ʻO nā hoʻokolohua no ka pancreatitis e pono ai e hoʻokumu i kahi maʻi hilinaʻi. ʻO ka hoʻoweliweli ʻana o ka maʻi e komo i nā ʻano hana like ʻole: ʻo ke kikowaena, ka ultrasound o ka ate a me nā kumu lolo, radiography, biochemistry, FGDS, laparoscopy, etc.
Nui nā mea o lākou e loaʻa i nā maʻi ka nīnau he aha nā hoʻokolohua e pono ai no ka maʻi pancreatitis.
Loaʻa ia i ke ʻano o ke ʻano o ke Patolo - ʻoaka a paʻa paha. He aha ke ʻano o ka noiʻi e pono ai e hele i ka mea maʻi e ʻike ʻia e ke kauka.
ʻO nā hōʻailona nui o ka pancreatitis
Ke hōʻike nei nā helu hoʻohuli ʻana i ka ulu ʻana o ka pancreatitis ma mua o ka hapalua hapa i hala ma mua o 2 mau manawa. ʻO ka pancreas, he hoʻohui i ka hormon, e hana i ka wai pancreatic - nā enzyme kūikawā e wāwahi ana i nā molekikini paʻakikī, nā palaka a me nā momona.
ʻO ka maʻamau, komo lākou i ka duodenum. Hoʻopilikia ʻia nā maʻi o ka pancreas ma muli o ka hoʻōla ʻana o ka wai pancreatic i loko o ke okana. No laila, hoʻomaka ka ʻōmaʻomaʻo kīpili, i kekahi manawa e alakaʻi i ka necrosis kūʻokoʻa - pancreatic necrosis.
Hoʻopuka ka pancreatitis i 50% o nā hihia ma muli o ka inuʻana i ka waiʻona. Eia kekahi, ʻo nā mea e hoʻonui ai i ka hōʻeha o ka patology hiki ke loaʻa i nā maʻi like ʻole, ka hōʻino, ka cholelithiasis a me nā hōʻeha o ka ʻōpū.
Hiki i ka maʻi ke hana ma ke ʻano a me ke ʻano maʻi.
Hoʻomaopopo ʻia nā ʻano hōʻailona o ke aloha pancreatitis:
- ʻeha hōʻeha o ka ʻōpū, kekahi mau kāʻei;
- palpitations a me kahi huhū;
- malignal a me ka nele;
- hāmeʻa o ka ʻohu a me ka luaʻi ʻole e lawe mai i ka hōʻoluʻolu;
- nā maʻi maʻamau i hoʻohuihui ʻia me nā mānoanoa a me nā lepo ʻai undigested.
I ka pancreatitis maʻi, ʻaʻole i hele nā hōʻailona ma luna i ka exacerbation a hemo i nā hōʻike. Ma ke ʻano he kānāwai, i ka hoʻomaka o ka hoʻomohala ʻana o ka palauwai, hōʻeha kekahi kanaka ma hope o ka ʻai ʻana. ʻO ke lōʻihi o ke wā, ua lilo ke kiʻi o ka maʻi lapaʻau.
Inā hele pū ʻia nā hōʻailona o ka pancreatitis, pono koke e ʻimi i ke kōkua olakino. ʻO kahi gastroenterologist, ma hope o ka hōʻiliʻili ʻana i kahi anamnesis, e kuhikuhi i nā hoʻokolokolo kūpono e hana ai i kahi maʻi kūpono.
Ma hope wale iho o kēia e kuhikuhi ʻia ai ka hana kūpono.
ʻO ka hōʻike koko kulekele a me ka biochemical
ʻO kahi hana koʻikoʻi ma mua o ka lawe ʻana o ka biomaterial e hoʻomākaukau no ka hoʻokolokolo. ʻO nā loiloi koʻikoʻi ka haʻalele i ka waiʻona, kaʻaila ikaika a me ke kō, ke ʻano hoʻoikaika kino a me ka hiamoe maikaʻi.
Hiki ke hopena i nā hopena hōʻike e nā lāʻau lapaʻau e like me ka ascorbic acid a me ka paracetamol. Inā, ma mua o ka haʻawina, pono ʻoe e hoʻomaʻamaʻa i kahi ultrasound, x-ray a i ʻole ka physiotherapy, ʻoi aku ka maikaʻi o ke kau ʻana i ka hōʻike. Lawe ʻia ke koko i ke kakahiaka.
I ka mua, pono nā loea e hōʻoia i ka foci o ka mumū i ke kino o ka mea maʻi. Pono kēia i kahi hoʻokolohua koko lapaʻau no ka maʻi pancreatitis. Pāʻani kekahi i ka lua, no ka mea ʻaʻole hiki ke hoʻokū ʻia ma kahi o ka hōʻeha o ke kino.
Hōʻike nā hōʻike ʻokoʻa i ka kaʻina pili.
- ʻO ka hemoglobin i hoʻemi ʻia a me ka helu selika o ke koko ka hopena o ke koko a i ʻole hemorrhage.
- Hoʻonui ka mālama hematocrit ma muli o ka hoʻopalike o ka wai-electrolyte.
- Hoʻonuiʻia nā kuʻina sedimentation erythrocyte (ESR).
- ʻEwalu mau manawa i hoʻonui i ke kaila o ke koko keʻokeʻo.
ʻO ke biochemistry koko i ka pancreatitis he kuleana koʻikoʻi ʻoi. Mahalo i kēia noiʻi ʻana, hiki i ke loea ke koho i ke kūlana maʻamau o ke kino.
Me ka pancreatitis, ʻike ʻia ke kiʻi ma ka hōʻike ʻana i ke koko.
- ka hoʻonui ʻana i ka ʻike o bilirubin, he bilirubin he māhele o ka bile, ka nui o nā mea e hoʻonui ana i ka wā i poloka ai nā dile bile;
- ka hoʻokiʻekiʻe kiʻekiʻe o ka amylase, amylase - kahi enzyme pancreatic kūikawā e wāwahi ana i ka pauka;
- ka koko koko nui (ma mua o 5.5 mmol / l), ʻaʻole hiki i ka pancreas ke hana i ka nui o ka insulin, pono, e hoʻonui ka nui o ka glucose i ke kahe koko;
- ka hoʻonui ʻana o nā waihona o nā enzymes e like me elastase, trypsin, transaminase, lipase a me ka phospholipase;
Eia kekahi, hōʻemi haʻahaʻa ka nui o ka protein ma muli o ka popo-palekana i ka pōloli. Kuhihewa ka 64-86 g / l.
Na Manaʻo Fecal
ʻO ka hoʻākāka ʻana o nā feces ma ka pancreatitis, kahi e hōʻike ai i ke kuni ʻana o ke kino, he kūpono.
No ka mea ʻaʻole i komo i ka nui o nā enzyme digestive i loko o ka ʻawaʻawa, ʻoi aku ka paʻakikī o ke kaʻina ʻana o ka ʻai. ʻO ka mea mua, pili kēia i nā meaʻai momona.
ʻOkoʻa loa ka hiʻohiʻona o ka noho me ke olakino.
Nā hōʻailona nui o ka pancreatitis:
- Kashitsheobrazny moa.
- Ka nui o ka momona o loko.
- Nā ʻāpana hoihoi.
- Pungent loa a maikaʻi loa.
- Mālamalama brown a hina paha.
ʻO ke kumu o ka hoʻololi ʻana i ka moku'āina o nā feces ka pau ʻole o nā protein undigested i loko o ka gastrointestinal tract. Eia kekahi, loaʻa i nā feces kahi iliʻilima, a he mea paʻakikī ke holoi iā lākou mai ka paia o ka lua.
Hoʻonui nui ʻia ka lōʻihi o ka hele ʻana i ka hoʻomaha. "Ma ke ala nui". Piʻi ka ʻeha ma nā hihia a kahi e ʻai ai ka mea maʻi i ka ʻai ʻalepo - nā ʻōheʻe, mālama, mālama a me nā mea ʻai ʻili.
I kēia manawa, ʻo ka nānā ʻana i ka ʻaihue e hoʻoholo ai i ke ʻano o nā mea pili i ka liʻiliʻi a me ka liʻiliʻi.
I kēia ʻoi aku ka maikaʻi o ka kani, kahi e lawe ʻia ai ka wai pancreatic.
Hoʻokuʻu i nā hōʻike hōʻike urine
He aʻo maoli ka aʻo ʻana o ka urine. Ke lawe ʻia nei ka lawe ʻia ʻana o ka biomaterial i ke kakahiaka, ua nānā ʻia ʻoiai i ka urine ma loko o 24 mau hola. Nui ka poʻe maʻi e hoʻokaʻawale kūʻokoʻa i nā hua o ke kaila, akā he kauka wale nō ke hana i kāna wehewehe.
Maʻa ka ʻāpana o ka wai palekana. ʻO ke kala e ʻoi ai ka hopena o ka urine paha he hopena ia o ka hana ʻana i a i ʻole a me nā pathology o ke kaomi ʻana.
ʻO ke ao uhi o ka biomaterial e hōʻike ana i ka loaʻa ʻana o ka pus i loko. ʻO ka maʻamau, mau ke kaohi. Inā ulu nā neoplasms i ka pancreas, hōʻike kēia i ka hōʻuluʻulu nui o ka bilirubin i loko o ka urine.
Hiki i ke kaohiʻana o ka glucose i kahi wai ke hōʻike i nā maʻi he nui. I kēia hihia, diabetes mellitus, pancreatitis react, a me ka hopena ʻole ʻana e pili ana i ka hana o ka kidney. ʻO ka maʻamau, ʻaʻole i ka glucose i ka glucose a i ʻole e nānā ʻo ia eʻoi aku ma mua o 0.02%.
ʻAʻole ʻike ʻia nā Hemoglobin i loko o ka ukiʻi o kahi kanaka olakino. ʻO kona heleʻana he hōʻike no ka hoʻohālikelike koʻikoʻi nui, nā maʻi hopohopo lōʻihi a hypothermia paha.
No ka ʻeha o ka ʻōpū, lawe ʻia kahi hōʻike i ka urine no ka hele ʻana o ka diastase, kahi enoma e hoʻokaʻawale i nā mea kalowa.
ʻAʻole pono nā moʻo i ka pākeke ʻoi aku ma mua o 64 mau ʻāpana.
ʻO nā ala ʻē aʻe no ka hoʻopaʻaʻana i ka pancreatitis
Hoʻopili i nā hoʻokolohua ololi a me ka biochemical lapaʻau i ka hana lapaʻau, hoʻohana ʻia nā hana ʻē aʻe no ka hoʻohālikelike ʻana i ka pancreatitis.
Ka ʻike ʻana o ka immunoreactive trypsin. ʻAʻole iʻoi aku ka lawehala ma mua o 40%, no laila ʻaʻole hoʻohana pinepine ʻia kēia ala diagnostic i nā manawa pinepine. ʻO kēia ka mea i loko o 60% o nā hihia kahi hopena maikaʻi ke hōʻike nei i ka hoʻomohala ʻana o nā ala āpau. No ka laʻana, cholecystitis, hypercorticism, pleurisy a me kaʻeha renal.
Ka hoʻoholoʻana o ka trypsinogen i loko o ka pōʻai. Maʻalahi kēia kaʻina a me ka ʻike, no ka mea, me ka pancreatitis, ka urine e mau ana i kahi ʻano hana ʻole ʻano o ka hāmeʻa trypsin. Akā, he mea maʻamau loa ia no ka nui o ke kumukūʻai kiʻekiʻe.
ʻO ka ʻikeʻana i nā mea e pili ana i ka inhibits trypsin i ke kahe koko. ʻO ka hoʻohaʻahaʻa haʻahaʻa, ʻoi aku ka hopena i ka pancreas.
No ka hoʻoholo ʻana i ka mumū o ke kino, hiki i ke kauka ke kuhikuhi i nā ʻano mea i ʻike ʻia:
- radiology o ka duodenum;
- ʻOi ka papa o ka bile duct a i ʻole;
- laparoscopy
- fibrogastroduodenoscopy (FGDS), etc.
Ma hope o ka hana ʻana i kahi hoʻokolohua, makemake kekahi loea i ka hoʻohana ʻana i nā lāʻau lapaʻau e like me antispasmodics, m-anticholinergics, H2-blockers, enzymatic agents, probiotics (Bifidium), etc.
Hiki iā ʻoe ke hana i nā hoʻokolohua ma ʻelua. Inā hiki i ke kālā kālā o ka mea maʻi ke ʻimi ʻoe i kahi uku uku ʻia, ʻoi aku ka maikaʻi o ke ʻimi ʻana i ke kōkua ma kahi kikowaena pilikino, e loaʻa ai nā hopena ʻoi aku ka hilinaʻi.
ʻO ke ʻano etiology a me nā maʻi diagnostic no ka pancreatitis e kūkākūkā i ke wikiō ma kēia ʻatikala.
