ʻO nā hōʻike hōʻike o ka maʻi maʻi he nui-ʻaoʻao a ʻokoʻa like ʻole.
Hoʻopili lākou i nā pilikia o nā ʻano kikoʻī o ka pauna o ke kino, me ka momona, ka hōʻike ʻana a hiki i ka lua o ke aʻa o ka adipose tissue, a me kāna hana hoʻonaninani - lipohypertrophy.
Ua hōʻike ʻia aku nei ia e ka mokuʻāina o ka momona subcutaneous, akā pili i nā loli i nā wahi ʻē aʻe o ke kino.
He aha kēia
ʻO ka manaʻo o ka lipodystrophy (momona degeneration) ka hapanui o nā kumu ākea a me nā hōʻailona o ka maʻi metabolic i loko o ka adipose tissue, e hoʻolilo nei i kahi ʻano nui o ke ola o kekahi meaola.
No laila, ʻo ka neʻe ʻana o kahi papa momona e kau paʻa ana i ka lolo ma luna o kāna mau kao ʻehā e hoʻopili ai i ka paʻa o ka mahana i loko o ke kino, aʻo ka manawa like me ka hoʻoponopono ʻana iā ia i kona wahi kūpono (pale i ka hiki ke hāʻule).
Akā inā ʻaʻole ka mana o ka momona i ʻike ʻia, aia nō ia ma ka lālani molekular - ʻaʻole kū hoʻokahi mau cell i hana ʻole me ka hoʻokomo ʻana o ka lipid lipine i ke kaola o kāna membrane.
ʻO ka manaʻo nui o ka lipoatrophy hiki iā ia ke hāʻawi i ke kino o ka mea hoʻokūkū-bodybuilder me kahi puʻuwai aloha i haʻi ʻia. Akā me hoʻokahi "akā": ʻo ka loaʻa ʻole o ka momona subcutaneous, loaʻa nō iā ia. Me ka lipoatrophy, he hiki ʻole i kona kumu ke kūlohelohe, ʻoiai ka hoʻokumu ʻana o nā kūlana olakino kūikawā a me ka hāʻawi ʻana i kahi ʻano kīʻaha maikaʻi o nā kīʻaha a me nā mea inu e hāpai ana i ka hōʻiliʻili o ka momona (pia, ʻeke wai, ʻaila, muffins).
ʻO kahi hiʻohiʻona hiʻohiʻona o ka lipodystrophy mai ka dystrophy laulā ke kūkulu maʻamau i ka kiko o ka iwi me ka ʻole o nā hōʻailona o ka pale ʻana.
ʻO Lipohypertrophic dystrophy kahi kūlana o ka momona momona subcutaneous, pololei kahi kūlike me ka mahalo i ka mea i luna.
Hōʻike i kahi kola biopsy (kahi hana i ka mikrosample e ka ʻae ʻana i kahi ʻāpana mai kahi ʻōpū) hōʻike i ke kiʻi ʻaʻole wale nō i ka nui o ka nui o ka iwi adipose i ka kiko subutanant, akā, ʻo ka nui o ka momona fibrous, vascular-free network e ulu nei i loko, e hōʻike ana i kahi pilikia i nā hana metabolic a me kahi predisposition. kikowaena ʻeka a hiki i nā koena hohonu.
Video e pili ana i ka etiology o lipodystrophy:
ʻO nā ʻano a me nā ʻano hiʻohiʻona o nā patology
He aha nā koho e kūkākūkā i luna - nā ʻano o ka momona momona?
I ka hihia mua, aia kahi hemahema o ka ʻōpala (pūpū, nā ʻili, ke kāʻei) mai nā hopena o nā hiʻohiʻona hewa:
- i waho (ke kiʻekiʻe a i ʻole ka haʻahaʻa, mai ka hōʻeha);
- kūloko (i nā loli i ke ʻano o ke kahe e kahe ana i ke ʻano he haʻahaʻa a i ʻole ka nui o ka maʻi glucose, nā meaʻala a me nā mea ʻē aʻe i loko, a i ʻole ka hele ʻana o ka maʻi i loko).
ʻO ka lua e hōʻike i ka hoʻokaʻawale hohonu o ka pūnaewele a ʻona paha mai nā kahua e pili ana, kahi kūlana maikaʻi loa, e hoʻopiʻi i ka hana ʻā ʻana o kahi kahe, a ma ka hopena ʻoi aku ka maikaʻi, ʻo ka make ʻana o ka meha e hana me ke keaka ʻana o kahi ʻāpana.
ʻO nā kumu no ka helehelena
No ka hanana a me ka holomua o lipodystrophy, aia nā kumu:
- the conditionally by heredity (heʻano poʻomanaʻo, a i ʻole he congenital);
- ke kalapila o nā hana ola i ke kino (loaʻa).
ʻO ka papa ʻāpana i nā kumu i manaʻo ʻia e:
- hapalua lipodystrophy ʻohana;
- ʻO ka maʻi Berardinelli-Seip.
ʻOi aku ka nui o ka lua, aia i ka lipodystrophy:
- ʻāpana (hoʻokaʻawale, e pili ana i nā ʻāpana o ke kino), nā ʻāpana o Barraquer-Simons syndrome;
- ka laulā (pili i ke kino holoʻokoʻa);
- ʻōpū (ke ʻano o nā pēpē) centrifugal abdominal;
- ke kino komo-iwi o ke kiko adipose (Ferreira-Markish syndrome);
- ua paʻa i ka inane
- Pili ʻia ka maʻi HIV
- mau ʻano ʻē aʻe me kahi ʻano kūloko o ke kaʻina hana.
Lipodystrophy i ka maʻi diabetes
Hoʻopili ʻia ke ʻano me ka hōʻike ʻana i ke kino o ka insulin, ke kuleana no:
- ka hoʻololi o ka mea ole nā pale wale nō, akā ka momona a me nā protein;
- ka hoʻoponopono ʻana i nā kaʻina o ka ulu a me ka hoʻokaʻawale o nā ʻili (hoʻokaʻawale me ka hoʻokumu ʻana o ke ʻano kūpono, ʻo ia ka mea e hōʻoia ai i ka pololei o kā lākou hana);
- ke kaʻina hana o nā heluhelu genes, me ka ʻole o ka hiki ʻole o ka synthesis DNA.
I mua o ka maʻi mellitus o ka maʻi maʻi, kahi maʻi kūʻē i ka inehē - e hōʻike i kahi ʻano maʻi i ke ʻano o ka ʻae ʻole ʻana i ka haki a i ʻole ka hopena me ka hewa.
E pili ana i kona hopena ma ke kiko adipose me ka wailua mau ʻana, ʻo ia ka mea e hiki mai ana i nā iwi o nā hoonui o ka hala i ʻelua e pili ana i ka hyper- a me hypotrophy.
ʻO ka nānā iki ʻia, he like ia me ka hiʻohiʻona o nā momona "popo" o nā hōʻailona ma lalo o ka ʻili a i ʻole ke ʻano o nā "poka" -nē nā ʻeha o ka ʻili.
ʻO ke kaʻina moʻolelo o nā wahi i ulele.
- hoʻopilikia i ke kaʻina o ka laweʻana o ka insulin mai kēia mau wahi;
- ʻaʻole ʻae ʻia e hoʻokō i ka hoʻomaka a me ka hopena o ka hana o ka insulin i kahi manawa kikoʻī (ʻoi loa ka hihia me nā lāʻau lapaʻau lōʻihi).
Nā hōʻailona a me nā hōʻike
Kuhi ʻia ka hoʻoneʻe ʻana o nā momona i ka momona ma o nā inikua subutanutan o ka insulin, ʻaʻole hiki iā lākou ke hele i ka maʻi II ʻano ʻoki (non-insulin-dependant).
Hele pū lākou i ka papa o ka maʻi diabetes i hōʻike ʻia:
- makewai;
- ka maʻi maʻi (pinepine me ka nui o ka urine);
- ka momona momona o ka urine (wehewehe ʻia e kona ʻikepili ʻenehana);
- hoʻoweliweli ʻole aloha ʻole me ka lohi;
- lilo kaumaha kaumaha kumu.
ʻAʻole i kū like ka lipodystrophy o nā wahī i loko. (Wale nō ka maʻi kūlohelohe o nā hana o kēia mau kino i hoʻoulu ʻia ai ia). Akā e pili ana i ka ʻili, ʻaʻole iʻike ʻia ke nānā ʻana i kā lākou hanana.
I loko o kahi keiki - kahi maʻi maʻi like ole o ka insulin, hiki ke ʻike ʻia ka ulu ʻana o ka lipodystrophy ma hope o kahi manawa like ʻole mai ka hoʻomaka ʻana o nā maʻi: mai nā hebedoma a 8 a i ʻole 10 mau makahiki.
Ua ʻike maoli ʻia ka wahine ma o ke ʻano o kēia mau loli ʻiliʻili, kūʻokoʻa mau i ka:
- ʻano hana o ka lāʻau;
- o ka huakai;
- ka nui o ka maʻi;
- ka pae o ka uku no ka metabolism.
Hoʻololi ʻia ka ʻano o ka loli me ka repercussion (kūloko, palena injection zone) e hoʻololi ʻia ai ka ʻōnaehana, a i ʻole ke ʻano me ka nalowale ʻana o ka ʻāpana o ka momona subcutaneous ma lalo o ka ʻano o ke kino holoʻokoʻa. ʻO ka mea maʻamau, ua wehewehe ʻia ko lākou hele ʻana mai ka mākaʻikaʻi o ka hoʻomaʻemaʻe ʻana i nā lāʻau, a me ka nānā ʻole ʻana i ke ʻano o ka inikua: ka hoʻopuka ʻana i kahi hopena unheated, komo ʻana i ka waiʻona i loko o ka mānoanoa o ka ʻālelo i hōʻemi ʻia.
Hōʻike ʻia ka ʻano hypertrophic (lipohypertrophy) e ke ʻano o tuberous, e kūlahalaha ana mai ka peʻemila nā maʻi infiltrates i hoʻokumu ʻia e ka iwi adipose degenerated me nā kaʻo o ka germinating kiko fibro-scar (ʻike i ke kiʻi). ʻO ke ʻano a me ke ʻano o kēia mau conglomerates ma muli o ka hopena selly o ka insulin ma ka momona o ka metabolism o nā kinipona ma kēia wahi o ka ʻāina.
Photo lipodystrophy ma muli o ka inikini insulin:
Hiki ke hoʻohui ʻia ka lipodystrophy i ka maʻi diabetes me nā hōʻike ʻokoʻa.
- xanthomatosis;
- lipoid necrobiosis;
- hoʻonaninani ʻia.
Nā lāʻau lapaʻau
Ma muli o ka naʻaupō o nā kumu āpau kahi i kū mai ai kahi kūlana o ka momona momona, kahi hopena kūpono i ke kaʻina hana o kona ulu a ulu ʻole hiki ʻole, no laila, hāʻawi nā hana noi i nā hopena pōkole wale nō.
I waena o lākou ka hoʻohana ʻana o:
- mea ʻai
- ke aʻo kino;
- physiotherapeutic kaʻenehana (inductothermy a me ka ultrasound).
Ka hopena o ka ultrasound e komo hohonu i loko o nā kiko ma ka 10 cm, ʻo ka fluctuations e hōʻeuʻeu i ke kahe koko, e alakaʻi ana i kahi nui o ka hōʻuluʻulu ʻana o ka hōʻiliʻili momona. ʻO kāna hoʻohana me ka hoʻopili ʻana me ka noi ʻana o ka ʻaila hydrocortisone e hoʻopiʻi i ka hou hou ʻana o nā pūnaewele atrophied. Ke hāʻawi nei ke ʻano o kēia mau hana i ka mea e pale ai i ke kaʻe ʻana o ke kaʻina hana no ʻeono mahina o ʻelua makahiki.
Ke hoʻāʻo nei e hooki i ka ulu ʻana o lipodystrophy ma ka hooki ʻana i ka hoʻohana ʻana o nā mea paʻa o ka protease, e hoʻololi ana i ka hoʻoponopono hou ʻana o ARVT (antiretroviral therapy), a me ka hoʻohana ʻana i nā hana liposuction a me nā mea hana hoʻoliʻi (hana i nā injections a me nā implants) e hāʻawi wale i ka hopena kaʻeha.
Ua hoʻāʻo ʻia nā ʻano o kēia ʻano ʻano.
- manuela ulu kanaka;
- testosterone
- nā lāʻau lapaʻau e hōʻemi ai i ka neʻe ʻana o ka triglycerides a me ka cholesterol i ke koko, a me ka hoʻonui ʻana i ka naʻau o ka insulin.
ʻO kahi mea nui e pono ai ka mālama ʻana, ʻo ka hoʻonui ʻana i ka mākau o ka hana kino a me ka ʻai (ma ke ʻano maʻamau, me ka nui o nā ʻāpana fiber e hiki ai iā ʻoe ke hoʻomalu i ka pae o ka kū ʻana o ka insulin, hoʻonui i ka leo o ke kino a hōʻemi i ka hōʻeha o ka naʻau a me ka vascular pathology).
Kākoʻo o nā Hoʻopau
Ma muli o ka ʻike i ka hoʻoneʻe ʻana i nā momona momona e hoʻopiʻi nei i ke ala o nā maʻi e alakaʻi ana iā lākou, he ʻano piha pono e pale aku iā lākou.
Mālama ka ʻānā maʻamau i ka hoʻāla kino kūpono a me ka hoʻopili ʻana i ka meaʻai i ʻōlelo ʻia ai, a me ka paʻa ʻana o nā lāʻau lapaʻau i kauoha ʻia e kāu kauka ma lalo o ka mālama pinepine ʻana i ke kino.
I ka hihia o ka insulin i hoʻomaka ai o ke ʻano, mālama ʻia ka maʻi lalo. Pono hoʻi e hoʻoponopono pono i nā lula no ka inikini (pale i ka hōʻemi ʻana i ka wai ʻona i loko o ka ʻili o ka ʻili), e hoʻomālamalama i ka lāʻau i paʻi ʻia i ke ʻano kino o ke kino.
ʻO ke hoʻohana ʻana i nā ʻano o ka insulin i hoʻomaʻemaʻe maikaʻi ʻia (monocomponent a me monopika) a me ka hoʻomākaukau ʻana i nā hana ʻana a ke kanaka pono pū kekahi e pale i nā hoʻopiʻi.
