Non-ezinxilisayo isifo okunamafutha kwesibindi (NAFLD): oonobangela, nemiqondiso, iimpawu kunye nonyango

Non-ezinxilisayo isifo okunamafutha zesibindi - sisigulo ihamba ukuqokelelana zamathontsana lipid kwi hepatocytes. Loo inkqubo kuchaphazela ukusebenza komzimba kwaye kungakhokelela kubunzima yingozi. Ngelishwa, umfanekiso yinto badla akuboni, ngoko ke isifo eso, njengoko umthetho, sele zikwisigaba sokugqibela nophuhliso.

Ekubeni ngezifo kakhulu eqhelekileyo, abantu abaninzi ukubuza imibuzo malunga nokuba yintoni na a non-ezinxilisayo steatosis kwesibindi. Iimpawu kunye nonyango, ibangela kunye nezigulo - oko amanqaku kubalulekile ukucinga.

Yintoni isifo? Inkcazelo emfutshane umyalezo kunye

NAFLD, non-obunxilisayo isifo okunamafutha zesibindi - a ngezifo eqheleke kakhulu ukuba luphawulwa sokuzuza iiseli isibindi (hepatocytes) lipids. Ekubeni amathontsi amanqatha ezifakwe ngaphakathi iiseli kwaye kwisithuba extracellular, lo ukungasebenzi waphawula weGunya. isifo alunyangwanga kubangela iingxaki eziyingozi, nto leyo eyandisa amathuba zizifo sentliziyo, ukuqina okanye abuhlungu ithumba uluhlu esibindini.

Non-ezinxilisayo isifo okunamafutha zesibindi - ingxaki ixesha lethu. Ngokutsho izifundo nefuthe malunga ne-25% (kwamanye amazwe kunye ukuya ku-50%). Noko ke, amanani-abayazi kubizwa ngokuba echanileyo, eneneni ukufumanisa isifo ngexesha akufane kunokwenzeka. Hi ndlela leyi, badla loo nto, amadoda kunye nabafazi, nabantwana. Ikakhulu bachatshazelwa sesi sifo kumazwe aphuhlileyo, nto leyo ehambisana kunye ne-ofisi, indlela esisigxina yobomi, ntshikilelo rhoqo kunye nokungondleki.

Eyona eziphambili ezibangela izifo fat

Umbuzo kutheni nendlela ukuphuhlisa isifo okunamafutha sesibindi non-utywala, nangoku efundwayo kumaziko ezininzi zophando. Kodwa kule minyaka imbalwa idlulileyo, izazinzulu baye bakwazi ukuchonga ubungozi ezininzi:

• Amavila (uninzi lwezigulane kunye nale unesifo abatyebe kakhulu).
• Kwelinye icala, steatosis lisenokuba kwi imvelaphi ngokukhawuleza ukwehla kobunzima, kuba le meko sikhatshwa utshintsho kumanqanaba kwamafutha omzimba, kunye acids okunamafutha.
• Imiba yomngcipheko ziquka isifo seswekile, ingakumbi uhlobo yesibini.
• sengozini enkulu yokuba esi sifo kubantu abane lwegazi ezingapheliyo.
• NAFLD angavela kumanqanaba aphezulu triglycerides kunye cholesterol egazini.
• Ezinokuba yingozi kukusetyenziswa amayeza athile, ingakumbi elwa arhente hormone (iipilisi zokulawula inzala, glucocorticoids).
• Imiba yomngcipheko ziquka ukungatyi ukutya okunesondlo, ingakumbi xa ekutyeni iqulethe izitya Abazizityebi carbohydrate kunye nezilwanyana amafutha.
• Esi sifo senzeka kwi izifo wokugaya, kuquka goiter, izilonda sisilonda kumatshini, pancreatitis, nokwenziwa kakuhle izakhi kodonga emathunjini.
• Ezinye iingozi zinto ziquka sifo, isifo yemiphunga, ukhwekhwe, lipodystrophy, izifo oncologic, iingxaki intliziyo, porphyria, nangokurhala kakhulu, ukuqokelelela izixa ezikhulu radicals ezamahala, isifo kwizicwili.

Non-ezinxilisayo isifo okunamafutha zesibindi: Ulwahlulo nebakala lophuhliso

Kukho iindlela ezininzi Cazulula sifo. Kodwa oogqirha sinikele ingqalelo indawo le nkqubo. Kuxhomekeka apho beqokelela amathontsi lipid bodwa focal olusasaziweyo ochazwa nezisasaziweyo, kwentamo neemilo lommandla gepatoza.

Non-ezinxilisayo isifo okunamafutha zesibindi senzeka ngokwamabakala amane:

• Okunamafutha kwesibindi apho kukho zemali izixa ezikhulu amathontsi lipid kwi hepatocytes kunye nendawo intercellular. Kuthiwa ukuba izigulane ezininzi, le nto ayithethi kungakhokelela umonakalo omkhulu wesibindi, kodwa phambi luchaphazela imiba sifo Ungasa kwisigaba esilandelayo zophuhliso.
• steatohepatitis Nonalcoholic, apho ekufumbekeni amanqatha lukhatshwa ukudumba.
• Abanesigulo sisiphumo senkqubo ende arhabaxa. iiseli isibindi esebenzayo ngokuthe ngcembe indawo izinto nokuqina. Amanxeba akhiwa, echaphazela ukusebenza komzimba.
• Ukuqina - isigaba sokugqibela nophuhliso lwe abanesigulo, apho uninzi eliqhelekileyo zesibindi inyama loloyiko endaweni. isakhiwo miseka kunye nomzimba nokusebenza, nto leyo ngokufuthi ekhokelela insufficiency hepatic.

Ziziphi iimpawu zihambisana umkhuhlane?

Abantu abaninzi abajongene unesifo "non-ezinxilisayo zesibindi steatosis." Iimpawu kunye nonyango - imiba umdla izigulane ezininzi. Njengoko sele kukhankanyiwe, umfanekiso bezonyango sifo lubricated. Amaxesha amaninzi ukutyeba isibindi inyama leyo ezingahambi ukuphazamiseka kakhulu, nto leyo ebangela kubenzima kakhulu diagnosis ngexesha ngenxa yokuba izigulane nje musani ukufuna uncedo.

Ziintoni iimpawu kunye isifo okunamafutha isibindi non-ezinxilisayo? Iimpawu zesi sifo ziquka:

• Ngenxa nezitenxo esibindini, izigulane badla ezikhala esiswini, ngokukodwa, isicaphucaphu kunye ubunzima esiswini, olwenzeka emva kokutya, iingxaki kunye esitulweni.
• Ezi mpawu ziquka ukudinwa, intloko ebuhlungu nezolo, ubuthathaka obukhulu.
• Kumanqanaba kamva yokwanda ubungakanani wesibindi udakada. Izigulane akhalaze ubunzima kunye neentlungu hypochondrium ekunene.
• Malunga nama-40% ezigulane inokubonakalisa hyperpigmentation ulusu entanyeni kunye amakhwapha.
• Mhlawumbi imbonakalo spider emithanjeni (inimba emithanjeni igridi) ezintendeni.
• Le nkqubo yokukrala Idla yi yellowness ulusu okanye amehlo.

isifo Adipose kubantwana

Ngelishwa, non-obunxilisayo isifo okunamafutha isibindi sivame ukuxilongwa abantwana nabafikisayo. Ngaphezu koko, kwiintsuku ezimbalwa ezidlulileyo, inani leemeko ezifana liye landa kakhulu, ngenxa ukunyuka kwezinga lenzala ukutyeba phakathi izigulane namantshontsho.

uphethwe olufanelekileyo kubalulekile. Le nto ngexesha leemviwo zonyango isikolo qho, oogqirha umlinganiselo parameters omzimba womntwana, yokulinganisa uxinzelelo lwegazi, khangela umgangatho triglycerides kunye lipoprotein. Le nkqubo yenza kube lula ukufumanisa esi sifo kwexesha. Non-ezinxilisayo okunamafutha isifo sesibindi abantwana kufuna unyango ethile ezithile (ingakumbi xa wabonakala kwibakala lokuqala). Ukulungiswa yokudla umthambo rhoqo igalelo kuqheleke esibindini.

amanyathelo zokuChonga: Tests zeLebhu

Ukuba ukrokrela ukuba le ngezifo baqhuba iimvavanyo kwilebhu iisampulu igazi isigulane. Xa sifunda iziphumo zovavanyo kufuneka sinikele ingqalelo ezi zikhombisi zilandelayo:

• Izigulane waphawula ukwanda enzyme zesibindi. Luyanda ngokulinganisela, malunga 3 - 5 amaxesha.
• Kukho lunyhasho carbohydrate ukutya - izigulana kakuhle nokunyamezela iswekile, okuhambelana iimpawu uhlobo II seswekile.
• Enye into - le dyslipidemia leyo iphawulwa kumanqanaba cholesterol kunye triglycerides egazini.
• Ukophulwa protein ukutya kunye nokwanda yibilirubin elifana neli kuphela kwiimeko phambili.

iimviwo instrumental ze isigulane

Kwiimvavanyo olwenziwe ngakumbi olongezelelweyo, ingakumbi, ultrasound iimviwo wesibindi kunye namaziko esiswini. Ingcali ngexesha Lomgaqo uqaphele iinxalenye iidipozithi lipid, kwaye saphucula echogenicity. Ke kaloku, US sifaneleke ngakumbi ngenxa uxilongo lwesifo okunamafutha kwentamo.

Ngaphezu kuqhutywa intlokoma Imagnethi yomhlaba kunye Itomography ngekhompyutha. Le nkqubo ukuvumela umfanekiso opheleleyo imeko yomguli kunye nobungakanani phambili kwesifo. Phela, esebenzisa Itomography lula kakhulu ukufumanisa nakujoliso olutsha yasekuhlaleni okunamafutha zesibindi.

Ngamanye amaxesha ufuna i biopsy isibindi. iimviwo Laboratory yemifanekiso izicwili kunceda ukuqinisekisa ukuba kukho inkqubo kwiintetho ezikralayo, nokuba ezisasaziweyo abanesigulo kakhulu ukuba abantu abane kwizigulane. Ngelishwa, le nkqubo inzima kakhulu kwaye eziliqela iingxaki, ngoko tirhisa oko kuphela kwiimeko kakhulu.

unyango ngamachiza kwe gepatoza nonalcoholic

Non-ezinxilisayo isifo okunamafutha kwesibindi, nangona ukuhamba kade, kuyingozi, kwaye ngoko ke kufuna unyango ngoko nangoko. Kakade ke, lo scheme unyango senziwa ngamnye, njengoko kuxhomekeke kwizinto ezininzi.

Ngokuqhelekileyo, owokuqala emiselweyo ukuba izigulane zifumana hepatic kunye antioxidants, ingakumbi, amalungiselelo eziqulathe betaine, tocopherol acetate, silibinin. Ezi zixhobo ukukhusela iiseli hepatic nxamnye umonakalo wehlise uphuhliso sifo. Phambi yokuxhathisa insulin xa isigulane usebenzisa iziyobisi ukwandisa receptors insulin uvakalelo. Ngokukodwa, nemiphumo emihle kungabonwa thiazolidinediones kunye biguanide. Ukuba kukho Kukwaphula kakhulu lipid ukutya kusetyenziswa amachiza lipid-lisibekele.

Non-ezinxilisayo isifo okunamafutha zesibindi: iingcebiso ukuba izigulane

Ekubeni kwiimeko ezininzi esi sifo ezinxulumene nokutyeba kunye nokuphazamiseka pathways, isigulane Kucetyiswa ukuba agcine ukutya echanekileyo ukuncipha. Asinako ukuvumela ngokukhawuleza Ukwehla kobunzima - yonke into kufuneka kwenziwe kancinci.

Ngokuphathelele ukuba yokudla, ngoko kufuneka kuqala ukuqala kancinane ukunciphisa ixabiso caloric mihla ukutya. Elityetyisiweyo ekutyeni ngemihla ukuba ayidluli kwi 30%. Kuyimfuneko ukuba ngaphandle iimveliso ukwandisa cholesterol, bashiye ukutya du kunye notywala. Le menu imihla ukubandakanya ukutya ezininzi ifayibha novithamini E acids okunamafutha polyunsaturated.

Inxalenye nothomalaliso kwaye umthambo. Umele uqale ngo umthambo elawulekayo (nokuba ukuhamba) for 30 - amaxesha-4 ngeveki, ngokuthe ngcembe ukwandisa amandla kunye nexesha koqeqesho - imizuzu 40 3.

Ngaba kunokwenzeka ukuba ukunyanga iindlela zabantu?

amayeza emveli inikeza ezininzi izixhobo ukuphucula ukusebenza wesibindi lokuphelisa umzimba ityhefu. Umzekelo, kucetyiswa ukuba ukuxuba amagqabi ngeplantain owomileyo nobusi umlinganiselo we-3: 1. Thabatha asiphe enkulu phakathi izidlo ku-2 - amaxesha-4 ngosuku. Ichiza ayikho ezifanelekileyo amanzi okusela kwaye, kakade, ukuba badle ukuba imizuzu engama-40 emva kokuba yokufakwa.

nempembelelo entle imeko kwesibindi decoction leenkozo oat. Ekubeni kubalulekile ukubuyisela microflora yomguli, kucetyiswa ukuba ukutya kangangoko unako iimveliso zobisi inegwele. Kufuneka kuqondwe ukuba self kwi gepatoze isibindi kunokuba yingozi. Nayiphi na indlela zingasetyenziswa kuphela ngemvume gqirha khona.