Pehea e mālama ai i ka pancreas me ka maʻi diabetes a pehea e hoʻihoʻi ai?

ʻO kekahi o nā kumu no ka hoʻomohala ʻana o ka maʻi diabetes i nā loli pathological i ka pancreas. ʻO ia ke kumu e pili ana ka nīnau a me kona uku no ka maʻi o ka maʻi. Pehea e mālama ai i ka pancreas me ka maʻi diabetes, he aha nā hōʻailona nui o ka maʻi a me nā hiʻohiʻona ʻē aʻe - ʻoi ʻia kēia mau mea a ke kūkā ʻana me ke loea.

Hana nā pancreas i ka maʻi diabetes

ʻO ka Diabetes mellitus kahi maʻi i hoʻoneʻe ʻia e ka pilikia o ka hana endocrine o ka nui. He wahi paakiki iki loa kona palena, a ʻo ka 2% wale nō kāna wahi i hāʻawi ʻia i nā mokupuni o Langerhans (ʻo kēia mau sela i hana i nā hormones e pono ai nā hana kino kūpono). He mea pono ke kiaʻi i ka ʻoiaʻiʻo i:

• hoʻonāukiuki i ka hana ʻana i ka ulu ʻana o ka nele o ka insulin, nona ke kuleana no ka hōʻiliʻili glucose,
• nā mea hoʻonāukiuki e hoʻonāukiuki i kahi kūlana hypoglycemic, a me ka hemahema, ʻo ia ka māhuahua o ke kō koko,
• hoʻomohala ʻia ka lōʻihi o nā pōpilikia i ko lākou luku piha ʻana a me ka hopena o ka hoʻomohala ʻana i ka maʻi maʻi.

ʻO ke kumu no ka destabilization o ka hana kūpono ʻoi aku ka heredity (no ka laʻana, me ka ʻōpū lāiwi 1), trauma, nā kaʻina autoimmune a me nā maʻi e like me ka pancreatitis. Hāʻawi i ke koʻikoʻi o ke kūlana, ua manaʻo ʻia e mālama pono i ka pancreas a me ka maʻi mellitus, a me nā hōʻailona o ke ʻano.

Nā hōʻailona o nā maʻi ʻola

Nā maʻi maʻamau o ka maʻi pancreatitis a me nā maʻi pancreatic i maʻamau. E kamaʻilio e pili ana i kēia, mālama lākou i ka paʻakikī (i kekahi mau hihia, ʻoi loa ka haʻi ʻia) ʻeha i ka ʻeha ma luna. ʻO ka maʻamau, hāʻawi ʻia kēlā ʻeha i ke kua a hele pū ʻia me ka nausea, luaʻi, hemahema o ka momona, ʻo ka maʻi o ka peritoneum. I kēia hihia, ʻaʻole lawe mai ka hoʻopuʻi ʻana i kahi hōʻoluʻolu, a ʻaʻole e hōʻemi ka ʻeha ma hope o ka luaʻi. Hiki ke ʻike ʻia ka palupalu a me ka palupalu, a me ke kuni.

ʻO nā hiʻohiʻona hōʻailona o ka maʻi pancreatitis e pono e noʻonoʻo he ʻeha loa ma ka ʻōpū o luna, e kau ana i hope. Eia nō hoʻi, e hōʻike ʻia nā pilikia pancreatic me ka maʻi maʻi ma:

• hoʻomehana paʻa ʻole, i hele pū ʻia me ka nele o nā mea momona.
• hiki ke hoʻonui i ka hoʻonui ʻana i ke kino i ka peritoneum,
• nawaliwali a hiki ino ana hoi.

I mea e hōʻoia ai ai a hōʻole paha i nā hōʻailona, ​​e loaʻa ka pilina me nā pathologies o ka pancreas, ʻoi ʻia e hele i ka hele ʻana i ka manawa kūpono.

Nā hana hoʻohālikelike

Ua haʻi aku nā poʻe pīpī i nā mea āpau e pili ana i ka maʻi diabetes! E hala aku ka maʻi maʻi i nā lā 10 inā e inu ʻoe ma ke kakahiaka. »Heluhelu hou i ka >>>

ʻO ka mea mua, ke hōʻiliʻili ʻia nā hoʻopiʻi a me ka mōʻaukala olakino. ʻO kekahi, hana kahi loea i kahi nānā makaʻala, e nānā pono i ke kumukānāwai o ke kanaka, ke kala o ka ʻili. Kaʻi aʻe, hana ʻia ka palpation, i ka wā e ʻike ai nā maʻi cysts a me nā neoplasms, inā hiki lākou i nā nui nui.

ʻO ka hana hope e pili ana i ka noiʻi laboratory: ke aʻo ʻana i nā ʻike o duodenal (e hoʻoholo i ka pae o nā enzymes), ka nānā ʻana o nā feces, ʻoi a me ke koko. Pono ke ʻano hei mea e pono ai ka maʻi ʻana e nānā i ka ultrasound o ka papa pancreas i loko o ka maʻi diabetes mellitus a me nā ala ʻē aʻe.

Hoʻomaka ʻia ka scan scan CT (compute tomography), ka mea i hoʻolaha nui ʻia a hiki iā ʻoe ke ʻike i ka pathology i nā hihia i hala ʻole kekahi mau ala hoʻokolohua. I kekahi mau hihia, pono ʻia ka cholangiopancreatography endoscopic, a me kahi maʻi biopsy. ʻO ka manawa pinepine, ʻo ka hamona hoʻāno pono o ka biopsy haʻaheo e hoʻohana ʻia ma lalo o ka mālama ʻana o kahi ultrasound a i ʻole ka scan CT. Hoʻokomo ka ʻenehana hana i ka hōʻiliʻili ʻana o kahi ʻāpana o ka pankreatic me ka hoʻokolohua hou a histological. Ma hope o kahi maʻi piha, hiki iā mākou ke kamaʻilio e pili ana i ka hoʻokō ʻana o ke ʻano o ka hoʻihoʻi.

Pehea e mālama ai i ka pancreas me ka maʻi diabetes?

ʻO ka pane i ka nīnau pehea e hoʻihoʻi ai i ka pancreas i ka diabetes mellitus ka mālamaʻana i ka laʻana, nā meaʻai meaʻai. Hiki iā mākou ke kamaʻilio e pili ana i ka mālama ʻana i nā maʻi maʻi (i nā hihia paʻakikī loa). I mea e pakele ai ka lāʻau, ʻōlelo ia e kūkākūkā me kahi endocrinologist.

ʻO ka lāʻau lapaʻau

E like me ka lāʻau lapaʻau, hoʻohana nā anti-enzyme agents, i nā ʻenehana, a me nā inoa antisecretory. Holoi nā poʻe loea i kaʻoiaʻiʻo o:

• Hoʻohana ʻia nā pūhui antienzyme i loko o ke kinalihi ʻo ka hoʻomālamalama ʻana o nā ʻiʻo o ka huelo, e hiki ai ke hoʻopau ʻia i kāna mau hana,
• ʻO ka manaʻo nui o ka hana ka luku ʻana i nā molekena protein e hana i nā huina o ka pancreas,
• ʻo nā inoa inoa maʻamau ka Kontrikal a me Gordoks. Hoʻemi lākou i ka pae o ka hana enzim, hōʻemi i kā lākou hana,
• ka ʻae ʻia ka hoʻohana ʻana o nā ʻenehana antienzyme, ʻaʻole wale nō i loko o ka maʻi mellitus, akā no kekahi mau hihia ʻē aʻe, no ka ʻanā, a me ka maʻi pancreatitis.

Nā Enzymes e hoʻohana ʻia ana ma ke kaʻina o ke kala ʻana (ma ka hōʻole ʻole ʻana o nā hana o ka iwi) e hoʻomaikaʻi i ka hana pancreas i ka maʻi diabetes. E kōkua kā lākou hoʻohana e hōʻalo i nā hoʻopiʻi, no ka laʻana, nā hōʻailona dyspeptic (digestive upset). ʻO ka lāʻau maʻamau loa e like me Creon, Enzistal, Festal, Pancreatin. ʻO kēia pūʻulu kālā e pili ana i nā inoa paʻakikī e hoʻokaʻawale i nā protein, nā momona a me nā hoʻoneʻe.

Hiki pū i nā lāʻau antisecretory ke kōkua i ka pancreas. Hoʻohana ʻia lākou e pani i ka nui o ka nui o ka wai momona, e pili ana i ka wikiwiki o ka lole o ke kino. ʻO Omeprazole, Rabeprazole, Ranitidine a me nā mea ʻē aʻe e kau nei ma muli o ia mau mea. Hoʻohana pinepine ʻia lākou i hoʻokahi a ʻelua i ka wā o ka lā ma kahi o 20 a 40 mau grama. Hoʻomaopopo ʻia kahi nānā kūikawā i ka makaʻina ʻana o kahi meaʻai, kahi me ka huki ʻole ʻia e ʻōlelo ʻia e hui pū me kāu kauka.

ʻO ka hoʻihoʻi ʻana i ka hana pancreatic kūpono e mālama i kahi lōʻihi lōʻihi. Hoʻohana ʻia e hahai i nā alakaʻi alakaʻi o ka meaʻai kūpono, kiaʻi paʻa i ka nui a me ke kaulike i ka meaʻai o nā protein, nāʻaila a me nā mea kālai. He mea kūpono loa ia e kiʻi i kahi o ka glycemic index a pehea e hoʻohana pololei ai i ka papa ʻaina kūikawā. E makaʻala i ka ʻoiaʻiʻo:

• i kēlā me kēia lā ke ʻae ʻia e hoʻopau i kahi liʻiliʻi o 350 gr. kalapoli, 100 gr. protein a 60 gr. momona
• Pono ʻoe e ʻai pinepine, i nā wahi liʻiliʻi a ma nā liʻiliʻi ʻelima a ʻeono paha i ka lā hoʻokahi,
• No ka hoʻolako ʻia ʻana o nā huahana no ka maʻi ʻaʻai e hoʻomākaukau ʻia me ka hoʻohana ʻana i ka pā hōlua.
• Manea ʻia e haʻalele haʻalele i ka hoʻohana ʻana i ka moa. Kālepa a me ka pā palaoa e ʻae ʻia i ka hihia wale nō.

ʻAʻole hoʻi ʻoe e hoʻokeʻena i nā kīʻaha me nā mea ʻala a me nā mea ʻano like e like me ke kāleka, ka winika. Ma keʻano holoʻokoʻa, ʻaʻole ia i hiki ke hoʻohana i kēlā mau huahana a pau e hiki ai ke hoʻonāukiuki i ka hina o ka ʻōpū. Me ka hoʻopiʻi ʻana o ke ʻano o ke pathological a ma ke ʻano o ka mālama nui, ka momona, ka paʻakai, ka ʻīneke, i a ʻūlū a me nā mea waiwai ʻole e hoʻohana ʻia.

Hana hoʻomaʻamaʻa

ʻO nā ʻano kumu ākea maʻamau e pono e lilo i ka haʻalele o ka pancreatic distection, subtotal resection, me ka necrsecestrectomy hoʻi.

ʻO ke ʻano mua e hana i ka hiʻu a me ke kino o ke kino. Ke hoʻokuʻi ʻia nei ka wehe ʻia ʻana o nā maʻi ʻē aʻe i nā hihia i kaupalena ʻia ai ka lesion a ʻaʻole i hopu piha i ka okana.

ʻO ka haʻaleleʻana Subtotal e like me ka mālama ʻana no ka pancreas i ka maʻi diabetes type 2 ka lawe ʻana o ka huelo. Hiki ke hoʻoneʻe ke kino a me ke poʻo o kēia poʻo o kēia hanu. Māhele wale ʻia nā ʻāpana e pili kokoke i ka duodenum. ʻAe ʻia ka pale komo ʻana me ka hoʻopōʻino nui loa ia i ka lāʻau. Hāʻawi ʻia ka uku ʻole ʻia o ke okana i hōʻike ʻia, ʻo kahi maʻi pancreas wale nō e hiki ke hoʻihoʻi i kāna hana ma hope o ka hana o 100%.

Hana ʻia Necrosecvestrectomy ma lalo o ka mākaʻi o ka ultrasound a me fluoroscopy. Hoʻopau ʻia nā puka wai i ʻike ʻia ma ka pancreas a ua lawe ʻia nā mea i loaʻa i ka hoʻohana ʻana i nā wai kahawai kūikawā. Ma hope o kēlā, hoʻokaʻawale ʻia kahi kaila ka nui i loko o nā ana i loaʻa, e ʻae ana i ka holoi ʻana a me ka hana hoʻēmi ʻana. I ka hana hope loa o ke ala hoʻolaʻa, hoʻōla ʻia nā hakahaka nui-caliber e nā mea liʻiliʻi liʻiliʻi. ʻO ia ka mea e hiki ai i ka hoʻōla piha ʻana o ka lua a me ka ʻeha ma hope o ka hoʻomaʻamaʻa ʻana, i hāʻawi ʻia e kahe mai o ka wai mai kona mālama ʻia.