Hōʻike ka hōʻike ʻana i ka atrankre pancreatic i ka emi ʻana o ka nui o ke kino o loko, ka mea i hōʻike ʻia e exocrine (digestive enzymes) a me ka intracecretory (hana i ka insulin a me ka glucagon) lawa ʻole o ka hana.
I ka hapa nui o nā kiʻi pena, ka pathogenesis ma muli o ke ʻano o ke ʻano o ka pancreatitis, ka maʻi diabetes mellitus, nā ala āpau me ka hopena āpau o ka cirrhosis, a me nā mea hoʻonaninani. I kekahi manawa he kumu ʻaʻi.
No ka hana pololei ʻana i ka maʻi maʻa, ua hana ʻia ke ʻano hoʻonaninani. E noʻonoʻo i nā hopena Laboratory e hōʻike ana i ka nele o nā enzyme digestive a me kahi hoʻohaʻahaʻa haʻahaʻa o ka insulin.
Pono ʻia kahi hoʻokolohua ultrasound, e hōʻoia ana i ka hoʻemi ʻana i ka puhipuhi, kahi hoʻololi pathological i loko o ka parenchyma. Hoʻokomo ka Therapy i ke koho ʻana o ka mālama hili. Kūleʻa lākou i nā lāʻau lapaʻau enzyme, insulin, nā lāʻau e hoʻihoʻi i ka microflora intestinal.
ʻO nā pathogenesis o nā loli atrophic i ka pancreas
He loli ke hoʻololi ʻana o ka atrophic i ke pancreas ma ke ulu ʻana ma muli o ke ʻano kūlohelohe o ke ʻano ʻelemakule. Ua hele pū ʻia lākou me nā maʻi ʻino luhi.
Eia kekahi, ʻo ka atrofi ka hopena o kekahi ʻano o ka pancreatitis maʻi, me kahi ʻāpana nui o ka pōpō 
Hoʻohui ia e nā lau fibrous, ka mea e alakaʻi ai i ka mahuahua nui i ka hopena endocrine a me ka exocrine.
ʻO ka maʻamau, ʻokoʻa ka laulā o nā mea kūloko o ke kūloko ma waena o 80 a 90 mau. Inā ʻike mau nā loli i loko o ia mea, a laila e waiho ana iā 30-40 g a ma lalo. Aia kekahi hoʻololi i ka hoʻonohonoho ʻana o ke kino ponoʻī. ʻO kahi maʻi o ka hoʻopili pili, ʻo ia kekahi o ka maʻi.
ʻO ka atrophy pancreatic e kū mai nei no nā kumu penei:
- ʻO ka loaʻaʻana o ka momona degeneration o ke kino.
- ʻO nā hoʻohālikelike o ka maʻi maʻi maʻi.
- Ka inu hoino ana i ka rama, ka uahi.
- ʻŌpala ʻo Duodenal, ʻōpū.
- ʻAʻohe meaʻai kūpono.
- ʻO nā pathologies Autoimmune e hoʻopili ana i ka ʻōpū o ka ʻōpū.
- RV resection.
Noho ka pancritis Atrophic e kū'ē i ka maʻi mellitus i kahi wahi kūikawā. Hōʻike ʻia kēia maʻi me ka hoʻohaʻahaʻa nui ʻana i ka mea i ʻoi aku a 20 g, paʻa ʻo ia ka palupalu, lilo ka ʻaoʻao i ka tuberous, nā coopole kapsul me nā ʻoka momona, nā ʻāpana kokoke.
Hōʻike ʻia ka lipomatosis me kahi ʻano atrophic o ka maʻi pancreatic. ʻOiai ke ʻano o kēia maʻi i ka maʻamau maʻamau o ka nui a i ʻole ka hoʻonui, akā ke loli nei ka hapa nui i ka iwi adipose, i ʻike ʻia nā ʻāpana o ka glandular. I ka 80% o nā hihia me nā maʻi like, mālama ʻia ka ʻāpana islet a me ka hana endocrine.
Hōʻuluʻulu ka mea i nā mea maʻi i ka predisposition genetic, ka hilinaʻi i ka ʻona, nā hōʻeha ʻeha, nā maʻi maʻi o nā kino o loko, ka cholecystitis calculous.
Nā hōʻike maʻi haukapila o ka atrophy
Ma ke nānā ʻana i ka maʻi o ka atrankatic pancreatic, he aha ia, a me ka mea he atravi o ka huelo, ʻike mākou i nā hōʻailona e hōʻike nei i ka pathology. Hoʻopilikia ka hōʻailona ma ka etiology o ka hoʻomohala o ke ala o ka pathological i ke kino (i ke ʻano kiʻekiʻe o ka glucose uptake, ʻano maʻamau o ka pancreatitis, a pēlā aku).
ʻOiai ke kumu a me nā mea hoʻonāukiuki, i nā mea āpau i nā mea āpau i ke ʻano o ka endocrine a me ka exogenous. Ka lawa ʻole o ka waiwai i loko o ka pūpū me ka hoʻolohi ʻana i ka hoʻoneʻe ʻana o nā enzyme digestive, electrolytes, e kōkua ana e hoʻonaninani i nā manaʻo o ka ʻōpū, kōkua i ka hāʻawi ʻana i kahi ʻano maʻamau no nā enzyme pancreatic.
ʻO nā mea maʻi e hoʻopiʻi i ka hōʻino o ka ʻili o ka kūwili, kahi i hōʻike pinepine ʻia:
- Nā maʻi maʻi.
- Hoʻemi i ka momona.
- ʻO ka lilo kaumaha.
ʻO ka hōʻailona mua loa o ka huakaʻi o ka exocrine i hoʻonui nuiʻia i ka momona o ke momona me nā feces. Hōʻike ʻia kēia hōʻailona kūʻē i ke kua o ke emi ʻana o ka hana ma o 10% o ka maʻamau maʻamau.
Hoʻomaka koke ka mea maʻi i ka momona wikiwiki. ʻO kēia ma muli o ka hana i ka hāʻawi ʻana i ka meaʻai, ka hoʻoulu ʻana i nā mea kanu i ka gastrointestinal tract e hoʻopilikia nei, a e emi ana ka momona. Inā loaʻa iā mākou ka pancreatitis atrophic koʻikoʻi, a laila hōʻike nā hōʻike hōʻikeʻike i kahi nui o nā nui o nā huaora a me nā minela.
ʻIke ʻia ka endocrine insufficiency e ka mea ulu kino a me ka maʻi laʻa e kū like me ka maʻi hyperglycemic syndrome.
Eia nō naʻe, ʻo ka hapalua wale nō o nā mea maʻi e hoʻopiʻi i nā hōʻailona o ka maʻi maʻi (urination wikiwiki, waha maloʻo, hoʻohana pinepine ʻia o ka luae, a me nā mea āpau).
ʻOkoʻa ka maʻi ʻokoʻa
I ka hoʻokolokolo ʻana i kahi mea maʻi i 90% o nā kiʻi haukapila, ʻikeaʻi ʻia ka nui o ke kaumaha. E ʻili ʻia ka ʻili, lilo i ka maloʻo loa. ʻO ka pinepine ke loaʻa nā mea flaky. I ka manawa like, ʻaʻole hiki i ka palpation ke "ʻoluʻolu" i kahi emi ʻana o ke koʻī o loko.
Ke hoʻokumu ʻia nei ka pathogenesis i ka hoʻomaka ʻana o ka pancreatitis, a laila ma ka palpation ka mea i hoʻopiʻi ai ka mea maʻi i nā hōʻeha kaumaha a i ʻole nā hōʻeha paʻakikī. Hōʻike nā hualoaʻa o kahi hoʻokolohua o ke koko biochemical ua pau ka hana o nā huina digestive.
Kōkua ka coprogram i ka ʻike ʻana i ka momona i nā feces (steatorrhea). Ma ke kānāwai, ʻoi aku ma mua o ka 10% o ka hoʻohana ʻana i kēlā me kēia lā i loaʻa i loko o nā feces. Hoʻonui nui ka nui o nā uaua kikokikona i loko o ka papa, ʻo ia kahi mea pale mai ke ʻano maʻamau.
I ka hapa nui, ʻo ka hōʻike ʻana ma ke neʻe o ka glucose e hōʻike i ka nui e hoʻonui ai, e koi ai i nā kipa hou aʻe i nā kauka e like me ka endocrinologist a i ʻole ka maʻi maʻi.
ʻO nā ala ʻē aʻe no ka hoʻoholo ʻana i ka maʻi:
- Ke hana nei i kahi nānā ultrasound o ka pancreas e hōʻike i kahi hōʻemi pathological i loko o ke kino o loko. E maloʻo ke ʻano, eho nui ka echogenicity, ʻaʻole i pololei ka papa.
- Manaʻo ʻia ʻo MRI i nā hihia kahi i hāʻawi ʻole ʻia ai ka ultrasound i ka ʻike a me ka ʻike kikoʻī hou aʻe e hoʻoholo ai i nā hana hoʻoponopono kūpono loa.
- Hoʻomaopopo ʻia ka RCP e loiloi i ke kūlana o nā kumulāʻau, e ʻike i nā loli i hele pinepine ʻia ʻo ia ka pancreatitis maʻi. Mahalo i kēlā me kēia ʻano lapaʻau olakino, hiki ke hoʻokō i nā hoʻemi ʻana i nā kumu pancreatic, ʻoi ka palu a me ka ʻike ʻole ʻana o nā pā.
- Pono ke Angiography i nā hihia i kūpaʻa ai kahi lāʻau lapaʻau i kahi kaʻina. Hiki i ke kaʻina hana ia ʻoe e hōʻoia a hōʻoia paha i ka manaʻo.
Ua kauoha ʻia kahi biopsy o ka pancreas. Ma kahi noiʻi hana umauma o ka hoʻohālike i lawe ʻia, ka loiloi o ka fibrosis a me ka luku ʻana i ka parenchyma, ke ʻano o nā mea i ʻike ʻia a me nā wahi e hua ai ka insulin.
Hāʻawi kēia kaʻina hana kuʻi iā ʻoe i nā leo leo o nā maʻi.
ʻO ka lāʻau lapaʻau no ka atrophy pancreatic
I ka hōʻailona mua o nā loli atrophic i ka pancreas, ua ʻōlelo mua ʻia ka meaʻai. Pono ka mea e hoʻemi ʻia ka mea i loko o ka meaʻai i loaʻa nā momona manu.
Pono e makaʻala i ka nele o nā mea waiū i loko o ke kino, ka nele o ka ikehu, a me ka hoʻoponopono ʻana i ka hapa ʻole o nā huaora a me nā mineral. I ka lilo ʻana o ka nikotine i kahi hūnā i ka hana o nā bicarbonates i loko o ka wahī, hiki ke hoʻopau ʻia nā ʻoka.
ʻO ka papa hana nui o ka mālama conservative ka mea i hoʻolaʻa i ka hana no ka hana o exocrine a me ka mea huna intracecretory. Hoʻomaopopo ʻia nā lāʻau lapaʻau ʻo Enzymatic e uku no kēia mau hana.
I mea e loaʻa ai ka hopena therapeutic i makemake ʻia, pono e hōʻike ʻia nā lāʻau lapaʻau e ka kiʻekiʻe kiʻekiʻe o ka hana lipase, ʻaʻole loa e luku ʻia ma lalo o ka mana o ka wai ʻōpū. I kēia hihia, pono nā papa e hāʻawi i ka wikiwiki i ka hoʻokuʻu ʻana i nā mea hoʻoulu i loko o ka ʻōpū liʻiliʻi, e hoʻoikaika nui i ka hoʻoneʻe ʻana.
Hoʻopau nā Miceletads i nā koi i hōʻike ʻia. No ka mea he lipase ʻoi loa ka wikiwiki o ka hana, no laila, lawe ʻia ka hoʻoponopono ʻana i kona ʻike ma ka lāʻau a me ka ikaika o ka steatorrhea (ka momona momona i nā feces).
Hoʻoholo ʻia ka maikaʻi o ka lāʻau papaʻaina e: ka palena o ka hōʻemi ʻana o ka steatorrhea a me ka paʻa ʻana o ka elastase i nā feces. Hiki ke kōkua i ka hoʻomākaukau ʻana o Enzyme e hoʻokō i ka hopena therapeutic e like me:
- E hōʻemi i kaitisitis lua.
- Hoʻohālikelike i ka microflora ma loko o nā pāina.
- Hoʻokaʻawale i ka hoʻomaikaʻi o ka pau aʻe o ka hana kino.
E hōʻemi i ka nui o ka hōʻeha, e kuhikuhi i nā lāʻau lapaʻau e pili ana i ka analgesics a me nā antispasmodics. Hoʻoholo ka Dosage pākahi, kēlā me ka ulu ʻana o ka ʻeha ʻeha. Ua ʻōlelo ʻia nā ʻōlelo inikua o Papaverine, No-shpu, Analgin a me nā lāʻau ʻē aʻe.
E hoʻoponopono i ka hemahema o ka endocrine, pono ka hoʻomaka ʻana o ka insulin. Me nā loli atrophic, ʻaʻole ʻike ʻia ka makepona o ka pali islet, no laila, hua ʻia ka hormone, akā ma ka haʻahaʻa haʻahaʻa. ʻO ka nui o ka helu a me ke kau ʻana o ka hoʻohana ʻana i ka inika o ka insulin e hilinaʻi ana ma ka papa o ka maʻi, ka etiology o ka maʻi, nā hopena o kahi noiʻi o kēlā me kēia lā i ka glucose i ke kino.
ʻO kahi kūlana koʻikoʻi ʻo ia ka hoʻoponopono ʻana i nā hana kūnaʻi, ʻo ia hoʻi, ka maʻamau o ka microflora intestinal. No laila, hoʻohana ʻia ka probiotics a me ka prebiotics.
Hoʻohui maikaʻi ʻia, nā mea hoʻomākaukau e loaʻa ana i nā huaora. He mea pono hoʻi e hoʻopiha i ka hemahema o nā ʻāpana mineral i lalo nei.
- Hoʻolilo
- Zinc
- Kokoi.
Hiki ke kau ʻia nā hoʻohui lāʻau biologically i ke ʻano o kekahi mau lāʻau lapaʻau, a i ʻole ʻano lāʻau hoʻokahi, i hui pū ʻia me nā lako e pono ai o kona pūnāwai.
Hoʻomā ʻia ka hana ʻino ma nā wahi lapaʻau kūikawā. Hoʻokomo ka kaʻina hana i ka hiki ʻana mai o nā mokupuni o Langerhans me kahi wā o ka haʻalele ʻana o ka pancreas a me ka hoʻōla hoʻololi enzyme.
No ka mea, ʻo ka loli hoʻololi ʻana o ka pancreas he hopena ia o nā ala ʻeha me nā pilikia ʻino o ke kūlana maʻamau o ka mea maʻi, hoʻowalewale ʻole ka lāʻau lapaʻau.
ʻO ka wānana a me ke kālai
Kūkulu ʻia ka hopena o ka hopena o ka maʻi ma ka pae o ka ʻino i ka hana exocrine a me ka hana intracretory. ʻOiai he mālama ʻia nā mea ʻula e pili ana i ka islet, ma muli, aia ke koena o ka hana o ka insulin. No laila, ʻike pinepine ʻia kahi kūlana ketoacidotic, akā i ka nui o ka hōʻemi o ke kō koko koko e ulu pinepine.
Ke hoʻomaopopo nei i ka pathogenesis o ke kaʻina pathological, kāpae i ke "kumu" - ka maʻi maʻamau, ka manawa hoʻomaka o ka ʻoihana - ʻo kēia mau helu āpau e ʻae iā ʻoe e loaʻa i nā hopena therapeutic maikaʻi a me kahi hoʻomaikaʻi maikaʻi.
E like me ka prophylaxis, loiloi nā loiloi e hoʻohana i ka hoʻohana ʻana i nā ʻano lāʻau lapaʻau kuʻuna. Kōkua lākou i ka hoʻomaikaʻi ʻana i nā hana o ke pancreas, kōkua i ka hoʻomaikaʻi ʻana i ka hoʻowalewale ʻana, a pale aku i nā pilikia ʻino ma ke kino.
No ka papa hana, e hoʻohana ʻia nā mea kanu lāʻau - hawthorn, kumo, kāmela, lāʻau lapaʻau chamomile, a me nā mea a pau. E ninini i ka wai kō. Kukulu ʻia. Lawe iā 100 ml ʻehā mau manawa i kahi lā. ʻO nā papa ʻelua o ka mālamaʻana he mau pule ʻelua.
Me ke pale ʻana, e pono ke kuhi i nā manaʻo:
- Waʻa ʻole i ka ulaula, inu wai.
- ʻO ka mālama ʻana i nā maʻi maʻi maʻamau.
- He meaʻai mānoanoa maikaʻi a kaulike.
- Mālama i ka pae i koi ʻia o ka hana enzyme.
- Ke hoʻomau nei i kahi ola hana. ʻO ke kino kino kino me ka pancreatitis, ʻoi aku hoʻi i ka yoga a me ka hele ʻana, e lilo ʻoluʻolu loa ia.
ʻO ke kinipōpō o ka pancreas kahi maʻi maʻi, no laila, i ka wā e kū mai ai nā ʻeha hōʻeha ma ka wahi o ka epigastric, pono ke kipa ʻia kahi keʻena lapaʻau. Hoʻomaka ka lāʻau wikiwiki, ʻoi aku ka nui o ka prognosis.
ʻO nā hana a me nā ala o nā pancreas e wehewehe i ke wikiō ma kēia ʻatikala.
