Non-mowa matenda mafuta m'chiwindi (NAFLD): zimayambitsa, zizindikiro, zizindikiro ndi mankhwala

Non-mowa mafuta m'chiwindi matenda - ndi matenda limodzi ndi kudzikundikira m'malovu zamadzimadzi mu hepatocytes lapansi. Chotero ndondomeko zokhudza ntchito kwa thupi kungachititse kuti mavuto oopsa. Mwatsoka, chithunzi matenda zambiri chachilengulengu, choncho matenda amawapeza, monga ulamuliro, kale mu gawo lotsiriza la chitukuko.

Popeza kudwala zachilendo, anthu ambiri kufunsa mafunso okhudza zimene ndi mopanda mowa steatosis chiwindi. Zizindikiro ndi mankhwala, amachititsa ndi mavuto - ndi mfundo yofunika kuilingalira.

Kodi matenda? Kufotokozera mwachidule etiology ndi

NAFLD, mopanda mowa mafuta m'chiwindi matenda - ndi kudwala sizachilendo kuti amakhala ndi kudzikundikira mu maselo chiwindi (hepatocytes) lipids. Popeza m'malovu mafuta ndi waikamo mkati maselo ndi danga extracellular, anaona wonongeka wa Authority. matenda Popanda kuchitapo kanthu kumabweretsa mavuto oopsa, kuwonjezera chiopsezo cha matenda a mtima, matenda enaake kapena zilonda chotupa mapangidwe mu chiwindi.

Non-mowa matenda mafuta m'chiwindi - vuto nthawi yathu. Malinga ndi maphunziro kuwanda ndi pafupifupi 25% (m'mayiko ena ndi 50%). Komabe, ziwerengero sangathe adzatchedwa zolondola kwenikweni oterewa matenda a nthawi kawirikawiri zotheka. Mwa njira, amakonda izo, amuna ndi akazi, ndi ana. Makamaka anakhudzidwa ndi matenda m'mayiko otukuka, amene amagwirizana ndi ofesi, atathana njira ya moyo, nkhawa ndi kuperewera kwa zakudya m'thupi.

The chikuchititsa mavuto a matenda mafuta

N'chifukwa chiyani ndi mmene kukhala mopanda mowa matenda mafuta m'chiwindi akadali akuphunziridwa mu malo ambiri kufufuza. Koma m'zaka zingapo zapitazi, asayansi akwanitsa kuzindikira zinthu zingapo chiopsezo:

• Onenepa (ambiri odwala matenda awa akunenepa).
• Komano, steatosis angathe pa maziko a imfa mofulumira kulemera, chifukwa zodabwitsazi limodzi ndi kusintha madzi a thupi mafuta, ndi zidulo mafuta.
• Zifukwa monga a shuga, makamaka mtundu wachiwiri.
• Kuchuluka chiopsezo kukhala ndi matenda anthu ndi oopsa aakulu.
• NAFLD uonekere pa milingo apamwamba triglycerides ndi mafuta m'thupi m'magazi.
• Zikanavulaza ndi ntchito mankhwala ena, makamaka mankhwala ndi wothandizila m'thupi (mankhwala olera, glucocorticoids).
• Zifukwa monga zakudya osauka, makamaka ngati zakudya lili mbale amene ali olemera mu zimam'patsa ndi nyama mafuta.
• Matendawa akufotokozera pa matenda m'mimba thirakiti, kuphatikizapo Chotupa chija, anam'peza zotupa za makina, kapamba, mkhutu kuloŵerera zakudya ndi khoma matumbo.
• kuopsa zina monga gout, matenda m'mapapo mwanga, psoriasis, lipodystrophy, matenda oncologic, matenda a mtima, porphyria, kutupa kwambiri, kudzikundikira yambiri ankafuna kusintha zinthu mopitirira free, connective minofu matenda.

Non-mowa matenda mafuta m'chiwindi: Gawo ndipo siteji ya chitukuko

Pali njira zambiri m'kagulu matenda. Koma madokotala ambiri kulabadira malo kwa ndondomekoyi. Malingana ndi kumene kudzikundikira m'malovu zamadzimadzi olekanitsidwa focal mwiniwakeyo anasonyeza mwiniwakeyo, akakufunsani ndi akalumikidzidwa zonal gepatoza.

Non-mowa matenda mafuta m'chiwindi akufotokozera mu magawo anayi:

• Mafuta m'chiwindi limene pali kudzikundikira yambiri m'malovu zamadzimadzi mu hepatocytes ndi danga intercellular. Akuti anthu ambiri odwala, zodabwitsazi sichichititsa kuwononga kwambiri chiwindi, koma pamaso pa zoipa zokhudza zinthu matenda angachititse kuti siteji yotsatira chitukuko.
• Nonalcoholic steatohepatitis, imene kudzikundikira mafuta limodzi ndi kutupa.
• Fibrosis ndi zotsatira za yaitali yotupa ndondomeko. maselo zinchito chiwindi pang'onopang'ono m'malo ndi zinthu connective. Zipsera anapanga, okhudza ntchito kwa thupi.
• Matenda enaake - chomaliza chitukuko cha fibrosis, imene ambiri yachibadwa chiwindi minofu amamuyambitsa timabala mmalo. Akusokoneza kapangidwe ndi ntchito thupi, nthawi zambiri kumayambitsa insufficiency kwa chiwindi.

Kodi zizindikiro ndi limodzi mwa malaise?

Anthu ambiri akukumana ndi matenda a "mopanda mowa chiwindi steatosis." Zizindikiro ndi mankhwala - mavuto chidwi odwala ambiri. Monga tanenera kale, chithunzi matenda a matenda omwe afewetsedwa. Nthawi zambiri minofu kunenepa chiwindi si limodzi ndi matenda aakulu, zomwe kwambiri complicates matenda yake chifukwa odwala chabe osati chithandizo.

ndi zizindikiro limodzi ndi mopanda mowa matenda mafuta m'chiwindi zomwe? Zizindikiro za matendawa ndi monga:

• Chifukwa cha monyanyira mu chiwindi, odwala Kawirikawiri matenda m'mimba, makamaka, kunyansidwa komanso kulemera m'mimba, amene pambuyo chakudya, mavuto ndi mpando.
• Zizindikiro ingakhale monga kutopa, mutu kobwereza, kufooka kwambiri.
• Mu masiteji kutsogoloku kuwonjezeka mu kukula kwa chiwindi ndi ndulu. Odwala akudandaula za kulemera ndi kupweteka kwa hypochondrium bwino.
• Pafupifupi 40% odwala zingaoneke hyperpigmentation wa khungu pa khosi ndi m'khwapa lapansi.
• Mwina maonekedwe a mitsempha kangaude (dilated capillaries gululi) manja a.
• The ndondomeko yotupa nthawi zambiri limodzi ndi yellowness wa khungu kapena maso.

Adipose matenda ana

Mwatsoka, mopanda mowa matenda mafuta m'chiwindi zomwe kawirikawiri matenda ana ndi achinyamata. Komanso pa masiku angapo zapitazi, chiwerengero cha Zikatero chawonjezeka kwambiri, chifukwa kuwuka mu mitengo kunenepa pakati pa odwala ana.

matenda enieni ndi ofunika. Ichi ndi chifukwa chake pa mayeso zachipatala chizolowezi sukulu, madokotala kuyeza magawo a thupi la mwanayo, kuyeza magazi, onani mlingo wa triglycerides ndi lipoprotein. ndondomeko izi n'zotheka kuti matenda mu nthawi. Non-mowa mafuta m'chiwindi matenda ana mwina zina mankhwala enieni (makamaka ngati wapezeka pa siteji oyambirira). Kuwukonza zakudya ndi kuchita masewera olimbitsa thupi amathandiza kuti normalization chiwindi.

Matenda miyeso: Laboratory Yovuta

Ngati mukukayikira kuti kudwala imeneyi imachitika mayesero zasayansi zitsanzo magazi a wodwalayo. Pophunzira zotsatira ayenera kulabadira zizindikiro zotsatirazi:

• Odwala anati kuwonjezeka michere chiwindi. Kuwonjezeka zolimbitsa, za 3 - 5 nthawi.
• Pali kuphwanya zimam'patsa kagayidwe - odwala matenda shuga kulolerana opuwala, womwe ndi zizindikiro za mtundu II shuga.
• Mbali ina - ndi dyslipidemia amene amakhala ndi kuchepetsa mafuta ndi triglycerides m'magazi.
• Kulakwila kagayidwe mapuloteni ndi kuwonjezeka mu bilirubin zimawonedwa pokha pokha patsogolo.

Zoimbidwa mosamala mtima

Mu zina imachitika mayesero zina, makamaka ultrasound Kupenda chiwindi ndi ziwalo m'mimba. Katswiri pa ndondomeko kuzindikira mbali madipoziti zamadzimadzi, ndi bwino echogenicity. Zodabwitsa ndizakuti, pa US ndi abwino kwambiri kwa matenda a matenda akakufunsani mafuta.

Komanso imachitika maginito kumveka ndi yopangidwa tomography. ndondomeko izi kulola chithunzi thunzi chokwanira cha alili ndi mmene kupitilira matenda. Zodabwitsa ndizakuti, ntchito tomography zosavuta matenda foci m'dera mafuta m'chiwindi.

Nthawi zina muyenera kukhala biopsy chiwindi. Laboratory Kupenda zithunzi za zimakhala amathandiza kukhazikitsa ngati pali yotupa ndondomeko, kaya anagawira fibrosis kwambiri zimene madokotala ananena zawo odwala. Mwatsoka, njirayi imavuta kwambiri ndi angapo matendawo, kotero chumacho pokha pokha kwambiri.

mankhwala a gepatoza nonalcoholic

Non-mowa matenda mafuta m'chiwindi, ngakhale otaya pang'onopang'ono, ndi woopsa, choncho amafuna mankhwala mwamsanga. Kumene, mankhwala chiwembu wapangidwa payekha, monga kumatengera zifukwa zambiri.

Childs, woyamba Kwalamulidwa kwa odwala kulandira kwa chiwindi ndi antioxidants, makamaka, kukonzekera munali betaine, tocopherol nthochi, silibinin. Zida kuteteza maselo kwa chiwindi motsutsana kuwonongeka ndi msanga chitukuko cha matenda. Pamaso pa kukana insulin wodwalayo ntchito mankhwala kuwonjezera insulin tilinazo zolandilira. Makamaka, Phindu kuona thiazolidinediones ndi biguanide. Ngati pali kuswa a kagayidwe zamadzimadzi ntchito mankhwala zamadzimadzi-kutsitsa.

Non-mowa matenda mafuta m'chiwindi: malangizo kwa odwala

Popeza nthawi zambiri matenda amagwirizana ndi kunenepa ndi zipolowe kagayidwe kachakudya, mtima wa bwino kusunga zakudya lolondola ndi kuonda. Tisalole mofulumira kuwonda - zonse ziyenera kuchitidwa pang'onopang'ono.

Pankhani zakudya, ndiye choyamba muyenera kuyamba pang'onopang'ono kuchepetsa caloric mtengo tsiku zakudya. Mafuta mu zakudya tsiku sayenera upambana 30%. M'pofunika kuti achotse mankhwala kuwonjezera mafuta, kusiya zakudya yokazinga ndi mowa. Menyu tsiku monga zakudya zambiri CHIKWANGWANI, vitamini E ndi polyunsaturated mafuta zidulo.

Gawo la mankhwala ndi kuchita masewera olimbitsa thupi. Muyenera kuyamba ndi zolimbitsa manageable (ngakhale kuyenda) kwa 30 - 40 Mphindi 3 - 4 pa sabata, pang'onopang'ono kuwonjezeka mphamvu ndi nthawi ya maphunziro.

Kodi n'zotheka kuchiza kudzera anthu?

mankhwala amapereka kwambiri zipangizo kusintha kugwira ntchito kwa chiwindi ndi kuchotsa thupi la poizoni. Mwachitsanzo, Ndi bwino kusakaniza masamba youma plantain ndi uchi mu chiŵerengero 3: 1. Tengani amsupuni lalikulu pakati pa chakudya 2 - 4 nthawi patsiku. Mankhwala si abwino kumwa madzi ndipo, ndithudi, kudya kwa mphindi 40 pambuyo ingestion.

Zabwino yaikulu boma la decoction chiwindi a mbewu oat. Popeza nkofunikira kuti abwezeretse microflora wodwalayo, Ndi bwino kudya monga inu mungathe a mkaka mankhwala thovu. Iwo ayenera kumvetsa kuti ankadzionetsera pa gepatoze chiwindi ikhoza kukhala yoopsa. njira iliyonse akhoza kugwiritsidwa ntchito ndi chilolezo cha dokotala nawo.