He aha ka pancrosatic fibrosis a pehea e hoʻomaʻamaʻa ai

ʻO ka holomua o ka pancreatitis i kēia lā hiki i nā hoʻopiʻi koʻikoʻi i ka pancreas a me nā mea kino o loko ʻē aʻe. A ʻo kekahi o nā mea i hōʻike pinepine ʻia he fibrolipomatosis. I ka huli ʻana, hiki i ka fibrosis a i ʻole lipofibrosis ke hana i loko o kekahi o nā ʻano hana a hoʻomohala i loko o kahi hoʻolālā kino.

ʻO ka wehewehe ʻeha

Pancreatic fibrolipomatosis - pehea i hōʻike ʻia ai a he aha ia? ʻO ka maʻi ka hoʻonohonoho o nā kaʻina hana a ka maʻi pathological i kahi o nā mea hoʻopili o kahi mea i hoʻopili ʻia me nā momona i loaʻa, ma muli o ka make o ka mea mua. ʻO kēia hiʻohiʻona ka hopena o ka hoʻomohala ʻana i nā kaʻina hana hoʻopihapiha o nā kinipona me ka pancreatitis.

Hoʻomaʻi ʻia ka maʻi i nā ʻoi aku o kanahā mau pakeneka o ka poʻe e loaʻa ana i ka pancreatitis, i ʻike pinepine ʻia i ka maʻi mellitus. Me ka holomua, hiki i ka wā like ke hoʻololi like i ka nui o nā lālā make ʻaʻole i ka iwi adipose wale nō, akā, i nā puʻupuʻu pū. Eia kekahi, hiki i nā meaʻino ke alakaʻi i nā hana gland.

ʻElua mau ʻano nui o ka fibrosis:

  1. Hoʻohālikelike. I kēia hihia, hana pālahalaha ʻia ke kiko pathological i loko o ka pancreas.
  2. Kūpono. Me kēia ʻano o nā kulekele, ua ʻōlelo ʻia nā foci o nā kaʻina hana a me nā hoʻomaʻamaʻa ʻana o nā kiko pathological. Ua kapa ʻia kēlā ʻano nūpepa.

Nā kumu a me nā kumu o nā hanana

ʻO ke kumu nui o ka fibrosis ka ulu ʻana o ka pancreatitis maʻi. ʻO kēia no ka mea i ka wā o ka exacerbation o ka maʻi, ua kū mai ka kiko necrotic o ka pancreas a me kahi scar scar. Eia nō naʻe, ua hoʻokaʻawale ʻia nā mea hoʻonāukiuki i pā i ka hiki ʻana o ka maʻi.

  • momona momona
  • ka ulaula a me ka inu rama
  • pono hōʻino, e hoʻoulu hou ai i ka pancreatitis,
  • maʻi huakaʻi, nā maʻi,
  • ka hana ʻole ʻole a hoʻohana ʻole ʻia i nā lāʻau lapaʻau,
  • ua hoʻonā ʻia i ka duodenum
  • Nā kūlana kaumaha
  • traumatic hana i ka pancreas,
  • nā hopena o nā mea laʻala i ke kino,
  • huikaih
  • predisposition genetic.

He mea nui: ʻo ka hui mōʻī no ka fibrolipomatosis pū kekahi o nā kānaka o nā makahiki he kanalima ʻoihana e hana nei i kāna ʻoihana ʻenehana i nā kūlana ʻino.

ʻĀmaʻomaʻo

ʻO ka hōʻailonaatology o nā fibromatosis ka mea i hilinaʻi nui i nā mea e hoʻonāukiuki i ka pathology. I kekahi mau hihia, hiki ke loaʻa ke nānā ʻia ʻana o ka maʻi i ka wā o ka maʻi ʻana, ʻoiai ma mua ʻaʻole i ʻike ʻia nā hōʻailona. Eia naʻe, kekahi o nā maʻi a me nā maʻi maʻamau ʻo ia ka hōʻeha nui ma ka hypochondrium ʻākau, i kekahi manawa e hoʻopiʻi i ka ʻaoʻao hema a me hope. I ka huli ʻana, he hapa o nā enzyme digestive a me nā wai wai e hoʻoikaika i nā mea i hōʻike ʻia:

  • he ʻano hūnā
  • ninaki a me ka luaʻi
  • lilo ka momona
  • uhauha, huehue,
  • mea kaumaha
  • puʻuwai.

Ma nā hihia hōʻemi, me ka hoʻomohala ʻana o ka fibromatosis, he hewa i ka kaʻe ʻana o nā aʻai a me nā minela. Ma kēia kuleana, nā nāwaliwali o ka ʻōpū, ka makapō pō, ke osteoporosis, a me nā hōʻailona no ke ʻano o ka maʻi diabetes.

  • hookeau pinepine,
  • luhi a luhi,
  • makewai nui
  • maule a me na maemae,
  • nā membus malo maloʻo
  • huu

He mea nui loa: he maʻi paʻakikī Asymptomatic fibrois, no kēia mea hiki ke lilo i mea paʻakikī i ka maʻi ʻana. E pili ana kēia i ka holomua wikiwiki o ka maʻi a me kahi hiki ke hoʻololi i ka oncology.

Nā huapau

ʻO ka hoʻokolohua diagnostic o ka mea maʻi no ka neʻe ʻana o ka lipofibrosis e lawe ʻia i nā hana he nui:

  1. No ka noiʻi ʻana a me ka hoʻopaʻa ʻana i ka mōʻaukala olakino. Ma kēia ʻanuʻu, hana ʻia kahi hopena mua e pili ana i ke ʻano o ka mea maʻi. ʻO kahi ʻano nui o ka noiʻi pū kekahi he hōʻike kūwaho me ka palpation o nā wahi hōʻeha.
  2. Pūnaewele noiʻi. Hoʻohui lākou i ka hōʻike koko biochemical a me ka lāʻau lapaʻau (e ʻike i nā hana ʻoi ʻana), kahi hōʻike urine aoao (e hoʻoholo i ka pae o nā diastase a me nā kino ketone), a me nā feces ma mua o nā ʻōkuhi undigested.
  3. Hoʻopiʻi ʻōnaehana. Hoʻohana ʻia e ia me ka nānā ʻana, e hoʻoholo i ka hoʻonui ʻana o ka hinu a me ka ʻike ʻana i nā wahi i hoʻopuni ʻia.
  4. Hoʻohālikelike tomography. Hāʻawi i kahi haʻawina hou loa o ka mokuʻina o waho o ka pancreas.
  5. Endoscopy Hoʻohana ʻia ia e hoʻopaʻa i nā kumu a me nā kīwaha.
  6. Biopsy ʻAe iā ʻoe e nānā i ke ʻano o nā lau no ka hele ʻana o nā loli morphological.

Nā kumu o ka pathogenesis

ʻO ka pinepine, ʻo nā loli i ka pancreas, i hōʻike ʻia e nā ʻōnaehana fibro-lipomatous, e pili pū me ka pancreatitis akiko a maʻi ʻole paha. Nā necrosis o nā pūna i hana ʻia e alakaʻi i nā loli momona, ʻāwīwī ikaika o ka naʻau o loko o ke kino. Hiki i kēia mau hoʻololi ke hōʻike i nā maʻi ʻē aʻe.

  • maʻi maʻi hopu
  • sclerler,
  • ʻo nā ʻōpū a me nā ʻōlili paha.
  • hemoelmele,
  • maʻi uila
  • ʻopi momona
  • nā microsic fibrosis.

ʻO ka mea pinepine e hoʻopiʻi i nā kaʻina hana fibrous i ka wā kamaliʻi, ka mea e alakaʻi ai i nā lulu holomua. ʻO nā mea kūpono no nā hōʻike pathological:

  • ka hōʻino ʻana i ka ʻai momona, paʻakai a momona paha,
  • inu inu pinepine, luhi i ka ulaula
  • ka hoʻohana ʻana i kekahi mau lāʻau lapaʻau, e like me ka antibiotics,
  • i nā kūlana koʻikoʻi, pilikia kino i nā manawa lōʻihi.

ʻAʻole pololei pololei, pinepine pinepine, hana i kēia mau mea i nā kūlana no ka pale ʻana i nā hana o ka parenchyma, hoʻopili i kona luku ʻana, ka hoʻopili ʻana i nā pūpū me nā ʻāʻī a me nā kikoo hoʻohui.

Nā ʻano hoʻololi

Hiki i nā Fibrosis ke hana i ʻelua ʻano nui: hoʻohālikelike a i ʻole nā ​​kumu kumu. I ka hihia mua, ʻeha loa ka ʻāpana o loko i ka pohō, hoʻopuʻi hou ʻia nā puka hou. Ma ka lua, hōʻemi ʻia ka pili o ka cell e ka foci. Me kahi ʻano ʻike ʻole kūpono ʻole nā ​​leʻaleʻa, ʻaʻole ʻike ʻia ke ala āpau, ka hoʻopiʻi ʻana i kona hoʻomanawanui, hoʻopōmaikaʻi ʻia a hiki i nā ʻano ʻike like ʻole.

Nā hōʻailona hōʻailona

ʻAʻole ola nā hōʻailona ponoʻī i nā loli fibrotic. Hiki i ke kaʻina hana ke hōʻike iā ia iho he mau hōʻailona o nā maʻi maʻi, nā ala ʻē aʻe i hui ʻia me ka hoʻoliʻi ʻana o ka ʻōnaehana cell pancreatic. ʻO kekahi o nā hōʻailona ʻano e hiki ai ke kānalua i ka hoʻomohala ʻana o ka fibrosis ʻo ka ʻeha pancreatic. Hoʻonohonoho ʻia lākou ma ka epigastrium (ma luna o ka ʻōpū o ka ʻōpū), hiki ke hōʻike iā lākou iho ma ka hema a ʻākau paha o ka hypochondrium, lawe i kahi ʻano kāʻei, hāʻawi i ka kua. E ʻike pinepine ʻia lākou ma hope o ka ʻai ʻana, ma hope o kekahi mau hola. Hiki i nā hōʻailona hōʻino ke kau ʻia:

  • aikuhi paha
  • ʻike ʻole ʻia o ka nausea a me ka luaʻi,
  • ke kaumaha o ka kaumaha ma hope o ka ʻai ʻana,
  • nele i ka momona,
  • kaumaha kaumaha wikiwiki
  • huhū ma ka ʻeha o ke ake, me ka lemaki.

Ke hele ka fibroma, ʻoi aku ka ikaika o nā hōʻikeʻike ke piʻi aʻe ka nui.

ʻOiai he mea makemake ia e pani i ka hoʻomohala ʻana o nā puka i kahi papa mua, pono ia e nīnau i ke kauka inā ʻike mua ʻia nā mea kānalua mua.

Pehea e ʻike ai

ʻAʻole kūpono nā ʻōkuhi i nā kumu kūpono no ka maʻi maʻi; Hoʻopili kēia me nā hoʻokolohua hōʻoia a me nā hana noiʻi noiʻi.

ʻO ka mea mua he hōʻike koko no ka anemia, hemoglobin, hoʻololi i ke ʻano, ka ʻike ʻana o nā hana ʻeha. Hoʻohui ʻia kahi ʻano coprological o nā feces iā lākou, e hōʻike ana i ke kiʻekiʻe o ka pāpā ʻana i nā hana pancreatic. Hiki i ka lua ke lawe ʻia:

  • hiki i ka biopsy ke hoʻoholo i ke kiʻekiʻe o ka hoʻolālāʻana o pathogenesis,
  • ʻO ka nānā ʻana o ka maʻi kikoʻī e hiki ai iā ʻoe ke nānā i ka kikoʻī o ka mokuʻāina
  • kona ʻōnaehana ultrasonic, i hiki ke hoʻoholo i nā loli i ka hoʻomaka ʻana o ke kaʻina hana, e pili ana i nā loli i nā echogenicity parameters.

Inā pono, e hoʻomaʻemaʻe i ka hopena o nā kaʻina diagnostic, mālama ʻia nā hoʻokolohua hou.

Nā hiʻohiʻona Therapy

No ka mea ʻaʻole i pau ʻole nā ​​hopena o ka pathogenesis, hiki ʻole ke hoʻihoʻi hou i nā māhele i hoʻopau ʻia o ka hoʻonohonoho o ka cellular, ʻo ke pahuhopu nui o ka noʻonoʻo ʻana e pani i ka hoʻomohala hou aʻe o ke kaʻina hana, hoʻomaikaʻi i ke ʻano o ka mea maʻi. Kūlike i kēlā me kēia ʻano, ʻo ka hoʻoponopono kaulike i loaʻa i:

  • kaawale ana i ka ulaula a me ka inu rama,
  • ka makaʻala o ka hana maʻamau,
  • mea kaumaha.

ʻO ka hana nui o ka hoʻihoʻi ʻana i nā hana pancreatic a me ka pau ʻana o nā hana hoʻololi e mālama ʻia e ka meaʻai kūpono a me ka hoʻomaʻamaʻa ʻana.

ʻO kaʻai kūpono

ʻO ka mea kanu meaʻai no kekahi mana o nā pancreas e hōʻole i ka hoʻopoina piha ʻana i ka meaʻai iʻa ʻia, nā mea momona i hānai nui ʻia me nā mea ʻala. I waena o nā mea i papa ʻole no ka hoʻohana ʻana:

  • lahua loa a me ke anu
  • kawa
  • inu me nā mea nui o ka caffeine a me ka waiʻona.

Pono ka papa hana i kēlā me kēia lā i mau ʻona kalo me ka nui o ka moa moa a pipi paha, nā kīʻaha nui me ka ʻaoʻao ʻaoʻao o ka cereals, pasta a i nā ʻuala paha, me nā iʻa iʻa, nā ʻāpana o ka ʻono a i ʻole ʻumaʻa i kālai ʻia. ʻO nā mea inu, nā wai momona ʻole, a me nā mea hoʻohui, ʻona, ʻōlelo ʻia nā ʻona māmā. Hoʻohana ʻia ka ʻai ma nā manawa maʻamau a i ʻeono manawa i ka lā, ma nā wahi liʻiliʻi.

Hoʻohana pilikino

Me nā pathologies pancreatic, ʻaʻole palaka ʻia nā ukana nui, akā pono lākou e mālama i ke kino maikaʻi. Mai ka papa inoa o nā hana maʻamau, ka mea iā ia e kāpae i ke kaomi ʻana i ka abs a me nā mea naʻau. E kōkua maikaʻi i nā hana hōʻoluʻolu. Loaʻa ka hopena maikaʻi i ka maikaʻi.

Me kēlā me nā hana i hele ai, ua kuhikuhi ʻia kahi paona wikiwiki, me ka ʻole o nā ukana paʻakikī e hiki ke hoʻopilikia i ka hana o ke kino, a e hoʻōla i ka ʻeha.

Nā lāʻau lapaʻau

Pono ke hoʻohana ʻana i nā lāʻau lapaʻau e hoʻopau i nā mea e hoʻowalewale ʻia ai nā hōʻailona i ka hopena o ka hoʻohālikelike, ʻano, nā maʻi maʻi ʻeha. Hoʻokumu ka ʻano kikoʻī i ke kūlana o ka mea maʻi, hoʻomanawanui i ka maʻi kanaka. E papa i ka papa inoa:

  • hoʻomākaukau o ka enzyme
  • nā lāʻau anti-inflammatory
  • lāʻau lapaʻau antiemetic
  • nā koho like ʻ tiga.

Inā ʻaʻole pono nā lāʻau i hoʻopaʻa ʻia, he ʻano hoʻomānoʻo benign, ka nui o ka hoʻonui, a me ia e ulu ai ka ulu ʻana o ka oncology, ua hoʻoholo ʻia i ka wawa pu ʻana.

Nā hana kūpono

ʻAʻohe mea e pono e mālama i ka fibrosis inā e mālama ʻia kekahi helu ma mua o nā hana maʻalahi. ʻO ka mea mua, mālama pono a me ka mālama pono ponoʻī o ka moku'āina o ka pancreas he pono. Ke haʻalele nei:

  • ulaula
  • inu ʻona
  • e ʻai ana i nā meaʻai momona.

Hiki ke hoʻololi i kahi nohona maikaʻi e pale aku i nā hoʻopiʻi maikaʻi ʻole i nā pathre pancreatic, a ka hopena maikaʻi i ka ola holoʻokoʻa.

Ke ʻano hana

ʻO ka lāʻau lapaʻau no ka mālama ʻana o ka fibrosis i ka hoʻohana ʻia ʻana o nā lāʻau lapaʻau e hiki mai ana:

  • antispasmodics (No-Shpa, Papaverin, Drotaverin),
  • nā antibiotics (cephalosporins, penicillins),
  • anti-inflammatory a me antipyretic (Paracetamol, Ibuprofen, Diclofenac),
  • antienzyme agents (Octreotide, Abeprazole).

I kekahi mau hihia, ke hana ʻia nei ka hoʻoponopono ʻia o ke kaulike o ka enzyme me ka hoʻohana ʻana i nā enzyme digestive (Mezim, Pancreatin). ʻO kā lākou hoʻokipa ʻana e lawe pololei ʻia i ka wā ʻaina.

Hoʻolā hewa

Ma ke ʻano he kānāwai, ua mālama ʻia ka hoʻohana ʻana o ke ʻano hana hana i ka hihia o nā pilikia hōʻeha, ʻo ia hoʻi ka neʻe ʻana i ka hana hōʻino. I kēia hihia, ulu ka pathological iā lākou iho, kahi ʻāpana o ka pancreas a i ʻole ke ʻuhane holoʻokoʻa e wehe pololei. I ka wā e hiki mai ana, e koi ʻia kahi hana hoʻoponopono. I ka manawa pinepine, ma hope o ka lapaʻau ʻana, ʻoi aku ke kauoha ʻana i ke kōkua hoʻōla me ka hoʻohana ʻana i nā kinina digestive.

Ma waho o kaʻai pono o ka lapaʻau, aneane hiki ʻole ke ʻano o ka therapy o ka fibrolipomatosis. ʻO ka meaʻai no ka maʻi i ke ʻano o ka hōʻole kauoha ʻana i kēia meaʻai i loko aʻe nei.

  • i nā meaʻai a me nā momona
  • meaʻai wikiwiki
  • inu ʻona
  • palaoa
  • ka hoala ana
  • kaʻaila momona a me nā mea momona momona,
  • paakai, ue.
  • ʻāpana.

Hoʻomaopopo ʻia e ʻai i ka meaʻai i nā wahi liʻiliʻi (ma kahi o ʻelua haneli grama) ʻelima a ʻeono mau manawa i ka lā me kahi kaemi o ka helu kāʻina calorie. ʻAi ʻia ka ʻaʻai ʻana me ka mokuahi, ka wai a me ka umu. Hoʻonohonoho ʻia e hoʻomoʻemaʻe i ka meaʻai a pale ʻole i ka overeating. ʻAʻole ʻae ʻia ka ʻai ʻana i ka meaʻai wela loa.

He mea nui ka mea pale no ka hoʻomaha ʻana i nā hōʻailona o ka pancreatitis a me ka mālama ʻana i ka maʻi pancreatic. Hoʻopili iki kēia hana i ka hōʻemi o nā mea hou aku, a no laila ka holomua o ka fibrosis.

Nā hana kūpono

ʻO ka hoʻomaʻamaʻa ʻana no ka mālama ʻana o ka lipofibrosis i hilinaʻi nui ʻia i ka ʻike mua o ka maʻi. Kūpono i nā ʻōmole a me ka papa ʻaina i ʻōlelo ʻia e ke kauka, hiki iā ia ke alakaʻi i ke ola piha me ka haʻahaʻa haʻahaʻa o ka hoʻi ʻana a me ka lanakila o ke ola o nā lāʻau lapaʻau.

I mea e hōʻemi ai i ka hoʻololiʻana o ka pancreatitis a me ka fibrosis, pono e hoʻohana i nā ʻōkuhi koʻikoʻi ma lalo nei:

  • hāʻawi i nā hana maikaʻi,
  • hana ka ʻai e pili ana i nā kumuwaiwai o ke ʻano olakino maikaʻi,
  • hōʻole i ka meaʻai wikiwiki, a me ka meaʻai kaumaha.
  • pale i nā kūlana hoʻokaumaha a me nā kaumaha;
  • e lawe i kēlā me kēia lā i ka nui o nā kōmae a me nā minela me nā meaʻai a i ʻole ka puka papa,
  • hana i kēlā me kēia lā i kahi hana hoʻoikaika kino.

Mea koʻikoʻi: Ma kahi o ka pancreatitis, pono ia i ka mālamalama ʻana i nā hoʻokolohua e kahi gastroenterologist i mea e pale ai i nā hōʻeha hōʻeha o ka pathology.

Hoʻohālikelike

Lipofibrosis Pancreatic - he aha ia a pehea e hoʻoholo ai me ia? Ua nīnau pinepine ʻia kēia nīnau i nā poʻe maʻi e loaʻa ana i ka pancreatitis maʻi, ʻo ka fibrosis kahi hoʻopiʻi maʻamau i kēia maʻi. ʻO ka hoʻomaikaʻi ʻana o nā kiko pathological i kēia kūlana hiki i ka mea hōʻeha kino a me ke neʻe ʻana i ka pae oncological. ʻO ia ke kumu he mea nui loa e hahai kūpono i ke kolo a ke kauka a me ka paʻa ʻana o ka hoʻopaʻa ʻana i nā mea lapaʻau e kekahi gastroenterologist.

Hoike ʻike

ʻO ka Fibrosis (fibromatosis) kahi hoʻololi pathological i ka pancreas, kahi mea hoʻokomo kahi iwi neʻe e kahi mea hoʻohui epithelium. ʻO ka organ ponoʻī kekahi i ʻelua mau ʻano o ke kiko: stroma a parenchyma. Me ka mana o ka lōʻihi o nā mea kūpaʻa ma luna o ka pancreas, hoʻomaka ka make o kāna mau ʻāpana. I kēia manawa ke hoʻololi ʻia ka epithelium glandular e hoʻopili i kahi ʻāpana kiko.

Ma ka hihia ke hoʻololi ʻia nā ʻōpū make e ka ʻōpala scar, hoʻomohala ka mea maʻi i ka fibrosis. Inā ke hoʻololi ʻia ka epithelium kūloko e ka pili adipose, hele mai ka lipomatosis. ʻO ka pinepine, ʻo ka hoʻololi ʻana i nā wahi i hoʻopilikia ʻia o ke kino e kū like me ka adipose a me ka scar scar. I kēlā mau hihia, hoʻomohala ʻia ka mea maʻi i ka lipofibrosis pancreatic. ʻO kēia ʻano o ka pathology i maʻamau no ka poʻe e loaʻa ana i ka maʻi maʻi.

ʻO nā ʻano maʻi āpau he mea pōʻino loa lākou, no ka mea e alualu ana kā lākou holomua i nā hana ma ke ʻano. ʻO ke kumu, ʻaʻole like i ka lipula glandular, ka mea hiki ʻole i ka epithelium konohala ke hana i nā mea a me nā enzyme. Eia kekahi, ʻo fibrosis, lipomatosis a me pancreatic fibrolipomatosis he mau hana hoʻololi ʻole, ʻo ia hoʻi, hiki i ka ʻōnaehana lawelawe ʻia ke hoʻihoʻi ʻia me nā ala like ʻole.

Nā kumu kumu o ke kuʻuna

ʻO ke kumu nui no ka hoʻomohala ʻana o ka fibrosis ʻo ka pancreatitis o nā ʻano ʻelua a me ke ʻano maʻi. Ua hōʻike ʻia nā haʻawina ʻo ka foci pololei o ka kiko huina e hele mai ana i ka wā o ka exacerbation, a ʻo ka māhele o ko lākou kahele ʻoliu e hilinaʻi ana i ka lōʻihi o ka maʻi. Eia kekahi, nā loli fibrous i ka pancreas i hiki i ka mea i hiki i kēia mau mea:

  • inu nui
  • ulaula
  • ʻopi momona
  • huikaih
  • ka ʻeha hōʻoki o ka pancreatic
  • ke ʻano o ka palīpī a me ka pā o ka biliary,
  • ka huka ana i na mea uona o na ano like ole,
  • predisposition hoʻoilina
  • nā hana ʻeha i loko o ke kino, ke komo pū me ka maʻi lēpera,
  • kuhihewa i ka ʻai,
  • manaʻo kaumaha
  • nā mea keu nui i hana ʻia e ka pancreas,
  • maʻi uila a me nā maʻi maʻi,
  • hana kaʻola ma ka duodenum,
  • ka hana ʻole ʻana i kekahi mau lāʻau lapaʻau.

Mālama ka pūʻulu pilikia i nā poʻe e hana nei i nā wahi ʻoihana pōʻino, a me nā kāne a me nā wahine ma mua o 55 mau makahiki.

Nā kiʻi haukapila

ʻO nā hōʻailona o ka pancreatic fibrosis hilinaʻi nui loa i ke kumu i hoʻonāukiuki iā ia. Ma ka manawa like, ma ka hoʻomaka mua o ka maʻi, hiki i nā hōʻailona ʻolua ke hoʻopau loa.

Ke hoʻopili ʻia ke kino o nā kelepona, hoʻomohala ka mea hoʻomanawanui i ka ʻeha o ka epigastric. Inā pili ke poʻo a i ʻole kuʻekuʻe o ka mea maʻi, e hōʻeha ka ʻeha ma ka ʻākau a me ka hypochondria hema.

Hoʻomaʻo pinepine pinepine ka ʻeha i nā hewa i ka ʻai. ʻO ka laʻana, ma hope o nā meaʻai momona a ʻono ʻole i ka wā e inu ai i ka wai ʻona.

Holo holomua ka Fibrosis, ʻike hewa kekahi hapa o ka digestive enzyme, a me nā hōʻailona aʻe e hoʻopau i ke kiʻi kauka:

  • ninaki a me ka luaʻi
  • ʻūlū
  • nā ninia
  • ʻālina
  • lilo ka momona
  • mea kaumaha
  • ka hakakā ʻana i nā meaʻai momona.

I kekahi mau hihia, me ka uhai ʻole o ka hoʻopili ʻana o nā mea ʻoki a me nā mea momona o ka momona o ka momona, hiki i ka mea maʻi ke hoʻomohala i ka nāwaliwali o ka naʻau, osteoporosis a i ka pōʻaleʻa pō. Inā pili ka hopena o nā fibrotic i nā pili o ka isplus islet, a laila lilo ka mea i hoʻomaka i ka hana o ka mea ʻai. E kūʻē i kahi kūlike o kēlā mau loli, he hōʻailona ke kanaka maʻi:

  • hookeau pinepine,
  • makewai
  • ʻili maloʻo a me ka mucous membrane,
  • hiamoe
  • kaʻiliʻili
  • ʻeha ka maʻi mehana.

Loaʻa ka pōʻino o ka fibrosis ma ka hana mau i ka hoʻomaka mua ʻana o ka maʻi maʻi asymptomatically. Koho ʻia nā hōʻailona i ʻike ʻia i ka wā o ka exacerbation o ke kaʻina hana. No laila, no ka nānāʻana i ka manawa maʻa o ka pathology, pono pono ia e hoʻomaʻamaʻa i kahi loiloi makahiki.

Nā Palapala Diagnostic

I ka hoʻohaʻahaʻa iki o nā hōʻailona o ka fibrous, pono ʻoe e ʻimi i ka ʻōlelo aʻo a kahi gastroenterologist. Hiki ke ʻike ʻia nā hona hōʻailona nui i ka pancreas e ke kauka ma ka palpation o ke ʻano.

E kōkua ka hoʻāʻo ʻana o nā keʻena loea o ka lab Laboratory i kahi hemahema o ka palaka a me ka hoʻēmi ʻana i ka albumin-globulin. Ma ka hana haʻahaʻa o ka amylase (pancreatic enzyme), hiki i kekahi ke hoʻokolokolo i ka nui o ke kaʻina pili. Kōkua ka Ultrasound i ka ʻike ʻana i ka fibrosis i ka hapa nui. ʻO kahi maʻi maʻi e hiki ai iā ʻoe ke loiloi i nā ʻōhua pili penei:

  • polona
  • ʻano
  • aila kikoo
  • ka wahi kūpono i ka ʻōpū o ka ʻōpū.

Loiloi ʻia ke ʻano o ka pancreas e like me ke ʻano o kona kaulike a me ka echogenicity. Ke koi ʻia o ka mucosa, ua hoʻonui ʻia ka hōʻailona echogenicity. ʻO nā ʻike hou aʻe ua hāʻawi ʻia e kahi kaʻina e like me ka ultrasonography endoscopic. Me kāna kōkua, hiki iā ʻoe ke hoʻomaopopo i ka hyperechoogenicity o ka pāʻaukala a me ka tuberosity o nā contours o ka paʻila.

ʻO Retrograde cholangiopancreatography e hiki ai iā ʻoe ke ʻike i nā loli i ka hāmeʻa ductal i hoʻonāukiuki ʻia e nā lāʻau ʻino.

I mea e hōʻoia ai a hōʻole paha i ka maʻi maʻi, hiki i kahi mea maʻi ke kau ʻia i ka tomography compute o ke ʻano. Inā ʻaʻole i hāʻawi ʻia nā haʻawina i kahi hopena kikoʻī, hana ʻia kahi biopsy pancreas.

Kūmaʻomaʻo Therapeutic

ʻAʻole hiki ke mālama ʻia ka hoʻomaʻamaʻa o ka fibrosis pancreatic. I ka lāʻau lapaʻau o kēia wā, ʻaʻohe hua lāʻau e hiki ke hoʻololi i ka epithelium hoʻohui. Hoʻopau nā lāʻau lapaʻau āpau i ka hoʻomaha ʻana i nā hōʻailona a me ka hoʻohaʻahaʻa i ke kūlana o ka mea maʻi.

ʻO ka mea mua, ua kuhikuhi ʻia ka mea maʻi i kahi meaʻai paʻa. Hāʻawi kēia hana iā ʻoe e hoohiolo i ke kaʻina a me nā hōʻoluʻolu i ka pancreas. Pākuʻi ʻia, momona, ʻekeʻohu, paʻakai, ʻala ʻia a me nā meaʻai ʻoi, ʻaʻole i haʻalele ʻia nā meaʻai o ka mea maʻi. Eia kekahi, pono e haʻalele i nā huahana e hoʻonui ai i ka loaʻa ʻana o nā wai kūmole (seasonings, sauces, marinades). Pono ka ʻai ʻana o ka meaʻai, a pono e ʻai ka mea maʻi i ka nui o nā mea wai. Palekanaʻole i nā alapine i ka fibrosis (a me nā mea liʻiliʻi).

ʻO kahi mea nui e hoʻomaʻamaʻa ʻia i ka maʻi o ka kaohi o ke pae o nā enzyme. Eia kekahi, ma muli o ke kumu o ka mumū, hiki i ka gastroenterologist ke kuhikuhi i nā pūʻulu o nā lāʻau lapaʻau e hiki mai ana:

  • antispasmodics
  • kekahaka
  • hoʻohuihui
  • antibiotika
  • analgesics
  • antiemetic
  • hoʻomoʻi i nā enzymes.

Inā hoʻomaʻamaʻa ka fibrosis i ke ala kūpono loa, a laila e hoʻomaʻamaʻa ka hoʻowalewale o ka mea maʻi, e kau ana ka momona. Akā aia nō kekahi mau hihia e pono ai e hoʻohemo ai a e hoʻopau paha i ka endoscopic. Ma ke ʻano he:

  • kahi maʻi ʻeha mau e hoʻō ʻole ʻia e nā analgesics,
  • pīpī ka wai holo pancreatic,
  • ka hoē ʻana o ka māiʻu ʻana i loko o kahi tumā,
  • ka hoʻomohala ʻana i ka mea i loko o kahi kūlau post-necrotic,
  • jaundice kaahope.

Kūpono nui ka hoʻonaʻauao maikaʻi no ka fibrosis e pili ana i ka nui o ka hoʻopili ʻia ana o ka gland. Inā hele ʻoe i ka meaʻai a me nā kaukau olakino āpau, e haʻalele ana i ka waiʻona a me ka ulaula, ʻaʻole paha e ulu ka maʻi no ka lōʻihi.

Hōʻailonaʻeha Patology

Hoʻomaka koke ka hōʻalo ʻana, ʻo ka liʻiliʻi e ulu ka maʻi. Hoʻopau faapitoa ia kēia rula i nā poʻe i loaʻa ka pancreatitis. I mea e hoʻemi ai i ka hopena o ka hoʻolālāʻana i ka fibrosis a i ʻole ke hoʻokuʻu i kona holomua, pono:

  • hoʻokaʻawale i ka waiʻona
  • kū ʻole ka ulaula
  • pale i ka nui o ka meaʻai i hoʻopau ʻia.

Pono ʻoe e nānā i ka maikaʻi o ka meaʻai i ʻai a inu i ka wai i loko o ka lā. ʻO nā maʻi maʻi e pono ai e mālama ʻia i ka manawa, keu no nā maʻi pancreatic. ʻO ke ola olakino olakino a me ka haʻalele ʻana o ka kaumaha e hoʻemi nui i ka hopena o ka fibrosis.

Waiho I Kou ManaʻO HoʻOpuka