ʻO ka pancreas he ʻano multifunctional o ke ʻano pānaʻi e kālai ana i nā huina a me nā hormones. He wahi anatomical maʻalahi kona ʻano a me ka unahi o ka aila a me nā kumulima i ke ʻano o ka wai pancreatic e piʻi ai ka duodenum.
ʻAʻole maikaʻi nā mea pili pale, ʻaʻole koke ka ʻike o nā kānaka. Ma muli o kona wahi hohonu i ke kino, paʻakikī loa ka ʻike ʻana i kekahi mau hemahema a me nā mea āpau a ʻoiai me ka nānā ʻana.
ʻO ke kumu
ʻO nā kumu nui o ka maʻi pancreatic i ka wahine me ka overeating, kaʻai paʻa paʻa, ka hoʻoikaika kino a me ka pathology o ka biliary tract. Eia kekahi, hoʻopilikia nui ka manaʻo a me nā hopohopo i ke olakino o kekahi mea, ʻo ia ka hiʻohiʻona o ka hapa haʻahaʻa o ke kanaka.
ʻAʻohe mea data maʻamau e pili ana i nā mea hou aʻe i ka hoʻomohala ʻana o ka maʻi pancreatitis a me nā pathologies pancreatic ʻē aʻe. Eia naʻe, hōʻike ka hoʻomaʻamaʻa he mau wahine i hiki i ke koʻikoʻi. ʻO nā mea e like me ka lāʻau lōʻihi a me ka pale ʻole, hoʻoneʻe, nā maʻi maʻi infectious-viral a me ka infestations parasit he hiki nō hoʻi ke hoʻonāukiuki i ka ʻehaʻeha.
E hōʻoia a hōʻoia paha i nā kānalua o nā pilikia me ka pancreas e kōkua i ka ultrasound
ʻO nā maʻi hana pancreatic e alakaʻi i ka hōʻike o nā maʻi like ʻole, ʻo ia hoʻi:
- diabetes mellitus;
- pacreatitis;
- kūmole pancreatic;
- neoplasms benign a hōʻino;
- nā microsic fibrosis.
Nā hōʻailona mua
I nā wā mua, hōʻike ʻino ʻia nā hōʻailona o ka maʻi pancreatic i nā wahine a i haʻalele ʻole ʻia. ʻO kahi kumu no ka alohilohi paha i ke kaumaha ma ka ʻao hema hema, e kū pinepine ma hope o ka ʻai ʻana a kokoke i ka pō. Hiki i nā ʻeha ke pena a hāʻawi i lalo o ka pahi.
Ke ulu nei ka maʻi, ʻike ʻia nā hōʻailona ʻē aʻe:
- ho'ēmi i ka momona a hiki i kona pau ʻole;
- Nā huina dyspeptic - constipation, maʻi, ʻōpū a me nā lemulewa, i nā hihia lohi, ʻike ʻia ka palaualelo o ka ʻōpū;
- ke ʻano maloʻo a me ka ʻula;
- kaomi ʻana o ka sclera o nā maka;
- hemo wale, he luaa
- nāwaliwali a me ka uku kaumaha.
He mea kūpono ia e ʻike pinepine ʻia ana nā hōʻailona o ka maʻi pancreatic i nā wahine i like me nā hōʻike ʻana o nā maʻi gynecological. ʻO kekahi kumu kēia e hele ai ka wahine i ka gastroenterologist.
E kōkua ka laʻina maʻalahi i ka hoʻohemo ʻana i nā kānalua a hoʻoholo i ka mea i hōʻeha ʻia. I nā maʻi o ka pancreas, hōʻeha ka maʻi ʻeha inā e moe ana ma hope. Ua hoʻomaha ʻia ke kūlana ma kahi kūhā me nā wāwae ʻoki a me kahi aluna i loko o ka ʻōpū.
ʻO ka pancreatitis acute
ʻO ka pancreatitis kahi maʻi maʻi ka maʻi o ka pancreas, i hui pū ʻia e ka poino o nā hana o waho a me intrasecretory. ʻO kāna kumu koke i ka lawe ʻia ʻana o nā papa e nā neoplasms a i ʻole nā pōhaku mai ka puʻuwai.
ʻO ka hoʻouka ʻana o ka maʻi pancreatitis maʻa mau e hiki koke ke kiʻi ma hope o kahi manawa hōʻuluʻulu me ka mea inu. ʻO ka nui o kēlā mau hōʻeha kēia hoʻonāukiuki i ka hoʻohana ʻana i ka waiʻona.
Nā kīlaha maloʻo - aspic, aspic, pickled jamur a me nā lau i hiki ke hoʻoikaika i ka hoʻomohala ʻana o ke kaʻina hana. 3 nā mea maʻi ma waho o 10 i ka manawa o ka hoʻomaka ʻana o ka hoʻouka ʻana ua loaʻa i kahi maʻi pili i pili me nā ala o ka pā biliary. Ma kahi kokoke he 10% o nā hihia, pili ka maʻi pancreatitis i nā wahine i loaʻa i ke kaʻina hōʻeha, ka hōʻeha o ka gastrointestinal, hōʻeha i ka maʻi a me ka ʻalo paha.
ʻO ka hōʻailona alakaʻi o ka maʻi ka maʻi epigastric koʻikoʻi, ka mea i hui pū ʻia e ka maʻi pākuʻi, e hele ana i ka luaʻi. Ua aneane ua maʻi nā maʻi āpau, nā mākia o ka ʻōpū ma loko o ka ʻōpū, a me ke ʻano o ka ʻeha o hope.
Inā hele mai kahi lua lua ma hope o ʻeono mau mahina ma hope o ka mua, a laila hiki iā mākou ke kamaʻilio e pili ana i ka maʻi pancreatitis recurrent.
He mea nui ia ʻike inā ʻaʻole ʻoe e manaʻo i ka pancreatitis, ʻaʻole ʻoe e hōʻemi i ka ʻeha me nā lāʻau a me ka mea hoʻolaʻa ponoʻī iā ʻoe iho, ʻoiai nā hōʻailona o ka maʻi pancreatic hiki ke maʻalahi me ka hoʻouka ʻana o ka appendicitis a i ʻole cholecystitis.
ʻO ka maʻi pancreatitis kaha
ʻO nā hōʻailona mua o ka maʻi maʻiHiki i ka pancreatitis acute ke lilo i loko o kahi ʻano maʻamau, ka mea i hōʻike ʻia e ka hoʻokumu ʻana i nā pseudocysts i kapa ʻia a me ka hoʻoneʻe ʻole ʻana o nā mea pena. Mālama ʻia ka hiʻohiʻona o ka ʻeha ma ka hema o hypochondrium e ke kaʻina hana maʻi, he hoʻololi i ke ʻano o ke membrane a me ka blockage o nā kuli.
Hoʻopili ʻia ka hoʻokumu ʻana o nā tumors a me nā ʻeha no ka puka ʻana o ka wai pancreatic, ma muli o ke kīhāpai o ke kīhaha e hoʻonui a lele i ke kahe koko o ke kō. Ma muli o ke kūwaha, ʻo ka neʻe ʻana o ka nerve a hoʻonui i ka wā, e hōʻeha ana i ka ʻeha a me nā pilikia. Hiki i ke ʻeha ke neʻe i ka minuke 30-40 mau minuke ma hope o ka ʻai ʻana a i ʻole haunaele i kahi kanaka. ʻO ke ʻano o ka ʻeha he nui ka paroxysmal, aching.
Cyst a me pseudocyst
ʻO kahi pūpoki pancreatic kahi papa me kahi wai o loko e loaʻa ai i ka wai pancreatic, nā selene parenchyma make, ke koko a me nā pana paha. Hiki i ka Cysts ke kongenital a loaʻa paha, ka hoʻolālā ʻana e hoʻomaka ana i ke kua o ka pancreatitis i ka 3-4th pule.
ʻO ka maʻi pancreatitis paʻakikī ke paʻakikī o nā puka cystic ma kahi o 15 mau hihia mai ka haneri hoʻokahi no ka hōʻemi ʻana i ka waiʻona, a me ka maʻi trauma kino. Hiki i nā Cysts ke kū'ē i ke kua o ka cholelithiasis a me nā mea maʻi.
ʻO nā ʻano maʻi o ka maʻi pancreatic ma ke alo o nā cysts penei:
- ʻeha ka ʻeha i ka hapakolu o ka ʻōpū ma ka hema;
- kahi ʻeha o ka ʻeha i loko o ka ʻōpū;
- nuala, holoauahae, he papa haole;
- mea kaumaha.
Hoʻomaopopo ka loiloi o nā cysts, ke koho ʻana i ka ʻenehana i ka nui a me ke kumu o ka hoʻokumu ʻana, ke kūlana o nā kumu a me nā pae o ka hōʻino o ka huelo.
Hiki i nā cysts ke benign a maikaʻiʻole, i kā lākou like me ka 20 mm a 10 cm ka lōʻihi
Nā ʻōpū me ka pancreatic
ʻO ka neone no ka pancreatic kekahi o nā hoʻopiʻi o ka pancreatitis a hōʻailona pū ʻia e nā loli hōʻino i ka pancreas. Hoʻomaka koke ʻia mai ka maʻi me ka ʻoi a me ka ʻoi a me ke kāʻei ʻili e kū pono ana i ka ʻaoʻao hema, poʻohiwi a lalo hoʻi i hope. 7 mai o nā mea maʻi 10 i loaʻa i ka haukapila i kahi kūlana haukapila, e hōʻike ana i ka holomua wikiwiki.
I kekahi mau hola ma hope o ka hoʻomaka ʻana o ka ʻeha, hōʻeha ʻia ka luaʻi, ʻaʻole i pili ʻia me ka ʻaina o ka meaʻai. Hiki i ka loiloi ka pala a i ke koko, lilo ka kino i lalo, a emi ka hana a me ka urinary.
Me ka necrosis pancreatic, ʻike ʻia ka hū o nā maʻi, nā ʻūhā-ʻulaʻula mai nā hemorrhages i nā palupalu palalā i ʻike ʻia i nā ʻili o ke kōnaka. Hoʻopaʻa ka ʻili i ka melemele ʻeleʻele a ʻūlū a hina i ka pā.
Hoʻopili ʻia ka maʻi me ka palpitations puʻuwai, hōʻemi i ke koko. Mālama pinepine ka mea maʻi i ka hoʻohuihui nui ʻana i ke kino. Ma muli o ka nui o nā meaʻawaʻawa a me ke hoʻonuiʻana i ke kōpaʻa koko, ulu ka encephalopathy. Hōʻike ka pōʻino i ka lolo i ka haunaele, kaʻai ʻole, lilo ʻole o ka orientation. Ma 30% o nā hihia, kū mai kahi coma.
He microsic fibrosis
ʻO ka cystic fibrosis, a i ʻole nā cystic fibrosis, he maʻi genetic a ke nānā ʻia e ka weliweli ʻana o nā aʻa endocrine a me nā mea hanu. ʻAʻole pili ka hopena i ka hoʻololi ʻana i ka pancreas, akā pū kekahi hoʻi o nā ʻōpū, ka ʻōpū, ka a me nā givary ʻoluʻolu.
ʻO ke kumu o ka cystic fibrosis he mutation o ka CFTR gen i loaʻa i ka 7th chromosome
E ʻōhumu nā ʻōpiopio i nā ʻōpū o ka ʻōpū, ka ʻōpū o ke kikowaena, ka ʻeha ʻana ma lalo o nā iwi, a me ka uha. I nā poʻe ʻōpiopio'ōpiopio, hōʻike ʻia ka fibrosis cystic e nā hōʻailona me kēia:
- lag i ka holomua a me ke kaupaona ʻana;
- maloʻo maloʻo me ka pīezing a pōkole o ka hanu;
- ka ʻūhū a me ka nui o ka pulu ma muli o ka hoʻonui ʻana o ka paʻakai;
- nā kīwaha pinepine me kahi ʻano ʻohu maikaʻi ʻole i holoi ʻia a holoi ʻia.
Nā Neoplasms
Hiki i nā puka Tumor ke puka i loko o nā wahi endocrine a exocrine paha o ka pancreas. Eia nō naʻe, i ka hapa nui, ʻo ka pancreatic duct adenocarcinoma he maʻi hōʻeha. ʻAʻole ʻike pinepine ʻia kāna mau hōʻailona me ka hoʻomaʻamaʻa ʻole ʻana, ka mea e huli ai i ka hopena.
ʻO nā malignancies pancreatic kahi hopena kūwaho a me ka nui o nā maʻi.
ʻO ka ʻeha a me nā hōʻailona o ka hōʻailona - ka nalowale o ka makemake, ka hoʻohaʻahaʻa ʻana a me ka nāwaliwali laulā - ulu wale nō me ka metastasis, i ka hapanui o nā hana o nā hana ʻili.
He ʻeha nā manu ʻoi aku ke kūkulu ʻia mai nā cell nā synthesize digestive enzymes. ʻO nā Neoplasms e ulu ana i ka pae endocrine o ka pancreas e ikaika a hoʻoikaika i ka hormonally. ʻO ka mea hope loa ke kiʻi olakino ʻoi loa, ʻoiai lākou e synthesize i kahi nui o nā huahana biologically active. Hoʻopilikia kēia i ka "hoʻokūpī hormonal" maoli i ke kino.
Ua hōʻike ʻia nā haʻawina hou i nā hanana kumulepule a benign a me nā maʻi hōʻoki i nā wahine i ʻelua mau manawa e like me ka kāne. Ma ke kānāwai, hōʻike ke ʻano o ka makahiki 35 a 50.
Hoʻokumu ʻia ka Insulinoma, ma ke ʻano he kānāwai, mai nā sela o nā mokupuni o Langerans a huna ʻia ka hapanui insulin me ka pale ʻole i ka kahe koko.
Hiki i kahi ʻōkuhi ke loaʻa i kekahi wahi o ka pancreas - ma ke poʻo, ke kino a me ka huelo paha. ʻO kekahi manawa ʻaʻole hiki ke hoʻokumu i kahi kikowaena ākea o ka neoplasm. ʻO ka hapa nui o nā hakahaka ʻaʻole i hōʻike iā lākou iho i mau makahiki. Hiki i kā lākou ʻano benign ke loaʻa lohi ʻana, ka nele o nā huaʻōlelo i hōʻike ʻia a me nā hihia o ka maʻi pancreatic i nā ʻohana.
ʻO nā ʻōpū e like me ka cystadenocarcinoma a me ka cystadenoma e hiki ai i nā hōʻailona ʻano ke hele a loaʻa ka nui o nā ʻāpana nui - nā ʻāpana, nā huʻu a me nā kīʻaha koko.
Me ka insulinoma, e hoʻonui mau ka kiʻekiʻe o ka insulin i ke koko, kahi e alakaʻi ai i ka hypoglycemia. ʻO ka hoʻomohala ʻana o ka gastrinoma me ka hoʻoulu ʻia ʻana o ka hoʻokuʻu mai o ka wai hydrochloric a me ke ʻano o nā ʻōpū o ka ʻōpū a me nā ʻōpū duodenal.
Hōʻele loa ka Vipoma, ke ʻano nui o kona mākaukau nui a he maʻi lōʻihi, e hele wale nei i ka ʻole o ka ʻai i loko o ka ʻōpū.
ʻO ka maʻi carcinoid pancreatic, a i ʻole carcinoid syndrome, ka mea i hōʻike ʻia e ke kahe e like me ke climacteric, spast pain abdominal a me nā abnormalities o cardiac.
Hōʻike nā hōʻike e pili ana i ka 40% o nā hihia o ka pancreatitisʻeha e make i ka momona. ʻO ka hele pinepine ʻia ka maʻi ʻana o ka pancreas e nā ʻano hiʻohiʻona, ʻaʻole hiki iā lākou ke hūnā. Ke noi nei i ka mālama ʻana i ka manawa, hiki iā ʻoe ke pale aku i ka mālama lōʻihi a me nā hōʻeha koʻikoʻi. E ola kino!
