ʻO nā hōʻailona o ka maʻi a me ka pancreatitis o ka maʻi a me nā mea maʻamau. ʻAʻole ʻae ʻia nā ʻōmaʻomaʻo i nā kauka e hana i ka maʻi kūpono, ʻoiai ke hōʻike nei kēia mau hiʻohiʻona i kekahi mau maʻi ʻē aʻe.
I ka wā e hana ai i nā diagnostics, hāʻawi ʻia ka mea nui loa e nānā ai. E aʻo ʻia nā ʻōkuhi a me nā loli i ka palu, ʻo ka wai a me ke koko, kahi e hiki ai ke hoʻoholo me ka kūkaʻi ʻoi loa inā he ʻaihue ʻaʻa ʻana i ka pancreas.
ʻO nā hōʻike koko maʻi
Me ka pancreatitis, kahi hōʻike koko haukapila e hana wale nei i kahi kūlana kōkua. Ma kahi o ka hōʻike e hiki ai ke hoʻoholo i ka hele ʻana o ke kaʻina o ka maʻi. Hōʻike pū ka mālama maʻi maʻi maʻi.
Me ka pancreatitis i loko o nā kānaka, ua nānā ʻia nā hiʻohiʻona e like me ka hōʻike ʻana o ke koko.
ʻO ka emi ʻana o ka helu o nā kōpela koko ʻulaʻula a me nā pae hemoglobin, ma muli o ke kahe ana o ke koko a me kahi hōʻailona hiki i ke kuhi hemorrhagic e pili ana i ka pancreatitis;
he hoʻonui i ka nui o nā kōpela koko keʻokeʻo, i kekahi manawa he nui me ka ʻōpala;
ka hoʻonui ʻana o ka hematocrit e hōʻike ana i ka hala ʻole o ke kaila o ka wai-electrolyte.
ka hoʻonui ʻana o ka pākēneka erythrocyte kahi hōʻailona i kahi hōʻailona kūlohelohe mau.
ʻŌkuhi koko
ʻAʻole hoʻopau ka Diagnosis o ka pancreatitis me ka ʻole o ka hōʻike koko biochemical. E hiki ai i ke koho ʻana i ka pae o ka hana o ka hanu holoʻokoʻa.
Me ka pancreatitis, hiki ke ʻike ʻia nā loli i ka hoʻohuihua o ka nui o ke koko, inā paha, hiki iā ia ke:
- he hoʻonui ma amylase. ʻO Amylase kahi enzyme pancreatic e wāwahi i ka māka;
- i hoʻonui nui aʻe o ka lipase, elastase, phospholipase, trypsin;
- ke hoʻonui ʻana i ke kōpaʻa koko ma muli o ka lawa ʻole o ka huna ʻana i ka insulin;
- hoʻonui hoʻonui i nā transaminases;
- he hoʻonui i ka bilirubin he hōʻailona hōʻailona hana i kū inā loaʻa mai kahi pahu biliary e ka pancreas i hoʻonuiʻia;
- hoʻohaʻahaʻa i ka pae o ka piha o ka protein, ma muli o ka popohala o ka protein-energy starness.
ʻO ka hoʻonui ʻia ʻana o ka helu o nā enzyme pancreatic, ma muli hoʻi, amylase, ka nui ka ʻike nui i ka ʻike i kēia maʻi.
Lawe nā kauka i ke koko no ka noiʻi biochemical koke ma hope o ka hōʻea ʻana o ka mea maʻi i ka haukapila. Ma hope mai, ua hoʻoholo ʻia ka pae amylase e hiki ai i ka hoʻokele i ke kūlana o ka pancreas i ka dinamics.
ʻO ke hoʻonui ʻana i ka nui o nā enzyme pancreatic i loko o ke koko ma waena o ka nui o ka hōʻeha i loko o ka ʻōpū e hōʻike nei i ka holomua o ka maʻi a hāʻawi paha i kekahi mau ʻōuli.
ʻO kahi liʻiliʻi nui loa, ʻo ka hoʻoholo ʻana o ka lipase i ke koko. ʻO kaʻoiaʻiʻo ʻo ke kumukūʻai o kēia enzyme e kiʻekiʻe aʻe ʻaʻole wale me ka pancreatitis.
Ke hōʻike nei i ka hapa ma mua o ka hapalua o nā mea maʻi me nā pathological tract pathologies a me ka pathology ate e hōʻike ana i ka hoʻonui ʻana o ka holo lipase.
Eia nō naʻe, ʻoi aku ka lōʻihi o ka lipase koko ma mua o amylase, no laila, pono e hoʻoholo ʻia i ka wā i hoʻomaha ʻia kekahi kanaka ma hope o kekahi manawa ma hope o ka hoʻomaka ʻana o nā hōʻailona o ka pancreatitis.
No ka hoʻoholoʻana i ka maʻi pancreatic, mea nui ia e ʻike i ke pae o ka serum elastase. I ka pancreatitis maʻa, ʻike pinepine ʻia kekahi mau helu o kēia enzyme. Eia kekahi, ʻoi aku ka nui o ka serum elastase, ʻoi aku ka nui o ka foci o ka necrosis i loko o ka pancreas, ʻoi aku ka hewa o ka prognosis, a me nā hōʻailona e haʻi nei i nā loli o ka palaleka a me nā pancreas e kōkua i ka hōʻoia i kēia.
ʻO ka ʻoi loa ka hopena o ka hoʻoholo ʻana i ka nui o ka hōʻino o ke kino i ka neutrophil elastase. Akā ʻaʻole ʻike ʻia kēia ʻano ma ka hapa o nā mea hana, e hana wale nō ma nā keʻena ʻoi loa o nā ʻāina.
ʻO ka pae o elastase, ʻaʻole e like me nā enzyme pancreatic ʻē aʻe, e noho kiʻekiʻe ana i nā mea maʻi a pau no nā lā he 10 mai ka hoʻomaka ʻana o ka maʻi.
Inā hoʻohālikelike ʻoe, i ka manawa like, kahi mahuahua o ka amylase e hoʻopaʻa wale ʻia ma kēlā me kēia ʻelima lima, pae lipase - ʻaʻoleʻoi aku ma kahi o 45-50% o nā maʻi.
No laila, ʻo ka hoʻoholoʻana i ka pae serum elastase he mea koʻikoʻi nui no ka hoʻomaʻamaʻa ʻana no ka hoʻoholo ʻana i ka pancreatitis i nā poʻe i hoʻokomo ʻia i ka haukapila i hoʻokahi pule aku ma hope o ka hoʻomaka ʻana o nā hōʻailona lapaʻau mua.
ʻO ka loiloi Fecal
Ma ka pancreatitis, e hoʻoholo ka fecal nānā i ke ʻano o ka pae maoli ʻana i ka pae o ka pancreas. Ke emi ka hoʻokaʻina ʻana o nā enzyme a me ka hōʻiliʻili ʻana o ka hoʻāʻo ʻana i nā momona. Hiki i kēia mau loli ke maʻalahi i ka maʻalahi i nā loina. Hōʻike kēia mau hōʻike i ka hoʻouluulu ʻana o ka hana pancreatic exocrine:
- ka heleʻana o nā momona i nā feces;
- ka lau naila i ʻole i nā meaʻai a pau loa;
- inā oe e ālai i ka bile ducts - māmā nā feces.
Me kahi ʻike poʻomanaʻo o ka hana exocrine o ka pancreas, ʻike ʻia nā loli o nā feces me ka maka ʻalo.
- Piʻi holoi ʻia nā hale pā hale ma luna o nā paia o ka lua.
- he wahi ʻalani
- ka ʻūhā o ka ʻalani a kūlike hoʻi,
- kūwaho a me nā kīwaha pinepine.
Kēia mau puka keu ma muli o ke kao ʻana o ka protiges undigested i loko o ka ʻōpū.
Pono e noʻonoʻo i ka mea e wehewehe i nā hiʻohiʻona o nā hana exocrine o ka kelepona, ʻike nui ʻia nā loina. No kēia, ʻoi pinepine ka hoʻohana ʻia ʻana o nā hōʻike ʻē aʻe no ka maʻi pancreatitis.
Ma ke ʻano he kānāwai, ʻike ʻia ka mau hewa ʻana ma ka hana pancreas: i loaʻa ka huapalapala a ua lawe ʻia ka wai pancreatic no ka hoʻokolokolo.
ʻO nā hōʻike ʻē aʻe e hoʻoholo ai i ka pancreatitis
Hoʻohana ʻia ka nui o nā hoʻokolohua hōʻoia i ka maʻi maʻi maʻi pancreatitis. Eia ka mea nui loa:
ʻO ka hoʻonāʻana o ka paʻa o nā inhibitor trypsin i loko o ke koko. ʻO ka liʻiliʻi i ko lākou helu i ka plasma, ʻoi aku ka nui o ka luku ʻana i ka pancreas. Wahi a ia, ʻoi aku ka maikaʻi o ka wanana.
ʻO ka hoʻoholoʻana i ka trypsin immunoreactive. Kuhi mua ke kauka i kēia ʻano hana, no ka mea, ʻo 40% wale nō ʻo ia. ʻO ia ka mea i loko o 60% o nā hihia, ʻaʻole paʻa ka maʻi immunoreactive trypsin akā ʻo ka maʻi pancreatitis, akā he maʻi ʻē aʻe a i ʻole pilikia paha, no ka laʻana, ka hopena o ka renal, a i ʻole hypercorticism, a me ka maʻi cholectynitisitis.
ʻO ka hoʻoholoʻana i nā ʻike trypsinogen i ka urine. He hana kūpono kēia, ʻike kikoʻī a nānā naʻauao. Eia, me ka aneane 100% hōʻoia, hiki iā ʻoe ke hana i ka maʻi maʻi kūpono. Lele ke lilo ia, no ka mea nui ia a ʻaʻole i loaʻa i nā ʻoihana āpau.
Inā ʻoe e hui pū i nā hana diagnostic instrumental, me ka noʻonoʻo ʻana i nā hōʻike kuʻuna o ka maʻi pale pancreatic, a laila hiki i nā hoʻokolohua hōʻoia ke hoʻoholo wikiwiki i ka hele ʻana o ka pancreatitis.
ʻO ka ʻike kumu nui loa no ka gastroenterologist ʻo ka hoʻoholo loa o ka pae o ka enzyme i ke koko o ka mea maʻi. I ka lā mua, pono ke kauka ke kauka i nā hōʻailona o ka amylase pancreatic, ma hope o kekahi mau lā, ua aʻo ʻia ke ʻano o ka elastase a me lipase.
