Kū pinepine nā ʻatikala inā kākau ʻia lākou i ka pūʻali me ka pancreatitis.
ʻOiai ka mea o ka maʻi maʻamau o ka maʻi a me ka neʻe ʻana o ka pancreas a e pono ai ka mālama mau, ʻaʻole ia he ʻano kīnā ʻole o ka hoʻokau ʻana mai ka hana kaua.
ʻO ka palapala normative "Hōʻike maʻi 'Mahele (Mokuna 59) e hoʻoholo i ka kūpono o kahi ʻōpio no ka hana koa, i ke ʻano o ka ʻano a me ka pohihihi o nā papa.
Hōʻikeʻike pancreatitis
Hoʻohui ka pancreatitis i kahi paʻakikī o nā maʻi a me nā syndromes kahi i kahiʻeʻole i ka hana exocrine pancreatic.
ʻO ka maʻamau, hana ia i nā enzyme kūikawā (amylase, protease, lipase), pono no ke kaʻina hana ʻana. Ke hele nei i ka mea ola ponoʻī lākou, ʻaʻole naʻe i ka mea, akā i ka wā e komo ai lākou i ka ulia 12 duodenal, hoʻōla ʻia ka pancreatic.
Me kēia pathology, hoʻoneʻe ʻia nā enzyme digestive i loko o ka pancreas a hoʻomaka e hoʻoponopono ʻia iā ia. ʻO ka hopena, ʻo ka luku ʻia ʻana o ka parenchyma a me kāna hoʻololi me ka hoʻopili pili. Ke ala lōʻihi kahi o ka maʻi e alakaʻi i kahi hihia i waho a me ka hoʻihoʻi ʻana o ka wahī.
ʻO nā kumu nui o ka pancreatitis:
- inu hewa;
- ka hake pinepine ʻana i ka meaʻai a me nā momona;
- maʻi maʻi pālolo;
- ka ʻai nui ma hope o ka pololi a i ʻole kaʻai ikaika;
- ke nānāʻole ʻana o ka hormonal i ka wā hāpai, ka menopause, ka lawe ʻana i ka maʻi o waha.
Hoʻomaʻa pinepine pinepine ʻia, a i ʻole pale pancitisitis kū'ē i ke kua o nā ala ʻē aʻe. ʻO ka poʻe me ka gastritis, maʻi o ka ʻōpū, cirrhosis o ke akeʻa, hepatitis non-infectious, a me ka dyskinesia o ka gastrointestinal tract e ʻeha.
ʻO nā hōʻailona nui o ka maʻi ka ʻeha i ka hypochondrium hema, hōʻemi i ka hiki ke hana, ka malaise laulā, ka luaʻi, ke keokeo, ka lemulewa, ka ʻaihue kīnā ʻole (me ka hoʻohui o nā pauku meaʻai a me ka momona), hoʻopili ʻana i ka ʻili, hoʻonui nui.
Aia kahi ʻokoʻa o nā ʻōkuhi o ka maʻi, no ka laʻana, ke ʻano o ke papa e pono ai i ka alala o nā huaʻala o ka ʻoi, ke ake ʻana o ka maʻi, a me ka maʻi pancreatitis maʻi maʻamau.
Hōʻike ʻia kahi ʻano maʻamau o ka patology me nā hōʻailona maʻamau.
I ka huli, ua hoʻokaʻawale ka pancreatitis maʻi i ka biliary-hilinaʻi (kū'ē i ke ʻano o ka haunaele i ka hana o ke gastrointestinal tract) a me ka parenchymal (i ka loaʻa ʻole kahiʻino o ke kino parenchyma).
ʻO ka pancreatitis no ka inductee
Mokuna 59, "Ka papa maʻi 'aʻai," ho'ākāka i nā ʻano o ka pancreatitis i hiki ai i kahi kakano i loko o ka pūʻali koa. Aia ia i ka hopena i pili i ka pancreas, a me nā exacerbations o ka maʻi e loaʻa pinepine.
Aia kekahi palapala pili i nā kikoʻī e pili ana i ka pancreatitis:
- Me ka hoʻokūkū koʻikoʻi o ka hana endocrine (hana i ka insulin a me ka glucagon) a me ka hana exocrine (ka hana ʻana o nā enzymes - amylase, lipase, protease).
- Me ka māhina liʻiliʻi o nā pilikino a waho a loko o ka hoʻopili hewa ʻana. ʻO ka wikiwiki wikiwiki o ka exacerbations.
- Me nā kipi liʻiliʻi o nā kinapo, kahi e hoʻokumu ʻole ai ka pae o nā pūnaewele necrotic.
Pili loa kēlā me kēlā me kēia kikoʻī (D, C, B, D) e hoʻoholo i ka kūpono o nā kāne no ka lawelawe ʻana ma ka Puʻukū o ka Lūkini Russian. No laila, hiki iā ʻoe ke ʻike i kou manawa kūpono ma o ka nānā ʻana i ka maʻi a me ka ʻike ma ka mokuna 59.
Pono e hoʻolilo i nā kumu o ka palapala hoʻoponopono i hoʻololi ʻia. ʻOiai no nā ʻāpana o ka makahiki 2017, e kū pono ana ka ʻike no 2014.
Hoʻoholo ʻia ka kūpono no ka lawelawe ʻana e nā kauka keʻena inoa inoa niko i nā mea e ʻike ana i ka loaʻa ʻana o ka maʻi ma ka ʻatikala me ka "Hōʻike o nā maʻi". Aia ka papa o nā papa maʻi i ka ʻole o ka lawelawe ʻana i ka pūʻali koa.
ʻO ka maʻi ʻeha
E kōkua ka papa ma lalo iā ʻoe e noʻonoʻo i nā ʻano o kēlā me kēia māhele i ka pauku 59.
ʻO ka hui | wehewehe |
D (kūʻokoʻa mai ka lawelawe) | ʻĀnōkī: ʻo ka maʻi pancreatitis recurrent. Hoʻopilikia ʻia kahi hana i ka hana o ka kuʻi me ka luhi, ʻano type like 2, ka maʻi pancreatogen, a me ko hypovitaminosis. Hoʻonoho ʻia ka hui D no ka pancreatectomy (lawe kino) a me ka hele mai o ka pancreatic fistula. Loaʻa i ke kanaka ʻōpio kahi "tikē keʻokeʻo", ka mea i hōʻoia no kona hemahema. |
B (palena palena lawelawe) | Diagnosis: ʻo ka pancreatitis kūpaʻa me ka exacerbation e kū pinepine pinepine ʻia ma mua o 2 mau manawa i ka 12 mau mahina, me ka kina ole o ke kino. Loaʻa kahi kanaka i ka hoʻokuʻu i loko o ka manawa maluhia, akā mahalo mau ʻia i ka palapala. Hiki iā ia ke lawe i ka lawelawe ma ka manawa o nā pale kaua. |
B (lawelawe me kekahi mau palena) | Diagnosis: ke ʻano maʻi o ka pancreatitis me nā kahakaha ʻole iʻoi aʻe ma mua o 2 mau manawa i nā mahina 12 mau mahina, me kahi hana haʻahaʻa o nā hana huna. ʻAe ʻia ka ʻatikala e lawelawe. Hoʻopili wale nā palena paʻa i ka palena, nā pūʻali koa mokulele, nā lawaiʻa, me ka lawelawe ʻana i nā kaʻa a me nā mokuahi. |
G (kahi hoʻokuʻu i ke kaʻa) | Pono e nānā ʻia ka papa kuhikuhi i nā kūlana heʻumi a hoʻomalu ʻia nā maʻi maʻi maʻi no nā mahina 6 mau mahina. |
Ke hoʻomau nei ka nīnau inā paha i kākau ʻia lākou i loko o ka pūʻali me ka maʻi pancreatitis maʻi. ʻO ke kūpono o kēia maʻi maʻi e hoʻokau i kahi mau palena:
- ʻO ka hiki ke lawelawe ma ke kumu palapala, ʻoiai ʻo ka nui o ka pancreatitis.
- Hiki i ke aʻo ʻana i nā kulanui i nā hihia i loaʻa i kahi ʻano ʻōpiopio o ka ʻōpio.
- Hiki i ke lawelawe i ka FSB, ke GRU a me ka Ministry of Emergencyencies. Akā, inā maikaʻi ke ʻano, e noʻonoʻo paha ka kūpono o ke kāne.
Nā palapala no ka hōʻoia ʻana i ka maʻi
No ka hoʻokae i ke ʻano "D" a i ʻole "B" a loaʻa kahi manuahi mai ka lawelawe koa, pono ʻoe e hana i ka hoʻomākaukau ʻana i nā palapala.
Pono lākou e hōʻoia i ka hoʻomohala ʻana o ka maʻi pancreatitis, a loaʻa pū ka ʻikepili i ka hana hele o ke kino, ka paʻakikī o ka maʻi, ka ʻike pinepine ʻana i nā manawa ma kēia manawa.
No ka hoʻopau ʻana i ka ʻoihana kaua e pono ai ke faila:
- Nā palapala moʻohelu mua me nā hōʻailona a me nā hōʻailona (a i ʻole kope kope).
- Loaʻa i nā nīnauʻepili mai kahi gastroenterologist.
- Nā kuhi e pili ana i ke kūlana olakino o nā kāne i kēia manawa, ʻo ia hoʻi kekahi moʻolelo lapaʻau. Hiki ke lawe ʻia kēlā mau palapala i ka haukapila ma kahi o kahi e noho ai.
- Nā hopena o nā ʻenekia a me nā hoʻokolohua instrumental (ultrasound, CT, MRI, radiography, etc.).
- ʻO ka ʻike e pili ana i ka inpatient therapy ma ke keʻena o ka hana a i ʻole gastroenterology, e hōʻike ana i ka hōʻeha ʻana i ka maʻi pancreatitis.
I ka hihia o ka hāʻawi ʻana i nā ʻatikala holoʻokoʻa ʻole, akā me kekahi mau mau maʻi, nā hopena hōʻike a me nā manaʻo loea, hāʻawi ʻia ka ʻatikala i ka ʻāpana "G". No ka 6 mau mahina e nānā ʻia no ia ʻo ka hoʻokolokolo hou.
Pono e hoʻomaopopo ʻia, inā ʻo ka nānā ʻana o ka pancreatitis i ka hana kaua, loaʻa i kahi koa he deferment no kekahi manawa o ke manawa a i ʻole komisina.
Hoʻoholo ʻia kēlā mau ʻōhua, ʻo ka mea ʻo ka pancreatitis he pathology koʻikoʻi hiki ke alakaʻi i nā hoʻopiʻi like ʻole - pankreatic necrosis, diabetes mellitus, pancreatic abscess, cholecystitis, gastroduodenitis, jaundice obstruktact, intoxication grabe, cyst form and even death.
ʻO ka kūpono o kēia mau manaʻo e like me ka pūʻali koa a me ka pancreatitis e kūkākūkā e kekahi loea i ka wikiō ma kēia ʻatikala.