Lipodystrophy e fumanoa haeba motho a se na mafura. Ka nako e ts'oanang, lijo tse matlafatsang tse khothalletsoang ke ngaka ha li fane ka phello, boemo ba mafura ha bo eketsehe le kamora ho ja lijo tse nang le khalori e phahameng. Ka lefu lena, lilemo tsa motho le bong ba hae ha li na taba, leha ho le joalo matšoao a ka fapana ho banna le basali.
Ha ho na taba hore na mokuli o ja lijo life, bongata ba lik'habohaedreite, mafura le protheine. Hape ha a na boima ba 'mele ka ho se be le boiphihlelo bo phethahetseng ba maikutlo, boikoetliso ba' mele, lipapali tse sebetsang.
Lipodystrophy ke lefutso le kotsi, le fana ka litlamorao tse tebileng le mathata, hobane lipids li nka karolo lits'ebetsong tsa bohlokoa tsa metabolic 'meleng oa motho, li bohlokoa.
Phapang ea mantlha e tsoang ho li-dystrophy tse tloaelehileng ke hore tahlehelo ea mesifa ha e etsahale. Ka mokhoa o shebahalang, motho ha a shebahale a khathetse, empa ntle le kalafo, litšitiso ts'ebetsong ea litho tsa ka hare le lits'ebetso li tla qala.
Mefuta ea lipodystrophy, likarolo tsa bona
Ke moetlo ho khetholla mefuta e 'maloa ea lefu lena. Ke ka seoelo haholo ho khethollang li-lipodystrophy tse tsoetseng pele, ho mafura a ngoana a teng feela hloohong le mehatong ea maoto. Mofuta o tloaelehileng oa lefutso oa lehae o hlaha, ho bakuli mafura a mangata a molaleng, sefahleho le sefubeng. Lefu lena le hlaha ho banna le basali ba lilemo life kapa life.
Ha ho fumanoe lipodystrophy hangata, e ama basali feela. Litšobotsi tse khethollang - ho ba sieo ha mafura ka ho felletseng, ho qala ho nyamela nakong ea bongoaneng. Hoo e ka bang kamehla, bakuli ba na le mathata a liphio.
Ntho e 'ngoe ke lipodystrophy e akaretsang, e etsahala ka lebaka la mafu a tšoaetsanoang a tšoaetsanoang: hepatitis, pneumonia, diphtheria. Ha 'meleng ho na le tlolo ea ts'ebetso ea li-hepatocytes tse ikarabellang bakeng sa ts'ebetso ea metabolic, ho phatloha ha mafura, hepatic lipodystrophy ho qala ho motho.
Ho bohlokoa haholo ho khetholla lipodystrophy ho lefu la tsoekere mellitus (insulin lipodystrophy), ho etsahala ka lebaka la ente ea insulin hangata. Sebaka moo ente hangata e fanoang ho feta nako:
- atrophy;
- nyamela.
Ho pathogenesis ea mofuta ona oa lipodystrophy, ho bohlokoa haholo ho sithabela maikutlong nako e telele ho tishu, ho bokellana ha methapo ea kutlo e bakoang ke ho teneha hoa mmele, mochini le mocheso. Hape ke phoso ho khetholla karolo ea karabelo ea lehae ea teng ho tsamaiso ea lihormone.
Lingaka li na le bonnete ba hore 'mele oa bakuli ba bang o arabela ka ente kamora makhetlo a' maloa a insulin. Leha ho le joalo, maemong a mangata a makatsang, mofuta ona oa lipodystrophy o hlaha feela lilemo tse 10-15 kamora ho qaleha ha thupelo e qala. Botebo ba manonyeletso a ka fapana ho tloha ho limilimithara tse 'maloa ho ea ho se sebetse hantle ha lisele tsa subcutaneous libakeng tse kholo tsa' mele.
Kajeno, lintlha tsohle tse ka amang phetoho ea palo ea mafura ha li e-so fihlelloe. Lisosa tse ka sehloohong ke mathata a metabolic, ho kenyelletsa le lihormone, lithethefatsi (ho tsuba, tšebeliso e mpe ea joala), giardiasis, lefu la sebete le tšoaetsanoang, ho ja lijo tse mafura le tse tsoekere, le lijo tse se nang phepo.
Sesosa se totobetseng sa lipodystrophy ke botahoa ba mmele, hona ho kenyelletsa:
- chefo ho indasteri e kotsi;
- lula nako e telele libakeng tse nang le ecology e fosahetseng.
Ha ngaka e fumane lefu la tsoekere la lipodystrophy, hangata lisosa li lokela ho batloa ka metako ea insulin hangata.
Pathology ea kalafo
Kamora tlhahlobo ea pele, ngaka e khothaletsa ho etsa liteko tsa laboratori, ena ke tlhahlobo e akaretsang ea moroto le mali, tlhahlobo ea boemo ba tsoekere maling. Kamora hore lipodystrophy e amahanngoe le li-pathologies tse teng, qala mokhoa oa phekolo.
Haeba motho a kula a tšoeroe ke lefu la tsoekere, ha ho na motho ea ka iphapanyetsang boteng ba lipodystrophy, hobane lisele tsa teng ha li lumelle insulin hore e kenngoe ka mor'a ente. Ka lebaka leo, ho ba bothata ho bala litekanyetso tsa hormone hantle, tse hlileng li lokelang ho kena 'meleng oa mokuli.
Lefu la tsoekere la Lipoatrophic le kotsi haholo, boemo boo ho bona litho tsa lefu la tsoekere le khaotsang ho arabela insulin. Khatello ena e bonoa ho 25% ea lefu la tsoekere. Liphetoho tsa atrophic letlalong le tsona li kotsi. Lisele tse mafura a mmele li bokellana libakeng tsa entetso, ha sebaka sena se lemetse kapa ts'oaetso e kenella ho sona, menyetla ea liso tsa trophic, leoto la tsoekere le eketseha haholo, ponahalo ea motsoako - gangrene ho lefu la tsoekere.
Ha lipodystrophy e boetse e thatafalloa ke mofuta oa lefu lena la hepatic, ho bonahala le ho phekola ka lithethefatsi:
- hepatoprotectors (Essliver, E bohlokoa);
- ho susumetsa metabolism (methionine, methyluracil);
- livithamini tse thata.
Haeba ho na le litletlebo tsa colic, ngaka e beha antispasmodics. Maemong a matla haholo, kalafo ea lihormone e ke ke ea ajoa.
Ka tloaelo, ho tsosolosoa ha sebete ho nka bonyane likhoeli tse 6, joale bonyane lilemo tse 2 ka tatellano, o tla hloka ho ela hloko ka ho khetheha phepo e nepahetseng, ho sebelisa lithethefatsi ho boloka mmele.
Ka linako tse ling kalafo e qala ka phetoho ea mofuta oa "insulin", "multicomponent" kapa "insulin" ea motho e tla ba e sebetsang ka ho fetisisa. Ente e etsoa moeling oa lithane tse phetseng hantle le lipodystrophy. Haeba u latela mokhoa oa ente, kenya li-insulin tse loketseng ka pH e sa jeleng paate, lipodystrophy ha e hlahe.
Ho thibela mohloli oa ho teneha le ho tloaela trophism, ho sebelisoa motsoako oa insulin le Novocaine. Hormone e kopantsoe le tharollo ea Novocaine ea 0.5%, libaka tse anngoeng ke lipodystrophy li entsoe ka motsoako.
Mekhoa ea thibelo
Ho tlosa liphetho tse joalo ho thata haholo, hoo e ka bang ha ho khonehe.
Tsela feela ea ho itšireletsa ke ho thibela ka nako.
E le hore u se ke oa nts'etsapele lipodystrophy ho lefu la tsoekere, o lokela ho lekola lijo tsa hau kamehla
- lik'habohaedreite tse potlakileng;
- lijo tse mafura.
Ho khothalletsoa ho etsa lithuto tse 'maloa tsa ultrasound, inductometry. Lekhetlo la pele ha u hloka ho qeta linako tse 10-15, kalafo e etsoa letsatsi le leng le le leng. Kamora 'thupelo e' ngoe le e 'ngoe, ba nka nako ea phomolo ea likhoeli tse 2-3' me ho feta metsotso e 15.
Ultrasound e khona ho kenella ka har'a lithane ka lisenthimithara tse 10, methapo e thusa ho ntlafatsa boemo ba letlalo, e tsose phallo ea mali. Nakong ea ts'ebetso, setlolo sa hydrocortisone se sebelisoa letlalong, se thusa ho khutlisa lisele tse amehileng. Ha e le molao, mehato e reriloeng e thusa ho thibela lipontšo tsa lipodystrophy nako e telele ea likhoeli tse tšeletseng ho isa ho lilemo tse peli.
Ho bohlokoa bakeng sa thibelo ho fetolela libaka tse ling tsa ente ea insulin; insulin e fanoa feela ka mokhoa o hlophisitsoeng o kentsoeng mocheso oa 'mele. E boetse e bontšoa ho phekola libaka tsa jwala ka joala, kamora hore ente e e hlakole ka lesela le litšila kapa e emetse joala hore bo tsoe.
Insulin e kenngoa ka botebo mme butle-butle tlasa letlalo, e thibetsoe ka thata ho sebelisa linale tsa khale, li lematsa letlalo le ho feta.
