ʻO ka pancreatitis kahi papa palau o ka pancreas (pancreas). ʻO ka etiology ma muli o kahi kuhi o ka kahe mai o ka wai kūwili a me nā huina o ka mea i hana ʻia e ke kino i loko o kahi pānaʻi liʻiliʻi.
Hoʻopilikia ka huila Digestive i ka luku ʻia o nā palupulu palalike o nā kelepa wale nō ia, akā nā moku koko kokoke a me nā kino ʻē aʻe. ʻO ke kahe nui ʻana o ka bile ka mea pinepine e hoʻopiʻi ʻia e nā pōhaku a me nā neoplasms i hoʻopaʻa ʻia i ka punawai nui.
Hōʻike ka ʻatikala ma ka hapanui o nā mea pena i ka poʻe i ka ʻano o ka overeating, hōʻino maikaʻi i ka waiʻona, hoʻopau i nā momona momona, kōpono, ʻono a me nā kīʻaha lēʻaina ʻole.
E noʻonoʻo i ke kumu o ka hōʻea ʻana o ke kaʻina hana, a me nā hōʻailona ke komo pū me ia. Pehea e nānā ai ke ʻano o ke ʻano o ka maʻi?
ʻO pathogenesis o ka maʻi
He mea palekana e ʻōlelo ko ka pancreatitis he maʻi multifactorial. Inā i nā huaʻōlelo maʻalahi, a laila e hui ʻia ke ʻano o nā ʻano like ʻole i ka pathology. Hoʻopilikia i ke kūlana o ke pancreas o ka papa ʻaina kanaka, ke ʻano ola ma ka laulā.
Hoʻololi ʻia ka palu ʻana o ka pancreas. I ka nui o nā hihia, komo nā kino āpau o ka ʻōnaehana launa i loko o ke kaʻina pili. O ka paʻakikī o ka maʻi, ʻo ka gland i pili i ka hohonu o ke kino a kū i hope o nā iwi ʻē aʻe. No laila, ʻo kekahi manawa i hāʻawi ka ultrasound i kahi kiʻi holoʻokoʻa o ka maʻi.
Hiki i nā ala no ke kuihue (cholecystitis) a me nā hua dile, nā hopena o ka duodenum a me nā mea gastrointestinal e hoʻonāukiuki i kahi hōʻeha kūkaʻi.
ʻO nā kumu ʻē aʻe o ka hoʻomohala ʻana o ka maʻi āpau me:
- Ka poʻi e pili ana i nā ʻano kumu like ʻole. No ka laʻana, ka waiʻona, nā ʻāpana kumuhana, nā meaʻai e mālama i nā lolo;
- Holoi i loko o ka pili kōpela pili, nā hoʻololi o ka atherosclerotic i ke kino;
- Hoʻohui wā wā;
- Na maʻi maʻi mellitus;
- Ke ʻano hoʻokaumaha;
- ʻO ka hoʻohana ʻana i nā lāʻau. Nā hui like ʻole o nā antibiotics e hoʻopilikia pili i ke ʻano o ka pancreas;
- ʻEhaʻeha i ka ʻōpū kūloko;
- He hopena maʻi kūlohelohe.
ʻO ka wehewehe ʻana i ka maʻi maʻamau i loko o nā mea kākau olakino e hōʻike ana i ka pancreatitis he hui maʻi. ʻO ka helu ma muli o ka etiology, nā hōʻailona, nā hōʻailona morphological.
ʻO nā ʻano kikola o ka papa o ka pathology e hele mai ma muli o nā māla o ka pahuhopu, ka gastrointestinal tract, ka mana maʻamau o nā kanalima pancreatic. ʻO ke ʻano o ka mea pōʻino e hōʻike ʻia e ka make ʻana o nā palupalu palupalu, nā kumu nui i ka hōʻemi kino a me ka mōʻaukala o ka cholelithiasis. ʻO ka pancreatitis Atrophic kahi hopena o ka hōʻemi o ka momona o ka ate, ka maʻi diabetes mellitus, ka waiʻona, nā loli e pili ana i ka makahiki.
Hōʻike ʻia ka ʻano parenchymal o nā maʻi e ka papa maʻi, ma muli o ia mea e kau ʻia ai nā lāʻau a me nā ʻoihana kelepa. Hoʻopili pū ka etiology me nā ʻano ʻē aʻe o ka pancreatitis. Akā, ʻo ka ʻokoʻa ka hana o ke kelepona i hōʻeuʻeu ʻia me ka loaʻa ʻole o ka hoʻihoʻi.
Hoʻopili i ka hoʻolālāʻana o ka pancreatitis me nā pathologies infectious. Hoʻopili kēia i ka moa, kahi ʻano maʻamau o ka tonsillitis, nā puʻu, a me ka maʻi hepatitis.
ʻO kekahi kumu ʻē aʻe kahi kolohe o ka ate, hoʻomaʻemaʻe purulent me ka hoʻokalakupua i ka peritoneum.
ʻO nā hōʻailona a me nā hōʻailona o ka pancreatitis
Hōʻike ʻia nā hōʻailona o ka pancreatitis ma ke ʻano maʻamau e ka maʻi ʻeha nui. Hiki i ke ʻeha ke hāʻawi, hāʻawi i nā scapula a me nā ʻāina sacral, ʻokoʻa ʻo ia kahi mea kōkua ʻole.
ʻO ka hana o ke ʻeha ma muli o ke hana o ka hoʻowalewale o ka hoʻāla ʻana i hana ʻia ma ka pancreas. Ma hope o ke kāwili ʻana iā lākou i ka ʻōnaehana uila, ka mea e alakaʻi ai i ka ʻehaʻeha.
Inā loaʻa ka maʻi maʻi i ka hōʻeha hope, a laila akahi nā hōʻailona o ka pancreatitis, i haʻi ʻia a me ka ikaika. Me ka pīhoihoi lohi, ʻaʻole mālama ʻia nā hōʻailona, hoʻonui lākou i kahi ʻoluʻolu ma mua o ka hōʻeha.
Ma ka pancreatitis akiko, pili nā hōʻailona a me ka mālama ʻana, ʻoiai ua pili ke ʻano o ka mālama ʻana i ka haukapila, mālama ʻia ka maʻi naʻau. I ka maʻi maʻamau, koho pinepine ʻia ka hana hoʻololi.
Klineka maʻi pancreatic:
- ʻO ka hoʻonuiʻana o ke ea ke kino, ke piʻi a hemo paha i ke koko.
- General malaise - nāwaliwali, lethargy.
- Flatulence, hoʻonui i ka hoʻokumu i ka hau.
- Nausea ma hope o ka luaʻi (pinepine pinepine i ka indomitable).
- Hiccup, pōkole o ka hanu.
- Hoʻololi ka kala i ka ʻili, loaʻa iā lākou kahi ʻōpili palaka.
- Hoʻopilikia ʻia ke kaʻina hana ʻana, ka mea i hui pū ʻia e nā kīwaha kīwaha.
- E hoʻomohala ka jaundice mīkini - ʻili ka ʻili a me ka sclera o nā kino o ke ʻano he melemele.
Hoʻokumu ka Bloing ma muli o ka hoʻopiʻi ʻana i ka hana o nā ʻōpū a me ka ʻōpū. Hiki ke pāʻani i kēia ma ka palpation.
ʻO ka maʻi like ka ʻolua a me nā maʻi maʻi ʻoi ʻole (exacerbation) kahi ʻeha koʻikoʻi i loko o ka ʻōpū.
Ma muli o ke Kulanui ʻia ma muli o ka ʻāpana kūpono o ke kahua o ka mumū.
Ka hoʻomaʻemaʻe ʻana i nā maʻi pancreatitis maʻa
Hiki iā ʻoe ke koho i ka hoʻouka kaua ʻana iā ʻoe iho, ʻo ka mea e hōʻike ʻia e ka ʻeha nui. Holo i ke kūlana o ka hale ʻaʻole i hana, pono ke kōkua lāʻau lapaʻau. ʻO ka mea mua, ua kuhikuhi ʻia ka mea maʻi i ʻekolu mau wahi therapeutic - pōloli, ke anuanu a me ka maluhia. Kōkua lākou i ka hoʻomaha ʻana i ka pancreas.
I ka hana ʻole ʻana i ka manawa kūpono, ʻaʻole i hoʻokaʻawale ʻia ka make ma muli o nā hoʻopiʻi like ʻole - pus i ka ʻōpū o ka ʻōpū, ka ʻōpū o ka ʻōiwi, a me nā mea i hōʻoia ʻia i ka haukapila e ka palpation, me ka noʻonoʻo ʻana i nā hopena o nā hōʻike ʻana o ke koko a me ka urine, ultrasound. Hiki iā lākou ke kahakiʻi i ka tomography hoʻohui a me MRI.
No ke kuhikuhi ʻana i ka hoʻomaʻamaʻa, pono ʻoe e ʻike i ke kumu o ka hoʻouka kaua ʻana. ʻO ka maʻi pancreatitis he mea maʻamau - kahi maʻi kūʻokoʻa a me ka lua, inā i ka etiology ma muli o kahi exacerbation o nā maʻi concomitant.
Nā kuʻuna aʻoaʻo maʻamau no ka mālama ʻana o ka maʻi pancreatitis:
- Hoʻokomo ʻia ka Sodium chloride ma kahi paʻa - saline;
- Hoʻohana ʻia nā lāʻau diuretic e kōkua ai i ka pale ʻana i ka edema pancreatic, kahi e kōkua ai i ka wehe ʻana i nā huina digestive mai ke koko;
- E hoʻolalelale i ke kaumaha, kuhikuhi i nā mea pena kiʻi - Papaverine. I ka mua, ke mālama ʻia nei lākou e ka maʻi maʻi;
- Inā hele ka maʻi aʻai ʻole ka mea maʻi, a laila hoʻohana ʻia ka Metoclopramide (e hoʻomāleʻa ʻia ka lāʻau lapaʻau ʻia intramuscularly);
- Hoʻohana ʻia nā ʻōkuhi enzyme Digestive.
I ka wā e hoʻōla ai, ʻōlelo ʻia nā huaora e hoʻoikaika i ka ʻōnaehana pale i ke kaua ʻana i ka ʻōnaehana. Ua kuhikuhi ʻia i nā waikona Ascorbic a me B huaora.
Inā hele ka hanana maʻi purulent, a laila hoʻokō ʻia ka maʻi antibacterial. I kekahi mau hihia, koi ʻia ka hoʻouka pilikia, ʻoiai ke kiʻekiʻe ka nui o ka make ma muli o ke komo ʻana o ka hū i ka ʻōpū o ka ʻōpū.
I ka wā o ka mālama ʻana, pololi nā mea maʻi i nā lā he nui, kōkua kēia e hōʻemi i ka lawe ʻana mai i nā mea i hoʻopau ʻia. ʻO kekahi manawa mau ka pōloli a hiki i kekahi mau hebedoma, a laila e hōʻike ʻia ka meaʻai makua.
ʻO ka maʻi maʻi maʻi maʻi
Hiki i nā mea nui ke hoʻonāukiuki i kahi hoʻomālamalama o ke aloha lohi. ʻO ka pinepine, ʻo ia nā kuhihewa i ka mea ʻai a me nā meaʻai pono a me ka inu wai. Ke nānā nei nā poʻe maʻi he nui: "he aha ka maʻi me ka maʻi pancreatitis maʻi a me nā meaʻai." Ua noʻonoʻo ʻia ka maʻi a me kona mau hōʻailona, e kamaʻilio e pili ana i ka lāʻau a me ka meaʻai.
ʻO ke kūlana kumu nui no ka hoʻomau mau ʻana o ka maʻi maʻi ka meaʻai. ʻAʻole pono ka meaʻai i ka ʻeha o ka gastrointestinal tract a hoʻopaʻa ʻia i ka pancreas. ʻO ka mea pōʻino, helu papa ʻelima, i hōʻike ʻia ma kahi ʻano maʻi o ka pathology, ke kāpae i nā huahana meaʻai maikaʻi. Hoʻopili kēia i nā keke, nā mea ʻala, nā pōpoki, ka momona momona, nā kebabs, nā huaʻai, etc.
Pono ʻoe eʻai pinepine a ma nā ʻāpana liʻiliʻi. Kukulu wale, hoʻomoʻi a kālua i ka wai. ʻO kahi hewa liʻiliʻi i ka meaʻai e hoʻonāukiuki i ka huhū, kahi e alakaʻi ai i ka exacerbation a me nā hōʻailona pili.
ʻO ka mālama ʻana i kahi maʻi maʻi maʻi e pili ana i nā lāʻau lapaʻau:
- Inā hōʻeha koʻikoʻi i ka pancreas, a laila lawe i nā lāʻau antispasmodic. Maʻalahi pinepine ʻo Drotaverin a i ʻole non-shpa. Kōkua lākou i ka hoʻēmi ʻana i ka maʻi pancreatic, kāpae i ka ʻeha.
- No ka hoʻopauʻana i ka spasms i loko o ka wahi gastrointestinal, kahi antispasmodic o nā hopena myotropic i kuhikuhi - Sparex. Koho ʻōlelo no ka hoʻohana ʻana i ka dosage he mau papa he hoʻokahi i kēlā Kuhi ʻia e kekahi kauka.
- Hoʻolālā pōkole kau i nā lāʻau antisecretory.
ʻO ka lōʻihi o ka papa maʻi pancreatitis e koi i ka hoʻohana ʻana o ka hoʻōla ʻana, ʻo ia ka mea e lawe nei i nā lāʻau lapaʻau e loaʻa ai nā enzyme digestive ma kā lākou mea haku. I ka wā o ka hoʻowalī ʻana, ua hoʻololi ʻia nā ʻōlohelohe maʻamau o ka mea maʻi e nā cell pathological, kahi e alakaʻi ai i nā digestive upets, diabetes mellitus (pono paha ka mea maʻi i ka insulin inā ʻaʻole ka syntandize e hoʻokaʻawale iā ia iho).
E like me nā ala kōkua, hiki i nā lāʻau lapaʻau e pili ana i nā lāʻau lapaʻau e hiki ai ke hoʻohana. Loaʻa nā kīʻaha Monastic i nā loiloi maikaʻi, e kōkua ana i ka opi i ke kū wikiwiki a hana pono.
Nā hana kūpono
Hoʻokomo ʻia ka hopena o ka hoʻoulu ʻana o ka maʻi pancreatic ma ke kūlana kūwaho ma lalo o ka mākaʻi loea. I kekahi mau hihia, koi ʻia ka hoʻomaʻamaʻa e mālama i ke ola o kahi kanaka. Hiki i kahi pākahi o nā maʻi mai ka hoʻomake i kahi hōʻike o ka maʻi, e alakaʻi i ka luku piha ʻana i ka mea i hoʻopau ʻia.
ʻO ka paleʻana i ka maʻi pancreatic he paʻakikī kahi hana e hoʻomohala ʻia e nā lāʻau lapaʻau e pale aku i nā pathology. ʻO ka maʻamau a me ka lua. I ka hihia mua, ua hoʻopili ʻia ka pale ʻana o ka maʻi, ma ka lua - mālama i ke kala mau ʻana i ka papale o ka maʻi o ka pancreatitis maʻi.
ʻO nā hana mua e pili ana i ka kaupalena ʻana i ka inu ʻana i ka waiʻona a me nā meaʻai junk. Paipai ʻia ia no ka hana ʻana i nā haʻuki, e alakaʻi i ke ʻano olakino.
Kāohi ʻana i ka hoʻomaha ʻana o ka maʻi pancreatitis:
- Pono hoʻopau loa i nā hana pilikino nui - nā hana hoʻopau i ke kahua ma ka simulators, lōʻihi ka holo, ka lele. ʻAʻole kuhi ʻia ka ʻike ʻana i ka sauna a ʻauʻau paha, no ka mea e hiki ai ke hoʻonāukiuki i kahi mea hoʻokalakupua. Hoʻohana ʻia nā hana hoʻohaʻahaʻa a me nā therapeutic, massage, piʻi ʻana, aerobics. ʻAʻohe i loaʻa i ka mea maʻi maʻi contraindications;
- Hōʻalo ka hoʻomaha ʻana i ka hōʻole ʻana mai ka ʻai ʻana o nā huahana kūmole, ka uahi ʻana. Hoʻemi kēia i ka ukana mai ka kelepona i hōʻino ʻia, e alakaʻi ana i ka kala mau loa o ka maʻi;
- Hoʻohana pono i nā hanana o nā palaki o ka gallbladder a me ka tractary tract. Inā loaʻa ka mea maʻi i ka cholecystitis calculous - nā pōhaku i ka ʻāpana, a laila pono ke kiʻi koke;
- ʻO ke koena kūpono. He liʻiliʻi nā ʻāpana, akā pono ʻoe e ʻai maʻamau i ka manawa. ʻAʻole hiki iā ʻoe ke ʻai i nā kīʻaha like ʻole i ka manawa hoʻokahi, no ka mea, ʻo ke kumumanaʻo o kahi papa hana maʻalahi e hoʻomaʻamaʻa i ka hana o ka pancreas. Noiaia e paa mau i ka la hookeai ma ka kefir a i nā kukama paha - e pono ia;
- Hoʻowahāwahā ka overeating. I mea e ʻai ʻole ai i ka ʻai, pono ʻoe e moena liʻiliʻi, hiki i ka saturation ke hele koke mai.
I mea e pale ai i ke kaʻi hou ʻana o nā palela, pono ʻoe e hana i kahi hoʻohui. Pono ka mea maʻi e lawe i nā lāʻau i kuhikuhi ʻia e ke kauka, ma lalo i nā kaʻina hana physiotherapeutic, hoʻohana i ka hoʻoponopono ʻana o ka lāhui a mālama i nā hana pale.
Hāʻawi ʻia ka ʻike e pili ana i ka pancreatitis i ke wikiō ma kēia ʻatikala.
