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},
"code": "E73",
"name": "Непереносимость лактозы",
"icd_name": "Непереносимость лактозы",
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0
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"lead": "Термин для описания патологических состояний, вызванных снижением уровня лактазы — фермента, необходимого для правильного переваривания лактозы.",
"description": "Непереносимостью молока страдают несколько миллионов людей по всему миру. ",
"etiology": "<p>Врожденный дефицит фермента лактазы, распространенный преимущественно среди лиц, принадлежащих к азиатской расе.</p>\r\n<p> </p>\r\n<p>Естественное снижение уровня лактазы, которое начинается еще в детском возрасте (после 3 лет). Насколько значительным будет это снижение, зависит от особенностей организма конкретного человека. Тем не менее, можно с уверенностью сказать, что чем старше человек, тем вероятнее, что он страдает от непереносимости лактозы.</p>\r\n<p> Любое заболевание, которое влияет на клетки тонкой кишки, производящие лактазу, например, воспалительные заболевания и даже грипп. Такое состояние вызывает «вторичную недостаточность лактазы». Это временная проблема, которая исчезает, как только заболевание проходит, поврежденные клетки восстанавливаются и начинают снова вырабатывать ферменты.</p>\r\n<p> Хирургические операции на желудке и кишечнике, которые могут полностью уничтожить способность организма производить лактазу.</p>\r\n<p> </p>",
"pathogenesis": "",
"diagnostics": "<p>Иногда врачи назначают пробу на содержание водорода в выдыхаемом воздухе, анализ сахара в крови, или анализ кислотности стула, чтобы подтвердить диагноз.</p>\r\n<ul>\r\n<li>\r\n<p>Проба на содержание водорода в выдыхаемом воздухе</p>\r\n</li>\r\n</ul>\r\n<p>Это - самый точный анализ непереносимости лактозы. Перед анализом, пациент должен избегать употребления определенных продуктов, лекарств и сигарет. В день анализа, пациент выпивает жидкость, которая содержит лактозу и затем выдыхает в специальный прибор. Высокий уровень водорода - показатель непереносимости лактозы. Этот тест обычно не применяется по отношению к младенцам и очень маленьким детям, так как может вызвать сильный <a href=\"/symptom/diareya/\" title=\"Перейти на страницу симптома Диарея\">понос</a>.</p>\r\n<ul>\r\n<li>\r\n<p>Тест переносимости лактозы</p>\r\n</li>\r\n</ul>\r\n<p>Этот анализ измеряет уровень сахара в крови после употребления продукта, содержащего лактозу. Перед проведением анализа, нельзя ничего есть. В день анализа, пациент выпивает жидкость, содержащую лактозу, которая может вызывать <a href=\"/symptom/meteorizm/\" title=\"Перейти на страницу симптома Метеоризм\">газы</a> или <a href=\"/symptom/bol_v_zhivote/\" title=\"Перейти на страницу симптома Боль в животе\">боль в животе</a>. После этого, каждые 30 минут в течение 2 часов, проверяют кровь. Если уровень сахара в крови не повышается, это может указывать на непереносимость лактозы. Этот анализ не применяется по отношению к больным диабетом пациентам и младенцам.</p>\r\n<ul>\r\n<li>\r\n<p>Анализ кислотности стула</p>\r\n</li>\r\n</ul>\r\n<p>Данный анализ помогает измерить количество кислоты в толстой кишке. Для проведения анализа, необходимо образец кала в изолированном контейнере доставить в лабораторию. Наличие кислоты в кале указывает на неспособность организма нормально переваривать лактозу. Такой анализ может проводить среди младенцев и маленьких детей.</p>",
"treatment": "<p>Что может сделать врач</p>\r\n<p> </p>\r\n<p>Выписать ферменты в виде таблеток или капель. Для лечения других заболеваний выписывать препараты, не содержащие лактозу.</p>\r\n<p> Назначить лечение тяжелой вторичной недостаточности лактазы.</p>\r\n<p> Диетолог может разработать для вас сбалансированную диету.</p>\r\n<p> Врач-педиатр поможет подобрать для вашего ребенка правильное питание и дать вам необходимые рекомендации по кормлению ребенка.</p>\r\n<p> </p>",
"prevention": "<p>Будьте осторожны и старайтесь не заболеть заболеваниями пищеварительной системы. Кроме этого, почти не существует способов предотвратить такое генетически запрограммированное нарушение, как непереносимость лактозы.</p>\r\n<p> </p>\r\n<p>Однако некоторые простые правила предосторожности помогут людям с легкой степенью непереносимости лактазы избежать проявления неприятных симптомов, при этом не лишая себя полностью молока и молочных продуктов.</p>\r\n<p> Если у вас непереносимость лактозы, не лишайте себя совсем молочных продуктов. Попробуйте употреблять в пищу богатые кальцием продукты, например, молоко, но в небольших дозах (меньше чашки) и пейте его во время еды. Обычно сыр и йогурт в небольших количествах достаточно легко переносятся людьми с непереносимостью лактозы.</p>\r\n<p> Также можно попробовать молоко, сыр и творог, не содержащие лактозы или другие источники кальция, например, соевое молоко, миндаль, брокколи и другие зеленые овощи, рыбу и т.д.</p>\r\n<p> </p>",
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},
"code": "E73.9",
"name": "Непереносимость лактозы неуточненная",
"icd_name": "Непереносимость лактозы неуточненная",
"gender": 0,
"age_min": 0,
"age_max": 100,
"cause": [
"0"
],
"periodicity": 1,
"slug": "e73.9_neperenosimost_laktozy_neutochnennaya",
"lead": "неспособность переваривать лактозу, часто связанную с недостаточностью фермента лактазы",
"description": "<p> </p>\r\n<p style=\"line-height: 1.38; margin-top: 0pt; margin-bottom: 0pt;\" dir=\"ltr\"><span style=\"font-size: 6.999999999999999pt; font-family: Verdana; color: #000000; background-color: transparent; font-weight: 400; font-style: normal; font-variant: normal; text-decoration: none; vertical-align: baseline; white-space: pre-wrap;\">Непереносимость лактозы — неспособность организма переваривать молочный сахар. Для расщепления лактозы на простые сахара или моносахариды в тонком кишечнике должен вырабатывать фермент под названием лактаза. Непереносимость лактозы характеризуется чрезмерным газообразованием, судорогами и диареей. Проявления болезни возникают, как правило, после употребления молочных продуктов.</span></p>",
"etiology": "<p style=\"line-height: 1.38; margin-top: 0pt; margin-bottom: 0pt;\" dir=\"ltr\"><span style=\"font-size: 6.999999999999999pt; font-family: Verdana; color: #000000; background-color: transparent; font-weight: 400; font-style: normal; font-variant: normal; text-decoration: none; vertical-align: baseline; white-space: pre-wrap;\">Некоторые причины непереносимости лактозы хорошо известны. Первичная лактазная недостаточность – состояние, которое развивается с течением времени. Примерно после 2 лет организм начинает вырабатывать меньше лактазы. Вторичная лактазная недостаточность возникает, когда повреждение тонкого кишечника или некоторые заболевания пищеварительной системы снижают количество вырабатываемого фермента. К таким заболеваниям относятся:</span></p>\r\n<ul style=\"margin-top: 0; margin-bottom: 0; padding-inline-start: 48px;\">\r\n<li style=\"list-style-type: disc; font-size: 8pt; font-family: Verdana; color: #092148; background-color: transparent; font-weight: 400; font-style: normal; font-variant: normal; text-decoration: none; vertical-align: baseline; white-space: pre;\" dir=\"ltr\">\r\n<p style=\"line-height: 1.38; margin-top: 0pt; margin-bottom: 0pt;\" dir=\"ltr\"><span style=\"font-size: 6.999999999999999pt; font-family: Verdana; color: #000000; background-color: transparent; font-weight: 400; font-style: normal; font-variant: normal; text-decoration: none; vertical-align: baseline; white-space: pre-wrap;\">целиакия (глютеновая недостаточность);</span></p>\r\n</li>\r\n<li style=\"list-style-type: disc; font-size: 8pt; font-family: Verdana; color: #092148; background-color: transparent; font-weight: 400; font-style: normal; font-variant: normal; text-decoration: none; vertical-align: baseline; white-space: pre;\" dir=\"ltr\">\r\n<p style=\"line-height: 1.38; margin-top: 0pt; margin-bottom: 0pt;\" dir=\"ltr\"><span style=\"font-size: 6.999999999999999pt; font-family: Verdana; color: #000000; background-color: transparent; font-weight: 400; font-style: normal; font-variant: normal; text-decoration: none; vertical-align: baseline; white-space: pre-wrap;\">воспаление кишечника;</span></p>\r\n</li>\r\n<li style=\"list-style-type: disc; font-size: 8pt; font-family: Verdana; color: #092148; background-color: transparent; font-weight: 400; font-style: normal; font-variant: normal; text-decoration: none; vertical-align: baseline; white-space: pre;\" dir=\"ltr\">\r\n<p style=\"line-height: 1.38; margin-top: 0pt; margin-bottom: 0pt;\" dir=\"ltr\"><span style=\"font-size: 6.999999999999999pt; font-family: Verdana; color: #000000; background-color: transparent; font-weight: 400; font-style: normal; font-variant: normal; text-decoration: none; vertical-align: baseline; white-space: pre-wrap;\">болезнь Крона.</span></p>\r\n</li>\r\n</ul>\r\n<p style=\"line-height: 1.38; margin-top: 0pt; margin-bottom: 0pt;\" dir=\"ltr\"><span style=\"font-size: 6.999999999999999pt; font-family: Verdana; color: #000000; background-color: transparent; font-weight: 400; font-style: normal; font-variant: normal; text-decoration: none; vertical-align: baseline; white-space: pre-wrap;\">Исследователи выявили генетическую связь непереносимости лактозы. Некоторые люди рождаются с вероятностью развития первичной лактазной недостаточности, потому что она была передана им генетически (унаследованная от родителей). Это открытие может быть полезно при разработке диагностического теста для выявления людей с этим заболеванием.</span></p>\r\n<p> </p>\r\n<p style=\"line-height: 1.38; margin-top: 0pt; margin-bottom: 0pt;\" dir=\"ltr\"><span style=\"font-size: 6.999999999999999pt; font-family: Verdana; color: #000000; background-color: transparent; font-weight: 400; font-style: normal; font-variant: normal; text-decoration: none; vertical-align: baseline; white-space: pre-wrap;\">Дети, рожденные преждевременно, чаще страдают непереносимостью лактозы, поскольку уровень лактазы не повышается до третьего триместра беременности женщины.</span></p>",
"pathogenesis": "",
"diagnostics": "<p style=\"line-height: 1.38; margin-top: 0pt; margin-bottom: 0pt;\" dir=\"ltr\"><span style=\"font-size: 7pt; font-family: Verdana; background-color: transparent; font-variant-numeric: normal; font-variant-east-asian: normal; vertical-align: baseline; white-space: pre-wrap;\">Для постановки точного диагноза используются лабораторные исследования: дыхательный водородный тест, анализ крови на сахар, исследование кислотности стула. Исследование активности фермента в ткани с помощью биопсии тонкой кишки считается менее чувствительным методом.</span></p>\r\n<ul>\r\n<li><span style=\"font-size: 7pt; font-family: Verdana; background-color: transparent; font-variant-numeric: normal; font-variant-east-asian: normal; vertical-align: baseline; white-space: pre-wrap;\">Анализ крови</span></li>\r\n</ul>\r\n<p style=\"line-height: 1.38; margin-top: 0pt; margin-bottom: 0pt;\" dir=\"ltr\"><span style=\"font-size: 7pt; font-family: Verdana; background-color: transparent; font-variant-numeric: normal; font-variant-east-asian: normal; vertical-align: baseline; white-space: pre-wrap;\">Активность фермента можно проверить с помощью определения уровня глюкозы в крови после употребления 50 граммов лактозы (количество лактозы в литре молока). Уровень сахара в крови будет проверяться каждые 30 минут в течение двух часов. Если уровень сахара не повышается, скорее всего, это будет свидетельствовать о гиполактазии.</span></p>\r\n<ul>\r\n<li><span style=\"font-size: 7pt; font-family: Verdana; background-color: transparent; font-variant-numeric: normal; font-variant-east-asian: normal; vertical-align: baseline; white-space: pre-wrap;\">ПЦР тест</span></li>\r\n</ul>\r\n<p style=\"line-height: 1.38; margin-top: 0pt; margin-bottom: 0pt;\" dir=\"ltr\"><span style=\"font-size: 7pt; font-family: Verdana; background-color: transparent; font-variant-numeric: normal; font-variant-east-asian: normal; vertical-align: baseline; white-space: pre-wrap;\">В последние годы была предложена проверка генотипа с помощью ПЦР в реальном времени. Такой тест имеет высокую специфичность для гиполактазии и широко используется.</span></p>\r\n<ul>\r\n<li><span style=\"font-size: 7pt; font-family: Verdana; background-color: transparent; font-variant-numeric: normal; font-variant-east-asian: normal; vertical-align: baseline; white-space: pre-wrap;\">Тест на кислотность стула</span></li>\r\n</ul>\r\n<p style=\"line-height: 1.38; margin-top: 0pt; margin-bottom: 0pt;\" dir=\"ltr\"><span style=\"font-size: 7pt; font-family: Verdana; background-color: transparent; font-variant-numeric: normal; font-variant-east-asian: normal; vertical-align: baseline; white-space: pre-wrap;\">Кислотность стула измеряется в образце фекалий, немедленно принесенном в лабораторию. Если в стуле присутствует кислота, то лактоза, вероятно, переваривается неправильно. Это наиболее предпочтительный метод для младенцев.</span></p>\r\n<ul>\r\n<li><span style=\"font-size: 7pt; font-family: Verdana; background-color: transparent; font-variant-numeric: normal; font-variant-east-asian: normal; vertical-align: baseline; white-space: pre-wrap;\">Дыхательный водородный тест</span></li>\r\n</ul>\r\n<p> </p>\r\n<p style=\"line-height: 1.38; margin-top: 0pt; margin-bottom: 0pt;\" dir=\"ltr\"><span style=\"font-size: 7pt; font-family: Verdana; background-color: transparent; font-variant-numeric: normal; font-variant-east-asian: normal; vertical-align: baseline; white-space: pre-wrap;\">Это надежное, но длительное исследование, которое заключается в определении количества водорода в выдыхаемом воздухе. На протяжении нескольких часов пациент делает серию глубоких выдохов, которые затем необходимо повторить после употребления 50 гр лактозы. Повышение концентрации водорода через 2 часа после воздействия указывает на дефицит фермента, разлагающий молочный сахар.</span></p>",
"treatment": "<p> </p>\r\n<p style=\"line-height: 1.38; margin-top: 0pt; margin-bottom: 0pt;\" dir=\"ltr\"><span style=\"font-size: 7pt; font-family: Verdana; background-color: transparent; font-variant-numeric: normal; font-variant-east-asian: normal; vertical-align: baseline; white-space: pre-wrap;\">Медикаментозная терапия как таковая не используется. Основа лечения — правильно подобранная диета. При расстройствах желудочно-кишечного тракта могут назначаться противорвотные средства, миотропные спазмолитики, препараты для улучшения моторики кишечника и стабилизации стула.</span></p>\r\n<p style=\"line-height: 1.38; margin-top: 0pt; margin-bottom: 0pt;\" dir=\"ltr\"><span style=\"font-size: 7pt; font-family: Verdana; background-color: transparent; font-variant-numeric: normal; font-variant-east-asian: normal; vertical-align: baseline; white-space: pre-wrap;\">Для людей, страдающих непереносимостью молока, существует несколько вариантов питания. Некоторым можно употреблять продукты молочного брожения — кефир, йогурт, творог, сыр. При значительном дефиците лактазы следует отдавать предпочтение специальным продуктам — например, безлактозному молоку. Также можно принимать фермент лактазу в виде таблеток непосредственно при употреблении молочных блюд.</span></p>\r\n<p style=\"line-height: 1.38; margin-top: 0pt; margin-bottom: 0pt;\" dir=\"ltr\"><span style=\"font-size: 7pt; font-family: Verdana; background-color: transparent; font-variant-numeric: normal; font-variant-east-asian: normal; vertical-align: baseline; white-space: pre-wrap;\">Норма лактозы, которую можно употреблять без вреда для здоровья, является индивидуальной. При тяжелой непереносимости молока допускается не более 1 г молочного сахара в сутки. При нарушении средней тяжести — не более 10 г.</span></p>\r\n<p style=\"line-height: 1.38; margin-top: 0pt; margin-bottom: 0pt;\" dir=\"ltr\"> </p>\r\n<p style=\"line-height: 1.38; margin-top: 0pt; margin-bottom: 0pt;\" dir=\"ltr\"><span style=\"font-size: 7pt; font-family: Verdana; background-color: transparent; font-variant-numeric: normal; font-variant-east-asian: normal; vertical-align: baseline; white-space: pre-wrap;\">Составлять диету нужно с учетом состава. Обратите внимание, что есть продукты, в которых:</span></p>\r\n<p> </p>\r\n<p style=\"line-height: 1.38; margin-top: 0pt; margin-bottom: 0pt;\" dir=\"ltr\"> </p>\r\n<ul style=\"margin-top: 0px; margin-bottom: 0px; padding-inline-start: 48px;\">\r\n<li style=\"list-style-type: disc; font-size: 8pt; font-family: Verdana; color: #666666; background-color: transparent; font-variant-numeric: normal; font-variant-east-asian: normal; vertical-align: baseline; white-space: pre;\" dir=\"ltr\">\r\n<p style=\"line-height: 1.38; margin-top: 0pt; margin-bottom: 0pt;\" dir=\"ltr\"><span style=\"font-size: 7pt; color: #000000; background-color: transparent; font-variant-numeric: normal; font-variant-east-asian: normal; vertical-align: baseline; white-space: pre-wrap;\">молочный сахар является естественным ингредиентом: сухое и цельное молоко, сыр, творог, пахта, кумыс, сыворотка, сметана, сливки;</span></p>\r\n</li>\r\n<li style=\"list-style-type: disc; font-size: 8pt; font-family: Verdana; color: #666666; background-color: transparent; font-variant-numeric: normal; font-variant-east-asian: normal; vertical-align: baseline; white-space: pre;\" dir=\"ltr\">\r\n<p style=\"line-height: 1.38; margin-top: 0pt; margin-bottom: 0pt;\" dir=\"ltr\"><span style=\"font-size: 7pt; color: #000000; background-color: transparent; font-variant-numeric: normal; font-variant-east-asian: normal; vertical-align: baseline; white-space: pre-wrap;\">лактоза присутствует в связи с особенностями производства: колбасные изделия, варенье, джем, супы и картофельное пюре быстрого приготовления, хлеб, бисквиты, горчица, майонез, кетчуп, шоколад, какао;</span></p>\r\n</li>\r\n<li style=\"list-style-type: disc; font-size: 8pt; font-family: Verdana; color: #666666; background-color: transparent; font-variant-numeric: normal; font-variant-east-asian: normal; vertical-align: baseline; white-space: pre;\" dir=\"ltr\">\r\n<p style=\"line-height: 1.38; margin-top: 0pt; margin-bottom: 0pt;\" dir=\"ltr\"><span style=\"font-size: 7pt; color: #000000; background-color: transparent; font-variant-numeric: normal; font-variant-east-asian: normal; vertical-align: baseline; white-space: pre-wrap;\">лактоза отсутствует: фрукты, овощи, чай, кофе, рис, гречка, пшеница, кукуруза, макаронные изделия, соевые продукты, бобовые, яйца, орехи, растительные масла, вино, пиво.</span></p>\r\n</li>\r\n</ul>",
"prevention": "<p><span style=\"font-family: Verdana; font-size: 9.33333px; white-space: pre-wrap;\">При непереносимости лактозы может быть рекомендовано соблюдение безлактозной/низколактозной диеты или использование препаратов лактазы</span></p>",
"clinical_picture": "<p style=\"line-height: 1.38; margin-top: 0pt; margin-bottom: 0pt;\" dir=\"ltr\"><span style=\"font-size: 7pt; font-family: Verdana; background-color: transparent; font-variant-numeric: normal; font-variant-east-asian: normal; vertical-align: baseline; white-space: pre-wrap;\">Тяжесть симптомов зависит от количественного содержания лактозы и степени индивидуальной переносимости. Некоторые категории пациентов могут быть чувствительны к чрезвычайно малому количеству лактозы, в то время как другие могут съесть большее количество, прежде чем возникнут признаки болезни.</span></p>\r\n<p style=\"line-height: 1.38; margin-top: 0pt; margin-bottom: 0pt;\" dir=\"ltr\"> </p>\r\n<p style=\"line-height: 1.38; margin-top: 0pt; margin-bottom: 0pt;\" dir=\"ltr\"><span style=\"font-size: 7pt; font-family: Verdana; background-color: transparent; font-variant-numeric: normal; font-variant-east-asian: normal; vertical-align: baseline; white-space: pre-wrap;\">Симптомы лактозной непереносимости включают:</span></p>\r\n<ul style=\"margin-top: 0px; margin-bottom: 0px; padding-inline-start: 48px;\">\r\n<li style=\"list-style-type: disc; font-size: 8pt; font-family: Verdana; color: #092148; background-color: transparent; font-variant-numeric: normal; font-variant-east-asian: normal; vertical-align: baseline; white-space: pre;\" dir=\"ltr\">\r\n<p style=\"line-height: 1.38; margin-top: 0pt; margin-bottom: 0pt;\" dir=\"ltr\"><span style=\"font-size: 7pt; color: #000000; background-color: transparent; font-variant-numeric: normal; font-variant-east-asian: normal; vertical-align: baseline; white-space: pre-wrap;\">тошноту;</span></p>\r\n</li>\r\n<li style=\"list-style-type: disc; font-size: 8pt; font-family: Verdana; color: #092148; background-color: transparent; font-variant-numeric: normal; font-variant-east-asian: normal; vertical-align: baseline; white-space: pre;\" dir=\"ltr\">\r\n<p style=\"line-height: 1.38; margin-top: 0pt; margin-bottom: 0pt;\" dir=\"ltr\"><span style=\"font-size: 7pt; color: #000000; background-color: transparent; font-variant-numeric: normal; font-variant-east-asian: normal; vertical-align: baseline; white-space: pre-wrap;\">судороги;</span></p>\r\n</li>\r\n<li style=\"list-style-type: disc; font-size: 8pt; font-family: Verdana; color: #092148; background-color: transparent; font-variant-numeric: normal; font-variant-east-asian: normal; vertical-align: baseline; white-space: pre;\" dir=\"ltr\">\r\n<p style=\"line-height: 1.38; margin-top: 0pt; margin-bottom: 0pt;\" dir=\"ltr\"><span style=\"font-size: 7pt; color: #000000; background-color: transparent; font-variant-numeric: normal; font-variant-east-asian: normal; vertical-align: baseline; white-space: pre-wrap;\">газообразование;</span></p>\r\n</li>\r\n<li style=\"list-style-type: disc; font-size: 8pt; font-family: Verdana; color: #092148; background-color: transparent; font-variant-numeric: normal; font-variant-east-asian: normal; vertical-align: baseline; white-space: pre;\" dir=\"ltr\">\r\n<p style=\"line-height: 1.38; margin-top: 0pt; margin-bottom: 0pt;\" dir=\"ltr\"><span style=\"font-size: 7pt; color: #000000; background-color: transparent; font-variant-numeric: normal; font-variant-east-asian: normal; vertical-align: baseline; white-space: pre-wrap;\">вздутие живота;</span></p>\r\n</li>\r\n<li style=\"list-style-type: disc; font-size: 8pt; font-family: Verdana; color: #092148; background-color: transparent; font-variant-numeric: normal; font-variant-east-asian: normal; vertical-align: baseline; white-space: pre;\" dir=\"ltr\">\r\n<p style=\"line-height: 1.38; margin-top: 0pt; margin-bottom: 0pt;\" dir=\"ltr\"><span style=\"font-size: 7pt; color: #000000; background-color: transparent; font-variant-numeric: normal; font-variant-east-asian: normal; vertical-align: baseline; white-space: pre-wrap;\">диарею.</span></p>\r\n</li>\r\n</ul>\r\n<p> </p>\r\n<p style=\"line-height: 1.38; margin-top: 0pt; margin-bottom: 0pt;\" dir=\"ltr\"><span style=\"font-size: 7pt; font-family: Verdana; background-color: transparent; font-variant-numeric: normal; font-variant-east-asian: normal; vertical-align: baseline; white-space: pre-wrap;\">Характерные проявления отмечаются в течение промежутка времени от 30 минут до 2 часов после употребления молока или молочных продуктов. Симптомы возникают из-за того, что организм вырабатывает недостаточно лактазы, чтобы «переработать» потребляемую лактозу.</span></p>",
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"description": "У каждого человека в норме уровень содержания глюкозы в крови должен быть от 3,3 до 5,5 ммоль/л. Конечно, глюкоза - очень важная постоянная гомеостаза. При расстройствах углеводного обмена (гипогликемия) в организме происходят необратимые изменения, которые связаны с деятельностью центральной нервной системы.",
"etiology": "<p>Основными причинами нарушений процессов, связанных с углеводным обменом, могут стать:</p>\r\n<ul>\r\n<li>Нарушение фосфорилирования глюкозы в стенке кишечника (обычно это происходит в том случае, если воспаляется кишечная стенка, при отравлениях флоридзином и монойодацетагом).</li>\r\n<li>Нарушение нервно-гормональной регуляции.</li>\r\n<li>Нарушение углеводной функции печени.</li>\r\n<li>Нарушение нейрогормональной регуляции углеводного обмена.</li>\r\n</ul>",
"pathogenesis": "<p>При нарушении разных видов углеводного обмена наблюдается снижение глюкокиназы. Возрастает активность глюко-фосфатазы, следовательно, глюкофосфат поступает в кровь в виде глюкозы. Через мембраны клеток глюкоза практически не проходит, вследствие чего она не способна усваиваться тканями. Ускоряется глюконеогенез (образование глюкозы из пирувата, лактата, амиокислот жирных веществ и др.).</p>",
"diagnostics": "<p>Чтобы правильно диагностировать заболевание, вам необходимо обратиться к врачу, который предложит вам пройти следующие анализы и обследования:</p>\r\n<ul>\r\n<li>В первую очередь нужно сдать анализ крови.</li>\r\n<li>Затем биохимический анализ крови.</li>\r\n<li>Сделать глюкозотолерантный тест.</li>\r\n<li>Липидный профиль.</li>\r\n<li>Гликированный гемоглобин.</li>\r\n<li>Определить уровень секреции инсулина, а также С-пептида.</li>\r\n<li>Провести иммунологические анализы.</li>\r\n<li>Проверить, расположены ли вы к возникновению развития нарушений углеродного обмена вследствие наследственности.</li>\r\n<li>Диагностика нефропатии.</li>\r\n<li>ЭКГ и УЗИ.</li>\r\n<li>Сканирование ультразвуком сосудов.</li>\r\n</ul>\r\n<p>Врач, который специализируется на нарушениях углеводного обмена, – эндокринолог.</p>",
"treatment": "<p>Для восстановления углеводного обмена можно воспользоваться медикаментозным лечением – препаратами, которые снижают сахар в крови. Это бигуаниды, ингибиторы альфа-глюкозидаза. Однако препараты не принесут пользы, если вы не будете соблюдать правильный режим жизни. Сюда входят: правильное питание, физические нагрузки, сахароснижающая терапия.</p>",
"prevention": "<p>В связи с нарушением обмена веществ могут развиться довольно сложные и серьезные заболевания, поэтому необходимо предпринять все меры для того, чтобы нарушения не начали развиваться. В первую очередь необходимо сбалансированно и правильно питаться. Это основной залог здоровья. Также существует множество витаминных препаратов, биологических пищевых добавок. Если вы – сладкоежка, от продуктов, содержащих много глюкозы, придется отказаться. Оптимальное употребление воды – 2 л в день.</p>",
"clinical_picture": "<p>Человек при пониженном уровне глюкозы в крови чувствует общую слабость, быстро утомляется, ему тяжело выполнять обычную ежедневную работу. При сильных отклонениях от нормы начинаются судороги, помутнения сознания. Самый страшный симптом этого заболевания – гликемическая кома.</p>",
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