Fatty acid ntsev hauv quav: kab mob thiab kev kho mob

2024 Tus sau: Curtis Blomfield | [email protected]. Kawg hloov kho: 2023-12-16 21:10

Coprogram tuaj yeem qhia txog kev txhim kho ntawm cov kab mob txaus ntshai thiab cov xwm txheej. Dab tsi yog qhov muaj fatty acid ntsev hauv cov quav qhia? Qhov no txhais tau hais tias cov rog tsis tau tag nrho nqus los ntawm lub cev. Thiab qhia txog kev txhim kho ntawm qee yam pathology. Lub xeev no, thaum muaj rog, fatty acids nyob rau hauv cov quav, hu ua steatorrhea. Tus kab mob muaj nws qhov ua rau, tsos mob, ntau yam, txoj kev kuaj mob thiab kev kho mob. Hauv tsab xov xwm, peb yuav tau paub nrog lawv kom ntxaws.

Kev ua haujlwm ib txwm

Dab tsi yog qib ntawm fatty acid ntsev hauv cov quav? Lub cev noj qab nyob zoo absorbs 90-98% ntawm tag nrho cov rog uas nkag mus rau hauv lub cev ua ib feem ntawm cov zaub mov. Raws li rau cov qauv, cov quav yuav tsum tsis txhob muaj triglycerides (tsis muaj roj), fatty acids. Qee qhov seem seem tuaj yeem pom hauv cov quav hauv daim ntawv soaps.

Cov ntsev ntawm cov roj fatty acids hauv cov quav tuaj yeem kuaj tau siv cov kev tshawb fawb tshwj xeeb - lipogram. Ntawm no, lub xub ntiag nyob rau hauv lub faeces ntawm ob nruab nrab roj thiab fatty acids thiab lawv cov xab npum (ntsev) raug soj ntsuam. Kev tshawb fawb tab tom ua hauv chav kuaj.

Raws li qee cov duab, hauv ib tus neeg noj qab haus huv, qhov loj ntawm fatty acid ntsev hauv cov quav tsis pub tshaj 5 g. Hauv cov kab mob pathological, cov ntsiab lus tuaj yeem ncav cuag 100 g. Qhov no qhia txog kev loj hlob ntawm steatorrhea. Zoo li ntau lwm yam kab mob, nws yog sawv cev los ntawm ntau yam.

Daim siab loj npaum li cas rau cov neeg laus? Nquag, tag nrho qhov dav yog 23-27 cm. Raws li qhov ntev, nws yog 14-20 cm. Transverse loj yog 200-225 mm. Qhov nruab nrab qhov hnyav ntawm tib neeg lub cev yog 1.5 kg. Tab sis feem ntau, qhov loj ntawm daim siab hauv cov neeg laus tuaj yeem nrog cov ntsiab lus ntawm cov rog hauv cov quav. Yog li ntawd, yuav tsum tau mus ntsib kws kho mob. Txij li thaum ua rau steatorrhea qee zaum nyob rau hauv ib qho teeb meem sib txawv kiag li.

Factors

yog vim li cas? Fatty acid ntsev nyob rau hauv quav yog ib qho mob pathological. Tej yam tshwj xeeb yog txiav txim los ntawm kev kuaj mob ntxiv. Ntawm cov kev xaiv tshaj plaws yog cov hauv qab no:

1. Kev ua txhaum ntawm lub txiav. Txhawm rau rhuav tshem cov rog nruab nrab hauv cov hnyuv mus rau hauv cov roj fatty acids thiab glycerol, pancreas tsim ib qho tshwj xeeb dej-soluble enzyme hu ua pancreatic lipase. Nyob rau hauv cov ntaub ntawv ntawm kev ua txhaum ntawm kev ua hauj lwm ntawm lub cev, raws li, muaj ib tug tsis muaj peev xwm ntawm lipase nyob rau hauv lub cev. Triglycerides tsis tawg tag. Vim li cas thiaj muaj roj nruab nrab hauv tus neeg mob cov quav.
2. Cov kua tsib acid deficiency. Nrog tsis txaus ntawm cov kua tsib rau hauv txoj hnyuv, muaj kev ua txhaum ntawm kev ua txhaum thiab nqus cov rog. Thiab cov ntsiab lus no raug rau kev ua ntawm digestive enzymes tsuas yog tias lawv nyob hauvlub xeev ntawm nyias emulsion. Bile sib tov cov rog rog nrog dej, uas yog qhov tsim nyog rau lawv txoj kev zom zaub mov ntxiv. Yog tias tsis muaj cov kua tsib txaus, cov roj tee tseem loj, yog li cov kua dej ntawm cov enzymes tsis tuaj yeem sib xyaw nrog lawv. Qhov tshwm sim ntawm qhov no yog kev kuaj pom cov rog nyob hauv cov quav.
3. Kev ua txhaum ntawm kev nqus rog hauv cov hnyuv thiab nws nrawm tshem tawm ntawm lub cev. Cov zaub mov bolus (hummus) txav mus rau hauv txoj hnyuv vim yog kev cog lus ntawm cov phab ntsa hauv plab. Yog tias nws lub cev muaj zog ua haujlwm tsis zoo, qhov no ua rau kom nrawm nrawm thiab tshem tawm cov khoom noj ntawm cov hnyuv. Yog li ntawd, nyob rau hauv cov xwm txheej no, cov rog tsis muaj sij hawm los nqus tag nrho. Qhov no hloov cov tsos mob ntawm cov quav - lawv ua lub teeb, greyish, tau ib tug greasy sheen, ib tug fetid tsw uas tsis yog yam ntxwv ntawm cov quav.
4. Cov ntsiab lus muaj roj ntau hauv cov khoom noj. Qhov no tseem tuaj yeem ua rau muaj kev cuam tshuam ntawm cov hnyuv. Tshwj xeeb tshaj yog thaum siv cov roj refractory - piv txwv li, nqaij nyuj rog.
5. Ntau cov rog rog ntau ua txhaum cai ntawm patency ntawm lymphatic tract.
6. Kev noj cov roj castor thiab lwm yam tshuaj suppositories.

Cov kab mob dab tsi ua rau qhov no?

Qhov ua rau steatorrhea tuaj yeem ua tau ntau yam kab mob. Cov hauv qab no tuaj yeem ua rau muaj kev ua txhaum ntawm cov roj metabolism hauv lub cev thiab, raws li, cov tsos ntawm fatty acids hauv cov quav:

1. Kab mob plab hnyuv. Crohn tus kab mob, ulcerative colitis, enteritis, Whipple's kab mob, amyloidosis, diverticulosis, lymphoma(ib hom qog).
2. kab mob siab. Kab mob siab (xws li cawv, mob ntev lossis mob), cystic fibrosis, cirrhosis.
3. Kab mob ntawm lub gallbladder thiab nws cov ducts. Cholangitis, cholelithiasis, cholecystitis nyob rau hauv mob thiab mob ntev, giardiasis.
4. Kab mob pancreas. Mob pancreatitis nyob rau hauv cov ntaub ntawv mob hnyav thiab mob ntev, Zolinger-Ellison syndrome (tsim cov qog uas ua rau cov quav xoob, kub hnyiab, mob, los ntshav sab hauv), nqaim ntawm Wirsung duct (los ntawm cov kua txiv pancreatic nkag mus rau duodenum).
5. Ib tus kab mob ntawm daim tawv nqaij. Piv txwv li, nrog eczema, psoriasis, cov ntaub so ntswg ntawm lub hauv nruab nrog cev kuj raug cuam tshuam, uas tuaj yeem ua rau muaj qee yam tsis zoo ntawm qhov kawg.
6. Cholestasis.
7. YSclerosing cholangitis.
8. Congenital defect of the organ/organs of the gastrointestinal tract.
9. Pancreatic insufficiency.
10. YAlcoholic chronic pancreatitis.
11. Dyskinesia ntawm lub gallbladder thiab cov kua tsib.
12. -cardiospasm.
13. kab mob celiac.
14. Hemochromatosis. Kab mob keeb kwm uas muaj hlau nyob hauv lub cev.
15. Ntau colonization ntawm cov kab mob microflora ntawm txoj hnyuv me.
16. Kev ua tsis taus pa ntawm lub plab.
17. tus kab mob Wilson-Konoval. Kab mob pathology nyob rau hauv uas tooj liab metabolism yog impaired. Nws tshwm sim nws tus kheej twb thaum muaj hnub nyoog ntawm tus neeg mob.
18. YEnterokinase deficiency.
19. YPancreatogenic malabsorption syndrome.
20. Txoj kev mob tom qab phais ntawm txoj hnyuv me.
21. Cysts, qog ntawm ntau lub hauv paus chiv keeb, thaj chaw hauv plab hnyuv.
22. Kev noj tshuaj laxativetshuaj, tshuaj, txhua yam khoom rau poob phaus.

Txoj hauv menyuam yaus

Steatorrhea nyob rau hauv cov me nyuam mos loj hlob me ntsis txawv dua li cov neeg laus. Rau qhov ntau dua, qhov ua rau tus mob no nyob rau hauv tus menyuam yog qhov tsis muaj pancreatic enzymes thiab qhov tsis zoo ntawm cov enzyme system.

Enzymes uas koom nrog hauv lipid metabolism ntawm tus menyuam yug tshiab pib tsim cov ntim txaus nkaus xwb thaum tus menyuam muaj 3 lub hlis. Txog rau lub sijhawm no, kev zom zaub mov tsis txaus yuav raug pom. Dab tsi tsis suav tias yog pathological.

Tab sis tib lub sijhawm, cov ntsev ntawm fatty acids hauv cov quav ntawm tus menyuam mos tuaj yeem kuaj pom txawm tias lub siab ua haujlwm tsis zoo. Qhov no feem ntau tshwm sim los ntawm kev mob caj ces. Lawv tuaj yeem ua tau ob qho tib si metabolic thiab cov qauv hauv qhov xwm txheej.

Raws li cov menyuam mos uas tsis muaj zog, lawv cov metabolism hauv ib txwm (metabolism, suav nrog cov rog) tau tsim me ntsis tom qab - los ntawm 4-5 lub hlis ntawm lub neej.

Kev faib cov kab mob ntau yam

Fatty acid ntsev hauv cov quav ntawm tus neeg laus thiab menyuam yaus pom nyob rau hauv ib qho mob tshwj xeeb - steatorrhea. Nws tuaj yeem sawv cev rau ntau txoj hauv kev:

1. Alimentary (los yog zaub mov). Qhov txawv txav ntawm cov quav yog tshwm sim los ntawm tus neeg mob cov khoom noj khoom haus zoo. Hauv qhov no, nws cov khoom noj yog oversaturated nrog rog. Lawv lub cev tsis tuaj yeem nqus tau los ntawm lub cev, yog li cov seem ntawm cov ntsiab lus tuaj yeem tawm hauv lawv daim ntawv dawb huv. Li no thiabsuav nrog cov rog hauv cov quav. Raws li kev txheeb cais, hom steatorrhea no tshwm sim feem ntau.
2. Tshuaj plab. Puas muaj ntsev ntawm fatty acids nyob rau hauv cov quav? Yog vim li cas tej zaum yuav nyob rau hauv daim ntawv no ntawm steatorrhea. Nws yog tshwm sim los ntawm ib tug malfunction ntawm cov hnyuv. Fatty acids pom vim qhov tseeb tias lawv tsis zoo absorbed thiab absorbed. Yog vim li cas rau qhov no yog cov kab mob uas peb tau hais los saum toj no. Los yog noj tsis haum.
3. YPancreatic. Daim ntawv ntawm tus kab mob no yog suav hais tias yog qhov nyuaj tshaj plaws, vim nws tsis yog cov hnyuv uas raug kev txom nyem, tab sis yog pancreas. Yog vim li cas rau steatorrhea yog tias lub cev tsis tuaj yeem tsim cov lipase txaus, uas yog qhov tsim nyog rau kev tawg ntawm fatty acids. Qhov tshwm sim ntawm tus mob yog cov quav ua kua tas mus li nrog cov rog.

theem ntawm tus kab mob

Cov ntsev ntawm fatty acids hauv quav (sib koom nrog) muaj nyob hauv ntau hom steatorrhea. Tus kab mob no tau muab faib ua peb hom:

1. Ua ntej, quav muaj cov roj nruab nrab ntawm cov zaub los yog tsiaj keeb kwm.
2. Nrog rau hom 2 steatorrhea, cov ntsev ntawm fatty acids (xws li xab npum) uas tuaj yeem cuam tshuam nrog alkalis muaj nyob hauv cov quav.
3. Nyob rau hauv hom 3 kab mob, ob qho tib si nruab nrab rog thiab fatty acid ntsev nyob rau hauv cov quav.

Symptoms

Nrog steatorrhea, ib tug neeg raug mob los ntawm cov tsos mob ntawm tus kab mob uas ua rau tus mob no. Tab sis steatorrhea nws tus kheej yog tshwm sim los ntawm cov tsos mob ywj pheej. Ntxiv nrog rau cov quav xoob nrog ntau yam kev suav nrog cov rog, qhov no tuaj yeem ua tauTom ntej:

1. hnoos qhuav.
2. Kev qaug zog, qaug zog.
3. kiv taub hau.
4. Ntaus, gagging.
5. Bloating.
6. Burp.
7. Permanently qhuav mob ntawm mucous daim nyias nyias - qhov ntswg, qhov ncauj, thiab lwm yam.
8. Rumbling suab hauv plab hnyuv.
9. nqhis dej tas li (vim lub cev qhuav dej vim muaj mob).
10. Qee zaus, mob plab plab.
11. Ntau quav.
12. Nyias, nplaum quav (vim cov ntsiab lus ntawm fatty acids ntsev, tsis muaj rog).
13. Nyob rau hauv cov quav uas tseem ceeb suav nrog cov rog. Cov xim ntawm qhov tso tawm yog greyish, lub teeb, nrog rau tus yam ntxwv sheen.

Kab mob sib kis

Cov teeb meem ntawm steatorrhea tshwm sim thaum kho tsis raug lossis nws tsis ua tiav. Cov hauv qab no tuaj yeem txhim kho:

1. Kev cuam tshuam hauv kev ua haujlwm ntawm cov hlab ntsha, lub plawv, genitourinary, endocrine, lub paj hlwb.
2. Nyob rau qhov permeability ntawm txoj hnyuv barrier.
3. Ua txhaum cov metabolism hauv cov protein, uas ua rau poob phaus, ascites, txo qis ntawm tag nrho cov protein hauv lub cev.
4. YHypovitaminosis. Nws, nyob rau hauv lem, yog nrog los ntawm nquag kiv taub hau, mob nyob rau hauv cov pob qij txha thiab qaum, edema, convulsive tej yam kev mob, dryness, pallor ntawm mucous daim nyias nyias, khaus ntawm daim tawv nqaij, tsis pom kev acuity, delamination ntawm cov rau tes, fragility thiab dullness ntawm cov plaub hau, stomatitis, glossitis, friability ntawm cov pos hniav.

Kev kuaj mob

Yog kojpom nyob rau hauv lawv tus kheej cov yam ntxwv cov tsos mob ntawm steatorrhea, nws yog tsim nyog los hu rau ib tug general practitioner, ib tug gastroenterologist. Ua ntej tshaj plaws, tus kws tshaj lij yuav ua cov txheej txheem kuaj mob:

1. Kev kuaj pom tus neeg mob.
2. Nug tus neeg mob txog cov tsos mob, lawv lub sijhawm, khoom noj khoom haus, kev ua neej, kev ua neej nyob.
3. Xa ntshav, quav thiab zis rau kev tshuaj ntsuam.
4. kuaj ultrasound ntawm peritoneum.
5. Colonoscopy.
6. Kev tshawb fawb ntawm radioisotope technology.

Txoj kev kuaj mob tseem ceeb tshaj plaws rau steatorrhea yog lipogram. Ib txoj kev tshawb nrhiav hauv cov quav uas tau kuaj xyuas seb puas muaj cov rog, fatty acids thiab lawv cov ntsev (soaps). Xws li kev tsom xam tso cai rau koj txheeb xyuas cov kab mob ntawm lub plab zom mov (tshwj xeeb, txiav txiav). Raws li cov txiaj ntsig ntawm kev tshawb fawb, tus neeg mob tuaj yeem kuaj tau:

1. YPancreatitis.
2. Cov qog nqaij hlav hauv plab - benign thiab malignant.
3. Malabsorption syndrome.
4. Tshuaj mob plab.
5. Kev ua txhaum ntawm kev ua haujlwm zais cia ntawm tus txiav.
6. Kev ua txhaum ntawm cov qog ntshav tawm ib txwm muaj.
7. Npaj plab hnyuv peristalsis.

Cov txiaj ntsig ntawm kev tshuaj ntsuam kuj cuam tshuam los ntawm qhov tseeb ntawm kev sau cov khoom. Nws yog txwv tsis pub ua qhov no ua ntej 2 hnub tom qab kuaj X-ray nrog tus neeg sawv cev sib txawv. Peb hnub ua ntej kev sau cov quav, lawv tso tseg cov tshuaj uas cuam tshuam rau qhov muaj pes tsawg leeg, xim, thiab peristalsis ntawm quav.

Cov quav yuav tsum yog ntuj, tsis muaj enemas lossis laxatives. Nyob rau hauv lub ua ntej ntawm kev xa cov khoom rau kev tsom xam los ntawmKev noj zaub mov tsis suav nrog cov zaub mov uas muaj xim quav, ua rau muaj roj ntau dhau, cem quav lossis, hloov pauv, raws plab.

Ua ntej khaws cov khoom, lub zais zis yog khoob, kev tu cev ntawm qhov chaw mos yog ua tiav. Ua li no, siv xab npum tsis muaj dyes, flavors, foaming additives.

Cov khoom yog sau rau hauv lub nkoj qhuav thiab huv si, los ntawm qhov twg 20-25 g ntawm cov quav tau muab cais rau hauv lub thawv tshwj xeeb. Nws cov ntsiab lus tuaj yeem khaws cia rau hauv lub tub yees ua ntej coj mus kuaj ntawm qhov kub ntawm 3-7 ° C thaum nruab hnub.

Khoom noj khoom haus tseem ceeb

Kev kho mob yuav raug muab rau tus neeg mob raws li tus kab mob uas tau txheeb xyuas. Yog tias muaj rog, fatty acids thiab lawv cov ntsev nyob hauv cov quav, yuav tsum tau noj zaub mov tshwj xeeb:

1. Kev cais tawm ntawm cov khoom noj rog, ntsim, ntsim, haus luam yeeb thiab qab ntsev.
2. txwv tsis pub noj cov roj ntshiab ib hnub mus txog 50 g. Qhov zoo tshaj plaws, yog tias nws yog butter.
3. Kev cais tawm ntawm cov zaub mov ntawm cawv, qab zib carbonated dej qab zib.
4. Hloov mus rau nqaij ntshiv - qaib ntxhw, luav, thiab lwm yam.
5. Kev cais tawm ntawm kev noj cov ntses rog.
6. Txo cov zaub mov uas muaj carbohydrate.
7. Kev noj cov roj tsawg (lossis tsis muaj rog) cov khoom noj mis nyuj.
8. Kev cais tawm ntawm kev noj zaub mov rog. Lawv tshwj xeeb tshaj yog nplua nuj nyob rau hauv legume tais diav, ib tug xov tooj ntawm semi-tiav khoom.
9. Nws raug pom zoo kom muab qhov nyiam rau ntau hom ntses, zaub tais, khoom siv mis nyuj.
10. Reception ntawm vitamin complexes.

Recommendedcov zaub mov feem ntau nrog 3-teev so ntawm cov pluas noj. Qhov hnyav ntawm ib qho yuav tsum tsis pub tshaj 200 g.

kev kho mob

Cov kev kho mob tau suav sau los ntawm tus kws kho mob ib leeg rau tus neeg mob - nyob ntawm tus kab mob uas ua rau steatorrhea. Cov tsos mob nws tus kheej (rog hauv quav) raug tshem tawm los ntawm cov tshuaj hauv qab no:

1. Enzymes uas txhim kho kev zom zaub mov. Pancreatin, Creon, Pancitrate.
2. Kev npaj nqus dej. Enterosgel, Smecta, Atoxil.
3. Nrog cov ntsiab lus siab ntawm fatty acids hauv cov quav, tshuaj tiv thaiv cidal raug tshuaj. Lawv neutralize gastric kua txiv, txhim kho cov nyhuv ntawm cov tshuaj enzyme rau lub cev. Cov no yog Almagel, Gastal, Phosphalugel.
4. Maalox tshuaj. Cov lus qhia rau kev siv rau cov khoom hais tias nws yog ib tug ua ke tshuaj rau tsis xis nyob, kub siab, mob plab, qaub belching, zoo li hnyav, raws plab, cem quav, tsam plab. Nws muaj nyob rau hauv daim ntawv ntawm kev ncua thiab chewable ntsiav tshuaj. Daim ntawv xav tau yog xaiv tus kheej. Cov lus qhia rau kev siv cov ntsiav tshuaj Maalox kuj hais tias cov tshuaj yuav tsum tau noj tsuas yog tom qab sab laj nrog kws kho mob.

Steatorrhea yog cov ntsiab lus ntawm fatty ntsev, lawv cov kua qaub thiab / los yog cov roj nruab nrab hauv cov quav. Raws li koj tuaj yeem pom, muaj ntau qhov laj thawj rau qhov no. Qhov tshwj xeeb tsuas yog qhia meej thaum ua tiavkuaj mob. Raws li nws cov txiaj ntsig, tus kws kho mob kos ib qho kev kho mob rau tus neeg mob.