Bambalwa abantu abazi ukuthi i-pancreatic lipomatosis iyini. Ngemuva kwakho konke, lesi sifo asivamile, ngaphezu kwalokho, kungenzeka singabonakali iminyaka eminingi, kepha sitholakala kakhulu ngesikhathi sokuhlolwa noma kokwelashwa kwezinye izifo. I-Lipomatosis ibizwa nangokuthi ukuwohloka kwamanoni kwesikhumba, njengoba le ndlela yokugula ibonakala ngokuthi izicubu ezijwayelekile zithathelwa indawo yizicubu ezinamafutha. Imvamisa, lokhu kwenzeka njengokuphendula okubucayi ekufeni kweseli. Umzimba uzibeka esikhundleni samafutha ukuze ligcine ivolumu nokwakheka kwalesi sitho. Kodwa inkinga ukuthi abakwazi ukwenza imisebenzi yamaseli we-pancreatic anempilo. Njengoba i-lipomatosis inqubo engenakuguqulwa, futhi ihlala ithuthuka, i-pathology iholela emiphumeleni emibi ngaphandle kokwelashwa.
Isimilo esivamile
Nge-lipomatosis, amangqamuzana e-pancreatic parenchyma ayafa kancane kancane futhi athathelwe indawo ngamaseli wamafutha. Le nqubo ivame ukuhamba kancane kakhulu ngokuhamba kweminyaka. Ngakho-ke, isiguli kungenzeka singasoli i-pathology yakhe isikhathi eside. Uma, kanye nezicubu ze-adipose, izicubu ezithintekayo zikhula esikhundleni samaseli anempilo, isiguli sitholakala sine-fibrolipomatosis. Akukho mehluko omkhulu phakathi kwalezi zifo, zephula ngokulinganayo imisebenzi yamanyikwe.
Kepha kancane kancane izinguquko ziyaqhubeka, zisakazeka emzimbeni wonke. Kunamaseli ajwayelekile futhi amancane, ngakho-ke ama-pancreas aqala ukwenza imisebenzi yawo mabi kakhulu. Isiguli sinokugaya okuphazamisekile, sinciphisile ukukhiqizwa kwama-hormone. Okokuqala, i-carbohydrate metabolism inesisindo, abaningi baba nesifo sikashukela. Ngaphezu kwalokho, ukumuncwa kwamaprotheni namafutha kungathinteki, okuthinta kakhulu isimo sempilo. Ukungavikeleki kwesiguli kuncishisiwe, kunokuntuleka kwezinto ezidingekayo zomkhondo.
Ukushintshwa kobunzima kwesinye isikhathi kuyabonakala lapho izicubu ze-adipose zikhula ngokulinganayo phezu kobuso bonke be-gland. Kepha kaningi lokhu kwenzeka ezindaweni ezithile ze-parenchyma. Uma lokhu kungathinti amaseli akhiqiza ama-enzymes noma ama-hormone, i-lipomatosis ingaba yi-asymptomatic isikhathi eside. Kwesinye isikhathi isiguli sihlala amashumi eminyaka nale pathology, singazi ngayo.
Akuvamile ukuthi zonke izicubu ze-adipose ziqoqwe endaweni eyodwa. Kulokhu, isiguli sitholakala sine-lipoma. Lesi isimila esilinganayo esakhiwe ngamaseli wamafutha. Ikhula kancane futhi imvamisa ayibangeli zinkinga ezinkulu. Kepha kwesinye isikhathi ukunwebeka, kungaholela ekuncindezelweni kweziqubu zesikhumba, imithambo yegazi noma izinzwa.
Esigabeni sokuqala, i-pathology ayiveli nganoma iyiphi indlela, futhi ingatholwa kuphela yi-ultrasound
Izinyathelo zentuthuko
Emithini, kuyisiko ukwahlukanisa i-lipomatosis ngezigaba. Lokhu kusiza odokotela ukuthi bacabange ubukhulu benkambiso ye-pathological futhi banikeze ukwelashwa okufanele.
- I-pancreatic lipomatosis ye-1st degree ngokuvamile ayizivezi ngaphandle. Ngaphansi kwama-30% amaseli anempilo athathelwa indawo izicubu ze-adipose, ngakho-ke imisebenzi yesitho ayonakaliswa.
- Esigabeni sesibili, kuvela izimpawu zokuqala zokugaya. Lokhu kwenzeka ngenxa yokuthi amaseli enamafutha akhula futhi anciphisa izindunduma zesikhumba. Ngaphezu kwalokho, ukukhiqizwa kwama-enzyme kuyaphazamiseka.
- I-lipomatosis yeBanga lesi-3 itholakala lapho amaseli angaphezu kwama-60% ethathelwa indawo izicubu ze-adipose. Ngokuvamile, lesi simo siholela ekunciphiseni kokukhiqizwa kwama-hormone kanye ne-carbohydrate metabolism.
Izizathu
Lesi sifo asitholakali ekuqaleni. Ngokuyisisekelo, ukuxilongwa okunjalo kwenziwa lapho ushintsho olonakalisayo kumanyikwe luvele luqala ngenxa yenani elikhulu lamaseli wamafutha. Izizathu zalokhu azikacaciswa. Kodwa izifundo zisize ekuboneni ukuthi iziphi izinto ezandisa ubungozi bokuqalwa i-lipomatosis.
Imvamisa kwenzeka kubantu abanjalo:
- abagulayo yi-pancreatitis engapheli;
- uhlushwa ezinye izifo zamanyikwe;
- wahlukumezeka esiswini;
- babe nesifiso sokuthola ifa kulokhu.
- uhlushwa i-pathologies yesibindi, ngokwesibonelo, kusuka ku-hepatitis engamahlalakhona;
- ngigula isifo sikashukela;
- ukungasebenzi kwe-thyroid;
- ukusebenzisa kabi utshwala noma intuthu;
- zikhuluphele.
Kaningi, i-pancreatic lipomatosis iba kubantu abakhuluphele ngokweqile.
Ngokwezibalo, izicubu ze-adipose zakhiwa ngokushesha kubantu abakhuluphele. Inani elikhulu lamafutha omzimba emzimbeni wonke likhombisa ukuphazamiseka kwe-metabolic. Kulokhu, i-hepatosis enamafutha ihlala ikhula, umthamo wamafutha angaphansi, futhi kunama-deposits amaningi wama-visceral asemgodini wesisu. Abantu abanjalo banobungozi obukhulu kakhulu bokuthuthukisa i-pancreatic lipomatosis.
Izimpawu
Imvamisa, iziguli ziya kudokotela ngezigaba 2 noma 3 ze-pathology. Ngemuva kwakho konke, kaningi kuvela ngaphandle kwezimpawu eziphawuliwe. I-pancreas inamathuba amakhulu okuncenga, ngakho-ke uma kuphela ingxenye yezicubu zayo ithinteka, iyaqhubeka isebenza ngokujwayelekile. Kepha kancane kancane inani lezicubu ze-adipose liyakhula. Lokhu kuvame ukuholela ekunciphiseni ekukhiqizweni kwama-enzyme adingekayo ukugaya, futhi izinqubo zokuvuvukala zingavela futhi ngenxa yokucindezelwa kweziqubu noma imithambo yegazi.
Ngakho-ke, ukubonakaliswa kwe-lipomatosis kuthuthukisa kakhulu ngohlobo lwezinye izindlela ze-gastrointestinal pathologies. Ukungabikho kwezimpawu ezithile akuvumeli ukuthola lesi sifo ngesikhathi. Isiguli singazibona izimpawu ezinjalo:
- usizi esiswini esiphezulu ngemuva kokudla;
- Ubuhlungu ku-hypochondrium yesobunxele noma esifundeni se-epigastric;
- isicanucanu, ukuhlanza
- ukwephulwa kwesitulo;
- ukuzithoba, ukuqhakaza;
- ukulahleka kwesifiso sokudla;
- ubuthakathaka, ukusebenza okwehlisiwe.
Ukuphazamiseka kwesisu nokugayeka kwenzeka lapho izicubu ze-adipose zihlala ngaphezu kwengxenye yendawo yamanyikwe.
Ukuxilonga
I-Lipomatosis ayitholakali kakhulu esigabeni sokuqala sokukhula kwayo. Ngempela, ngalesi sikhathi azikho izimpawu, ngakho-ke iziguli aziyi kudokotela. Kepha ngokubonakala kokungakhululeki esiswini kanye nezimpawu zokugayeka, kuyadingeka ukuthi ihlolwe ngokushesha. Ukwelashwa okusheshayo kuqalile, kuyathandeka kakhulu i-prognosis esigulini. I-Pathology ihlala ithuthuka futhi ingaholela emiphumeleni emibi.
I-Lipomatosis ingatholakala ngesikhathi se-ultrasound. Lolu cwaningo lukhombisa ukuqina kokuqina kwezingxenye ezithile ze-gland, okubonisa ushintsho esakhiweni sayo. Ngaphezu kwalokho, udokotela ngokuya ngemiphumela ye-Ultra ehlola ubukhulu bendlala, ukuba khona kwe-foci yamaseli wamafutha nenani lawo. Kubalulekile futhi ukuthola ukuthi kwasendaweni yiphi na. Ngempela, ngokuqongelela kwamaseli wamafutha azungeze ama-ducts, ubungozi bezinkinga buyanda.
Ekuxilongeni i-pancreatic lipomatosis, kubaluleke kakhulu ukuyihlukanisa kwamanye ama-pathologies wesisu. I-Symbomatology yalesi sifo iyefana ne-gastritis, ulcer peptic, futhi ikakhulukazi ifana ne-pancreatitis.
Ukwelashwa
Akunakwenzeka ukwelapha ngokuphelele i-lipomatosis. Noma ngokususwa kokuhlinzwa kwamaseli wamafutha, umsebenzi ojwayelekile we-gland awukwazi ukubuyiselwa. Ukonakala kwezicubu kuyinqubo engenakuphikwa, ngakho-ke inhloso eyinhloko yokwelashwa ukuwuyeka. Futhi ukwelashwa okusheshayo kuqala, ukuthandwa okuhle kwe-prognosis esigulini. Ngemuva kwakho konke, ukuqedwa kokukhula kwezicubu ze-adipose kuqinisekisa ukwenziwa kokugaya futhi kuvimbela nezinkinga.
Njengokomfutho wokwelapha, kunqunywa imishanguzo engayiphathi i-pathology, kepha imane nje ikhuthaza isimo sesiguli
Imvamisa, i-pancreatic lipomatosis iphathwa ngezindlela zokubamba. Imvamisa, iziguli ziya kudokotela uma impilo yabo iba yimbi. Ngakho-ke, okokuqala, unikezwa ukwelashwa kwezidakamizwa.
Azikho izidakamizwa ezikhethekile zokwelapha i-lipomatosis, ngakho-ke, imithi inqunyelwe ngokuya ngezimpawu:
- ngobuhlungu nokuvuvukala - Ibuprofen namanye ama-NSAID;
- ngama-spasms ne-colic yamathumbu - uNo-Shpa noma Mebeverin;
- ukuqeda isicanucanu - i-metoclopramide noma i-cerucal;
- nesifo sohudo - iLoperamide;
- ukwenza ngcono ukugaya - i-Pancreatin, i-Creon noma i-Festal.
Ngaphezu kokwelashwa okubonakalayo okuhlose ukuqeda izimpawu zokuphazamiseka kokugaya ukudla, kubaluleke kakhulu ukuguqula indlela yokuphila. Okokuqala, hlukana nemikhuba emibi. Ngemuva kwakho konke, ukusetshenziswa kotshwala nokubhema okungavusa ukufa kwamangqamuzana amadlala nokufakwa kwawo izicubu ze-adipose. Kuyadingeka ukwandisa umsebenzi we-motor, lapho kunqunyelwa khona izivivinyo zokuzivocavoca umzimba. Akudingeki kuphela ukunciphisa amafutha omzimba, kodwa futhi nokwenza ngcono izinqubo ze-metabolic kanye nokujikeleza kwegazi. Ngaphezu kwalokho, kubaluleke kakhulu ukushintsha indlela odla ngayo nokudla ngayo.
Ezimweni ezinzima kakhulu, lapho ukwelashwa okulondoloziwe kungasizi ukuqeda izimpawu ze-lipomatosis, kunesidingo sokuhlinzwa. Lokhu kwenzeka uma kunamaseli amaningi wamafutha noma avimba izindunduma zamanyikwe. Kulokhu, izicubu eziguqulwe ngokomqondo ziyasuswa. Kepha ngesikhathi sokuhlinzwa, kukhona ubungozi bokulimaza izindawo ezinempilo zamanyikwe, ngakho-ke le ndlela ibuye isetshenziswe ezimweni ezimbi kakhulu.
Ukwenza ngcono isimo sesiguli ngokuselapha kokuhlinzwa noma ngokuhlinzwa kungasiza namakhambi abantu. Kepha okokuqala udinga ukubonana nodokotela. Ngokuvamile bavame ukuthatha ngaphakathi kwama-decoctions noma ama-tinctures we-calendula, i-nettle, umhlonyane, i-plantain.
Ukumisa ukuwohloka okwengeziwe kwamanyikwe, udinga ukususa zonke izimbangela zale nqubo. Kulokhu, ukwelashwa kwezifo zesibindi, i-gallder, isisu kanye ne-duodenum, okungaholela ekuwohlokeni kweseli, kuphoqelekile. Esikhathini sikashukela i-mellitus, ukusetshenziswa njalo kwemithi ekhethekile kuyadingeka. Kuyadingeka ukuthi i-standardize ibhalansi ye-hormonal, isungule izinqubo ze-metabolic. Kubaluleke kakhulu ukwehlisa isisindo. Ukusetshenziswa okuhlanganisiwe kwazo zonke lezi zindlela kungavimbela ukuqhubeka kwe-pathology kanye nokuthuthukiswa kwezinkinga.
Umsoco
Ukudla i-pancreatic lipomatosis kungenye yezindlela ezibaluleke kakhulu zokwelapha. Ngaphandle kokushintsha indlela yokudla, akunakwenzeka ukumisa ukuwohloka kwezicubu. Ukuqapha njalo ukudla nokudla okuvikelekile kungavimbela ukwanda kwamaseli wamafutha futhi kuthuthukise ukugaya.
Nge-lipomatosis, kubaluleke kakhulu ukunamathela emithethweni yokudla
Into ebaluleke kakhulu ukuqeda ngokuphelele ukudla okulimazayo kumanyikwe. Konke kunamafutha, kuthosiwe, kunephunga. Ama-broth aqinile, ama-marinade, inyama ebhemayo, izimpahla zekotini, amaswidi, iziphuzo ezinekhabhoni, ikhofi, ushokoledi kuyaphikiswa. Isiguli singayidla inyama noma inyama yenhlanzi, imifino, okusanhlamvu, imikhiqizo yobisi enamafutha amancane. Udinga ukuphuza okuningi, okuhle kakhulu kuwo wonke amanzi amaminerali ngaphandle kwegesi, umhluzi we-rosehip, i-compote yezithelo eyomile.
Kubaluleke kakhulu ukuthi ukondliwa kwesiguli nge-lipomatosis kungasasebenzi, kungcono kakhulu kukho konke ukucekeceke, ukuze kungathwali ama-pancreas. Udinga ukudla ngezingxenye ezincane, izikhathi ezingama-5-6 ngosuku, akunakudluliswa. Kubalulekile ukupheka ukudla kombhangqwana, ukukuphekela, ngesitshulu noma ukubhake. Lapho upheka, kungcono ukungafaki uwoyela, izinongo kanye nokunciphisa usawoti.
Ukuvimbela
Kunzima impela ukwelapha i-pancreatic lipomatosis. Imvamisa isiguli kufanele sinamathele njalo ekudleni, indlela ekhethekile yokuphila kanye nomuthi wokuphuza. Ngakho-ke, lapho kunezici zobungozi ekwakhiweni kwalesi sifo, kungcono ukuthatha izindlela zokuvimbela. Zilula futhi zizosiza ekugcineni impilo yazo zonke izitho, hhayi ama-pancreas kuphela. Lokhu ukwenqaba imikhuba emibi, ukufakwa kokudla okunamafutha nokuthosiwe ekudleni, ukulawula isisindo sakho. Uma kukhona noma iyiphi i-pathologies yohlelo lokugaya ukudla, kuyadingeka ukuthi ihlolwe ngesikhathi futhi ilandele konke ukunconywa kukadokotela.
Naphezu kweqiniso lokuthi i-lipomatosis ikhula kancane futhi ayibangeli nkinga ekuqaleni, udinga ukuqala ukuyelapha ngokushesha ngangokunokwenzeka. Ngemuva kwakho konke, lesi sifo siyaqhubeka njalo, kepha sihamba kancane. Ngaphandle kokwelashwa, le nqubo ingaholela emiphumeleni emibi.