ʻO ka pancreas kekahi o nā kūpeʻe endocrine koʻikoʻi i loko o ko mākou kino, ka mea nona nā ʻāpana ʻekolu, ke poʻo, ke kino a me ka huelo. Ua huna ʻia ia e like me ka insulin, glucagon, somatostatin a me ka pancreatic polypeptide. Hoʻokomo ʻia nā mea ʻelua i ka hoʻoponopono i ka ʻaila o ka hooneʻe.
Hōʻike ka Insulin i ke kō koko koko, aʻo glucagon, ma ke ʻano ʻē, hoʻonui iā ia. Wahi a ia, me ka nele a i ʻole ka nele o ka insulin, e ulu ka maʻi diabetes. ʻO kēia hoʻopiʻi ʻana, ma ka mua, ʻo ka hoʻokaʻa ʻana o ka kelepona he pōmaikaʻi.
I ka hoʻohui ʻana i nā hormones, ʻo ka pancreas ka huna pū ʻana i nā enzyme o ka digestive: alpha-amylase, kahi mea e kōkua ai i ka wāwahi i ka protein, lipase, ka mea i ʻeliʻī i ka momona, a me ka lactase, ka mea i hoʻopili ʻia me ka waiū waiu (lactose). Ke ʻole o lākou, ka ʻaihue nui ʻia ka ʻike ʻana, a ke hele ʻole ka mea i loaʻa i nā mea momona a me nā wai, inā i momona nui.
ʻO ka Somatostatin ka hoʻokuʻu i ka hormone, ke hoʻokuʻu nei i kahi mea, e hoʻemi ana i ka hopena o ka ulu ulu i ke kino. I loko o nā keiki, ke hoʻokaʻawale nei ia i nā kaʻina hana o ka ulu a me ka make ʻana o ke kino, ʻoiai i ka poʻeʻelemakule ka mea e pale ai i ka hoʻomohalaʻana o ka acromegaly, kahi maʻi aia i ka ulu ʻana o ka ulu ʻana o nā ʻihi a me nā pā palupalu ma nā pākeke a me nā poʻe ʻelemakule ma muli o ka nui o ka ulu ʻana o ka hormone ulu.
No ke aha ke lawe ʻia ai ka pancreas?
I nā maʻi like ʻole a me nā kūlana patological, ʻaʻole hiki ke hana hou ka pancreas, a no laila e hoʻokaʻawale ʻia, ʻokoʻa a ʻokoʻa loa.
ʻO ka loiloi ka ʻano ʻoi loa ka maikaʻi.
Hoʻohana ʻia kēia ʻano lāʻau e hiki ke mālama ʻia ka lāʻau lapaʻau i ka hopena i makemake ʻia.
ʻO ka wehe ʻana i ke kumulāʻau (a i ʻole pancreatectomy) kahi hana paʻakikī, hiki iā ia ke alakaʻi i nā kumu aʻe:
- nā hana cystic;
- hui ʻeha;
- ālai ʻia e nā kumu o nā kelu me nā pōhaku (ʻaʻole liʻiliʻi - e like me ka hui pū ʻana o ka cholecystitis)
- hana maʻi i loko o ka aʻehā (maʻa a maʻi aʻeha paha i ka papaʻeha o ke koʻikoʻi);
- nā maʻi oncological (nā maʻi hōʻeha);
- fistulas;
- kūmole pancreatic;
- kūwaho vascular;
- peritonitis;
- inu waiʻawa.
ʻO ke kumu maʻamau kumu alakaʻi i ka pancreatectomy ʻo ka maʻi maʻi. Nā ʻĀpilikia Holo:
- Laula
- Ka ʻai nui i nā momona momona a me nā palaoa.
- Alikaihue
- ʻO ka hana ma mua o ka ʻōpū.
- ʻO ka nekrosis pancreatic;
Eia kekahi, ʻo ka heleʻana o kahi genis predisposition e kōkua i ka maʻi pancreatic.
Pehea e hele ai ka pancreatectomy?
Maikaʻi ʻole, paʻakikī ka hana a loaʻa ka mālama nui a me ka ʻike o ka mea maʻi. No ka mea aia ka ʻōpili ma hope o ka ʻōpū, ka ʻōpū liʻiliʻi, a me ka puʻuwai, hiki ke hele aku. Hoʻokuʻu ʻia ia ma ka hoʻohana ʻana i ka laparoscopy.
Kuhi ʻia kēia ʻano ma ka hoʻolaha ʻana o kekahi o nā keʻena kūikawā i loko o ka puʻuwai o ka mea maʻi ma o nā hōʻiliʻili liʻiliʻi i hiki ke hoʻomaopopo pono i kahi o kekahi kumulā (i ke kūlana i hōʻike ʻia, ka pancreas).
Ma hope o kēia, hana ʻia ka incision nui a i ʻole ʻāpana o ka papa ʻai a i ʻole ʻāpana āpau e ʻoki ʻia ma loko ona. I ka huina, ʻo ka lōʻihi o ke kaʻina e pili ana i nā hola 5.
ʻAʻole maʻalahi ia ka hana, a no laila ke kiʻekiʻe ka pilikia o nā hoʻopiʻi o nā ʻano like ʻole. Ma ka manawa koke a ma hope o ka hōʻea ʻana, hiki mai kēia:
- kahe koko
- loaʻa ʻana i ka ʻeha;
- ʻokoʻa nā lau;
- Hiki i nā mea maʻi hiamoe ke hoʻomohala i nā ʻehaʻeha.
ʻO ka hoʻopiʻi koʻikoʻi koʻikoʻi ma hope o ka laweʻana o ka pancreatic ʻo ka maʻi type 1 ʻano maʻi. Hoʻokumu ia ma muli o ka pani piha ʻana o ka hana insulin, i.e. hemahema insulin. ʻO nā ʻano a pau o ke kūnaʻi ʻana e hana ʻino ʻia ma muli o ka nele o nā enzyme.
I ka manawa o ka wā kūpono, ʻike nā poʻe maʻi i ka nāwaliwali koʻikoʻi, ka hāʻawi ʻana o ka luhi, hiki mai ke hōʻino ʻia i nā ʻeha a me nā moku kokoke.
I kēia manawa, makemake nui ka mākeke me ke ʻano kūpono no ka hana.
Hiki iaʻu ke noho me kahi pancreas?
Pane ka maʻalahi o ka pane i kēia nīnau. E kōkua nā lāʻau lapaʻau hou i ka mālama ʻana i ke ola me ka ʻole o ka pancreas o nā poʻe i hana i ka hana ma luna, i kahi kiʻekiʻe loa. Akā i ka mea e hiki ai i ke kino ke hoʻohālikelike i kahi ola hou, pono kekahi e holo pono i kekahi mau ʻōlelo hoʻolako.
Ke kū ka pilikia o ka maʻi diabetes (a loaʻa iā ia ma kahi o 100% mau hihia), kau ʻia nā mea maʻi i ka laikini holomua ʻana i ka lā. He pono no ka mea ʻaʻohe o lākou i ka insulin. Inā hōʻole ʻoe i kēia, e piʻi ka kiʻekiʻe o ke koena i ke koko i nā waiwai koʻikoʻi loa, a hiki koke i ka kanaka ke make. No laila, me nā kaha ʻana o ka hormone kūpono, pono ke nānā pinepine ʻia o ke kō. Ma ke ʻano he wā, hiki iā ʻoe ke aʻo e hana i kēia iho me ka hoʻohana ʻana i kahi glucometer.
No ka mea pono e mālama i ka hoʻowalewale ʻia, ʻōlelo ʻia nā maʻi i nā lāʻau lapaʻau (Creon, Mezim, Pangrol) piha i nā enzyme pancreatic.
I ka hoʻohuiʻana i nā lāʻau lapaʻau a me nā hoʻolaʻa maʻi hormone, pono kahi mākaukau ma hope o ka hoʻomaʻamaʻa ʻana. Lele:
- Nā huahana pālua a me ka uahi.
- Salty and pickled.
- ʻO nā kīʻaha momona.
- Kopi a me nā pā ikaika.
- Nā palaoa i hoʻomoʻa ʻia.
- ʻO nā huahana momona momona.
- Koti
- ʻO nā huahana mai ka palaoa.
- ʻO nā momona kalowa.
- Nā hua nui i nā nui.
- Nā inu alaka.
- Paʻu a me nā wai ʻono.
Pono ka palaoa i ka ʻai, kiʻekiʻe i ka protein. Hoʻomaopopo ʻia e ʻai i nā huaʻai hou a me nā mea kanu haʻahaʻa i ka liʻiliʻi. ʻOi aku ka ʻalā maikaʻi, kākala a ʻūlū ʻia.
I nā lā mua ma hope o ka hana ʻana no ka pancreatic, ua ʻōlelo ʻia ka inu ʻana, me ka wai ʻole wale nō ka carbonated. I ʻekolu mau lā aʻe, hiki iā ʻoe ke hoʻomaka i ka ʻai ʻana i ka ʻaina meaʻai a inu hoʻi i kaʻaila, akā pono e kiʻi ʻia.
Kahi hope iki, e hoʻolōʻihi i ka mea ʻai, a e ʻae ʻia nā mea maʻi e ʻai i nā mea momona liʻiliʻi ʻia a me nā omelets kuahiwi. A laila hiki iā ʻoe ke hoʻolauna i kahi kīʻaha liʻiliʻi o ka palaoa, loko o ka paila a me ka paila.
A laila hiki iā ʻoe ke hoʻokaʻawale i kahi iʻa iki (me ka mea ʻole i kau a iʻa!), Vegetable puree me ka ʻano o ka wai.
ʻO kahi kūlana nui o ka meaʻai i ka wā postoperative e hoʻemi iki i ka nui o ka paʻakai a inā he hiki, i ke kaawale o ke kō i loko o kona ʻano.
ʻO nā hopena o ka hana
He paʻakikī nā Pancreatectomy, pōʻino, akā ua hoʻokō ʻia ma ka inoa o ke ola i nā ola. Aʻo kahi kumukūʻai liʻiliʻi loa ka pancreas e ola ai. ʻO kaʻoiaʻiʻo, he nui nā poʻe e paʻakikī e ʻike.
Aia i kēia mau manawa ka mea e pono ai i nā maʻi e kākoʻo kino mai ko lākou ʻohana. Ma ka hale mālama, pono lākou i ka mālama, mālama, kōkua. ʻO kahi kūkākūkā ʻana o kahi mea lapaʻau i hiki ke wehewehe e ʻaʻole i pau ka ola ma laila he mea maikaʻi loa ia. Ma hope o nā mea a pau, he mau kūlana wale nō kēia e hiki ai iā ʻoe ke hoʻoponopono inā makemake ʻoe. He mea nui e mālama i ka makemake o ka mea maʻi e noho mai, ʻoiai nā pilikia.
No ka mea ua loaʻa i ka maʻi āpau ka poʻe i loaʻa i ka maʻi maʻi 1 kaʻi, hiki iā lākou ke lilo hou i ka maʻi no ka mea hiki ke hōʻeha i ka hoʻopilikia a hoʻomau paha i ka hele ʻana o kēia maʻi. Hoʻololi ka maʻi maʻi maʻi me ka ʻike maka o ka ʻike (retinopathy), hōʻeha o ke keiki (nephropathy), a me ka hopohopo o ka neʻe ʻana o ka nerve (neuropathy). Hoʻoholo kēia mea i ka nui o ka maʻi.
No ka wā lōʻihi, hiki i ka mea maʻi ke hōʻeha i ka ʻeha nui, ʻo ka painkillers e kōkua iā ia e hōʻea.
ʻO nā hopena e kū mai ana ma hope o ka hemo ʻana o ka pancreas, hilinaʻi nui ʻia i ka pololei o ka hāʻawi ʻana i ka maʻi ʻoi loa a me nā hōʻailona a ke kauka e alakaʻi nei i kēia ʻano hōʻaiʻē.
ʻO ka hana maʻi Pancreatic ua wehewehe ʻia i ke wikiō ma kēia ʻatikala.
