ʻO ka hapa o ka enzyme pancreatic > Hoʻopiʻi nā maʻi maʻi

ʻO ka hapa o ka enzyme pancreatic - ka palena liʻiliʻi a i ʻole ka hana haʻahaʻa o ka enzyme pancreatic, e alakaʻi ana i ka hōʻeha a me ka lawe ʻana ʻana i nā meaʻai i loko o ka ʻawaʻawa. Hōʻike ia ʻo ia iho no ka lilo ʻana o ka nui o ka paona, flatulence, anemia, steatorrhea, polypecal, ʻeha a me polyhypovitaminosis. Hoʻokumu ʻia ka Diagnosis ma nā ʻano hana loea no ka hoʻopaʻa ʻana i ka mea huna o ka pankreas, ka lawe ʻana i kahi coprogram, e hoʻoholo ana i ke kiʻekiʻe o nā huina o ka huelo. Hoʻokomo ʻia ka hoʻomaʻemaʻe i ka mālama ʻana o ka maʻi mākaʻikaʻi, ka hoʻohālikelike o ka hoʻohana ʻana i ka mea kanu, ka hoʻololi o nā enzyme pancreatic, a me ka hoʻāʻo ʻana.

Hoike ʻike

ʻO ka nele o ka enzyme pancreatic kekahi o nā ʻano o ka intolerance o ka meaʻai, e ulu ana e kū'ē i ke kāwili o ka hana ʻana o ka hana exocrine pancreatic. ʻAʻole hiki ke loiloi i ka pinepine o ka lawa ʻole o ka pancreatic exocrine i ka lehulehu, ʻoiai no ka mea, ʻaʻole i lawe ʻia nā haʻawina e pili ana i kēia ʻano, a ʻoi aku ka kiʻekiʻe o ka ʻike ʻana i ka hapa o ka enzyme ma mua o ka, no ka laʻana ka maʻi pancreatitis maʻi. Eia naʻe, ʻo ka hiki ʻole i ka hana i ka enzyme pancreatic kahi maʻi koʻikoʻi i hiki ke alakaʻi i ka luhi i ka nui o ka maʻi a hiki i ka make o ka mea maʻi ma ka loaʻa ʻole o ka mālama kūpono. Pono ka noiʻi hoʻomaʻamaʻa ma ke ʻano o ka gastroenterology i ka hoʻomohala ʻana o ka hoʻomākaukau o ka enzyme hou e hiki ai ke hoʻololi piha i ka hana exocrine o ka pancreas a hoʻopaʻa i ka papa maʻamau o nā hana pānaʻi.

ʻO ka hikiʻole o ka hana exocrine pancreatic hiki ke congenital (he genetic defect e hōʻeha a pale paha i ka mea ʻike ʻana o nā enzymes) a loaʻa, ka mua a me ke kekona, pili a kūʻokoʻa. ʻO ka huakaʻi pancreatic haʻahaʻa e pili ana i ka pōʻino i ka pancreas a me ka paleʻana i kāna hana exocrine. Ma ka lua o ke ʻano o nā pathology, e hoʻoneʻe ana nā huina i nā nui nui, akā naʻe, i loko o ka pākuhi liʻiliʻi kā lākou hele ʻole a i ʻole kū i kā lākou hoʻōla ʻana.

ʻO nā kumu no ka hoʻokumu ʻana o ka maʻi pancreatic primer ka nui o nā ʻano maʻi pancreatitis maʻamau, pancreatic cancer, cystic fibrosis, momona degeneration o pancreas ma muli o ka huapau, nā hana pancreatic, kaʻuʻalolo enzyme congenital, Schwachman syndrome, agenesis a hypoplasia o nā kohu, Johanson-Blizzard syndrome. ʻO nā hana me nā pathogenetic o ka hoʻokumu ʻana o ka maʻi pancreatic exocrine i loaʻa: ka atrophy a me ka fibrosis o ka pancreas (ma muli o ka obstructive, ka waiʻona, ka helu helu a i ʻole ka helu helu ʻana, ka atherosclerosis, nā loli pili pili o ka makahiki, ka pōʻino systematic, diabetes mellitus, interventions no ka maʻi pancreatic, hemosidera) kekahi mau ʻano o ka pancreatitis kūmole - syphilitic, ʻakika, fibrous-calculous), pancreatic necrosis ( ka make o kahi ʻāpana a i ʻole nā mea āpau o ka pancreas), ka hoʻokumu ʻana o nā pōhaku i nā kumu no ka pancreatic.

Hoʻoulu ka lua o ka enzyme pancreatic i ka pōʻino o ka membous mucous o ka ʻōpū liʻiliʻi, gastrinoma, ka hana ma ka ʻōpū a me nā ʻawaʻī, pale ʻana i ka huna ʻana o enterokinase, ka piha o ka protein-ikehu, a me ke ʻano o ka ʻōnaehana hepatobiliary.

ʻO ka nele o ka enzyme pau loa o ka pancreas ma muli o ke kaohi ʻia o ka huna ʻana i ka hoʻihoʻi ʻana o ka huina a me nā bicarbonates e kū'ē ana i kahiʻaoʻao o ka emi o ka nui o ka waihona parenchyma. Kahi ka pilina o ka pilina me ka hoʻohaʻahaʻa ʻana i ka kahe o ka wai pancreatic i loko o ka ʻawaʻawa ma muli o ka hakakā ʻana o ka lumen o nā papa pancreatic me kahi pōhaku, mākoko, a me nā ʻalā.

Nā hōʻailona o ka hapa o ka enzyme

Ma ke kiʻi o ka maʻi maʻi o ka pancreatic enme insufficiency, maldigestion syndrome (ʻokiʻoki i ka hoʻowalewale ʻana i ka lumen intestinal) ʻo ia ka mea nui loa. ʻO nā momona momona, komo i loko o ka lumen o ka ʻōpū nui, hoʻoulu i ka mea huna o nā colonocytes - polyfecalia a me nā maʻi pākuhi i hana ʻia (puʻuwai manuahi, hoʻonui ʻia i ka nui), nā feces i kahi ala fetid, hina i ke kala, huila, ʻulaʻula. ʻO nā ʻeke a pau i lawe ʻia i loko o ka papa.

ʻO ka Maldigestion o nā protein e alakaʻi i ka hoʻokumuʻana i ka nele o ka protein-pūnao, i hōʻike ʻia e ka nui o ke kaupaona ʻana, hōʻemi, ka hapa o nā huaora a me nā minerala, anemia. Ke hoʻomau nei ka lilo ʻana o ka lilo kaumaha i ka mea ʻai e pale ai i nā momona a me nā haʻalulu, a me ka makaʻu hoʻi i ka ʻai ʻana, aia i loko o nā mea maʻi he nui me ka pancreatitis maʻi.

ʻO nā ʻeha o ka puʻu o ka gastric (hoʻokuʻi, ka luaʻi, ka ʻōpū, ka naʻau o ka ʻōpū o ka ʻōpū) hiki ke hoʻopili ʻia me ka exacerbation o ka pancreatitis, a me ka hopena like ʻole o ka exocrine pancreatic insufficiency ma muli o ke kau palena o ka gastro-intestinal, ka hoʻomohala ʻana o ka duodeno-gastric reflux, etc.

Nā huapau

ʻO ka mea nui no ka hoʻomaopopo ʻana i ka lawa o ka enzyme pancreatic he mau hōʻike kūikawā (kēnā a me ka loaʻa ʻole), pinepine pū pū me nā ʻano ultrasound, radiological a me endoscopic. ʻOi aku ke kumukūʻai ʻo Probe a hoʻonāukiuki i nā mea maʻi, akā ua ʻoi aku ka maikaʻi o kā lākou hopena. ʻOi aku ka maʻalahi o nā hoʻokolohua ʻole, ʻoluʻolu ʻia i nā maʻi nā maʻi, akā hiki iā lākou ke hoʻoholo i ka nele o ka pancreatic wale nō me ka hōʻemi nui a i ʻole ka pau ʻana o nā enzymes.

ʻO ka hoʻāʻo i ka mana huna secretin-cholecystokinin ke kumu gula no ka hōʻike ʻana i ka maʻi o ka enzyme pancreatic. Kuhi ʻia ke ʻano hana i ka hoʻoulu ʻia ʻana o ka huna huna pancreatic e ka alakaʻi o ka mea huna a me ka cholecystokinin, ukali ʻia me ka ʻike ʻana i kekahi mau kikoʻī o nā ʻike duodenal me ka manawa o 10 mau minuke. Ma nā kiʻi i loaʻa, ua noiʻi ʻia ka hana a me ka helu o ka mea huna o ka pancreatic, ka pae o nā bicarbonates, zinc, a me lactoferrin. ʻO ka maʻamau, ʻo ka hoʻonui ʻana ma ka nui o ka hilo ʻana ma hope o ka hoʻokolokolo he 100%, ʻo ka piʻi ʻana o ka nui o ka bicarbonates ma ka liʻiliʻi o 15%. ʻO ka hoʻonui ʻana i ka nui o ka mea huna o ka mea ma lalo o 40%, ʻo ka hala o ka hoʻonui ʻana i ka pae o ka bicarbonates, e ʻōlelo ana i ka nele o ka enzyme o ka pancreas. Hiki ke hopena maikaʻi nā hopena maikaʻi ʻole me ka mellitus diabetes, celiac maʻi, hepatitis, ma hope o ka haʻalele ʻana i kahi ʻāpana o ka ʻōpū.

Hoʻohālikelike ʻo ka loiloi o Lund me ka hoʻokaʻina mua, akā ua hoʻowalewale ʻia ka mea huna pancreatic ma ka hoʻolaha ʻana i ka meaʻai hoʻāʻo i ka peʻa. Maikaʻi kēia haʻawina e lawe (ʻaʻole koi i ka inikua o nā lāʻau lapaʻau), akā ʻo nā hopena ke hilinaʻi nui ʻia i ka hoʻokumu ʻana o ka meaʻai hōʻike. Hiki ke hopena hopena maikaʻi inā loaʻa ka maʻi maʻi i ka maʻi mellitus, celiac maʻi, gastrostomy.

Hoʻokumu ʻia nā hana kumu ʻole me ka hoʻomaka ʻana o kekahi mau mea i loko o ke kino e hiki ai ke launa pū me nā enzymes i loko o ka urine a me ka hoʻokahe koko. ʻO ke aʻo ʻana i nā huahana metabola o kēia hoʻopili e hiki ai ke loiloi i ka hana exocrine pancreatic. ʻO nā hoʻokolohua ʻole i loaʻa ʻole iā bentiramide, pancreato-lauryl, iodolipol, triolein a me nā ʻano ala ʻē aʻe.

Eia kekahi, hiki i kekahi ke hoʻoholo i ke pae o ka hana huna pancreatic ma o nā hana kūpaʻa: ma ka pae o ke kūpeʻe ʻana o nā kaila amino plasma e ka pancreas, e ka ʻano nānā loiloi o ka coprogram (e hoʻonui ʻia nā kiko o kūleʻa kūwaho a me ka ʻōpala i ke kūmole o kahi pae maʻamau o ka waikawa momona), ka hopena kuʻuna o nā feces, fymal chymotrypsin a me nā trypsin 'elastase-1.

ʻO nā hana diagnostic instrumental (radiography o ka ʻōpū o ka ʻōpū, MRI, CT, ka ultrasound o ka pancreas a me nā ʻōnaehana hepatobiliary, ʻo ERCP) i hoʻohana ʻia e ʻike ai i nā maʻi lalo.

ʻO ka mālama maikaʻiʻana o Enzyme

Pono e mālama i ka hoʻōla ʻana o ka pancreatic exocrine, me ka hoʻoponopono ʻana i ke kūlana o ka nutritional, etiotropic a me ka hoʻololi hou ʻana, ʻo ka hōʻailona hōʻailona. Hoʻokomo nui ʻia ka lāʻau Etiotropic e pale i ka holomua o ka make o ka parenchyma pancreatic. Ke hoʻoponopono ʻana i ka ʻai ʻai ʻana i ka hoʻopau ʻana i ka hoʻohana ʻana i ka wai ʻawa a me ka uahi o ka paka, e hoʻonui ana i ka nui o ka protein i ka meaʻai i 150g / lā, e hoʻemi ana i ka nui o ka momona ma kahi o ʻelua mau kaila o ka physiological, a me ka lawe ʻana i nā huaora ma ka lāʻau lapaʻau. Me ka hōʻemi nui ʻana, pono paha kahi kīnā makua a palūʻau piha.

ʻO ke kumu nui no ka lilo ʻana o ka pancreatic enzyme ʻo ke ola o ke kō ʻana o ke ola ʻana i nā huina o ka huina me ka meaʻai. Nā ʻōmai no ka hoʻoliʻi hoʻololi ʻana o ka enzyme no ka lawa o ka pancreatic: steatorrhea me ka nalowale o ka nui o 15 g o ka momona ma ka kikeke, ka holomua ʻana o ka protein-ikehu.

ʻO ka hoʻomākaukau ʻana no ka enzyme Microgranular i loko o kahi kinikona pale pale, i hoʻopuni ʻia i loko o kahi capsula gelatin, ʻoi aku ka maikaʻi loa i kēia lā - kāpae ke kāwili i ka ʻōpū, hana i nā ʻano no ka hoʻohuihui like ʻana o nā granule lāʻau me ka meaʻai. I ka duodenum, i ka hiki ʻana i ka pH o ka 5.5, ua hoʻokuʻu ʻia nā manaʻo o nā grala, e hāʻawi ana i kahi kūpono o ka enzyme pancreatic i loko o ka wai duodenal. Koho ʻia nā Dosis o nā lāʻau lapaʻau ʻokoʻa, e pili ana i ka nui o ka maʻi, ka nui o ka ʻaila pancreatic. ʻO nā mākaʻai no ka hana o ka hoʻololi hoʻololi ʻana a me ka lawa o nā kaha o nā hoʻomākaukau ʻana o ka enzyme ʻo ia ka loaʻa ʻana o ka paona, i hōʻemi ʻia e ka lemule, a me ka hana maʻamau.

ʻO ka wānana a me ke kālai

ʻO ka prognosis no ka pihaʻana o ka pancreatic ma muli o ka nui o ka maʻi i lalo a me ka piʻi o ka hōʻino o ka pancreatic parenchyma. Kuhi i ka manaʻo o ka nele o ka enzyme pancreatic i hoʻomohala me ka make o kahi ʻāpana koʻikoʻi o ka huelo, maʻamau ka prognosis. Hiki ke pale i ka hoʻomohala ʻana o kēia ʻano ma ka manawa kūpono a me ka mālama ʻana i nā maʻi pancreatic, hōʻole i ka inu ʻawa, a me ka uahi.

ʻO ka wehewehe ʻana o ke kino

E noʻonoʻo i ke ʻano a me ke hana o ka pancreas. Aia ia i ka lumi retroperitoneal ma waena o nā wahi o ka duodenum a me ka vertebrae luna o ka papale i lalo o luna, ma luna o nā puhihi, a me ka ʻano o ka "comma" elongated. ʻO ka paona o ka mea hele a ka pākeke e pili ana i 80-90 g.

Kahi pūnaehana o ka pancreas i hui pū ʻia o nā kaila glandular e hele ai nā kīʻaha koko a me nā kumu excretory. Hoʻokomo ka meaʻala i ka wai pancreatic, nā enzymes o nā mea (lactase, amylase, trypsin, invertase, lipase) e pili ana i nā kaʻina hana o ka wāwahi aʻai. Pahu ke kahawai ma waena o ka aila holoʻokoʻa, kahi i komo ai ka wai i ka duodenum, kahi e hui pū ai me ka bile a hāʻawi i ke kaʻina o ka huina ʻawa. ʻO nā mea paʻakikī i waena o nā lobul me kahi kikowaena capillary hoʻomohala ʻia i kapa ʻia he mau moku ʻo Langerhans. ʻO kēia mau hiʻohiʻona mai nā alpha, beta a me nā delta cell synthesize hormones (insulin a me glucagon).

ʻO ka kino ke ʻano ʻōpala:

ke poʻo (ka nui 2.5-3.5 cm) pili i ke kihi o ka duodenum,
kūlia kahi kino triangular (2.5 cm) ma ka ʻaoʻao hema o ka kuʻekuʻe i ke kuʻi ʻana,
ʻāʻī
ʻehā hua momi (3 cm), ma o ke kahe o ka nui o ka nui o ka pala.

Ma kahi e hōʻeha ai ka pancreas i nā kānaka, e wehewehe mākou i lalo nei.

Nā hana kino

ʻO ka pancreas, e like me ka mea i ʻōlelo ʻia ma mua, e hoʻohua i ka wai pancreatic. I loko o ka duodenum, ua wāwahi ʻia ka meaʻai i ka moku i pono no ka hoʻopili. Hoʻolaha ʻia kēia ma lalo o ka mana o ka hoʻoneʻe ʻana o ka hoʻoliʻelima hydrolytic o nā pancreas, nona ke kuleana no ka hoʻopili ʻana i nā mea ʻai me ka wai.

ʻO ka wai pancreatic ka hydrolases, e hana i nā hana kaʻawale. Ua māhele ʻia lākou i ʻehā mau māhele:

ʻO Lipase kahi enzyme e wāwahi i ka ʻoka i nā mea paʻakikī: ʻo ka glycerin a me nā momona momona. Hāʻawi pū ia i ka hoʻokahe ʻana o nā huaora A, E, D, K.
ʻO nā protein (chymotrypsin, carboxypeptidase, trypsin), hana i nā enzymes e wāwahi i nā protein i nā waikawa amino.
ʻO nā kalona (amylase, maltase, lactase, invertase), pono no ka hoʻokaʻawale ʻana o nā kapoʻai i ka glucose.
ʻO nā nuklea nā huina e wāwahi i ka waikena nīkika a hana i kā lākou mau hana genetic.

He mea paʻakikī loa ke kumuhana o ka hana o ke pancreas. Hoʻomaka ia nā Enzymes i ka nui o nā minuke he 2-3 mau minuke ma hope o ka meaʻai e komo ai i loko o ka ʻōpū. Eia kekahi, kau ia i ka mea paʻa o nāʻu, nā mea huna a me nā mea momona i loaʻa i loko. Ma mua o ka bile, ka ho'ōla o ka wai pancreatic me nā enzyme e lōʻihi a hiki i 12 hola.

Ka hana Endocrine

Kahi ʻia ka hana endocrine o nā aniani i ka hoʻomaikaʻi ʻia i nā insulocytes - nā ʻāpana kūikawā o nā mokupuni o Langerhans. Hoʻopili lākou i kahi helu o nā hormones: thyroliberin, c-peptide, somatostatin, insulin, gastrin, glucagon.

ʻO ka palupalu pancreatic Exocrine

ʻO ia kekahi o nā hopena maʻamau loa o ka hōʻiliʻili o ke kino, inā paha ke ʻano ka maʻi maʻamau i kahi ʻano maʻi.

ʻO kahi hiʻohiʻona kūikawā o ka exocrine pancreatic insufficiency ka emi ʻana o ke kao ʻana o nā ʻāpana ʻai (malabsorption) ma muli o ka ulu ʻana o ka maldigestion - kahi kuʻi o ka wāwahi o ka meaʻai i nā mea i ʻae ʻia no ka hana hāhai ʻana. Ua kapa ʻia kēia pathology me ka nele o ka enzyme. ʻOiai ka ulu pinepine ʻana o ia mau papa i waena o nā hui āpau o ka poʻe, ʻaʻole i lawa ka hoʻouka ʻana o nā huina i kahi ʻano koʻikoʻi e hiki ai i ka make a me ka make o ka mea maʻi inā ʻaʻole i hoʻomaʻemaʻe ʻia.

Nā Manuia

ʻO ka molenue pancreatic scuffine he congenital (he genetic defect e hōʻokiʻoki a hoʻolei paha i ka mea huna o nā enzymes) a me kahi ʻano i loaʻa. Eia kekahi, hiki i ka pathology ke lilo i mua a me ke kuʻuna, pono ʻole a pili paha.

ʻO ka hemahema o ka exocrine primine i ka hōʻino ʻia e ka aʻe a me ka hoʻēmi ʻana i kāna hana exocrine. I ka lua o ka maʻi o ka maʻi, hoʻohua ʻia nā enzyme i ka nui o ka nui, akā ʻaʻole o kā lākou ulu ʻana i ka ʻāpana liʻiliʻi.

ʻO nā kumu kumu no ka hoʻomohala ʻana i nā pathology

ʻO nā kumu nui no ka hoʻomohala ʻana o ka ʻōpū pancreatic exocrine o ke ʻano maʻamau ka ʻano o nā ʻano kumu a pau o ka papa pancreatitis, cystic fibrosis, pancreatic cancer, degeneration of pancreas in obesity, interventions surgical on the gland, Schwahman's syndrome, congenital enzyme deficiency, agenesis or hypoplasia of the organ, as well as Johanson's syndrome.

ʻO nā kumu pathogenetic o ka hoʻokumuʻana o ka hana hoʻopiʻi exocrine:

ʻO ka fibrosis a me ka atrophy kiko (ma muli o ke kumu ʻawaʻawa, obstruktive, non-calculous a calculous pancreatitis, atherosclerosis, malnutritation, nā makahiki e pili ana i nā makahiki, hemosiderosis, diabetes mellitus).
cirrhosis pancreatic (ua manaʻo ʻia ka hopena o kekahi mau ʻano o ka pancreatitis: fibro-calculous, alkohol, ʻĀpuka),
Nāneka (pancreatic glrosis)
ka hana ʻana o nā calculi i nā kōkō pancreatic.

Hoʻoulu ka lua o ka exocrine lua a me nā liʻi o ka membous mucous o ka ʻōpū liʻiliʻi, ma hope o ka hana ʻana ma ka ʻōpū a me nā ʻōpū, me gastrinoma, hoʻemi ʻia ka huna ʻana o ka enterokinase, ka poʻe holomua o ka ʻōnaehana hepatobiliary, ʻokoʻa ka nui o ka protein.

ʻO ka hemahema o ka enzyme kūpono o ka hoʻopiʻi ma muli o ke kaohi ʻana o ka hoʻihoʻi ʻana o nā bicarbonates a me nā enzymes e kūʻē ana i ke kumu o kahi e hoʻemi ai i ka nui o ka waihona. Hoʻololi ʻia ka pilina maʻi e ka hoʻoemi ʻana i ka wai o ka pancreatic i loko o ka ʻōpū ma muli o ka hoʻopiʻi ʻana i nā lawelawe o nā kinipuni me ke kuʻi, ka pōhaku, a me nā kīwī.

ʻO nā ʻeha pancreatic i hopena mai i ka make o nā pona parenchyma kūlohelohe. I kēia mau wahi, i hoʻokumu ʻia ke kiko palupalu. ʻO kahi kaʻina hana like i ka lāʻau lapaʻau i kapa ʻia ʻo fibrosis, a ke alakaʻi nei hoʻi i ka hoʻomohala ʻana o ka lawa ʻole exocrine.

E noʻonoʻo pono i kahi o ka pancreas e hōʻeha i nā kānaka. ʻO ka mea nui nui loa i ke kiʻi kaupili o kēia alaʻala he maldigestion syndrome, ka mea i hōʻailona ʻia e ka hoʻokaʻa ʻana o ka hoʻowalewale ʻana i ka ʻawaʻawa. ʻO nā momona momona i ka pale i hoʻolaʻa ai i ka hana o nā colocytes - ke nānā ʻana a hoʻomohala a me ka polyphecal, loaʻa nā feces i ka momona fetid, ka hina hina, kona ʻula a me ka aila. ʻO nā ʻāpana ʻai huehue a hiki i kēia pū ma ke kahi.

Ka hānai i ka maldigestion e ʻike i ke ʻano o ka pauku o ka protein-i hoʻoneʻe ʻia, ka mea i hōʻike ʻia e ka dehydration, ka nui o ka lilo ʻana o ke kaupaona ʻana, hemahema o nā huina a me nā huaora, anemia. Hoʻokomo nui ʻia ka paona kaumaha me ka mea ʻai haʻahaʻa i nā likedates a me nā momona, me ka makaʻu hoʻi i ka ʻai ʻana, i hoʻokumu ʻia i nā maʻi he nui me ka maʻi pancreatitis.

Nā hōʻailona o ka huakaʻi pancreatic exocrine ʻokoʻa. ʻO ka hōʻeha o ka gastric motility (ka maʻi dyspeptic, ke ʻano o ka piha piha) hiki ke hoʻopiʻi ʻia ma muli o ka exacerbation ʻelua o ka pancreatitis a me ka hopena o ka huakaʻi o ka exocrine o ka gland ma muli o nā loli o ka hoʻoponopono gastrointestinal, i ka hōʻeha o ka reflux duodeno-gastric.

ʻO ka pancreatitis ke kumu o ka pathology

ʻO ka maʻi pancreatitis ka mea nui e alakaʻi i ka nele o ka enzyme. ʻO kēia kahi leʻaleʻa o ka pancreas o ka maʻi a me ka luku ʻana i ke kumu, e alakaʻi ana i ka hana lēwa. He aha nā hopena o ka pancreatitis, he liʻiliʻi kekahi poʻe i ʻike. Me kahi exacerbation o ka maʻi, loaʻa ka ʻeha i ka ʻōpū a me ka hypochondrium haʻalele, aia nā hōʻailona dyspeptic, yellowness o ka sclera a me nā ʻili.

ʻO nā kumu nui o ka pancreatitis pākeke (code for ICD-10 K86) ka cholelithiasis a me ka hōʻino waiʻona, mea hiki loa i ka parenchyma o kēia kiko. I ka hihia o ka cholelithiasis, ʻo ke kaʻina hana ia ka hopena o ka hāʻawi ʻana i ka maʻi mai ka lāpili bile a i ke kīpē ma o nā moku lymphatic, ka hoʻomohala ʻana i ka hypertension biliary, a i ʻole kahe o ka bile i loko o ka aahu.

Hoʻokomo ʻia ka mālama mālama ʻana i kēia maʻi ma kahi ʻano o nā kaʻina. Hoʻokumu ʻia ka lāʻau lapaʻau ma loko o kēia mau ʻōhua:

mea makemake ʻia kekahi meaʻai
ʻO ka ʻae ʻana o ka pancreatic i ka hoʻoponopono ʻana,
pono e hoʻokaʻawale ʻia ka ʻeha
pono e pale ʻia nā hoʻopiʻi ʻana.

I loko o ka mālamaʻana o ka pancreatitis, pono e hoʻokaʻawale i ka hoʻohana ʻana i ka waiʻona, ka hoʻohana ʻana i nā lāʻau lapaʻau e hiki ke loaʻa ka hopena i ka pankreas (antibiotics, antidepressants, sulfonamides, diuretics: hypothiazide a me furosemide, indirect anticoagulants, indomethacin, brufen, paracetamol, nui o glucocorticoids).

Hiki i nā hopena o ka pancreatitis: i ʻole ka hoʻōla o ka kelepona exocrine, jaundice obstruktive, hypertension portal, nā maʻi maʻi (parapancreatitis, abscess, retroperitoneal cellulitis, hana ʻino o ka biliary tract), ka huhū o loko. Me ka hoʻolālāʻana o kēia maʻi, ka maʻi diabetes, ka hoʻemi ʻana o ke kaupaona, a me ke kanā pancreatic hiki nō hoʻi.

Hoʻohana ʻia

Maʻa maʻamau ka paʻakikī o ka exocrine pancreatic insufficiency. Loaʻa iā ia ke hoʻoponopono ʻana i ke kūlana nutritional, kū a me ka etiotropic therapy, a me ka hoʻomaʻamaʻa ʻano manawaleʻa. Hoʻokomo ʻia ka maʻi Etiotropic e pale i ka holomua o ka make kelepona. ʻO ka hoʻoponopono ʻana i ke ola ʻano ke waiho aku i ka inu ʻana i ka waiʻona a me ka uahi. Loaʻa nō hoʻi ka nui o ka nui o ka protein i ka meaʻai, he hōʻemi ma ka nui o ka momona, a me ka hoʻokomo o nā huaora.

ʻO ke ala nui o ka mālamaʻana no ka hr. ʻO ka pancreatitis kahi hoʻololi o nā enzymes (no ke ola). ʻO ka Steatorrhea me ka nalowale o nā ʻoi aku he 15 g o ka momona i kēlā me kēia lā, ke hoʻomau nei ka protein-energy insufficiency kahi hōʻailona no ka hoʻololi hou ʻana me nā enzymes.

ʻO nā ʻaihue e hoʻomaʻamaʻa ʻia ʻo Microgranular i loko o nā membrane-pale pale a me nā capsula gelatin e hoʻoheheʻe ʻia i loko o ka ʻōpū me ka maikaʻi loa, e hāʻawi ana i nā kūlana no ka hoʻohuihui like ʻana o nā granule lāʻau i ka ʻai Ua koho ʻia nā pāʻālua o kēlā mau lāʻau a me ka hilinaʻi ʻia o ka maʻi nui o ka maʻi, ka hana a ka mea huna pancreatic.

Nā ʻano o ka hemahema a me nā hōʻailona

ʻO nā ala o ka pancreas he 4 ʻano.

ʻO ka hemahema o ka hana huna waho o nā enzyme pancreatic.
ʻO ka palupalu pancreatic Exocrine.
ʻO ka hemahema o Enzyme i loko o ka wai o ka ʻōpū.
Hoʻolaha ka hana ʻana o nā glucose glucose, lipocaine a me glucagon me ka hoʻoliʻi haʻahaʻa endocrine.

Ma muli o ka nele o ka huna ʻana o ka pancreatic i waho, aia ka emi ʻana o ka hana o nā mea ʻenehana kūikawā e wāwahi ana i nā huahana i ʻai ʻia i nā huahana i maʻalahi ke komo ʻana i ke kino a i ʻole ka lilo o ka huna ʻana o ka wai hoʻoneʻe i loko o ka ʻōpū ma muli o ka hoʻopulapula o nā kumu o ka ʻōpū a me nā fibrosis. Inā heʻe ka hana o ka enzyme, loaʻa ka mea huna i ka mānoanoa a me ka hiʻona, palupalu nā meaʻai. Inā he palena iki o nā pauku i loko o ka ʻōpū, hiki mai kahi kikoʻī o nā mea hoʻokomo ʻia, ʻaʻole i hoʻokō i kā lākou hana e like me ka mea e pono ai.

ʻO nā hōʻailona nui e hoʻokaʻawale:

ka hiki ʻole i ka ʻae i ka kau ʻana o ka momona a me nā mea ʻono,
he ʻeha o ka ʻeha i loko o ka ʻōpū,
huhū
colic i loko o ka ʻōpū, bloating.

Ma muli o ka emi ʻana o ka fermentation protein, alakaʻi i kēia i ka hoʻokumu ʻia ʻana o:

ʻaʻano pōkole
anemia
nāwaliwali i ke kino
mea momona
tachycardia.

Hōʻike ka hanu o ka enzyme pancreatic i ka hōʻemi ʻana i ka huahana o ka wai pancreatic, nona ke ʻano hana kūlohelohe o ka gastrointestinal tract.

Hoʻohālikelike ʻia ka maʻi e kēia mau ʻano e like me kēia:

wahawa
ninini
kaumaha ma ka ʻōpū,
ka nui o ke kino i loko o nā ʻāpana,
hoʻoneʻe ailima.

Hoʻolaha nā Exocrine haʻahaʻa i ka pancreas:

whanui - ʻokoʻa i kahi papa i hiki ʻole ke loli, ʻokoʻa ke kūpaʻa o ka pancreas, ʻo ka pinepine ka hopena o ka maikaʻi ʻole o ka pancreas a i ʻole ka pale hewa ʻana. Hoʻomaopopo pinepine ʻia i ke wā kamaliʻi,
kūwaha kaulike - ka mea i lawe ʻia e ka nekrosis o ka acini, fibrosis o nā io o nā meaola, kahi i hoʻoneʻe ʻia ma ka hana o nā enzyme pancreatic. Hoʻoulu ia e like me ka hopena o ke ʻano maʻamau a me ke ʻano o ka pancreatitis, cystic fibrosis, Schwachmann-Diamond syndrome.

Hōʻike ʻia ka ʻike haʻahaʻa o nā huina o nā huina o ka huina o ka huhū.

KeHulelehe.
Kahula
Lohea
Nā mea momona nani ʻole.
Hōʻalo wai i loko o ke kino.
Weupuaa.

ʻO ka hōʻailona nui loa o ka hoʻoulu i loko o ka hoʻoneʻeʻana o ka ʻōpala. Hoʻonui ka mea maʻi i ka pinepine o nā neʻe i loko o ka ʻōpū, ʻoi aku ka momona o ka momona, palaloka maikaʻi ʻole, ka noho mākaukau a ka ʻōhū makerefactive.

Ma ka pilikia o kahi pilikia endocrine, pōʻino kēia ʻano holoholona, ʻo ia ka mea i alakaʻi i ka hoʻouluulu ʻana i ka hana ʻana i nā hana o nā huapalapala i loko o ke kino a me nā hopena hikiʻole. Me kahi hoʻololi i ka hana insulin, ulu ka maʻi diabetes. ʻO nā ʻōmaʻomaʻo nui e hōʻike ana i ka nele o nā hormones insulin, aia:

hoonui i ka glucose koko ma hope o ka ʻai ʻana,
ka makewai
nā hoʻomaʻa pinepine ʻana
itching ʻōwili i nā wahine.

Ke emi ka hoʻoneʻe o glucagon, hoʻopiʻi ka mea maʻi i ka nāwaliwali, dizziness, ka mauʻu i nā poʻomanaʻo, i ʻole ka manaʻo o ka naʻau.

Nā kumu

Hōʻalolo i nā enzyme pancreatic o ʻelua mau ʻano:

Nā ʻano huaʻai - i hana ʻia ma muli o ke ʻano genetic e hoʻopōʻino a hoʻopaʻa ʻia i nā enzyme pancreatic gland.
Ka ʻano i loaʻa - hōʻike pinepine iā ia iho ma muli o nā maʻi pancreatic a i ʻole no ka maʻi hōʻino.

Eia kekahi, ua hoʻokaʻawale ka huina ʻano hoʻemi i ke ʻano: i loko o ka pae mua a me ka lua, pili a pilikino.

Kūkulu ʻia ka hoʻomohala ʻana o kahi maʻi maʻamau ma muli o kahi ʻano i hiki ke hoʻomālamalama ʻia i loko o ka parenchyma organ a alakaʻi i kahi pani paʻa o kāna hana. ʻOkoʻa nā ʻano ka lua o ka hanana - hana ʻia nā enzyme i loko o ka nui i koi ʻia, akā naʻe i ka komo ʻana i loko o ka ʻōpū, ma nā kumu ʻike ʻole i lilo i mea ikaika.

ʻO nā mea hiki ke alakaʻi i ka hoʻomohala ʻana o kahi kaʻina pili.

Hoʻopuka maʻamau i ka papa pancreatitis.
Hoʻokumu i loko o ka pancreas.
ʻO kaʻilihune, ka mea e alakaʻi ai i ka waiho ʻana o nā nui momona i loko o nā kiko o kahi mea maʻi.
Nā hana.
ʻO Schwachmann syndrome, Johanson-Blizzard.

I ka pinepine, ʻo nā mea hoʻopunipuni nā exocrine e kau i ka hana o ke ʻōpū a me nā ʻōpū. Eia kekahi, piʻi ka pilikia mai ka hōʻino ʻana i nā pono ʻai, e alakaʻi ana i kahi hōʻemi i ka saturation o ke kino me nā mea momona a me ka hoʻonui ʻana i ka inu ʻona.

ʻAʻole nā loulou nā kumu nui kahi i hana ʻia ai kahi maʻi. I mea e hōʻoia ai i ke ʻano o ka hana kolohe ʻana a hoʻoholo i ke ʻano o ka lāʻau lapaʻau, helu ʻia kekahi helu o nā hoʻokolohua.

ʻO ke kumu no ka hoʻokumu ʻana o ka maʻi exocrine i ka hele mai o nā maʻi e hoʻopiʻi i ka hoʻemi ʻana i ka nui o nā pihi o ka paena o ka pala, i kuleana no ka hoʻopili ʻana o ka mea huna.

I nā mea nui i ka hoʻomohala ʻana o nā ʻōmaʻomaʻo o nā enzymatic, aia:

ke ʻano o nā maʻi
ka hopena maikaʻi ʻole o nā lāʻau lapaʻau i hoʻohanaʻia i ka mālama ʻana i kekahi mau maʻi,
kamaʻilio male ʻana
ka hopena o ka dysbiosis.

Me ka nele o nā enzyme pancreatic, hōʻike ʻia nā hōʻailona e kahi hana pancreatic huhū.

Hoʻokumu ʻia ka hina haʻahaʻa ʻo Endocrine ma muli o nā hōʻeha ʻē aʻe e pili ana i ka luhi, ka nānā ʻana o nā mea i hōʻino ʻia i kāna mau ʻiʻo.

ʻO ka maʻi maʻi

Ka hoʻōla ʻana i ka hana ma ka hapa nui o ka pancreas a hoʻopau i nā loli, ke alakaʻi ʻia ka lāʻau lapaʻau e pili ana i ke ʻano o ka hina haʻahaʻa. I mua o ka pancreatitis, i ka manawa e hōʻike ʻia mai nā hōʻailona o ka patology, kahi e ʻeha ai, mālama ʻia ka hoʻomaʻamaʻa ʻana me ke kōkua ʻana o nā lāʻau multienzyme, e hoʻohuli ana i nā ʻenehana huakaʻi.

Inā pili ke kumu o ka nele o nā kinohi me ka gastritis maʻi i loko o ka pākeke, pancreatitis, maʻi diabetes a me nā ala ʻē aʻe, a laila e hoʻohana ʻia nā lāʻau lapaʻau e hoʻihoʻi i ka helu o nā enzyme digestive i loko o ke kino.

ʻO ke koho o ka lāʻau lapaʻau no ka mālama ʻana i ka hemahema o ka enzyme e hoʻopili pono ʻia, e pili ana i nā ʻano o ke kino.

No ka hoʻokaʻawale i ke kūlana, pono kahi papaʻai, kahi e kuhi ai i ka kaohi o ka glucose i loko o ke koko, ka hoʻohana ʻana i nā lāʻau lapaʻau i kauoha ʻia i ka mea maʻi. ʻO ka ʻai o ka mea maʻi maʻa, a hiki i ka 6 mau manawa i ka lā. ʻO ka papaʻai no ka lawe ʻana i nā mea kanu, nā cereals e waiwai i nā momona, nā mea hoʻokahe.

Ke emi ka hana o ka enzyme, ua ʻōlelo ʻia nā lāʻau lapaʻau e hoʻonui i ka hiki ke kūpaʻa, hoʻopaʻa i ka nohona alkaline.

I ka hihia o ka hoʻopiʻi ʻana o ka lawa o ka enzymatic me ka maʻi maʻi, mālama ʻia ka mālama ʻana i ka hapa me nā mea lapaʻau e hōʻemi ana i ke kō a me nā inikini.

He aha kēia

ʻO ka hemahema o Enzymatic he ʻano ʻai i ka ʻai, ka hoʻomohala i hana ʻia ma muli o ka hala ʻole o ka hana exocrine pancreatic function. Hōʻike pinepine ʻia kēia pathology i nā poʻe i kahi pinepine ma mua o ka maʻi pancreatitis maʻi, a no ka manawa lōʻihi hiki ke hele mai me nā hōʻailona koʻikoʻi.

Akā, ʻo kēia ka pōʻino o kēia kūlana, ʻo ka mea pono i ka enzymatic kahi maʻi koʻikoʻi nui, aia ma ka hiki ʻole o ka lawa kūpono e hiki ke alakaʻi i ka hoʻohemo o ke kino a hiki i ka make. A i mea e pale ai i ka hoʻomaka ʻana o kēlā mau hoʻopiʻi me ka nele ʻana o nā enzyme pancreatic i loko o ke kino, ke noi aku nei nā kauka e mālama i nā hoʻokolokolo diagnostic e hana i kēlā me kēia mau makahiki 1-2.

ʻO nā hemahema o Enzymatic o ʻelua mauʻano: kongenital a loaʻa. Hoʻokumu ka ʻenehana Congenital i ka hope o ke kuhi genetic e hoʻonāukiuki a hōʻoki paha i ka hana o nā enzyme pancreatic. ʻO ka loaʻa i nā maʻi i loaʻa pinepine i ka hopena ma ke ala o ka pancreatic pathologies (no ka laʻana, me ka pancreatitis) a i ʻole ka pono ʻole.

Eia kekahi, pilikia ka hoʻouluʻana o ka enzyme:

kumu mua a me kau pae
pili a kū pono.

ʻO ka hiki ʻole o ka hana pae mua e kū i ka hope o nā kaʻina o ka pathological i ka parenchyma o ka huila, e alakaʻi ana i ka pale ʻana o kāna hana exocrine. A me ka loaʻa ʻole o ka pauku liʻiliʻi ka mīkini hoʻomohala ʻokoʻa. Me kēia pathology, hua nui ka pancreas i nā enzyme nui, akā ke komo ʻana i ka ʻōpū liʻiliʻi, no kekahi mau kumu ʻaʻole lākou i hoʻomaʻamaʻa ʻia.

E ʻōlelo pololei ana, he aha nā mea e hiki ke hoʻonāukiuki i ka hoʻomohala ʻana i kēia ʻano kiʻina, a laila hiki ke hoʻokaʻawale ʻia kēia aʻe:

ʻO Schwachman lāua ʻo Johanson-Blizzard syndrome,
ka maʻi pancnitis,
maʻiʻo pancreatic
huikaih
ʻO ka momona, ma kahi e hoʻomaka ai nā mea momona e waiho i loko o nā ʻāpana o kaandena,
hoʻōki kūloko
ʻO ka hypoplasia pancreatic.

Eia kekahi, ʻo ka hiki ʻana o ka hōʻemi o ka hoʻoulu i ke kaomi o ke ʻano o nā mea kūwaho:

ʻO ka molope pancreatic a fibrosis paha,
ʻO ka maʻi pancreatic,
ʻOnawa papaʻaila,
nā waihona o nā mea stony i nā papa pancreatic.

E like me ka hōʻike ʻana o nā lāʻau lapaʻau, ʻo ka nele o ka enzyme ka hopena o ka hopena o ka pancreatitis (obstructive, alcoholic, calculous a noncalculous), no ka mea, ke hana ʻia nā kaʻina o ka pathological i ka kiko o ka pancreas i ka wā o kona hoʻomohala ʻana, e hana ana i ka atrophy a me fibrosis o ka gion. Eia naʻe, hiki i kēia mau hana ke hoʻonāukiuki i nā maʻi ʻē aʻe, no ka laʻana, i ka atherosclerosis a me ka maʻi diabetes.

ʻO ke kūlohelohe, pono ka meaʻai o ka mea maʻi i ka hoʻomohala ʻana i ka ʻoi o ka hiki ʻana o ka enzyme. Hoʻokumu ka pancreas i ke kāpili ʻana o nā huina o ka manawa i ka wā e komo ai ka meaʻai i ka esophagus. Inā he nui a he kumu nui paha ia, ʻaʻole ka manawa ka hao e hana ai i ka nui o nā enzyme e pono ai no ke kaʻi ʻana, ma muli o ke ʻano o ka hoʻomaka ʻana i nā loina ikaika, e alakaʻi ana i kahi hana hewa. No kēia kumu, noi ikaika nā kauka e mālama ka poʻe āpau i kā lākou ʻai e ka ʻai ʻana i nā meaʻai maikaʻi wale nō a me ka haʻalele ʻana i ka overeating.

Loaʻa pinepine i ka nele o ka lua i kēia mau pilikia:

me nā ʻōiwi ʻē aʻe o ka ʻili liʻiliʻi,
gastrinoma
lawa ʻole synthesis o enterokinase,
ʻohi-kaohi ka ʻike
Nā kuʻuna o ka gallbladder, nā ate a me nā kumu bile.

Hōʻike ka ʻano o ke ʻano o ka pathology i ka pale ʻana o nā hana exocrine a me ke kāpili ʻana o nā bicarbonates ma muli o ka dystrophy o ka parenchyma o ka piha. ʻO ka hemahema o kahi pilina he hopena ia o ka hōʻino o ka lumen o nā papa pancreatic, ma muli o ke ʻano o ke komo ʻana o ka wai o ka pancreatic i loko o kahi ʻāpana liʻiliʻi. Hana ʻia kēia, ma ke ʻano he kānāwai, i ka wā e waiho ai nā stony, i nā ʻōpala a i nā ʻeha paha i nā koholā o ke kīkī.

Nā hōʻailona o ka maʻi

Hoʻopilikia ka kaʻina hana ʻana ma muli o ka nele o nā kinipiko pancreatic, ka mea i kapa ʻia ka maʻi maldigestion syndrome (kaohi ʻana o nā hana hana i ka ʻōpū o ka ʻōpū). Hōʻike ia iā ia iho i mua o ka pope o nā meaʻai i loaʻa i ka feces a i ʻole ka nui o nā momona i loko o lākou, no ka mea e lilo nā huaʻai a me nā aila.

Ke komo nā paʻapaʻu undigested i loko o nā ʻāpana, hoʻāla lākou i ka synthesis o nā kolokolo, ka hopena o ka hoʻokumu ʻana o ka polypecal a me nā maʻi pāholo. I kēia hihia, hoʻomaka ka pākuhi e hoʻonā i kahi lehu fetid a loaʻa kahi hina hina.

ʻO nā neʻe o ka hana a ka pēpē o ka ʻawaʻawa e alakaʻi i ke kūkulu ʻana i ka pauku o ka protein-pūngao, ka mea i hōʻike ʻia e ka nui o ka vitamin, dehydration a me anemia. Eia kekahi, ke ʻano nei kēia kūlana ma kahi hoʻohaʻahaʻa nui i ka paona kino. ʻO kekahi mau kumu e pili ana i ka helu o ke kaupaona ʻana:

ka papaʻai paʻa loa ʻia me ka paʻa loa ʻana o ka kau ʻana o ka momona a me nā kālaiʻai,
ka hele ʻana o kahi makaʻu o ke kanaka e ʻai, e kū pinepine ma hope o ka maʻi pancreatitis.

Hiki paha i ka mea maʻi ke ʻike i kēia mau hōʻailona ma hope o ka nele o ka enzyme:

utuka
puʻuwai
ninini
he ʻeha o loko o ka ʻōpū.

Nā hōʻailona o ka maʻi

Hōʻike ʻia kahi hōʻailona o ka loaʻa ʻole o nā enzyme pancreatic i kēia mau hōʻailona:

ʻO ka ʻaʻa haki, hana pinepine ʻia i ka ʻano wai,
nāwaliwali o ka nui āpau
lilo ka momona
mīkini hoʻopuka piha,
ke waiho ʻana o kahi kaumaha o ke ahonui, a me kahi kaohi o kāna hana kino,
nausea pinepine
ʻeha nui ka ʻeha ma ka ʻōpū.

ʻO kekahi o nā hōʻailona koʻikoʻi o ka hemahema o ka enzyme e manaʻo ʻia he hoʻololi ia i ka hana a ka mea maʻi. E like me ka mea i ʻōlelo ʻia ma luna nei, ʻo ka ʻaina wai ia e kū nei i kēia maʻi, me kahi mea ʻono.

Nā lāʻau lapaʻau e hoʻopau ai ka pancreatic

Ma hope o ka loaʻa ʻana o nā hopena pono a pau o nā hōʻike a me nā hoʻokolohua, hiki i ke kauka ke kuhikuhi i nā lāʻau lapaʻau e pono ai i hiki ke hoʻokaʻawale i nā pono o ka digestive pono. No ka mālamaʻana i kēia maʻi, ua hoʻohana ʻia nā ʻano nui o nā lāʻau, ʻo ia hoʻi: ʻo ka pāmeʻomaʻi a me nā lāʻau lapaʻau antiferment.

ʻO ka hihia mua, ma muli o ka lawe ʻana i kēlā mau lāʻau lapaʻau, hiki i ka mea maʻi ke loaʻa i kēlā mau enzyme i lawa ʻole i loko o kona kino. ʻO ka lua, ʻo ka hoʻohana ʻana i nā lāʻau lapaʻau e hiki ke hoʻopau i nā hopena like ʻole o ka hana ʻana i nā kinohi kino pilikino.
Pehea ka hopena o ka maʻi maʻi? No ka mālamaʻana i ka nele o ka enzyme, kuhikuhi ka poʻe loea i nā lāʻau lapaʻau e hiki mai ana:

ʻO ka pancreatin kahi lāʻau lapaʻau i loaʻa mai ka kelepona holoholona. ʻO ka ʻano o kēia lāʻau lapaʻau ka trypsin a me amylase. Pono i kēia lāʻau lapaʻau i ka manawa o ka hoʻohaʻahaʻa i ka nui o nā wai i loko o ka ʻōpū o ka mea maʻi, me ka hypofunction o ka aila a me kekahi mau pilikia ʻē aʻe i ka hana kūnaʻi.
ʻO Festal kahi lāʻau lapaʻau e loaʻa ai kekahi mau enzymes pono a me nā enzyme bile. Hiki i kēia lāʻau lapaʻau ke hoʻomaikaʻi i ke kaʻina hana holoʻokoʻa a hōʻoluʻolu i ka hōʻeha ma ka ʻōpū.
ʻO ka Oraza kahi lāʻau lapaʻau, ka mea e loaʻa ai ka nui o nā enzyme pono. Hoʻohana ʻia kona hoʻohana ʻana no ka hoʻokaʻawale ʻana i nā hana o nā kinipōpō.

Inā loaʻa i ka mea maʻi ka nui o ka kiʻekiʻe o nā hormones, a laila ua hoʻohana ʻia ia mau ʻano e like me ka:

ʻO Pantripine kahi lāʻau lapaʻau e hiki ke hōʻemi i ka hana nui o nā enzymes proteolytic. I ka manawa mālama o ka mea maʻi me kēia lāʻau lapaʻau, pono e nānā pono i nā amylases ʻaʻole wale i ke koko o ka mea maʻi, akā i loko nō hoʻi o kona urine.
ʻO Aprotinin kahi lāʻau lapaʻau polypeptide hiki ke hoʻowalewale i ka hana kiʻekiʻe o nā enzyme ma ka pancreas.

Hoʻopili i nā lāʻau e pono ai i kuhikuhi ʻia i ka mea maʻi e kekahi loea ʻoihana, pono pono hoʻi ia e mālama i kahi kī.

Ua koho ʻia nā lāʻau lapaʻau a me nā meaʻai i kēlā me kēia maʻi no kēlā me kēia maʻi, ʻoiai aia nō ia mau ʻano āpau āpau.

Hāpai ke kauka i ka nānā ʻana i ka mea hoʻomanawanui i kekahi mau lāʻau lapaʻau.

E hoʻomanaʻo ʻo ka hoʻohana ʻana i nā lāʻau lapaʻau, me ka mālama ʻana i ka ʻai, ʻo ia kekahi o nā laʻina nui loa i ke ala e hoʻihoʻi hou ai a hoʻihoʻi i ke kino.

ʻO ka nele o ka pancreatic kahi hōʻike paʻakikī maoli no kēlā me kēia kanaka i hālāwai me ia. ʻO ia ke kumu, i ka wā i hōʻike ʻia ai nā hōʻailona mua o kēia maʻi, pono koke ʻoe e hoʻopili aku i kahi loea e kōkua iā ʻoe i ke hoʻoponopono ʻana i ka pilikia.

Nā kumu o nā maʻi

Hana ke kino i nā enzyme kūikawā i ke kino, me ka hiki ʻole ke hana i ke ʻano o ke kō ʻana o ka ʻai. I kekahi manawa ke haunaele nei ka hana maʻamau o ka pancreas a hoʻēmi ʻia ka nui o nā mea i hana ʻia, ua kapa ʻia kēia paleke me ka pancreatic insufficiency. ʻO nā kumu nui no ka hoʻomohala ʻana o kahi kūlana i kahi ʻāpana i lalo:

hana ʻino i ka ʻili e hoʻopili ai ke kino,
ka loaʻa ʻana o ka hemo o ka waiora i ke kino,
he hū ʻana i ka hoʻoliʻiliʻi ʻana i loko o ke koko,
he hemoglobin haʻahaʻa i loko o nā loko koko,
kaʻai ʻole kūpono, ke alakaʻi ʻana i nā malfunctions i ke kino.

Ma kahi o nā kumu i kakau inoa i ke kumu o ka hoʻohaunaele ʻana i nā maʻi, aia ka nui o nā nui o nā mea e hiki ke hoʻopā i ka hūnā i nā hana kuhihewa i ka hoʻopiha. I kekahi mau hihia, loaʻa i ka moʻomeheu o ke kanaka kahi hana nui i ka hoʻomohala ʻana o nā mea kuʻuna i loko o nā pūlima. I kēlā mau kūlana, ʻoiai ke mālama nei i kahi ola olakino a me ka meaʻai kūpono, hele mai nā maʻi i ka pancreas. Hiki i ke hana ma ke hana ʻana o ka mea hana i nā mea maʻi.

Nā maʻi ʻeha

I kēia manawa, ʻike ʻia nā ʻano hana like ʻole o nā hana gagal. ʻO kēlā me kēia ʻano maʻi i kekahi mau hiʻohiʻona. ʻO nā kumu nui o ka hana ʻole ʻia:

exocrine lawa,
exocrine gagal,
nā hemahema enzyme
ka hana mutunga endocrine.

Hoʻokahi ʻano hiʻohiʻona o kēlā me kēia ʻano hiʻohiʻona. ʻO ka hoʻonāukiuki i ka hana o ke kino he kūlana maikaʻi ʻole ia.

E hoʻokala i nā hemahema i ke kino a hoʻoholo i ke ʻano o ka hoʻopukapuka ʻana, pono ia e hoʻomaʻamaʻa i ka loiloi loiloi ma lalo o ka nānā ʻana o kahi loea.

Ma hope o ka hoʻopaʻa ʻana a me ka ʻōlelo kūkākūkā, hana ka lāʻau lapaʻau i kahi maʻi kūpono a kuhikuhi i ka mālama kūpono, ʻo ke kumu o ke ʻano o ka hana ʻana i ka pancreas.

ʻO ka mea maʻamau i ka hana o ke kino he hana ʻole o ka hana huna. I waena o nā ʻano like ʻole o ka hakahaka o nā mea huna, ka mana o ka exocrine o ka lawa ʻole, ka mea i loaʻa ʻole i nā mea huna e komo i ka hoʻokō ʻana i nā kaʻina hana o ke kūoʻi, ka mea i manaʻo ʻia i ka mea maʻamau. Kūkaha kēia ʻano o ka nele i nā laʻana o ka hoʻokaʻawale ʻana i nā nui o nā huna huna i kuleana no ka hoʻopili ʻana o nā mea huna.

ʻO ka hoʻomohala ʻana o ka huakaʻi exocrine

ʻO ka lawa ʻole o nā huna pilikino, e like me nā pilikia ʻē aʻe o ke kino, he nui o nā hōʻailona a me nā hōʻike e hiki ke hoʻopaʻa pono i ka noho ʻana i loko o ke kino o kēia ʻano kolohe. ʻO nā ʻōmaʻomaʻa nui e hōʻike ana i ka maʻi excrine pancreatic:

ka hakakā ʻana i nā momona momona a me nā momona.
ke ʻano o ke kaumaha o loko o ka ʻōpū ma hope o ka ʻai ʻana i nā meaʻai momona a me nā ʻuʻakai ʻaʻole i hoʻopili ʻia e ke kino,
ka nui o nā storr porridge,
ʻūlū
ka hiʻohiʻona o colic i loko o ka ʻōpū
ka hopena o ka eha ma ka iwi.

Ma kahi o nā hōʻailona i kau inoa ʻia, nā hiʻohiʻona kelepona e ʻike ʻia e ka ulu ʻana o ka nui o ka puʻuwai, nā puʻuwiki o nā mea, ka pōkole o ka hanu, nā hewa ma ka ʻōnaehana e hōʻoia i ka hana o ke kōpala o ke koko, ka maloʻo maloʻo a me kekahi mea'ē aʻe. ʻO ka loaʻaʻana o kēia mau hōʻailona no ka nele o nā momona a me nā momona momona i ke kino. Ma muli o ka halaʻole o kā lākou nānā ʻana, ʻike ʻia nā pilikia e loaʻa ai ka pilikia ʻino, ʻoi aku ka nui o ka maʻi ʻo ia iho.

ʻO nā kumu o nā maʻi pancreatic

Ua loaʻa i nā poʻe lapaʻau nā kumu he nui e pili ana i ka hoʻomohala ʻana i nā pilikia o ka pathological i ka luhi. Aia ma muli o ka mana o ke kino o nā kumu like ʻole, hoʻomohala kekahi. ʻO nā kumu nui o ka hoʻomohala ʻana i ka nahā hihia:

ka hoʻemi ʻana o kaʻili glocrular exocrine,
ka puka ʻana o ka mea huna i ka lua duodenal,
ka nele o ke komo ʻana i nā huaʻenehana i ke kaʻina o ka hana ʻai meaʻai,
hoʻohana ma ke kaʻina o ka mālama ʻana i kekahi mau lāʻau lapaʻau.

ʻO ke ala nui o ka hoʻoponopono ʻana i ke pancreas o ka mālama ʻana i ka meaʻai kūpono. ʻO nā mea nui i ka mālama pono i ka meaʻai kūpono, e hāʻawi ana i ka hoʻoponopono ʻana i ke kino, ʻo ia ka:

ka hoʻohana ʻana o ka ʻai kīʻaha fractional, ma laila ka nui o ka ʻai i ka wā e hoʻemi ana i ka nui o ka ʻai i hoʻopau ʻia i ka manawa hoʻokahi,
ka hoʻonui ʻana i ka nui o nā momona momona i hoʻopau ʻia,
ka hoopaa ana i ka ai ana i ka ai ma kahi hope, mamua o ka moe ana a me ke aumoe o ke po,
hōʻole e inu i nā mea ʻona e loaʻa ana i ka waiʻona.

ʻO nā huahana e ʻae ʻia e ʻai ʻia, e hoʻoponopono ʻia e ka poʻe kauka i ka poʻe lapaʻau e mālama ana i ka ʻai o ka mea maʻi. I ka hihia o ka hoʻohana pono ʻana o ka ʻai momona o nā holoholona holoholona, ua hoʻololi ʻia ia e nā mea kanu lāʻau e loaʻa ana nā momona momona. Ua hoʻokomo ʻia kahi nui o nā lauala a me nā huaʻai i loko o ka ʻai. No kēlā mau mea e loaʻa nei i ka huakaʻi exocrine, nā meaʻai i loaʻa ka mea laʻa ke kī mua i kaʻai ʻana, pono e hoʻopau ʻia i nā nui e pono ai e kōkua i ke kino e kūleʻa aku. ʻO ka mea nui e koi ʻia ai, ʻo ka loaʻa o nā huama mai nā meaʻai olakino, ʻaʻole mai ka momona.

Me ka loli piha i ka meaʻai o ka mea kanu, hiki ke ʻike ʻia ka hoʻonui ʻana i ka mīkini i loko o ka huehue.

Ma kahi o ka meaʻai meaʻaiʻai, pono i ka mea maʻi e loaʻa i kēia ʻano ʻano hana e pono ai e hoʻohana i ka lāʻau lapaʻau i ke kaʻina hana, ka hana a ke ʻano o ka hoʻihoʻi ʻana i nā hana o ka waihona. ʻO kēlā mau lāʻau lapaʻau e pili ana iā Creon, Pancreatin, Mezim a me nā mea ʻē aʻe. ʻO ka manawa pinepine, ka lawe ʻia ʻana o ia ʻano lāʻau i ka manawa like me ka pāʻina. Inā e ulu ʻia kēia ʻano, pono e ʻai ʻia ka bran.

ʻO ka hoʻomohala ʻana o ke ʻano exocrine o ka hāʻule ʻole

ʻO ka pīkoi pancreatic Exocrine kekahi o nā ʻano hana palau, i hōʻike ʻia e ka wai ʻole o ka wai wai i ka hoʻoneʻe ʻia no ka hoʻoneʻe ʻana.

ʻO nā hōʻailona nui o ka hoʻomohala ʻana o kēia pilikia ʻino:

maikaʻi ka hoʻokaʻawale ʻana o ka meaʻai,
mahuahua hau i loko o ka ʻōpū,
kueʻole i ke kaʻina hana o nā feces,
hiki mai ke pailua
ke hiʻohiʻona o kahi kaumaha kaumaha.

I mea nā kumu hoʻopiʻi ʻole:

hiki ke hōʻemi ʻia i nā loli hoʻololi
nā pilikia ma ka hana o ka ʻōpū,
haunaele o ka duodenum,
nā pilikia i ka lāpake,
nā mea ʻai ʻai
inu waiʻawa
kaʻaina meaʻai.

Hoʻomaka ka hoʻomaʻamaʻa ʻana o kēia ʻano ʻano ʻano maʻi me ka hoʻoholo ʻana i nā kumu kumu o kona hoʻomōhala ʻana. Inā he kumu a maikaʻiʻole paha ke kumu o ka hoʻonāukiuki, a laila pono e hoʻomaka i ka hoʻoponopono ʻana i ka ʻai o ka mea maʻi a haʻalele i ka inu ʻona.

Hoʻokomo ʻia nā pilikia i ka pancreas i nā keiki, ʻoiai ʻo nā mea hewa i ka hana o ia ʻano nui e alakaʻi ai i nā maʻi pathological koʻikoʻi i ka hoʻomohala ʻana o nā keiki. ʻO nā hemahema i ka pancreas e alakaʻi i ka maʻi metabolic, hiki i kēia mau loli ke alakaʻi i nā hanaʻino i ka hoʻolālā ʻana o ke keiki.

Nā lāʻau lapaʻau

Kahi ke ʻano o ka mālama ʻana o ka hemahema o ka enzyme i koho ʻia a hilinaʻi ʻia i kekahi mau mea:

mau kumu o ka maʻi,
ka hōʻeha o nā pathology.

Inā he hopena o ka hoʻoneʻe o ka enzyme i ka hoʻomohala ʻana o ka oncology, cysts a cholelithiasis, ʻo ke ala nui o ka hoʻōla ʻana e wehe i nā neoplasms. I ka wā hana, hiki nā neoplasms a me nā ʻāpana o ka pancreas i hana ai lākou e hiki ke holoi ʻia.

Inā pili ke kumu o ka hoʻolālā ʻana o ka hoʻōla o ka enzyme me ka pancreatitis, diabetes mellitus a i ʻole kahi maʻi ʻē aʻe e hiki ke mālama ʻia me ka lāʻau lapaʻau, ʻaʻole lākou i komo i ka hōʻalo hōʻemi. I kēia hihia, hoʻohana ʻia nā lāʻau lapaʻau e hoʻihoʻi i ka pae o nā enzyme o ka digestive i loko o ke kino o ke kanaka. E pili ana kēia:

Koho ʻia nā ʻano lāʻau like ʻole, e pili ana i nā ʻano pilikino o ke kino. E like me ke kānāwai, ua hoʻohālikelike ʻia nā lāʻau lapaʻau ma nā papaʻaina o nā pipi i hoʻoiho ʻia, ka mea i loaʻa nā enzyme digestive. Akā inā he mea maʻi ka maʻi kūlohelohe i kēlā mau mea, ua kauoha ʻia nā lāʻau lapaʻau. Akā hana lākou i nā mea ʻino aku ma mua o nā lāʻau o nā mea mai nā holoholona, no laila ua kau ʻia i nā ʻano kiʻekiʻe.

Ma ka pāʻālua me ka lāʻau lapaʻau, ua kauoha ʻia kahi meaʻai (papaʻaina no ka papa helu 5.) E ʻae iā ʻoe e hōʻemi i ka kaumaha ma nā pancreas a hāʻawi i ka manawa e hoʻolaʻa ʻia. ʻAe kēia meaʻai i ka meaʻai a ka mea maʻi:

momona a me nā meaʻai ʻai,
Kāwiki a me Koko
hau kalima
momona a me nā iʻa,
ʻōpū
nā mea inu ʻoki
pickles
kahakai
meaʻai kai
wōwī palaoa
ka wai ikaika a me ka ti
ka ʻala ʻawaʻawa a me nā mea inu ʻawa.

Pono e haʻi aku ke kauka i ka mea e ʻae ʻia e ʻai ai me ka nele o ka enzyme a me ka mea ʻaʻole. A he mea nui loa ia e hele pū ana i kāna mau loiloi, no ka mea e hilinaʻi ʻia ke ʻano o ka mea maʻi.