I-pancreatitis engapheli ingenye yezindlela zenqubo yokuvuvukala eyenzeka kumanyikwe. Lesi sifo sibonakaliswa yinkambo ende lapho izinguquko ezingaphenduki zomzimba zenzeka khona emangqamuzaneni nasezithanjeni ze-gland.
Uma i-pancreatitis engapheli inzima, iphesenti elikhulu lokufakwa esikhundleni kwezicubu ezinempilo ezinezicubu ezihlangene nezine-adipose zingabonakala kumanyikwe. Ngenxa yalokhu kuguqulwa emzimbeni womuntu kukhula:
- ukungapheleli kwe-exocrine, okuboniswa ngokuphelele ukungabi nama-enzymes wokugaya ukudla;
- ukungasebenzi kahle kwe-intracecretory dysfunction, okuqala ukwakha ukubekezelelana kwamaseli nezicubu zomzimba kushukela, bese kubangela ukukhula kwesifo sikashukela i-mellitus.
Imvamisa lolu hlobo lwesifo sikashukela lubizwa ngokuthi uphawu noma i-pancreatic, okungukuthi, libonakaliswa njenge-pancreatitis engamahlalakhona. Kodwa-ke, le ndlela akuyona eyejwayelekile.
Iningi labantu abanesifo sikashukela sohlobo lokuqala nolwesibili kungekudala bagula ngokuvuvukala kwepancreatic.
Futhi iziguli ezine-pancreatitis engapheli zingasigwema isifo sikashukela.
Isifo sikashukela se-pancreatic sikhula kanjani
Indlela yokuthuthukiswa kwesifo sikashukela esinezimpawu ingachazwa kalula njenge-triad of syndromes:
- izinhlungu
- Ukugaya ukudla kuyacasuka;
- isifo sikashukela mellitus.
Uma lolu daba lubhekwa ngemininingwane eminingi, kungaphawulwa ukuthi izinguquko ze-pathological zenzeka ngokuya ngesimo esilandelayo:
Isigaba esiyinhloko se-pancreatitis, ngokukhishwa kwesikhashana kanye nokuqubuka okwanda kwenqubo yokuvuvukala. Kuhambisana nobuhlungu bokuqina obuhlukahlukene kanye nokwenziwa kwasendaweni. Isikhathi salesi sigaba sifinyelela eminyakeni eyishumi.
Esigabeni esilandelayo, izimpawu zokungasebenzi kokugaya ukudla ziba yindawo yokuqala: ukushaya kwenhliziyo, isicanucanu, ukugabha, ukubhebhetheka, uhudo, ukuntuleka kokudla. Ukuphazamiseka okuyisisekelo kwe-carbohydrate metabolism kuziveza njengesici esimweni se-hypoglycemic. Lokhu kungenxa yokuthi amaseli we-beta acasulayo we-pancreas onesifo akhiqiza ukuphuma kwe-insulin.
Njengoba i-pancreatitis engapheli idlula esigabeni sokunganakwa, amangqamuzana esitho ayabhujiswa, futhi kwakhiwa ukubekezelelana kwe-glucose. Esiswini esingenalutho, ukuhlangana kweglucose egazini kuhlala kuyinto evamile, kuthi emva kokudla kudliwe kube ngaphezulu, kanye nesikhathi esivumelekile se-hyperglycemia.
Isiphetho yi-mellitus yesifo sikashukela, ekhula ngaphezu kwesithathu kweziguli ezinomlando we-pancreatitis engamahlalakhona. I-DM ye-etiology ehlukile kutholakala iziguli ziphindwe kabili.
Izimpawu zesifo sikashukela se-Pancreatic
Iziphi izici ezinesifo sikashukela esinazo nge-pancreatitis engapheli? Lolu hlobo lwesifo sikashukela lubonakala ngezimpawu zomuntu ngamunye. Yibona abahlukanisa ushukela we-pancreatic noshukela wolunye uhlobo.
Iziguli zivame ukwehla kakhulu ushukela wegazi, ngenxa yalokho okhula ngalo i-hypoglycemia. I-ketoacidosis ebonwe ngesifo sikashukela ebangelwa ukuntuleka kwe-insulin ayiyona indlela yesifo esibonakala ngayo.
Ukwehlulwa kwemithambo emikhulu, imithambo ephakathi, ama-capillaries kanye ne-arterioles kubhekelwa kaningi kakhulu kunokuba kunesifo sohlobo 1 nohlobo 2.
Ezigabeni zokuqala zesifo sikashukela, amaphilisi okwehlisa ushukela ayasebenza. Ngokuzayo, ukusetshenziswa kwazo akunangqondo. Isidingo sokwelashwa kwe-insulin siphansi.
Ukubuyiselwa emuva kungenziwa kusetshenziswa izidakamizwa zeqembu le-sulfonylurea, ukudla kanye nokuzivocavoca umzimba.
I-pancreatitis ibonakala kanjani kusifo sikashukela sohlobo 2
Imvamisa, ngokumelene nesizinda sokuvuvukala kwe-pancreatic, uhlobo 2 lwesifo sikashukela luyakhula. Lokhu kwenzeka uma, ngesikhathi senqubo yokuvuvukala, ukugcwala kweglucose egazini kukhuphuka. Lesi sifo siqhubeka nobuhlungu obukhulu esifundeni sesisu nokuphazamiseka kokugaya ukudla.
Odokotela baphawula izigaba eziningana zokukhula kwalesi sifo:
- Kuphinda kuqubule i-pancreatitis nokuxolelwa.
- Ukuphazamiseka kwe-carbohydrate metabolism okwenzeka ngenxa yokucasuka kwe-beta-cell.
- Ukuqala kanye nentuthuko yesifo sikashukela sohlobo 2.
Kubalulekile! Isifo sikashukela nge-pancreatitis sivela cishe ku-35-40% wabantu.
Zombili lezi zifo zandisa kuphela umphumela we-pathological womunye nomunye emzimbeni womuntu. Ngakho-ke, iziguli ezine-pancreatitis akufanele ziphathe lesi sifo hhayi kuphela ngezindlela zokwelapha, kodwa futhi zilandele nokudla okufanele.
Isifo sikashukela namanyikwe
Ngokukhula kwesifo sikashukela, ama-pancreas aba nezinguquko ezinkulu ze-pathological. Ngalesi sikhathi, izilonda ze-dystrophic zeziqhingi zaseLangerhans ziyabonakala. Okwamanje lapho kwenzeka ukuvela kwabo, amaseli e-endocrine ancishiswa ngosayizi. Ngaphezu kwalokho, amanye amaseli ayafa.
Ngemuva kwalokho, ukwehluka okubili kumaseli wamanyikwe kuvunyelwe. Inketho yokuqala ukuthuthukiswa kwe-pancreatitis, kanti okwesibili kubonakaliswa yimiphumela edabukisayo kakhulu - ukuqeda ngokuphelele ukusebenza kwethambo.
Lokhu kungenxa yokuthi endaweni yamaseli afile, izicubu ezixhunywayo zikhula, ezithambisa amaseli ajwayelekile, bese ziyafa.
Ngakho-ke, isifo sikashukela i-mellitus asenzi nje kuphela ushintsho olonakalisayo kumanyikwe, kodwa sikwazi ukusishabalalisa ngokuphelele isitho.
Ungayelapha futhi ubuyisele kanjani ama-pancreas
Uma umuntu kanyekanye enesifo sikashukela nepancreatitis, ukwelapha isiguli esinjalo kunzima kakhulu. Lokhu kungenxa yokuthi ukusetshenziswa kwekwelashwa okubuyiselwayo akudingeki nje kuphela ekubuyiseleni i-carbohydrate metabolism, kodwa futhi nokuqeda ukuntuleka kwe-enzymatic.
Kulokhu, kuyadingeka ukwelapha ngamalungiselelo akhethekile we-hormonal kanye ne-enzymatic. Kumele kukhunjulwe ukuthi ukwelashwa ngamaphilisi ngeke kulethe amandla amahle.
Kubalulekile futhi ekwelashweni kwe-pancreatitis ne-hyperglycemia ukuqaphela ukudla okufanele. Kulokhu, kuyadingeka ukukhipha kuyo yonke imikhiqizo eyingozi. Kuphela uma yonke imithetho ibhekwa ingatholakala imiphumela ebonakalayo ekulweni nezifo zombili.
Ukudla kwesifo sikashukela se-pancreatic
Ukwelapha ngempumelelo isifo sikashukela kanye ne-pancreatitis, isiguli kufanele sigcine ngokuqinile zonke izincomo zesazi sokudla. Okokuqala, kufanele ulahle ukudla okunezipayisi nokunamafutha. Kuyadingeka ukukhawula imikhiqizo yokubhaka ekudleni, amaswidi kuphela abanesifo sikashukela avunyelwe, kanye nesinkwa sikashukela.
Kufanelekile ukugwema ukudla ama-broths wenyama, iklabishi, ama-apula, amasoso kanye nemayonesi. Ukudla okunjalo kuyacasula i-epithelium yamathumbu.
Uma kunomlando wazo zombili lezi zifo, odokotela bancoma ngokuqinile ukuthi ulandele lokhu kudla okulandelayo:
- Izithelo nemifino (300-400 g).
- Ukugqoka kokudla (60 g).
- Ukudla kuphezulu ngamaprotheni (100-200 g).
Uma ulandela lezi zincomo, ukwelapha i-gland eyonakele kuzoba lula kakhulu. Kancane kancane, izoqala ukubuyisela imisebenzi elahlekile, futhi isimo sesiguli sizinza. Lokhu kudla kufanele kwenziwe ngokubambisana nezokwelapha eziphambili zemithi.
