Nānā no ka pancreatitis: kahi āu e pono ai ke hele

ʻO kahi kīʻaha kūpono, nā ʻuʻoki i ka holo, ka nui o ka inu a me ka inu ʻawaʻawa, ʻo ka hoʻohana ʻole ʻana i nā lāʻau lapaʻau e hiki ke hōʻeha i ka maʻi ʻaʻai, a i ʻole he kumu kūpono a maʻeha paha o ka hana ʻo ka maʻi ma ka pancreas. No ka hana i nā hana e pono ai i ka manawa kūpono, pono ʻoe e ʻike i nā hoʻokolohua āu e pono ai ke hele a ʻike i nā kumu o ka malaise a kuhikuhi i ka hoʻoponopono kūpono lapaʻau. I mea e hana ai i kahi maʻi kūpono, pono ia e hōʻike i nā hoʻokolohua maʻamau o ka urine, nā kuʻi, a me ka hoʻāʻo ʻana i ke koko no ka pancreatitis, nā hōʻailona ʻona e lilo ai i kumu no ka loiloi ʻana i ke ʻano o ke ʻano a me ka hana ʻana o ka pancreas.

ʻO nā hōʻike koʻikoʻi no nā maʻi pancreatic

Pono e hoʻākāka pono ʻia nā hana hoʻonaninani o ka pancreas, no ka mea he mea pono e hoʻomaopopo i ka hiki ʻole o ke ʻano hiʻona o ka ʻai, akā, ʻo ke ʻano o ka hana. ʻO kēia no ka mea nāna ka pancreas i kahi ʻano kūlike a me ka hana. He kuleana koʻikoʻi kēia kino no ka hoʻokō ʻana i nā ʻōnaehana digestive, ka hana ʻana o nā enzyme e pono ai e kōkua ai i ka wāwahi i nā protein a me nā hana momona i nā kūlana o nā liʻiliʻi liʻiliʻi e komo i ke koko a hanai i ke kino ma ka pae o ka cellular. Eia kekahi, ʻo ka pancreas e hana pū kekahi i nā hormones nui.

Kahi pono ʻole o kāna hana e kū nei i ka mea inā i hōʻino kekahi wahi o nā ʻala o nā io, a laila he hopena hou ke koena o ke kino maikaʻi a hāpai i ka hana no ka wahi i ʻoki ʻia, a ʻaʻohe hōʻailona o ka ʻano o ke ʻano.

Eia nō naʻe, ma kekahi ʻaoʻao, e kū mai kekahi ʻano i ka manawa i hala a i ʻole ka hoʻowalewale ʻana o kahi ʻāpana o kahi mea maʻi, ʻike ʻia ka hoʻololi ʻana i ka hoʻopili ʻana o ka pili i ka mea e ʻike ʻia ai, akā ma nā ʻano o kāna hana e kū mai kekahi pilikia. ʻO ke kūpono kēia i ka mea e pono ai i kahi loiloi piha loa no ka pancreas, e uhi ana i ke kūlana kūlana a me ke kiʻekiʻe o ka hana.

Wahi a kahi hōʻike koko, ke hōʻike nei ka pancreatitis i ka nui o ka hana o ka kohu, ke ʻike ʻia kahi kiʻi haumania kūikawā.

He mea pono ia e hoʻomaopopo ana ma ka pancreatitis mahele e loaʻa ana ka nui o ka pūnao o ka enzyme, kekahi o laila e hiki ke hoʻomaopopo ʻokoʻa ma ka koko, kekahi i loko o ka pihi, a me nā feces.

He aha ke ʻano o ke koko ma ka pancreas?

ʻO nā hoʻokolohua o ke koko ākea i nā hoʻokolohua lapaʻau e hōʻike paha i ke ʻano o kahi hana maʻi, akā ke kūleʻa ka maʻi e pili ana i kēia mau hopena wale nō.

Me ka pancreatic pancreatitis, nā hopena o kahi hōʻike koko ākea e hōʻike nei i kēia mau ʻano kū aʻe mai ke kumu maʻamau:

• ka helu ʻai kelepona haʻahaʻa
• hemoglobin hoʻemi,
• Hoʻonui ka ESR
• nui kekahi o nā keʻena koko keʻokeʻo,
• mahuahua hoʻi hematocrit.

ʻO kahi hōʻike koko ākea no ka pancreatitis hiki i nā hōʻailona like ʻole e oi aku ma mua o ke ʻano, a i ʻole kekahi wīwī, ma mua o ke ʻano maʻamau.

ʻO nā huaʻōlelo i hōʻikeʻia i ka maʻamau:

• nui ka nui o nā sela koko ʻulaʻula ma ke kino kāne ke ʻano he 3.9 a 5.5 * 10 12, a ma ke kino wahine mai 3.9 a 4.7 * 10 12 mau kelua / l,
• ka pae o ka hemoglobin i ke kino kāne mai ka makahiki 134 a 160, i ke kino wahine mai 120 g / l i 141,
• ʻo ka helu o ka ESR i nā ʻelele o ka hapalua kāne hiki mai i zero a 15 mm / h, a i ka wahine i ka hapalua a hiki i 20,
• ke ʻano o ka pae o ka leukocytes no nā māka o nā kāne like ʻole - 4-9 * 10 9,
• ka nui o ka hematocrit i mau kāne he 0.44-0.48, a i nā wahine he 0.36-0.43 l / l.

ʻO kahi hoʻokolohua koko lapaʻau ākea wale nō kahi ala kōkua no ka nānā ʻana i ka pancreas. E nānā a kiʻi i ka ʻike diagnostic pono e pili ana i ka pae o ka hōʻino i ka pancreas, hiki i nā mea loea ke kākau hou iā ia.

Ma kahi o nā noiʻi noiʻi i ka laboratory laboratory, kākau kekahi e hana i nā hoʻokolohua no nā ʻano ʻē aʻe ʻē aʻe e nānā ai i ka pancreas.

ʻO ka helu koko piha

ʻO ka hōʻike mua he hāʻawi koko mai ka manamana lima e nānā i ka helu o nā sela koko ʻulaʻula a me kā lākou sedimentation rate (ESR), pae hemoglobin, nā keʻena koko keʻokeʻo. Wahi a nā loli i kēia mau ʻōuli, ua manaʻo ʻia ke kaʻina o ka maʻi i ka pancreas, akā hiki ʻole ke hoʻokū ʻo pancreatitis me ke kānalua ʻole a wehewehe i kona ʻano a me ke ʻano. Aia kekahi mau nuances:

• Inā ma hope o ka mālama ʻana i nā ʻōkuhi āpau he maʻamau, koe wale nō ka ESR, hiki i kēia ke ʻike i ke ʻano o nā ʻōpiopio.
• E pale aku i ke kua o ka maʻi pancreatitis lohi, lōʻihi ka palena o ka leukocytes a me ESR.
• Inā nānā ʻia ka pilikia o ke kōpuhi o nā mea kanu, hiki i ka mea maʻi ke hōʻailona i ka anemia i ke koko.
• ʻO kahi hōʻike koko no ka pancreatitis me ka hemorrhagic complication (hemorrhage) e hōʻike i ka hoʻohaʻahaʻa ʻana i ka hemoglobin a me nā sela koko.

No ka ʻike pololei ʻana, pono e hōʻike ʻia kahi ʻano hōʻike ʻelua. Hiki i ka mea maʻi ke kahalaha i nā hopena o kēia loiloi ma ka hoʻohālikelike ʻana i kā lākou mau hōʻailona me ka normative, akā e pili ana ka hewa, no ka mea, ʻo "nā helu olakino" ʻokoʻa no nā haukapila like ʻole a me nā limahana hana. ʻIke pinepine nā ʻike no ka pancreatitis:

ʻO ka pancreatitis acute

ʻO ka maʻi pancreatitis kaha

maikaʻi ma lalo o ka maʻamau

ʻaʻole i hiki i nā hōʻailona kumu

ma lalo o nā waiwai kūlike

ʻŌkuhi koko

Hōʻike ʻia kahi kiʻi kikoʻī o ke kūlana o ke kino i ka mea maʻi me ka pancreatitis i hōʻike ʻia ʻana o ka noi ʻana o ke ʻano biochemical, pono e hana ʻia i ka wā o ka hoʻokipa me kahi hōʻeha ikaika i ka lā mua. ʻO Amylase, kahi enzyme e wāwahi ai i ka pauka, e pono ai i ka holo ʻana o ka hale hoʻokipa. He mea nui: ʻo kēia ʻōkuhi ke kī i ka maʻi kumu mua. I ka hoʻomakaʻana o ka maʻi, ua kaʻe kona koko i loko o ke koko i nā hola 12, ua lōʻihi ke kiʻekiʻe o ka hopena a hiki i ka 30 mau hola a ma hope o nā lā he 2 mau hoʻi nā helu. Ma kahi o ka amylase, pono nā mea hōʻailona hou:

• Kūkulu - ʻoi aku ka kiʻekiʻe ma mua o nā kumu pono (ma ka olakino olakino, ʻo ka pa o luna ka 5.8 mmol / l) i kū i ke kūlana o ka hana o ka insuline.
• Bilirubin - hoʻonui ʻia me nā pōhaku i loko o ka puʻuwai, e kū mai ana i ke kaʻe o ka pancreas.
• Alpha-amylase - kahi hōʻailona ma luna o ka maʻamau ma o nā manawa 4-5 (mau "ola" "- 0-50 U / L).
• ʻOi aku ka kiʻekiʻe o ka lipase (ka haki ʻana i nā momona) ma mua o ka mea maʻamau (ʻoi aku ma mua o ka 60 IU / L), akā inā i nānā ʻia nā hoʻokolohua no ka maʻi pancreatitis, ʻaʻole pololei.
• Transaminase - kahi manawa pōkole ka lōʻihi o ka papa ʻoi.
• ʻO Trypsin, elastase, phospholipase - hoʻonui i ke kaʻina ʻoopeka keola nei.
• ʻO ka albumin, ka nui o ka protein, ferritin, transferrinine e hōʻemi.
• ʻO ka protein C-reactive - loaʻa i loko o nā hana palupalu, nā maʻi hopohopo.
• Kalepa - hoʻohaʻahaʻa i ka papa paʻakikī.

Mana

ʻO nā pilikia me ka hana exocrine pancreatic a me ke synthes o nā huina digestive e nānā ʻia ma ka hoʻopaʻa ʻana i nā feces. Ua ʻōlelo ʻia ka mea maʻi e paʻakikī ka hana ʻana i ka manawa mua, he mea ʻono maikaʻi a me ka pāhoʻi, a ʻo ka makemake nui ka defecate. E nānā ka poʻe loea i ka hale kikowaena:

• ʻoluʻolu hoʻi ke kala - hōʻike i nā pilikia me ka pā biliary (choked by swre pancreas),
• nā meaʻai ʻaina undigested
• ka heleʻana o nā momona i nā mea hana maʻi.

I ka mea maʻi e hoʻomaʻamaʻa ana i ka pancreatitis ulia, ua manaʻo nui ʻia ka amylase i ka urine, akā eia kahi kiʻekiʻe i hoʻea ai ka lōʻihi ma mua o ke koko. Hiki iā ʻoe ke ʻike iā ia ma hope o nā hola 4 (helu helu mai nā hōʻike mua o ka maʻi), e mau ana i nā lā 3-5. Mea koʻikoʻi: i nā mea maʻi me kahi papa maʻi a i ʻole ka hopena o ka hana maʻi, nā waiwai amylase i loko o nā palena maʻamau (a emi mai ma mua o 408 mau ʻina / lā). Eia kekahi e hoʻopiʻi iā ia, ʻo ka mau hana ʻole o ka hana o ka pancreas e hōʻike ʻia e nā loli like i ka urine:

• hū o ka biomaterial (e kū ana ma muli o ke kahe ʻana o ke kī)
• ʻeleʻeleʻeleʻele (hōʻike i ka maʻi ʻōpiopio),
• kahi hōʻike loiloi maikaʻi no ka maʻi pancreatitis maʻa (ʻaʻole pono ke kuhi o ka kō i loko o ka mika, akā ke kākau ʻia nei kahi ʻano kūwaho me ka maʻi maʻamau, maʻiʻaʻai)
• ka heleʻana o ka hemoglobin i ka urine (ʻoi aku paha nā helu liʻiliʻi),
• hoʻonui ʻia ka diastase (ma ke ʻano kiʻekiʻe).