Ua kapa ʻia ka pancreas kekahi o nā ʻōpala nui loa o ke kino o ke kanaka. He paʻakikī nā pilikia o ke kuana e pane aku ai, a i ka wā e kū ai, he paʻakikī loa ka hoʻihoʻi ʻana i ka hana a ke kino.
Ka metabolism a me ka hoʻokaʻina piha ʻana ma luna o ka hana a nā pancreas. Hōʻike nā haʻawina lapaʻau ma mua o 200 hiki i nā kumu kumu o ka pancreatitis.
ʻO nā kumu nui o nā pilikia pancreatic ka maʻi gallstone a me ka hōʻino ʻana i ka waiʻona. Ua hoʻomaopopo ʻia aia ʻo ka pilikia me ka ʻōpū a me ka mea, inā pū me ka pancreas e kū i ka hapa nui o nā poʻe e hoʻomaʻemaʻe ana i ka ʻona.
Eia nō naʻe, ke kamaʻilio nei mākou i kēia lā i nā mea e hoʻopiʻi nei i kahi maʻi e like me ka pancreatitis, he aha nā kumu, me ka hoʻopiʻi i ka maʻi hānai.
Hola pancreatic
ʻO ka pancreas kahi mea huna pilikino e hana ana i nā hormone kūikawā a me ka wai momona. Ma waho o ka pancreas, hiki ʻole ke hoʻokō i ke kaʻina hana a me ka metabolism piha loa i ke kino o ke kanaka.
ʻO ka pancreas he 15 kenimika wale ka lōʻihi, akā ke kaupaona ʻana ma kahi o 80 mau kekona. I hoʻokahi lā, ua hūnā ka kino i ʻoi aku he 1,4 lita o ka ʻaila pancreatic.
ʻO ka hana huna o ka pancreas e halihali i ka wai huna pancreatic i ka duodenum.
ʻO ka wai pancreatic he mau enme:
- trypsin
- kala ʻino
- lactase
- lipasa.
Hoʻokumu pū ka pancreas i nā hormones:
- nāonaona
- insulin
- lycopoin.
Lawe a kēia mau hormon i ke kō koko, a pili pū nō hoʻi i ka hana ʻana o ka wai phospholipids a me ka metabolism.
Nā kumu o ka pancreatitis
ʻO kaʻoiaʻiʻo, ua pili koke ka pancreas i ke ʻano a me ka meaʻai a kekahi mea e ʻai ai. I mea e hoʻonā ai i nā pale o nā pale, nā protein a me nā momona, hoʻāla ka pancreas i nā enzyme kūikawā, no ka laʻana, he trypsin no nā protein, a me ka lipase no nā momona.
ʻO ia ke kumu o ka inu nui ʻana i ka waiʻona, nā meaʻai maikaʻi, nā lāʻau lapaʻau e alakaʻi ai i ka hoʻoluliluli i ka puka o ka wai pancreatic. Noho wale ka wai i loko o nā lau o ka pala, ʻaʻole i hiki i ka duodenum, ʻo ia nā kumu mua e alakaʻi ana i nā pilikia, ʻo ka pancreatitis e hoʻomaka e ulu.
Ma muli o ke kīpē o ka digestive, ʻōwili kekahi hanana hoʻonā, a, ʻoiaʻiʻo hoʻi, ʻo ka pancreatitis maʻa. Nā kumu o ka maʻi:
- nā hōʻeha
- hewne
- poakou loa.
Ma aneane ʻole nā hihia a hele mai ka hoʻōla ʻana o ke ʻano ma ke ʻano kūʻokoʻa kūʻokoʻa ma ka pancreas. Hoʻokomo ʻia ka pancreas i nā ʻōnaehana pathological i kekahi maʻi, akā ʻo ka ʻōnaehana digestive.
Ma ke ʻano he kānāwai, ʻaʻole maʻalahi ka maʻalahi o ka hoʻoholo ʻana o ka pancreas, no ka maʻi ʻana i kēia ʻāpana liʻiliʻi ua hōʻoluʻolu nui loa. Pono e ʻike pehea e hoʻomākaukau pono ai no ka ultrasound pancreatic i mea e loaʻa ai nā hopena pololei ...
Pēlā, ʻo ka pancreatitis maʻa ke kumu i ʻike ʻia e ka lāʻau lapaʻau o ka honua.
ʻO nā maʻi o ka biliary tract a me nā mea ʻokiʻoki
ʻO ka mea nui ke kumu o ka hele ʻana o ka pacreatitis, me ka maʻi hypertension i ka wai ʻoile i loko o ka pancreas, nā hana kemika ʻole i hoʻomaka ʻia e hoʻomohala koke.
A laila, he hui pū kekahi o nā mea e hoʻonāukiuki ai i ka hoʻōla o nā huina e kūʻē i ka kiko pancreatic. Ma ke kaʻina hana, pili ke kīpē i ke koko, e hana ana i ka edema o ka ʻōpū a me nā hemorrhages ma hope.
Loaʻa kēia ma 70% o nā hihia o nā hana ʻoi aʻai i ka pancreas. I 30%, hiki i ka pancreatitis ke idiopathic.
Nā maʻi o ka duodenum a me nā ʻōpū
ʻO ka hoʻokumu ʻana o ka hemahema o ka sphincter o Oddi e loaʻa me ka mau hewa ʻana o ka ʻili o ke kūwili, e like me:
- gaugitis
- mumule duodenal
- ʻōpū ʻōpū
- nāwaliwali o ke kumu hana.
Me kēia mau maʻi, nā kīʻaha o ka pūpū i hoʻolei i nā papa o ka pancreas, a me nā maʻi o ka ʻōpala.
I kēia mau maʻi aʻe, loaʻa ka hala ʻole o ke kaila o ke koko i ka lula, ka mea e hoʻopalapula ʻia ana i kona ʻaʻai a, a laila hoʻi, e hoʻomohala ʻia ka pancreatitis. Heluhelu mākou i kēia mau maʻi:
- maʻi mellitus maʻiʻi
- vascular atherosclerosis
- haʻi maʻi
- hapai
ʻO ka hāpaiʻana e hoʻonāukiuki i ka ulu ʻana o ka ʻōpū ma luna o nā moku, ka mea e hōʻeha ai i ka ischemia pancreatic, no laila ke ku me ka maʻi pancreatitis.
Hoʻokomo i nā enzyme pancreatic i ka meaʻai, ka waiʻona a me ka makeʻana o ka lāʻau. Hoʻopilikia paha nā intoxication:
- Nānōloli
- Alkaline
- Acidic
- Ke kūʻē nei i ka hope o ka lele ʻana o ka helminthic.
ʻO ka hoʻohana ʻana i nā mea kanu a me nā huaʻai me ka nui o nā pesticides a me ke koikoi kiʻekiʻe o nā hoʻohui lāʻau kemu i ka meaʻai e kōkua ai hoʻi i ka hoʻōla ʻana o nā enzyme hao.
Eia kekahi, loaʻa nā hua lāʻau i hoʻohālikelike ʻia i kēia kaʻina pili, ma waena o lākou:
- ʻO nā lāʻau anti-inflammatory Nonsteroidal
- Kahuʻula
- Azathioprine
- Metronidazole
- Kahukula
- Kaumakaiwa
- Nā diuretani Thiazide
- Sulfonamides
- Hoʻolaha ʻia nā kukuna
- Nā Hoʻolālā Cholinesterase
Hōʻike pinepine ʻia, nā maʻi pancreatitis i nā poʻe nāna i hoʻomaʻamaʻa overeat. ʻO ka haʻihaʻi o ka momona metabolism ka mea hou aku no ka hoʻōla i nā huina.
Inā makemake kekahi kanaka i ka overeating nui, a laila piʻi ka hopena o ka ulu ʻana o ka pancreatitis i nā manawa he nui, ʻoi aku ka pale ʻana o ke kua o ka ʻai a me nā mea momona momona. Ma keʻano holoʻokoʻa, ʻike mau i ka mea nui e aloha i ka pancreas i mea e mālama ai i kēia kino i ke ʻano.
Me nā mea hōʻeha, nā hōʻeha hōʻeha, a ma muli o ka hoʻopōmaikaʻi ʻole ʻia ma ka duodenum a me ka hōʻeha ʻana i ka puhaka, ʻike ʻia kahi kaʻina hana maʻi i ka pancreas.
Hoʻonui ʻia ka hopena o ka pancreatitis e nā maʻi maʻi maʻamau:
- ʻO ka maʻi maʻi a me ka maʻi maʻi ākea.
- Hoʻopau kūpaʻa huila.
- Nā tonsilitis wāwahi.
- Poila moa
- Oomi (mumps).
- ʻO nā kaʻina Purulent-inflammatory (ka nui a loaʻa i ka peritoneum).
- ʻOhiʻohi.
- Sepsis o nā ʻāpana.
Ke ʻōlelo nei kekahi mau kauka he mau ʻano maʻi pancreatitis he kumu mai ka hoʻomaka ʻana. Loaʻa i kēia mau mea maʻi nā antibodies i ko lākou koko e hōʻike ana i ka autoaggression. Hoʻopilikia kēia i nā hana hōʻeha i ka pancreatitis.
Nui nā hemahema genetic a me nā pilikia e hoʻopilikia ai ka maʻi mai nā lā mua o ke ola.
ʻO ka hopena o ka waiʻona ma ka hoʻolālāʻana o ka pancreatitis
ʻO ka hapa nui o nā poʻe maʻi i ka haukapila i hōʻike ʻia me ka maʻi pancreatitis ka poʻe e inu nui i ka waiʻona.
Wahi a kekahi mau ʻike, ʻoi aku ma mua o ka 40% o nā mea maʻi i mālama ʻia i loko o kahi keʻena lāʻau e hiki ai ke ʻona me ka pancreatic necrosis, a me ka pancreatitis luku ʻia.
- ʻO 30% wale nō o nā mea maʻi e mālama ʻia me ka maʻi gallstone.
- Ma kahi o 20% o nā mea momona keu a loaʻa i ka maʻi.
- ʻO nā pōʻino, hepatitis viral, hoʻohana pono a me nā mea hoʻonaninani ke kumu o ka pancreatitis ma nā 5% wale nō o nā hihia.
- Nā anomalies o ka hoʻomohala, nā hemahema congenital, ʻoi aku ka genis predisposition ma mua o 5%.
ʻVentionlelo Hana Pancreatitis
ʻO ka hōʻeha ʻana o ka pancreatitis ma kahi kūlana koʻikoʻi, he kumu koʻikoʻi kēia no ka mālamaʻana i nā lāʻau lapaʻau. Pono e mālama ʻia ka lāʻau lapaʻau i loko o kahi haukapila, i kekahi manawa i ʻōlelo ʻia ʻia ka ʻūlō ʻana.
ʻO ka pinepine, ʻo ka pancreatitis i ka pena ākea e lilo i mea maʻamau. I kēia hihia, ʻo ka pancreas e hoʻomau i ka make ʻana iā lākou iho i ka manawa holoʻokoʻa.
ʻO ke alualu ʻana i nā ʻano āpau o ka pancreatitis ke ala maikaʻi loa e pale ai i nā pilikia he nui e ʻae ʻole ʻia.
Ke haʻalele ʻana i ka ulaula a me ka inu ʻawa e hoʻemi ai i ka ukana ma luna o ka pancreas, a i kekahi manawa. Eia kekahi, me ka pancreatitis maʻi, e hoʻomau ka lōʻihi o ke kala.
Hiki i nā mea hoʻokūpī o ka pancreatitis ma muli o:
- ʻO nā papa hana kiʻiʻoniʻoni
- ʻO ka pāpū a me ka sauna
- Pahuele a lele papa
ʻO ka loli ʻokoʻa loa o nā hoʻomaʻamaʻa kino ma kēia kūlana, ʻike ka ʻepekema i kahi massage, nā hana therapeutic a me nā hana hanu.
He mea nui e wehe i nā pōhaku mai ka lālau i ka manawa e ʻike ʻia ai e ke kauka. ʻO ka hana a ka pancreas e pili ana i ke ʻano o ka palaki a me nā ala.
Ma ke kaʻina hana ʻoi aku ka paʻakikī, e kau ke kauka i kahi meaʻai kūikawā no nā pōhaku i loko o ka palaho. Pono e hoʻokokoke i kahi meaʻai me ka uku pono, e nānā ana i nā ʻōlelo lapaʻau āpau.
