ʻO ka maʻi pancreatitis (ICD code K85 me K86) kahi maʻi o ka pancreas i hana ʻia ka hana ʻana. I loko o nā waihona i nā nui he nui nā mikroskopik - acini, kahi i hoʻopili ʻia e ka ʻōpala o nā papa. Aia ma loko o kēia mau māhele kahi e puka mai ke kaohi o nā huina o ka digestive ma kahi hana ʻole. Ma kahi o nā papa kumu, ua hōʻili ʻia lākou i ka lumen o ka duodenum. ʻO ka maʻamau, hana ka wai pancreatic i loko o ka ʻōpū ma ka wā e kāwili ʻia me ka meaʻai mai ka ʻōpū.
ʻO ka pancreatitis he hoʻololi hoʻololi i loko o nā kiko o ka pancreas. Me kēia patula, hana mua o ka hoʻowalewale o ka enzyme e kū pololei ana i loko o nā acini a me nā kumu, e alakaʻi ai iā lākou. Ma hope aku, ua hoʻololi ʻia nā wahi me nā ʻāpana i hoʻopuni ʻia, kahi i hiki ʻole ke hana ʻia i nā mea ola biologically.
Eia kekahi, ʻo ka pancreas he mea hana o ka insulin hormone, nāna e hoʻoponopono i nā makana gula i loko o ke koko o ke kanaka.
Wahi a ka ikaika o ke mumū, hoʻokaʻawale nā kauka:
- ʻAlaʻi huakaʻi o ka maʻi;
- ʻŌpū ikaika.
ʻO kekahi kumu nui o ka maʻi pancreatitis me ka ʻawaʻawa me nā ʻano pakano. ʻO ka mea maʻamau a maʻamau i hoʻopau ʻia e ka poʻe ka mea ʻawaʻawa. ʻO nā mea āpau e inu i ka waiʻona pōpilikia e loaʻa ana i ka pancreatitis alakaʻi i kahi papa akene a maʻi paha.
Hoʻololi ka poʻe kauka i nā mea like ʻole no ka hoʻomohala ʻana i ka pancreatitis palaka kūloko:
- Halepule hana;
- Nā hopena momona a pau o ka ethanol;
- ʻO ka hoʻonaninani Oxidative i loko o nā lau o ka kelepona mai nā hopena o nā huahana metabolism waiʻona.
ʻO ka alakue a me kāna huahana kemu hua i ke kino o ke kanaka he hopena maikaʻiʻole kona kino kino. Hoʻopilikia ka ʻōnaehana hana ʻana i ka ʻai ʻana o ke kanaka i nā mea inu ʻona, ka mea e hoʻopili kino ʻia i ka ʻōpala o ka pancreas, nā mea ʻala iā lākou. Hoʻoulu ka hana o nā protein i ka wai o ka pancreatic, hoʻonui ʻia ka hana o ka waikila hydrochloric i loko o ka ʻōpū, hoʻōla ʻia ka hana o ka bile i ka ate, a piʻi nui ka ʻike. Hoʻonui ka nui o ka waikawa gastric i ka ʻoiaʻiʻo i hua ʻia ka cholecystokinin i hoʻonui ʻia i loko o ke ʻano hoʻonui a hana i kona synthes ka ʻumi o nā manawa.
ʻOi ka hoʻonui nui ʻana o nā protein i ka wai pancreatic i alakaʻi i ko lākou coagulation, ka ua a me ka hoʻokumu ʻana o nā protein protein i nā papa pancreatic. A hopena, hoʻokaʻawale ʻia ke kaila kūlohelohe mai ka pancreas i loko o ka ʻōpū. Ma muli o ka hiki ʻana o kēia mau hoʻonāukiuki hoʻonāukiuki, hoʻonui i ke kaomi i loko o nā kumu wai. Hoʻokomo nā huina o ka enzyme i ke kiko pancreatic.
Nui nā helu o nā huina e hua ʻia e nā maʻi pancreatic i ʻole ka hana. Me ka hana kūwaho maʻamau, hiki i kā lākou hoʻōlaʻana i nā paia o nā papa i hoʻopili ʻia, a ma hope o lākou e komo ai i ka hāhai ʻana o nā protein, nā palaka a me nā mea kākoi. Inā hele ʻole ka liki o ka wai o ka pancreatic, kū ka hoʻōla o ka enzyme i loko o ka kelepa pono iho. Hoʻopili ʻia nā ʻili o ka pancreatic me nā kūnaʻu ʻana i nā ʻenemi, me ka phospholipase, pepsin, elastazin, a me ka chymotrypsin aila. Ke alakaʻi nei kēia i ka ʻoiaʻiʻo e hoʻomaka nā huina a me ka mālama ʻana i kā lākou iho pancreatic kiko.
ʻO ke kaʻina o ke decompposation kūloko a me ka make i kapa ʻia ʻo necrosis. Wehe i nā cell pancreatic i hoʻokuʻu i ka serotonin, kahi mea pono no ka hoʻopili ʻana i nā moku koko, a me nā pūleo mast, e hoʻonāuki i nā hana maʻi. Hāʻawi kēia mea āpau i kahi kaʻina i hikiʻole ke hoʻōla a hōʻola paha me ka ʻole mālama olakino a me nā lāʻau lapaʻau kūikawā.
Ma mua o ka loaʻa ʻana o ka hoʻōla pancreatic i maʻalahi ma ka nānā ʻana o ke ʻano biochemical o ke koko o ka mea maʻi, ma ke ʻano he nui aʻe o ka phosphatase alkaline, ʻike ʻia ka amylase, i ka nui o nā diastases e nānā pono ai, ʻo ka ʻili o ka ʻili i ka ʻōpū ma ka ʻōpala a me ka cyatonic, nā umauma a me ka maka he cytonic. ʻO kēlā ʻano hoʻololi i ka ʻili o ka ʻili e pili ana i ka loaʻa ʻana o ka hōʻola kino o nā capiliaries subcutaneous.
Hoʻololi ka poʻe kauka i kekahi mau mea e hoʻopili ai i ka holomua o ka pancreatitis toxic:
- Inu nui i ka pia. ʻAno pili nā mea ʻawaʻawa a me nā pancreas, no ka mea, ʻo ke kumu kumu kūpono kumu kūʻai no ka maikaʻi ʻilihune;
- Nā kuhi hewa ʻana o ka pā biliary, ka manawa o nā pali i loko o lākou;
- ʻO kaʻai kūponoʻole me ka nui o nā momona, nā momona a me nā mea i kāheaʻia i kaʻai;
- Ka hoʻopuka ʻana ma muli o nā maʻi, ka trauma i ka ʻōpū a i ʻole pancreas, ka hopena i nā lāʻau
Hōʻike i kēia mau hōʻailona i ka hōʻike nui o ka pancreatitis toxic:
- Pākuʻi ʻana o ka ʻehaʻeha o ke koʻikoʻi, ʻoi loa ka mea i hoʻopaʻa ʻia ma ka hypochondrium a me ka lua o ka ʻōpū;
- ʻO ka hoʻonui hoʻonui nui ma ke kino kino (ma luna o 38 tikeleka Celsius) a hoʻonui i ka nui o ka naʻau;
- ʻO ka hoʻokaʻawale ʻana i ka meaʻai (ʻike ʻia ma muli o ka nui o ka nui o nā enzyme pancreatic i loko o ka ʻōpū), nausea a me ka luaʻi;
- ʻO ka paila o ka ʻili, ma nā wahi iʻeleʻele;
- Puʻuwai ikaika, ʻike i ka "piha" e pū me ka ʻōpū;
- Me ka nalowale nui o nā kahe e ke kino, ʻike ʻia nā hōʻailona o kahi kūlana kūlohelohe;
- Nā kuhihewa o ka stool (ʻoi loa ka maʻi maʻamau).
Pono ʻoe e makaʻala i ka ʻoiaʻiʻo o ka hapa nui o nā hōʻailona ma luna nei he maʻamau no nā maʻi o ka ʻōpū, nā pancreas a i ʻole nā ʻokiʻoki.
Hoʻomaopopo ka hōʻailona o ke kuniu e ka huhū ākea, nā nāwaliwali, ka nele o ka hoihoi i ke ola.
ʻO ka hōʻeha nui o nā hōʻailona e hilinaʻi nui loa i ka nui o ka pancreatitis.
ʻO ka pancreatitis Toxic ka nui o nā pilikia e hiki ke hoʻopili inā ʻaʻole e hahai ka mea maʻi i nā ʻōlelo a ke kauka, ʻaʻole hele i ka ʻai, a hoʻomaʻemaʻe wale i ka wai inu.
Hiki i nā hopena e pili ana i ka hoʻolālāʻana i ka pathology:
- Ka hōʻiliʻili ikaika i loko o ka puʻu pancreatic;
- ʻO ka hoʻomohalaʻana o ka toxicosis i loko o nā lau;
- ʻO ka holomua o ka necrosis pancreatic;
- ʻO ka make ʻana o nā ʻāpana pilikino hoʻokahi o ka nui o ke kīpē;
- ʻO ke nānā a me ka hoʻomohala ʻana i ka manaʻo, ʻo ia ke kumu o ka make o ka hoʻomohala ʻana i ka maʻi;
- ʻO ka hōʻemi ʻana o ka wai ma loko o ke ʻano o ka wai pancreatic a puni ka paia fibrous;
- Kāleʻa kulekele;
- ʻO ke kumu o nā leʻaleʻa cystic wahaheʻe;
- Na kahunapule pancreatic.
ʻO ka pahuhopu o ka mālamaʻana i nā maʻi me ka lāʻau lapaʻau no ka maʻi pancreatitis ka:
- ʻEha hōʻemi;
- Hoʻopili ke kino mai ke kino;
- Hāʻawi i kahi hopena hoʻoikaika e hoʻonā i ka hoʻoponopono hou ʻana o nā wahi i hōʻino ʻia o ka ʻai.
I mea hoʻomaʻemaʻe i ke koko koko a me ka wai lymphatic ma loko o ke kino, e kauka nā kauka i kahi ʻano hana e hāpai ai i ka detoxification. Eia kekahi, ua kuhikuhi ʻia nā mea maʻi:
- Nā lāʻau lapaʻau spibiotic spora, kahi e loaʻa ai ka metronidazole, nā hae a me nā ceftriaxone. Ua hoʻonohonoho ʻia e hōʻoluʻolu i ka maʻi ʻa a hoʻopaʻa i ka microflora bacterial, ka mea e hoʻopilikia kino i ka ʻili;
- ʻO nā ʻāpule spasmolytic, ma waena o Promedol, No-Shpa, Papaverin, Novocain, Platifillin a me Metacin e ʻoi aku ka maikaʻi. Hoʻohana ʻia lākou e hōʻoluʻolu i ka spasm ma loko o ka hua bile a me nā pancreatic ducts, a me ka hōʻoluʻolu ʻana i ka ʻeha;
- ʻO nā hoʻomākaukau ana antacid e lawelawe e hōʻemi i ka pae o ka hana o nā māhele enzymatic i ka luhi;
- Hoʻomaʻamaʻa ʻia kahi pale pale proton e hōʻoki i ka hana o nā enzyme hoʻōla i ka pancreas, hoʻopaʻa i ka luku ʻana i ka mea i loko;
- Hoʻohana ʻia ka ʻōnaehana paʻakai paʻakai e hoʻoponopono i ka waikawa, ka alkali, ka wai a me ke kaulike electrolyte;
- ʻO ka hoʻohana ʻana o cytostatics, ʻo ia kekahi o Fluorouracil. Ua hoʻohālikelike ʻia e hōʻemi i ka nui o ka hina o nā pancreas.
I ka hihia i hele aku ka hana o ka maʻi o ka maʻi o ke kino i ke kahua e hiki mai ana, ka mea i hōʻike ʻia e kahi maʻi nui loa a me nā hopena, a kapa ʻia ʻo ia ʻo ka pancreatitis purulent, ʻo ke kumu kūpono wale nō ka loaʻa ʻana i ka hana.
I nā kūlana olakino hou, ʻo ka maʻi maʻamau ka mea maʻi ʻoi loa ka laparoscopy, he lāʻau hōʻeha hōʻeha a me ka traumatic no nā maʻi maʻi pancreatic.
ʻO ka pale ʻana i ka pancreatitis ʻākena ka nui o nā ana a me nā kaʻina, a ʻo nā mea nui ka mea nui:
- ʻO ke kāʻei maikaʻi i ka meaʻai kūpono, ka ʻai ʻana i ka nui o ka protein;
- Ka hōʻole ʻana o ka hoʻohana ʻana i ka waiʻona, ʻoi pū kekahi me nā momona momona;
- Keʻe nei nā ʻōpū;
- ʻO kahi hoʻokolohua maʻamau e ka gastroenterologist - 1 manawa i kēlā me kēia makahiki.
E pili ana i ka pancreatitis i hōʻike ʻia i loko o ke wikiō ma kēia ʻatikala.
