Steatosis ye pancreas: zvinokonzera, zviratidzo uye kurapa

Muhupenyu hwose, muviri wemunhu uri kunetseka kwakanyanya. Anofanirwa kutarisana nehutachiona hwehutachiona uye hutachiona, kurwisa basa rezvirwere zvepathogenic. Kune boka rose rezvirwere, kukura kwaro kunogona kudziviswa. Kuti uite izvi, iwe unofanirwa kudya zvakanaka uye unamatira kune mararamiro akanaka. Imwe yezvirwere izvi ndeyekudzivirira. Zvinokonzera, zviratidzo uye nzira dzekurapa kwechirwere ichi zvichataurwa kuti uonekwe munyaya yanhasi.

Steatosis ye pancreas: chii ichocho?

Kuti upindure mubvunzo uyu, unofanirwa kutsvaga mumatomu ekugadzirisa chirwere. Inomiririrwa nhengo dzakawanda, pakati peiyo pancreas dzinofanirwa kunyatsotarisirwa. Iine mabasa akawanda:

• Kubatanidzwa mukugadzirwa kwekudya (kubudisa ma enzyme zvakakosha pane izvi).
• Mutemo we endocrine system (carbohydrate metabolism, kubudisa insulini).
• Kugadzikana kwechirwere chechirwere chemuviri.

Kushanda kwehutano huripo hwemuviri hunoenderana nekushanda kwepascreas. Kubatanidzwa kwaro muitiro wehutano kunobata hutano hwehupenyu hwose.

Kazhinji vanhu vanofarira zvokudya zvinokuvadza vanokura maratosis wepascreas. Ichi chirwere chakakomba, umo masero emuviri anotsiviwa nemafuta. Dambudziko raro guru riri muchokwadi chokuti pakutanga zviratidzo zvinoratidzika zvehutachiona hahupo. Murwere angasaziva nezvehutano hwemakore akawanda.

Ndeipi nzira yekugadzirisa chirwere ichi? Pasi pesimba rezvimwe zvinhu, gland masero anotanga kufa. Zvirwere zvemuviri zvinopindura izvi. Anotanga kushingaira kukura masero ane mafuta, ayo anotora nzvimbo dzisingabviri mumuviri. Nokuda kwekushandura ichi, chimiro cheglandu chinoramba chiripo, asi mabasa ayo makuru anotasikirwa.

Zvishanu zvinokonzera zvinokonzera steatosis

Kubudirira kwechirwere kunogona kumutsa:

1. Kudya kwakakwana (kudya mishonga yakakangwa, mafuta kana yakabikwa).
2. Miitiro inokuvadza (kusvuta, kunwa).
3. Nzira yakaoma kana isingagumi ye cholecystitis.
4. Zvirwere zvakasiyana-siyana zvehutachiona hwehutachiona hwehutachiona.
5. Gallstone chirwere.

Kutora kwepancreas dzimwe nguva kune nhaka. Kana hama dzepedyo dzichionekwa kuti dzine chirwere, mikana yekuonekwa kwayo inowedzera kakawanda. Inonyanya kunzwisiswa nehutachiona hwehutachiona mupancre vanhu vane makore akakura. Bhuku iri rine ngozi rinosanganisira varume nevakadzi vanopfuura makore makumi matanhatu, pamwe chete nevanobata doro.

Izvozvo zviratidzo zvekutanga

Kutora kwepakreas kwenguva yakareba kwaisaonekwa sehosha. Pazvikamu zvokutanga zvekutora masero ehupi ehutano nemafuta, varwere havaoni zvinetso zveutano. Munguva pfupi yapfuura, vanachiremba vakawana kuti hurumende iyi haina kunyanya kuipa. Kana iwe ukanyatsocherechedza pane zvishoma zvishoma kuchinja maitiro ekudya, unogona kuona zviratidzo zvekutanga zvekudzivirira kwepascreas.

Chirwere ichi chinotanga kukura kwayo nekuratidzika kwekuora mwoyo shure kwekudya, flatulence uye bloating. Mukuwedzera, varwere vakawanda vanocherechedza kuitika kwechiitiko chinokonzerwa nehutano kune mamwe mapoka ezvigadzirwa. Apo chirwere chechirwere chinopararira pane zvikamu zvikuru zveglandu (zvinodarika 30% yehuwandu hwayo), mufananidzo wekliniki unowedzera nezviratidzo zvitsva. Pakati pavo, inofanira kuonekwa:

• Kushungurudzika kwechisimba pasi pebhokisi rinopa mushure.
• Nguva dzose kushaya simba mukati momuviri wose.
• Kusava nenzara
• Itching itch

Kana mafuta acho akabudirira pakugadzirisa chikamu chikuru chemuviri, murwere ane kurutsira uye mamwe matambudziko ane chirwere chepamuviri. Iyo panikreas haigoni kurarama nemabasa ayo, inogumira kubudisa yakawanda yakawanda yemakemikari. Chero panguva ino vateereri vanosarudza kutsvaka rubatsiro kubva kuna chiremba.

Kuongorora kwechiremba uye kuongororwa

Kana iwe uchifungidzira kuti steatosis yepancreas, iwe unofanira kuenda pakarepo kusangana ne gastroenterologist. Kuongororwa kwechirwere ichi kunotanga nemubvunzo wemurwere. Zvakakosha kuti chiremba azive kana chirwere ichi chikaonekwa, kuti murwere anodya sei, angave ane maitiro akaipa. Mushure mokudzidza anamnesis murwere, anonyorerwa kuti ave nekuongorora kwakakwana. Inowanzowanzoita zvinotevera:

1. Ultrasound ye pancreas (inobvumira kuti ione echogenic nzvimbo).
2. Kuongororwa kweropa (ne steatosis, uwandu hweAlbum-amylase huwandisa hutsika hunowanikwa kakawanda).
3. MRI yechirongwa (inobatsira kubvisa zvinyorwa zvinopisa zvinopisa).
4. X-ray nekushandiswa kwekusiyanisa (inokubvumira kuti uongorore dzose ducts yemuviri, mamiriro avo).

Kana mushure mokunge mugamuchira migumisiro yekuongororwa chiremba anovhiringidza kutanga kwekuongororwa, laparoscopy ne biopsy inowedzera kugoverwa. Nekubatsira kwechidzidzo ichi, unogona kunyatsoziva kana pancreas ine utano, uyewo uone rudzi rwechirwere.

Zvichienderana nehuwandu hwemasero anobatanidzwa mukurapa kwezvirwere, marudzi maviri ezvirwere anozivikanwa: akaisa pfungwa uye anopararira. Rudzi rwekutanga runoratidzwa nemunhu mumwe nomumwe pfupa. Kupararira kwepascosis kunokanganisa nhengo yose, saka kupisa kwepachivi kunoputika kunoratidzwa mumatumbu ose. Mushure mekusimbisa hutachiwana, chiremba anorayira kurapwa. Inogona kuva yemishonga uye inoshanda.

Nzira dzakachengetedza dzehutano

Kuoma kwechirwere kunotarisa maitiro ekurapa. Nechironda chediki, apo nhengo inoramba ichikwanisa kushanda zvizere, kurapwa kunongopedzisira kunotora mishonga uye kutevera kudya. Nzira yekurapa pancreas? Kuti kuenzanise kushanda kweGIT system, zvinodhaka zvinotevera zvinorayirwa:

• Enzyme ("Creon", "Digestal", "Festal"). Kushandiswa kwavo kunobatsira kuzadza kusasha kwezvinhu zvinobatsira nzira yekudya zvokudya.
• Inhibitors yeproton pump ("Omeprazole" "Lansoprazole"). Kushandiswa kwenguva refu kwemishonga kunogona kuderedza kushandiswa kwehydrochloric acid mudumbu.
• Suction blockers ("Xenical", "Ideal"). Mhedzisiro huru yemishonga iyi ndeyokukurumidza kubviswa kwemafuta kubva mumatumbo.

Kurapa zvinodhaka, kusanganisira kuyerwa kwezvinodhaka uye nguva yekudya kwavo, kunosarudzwa mumwe nomumwe.

Nheyo dzemitemo yekudya

Hazvibviri kugadzirisa zvachose chirwere chacho. Chimiro chechimiro chinogona kuchinjwa nemasero anopa utano. Ndinokwanisa here kumisa steatosis ye pancreas? Kuti udzike mberi kufambira mberi kwechirwere ichi, unofanirwa kuomerera kune zvakanyanya kudya kudya kwemwedzi mitatu.

Varwere vanokurudzirwa kuti vaise muzvokudya zvavo nyama yakasviba nehove, cottage cheese, zvigadzirwa zvemucheka zvakagadzirwa, uyewo michero nemiriwo. Zvisinei, tichafanira kurega doro, zvinotapira uye upfu. Yakakosha uye yezvokudya zvekudya zvakare inowira pasi pekurambidzwa. Kudya ne steatosis zvinoreva kutevedza mamwe mitemo:

1. Kuidya kunokosha muzvikamu zviduku nezviduku (5-6 kakawanda pazuva).
2. Inorambidzwa zvachose kuderedza calorie yehuwandu hwezvokudya (inenge 2600-2800 kcal pazuva).
3. Zvose zvinogadzirwa zvinofanirwa kuve zvakabikwa mune kaviri yemoto kana kubikwa muvheni.

Pasina kuchengeta mitemo yakanyorwa pamusoro apa, hazvibviri kumira kupisa kwepancreas. Kudya pamwe chete nemishonga inodhaka kunobvumira kuwana chibereko chakanaka mukurwisana nechirwere ichi, kuti usapindira kupindira.

Kurapa kushandiswa kwehutachi

Kurapa kunobatanidza kushandiswa, panguva iyo chiremba anobvisa nhengo dzomukati. Izvi zvinyorwa zvinogona kufambisa intrasecretory ducts uye masero eiri. Kupindira kunoitwa nekushandisa aneshehesia yakawanda. Nzira yacho pachayo inowanzoitwa endoscopically. Kubatsira kupindira kwekuvhiya hakusi kushandiswa kune dzimwe nguva. Basa racho rakarurama kana pane mafuta akawanda ekuunganidza mumhepo iyo inodzivisa kupera kwakakwana kwekuvharidzira gland.

Home Treatment

Ziva nzira yekurapa pancreas, uye vanachiremba vevanhu vanoziva. Nzira iri nyore yekurega zviratidzo zvisingafadzi ndeyokubika oatmeal jelly. Nekugadzirira kwayo, zvakakosha kudururira hafu yepakiti ye "Hercules" nemvura yakabikwa uye inobva munzvimbo inotonhora. Mvura yacho inofanira kufukidza zvose zvinokonzera. Mushure memazuva maviri, uwandu hunofanirwa kuve hwakanatswa, uye hutema hunofanira kubviswa. Kissel inogadzirwa kusvikira yakagadzirira, kana kuti, pamberi pemabhubu asati aonekwa pamusoro payo. Chigadzirwa chinoguma chinofanira kudirwa mumakapu ndokuiswa mufiriji. Mangwanani oga oga pane dumbu risina chinhu unoda kudya imwe yakadaro yejelly.

Nzira dzekudzivirira

Steatosis ye pancreas: chii ichocho? Mubvunzo wakafanana iye zvino unobuda kuvanhu vakawanda. Mushure mokuverenga nyaya ino, unogona kuona dambudziko rose rechirwere ichi. Zvingaita here kudzivirira kuitika kwayo?

Kudzivirirwa kwebasa rinosanganisira nzvimbo mbiri: kurapwa kwezvirwere zvinogona kukuvadza kukura kwayo, uye kurambwa kwezvinodhaka. Izvo zvose ndezvokuti kusvuta uye kushandiswa kwezvinwiwa zvinodhaka zvinoparadza zvakaipa zvepancreas. Kuti udzivise chirwere ichi, zvinotevera zvinofanirwa zvinofanira kuwedzerwa kuonekwa:

• Nguva dzose unozoongorora miedzo navanachiremba.
• Kuchengeta kudya, kwete kubvumira kukura kwekuneta.
• Kuteerera kumararamiro anoshanda, kutamba mitambo.
• Dzivisa mamiriro ezvinhu anonetsa.

Munhu wose anofanira kuziva chii chinonzi steatosis yezviratidzo zvepancreas. Kurapa, kunoitwa panguva yekutanga kwechirwere, kunenge nguva dzose inoratidzirwa nemaitiro akanaka. Kana murwere achiomerera pane zvakanyanya kudya uye akatora mapiritsi, ane mukana wega wega wekutapudza chirwere chacho. Kana zvisina kudaro, kupindira kwakakomba kunobvunzwa. Zvisinei, zvigumisiro zvaro hazvigone kuonekwa.