ʻO ka maʻi pancreatic: kumu, nā hōʻailona a me nā mālama

Aia ka pancreas i kahi hohonu i loko o kahi ʻōpū o ka ʻōpū, ma luna. He mea koʻikoʻi kēia kīleʻa i ke kaʻina o ke ola o ke kanaka. Hoʻōla ʻo ia ʻaʻano enehanaka mea pili i ke kaʻina hana ʻana ʻaʻano protein, kalapu a nā loko.

ʻO ka mea mua, ua komo kēia mau enzyme i ke ʻano maʻamau o ka pancreas, a laila komo i ka duodenum. Loaʻa ko lākou hopena i ka meaʻai. Eia kekahi, aia i loko o ka pancreas he mau cell kūikawā kūikawā e hana ana i ka hormone ikaika insulin. ^ E Ha yM. ʻO nā hormones pancreatic, ke komo i ke koko, ka hoʻoponopono i ka metabolism o ke kō ma ke kino. Inā ʻaʻole hua ka pancreas i ka nui o ka insulin, a laila ua lilo ka hopena o ia hana i maʻi maʻi maʻi.

Nā kumu kumu o ka ʻeha o ka pancreatic

Ua hoʻoholo i nā kauka e hoʻolōʻihi i kekahi mau mea e kumu ai ka ʻeha i loko o ke kino. Loaʻa i ka mea hao ka lana a puni. Loaʻa ka nui o nā hoʻopau o ka nerve. Ke kī ʻia nei kēia kīlea, ʻike ʻia ka ʻeha nui.

He aha e hiki ai i nā kumu:

1. ʻO nā maʻi maʻi āpau a me nā maʻi āpau e kū mai i ka hoʻopuei iho.

  • ʻO ka pancreatitis kahi maʻi e kuʻi pinepine a maʻi i ka hana kūlohelohe, pili i ka ʻāpana o ke kino a i nā āpau āpau. I kēia manawa, he maʻamau nā maʻi, ʻoiai nā ʻōpio.
  • ʻO nā kumu no Cystic a me nā pseudocysts. Puka aku lākou ma hope o ka ʻeha ʻana o ka pancreatitis, ʻaʻole hoʻi e hoʻōla ʻia.
  • Naʻi maʻi mellitus.
  • ʻO ka necrosis pancreatic - kahi purulent fusion a me nā nekrosis o ka nui o ka pancreatic. Ua hōʻike ʻia ia e nā maʻi hōʻehaʻeha koʻikoʻi. Kālā hiki ʻole ke kaʻina hana. E pili i nā mea maʻi alakino.
  • Hopu Tumor ʻOi aku ka maʻalahi o ka maʻi maʻi me nā maʻi maʻi i nā wā hope aʻe. No laila, he mea paʻakikī loa ka nānāʻana i kahi maʻi.

2. nā loli i nā kino e kū kokoke ana. Ma muli o kekahi mea i nā pakiaka neʻe o nā kino ʻokoʻa o nā kino o ka ʻōpū kuʻuna, ua loaʻa nā aʻa a me nā hua. No laila ke ʻano o ka ʻāʻī o ka ʻōpū. Hiki i kēlā mau ʻōuli ke hoʻohui pū i nā ʻōnaehana penei:

  • Nā maʻi pōhaku. I kēia hihia, hoʻoikaika ikaika ke ʻano o nā renal colic i kahi ulu. Ka ʻeha ʻole ka ʻeha, nā ʻoi loa, nā paroxysmal, e hāʻawi i ka pancreas. Hiki iā ia ke uhi i ka ʻōpū a me ke kua.
  • Urolithiasis, ukali ʻia e colic renal. Wahi a nā kauka, ʻo ia ka mea o ka hōʻeha nui loa o ka hōʻeha ʻana. I kēia hihia, ʻaʻole wale ka maʻi i hoʻopale ʻia, akā ʻo nā kino āpau o ka ʻōpū, a me ka pancreas, pili pū kekahi i ke kaʻina.
  • ʻO kahi Cholecystitis ka maʻi kahi o ka ʻōpū. Aia ia ma kahi o ka pancreas a hiki ke hāʻawi iā ia i kāna ʻeha.
  • Nā alahele o ka ʻōpū a me ka duodenum: gastritis, ulia peptic, ʻōpū.
  • ʻO ka hepatitis a me ka cirrhosis o nā pepelu.

3. Hoʻololi i loko o ka hana hohonu a me kaʻino i nā kinipona nerve.

  • Osteochondrosis. ʻOi loa inā pili ka ʻāina thoracic.
  • Neuralgia Intercostal. Loaʻa iā ia kahi kiʻi like me ka puʻuwai puʻuwai a me ka pancreatitis.
  • Hoʻololi ke kani kino degenerative.
  • Atherosclerosis o nā lāʻau kani.
  • ʻO ka ʻōpili pancreatic.

Nā hōʻailona o ka maʻi pancreatic

Hoʻohālikelike ka ʻaha o nā maʻi o ka pancreatic me nā maʻi like ʻole. ʻO ka mea mua, me ke kaʻole o nā hana i nā pancreas i nā kānaka, kū mai lākou ʻeha a nā maʻi dyspeptic. ^ E Ha yM. Hōʻike nā ʻeha ʻeha i ka ʻōpū, i ka ʻāina epigastric. Eia nō kekahi, hiki i ka ʻeha ke hāʻawi i ka hypochondrium hema, i ke kua, hope a i hope paha ka hope, e hana i kahi ʻano kāʻei. I kekahi manawa ua mau ka ʻeha, ma nā mau hanana'ē aʻe e hōʻike ʻia ana e nā patele. Ma hope o ka hele ʻana o kahi kanaka, e ʻai i ka momona o ka momona, ʻono a i ʻole a iʻa, nā mea inu ʻawaʻawa, hoʻonui nui ke ʻeha.

Hoʻemi ka ʻeha ma hope o ka noi ʻana i ke anuanu, aʻo ka manawa like, hoʻomehana wale ka hoʻomehana i ka ʻeha. Hiki iā ʻoe ke hōʻoluʻolu i ka ʻeha ma o ka hoʻokomo ʻana i kahi posture: no kēia mea pono ʻoe e noho i lalo a kū aʻe i mua, hiki iā ʻoe ke moe pū ma kou ʻaoʻao a huki i kou mau kuli i kou umauma.

Ma ke kaʻina hana palpating ʻeha, hiki i ke ʻeha ke hōʻeha i ka hypochondrium hema. E like me nā hōʻailona dyspeptic i nā maʻi o ka pancreas, hōʻike pinepine ia iā ia iho utuka a ninini. ^ E Ha yM. Hiki nō hoʻi nā ninia.

Inā hele ʻole ka hana pancreatic, ʻike paha ke kanaka mea momonapono, hana pū ka paona. ʻO nā hōʻike kikoʻī hou loa i nā maʻi e hāʻawi i ka hopena o ka ultrasound, compute tomography, ka nui o nā haʻawina x-ray.

ʻEha

ʻO ke kumu alakaʻi o ka pancreatitis ka ʻeha. ʻO ke ʻano o ka ʻeha (mai ka huki ʻana e huki i ke ʻoki ʻoki) i ka neʻe ʻana o ka lesion, kona ʻano (edema a i ʻole necrosis) me ka komo ʻana o nā paena peritoneum (peritonitis) i loko o ke kaʻina. Ma ka hopena hope loa, e ʻike ʻia nā hōʻailona o ka huhū peritoneal, i ka wā e hoʻokau ai i ka lepa, ʻoi aku ka ʻeha o ka ʻeha, ʻaʻole me ka hoʻokaumaha ʻia, akā me ka hoʻokuʻu i ka lima.

Me ka edema, ka maʻi ʻehaʻeha e hōʻeha ʻia e ka hoʻonui ʻia ʻana o ka pōpoki o ka wahī, hoʻoweliweli ʻana i ka hopena o nā nerve a me ke kahe ʻana o nā papa me nā huahana huna.

No kekahi manawa lōʻihi, hoʻomau ka mismatch ma waena o ka hōʻeha nui loa a me ka nele o ka hoʻopaʻapaʻa pale ʻana i nā mākia o ka paia o ka ʻōpū o ka ʻōpū (kūleʻa ka ʻōpū i ka wā palpation).

ʻO ke wahi o ka ʻeha (ma ka ʻākau, waena a i ʻole hema paha o ka epigastric) ma muli o ke wahi o ka paepae heleʻana i ke poʻo, ke kino a i ʻole hoʻi o ke kino.

ʻO ka hoʻonāukiuki o kona kua ma o ke kūlana o ke kino i ka wahi o ka retroperitoneal ma ka pae o 12 thoracic a 4 lumbar vertebrae a me nā hiʻohiʻona o ka hānā o ka kelepona (nā lālā o ka celiac plexus a me nā vagus nerve).


ʻO ka ʻeha, ma ke ʻano he lula, ʻaʻole i pili ʻia me ka intake kai a he ʻano mau loa a hoʻomohala ʻia, hoʻonui ʻia ʻo nā loli pathological i ka nui o ke koena. ʻO kahi wahi ʻeha ka loaʻa ʻana o ka ʻeha he sternum a i ʻole kahi o ka puʻuwai me ka irradipation i ka clavicle. Me kēia ʻeha ʻeha, he mea nui i ka hoʻokaʻawale ʻana i ka ʻeha mai ka naʻau (angina pectoris, myocardial infarction).

Me ka necrosis pancreatic, hōʻeha ka ʻeha i ke kiʻekiʻe kiʻekiʻe a hiki ke alakaʻi i ka pīhoihoi hōʻeha, kahi e make ai ka mea maʻi.

Nā mea hana a me nā maʻi o ka pancreas

ʻO ka pancreas he ʻelua ʻāpana me nā ʻokoʻa like a me nā hana. Hoʻokahi ʻāpana o ia mea i hana i nā enzyme (amylases, protease, lipids), i pili i ka hoʻowalewale ʻana o ka ʻai i loko o ka ʻōpū, a ʻo ka lua e hana i nā hormones: insulin, somatostatin, glucagon.

Ma waena o nā maʻi pancreatic, ʻoi loa (ma kahi o 80% o nā hihia), e hōʻike aku nei nā kauka i nā hana maʻi lē-infectious - pancreatitis.

ʻO ka pancreatitis e hele mai ma muli o ka hana a nā huina o ka huina e ka pala ma nā paia o ka huelo. ʻO ka maʻamau, neʻe ke ʻano o nā enzymes i hoʻoulu ʻia e nā kaile o ka bile, ke komo i loko o nā ʻāpana, kahi e lawe ai i ka hoʻouka nui ʻana o ka ʻōpala meaʻai, nā decompose i nā protein, nā kīʻaha a me nā momi.

ʻO ka pancreas kahi ʻano nui i mea nui o ka hana o ke ʻano holoʻokoʻa.

Inā no kekahi kumu ke kūleʻa o nā kinipona i ka lula, a laila hoʻomaka lākou e wāwahi i nā kaili o ka kelepa ponoʻī. I kēia hihia, ua ulu ka hōʻailona koʻikoʻi o ka pancreatitis - kahi ʻeha koʻikoʻi.

ʻO ka pancreatitis hiki i nā ʻano ʻelua - ʻehā a me ke ʻano. Ua hoʻokaʻawale ʻia ke ʻano huahelu i nā mea hou aʻe:

  • hamumu (interstitial),
  • hemorrhagic
  • maʻemaʻe (phlegmonous),
  • ʻO ka nehnaka pancreatic (make a hapa ʻāpana paha o nā io).

Nā kumu o ka maʻi pancreatic

ʻO nā mea penei e hoʻopilikia maikaʻi ʻia:

  • ʻO ka loaʻa ʻana o ka meaʻai maikaʻi. ʻO kēia mau mea: nā ʻiʻo i hana ʻia ma luna o kahi ahi e ʻālamua ana, ka momona, ka ʻala, ka ʻū, ka meaʻai. Ma muli o ka manaʻo o ke kino he mea leʻaleʻa, e hoʻopili ana i nā mea ʻino e hoʻopau ai ke kanaka me he huʻupuʻu. I ka ʻai ʻana i ka meaʻai ʻai ʻole, pono e hoʻopiʻi ka lula i nā enzyme, he mea nui loa ia no ia a hiki i ka hoʻokauʻeha ʻana i kona maʻi.
  • ʻĀpilima. Nui nā poʻe maʻi i ka ʻohana i loaʻa ka poʻe e ʻeha pū mai i nā maʻi like ʻole o ka pancreas. Hiki i nā genes ke kuleana no ka patolo ke hoʻoilina. Ma lalo o ka mana o nā hopena maikaʻiʻole, hiki ke hana a ʻike ʻia kēia mau mutations. ʻO kekahi hiʻohiʻona maʻamau ʻo ka maʻi maʻi type 1.
  • Alikaihue Pilikia nui ka ʻili i nā alcohols. Ke luku nei lākou i nā ʻāpana huelo o nā irrevocably. I kēia hihia, ʻoi aku ka maikaʻi, hiki ke hoʻololi ʻia i ka ʻili e ka pili ʻili. A laila e hemo ka hao mai ka hana. A i ʻole, e hele mālie ka make a me ka holomua.
  • Hono ka lewa. Hiki i nā maʻi ke hana i nā maʻi bakteria, nā maʻi, nā protozoa, ka mālama.
  • Hoʻowalewale i ke ʻano palekana. Hoʻopili ʻia nā mīkini hoʻomalu. Hoʻopilikia nā ʻōnaehana a pau. ʻO ka nui o nā immunodeficiencies i loko o nā kamaliʻi, immunodeficiencies tuarua ma ke ʻano o nā maʻi, ua loaʻa ka maʻi maʻi immunodeficiency AIDS.
  • Hoʻopilikia i nā mea kanu. I ka manawa pinepine, ʻo kēia i ka meaʻawaʻawa me nā metala kaumaha, nā waikona, nā mea hoʻohui alkaline. He paʻakikī ke kaʻina hana.
  • ʻO nā hopena ʻino o ka lāʻau lapaʻau. Hoʻopili kēia mau: nā lāʻau lapaʻau anti-inflammatory aihue, nā lāʻau lapaʻau chemotherapy, narcotic analgesics, antiviral drug a me nā mea'ē aʻe. Ke lawe nei i kekahi lāʻau lapaʻau lāʻau, pono e loiloi ʻoe i ka ʻaoʻao a me nā hopena maikaʻi ʻole i hōʻike ʻia i nā ʻōkuhi.
  • Hoʻolālā ka ʻike hoʻopilikia a me nā kūlana hana maikaʻi.
  • Nā maʻi hoʻohālikelike, cholelithiasis, nā kalima o ka ʻili gastrointestinal, coagulation disorders, immunodeficiencies.

Hola pancreatic

Hoʻoikaika ʻia, hiki iā lākou ke hoʻokaʻawale ʻia i nā hui ʻelua:

Pono ka hana Exocrine a i waho paha no ka hana hana a me ka hoʻopā ʻana o ka wai pancreatic, pono pono e hoʻoneʻe. Aia kēia wai i nā enzyme e pono ai no ka hoʻopau ʻana o nā momona, nā palaka, nā huapalapala a me nā mea ʻē aʻe. Endocrine a i loko holoʻokoʻa ka hoʻolako ʻana i ka manawa kūpono a me ka lawa kūpono o ka insulin hormone, kahi e pono ai ke kino e hoʻoponopono i nā kaʻina metabola, ma kahi o metabolism.

ʻO ka pancreatitis acute

Hōʻike koke ʻia i kanaka ʻo ka maʻi pancreatic i hea? koilōkohu. ^ E Ha yM. ʻO nā kumu nui o kēia maʻi, ka mea maʻamau o ka hōʻino ʻana i ka ʻawaʻawa, duodenal ulcer a me ka galliomi. I ka pili ana me kēia mau kumu, hele a ka waho o ka mea huna i nā papa pancreatic. ʻO ka hopena, piʻi aʻe ka paʻakikī i nā kālai. ʻO nā enzyme pancreatic, ka mea e hoʻoikaika nui ʻia, ua hoʻohuihui ʻia i ka lapalapa pancreatic. Pēlā, e hana ana i kahi kaʻina hana "pilikino" pilikino. Hoʻokūʻai wikiwiki ka wikiwiki o ka pancreas.

I maʻiʻo pancreatitis nā hōʻailona loli i ka pancreas i hōʻike pinepine ʻia. I nā kiko hemorrhage, ka māla ʻana a i nā ʻōpū pancreas. Hoʻomaka hoʻomaka koke ka maʻi e like me ka mea nui ʻeha ma nā hypochondria ʻelua, ma lalo o ka ʻōpū, i kekahi manawa ke kāʻei i ka ʻeha.

He ikaika loa nā hōʻike ʻana o nā ʻeha, a he mea paʻakikī ia e kāpae i kēlā ʻano hōʻeha. Eia kekahi, hoʻopiʻi ʻia nā hoʻouka ʻana me ka luaʻi pinepine a me ka maʻi mau ʻole. ʻO ke ʻano nui o ke kino he ʻilihune loa hoʻi: he pili koko puʻuwai haʻahaʻa haʻahaʻa. I kēia hihia, pono ke mālama ʻia. Ma ke kānāwai, ua mālama ka poʻe maʻi i ka haukapila.

No ke aha ka launa ʻana o ka pancreas?

Hāʻawi kekahi o ka maʻi maʻi i kekahi meaola a i ʻole a me nā ʻili o nā mea hui pūpū ʻana.

ʻAʻohe kekeona ʻo Pancreas. Hoʻomaka ia me nā mea no kekahi mau kumu i ka palena o ke kino e emi ana. I ka hihia o ka ʻōnaehana o ka hanu - ke nānā ʻole nei kēia i ka meaʻai, ka hoʻolale ʻana, ka dysbiosis.

Me kahi hoʻohaʻahaʻa i ka pale, hiki i kahi microbe ke maʻalahi a hiki i ka organ. Ke komo nei i kahi kiko, hoʻonāukiuki i ka hopena maʻi. ʻO nā mea ʻeha - hana nā cytokines i ka moe vascular, e hoʻololi ana i ke kahe koko a me ke koko.

Hōʻole ʻia ka hana. ʻAʻole huna ʻia nā huahana ikaika i hoʻohuihui ʻia e ka ihe ʻia ma loko o ka lumen o ke aila. Hoʻomaka ka nui o kā lākou hoʻomoʻi i kā lākou iho pancreatic kiko. ʻO kēia kahi e ulu ai ka maʻi pancreatic.

Nā hōʻailona hōʻailona

ʻO ka Dyspepsia pū me ka pancreatitis ka nausea, ke kīwī huina, ka luaʻi ʻana i ka meaʻai i ʻai ʻia a me ke ʻano o ka stool. Ma ke ʻano he kānāwai, ʻike ka dyspepsia i ka hoʻomaka ʻana o ka maʻi ma hope o nā hewa i ka ʻai (ʻai ʻana i nā momona, nā momona ʻoaa, ʻūhā, ka ʻaka, ka meli a i ʻole kekahi mea inu wai). ʻO nā hui o nā ʻano i ka vodka, lawelawe ʻia me kahi ʻōpala maloʻo a me ka ʻōkō. Aia aia nā kūlana i lilo i nā lāʻau lapaʻau ke lilo i ka hopena o ka pathological (nitrofurans, antibiotics, sulfonamides, valproic acid, azathioprine, sulfasalazitic, cytostatics). E heluhelu hou e pili ana i ka mālama ʻana, nā hōʻailona a me nā kumu o dyspepsia.

Hoʻopuka mua ka maʻi kuʻi a pili pū me ka hana hou o ka huelo hoʻoliʻi kūloko o ka pancreas. Hoʻomohala ka luaʻi a ʻoi aku ma kahi o ka ʻewalu mau hapa o nā hihia a ʻaʻole ia e hali i ka hoʻomaha.

Ma muli o ka laweʻoki. I ka wā mua, ma ke ʻano he kānāwai, he ʻano o ka ʻōpū o ka ʻaihue (ka luaʻi ʻana o ka meaʻai i ʻai ʻia), a laila ʻike i nā mea i loko o ka duodenum (pihoʻi ʻana o ka bile) i puka mai i ka luaʻi.

Hiki i ka nui o ka nui a me ke alapine o ka luaʻi nui paha, kahi e alakaʻi ai i ka lohi me ka emi ʻana o ka wai a me nā electrolytes. I kēia hihia, nui nā laha o ka paʻakai a hoʻomōhala i ka wai lepo hypoosmotic.

Nui nā kekelē o ka hoʻomalu. Loaʻa kēlā me kēia kiʻi i kona kiʻi ponoʻī.

I ka pae mua, a ʻekolu hapa pakeneka o ke kino o ka mea i nalowale, e hopohopo nā poʻe maʻi e pili ana i ka make wai nāwaliwali nāwaliwali nāwaliwali. ʻAʻole ʻike ka makewai i ka make ʻole o ka electrolyte loss, ke hoʻololi ʻia e ka hanu wikiwiki (pōkole o ka hanu, nā kumu).

Me kekahi kekona, kahi ʻewalu keneta o ka paona ua nalowale. Aia kahi make wai make a me ka maloʻo o nā membrane mucous. Ke emi nei ka hoʻonāukiuki o ka ʻili (ʻo ka helu o ka hoʻonui ʻana o ka laha o ka ʻili i lawe ʻia i loko o kahi ʻokiʻoki). Ua make ka ʻōnaehana o ka maʻi maʻi - aia ka nui o ka piʻi ʻana o ka puʻuwai a me ka puʻuwai puʻuwai. Hoʻemi ʻia ka nui o nā urlines a emi ka nui o ka urine i hoʻokaʻawale ʻia, lilo iʻeleʻele.

ʻO ke kolu o ka dehydration ka mea i hōʻike ʻia ai nā hilahila electrolyte a me ka nalowale a hiki i ka ʻumi hapa o ka paona. Hoʻopilikia ke kūlana maʻamau: ke kāohi ʻia nā mea maʻi, ʻeha. He haʻahaʻa haʻahaʻa lākou, ka uha ʻohiʻokeʻo naʻau, nā pale a me ka ʻili, nā maʻi mimicry e palupalu, ʻōlelo, a me ka ʻike. Hoʻokumu ka Acidosis i ke koko a me ka haʻalulu hypovolemic me ka nalowale o ka ʻike a me ka nui o nā hina ole e ulu.

Hōʻike ʻia ia e kahi loli o ke constipation me ka maʻiʻeha. I ka hoʻomaka ʻana o ka maʻi, ua maʻi nā mea maʻi (ʻululupa, nā kumu) a me ka mālama ʻana i ka ʻaʻa (ʻike i ka laxatives no ka constipation). ʻO kēia ma muli o ka loaʻaʻana o nā enzyme pancreatic a me nā waikawa bile, kahi i ka hopena laxative, mai komo i ka iwiʻaoʻao i ka nui kūpono. Ma hope o kekahi mau lā o ka constipation, ʻike ʻia nā kīwaha palu.

E pili ana i nā kumu

Hōʻike nā kauka i nā maʻi pancreatitis mua ma nā kānaka he 35–45 mau makahiki (28-40 mau hihia ma kahi o 1000 mau kānaka).I nā poʻe ʻōpiopio kahiko, ʻoi ka nui o ka hihia o ka hihia, ka mea e hōʻike ana i ka hilinaʻi i ka maʻi i ka wā o ka mea maʻi.

Hola pancreatic

Wahi a nā heluʻepekema, hoʻonāukiuki ka pancreatitis i kēia mau ʻano:

  1. Hoʻohui nui i ka waiʻona. Wahi a nā manaʻo like ʻole, ka poʻe me ka nui o ka inu wai ʻawaʻawa no 65-80% o nā mea maʻi āpau e loaʻa mai ana i nā ʻano kumu o ka pancreatitis. Hoʻonui nui ka alakino i ka hana o nā kinina.
  2. Huli i waho o ka hua bile (reflux) ma muli o ka hoʻopili a i ka wā e huki ai, e hoʻopaʻa ana i nā papa ʻoi me ka maʻi gallstone, nūpepa, nā kelepa kūlohelohe.
  3. ʻO ke kau ʻana o nā momona i loko o ke koko me ka momona, maikaʻi ʻole. Ua hoʻonāukiuki nā momona i ka ulu ʻana o nā enzymes.
  4. ʻO nā maʻi maʻi, lawe ʻia. Ma muli o kā lākou hōʻike ʻana, hele pinepine ka pancreatitis maʻi.
  5. ʻO kaʻino kino e pili ana i nā kumu lolo. Puka ia ma muli o nā hōʻeha kino, nā hana ma ka ʻōpū o ka ʻōpū.
  6. Naʻi maʻi mellitus.
  7. Henereri predisposition.

Nā kumu o ka pancreatitis

He mea nui nā hōʻike kumu mua o ka pancreatitis no ka ʻike hou aku i nā maʻi pancreatic.ʻO ka hele ʻana i nā hōʻailona ʻano koʻikoʻi no ka maʻi maʻi. ʻO nā maʻi o ka pancreas he nui nā hōʻailona maʻamau i loaʻa i ka maʻi pancreatitis.

Nā hopena

Inā pilikia ka hana o ke kino, a laila hoʻopau ka hana maʻamau, hiki iā ia ke loaʻa i nā hopena maikaʻi ʻole ʻē aʻe. No laila, me kahi pilikia o ka hana o loko, kahi nui o nā enzyme e pono ai no ka hoʻopau piha ʻana a me ka hoʻopili maikaʻi ʻana i nā meaʻai e komo i loko o nā ʻōpū o kānaka. Ma ka lawa ʻole o nā huakaʻi, ʻaʻole ka wāwahi i ka ʻai a pau, ʻo ia ka mea e hoʻomaka ai ke kino a nalowale i nā mea momona, nā mea e alakaʻi ai i nā ʻano ʻōnaehana like ʻole, like me ka osteochondrosis, vascular atherosclerosis, etc.

ʻO kekahi o nā maʻi maʻamau o ke kino ka maʻi pancreatitis. I nā manawa hope loa o ka maʻi, ua hoʻohuli ʻia nā ohe kūloko o ke kino i loko o kahi kiko, e alakaʻi ana i ka nalowale o nā hana o ke kino, a ma kekahi mau hihia i ka necrosis.

ʻO ka hanaʻino o ka endocrine hana e hoʻopilikia i ka hana cellular metabolism a me ka hoʻopili ʻana o ke kō i ke kō, e hiki ke hana i ka hoʻomohala ʻana o ka maʻi mellitus.

ʻO ka maʻi pancreatitis kaha

I kekahi manawa lilo ka ʻano koʻikoʻi o ka maʻi maʻi pancreatitis lolo.

I loko o ka hōʻike maʻamau o ka mumū o ka pancreas, kahi mākaukau lōʻihi o ka maʻi. Hiki ke hōʻike ʻia nā hana mua o ka maʻi e ka edema a me ka hemorrhage. ʻOi aku, me ka hoʻomohala ʻana o ka maʻi, lilo ka ʻōmaʻomaʻo iki i ka nui, a ke hoʻololi ʻia e ka huina ʻili. ʻO nā kumu o ka pancreatitis kūloko he hōʻino waiʻona, ka hele mai o maʻi maʻi, ʻāhā peptic a me nā maʻi ʻē aʻe o ka duodenum. I nā maʻi atherosclerosis ma muli o nā pilikia hūnā ma ka pancreas, hiki pū ka maʻi pancreatitis.

I ka hoʻomaka ʻana o ka maʻi, loaʻa ke kanaka i nā manawa ākea mai kēlā manawa i kēia manawa, ko lākou hōʻailona koʻikoʻi kahi ʻeha hōʻeha, e like me ka pancreatitisʻeha. ʻAʻole hoʻomaha nā lāʻau lapaʻau i ka hōʻeha. Ma ke kaʻina o ka hoʻomohala ʻana o ka maʻi, ua emi mai ka nui o ka puna glandular, a ʻike ʻia nā hōʻailona e hoʻolilo i ka emi ʻana o ka nui o nā enzyme pancreatic. ʻAno ʻeli ʻia ka meaʻai, hoʻomāeʻe mau ka mea maʻi i ka ʻōpū, hoʻohaʻahaʻa ka momona, ʻoiai inā nā niniaa pela constipation. ^ E Ha yM. Hiki nō hoʻi ke hoʻemi i ka hoʻōla ʻana o nā hormone pancreatic, ma muli o ke ʻano o ke kō o ke kōʻai koko hiki ke hoʻonui nui ʻia.

Maʻalahi ka paʻakikī o ka pancreatitis paʻakikī, no ka mea, ʻo ka hapa nui o nā hōʻailona o ka maʻi e like me nā hōʻailona o ka nui o nā maʻi gastrointestinal. Hiki ke loaʻa i ka ʻikepili pololei loa no ka maʻi pancreatic i ka wā o ke aʻo ʻana e ka ultrasound, comp Tom tom a me X-ray o nā papa pancreatic.

Ma ke ʻano o ka maʻi pancreatitis, he mea nui ia e hōʻike i ke ahonui, ʻoluʻolu kākaʻai a hahai i nā ʻōlelo a pau a nā poʻe loea.

Nā hōʻailona o kaʻeha

Hiki i nā hōʻailona ke ʻano ʻokoʻa. ʻAʻole mau kēia a i ʻole ka maʻi kuhi e hōʻike i kahi ʻano o ke kīpena. No laila, i ka wā e ʻike ʻia ai nā hoʻopiʻi haumanu, pono e ʻike ka mea maʻi i ke kauka e hoʻomaʻamaʻa i ka maʻi maʻi a kuhikuhi i ka hana kūpono.

1. ʻeha ka huehue ma ka pancreas. Aia ka ʻenehana i ka hema ma ka ʻōpū o luna. No laila, e pālahalaha ana ka ʻeha ma laila. E hoʻomaka me ka wahi epigastric.

I ka mua, ʻeha ka ʻeha i ke kūlohelohe, he papa manawa maʻamau. Inā hele nā ​​pathology i nā hana koʻikoʻi nui aʻe, hiki mai kekahi hōʻ kaua. Hoʻohālikelike ʻia ia e ke kāʻei kuni ʻāʻī, paroxysmal ma ke ʻano.

I ke kiʻekiʻe o ka hoʻouka ʻana, hiki i ka nausea a me ka luaʻi. Hiki iā ia ke hāʻawi i ke kua, hope, ʻāʻī, ke poʻo, nā ʻōpū, ma nā ʻaoʻao hema. He ʻano hiʻohiʻona a pau o ka pancreatitis maʻa.

Me nā kaʻina oncological, ʻike nui ka pūnaewele o ka projection o nā lehelehe. Hoʻomaʻa kēia i ka meaʻino mai i ka capsule o ke kino.

2. ʻO ka maʻi pancreatic. ʻO kēia pūpili kekahi o nā loli kūwili a me nā pilikia o ka hormonal.

  • Nausea ma ka maʻi maʻi pancreatic. Lalo ke ʻano puka ma ke ʻano o ke ʻano kīnāwai a kahe wai ʻana mai ka wai wai mai loko o ke kano pancreatic. Aia kahi kahi hoʻohālikelike. Loaʻa paha no ka manawa lōʻihi, a e hala paha ma hope o ka luaʻi. E kū'ē i ke kua o ke ʻeha, hoʻonui ʻia ka ʻōpū. Ke hele nei ka ʻeha, nalo aku nei. Hiki iā ʻoe ke hoʻopau i ka lāʻau lapaʻau me nā antiemetics.
  • ʻO ka maʻi maʻi i ka palu o ke pancreas. Hoʻomaka ia e ka emi ʻana o ka hana o ka enzyme. Hoʻokomo ka meaʻai i nā ʻāpana, akā ʻaʻole lawa ka nui o nā enzymatic compound. Hoʻ hoʻonāukiuki kēia i nā kaʻina o ka fermentation, malabsorption. Hōʻike ʻia ke maʻi maʻi. Uuhi ʻia i ka nui o nā hua. He olakino, ʻano kehi. Ua holoi ʻia i ka mea ʻino. He koikoi pala. Aia nā hona o nā huahana undigested. ʻO ka kīʻaha kūmole a hiki i ka 5 mau manawa i ka lā.
  • Lohea ʻAʻole ia e like ma mua o nā hōʻailona ʻelua ʻelua. Loaʻa ia me nā alualu holomua o ka maʻi. Hāʻawi i ka luaʻi maikaʻi ʻana i ka wā e hōʻike ana i ka make. Hoʻohui pinepine me ka hoʻouka kaua pancreatic. Ma hope o ka luaʻi, hiki mai ke hōʻoluʻolu.
  • Hypovitaminosis a me nā anemia. Hoʻohālikelike lākou i ka ʻili maloʻo, kuku kuku, gingival koko, hemorrhagic manifestations.

Ke hoʻopili ʻoe i kahi maʻi sekela a i ʻole nā ​​hoʻopili, ʻike ʻia nā hōʻailona ʻē aʻe:

  • ʻO ka kahe koko,
  • Kuhi ʻia
  • Hepatosplenomegaly - he nui ka uku o ka nui o ka huina a me ka mane,
  • Ascites - kaʻili o ka wai i loko o ka'ōpū o ka ʻōpū,
  • ʻO ka peritonitis ka nahu o ka peritoneum. Hoʻoweliweli loa ka ola
  • Sepsis - kahi maʻi maʻamau, ka komo ʻana o nā microbes i ke kahe koko a me kā lākou komo ʻana i nā kino ʻē aʻe,
  • ʻO ka hypoglycemic aiʻole hyperglycemic coma.

No laila, he mea nui loa e hoʻomaka i ka mālama ʻana i ka maʻi ma ka hiki ke hiki.

Hoʻololi ka ʻili

Hōʻike ʻia ka ʻike ʻana i ka ʻili o ka pancreatitis i ka pallor a i ʻole jaundice ma muli o ke koi ʻana o ke kumu o ka bile ma ka edematous pancreas. Aia kekahi mau cyanosis o nā manamana lima, ka nasolabial triangle ma muli o ka liloʻana a me ka kaumaha o ka hanu (hōʻailona Lagerlef). Hiki i nā ʻala ʻili nā kikowaena i ka ʻili o ka ʻōpū (e ʻoi aʻe hoʻi i ka ʻākau o ka piwa). He hōʻailona kēia o Halstead. ʻO ka ʻaoʻao ʻulaʻula o ka ʻōpū he hopena i loko o ke kaʻe o ke kaʻe o ka ʻōpū o ka ʻōpū o ke kīpē (ke ʻano o Grey-Turner). ʻO ka ʻulaʻulaʻula ʻāhinahina o ke oulani, ua ʻike ʻia ʻo ia he hōʻailona o Kyuyulen. ʻO nā hāhā a puni nā pōpō he hōʻailona ia o Grunwald.

Hoʻomaopopo o nā maʻi o ke kino

Hōʻike nā hōʻailona ʻokoʻa i nā hōʻailona ʻokoʻa. Eia nō naʻe, aia kekahi mau hōʻailona maʻamau e hōʻike ana i kekahi maʻi ʻalani: ʻeha ma lalo o ka iwi ʻākau a i ʻole ma ka plexus solar. Hoʻomaopopo, ma ke ʻano he kānāwai, hoʻomaka e hōʻike iā ia iho i kekahi manawa ma hope o ka pāʻina. ʻO nā maʻi maʻamau:

  • ka pōʻai a me / a i ʻole ka luaʻi
  • ʻōpū ʻōpū
  • ʻōpū, ʻeha.

Me kahi maʻi hana exocrine, i hele pū me ka nele o nā enzyme digestive, hōʻeha ka poʻe maʻi i nā ʻōpū o ka ʻōpū (ʻōpio, ke hau, ka waiʻai e hoʻololi i ka melemele a i ʻole ʻulaʻula), nele i ka momona, a me ke ʻeha i ka pancreas. Ke hoʻomanawanui nei i ka meaʻai me ka ʻai i ka paʻakai i hiki ke kū pinepine. Me ke ʻano o ka maʻi, ma muli o ka loaʻa ʻole o nā mea kanuʻai, hiki mai paha nā hōʻailona like ʻole:

  • ka maloʻo ʻana a me ka hoʻāla ʻana i ka ʻili, ka ʻāpana o nā kihi o ka lauoho, nā ʻōpala o nā kui.
  • nele o nā huaora i ke kino,
  • lilo ka momona pau ʻole
  • nā neʻe pinepine ʻana

Aia i ka paʻakikī o ka maʻi, e ʻokoʻa ka ʻeha o nā hōʻailona. I nā hihia koʻikoʻi, ʻo nā hōʻailona e like me ka tachycardia, nāʻili nui, ka melemele o ka ili a me nā ʻōmole o nā maka, ke kuni, ka palupalu nui, a ma nā hihia ākea, e kū mai ana ka pīhoihoi.

ʻO ka maʻi maʻi pancreatic maʻamau ka pancreitis. Ma ke ʻano lāʻau, hiki ke hui pū ʻia me ka ʻāʻī o ke kāʻei ikaika, hāʻawi i ka kua i hope, i ʻole e hiki ke kū i ka lāʻau antispasmodic a me nā analgesic. Hiki ke hoʻonui i ka ʻeha me ka loli i ke kūlana o ke kino, torso, hele.

Nui! Inā ʻike ʻoe i kou mau inoa i hōʻike ʻia, mai huki - e nīnau aku i kahi kauka. E like me ka mea i hōʻike ʻia ma luna nei, hiki i nā maʻi pancreatic ke loaʻa nā hopena koʻikoʻi.

ʻO ka manawa pinepine, ʻo ke kumu nui o nā maʻi digestive ʻo ka pōʻino. ʻO ka pancreas ua ʻeha nui i ka:

  • ka nui o nā huahana waikawa (nā hua citrus, nā waiʻona),
  • ka huhū ʻole i nā ʻūlū,
  • inu waiʻawa
  • lawe i ka lāʻau lapaʻau.

ʻO nā kumu ʻē aʻe o ka maʻi: nā maʻi o ka duodenum, ʻōnaehana cardiovascular, ka hōʻeha o ka hormonal, ʻo ia hoʻi ka trauma i ka ʻōpū o ka ʻōpū a me nā hana ma mua. Ma kahi hapakolu o nā maʻi, ʻaʻole hiki ke loaʻa ka hopena.

Nā hōʻailona o ka maʻi o ka pancreatic

Ma ka maʻi pancreatitis mahele, ua ʻōlelo ʻia nā hōʻailona. Loaʻa i nā kiʻi maʻi i kahi maʻi kulina i kahi maʻi maʻi a me kahi hōʻailona maʻalahi.

I waena o nā mea ʻike maopopo, ke koi ʻia o ka pancreatitis:

Nā HoʻomakaI nā hiʻohiʻona koʻikoʻiI ka maʻi pancreatitis maʻamau

ʻEhaUa ʻeha ko ka ʻeha, hoʻopaʻa ʻia i ka hypochondrium hema, he ʻili a ʻū paha, huki. Lawe pinepine ʻia i kahi kāʻei ʻili.

Hāʻawi i ka wahi o ka puʻuwai, i hope.

Maikaʻi ka ʻeha a hiki ke hōʻeha i ka ʻehaʻeha a koi aku i kahi ʻōloko

Hoʻololi ka ʻili i loko o ke ʻano, ʻo ka lokomaikaʻi o ka ʻeha ma ke ʻano o ka ʻōpū, hana pinepine i nā ʻōpū i ke kāʻei a hāʻawi ʻia i ka ʻāina o ka kuʻina. ʻAʻole ʻike ʻia ka ʻeha, hoʻomaka ka puni ʻana o ka uaki i ka manawa o ka hōʻoluʻolu

KahulaHōʻike koke ia ma hope o ka ʻai ʻana a ma hope o kekahi manawa, ma nā hihia 8 mai 10 he mau a pau me ka luaʻOi mau nō ia, kū mai kahi o nā mea inu kai. Ma hope o ka ʻai ʻana, koi ʻia ka lua

LoheaHoʻopau-puna wai, hoʻihoʻi, nānā ʻia ma hope o ka papaʻainaHe make a aftertaste ʻo Vomit, me ka cholecystitis, ua loaʻa ka ʻike bile. Hōʻike ʻia ma hope o ka ʻai ʻana i ka meaʻai aʻai, nā ʻono maikaʻi

Nā neʻe piʻoFlatulence, constipation a i ʻole hoʻokuʻu ʻia, nā pākeke i kahi hiʻohiʻona ʻulaʻula, kahi kala māmāKa hoʻololi ʻana o ka constipation me ka maʻi maʻi, aia ka hoʻomaha mau ana o ka ʻaina. Ma hope o ka ʻai ʻana, hoʻopaʻa ʻia ka urination pinepine ʻana. Loaʻa nā loea i ka aila lau, hoʻomaʻemaʻe lākou

Naʻu?ʻO ka hoʻolilo ʻana o ke kaupaona, nā paila, nā nāwaliwali e nānā me ka maʻi pinepine a me ka luaʻi, hiki ke hoʻoweliweli i ke ola o ka mea maʻi me nā hōʻailona ma mua o 9%Hōʻike ia ka palupalu, i hōʻike ʻia e ka pohō kaumaha, nāwaliwali laulā, ka lethargy, ka hemahema, ka hoʻemi ʻana i ke koko

HōʻikeʻikeLethargy, hopohopo, nele i ka makemakeʻO ke kaumaha maʻamau, lethargy, apathy e kū mai

9 nā hōʻailona koʻikoʻi o ka pancreatitis

Ma waena o nā hōʻike ʻike ʻole ʻia hiki ke loaʻa:

  1. Kūʻai. Loaʻa me nā māla weliweli a me ka hoʻohālikelike.
  2. ʻEha ka ʻeha, hōʻeha ʻeha. ʻO ka hiʻohiʻona o nā kaʻina ʻaina, ke kāʻili ʻia o nā papa o ka bile.
  3. Jaundice (nā kala melemele o ke ʻili a me nā protein o nā maka). Hōʻike ʻia me kahi cessation piha a i ʻole ʻāpana o ka puka ʻana o ka bile mai ka leona.
  4. He ʻeha hōʻeha. Loaʻa ia ma muli o kahi hoʻohālikelike.

ʻEha ka maʻi pancreatitis

Hoʻohana ʻia no ka mumū pancreatic

I ka mālamaʻana o ka pancreas, pono i ka manawa like i ka hana ʻana i nā lāʻau kūpono no kēlā mau maʻi e hōʻeha i ka maʻi ʻaʻoki o ka pancreas. He mea nui ia e hoʻōki i ka inu ʻona. Inā he mau pōhaku i loko o ka papa palaka o ka mea maʻi, pono lākou e haʻalele.

Me kahi hoʻohālikelike o ka maʻi a i ʻole me kahi ʻano o ka maʻi i hōʻike ʻia ai, ke kauka, ke ʻano he kānāwai, e kuhikuhi ana i nā lāʻau lapaʻau e hōʻemi ai i ka ʻauʻau. wai momonaa me nā huahana like ʻole o nā enzyme i loaʻa nā ʻāpana bile. ^ E Ha yM. Kau ʻia ʻole ʻoe e ʻai i nā lā i nā lā mua mua o ka maʻi pancreatic. I kēia hihia, ʻae ʻia ka hoʻohana ʻana o nā wai wai minereka ole carbonated.

Inā ua neʻe ka maʻi i kahi manawa ma hope, a laila e pono ke lawe ʻia nā ʻāpana o ka enzyme i kahi manawa lōʻihi. Pono e hoʻololi ʻia nā mākaukau, a inā hoʻomaikaʻi ke ʻano o ka mea maʻi, a laila no kekahi manawa i ke mālama ʻana o ka pancreas hiki iā ʻoe ke hoʻomaha.

Nā hōʻailona o kahi hōʻeha pancreatic

Hōʻike ʻia kahi hoʻouka nui e pili ana i ka ʻehaʻeha, ka hōʻeha ʻana i ka nui o nā puʻupuʻu. Hōʻike ʻia ma muli o ke kahe mai o ka wai pancreatic, nāhelehele o ka papa pancreatic, ke kikoo ʻana a me ka hōʻino o ka capsule.

ʻO ia ka ʻano o nā maʻi: ʻo ka pancreatitis ma ke koʻikoʻi o nā maʻi, nā pōhaku pancreatic, necrosis pancreatic, neoplasms malignant.

Nā hōʻailona o kahi hoʻouka:

  • Ikaika, ikaika, hanaʻeha, hoʻoweliweli ʻeha, kahi mea i hoʻopau ʻia e nā analgesics. Hoʻokomo ʻia i nā lālā ʻē aʻe.
  • Laau hikiwawe loa, he awaawa maloko o ka waha.
  • Ke kiʻekiʻe o ka hōʻeha o ka ʻeha, ka luaʻi a me ka wai momona.
  • ʻO ka maʻi kaumaha.
  • Kūʻai.
  • Hoʻonui ka nui o ka naʻau a me ka piʻi o ke koko.
  • Pallor o ka ʻili. ʻO ke ʻano o ka hāʻule ʻana o ka maloʻo maloʻo ma ke kino.
  • Hoʻomaʻamaʻa ka mea maʻi i ka make.

Hana ʻia kēia kūlana ma kahi hale hoʻomaha ma lalo o ka mālama ʻana o kekahi kauka. Hiki ke mālama ʻia.

Hōʻikeʻike o nā maʻi ʻē aʻe

ʻO kekahi mau maʻi ʻē aʻe o ka pancreas e kū hou ana ma ke kumu mua o ka pancreatitis. Hoʻopili lākou i nā hōʻailona nonspecific me ke kiʻi nui o ka maʻi.

  1. I ka maʻi gallstone, nānā ka luaʻi me ka bile, kahi ʻano aftertaste i loko o ka waha. I nā hoʻomaka mua, he ʻāpana o ka ʻili, ko lākou tingish melemele, kahi wikiwiki e hoʻonui nui ʻia i ka jaundice i ka wā o ka hoʻoili ʻana o nā dile bile ka mea maʻamau. ʻO ka ʻehaʻeha o ka hopena i loko o ka hypochondrium, ka mea e kū ai i ka ʻōpū, e uhi ana i ka hope (spine).
  2. Ke hoʻopili ʻia kahi maʻi maʻi i ka hoowalewale ʻana, nui ke kino o ke kino a me ke koko. Hoʻā ʻia ka ʻeha ma ke ʻano he hōʻeha lohi, loaʻa iā ia kahi ʻano kāʻei.
  3. Me nā hana o ka hoʻoulu ʻana, ulu ka ʻōpū, hoʻohaʻahaʻa ka nui o ke koko, e hoʻoikaika pono ana ka jaundice, a me ka ʻeha. Diagnosed me ka maʻi maʻi maʻi.

ʻO kahi papa pancreatic

Hiki i kahi ʻāpana pancreatic o ʻelua mau ʻano: maʻiʻo pancreatic, i ko mākou manawa he mea maʻamau loa, a ka hana ʻeha me ka ikaikahoʻomohala ʻana mai nā hale kūikawā. ʻO kēia mauʻano i nāʻuʻuku nui e hūnā i nā hormone pancreatic.

Hiki ke ʻike ʻia ke kanesa pancreatic me nā ʻano like ʻole. Hiki i nā hōʻailona o ka maʻi ke ʻano, ma muli o kahi kūpono - i kahi e komo ai i ka kelepa - e ulu ana ka ʻōpū. No laila, inā aia kahi maʻi o ka poʻo o ke kino, a laila hoʻomohala kekahi kanaka i ka jaundice ma muli o ke ʻano o ka bile dile maʻamau. Inā hele mai ke kanesa i ke kino a i ʻole o ka lālani, a laila ke hoʻomau nei ka mea maʻi i ka maʻi diabetes.

ʻO ka pinepine loa, me ke kanesa pancreatic, nā hōʻailona like i ʻike ʻia me ka hoʻomau ʻana o ka hoʻomau holomua ʻana o ka maʻi pancreatitis maʻi. Eia kekahi, ua hele pinepine ʻia kēia maʻi kalepa ma ke ʻano o ka hoʻomalū ʻana o nā maʻi pancreas. Ma ka manawa like, hopohopo nui kekahi kanaka i nā ʻehaʻeha loa, ua nui loa ka luhi, ke emi nei kona makemake. I kēia lā, no ka noi ʻana i ka ultrasound, ʻike ʻia kahi papa pancreatic i nā pae mua.

He like ke ʻano o nā tumors Hone hooponoa pela hoʻomākeʻe kaʻālana. ʻO nā hōʻailona mua i kēlā mau maʻi ke hōʻailona o ka hilahila o ka metabolic, ma ka hapanui o kekahi haki i kū i ke koko. ʻO ia ka hoʻonui ʻana o ka pau ka hormone i loko o ke koko kekahi o nā kaʻina no ka hoʻomoʻomaʻomaʻa ʻana i nā maʻi o kēia ʻano. Eia kekahi, hiki i kahi ʻōmiki like ke hoʻomaopopo i ka hoʻōla ʻia o ka tomography a me ka nānā ʻana i ka ultrasound. I kēia hihia, hiki ke mālama ʻia e ka hōʻola ʻana, a me ka hoʻohana ʻana o chemotherapy.

Kūmole pancreatic

Kūmole pancreatic - He kapu paʻa kēia ma kahi e hōʻiliʻili ai ka wai ma ke ʻano o nā ana. Hiki i ke kuana ke kū pololei ma ka kelu, a ma nā kolo kokoke. ʻO kēlā maʻi me ka neʻe o ka like me nā kāne ma nā kāne like ʻole. He mea maʻamau i hoʻokaʻawale ma waena o ʻelua mau ʻano cysts: kumulela a loaʻa. ^ E Ha yM. I ka huli ʻana, loaʻa i nā cysts ka mea i ʻokoʻa i kēia: noho, hoʻohaʻahaʻa, proliferative, parasitita.

Eia kekahi, i kekahi manawa ua maʻi ka maʻi "cyst wahahee"." Hōʻike ʻia kēia ʻano hana ma muli o ka hiki ʻana o ka pancreatitis akiki a me ka necrosis pancreatic, i hana ʻia ma muli o nā hōʻeha. Ma ka lua o ka pūhaka wahaheʻe, e like me ke kānāwai, aia ka lolo a me ka necrotic. Hiki ke loaʻa ka sista pancreatic hewa ma kekahi ʻāpana a ulu aʻe i kahi nui nui: i kekahi manawa ma ke kīkala aia ma kahi o 1-2 lita o nā manaʻo.

Inā liʻiliʻi ka pūpū pancreatic, a laila ʻaʻole i loaʻa ka maʻi āpau i nā hōʻailona. Hōʻike nā hōʻailona hōʻailona o ka maʻi i ka wā e ulu ai ka cyst i kahi nui nui a hoʻopaʻa 'ole paha i nā neʻe i nā mea e kokoke kokoke ana. Ma ke alo o kahi nui i ke kino, hiki i kekahi ke loaʻa i nā ʻeha ma ka ʻōpū o luna, ʻoi ka nui o ke kaumaha, peke ka manawa i ka nui o ke kino, nā hōʻailona dyspeptic. Hiki i ka ʻeha ke kū ʻole i ʻole ka paroxysmal. I kēia hihia, mālama ʻia nā cysts i ke kāʻei ʻana, a me ke koho o ke ʻano hana kaila i ka nui a me kahi o ka hoʻokumu i ka pancreas.

Nā pōhaku pancreatic

Nā pōhaku Pancreas hana i ka liʻiliʻi iki. ʻO ka nānā ʻana o nā pōhaku i loko o nā kumu o ka hoʻopiha a i ʻole ka hoʻoneʻe ʻana i ka paʻakai ma ka ʻākala o loko o ke kīpē hiki ke hōʻike iā ia iho he maʻi kūʻokoʻa, a ma muli o nā maʻi mua o ka maʻi pancreatic. Inā mākou e noʻonoʻo i ka helu kemika o nā pōhaku i ka pancreas, a laila pinepine ke ʻano i hana ʻia mai nā calcium carbonates a me ka phosphorus. ʻO nā mea i hana ʻia mai nā magnesium, silikino a me nā konika alumina e hana pinepine ʻia. Hiki iā lākou ke loaʻa nāʻokoʻa like ʻole, ka nui ʻana, a kū hoʻokahi i ka manawa. Loaʻa nā pona ma ke poʻo o ka pauku nui, ʻaʻole i liʻiliʻi ma nā wahi ʻē aʻe.

Aia a hiki i kēia lā, ʻaʻole maopopo i nā kumu no ka hoʻomaka ʻana o nā pōhaku, akā ua manaʻo ʻia e ala ʻia nā pōhaku ma muli o ke kipi ʻana o ka hōʻemoe o ka phosphorus-calcium ma ke kino. Hōʻike i ka ʻike o nā pōhaku i ka stagation o ka pancreas wai wai i loko o ka pancreas a me ka mumū e hele mai ana ma muli o kahi maʻi lua.

ʻAʻole ʻike ʻia nā hōʻailona ʻano o kēia maʻi. I ka manawa pinepine, ʻike ʻia nā pōhaku ākea e ka X-ray. Me nā maʻi koʻikoʻi, ʻike ka mea maʻi i ka hōʻeha nui o ka ʻōpū ma luna o ka ʻōpū o luna, e pā ana i ke kua. Ua kū ia i kēlā me kēia ʻeha i loko o kahi ʻano paroxysmal. Hoʻonui ʻia nā ʻano ʻeha ʻana he mau hola ma hope o ka ʻaina.

Inā hele ka maʻi, a laila hoʻoliʻi ka mea maʻi me ka constipation a me ke kōpaʻa, a hoʻemi ka makemake. Inā hele nā ​​pōhaku i ka umauma bile mai ka papa pancreatic nui, ʻike paha ka mea maʻi jaundice kaahope.

No ka loaʻa ʻana o kahi maʻi maʻi, alakaʻi ʻia ke kauka e nā hopena o ka hoʻokolokolo a me ka nānā ʻana i ka mea maʻi, a me ka ʻike mai nā haʻawina x-ray. Koho ʻia ke ʻano hana maʻi ma muli o ka pilikia o ke ʻano o ka mea maʻi, inā he mau pilikia. Inā hele koke ka maʻi, a laila e lawa ka pono no ke koho pono ʻana i ka lapaʻau ʻia, hōʻailona a me nā maʻi aʻoaʻo. Inā hōʻeha ʻia ka maʻi, hoʻopaʻa ʻia nā hoʻouka pinepine ʻana, a laila ma kēia hihia, e kau ʻia ana ka lāʻau lapaʻau.

Meaʻai no nā maʻi pancreatic

Ke mālama nei i ka pancreas, koʻikoʻi nui loa ia e hoʻokō pono i kahi meaʻai kūikawā no ka pancreas. Aia kahi hoʻonohonoho o nā huahana i hāpai ʻia no nā poʻe me nā maʻi pancreatic. Pono ʻoe e hoʻokomo i ka papa keʻokeʻo i ka papa ʻaina, me ka pōkole ʻo nehinei hoʻi.

ʻAiʻai pancreas pili ke komo i ka manawa o ka papa ʻaina o nā papa mua - nā lau ʻaiu a me ka waiū ʻapala, borscht, mau kinupa. Ma ka lua ma hope, ma ke ʻano o ka ʻai ʻana iā ʻoe, hiki iā ʻoe ke hoʻohana i nā ʻōpala, kūlou, ʻai puaʻa, iʻa ʻia i ʻole a i ʻole ke ʻano o nā ʻōpala i hoʻomoʻa ʻia, ʻai manu, ʻai. ʻAe ʻia nā ʻano lāʻau like ʻole ke ʻole he mea pala. ʻO ka meaʻai no ka pancreas me ka hoʻohana pinepine ʻana i nā cereals, pasta, nā huahana pāʻai a me nā kīʻaha. Pono ʻoe e hōʻalo i nā momona; hoʻokaʻa ʻia nā liʻiliʻi liʻiliʻi o ka palaka a me nā aila. Hoʻonui ʻia kekahi hua hoʻokahi i kēlā me kēia lā. E like me nā mea inu, compote, jelly, tea palupalu ua kūpono.

ʻAʻole ʻae ʻia ka papa ʻai e hoʻohana i nā pā wela a me ke anu, i nā mea i puhaluhi, nā iʻa, nā iʻa ʻona, nā momona momona, nā ʻiʻo, nā mea ʻala, ʻoka, aikapu, ʻAmala maʻa, mau me ka puna. He mea nui e noʻonoʻo e pono ke hoʻomoʻa a kuke ʻia nā kīʻaha, ʻaʻole hiki ʻoe ke hoʻohui i nā mea ʻala iā lākou.

Hoʻopilikia i nā maʻi pancreatic

ʻO nā ala e pale ai i ka maʻi pancreatic, ka mea mua loa, aia ma muli o kekahi mau lula koʻikoʻi. Pono e hoʻomanaʻo mau i ka hopena maikaʻi loa i ka hoʻopili ʻana i ka lepale ka mea inu, ulaula, ʻai kīnā ʻole, nā mea momona loa. Pono e pale i kēia mau mea āpau inā hiki. ʻO kahi ala maikaʻi maikaʻi ʻo ka hoʻohana mau ʻana i ka lāʻau lapaʻau mai nā blueberries, nettle, lingonberry, dandelion, rose hips. I nā pilikia liʻiliʻi me ka pancreas, pono ʻoe e hōʻole i nā mea momona a me nā palaoa, nā momona momona loa, i pale ʻia i nā kīmona ma ka hele a me ka hōʻona ʻana.

Pono e hoʻoliʻalilo i kaʻai a hoʻomaikaʻi i ke olakino. ʻO ke kūpono, pono i ʻoki mau ʻia nā meaʻai, ʻehā a ʻelima mau manawa i ka lā, a aneane e like me like ma waena o nā pāʻina. ʻAʻole liʻiliʻi ka liʻiliʻi i ka loliʻana i ka meaʻai.

Inā loaʻa iā kahi maʻi kahi maʻi gastrointestinal tract, nā noiʻi a me nā kūkākūkā ʻana me ke kauka.

Nā hōʻailona kūikawā

Hoʻoholo ʻia nā hōʻailona kūikawā i loaʻa i ka wā o ka palpation o ka ʻōpū o ke ʻōpū, ma ke ʻano he kānāwai, he kauka wale nō ia.

  • ʻO ka hōʻailona o Mayo-Robson ka palpation kaumaha o ka ʻaoʻao hema-vertebral hema.
  • ʻO ka hōʻailona o Dudkevich ua ho'ākāka ʻia ka palpation hōʻeha inā hoʻonohonoho ʻia ke lima o ke kauka 2 cm ma lalo o ka piko a neʻe i loko a kū i luna a piʻi i luna.
  • Inā hana ka maka o ka lima i nā neʻe i loko o ka epigastrium, a laila ke ʻano o ke kaumaha e hōʻike nei i kahi hopena maikaʻi o Chukhrienko.
  • Hoʻomaʻamaʻa Shchetkina-Blumberg - i hoʻonui nui ʻia i ka wā e huki ai ka lima i ka wā o ka palpation o ka ʻōpū, ʻo ia ka hiʻohiʻona o ka peritonitis. Ke ʻike ʻia ka hopena o ka pathological i loko o ka ʻōpū o ka ʻōpū, e pili ana i ka hina ʻana o ka pancreas a me ka huhū o ka peritoneum me nā enzymes, ʻike ʻia nā hōʻailona o ka irritile peritoneal.

Nā hōʻailona hōʻailona hana

ʻO ka hiʻohiʻona maʻamau no ka mumū a i ʻole ka luku ʻana i ka pancreas e loli i ka hoʻāʻo ai i ka lāʻau lapaʻau a me ka biochemical blood, a me nā loli ʻana i ka urine.

  • ʻO nā hōʻike koko maʻi

E pahono ia ma ka hoʻonui ʻana i ka hopena sedimentation erythrocyte (ʻoi aku ma mua o 10 mm i hoʻokahi hola i nā kāne a ʻoi aku hoʻi ma mua o 20 i nā wahine), ka maʻi leukocytosis pili (ka nui o ka helu o nā leukocytes ma mua o 9 G / l), e hōʻike ana i ke mumū. Me ka luku nui ʻana a me ka hoʻohui ʻana o kahi maʻi maʻi purulent, ʻike ʻia kahi "hoʻololi o ka ʻōlima leukocyte ma ka hema" ʻo ia hoʻi, ka hoʻonui ʻana i ka nui o nā leukocy ʻāpana a me nā pua.

Inā ʻoe e hoʻoholo i ka hematocrit (ʻo ka hoʻohālikelike o nā ʻāpana koko ʻulaʻula i ka volume plasma), a laila piʻi ka nui ma o ka dehydration (ma nā kāne> 54, i nā wahine> 47%). Hoʻoholo ʻia ka pili ʻana ma ka pili i nā ʻāpana koko ʻulaʻula. I nā hihia i loaʻa ka pancreatitis hemorrhagic i nā hope aʻe, hiki i ka hoʻomohala ʻana o ka anemia (he hōʻemi i ke pae o nā ʻōpū koko a me ka hemoglobin). Hoʻonui pinepine ʻia nā pae glucose koko a ma luna o 5.5 mmol / L.

Hoʻoholo pinepine ia i ka pae o ka amylase, e piʻi ana ma luna o 125 U / L i nā hola 12 o ka maʻi maʻamau. Inā ua loaʻa ka nekrosis o nā kelepona, hāʻule ka amylase. ʻO ka hoʻonui ʻana i ka lipase, trypsin, a me ka pae o ka inhibitor enzyme e hōʻike hou aʻe. I kēia lā, ʻo ka mea nui loa o ka hoʻonui ʻana i nā lā ʻelua ʻelua o ka elastase koko.

Akā, ʻaʻole hoʻoholo kēia enima i loko o nā limahana āpau. ALaT, ASaT a me LDH e ulu aʻe, e hōʻike ana i ka hōʻeha ʻana o nā cell. Ma muli o ka jaundice, ua hoʻonui nui ka nui o nā kuʻuna a me nā hua bilirubin holoʻokoʻa. Hoʻokomo ka Acidosis i kahi hāʻule i nā pae o ka calcium, magnesium a me nā chlorides.

pili i ka hoʻonui ʻana o kona kūleʻa pili, nā hakahaka o ka protein (cylinders), nā keʻena koko keʻokeʻo a me nā ʻona koko ʻulaʻula i ka wā o ka hōʻemi a i ʻole nā ​​mea ʻino o nā keiki. Hoʻomaka ka urina diastasis ma mua o 100 mau papa me kahi palena kiʻekiʻe o nā maʻamau ma 64 mau ʻāpana. Hōʻike ʻia nā kino gula a me nā ketone i loko o ka mika, e hōʻike ana i ka hoʻokūkū ʻana o ka pākuʻi a me ka ʻaila metabolism.

Nā hōʻailona o nā maʻi e like me ka pancreas

I ka hoʻohuiʻana i ka pancreatitis hoʻonā, he nui nā ala āpau e hoʻopili ana i ka pancreas. Nā hōʻailona o ka maʻi, ka maʻi a me ka mālama ʻana ke hilinaʻi pinepine nei i ke kahua o ke kaʻina a me kona wahi.

He aha nā hōʻailona o ka maʻi maʻi pancreatic e pili ana i ka nui o nā maʻi? ʻO kēia nā mea hōʻeha, nā dyspepsia a me nā hiʻohiʻona o nā hoʻokolohua hōʻoia.

Nā huapau

I kēia manawa, ʻo nā ala e ʻoi loa ka loaʻa ʻana o ka ʻike e pili ana i ka mokuahi o nā kino o ke kanaka. No laila, ua kuhikuhi mua ke kauka iā lākou.

Hoʻomaka kahi hana diagnostic maʻamau me kahi moʻolelo olakino: haʻi ka mea maʻi i ke kauka e pili ana i kāna mau hoʻopiʻi, ʻoiai ke kau nei ke kauka e hoʻomaʻemaʻe i nā nīnau e pili ana i ke ʻano a me ka hōʻeha o nā hōʻailona. A laila, hana ʻia ka palpation ʻōpū e nānā i nā ʻōpū o loko a hoʻoholo i ke ʻano o ka maʻi. Ma hope o kēlā, hiki i ke kauka ke kuhikuhi i kahi ultrasound a i hoʻohui ʻia i ka tomography e nānā i ka pancreas, e ʻike i kona ʻano, kahi, a me nā mea ʻē aʻe. I loko o kēia mau ho'āʻo ʻana, he mea maʻalahi ke kāohi i nā hōʻeha, nā pōhaku, nā cyst, nā puka o nā kani, a me nā mea i loko o ke kino.

E like me nā haʻawina hou, hiki ke hoʻokō ʻia nā hoʻokolohua lapaʻau i ke koko a me ka urine, pono ia e hōʻoia i nā maʻi a i ʻole nā ​​kaʻina hana i loko o ke kino e hoʻopōʻū pono i ka mokuahi o ke ʻano.

I nā kūlana koʻikoʻi a hoʻokūkī paha, hiki i ke kauka ke ʻōlelo aku i ke ʻano o ka imon résonance magnetic, a me kahi mākaukau o nā ʻili o nā kiko.

Nui! Mai hoʻopaʻa iā ʻoe iho ʻO ka hapanui o nā maʻi pancreatic ka like me nā hōʻailona like ʻole, no laila ʻoe, ʻaʻohe mea kōkua, ʻaʻole ʻoe e hōʻike pololei i ka maʻi.

I mea e hoʻomaʻamaʻa ai i kahi hoʻokolohua, pono ʻoe e hoʻopili i kahi lāʻau lapaʻau a pololei paha i kahi gastroenterologist.

Ma muli o ke ʻano nā maʻi a pau āu i hōʻike ai. No laila, i kēia ʻāpana mākou e noʻonoʻo ai i nā loiloi e hōʻike ʻia e nā kauka no nā maʻi āpau me nā maʻi maʻi pancreatic, a me nā ʻano o ka mālama ʻana i kekahi o nā maʻi maʻamau.

Pehea e maopopo ai ka maʻi pancreatic

Hiki ke wehewehe pono ʻia ka ʻatikala a me ka piha piha. Ma ka hōʻailona mua pono ʻoe e hoʻopili iā ia. I ka mua, ua hōʻiliʻili ʻia nā ʻikepili a pau e pili ana i nā hoʻopiʻi a me nā hōʻike o nā pathology. A laila, ua kuhikuhi ʻia nā noi lāʻau maʻamau.

  • Kūʻai koko nui. I loko o ia mea, he kiʻi pena, ʻike ʻia ka maʻi maʻi maopū.
  • E hōʻike i kahi hōʻike maʻamau i ka urine.
  • Ka loiloi i ka hoʻokaʻina koko biochemical no ka hana o nā hōʻailona kai a me nā enzyme: glucose, kolesterol, huina piha, ALT, AST, amylase, alkatine phosphatase, CRP. Inā pono, hoʻohui i ka papa inoa.
  • ʻO ka nānā ʻana i ka ʻōpū o ka pūpū. Ma o mua o ka paia o ka ʻōpū, ka moku'āina o ka nui, ka nui, ka nui, ka nui, echogenicity e loiloi ʻia me ka sensor ultrasonic. Ma ke kumu o ka ultrasound, hiki iā mākou ke kiʻi i ka hopena e pili ana i nā maʻi pancreatic.
  • ʻO ka hoʻohanaʻana i ka Endoskopikena o ka pancreas. Hoʻomaopopo no ka loiloi ʻana i ke poʻo o ka huelo. ʻO ka endoskope kahi pahu ngali palaki me kahi kāmela ma ka hope. Hoʻokomo kekahi endoscope i loko o ka esophagus, ʻōpū, a me duodenum ma o ka waha o ka mea maʻi. Ma o kona paia, hiki ke loiloi ʻia ka mokuʻāina o nā kelepa.
  • X-ray o nā ʻōpū o nā ʻōpū. Hōʻike ia i nā neoplasms.
  • Hiki iā lākou ke kūʻai aku i ka hoʻopili ʻana a me ka hoʻonaninani resonance magnetic. E nānā i ke ʻano o ke kino i nā ʻāpana.
  • No nā pahuhopu diagnostic, hana ʻia ka hoʻomaʻamaʻa ʻana me ka hoʻohana ʻana i nā punctures i loko o ka ʻili ma ka ʻōpū - laparoscopy. Hōʻalo i nā kāmele pathology gland.

ʻO ka pane ʻole i pane ʻole ʻia he paʻakikī ke hāʻawi i ka mālama ʻana i ka pancreas. Pili loa ia i ka pathology, the Severity, kondisyon o ka mea maʻi, ka lōʻihi o ka papa.

ʻO ka hoʻouka ʻana o ka pancreatitis hoʻonā i nā papa mua i ka hōʻailona mua e hiki ke hoʻōla maikaʻi ʻia. I kēia hihia, pono ʻoe e hahai i kahi ʻai ikaika a me nā ʻōlelo a pau a ke kauka.

He paʻakikī paʻakikī ka pancreatitis paʻakikī. Ke kapa nei nā kauka ʻaʻole kēia he maʻi, akā he kahi kala kala. Ke ʻae ʻia nā ʻōnaehana āpau, ʻaʻole i hōʻike mai nā maʻi lapaʻau iā ia iho.

Inā ʻaʻole i hahai ʻia nā ʻōlelo aʻoaʻo, ua kau hou ka haukapila exacerbation. No laila eia ke kumu o ka maʻi e hilinaʻi wale ana ma ka mea maʻi iā ia iho.

ʻAʻole hiki ke huli ʻia ka pancreatic necrosis. Hoʻohana ʻia ʻo ia wale nō. Hoʻomaopopo ʻia ka lāʻau lapaʻau e mālama i ke kino.

Lawe ʻia nā Cysts. Ma hope o ka hoʻopauʻana iā lākou, hele aku nā hōʻailona āpau. Manaʻo ka mea maʻi.

ʻAʻole hiki ke ho'ōla ʻia ka maʻi maʻi. Akā inā ʻoe e hahai i kahi mea ʻai a me kahi hoʻohālike, a laila e ola nā mea maʻi i ke ola piha ʻole me ka nui o ka palena.

Hoʻohanaʻia ka pancreatic

He mea maʻamau i ka hoʻohana ʻana i nā papa nui i ka mālama ʻana i:

  • Hoʻopilikia i nā maʻi me nā lāʻau lapaʻau.
  • Hoʻopau i kahiʻai maʻi.
  • Hana hoʻomaʻamaʻa.
  • Mau lāʻau lapaʻau.

Hoʻomaka ia me ka mālama ʻana i ka hana kūlohelohe. No ka hana ʻana i kēia, ua koi ʻia nā pūʻulu o nā lāka:

  • Nā mea hoʻohālikelike.Hoʻohana ʻia nā antibiotics ākea ākea: penicillins, 3 a me 4 mau cephalosporins, fluoroquinolones, antiseptics intestinal. ʻO kekahi hoʻohālike e loaʻa iā Amoxiclav, Nifuroxazide, etc. Noho ka papa i ka 2 hebedoma. Ke kūʻai ʻia e nā kau wale ʻana. Pono ke ʻae ʻia me ka kauka.
  • Nā lāʻau lapaʻau, nā paila no ka ʻeha ʻana a me nā pancreas. ʻO kēia nā lāʻau lapaʻau anti-inflammatory. Pākuʻi iā Ketorol, Ibuprofen, Nimesulide.
  • ʻEha no ka ʻeha i ka ʻōpū a me ka pancreas. ʻO nā lāʻau lapaʻau maikaʻi loa e pili ana i nā antispasmodics. Ua hoʻomaha lākou i ka leo kani, hoʻoluʻu i ka spasm. Hōʻike: No-shpa, Drotaverin, Spazmalgon, Duspatalin.
  • Hoʻololi lāʻau. I mea e hoʻomaʻamaʻa ai i ka hoʻowalewale ʻana a me ka hoʻolalelale ʻana i nā ukana nui loa i ka wā o ka exacerbation, hoʻohana ʻia nā enzyme: Creon, Mezim, Pancreatin.

Ke holo nei nā kaʻina a a i ka mea e pono ai, e hoʻokō ʻia ka mālama ʻana i ka haukapila. Hoʻololi ʻia nā wahi i hoʻopili ʻia me ka hoʻoneʻe hou ʻana i nā hui.

Me ka hoʻomaka ʻana o ka maʻi a me ka mālama kūpono ʻana i nā maʻi pancreatic ʻaʻole ʻoe e makaʻu.

ʻO ka pancreatitis

Pono e hoʻomaka i ka mālama ʻana i ka pancreatitis me ka wikiwiki wikiwiki. Kahi ʻano ʻano e pono ai e hoʻōki i ka hana o ka wai pancreatic a hoʻohemo i ke kino. Me kēia laʻana, ua mau ka pololi ma mua o nā lā 1-2 a ʻaʻole lawe i ka pilikia i ka mea maʻi, no ka mea, ua hoʻoneʻe ʻia ka mea make o ka lā mau lā ma mua o ka hopena o ka hoʻouka ʻia. I ka wā hoʻomaha, ua manaʻo ʻia e ʻai i ka nui o ka wai alkaline (wai mineral me ka ʻole o ka ʻaina, ka wai me ka soda, ka wai momona rosehip).

Inā hele mai ka pancreatitis i kahi ʻano hana maʻamau, a laila pono ke hoʻokipa ʻia o ka mea maʻi.

I kēia hihia, ua ʻōlelo pū nā kauka i ka pōloli, hāʻawi ʻia ka mea maʻi i nā ʻāpana me ka paʻakai.

No ka hōʻoluʻolu i ka ʻeha, painkillers (No-shpa, Ibuprofen, Paracetamol, Diphenhydramine) i hoʻohana ʻia, hau a hiki no ke hoʻohana pū ʻia me ka pancreas. I mea e pale aku ai i ka huhū ma o ka membrane māhina o ke kino, ua hoʻomākaukau ʻia nā hoʻomākaukau antacid i ke ʻano o ka pakanikua a me nā mea kanu (Almagel - hiki iā ʻoe ke pale i ka hoʻohuihui, ʻo Ocid - hoʻemi ia i kāna hana).

I ka wā o ka mālama ʻana, e wehe i ka ʻai, pono e hoʻēmi i ka nui o nā enzyme i hana ʻia. Hoʻohana ʻia nā ʻano a ʻoi paha nā aprotinin no kēia, a ma hope o ka pau ʻana o ke papa, hāʻawi ʻia nā lāʻau lapaʻau i ka mea maʻi e mālama i ka kaulike o ka enzyme o ka pancreas (Mezim, Festal).

I nā hihia koʻikoʻi, pono paha e hana ke wehe i kahi ʻāpana o ka pancreas a me ka papa palaka. Hoʻomaka ʻia ka wawaʻi ʻana ma ke kū ʻana i nā kumuwaiwai o ke kīhāpai, ka ʻike ʻana i nā pōhaku i ka pā o ka puhaka, nā cyst.

ʻO nā hiʻohiʻona e kū nei i ka pancreas hiki ke ʻelua o nā ʻano: benign a malignant. ʻO ka pinepine ka hē endocrine tumors (ʻo ia hoʻi, hana ʻia ma muli o ka hoʻoneʻe ʻana i ka hormone hoʻoneʻe) i loko o nā wahine, i kēia hihia, ua hoʻohana ʻia ka ʻano maʻamau: chemotherapy, radiation therapy or operition excision.

Hoʻohana ʻia i ka mālama ʻana i nā maʻi āpau o ka pancreas. Inā haʻalele ʻia kēia mea koʻikoʻi o ka hoʻonā, a laila ikaika ka lāʻau lapaʻau. Kēia kūpono nā meaʻai o ia mau mea no nā mea maʻi me nā maʻi maʻi o nā pancreas (pancreatitis, no ka laʻana).

ʻO nā mea e haʻalele i ka meaʻai:

  • sosa, kalala, confectionery,
  • kope, nā puʻuwai, nā lāʻau ʻōpala, kauāāi ʻia, a me nā mea ʻē aʻe.
  • meaʻai ʻai
  • nā mea ʻala, nā mea ʻona, ka mustard, nā mea ʻalā, ka ʻai i ʻole, nā kīwī,
  • inu ʻona
  • nā huaʻala a me nā mea kanu ʻai, a me ka wai momona e kau ana ma luna o lākou.
  • tī ikaika a me ke kofe.

Ma kahi o ka mea, hiki iā ʻoe ke kuhi i ka ʻai a me ka iʻa, cereals, pasta, nā huahana dairy (ʻaʻole i ka mea momona a ʻīwī a ke kolo, kefir, ka ʻaka), ka hua manu, ka ʻeleʻele, ka hua ʻuma, ka berena.

Eia kekahi mau ʻōlelo aʻoaʻo e pili ana i ka hoʻomaikaʻi maikaʻi ʻana i kāu meaʻai i ka wā eʻai ai:

  1. No kaʻaina kakahiaka - cereals (oatmeal, buckwheat, laiki) a i ʻole ʻehā mau hua.
  2. Ke keʻokeʻo a pōʻeleʻele paha i kēia lā.
  3. No kaʻaina awakea, ʻai i nā kalo momona i nā mea momona, nāʻa i paʻakai, nā mea momona waiū.
  4. ʻAi ʻaina - iʻa ʻai ʻia a i kā ʻia ʻia nā ʻiole o ka ʻiʻo, nā kīlī, nā ʻeleʻele i ʻaʻa, kīlī, a me nā hīnaʻi.
  5. E like me ka mea hana meaʻai - kākāala i kālai ʻia me ka hapa liʻiliʻi o ka aila ʻaila.
  6. ʻAno - nā keke galette, ka meli, ʻaʻohe honi wai, nā hua a me nā mea kanu.
  7. Nā inu wai - kīwī palupalu, kissel, compote, waiū, decoction herbal.

ʻO nā hopena palekana

ʻO kaʻoiaʻiʻo, ʻaʻole e ʻae ʻia ka mālama ʻana me nā hōʻola o nā kānaka i kahi mea ʻē loa i ka maʻi o ka maʻi, akā e lilo i mea nui no nā ʻano kuʻuna o ka lāʻau. ʻO kekahi o nā hana e pono ai ke hoʻohana ʻana i nā wai ʻona e like me ke kau ʻana o Kauka Walker, āna i hana ai ma ke kumu o nā panana i hiki mai iā mākou mai ko mākou mau kūpuna. No ka kuke ʻana āu e pono ai:

  • Piʻo Brussels
  • pi aila
  • lau lettu
  • kāloti

Mai nā mea i papa inoa ʻia ma luna, e ʻohi i ka wai me ka hoʻohana ʻana i ka juicer (a hui ʻia a laila e ʻoki i ka wai me ka gauze). Kāwili i nā wai - ua mākaukau ka wai. Lawe iā 100 ml ʻelua mau manawa ʻelua i ke kakahiaka a me ke ahiahi.

ʻO ka ʻike hana ma mua o 7 mau makahiki.

Nā mākau loea: ka hana ʻana a me ka mālama ʻana i nā maʻi o ka ʻāpana gastrointestinal a me ka ʻōnaehana biliary.

E pili ana i nā hoʻokolohua

ʻO ka hōʻailonaatology o ka pancreatitis ka mea nui loa e loaʻa i kahi maʻi kūpono i ka hapa nui o nā hihia he hiki ke hoʻokumu wale ʻia ma hope o kekahi mau loiloi. Loaʻa kekahi loea i kahi maʻi pancreatitis ma hope o ka hoʻokolokolo a me ka nīnau ʻana i ka mea maʻi - e hoʻokumu i ka ʻano o ka maʻi, e wehewehe i ka noho ʻana o nā pathologies concomitant, hiki i nā maʻi ʻē aʻe wale nō ma hope o ka nānā ʻana o nā kikoʻī o nā hopena noiʻi.

Ma waena o nā hōʻike e kuhikuhi ai ke kauka:

  1. Kūʻai koko nui.
  2. ʻO nā noiʻi biochemical o ke koko koko a me ka waiʻai.
  3. ʻO ka pōkole o ka pancreas, inā pono, ʻūhā, nā ōpala.
  4. Roentgenogram.
  5. Angiography.
  6. Laparoscopy
  7. Endoscopy o ka papa gastrointestinal luna (me ka maʻi pancreatitis koʻikoʻi).
  8. Fibrogastroduodenoscopy (no ka maʻi pancreatitis).
  9. ʻO Cholangiopancreatography (MRI), nā māka maʻi (inā i manaʻo ʻia ke kanesa).

Kapa o ka pancreas

Hoʻokomo ʻia nā lāʻau lapaʻau no nā maʻi pancreatic i nā mea paʻa ʻana i ka papaʻaina.

  1. Ma ka pancreatitisʻeha e hiki mai ana ke hōʻoluʻolu o ke kaumaha ma mua o ka mālama ʻana. I nā hihia paʻakikī o ka maʻi, hoʻohana ʻia nā antibiotika. Hōʻike e lawe i nā hana detoxification.
  2. Hoʻohana ʻia nā lāʻau maʻi me nā enzymes.
  3. Hoʻohana ka hanu, laparoscopy no ka maʻi gallstone, i nā pilikia hōʻeha (ke kīpili o nā pā me nā pōhaku), me ka hoʻokumu ʻana o nā cysts nui, kuʻi i nā alapine me nā hua manu.
  4. E paʻakikī hope loa ka nānāʻana o nā tumors. Hoʻokomo ia i ka hoʻohana ʻana i nā lāʻau lapaʻau enzymatic, chemotherapy, the use of the surgical treatment.

Ma ka hoʻomaka mua o ke mālama ʻana, pono kahi meaʻai kūikawā, e hōʻike ana i ka pōloli. ʻO ka hōʻeha koʻikoʻi o ka hōʻemi ke koi nei i kahi meaʻai a hiki i ka 7 lā, me ka hoʻomohala ʻana i ke ʻano haʻahaʻa, ʻo ka manawa wikiwiki ka wā 2 a 4 mau lā.

Ka hoʻomaʻemaʻe ʻana i nā maʻi pancreatitis maʻa

I loko o kēia manawa, lawe ʻia nā hana e hoʻokala i ka ʻeha. I ka home (colic liʻiliʻi) hiki iā ʻoe ke hoʻohana i nā antispasmodics:

  1. No-Shpu, 2 papa ma hope o 4 mau hola, hiki ke hoʻohana ʻia mai 6 mau makahiki (ka nui o 2 mau papa / lā i loko o ʻelua iniha, no nā keiki he 6-12 mau makahiki he 3 papa / lā no ʻekolu mau dona).
  2. Papaverine, Drotaverinum: nā pākeke a me nā keiki mai nā papa he 12 mau makahiki. ma hope o 8 mau hola, akā, ʻaʻole iʻoi aku ma mua o 6 mau papa. i ka la.
  3. Mebeverin: 1 kālai. ma hope o 12 mau hola. ʻAʻole i kuhikuhi ʻia ka lāʻau lapaʻau i ka wā o ka wā hāpai.
  4. Meteospasmil: 1 kālai. ma hope o 8-12 mau hola no nā keiki mai ka 14 mau makahiki a me nā pākeke. Mai kuhikuhi i nā wahine hāpai.
  5. Buscopan 1-2 mau papa. ma hope o nā hola 3-4 no nā keiki mai 6 mau makahiki a me nā pākeke.

No ka hōʻoluʻolu i ka maʻi kaumaha ma ka home, ua hoʻohana ʻia nā analgesics:

  1. Baralgin (250-500 mg ʻaʻoleʻoi aku ma mua o 3 mau manawa i ka lā). Mai hoʻohana i ka wā hāpai, nā keiki ma lalo o 6 makahiki.
  2. Pentalgin (500 mg a hiki i 3 mau manawa / lā, max. 2 g / lā). Contraindicated no nā keiki ma lalo o 12 makahiki, i ka wā hāpai, HB.
  3. Trigan –D (1 papa a hiki i 3 manawa / lā) Hoʻohana no nā keiki mai 15 mau makahiki a me nā pākeke. ʻAʻole e hoʻohana i ka wā o ka hāpai ʻana, ʻo ka HB, e mālama ʻia nā keiki ma lalo o ka nānā ʻana o kahi pediatrician.

I ka haʻalele ʻana o nā maʻi o ka ʻōpū, ke koko a me nā mea hoʻomehana i ka NVSP, nā lāʻau lapaʻau mai ka nui o nā lāʻau anti-inflammatory non-steroidal. Pūnaewele, Aspirin (acetylsalicylic acid) Movalis, Nā Indomethacin e lawe iā 1-2 papa ma hope o nā hola 4-6, ʻaʻole iʻoi aku ma mua o 6 papa / lā.

Movalis i ke ʻano o nā papa

Ke lawe nei i nā hana therapeutic i loko o ka haukapila, hoʻohana ʻia ka hoʻomaka ʻana o ka novocaine ma o kahi dropper, i nā pilikia paʻakikī loa, ua hoʻohana ʻia nā opiates.

Nui! Hoʻomaopopo ka mālama ʻana i ka pancreatitis i nā hana e hoʻokaʻawale i ke kino, ma ka home, ʻo ke ʻano maʻalahi e hoʻohana ʻia ka nui o ka wai piha maʻa mau.

Inā loaʻa ka pancreatitis, loaʻa nā hōʻailona o ka maʻi ma ka pancreas. Hoʻokomo ʻia ka lāʻau lapaʻau i ka lawe ʻana i nā lāʻau lapaʻau. Hoʻopau nā lāʻau i nā palaka, nā protein a me nā mea e hoʻoneʻe ana i ka momona, ʻaʻole ia e koi i ka hana o ka enzyme e ka gland iho, a hiki iā ia ke hoʻihoʻi hou i nā pale pancreatic i hoʻopau ʻia.

ʻO ka regimen mālama no ka maʻi pancreatitis

Hoʻokuʻu ʻia ka hoʻomākaukau ʻana a Enzyme ma lalo o kahi helu nui o nā inoa kālepa:

  • Ajizim
  • Eurobiol
  • Zentase
  • Innozim
  • Kahuna
  • Kahi
  • Mezim
  • Nā Micrazim
  • Panzinorm,
  • Pancreasim
  • Hoʻopuka
  • Kahili ʻia
  • Pentasil
  • Fermentium
  • Pikaila
  • Enzibene
  • Kaulana

ʻO ka hoʻonohonohoʻana o nā lāʻau lapaʻau, me ka manaʻo o ka inoa, ka hoʻohui ʻana i nā huina o ka naʻau o ka puaʻa. Hoʻomoe nā mākaukau i ka nui o nā huina o ka helu o kēia helu:

  • palani - 3500ED,
  • mau hui - 4200ED,
  • Nā protease - 250 PIECES.

Hoʻopili ʻia nā huaʻawa i nā lāʻau lapaʻau i loko o kahi hāliʻi enteric kūikawā (tablet a capsule coating coating paha), i kau wale ʻia ma loko o kahi kīʻaha.

Nā kumu o ka maʻi pancreatic

Loaʻa he mea ʻokoʻa o ka waiwai - mai ka 10 tausani. Nā ʻahu a hiki i ka 35 tausani mau pūʻulu.

Hoʻololi ʻia ka nui o nā enzyme e pili ana i ka nui o ko lākou nele i ke kino. Nā ʻāpana ʻokoʻa:

  1. I ka piha holo ʻole o ka hoʻouluʻana o ka enzyme (ka lawe ʻana i ka pancreas, gall bladder, ka ʻōpū ʻōpū), ua kuhikuhi ʻia nā huina no ke ola. Nā papa helu ma waena o 35 tausani mau pūʻulu i ka manawa me kēlā me kēia pāʻina.
  2. No ka hoʻokaʻawale ʻāpana, hoʻohana nā lāʻau like ʻole, akā ma nā pā liʻiliʻi (ʻo 10 tausani mau pūʻulu ʻekolu mau manawa i kahi lā).
  3. I nā hōʻeha kino o ka pancreatitis, e kau ʻia nā papa lāʻau lapaʻau mai 2 a 8 mau mahina.

IIiiporocT. Lawe i nā papa papaʻu a i ʻole nā ​​ʻāpana me ka ʻaina a i ʻole ma hope o ka ʻai, me ka ʻaʻa ʻole ʻana. E holoi me ka nui o ka nui (mai ka 200 ml) o ka wai maʻemaʻe ʻole me ke kīkeke. ʻAʻole hiki iā ʻoe ke hoʻohana i nā wai momona. Inā hiki ʻole i ka mea maʻi ke maloʻi i ka pulupulu, e ʻae ʻia ia e kāwili ʻia i kāna mau kikoʻī me nā huaʻala laupala. Lawe ʻia ka ʻano me ka meaʻai. ʻAʻole hiki ke hōʻoka ʻia nā papa.

Me ka pancreatitis, e lōʻihi ai ka mālama ʻana. I mea e hoʻōla ai i ka puka aʻai, e lawe ʻia ana ia mai 4 a 8 mau mahina, i mea e pili ana ka mea maʻi i kahi kīnā a mālama i ka hoʻomākaukau o ka enzyme.

Ma nā kūlana maʻamau, ʻaʻole iki kaʻai iki, akā mālama mau ʻia. Lawe ʻia nā hoʻomākaukau Enzyme i nā papa, ma ke noi ʻana o ke kauka.

ʻO ka mea kūikawā nui o ka meaʻai

Me ka lawe ʻana i nā hoʻomākaukau enzyme, ʻo ka papaʻai kekahi o ʻelua mea nui o ka mālama ʻana o ka pancreatitis.

Ma ka manawa maʻamau, pono ka pololi i ka wā ma hope o ka papa helu No. 5p i hoʻokomo ʻia i ka mea maʻi. ʻO kēia kekahi o nā mea āpau ikaika loa.

ʻO ka ʻahaʻaina lau 6-7 mau lā i ka lā. ʻAʻole pono ka lawelawe i ka lawelawe hoʻokahi ma mua o 200-350 g o ka meaʻai, a ʻo ka momona momona ʻaʻole eʻoi aku ma mua o 10 g. ʻO ka meaʻai e kau ai i ka liʻiliʻi o ka paʻakai (7 g / lā), ka kō (10 g / lā), nā mea momona (15-20 g / lā) . ^ E Ha yM. I ka palena liʻiliʻi, pono e hānai i ka mea maʻi i ka ʻai momona, ka iʻa momona haʻahaʻa, skim waiila, huaʻai (1/5 o ka nui o kēlā me kēia lā).

ʻO ke kumu o nā meaʻai he slimy cereals i loko o ka wai me ka waiū, ka berena, i hoʻohui ʻia me nā lau a me nā huaʻai i ʻae ʻia.

ʻO nā huahana a loaʻa ʻole

Mākaukau nā meaʻai a pau ma ka mashed a i ʻole ʻāpono ʻia, lawelawe ʻoluʻolu.

ʻAi ʻia ka ʻai, momona, me nā meaʻai palaoa, nā meaʻai wikiwiki. Ke pāpā ʻole ʻia ka pancreatitis i nā ʻona ʻona, kvass, pia.

Ka ʻalo ʻana i ka wai a me ka ulaula

Hoʻokomo ʻia ka mālama ʻana no nā maʻi maʻi pancreatic i ka hōʻole hou ʻana i ka waiʻona. Hoʻokomo liʻiliʻi kahi liʻiliʻi o ka waiʻona e hoʻonui i ka hoʻouluʻana o nā enzymes a me ko lākou lohi i ka pancreas, kahi e hoʻonāukiuki i kahi hoʻouka o ka colic hopena.

Hoʻomaopopo nā kauka i ka hōʻemi ʻana i ka uahi o ka uahi o ka uahi i loko o ke kino ma muli o ke kipa ikaika a kūlohelohe paha - ke hoʻonui pū nei i ka hana o nā enzyme.

Ke hōʻike ʻia nei nā maʻi pancreatic a me nā maʻi maʻi, pono e hoʻohui pū ʻia ka lāʻau lapaʻau me kahi lāʻau lapaʻau koʻikoʻi a me ke ola kino.

ʻO ka lōʻihi o ke mālamaʻana o ka maʻi pancreatitis maʻa he lōʻihi, ma kahi o 4 mau mahina. Me nā pale paʻakikī o ka hana o ka huelo, resection, cysts, tumors, enzyme replacement therapy i kuhikuhi ʻia no ke ola.

ʻO nā kumumanaʻo a me ka lōʻihi o ka papa lāʻau e hoʻoholo ʻia e nā lāʻau lapaʻau, e pili ana i nā hiʻohiʻona pilikino o ke kino o ka mea maʻi, nā maʻi concomitant, ʻano makahiki.

Waiho I Kou ManaʻO HoʻOpuka