Ua hoʻopaʻa inoa ʻia lākou i ka pūʻali me ka pancreatitis?

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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:

  1. 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).
  2. Me ka māhina liʻiliʻi o nā pilikino a waho a loko o ka hoʻopili hewa ʻana. ʻO ka wikiwiki wikiwiki o ka exacerbations.
  3. 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 huiwehewehe
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:

  1. Nā palapala moʻohelu mua me nā hōʻailona a me nā hōʻailona (a i ʻole kope kope).
  2. Loaʻa i nā nīnauʻepili mai kahi gastroenterologist.
  3. 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.
  4. Nā hopena o nā ʻenekia a me nā hoʻokolohua instrumental (ultrasound, CT, MRI, radiography, etc.).
  5. 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.

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