ʻO ka maʻi maʻi a me nā mea a pau e pili ana ia mea

Hoʻokui ʻia kekahi mau maʻi. ʻO kēia ka pancreatitis a me ka maʻi diabetes.

Ma muli o kēia, manaʻo paha ʻaʻole pili lākou me kekahi. I ka ʻike, he aha ka mea i waena o ka mumū o ka pancreas a me ke kō koko kiʻekiʻe?

Eia nō naʻe, ua pili ka pili ʻana o kēia mau maʻi koʻikoʻi a nānā pinepine ʻia i hoʻokahi mea maʻi. ʻElua mau ʻāpana o ka pancreas. Hoʻopuka i nā enzymes a me ka insulin. Pono ka mea mua no ka hoe ʻana o ka meaʻai, ka lua - glucose.

ʻO nā maʻi āpau i ka pancreas i alakaʻi i ka maʻi diabetes. I ka nui o nā manawa, hoʻomaka kahi maʻi "momona" o nā ʻano lua. Kuhi ʻia kēlā ʻano hoʻopiʻi hoʻopiʻi ma mua o 1/3 o nā mea maʻi i loaʻa i ka maʻi pancreatitis maʻi.

Ka hana o ka hoʻomohala ʻana o ka maʻi diabetes

No ka pancreatitis e lilo i mea mau loa, e kau ana i ka manawa nui, a 10 mau makahiki. I loko o kēia manawa, ʻike ka mea maʻi i kekahi mau manawa ma ka manawa hema. ʻO kēia mau manaʻo ʻino ʻole e manaʻo ʻia nā hōʻailona nui o ka maʻi.

Akā hiki i ka ʻeha ke hele koke i ka ʻeha, a ua poina ka mea maʻi i kona malaise a hiki i ka hoʻouka hou ʻana. Inā ʻaʻole ʻoe e hahai i kahi meaʻaiʻai, mai lawe i ka lāʻau lapaʻau, lilo i ka lolo. I kēia hihia, ʻaʻole pili wale ka mea maʻi i ka ʻeha ma ka ʻaoʻao hema.

Kuhi ʻia nā hōʻailona me ka hōʻike ʻana i ka holo ʻana o ka digestive:

Hōʻike pū ʻia kēia hana o ke ʻano o ka papa pancreatitis e ka maʻi pāpaʻomaʻo impaired. Ke emi ka pae o ka glucose i ke koko, hana kēia i ka sporadically a spontan. Hoʻomaopopo kēia ʻano - e hoʻonāukiuki ʻia nā mea o nā kikowaena beta, pane lākou i ka huhū e ka hoʻokuʻu ʻana i nā nui kiʻekiʻe o ka insulin.

Ke holomua ka pancreatitis, ʻaʻole hiki i ka pancreas ke hoʻokuʻi i kāna mau hana endocrine. I kēia hihia, he hoʻomanawanui ka maʻi o ka maʻi. ʻO ia, ma hope o ka ʻai ʻana i ke koko o ka mea maʻi, hiki ke ʻike ʻia kahi nui o ka hilo nui, ʻaʻole ka emi o ka pae o ka hoʻoemi ʻana no ka manawa lōʻihi.

E hala i kahi manawa e hoʻomohala holo i ke maʻi diabetes. Koi pinepine kēia ma kahi o ʻelima mau makahiki.

ʻO ka pinepine loa, ulu ka ʻōpiopio type 2 i ka wā i hūnā ʻia ai ka nui o ka insulin, akā he paʻakikī ka komo ʻana i loko o ke koko.

ʻAʻole hana ka glucose i loko o ke kō a me nā aʻalā, akā pili ia i ka luku ʻana o nā kīʻaha koko. Inā hele mai ka lolo type 1 ka hoʻonāukiuki ʻana i ka maʻi pancreatic i nā mea momona a me nā mea pili paha. I kēia hihia, ua hoʻoweliweli ʻia nā ʻona maʻamau, iʻu ka liʻiliʻi i ka nui, a me ka atrophy.

ʻAʻole hiki iā lākou ke hoʻokō hou i kā lākou hana - kāpae lākou i ka hoʻokuʻu ʻana i ka wai a me ka insulin i loko o ke koko a make ma muli o ka hopena. Ke alakaʻi nei kēia kaʻina i ka hoʻomohala ʻana i ka maʻi diabetes type 1. I kēia hihia, pono ʻoe e ʻike he neʻe palu ʻo ka pancreatic. ʻAʻole e hana ka hana o nā insulin, i ke koko ke hoʻonui nei i nā pae o ke kō.

Nā hōʻailona o ka Pancreatitis

I ka hoʻomaka mua o ka maʻi, ua hoʻomanawanui ka mea maʻi ma ka hōʻoki ʻana i nā hōʻeha. Hoʻonohonoho ʻia lākou ma ka hypochondrium hema. Ke ala mai nā ʻeha no kahi kumu. He ʻano kēia i ka meaʻai. Hōʻike ʻia nā hōʻailona hōʻeha e like me 2 mau hola ma hope o ka ʻaina kakahiaka, ka ʻaina awakea, a me. I kēia manawa, komo ka meaʻai i loko o nā ʻāpana. Pono ʻo ia i ka wai pancreatic.

ʻO ke hoʻonohonoho o nā pancreas

Hōʻike ʻia nā malama mua o ka hoʻomohala ʻana i ka maʻi ma ka hōʻeha wā a me ka lull ma hope. Inā ʻaʻole ʻoe e hoʻolohe i kēia mau hōʻeuʻi hou, mai hana i ka meaʻai - lilo ka maʻi pancreatitis i maʻi.

Hōʻike ʻia ka maʻi haʻalele ʻole e nā hōʻailona e pili pono i ka gastrointestinal tract. Flatulence, heartburn, nausea, nele ʻole o ka momona - kahi mamao mai kahi papa inoa o nā hōʻike hoʻonani maʻamau ʻole o ka pancreatitis maʻi. Hoʻopilikia ka maʻi i nā puna e huna i ka wai. ʻO kā lākou nele e alakaʻi i kahi pilikia nui - indigestibility o nā meaʻai.

I ka manawa pinepine, hoʻomaka ka maʻi maʻi. Hoʻomaʻamaʻa ka mea maʻi i ka hōʻeha ʻana, a hōʻoki i ka ʻeha ma ka ʻaoʻao hema. Hiki i ka hoʻouka ʻana ke lōʻihi i kekahi mau hola.

ʻAʻole hiki ke ʻae iki i ka ʻeha ʻole; pono ʻoe e kāhea i ke kauka. Inā kānalua ka pancreatitis, e hāʻawi ʻia ka mea maʻi e mālama ʻia i loko o kahi haukapila.

I nā hōʻailona mua o ka maʻi, pono ʻoe e ʻimi pono i ke kauka a hana i nā mea āpau i koho ʻia, ʻoiai ua hoʻoweliweli ka patology me kahi hoʻopiʻi koʻikoʻi e hoʻopau i ke kino holoʻokoʻa.

Pehea e mālama ai i ka pancreatitis?

I kekahi manawa hikiʻole ke pale aku i ka hoʻolālā ʻana o kahi maʻi "momona". ʻO ka hakakā me nā maʻi ʻelua i kēia hihia ke hāpai i ka nui o ka hoʻoikaika a me ke kālā.

Eia naʻe, i kēia hihia, ʻaʻohe pono e haʻalele, no ka mea, ua luku nui ʻia ka glycemia i nā mea āpau a me nā ʻōnaehana, e alakaʻi ana i ka make ʻana o nā io.

ʻO ka pahuhopu o ka mālama ʻana, ʻo ia ka kaohi ʻana o ka ʻohi pancreatic. No ka mea e hoʻokō iā ia, pono ʻoe e hoʻohana i nā statins, nā lāʻau hormonal e kōkua ana i ka hana i ke kōpela me ka hana pono, e hoʻolohi i ka make o nā pū. Eia kekahi, ua kuhikuhi ʻia nā kaila ʻokoʻa e hāʻawi ai i ka hana hoʻoliʻi maʻamau.

I ke ʻano maʻi diabetes type 1, koi ʻia nā inikini insulin. Inā hiki mai ia i ka lua o ka papa, hiki ke hoʻohana ʻia nā papa i ka hoʻomaka o kēia maʻi. Ke hoʻomau nei ka maʻi, ua liʻiliʻi ka hoʻohana ʻana mai ia mea no ka mea ʻole ka hemahema o ka insulin. Eia naʻe, ʻaʻole koi ʻia nā dosis kiʻekiʻe o kēia lāʻau lapaʻau, pono no ke ʻano maʻi mua.

Pehea e hoʻonohonoho ai i kahi meaʻai kūpono?

Ua ʻike ʻia kekahi o nā kumu nui o ka pancreatitis. He meaʻai maikaʻi ʻole kēia.

Hiki iā ʻoe ke hoʻolimalima i mau makahiki no ka mālama ʻana, e hoʻohana ana i nā lāʻau lapaʻau āpau hiki no kēia, a ʻaʻole hoʻi e loaʻa kahi hopena kūpono inā e haʻalele ʻole ʻoe i ka meaʻai.

ʻO kaʻai o ka mea e loaʻa ana i ka maʻi maʻi ʻokoʻa mai ka papaʻaina o ka mea maʻi i hōʻike ʻia me ka maʻi ʻole o ka pancreas. Hoʻonui ʻia mai ka pancreatitis, pono ia e hoʻemi nui i ka komo ʻana i nā meaʻai i loaʻa nā momona, nā polokalamu kākaki wikiwiki. Pono e ʻōlelo hou aku ka hope.

ʻO ka emi wale nō hoʻi o ka kaomi kalaiwa wikiwiki e hōʻemi i ka hopena o ka uluʻana i nā maʻi diabetes type 2 i nā manawa pinepine. ʻO nā huluhulu, nā huahana palaoa hiki ke hoʻohui ʻia i loko o kaʻai i nā mea liʻiliʻi, no ka mea e hoʻonui kēia meaʻai i ka pae o ka glucose i ke koko. ʻO ka hana ʻole e hoʻokō i kēia rula e alakaʻi i ka wīwī pihi o ka pancreatic. Mai kēia, ua wikiwiki koke ke kapa.

Kūleʻa pinepine nā kauka i ka mea maʻi e haʻalele i kēia mau meaʻai mai ka papaʻai.

ʻOi ʻia ka luna ʻana o ka pancreas me ka meaʻai nui ʻole i ʻōlelo ʻia ʻole. Elima mauʻai i ka lā he uku kūpono wale nō ia, kūpono loa, nā mea maʻi me ka pancreatitis e ʻai pinepine iā ia. He mea kūpono ke hoʻopoina e pili ana i nā kīmika wikiwiki i ka holo, ka hoʻohana ʻana o ka meaʻai wikiwiki.

E hoʻomanaʻo mākou i nā kuʻuna kahiko - maikaʻi i ka papa ʻaina, hoʻomaʻamaʻa maikaʻi i ka meaʻai. ʻO ka pancreatitis kahi maʻi e ʻike ʻia ai kahi lawa o ka hao i loko o ke koko. I kēia hihia, ʻaʻole nui ka mea maʻi e ʻai i ka ʻiʻo a me nā apu.

Pono e hoʻonui i ka ʻikepili hemoglobin me ke kōkua o nā huahana ʻē aʻe. E pili ana kēia:

Nui nā kuleana a me nā minamina i ka mea pono o ke kanaka maʻi me ka pancreatitis. E hoʻonui ʻia ʻo 300-400 g o nā lauala a me nā huaʻai i kēlā me kēia lā.

Pono ka momona i loko o kaʻai a hiki i ka 200 g, momona - ʻaʻole iʻoi aʻe ma mua o g g 120. Pono ke nānā pono i ka nānā pono ʻana i nā kīʻaha, i kēlā me kēia lā ʻaʻole pono ia e ʻoi aku he 60 g.

Pono nā hana āpau e hoʻoponopono i ka mea maʻi. ʻAʻole maʻalahi kēia, akā hiki ke hoʻokō. Me ka ʻole o ka hoʻopiʻi ʻana i ka hoʻoponopono mālama ʻia, i kākoʻo ʻia e kahi mea noʻonoʻo kūpono ʻole, ʻaʻole hiki ke hana.

Hōʻalo ʻia nā mea ʻala ʻole mai ka meaʻai.

ʻO ka nui o nā mea kanu, nā huaʻai, ka palaka a me ka momona e kūkā ma luna. ʻO kēia mau ʻike e lawe i kumu. Pono ʻoe e helu i kēlā me kēia lā ka maikaʻi o ka meaʻai. No nā kāne, ʻaʻole pono ka waiwai o ka lā o kēlā me kēia lā e 2500 Kcal, no nā wahine - 2000 Kcal.

Kūpono no kēia mau maʻi ua manaʻo ʻia he fractional ʻanoʻai. He mea kūpono e hōʻike i kahi kaʻawale e pili ana i nā huahana e hoʻonāukiuki i ka mucosa o ka gastric. Hoʻohana ʻia ia e hoʻokomo iā lākou i loko o ka ʻai. ʻO kēia nā mea momona wela, kaheka, ka ʻōpala, ke kāleka.

Kūpono ʻia ka pā iʻa lau ʻia. ʻAʻole hōʻeha nā meaʻai ʻaina i ka mea maʻi.

Ke ʻike ka mea maʻi i kahi ʻina o ke kala ʻana, e ʻai ʻia ka meaʻai iā ia i loko o ka umu, ʻaʻa. Kāpīpī, ʻahuʻu, paʻakai, palaualuhi, a me ka pōpō i kēia manawa o ka manawa i ʻāpono ʻia ai e ʻai, akā ʻo ka liʻiliʻi o ka meaʻai junk e liʻiliʻi.

ʻO kekahi mea ʻē aʻe hiki ke hūnā i nā huahana i papa inoa ʻia ma ka papa o ka mea maʻi inā loaʻa i kēlā me kēia lā nā helu o nā kaloli, nā kalapona, nā momona a me nā ʻōmole.

I loko o ka hopena palaka o ka maʻi, ke hoʻōla ma hope o ia, ua piha nā huahana maikaʻi a ʻaeʻae ʻole i ka meaʻai. He koi nui kēia no ka papa o nā mea maʻi me ka pancreatitis paʻakikī e ka maʻi maʻi.

ʻO ka papaʻai no ka mea maʻi maʻi e kōkua aku e huki i ke kauka, e mālama i nā hiʻohiʻona a pau o ke kino o ke kanaka, kona ʻano ola. No laila, ʻo nā mea maʻi me ka pancreatitis e hele ana i nā haʻuki e pono ai ka nui o nā momona, ka lactating, nā wahine hāpai e pono ai nā momona.

ʻO ka pancreatitis ma ka maʻi maʻi: ʻo nā mea a pau e pono ai ʻoe e ʻike

ʻO ka maʻi pancreatitis kahi mea maʻi e hoʻomohala ana i ka pancreas, e alakaʻi ana i nā loli hou ʻole i loko o nā kō a me nā kiko. I kahi hihia o kahi maʻi koʻikoʻi o ka maʻi, ua loli kahi nui o ke kiko pancreatic. I kēia hihia, hoʻoneʻe ʻia ka ʻaoʻao lula i loko o kaʻili a me nā momona. Ke kino nei, hoʻoweliweli ka ʻōlelo kūloko a me waho. I ka pae o ka hemahema o ka hemahema o ka lehulehu, e ulu ana ka hemahema o ka hoʻoneʻe o ka enzymatic, a ma ka pae i loko o ka hapa o ka secretory o ka ʻae ʻana o ka glucose, a ma muli o kona hopena, ka maʻi diabetes mellitus. Ua kapa ʻia kēia ʻano me ka pancreatogenic, ʻo ia hoʻi, hana ʻia e kū'ē i ke kua o ke kuni ʻana o ka pancreas. ʻO ka maʻi pancreatitis ka mea e make ai i ka maʻi mellitus (DM), i nā hua ʻōlelo ʻē aʻe. ʻO ka kānalua ʻole, hiki i ka maʻi diabetes ke kū like me kahi maʻi kūʻokoʻa, no laila i hiki i nā mea maʻi me ka maʻi diabetes type 1 a ʻole ʻelua paha ke hoʻomohala i ka pancreatitis maʻamau. I kēia hihia, ua manaʻo ʻia ka pancreatitis i kahi maʻi hope.

ʻO ka pancreatitis a me ka maʻi diabetes: kahi hana hoʻolālā

ʻAʻole nō i hiki i nā ʻepekema kēia manaʻo i nā manaʻo like ʻole e pili ana i ka ʻike o nā pathogenesis. Akā ʻaʻole ia he nūhou e pau ka make a me ka sclerosis o ka ʻikepili insular e alakaʻi i ka maʻi diabetes i ka pane ʻana i nā hanana a me nā maʻi ʻaʻa.

Loaʻa i ka pancreas ka waiwai o ka ʻiliʻili hoʻopili. ʻO kāna hana mua, ka hana ʻana i nā enzyme a me ka hoʻokuʻu ʻana i kā lākou digestive tract no ka hoʻokaʻina ʻana o ka meaʻai, ka hana ʻelua, ʻo ka hana ʻana o ka insulin - he hormone e hoʻoponopono i ka glucose ma o kāna hoʻohana ʻana. ʻO ka papa lōʻihi o ka pancreatitis hiki ke hoʻoweliweli i ka hoʻohui ʻana i ke kaha o ka pancreas e pili ana i ka hoʻoneʻe ʻana (ke kaina o ka enzymatic), ke ʻano o ka insular, aia ma ke ʻano o nā mokupuni o Langerhans, e pili pū ana.

ʻO nā maʻi e like me ka endocrine i hana pinepine ʻia i ka ʻūlū. ʻO ka maʻi maʻi, ʻo ka maʻi diabetes mellitus ka like me ka maʻi type 1, akā he mea ʻole ia i ka nāwaliwali o ka hōʻino ʻana i ka ʻōnaehana gland e nā autoantibodies.

• I ka maʻi o Itsenko-Cush, hoʻoneʻe ʻia ka hoʻokuʻu ʻana o nā hormones mai ka adrenal cortex. A me ka hapa nui o cortisol e hōʻemi ana i ka pane ʻana o ka glucose i nā kinipona, e hoʻonui ana i kona pae i ke koko.
• ʻO ka pheochromocytoma - kahiʻano me ka hana o ka hormonal.ʻO kahi keʻopihi hiki ke hoʻolei i ka nui o nā wai kiʻekiʻe o ka catecholamines i loko o ke kahe, e like me ka mea i ʻōlelo ʻia ma luna aʻe nei, e hoʻonui i ke kōhi koko. Me ka acromegaly, kahi ulu kiʻekiʻe o ka hormone ulu e loaʻa i kahi hopena like me ka insulin. Hoʻopili ʻia kēia me ka ʻoiaʻiʻo o ka hana ʻana o ka insulin e ka pancreas a me nā betta nāwaliwali - nā iwi i hoʻonui iki ʻia.
• Hoʻokumu ka Glucagonoma i ka testosteroneagonagon contra-hormone hormone. Me kona hoʻonui hoʻonui ʻia, kahi pōpilikia o ka ʻenehana endocrine e kuleana ana i ka metabolism kila e kū hou a loaʻa hou i ka maʻi maʻi.
• Hāʻawi ka Hemochromatosis i ka hoʻonui nui ʻana o ka hao i ka pancreas, a ke alakaʻi nei ia i kona pōʻino, ʻo ka hōʻino ʻana i nā cell betta.
• ʻO ka maʻi ʻo Wilson-Konovalov me ka ʻili o ka nui o ke keleawe i loko o ka ate, a hoʻonāukiuki kēia i ka lawe ʻana o nā glucose i loko ona, a ma muli o ke alakaʻi ʻana i ka maʻi diabetes.

Hoʻohālikelike ʻia nā maʻi o Cohn me ke kōpaʻa a me ka pāhana. ʻAʻole hiki i nā Hepatocytes o ke akea ke hana me ka ʻole o ke kōkua o kahi pākeka pā, e hoʻohana ana i ka glucose. A i kēia hihia, ʻike pū ʻia ka hyperglycemia hōʻailona.

I ka hoʻomakaʻana i nā maʻi endocrine, e hoʻonui ai i nā glucose i kahi ala āpau a i kekahi paha, hiki ke loaʻa nā maʻi pancreatic. Hoʻopili kēia i nā hoʻopiʻi post-pancreatectomy, cancerre o ka pancreatic, somatostatinoma. ʻO ka pancreas, ʻoi aku, hiki ke hina i ka wā i ʻike ʻia ai nā poʻomanaʻo i ke kino (pesticides, glucocorticosteroids) Ka ulu ʻana o ka hyperglycemia a me ka maʻi maʻamau ma kahi ala like.

ʻO ka maʻi pancreatogenic: nā kumu a me nā hōʻailona

ʻO ka alakaʻi alakaʻi i ka pathogenesis o ka maʻi pancreatogenic o ka sclerosis holomua a me ka luku ʻana i ka ʻikepili insular (ʻaʻole kēlā me kēia betta he kelepona, akā he mau pakeneka mau o lākou) ʻO kekahi mau ʻepekema e hoʻokaʻawale i nā kumu autoimmune o ka maʻi.

Hoʻokumu ka maʻi pancreatogen, kahi mea i kū like ai i ke ʻano type type 1 a ʻole ʻelua paha:

1. Me ka hoʻomehana insulin, ʻike pinepine ʻia nā manawa hypoglycemic.
2. ʻO ka hemahema o ka insulin e hoʻokō pinepine i nā hihia o ka ketoacidosis.
3. ʻOi aku ka maʻi pāmaʻomaʻo Pancreatogenic e ʻoi aku ka hoʻoponopono me ka pāʻai haʻahaʻa.
4. ʻOi aku ka maikaʻi ma ka mālama ʻana i nā papa me ka maʻi diabetes.

Hoʻokumu ke ʻano type 2 diabetes mellitus e pili ana i ke kī ʻana o ka insular insular insula piha. Hoʻokumu ka insulin i ka hopena o ke kū'ē o ka insulin, ka mea, ke kū nei ka ʻōpū e like me ka hopena mai ka hypercaloric meaʻai me ka nui o nā kākoi momona hoʻemi haʻahaʻa. ʻAʻole e like me nā maʻi maʻi type 2, hoʻomohala ʻia ka maʻi pancreatogenic ma muli o ka hōʻino pololei ʻana i nā beta beta e nā enzymes.

ʻO ka pancreatitis i ka mellitus maʻi diabetes (ua hoʻomohala ka lua o ka maʻi kūʻokoʻa, a ʻo ke ʻano mua ke ʻano) ke ʻano like: ʻano maʻi ʻo pancreatic, ʻaʻohe ʻano exacerbations, he ʻano palupalu o nā papa e hoʻomaʻamaʻa.

ʻO ka hui kiʻekiʻe kiʻekiʻe loa ka poʻe me ka inu ʻona. ʻOi aku ma mua o 50% o nā mea maʻi e hoʻomaka i ka hoʻomohala ʻana i ka pancreatitis o ka hōʻola wai. Hoʻokomo ʻia i nā hui ʻoihana kahi mea e hōʻeha nei i nā ulia gastroduodenal, nā kānaka me ka hemahema o ka protein.

Hoʻolima ʻia ka maʻi e ʻekolu mau hanana nui: ka maʻi diabetes, ʻeha a me nā hana o ka hoʻowalewale ʻana mai ka hana. ʻO ka maʻi a me ka pathogenetically, hiki ke wehewehe ʻia ke maʻi penei:

• ʻO ka mua, aia kahi hoʻololi o ka exacerbation a me ke kalaʻana i nā maʻi. I kēia hihia, hiki mai ke hōʻeha me nā hōʻeha o ka ʻokoʻa a i ʻole ka hoʻonohonoho ʻana i ke ʻano. 10 mau makahiki ka lōʻihi o ke kau.
• Nā helehelena Dyspeptic e hele mai i ka mua: ke kahakaha, ka ʻōpū, hōʻemi i ka makemake a me ka lemulewa. Hoʻololi pū kekahi mau episekole hypoglycemic (neʻe i ka momona o ka metabolate). Hiki ke hypoglycemia ma muli o nā kealehu i ka pae nui o ka insulin i ke koko ma muli o ka hoʻoulu ʻana o nā hua beta a me ka hoʻouluulu ʻana o nā enzyme pancreatic.
• I ka wā o ka leʻaleʻa i hōʻeha ʻia o nā pancreas, e hoʻomau ka nui o nā pūpuna a me nā ʻili, a me ke ʻano o ka hoʻomanawanui i ka glucose. Ma ia manawa, ʻo ka hoʻaʻai ʻana i ke kōʻai ʻaʻai i loko o nā palena maʻamau, akā ma hope o ka ʻai ʻana a i ʻole ka hoʻohaʻahaʻa hoʻoliʻomaʻi ʻoi aku ke kiʻekiʻe ma mua o ka maʻamau.
• Ke piʻi nui ka hyperglycemia, a me ka hoʻēmi ʻana o ka metabolism i ka kiʻekiʻe, ulu a maʻi. Hoʻomaka ka maʻi diabetes i kāna mau maʻi ma 30 me nā maʻi maʻi ʻoiā ka lōʻihi, a ʻo kēia 2 mau manawa hou aʻe ma mua o ka maʻi diabetes i kumu o nā kumu ʻē aʻe.

ʻO ka mellitus maʻi pālua

ʻO ka mellitus maʻi pālua - ka maʻi endocrine, ka mea i kū i ke kiʻi o kahi lesion mua o ka pancreas o nā ʻano kumu mua (ka maʻi pancreatitis maʻamau). Hōʻike ʻia ia e nā maʻi dyspeptic (heartburn, ʻeha, ke ʻeha hōʻeha o ka epigastrium) a me ka ulu wikiwiki ʻana o ka hyperglycemia. Hoʻokumu ʻia ka Diagnosis ma kahi noiʻi o ka profile glycemic, biochemistry koko, ultrasound, a me MRI o ka pancreas. Hoʻokomo ʻia me ka mea ʻai i ka haʻahaʻa haʻahaʻa ma ka momona a me ka wikiwiki "wikiwiki", ka hoʻohana ʻana i ka enzyme a me nā wai hoʻohaʻahaʻa i ke kō, a me ka hōʻole ʻana i ka wai a me ka ulaula. Ma hope o ka hoʻonā ʻana ʻana i ka ʻeha, ua kuhikuhi ʻia ke kōla ʻana o ka insulin.

Nā kumu o ka maʻi pākīpeka pancreatogenic

Hoʻoulu ka maʻi ma ke kuʻi ʻana o nā hana endocrine a me exocrine o ka pancreas. ʻO ke kumu o nā hana ʻino i ka islet apparatus o ka gland hoʻokaʻawale:

• Hoʻopilikia nā mānoanoa o ka pancreas. ^ E Ha yM. Hoʻonui pinepine nā exacerbations o ka pancreatitis i ka hopena o ka hoʻomohala ʻana i ka maʻi diabetes. ʻO ka maʻi hoʻonāukiuki ke kumu i ka luku a me ka sclerosis o nā mokupuni o Langerhans.
• ʻO ka maʻi maʻi pancreatic. ^ E Ha yM. Hoʻololi ʻia ka mea like o ka maʻi postoperative mai ka 10% a 50% e like me ka nui o ka hana. ʻO ka maʻamau pinepine, hoʻomohala ʻia ka maʻi ma hope o ka pancreatectomy piha, ka hōʻulu ʻana o ka pancreatoduodenal, longoutinal pancreatojejunostomy, pancreatic caudal resection.
• ʻO nā maʻi maʻi pancreatic ʻē aʻe. ^ E Ha yM. ʻO ke kanesa pancreatic, ka nekrosis pancreatic e hoʻokūkū i ka hana endocrine me ka hoʻokumu ʻana o ka hyperglycemia hoʻomau.

Aia nā hopena pili i hoʻohemo i ka maʻi pancreatogenic i nā mea maʻi me ka pancreatic dysfunction. E pili ana kēia:

• Ka inu maikaʻi ʻana i ka waiʻona. Ka hoʻohana pono ʻana o ka ʻina ʻawaʻawa i nā manawa he nui i hoʻonui ʻia i ka hopena o ka pancreatitis o ka wai waipili me ka hoʻokumu ʻana o ka hyperglycemia transient a hoʻomau.
• Palaka ʻaʻai. ʻO ka hoʻohana nui ʻia o nā meaʻai i momona i ka momona, maʻalahi ka hoʻokaʻawale ʻana i nā hāmeʻe e kōkua i ka hoʻomohala ʻana i ka momona, hyperlipidemia a me ka hoʻohaʻahaʻa glucose glucose (prediabetes).
• Hoʻohana pinepine ʻia ka lāʻau lapaʻau lōʻihi (corticosteroids) e ka ulu ʻana o hyperglycemia.

ʻO ka hana endocrine o ka pancreas ka hoʻokuʻu i nā insulin a me ka glucagon i loko o ke koko. Hana ʻia nā huaʻai e nā islets o Langerhans e waiho i ka hiʻu o ka gandiona. ʻO nā hopena o waho i waho (ka waiʻona, nā lāʻau lapaʻau), ka pinepine o ka hoʻonāukiuki o ka pancreatitis, ka hana ma ke kelepona e alakaʻi i ka hana o ka insulin. ʻO ka holomua o ka hana mau a ka huina e hoʻonā ai i ka luku a me ka sclerosis o ka pānaehana islet. I ka wā o ka exacerbation o ka mumū, hana i ka edema pancreatic, kahi kikoʻī o ka trypsin i ke koko, e hoʻonui ana i ka hopena o ka huna ʻana o ka insulin. Ma muli o ka hoʻopōʻino ʻana i ka mea hana endocrine o ka hoʻopiha, transient a laila hele mau ka hyperglycemia hoʻomau, kūʻai ka maʻi diabetes.

Nā hōʻailona o ka maʻi marditus pancreatogenic

Hōʻike pinepine nā pathology i nā poʻe me ke kino wīwī a maʻi ʻole paha me ka hoʻonui nui ʻia o ka pūnaehana. Hoʻokomo ʻia ka hōʻeha i ka pancreas me ka hōʻailona mau o ka dyspeptic (ʻeha, ʻōpū, ka puʻuwai, flatulence). Hoʻoweliweli nā manaʻo hōʻeha i ka wā o ka exacerbation o ke kūlohelohe o nā lula i ka epigastric zone a he mau ʻokoʻa like ʻole. ʻO ka weheʻana o ka hyperglycemia i ka pancreatitis maʻi i ka maʻi lohi, ma ka average ma hope o 5-7 makahiki. Ke ulu nei ka lōʻihi o ka maʻi a me ka piʻi o ka exacerbations, hoʻonui i ka nui o ka hoʻomohala ʻana i ka maʻi diabetes. Hoʻololi pū ʻia nā maʻi maʻi me ka hōʻike ʻana o ka maʻi pancreatitis maʻa. Hoʻokomo ʻia ka postoperative hyperglycemia i ka manawa like a koi a hoʻoponopono ʻia e ka insulin.

ʻO ka maʻi pākīpī pancreatogen me ka maʻi liʻiliʻi e hoʻonui i ka hoʻoliʻi o ke koko a me nā paʻi pinepine o ka hypoglycemia. Hoʻopono ʻia nā mea maʻi i ka hyperglycemia a hiki i 11 mmol / L. Hoʻonui hou i ka glucose koko hoʻāla i nā hōʻailona o ka maʻi diabetes (make wai, polyuria, ʻili maloʻo). Hoʻomaʻamaʻa maikaʻi nā maʻi pancreatogenic i ka mālama ʻana me ka lāʻau papaʻai a me nā lāʻau hoʻohaʻahaʻa i nā hilo. ʻO ka papa o ka maʻi i hele pū ʻia me nā maʻi maʻamau o nā maʻi a me nā maʻi.

Nā hopena

I nā maʻi me ka maʻi type 3, ketoacidosis a me ketonuria e loaʻa pinepine. ʻO ka maʻi me ka maʻi maʻi pancreatogenic e hōʻike ʻia e nā wā pokole pinepine o ka hypoglycemia, ka mea i hele pū ʻia me ka manaʻo o ka pōloli, ka maloʻo maloʻo, ka palu o ka ʻili, ka hauʻoli nui loa, ka haʻalulu. ʻO kekahi kahe ʻana i ke kahe o ke koko e hoʻoiho i ka ao a i ʻole ka nalo ʻana, ka hoʻomohala ʻana o ka hoʻokuʻi a me ka hypoglycemic coma. Me kahi papa lōʻihi o ka maʻi maʻamau o ka pancreatogen, ka hoʻopiʻi ʻana o nā ʻōnaehana o ka ʻokoʻa o nā ʻōnaehana a me nā ʻōpū (diabetes neuropathy, nephropathy, retinopathy, angiopathy), hypovitaminosis A, E, kaola o ka manōna o ka magnesium, keleawe a me ka zinc.

Nā huapau

He paʻakikī ka maʻi ʻaʻai o ka maʻi melavida pancreatogenic. ʻO kēia ma muli o ka lōʻihi o ka haʻalele ʻana i nā hōʻailona o ka maʻi maʻi, ka paʻakikī i ka ʻike ʻana i nā maʻi pancreatic maʻi. Me ka hoʻomohala ʻana o ka maʻi, ʻike pinepine ʻia nā hōʻailona o ka hōʻino o ka pancreatic, kuhikuhi i ka maʻi hypoglycemic wale nō. Hoʻopau ʻia nā maʻi hoʻonaninani o ka kalapona metabolika i kēia mau wahi:

1. Kūkākūkā Endocrinologist. He hana koʻikoʻi e hana ʻia e ka noiʻina ʻana o ka mōʻaukala o ka maʻi a me ka pilina o ka maʻi maʻi me ka pancreatitis kūloko, nā hana ma ka pancreas, ka waiʻona, ka maʻi pākīpiha, a me ka hoʻohana ʻana i nā lāʻau lapaʻau.
2. ʻO ka nānāʻana o Glycemia. ^ E Ha yM. Hoʻopili ia i ka hoʻoholo ʻana i ka kao ʻana o ka glucose i loko o kahi ʻōpū ʻole a me 2 mau hola ma hope o kahi pāʻina. Me ke ʻano maʻi 'āina 3, aia ka pae ʻai wikiwiki i loko o nā palena maʻamau, a ma hope o ka ʻai e hoʻokiʻekiʻe ʻia.
3. ʻO ka loiloi o ka hana pancreatic. ^ E Ha yM. Hoʻoholo ʻia ia me ka hoʻohana ʻana i ka loiloi biochemical e hoʻoholo ai i ka hana o ka diastase, amylase, trypsin a me ka lipase i ke koko. Hōʻike ka ʻikepili OAM: i ka lolo maʻi pancreatogenic, he huehue o kaʻili o ka glucose a me ka acetone i loko o ka urine.
4. Nā pono hana imaging. ^ E Ha yM. ʻO ka ultrasound o ka ʻōpū o ka ʻōpū, pancreatic MRI hiki iā ʻoe ke loiloi i ka nui, echogenicity, papa hana pancreatic, ka loaʻa ʻana o nā mea hou a me nā inclusions.

I ka endocrinology, hōʻike ʻia ke ʻano hoʻonaninani o ka maʻi me ke ʻano type type 1 a me ke ʻano 2. Hōʻike ʻia ka maʻi diabetes type 1 e ke ʻano ākea a me ka hoʻomaka ʻana o ka maʻi i ka wā ʻōpio a me nā hōʻailona koʻikoʻi o ka hyperglycemia. I ka hōʻike koko, ua ʻike ʻia nā antibodies i nā cell beta pancreatic. ʻO nā hiʻohiʻona ʻokoʻa o ka maʻi maʻamau o ka maʻi diabetes 2 he mau leʻaleʻa, ka pale ʻana i ka insulin, ka loaʻa ʻana o C-peptide i ke koko a me ka haʻalele ʻana o nā mea hoʻokūkū hypoglycemic. ʻAʻole pili i ka hoʻomohala ʻana o nā ʻano maʻi like ʻole i nā maʻi maʻi o ka pancreas, a me nā hōʻino pūnaʻi o ke kino.

Hoʻohana ʻia ka maʻi marditus pancreatogenic

No ka hopena maikaʻi loa, pono e hoʻokō i ka mālama ʻana o ka maʻi pancreatitis a me nā maʻi diabetes. Pono ka haʻalele mau ʻana i ka hoʻohana ʻana i nā mea inu ʻawaʻawa a me ka uka, hoʻoponopono i ka ʻai a me ke ʻano o ke ʻano. Aia ka ʻōlelo hoʻokaʻina hui:

• Kauʻai. ^ E Ha yM. Diet no ka maʻi pancreatogenic komo i ka hoʻoponopono ʻana o ka hapa o ka protein, hypovitaminosis, hoʻonāukiuki electrolyte. Hoʻomaopopo ʻia nā mea maʻi e kaupalena i kā lākou lawe 'ana "i nā momona" wikiwiki (ʻo nā hua momona, ka berena, nā mea ʻala ʻole, nā pōpō), nā palaoa, nā mea momona a me nā mea momona. ʻO ka papaʻai nui he mau paleka (mau haʻahaʻa-momona ka ʻiʻo o ka iʻa a me ka iʻa), nā mea paʻakikī paʻakikī (cereals), nā mea kanu. Pono ka ʻai ʻia nā meaʻai i nā mahele liʻiliʻi 5-6 i ka lā. Hoʻomaopopo ʻia e haʻalele i nā ʻōmole, ka ʻuala, nā mea momona momona, nā aniani a me nā mayonnaise.
• Ka uku o ka hapa o ka enzyme pancreatic. ^ E Ha yM. Hoʻohana ʻia nā lāʻau lapaʻau e pili ana i nā enzyme o amylase, protease, lipase i nā ʻāpana like ʻole. Kōkua nā lāʻau lapaʻau e hoʻokumu i ke kaʻina hana ʻana, kāpae i ka hapa o ka protein-pūnika.
• ʻO ka lawe ʻana i nā lāʻau lapaʻau haʻahaʻa. ^ E Ha yM. No ka hoʻokaʻawale i nā metabolism, hiki i ke hopena maikaʻi ke hāʻawi ʻia i nā lāʻau lapaʻau e pili ana i ka sulfonylurea.
• Hoʻopaʻa i ka hana postoperative. ^ E Ha yM. Ma hope o nā hōʻiliʻili o ka hōʻemi ʻana i ka pancreas me ka hoʻopau piha ʻana a me ka hapa ʻole o ka huelo o ka lālona, ​​ʻike ʻia ka hoʻokele ʻana o ka insulin i ka hapa ʻole 30 mau pākahi. ʻAʻole i emi iki ka pae o ka glucose koko i hoʻēmi ʻia ma mua o 4.5 mmol / l ma muli o ka hopena o ka hypoglycemia. Me ka paʻa o ka glycemia e hoʻololi i ka koho ʻana i nā lāʻau hypoglycemic waha.
• Ka hoʻokahuli ʻana i ka mana o nā selika islet. Hoʻokuʻu ʻia ia ma nā wahi loea endocrinological kūikawā. Ma hope o ke hoʻololi hou ʻana, hele nā ​​mea maʻi i ka pancreatotomy a i ʻole pancreatectomy.

ʻO ka wānana a me ke kālai

Me ka mālama paʻakikī o ka hōʻeha kino o ka pancreatic a me ka hoʻoponopono ʻana i ka hyperglycemia, maikaʻi ke kūloko o ka maʻi. I ka nui o nā hihia, hiki i ka hoʻokō kūpono o ka hōʻoluʻolu ʻana i ka mea maʻi a me nā helu gula koko maʻamau. I nā maʻi oncological koʻikoʻi, nā hana ʻona ma ke kelepona, pili ka prognosis i ka hoʻopiʻi a me ka wā hoʻoponopono. Hoʻonui ka papa o nā maʻi i ka momona, ʻalokino, hōʻino maikaʻi ʻana i nā momona momona, momona a ʻono. No ka pale ʻana i ka maʻi mellitus maʻi pancreatogenic, pono pono ia e alakaʻi i kahi ola olakino, hāʻawi i ka waiʻona, a me ka hāʻule ʻana o ka pancreatitis, ka hoʻomaʻamaʻa ʻana i ka hoʻokolokolo manawa ma kahi gastroenterologist.