ʻO nā hoʻāʻo ʻana no ka maʻi pancreatitis

ʻO nā hōʻailona nui o ka maʻi pancreatitis kaila ʻeha, utuka a he ʻano hūnā (Mondor Triad).
ʻEha ka pihi, ʻike pinepine ʻia i ke ahiahi a i ka pō pōkole ma hope o ke hala ʻana i ka ʻai (ʻo ka hoʻohana ʻana i nā meaʻai a i ʻole ʻai ʻia, inu ka wai). ʻO kona wahi kikoʻī loa ka kaila epigastric, ma luna o ka moʻo, kahi e kūlike me ka wahi anatomical o ka pancreas. Aia ka epicenter o ka ʻeha ma ka waena waena, akā hiki i ka lele i ka ʻākau a hema a hema paha o ka waena, a laha aku hoʻi ma ka ʻōpū o ka ʻōpū. ʻO ka pinepine ka haki o ka ʻūhā ma ke kaʻe o ke kumukūʻai ma hope o ke kua, i kekahi manawa ma ka hope o ka hope, ka umauma a me nā poʻohiwi, i ka kihi ʻākau hema-vertebral. ʻO ka pinepine ko lākou mau kāʻei, e hāʻawi i ka manaʻo o ke kāʻei huki a haki paha. Me ka lesi nui o ke poʻo pancreatic, hiki i ke kūloko o ke kaumaha ke ʻano like me ka cholecystitis luku e kūleʻa ana, me ka pōʻino o kona kino - nā maʻi o ka ʻōpū a me ka ʻili liʻiliʻi, a me ka hoʻopōʻino i ka ʻāʻī - nā maʻi o ka ʻano, ka puʻuwai a me nā lālā hema. I kekahi mau kūlana, hele pūpaʻa ʻia kahi maʻi eha me ka hāʻule a me ka pīhoihoi.

Aneane like me ke kaumaha, ʻike nui, ʻeha a ʻaʻole hoʻi i lawe i ka hōʻoluʻolu utuka. ^ E Ha yM. E hoʻonāukiuki i ka hoʻomoina ʻana i ka meaʻai a ka wai paha. ʻOiai ke ʻano o ka nui o ka luaʻi, ʻaʻole like ka ʻano a me ke stagnant (fecaloid).

ʻO ke ʻano o ke kino ma ka hoʻomaka ʻana o ka maʻi nui ka subfebrile. ʻO ka maʻi maʻi maʻi e hōʻike ana i ka hoʻomohala ʻana o ka maʻi a me nā ʻano like ʻole o ka pancreatitis. Hoʻokumu i ka paʻakikī o nā hōʻailona o ka hopena hoʻonā systemic, hiki iā mākou ke hoʻokolokolo wale i ke ʻano a me ka nui o ka kaʻina hana.

ʻO kahi hōʻailona nui a me ka hoʻomaka mua o ka maʻi diagnostic ʻo ka pancreatic necrosis ʻo ka cyanosis o ka maka a me nā wāwae. ʻO Cyanosis ma ke ʻano o nā pōpoki poino i ka maka e ʻike ʻia Hōʻike manaʻo o Mondor, nā wahi cyanotic ma nā ʻaoʻao ʻaoʻao o ka ʻōpū o ka ʻōpū (umbilical ecchymosis) - as hina ʻōuli maʻia me ka cyanosis o ka umbilical wahi - ʻO ka hōʻailona Grunwald. ^ E Ha yM. I nā hōʻiliʻili o nā maʻi i hope, hiki ke hoʻololi ʻia ka cyanosis o ka maka e ka hyperemia hoʻonā - "Kallikrein alo". ^ E Ha yM. ʻO nā hōʻailona inoa i kau ʻia ma nā maʻi hemodynamic holomua a me nā maʻi microcirculatory, hyperenzymemia a me ka cytokinokinesis pale ʻole.

Ke hoʻokau nei i ka ʻōpū, e hoʻomaopopo ʻūlū, mea nui i nā ʻāpana ʻaoʻao kiʻekiʻe. Me nā necrosis pancreatic maʻamau, hīmeni ka ʻōpū o ke ʻōpū, a ʻoi loa ke nānā ʻana i nā palpation superficial. Me ka palpation hohonu, hoʻonui nui ka ʻeha, i kekahi manawa he lāʻau ʻole. I ka palpation o ka ʻāina lumbar, ʻoi aku ka kihi ʻehiku hema-vertebral, ka ʻeha kaumaha ʻoi loa (Hōʻikeʻike Mayo-Robson) Ma ka wahi o ka hypersensitivity i ʻike ʻia e ka palpation superficial, ua hōʻike ʻia nā ʻiʻo uaua o ka paia ʻōpū o ka ʻōpū, kahi e hōʻike ana i ka loaʻa ʻana o ka pancreatogenic effusion, waiwai me nā enzymes, a me nā mea maʻamau o ka peritonitis pancreatogenic. Ka ʻike pinepine ʻana i ka pale kaua hōʻeha o ka paia o ka ʻōpū ma ka projection o nā pancreas (Hōʻike Kerte).

ʻO kekahi o nā hōʻailona o ka pancreatitis luku ʻia ka mea i ʻike ʻia i ka hanana o ka loaʻa ʻole o ka pulsation o ka aorta ʻōpū ma muli o ka hoʻonui o ka nui o ka pancreas a me ka edema o ka mīkini retroperitoneal - ʻO ka hōʻailona Voskresensky.

Ke kēnaʻa ʻia ke kaʻina i loko o ka peke pahu, ʻike ʻia ka hoʻopaʻapaʻu o ka naʻau ma ka ʻaoʻao o ka epigastric, me ka pālahalaha ʻana o ka ʻaole ma waho o kona mau palena (i ka kiko parietal a me nā pelvic, a me ka peritoneum) ʻO ka maʻi Shchetkin-Blyumberg. ^ E Ha yM. Pono e hoʻomanaʻo ʻia me ka localization o ke kaʻina necrotic i ka huʻu o ka pancreas, hiki i ka hōʻailona o ke kuʻuna o ka peritoneal palupalu, kahi i pili pū me ka hanana mua o ka hanana kūpono o ka hana a me ka haʻalele ʻana o ka peritonitis. Ke hoʻopili ʻia ke poʻo, maʻamau ka ulu ʻana o ka hoʻomohala ʻana o ka maʻi jaundice a me ka gastroduodenal paresis.

ʻO ke kiko o ke kamaʻilio leo ʻana i nā pā wahi o ka ʻōpū e hōʻike ana i ka loaʻa ʻana o ka hopena i loko o ka ʻōpū o ka ʻōpū. Hōʻike ka maʻi o ka ʻōpū i ka nā nāwaliwali a nā ʻole ʻole o nā ʻōpū o ka ʻōpū ma muli o ke kūkulu ʻana i ka papahele o ka palu a palalytic a me ka peritonitis pancreatogenic.

Nā diagnostic Laboratory

ʻO ka hōʻike nui o ka pancrepitis ākea kahi maʻi hana o ka pancreas, ke ʻano, hōʻailona hoʻonāukiuki. ^ E Ha yM. ʻO kēia hiʻohiʻona o ka pathogenesis o ka pancreatitis hoʻonā no nā makahiki he nui ua hoʻohana pinepine ʻia i ka hopena maʻi me nā maʻi e pili ana i ka maʻi o nā ʻōpū. ʻO ka hoʻoholo ʻana o ka hana amylase i ka plasma koko (me ka liʻiliʻi pinepine - lipases, trypsin, elastase) - kahi maʻi diagnostic. ʻO ka hana maʻamau ma ka hana maʻamau ka hopena o ka hana amylase a me ka lipase ma ke koko. ʻO kahi hoʻonui e 4 mau pālani o ka hana o ka amylase a me ka pancreatic amylase a me ka lipine 2-lip e pili ana i ka palena palena o ke kumu ke hōʻike nei i ka hanana o ka pancreatostasis.

ʻO ka nui loa o nā hana no ka serum amylase ka ʻano no ka lā mua o ka maʻi, e pili ana i nā huaʻōlelo o ka hoʻokaʻina o nā maʻi āpau me ka maʻi pancreatitis ma kahi hale mālama. ʻO ka hoʻomakaʻana o ka hana lipase i ke koko he hōʻike hōʻike hōʻike nui ma kahi lā ma hope mai ka hoʻomaka ʻana o ka maʻi, ʻoiai ʻo kāna hana i loko o ke koko o ka mea maʻi me ka pancreatitis ka maʻi e hoʻomau ka lōʻihi ma mua o nā waiwai o ka amylasemia. Hoʻoholo kēia hiʻohiʻona i ka kiʻekiʻe o ka naʻau a me keʻano o ka hōʻike lipase e pili ana i ka amylase.

Ma ka hoʻomaʻamaʻa kūloko kūloko, hoʻohana ʻia ka wehewehe ʻana o ka amylase i ka urine. ʻO kahi hōʻike hou, ʻo ia ka noi ʻana o ka hana amylase i ka exudate peritoneal i ka wā laparoscopy (laparocentesis). Ke hoʻohana nei i ke ʻano o Volgemut (hoʻoholo i ka nui o ka hana amylolytic o ka urine), e like me ia o ka hana maʻamau o ka amylase ma ka urine he 16-64 mau ʻāpana, ʻike ʻia nā pae like ʻole o kona hoʻonui ʻia - 128-1024 mau ʻāpana. a keu aku. ʻAʻole kūpono loa ke ala Volgemut no ka pancreatic α-amylase, no ka mea e hōʻike ana i ka nui o nā hana o nā pūmū glycolytic i loaʻa i ka medium biology i hoʻouna ʻia no ka noiʻi.

ʻO ka koho o ka trypsin a me ka hana elastase i ke koko ma ke kaohi ʻana i ke kanikani pancreatitis me ka hoʻohana ʻana i ka lāʻau ma mua o ka nānā ʻana o ka hoʻokele ʻana o ka amylase (lipase) ma muli o ka paʻakikī o ka uku a me ke kumu o nā kaʻina.

Hypreamylasemia ma ka hana poʻomanaʻo o ka maʻi, he māka koʻikoʻi o ka hana pancreatic i mālama ʻia i nā kūlana o ka pancreatostasis, ka mea maʻamau no ka pancerstitis interstitial a i ʻole focal (capitate) pankreatic pancreatic i nā lā mua o ka maʻi. Dysfermentemia (kaʻole o ka ratio amylase a me ke lipase koko) e hōʻike ana i ka necrobiosis pancreatic, aʻo ka pae maʻamau o ka amylase i ke koko, hypoamylasemia (a ʻo ke fermentemia) ka ʻano nui o ka pankreatic pancreatic, e hōʻike ana i ke ʻano nui o ka luku ʻia ʻana o ka pancreas a me kona nalowale o ka hana excretory.

ʻAʻohe pilina pili ma waena o ke kiʻekiʻe o ka amylasemia (amylazuria), ka mea nui a me ka ʻano o ka necrosis pancreatic (interstitial, momona, hemorrhagic). Pono e noʻonoʻo pono ʻia nā hopena o nā haʻawina o ke kahe o ka enzyme o ke koko e hui pū ai me ka ʻikepili mai nā mea ʻē aʻe, nā ʻoihana ʻenehana a me nā mea hoʻokalakupua no ka nānā ʻana i kahi maʻi me ka maʻi pancreatitis.

ʻAʻole hoʻohālikelike o nā loli i ka lāʻau koko lapaʻau no ka maʻi pancreatitis. Ma kēia noʻonoʻo ʻana, ʻike nui nā pilikia nui i loko o ka ʻoihana hoʻokaʻawale o nā maʻi aseptic a me nā maʻi o ka necrosis pancreatic i ʻike ʻia, he mea koʻikoʻi loa ia mai ka manaʻo o ka mālama manawa kūpono. Ka hoʻonui ʻia ʻana o kēia mau ʻōuli i ka dinamics o ka maʻi ma mua o 30% o ka pae mua, me ka ʻikepili a me nā ʻikepili a me ka ʻimi noiʻi, hōʻoia i ka hoʻomohala ʻana o ka maʻi pancreatogen, akā i ka manawa like, me ke kānāwai mau nei, e mau ana lākou no ka mau lā 2-3. ʻO ka mea i ʻoi aku ka makemake i ke ʻano o ka maʻi peka o ka pancreatic necrosis, ʻo ka paepae o ka leukocytes o ke koko ma luna o 15x10 9 / l a me kahi mākaʻikaʻi huki leukocyte o ka 6 mau ʻoihana.

Nā hōʻailona hōʻailona ʻole manaʻo ʻia nā maʻi thrombocytopenia, anemia a kaomi ʻana, pono lākou e noʻonoʻo i ka ʻikepili o ka ʻikepili a me ka ʻikepili kōkua.

ʻO nā hoʻololi ʻana o ka biochemical i ke koko ke hōʻike nei i ka hoʻomohala ʻana o ka maʻi hyper- a me ka dysmetabolism, ka mea i hoʻolaha nui ʻia ma nā hana ʻino o ka pancreatitis. I kēia mau kūlana, ʻo nā hoʻololi nui loa i ka pōpō biochemical spectile he dysproteinemia, hypoprotein a me hypoalbuminemia, hyperazotemia a me hyperglycemia. ʻO ka hyperglycemia hoʻomau hōʻike i ka necrosis pancreatic ākea, a ʻo kona waiwai nui ma mua o 125 mg / dl (7 mmol / l) - kahi pono prognostic kūpono. ʻO ka hypertriglyceridemia, hypocholesterolemia, ka nui o ka lipoprotein kahe nui, a me ka hoʻonui ʻana o ka ʻaina o nā momona momona i hoʻopaʻa ʻia ma ka hāpana o ka lipid molī.

ʻO ka protein c-reactive me haptoglobin a me α₁-antitrypsin - kahi punetē o ka huehue o ke kīpē. Ma ke pancreitis akuhi, ʻo ka ʻike o ka protein C-reactive o ka oi ma mua o 120 mg / l i loko o ke koko o ka mea maʻi e hōʻike ana i ka hōʻino o ka necrotic i ka pancreas. Hōʻike ka ʻike o ka protein C-reactive i ka paʻakikī o nā hana ʻoi a me ka necrotic, hiki iā ʻoe ke hoʻohana i kēia hoʻāʻo e hoʻoholo ai, ma ka lima, ka edematous pancreatitis a me ka pancreatic necrosis, a ma kahi ʻē aʻe, ka sterile a i ʻole i ka maʻi o ka hana necrotic.

Ke noi hoʻāʻo ai ka procalcitonin i nā ʻano like ʻole o ka maʻi pancreatitis i hōʻike ʻia i loko o nā mea maʻi me ka necrosis pancreatic i loaʻa, ʻoi aku ka kiʻekiʻe o ka procalcitonin i kahi kaʻina hoʻokaumaha maikaʻi.

ʻO ka paepae o nā necrosis pancreatic maʻamau ka manaʻo i lilo i ka pilina o C-reactive protein i ʻoi aku ma mua o 150 mg / l, a me ka procalcitonin - ʻoi aku ma mua o 0.8 ng / ml. Hōʻike ʻia kahi maʻi pancreatogen maʻamau e ka ʻike ʻana o ka protein C-reactive i ke koko o ka mea maʻi ma mua o 200 mg / l a me ka procalcitonin iʻoi aku ma mua o 2 ng / ml.

I waena o nā māka biochemical hōʻailona e hōʻike ana i ka nui o ka pancreatitisʻeha, nā haʻawina o ka hana catalytic o ka phospholipase A e hoʻohiki₂, trypsinogen, urotrypsinogen-2, trypsin-activated peptide, protina e pili ana i ka pancreatitis, interleukins 1, 6 a me 8, ke kū'ē o ke nekrosis tumor a me ka neutrophil elastase. Loaʻa ʻia ka loaʻa ʻana o ka peptide trypsin-activated i ka urine me ka holo ʻana o ka C-reactive protein a me interleukin 6. ʻO ke kiko o kēia metabolite i loko o ka wai o peritoneal e kūlike pololei ana me ke kiʻekiʻe o ka pancreatic necrosis.

ʻOiai ka manaʻo o ka nui o nā mea biochemical e hoʻonui nui ʻia i ke koko o nā poʻe maʻi me ka pankrosic pancreatic i ka hiki koke ʻia (24-48 hola) mai ka manawa i hoʻomaka ʻia ai ka maʻi, ka hoʻohana ʻana o kēia mau māka i ka hana lapaʻau e pili ana i ka hana hōʻeha e hoʻopau ʻia e nā kumukūʻai kiʻekiʻe o nā ala a me ka hala ʻole ʻana o ka paepae kiʻekiʻe ʻike maopopo ʻia. ʻO kahi ʻano hoʻohālikelike i ka pae o kēia manawa a me nā kūlana loea e like me ka hoʻoholo ʻana o ka neʻe ʻana o ka protein C-reactive i loko o kekahi keʻena biochemical.

Hemoconcentration nā hiʻohiʻona hewa loa o nā hana luku. ʻO Hematocrit ʻoi aku ma kahi o 47% i ka manawa o ka hoʻokipa o ka mea maʻi i ka haukapila a me ka pauʻana o kona emi ʻana i loko o 24 mau hola o ka neʻeʻana e hōʻike i ka hoʻomohala ʻana o ka necrosis pancreatic.

ʻO ke aʻo ʻana o ka kiko o nā hana o nā aʻomaʻi i nā mea maʻi me ka pancreatitisʻeha, paʻakikī e ka hoʻomohala ʻana o ka hepatocellular insufficiency, ʻano no ka pancreatic necrosis, hiki ke hoʻomaopopo i kahi hana kiʻekiʻe o alanine a me nā aminotransferases aspartic. ʻO ka hoʻonui nui loa e hana ai i ka hana dehydrogenase lactate e hōʻike ana i ka nui o ka nui o ka maʻi pancreatic. Mai ka hiʻohiʻona o ka maʻi hopena, pono e hoʻomanaʻo he mau hoʻololi like ia me ke ʻano o ka ahalial myocardial infarction, infinalction intestinal, a me ka hepatitis o nā ʻano etiologies.

Me ka pancaryitis biliary ma muli o choledocholithiasis, a me kahi lesion nui o ka poʻo pancreatic, ʻano nui ka cholestasis, ka mea i hōʻike ʻia e hyperbilirubinemia me kahi nui o ka kiko (hoʻopili) o ka bilirubin, ka hana nui o ka aspartate aminotransferase a me ka alkaline phosphatase.

Oh ua hoʻololi ʻia nā hoʻololi ʻana i ka kaulike wai-electrolyte hōʻike hōʻike o hemoconcentration, ka hemahema o ka pāhana, sodium, calcium. I nā ʻano maʻamau maʻamau o ka necrosis pancreatic ka hoʻohaʻahaʻa o ka calcium i ka plasma koko ma muli o kona hoʻohemo ʻana i ka foci o steatonecrosis ma ke ʻano o ka paʻakai bile.

I ka wā e pono ai e lawe i nā hoʻokolohua no ka hele ʻana o ka pancreatitis maʻi

I ka hoʻomaka ʻana o nā hōʻailona mua o ka hōʻino ʻole o ka hana maʻamau o ka pancreas e hoʻomaka, e hele koke ʻoe i kahi manawa me kahi loea. E kākau kahi gastroenterologist a i ʻole lapaʻau paha i kahi loiloi koʻikoʻi, ma hope o ia, e like me nā hopena i loaʻa, e hoʻouna ʻo ia no nā noi hou.
Hāʻawi ʻia nā hoʻoili ʻana me nā huaʻōlelo penei:

• ʻeha i ka hypochondrium hema, hōʻike ʻia i kēlā me kēia manawa, ka mea i nui aʻe ma hope o ka ʻai ʻana a hoʻoemi i ka wā o ka hoʻokē ʻai a me ke noho ʻana o ke kino,
• hoonui
• utuka
• kaʻai pinepine ʻana i ka lewa a me ka meaʻai paha,
• hoʻemi i ka momona
• mahuahua
• ka ʻeha (nā mea momona o kahi melemele a i ʻole ʻōpala paha, me kahi mea ʻala maikaʻi ʻole, ke loaʻa nei kekahi mau mea i nā meaʻai o ka meaʻai i kapa ʻole ʻia).
• mea kaumaha
• mālohi koke ke kino.

Ke hōʻike nei nā kūlana i luna o ke kino i ka hana hewa ʻole o ka pancreas, ka mea e hoʻopilikia i ka maikaʻi, e hoʻonā i ka hiki ke hana, maloʻo ka ʻili, hāʻule i ka lauoho, ulu nā anemia.
ʻO ka mea nui ka hoʻomaopopo i ka manawa a hoʻomaka ʻia ka mālama ʻana. ʻO ka hoʻohemo koʻikoʻi, hoʻopau ʻia ka paleʻana o ka electrolyte a me ka nalowale o nā mea nui o ke ala e hiki ke pilikia i ke ola kanaka.

Nui! Pono nō hoʻi ʻoe i ka ʻike ma mua o ka lawe ʻana i nā hoʻokolohua no ka maʻi pancreatitis maʻi, ʻaʻole ia e ʻai ʻia, a i kekahi mau lā ma mua o ʻoe e hōʻole i nā momona momona a me nā iʻa. Inā pono e hoʻoholo ʻia nā hoʻokolohua e hoʻoholo i ke kiʻekiʻe o ka glucose, a laila hiki iā ʻoe ke ʻai i ka meaʻai e like me ka mea maʻamau, me ka hoʻokaʻawale ʻole iā ʻoe iho.

He aha nā hōʻike e pono ai e hoʻopili me kēia pathology

Ma waho o ka nele, ke kuhikuhi ʻia nei ka mea maʻi e hoʻomāhuahua i kekahi mau haʻawina. No ka loaʻa ʻana o ke kiʻi holoʻokoʻa o ke kūlana olakino o ka maʻi, pono ke loiloi ke kauka:

• ʻike koko koko
• huki koko
• kolene kiʻekiʻe
• pae ma amylase i ke koko, urine, liele,
• loiloi ʻaʻa
• hoʻāla (enzymase, trypsin),
• bilirubin pae a me ka hana transaminase,
• nā maʻi duodenal
• kahe i ke kahe o ka ʻōpū i loaʻa i ka wā laparoscopy (hoʻokolokolo hoʻokaumaha),
• REA,
• hōʻike no nā māka ʻōiwi.

Hōʻike koko maʻi

ʻO nā hōʻike ʻehā e pono ai e lawe ʻia no ka pancreatitis kūlohelohe, hiki i ka gastroenterologist ua ʻike ʻia.

Me ka hōʻike koko ākea e hōʻike ai i ka maʻi pancreatitis maʻi, leukocytes, erythrocytes (ESR), a me ka nui o nā enzyme e hoʻoholo. ʻO ke kānāwai nui e lawe i ka nānā ʻana i ke kakahiaka ma ke kakahiaka ma kahi ʻōpū ʻole. I nā kaʻina hololi, e kau ʻia nā hōʻailona ma mua o ka maʻamau a ke hōʻike nei i kahi o ka mumū i loko o ke kino. ʻO ka mahalo, ʻaʻole i ka like i ka pae o nā enzymes i kekahi mea mai nā hōʻailona o ke kanaka olakino.

ʻŌkuhi koko

Hiki iā Biochemistry ke hoʻoholo i ke kiʻekiʻe o ka:

• Hoʻopuka, hoʻāla ʻia (ʻaʻole pono ka laulā o ka 5.5 mmol / l),
• haʻahaʻa haʻahaʻa (maʻamau 3-6 mmol / l),
• ʻO nā enzyme pancreatic (alpha 2-globulin e hoʻohaʻahaʻa ʻia).

Eia nō naʻe, ma nā hana ʻoi a me nā neoplastic, maʻi ʻana o ka maʻi ʻōhumu, e piʻi ka maʻamau (ma ka maʻamau 7-13%), hoʻonui ka trypsin (maʻamau maʻamau 6060 μg / L) a me ka lipase (maʻamau 22-193 U / L).

Hoʻolohe Pilikia loa i ka maʻi pancreatitis ka pae o ke kō, ʻo ia ka mea e ʻike ai ka mea maʻi. He hōʻailona ma kahi o 7 mmol / l e hōʻike ana i ka loaʻa o ka maʻi maʻi.

ʻO ka loiloi Fecal

I ke aʻo ʻana o na feces no ka biochemistry, ua loaʻa ka fiber i ka wā ʻole i ka hoʻokaʻawale ʻana, nā māla o ka ʻiʻo, e palupalu ka kala a ke ʻano, ʻoi nā ʻano like. I ka loaʻaʻana o ka pancreatitis, he mālama i ka emi o ka exocrine insufficiency, kahi e hōʻike ai i ka hana o ka enzyme i hōʻemi.

ʻĀninalysis

Hoʻomaka nā amelia laumū maʻamau i loko o ka urine. Pono e hōʻiliʻili i ka pōʻai kakahiaka i loko o ka nui o ka 100-150 ml. ʻO ke ʻano o ka amylase pancreatic he 0-50 mau waihona / pālama.
Ke hōʻike nei i ka hoʻāʻo ʻana i ka urine no ka maʻi pancreatitis maʻi, ua hoʻoholo ʻia ka ʻōmaʻomaʻa o ka amino, ʻoiai me ka maʻi ua ʻike ʻia ko lākou excretion nui, e hōʻike ana i ka maikaʻi o ke kō ʻana o nā kumu amino i loko o ka pākuhi liʻiliʻi. Kōkua ka Lasus hōʻike e hoʻoholo i ko lākou hele ʻana. No ka noiʻi, hoʻohana ʻia ka urine kakahiaka, e ʻohi ana i ka waena waena i kahi pahu momona.

Nui! I ka pancreatitis kūlohelohe, hoʻonuiʻia ke kiʻekiʻe o CEA (cancer-embryonic antigen) ma 70%.

I ka pancreatitis kūmau, ua hoʻonui ʻia kahi kiʻekiʻe o ka māka CA CA 125. I loko o ka pancreatitis, ʻoi aku ka hoʻonui ʻana o ka hōʻailona o ka CA 72-4 māka.

Ke koho nei i ka pae o nā mākau ʻōiwi

Hoʻokumu i kēia mau hopena, ʻaʻole i ʻike ʻia kahi hōʻike hope loa o ka loaʻa ʻana o ka pancreatitis maʻi. Pono e hana i kahi loiloi piha e hoʻoholo i ka maʻi kaulike.

• ʻO ka pōkole o nā ʻōpū o ke ʻōpū e hoʻoholo ai i nā loli i loko o nā kiko o ka pancreas,
• X-ray - e hōʻoia i ka kalakei pancreatic,
• loiloi me kahi tomograph e ʻike i nā wahi o ka nekrosis a tumor paha,
• magnetic resonance imaging no ka panamaging imaging o ka pancreas,
• lawe i ka biopsy no ka noiʻi,
• E kōkua nā fibrogastroscopy e nānā hou i ka pancreas.

Manaʻo pinepine nā poʻe maʻi he aha, me ka loaʻa ʻana o ka maʻi pancreatitis maʻamau, ʻo ka hapa nui o nā hōʻike ma loko o nā palena maʻamau.. ^ E Ha yM. ʻO ka meaʻoiaʻiʻo o kēia maʻi āpau he paʻakikī i ka predisposition anatomical o ke pancreas a me kāna pilina me nā lālā ʻē aʻe o ka gastrointestinal tract.
Eia naʻe, kahi papa inoa kūpono loa o nā kaʻina hana e kōkua i ka neʻe ʻana i ka loea e hoʻokumu i ka maʻi kūpono a koho i ka mālama kūpono. I mea e hilinaʻi ʻia nā hopena, pono ia e hoʻoponopono pono i nā lula āpau no ka hōʻiliʻili i nā hoʻokolohua.

Kuhi ʻia ka mea maʻi i ka imaging magneton resonance no ka imaging panoramic o ka pancreas

He aha nā kaʻina pale i nā maʻi o ka pēpē gastrointestinal?

I mea e pale ai i kēia maʻi, pono ʻoe e pili i kaʻai kūpono. I ka papaʻai e pono ke komo i nā minamina a pau loa a me nā minela. ʻO ka ʻai ʻana i nā huaʻai a me nā ʻai ʻai he pono. Hōʻalo nā meaʻai momona a me nā palaoa i lalo o ka laina; ke kīʻaha ʻia ka paʻakai momona a me nā meaʻai momona. Hoʻopau i nā carcinogens, mālama i nā mea a me nā mea kanu hoʻohui hou.