Exocrine Pancreatic Insufficiency mu Agalu - Zizindikiro ndi Chithandizo

Mlembi: John Stephens
Tsiku La Chilengedwe: 26 Jayuwale 2021
Sinthani Tsiku: 17 Disembala 2024
Anonim
Exocrine Pancreatic Insufficiency mu Agalu - Zizindikiro ndi Chithandizo - Ziweto
Exocrine Pancreatic Insufficiency mu Agalu - Zizindikiro ndi Chithandizo - Ziweto

Zamkati

Zovuta zamatenda am'mimba zimakonda kukhala kutayika kwa magwiridwe antchito mu exocrine kapamba kusakwanira, kapena kutupa kapena kapamba. Zizindikiro zamankhwala pakakhala kusakwanira kwa kapamba zimachitika pakakhala kutayika kwa 90% yamatayala a exocrine. Kuwonongeka kumeneku kumatha kubwera chifukwa cha kufooka kwa magazi kapena kutupa kosatha ndipo kumapangitsa kuchepa kwa michere ya m'mimba m'matumbo, yomwe imayambitsa kusokoneza malabsorption ndi kusagaya bwino michere, makamaka mafuta, mapuloteni ndi chakudya.

Chithandizochi chimakhala ndi kupatsa michere yama pancreatic yomwe imagwira ntchito yomwe kapamba wathanzi amatha kupanga. Pitirizani kuwerenga nkhani iyi ya PeritoAnimal kuti mudziwe zonse Exocrine pancreatic insufficiency agalu - zizindikiro ndi chithandizo.


Kodi kuperewera kwapancreatic pancreatic ndi chiyani

Icho chimatchedwa exocrine pancreatic insufficiency a kupanga kosakwanira komanso kutsekemera kwa michere yam'mimba m'matumba am'mimbandiye kuti, kapamba alibe mphamvu yolekanitsa michere pamlingo wokwanira kuti chimbudzi chizichitika moyenera.

Izi zimabweretsa kusokonekera kwa magazi ndi kusowa kwa michere matumbo, kuchititsa kudzikundikira chakudya ndi mafuta mmenemo. Kuchokera pamenepo kupita mtsogolo, kubereketsa kwa bakiteriya, kutsekemera kwa mafuta ndi zidulo za bile acid kumatha kuchitika, zomwe zimapangitsa kuti sing'anga ikhale ndi acidic yambiri ndikuyambitsa kuchuluka kwa mabakiteriya.

Zizindikiro zakutuluka kwapancreatic pancreatic

Zizindikiro zamatenda zimachitika pakakhala kuwonongeka kwakukulu kuposa 90% a exocrine minofu ya kapamba. Chifukwa chake, zizindikilo zomwe zimapezeka kwambiri ngati agalu ali ndi vuto losakwanira kwa kapamba ndi awa:


  • Zazikulu ndi pafupipafupi chimbudzi.
  • Kutsekula m'mimba.
  • Kudzikweza.
  • Steatorrhea (mafuta mu chopondapo).
  • Kulakalaka kwambiri (polyphagia), koma kuwonda.
  • Kusanza.
  • Maonekedwe oyipa a ubweya.
  • Coprophagia (kudya chopondapo).

Pakati palpation, titha kudziwa kuti matumbo amatuluka, Ndi borborygmos.

Zomwe zimayambitsa kusokonekera kwa pancreatic agalu

Chomwe chimayambitsa kufooka kwa kapamba kwa agalu ndi matenda acinar atrophy ndipo m'malo achiwiri kumakhala matenda opatsirana. Pankhani ya amphaka, zam'mbuyozi ndizofala kwambiri. Zina mwazifukwa zakusokonekera kwa kapamba kwa agalu ndi zotupa za kapamba kapena kunja kwake komwe kumayambitsa cholepheretsa kapangidwe ka kapamba.


chibadwa cha matendawa

Matendawa ndi cholowa mu mitundu yotsatirayi ya galu:

  • M'busa waku Germany.
  • Border Collie wokhala ndi tsitsi lalitali.

Komano, ndi pafupipafupi m'mipikisano:

  • Chow chow.
  • Wokhazikitsa Chingerezi.

M'badwo womwe uli pachiwopsezo chachikulu chovutika ndi izi ndi pakati pa 1 ndi 3 wazaka, pomwe tili mu English Setters, makamaka, ndi miyezi 5.

Pachithunzipa pansipa titha kuwona M'busa Wachijeremani yemwe ali ndi pancreatic acinar atrophy, momwe zingathere kuzindikira cachexia ndi minofu atrophy:

Kuzindikira kusokonekera kwa pancreatic pancreatic

Pofufuza, kuphatikiza pakuganizira za galu, mayeso osafunikira kwenikweni kapena mayesero ena onse ayenera kuchitidwa.

Kusanthula kwathunthu

Pakufufuza konse, zotsatirazi zichitike:

  • Kusanthula magazi ndi biochemistry: nthawi zambiri palibe kusintha kwakukulu komwe kumawoneka, ndipo ngati akuwonekera ndi kuchepa kwa magazi m'thupi, cholesterol chochepa komanso mapuloteni.
  • kuyezetsa chopondapo: Iyenera kuchitidwa mosalekeza komanso ndimanyumba atsopano kuti muzindikire kupezeka kwa mafuta, osakwanira olimba owuma ndi ulusi wa minofu.

Mayeso enieni

Mayeso apadera ndi awa:

  • Kuyeza kwa immunoreactive trypsin mu serum (TLI): yomwe imayesa trypsinogen ndi trypsin yomwe imayamba kufalikira kuchokera ku kapamba. Mwanjira imeneyi, minofu ya pancreatic yomwe imagwira ntchito imawunikidwa mosadziwika bwino. Mayeso apadera amagwiritsidwa ntchito pamitundu ya canine. Makhalidwe omwe ali pansi pa 2.5 mg / mL ndi omwe amapeza agalu osakwanira.
  • kuyamwa mafuta: idzachitika poyesa lipemia (mafuta am'magazi) isanachitike komanso kwa maola atatu mutapereka mafuta a masamba. Ngati lipemia siyikuwoneka, kuyesa kumabwerezedwa, koma kukulitsa mafuta ndi enzyme ya pancreatic mpaka ola limodzi. Ngati lipemia ikuwoneka, imawonetsa kuchepa kwa chakudya ndipo, ngati sichoncho, malabsorption.
  • Vitamini A. Kuyamwa: idzachitika popereka 200,000 IU ya vitamini iyi ndipo imayesedwa m'magazi pakati pa maola 6 ndi 8 pambuyo pake. Ngati pali mayamwidwe osachepera katatu kuposa mtengo wabwinobwino wa mavitaminiwa, amawonetsa kuyamwa kapena kusagaya bwino.

Nthawi zonse pakakhala kukayikira za matendawa, vitamini B12 ndi folate ziyenera kuyezedwa. Mavitamini ndi mavitamini B12 otsika kwambiri amatsimikizira kuchuluka kwa mabakiteriya m'matumbo ang'onoang'ono okhudzana ndi matendawa.

Chithandizo cha kuperewera kwapancreatic pancreatic

Chithandizo cha kuperewera kwa pancreatic pancreatic chimakhala ndi kugaya mapuloteni am'mimba m'moyo wonse wa galu. Amatha kubwera ndi ufa, makapisozi kapena mapiritsi. Komabe, akachira, mlingowo umatha kuchepetsedwa.

Nthawi zina, ngakhale kuyang'anira michere iyi, kuyamwa kwa mafuta sikuchitika molondola chifukwa cha pH wam'mimba yemwe amawawononga asanachite kanthu. Izi zikachitika, a woteteza m'mimba, monga omeprazole, ayenera kuperekedwa kamodzi patsiku.

Ngati vitamini B12 ilibe vuto, liyenera kuthandizidwa mokwanira malinga ndi kulemera kwa galu. Ngakhale galu wolemera zosakwana 10 kg angafunike mpaka 400 mcg. Ngati mulemera pakati pa 40 ndi 50 kg, mlingowo udzafika ku 1200 mcg wa vitamini B12.

M'mbuyomu, chakudya chamafuta ochepa, chosungika kwambiri, chopanda fiber chimalimbikitsidwa, koma lero, zimangofunika kukhala zakudya zosagaya. Mafuta ochepa amalimbikitsidwa pokhapokha ngati ma enzyme sakukwanira. Mpunga, monga gwero losavuta kugaya wowuma, ndiye chimanga chosankha agalu omwe ali ndi vuto la pancreatic.

Tsopano popeza mukudziwa kusakwanira kwa kapamba komanso momwe mungachitire ndi agalu, mutha kukhala ndi chidwi ndi kanemayu yemwe akuwonetsani momwe mungasamalire galu kuti akhale ndi moyo wautali:

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Ngati mukufuna kuwerenga zina zambiri zofanana ndi Exocrine Pancreatic Insufficiency mu Agalu - Zizindikiro ndi Chithandizo, tikukulimbikitsani kuti mulowetse gawo lina la zovuta zina.