He aha nā hōʻike e pono ai e hana e nānā ai i ka pancreas

ʻO ke ala o ka pancreas, kekahi o nā mea nui a koʻikoʻi loa o ka hui o ke kūnaʻi o ke kino o ke kanaka, he ʻano maʻamau maʻamau.

ʻO ka pancreas, ka hana nui i ka hana ia o ka wai pancreatic, insulin a me glucagon, e hoʻoholo i ka hana o nā ʻokoʻa ʻē aʻe a ʻaʻole wale ka ʻōnaehana hoʻoili.

ʻO ia ke kumu pono e hōʻoia i ka hana ʻana o ka pancreas, me ka ʻole o ka nele, e hūnā ana i ka wai o pancreatic i ka nui e hoʻokaʻawale i ka meaʻai e komo ai a me kona assimilation piha.

ʻOiai inā ʻaʻole ʻoe i ʻike i kahi pōpilikia ma hope o ka ʻai ʻana, ka manaʻo kaumaha a ʻeha ʻana paha ma kou ʻaoʻao hema, a laila e nānā ʻole ʻole kāu pancreas i ka ʻike ʻana i kona ʻano.

Āhea a pehea e lawe ai i nā hoʻokolohua?

I ka manawa a no ke aha e hōʻike ʻia ai nā hōʻike e nānā i ka pancreas?

ʻO nā hoʻokolohua e hiki ai iā ʻoe ke nānā i ke ʻano o ka pancreas, hoʻokani koʻikoʻi i ka loaʻa ʻana o kahi maʻi ākea ākea. Ke lawe nei i nā hoʻokolohua e nānā ai i ka pancreas, ka mea e hana i nā hormones a komo i loko o ke kaʻina hana ʻana, a me nā ʻano ʻē aʻe o nā hoʻokolohua o ka hoʻāʻo ʻana o kēia mea nui, e ʻae iā ʻoe i ka hoʻohālikelike ʻana i kona ʻano a hana, hōʻoia i kēlā me kekahi maʻi ʻē aʻe a i ʻole e hōʻole i nā kānalua i manaʻo ʻia.

Hāʻawi ʻia nā huli ʻana no ka nānā ʻana i nā hana o ka pancreas, a me kahi ʻano ʻike loiloi ʻokoʻa o kēia kino e like me ka mea i kuhikuhi ʻia e ke kauka.

- i ka hihia o ka hoʻopiʻi nui ʻana o ka ʻeha ma ka ʻeha iliac hema,

- i ka hihia o nā kānalua o nā ʻano o ka pancreatitis (ʻeha, ke kūleʻa, react), pancreatic necrosis,

maʻi maʻi a me nā maʻi ʻē aʻe o ka papa hana.

Ma kahi o nā hoʻokolohua no ka pancreas, i kuhikuhi ʻia e ke kauka inā ʻike ʻia kahi maʻi, hōʻike ʻia kahi hōʻike maʻi no ka mālama pono ʻana i ka hopena o ke ʻano o ka mālama ʻana a me kona hoʻoponopono ʻana i nā mea maʻi i loaʻa nā maʻi a me nā ala koʻikoʻi o kēia ʻōpū.

He aha nā hōʻike kūpono e pono ai e kau ʻia?

Hiki ke kiʻi ʻia nā hoʻokolohua no ka pancreas i ka ʻohi o ke kikowaena o nā ʻoihana "Medical Practice".

ʻO ka papa inoa o nā hoʻokolohua e pono ai e nānā e nānā ai i ka pancreas i kēia mau ʻano haʻawina e pili ana i ka ʻike ʻana i kekahi mau palaka pancreatic:

- ka hoʻāʻo o ka biochemical blood e hoʻoholo i ka pae a me ka hana o nā enzymes,

haku ʻia e ka pancreas,

Pono! - ʻO kahi loiloi ultrasound o ka pancreas i mea e hoʻoholo i kona nui a me ke kūpono, e hoʻomaopopo i nā pōhaku a me nā pseudocysts.

ʻO nā mea no ka hana ʻana i ka nānā ʻana biochemical no ka enzyme pancreatic a me ka hoʻoholo ʻana i ka metabolid lipid he koko venous i lawe ʻia mai i ka mea maʻi ma kahi ʻōpū ʻole.

Pancreas a me kāna kuleana.

Ua liʻiliʻi ka pancreas i ka nui, akā ʻo ia ka hana nui o ka wāwahi ʻana i ka meaʻai, ke kāwele koke ʻana iā ia a me ka hoʻopio ʻana i nā lako pono (protein, nā ʻakaʻaka a me nā mea kākoi), a me ka hoʻoponopono ʻana i ka pae nui o ka glucose ma o ka hana o ka glucagon a me ka insulin.

No laila, ke kuleana ka pancreas no ke olakino holoʻokoʻa o ke kino holoʻokoʻa, a me kahi hōʻino i kāna hana e alakaʻi i nā hopena kaumaha loa.

ʻO ka pancreas kahi mea palupalu, ʻo ka huhū o nā mea hiki ke kū mai me kahi kīʻaha ʻole ʻole, me ka overeating, me ka hoʻohana ʻana o nā momona momona, nā meaʻai i ʻai, ka meaʻai wikiwiki, a me ka makemake i nā ʻano momona keu.

ʻO ka ʻai ʻana i nā meaʻai pono ʻole, hoʻopiʻi i ka hana o ka pancreas, hoʻonui i ka ukana ma luna, ma ia hope, e alakaʻi ana i ka ulu ʻana o nā kaʻina hana ma loko.

Pehea e hoʻomākaukau ai no ka nānāʻana?

ʻO ka huli ʻana no ka hoʻomohala ʻana o ka pancreas e pono ai ka hoʻomākaukau mua ʻana e ka mea maʻi.

ʻO ka mua, kahi hōʻike koko koko biochemical e nānā i ke kūlana o ka pancreas e pono ke hana ma luna o kahi ʻōpū ʻole. Pono ka hoʻopau ʻana o ka ʻai hope i ʻewalu mau hola ma mua o ka manawa o ka lawe ʻana i nā hōʻike.

ʻO ka lua, ʻo ka lā ma mua o nā hoʻokolohua no ka pancreas, pono ia ka hōʻalo ʻana i ka lawe ʻana i nā lāʻau lapaʻau, mai ka ʻai ʻana i nā meaʻai i nā momona, nā meaʻai ʻoki a me nā mea inu wai (a me ka waiʻona), a me ka hoʻopua kino ʻana.

Pono kēia i mea no ka hopena i loaʻa i nā hopena hoʻoili i hilinaʻi ʻia a hiki i nā mea hoʻohālike e hōʻike i ke kiʻi o ke ʻano o ke kūlana o ka pancreas, ʻaʻole i hoʻoluhi ʻia e ka meaʻai kaumaha a i ʻole ka wai ʻawa.

ʻO ka maʻi, ka maʻi, ka reactankreatitis, cholelithiasis a me nā maʻi ʻē aʻe o ka pancreas he maʻi āpau āpau e pono ai ka mālama ʻana a me ka mālama mau ʻana e nā kauka kūpono.

A no ka mea e kuhikuhi pono i ka lāʻau lapaʻau, pono ia e hoʻomaʻamaʻa piha i nā pancreas me ka hoʻohana ʻana i nā mea hana hoʻokolohua hou, ua lako ʻia me ka Medical Center "Medical Practice" ma Novosibirsk.

Nā hōʻailona maʻamau o nā kuʻuna

ʻO ke kiʻi o ka maʻi maʻi e pili ana i nā maʻi - nā ʻeha, hōʻiliʻili i ka ʻili o ka ʻili, nā ʻōpū o ka dyspeptic. Hiki i ke ʻeha, hōʻohi, pāʻili a huki ʻole paha (ma kahi hana ʻoi). Hoʻokumu ʻia ia ma ke kaʻina epigastric, e kahe ana i ka hema, a me ka hypochondrium ʻākau, hope, scapula. Me ka ʻeha koʻikoʻi, noho kahi kanaka i kahi kūlana paʻa - e waiho ana ma kona ʻaoʻao a me kona mau wāwae i lawe ʻia i kona ʻōpū.

Hōʻike ʻia ka maʻi Dyspeptic e ka maʻi, ka luaʻi, ka ʻeha a i ʻole ka constipation, ka hoʻoluhi ʻana o ka makemake a me ka uku nui. Ma nā hoʻomaka mua ʻana o ka ʻaihue, hoʻonui ʻia ke kūkulu ʻana, hui ka ʻōpū, a paʻa ke keʻakeʻa. ʻO kēia ke kumu i ka pale hewa ʻana o ka hana o nā enzymes, a me nā hua bile a me kā lākou komo ʻana i ka hana o ka digestive tract. Ma hope o 2-3 mau lā, ua pani ʻia ʻo constipation e ke ʻano, nā puka maloʻo, ke make nui ʻana, ka nui ʻana o ka manawa.

ʻO kēia, ua hoʻohui ʻia ka luaʻi pili me ka hoʻonui ʻana i ka hoʻonaninani. ʻO ka mua, loaʻa nā mea i loko o ka ʻōpū, ma hope ma hope o ka vomit e loaʻa ai ke bile. Ma muli o ka hoʻopuka pinepine, hele aku ka dehydration, ke ʻano o ke koko, a holo ka ʻōpū o ka puʻuwai. E pale aku i kēia kiʻi, hiki i ka haʻalulu hypovolemic me ka nalowale o ka ʻike ʻana. Hoʻopili a ʻōmaʻomaʻo ka ʻili. Hoʻouka ʻo Jaundice me ka hoʻoulu ʻia o nā kumikā o ka bile a me kahi hoʻonui o bilirubin i ke koko. Ma muli o ka inu nui, ka huhui a me ka hana hanu paʻa ʻole, hele mai ka ʻuʻina o ka nasolabial triangle.

Me ka pancreatitis, ʻaʻole e lawe mai ka luaʻa i kahi hōʻoluʻolu, kahi mea nui ia i ka maʻi hopena.

Nā kumu kumu o ke ala i laila

ʻO ka pinepine, kū pinepine ka exacerbations i ka hope o nā hewa i kaʻai - ʻai i ka nui o nā momona, kahi iʻa, nā meaʻai momona. Nā kumu ʻē aʻe:

cirrhosis o nā ʻiʻo
ʻeha a me nā ʻōpū duodenal,
nā ʻeha hōʻeha
nā mea kohua o ke kelepona,
kaumaha, pilikia
nā hana o nā carcinogens, nā mea ʻona,
nā maʻi ʻohi
ka haki ʻana o ka puka ʻana o ka hehi glion,
nā maʻi o ka pā biliary.

Hoʻomaʻa pinepine nā ʻano o ka pathology ma hope o ka inu ʻana i ka wai inu, ʻoiai ʻo kekahi manawa ke kū pono ʻole i ka wā o ke ahulau, ʻaʻole ʻike ʻia nā loli i ka pancreas. Pēlā nō hoʻi i ka hoʻomohala ʻana i nā maʻi, ka wahine, ka makahiki, ka pilikia o ka hana, ka nohona a me nā maʻi pili i kuleana.

I nā hihia maʻamau, hiki i nā ala o nā pancreas ke hele i ka wā hāpai.

ʻO nā maʻi pancreatic a me nā hōʻailona o lākou

He ʻokoʻa nā ala āpau, no laila ua hoʻokaʻawale ʻia lākou i nā ʻano me ka kumu kumu a me nā hōʻike.

Ka lawaiʻa ʻana.
Naʻi maʻi mellitus.
Pākuʻi vascular.
ʻO nā leʻaleʻa kūikawā i ka maʻi pākuʻi a me ka syphilis.
ʻAukā, nā pōhaku.
ʻO nā kuhi pili i nā pilikia hana.
ʻO ka pancreatitis
ʻO nā moʻo maʻi Benign a me nā hewa.
Nā kipi ma muli o nā maʻi parasit.
ʻO ka hoʻohanaʻana i nā lāʻau lapaʻau ma ka nui o ka waiū a me ka lōʻihi e like me nā kuhikuhi.

ʻO nā ala ākea pancreatic maʻamau ʻoi a me ka pancreatitis kūloko, nā nekrosis pancreatic, ka maʻi mellitus, nā hana kuʻi, nā ʻano cystic a me nā pōhaku.

ʻO ka pancreatitis acute

Hoʻopilikia aestseic i ka pancreas, ka mea ma ka hapa nui i ka wā e hiki mai ana ma hope o ke kau ʻana o nā momona momona a me ka waiʻona a i ʻole e kū i ke kua o ka maʻi gallstone. Aia kahi ʻeha, ʻaʻole hiki ke aneʻi, hiki ke hoʻonohonoho ʻia i loko o ka epigastrium, ka hema, ka hypochondrium ʻākau, a me ke kāʻei paha e like me ka radiation i ka ʻūhā poʻohiwi hema. E ʻeha nui ke ʻano o ka maʻi ʻeha inā e moe ana ma kou kua.

Hoʻohui kekahi i ka ʻeha, maʻi a me ka luaʻi (hele a indomitable) me ka bile, bloating. Ma hope o ka luaʻi, ʻaʻohe hoʻomaʻamaʻa ke ʻano (he lula hoʻomaʻapaʻa koʻikoʻi). Ma muli o ka hoʻopuʻi a me ka hoʻohuihui, ua hoʻopilikia ʻia ka pale o ka wai-electrolyte. Ma ka ʻaoʻao hema o nā ʻōpū o ka'ōpū e kū mai paha cyanotic a ʻuluʻulu paha (nā hōʻailona Grey Turner) a i ʻole wahi i loko o ka navel (hōʻailona Cullen).

ʻO ka maʻi pancreatitis kaha

ʻO ka mumū me kahi hemahema o nā enzyme pancreatic. ʻO nā kumu o ka hoʻomohala ʻana: nā maʻi gallstone, ka hoʻohana ʻana i ka meaʻai maikaʻiʻole, nā mea ʻawaʻawa, ka wā postoperative, ke ulaula, ke ʻano paʻakikī, nā hana hōʻeha a me ka overstrain (kumu kīhaha o nā kīʻaha koko, nā ʻūpū ma nā kumu pancreatic).

Hōʻike ʻia ka pancreatitis maʻi e ka lawa ʻole o ka synthesis o nā enzymes, e alakaʻi ana i ka digestion impaired. Nā hōʻailona o kahi ʻano maʻamau: ka makewai mau a me ka manaʻo o ka pōloli, ka hoʻolilo ʻana i ke kaumaha, nā hōʻeha wā maʻamau ma ka ʻākau, hema hypochondrium, nausea, huʻi ʻia me nā feces māmā me kahi ʻalaʻawa.

Nā rula nui no ka hoʻomākaukau no ka nānā ʻana

Ma mua o ka lawe ʻana i nā hoʻokolohua no ka pancreas, pono ʻoe e ʻike pehea e hana pono ai. Hoʻokomo pinepine nā kauka i nā mea maʻi, no ka mea i ka hōʻiliʻili ʻana o nā mea ola olakino e hiki ke alakaʻi i nā kūʻokoʻa koʻikoʻi o nā hopena.

ʻO nā loiloi laulā e iho i lalo i kekahi mau manaʻo:

E hoʻokele ʻia ka noiʻi ʻana ma kahi ʻōpū ʻole i ke kakahiaka. I kekahi mau lā ma mua o nā hoʻokolohua, pono ʻoe e hōʻole i nā meaʻai maikaʻi (i ka palaoa, kōpū, nā momona, ka paʻakai, nā kīʻaha kō, nā mea inu, ka waiʻona, ka ʻona ʻawaʻawa. ʻAʻole ia i kuhikuhi ʻia i ka hoʻohana ʻana i nā legumes i hiki ke hoʻonui i ke kūkulu ʻana i ke kino,
Ma mua o ke kahe ʻana i ke koko, pono ʻoe e pale i ka ulaula ma ka liʻiliʻi ʻelua hola.
No nā pilikia e like me ka constipation, pono e mālama ʻia ka mālama pono ʻana i nā mea i waiho ʻia i loko o nā ʻāpana i ka hopena i ka hopena o nā hoʻokolohua,
Pono ka waiwai o nā ipu āpau a holoi pono nā lima i ka umauma,
I ka hōʻiliʻili ʻana i ka urine, pono pono nā wahine e hana maʻemaʻe i ka ʻōpū o ka keʻena, ma hope o ka mea e ʻoi aku ka maikaʻi o ka hoʻohana ʻana i kahi mahele e hōʻoia i ka maʻemaʻe o nā mea i lawe ʻia.
I ke aʻo ʻana i ka nānā ʻana o ka maʻamau o ka urine, pono pono e lawe i kahi ʻāpana.

E kōkua kēia mau ʻōlelo maʻalahi e hōʻoia i nā hoʻokae hoʻokūkū a pale i nā hopena pane ʻole. Eia nō naʻe, he mea maikaʻi ka hoʻomanaʻo ʻana o kekahi manawa i kuhihewa nā limahana, no laila, ma ka kānalua iki, pono ʻoe e hoʻi hou i ka hoʻokolokolo ʻana.

Nā diagnostic Laboratory

I nā maʻi e pili ana i ka hoʻowalewale o ka pancreas, ka hana nui e hoʻoholo i kona ʻano. Hoʻomaopopo ʻia nā ʻōpuhi hopuna me ka nui o ka hoʻokuʻu ʻana o nā enzyme, ma muli o ko lākou ʻano, e hiki ke loaʻa ma ka koko, ka urine a me nā feces. E ʻike ʻia ka hoʻopaʻa ʻana o ka puʻuwai no ka mea pili pono kāna hana me ka pancreas. ʻO nā hoʻokolohua nui, ma ke kumu e hiki ai i ke kauka ke hoʻomau i kamaʻilio e pili ana i ka maʻi, i ka maʻamau maʻamau:

ka nānā pinepine ʻana o ke koko a me ka urine,
kahi hōʻike koko biochemical, ʻo ia hoʻi kahi hōʻoia no ka enzymes diastase a me ka amylase,
coprogram (hōʻike maikaʻi loa me ka pancreatitis),
ʻO ka ultrasound, e hiki ai iā ʻoe ke ʻike i ke kahe i loko o ka ʻōpū o ka ʻōpū, e hoʻoholo i ke ʻano o nā umauma a ʻike i nā neoplasms hiki, ke komo pū me ka maʻi kanesa.
MRI ma endoscopy. Hiki i kēia mau ala hoʻomehana i hiki ke hoʻomaopopo pono i ka huhū ma nā wahi i ʻike ʻia.

Nā hōʻike koko

ʻO kēlā me kēia kanaka e loaʻa ana i ka pancreatitis, he mea kupanaha nā mea e pono ai ke hōʻike ʻia e ʻike i kēia maʻi. ʻO ka maʻamau, kuhikuhi ke kauka i kekahi mau manawa i ka manawa hoʻokahi.

Kūʻai koko nui. ʻO ka mea mua e hōʻike ai i nā pilikia me ka pancreas, he helu nui o leukocytes i ka nui o ka helu o ka segmented a stab neutrophils, a me ka nui o ka erythrocyte sedimentation rate (ESR). Pono ʻoe e hoʻomanaʻo he hiki ke hālei i kekahi ʻōhua hoʻoluʻu i nā hopena like, no laila pono ʻoe e hoʻokokoke i ka nānā ʻana i ka laulā o ka laulā.
Hōʻike koko koko biochemical. ʻO ka hōʻailona nui loa o nā pilikia pancreatic nui loa ka nui o ka hoʻonui ʻana i ka bilirubin kiko a pololei, e hōʻike ana i ka loaʻa ʻana o ka pancreatitis icteric. Nā hōʻailona alarming ka ulu o ka waikoa sialic, seromucoid a me nā gamma globulins,
ʻO kahi hōʻike koko no ka alpha amylase. Ma ka hihia o ka hoʻonui i kāna e kuhikuhi nei (laʻa 16-30 g / l i kēlā me kēia hola), he kuleana ke kauka e manaʻo i nā maʻi a i ʻole ka pancreatitis hoʻonāukiuki, nā mea i loko o ka aniani a me ka blockage o kona duct. Inā loaʻa nā ʻike i ʻokoʻa ma lalo o ka maʻamau, e hōʻike ana i ka lawa o ka hoʻōla o kēia enzyme, hiki i kekahi ke manaʻo i ka neku ʻana o ka pancreatic necrosis, me nā mea nui i pili i ka luku ʻana o ke kino,
Hoʻopuka ka enzyme pancreatic: trypsin a me lipase,
Hoāʻo koko no ke kō. I nā hihia koʻikoʻi o ka pancreas, nā hopena e ʻoi aku ka 6 mmol / l, akā naʻe ʻo kēia mau ʻike wale nō ʻaʻole e hōʻike i kahi maʻi ulu.

ʻĀninalysis

Me ka maʻi pancreatic i loko o ka urine, a me ke kahe i ke koko, e piʻi ana ke kiʻekiʻe o ka amylase. ʻAʻole kūpono loa kēia ʻano maʻi, no laila ʻoliʻoli nā kauka e kuhikuhi iā ia. I ka nui o ka loiloi laulā o ka urine, ua hoʻohana ʻia nā haʻawina i hala iho nei:

Hōʻike ʻĀ Lasus. Hōʻike nā hualoaʻa o kēia helu i ka nui o ka amylase a me kāna hana i loko o ka urine. Ma kēia kikoʻī, kapa ʻia ia "diastasis",
Kūʻai hoʻokūkū. Holo ka ʻike i ka mea ma hope o ka hōʻono ʻana i ka prozerin i kēlā me kēia hapalua hola i kahi mea maʻi, ʻike ʻia ka ʻike ʻana o ka amylase i ka urine. Inā ua ulu mau a 2 mau manawa i loko o nā hola he 2 i hoʻihoʻi ʻole i ka maʻamau, a laila hiki i ke kauka ke kiʻi i ka pancreatitis. I ka hihia i pane ʻole ʻia ai ke kino i ka hoʻomaka ʻana o ka prozerin, ke kamaʻilio nei nā kauka e pili ana i ka sclerosis o ka maʻi pancreatic a me ka pancreatic necrosis.

Hōʻike Hormone

ʻO ka pancreas kahi hui e hana ai i nā hormones, no laila, ma o kā lākou ʻike ma ke kino, hiki iā ʻoe ke hoʻokolokolo i kona olakino.

ʻO ka insulin ka hanohano ka pānaʻi ʻana i nā glucose, ka hana o ka protein a me ka momona momona. ʻO ka emi ʻana o kona mau kiko i loko o ke koko ke hōʻike nei i nā hōʻino.
He hua ka nui o ka C-peptide me ka insulin.
ʻO Glucagon, e hana ana i kahi hana i kūhelena kūpono i ka insulin.
I nā kūlana like ʻole, ʻike ʻia ke koko no nā ʻike o nā hormones e like me ka gastrin a me ka amylin.

MRI ʻO pancreatic

No ka pancreas, ʻike pinepine ʻia ka hōʻailona o ka maʻi i ka wā i hala ʻia nā hōʻino koʻikoʻi. Inā hiki i ka mea maʻi ke hoʻoholo i nā loli i kona manawa i ka manawa, a laila ua pau kēia hapa i ka kūleʻa. ʻĀina i ka lāʻau lapaʻau hou nā hoʻokolohua kūpono o ka ʻili i hoʻopili ʻia.E nānā i ka pancreas e hoʻohana ana i kahi kaʻenehana resonance magnetic, he koʻikoʻi nā mea kikoʻī i lalo:

ʻōpū
ʻano
kūwili pipi
ka hele ana o nā mea o kekahi ʻano,
nā hiʻohiʻona o nā auhau intrapancreatic. Kue kaawale, nānā lākou i ke kaʻe o ka pōpoki - ka pancreas, no ka mea, ke hilinaʻi nui ʻia ke olakino o ke kino ma ke ʻano o kona palolo.
lihuaimuu.

ʻO nā hoʻokolohua o ka pancreas e pili ana i ka hoʻohana ʻana i kahi ʻaelike kūʻokoʻa e nānā i kēlā me kēia wahi a ʻike a me nā loli liʻiliʻi ma ke kiʻi.

I ia mau hihia he mea pono e hoʻopili i MRI:

ʻikea i ka wā o ka loaʻa ʻana o ka hoʻoponopono ultrasound o kekahi loli i ka wahi epigastric,
ka māla ʻana
ka maʻi pancitisitis
hypertension hypertension,
nā ʻōpio
ka hoʻomanawanui ʻana i ka ʻōpū.

No laila, inā he mau hoʻopiʻi e pili ana i ka pancreas, mai haʻalele i ke kipa ʻana i ke kauka. ʻO nā hōʻike maʻalahi a me nā haʻawina i hana ʻia e kōkua ai i ka mālama i ke olakino.

Nā ʻōpū me ka pancreatic

He hoʻololi weliweli a hoʻololi ʻia i ke ʻano o kahi mea i hana ʻia ka pancreas. ʻO kona hanana e hoʻonāukiuki i ka cholecystitis, ka hōʻino ʻana i nā momona a me nā mea i kālai ʻia, nā maʻi maʻi infectious, nā hōʻeha i ka wā postoperative. Hoʻomaʻomaʻo i nā ʻōpū o ka pancreatic: ka ʻeha ʻeha i ka ʻōpū o ka hope o ka herpes zoster, hoʻāi hou ka luaʻi ʻana, ka ʻōpū, ka huelo ʻana i ka mucous waha i loko o ka ʻōpū o ka waha, nā ʻōpū o ke cyanotic ma ka ʻōpū, ʻulaʻula o ka ʻili o ka maka, a me ka pōkole o ka hanu, ka hōʻikū ʻana o ka tachycardia, nāwaliwali.

Nā hana Tumor

Ua hoʻokaʻawale ʻia nā neoplasms ma ke pancreas i loko o ka maʻi ʻaʻai (hana kino) a me nā maʻi ikaika o ka hormonally, ka mea e hiki ai ke hōʻeha a me ka benign. Hoʻololi nā ʻōmoli kau ma muli o ke ʻano a me ke wahi o ka huki. I ka manawa mua i ka hiki ʻana o nā ʻōpū o ke kanesa, ka nalowale o ka makemake nui ʻana, ka nui o ka momona, ke kani mau ʻana ka manawa, ka maʻi wā maʻamau ma ka ʻōpū o luna, nā maʻi maʻamau (kūmole momona) e hele mai. Me ka holomua o ke kaʻina, e piʻi nui ana ka maʻi me ka ʻaole maikaʻi ʻole, e hui pū ka ʻili i ke ʻano o ka ʻili.

Nā ʻōhua a me nā pōhaku i nā pancreas

ʻO nā cysts he mau lua me kahi kaaka momona fibrous i piha i ka wai. I loko o nā ana, make nā cell gland a ke hoʻololi ʻia e ka iwi fibrous. Hoʻopiʻi i kahi kūlana o nā lesi o ka pancreatic a i ʻole nā hopena congenital. Hiki paha iā lākou ke paʻakikī me nā lula kūpono ʻole, ke koko, ka umē i ka lua a i ʻole kāohi. Kālele ke kiʻi o ka lāʻau lapaʻau ma ka diameter o ka cyst, kona ʻike a me ka loaʻa ʻana o nā hoʻopiʻi (perforation, suppuration). ʻO ka hoʻopihapiha kū hoʻokahi a hiki i 50 mm ka lōʻihi e kuʻi i nā laka, ka hopena o nā nerve a mai lawe i ka ʻeha. Me nā cysts lahilahi lehulehu, nui ka ʻeha (intolerable, ʻoi, ʻōpena) me ka hiki ke hoʻonā ma ka kua a i lalo, a me ka nausea, ka luaʻi, ka hoʻohuihui ʻana, ka hemahema o ka leʻaleʻa, ka papa haʻahaʻa.

Loaʻa nā mea i loko o ka aniani a loaʻa pinepine aʻe ia i nā haʻawina loiloi e pili ana i kahi maʻi ʻē. Hoʻohana pinepine ʻia lākou i ke poʻo o ka pancreas, nona ka calcium carbonates a me ka phosphorus. ʻAʻole ʻike i nā kumu kumu, akā ke kuhi nei nā poʻe ʻepekema i kū e kū i ke ʻano o ka hiki ʻole o ka hōʻuluʻulu o ka phosphory-calcium metabolism a me ka ʻeuʻeu i ke kino.

Ka poino i ka papa hana i ka maʻi maʻi

Me ka hoʻomohala ʻana o ka maʻi mellitus o ka maʻi mua, kahi i kāpili ʻia ai ke ʻano o ka insulin, ʻaʻole i loaʻa ka ʻeha. ʻO nā mea hōʻike nui o ka maʻi pākī: huehue ka nui, make nui, ʻili palupalu, hoʻonui ʻia i ka urine, nausea, lilo nui, nāwaliwali. Me nā kūlike o ka hypoglycemic, ke hele mai nei kahi manaʻo kūlike.

Nā rula no ka hoʻomākaukau no ka hoʻokolohua

I mea e loaʻa ai nā hopena pono o nā kaʻina noiʻi noiʻi, pono ʻoe e pili pono i nā lula:

I ka lā o ka hoʻokahe koko, mai uahi (no nā hola 2-3).
Lawe lākou i nā hōʻoia he koko ma kahi ʻōpū ʻole.
No 48 mau hola, ʻaʻole loa ʻoe e ʻai i ka ʻai, nā momona, nā meaʻai paʻakai.
Inā he constipation, hoʻomaʻemaʻe i nā loko i kahi enema, inu i nā enterosorbents (ua hana ʻia ka).
No ka hoʻolilo ʻana i ke kaila o nā feces a me ka waiʻai, e hoʻohana i nā pahu momona (kūʻai ʻia i loko o nā hale kūʻai).
Ma mua o ka hāʻawiʻana, e hana i nā kaʻina hana hoʻomaʻemaʻe e hoʻemi i ka hopena o ka hoʻonāukiuki ʻana o ka mea.

Ma mua o ka hōʻiliʻili i nā feces, pono e hoʻokaʻawale ia ka pale i ka pale ʻana e komo i ka hoʻokaʻawale. E hōʻiliʻili i ka lako, ua kūʻai ʻia nā mea lawe me kahi puna. ʻAʻole hiki ke hōʻiliʻili ʻia ka loiloi mai ka lua, akā, mai loko o ka ipu maʻemaʻe, ke kīʻaha, a me nā ʻeke paha.

Pono e hōʻiliʻili i ka wai i ke kakahiaka ma kahi ʻōpū ʻole. Hoʻopiha ʻia ka pahu momona i ka ʻaoʻao waena, ua hoʻohaʻahaʻa ʻia ka mea mua.

ʻĀninalysis

I ka hoʻokolokolo ʻana i ka urine, lawe ʻia ke kala, ʻono a me ke ʻano o nā meaola ponoola. Hiki ke hoʻololi i kēia mau ʻōuli e like me kahi hōʻailona kūlohelohe o ka mumū i ka pancreas. Me ka pancreatitis i loko o ka urine, a me ke kahe i ke koko, ka piʻi a me ka nui o nā kiʻekiʻe amylase. Hoʻonui ʻia kāna hana ma hope o ka 4-8 mau hola mai ka hoʻomaka ʻana o nā loli i ke kino a kū i ka 3 lā. Pēlā pū i ka urine e hoʻoholo i ke kiʻekiʻe o ka leukocytes, protein, bilirubin. Hoʻomaʻama pinepine, nā kauka i kuhikuhi i ka loiloi Nechiporenko, i ka wā i hala ʻia ke kumu e kahi centrifuge, a ke nānā ʻia ke koena. Hāʻawi kēia i ka ʻike ma ke ʻano o nā keiki, ka urinary system a me nā ate, nā loli i hiki ke hele pū me ka pancreatitis.

Nā Manaʻo Fecal - Coprogram

He mea koʻikoʻi ke ʻano loina Fecal no ka hoʻomohala ʻana i nā maʻi o ka pēpē o ka gastrointestinal a me nā ala o nā pancreas. Me ka hemahema o nā aniani gland, e hoʻopilikia ka hana o ka digestive, ma muli o ke ʻano, ka loli o ka feces. Nā hiʻohiʻona o nā feces me kahi hoʻohaʻahaʻa i nā enzymes a me ka pancreatitis:

ʻulaʻula
kukui pale
paulele, pungent odor,
ka heleʻana o nā momona, nā aʻa a me nā fibig undigested.

ʻO ka poʻe me ka pancreatitis ka mea pinepine e hoʻolōʻihi i ka defecate. Hoʻopili ka ʻaihue a holoi holoi ʻole ʻia mai ka paia o ke kīwaha o ke kīwele (kahi koʻikoʻi diagnostic koʻikoʻi).

Nā hōʻike kaumaha

Hoʻopili ʻia nā ʻaoʻao me ke hoʻohana ʻana i kekahi mau mea a kekahi kanaka e lawe ai i loko i hope o ka hoʻolilo ʻana i ka loiloi mua. Nā ʻano kaumaha:

ʻO ka hoʻokolohua Glycoamylasemic. E hoʻokau i nā lawelawe he 2. ʻO ka mea mua i lawe ʻia ma luna o kahi ʻōpū ʻole a hoʻoholo i ka pae o ka amylase. Ma hope o ka mea maʻi e lawe a 50 g o ka glucose. Ma hope o 3 mau hola, ua lawe ʻia kahi hapa o ke koko a ua hoʻohālikelike ʻia ka ʻano ʻōlelo amylase me ka loiloi mua. Inā ʻoi aku ka kiʻekiʻe o ka amylase o ka lua o ka hapa ma kahi o ka mea mua, hōʻike kēia i kahi hewaʻole o ka hana hana o ka ʻaila.
Hōʻike ʻo Iodolipol - e hoʻoholo i ka iodide i ka pāʻai. ʻO ka helu mua, ʻike ʻia ka mahele kakahiaka mua o ka urine, ma hope o ka lawe ʻana o ke kanaka iā Iodolipol a haʻi pinepine ʻia ka hoʻāʻo urine i kekahi mau manawa. ʻO ka maʻamau, ma hope o 1 mau hola, e hoʻomaka ke kaʻina o Iodolipol mai ke kino.
Kūʻai hoʻokūkū. Hoʻohālike ia i ka iodolipol, aia wale nō i ka wā e lawe ai i nā mea inu loina ʻo Prozerin. Ma hope o kona hoʻohanaʻana, ua hoʻoholo pono ʻia ka pae o nā diastases ma ka urine.
ʻO ka hōʻike huna huna-pancreosimine. Aia ia i ka hoʻololi ʻana i ka kahe o nā ʻāpana o ka duodenum 12 ma o ka hoʻopuka ʻana i ka mea huna. E pale aku i kēia kiʻi, hoʻonui i nā hōʻailona o ka enzyme pancreatic.

Pono ʻia nā hoʻokolohua inā ʻole ka hāʻawi ʻana o ka lāʻau lapaʻau i nā ʻike pololei e pili ana i ka mokuʻāina o ka pancreas.

Nā Diagnostics paʻakikī

ʻOiai ka mea ʻo nā diagnostics laboratiki e hāʻawi i ka nui o ka ʻike e pili ana i ka mokuʻāina o ka pancreas, lawe ʻia nā haʻawina loiloi e hana i kahi maʻi hope loa. Nā Palapala

MRI ʻO pancreatic. Hāʻawi ia i ka ʻike e pili ana i ka nui, ke kūlike, ka hoʻohālikelike o ka hua o ke kino, ka manawa o nā puka a me nā ana, nā hoʻomehana a me nā kūlana o nā alaloa, nā kīʻaha koko.
Endoscopic retrograde cholangiopancreatography - kahi hana no ka hoʻopaʻa ʻana i nā kumu no ka pancreatic.
Ua ʻike ʻia ʻo Fibrogastroduodenoscopy - me kona kōkua, ke kūlana o ka ʻōpū, duodenum a me nā ʻaoʻao o ka pancreatic.
Hōʻike - hōʻike i ka echogenicity o ke kumuhana, kona mau contours, ka manawa o ke kahe i loko o ka lua.
ʻO Endo-ultrasonography ka haʻawina o ka moku o kahi mea hoʻokele, nā mālama a me nā moku lymphatic.

Ma ka heleʻana o nā puka a me ka kānalua o ke kaʻina hana, ka hana a kahi maʻi biopsy i hana ʻia, ka mea i lawe ʻia me ka hoʻohana ʻana i kahi puncture no ka hoʻokolokolo histological. Hoʻohālikelike i nā ala āpau pancreatic ma ke ʻano o ka hoʻokaʻawale ʻana a me nā abnormalities o nā enzymes o ke kino. Hiki iā ʻoe ke nānā i ka kūlana o ka pancreas ma ke ala o kahi gastroenterologist a me ke kūʻokoʻa kū ʻole i kekahi keʻena pilikino. No nā pahuhopu pale, ua lawa ia e hāʻawi i ke koko no ka kō o nā kō a me nā hana gland i kēlā me kēia ʻeono mahina.