Kodi nchifukwa ninji shuga imakhala ndi lipodystrophy?

Matenda a shuga ndi matenda osachiritsika omwe amadziwika ndi zovuta zina za mayamwidwe a shuga mthupi chifukwa cha kuchepa kwa insulin. Kuphatikiza apo, njira zonse za metabolic zimalephera. Komanso matenda a shuga ndi oopsa.

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Uwu ndi mkhalidwe wovuta m'thupi momwe mumakhala kusowa kwathunthu kapena kwanuko kwa adipose minofu. Munthu wodwala matenda amenewa sangathe 'kuwonjezera' mafuta, ngakhale atawonjezera mafuta ndi chakudya chamagulu ambiri.

Chifukwa chachikulu chomwe matendawo amayambira ndikuphwanya njira za metabolic mthupi la munthu. Lipodystrophy mu shuga imawonekera kwanuko ndikupanga chotupa chamafuta, chifukwa cha izi ndi jakisoni wa insulin.

Zoyambitsa zazikulu za matenda a zam'thupi zimaphatikizapo:

• matenda ashuga
• kumwa mankhwala osokoneza bongo a steroid,
• zakumwa zoopsa zoopsa.
• matenda a chiwindi,
• uchidakwa
• HIV
• matenda a parasitological.

Komabe vutoli limatha kukhazikika chifukwa cha zakudya zopanda thanzi komanso zosayenera.

Hepatic

Itha kupezeka ndi matenda monga chiwindi chamafuta. Ndi mtundu uwu wa lipodystrophy, hepatocytes imasandulika m'maselo amafuta. Kukula kwa matendawa ndi matenda osachiritsika, chifukwa chake matenda ena a chiwindi amatha kuchitika.

M'moyo watsiku ndi tsiku, mawonekedwewa amatchedwa cellulite. Imadziwonekera mu mawonekedwe a kusakhazikika kwa minofu ya adipose, yomwe imayambitsa kuphwanya kutuluka kwa lymph. Chomwe chimapangitsa izi kukhala kuphwanya kagayidwe ka mafuta chifukwa cha kuwonekera kosayenera kwa mahomoni ogonana - estrogen. Mu minofu ya adipose, njira zoyenda zimachitika zomwe zimatsogolera ku kuwonongeka kwake.

Matenda a shuga ndi lipodystrophy

Diabetesic lipodystrophy imawonetsedwa ndi atrophy kapena hypertrophy ya subcutaneous mafuta wosanjikiza m'dera la insulin. Malinga ndi ziwerengero, kuvutikaku kumawonedwa mu 10% ya milandu, nthawi zambiri mwa amayi ndi ana omwe amalandira mlingo wa insulin.

• Malangizo a adipose minofu. Zimawonetsedwa ndi kugonjetsedwa kwa tsamba pamalowo jakisoni - kwathunthu. Izi zimalepheretsa kuyamwa bwino kwa insulini, zomwe zimapangitsa kuti zikhale zovuta kusankha mlingo woyenera. Zotsatira zake, kukana insulini kumatha.
• Adipose minofu hypertrophy. Vuto lina ndi loti chidindo cha mafuta chimayamba kupezeka jekeseni. Zotsatira zake zimaphatikizidwa ndi lipogenic mphamvu ya insulin. Pankhaniyi, simuyenera kusokoneza malowa chifukwa izi zingayambitse chilonda kapena kuwonjezeranso tsambalo.

Chithandizo ndi Kupewa

Ngati zovuta zikuwonekera kale, ndiye kuti woyamba pa chithandizo cha lipodystrophy ndikuwunika ndikuchepetsa zinthu zomwe zayambitsa chitukuko. Jakisoni wa insulin ndi zoletsedwa kwathunthu kuchita pa siteji ya chitukuko cha matenda. Kuthetsa ndi kuthetsa vuto:

• electrophoresis yamavuto omwe amagwiritsidwa ntchito ndi mankhwala, mwachitsanzo, Novocaine ndi Lidase,
• paraffin mankhwala a lesion malo,
• kusankha kukonzekera kwina kwa insulin, pambuyo pa kuyambitsa komwe kumalimbikitsidwa kutikita minofu.
• ultrasound pamenepa imayambitsa kusinthasintha kwa minyewa ya adipose, yomwe imakhudza kayendedwe ka magazi ndi kagayidwe kachakudya pamalo opangira,
• mankhwala a mahomoni okhala ndi gulu la anabolic kuti apangitse mapangidwe a minofu ya adipose.

Zotsatira zopindulitsa zimapezeka ndi zovuta mankhwala, mwachitsanzo, kugwiritsa ntchito njira zamankhwala olimbitsa thupi, mankhwala osokoneza bongo komanso kutikita minofu.

Poletsa matenda, mankhwalawa ayenera kusankhidwa ndikuthandizidwa moyenera. Njira yothetsera vutoli ikhale ya kutentha kwa m'chipinda kapena kutentha kwa thupi, jekeseni iyenera kuchitika m'malo osiyanasiyana. Popewa kuvulala kwamtundu, mankhwalawa amaperekedwa ndi singano kapena ma syringe, pambuyo pake ndikofunikira kusintha jakisoni. Malamulowa athandizira kuchepetsa chiopsezo chotenga matendawa.

Zolinga zakukula kwa matenda amisala

Adipose minofu dystrophy imatha kuchitika mothandizidwa ndi izi:

• matenda a metabolic,
• kusintha kwa mahomoni m'thupi la wodwala,
• kuwonongeka kwa chiwindi
• matenda a giardia,
• kuphwanya wodwala zakudya zinazake,
• kugwiritsa ntchito mankhwala a steroid
• kumwa mowa
• chizolowezi cha chikumbumtima,
• kuledzera kwamphamvu kwa thupi komwe kumakhalapo kwa odwala omwe amagwira ntchito m'makampani oopsa kapena kwa anthu okhala m'malo omwe alibe chilengedwe,
• jakisoni wa mankhwala m'malo omwewo.

Kuphwanya kagayidwe kachakudya njira. Matenda a mahomoni. Kuphwanya chiwindi. Giardia. Kuphwanya zakudya zoyenera. Kumwa mowa.

Zomwe zimapezeka pakumayesedwa koyesa zimatsimikizira kupezeka kwa kulumikizana pakati pa kusintha kwa maselo amafuta ndi kapangidwe ka hormone somatotropin. Chiphunzitsochi chimatsimikizira kuti odwala omwe ali ndi lipodystrophy yayikulu, ma enzyme apadera amomwe amapezeka mu mahomoni opanga kukula.

Zofunika! Kuphwanya kotereku nthawi zambiri kumayendetsedwa ndi kuwonetsedwa kwa hyperinsulinism. M'mikhalidwe imeneyi, kuchuluka kwa insulin m'magazi kumawonjezeka ndipo kuchuluka kwa shuga kumachepa.

Mitundu yayikulu

Gulu.

Pali mitundu ingapo ya lipodystrophy. Pathologies amawonetsedwa mu phonon ya ma pathologies osiyanasiyana omwe amasamutsidwa ndi wodwala.

Yang'anani! Kuphwanya kumatha kuchitika chifukwa cha chibadwa.

Mitundu yayikulu ya matenda am'mimba imawerengedwa pagome:

Mu shuga mellitus, lipodystrophy yamitundu yotsatirayi imawonetsedwa mwa odwala:

1. Atrophy. Zowonongeka kwambiri pamalowo jakisoni wa insulin zimachitika. Poyerekeza ndi maziko a mafuta a artophia, njira yovomerezeka ya insulin imasokonezeka, njira yosankhira mlingo woyenera ndi yovuta kwambiri. Kukula kwa insulini kukaniza maziko asintha pakumayamwa kwa chinthu chomwe chalowetsedwa m'dera lomwe akukhudzidwa sikutsutsidwa.
2. Hypertrophy. Kuchuluka kwa minofu yamafuta kumachulukitsa. ndi jakisoni winanso m'dera lomwelo, zovuta zovuta kwa wodwala zimatha: zotupa, zilonda zam'mimba komanso zilonda.

Lipodystrophy pamalo a jakisoni a insulin.

Chomwe chimapangitsa insulin dystrophy kuphwanya malamulo oyendetsera mankhwalawa kapena kugwiritsa ntchito insulin yapamwamba kwambiri. Wodwalayo ayenera kufunsa katswiri ndi pempho kuti alowe m'malo mwa mankhwalawo ndi mankhwala omwe ali ndi ziwonetsero zambiri zokhala opanda tanthauzo. Chida choterechi chidzachepetsa kwambiri kupezeka kotupa.

Ndikofunikanso kukumbukira kuti ziwalo za thupi, zokhala ndi lipodystrophy, zimakhudza kwambiri komanso zimapweteka kwambiri jakisoni wa insulin.

Mudziwa bwanji?

Zizindikiro zamtundu wamafuta.

Chizindikiro chachikulu chomwe chikuwonetsa kukula kwa vutoli ndi atrophy, yomwe imadziwonetsera pazochitika 80%. Hypertrophy imakhala yochepa kwambiri pamasamba oyendetsera jakisoni wa insulin. Nthawi zina, kusintha sikungachitike pajekeseni, koma patali pafupi nayo. Monga chizindikiro choyamba chodziwika, kupweteka pakhungu jakisoni amapatsidwa.

Kanemayo munkhaniyi adzafotokozera owerenga zomwe zikuwonetsa kugonjetsedwa.

Njira zochizira

Dokotala ayenera kusankha njira yoyenera yowonetsera, atasanthula kuchuluka kwa zowonongeka ndikupeza njira yoyambitsa. Kuchiza ndikofunikira, popeza kuti ziwalo zowonda sizimamuwona bwino mankhwalawo, ndipo njira yoyendetsera kapangidwe kake imakhala yopweteka kwambiri kwa wodwalayo.

Ndi matenda oterewa, chinthucho sichimatengedwa m'magazi m'magawo omwe amafunikira, nthawi zambiri kuyambiranso kwa mlingo wovomerezeka kumafunikira. Ndizovuta kwambiri kuwerengera molondola kuchuluka kwa kuchuluka kwa mankhwalawo, chifukwa ndizosatheka kuneneratu momwe njira yopopera gawo ingayendere.

Zakudya za wodwala ziyenera kukhala ndi mavitamini.

Chithandizo cha lipodystrophy mu shuga chimaphatikizapo kugwiritsa ntchito njira zotsatirazi:

1. Kuchita njira zokhudzana ndi kugwiritsa ntchito ultrasound ndi inductometry. Magawo tsiku lililonse kwa mwezi umodzi akulimbikitsidwa. Pakatha miyezi iwiri, njira yochiritsira imabwerezedwa.
2. Ndikulimbikitsidwa kupatsa insulin ndi novocaine.
3. Ndikofunikira kuti musinthe pafupipafupi malo opangira jakisoni - lamulo ndilofunikira kwambiri, ndizosatheka kuthana ndi vutoli popanda kuwonetsetsa.

Njira ya mayamwidwe timadzi timathandiza kuti jekeseni kapena makonzedwe a electrophoresis ya lidase.

Ndikulimbikitsidwa kupatsa insulin ndi novocaine.

Zofunika! Kuwonetsetsa kuti ntchito yobwezeretsa ndikuyenda mwachangu, mavitamini, okodzetsa, ndi mankhwala okhala ndi chitsulo angagwiritsidwe ntchito.

Sizotheka kuchotsa chilondacho kwathunthu, koma ndizotheka kukonza kwambiri njira yake ndikubwezeretsanso mawonekedwe a khungu. Kusankha kwa njira zofunika zothandizira achire kumangosiyidwa kwa katswiri.

Langizo lotsatira lidzaonjezera phindu la mankhwala:

1. Wodwala ayenera kuchita masewera olimbitsa thupi pafupipafupi.
2. Zakudya zoyenera zimawonetsedwa, kuphatikizapo kudya mavitamini ndi michere yamagulu onse. Mafuta ndi mapuloteni ayenera kuchuluka m'zakudya.
3. Kutikita minofu tsiku lililonse kumafunika, komwe kuyenera kuchitidwa ndi katswiri.

Chakudyacho ndichofunika kukambirana ndi wazakudya.

Malangizowa atha kuthamangitsa kwambiri machiritso.

Yang'anani! Anthu akunyalanyaza kufunikira kolowera kuchipatala, kuwonjezera mwayi wawo wowonekera wa kukana insulini. Matenda oterewa amakhala owopsa kwambiri kwa odwala matenda ashuga, chifukwa mtengo wa kusatsatira malangizo omwe adalembedwa ndi dokotala amathanso kukhala okwera kwambiri.

Kodi ndizotheka kuletsa kukula kwa matenda?

Kuchiza kwa lipodystrophy ndikovuta komanso kosatheka kwathunthu, chifukwa chake, odwala matenda a shuga amalimbikitsidwa kuti azitsatira malamulo osavuta omwe ndi njira yofunika kwambiri yopewera:

• wodwalayo ayenera kuwunika magazi nthawi zonse
• zakudya ziyenera kukhala zolondola, wodwalayo ayenera kutsatira zakudya zomwe amalimbikitsa odwala matenda ashuga,
• Ndikofunika kugwiritsa ntchito ma insulini oyeretsedwa kwambiri,
• Sinthani ma jakisoni a insulin nthawi zonse,
• mankhwala ozizira sayenera kuperekedwa.

Wodwala amasintha pafupipafupi jakisoni wa jakisoni wa insulin.

Matenda a diabetes a lipodystrophy amatha kuchitika nthawi iliyonse, makamaka ngati wodwalayo samatsatira malamulo alionse azithandizo. Ndikofunikira kwambiri kuzindikira nthawi yomwe zilonda ndizopezeka ndi chithandizo. Ndiye chifukwa chake, odwala omwe akukayikira zokhudzana ndi kudwala matendawa ayenera kulumikizana ndi akatswiri pakagwa mwadzidzidzi.

Mafunso kwa katswiri

Nikolaeva Alexandra Petrovna, wazaka 45, Saratov

Tsiku labwino. Ndili ndi matenda a shuga a mellitus (wodalira insulin). Pafupifupi masiku 5 apitawa adachotsedwa ku chipatala, komwe adagona masiku 16 ndi ketoacidotic chikomokere ndi kulephera kwakhungu kwaimpso. Pali mabala kumbuyo kwa mutu, ndi mainchesi 8 cm, omwe amanyowa m'mphepete. Kufewetsa mothandizidwa ndi njira zophunzitsira sizikugwira ntchito. Matumba anali ataikidwa kumbuyo kwa mutu, mwachionekere chifukwa cha iwo. Kodi kuyeretsa bala?

Tsiku labwino, Alexandra Petrovna. Ndikosavuta kupereka chithandizo choyenera osawona momwe matenda anu aliri. Ndikuganiza kuti ndi bedi.

Yesetsani kuti muchepetse malo omwe akhudzidwa, simufunikira kufewetsa bala, imachoka. Pakukonza, mutha kugwiritsa ntchito mayankho ndi mafuta a Betadine, koma ndikupangira kuti mukaonane ndi dokotala kuti adziwe momwe matenda anu aliri.

Zimayambitsa maonekedwe a matenda

Asayansi apeza kuti kusokonezeka kwa metabolic ndi chimodzi mwazomwe zimayambitsa. Koma zoyambitsa zina sizinadziwikebe molondola. Ndi insulin lipodystrophy, jakisoni ndi mahomoni pamalo omwewo amachititsa kusintha kwamisempha.

Zakudya zaumunthu zimatha kuyambitsa matenda. Chiwindi chimatha chifukwa chogwiritsa ntchito pafupipafupi mafuta okazinga, amchere, amchere komanso okoma kwambiri. Chakudya chopanda malire, zakudya zosasinthika, kudya kwambiri komanso kuperewera kwa zakudya m'thupi kungayambitse lipodystrophy.

Kuphatikiza pa chakudya ndi jakisoni, mkhalidwe wam'magazi ungayambitse:

• Kumwa pafupipafupi.
• Poizoni ndi kuledzera.
• Zovuta pantchito.
• Hepatitis.
• Ma Steroid.
• Dera loipitsidwa.

Lipodystrophy wamba yolimbitsa thupi siyikuopseza moyo, ingolakwika. Komabe, kwa azimayi ambiri, zimayambitsa zovuta zambiri, zimakhala zoyambitsa kupsinjika ndi kukhumudwa.

Kusowa kwa mafuta m'thupi m'malo osiyanasiyana a thupi komwe insulin sinalowetsedwe ngakhale ndi chifukwa chachikulu chofunsira thandizo la mankhwala. Adipose minofu atrophies, m'malo owawa zotumphukira zamtundu wa mtima zimakulirakulira. Insulin m'malo ngati amenewa sichingatengeke bwino. Chifukwa cha kusazindikira kwa mahomoni, matendawa sangabwezeredwe. Kuwerenga kuchuluka kwa insulin kukonzekera kumakhala kovuta.

Adipose minofu nthawi zina hypertrophies pambuyo jakisoni. Izi zimachepetsa mphamvu ya kukonzekera kwa insulin. Zhiroviki ndi chilema chachikulu.

Lipodystrophy imatha kukhazikitsidwa mchikakamizo cha chinthu chobadwa nacho. Matenda a metabolism nthawi zambiri amatengedwa kuchokera kwa makolo kupita kwa ana.

Mawonekedwe a lipodystrophy amagawidwa m'mitundu iwiri - mwa magawo ndi mawonekedwe athunthu. Mitundu yonse ya matenda am'mimba imayendera limodzi ndi kuchepa kwamphamvu kwamafuta ochulukirapo m'malo ambiri amthupi. Munthawi ya mawonekedwe, Zizindikiro zimafanana, koma mafutawo a nkhope samakhudzidwa.

Mitundu ya matenda

Mu lipodystrophy, mitundu ingapo imadziwika. Mwana wobadwa ndi lipodystrophy yodziwika bwino samapezeka kawirikawiri; mwanjira iyi, khanda limakhala ndi mafuta ochepa pamutu ndi kumapazi.

Njira yam'deralo yazachipatala ndiyofala. Kwa odwala, mafuta ali kumaso, chifuwa ndi khosi. Matendawa amapezeka chimodzimodzi nthawi zonse m'magulu onse awiri.

Mankhwala amakono amadziwa zomwe zimachitika kawirikawiri munthu akamamwa lipodystrophy.Fomuyi imadziwika ndi kusapezeka kwathunthu kwamafuta amkati, imasowa ngakhale muubwana. Odwala nthawi zambiri amavutika ndi zovuta ndi pulogalamu yowonjezera.

Lipodystrophy Yodziwika bwino ndizofala kwambiri kuposa mitundu ina. Zimachitika pambuyo kusintha kwa matenda oopsa - hepatitis, chibayo, diphtheria. Hepatocytes amachititsa kagayidwe kachakudya mthupi. Chifukwa cha matenda awa, ntchito yama cell imasokonekera, pali mavuto ndi metabolism. Chifukwa cha hepatic lipodystrophy, kuthamanga kwachilendo kwa mafuta kumasokonekera.

Matenda a shuga a lipodystrophy ndimwambo wamba. Fomuyi nthawi zambiri imatchedwa insulin. Minofu yam'mimba imatha chifukwa cha jakisoni wa mahomoni. Ngati mumalembera insulin nthawi yomweyo, mafutawo amatha mwina amatha kapena atrophies.

Njira zoyipa zimachitika chifukwa chovulaza kwautali wa minofu ya adipose, komanso mitsempha yapafupi. Nthawi zina matenda amakula monga chifuwa cha insulin.

Zinthu zonse zomwe zimakhudza tinthu tambiri tokhala m'mafuta sizinaphunzirebe bwino. Nthawi zambiri, madokotala amazindikira matenda a metabolic ngati omwe amayambitsa kwambiri.

Kukula kwa lipodystrophy kumakhudzidwa ndi:

• Zosiyanasiyana zimayambitsa.
• Kusuta.
• Kumwa mowa.
• Kusokonezeka kwa mahormoni.
• Matenda opatsirana.
• Giardiasis
• Poizoni wa mafakitale.
• Zamakhalidwe oyipa.

Kodi lipodystrophy ndi chiyani?

Izi ndi kusowa kwa gawo la mafuta pakhungu lomwe lakhudzidwa. Izi zimatha kukhala fossa yaying'ono, khungu lalikulu kapena khungu lonse lathunthu lophimba mikono, m'mimba kapena matako. Ndiponso, "kumanga mafuta" sikungatheke, ngakhale mutakhala kudya zakudya zamafuta kwambiri. Ndipo chosangalatsa kwambiri ndichakuti minofu sizivutika ndipo musataye thupi.

Lipodystrophy siyimayambitsa ngozi yayikulu komanso ndi vuto wamba. Samakula thupi lonse ndipo sichimapangitsa munthu kumverera koipa, kupatula kusakhutira kwamalingaliro ndi mawonekedwe. Komabe, pankhani ya insulin lipodystrophy, mavuto ena amabwera ndi utsogoleri ndi kulowetsedwa kwa insulin komanso kusankha kwake.

Mitundu ndi mawonekedwe a lipodystrophy

Lipodystrophy imatha kukhala yamitundu yosiyanasiyana, kutengera matenda ndi mtundu wa thanzi. Komanso, lipodystrophy imatha kubadwa ndipo imachitika pomwe metabolism italephera.

1. Hepatic lipodystrophy - kusayenda bwino kwa chiwindi komwe kumakhudzana ndi kusweka kwamafuta kosalekeza. Pa nthawi ya matendawa, maselo amafuta amaikidwa m'chiwindi, ndipo matenda ena a chiwindi amayamba chifukwa.
2. Gynoid lipodystrophy - Amatchedwa "cellulite." Amadziwika ndi kusasakanika kwamafuta mumimba, matako kapena ntchafu. Zomwe zimayambitsa cellulite nthawi zambiri zimasokoneza mahomoni kapena mavuto okhala ndi metabolism yoyenera.
3. Postinjection Lipodystrophy - atrophy ya adipose minofu m'malo opezeka jekeseni (jakisoni).
4. Insulin lipodystrophy - cleavage pang'onopang'ono ndipo, mtsogolomo, kusapezeka kwa minofu ya adipose pamasamba a jakisoni wa insulin.
5. Matenda a shuga - imadziwonekera mwa anthu omwe ali ndi zovuta za matenda ashuga. Patha masabata oyambira jakisoni, zizindikiro zoyambirira za lipodystrophy zimayamba kuonekera. Nthawi zina zoterezi zimatha kuchitika kwa zaka makumi ambiri ndipo izi zimapangitsa kuti zimveke.
6. Makina ophatikizidwa ndi milomo - ndi mtundu uwu wa matendawa, mafutawo amayamba kuchepa thupi lonse. Mtunduwu ndizotheka kuchitika.

Zimayambitsa lipodystrophy

Madokotala sanadziwebe chomwe chimayambitsa lipodystrophy. Koma zinthu zina zikuwonetsa kuti ntchito ya metabolic ndiyabwino. China chake ndi insulin komanso diabetesic lipodystrophy, zikuwonekeratu kale chifukwa chake amayamba kupanga - jakisoni wa insulin.

Zifukwa zina zimatha kukhala osadya bwino komanso moyo wabwino. Kudya kwambiri pafupipafupi, zakudya zamafuta ndi yokazinga, komanso maswiti kumatha kuwononga chiwindi. Mtsogolomo, izi zimatha kuyambitsa hepatic lipodystrophy kapena matenda a shuga mellitus.

Zoyambitsa matendawa:

• uchidakwa
• chiwindi
• matenda ashuga
• kugwiritsa ntchito molakwika ma steroid
• Giardiasis
• ntchito yokhudzana ndi mankhwala
• poyizoni ndi poizoni.

Lipodystrophy mu shuga

Kenako, lipodystrophy imagawidwa m'mitundu iwiri:

1. Atrophy. Zotsatira zosasangalatsa za lipodystrophy ya odwala matenda ashuga amawerengedwa kuti ndi malo owonjezera a jekeseni. Fatr atrophy imalepheretsa kuyamwa bwino kwa insulin, komwe kumapangitsa kwambiri kusankha koyenera kwa mankhwala a insulin. Choyipa choopsa kwambiri ndi kukana insulini, komwe kumachitika chifukwa chophwanya mphamvu ya thupi pa insulin yomwe idayambitsidwa m'dera lomwe lakhudzidwalo.
2. Hypertrophic lipodystrophy. Pankhaniyi, minofu ya adipose, m'malo mwake, imayamba kuchuluka m'dera lomwe lakhudzidwa. Ngati mupitilizabe kudera lino kapena kuwononga mwangozi, ndiye kuti mutha kupeza zilonda, kuchepa, zomwe zingatsogole.

Pankhani ya insulin dystrophy, choyambitsa chotupa ndi kuphwanya malamulo a jakisoni kapena mtundu wovulala wa mahomoni omwe amaperekedwa. Pankhani yachiwiri, ndikofunikira kusamalira chisankho cha insulin pasadakhale. Ndikofunika kugwiritsa ntchito ma insulini okha oyeretsa kwambiri omwe samatenga nawo mbali. Ndipo pokhapokha ngati izi zitha kupangitsa kuti lipodystrophy ikhale yocheperako.

Madera omwe akukhudzidwa ndi lipodystrophy amakhala osamala kwambiri, ndipo jakisoni wowonjezera pamalopo amatha kupweteka kwambiri. Makamaka kudwala kumeneku kumakhala kowawa kwa azimayi ndi ana ang'ono.

Zizindikiro zazikulu za lipodystrophy ndi atrophy (yomwe imachitika mu 80% ya milandu) ndi hypertrophy ya subcutaneous mafuta wosanjikiza m'malo a insulin. Nthawi zina, matendawa amatha kuchitika osati pa epicenter weniweni wa jakisoni, koma pambali pake.

Komanso, chizindikiro choyamba cha kukula kwa lipodystrophy titha kumuona ngati kukhazikika pakhungu, kukula kwa lipoma komanso kuwonjezeka kwamphamvu kwa khungu kupakidwa jakisoni.

Mawonetsedwe apakale a lipodystrophy sangathe kuthandizidwa mwanjira iliyonse, komabe, mitundu ina ya matendawa imatha "kukonzedwa" pang'ono ndikuwabwezeretsa pang'ono mawonekedwe owoneka bwino khungu. Kusankhidwa kwa njira zoyenera zochiritsira kumachitika ndi adokotala. Pankhani ya insulin lipodystrophy mu shuga mellitus, chithandizo chimayikidwa mwachangu, popeza madera omwe akhudzidwa salola jakisoni wa insulin kuti azilowetsedwa mthupi lonse.

Palinso njira yachikhalidwe yochizira lipodystrophy:

• kutengera zochitika zolimbitsa thupi,
• ndi zakudya zoyenera
• kutikita minofu tsiku lililonse.

Koma ndi njira izi, chithandizo chimakhalabe ndi mawonekedwe osagwira ntchito ndipo ndi choyenera kwambiri ngati prophylaxis osati chithandizo.

Ngati mumanyalanyaza chithandizo, ndiye kuti pali chiwopsezo chachikulu chowonetsedwa monga kupsinjika kwa insulin. Zimachitika mu 40% ya odwala matenda ashuga omwe akana kuthandizidwa ndi katswiri. Madera omwe akukhudzidwa ndi lipodystrophy amatha kuyatsidwa, chifukwa chake matendawa amafika pamenepo. M'milandu yapamwamba, imfa ndiyotheka.

Njira zochizira lipodystrophy:

• Ultrasound yokhala ndi inductometry. Chimodzi mwazinthu zofunikira kwambiri komanso zamankhwala zabwino. Mafunde akupanga amalowa pansi pakhungu ndipo amalimbikitsa magazi. Magawo osachepera 10 ayenera kumaliza, kubwereza miyezi iwiri iliyonse.
• Njira yothetsera novocaine imalowetsedwa m'dera lomwe lakhudzidwa ndi insulin (kuchepetsa ululu).
• Kusintha kwa malo opangira jakisoni.
• Electrophoresis
• Kudula khungu ndi chivindikiro.

Chithandizo cha atrophic mtundu lipodystrophy chikuchitika ndi mphamvu zochepa za ultrasound pogwiritsa ntchito hydrocortisone (peresenti imodzi). Nthawi ya njirayi sioposa mphindi khumi. Njira yakuchizira imayimitsa kukula kwa matendawa kwa zaka ziwiri.

Pankhani ya matenda ashuga nephropathy, akatswiri amapereka mavitamini okhala ndi chitsulo, mahomoni ndi okodzetsa.

Kupewa kwa Mavuto

Pofuna kupewa nthawi yayitali komanso yosasangalatsa chithandizo cha lipodystrophy, tikulimbikitsidwa kutsatira njira zingapo zoletsa matendawa. Endocrinologists apanga dongosolo loletsa lipodystrophy kwa odwala matenda ashuga:

• Kuwunikira pafupipafupi shuga.
• Kutsatira zakudya zoyenera komanso zoyenera zomwe zimapangidwira odwala matenda ashuga.
• Ndikofunika kugwiritsa ntchito kwambiri insulin ya kuyeretsa.
• Kugwiritsa ntchito mankhwala onse ofunikira adokotala kuti akhale ndi thanzi labwino pa matenda ashuga.
• Sinthani khungu kuti jekeseni. Osamagwera pamalo amodzimodzi kangapo.
• Pamaso jakisoni wa insulin, tikulimbikitsidwa kuti mutenthe mphamvu ndi insulini kutentha kwa firiji. Osabaya insulin yozizira mthupi.

Ngati mukukayikira lipodystrophy, yambitsani njira ya prophylaxis ndikutsatira malangizo onse a dokotala. Munjira imeneyi mokha mungakhale ndi mwayi wopewa zosintha zomwe sizingasinthe komanso zovuta zina.

Lipodystrophy imatha kumveka nthawi iliyonse, makamaka ngati mukudwala matenda a shuga. Ndikofunika kuzindikira matendawa munthawi ndikuyamba chithandizo nthawi. Zotsatira zabwino, kusintha kochepa chabe pakhungu kumatha kutsalira.

Mwachidule za lipodystrophy

Lipodystrophy - kusowa kwa malo wosanjikiza mafuta m'deralo. Imatha kudziwoneka ndi dzenje laling'ono, zotupa za dera lalikulu komanso mbali zingapo za thupi. Njira ya pathological sikugwira ntchito mu minofu ya minofu ndipo siziwopseza thanzi ndi moyo wa munthu.

Lipodystrophy siifalikira pamthupi pokha ndipo sikuti imawonjezera zovuta zomwe wodwalayo ali nazo. Kuchuluka komwe kumayambitsa ndikusakhutira ndi mawonekedwe a khungu lanu. Njira ya pathological nthawi zambiri imatchulidwa kumanja ndi miyendo, pamwamba pamimba ndi matako.

Pancreatic lipodystrophy

Insulin lipodystrophy imapezeka mwa anthu omwe ali ndi matenda osokoneza bongo ndipo amafunikira chithandizo cha insulin. M'madera ogwiritsira ntchito mankhwala osokoneza bongo, minofu yamafupipafupi yamafuta amatha. Zomwe zikuwonetsedwa zikuwonetsa kuti matenda amapezeka pafupipafupi mwa oyimira theka lofooka la anthu komanso ana.

Zomwe zimachitika

Chifukwa chachikulu cha atypical zochita za minofu ya adipose chimawerengedwa kuti ndi insulin mankhwala a shuga. Amakhulupirira kuti kupangika kwa ma pathological kumapangitsa kuti acidic ikonzekere insulin. Chochititsa chidwi cha lipodystrophy chitha kukhalanso:

• kuphwanya njira zoperekera insulin,
• kutentha thupi
• minofu yofewa
• kukondoweza kwa lipolysis chifukwa cha zovuta za insulin,
• kusakwanira kwa chitetezo chathupi,
• zosokoneza kagayidwe,
• kusasamala kwa mahomoni,
• matenda a chiwindi
• Giardiasis
• kuleza mtima osasunga malamulo a zakudya zabwino,
• Chithandizo cha mankhwala omwe si a antiidal
• kusuta
• uchidakwa
• kuledzera thupi
• kuyambitsidwa kosalekeza kwa mankhwala m'malo omwewo.

Chithunzi cha chipatala cha lipodystrophy mu matenda ashuga

Lipodystrophy mu matenda a shuga amadziwika ndi hyperemia komanso kuwonda kwa khungu kumalo a jakisoni wa insulin. Madera omwe akukhudzidwawa ali ndi malire omveka bwino ndipo amatha kuwonjezera, koma chotsatira chovulala. Mabala ndi zipsera m'malo otere sichichiritsa kwa nthawi yayitali, zilonda zam'mimba zachiwonetsero zimayamba, m'malo ovuta kwambiri.

Popita nthawi, njira za metabolic zimasokonekera m'thupi, ndipo ¼ odwala amakhala ndi insulin. Nthawi ya mayamwidwe mankhwala amasinthanso. Izi zimapangitsa kuti pakhale zovuta kusankha kuchuluka kwa mankhwalawa (makamaka insulin).

Chithandizo cha lipodystrophy mu shuga

Mankhwalawa ndi a nthawi yayitali komanso ovuta, nthawi zina samapereka zotsatira zomwe zikuyembekezeka. Pofuna kuthana ndi vutoli:

• electrophoresis ndi mankhwala - Novocain, Lidase,
• mankhwala a parafini,
• ultrasound
• inductometry
• Kusankha kukonzekera kwina kwa insulin ndi kusintha kwa malo awo oyang'anira.

Zotsatira zabwino kwambiri, chithandizo chovuta ndichofunikira. Chithandizo chiyenera kuyambitsidwa mwachangu momwe zingathere: izi zimathandiza kupewa zovuta.

Kupewa kwa lipodystrophy

Popewa matenda a lipodystrophy, ngati munthu ali ndi matenda ashuga, madokotala amalimbikitsa:

• Chitani pafupipafupi magazi a magazi
• tsatirani malamulo a zakudya zabwino (tebulo Na. 9),
• gwiritsani insulin yoyera kwambiri,
• tsatirani malangizo onse a dokotala komanso malangizo
• sinthani magawo a kasamalidwe ka insulin,
• sangalitsani vial ndi insulin musanayende.

Pofuna kupewa mapangidwe a lipodystrophy, ndikofunikira kutsatira njira ya jakisoni wa insulin, malo ena omwe amayambitsidwa. Amaloledwa kubaya mankhwalawo pamalo omwewo osaposa kawiri masiku onse a 60.

Ndikofunikira kuyang'anira kutentha kwa mankhwalawa. Pamaso pa jekeseni, insulini imatenthetsedwa mpaka kutentha pang'ono kwa chipinda. Kuti muchite izi, mankhwalawa amachotsedwa mufiriji mphindi 10 musanabayidwe.

Tsambalo la jakisoni limachiritsidwa ndi mowa, ndipo jekeseni isanachitike, ndikofunikira kuti pakhale pang'onopang'ono kuti mpweya utha. Njira yabwino ndi pampu ya insulin kapena jakisoni woboola pakati, koma muyenera kusintha singano musanalowe jakisoni aliyense.

Mutha kupewa kupangika kwa lipodystrophy. Zomwe mukufunikira pa izi: kutsatira malangizo a dokotala ndikuwatsatira.

Lipodystrophy ndi matenda ashuga

Ndi matenda a shuga, matenda amtunduwu ndi amodzi mwa zovuta kwambiri komanso zowopsa. Mu diabetesic lipodystrophy, kupanga kwa mahomoni kumakhala koperewera. Thupi limataya mphamvu yake yopatsana ndikugawa mafayilo.

Adipose minofu atrophies kapena hypertrophies. Masinthidwe ake amawonekera kwambiri pamalo a jakisoni wa insulin. Chithandizo cha mawonekedwe a insulin ndi yayitali kwambiri komanso yovuta. Chovuta chagona poti ndikofunikira kubwezeretsa tsogolo la mahomoni, osaletsa jakisoni wa insulin.

Matenda a diabetes a lipodystrophy ndi kupewa

Matendawa omwe akutuluka sangathe kunyalanyazidwa mulimonse, makamaka ndi matenda a shuga. Kuchiza panthawi yake kumatha kupulumutsa wodwala.

Mankhwala osinthika a atrophied adipose amalepheretsa insulini kuyamwa mwachizolowezi. Chifukwa cha zonyansa pakapangidwe ka minofu yamafuta, ndizovuta kusankha mlingo woyenera wa timadzi.

Kusintha pakhungu kulinso kowopsa. M'malo omwe amapangidwira kulowa mu hormone, maselo amafuta amadziunjikira. Ngati tizilombo toyambitsa matenda atalowa mu jakisoni kapena jakisoni wovulala, zilonda zam'mimba ndi zam'mimba zimatha. Mavutowa amafunikira chithandizo chanthawi zonse.

Zimakhala zovuta kuchira pazovuta zonse, ndipo nthawi zina zimawoneka zosatheka. Ndikosavuta kupewa kupezeka kwawo kuposa kuyesa kuchiritsa zowonetsa. Kupewa matenda a shuga a lipodystrophy kungathandize kuti thupi lizilekerera jakisoni wa insulin mosavuta.

Kuti mupewe kuwonongeka kwathunthu kwa minofu ya adipose, ndikofunikira kuyang'anira kudya kwanu, osapatula zakudya zomwe zili ndi zakudya zamafuta (mikate yoyera, maswiti, semolina) ndi zakudya zamafuta zazakudya.

Ultrasound ndi inductometry tikulimbikitsidwa. Maphunzirowa ali ndi magawo khumi. Pakati pa magawo pali nthawi yopuma patsiku.

Mafunde akupanga amalowa masentimita 10-12 mu minofu.Amasintha mkhalidwe wa pakhungu, amakhala ndi phindu pakutuluka kwa magazi. Pamaso pa njirayi, dokotala amagwiritsa ntchito mafuta enaake a hydrocortisone, omwe amathandizira kubwezeretsa maselo omwe akhudzidwa.

Ultrasound ndi inductometry zimathandiza kupewa lipodysrophy, komanso kukonza zomwe zimachitika wodwalayo.

Madokotala amalimbikitsa mwamphamvu kusintha malo opangira jakisoni ndi insulin. Mankhwalawa ayenera kutentha mpaka madigiri 36-37. Masamba obaya jakisoni amayenera kuthandizidwa ndi zakumwa zoledzeretsa, pambuyo poti jekeseni wapezeka, tsamba la jekeseni liyenera kupukutidwa ndi nsalu yosabala.

Pomaliza

Ndikovuta kusiya lipodystrophy yomwe idayamba. Izi sizongolakwika zodzikongoletsera zokha, komanso zowopsa m'moyo. Hormayo imaleka kulowa mu magazi, ndipo ma metabolic omwe amaphatikizidwa ndi mafuta amasiya.

Malamulo a insulin makonzedwe, kudya mokwanira komanso kuchita masewera olimbitsa thupi ndi njira yabwino kwambiri yopatsira matenda.