Ma muli o ka palaka ʻole, nā lāʻau lapaʻau ʻole, ka hōʻino ʻana i ka inu ʻawaʻawa i loko o ka pancreas, he ʻano hana hoʻomehana. I kēia hihia, ʻike pinepine ʻia ke kauka i ka maʻi pancreatitis maʻi.
No ka paleʻana i nā hoʻopiʻi koʻikoʻi, pono nui ke hoʻomaopopo a mālama i ka maʻi pōpilikia i ka manawa kūpono. No kēia, hoʻohana nā ʻano hana a pau o ke kikowaena a me nā ʻōnaehana hana no ka nānā ʻana i ka pancreas.
I ka wā o ka hoʻokolokolo mua, ʻike ʻia ke kauka i ka mea e hoʻopiʻi ai ka mea maʻi a he aha nā hōʻailona o ka pathology e nānā ʻia. Hiki iā Palpation iā ʻoe ke hoʻomaopopo i ka hōʻeha o nā mea hōʻeha, akā no ka mea o ka naʻau o loko, no kahi hoʻomaʻamaʻa piha pono pono e hoʻohana i nā ʻano diagnostic maʻamau hou.
Laboratory hōʻike o ka pancreas
Ma hope o ka pau ʻana o ka hoʻokolohua, hoʻouna ʻia ka mea maʻi no ka hoʻāʻo ʻana i ka lāʻau lapaʻau a me ka lāʻau o ke ola, urinalysis, a me ka coproscopy stool. Pono nō hoʻi e mahele i kahi loiloi no nā hana hoʻoikaika e ʻike ai i ka hapa ʻole o nā enzyme digestive.
Inā aia kahi hopena maʻi, ʻike ka hemogram i ka loaʻa ʻana o leukocytosis, ka wikiwiki o ka wikiwiki o ka erythrocyte sedimentation. Ke komo kahi maʻi maʻi purulent, loli nui ke ʻano o ka leukocyte. ʻO ka emi ʻana o ke kūpaʻa o nā ʻāpana koko ʻulaʻula, ua ʻike ʻia ka hemoglobin a me nā platelets i ka hihia o ke kanesa.
Ke hele nei i kahi hōʻike koko koko kaila e hiki ai iā ʻoe ke loiloi i nā ʻāpana amylase. Inā loaʻa he pathology o ka pancreas, kiʻekiʻe ka pae o nā enzyme e ʻoi aku ma mua o ka 10 mau manawa.
- Eia kekahi, ʻoi ka nui o ka elastase a me ka lipase i loko o ke koko e hōʻike nei i kahi halaʻole.
- I ka hana hoʻonā, ua uaki ka laha o nā pauna o nā protein, ʻike ʻia kahi pūmua C-reactive.
- Inā ulu hou ka maʻi ma muli o ka hala o nā hanana biliary a me nā hepatolienal, bilirubin, transaminases, phosphatase alkaline, hoʻonui ʻia Gamma-GTP.
- Ma ke komo ʻana o ka maʻi ʻaʻai a ʻaʻa paha, ʻaʻole i ʻike ʻia nā loli o ke koko.
ʻAʻohe hoʻopaʻa ʻikepili ʻana i nā moʻa a me nā pancreas me ka ʻole o ka hoʻāʻo urine no ka diastasis. He hana kumu kēia ʻano inā loaʻa i kahi kanaka kahi exacerbation o ke ake a me ka maʻi pancreatitis. ʻO kahi hōʻailona kūpono o ka maʻi ka ʻike i kahi kiʻekiʻe o alpha-amylase i ka urine.
E hōʻike i ka hemahema o nā huina o ka digestive, hana ʻia ka microscopy stool. Inā ʻike ʻia nā lipids undigested, nāʻaiʻai, nā mīkini a me nā mea maʻi, ke hōʻike nei kēia i ke ʻano o kahi ʻano maʻi a me ke kanesa o ka pancreatic. Hoʻopili ʻia nā haʻawina o nā feces hiki iā ʻoe ke hoʻomaopopo i ka kiʻekiʻe o ka pancreatic elastase a me ka lipase, e hōʻike pū ana i ka maʻi.
ʻO kahi ʻenehana aʻo hou ka ka lawe ʻana i kahi hoʻokolohua hana, hiki iā ʻoe ke ʻike i ka hemahema o ka enzyme. Akā i kēia mau manawa hoʻohana pinepine lākou i nā hana hoʻokūkino ʻoi aku ka maikaʻi.
- I ka wā o ka hōʻike Lund, ua ʻaina kahi mea maʻi, a laila hoʻāʻo ʻia ka duodenum, ʻike ʻia nā kiʻi a ʻike ʻia i ka hoʻokolokolo biochemical.
- Ke hoʻohana nei i kahi hoʻokolohua radioisotope, ʻike ʻia ka hele ʻana o steatorrhea.
- Inā he kānalua i ka hopena o ka hōʻemi i ka hoʻoneʻeʻana o ka insulin hormone a me ka diabetes mellitus, hoʻokō ʻia ka hoʻāʻo ʻana he glucose.
Ma hope o ke kau ʻana i ka hoʻokolohua, hoʻopiʻi ke kauka i nā hopena hōʻike, hoʻohālikelike i nā hōʻailona paʻa e hana nei a hoʻopaʻa i kahi maʻi kūpono.
ʻO nā hōʻike haʻawina o ka hana pancreatic
Ma ke ʻano o kahi maʻi koʻikoʻi, paʻakikī loa ka hōʻoia i ka maʻi maʻi. No kēia hopena, ke hoʻohana nei kēia lāʻau lapaʻau i kēia lā i ka radiation X-ray, ultrasound a me ka mīkini noiʻi optic mīkini noiʻi.
Ua manaʻo ʻia ka nānā ʻia ʻana o ka maʻi ultrasound ke ʻike maʻalahi a me ka hoʻākāka o ka maʻi diagnostic, hiki iā ia ke ʻike i kekahi mau hewa i nā wahi mua o ka maʻi. Loaʻa i ke kauka ke nānā pono i ka pancreas i nā projections like ʻole.
Ke hoʻohana nei i ka ultrasound, hiki iā ʻoe ke nānā i ka dinamics o nā loli a nānā i ke ʻano o nā kino o loko o ka mea maʻi. Hāʻawi ka mea maʻi i ka ʻōlelo hoʻopuka me ka:
- ʻO ka hōʻeha a ʻeha paha i ka ʻōpū;
- ʻO kahi hoʻololi i ke ʻano o ka duodenum i ʻike ʻia e ka x-ray;
- ʻO ka palpation kele o ka ʻōpū, a me ka ʻike ʻana i kekahi neoplasms;
- Nā maʻi pancreatitis e pale ai i ka hoʻohemo hou ʻana;
- Hematoma hematoma, cysts, a i ʻole pancreatic cancer;
- ʻO kahi hoʻololi i ke ʻano o nā paia o ka gastric i loaʻa i ka wā o ka gastroscopy.
Ma mua o ke kau ʻana i ka ultrasound, e koi ʻia ke aʻo ʻana. ʻElua mau lā ma mua o ke kaʻina hana, pono ʻoe e haʻalele āpau i kekahi huahana e hoʻonāukiuki i ka hoʻokumu ʻana o nā hoʻomena. No kahi lā, ʻoi ʻia e lawe i ka mau kaha i nā manawa ʻekolu i ka lā ma ka nui o hoʻokahi papa ma ka 10 kg o ka mea hoʻomanawanui, e holoi ana i ka lāʻau me ka wai kuke. Hiki iā ʻoe ke hoʻohana i nā suppositories laxative a i nā ʻāpala hoʻi.
- Hoʻohana ʻia kahi x-ray ʻōpū e hōʻike i ka maʻi ʻeha o ka ʻōpū. ʻO nā hōʻailona kūlohelohe o ka patology e loaʻa ana i ka mua o nā pōhaku a me nā sila i loko o ke kīpili a i ʻole nā dile bile.
- I ka laʻana o ka pancreatitis biliary hilinaʻi ma muli o ka stagnation ma ka rohe o ka bile duct, hana ka endoscopic retrograde cholangiopancreatography. Hoʻohana ʻia ia ʻano ala like ma mua o nā pōhaku i ke pala palani, cicatricial narrowing in the excretory ducts.
- I ka laʻana o ka pancreatitis, a aia kahi pancreatic cyst, pseudocyst, calcification, atrophy a me necrosis, hoʻohana lākou i ka tomography compute. Ke loaʻa nei i kēia ʻano nā hana e ʻike ai i nā neoplasms volumetric - kahi benign pancreatic tumor, ka maʻi kanesa, nā ʻōpū metastasis, kahi i hala ʻia mai ka ʻā aʻe pili. I ke kiʻi, ua hoʻokaʻawale ka hao i nā contours like ʻole, nā pā nui.
ʻAe ka MRI i ka ʻike pololei ʻana i nā ʻili o nā ʻiʻo i hoʻopili ʻia.
Hāʻawi ʻia kahi ʻano noiʻi like ʻole no ka hōʻiliʻili liʻiliʻi, ka pathology ate, ka pancreatitis, ma mua o ka hana ʻoi a me ka hiki ke mālama i ka mālama maʻi.
Diagnosis ma ka home
Maikaʻi ka ʻike ʻana i ke alawai ma nā mea iā ʻoe iho. ʻO ka mea mua, pono e hoʻolohe i ke ʻano o ke kino a kuhikuhi i ke ʻano o nā hōʻailona o ka pancreatitis. Inā kahi maʻi, hōʻeha ka mea maʻi i ka ʻeha a kaumaha hoʻi i ka hypochondrium hema, ʻoi aku hoʻi ma hope o ka overeate a he ʻoliʻoli paha.
A no laila, loaʻa pinepine ka mea maʻi i ka ʻehaʻeha, constipation, ʻike kekahi i ka pōloli. Me nā maʻi type 1, ʻike ʻia ka makewai ikaika, ʻoiai ka nui o ka wai inu. Ma hope o ka ʻai ʻana, hoʻohemo pinepine ʻia ka mea maʻi a paʻakikī ka hiamoe ma ka ʻōpū, hoʻonui ka ʻeha i ka wā o ka neʻe ʻana a ma hope o ka hookeʻo lōʻihi.
Inā loaʻa kekahi o kēia mau ʻōpuhi, pono e ʻimi koke i ka mālama olakino mai kekahi kauka a hoʻomā pono i nā ʻike pono āpau. Pale aku kēia i ka hoʻomohala ʻana o kahi maʻi koʻikoʻi i ka manawa.
Pehea e hoʻoponopono ai a mālama i ka pancreatitis i wehewehe ʻia i loko o ke wikiō ma kēia ʻatikala.
