Yuav ua li cas tiv thaiv lipodystrophy

3/01/2014 · Hmo Teeb · Kev Nyeem Ntawv yuav siv 2 feeb.

Lub tswvyim zoo ntawm "cellulite" cuam tshuam ob qho tshwm sim - lipodystrophy thiab phlegmon. Lipodystrophy yog tib yam "zoo li qub" cellulite uas peb tabtom tawm tsam nrog ntau heev.

Hauv lwm lo lus, qhov no yog cov tshuaj pleev ib ce tshwm sim los ntawm cov txheej txheem metamorphoses hauv txheej subcutaneous rog txheej. Hauv qhov no, daim tawv nqaij npog nrog tubercles zoo li txiv kab ntxwv tev. Phlegmon yog qhov mob ntawm cov nqaij mos mos uas yog los ntawm pyogenic microbes, streptococci, staphylococci, Pseudomonas aeruginosa, thiab lwm yam.

Cia peb txheeb xyuas nyob rau hauv ntau dua kom meej xws li kev thab plaub li lipodystrophy thiab nws cov yam ntxwv tshwj xeeb.

Lipodystrophy yog dab tsi?

Feem ntau cov teeb meem, teeb meem yog cellulite feem ntau yog cov poj niam sawv cev. Rov qab rau kev ntseeg nrov, cellulite tsis yog ib qho zoo nkauj ntawm lub ntsej muag - nws yog feem ntau cov pov thawj ntawm kev ntxhov hauv lub cev. Kev ua txhaum feem ntau tshwm sim vim ua yuam kev hauv kev noj zaub mov zoo, ua tsis tiav ntawm cov tshuaj hormones, ntshav tsis txaus, tsis muaj mob, tsis muaj kev qoj ib ce, thiab tseem vim muaj qhov tsis zoo (haus luam yeeb, haus dej cawv, thiab lwm yam).

Cov kws tshwj xeeb sib txawv peb theem pib ntawm cellulite: watery, mos, fibrous.

Mos cellulite - adipose: ntawm palpation - tawv nqaij xoob, tsis muaj mob. Feem ntau, nws cuam tshuam rau lub plab, pob tw, lub duav, ob txhais ceg, caj npab. Qhov laj thawj rau kev tsim ntawm xws li subspecies ntawm cellulite yog kev noj cov rog ntau dhau, rog dhau.

Cellulite dej - edematous: thaum hnov ​​zoo - mos, thaj chaw - qis ceg. Qhov ua rau ntawm hom mob no yog kua dej cia hauv lub cev, qhov kev ua txhaum nyob rau hauv cov ntshav ncig.

Cov mob subspecies yog fibrousCov. Txhawm rau qhov sib chwv - cov tawv nqaij tawv yuav ntom los yog txawm tawv nrog lub lilac Hawj txawm. Ntawm kev tshuaj xyuas, cov qib no tau pom meej meej - cov rog rog ua ke ua ke hauv cellulose. Raws li txoj cai, nws yog ib txwm nyob hauv lub pob tw, hauv caug lossis lub plab hlaub.

Yuav kho li cas

Ib qho kev nkag siab zoo uas xav tau los kho lipodystrophy. Cov kev kho mob yog qhov kim thiab ntev, yog li nws zoo dua los tiv thaiv cellulite sai dua li kho nws kom ntev. Kev tiv thaiv yog ib txoj kev ua neej nquag, kis las. Nws tsim nyog kev cob qhia cov pob tw thiab sab saud. Cov txiv kab ntxwv “tev txiv kab ntxwv” feem ntau yog tsim rau cov chaw no.

• Koj yuav tsum lo rau kev noj haus. Cov roj ntsha yuav tsum tsis txhob ntxig cov nqaij sib txuas.
• Haus tsawg kawg 2.5 liv kua ib hnub.
• Zam kev noj tshuaj uas muaj cov tshuaj hormones (cov tshuaj hormones) lossis ua li ntawd nrog kev saib xyuas zoo.
• Ua kom cov ntshav kev nyob hauv thaj chaw muaj teeb meem nrog kev da dej sib piv, zaws thiab ua kom lub cev muaj zog.
• Cov cuab yeej tshwj xeeb yuav pab rhuav tshem rog thiab tshem tawm ntawm lub cev. Tab sis tshwj xeeb tsis txhob nqa nrog lawv!
• Sodium-potassium tshuav nyiaj yog qhov tseem ceeb: yog tias muaj dej ntsev ntau ntxiv hauv lub cev, ces cov tshuaj potassium feem ntau yuav tsis txaus.

Nws yuav tsum raug sau tseg tias cellulite tau tsis ntev los no suav tias yog kev kho kom zoo nkauj. Ib zaug dhau ib zaug uas lawv tsis tau mob siab rau nws. Piv txwv li, cov poj niam liab qab nyob rau hauv lawv cov duab los ntawm cov neeg ua yeeb yam nto moo, tsis muaj qhov zam tau raug mob los ntawm lipodystrophy. Txawm hais tias 50 xyoo dhau los, lipodystrophy hu ua playfully hu ua "dimples" thiab feem ntau tsis xav txog qhov teeb meem duab. Tam sim no, cov txiv kab ntxwv "txiv kab ntxwv" no nyiam cov poj niam niaj hnub. Txhua tus tab tom tawm tsam qhov kawg ntawm kev tawm tsam cellulite thiab, ua tsaug rau cov kev sib tawg loj hauv thaj tsam ntawm cosmetology, ntau tus ua tiav.

Ua rau

Ib qho ntawm cov laj thawj ntawm kev txhim kho lipodystrophy yog qhov siv ntau yam ntawm cov koob txhaj tshuaj uas muaj cov tshuaj insulin, ntawm lwm qhov laj thawj, kev raug mob mus ntev rau cov nqaij mos subcutaneous nrog "rab koob" rab koob tuaj yeem raug hais, uas ua rau mob ntev thiab tsim ntawm foci ntawm lipodystrophy.

Kev soj ntsuam hauv European feem ntau txog cov txheej txheem ntawm kev txhaj tshuaj insulin tau qhia tias kev pheej hmoo ntawm kev tsim lipodystrophy nrog kev siv ntau dua ntawm rab koob nce ntxiv 31%. Nyob rau tib lub sijhawm, cov txiaj ntsig ntawm kev tshawb pom ntau yam los ntawm GFK, ua nyob rau hauv Lavxias Federation xyoo 2006, pom tias 46% ntawm cov neeg mob ntshav qab zib hauv peb lub teb chaws hloov cov koob (tshem tawm) ntawm insulin syringes tsuas yog ib zaug ib lub lim tiam! Tshwj xeeb feem ntau muaj kev txhim kho lipodystrophy cuam tshuam rau cov neeg mob uas muaj thawj hom ntshav qab zib, poj niam thiab cov neeg mob rog rog.

Soj ntsuam qhov ua tau zoo ntawm lipodystrophy

Lipoatrophy yog qhov sib sib zog nqus ntawm daim tawv nqaij ntawm qhov chaw txhaj tshuaj ntawm cov tshuaj insulin, feem ntau nws tuaj yeem tshwm rau rau lub hlis lossis ib xyoos tom qab pib tshuaj insulin.

Lipohypertrophy yog qhov "tuab" hloov pauv hauv cov nqaij mos uas ua rau pom qhov yuav luag yog ib nrab ntawm cov neeg mob ntshav qab zib siv insulin. Hauv qee kis, nws tuaj yeem tuab lossis caws pliav zoo li.

Txhawm rau kuaj lipohypertrophy, kev tshuaj xyuas thiab palpation ntawm qhov chaw txhaj tshuaj insulin yog qhov tsim nyog, vim tias qee zaum qhov mob txhab feem ntau yuav pom thaum palpating dua li tsis pom. Cov tawv nqaij noj qab haus huv tuaj yeem yooj yim pinched, uas yog tsis yooj yim sua nrog lipohypertrophic kev puas tsuaj. Lipohypertrophy kuj tshwm sim nrog kev txhaj tshuaj dua nyob rau tib qhov chaw ntawm lub raj xa dej (cov kua dej tawm).

Muaj cov ntaub ntawv ua pov thawj kev sib raug zoo ntawm kev tshwm sim ntawm lipohypertrophy thiab siv cov tsis muaj zog, siv tshuaj insulin tsawg dua, tsis muaj lwm qhov ntawm cov chaw txhaj tshuaj, kev siv thaj tsam ntawm daim tawv nqaij rau kev txhaj tshuaj, kev txhaj tshuaj ntxiv rau ib thaj chaw, nrog rau kev siv ntau ntawm cov koob tshuaj pov tseg. Kev txhaj tshuaj rau thaj chaw ntawm lipohypertrophy txhim kho nws qhov mob hnyav. Nws yog tsim nyog kom nco ntsoov tias kev txhaj tshuaj hauv thaj chaw lipohypertrophy tuaj yeem cuam tshuam nrog kev nqus ntawm insulin (ua rau nws qeeb lossis tsis sib luag), uas yog qhov txaus ntshai rau exacerbating tswj ntshav qab zib.

Kev Tiv Thaiv Lipodystrophy

Txhawm rau tawm tsam lipodystrophy zoo, koj yuav tsum ua raws li qee txoj cai yooj yim:

• Saib xyuas cov chaw txhaj tshuaj insulin ywj pheej.

• Muab cov chaw no rau tus kws khomob lossis tus neeg saib mob (tsawg kawg - ib xyoos ib zaug, zoo rau - thaum tuaj ntsib txhua zaug).

• Tsis txhob txhaj tshuaj rau hauv thaj chaw hypertrophic ntawm daim tawv nqaij kom txog thaum muaj kev hloov pauv hloov pathological rov qab ua dua (cov txheej txheem no tuaj yeem siv sijhawm ntau lub hlis thiab xyoo).

• Hloov chaw txhaj tshuaj tsis tu ncua.

Niaj hnub no, qhov zoo tshaj plaws mus kom ze rau kev tawm tsam kev tshwm sim ntawm lipodystrophy yuav tsum muaj: kev siv cov tshuaj tua kab mob siab tshiab, kev hloov pauv tsis tu ncua ntawm thaj chaw ntawm kev siv tshuaj, nthuav dav ntawm thaj chaw txhaj tshuaj, thiab tsis kam siv cov koob.

Yuav ua li cas hloov chaw txhaj tshuaj

Ntau cov kev tshawb fawb qhia tias yuav kom tiv thaiv cov nqaij zoo, nws yog qhov yuav tsum tau ua ntu zus thiab kho qhov chaw txhaj tshuaj kom raug. Raws li ib qho txheej txheem nrog pov thawj ua tau zoo, thaj chaw txhaj tshuaj tau muab faib ua plaub yam (ntu), yog tias peb tab tom tham txog lub pob tw lossis lub duav. Rau ib lub limtiam tag nrho, koj tuaj yeem siv tsuas yog ib tus thib plaub, lub lim tiam tom ntej - lwm qhov, thiab lwm yam, hloov lawv rov qab. Kev txhaj tshuaj plaub fab yog ua nrog qhov kev ncua deb tsawg kawg ntawm 1 cm ntawm lub dhau los dhau los kom tsis txhob raug mob nqaij ntswg ntxiv.

Tsim nyog nco ntsoov! Thaum hloov mus rau cov ntaub so ntswg ib txwm los ntawm qhov chaw lipodystrophic, raws li txoj cai, kev hloov kho tshuaj ntawm cov tshuaj insulin yog qhov yuav tsum tau ua. Qhov hloov cov koob tshuaj yog ib leeg thiab tuaj yeem sib txawv, rau qhov ntsuas niaj zaus ntawm cov piam thaj hauv ntshav thiab kev sab laj tas li nrog koj tus kws kho mob yuav tsum tau nqa tawm

Thiab hauv kev xaus, nws yog qhov yuav tsum tau hais txog ib zaug ntxiv qhov tseem ceeb ntawm kev cob qhia hauv cov txheej txheem muaj peev xwm ntawm kev txhaj tshuaj insulin, vim hais tias lub peev xwm los tswj cov tshuaj insulin tsis muaj tsawg tshaj li qhov kev qhia.

Cov hom lipodystrophy thiab lawv cov yam ntxwv

Cov kws kho mob cais ntau hom mob ntawm cov kabmob no.

1. Gynoid lipodystrophy. Hom mob no yog tus cwj pwm ntawm tus poj niam pw ua ke. Rog muab tso ncaj qha rau qee qhov chaw - ntawm lub plab, lub duav thiab pob tw. Xwm muab kev pabcuam ntuj rau cov zones no - qhov thiaj li hu septum, muaj cov khoom ntawm collagen. Thiab lub hauv paus ntawm collagen, nyeg, yog estrogen. Yog li, cellulite tso nyiaj ncaj qha cuam tshuam nrog cov tshuaj estrogen.
2. Hepatic lipodystrophy. Tus kab mob ntawm lub cev puas tsuaj, txhim kho keeb kwm yav dhau los ntawm cov roj metabolism hauv lub cev tsis txaus ntseeg. Hepatocytes yog lub luag haujlwm rau lub rhuav tshem cov lipids hauv lub siab. Yog tias qhov ua haujlwm tsis zoo tshwm sim hauv lawv cov kev ua haujlwm, cov nqaij rog ua haujlwm pauv hloov hepatocytes, thiab cov ntaub so ntswg sib txuas kuj tau tsim.
3. Lipodystrophy tom qab hno tas. Hauv qhov no, atrophic thiab hypertrophic hloov pauv ntawm daim ntaub adipose tshwm sim qhov chaw tau txhaj tshuaj. Tib lub sijhawm, cov tawv nqaij raug cuam tshuam. Nws tshwm sim hauv thaj chaw me me ntawm cov nqaij mos uas qhov kev txhaj tshuaj feem ntau ua.
4. Cov tshuaj insulin lipodystrophy. Txij li cov ntshav qab zib xav tau kev tswj hwm tsis tu ncua ntawm insulin, daim tawv nqaij thiab subcutaneous adipose nqaij kuj tseem cuam tshuam ntawm qhov chaw ntawm ntau qhov kev txhaj tshuaj. Ntau zaus cov hom no tau pom muaj hauv cov poj niam thiab cov menyuam ntau dua li tus txiv neej. Cov mob txhab Atrophic feem ntau tau sau tseg.

Lipodystrophy mob ntshav qab zib yog dab tsi? Nov yog ib qho ntawm nws qhov teeb meem txaus ntshai tshaj plaws. Nrog tus kab mob no, muaj qhov ua txhaum ntawm kev coj ua ke ntawm cov tshuaj hormones. Yog li ntawd, kev tsim tawm ntawm cov tshuaj yeeb dej caw uas ua tiav cov haujlwm txhawb nqa cov ntaub so ntswg thiab muaj lub luag haujlwm rau kev txhim kho kom zoo thiab faib cov rog muaj feem cuam tshuam.

Yog li ntawd, atrophic thiab hypertrophic hloov pauv ntawm cov nqaij rog thiab nqaij tawv nqaij, tshwj xeeb tshaj yog qhov twg tshuaj insulin. Cov kev kho mob ntawm daim ntawv no ntawm tus kab mob yog qhov nyuaj heev thiab ntev, vim kev tswj hwm ntawm cov tshuaj insulin tsis tuaj yeem nres, thiab nws nyuaj rau los rov qab cov keeb kwm keeb kwm hormonal nrog qhov kev kuaj mob no.

Muaj qee kis, cov mob ntshav qab zib lipodystrophy zoo li nyob hauv ob peb lub lis piam tom qab pib cov tshuaj insulin, qee zaum tsuas yog tom qab ob peb xyoos. Hauv qhov no, daim ntawv ntawm tus kabmob, muaj lwm cov kabmob ntev, kev ua neej ntawm tus neeg mob ua lub luag haujlwm loj.

Vim li cas rau kev loj hlob

Txog tam sim no, txhua yam cuam tshuam los ntawm ib qho mob xws li lipodystrophy tsis tau ua tiav hlo. Feem ntau cov ua rau muaj xws li:

• Ib qho kev cuam tshuam ntawm metabolic, nrog rau cov tshuaj hormones,
• Cov cwj pwm tsis zoo - haus luam yeeb thiab dej cawv,
• Khoom noj khoom haus tsis muaj txiaj ntsig - tsis muaj kev tswj hwm, pluas noj tsis txaus lossis noj ntau dhau,
• Ntau dhau los ntawm kev noj qab zib thiab cov khoom noj muaj roj,
• Giardiasis,
• Kev kho mob nrog tshuaj hormonal (steroids),
• Kab mob siab,
• Kev ua haujlwm ntawm lub cev, suav nrog thaum ua haujlwm hauv kev lag luam phom sij lossis chaw nyob hauv thaj chaw muaj kab mob tsis zoo.

Yog tias kev kuaj mob yog "ntshav qab zib lipoatrophy", yog li qhov laj thawj, yog qhov rov qab ua rau txhaj tshuaj insulin ntxiv.

Kev kho thiab tiv thaiv tus kab mob

Vim li cas nws thiaj tseem ceeb kom tsis txhob quav ntsej cov kab mob ntshav qab zib hauv ntshav qab zib thiab kho nws kom raws sijhawm? Cov ntaub so ntswg atrophied cuam tshuam nrog kev nqus ntawm insulin tag nrho tom qab txhaj. Thiab qhov no ua rau cov kev suav tseeb ntawm cov koob tshuaj tau txais hauv lub cev.

Qhov phom sij loj tshaj plaws yog kev txhim kho ntawm cov tshuaj tiv thaiv insulin - ib qho kev tshwm sim uas lub cev tsis ua haujlwm los teb rau qhov kev qhia ntawm ib koob tshuaj insulin. Cov teeb meem zoo sib xws no tau pom nyob hauv 25% ntawm cov neeg mob ntshav qab zib.

Atrophic kev hloov pauv ntawm daim tawv nqaij kuj tseem txaus ntshai. Cov chaw txhaj tshuaj sib sau ua ke ua cov roj ntsha ua ke, yog tias muaj kab mob kis rau ntawm qhov no thaum txhaj, lossis thaj chaw raug mob, qhov muaj peev xwm ua rau mob raum thiab mob qog ntshav yuav kis tau ntau, vim tias qhov kev kho mob tas mus li ntawm tus mob ntshav qab zib ko taw thiab trophic mob rau.

Cov kev kho mob ntawm txhua qhov tshwm sim thiab cov teeb meem yog ntev heev, qee zaum tsis tuaj yeem ua. Yog li ntawd, prophylaxis ntawm tus kab mob nrog ntshav qab zib yuav tsum tau nqa tawm. Qhov no suav nrog cov haujlwm thiab cov txheej txheem:

1. Kev noj zaub mov noj - nws yog qhov tseem ceeb heev los saib xyuas cov zaub mov uas tau tsim thiab kom tsis txhob ua txhaum,
2. Ultrasound thiab inductometry - chav kawm muaj 10-15 ntu, uas yog muaj txhua txhua lwm hnub. Tom qab ntawd koj yuav tsum tau ncua 2-3 lub hlis, thiab rov ua dua kawm 4
3. Cov ntaub ntawv tseem ceeb: Ultrasound tuaj yeem nkag mus rau cov ntaub so ntswg mus rau qhov tob ntawm 10 centimeters. Nws cov kev hloov pauv ua rau cov kev txhawb nqa ntawm cov ntshav ntws thiab qhov resorption ntawm kev txuam nrog cov rog hlwb. Feem ntau, cov tshuaj pleev hydrocortisone yog siv rau daim tawv nqaij - qhov no ua rau rov kho sai ntawm cov nqaij mos atrophied.

Feem ntau cov kev ntsuas no yog txaus kom tsis txhob muaj kev txhim kho ntawm lipodystrophy rau lub sijhawm ntawm rau lub hlis mus rau ob xyoos.

Yog tias hepatic tseem pom nyob rau hauv cov ntshav qab zib lipodystrophy, tom qab ntawd ntxiv kev kho mob nrog cov tshuaj zoo li no:

1. Hepatoprotectors - Qhov Tseem Ceeb, Essliver.
2. Metabolism stimulating tshuaj - methyluracil, methionini.
3. Cov vitamins ntawm pab pawg B, A thiab E.
4. Antispasmodics, yog tias muaj kev tsis txaus siab ntawm qhov mob thiab colic.
5. Hauv cov ntawv muaj mob hnyav, cov tshuaj muaj yees los ntawm cov tshuaj noj yog kws kho.

Nws yuav siv sijhawm tsawg kawg yog rau lub hlis los kho lub siab. Tom ntej tsawg kawg ob xyoos ntxiv, kev nce siab yuav tsum tau them rau kev noj haus, noj tshuaj kom muaj zog.