Ngemuva kokuhlolwa ngokucophelela, i-gastroenterologist yenza isinqumo ngezinguquko emzimbeni. Ukuzilapha kuyingozi. Ubuntu bomzimba bubonakaliswa yizimpawu, ukungasebenzi kahle kwezidakamizwa ezisetshenziselwa ukwelashwa. Iziphakamiso zesiguli zingokwejwayelekile, imvelo ejwayelekile. Ngakho-ke kuyini i-pancreatic steatosis? Iziphi izici eziyinhloko zokudla kwalesi sifo?
Ama-subtypes we-steatosis nezimpawu zayo ku-Dynamic
Ukubonakaliswa kwezifo ezahlukahlukene kungabumbana. Isifo esifanayo sinama-subspecies ahlukile ezigabeni zawo zokuthuthuka. Indawo esemaphakathi yamanyikwe emzimbeni womuntu, ngokwendalo, iyahambisana nendima yayo ezinhlelweni zokugaya kanye ne-endocrine. Lesi ngesinye sezitho lapho izinguquko zomzimba emzimbeni ziboniswa khona. Futhi, ngakolunye uhlangothi, ukungasebenzi kwayo kubandakanya ukufaka kabusha umsebenzi kwezinye izinhlelo.
Ngefomethi ye-infusion steatosis, i-gland iyathinteka. Ukuhlukaniswa kwalesi sifo kubalulekile ukuze uchwepheshe akwazi ukuthola umthamo oqondile wemithi yokwelapha kanye nesikhathi sokusetshenziswa kwawo. Izimpawu zokuqala (ukushisa kwenhliziyo, ukuthokomala, ukungezwani kokudla okuthile), njengomthetho, ngesikhathi se-metamorphosis (ukuguqulwa) kwamaseli angaphezu kwama-30% ephelele. Kubalulekile ukungazinaki "izingcingo" ezinjalo ezibonisa i-pathology yokugaya.
Ngaphandle kokuthatha izinyathelo ezithile ngezimpawu ezingezinhle, isiguli senziwa ukuthuthukiswa kwezimpawu zakamuva:
- ibhande lobuhlungu;
- ubuthakathaka emzimbeni wonke;
- ukuntuleka kokudla;
- isikhumba esikhanyayo.
Uhla olubanzi lobuhlungu lubonakala nge-steatosis. Iziguli zikhombisa ubuhlungu endaweni engaphansi kwesifuba, ngokunika emuva, zisebenzisa ama-painkillers. Amanyikwe ayatholakala ngemuva kwesisu. Imikhawulo yesitho ifana nomsila nekhanda. Lezi zingxenye zinegama elifanayo. I-98-99% yawo wonke amaseli ikhiqiza ujusi we-pancreatic. Futhi yilaba abanye kuphela abasebenza ngokukhethekile ekukhiqizweni kwe-insulin ye-hormone.
Lapho kunokuhlanza okungalawulwa nezinye izinkinga ezivela emgodini wesisu, izimpawu zibonisa ukuthi ama-50% esitho ayathinteka. Ngokuvamile, kungalesi sikhathi lapho umuntu efuna usizo lobuchwepheshe lobuchwepheshe. Kuyavela ukuthi isikhathi sesilahlekile, izinqubo ezenzekile azinakuphikwa.
Izenzo ezifanele ku-inandem kadokotela-isiguli
I-gastroenterologist iqoqa imininingwane edingekayo ngesikhathi senhlolovo. Isiguli kudingeka siphendule ngokunembile imibuzo yokuthi izimpawu zaqala nini ukumkhathaza nokuthi zibonakala kanjani.
Izinyathelo ezilandelayo zisiza ukuthola uhlobo lwe-lesion futhi lunikeze ukwelashwa okwanele kudokotela:
- I-Ultrasound - yembula izindawo ze-echogenic (ezithintekile);
- ukuhlolwa kwegazi - i-alpha amylase level;
- I-MRI - neoplasms.
- Ukuhlolwa kwe-X-ray kwenziwa ngokuhlukile ukuthola isimo semigqa ye-bile.
Mhlawumbe, ngokuya izinkomba, kuzodingeka ukwandisa ucwaningo lokuxilonga, ukuqhuba i-laparoscopy, biopsy. Isenzo se-homologue (yohlobo olufanayo lwekhompiyutha, oluhlukile ngesakhiwo sokwakheka) - i-enylme ye-amylase ihlose ukwephulwa kwama-carbohydrate (okusanhlamvu, izithelo, izimpahla ezibhakiwe). Izinga layo egazini lesiguli eselaphekile livame ukwedlula kaningana kusuka kwesejwayelekile.
Ijusi le-pancreatic libizwa nangokuthi yi-pancreatic. Ngibonga kuye, ukudla kudilizwa phansi futhi umzimba uthola amandla adingekayo okukhula, ukunyakaza nentuthuko. Ngokubukeka, imfihlo ingoketshezi olungenamibala. Ngosuku, inani lokukhiqizwa kwalo lincike enanini lokudla okuthathiwe (kufika ku-700 ml). Ukuqanjwa kufaka ama-enzyme, ngaphezu kwe-amylase, trypsin, lipase.
Ngaphezu kwalokho, indlela yokuziphatha engafanele yokudla, ukuphazamiseka kwemizwa kungavusa lesi sifo
Izimbangela ze-steatosis kanye nokubonakala kokushintshwa kokuguquguquka yile:
- ukusetshenziswa njalo kokudla okuthosiwe, okunamafutha, okunosawoti;
- ukubhema, utshwala;
- amafomu ashubile futhi angamahlalakhona we-cholecystitis (izinqubo zokuvuvukala, ukwakheka kwamatshe emgodini);
- i-pathology epheshaneni lesisu (isifo sesibindi).
Umakhelwane nomphakathi wezitho zokugaya ukudla kuyabonakala. Ngakho-ke, ukwephuka kwamafutha, ama-enzyme e-pancreatic kuphela akwanele, i-bile inamathele kwinqubo yokugaya. Ishintsha amafutha abe ngamaconsi amancane. I-enzyme ye-lipase esiswini iyabaphula babe yizakhi.
Ukwelashwa: izidakamizwa noma ukuhlinzwa?
Ngomuthi ofanele, kungenzeka ukufezekisa ukwelashwa okusebenzayo. Njengomthetho, isiguli esifuna ukwelashwa sidinga umphumela ophelele wezidakamizwa (izidakamizwa eziphambili zikhonjiswa kubazali):
- ama-enzyme (Digital);
- proton pump inhibitors (omeprozole);
- ama-suction blockers (ama-Xenical).
Ngaphezu kokuyekelela nemikhawulo evunyelwe evamile kulolu hlobo lwesifo se-pancreatic, ukudla kwe-steatosis kunomehluko oyisisekelo:
- okokuqala, ukondleka okuyisithelo, okungenani izikhathi ezi-6 ngosuku;
- okwesibili, ngokusetshenziswa njalo kokudla okunamafutha amancane, akunakwenzeka ukunciphisa inani layo lokudla kanye nokuqukethwe kwekhalori yemikhiqizo;
- okwesithathu, ukupheka izitsha kufanele kube ngo-boiler ophindwe kabili, udle ukudla ngendlela ebhakwe.
Ngefomu elitholile izinyanga ezintathu, kuyadingeka ukunamathela kuzidingo eziqinile zokudla, sebenzisa imikhiqizo yamaphrotheni yokugaya ukudla kalula, amavithamini (A, E, C).
Inkomba: I-fiber yandisa umphumela we-choleretic. Kunokwesaba okungenasisekelo kokuthi ukondliwa kweziguli ezinama-steatosis akunambitha futhi kuyabiza. Ngaphandle kwesigaba sokukhulisa, kusetshenziswa izindlela zokupheka ezijwayelekile, kodwa ngokulungiswa. Ukupheka ngokudla kulula kakhulu.
Isobho le-Pearl Soup
I-Croup kufanele ihlelwe futhi iphekwe cishe amahora amathathu. Cola kahle izaqathe kanye anyanisi. Hlulela imifino ngenani elincane lomhluzi. Umhluzi wemifino uthele ibhali le-pearl ebilisiwe, uthele amazambane oqoshiwe. Letha isidlo ukupheka phezu kokushisa okuphansi.
Ungayolisa isobho semifino ngo-ukhilimu omuncu ngamaphesenti aphansi wamafutha, imifino eosiwe
Isitsha sizokwanelisa umzimba ngefayibha namavithamini. Okoku-1 kokudla isobho elinganiselwe uzodinga:
- ibhali le-pearl - 20 g;
- izaqathe - 35g;
- amazambane - 65 g;
- imifino - 7 g;
- ukhilimu omuncu - 20 g;
- ibhotela - 5 g;
- umhluzi wemifino - 350 g.
Inani likasawoti lilinganiselwe.
Ukugcwala oku-Lazy
Hlanganisa i-cottage shizi ehlanzekile nefulawa, iqanda eli-1, i-sweetener nosawoti. Beka isisindo esivele sikhona ebhodini elivuthayo. Roll ibe umvimba omncane. Sika izicucu (ngokungacabangi). Bilisa imigoqo curd emanzini abilayo anosawoti. Khonza ngebhotela.
1 inkonzo iqukethe:
- ushizi wekotishi - 100 g;
- ufulawa - 20 g;
- ibhotela - 5 g.
Isitsha okulula ukusilungiselela sizokwenzela ukulingana kwamaprotheni kanye nokuntuleka kwe-calcium emzimbeni. Umsebenzi wokugaya ongenamandla we-pancreas uvame ukufaka ukunqotshwa kwemfihlo ye-endocrine. Ngenxa yokuntuleka noma ukungabikho kwe-insulin ye-hormone, isiguli sinesifo sikashukela. Izincomo zokudla ziqukethe imininingwane yokwehlisa umthamo we-carbohydrate esheshayo (ushukela kanye nemikhiqizo esekwe kuyo). Ama-sweeteners asetshenziswa kuresiphi.