Hauv qee tus neeg mob, kab mob ntshav qab zib pancreatogenic mellitus tawm tsam keeb kwm ntawm tus kab mob pancreatic pathology. Hom ntshav qab zib no tsis siv rau hom thawj (T1DM) lossis hom ob (T2DM). Raws li cov kws tshaj lij, cov mob ntshav qab zib pancreatogenic yog hom ntshav qab zib thib peb, uas muaj cov yam ntxwv ntawm tus cwj pwm thiab cov yam ntxwv hauv chav kawm.
Kev tsim kho tshuab
Qhov txiav ua tiav ntawm exocrine thiab endocrine ntaub so ntswg. Nrog rau pancreatitis, diffuse cuam tshuam thiab kev hloov pauv ntawm daim npog acinar tshwm sim, tom qab ntawd atrophy ntawm acini, lub ntsiab yam ntxwv ntawm lub exocrine ib feem ntawm lub caj pas.
Cov kev hloov pauv no tseem tuaj yeem txuas ntxiv rau cov islets ntawm Langerhans (cov qauv ntawm lub endocrine ntawm cov txiav), txoj haujlwm ntawm kev ua haujlwm yog cov tshuaj insulin. Yog li ntawd, kev ua haujlwm ntawm cov kab mob endocrine rau cov hlab ntsha tawg yog cuam tshuam, uas ua rau pom qhov tshwm sim ntawm mob ntshav qab zib pancreatogenic mellitus.
Ntshav Qab Zib Hom 3 muaj qee tus yam ntxwv:
Cov neeg mob feem ntau muaj lub cev ib txwm muaj;- Yog tsis muaj caj ces;
- Kev tsim kho cov ntshav qog ua kom ntshav qab zib;
- Cov neeg mob feem ntau kuaj tau kab mob ntawm daim tawv nqaij;
- Tsawg xav tau cov tshuaj insulin;
- Hauv cov neeg mob, choleric temperament ntau zog;
- Qhov pom ntawm qhov mob lig (qhov tseem ceeb). Pom tseeb ntawm tus kab mob ntawm cov kab mob tau hnov tom qab 5-7 xyoo txij li hnub pib ntawm tus mob pib.
Cov neeg mob feem ntau muaj lub cev ib txwm muaj;Tsawg dua li muaj mob ntshav qab zib zoo tib yam, macroangiopathy, microangiopathy, thiab ketoacidosis tshwm sim.
Vim li cas rau qhov tsos
Qhov tseem ceeb ua rau tus mob ntshav qab zib hom 3 yog mob caj dab. Tab sis muaj lwm yam ua rau kev tsim cov kabmob.
Cov no suav nrog:
- Kev raug mob hauv qhov uas ua ncaj ncees ntawm lub tsev me me muaj qhov tsis taus;
- Cov kev cuam tshuam kev phais (pancreatoduodenectomy, pancreatojejunostomy ntev, mob leeg nqaij hlav,
- Kev mob caj dab rov qab);
- Kev noj tshuaj ncua ntev (siv tshuaj corticosteroid);
- Lwm yam kab mob pancreatic, xws li mob qog nqaij hlav, mob paj hlwb necrosis, pancreatopathy;
- Cystic fibrosis;
- Hemochromatosis
Lawv tsub kom muaj feem yuav tsim cov ntshav qab zib hom 3:
- Kev pham Tshaj lub cev hnyav dhau los ua rau kev kawm ntxiv ntawm pob txha caj qaum thiab ua rau muaj qhov pheej hmoo tshwm sim ntxiv. Hauv cov neeg mob rog rog, cov nqaij tiv (tiv thaiv) rau insulin yog qhov ntau, uas ua rau muaj ntshav qab zib ntau dua.
- Hyperlipidemia. Kev nce qib ntawm cov lipids hauv tib neeg cov ntshav cuam tshuam rau cov ntshav ncig, vim tias cov qog hlwb tsis tau txais qhov tsim nyog ntawm cov as-ham thiab o tshwm sim.
- Kev quav cawv Nrog rau kev haus dej haus ib lub cev, tus nqi ntawm kev muaj mob ntawm exocrine caj pas tsis txaus yog ntau dua.
Symptomatology
Cov tsos mob ntawm tus mob ntshav qab zib pancreatogenic:
- Qhov kev xav ntawm kev tshaib plab;
- Polyuria
- Polydipsia;
- Txo cov leeg tsis sib luag;
- Neeg tsis muaj zog
- Cov hws txias txias;
- Caw tag nrho lub cev;
- Siab ntsws xav.
Nrog rau pancreatogenic mob ntshav qab zib mellitus, vascular phab ntsa ua thinner, lawv permeability nce, uas externally manifests nws tus kheej raws li bruises thiab o.
Kev Kho Mob
Cov tshuaj tsis raug cai tsis paub txog tus mob ntshav qab zib hom 3, thiab hauv kev coj ua xws li kuaj pom muaj tsawg. Raws li qhov tshwm sim, kev kho tsis raug yog raug sau tseg uas tsis muab cov nyhuv xav tau.
Qhov tseeb yog tias nrog mob ntshav qab zib pancreatogenic, nyob rau hauv kev sib piv rau cov ntshav qab zib ntawm thawj ob hom, nws yog ib qhov tsim nyog los cuam tshuam tsis yog hyperglycemia, tab sis kuj muaj tus kab mob hauv qab (pathology ntawm lub txiav).
Kev kho mob ntshav qab zib hom 3 suav nrog:
- Kev noj haus
- Tshuaj Kho Mob;
- Cov tshuaj insulin;
- Kev phais mob.
Kev noj haus
Kev noj haus rau cov kab mob ntshav qab zib pancreatogenic mellitus muaj nyob hauv kev kho cov protein-lub zog tsis txaus, suav nrog hypovitaminosis. Nws yog ib qho tsim nyog kom tsis suav cov khoom muaj roj, ntsim thiab kib, cov zaub mov tshwj xeeb (mov ci, butter, qab zib).
Cov khoom noj uas tsis tau xav noj yuav tsum tau muaj cov tshuaj vitamins thiab tshuaj noj kom tsawg ntawm lub cev. Nws kuj yog ib qho tsim nyog yuav tsum tso tseg cov cawv huv si.
Siv tshuaj kho
Kho tshuaj nrog rau kev siv tshuaj:
- Enzymatic;
Qab zib txo;- Cov Tshuaj Pleev Xim;
- Muab cov khoom siv rov qab ntawm cov roj electrolyte;
- Vitamin complexes.
Qab zib txo;Kev kho nrog enzyme npaj yog ib txoj kev ntxiv (txuas ntxiv) ntawm kev kho tus mob. Kev npaj enzyme siv rau kev kho mob ntawm hom 3 mob ntshav qab zib mellitus yuav tsum muaj cov amylase, peptidase, thiab lipase enzymes hauv cov sib txawv.
Lub hom phiaj ntawm kev siv cov tshuaj no yog txhawm rau txhim kho kev zom zaub mov thiab kev ua kom yuag rog, vim tias nws muaj peev xwm tswj tau cov piam thaj zoo dua, txo qhov kev pheej hmoo ntawm cov teeb meem, tswj cov qib glycogemoglobin thiab txhim kho tus neeg mob kom zoo.
Ib qho ntawm kev siv enzyme feem ntau siv tau yog Creon, uas, ntxiv rau nws lub hom phiaj tseem ceeb, kuj tseem pab daws cov leeg nqaij leeg.
Kev mob pancreatic tuaj yeem ua rau sitophobia (ntshai tsam noj mov), uas tsuas yog pab txhawb kev txhim kho hypoglycemia. Txo qhov mob, nws raug nquahu kom siv cov tshuaj tsis-quav yeeb tshuaj.
Kev phais mob
Peb tab tom tham txog autotransplantation ntawm islets ntawm Langerhans los ntawm tus pub rau cov neeg mob ntshav qab zib. Tom qab hloov chaw, endocrine cov ntaub so ntswg hlwb pib tsim cov tshuaj insulin, nquag tswj kev mob glycemia.
Tom qab xws li kev ua haujlwm, txiav xa rov qab los yog yias tawv tuaj yeem ua.
Kev txhaj tshuaj insulin
Yog tias tsim nyog, tshaj tawm kev qhia txog cov tshuaj insulin-cov tshuaj, qhov ntau npaum li cas yog nyob ntawm theem ntawm cov piam thaj hauv cov ntshav, cov zaub mov noj rau hauv cov zaub mov, kev ua si lub cev ntawm tus neeg mob.
