ʻO ka pancreatitis: nā hōʻailona a me ka mālamaʻana i nā pākeke

ʻO ka maʻi pancreatitis maʻi maʻamau, aiʻole nā ​​maʻi maʻi maʻamau o ka maʻi pancreas, kahi maʻi maʻamau o ka pākeke maʻamau, akā ʻoi aku ka hapa o ka hapalua o ka iwi i ʻike ʻole lākou e maʻi ana ma mua o ka loiloi ʻana i kahi loea no kahi maʻi like ʻole.

Ma kēiaʻatikala makemake mākou e haʻi iā ʻoe i ke ʻano o ka maʻi pancreatitis a pehea e mālama ai iā ia, a me nā hōʻailona e hiki ai ke hoʻomaopopo i ka maʻi kino o ka pancreas.

He aha ka maʻi pancreatitis maʻa?

ʻO ka maʻi pancreatitis kaha (CP) kahi mumū i loko o ka pancreas e holomua ana, e hoʻolōʻihi i ka hōʻino mau ʻana i ke kino. A ke hopena, alakaʻi kēia i ka hala o nā hana exocrine a me endocrine o ka pancreas.

ʻO ka papaʻi lāpeka pancreatic, hōʻino waiwaʻi, a me nā maʻi autoimmune kekahi o nā nā kumu maʻamau maʻi pancreatitis lolo. ʻO ka ʻehaʻeha o ka puʻuwai, paila, luaʻi, lilo ka momona, exocrine a me ka endocrine dysfunction kekahi o nā hōʻailona mua o ka maʻi pancreatitis.

Epidemiology

Ua manaʻo ʻia aia wale nō ma nā ʻāina ʻoihana waahana wale nō 3.5-10 mailoko mai o 100,000 e loaʻa ka maʻi me ka maʻi pancreatitis.

Hoʻomaka pinepine kēia maʻi i ka maʻi. makahiki 30 a 40 mau makahiki, ʻoi aku ka nui o nā kāne i nā kāne. Ua manaʻo ʻia aia ma kahi o 87,000 mau hihia o ka pancreatitis e hōʻike ʻia i kēlā me kēia makahiki i nā haukapila.

He maʻi maʻamau ka maʻi maʻamau i loko o nā kāne, ʻoiai he ʻano idiopathic a me ka hyperlipidemic o ka maʻi nui i ka wahine.

ʻO ke kumu nui o ka maʻi pancreatitis ma muli pūpū maikaʻi (i.e., ka hopena o ka hopena kūlohelohe i ke kino) ma muli o ke maʻi, etc. mau mea.

Hiki i ka maʻi pili ma muli o nā kaʻina pili ma lalo o ke kanaka:

• kahi pākīkī me ka palaki a i ʻole nā ​​pōhaku,
• nā mea hoʻonā kino i hoʻopau i nā cytokine (mai nā acinar cell o ka pancreas),
• necrosis, pancreatic fibrosis,
• hāpau pōpilikia
• ischemia
• humuho waiwa,
• nā maʻi ʻolima
• hyperlipidemia, hypercalcemia,
• kaʻaina (blockage) o ka dure pancreatic nui (paha mau congenital a loaʻa paha).

Henereri Pancreatitis he maʻi autosomal pule nui, nona ka 1% o nā hihia. ʻO Cystic fibrosis, kahi maʻi maʻi recomy autosomal, kahi helu no nā hihia liʻiliʻi o ka maʻi pancreatitis maʻi.

He maʻi pancreatitis autoimmune aia nā hiʻohiʻona maʻi e like me ka pancreas i hoʻonui ʻia, ke kiʻi o ka pancreatic piniki, ka kaila gamma globulin a me ka hele ʻana o nā autoantibodies. ʻO nā kumu o ka maʻi i ka aneane 30% o nā hihia he idiopathic (kūʻokoʻa).

Nā ʻōpū hōʻeha o ka ʻōpū ma muli o kahi ulia e alakaʻi iā ia loaʻa i ka maʻi pancreatitis maʻi obstructive.

Hoʻopilikia ka necrotic i ka pancreas ka pane maʻamau e hōʻeha. ^ E Ha yM. ʻO ka waiho ʻana o ka matrix extracellular a me ka hoʻonui ʻana o nā fibroblasts i ka pancreas e pili ana i kahi hōʻuluʻulu pili o kahi hui o nā protein like-like e like me nā cytokines, nā mea ulu, a me nā chemokines.

I ka hihia o ka hanaʻino i ka pancreas aia ka hoʻokuʻu i kahi protein e mālama i ka proliferation (e hoʻololi ana i ka ulu ʻana o ka beta beta) a me kāna kīʻaha kūloko e hoʻoikaika i ka ulu ʻana o nā cell mesenchymal a hoʻonui i ka synthesis o nā protein matrix extracellular e like me fibronectin, proteoglycans, a me nā collagens.

Aia he mana nō ka chemokines, kahi ʻohana o nā cytokines liʻiliʻi, aia i ka hoʻomaka a me ka hoʻomohala ʻana i ka maʻi pancreatitis maʻi.

Hāʻawi i nā mea o ka pancreatitis lohi

ʻO kahi mea e like me inu waiʻawa, i keia hana, ua ulu koke ka nui o nā maʻi. E pili ana kēia i nā kāne a me nā wahine i makemake pinepine i ka huki.

Lua kumu nui ʻO ka maʻi gallstone ka mea hoʻonāukiuki, ʻo ka hapa nui o ia mau ʻia i ka wahine.

Hiki i nā mea hoʻowalewale ke hoʻonāukiuki i ka pancreatitis kūlohelohe hiki ke kau i ka momona, luhi, viral a me nā maʻi bacterial.

ʻO ka hoʻohana paʻa ʻole ʻana i nā ʻano lāʻau like ʻole alakaʻi hoʻi i ka maʻi. ʻO ka ʻōpū a me ka ʻōpū, kahi pūnaehana ʻano, kahi e hoʻopili koke ʻia ai nā malfunction i nā kino kokoke, e komo pū ana ka pancreas.

Nā hōʻailona a me nā hōʻailona o ka pancreatitis kūloko

Hōʻike ʻia nā hōʻailona o ka maʻi pancreatitis e nā episode o ke koʻikoʻi e kū nei ma waena, a me ke ʻano mau.

ʻO kekahi o nā hōʻailona nui ʻo kēia maʻi ka ʻeha ʻeha ma ka ʻāina epigastric, ka mea e huli ai ka hope, e pili ana paha i ka poho o ka papa pancreatic.

Hiki ke hoʻololi ʻia ka hōʻeha nui o ka ʻeha: mai ke koʻikoʻi, ʻo ia hoʻi e koi ai i nā analgesics opiate, i ke ʻoluʻolu, ʻike ʻole.

Nā hōʻailona hōʻailona ʻelua komo i kēia ʻano ka pīpī a me ka hau, nausea, luaʻi, hoʻemi i ka makemake, ʻawaʻawa ma ka waha, exocrine a me ka endocrine dysfunction. Hoʻolaha nā exocrine alakaʻi i ka pohō kaumaha, nele o ka palaka, ka maʻi a me ka steatorrhea. Endocrine hana e alakaʻi i ka hoʻomohala ʻana o ka mellitus maʻi maʻi hope.

ʻO nā ʻōhua hiki

Hoʻopilikia ka maʻi pancreatitis i ka hōʻoki kino ʻana i ka pancreas. I ka wā ma mua, hiki mai nā hanana manawa maʻamau me ka hōʻeha.

I ka wā i hala, hele ke kino maʻi pancreatic i loko o nā keʻena piha piha i nā wai, ka mea i kapa ʻia hupa ihe (pseudocysts). ^ E Ha yM. E hōʻiliʻili ʻo Pseudocysts i ka wai pancreatic a hoʻopili ʻia ma ka nui a i ʻole nā ​​mea momona fibrous, e hoʻopiʻi i ka ʻaʻa, ka pehu ʻana o loko.

Eia kekahi, hiki i nā loli nui (ka haʻalele ʻana i nā paʻakai kalaiwa) i hiki i ka pancreas a me nā pihi pili. Hoʻokumu nā hoʻohālikelike i ka ʻōnaehana wai, a ma hope, nā pōhaku pancreatic. Kūleʻa lākou i ka nūhou a me ka kumu o ka ʻohi ʻana o nā ʻono ʻono.

Me ka maʻi, ua pā ʻia ka hana endocrine pancreatic, ua hana ʻia ka hana i ka insulin. Inā hoʻowahāwahā ka hōʻino i ka pancreas, alakaʻi kēia i kahi ʻeha nui me ka pohō o ke kaumaha a me ka anorexia, maʻi mellitus maʻi diabetes. I a nā hoʻopiʻi hope Hiki i ka maʻi maʻi pancreatic.

ʻO kekahi ʻaʻohe liʻiliʻi e hōʻemi i ka wā o ka maʻi:

• maʻi kino maʻi ʻana o nā kino make ma muli o ka make ʻana o ke koko (sepsis),
• cardiovascular (hemodynamic, circulatory) pīhoihoi,
• huehue ke koko, (ka mea i kapa ʻia coagulopathy),
• ke hoʻomau nei i ka hoʻonui ʻana i ke koko glucose,
• cardiovascular, ʻeha a me ka renal gagal,
• i nā mea hoʻohālikelike, nā hōʻailona o ka hoʻoneʻe ʻana i ka wai (makaʻu honu a me ka neurosis o nā kūlana obsessive) i ka wā o ka hopena.

Nā hōʻike hōʻike maʻi

ʻAʻole maʻalahi ka hoʻomohala ʻana i ka maʻi pancreatitis, no ka mea ʻaʻole maʻalahi ka nānā ʻana o nā ʻike ʻike a me ke ʻano o ke koko o kēia maʻi. Nā pilikia koko Hoʻohana ʻia e loiloi i ka pae o ka enzyme pancreatic, ke kō koko a me ke akepaʻa, a me ka hana ʻana o nā keiki.

Hiki ke nānā ʻia ka Stool no nā enzymes a me ka momona. ʻO ka noiʻi ʻike Hana ʻia nā pancreas me ka hoʻohana ʻana i ka tomography hoʻopiʻi, radiography, cholangiopancreatography magnetic resonance a me ka ultrababa transabdominal (ultrasound).

Ka hoʻomaʻamaʻa ʻana o ka pancreatitis kūloko

Pono e hoʻomaka koke ke mālama ʻana i ka maʻi pancreatitis i ka wā e loaʻa ai ka maʻi maʻamau.

ʻO ka hoʻokuʻuʻana i ka hana e hiki ke hōʻeha i ka hana hōʻemi ʻole i ka pancreas a alakaʻi i ka ʻeha mau pilikia e hikiʻole ke hoʻōla.

Hoʻomaopopo ka hapanui o nā maʻi maʻi i ka hōʻeha ʻana i ka wā e hoʻohana ana i ka lāʻau anti-inflammatory non-steroidal, e like me ʻo ibuprofen a me paracetamol, me nā antioxidants. ^ E Ha yM. Hiki i kahi maʻi ke kāohi i ka maʻi celiac, pale i nā kino o ka pancreas mai ka hōʻike ʻana i ka ʻeha i ka lolo.

Hoʻoholo ʻia nā koho lapaʻau maʻi loea, me ka maikaʻi ʻole o ka lāʻau lapaʻau. Kahea ʻia ʻana jujunostomy pancreatic hoʻolako i ka hoʻomaha hōʻeha ma kahi o 80% o nā maʻi.

Hiki ke hoʻopau ʻia nā ʻōpū pancreatic me Nā ʻōkuhi pili (hana PDR - hana i ka pancreatoduodenal resection). ^ E Ha yM. ʻO ka pancreatectomy me ka autotransplantation o nā mokupuni pancreatic e hāʻawi i ka hōʻola ma ka hōʻailona.

Loaʻa ka maikaʻi loa. vitamina C a me E, methionine a me selenium no ka mālamaʻana i ke kaumaha oxidative ma ke pancreatitis maʻi.

Pehea e mālama ai i ka pancreatitis maʻi i ka home

Ke mālama nei i ka maʻi ma ka home, he kōkua nui nā kuli flax. No ka hoʻomaʻamaʻa, hiki iā ʻoe ke hoʻohana i kēia mau 2 hopena maikaʻi:

• Kissel me ka pala: E ninini i ka 1 lita o ka wai i ka wai i loko o kahi thermos, e hoʻohui i 3 punetē o nā hua flax, kokoke a waiho i ka hoʻoulu. Pono e ʻai ʻia ka huahana i ke ahiahi, a i ke kakahiaka e waiho wale nō ka lūlū, kānana a ʻā a lawe iā 30 mau minuke ma mua o ka ʻai ʻana i ka hapalua o ke aniani 3 mau manawa i ka lā.
• ​​Kaupaona Therapeutic. Hoʻohui i nā kākala o ka pala lau a me 1 lita o ka wai i loko o kahi pā i hoʻopuni ʻia, e lawe i kahi paila, simmer no 2 mau hola, e uhi paʻa me kahi uhi.

ʻO ka lōʻihi o ke kauʻana no ka maʻi pancreatitis me nā hua līpī he 2-2,5 mau mahina.

Ke mālama nei i kahi maʻi ma ka home, ua hoʻohana ʻia hoʻi nā lāʻau lapaʻau kēia:

• Nā lōkū hangā (Pankral, Pancreatin, Panstal, Festal) - i ka mālama ʻana o kekahi ʻuhane, pono ia e hōʻoia i ka hoʻomaha o ka physiological, nā enzymes (nā protina e koi ai nā mea kūlohelohe e hoʻololi i ka helu o ka hopena ma ke kino) i hoʻohana no kēia. ʻO kēia mau lāʻau lapaʻau ma mua o 100 mau makahiki. ʻAʻole lākou e loaʻa nā mea hilinaʻi.
• Nā ʻollelo huna (Drotaverinum) - nā lāʻau lapaʻau e kōkua i ka hōʻemi ʻana i ka wai momona pancreatic, i kekahi manawa aia lākou ma mua o nā mea enima. Ma muli o ke kumu nui o ke kumu e hoʻokūkū ai i ka waiʻaʻa, kahi ʻōpio kūwili i ka ʻōpū, hoʻopaʻa ʻia ka mea huna me ka ʻili.
• Antispasmodics (Papaverine, No-Shpa, etc.) - ke kuhikuhi ʻia i ka hoʻohaʻahaʻa ʻana i ka puhē ma ka papa pancreatic, ka mea e hoʻonāukiuki ai i ka ʻeha kaumaha.

ʻO ka pancreatitis maʻi maʻi e pili ana i nā ala o ka hilinaʻi o ka waikawa, ma ka 90% o nā hihia i hoʻonui ʻia ai ka acidity i ka hoʻomaʻamaʻa ʻana, ma kahi wahi acidic ʻaʻole hiki ke hana i ka like me nā enzymes, no ka mea, me kēia hui pū ʻana o nā lāʻau lapaʻau, hoʻonui ʻia ka hopena o ka ʻoihana.

ʻO nā wai wai lāʻau ʻole, he kūpono ia no ka inu ʻana ma ka home.

• Borjomi
• Essentuki No. 4 a No. 17,
• Smirnovskaya wai kohua,
• Luzhanskaya
• Polyana Kvasova,
• Palapala wai wai.

Aia nā wai minima i lawa ka nui o ka alkali, ka mea e hoʻopili ai i ka wikiwiki wikiwiki o ka maʻi pancreatitis maʻi.

He meaʻaiʻai no ka maʻi pancreatitis maʻamau: he aha kaʻu e ʻai ai a pehea ʻole.

ʻO ke kūlana o ka pancreas he hilinaʻi nui loa i ka meaʻai i hoʻopau ʻia. Manea ʻia e ʻai i nā huahana iʻa momona-momona, ʻāʻī. ^ E Ha yM. I ka pancreatitis maʻi mau, ua haʻalele koke ʻia nā mea āpau mai nā meaʻai:

• pata
• nā huahana pāoʻi,
• kope, ʻokiʻoki,
• nā meaʻai a ʻokiʻoki
• miki
• waiʻona i loko o kekahi ʻano.

Kōkua lākou i ka hoʻonui ʻana i ka acidity i loko o loko o ka ʻōpū, e hoʻoneʻe i ka pancreas e hana i ka wai ʻalou i ka nui.

I ka ʻai ʻana i nā meaʻai momona, a me ka inu ʻona, hoʻoneʻe nā ʻenima iā lākou iho o nā ʻona o ka pancreas. Pono hoʻi e hoʻokaʻawale i ke kō, nā ʻoni, a me nā mea ʻē aʻe mai ka meaʻai. nā lole ʻaoa.

Palapala o nā mea i ʻae ʻia a ʻae ʻia i ka huahana ʻole no ka pancreatitis maʻi.

Hōʻikeʻike papa laola no ka lā

• ʻelua ʻōpio ʻōpio, omelet me ka spinach,
• hoʻokahi ʻoki o ka palaoa palaoa,
• nā wai palupalu a iʻa paha.

• ka ʻiki a ʻulaʻula a i ʻole ʻeleʻele paha.
• 'okahi pōkahi
• 100 kalama o ka moa moa moa,
• wai a wai wai.

• ka palaoa loa,
• hoʻokahi maiʻa
• wai.

• kēne tuna i loko o kona wai ponoʻī,
• kahi paila liʻiliʻi me ka ʻaihue haʻahaʻa haʻahaʻa a me ke kōpala balsamic (ʻaʻohe aila),
• wai a wai wai.

ʻAiʻina awakea (ʻai)

• Keleka nui Kelemona momona me ka blueberries a me ka meli,
• wai a iʻa ʻai paha.

Nui ka nui o nā kolamu ma nā meaʻai momona; ʻaʻole hoʻoheʻe ʻia e ka wai. He mea nui ia e ʻai ai i nā momona, nāʻaila, nā mea mahiʻai, nā lard. Pono ʻoe e lawe i nā iʻa ʻē aʻe, ʻōpala āpau, a me ka nui o nā waiʻai e pale ai i ka dehydration.

Kākoʻo a me nā ʻōlelo manaʻo

ʻO ka hapa nui o nā maʻi maʻi pancreatitis e pili ana me ka inu ʻokoʻa, ʻo ka hāʻawi ʻana i ka waiʻona hiki ke hoʻēmi i ka hopena o ka hoʻomohala ʻana i ka pancreatitis maʻi. I nā hihia koʻikoʻi o ka hilinaʻi i ka waiʻona (i.e., kūʻai i ka wai), pono paha ke kōkua o ka mea hoʻopuka loea. E hoʻomanaʻo hoʻi e hahai i ka ʻai ma luna.

Hoʻomaopopo no nā maʻi

ʻO nā mea prognostic e pili ana me ka pancreatitis kūloko ke diagnostic i ka wā, ka hoʻohanaʻana i ka waiʻona, ka uahi a me ka cirrhosis.

Ma kahi noiʻi i hana ʻia ma ka pae honua, ʻo ka nui o ke ola o ka poʻe me ka maʻi pancreatitis he 70% ma hope o 10 mau makahiki o ka maʻi a me 45% ma hope o 20 mau makahiki. ʻO ka pilikia o ka hoʻolālāʻana i ke kano pancreatic he 4% ma hope o 20 mau makahiki.

Maʻamau mau olelo hoohihia ka hoopoina ana o nā mīkini a me ka duodenum, ka hoʻokumu ʻana o nā pseudocysts o ka pancreas.

Hoʻokumu nā Pseudocysts i kahi kokoke ma 10% o nā maʻi me ka pancreatitis kūloko. ʻO ka maʻi diabetes mellitus a me pseudo-aneurysm he mau hoʻopiʻi hou o kēia maʻi.

ʻO ka maʻi maʻi i ka pancreas e mau ana no kahi manawa pōkole (hebedoma-mahina) ka inoa i kapa ʻia ʻo pancreitis aitis, a ʻo kekahi e mau ana i 2-3 mau mahina a i ʻole he wā lōʻihi ke kāhea ʻia nei ʻo ka pancreatitis maʻi.

ʻO ka hala ʻana o ka manawa, alakaʻi ka pancreatitis i ka hōʻino a me ka hoʻokaʻawale i nā pancreas. ʻO nā pōhaku kalaiwa e ulu ana i loko o ka pancreas hiki ke kāohi i ka puka o waho a i lalo paha o ke pancreas, ka mea e hoʻoneʻe ana i nā enzyme pancreatic a me nā wai o ka pancreatic i nā ʻāpana.

ʻO ka hōʻemi o ka pae o ka enzyme pancreatic e hoʻoulu ai i ka holomua o ka digestive, ʻo kahi laʻa o nā hormone pancreatic e hoʻopiʻi i ka hoʻoponopono ʻana i ke kō koko.

Hoʻopilikia ka huina pancreatic haʻahaʻa i ka pōʻino ma muli o ka hoʻopihapiha ʻilihune a me ka nalowale ʻana o ka momona o ka momona. Inā ʻaʻole mālama ʻia ka pae koko koko i loko o ka laulā maʻamau, alakaʻi kēia i ka maʻi diabetes.

Pancreatitis - he aha kēia maʻi?

ʻO ka pancreatitis e pili ana i nā pilikia nui i hōʻike ʻia e ka mumū o ke kino pancreatic. Aia ia ma ka ʻōpū o luna, e pili pono ana i ka ʻōpū, kona pā posterior. Hoʻokumu ka hana gland i nā huina, me ka hua bile, e hoʻokaʻawale i nā ʻūpala meaʻai i ka duodenum. Mālama pū kekahi ia i nā hormones e pono ai no ka mālama ʻana i nā pae koko koko - insulin a me ka glucagon.

Pono e hoʻomaopopo i ka pancreas i hana nui i ke kino, a ʻo kona nahu ke kumu pono ʻole. Inā ʻaʻole e hoʻolei ʻia nā enzyme i loko o ka ʻawaʻī, a laila lilo lākou i hoʻomaka a hoʻomaka e ʻai i nā ʻōpū pancreatic, a pau kēia mea hiki ke pau.

I nā wahine, hana pinepine ka pancreatitis ma muli o ka hikiʻana o nā cholelithiasis. ʻO kēia mau mea koʻikoʻi he hopena i ke kūkulu ʻia o ka pancreatitis. Eia kekahi, aia kekahi mau kumu e pono ai ke hoʻomohala ʻia o ka maʻi hōʻike.

• Nā ʻilima
• Nā kuʻuna o ka pūpū a me nā ʻōpū, me nā ulia a me ka cholelithiasis.
• ʻO ka hoʻohana mau ʻana i ka mea momona, nā meaʻai kuʻuna, ke kalaka, ka mayonnaise a me ka meaʻai wikiwiki.
• Hanaʻola me kekahi o nā mea āpau hormonal a me nā antibiotics.
• Hoʻokomo ʻia nā mea hōʻeha ma loko o ka ʻōpū a i ʻole hōʻeha ʻia, e like me ka ʻeha a i ʻole kahi hōʻeha.
• ʻO nā hopena ma hope o nā maʻi maʻi maʻi: mumps, viral hepatitis B and C.
• ʻO nā leona Helminthic: opisthorchiasis a i kahi giardiasis.
• ʻO nā Tumors a i ʻole nā ​​mea ponoʻole o ke kinipōpau.
• Henereri predisposition.

ʻO ka maʻi ʻaʻai pancreatic he mea maʻamau nō hoʻi i nā keiki i makemake nui e ʻai i nā ʻupena, nā paʻi, a me nā ʻano maikaʻi maikaʻi ʻole. ʻO nā huahana i hōʻike ʻia e hoʻonāukiuki i nā paia o ka ʻōpū, e hoʻomaka ana ka maʻi ʻana o ka pale ʻana holoʻokoʻa.

ʻO ka hana o ke kūkuluʻana i kahi maʻi

ʻO ka pancreatitis Kānana ka hopena o kahi kaʻina hana aʻeha i kahi pancreas. E hoʻonāukiuki ana i ka hoʻonā ʻana o nā enzymes i loko o ke kino. ʻO ka maʻamau, hana ka hao i ka 700 ml o ka wai pancreatic i kēlā me kēia lā, kahi e waiho ai i kona ʻano ma o ka mīkini reflex. Hoʻokumu pololei ka hana huna i ka mea maikaʻi o ke olakino a me ke ʻano ola, nā kūlana o nā ʻuhane kūloko.

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ʻO nā kaʻina hana kūmau e hele pū me ka hoʻolohi o ka hoʻohiʻona o ka huina o ka huina a me kā lākou hana hoʻōla. Hoʻomaka kēia mau mea e wāwahi i nā ʻoihana pancreatic, me ka loli a me nā loli infiltrative. Hoʻopilikia i ka ʻōpū o nā kiko, a pohihihi ka pōkole no ka ejection o ka wai e ka pancreas. Hoʻomaopopo hou nā ʻōnaehana pathology, e hoʻonui ai i ka edema a hoʻonui i nā loli.

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ʻO ka hana o ke kaohi a me ke kiʻina ʻana o nā mea hoʻonāukiuki e kōkua i ka hōʻemi o ka ʻaihue, akā naʻe, ʻaʻohe manawa ka nui o nā mea i luku ʻia. E lohi nā kaʻina hana a me ka palaki, a me nā mea e pōʻino ai ka parenchyma o ke kino (nā huaʻi fibrous a me nā foci o nā nekrosis, a make nā mea ola).

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Hōʻike ʻia ka pancreatitis maʻi maʻi e ke ʻano like o ka nalu me nā manawa o ka hoʻomaikaʻi ʻana a me ka ulu ʻana o ke kūlana o ka mea maʻi. ʻO ka hoʻohui mai o nā maʻi a me ka hoʻi hou ʻana o nā kūlana i hoʻonāukiuki i ka hoʻokaho he kumu o ka hoʻonui ʻana i ka pākuʻi. I kēia hihia, ʻeha ka pili o nā selamika parenchymal o ke kino, stenosis (ʻāʻīwīwī) o nā papa i loaʻa, puka mai ka calculi. ʻO nā hoʻololi hou i hoʻonāukiuki ʻia e ka pancreatitis maʻi i alakaʻi i ke kīpē o nā lālapa (externally a me intracecretory) e hoʻopilikia i nā kūlana o nā ʻano hanu.

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No ke aha i loaʻa ai ka maʻi?

Hiki i kahi maʻi iki, a ma kahi ʻano maʻamau o ka pancreatitis hiki ke hoʻowalewale i nā kumu he nui. He mea maʻamau ia e hoʻokaʻawale iā lākou i 2 mau hui. Hoʻopili ka mea mua i ka hopena exogenous (mai ka waho o ke kino), ʻo ka lua - nā pilikia o loko (nā maʻi, nā maʻi metabolic). Hōʻike ʻia nā kumu kumu o ka pathology ma lalo nei.

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Pākaukau - Nā mea hāʻawi o ka pancreatitis lohi

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Wahi a nā helu helu, ʻoi aku ma mua o 40% o nā hihia o ka maʻi pancreatitis e hoʻonāukiuki ʻia e ka hōʻeuʻeu maʻamau a i ʻole wā. Ma kahi hapakolu o nā poʻe maʻi me ka maʻi nei he mōʻaukala o nā pilikia o ka gallbladder. Ma kahi o 20% o nā hihia e loaʻa i nā hala i loko o ka ʻai, ʻo ia nā hopena o ka gluttony a i ʻole kaʻai ʻana hiki. ʻO nā kumu ʻē aʻe (e pili ana i ka genetic, autoimmune, traumatic) account no kaʻoi aku ma mua o 10% i ka nui.

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Kahi lipi

Hiki ke hoʻokaʻawaleʻia nā maʻi hōʻeha o ka pancreas e ka hoʻolālā hoʻomohala ma ka mua a me ka lua. ʻAʻohe papa e ʻae ʻia i ka maʻi i loaʻa. ʻO nā meaʻala nui kahi e hoʻoliʻawale ai ka patology he mau hōʻike olakino, ke ʻano o nā loli i loko o ke kīkē, ke ʻano o nā hana maʻi.

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E like me nā hōʻailona i hōʻike ʻia ai ka pancreatitis ponoʻī iā ia, ua mahele ia i:

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• ʻeha - hōʻeha ka maʻi ʻehaʻeha i ke kiʻi lāʻau lapaʻau, hōʻike i nā manawa maʻamau a i ʻole hana maʻamau i nā hopena,
• pseudotumorous - hoʻopili ʻia e nā loli o ka hypertrophic i ke kipi, e hui pū ana i nā hōʻailona o ke kaʻina a me nā hana oncological.
• latino - nāwaliwali nā ʻike a ʻike ʻole paha, mai hoʻonāukiuki i ke ola o ka mea maʻi.
• hui pū - i ia manawa like nā hōʻailona o nā ʻano like ʻole.

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Hoʻoholo ʻia ke ʻano o ke ʻano o ke aukolo, ke kau nei i nā hiʻohiʻona o nā loli i ke ʻano o ka pancreas.

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• ka humuhumu ana i ka pancreatitis - ka hele me ka hoʻoneʻe ʻana o nā kala a me nā helu ʻana ma nā ʻalā o ka aniani, ka hoʻonaninani o ka iwi, nā hana o ka stenosis, hoʻokumu ʻana i ka cyst.
• obstructive - hoʻomohala me ka blockage o nā kumu nui a i ʻole lateral, i ukali ʻia e nā hanana congestive koʻikoʻi,
• infiltrative-fibrous - aia kahi hoʻololi o ka atrophic i hoʻololi ʻia me nā hoʻololi lohi o nā pū me ka iwi fibrous,
• fibrosclerotic - hoʻoneʻe ʻia ka degeneration i ka hapa nui o ka nui o ka huila, i hele pū me ka ʻāʻī ʻana a me ka hoʻēmi ʻana i ka nui.

ʻO ka nānā aku i ke kumu o nā pilikia o ka synthesis pancreatic, maʻi pancreatitis he hyper- a me hyposecretory. Kūkulu ʻia ka wai i loko o ka nui a i ʻole ka nui o nā bicarbonates, ʻoi aku ka nui o nā bicarbonates, ʻoi aku ka nui o nā hana o nā enzymes. Hōʻike ka ʻano hyposecretory i ka hoʻokaʻawale ʻana o nā enzymes a me carbonates i ka wā e mālama ana i ka nui o ka wai o ka wai. ʻO ka ʻano o ka ductular o ka pancreatitis e hele pū me ka hana o kahi wai liʻiliʻi me kahi neʻe maʻamau o nā enzymes a me kahi kiʻekiʻe o nā bicarbonates, kahi e hōʻike ai i ke ʻano o ke ʻano o ka hoʻowalewale i nā kime.

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Hōʻikeʻike o pathology

Hoʻokumu ka pancreatitis maʻi i nā manawa. Hoʻohui nā kauka i nā papa hana i kekahi mau manawa laha:

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1. I ke ʻano mua. Kani ia i ka manawa mai ka hōʻike ʻana o ka maʻi, lawe ʻia ma kahi o 5 mau makahiki, e nānā ʻia e nā loli kuni i loko o ke ʻano o ka palaka, a hiki ke hele pololei (hūnā).
2. ʻO ka mea nui. Hoʻohui ia i ka hoʻolālāʻana o ke kiʻi lapaʻau piha piha me nā wāwae o ka exacerbation a me ke kala, hāʻule i ka manawa o ka hoʻomohala ʻana i nā hana dystrophic a me nā kaʻino, ka lōʻihi a hiki i 10 mau makahiki.
3. ʻO ka mākaukau o ka mumū. Hōʻike ia i 7-15 mau makahiki ma hope o ka hoʻomaka ʻana o ka maʻi, ʻike ʻia e ka neʻe ʻana o nā hana degenerative (inā hoʻopili ka mea maʻi i ke ola me ka pancreatitis) a i ʻole ka hoʻomohala ʻana i nā hoʻopiʻi ma ke ʻano o nā neoplasma (me ka hoʻomau mau ʻana o nā hoʻopilikia pili).

Hiki ke kiʻi i ka kiʻi lapaʻau i ke kahua a me nā ʻaoʻao o ka pathology, ka nui a me ka nui o ka mumū, ka heleʻana o nā foci o ka nekrosis. ʻO nā hōʻailona o ka maʻi pancreatitis luhou i ka hōʻeha, ka maʻi dyspeptic, a me nā loli maʻamau ma ke ʻano o ke kanaka. Kūpono nā hōʻailona hōʻailona i loko o ke kaʻina o ka exacerbation o ke ʻano.

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Nā hōʻike hōʻike Nonspecific

ʻO nā hōʻailona maʻamau o ka maʻi pancreatitis e komo i ka hoʻoluhi. Hoʻonāukiuki ʻia e ka komo ʻana o nā enzyme i ka hoʻopalepale ʻōnaehana, ka mea i hoʻopili ʻia ai i kahi maʻi, a i ʻole ʻīmi loulou. ʻAʻole nā ​​hōʻailona maʻamau ka maʻi o ka pancreatitis:

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• nāwaliwali, lethargy, lethargy, nā ʻōpū, hoʻohaʻahaʻa i ka hana, nānā nānā ʻole
• i ka hoʻohuihui subfebrile i ka hoʻomaka ʻana o nā loli hoʻololi, kahi hoʻonui i nā hōʻailona ma ka 39-40 ° C me nā hana necrotic a i ʻole purulent,
• ʻūleʻa ʻūlū ʻūʻulaʻula i loko o ka ʻōpū (nā wahi i nalo ʻaʻole i nalo i ka wā i paʻi ʻia ai),
• papale-hina lepe honua (ma muli o ka hōʻiliʻili o nā toxins i ke kino).

Hōʻino ka hōʻino o ka hoʻōla ʻana o nā mea kanu i ka hemahema o ka vitamina (i hōʻike ʻia e ka ʻala maloʻo, ʻokiʻoki, lauoho, lauoho, nā kuʻuna), anemia (palaka, pōkole o ka hanu), nā hana āpau (alimentary nui (hōʻemi ke kaupaona ʻana, nawaliwali). ʻO nā mea maʻi i hoʻohui ʻia e ka pancreatitis maʻi me nā pathary biliary e ʻike i ka jaundice (i hōʻike ʻia e ka icteric sclera, nā membrane mucous, ka ʻili, ka huhū, ka huhū, nā hana hiamoe).

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Inā hoʻololi ka fibrotic a purulent-necrotic paha i nā mokupuni o Langerhans, ulu ka maʻi diabetes, no ka mea ua hua ʻia ka nui o ka insulin i kēia wahi o ka pancreas. A laila ua hoʻohui ʻia nā hōʻailona o ka pancreatitis kūpaʻa e nā polyuria (ʻoi aku ka nui o ka nui o ka urine), make nui, ka hōʻailona o ka maloʻo (ʻili o ka ʻili, nā ʻōwili mucous maloʻo, nā maka puʻu), i hoʻoneʻe i ke koko.

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ʻO nā ʻeha pena

ʻO nā manaʻo kuʻuna i ka ʻōpū ma mua o ka hōʻike pinepine ʻana i ka maʻi pancreatic maʻi. Inā loli ka lolo i ka pancreas, aching, stitching, moderate i ka nui. Nui lākou ma hope o ka ʻai ʻana, ka hoʻomohala ʻia e ka hoʻohana ʻana i ka waiʻona, nā ʻona momona a me nā meaʻono pāpaʻi. Hoʻonohonoho ʻia lākou ma ka ʻōpū o luna (epigastric region), ke kāʻei o ke kāʻei (like lākou i ka umauma a puni ka lihilima holoʻokoʻa, e like me ka mau kāʻei paʻa a me nā kūleʻa paha).

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Hoʻohui ʻia ke ʻano ʻoiuki o ka pancreatitis me ka hōʻeha nui, i kekahi manawa ʻaʻole hiki ke loaʻa ka ʻeha o ka maʻi. Ke hele aku nei ka maka o kekahi kanaka i kahi helehelena pālule, ʻōwili ke kino, a puka mai ka ʻeleʻele maloʻo. Maʻa mau a ʻano ʻole paha nā sensations ʻole. I ka wā e hoʻonui ai i ka ʻeha, hopu ka mea maʻi i kahi ʻano paʻa (ʻoi aku ka lōʻihi e moe me nā wāwae i hala). Hiki i ke hōʻoluʻolu ke kīwī i ka ʻūhā hema hema, ke kua i lalo, a me kahi ʻāina umbilical.

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ʻO ke ʻano hiʻohiʻona o ka maʻi pancreatitis ka haʻahaʻa o ka make o nā painkillers a me nā antispasmodics. No ka hoʻolōʻihi i ka maʻi ma kahi kahua o nā haukapila, hiki ke hoʻohana ʻia ka analgesics narcotic.

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ʻO ka mumū pancreatic, me ka nele o nā huina e hoʻoweliweli i ka hana ʻana a me ka ʻaila. Kaʻai pinepine (loaʻa 30-60 mau minuke ma hope o ka ʻai), kaʻai ʻana me ka ea, ʻāwili a ʻawaʻawa paha i loko o ka waha, a me ka kaumaha (ʻoiai inā i ʻai nui ka mea i ʻai) e hōʻike i kahi ʻano nui. Me ka exacerbation, ua hoʻopuka ʻia nā maʻi dyspeptic a ua komo:

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• hoʻomahuʻi (ʻike ʻia i ka manawa like me ke kaumaha a me ke kaumaha, hoʻonāukiuki i ka hoʻopoina ʻana i ka makemake a i ʻole ke hōʻole hou ʻana i ka meaʻai a me nā wai keʻa),
• ka luaʻi (e kū ana ma mua o ka piʻi ʻana o ka ʻeha a i ʻole ka puʻu ʻana o nā manaʻo leʻaleʻa, ʻaʻole ke lawe i ka hoʻomaha, ua paʻa ka bile i ka nui)
• hana kino ʻia (ma hope o 1 mau hola 2 ma hope o ka ʻai ʻana, wīwī ke ʻōpū o kahi kanaka, ʻaʻohe leo a me ka hānai ʻana o ka fetid, hōʻoheʻe i ka luae)
• nā hōʻeha o ka stool (pinepine ma ke ala o ka maʻi ʻaʻī, nā pakanalena e kūleʻa ʻole ʻia, nā ʻōpala o nā momona e loaʻa i nā feces).

Nā hōʻailona o ka dyspepsia hele pū me ka pancreatitis maʻamau i nā manawa a pau. I ka wā e kala ai, ʻaʻole lākou e haʻi. I ka wā o ka exacerbation, hoʻomaʻemaʻe ka hoʻoneʻe ʻana i ka hōʻeha a hōʻemi i ke ʻano o ka mea maʻi.

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ʻO nā hopena o ka patology

ʻO ka lele ʻana o ka pancreatitis e pili ana i ke kua o kona hoʻomohala ʻana e weliweli loa e pili ana i nā hopena maikaʻi loa. ʻO nā ʻōhumu pinepine e loaʻa mai i ka maʻi ʻokākī, ke hele a hoʻonāukiuki nā maʻi, infiltrative a me dystrophic hoʻololi i ka ulu ʻana o ka maʻi i ka komo ʻana o ke kino. Hoʻopilikia ka pale pancitisitis:

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• ka hana ʻana o abscesses, fistulas, phlegmon,
• ka helehelena o ka pseudo- me nā cysts maoli,
• ka hoʻomohala ʻana o ka peritonitis,
• maʻi mellitus maʻiʻi
• make ʻāpana a i ʻole ka make i ke kūpaʻa (pancreatic necrosis),
• ka mumū o ka pā e pili ana i ka pancreas,
• nā huina he nui ʻana (cardiac, renal, hepatic),
• hoʻolaha i ka maʻi coagulation intravascular.

Ma hope o nā hoʻopiʻi e loaʻa ana ka cachexia (hōʻemi i ke kino), nā hemahema o ka vitamina, ka hōʻino ʻana o ka minela o ka mineral, ka hypertension portal, hepatitis, esophageal vein varicose veins a me ka hoʻonui nui aʻe o ke kahe kūlohelohe i kēia hanana, a me ke kanesa hoʻi pancreatic.

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ʻO ka hoʻomohala ʻana o ka maʻi pancreatitis lohi

Me nā hōʻailona o ka mumū pancreatic, e kamaʻilio me kahi gastroenterologist. I ka kūkākūkā mua ʻana, e hōʻiliʻili ke kauka i kahi anamnesis, hoʻolohe i nā hoʻopiʻi a ka mea maʻi, a hana i kahi hoʻokolokolo (palpation a me ka kamaʻilio ʻana o ka ʻōpū kuʻuna). ʻO ka ʻike e pili ana i ka inu ʻana i ka wai inu, ka ʻai ʻai ʻana, ka lawe ʻana i nā lāʻau lapaʻau me ka hoʻopili ʻana i nā hōʻailona ʻano e hoʻolōʻihi i nā manaʻo o ka pancreatitis o ka loea. No ka wehewehe ʻana i ka maʻi maʻi, e kau ʻia kahi hōʻike holoʻokoʻa.

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• ʻO nā hōʻike koko ākea a me ka biochemical. Hōʻike i ke kūlana o ke kino holoʻokoʻa, ke kauʻana o nā kāpena, nā protein kikoʻī, ke kiʻekiʻe o leukocytes, ESR.
• Coprogram.Hāʻawi ʻoe iā ʻoe e loiloi i ka kiʻekiʻe o ka hana pancreatic ʻole me ka ʻike ʻole paʻakikī (i loko o nā moʻo, nui ka nui o nā hua kāhi, nā mākē o nā ʻōpū, a me nā aʻa e ʻike).
• ʻĀninalysis Hōʻikeʻike i ke kūlana o ka ʻōnaehana excretory, hiki ke loaʻa ka hopena.
• ʻO ka CT, MRI, ka maʻamau a me ka endoscopic ultrasound o ka hoʻopiha. ʻO ke kaʻina hana imaging kiʻekiʻe ka mea hiki ke loiloi i ka nui a me ke kūkulu ʻana o ka mea pono, ka hiki ʻana o nā hōʻailona, ​​cysts, inclusions, calculi, a me nā kuʻuna, foci o nā nekrosis, a me nā maʻi ʻouki.

Ma mua o ke kuhikuhi ʻana i ka maʻi, pono e hoʻokaʻawale ke kauka i ka pancreatitis mai nā kūlana ʻē aʻe i hui pū ʻia me nā hōʻailona o kahi "ʻōpū pūpū". ʻO ka pinepine, pono ka hoʻokaʻawale ʻia o ka hōʻoki ʻana ka maʻi pancreatic mai nā ʻūlū ʻaʻa, ke hōʻeha ʻana o ka naʻau, nā ʻaoʻao o ka naʻau, ka pākī o ka ʻōpū. No kēia, he electrocardiogram, kahi hōʻikeʻike o ke ʻano o ka ʻōpū o ka ʻōpū, ua kuhikuhi ʻia kahi ultrasound o nā ʻōpū kūloko.

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ʻO ka Therapy o ka pancreatitis kūlohelohe

Pono ke ʻano o ka maʻi ʻana. ʻO ka hana nui ka hoʻopau ʻana i ka hopena o nā mea hoʻonāukiuki a kāpae i ka loli a me ka degenerative i loko o ke kino. ʻOiai aia ka hopena o ka hōʻeha ʻana i ka wā o ka hoʻouka ʻana, ʻoi ʻia ka hōʻeha ʻana i manaʻo ʻia ka pae nui o ka mālama ʻana.

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ʻO kēlā me kēia kanaka e ʻike e pili ana i kā lākou mau pilikia me ka pancreas pono e aʻo - ʻaʻole pono ka lāʻau lapaʻau ponoʻī. No kekahi mau hōʻailona o ka maʻi pancreatic, pono ʻoe e kamaʻilio i kahi kauka a loaʻa i kahi hoʻokolohua holoʻokoʻa ʻole ʻole e pau. He mea nui ka kāohi o ka mea loea no ka hoʻoholo ʻana i ke ʻano o nā loli i loko o kahi ʻōpana a no ka nānā ʻana i nā manawa kūpono e ola nei.

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Wahi a nā helu hōʻike ma kahi o 20% o nā maʻi me ka maʻi pancreatitis maʻi i nā 10 mau makahiki mua o ka hoʻomohala ʻana o ka maʻi. I ka manawa like, loaʻa ʻo ka nui o ka make i ka 50%. ʻO kēia hiʻohiʻona ma muli o nā hoʻopiʻi o ka pathology.

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ʻO ke kōkua mua no kahi hoʻouka

Hiki ke ʻike ʻia ka hoʻonāukiuki o ka maʻi pancreatitis e ka ʻeha hōʻeha a me ka luaʻi maikaʻi ʻole. Pono ka mea maʻi e mālama i kahi kūlana hōʻoluʻolu (ma ka hapalua e noho ana a e moe ana ma kona kua). ʻO kēia e hōʻemi i ke kahe o ke koko i ka maʻi inflamed a hōʻemi i ka makaʻuʻole. Pono e kapa ʻia kahi pūʻali ʻalemai no ka mea pilikia ka halihali i ka mea maʻi i kahi lāʻau lapaʻau ponoʻī nona.

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Ma mua o ka hiki ʻana o nā kauka, pono ʻoe e hāʻawi i kahi kanaka i ka maluhia holoʻokoʻa, e komo ai i ka ea hou. Hoʻohili ʻia kahi pākī maloʻo i ka wahi hana o ka pancreas (kahi pā wela me ka wai a i ʻole ka pōkō i uhi ʻia i loko o kahi kāwele). ʻAʻole pono nā lōʻihi o kona manawa ma kahi o 20 mau minuke. Ma hope o kahi manawa like, hoʻihoʻi ka hana.

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E hōʻoluʻolu i ka ʻeha, hiki iā ʻoe ke hāʻawi i ka mea maʻi i kahi antispasmodic (No-Shpu, Spazmalgon, Duspatalin, Buscopan). I ka wā o ka hoʻouka ʻana i ka pancreatitis kūpaʻa, ʻaʻole pono e lawe ʻia nā ʻano enzyme (Pancreatin, Creon, Festal); ʻO nā mea inu (ʻole wale ka wai) a me nā kīʻī e pāpā ʻia.

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ʻOiai ka hopena o ka hoʻouka ʻana ma o ka nalowale piha ʻana o ka ʻeha, pono e lawe i ka mea maʻi i ka haukapila a hoʻopaʻa ʻia. Ma waho o ka mālama kūpono, hiki i nā pathology ke alakaʻi i nā hopena hōʻino.

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ʻO ka lāʻau lapaʻau

Hoʻokomo ʻia nā hōʻeha huehue o ka pancreatitis i kahi pae inpatient. Me kahi kūlana ʻoluʻolu o ka mea maʻi a me ka haʻalele o nā ʻike hoʻopiʻi i nā hopena o ka hoʻokolokolo, hiki ke kuhikuhi ʻia i ka lāʻau maʻi outpatient. Ma ka ʻōlelo lapaʻau pili ʻole:

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• ʻōlelo ʻana a analgesics a me antispasmodics,
• infusion intravenous o nā hoʻonā e hoʻōla i ka ʻalā (Reosorbilact, Glucose, Sodium chloride),
• ka hoʻolauna ʻana i nā mea hoʻopihapiha e pani i ka hana o ka enzyme pancreatic (Contrical),
• hoʻomākaukau no ka meaʻai meaʻai.

I nā hihia i hōʻike ʻia i ka huaʻōlelo o ka maʻi hopohopo o ka exacerbation, ua hoʻonoho ʻia nā antibiotics o ka wae cephalosporin. No ka hoʻohana ʻana ma ka mea maʻi ma waho o ka maʻi maʻi pancreatitis e koho ai:

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• anti-inflammatory drug (Meloxicam, Voltaren, Sedalgin-Neo),
• antispasmodics (Duspatalin, Buscopan),
• ka hoʻomākaukau ʻana o ka enzyme (Creon, Pangrol, Mezim),
• proton pump inhibitors (Omeprazole, Nolpaza, Pantoprazole),
• vitamina A, E, C, D, pūʻulu B

Hiki ke mālama ʻia ka mālama ʻana mai 5 mau lā i kekahi mau hebedoma (e pili ana i ka ulu ʻana o ke kaʻina hana, ke ʻano o nā loli pathological). E like me ka emi ʻana o nā hōʻailona, ​​pau ka lāʻau lapaʻau i ka lawe ʻana. Pono ke hōʻemi ʻia nā lāʻau mai ka hui o ka enzyme (i ka hoʻihoʻi ʻana i ka hana pancreatic).

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Lāiʻi & Kaʻai

ʻO kahi hōʻike hana o ka maʻi pancreatitis ka mea e hōʻike mau ka mea maʻi i kā lākou ʻai a me nā hana ola. ʻO ka mea maʻi āpau, ke ʻole nā ​​ʻokoʻa, ua ʻōlelo ʻia e hāʻawi i ka waiʻona a me ka ulaula, ka hoʻohana ʻana i nā huahana o ka ʻenehana i saturated me nā preservatives a me nā ʻono. Mai kēia manawa ʻaʻole hiki ke mālama ʻia kahi kanaka kūʻokoʻa. ʻO nā lāʻau lapaʻau no nā ʻeha, nā makani a me nā maʻi e pono e lawe ʻia e like me ke kauka ʻana e kāu kauka.

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He mea nui ia e hoʻoponopono hou i nā hana i kēlā me kēia lā. Pono ʻoe e hoʻomaha, e haʻalele i ka hana luhi, pale i ke kaumaha, loaʻa ka hiamoe. Hiki i ka psycho-emotional a me ka overstrain hoʻoulu ke hoʻonāukiuki i kekahi mea kaua.

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Pono ka nānā ʻana i nā manawa āpau o ka pancreatitis maʻi maʻamau. Me ka exacerbation, ʻoi aku ka paʻakikī ma ka hoʻomakaʻana i ka pōloli. Ma hope o ka pau ʻana o nā hōʻailona, ​​hoʻonui ka ʻai, akā poina ʻoe e hoʻopoina i ka meaʻai wikiwiki, nā ʻai momona, nā momona momona a me nā meaʻai semi-hoʻopau i nā manawa āpau. Nā rula no kaʻai ʻana no ka hoʻouka ʻana o ka pancreatitis:

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• pololi no na hora 72,
• mālama ʻia nā kīʻaha
• lawelawe ʻana ma mua o 150 g
• 7‒8 ʻai i ka lā,
• i ole ka ai ana o ka ai.
• ka mua e hōʻike i ka wai momona i hoʻoheheʻe ʻia, ʻeke, palupalu ʻōmaʻomaʻo, ʻōpala rosehip,
• a laila e hoʻonui ʻia ka papa hana i ka porridges mucous mai ka palaoa, oatmeal, semolina, buckwheat,
• ma nā lā 6-7 mau maʻi o ka maʻi, ua ʻae ʻia ka hoʻohana ʻana i nā kāī kolo, ka ʻāpono ʻai ʻā (mai kahi moa, turkey),
• no 8 mau lā, e hoʻolapalapa i ka puhala i ka uala ʻai i ka palaoa, nā mea ʻuala,
• ae ʻae ʻia ka hoʻohana ʻana i nā hua minamina a me nā hua ʻai (hoʻoluʻu ʻia),
• Mai ka lā 10, nā huahana momona momona-wai momona, pōpoki berena, nā kuki huki, nā kīʻaha ʻai ʻāina, a me nā iʻa iʻa ʻia i loko o ka ʻāpana e hoʻolako i loko o ka meaʻai.

Ke waiho nei i ke koʻikoʻi maʻi, ua neʻe i nā palena koʻikoʻi. Hiki iā ʻoe ke ʻai i nā hua ʻaiwa a me nā lau ʻai i kahi kūpaʻa ʻono, eʻai i ka ʻai i ʻoki ʻia. Ma lalo o ka pāpā

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• nā mea hōʻeha maikaʻi (nā hua momona a me nā mea kanu, nā mea kanu, ka waiʻona)
• hoʻowalewale ʻia ka wai hoʻohuehiwehiwela (turnips, celery, legumes, keʻokeʻo keʻokeʻo, ʻehā, nā momona momona mai ka ʻiʻo, mau ʻeke, nā iʻa).
• ʻōpio, ka ʻōpala, ke keiki hipa, ka puaʻa.
• waiū a me kaʻaila
• Kakauolelo
• nā huahana semi-hoʻopau
• meaʻi, ʻalena i ka ʻai, ʻaina,
• marinades, meaʻai kīʻaha.

Hiki i ka mea maʻi ke inu i ka ʻōleʻele a me ka laila lae, compotes, kahi wai inu mai chicory, kahi momona rosehip. E like me nā mea ʻono, hiki iā ʻoe ke hoʻohana i ka marmalade, marshmallows, marshmallows, ka meli, kaʻaila (me kahi mea liʻiliʻi).

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Hana hoʻomaʻamaʻa

Hiki ke mālama ʻia ka maʻi pancreatitis ma o ka ʻoihana inā hele pinepine ke ʻano, akā ʻo ka lawa pono ʻana o ka lāʻau. ʻO nā hōʻike kuhikuhi no ka huli ʻana:

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• sphincter o Oddi holomua
• kaleka ma nā puna o ka pancreas a i ʻole bile (ka mea e hōʻole i ka haʻalele ʻana o ka wai).
• hana, nā kīkaha i hoʻopiha ʻia me nā ihu pus,
• nā kiko o ka necrosis pancreatic,
• peritonitis
• ka kikooau o ka pahee.

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Hiki ke hoʻokō ʻia a paʻa a pani ʻia paha (laparoscopic) i kahi ʻano e hilinaʻi ʻia ana i kona paʻakikī, ka ʻenehana a me nā pahuhopu.

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He hoihoi kēia!

Oncologist o ka Halemai Kau Lila ʻo Moscow. No ka mea, ua haʻi aku ʻo Polofesa Vyacheslav Egorov i ka hana o ka mālama ʻana i nā maʻi o ka maʻi i ka maʻi pancreatitis i hoʻolauna ʻia e ia. Wahi a ka ʻepekema, me kekahi mau ʻano o ka maʻi, ʻaʻole pili ka pilikia i ka kelepona ponoʻī, akā i ka duodenum. Inā haʻalele ʻoe i kēia wahi, hiki iā ʻoe ke hōʻalo i ka maʻi maʻamau o nā maʻi pancreas i hoʻokahi a no nā mea āpau. ʻO ia ua hiki ke huki ʻole nā ​​kulekele puka. ʻO ka pancreatitis i kēlā me kēia makahiki. Ua hana ʻia e ke ahulau ke hana he mau hana me ka 100% o nā hihia i mālama ʻia.

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ʻO ka wā e hiki mai ana o ka mea maʻi me ka maʻi pancreatitis e hilinaʻi pono iā ia iho. ʻO ka huli ʻana i ka maʻi ma ka exacerbation mua, lawa pono a me ke kōkua ʻana e kōkua ai e lawe i ka pathology i lalo o ka mālama a hoʻokō i ke kala mau.

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Inā hāʻawi ʻole ka mea maʻi i ka hana ʻino a hōʻole i nā lula o ka lāʻau lapaʻau, ʻo ka loaʻa o ka hoʻonaninani pinepine a ʻo nā hoʻopiʻi hoʻi i hoʻonui pinepine ʻia. Hāʻawi ʻia ka prognosis maikaʻi loa i nā mea maʻi me ka maʻi pancreatitis palaka. Hoʻopili pinepine ʻia ke kaʻina hoʻonā i loko o ka aniani i loko o lākou me nā loli purulent-necrotic, i hoʻopuni ʻia me nā kūlana ola. Hoʻokomo i ka hoʻonāukiuki, kākoʻo ʻia e ka ʻōpū, ke alakaʻi pinepine nei i ka maʻi maʻi pancreatic.

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Kāohi

I mea e pale ai i ka pancreatitis kūlohelohe, pono ia e ʻai i ka ʻai, e pale i ka maʻi me ka maʻi o ka ʻōpū, inu i ka waiʻona, nā huahana me nā pesticides, preservatives, aromatic and flavoring additives. He mea nui ia ʻaʻole e hōʻaiʻai nui, ʻai pinepine, akā liʻiliʻi ma ka liʻiliʻi. Pono ke kūlike o ka momona, nā momona a me nā hāmeʻe i ka meaʻai. ʻAʻole ka mea nui loa i ka hana kino kino, a me nā kaʻina e hoʻoikaika i ka pale ʻana (hele, paʻakikī, hoʻohana ʻia ka nui o nā huaora a me nā minela). I mea e pale ai i ka exacerbations o ka pancreatitis kūloko, pono ʻoe e mulimuli i ka ʻai, haʻalele i nā mea ʻino.

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ʻO nā mea e hoʻomanaʻo

Hoʻopilikia ka pathology me nā hoʻopiʻi, no laila, pono ia i ka manawa kūpono a me ka lāʻau kūpono. I mea e hiki ʻole ai iā ia ke "kauā hoʻokele", pono e aʻo ʻoe i ka mea aʻe:

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1. Hoʻoulu ka pancreatitis maʻi inā hoʻomaʻamaʻa ʻole ke ʻano o ke ʻano a hoʻokaʻawale paha ka meaʻai ma hope o ka hoʻihoʻi ʻana.
2. Hiki i nā hōʻailona o ka maʻi ke hoʻonui a hoʻonāwaliwali, ʻaʻole ia kahi manaʻo e nalo ai ka maʻi, akā hōʻike ʻia kahi manawa pōkole o nā loli hoʻololi i ka ʻōkuhi.
3. ʻOiai i ka wā e mālama pono ai, hiki i nā hoʻopiʻi (necrosis, hoʻomaʻemaʻe i nā kiko o nā io).
4. ʻO nā hōʻailona nui o ka maʻi pancreatitis kaomi ʻana ma ka ʻōpū a me ka luaʻi.
5. ʻO ke ala maikaʻi loa i ka wā o kahi hoʻouka ʻana, ʻo ia ke ʻike i ke kauka a me ka mālama ʻana i nā haukapila.
6. Aia ka hopena o ka holomua o ka hana i ka meaʻai a hāʻawi i nā hana ʻino.

Pono ʻoe e hoʻomanaʻo e hiki ke hele ka pancreatitis maʻi iki no kekahi manawa, akā i mea e hoʻolōʻihi i ka manawa o ke kala, he mea nui ia e kiaʻi i ka meaʻai a me ke ʻano hana.

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Hoʻohui pinepine ʻia ka pancreatitis maʻi me ke cholecystitis. Ma kēia hihia, ʻaʻole wale nā ​​maʻi kāʻei, akā i ka ʻoluʻolu i ka hypochondrium kūpono, he ʻawa ʻawaʻawa ma ka waha e hōʻāʻeha i kēlā kanaka. E heluhelu hou aʻe e pili ana i ka cholecystitis a me kāna hana ma ka ʻatikala ma aneʻi.

ʻO nā kumu nui o ka pancreatitis

Hoʻohana ʻia ka hana o ka pancreas o kahi pākeke e nā mea he nui - kaʻai, nā ʻano maikaʻi ʻole, ke ola maʻamau, ke ʻano ola. I mea e hele mai ai ka BZHU me ka meaʻai me ka piha piha i loko o ka kūnaehana ʻana, pono kekahi mau enzyme i hana a hoʻoulu - pancreatin, lipase, a me trypsin. Inā, no kekahi kumu, ua wāwahi ka pancreas, ʻaʻole hiki iā ia ke hoʻopuka i nā enzyme e pono ai no ka hoʻoneʻe ʻana, e hāʻule ana ke kaʻina hana ʻana, kūkulu ʻia ka wai pancreatic i loko o ke kino, e hopena ana i kahi kaʻina o ka aila.

ʻO ka maʻamau, ʻo ka maʻi pancreatic hoʻonā i nā pākeke e mafua ʻia e:

• mea ʻai a ʻona paha,
• hewne
• ka ʻai nui ʻana i nā kīʻaha nui a i ʻole nō hoʻi ka momona
• nā hōʻeha o ka pā mua o ka ʻōpū a me ka hoʻonāukiuki i nā kino o loko.

E like me ke kānāwai, ua hōʻemi pinepine ʻia ka pancreatitis e like me kahi maʻi kūʻokoʻa, ʻoi aku ka nui o nā kino ʻē aʻe o ka huina laupili i komo i loko o ke ala o ka pathological - ka ʻōpū, ka duodenum, ka ʻūhā, a me ka mea ʻawaʻī liʻiliʻi. Hoʻopau paʻakikī ʻia ka maʻi kūpono ma ka ʻoiaʻiʻo ke kū nei ka pancreas i loko o ka ʻōpū o ka ʻōpū, ʻāpana liʻiliʻi kona nui, a me ka nahu ʻana o ke ʻano, ua ʻike ʻia nā ʻano like me nā ʻano hana like ʻole.

Aia kekahi mau kumu o ka predisposing e hiki ke alakaʻi i ka hoʻomohala ʻana o ka maʻi pancreatitis maʻa:

• nā maʻi o ka biliary tract a me ka ʻeha polan - ʻo ia kekahi o nā kumu maʻamau. Ke hōʻiliʻili nā pōhaku i ka pala, pale i nā hua bile, e hana ka pancreas me kahi ʻano maʻi patologis. Kāohi ʻo ia i nā mea e hoʻoulu ai i ka hana o nā enzymes i hana ʻia i kā lākou iho ponoʻī. A ma muli o kēia, ua lilo ka puna pancreatic i edematous, e hoʻopau ʻia ana ka luku ʻana i nā moku koko, ʻike ʻia nā hemorrhages a ulu nā hana aʻeha mau.
• ʻO nā maʻi o ka duodenum a me ka ʻōpū - inā he mauwaliwali ka sphincter o Oddi, hiki ke hoʻolei i nā kumuhana o ka ʻōpū i loko o nā kumuwaiwai o ka pancreas, e hōʻeha ana i nā maʻi. ʻO ka hapanui pinepine ka hopena i kēia ma hope o nā maʻi e like me ka gastritis, ulia peptic a me ka uluu duodenal.
• Ka hoʻomoe a me ka hoʻopā ʻana o ke kino - ʻo ka pancreatitis i ka pākeke e ulu pinepine i ka ʻōnaehana o ka hoʻopā ʻana me ka waiʻona, nā meaʻai maikaʻi ʻole maikaʻi, nā lāʻau lapaʻau, nā mea kanu. Eia kekahi, nā meaʻai kanu nāu ʻole nā ​​makahiki a me nā hua i hoʻopiʻi ʻia me nā pesticides a me nā hoʻohui i nā mea kūlohelohe hiki ke hoʻopili i ka pōpō o ka pancreas a me kona mauʻano.
• Hypertension arterial, diabetes mellitus, hapai - i ka hihia i hoʻopilikia ʻia i loko o ka ʻōpū o ka abdominal a ma ke kino holoʻokoʻa, e hoʻonui ʻia ka pilikia o ka hoʻomake ʻana i nā maʻi pancreatic, no ka mea i ka wā o ke kūmole o ka hoʻokahe nui o ke koko i ka organ, hoʻopau ʻia kāna kīnāwai, hoʻomohala ʻia ka ischemia, ka hana ʻana o nā enzyme a me nā hormones e hele, i ka kaʻina hana.
• Ka ʻaina mau loa - me ka ʻai nui o ka meaʻai i loko o ke kino, huehue ka metabolism momona ma muli o ke kaʻa mau ʻana o ka pancreas. Me ka overeating maʻamau, piʻi nui ka pilikia o nā maʻi pancreatic a me kona māhuahua.
• Ke lawe nei i kekahi mau lāʻau lapaʻau - ka hopena lōʻihi a ʻaʻole i kāohi i nā lāʻau e like me ka tetracycline, sulfonamides, glucocorticosteroids, nā lāʻau lapaʻau e pili ana i ka estrogen e alakaʻi i ka malfunction o ka kaupa a hoʻonui i ka hopena o ka hoʻomohala ʻana i nā maʻi a me ke kaʻina hana i ka pancreas.
• ʻEhaʻeha - puhi i ka pā o ka ʻōpū o ka ʻōpū, nā hōʻeha, nā hana i lawe ʻia ma ka duodenum 12 hiki ke hōʻeha i nā maʻi pancreas i nā pākeke.

Nā hōʻailona o ka pancreatitis i nā pākeke

ʻO ka huehue ʻaʻā o ka pancreas i hele pū me nā hōʻailona e like me nā hōʻailona o ka ʻōloʻomaʻa, ke maʻi ka:

• nā hōʻeha koʻikoʻi i loko o ka ʻōpū (epigastric zone a me nā pus) o kahi kāʻei o ke kāʻei me ka irradiation ma ka hope o lalo, ʻeha - ma muli o ke ʻano o ka ʻeha ʻeha, ʻaʻole hiki i ka mea maʻi ke hoʻomaopopo koke i ka mea e hoʻopilikia nei iā ia,
• ka kiʻekiʻe o ke kiʻekiʻe a lele i loko o ke kahe o ke koko - ʻoi aku ka nui o ka hoʻopiʻi ʻana i ke kaʻina o ke kipi, ʻoi aku ka maikaʻi o ke ʻano o ka mea maʻi.Hiki i ke kua maʻi a hiki i ka 39 deg, hōʻeha, ke ʻehaʻeha, ke piʻi ʻana o ke koko a i hōʻemi paha ʻia.
• ʻāhaʻi a me ka luaʻi haki - ma hope o ke ʻano o ka pūhaka o ka ʻōpū i waho, ʻaʻole hōʻeha ka mea maʻi i ka hōʻoluʻolu, hoʻomau ka hoʻomau ʻana iā ia a me ka hōʻeu ʻana o ka lua,
• ʻaukā, hāpau,
• ʻōpio - ke kīwaha i loko o ke kinona o ka pancreatitis me kahi ʻano foamy, me ke ʻano nui o ka momona, huhū, ʻōmaʻomaʻo, unigested ʻōpū meaʻai ʻike maopopo ʻia i loko o ka papa.
• pale o ka ʻili, ka pale ʻāina, ka helehelena o ka halitosis, pōkole o ka hanu,
• ʻūlū.

Nui! Ma ka pancreatitis akuhi, e holo wikiwiki ana ke ʻano o ka mea maʻi, a hiki ke alakaʻi i ka hoʻololi o ka maʻi i kahi ʻano maʻi a i ʻole ke kumu o ka pancreatic necrosis (pancreatic necrosis). I mea e pale ai i ka hoʻomohala ʻana o nā hōʻeha i nā hōʻailona mua o ka maʻi, pono ʻoe e ʻimi pono i ke kōkua olakino.

ʻO ke poʻo, ke kino a me ka huʻu. Aia ma muli o kahi ʻāpana o ke kino ke kūloko ʻia, ka ʻokoʻa o nā hōʻailona.

• me ka hāhā o ke poʻo o ke kipi, ʻike ka ʻeha i ka ʻeha ma ka hypochondrium kūpono.
• me ka hanaʻole o ke kino o ka hao - ma ka ʻāina epigastric,
• me ka mumū o ka huelo - i ka hypochondrium hema.

Inā uluwī nā ʻōnaehana āpau, a laila hopohopo ka mea maʻi i ka ʻeha o ka maʻi herpes zoster me ka irradiation ma lalo o nā poʻohiwi poʻohiwi, spine, kidney.

ʻO ka maʻi pancreatitis Kuhi: nā hōʻailona

Hoʻololi ka hele mai o ke ʻano maʻi o ka pancreatic i ka neʻe ʻana o ka huelo, akā, ʻo ka neʻe ʻana o ka holomua o kona mau ʻiʻo, ma muli o ka mea e hoʻomaka ai ka mea maʻi i ka hoʻowalewale o ka huakaʻi ma luna o ka manawa, e kūʻē i nā maʻi concomitant o ka hanana kūleʻa e ulu koke.

I ka pancreatitis kūlohelohe i nā pākeke, nā hōʻailona o ka maʻi i ka hoʻowalewale a hōʻiliʻili paha, a me ka hōʻeha ʻana o ka ʻeha i ka pancreas e hoʻomau mau ʻia ma hope o ka ʻai ʻana. I ka wā e ʻai ai i ka pākala, ka momona, ka uahi, ka ʻuʻaka, ka waiʻona, kahi hōʻeu o ka pancreatitis hoʻonā e kū mai ana, ka mea i hōʻike ʻia e nā maʻi kulekele penei:

• nā ʻeha kuʻuna nui i nā wahi epigastric me ka radiation i ka hypochondria ʻelua, ke kua, nā poʻohiwi poʻohiwi, sternum,
• luka a lōkela ʻaʻole hiki ke hali,
• ʻeha - ʻoiai nā holoi liʻiliʻi ua holoi holoi ʻia ma muli o ke kaona o ka momona i loko o lākou, ʻike maoli nā hapa o ka meaʻai undigested.
• nā hōʻailona o ka hoʻomāloino o ke kino e hoʻonui - ke pōkole o ka hanu, ke kiʻekiʻe kiʻekiʻe, ke kulu, ka nāwaliwali nui, ke kaumaha wikiwiki ʻana,
• hoʻemi i ke kahe koko.

Me kahi kūlana e kū pono ai i ke kino o ka mea maʻi, hoʻokau ka ʻeha nui, no laila ua lawe ka mea maʻi i kahi kūlana - noho, e waiho iki ana i mua.

ʻO ka hōʻeha ʻana o ka pancreatitis akiko ka mea weliweli i ka mea hiki iā ia ke alakaʻi i ka hoʻomohala ʻana o ka hōʻeha o ka hōʻeha a me ka make i ka waiho ʻole ʻana o ka mālama olakino kūpono i ka manawa. Lawe ʻia ka mālama ʻia ʻana o ia ʻano hana, ma ke ʻano he kānāwai, i ka haukapila, ʻoiai ke ʻano pōpilikia ke ʻano ma muli o kāna mau hōʻemi.

Diagnosis o ka pancreatitis

ʻO ka loaʻa ʻana o ka maʻi ma ka kumu o ka hoʻopiʻi maʻi a me nā hopena o nā hoʻokolohua a me nā haʻawina.

• i ka kaomiʻana o ka urine, ʻike ʻia kahi hoʻololi o ka nui o ka elastase i ʻike ʻia,
• i ka ka helu ʻana i nā feces, ka ʻikea ʻana o ka steatorrhea i ka ʻike ʻana o nā momona i hoʻokaʻawale a me nā mea e ʻai ana i nā ōpī,
• hōʻike hoʻowalewale organ,
• Paona o ka pancreas,
• hoʻāʻo ʻia ke koko no ka hoʻāʻo ʻana i ka hoʻohaʻahaʻa glucose a me nā enzyme pancreatic.

Hoʻokumu i nā hopena o ka maʻi maʻi, ua kuhikuhi ʻia ka mea maʻi i kekahi regimen lapaʻau.

Ke mālama nei i ka pancreatitis i nā pākeke

ʻO ke kumu nui o ka mālama ʻana i ka pancreatitis hoʻonāukiuki i nā pākeke. Me ka hōʻike nui o ka maʻi no ka lā 1-2, e hoʻokaʻawale loa ʻia kekahi meaʻai. E inu wale ka wai maʻemaʻe, me ka wai pū. ʻOiai ka hoʻomau a hoʻomā ka wai o ka mea maʻi a hoʻomau ka maʻi ʻaʻī, e pale aku ai i ka hoʻomoʻewaʻe ʻana o ke kino, lawe ʻia ka maʻi inthyvenous rehydration - kahi infusion o nā hopena paʻakai a me ka glucose me nā huaora.

Hoʻopili ʻia kahi wai ʻai hau ma ka epigastrium o ka mea maʻi, hiki ke hōʻemi i ka nui o ke ʻeha, e hōʻoluʻolu i ka huehue o ka puhaka a hoʻomaka paha e hoʻopau i ka hana ʻana. Pono ka mea maʻi e nānā i kahi hoʻomaha o ka moena me ka hōʻoia o ka hoʻomaha piha.

Nui! Inā kū kēia ala i ka manawa mua loa, a laila ʻaʻole pono e inu i kekahi lāʻau lapaʻau hōʻeha a i ʻole antispasmodics ma mua o ka hiki ʻana mai o ka ambulance, no ka mea hiki i kēia hoʻopiʻi ka maʻi maʻi. Eia kekahi, ʻo ka ʻūhā hōʻeha o ka ʻōpū, nausea a me ka luaʻi hiki ke hōʻailona i nā kūlana mākaʻeha i loko o ke kaʻina e pono ai ka hōʻulu ʻana o ka hoʻomaʻamaʻi ola ʻana e hoʻopakele i ke ola o ka mea maʻi.

Ma hope o ka pau ʻana o ke kaʻina ʻoʻeha, ua hōʻike ʻia ka mea maʻi i kahiʻai paʻa a me ka lāʻau lapaʻau lāʻau - enzymes, antispasmodics, probiotics

ʻO Diet ka wehe piha ʻana mai ka meaʻai:

• meaʻala i nā mea ʻai i nā ʻono, nā mea ʻala, nā mea ʻala, ka ume,
• ʻōpū
• puaa, hipa, wahala,
• momona
• pata
• ka Pualai (ua ʻae ʻia ʻo vermicelli),
• waiʻona
• kope
• Kāwaho, mākuala,
• nā palani, nā keke, nā mea ʻala,
• palaoa keʻokeʻo hou.

ʻO ke kumu o ka meaʻai ʻo ka cereal a me nā kīʻaha kīʻaha, i kuke ʻia, ka kuke ʻia e ka kulu ʻana a me ka ʻaʻa ʻana me ka liʻiliʻi o ka ʻaila.

I ka wā ʻai, pono ka mea maʻi e lawe i nā hoʻomākaukau enzymatic e hoʻomaʻamaʻa ana i ka pancreas a kōkua i ka hoʻowalewale maikaʻi:

No ka mea me ka maʻi pancreatitis e hele pū me ka maʻi ʻōpū, ua kuhikuhi ʻia ka probiotics e hoʻihoʻi i ka microflora pono i ka mea maʻi i ka wā o ka hoʻōla.

• Nā Leo Lihi
• Biogaya
• Aliʻiula
• Hoʻokomo manu-manu a me nā mea ʻē aʻe.

ʻO ka pancreatitis acute

Hoʻokumu ka pancreatitis akue i ka wikiwiki o ka uila a ua hoʻoweliweli ia i ke ola ma muli o kāna mau hōʻeha. Hiki i nā hōʻailona aʻe ke kiʻi ʻia i ia:

• Aia i ka ʻāpana o ka gland ka palau, hōʻeha ʻia ka ʻeha ma luna o ka ʻōpū o luna. Inā holū ʻoe a pau, a laila e hui a welau ke ʻeha, e hāʻawi ma lalo o ka hema o ka poʻohiwi hema, i hope a i ʻole ka sternum.
• La nalo ka ʻono, ʻoluʻolu ke ʻano o ka nausea, pinepine ka luaʻi.
• ʻAno ka nohona o ka mea maʻi.
• Holo ka ʻōpū a paʻa loa.
• I kekahi manawa ulu ka jaundice.
• Kūleʻa ke kiʻekiʻe i nā hōʻailona subfebrile.

I mea e pale ʻole ai i nā hopena pōʻino ma ke kiʻekiʻe kiʻekiʻe, kahi kelepona holo kelepona e kiʻi koke ʻia.

React Pancreatitis

ʻO ka pancreatitis react he hōʻeuʻeu ma ke aniani me ka hui pū ʻana o nā maʻi o ka ʻōpū, ka ʻōpū, ka ʻāpana ʻana a me ka duodenum. ʻAʻole mālama ʻia ka maʻi i nā keiki, a e ulu pinepine i nā keiki liʻiliʻi. ʻO ke kumu no kā lākou hanana ka mea maʻamau ARI. I nā pēpē, ʻike ʻia kēia ma muli o ka pathen pathology o ke ʻano o ke kino a me nā kumu.

Nā maʻi i nā keiki

ʻO ka pancreatitis i nā keiki me nā hōʻailona like like me nā pāʻelemakule - ʻeha hōʻeha, ʻeha, dyspepsia. Akā i loko o nā keiki, ua hōʻike ʻia hoʻi kā lākou mau hōʻailona kikoʻī:

• ʻO ka maʻi Stool he constipation, ke nānā ʻana, ua huli nā feces a hele mai me nā liha.
• He ʻāpana kala kala ka ʻāpana.
• Ke kū nei ka ʻili o ka ʻili.
• Hiki i nā keiki i kahi makahiki ke hoʻomaka e uaka a walaʻau paha.

Pono ka maʻi o nā keiki e koi aku i ka mālama olakino āpau, ʻoiai inā he react. He palaka koʻikoʻi kēia, pilikia no ka hopena a me nā hoʻopiʻi.

Nā hiʻohiʻona o nā hōʻailona i nā wahine

ʻOkoʻa nā hōʻailona o ka pancreatitis i nā wahine ma muli o ke kāne ma muli o ke kumu o kona hoʻomohala ʻia. Hoʻomaka ka maʻi ʻana me ka maʻi ʻoluʻolu a me ka hoʻihoʻi ʻana i ka momona, ka ʻalū a me ka palaoa. Ua like ia me ka toxicosis i ka wā hāpai. Akā ʻoi aku ka pinepine o ka maʻi e nā ʻehaʻeha i loko o ka ʻōpū o luna, e hoʻi hou ana i kahi liʻiliʻi inā e moe ʻoe i ke kūlana o ka wahine.

Nā hiʻohiʻona o nā hōʻailona i nā kāne

Hoʻololi iki ka hōʻailona o ka pancreatitis i nā kāne, no ka mea, ua lilo ka maʻi i loko o lākou. No laila, loaʻa pinepine lākou i ka ʻāʻā mau kāʻei, ka ʻūhū, ka hoʻonui ʻana a me ka maʻi pākī. ʻAʻole hana maikaʻi ka ʻōpū a ʻaʻole pale i ka meaʻai piha. I kēia hihia, ʻike pinepine ʻia ka puʻuwai wikiwiki. No ka mea ua lilo ka pancreatitis i ka maʻi, a laila hopohopo a hōʻailona paha kāna mau hōʻailona.

ʻO ke kōkua mua no ka maʻi pancreatitis

ʻAʻole kūpono ka neʻe ʻana o ka pancreatitis e wehe kūʻokoʻa. ʻO ke kūpono kūponoʻole e alakaʻi i nā hopena hikiʻole. Akā ma mua o ka hiki ʻana mai o kahi ʻaleme a i ʻole e loaʻa ana kahi manawa me ka kauka, pono ke kōkua ka mea maʻi e kū i ka ʻeha. Pono kēia i nā ʻoihana aʻe:

I waena o nā mea ʻē aʻe, he mea pono e hoʻomaʻemaʻe i ka ʻōpū o ka meaʻai, inā ʻaʻole e hele maoli ka luaʻi. E kaomi me nā manamana lima ʻelua ma ke aʻa o ke alelo a e hoʻonoho i ka luaʻi.

I ka wā o kahi exacerbation, ʻoi ʻia e hōʻole loa i ka meaʻai. Wahi a nā poʻe loea, nā mea lapaʻau nui o ka hoʻouka ʻana o ka maʻi pancreatic i ka pōloli, ke anuanu a me ka maluhia o ka mea maʻi.

Ke lapaʻau no ka pancreatitis

Ua kau ʻia nā lāʻau lapaʻau e ka neʻe ʻana i ke kauka ma ke kū hoʻokahi, me ka noʻonoʻo ʻana i ke ala o ka maʻi a me kekahi mau hiʻohiʻona o ka mea maʻi. Ua hōʻike ʻia nā lāʻau lapaʻau ʻia no ka mālama ʻana i nā patology:

1. hōʻea i ka ʻeha. Ua hoʻonoho ʻia nā antispasmodics - No-shpa, Spazmalgon, Maksigan a me M-anticholinergics - Atropine, Metalin. Inā hoʻomau ka ʻeha nui, a laila hoʻohana iā H2 blockers - Ranitidine.

2. Hoʻopau Antenzyme. Hoʻohana ʻia ia e hoʻopau i nā hopena hōʻino o ka ʻohi pancreatic. Ke lawe nei i nā lāʻau lapaʻau e kāohi i ka synthes o nā enzyme, a me ka protein. Hoʻemi ia i ka ʻeha, hoʻohemo i ka palu ʻana, nā maʻi microcirculatory.

ʻO ka hoʻohana ponoʻana i nā lāʻau antisecretory kūponoʻole ka cytostatics (Ribonuclease, Gordox) a kūpaʻa proton pump (Omeprazole, Nexium) Hoʻemi ka mea hoʻolalelale i ka acidity o ka ʻōpū, e hōʻemi ai i ka ʻeha i ka wā o kahi hoʻoulu ʻana. Inā edematous ke ʻano o ka maʻi, a laila hoʻohana ʻia ʻo Asparkam.

3. ʻO ka hoʻohana ʻana o nā enzyme pancreatic. E hōʻemi i ka luhi ma ka maʻi maʻi a ʻo ka hoʻemi ʻana i kāna hana pilikino, ua hoʻohana ʻia nā enzyme pancreatic. ʻO ia nā enzymes e hoʻokuʻu i ka hao e hoʻoili i ka meaʻai. I ka wā i hiki ai iā lākou mai waho, e hoʻohaʻahaʻa loa ka ukana ma luna o ka maʻi maʻi.

Ma o ka maʻamau ʻo ia nō ʻo Festal, Pancreatin, Mezim. Pono lākou e inu ma hope o ka ʻai ʻana a holoi ʻia me ka wai kōmona kalaka ʻole. Hoʻomaʻawale kēia pūʻulu lāʻau lapaʻau i ka nausea, ka ʻupena, ke keʻokeʻo a me ka hoʻoluhi wikiwiki ʻana.

4. ʻO ka hoʻihoʻi ʻana i ka kaulike-acid acid. I ka wā o kahi hoʻouka, loaʻa kahi lula i loko o ka pūnaehana ʻana. No kēia, ua kauoha ʻia nā lāʻau lapaʻau e hoʻomaʻamaʻa i ka pH i nā huina o ka huina. ʻO kēia mau: Gastal, Almagel, Maalox.

5. ʻO ka hoʻōla me nā huaora. I ka mālamaʻana i ke ʻano o ke ʻano o ka maʻi, pono e hoʻākāka ʻia nā huaora e pono ai: A, E, C, D, K a me nā pūʻulu B. Eia kekahi ma mua o lākou, pono ke lawe ʻia ka Cocarboxylase a me ka Lipoic acid.

6. Hoʻonui i nā hana o ka ʻili pale. I kekahi manawa i nā pilikia paʻakikī, ʻōlelo ʻia nā lāʻau lapaʻau e hoʻoulu i ka hāhai ʻana o ka ʻai: Motilium, Cerucal.

7. ʻO ka mea kanu makua. I nā hihia koʻikoʻi o ka maʻi a me ka lawe ʻole ʻia ʻana o ka meaʻai i loko o ka ʻōpū, kauoha ʻia nā saturation intravenous. Hoʻopili i nā mea kanu makua: kahi hui o nā waikina amino pono Alvesin, Aminosol 250-400 ml kēlā me kēia.

Pēlā me ka hopena o ka electrolyte: 10% pākaʻi klorika pālua (10-15 ml) a me ka 10% hopena o ka calcium gluconate (10 ml) Hoʻohana ʻia lākou e hana i loko o ke ʻano o kahi dropper.

Pono ke mālama ʻana i nā pancreas me nā lāʻau lapaʻau me kahi ʻano piha a me ka noʻonoʻo. Inā ʻaʻole, ʻaʻole ia e lawe mai i ka hōʻoluʻolu, akā e hoʻoiho i nā hopena he nui, me ka: constipation, he hōʻino i ka hana ʻana o ka hua bile e ka nui o ke aniani, ke ʻano kiʻekiʻe o ke kino, a nui hoʻi ka momona.

ʻAʻole hiki ke hoʻōla ʻia ke ʻano o ke pancreatitis me ka ʻole o ka hahai ʻana i kahi papaʻaʻai, a me ka hele ʻana me ke ʻano pololi he pono ke mālama ʻia i ke ola āpau.

Meaʻai no kēia maʻi pili i ka ʻai ʻana i nā meaʻai me nā momona a me nā huaora. Eia kekahi, pono e hoʻemi i ka meaʻai i nā mea momona a me nā mea momona i ka papaʻai.