Me ake nufi da tsaka tsaki mai a coprogram? bincikowa da

Kal - karshe samfurin na mai ladabi kayayyakin shigar da jiki. A lafiya da mutumin da yake ba fama da narkewa kamar matsaloli, ya tsara wani hanji motsi, ba dauke da cikin abun da ke ciki tsaka tsaki mai. A sakamakon da narkewa da sha na abinci a cikin hanjinsu saura kayayyakin dole ne a mai rufi da qananan adadin gamsai kuma columnar epithelial Kwayoyin. Idan akwai wani tsaka tsaki mai a cikin stool, a yanayin da ake kira steatorrhea. An dauke mahaukaci da kuma iya nuna cututtuka na pancreas, bile ducts da kuma hanta.

Mene ne fats?

Baruwan fats kira m acid esters da glycerol. Ya danganta da yadda da yawa daga cikin hydroxyl kungiyoyin na glycerol ake esterified tare da m acid, wadannan iri lipids na kungiyar:

• triglycerides - uku kungiyoyin.
• diglycerides - kungiyoyin biyu.
• monoglycerides - daya kungiyar.

Baruwan kitsen adana a cikin jiki a matsayin goyon baya abu ko zama mai protoplasmic kafa wani ɓangare na Kwayoyin. Rawar da wadannan daban-daban siffofin. Protoplasmic lipids da akai abun da ke ciki da kuma zama a cikin sel a wani yawa, ba canza tare da ci gaban da kiba, ko a cikin yanayin da mutum rage cin abinci. The adadin da ajiye kitsen ne batun da hawa da sauka.

triglycerides

Wannan kungiya ne mafi yawa daga cikin wakilan tsaka tsaki lipids. M acid cewa shigar a cikin abun da ke ciki, yana iya zama unsaturated da cikakken. A mafi akai-akai ci karo: oleic, stearic da palmitic acid. Idan radicals wani bangare ne na triglyceride, ciki guda acid, shi ne ake kira da sauki, idan da dangantaka zuwa daban-daban acid - gauraye.

Physicochemical Properties na tsaka tsaki fats dogara a kan abin da na acid. Features ne kamar haka:

• fiye da da mafi girma da lambar da tsawon na sharan na cikakken m acid, da hakan da narkewa zafin jiki na lipids.
• mafi girma da adadin unsaturated m acid da su short sarkar, da narkewa zafin jiki ne m.
• triglycerides iya shiga a cikin saponification dauki sakamakon bazuwar cikin m acid da kuma glycerine.
• faye hali saponification tsari ga enzymatic hydrolysis taku alkalis kuma acid.

A Properties na lipids

Baruwan kitsen - wani abu da ya narke da sauƙi, shi ne m fiye da ruwa, amma shi ne insoluble a cikinsa. A dakin da zazzabi, da lipids ne m, pasty ko ruwa a jihar da kuma za a iya narke a cikin wani babban zazzabi range.

Abu kusan insoluble a ruwa, amma Bugu da kari sabulu zuwa gare su, ko da wani emulsifier take kaiwa ga samuwar barga ruwa-ruwa emulsions. Baruwan kitsen ne readily mai narkewa a cikin barasa da kuma a cikin daban-daban kaushi (ether, fetur, benzene, chloroform).

Phospholipids da wani launi, amma da sauri duhu lokacin da fallasa su iska. Wannan shi ne saboda da hadawan abu da iskar shaka na unsaturated m acid da cewa yin up. Properties na tsaka tsaki fats, abin da suke a jikin mutum ne kamar haka:

• mai lebur Tsarin cewa an kafa a lamba tare da mafita a yarda su shiga a cikin shiri na lipids daga cell membranes.
• shiga cikin wata dangantaka ta kusa da sunadaran dake a jikin tantanin surface, da tsara cell zuwa aiwatar da kwayoyin abubuwa da suke da hannu a tafiyar matakai na rayuwa;
• ne antioxidants na halitta asali.

A dogara da physico-sinadaran Properties na tsaka tsaki fats daga tsarinta bayyana yiwuwar su sa hannu a cikin m matakai a cikin jikin mutum. Musamman mai yawa phospholipids samu a juyayi nama, hanta, zuciya.

Steatorrhea kuma da jinsin

Baruwan kitse a stool ne pathological yanayin. Dangane da etiology na wadannan iri steatorrhea:

1. Hanji irin. Saboda wasu dalilai lipids ana tunawa a cikin hanji fili da kuma fito da tumbi.
2. Sinadirai masu irin. Dalili na wannan Pathology zama matalauta abinci mai gina jiki. Tare da abinci a jikin mutum na'am da wata babbar adadin phospholipids, wanda ba su iya da za a samu a gaba.
3. Pancreatic irin. Yana da sakamakon katsalandan na pancreas. Rage-rage lipase kira - enzyme alhakin al'ada tsakiyan nonon na lipids.

Steatorrhea daban-daban aka gyara da kuma bambancin. Tumbi iya ƙunsar wani babba adadin tsaka tsaki fats (triglycerides), m acid sabulu, ko duk uku aka gyara lokacin guda.

A Sanadin pancreatic steatorrhea

Baruwan kitse a cikin tumbi da yaro ko adult iya bayyana a kan bango da dama mahaukaci yanayi.

1. Cututtuka na pancreas:

• pancreatitis m lokacin farko da watanni shida.
• pancreas kumburi zaunanniya fiye da watanni shida (na kullum tsari).
• Wirsung takaita bututu (pancreatic ruwan 'ya'yan itace a kan shi shiga cikin duodenum).
• Zollinger-Ellison ciwo - a neoplastic tsari, sakamakon wani ulceration na ciki da kuma na hanji fili.

2. Hanta Pathology:

• Hepatitis m kuma na kullum yanayi.
• hepatitis, wanda ya bayyana a matsayin wani sakamakon barasa zagi.
• cirrhosis.
• sclerosing cholangitis irin - wani mai kumburi cuta daga cikin intrahepatic bile ducts, wanda yana tare da tabo samuwar.
• Hemochromatosis - rayuwa munanan hade da baƙin ƙarfe, wanda yana tare da wani mahaukaci jari a cikin jiki.
• amyloidosis hanta.
• marurai cysts.

3. Pathology na gall mafitsara da kuma ducts:

• cholelithiasis.
• kumburi daga cikin gall mafitsara m kuma na kullum yanayi.
• cholangitis - kumburi da bile ducts.
• Giardia kamuwa da biliary fili.

A Sanadin hanji steatorrhea

Coprogram tsaka tsaki mai a cikin Pathology na hanji irin na iya tashi a sakamakon wadannan jihohi:

• Crohn ta cuta - kullum kumburi daga cikin hanji fili a wadda ci gaba takaita da samuwar ulcers.
• Whipple ta cuta - wata cuta daga cikin hanji da shiyya Lymph jakuna dauke da kwayar cutar yanayi.
• a hanji lymphoma - ƙari wanda aka yi sama da lymphocytes.
• idan post-resection matsayi.
• enteritis, enterocolitis.
• amyloidosis.
• a cushewar - pathological tafiyar matakai shafe samuwar diverticula (protrusions) a cikin hanji bango.

Sauran etiological dalilai

A Sanadin na phospholipids a stool iya zama wata cuta da endocrine gland. Mafi na kowa predisposing dalilai ne hypothyroidism da Addison ta cuta (adrenal insufficiency).

Abetalipoproteinemia (malabsorption na lipids da kai), cystic fibrosis (duk asirin gland da wani babban danko da kuma yawa) kuma tsealkiya (cuta a cikin abin da Alkama incompletely cleaved) ne nakasar yanayi da kai ga abin da ya bayyana tsaka tsaki mai a cikin stools a jarirai.

A bayyanar phospholipids a faeces iya bi psoriasis da eczema, da kuma shafe tsawon amfani da laxatives da wajen amfani ga nauyi asara.

asibiti hoto

A farko bayyanuwar cuta ne m tura zuwa defecate. Fecal m, sun kasance wuya a kurkura daga bayan gida surface. The stools ne m sawu. Color of tumbi iya zama al'ada, amma za a iya canza a cikin shugabanci na haske ko inuwa m.

Bugu da ƙari kuma, tsaka tsaki fats, wanda abun da ke ciki na da m acid da glycerol, bayyana a cikin tumbi, a Bugu da kari, za a iya nuna a cikin wadannan cututtuka:

• bushe tari.
• dizziness.
• zafi a cikin gidajen abinci da kuma mayar.
• bloating.
• low matakin na iya aiki.
• rauni.
• rashin ruwa daga mucous membranes.
• sha;
• zub da jini gumis.

A bayyanar m stool, kuma a kalla daya daga cikin rakiyar cututtuka ne da wani lokaci to kira ga m taimako.

diagnostic matakan

Tarin gunaguni da anamnesis tare da wani jaddadawa da lokacin bayyanar cututtuka bayyana, tare da abin da mãsu haƙuri ya haɗu da ya faru, lokacin da kujera ya samu m hali. Specialist bayyana gaban nakasar cututtuka ko munanan an gaji, wani haƙuri ta dangi. Next, likita na nazarin haƙuri. Ƙayyade ko akwai ci, fata da kuma mucous membranes, yi palpation kuma feat. Irfan na ciki.

Scatology (awon gwaji na stool) ne kima daga cikin wadannan Manuniya:

1. Macroscopy - steatorrhea aka bayyana a cikin nau'i na wani haske Sheen na daskararre faeces da kitse.
2. Bincike da madubin likita detects gaban lipids, m acid, soaps. Kullum for 24 hours ya kamata a kasaftawa da tumbi ba fiye da 5 g tsaka tsaki mai. A sakamakon sama ne Pathology.

Idan dole, yin amfani da wani radioisotope nazari, duban dan tayi jarrabawa na ciki, colonoscopy, kimantawa da hormonal auna na jiki, shawarci wani endocrinologist, kuma ilimin.

kawar da steatorrhea

A farko da magani ne directed at cuta ta haifar da bayyanar tsaka tsaki mai a cikin tumbi. Mutum selection na rage cin abinci kuma an yi a kan tushen tamkar Pathology. Shi ne m wariya da soyayyen, marinated, kyafaffen kayayyakin.

A haƙuri kamata rabuwa amfani da giya, rabu da miyagun halaye. An shawarar don ƙara zuwa ga rage cin abinci na waɗanda abinci ke dauke da gagarumin yawa na retinol, tocopherol, calciferol da kuma bitamin K. Wadannan mai-mai narkewa bitamin aka nada a matsayin magani kwayoyi.

Matsalolin da kuma sakamakon

Matsalolin ci gaba ne kawai a yanayin saukan marigayi fara magani. Yana da wani take hakkin gina jiki sha matakai a cikin hanji fili. Da wannan bango, masu tasowa, hypo-da avitaminosis, da furotin da tamowa, kuma sha. Pathology na ruwa da kuma electrolyte balance aka nuna m ji ƙishirwa, edema, dehydration, seizures.

Gwani diagnoses oxaluria bayyanar (wuce kima tukar tumbi da pathological oxalic acid gishiri excreted a cikin fitsari) da kuma samuwar urinary oxalate duwatsu asalin. Wannan mahaukaci yanayin faruwa saboda gaskiyar cewa a karkashin al'ada yanayi na oxalates kada ku shiga cikin jini daga hanji fili, kamar yadda su dangane da alli da ke sa su insoluble. Tare da ci gaban steatorrhea alli a yawa excreted a cikin stool. Wannan take kaiwa zuwa wani gagarumin kwarara daga oxalate daga hanjinsu a cikin jini.

Haƙuri isa ya cika fuska rasa nauyi. Yana disrupted da al'ada aiki na duk kayan ciki da tsarin. Irin wannan manifestations kai ga m matsaloli (rashin barci, canje-canje a cikin sadarwa, rage yadda ya dace).

m matakan

M matakan za a iya raba firamare da kuma sakandare. Primary rigakafin ne da za'ayi domin rashin lafiya ba bayyana. Ya dogara ne a kan rigakafin pathologies a wadda steatorrhea aka zama daya daga cikin cututtuka. A muhimmanci da maki ne:

• sãma da shan taba da kuma wuce kima barasa amfani.
• rage cin abinci gyara.
• kara yawan shigowa shuka abinci.
• raba abinci a cikin kananan rabo.
• aikace-aikace multivitamin gidaje.
• karfafa jiki ta defenses.

Tamkar sakandare rigakafin (bayan farko) ne dace m lura da wani pathological yanayin.

ƙarshe

Farkon ganewar asali da kuma daidai da lifiya zai ba da damar da gwani a zabi wani mutum magani regimen da kuma kauce wa ci gaban da rikitarwa da cutar. Kai-magani ba da shawarar, a matsayin kawai sosai m likita ne iya sanin gaskiya hanyar tsaka tsaki mai a cikin stool da kuma cire shi. Weather m ga waɗanda marasa lafiya da suke bi tare da shawara da kuma shawarwari na zalunta gwani, kazalika da tsunduma a cikin sakandare rigakafin cutar.