ʻO ka make mai nā maʻi o ka pancreas, i ka wā i hoʻopiʻi ʻia ka hana o ke kino, e ulu pinepine ʻia i kēlā me kēia makahiki. Ua hōʻike nā hōʻike, aia i ka pancreatitis koʻikoʻi, hele ka make i 40% o nā hihia.
Hiki ke hiki i ka maʻi pancreatic i nā maʻi o nā kāne a me nā makahiki āpau. Nui nā poʻe maʻi e make i ka pule mua o ka maʻi o ka maʻi i ka wā o kāna papa koʻikoʻi. Loaʻa pinepine ka make me ka hemorrhagic a i ʻole paha i hoʻohui ʻia i ka maʻi pancreatosis.
I mea e pale ai i ka hoʻomohala ʻana o nā hoʻopiʻi pōpilikia, pono nā kānaka āpau e ʻike i nā hōʻailona e pili pū ana i ka maʻi o ka organ parenchymal. Ma hope o nā mea a pau, ʻo ka hōʻike ʻana i ka mau hewaʻole i ka wā mua i ka hoʻomohala ʻana i ka patolo e pale aku i nā hopena ʻino a mālama i nā ola.
ʻO nā hiʻohiʻona o ka hana o ke pancreas
Hana ʻia kēia hana liʻiliʻi i kekahi o nā hana nui i ke kino: digestive, externally, and intrasecretory. Aia ka kelepona i nā wahi retroperitoneal, ʻokoʻa ka ʻeke omentum e hoʻokaʻawale ana mai ka ʻōpū.
ʻO kahi kokoke i ka pancreas he hollow, left vein a aorta. Ua hoʻokaʻawale ke mea ola i nā keʻena he ʻili: ka ʻili, ke kino a me ke poʻo.
Hoʻomoʻa ka wai pancreatic i loko o ka ʻawa ma o ka waiʻo Wirsung. Akā ma mua o ke komo ʻana i ka pāwili ʻana, e komo ana i ka dile bile.
He ʻelua māhele o ka ʻōnaehana Parenchymal: he ʻokoʻa nā ʻano.
- Nā Mokupuni o Langerhans. I kēia manawa, ua huna ʻia ka insulin a me ka glucagon.
- ʻO ka māhele ʻili. Hoʻopuka i kēia wai pancreatic.
He aha ke hōʻole i ka pancreas? ʻO ke kumu kumu o nā maʻi o ka kūnae kūlama pinepine ke kīnā.
ʻAʻole i hoʻopue ʻia ka hana o ke kelepona, a laila ʻaʻole ia e hoʻopilikia i kāna mau ʻiʻo ponoʻī. Me ka hoʻomohala ʻana o ka ʻaihue, e hoʻomaka ka kaʻina hana o ka hoʻopaʻa ʻana iā ʻoe iho, ma muli o ka wahi e pau ai nā aila o ke kano.
ʻO ke kumu nui o ka hana gland o ka hana hōʻino a me ka meaʻai hoʻoleʻa. Kēia mau mea e alakaʻi i ke ʻano o nā maʻi ma 70% o nā hihia.
Nā kumu o ke ake a me ka maʻi pancreatitis:
- predisposition genetic;
- hui ʻeha;
- lawe i kekahi mau lāʻau lapaʻau;
- nā maʻi (mycoplasmosis, virus hepatitis);
- maʻi maʻi pālolo;
- nā hopena endocrine.
Ma kahi o nā kumu i luna aʻe, aia kekahi mau kumu kikoʻī e pili ana i ka hoʻomohala ʻana o nā ʻōnaehana ʻano like ʻole. Inā pili ʻole ka pancreas me ka necrosis pancreatic, a laila aia nā mea predisposing e cholelithiasis, cholecystitis.
Hoʻoulu ke kino o ka organine parenchymal ma muli o ka uahi, overeating, ka loaʻa ʻana o nā maʻi maʻamau (diabetes, pancreatitis). ʻO nā mea maʻi i ʻoi aku ma mua o 60 mau makahiki, ʻo ka hapa nui o nā kāne, e kū ana i ka oncology.
ʻO nā kumu o ka make cyst, ʻo ka hoʻohui i nā mea i luna aʻe, ʻo ia ka: ka hoʻouka kaua helminthic a me ka nui o ke kolamu o ka cholesterol i ke koko. Eia kekahi, hōʻole paha ka gland i ka hana me ka maʻi diabetes.
ʻO ke kumu nui o ka hyperglycemia kūloko e waiho ana i nā hiʻohiʻona o ke kino. ʻO nā mea ʻē aʻe predisposing e nānā ai i ka momona, ke kaumaha, a me ka makahiki kahiko.
ʻO ke kiʻi kaukau kino o nā maʻi pancreatitis a me nā maʻi
ʻO kahi hōʻailona alakaʻi o ka maʻi glandular akene ʻo ka "drill" ʻeha. I ka wā mua, ua hoʻopaʻa ʻia lākou i ka ʻāina epigastric a me nā hypochondria ʻelua. A laila hiki ke noʻonoʻo ʻia ka ʻōpū ma hope a me ka ʻōpū.
ʻO nā hōʻailona maʻamau o ka maʻi pancreatitis e komo pinepine ana i ka luaʻi, ke alakaʻi nei i ka dehydration, belching, flatulence, ʻehaʻeha, ke kaumaha o ka laʻa, maloʻo maloʻo. Ke ulu nei ke ʻano o ka mea maʻi, e hele mai kahi wela (a hiki i ke 40 kiʻekiʻe), ulu ana hypotension a hoʻonui ka nui o ka puʻuwai.
ʻO ka hele pinepine ʻana o ka maʻi o ka maʻi me ke kāwili ʻana i ka integument. A inā i kūlohelohe ka maka, a laila e hōʻike ana i kahi ʻano maʻi nui loa, kahi e hiki mai ai i nā pōkino koʻikoʻi me kahi maʻi maʻi peripheral.
ʻO kahi hapakolu o nā maʻi me ka maʻi pancreatitis e hoʻomohala i kahi hōʻailona e like me ka jaundice. I kekahi manawa hele mai nā wahi ma nā ʻūhā, ka maka a me ka ʻōpū, e like me ka petechiae a i ʻole hemorrhage. Hiki nō hoʻi i nā rashes ākea nui ma ke kua, ʻōpū, a me ka umauma.
Hoʻohālikelike ke ʻano maʻi maʻamau o ka maʻi pancreatic e ka wehe ʻana i nā hua ola olakino me ka hoʻopili hoʻohui. Ua hoʻokaʻawale ka ʻaoʻao o ke maʻi ma ka 2 mau manawa - nui a me ke kala. No laila, ma muli o ka māhele o ka maʻi, ka ʻano o ka ulu ʻana o nā hōʻailona.
Hiki i ka mea maʻi ke hōʻeha i ka hōʻeha maʻamau a i ʻole paha. Hōʻike pinepine lākou i ka lua o ka ʻōpū a i ʻole ma ka hypochondrium 30 mau minuke ma hope o ka ʻai ʻana.
Hoʻomaʻo pinepine nā ʻeha i ka ʻūhā poʻohiwi, ke kua, ke kīhaka o luna a me ka umauma. Inā hoʻopili ka pālepala āpau, a lailaʻano lūlū kahi ʻano kāʻei. Eia kekahi, hoʻonāukiuki pinepine ʻia ka ʻeha me ka nausea a me ka luaʻi.
Me kahi exacerbation o ka pancreatitis maʻamau, loaʻa i ka mea maʻi nā hōʻailona like o ka maʻi dyspeptic e like me ke ʻano o ka maʻi o ka maʻi. Eia kekahi, ua hōʻeha ka mea maʻi a nāwaliwali koke.
I ka poʻe e ʻeha ana mai ka maʻi ʻana o ka aila no ka 10 mau makahiki he 10 mau mea hana. No laila, ʻo ka emi ʻana o kahi mea huna o ka wai e hoʻopili i ka hoʻomohala ʻana i kekahi mau hōʻailona:
- ukiuki a hiki i 3 mau lā i ka lā;
- pāhawewe;
- He nani nā feces, hina, he pā mea like me ka ʻekeʻeke me kahi mea ʻono maikaʻi ʻole.
I loko o nā maʻi he nui, e kū'ē ana i ke kāʻei o kahi ala lōʻihi o ka maʻi, hele mai kahi hemahema o nā mea waiwai maikaʻi i ke kino. No laila, me ka huhū o ka maʻi o ka pancreas, nui ka mea maʻi i ka osteoporosis, anorexia, dysbiosis a me nā anemia.
Hiki i kahi exacerbation o ka maʻi ke alakaʻi i kahi hanana pre-hypoglycemic a me kahi coma ma hope. Hiki ke ʻike ʻia kēlā mau hiʻohiʻona e nā helu he nui: nāwaliwali koʻikoʻi, haʻalulu a puni ke kino, ʻūʻeleʻele, nāwaliwali.
ʻO ka papa lōʻihi o ka maʻi pancreatitis e hoʻonui nui i ka manawa kūpono o ka mea maʻi e hoʻomohala ana i kahi hoʻopiʻi kūlohelohe e like me ka diabetes mellitus. Akā hiki i kēia hopena ke ulu wale i ka hoʻololi ʻana a paluhī paha o ka ʻaila.
Eia kekahi, nā hōʻeha, nā cyst, a me nā hana ʻino e kū mai ana i ka hanana parenchymal i hopena maikaʻi i ke kino.
No laila, he mea nui e ʻike i nā hōʻailona me ke ʻano o nā maʻi ʻē aʻe o ka pancreatic.
Nā hōʻailona hōʻailona e pili ana i ka hāʻule ʻana o nā aʻe i ka maʻi o ka maʻi, cysts, diabetes, nā pōhaku, a me ka necrosis pancreatic
Me nā cysts i hoʻonohonoho ʻia i loko o ka pancreas, kahi kime i hoʻokumu ʻia i loko o ke kino kahi e hōʻiliʻili ai ka wai. Hiki i ke aʻo ke kū i kekahi ʻāpana o ke kīʻaha. Hōʻike pinepine ʻia kāna mau hōʻailona i ka wā e lilo ai ka nui a lele i nā ʻōpala kokoke.
Me ka popst, hiki i ka mea maʻi ke loaʻa i ka ʻeha ma ka ʻōpū o luna. ʻAʻole hiki i ka mea maʻamau ke lilo i ka paona maoli a hoʻopilikia i ka indigestion.
ʻO ka palaki nui i palpated i ka wā palpation. Hoʻokomo ka ʻūhā i nā ʻaoʻao kokoke, e hoʻopili ana i ka puka o ka bile. No laila, e hoʻololi paha ka mea maʻi i ke kala o nā feces a me ka urine.
I mua o ka pika i ka pancreas, kani mau ka nāwaliwali o kekahi. Inā hui pū kekahi maʻi, a laila ʻike ʻia nā hōʻailona e like me ka ʻeha o ka naʻau, ke ʻano, ka migraines a me nā mea hoʻowalewale.
Hoʻomaopopo ka hōʻailona o ka pancreatic failed me ka hoʻokumu ʻana o nā pōhaku i ke kumumanaʻo:
- ʻo ka ʻeha paroxysmal e hōʻea i ka ʻōpū o luna a pā i ke kua;
- ke hali aku nei i nā pōhaku i loko o ka bile duct, hōʻike ʻia nā hōʻailona o ka pāpaʻa obstructive;
- ʻO ka loaʻa ʻana o ka huhū i kekahi manawa.
In pancreatic necrosis, i ka manawa e make ai nā io o nā io, hele mai nā maʻi hōʻeha ikaika i ka epigastrium a i hope paha o ka sternum, e hoʻomaka pinepine ana i ka collarbone, haʻahaʻa i lalo a i hope paha. Hiki i ka ʻeha ke hōʻeha nui ʻole a nalowale kekahi kanaka.
ʻO nā hōʻailona ʻē aʻe o ka necrosis pancreatic e komo ana i ka waha maloʻo, tachycardia, pōkole o ka hanu, constipation, nā puka o ka luaʻi a me ke kaʻaʻi, flatulence. Hoʻonui ka mea maʻi i ka maʻa maʻi. ʻO kahi hōʻailona o ka patology ke ʻano o ka peritoneum o nā wahi cyanosis a me ka hyperemia o ka ʻili o ka maka.
ʻO ke ʻano maʻi maʻi pancreatic he hanana maʻamau, akā pilikia naʻe, no laila ke kuhi pinepine ʻia ka ʻikeʻike mua o ka hoʻōla. E ulu wikiwiki ka haki ʻana, e hoʻopiʻi ana i nā veins nui, nā ʻalala, a me nā moku o nā ʻala kokoke.
No ka mea e pili ana i ka maʻi kanesa i nā plexuses nerve, ʻike mai ka mea maʻi i ka ʻeha loa. Ma mua o kahi hōʻeha, ke piʻi wikiwiki ʻana ka momona nui, ka makewai mau ʻana a me ka luaʻi ʻana, ma muli o ke kaomi o ka hoʻokumu i ka ʻalihi.
Eia kekahi, hoʻopiʻi nā poʻe maʻi i ka maloʻo maloʻo, kahi ʻeha kaumaha i ka hypochondrium kūpono a me ka huhū stool (stool wai me kahi mea ʻono maikaʻi ʻole). I kekahi mau mea maʻi, he ulaula nā melema a ua huli ke ʻili, ma muli o nā mea kuhi hewa i ke kahe o ka huahe.
Inā hoʻokomo ʻia kahi nui o ka glucagon i loko o ke kaiko o ka pancreatic, e hoʻohālikelike ʻia ka mea maʻi e nā dermatitis, a e nui ka pae o ka glucose i kona koko. Hoʻopilikia ka maʻi o ke kino parenchymal i loko o ia mea e hāʻawi ai i ka metastases i ka lolo, ka ate, nā lymph nodes a ʻoi aku. No laila, he mea pono i ka hoʻoponoponoʻana i nā maʻi ma ka manawa kūpono a hoʻokō i ka hoʻomaʻamaʻa maikaʻi e mālama ai i ke ola o ka mea maʻi.
Hiki ke hoʻoholo ʻia ka hele ʻana o ka maʻi maʻi e ka nui o nā hiʻohiʻona:
- nā urination pinepine
- ʻO ke kaumaha kaumaha ākea ʻole me ka hoʻololi ʻana i ka meaʻai;
- hona ʻaihue;
- ʻĀwīwī o ka wāwae;
- ʻeha ka ʻōpū
- ua hōʻemi ʻo ia i ka ʻike;
- ninaki a me ka luaʻi
- ka maloʻo a me ka mālama ʻana i ka ʻili;
- makewai
- hoʻoluhi hoʻolōʻihi i nā hōʻeha.
He hoʻomaʻemaʻe a me ke pale aku
ʻO ka laweʻana i ka maʻi pancreatitis a me ka pancreatosis e lawe ʻia ana i ka haukapila. I loko o ka hale mālama, ua hoʻonoho ʻia nā diuretics no ka mea maʻi, ka hoʻopau ʻana i ka cramping a me ka hoʻopau ʻana i nā toxins. Inā pono, analgesics, puʻu, antimicrobial a me immunostimulating e hoʻohana ʻia.
I nā lā mua o ka mālama ʻana, pono nā mea maʻi e hōʻole i ka meaʻai. A i nā pule aʻe a me nā mahina aʻe, pono e mālama ka mea maʻi i kahi meaʻai kūikawā.
Me ka ʻike ʻole ʻole a i ʻole kūpono ʻole o ka lāʻau lapaʻau, hana ʻia ka hoʻokau ʻana, me ka hōʻemi o ka pus i ka peritoneum - peritoneal lavage. Hoʻokuʻu ʻia nā ʻili o Necrotic o ke ʻano, me ka ʻōkī, e hana ʻia kahi pale, me ka maʻi kanesa, chemotherapy a i ʻole radiation radiation.
Hoʻohana ʻia ka pancreatitis maʻi i ka wā o ka exacerbation me ka meaʻai meaʻai. Pēlā ka mea e pau ole ka pancreas, nā ʻūhū, nā ʻeleʻele, nā mea momona a me nā meaʻai paʻakai ʻaʻole i haʻalele ʻia mai ka meaʻai. Pono e hoʻokaʻawale loa ka waiʻona.
E like me ke keʻakeʻa pale ʻana, pono ke hoʻololi i ke kīwī ikaika a me ke kīwī me ka decoction o ka lingonberry, nettle, rose hip a dandelion Inā ʻike ʻia kekahi mau hōʻailona aʻe ma luna o ka manawa like, pono e nīnau koke ʻoe i kahi gastroenterologist a i ʻole endocrinologist.
Hāʻawi ʻia nā ʻike e pili ana i nā hōʻailona o ka maʻi pancreatic i ke wikiō ma kēia ʻatikala.
