ʻO kahi hoʻololi hoʻololi i ka pancreas kahi mea hoʻonāukiuki o ke ʻano o ke kino i nānā ʻia i ka wā o ka nānā ʻana i ka ultrasound. ʻO nā hiʻohiʻona o kēia mau loli, ke kumu, nā hōʻailona a me nā loina o ka lāʻau e kūkākūkā hou aku.
ʻO ka mea i hoʻokomo i ka manaʻo o ka diffusion
Hiki i nā loli i nā kiko o ka pancreas ma ke kaiāulu (kūloko) a pālahalaha, e pālahalaha ana i ka manea. He diffusion kekahi, a he aha kona mau waiwai, e kū nei ma ke kula ma nā haʻawina physics.
ʻO ka ʻōlelo Latin "diffusion" ʻo ia ka hoʻoili ʻana, ka pālahalaha ʻana a me ke ʻano o ke kaʻina o ke komo ʻana o nā mea liʻiliʻi o nā mea liʻiliʻi o kekahi mea ma waena o nā wahi ʻē aʻe o kekahi. ʻO kona mākaʻikaʻi ʻana ka ka laulā kūpono o ka hoʻopaʻa ʻana o nā ʻalapona ma loko o ka nui. I nā huaʻōlelo'ē aʻe, mae ka waiwai o kahi mea - ma kahi ʻokoʻa kēia.
ʻO kahi hiʻohiʻona o ka hoʻopihapiha pāʻālua ʻia ka pālahalaha o nā ʻalohi a i ʻole ke kāwili ʻana i nā wai wai. Ke ʻike nei mākou i kēia ʻano maʻamau i kēlā me kēia lā, e hoʻohui ana i ke kō i ka mea inu, hoʻohui i ka paʻakai i ka waiū a i ʻole ka hoʻohana ʻana i kahi ea hau.
ʻO nā kumu no ka helehelena
Hoʻolaha ka hoʻololi ʻana i nā loli o ke ʻano o nā pancreas no nā kumu like ʻole, akā, ʻo ka pinepine o ia nā hopena o nā kaʻina metabolic-luku. ʻO ka hoʻopauʻana o ke kahe o ke kahe i ka gastrointestinal tract, nā maʻi metabolic a me nā kino hoʻowalewale e lilo i mea hoʻonāukiuki.
ʻO ka hoʻomohala ʻana o nā loli pathological e kōkua pū i kekahi mau kumu ʻē aʻe:
- irrational and irregular nutritional;
- psychst-psychi overstrain no ka manawa lōʻihi;
- predisposition genetic;
- mau maikaʻi maikaʻi (ka ʻawaʻawa, inu ʻole);
- kuʻe o ka ʻōnaehana hana ʻana;
- komo ole i kekahi o na laau.
I nā makahiki ʻokoʻa a me ke ahulau, hoʻemi ʻia ka nui o ka pancreas a hoʻopaʻi ʻia i nā ʻāpana momona. I kēia hihia, ʻike ʻia nā loli i ka parenchyma pancreatic e pili ana i ke ʻano o ka echogenicity hoʻonui e ʻike ʻia ma ka ultrasound. ʻO ka nui o ke kino e noho mau nei, ʻaʻole pono ke ʻano kūikawā.
Inā hoʻololi ʻia nā seleka pancreatic i ka ʻili hoʻohui, e hele pū ana me ka pancreatitis koʻikoʻi, a laila maʻa paha ka nui o ke ʻano o ka mea maʻamau. Pono pono ke ʻano inā hoʻopaʻa ʻia ka hoʻopaʻa ʻana o ka maʻi pancreatitis.
ʻEnehana hoʻomohala
ʻO ka ʻōlelo i ʻōlelo ʻia o nā loli ʻana ʻaʻole ia he maʻi, akā he hōʻailona ia o ke kaʻina pili. ʻO kā lākou heleʻana ma muli o ka deformation a me ka hoʻopiʻi ʻana o nā pancreas i kū mai ma luna o ke kua ʻana o ka mumū, pancreatic fibrosis a i ʻole ke ʻano kūlohelohe o ke kino. Eia nō naʻe, i kekahi mau hihia, ʻike ʻia ka diffusion i nā maʻi maʻi kūlohelohe ʻole nā mea maʻi ʻole.
Aia kekahi mau kumu kumu e hoʻohuli ai i ka loli o ke ʻano ma ka pancreas:
- lōkohu
- diabetes mellitus;
- lipomatosis;
- fibrosis.
ʻO nā wahi mua o ka lipomatosis he asymptomatic, akā ke ʻano o ka lipomas i ka hoʻihoʻi ʻole ʻia.
Hoʻopilikia ʻia nā maʻi pancreatic i ka pancreatitis ma muli o ka hōʻeha kino o ka huina e nā kinipona i hoʻohuʻā ʻia e ka ʻai ma ia iho. ʻO ka hapanui o nā enzymes e hana mau a hoʻāla wale ʻia i ka wā e komo ai lākou i ka duodenum.
Hiki i ka pancreatitis ke hoʻonāukiuki i ka puka o ka huna ʻana, ka hoʻonui ʻia ʻana o ka pilikia ma loko o nā kumu wai, a me ka hana nui loa o ka papa pancreas, reflux (hōʻano hou i nā ʻike o ka duodenum a me ka bile) i loko o nā kumu o nā pancreas.
Me ka hoʻomohala ʻana o ka pancreatitis, hiki i nā hoʻopiʻi ka hopena - fibrosis a me ka sclerosis, ma kahi e hoʻopili ai ka hoʻopili kino. Ma kahi o ka hoʻololi o nā seline parenchyma olakino me ke kiko adipose, ʻike ʻia ka lipomatosis.
Nā ʻano a me nā ʻano
I loko o ka digestive tract, aia nā maʻi parenchymal a me nā hollow. ʻO ka hope loa e hoʻopili i ka ʻūpiki a me ka ʻaihue, ka ʻōpū a me nā ʻōpū. ʻO ka pancreas kahi maʻi parenchymal kahi i loaʻa kahi alveolar-tubular a hoʻoulu i nā enzymes a me nā hormone.
Hoʻohālikelike nā loli i ka parenchyma pancreatic o kahi ʻano maʻamau e hōʻike ana i ka waiho ʻana o nā neoplasms - cysts, tumors a me nā calcification. Hiki ke loli ka ʻokoʻa o ka loli, a ʻike ʻia nā ʻano leo ʻē aʻe.
ʻO ka mumū me ka pancreatitis e hui pū ʻia e ka mālamalama a me ka hoʻonui o ka nui o ka pancreas. ʻO ka kaona i ka manawa like ke hōʻike nei i ka hoʻohaʻahaʻa o ka echogenicity a me ka paʻa o nā kiko o nā kino. ʻO ka maʻi pancreatitis pinepine ka hopena o ka huhū o ka huehue, a ma muli o ka papa lōʻihi o ka maʻi, hiki i nā nodules liʻiliʻi ke hōʻili i nā foci.
Inā hōʻemi ʻia ka mānoanoa a me ka echogenicity, a ʻaʻole i loli ka nui o ka pancreas, a laila hiki ke manaʻo ʻia ka ʻike ʻana o ka maʻi pancreatitis. Hoʻonui ka echogenicity me ka waihonaʻuʻina maʻamau e hōʻike ana i ka hoʻomohala ʻana o ka lipomatosis.
ʻO nā hōʻailona echographic o ka fibrosis e hoʻonui i ka echogenicity a me ka pāʻana o ke pancreas, a ʻo kona nui e hiki ke loli a hōʻemi iki paha i ka nui.
Hōʻike i nā loli kūlike i ka pancreas e kū i ka wā o ke ala o nā pathologies o ka gallbladder a i duodenum. ʻO ke kumu o kēia hihia, he hana ʻole nā ka hoʻoneʻe ʻana o nā protein a me nā ʻawaʻawa ma muli o ka nele o nā enzyme o ka digestive.
He poʻo poʻo ka pancreas, kahi isthmus, ke kino a me ka huelo. ʻO ka poʻo a me ke kino e pili pinepine ʻia, akā 25% wale nō ka hāʻule ma ka huelo. Eia nā mokupuni o Langerans, synthesizing hormones, a me nā kīʻaha koko nui. Hiki ke pili me ka hoʻokaʻawale ʻana o kēia wahi i ka blockage o ka vein splenic, e alakaʻi ana i kahi sila a i ʻole ka hoʻonui ʻana o ka papa excretory.
He paʻakikī i kēia e hoʻōla ai i ka ʻili o ka huelo, a ma ka hapa nui, e koi ʻia ke kaila kaʻaila e wehe i ka huelo. Eia naʻe, me ka loli liʻiliʻi a i ʻole paha, e mālama ʻia ke mālama ʻana me nā ʻoihana conservative ma lalo o ka mālama mālama olakino maʻamau.
ʻO ka hoʻokaʻawale ʻana o ka pancreas o ke ʻano hou o ke ʻano ka lua o ke kuamoʻo - ka hopena o ke kino i ka maʻi o ka pēpē o ka gastrointestinal. ʻO ka hapanui pinepine kēia mea ma muli o ka hanaʻino o ka puhiki a me nā mea pā ʻana.
Hiki i nā maʻi kūleʻa ke hele pū me ka pancreatitis kūlohelohe i kū mai ma hope o nā maʻi o nā kino ʻē aʻe o ka ʻili kūwī, hoʻopiʻi ka ʻōnaehana a me ka hōʻino o ka ʻai (momona, pākī, spicy) i nā meaʻai.
I kekahi mau hihia, ʻo ke kumu o ka hoʻololi hou ʻana he mau mea kuʻupena o ka synthesis o nā enzyme, nā hemahema i ka hoʻomohala ʻana i ka biliary tract me ka hoʻohana lōʻihi ʻana o kekahi mau lāʻau.
Me ka fibrosis, hoʻoliolo ʻia ka palaki parenchyma pancreatic maʻamau e nā papana a i ʻole ʻōpū āpau o nā ʻili o nā ʻili
Hoʻolālā a me nā Hoʻolaha
ʻO nā hōʻailona o nā lono plrite i ka pancreas e hilinaʻi nei i ke ʻano o ka maʻi i hōʻeha iā lākou. ʻO nā hōʻailona alakaʻi ke kaumaha a me ka hōʻeha ma ka ʻōpū, indigestion (constipation, diarrhea a me kā lākou alternation) a me ka ʻeha ma lalo o nā kīʻaha ma ka hema. Ma ka maʻi pancreatitis ma luna, piʻi mai ke kaomi intraductal a hele mai ka hana o ka organ.
I kekahi mau hihia, hele nā digestive enzyme ma mua o ka pancreas a komo i ka ʻōnaehana ʻōnaehana. ʻO ka hopena kahi i hoʻoheheʻe ʻia i ke kino, ka mea i hōʻike ʻia e ke kahe o ke neʻe ʻana i ka pume, paila, a laila e lilo ana i ka luaʻi, a me ka ʻae ʻole o ka ritika puʻuwai. Pono kēia kūlana i ka mālama ʻana i ka haukapila.
Me ka hoʻololi o ka pancreatitis hoʻonā i ka hele aʻaloko i ka pancreas, ke huhū nui a me ka pinpoint hemorrhages i loko o ka parenchyma. Ke holomua nei ka maʻi, ke emi nei ke kino i ka nui, a hoʻomaka ka ulu ʻana o nā iwi hoʻohui. ʻO ka hopena o ke kaʻina hana pathological mau ka emi ʻana o ka hoʻopili ʻana o nā huina.
Hoʻomaʻa pinepine, hele aku ka pancreatitis me ka ʻole o nā hōʻailona i haʻi ʻia ʻole a ke kiʻi kiʻi maʻi kiki. Eia naʻe, ma ia manawa koke, i kahi exacerbation e noho ana, i ka manawa o ka mea maʻi e ʻike i kahi ʻeha koʻikoʻi i loko o ka ʻōpū, e hoʻopiʻi ana i ke kua a i ʻole ka umauma. ʻO kekahi mau manawa i hala mau makahiki mai ka hoʻomaka ʻana o ka maʻi i ka hele ʻana o nā hōʻailona mua.
ʻO ka hoʻololi ʻana i nā loli i ke ʻano o ka lipomatosis i ʻole e hoʻolaha mau i nā hōʻailona, ʻoi aku ka nui o nā iwi momona. Inā ʻaʻole, i ka nui o nā lipomas, kuʻi lākou i nā ʻili e hoʻopuni ana, e alakaʻi ana i kēia mau hoʻopiʻi:
MRI ʻO pancreatic- nele o ka momona;
- luhi, nawaliwali;
- ka malo maloʻo
- belching air, nausea a puka;
- ʻeha i ka hapakolu o ka ʻōpū ma hope o ka ʻai ʻana;
- mau ka manaʻo nui o ke kaumaha i loko o ka ʻōpū;
- uhaki, pepeke, loluwelu.
I ka wā e hiki mai ana, e ulu nui paha ke kūlana o ka mea maʻi, a me nā loli o ka pathological i loko o nā ʻāpana ʻē aʻe o ka pēpē o ka gastrointestinal - ʻōpū, ka ate, a me nā aniani endocrine. Hoʻomaka ka mea maʻi e nalo i ka paona a hopu pinepine i kahi anuanu.
ʻO ka fibrosis pancreatic i hui pū ʻia me ka emi o ka hana o nā enzyme a me nā hormones, ke kiʻi o ka mea maʻi ma ke ʻano o ka mumū.
ʻO ka manaʻo nui o ka maʻi hānai ka manaʻo i ka makewai mau ʻole a me ka waha maloʻo, ke kau ʻana i ka ʻili, ka nui a me ka urination pinepine, hoʻonui nui ʻia a me ka hoʻonaninani. ʻO kahi hōʻailona o ka maʻi maʻi i nā keiki hiki ke nocturnal diuresis, ʻaʻole ia ma mua.
Naʻi hoʻolika
Hiki ke ʻike ʻia ka hoʻokaʻawale ʻana o ka pancreas me ka hoʻohana ʻana i ka ultrasound, e hōʻike ana i kona nui, kūwaho a me ka laulau. Eia nō naʻe, hiki ʻole ke hoʻoholo i ke kumu i hoʻololi i ke ʻano o ka pancreas me ka ʻole ʻana o ka hoʻopaʻa ʻana a piha loa.
Pākuʻi ʻia nā hana hoʻonaninani:
- ka nānā koko ākea a me nā biochemistry;
- urinalysis;
- Uiuei
- pākuʻina huaʻolelo;
- Hoʻohana nui ʻia RCP - retrograde cholangiopancreatography e like me nā hōʻailona a he wale nō i kahi o ka haukapila. Pono ke kaʻina hana inā he kānalua o ka blockage e ka calculi a i ʻole ka puka ʻana o ka umauma a me ka papa pancreatic.
Ma ke ʻano o ERCP, ka stenosis o ka nui o ka pancreatic duct, ka loli hoʻololi, ka mālama o nā protein a me nā paʻakai i loko o nā kumu
Hoʻomaʻamaʻa
No ka mea i ʻike pinepine ʻia ka diffusion ma hope o nā maʻi a i ʻole nā mea ʻawaʻawa, ʻoi aku ka lōʻihi o ke ʻano o nā lāʻau. Inā ʻaʻohe hewaʻole loa, a laila e aʻo ʻia e hoʻoponopono i ka ʻai, a hana hou i ka hoʻokolokolo.
ʻO ke kumu o ka pāpā ʻana i ka pancreatic i ke keiki hiki ke lilo i maʻi maʻi, ʻo ka ʻano maʻamau, ke ʻōpū o ka ʻōpū o ke aʻi Hoʻomaʻamaʻa ka mālama ʻana i ka hoʻokuʻu ʻana i ka maʻi mākaʻi a me nā hōʻailona paʻa o ka pankreas - ʻeha o ka ʻōpū, ʻōpū, a me nā mea ʻē aʻe.
Kauʻai
No nā keiki ʻelua a me nā pākeke, ʻōlelo hānai ʻia nā meaʻai. ʻO ka meaʻai māmā no nā loli i ka pancreas ma muli o ka maʻi i hōʻike ʻia, a ʻokoʻa paha ka nui. Me ka pancreatitis, kahi papa helu 5 i kuhikuhi ʻia, i hoʻolālā ʻia no ka hoʻomaʻamaʻa ʻana i ke ʻano o ka digestive tract. Ina e mai ke kino o ka maʻi palia 2, a laila hoʻohana ʻia kaʻai No 9. No ka maʻi maʻi a me ka hemahema o ka insulin (ʻano 1), ke kumu kumu o ke olakino e helu i ka nui o nā huamina i hoʻopau ʻia. Hiki ke piʻi aʻe ke kiʻekiʻe o ka glucose i ke koko me ka uhai ʻana i nā kīmeka, no laila ua kūpono kā lākou kaha i kēlā me kēia lā i ke ʻano o ka insulin i lawe ʻia.
He aha a pehea e mālama ai i ka pancreas, e haʻi aku ke kauka ma hope o ka loaʻa ʻana o nā hopena āpau o ka hoʻokolokolo. Pono e hoʻomanaʻo ʻia ʻo ka hoʻopili ʻana o nā loli i ka pancreas ʻo lākou iho ʻaʻole ia he maʻi, akā hiki ke kūpaʻa ʻia ma muli o ka hōʻino ʻana a me ka nui o nā mea inu ʻona, nā mea momona a me nā meaʻai.
ʻO ka ʻōlelo nui o ka meaʻai ka mea penei:
- ka helu piha ma ka waiʻona;
- kahua waihona meaʻai - nā kīʻaha haʻahaʻa-calorie: nā mea kanu, kaʻai a me nā huahana momona-momona haʻahaʻa;
- Pono ʻoe e ʻai pinepine a me ka liʻiliʻi, i ʻole e hoʻonāukiuki i ka mea huna nui o ka huehue a me ka loaʻa ʻana o ka hoʻouka ʻana o ka pancreatitis;
- ʻoi aku ka maikaʻi o ka kuke ʻana i ka meaʻai iʻa a kuke ʻia, ka kuke.
Pēlā, inā e hōʻike ka ultrasound i nā loli i loko o ka kuʻekuʻe, akā, ʻaʻohe mau hōʻeha a me nā hōʻailona ʻē aʻe, a laila ʻaʻohe kumu no ka hopohopo. Inā ʻaʻole, e hoʻouna ke kauka no ka nānā hou a kuhikuhi i ka mālama kūpono. E ola kino!
