ʻO ka Steatorrhea kahi kūlana i loaʻa ai nā mana o ka mea maʻi i nā mea momona o nā mea momona. ʻO ka nui o ka momona o ka momona i ka neʻe ʻana e hiki ke hele ma 5-10 g, kahi nui loa.
Hōʻailona pinepine nā feces, akā i kekahi manawa e hoʻopiʻi ka mea maʻi i ka constipation. Hoʻohui ʻia nā masa ma kahi ʻano heen sheily, kapa maikaʻi lākou i ka lewa mai ka paia o ka pā kīwī a hiki ke waiho i nā ʻili oila.
Nui nā poʻe maʻi e hopohopo i nā hihia ka maʻi o ka pathology a me ke aha. Hiki i ka maʻi like ʻole ke hōʻeha i ka pākeke a me kahi keiki;
Nā ʻano a me ke kumu o ka steatorrhea
ʻO ka maʻi ke ʻano o nā ʻano ʻano, ma muli o ke kumu o ka hoʻomohala ʻana o ka pathology. Alimentary a i ʻole steatorrhea type 1 hiki ke hele me ka nui o ka hoʻohana ʻana i nā momona momona a hiki i ke kino olakino ke hiki ʻole i ka hanu.
Kuhi ʻia ka ʻōpū o ka pūpū i ka wā i hoʻopili ʻia ai nā maʻi ʻōpala i hoʻopuni ʻia e nā ʻāpana liʻiliʻi.
Hōʻike ʻia ka steatorrhea pancreatic inā hana maikaʻi ʻole ka pancreas a me ka lipase, ka mea nāna e wāwahi i nā ōmole, e hua ana i ka nui o nā moʻo.
Ka māhele ʻia o ka hoʻomohala ʻana o ka maʻi i ʻoka ʻia i ʻekolu mau pūʻulu:
- ʻO Steatorrhea - ma muli o kahi pōʻino i loko o ka nenehana kūnaehana, ʻike ʻia ka hele ʻana o ka momona neʻe i ka papaʻa;
- ʻO ka hoʻonaninani - no ka loaʻa ʻana o nā mea momona i loko o ka ʻōpū, ʻo ka feces ka nitrogen, nā momona momona a me nā ʻōpala;
- Amylorrhea - i loko o nā feces, ka loiloi o biochemistry e hōʻike i kahi hui o nā momona kūleʻa a me nā momona momona.
ʻO ka pathogenesis o ka maʻi, me ke ʻano lula, ua pili pū me ka ʻike ʻole o ke kino hiki ke hoʻopili piha a kau i ka momona.
ʻO kahi kumu kumu hou aʻe lohi loa o ka maʻi mai ka hoʻokuʻu wikiwiki ʻana i nā feces. E nānā ʻia kahi ʻano like ʻole inā hana ʻino kekahi kanaka i nā lāʻau lapaʻau laxative.
Eia kekahi, hiki i ka maʻi ke hoʻonāukiuki i nā pilikia ma ka ʻāpana liʻiliʻi, ka ate a me ka pancreas. ʻO ka pinepine o ka mea hoʻopiʻi ke pancreatitis maʻi, ʻoi aku ia inā hoʻomohala ʻia i kahi kūmole.
Hiki i Cardiospasm ke hana wale i ka steatorrhea i ka hihia loaʻa ʻole. Hiki i ke kūlohelohe o ka hua bale ke alakaʻi i nā hopena maikaʻi ʻole, ma kēia hihia ke loaʻa kahi kukui ʻoluʻolu.
ʻO nā hōʻailona o ka steatorrhea
Inā ke ulu nei kahi kanaka i ka steatorrhea, ʻo ka hōʻailona nui o ka maʻi e lilo i mea pinepine a koi hoʻi ke kuʻi. I ka manawa like, loaʻa nā kīpī i ka hoʻonaninani wai, nui ka pā i ka nui, kū pinepine pinepine nā kīwaha. I kekahi mau hihia, ka mea hoʻomanawanui, he ʻokoʻa ka constipation.
ʻO kekahi ʻano ʻano ʻāpana o ke alo i ka wā e hele pū ana me ka hoʻokumu ʻana ma nā paia o ka pahu kīhāpai o ka paʻakikī e holoi ʻōpala i nā pōpoki. Hiki i ke kala ke kūleʻa, māmā a hina paha i ka waihoʻoluʻu.
Hoʻomanawanui ka mea maʻi i ka dizziness, bloating a rumbling i loko o ka ʻōpū o ka wahī, ka hoʻomaʻamaʻa mau ʻana o nā membula mucous o ka waha a me ka nasal membranes, lethargy, hōʻemi i ka hana, maʻamau ʻeha ka maʻi ʻeha.
Eia kekahi, ʻo nā mea maʻi me ka maʻi hoʻokipa o ka steatorrhea i loaʻa i kēia mau hōʻailona hōʻailona:
- ʻŌpala maloʻo, nui nā wai ʻōpū;
- ʻEha i ka ʻāina o nā iwi tubular, nā pūlima a me nā mākeke;
- ʻO ka wikiwiki wikiwiki nui momona a me ka luhi, i kekahi manawa i ʻike ʻia ka anemia;
- Hoʻopili ke lehelehe a huli ʻoliʻoli, nā ʻoki o nā waha;
- I loko o ka waha ʻōpū, aia nā hōʻailona o ka stomatitis, he mālamalama ʻoniʻolo ke alapine, hiki i ka papillae ke atrophied, nā māla a kahe a huʻu.
- Ma muli o ka momona momona subcutaneous, maloʻo ke kino, ʻili, a pinepine ʻia e ka polymorphic erythema.
I ka wā palpation, hiki i nā kauka o ke kikowaena diagnostic ke ʻike i kahi manaʻo o ka kuhi ʻana a me ka rumbling i ka ʻaoʻao hema o ka ʻōpū, ma ka wahi o ka cecum. ʻAʻole palpable a me ke kōpaʻa.
Hōʻike ʻia ke ʻano maʻi me kahi papa no ka maʻi o ka maʻi. ʻOi aku ka lōʻihi o ke kala ʻana. ʻO nā maʻi e pili ana i ka uluʻana, nā pilikia neuropsychic e alakaʻi i ka nalo. Hele mai kahi ʻano like ʻole me nā kumu ʻike ʻole ʻole.
Ma muli o ka patology, aia ka nui o nā kīʻaha o nā momona a me nā protota, no ka mea e hemo ai nā mea kīʻī o a me a me nā kiko. Nele kekahi kanaka i nā huaora, nā nicotinic a me ka waikawa folic. Ke huli nei kēia i ka hypoproteinemia, hypocholesterolemia, hypolipemia, leukopenia, hypochromia, ʻaʻole pinepine ka hyperchromia, anemia, hypocalcemia, hyponatremia.
Ka ʻokoʻa ʻana a me ka mālama ʻana i ka maʻi
No ka ʻike ʻana i ka atrophy o ka membrane mucous, ua kau ke kauka i kahi rectoscopy. Me ke kōkua o ke ʻano loiloi X-ray, ʻike ʻia ke kiʻekiʻe o ka swelling, hoʻonui a me ka hoʻoluhi ʻana i ke kani o nā ʻāpana o ka mucosa.
Hiki i kahi biopsy ke ʻike iā ʻoe inā he atrophy, ʻaʻohe o nā lauoho terminal, ua pōkole ke villi, aia ka epithelium cylindrical ma lalo o kahi pae maʻamau, aia ka nucleus i nā wahi kūlohelohe.
Nā umauma pili ʻana i kekahi mau hihia, a lele nui nā penes nerve. ʻO kēlā mau hōʻino e hoʻemi nui i ka hana o ka ʻili o ka naʻau.
- I ka wā o ka hoʻokalakupua ʻana i nā loina, hiki ke ʻike ʻia kahi paʻa iʻa mau ʻia. ʻO ka pinepine ka wai palaka a loaʻa kahi pale pale.
- Hōʻike ka laboratory loea i nā nui he nui o nā momona momona, nā palaka a me nā mea hoʻi. ʻO ka Steatorrhea e hōʻike ʻia inā aia ka stool iʻoi aʻe ma mua o 7 g o ka momona.
- I mea e hoʻoholo ai i ke kumu kumu o ka haʻaleleʻana o ka hoʻoneʻe a hoʻololi ʻia o nā mea momona, hoʻokaho ʻia ka radioisotope. E hoʻokaʻawale i nā maʻi o ka pancreas (reactankreatitisitis, diabetes, cyst), kahi hoʻohana ʻia ʻana o ka momona.
- Hiki i ka coprogram iā ʻoe e maopopo i kahi o nā maʻi o ka kuʻekuʻe gastrointestinal.
He mea nui ia e mālama i ka steatorrhea, akā ʻo nā maʻi i alakaʻi i ka hoʻomohala ʻana o nā pathology. Lawe ʻia ka Therapy me nā lāʻau lapaʻau me kahi kiko lipase kiʻekiʻe, ʻo ia mau papa he membrane kūikawā e pale ai i ka luku ʻia o nā enzymes i ka wā i hōʻike ʻia ai ka wai momona.
Ua kau aku ke kauka iā Pantsitrat, Creon a me Pancreatin, hoʻohana hou i nā lāʻau antacid: antacids: Almagel, Maalox, Phosphalugel, Gastal, mea kūpono lākou i ka hopena o ka waikawa o ka ʻōpū. Pēlā nō, ʻo ka mea maʻi i kuhikuhi ʻia i ka waikui hydrochloric, Cortisone a me ka hormone adrenocorticotropic. Ma kahi hoʻopili pono i ka lāʻau maʻamau, maikaʻi ka lawelawe ʻana.
I mea e pale ai i ka hoʻomohala hou ʻana o ka maʻi, pono ke ʻano koi a maikaʻi hoʻi. Ua hoʻolako ʻia ka mea maʻi i kahi mea lapaʻau e hoʻopili ʻia me nā protein, nā huaora A, B12, B15, D, E, K. Nicotinic a me ka ascorbic acid i hoʻohana ʻia i ka hoʻopili.
Inā loaʻa he kanaka i nā hōʻailona o kahi pānti petechial, pono e mālama e lawe i ka huaora P a me ka papa. E pono ke ʻano o ka papa ʻaina, keʻa kīwī, iʻa, nā momona liʻiliʻi o ka iʻa, nā iʻa momona haʻahaʻa a me nā ʻono keu.
ʻO kēia kīʻaha e hiki ai i ka meaʻai ke hoʻopili ʻia. No ka hoʻohemo maikaʻi ʻana, e kuke ʻia ka ʻai a me ka iʻa.
ʻO ka pale ʻana i ka maʻi
Inā ʻaʻole i mālama ʻia ka pathology incipient me ka manawa, e hoʻomohala ka mea maʻi i kekahi mau ʻōuli. Ma muli o ka paleʻole o ka hoʻopiliʻana o nā mea kanu, ʻaʻole e loaʻa ke kino i ka nui o nā protein, e hopena ai ka nele o ka protein.
ʻO ka nele o nā mau momi no ka pancreatitis a me nā mākeke o ka keokeo o ka digestive ka mea e hoʻonāuki ai i ka hypovitaminosis, nāwaliwali ke kino a lilo i mea ʻilihune, ua pohō ke kanaka. Me ka waiʻole o ka paʻakai-paʻakai, paʻa ka makewai mau ʻia, huehue wale nā ʻili a me ka maloʻo, ua maloʻo ka ʻili a me nā membula mucous, a mau hoʻi nā hoʻohewa.
Hoʻomaʻemae ʻia nā pēpē a me nā maʻi urinary me nā pōhaku insoluble a ʻoi aku ka nui o nā paʻakai pākīpika. Me ka steatorrhea, ua kūpaʻa ka calcium me nā palaka a waiho i ke kino, kahi nui o nā oxalates e komo i nā kīʻaha koko.
Pēlā, ka mea hoʻomanawanui:
- Hoʻokomo ʻia nā mea kūwaho o ke kino - pili i ka pathology i ka puʻuwai, pūpū, ka papa ʻōpū o ke kuhi, ka lolo;
- Ma muli o kēia, ke loli nei ke kala o ka ʻili, hiki i ke kauka ke hoʻokolohua i ka jaundice;
- Hoʻokumu ka pilikia o ka noʻonoʻo - ua emi ka hana hana, e hopohopo ka hiamoe, e lilo ana ia i mea paʻakikī no kahi kamaʻilio ʻana me kekahi.
I mea e pale ai i ka maʻi, pono ʻoe eʻai i ke kūpono a alakaʻi i ke ʻano kino. Pono e hoʻokomo pono i nā mea hoʻonaninani holoholona i nā meaʻai, aʻo nā ʻōmole laupili i ka ʻano o nā legumes i hōʻemi ʻia ma mua o ka nui.
ʻAʻole hiki iā ʻoe ke ʻai i ka momona, ka ʻaluna a me ka pāʻai, inu i nā inu ʻaka. He mea nui hoʻi ia e hōʻemi i ka nui o nā kālaiʻai. Pono ka ʻoluʻolu nā meaʻai, pono ka ʻai e ʻai a ʻeono mau manawa i ka lā i nā wahi liʻiliʻi.
I ka hōʻike mua ʻana i nā hōʻailona o ka steatorrhea, pono ʻoe e kamaʻilio koke i kāu kauka e pani i ka maʻi i ka manawa a pale i ka hoʻomohala ʻana i nā hopena koʻikoʻi.
ʻO ka steatorrhea e haʻi ʻia e nā poʻe loea i ke wikiō ma kēia ʻatikala.
