ʻO nā kīʻaha maʻamau pathogenetic o ka hoʻomohalaʻana i ka maʻi pancreatitis maʻamau

ʻO ka pancreatolithiasis a me ka hoʻohālikelike o ka parenchyma pancreatic i nānā ʻia ma kahi kokoke i nā ʻano etiological āpau o ka hoʻomohala ʻana i ka CP, me ka ʻokoʻa o ka autoimmune CP. Pono e hoʻokaʻawale ma waena o ka pancreatolithiasis (ke hoʻokumu ʻana o ka calculi o nā papa) a me nā kalama (calcificatio pancreatica). I ka hopena hope loa, loaʻa nā cataracts i ka kiko pancreatic. Hoʻohui pinepine ʻia nā kalikimaka me ka pancreatolithiasis, liʻiliʻi iki i kēia mau ʻano. I ka hikiʻana o nā calculi ma nā papa, he mea maʻamau ka kamaʻilio e pili ana i ka obstructive CP i kumu o ka pancreatolithiasis, me ka pancreatic parenchyma catalysis - e pili ana i ka pancreatitis calcifying.

A hiki i kēia manawa, ʻaʻole i hōʻoia ʻia ka hoʻāʻo ʻana ka homogeneity o ka hui o ka pancreatitis me ka pancreatolithiasis a me ka calcification. Ua ʻōlelo ʻo N. Sarles i ka 1991 i ke ola ʻana o ʻelua mau ʻano o ka maʻi, i hui pū ʻia me ka hoʻokumu ʻana o nā pōhaku i ka pancreas. Hoʻohālikelike ka ʻano mua me ka hiki ʻana o nā pōhaku o ke ʻano pololei me kahi kiʻekiʻe o ka calcification a he pilina paʻa me ka hoʻohana ʻana o kahi achchogol a i ʻole i lawa (ʻeha ʻole) ʻai.

Hōʻano ʻia ka ʻili lua me ka neʻe ʻana o nā plug protoluble liʻiliʻi me kahi haʻahaʻa haʻahaʻa. ʻO kēlā mau microliths ka maʻamau pinepine ma X-ray maikaʻi. ʻAʻole pili i ko lākou hoʻonaʻauao ʻana me ka ponoʻole o ka waiʻona a me ka palaualelo, i manaʻo ʻia he kongenital. ʻO nā mea ʻike i nā makahiki i hala iho nei, e pili ana i ka hoʻākāka ʻana o nā pathogenesis o NP, ke kaawale ʻana o ka pancreatitis tropika i kahi ʻano hoʻokaʻawale, a me ka hōʻike ʻana o nā ʻano morphological a me nā maʻi maʻi o ka maʻi, ʻaʻole ia e kūpono i nā manaʻo mua o N. Sarles.

He ʻokoʻa nā pathogenesis o kēia mau ʻano o ka pancreatitis, akā ua hoʻopili nui ʻia kā lākou mau hana he nui.

Kōkuhi. Kūleʻa ke kumu o ka CP ma muli o nā fīneka pancreatic focal me ka kalehu o ka calcium ma nā wahi o nā nekrosis ma mua. ʻO kēia mai ka mea i lalo o ka hana o ka lipase i ka foci o ka momona necrosis momona, ua hoʻokaʻawale ia ka momona neʻe i nā momona momona a me ka glycerol, a laila i ka puna o ka pancreatic secretion i hoʻokumu ʻia i nā paʻakai momona kūmole o ka momona momona, ka mea e kū ai i ka pūnaewele o necrosis.

Ke hāpai ʻia nei ka lua o ka mīkini hoʻololi i ke ʻano o ka papa o luna o nā papa liʻiliʻi o N. Sarles (ke kumuhana o intraductal lithiasis), i ka wā e kulu ana ka protein i nā paina intralobular a i waena paha e alakaʻi i kā lākou pili a me ka fibrosis holomua o ka acinus. E like me ʻoe e ʻike ai, ma lalo o nā kūlana o ka āiʻo, hoʻonaninani nui ʻia ka ua ʻana o ka paʻakai kalaiwa, kahi hopena ma nā ʻano o nā fibrosis, ma muli o ke ʻano o ke kaho o ka pancreas.

Ma hope o ka loaʻa o ka lithostatin, hoʻomaka lākou e manaʻo, ʻo ia ka protein i ke kūlana o kahi pāina o nā pā liʻiliʻi e hoʻopaʻa ʻia ana i nā ʻikikini kalaka e alakaʻi i ka calcification. Eia nō naʻe, ʻo ka hōʻike e pili pū ana ka palaki protein (plugs) e pili ana i ka desquamated epithelium (a ʻaʻole protein), a ua lilo pinepine ka calcium i ke kikowaena o nā pihi pancreatic i hopena, i kekahi ʻae ʻana i kēia ʻepekema.

Pancreatolithiasis. ʻAʻole maopopo lea ke ʻano o ka hana ʻana o ka pōhaku. ʻO nā hāʻawi kumu nui o ka ʻoi hoʻomohala o ka pancreatolithiasis e hoʻemi ʻia i ʻekolu mau helu: hypersecretion o ka calcium a me ka lactoferrin, ka hana nui o ka lithostatin. ʻOiaʻiʻo, ʻoiai ke emi nei ka holomua o ka hoʻokahe exocrine o nā bicarbonates a me nā enzyme pancreatic i loko o ka CP, ua ʻike ʻia ka nui o ka huna ʻana o ka calcium a me ka lactoferrin.

ʻO nā Hypersecretion o ka calcium

Me ka CP, hoʻonui i ka hoʻāla ʻia basal, ʻo kona mea huna i ka pane ʻana i ka hoʻoliʻu ʻawaʻawa me ka sodium chlorium sodium a me intravenous cholecystokinin. Ka hoʻonui ʻia ʻana o ka huna huna i nā mea maʻi me ka CP, ʻaʻole ia e hilinaʻi i kona koʻikoʻi i ka serum koko, ka etiology o ka pancreatitis, cholecystectomy ma mua a me ka manawa a i ʻole nā radiologically i hoʻopaʻa ʻia. I ka manawa like, me ka maʻi paleka pancreatic, hoʻemi ʻia ka huna ʻana o ka calcium.

No laila, ʻo kona hoʻonui ʻana he maʻamau maʻamau o nā maʻi like ʻole o ka pancreas, akā kahi hōʻailona kahi ʻano ʻano no wale nō no ka CP. He mea kupaianaha ʻo ia ka nui o ka calcium a me ka protein ma ka huna ʻana i ka pancreatic i hoʻonui ma ka manawa mua o ka maʻi pancreatitis palaka (ma mua o calcification).

ʻO ka hoʻonui pinepine ʻia o ka calcium i ka hana huna pancreatic e hoʻomaikaʻi ana i ka hoʻoneʻe trypsinogen, a hiki i kona paʻakai ka hoʻomoe i loko o ka palakaalawai waiola no nā papa pancreatic. Kuhi o ka trypsinogen i loko o ka pulima i hui pū me ka hana ʻana o kona mau ʻoka me ka micro-protein microprecipitate, i hana ʻia i ka wā mua o ka hoʻokūkī wai lawaiʻa pancreatitis i loko o nā ʻīlio, hiki ke wehewehe i ka hana o ka hoʻomohala ʻana i ka CPifying ((ma ke ʻano like, me ka wai make) ʻAʻole ʻike ʻia inā he maʻa nui ka exocrine huni o ka calcium ma mua o ka maʻi.

Lactoferrin

I ka hoʻohālikelike ʻana me ka mana lithostatin, ua manaʻo ʻia inā inā ʻo ke kumu o ka hoʻokumu ʻana i nā plugs protein i ka hoʻoheheʻe protein, ka mea e kūpaʻa ana i kona ʻono ma ka waiū pancreatic, a laila hiki ke koho aʻe i kahi kiʻekiʻe o kekahi mau protein. No laila, i ka nānāʻana o ka wai pancreatic i nā mea maʻi me ka CP, kahi i ʻike nui ʻia i ka protein hao kaila, ka lactoferrin, ua loaʻa ʻia ke kuleana o ka lactoferrin i ka hoʻokumu ʻana i nā plug protein, ma muli o kona hiki ke hoʻomāiʻi i ka hoʻohui o nā protein acidophilic nui (e.g., albumin) . ^ E Ha yM.

Aia kekahi manaʻo i ka hoʻonui ʻia o ka lactoferrin i ka wai pancreatic i hoʻohua ʻia wale nō no nā mea maʻi me ka pancreatolithiasis, no ka mea, ʻaʻole i hōʻike ʻia nā maʻi pancreatic i kahi kiʻekiʻe o ka lactoferrin i ka wai pancreatic. Ke manaʻoʻiʻo ia ʻaʻole ka hoʻokaʻa ʻia o ka mea huna o ka lactoferrin me ka wai ʻona a i ʻole ka maʻi o ka pancreatic exocrine, ʻoiai ʻaʻole ia i ʻike ʻia ma mua o ka maʻi i ka piʻi ʻana o ka paʻohi ma ka wai pancreatic a i ʻole nā hopena.

Loaʻa nā maʻi i ka pūnaehana lipid peroxidation a me ka synthesis o ka nitric oxide

Hoʻololi ʻia ka atbumin a me kāna hydrolysis spontan i loko o ka pancreatic wai i ka wā i hoʻohui ʻia nā huahana lipid peroxidation (LPO). Hāʻawi kēia i nā kumu e ʻōlelo ai i ka hana o ka hoʻopili ʻana i ka hana o ka lipid peroxidation a me kāna mau huahana i ka hydrolysis spontaneous o nā protein pancreatic (me ka lithostatin a me ka hoʻokumuʻana o insoluble protein-calcium precipitates).

ʻO ka hopena pololei o nā ʻōiwi manuahi o ka oxygen ma luna o ka hiki ʻana o nā loli morphological i nā pancreas ma vivo i aʻo ʻia i kekahi mau hoʻokolohua hōʻike. Ma kahi ninaninau hou loa, ua hōʻike ʻia nā hopena o ke aʻo ʻana i nā hopena o ka hydrogen peroxide i nā loli i ka palapu o ka GLP a me ka dinamics o nā loli morphological i nā pancreas i loko o nā pōpoki i hōʻike ʻia. Hoʻokomo Intraductal hoʻokele hydrogen peroxide OP me nā loli mōʻaukala maʻamau i ka paraniy pancreatic pancreatic. I ka manawa like, me ka hoʻokele ʻana o ka H202, ʻaʻohe nui o nā hanana mōʻaukala nui i ʻike ʻia i loko o ka pancreas.

Aia he hōʻike i loko o ka papa uncomplicated CP, ke kaulike ana ka ʻōnaehana antioxidant, ʻoiai i ka hoʻomohala ʻana o nā cysts, pancreatic kalama a me nā ʻano pseudotumor o CP, ʻike ʻia kahi ʻōnaehana o ka antioksidan, i pili i ka nui a me ka lōʻihi o ka maʻi. Hoʻomaʻamaʻa ka normalization o ka lipid peroxidation i nā mea maʻi me ka ʻeha hōʻeha o ka CP ma hope o ka loaʻa ʻana o ke kala. I ka poʻe maʻi me ka uncomplicated CP a me ka recurrent OP, ʻike i ka hoʻoliʻi ʻana o ka plasma i ka selenium, ka vitamin A, E, P-carotene, xanthine, b-cryptoxanthin a me lycopene i nānā ʻia me nā mea olakino.

No laila, ʻaʻole hiki ke ʻōlelo ʻia ka kaupaona o ka ʻōnaehana antioxidant. Eia kekahi, ua hoʻoholo ʻia heʻokoʻa ʻole i waena o nā pākuʻi o nā antioxidants i nā mea maʻi me ka wai ʻona, ka ʻĀina idiopathic a me ka wehe ʻana o OP. Hoʻomaopopo kēia nānā i nā maʻamau maʻamau o kēia kaʻenehana pathogenetic no nā ʻano āpau o ka pancreatitis.

Ke kākoʻo nei i ka LP i ka wā o ka CP e kākoʻo i kahi kaʻina hana kūloko, e kōkua ana i ka hoʻohaunaele ʻana o ka microcirculation a me ka hoʻōla ʻana o ka metabola i ka pancreas, ka hoʻokaʻawale ʻana o nā māhina o ka mū, nā mea e huli ai i ka hoʻoneʻe ʻana o nā io o ke kino.

ʻO Nitric oxide (N0) kahi diical radical molekika manuahi, ka waiho ʻole o kahi uku a me kona liʻiliʻi liʻiliʻi e hāʻawi i ka lipophilicity a me ka hiki ke komo i loko o nā membrane a me nā hana hoʻolaʻa.

ʻO ka manawa maʻamau o ke ola ma nā kino ʻili o 5.6 s. ʻO ka heleʻana o hoʻokahi elektrona me kahi kikoʻī ʻole i ʻole ʻoi aku ka hāʻawi ʻana i ka molekō kiʻekiʻe no ka molekō a hoʻonui i ka kiko o ka hana ola. Ua ʻike ʻia ka hopena cytotoxic o N0. ʻAʻohe manaʻo aia i ka wā o ka synthesis o nitric oxide ma lalo o nā kūlana o ka hana ʻana, hoʻowalewale kēia mea hoʻomohala i ka vasodilation, hōʻino o ka wahi i ka parenchyma o kahi mea hiki ke hoʻololi i ka maʻi, a me kāna ischemia. ʻO nā hopena i hōʻino ʻia e NO ka hana nui i nā hana o ka hoʻomohala ʻana o ka OP a me ka CP.

Hōʻehaʻeha o ka microcirculation a me hemostasis

Hoʻokomo ʻia nā pilikia o ka microcirculation i loko o ka papa pancreas i nā ʻano etiological o ka pancreatitis a lawelawe ma ke ʻano o nā pilina pathogenetic o CP. Ua hōʻike ʻia lākou e alakaʻi ana ma ka pancreatitis ischemic a me ka pancreatitis e kūʻē ana i ka ʻōlelo o nā maʻi ʻōnaehana o ka hoʻopili a me ka vasculitis. ʻAʻole hiki ke hoʻopaʻapaʻa ʻia ke ʻano o ke pathogenetic o nā maʻi microcirculatory, no ka mea ke kuhi ʻia nei ka hopena o ke kahe o ke koko i loko o ka pancreas e hōʻeha i ka hana o kāna exocrine a me ka hana endocrine.

Wahi a Dopplerometry, i loko o nā mea maʻi me ka CP hōʻailona hōʻailona i ke ʻano kahe, ua haʻi ʻia i ke poʻo o ka pancreas. Hōʻike ka exacerbation o CP i ka pre- a i ka lawa ʻole postprandial o ke kahe koko splanchnic. Wahi a kahi haʻawina morphological o nā papa pancreatic resected, ua ʻike ʻia nā loli maʻamau i ka maʻamau o nā palu kūloko o ka pancreas he mau naʻau hypertrophy, hyperelastosis, hoʻololi i ka dystonic ma nā palani a me nā caliber arteri hou. Hoʻomaopopo ʻia kēia mau hoʻololi i ka 30% o nā hihia, e hiki iā mākou ke hopena i kēlā koʻikoʻi, he hewa mua paha o ka hāʻawi koko i ka pancreas i ka wā o ka exacerbation o CP.

I ka manawa o ka exacerbation o CP, hoʻonui ka nui o ke kōkō a me ka hana o fibrinolytic e emi i ka manawa like. Hoʻonui ka plateletation, a me ka pono o nā mea rheological o ke koko, ke hele hewa ʻia ka lapuwale, nā ʻano o ka physicochemical o nā kōnao mūula.

Nā maʻi Hoʻonaʻi

I kēia manawa, aia ka nui o nā hana ʻepekema e hōʻike ana i nā hōʻino nui i ka mālama cellular a me ka hoʻohaʻahaʻa humoral i ka CP. I ka nui o nā haʻawina o ka pale kelepona i loko o ka CP, kahi hōʻemi o nā ʻike o T-lymphocytes i hoʻomaopopo ʻia. I ka hoʻololiʻana i ke kala ʻana, ʻoi aku ka nui o nā T-lymphocytes, akā kūpaʻa nui ʻia. Me ka exacerbation o CP, ka helu o ka nui o nā T-helpers a me T-suppressors e emi, a ʻo ka ratio ma waena e loli ai. ʻO kekahi mea kākau, e pili ana i ka māhele o nā mea kōkua / suppressors, e ʻike i nā pūʻulu o nā mea maʻi me ka CP me kahi māhele autoimmune (nā mea kōkua / suppressors 5.0).

ʻO ka ʻōnaehana ʻano maʻi immunological nui i ʻike ʻia i nā ʻāpana pancreatic ma CP. ʻOi aku ma mua o ka hapalua o nā mea maʻi me ka CP e hōʻike nei i kahi kūpono o ka blastform o lymphocytes ma ka pankreatic tissue. ʻAʻole i ʻae ʻia ka paʻakikī o nā ʻano maʻi immunological o ka maʻi pancreatic i ke kahua o ka hoʻomaʻemaʻe a me ke kala. Hoʻololi kekahi helu o nā mea noiʻi i kā lākou hoʻonui ʻana i nā hana kaulike, ʻoiai aia kahi hōʻike o kā lākou hoʻonui ʻana i ke kūlana o ka kala a CP.

Manaʻo ia aia ka hopena o ka maʻi immunological celly i ka pancreatic tissue i loaʻa i nā mea maʻi me ka CP me ka like like o ka ʻokoʻa (ma ke kala a me ke ʻano o ka hoʻomaʻamaʻa o ka maʻi). I ka poʻe maʻi me ka CP, kahi ʻike kūpono i ka hūnā ʻana i ka neʻe ʻana o ka leukocytes me nā antigen mai ka lā pancreatic i ʻike ʻia, ʻike ʻia ka cell cell i ka trypsin a me ka insulin me nā hoʻololi nui loa i ka manawa o ka hoʻokahuli. Pēlā ka manaʻo o ka manaʻo e pili ana i ka hana koʻikoʻi o ka cellular komponement o ka pale aku i ka maʻi mau a me ka holomua o CP.

ʻO ka ʻikepili moʻokalaleo ma nā pae koko o nā papa nui o ka immunoglobulins ma CP ke kue kue loa i ka, manaʻo, ʻaʻole i loaʻa ka hoʻākāka kūʻokoʻa i ka ʻike kūʻokoʻa. ʻO kahi pilina koʻikoʻi i ka mumū ʻo ia ka hoʻōla ʻana i nā mea o ka ʻōnaehana hoʻopihapiha, hiki ke hōʻike i ka hana chemotactic, hoʻopiʻi i ka lysis cell, a komo i ka hoʻolālā ʻana o ka hopena immunological. Me ka exacerbation o CP, kahi i hoʻokaʻawale ʻia ke hana hoʻohui, hiki ke wehewehe ʻia e ka hiki ʻana o nā anticancreatic antibodies a me ko lākou komo ʻana i ka hopena kūlohelohe me ka loaʻa o ka hoʻohui. ʻO ka hoʻohaʻahaʻa o ka hana o nā mea o ka ʻōnaehana hoʻopili e hoʻomau nei i ka hana o ke kala ʻana o ka CP. Hoʻākāka ʻia kēia hopena ma ka hoʻokumu ʻana i nā mea paʻakikī i ka antiodies i ka trypsin, ka insulin a me ka antigen mai nā umauma pancreatic.

ʻAʻole maopopo ai ka palekana ʻāpono kūloko i ka CP. ʻO kēia no ka pilikia o ka biopsy organ and proteolysis o ka immunoglobulins e nā enzymes i ka hana huna pancreatic i loaʻa no ka hoʻopaʻa ʻana. Nā hualua o ka hopena o ka hoʻoholo ʻana o ka immunoglobulins i loko o ka pancreatic wai, me ka ʻike ʻole ʻia i ke koko. Ma ka lima ʻē aʻe, aia kahi hōʻike no ka hala piha ʻana o ka mea huna IgA i ka wai pancreatic. Ma kekahi ʻaoʻao, hāʻawi ʻia i kāna hoʻonui nui ʻana i ka exacerbation o CP, ke hōʻike nei lākou i ka hoʻohana ʻana i kēia hōkuhi ma ke ʻano he laʻana o ka diagnostic.

Aia kahi hōʻike ma waena o nā mea maʻi me ka CP, loaʻa nā loli nui i ka pinepine o ka hoʻohele ʻana i nā antigens ʻōnaehana HLA i hoʻohālikelike ʻia me nā poʻe olakino, e hoʻoholo nei i ka paʻakikī o nā pane kūlohelohe humoral.

ʻO nā cytokine Pro-inflammatory a me nā hoʻoponopono reguler ka hana koʻikoʻi i ka pathogenesis o ka pancitisitis a me nā maʻi. ʻO ka hana nui o ka cytokines i ka hoʻokumu ʻana o ka fibrosis pancreatic, ʻike ʻia ka pancreatic necrosis, a i ko lākou komo ʻana i ke kahawai ākea (me ka loli o ke ʻano maʻi kūwili kūloko i loko o kahi ʻōnaehana) - i ka hoʻomohala ʻana i ka maʻi intoxication a me ka lehulehu o ka maikaʻi o ke kino (he kumu maʻamau o ka make ma OP).

ʻOiai me ka pancreatitis maʻalahi i hoʻoiho ʻia e ERCP, loaʻa kahi ʻōnaehana koʻikoʻi nui o nā cytokines. Ua hōʻike ʻia ia i kahi kīnā ʻole o nā cytokine pro-a me anti-inflammatory i ke aloha ʻana i ka mua o ka potentiates o ke ʻano ʻo ka maʻi maʻi (me ka pancreatitis). ʻO ka hoʻonāukiuki i ka hana ʻana o nā cytokine hiki ke lawelawe ʻia e like me kekahi o nā pilina ma ka pathogenesis o CP ma muli o ka potentiation o fibrogenesis e kekahi o lākou.

ʻO ka apoptosis o nā selika acinar he hana koʻikoʻi i ka pathogenesis o ka pancreatitis, ka mea e pani ai i ke kaula pathogenetic a wikiwiki i nā hana o nā fibrogenesis i loko o ka pancreas. ʻO Apoptosis he make nui kelepona i hoʻonohonoho ʻia o kahi mea ola, i hele pū ʻia e nā hiʻohiʻona cytological ʻano me nā molekula genetic rearrangement.

Hoʻokumu ʻia e nā ʻano mea poino maikaʻi: ka maʻi, nā mea make (me ka lipopolysaccharide o nā bacteria-Negative bacteria), nā lāʻau lapaʻau, nā keʻe helehelena, a pēlā aku nā hopena o ka apoptosis hiki ke oxidative stress, hoʻōla i nā proteases, dysregulation o ka metabolism o ka calcium. Mai kēia mea ke maopopo me ka nui o ka hoʻonui ʻana i ka apoptosis (me OP, he hana koʻikoʻi i kēia e hoʻokani ʻia e lipopolysaccharide bacterial), ulu i ka necrosis, i.e. i hoʻohui ʻia me ka papa pancreatic. Me ka nāwaliwali o ka apoptosis, hoʻonui i ka nui o ka nui o nā hanana i hoʻopau ʻia, e alakaʻi ana i ka hyperplasia a me ka hoʻololi ʻana.

Hoʻoponopono i nā gen p53 nā apoptosis, a me nā bc12, c-fos, c-myc genes inhibit. Me ka hoʻomaluhi mau ʻana (ka maʻi maʻamau), hele mai nā mutations o kēia mau ʻano: ka p53 i hoʻomaka e hoʻokaʻawale i ka apoptosis, a hoʻomaikaʻi ka bc12 i kona hopena ma o ka epidermal, platelet, a- a me nā mea ulu e ulu ana. A ke kumu, i lele ke ʻano o ka hoʻoponopono hou ʻana, a me ka nui o nā selela i hoʻomaikaʻi ʻia, hoʻonui ʻia ke ola o nā puna, a hoʻonui ʻia ka loli. Hoʻopili kēia mau mea i ka preneoplastic a laila proliferation neoplastic.

ʻO nā kumu no ka helehelena

ʻO nā kumu koʻikoʻi nui o ka hoʻomohala ʻana i ka pancreatitis lua hope loa nā mea penei:

nā maʻi ʻōpū
pilarē, ʻaʻai ʻula, maʻi,
ARVI,
hiki i ke kūlana kaumaha
kuhihewa i ka ʻai,
helminthic infestions,
poakou loa
hormonal ole maikaʻiʻole
atherosclerosis
ke ahonui i kekahi mau huahana,
i ka ulaula a me ka inu ava,
nā maʻi o ka hana o ka digestive tract: hepatitis, gastritis, cholecystitis, dyskinesia, biliary tract, ulcer, cholelithiasis.

Pono e hoʻomaopopo ʻia o ka hele ʻana o kekahi a i ʻole like i kekahi mau etiological e pono ai e alakaʻi i ka kūkulu ʻana o ka dispancreatism. ʻO ka hoʻolaha lōʻihi loa i kēia mau mea e hoʻonui nui ai i kahi maʻi. Ma ke nānā ʻole o ka kūpono kūpono, hiki i ka disancreatism ke hoʻololi i ka pancreatitis, no laila, ʻaʻole ʻoe e haʻalele ia me ka mālama ʻole.

ʻO kaʻino i ka pancreas kahi hana kūloko e kū hou ana i ke kua o nā maʻi ʻē aʻe

Hōʻike ʻia ke kaʻina hana i ka mumū a me ka hoʻomohala koke. Hiki ke hoʻomae i nā maʻi i lalo o ke ʻano o ka mālama ʻana i kēlā kino, ka maʻi o ka mea i alakaʻi ai i ka hoʻomaka mua ʻana o ka dispancreatism. ʻAʻole hiki i ke kino ke hana pono i kāna mau hana, kahi e hoʻoheheʻe i ka hoʻokaʻawale o nā enzyme pancreatic a me nā maʻi hoʻokūkū. I ka hopena, ʻaʻole i lawa ka lawa i ka momona

Pākuʻi pū ʻia nā hōʻailona lapaʻau o ka dyspancreatism me ka pau ʻana o ka maʻi o ka pancreas, a me nā hōʻailona pū kekahi maʻi e hoʻonāukiuki i ka ʻano o kahi maʻi. ʻO kahi hōʻailona hōʻailona o ka maʻi ka ʻeha. Kuhi ʻia nā manaʻo ʻike ʻole i ka hypochondrium hema a me ka ʻōpū.

Ke hoʻolōʻihi nei, loaʻa ka ʻūhū palupalu ma ka ʻaoʻao hema o ke kino. I nā keiki, ikaika ikaika nā pōkole e like me ka haukapila o ka Appendicitis akiko. Ka nānā ʻia ʻana o ka hana i ka aʻa i ʻike ʻia. ʻO ka'ōpala e lilo a i aila ke kino paha. ʻAʻole kaupalena ʻia ke ʻano maʻi. ʻO ka mea maʻi he hōkū, belching, luaʻa, he hoʻololi i ka ʻono i loko o ka waha.

ʻOiai me ka nānā wale ʻana o nā huahana, hoʻonui nui ʻia ka hoʻomaka ʻana o ka hōʻino o ka excruciating. Hōʻike ʻia nā hōʻailona o ka hoʻoinu maʻamau i ke ʻano o ka nāwaliwali, lethargy, drowsiness, apathy, hoʻemi i ka hana. Hoʻopiʻi ka ʻike ʻana i nā keiki i loko o ke ʻano o ka nele o ka momona, ka pohō nui ʻana o ke kaumaha, nausea, ʻeha koʻikoʻi. I nā feces, aia nā ʻāpana o ka meaʻai undigested.

ʻO ka ʻeha ʻeha o ka ʻōpū e like paha i nā hōʻike o ke kuʻekuʻe ʻoi ʻole. ʻAʻole hiki ke keiki ke kū i ka ʻeha

Ke holomua nei ka hana pathological, ʻo ka nui o ke kiʻi o ka lāʻau lapaʻau e hoʻomaikaʻi nui ʻia.

huʻi pinepine
fiva
lie kanikela
nāʻike paʻa
nā maʻi ʻino
lilo ka momona
mea kaumaha
ʻūlū
ka lau maloʻo, nā kui kuku.

Nā huapau

ʻO ka hōʻoia ʻana i ka maʻi maʻi e hiki ke paʻakikī. Ua ʻōlelo mua ʻia ka mea maʻi no ka kūkākūkā ʻana me kahi mea lapaʻau, a laila ma kahi gastroenterologist. ʻO kahi kikoʻī koʻikoʻi e hōʻike ana i ke kau ʻana o kahi hana maʻa o kēia ʻano, ʻo ka nele o nā loli morphological i ka pancreas.

Inā he kānalua o ka dispancreatism, hiki i ke kauka ke kuhikuhi i nā noiʻi like ʻole:

Paona o ka ʻōpū o ka ʻōpū,
hōʻike koko lahilahi
coprogram e hoʻokaʻawale i ka dysbiosis,
sonication
hōʻikeʻike koko biochemical.

ʻO ka mea nui o ka terapi therapeutic no ka dispancreatism ka meaʻai. E kōkua ka hoʻoponopono ʻana i ka meaʻai i ka hoʻomaikaʻi nui i ke ʻano.

I ka wā o ka mālama ʻana, he mea nui ia e hoʻokaʻawale i ka ʻai ʻana o nā meaʻai me nā mea mālama, nā kahu mālama, ka momona, ka iʻa, ka ʻalena, nā mea kanu, nā kuʻuna. I nā lā mua loa e ʻae ʻia ka wai e inu. A laila ke kīpili me nā pīkī, hoʻoulu ʻia nā cereals mashed i loko o ka ʻai. I ka lā ʻehā, ua hoʻokomo ʻia nā huahana dairy. Eia kekahi, ʻae ʻia e hoʻomaikaʻi i ka mea ʻai me nā mea ʻai i nā lau.

Hiki ke hoʻopau ʻia nā mea kanuʻai a me nā huaʻai ma mua o ʻelua mau pule aʻe.

Ininu i ka nui o ka wai. Pono e inu i ka wai kūlohelohe i nā sips liʻiliʻi a me nā manawa

E ho'āʻo e ʻai i ka meaʻai i ʻeono manawa i ka lā, inā hiki i ka manawa like. E ʻoluʻolu nā ʻaiʻai a pau. Ma kaʻaiʻai e pono ai nā cereals, ka ʻiʻī momona a me nā moa, nā iʻa, nā huahana paʻakai. He mea nui ia e kau i nā kau momona, ʻoi aku ka maikaʻi o ka hāʻawi ʻana i ka makemake i nā meaʻai protein. Mai nā huahana kīwī i ʻae ʻia i ka pīkī liʻiliʻi a me ka kefir.

Hoʻohana ʻia ka ʻōmole wai e like me ke kapa no ka kīʻaha. Pono ka waiū a pau e hoʻoheheʻe ʻia me ka wai. E hoʻohana pono ʻia nā mea kanu i loko o ka ʻano i hoʻomohala ʻia.

Hiki iā ia ke kāloti, ʻōpala, ka pākeke, ka pākī, nā ʻuala, beets, cauliflower a me ka broccoli. Hoʻokuʻu ʻia nā hulu i ka wā mālama. I ka liʻiliʻi, ua ʻono ʻia i ka ʻai, ka meli a me ke kō.

Welina nā huaʻai Vegetarian. ʻOi aku ka maikaʻi ma ka kuke ʻana iā lākou ma ka mauʻu ʻaiā, ma mua o ka ʻai. No nā keiki, hiki iā ʻoe ke kuke i ka tiʻu kolo ma ka calcium. No kēia, pono ke kūʻai ʻia ka calcium ma ka lāʻau lapaʻau. ʻO ka hope, e ninini ʻia kahi puna o ka pauka me ka lita o ka waiū wela. Pono ka meli i ka lepe aku, ma hope ua hoʻolei ʻia i luna o kahi sieve.

E pōmaikaʻi maikaʻi loa ia mau mea kanu mea

Kōkua kōkua

Pākuʻi ʻia i ka lāʻau lapaʻau ka hoʻohana ʻana o ia mau lāʻau:

hoʻomākaukau ʻana i ka enzymatic: Pancreatin, Mezim, Festal,
antispasmodics no ka hoʻomaha ʻana i ka ʻeha a me ka hoʻomaikaʻi ʻana i ka hana o ka sphincter: No-shpa, Drotaverin,
probiotics e hoʻomohala i ka ʻōpū o ka microofoflora,
hōʻiliʻili huaola.
nā lāʻau lapaʻau e hoʻomaikaʻi ai i ka hana kūnaʻi: Motilium.

I ka wā o kahi hoʻouka hōʻeha, he mea nui ke hāʻawi aku i ke kōkua mua i ka manawa.

kāhea i kahi hui ambulance
e hōʻoluʻolu i ka ʻeha, e moe ka mea maʻi a pēhi i kona mau wāwae, kūlou i nā kuli, i ka sternum.
pili i ke anu ma ka ʻōpū o luna, e hōʻemi kēia mea i ka ʻeha,
E kōkua nā Spazmalgon a i ʻole A-shpa e hōʻoluʻolu i ka spasm,
nā lāʻau lapaʻau antisecretory: Contrical, Omez, Gordox,
ʻAi ʻia ka ʻai ʻana. Hāʻawi ʻia ka wai me ka ʻole o ka aila.

Nā hopena

ʻO ka mea nui i kaʻino o ka dispancreatism, hiki i ke kaʻina pili ke hiki i ka asymptomatic a hōʻike pono iā ia iho i loko o ke ʻano o ka hopu pōkole. Hiki i ka pancreatitis react ke alakaʻi i nā hoʻopiʻi:

maʻi mellitus maʻiʻi
maʻi pancreatitis lolo
gaugitis
cholecystitis
ascites
ʻOnawa papaʻaila,
kaʻina adhesion
ke alohele ʻia,
kaʻenehana ʻōnaehana.

No laila, ʻo ka dispancreatism he mea palaki i nā hana o nā pancreas. ʻAʻole kēia kahi kahi hope o ka pancreatitis, akā ʻaʻole hoʻi kahi ola olakino o ke kino. ʻOluʻolu ʻia ka prognosis, me ke ala kūpono a me ka hoʻopau ʻana i ke kumu, hiki ke ʻalo ʻia ka hoʻomaha. Ke hoʻonui nei i ke kūlana ma hope o ka pau ʻana o ke kumu kumu. ʻO ke kumu o ke mālama i ka meaʻai i ka meaʻai, i hui pū ʻia me ka lāʻau lapaʻau lāʻau.

Hōʻikeʻike - kahi maʻi hana i puka mai mai ka hōʻino o ka hana maʻamau o ka pancreas (kahi hōʻemi a hoʻonui paha paha i ka hana o nā enzymes a i ʻole kahi hoʻololi i kā lākou huakaʻi ʻana i ka mea huna glandular).

Nā hōʻailona o ka maʻi

Hoʻomaka pinepine ka Dyspancreatism no ka asymptomatically a ma kahi o ke kaʻina pōkole i kēia manawa ʻaʻole i ʻike ʻia e ʻoe. Eia nō naʻe, ʻoi aku ka nui o nā mea maʻi (e pili ana i nā keiki a me nā ʻōpio) i ka hōʻeha o ka kāʻei paroxysmal dull i ka hypochondrium hema. Ma muli o kēia, ua maʻi mau ʻia ka maʻi e like me ka appendicitis.

Eia kekahi, hiki i nā mea maʻi ke hōʻike aku i nā mau nonspecific: hilo, holo, a i kekahi manawa me ka hoʻohui i ka bile), ka ʻawaʻawa i ka waha, ka hanu maikaʻi ʻole, ka belching a me nā kīwaha.

Nā maʻi hōʻeha

Na ke pancreas ke kuleana no ka hoʻohana ʻana i ke kō. No laila, i nā hihia koʻikoʻi o ka dyspancreatism, kahi manawa i hoʻohālikelike ai i ka glucose i ke koko a me ka nānāʻai i mālama ʻia, ke alakaʻi nei i ka hoʻomohala ʻana i nā maʻi like maʻi.

Aia ka mānoanoa nui i ka maikaʻi, ka lōlō ʻana, hoʻonui nui ʻia, a me ka ʻūhā puʻuwai puʻuwai. Hoʻopilikia kekahi mau capillaries liʻiliʻi, kahi i hōʻike ʻia i ka hoʻōla kino ʻana i nā hōʻeha, ʻike maka ʻia.

ʻO kahi hopena koʻikoʻi loa a koʻikoʻi ka hopena o ka dispancreatism ka hoʻomohala ʻana o ke kōmela coma e pili ana i ke kumu o ke kiʻekiʻe o ka glucose koko.

Nā kumu no ka mālama ʻana i ka maʻi maʻi

Hoʻokū maikaʻi nā hopena o ka pancreas i ka lāʻau lapaʻau. Ma ke ʻano he lula, ua kuhikuhi ʻia ka hui ʻana o nā lāʻau antispasmodic, painkillers a me nā pancreatic enzyme substitutes.

Eia kekahi, e hoʻohuli ʻia ka mea maʻi i kahi mea ʻai e lawe ai i ka wai me ka nui o ka wai a me ka wehe ʻana mai ka papaʻaina o ka palaoa a me ka ʻōleʻa, a me nā meaʻai anuanu.

Me ka mālama kūpono, disancreatism, ma ke ʻano he kānāwai, e nalo ana ma hope o kekahi mau lā, ʻoiai ke ʻike ʻia nā koena hoʻomaha no kekahi mau pule hou.

Nā Palapala hoʻomalu a nā maʻi

Ke pale i ka hoʻomohala ʻana o ka dispancreatism, ʻo ka mea mua, pono ʻoe e mālama i ka ukana maʻamau ma luna o ka pancreas. Hoʻopau kēia e haʻalele i ka meaʻai me ka nui o nā sweets a me nā waiʻona, mai komo i nā kīʻaha momona a me nā pīpī.

Eia kekahi, pono ʻoe e mālama i nā maʻi o ka ʻōpū a me ka puʻupuʻu liʻiliʻi, hiki iā ia ke alakaʻi i ka huhū o nā papa pancreatic.

Inā loaʻa ʻoe i ka ʻeha "i loko o ka ʻōpū", mai lawe i nā pilikia - hoʻokaʻaʻike i ka kikowaena maʻi ilaya. Maanei, ʻo nā mea loea i loaʻa i nā makahiki he nui o ka ʻike e hoʻomaha iā ʻoe i nā hōʻailona leʻaleʻa a ma kahi manawa hoʻopaʻa, e hoʻi hou ana ka hauʻoli o kahi ola olakino!

Loaʻa ʻia kēia ʻano olakino olakino mai ʻelua huaʻōlelo: "dis" - kahi pale a me "pancreatism" - nā pancreas. Pēlā ka manaʻo o "dispancreatism" i kahi keiki i nā ʻano like ʻole o ke kolohe ʻana o ka hana synthetic o kēia ʻuhane, ka mea i ʻike ʻole ʻia e ka loli morphological o ke kino. Hōʻike nā maʻi a me nā loli o nā ʻāpana laboratorium i nā keiki o kēlā me kēia makahiki. Hoʻohālike like nā loiloi laulā o ka mālama ʻia.

Nā kumu o ke kūmole

I kēia manawa, hiki i kahi ʻano kumu ke hoʻonāukiuki i ka hoʻokumu ʻana o dispancreatism. ʻO nā kumu nui loa i kēia ʻano.

hana e pili ai ka maʻi pālahalaha, e komo pū me nā maʻi a me nā ea,
psycho-emotional stress, ʻoi aku ka maʻiʻeha a lōʻihi paha,
maikaʻi maikaʻi keʻai, maikaʻi hoʻi no ka manawa lōʻihi,
i nā maʻi ʻē aʻe o ka mahele o ke kū ʻai, ma mua o ka ʻōpū, ka ʻōpū, ka ʻōpū.

Pono e hoʻomaopopo ʻia ʻo ka hele ʻana o kekahi mea hoʻonāukiuki ʻaʻole pono i ke alakaʻi ʻana i ka dispancreatism. Eia nō naʻe, ʻo ka hana lōʻihi o nā mea predisposing e hoʻonui pono i ka ulu ʻana o ka hoʻomohala ʻana i nā maʻi hana o ka pancreas.

ʻO ka Dyspancreatism kahi manaʻo ākea ākea e wehe i ka pancreatitis, ʻo ia hoʻi ka haʻalele ʻana o nā loli morphological. Ma ka hoʻohālikelike o ka pancreatitis, ʻike ʻia ka loli hoʻololi ʻana o ka maʻi ma ke kino, ka mea i ʻike ʻia i ka wā o ka hoʻokalakupua ʻana.

Ma ke ʻano maʻamau o ka pancreatitis, ʻike ʻia ka hana hewa hohonu o ke kumu o nā pancreas, kahi e alakaʻi ai i nā loli i nā mākau hana o ka huelo. ʻO ka Dyspancreatism kahi ʻano preorbid kūlana (ma mua o ka maʻi), kahi, me ka mālama ʻole o ka mālama pono, hiki ke hoʻololi i ka pancreatitis.

ʻO nā hiʻohiʻona hauʻike o ka dispancreatism

ʻIke ʻia ʻo Dyspancreatism i nā keiki o kekahi mau makahiki i nā maʻi lapaʻau i maopopo ʻole. ʻO nā hōʻailona āpau āpau i maʻamau me nā maʻi ʻē aʻe he nui o ka pancreas, kahi e hoʻopiʻi nui i ke kaʻina diagnostic. ʻAʻole ʻokoʻa nā hōʻailona maʻi loea i nā hana maʻi o ka pancreas i nā keiki o nā makahiki like ʻole. Hiki i kahi keiki (ʻoi aku ka makua, ke keiki ʻōpio) ke wehewehe i ko lākou mau manaʻo ponoʻī i kahi kikoʻī, like me ke keiki. Eia kekahi, ʻo ka iho ʻana ʻo ia iho ka maʻamau o nā keiki o ke kula a me ka ʻōpio ma mua o ka pēpē.

Kahi nā hōʻailona maʻamau o ka dispancreatism:

lilo ka momona a hiki i ka pau ana o kona.
huehue ka maʻi, kahi hiki ke hoʻonui i ke alo i ka ʻike ʻana o nā meaʻai.
ka luaʻi (pinepine pinepine), ʻai pinepine i ka ʻai a ʻilihune maikaʻi ʻia,
ʻeha i loko o ka ʻōpū o luna, ʻo ka mea e loaʻa ai kahi huki a maʻi paha,
kahi hōʻailona e hoʻololi i ka kīʻaha: kūʻai nā kīkaha, me nā mea momona undigested, loaʻa kahi fetid.

Hōʻike pinepine nā loli i ka kūlana maʻamau o ke keiki, ʻike pinepine ʻia ka nāwaliwali, nā kumu i hōʻino ʻia e ka ʻaihue ʻana o ka nui o nā meaʻai. Ke hoʻohālikelike nei i ke ʻano o ke ʻano o ka pancreatitis, ʻaʻohe mea e hoʻonui ai i ka mahana a me ka ʻeha nui (maʻamau ʻo ia ka mea i kapa ʻia ʻo "ʻeha ʻōpū".

ʻO nā kumuhana nui o ka maʻi maʻi

Maikaʻi ka hōʻoia ʻana i ka maʻi o ka dispancreatism. ʻO ka hala ʻana o nā loli morphological i ka pancreas i ka wā ultrasound a i ka tomography paha kekahi o nā kaukani no ka loaʻa ʻana o nā hana pili o kēia ʻano.

I ka manawa pinepine ma ka hilahila o nā maʻi pancreatic, ʻo nā haʻawina ʻelua e hoʻohana ʻia nei:

alpha-amylase a me ka hana lipase (hoʻonui me nā maʻi pancreatic),
ka haʻawina o ka pae o ka trypsin i ke koko a me ka urine (e hoʻonui nō hoʻi),
coprogram (no ka loiloi ʻana i nā kaʻina o ka lawe ʻana i ka meaʻai i ka laulā nui),
ka nānā koko ākea e ka haʻalele i nā hana maʻi o ke kino.

ʻO kahi loiloi ultrasound o nā ʻōpū āpau o ka ʻōpū o ka ʻōpū hiki ke hoʻokau ʻia ma kahi keiki o kekahi makahiki o kahi ʻano, he noiʻi ʻoluʻolu kūpono ia (mai kahi hiʻohiʻona kālā) a palekana piha. ʻO Tomography (ʻoi aku ka nui o ka hoʻokalakupua a me ka hoʻopili positron) pono i ka hihia o nā maʻi hana lōʻihi o ka papa pancreas e hoʻokaʻawale i nā maʻi ʻē aʻe me nā hōʻailona like.

ʻO nā kumuhana ākea o ka mālamaʻana

ʻO ka mea nui ka meaʻai meaʻai. I ka nui o nā hihia, ʻo ka hoʻoponopono wale ʻana i ka meaʻai hiki ke hoʻomaikaʻi maikaʻi i ke ʻano o ke keiki.

I ka wā o ka mālama ʻana i ka dyspancreatism i kahi keiki o kekahi makahiki, pono e hoʻokaʻawale ʻia kēia mau mea aʻe:

nā huahana semi-hoʻopau a me nā huahana e loaʻa ana nā ʻano pelekikena,
i nā meaʻai a me nā momona
marinades, pipi iʻa, nā ʻano mea ʻala.

ʻO kaʻaiʻai meaʻai no nā maʻi o ka pancreas e pono e hālāwai me kēia mau kumu:

nā lau liʻiliʻi ʻawaʻawa i ka manawa 5, i ka manawa like,
pono hoʻōla nā ʻaiʻai a pau, ʻaʻole i anu.
Pono e hoʻolapalapa ʻia nā kīʻaha me ka hoʻolapalapa, ka ʻī
Hāʻawi ʻia ka makemake i nā lau o nā makahiki a me nā huaʻai, nā mea ʻai, nā huahana paʻakai haʻahaʻa, ʻo ia a me nā iʻa wale nō nā momona haʻahaʻa.

ʻO ka nānā ʻana o ka dyspancreatism ka hoʻohana ʻana o ia mau ʻano o nā lāʻau lapaʻau.

ʻO nā enzyme pancreatic (festal, mezym, pancreatin) i mea e hoʻoikaika ai i nā hana o kekahi ʻāpana i hoʻonaninani ʻia,
antispasmodics (drotaverine) e hoʻomaikaʻi i ka hana o nā sphincters a hōʻemi i ka ʻeha.,
pro a me nā prebiotics e hoʻoponopono i ka microflora o ka ʻōpū.

Pono nā lāʻau lapaʻau e kuhikuhi ʻia e ke kauka ma hope o ka hana hoʻokipa a me ka hoʻokalakupua ʻana.

ʻO ka manaʻo o nā mea loea e pili ana i ka dispancreatism e like me kēlā me kēia.Eia nō kekahi, ʻaʻole i ʻike ʻo Kauka Komarovsky i ke ʻano o kahi maʻi e like me ka dispancreatism, a ʻaʻole manaʻo e pili i kāna hoʻomālamalama kūpono. Hoʻohālikelike nā mea loea he nui ʻē aʻe iā ia ma ka loiloi ʻana i kēia ʻano, ʻoiai ke ʻano o ka manaʻo o "dispancreatism" i loko o ka papa inoa o nā maʻi o ka maʻi. I ka nui o nā hihia, pono ke hāhai ʻia me ka mālama ʻana e hoʻokaʻawale i nā ʻano anu o ka maʻi pancreatic.

Hoʻomaka i ka hoʻomaʻamaʻa ʻana o kekahi maʻi maʻi pancreatic me kaʻai kūpono. A ʻo kahi kānalua o ka hoʻohālikelike ʻia o ka hana o kēia kino i ʻike maikaʻi ʻia me ke kōkua o kahi kauka ʻohana.

ʻO ka maʻi pancreatitis i waena o nā keiki, kaʻi nui loa i nā keiki ʻōpio, ʻaʻole i maʻamau, akā e kū ana nō naʻe. I ka manawa like, he ʻokoʻa nā hōʻailona o ka maʻi i ke keiki ma ke ʻano o nā hōʻike o ka pancreatitis i nā pākeke, hiki ke hōʻeha i nā maʻi kūpono a alakaʻi i nā luhi i ka mālama ʻana.

E like me nā poʻe pākeke, ma nā keiki hiki ke pancreatitis i nā maʻi a me nā maʻi. ʻO kahi ala kūikawā o nā maʻi i nā keiki i kapa ʻia ʻo ka pancreatitis react, a ʻo dyspancreatism paha, kahi ʻano hōʻano hou e ulu nei ma ke ʻano he pane no ka pancreas i ka make ʻana, nā maʻa kūwili ʻana, ka palaka ʻole, a me kekahi mea.

ʻO nā hōʻailona nui ka:

ʻEha ka ʻōpū. E ʻōhumu nā ʻōpio kahiko i nā ʻeha ʻeha o ka ʻōpū o ka ʻōpū a i ke kāʻei ʻana paha, ka ʻeha ma ka hypochondrium ʻākau me ka irradiation ma ke kua i lalo, ka umauma, nā lima hema.
E like me ke kānāwai, ua ʻōlelo ʻia me ka hōʻeha ʻana me ka eha like ʻole.
ʻO nā hōʻailona o ka pīhoihoi a me ka hōʻino i nā kino e nā enzyme pancreatic e komo koke i ka koko: ka hāʻule ʻana o ke koko, pallor o ka ʻili, ʻulaʻula a i ʻulaʻula paha i ka ʻili o ka ʻōpū, nāwaliwali, huki, a me ka nalowale o ka ʻike. Ma muli o ka hopena hoʻonā o nā huina a ka pūnao ʻōlima, hiki i kahi keiki ke loaʻa ke ʻano ʻino, hūnā, a i ʻole hoʻi i nā ʻūhā a me ka hoʻopunipuni.
Nā maʻi hōʻeha o ka ʻaʻa - constipation a i ʻole ke kīwī.
Kipi, ʻaʻa o ka pā o ka ʻōpū.
Hoʻopili i nā membus lemaka a me ka alelo. Kahi ʻōwele keʻokeʻo keʻokeʻo a ʻele paha hoʻi i ka lehelehe.
Holo ka maʻi.
Ma muli o kahi halaʻole o ka puka o ka huahe, ka hoʻoweliweli ʻana i ka pancreas o ka papa lile e kumu ai i ka ulaula: ua ʻōwili ke keiki a ka ʻula a ʻike i nā membula kūwili (sclera maka, waha mucosa).

He mea paʻakikī loa i ka ʻike ʻana i nā hōʻailona o ka maʻi pancreatitis ma nā keiki a me nā keiki ʻōpio (a hiki i ka 1.5-2 mau makahiki), ʻoiai ʻaʻole hiki iā lākou ke hōʻike i nā hoʻopiʻi. Hōʻike ʻia ka ʻehaʻeha i loko o nā pēpē i ke ʻano o ka hoʻōho, me ka ue ʻole ʻana, ke kī ʻia ʻana "i loko o kahi kahe." Hoʻoholo ʻia nō hoʻi ke ʻano o ka ʻōpū o ka ʻōpū, e hoʻohālikelike mau ʻia ana. Akā eia kēia mau hōʻailona nonspecific i hiki ke ulu i nā maʻi ʻē aʻe (ke maʻa pyelonephritis, appendicitis, etc.), no laila he mea pono ke hana i kahi hoʻokolohua e ka mea lapaʻau pediatric.

ʻO ka maʻi pancreatitis kaha

Ma ke ʻano maʻamau o ka pancreatitis i nā keiki, aneane like nā hōʻailona like i ʻike ʻia e ka poʻe pākeke.

ʻO ka hōʻeha o ka ʻōpū ma mua o ka loaʻa ʻana o ka hala ma o ka ʻai (ʻai ʻana i nā momona, nā mea ʻala, a iʻa, ʻūa a me nā mea like) ʻO nā keiki me ka maʻi pancreatitis ka mea nui loa i kaʻai, a me ka hoʻonuiʻana o ke kaʻina i loko o lākou e hiki ke hoʻonāukiuki wale ʻole i ka hōʻino wale ʻana o ka meaʻai, akā, he mau hala liʻiliʻi hoʻi, mau wā hoʻomaha ma waena o nā meaʻai.
ʻO ka puhiha a me ka luaʻi, pili pū me ka ʻaole ʻole.
ʻO ka hōʻino ʻana i nā kaʻina hana o ke aiki, ʻo nā hōʻailona ʻo ia ka momona o nā momona kōpala, ka maʻi pālahalaha, nahelehele ʻole.
Ma muli o ka loaʻa ʻole o ka meaʻai, ʻaʻole nui ka nui o ke kino o kahi keiki ulu i nā mea pono ʻole. Hoʻopau nui nā keiki i ka hypotrophy (hoʻopau loa), nā hōʻailona o ka anemia a me hypovitaminosis (kahi palapa a maloʻo ka ʻula, lauoho lauoho, kuku, a me nā mea hou). Me kahi papa lōʻihi, hiki i ka laka ke ulu ana, hiki i ka hoʻomohala noʻonoʻo.

Hoʻomaopopo o ka react pancreatitis

Hoʻomaopopo nā hōʻailona o ka pancreatitis reactive i nā keiki ma kahi hoʻemi ʻana i ka hana o nā enzyme e ka pancreas a me nā mea hoʻomohala ma hope o ke kaʻina hana ʻana:

ʻO nā mīpī o kahi pānaʻi semi-wai, me nā mea kīnā ʻole o ka meaʻai i kāhea ʻole ʻia, me kahi pua ʻala nui, holoi holoi ʻia mai ka pā hao a pā paha o ka ipu kīwaha. Hiki i kekahi keiki ke maʻi constipation.
ʻHala nei, ʻūhā ana i loko o ka ʻōpū, lemulewa.
Pilikia nā keiki i nā makahiki o 2 i kēlā me kēia mau manawa ka ʻōhumu o ka hōʻeha a i ʻole ke palū a puni ka pulu. Hoʻohui pinepine nā ʻeha me nā hala i ka ʻai.

Nā hōʻailona hōʻailona e like me ka hōʻike ʻana o ka maʻi pancreatitis kūlohelohe a me ka reactive i hiki ke kū i loko o nā keiki a me nā maʻi ʻē aʻe o ke ʻano o ka digestive system - gastritis, biliary dyskinesia, dysbiosis, colitis, etc. Akā ʻo ka hele ʻana o kahi liʻiliʻi i hoʻokahi hōʻailona, a ʻoi aku ka nui ma mua o kēlā me kēia ka manawa, koi ʻia he kauoha ka nānā ʻana o ke keiki e ka mea lapaʻau a i ʻole gastroenterologist. Hoʻokahi wale ke kauka ma hope o ka nānā ʻana, kūkākūkā a me ke kuhikuhi ʻana i nā kaʻina diagnostic hou e hiki ke hōʻole a hōʻoia paha i ka pancreatitis i kahi keiki a kuhikuhi i ka mālama pono ʻia.

ʻO ka pancreatitis ka maʻi o ka ʻano maʻamau-dystrophic o ka pancreas (pancreas) me kāna mau kīʻaha, pinepine ʻia e ka mana ikaika o kāna mau ponoʻī.

I waena o nā keiki me nā maʻi o ka ʻōnaehana digestive, hele ka pancreatitis me ka pinepine o 5 i 25%.

ʻO ka pancreas - hoʻokahi o nā kino o ka digestive tract, he lua ia o nā ʻāpana o waho a me waho.

ʻO kāna hana pilikino waho e hoʻopili ʻia me ka hoʻomohala ʻana o kahi huna huna, ka mea e kahe ana i nā komo i loko o ka duodenum 12, kahi i hoʻoili ʻia ai e ka wai ʻōpū a komo i ke kō o ka ʻai.

Hoʻokomo ka hana o ka intracecretory o ka pancreas i ka hana ʻana o ka hormone insulin o ka nui o nā pukuniahi, me ka ʻole o ka glucose i hiki ke hoʻopili ʻia i loko o ke kino.

Hoike ʻike

ʻO ka pancreatitis i nā keiki he autocatalytic enzymatic inflammatory a me dystrophic lesion o ka pancreas. ʻO ka nui o ka pancreatitis i waena o nā keiki me ka pathology digestive pathology he 5-25%. ʻO ke ʻano o ka pancreatitis i kahi keiki, ʻaʻole like me ka pākeke, nona nā ʻano aʻea: hiki ke hoʻomake ʻia ke ahulau e nā ʻāpana ākea a me nā hopena endogenous, hiki paha i ka asymptomatic, i hoʻohui ʻia e nā maʻi ʻē aʻe o ka ʻōpopona: gastritis, gastroduodenitis, dysbiosis intestinal, etc. i nā keiki ka hana nui loa o nā pediatrics a me nā gastroenterology pediatric.

Nā kumu o ka pancreatitis

ʻO ka hoʻomohala ʻana o ka pancreatitis i nā keiki ma muli o ka hopena pathological o ka pancreas o kāna mau kaola pono hoʻonaninani (ma mua o nā proteases), ka mea e hōʻino i ka mau palaka, nā kahawai excretory a me nā kīʻaha koko o ka aila. Hoʻomaka ʻoi aku i ke kolo i ke kūkuluʻana i kahi hopena hoʻonā i loko, a me ka hoʻokuʻu ʻana i nā huina a me nā mea hoʻowalewale i nā huahana hoʻowalewale i loko o ke koko a me ka lymph i alakaʻi i ka hoʻohālikelike ākea.

ʻO ka maʻi o nā maʻi maʻamau i ka hapa nui he mau helu a he hopena paha ka maʻi pancreatitis i nā keiki. ʻO ka hōʻike ʻana o ka pancreatitis i nā keiki hele mai ma lalo o ka mana o nā ʻano etiological o ke ʻano o ke ʻano o ka mechanical, neurohumoral a me nā toxic-allergic.

ʻO ke kumu o ka pancreatitis i nā keiki ka mea hiki ke hoʻonāukiuki i ka puka ʻana o ka huna huna pancreatic e kū pū ana me nā abnormalities i ka hoʻomohala a me ka hana ʻana o nā papa excretory o nā pancreas, duodenum a me nā ʻeha polū, nā hōʻeha hōʻeha ʻeha, helminthiasis (ascariasis), e kū'ē ana i ke kua o ka maʻi gastrointestinal tract, gastrody , hepatitis, maʻi gallstone), pathology malignant (cancer pancreatic).

ʻO ka hoʻoulu ʻana o ka papa pancreas me ka hoʻonui ʻia o ka hana a ka pancreatic enzymes e hiki ke ulu inā ʻai ʻole ke keiki i ka ʻai - ʻai, ʻai, ʻai ʻana i nā momona, nā momona ʻoa, ʻīwī, sodas, meaʻai wikiwiki, a me nā mea hou i nā hopena maʻi pakanā a me ka hoʻomohala ʻana i ka pancreatitis i nā keiki. ka hopena i ka meaʻai a me ka lāʻau lapaʻau (corticosteroids, sulfonamides, cytostatics, furosemide, metronidazole, NSAIDs).

ʻO ka pancreatitis i nā keiki hiki ke pili me nā maʻi pili o ka hope, endocrinopathies, hōʻino o ka metabolic (obesity, hemochromatosis), hypothyroidism, cystic fibrosis, maʻi renal gagal, maʻi viral a me nā maʻi bacterial (mumps, chickenpox, herpes virus infection, dysmendemia, septenemia, semenosis).

Kahi helu

Ma ke ʻano o ka papa, hiki i ka pancreatitis i nā keiki ke lilo i aʻeha a me nā maʻi. ʻO ka pancreatitis acute i nā keiki ka mea i hoʻoili ʻia e catarrhal a me ke kahe ʻana o ka pancreas, i nā pilikia nui - hemorrhages, necrosis tissue a me nā toxemia. Ke maʻi pancreatitis mau keiki i ka wā o ka ʻōnaehana, ka holomua o ka ʻōlaʻi e pili ana i ke kua o nā loli degenerative - sclerosis, fibrosis a me ka hiʻona o ka pancreatic parenchyma a me kahi hala lohi o kāna hana. No nā keiki kula, he ʻano maʻamau ka maʻamau o ka maʻi pancreatitis, he ʻano koʻikoʻi kekahi ʻano a ʻo kekahi ʻano ʻoihana.

ʻO ka edematous aila (interstitial), hemorrhagic, pancreatitis purulent i nā keiki a me nā momona pankreatic momona ka hoʻokaʻawale ʻana, e like me nā loli a me ka hopena morphological i ka pancreas.

Hiki i ka pancreatitis Chronic i nā keiki ke ʻano i ka mua (ka mua a me ka lua), i ke ala (recurrent a latent) i ka ulu iki o ka papa (mālie, maʻalahi a paʻakikī). Ke hele nei ka pancreatitis i ka hana i nā keiki ma ke ʻano o ka hōʻino, ka hoʻihoʻi ʻana o ka exacerbation a me ke kala, ka mea i ʻole - i hui pū ʻia e nā maʻi maʻi koʻikoʻi.

ʻO nā hōʻeha o ka pancreatitis i nā keiki hiki ke lilo i ka cyst waha, pancreolithiasis, peritonitis, pleurisy, maʻi mellitus.

ʻO ka wānana a me ke kālai

ʻO kahi ʻano maʻi o ka pancreatitis akene i nā keiki he mea kōkua maikaʻi loa, me kahi ʻano hemorrhagic a purulent, a me ka pancreatic necrosis, he nui ka hopena o ka make. ʻO ka hoʻōlaʻana o ka pancreatitis maʻi i nā keiki e hilinaʻi ana i ka leʻa o ka exacerbations.

ʻO ka hōʻoki ʻana i ka pancreatitis i nā keiki me ka hoʻomaʻamaʻa, nā ʻano kūpono o ka makahiki, ka pale ʻana i nā maʻi ʻeha gastrointestinal, hopohopo, pūnaehana, maʻi maʻi helminthic, nā lāʻau lapaʻau i kauoha ʻia e ke kauka. Kuhi ʻia nā keiki me ka maʻi pancreatitis e nānā ʻia e ka pediatrician a me nā gastroenterologist pediatric, nā papa anti-relaps a me ka mālama ʻana i ka spa.

Me ka pancreatitis, ka hana kūloko o ka pancreas i ʻole ka ʻeha.

ʻO ka pancreatitis acute - maʻi huhū o ka pancreas.

ʻO ka maʻi pancreatitis kaha - maʻi maʻi pancreatic maʻi, i kēia manawa me nā manawa o ka exacerbations a me ka mālama maikaʻi.

React Pancreatitis (or dyspancreatism) is aversversversversing on the function of the pancreas.

Kanawiki. ʻO ka maʻamau, ʻo ka dyspepsia ke kumu o ka hoʻoweliweli ʻana, a me kekahi mea, he hopena ia, he hopena wale nō, e hoʻohālike ana i nā hemahema o ke kino, ke ʻano o ka maʻi.

ʻO ke kumu o ka dispancreatism ka lawa ʻole o ka hoʻoulu ʻana o nā enzymes e ka pancreas, no ka mea, ʻoi ka ʻilihune ʻo ka ʻai. I kēia hihia, ʻaʻohe maʻi o ka pancreatic. Aia hewa wale kekahi i kona hana, ʻo ia ka mea e hele ai i ka wā e pau aʻe ai ke kumu paʻakikī.

Hoʻomaopopo nā ʻōuli ma ke ʻano me ka dispancreatism i ka hoʻoweliweli maikaʻi ʻana: ka hū ʻana, keʻa ʻana, ke koho ʻana, ke keokeo a me ka constipation, ʻaʻole i pili me ka ʻai. Ke hoʻokō nei i kahi hōʻike ultrasound (ultrasound), hiki i ke kauka ke ʻike i kahi hoʻonui liʻiliʻi e nui i ka nui o ka pancreas a me kāna ʻāpana liʻiliʻi.

I ka mālamaʻana i ka dispancreatism pili i ka meaʻai No. 5 (""), i kekahi mau manawa, e kau ʻia ana ka hoʻomākaukau ʻana o ka enzyme.

ʻO ka pancreatitis acute i nā keiki

ʻO ka hui ʻana o ka wai pancreatic i loko o nā enzyme, nā mea e hoʻemi ai i kaʻu e kākau nei. He aha ke ʻano? Hoʻopili nā Enzymes i ka meaʻai mai kahi kūlana o nā meaʻai i kahi kūlana o nā molekō. No ka laʻana, lawe lākou i kahi ʻāpana a hoʻohuli i nā molekala, e like me ka hale i hoʻolei ʻia i loko o nā piliki. No laila, ma ka pancreas, he mau keneta nā huehue. Hoʻokuʻu ʻo ia iā lākou, kūʻai aku iā lākou i kekahi hale kūʻai a hoʻopuka iā lākou i nā ʻāpana no ka hoʻowalewai ʻana i ka meaʻai inā loaʻa ka ʻai.

Ke hana nei kēia mau mea ma lalo o nā kūlana maʻamau. Akā inā pilikia ka pancreas no kekahi mau kumu, ua luku ʻia nā storages me nā enzyme. Hoʻomaka ka piʻi ʻana o nā Enzymes - kāpili i kou home ponoʻī, ʻo ka pancreas. He kūlana ʻino loa kēia, no ka mea, he ikaika nui ka enzyme pancreatic (hoʻomanaʻo e hiki iā lākou ke hoʻokaʻawale i ka ʻai). Ka mea e hiki ai ʻā ʻo ka pancreatitis ma nā keiki He mea maʻamau nō hoʻi.

Nā kumu kumu o ka maʻi pancreatitis:

ʻO ka maʻi a me ka maʻi bacteria (mumps, flu, hepatitis).
ʻO ka ʻeha hōʻeha.
Allergic hopena pili.
Nā lāʻau lapaʻau (hormones, biseptolum, etc.).
ʻO ka maʻi ʻai: e lawe i kahi nui o nā momona, ka ʻalapau, nā hāmeʻa, waikawa, nā mea momona (mau ʻōpala ikaika).
ʻO nā maʻi o ka ʻōnaehana digestive, hoʻopili ʻia e ka nā mea hoʻowalewale i ka ʻohi pancreatic (ka pōhaku i loko o ka puʻuwai, ka leakage o nā ʻike i loko o nā kumu no ka pancreatic, etc.)

Nā hōʻailona o ka pancreatitis Acute

ʻO ke kiʻi haukapila o ka "ʻōpū poloka."
ʻO ka ʻeha koʻikoʻi ma ka'ōpū o luna. Kuhi ʻia e ka ʻeha o ka herpes zoster (a puni ka ʻāpana holoʻokoʻa o ke kino), hāʻawi ʻana i hope a ma ka hapa hema o ka umauma.
Ma muli o ka hōʻeha nui, hiki i ka hāʻule ʻana a me ka nāwaliwali.
Hoʻomaʻi, hoʻomau a hoʻomau, hoʻowahāwahā ʻole, ʻaʻole lawe mai i nā hōʻoluʻolu.
Hoʻopilikia i nā ʻōpū o ka ʻōpū.
ʻO ka hopena huli a me ka constipation.
ʻO ke hoʻonui ʻana o ke ea a me ka hōʻino nui ʻana i ka maʻi maʻamau.

Ka hoʻomaʻemaʻe ʻana i nā maʻi pancreatitis maʻa . ^ E Ha yM. Hōʻike haukapila. ʻO ka mālama maʻi.

Diet pancreatitis

Hōʻike ʻia kahi mea maʻi me ka pancreatitis kūlohelohe i ka papa helu 5 (e nānā i "Biliary Dyskinesia") me kekahi mau hiʻohiʻona:

ʻO nā meaʻai momona (ka ʻai, nā huahana paʻahana, iʻa).
Hoʻopili i ke kō a me nā momona.
Lā ʻia ka hoʻohana ʻana i ka iʻa, ka ʻiʻo, ka mau mea puna, ka lard a me nā mea momona ʻē aʻe.
Me ka exacerbation, i kahi ma nā mea i kau ʻia ma luna nei, pono ke hōʻemi i ka ʻai ʻana i nā lau lau a me nā huaʻai, nā waiʻaila, nāʻaila, ka meli, a me nā ʻano ʻē aʻe.
Hoʻokomo ʻia nā kīʻaha āpau i ka mahu, pulupua, luku ʻia.

Ke lāʻau lapaʻau lāʻau no ka pancreatitis

Ua kuhikuhi ʻia ʻole me ka exacerbation a me kahi ʻano uncomplicated. Me ka exacerbations pinepine loa, e mālama ʻia ana ka hana lapaʻau no ka manawa lōʻihi, ma ka liʻiliʻi he 6 mau mahina me nā wā pōkole o 2-3 mau pule i kēlā me kēia 2 mau mahina. Pono e hoʻololi ʻia ka ʻano like o ka lau ma kēlā me kēia 3 hebedoma. Me nā exacerbations kaʻewaʻī, lawa ia e hana i nā papa mālama mālama no 1-2 mau mahina 2 mau manawa i ka makahiki.

ʻOi aku ka hoʻonui i ka ʻeha, ʻo ka hoʻohaʻahaʻa i ka nui o ka hoʻomākaukau ʻana i nā lāʻau lapaʻau i hoʻohana ʻia, no laila e ʻoi aku ka maikaʻi o ka hoʻomaka ʻana i ka mālama ʻana me ka hapalua, a i ʻole hapaha o ka hopena. Ke waiho nei ke kaumaha, hoʻonui mālie ka ʻaha.

Hoʻokomoana i nā lau pepelu. E hoʻolapalapa i 5 g o nā mea kanu me 1 kīwī wai uala, hoʻopaʻa i 30 mau minuke, kānana, ʻoki ʻia. Lawe i 1 tbsp. la l ʻO 3-4 mau lā i kahi lā 20-30 mau minuke ma mua o ka ʻaina.

Hoʻokomoʻana i ka lau sushitsy marshmallow. E hoʻolapalapa i 10 g o nā mea kanu me 1 kīʻaha wai e hoʻoheheʻe ai, waiho no 30-40 mau minuke, kānana, ʻoki ʻia. Lawe i 2 tbsp. la l - 1/4 kīwī 3-4 mau manawa i kahi lā 20-30 mau minuke ma mua o ka papaʻaina.

ʻO kahi decoction o rhizomes me nā kumu elecampane. E ninini i 6 g o nā lako i hoʻopaʻa ʻia me 200 ml o ka wai anuanu. E wela i kahi wai i ka wai 15 mau minuke. Kāʻohi, kānalua. Lawe i 1 tbsp. la l 3 mau lā i kahi lā 20-30 mau minuke ma mua o ka papaʻaina.

ʻO ka hupa Hypericum. E ninini i 10 g mau mea kanu me ka 200 ml wai wai. E wela i kahi wai i ka wai 15 mau minuke. Kāʻohi, kānalua. Lawe iā 1/4 kīʻaha i 3 mau manawa i ka lā 20-30 mau minuke ma mua o ka papaʻaina.

Hoʻokomo pūpū o nā māla maʻe.E ninini i 15 g o nā hua i kulu ʻia me ka 1 kīʻaha wai e hoʻoinu ai. E hoʻomoe i nā hola 2-3 i kahi thermos. Lawe iā 1/4 kīʻaha i 3 mau manawa i ka lā 20-30 mau minuke ma mua o ka papaʻaina.

ʻO Ierusalema artichoke, a i ʻole pear ʻarthen, he mea kōkua nui no ka hoʻihoʻi ʻana i ka pancreas. ʻO ka lāʻau lapaʻau e pili ana iā Jerusalem artichoke: kīnā meaʻai "Dololet" (Lūkia, JSC "Diode").

ʻO nā pākeke a me nā keiki ma mua o 12 mau makahiki - 3-6 papa 1 mau manawa i ka lā me ka pāʻina. ʻO 5 mau wiki he lōʻihi o ke komo ʻana. Hoʻomaopopo pinepine ʻia ma hope o 2 pule.

Ke keiki - 1 manawa i kēlā me kēia lā ma ka hapa o 1 papa no 25 kg o ka paona kino. ʻO 5 mau wiki he lōʻihi o ke komo ʻana.

nā pua chamomile - 4 ʻāpana,
ʻO ka mauʻu wort o John John - 4 mau ʻāpana,
lau meleli - 2 ʻāpana,
nāʻu nahele - 2 mau ʻāpana,
mauʻu maloʻo - 3 ʻāpana,
kanu huaola - 3 mau ʻāpana,
mauʻu ʻala - 2 mau ʻāpana.

Brew 10 g o ka hōʻiliʻili ʻia me 1 mau aniani o ka wai kohua, hoʻopaʻa i 30 mau minuke, kānana, kīʻī. Lawe iā 1/3 kīʻaha i 3 mau manawa i ka lā ma mua o ka papaʻaina.

hua kanu - 3 ʻāpana,
nā huaʻaina o nā koko hawthorn ʻulaʻulaʻula - 2 ʻāpana,
pua mākaʻikaʻi - 2 mau ʻāpana,
kila huaila - 2 mau ʻāpana,
nā pua chamomile - 1 ʻāpana.

Kapu i kahi thermos 2-3 tbsp. la l maloʻo maloʻo hōʻiliʻili i ka 500 ml wai o ka wai paʻū, hoʻopaʻa i nā hola 2-3, hoʻoheheʻe ʻia. E inu i 1/2 kīʻī 3 mau manawa i ka lā 1 mau hola ma hope o ka ʻaina.

Pua hae. Lawe ʻia 1 / 2-2 / 3 tsp. pollen, pollen-pollen, aiʻole pollen 20-30 mau minuke ma mua o kahi pāʻina (e hoʻopiha mua me ka 50 ml o ka wai kuke a kū no 3-4 mau hola).

Wai wai. Hoʻomaopopo ka wai o ka wai mineral, e like me ka gastritis.

Loaʻa iā ia kahi kaulana kaulana, a ua hoʻokau pinepine ʻia no nā keiki. Ma lalo o ka mana o nā paʻi haole a me nā noiʻi ʻepekema, ua hoʻololi lohi nei nā pediatricians i ka maʻi i ka maʻi pancreatitis me ka pancactitis reactive a « dispance ma ke keiki. " ʻO ka mea kānalua, no nā mākua he nui kēia mau inoa i lohe i ka wā o ka hoʻokolokolo ʻana o kā lākou poʻe keiki e ke kauka, e makaʻu ai.

Ua ʻike ʻia ko ka pancreas kahi mea e komo ai i ke kaʻina hana ʻana, hana mai a hūnā i ka pae holoʻokoʻa o nā enzyme e pono ai no ka hoʻokaʻawale ʻana i ka meaʻai i ka duodenum. ʻO kēia hana pancreatic i kapa ʻia "exocrine." Hoʻohui iā ia, i ka pancreas, kahi hana koʻikoʻi koʻikoʻi ʻo ia ka hana "endocrine", ka hana nui a ka hana o ka hoʻouka ʻana a me ka hoʻokuʻu ʻana i ka insulin hāme i loko o ke koko a mālama i kahi paʻa o ke kō (glucose) i loko o ke koko.

No laila, pono e hoʻopaʻa pono ʻia ka loiloi ʻana o ka hana pancreatic, me kāna mau mea exocrine a endocrine.

A ma hope wale nō e hōʻoia ai i ka lawa ʻole o ka hana pancreatic exocrine e like me ka coprogram (kūleʻa momona i loko o nā feces), fecal fecal elastase, α-amylase a me ka serum lipase, ma hope o ka hōʻoia ʻana i nā loli kūloko o ka nui a i ʻole ʻano o ka pancreas e like me ka ʻike o ka hōʻike ʻana iā ultrasound. ka mōʻaukala olakino (hōʻeha ʻia ka pancreatitis) ka maʻi, ka maʻi maʻi o ka pancreatitis hiki ke manaʻo ʻia he mea kūleʻa.

Pono e hoʻomaopopo he ʻokoʻa ka "maoli" pancreatic insufficiency ma nā keiki a ma ke ʻano he kānāwai, nā maʻi hānau o nā pancreas a i ʻole nā genetic maʻi (cystic fibrosis).

ʻO nā manawa pinepine ka manawa i ka hoʻohaʻahaʻa ʻana a pilikino paha i loko o ka hana pancreatic exocrine, kahi a kā mākou pediatricians i kāhea "Dispancismism in tamariki" a "pancreatopathy."

Koi pinepine kēia i ka hāʻawi ʻana i kahi kauka a me nā lāʻau lapaʻau no ka maʻi pancreatitis.

Nā hōʻailona o ka dispancreatism i nā keiki

Nā hōʻailona lapaʻau o ka dispancreatism i nā keiki pili pili me ka nāwī o ka pancreas, a me nā hōʻailona pū kekahi maʻi e hoʻonāukiuki i ka ʻano o kahi maʻi.

ʻO kahi hōʻailona hōʻailona o ka maʻi ka ʻeha. Kuhi ʻia nā manaʻo ʻike ʻole i ka hypochondrium hema a me ka ʻōpū.

ʻAʻole kaupalena ʻia ke ʻano maʻi. I nā keiki maʻi, nā maʻi, ka belu, ka luaʻi, ka mea i loaʻa mai ka hoʻololi i loko o ka waha.

huʻi pinepine
fiva
lie kanikela
nāʻike paʻa
nā maʻi ʻino
lilo ka momona
mea kaumaha
ʻūlū
ka lau maloʻo, nā kui kuku

Ke holomua nei ka hana pathological, ʻo ka nui o ke kiʻi o ka lāʻau lapaʻau e hoʻomaikaʻi nui ʻia.

huʻi pinepine
fiva
lie kanikela
nāʻike paʻa
nā maʻi ʻino
lilo ka momona
mea kaumaha
ʻūlū
ka lau maloʻo, nā kui kuku.

No ka hoʻomaʻemaʻe ʻana

Ka lapaʻau ʻana i ka dispancreatism e pili ana i ka koho ʻana i nā lāʻau lapaʻau o nā ʻano like ʻole o ka hana.

Ma kahi o ka nele o ka mea huna externally ma ke ʻano he mea hōʻona maʻi, ka manawa iki wale nō, hōʻike ʻia nā lāʻau lapaʻau aʻe - pancreatin, festal, panzinorm, somilase, solisim. Hiki iāʻoe ke lawe i kahi-shpa a me mezim.

Pono kūpono i nā maʻi kūpono no nā maʻi i hana ʻia e nā mālamalama hoʻoponopono cerebral. Ma kēiaʻano, hōʻike ʻia nā mea noho malu. ʻO ka ʻae ʻana i nā lāʻau lapaʻau e pono ke hana ʻia ma lalo o ka nānā ʻana o nā mea kūpono kūpono. I kēia hihia, he neuropsychiatrist mea.

Hoʻohana ʻia ka lāʻau lapaʻau me ka mālama ʻana i ka maʻi i nīnauʻa ʻia. ʻO nā mea wale nō e hana ʻia e nā loea. ʻAʻole ʻae ʻia ka lāʻau lapaʻau ponoʻī.

I mea e loaʻa ai ka loaʻa ʻana o ka dispancreatism i kahi hopena maikaʻi, e kau ʻia kekahi mau palena o ka meaʻai. Pono e hōʻole, i kēia laʻa, mai nā kīʻaha momona a me nā mea luhi, mai nā io momona. Mai komo i ka papa hana a me nā pā palaoa. Pono e hoʻokaʻawale i nā kīʻaha āpau e lawe ana i ka ukana ma ka pancreas.

I waena o nā huahana i loko o ka meaʻai o ka lā e pono ai ka ʻiʻo a me ka iʻa, a me ka mea kanu lau i ʻaʻa ʻole. ʻAi ʻia ka mea ʻai, i hana ʻia ʻoi ʻole me ka mea hū, a me ka wai me ka hoʻohui o soda.

Pono ka ʻōpū. He liʻiliʻi nā wahi liʻiliʻi, e pili ana i kahi kalama mai 180 a 230.

Nā hōʻailona o ka dyspancreatism me ka mālama ʻana i ka manawa kūpono e holo wikiwiki. Ma ke kau hebedoma 2 a hiki i 4, hiki ke loaʻa paha nā hopena i koe. ʻAʻole wale lākou koʻikoʻi. No laila, hoʻopau maʻalahi lākou e hoʻopau.

ʻO ka hoʻonāukiuki i ka hana o nāʻenima e alakaʻi i nā hana kūʻokoʻa i ke kino. ʻO kekahi o kēia mau mea lahilahi o ka pancreatopathy.

Hiki i kēia maʻi ke hoʻopilikia i ka hana, ka mea e hoʻopili ai i ka hana o nā papa kūwili a alakaʻi i ka nāwaliwali o ka ʻōnaehana.

He aha ka pancreatopathy?

ʻO ka pancreatopathy kahi mea kolohe i ka hana o ka papa pancreas o kahi kū ʻole o ka maʻi-maʻi, i loko o kahi pilikia o ke kino e pono ai no ka hana maʻamau o ka nenehana kūwina. Inā ʻaʻole lawa, ua paʻakikī ke kaʻina o ka kūwili. Eia kekahi, ʻaʻohe hapa o nā enzyme e pili ana i ka kūlana o ka pancreas, e hoʻopiʻi hou i ke kūlana.

Aia kekahi hewahewa o nā hewa:

Pūnaewele ʻO kona helehelena ma muli o ka hiki i nā maʻi ʻē aʻe.
Ka lua Puka mai ia i ke ʻano kūpono ole. Manaʻo pinepine ʻia e hoʻonāukiuki ʻia e ka maʻi hōʻino.

Ma kahi ʻano ʻokoʻa ʻē aʻe, ʻike ʻia ka pancreatopathy react, e ʻike ʻia ana ma lalo o ke ʻano o nā mana o waho. Hiki i nā maʻi maʻi, nā hōʻalo a i ʻole nā hopena maʻi alakaia.

Hoʻonui pinepine ʻia ka pancreatopathy react i kahi keiki, ʻoiai ʻoi aku ka maʻalahi o ke kino o nā keiki i nā mea hewa. ʻO ka pale ʻana o ka ʻōpiopio i hoʻokaʻawale i kahi ʻāpana o ka hopena pōʻino, no ka mea hiki ke pale aku i nā loli pathological haʻi.

Me nā kueʻole i ke kaʻina hana o ka hoʻowalewale, kū mai nā pilikia me ka kaohi a me ka assimilation o nā mea pono. ʻO ka mea maikaʻi ʻole, ʻaʻole paha e nānā ka lōʻihi o ka pathology, no ka mea ke ʻike ʻia ma kahi pae holomua.

Ke mīkini a me nā kumu

Hiki ke hōʻemi ʻia ka hemahema o Enzyme e kekahi mau mea:

ʻO kā lākou hemahema nui e ke kino iho.
Hoʻokiʻoki i nā wai o loko o nā mea i hoʻokomo ai nā enzymes i loko o nā pūpū (me kahi synthes nui).
Kēia hana o ka enzyme i loko o ka ʻōpū, ʻoiai me kā lākou hana maʻamau a me ka excretion.

No kēlā me kēia kūlana he kumu.

ʻO ka hemahema o Enzyme ma muli o ka liʻiliʻi hana e kū mai ana ma lalo o ka mana o nā papa pancreatic:

nā māpū male
maʻi maʻi maʻi pancreatic,
ka hemahema o ke kino,
lawe ʻia nā hana ma ka pancreas,
huakai
ka hoouku ana i ka io me ka iwi a me ka kiko adipose.

Hoʻopilikia kēia mau pilikia i ka hana o ke kumulani, ma muli o ka helu o ka nui o nā enzyme synthesized. No laila, he mea nui loa e mālama i nā maʻi āpau, a ʻoi aku ka maikaʻi o ka pale ʻana iā lākou.

ʻO ka pancreatitis kahi maʻi maʻamau, inā ʻaʻole i hoʻomaʻamaʻa ʻia, hiki ke hoʻowalewale i ka pancreatopathy. A ʻo ke helehelena mua o kona helehelena e ka dispancreatism (dispancreatitis), he mea maʻalahi ia e hoʻopau. Akā ʻike pinepine ʻia kona mau ʻōuli, no ka mea e hele nei ke kaʻina o ka pathological, ke hele i ka, a laila i loko o ka pancreatopathy.

Hoʻopilikiaʻia nā pale ma nā kumu kumu e hoʻopilikia ai i ka ʻili a me ka maʻi.

nā pahuhopu i hoʻokumu ʻia ma hope o nā hana,
Hoʻokomo ʻano ʻaʻano
nā pōhaku.

Ma muli o kēia, hiki ʻole i nā enzyme i hana ʻia ke komo i ka lumen intestinal a kiʻi paha ma laila i nā mea liʻiliʻi. No laila hana pinepine ka pancreatopathy i nā pākeke.

Inā hana ʻia nā enzyme i loko o nā nui kūpono a komo pono i loko o nā ʻāpana, ʻaʻole naʻe e hana, a laila ʻo kēia ke kumu i nā pilikia ma ka hoʻowalewale kūwaho (hōʻino i ka mucosa ʻawa).

Hiki ke hoʻoulu ʻia ka pancreatopathy i ka maʻi hōʻino. ʻO ka hana ʻana a i ʻole hōʻino ʻana i ka meaʻai kaumaha ua hana i ka ukana ma ka gastrointestinal tract a me ka pancreas, no kēia, kū mai nā pilikia.

Nā hōʻailona maʻi i nā keiki

Hoʻomaʻamaʻa pinepine nā keiki i kēia maʻi - ma muli o ka manaʻo nui o ko lākou kino i ke kino holoʻokoʻa a me ke kino kū hoʻokahi i ke kumu o ka hoʻokumu ʻana a hina nui loa. No laila, pono pono e noʻonoʻo i ka hōʻike ʻana o ka maʻi i ke ʻano o ke wā kamaliʻi.

Hiki i ke pathology no kahi lōʻihi i kahi palapala latent, a kau pinepine ʻia nā hōʻailona liʻiliʻi me ka nui o ka hana he nui a he hapa paha.

Hōʻike ʻia ka pancreatopathy e:

a me ka ili o ka ʻili,
nāwaliwali
mea kaumaha
nā ninia
discolorika o nā feces (feces turn hina, i loaʻa paha nā mea kīnā ka undigested i loko).
pōʻai ʻino
utuka
ʻūlū
ʻeha nui i loko o ka ʻōpū
mea momona maikaʻi ʻole.

Kūlike iki ka hōʻike ʻana o ka maʻi ma ka ʻoluʻolu o ke keiki, ka nele i ka makemake e komo i nā pāʻani o waho, nā waimaka.

Nā wikiō mai Dr. Komarovsky:

Hōʻalo i ka papaʻāina

Hiki iā ʻoe ke pale i ka hoʻomohala ʻana o ka pancreatopathy me ke kōkua o nā hana pale. ʻAʻole hiki iā lākou ke hōʻoloke i ka hopena o nā mea hoʻonāukiuki āpau, akā hiki iā lākou ke hōʻemi i nā hopenaʻino.

Hoʻohana maikaʻi i ka maʻi maʻi a me ka maʻi maʻi o ka pancreas.
Mai hōʻino i nā lāʻau lapaʻau a me nā mea maikaʻi ʻole.
E hōʻole i ka ʻai i ka junk.
Mai pānaʻi.
ʻAi pinepine a ma nā ʻāpana liʻiliʻi.
Eʻai i nā huaʻai a me nā mea kanu aʻe.
Hoʻemi i ka nui o ka paʻakai a me nā meaʻala.
E kūkākūkā i kahi kauka no nā hōʻailona o ka hōʻeha gastrointestinal.

Hāʻawi kēia mau hana i ka pale ʻana i ka hoʻomaka mua ʻana o ka pancreatopathy a me kona hoʻokaʻawale ʻana.

ʻAʻole ʻike ʻia kahi maʻi e pōʻino inā mālama ʻia ka hoʻomaʻamaʻa manawa. I ka nānā ʻana i ka palola, ʻoi aku ka paʻakikī o ke ʻano o ka mea maʻi, a hiki ke hoʻomohala ʻia ke ʻano kiʻekiʻe o ka pancreatopathy.

Hōʻikeʻike no nā mākua

ʻO ka maʻi pancreatitis i nā keiki ʻaʻole maʻamau, akā i ka wā i ʻike ʻia ai, pono ia i kahi ʻano koʻikoʻi a hoʻomanawanui, i mea e pale ai i ka hoʻomohala ʻana o nā exacerbations pinepine a me nā hoʻopiʻi o ka maʻi.

He mea nui e hoʻomaopopo i ka pono o ka hōʻola o kaʻai i ka mālamaʻana i ka maʻi pancreatitis. ʻO ka pinepine o ka maʻi o ka maʻi, i hoʻonāukiuki ʻia e ka mau ʻae ʻana i ka meaʻai, ke hoʻomau i ka mālama ʻana i ke ʻano o ka hoʻomohala ʻana i ka maʻi maʻi, e hoʻonāukiuki i ke ola āpau o ke keiki.

Ua kamaʻilio ʻo Pediatrician E.O. Komarovsky e pili ana i nā pilikia pancreatic i nā keiki.