Uma isiguli sakha izinqubo zokuvuvukala noma zokutheleleka, singakhuluma ngokunqotshwa kwanoma imaphi amathumbu.
Kulokhu, iqembu elithile lezimpawu livame ukubonwa elibonisa lesi sifo.
Izimpawu zomtholampilo eziphambili nezikhombisa kakhulu ezingabhekwa kaningi ngokungapheleli kwe-pocrreatic puffreatic yilezi ezilandelayo:
- Zonke izinhlobo zokuphazamiseka kwendlela yokugaya ukudla ziyasebenza ikakhulukazi emvelweni, ezivela ngenxa yokungabi nalutho kokugcwala kwama-enzymes wokugaya ukudla. Lokhu kufaka futhi ukubonakala kwe-flatulence, izinhlungu esiswini sangaphezulu, izitulo ezikhululekile;
- Ukwehla kwesisindo somzimba nesisindo sesiguli;
- I-Steatorrhea creatorrhea amilorrhea.
Lapho uhlola izinga le-glycosyl hydrolase, kubalulekile ukubheka iqiniso lokuthi izinga layo likhuphuka kakhulu esigabeni sokuqala sokwanda kwe-pancreatitis engapheli.
Inani eliphakeme lesikhombisi lingaqapheleka ngosuku lokuqala, ngezinsuku ezi-2-2 izinga le-amylase liyancipha, ku-4-5 lijwayelekile. Ngalesi sikhathi, ubudlelwane obunqobayo buvame ukubonwa phakathi kwe-amylase ne-lipase, lapho ukwehla kwezinga lesinkomba sokuqala kubangela ukwanda kwesibili.
Ngokuphikisana nezinga le-amylase, izinga le-lipase livame ukukhuphuka kusukela ekugcineni kwezinsuku ezingama-4-5 futhi lihlale liphakanyisiwe cishe izinsuku eziyi-10-13, bese liyancipha.
Lokhu kwephula umthetho wukuba khona kwenani elikhulu lamafutha, alethwe ngesimo samafutha acid nezinsipho. ISteatorrhea ingumphumela wokwephulwa kokuwohloka kwabo nokumunyelwa emathunjini.
ISteatorrhea inezinhlobo eziningi:
- I-Alimentary steatorrhea. Lolu hlobo luhambisana nokudla kwamafutha amaningi emzimbeni. Uhlelo lokugaya alunawo amandla anele okukugaya, ngenxa yalokho, luhlala luthambile;
- Isisu sangasese. Ukuthuthuka kwalesi sifo kungenxa yokungakwazi kwamathumbu omuntu ogulayo ukumunca amanoni;
- I-pancreatic steatorrhea. Kuvela njengomphumela womsebenzi we-pancreas, lapho kukhiqizwa inani elinganele le-enzayimu ye-lipase edingekayo ekuqhekekeni kwamafutha.
Imvamisa ukwenzeka kokungasebenzi kahle okunjalo emzimbeni kuthonywa wukudla komuntu, lapho kudliwa khona inqwaba yokudla kwamafutha, okuthinta kakhulu umsebenzi wamanyikwe.
Izimpawu zingokulandelayo:
- Umuzwa wokuba nesiyezi ngezikhathi ezithile;
- Ukuqunjelwa amathumbu;
- Ukuqhakaza kaningi;
- Ukwehla kwesisindo okuqinile kwesiguli ngokudla okunempilo nokuzivocavoca okulinganiselayo;
- Isikhumba sabantu abathintekile yilesi sifo simbozwe ngogwebu owomile, bayakhonkotha;
- Izindebe ezimile ziyabonakala, imifantu ifakwa emakhoneni omlomo.
Ngokuvimbela lesi sifo, kunconywa ukuthi kusetshenziswe iqoqo lezinyathelo ezingavumeli nje ukuthi lesi sifo sivele futhi sikhule, kepha futhi zivikele ezinye izinkinga eziningi ezihambisana nomsebenzi wepheshana lesisu:
- Ukuthuthukiswa kokudla okusekelwe enanini elilinganayo lokudla okunamafutha, ama-carbohydrate kanye namaprotheni, nakho okunomphumela omuhle esizalweni nakwamanye amalungu angaphakathi;
- Ukwenqaba ngokuphelele ukusetshenziswa kweziphuzo ezidakayo, ezingadala ukungasebenzi kahle kwezitho ezithwala ukugaya, kuvimbela ukuqedwa kwezinto ezinobuthi emzimbeni, ukwakheka kwe-cirrhosis;
- Ukuxilongwa ngesikhathi kanye nokwelashwa kwezifo ezingaba nomthelela ekuwohlokeni okunganele kwamafutha emzimbeni kanye nokwakheka kwezimpawu zokufakwa emzimbeni wezindundana.
Ukwelashwa okusebenzayo kwalesi sifo, kubalulekile ukuthi ungakhohlwa ukulandela indlela yokudla, lapho ukugcizelela okuyinhloko kusetshenziswa inyama ebilisiwe eyenziwe inhlanzi nenhlanzi, ubisi olunamafutha amancane.
Isifo lapho kutholakala khona izicubu zemisipha ezingafakwanga esihlalweni sesiguli ngesikhathi sokuhlinzwa. IMusrhea, njenge-steatorrhea, ivela ngokuhlobene nokuphazamiseka kokugaya ukudla.
Inani elincishisiwe nomsebenzi ophansi wama-enzyme ngeke uqinisekise ngokuphelele ukuwohloka ngokuphelele kwemicu yama-coarse yemisipha.
Ngaphezu kwalokho, ngesibonakaliso se-pathological efana ne-creatorrhea, izimbangela zentuthuko zingumphumela wokudla okunganele kwe-chymotrypsin ne-trypsin, kanye namanye ama-enzyme e-proteinolytic, e-duodenum.
Ukuvela kwalesimpawu kungaba nomthelela kulokhu:
- Ukulimala kwama-pancreas noma isimila;
- Ukusetshenziswa kabi kotshwala;
- Izinto ezinobuthi ziboshwe emgodini wesisu.
Izimpawu eziphambili zalesi sifo zibhekwa:
- Ukuba khona kobuhlungu obukhulu;
- Isicanucanu esivamile nokuhlanza;
- Ukuba khona kwezicubu zemisipha ezingonakalisiwe ezinduneni.
Ukukhethwa kokwelashwa kwalolu phawu lwe-pathological kuya ngokuthi yisiphi isifo esasibangela, ngoba okokuqala kudingekile ukuqeda imbangela yezimpande. Kodwa kunoma yikuphi, i-creatorrhea steatorrhea, kanye nezifo ezibangele, zidinga ukwelashwa okuyinkimbinkimbi.
Uma i-pathology isesigabeni esikhulu, zonke izindlela zokwelapha zenziwa kuphela ezimeni zokuma.
I-Amylorrhea yisifo samathumbu esibonakala ngokuba khona kwesitashi esingafakwanga ezindlebeni. Isitashi esisemathuneni sehle kuze kube ushukela, kepha uma sinikezwe lokho kugaya kungathikamezeka, lokhu akwenzeki futhi isitashi siqala ukutholwa emafutheni ngamanani amakhulu.
I-Amilorrhea yenzeka ngokukhuphuka kwemfihlo yesisu ngenxa yokuqhamuka kwe-salivary amylase ngokuqukethwe kwe-acid esiswini. Ngaphezu kwalesi sici, kunobudlelwano phakathi kwe-acidity eyandayo yesisu nokukhipha okusheshayo kokuqukethwe kwamathumbu, ngaphandle kokuphakama kwekhwalithi ephezulu nokuphelele kwesixhumi sokudla.
Lesi sici sivela ngenxa yokuthi i-hydrochloric acid iphonswa endaweni ethe xaxa ye-alkaline yamathumbu, ikhulisa i-peristalsis yayo. I-amylorrhea ebukhali ivela ezifweni ezivuthayo kanye nase-atrophy ye-pancreas. Kulokhu, akukho ukungena okunganele noma ukungabikho ngokuphelele kwama-enzymeni we-pancreatic ku-lumen yamathumbu, kufaka phakathi i-pancreatic amylase, okuholela ekungeneni kwama-starch okusanhlamvu esitofini.
Ukuvela kwe-amylorrhea nakho kuqhutshwa yizilonda ezivuthayo zodonga lwamathumbu, lapho ukuthuthuka okuvama kakhulu kwesigaxa sokudla kumgodi wokugaya, ngokulandelana, uhlelo lwe-enzyme alunaso isikhathi sokuqeda ngokuphelele isitashi esitholwe emzimbeni. I-prognosis yokutholwa kwenkinga ngesikhathi kanye nokuqedwa kwayo kuyinto enhle.
Imininingwane nge-steatorrhea, i-creatorrhea ne-amylorrhea inikezwe kuvidiyo ekulesi sihloko.
