ʻO ka maʻi maʻi pancreatogenic

E like me ka helu ʻana o nā helu helu, hoʻomohala ʻia nā maʻi diabetes mellitus i ka 30% o nā mea maʻi e loaʻa ana i ka maʻi ʻaʻai o ka pancreas. He paʻakikī loa ka mālamaʻana i kēia maʻi. ʻO ka liʻiliʻi o ka ho'ōla piha.

He aha kēia

I mea e hoʻomaopopo ai i ka mea maʻi diabetes pancreatogenic a pehea e hoʻomohala ai, pono e haʻi i kekahi mau huaʻōlelo e pili ana i ka hana o ka pancreas. ʻO kēia ʻenehana kekahi o nā cell exocrine e hoʻopuka i ka mea huna kūikawā e pono ai no ka hana ʻana o ka meaʻai. Ma waena o kēia mau sela, nā mokupuni o Langerhans, nona nā "kuleana" i ka hana o ka insulin a me ka glucagon. Aia nā waihona sel endocrine.

No ka mea pili ka nui o nā cell exocrine a me ka endocrine i kēlā me kēia, i ka wā e hele mai nā hanana ulu ʻana ma kekahi o lākou, ua hoʻopā kekahi. ʻO ia, i ka manawa i kuhi ʻia ka hoʻoulu ʻana o ka wai hoʻoneʻe, aia kahi hewa i ka hana ʻana o nā homona e pono ai no ka hoʻopau piha ʻana o ka glucose a me kāna hoʻololi i ka ikehu. A pololei no kēia kumu, pancreatitis a me diabetes diabetes mellitus e ulu pinepine i ka manawa like.

ʻO ke kumu

E like me ka mea i ʻōlelo ʻia ma luna, ke kumu nui o ka hoʻomohala ʻana i ke ʻano o ka maʻi maʻamau ʻo 3 ka hana maʻi e kū nei i nā kola o ka pancreas. Akā ʻaʻole wale kahi maʻi pancreatitis aʻeha paha e hiki ke hoʻonāukiuki i ka hopena o kēia maʻi. Aia kekahi mau ala no ka pancreatic hiki ke alakaʻi i ka maʻi pancreatogenic i nā kānaka. ʻO lākou:

• ʻO ka neʻe ai ka pancreatic, ka mea i hoʻomohala ʻia e ka pancreas, kahi e hoʻomaka ai ka hoʻokaʻawale ʻana i nā ona ponoʻī, ma ko lākou make ʻana;
• ʻO nā maʻi oncological pancreatic, kahi i hōʻino ʻia nā huaʻolima o ke kino, kāpae i ka hana maʻamau a emi iki ka make;
• nā hōʻeha i hāpai ʻia i ka wā o kahi hōʻeha a i ʻole hōʻemi ʻia i ka hana o ka pale ʻana o ka pancreas i ʻole, i ukuhi ʻia e ka hoʻomohala ʻana;
• ʻO ka wehe ʻana i kahi hapa o ka pancreas, no ka laʻana, ka manawa i ʻike ʻia ai kahi maʻi a i ʻole nā ​​maʻi ʻē aʻe, i ka lawe ʻia ʻana o kekahi ʻāpana ke ʻano maikaʻi loa e hoʻopakele ai i kekahi kanaka;
• ʻoi ka cystic fibrosis, kahi maʻi maʻi kūpaʻi e pili ana i nā kinikini endocrine;
• hemochromatosis, ka mea i hoʻololi ʻia e ka hoʻololi ʻana o nā mea hoʻohuli a me nā pigments paʻa i loko o ke kino, ka mea e komo ai i ka hana hewa ma ka hana o nā maha nui, me nā pancreas;
• kaleka maʻi pancreatopathy hōʻike e ka pancreatic hyperfunctionality.

He mea nui ia e kiaʻi pono i ka pae o ke kō i loko o ke koko, no ka mea, ʻo kona ʻokoʻa mai ka hana maʻamau e hiki ai ke lilo i nā hōʻailona mua e hōʻike ana i ka hala o nā hana o ka pancreas

Ke hōʻuluʻulu ʻia, pono e hoʻomaopopo ʻia o ka hoʻomohala ʻana o ka maʻi diabetes mellitus ʻoi aku ka pili o ke kuhi ʻana o ka pancreas. No laila, ma mua o kēlā mau maʻi, e aʻo ʻia nā mea maʻi e nānā pinepine ʻia i nā hale lapaʻau i mea e ʻike koke ai i ka hopena o nā hoʻopiʻi a hoʻomaka i ko lākou mālama ʻana.

Pono e hoʻomaopopo ʻia e hoʻomohala pinepine ʻia nā maʻi e like me ka pancreatitis a me ka maʻi maʻi i ka manawa like i loko o kēlā poʻe i ka poʻe momona a me hyperlipidemia. A inā maopopo nā mea āpau me ke kaumaha nui, a laila me ka hyperlipidemia ʻaʻole ia i ka piha, ʻo ka lehulehu ʻaʻole i ʻike i ke ʻano o kēlā maʻi. A aia kahi kūlana e hoʻomaka ai nā mea ʻino e hōʻiliʻili i ke koko, ʻo ia hoʻi o lipids, ma waena o ia mea he kolamu, nā 'ōpū a me nā triglycerides.

ʻO ka hoʻohiwahiwa o ka hyperlipidemia he ulu nui ia i ka poʻe e loaʻa ana i ka momona, maʻi mellitus a me nā maʻi cholesterol. Ua aneane like asymptomatic. Inā loaʻa he mau hōʻailona o ka hyperlipidemia, maʻamau mau lākou, a maʻalea ʻole nā ​​kānaka iā lākou. No laila, ʻae aʻo lākou e pili ana i ka hiki ʻana o kēia pilikia ma ka hoʻokolokolo wale ʻia no nā ʻano holoholo ʻē aʻe.

Wahi a nā kauka he nui, ʻo ka poʻe e lohi a ʻaʻole i lawe i nā hana e hoʻopau ai i ka pilikia, hoʻolaha i ko lākou kino i nā kūlana kiʻekiʻe. ʻOiaʻiʻo, ma mua o ka nui o ke kaumaha o ke kino, nui ka hopena o ka uluʻana i ka maʻi mau a me ka maʻi o ka pancreas i mau manawa. I ka manawa like, hoʻonui ka hopena i ka hala ole o ka endocrine, e hoʻopili ana i ke ʻano o kēia maʻi.

ʻO nā mea ʻōpiopio e hoʻonā ʻaʻole wale i ka hoʻomohala ʻana o ka maʻi diabetes mellitus, akā ke ʻano o nā pilikia olakino ʻē aʻe.

Eia kekahi, nā mea maʻi me ka maʻi pancreatitis ma muli o ka momona ua hoʻoulu pinepine i ka hyperglycemia, kahi hiʻohiʻona e kahi nui o ke kō o ke koko. I ka hapa nui, e hoʻopau me ka hoʻomaka ʻana o kahi pilikia hyperglycemic.

ʻO ka huli ʻia o ka hyperglycemia e pili pono ana i nā ʻano mea like:

• ka hāmama nui o nā pancreas e hopena ana i nā kaʻina hana;
• ka hopena o ka pale ʻana i ka trypsin ma ka synthesis o ka insulin, ka pae o ke kū i ke kua o ke ahonui o ka maʻi a hoʻonui i nā manawa.

ʻO nā hiʻohiʻona o ka papa o ka maʻi mellitus maʻi pancreatogenic

Loaʻa i nā mellitus maʻi pancreatogenic kona mau hiʻohiʻona hiʻohiʻona. E like me ke kānāwai, nā poʻe ʻeha mai kēia maʻi maʻi he kino ʻokiʻoki a he choleric. Ma kahi e hoʻohālikelike ai i ka maʻi diabetes type 1 a me ke ʻano diabetes type 2, i nā mea maʻi me ka maʻi type 3, ke hoʻonui ʻia ke kahe o ke koko koko e nā maʻi maʻi maʻamau. Eia kekahi, hiki iā lākou ke hōʻoluʻolu maikaʻi i kēlā mau manawa ke piʻi mai ke pae o ke koko i nā hōʻailona e like me 10-11 mmol / l. I ka maʻi maʻamau, ʻo ke piʻi ʻana o ka glucose i ka manaʻo o ka nui o ka pohō o ka maikaʻi, a me kēia hana, ʻaʻohe māka i hōʻike ʻia.

Eia nō naʻe, i ka hiki ʻana o kēia maʻi, he mea nui ʻole ka predisposition hoʻoilina. Hiki nō hoʻi ia i ka poʻe i mālama ʻia i kā lākou mau ʻohana. I ka manawa like, ʻaʻohe pale o ka maʻi pancreatogenic mellitus a ʻaʻole i hōʻike ʻia e kahi papa ʻono. Akā ʻo nā poʻe e ʻeha iā ia, e like me nā mea maʻi me ka maʻi diabetes type 1 a me ke ʻano type type 2, ʻoluʻolu loa i nā hopena maʻamau a me nā maʻi ʻili. I ka wā o kāna papa, hānai nā hōʻeha a me nā hōʻino i ke kino no ka lōʻihi loa a me nā hopena o ko lākou suppuration me ka hoʻomohala ʻana o ke ʻano gangrene i laila.

Hoʻopuka ke maʻi pancreatogenic kokoke i kahi asymptomatically. Hōʻike ʻia nā hōʻailona mua o kona kū ʻana ma hope o nā makahiki he mau ʻōmaʻomaʻo hou ʻana o ka hōʻeha ʻana i ka ʻōpū.

ʻO ka ʻehaʻeha o ke kino ke lilo wale ka hōʻailona o ka maʻi maʻi pancreatogenic

ʻO kona hiʻohiʻona hiʻona ka mea nāna i hoʻowahāwahā i ka hāʻule i loko o ke kō koko a hiki e hāʻawi pinepine ʻia nā hoʻopiʻi. Eia kekahi, ʻaʻole e like me T1DM a me T2DM, pane maikaʻi ia i ka mālamaʻana a ʻaʻole pono e hoʻohana mau i nā lāʻau lapaʻau e pili ana i ka insulin. E like me kona hoʻomaʻamaʻaʻana, nā hana kino pilikino, ka meaʻai, ka hōʻole ʻana o ka hana ʻino a me ka hoʻohana ʻana i nā lāʻau lapaʻau e pili ana i ka sulvonylurea a me nā limu.

Nā Hoʻomaka

E like me ka mea i ʻōlelo ʻia ma luna nei, hiki i ka mellitus diabetes mellitus ke ulu i asymptomatically ma nā makahiki he nui. A ʻo ka mea hoʻokahi wale nō e hiki ke hōʻeha i ka poʻe maʻi me ka hōʻeha o ka ʻōpū o ka naʻau a me ke hoʻonui ʻana i ke kō koko.

He aha nā mea maʻi

Eia naʻe, inā e hele pū mai kēia maʻi me ka hyperinsulinism (ʻo kēia ʻano pinepine e hele me ke kani ʻana o ka maʻi o ka pancreas a me nā hopena endocrine), a laila hiki ke hoʻohui ʻia i ke kiʻi o ka maʻi maʻamau.

• ka ʻike mau ʻana o ka pōloli ʻana;
• ua hōʻemi i ka leo kani;
• nāwaliwali
• nā hulu o ka maloʻo maloʻo;
• ka haʻalulu
• hoʻāʻā naʻau paʻakikī.

Hoʻohou pinepine, ʻo hyperinsulinism i ka hui pū me ka pancreatogen diabetes mellitus e hoʻonāukiuki i ka nānā ʻana o nā mea puhipuhi a me nā kūlana palupalu. Eia kekahi, me kēia maʻi, hiki i ka ulu wale ʻana o nā pā vascular a māhuahua ko lākou palupalu, e alakaʻi ana i ka ʻano o nā edema a me nā kīholo e kū mai ana i ke kino no ke kumu ʻole.

Hoʻomaʻamaʻa

ʻO ka hiʻohiʻona koʻikoʻi i ka mālamaʻana i ka maʻi mignitus no ka pancreatogenic. Pono e nānā pono ka mea maʻi i ke koho ʻana i nā meaʻai. ʻO ia he mea nui e mālama pono i ka hoʻoponopono ʻana i ka hapa o ka nui o ka protein, me ka pale ʻana i ke kaupaona ʻana, ʻoiai hiki ke alakaʻi iā ʻoe.

ʻO kahi papa inoa o nā huahana i ʻae ʻia a ʻae ʻia no ka maʻi maʻi pancreatogenic

Eia kekahi, pono e lawe i nā lāʻau lapaʻau e hoʻihoʻi i ka electrolyte i loko o ke kino a hoʻomaʻamaʻa hou i nā kumuwaiwai o nā huaora a me nā minamina i mea e pale aku ai i ka nānā aku o ka hypovitaminosis, e pili pono ana i nā kino a pau a me nā ʻōnaehana o ke kanaka, me ka pancreas.

He mea nui i ka mālama ʻana i kēia maʻi, ʻo ia ka uku o ka lawa ʻana o ka pancreatic exocrine. No kēia pahuhopu, lawe ʻia nā hoʻomākaukau kūikawā e hoʻomaikaʻi i ka pae ʻana o nā mea a me ka hoʻonui ʻana i nā mea i hoʻoponopono ʻia.

I mua o ka hōʻeha nui o ka ʻōpū, e hoʻohana ʻia nā analgesics. He mea nui loa ia e pili ai i nā lāʻau lapaʻau non-narcotic. Mālama kēia i nā hoʻohui me nā pilikia olakino.

I kekahi mau hihia, ua hana ka wawaʻi o ka operasyon i mea e mālama ai i ka maʻi marditus pancreatogenic. I kekahi manawa wale nō ka lāʻau i ka maʻi. Inā ʻaʻohe mea āu e hana ai, a laila loaʻa nā maʻi kiʻekiʻe o ka pacreatomy. Inā kū ia, a laila pono paha e hoʻohana i ka insulin maʻalahi. Hoʻohana ʻia ia ma kahi nui o nā mea ʻole ma mua o 30 mau ʻāpana. A ua helu maoli ʻia kāna ʻoi nui no ka mea maʻi me ka nānā ʻana i kekahi mau mea:

• ka pae koko koko o ka mea maʻi (nānā ʻia no he hebedoma ma lalo o nā kūlana i ʻole a i ʻole ma ka home e hoʻohana ana i kahi glucometer, ua kākau ʻia nā hopena a pau ma kahi diary);
• ka maikaʻi a me ke ʻano o ka meaʻai o ka mea maʻi (e noʻonoʻo i ka helu o ka ʻai, ka nui o ka ikehu o nā meaʻai i hoʻohana ʻia, ka nui o nā momona, nā kākoi a me nā protein i ka meaʻai);
• pae pae kino hana.

A eia kahi mea nui loa ia e hoʻohana pololei ai i nā lāʻau lapaʻau e pili ana i ka insulin. Inā pili ka pae koko koko i ka pā o 4-4.5 mmol / l, no laila ʻaʻole pono e hoʻohana i kēlā me kēia ākea. Ma muli o kēia mau lāʻau lapaʻau e kōkua i ka hoʻemi ʻana i ka pae o ka glucose a hiki i ka hoʻomaka ʻana o ka hypoglycemia a i ʻole, ʻoi aku hoʻi ke ʻano o ka pōpilikia hypoglycemic, ma ke ala e hāʻule ai kekahi kanaka i kahi coma a make paha.

Ma hope o ka hoʻokō ʻana o nā kauka e hoʻoliʻoli i ka hoʻoliʻiliʻi o nā hana a me nā hana no ka pancreatic, ua hoʻohana ʻia kahi lāʻau lapaʻi e kuhikuhi pololei ana i ka hoʻomau ʻana i ke kō kōpaʻa koko. He aha nā ʻano lāʻau lapaʻau no kēia kumu e hoʻohana ai, he kauka wale nō ke kauka, me ka noʻonoʻo ʻana i nā mea i luna.

ʻAʻole hōʻike ka loaʻa ʻana o ka maʻi pancreatogenic mellitus i nā pilikia nui inā pane koke ka mea maʻi i ka hoʻomohala ʻana i ka maʻi a huli i kahi kauka no ke kōkua. No laila, e nānā pono i kou olakino a i ka wā i ʻike ʻia ai nā hōʻailona mua o kēia maʻi (ʻo ia hoʻi, ʻeha ka ʻōpū), e hele i ka loea a hahai i kāna mau ʻōlelo aʻoaʻo a pau. Ma kēia ala wale nō ʻoe e mālama ai i kou olakino no nā makahiki e hiki mai ana!