ʻAʻole maʻi wale ka pancreatitis maʻi e nā hōʻike kino. No laila, ʻaʻole hiki iā ʻoe ke hoʻopaʻa me ʻoe iho iho. ʻOiai kekahi kauka loea i ʻike pinepine ʻole ʻia i ke kumu o ka hikiʻole o ka hōʻino o ka pono o ka mea maʻi.
Hōʻike ka hana i ka hōʻike i hana ʻia i ka wā o ka hoʻokolokolo mua o ka mea maʻi i hōʻoia ʻia i loko o kahi hapakolu o nā hihia, i nā huaʻōlelo ʻē aʻe, ʻaʻoleʻoiaʻiʻo. A ʻaʻole ia kahi haʻahaʻa haʻahaʻa haʻahaʻa o ka lāʻau lapaʻau.
ʻO ka ʻoiaʻiʻo ʻo nā hōʻailona o ke ake o ka maʻi o nā maʻi a i ʻole ka exacerbation o ka pancreatitis maʻi i nā maʻi maʻi ʻē aʻe he ʻokoʻa. Ma kēia hihia, me ka pancreatitis kūpaʻa, ua nānā ʻia nā syndromes e like me kā lākou mau hōʻike ʻana i nā maʻi like ʻole.
No ka hana pololei ʻana i ka maʻi kūpono, ʻaʻole lawa ia e hana i ka anamnesis a hana i kahi hoʻokolokolo kino o ka mea maʻi, pono ia e hana i ka diagnostics laboratorium - he hōʻike ʻana i ke koko a me ka biochemical test, ka nānā ʻana i ka urine. Pono ʻoe e hana i kahi MRI, ka ultrasound, comp Tom tom.
Pehea e hōʻike ʻia ai ka maʻi pancreatic?
ʻAʻole naʻe i ʻike ʻia nā hōʻailona alakaʻi o ke kaʻina hōʻeha o ka pancreas i nā maʻi āpau. Akā, e kapa ʻia lākou ma mua. ʻO ka ʻike kuʻuna i nā hanana kūlohelohe ke hoʻoholo ʻia e ka Mondor triad - he mau hōʻeha kēia i loko o ka ʻōpū, kupanaha a me kahi hoʻouka ʻana o ka luaʻi.
Hoʻokumu kekahi maʻi i kahi mau hola. ʻAʻole hiki i ka mea maʻi ke ʻōlelo pololei ma kahi e ʻeha ai. Ua ho'ākāka ʻia ka ʻeha ma nā wahi a pau, e kūlike ʻole ana kēia kūloko, i ka hoʻonohonoho ʻana ʻana o ke kahua. Hiki iā ia ke hāʻawi i nā pale poʻohiwi, lalo i lalo, collarbone a me nā ʻāpana o ke kino o ke kanaka.
I ka hapanui o nā kiʻi, hoʻomaka koke ka luaʻi. ʻO 20% wale nō o nā mea maʻi e loaʻa i nā maʻi ma mua. Puka i ka lua, aia nā ʻāpana ʻai ʻole, a pau wale ka bile.
Nā hōʻailona nui o ka exacerbation o ka pancreatitis:
- ʻO ka hemahema o ka ʻaʻa he hopena ia o ka pōpilikia o ka ʻōpū. A i ʻole e hoʻokuʻu i ka mea maʻi i nā papa a i ʻelima mau manawa i ka lā. Kahi momona ka Fecal, loaʻa kahi luster hiʻona, e hōʻike ana i ka hoʻomohala ʻana o ka steatorrhea (kahi hōʻike coprological e hōʻike ana i ka loaʻa ʻana o nā momona i nā feces ma mua o ka maʻamau);
- ʻO kahi hōʻailona o ka maloʻo ka maloʻo nui loa i ka waha waha. E like me ke kānāwai, hoʻonui ka hōʻailona o ka dehydration inā hōʻike pinepine ka mea maʻi i ka lua a me ka mau ʻana o ka maʻi maʻamau;
- Hoʻopau nā nā mākala o ka ʻōpū ʻōpū kuʻuna - peritoneal irritation syndrome. Ma ka palpation, humuhumu ka ʻeha o ka ulu ʻana;
- Pale ka ʻili, paʻakikī ka hanu, ka puʻuwai wikiwiki, ka aniani o ka sclera o nā maka, etc.
Ma ka hoʻomaʻamaʻa lāʻau lapaʻau, hoʻokaʻawale ka hōʻailona o ke poʻo pancreatitis, e kōkua ana i ka hoʻoholo ʻana i ka maʻi "ma ka maka". Eia nō naʻe, ākea lākou i nā maʻi ma ka 10% o nā kiʻi haukapila.
A hōʻike lākou i ka luku ʻana o ka pancreas.
Kuhi kēia mau ʻōuli i ka hiʻohiʻona o nā ʻala a poni i ka maka, ka ulia i ka wahi umbilical, blueness o nā pihi haʻahaʻa haʻahaʻa, pinpoint hemorrhages ma ka lumbar wahi.
ʻEha ʻO ka maʻi pancreatitis
He aha nā Sindrom pancreatitis? Ke hōʻike nei ka mea maʻi i nā hōʻailona e hoʻowalewale ana i ka hōʻino ʻana o kekahi ʻōnaehana i ke kino, ua hoʻohui pinepine ʻia lākou i loko o kahi maʻi maʻi. I nā huaʻōlelo kekahi, ʻo kēia kahi hoʻonohonoho o nā hōʻike lapaʻau e hiki ke hoʻohui ʻia i loko o kahi hui, ʻoiai he mau mea like lākou.
ʻO kekahi maʻi kekahi mau syndromes, cholecystitis, pancreatitis a me nā ala ʻē aʻe, ʻaʻohe ʻokoʻa. ʻO ka ʻeha me ka hoʻoulu ʻana o ka pancreas e kū mau nei ka manawa.
I ka hoʻouka ʻana, ikaika nui ka ʻeha, hiki ke alakaʻi i ka pīhoihoi. E kūlike i ke kua o ke ʻano o ke ʻano maʻi, ma kekahi mau mea maʻi e kū mau nei, akā ke ʻano ʻo ia me ka ikaika haʻahaʻa.
Kahi ʻia nā wahi o ka ʻeha e kahi ʻeha ma ka pancreas. Inā hele ʻole ka hana o ke poʻo o ke ʻano, a laila nānā ʻia ka ʻeha ma ka ʻaoʻao ʻākau o ka wahi o epigastric. I ka hoʻoulu ʻana o ke kino glandular ma kēlā me ka hema. Ke ʻike ʻia ka pōʻino o ka wahi o ka huelo, e kaomi ma lalo o ka iwi hema.
Hiki i ka ʻeha ke hāʻawi aku i nā ʻāpana ʻē aʻe o ke kino.
- Ma ke kua ma ke kua o ka pahu kuʻi.
- Ma lalo o ka pupu hema.
- I ka kāʻei pokohiwi.
- Ma ka ʻāpana iliac haʻahaʻa.
- I ka umauma (ma kēia hihia, like ka hōʻailona like me ka angina pectoris).
ʻO ke ʻano o kēia maʻi ka mea ʻaʻole i kōkua nā mea hōʻeha e hoʻomaʻamaʻa ia iā ia. I nā hihia kūikawā, lilo nā ʻūhū, ʻoiai ʻo ka mea ʻē aʻe, e kū mau ana ia.
ʻO ke ʻano o ka hōʻailona me ka hoʻomohala ʻana o ka maʻi pancreatitis maʻa. Kūkulu ʻia ka mīkini i ka nui o ka hoʻonui ʻana i ke kaomi ma loko o nā kumukā a me nā kiko o ka glandular, ka huehue o ka pūnaehana ʻōnaehana, ma muli o kahi o ka puka o ka palaki ʻana o ka hōʻea kino.
Nā maʻi dyspeptic
Hoʻopili pū ʻia nā maʻi dyspeptic i nā kaʻina hana a nui i loko o ke kino. He ʻokoʻa ʻokoʻa kā lākou keʻena, a ʻaʻole hiki ke hoʻokaʻeha i kahi huakiki o ka pancreatitis wale nō ma ka dyspepsia.
I kekahi o nā mea maʻi, ʻo ka dyspeptic syndrome e hoʻomaka me ka liʻiliʻi ʻole o ka ʻōpū ma loko o ka ʻōpū, e hoʻololi iki i nā ʻeha kaumaha. Ke nānā nei ka Belching i ka ea.
Hoʻokō ʻia ka hoʻouka kaua ʻana me ka pancreatitis i kēlā me kēia. ʻO ka manawa pinepine loa, ʻike koke ʻia ka luaʻi i nā maʻi. ʻAʻole ia e hānai. Ma hope o ia mea, ʻo ka puʻuwai koʻikoʻi, ka hoʻohui ʻia e ka puhi ʻana i ka esophagus. ʻO nā mea a pau e hoʻonāukiuki i ka ʻōpū o ka ʻōpū e komo i ka esophagus kanaka.
Hōʻike ʻia ka pancreatitis syndrome ma ke ʻano o ka dyspepsia e nā hōʻailona penei:
- Hoʻopili i nā lemulewa, ka manaʻo piha o ka ʻōpū;
- Lahae keʻokeʻo. Me ka mumū o nā pancreas, ua hui pū ʻia me ka mea hou fetid, i holoi maikaʻi ʻia i nā paia o ka pā;
- ʻO kahi ʻono ʻole i loko o ka waha e hōʻike ai i ka hemahema o nā huina o ka digestive;
- ʻO ka pohō nui o ke olakino, nāwaliwali a me ka lethargy, huhū nui i ka ʻōpū.
Me ka pancreatitis, ka fermentative dyspepsia e hele mai ma muli o ke kaʻina hana fermentation i loko o ka ʻawaʻawa. E hoʻopiʻi ka mea maʻi i ka ʻāʻī ʻana i ka ʻōpū, hoʻonui i ke kūkulu ʻana i ke kino, hana pinepine ʻia. Hoʻopili i ke kakaka i ka ʻeha. Ke ʻoki ʻo ia i ka pūpū, hōʻike ʻia ka putspactive dyspepsia - nāwaliwali a me ka ʻānela laulā, he keʻokeʻo mānoʻu me kahi ʻala ʻā.
ʻO ke kānāwai, e pili ana i ka mua o ka pancreatitis, ua ʻike ʻia kekahi mau syndromes i ka manawa like, no ka mea, ua hoʻomaʻemaʻe ka pancreas ma mua o hoʻokahi hana i ke kino. ʻO ka hopena, kahi hewa ʻole o kāna hana e alakaʻi i nā pilikia i ka ʻōpū o nā ʻōpū kūwawa a me nā ʻōnaehana ponoʻī.
Inā hui pū ʻia nā hōʻailona dyspeptic e ka maʻi ʻeha kaumaha, ʻo ia ka ʻano o ka hoʻomohala ʻana o ka maʻi pancreatitis maʻa, ua noi ʻia e kāhea koke i kahi kime ambulance.
ʻO ka maʻi Hemodynamic me ka pancreatitis
I ka maʻi, ua hōʻike pinepine ʻia ka maʻi hemodynamic o ka pancreatitis maʻa. Hoʻololi ʻia ka pane hemodynamic i ka emi ʻana o ka manawa o ka puʻuwai, kahi i hoʻemi ʻana i ke kaomi diastolic a me ka systolic i loko o ka ventricles, aorta a me ka pulmonary artery.
Hoʻonui ka pale o nā kīʻaha koko ma muli o ka hoʻokuʻu ʻana o nā mea hoʻoikaika biologically - serotonin, histamine, endorphin, a pēlā aku. I kēia hihia, ʻike ʻia kahi emi o ka nui o ka puna i loko o ke kino.
ʻO kēia mekala āpau e hoʻonāukiuki i ka hoʻololi o ke koko. Hoʻopili maikaʻi ka Systolic a me ka diastolic, aʻo ke kaila o ka paia o nā kīʻaha koko.
Hoʻolālā nā hōʻailona:
- ʻO Tachycardia ma kahi hoʻopiʻi pālua.
- ʻO kahi hemorrhages ma ka ʻili.
- ʻO ke hiʻohiʻona o ka puʻu me ka maka, ma nāʻaoʻao haʻahaʻa.
I kekahi mau hihia, ua hōʻike ʻia ka hoʻopiʻi koʻikoʻi i nā wahine a me nā kāne - ka nui o ka koko. Ua kiʻekiʻe loa ke ola ma ka pilikia o ke alapine i loko o ke kino. Me ka ʻano hypodynamic, e hoʻomaka ana me ka hoʻemi ʻana o ke kahakaha koko, ua ma luna o 50%.
Me ka ʻano hyperdynamic, i ka wā e piʻi ai ke koko, ʻoi aku ka maikaʻi o ka prognosis - ʻaʻoleʻoi aku ka nui o ka make ma mua o 10%.
ʻO nā hui ʻokoʻa
I nā maʻi pākeke, i ka wā o ka hoʻōla ʻana o nā pancreas, ʻike ka maʻi respiratory. ʻO kāna kumu koke, ʻo ia ka paona o ka exudate i loko o nā alveoli - nā ʻeke e hana i ka ʻōpū o ke kanaka. Pākuʻi ʻia nā ʻōkuhi i kahi pōkole o ka hanu, paʻakikī ka hanu, ka ʻulaʻula - ma muli o ka nele o ka oxygen.
Me kēia mau mau hōʻailona, pono ka maʻi i ka nānā ʻana. ʻAʻole e ulu pinepine ka humuhumu, akā e hoʻonui nui ʻia kona hōʻeha i nā hopena ʻino. Wahi a nā helu helu, ʻo ka make ma waena o nā mea maʻi ma muli o ka paʻa ʻana o ka hanu ʻoi aku ma mua o ka 60%, ʻoi aku ka nui o kekahi manawa.
Ma kahi o ka pancreatitis aʻeha, ua pilikia ka ate. Hoʻopiʻi ka poʻe maʻi i ka ʻeha ma ka puʻuwai. ʻOi aku ka nui o ka ukana ma luna o nā ate, ʻoi aku ka nui o ka ʻeha. ʻO ke kumu ke kuhihewa hewa ma muli o ke kaʻina a me nā maʻi pancreatic edema. E kūʻē i ke kūleʻa o ka hōʻino o ka ate, aia kekahi mau syndromes.
ʻO Jaundice - ka noho ʻana o ka ʻili, ka membrane o ka protein o nā maka, nā membrane haole o ka alelo i nā ʻāpana like ʻole o ka melemele. Hoʻopili ʻia kēia hōʻike haumania me kahi maʻi o ka mokuahi o ka bile a i ʻole ka mea hoʻokūkū bilirubin i loko o ke kino. Me nā pilikia o ka puʻuwai, piʻi ke koko, ke ʻano noʻonoʻo, pilikia kahi hiamoe, tachycardia hiki ke nānā.
ʻIke ʻia ka maʻi Renal ma loko o ka edematous a me ka ʻano luku. Hōʻike ia iā ia iho me he ka emi ʻana o ka laea o ka diuresis i kēlā me kēia lā. I loko o ke koko, piʻi pinepine ka nui o ka urea a me ka mea hana ʻana. ʻO nā pilikia olakino e kumu ʻia e:
- ʻO ka hana ma muli o ka huehue a me ka luaʻi;
- Ka poino o nā keiki i nā huahana kīnāwī o nā ʻiʻo pancreatic;
- ʻO kaʻoki kino o ka momona e lawe pū me nā pehu i ka huapalapala i loko o ka maʻi pancreatitis hoʻonā;
- ʻO ka emi nui o ke kahe koko i nā waiwai koʻikoʻi.
ʻO ka hele ʻana o kahi hana āmiki i hana ʻole ʻia Hoʻomaʻi hou aku ka hana o nā mea maʻi me ka lawa kūpono o ka pancreatitis.
Hoʻomaʻamaʻa
Hoʻomau ʻia ka ʻālaʻi o ka pancreatitis maʻa mau i nā kūlana paʻa, ʻaʻohe ʻano ʻē aʻe. I kekahi mau manawa, maʻalahi ke ʻano o ka pathology, hoʻihoʻi koke ka mea maʻi me ka hopena ʻole o ka ola kino.
I kekahi manawa ʻo ka maʻi pancreatitis e koi ai i ka mālama ʻana a me ka hoʻoweliweli ʻana i ka maʻi - ʻo ka hapa nui o nā peʻe e pili ana i kahi ʻano hōʻino. ʻO ka maʻalahi o ka pancreatitis Edematous ka mea liʻiliʻi loa.
ʻO nā hana kūpono Therapeutic i ka meaʻai. I ka manawa mua, pāpā ʻia ka mea maʻi e ʻai i kekahi mea a i ʻole ke hana ʻana i kahi ukana nui loa ma luna o ka pancreas. Hele mai ka wī ma lalo o ke alakaʻi ʻana i nā mea lapaʻau, maʻa mau a 2-5 lā mau lā.
Nā pahuhopu hoʻōla:
- E hōʻemi i ka luhi ma ka hapa o ka digestive.
- Hoʻonohonoho iki i ka lele koko i loko o ke kino.
- Hoʻohui no ka dehydration.
- Hoʻopau i nā ʻeha, dyspeptic syndrome.
- Hoʻopilikia ka mālama antibacterial i nā hoʻopiʻi hikiʻole.
Inā he mea luku kahi mea maʻi, ʻike ʻia ka maʻi lua, a laila e hana ʻia ka hoʻomaʻamaʻa. Nui nā ʻano aʻoaʻo ma ka hoʻomaʻamaʻa lāʻau. Aia ke koho i ke ʻano kikoʻī.
Ua wehe a paʻa ʻia nā hana, e hoʻohana ana i kahi endoscope. Hoʻohana wale nā ala hana i nā hihia koʻikoʻi - necrosis, perforation o ke kahe, peritonitis purulent, huhū nui.
No laila, ʻo ka pancreatitis aʻokiʻoki paha a reactive me ka syndromes like ʻole. Eia nō naʻe, ʻaʻole lawa ka loaʻa o kā lākou maʻi. Hoʻopili ʻia, pono i nā mea hana a me nā diagnostics laboratorium.
Hōʻike ʻia nā hōʻailona o ka pancreatitis i ke wikiō ma kēia ʻatikala.
