ʻO ka pancreatitis Biliary

Hoʻololi ʻo ka pancreatitis Biliary ma ke ʻano o ka hōʻeha ʻana o ka maʻi pancreas ma ke ʻano o ke akepaʻa a me nā biliary tract (ʻo ka hepatobiliary system). ʻO kēia ke ʻano o ka maʻi pancreatic maʻi i kēlā me kēia exacerbation e hahai a hui pū paha me nā hoʻouka ʻana o cholelithiasis (i kākau ʻia e nā mea kākau like mai 25 a 90%).

Aia ka nui o ka 3 pihi i kēia ʻano pancreatitis ma waena o nā pākeke a i nā manawa he 4 i nā keiki. Nā ʻōnaʻi e pili ana me nā mea maʻi e hōʻole ʻia ana i ka hana maʻi no ka neʻe ʻana o ka pōhaku i hoʻopaʻa ʻia ma nā kumu o nā papa ma muli o nā manaʻo no ka mālama conservative.

I ka nui aʻe o nā wahine plump ka maʻi. Ua ʻōlelo kekahi o nā mea kākau e pili ana nā loli biliary i ka pancreas i kahi mua i ka nui o nā lesi, ka haʻalele ʻana i ka pancreatitis alakaʻi.

ʻAʻole wehewehe ʻo ICD-10 i ke ʻano o ka pancreatitis biliary. Ma ke ʻano o ka papa, hiki ke helu ʻia i ka maʻi a me ka maʻi. A e like me ke code K 86.1 - "other pancreatitis" me ka hoʻoluhi ʻole ʻana i ka kumu.

ʻEnehana hoʻomohala

ʻO ka komoʻana i nā hana pancreatic i nā maʻi o ka ate, ka ʻili ʻana a me nā alima i loaʻa i kekahi mau ala. Ke hele nei ka maʻi ma ka parenchyma o ka lepa ma o nā moku lymphatic, hele ka pancreatitis e like me ka parenchymatous, akā hopu ia i nā kumu. Hōʻalo ka mīkini i ke ʻano o ka pōhaku i ka wai āpau nui i hoʻonui i ke kaomi, e hoʻopiʻi i ka stagnation o ka hūnā ʻia i ke kumuhana nui o ka iʻa a me kāna edema.

ʻO ka hana o ka papale Vater o ka duodenum i hoʻohālikelike ʻia, nā mea i wehe pū ʻia i ke kahi huna o ka pancreas a me ka bile. Hoʻokumu ʻia nā kūlana no ka hoʻolei ʻana i ka bile i ka papa pancreatic me ka mumū ma hope. I kēia hihia, he mea nui ka hepatitis ikaika.

Ma muli o ke ʻano o nā hāmeʻa o ka honu ka nui o nā mea hoʻopalike peroxide a me nā mea hoʻopalike manuahi e komo i loko o ka bile. He mau mea ikaika lākou i ka wā e komo ai lākou i ka ʻāpana pancreatic.

ʻO ka hana o kahi sludge biliary (sediment) - loaʻa me ka cholecystitis a me ka cholangitis ma muli o ka hoʻonāukiuki o ke kino a me nā mea kūlohelohe o ka hua bile. ʻO kekahi o nā mea waiwai i lilo i ke ʻano o nā paʻakai, nā microstones. Ke neʻe, e hōʻeha lākou i ka membrane mucous, hoʻonui i ka maʻi a me ka hamo ʻana o ka papela Vater, a clog i ke kaʻi.

A ke hopena, ʻaʻole i komo ka bile i ka duodenum, akā laweia i ka maʻi pancreatic, kahi i hoʻonui ʻia ai ka paʻai ma muli o ka stagnation. ʻO ka hopena, ʻo ka hoʻōla ʻana o nā enzyme pancreatic, ka luku ʻana i ka ke pale pale, ka wehe ʻana o ka puka no nā mea maʻi maʻi.

He aha nā maʻi e hāpai i ka loaʻa ʻana o ka pancreatitis biliary?

ʻO nā ʻano mea ʻē aʻe o nā pathogenesis he mea maʻamau no nā maʻi he nui o ka ʻōnaehana hepatobiliary. No laila, hele mai ka pancreatitis hilinaʻi-biliary e like me ka hoʻohui a me ka hoʻopiʻi:

maʻi maʻi pāpaʻi (ma 2/3 mau hihia),
nā hana hōʻiliʻili o ka lolo a me nā kumu kūpono no ka pancreatic,
functioning motor functioning (dyskinesia) o ka pahuhopu a me nā ala,
cholecystitis wāola
ka maʻi hepatitis a me ka cirrhosis,
ke ʻano o ka nipple o ka'āina no ka maʻa o nā maʻi, nā hōʻiliʻili spastic, blockage me ka pōhaku, nā loli cicatricial,
lesi parasit o ka pūpū a me ka papa pōpoki.

Hiki ke waiho i nā mea:

ponoʻino, ka hoʻohana ʻana i nā huahana e hoʻoulu ai i ka urima biliary,
hana me nā lāʻau lapaʻau me nā waiwai choleretic,
lilo kaumaha koʻikoʻi.

ʻO ka pancreatitis-e pili ana i ka lolo e hele i ke kūpono a i ʻole ka pinepine i ke ʻano maʻi. ʻUteloe - kū i ke ʻano o ka hoʻouka ʻana o cholelithiasis, hoʻopilikia nui ʻia ka kūlana o ka mea maʻi, ʻo ia ke kumu o ka make ʻana. Hoʻopilikia - kū aʻoi aku i ʻeono mau mahina a keu aʻe paha. Hana ʻia nā exacerbations e nā hoʻohemo ʻana. Aia ka hopena i ka hopena o ka mālama ʻana i ka wahī o ka biliary, nā meaʻai.

ʻO ke kiʻi haumanu o ka maʻi

ʻO ke kikowaena o ka pancreatitis biliary-hilinaʻi he nui o nā mau hōʻailona.

ʻO ka ʻeha ka hōʻailona mua e hōʻike ana i nā maʻi i ke kauka. Hiki iā ia ke kāʻei a i ʻole nā kukui paha i ke kua a i ʻole hypochondrium. Me ka pancreatitis biliary, ʻeha ka ʻeha ma hope o ka lawe ʻana i ka palaoa, mea momona, no ka mea, ʻo ia mau kīʻaha he choleretic. Hōʻike ka ʻeha i ʻelua mau hola ma hope o ka ʻaina hope, akā hiki pū nō hoʻi i ka pō ma luna o kahi ʻōpū ʻole. Ma muli o ka emi ʻana o ka momona, hiki ke mālama ka ʻeha i nā hola he nui.
ʻO ka maʻi Dyspeptic (ka luaʻi, ke kaʻa, ka lemela, ke ʻeha i loko o ka waha, ka manaʻo i ke kaumaha i loko o ka ʻōpū, ka uha ʻana i ka ʻawaʻawa, ka lohi a i ʻole nā mea i loaʻa ʻole nā mea lahilahi. I ka manawa pinepine, ʻike ka poʻe maʻi i ka hoʻomau ʻana i ka meaʻai i hiki ke kiʻekiʻe o ke kaumaha. ʻAʻole lawe ka huki i ka hoʻomaha, a hou mai nā ʻano hou i loko o kekahi mau minuke.
Nā hōʻailona o ka hoʻohālikelike: palaka, nāwaliwali, kaʻilihune o ka makemake nui.
Jaundice: ka hoʻomoʻa ʻana o ka icteric i ka sclera, ka mucosa waha, nā pā kui, ka ʻili.

Nui! Inā lawe kēia mau ʻōuli i kahi ʻano protracted a ke hoʻopilikia nei i ka mea maʻi no hoʻokahi mahina a ʻoi aku paha, a laila ʻo kahi hōʻailona kēia o ke ʻano maʻi. Mai kēia manawa, kamaʻilio lākou e pili ana i ka pancreatitis biliary hilinaʻi.

Diagnostics a me nā kaʻina noiʻi noiʻi

ʻO ka hana ʻana i ka pancreatitis biliary hilinaʻi ma hope o ka hōʻiliʻili ʻana o ka hoʻopiʻi a ka mea maʻi a me nā anamnesis, kahi loiloi kikoʻi o ka mea maʻi. ʻO ka heleʻana o kahi maʻi predisposing i ka mea maʻi (maʻi gallstone, maʻi atay a i ʻole ulia duodenal) e kōkua mai i ka hoʻopiʻi ʻana i kahi maʻi o ka pancreas.

Ma ke nānā ʻana, ʻoi pono ka mālama ʻana i ka mālama ʻana o ka sclera a me nā membous mucous, palpation o ka ʻōpū. ʻO ke kānāwai, me ka pancreatitis biliary, ʻaʻole i ʻoka ʻia ka ʻōpū no ka palpation hohonu i nā wahi epigastric a me ka subcostal. Eia kekahi, loaʻa i ka ʻeha i nā kihi projection o ka ʻōpū o ka maʻi.

No ka hoʻopaʻa ʻana i ka maʻi o ka maʻi, ua kuhikuhi ʻia nā ʻano ʻoihana noiʻi a me nā ʻoihana kumu.

ʻO ka hōʻike koko koko ākea (me ka ʻole o ka exacerbation o ka pancreatitis biliary, he hoʻonui hōʻemi i ka nui o nā leukocytes e nānā ʻia, me ka exacerbation - i ʻōlelo ʻia ka leukocytosis me kahi neʻe i ka pehu leukocyte ma ka hema).
Hōʻike koko koko biochemical. Maanei ʻoe e ʻike ai i ka nui o nā huina hepatic: amylases (me ka exacerbation o ka pancreatitis biliary, ʻo ka nui hiki ke lilo he 10 mau manawa a kiʻekiʻe paha), nā kāhea (AcAT, AlAT), ka alkatine phosphatase, lipase.
ʻO ka heluʻana i nā feces no ka mua o ka momona o loko.
ʻO ka Ultrasound kahi hōʻailona gula i nā diagnostics. I ka manawa like, ʻike ʻia nā puka puʻu volumetric i loko o ka gallbladder a i kona mauʻu, stagnation o bile, he pā mānoʻo o ka gallbladder, ke hoʻololi nei i nā loli i ka pancreas (hana heterogeneous, contours contven, edema, calcification a me nā penikala ma nā kiko o ke kino).
ʻO ka Dynec cholecystography a me ERCP (endoscopic retrograde cholangiopancreatography) e kōkua i ka hoʻoholo ʻana inā he mau loli i ka papilla duodenal nui a me nā pahu kākela o nā papa pancreatic. I ka wā ʻo ERCP, hana pinepine ʻia ka papillosphincterotomy e wehe i ka calculus a hōʻoluʻolu i ke ʻano o ka hypertension ma nā papa dile.
Hana ʻia ʻo EFGDS (esophagogastroduodenoscopy) no nā mea maʻi āpau me ka maʻi pancreatitis biliary. I ka wā hoʻokolokolo, ua nānā maikaʻi ʻia ka digestive tract. Uʻi nui ka manaʻo i ka wahi o ka papilla duodenal nui, ke nānā nei iā ia no ka neʻe ʻana o nā loli fibrotic, ka hana paʻa a me nā hana pathological ʻē aʻe.

Hoʻolālā ʻana i ka pancreatitis-hilinaʻi biliary

No nā hua maʻalahi, makemake ʻia ke ʻano conservative. ʻO ka mea nui ma aneʻi, e hahai ikaika i kahi papaʻai a lawe i nā lāʻau antisecretory.

I ka heleʻana o nā caluli ma ka palaho a i ʻole nā kīpaha, ua komo ka hoʻomaʻamaʻi ʻana me ka hōʻoki ʻana, ma kahi o lākou e lawe ai. Hoʻololi ʻia ka hana me nā ʻano kiʻekiʻe o ka pancreatitis biliary hilinaʻi, i ka nānā ʻia ʻana o ka nekrosis o ka iwi kelepa. ʻO kēia hana he mea ulia, e hana ʻia no nā kumu olakino.

Me ka exacerbation o ka pancreatitis biliary, ua kuhikuhi ʻia nā mea maʻi i ka pōloli no nā lā 4-5 mua. Hoʻemi kēia i ka ukana enzymatic ma luna o ka pancreas, hana i ka hoʻomaha mau no ia. A laila ua kuhikuhi ʻia ka mea maʻi i ka ʻai liʻiliʻi (papaʻaina 5) me ka paʻa o ka momona, paʻakai, ka ʻala, nā meaʻai kīnā.

Nui! ʻO nā kīʻaha Soda a me nā mea inu waiʻona, nā kīʻaha e hoʻonui ai i nā ukana ma luna o ka pancreas, a me nā meaʻai indigestible e haʻalele loa i ka meaʻai.

Me ka pancreatitis biliary, ua kau ʻia ka manaʻo ma luna o nā meaʻai protein, ka mea i hele mai i nā ʻano haʻahaʻa o ka momona a me ka iʻa, cereals a me nā huahana wai. ʻO nā mea inu i ʻae i ka teas, decoction, compotes fruit fruit, jelly. A hiki i ka 50 kaona o ke kō a me ka hapa o ka palaoa (ʻaʻole hou) e hoʻopau ʻia i kēlā me kēia lā.

ʻO ka mālama ʻana

Hoʻohālikelike ʻia me ka mea ʻai, ua hoʻolaʻa ʻia ka lāʻau lapaʻau:

ʻO ke kaua e pili ana i ka ʻeha. I mua o ka hōʻeha ʻana o ka ʻeha, antispasmodics (no-shpa, papaverine, platifillin, etc.) ʻO ia paha ke ʻano e hana ʻia ai ka ʻehaʻeha. I kēia hihia, ma ka ʻokoʻa, ua hoʻohana ʻia nā mea e hoʻomaʻamaʻa ʻia nā ʻuʻuku (domperidone, cerucal, etc.).
Hoʻopuka Antisecretory. Me ka exacerbation o ka pancreatitis bili-dependant, he mea nui e kāohi i ka hana o ka enzyme-form of the pancreas. No kēia, Famotidine, Ranitidine, a i ʻole ka lāʻau lapaʻau o ka hanauna hou loa - Ua kuhikuhi ʻia ʻo Octreotide. I ka manawa like, ālai ʻia ka pelekikena gastric e Omeprazole, kahi e kōkua ai e hoʻihoʻi i ka pancreas.
Hoʻopau i ka maʻi anticoagulant. Lawe ʻia ia e nā heparins haʻahaʻa haʻahaʻa haʻahaʻa, nāna i pale i ka hoʻokumu ʻana o nā maʻi koko i loko o nā moku o ka puna, hoʻomaikaʻi i ka microcirculation, hoʻonui i ke kahe koko i ka huelo.

Inā he spasm o ka sphincter o ka papilla nui, a laila antitpasmodic kahi myotropic - ua kauoha ʻia ʻo Mebeverin. Hoʻonui kēia i ka neʻe o ka bile, e hōʻoluʻolu i ka hypertension a me ka aʻeuʻe i nā papa.

I mua o ka liʻiliʻi o ka kalula, ka hoʻohui ʻia ʻana o ka waikawa deoxycholic e pili ana i ka mālama ʻana i ka pancreatitis biliary-hilinaʻi, e hāʻawi ana i ka wehe ʻana o nā pōhaku a me kā lākou ʻōpili i ka ʻōpū o ka ʻōpū (e.g. Ursosan).

Hoʻemi ʻia ka hemahema pancreatic i ka hoʻoponopono ʻoi. I kēia hihia, ua kuhikuhi ʻia nā hoʻomākaukau ʻana o ka enzyme (e.g. Creon), e hoʻomaikaʻi i ka ʻōpū ʻana o ka ʻōpū, hōʻoluʻolu i ka hypertension. Hoʻopuka i kahi ka puka o ka huahele a me ka hana maʻamau o ka ʻōpala.

I mua o ka cholecystitis o ka etiology o ka bacteria a i ʻole purulent foci o ke kuihue ma ka kelepona iho, ua hāʻawi mua ka mea maʻi i ka antibiotika e pili ana i ka palahalaha o ka hanana ākea.

Hana hoʻomaʻamaʻa

I mua o ka maʻi gallstone, ua hoʻoholo ʻia ka nīnau no ka ʻoki ʻana i ka maʻi. Hāʻawi ʻia ka makemake i nā ʻano loea minimally invasive. Ma kēia hihia, neʻe aku ka mea etiological, kahi i hāʻawi i ka wikiwiki wikiwiki, ka hoʻoneʻe ʻana i nā hōʻailona āpau o ka pancreatitis biliary hilinaʻi.

Laparoscopy Hoʻohana pinepine ʻia, ʻoiai ka hana ʻia o nā hana mini mai nā kikowaena mua o ka paia o ka ʻōpū. ʻO ka pono o ka hana, hiki iā ia ke hoʻokuʻu i ka hana ʻoi i nā pōhaku o kekahi nui a me kahi ʻāpana. ʻO nā hoʻonā o nā hana, ma ke ʻano he kānāwai, ʻaʻole e kū mai.

ʻO Papillosphincterotomy. Hoʻolālā ʻia ia ma ka wā o ka ERCP. Ma kēia hihia, hoʻokaʻawale ʻia kahi sphincter o ka palila nui a me ka hoʻonā ʻana o ka wai pancreatic me kahi pono hana ʻokoʻa ma lalo o ka ʻike. Hana ʻia kēia hana i ka hana wale ʻana o nā pōhaku liʻiliʻi (a hiki i ka 5 mm ka lōʻihi), ʻoiai mau pōhaku wale nō ma hope o ka hoʻopunipuni ʻana i hiki ke komo kūʻokoʻa i ka ʻōpū o ka ʻōpū a hoʻoiho i ko lākou kino me nā feces.

Hoʻokomo ʻia ka baluna. Hoʻopiʻi ia i ka waiho paʻa ʻana ma nā papa ʻoihana me ka pahuhopu o kā lākou hoʻonui. Hoʻolaha ʻia ke kaʻina hana i ka wā o ka ERCP diagnostic a i luna o kona iho.

Hōʻalo i ka haʻalulu weliweli. Ma loko o kēia kaʻina hana, ua wāwahi ʻia nā pōhaku i loko o ke ana o ka pahi a i ʻole ke duct e nā nīho ʻana o ka ultrasound, e ʻimi nei me kahi ikaika a me kekahi mau. ʻO ke kao a me nā koena o ka calculi kūʻokoʻa ke komo kūʻokoʻa i ka ʻōpū o ka ʻōpū, a ua hoʻokumu ʻia ka kahe o ka bile. Hoʻomaopopo ʻia ke kaʻina hana no nā pōhaku liʻiliʻi o ka wā e mau.

Wehe ka hana. I mea e wehe ai i ka calculi, ʻaʻohe hana maʻamau ia. Ua hana ʻia ma ka waiho wale ʻana o nā lako laparoscopic i loko o ka haukapila a i ʻole ma ke alo ʻana o nā pōhaku nui e hikiʻole ana ke hoʻolaʻa wikiwiki. ʻO ka manawa pinepine, ka hana wehe ʻia e pili ana i ka pancreatic necrosis no nā kumu olakino. I ka manawa like, wehe ʻia nā ʻāpana ʻāpana o nā make a waiho ʻia ke kino holoʻokoʻa.

Hoʻohālikelike

ʻO ka pancreatitis hilinaʻi Biliary kahi maʻi hōʻoki koʻikoʻi nui, maʻamau e ala mai ka cholelithiasis a i ʻole pathology o ka papilla duodenal nui. I kēia hihia, nā maʻi aseptic a purulent paha o ka lapalake o ka pancreatic e kū mai, i hiki ke uhi i ke kino holoʻokoʻa a i ʻole hapa wale ia o ia ʻāpana. ʻO nā ʻōmaʻomaʻo mua e māʻalo i ka pancaryitis biliary he ʻeha, hōʻeha a me ka luaʻi hou ʻana, he ʻono o ka ʻawaʻawa i ka waha, a me ka ʻuʻihue. Hiki ke hōʻoia ʻia ka maʻi e ka ʻikepili a me nā ʻōnaehana radiological me ka hoʻohālikelike ʻana. Hiki ke hoʻohana ʻia nā kumumahola a me nā hana hoʻokele e mālama ai i ka maʻi. Aia ke koho pono o ke ʻano pono ma ke kūlana kūikawā a me nā maʻi.

He aha ka pancreatitis maʻi hilinaʻi-biliary?

ʻO ka pancreatitis kūpaʻa Biliary kahi ʻano o ka mumū o nā pancreas kahi e nalowale ai kēia mea i kona hiki ke hana i kāna mau hana (i.e., hiki i ke kāpena i nā hormone a me nā enzymes). Hoʻomohala ka maʻi i nā kūlana o nā ala e hiki ai i nā kelepona a me nā pāpaʻi biliary. ʻO ka huaʻōlelo "kūlia" e hoʻomohala a hoʻomohala ka maʻi a hoʻokomo pū i kekahi i nā makahiki he nui.

I loko o kahi hapalua o nā hihia, ʻo ka pancreatitis o kēia ʻano he hopena o nā maʻi o nā puʻuwai o ke kumulāʻau, aia kahi anatomically e kokoke kokoke ana i ka pancreas a me nā kīʻaha, a hamama, e like me nā kumu o kēia kīkala, i loko o ka duodenum.

ʻO ka pancreitis pancreatic

Aia kekahi mau hōʻailona e wehe i ka pancreatitis hilinaʻi-biliary mai nā ʻano ʻē aʻe o kēia maʻi.

ʻEha Hoʻopili pū kēia ʻano hōʻailona i ke ʻano o nā kūlana patologis, akā hiki i ke ʻeha ke loaʻa nā aniani a me ka hoʻokona ʻana (kahi o ka manaʻo). Me kēia maʻi, like ka ʻeha i ka colp hepatic, hele lākou i ka paroxysmally, maʻamau ma ka pō. ʻEha e like me ke ʻoki ʻana i kahi kanaka i ʻelua mau ʻāpana i kahi o ka pancreas. Hoʻomaʻo pinepine i nā ʻāʻī o ka ʻeha (hāʻawi) i nā poʻohiwi, ke kua, ke kīʻohiwi a me ka ʻāʻī hoʻi.
Hoʻopala, flatulence, rumbling i loko o ka ʻōpū, nausea, luaʻi, i kekahi manawa - belching.
ʻO ka maʻi pākahi a hiki i 4 mau manawa i ka lā. He ʻano like ia me ka nui a me ka hewa, mau aʻa kahi ʻeleʻele, kahi i waiho ai ke koena chyme undigested (ka meaʻai ua hoʻohana ʻia ʻo ia e ka momona gastric akā ʻaʻole hiki ke elele hou ʻia ma muli o ka nele o ka huina o ka ʻōpū liʻiliʻi) a me ka momona (pili pū kēia me ke aniani o ka digestive enzyme a he mau lawelima). Hoʻopili maʻalahi ka ʻōpala momona i ka manaʻo e hōʻole ia i ka wai a ʻaʻole holoi ʻia e ia.
ʻO nā hōʻailona o ka jaundice (ka huli i ka ʻula, nā membrane mucous, nā ʻōmole o ke aniani e huli ʻoliʻula). Hōʻike ka hoʻāʻo ʻana ke koko i ka hapa kiʻekiʻe o ka bilirubin i loko, i loko o ka poʻe olakino e hoʻoneʻe ʻia i loko o ka ate a a hoʻopili ʻia ma loko o nā ʻōpū.
ʻO ke hoʻonuiʻana o ke kōpae o ke kō i loko o ke koko a me ka mimi, ka maʻi diabetes.
ʻO ka hoʻolilo ʻana no ke kumu ʻike ʻole.

ʻO ke ʻano o ke kaumaha i ka hoʻonāukiuki o ka maʻi pancreatitis

ʻO nā kumu aʻe e hoʻonāukiuki i ka maʻi ʻeha:

ʻO ka hoʻohanaʻana i ka meaʻai choleretic. Hiki i ka hua moa, ka caviar, etc.
ʻO ka hoʻohana ʻana i nā lāʻau choleretic.
ʻO ka lilo o ke kaumaha.

ʻO ka hoʻomohalaʻana o ka mumū o ka pancreatitis

ʻO ka pancreatitis Biliary kahi maʻi maʻi hou, nā kumu penei:

Ka pilina ʻokoʻa o kekahi mau lālā o ka ʻōpū o ka ʻōpū (ke kelepona ponoʻī, ke ʻōpū ʻana o ke au, a me nā mea pono). Hiki paha kēia i nā ʻano kaulua a me nā hemahema i ka hoʻolālā ʻana o ka pūpū. ʻAʻole hiki ke mālama ʻia ka mālama ʻana ma mua.
Nā ʻ inlelo i ka ʻōpū.
ʻO ka hiki ʻole o ka gallbladder i ka aelike, ma ke kāpili kuapo e komo ai i ka duodenum.
ʻO ka cholecystitis non-calculous (ka ʻaʻa ʻana o ka ʻōpū, ʻaʻole i hele pū ʻia e ka hoʻokumu ʻana o nā pōhaku).
Cirrhosis o ka ate (hiki i ka hoʻihoʻi hou ʻana o ka ate ate me ka iwi adipose).
Ka mumū o ka papila duodenal (papillitis).
ʻO ka peʻa o ka sphincter o Oddi. ʻO ia ke kani kani, nona ke kuleana a i ʻole ka hele ʻana i ka meaʻai i ʻoki ʻia mai ka ʻōpū a hiki i ka duodenum.
ʻO ka ʻāʻeu o ka papila duodenal o ka duodenum.
Hoʻopili ʻana i ka palila i haʻi ʻia.

ʻO nā kumu o nā pancreatitis-makemake hilinaʻi

Nā maʻi maʻi

Hoʻokomo ʻia ka pancreatitis Biliary i nā pathologies pancreatic e pili ana me ka puka ʻole o ka bile. Ke piʻi nui o ka ikaika ma ka duodenum a i ʻole biliary tract, bile a me ka pancreatic wai i komo i ka pancreas. I kēia manawa, hoʻokomo i ka trypsin hoʻōla i ka duodenum, e hoʻomaka ana e hoʻoheheʻe ʻole i nā lehulehu pancreatic, akā nā mea maʻi pancreatic. Pēlā, ʻili ke kino iā ia iho.

Hoʻomaopopo ka poʻe loea o ka pūnaewele zheleza.com i kēia ka papa o ka pancreatitis:

Hoʻokomo Biliary.
ʻIhi Pseudotumorous.
Ke helu ʻana.
Parenchymal
Idiopathic.
Hana hou.
Polohaka.
Necrotic.
Hoohuu.
Kālā.
Na Atrophic.
Alikaole
Nānōloli.
Panawai.
Ka lua
Edematous.
Purulent.

Hoʻokaʻawale ʻia ka pancreatitis Biliary i:

Sharp. Paʻi ʻia mai ka hōʻino o ka waiʻona, nā meaʻai momona, ke kīkale, nā mea ʻala, ka pā a i ka aʻa.
Ka Hoola Hoʻoulu ia ma hope o ka loaʻa ʻole o ka mālama ʻana i ka ʻano ʻoiʻeha. Hoʻopili ʻia ia e ka atrophy, ke hoʻololi i nā loli, ka hemahema o ka hana, ke ʻano o nā cysts.

e piʻi aku

Nā kumu kumu o ka maʻi

E like me ka mea i hōʻike mua ʻia, nā maʻi o ka gallbladder, biliary tract a me duodenum alakaʻi i ka hōʻike o ka pancreatitis biliary-dependant. Pehea e holo ai? I loko o kahi pīkāʻau, hana ʻia ka bile - kahi mea hana ikaika i pili i ke kaʻina hana ʻana. E kahe ana ma o nā kumu komo i loko o ka duodenum, kahi a lākou e hana ai i kāna mau hana. Inā no kekahi mau pilikia i pilikia kēia, a laila ulu ka maʻi.

I ka paleʻana i ka puka o ka huaā, e komo i loko o ka pancreas, kahi e hoʻonui ai ke kaomi ma nā kumu wai a pā lākou. Kūpili ʻo Bile i nā pūpū o ke pancreas, ʻo ia ke kumu e hoʻomaka ai e wāwahi.

Hiki i ka Bile ke hoʻoikaika i kāna mau hana hōʻino inā inā, no kekahi kumu, hoʻololi ka loli ʻana a me nā ʻano, ulu ʻia nā hana hōʻeha i ka paleka ʻana, biliary tract, a i ʻole kope ʻana, a me nā mea maʻi mai nā kino maʻi i komo ai ka hua bile.

Nā hōʻailona o ka Biliary Pancreatitis

ʻO ka pancreatitis Biliary e hilinaʻi nei i nā huaʻehā a me nā pilikia e hōʻike iā ia iho i nā hōʻailona like, e like me nā ʻano pancreatitis ʻē aʻe:

ʻO ka ʻeha ma ka ʻōpū o ke kāʻei a i hoʻopaʻa ʻia paha ma ka ʻāina o ka hypochondrium hema.
Kūʻai.
Hoʻomau a maikaʻi ʻole a pupule.
ʻO ka ʻeha a i ʻole a constipation.
Jaundice

Hōʻike ʻia ka maʻi pancaryitis wāʻai i ka wā pau ʻole.

ʻO ka lilo kaumaha.
Kahula.
Hoʻomau a me ka ʻeha.
Hoʻemi i ka momona.
ʻO ka maʻi constipation a i ʻole ka lolo.
He haʻahaʻa kūlā.

Hoʻohālikelike ʻia ka pancreatitis Biliary e like me ia mau hiʻohiʻona:

Hoʻonui ka ʻeha me ka hoʻohana ʻana i nā huahana choleretic a i nā lāʻau lapaʻau paha.
Hoʻohālikelike ka maʻi ʻehaʻehā i kahi colary biliary, kahi ma ka ʻaoʻao ʻākau a hāʻawi i ka lima ʻākau, ka ʻāʻī poʻohiwi a ma lalo hoʻi.
Ua mau nā ʻeha.
ʻO ka pinepine pinepine i ka paresis o ka ʻōpū (kaumaha a lōʻihi a lōʻihi ka hopena i kahi o nā peʻawa) ma mua o ka maʻi o ka maʻi.
ʻO Jaundice kahi kumu hoʻopili.
ʻO ka palu huluhulu a me ka ʻawaʻawa i ka waha i kekahi mau kūlana.

e piʻi aku

Hoʻopau a me ka mālama ʻana i ka pancreatitis bili-dependant

No ka mea he nui nā hiʻohiʻona o ka pancreatitis e hōʻike ana, pono e ʻike mua i nā kauka, a laila hoʻoholo i ke kumu. Hoʻohana ʻia nā ʻano diagnostic ʻano ʻē aʻe:

ʻO ka aʻelika e nānā ai i nā pōhaku i nā papa kauā a me nā keʻa i ka pancreas.
ʻO ke ho'āʻo koko biochemical no ka honi, lipase, amylase.
MRIAHUI
ʻO Cholangiopancreatography me ka hoʻohālikelike.
ʻO ka hōʻike koko ākea nui e hoʻoholo i ke kiʻekiʻe o nā sela koko keʻokeʻo.
ʻO ka scan CT e hoʻoholo ai i ke ʻano o ka pancreas a me nā hui kokoke, tissue necrosis.
X-ray e hoʻomaopopo i ke kūlana maʻamau o ke kino.

I ka mālamaʻana o ka pancreatitis, hoʻohana nui nā ʻano a me ka hana kūikawā no kēlā me kēia ʻano ʻano. No laila, nā mea hōʻeha, ka meaʻai, ka hoʻowalewale o ka nikotine a me ka waiʻona, ka hoʻololi hou ʻana i ka maʻi, ʻoluʻolu mau lāʻau lapaʻau. Me ka pancreatitis hilinaʻi-biliary, ua hoʻokomo ʻia.

Ka maʻi ʻehaʻeha: no nā mokulele hypermotor, kuhikuhi nā antispasmodics (Debridate, No-shpa), a no nā hypokinesia, prokinetics (Motilium, Cerucal, Eglonil).
ʻO nā lāʻau i hoʻohui ʻia i nā mea e pono ai i ka wā e hoʻōla ai, me ka hepatostabilizing, nā waiwai antispasmodic, hiki ke hoʻololi i nā waiwai o ka hua bile: Hepatofalk, Odeston.

Hoʻomaʻamaʻa a me ka hoʻomaʻamaʻa kiki ʻo ka maʻi pancaryitis biliary. Hoʻolālā ʻia ka wawaʻi o nā loiloi no ka huki o ka popo Vater, ka maʻi gallstone, ka liʻiliʻi cicatricial. ʻO ka hana maʻamau, ka hana me ka endoskopika haʻahaʻa-traumatic e hana me ka hoʻopuka ʻana o nā micro-mea hana a me kahi kāmela ma o nā manawa 3-4 i kahi manawa i loko o ka ʻōpū o ka ʻōpū a i ʻole e hāwaha ʻia ka hana laparatomy ma o kahi incision nui.

Pono ka mea maʻi e hoʻomoʻi i kahi papa meaʻai - fractional i loko o ka wai, nā ʻōpio 5-6 i ke ao holoʻokoʻa i nā lā liʻiliʻi. ʻAi, nā mea ʻai, ʻoki ʻaina, ʻoki momona a me nā meaʻai i lawe ʻia mai ka meaʻai. Pono e hoʻemi ʻia ka nui o nā momona a me nā haʻalulu, a me hoʻonui ʻia ka nui o ka protein. Ma kahi hoʻohālikelike o ka maʻi, he mea maʻamau ke pale i ka ʻai ʻana no nā lā ʻekolu a e ʻai wale i ka wai minamina wale ʻole.

E like me keʻano o nā lāʻau lapaʻau.

Antibiotics no ka maʻi.
Nā huaora
Nā Enzymes e hoʻololi i ka hana pancreatic.
Nā mea hoʻoponopono koko koko.
Nā analgesics a me antispasmodics e hoʻopau ai i ka ʻeha.
Hōʻalo i ka nalo e hoʻopau i ka lua a me ka nausea.

e piʻi aku

Kūleʻa ka poʻe i nā ʻano ʻano like ʻole o ka pancreatitis e hahai i ka meaʻai a haʻalele i ka waiʻona maikaʻi ʻole. Hoʻonui ka prognosis inā hoʻohana kekahi i ka mālama lapaʻau ma ka hōʻailona mua o ka maʻi.

Hōʻano aloha o ke kaumaha

Hōʻike ka ʻeha i nā 90% o nā maʻi, aia wale nō i nā hanana lohi i hiki ʻole ke hōʻeha ʻia o ka papa. Hoʻonohonoho ʻia lākou ma ka ʻaoʻao epigastric, e kahe ana i nā ʻaoʻao ʻelua, i ka ʻūhā ʻākau, ke kua i lalo.

Hōʻike ʻia ke ʻeha 2.5-3 mau hola ma hope o ka ʻai ʻana, i ka pō. Hiki i ka ʻehaʻeha ke kū koke ma hope o ka inu ʻana i ka wai wai. E hōʻeha i ka spasm o ka sphincter o Oddi a hoʻonāukiuki i ka ʻeha. ʻO ke kumu maʻamau loa he mau lawehala ʻana o ka meaʻai: ka ʻomo ʻana o ka momona a me nā meaʻai ʻai, i ka mea inu, nā aniani a me nā kau, nā wai aniani a me nā ʻikena, nā mea momona.

Nā hōʻailona o ka Hoʻolaha Enzymatic

Hoʻopilikia ke kaʻina hoʻonā i loko o nā pūhaka o ka pancreas i nā hana endocrine a me nā exocrine. ʻO ka huki ʻana o nā mokupuni o Langerhans i hōʻemi ai i ka hana ʻana o ka insulin me ka pilikia o ke kino o ka metabolism o ka paʻakai. I ka wā o ka hoʻouka ʻana, hiki i ka hoʻonui nui a hōʻemi paha i ka glucose o ke koko ke hiki.

ʻO nā hoʻololi o Exocrine (exocrine) e pili ana i ka waiho ʻole ʻana o ka nui o nā enzyme pancreatic i loko o ka pūpoki liʻiliʻi. Loaʻa ka mea huna o nā ihe ma mua o 20 mau ʻano o nā enzyme e hōʻoia ai ka uhaʻi ʻana i nā palaka a me nā protein a me kā lākou unuhi ʻana i nā meaʻala huehue. ʻO ka pancreatitis Biliary i kahi papa maʻi e hoʻonoho i ka hoʻololi laka o nā huna huna i ka ʻili ʻoi.

Hōʻike ʻia ka piha ʻana o pancreatic e ka ʻōpū o ka ʻōpū;

hoka manuahi i kekahi mau lā i ka lā me ka fetid stool, uhi ʻia me ke kiʻi poni (steatorrhea),
he ʻano hūnā
ka lohe ana i ka "ulu" i loko o u,
hoʻemi i ka momona
ninini
belching a puʻuwai.

Nā hōʻailona ʻē aʻe

ʻO ka lōʻihi o ka wā, ua nalowale ka maʻi. Hōʻike nā hōʻailona o ka hapa o ka huaora (ka ʻōpala maloʻo, nā ʻokiʻoki ma nā kihi o ka waha, ka lauoho palupalu, nā kui, ke kīʻaha koko) a me ka nalowale o nā electrolytes. ʻO ka intoxication me ka slag e komo ana i ke kahe wai ke kumu i ka maʻi a me ke kuni.

ʻO ka hōʻeha ʻana o ka rula hoʻonāukiuki i pili i ka hana a nā sphincters. Hoʻomaopopo ka poʻe maʻi i ka pipi ʻana i ka bile i loko o ka ʻōpū, nā hōʻailona o ka gastritis, a me kahi ʻehaʻawa ma hope o ke kanu ʻana.

ʻOkoʻa ka maʻi ʻokoʻa

Hiki ke hūnā ʻia nā hōʻailona ʻoihana maʻi o ka pancreatitis biliary ma hope o kekahi ʻano o ke ala o ka kuʻuna ʻeha o ka gastrointestinal. No laila, i ka helu ʻana, pono ia e haʻalele:

ʻōpū o ka ʻōpū a me ka duodenum,
ʻōpū ma loko o ka ʻōpū
antral gastritis,
ka maʻi hepatitis,
maʻi maʻi pancreatic,
cholecystitis non-calculous pilikia.

He aha ka pancreatitis biliary

ʻO ke ʻano pili o ka pancreatitis ka maʻi o ka pancreas, i pili pū ʻia me nā pilikia o ka ʻōnaehana hepatobiliary. Hiki iā ia ke hoʻomohala i ʻelua mau makahiki lōʻihi (no 6 mau mahina paha, a wikiwiki paha. ʻO ka haʻaleleʻole i ka patology e alakaʻi i kahi hana piha i ka hana o ka pancreas.

ʻO ka maʻi pancreatitis ʻoi kahi maʻi maʻi maʻamau pinepine e hoʻopili ʻia ma mua o ka hapalua o ka nui o nā maʻi āpau me nā maʻi pancreatic. Hiki i ka pathology ke ulu i kēlā me kēia makahiki, i nā pākeke a me nā keiki, akā ʻo ka manawa pinepine ʻo ka maʻi nui o kēia maʻi e ʻoi aku ka nui o ka lehulehu. I nā kāne, ua ʻokoʻa ka maʻi ma mua o nā wāhine.

ʻO ka pancreatitis Biliary kahi maʻi maʻi lua, me ka kūlohelohe o nā papa. Kūkulu ʻia kahi papa patele ma ke ʻano o kahi maʻi e hoʻomau nei. Hoʻopilikia ka maʻi maʻamau i ka palupalu, ka lolo, a i ʻole nā lolo kumuʻi. ʻO ke ala lōʻihi o nā ala mākaukau mua ke ʻano no ka hoʻonui ʻana i ka hopena o ka ulu ʻana i ka pancreatitis biliary maʻi. Hoʻoulu ka maʻi i ka hapanui o nā hihia me ka wā o ke kūmole o ka cholelithiasis me ka ʻole o ka calculi a i ʻole ka hele ʻana o ka calculi medium-sized ma nā kumu o ka pāhālua.

ʻO ka mana o ka papa o ka pancreatitis e hele mai i ka hopena o ka hōʻino ʻana i ka huelo parenchymal. Hoʻomaʻamaʻa ka lesion i ka ʻike ʻia o nā ʻanā manuahi e komo pololei ana mai ka umauma bile i loko o ka ana o ka pancreas. ʻO kahi papa lōʻihi o ka cholecystitis i ka haʻalele ʻole ʻana i nā pōhaku i kahi hoʻololi i ka hoʻonohonohoʻana o kahi mea huna, kahi mea i hoʻomohala i ka lōʻihi o ka hoʻopiʻi ʻana. Kuʻi lākou i loko o ka pīpī, a i ka wā e halihali ʻia, hiki ke hōʻeha i nā laka, e alakaʻi ana i kā lākou paʻa ma muli o ka ʻāʻī. I kēia hihia, ʻaʻole lawa ka bile Reflux i ka duodenum, kahi e hoʻokumu ai i ka mea huna i nā kumu papa pancreatic a kumu ai kona ʻālamalama.

He hiʻohiʻona, ke kiʻi

Hoʻomaka ka ʻike ʻana i ka pancreatitis biliary me ka hoʻohana ʻana i ka cholangiopancreatograpical endoscopic (ERCP). I ke kiʻi ke ʻike ʻoe i ka hele ʻana o ka stenosis ma nā kīʻaha nui a me nā deformations hoʻolālā i nā papa liʻiliʻi.

ʻIke ʻia ka loaʻa ʻana o ke kuʻina o ka abstraction; inā i kēia manawa, ua ʻokoʻa ka ʻike. Hiki i ka hoʻoneʻike ʻana iā ʻoe ke loiloi i nā loli i ka pancreas, gall bladder a me nā ʻāpana.

I kekahi mau hihia, i ke kiʻi ke ʻike ʻoe i nā pūpū me nā ʻikepili a me nā wahi purulent i loko o nā kiko o ka pancreas (abscesses).

He aha nā maʻi e hāpai i ka loaʻa ʻana o ka pancreatitis biliary?

ʻOi aku ma mua o 60% o kēia maʻi e like me ka hopena o ka hoʻokuʻu ʻana i ke kūmole o ka wehe ʻana i nā pancreas e ka maʻi o ka gallstone.

ʻO nā maʻi e hoʻonāukiuki i ka hoʻomohala ʻana o ke ʻano o ka pancaryitis i loaʻa:

ʻO ka palaki ʻana o ke hoʻonohonoho i nā ala o ka choleretic,
Maʻi papaha
ʻO ka maʻi hoʻoheheʻe o ka Gallbladder,
ʻO ka mumū i loko o nā kaile bile, ka mea i hoʻowahāwahā i kā lākou patency (cholangitis),
Cirrhosis
ʻO nā wili o ka chill
Dyskinesia gvp ko zhp,
ʻO ke kumu o ka bile me ka helu ʻana o ka helu helu o ka nui microscopic,
Helminthic infestations,
Hoʻokumu a me ka hoʻomohala i nā wahi o ka papalapa duodenal.

ke ʻano lua o ka pancreatitis biliary ma muli o ka maʻi no ka mea he maʻi ʻole ia he hopena o ka ʻaʻa ʻana o ka pancreas, akā ʻike ʻia mai he hopena maikaʻi ʻole o ka hana ʻana i nā hanana kokoke.

Mīnīkī Biliary Pancreatitis

Aia a me ka pancreatitis biliary a me ka pancreatitis hilinaʻi-biliary.

ʻO ka pancreatitis waha'ōnaehana Biliary he ala lōʻihi ma mua o 6 mau mahina. ʻO kahi maʻi ia o ka pancreas e hoʻokumu nei i ka wā o ke ala o nā pathologies a me nā maʻi congenital o ka biliary tract. Hōʻike ʻia ka maʻi e ka pau a hoʻopau ʻole i ka hana o ka enzymatic a me ka hana hormone-excreting o ka pancreas

ʻO ke ʻano maʻamau o ka pancreatitis biliary he mea maʻamau. ʻO nā maʻi o ka tractary tract ka mea e pili ana i ka hapalua o nā maʻi āpau āpau.

No ka pancreatitis hilinaʻi-biliary, he ʻano maʻamau ke ʻano o nā ʻehaʻeha i loko o ka ʻōpū o ke kino aching, kahi lōʻihi no ka hopohopo ʻana i ka mea maʻi, ka hele ʻana o nā hanana dyspeptic, nā kīwaha palu, jaundice, hōʻemi kaumaha. ʻO ke hele kino ka mana o ka pancreatitis biliary e hele pū ana me ka constipation maʻi a iʻole nā maʻi laʻa.

ʻO ka pancreatitis Biliary hoʻonani

ʻO ka pancreatitis biliary e ulu ana ma muli o ka hoʻonāukiuki o ka ʻili biliary a, me ka ʻole o ka mālama olakino kūpono, alakaʻi pinepine i ka make. No ka pale ʻana a me ka hoʻoponopono ʻana i ke kaʻina hana, hoʻohana pinepine ʻia nā ʻano conservative o ka ʻoihana. Inā ʻaʻole lākou e hāʻawi i nā hualoaʻa, ua hōʻike ʻia ke wawaʻi ʻana. Hoʻohālikelike ʻia ka manawa maʻi iki e ka hyperthermia liʻiliʻi i ka hapa nui o nā waiwai subfebrile.

ʻIke ʻia ka hele ʻana o ka maʻi maʻamau o nā maʻi i kēia mau hōʻailona:

ʻO ka ʻeha kūloko i ka ʻūlū hema. ʻO ke kāʻei, he like me ke kāʻei.
Hōʻike pinepine ʻia nā nausea me ka luaʻi nui ʻana,
Yellowness o ka ʻili,
Hoʻonui ka hoʻonui ʻana i ke kinoea, ka hoʻomohala ʻana i ka constipation a i ʻole ka lolo ʻana.

ʻO ka pōʻino o kēia maʻi he hoʻololi i ka pancreas i pinepineʻole i ka pinepine ʻole. Hōʻike ʻia ka hoʻomaka ʻana o ka maʻi e kahi ʻano maʻi me ke ʻano e hana hewa ʻole ai i ka pona. Ma ka lōʻihi o ka manawa, ke ʻano nei ke kino o ka pancreas, kahi i pau me ka ulu ʻana o nā mea i hōʻino ʻia i ka mea hao ʻoi aku, hele ke aupuni i kahi maʻi maʻi.

ʻO nā kiʻi lapaʻau o nā māla ke like me nā mea like ʻole o nā maʻi pancreatic. Eia nō naʻe, aia kekahi mau hiʻohiʻona o ka papa o ka maʻi.

ʻO ka hele ʻana o ke ʻeha ma ka ʻōpū ma muli o ka hoʻohana ʻana i nā lāʻau lapaʻau me ka hopena choleretic, ʻo ia hoʻi me nā meaʻai me nā mea like.
Nā lōlō o nā ʻāhā o ka ʻeha. Hoʻonui loa ka ʻeha me ka maʻi ʻē aʻe.
Ka hana ʻana o ka paresis i loko o kahi ʻāpana. ʻO ka hapa nui, loaʻa kēia ʻano pancreatitis me ka hoʻomohala ʻana o ka constipation, i ka mea ke hoʻonāukiuki i nā ʻano maʻi ʻē aʻe o ke ʻano o ka maʻi o ka maʻi,
ʻO ka hōʻike ʻana o ke kaumaha ma ka hypochondrium ma ka ʻākau, ʻaʻole ma ka hema. Ua like ka ʻeha me ka biliary colic,
ʻIke ʻia ka hiʻohiʻona o ka jaundice, ʻo ia hoʻi ka ʻano biliary o ka pancreatitis, e ka ʻili o ka ʻili a ʻike ʻia o nā membrane mucous,
ʻO ka hāhā maʻamau ʻana me ka ʻopa o ka hope, ʻawaʻawa ma ka lua o ka waha.

Inā hele ka pānīpī pancaryitis me ka blockage i loko o nā papa o ka pancreas i hoʻopili ʻia a i ʻole sphincter o kahi mea momona paha, loaʻa i ka ʻili ke ʻano hepa melemele, aia paha ke kue i ka metabolism.

Ma ka manawa like, hoʻopiʻi ka mea maʻi i ka heartburn, belching, ka nui o ka makemake, ke kaumaha ʻana, ke kaumaha, ka indigestion, ke ʻano o ke kūleʻa o nā maʻi, ke hoʻololi nei i ke kala o nā feces (hina hina), hoʻopuka ʻia nā feces e kahi kaila fetid.

ʻO nā kumu no ka helehelena

ʻO nā kumu nui e hoʻonāukiuki i ka hoʻomohala ʻana o ka pancreatitis biliary ka maʻi gallstone, a me ka mānoanoa ʻana o ka bile me ka hoʻokumu ʻana i kahi neʻe i kahi ʻano microscopic calcization (biliary sludge). ʻO nā hemahema o congenital o ka dile bile, he ala lōʻihi o ka cholecystitis maʻi, a me ka hemahema exocrine hepatic hiki ke lilo i kumu no ka pathology.

Hiki ke mālama ʻia kēia ʻano pancreatitis e ka diskinesia o ka dile bile (choledoch), ka mea e hoʻōla i ka wehe ʻana o ka hua bile mai ke ana o ka gallbladder a me ka alaka hepatic, ka holomua o ka cholangitis, cholestasis congestive, luku ʻia nā ʻōpala o ka ate (cirrhosis), ka hopena o ka pathological e hoʻopili i ka hana o ka nile o Vater. 12 - ka duodenum.

Kahi ʻia ka hoʻomohala ʻana o kēia mau ala me ka pancreatitis biliary i loko o ka hale parenchymal i hoʻomaʻamaʻa ʻia e:

Hoʻopilikia i nā kaʻina
Ka hoʻonoho ʻana o nā kaʻina degenerative,
ʻO ka hopena o ka proliferation hoʻohui.

Pehea e mālama ai

Ho'ōluulu lākou i ka maʻi. Hoʻolālā ka hoʻolālā therapeutic o ka pancreatitis biliary e kāpae i ka ʻeha ʻana o ka maʻi ʻeha, ka wehe ʻana i ke kino, hoʻopaʻa i ka hana huna pilikino o ka pancreas, ka pale ʻana i nā maʻi maʻi maʻi, e kāohi ana i nā calculi (inā paha). Hoʻohana ʻia ka Endoscopy o ka papale Vater maʻa no nā kumu diagnostic a me therapeutic. Hoʻokomo pū ka hoʻomaʻamaʻa paʻakikī i ka hōʻola a me nā lāʻau lapaʻau.

ʻO ka mea mua, hoʻopau lākou i ka mea hoʻonāukiuki o ka Reflu bile reflux. Inā kū ka maʻi i loko o ke kinona, ma ka hapa nui o kahi hana e hana nei e kāpae i nā pōhaku mai ka punawai. I ka liʻiliʻi, ua kuhikuhi ʻia nā lāʻau lapaʻau, e kuhikuhi ana i ka hoʻokaʻawale a wehe i nā pōhaku mai ka palaho.

I mea e hoʻopau ai i ka ʻeha, hoʻohana ʻia nā antispasmodics a me nā analgesics. Hiki i nā lāʻau lapaʻau ke kuhikuhi no ka hoʻopale waha, a ua hoʻopili ʻia hoʻi i loko o nā kūlana kikowaena. I loko o ka hopena ʻoi o ka pathology, ua hoʻohana ʻia nā lāʻau choleretic.

Hoʻonohonoho ʻia nā hoʻomākaukau ʻana a Enzymatic e hoʻonui i ka hana hana o ka pancreas. Hoʻohana pinepine ʻia he creon, mezim, pancreatin. ʻO nā lāʻau lapaʻau o kēia pūʻulu e hana no ka hemahema o nā kinemona i hoʻoiho ʻia e ka lawa ʻole o ka hana huna i ka pancreas, no laila ka hoʻohālikelike ʻana i ke kaʻina hana ʻana. Ke holomua nei ke ʻano, ua hoʻopau iki lākou.

Ke hui pū ʻia ka BP me ka hana nui o ka waikawa hydrochloric e nā sela o ka mucosa gastric, komo nā lāʻau lapaʻau hou i ke ala o ka hopena: proton pump blockers. Ua kuhikuhi ʻia ʻo Omeprozole, nolpase, emaner, me ke kōkua o ke hoʻoponopono ʻana i ke kaʻina hana o ka hoʻoneʻe ʻana o ka pauku molina.

Ma ke ʻano ikaika o BP, ua kuhikuhi ʻia nā lāʻau lapaʻau e hoʻopili i ka normalization o ka puka ʻana o ka hua bile. Hoʻohana pinepine ʻia nā lāʻau lapaʻau no kēia kumu. ʻO Hofitol, ka mea i hoʻomohala ʻia ma ke kumu o ka kiʻi kiʻi artichoke, ua manaʻo ʻia he mau pono. Hāʻawi ka lāʻau lapaʻau e hoʻopau i ka hōʻā kino i nā kumu ʻoi ma ka bile, i mea e pale ai i ka hoʻokumuʻana o ka pilina pathological o ka bile.

ʻO ka ʻōnaehana paʻakikī o ka BP kekahi i nā sulfonamides, biguanides, i ka insulin e hōʻemi i ke kō koko koko, nā mea antibiotika e pale ai i nā hopena lēʻaleʻa, nā lāʻau lapaʻau me ka ursodeoxycholic acid, ke manaʻo nei e hoʻomau i ka puhaka a me nā hakahaka e hoʻomaikaʻi i nā hopena o ka lāʻau hōʻeha a hōʻoluʻolu i ke kaumaha.

Hoʻokomo ʻia ka hoʻomaʻamaʻa ʻana o ka BP inā hoʻokau pono ʻia ka maʻi e ka cholelithiasis. ʻO nā hōʻailona no ka hoʻokolohua o nā ʻano kiʻekiʻe o ka cholelithiasis, inā he nui nā nui o nā pōhaku, ʻaʻole hiki ke wāwahi ʻia nā pōhaku e ka euvl a hoʻopaʻa loa ʻole i nā kumulā. Me kēia koho, e hana ʻia ana kahi cholecystectomy (lawe aku i ka papahele me ka calculi).

Hana ʻia ka hana me ka hoʻomohala ʻana i kahi adenoma i hoʻopaʻa ʻia ma ka wahi o ka nipple Vater, me ka cicatricial narrowing a i ʻole ka hele ʻana o nā hana paʻa.

Hoʻopuka ʻia kaʻi ʻana ma ʻelua ala:

Laparotomy Ke hana ʻia kahi hana incision ma waho o ka pā o ka ʻōpū, i ukali ʻia e ka wehe ʻana o ke ʻōpala me nā kalā. Ma hope o kēia ʻano wawaʻu, pono ke uku ʻia i ka nānā kūpono i ka wā hoʻolaʻa.
Laparoscopy Hoʻomaopopo ka ʻano hana i ka minimally invasive a hana ʻia ma o nā mau kui liʻiliʻi i hana ʻia ma ka paia o ka ʻōpū. Hana ʻia ka hana ma o nā mea wikiō. Ke nānā nei ke kauka i nā hana āpau ma o ka mākaʻikaʻi.

Hiki ke emi paha ka hana inā he wikiwiki ka wikiwiki o ke kahe koko, ke ʻano haunaele, ke kūlana neuropsychic hikiʻole, mālama paʻa urinary, nui ka nui o ke kahe o nā enzyme a i ke kō. Hoʻopilikia ʻia nā hana ʻino ma ia mau mea ma hope o ka hoʻopaʻa ʻana o ke ʻano o ka mea maʻi.

Diet no ka pancreatitis biliary: he aha ka mea hiki a ʻaʻole hiki

ʻO ka mālamaʻana i ka pancreatitis biliary e hoʻopili ana i ka pili paʻa i ka papaʻai i kauoha ʻia e kekahi loea. Pono ka ʻai ʻoluʻolu a me ke kaulike. Hoʻoponopono ʻia ka mea ʻai e like me ka papa papa helu 5. Ma ka ʻoi loa a me ka hoʻihoʻi ʻana o ka maʻi maʻamau no 3 mau lā, ua ʻōlelo ʻia ka pōloli, kahi e hiki ai ke hāʻawi i ka mea i hoʻopilikia ʻia me ka hoʻomaha mau ʻana a pale aku i nā hoʻopiʻi.

ʻO nā kīʻaha āpau i lawe ʻia e ka mea maʻi e pono i ka hoʻomohala mau o ka ʻuala masala, mousse, pudding. Pono ka ʻuke ʻia nā meaʻai a pau, a me ka hoʻohana ʻana i ka mea kalua, i hana ʻia ʻia ma ka hana o ka kala mau ʻia. Pono e lōʻihi o 50 mau degere ka mahana o nā kīʻaha. Pono ʻoe e hoʻonohonoho i kahi pāʻina ma kahi o 5 mau manawa i ka lā i kahi mau wahi liʻiliʻi.

Pono e hoʻokaʻawale ʻē aʻe mai ka papaʻai i ke kīkī, ka momona, nā pā aniani, a me nā wai inu, ka hua a me ka hua ʻona, ka hua ʻai ʻai, ke kūpaʻa keʻokeʻo, nā kī nui, nā nīnū, nā kīwī ikaika, kahe, nā mea inu carbonated.

ʻAʻole ia e ʻae ʻia e hoʻohana i nā huahana choleretic, e like me kaʻaila kawa, pata, pono ia e hoʻonui i ka nui o nā huahana o nā protein. No kahi lā me BP, ʻo ia e hoʻopau i kahi o 120 g o ka protein a hoʻemi i ka nui o nā kāloli i ka papaʻai.

ʻO nā meaʻai me nā momona i kālai ʻia, nā mea hoʻokiʻoki i ka home, semolina, oatmeal, buckwheat, barley, rice, pasta e ʻae ʻia. Hāʻawi ʻia ia e ʻai i nā ʻuala, kāloti, beets, mau pākuhi, squash, squash. Pono ka pipi i nā lau ʻai i ka wai, hiki iā ʻoe ke ʻai i ka pudding ʻaila. Hoʻohana maikaʻi ʻia nā lau ʻala momona i ka puka mashed me ka hoʻohui o ka laʻu cereal.

ʻO nā huaʻai, ʻoi aku ka hoʻohana ʻana o nā ʻano like ʻole ʻole o nā hua apopo: ua aʻai ʻia nā huaʻaiʻai, holoi ʻia He mea nui ia e pale i ka overeating. ʻAʻole pono ʻoi aku ka lawelawe ʻana ma mua o 250g. Pono e kaupalena i ka nui o ka paʻakai a me ke kō.

Mea ʻai meaʻai, menu

ʻO ka papaʻai meaʻai no PD e hiki ai iā ʻoe ke haʻalele i nā hoʻopiʻi hiki ke pale aku i nā hanana e hoʻohuli.

Wahi a ka ʻōnaehana meaʻai hoʻomohala, ʻo nā kīʻaha mua pono e lilo i mau ʻuala i hana ʻia mai nā cereals (hiki iā ʻoe ke hoʻohana i ka waiū i ka manawa o ka kala mau ʻia), nā mea kanu, nā kīʻaha kīʻaha me ka ʻiʻo ʻai, a me ka iʻa. Ua ae ʻia nō ia e hoʻohana i nā mea momona i loaʻa nā huaʻai e like me nā papa mua.

Nā papa lua - ʻeleʻa ʻomo, ʻīlio, nā iʻa, ka ʻeke, kaʻaʻa ʻia mai loko mai o ka ʻula o ka hua.

E pono e komo i ka papa papa i nā kīʻaha o nā cereals (cereals), pasta, ka lā i ka lā i hala, he waiwai nā aila ʻuala. Hāʻawi ia e hoʻohana i nā huahana waiū momona (non-fat ferment milk), pata (kela la i kēlā me kēia lā ʻaʻole o nā 0.25 g).

Ma kahi ʻoluʻolu, hiki iā ʻoe ke hoʻohana i ka meli, nā ʻano momona o nā hua a me nā huaʻai, nā hua maloʻo i loko o kahi ʻano scalded, hoʻohui ʻia i nā mousses a me nā ʻuʻuku.

Ka ʻae ʻia ka hoʻohana ʻia ʻana o nā wai momona hou me nā honi ʻole, nā wai ʻona, ʻona, ʻae ʻia.

ʻO kahi papa laʻi no ka lā maʻi o ka mea maʻi me ka pancreatitis biliary e pili ana:

ʻAina kakahiaka. ʻOatmeal i ka waiū i hoʻoheheʻe ʻia me ka wai, kahi ʻāpana momona i kohu, ʻaila ʻōmaʻomaʻo,
ʻO ka lua kakahiaka. ʻIwīwīwīwīwīwīwīwīwīwīwīwīwīwīwīwīwīwīwīwīwīwīwīwī ʻia
ʻAi awakea Nā mea kanu ʻai, nā ʻaleʻa mai ka iʻa, pasta, ʻoi ʻia homemade, mauʻa rosehip,
ʻAi awakea ʻO ka ʻlī a me ka kuki,
Kai ʻaina ʻO ka porridge a me nā kīmole uliuli.

Nā hopena

Ua kū nui nā ʻōpiopio me ka mālama ʻole ʻana i ka maʻi. Loaʻa nā maʻi hoʻopiʻi me ka BP:

Piha kuapo
ʻAiʻu o ke kahe ʻana o nā hana i loko o ke akea o ka papa pancreas me nā ʻike purulent,
ʻO ka jaundice hōʻaia e loaʻa ana mai ka hoʻonui i ka hapa o ka bilirubin i ke koko,
Pankreatitis Parenchymal,
Naʻi maʻi mellitus. Ua manaʻo ʻia ka maʻi ʻelua a me kahi hōʻailona a bp,
ʻO ka pancreosclerosis me ka hoʻonui o ka puʻu o ka ʻohu hoʻohui i ka pancreas. Hiki i nā pathology ke hopu i nā māhele o ke kino a i nā kelepona āpau.

Kāohi

Hiki i ka hoʻomaʻamaʻa ʻana o nā kūkulu ʻana o ka pancreatitis inā mālama ʻia nā maʻi o ka kūpaʻa ʻana o ka ʻāpana, ka ate, ka huakaʻi a me ka ʻāpana polū.

He mea nui ia o ka hōʻole ʻana i ka waiʻona, ka ulaula, ka hoʻohana ʻana i ka meaʻai maikaʻi a me ka kaumaha. ʻO ka olakino olakino, ka hoʻonaʻauao kino a me nā haʻuki.

ʻO nā hoʻokolohua maʻamau e ka kauka, ka mea inā nui nā pilikia me ka gastrointestinal tract, e ʻae iā ʻoe e ʻike i ka maʻi i ke wā hoʻomaka a hoʻonohonoho i ka hana lapaʻau e kōkua ai e hoʻihoʻi i ka hana hana o nā pancreas i kahi manawa pōkole.

Nā ʻōlelo manaʻo a me nā wanana

Ke hoʻonohonoho nei i ka mālamaʻana i ka hōʻeha o ka BP, pono nui e hoʻihoʻi i ka hana maʻamau o ka palaho a me ka pancreas, a me ka hoʻopauʻana o ka concomitant gastrointestinal pathologies.

Inā hoʻohui ʻia ke kūlana i ka loaʻa ʻana o ka cirrhosis o nā pepelu, e pono ke lawe i nā lāʻau lapaʻau e pili ana kāna hana i ka hoʻoponopono hou o nā puʻuwai. I nā kūlana holomua, hiki i ka hopena ke hoʻopōmaikaʻi ʻia, ʻaʻole maʻamau, akā e hoʻokō ʻia ka hoʻololi ʻana o ka ate.

ʻO ka maʻi maʻamau o ka pancreatitis biliary i ka hapanui ke mālama ʻia i lalo o nā kūlana paʻa. Inā kūkulu ka ahulau o ka bile duct, ua hoʻohana ʻia ka intervent bedure.

Hoʻomaopopo ʻia nā mea maʻi me ka BP e hoʻohana i ka wai mineral i ka mahana o ka lumi me ka ʻole o ka ʻaina, hana pono ka mālama ʻana i ka sanatorium me ka hoʻopili ʻana o ka lāʻau e hoʻihoʻi i ka hana o nā pancreas.

Hoʻomaopopo ʻia ka maʻi Psychotherapy, me ka mea maʻi me ka pancreatitis e loaʻa i nā ʻano phobias. I ia mau hihia, ua hoʻonā ʻia nā lāʻau antidepresanne a me nā hōʻino kū'ē (i ke ʻano maʻi). Inā ulu ka lolo i ke kū ʻana o ke kua o ka maʻi, ua hoʻohana hou ʻia ka huehue e hoʻoponopono ʻia i ka glucose.

Inā ʻoe e hāhai i ka ʻai, e inu i nā lāʻau lapaʻau i kauoha ʻia e kāu kauka a hoʻomaka i ka mālama ʻana i ke ʻano o ka manawa, a laila makemake ʻia ka prognosis. Nui ka hilinaʻi i ka maʻi concomitant, no ka laʻana, me ka cirrhosis, ʻaʻole kōkua ʻia ka prognosis.

ʻO nā kumukūʻai mālama

ʻO ka hoʻohanaʻana i ka pancreatitis biliary he hanana paʻakikī. No ka hoʻomakaʻana o ke ʻano maʻi, i kau ʻia nā ʻano kūkākūkā a me nā haʻawina e nā poʻe loea.

Hoʻolālā nā haʻawina koʻikoʻi me ka MRI a me ka CT o nā pēpē a me ka biliary tract - ka awelika kumukūʻai o nā kaʻina hana ma kahi o 8000 rubles. ʻO nā kūkākūkā me kahi endocrinologist a me gastroenterologist e pili ana i 3000 mau rubles (kahi kaʻawale), nā paʻahana hoʻokolohua e kūʻai ʻia ma kahi o 2500 rubles. Ma keʻano holoʻokoʻa, ʻo ka mālama ʻana me ka ʻole e noʻonoʻo pono i ke kumukūʻai o nā lāʻau, no ka mea ua koho ʻokoʻa ʻia lākou no kēlā me kēia maʻi, e kūʻai ana lākou ma kahi o 15,000 rubles.

ʻO ka maʻi biliary o ka pancreatitis kahi maʻi maʻi, akā naʻe, ʻo ka hoʻoponopono ʻana i ka meaʻai a me ka hoʻomaʻamaʻa kūpono e kōkua hou i ka ho'ōla ʻana a hoʻi i ka ola hoʻoikaika.

E nā mea heluhelu aloha, he mea nui loa kāu manaʻo iā mākou - no laila, e hauʻoli mākou e loiloi i ka pancreatitis biliary i loko o nā ʻōlelo, e pono hoʻi ka pono o nā mea hoʻohana ʻē aʻe o ka pūnaewele.

Polisa

ʻO ka pancreatitis Biliary i loko iaʻu ma muli o ka hōʻeha helminthic. Nā hōʻailona o ka palaka hopohopo, ʻeha ka ʻōpū, huhū a me ka luaʻi lohi, ua loli ke ʻano o nā feces. Ma hope o nā hoʻāʻo ʻana a me ka ultrasound, ua kau ʻia nā hana kūpono. Maikaʻi ke ʻano o nā lāʻau lapaʻau, a hoʻomaka paha e loaʻa ka paona.

Oleg

I loaʻa cholecystitis. I kekahi mau manawa i ka exacerbation o ka maʻi i hala i mau mahina. Ua maʻa mua i nā ʻōuli, akā ma hope o ka hoʻokolokolo hou, ʻōlelo mai ke kauka ua hoʻomohala au i ka pancreatitis biliary. He pilikia koʻikoʻi ka pilikia, pili i ka pancreas a me nā leʻa. Pono wau e hele i kahi mālama lōʻihi loa me ka papaʻai. Maikaʻi nā hualoaʻa, akā naʻe, e koi ʻia ka mālama ʻana ma nā lāʻau lapaʻau.

ʻO nā ʻōlelo hoʻolālā a me ka pale ʻana o nā hoʻopiʻi

E like me ka nui o nā maʻi maʻi, ʻaʻole paʻa ka mea maʻi e inu i ka waiʻona, ʻoi loa ka ikaika (vodka, cognac, inu wai, a me nā mea ʻē aʻe). Ua pāpā ʻia i ka ʻai ʻana i nā meaʻai i nā mea i kau ai, pipi momona, margarine, etc. Hiki ke kuhikuhi ʻia i kahi papaʻai kūikawā (papaʻaina 5), kahi paʻa i ka protein digestible, nui o nā minereka a me nā huaora.

Me nā hōʻeha o ka maʻi a ma hope o ka hoʻomaʻamaʻa ʻana, hiki i ke kauka ke kuhikuhi i ka pōloli piha i mau lā.

Hāʻawi ʻia nā meaʻai no ka pancreatitis

I kekahi hihia, pono e hahai i nā manaʻo loea a ka loea, a mai kuhikuhi i ka mālama ʻana iā ʻoe iho.

Hoike ʻike

ʻO ka pancreitis Biliary kahi maʻi pancreatic hoʻomau e hoʻopili pū ana me ka maʻi a me nā maʻi ʻē aʻe o ka ʻōnaehana hepatobiliary. ʻO ke ao holoʻokoʻa, ʻoi aku ka ulu ʻana o ka pancreatitis i nā minuke i hala aku nei, ʻoi aku hoʻi ma kahi o ka Russia i kēia hōʻailona ma waena o nā pākeke, a i waena o nā keiki - ʻehā. ʻO kekahi o nā kūlana maʻamau loa no ka loaʻa ʻana o ka pancreatitis maʻi i ka cholelithiasis (maʻi gallstone) - ʻo ka pancreatitis me ka ʻike ʻia i ka 25-90% o nā hihia.

Hoʻonui pinepine ʻia ka hoʻonāukiuki o ka maʻi me ka neʻe ʻana i ka pōhaku ma ke ala o ka biliary. I kēia kūlana, ua hāʻawi ʻia ka mea maʻi i ka lāʻau lapaʻau. Inā hōʻole ka mea maʻi i ka ʻoihana, pono e hoʻomanaʻo ʻia me ke kolikua me ka nui o ka wawa aku e hiki i ka nui loa aku. ʻO ka mālama kūpono ʻana i nā maʻi o ka bile duct e alakaʻi i ka emi ʻana o ka manawa o ka pancreatitis biliary.

ʻOi aku ma mua o kanakolu mau makahiki i hala aku nei, ke alakaʻi nei i nā loea i ka gastroenterology i hōʻike ʻia nā maʻi o ka biliary tract i hōʻeha i ka pancreatitis ma mua o 60% o nā maʻi. Hiki i nā pancreatitis Biliary i loko o nā maʻi e hiki mai ana: cholelithiasis, nā mea hikiʻole i ke ʻano o nā kumulāʻau a me nā pancreatic ducts, dyskinesia o ka gallbladder, dyskinesia biliary, cholecystitis kūlohelohe, cirrhosis, pathology o ka nipple o Vater (ʻehaʻeha, spasm, kūloko, blockage). Hiki i kahi exacerbation o ke pancreatitis kūeha e hoʻohālikelike ʻia e ka hoʻohana ʻana i nā huahana a lāʻau paha me kahi hopena choleretic, ke kaumaha koʻikoʻi.

Nui nā hana no ka hoʻomohala ʻana o ka pancreatitis biliary. Hoʻomaopopo ka mea mua ma o ka hoʻolaha ʻana o ka maʻi me GVP i ka pancreas ma nā ala lymphatic. Hiki ka lua i ka wā he mau pōhaku i ka dile bile maʻamau, ke alakaʻi ʻana i ka hiki ʻana o ke hypertension ma nā kumulāʻau o ka pancreas, ukali ʻia e edema o ka pancreas.

ʻO ke kolu o ka hana ka hoʻokū ʻana i ka hua i ka papa pancreatic me ke ʻano o ke kumumanaʻo o ka Vater papilla (ka pūnaewele o ka wehe ʻana o ka umauma maʻamau o ka nui a me ka pancreas i loko o ka duodenum). A ʻo kahi hopena, hōʻino ʻia i nā ducts lākou iho a loaʻa kahi kiko pancreatic, a ulu kahi hanana maʻi. Hoʻopili ʻia ka hope o nā maʻi maʻi o ka palupalu, ʻoiai me lākou i loko o ka bile i hoʻolei ʻia i loko o ka pancreas he nui ka nui o nā radical manuahi a me nā mea hoʻonaninani likexide, nā mea hōʻino koʻikoʻi i ka pancreas.

ʻO ka noiʻi ʻana i ke kula o ka gastroenterology hou ua wehe i kahi ʻano hou o ke kaʻina hana i ke lolo i ka pancreatitis biliary - ka hoʻokumu ʻana o ka molile biliary. Me ka cholecystitis a me ka lima o ka gallbladder e neʻe mai, ua pilikia ke kūlana o ka physicochemical o bile, ua pau kekahi o kona mau ʻāpana me ka hoʻokumu ʻana o ka microstones - he ʻano maikaʻi ʻo ia. Ke neʻe nei ma ka GWP, ua hōʻeha kēia mea hoʻonaninani i ka membrane mucous, ka mea i pohā ai o nā pākuʻi a me ka Vater papilla. ʻO ka Stenosis o ka hopena he alakaʻi i ka hana hewa o ka huna i loko o ka duodenum 12 a me kona kiola i nā papa pancreatic, a me ka stagnation o ka mea huna i nā kumu kumu o ka pancreas.

Ma muli o ka stagnation, ʻo ka hoʻōla ʻana o nā enzyme pancreatic i loko o ka mea huna e loaʻa ʻole ma ka pūpū o ka ʻōpū, akā, ma nā kumulāʻau. Hoʻopilikia ʻia ka pale pale o ka pancreas, a komo i ka maʻi ke kipi ʻana i ka hua gland. Hiki i nā pōhaku humuhumu nunui ke kumu i ka huki ʻana o ka huahe maʻamau a i ʻole sphincter o Oddi, nāna e alakaʻi i ka pulu pahu i loko o nā kumu pancreatic.

Ka hopena o ka Biliary Pancreatitis

Hoʻokomo ka mālama i ka gastroenterologist wale nō, akā he endoscopist, hiki i ke kauka. ʻO ke kumu nui no ka hoʻōki ʻana i ka holomua o ka maʻi a pale i ka exacerbations ka hōʻola pono o ka maʻi ma lalo. Inā kūpono, e hoʻoneʻe ʻia nā pōhaku a i ʻole ke ʻano o ka nipple a Vater e hoʻomaikaʻi ʻia (ʻoi aku ka maikaʻi o ke ʻano o ka endoscopic).

Me kahi exacerbation o ke auwili, pono e hoʻōla me ka wehe ʻana i ka ʻeha (analgesics a me antispasmodics), hoʻoponopono i nā hana o waho a me nā mea huna o ka pancreas, detoxification, ka pale ʻana i nā hoʻopiʻi hopohopo (antibiotics). ʻO ka maʻamau, ma nā lā ʻekolu o nā hana exacerbation, ua noi ʻia ka wikiwiki ʻo ka therapeutic, pono ʻoe e inu i ka wai minima wai wai ʻole. Ma hope o ka hoʻihoʻi hou ʻana i ka meaʻai, pono ʻoe e kaupalena i ka nui o ka momona i ka papaʻai, paʻa paʻa i ka pau o ke koʻai. Pono ka ʻai ʻana i ka ʻai i nā mahele pinepine, e pili ana i ka hoʻomaʻamaʻa a me ka wela.

No ka hōʻemi i ka hopena luku ʻia o nā enzyme pancreatic i hoʻoneʻe ʻia, kahi o somatostatin, nā pale kia a me nā mea paʻa o ka protease. Hoʻomaopopo ʻia nā ʻōkīpine Microspherical e hoʻihoʻi i ka maʻi maʻi enzymatic pancreatic, a ua kuhikuhi ʻia nā kumuhana hypoglycemic e hoʻomaʻamaʻa i nā pae koko koko. Lawe wale ʻia ka hana maʻi ma ke alo o ka calculi a me ke ʻano o ka sphincter o Oddi.

ʻO ka wānana a me ke kālai

Ka hoʻomaikaʻi ʻia ʻana o ka prearosis o ka pancreatitis biliary me ka mālama manawa kūpono o ka cholecystitis calculous a me ka cholangitis. ʻO ka hōʻole ʻia mai nā hana manawa kūpono hiki ke alakaʻi i ka hōʻino o ke kaʻina hana, me ka exacerbation ma hope iho e pono ai ka nui o ka hoʻolimalima ʻana. Inā ʻike ʻole ka hoʻokō ʻana i nā koi ʻana i ka papa ʻaina, hōʻole i ka mālama ʻana, inu i ka wai ʻona, maikaʻi ʻole ka hopena.

ʻO ka pale ʻana i kēia ʻano o ka pancreatitis kūlohelohe ka manawa kūpono a me ka mālama ʻana i nā maʻi o ka ʻōnaehana hepatobiliary, inā pono, nā mea hoʻoneʻeneʻe i ka calculi. I mua o nā hōʻailona o ka pancreatitis biliary no ka pale ʻana i nā exacerbations, pono ʻoe e mulimuli i kahi meaʻai, e alo i ka hoʻohana ʻana o nā huahana choleretic a me nā lāʻau lapaʻau. He mea pono i ka hana pinepine e ka hoʻokolokolo e ka gastroenterologist (i kēlā me kēia makahiki).