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Kodi mukukumana ndi mafuta ambiri m'thupi lanu? Tiyeni tiphunzire za Lipodystrophy!

Kodi mukukumana ndi mafuta ambiri m'thupi lanu? Tiyeni tiphunzire za Lipodystrophy!

Kodi mudawonapo, kapena mudawonapo, kutaya mafuta mwadzidzidzi m'malo ena a thupi lanu, kapena kuwonjezeka kosafunikira kwa mafuta m'malo ena? Izi nthawi zina sizingaganiziridwe. Lero tikambirana za vutoli lomweli. M'mawu azachipatala, izi zimatchedwa Lipodystrophy . Musadandaule, ngakhale kuti dzinalo lingamveke lachilendo, tiyeni tikambirane mwachidule.

Kodi lipodystrophy ndi chiyani?

Mwachidule, lipodystrophy ndi kutayika kwathunthu kapena pang'ono kwa minofu yamafuta, zomwe nthawi zambiri timazitcha "mafuta," m'malo ena, kapena kudzikundikira kwamafuta kosazolowereka m'malo osiyanasiyana a thupi.

Tangoganizani kuti mukuchepetsa thupi m'malo ena a thupi lanu, monga manja ndi miyendo yanu, pamene mukupeza mafuta ochulukirapo m'malo monga nkhope ndi khosi. Izi ndi zomwe zimachitika mu Lipodystrophy. Pali mitundu yosiyanasiyana ya vutoli, ina yomwe ndi ya majini (monga chinthu chomwe timabadwa nacho), pomwe ina imakula pambuyo pake chifukwa cha matenda ena. Mtundu uliwonse umakhudza anthu mosiyana ndipo uli ndi zizindikiro zosiyana.

Nchifukwa chiyani mafuta (mafuta) ndi ofunikira kwambiri m'thupi lathu?

Tsopano mwina mukuganiza kuti, "Mukakhala ndi mafuta ochepa, mumakhala bwino." Koma kwenikweni, minofu ya mafuta imagwira ntchito zambiri zofunika m'thupi lathu. Yang'anani:

  • Kusunga mphamvu: Ndi m'maselo amafuta awa momwe ma calorie owonjezera omwe timapeza kuchokera ku chakudya chomwe timadya amasungidwa ngati mphamvu.
  • Kupereka chitetezo: Kumapereka chitetezo chofanana ndi khushoni ku ziwalo zosiyanasiyana m'thupi lathu.
  • Kusunga kutentha: Kumasunga kutentha kwa thupi ndipo kumateteza ku kuzizira kwa chilengedwe.
  • Kutulutsidwa kwa mahomoni: Mahomoni angapo ofunikira, monga leptin, amapangidwa ndikutulutsidwa m'magazi.
  • Kulamulira kutupa: Kumathandizanso kuwongolera kutupa m'thupi.

Choncho, pamene minofu ya mafuta iyi yatayika kapena kusungidwa molakwika chifukwa cha lipodystrophy, sikuti maonekedwe athu okha amasintha, komanso ntchito zofunika kwambiri za kagayidwe kachakudya m'thupi zimasokonekera. Anthu ambiri omwe ali ndi lipodystrophy ali pachiwopsezo chotenga matenda monga matenda a shuga komanso kukhala ndi cholesterol yambiri m'magazi.

Kodi pali mitundu ina ya lipodystrophy?

Inde, lipodystrophy ingagawidwe m'magulu awiri akuluakulu: majini ndi opezeka.

Mitundu ya Lipodystrophy ya Majini

Izi ndi zachibadwa, ndiko kuti, mitundu yomwe imachitika chifukwa cha kusintha kwa majini.

  • Congenital Generalized Lipodystrophy (CGL): Iyi ndi Berardinelli-Seip syndrome.Amadziwikanso kuti. Imeneyi ndi vuto losowa kwambiri. Pachifukwa ichi, mafuta m'thupi amatayika pafupifupi kwathunthu kapena kwakukulu. Izi zimachitika chifukwa cha vuto la majini lomwe limapezeka pobadwa. Vutoli nthawi zambiri limapezeka mkati mwa chaka choyamba cha moyo.
  • Matenda a Family Partial Lipodystrophy (FPLD): Matendawa ndi omwe amabwera chifukwa cha majini. Komabe, nthawi zambiri amapezeka akakula. Pa vutoli, mwana amataya mafuta makamaka m'miyendo ndi m'manja, ndipo amasonkhanitsa mafuta ambiri kumaso ndi m'khosi.

Mitundu ya Lipodystrophy Yopezeka

Izi ndi mitundu yomwe imayamba titabadwa komanso tikakhala ndi moyo pazifukwa zosiyanasiyana.

  • Acquired Generalized Lipodystrophy (AGL): Matendawa amadziwikanso kuti Lawrence syndrome , omwe amachititsa kuti mafuta achepe, nthawi zambiri pankhope, pakhosi, m'manja, ndi m'miyendo. Kuchepe kwa mafuta kumeneku kungachitike mwachangu, kwa milungu ingapo, kapena pang'onopang'ono kwa miyezi kapena zaka. Nthawi zambiri kumayamba ali mwana kapena wachinyamata, koma kungachitike pa msinkhu uliwonse. Pali zifukwa zingapo zomwe zimayambitsa AGL.
  • Acquired Partial Lipodystrophy (APL): Matendawa amadziwikanso kuti Barraquer-Simons syndrome , ndipo amachititsa kuti mafuta achepe pang'onopang'ono pankhope, pakhosi, m'manja, ndi pachifuwa ali ana. Anthu ena amathanso kukhala ndi mafuta ochulukirapo m'malo monga m'mimba, miyendo, ndi matako. APL nthawi zambiri imagwirizanitsidwa ndi matenda a autoimmune .
  • Mankhwala ochepetsa mphamvu ya kachilombo ka HIV (HAART) omwe amayambitsidwa ndi lipodystrophy (LD-HIV): Mtundu uwu wa lipodystrophy umapezeka mwa anthu omwe ali ndi kachilombo ka HIV (HIV) atalandira mankhwala ochepetsa mphamvu ya kachilombo ka HIV (HAART) omwe amaphatikizapo mankhwala oletsa kachilombo ka HIV-1 . Kupezeka kwa vutoli kumadalira kukula ndi nthawi ya chithandizo. Anthu omwe ali ndi LD-HIV nthawi zambiri amataya mafuta pang'onopang'ono m'manja, miyendo, ndi nkhope zawo. Anthu ena amathanso kuwonjezera mafuta ochulukirapo pankhope pawo, pakhosi, kumbuyo, ndi m'chiuno.
  • Lipodystrophy Yomwe Imapezeka Pamalo Ena: Izi zimachitika pamene mafuta amatayika m'dera laling'ono chabe la thupi. Mwachitsanzo, vutoli limatha kuchitika pamene mankhwala (monga insulin) amalowetsedwa m'dera lomwelo mobwerezabwereza. Limawoneka ngati kachidutswa kakang'ono, koma khungu lomwe limaphimba nthawi zambiri silimakhudzidwa.

Kodi lipodystrophy ndi lipoatrophy ndi chinthu chimodzi?

Lipodystrophy ndi mawu ofala kwambiri ofotokoza kugawa mafuta molakwika. Limagwirizananso ndi Lipoatrophy , zomwe zikutanthauza kutaya mafuta. Asayansi ena ndi madokotala amagwiritsa ntchito mawu onsewa pofotokoza vuto lomweli. Mwachidule, Lipoatrophy ndi gawo la Lipodystrophy.

Ndani amene amakhudzidwa kwambiri ndi vutoli? Kodi ndi lofala bwanji?

Mitundu yambiri ya lipodystrophy imayamba ali ana, koma mitundu yopezeka imathanso kukula mwa akuluakulu.

Kupatula HAART-induced lipodystrophy (LD-HIV) , mitundu ina ya acquired lipodystrophy imakhudza kwambiri akazi. Popeza kachilombo ka HIV kamapezeka kwambiri mwa amuna, LD-HIV imapezekanso kwambiri mwa amuna.

Kawirikawiri, lipodystrophy ndi yosowa kwambiri . Komabe, mitundu ya lipodystrophy yomwe imapezeka (kwa moyo wonse) ikuchulukirachulukira chifukwa cha zotsatirapo zoyipa za mankhwala ena.

Kodi lipodystrophy imakhudza bwanji thupi langa?

Mtundu uliwonse wa lipodystrophy umakhudza thupi mosiyana, koma pali zinthu ziwiri zazikulu zomwe zimafala: kutayika kwa minofu yamafuta ndi kusowa kwa leptin ya hormone.

Zotsatira za kutaya minofu ya mafuta m'thupi

Minofu yathu imapangidwa ndi maselo otchedwa adipocytes . Selo lililonse la adipocyte lili ndi madontho a lipid pafupifupi 90%. Ma adipocytes amenewa amasunga mafuta (triglycerides). Maselo amafuta awa akawonongeka chifukwa cha lipodystrophy, sangathe kusunga mafuta bwino.

Nthawi zina mafuta otayikawa amasungidwa molakwika m'maselo ena a thupi lathu, mwachitsanzo, m'chiwindi, kapamba, kapena minofu. Izi zingayambitse mavuto azaumoyo monga:

  • Matenda a chiwindi chamafuta / hepatic steatosis
  • Kukana kwa insulin ndi kuchuluka kwa insulin m'magazi (hyperinsulinemia)
  • Matenda a Shuga (Diabetes Mellitus)
  • Kuwonjezeka kwa triglycerides m'magazi (hypertriglyceridemia)
  • Pancreatitis
  • Matenda a kagayidwe kachakudya
  • Matenda a mitsempha ya mtima

Koma kumbukirani kuti si aliyense amene ali ndi lipodystrophy amene adzadwala matendawa. Ena akhoza kukhala ndi mitundu yofatsa, pomwe ena akhoza kukhala ndi mitundu yoopsa kwambiri.

Zotsatira za Kusowa kwa Leptin pa Thupi

Anthu omwe ali ndi lipodystrophy akataya minofu yamafuta, amatayanso mahomoni ena, makamaka mahomoni otchedwa leptin .

Leptin ndi mahomoni opangidwa ndi minofu yathu yamafuta. Amatithandiza kukhala ndi thupi labwinobwino kwa nthawi yayitali. Kodi mukudziwa momwe tingachitire? Mwa kutipangitsa kumva kukhuta komanso kulamulira njala yathu. Asayansi akufufuzabe za leptin. Amakhulupirira kuti leptin imakhudza kagayidwe kathu ka chakudya , ntchito ya dongosolo la endocrine , komanso ntchito ya chitetezo chamthupi .

Anthu omwe ali ndi lipodystrophy amatha kuchepa kwa leptin, zomwe zingayambitse njala yambiri, kukana insulin, ndi mavuto ena azaumoyo.

Kodi zizindikiro za lipodystrophy ndi ziti?

Popeza pali mitundu yambiri ya lipodystrophy, zizindikiro zake zimakhala zosiyana kwambiri.

Chizindikiro chofala kwambiri ndi kutaya mafuta koonekeratu komanso kosalekeza m'malo ena a thupi, pomwe nthawi yomweyo, kuchulukana kwa mafuta kosazolowereka kapena kosafunikira m'malo ena a thupi.

Mwachitsanzo, anthu omwe ali ndi vuto la acquired partial lipodystrophy (APL) amataya mafuta pang'onopang'ono pankhope, pakhosi, m'manja, ndi pachifuwa ali ana. Anthu ena omwe ali ndi vuto la APL amathanso kunenepa kwambiri m'malo monga m'mimba, miyendo, ndi matako.

Kutengera mtundu wa lipodystrophy yomwe muli nayo komanso zaka zanu, simungazindikire mavuto akulu azaumoyo kwa zaka zambiri. Komabe, mitundu yambiri ya lipodystrophy imayambitsa kuchuluka kwa cholesterol m'magazi, triglycerides, ndi shuga (shuga). Dokotala wanu amatha kuzindikira izi poyesa magazi nthawi zonse, monga lipid panel ndi basic metabolic panel .

Mitundu ina ya lipodystrophy, makamaka partial lipodystrophy, ingakhale yovuta kuizindikira. Chifukwa chake, ndikofunikira kuwona dokotala ngati inu kapena mwana wanu mukupeza zizindikiro zatsopano kapena ngati chizindikiro chomwe chilipo chikuipiraipira, mosasamala kanthu za chifukwa chake.

Kodi ndi zinthu ziti zomwe zimayambitsa lipodystrophy?

Zomwe zimayambitsa lipodystrophy zimasiyana malinga ndi majini kapena zomwe zimachitika.

Zifukwa za Lipodystrophy ya Majini

Mitundu ya majini ya lipodystrophy - yomwe ndi congenital generalized lipodystrophy (CGL) ndi familial partial lipodystrophy (FPLD) - imayamba chifukwa cha kusintha kwa majini ena.

Kusintha kwa majini ndi kusintha kwa DNA yathu. DNA yathu ndi yomwe imapatsa maselo athu chidziwitso chomwe amafunikira kuti agwire ntchito zawo. Chifukwa chake, ngati gawo la DNA iyi silikwanira kapena lawonongeka, titha kukhala ndi zizindikiro za matenda a majini.

  • Zomwe zimayambitsa matenda a chiwindi (CGL): Mitundu ya CGL 1 mpaka 4 imayamba chifukwa cha kusintha kwa majini a AGPAT2, BSCL2, CAV1 , ndi CAVIN1 . Majini amenewa ndi ofunikira pakukula ndi kugwira ntchito kwa maselo osungira mafuta (adipocytes) m'minofu yathu yamafuta. Kusintha kwa majini m'majini amenewa kumakhudza kapangidwe ndi ntchito ya ma adipocytes. Mwana yemwe ali ndi CGL amalandira kusintha kwa majini kumeneku kuchokera kwa makolo ake. Ngakhale makolo onse awiri atakhala ndi kopi imodzi ya jini yosinthika, nthawi zambiri sasonyeza zizindikiro.
  • Zomwe Zimayambitsa Familyal Partial Lipodystrophy (FPLD): Kusintha kwa majini angapo kungayambitse FPLD. Chofala kwambiri ndi LMNA.Kusintha kwa majini otchedwa LMNA. Jini ya LMNA ndi majini ena omwe ali mu FPLD amalangiza ma adipocytes kusunga mafuta ndikupanga mapuloteni osiyanasiyana omwe ndi ofunikira pakusunga mafuta. Ngati kusintha kwa majini kumachitika mu majini aliwonsewa, kukula, kapangidwe, kapena ntchito ya ma adipocytes zimakhudzidwa kwambiri. Milandu yambiri ya FPLD imabadwa mu autosomal dominant pattern . Izi zikutanthauza kuti kukhala ndi kopi imodzi ya jini yosinthika mu selo iliyonse ndikokwanira kuyambitsa matendawa. Nthawi zina, munthu yemwe ali ndi FPLD amalandira kusintha kwa majini kuchokera kwa m'modzi mwa makolo ake omwe akhudzidwa. Nthawi zina, amayamba chifukwa cha kusintha kwatsopano, mwachisawawa mu jini, ndipo amatha kuchitika ngakhale palibe m'banjamo amene adakhalapo ndi matendawa kale.

Zifukwa za Lipodystrophy Yopezeka

Kupezeka kwa lipodystrophy kungayambitsidwe ndi mankhwala, zochita za autoimmune , kapena zifukwa zosazolowereka . Ngakhale kuti palibe maziko enieni a majini a lipodystrophy yopezeka, ofufuza ena amakhulupirira kuti anthu ena akhoza kukhala ndi chibadwa choyambitsa lipodystrophy yopezeka.

  • Zifukwa za Acquired Generalized Lipodystrophy (AGL): AGL ikhoza kuchitika munthu atatenga kachilombo kapena atadwala matenda a chitetezo chamthupi. Matenda omwe agwirizanitsidwa ndi AGL ndi awa:
  • Nkhuku (Nkhuku / varicella)
  • Chikuku
  • Chifuwa chachikulu (pertussis)
  • Diphtheria
  • Chibayo
  • Osteomyelitis
  • Mononucleosis (Mononucleosis / mono)

Sizikudziwika ngati mudzakhala ndi matenda a AGL chifukwa chakuti muli ndi matendawa.

Matenda a autoimmune omwe amagwirizana ndi AGL ndi awa:

  • Matenda a chithokomiro chodziteteza ku thupi
  • Matenda a chiwindi odziteteza okha
  • Dermatomyositis ya ana
  • Matenda a nyamakazi
  • Matenda a Sjogren
  • Kuchepa kwa magazi m'thupi (autoimmune hemolytic anemia)

Ngati muli ndi matenda a chitetezo chamthupi awa, sitinganene kuti mudzakhala ndi AGL.

Nthawi zambiri, chomwe chimayambitsa AGL sichingadziwike (idiopathic).

  • Zifukwa za Acquired Partial Lipodystrophy (APL): Asayansi amakhulupirira kuti APL imayamba chifukwa chakuti chitetezo chathu cha mthupi chimawononga maselo amafuta molakwika. Anthu opitilira 80% omwe ali ndi APL ali ndi Complement 3 m'magazi awo.Pali puloteni yochepa yotchedwa complement factor. Puloteni iyi nthawi zambiri imakhudzidwa ndi momwe chitetezo cha mthupi lathu chimayankhira. Anthu omwe ali ndi APL nthawi zambiri amakhala ndi autoantibody yotchedwa complement 3-nephric factor m'magazi mwawo. Autoantibody ndi puloteni yomwe ili m'thupi la chitetezo cha mthupi yomwe imaukira ndikuwononga minofu yathanzi molakwika.
  • Zomwe zimayambitsa lipodystrophy (LD-HIV) yomwe imayambitsa matenda ochepetsa mphamvu ya kachilombo ka HIV (HAART): Asayansi sakudziwabe chifukwa chake HAART, yomwe ili ndi zoletsa za HIV-1 protease, imayambitsa lipodystrophy.

Nkhani yabwino ndi yakuti anthu ambiri omwe ayamba kulandira chithandizo cha HIV tsopano sayenera kuda nkhawa kwambiri ndi lipodystrophy, chifukwa mankhwala atsopano a HIV amapangitsa kuti vutoli lisamachitike kwambiri.

Kodi mungadziwe bwanji ngati muli ndi lipodystrophy?

Ngati muli ndi zizindikiro za lipodystrophy, dokotala wanu adzakuyezani thupi, adzakufunsani za mbiri yanu yachipatala komanso mbiri yachipatala ya banja lanu, kenako adzayitanitsa mayeso ena kuti atsimikizire matendawa ndikuwona ngati pali zifukwa zina zomwe zimayambitsa zizindikiro zanu.

Ndi mayeso ati omwe amagwiritsidwa ntchito pozindikira lipodystrophy?

Dokotala wanu angafune mayeso angapo kuti adziwe lipodystrophy ndi/kapena kuti aone ngati pali zifukwa zina zomwe zimayambitsa zizindikiro zanu. Izi zikuphatikizapo:

  • Kujambula kwa MRI ya thupi lonse (Magnetic Resonance Imaging): MRI imagwiritsa ntchito maginito akuluakulu, mafunde a wailesi, ndi kompyuta kuti ipange zithunzi za ziwalo ndi ziwalo zina mkati mwa thupi lanu. Dokotala wanu akhoza kulamula mayesowa kuti awone momwe mafuta alili m'thupi lanu komanso momwe amagawidwira.
  • Gulu Lonse la Kagayidwe ka Zinthu: Iyi ndi njira yoyezera magazi yomwe imayesa zinthu 14 zosiyanasiyana m'magazi anu. Imapereka chidziwitso chofunikira chokhudza momwe thupi lanu limagwirira ntchito komanso momwe limagwirira ntchito. Dokotala adzayang'ana makamaka kuchuluka kwa shuga m'magazi mwanu (shuga) ndi ma enzymes a chiwindi .
  • Lipid Panel: Iyi ndi njira yoyezera magazi. Imayesa kuchuluka kwa mafuta otchedwa lipids m'magazi mwanu. Njira yoyezerayi nthawi zambiri imakhala ndi miyeso inayi ya cholesterol ndi triglyceride. Lipodystrophy nthawi zambiri imayambitsa kuchuluka kwa cholesterol kosazolowereka.
  • Kuyesa kwa Leptin: Izi zimayesa kuchuluka kwa leptin m'magazi mwanu. Ngati muli ndi lipodystrophy ndipo kuchuluka kwa leptin m'magazi anu kuli kotsika kuposa masiku onse, izi zingakupatseni lingaliro la momwe thupi lanu lidzayankhire ndi chithandizo cholowa m'malo mwa leptin.
  • Kuyeza Majini: Ngati dokotala wanu akukayikira kuti muli ndi mtundu wa Lipodystrophy wobadwa nawo (wa majini), angakulangizeni kuti muyesedwe majini kuti mutsimikizire matendawa.
  • Kufufuza kwa impso:Izi zikuphatikizapo kuchotsa chitsanzo cha minofu ya impso ndikuyang'ana pogwiritsa ntchito maikulosikopu. Dokotala wanu akhoza kulamula kuti ayesedwe kuti aone ngati impso zanu zakhudzidwa ndi lipodystrophy.

Kodi njira zochizira lipodystrophy ndi ziti?

Chithandizo ndi kasamalidwe ka lipodystrophy zimadalira mtundu womwe muli nawo, komanso ngati muli ndi matenda ena okhudzana nawo, monga matenda a shuga kapena kuchuluka kwa cholesterol kosazolowereka.

Mankhwala ochiritsira lipodystrophy omwe amagwiritsidwa ntchito kwambiri ndi awa:

  • Mankhwala olowa m'malo mwa Leptin: Dokotala wanu angakulembereni mtundu wopangidwa wa mahomoni otchedwa leptin otchedwa metreleptin . Anthu omwe ali ndi lipodystrophy nthawi zambiri amakhala ndi vuto la leptin. Mankhwalawa amathandiza kuwongolera kagayidwe ka thupi m'thupi komanso amathanso kuchepetsa kuchuluka kwa cholesterol ndi triglycerides m'magazi.
  • Chithandizo cha matenda a shuga ndi kukana insulini: Ngati muli ndi kukana insulini ndi/kapena matenda a shuga chifukwa cha lipodystrophy, dokotala wanu angakulembereni mankhwala omwa monga pioglitazone, metformin, sulfonylureas , kapena thiazolidinediones kuti achire. Anthu ena omwe ali ndi lipodystrophy angafunikenso kumwa insulin yopangidwa kuti achire matenda awo a shuga. Mungafunikenso kuyang'ana shuga m'magazi anu nthawi zonse kunyumba pogwiritsa ntchito glucometer .
  • Kuwongolera kuchuluka kwa triglyceride ndi cholesterol: Mankhwala omwe atchulidwa kale omwe amathandiza kuchiza matenda a shuga nthawi zambiri angathandize kuwongolera kuchuluka kwa cholesterol. Dokotala wanu angaperekenso ma statins , monga rosuvastatin ndi pravastatin . Anthu omwe ali ndi triglyceride yambiri angafunike kumwa zowonjezera za fibroic acid derivatives kapena n-3 polyunsaturated fatty acids , monga zomwe zimapezeka mumafuta a nsomba.
  • Opaleshoni ndi njira zochizira kukongola: Anthu omwe ali ndi lipodystrophy m'malo omwe amakhudzidwa ndi kukongola, monga nkhope, chifuwa, ndi malo oberekera, angapatsidwe opaleshoni yokongoletsa kuti awongolere mawonekedwe awo komanso kudzidalira. Madokotala ochizira opaleshoni amatha kuchita opaleshoni yochizira mafuta m'thupi, kumanganso nkhope pogwiritsa ntchito ma free flaps, ndi silicone kapena ma implants ena. Angagwiritsenso ntchito njira zochizira mafuta m'thupi kapena opaleshoni kuti achotse mafuta osafunikira m'malo monga pachibwano kapena kumbuyo kwa khosi (nthawi zambiri amatchedwa "buffalo hump" ).

Asayansi akadali ndi zambiri zoti aphunzire za momwe angachiritsire ndikuwongolera lipodystrophy. Pamene akuphunzira zambiri za zovuta za kagayidwe kachakudya, njira zambiri zochiritsira zitha kupezeka.

Kodi lipodystrophy ingapewedwe?

Nthawi zambiri, lipodystrophy singathe kupewedwa.

Mitundu ya majini ya lipodystrophy singathe kupewedwa, chifukwa imachitika chifukwa cha kusintha kwa majini komwe kunabadwa. Ngati mukukonzekera kukhala ndi ana, mvetsetsani chiopsezo chokhala ndi mwana wokhala ndi vuto la majini ndipo lankhulani ndi dokotala wanu za kuyezetsa majini.

Matenda a Acquired lipodystrophy nthawi zambiri amayamba chifukwa cha matenda opatsirana kapena matenda a chitetezo chamthupi. Ngakhale kuti matenda ena, monga nsabwe ndi chifuwa chachikulu, amatha kupewedwa ndi katemera, matenda ena ndi matenda a chitetezo chamthupi okhudzana ndi aquiced lipodystrophy sangapewedwe.

Kodi chiwopsezo cha lipodystrophy ndi chiyani?

Chiyembekezo cha lipodystrophy chimadalira kwambiri mtundu wa lipodystrophy yomwe muli nayo, komanso ngati muli ndi matenda ena kapena zovuta zina, monga matenda a shuga, chiwindi kapena impso.

Kukonza malo okhala ndi mafuta ochepa komanso malo okhala ndi mafuta ochulukirapo kumathandiza kukonza moyo wa anthu omwe ali ndi lipodystrophy.

Ngati inu kapena mwana wanu mwapezeka ndi lipodystrophy, lankhulani ndi dokotala wanu za zomwe mungayembekezere komanso momwe mungathanirane bwino ndi vutoli.

Kodi muyenera kupita kwa dokotala liti pankhani ya lipodystrophy?

Ngati mukuona kuti inu kapena mwana wanu akupitirira kuchepa m'malo enaake, kapena kuti mafuta akuwonjezeka m'malo enaake, lankhulani ndi dokotala wanu.

Ngati inu kapena mwana wanu mwapezeka ndi matenda a Lipodystrophy, muyenera kukumana ndi gulu lanu lachipatala nthawi zonse kuti muwonetsetse kuti chithandizo chanu chikugwira ntchito bwino kwa inu.

Pomaliza, zinthu zoti muzikumbukira

Lipodystrophy ndi matenda osowa koma oopsa. Ngakhale kuti palibe mankhwala, mankhwala ena angathandize kuchepetsa zizindikiro zake ndi matenda ena okhudzana ndi matendawa, monga matenda a shuga ndi kuchuluka kwa mafuta m'thupi kosazolowereka.

Chithandizo chimasiyana kwambiri malinga ndi munthu aliyense. Chifukwa chake, gulu lanu lachipatala lidzagwira ntchito nanu kuti apange dongosolo lomwe lili labwino kwa inu. Musaope kufunsa dokotala wanu mafunso. Alipo kuti akuthandizeni. Chidziwitso ichi chidzakuthandizani kukhala ndi moyo wathanzi!


lipodystrophy , minofu yamafuta, leptin, majini, acquired, matenda a shuga, cholesterol, triglyceride, HIV, matenda a kagayidwe kachakudya

Frequently Asked Questions (FAQ)

Ndi mayeso ati omwe amagwiritsidwa ntchito pozindikira lipodystrophy?

Dokotala wanu angafune mayeso angapo kuti adziwe lipodystrophy ndi/kapena kuti aone ngati pali zifukwa zina zomwe zimayambitsa zizindikiro zanu. Izi zikuphatikizapo:

⚠️ Important: The medical articles and information on Nirogi Lanka are for general awareness only, and are by no means a substitute for professional medical advice, diagnosis, or treatment. For any medical problem you have, consult a qualified physician immediately.

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Kodi mukukumana ndi mafuta ambiri m'thupi lanu? Tiyeni tiphunzire za Lipodystrophy!

Kodi mukukumana ndi mafuta ambiri m'thupi lanu? Tiyeni tiphunzire za Lipodystrophy!

Kodi mudawonapo, kapena mudawonapo, kutaya mafuta mwadzidzidzi m'malo ena a thupi lanu, kapena kuwonjezeka kosafunikira kwa mafuta m'malo ena? Izi nthawi zina sizingaganiziridwe. Lero tikambirana za vutoli lomweli. M'mawu azachipatala, izi zimatchedwa Lipodystrophy . Musadandaule, ngakhale kuti dzinalo lingamveke lachilendo, tiyeni tikambirane mwachidule.

Kodi lipodystrophy ndi chiyani?

Mwachidule, lipodystrophy ndi kutayika kwathunthu kapena pang'ono kwa minofu yamafuta, zomwe nthawi zambiri timazitcha "mafuta," m'malo ena, kapena kudzikundikira kwamafuta kosazolowereka m'malo osiyanasiyana a thupi.

Tangoganizani kuti mukuchepetsa thupi m'malo ena a thupi lanu, monga manja ndi miyendo yanu, pamene mukupeza mafuta ochulukirapo m'malo monga nkhope ndi khosi. Izi ndi zomwe zimachitika mu Lipodystrophy. Pali mitundu yosiyanasiyana ya vutoli, ina yomwe ndi ya majini (monga chinthu chomwe timabadwa nacho), pomwe ina imakula pambuyo pake chifukwa cha matenda ena. Mtundu uliwonse umakhudza anthu mosiyana ndipo uli ndi zizindikiro zosiyana.

Nchifukwa chiyani mafuta (mafuta) ndi ofunikira kwambiri m'thupi lathu?

Tsopano mwina mukuganiza kuti, "Mukakhala ndi mafuta ochepa, mumakhala bwino." Koma kwenikweni, minofu ya mafuta imagwira ntchito zambiri zofunika m'thupi lathu. Yang'anani:

  • Kusunga mphamvu: Ndi m'maselo amafuta awa momwe ma calorie owonjezera omwe timapeza kuchokera ku chakudya chomwe timadya amasungidwa ngati mphamvu.
  • Kupereka chitetezo: Kumapereka chitetezo chofanana ndi khushoni ku ziwalo zosiyanasiyana m'thupi lathu.
  • Kusunga kutentha: Kumasunga kutentha kwa thupi ndipo kumateteza ku kuzizira kwa chilengedwe.
  • Kutulutsidwa kwa mahomoni: Mahomoni angapo ofunikira, monga leptin, amapangidwa ndikutulutsidwa m'magazi.
  • Kulamulira kutupa: Kumathandizanso kuwongolera kutupa m'thupi.

Choncho, pamene minofu ya mafuta iyi yatayika kapena kusungidwa molakwika chifukwa cha lipodystrophy, sikuti maonekedwe athu okha amasintha, komanso ntchito zofunika kwambiri za kagayidwe kachakudya m'thupi zimasokonekera. Anthu ambiri omwe ali ndi lipodystrophy ali pachiwopsezo chotenga matenda monga matenda a shuga komanso kukhala ndi cholesterol yambiri m'magazi.

Kodi pali mitundu ina ya lipodystrophy?

Inde, lipodystrophy ingagawidwe m'magulu awiri akuluakulu: majini ndi opezeka.

Mitundu ya Lipodystrophy ya Majini

Izi ndi zachibadwa, ndiko kuti, mitundu yomwe imachitika chifukwa cha kusintha kwa majini.

  • Congenital Generalized Lipodystrophy (CGL): Iyi ndi Berardinelli-Seip syndrome.Amadziwikanso kuti. Imeneyi ndi vuto losowa kwambiri. Pachifukwa ichi, mafuta m'thupi amatayika pafupifupi kwathunthu kapena kwakukulu. Izi zimachitika chifukwa cha vuto la majini lomwe limapezeka pobadwa. Vutoli nthawi zambiri limapezeka mkati mwa chaka choyamba cha moyo.
  • Matenda a Family Partial Lipodystrophy (FPLD): Matendawa ndi omwe amabwera chifukwa cha majini. Komabe, nthawi zambiri amapezeka akakula. Pa vutoli, mwana amataya mafuta makamaka m'miyendo ndi m'manja, ndipo amasonkhanitsa mafuta ambiri kumaso ndi m'khosi.

Mitundu ya Lipodystrophy Yopezeka

Izi ndi mitundu yomwe imayamba titabadwa komanso tikakhala ndi moyo pazifukwa zosiyanasiyana.

  • Acquired Generalized Lipodystrophy (AGL): Matendawa amadziwikanso kuti Lawrence syndrome , omwe amachititsa kuti mafuta achepe, nthawi zambiri pankhope, pakhosi, m'manja, ndi m'miyendo. Kuchepe kwa mafuta kumeneku kungachitike mwachangu, kwa milungu ingapo, kapena pang'onopang'ono kwa miyezi kapena zaka. Nthawi zambiri kumayamba ali mwana kapena wachinyamata, koma kungachitike pa msinkhu uliwonse. Pali zifukwa zingapo zomwe zimayambitsa AGL.
  • Acquired Partial Lipodystrophy (APL): Matendawa amadziwikanso kuti Barraquer-Simons syndrome , ndipo amachititsa kuti mafuta achepe pang'onopang'ono pankhope, pakhosi, m'manja, ndi pachifuwa ali ana. Anthu ena amathanso kukhala ndi mafuta ochulukirapo m'malo monga m'mimba, miyendo, ndi matako. APL nthawi zambiri imagwirizanitsidwa ndi matenda a autoimmune .
  • Mankhwala ochepetsa mphamvu ya kachilombo ka HIV (HAART) omwe amayambitsidwa ndi lipodystrophy (LD-HIV): Mtundu uwu wa lipodystrophy umapezeka mwa anthu omwe ali ndi kachilombo ka HIV (HIV) atalandira mankhwala ochepetsa mphamvu ya kachilombo ka HIV (HAART) omwe amaphatikizapo mankhwala oletsa kachilombo ka HIV-1 . Kupezeka kwa vutoli kumadalira kukula ndi nthawi ya chithandizo. Anthu omwe ali ndi LD-HIV nthawi zambiri amataya mafuta pang'onopang'ono m'manja, miyendo, ndi nkhope zawo. Anthu ena amathanso kuwonjezera mafuta ochulukirapo pankhope pawo, pakhosi, kumbuyo, ndi m'chiuno.
  • Lipodystrophy Yomwe Imapezeka Pamalo Ena: Izi zimachitika pamene mafuta amatayika m'dera laling'ono chabe la thupi. Mwachitsanzo, vutoli limatha kuchitika pamene mankhwala (monga insulin) amalowetsedwa m'dera lomwelo mobwerezabwereza. Limawoneka ngati kachidutswa kakang'ono, koma khungu lomwe limaphimba nthawi zambiri silimakhudzidwa.

Kodi lipodystrophy ndi lipoatrophy ndi chinthu chimodzi?

Lipodystrophy ndi mawu ofala kwambiri ofotokoza kugawa mafuta molakwika. Limagwirizananso ndi Lipoatrophy , zomwe zikutanthauza kutaya mafuta. Asayansi ena ndi madokotala amagwiritsa ntchito mawu onsewa pofotokoza vuto lomweli. Mwachidule, Lipoatrophy ndi gawo la Lipodystrophy.

Ndani amene amakhudzidwa kwambiri ndi vutoli? Kodi ndi lofala bwanji?

Mitundu yambiri ya lipodystrophy imayamba ali ana, koma mitundu yopezeka imathanso kukula mwa akuluakulu.

Kupatula HAART-induced lipodystrophy (LD-HIV) , mitundu ina ya acquired lipodystrophy imakhudza kwambiri akazi. Popeza kachilombo ka HIV kamapezeka kwambiri mwa amuna, LD-HIV imapezekanso kwambiri mwa amuna.

Kawirikawiri, lipodystrophy ndi yosowa kwambiri . Komabe, mitundu ya lipodystrophy yomwe imapezeka (kwa moyo wonse) ikuchulukirachulukira chifukwa cha zotsatirapo zoyipa za mankhwala ena.

Kodi lipodystrophy imakhudza bwanji thupi langa?

Mtundu uliwonse wa lipodystrophy umakhudza thupi mosiyana, koma pali zinthu ziwiri zazikulu zomwe zimafala: kutayika kwa minofu yamafuta ndi kusowa kwa leptin ya hormone.

Zotsatira za kutaya minofu ya mafuta m'thupi

Minofu yathu imapangidwa ndi maselo otchedwa adipocytes . Selo lililonse la adipocyte lili ndi madontho a lipid pafupifupi 90%. Ma adipocytes amenewa amasunga mafuta (triglycerides). Maselo amafuta awa akawonongeka chifukwa cha lipodystrophy, sangathe kusunga mafuta bwino.

Nthawi zina mafuta otayikawa amasungidwa molakwika m'maselo ena a thupi lathu, mwachitsanzo, m'chiwindi, kapamba, kapena minofu. Izi zingayambitse mavuto azaumoyo monga:

  • Matenda a chiwindi chamafuta / hepatic steatosis
  • Kukana kwa insulin ndi kuchuluka kwa insulin m'magazi (hyperinsulinemia)
  • Matenda a Shuga (Diabetes Mellitus)
  • Kuwonjezeka kwa triglycerides m'magazi (hypertriglyceridemia)
  • Pancreatitis
  • Matenda a kagayidwe kachakudya
  • Matenda a mitsempha ya mtima

Koma kumbukirani kuti si aliyense amene ali ndi lipodystrophy amene adzadwala matendawa. Ena akhoza kukhala ndi mitundu yofatsa, pomwe ena akhoza kukhala ndi mitundu yoopsa kwambiri.

Zotsatira za Kusowa kwa Leptin pa Thupi

Anthu omwe ali ndi lipodystrophy akataya minofu yamafuta, amatayanso mahomoni ena, makamaka mahomoni otchedwa leptin .

Leptin ndi mahomoni opangidwa ndi minofu yathu yamafuta. Amatithandiza kukhala ndi thupi labwinobwino kwa nthawi yayitali. Kodi mukudziwa momwe tingachitire? Mwa kutipangitsa kumva kukhuta komanso kulamulira njala yathu. Asayansi akufufuzabe za leptin. Amakhulupirira kuti leptin imakhudza kagayidwe kathu ka chakudya , ntchito ya dongosolo la endocrine , komanso ntchito ya chitetezo chamthupi .

Anthu omwe ali ndi lipodystrophy amatha kuchepa kwa leptin, zomwe zingayambitse njala yambiri, kukana insulin, ndi mavuto ena azaumoyo.

Kodi zizindikiro za lipodystrophy ndi ziti?

Popeza pali mitundu yambiri ya lipodystrophy, zizindikiro zake zimakhala zosiyana kwambiri.

Chizindikiro chofala kwambiri ndi kutaya mafuta koonekeratu komanso kosalekeza m'malo ena a thupi, pomwe nthawi yomweyo, kuchulukana kwa mafuta kosazolowereka kapena kosafunikira m'malo ena a thupi.

Mwachitsanzo, anthu omwe ali ndi vuto la acquired partial lipodystrophy (APL) amataya mafuta pang'onopang'ono pankhope, pakhosi, m'manja, ndi pachifuwa ali ana. Anthu ena omwe ali ndi vuto la APL amathanso kunenepa kwambiri m'malo monga m'mimba, miyendo, ndi matako.

Kutengera mtundu wa lipodystrophy yomwe muli nayo komanso zaka zanu, simungazindikire mavuto akulu azaumoyo kwa zaka zambiri. Komabe, mitundu yambiri ya lipodystrophy imayambitsa kuchuluka kwa cholesterol m'magazi, triglycerides, ndi shuga (shuga). Dokotala wanu amatha kuzindikira izi poyesa magazi nthawi zonse, monga lipid panel ndi basic metabolic panel .

Mitundu ina ya lipodystrophy, makamaka partial lipodystrophy, ingakhale yovuta kuizindikira. Chifukwa chake, ndikofunikira kuwona dokotala ngati inu kapena mwana wanu mukupeza zizindikiro zatsopano kapena ngati chizindikiro chomwe chilipo chikuipiraipira, mosasamala kanthu za chifukwa chake.

Kodi ndi zinthu ziti zomwe zimayambitsa lipodystrophy?

Zomwe zimayambitsa lipodystrophy zimasiyana malinga ndi majini kapena zomwe zimachitika.

Zifukwa za Lipodystrophy ya Majini

Mitundu ya majini ya lipodystrophy - yomwe ndi congenital generalized lipodystrophy (CGL) ndi familial partial lipodystrophy (FPLD) - imayamba chifukwa cha kusintha kwa majini ena.

Kusintha kwa majini ndi kusintha kwa DNA yathu. DNA yathu ndi yomwe imapatsa maselo athu chidziwitso chomwe amafunikira kuti agwire ntchito zawo. Chifukwa chake, ngati gawo la DNA iyi silikwanira kapena lawonongeka, titha kukhala ndi zizindikiro za matenda a majini.

  • Zomwe zimayambitsa matenda a chiwindi (CGL): Mitundu ya CGL 1 mpaka 4 imayamba chifukwa cha kusintha kwa majini a AGPAT2, BSCL2, CAV1 , ndi CAVIN1 . Majini amenewa ndi ofunikira pakukula ndi kugwira ntchito kwa maselo osungira mafuta (adipocytes) m'minofu yathu yamafuta. Kusintha kwa majini m'majini amenewa kumakhudza kapangidwe ndi ntchito ya ma adipocytes. Mwana yemwe ali ndi CGL amalandira kusintha kwa majini kumeneku kuchokera kwa makolo ake. Ngakhale makolo onse awiri atakhala ndi kopi imodzi ya jini yosinthika, nthawi zambiri sasonyeza zizindikiro.
  • Zomwe Zimayambitsa Familyal Partial Lipodystrophy (FPLD): Kusintha kwa majini angapo kungayambitse FPLD. Chofala kwambiri ndi LMNA.Kusintha kwa majini otchedwa LMNA. Jini ya LMNA ndi majini ena omwe ali mu FPLD amalangiza ma adipocytes kusunga mafuta ndikupanga mapuloteni osiyanasiyana omwe ndi ofunikira pakusunga mafuta. Ngati kusintha kwa majini kumachitika mu majini aliwonsewa, kukula, kapangidwe, kapena ntchito ya ma adipocytes zimakhudzidwa kwambiri. Milandu yambiri ya FPLD imabadwa mu autosomal dominant pattern . Izi zikutanthauza kuti kukhala ndi kopi imodzi ya jini yosinthika mu selo iliyonse ndikokwanira kuyambitsa matendawa. Nthawi zina, munthu yemwe ali ndi FPLD amalandira kusintha kwa majini kuchokera kwa m'modzi mwa makolo ake omwe akhudzidwa. Nthawi zina, amayamba chifukwa cha kusintha kwatsopano, mwachisawawa mu jini, ndipo amatha kuchitika ngakhale palibe m'banjamo amene adakhalapo ndi matendawa kale.

Zifukwa za Lipodystrophy Yopezeka

Kupezeka kwa lipodystrophy kungayambitsidwe ndi mankhwala, zochita za autoimmune , kapena zifukwa zosazolowereka . Ngakhale kuti palibe maziko enieni a majini a lipodystrophy yopezeka, ofufuza ena amakhulupirira kuti anthu ena akhoza kukhala ndi chibadwa choyambitsa lipodystrophy yopezeka.

  • Zifukwa za Acquired Generalized Lipodystrophy (AGL): AGL ikhoza kuchitika munthu atatenga kachilombo kapena atadwala matenda a chitetezo chamthupi. Matenda omwe agwirizanitsidwa ndi AGL ndi awa:
  • Nkhuku (Nkhuku / varicella)
  • Chikuku
  • Chifuwa chachikulu (pertussis)
  • Diphtheria
  • Chibayo
  • Osteomyelitis
  • Mononucleosis (Mononucleosis / mono)

Sizikudziwika ngati mudzakhala ndi matenda a AGL chifukwa chakuti muli ndi matendawa.

Matenda a autoimmune omwe amagwirizana ndi AGL ndi awa:

  • Matenda a chithokomiro chodziteteza ku thupi
  • Matenda a chiwindi odziteteza okha
  • Dermatomyositis ya ana
  • Matenda a nyamakazi
  • Matenda a Sjogren
  • Kuchepa kwa magazi m'thupi (autoimmune hemolytic anemia)

Ngati muli ndi matenda a chitetezo chamthupi awa, sitinganene kuti mudzakhala ndi AGL.

Nthawi zambiri, chomwe chimayambitsa AGL sichingadziwike (idiopathic).

  • Zifukwa za Acquired Partial Lipodystrophy (APL): Asayansi amakhulupirira kuti APL imayamba chifukwa chakuti chitetezo chathu cha mthupi chimawononga maselo amafuta molakwika. Anthu opitilira 80% omwe ali ndi APL ali ndi Complement 3 m'magazi awo.Pali puloteni yochepa yotchedwa complement factor. Puloteni iyi nthawi zambiri imakhudzidwa ndi momwe chitetezo cha mthupi lathu chimayankhira. Anthu omwe ali ndi APL nthawi zambiri amakhala ndi autoantibody yotchedwa complement 3-nephric factor m'magazi mwawo. Autoantibody ndi puloteni yomwe ili m'thupi la chitetezo cha mthupi yomwe imaukira ndikuwononga minofu yathanzi molakwika.
  • Zomwe zimayambitsa lipodystrophy (LD-HIV) yomwe imayambitsa matenda ochepetsa mphamvu ya kachilombo ka HIV (HAART): Asayansi sakudziwabe chifukwa chake HAART, yomwe ili ndi zoletsa za HIV-1 protease, imayambitsa lipodystrophy.

Nkhani yabwino ndi yakuti anthu ambiri omwe ayamba kulandira chithandizo cha HIV tsopano sayenera kuda nkhawa kwambiri ndi lipodystrophy, chifukwa mankhwala atsopano a HIV amapangitsa kuti vutoli lisamachitike kwambiri.

Kodi mungadziwe bwanji ngati muli ndi lipodystrophy?

Ngati muli ndi zizindikiro za lipodystrophy, dokotala wanu adzakuyezani thupi, adzakufunsani za mbiri yanu yachipatala komanso mbiri yachipatala ya banja lanu, kenako adzayitanitsa mayeso ena kuti atsimikizire matendawa ndikuwona ngati pali zifukwa zina zomwe zimayambitsa zizindikiro zanu.

Ndi mayeso ati omwe amagwiritsidwa ntchito pozindikira lipodystrophy?

Dokotala wanu angafune mayeso angapo kuti adziwe lipodystrophy ndi/kapena kuti aone ngati pali zifukwa zina zomwe zimayambitsa zizindikiro zanu. Izi zikuphatikizapo:

  • Kujambula kwa MRI ya thupi lonse (Magnetic Resonance Imaging): MRI imagwiritsa ntchito maginito akuluakulu, mafunde a wailesi, ndi kompyuta kuti ipange zithunzi za ziwalo ndi ziwalo zina mkati mwa thupi lanu. Dokotala wanu akhoza kulamula mayesowa kuti awone momwe mafuta alili m'thupi lanu komanso momwe amagawidwira.
  • Gulu Lonse la Kagayidwe ka Zinthu: Iyi ndi njira yoyezera magazi yomwe imayesa zinthu 14 zosiyanasiyana m'magazi anu. Imapereka chidziwitso chofunikira chokhudza momwe thupi lanu limagwirira ntchito komanso momwe limagwirira ntchito. Dokotala adzayang'ana makamaka kuchuluka kwa shuga m'magazi mwanu (shuga) ndi ma enzymes a chiwindi .
  • Lipid Panel: Iyi ndi njira yoyezera magazi. Imayesa kuchuluka kwa mafuta otchedwa lipids m'magazi mwanu. Njira yoyezerayi nthawi zambiri imakhala ndi miyeso inayi ya cholesterol ndi triglyceride. Lipodystrophy nthawi zambiri imayambitsa kuchuluka kwa cholesterol kosazolowereka.
  • Kuyesa kwa Leptin: Izi zimayesa kuchuluka kwa leptin m'magazi mwanu. Ngati muli ndi lipodystrophy ndipo kuchuluka kwa leptin m'magazi anu kuli kotsika kuposa masiku onse, izi zingakupatseni lingaliro la momwe thupi lanu lidzayankhire ndi chithandizo cholowa m'malo mwa leptin.
  • Kuyeza Majini: Ngati dokotala wanu akukayikira kuti muli ndi mtundu wa Lipodystrophy wobadwa nawo (wa majini), angakulangizeni kuti muyesedwe majini kuti mutsimikizire matendawa.
  • Kufufuza kwa impso:Izi zikuphatikizapo kuchotsa chitsanzo cha minofu ya impso ndikuyang'ana pogwiritsa ntchito maikulosikopu. Dokotala wanu akhoza kulamula kuti ayesedwe kuti aone ngati impso zanu zakhudzidwa ndi lipodystrophy.

Kodi njira zochizira lipodystrophy ndi ziti?

Chithandizo ndi kasamalidwe ka lipodystrophy zimadalira mtundu womwe muli nawo, komanso ngati muli ndi matenda ena okhudzana nawo, monga matenda a shuga kapena kuchuluka kwa cholesterol kosazolowereka.

Mankhwala ochiritsira lipodystrophy omwe amagwiritsidwa ntchito kwambiri ndi awa:

  • Mankhwala olowa m'malo mwa Leptin: Dokotala wanu angakulembereni mtundu wopangidwa wa mahomoni otchedwa leptin otchedwa metreleptin . Anthu omwe ali ndi lipodystrophy nthawi zambiri amakhala ndi vuto la leptin. Mankhwalawa amathandiza kuwongolera kagayidwe ka thupi m'thupi komanso amathanso kuchepetsa kuchuluka kwa cholesterol ndi triglycerides m'magazi.
  • Chithandizo cha matenda a shuga ndi kukana insulini: Ngati muli ndi kukana insulini ndi/kapena matenda a shuga chifukwa cha lipodystrophy, dokotala wanu angakulembereni mankhwala omwa monga pioglitazone, metformin, sulfonylureas , kapena thiazolidinediones kuti achire. Anthu ena omwe ali ndi lipodystrophy angafunikenso kumwa insulin yopangidwa kuti achire matenda awo a shuga. Mungafunikenso kuyang'ana shuga m'magazi anu nthawi zonse kunyumba pogwiritsa ntchito glucometer .
  • Kuwongolera kuchuluka kwa triglyceride ndi cholesterol: Mankhwala omwe atchulidwa kale omwe amathandiza kuchiza matenda a shuga nthawi zambiri angathandize kuwongolera kuchuluka kwa cholesterol. Dokotala wanu angaperekenso ma statins , monga rosuvastatin ndi pravastatin . Anthu omwe ali ndi triglyceride yambiri angafunike kumwa zowonjezera za fibroic acid derivatives kapena n-3 polyunsaturated fatty acids , monga zomwe zimapezeka mumafuta a nsomba.
  • Opaleshoni ndi njira zochizira kukongola: Anthu omwe ali ndi lipodystrophy m'malo omwe amakhudzidwa ndi kukongola, monga nkhope, chifuwa, ndi malo oberekera, angapatsidwe opaleshoni yokongoletsa kuti awongolere mawonekedwe awo komanso kudzidalira. Madokotala ochizira opaleshoni amatha kuchita opaleshoni yochizira mafuta m'thupi, kumanganso nkhope pogwiritsa ntchito ma free flaps, ndi silicone kapena ma implants ena. Angagwiritsenso ntchito njira zochizira mafuta m'thupi kapena opaleshoni kuti achotse mafuta osafunikira m'malo monga pachibwano kapena kumbuyo kwa khosi (nthawi zambiri amatchedwa "buffalo hump" ).

Asayansi akadali ndi zambiri zoti aphunzire za momwe angachiritsire ndikuwongolera lipodystrophy. Pamene akuphunzira zambiri za zovuta za kagayidwe kachakudya, njira zambiri zochiritsira zitha kupezeka.

Kodi lipodystrophy ingapewedwe?

Nthawi zambiri, lipodystrophy singathe kupewedwa.

Mitundu ya majini ya lipodystrophy singathe kupewedwa, chifukwa imachitika chifukwa cha kusintha kwa majini komwe kunabadwa. Ngati mukukonzekera kukhala ndi ana, mvetsetsani chiopsezo chokhala ndi mwana wokhala ndi vuto la majini ndipo lankhulani ndi dokotala wanu za kuyezetsa majini.

Matenda a Acquired lipodystrophy nthawi zambiri amayamba chifukwa cha matenda opatsirana kapena matenda a chitetezo chamthupi. Ngakhale kuti matenda ena, monga nsabwe ndi chifuwa chachikulu, amatha kupewedwa ndi katemera, matenda ena ndi matenda a chitetezo chamthupi okhudzana ndi aquiced lipodystrophy sangapewedwe.

Kodi chiwopsezo cha lipodystrophy ndi chiyani?

Chiyembekezo cha lipodystrophy chimadalira kwambiri mtundu wa lipodystrophy yomwe muli nayo, komanso ngati muli ndi matenda ena kapena zovuta zina, monga matenda a shuga, chiwindi kapena impso.

Kukonza malo okhala ndi mafuta ochepa komanso malo okhala ndi mafuta ochulukirapo kumathandiza kukonza moyo wa anthu omwe ali ndi lipodystrophy.

Ngati inu kapena mwana wanu mwapezeka ndi lipodystrophy, lankhulani ndi dokotala wanu za zomwe mungayembekezere komanso momwe mungathanirane bwino ndi vutoli.

Kodi muyenera kupita kwa dokotala liti pankhani ya lipodystrophy?

Ngati mukuona kuti inu kapena mwana wanu akupitirira kuchepa m'malo enaake, kapena kuti mafuta akuwonjezeka m'malo enaake, lankhulani ndi dokotala wanu.

Ngati inu kapena mwana wanu mwapezeka ndi matenda a Lipodystrophy, muyenera kukumana ndi gulu lanu lachipatala nthawi zonse kuti muwonetsetse kuti chithandizo chanu chikugwira ntchito bwino kwa inu.

Pomaliza, zinthu zoti muzikumbukira

Lipodystrophy ndi matenda osowa koma oopsa. Ngakhale kuti palibe mankhwala, mankhwala ena angathandize kuchepetsa zizindikiro zake ndi matenda ena okhudzana ndi matendawa, monga matenda a shuga ndi kuchuluka kwa mafuta m'thupi kosazolowereka.

Chithandizo chimasiyana kwambiri malinga ndi munthu aliyense. Chifukwa chake, gulu lanu lachipatala lidzagwira ntchito nanu kuti apange dongosolo lomwe lili labwino kwa inu. Musaope kufunsa dokotala wanu mafunso. Alipo kuti akuthandizeni. Chidziwitso ichi chidzakuthandizani kukhala ndi moyo wathanzi!


lipodystrophy , minofu yamafuta, leptin, majini, acquired, matenda a shuga, cholesterol, triglyceride, HIV, matenda a kagayidwe kachakudya

Frequently Asked Questions (FAQ)

Ndi mayeso ati omwe amagwiritsidwa ntchito pozindikira lipodystrophy?

Dokotala wanu angafune mayeso angapo kuti adziwe lipodystrophy ndi/kapena kuti aone ngati pali zifukwa zina zomwe zimayambitsa zizindikiro zanu. Izi zikuphatikizapo:

⚠️ Important: The medical articles and information on Nirogi Lanka are for general awareness only, and are by no means a substitute for professional medical advice, diagnosis, or treatment. For any medical problem you have, consult a qualified physician immediately.

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