Txog ib nrab lab tus tib neeg hauv ntiaj chaw, lo lus nug tseem yuav ua li cas thiaj li rov qab ua tus txiav ntshav qab zib hauv ntshav qab zib. Pathanatomy yog tus cwj pwm los ntawm atrophy ntawm lub cev, vim qhov tshwm sim ntawm nws tsis tuaj yeem ua lub exocrine thiab intracecretory muaj nuj nqi.
Cov neeg mob kuaj mob ntshav qab zib hom 2, suav txog 90% ntawm tag nrho cov neeg mob uas muaj tus kab mob no, raug qhia kom ua raws li kev noj zaub mov tshwj xeeb, kev tawm dag zog ib ce thiab qee qhov, noj tshuaj hypoglycemic.
Hom 1, cov neeg mob tau muab cov tshuaj insulin xwm yeem. Tsis tas li ntawd, koj tuaj yeem hlav cov qe hlwb ntau ntau, nqa tawm cov tshuaj immunomodulation lossis hloov chaw ntawm cov txiav.
Mob ntshav qab zib yam tseem ceeb
Mob ntshav qab zib tau lees paub tias yog kev muaj kabmob kis rau lub xyoo pua 21st. Raws li kev txheeb cais, qhov teeb meem tshwm sim yog 8,5% ntawm cov neeg mob cov neeg laus. Hauv xyoo 2014, 422 lab tus neeg mob tau sau npe, piv rau xyoo 1980 cov neeg mob tsuas yog 108 lab. Tus mob ntshav qab zib mellitus yog ib tus kabmob uas kis rau ntau qhov tsis txaus, uas ua rau lub cev rog.
Kev tsim kho cov kab mob pathology pib nrog kev ua haujlwm tsis zoo ntawm cov kab ke endocrine. Nyob rau tib lub sijhawm, muaj tseeb ua rau cov ntshav qab zib tseem tsis tau paub meej. Txawm li cas los xij, muaj ntau yam ua rau muaj kev pheej hmoo ntawm kev tsim kabmob: poj niam txiv neej, hnub nyoog, raws roj ntsha, rog dhau, kev xeeb menyuam hauv plab thiab lwm yam.
Ob hom ntawv tseem ceeb ntawm cov kabmob tau paub - thawj (insulin-dependant) thiab hom thib ob (tsis-insulin-dependant).
Thawj hom ntshav qab zib yog kuaj pom thaum tseem me. Pathology yog tus cwj pwm los ntawm kev ua kom tiav ntawm kev tsim cov tshuaj insulin los ntawm tus txiav, cov yam tshuaj hormones uas ua rau cov ntshav ntawm cov ntshav qabzib. Hauv qhov no, kev kho tshuaj insulin yog qhia - kev tswj hwm tsis tu ncua ntawm kev txhaj tshuaj insulin.
Qhov thib ob ntawm tus kab mob tshwm sim thaum lub hnub nyoog 40-45 xyoo. Raws li txoj cai, vim yog rog dhau los lossis keeb kwm ntawm caj ces, insulin tsis kam mus rau hauv lub hlwb hom phiaj, vim lawv pib teb tsis raug rau nws. Cov txheej txheem no hu ua insulin tsis kam. Raws li qhov txiaj ntsig, cov txiav ua kom qhuav thiab tsis tuaj yeem tsim cov khoom tsim nyog ntawm cov piam thaj txo cov roj ntsha. Nrog rau kev kuaj mob raws sij hawm, cov ntshav qabzib yuav tuaj yeem tswj tau yam tsis muaj kev siv tshuaj, rau qhov no nws txaus los ua raws li kev noj haus zoo thiab kev tawm dag zog. Hauv kev ua haujlwm siab dua, koj yuav tsum noj cov tshuaj hypoglycemic lossis ua rau cov tshuaj insulin.
Cov tsos mob tseem ceeb ntawm tus mob yog polyuria thiab nqhis dej heev. Qhov no cuam tshuam nrog kev ua haujlwm ntawm lub zog ntawm lub chaw tso zis. Cov piam thaj ntau dhau yog raug tawm los ntawm lub raum, thiab rau qhov no lawv xav tau cov kua dej ntxiv, uas tau coj los ntawm cov ntaub so ntswg. Raws li qhov tshwm sim, ib tus neeg pib haus dej ntau dua thiab mus ncig xyuas chav dej ntau dua. Kuj, tus mob ntshav qab zib tuaj yeem hnov cov tsos mob li nram no:
- tingling hauv qab qis thiab sab saud;
- kev nkees heev, ua haujlwm poob qis;
- kev tsis meej hauv kev pom tseeb;
- zoo nkaus ntawm loog hauv caj npab thiab txhais ceg;
- mob taub hau thiab kiv taub hau;
- txob taus, pw tsis tsaug zog;
- lub qhov txhab ntev kho kom zoo.
Ntxiv rau, kab mob ntawm daim tawv nqaij yuav tshwm sim.
Kev kho tus xov tooj ntawm tes laus
Raws li koj paub, kev tiv thaiv kab mob hauv lub cev pib tsim cov tshuaj tiv thaiv rau nws tus kheej beta hlwb, uas nyob hauv lub islet apparatus ntawm lub txiav. Sij hawm dhau mus, qhov hloov khoom nruab nrog qis thiab tsis tuaj yeem tsim cov tshuaj insulin.
Txog rau hnub tim, ib qho qauv tau tsim kho yuav ua li cas rov qab rau tus kab mob ntshav qab zib hauv ntshav qab zib. Txhawm rau ua qhov no, nws yog qhov tsim nyog yuav tau muab cov qe hlwb tawg kom ntau ntxiv thiab hloov mus rau hauv tus neeg mob lub cev. Ntxiv mus, txhua yam yuav vam khom lub cev tiv thaiv kab mob: yog tias nws tsis pib tsis kam lees txais lawv, tom qab ntawd yuav muaj txoj hauv kev los ua kom rov qab muaj zog li qub ntawm cov piam thaj hauv kev ua haujlwm.
Pancreatic muaj nuj nqi rov qab rau tas koj sim neej. Txawm li cas los xij, beta cell cloning tuaj yeem tshwm sim ntau zaug.
Cov kev kho zoo li no yog qhov hloov kho tshiab, yog li nws tseem tsis tau nkag mus siv dav. Txhawm rau rov qab tsim nyog yuav tsum muaj cov hlwb, kev txhaj tshuaj ntawm cov protein tshwj xeeb yog muab cov tshuaj intramuscularly.
Muaj lwm txoj hauv kev los ua qhov qub ntawm cov qe hlwb, uas cuam tshuam los txhawb lawv cov kev ua hauv lub cev.
Ob txoj hau kev raug sim hauv tib neeg thiab twb muaj cov txiaj ntsig zoo. Tej zaum nyob rau yav tom ntej cov ntshav qab zib yuav kov yeej.
Immunomodulation thiab hloov khoom nruab nrog cev
Nrog ntshav qab zib insulin-tiv thaiv cov ntshav qab zib, ib qho me me ntawm cov qe ntshav muaj sib npaug. Lub cev tiv thaiv kab mob ua rau cov tshuaj tiv thaiv ua kom sai cov kab mob no. Tam sim no, ib qho tshuaj tiv thaiv tshwj xeeb raug txhim kho uas yuav daws qhov teeb meem ntawm yuav ua li cas kho tus neeg mob qog ntshav qab zib.
Cov kev txhaj tshuaj no yuav txhawb nqa lub cev tiv thaiv kab mob kom rhuav tshem cov tshuaj tiv thaiv. "Ciaj sia nyob" beta hlwb yuav muaj peev xwm nce ntau ntxiv, thiab thaum sijhawm dhau los, tus kws kho mob hlwb yuav rov ua haujlwm.
Ib txoj kev ua tau zoo yog kev hloov islet. Ib tug xov tooj ntawm cov kev tshawb fawb soj ntsuam tau ua pov thawj tias thaum hloov cov islets ntawm Langerhans, cov concentration ntawm cov piam thaj hauv cov ntshav tuaj yeem ruaj khov. Yog li tias lub cev tsis kam lees txais cov ntaub so ntswg uas hloov pauv, koj yuav tsum noj tshuaj tiv thaiv kab mob.
Qia hlwb tseem tau qhia kom txhim kho kev ua haujlwm hauv pancreatic. Vim li ntawd, qhov siab ntev ntawm lub cev tiv thaiv kab mob tuaj yeem hloov siab.
Ntau tus kws tshaj lij sau cia tias txoj hauv kev muaj txiaj ntsig rau kev kho mob ntshav qab zib yog kev hloov pauv ntawm cov neeg mob ntshav qab zib nqaij hlav, thiaj li hu ua xenotransplantation. Tsiaj hloov khoom nruab nrog tau siv ntev ua ntej tib neeg cov kua dej.
Raws li koj paub, qhov nce zuj zus ntawm cov ntshav qab zib ua rau muaj ntau yam mob nyhav - ko taw mob ntshav qab zib, retinopathy, neuropathy, nephropathy, thiab lwm yam. Nrog rau lub raum ua mob hnyav, kev hloov ua ke yog tau.
Cov kws kho mob muab cov kev mob tshwm sim zoo: hauv 90% ntawm cov neeg mob, kabmob ua haujlwm zoo hauv paus.
Kev kho noj qab haus huv - raws li txoj kev ua kom rov zoo
Kev noj zaub mov zoo yog ib qho tseem ceeb ntawm kev tswj cov dej qab zib kom ib txwm muaj thiab cov ua haujlwm hauv pancreatic.
Hloov cov khoom noj rau koj cov ntshav qab zib hom 2 yuav pab koj kom tsis txhob noj tshuaj.
Tus kab mob ntshav qab zib raug txwv tsis pub noj zaub mov zom kom yooj yim thiab cov rog.
Cov cai tseem ceeb rau kev noj zaub mov zoo rau ntshav qab zib yog:
- Kev ua noj yuav tsum yog ua noj, ua noj lossis muab ci.
- Kev txwv rau chocolate, khoom qab zib, qab zib, khoom qab zib, mis nyuj khov thiab lwm yam khoom qab zib.
- Kev tsis kam ntawm muffin, bakery thiab pasta, rau cov hmoov nplej uas zoo siv.
- Kev siv cov zaub ntsuab thiab txiv hmab txiv ntoo zoo siab tos txais - zaub ntsuab, dib, txiv lws suav, txiv av ntsuab, txiv ntoo, txiv tsawb, txiv qaub. Hauv qhov no, koj tsis tuaj yeem noj cov txiv quav ntswv nyoos thiab cov dib liab, vim tias lawv muaj cov khoom noj carbohydrates ntau.
- Kev noj zaub mov ua los ntawm cov khoom noj wholemeal. Piv txwv li, Borodino lossis rye cij, ncuav oatmeal, thiab lwm yam.
- Koj yuav tsum yuam koj tus kheej kom noj tsuas yog cov ntses muaj roj tsawg thiab nqaij - hake, zander, nqaij qaib, luav, thiab lwm yam.
- Ib qho me me pub rau siv cov mis nyuj skim thiab nws cov derivatives - fermented ci mis nyuj, kefir, qaub cream, tsev cheese.
- Ntxiv rau qhov khoom noj ntawm ntau cov cereals xws li buckwheat, oatmeal, millet porridge.
- Ntawm cov dej haus nws raug tso cai rau noj cov tshuaj yej uas tsis muaj zog, unsweetened compotes thiab kua txiv haus.
- Tsis kam nrog qhov tsis zoo - haus luam yeeb thiab quav dej quav cawv.
- Tsis tas li, ntxiv rau qab ntsev, qaub thiab kua txob rau cov zaub mov tsis pom zoo.
- Cov zaub mov yuav tsum tau fractional: cov zaub mov yuav tsum tau noj nyob rau hauv ib qho me me ntawm 5-6 servings hauv ib hnub.
Kev kho mob ntshav qab zib rau cov ntshav qab zib kuj ua hauj lwm zoo rau mob pancreatitis - kev mob ntawm tus txiav ua tiav los ntawm kev ua haujlwm ntawm cov enzymes tshwj xeeb hauv nws. Raws li qhov tshwm sim, muaj txheej txheem ntawm kev zom zaub mov rau tus kheej, hloov cov kua txiv hmab txiv ntoo tsis nkag rau duodenum, uas ua rau muaj kev zom zaub mov. Tus qauv anatomical ntawm tus txiav nrog pancreatitis txawv heev.
Raws li ib qho kev kho mob ntxiv, tshuaj ntsuab pej xeem tuaj yeem siv. Txhawm rau lub cev thiab txhim kho lub cev tiv thaiv kev ua kom zoo nkauj, kho kom zoo nkauj thiab infusions ntawm chamomile, immortelle, oats, aspen thiab iab wormwood siv.
Yuav ua li cas rov qab rau pancreatic kev ua haujlwm hauv ntshav qab zib tau piav qhia hauv video hauv tsab xov xwm no.
