Lipodystrophy yog kuaj tau yog tias tus neeg tsis muaj rog. Nyob rau tib lub sijhawm, kev kho zaub mov noj kom zoo dua los ntawm tus kws kho mob tsis ua kom tiav, qib tsis muaj rog ntau ntxiv txawm tias tom qab noj zaub mov muaj calorie ntau. Nrog rau tus kab mob, tus neeg lub hnub nyoog thiab poj niam txiv neej tsis txawv, txawm li cas los xij, cov tsos mob yuav txawv ntawm tus txiv neej thiab poj niam.
Nws tsis muaj teeb meem dab tsi cov zaub mov uas tus neeg mob noj, qhov nyiaj ntau ntawm carbohydrates, cov rog thiab cov protein. Nws kuj tsis tuaj yeem yuag yuag thaum ua tiav qhov kev xav, kev tawm dag zog, kev ua kis las.
Lipodystrophy yog qhov kab mob txaus ntshai, nws muab cov kev mob loj thiab mob hnyav, vim tias lipids koom nrog cov txheej txheem tseem ceeb hauv tib neeg lub cev, lawv tseem ceeb heev.
Lub hauv paus sib txawv ntawm dystrophy zoo tib yam yog tias cov leeg tsis tshwm sim. Kev pom, tus neeg tsis saib zoo li sab sab, tab sis tsis muaj kev kho mob, kev ntxhov siab hauv kev ua haujlwm ntawm cov nruab nrog sab hauv thiab cov kab ke yuav pib.
Cov hom lipodystrophy, lawv cov nta
Nws yog txoj kev cai kom paub qhov txawv ntawm ntau hom mob ntawm tus kab mob no. Nws tsis tshua muaj muaj peev xwm los kuaj xyuas cov ntshav qab zib ua ntshav nruab nrog cev lipodystrophy, hauv cov menyuam yaus rog tsuas yog nyob rau ntawm lub taub hau thiab lub qab xib taws. Ib hom kab mob hauv nruab nrog cev ntau dua ntawm cov kab mob pathology tshwm sim, hauv cov neeg mob no cov rog muaj nyob ntawm caj dab, ntsej muag thiab lub hauv siab. Tus kab mob no tshwm sim rau txiv neej thiab poj niam txhua lub hnub nyoog.
Tsis tshua muaj nrhiav tau nrhiav cov lipodystrophy, nws cuam tshuam rau cov poj niam nkaus xwb. Cov yam ntxwv sib txawv - tsis tiav cov rog, nws pib ploj thaum tiav nkauj tiav nraug. Yuav luag txhua zaus, cov neeg mob tau mob raum.
Ib qho ntxiv yog cov lipodystrophy dav dav, nws tshwm sim los ntawm kev hloov kis mob: kab mob siab, mob ntsws, mob qa foob. Thaum nyob hauv lub cev muaj kev ua txhaum ntawm kev ua haujlwm ntawm hepatocytes lub luag haujlwm rau cov khoom noj hauv lub cev, qhov tawg ntawm cov rog, hepatic lipodystrophy pib hauv ib tus neeg.
Nws yog qhov tshwj xeeb tshaj yog tsim nyog cais tawm lipodystrophy hauv ntshav qab zib mellitus (insulin lipodystrophy), nws tshwm sim vim cov tshuaj insulin ntau zaus. Qhov chaw txhaj tshuaj yog feem ntau tau muab rau lub sijhawm:
- atrophy;
- ploj mus.
Hauv pathogenesis ntawm hom lipodystrophy, qhov tshwj xeeb tseem ceeb yog muab rau lub caij nyoog mob mus rau cov ntaub so ntswg, ceg ntawm cov hlab ntsha peripheral vim yog physicochemical, mechanical thiab thermal irritations. Nws tseem yog ib qho yuam kev kom tsis suav lub luag haujlwm ntawm kev tsis haum tshuaj rau lub hauv paus rau kev tswj hwm hormone.
Cov kws kho mob paub tseeb tias lub cev ntawm qee tus neeg mob teb rau txhaj tshuaj tom qab ob peb koob tshuaj insulin. Txawm li cas los xij, nyob rau ntau qhov teebmeem feem ntau dhau los, hom kev tsim kho ntawm lipodystrophy tsuas yog 10-15 xyoo tom qab pib qhov kev kho mob. Qhov tob ntawm qhov txhab muaj peev xwm sib txawv los ntawm ob peb lub millimeters mus rau qhov ua tiav ntawm subcutaneous cov ntaub so ntswg hauv thaj chaw loj ntawm lub cev.
Niaj hnub no, txhua yam cuam tshuam uas tuaj yeem cuam tshuam qhov kev hloov ntawm tus nqi ntawm cov rog tsis tau tsim. Cov teeb meem tshwm sim feem ntau yog cov teeb meem hauv lub cev, suav nrog cov tshuaj hormones, ntxiv kev haus cawv (haus luam yeeb, haus dej cawv), giardiasis, kis tus kab mob siab, noj zaub mov rog thiab suab thaj, thiab zaub mov tsis zoo.
Qhov sib npaug pom tseeb ntawm lipodystrophy yog kev qaug cawv ntawm lub cev, qhov no suav nrog:
- lom hauv kev lag luam phom sij;
- ntev nyob hauv thaj chaw nrog ecology tsis zoo.
Thaum kws kho mob tau kuaj mob ntshav qab zib lipodystrophy, cov laj thawj feem ntau yuav tsum tau nrhiav hauv kev txhaj tshuaj insulin ntau zaus.
Kev kho pathology
Tom qab kev tshuaj xyuas thawj zaug, kws kho mob pom zoo kom kuaj cov ntshav hauv lub chaw ntsuas, qhov no yog kev tsom xam dav dav ntawm cov zis thiab ntshav, kev tshawb xyuas txog qib ntawm cov piam thaj hauv lub cev. Tom qab lipodystrophy yog txuam nrog cov pathologies uas twb muaj lawm, pib ib txoj kev kho.
Yog tias ib tus neeg mob ntshav qab zib, tsis muaj ib qho tuaj yeem tsis quav ntsej qhov muaj lipodystrophy, txij li cov ntaub so ntswg atrophied tsis tso cai rau cov tshuaj insulin tom qab txhaj. Raws li qhov tshwm sim, nws dhau los ua qhov teeb meem los ua kom txaus rau kev suav qhov ntau npaum li cas ntawm cov tshuaj hormones, uas yuav tsum nkag mus rau hauv tus neeg mob lub cev.
Lipoatrophic mob ntshav qab zib yog qhov tshwj xeeb tshaj yog txaus ntshai, ib qho xwm txheej uas cov ntaub so ntswg ntawm cov ntshav qab zib kiag li tso tseg tsis teb cov tshuaj insulin. Qhov kev mob tshwm sim no tau pom muaj kwv yees li 25% ntawm cov neeg mob ntshav qab zib. Atrophic hloov pauv ntawm daim tawv nqaij tsis muaj kev hem thawj. Cov roj ntsha muaj ntau zuj zus nyob hauv qhov chaw txhaj tshuaj, thaum thaj chaw no raug mob lossis kis tus kab mob nkag rau hauv nws, qhov yuav ua rau mob ncauj plab, mob ko taw nce ntxiv, qhov tshwm sim ntawm qhov muaj teeb meem - mob caj dab hauv ntshav qab zib mellitus.
Thaum lipodystrophy kuj tseem nyuaj los ntawm daim ntawv hepatic ntawm tus kab mob, nws tseem ntxiv qhov kev kho mob nrog tshuaj:
- hepatoprotectors (Essliver, Qhov Tseem Ceeb);
- txhawm rau tsim cov metabolism (methionine, methyluracil);
- vitamin ntau heev.
Yog tias muaj kev tsis txaus siab ntawm colic, tus kws kho mob sau cov tshuaj antispasmodics. Feem ntau uas mob hnyav, tsis tuaj yeem kho cov tshuaj hormone.
Feem ntau, kev kho kom lub siab rov qab siv sijhawm tsawg kawg 6 lub hlis, tom qab ntawd tsawg kawg 2 xyoos sib law, koj yuav tsum them nyiaj tshwj xeeb rau kev noj zaub mov, noj tshuaj kom tswj tau lub cev.
Qee zaum kev kho mob pib nrog kev hloov pauv ntawm hom insulin, multicomponent lossis tib neeg cov insulin yuav dhau los ua qhov kev ua haujlwm zoo tshaj plaws. Qhov kev txhaj tshuaj yog tsim ntawm ciam teb ntawm cov nqaij zoo thiab lipodystrophy. Yog tias koj ua raws li kev txhaj tshuaj, thov cov insulins uas haum nrog tus pH nruab nrab, lipodystrophy tsis loj hlob.
Txhawm rau qhov chaw ntawm ua tsis xis nyob thiab normalize trophism, kev sib xyaw ntawm cov tshuaj insulin nrog Novocaine yog siv. Cov tshuaj hormone yog tov nrog 0,5% Novocaine daws, cov chaw cuam tshuam los ntawm lipodystrophy yog tawg nrog kev sib xyaw.
Cov hau kev tiv thaiv
Txhawm rau kom tshem tawm cov xwm txheej zoo li no yog qhov nyuaj, yuav luag tsis tau.
Tib txoj kev los tiv thaiv koj tus kheej yog kev tiv thaiv raws sijhawm.
Txhawm rau kom tsis txhob txhim kho lipodystrophy hauv cov ntshav qab zib mellitus, koj yuav tsum soj ntsuam koj cov zaub mov tsis tu ncua, tsis suav nrog kev noj haus:
- cov roj carbohydrates ceev;
- Cov khoom noj muaj roj.
Nws raug pom zoo kom yauv mus ua ntau qhov kev kawm ntawm ultrasound, inductometry. Thawj zaug koj yuav tsum tau siv sijhawm 10-15 zaug, kev kho yog nqa txhua txhua hnub. Tom qab txhua qhov kev kawm, lawv so sijhawm 2-3 lub hlis thiab ntxiv 15 ntu.
Ultrasound tuaj yeem nkag mus rau hauv cov ntaub so ntswg los ntawm 10 centimeters, ua deeg ceev pab kom txhim kho cov tawv nqaij mob, txhawb kev ntshav ntws. Thaum ua cov txheej txheem, cov tshuaj pleev hydrocortisone yog thov rau ntawm daim tawv nqaij, nws pab kho cov nqaij mos uas raug cuam tshuam. Raws li txoj cai, txoj kev thov ua tuaj yeem pab tiv thaiv kev ua kom pom kev mob lipodystrophy rau lub sijhawm ntawm rau lub hlis mus rau ob xyoos.
Nws muaj txiaj ntsig zoo rau kev tiv thaiv mus rau lwm qhov chaw txhaj tshuaj; insulin yog tswj tshwj xeeb nrog rau kev npaj kom sov mus txog lub cev kub. Nws tseem tseem tau ua los kho qhov chaw txhaj tshuaj nrog cawv, tom qab qhov kev txhaj tshuaj so lawv nrog daim ntaub tsis huv lossis tos kom lub khob kom yaj.
Cov tshuaj insulin yog nkag mus tob thiab maj mam nyob rau hauv daim tawv nqaij, nws yog txwv tsis pub siv cov koob qub, lawv raug mob rau daim tawv nqaij ntau dua.
