ʻO ka maʻi pancreatic ka maʻi a me ka maʻi. Hoʻopili ʻia kēlā me kēia me nā loli ʻano pili i hiki ke kū i loko o nā ʻāpana o ka huelo i hoʻopā ʻia.
Hoʻomau ka ʻano maʻi maʻamau o ka maʻi ma hope o ka hoʻouka ʻana i ka maʻi. He ona hoʻowalewale kaʻina ma ia mau mea, e hoʻonāukiuki ai i ke kino. Eia kekahi, ʻoiai e kāpae i ke kumu o ka pilikia, ʻaʻole i pau ka hana luku.
Ma ka hoʻomaʻamaʻa lāʻau lapaʻau, ʻokoʻa nā ʻano like ʻole o ka maʻi, ma muli o ke ʻano etiological, nā hōʻailona morphological, nā hōʻike pilikino a me nā mea ʻē aʻe ma ke kumu e hana ai ka maʻi.
E nānā i nā ʻano a me nā ʻina o ka pancreatitis, e ʻike ai i nā mea e hana inā he twitches ka pancreas, a he aha hoʻi ke ʻano maʻi?
ʻO kahi kūleʻa a me ka paʻakikī o ka patology
Aia i ke ʻano o ke ala o ka hana maʻamau, ʻo ka papa o ka maʻi e hāʻawi i nā kekelē ʻekolu: mau mālie, ʻano maʻalahi a me ka ʻeha. Me kahi ʻano haʻalulu o ke kaʻina pili, ʻike ʻia nā kaʻe ma ka mea maʻi ʻaʻole iʻoi aʻe ma mua o ʻelua mau manawa i ka makahiki, ʻike lākou e ka manawa pōkole.
Ma ke kānāwai, pili ka exacerbation i ka mālama ʻole ʻole ʻia e ka meaʻai i ʻōlelo ʻia i loko. Me ka pancreatitis, pono kekahi mau meaʻai, ʻaʻole ka momona, nā ʻono a me nā mea momona. Pono ʻoe e hoʻonohonoho i kahi lā wikiwiki i hoʻomaha ai ka hao.
Inā hele mai ka ʻeha me kahi formma maʻalahi, a laila e maʻalahi ke pale iā ia me ke kōkua o nā lāʻau lapaʻau. Ma hope o ke kala ʻana, hele maikaʻi ka mea maʻi.
Hōʻike ka ʻāʻī o ka ʻānō i nā kulekele i lalo:
- Hoʻopilikia i ka hana hoʻokahiki ʻia a hiki i ʻehā mau makahiki i ka makahiki;
- ʻAkuhi mau ka pancreas, aia nā maʻi ʻeha;
- Aia nā pale hewa o ka hana o ke kino;
- Hōʻike ka Ultrasound i ka hoʻololi ʻana i ka helehelena o ka pancreas;
- E nalowale ana ka mea maʻi.
Me kahi ʻano koʻikoʻi o ka maʻi, ua ʻike ʻia ka exocrine a me ka insacecory intracecretory, ua hōʻike ʻia nā hōʻailona koʻikoʻi, e mau ana i kahi lōʻihi. ʻO nā kumu ke komo i ka pōʻino, nā maʻi concomitant - cholecystitis, biliary dyskinesia, gastroduodenitis, nā ʻeha o ka papilla duodenal nui.
ʻEhā ʻehā nā ʻōpū o ka maʻi pancreatitis:
- ʻIliua Perclinical. ʻAʻohe wahi lapaʻau, ʻike ʻia ka maʻi me ka manawa me ke kōkua o nā lāʻau hoʻoliʻi a me nā diagnostics mea hoʻoikaika.
- Ma ka lua o ka hana, he ʻokoʻa ka pākeke i ka ʻeha o ke kāʻei, ʻoki ʻia nā hōʻailona dyspeptic. Hiki i kēia hana i ka 5-10 mau makahiki, i loko o kēia manawa manawa manawa a exacerbation a me ke kala ʻana i ʻike ʻia.
- Ma ke kolu o ke kolu, ke kū mau nei ka haukapila. Hoʻonui ʻia ka hoʻonui ʻana i nā ʻeha, hōʻike ʻia nā hōʻike dyspeptic, ua hōʻike ka hopena endocrine a me ka exocrine.
- I ka hā ʻehā, ʻike ʻia ka atrophy pancreatic, a hoʻomohala a me ka maʻi diabetes mellitus. ʻAʻole hoʻololi ʻia ka loli o ka maʻi i kahi kaʻina oncological.
Inā loaʻa ʻoe i nā hōʻailona kumu mua mua, pono e nīnau aku i ke kauka. Pono ka maʻi maʻi i ka hoʻokūkū kūpono a me ka mālama kūpono.
Nā ʻano o ke kālai ala
Hoʻokaʻawale ʻia nā ʻano o ke pancreatitis maʻamau. ʻO ke ʻano o ka maʻi parenchymal o ka maʻi me ka hoʻopilikia ʻana i nā hana huna o ka hana ʻana i ka pancreas. Hōʻino ʻia ka pōʻino i nā kahawai gland, ʻaʻole ʻike ʻia nā pōhaku. Loaʻa - wikiwiki ka holomua, ua maʻalea pinepine ke kahua, he paʻakikī ke maʻi.
He aha ka dyskinesia pancreatic? ʻAʻohe ʻano maʻi i koe, me ka bili me ka dyskinesia biliary, ka hoʻoulu ʻana o nā alima nāhelehele, e kūʻē ʻia ai nā ʻiʻo o ka puna a me nā alima.
ʻO ka pancreatitis reaktika ʻaʻole ia he maʻi kūʻokoʻa. Ke hele nei nā pathology ma muli o kahi hana hewa o nā ʻōpana kokoke - nā maʻi ulcerative o ka ʻōpū, duodenum, cholecystitis.
ʻAʻohe mea ʻē aʻe e like me ka pancreatitis hoʻoilina. Eia nō naʻe, ke hoʻohana ʻia e nā loea lapaʻau inā ʻike ʻia nā lālā o ka ʻohana like i kēia maʻi no ke kumu ʻike ʻole ʻole. I kēia manawa, hoʻopili nā ʻepekema i ka pathogenesis o ka pathology me kahi genetic defect.
ʻO ka hōʻeha o ka pancreatic hiki ke alakaʻi i nā pilikia me ke kino, ma muli o ka hōʻike ʻana i ka maʻi pancreatitis post-traumatic. Ke palpation o ka projection o ke kino, kahi nui e hoʻopiʻi nei i ka ʻeha, aia nā hōʻailona dyspeptic a me nā maʻi ʻē aʻe i loaʻa i loko o ka pancreatitis. Hoʻomaʻamaʻa ʻia kahi maʻi traumatic i kahi ʻano ʻano maʻi o ka maʻi.
ʻO kekahi ʻano ʻē aʻe o ka maʻi pancreatitis:
- Ma ka pancreatitis Alimentary e hele mai ana ma muli o ka ʻai ʻana i nā kīʻaha momona a me nā leʻaleʻa, hiki ke hoʻopili ʻia ke ʻano ʻākia i loko o kēia maʻi;
- Hoʻokumu ke Gastrogen ma muli o nā ala no ka gastrointestinal tract;
- ʻO ka etiology o ke ʻano ischemic ma muli o ke kahe ʻana o nā moku koko e nā moku koko a i ʻole nā mea nānā atherosclerotic;
- ʻO ka pancreatitis Biliary - hana ʻino i ka biliary tract;
- Mū ʻeha. ʻO nā kumu - hepatitis viral;
- ʻO ke ʻano a i ʻole nā mea hoʻonā a i ʻole nā mea make ma o ka hōʻike ʻana i nā metala kaumaha, nā mea hōʻalu, nā kala, a me kekahi mau lāʻau lapaʻau.
Hoʻoulu ʻo Colitis me ka pancreatitis ma muli o ka maluhia. Hoʻopili ʻia ka maʻi maʻi me ka mānoanoa o ka membrane o ka pua. Nā hōʻailona ʻeha: ka ʻeha, piʻi i ke ahi, huhū i ka ʻōpū. I nā feces he pili koko. ʻO ka mea kupaianaha, hiki ke hoʻonāukiuki i ka pancreas e hoʻonāukiuki i ka colitis, a ʻo kekahi wīwī, colitis alakaʻi i ka pancreatitis.
ʻO nā hopena o kekahi ʻano o ka maʻi: ka baldness (ma muli o nā kahu ʻai i ka ʻai), ka nekrosis pancreatic, retroperitoneal phlegmon, fistula pancreatic, ka huhū o ka ʻeha gastrointestinal.
Hoʻohana ʻia ka pancreatitis ma muli o ke kahua
Hiki paha i kahi pancreatologist ke hoʻolako i ke mālama ʻana i ka conservative a i ʻole ke hoʻoponopono ʻana inā he maʻi koʻikoʻi kahi maʻi pancreatic inflammation. I ka manawa ʻo ke kumu o kahi exacerbation ka huhū o ka puʻuwai, hiki i ke kauka ke ʻōlelo aku i ka cholecestomy - ka haʻalele ʻana i ka palaho.
Hoʻokomo pinepine ʻia ka uhi ʻana o ka gallbladder i nā pilikia me ka pancreas. Ke neʻe ʻia nei kēia ʻōpū ma o ka hana ʻana, make nā hōʻailona o ka maʻi pancreatitis.
ʻO ka hōʻike maʻamau no ka hōʻoki ʻana ʻo ka nekrosis pancreatic. Ke koho nei i ke kaʻina hana hoʻokele ʻia i ke kūlana o ka mea maʻi, ka ʻano kalepa o nā patology E kūʻē i ke kūmole o ke ʻano aseptic o ka necrosis pancreatic, ʻaʻole i hana ʻia ka laparotomy, no ka mea aia he pilikia nui o ka maʻi o nā kino, ka hoʻomohala ʻana o ka ʻike intraperitoneal.
ʻO Laparotomy kahi ʻano lapaʻau hou hou e mālama nei i kēia mau kūlana:
- ʻO nā cyst a me nā pseudocysts.
- He halepule retroperitoneal fiber.
- Peritonitis
- Hoʻopau.
Ma hope o ka liloʻana, aia ka mea maʻi i ka waihona mālama koʻikoʻi no kekahi manawa, a laila hoʻoneʻe ʻia ʻo ia i loko o kahi keʻena kaʻaila. Noho ka mea maʻi i ka haukapila no hoʻokahi mahina, kahi e loaʻa ai iā ia ka mālama kūpono. I ka wā e hiki mai ana, pono ʻoe e hahai i ka ʻai.
Hoʻomaopopo ka mālama ʻana i ka maʻi pancreatitis e hoʻolōʻihi i ka wā o ke kala ʻana, kēlā me kēia, e pale ai i kahi maʻi exacerbation. ʻO ka lawe ʻana i nā lāʻau lapaʻau e kū ana i ka hope o ka maʻi e kōkua i ka hoʻopau ʻana i nā pilikia like ʻole:
- ʻO ka maʻi lapaʻau. E hooki i ka ʻeha, hāʻawi ʻia ka mea maʻi i nā papa No-shpa, Papaverine. ʻAʻole hiki iā ʻoe ke hoʻohana i ka Aspirin, Nise a me nā mea hoʻohana anti-inflammatory, no ka mea e hāʻawi lākou i ka hoʻoliʻuhane i ke koko, hoʻonāukiuki i ka mucosa gastrointestinal;
- Hoʻoikaika ʻia ka Polysorb no ka pancreatitis - kahi enterosorbent e hoʻopili ana i nā mea i loaʻa i ke kino a hoʻoneʻe iā lākou;
- Hōʻike i nā mea huna pale. Hoʻohana ʻia nā pale pale Proton - Omez, Contrical;
- Hoʻopilikia ka hana loiloi i ka hoʻemi ʻana i ka luhi ma ka pancreas. Hoʻohana lākou i nā lāʻau lapaʻau me nā enzyme digestive - Festal, Mezim, Pancreon, Pancreasim;
- ʻAno ʻia nā Antibiotics i mua o ka maʻi maʻi. E kuhikuhi iā Amoxiclav, Ampioks;
- I ka hoʻohālikelike ʻana o ka wai a me ke kaulike electrolyte, koi ʻia ka therapy me ka paʻakai a me nā ʻonanoma.
ʻO nā mea maʻi me ke ʻano maʻi o ka maʻi i ka wā o ke kala ʻana he pono e hahai i loko o ka ʻai. Ua kaupalena ʻia nā lipid ma ka papa kuhikuhi, a ʻo nā meaʻai a i hoʻopaʻa ʻia ka protein e komo i ka meaʻai. ʻAi ʻia nā meaʻai maikaʻi a me nā momona, nā mea inu wai, kofe, kīpī palaka, soda, a me ka confectionery ua pāpā ʻia.
ʻO kekahi loea i ka wikiō ma kēia atikala e kamaʻilio e pili ana i ka pancreatitis.
