ʻO ke kūpaʻa manawa maʻamau o ka pancreatitis kekahi o nā kūlana koʻikoʻi no ke kūleʻa o ka mea maʻi. Eia nō naʻe, ma muli o ka nele o nā hōʻike olakino kūikawā, ʻo ka poʻe loea i ʻike ʻia i kekahi manawa ʻaʻole hiki ke ʻike iā ia i ka wā mua a ka hilahila me nā maʻi ʻē aʻe o ka kūnaehana ʻōwili, no ka laʻana, cholecystitis.
I ka hopena, ʻaʻohe hiki i nā kauka ke kuhikuhi i ka mālama kūpono i ka mea maʻi, aia i kekahi mau hihia ke alakaʻi i ka hoʻomohala ʻana i nā ʻōpiopio pōʻino. Ke pale i kēia, pono e ʻike nā mea maʻi e pehea e hoʻokō ʻia ai ka hōʻike ʻana no ka pancreatitis, nā ʻano o nā diagnostics i hāʻawi i nā hopena kūpono loa a pehea e hoʻomākaukau pono ai no lākou.
ʻO nā ala no ka hoʻopaʻaʻana i ka pancreatitis
Inā loaʻa kāu hoʻopiʻi e pili ana i ka hana a ka pancreas, pono ʻoe e ʻimi mua i kahi mea maʻamau e hoʻolohe i nā hoʻopiʻi a ka mea maʻi, e hana i kahi hoʻokolohua mua a kākau i kahi hoʻolaha ʻana i kahi loea loea - he gastroenterologist a endocrinologist.
Hoʻomaʻamaʻa maikaʻi kahi loea pākiki pili ʻole i ka mea maʻi, e nānā i ka ʻōpū o ka ʻōpū ma o ka palpation, e nānā ʻole wale nō i ka pancreas, akā pū kekahi hoʻi i ka ʻōpū, ka ate a me ka ʻeha.
Inā kānalua ka maʻi, ka maʻi a me ka react pankreatitis, e kuhikuhi ke kauka i ka mea maʻi i nā hana diagnostic e kōkua i ke ʻano pololei. No ka loaʻa o ka hopena kūpono loa, pono ka mea maʻi e hele i nā ʻano noiʻi i hoʻokahi manawa.
Lāʻau Kuhihewa Pancreatitis:
- Pākuʻina koko biochemical;
- Hoʻololi Fecal;
- Hoʻolālā biochemical i loko o ka urine;
- ʻO ka hōʻike ultrasound o ka pancreas (ultrasound);
- ʻO X-ray, ke hoʻolahaʻana i ka résonance magnetic (MRI) a me ka tomography compute (CT) o ka pancreas, nā ate, duodenum a me ka ʻōpū;
- ʻO ka molopsy kiko pancreatic;
- Nā hōʻike hōʻike diagnostic.
A laila, ʻike mākou i nā ala loiloi maʻamau loa a nānā pono no ka pancreatitis.
ʻŌkuhi koko
Pono e hāʻawi ʻia kēia hoʻokolohua i nā mea maʻi a pau e loaʻa ana nā pilikia me ka pancreas. E kōkua ia i ka hoʻomaopopo ʻana i kahi nui o nā hōʻailona e hōʻike ana i ka hoʻomohala ʻana o ke ʻano o ka ʻōnaehana ma ke kino. Wahi a nā loea he nui, kahi hōʻike koko ke ala kūpono loa no ka hoʻomohala ʻana i ka pancreatitis.
Hoʻohana ʻia kahi hōʻike koko ma kahi ʻōpū ʻole, no laila ʻoi aku ka maikaʻi o ka lawe ʻana ma ke kakahiaka ma mua o ka ʻaina kakahiaka. I ka lā ma mua o ka hoʻāʻo, pono ka mea maʻi e hoʻopaʻa iā ia iho i nā momona a me ke kaumaha, me ka waiʻona a me ka ulaula hoʻi. I kēia hihia, pono nā kīʻaha hope e hala ma mua o 22:00 ahiahi.
Me ka pancreatitis, e loli nui ka pūpili o ke koko o kahi kanaka, ma muli o kahi hopena hōʻeha nui i ka pancreas. Hōʻike nā hōʻailona ʻokoʻa i ka hiki ʻana o ka pancreatitis i ka mea maʻi:
- Hoʻolālā kiʻekiʻe i nā alpha-amylase i ke koko. ʻO ka maʻamau, pono ia mai ka 28 a 100 U / L. He mea nui ia e hoʻomaopopo i ka hoʻomakaʻana o ka alpha-amylase e hoʻonui i 2 mau hola ma hope o ka hoʻomaka ʻana o ka maʻi;
- ʻO ka nui o ka amylase pancreatic. I nā poʻe olakino, a hiki i ka 50 U / L;
- Ka helu helu koko keʻokeʻo nui. ʻO ke kumu maʻamau no nā pākeke mai 3.98 a 10.4 × 109 mau ʻāpana / l;
- ʻOiʻi ka palena sedryation kiʻekiʻe erythrocyte. ʻO ka maʻamau, i nā pākeke, waena mai ka 1 a 15 mm / hora;
- ʻO ka piʻi nui o trypsin. I nā poʻe olakino, ma laila nō ka 25.0 +/- 5.3 mg / l;
- Hoʻonui ka nui o ka lipase. ʻO ka hana maʻamau no nā ʻōpio he piʻi a 130 mau waihona / ml, no nā pākeke - 190 mau ʻāpana / ml;
- ʻO ka helu kiʻekiʻe o ke kōpaʻa koko. ʻO ke kumu maʻamau no nā pākeke mai 3.3 a 5.5 mmol / L.
I kēia lā, ua haʻahaʻa ka uku o ke hōʻike koko biochemical. No laila ke kumukūʻai awelika o kahi loiloi no ka alpha-amylase ma kahi o 150 rubles.
ʻO ka loiloi Fecal
Ma mua o ka ʻohi ʻana i nā feces, pono ʻoe e holoi holoi iā ʻoe iho me ka hau a me ka hau kaomi, a me ka holoi ponoʻī i kou ʻili me kahi kāwele maloʻo maʻemaʻe. E pale aku kēia i ka wai a me nā pōpoki i ke komo ʻana i nā feces mai ka ʻili a hoʻonui i ka hilinaʻi o ka maʻi.
ʻOi aku kahi maikaʻi e hōʻiliʻili i nā feces i kahi pahu liʻiliʻi pepa liʻiliʻi me ka uhi paʻa paʻa. No ka loiloi, lawa a 1 mika. I ka hōʻiliʻili ʻana i nā feces, ua ʻōlelo ʻia e hoʻohana i kahi moku olakino a i ʻole paha. Hoʻole loa ia e hopu i nā loina mai ka lua o ka kīkē, me ia i kēia hihia e hona ʻia ai nā haumia.
I ka nānā ʻana i nā feces i ka mea maʻi me ka pancreatitis, e nānā mau ʻia ke ʻano e like me ka steatorrhea - he ʻano nui o nā ʻona momona i loko o ka papa. Hoʻomau pinepine ʻia ʻo Steatorrhea i ka hōʻino ʻana i ka heʻe, kahi hiki ke hōʻike iā ia iho i ke ʻano o ka maʻi a i ʻole ka constipation.
Eia kekahi, i kahi kanaka me ka hoʻowalewale o ka pancreas i nā feces, loaʻa nā hapa o nā meaʻai undigested. ʻO kēia no ka mea hiki i ka ʻona maʻi hiki ke hana i kahi nui o nā kōna ʻāpana, hana ʻino i ke kaʻina o ke kūhao a me ka assimilation o ka meaʻai.
ʻO kekahi hōʻailona hou o ka pancreatitis ka haʻahaʻa haʻahaʻa haʻahaʻa o ka pancreatic elastase i loko o ka hana kīkē - kahi enzyme proteolytic e pono ai no ka hana maʻamau o ka ʻōnaehana hana. Me ka hoʻowalewale ʻana o ka pancreas, hoʻemi nui ʻia kona mau kikowaena, hiki ke ʻike ʻia i ka wā o ke kaʻi ʻana o nā feces.
ʻO ke ala kumu kūʻai nui loa no ka noiʻi ʻana i nā feces kahi loiloi no ka pancreatic elastase, ke kūʻai ʻia nei ka mea maʻi e pili ana 2500 rubles. I ka huli, he coprogram e hiki ai iā ʻoe ke hoʻomaopopo i loko o ka aihue i hoʻonui ʻia ka nui o ka momona a me nā koena ʻai no ka nui o ka meaʻai i loaʻa ke kumukūʻai ma kahi o 450 mau rubles.
Hoʻopiʻi ʻōnaehana
I mea e hāʻawi ai ka ultrasound o ka pancreas i nā hopena kūpono loa, he pono e hoʻomākaukau no ia. No ka hana ʻana i kēia, 2-3 mau lā ma mua o ka nānā ʻana, pono ka mea maʻi e pili pono i kahi kīnā paʻa, ke ʻole ʻole i nā huahana e hoʻonāukiuki i ka hoʻokumu ʻana i ke kīpī mai kāna meaʻai, ʻo ia hoʻi: ka waiū, ka ʻai palaoa a me nā meaʻai i momona ka momona.
ʻO ka pō ma mua o ke ʻano o ka maʻi, pono ʻoe e ʻai i ka pāʻina e like me ka hiki, ʻaʻole iʻoi aku ma mua o 18:00 o ke ahiahi, a ʻai ʻole. I ka lā ma mua o ka ultrasound i hoʻolālā ʻia, ʻōlelo ʻia e lawe i ka laxative e hoʻomaʻemaʻe pono i ke kino o nā feces.
I ka lā o ka nānā ʻana i ka ultrasound, ua pāpā ʻia ʻo ia i ka ʻai ʻana i ka meaʻai, ka inu ʻona, nā lāʻau lapaʻau (koe wale nō nā mea nui) a me ka ulaula. He maʻalahi loa kahi scan ultrasound, ʻo ke kaʻina holoʻokoʻa a pau ma mua o 15 mau minuke a ʻaʻole i hoʻonāukiuki ʻia.
I ka wā ultrasound o ka pancreas, hiki ke ʻike i nā hōʻailona o ka pancreatitis:
- Hoʻonui nui ʻia ka nui o ka pancreas;
- ʻO ke lōʻihi o ke kino pili i ka 22 cm;
- ʻO ka lōʻihi o ke poʻo pancreatic ma mua o 3.5 cm, a ʻo ka laulā ma mua o 3 cm;
- Loaʻa i nā hanana nā kue i nā manawa a me kahi i puka mai i waho;
- Loaʻa nā ʻōpū o nā pāpale i nā ʻano like ʻole;
- Ua hoʻonui nui ʻia ke kumu nui o ka pancreas (ma luna o 3 mm).
I kēia manawa, ke kumukūʻai o ka ultrasound o nā pancreas mai 300-350 rubles.
Hoʻonohonoho hou e pili ana
ʻO kēia ʻano hōʻike ʻae hiki iā ʻoe ke kiʻi i ke kiʻi ʻoi loa o ka pancreas a hana i ka maʻi pololei me kahi pololei o ka 97%. Pono ka hoʻomaka ʻana no MRI e hoʻomaka i ka 3 mau lā ma mua o ke ʻano me ka meaʻai ikaika.
I loko o kēia manawa, pono ka mea maʻi e haʻalele i ka hoʻohana ʻana i nā momona, ka ʻalī, ka uahi a me ka meaʻai paʻakai a me nā kīʻaha. E hūnā i kekahi wai inu, me nā mea i loaʻa i nā lāʻau lapaʻau, no ka laʻana, ka tinctures a me nā balms. E hoʻōki i ka inu i ke kīwī ikaika a me ke kīpē
Ma mua o ka hoʻomohala ʻana, pono e hoʻokaʻawale ke ahonui i nā mea metala āpau mai iā ia iho. Inā loaʻa i ka mea maʻi ka manaʻo pacemaker i manaʻo nui, aia nā kui nui a me nā mea lāʻau olakino ʻē aʻe, a laila pono ʻo ia e hōʻole ma ka MRI.
Kōkua ʻo Pancreatic MRI e hoʻomaopopo i kēia mau lesions:
- ʻO ke kiko a me ke kiko o ka mumū o ke kino;
- ʻO ka hele ʻana o nā cysts, pseudocysts a me nā mea ʻē aʻe neoplasms, me ka hoʻoholo ʻana i kā lākou nui a me ka contour;
- ʻO ka nui o ka maʻi palaka, ka hiki o nā metastases a inā paha he lesion o nā hui kokoke a me nā lau;
- Ke loaʻa ʻana o nā pōhaku i nā papa puhaluhi;
- ʻO ka heleʻana o kekahi mau abnormality ma ka kūkuluʻana o ka pancreas a me nā kumu wai.
ʻO ka imaging resonance hoʻomohala kekahi o nā kumu kūʻai kumu loa. No laila ma ka awelika o ka ʻāina, e uku ʻia kahi scan MRI i kahi mea maʻi mai 3200 a 3500 rubles.
ʻO nā ʻōmaʻomaʻi a me nā hōʻola no ka pancreatitis e kūkākūkā i ke wikiō ma kēia ʻatikala.
