ʻO Pancreas: ma hea kahi a me ka hoʻomau ʻana

Manaʻo ka poʻe he nui inā he "pancreatic" ka inoa o kēia mea maʻi, a laila aia ma kahi o lalo, kokoke i kahi kokoke i loko o kahi o nā ʻōpū. He kuhi hewa maikaʻi kēia, hiki ke hoʻolōʻihi i ka manawa o ka mea hoʻomanawanui ma ka hale maʻi ma muli o ka hoʻomaikaʻi ma hope.

ʻOiai, me kahi luku piha a i ʻole nekrosis o ke kino, ua make ka make, ʻoiai ʻo kona inoa "pancreas" hiki i ka unuhi ʻia he "ʻano holoʻokoʻa": me ka ʻole o ka hanu, a me ka ʻike ʻole o ka hoʻokaʻa o ke koko ʻaʻole hiki ʻole.

No laila, he mea koʻikoʻi loa ia no ka nānā ʻana i ke ʻano o ka pancreas: inā pono, hiki iā ʻoe ke wehe i kahi ʻāpana o ka ʻōpū, nā ʻōpū, ʻokiʻoki i ka hapa o ka ate, a wehe i ka papa ʻaihue me nā pilikia ʻole.

Akā, he mea pōʻino loa nā hana āpau me ka pancreas, ma muli o ke kīpē āpau o ka ʻeha "make ʻole" - komo nā mea noiʻi i loko ona i loko o ka edema, pancreatic necrosis, ka hoʻopihapiha ʻana o nā papa me kahi maʻi maʻi - ʻo ia hoʻi, ke ola koke ke ola o ka mea maʻi. Pono ʻoe e ʻike a hoʻomaopopo i ka hoʻāʻo ʻana o ka pancreas i mea e hana wikiwiki ai i ka wā.

Ke hoʻokele wikiwiki

Aia i hea ka pili o ka pancreas - pololei a i ʻole hema?

Wahi kiʻi Pancreas i nā kānaka

ʻO ka manaʻo maoli, ʻaʻole o ka pancreas o ka ʻōpū o ka ʻōpū, akā i ka retroperitoneally, hiki ke ʻōlelo ʻia e pili i ke kua, a aia i ke kiʻekiʻe o nā kino o 1 a me 2 o ka lumbar vertebrae.

Kole iki ia e like me kahi alaloa o ka lapalapa i hoʻonui ʻia ʻia, a me ka lōʻihi o ka hao i ka pākeke ʻaʻole eʻoi aku i ka 25, i ka laulā - 10 a me ka māno - 3 cm.ʻO ke kaupaona ʻana ma mua o 100 mau grama, ʻoiai i ke kanaka nui. I ka hao, wehe ke poʻo, ke kino a me ka huelo.

Me ke poʻo, e uhi ana i ka ʻōpū o ka duodenum, ka uhi ʻana o ke kino i ka ʻōpū i mua, a me ka kuʻi i ke kua. Hoʻonui ʻia ke kaʻe mai ka ʻākau a hema a hiki i ka puka splenic.

No laila, pane wale i ka nīnau "ma hea ka lepa, ʻākau a hema paha"? - hiki ʻole, ʻokaʻo ia. ʻAe, loaʻa iā ia ka hema i ka hema, akā me kahi liʻiliʻi o ka huelo. A hoʻopaʻa ʻia kona mau nui nui ma ke kikowaena.

He ʻoiaʻiʻo, paʻakikī e loaʻa i kekahi mea ʻē aʻe e hūnā hohonu i ka piha loa o ke kino o ke kanaka, ʻaʻole nui ke kino, akā pono pū kekahi, e pili ana i ka nui o ka pūpū. No laila ʻo nā hiʻohiʻona o ka ʻeha o ka ʻeha, ke kumu o nā pancreas.

ʻO nā kumu maʻamau o ka ʻeha

kāʻei i ke ʻano o ka ʻeha

Inā hōʻeha nā pancreas, e ʻike mau ʻia nā kumu? - ʻae. Hoʻolilo mākou i nā mea nui loa: ʻo kēia ka edema o kāna mau kiko, e kaʻi ana o kona mau capsule, necrosis o kāna mau ʻāpana a komo i ke kaʻina o ka peritoneum me ka hoʻomohala ʻana o ka peritonitis.

Hoʻomaopopo kēia mau kaʻina āpau ma o nā maʻi:

1. ʻO ka pancreatitis aʻeha paha. Hoʻohālikelike ia e ka maʻi o nā kaila pancreatic, pinepine pinepine - ma muli o ka hoʻohana ʻana i nā ʻōmai he nui o ka hoʻohaʻahaʻa haʻahaʻa, nā hewa i loko o kaʻai (nā meaʻai momona), maʻi maʻi gallstone.
2. Hoʻololi maʻi pancreatic - maʻi kanesa.
3. ʻO nā hōʻeha i ka wahi retroperitoneal a me ka ʻōpū o ka ʻōpū. ʻO ka hana maʻamau ka pupuhi ʻana i ka ʻōpū ma luna a me ka umauma e kū'ē i ka wahi hoʻokele i ka wā o ka pohō ʻana. Ua pili pū ia me ka ulu ʻana o ka hematoma retroperitoneal, a me ka necrosis hemorrhagic pancreatic.

No ke kumu e hōʻeha ʻole ka pancreas, ʻaʻole ia ka maʻi ʻehaʻeha e pōʻino, akā i kona hopena - necrosis o ka nui o ka aila, mea mai ka trauma a me ka pancreatitis aʻeha.

ʻO ka nekrewa pancreatic he hemorrhagic a me nā momona. He mea maʻalahi ia e wehewehe i kēia ma o ka "hoʻoneʻe ʻana iā ʻoe iho" o ka kiko o ka pancreatic, a me kēia ʻano e ulu i ka wā ma hope o ka pāʻina ʻana i nā haleʻaina me nā momona momona, nā mea ʻalalaha a me ka wai ikaika.

ʻO kēia kaʻina hana, ma kahi hihia o ka lesion o ka pala a me ka hoʻopili ʻana o kahi maʻi lua, kokoke e alakaʻi i ka make.

Nā hōʻailona - pehea e hoʻomaopopo ai i nā mea a ka pancreas i hōʻeha ai?

ʻAʻole hiki ke poina ka ʻeha i ka pancreas e kekahi kanaka i ka liʻiliʻi i loaʻa i kahi ʻano hōʻeha o ka pancreatitis o ka maʻi. No ka aneane ke kūpaʻa kokoke i loko o ka waena o ke kino, ke kū ʻia nei ke kumu i ke kumu lāʻau i ka mediastinum, e hou nei ke kanaka i waena.

• ʻO ka maka o ka ʻeha ka hōʻailona mua o ka ʻaila pancreatitis. No ka loaʻa ka aniani i kahi kokoke i ka vertebrae, e hāʻawi mau loa ia i ka ʻeha i ke kua.
• ʻO ka lua o ka hōʻailona ma ka hōʻiliʻili wīwī: ʻaʻole i hōʻike kekahi kanaka i kahi o ka ʻeha me kona manamana lima a i ʻole kona palima, ke neʻe nei ʻo ia i kona mau lima a puni kona ʻōpū, haʻahaʻa iwi, i kekahi manawa e hāpai ana i kona mau lima a ma hope o kona kua. ʻO kēia ma muli o ka lōʻihi o ka lōʻihi o ka momona.
• ʻO ke kolu ʻo ka nele o ka hoʻomanawanui pale ʻana o nā ʻōpū o ka ʻōpū, ʻoiai ʻo ka ʻeha nui loa. ʻO kēia ma muli o ka “mamao” o ka pancreas mai ka ʻaoʻao nui o ka peritoneum. Hiki i kēia hōʻailona ke hoʻoholo i ka maʻi maʻi.
• ʻO ka hōʻailona hou he hoʻonui mau a hiki ʻole hoʻi i ka hōʻeha ʻana, kahi palu maikaʻi ʻole ʻole (ʻaʻole i pili ʻia ʻole) me ka ʻai ʻana o ka meaʻai. No ka laʻana, ua hoʻomanaʻo ke kanaka i kona ʻai ʻana i kahi ʻāpana palaki nui, akā ʻo ʻekolu mau hola i hala, a ʻo ia pū hoʻi ka pō ma mua.

A laila aia nā hōʻailona dyspeptic, e like me ka hoʻomoʻi pinepine ʻana, ʻaʻole ka mea e hali i ka hōʻoluʻolu, nausea, a me nā keʻokeʻo ʻē aʻe e kū hou ana ma mua o nā hōʻailona ʻē aʻe a pau, no ka mea kēia ka manawa.

ʻAʻole lawe ka mapu i ka hoʻomaha, no ka mea ʻaʻole ia e pili pū me ka mea ʻino, ʻaʻole ia e kāpae i nā toxins mai ke kino. Hoʻohui ia me ka hana mau ʻana i nā napu palapu i ka hoʻāʻo ʻana i ka pancreas.

Hiki i ka ulu ʻana o ka luaʻi ʻokoʻa aku: mai ka liʻiliʻi a ka wai a me ka profuse, i loko o ka dehydration. Hiki i ke ʻano o ka mea maʻi ke haʻi aku i ke kauka i ka nui: ʻaʻole ʻo ia e hoʻopunipuni mālie, akā wikiwiki nō ia i kahi moe, e lele ana mai ka ʻaoʻao a ʻaoʻao, hoʻopili ana i kona mau lima ma luna o kona ʻōpū.

Hoʻopili i kahi hopohopo, ka pallor o ka ʻili, kaomi, ka hoʻoheheʻe maloʻo, ka ʻūlū a hiki i ka ʻūhū hōʻeha, ʻo ka ʻano o ka hōʻino ʻana o ke kino, hiki ke kū mai.

Inā loaʻa kahi maʻi o ka pancreas, hiki i nā hōʻailona ke hōʻike i kahi pilina me ka system biliary: no ka laʻana, me ka pancreatitis maʻi, a me ka maʻi o ke kanesa, hiki i kahi maʻi paʻilima ka hopena.

He aha ka mea e hana ai me ka ʻeha i ka pancreas?

ʻO ka mea mua, pono ʻoe e hoʻokaʻawale loa i nā lāʻau lapaʻau āpau, e like me ka painkillers, e like me Ketanova. No kekahi mea ke hōʻoiaʻiʻo nei iā mākou iho he mea akamai mākou i ke kumu o ka ʻeha, me ka ʻeha ʻana i ka ʻōpū, ʻae ʻia nā analgesics.

ʻAi ʻia nā pale wela ma ka ʻōpū ma kēia ʻōpū: hoʻonui kēia i ka ʻōpū, a hiki i kahi hōʻanahana hoʻokahi wale nō ke hana i ka huina, me ka hopena o ka mea maʻi mai ka subtotal lesion.

Ma ke ʻano pinepine i ʻike ʻia i ka wanaʻao a i ʻole ia e pō, ʻoiai i kahi ʻalowa, ua āhe ʻia ʻia ka "anesthetize" vodka a i ʻole cognac. ʻO kēia ke kumu o ka spasm o ka sphincter o Oddi, e alakaʻi ana i kahi ulu nui i ka hōʻeha a me ka hoʻomohala ʻana o nā necrosis nui.

He aha ka mea e hana ai no ka ʻeha i ka pancreas?

1. E kāhea i ke kākele.
2. E kūlike i ka pili o ke "o ka anuanu, ka pōloli piha a me ka maluhia." Ke kīhea nei ke aniani e kōkua i kahi pōkole hau e waiho ma ka ʻōpū, inā ʻaʻole e hōʻemi, a laila lohi i ka hoʻonui ʻana i ka edema. Ka pōloli - kekahi o nā meaʻai i ke ʻano o ke kaumaha e hoʻowalewale i ka hoʻokuʻu ʻana o ka wai me kahi "keli" a laka, ka mea e alakaʻi ʻia ai ka pancreatic necrosis. A he maluhia kahi moe.
3. ʻO ka mea wale nō i ʻae ʻia e inu i ka wai maʻemaʻe e pale aku i ka dehydration. ʻO nā lāʻau hōʻike i hōʻike ʻia - "No-Shpa," a i ʻole kekahi mea antispasmodic e hiki iā ʻoe ke "wehe" i ka sphincter a hoʻokuʻu i kāna enzyme proteolytic mai ka pala i loko o ka palupene o ka ʻoihana - kīnā ʻole i laila, akā make wale i loko o ka kelepa. Me ka hoʻomau lohi, hiki ke mālama ʻia kēia mau lāʻau i ka intramuscularly, a hōʻike ʻia ka metoclopramide e like me ka antiemetic.

I ka hanana ʻana ka hōʻeha ʻana i ka ʻehaʻeha i loko o ka pancreas e kāpae ʻia i kāna iho, a laila ua hoʻomau ʻia ka mālama maikaʻi loa i ka pololi. Hiki iā ʻoe ke inu i ka wai wale. Pono ʻoe e pōloli i nā lā ʻekolu, a laila hoʻololi i kahi ʻai momona haʻahaʻa. Kūlohelohe, pono ʻoe e hōʻole loa i ka wai a me ka ulaula.

Hiki iā ʻoe ke hoʻomau i ka lawe ʻana i nā antispasmodics no kekahi mau lā hou. A ʻoiaʻiʻo, ua pāpā ʻia nā ʻahaʻaina nui no ke koena o koʻu ola.

Akā hiki ke kapa ʻia kēia hopena. I kekahi manawa ke mālama wale i ka mea maʻi ma o ka hōʻola nui ʻana a me nā lāʻau lapaʻau kūʻai nui, e like me ka ulu ʻana o ka hormone a me nā inhibitor protease. No laila, pono e mālama i kāu pancreas me ka mālama pono, a mai ʻai i loko o ka mea e ʻike ʻole ʻole ai i ke ʻano, ʻo ia hoʻi, nā mea inu ʻawaʻawa ikaika.

Nā hana kino

Ma muli o ke ʻano o ka hao, ʻelua mau hana: exocrine a me endocrine.

Hoʻopuka nā mea hoʻonela i nā lā i kēlā me kēia lā i ka 0.5-1 l o ka wai pancreatic, kahi i ka wai, ka paʻakai a me nā huina o ka digestive e wāwahi i nā mea komo i mua o ka hāʻawi ʻana i nā ʻāpana.

ʻO nā mea i hana ʻia e acini he proenzymes kaomi ʻole, ka mea e kāpae ʻia i ka pōʻino o ka iwi huna. Ke komo nei ka meaʻai i ka duodenum, hoʻokaʻawale ʻia nā ʻano biochemical e alakaʻi ai i nā enzyme pancreatic. Ke hoʻoikaika nei i ka hana o ka enzymatic o ka pancreas i ka wā o ka hoʻopili ʻana o ka ʻōpū a me nā ʻili. ʻO ka waiʻona Gastric, aia i ka waikona hydrochloric, ke komo i ka pūpū liʻiliʻi a hoʻoulu i ka hana o ka cholecystokinin a me nā mea huna, e hoʻāla ana i ka hana o nā acini.

Hoʻopuka ka hapa exocrine i ka kuhi i nā huaʻala e pili ana i kēia.

1. Amilazu. Hoʻomoe ʻo kēia enzyme i nā huehue paʻakikī i nā disaccharides maʻalahi a me ka oligosaccharides.
2. Lipase (cholesterol esterase, phospholipase A a me lipase). E wāwahi ka lipases i nā momona i hoʻokaʻawale ʻia me nā aikile bile. Hoʻokomo ʻo Bile i nā enzyme mua ʻelua a kāohi i ka hana o ke kolu, akā ʻo ka pancreatic wai i loko o ka colipase, ka mea e mālama ai i ka pae lipase.
3. Ka protein (trypsin, chymotrypsin, elastase, carboxy a meopopididase). Hoʻokomo ka protein i ka hana o ka pūnao protein. Hoʻopili lākou i nā kaula peptide o ka protein a hoʻokaʻawale i nā waʻa amino mai lākou.

ʻO ka wai pancreatic kahi pH alkaline, kahi e hiki ai iā ia ke hōʻaloli i ka hopena o ke wai ʻōpū ma ke kū ʻana o ka ʻai o ka ʻai.

Hoʻoponopono ʻia ka hana ʻo Exocrine e ka ʻōhumu, kahi i hoʻopaʻa ai i ka nui o ka hoʻoulu ʻana o ka pancreatic enzyme i ka meaʻai. Ke ʻano o ka waiū i ka hoʻohalike ʻana o nā protein, nā palaka a me nā mea i kālai ʻia i ke ʻano o ka meaʻai.

ʻO ka Mokupuni ʻo Langerhans (nā endocrine pancreas) nona nā ʻano o 5 mau kekela, ʻo kēlā me kēia mea e hana ai i kona iho pono iho:

1. Nā hale ʻalani. Hoʻopuka kēia mau sela i ka testosteroneagon, kahi e hoʻāla i ke kiʻekiʻe o ke kō kōʻai koko i ka wā e hoʻomaʻamaʻa ana, i.e., e hana i ka kūlike i ka insulin. Eia kekahi, ʻo kēia ʻāpana o nā mokupuni o Langerhans he kuleana koʻikoʻi i ka pale ʻana i ka hepatosis momona. ʻO ka hapa nui o nā pūpū alpha a hiki i 20% o ka lehulehu o ka pancreas endocrine.
2. Nā hale kūʻai Beta. ʻO lākou ke kuleana no ka hana ʻana i ka insulin a e hoʻoponopono i nā hana hoʻomoʻomaʻa a me nā momona momona. Me ka komo o kēia wahine, e hōʻiliʻili nā ʻili o ke kino i ka glucose, e hōʻemi ana i kona kiko i ke koko. ʻO nā sela Beta ka māhele nui loa o ka ʻāpana intrasecretory o ke ʻano: a ʻo kā lākou kūmole ke piʻi a 80% o ka lehulehu o nā mokupuni endocrine.
3. Nā huakaʻi Delta. Hoʻokumu nā pūnaehana o kēia ʻano i ka hormone somatostatin, kahi e kāohi ai i ka hana o nā kela endocrine kekahi, me ka pancreas. Kēia hēkēla a kēia hamone i ka papa kuhikuhi o ka pūnaehana endocrine - ka hypothalamus. ʻAʻole i oi aku ka hapa o nā cell delta ma loko o ka wahi i loko o ka pancreas.
4. Nā pūpili PP. No lākou ka kuleana o ka huna ʻana o ka polypeptide pancreatic (PP), ka mea e pale ana i ka hoʻoulu ʻana o nā enzyme o ka kelepona ponoi a hoʻoulu i ka hana o ka wai gastric. ʻO ka pālahalaha o nā pā o PP nā i 5% o ka nui o ka hapa endocrine o ke ʻano.
5. Nā huela Epsilon. ʻO nā ʻōpili-epsilon-type, nona ka ʻāpana i emi iho ma lalo o 1% o ka nui o ka nui o nā isl endocrine, e hoʻohua i ka mea i kapa ʻia. "Hīlio hormone" ghrelin, ka mea e hoʻoulu i ka ʻono.

ʻO ka luku ʻia ʻana o nā cell alpha a me nā beta ke alakaʻi i nā hopena koʻikoʻi no ke kino, no ka mea, ʻo nā hormones e hoʻoponopono i nā pakanika kalepa e hana wale i ka pancreas.

Aia ma hea ka pili o nā pancreas?

Aia ka pancreas (ʻike i ke kiʻi) ma ka ʻōpū o ka ʻōpū (e pili ana i ke kiʻekiʻe o ka pae a mua a me ka lua o ka vertebrae lumbar). Aia ka mea ʻala i hope o ka ʻōpū a pili loa iā ia a me ka duodenum.

Inā hoʻokau ʻoe i ka projection ma ka ʻaoʻao o ka pā o ka ʻōpū, ʻo kona wahi ma kahi o 5-10 cm ma mua o ka pusaka. Ua hoʻopuni ʻia ke poʻo o ke kahula i ka duodenum, e hoʻopuni ana iā ia i ke ʻano o kahi kāmaʻa. Ma o nā aruhe pancreas-duodenal, hāʻawi ʻia ka hāʻawi koko i ka pancreas.

ʻAuhea ke ʻoki o ka pancreas i ke kiʻi o kānaka

Pehea e hōʻeha ai ka pancreas i nā kānaka?

ʻO ka ʻeha e hōʻea mai i nā loli i ka pancreas hiki i kahi ʻano ʻē aʻe - e huki ʻoki ana a ʻokiʻoki ana i ka aʻa, a hiki i ke aniani (me nā peritonitis). Aia ia i ke ʻano a me ka nui o ka lesion o ka gland, a me ka pili o ke komo ʻana i nā pale peritoneal (peritonitis) i loko o ka kaʻina hana.

Hoʻokomo ʻia ka pancreatitis hua lāʻau me ka edema e kahi maʻi ākea ākea, pinepine ka hoʻopuni ʻana ʻana, e pālahalaha ana i ka ʻōpū o luna, ka ʻaoʻao hema a me ka pae lumbar. Ma muli o ka edema, ka manaʻo nui o ka piha piha i ka wahi o ka pancreas, kaomi ma luna o ka iwi o loko o nā iʻa. I ia mau hihia, he mea ole ka hoʻohana ʻana o antispasmodics. Hiki ke hōʻemi ʻia ka ʻeha ma kahi kūlana e noho ai me ke kino i neʻe mua a i lalo.

I ke kiʻekiʻe o ka ʻeha (a me kekahi manawa ma mua o ka hānau ʻana), hiki ke hoʻomaka ka nuʻi, ʻo ia hoʻi mau ʻia i nā manawa a ʻaʻole hoʻi e mau mai i ka hoʻomaha. Hiki ke ʻai ʻia nā manaʻo o ka vomit e ka meaʻai a i ʻole ka bile (ma ka hihia o ka ʻōpū ʻole), e momona a ʻawaʻawa paha ka ʻono.

Nā hōʻailona like (ʻehaʻeha, kūpono a ʻike) hiki ke ʻike me ka exacerbations o ka osteochondrosis ma ka lumbar spine, me nā maʻi o ke keiki a me nā ʻokiʻoki. E kōkua ke aʻo hou e hoʻoholo i ke kānalua o ka pancreatitis. Me ka lime o ka osteochondrosis, ʻike ʻia ka ʻeha o ka vertebrae i ka wā palpation, me nā pilikia me nā keiki - hoʻonui i ka ʻeha i ka wā e hōʻeha nei i ka kua i hope, me nā kaʻe ʻana o ka ʻili i ke ʻano o ka ʻupena. Hōʻike ʻia ka pancreatitis me ka haʻalele ʻana o kēia mau hōʻailona āpau.

Hoʻomaʻamaʻa ka pancreatitis maʻi e ka hōʻeha o ka liʻiliʻi haʻahaʻa, a ulu pinepine lākou ma muli o nā kuhi ʻana o ka meaʻai. ʻO ka makaʻeha o ka exacerbations o ka pancreatitis maʻi i ka mea i loaʻa i ka maʻi o ka pancreatic tumomo, me ka maʻi kino (cancer).

I nā mea e hōʻike ai ka maʻi?

ʻO ke hiʻohiʻona o kahi ʻeha ʻeha ma ka pancreas he hōʻailona mau nō ke ʻano maʻi i alakaʻi i nā maʻi koʻikoʻi. Ke emi nei ka hana o ke kikoo, e hele mai nā kaʻina pili me nā mea maʻi.

1. ʻO ka pancreatitis ka hoʻonāukiuki o nā aʻa o ka huina. Hoʻohui ʻia ia me ka hōʻiliʻili a me ka hana ʻana o nā kōmeʻa i huna ʻia e ka mea hao, ka mea e alakaʻi ai i ka luku ʻana iā ia iho. I kēia hihia, hoʻokuʻu ʻia nā mea maʻi, ke komo i ke koko, hōʻino nā kino o nā kino ʻē aʻe - ka puʻuwai, ka palaualelo, nā puʻuwai, nā pūpū a me ka lolo,
2. ʻO ke pohō kekahi o nā hoʻopiʻi o ka pancreatitis i loaʻa i ka inu nui ʻana. Kuhi ʻia ia me ka hōʻiliʻili ʻana o ke kino make o ka kelepona a me kā lākou hāpai ʻana ma hope,
3. ʻO ka nepe ʻana o ka pancreatic he hopena ia o ka ʻano o ke ʻano o ka pancreatitis. Ua ukali ʻia e nā cell necrosis. Hiki i ka ʻōpū o ka ʻōpū,
4. ʻO ka trombosis hoʻonāukiuki o nā vein splenic kahi hopena o ka hoʻomohala ʻana o ka pancreatitis. E hele pū me ka wailua me ke koko a me ka ʻeha kaumaha. Ke alakaʻi ia i ka hoʻonui i ka nui o ka spleen a me kahi laʻa i nā pale o ke kino,
5. ʻO Cholestasis kahi hoʻopiʻi ʻana i ka maʻi maʻamau o ka pancreatitis. Hoʻohālikelike ia e ke kuihue o nā kaʻina biliary a me ka stagnation o ka bile,
6. Kaneka pancreatic - ka hoʻomohala ʻana o nā ʻeha palaki ma nā wahi epithelial o ka puna glandular a me nā kumu. Hiki ke kū aku i ke kūloko o ka maʻi mellitus, maʻi pancreatitis a me ka adenoma pancreatic,
7. Diabetes mellitus - ulu mua i ke kāʻei o ka hemahema o ka insulin, ka mea e alakaʻi ai i ka hoʻōla glucose glucose a me ka nui o ka nui o kona nui ma ke koko (hyperglycemia). Hoʻopili ʻia ia e ka pōʻino o ke ōpū, māhina, ka ea, ka pale ʻana, ka puʻuwai a me nā ʻōnaehana hou.

ʻO nā maʻi i loaʻa i ka pancreatic dysfunction e hoʻopōʻino i ka pōpilikia ʻaʻole wale i ka hana o ke kaomi ʻana, akā ke ola pū kekahi.

Nā huapau

Hoʻokomo ʻia nā pilikia o ka pancreatic i nā ʻano nui:

1. ʻO ka ʻike ʻike loea o ka mea maʻi e ke kauka. Hoʻomaopopo ka poʻe loea i ka mea maʻi, ka nānā ʻana i ka kala o nā membous mucous a me ka ʻili.
2. Palpation o nā wahi hōʻeha. No kahi hoʻokolokolo ponoʻī, e hana mua ka mea maʻi i kahi kū ma luna o kona kua, a laila ma ka ʻaoʻao hema. Ke loaʻa ka pancreas, ʻeha ka ʻeha i ka ʻaoʻao maʻa.

Eia kekahi, ke kau pinepine nei ke kauka i kahi papa inoa o nā hoʻokolohua pono, ʻo ia hoʻi:

1. Kūʻai koko nui. Hoʻopilikia pinepine nā maʻi o nā kelepona i ka nui o nā ʻōpū koko keʻokeʻo.
2. Kuhi i nā pae o ka huakaʻi, amylase a me lipase i ka serum koko.
3. Eia kekahi, ua ʻōlelo ʻia kahi noi o nā huina o nā aila: alkatine phosphatase, bilirubin a me ATL. Hiki i nā māhina piʻi ʻana ke ʻano o ka hoʻouka ʻana o ka pancreatitis i loaʻa e ka neʻe o ka gallstones.
4. Urinalysis e ʻike i nā kiʻekiʻe amylase.
5. ʻO ka nānāʻana i nā feces no ka momona nui, trypsin a me ka chymotrypsin.

Hoʻohui, hoʻohana ʻia nā hana diagnostic instrumental:

1. Hoʻokomo ʻia Me kāna mea kōkua, huli i ka pā ākea a i ʻole ʻole.
2. Uiuei Kōkua i ke aʻo ʻana i nā hiʻohiʻona o nā contours o ke kino, e hoʻoholo ana i ka noho ʻana o nā gallstones, ke kūlana o ka excretory duct.
3. MRIAHUI Hoʻohana ʻia e hoʻomaʻamaʻa i ka maʻi maʻi, hoʻoholo i ka hele mai o ka necrosis pancreatic a i ʻole e kahe i ka peritoneum.

ʻOiaʻiʻo, ka mea mua e hana ai i ka wā e hoʻoholo ai he aha ka mea e hōʻeha ʻia ai ka pancreas ʻo ke kūkā ʻana i kahi loea. Ma hope o kēlā me kēia, ke hoʻopaʻa nei iā ʻoe iho, me ka mālama ponoʻī ʻana iho, hiki ke pilikia i ke olakino.

Me ka hoʻouka ʻana o ka pancreatitisʻeha, pono ka hoʻoku ʻana piha no ka lā 1-2, no ka mea, e hua ʻia ana ka wai pancreatic i kēia hihia ma ke kumukūʻai liʻiliʻi, a e lawe ʻia nā ukana mai ka kelepona. ʻO ka maʻamau, ua hoʻoneʻe a nalowale paha ka mea momona a pau i kekahi mau lā ma mua o kahi exacerbation. I loko o kēia manawa, pono ʻoe e inu i ka wai alkali (wai wai me ka ʻole o ka ʻaina, he hopena o ka kuke kīpake) a i ʻole sabakū rosehip.

Inā ka ʻeha o ka ʻōpū, hōʻeha nui, a i ʻole ke hōʻeha ʻeha i kekahi mau lā, pono ʻoe e hoʻopili i kahi keʻena olakino, no ka mea, hiki i kēia mau hōʻailona ke lilo i hōʻailona o cholecystitis, appendicitis, ulia peptic a i ʻole he ʻeha o ka ʻōpū.

I ka hihia o ka maʻi pancreatitis, pono ke hoʻomaha a me ka mālama ʻana i ka haukapila. I mea e pale aku ai i ka hoʻoheheʻe a me nā hoʻonaninua maʻamau, hoʻokomo ʻia kahi dropper. Hoʻomaopopo ʻia nā mīkini ʻokiʻoki a me nā lāʻau lapaʻau e hōʻole i ke kinikina o ka huina. I nā lā 3-4 mua, ua mālama ʻia lākou i intravenously, a ma hope o ke hāpai ʻia ʻana o ka hoʻomaha i ke ʻano o nā papa. I mea e hōʻemi ai i ka ʻeha i ka pancreas, pili ke kō.

Diet a me nā meaʻai

ʻO ka hana ʻana he mea koʻikoʻi nui i ka mālama ʻana a me ka pale ʻana i nā exacerbations o ka pancreatitis. Inā haʻalele ʻole ʻoe i kēia, hiki i ʻole nā ​​lāʻau lapaʻau ka mana.

No ka mea, ka ʻano like o ka qualitative a me ka quantitative o nā enzymes i hana ʻia e ka hao mea i like me ka hoʻokumu ʻana o nā huahana i hoʻopau ʻia i hoʻokahi pāʻina, ua hāʻawi ʻia e hoʻololi i ka meaʻai hoʻokaʻawale i mea e hoʻemi ai i ka ukana ma ka hao, i.e., e ʻai i ka protein a me nā ʻaloli i nā meaʻai like ʻole.

Eia kekahi, ʻaʻole pono e overeat: ʻo ka hāhai ʻana o kēlā me kēia caloric i kēlā me kēia lā, ʻaʻole iʻoi aku ma mua o ke ʻano o ka makahiki, ka wahine a me ka uku o ka ikehu.