Nā hōʻailona a me ka mālama ʻana i ka mumū o ka pancreatic

Hoʻokomo i ka Therapy o ka pancreatitis ka koho ʻana o kekahi mau hui o nā lāʻau lapaʻau a me ka meaʻaiʻai. ʻO nā hana mua o ka mālama ʻana i ke ʻano o ka ʻano like ʻole o ka pancreatitis e lawe ʻia ana i loko o kahi keʻena o ke haukapila, hiki ke hoʻokō ʻia ka lapaʻau i ka home.

Nā kumu o ka pancreatitis

I kēia manawa, ʻoi aku ma mua o ka 100 o nā kumu nui o ka ulu ʻana o ka ʻaila o ka pancreatic i wehewehe. E pili ana kēia:

nā maʻi ʻē aʻe o ka hoʻoweliweli ʻana (duodenitis, hepatitis, gastritis),
nā hewa i ka meaʻai, i ka hoʻohana ʻia ʻana o ka nui o ka ʻai a i ʻole ka nui o nā momona, kōpala, nā meaʻai ʻai, a me ke koho ʻana i nā kīʻaha ʻole a like ʻole (ka laʻana, ma kahi huakaʻi huakaʻi - makemake i nā kīʻaha o ka pāʻina a ka lahui).
makemake nui i nā mea inu ʻawaʻawa a me ka hoʻohana ʻana o nā ʻano wai ʻole i ka wai ʻole me ka wai ʻole (cologne, ʻona kūlohelohe),
ka lōʻihi o ka hoʻohana ʻana i nā lāʻau lapaʻau e hoʻopilikia i ka mokuʻāina o ka pancreatic kiko.

I ka nui o nā hihia, ʻo ka impetus no ka hoʻomohala ʻana i nā hōʻike lapaʻau o nā maʻi i hāʻawi i ka hopena o kekahi mau mea hoʻonāukiuki. ʻAʻole paha ka mana o ka mea wale nō e hoʻopilikia ai no ka hoʻomohala ʻia ʻana o ka maʻi a hoʻonāukiuki wale nō i ka loli hoʻololi ʻana i ka ʻikepili ʻōnaehana.

Hoʻoulu pinepine ka ʻano maʻamau o ka maʻi ma muli o ka lawa ʻole o ka mālama ʻana i ka ʻano o ka hoʻonaninani a i ʻole ke hopena o ka hōʻike mau ʻole a ʻike pinepine ʻole i ka hopena like ʻole (me ka hoʻohālike, me nā maʻi ʻē aʻe o ka loea kūwili - kōpū, ʻōpū, nā ʻōpū).

Hoʻonui wale ka nui o nā mea maʻi me nā maʻi maʻi pancreatic i kēlā me kēia makahiki. Pili kēia i nā hopena ʻelua a me nā maʻi o ka maʻi. Hoʻonui ka hoʻonui ʻana i ka morbidity, ma ka lima hoʻokahi, ma o ke ʻano mau o nā huahana o ka meaʻai, a ma kekahiʻaoʻao, ma ka hoʻohaʻahaʻa ʻana i ko lākou ʻano a maikaʻi ʻole ka mālama o ka poʻe i ko lākou kūlana olakino.

ʻO ka hoʻololi ʻana i nā maʻi maʻi peka i loaʻa i nā wahine a me nā kāne. Hoʻomaopopo ʻia kēia mau kaʻina hana i nā pākeke i nā manawa pinepine ma mua o nā keiki. ʻO ke kūkulu ʻana o ka pancreatitis i kahi keiki (ʻoi aku ka preschool a me ke kula mua o ke kula) he ʻano maʻamau.

ʻO ke kiʻi kaukauʻana o ke ake o nā ʻano like ʻole o ka maʻi

Hoʻomaʻamaʻa ʻia nā hōʻailona o ka maʻi pancreatic e ka ulu wikiwiki a me ka ikaika nui. Hoʻololi lākou i ka uʻi ʻana i ke ʻano o ka anatomical o ke kino (edema a me ka luku ʻana i ka ʻōnaehana cellular), me ka hōʻeha ʻole i kāna mau hana pono (synthesis o nā hormones a me ka digestive enzymes). No ke ʻano o ka huaʻōlelo, ʻo ia nā hōʻailona like ʻole:

ʻeha o nā ʻano ʻokoʻa like ʻole, akā ma ka hapanui o nā maʻi e ʻokoʻa i ka hōʻeha loa a hiki i ka wā hiki ʻole ke hoʻololi ʻia.
paʻa ka ʻeha ma ka ʻōpū o luna, e hūele pinepine ana i ka ʻaoʻao o ka lumbar o ka ʻāina, ka sternum (like me ka ʻeha o ka angina pectoris), nā ʻeke poʻohiwi hema a me ka pae o luna,
Hōʻeha ka ʻōpū me ka pancreatitis e hoʻonui, maʻamau ka pulupulu a i ʻole ka haki ʻana, ʻaʻole ia e pau me nā analgesics maʻamau a ʻaʻole loli i ka ikaika me ka loli o ke kūlana o ke kino,
nele i kekahi mea ai (a i ʻole mea e hoʻokaʻawale i ka meaʻai), ʻeha mau loa ka lōʻihi me ka haʻi ʻole ʻana o ka meaʻai, ke ʻano mau ʻana ka lua a me ka pane ʻana mai o ka meaʻai maʻamau, a ʻai ʻia ka ʻai,
ʻoi aku ka nui o nā huaʻōlelo i ka indigestion - nā hana hoʻomākaʻi ʻole me ka ʻole o nā kīnā o ke koko a me ka mucus, nā palaka i hoʻopili ʻia me nā kīnā o nā momona momona,
e loli nui ke kūlana maʻamau o ka mea maʻi - e piʻi pinepine ka mahana i nā helu nui, hōʻeha a hōʻeha nā maʻi ikaika.

ʻO ka loli ʻano maʻamau o ka pancreatitis e nā hōʻailona hōʻailona ma nā ʻano he nui e like me ka ʻākala. Eia naʻe, ʻoi aku ka paʻakikī o nā hōʻailona pilikino. I kahi ʻano maʻi maʻamau o ka maʻi pancreatic, kani kekahi i nā:

kahi loli i ka ʻono (hoʻoneʻe ʻia, hoʻokaʻawale i kekahi kīʻaha),
nā manawa kekā o ka moʻā ʻana a me ka hoki ʻana i ka lua a me ka hulahula.
ʻeha i loko o ka ʻōpū, akā i ka ʻeha, ʻaʻole i pohā, i ka ʻōpū o luna (ʻeha o ka ʻeha ma ke kua a me ka lima hema a nānā pinepine ʻole ʻia).
nā kinikini wai hoʻoneʻe, i hoʻonā ʻia e ka uʻe ʻole ʻana o nā hana kūwili ʻana, ʻaʻole na ka hoʻohui ʻana i mea hoʻopukapuka.

Inā hele mai nā hōʻailona mua o ka pancreatitis (ʻelua a me ke koʻikoʻi), pono ia e ʻimi pono i ke kauka i ka hiki. He aha ka mea e hana ai i kēlā kūlana, he aha ke ʻano o ke ʻano hoʻokō ʻana a me nā lāʻau lapaʻau e pono ai e mālama - e hoʻoholo ke kauka. Hiki i kahi loea nui ke hoʻomaopopo i nā hoʻopiʻi i ka manawa a kuhikuhi i nā lāʻau kūpono e hoʻopau iā lākou. He paʻakikī nā ʻōuli o ke kaʻina hana o ka maʻi pancreatic, hiki ke alakaʻi i ka neʻe piha o ka ʻai (ʻo ka pancrosatic pancrosatic), ʻo ia ke kumu o ka hōʻino kino pono ʻana i kēia maʻi.

He aha nā hōʻike i kuhikuhi ʻia no ka pancreatitis?

Inā kānalua ka pancreas i ka ʻeha ʻana, pono ka hōʻoia o ka maʻi e ka ʻenehana a me nā ʻimi aʻo. ʻO ka ʻōlelo maʻamau maʻamau:

ka nānā pinepine ʻana o ke koko peripheral (helu leukocyte a me ka neʻe ʻana o ka leukocyte formula i ka piʻi hema)
nā maʻi urine e hoʻoholo ai i ka alpha-amylase (i ka pae maʻamau, ua hala kēia enzyme)
coprogram (ma ka hihia o ka pancreatitis, ka nui o nā nui o nā momona momona e ʻike ʻia)
ka ʻike ʻana i ke pae o ka enzyme pancreatic (lipase, trypsin, amylase) - ke ʻano o ka hana ʻana o kēia mau ʻana me ka pancreatitis,
Nui ka maʻi o ka ʻōpū o ka ʻōpū (he hoʻonui i ka nui o ke okana, nā blurring a me nā ala ākea, kahi hoʻonui i ka echogenicity o ka ʻōpū o ka ʻōpū, e hōʻike ʻia ana - ma ka ʻano o ke ʻano o ka pancreatitis, ma ke ʻano maʻi o ka maʻi, nā hōʻailona o ka wehe ʻana o ke kohu glandular me ka kiko konoho e hele mai i ke mua).
ka hapanui o ke ʻano o ka radiology o nā ʻōpū i loko o ka ʻōpū o ka ʻōpū ma mua o ka maʻi ʻokoʻa ka ʻike ʻana i ka maʻi pancreatitis, me ka hōʻike ʻia kekahi mau loli ʻano.

Ma muli o ka ʻike nui loa i loaʻa (ka nānā loiloi a me nā hopena o ka laboratorium a me ka hoʻoneʻe o instrumental), hana ke kauka i ka hopena e pili ana i ka hōʻeha o ka maʻi ma kahi maʻi maʻi maʻi, e pili ana i ke ʻano o ka mumū a hāʻawi i nā ʻōlelo aʻoaʻo i ka pehea e mālama ai i ka mea maʻi, ka mea āu e ʻai ai a me nā pilikia mālama olakino.

Meaʻai no ka mumū pancreatic

I kēia kūlana, koʻikoʻi ka meaʻai, no ka hiki ʻole ke kāpae i ka mumū o ke kino pōʻino me ka ʻole o ka hoʻoponopono ʻana i ka mea ʻai. I ka lā mua o ke ʻano o ka pancreatitis, pono e haʻalele ka mea maʻi i kekahi meaʻai a hoʻopili i ke anuanu i ka ʻōpū. Ke hoʻonui ka maikaʻi o ka mea maʻi, e ʻae ʻia ka papaʻai meaʻai fractional me ka hoʻonui hou ʻana. Palapala papa papa helu 5 e ʻae i ka mea maʻi i kēia huahana:

berena la, akā, ka mea i kapa ʻia "nehinei", i hoʻomoʻo iki ʻia,
i ka nui o ka paila a me nā ʻōmole,
ʻano ʻaʻano mai nā lau a me nā meaʻai.
i ka aʻa a me ka iʻa wale nō mai nā meaʻai mai (nā mea liʻiliʻi, honu, ka moa), steamed, kālua ʻia a iʻa ʻia paha,
kekahi huahana momona, akā i ka loli a me nā haʻahaʻa momona haʻahaʻa,
nā kīʻaha cereal (casseroles, cereals tradisional, soufflé),
hua a me ka pasta i kahi palena,
nā hua a me nā huaʻaʻai wale nō a ʻoluʻolu loa,
ʻO nā mea inu i ʻae palupalu a ʻaʻole hoʻi i momona kīʻaha, compote, decoction herbal.
ʻO ka wai minuke ua kūpono loa e hoʻohana ʻia ma ke ʻano he kauka lapaʻau no ka maʻi pancreatitis.

Pono e ʻai iki o ka mea maʻi i ka ʻāpana, ʻo ia hoʻi, ma nā wahi liʻiliʻi ʻo 5-7 mau manawa i ka lā, pono nā ipu a pau i ka lumi lumi.

ʻO ka lāʻau lapaʻau

Aia nā lāʻau pono e pono e hoʻohana i ka hoʻopau ʻana i ke kaʻina hana maʻi a me nā meaʻokoʻa ʻē aʻe, e pono ai e hoʻihoʻi hou i ka hana o kahi kelepona i hoʻopau ʻia. ʻO ka hōʻike pinepine ʻia i nā lāʻau lapaʻau mai nā hui apotekope i lalo iho:

painkillers o non-narcotic (Diclofenac, Ibuprofen) a me ka narcotic (Promedol, Ketanov) series,
nā mea hōʻaloko o ka ʻuʻina proton ka mea (Rabeprazole, Pantoprazole, Lansoprazole) e hōʻemi ana i ka hūnā ʻia o nā ʻāpana ʻawaʻawa,
H2 histamine receptor blockers (Ranitidine, Famotidine) no ka kumu like,
nā mea hoʻohālikelike o ka proteolytic fusion o ka pancreatic tissue (Gordoks, Kontrikal),
lapaʻau infusion therapy me ka colloidal a me nā paʻakai paakai,
me ka holomua, nā enzyme e like me nā synthesized i ka pancreas.

ʻO ke kaʻina kaʻeha o ka pancreas kahi maʻi koʻikoʻi, akā hiki ke mālama ʻia i kahi maʻi, inā hāʻawi ʻia ke kōkua lāʻau lapaʻau i ke ʻano o ka manawa.

Nā Palapala Lānuʻapa Pancreatitis

ʻO ka pancreatitis ka mumū o ka pancreas. ʻO nā ʻōmaʻomaʻo o kēia maʻi e hiki ke hōʻeha i ka ʻōpū, ka nāwaliwali ākea o ke kino, loli i ke ʻano kino o ke kino a me ke kaʻe koko, ke ʻano o ka waha maloʻo, nā kī pinepine o ka lua a me ka luaʻi.

Eia nō naʻe, hiki i kēia mau hōʻailona ke hōʻike i ke kūkulu ʻana o kekahi mau maʻi ʻē aʻe i pili ʻole i ka pancreas.

Pehea e hoʻokō ai i ka pancreatitis a he hiki ke hana i kēia me ka ʻole o ka hoʻohana ʻana i kahi hoʻokolohua instrumental? Inā kānalua ka pancreatitis, pono kahi hoʻomaʻamaʻa koʻikoʻi e hana i ka maʻi ʻokoʻa a hāʻawi i nā hoʻokolohua kūpono (ʻo ka hoʻopaʻa ʻana o ka laboratorium). A ma mua o kēlā, hiki i nā hōʻailona aʻe ke hōʻike i nā pilikia me ka pancreas:

ke hele aku o nā ʻeleʻele uliuli e kokoke ana i ka pualikoa a i ʻole ma ka pā o ka ʻōpū,
ʻeha i ka wā palpation a pā paha i ka wahi o ka pancreas,
ka maʻamau pinepine o ka ʻeha ma hope o ka inu ʻana i ka wai ʻaka, keʻa palaoa a me nā mea momona paha,
me ka pancreatitis, ʻaʻole e ʻike ka mea maʻi i ka pulupulu aortic i loko o ka ʻōpū,
i ka wā ākea i ka pā o ka ʻōpū, hōʻeha ke kanaka i ka ʻeha a me ka ʻeha.

Inā loaʻa kēlā mau maʻi, e kau ʻia ka hōʻike koko olelika e nā kauka no kahi maʻi pololei ma hope o ka hoʻokolokolo mua o ka mea maʻi. ʻO ia ke ala maʻalahi, akā naʻe ka ʻike. Wahi a kona hopena, ua hoʻoholo ʻia ke ʻano o ka maʻi. Kuhi ʻia nā mea hoʻohālikelike me nā kumu: kahi e hoʻonui ai a hoʻoemi paha i kekahi o nā enzyme pancreatic, kahi hoʻohaʻahaʻa i nā pae o ka nui o ke kō, ka hōʻemi i nā pae o ka insulin, etc.

ʻO ka helu koko holoʻokoʻa e ka helu o leukocytes e hōʻike koke inā aia kekahi hanana maʻi i loko o ke kino. E kōkua nā loiloi electrolytic a aqueous e hoʻokau i ka maʻi pancreatitis, ʻoiai nā mea maikaʻiʻole o ka pancreas e alakaʻi i nā loli i ka nui o ke kahe i loko o ke koko, a me ka hoʻemi ʻana i ka ʻaina o nā mineral e pono ai no ka hana piha o ka ʻōnaehana cardiovascular.

Hōʻike ka hōʻike ʻana o ka urine nui no ka pancreatitis i nā kaʻe koʻikoʻi mai nā kumu maʻamau.

Nā ala hana no ka hoʻomohala ʻana i ka pancreatitis

ʻO ka mea nui o ka hoʻomohala ʻana i nā maʻi ʻo ka pancreatic ka mea noiʻi noiʻi noiʻi, i ka wā e hiki ai iā ʻoe ke ʻike i ka hopena o ka pancreatitis ma ka palu a me nā kumuhana ʻē aʻe. ʻO ke ala kaulana loa ʻo ia ka hoʻoweliweli a ka maʻi. ʻO kēia ke ala kūpono loa e ʻike ai i nā mea āpau e loaʻa me ka pancreas, e hoʻoholo ai inā paha ua loli nā loli o nā io o ke ʻano, inā he mau lēipala, nā kolo a purulent, he aha ke ʻano o nā dile bile. Ma mua o ka hana ʻana i kahi ultrasound, pono e pili pono ka mea maʻi i kekahi meaʻai no nā lā 3. Ma kahi o 12 mau hola e hala ma mua o ke kaʻina hana a me ka pāʻina hope.

ʻO ke ala lua e nānā ai i ka pancreas ma o x-ray. Me ia, hiki iā ʻoe ke hoʻoholo pololei i ke ʻano o ka hoʻopiha, ʻike inā he mau pōhaku i nā ʻoihana ma ka bile, nā pākeke o ka pūpū, hoʻonui i ke ʻano o ka spleen, kidney, etc. Hiki i kēia ʻano noiʻi e hōʻike ai i nā pilikia me ka lapuwale i ka ʻole o ka mana o nā hoʻohana ʻana i ka ultrasound (no ka laʻana, me ka lemulelo ikaika).

ʻO ke ʻano he kikoʻī, akā he ala nui ia. Me kāna kōkua, hoʻoholo ke kauka i ka nui o ka pancreas, e hoʻoholo ana inā he mau wahi maʻi make, ka huhū. ʻO ka maʻi maʻi pancreatic i nā wā mua i hōʻike pololei ʻia me ka hoʻohana ʻana i ka tomography. Hiki i ke ala ke hiki iā ʻoe ke hoʻoholo i ke ʻano o ka huki, a me ke ʻano o nā ʻōlike.

I nā pilikia koʻikoʻi, hiki ke hoʻohana ʻia ka laparoscopy no ka maʻi maʻi. Ma kēia kaʻina e hiki ai iā ʻoe ke ʻike i ka lepa i nā hoʻololi a me nā loli i loaʻa me ia, me ka ʻike i ke kumu, hoʻoholo i ke ʻano o ka maʻi.

Inā pono, hiki ke hoʻohana ʻia ka laparoscopy ma ke ʻano he ʻano pale o ka holo ʻana.

ʻO kekahi ala ʻē aʻe no ka hoʻopaʻa ʻana i nā maʻi pancreatic ʻo ka endoscopy. Hoʻopili ʻia kēia kaʻina hana i ka hoʻomaka ʻana o kahi endoscope ma o ka esophagus, i hoʻokomo ʻia ai ke kāmera. Ma hope o ka hoʻopuka ʻana o kahi hui kūʻokoʻa kūikawā, hiki i kahi loea ke ʻike i nā ala o ka gallbladder, nā pihi pancreatic. Ke hoʻokō nei i kēlā me kēia noiʻi ʻana, inā pono, hiki i ka mea maʻi ke hana i ka mini-mahi endoskopika. I ka wā o ka endoscopy, hiki ke hoʻokaʻawale i nā ʻāpana kiko no nā ʻano ʻano like ʻole, ka lawe i nā gallstones, hoʻokumu i nā stent ma nā dile bile, hoʻoneʻe i nā polyp, kī me ke koko o loko.

ʻO nā pilikia i ka hoʻonāʻana o ka maʻi pancreatitis

ʻO ka mea nui a me ka maʻi maʻamau ka maʻi pancreatitis he mau ʻōpū o ka ʻōpū, nausea, luaʻi a me ka hōʻeha ʻana, he mea pono ke noʻonoʻo i nā maʻi ʻē aʻe he mau hōʻailona like ʻole. Nā Gastroenterologists e hōʻike i nā maʻi pancreatic, i ka wā e kau ana i ka pancreatitis i nā pākeke a me nā keiki, pono e haʻalele i nā maʻi ʻē aʻe.

ʻO kahi ulia perforated kekahi mau hōʻailona like i ka mumū o ka pancreas. Hōʻike ʻia kēia mau maʻi ma ka ʻeha ʻeha, hiki ke hoʻonāukiuki i ka ʻehaʻeha o ke kaumaha, ka hoʻohaʻahaʻa ʻana i ka holo ʻana o ka puʻuwai, a me ke kūpaʻa ʻana ma nā paia o ka pūpū o ka ʻōpū. ʻOkoʻa ka mea ʻokoʻa ʻole me kahi ulia perforated, hoʻoulu pinepine ia aʻai, a me ka pancreatitis e kū mau ana ia. ʻO ka ʻōlelo ʻelua e wehe ai i kahi maʻi mai kahi ʻē aʻe, ʻo ka mea maʻi i ka ʻōpio perforated hiki ke loaʻa kahi ʻoluʻolu i kahi ona e aneane ʻaʻole e hōʻeha, a me ka pancreatitis, ʻaʻole e hele ka ʻōpū a me ka nāwaliwali i kekahi kūlana o ke kino.

ʻO ka pancreatitis nā hōʻailona like me ka cholecystitis. ʻO ka pinepine, ʻo ka cholecystitis kahi hopena o ka mumū o ka pancreas. Kuhi ʻia ka ʻōpū me ka cholecystitis ma ka ʻaoʻao ʻākau a hāʻawi ʻia i ka poʻohiwi ʻākau e hōʻoia i ka kūpaʻa ʻana, ʻike ʻia kahi ʻōnika.

ʻO nā ʻōuli e pili pū ana me ka pancreatitis e pili ana i ka lemulewa, ka constipation, ka ʻeha ʻeha i loko o nā iwi. ʻO ka huehue ʻokiʻoki huehue he mau hōʻailona like. E hoʻokaʻawale i kēia maʻi, pono ka mea maʻi e hana i kahi hoʻokolokolo koko.Inā hoʻonui ʻia ka pae o nā chlorides a me nā diastases i ke koko, a laila loaʻa ka maʻi pancreatitis. I ka hihia inā haʻahaʻa ka nui o nā chlorides, hiki iā mākou ke kamaʻilio e pili ana i ka pākia o ka ʻōpū.

Pehea e hōʻemi ai i ka loaʻaʻana o ka pancreatitis

Hāʻawi ʻia i ka paʻakikī o kahi maʻi e like me ka pancreatitis, kāna maʻi a me ka mālama ʻana ke kumukūʻai i ke kanaka i ka nui o ka manawa a me ka hoʻoikaika. No laila, he mea nui loa ʻaʻole e haʻalele i ka pale ʻana. No ka hana ʻana i kēia, pono ia e mālama i nā maʻi o nā ʻōpū kūloko i ke manawa kūpono, ka nānā ʻana i ka mea ʻai, mai hōʻino i nā mea inu ʻawaʻawa a me nā meaʻai ʻāpala, hoʻāʻo ʻia e ʻai i nā mea kanu a me nā huaʻai, kāpae i nā huahana confectionery me nā mea momona momona a me nā mea inu momona i hoʻolaʻa ʻia. E kōkua kēia mau hana maʻalahi e mālama i kahi kelepa olakino.

Nā hōʻike no ka maʻi pancreatitis - hana a me nā hopena

ʻO kekahi o nā kaʻina hana ʻole e hiki ke mālama ʻia me ka ʻole o ka maʻi ʻana. Pono ka mea maʻi e pākuʻi a kau i nā hoʻokolohua āpau e hōʻoia a hōʻole i ka maʻi i hana ʻia iā ia. Hiki i nā kauka ke hōʻole ʻia, ʻoiai inā hōʻike nā maʻi e hōʻike i nā hōʻailona ʻole like ʻole. E kamaʻilio e pili ana i ka pancreatitis ma zheleza.com.

He aha kēia maʻi? ʻO kēia kahi hana mumū i kū ʻia i ka pancreas.

ʻO ka hōʻeha a me nā maʻi ʻōpio, ua ʻike ʻia me ka pancreatitis, a me nā maʻi ʻē aʻe he nui.

ʻO ia ke kumu ua ʻōlelo ʻia e hōʻike mua i ka maʻi a me ka hoʻomaopopo i ka maʻi, no laila, me ke kānalua ʻole, e mālama iā ia, i ka hana ʻana i kāu iho ponoʻī a mālama pono i ka maʻi i ʻike ʻia.

ʻAʻole loaʻa nā maʻi Pancreatitis i nā hōʻailona e kuhikuhi pono iā ia. ʻO ia ke kumu e hana mua ai nā kauka i nā kaʻina diagnostic, e hōʻoia e hōʻoia a hōʻole i ka hōʻike i hōʻike ʻia.

ʻO ke kumu nui o ka pancreatitis i loko o kahi kokoke o 100% o nā hihia he hōʻino a waʻa paha a maʻi maʻi gallbladder (maʻi gallstone). ʻO nā kumu maʻamau o kēia maʻi:

Wili ulopi.
Ke hoʻomau nei o ka ʻōuli o ka hormonal.
Nā maʻi āpau a me nā maʻi i ka luhi ʻana.
ʻO ka hana ʻole i nā kaʻina metabolic.

Hoʻokaʻawale ʻia nā ʻano ʻelua o ka pancreatitis. Ma ke ʻano o ka lāʻau, e hele pinepine ʻia ana, ʻaʻole i komo ka lua o ka huina o ka lāpona i ka duodenum, akā kāwele ka wai kūlohelohe. I ka pancreatitis maʻi kino, ua hoʻololi ʻia ke ʻano maʻamau o ke kūlohelohe e ka cicatricial, kahi e alakaʻi ai i kahi hōʻino i kāna mau hana a me nā hana. Hiki ke ola i kēia ʻano maʻi.

Inā loaʻa ka pancreatitis i ke kanaka, a laila ʻike ʻo ia i kēia mau ʻano:

Nā nāwaliwali nui.
Lohea
Nā maʻi maʻi.
ʻEha ma loko o ka ʻōpū.
Nalo aku o ka ʻike.

Inā ʻaʻole i mālama ʻia ka pancreatitis, a laila ʻē, ʻaʻole e hōʻemi ʻia nā maʻi ʻē aʻe:

ʻO ke koko hoʻoneʻe.
Naʻi maʻi mellitus.
Cholecystitis.
Peritonitis (kahi maʻi make).

Inā aia nā hōʻailona o ka pancreatitis, pono ke ʻoka o ka hau ma ka wahi o ke ʻeha a kāhea ke kauka. No ka hoʻoholoʻana i kahi maʻi kūpono, e kau ʻo ia i nā kūkaʻi diagnostic.

ʻAʻole hiki i ke kauka ke mālama me ka makapō ʻole, ʻoiai nā hōʻailona āpau e hōʻike ana i kahi maʻi maʻi. Hoʻohālikelike nā maʻi he nui o kēlā me kēia i ko lākou mau hōʻailona.

I ʻole hana hewa ʻole i ka pololei o nā ʻano lāʻau, mālama ke kauka i nā haʻawina e hōʻoia ana a hōʻole i ka pancreatitis:

Coprogram - ka loiloi o nā feces.
Kūʻai koko nui.
Hoʻoholo i ka hana transaminase a me ka pae bilirubin.
Hoʻoholo mua i ka cholesterol.
Kuhi i nā pae glucose koko.
ʻO ke aʻo ʻana i ka effusion - kahe mai ka gastrointestinal tract i ka wā laparoscopy.
ʻO ka hoʻoholo ʻana o ka huina piha a me ka hapa.
Kuhi i ka antigen pancreatic ma ka pancreitis maʻa.
ʻO ka hoʻokolokolo o nā manaʻo duodenal.
ʻO ka helu ʻana i ka urine, koko a me ka lawaiʻa.
Ka ʻike o ka hana enzyme (trypsin, lipase).

ʻO kahi gastroenterologist a me kekahi mea lapaʻau kekahi o nā kauka e pono e nīnau ʻia no ka maʻi pancreatitis. E mālama e hana i kēia me nā hōʻailona aʻe:

ʻO nā ʻeha e hōʻea nei i ka hypochondrium hema a i ka ʻāina epigastric paha o ke ʻano maʻamau, ʻoi aku hoʻi ma hope o ka ʻai ʻana i ka meaʻai momona a iʻa paha, ka mea i pipi i ka wā e hele ana a i kahi noho paha.
Hoʻomau a me ka ʻoluʻolu.
Hoʻonui ka mīkini.
Hoʻopiʻi nui ʻia.
ʻO ka lilo kaumaha.
ʻAi ʻia ka mākaʻai a me ka lewa.
Hele mau loa o ka momona.
Weupuaa.
Nā maʻi maʻi I ka manawa like, nā kīkī me ke koʻi ʻawaʻawa, ʻo ka mauʻu a i ʻole ka melemele i ka waihoʻoluʻu ʻulaʻula, i uhi ʻia i ka kiʻi ʻoniʻoni ʻia, holoi ʻia hoʻi mai nā paia o ka pākaukau, a loaʻa nā ʻāpana o ka meaʻai undigested.
Pāʻeha

Ke hōʻike nei kēia mau ʻōmala i ka pale ʻana i ka pancreas, e alakaʻi ana i ka hoʻopihapiha ʻana o nā palaka, ka huna a me nā kalowa, nā ʻaihua a me nā minela. A kēia i mea e hoʻomake ai i nā pilikia olakino: e kahe ana ke kani, ʻike ʻia ke anuanu, hāʻule nā lauoho, ʻoki nā kui, ua maloʻo ka ʻili.

ʻO ka helu koko piha

ʻO kekahi noiʻi kahi helu koko piha. ʻO ia ka mea maʻamau e pane i nā kaʻina maʻi i loko o ke kino. Inā loaʻa ka pancreatitis i ke kanaka, a laila e hōʻike nā hōʻike koko i kēia aʻe:

Hoʻēmi i ka hemoglobin a me nā ʻoka koko koko ma muli o ke kahe koko.
ʻO ka helu ʻōiwi keʻokeʻo keʻokeʻo.
ʻO ke hoʻonui ma ESR ma luna o ka maʻamau, ʻo ia ka 2-15 mm / h.
ʻO ke kuikake koko ma muli o ka haunaele o ka hoʻāʻo wai-electrolyte.

Inā hoʻoholo ʻoe i ka kūlana ākea o ka olakino, a laila hoʻokō ʻia ka hōʻike koko biochemical. Me ka pancreatitis, e hoʻololi pū ʻo ia i kāna kiʻi:

ʻO ka hoʻonuiʻana i nā amylase, kahi e kōkua i ka hoʻouluʻana i nā meaʻai momona. ʻO ka maʻamau, ʻo 10-100 mau ʻāpana. la l I ka hola 12 mua, ua hōʻea i kona papa kiʻekiʻe, a laila hoʻi pinepine i ka maʻamau i loko o 7 mau lā.
Hoʻonui ka nui o nā insulin ma muli o ka lawa ʻole o ka huna ʻana i ka insulin.
Hoʻonui ka pae o ka lipase, ka mea e hoʻopili ʻia i nā ʻokiʻoki ʻana. ʻO ka maʻamau, ʻo 190 mau ʻāpana. ml I nā hola 8 mua e piʻi ana i 200 manawa, a laila hoʻihoʻi hou i ka maʻamau i loko o 2 mau pule.
ʻO ka hoʻonuiʻana i ka nui o ka bilirubin ma muli o ka hoʻonuiʻana i ka pancreas a hoʻopaʻa i ka puka o ka bile.
Hoʻemi i ka pae o ka protein.
Hoʻonui i ka transimanase.

ʻO ka loiloi Fecal

ʻO kekahi ʻano nui hana diagnostic ʻano ʻo ka loiloi stool. Inā ʻaʻole holo maikaʻi ka pancreas, a laila e ʻike ʻia nā momi a undigested, a me ka momona, e ʻike ʻia i nā moʻa. Nā hōʻailona nui o ka pancreatitis e like me nā feces:

Nā meaʻai i hoʻoneʻe ʻia ma nā feces.
ʻO ka kukui keʻokeʻo māmā, kahi e hōʻike nei e pani i ka hana biliary.
ʻO ka momona i nā feces.

ʻO nā hōʻike hoʻokolohua ʻē aʻe

He aha nā hopena ʻē aʻe e hana nei e nā kauka e ʻike i ka pancreatitis? ʻO nā hana ʻē aʻe ʻē aʻe i:

ʻO Urinalysis, ka mea e kōkua i ka ʻike i nā kiʻekiʻe o ka trypsin (ʻo kēia ala ʻo ka 50% ka maikaʻi no ka mea e hōʻike ʻia ai ke ʻano o ka maʻi o ke keiki), me ka diastases (ʻeleʻele ka iʻa).
ʻO ka maʻi ʻaʻai o ke koko ma ka pae o ka trypsin. Hoʻemi ʻia ka pancreatitis.
ʻO kahi nānāʻana o nā lawaiʻa, hiki ke loaʻa i kahi haʻahaʻa o ka amylase, e hōʻike ana i ka maʻi pancreatic.
ʻO ka laparotomy Endoscopic - kahi hōʻike no kahi wahi maʻi.
ʻO ka Ultrasound e hoʻomaopopo i nā wahi i hoʻonuiʻia o ka pancreas.
Fibrogastroscopy - nānā aku iā ia ka hapa o ka lālani.
Hōʻike ʻo Lasus i ka ʻike ʻana i ke kahe ʻana o nā waikawa amino.

ʻOiai ke ʻano o ka hoʻāʻo ʻana o nā hoʻokolohua, ʻokoʻa ka hoʻākāka ʻana i nā māka a me nā kumu o ka pancreatitis. ʻO ke ʻano maʻamau o ka maʻi hiki ke alakaʻi i ka make a i ʻole ke ʻano o nā hoʻopiʻi ʻana, ka mea e hāʻawi ai i nā wanana i pōkole. Inā liʻiliʻi nā hōʻailona o ka maʻi, e kamaʻilio me kahi kauka.

ʻO ka maʻi pancreatitis pono he maʻi maʻi a hiki ke alakaʻi i nā hoʻopiʻi momona. I ka ho'ōla pono iā ia, pono ʻoe e ʻike i ke kiʻi o kāna papa. Ua kōkua nā ʻano ʻalani like ʻole i kēia, e hōʻike maopopo ana i ka hoʻomohala ʻana o ka maʻi, i loko o kāna mau hōʻailona e like me nā maʻi ʻē aʻe o ka gastrointestinal.

ʻO nā hoʻokolohua o ka pancreas: hoʻoili a me nā ʻano

ʻUmikumamālima mau makahiki i hala aku nei, ke alakaʻi alakaʻi ʻana ma waena o nā maʻi āpau āpau o ka ʻōpū o ka ʻōpū, i noho ʻia e ka appendicitis a me cholecystitis. I kēia lā, hele mai ka pancreatitis koʻikoʻi, no laila he mea nui kona maʻi.

Hoʻokumu ka pancreas i ka wai o ka pancreatic i pono no ke kaʻina hana, hōʻiliʻili i ka hormone insulin a me ka glucagon, nona ke kuleana no ka ʻaū o ka glucose i loko o ke koko. No laila, ʻo kekahi hana hewa i loko o ka hana o kēia kino hiki ke alakaʻi i ka hopena koʻikoʻi a pili i ka hana o nā kola āpau i ke kino o ke kanaka.

I mea e maopopo ai a hiki aʻe i ka hana ʻana i kēlā me kēia mau ʻaoʻao i:

lōkohu
nā pōhaku i nā papahele
nā ʻōpio
nā ʻōpū
maʻi ʻino

a me nā maʻi e like me ka duodenum, peʻe, ʻōpū a me ka ʻōpū e kū kūʻē mai i kēia ʻano, pono ke nānā like ʻia ka pancreas.

ʻO ka lāʻau lapaʻau hou no kēia mau pahuhopu ka mea nui o nā ʻano loea, nā diagnostics a me nā loiloi, e hoʻohana ʻia kēlā me kēia me kāna mau hiʻohiʻona a loaʻa ka noi noi i kekahi mau puʻupuʻu.

Hoʻolāleʻa a me nā kumumanao

No ka hoʻopaʻa ʻana i kahi hoʻokolohua o ka pancreas, pono i ka mea maʻi e kūkākūkā i kahi mea lapaʻau, a e pili hou iā ia i kahi endocrinologist a gastroenterologist. ʻO ke kauka, e pili ana i nā hoʻopiʻi a ka mea maʻi, a me ka hopena o ka hoʻokolokolo a me ka palpation o ka hōʻeha, ka puʻuwai a me ka ʻōpū, e kuhikuhi i nā kaʻina hana e pono ai.

Hoʻohana pinepine ʻia ma nā pancreatitis koʻikoʻi a me nā maʻi ʻē aʻe o ka hue, nā mea hana a me ka hoʻāʻo ʻana e hana nei:

ʻO ke hōʻike koko biochemical - hiki iā ʻoe ke hoʻoholo i ka ʻike o ka amylase pancreatic.
ʻO nā hoʻokolohua Fecal no ka steatorrhea (ka nui o ka nui o nā momona momona) a me ka loaʻa ʻana o nā ʻāpana ʻai undigested.
ʻO Biochemical analysis o ka urine - hiki iā ia ke hoʻoholo i ke kiʻekiʻe o ka diastase.
ʻO ka loiloi ultrasound - hoʻohana ʻia e hoʻoholo i ka nui a me ke ʻano o ka pancreas a me ka ʻike ʻana i nā ʻoi a me nā cyst.
ʻO ka hoʻokolokolo X-ray, CT a me ka MRI o ka mea o ka hau, ʻōpū, ka ʻōpū a me ka duodenum - hoʻoholo i ka heleʻana o nā hōʻailona kūlohelohe o nā maʻi ʻehā.
Biopsy
Nā hōʻike hoʻokolohua diagnoses a me ka nānā ʻana.

Nā hōʻike hōʻike diagnostic

Hoʻohana pinepine ʻia ka x-ray a me ka ultrasound o ka pancreas i ka hui pū me nā hoʻāʻo, kahi hiki iā ʻoe ke nānā a loiloi i ka hana exocrine o ke kino. No nā pahuhopu diagnostic, hiki ke hoʻohana kūʻokoʻa kūʻokoʻa. Ka hoʻokaʻawale ʻia nā hōʻike i loko o kēia hui:

ʻO nā hoʻāʻo ʻana e koi ana i kahi huakaʻi ʻōpū.
Kūʻai ʻole non-invasive (loaʻa ʻole).

ʻO ka maikaʻi o ka hui lua he hōʻoluʻolu nui loa no ka mea maʻi, ke kumukūʻai kūpono a ʻaʻohe pilikia i ka mea maʻi i ka wā e hoʻohana ai iā lākou. Akā he mau minula kēia mau palapala a me nā loiloi, ʻaʻole pono ka ʻike a me ke ʻano.

Kūkākūkū ʻia ka hoʻokolohua me ka hoʻoholo o ka hoʻemi ʻana i ka mea huna o ka enzyme pancreatic a maikaʻi wale nō me ka hoʻohaʻahaʻa nui ʻana i ka hoʻokumu ʻana o nā enzymes.

ʻAʻole nā mea maʻi a pau i kahi maʻi o ka pancreas, ka ʻōpū, ka ʻōpū, a i ʻole nā ʻano ʻāluā e pono ai e hoʻomaʻemaʻe i ka hoʻomaʻamaʻa ʻole a i ʻole hōʻaewa. Koho ʻia ka koho o ke ʻano no kēlā me kēia kanaka maʻi pākahi.

ʻO nā hōʻike hoʻokolokolo āpau, ʻoi aʻe ka hoʻohana pinepine ʻia o nā mea aʻe:

hoʻohuihui hanehana
'lana me elastase
pancreosimine-secretin,
ʻAi.

Hōʻike hoʻomaʻamaʻa Pancreosimine-Secretin

Manaʻo nā kauka he nui i ka hoʻohana ʻana i kēia hoʻokolohua i kahi paʻa gula i ka hoʻomaopopo ʻana i nā ala o nā hana excretory o ka pancreas. ʻO kāna hoʻokō e pili ana i ka hoʻokomo ʻana i kahi pālahalaha ʻelua-lumen i ka mea maʻi.

Hoʻolaha ʻia ke kaʻina hana ma luna o ka ʻōpū ʻole ma lalo o ka mana o ka fluoroscopy a me ka minamina mau. ʻO ka helu e pono ai i nā manawa pinepine e hōʻiliʻili i nā hoʻohālike o nā ʻōpū a me nā ʻōpū, ma hope o ka hana ʻana i ka maʻi o ka pancreosimine a me nā mea huna.

ʻIa ʻia nā ʻāpono i loaʻa ma ke ana ʻana i ka ʻike ʻana o nā bicarbonates, ka hana a me ka helu o ka hilo trypsin.

Hōʻike nā hōʻailona i ka heleʻana o ka pancreatitis:

ka hopena nui loa i ka neʻe,
i hoʻonui nuiʻia o nā enzymes
ka hoʻemi ʻana o ke kauʻana o nā mea bicarbonates.

Hiki i kēlā mau ʻōuli ke kau i nā pancreatitis maʻi a me nā maʻi palu ma kahi o ke poʻo o ka pancreas.

Hiki ke loaʻa nā hopena kūpono ʻole inā ke nānā ʻia ka pancreatitis biliary, me ka maʻi o ka maʻi mellitus, hepatitis a me cirrhosis.

Inā loaʻa nā kumu ʻenehana āpau i ka wā o ka hoʻokolohua, a laila kiʻekiʻe ke ʻano o ka diagnostic o kēia ʻano. ʻO kona hemahema ka hoʻopilikia wale ʻana o ke kani duodenal no ka mea maʻi, ʻo ke kumukūʻai ʻo nā uku nui a me ka paʻakikī o ka hana o ka laboratorium.

Ka hoʻāʻo ʻana ka waiona Hydrochloric

I ka hoʻohana ʻana o kēia hoʻokolohua, kahi hopena o ka waikole hydrochloric i loko o kahi kao o 0,5% e hoʻohana ʻia ma ke ʻano o ka hoʻoulu ʻana o ka ʻimi pacreatic, i hoʻolauna ʻia e ka paʻila intraduodenally, me ka hoʻohui o ka lā a i ʻole nāʻaila ʻoliva.

ʻO ke ʻano o ka hōʻiliʻili ʻana i ka hana huna pancreatic a me kāna ʻano hoʻokaʻawale i ka mea i hana ʻia me ka hoʻokele intravenous o nā mea hoʻokae.

He maʻalahi kēia ʻano e hoʻokō a kūpono, akā ʻo ka haʻahaʻa o ka ʻike i loaʻa ma mua o ka hoʻokau mua. Ma kēia e pili ana, ʻoi aku ka maikaʻi o ka hoʻomaka ʻana i ka hoʻokolohua me ka hōʻike ʻana i ka pancreosimine-secretin, no ka mea ʻaʻole hiki ʻole ke hoʻopaʻa ʻia ʻelua mau haʻawina i ka manawa like.

ʻAi

Ua wehewehe ʻia kēia hoʻāʻo e Lund ma 1962. Ke lawe ʻia, e kuhi ʻia nā mea o loko o ka pūpū liʻiliʻi ma o ka intubation ma hope o ka lawe i kekahi nui o nā meaʻai maʻamau.

Ke kuhikuhi nei ke ʻano i ka nānā ʻana i ka hana excretory o ka pancreas. I ke kakahiaka, ʻo kahi hoʻokolohua kūlike X-ray i hana ʻia me ka polyvinyl me kahi mercury a i ʻole ke kila kila i hoʻopaʻa ʻia ma kona hopena ke mālama ʻia nei i ka mea maʻi ma kahi ʻōpū ʻole.

Ma hope o kēlā, hāʻawi ʻia ka mea maʻi i kahi ʻano kaiʻai maʻamau me ka hoʻohui o ka pauku waiū me ka dextrose a me ka aila ʻaila. Ma hope o kēlā, hōʻiliʻili ʻia ka aspirate duodenal no ʻelua mau hola, ke kahele ʻana i nā ʻano loiloi i loko o nā pahu me ka hau.

ʻO kahi hoʻokolohua o ka pancreas e hiki ai iā ʻoe ke hoʻoholo i ke kiʻekiʻe o ka amylase, kahi e hoʻāla ʻia me ka pancreatitis. ʻO ka pono o kēia kaʻenehana ke komo maʻalahi o ka hoʻokō, komo, ʻike ʻole i ka ʻōlelo intravenous.

I waena o nā hemahema, hiki ke hoʻokaʻawale ʻia kekahi hala o nā hopena i pili i ka hoʻohui ʻana o ka hua bile a me ka wai momona. I kekahi mau maʻi o ka ate, me nā poʻe maʻi me nā maʻi mellitus a i ʻole gastrostomy, hiki ke loaʻa ka hopena maikaʻi ʻole.

Na Elastase hōʻike

ʻAʻole like me nā ala ʻē aʻe he invasive, hiki i kēia hoʻāʻo ke ʻike i ka nāwaliwali o ka pancreatic endocrine me ka pancreatitis i ka wā ma mua. Inā ʻike ka hemahema o ka enzyme i loko o nā loiloi, a laila hōʻike kēia i kahi maʻi maʻi i ka aʻalula.

ʻO nā maʻi no kēlā hoʻokolohua kahi diagnostics no ka pancreatitis aʻeha paha a me ke kūleʻa o ka mālama i kuhikuhi ʻia. Ka papa hana i ka hoʻoholo ʻana i ka elastase i ka hana o ka mea maʻi a hana ʻia no ka maʻi pancreatitis, diabetes mellitus, kekahi mau ala o ka ate a me ka maʻi gallstone, ʻo ke kuhikuhi ke hōʻike i ka maʻi o ka pancreatitis maʻi.

ʻO ka pancreas kekahi o nā lālā nui i ka kino o ke kanaka, no laila pono ʻoe e mālama pono a mālama mau iā ia. No kēlā me kēia maʻi, pono e hoʻomaka koke i ka lāʻau hoʻokūkū, hiki ke kuhikuhi ʻia me ka hoʻopaʻa loiloi a me ka maʻi maikaʻi.

ʻO nā ʻano hoʻokolohua pancreatic no ka maʻi pancreatitis, ma hea a pehea e nānā ai?

I mea e ʻike pono ai i ka pancreatitis a kuhikuhi i ka lāʻau kūpono, nā ʻano like ʻole no ke nānā ʻana i ka pancreas e hoʻohana i ka hana lapaʻau. He ʻano hiʻohiʻona kona o kēlā me kēia, a no nā ʻano maʻi like he pono e hoʻohana i kekahi mau ʻano hoʻokolokolo. I kekahi mau manawa, ʻaʻole paha ʻoe e pono ke pākahi, akā ʻelua mau manawa hou aʻe paha.

Me ka hoʻoulu ʻana o ka aila, he nui ka hōʻemi o ka mea maʻi i ka mea huna, ma ka hoʻohui, ma ke kahe ʻana o ka hōʻemi ʻana o nā bicarbonates a me ka hoʻonui ʻana i nā hoʻoulu.

Inā ʻike ka alkalinity bicarbonate ma muli o ka hōʻike, pono e ʻike ʻia ka mea maʻi i kahi dispensary oncology, no ka mea, ʻike ʻia kēlā mau hōʻailona me ka maʻi o ke poʻo a me nā maʻi koʻikoʻi.

Kuhi ʻia ka hemahema o ka enzyme he hōʻike ia o ke ake huhū pancreatic.

ʻO kahi ʻano maʻalahi a maʻalahi hoʻi o ka hoʻokolokolo, ʻo ka pololei o ka ʻikepili i loaʻa ma muli o ka hopena he haʻahaʻa ma mua o ka wā o ka hoʻokolokolo ma mua. Mai ka ʻāpono ʻole ʻia e hana i nā hoʻokolohua ʻelua i ka manawa like, ʻoi aku ka maikaʻi o ka hoʻomaka ʻana me ka pancreosimine-secritin, ʻoiai ʻo ia ka nui o nā mea e pono ai, e kū aʻe kekahi, a he mea kaumaha hou kēia no ka mea maʻi.

Hoʻolilo i ka papa hoʻomaʻamaʻa pancreatic no ka maʻi pancreatitis

Hiki ke hoʻokaʻawale ʻia nā hoʻokolohua no ka pancreatitis i ka 2 mau papa nui: ka hoʻokūkū diagnostics a me nā hoʻopaʻa ʻana, a me nā haʻawina hoʻokō.

Ma mua o ka koho ʻana i nā hoʻokolohua pono, ʻike pono ke kauka i ka mea maʻi i ka hoʻokipa ʻana, e nānā ana i ke ʻano o nā membula a me nā ʻili, a mālama pū kekahi i ka ʻeha ma ka palpation o ka hypochondrium hema o ka ʻōpū. Ma hope, ua kau ʻia nā hoʻokolokolo pono a pau.

Hoʻololi hoʻokolohua Pancreatitis:

ʻike koko koko
ka hopena o nā enzyme pancreatic e like me alpha amylase, lipase, trypsin. E haʻi i kā lākou helu i ke ʻano o ka maʻi i,
ka ʻike ʻana i ka hoʻoliʻeu ʻole ʻana o ka hana excretory ma ka hoʻohana ʻana o 300 milliliters o ka wai o ka wai a me ka mālama ʻana ma hope o nā hopena o nā enzymes,
hoʻāʻo ʻia ka hana maʻalahi ʻana i ka wā e hana ia ka intubation o ka duodenum,
ka nānā ʻana i ka feces no ka hele ʻana o lipids,
Hoʻokumu ʻia ka hana hoʻoliʻi hopena endocrine ma ka hoʻokomo ʻana o ka glucose.

Hoʻolālā e pili ana i nā palapala noi:

Eia kekahi, ma kahi o nā hoʻokolohua mandatory, pono ʻoe e hele no nā nīnau kūkākūkā me nā poʻe loea liʻiliʻi - he kauka a me ka endocrinologist.

Kahalewai - 27 Nov 2015, 22:47

Ke nānā nei no ka maʻi pancreatitis

Hōʻike pinepine ʻia kahi hoʻokolohua o ka pancreatitis maʻi ka maʻi a me ka ʻeha ma ka ʻōpū o luna, ʻo ka hui pū ʻana me nā hōʻailona o ka maʻi palupalu, a me kekahi manawa.

Ka maʻi pancreatic, diabetes, a me ka steatorrhea (ʻo ka triad maʻamau no ka maʻi pancreatitis) e hōʻemi ana i ka mea ma mua o 25% o nā hihia, ʻoiai he ʻelua hapakolu o nā mea maʻi me kahi hōʻailona mua o ka maʻi, ua hoʻōki ʻia ka hoʻohaʻahaʻa glucose. ʻO nā hōʻailona o ka X-ray ka hōʻoki i ka pancreatic he hōʻailona pathognomonic o ka pancreatitis e loaʻa ana i 30-50% o nā maʻi.

Ua hoʻomaopopo ʻia ka ʻeha ma ka 75% o nā maʻi. I ka hoʻomaka, ʻike ʻia ka ʻeha e ka hoʻouka kaua ʻana, akā naʻe, e lilo ia i mau me ka manawa o ke kala ʻana he ʻano like ka lōʻihi. ʻO kekahi manawa, ma hope o ka lōʻihi o ka lōʻihi, e hoʻopau ka ʻāʻī.

Kuhi ka nui o ka hoʻokolohua ʻana ma ka hoʻopaʻa ʻana no ka maʻi pancreatitis i ʻole.

Hiki i ke ʻano o nā enzyme pancreatic (amylase, lipase) ke hoʻonui me ka exacerbations, akā ʻaʻole lākou maikaʻi maikaʻi e hoʻoholo ai i ka maʻi maʻi, ke ʻano o ka pancreatic a i ʻole mālama pancreatic, ʻaʻole hoʻi e hoʻoponopono i nā hōʻailona o ke ʻano aʻeha i nā maʻi.

He paʻakikī ke noiʻi ʻana i nā haʻawina hana a maʻa pinepine i hoʻoweliweli ʻia kēia maʻi.

Eia naʻe, kahi noiʻi o nā hualoaʻa o ka ʻimi kōkī pancreatic i hoʻolaʻa ʻia ma nā huaʻōlelo o ka duodenum (amylase, lipase, trypsin, chymotrypsin a me ka bicarbonates), urine (hōʻike ʻo NBT-PABA a me ka hōʻike ʻana o ka pancreolauryl) a i ka serum (P-isoamylase a me ka trypsin) e ʻike i kahi loiloi kūpono o ka mālama pono ʻia hiki paha i ke kōkua i ka hoʻolālā ʻana i ka hana hoʻoponopono. ʻO ka hoʻonāʻana i nā enzymes serum a me nā helu kelepona keʻokeʻo e hāʻawi i ka ʻike e pili ana i nā hoʻopiʻi pancreatitis.

Nā hana noiʻi paʻa pono no ka maʻi pancreatitis

Ma nā hōʻike pūnaewele loiloi, ʻike ʻia ka nui o nā pulu pancreatic i nā haʻahaʻa ma lalo o 50% o nā mea maʻi, no laila, ʻaʻohe hōʻike ma ke ʻano he X-ray no ka maʻi o ka maʻi pancreatitis.

Kōkua ka ultrasound e hoʻopaʻa i ka ʻike koʻikoʻi e pili ana i ka nui a me ka kūlike o ka aniani, hōʻailona i ke kūlana o ka biliary tract a hoʻomaopopo i nā hoʻopiʻi.

Hiki i kahi loea loea i ke ʻano o ka ultrasound ke hoʻomaka i ka maʻi maʻi pancreatic maʻi me ka noʻonoʻo ʻana i ka 70%.

ʻO ka pilina o ka CT i ka hopena o ka maʻi pancreatitis ua kokoke ia me 90%, a ua kokoke kona kikoʻī ʻana me ka 100%.

No laila, pono e hoʻohana ʻia kēia ʻimi noiʻi i nā maʻi āpau e hōʻoia pololei i ka maʻi, ʻike ka hoʻopiʻi a me nā hōʻeha i loaʻa no ka hoʻoponopono ʻana i nā maʻi. I ka hapa nui, ʻo CT paha wale nō ka hana diagnostic pono pono.

Hiki iā ERCP iā ʻoe ke loaʻa i nā ʻike koʻikoʻi e pili ana i ka anatomy o nā kiʻi.

Ma muli o ka helu liʻiliʻi a me ka helu o ka hoʻopiʻi nui ʻana o ka ERCP, pono e hoʻohana ʻia kona hoʻohana i nā mea maʻi e pono ai e hoʻoholo i nā ʻano anatomical o nā papa i ka hiki ʻole ke kiʻi i kēia ʻike e nā ala ʻē aʻe, a i ka mea maʻi me nā mea i hopohopo paʻa ʻia nā ampulla a me nā kumu wai me nā pōhaku, ka mea hiki ke mālama ʻia e ERCP.

Ke hoʻomau nei ʻo Magnetic resonance imaging (MRI) a me MR-cholangiopancreaticography ke hoʻomohala hou i nā ala diagnostic, a hiki koke iā ia ke hoʻololi i ka CT a me ka diagnostic ERCP. Hiki i kēia ʻenehana ke nānā aku i nā palupalu palupalu a wehewehe i ka anatomy o nā pan. Ua lilo hou a ultrasound ultrasound i hiki i kahi maʻalahi, ʻo ia hoʻi ka mea nui i ka hōʻike no ka maʻi pancreatitis.

ʻO ka pancreatitis: ka maʻi ʻana a me ka mālama ʻana

ʻAʻole maʻalahi ka hoʻomohala ʻana i nā maʻi pancreatitis, ʻoi aku ia i nā wā mua. Ma kēia, ʻike nā lāʻau hōʻikeʻike a me nā ʻoihana hana noiʻi o ka noiʻi ʻana i kahi gastroenterologist ma ke ʻano o ka maʻi pancreatitis.

ʻO ka hōʻike koko koko ākea - e hana ʻia e ʻike i nā hōʻailona o ka mumū (hoʻonui ʻia ka nui o ke koko keʻokeʻo, hoʻonui ʻia ESR, etc.).
ʻO ka hōʻike koko biochemical - ke nānā ʻia ʻana o ka nui o ka nui o nā enzyme amylase, lipase, trypsin e hōʻoia i ka noho ʻana o ka maʻi (ʻoi aku ka nui o ka maʻi pancreatitis). Hiki i kahi hoʻoliʻu koko koko ke hōʻike i ka nui o ka glucose.
Urinalysis - ke ʻike ʻana i ka amylase i loko o ka urine e hōʻike pū nō hoʻi i ka pancreatitis (ʻoi aku ka maʻi pancreatitis maʻa).
Hoʻomaopopo ka ultrasound o nā ʻōpū o ka pūpū i nā loli i ka pankreas a me nā ʻokoʻa ʻē aʻe (no ka laʻana, ka ʻōpū).
Pono Gastroscopy (endoscopy) e nānā i ka hoʻopili ʻana o ka ʻōpū a me ka duodenum ma ke kaʻina ʻona.
Radiography o nā ʻōpū o ka ʻōpū. A panoramic X-hihi o ka pancreas e hōʻike pinepine i ka calcification o nā pancreas a me nā pōhaku intraductal.
Endoscopic retrograde cholangiopancreatography (ERCP). Cholecystocholangiography.
Hoʻohālikelike tomography
Coprogram (ka nānā ʻana fecal).
Ka hana kūpono (testin-cholecystokinin hōʻike, hōʻike Lund, hōʻike PABK, etc.)

Hoʻohana ʻia ka pancreatitis

Hoʻomaʻamaʻa ka huʻeha a me nā exacerbations o ke koʻokoʻolōkohu hana pinepine ʻia i loko o kahi hale hoʻokipa.

I ka manawa like, he mea nui kahi meaʻai pōloli. Nā analgesics narcotic i hoʻopaʻa ʻia (no ka hōʻeha ʻana i ka ʻeha), droppers me nā hopena paʻakai, plasma a i albumin paha, nā proteolytic enzyme inhibitors (nā lāʻau e pale ai i ka hana o nā enzymes) a me nā lāʻau lapaʻau ʻē aʻe.

Inā ʻaʻole kēia e kōkua, a me ka hoʻomohala ʻana o nā ʻōpiopio (no ka laʻana, ua hoʻomohala ka peritonitis), kauka nā kauka i nā hana o ka lāʻau lapaʻau.

Haumaha mokomoko (lavage peritoneal). No ka hana ʻana i ka lavage, hoʻokomo ʻia nā ʻōpū (mau) wai i loko o ka ʻōpū o ka ʻōpū, ma o ia mea e hōʻuluʻulu ʻia ai ka wai i loko o ke ana o ka ʻōpū.
ʻO ka wehe ʻana i ke aila pancreatic i hōʻino ʻia (necroectomy) kahi hana paʻakikī no ka mea maʻi ma ka mea maʻi a me ka mea maʻi, no laila hana maoli ʻole ia.
ʻO kekahi manawa ma hope o nā hōʻailona o ka maʻi pancreatitis wehe aʻe, ke wehe nei ka gallbladder - cholecystectomy.

Pehea e mālama ai ka maʻi pancitisitis :

He kīʻai ikaika ʻo ka pancreatitis e pono ai (hōʻole i nā meaʻai momona a me nā momona, ʻaʻole i kū ka wai ʻona),
lawe lima,
enzyme replacement therapy (e.g., creon, mezim, etc.),
huaora
ka mālama ʻia ʻana o ka maʻi diabetes a me nā maʻi endocrine ʻē aʻe,
hoʻomaʻemaʻe i ka manawa kūpono o ka maʻi humuhumu.

Ma nā hanana lohi, i ka haʻalele ʻana o ka hopena o ka mālama conservative, ʻoi aku ka wehe ʻana no ka pancreatitis (no ka laʻana, ka pancreatectomy distal, nā hōʻeha holo ʻana, ʻo ka maʻi pancreatojejunostomy) a i ʻole ka hopena endoscopic (hoʻoheheʻe ʻana o nā pseudocysts, etc.).

Nūnū no ka pancreatitis: ka mea e pono ai, nā pākeke a me nā kāne

ʻO ka pancreatitis i ka hapanui o nā hihia he mea i ʻike ʻia e colic - ʻeha i ka hypochondrium. Hiki paha nā ʻano spasmodic ma muli o ka hoʻohana ʻana i nā kīʻaha me ka momona momona: ka ʻono, ka momona, nā aila - ka nui.

Ma hope o kekahi manawa, hiki ke hele hou i loko o ke kua a i ʻole ka umauma, hele mai ka ʻeha ma hope o ka ʻai ʻana. I kēia hihia, pono e lawe koke i nā ʻōkuhi, ʻaʻole ʻōlelo ʻia e moe i ka wā o kahi hoʻouka.

ʻO nā hōʻailona o ka pancreatitis e like me nā hōʻailona o ka hoʻohālikelike a i ʻole nā mea hoʻonaninani, ua komo pū lākou:

nāwaliwali laulā
luhi, luhi
lilo kaumaha kaumaha
nā hoʻopili ʻana a me ka ʻoihana ʻē aʻe.

Ma muli o kēia, ua paʻakikī ka loaʻaʻana o ka maʻi. ʻO ia no ke kumu e kūpono ai ke nīnau aku i nā kauka a hoʻoholo i ka pancreatitis ma o ka nānā ʻana, a i ʻole e hōʻemi i ka hele ʻana o ka maʻi.

ʻO ka hoʻonaninani o ka maʻi e pono ai ka mālama a me ka mālama, a ʻoiaʻiʻo pono e ʻike ʻoe i nā mea e hiki ai i nā hoʻokolohua ke hoʻoholo i ka pancreatitis, eia kēia:

ʻike koko koko
hōʻikeʻike koko ololi,
loiloi ʻaʻa
urinalysis
ka lawehana nānā ʻana.

Hiki iā ʻoe ke ʻike i ka like ʻana o nā hoʻokolohua no ka pancreatitis a me cholecystitis, akā, nā hōʻailona kahi e hoʻoholo ai i ka maʻi ʻokoʻa. I mea e hoʻopilahila ʻole ʻole iā ʻoe iho, pono ʻoe e ʻike pono i ka papa inoa o nā hoʻokolokolo pono.

Nā hōʻailona a me nā waiwai o kahi hoʻokolohua koko no ka pancreatitis

ʻO ka hōʻike (ʻelua) hoʻāʻo ʻia ke koko ka mea e hiki ai ke ʻike i ka mumū i loko o ka puhipuhi. Eia naʻe, hiki ʻole ke kiʻi i nā ʻōlelo hoʻoholo e pili ana i ka maʻi ʻokoʻa ma nā hopena o kēia loiloi.

Inā loaʻa ka pancreatitis i ka mea maʻi, a laila e hōʻike ʻia ana nā hōʻailona penei:

nā keʻena koko keʻokeʻo - i ka haʻahaʻa o 4 * 10 * 9 - 9 * 10 * 9 / l, nā hōʻike no ka maʻi ʻai ʻia o ka maʻi pancreatitis e hōʻike i nā hopena he ʻumi mau kiʻekiʻe.
ESR - i ka manawa o 2-15mm / h, e hoʻonui nui ʻia ka nui o ka sedimentation erythrocyte.
antigen - nā hōʻike no ka maʻi pancreatitis e hōʻike i ka hele ana o nā antigens pancreatic, a me nā hōʻike no ka maʻi pancreatitis e ʻike ʻole iā ia,
hemoglobin - he haʻahaʻa loa kona pae i ke koko,
hematocrit - ʻo ia hoʻi, e kiʻekiʻe loa kēia mea ʻike.

E ʻike paha ʻoe e hiki i nā hōʻailona ke hoʻololi i luna a laila, pono ʻoe e ʻike pono i nā lula āpau.

ʻO nā waiwai no nā wahine

ʻOkoʻa nā ʻano kumukūʻai wahine wahine:

nā erythrocytes - 3.9 * 1012 a 4.7 * 1012 mau kekona / l,
hemoglobin - mai 120 a 140 g / l,
ESR - mai 0 a 20 mau mm / mau,
nā keʻena koko keʻokeʻo - like i nā hōʻailona kāne,
hematocrit - mai 0.36 - 0.43 l / l.

No ka hōʻike pololei ʻana i ke ʻano loiloi, hiki ke kuhikuhi ʻia i kēia ʻano ʻano hana i kekahi mau manawa.

Hōʻike koko biochemical no ka pancreatitis

ʻO ka noiʻi ʻana o biochemical no ka pancreatitis e hiki ai iā ʻoe ke hoʻomaopopo piha i ke kūlana piha o ka mokuʻāina o ke kino. ʻO nā ʻikepili e pono koke ke nānā aku, a me nā hoʻololi e hōʻike nei i kahi maʻi, hiki i ke kauka ke ʻōlelo pololei. Akā kekahi manawa hiki i kēlā me kēia mea ke nānā iā ia iho. I waena o lākou:

glucose - ʻoi aku ka kiʻekiʻe ma mua o ka ʻole o ka hana insulin,
kolamu - hoʻemi ʻia i ke hoʻohālikelike ʻana me ke kaulike,
alpha 2-globulin - ma lalo o ka maʻamau,
mau amylase (kuleana no ka hoʻoneʻe ʻana o nā kalama) - ʻumi mau manawa o ka maʻamau,
trypsin, elastase (wāwahi ka peptide i nā protein) - hoʻonui nui,
lehelehe lipase (ʻoi loa ka momona) - ma mua o ka maʻamau.
bilirubin - hoʻonui i ka hana inā e hoʻopili ka lula i ka pahu biliary no ka huehue
transaminase - i kekahi mau mea, ke hoʻokiʻekiʻe ʻia,
huakaʻi piha - ʻike ʻia kahi emi o kēia mākaukau.

ʻO ka hoʻonui ʻana i ka amylase kekahi o nā hōʻailona nui loa e pili ana i ka maʻi a me ka maʻi pancreatitis.

Pono e hana ʻo Biochemistry i ka lā mua ma hope o ka mea maʻi me ka pancreatitis i hōʻoia ʻia i ka haukapila me ka hōʻeha ʻoi. I mea e pale ai i ka hoʻouka ʻana a me nā hoʻopiʻi, ua nānā ʻia ka dinamics amylase i ka wā o ka hoʻokipa.

Hiki i ka pancreatitis me nā hoʻokolohua maikaʻi? Ua nīnau ʻia kēia nīnau i ke kauka a inā pono, e hoʻoiho hou iā lākou.

ʻO nā hoʻokolohua hou no ka pancreatitis a me cholecystitis

pancreas. I ka nui o nā hihia, ʻo kēia ka mea he hihia i nā kino ʻē aʻe.

Ma kahi o nā mea i luna aʻe, aia kekahi mau hoʻokolohua'ē aʻe no ka pancreitis pancreatic e kōkua maoli i ka maʻi maʻi?

Lele loa ka lua, ma muli o ke kumukūʻai kiʻekiʻe. I ka hihia o kēlā maʻi, ʻaʻole kahi ʻano maʻamau, akā e koi ʻia kahi hōʻike kūikawā no ka hiki ʻana o trypsinogen i loko o ka urine. ʻO kēia ka mana i ka hana trypsin e hōʻike maopopo i ka huhū ma ke kino.

I ka nānāʻana i nā feces ma ke kikowaena, ke nānā nui nei lākou i kēlā mau kuhikuhi:

ka hele ʻana o nā momona i ka nui - ka ʻōpala o ka wahie, ʻōpiopio ma muli o ka nui o ka momona,
kā lākou pale - ka pale poʻo hina hina i hōʻike i nā pilikia me ka biliary tract,
ka loaʻa ʻana o nā wahi i ʻole i hoʻokaʻawale ʻia nā meaʻai he hōʻailona maopopo o nā pilikia me ka ʻōnaehana ʻana.

Ke hoʻoilo nei i nā lawaiʻa, ke nānā nei lākou i ka nui o ka amylase: kahi hapa o ka nui o ka enzyme e hōʻike ana i kahi maʻi o ka pancreas.

No laila, hiki iā ʻoe ke lawe i nā hoʻokolohua no ka pancreatitis ma kāu iho, akā ʻoi aku ka maikaʻi o ka haʻalele i ka manawa e hana i ka hopena maʻi i nā kauka. ʻAʻole hiki i ke kauka ke loaʻa ka ʻike i ka lāʻau lapaʻau ke hiki wale i nā maʻi pololei ke hoʻopuka i ka maʻi, akā ke kuhikuhi pū kekahi i ka hoʻoponopono lāʻau koʻikoʻi i kūpono i kēlā me kēia hihia kūikawā: kona hōʻeha, nā ʻano, a me nā mea pono.

ʻO ka paʻakikī o ka maʻi e kū nei i ka ʻoiaʻiʻo ma hope o ke kau ʻana i ka mālama ʻana, aneane hiki ʻole ke hoʻihoʻi hou i kahi ola mua. ʻO nā meaʻai kūpono, nā lāʻau lapaʻau, ka mālama ʻana a me nā loiloi olakino maʻamau e ke kauka e lilo i mea hoʻohui i ke ola o ka mea maʻi. ʻO ka hōʻoleʻole i kaʻaiʻai hiki ke alakaʻi i nā hoʻouka hou a i ʻole ʻoi loa ke kaumaha, i nā hoʻopiʻi.

Eia kekahi, ke nānā nei i nā hoʻokolohua no ka pancreatitis, e noʻonoʻo nā kānaka e pili i nā mea kūpono. ʻAʻohe pane i koho iki: e loli ia ma muli o ka makahiki, ka mōʻaukala a me nā mea ʻē aʻe o ka mea maʻi.

ʻO nā loiloi no ka pancreatitis: koko, urine, hōʻailona, kahi e lawe ai

ʻO nā hōʻike Pancreatitis kahi hana koʻikoʻi i ka loiloi ʻana i ka hana pancreatic.

I mea e hiki ai i ke kauka ke kuhikuhi pololei i ka lāʻau lapaʻau a loiloi i ke kiʻekiʻe o ka hōʻino kino ʻana, pono kekahi mau hōʻike ʻokoʻa.

ʻO ka hana nui ʻo ka hoʻomaopopo ʻana i ke kālai ʻana o nā hormones i huna ʻia i loko o ke koko a me ka wai (a me insulin e pili ana i ka hoʻoliʻoli momona) a me nā enzymes i hoʻopili i ka hoʻolaʻa ʻana i nā meaʻai a me ka haʻalulu ʻana o nā protein a me nā momona.

No laila, he aha nā hoʻokolohua e hana ʻia me ka pancreatitis:

ʻike koko koko
koko no ke biochemistry,
ʻo ka hoʻāʻo a me ka stool.

Ma kahi o kēia mau hoʻokolohua, pono paha nā koi ʻē aʻe, e like me ka pancreatic ultrasound a MRI paha.

Diagnosis o ka pancreatitis

He waiwai ka maʻi pancreatitis no ka manawa lōʻihi ʻaʻole ia e manaʻo i ka manaʻo. ʻO ka palupalu, luhi, nāwaliwali, hoʻonui ʻia ka momona nui, makemake mau wau e hiamoe. Hoʻēmi i ka paona, hoʻonāukiuki i ka ʻōnaehana hana - nā hōʻailona mua o ke alualu o ka pancreas.

Eia naʻe, i ka wā o ka ola haunaele (hana, halihali, ola i loko o ke kūlanakauhale nui), ʻaʻole pili ke kanaka i ka mea nui i ka hōʻailona, a kākau i nā mea āpau mai ka luhi i ka hana o kēlā me kēia lā. Ma hope o kekahi manawa, ulu ʻia kahi hoʻouka, ka mea i hele pū ʻia e ka ʻeha koʻikoʻi, ʻāhaʻi a me ka luaʻi.

Ma hope o ka hoʻopaʻa ʻana i ka hoʻouka ʻana, ʻike ʻia ka mea maʻi a ʻike ʻia ka pancreatitis.

Mai kēia manawa, pono kekahi i kahi mea e hoʻihoʻi nei i ka ʻai a mālama mau i nā lāʻau lapaʻau, hoʻokaʻawale mai nā mea kūpono kūpono e hoʻonāukiuki i kahi hōʻeha hou a me nā hōʻeha pilikia.

Nā hōʻike koko

ʻO ka hoʻokolohua koko lapaʻau no ka maʻi pancreatitis, nā hōʻailona e pono ai i ka maʻamau:

i nā kāne 3.9 × 10 * 12 a 5.5 × 10 * 12 mau kelepona / l,
i nā wahine, 3.9 × 10 * 12 a 4.7 × 10 * 12 mau kelepona / lita.

hōʻailona kāne kāne: 135-160 g / l,
hōʻailona wahine: 120-140 g / l.

mau kāne - a 15 mm / h,
nā wahine - a hiki i 20 mm / h.

kāne hōʻailona: 0.44-0.48 l / l,
hōʻailona wahine: 0.36-0.43 l / l.

ʻO nā sela koko keʻokeʻo i nā kāne ʻelua kāne 4-9 × 10 * 9 / L.

Hāʻawi kekahi hōʻike koko koko i ka ʻike e pili ana i nā kaʻina kumu i loaʻa i ke kino. Me ka hoʻowalewale ʻana o ka pancreas, loli nā ʻano i lalo o nā hopena o ke aʻo ʻana:

Hoʻonui ka ESR
hoʻā nui ka nui o ke kaila keʻokeʻo
hoʻoho ka ʻikepili hemoglobin
Ka helu ʻulaʻelima ʻaila
hoʻāla ʻo hematocrit.

Me ka hoʻomaʻamaʻa manawa kūpono a me ka wikiwiki, hoʻi ka mau hoʻololi i hoʻololi ʻia i ka maʻamau i loko o kahi manawa pōkole. I ka maʻi maʻi, aia ka emi ʻana o ka ESR a me ka nui o nā leukocytes i ke koko ma muli o ka loaʻa ʻole o nā mea kūpono no ka hana i ka hana gland.

Kehu no ke biochemistry

ʻO kahi hōʻike koko biochemical no ka pancreatitis e hōʻike i ka ʻikepili lawa e hana ai i kahi maʻi maʻi. Me ka pathology, hoʻololi nā huaʻōlelo i lalo:

ʻAe ʻia ʻo Amylase (kahi enzyme o ka pancreas e pili ana i ka hoʻouka ʻana i ka māka).
Hoʻonui ka nui o nā huaʻehā: lipase, phospholipase, trypsin, elastase.
Hoʻonui ka nui o ke kōpaʻa koko ma muli o ka emi ʻana o ka hana hana insulin.
Hiki i ka kelepona hypertrophic ke kālai i nā kumulāʻau kokoke. Holoi ka hāhā o ka bile, ma ka hopena, piʻi ka bilirubin i ke koko.
Hoʻomaʻ pinepine pinepine i nā pae o ka calcium. Hōʻike kēia i ka paʻakikī o ka maʻi.
Holo ka nui o ka protein.

ʻO nā pae amylase kiʻekiʻe i kahi hōʻailona mua loa o kahi maʻi i loko o kāna ʻano aʻeha paha i kahi maʻi. Hana ʻia nā hoʻokolohua maʻamau no ka pancreatitis kūlohelohe, a me ka meaʻala hoʻi, i ka lā mua.

A laila nānā ke kauka i ke dinamics o ka maʻi e like me nā hopena o nā hoʻokolohua (me ka pancreatitis, hiki ke ʻike ʻia nā hoʻopaʻa ʻana i ke koko i nā manawa he nui e loaʻa ai ka ʻike pono) a me ka mālama pono o ka mea maʻi.

E hoʻomanaʻo he pono e lawe ʻia ke koko ma ka ʻōpū ʻole.

Pāʻai, feces a me nā hōʻike ʻē aʻe

ʻAʻole lawe ʻia nā palapala mimi no ka pancreatitis i nā āpau āpau ma muli o kona kumukūʻai nui. ʻAʻole hāʻawi ʻia ka ʻike e pili ana i ka hele ʻana o ka maʻi e ka urinalysis maʻamau, akā ma kahi ʻokoʻa, e hōʻike ana i ka hoʻonui ʻia o ka diastase.

Hoʻohana ʻia ʻo Diastasis e ka pancreas a kuleana no ka uhaʻi ʻana i nā palahalaha paʻakikī. ʻO ka maʻamau, ʻaʻole pono nā o ka hōʻike ma kahi o nā waihona 64, akā i nā mea maʻi i nā manaʻo o kēia enzyme hiki ke hoʻonui ʻia i nā 16,000 mau ʻāpana. I loko o ka papa hoʻomau o nā maʻi, hiki i ka diastasis ke emi.

Hōʻike ka haʻawina hoʻōno i ka hemahema o ka nui o nā kinipona.

Hōʻike ka loiloi no ka pancreatitis i ka ʻike pono ʻia inā hiki ke hoʻomaʻamaʻa pololei ʻia, ʻo ia hoʻi: e hōʻiliʻili ʻia ai ka urine i ke kakahiaka, a hāʻawi koke ʻia i ka laboratorium.

Nā huaʻōlelo ʻē aʻe o nā hoʻāʻo urine:

ke kala - me kahi maʻi, ʻeleʻele ka urine ma mua o ka maʻamau,
me kahi ʻeha koʻikoʻi o ka maʻi i loko o ka iomi hiki iā ʻoe ke ʻike i ka protein, koko, cylinders (e hōʻike ana kēia i ka hala ʻole ʻana o ka renal)
ka paʻa ʻana o nā kino ketone (ma ke ʻano he maʻamau lākou).

ʻO kahi loiloi o nā feces i ka pancreatitis e hāʻawi i kahi loiloi o ke ʻano hana o ke ʻano o ke kino. Me nā hana glandular hōʻemi, ka hoʻoneʻe ʻia o ka hoʻihoʻi ʻana o nā enzymes e kaohi ana i nā momona. Hōʻike i nā mea ʻike i ke ʻano he kīnā ʻole:

ka nui o nā momona i ka feces,
ka nui o nā ʻōhua hoʻonaʻauao ʻole.
Hiki ke māmā paha nā kīleʻa inā hoʻokūkū ka hypertrophic gland i nā file bile.

Hiki ke ʻike ʻia nā loli o ka Fecal me ka ʻole o ka ʻimi noiʻi.

Ua nalowale kahi noi like like me ka hana a ʻike ʻole. Ma kahi, lawe ʻia kahi kuikawa e nānā i ka wai pancreatic me ka hoʻohana ʻana i kahi ʻauʻau.

He aha nā hōʻike no ka maʻi pancreatitis e pono ai ʻoe e hāʻawi i ka loulou i ka hoʻopuka nui