Nā hiʻohiʻona o ka interogation a me ka nānā ʻana i nā maʻi me nā maʻi pancreatic

• ka MANA o ka meaʻai: ka mea nui o nā mea momona, ke kūleʻa ʻana o ka protein i ka meaʻai,

• HARMFUL HABITS: hōʻino waiwa.

• NA HANUI HANOLAHA: nā maʻi o ka mahele biliary, G a me duodenum, puʻuwai, viral hepatitis B, ʻo ka metabolic a me nā maʻi hormonal o nā mea (hyperparathyroidism), nā hōʻeha pancreatic.

Ka hōʻemi iki o ka meaʻai, maloʻo, ʻeleʻele-hina a me ke ʻano iho o ka elemakule - me ka lōʻihi o ka holomua o ka papa pancreatitis a i ʻole ka pancreatic cancer.

• nā kala Subicteric o ka ʻili a me nā membous nā palle palupalu a me ka sclera a i ko lākou yellowness - me ke ʻano pseudotumor o ka pancreatitis kūloko a i ʻole ʻaʻano o ke poʻo pancreatic.

• Pallor o ka ʻili me nā wahi o cyanosis - i loko o ka pancreatitis ka hopena ma muli o ka hanu a me ka holo ʻana i ka maʻi (ma muli o ka inu nui)

• ka hoʻomaloʻo a me ka lining o ka alelo, ka maʻa a me ka hoʻonaninani o ka papillae, kahi mea momona ʻono, nā ʻōpala a me nā ulia ma nā kihi o ka waha (cheilitis), aphthous stomatitis.

• ka hoʻonui ʻia o ka ʻōpū ma ka nui - ma muli o ka palupalu ʻana.

• ma ka ʻōpū, ma ka umauma, a me ka liʻiliʻi i ka kua - ua wehewehe maopopo ʻo ia i nā ʻāpana liʻiliʻi ʻulaʻula ulaula e piʻi aʻe ma luna o ka ʻili o ka ʻili - he hōʻailona no "nā ʻāpana ʻulaʻula"

• ʻāpana palani o ka ʻili ma luna o ka pancreas.

• i kekahi manawa - ka atrophy o ka momona subcutaneous i ka epigastrium - ma ka wahi e pili ana i ka koho ʻana o ka pancreas ma ka paia ʻōpū o ka ʻōpū (ʻōpū Grott).

• Hōʻike Kerte - me ka superpicial palpation o ka ʻōpū - ke kaumaha a me ka luhi ʻana o nā ʻōpū o ka ʻōpū ma ka wahi o ka epigastric, i kekahi manawa ma ka ʻāina o ka hypochondrium hema a i ke kahua paha o ka pancreas (ma ka pancreitis koʻikoʻi).

• me ka palpation hohonu i nā mea maʻi me ka pancreatitis kūpaʻa a me kahi keaka o ka pancreas, hiki ke palpate i ka pancreas ma ke ʻano he kaula wiwo ʻole, kūpaʻo a me ka paʻa ʻana.

• nareness i loko o ka choledochopancreatic zone o Shoffar, aia ma ka epigastrium ma ka ʻākau - komo i ke poʻo pancreatic i ke kaʻina pili

• ke kaumaha ma ke kihi o Desjardins (ma kahi mamao o 6 cm mai ka neʻe ma ka laina i noʻonoʻo ʻia mai ka navel a i ka pūlima axillary kūpono).

ʻEha i ka palpation ma ka wahi o Shoffar a ma kahi o Desjardins -

ʻO nā manawa pinepine me ka cholepancreatitis a me pseudotumor ("poʻo") ke ʻano o ka CP, no ka mea e pili ana i ka hoʻokalakupua o ke poʻo pancreatic.

• ʻO kahi hōʻailona kūpono o ka wili e hoʻoemi ana i ka maʻi ma ka maka Mayo-Robson ke huli ka mea maʻi ma kona ʻaoʻao hema.

ʻO ka ʻeha ʻia e kekahi maʻi i ka ʻōpū o ka ʻōpū paha ka ʻōpū, ʻoiai e hoʻonui nei!

• Me ka poino o ka huelo o ka pancreas, ʻike ʻia ka ʻōpū ma ka ʻaoʻao hema-vertebral hema (Mayo-Robson II point)

ʻO kahi hōʻailona kūpono o Kacha ka wahi o ka hyperesthesia cutaneous ma ka wahi o ka cutaneous internalvation o nā māhele Thoracic VIII-X, ʻo ia wale nō ka hōʻailona i ka maʻi kanesa o ka pancreatic.

• OAK- ↑ ESR, leukocytosis me kahi hoʻololi ma ka hema

• AK (bioch) -disproteinemia, nā hōʻike hoʻokolohua kūpono i ka pāʻālua (C-reactive protein, etc.) - me ka hoʻolauleʻa ʻana o XP. lōkohu

• ↑ ka hana amylase i ke koko (he ʻelima mau pae pākaha i kēia mākaukau he hopena diagnostic no CP) a me ka urine

• ↑ trypsin, lipases i ke koko me ka exacerbation o CP

• ↑ bilirubin, transaminases (AlAt, AsAT), ka phosphatase alkaline a me GGTP

• nā loli i nā ʻāpana huna huna pancreatic (enzim, bicarbonates, ka wai o ka wai) i ka hoʻopaʻa ʻana o ka wai pancreatic ma mua a ma hope o ka hoʻoulu ʻana me secretin a me pancreosimine.

• nā haʻawina Coprogram: me ka hemahema o ka exsectorial, ka nui o ka steatorrhea, me ka holomua o ka manamana a me ka amylorrhea.

• Hyperglycemia ma luna o ka ʻōpū ʻole a i ke ao, i ka wā o ka hoʻāʻo ʻana i ka kāʻei o ka lolo - ka hoʻohaʻahaʻa i ka glucose i hoʻohālikelike ʻia a i ʻole maʻi diabetes.

• Panoramic R-abdominal cavity (nā lōkuhi i loko o ka projection o nā pancreas)

• FGDS me ka nānā ʻana o ka nipple o ka Vater (wehe ʻole i duodenitis)

• Kiʻikuhi pū ʻia (CT) - ↑ a i ʻole the o ka nui o ka pancreas, e hōʻuluʻulu i ka hōʻuluʻulu ʻana o ka isotope i loko o ka ipu kelepona.

• ʻasoundlelo - ka ʻike e pili ana i ke ʻano, ka nui, echostructure o ka pancreas.

• ʻO ka pancreatocholangiography endoscopic retrospade - nā hoʻololi i ka ʻōnaehana papa pancreatic a me ka ʻōnaehana biliary (e hoʻoholo ana i ke kuahiwi o nā stenosis a me nā hana obstructive).

ʻO ke kākoʻo lāʻau lāʻau hoʻokahi a me nā hana o ka hoʻoikaika ʻana i ke kākoʻo angular e kākoʻo ana: kākoʻo ʻo VL - i hoʻolālā ʻia e hoʻomau i nā wili i ka kiʻekiʻe i koi ʻia ma luna o ka wai, ka wai.

Nā palapala waiwai o nā embankment a me ke kaila kahakai: Ma nā wahi kūloko, ua hoʻolālā ʻia ka pale kālā me ka mālama ʻana i nā loea a me ka hoʻokele waiwai, akā pili lākou i nā mea nui i nā mea aesthetic.

ʻAtikala lāʻau lapaʻau

ʻO nā maʻi me ka maʻi maʻi o ka pancreatic e hoʻopiʻi paha ʻeha ka ʻōpū aoiaʻe nā hōʻailona dyspeptic, nāwaliwali laulā.

ʻO ka ʻeha ma ka ʻōpū, e like me ka lōʻihi a me ke ʻano, ua kūloko ʻia ka ʻōpū ma luna o ka ʻōpū o luna, a ʻoi loa ka ʻāpana o ka epigastric a i ʻole hypochondrium i waiho ʻia, ke kua i ke kua. Hiki iā lākou ke kūleʻa i ka maʻi, ikaika, herpes zoster, me ka irradiation i ka lumbar wahi, kahi e pili ai i ka pancreatitis a me ka haki ʻana i nā kahe mai o nā mea huna mai nā pancreas a me ka hoʻolaha ʻana i kā lākou iho i ka enzyme proteolytic. ʻO nā hōʻeha lōʻihi a me nā puʻupuʻu he mau ʻano o nā maʻi o ka maʻi mau;

ʻO nā maʻi Dyspeptic, nausea, a me ka luaʻi pinepine i nā maʻi like ʻole o ka pancreas ma muli o kahi hoʻololi i kāna hana enzymatic a i ʻole reflexively.

Kiʻi jaundice me ka ili ʻili ʻano ʻokoʻa no ka leʻaleʻa o ke poʻo o ka pancreas me ka pale hewa ʻana o ka puka o ka bile.

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Nā ʻano kino no ke aʻo ʻana o ka pancreas

I ka hoʻokolohua, hoʻopau ʻia, jaundice, me kona mau hiʻohiʻona hiʻona me ke ʻano o ka ʻalā, ka hemorrhage. ʻO ka palpation o ka pancreas kahi i hana ʻole ʻia. Kahi wale nō me ka hoʻonui ʻana i ka puhaluhi ma muli o ka nāʻino hōʻeha me ka palpation sliding hohonu hiki ke ʻike i kahi neoplasm.

Nā kumumana noiʻi pancreatic ʻē aʻe

ʻO ka hana Laboratory a me nā mea hoʻokele hiki ke ʻike pololei i ka hana hōʻino ikaika i ka wai ʻai, e loiloi i ke koena exocrine pancreatic function, e loiloi i ka hana endocrine o ka pancreas a loiloi i nā hiʻohiʻona morphological o ka hoʻopiha.

X-ray hoʻokolokolo pancreas. A panoramic x-ray o ka ʻōpū o ka ʻōpū e hōʻike ana i nā kūlohelohe i ka hana i loko. Me ka hoʻomaka ʻana o ka hoʻohālikelike o ka heium, hiki ʻole i nā hōʻailona mau ke ʻano o nā hana ʻoiola a me nā neoplastic i ke wahi kokoke i ka papa ʻo ka pancreas, hiki ke loaʻa i nā loli i ka membous mucous o ka duodenum.

Hoʻopiʻi ʻōnaehana pancreas. ʻO kēia ala arai a palekana a hiki iā ʻoe ke ʻike i nā cysts a me nā neoplasms i ka pancreas, me ka hoʻoholo ʻana i kona hoʻonui ʻana ma muli o ka edema a i ʻole compaction (fibrosis).

Hoʻohālikelike tomography. ^ E Ha yM. I ka mea maʻi me ka momona a me ka pēpē, ka paʻakikī o ka ultrasound, no laila e ʻōlelo ʻia e hoʻokō i ka tomography compted, ʻo ia hoʻi e hiki ai iā ʻoe ke loiloi i nā loli morphological i loko o ka palipula, ʻike i kahi maʻi, cyst, foci o ka mumū, edema.

ʻO ka moemoeā naʻai pancreatic. ^ E Ha yM. ʻO ka angiography koho o nā hāmeʻa e hāʻawi ana i ke koko i ka pancreas he mea maikaʻi ia i ka hoʻomaka ʻana o nā hua tumors. Hiki iā ia ke ʻike i ka hoʻopili ʻana i ka lumen o nā moku a me ke kipi ʻana i ko lākou kūlana. Hoʻohana pinepine ʻia kēia noi ʻana ma hope o ka ultrasound a me ka tomography compute.

Endogopika retograde cholangiopancreatography. ^ E Ha yM. Kuhi ʻia kēia haʻawina ʻo ia kekahi o nā ala e ʻike ai ka ʻike nui loa no nā papa pancreatic a me biliary. Hoʻohui ʻia kahi mea iodized mea i loko o ka papa wai maʻamau ma o ka endoscope a laila hana ʻia ke ʻano X-ray, ka mea e ʻae ʻole ʻaʻole e hoʻokumu i ke kumu o ka hana jaundice, akā e ʻike pū i nā loli i ka pancreas e hōʻike i ka hanana ʻana o nā hanana a me nā neoplastic. I ka pancreatitis kūlohelohe, hiki ke loli ke kumikā, ʻike ʻia nā wahi ʻalā a hoʻonui ʻia. Ma mua o kahi hoʻouka, hiki i kahi stenosis hoʻokaʻawale i kahi kinikiki a me kona mea e hoʻopau ʻia ai ka hopena.

Ka Hōʻona ʻo Radio Radototope. ^ E Ha yM. ʻO kēia haʻawina o ka pancreas me ka hoʻohana ʻana i ka methionine i kālele ʻia me ka isotope radioactive is of selenium, ma ka laulā, he nui ʻē aʻe ka pololei ma mua o nā papa noiʻi i hōʻike ʻia.

ʻO ke aʻo ʻana o nā enzyme pancreatic i ke koko a me ka urine. ^ E Ha yM. ʻO ka necrosis o ka pancreatic tissue ma muli o ke kālai ʻana o ka hopena o nā kinikona hiki ke loiloi ʻia e ka hoʻonui ʻana o ka hoʻoulu ʻana o nā enzyme pancreatic i loko o ke koko, i ka urine a me nā ʻano wai ʻē aʻe o ke kino. ʻO ka helu laulā maʻamau o ka hana amylase a me ka lipase. I ka wā o ka pancreatitis koʻikoʻi, piʻi ka nui o ka serum amylase pae a hiki i ka 10 lā a maʻamau e hele pinepine ʻia e ka hyperamilazuria. Ka hoʻonui ʻia ʻana o ka ʻike amylase ma ka serum koko a me ka urine, ʻaʻole wale nō e pili ana i ka pancreatitis, akā aia nō hoʻi i ka pathology o ka biliary tract, perforation o nā ʻōpū o ka ʻōpū, ka ʻōpū o ka ʻōpū, a me kekahi mau maʻi maʻi maʻi, ka mea i ʻike pū ʻia me ka lesion concomitant o ka pancreas.

Ma muli o ke kuhi ʻana o ka amylase i ke kahe koko ʻaʻole mai ka pancreas wale nō, akā mai nā kelepona salivary hoʻi, ke hana ʻia nei nā ho'āʻo ʻana e hoʻoholo i kona isoenzymes. Ke hoʻohana nei i ka radioimmunoassay, ka hana i loko o ka serum koko o nā enzymes - trypsin, lipase, elastase - i loiloi ʻia.

Ke noiʻi ʻana i ka hana pancreatic. ^ E Ha yM. Hoʻomaʻamaʻa ka hana pancocatic exocrine i ka hoʻohana ʻana a pololei a kūle ʻole. Hoʻokomo ʻia ka hoʻoulu ʻana i ka makua makua no ka nui o nā hormones, i loko o ka secretin a me cholecystokinin, me kā lāua hui pū ʻana. Hoʻokomo ʻia ka hoʻōla ʻana me ka hoʻokomo ʻana i nā huaʻai. I nā kūlana ʻelua, hoʻohana lākou i ke ana o ka enzyme pancreatic - amylase, trypsin, lipase (ke kaomi o ka mea ma lalo o ke ʻano o ka pilikino i hoʻokaʻawale iki iho ai, a laila hoʻonui ʻia) i loko o nā waihona duodenal, kahi i loaʻa ma ka hoʻohana ʻana i ka ʻai. ʻO kahi ala hou a koʻikoʻi no ka nānā ʻana i ka hana exocrine pancreatic no ka hoʻopaʻa ʻana i nā loina e hiki ke hoʻoholo i nā kiko o nā momona a me nā huahana protein i loko.

ʻO ka loiloi kuʻikahi o ka momona momona i loko o ka feces, a me ka chymotrypsin a me ka trypsin, hiki ke ʻike pololei i kahi hōʻemi ka holomua o ka hana gland.

Hoʻololi hoʻokolohua Glucose ae ʻono i ka loiloi o ka hana endocrine o ka pancreas, ka mea i hoʻopuni ʻia ma 3/4 o nā mea maʻi me ka pancreatitis a i ʻole ko ke ʻano o ka pancreas.

ʻO ka haʻawina o ka hana o ka pancreatic, ka mea nui, ka exocrine, he mea nui ia i ka poʻe maʻi me ka malabsorption e hoʻomālamalama i nā kumu o kēia pathology a, inā paha, e hoʻoholo i ke kuleana o ka hōʻemi o ka hana pancreatic.

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Nā hiʻohiʻona o ka nānā ʻana o ke kino

I ka hoʻokauʻana i ke kūlana o ka pancreas, pono e loaʻa ka ʻike e pili ana i ka hoʻolālā wale nō, akā e pili ana i nā hiʻohiʻona o ke hana i ke kino. Kuhi ʻia kēlā ʻano ʻōuli i ke kino o ke kanaka ma ke ʻano o ka hana nui, a he ʻano kūikawā a hoʻokō ia i kekahi mau hana.

Hana ka pancreas i nā ʻano hana i loko o ke kino o ke kanaka:

lawe i ka hana ikaika i ke kaʻina hana
hana i nā enzyme e pono ai e wāwahi i ka momona a me nā protein i mea momona
aia ma loko o ka aila i hana ʻia ai ka insulin, e hoʻomaikaʻi i ka glucose i hāʻawi i nā ʻili a me nā ʻili me ka ikaika pono
hana ia i ka hana ʻana o nā hormones like i pono no ka hana piha o ke kino o ke kanaka

ʻO kahi o nā pancreas i loko o ke kino kanaka i ka wahi peritoneal. Ma ka hanana e hōʻino ʻia i kahi ʻāpana o ke kino kūaloko e hele mai ana, ka hana ʻo ke koena e hana i ke ʻano o ka hoʻololi a kū pinepine ʻia nā hōʻailona ʻano. I kekahi manawa ua hele a hōʻeha paha i kahi make o kahi liʻiliʻi liʻiliʻi, ʻaʻole i hoʻopilikia i ke ʻano o ke kino holoʻokoʻa. Eia naʻe, hiki i kēia ke hoʻonāukiuki i kahi hewa ʻole o ka pancreas, e pili pono i ka mālama pono ʻana o ka mea maʻi. ʻO ia ke kumu i kuhikuhi ai nā loea i kahi loiloi piha o ka pancreas, i ka wā hiki ke nānā i ke ʻano o ke kino a me kāna hana.

Nā Hana ʻĀina noiʻi

ʻO ka loiloi Fecal kahi ʻano hana ʻoihana maikaʻi loa no ka hoʻomohala ʻana i nā māla pancreatic

Ke lawe nei i nā hoʻokolohua ʻē aʻe i ka wā o ke nānā ʻana o ka pancreas e hiki iā ʻoe ke hoʻoholo i ke ʻano o ke ʻano o ka huelo. Ma ka hanana e ʻike ʻia ka mea maʻi i ka hana nui o nā enzymes i hana ʻia, e hōʻike paha kēia i kahi leʻeha maʻi.

Hiki ke hoʻokaʻawale i ke koko, urine a me nā feces e ʻike i nā ʻano enzyme. I mea e maopopo ai ka paʻakikī o ka hōʻino o ke kino, hana ʻia kahi noiʻi e hōʻike ana i nā hana o ka hana o ka ate, ka pili pili me ka pancreas. Ke hoʻokō nei i kahi hoʻokolokolo o ka pancreas, hiki ke hoʻohana ʻia nā hana ʻoi aku ka diagnostic ma lalo nei.

Ke hana nei i kahi hoʻokolohua koko nui. Ma ka hanana i loaʻa i kahi maʻi he ʻano maʻi o ka maʻi a i ʻole ke kaumaha o ke kaʻina o ke kino, a laila e hoʻopili ʻia nei me ka hoʻonui ʻia ʻana o nā huaʻōlelo penei:

ESR
ʻO nā neutrophils stab a hoʻokaʻawale i nā neutrophils
nā pili koko keʻokeʻo

Koho ʻana o kahi hōʻike koko koko. Me ka holomua o ka kino o ke ʻano o ka pankeritis icteric i ʻike ʻia kahi nui o ka bilirubin a me ka nui.

He wikiō hoʻohana - Pancreas: nā hana a me nā maʻi ʻē aʻe.

Ke lawe nei i nā hoʻāʻo koko pancreatic:

Hāʻawi ʻia kahi ʻōpū ʻole e ʻike i ke kiʻekiʻe o ka amylase, lipase a me ka trypsin i ka lua duodenal. Ma hope o kēia, ua hoʻokomo ʻia kahi hoʻonā o ka waikila hydrochloric i loko o ka ʻōpū a me ka hoʻoholo ʻana i ka lua o ka pae o ka pae ʻana o ka huina. Me ka hoʻomohala o ka maʻi pancreatitis lohi, kahi nui o ka hoʻohaʻahaʻa nui i nā hōʻailona e nānā pono i nā ʻāpana āpau.

Ke nānā nei i ka urine no ka ʻike o ka amylase a me nā waikawa amino i loko. Me ka hoʻomohala ʻana o nā ʻano like ʻole o ka pancreas, ʻike ʻia kahi hoʻonui ʻana o kēia mau mea i loko o ke kino o ke kanaka.

Kuhi ʻia ka coprogram me ka pahuhopu e koho ai i ke kumulā, nā ʻōpala, nā ʻaoʻao o ka puhoi a me ka lau o nā unigched me ka ʻike ʻole o nā kahe huila i loko o nā feces.

ʻOi aku ka manawa hou, no ka loaʻa ʻana o nā maʻi o ka pancreatic, ua hana ʻia kahi loiloi no amylase - ʻo ia ka enzyme i hua ʻia e ke kino ponoʻī. Me ka holomua o ke kino o ke kanaka a me kahi ʻano kūlohelohe o ka maʻi, ua ʻike ʻia ka hoʻonui ʻia o ka hana o kēia enzyme i ke koko a me ka urine. I ka hanana i loaʻa mai i ka mea maʻi mai nā pathologies e like me ka pancreatic necrosis a me ka sclerosing pancreatitis, a laila he hopena o ka hana o ka amylase i ka pā a me ka koko.

I kēia lā, ʻo ka mākaʻi nui noiʻi o nā papa pancreatic ʻo ia ka elastase enzim, i hoʻoholo ʻia i loko o ka ʻa. He mea nui hoʻi e hoʻomanaʻo e lawe ʻia nā hoʻokolohua koko āpau i ke kakahiaka, a mau i ka ʻōpū ʻole.Eia kekahi, ʻo kekahi mau ʻano o nā hoʻokolohua noiʻi e pono ai i kahi hoʻomākaukau kūikawā mai ka mea maʻi, no laila e nānā pono me kēia kauka.

Mau hana hoʻokalakupua instrumental

ʻO ka ultrasound o ka pancreas kahi ala kaulana loa no ka hoʻomohala ʻana i nā pilikia

Ma ka hoʻomaʻamaʻa lāʻau lapaʻau, ʻo nā hana kōkua no ka nānā ʻana i nā pancreas i hoʻohana pinepine ʻia, me ia ka mea i hiki ke hōʻoia i ka maʻi maʻi. Eia kekahi, me ka hoʻohana ʻana i nā ʻano hana hoʻokolohua, hiki ke hoʻoholo i nā loli like ʻole o ke ʻano o ke ʻano o ka huelo, e loiloi i kona nui a me ke ʻano, a ʻike pū ʻia i nā ʻano ʻano neoplasma a me nā anomalies.

I ka manawa pinepine, ua hoʻohana ka poʻe loea i nā ʻano hana like:

ʻO ka nānā loiloi hulina endoscopic o ka mea maʻi e hiki iā ʻoe ke hōʻike i nā loli like ʻole, ka hoʻololi ʻana i ke ʻano ka lilo ʻana o ka papa pancreatic a me ka duodenum.
ʻO ka biopsy pancreatic me ka loiloi mikroskopene o kahi hōʻike o ka nui pancreatic. Ke hoʻohana nei i kēia ala diagnostic, hiki ke koho pololei i ka kaʻina maʻi, e hoʻokaʻawale i nā neoplasms malignant mai ka benign, me ka ʻike pū ʻana i ke ʻano o ke ʻano o ke kuʻi.
ʻO ka Endoscopic retrograde cholangiopancreatography ua manaʻo ʻia kekahi o nā mea e ʻike mua ana i ka ʻike instrumental, me ia ka hiki ke hoʻomāʻowalewale i nā punawai o nā kumu no kēia mau kumu: ka ʻoki palaki, nā kālai pōhaku, ke ʻano o nā keaka a me ka hoʻokumu ʻana i nā plug protein.
Kokua tomography hoʻohālikelike i ka maʻi ʻana i nā neoplasms a me nā pseudocysts i ka pancreas, me ka ʻike pū ʻia i nā hana atrophic i ke kino.
Hiki iā Endo-ultrasonography iā ʻoe e nānā i nā kikoʻī o nā loli o nā ʻāpana pancreatic a me nā papa, a me ke kahakaha ʻana i ka hoʻonui ʻana o ka nui o nā nū lymph.
Manaʻo ʻia ka ultrasound kekahi o nā hana maʻamau no ka hoʻopaʻa ʻana i ka pancreas, me kahi mea hiki ke hoʻoholo i ke ʻano o ke kumulāʻau, kona nui, contour, a me ke ʻano o nā kumu o nā bile a me nā kumu uku. Mahalo i kēia ʻano, hiki ke wehewehe pono i ka hele mai o ka nui o ka wai i loko o ka ʻōpū o ka ʻōpū, e hōʻike ana i nā loli aʻe: ʻo ka hana ʻana o ka maʻi, ka hoʻokumu ʻana o nā pōhaku, nā ʻano cystic, scarring o ia ʻāpana, nā ʻano o ke ʻano like ʻole o nā ʻano o nā makahiki.

No ka hoʻoholoʻana i kahi maʻi kūpono, maʻa pinepine kekahi loea i kahi hoʻokolokolo piha i ka mea maʻi.

Ke kuʻuna o ka pancreas

Maʻi maʻi pancreatic - pancreatitis: wehewehe a me nā hōʻailona

Hōʻike ʻia ke ala o ke pancreas i ke kūkulu ʻana i kahi kaʻina hana aʻokiʻoki, kahi i kapa ʻia ʻo pancreatitis, pēlā hoʻi i ka papa mākau o ka maʻi.

ʻO ka manawa pinepine ka ulu ʻana i ka pancreatitis maʻi ma muli o:

inu waiʻawa
ka holomua ʻana i ka maʻi maʻa

ʻO kahi hiʻohiʻona o kēia maʻi ka mea maopopo i ke kaʻina hana a hoʻonāukiuki i ke komo ʻana i loko o nā ʻōpū o nā huina e hoʻoulu ʻia e ka pancreas. Ma muli o kēia, hana ʻia nā humeʻe i loko o ke kelepona ponoʻi, i alakaʻi ai i kona luku ʻana.

Me kēia kulana, hoʻokuʻu ʻia nā toxins, e komo maʻalahi i ke kahe a hiki ke hōʻeha i nā maʻi kino a me nā ʻāpana. ʻO ka pancreatitis acute ka manaʻo i kahi maʻi maʻi e pono ai ka mālama ʻana. He mea nui e hoʻomanaʻo e hoʻomaka koke ana ka lāʻau lapaʻau, ʻoi aku ka nui o ka manawa o ka mea maʻi e ola hou ana.

I ka haʻalele ʻana o ka hoʻomaʻamaʻa maikaʻi ʻana, lilo ka pancreatitis i ke ʻano o ke ʻano o ka maʻi.

ʻO ka holomua o ka maʻi pancreatitis i loko o ke kino o ke kanaka ke alakaʻi i ka hoʻomohala ʻana o nā ʻano hua like ʻole, ʻo ia ka mea i hoʻopiʻi ʻia ai nā cysts a me nā neoplasms malignant.

Ma kahi o ka hana kolohe o ka pancreas, ʻike ʻia nā hōʻailona like ʻole:

ʻO ka maʻi ʻeha ka hōʻailona o kahi hōʻailona e hele mai me nā pilikia like ʻole o ka pancreas. I ka hanana e ulu ana ka pancreatitis ma kahi ʻano maʻi, a laila hopohopo ka mea maʻi i ka ʻeha koʻikoʻi e mau ana i ka wā lōʻihi. I ke ʻano o nā maʻi maʻamau o ka maʻi o ka maʻi, ʻoi aku ka nui o ka hōʻeha ʻana o ka maʻi ʻeha, a hiki ʻole ke hele wale. Hoʻokumu nā naʻau ʻeha ma lalo o ka mana o nā ʻano like ʻole e hōʻeha mau i ka hoʻopiʻi ʻana a i ʻole hōʻino wale ia. Hiki i nā maʻi hōʻeha ke hoʻopau ʻelua me ka pancreatitis a me ke hoʻokumu ʻana o kahi pseudocyst i ke kino.
ʻO kahi hōʻailona hōʻailona o ka pathre pancreatic ʻo ka hoʻomohala ʻana o ka maʻi trophological insufficiency syndrome. Kūkala ʻia kēlā mau hōʻailona ma muli o nā ʻano like ʻole o ka nalo ʻana ma muli o ka lawa ʻole o nā ʻona o nā huina. ʻO ka maʻamau, ua hele pū ʻia kēia ʻōpū me ka hoʻomohala ʻana i kēia mau hōʻailona: ka nānā ʻana o nā pilikia ʻike, nā pilikia me ka hōʻuluʻulu ʻana o nā neʻe, ke kaumaha nui ʻana, ke kāohi ʻana o ka ʻā i ke kala ʻeleʻele ma ka wahi o ka pancreas, ka hoʻāliʻi o ka momona subcutaneous a ʻokiʻoki maoli ʻana o ka ʻili a me ka malama ʻana iā lākou i ka ʻōpū. ʻeleʻele hina.
ʻO nā maʻi pancreatic koʻikoʻi e hoʻomohala i ka hoʻomohalaʻana i ka maʻi exocrine. ʻO ka hopena o kēia mau hōʻino, ʻo ia ka make o ka hapa nui o ka parenchyma, kahi e hōʻemi nui nei i ka hana o nā enzymes. ʻO ka emi iki ʻana o ka hana excretory me ka ʻike ʻia ʻana o kēia mau hōʻailona: nā pilikia me nā kīʻaha i ke ʻano o ke ʻano o ka maʻi, ke kaumaha nui o ke kino a me ka pua.
ʻO ka holomua o ka maʻi pancreatic e alakaʻi i ka nui o kona nui, e hoʻonāukiuki i nā ʻōpū o nā ʻaoʻao pili. Me ka maʻi o nā ʻūʻī pīpī, hoʻomohala ʻia ka mea maʻi i ka jaundice obstrukt, bouts o ka luaʻi, nā hōʻeha kino o ka ʻili a me ka mālama ʻana i nā feces i ke kala māmā.

Hoʻoholo ʻia ka pancreas i kekahi o nā mea nui nui, ma muli o ka hana i mālama pono ʻia o ke kino. No kēia kumu, he mea koʻikoʻi ke hoʻokolohua i nā ʻano ʻike ʻē aʻe i ke ʻano a me ka hana o kēia ʻili i ke ʻano koke ʻana i ka wā, e pale aku i nā hōʻuluʻulu ʻana o nā hoʻopiʻi like ʻole. I kēia lā, ke lawe ʻia nei kahi hoʻokolohua o ka pancreas me ka hoʻohana ʻana i nā ʻano ʻano like ʻole e ʻike nui a ʻae iā ʻoe e hana i kahi maʻi kūpono.

He mea nui o ka pancreas ma ke kino

ʻO ka pancreas kahi papa i loaʻa i loko o ka ʻōpū o ka pūpū i pili i ka hana ʻana i ka meaʻai a lawe i nā hana endocrine. Aia nō ma ʻekolu piliona anatomical form: poʻo, ke kino a me ka huelo.

ʻO ka lōʻihi ka lōʻihi o ka pancreas. Kīpō kona poʻo i ka hypochondrium ʻākau, a hoʻopau ka ʻili i ka ʻaoʻao hema o ka ʻāina epigastric. No laila, me nā kaʻina o nā ʻaina, hiki ke hoʻopaʻa ʻia ka ʻeha kaumaha ma loko o ka ʻōpū, a loaʻa pū kekahi ʻano kāʻei.

Hoʻopili ka hapa manamana o ka ʻōpala i kahi wahi nui o ka pancreas. Hana ia i kahi hana exocrine. ʻO ka Iron e huna i ka wai pancreatic a me nā enzymes. Hoʻopili kēia mau mea like e like me alpha-amylase, lipase, trypsin a me ka chymotrypsin. Pono kēlā me kēia mau enzyme no ka hoʻokaʻawale ʻana i nā meaʻai, ʻo ia ka protein, nā pelaka a me nā ʻaina.

Aia ka ʻāpana endocrine o ke kihi i loko o ka huelo. He hale liʻiliʻi wale nō ia, akā he mea nui ia. Hoʻolālā ʻia nā ʻōnaehana mōʻaukala e like me nā mokupuni o Langerhans ma ka huelo. Aia nā ʻano nui o nā puʻupuʻu.

Nā kumu kumu o ke ala i laila

ʻO nā kumu nui e hiki ke hōʻeha i nā maʻi:

inu waiʻawa
ka hoʻohana ʻana i kekahi mau lāʻau lapaʻau
duodenitis a me nā maʻi ulia,
ʻeha a hōʻeha ʻia nā ʻōpū,
maʻi maʻi lēpa - hepatitis viral, mumps and others,
nā maʻi hōʻea
maʻi pāpaʻi parasit,
nā mea kūnāwai anatomical i ke kino a i ʻole nā kumu ona,
maʻi vascular
nā maʻi maʻi hormonal
ka hoʻohana ʻana o ka meaʻai maikaʻi (spicy, fatty, salty, smoked),
predisposition genetic.

ʻAʻole wale nā kauka hiki ke pane i ka nīnau pehea e ʻike ai e pili ana i ke olakino o ka pancreas. Ma hope o nā mea a pau, loli nā loli maʻi o kēia ʻōpū me ka ʻeha nui a me ka maʻi ʻoluʻolu. Hoʻanā pinepine kēia mau hōʻailona i ka inu mua ʻana i ka wai inu a i ʻole nā mea momona.

ʻO ka momona Ethyl ka kumu nui o ka pancreatitis a me ka maʻi o ka moʻo. E luku ana i nā pūlei pancreatic, ka mea e alakaʻi ai i ka hana hoʻonāuki i nā huina o ka huina. Hiki i ka hoʻohana lōʻihi ʻana i ka waiʻona ke kumu i ka loli o ka hormonal, ma ke ʻano diabetes mellitus.

ʻO ke kumu ʻē aʻe no ka hoʻomohala ʻana i nā ala no ka pono ʻai maikaʻi. Hoʻomaka ka maʻi ʻana o nā maʻi o ka pepeka a me nā pancreas me kahi hoʻokolokolo o ka mea maʻi. ʻO kaʻai momona i nā nui a alakaʻi i ka hiki ʻole i nā enzyme ke hoʻopiha i ka kaumaha. Eia kekahi, ʻo ka mokuʻāina o ke kino ke pākia me ka komo pinepine ʻana o nā meaʻai kīʻī a me kahi iʻa.

He aha nā hōʻailona o ka maʻi wikiwiki?

ʻAʻole paʻa ka pancreas i nā makahiki he nui, akā ʻaʻole kēia e hōʻoia i ka ola maikaʻi ʻana o ke kino a ʻaʻole ia e loli i nā loli. Hiki ke ʻike ʻia nā hōʻailona mua o ka hoʻonaninani ʻana i ka wā i hana ʻia ai ka maʻi a i ʻole ke hōʻali hou ʻana mai. Nā hōʻailona o nā maʻi pancreatic mākou e noʻonoʻo ma lalo nei.

Hiki i ke ʻeha ma ke ʻano o ka hypochondrium a i ke ʻeha paha e hiki ke hōʻeha ma muli o ke kuni ʻana o ka aʻe o ka glandular. I ke kūlana mālie, e hoʻomau ka hoʻomau mau ʻana i ka ʻeha. Hiki i kahi mea hōʻoluʻolu ke hele aku ka mea nāna e mālama i ka puhā o ka embryo, akā ʻaʻole lōʻihi. ʻAʻole hoʻohemo nei nā kuʻekuʻe i ka maʻi maʻamau a ke ʻai ʻo ia wale nō ke hoʻonui.

ʻO ka makemake maʻamau no ka maʻi pākaukau a me ka luaʻi ʻaʻole hiki ke hōʻike wale i ka mau hewa ʻole o ka pancreas. Akā inā hele pū ka nausea me ka ʻeha ma ka hypochondrium, a laila kahi hōʻailona maopopo o ka mumū o nā kala. Hoʻonui kahi makemake ma hope o ka hoʻoikaika kino, ka ʻai a me ke kaumaha.

ʻEā ia ma muli o ka hiki ʻole i ka enzyme ke komo i ka duodenum. ʻAʻole hiki i ka ʻōpū ke wāwahi i ka meaʻai me ke kōkua ʻole o ka wai pancreatic, no laila e komo pū me ka pale a pale i ka ʻai i hiki ʻole ke ʻalo ʻia,

ʻO ka huikala a me ka pua

ʻO ke kaʻina hana o ka pancreas e alakaʻi i ka ʻōnaehana huhū. Ma muli o ka nele o nā meaʻai i loko o ke kino, hele kahi mea hewa ʻole, ke hele pū me ka hau a me nā maʻi maʻi. ʻAʻole hele ia ma kona iho a hiki ke alakaʻi i ka dehydration,

Inā hōʻiliʻili nā enzyme i ka pancreas a ʻaʻole hiki ke komo i nā pūpū ma o nā kumu, a laila hoʻomaka lākou e hoʻōla i ka kelepona iho. I kēia manawa, nui nā toxins mai ka hana o nā huina e komo ai i ke kino, ka mea e alakaʻi ai i ka make o ka kino. Hoʻomaʻamaʻa ka mea maʻi i ka nāwaliwali koʻikoʻi, nahā, ka malaise maʻamau,

Me ka edema o ka pancreas, hiki ke hoʻololi i kona nui a hoʻokaumaha i nā kino kokoke. ʻO ka mea mua, e hoʻomanawanui ka maʻi dile bile, ke alakaʻi nei kēia i ka jaundice obstrate. Loaʻa ka ʻili o ke kanaka i kahi waihoʻoluʻu melemele, e like me ka jaundice, ʻike maopopo ʻia i ka cornea o nā maka a me nā ʻalo lima. Akā hele aku ka melemele ʻole me ka wela.

Pono kēia mau hōʻailona āpau e hoʻopiʻi koke i kahi kauka e nānā i ka pancreas. He mea nui ia e hoʻomaopopo i ka maʻi gland he maʻi ia, inā e hoʻokaʻawale ʻole a kūpono ʻole ʻia, hiki ke make i ka make.

Hoʻomoka pākahi pono o ke kelepona i kahi make a me ka hoʻoweliweli me ka peritonitis o ka ʻōpū o ka ʻōpū, kahi e hiki ai ke hoʻopalī i nā poho, nā ʻōpū, ka puʻuwai a me nā pūpū. I ka wā hoʻomaha, hiki i nā kauka ke hāʻawi wale i nā kōkua kūpono e hiki ai ke hoʻopakele i ke ola o kahi kanaka.

"Ua hoʻonuiʻia ke pancreas. ʻAʻole ma hoʻokahi kauka. ʻIke aku i nā hormones. A laila hoʻoholo ʻo ia e hele pinepine i nā kauka. I hoʻokahi mahina i hala aku nei, ua haʻalele ʻo ia i ka ulaula, hoʻomaka a komo i ka hana ʻana i nā haʻuki, ʻai ʻai a ʻaʻole hoʻi me ka pololei. A ʻo ka mea nui loa, hoʻomaka wau e inu

(Ua lohe wau no ka huki ʻana iā Malakhov). A ke kūwele nei i hele au i kahi ultrasound hoʻolālā, a ʻōlelo mai lākou iaʻu: "A no ke aha ʻoe i hoʻoholo ai e hele i ke kauka - ʻaʻohe kou ala ʻōiwi." Mālama ka pancreas i ka nui a me nā hāmeʻa maʻamau. Ua pīhoihoi wau me ka hauʻoli!

Svetlana Nikitina, 35 makahiki.
Nizhny Novgorod

E hoʻonui i kahi kiʻi, kaomi ma ia me ka kiʻi.

Hōʻike ʻia nā hōʻailona o nā maʻi pancreatic i loko o ke ʻano o nā ʻano ākea:

ʻeha a me ka ʻeha koʻikoʻi ma ka hypochondrium hema,
i ka manawa hōʻeha o ka herpes zoster,
ninaki a me ka luaʻi
fiva
nā huewai, kahi i waiho ʻia ke koena o ka meaʻai pono ʻole i ka feces,
ʻōpala
lilo ka kaumaha
ʻūlū
nā hoʻomaʻa pinepine ʻana.

ʻO kahi maʻi o ka pancreas e alakaʻi i ka hoʻopiha piha ʻana o ka meaʻai, ka hoʻopili pono ʻole ʻana a me ka wāwahi ʻana i nā waiwai e pono ai ke kino. Hoʻopilikia kēia i nā hōʻailona ma luna, he nui nā manawa paʻakikī e ʻike i nā hoʻomaka mua o ka maʻi.

ʻO nā hiʻohiʻona maʻi o nā maʻi

ʻOiai ke ʻano o nā hōʻailona o nā maʻi pancreatic e like me nā hōʻailona o nā ala ʻē aʻe gastrointestinal, hiki i kahi kauka loea ke hoʻokaʻawale iā lākou. Eia nō hoʻi, nā palpation ʻōpū, nā ʻōkuhi a me nā hoʻokolohua kōkua pono i kēia.

ʻEha i ka ʻōpū o luna. ʻO nā manaʻo pili ʻole e pili pū me ka hoʻokomo o nā mea momona a i ʻole ka mea inu wai. Aia kā lākou kūloko i ke kiʻekiʻe o ka hōʻino. Hiki iā ia ka hapalua hema o ka epigastrium, ka wahi o ka ʻōpū, emi iki ka ʻaoʻao ʻākau i loko o ka ʻōpū. I nā hihia koʻikoʻi, uhi ʻia hoʻi i ka ʻōpū o ke kua, ʻo ia hoʻi, e like me ke kāʻei.
Puka mahope iho o ka ai ana. ʻAʻole e like me nā ala ʻē aʻe gastrointestinal, hoʻopuʻi me ka pancreatitis, ʻaʻole ia e lawe i ka hoʻomaha.
ʻO ka pua a me ka lemū. Ka alakaʻi ʻana o ka meaʻai undigested e alakaʻi i ka hōʻulu ʻana o ka ʻenehana ma loko o nā wahie. Ua hoʻonāukiuki kēia i ka loaʻa ʻana o kēia mau hoʻopiʻi.
Kūʻai. Hoʻomaopopo ia i ka hanaʻeha a me nā wā o ka exacerbation o ka maʻi pancreatitis maʻi.

Inā ʻike ʻia nā hōʻailona e like me ka nui o ka make wai a me ka urination pinepine, pono e lawe ʻia kahi hōʻike koko e hoʻoholo i nā pae glucose. ʻO ka pancreatitis lōʻihi lohi e alakaʻi pinepine i ka hōʻino i nā mokupuni o Langerhans a me ka hoʻomehanaʻana o ka insulin.

Nā hōʻike hōʻike diagnostic

He mea koʻikoʻi ia e hōʻike pinepine ʻia nei ka loiloi diagnostic i kahi ʻano holoʻokoʻa me ka hoʻohui o ultrasound, radiological a me nā hōʻike kūikawā. Ma kēia ala e hiki ai ke hōʻoia pololei i ka ʻoli a loiloi i ka hana exocrine o ka pancreas.

nā kaʻina e koi ai i ka hoʻomaka ʻana o kahi huakaʻi ʻuʻiwa,
ʻaʻole hoʻopukapuka a me nā hana hoʻopunipuni maikaʻi ʻole.

ʻO nā kaʻina hōʻoluʻolu maikaʻi loa e kau i nā kaʻina hana hou loa, no ka mea, ʻaʻohe pilikia a ka hoʻohana ʻana iā lākou ma ke alo o ka mea maʻi, a me ka uku haʻahaʻa o nā hōʻike. Hoʻokumu i ka mea i ʻike i kahi hōʻemi o ka hoʻokahe nui o nā enzyme pancreatic i huna ʻia, ua ʻike ʻia kēlā mau ʻano hōʻike, no laila ua kiko lākou, e hāʻawi ana i ka hopena me ka hoʻēmi wale ʻana i kēlā mehi.

ʻO ka hui ʻelua o nā hoʻokolohua, ka mea e loaʻa ai nā kaʻina hoʻokolokolo a me nā ala ʻole o ka hoʻokolokolo ʻana, ʻaʻole ia he kumu maʻamau no ka mea maʻi i hoʻomohala ʻia. Koho ia ke koho o ka lawaiʻa a diagnostic e ke kauka no kēlā me kēia maʻi pākahi. ʻO ka mea maʻamau loa i waena o nā hoʻokolohua:

hoʻohuihui hanehana
'lana me elastase
pancreosimine-secretin,
ʻAi

Hoʻomaopopo nā kauka he nui i ka maʻi maʻi o ka pancreatic, ʻo kēia ʻano ka mana o ke gula. Hoʻopau ʻia kēlā me ia me ka hoʻohana ʻana i ka fluoroscopy.

Hoʻohana ʻia kahi pālua ʻelua o ka lumen i ka mea maʻi ma kahi ʻōpū ʻole, ʻoiai ke hoʻokō ʻia ka manaʻo lohi. ʻO nā hua palapala hoʻohālikelike o ka wai pākela a me ka duodenal e hōʻiliʻili i ka nui i koi ʻia ma hope o ka hoʻokele intravenous o ka pilikino a me ka pancreosimine.

ua hoʻonui nui ʻia ka pae o nā enzyme,
kahi hōʻemi nui o ka huna ʻana a me ka ʻike ʻana o nā bicarbonates i ʻike ʻia.

Wahi a ka loiloi o ka nele o ka enzyme, hoʻoholo nā kauka i ka pancreatitis maʻi. I ka hōʻike ʻana o ka pancreosimine-secretin, i ka wā e ʻike ʻia ai ka alkalinity bicarbonate, pono e hoʻouna ʻia ka mea maʻi i kahi klinik oncology no ka hoʻokolokolo.

Kuhi i nā kūlana ʻona, hoʻokele nā kauka e loaʻa ke ʻoi aku ka pololei o ka maʻi diagnostic. Akā, me kēia mau mea a pau, ʻo kēia kaʻina i hiki iā ia kahi maikaʻi maikaʻi, ka mea e kau pū ana ma ka mea maʻi kaumaha duodenal, a me ke kumukūʻai kiʻekiʻe o ke ʻano maʻi a me ka paʻakikī o ka hana hana.

Ka hoʻāʻo ʻana ka waiona Hydrochloric

I kekahi mau hihia, hiki i ke kauka ke kuhikuhi i kahi hōʻike hoʻokaʻena hydrochloric i ka mea maʻi. No kāna hoʻohanaʻana, kahi hoʻonā o ka waikole hydrochloric, ke kāohi ʻana o ka 0,5% e hoʻohana ʻia ma ke ʻano o ka hoala ʻana o ka hana huna pancreatitis. Kuhi ʻia kēia māka me ka mea loaʻa i ka probe;

ʻO ka pōmaikaʻi o kēia ʻano hopena o kona maʻi maʻalahi a maʻalahi. Eia naʻe, ʻo ka pololei o ka ʻikepili i loaʻa ma muli o kāna noi a makemake ʻia e ʻoi aku ka maikaʻi, ʻaʻole e like me ka hōʻike ʻo ka pancreosimine-secretin.

ʻAi

ʻO ka hōʻike Lund ka mea e hoʻopili ai i nā hōʻiliʻili haʻahaʻa ma ka hoʻohana ʻana i ka intubation i hana ma hope o ka ʻai ʻana i ka meaʻai maʻamau. Pono e loiloi i ka hana exocrine o ka pancreas.

Ma kahi ʻōpū ʻōpū ʻole i ke kakahiaka ka mālama ʻia ana o ka mea maʻi. ʻO kēia huahana ua hana i ka polyvinyl radiopaque me ka hao a paʻa paha kahi ukana ma ka hope. Hāʻawi ka mea maʻi i ka hui ʻaʻai (waiū waiū a me ka aila hinu me ka dextrose).

ʻO ka hoʻokolohua ʻana o kēia ʻano pancreas e kōkua i ke koho ʻana i ka māhina amylase, ka ʻili pinepine ʻia i ka pancreatitis. Loaʻa ka maikaʻi o kēia ʻenehana, i ka maʻalahi, maʻalahi, a me ka nele o ka pono o ka injra intravenous.

Na Elastase hōʻike

ʻO kahi hoʻokolohua elastase i ka hoʻohālikelike ʻana me nā hoʻokolohua non-invasive hiki iā ia ke ʻike i ka hoʻopau ʻana o nā huelo endocrine i ka pancreatitis ma kahi pae mua o ka hoʻomohala ʻana. ʻO nā hoʻāʻo ʻana e hōʻike ana i ka hemahema o ka enzyme e hōʻike i ke ʻano maʻi o ka hoʻopalepale i nā kinipona.

ʻO kēia hoʻokolokolo, kahi i ʻike ʻia i loko o ka hoʻohālikelike ʻana i kekahi ʻano pancreatitis, me ka hoʻoholo ʻana i ke ʻano o ka mālama ʻana, pili i ka hoʻoholo o ka elastase i ka mōʻī o ka mea maʻi. Ka palapala noiʻi ʻana o ka feces elastase kekahi i hoʻokaʻawale ʻia no ka maʻi mellitus, kekahi mau paleka kuleka a me ka cholelithiasis.

ʻO ka maʻi ʻokoʻa ma waena o nā kulana

Ma mua o ka hoʻomaka ʻana i ka mālama ʻana, pono pono nā maʻi ʻokoʻa. No ka hana i kēia, pono ʻoe e nīnau i ka gastroenterologist a me ka hoʻomaʻamaʻa. ʻO kekahi loea i kēia hana hiki ke hoʻokō i nā maʻi hopena like ʻole o nā maʻi pancreatic.

Pono e hoʻokaʻawale i kahi ʻōmole mai nā mea āpau me nā hōʻailona like ʻole. Hoʻokomo ʻia nā kaʻina ʻeha o nā pancreas me ka hōʻeha a me ka gastritis kūlohelohe a me nā maʻi, cholecystitis, ulia duodenal.

I kekahi mau hihia, like ka pancreatitis me ka puʻuwai naʻau. I kēia hihia, pono ka mea maʻi e hōʻili i kahi ECG e kāpae i ka ischemia myocardial. I ka hala ʻole o kahi puʻuwai pu, e hana ʻia nā hoʻokolohua ma ka hoʻopaʻa ʻana i ka pancreatitis.

Inā ʻo nā ʻehaʻehā i like me ke kāʻei, e like me ka pancreatitis e ʻokoʻa me ka osteochondrosis o ka thoracic spine, renal colic. Ma ka hana ʻoiola, e hoʻomaka koke ka mālama ʻana.

Hoʻohālikelike

Ua koi koʻu hoa e ʻimi iā Monastic Tea e hoʻāʻo. Ua loaʻa iā ia ka pancreatitis - a noʻonoʻo paha, ua hala ia! ʻOiai ʻo kāna kauka a pīhoihoi loa. ʻO koʻu maʻi ka maʻi maʻi pancreatic. Ua kaumaha wau i kēia no kēia mea lōʻihi. ʻO nā pōpoki, nā mea lawe mai, nā hale hoʻomaha ma ke ʻano maʻamau noʻu no nā makahiki he 5 i hala. A iʻelua mau pule mai koʻu hoʻomaka ʻana e inu

, a loaʻa hou i ka maikaʻi loa. Ke manaʻo nei wau e pīhoihoi i kaʻu kauka i ka wā e hiki mai ana.

Elena Shugaeva, 47 makahiki
Saint Petersburg

Pono ka mālama ʻia ʻana o ka pancreas me ka nānā ʻole. Me kāna mau maʻi āpau, pono ke kino i ke kōkua koke ʻia, hiki ke loaʻa wale nō inā e nānā pono i ka nānā ʻana a me ka ʻike pono ʻana.

ʻO ia ke kumu he mea nui i ka mea maʻi ke nīnau aku i ke kauka i ka manawa kūpono, ʻaʻole ia e komo i ka ake ʻana a me ka mālama ʻana me nā ʻano kīwī a me nā ʻano i ka home. ʻO ia wale nō ke kauka hiki ke hoʻoholo pololei i ke kumu a me ka wehewehe ʻana i nā hopena hōʻike, ʻo ia hoʻi e loiloi ai pehea ka pathological i nā loli i loaʻa.

ʻO ka palpation o ka pancreas a me nā pēpē

Hoʻomaka ka maʻi maʻi o nā maʻi o ka pancreas a me nā pēpē me ka hoʻokolohua kūlohelohe. Kuhi ke kauka i ke ʻano o ka ʻili o ka mea maʻi, e nānā i nā membrane mucous a ana i ke kūmole nui o ke kino kino.

Me nā ʻōkuhi o ka ʻōnaehana hepatobiliary, ʻike ʻia nā ʻāpana ʻeha a i ʻole nā spider veins - telangiectasias - nānā ʻia i ka ʻili. Hoʻomaka ʻia ka pūpū o ka ʻāʻī (hepatitis) me ke ʻano o ka ʻili o ka sclera a me ka ʻili. Hōʻikeʻia ka hopena o ke ʻano o ka maʻi e ka maʻi kiʻekiʻe.

Ma hope o kahi loiloi holoʻokoʻa, hoʻokō ʻia ka palpation ʻōpū. ʻO ka ʻeha ma kekahi mau wahi e hōʻike i ka hoʻopōʻino i ka pancreas. Hoʻomaʻamaʻa ka mea maʻi i ka wā a i paʻi aku ai ke kauka i ka hypochondrium hema.

Ka hoʻohana ʻana i nā resonance e hoʻohuli ai i ka ʻōpū o ka ʻōpū

E like me kāu e ʻike ai, ua hoʻokumu ka hoʻonaninani resonance magnetite iā ia iho me kahi o nā kaʻina palekana a palekana. Eia kekahi, ʻo kēia ʻano he non-invasive a me ka hōʻeha ʻole.

Loaʻa ka loaʻa ʻana o kahi maʻi MRI o nā maʻi pancreatic. Hiki i ka hoʻopaʻa haʻawina e noʻonoʻo pono i nā kino āpau o ka ʻōpū o ka ʻōpū, ko lākou wahi a me ke ʻano. Ma ka hoʻohana ʻana i kahi papahele o kahi papahele o ka pancreas, hiki ke ʻike i nā wahi o ka ʻaihā a i ʻole ka hele ʻana o nā ʻano ʻōiwi. E hoʻomaikaʻi i ka imaging, ua hōʻike ʻia ka MRI me ke kūlike.

ʻO ka maʻi maʻi maʻi pancreatic

ʻAʻole hiki iā ʻoe ke hoʻomaka i ka mālama ʻana ma kāu iho. Ke kū ʻia nei nā hoʻopiʻi pilikino, pono e hoʻokaʻa i kāu gastroenterologist a ʻike i ke ʻano e nānā ai i ka pancreas. Hiki i kahi papa inoa o nā hoʻokolohua e pono ai ke hāʻawi ʻia e kahi kauka maʻamau a kauka paha.

Me ka exacerbation o ka pancreatitis kūpaʻa, ua hoʻonā ʻia nā antibiotika a me nā lāʻau anti-inflammatory. ʻOiai ke kū ʻole nei ke kino i kāna mau hana, pono ka hoʻomaʻamaʻa ʻana o ka enzyme. Hoʻopili kēia me ka mauka "Pancreatin", "Festal", "Mezim-forte."

Pono ka hoʻonāukiuki e hoʻomaʻamaʻa koke i ka hoʻokipa a me ka mālama ʻana. Inā kūkulu ka mea maʻi i ka maʻi maʻi maʻa, ua kuhikuhi ʻia ka lāʻau lapaʻau, me ka ʻai paʻa me ka ʻokoʻa ʻole o nā meaʻai karoli.

ʻO nā ʻano noiʻi noiʻi maʻamau

Hoʻomaka ka hoʻokolokolo ʻana me ka nīnau hohonu i ka mea maʻi e pili ana i nā hoʻopiʻi. Aia ma kēia ʻōpana, hiki ke kānalua i ka mauʻa ʻana i ka pancreas, a i kekahi manawa ke hoʻoholo nei i ko lākou ʻano. ʻO nā mea hoʻopiʻi e like me ka ʻeha ma ka ʻōpū o luna, kūlohelohe a me ka luaʻi ʻana, ka hana ʻana o ke kaomi ʻana, a me nā mea hoʻonāukiuki.

ʻO ka maʻi ʻehaʻeha ka maʻi o nā maʻi maʻi o ka pancreas he mau hiʻohiʻona ponoʻī. ʻO ka ʻeha i kēia hihia ua hoʻopaʻa ʻia ma ka ʻōpū o luna a e like me ke kāʻei. Hiki ke hōʻemi a i ʻole ke kiʻekiʻe kiʻekiʻe o ka maʻi, hoʻonāukiuki e ka hoʻokomo ʻana i nā meaʻai momona, i ka waiʻona.

Me nā ʻōpū o nā pancreas, nā ʻehaʻeha i kahi manawa lōʻihi e nele paha.

Hōʻike ʻia nā pilikia me ka pancreatic lesi i nā hoʻopiʻi o ka pahu a, i kahi hoʻololi i kona ʻano.

ʻO ka hoʻohaʻahaʻa, hoʻeleloke, luaʻi, ʻaʻole ia e lawe mai i ka hōʻoluʻolu, ʻo ia kahi hōʻailona nā hōʻailona o ka hanana hōʻeha ʻana i ka pancreas.

ʻO ka emi ʻana o ka momona i ka ʻaihue ʻana a hiki i ka ʻai ke hiki me ka maʻi ʻo ka pancreatic. ʻO nā maʻi ʻalā o ka pancreas hiki nō hoʻi ke alakaʻi i ka hoʻopiʻi ʻana o nā umauma bile a me nā hiʻohiʻona o ka jaundice. Ke nānā nei i kahi mea maʻi, hiki i ke kauka ke mālama i ka pohō kaumaha, discoloration o ka ʻili.

ʻO ka mea maʻamau, ʻaʻole palpable ka pancreas, a ma mua o kahi pūpū a pancreatic cyst, kahi hōʻailona paha ma kēia wahi e ʻike ʻia. Hoʻokomo ʻia nā wīwī i nā maʻi a me ka ʻeha i ke kaumaha i ka ʻōpū o luna.