Gịnị ka ọ pụtara na-anọpụ iche abụba ke coprogram? nchọpụta nsogbu

Kal - ikpeazụ ngwaahịa a nụchara anụcha ngwaahịa abanye ahu. A ike onye na-adịghị ata ahụhụ site na digestive nsogbu, ka e a bowel ije, adịghị nwere na ya mejupụtara na-anọpụ iche abụba. N'ihi nke mgbaze na absorption nri eriri afọ mmapụta ngwaahịa ga-ntekwasa na a obere ego nke imi na columnar epithelial mkpụrụ ndụ. Ọ bụrụ na e a na-anọpụ iche abụba ke stool, a ọnọdụ na-akpọ steatorrhea. Ọ na-atụle ndiiche na ike na-egosi ọrịa nke pancreas, opi mgbailu na imeju na.

Gịnị bụ abụba?

Na-anọpụ iche na abụba na-akpọ abụba acid esters na glycerol. Dabere na ole nke hydroxyl iche iche nke glycerol na-esterified na ọdụdụ asịd, ndị na-esonụ ụdị nke lipids nke ìgwè:

• triglycerides - atọ dị iche iche;
• diglycerides - abụọ dị iche iche;
• monoglycerides - otu ìgwè.

Anọpụ iche abụba echekwara na ahụ dị ka a na-akwado ihe onwunwe ma ọ bụ ịghọ abụba protoplasmic akpụ akụkụ nke mkpụrụ ndụ. The ọrụ nke ndị a dị iche iche iche-iche. Protoplasmic lipids nwere a mgbe nile mejupụtara, na-adị na mkpụrụ ndụ a na-ibu, na-na-agbanwe agbanwe na mmepe nke ibu oké ibu, ma ọ bụ na ihe banyere ụmụ mmadụ na-eri. The ego nke idobere abụba bụ isiokwu fluctuations.

triglycerides

Otu a bụ kasị ọtụtụ n'etiti ndị nnọchiteanya nke na-anọpụ iche lipids. Ọdụdụ asịd na-abata ndị mejupụtara, nwere ike ịbụ unsaturated na jupụta. The ọtụtụ ugboro ugboro okosobode: oleic, stearic na palmitic acid. Ọ bụrụ na ndị radicals bụ akụkụ nke triglyceride, si n'otu acid, ọ na-akpọ dị mfe, ma ọ bụrụ na ha na mmekọrịta ha dị iche iche asịd - mbuaha.

Physicochemical Njirimara nke na-anọpụ iche na abụba na-adabere na ihe nke acid. Atụmatụ ndị dị ka ndị:

• karịa ukwuu ọnụ ọgụgụ , na ogologo nke residues nke jupụta ọdụdụ asịd, na elu-agbaze okpomọkụ nke lipids;
• nke ukwuu ego nke unsaturated ọdụdụ asịd na ha obere yinye, agbaze okpomọkụ dị ala;
• triglycerides nwere ike isonye na saponification mmeghachi omume n'ihi na decomposition n'ime ọdụdụ asịd na glycerine;
• ihe e ji mara saponification usoro maka enzymatic hydrolysis emee alkalis na asịd.

Njirimara nke lipids

Na-anọpụ iche na abụba - a umi na-agbaze mfe, ọ bụ Mkpa ọkụ ka mmiri, ma ọ bụ unyi anaghị agbasa na na ya. Na ụlọ okpomọkụ, na lipids na-siri ike, pasty ma ọ bụ mmiri mmiri na steti na ike ga-agbaze na a nnukwu okpomọkụ nso.

Umi fọrọ nke nta unyi anaghị agbasa na mmiri, ma na mgbakwunye na nke ncha ka ha ma ọ bụ ọ bụla emulsifier-eduga ná guzobe nke anụ okenye emulsions. Anọpụ iche abụba bụ ngwa ngwa soluble na mmanya na dị iche iche na solvents (ether, mmanụ ụgbọala, benzene, chloroform).

Phospholipids enweghị agba, ma ngwa ngwa daa mbà n'obi mgbe ọ gụrụ ikuku. Nke a bụ n'ihi na ọxịdashọn nke unsaturated ọdụdụ asịd na-eme ka. Njirimara nke na-anọpụ iche na abụba, nke bụ n'ime ahụ mmadụ ndị dị ka ndị:

• layered owuwu na-guzobere na kọntaktị na ngwọta na-ekwe ka isonye na-ewu nke lipids nke cell membranes;
• abanye a ná mma na-edozi dị na cell akpụkpọ ahụ elu elu, mezie cell mbata usoro nke organic bekee nke na-abuana ke metabolic Filiks;
• na antioxidants nke eke si malite.

The ndabere nke physico-chemical Njirimara nke na-anọpụ iche na abụba ya Ọdịdị na-akọwa-ekwe omume nke ha na-ekere òkè dị oké mkpa Filiks ahụ mmadụ. Karịsịa a otutu phospholipids hụrụ na ụjọ na-atụ anụ ahụ, imeju, obi.

Steatorrhea na ya umu

Anọpụ iche abụba ke ifịm bụ a-enweghị nchịkwa na ọnọdụ. Dabere na etiology nke ndị na-esonụ ụdị nke steatorrhea:

1. Nsia ụdị. N'ihi ụfọdụ ihe lipids na-etinye obi gị dum na nsia tract wee pụta na na nsị.
2. Ekwukwa n'akwụkwọ ụdị. Ndabere nke a daa ọrịa na-aghọ ogbenye oriri na-edozi. Nri ahụ mmadụ na-enweta a nnukwu ego nke phospholipids, nke na-enweghị ike ike enwetara n'ozuzu ya.
3. Pancreatic ụdị. Ọ bụ n'ihi nke disruptions nke pancreas. Mbelata lipase njikọ - na enzyme maka nkịtị cleavage nke lipids.

Steatorrhea dị iche iche mmiri na di iche iche. The na nsị nwere ike ịnwe a bukwanu ego nke na-anọpụ iche na abụba (triglycerides), ọdụdụ acid ncha, ma ọ bụ niile atọ na n'out oge.

Na-akpata pancreatic steatorrhea

Anọpụ iche abụba ke ifịm na nwata ma ọ bụ okenye nwere ike ime megide ndabere nke a ọnụ ọgụgụ nke ndiiche ọnọdụ.

1. Diseases nke pancreas:

• pancreatitis nnukwu n'oge ọnwa isii mbụ;
• pancreas mbufụt na-adịgide adịgide karịa ọnwa isii (na-adịghị ala usoro);
• Wirsung ibelata duct (pancreatic ihe ọṅụṅụ na ọ abatakwa duodenum);
• Zollinger-Ellison syndrome - a neoplastic usoro, dapụtara na ihe mmerụ ahụ nke afo na nsia tract.

2. Imeju Pathology:

• Ịba ọcha n'anya nnukwu na-adịghị ala ala uwa;
• ịba ọcha n'anya, nke pụtara dị ka a n'ihi nke ịṅụbiga mmanya ókè;
• imeju;
• ọrịa sclerosing cholangitis ụdị - ihe mgbu na ọrịa nke intrahepatic opi mgbailu, nke na-esonyere onya guzobere;
• Hemochromatosis - metabolic abnormalities metụtara na ígwè, nke na-esonyere ihe ndiiche ìgwè ke idem;
• amyloidosis imeju;
• etuto ahụ na cysts.

3. Pathology ńsí eriri afo na ducts:

• cholelithiasis;
• mbufụt nke ńsí eriri afo nnukwu na-adịghị ala ala uwa;
• cholangitis - mbufụt nke opi mgbailu;
• Giardia ọrịa nke biliary tract.

Na-akpata nsia steatorrhea

Coprogram anọpụ iche abụba ke daa ọrịa nke nsia ụdị pụrụ ibilite ka a n'ihi nke ndị na-esonụ na-ekwu:

• Crohn ọrịa - adịghị ala ala mbufụt nke nsia tract na nke na-imepe ibelata na guzobe ọnyá;
• Whipple ọrịa - a ọrịa nke eriri afọ na mpaghara Lymph-inyinya-ibu na-efe efe okike;
• na nsia lymphoma - akpụ nke mee nke lymphocytes;
• mgbe post-resection ọnọdụ;
• enteritis, enterocolitis;
• amyloidosis;
• na diverticulosis - enweghị nchịkwa Filiks metụtara guzobe diverticula (protrusions) na nsia mgbidi.

Ọzọ etiological ihe

Ndị na-akpata nke phospholipids na stool nwere ike a ọrịa nke endocrine glands. The kasị predisposing ihe ndị hypothyroidism na Addison ọrịa (adrenal insufficiency).

Abetalipoproteinemia (malabsorption nke lipids na iga), cystic fibrosis (niile nzuzo glands nwere a elu viscosity na njupụta) na tsealkiya (aghara nke gluten incompletely rapara) bụ congenital ọnọdụ na-eduga ihe na-egosi na-anọpụ iche abụba ke stools na ụmụ ọhụrụ.

Ọdịdị nke phospholipids na faeces nwere ike ikwado psoriasis na eczema, na ruo ogologo oge iji laxatives na ji n'ihi na arọ ọnwụ.

adakarị picture

The mbụ ngosipụta nke ọrịa na-Ugboro agụụ defecate. Nsị na mmanu mmanu, ha bụ ndị siri itucha si mposi n'elu. The oche bụ kegriiz nzọ ụkwụ. Agba nke na nsị nwere ike ịnọgide na-nkịtị, ma e nwere ike gbanwere na ntụziaka nke ìhè ma ọ bụ ndò nke isi awọ.

Ọzọkwa, na-anọpụ iche na abụba, nke mejupụtara nwere a ọdụdụ acid na glycerol, idem ke feces, ke adianade do, ike-egosi na ndị na-esonụ mgbaàmà:

• akọrọ ụkwara;
• dizziness;
• ihe mgbu na nkwonkwo na azụ;
• bloating;
• ala ozo nke arụmọrụ;
• n'adịghị ike anyị;
• nkụ nke mucous membranes;
• gwụrụ;
• agba ọbara agazu n'agbụ.

Ọdịdị nke mmanu mmanu stool, ma ọ dịkarịa ala otu n'ime ịdọkapụta mgbaàmà bụ oge na-akpọ ruru eru enyemaka.

achọpụta ọrịa jikoro

Collection of mkpesa na anamnesis esonyere a nkọwapụta nke mgbe mgbaàmà pụtara, na nke onye ọrịa ejikọ ha omume, mgbe oche ka nwetara mmanu mmanu agwa. Specialist anam ẹfiọk ọnụnọ nke congenital ọrịa ma ọ bụ abnormalities na-ketara, a ọrịa ikwu. Ọzọ, ndị dọkịta na-enyocha onye ọrịa. Chọpụta ma e nwere ike ịgwụ, anụ na mucous membranes, rụrụ palpation na percussion nke afo.

Scatology (laabu ule nke stool) bụ ntule nke ndị na-esonụ na-egosi:

1. Macroscopy - steatorrhea egosipụta n'ụdị a ìhè sheen nke friji faeces na abụba.
2. Microscopy achọpụta na ọnụnọ nke lipids, ọdụdụ asịd, ncha nke abịanyere. Nọmalị ka awa 24 kwesịrị ekenyela na stool karịa 5 g anọpụ iche abụba. The results n'elu bụ daa ọrịa.

Ọ bụrụ na ọ dị mkpa, na-eji a radioisotope ọmụmụ, ultrasound nyochaa afo, colonoscopy, na-eleru nke mmiri ọgwụ itule nke ahụ ahụ, gakwuru ihe endocrinologist, na therapist.

mkpochapu steatorrhea

The mbụ ọgwụgwọ na-eduzi na ọrịa mere ka onye ahụ nke na-anọpụ iche abụba ke na nsị. Onye nhọrọ nke nri na-eme ihe na-adabere isi daa ọrịa. Ọ bụ amanyere bụ iwu mwepu nke e ghere eghe, na-agbanwe ụtọ, na-ese siga na ngwaahịa.

Onye ọrịa ga jụ mmanya na-aba n'anya, tufuo àgwà ọjọọ. Ọ na-atụ aro iji tinye nri nke ndị oriri na-ebu ịrịba ichekwa retinol, tocopherol, calciferol na vitamin K. a abụba-soluble vitamin na-ahọpụta dị ka ọgwụ.

Nsogbu na ya pụta

Nsogbu ịzụlite naanị na ikpe nke mbubreyo malitere ọgwụgwọ. Ọ bụ ime nke potassium absorption Filiks ke nsia tract. Megide a ndabere, na-emepe emepe hypo-na avitaminosis, protein erighị na gwụrụ. Pathology nke ọmụmụ na electrolyte itule gosiri mgbe nile mmetụta nke akpịrị ịkpọ nkụ, edema, akpịrị ịkpọ nkụ, ihe ọdịdọ.

Expert diagnoses oxaluria ọdịdị (oké excretion nke enweghị nchịkwa oxalic acid nnu anyụpụ na mmamịrị) na guzobere urinary oxalate nkume malite. Nke a ndiiche ọnọdụ emee n'ihi na eziokwu na n'okpuru nkịtị ọnọdụ nke oxalates adịghị tinye n'ọbara si nsia tract, dị ka ha njikọ na calcium eme ka ha na unyi anaghị agbasa. Na mmepe nke steatorrhea calcium na nnukwu ichekwa anyụpụ na stool. Nke a na-eduga ná a dị ịrịba ama eruba n'ime oxalate si eriri afọ n'ime ọbara.

Ndidi iji n'ụzọ dị ịrịba ama ida ibu ibu. Ọ akwusila kwesịrị ịrụ ọrụ niile esịtidem akụkụ na usoro. Dị otú ahụ bụ ngosipụta iduga psychological nsogbu (ehighi ura, mgbanwe nkwurịta okwu, belata arụmọrụ).

mgbochi

Mgbochi nwere ike kere n'ime isi na sekọndrị. Primary mgbochi a rụrụ iji ọrịa mere na-egosi. Ọ dabeere na mgbochi nke pathologies nke steatorrhea na-aghọ otu n'ime ihe mgbaàmà. The dị mkpa isi na-:

• jụrụ nke ise siga na Oké mmanya;
• nri mgbazi;
• dịkwuo ego nke na-abata osisi oriri;
• kewaa nri na obere òkè;
• ngwa multivitamin okụre;
• ike ahu ihe nchebe.

Kpatara nke abụọ mgbochi (mgbe mmalite) bụ na-adọ ò ọgwụgwọ nke a enweghị nchịkwa ọnọdụ.

ọgwụgwụ

Early nchoputa na-arịa ga-ekwe ka a ọkachamara na-ahọrọ onye ọgwụgwọ Usoro ma zere mmepe nke nsogbu nke ọrịa. Self-ọgwụ adịghị atụ aro, dị ka naanị ukwuu ruru eru dọkịta bụ ike ikpebi na-ezi na-akpata na-anọpụ iche abụba ke ifịm na wepu ya. Weather mma maka ndị ọrịa ndị na-soro ndụmọdụ na-atụ aro nke n'imeso ọkachamara, nakwa dị ka aku na abụọ mgbochi nke ọrịa.