I-pancreatic lipomatosis yisifo esiyivelakancane, esibonakalisa njengokufakwa kwamafutha noma ukufakwa kwezicubu ze-pancreatic gland ngamaseli wamafutha. Ukushintsha kwamafutha kungaba sendawo noma okuphelele.
I-etiology yalesi sifo ayikakaqondakali ngokuphelele. Lesi sifo sivame ukuhambisana nokuxilongwa okuthile okufana nakho.
Izifo ezinjalo zingafaka:
- Ukukhuluphala ngokweqile
- Ukwanda kwesifiso sokudla.
- Izinkinga ngamanyikwe.
- Ukutheleleka njalo kwegciwane.
Kuyaziwa ukuthi kaningi isifo esifana nalesi sitholakala ezigulini ezindala, izimbangela zokubonakala kwaso zingahlukahluka.
Izimpawu zesifo zingahluka. Zincike kakhulu kusilinganiso sokubuyiselwa kwezicubu ze-glandular ngezicubu ze-adipose. I-degree yokuqala imvamisa njenge-asymptomatic. Kodwa-ke, ukuvela kwesifo sohudo nobuhlungu besisu kuwuphawu olujwayelekile lwalesi sifo.
Imvamisa, kungenzeka ukuthikamezeka kwasendaweni kwe-duodenal loop. Ngakho-ke, udokotela uvame ukuhlaziya i-pancreatic lipomatosis njengokuxilongwa okungenzeka okungajwayelekile esigulini esine-malabsorption. Ukuhlolwa kwe-tumbo esiswini kunganquma ukuthi isiguli sine-lipoma.
Imvamisa, phindisela ushintsho lwe-pancreatic, njenge-lipomatosis, lubonakala ngokufakwa kwamaseli akhethekile we-gland ngezicubu ze-adipose.
Lesi sifo yisimo esijwayelekile kakhulu se-pancreas esidala. Amaningi amacala ahlala e-asymptomatic, futhi kuphela amanye ama degree angajwayelekile we-lipomatosis angaholela ekuholeni kokuphelelwa ngamandla kwe-pancreatic, futhi isibindi sihlupheka nalokhu okwenzeka emzimbeni.
Ukwelapha lesi sifo, kufanele ushintshe indlela odla ngayo. Ukudla kuleli cala kuyindlela ephumelela kakhulu yokwelapha.
Kuyini lipomatosis?
Uma ukhuluma ngqo ngokuthi siyini nokuthi usilapha kanjani, kubalulekile ukuthi uqaphele ukuthi i-etiology eqondile yesi sifo ihlala ingacacile.
Izifundo eziningi okwamanje ziyaqhubeka, kepha odokotela abakayitholi impendulo eqondile.
Kwatholakala ukuthi ukuqala kwalesi simo kungahle kuhlotshaniswe nezifo eziningana.
Lezi zifo yilezi:
- isifo sikashukela mellitus;
- i-metabolic syndrome;
- i-pancreatitis etholakele noma yefa;
- i-hepatitis yotshwala;
- i-cystic fibrosis.
Imvamisa, iziguli zitholakala ukuthi zine-pancreatic fibrolipomatosis - kuyini, ukuthi ungasisingatha kanjani lesi sifo, udokotela ohambelayo uyachaza. Kubalulekile ukuqonda ukuthi lesi yisigaba esiyingozi ngokwengeziwe sokuthuthuka kwalesi sifo, ngokwesibonelo, i-lipoidosis. Kuhambisana nokwakheka okuvame ukudlula emathunjini e-oncological.
I-pancreas iyisitho se-endocrine nesitho se-exocrine. Ingxenye ye-exocrine icishe ibe yi-80% yenani eliphelele lamaseli e-glandular futhi iqukethe izinhlobo ezimbili ezahlukene:
- Amaseli e-acinar (ikakhulukazi athola ama-enzymes wokugaya ukudla);
- Ama-duct cell (ikakhulukazi athola uketshezi nama-electrolyte).
Ingxenye ye-endocrine ifaka iziqhingi ezijwayelekile zama-Langerhans, aqukethe izinhlobo eziningana zamaseli asakazeke kwizicubu ze-exocrine.
Isifo sinqunywa kanjani?
I-Lipofibromatosis, i-lipomatosis kanye nokubuyiselwa kwamafutha e-pancreatic izinqubo ezijwayelekile kakhulu ze-benign ze-pathological esithobeni kubantu abadala.
Ngokwedlule, le nto ibangela ukwanda kwe-hypodotension, njengoba kungabonakala ku-CT nakwi-hyperecho ejwayelekile, etholakala ngesikhathi kuhlolwa yi-ultrasound.
Ukuqongelelwa kwamafutha kumanyikwe (i-pancreas (lipomatosis)) kanye nokufakwa esikhundleni kwezingxenye ezahlukahlukene zamanyikwe ngamanoni kwakubizwa ngokuthi ukuqondana okuhlukile
Kwezokwelapha, kusetshenziswa izifanekisombhalo ezilandelayo:
- i-pancreatic lipomatosis;
- ukushintshwa kwamafutha;
- ukungena kwamafutha;
- ama-pancreas anamafutha;
- lipomatous pseudohypertrophy;
- izifo ezingadakwanga utshwala zamanyikwe;
- i-pancreatic hepatosis.
Ngokusekelwe emiphumeleni ehlukahlukene yokubuka, umuntu angahle asebenzise igama elithi "ukungena kwe-lipomatous". Lokhu kungenxa yokuthi lapho iziqhingi ze-pancreatic glandular ziphenduka zingahlukaniswa nezicubu ze-adipose, ukuguqulwa kwe-infusion modensity (CT), i-echogenicity (ultrasound), kanye ne-signal (MRI) kuyabonakala.
Lapho iziqhingi ezi-pancreatic zinyamalala noma zithathelwa indawo ngamafutha ngokuqinile, kungashiwo "ukufakwa kwamafutha" okusobala.
Ngokufanayo, igama elithi “lipomatous ukungena kolimi” lisetshenziswa lapho inqubo ibonakala iphinde iguqulwe.
Izindlela zokwelapha i-pathology
Izinga elikhulu lokwehla kwesimo se-pancreas lingahlanganiswa nokuncipha kwemisebenzi yalesi sitho, ngokulandelana, lokhu kungahle kuholele ekungeneleleni kwe-pancreatic. Lesi simo siholela ekukhuleni kwezinkinga ngokugaya izakhamzimba nezimpawu zomtholampilo, kufaka phakathi isifo sohudo esingamahlalakhona, i-steatorrhea kanye nokunciphisa umzimba ngaphandle kobuhlungu besisu noma isifo sikashukela.
Kuphakanyisiwe ukuthi kunobudlelwano obuqondile phakathi kwe-pancreatic AF nokungafinyeleleki kahle kwalesi sitho. Izifundo ezengeziwe ezisebenzayo ziyadingeka ukuthola amazinga aqondile e-AF angadala ukwehluleka kwezimpawu. Ngemuva kokuba kwenziwa konke ukuhlola, kubalulekile ukunquma ukwelashwa okusebenzayo kwesi sifo.
Kumele kuqashelwe ukuthi ezimweni eziningi, izindlela ezisebenzayo zokwelapha lesi sifo ziyasetshenziswa. Ukusetshenziswa kwezindlela zokuhlinzwa kungaholela emuva ekubuyeleni emuva. Ngakho-ke, into yokuqala ukuthi odokotela bancoma ukuthi banake iziguli ezinikezwe lokhu kuhlolwa ushintsho lwendlela yokuphila. Udinga ukulandela ukudla okuqinile, ukuchitha isikhathi esithe xaxa emoyeni omusha, ukudlala imidlalo. Nge-lipomatosis, ungenqaba ukudla okwesikhashana. Ukuzila ukudla okwelapha nge-pancreatitis sekuzibonakalise kahle, ngakho-ke, ngale ndlela, le ndlela izosebenza futhi.
Kubalulekile ukwehlisa umzimba, lesi seluleko esisebenzayo maqondana nokulwa nalesi sifo. Ukuze lokhu kwenzeke, isiguli kufanele silandele imithetho ethile yokudla okunempilo, futhi sizibandakanye nemidlalo ethile. Ukudla kufanele kube nemifino, kungcono ukudla cishe izikhathi ezi-4-5 ukungqongqoza. Ukudla okunamafutha nokuthosiwe kuzodingeka kushiywe. Kulokhu, ukudla kwezitshalo kuzoba wusizo olukhulu.
Kunconywa ukusebenzisa okuningi:
- I-Jerusalema artichoke.
- Ithanga
- UZucchini.
Ukudla okuqondile kanye nenani elidingekayo lokuzivocavoca komzimba kuchazwe udokotela ohambelayo.
Ukwelashwa ngemithi yabantu
Ukuxilongwa okungenhla akunakubizwa ngokuthi kufile empilweni yomuntu, kepha ngasikhathi sinye, uma uqala lesi sifo kungaholela emiphumeleni emibi.
Imithi isetshenziswa ngemuva kokuhlinzwa ukuze kubuyiswe ukusebenza kwe-gland.
Kukhona nezindlela zabantu zokuqeda leyo nkinga. Lezi zindlela kufanele zisetshenziswe njengezindlela ezengeziwe ngokuhlanganiswa nokwelashwa kwendabuko.
Phakathi kokupheka okuthandwa kakhulu okuvela emvelweni, kufanele kuphawulwe njengokuthi:
- Ukusetshenziswa kwe-hemlock tincture. Udinga ukuyisebenzisa nsuku zonke, kancane kancane ukhulisa umthamo. Usuku lokuqala - 1 ukwehla, nokunye, kuze kube yilapho umthamo ufinyelela amaconsi angama-40.
- Isicelo herbal. Ukuze wenze lokhu, udinga izimbabazane, i-valerian, i-calendula kanye ne-wort yaseSt. Konke lokhu kuhlanganiswa ngokulingana futhi kuthululelwa ngamanzi abilayo (ingilazi eyodwa yanele). Lokhu kungeniswa kudakwe isikhathi esingenamkhawulo, okuwukuphela kwento okufanele yenziwe ukukhefu isonto, njalo ezinsukwini ezingamashumi amabili.
- I-decoction yegxolo le-aspen. Iphuzwa cishe kane ngosuku, cishe isipuni esisodwa. Inkambo yokwelashwa - ngenyanga. I-decoction ayisizi kuphela ukususa izimpawu ezingemnandi ze-lipoma, kepha futhi ibuyisa ukwakheka kwama-hormone e-pancreatic.
- Okuthandwayo ekwelashweni kwalesi sifo yikhambi labantu njenge-mummy. Isetshenziswa kuma-gramu ayi-0,2 izikhathi eziningana ngosuku. Isikhathi sokwelashwa singamaviki amabili, ngemuva kwalokho kuye kwenziwa ikhefu elifushane futhi ukwelashwa kuqale kabusha.
Njengoba kushiwo ngenhla, umuntu akufanele athembele ukuthi ezinye izindlela zokwelapha zingathatha indawo yokwelashwa kwendabuko. Kunoma yikuphi, awukwazi ukwenza ngaphandle kokubonisana nodokotela wakho.
Ezimweni eziningi, kuzodingeka uguqukele ekuhlinzwa. Umuthi wendabuko, kunalokho, usiza ukugwema ukubuyela emuva okuphindayo. Kepha ngaphambi kokusebenzisa noma yiziphi izindlela ezichazwe ngenhla, kufanele uqale uthintane nodokotela wakho.
Mayelana nemisebenzi ye-lipomatosis ne-pancreatic kuchazwe kule vidiyo kule ndatshana.
