ʻO ka pancreatitis Biliary > Hoʻopiʻi nā maʻi maʻi

ʻOi aku pinepine ma mua o nā ʻano like ʻole o ka mumū o ka pancreas, ka pancreatitis-hilinaʻi kūlike (me ka waiʻona). ʻO ka pancreatitis Biliary e hele mai ma muli o kahi hōʻino o ke kahe mai o ka bile ma o ke kiko o ka biliary. Ma muli o kēia, hoʻonui ka hoʻonaninani i nā papa ʻoi ka hoʻohālikelike ʻia me nā kumu o nā pancreas a me ka bile e hoʻomaka ana e holo i loko o nā kumu pancreatic. Ma muli o ka burg regurgitation, ua hōʻino ʻia nā cell pancreatic me ka hoʻomaka ʻana o ka mumū a me nā mea e hoʻonāukiuki ai. Wahi a ke papa ma ka maʻi maʻi, ʻo ka pancreatitis e hilinaʻi nei he pili a me ka maʻi.

ʻO ka pancreatitis Biliary kahi maʻi maʻi degenerative o ka pancreas e pili ana i nā maʻi o ka ʻōnaehana biliary, e alakaʻi ana i ka piʻi nui o nā pile a me ka komo ʻana o ka bile i loko o nā kumu papa pancreatic.

Koi a me nā pathogenesis

Hoʻokā ʻia kahi hopena kūlohelohe no nā kumu e like me ka pancreatitis biliary maʻi. Nā kumu kuhikuhi:

ka calculec cholecystitis a me ka bile sludge (liʻiliʻi helu helu ma ka bile),
nā hoʻoilina hoʻoilina o nā kumu bile,
diskinesia o nā bile dile,
hana ōpū ka palu,
ka mumū o nā lalala bile,
nā maʻi o ka papilla duodenal nui (dyskinesia o ka sphincter o Oddi, nā hana hōʻeha, nā ʻili, ke kū ʻana o nā kino o nā ʻāina ʻē a i ʻole nā volumetric hana i loko.
cirrhosis a me nā mākau ʻē aʻe.

Aia nā ala o ka hoʻomohala ʻana i ka pancreatitis hilinaʻi-biliary:

Ma muli o nā maʻi o ka ʻōnaehana o ka biliile i ka nāile o ka huawai, hoʻonui ʻia ke kumu, hoʻoliʻiliʻi ka bile i ke ala pancreatic.
Hoʻonui ka paila bile ma muli o nā ala o nā papilla Vater.
Hōʻino i nā kumu o ka pancreatic me ka calculus (sludge) i hoʻokumu ʻia i loko o nā kumu bile.
ʻO ka hoʻolalelale ʻana o nā mea maʻi mai ka systemary o ka biliary no ka pancreatic (ʻoiai paha ma o ka papahana wai lymphatic drainage).

Nā papa maʻi

Hāʻawi ke kaʻina hana kū hoʻokahi i kahi hoʻouka kaua hoʻokahi o ka maʻi me ka hōʻailona mau loa a me ka puka ʻana mai o kahi ulia pōpilikia. Ma hope o ka hoʻouka ʻana, pinepine ka lolo pancaryitis me ka paʻakikī, a me kahi hoʻihoʻi piha.

Hōʻike ʻia ke kaʻina hana maʻi me ke ʻano o ka nalu ʻano like me nā manawa o ka exacerbations a me ke kala ʻana, ka hoʻomau mau ʻana o nā loli pathological i ka lula.

ʻO kahi exacerbation o kahi maʻi kūmole a i ʻole ka hopena i kahi maʻi maʻi e hana pinepine nei ma muli o nā kaʻaiʻai - kaʻai ʻana i ka nui o nā momona, kahi pāʻai a me nā mea kīpoki ma ka lāe. Hōʻike ʻia kahi hoʻouka o ka pancreatitis e nā hōʻailona:

Ke kani nei i ka eha ma ka epigastrium, ʻoi aku ma ka hema, mau loa. Inā maʻi ka maʻi pancreatitis e pili pono ana i ka maʻi, a laila e pili nui ana ka ʻeha. Ma ke kaʻina hana ikaika, ikaika lākou, hiki ʻole.
Kaʻi wale ʻana, ka luaʻi.
Hōʻawale nā pale a constipation paha.
ʻO kahi manaʻo o ke kaumaha ʻalike.
Hiki i ke maʻi hyperthermia.
Hiki ke piʻi a hoʻemi paha nā pae glucose koko ma muli o nā pilikia i ka hana ʻana o ka insulin a me ka glucagon e nā mea a nā kelepa.

Ke nānā nei i ka mea maʻi, hiki ke ʻike i nā hōʻailona o ka pancreatitis biliary: hōʻeha i ka hōʻeha o ka Mayo-Robson, Desjardins, Shoffar point, nā hōʻailona Voskresensky (ka hapa ʻole o ka pulsation ma ka palpation 5 centimeter diagonal mai ka puselol i ka ʻūlima hema), ka hōʻailona Razdolsky (ʻeha ma ke kaʻe ʻana ma ka wahi o ka pancreatic) , Ke ʻano o Lunaor (ka poni ʻeha i ke kino o ka mea maʻi), ke ʻano o Tuzhilin (ka hele ʻana o nā hemorrhages ma ka ʻili).

Nā huapau

I ka wā o ka hoʻokolohua o ka mea maʻi, ua hōʻiliʻili ʻia ka ʻike anamnestic (aia kahi maʻi bile duct i loko o ka anamnesis), hōʻike, palpation (me ka ʻike ʻana o nā hōʻailona i luna), kamaʻilio a me ka auscultation.

No ka diagnostics laboratorium, ua hana ʻia kahi loiloi biochemical i ke koko a me ka waiʻai no ka ʻike ʻana i ka nui o nā enzyme (α-amylase, alkaline phosphatase), hana ʻia kahi ʻano maʻi e ʻike ai i nā māhaka hōʻailona (C-reactive protein, leukocytosis, hoʻonui i ka ESR a me kekahi) hoʻonui a hōʻemi paha), e hana i kahi coprogram e loiloi i ka hana o nā kinipine hoʻoneʻe o ka pancreas (ka nui o ke koʻo nā hana a ka biliary tract a me ka ate (hoʻoholo i ALT, ACT, kuhikuhi pololei a kūʻokoʻa i ka bilirubin).

I waena o nā ala pono, ua hoʻohana ʻia ka ultrasound o nā ʻōpū o ka ʻōpū (i kēia noiʻi ʻana, nā pōhaku, nā neoplasms a me nā palaolima i ka palaki biliary, nā hoʻololi i ke pancreas a me nā hōʻailona o ka cirrhosis i loko o ka puʻuwai e hiki ke ʻike), hiki ke hoʻohana ʻia ka ultrasound me ka hoʻohana ʻana i nā mea hoʻohana endoskopika mai duodenum a me nā kumu ʻōpū. Hiki nō hoʻi ke hoʻohana i ka hoʻokaʻawale ʻana a me nā mea hoʻonaninani résonance, cholangiography me ka hoʻohālikelike ʻana. No ka loiloi i ke ʻano o ka papilla nui duodenal, hoʻohana ʻia kahi hōʻike hoʻoneʻe endoscopic.

Inā hele mai kahi hanana hōʻeha o ka maʻi mai, pono ʻoe e kāhea i kahi ambulance. Ma mua o ka hōʻea ʻana mai o ka brigade, ʻaʻole i ʻōlelo ʻia ka meaʻai a i nā lāʻau lapaʻau paha, e hoʻomaha ai ka moena a me kahi pā anu i ke anu ka pancreatic.

Inā ʻo ka kumu o ka maʻi e hoʻopiha ana ka palupalu i nā pōhaku, pono e wehe ʻia. Ma ke alo o nā kalā liʻiliʻi, hiki ke hoʻoneʻe ʻia nā pōhaku me ka hoʻohana ʻana i ka ultrasound. A hiki ke hoʻoholo i ka sludge mikroscopic me ka hoʻomākaukau ʻana i ka waila urodisoxycholic. Hāpai ʻia nā ʻano lawaiʻa me ka hoʻohana ʻana i ka endoscope no nā ʻano like ʻole o ka papilla duodenal nui a me ka sphincter o Oddi.

Hoʻokomo ʻia ka mālama ʻana i ka pancreatitis biliary e mālama i ka lāʻau lapaʻau a me ka meaʻai. Pono ke kauka lāʻau e kuhikuhi e kāu kauka, e hōʻino ka lāʻau lapaʻau ponoʻī i ke ola a me ke olakino.

I ka wā mua o ka ulu ʻana a me ka maʻi kūlohelohe, ʻike ʻia nā lula: "anu, pololi a maluhia." Pono i ka hoʻomaha o ka moe, ka wehe ʻana o ka manaʻo a me ke olakino. Hōʻike ʻia nā mea maʻi e hoʻihoʻi hou i ka nui o ka wai e hoʻohana ana i nā hopena paʻakai intravenously a me ka wai minamina ole-carbonated i loko. Hāʻawi ʻia nā mea maʻi i ka antispasmodics (no-shpa, drotaverin), e hōʻemi ana i ka ʻeha, hoʻohemo i nā kuʻi ma nā papa umauma a me nā kumu o nā pancreas. E hoʻohana i nā lāʻau lapaʻau e hōʻemi i ka acidity i loko o ka'ōpū (omeprazole, almagel, talcid).

Ke hoʻohana nei i ka hana exocrine o ka pancreas, hoʻohana ʻia ka hoʻomākaukau ʻana o ka enzyme (creon, festal, mezim). Ma kahi o kēia mau lāʻau i ke kūlana paʻakikī, heparin, diuretics, antibiotics, vitamina complexes ka hoʻohana ʻana.

I mea e pale ai a mālama i ka maʻi mai, heʻaiʻai no ka pancreatitis biliary e mālama pono ʻia. ʻO nā lā ʻekolu mua, pono eʻai ka mea maʻi a inu wale i ka wai (wai ka wai).

A laila, hoʻokomo ʻia kahi liʻiliʻi o ka meaʻai haʻahaʻa haʻahaʻa, a hoʻoliu ka mea maʻi i ka ʻai No. 5. ʻAe e hoʻohana i ka hoʻohana ʻana i ka ʻala kuke, ʻaila ʻole a ʻaila mau ʻia (me ka ʻokoʻa ka kōkuhi, ka ʻihi a me ke kī), nā huahana momona haʻahaʻa, cereals ma ka waiū haʻahaʻa a i ʻole ka wai, maloʻo. berena, pulehu i ʻāpala a me nā hua maloʻo, nā mea kanu ʻai, ka ʻena omela, compotes.

Me ka pancreatitis-hilinaʻi momona, ka momona, ka palaoa a me nā mea milo, nā mea momona, nā meaʻai me nā punaʻi caffeine kiʻekiʻe, nā ʻōmaʻomaʻa ma waho aʻe o nā pōpoki maloʻo, marmalade a me nā marshmallows, nā mea kanu momona a me nā huaʻai, ua pāpā ʻia nā meaʻai wikiwiki.

ʻAi nā meaʻai no nā maʻi e pinepine a i ʻole, ma nā ʻāpana liʻiliʻi.

Aia kekahi mau ala ʻē aʻe e mālama ai i kēia maʻi - ka hoʻohana ʻana o nā ʻano decoction (dogrose, chamomile, calendula, oats), tinctures (draris, me ke kinikini gula), a me nā ʻano ʻē aʻe. E hoʻomanaʻo, ʻo ka hoʻohana ʻia ʻana o nā lāʻau lapaʻau e ʻae loa no ka papa ʻāina o ka maʻi ma hope o ke kūkā ʻana me kahi kauka. Hiki i ka lāʻau lapaʻau ke hōʻino.

Kāohi

Me ka hoʻokumu o ka biliary o ka pancreatitis, pono ia e ho'ōla i nā kumu nui i ka manawa - nā maʻi biliary tract. Ke pale nei i ka hoʻomohala ʻana o nā maʻi e kōkua i ka ʻai kūpono, mālama i ka ola olakino me ka hōʻole ʻana i ka waiʻona, e hoʻopilikia kino ana i ka ate i nā pile a me ka pancreas.

ʻO ka maʻi pancreatitis kahi maʻi koʻikoʻi e alakaʻi pinepine i nā hoʻopiʻi a me ka make. I nā hōʻeha o nā maʻi, aia: ʻaʻole pono o nā ʻōnaehana kino (hepatic, renal, respiratory, a me nā mea hou aku), nā kūlana pīhoihoi, ka helehelena i ka pancreas o nā wahi o ka necrosis a i ʻole hoʻokō ʻana i nā hanana, cysts. Me ka hoʻomaʻamaʻa manawa, ʻo ke komo ʻana, hiki ke pale ʻia i nā hopena koʻikoʻi. E ʻimi i ke kōkua i ka hōʻailona mua o ka maʻi.

No nā poʻe he nui, hoʻomaka ka pancreas i pohō, hele mai kona ulu ʻana, e ala ana i ka uhai ʻole o ka hoʻopuka o ka huao. Hoʻokumu ka pancreatitis Biliary, kahi mea e hoʻopili pinepine ai i nā pākeke. Hoʻōla ʻia kēia maʻi, akā e pili ana i ka mālama olakino kūpono manawa a me nā mākaukau pono o nā koi āpau. Mahalo i ka mālama pono ʻana o ka pancreas, hoʻihoʻi hou ka mea maʻi i kāna ala maʻamau.

Nā hiʻohiʻona o ka maʻi

Hoʻokomo ka pancreatitis Biliary me ka maʻi gallstone. Hoʻoulu ia ma muli o ka hoʻolei ʻana i ka wai ma loko o nā kumuʻai pancreatic, ma muli o ka ʻeha. E hōʻike ana kēia kaʻina i kahi hana hewa i ka humuhumu palu.

I loko o kahi kanaka olakino, ʻoi aku ka nui o ke kaomi o nā kumu o kēia neʻe ma lalo o ke kiʻekiʻe o ke kaʻe o ka pancreas. Hōʻike ka hoʻonui ʻana i ka loaʻa ʻana o kahi mea i hiki ʻole i ka bile ke hoʻokō pono i kona kū i kēia manawa. ʻO kēia paha ma muli o ka hemo o nā alaloa, pinepine pinepine i nā pōhaku. Ke alakaʻi nei kēia mau mea i ka heʻe o ka wai i loko o ka pancreas.

Nā kumu kumu o ka maʻi

Hiki i kēia pathology no nā kumu like ʻole. E noʻonoʻo i ka kūlike loa.

Inā ʻeha kekahi kanaka i ka maʻi gallstone, a laila hoʻomaka me kēia mai ka wai ʻana o ka hoʻowalewale ʻia e hōʻeha ʻia no ka hoʻopiʻi ʻana o nā pā me nā pōhaku. Ke alakaʻi nei kēia mau mea i ka hoʻonui i ke kaomi ma kēia mau ala, e hāʻawi ana i ka ʻaina o ka lolo i ka pancreas.

Me ka cholecystitis, kahi kaʻina hana maʻi e kū mai ma ka ʻili o ka puʻima, pale i ka wai ʻana e kahe kahe.

Hoʻokumu ia i ka hoʻomohala ʻana o ka pancreatitis biliary a me ka cholangitis, kahi maʻi no ka uncharacteristic o nā kumu i hōʻea ʻia ma muli o ka huina o ka papa a me ka wehe ʻana i nā mea huna.

ʻO nā maʻi ma luna aʻe i hui pū me ka pancreatitis biliary e kumu i kēia mau hoʻololi aʻe i ka pancreas:

hoʻonāukiuki a me ka hoʻoneʻe ʻana
ka hoʻonui ʻia o nā pūnaehana pili,
nā paleʻe i kāna hana.

Akā ʻaʻole wale kēia mau kumu i ka hoʻomaka ʻana o ka maʻi. Hoʻopaʻa pinepine ka hanana i waena o nā mea aloha i ka meaʻai maikaʻi. Hiki i kēia meaʻai ke ʻano he ʻano provocateur o nā spasms o ka gallbladder a ua kōkua i ka humuhumu o nā pancreas. Eia kekahi, ulu ka pancreatitis ma muli o ka ʻai nui, ka ʻai ʻana a i ʻole a i ʻole nā meaʻai i powa.

Pehea ka holomua o ka maʻi?

Hiki i ka pancreatitis Biliary ke loaʻa i kahi maʻiʻeha a me ke koʻikoʻi. Kū mai ka hope o ka hoʻohana ʻana i ia meaʻai, nā mea e hoʻoulu ai i nā kaʻina kūwili ʻana. Hiki iā ia ke kīwī iʻa i nā kīʻaha, nā mea inu ʻona, nā mea momona hoʻi i waha, ka ʻiʻo iʻa.

ʻAʻole loa i manaʻo ʻia ʻo ia mau meaʻai me ka olakino ʻia, ʻoiai e hoʻolaha ana i ka neʻe o nā pōhaku e hiki ke pani i nā pā i loko o ka puʻuwai. ʻO nā mea maʻi me kahi papa maʻi o ka maʻi, ka nānā ʻana i ke kāwili ʻana i kā lākou meaʻai, hiki ke pale i ka hanana o ka pancreatitis biliary.

ʻO ke ʻano o nā patula biliary e hilinaʻi ana i ka hana o nā pōhaku i loaʻa i ka punawai bile. Inā liʻiliʻi lākou i ka nui a komo maikaʻi i ka duodenum, a laila wikiwiki wikiwiki ka kūlana o ka mea maʻi. Inā paʻakikī ka neʻe o nā pōhaku ma ke kumulāʻau, a laila hiki i kēia mea ke makaʻu i ke ola o ka mea maʻi.

Nā hōʻailona o ka Biliary Pancreatitis

ʻO nā hōʻailona o kēia maʻi, ʻo ia hoʻi e kū'ē i ke kua o ka stileation o ka bile, he mea like ʻole, no laila, he paʻakikī ke ʻano ke ʻano o kēia maʻi.

No laila, inā ka mea maʻi me ka pancreatitis biliary, penei kāna mau hōʻailona:

ʻO ka hopena o kahi hōʻeha e holo a puni ka ʻōpū o luna, hiki iā lākou ke hāʻawi i loko o ke kua a i ʻole a i ka hypochondrium. I ka hapanui pinepine, e hele mai ana ka ʻāʻī ma hope o ka ʻai ʻana i ka momona, keʻa a i ʻole i nā mea ʻoki. ʻO kona ikaika e kū i ka pō a i ʻole ʻelua mau hola ma hope o ka ʻai ʻana.
E hoʻomau i ka ʻawaʻawa ʻana i ka lua o ka waha.
La mualoa, haahaa.
ʻO ka ʻeha ʻana, constipation, a i ʻole nā lemulewa.
Hiki ke piʻi iki ka nui o ke kino.

Ka maʻi pancaryitis kaetake e hōʻike i nā ʻehaʻeha i ka hypochondrium, e ala ana ma muli o ka hōʻalulu ʻana o nā ʻalā mānoanoa e hoʻonāukiuki i ka pōhaku, a me ke ʻano - kahi maʻi hōʻeha eha e kū nei no kahi manawa lōʻihi.

Eia kekahi, me nā ʻano o ke ʻano o ka maʻi, hiki i nā hōʻailona o ka jaundice ke hiki mai, ʻoiai hiki ke pale ʻia nā kumulāʻau a ke komo ka wai i loko o ka ʻōnaehana. I kēia hihia, ʻeleʻele nā lā o ka maka a me ka ʻula. I kēia hihia, pono e hoʻomaka koke ka lāʻau lapaʻau, no ka mea hiki i nā mea āpau ke hoʻopau i kaʻeha kaumaha.

Hoʻohana ʻia

Ke lawe nei ka hana o ka pancreatitis biliary ma lalo o ka nānā o kahi gastroenterologist, endoscopist a me nā kauka. ʻAʻole e holomua ka maʻi nui, a no ka pale ʻana hoʻi i ka exacerbations, ʻohi ʻia ka maʻi lalo.

Inā ua hoʻohuli ʻia ka maʻi mānoanoa me ka pancreatitis biliary kūpono, pono nō e mālama ʻia i ka haukapila. Hanaʻi ʻia ka ʻano nui me ka hoʻohana ʻana i ka lāʻau lapaʻau me ka meaʻai.

Hoʻopuka ka Biliary pancreatitis ma ke keʻena o ka maʻi ikaika me kahi maʻi ʻeha ikaika, ka neʻe ʻana me ke kōkua o analgesics a me antispasmodics. Pēlā nō, hana ʻia ka hoʻoponopono ʻana o ka hana kūloko o waho a me waho o ka pancreas, detoxification, ka pale ʻana o nā hōʻeha hopopo me ke kōkua ʻana o nā lāʻauʻakena.

Me ka exacerbation i nā lā ʻekolu mau lā, pono ka hoʻoku ʻana i ka therapeutic a me ka hoʻohana ʻana i ka wai minima alkaline non-carbonated. Ma hope o ka hoʻomau ʻia o ka papa ʻaina, pono hoʻopiʻi nā momona i ka ʻaina, pono nō e hoʻomalu i ka pākeke.

No ka hōʻemi i ka hopena luku o nā enzyme pancreatic i hoʻoneʻe, somatostatin, nā mea pale aku o protease, nā mea pale aku proton. Hiki i ke kauka ke kuhikuhi i nā ʻōmaʻomaʻo microspherical e kōkua i ka hoʻihoʻi ʻana i ka maʻi pancmatic enzymatic. I mea e hoʻihoʻi ai i ke kōpaʻa koko i ke ʻano maʻamau, ua hoʻākāka ʻia nā lāʻau lapaʻau haʻahaʻa.

Ke hoʻoiho ʻia nei ka huakaʻi hōʻeha ma ke ʻano, e kuhikuhi paha ke kauka hele i ka hōʻoki ʻana e wehe i nā pōhaku. Ua lawe ʻia ia ma ʻelua ala: ʻo kā lāua ʻoki i ka paia o ka ʻōpū o luna (laparotomy) a i ʻole nā ʻelua puncture liʻiliʻi i loko o ka pā o ka ʻōpū (laparoscopy).

ʻO nā ʻōhua hiki

Inā mālama kūpono ʻia ka pancreatitis biliary, e hoʻi koke ka mea maʻi i kona ʻano maʻamau. Me ka maʻi holomua, hiki i nā pōhaku ke neʻe i loko o nā kumu bile. Inā waiho ʻia ka maʻi nui a ʻaʻohe mea e hana ʻia, a laila e alakaʻi kēia i ka maʻi o ka ʻono o ka gastrointestinal. I kēlā me kēia manawa e hoʻonui wale ka ʻeha, ma hope o ka ʻai ʻana i ka meaʻai aʻai.

Eia kekahi, hiki i ka maʻi holo i hiki ke hele i loko o ka pancreatitis parenchymal.Hiki paha ke hoʻoweliweli iā ka mea maʻi me kēia:

ka lōʻihi e mālama ana i ka hoʻomaha ʻana i ka haukapila,
hoopukui nui
lohi i ka hoʻoponopono hoʻoponopono ʻana,
ka papaʻai ikaika loa ʻoi loa a puni koʻu ola.

I mea e pale ai i ka hoʻomaka ʻana o ka pancreatitis biliary, pono e nānā i kahi ola kino, ʻai ʻokoʻa a haʻalele loa i ka wai inu.

Inā hele mai ka pancaryitis biliary, pono ke ʻanoʻai. I loko o ka lā, e ʻai ka mea maʻi i nā manawa 4-5, aʻo ka nui o ka mea e lawelawe ai ʻaʻole pono ia ma mua o 250 ml. ʻAi ʻia ke kulu ʻia, ke kua a me nā meaʻai momona.

I ka wā o kaʻai, pono e hoʻonui ka nui o ka protein e 25%. No laila, eʻai kekahi mea maʻi i ka g g o nā huahana protein i kēlā me kēia lā. Akā, ʻaʻole e hōʻemi ʻia ka nui o ka momona, ma 20%, a i ka lā ʻaʻole pono ka nui o kā lākou intake ma kahi o 80 g. Hōʻalo ʻia ka nui o ke kō e hoʻemi ʻia e 2 mau manawa mai ke ʻano maʻamau.

He maʻi maʻi koʻikoʻi ke pancaryitis (ʻoi aku ka hopena o ke ʻano). He mea nui ia e hoʻoponopono pono i kēia alahele a hoʻomaka i ka mālama ʻana i ka manawa kūpono, ʻoiai e hoʻomau mau ʻia nā ʻano kuʻuna, e hōʻeha ana i ka nui o ka ʻeha. Hōʻoluʻolu loa e wehe i ka pancreatitis biliary e kōkua wale i ka maʻi.

Pili nā pili āpau o ka gastrointestinal tract i kahi pilina.

He paʻakikī ka loaʻa ʻana o kēlā me kēia ʻano pancreatitis, ma muli o ka paʻakikī o ke ʻano maʻi. Eia naʻe, ke kuhi hewa ʻole ka mālama ʻana me ka nalowale o kekahi mea a me ka make o kekahi meaola.

He aha ka pancreatitis?

ʻO ka digestion kahi hana paʻakikī e paʻakikī ai ka ʻōpū ma mua o nā pūpū a i ʻole nā ʻūʻa - pancreas.

Ma waho o kēia mau ʻāpana, ke hoʻokeo maʻamau i ka meaʻai a no laila, ʻaʻole hiki ke ola piha.

ʻAʻole kū maoli ka pancreas ma lalo o ka ʻōpū, me ka hiki ke hoʻokaʻawale ʻia mai kona inoa, akā ma hope.

Ua kiʻi ʻia ka inoa o ke mele mai ka lima māmā o nā poʻe anatomist i hoʻopaʻa i ke ʻano o ke kino o ke kanaka i nā ʻōpū ma kahi kūlana.

ʻO ka liʻiliʻi o ke kō, a hiki i ka 10 kenimita, hiki ke hoʻopunipuni e pili ana i kāna hana nui.

ʻO ka mea mua, ʻo ka hapa nui i nā huaʻelima e pono ai no ka hoʻokaʻawale ʻana i nā momona, nā protein a me nā ʻaloli e hana ʻia e ka pancreas.

Kūpono kēia mau mea i loko o ka wai pancreatic i ka duodenum - ke kumu nui no ka hoʻoulu ʻana i nā momona, nā protein a me nā mea kākena i ka meaʻai.

ʻO nā hua Bicarbonate i loko o ka wai pancreatic e hoʻokaʻawale i ka waikawa sulfur ma ka palena ma waena o ka ʻōpū a me ka duodenum, e kōkua ana e mālama i kahi kaona alkaline i ka hopena.

I mea e pale aku ai i nā hopena o nā huina a ka huʻi wī, hoʻomaʻamaʻa ʻia lākou i ka duodenum.

ʻO ka pancreatitis acute kahi kūlana o ka hoʻāla ʻana o ka huina o ka huina i loko o ka lula, i mea e alakaʻi ai i ka pale ʻana o ke kino iho i ke kino

Me ka hoʻolaluhi ʻana, e pālahalaha ke kaʻina huakaʻi i nā ola kino ʻē aʻe: puʻuwai, naʻau, ʻāʻī, ʻeha a me nā puʻuwai, maona maoli ke ʻano o ka kino holoʻokoʻa.

He kūlana hoʻoweliweli kēia, a inā ʻaʻole pono ka mālama kūpono i ka manawa, a laila hoʻoweliweli ia i ka make o ke kino a me ke kino holoʻokoʻa.

Nui nā kumu e hiki ke alakaʻi i ka hoʻomohala ʻana o ka papa pancreatic. ʻO ka mea maʻamau ka mea i ka manawa o ka waiʻona, ka mea e hoʻonā ai i kahi 70% o nā maʻi pancreatitis āpau.

Hiki i ka maʻi ke hoʻomohala ma muli o nā hopena hopena o nā ʻano lāʻau like ʻole, kū mai ka hopena o nā trauma, no ka laʻana, i ka hana e hoʻokō ai i nā ʻano hana hoʻokolohua ʻē aʻe.

Hiki i ka pancreas ke lilo i ka hili ma muli o ke ʻano o ke alualu o nā kino ʻē aʻe, ʻo ka manawa pinepine o ka pīpī.

ʻO ka pancreatitis e pili ana me ka cholelithiasis i kapa ʻia he biliary, ʻo ia hoʻi, ka biliary, pili pū me nā ate.

ʻO ka pancreatitis o ka mana biliary

Hoʻokumu ka pancreatitis Biliary ma muli o ka reflux o ka hua palaoa i loko o nā kumu o ka pancreatic, ka mea e hōʻole i ka hana maʻamau o ke kino a hoʻonāukiuki i ka hoʻomohala ʻana o nā kaʻina pili i loko.

ʻO ka pancreatitis Biliary kahi hopena a me ka maʻiʻole.

He mea maʻalahi ka manaʻo o ka exacerbations o ka pancreatitis kūloko i like ka lula like me ka pancreatitis aʻokiʻoki, akā, nā ʻanoʻokoʻa like ʻole.

Akā, hiki i ka pancreatitis akuhi ke ulu i waena o nā pilikia a me ka hoʻopalepale.

ʻO ka pancreatitis Biliary kahi hoʻopiʻi ʻana i kekahi o nā maʻi o ka gallbladder:

hui pū ʻia ka cholecystitis me ka edema a me ka hōʻino ʻole i ka puka o ka bile,
nā mea i loko o ka gallbladder ālai i ka kahe o ke kumile i loko o nā kumu bile a hoʻokō i ka stagnation. Ma ke hopena, piʻi ka piʻo intrapancreatic, a komo ka bile i ka pancreas,
cholangitis - maʻi mumū i loko o ka bile dile i ka wā pau ʻole o kā lākou lolo, a maʻi kahi bile.

ʻO nā hōʻailona Nonspecific kekahi o nā mea e paʻakikī ai e hōʻoia i ka maʻi pancreatitis:

kekahi mau hōʻailona o ka pancreatitis kekahi mau ʻano o nā maʻi ʻē aʻe o ka ʻeha gastrointestinal,
kekahi mau hōʻailona paha i loaʻa a i ʻole i ʻole ma ke kiʻi o nā maʻi ʻo ka pancreatitis,
inā he hōʻailona o ka pancreatitis e hōʻike i ke kani ʻana i ka pancreas, ʻaʻole hiki iā lākou ke kōkua i ka hoʻoholo ʻana i nā kumu kumu, me ka cholecystitis, cystic fibrosis, trauma a me nā mea ʻē aʻe he nui.

ʻO nā hōʻailona o ka pancreatitis ka ʻeha o ka ʻōpū, e hoʻihoʻi pinepine ana i ka hypochondrium, hiki ke hāʻawi ʻia i hope. Hiki i ka mea maʻi ke maʻi a loaʻa ka bile i loko o kona waha.

ʻAʻole lawe mai ka hoʻouka ʻana i nā ʻike duodenal. Ka maʻi a me ke aʻeha (i ka pae koʻikoʻi) hoʻonui ka pancreatitis i ka wā o ke kuhihewa ʻana i ka pale o ka wai-electrolyte ma muli o ka hoʻopiʻi a me ka hoʻāhu. ʻO ka ʻeha a i ʻole constipation e hele mai paha.

Pākuʻi ʻia nā ʻōmaʻomaʻo i nā palu ma ka ʻaoʻao o ka ʻōpū, i kekahi manawa he kikowaena melemele. Hiki nō hoʻi i nā holomoʻi ma ka wahi o ka pusaka.

Hoʻokumu ka mālama ʻana no ka pancreatitis biliary i ka maʻa. He kūlana maikaʻi loa ʻo Diet no ka hoʻomaikaʻi ʻana i ke ʻano o ka mea maʻi.

Ma muli o kāna hōʻiliʻili i ke kūlana o kēia manawa o ka gallbladder a me ka pancreas.

E like me ka meaʻai, ʻano like ke ʻano ʻana o ka mālama ʻana i nā kūlana o nā kino, i hōʻoia ʻia me ke kōkua o nā ʻano loiloi pilikino, ʻaʻole wale "ma ka maka" e pili ana i nā hoʻopiʻi.

Nā ala ʻē aʻe e pili ana i ka maʻi a me ka mālama

ʻO ka pancreatitis, ʻoi aku ka maʻi maʻamau, hiki ke hoʻohālikelike ʻia me kahi paʻakikī a paʻakikī, kahi paʻakikī i ka hoʻoholo ʻana i ke kumu a me ka hopena.

ʻAʻole nā kauka a pau nā mea noiʻi e hoʻoholo i ka maʻi kūpono.

ʻO kēlā lāʻau lapaʻau wale nō - ʻaʻole ka ʻimi no ka lawehala, pilikia ʻole nā hihia no ka nele o nā hōʻike ʻana - pono ke kauka ke hōʻoia i ka ʻoihana hana me ka maʻi maʻi.

Inā he mau hoʻopiʻi mai ka pancreas, a laila pancreatitis, me ka pancreatitis biliary, lilo pinepine i kēlā maʻi maʻi.

Ma hope o ka hōʻike ʻana, ʻōlelo ʻia ka mālama ʻana, a maikaʻi ia inā he ʻanoʻai, ʻo ka mea maikaʻi kaʻai ʻana, ʻoiai ma muli o ka maʻi maʻi i hoʻomaʻamaʻa ʻole ʻia, ʻaʻole hiki ke hoʻopilikia.

Eia nō naʻe, ʻo ka mālama ʻana, ʻoiai inā he mau keiki a he mau wahine hāpai paha, alakaʻi pinepine ʻia i nā hopena maikaʻi ʻole a me nā hopena ʻinoʻino hoʻi.

ʻO kahi maʻi koʻikoʻi i ka wā kamaliʻi e mālama pū ʻia e ka lag nui nui i ka hoʻolālā kino i ke kiʻekiʻe a me ke kaumaha.

Ke ʻike nei i kēia, ʻike pinepine nā kauka i ka maʻi pancreatitis aʻeha paha e pili ana i nā keiki me ka hoʻomohala maʻamau.

ʻO ka hoʻomaʻamaʻa ʻana, a i ʻole noho mau ma waena o ka poʻe maʻi, ʻo ka mea mua, hoʻonāukiuki i nā maʻi psychosomatic, a ʻo ka lua, ke kumu i ulu ai ke keiki ma lalo o ke ʻano o ka hoʻokipa mālama, e pili nui i kona manaʻo a me kona ʻano ma ke ʻano he pākeke.

ʻO nā hoʻonāukiuki o ka pancreatitis kūlohelohe i nā wahine hāpai ke alakaʻi pinepine i ka hoʻopau ʻana i ka hāpai ʻana, ʻoiai inā i ka wā o ka "noiʻi" o kēlā me kēia hihia, he mau hihia ʻē aʻe e like me nā pancreas.

Kauka nā kauka i nā ʻāina me ka ʻoihana lapaʻau pinepine i ka pancreatitis maʻi, me ka manaʻo no kēlā me kēia exacerbation o nā hana hoʻonāukiuki i ka pancreas aia kekahi kumu kūpono loa e pono ke loaʻa a hiki paha ke hoʻopau ʻia.

Ua kākau ʻia kēia mau mea ʻaʻole e hoʻowahāwahā i nā kauka home, aia nō he mau loea a he poʻe loea, akā, e hōʻoia i ka poʻe maʻi e kū pili ʻo lākou ke kuleana no ko lākou olakino.

Ma mua o ka ʻae ʻana i kekahi ʻōnaehana, pono ʻoe e hōʻoia e pili ana i ka pancreatitis biliary e hoʻokau i nā pilikia olakino.

ʻO ka mālama ʻana i nā kauka me ka hoʻonaʻauao kūikawā ʻaʻole ia he hana maʻalahi, akā hiki loa.

Nā kūkākūkā me nā poʻe loea, e aʻo ana i nā nīpika lapaʻau o kēia manawa, me ka noiʻi hou loa, e noi ana i ke kauka i ka nīnau nīnau i nā nīnau kūpono - he nui nā ala, akā no ka poʻe wale nō ka mea i hilinaʻi i ka hihia ma nā hihia o ko lākou ola kino.

He aha ka pancreatitis biliary

ʻO kēia ʻano pancreatic lesi, kahi pāʻina o nā microbial 10 10 K85.1, he maʻi maʻi lua ka mea he papa ʻaihue a ua hoʻokumu ʻia i ka ʻaoʻao o kahi maʻi maʻamau. ʻO nā ʻōlala mua nā kāhuna nui ma ka wahi o ka ate, ka ʻili ʻana a i ʻole nā meae pili.

ʻO ka lōʻihi lōʻihi o ka papa o nā papa mākaʻikaʻi e hāpai i ka hoʻonui ʻana i kahi maʻi e like me ka pancreatitis biliary-dependantitis, a i ka nui o nā hihia, hoʻoikaika ʻia ke ʻano o kēia maʻi e ka cholelithiasis me ka hele ʻana o nā pōhaku liʻiliʻi i loko o nā kumu o ka gallbladder.

Nā kumu a me nā hana hoʻomohala o ka hoʻomohala ʻana i ka maʻi

ʻO nā kumu nui e hāʻawi i ka hoʻomohala ʻana i ka pancreatitis biliary-dependence ʻo ke kūkulu ʻana i nā maʻi pathological e hiki mai ana:

ʻO ka maʻi gallstone, a me ka lime i ka biliary, i hōʻike ʻia me ka hoʻohuihui ʻana o ka bile me ka hoʻokumu ʻana o kahi mehameha i loko o ke ʻano o ka hoʻopalike nā microscopic,
kinenua malformations o ka bile duct
ka holomua o ka cholecystitis maʻi,
hepatic exocrine insufficiency,
ka hopena o ka dyskinesia o ka bile duct a i lalo paha,
lesi cystic o ka dile bile (choledochus), ka mea i hāʻawi ʻia i ka lawe ʻana i ka huaole mai ka ana o ka punahele a me ka maʻi hepatic,
ka holomua o ka cholangitis,
congestive cholestasis, ʻano like me ka stagnation o ka bile,
ka hana ʻana o ka cirrhosis o ka ate,
ka pāpā hewa ʻana i ka hana o nā nipple o Vater, kahi e hōʻoiaʻiʻo ai i ka komo ʻana o ka bile i ka lua o ka duodenum 12.

ʻO ka hopena maikaʻi aʻe o ka hoʻomohala ʻana o nā pathologies i luna i ka wā o ka hoʻokumu ʻana o ke kaʻina pancreatic biliary ma ka aniani parenchymal e hoʻonāukiuki i ka hoʻomohala ʻana o nā pilikia pathological e hiki mai ana.

ka ulu ʻana o kahi kaʻina, ʻaina
ka kue ʻana o ka kū pono a me ka hana ʻana o ka hana kūloko o ka pancreas,
hana o nā keʻena degenerative,
ka hoʻomohala ʻana o ka hoʻopili ʻana no nā aihue.

Nā hōʻailona a me nā hōʻike

ʻO kēia kaʻina pathological i ka lua o ka pancreatic i hiki i nā mea ʻelua o ka hoʻolālā - ke nānā a me ke kūpaʻa. ʻO ka papa pancaryitis o ka huehue he kikowaena like me ka exacerbation o ka pancreatitis biliary maʻi, a loaʻa nā maʻi pancreatic maʻamau, ma waena o ia mau:

ʻehaʻohana kūloko i ka ʻāina o ka hypochondrium hema me kahi ʻano herpes zoster,
ʻO ka maʻi maʻamau e pili ana i ka luaʻi nui
ka mahuahua o ke kino kino i nā palena subfebrile a ma luna,
ka hua ʻula ma ka ʻili.
ka hopena o ka constipation, ke kō ʻana a me ka hoʻomohala ʻana i ka hoʻokumu ʻana i ka manaʻo o ka aila.

ʻO ka pancreatitis biliary maʻi me ke kala mau ka loaʻa ʻole kahi pōpō o nā hōʻailona hōʻailona maʻamau:

lilo ka momona
ka hopena o ka neʻe
ka haʻalele ʻana o ka luaʻi i kahi pāhū ʻana, ka hopena ma muli o ka hoʻonāukiuki ʻana i ka meaʻai,
maʻi kūlohelohe o ka constipation a i ʻole oki ʻana paha,
mea kaumaha
huki i nā palena subfebrile.

Akā, ʻoiai nā mea like like o ka pankreatitis biliary me nā ʻano like ʻole o kēia maʻi, ua loaʻa kēia ʻano kuʻuna i kāna mau hiʻohiʻona:

ʻO ka loaʻa ʻana o kahi manaʻo i loko o ka ʻōpū o ka ʻōpū ma muli o ka hoʻohana ʻana i nā lāʻau lapaʻau me ka specter choleretic o ka hana, a me nā meaʻai e loaʻa ai ka hopena like.
ʻOi aku ka lōʻihi o nā hōʻeha o nā ʻeha ma mua o nā ʻano maʻi ʻē aʻe o ka hapalua.
Hōʻike ka ʻano biliary o ka maʻi i ka wā i hoʻomohala ʻia ai ʻo ia ma ka hapanui o nā hihia ʻo nā paresis i loko o ka ʻōpū o ka ʻōpū, ʻo ia hoʻi, ulu ka constipation, aʻo nā ʻano like ʻole o ka maʻi e hoʻonāukiuki i ka hoʻomohala ʻana.
Hōʻike nui ʻia nā ʻeha e nā hōʻailona hōʻailona hōʻailona i ka hoʻomohala ʻana i ka colic biliary, e hōʻike ana i ka hypochondrium ma ka ʻākau a ʻaʻole ka hema.
ʻO ia ka ʻano o ka maʻi o ka maʻi pancreatic e pinepine pinepine me ka hoʻomohala ʻana i ka jaundice.
ʻO ka pinepine, ma waena o nā hoʻopiʻi o ka poʻe maʻi, aia ka hiʻohiʻona maʻamau o ka ʻai ʻana me ka ʻona hope, a me ka ʻano o ke ʻano ʻawaʻawa i ka ʻōpū o ka waha.

Nā Palapala Diagnostic

Hoʻomā ʻia ka hana mua ma ka pae o ke nānā ʻike o ka mea maʻi, ka lawe ʻana a i ka mōʻaukala a me ka palpation o ka lua peritoneal.

E hana i kahi hōʻike hope loa, ke alakaʻi nei ke kauka hele i ka mea maʻi e hoʻomāleʻa i kēia mau hana hoʻoponopono hou aʻe nei:

Uiuei
nā hoʻāʻo ʻia o ke koko no kahi noiʻi biochemical, kahi i ʻike ʻia ai kahi hoʻonui nui o ka transamylase,
hoʻokaʻawale ʻia ke koko no kahi hōʻike kulekele ākea no ka pathology koʻikoʻi wale nō,
e lawe ana i ka cholangiopancreatography e hoʻohana ana i kahi pāʻālua ʻē aʻe,
MRI me CT.

ʻO ka mālama ʻana

Ma nā wā mua o ka hoʻomohala ʻana o ka pathology a ma ke alo o nā pōhaku mikroskopika i loko o ka gallbladder, mālama i ka hana bile o ka pancreatitis hiki ke hāʻawi i nā hopena maikaʻi i ka wā e hoʻohana ai i nā lāʻau lapaʻau. I mea e loaʻa ai kahi hopena hoʻāno maikaʻi o ka mōʻaukala olakino, ua kau ʻia ka lāʻau litholytic, ma o ka hoʻohana ʻana iā Ursosan a i ʻole Ursofak, kahi e hoʻopili ai i ka hoʻopau ʻia o nā waihona kālā e like me nā pōhaku. Hoʻomau ʻia kēia hoʻokolohua ma ka hōʻole ʻole o nā contraindications i ke ʻano o ka blockage i ke kaola biliary, ka hiki ʻana o nā kalima a me nā pōhaku pigment, a me ke ʻano o nā kaʻina loea ma ke ʻano o ka CT, ka ultrasound a me ka cholecystography, e ʻae ana i ka loaʻa e pili ana i ka ʻike e pili ana i ka kūwaho a me ka ʻano o nā calula. ʻO nā pōhaku Kāleka-type e maʻalahi e hoʻopau.

ʻO kekahi o nā ala hou o ke mālama conservative o ka bile pancreatitis ʻo ka extracorporeal shock wave therapy, ka mea e hiki ai i nā lāʻau kāʻili e hoʻohana ana i nā nalu ultrasonic.

Hoʻokumu ʻia no ka pancreatitis biliary

Ke kū nei ka pono no ka hana ma kēia mau hihia:

Me ke ʻano o ka cholelithiasis holomua, i ka nui o nā pōhaku i hana ʻia ʻaʻole e haki ʻia e ka ESWL, a paʻa loa i nā kumulā, e ʻae ʻole i ka bile e neʻe i loko o ka ʻōpū o ka ʻōpū. Hana ʻia kēia ʻano hana ma ke ʻano he cholecystectomy.
Me ka hoʻomohala o ka adenoma, i hoʻopaʻa ʻia i ka wahi o ka nipple o ka Vater.
ʻO kekahi hōʻailona hou no ka hana ʻoi aku ka cicatricial narrowing, a paʻa paha.

I ka hapa nui, hoʻokūkū nā loea lapaʻau lāʻau hōʻemi i nā mea hōʻeha trauma no ka hoʻohana ʻana i nā mea liʻiliʻi liʻiliʻi a me nā micro-instritions a me kahi kāmela kūikawā. Akā, i nā kūlana paʻakikī, hāʻawi ʻia ka makemake i kahi komo laparisomic wehe.

Ma mua o ka hoʻomaʻamaʻa ʻia, ua kuhikuhi ʻia ka mea maʻi i kahi papa lāʻau, i mālama ʻia i ka hoʻohana ʻia o ka iwi o ka lāʻau antibiotic, e kōkua ana i ka pale ʻana i ka maʻi ma mua o ke wā preoperative.

Nā ala e pale ai i ka maʻi

Ma hope o ka pathogenesis o ka maʻi pancreatic dependant maʻi maʻi komo i ke ʻano o ka hoʻomau mau ʻana, ʻoi ʻia ke hoʻohana i nā lāʻau lapaʻau hou e pili ana i nā lāʻau lapaʻau e pale ai i kona exacerbation hou. Mai ka immortelle, paona oakawa, calendula, kumo, yarrow, etc., kahi ʻia ke hana i ka infusion, decoctions a hoʻoheheʻe iā lākou i loko o ke ʻano o kaʻaila.

Hoʻopau i kahiʻai maʻi

ʻO ka hoʻoponopono ʻana i ka ʻai me ka meaʻai No 5 ʻo ia ke kōkua nui i ke ala i ke ola hou ʻana. ʻO nā meaʻai a pau e hoʻohana ai he hopena maikaʻi loa ia i ka mea i hoʻopili ʻia a ʻaʻole hoʻonāukiuki i nā palapu mucous o ka ʻōpala. No laila, pono ke kaulike a me ka fractional. ʻAe ʻia:

manoamu
mea inu a me nā mea ʻona,
nā meaʻai iʻa ʻia
nā mea ʻala a me nā meaʻai me nā pā momona kiʻekiʻe.
kāpeti keʻokeʻo
huehue lohea a me ka hua Berry,
ka wai kaha a me nā kī inu ʻawa.

Pono ka hoʻemi ʻana o ka ʻaina a me nā mea momona a nā ʻaina, akā pono e lanakila nā meaʻai i ka ʻai.

Hoʻomaopopo no ka hoʻihoʻi

Hoʻomaka hoʻomaka ka mālama ʻana i nā patula, ka hoʻokō ʻana i nā ʻōlelo a pau o ke kauka e hele ana a me ka pili pono ʻana i ka meaʻai e hāʻawi i kahi makana maikaʻi no ka hoʻihoʻi hou ʻana i nā kino i hoʻopau ʻia o ka papa gastrointestinal. I nā kūlana holomua, hiki ke hoʻokō ʻia nā dinamics kūpono i ka lapaʻau, aia paha, ma hope o ka hana ʻana.

2. ʻO ka pancreatitis biliary kumu

Hōʻike ka ʻano maʻi o ka PD i kahi papa lōʻihi (ʻo ka hōʻailona o ka pathology e hoʻomau mau nei ma kahi o ʻeono mau mahina). Hōʻā ʻia ke kaʻina hoʻonāukiuki e nā maʻi o nā papa o ka bile. ʻO ka hopena o ka patology he wahi ʻoki a hoʻopau paha i ka hormone-excreting a me ka hana enzymatic o ka pancreas. Ka hele pū ʻana me ka maʻi maʻamau o ka PD me ka constipation a i ʻole ka lolo ʻana, ka ʻeha, ka hoʻoluhi ʻana a me ka nele o ka momona, me ka ʻano o ka ʻili.

3. Ka maʻi pancreatitis bili

Hoʻoulu ka puka akomi o PD e pili ana i ke kua o ka hopena o ka hoʻopili i ka pā o ka biliary. ʻO ka pōpilikia o ka hoʻouka ʻana, ʻo ia ka hopena kiʻekiʻe o ka make o ka mea maʻi ma ka waiho ʻole ʻana o ka mālama olakino pono i ka wā. Hōʻike ʻia ka PD acute i ke ʻano o nā hōʻailona hōʻeha nui, indomitable ka kiaʻi (ʻoi aku ka pō), ka ʻili o ka ʻili, constipation a i ʻole nā hopena ʻeha. Ma hope o ke kau ʻana o ke kala ʻana, hiki ʻia paha nā ʻano hana hoʻoiho.

(A) auhau pōpō o ka papa pancreatic. (B) ke kumu o Opieh o ka "maʻamau maʻamau". (B) ka loaʻa ʻana o ka auhau o nā papa ʻelua me nā pōhaku lepo me ka liʻiliʻi ʻole o ka bile i ka papa pancreatic.

Pono ka hua i hoʻohuihui ʻia e ka ʻāʻī a hōʻiliʻili i ka ʻōpili i mea e pono ai ka hoʻopaʻa ʻana o ka ʻai. I ke kūlana maʻamau, hele ka waiwai ma ke komo ʻana o ka bile i ka duodenum. Me nā loli o ka piʻoloke, hoʻokuʻu ʻia ka bile i ka wai o nā pancreas. Hoʻomaka ka ʻenehana i kāna mau ʻili ponoʻī. Ke alakaʻi nei kēia kaʻina hana i ka luku ʻia o ka pancreas. ʻO ka hopena ka hoʻonui ʻana o ka pancreatitis biliary.

Hiki i ka hiki ʻana ke hoʻomohala ʻia ke PD e nā ʻano me:

nā loli pathological i ka hoʻouluulu ʻana a me nā waiwai o ka hua bile.
diskinesia o ka bile duct a i ʻole Pladder,
nā hauoli ʻana o ka cirrhosis o ka ate,
ka nānā ʻana o nā microorganisms pathogenic i loko o ka bile ma muli o ke kaʻina hana o nā ʻiole ma nā ʻōpū pili,
ka hoʻokele ʻole ʻana i nā lāʻau choleretic,
ka hoʻomohala ʻana i nā kaʻina o nā palu i nā dile bile a me nā pua wili,
ke ʻano o nā palilla duodenal nui,
ka holomua o ka maʻi phocrine exocrine,
hana ʻino i nā papa pancreatic me ka calculi,
ka hana ʻana o nā pōhaku i nā hua bile a i ʻole ke pala ʻana.
ka heleʻana ma nā meaʻai o ka helu he nui me nā hana choleretic,
ka holomua o ka cholangitis,
nā hopena o ka cholecystitis kūmau,
biliary hemo a me ka maʻi puhale,
malenations malenations o ka biliary tract.

5. Nā hōʻailonaʻeha

ʻO ka hōʻailona nui o ka pancreatitis biliary he ʻeha. Hiki i ke ʻano o ka ʻeha ka hōʻeha ma ka hema a i ʻole ka hypochondrium ʻākau. Hoʻokahi ka mea i kūleʻa i nā pōkole pōkole pōkole a he mea maʻamau paha. ʻO kahi mea hoʻonāukiuki no ka maʻi ʻeha ka hoʻohana ʻana i kekahi mau mea o ka meaʻai (no ka laʻana, he pākaha, kaʻono, nā momona a i ʻole a iʻa nā meaʻai).

ʻO nā hōʻailona ʻē aʻe o PD e loli ʻē aʻe ma ke ʻano o ka maʻi a me ke kūlana maʻamau o ke kaomi o ka digestive.

ʻO nā hōʻailona nui ka:

ʻO ke kumu no ke kūkulu ʻana i kahi ʻano o ka maʻi o ka maʻi e hōʻalo ʻia ma luna. ʻili o ka ʻili a me ka ʻolo.
nā pale o ka luaʻi me ka pale ʻana o ka ʻehaʻeha i hoʻopaʻa ʻia i loko o nā mea hoʻowalewale.
Hōʻeu kahe pinepine i ka defecate (palaka kīwī, kīpē o ka ʻai na ka lau i loaʻa ma ka aʻi).
kaumaha loa ma ka ʻōpū (me ke kaumaha maʻamau)
ka nele o ka makemake (ʻo ka hopena i loko o kahi hōʻailona kahi i hoʻemi ʻia o ke kaumaha o ke kino),
nā manawa ʻino a me ka luaʻi maikaʻi ʻole,
nā maʻi kaumaha
fiva
ʻōpū paʻa
ka nawaliwali laulā o ke kino a me ka momona nui.

ʻO nā hiʻohiʻona hiʻohiʻona o ka BP kahi mea ʻehaʻawa o ka waha (a i ʻole ka ʻūhā paakiki) a me ka constipation maʻamau. E pale i ke kua o nā pilikia maʻamau i ka hana ʻana o ka neʻe i ke kakaka, hiki i ka mea maʻi ke hoʻomohala i ka pale ʻana i ka ʻōpū. ʻOi aku ka lōʻihi o ka hōʻeha ʻana me ka maʻi pancreatitis e pili ana i nā maʻi o ka maʻi.

ʻO ka ʻeha pinepine ʻia i ka hypochondrium ʻākau (a ʻaʻole ia ma ka hema) a hiki ke komo i loko o ka lima ʻākau, hoʻohaʻahaʻa i lalo, a i ʻole ka ʻeke poʻohiwi ʻākau.

7. Pehea e mālama ai

Hoʻolaha pololei ʻia ka mālama ʻana iā PD. ʻO ka pahuhopu nui o ka hana maʻi, ʻo ia ka hoʻopau ʻana i nā mea i hoʻonāukiuki i ka ʻaila Refile bile. I kēia papa hana, hoʻohana paha i nā lāʻau lapaʻau a i ʻole nā hana ʻokiʻī ʻO ka wehe ʻana i ke kumu kumu o ka maʻi e hōʻemi nui ana i ka ulu hou o ka hoʻomohala hou ʻana o ka pancreatitis a me ka hoʻololi ʻana o ka pathology i kahi ʻano hana. ʻO ka hapa ʻelua o ka lāʻau e kuhikuhi ana i nā analgesia, hoʻonui i ka hana hana o ke akeʻa, ka puhaka a me ka pancreas.

Nā hana no ka mālama ʻana iā PD:

hōʻoluʻolu o ka ʻeha a me nā hōʻoluʻolu o ke kūlana o ka mea maʻi,
detoxification therapy,
ka hoʻihoʻi ʻana o ke kaʻina o ka hilo huna pancreatic,
ka pale ʻana i nā kaʻina hoʻokokoke,
ka hemo ʻana o ke kalāula (inā paha),
Hoʻomaka hoʻoponopono.

8. Nā kumu kūʻai no ka mālama ʻana

ʻO ke kumukūʻai o ka lāʻau maʻi PD e hilinaʻi nei i nā kumu he nui - ke kiʻi maʻamau o ka lāʻau lapaʻau o ke kūlana olakino o ka maʻi, ka pae o ka holomua o ka maʻi lua, ka paʻakikī o nā kaʻina e pono ai no ka mālama ʻana. Inā mālama ʻia ka mea maʻi i kahi waihona aupuni, a laila e loaʻa ka uku nui no ka lāʻau lapaʻau.

I ka wā e nānā ʻia ai i nā clinics uku, ʻoi aku ke kiʻekiʻe o ke kumukūʻai o ka maʻi a me ka mālama ʻana iā PD. ʻO ka kumukūʻai kūpono o ka maʻi maʻi he 8,000 rubles.

9. Meaʻai: he aha a ʻaʻole hiki

ʻO ka hoʻokō me ka meaʻai no PD hiki iā ʻoe ke hoʻokō i ke kala mau. ʻAʻole pono nā huahana mai ka ʻai ʻana i ka hopena hoʻonāukiuki i nā a me ka huina. ʻO ke kumu o ke olakino nā mea kūpono o ka Diet helu 5. Pono ka meaʻai a ka protein aʻai i ka meaʻai. ʻAʻole hiki iā ʻoe ke ʻai i ka momona, ka paʻakai, ka palaoa, ka uahi a me ka papa ʻaina. ʻO nā mea inu alokalilana a me nā mea ʻona, nā hua waina a me nā hua me ka waiono, kāpeti keʻokeʻo, nā ʻūlū, nāū, ka lemi, ka paila wai, ka hua a ka wai, nā kuki ikaika a i ʻole paha i haʻalele ʻia i ka papa ʻaina.

Ua pāpā ʻia i ka ʻai ʻana i ka ʻeha, ka ʻisa, ka ʻīwī, ka maiʻa, nā lā, nā kūpeʻe, nā aniani, ka ʻalaʻala, ka pepa aila, ka ʻōpala a me nā hua waina.

Pono ka mea i kēia meaʻai i loko o kaʻai:

I ka pancreatitisʻeha e hoʻopoina, nā poʻe maʻi e poina e pili ana i nā mea momona, nā ʻono hākona, nā ʻiina i pulu, nā hua momona a me nā lau. borsch a me nā mea kanu ʻai,
hua ʻōmole,
ʻai momona liʻiliʻi (moa, pipi, iʻa),
berena loloa
vinaigrette, nā mea kanu lāʻau,
waluhova, oatmeal, pāwīwī,
nā huahana wai momona haʻahaʻa,
ʻōpala (huaʻai ole)
nā hoʻohālikelike mai nā huaila hou a me nā huaʻai,
aila ʻaila
nā hua maloʻi maloʻo,
huakai ʻaila.

I ka wā o kahi exacerbation o PD, ua'ōlelo ʻia ka wikiwiki wikiwiki. ʻO ka ʻai ʻana i kekahi meaʻai e hiki ke hoʻonāukiuki i ka hoʻonui ʻana i nā hōʻailona o ke kaʻina o ke ʻano. Ma ka meaʻai kai e komo ai i ka hoʻokomo ʻana i ka meaʻai o nā wai minima alkaline (Borjomi, Essentuki).

Ma muli o ke kau ʻana o ka meaʻai ke kiʻi i ke kiʻi kauka o ke kūlana olakino. I kekahi mau hihia, pono e mālama pono nā kānāwai i kaʻai ʻana i ke ola holoʻokoʻa.

Mea ʻai meaʻai, menu

Hāʻawi ka mana me PS me ka nānā ʻana i nā lula nui. Pono e ʻai ʻia ka ʻai i nā manawa 5-6 (hoʻokahi manawa) (ʻo ka nui o ka lawelawe e hoʻokahi ma mua o 250 g). I ka wā kuke ʻia, pono ke hāʻawi ʻia i nā ʻano o ke ʻano ʻoi ʻana o ka maʻa, ka kuke ʻana a i ka ʻaʻa paha. Hōʻalo ʻia ka nui o nā karapu i ka papa ʻaina i 250 g no ka lā, momona - a hiki i 80 g i kēlā me kēia lā.

Ukuia ka nānā pono ma ka pae o nā ʻōmole i ka meaʻai (pono ke loaʻa ma ke kino i ka liʻiliʻi o 120 g o kēia mau mea i ka lā). ʻAʻole pono nā wela o ka meaʻai i ka kiʻekiʻe o 50.

Papa helu waihona

Oatmeal (ma ka waiū i hoʻoheheʻe ʻia me ka wai)

ʻO ka omelet Steam (mai nā palekona), kākela i kālai ʻia, kissel

ʻO ka mea i ʻai ʻia e ka ʻai, nā pasta me nā ʻanuʻu iʻa, ka mea momona rosehip

ʻO nā kuki Galetny, ke kākā hale

Rice me kahi pīpī o ka pipi palaoa, kaʻaila

ʻO Rosehip ka waiū a i ʻole ka lau i hoʻohui ʻia

ʻO nā lula kaiʻaiʻai:

e pono i ka papa ʻaina i hoʻomākaukau ʻia e like me nā ʻano ʻaʻai meaʻai,
ka hola manawa ma waena o nā ʻai e pono ai ma o ʻekolu hola,
i ka wā e ʻai ai i ka meaʻai, pono ke ʻeleʻī ʻokoʻa (pono e loaʻa nā kīʻaha i ka mousses, ʻalā, nā pala pala)
ʻAʻole koi ʻia ka inu ʻana (pono ʻoe e inu i ka wai i hoʻokahi hola ma hope o ka ʻai).

ʻO ka meaʻai no ka pancreatitis maʻa e hōʻike ʻia e ka uʻi nui a me ka maʻamau.

10. Nā Poloka

ʻO ke kumu nui o nā hoʻopiʻi PD no ka nele o ka hoʻomaʻamaʻa manawa koke. Hiki i ke kaʻina pathological ke hoʻonāukiuki i ka hoʻokumu ʻana o ka ful purulent, nā hana maʻamau, ka hoʻomaikaʻi ʻana i ka maʻi pancreatic a i ʻole ko lākou make. ʻAʻole kūpono kekahi o nā hoʻopiʻi i ka ola. Inā haʻalele ʻoe i nā hōʻailona o PD, nui ka piʻi o ka make o ka mea maʻi.

ʻO nā maʻi ʻē aʻe:

ʻO kahi ʻano biliary o ka mumū pancreatic me ka hoʻomaʻamaʻa ʻole ʻana e alakaʻi i ka peritonitis.

12. Nā ʻōlelo manaʻo a me nā wanana

Hoʻonāukiuki ʻo BP i nā loli o ka pathological hiki ʻole i ka pancreas. Pākuʻi ʻia nā wānana no kēia maʻi i ka wā pono a me ka lawa o ka ʻōlelo. Inā mālama ʻia ka mālama ʻana i nā hoʻomaka mua o ka hoʻomohala ʻana o ka pathology, a laila liʻiliʻi paha ka hopena o nā hoʻopiʻi. Kūkulu ʻia nā puka o PD me ka hoʻohaʻahaʻa nui i ka lōʻihi a me ke ʻano o ke ola.

Nā hopena o ka nele o ka mālama manawa kūpono:

hoopukui nui
e pili ana i ka meaʻai paʻa loa i ke ola holoʻokoʻa,
lāʻau lapaʻau lōʻihi
nā pinepine o ka hanana pathological hele,
ka hana maʻamau i ka haukapila.

Ma hope o ka mālama ʻana iā PD, pono ia e mālama i ka meaʻai, nā ʻōlelo manaʻo o ka loea, ʻaʻole pono e hoʻolaʻa iā ʻoe iho a nīnau aku i ke kauka inā he manaʻo kānalua i ka ʻano o ka hoʻoneʻe ʻana. Mai haʻalele i ka lāʻau lapaʻau paʻa mua.

Ma hope o ka lawe ʻana i nā lāʻau lapaʻau i kauoha ʻia, pono e nānā ʻia ka hoʻokolokolo ʻē aʻe. ʻO ka hoʻonāukiuki o ka pauna i makemake ʻia e hoʻonāukiuki i ka exacerbations pinepine o PD a hoʻonui i ka nui o ka hōʻeha.