Ukungakwazi ukusebenza kwe-Exocrine Pancreatic ezinjeni - Izimpawu kanye nokwelashwa

Umlobi: John Stephens
Usuku Lokudalwa: 26 Ujanuwari 2021
Ukuvuselela Usuku: 20 Unovemba 2024
Anonim
Ukungakwazi ukusebenza kwe-Exocrine Pancreatic ezinjeni - Izimpawu kanye nokwelashwa - Izifufuzo Ezifuywayo
Ukungakwazi ukusebenza kwe-Exocrine Pancreatic ezinjeni - Izimpawu kanye nokwelashwa - Izifufuzo Ezifuywayo

-Delile

Ukuphazamiseka kwamanyikwe exocrine kuqukethe ikakhulukazi i- ukulahleka kwesisindo samanyikwe esisebenzayo ukungasebenzi kahle kwe-pancreatic pancreatic, noma ngokuvuvukala noma i-pancreatitis. Izimpawu zomtholampilo ezimeni zokushodelwa i-pancreatic zenzeka lapho kukhona ukulahleka okungenani kwama-90% we-exocrine pancreas mass. Lo monakalo kungenzeka ngenxa ye-atrophy noma ukuvuvukala okungapheli futhi kuholela ekwehleni kwama-enzyme e-pancreatic emathunjini, okubangela i-malabsorption kanye nokugaya okungalungile izakhamzimba, ikakhulukazi amafutha, amaprotheni kanye nama-carbohydrate.

Ukwelashwa kuqukethe ukuphatha ama-enzyme e-pancreatic enza umsebenzi walokho amanyikwe enempilo ajwayelekile ukukhiqiza. Qhubeka ufunde le ndatshana yePeritoAnimal ukwazi konke mayelana Ukwehluleka kwe-Exocrine pancreatic ezinjeni - izimpawu nokwelashwa.


Kuyini ukungasebenzi kahle kwepancreatic pancreatic

Kubizwa ukungabi namandla kwepancreatic exocrine a ukukhiqizwa okunganele nokufihla ama-enzyme wokugaya ukudla kuma-pancreas exocrineokungukuthi, amanyikwe awanamandla okuhlukanisa ama-enzyme ngenani lawo elanele ukuze ukugaya kwenziwe kahle.

Lokhu kuholela kufayela le- i-malabsorption kanye nokufakwa kabi kwezakhi zomzimba wamathumbu, okubangela ukuqoqwa kwama-carbohydrate namafutha kuwo. Kusukela lapho kuqhubeke, ukuvutshelwa kwamagciwane, i-hydroxylation yamafutha acid kanye nemvula ye-bile acid kungenzeka, okwenza okuphakathi kube ne-asidi futhi kubangele ukukhula kwamagciwane.

Izimpawu ze-exocrine insufficiency pancreatic

Izimpawu zomtholampilo zenzeka uma kune- umonakalo omkhulu kuno-90% kwezicubu ze-exocrine pancreatic. Ngakho-ke, izimpawu ezitholakala kakhulu ezimweni zokungakwazi ukusebenza kahle kwepancreatic ezinjeni yizi:


  • Izindle ezinkulu nezenzeka njalo.
  • Uhudo.
  • Ukuqhuma kwesisu.
  • I-Steatorrhea (amafutha esitokisini).
  • Ukudla okuningi (i-polyphagia), kepha ukunciphisa umzimba.
  • Ukuhlanza.
  • Ukubukeka kabi koboya.
  • ICoprophagia (ukudla indle).

Ngesikhathi sokushaya ngamandla, kungaziwa ukuthi i- izihibe zamathumbu ziyehliswa, nge-borborygmos.

Izimbangela zokwehluleka kwe-exocrine pancreatic ezinjeni

Isizathu esivame kakhulu sokungasebenzi kahle kwepancreatic ezinjeni yiyona i-acinar atrophy engapheli bese kuthi endaweni yesibili kube isifo sofuba esingalapheki. Endabeni yamakati, eyokugcina ivame kakhulu. Ezinye izimbangela zokwehluleka kwe-exocrine pancreatic ezinjeni yizo izimila zepancreatic noma ngaphandle kwayo okubangela ukuvinjelwa emgudwini wepancreatic.


ukuthambekela kofuzo kulesi sifo

Lesi sifo ifa kulezi zinhlobo ezilandelayo zezinja:

  • Umalusi waseJalimane.
  • Umngcele onezinwele ezinde.

ngakolunye uhlangothi, kunjalo kaningi emijahweni:

  • Chow chow.
  • Isethi yesiNgisi.

Ubudala obusengozini enkulu yokuhlushwa yilokhu phakathi kweminyaka engu-1 no-3 ubudala, ngenkathi ikuma-English Setters, ikakhulukazi, isezinyangeni ezi-5.

Esithombeni esingezansi singabona umalusi waseJalimane one-pancreatic acinar atrophy, lapho kungenzeka khona ukubona i-cachexia ne-muscle atrophy:

Ukuxilongwa kokunganele kwe-exocrine pancreatic

Ekuxilongweni, ngaphezu kokubheka izimpawu zenja, ukuhlolwa okungacacisi noma okujwayelekile nokuhlolwa okuningiliziwe kufanele kwenziwe.

Ukuhlaziywa okujwayelekile

Ngaphakathi kokuhlaziywa okujwayelekile, kuzokwenziwa okulandelayo:

  • Ukuhlaziywa kwegazi kanye ne-biochemistry: imvamisa azikho izinguquko ezibalulekile ezivela, futhi uma zivela i-anemia encane, i-cholesterol ephansi namaprotheni.
  • indle ukuhlolwa: kufanele yenziwe ngokulandelana futhi ngezihlalo ezintsha ukuthola ukutholakala kwamafutha, ama-starch granules angadliwe kanye nemicu yemisipha.

Ukuhlolwa okuqondile

Ukuhlolwa okucacile kufaka:

  • Ukukala kwe-trypsin engavikeleki ku-serum (TLI): elinganisa i-trypsinogen ne-trypsin engena ekusakazeni ngqo kusuka kumanyikwe. Ngale ndlela, izicubu ze-exocrine pancreatic ezisebenzayo zihlolwa ngokungaqondile. Ukuhlolwa okucacile kusetshenziselwa izinhlobo ze-canine. Amanani angaphansi kuka-2.5 mg / mL ukuxilonga ukungasebenzi kahle kwe-exocrine pancreatic ezinjeni.
  • ukumunca amafutha: kuzokwenziwa ngokulinganisa i-lipemia (amafutha egazi) ngaphambi nangamahora amathathu ngemuva kokufaka uwoyela wemifino. Uma i-lipemia ingaveli, ukuhlolwa kuyaphindwa, kepha kufakwa uwoyela nge-enzyme ye-pancreatic kuze kube yihora. Uma i-lipemia ivela, ikhombisa ukugaya okungalungile futhi, uma kungenjalo, i-malabsorption.
  • Ukumuncwa kuka-Vitamin A.: izokwenziwa ngokunikeza ama-200,000 IU ale vithamini futhi ilinganiswa egazini phakathi kwamahora ayisithupha kuya kwayisishiyagalombili kamuva. Uma kukhona ukumuncwa okungaphansi kokuphindwe kathathu inani elijwayelekile lale vithamini, kukhombisa ukuthi i-malabsorption noma ukugaya okungalungile.

Noma nini lapho kuba nokusola kwalesi sifo, uvithamini B12 nefolate kufanele kukalwe. Izinga eliphakeme lamazinga aphansi futhi aphansi kavithamini B12 aqinisekisa ukwanda kwamagciwane emathunjini amancane okungenzeka ahlobene nalesi sifo.

Ukwelashwa kokunganele kwe-exocrine pancreatic

Ukwelashwa kwe-exocrine insufficiency pancreatic kuqukethe ukuphathwa kwe-enzyme yokugaya kukho konke ukuphila kwenja. Bangangena ngempuphu, amaphilisi noma amaphilisi. Kodwa-ke, uma sebengcono, umthamo ungancishiswa.

Kwezinye izikhathi, ngaphandle kokuphathwa kwala ma-enzyme, ukumuncwa kwamafutha akwenziwa kahle ngenxa ye-pH yesisu ewachitha ngaphambi kokwenza. Uma lokho kwenzeka, a isisu somvikeli, njenge-omeprazole, kufanele inikezwe kanye ngosuku.

Uma uvithamini B12 untula, kufanele wengezwe ngokwanele ngokwesisindo senja. Ngenkathi inja enesisindo esingaphansi kuka-10 kg izodinga kuze kufike ku-400 mcg. Uma unesisindo esiphakathi kuka-40 no-50 kg, umthamo uzokhuphukela ku-1200 mcg kavithamini B12.

Phambilini, bekunconywa ukudla okunamafutha aphansi, okugaya kakhulu ukudla, okune-fiber encane, kepha namuhla, kudinga nje ukuthi kube ukudla okugayekayo. Amafutha aphansi anganconywa kuphela uma ama-enzyme enganele. Ilayisi, njengomthombo wesitashi esigaxeka kalula, yi-cereal yokuzikhethela izinja ezinokungakwazi ukusebenza kahle kwe-pancreatic.

Manje njengoba usuyazi ukuthi i-exocrine insufficiency pancreatic iyini nokuthi ungazelapha kanjani izinja, ungahle ube nentshisekelo kule vidiyo ekhombisa ukuthi uyinakekela kanjani inja ukuze iphile isikhathi eside:

Lo mbhalo wenzelwe imininingwane kuphela, kwaPeritoAnimal.com.br asikwazi ukunquma ukwelashwa kwezilwane noma ukwenza noma yiluphi uhlobo lokuxilongwa. Siphakamisa ukuthi uthathe isilwane sakho uye kudokotela wezilwane uma kungenzeka ukuthi unanoma yiluphi uhlobo lwesimo noma ukungaphatheki kahle.

Uma ufuna ukufunda izindatshana eziningi ezifana ne- Ukungakwazi ukusebenza kwe-Exocrine Pancreatic ezinjeni - Izimpawu kanye nokwelashwa, sincoma ukuthi ufake isigaba sethu sezinye izinkinga zezempilo.