Ho bakuli ba bang, mellitus ea "pancreatogenic" lefu la tsoekere e hlaha khahlano le semelo sa pancreatic pathology. Mofuta ona oa lefu la tsoekere ha o sebetse ho mofuta oa pele (T1DM) kapa oa bobeli (T2DM). Ho latela litsebi tse ngata, lefu la tsoekere la “pancreatogenic” ke mofuta oa boraro oa lefu la tsoekere, le nang le matšoao le likarolo tsa thupelo.
Sistimi ea nts'etsopele
Makhopho a makhopho a na le lisele tsa 'mele tsa' mele tse tsoang ho batho ba bang. Ka pancreatitis, senya liphetoho tse senyehileng le tse mpefatsang litoneng tsa makhopho li etsahala, ebe ho lateloa ke atrophy ea acini, karolo ea mantlha ea karolo ea protocrine ea tšoelesa.
Liphetoho tse joalo li ka fetela le lihlekehlekeng tsa Langerhans (likarolo tsa karolo ea "pancreas" ea "pancreas"), e leng mosebetsi oa ona e leng tlhahiso ea insulin. Ka lebaka leo, mosebetsi oa lisebelisoa tsa "endocrine pancreas" oa senyeha, o lebisang ponahalong ea lefu la tsoekere la "pancreatogenic" mellitus.
Mofuta oa 3 oa lefu la tsoekere o na le litšobotsi tse ling:
Hangata bakuli ba na le 'mele o tloaelehileng;- Ha ho na phatsa ea lefutso;
- Propensity ea ho nts'etsapele hypoglycemia;
- Hangata bakuli ba fumanoa ba e-na le mafu a letlalo;
- Tlhokahalo e tlase ea kalafo ea insulin;
- Ho bakuli, choleric bohale bo boholo;
- Ponahatso ea kapele ea matšoao (ponahatso). Matšoao a belaetsang a lefu lena a utloahala kamora lilemo tse 5-7 ho tloha ho qala ha lefu le tlase.
Hangata bakuli ba na le 'mele o tloaelehileng;Haholo hangata ho fapana le lefu la tsoekere le tloaelehileng, macroangiopathy, microangiopathy le ketoacidosis li etsahala.
Mabaka a ponahalo
Sesosa se ka sehloohong sa lefu la tsoekere la mofuta oa 3 ke pancreatitis. Empa ho na le mabaka a mang a hlohlelletsang kholo ea lefu lena.
Tsena li kenyeletsa:
- Likotsi tseo ho tsona botšepehi ba manyeme bo sithabetsang;
- Mehato ea ho buoa (pancreatoduodenectomy, pancreatojejunostomy ea nako e telele, pancreatectomy,
- Resection ea makhopho);
- Melemo ea nako e telele (tšebeliso ea corticosteroid);
- Maloetse a mang a pancreatic, a joalo ka mofetše, pancreatic necrosis, pancreatopathy;
- Cystic fibrosis;
- Hemochromatosis
Ba eketsa monyetla oa ho ba le lefu la tsoekere la mofuta oa 3:
- Ho Nona Haholo Boima bo eketsehileng bo mpefatsa nako ea pancreatitis mme bo eketsa kotsi ea ho ba le mathata a eona. Ho bakuli ba nang le botenya, ho hanyetsa insulin (ho hanyetsa) ho insulin ho atile, e leng se eketsang kotsi ea lefu la tsoekere.
- Hyperlipidemia Tekanyo e ntseng e eketseha ea lipids maling a motho e sitisa phallo ea mali, ka lebaka leo lisele tsa pancreatic li sa fuoeng tekanyo e hlokahalang ea limatlafatsi 'me ho hlaha ho ruruha.
- Bokhoba ba tahi Ka ho nooa ka mokhoa o hlophisehileng, tekanyo ea tsoelopele ea tlhaelo ea matla ea "procrine gland" e phahameng haholo.
Matšoao a matšoao
Matšoao a lefu la tsoekere la pancreatogenic:
- Maikutlo a kamehla a tlala;
- Polyuria
- Polydipsia;
- Molumo o theohileng oa mesifa;
- Bofokoli
- Mofufutso o batang;
- Ho thothomela ha mmele kaofela;
- Ho thaba.
Ka mellitus ea lefu la tsoekere la pancreatogenic, mabota a methapo a thatafala, boteng ba bona bo eketseha, bo iponahatsang e le mabala le ho ruruha.
Phekolo
Phekolo ea semmuso ha e ananele lefu la tsoekere la mofuta oa 3, 'me ho etsa joalo, ho fumana bohlola ho atileng haholo. Ka lebaka leo, kalafo e fosahetse e laetsoe e sa feng phello e lakatsehang.
Taba ke hore ka lefu la tsoekere la pancreatogenic, ho fapana le lefu la tsoekere la mefuta e 'meli ea pele, ho hlokahala hore ho susumetse eseng feela hyperglycemia, empa le lefu le tlasa (lefu la pancreas).
Phekolo ea lefu la tsoekere la mofuta oa 3 e kenyeletsa:
- Lijo
- Phekolo ea lithethefatsi;
- Liente tsa insulin;
- Ts'ebetso ea ts'ebetso.
Lijo
Lijo tse amanang le lefu la tsoekere la pancreatogenic tsoekere e na le tokiso ea khaello ea matla a liprotheine, ho kenyelletsa hypovitaminosis. Hoa hlokahala ho kenyelletsa lijo tse mafura, tse tsoekere le tse halikiloeng, lik'habohaedreite tse bonolo (bohobe, botoro, liswiti).
Lijo tse nkiloeng li lokela ho tlatsa ka botlalo mehloli ea livithamine le liminerale tsa 'mele. Ho boetse hoa hlokahala ho tlohela joala ka ho felletseng.
Phekolo ea lithethefatsi
Phekolo ea lithethefatsi e kenyeletsa ho sebelisa lithethefatsi:
- Enzymatic;
Ho fokotsa tsoekere;- Barekisi ba lipilisi;
- Ho fana ka tsosoloso ea tekano ea electrolyte;
- Meetso ea vithamine.
Ho fokotsa tsoekere;Phekolo e nang le litokisetso tsa enzyme ke mokhoa o eketsehileng (o motle) oa ho phekola lefu lena. Litokisetso tsa enzyme tse sebelisetsoang ho phekola lefu la tsoekere la mofuta oa 3 e lokela ho ba le amylase, peptidase, le lipase enzymes ka bongata.
Morero oa tšebeliso ea lithethefatsi tsena ke ho ntlafatsa tšilo ea lijo le metabolism ea carbohydrate, ka lebaka leo ho khona ho laola maemo a tsoekere hantle, ho fokotsa kotsi ea mathata, ho tsitsisa glycogemoglobin le ho ntlafatsa boiketlo ba mokuli.
E 'ngoe ea litokisetso tsa enzyme tse sebelisoang ka ho fetisisa ke Creon, eo, ntle le sepheo sa eona sa mantlha, e boetse e thusa ho imolla bohloko ba pancreatic.
Bohloko ba pancreatic bo ka lebisa ho sitophobia (tšabo ea ho ja), e kenyang feela tlatsetso ea kholo ea hypoglycemia. Ho fokotsa bohloko, ho khothalletsoa ho sebelisa li-analgesics tse seng tsa narcotic.
Ho buoa
Re bua ka autotransplantation ea lihlekehleke tsa Langerhans ho tloha ho mofani ho ea ho mokuli ea nang le lefu la tsoekere. Kamora ho fetisoa, lisele tsa endocrine lisele li qala ho hlahisa insulin, e laolang ka matla glycemia.
Kamora ts'ebetso e joalo, pancreatic resection kapa pancreatomy e ka etsoa.
Ente ea insulin
Haeba ho hlokahala, fana ka tlhahiso ea litlhare tse nang le insulin, litekanyetso tsa eona li ipapisitse le boemo ba tsoekere maling, lijo tse sebelisoang lijong, ts'ebetso ea 'mele ea mokuli.
