudya zanu
• lekani zizolowezi zoyipa,
• samalirani madzi pamlingo wofunikira,
• gwiritsani ntchito mafuta othana ndi cellulite kuphatikiza kutikita minofu ndi kusenda,
• Chitani masewera olimbitsa thupi pafupipafupi kapena osuntha kwambiri
• pewani zovuta.

Pali zifukwa zambiri zothandizira kuti gynoid lipodystrophy iwoneke, zinthu zowononga zachilengedwe zimangokulitsa zinthu. Vutoli limakula mkati mwa thupi, ndiye kuti palibe mafuta amatsenga, mafuta ndi ma gels omwe angathe kuthana nawo okha. Ndi kuchotsedwa kwa zoyambitsa zonse komanso zinthu zovulaza, komanso chithandizo chovuta, ndizotheka kuti chiyembekezo chikhale chosalala komanso chosafunikira.

Insulin lipodystrophy

• Congenital lipodystrophy:

1. Beradinelli-Seip Syndrome,
2. Banja lipodystrophy.

• Anapeza lipodystrophy:

1. Barraquer-Simons syndrome (omwe atenga pang'ono lipodystrophy),
2. Anapeza lipodystrophy yokhazikika,
3. (Lipodystrophia centrifugalis abdominalis infantilis),
4. Lipoatrophia annularis (Ferreira-Marques lipoatrophy),
5. Insulin lipodystrophy,
6. Lipodystrophies zogwirizana ndi HIV,
7. Ma lipodystrophies ena wamba.

Insulin lipodystrophy edit |Zomwe zimayambitsa matendawa

Pakadali pano, zifukwa zomwe zimapangidwira kuti lipodystrophy kapena lipoatrophy sizimamvetsetseka bwino, komabe, zifukwa zomwe zikuwonetseratu ndi zomwe zimayang'aniridwa:

njira zingapo zama metabolic zomwe kagayidwe kazinthu kena kamasokonekera,

Nthawi zambiri, kusowa kwamafuta m'mayendedwe odwala matenda ashuga kumayamba, komwe kumayamba chifukwa cha jakisoni wobwereza insulin. Zikatero, kuuma kwa matendawa kumasiyananso ndi kupsinjika pang'ono m'malo a jekeseni mpaka kupezeka kwamafuta m'dera linalake.

Monga zinthu zomwe zikudziwikiratu, ndi chizolowezi kuganizira izi:

• Mankhwala osokoneza bongo oyenera kupatsidwa mankhwala osokoneza bongo
• Kutentha kochepa kwa insulin
• kuvulala kwa minofu m'dera la jakisoni,
• mphamvu ya insulin ngati lipolysis yolimbitsa thupi,
• kusakwanira koyenera kwa chitetezo chathupi kumankhwala - ofufuza ambiri akutsimikiza kuti ndi chitetezo cha mthupi choteteza chomwe chimatsogolera ku minofu ya adipose. Zikatero, thupi limazindikira kuti jakisoniyo ndi wowopsa ndipo umakumana nacho m'njira inayake.

Nthawi zosowa kwambiri, lipodystrophy imatha kukhala ngati kubereka, komwe kumachitika komwe kumafotokozedwa ndikuphwanya kagayidwe ka adipose minofu chifukwa cha zovuta zamtundu komanso cholowa cha majini osinthika kuchokera kwa kholo limodzi.

Gulu la matenda

Kulekanitsidwa kwa matendawa kutengera kuchuluka kwa njira ya patological yogawa lipoatrophy ku:

• yotakata - ngati izi, kusowa kwa mafuta osunthika kumawonedwa m'malo ena okha a thupi,
• kusokoneza - yodziwika ndi kusowa kwathunthu kwa adipose minofu. Ngakhale munthu samawoneka wotopa, amafunika thandizo la kuchipatala.

Kusintha kwamafuta obadwa nako kumatha kupezeka m'njira zingapo:

• mtundu 1 lipodystrophy - chifukwa cha kusintha kwa mtundu wa AGPAT2, womwe uli pa chromosome 9,
• mtundu 2 lipodystrophy - ndi zotsatira za masinthidwe amtundu wa BSCL2 womwe uli pa chromosome 11,
• mtundu 3 lipodystrophy - wopangidwa kuzungulira kusinthika kwa CAV1, gene lomwe lili pa chromosome 7,
• mtundu 4 lipodystrophy - wochititsidwa ndi masinthidwe amtundu wa PTRF, omwe ndi gawo la chromosome 17.

Kuphatikiza apo, pali mitundu yotere yamatenda:

• gynoid lipodystrophy - munthawi zambiri, amapezeka mwa azimayi. Mtundu wofanana ndi womwe umadziwika kuti cellulite, popeza umayikidwa pamimba, matako ndi matako. Chodabwitsa ndichakuti m'malo ena, minofu yamafuta imatha kupezeka kwathunthu,
• hepatic lipodystrophy - njira yowonongeka imayamba motsutsana ndi maziko a matenda a chiwindi chamafuta, omwe amatchedwanso hepatosis, chifukwa ndi chiwalo ichi chomwe chikuyambitsa kuphwanya kwa lipids m'thupi,
• jakisoni lipodystrophy - nthawi yomweyo, atrophy ndi lipohypertrophy ya adipose minofu imapangidwa komwe jekeseni wa mankhwala wakhala akuchitika mobwerezabwereza,
• insulin kapena lipodystrophy mu shuga.

Zizindikiro za matendawa

Chowonetseratu chachikulu cha mtundu uliwonse wamatenda oterowo ndicho chida chathunthu chokhala ndi mafuta.

Poyerekeza ndi chizindikiro chofananira, tingagwiritse ntchito zizindikiro zotsatirazi:

• kulakalaka
• kukula kwakukulu kwa miyendo ndi manja poyerekeza ndi mbali zina za thupi - nthawi zambiri izi zimawonetsedwa mwa ana,

Zizindikiro zomwe zili pamwambapa ziyenera kudziwika kwa ana ndi akulu omwe.

Chithunzi cha mzimayi yemwe ali ndi lipodystrophy

Zizindikiro

Chifukwa cha kukhalapo kwa matchulidwe osadziwika komanso m'malo mwake ndi kupezeka koyenera, pafupifupi palibe mavuto. Komabe, kuti mudziwe zomwe zimayambitsa kuchepa kwamafuta, mayeso a labotale ndi zofunikira ndizofunikira.

Komabe, choyamba, adotolo ayenera kuchita zinthu zingapo, kuphatikizapo:

Kafukufuku wasayansi akuwonetsa kukhazikitsidwa kwa:

• ambiri matenda a magazi ndi mkodzo,
• magazi zamankhwala
• mayeso amtundu
• mayeso a mahomoni
• mayesero a insulin
• kuyeserera kwa shuga.

Chida chofufuzira chimangokhala ndi njira izi:

• ECG ndi echocardiography,
• Ultrasound wa kapamba,
• CT ndi MRI.

Computed tomography (CT)

Lipodystrophy iyenera kusiyanitsidwa ndi:

• kukomoka
• Matenda a Itsenko-Cushing,
• thyrotoxicosis,
• kusintha kwa minyewa ya m'mimba ya adipose yomwe imachitika nthawi ya kachilombo ka HIV kapena Edzi.

Kuchiza matenda

Mankhwala omwe amathandizidwa makamaka omwe amawonjezera mafuta ochulukirapo samapezeka pakadali pano. Komabe, pofuna kuthana ndi zizindikiro za matenda oterewa, kupititsa patsogolo thanzi la odwala ndikupewa kukula kwa zovuta, njira zochizira zomwe zikugwiritsidwa ntchito.

Chithandizo chimaphatikizapo kutenga:

Sizoletsedwa kutsatira njira zamankhwala olimbitsa thupi, izi:

• ultrasound
• inductometry
• electrophoresis
• phonophoresis.

Pofuna kukonza mawonekedwe owonda kwambiri, njira zodzikongoletsera kapena opaleshoni ya pulasitiki ndizofunikira. Sichikunenedweratu kuti mutha kugwiritsa ntchito mankhwala othandizira olimbitsa thupi, omwe amatha kukhala othandizira kapena othandizira. Nthawi zina, odwala amafunika kuthandizidwa ndi katswiri wazamisala. Komanso, odwala nthawi zambiri amapatsidwa mankhwala othandizira, komabe, sizikhudza kuwonjezeka kwa minofu ya adipose.

Mavuto omwe angakhalepo

Kunyalanyaza zizindikiro zamankhwala, kusakhalapo kwathunthu kapena chithandizo choyipa cha kuchepa kwamafuta kumadzaza ndi mapangidwe owopsa, omwe muyenera kuwunikira:

• aakulu aimpso kulephera
• amuna ndi akazi osabereka
• matenda oopsa owopsa
• kubweza m'maganizo mwa ana,
• cardiomyopathies
• kulephera kwa mtima.

Zambiri mwatsatanetsatane pamwambapa ndi zakupha.

Kupewa komanso kudwala

Sizingatheke kuletsa kukula kwa kubereka kwa lipodystrophy ya kapamba, chifukwa kumachitika chifukwa cha kusintha kwa majini. Mutha kuchepetsa mwayi wokhala ndi matenda osowa kwambiri omwe mwalandira kudzera mothandizidwa ndi njira zodzitetezera:

• kukana kwathunthu zosokoneza bongo,
• Zakudya zoyenera komanso zoyenera
• Kugwiritsa ntchito bwino insulin mu matenda a shuga potsatira malamulo onse okhazikitsidwa ndi adokotala.
• kumwa mankhwala okhawo omwe adokotala amuuzira,
• kugwiritsa ntchito zida zodzitchinjiriza mukamagwiritsa ntchito mankhwala ndi ziphe,
• chithandizo chokwanira cha matenda omwe angapangitse kuti zinthu zayamba kuwonongeka.

Zotsatira za lipodystrophy nthawi zambiri zimakhala zosatsimikizika, chifukwa zimatengera maphunziridwe, ukadaulo komanso mawonekedwe a thupi la wodwala. Pang'onopang'ono pazovomerezeka zochiritsira, chidziwitso chokwanira cha moyo chimakwaniritsidwa.

Ngati mukuganiza kuti muli nacho Lipodystrophy ndipo zizindikiro zodziwika ndi matendawa, ndiye kuti madokotala amatha kukuthandizani: wa endocrinologist, wothandizira, wazachipatala.

Ichi ndi chiyani

Lingaliro la lipodystrophy (kuchepa kwamafuta) limaphatikizapo zosiyana kwambiri zoyambira ndi kuwonetsa kwa zovuta za metabolic mu adipose minofu, yomwe imakhala gawo lofunikira kwambiri pakakhala kuti pali chiwalo chilichonse.

Chifukwa chake, kukhalapo kwa wosanjikiza wamafuta kumangirira impso kumtunda wake wamatumbo osakanikirana kumathandizira kukhazikika kwa kutentha mkati mwa chiwalo, nthawi yomweyo kuyikonza pamalo ake oyenera (kuletsa kuthekera kwakuti musiyike).

Koma ngakhale chiwalo chilibe mawonekedwe owoneka amafuta, chimapezeka pamaselo a maselo - palibe khungu limodzi lomwe lingachite popanda kuphatikizidwa ndi lipid wosanjikiza momwe limapangidwira.

Lingaliro lalikulu la lipoatrophy limatha kupatsa thupi la othamanga-womangamanga wokhala ndi minofu yophweka. Koma ndi "koma" m'modzi: ngakhale atakhala kuti palibe mafuta ochulukirapo, amakhalabe nawo. Ndi lipoatrophy, kupezeka kwake ndikosatheka pamalingaliro, ngakhale kupangidwa kwa zakudya zapadera komanso kupatsidwa chakudya chambiri komanso zakumwa zomwe zimapangitsa kuti mafuta azikwanira (mowa, mafuta, mafuta, ma muffins).

Chowoneka chapadera cha lipodystrophy kuchokera ku dystrophy yodziwika bwino ndikokula wamba kwama minofu popanda zizindikiro zoletsa.

Lipohypertrophic dystrophy ndi gawo lamkati lama mafuta osunthika, chimodzimodzi ndi ulemu ndi zomwe zili pamwambapa.

Zitsanzo za biopsy (zomwe zikuyimira maikulosikopu opezeka pang'onopang'ono kuchokera ku chiwalo) zikuwonetsa chithunzi osati kuchuluka kwambiri kwa minofu ya adipose mumitsempha yolowerera, komanso kuchuluka kwa minofu yolimba, yopanda minyewa yolimba yomwe imamera mmenemu, yomwe ikuwonetsa kuvuta kwa kagayidwe kachakudya ndi kudziwikiratu. madera okhala mpaka kuzama kwambiri.

Makanema onena za etiology ya lipodystrophy:

Mitundu ndi mawonekedwe a pathology

Kodi ndi njira ziti zomwe tafotokozazi - mitundu yamafuta osowa mafuta?

Poyamba, pali kusatetezeka kwa chiwalo (minofu, khungu, chiwindi) kuchokera ku zovuta zina:

• zakunja (kutentha kutunda kapena kutsika, kuvulala),
• zamkati (zosintha pakupanga magazi otuluka mu mawonekedwe a shuga wocheperapo kapena wapamwamba, poizoni ndi zinthu zina mkati mwake, kapena kukhalapo kwa matenda mkati mwake).

Lachiwiri likuchitira umboni pakudzipatula kwenikweni kwa malowo kapena malo oyandikana ndi nyumba zopangidwira, zomwe, m'malo abwino, zimapangitsa kupanga shaft yamphamvu kwambiri, ndipo m'malo osapindulitsa, kufa kwa minofu yothandizirana ndi malo ake.

Zolinga za maonekedwe

Pakupezeka ndi kupitilira kwa lipodystrophy, pali zifukwa:

• momwe mwabadwa mwokhazikika (mosasunthika, kapena kobadwa nako),
• kusokonekera kwa machitidwe amthupi m'thupi (kutengedwa).

Gulu loyamba lili ndi mikhalidwe yoyambitsidwa ndi:

• Family lipodystrophy,
• Matenda a Berardinelli-Seip.

Lachiwiri ndilochulukirapo, limaphatikizapo lipodystrophy:

• pang'ono (kutalikirana, zogwirizana ndi ziwalo za thupi), magawo a Barraquer-Simons syndrome,
• yodziwika (yokhudza thupi lonse),
• infantile (mawonekedwe a makanda) centrifugal pamimba,
• mendulo yooneka ngati mphete ya adipose minofu ya Ferreira-Markish),
• wodwala insulin
• Zokhudzana ndi HIV
• Mitundu ina yokhala ndi momwe chilengedwe chikuchitikira.

Zizindikiro

Chowonetseratu chachikulu cha mtundu uliwonse wamatenda oterowo ndicho chida chathunthu chokhala ndi mafuta.

Poyerekeza ndi chizindikiro chofananira, tingagwiritse ntchito zizindikiro zotsatirazi:

• kulakalaka
• kukula kwakukulu kwa miyendo ndi manja poyerekeza ndi mbali zina za thupi - nthawi zambiri izi zimawonetsedwa mwa ana,
• kupweteka m'dera pansi pa nthiti zakumanja ndiko kuwerengera kwa kapamba,
• kudzikulitsa kwa mbolo mwa amuna,
• ziphuphu
• kusamba kwa msambo,
• Kusintha kwakukulu mu kukula kwa clitoris mwa akazi,
• khungu la khungu, mawonekedwe a mucous ndi sclera - izi zikuwonetsa njira yovuta kwambiri ya matenda.
• kupweteka mutu
• kukomoka mtima,
• mitundu yosiyanasiyana
• kuchulukana pang'ono kwa mabere am'mimba mwa amuna,
• kuchuluka kwa tsitsi lakumaso
• kuchuluka kwa kuthamanga kwa magazi,
• kuphwanya chitetezo cha pakhungu - nthawi zambiri kumawonedwa ndi gynoid lipodystrophy, omwe amakakamiza odwala kuti afunefune thandizo kuchokera kwa akatswiri odziwa ntchito zodzikongoletsera kapena opaleshoni ya pulasitiki kuwonjezera pa chithandizo chachikulu.

Zizindikiro zomwe zili pamwambapa ziyenera kudziwika kwa ana ndi akulu omwe.

Kodi matenda a shuga a impso ndi a impso glucosuria ndi ati?

Pochizira mafupa, owerenga athu adagwiritsa ntchito DiabeNot bwino. Kuwona kutchuka kwa malonda, tidaganiza zoperekera chidwi chanu.

Matenda a shuga kapena a impso glucosuria ndi njira yodziwika ndi kuchuluka kwa shuga mkodzo pamlingo wambiri wamagazi. A anomaly amapezeka chifukwa cha kuwonongeka kwa glucose kudzera mu tubular system ya impso.

Matenda a matenda a shuga amakhalanso amtundu wa sodium. Poterepa, impso zimataya chidwi chawo ndi mahomoni a adrenal. Kulephera kumachitika zonse kwanuko (mu impso zokha) komanso kumbali ya chapakati mantha dongosolo (hypothalamic dysfunction).

Mawonekedwe a pathological mkhalidwe

Matenda a shuga ndi matenda ofala a metabolic. Ngati matenda a shuga a insulin atayika, ndiye kuti ndi matenda a shuga a impso, mabubu amatha kuchepa kapena kukhala ndi vuto la aldosterone - timadzi tamadontho timene timayambitsa matenda a adrenal.

Mutha kuyankhula za zodabwitsa za glucosuria pomwe 2 mpaka 100 g ya shuga yakhazikika mumkodzo patsiku. Zizindikiro zenizeni sizikhudzidwa mwanjira iliyonse ndi chakudya, moyo, kapena kuchuluka kwa madzi omwe amizidwa. Mkodzo uliwonse (kuphatikizapo magawo a usiku) ukhoza kukhala ndi tizigawo ta glucose. Ndikofunikira kudziwa kuti m'magazi a shuga nthawi zina amacheperachepera.

Si kawirikawiri, matenda opatsirana a shuga a "classical" komanso impso zomwe sizingatengeke ndi aldosterone ndi matenda awiri omwe amapanga limodzi mbali imodzi.

Matenda a shuga

Matenda a impso a sodium amakula chifukwa chogwiritsa ntchito bwino ma neurohumoral ma cell omwe amachititsa kuti kwamadzi amadzimadzi apangidwe. Chifukwa cha zosokoneza pakubwezeretsanso, thupi limayamba kudwala chifukwa cha kusalinganika kwamadzi.

Impso sizitha kugwira ntchito zawo mwachindunji. Izi zimabweretsa kuti zinthu zofunika zimakakamizidwa kunja kwa thupi. Kuperewera kwa sodium kumabweretsa ena ambiri ena matenda. Popanda chinthu ichi, mtima, mawonekedwe a mitsempha ndi mitsempha sizitha kugwira ntchito moyenera.

Zifukwa zopanga matenda

Matenda am'mimba, zomwe zimadziwika bwino kwambiri ndipo sizimalola kuti munthu azindikire vuto lake, zimachitika chifukwa cha zovuta zosiyanasiyana.

Glucosuria wamtundu umapangidwa chifukwa cha zonyansa izi:

1. Kuchepetsa matumbu a mawonekedwe a impso (matenda a anatomical),
2. Zowonongeka panthawi ya mayendedwe a shuga
3. Mavuto amadzimadzi a shuga.

Sodium impso matenda a shuga akupita patsogolo. Izi zitha kukhala vuto la kubadwa, mtundu wa matenda obadwa nawo, omwe amachokera ku kupembedza kupita ku m'badwo.

Ngati sichoncho kwina, zomwe zimayambitsa matendawa zitha kukhala motere:

• Matenda opatsirana omwe atenga nthawi yayitali (chifuwa chachikulu, ma virus, matenda opatsirana pogonana),
• Zowonongeka kwa hypothalamus kapena minofu ya pituitary,
• Kuwonongeka kwa ziwalo zaubongo zomwe zimayendetsa magwiridwe antchito a kwamikodzo (izi zimatha kukhala kupindika komanso kuvulala kumutu, zotupa, metastases, hydrocephalic syndrome, zotsatira za kulowerera kwa neurosuction),
• Matenda a mtima
• Matenda a autoimmune pamene mawonekedwe a impso akuvutika ndi chitetezo cha mthupi lawo lomwe.

Zadziwika kuti atherosulinosis ndi matenda oopsa amatha kukulitsa vuto la wodwalayo, zimakhudza impso.

Magetsi Ofunika

Nthawi zambiri, odwala nthawi zonse amapereka mankhwala kwa milungu iwiri kapena inayi yoletsedwa ndi zotsekemera ndi ufa. Zipatso zokhala ndi michere yambiri, chimanga china, pasitala, ndi mbale zokhala ndi mafuta ambiri zimagwa pansi pa chiletso.

Zochizira matenda a endocrine dongosolo, zotsatirazi zilembedwe:

1. Zomwe zimapangitsa kutsitsa shuga msipu,
2. Mankhwala obwezeretsa insulin
3. Vitamini ovuta
4. Kutanthauza kukonza kwa chiwindi, impso ndi kapamba.

Pofuna kupewa kulephera kwa impso mu shuga komanso kupewa kukula kwa zovuta zamtundu uliwonse, mankhwala othandizira awa atha kuperekedwa kwa odwala:

• Othandizira antibacterial
• Corticosteroids osiyanasiyana Mlingo,
• Cytostatics
• Mankhwala kusintha magazi mu impso nephrons.

Pazovuta

Funso la zoyenera kuchita ngati impso zili ndi vuto la shuga ndizothandiza ambiri. Komabe, sichachilendo kulankhulapo za zovuta za matenda ashuga a shuga.

Zovuta kusamala:

1. Chiwopsezo chachikulu chotenga kachilombo
2. Kukula msanga kwa matenda a impso,
3. Ketoacidosis
4. Matenda a shuga.

Kupatuka kulikonse kuchokera pachiwonetsero kumakhala koopsa kwambiri panthawi yomwe muli ndi pakati. Mavuto akulu: chiopsezo chotenga gestosis yoyambilira, kuzizira kwa fetal nthawi iliyonse ya chitukuko, kuchotsa mimbayo, polyhydramnios, kukula kwakukulu kwa fetal, kubadwa koopsa.

Zizindikiro zake

Popeza kuti mafuta amayamba chifukwa cha insulin yeniyeni, sangathe kukhala ndi matenda ashuga a II (osagwirizana ndi insulin).

Amayenda limodzi ndi mtundu wa matenda a shuga a mtundu woyamba, owonetsedwa:

• ludzu
• matenda ashuga (pafupipafupi pokodza ndi mkodzo waukulu),
• kutsekemera kwamkodzo (kofotokozedwa ndi zomwe zili ndi shuga),
• chilala chosakwanira popanda kukwiya,
• njira kuwonda.

Lipodystrophy ya ziwalo zamkati siziwoneka kunja (kokha kusokonezeka kwachilengedwe kwa ziwalo zomwe zimayambitsidwa ndi ziwalozi kungayambike). Koma zokhudzana ndi khungu, sikungakhale kotheka kuti zindikidwe zomwe zikuchitika.

Mu mwana - wodwala yemwe amadalira matenda a shuga, kupezeka kwa lipodystrophy kumatha kuzindikirika patapita nthawi kuchokera pachiwopsezo cha jekeseni: kuyambira masabata angapo mpaka zaka 8 kapena 10.

Amayi amakhalanso achilengedwe mwawonekedwe amasinthidwe amkhungu, omwe nthawi zambiri amakhala opanda:

• mtundu wa mankhwala ogwiritsidwa ntchito,
• mlingo wake
• kuopsa kwa matendawa
• mulingo wa kubwezera kwa kagayidwe kazakudya.

Kusintha kwa mtundu wa atrophic kumadziwika ndi kusintha kwa minyewa (yam'deralo, yocheperako jekeseni) kusintha kwa minofu, kapena amadziwika ndi kuwonongeka koyenera komanso koyenera kwa gawo la mafuta osunthika pansi pa thupi lonse. Mwadzidzidzi, kupezeka kwawo kukufotokozedwa ndi kusakwanira kwa kuyeretsa kwa mankhwalawo, komanso kusagwirizana ndi jakisoni: kuyambitsa yankho silinaphatikizidwe, kulowetsedwa kwa zakumwa mu makulidwe a khungu.

Mtundu wa hypertrophic (lipohypertrophy) umawonetsedwa ndi mawonekedwe a tuberous, wotuluka kuchokera pakhungu lomwe limalowerera limapangidwa ndi minofu ya adipose yopanda mawonekedwe omwe amakhala ndi timitsempha tating'onoting'ono ta minofu ya khungu (onani chithunzi). Maonekedwe ndi kapangidwe ka ma conglomerate amenewa ndi chifukwa cha kusankha kwa insulini pamafuta a minyewa yochepa m'derali.

Chithunzi lipodystrophy chifukwa cha jakisoni wa insulin:

Kupezeka kwa lipodystrophy mu shuga kungaphatikizidwe ndi mawonekedwe ena a khungu:

• xanthomatosis,
• lipoid necrobiosis,
• kunenepa kwambiri.

Njira zochizira

Chifukwa cha kusazindikira zifukwa zonse zomwe zimapangitsa kuti boma la mafuta achedwe, mphamvu yothandizira pakapangidwe kake ndikukula sikungatheke, chifukwa chake njira zomwe zidagwiritsidwa ntchito zimangopereka zotsatira zazifupi.

Pakati pawo pali kugwiritsa ntchito:

• Zakudya
• maphunziro akuthupi
• njira zolimbitsa thupi (inductothermy ndi ultrasound).

Mphamvu ya ultrasound ikulowerera mkati mwa tiziwalo ndi masentimita 10, kusinthasintha kwake komwe kumapangitsa magazi kuyenderera, kumabweretsa kukula kochepa kwambiri kapangidwe ka mafuta. Kugwiritsidwa ntchito kwake kuphatikiza kugwiritsa ntchito mafuta a hydrocortisone kumathandizira kukonza madera omwe atrophied. Kugwiritsa ntchito njirazi kumakupatsani mwayi wolepheretsa kupitilira kwa miyezi isanu ndi umodzi mpaka zaka ziwiri.

Kuyesa kuletsa kukula kwa lipodystrophy poletsa kugwiritsa ntchito ma proteinase inhibitors, kusintha njira yodwirira kumwa mankhwala a ARVT (antiretroviralapy), komanso kugwiritsa ntchito njira zopangira opaleshoni ya zodzikongoletsera (kugwiritsa ntchito jakisoni ndi zodulira) zimangowonjezera zosakhalitsa.

Njira zophunzitsira izi zimayesedwa:

• kukula kwamunthu,
• testosterone
• mankhwala omwe amachepetsa kuchuluka kwa triglycerides ndi cholesterol m'magazi, komanso kuwonjezera insulin sensitivity.

Gawo lofunika kwambiri la mankhwala ndiwowonjezera kuchuluka kwa zochitika zolimbitsa thupi ndi zakudya (makamaka, zokhala ndi zinthu zambiri za fibrous zomwe zimakupatsani mwayi wolamulira insulin kukaniza, kukulitsa kamvekedwe ka thupi ndikuchepetsa chiopsezo cha mtima ndi mtima.

Kupewa kwa Mavuto

Chifukwa chakuti kukhalapo kwa mafuta osowa m'mimba kumapangitsa kuti matenda azitsogolera, njira zosiyanasiyana zowalepheretsa ndizofunikira.

Mfundo zodziwikiratu ndikusungabe zolimbitsa thupi zolimbitsa thupi ndikutsatira zakudya zomwe zalimbikitsidwa, komanso kudya kwambiri mankhwala omwe adokotala adayesedwa ndi dokotala poyang'anira thupi nthawi zonse.

Pankhani ya momwe insulin imayambira, matenda omwe amapangidwako amathandizidwa. Ndikofunikanso kutsatira mosamalitsa malamulo a jakisoni (popewa kulocha pakhungu la pakhungu), sonkhanitsani mankhwala obayidwa ndi kutentha kwa thupi.

Kugwiritsa ntchito mitundu ya insulin yodziyeretsa kwambiri (monocomponent ndi monopic) komanso kukonzekera kwa insulin kokha kumathandizanso kupewa zovuta.