ʻO ka pancreas kahi kiko liʻiliʻi, akā he mea nui loa ia. ʻO ia ke kumu nui o nā enzyme no ka hana ʻana o ka meaʻai, ʻo ia kahi o ka mea huna o ka pancreatic. Eia kekahi, ʻo nā sela o nā mokupuni o Langerans e waiho ana i ka huelo e hoʻopili ai i ka hormone insulin a me ka glucagon.
Nā kumu kumu o nā maʻi
ʻO ka multifunctionality o ka pancreas i maʻalahi i ka hoʻomohala ʻana i nā ʻano pilikia like ʻole, ka hewa o ka mea maʻamau i ka mea pono iā ia iho. ʻO ka hoʻohanaʻana i nā meaʻai momona a me ke kō, nā mea inu ʻawaʻawa e alakaʻi nei i ka hōʻino o ka aila me ke ʻano o nā hōʻailona maikaʻi ʻole.
I ka manawa pinepine, ua hoʻomā ka pancreas i nā hōʻeha a me nā hana metabolic-dystrophic, ma ke ʻano o ka make ʻana o nā maʻi olakino, a hemo ka hana o nā enzyme a me nā hormone. Hoʻopilikia ka pilikia me ka pancreas i ka hana o ke kino holoʻokoʻa, a pili ka mea maʻi ʻaʻole wale me ka hoʻowalewale ʻana a me ka hanaʻole.
Ma muli o kahi hemahema a i ʻole ka nui o nā hormones, ua piʻi ke kiʻekiʻe o glucose a me ka kolamu, e hoʻemi ana ke kani vascular, a me ka hana ma ke ʻano o ka mea i ka excretory. Hiki i nā kumu like ke hoʻonāukiuki i nā maʻi pancreatic.
E pili ana kēia:
- nā wānana a me ka hānau hānau - nā mea he nui, hypoplasia, anomalies duct;
- nā ʻōpū o ka ʻōpū;
- neoplasms;
- ke kīnā i ka waiʻona;
- nā ke kaupaona ʻole;
- hopu
- hoʻolōʻihi a paʻakikī ke kaumaha;
- nā maʻi mua;
- ka heleʻana o nā ala ʻōnaehana - hepatitis, cholecystitis, etc.
Pono e haʻi ʻia ʻo ka hopena o ka waiʻona ma ka pancreas ʻaʻole i maopopo like ka mea maʻamau. I loko o ka poʻe e inu i kēlā me kēia lā, hiki i ke ola ke kūleʻa o ke olakino, a no ka mea e hoʻomaʻamaʻa nei, ʻoiai hoʻokahi ka hoʻokahi i kekahi manawa no ka ʻehaʻeha.
Nā maʻi maʻi
Ua hana mua ʻia ka helu ʻana o nā maʻi pancreatic i kahi hālāwai kūkā o ka poʻe pancreatologists i ka makahiki 1963 a ua hoʻoponopono ʻia i ka makahiki 1983. I ka hōʻa hou, ʻelua mau ʻano o ka maʻi pancreatitis i hoʻomaka e kūʻokoʻa - obstructive and non-obstructive.
Nui nā maʻi e pili ana i ka pancreas:
- pancreatitis (ʻoiʻi, maʻi palaka, hoʻonaninani, hoʻihoʻi, purulent, hemorrhagic);
- ʻO nā cysts pancreatic a me ka pseudocysts;
- ʻaiahiumō pancreatic;
- nā cystic fibrosis;
- kūmole pancreatic;
- neoplasms hewa ʻole;
- maʻi mellitus maʻiʻi.
ʻO ka pancreatitis
ʻO ka pancreatitis Acute he maʻi necrotic maʻi he hopena ia o ka enzyolatic autolysis (hoʻāʻo ʻana iho) o ka pancreas. ʻO ke kumu koke o kona hōʻea ʻana mai ka pōʻino i nā pona parenchyma olakino ma o nā enzyme mua i hana ʻia. ʻO ka maʻamau, lilo lākou i ka hana wale i ka wā e komo ai lākou i nā ʻōpū.
Ma lalo o ke kumu o nā mea kumu, ke wehe ʻia ka pale o nā enzyme o ka digestive, hana ʻia lākou i loko o ka pancreas a hoʻoneʻe i nā ʻāpana o ke kino. Eia kekahi, hiki i nā mea kūmole ke lulu i nā ʻili kokoke a komo i ka ʻōnaehana ʻōnaehana, e hōʻalo i nā hōʻailona o ka hoʻohālikelike.
ʻO nā ʻano hōʻailona o ka maʻi ʻo ka pancreatic i ke kūkākā pancitisitis penei:
- ʻeha ikaika a hoʻomau ʻia hoʻi i ka ʻōpū o ka puʻuwai, hiki i ka huli i ke kua, i ka umauma, a me ka nui o ke keʻena, a ma hope o ka ʻai ʻana;
- ʻalo a me ka luaʻi, ka mea e lawe ʻole mai i ka hōʻoluʻolu a me ka pau ʻole;
- ke hoʻonui ʻana i ke ea kino;
- ka ʻanuʻu o ka ʻili.
Nui nā poʻe maʻi i ka hoʻouka ʻana e pili ana i ka hū ʻana, hoʻonui ʻia ke kūkulu ʻana a me ke ʻano o nā bruises liʻiliʻi i loko o ka ʻōpū.
Me ka hoʻomaʻamaʻa manawa kūpono, hiki ke hoʻōla piha ʻia ka pancreatitis ma 80% o nā hihia, ʻo ke koena 20% ka helu ʻana no ka maʻi maʻi o ka pathology. He lolo lōʻihi ka pancreatitis a ua nānā ʻia e ka hoʻololi lohi i ke kaona o ka pancreas a me kahi hoʻohaʻahaʻa ʻana i kāna hana.
Pehea e hoʻoholo ai i kēia hihia ʻaʻole maikaʻi loa nā pancreas. ʻO ke kiʻi o ka maʻi maʻamau o ka pancreatitis me ka exacerbation ka aneane like me ka hoʻopili, akā, ʻaʻole i emi iki nā hōʻailona o ka maʻi pancreatic.
Inā kānalua ka maʻi pancreatic, koi ʻia ka hoʻokipa maʻi.
ʻO ka hoʻouka ʻana i ka pancreatitis maʻa a i ʻole he koi ʻana e koi aku i ka hoʻokipa ʻana a me ka mālama ʻana. Ma mua o ka hiki ʻana mai o nā kauka, pāpā paʻa ʻole ʻia e inu i kekahi lāʻau lapaʻau ʻē aʻe ma mua o nā antispasmodics a hoʻomehana i ka ʻōpū. No ka hōʻoluʻolu i ke kūlana, hiki iā ʻoe ke kaha iā I-shpa a noho i ka mea maʻi i hiki i kona kino ke hele i mua.
Ma hope o ka hoʻōki i ka hōʻailona o ka maʻi, ua kuhikuhi ʻia ka mea maʻi a kuhikuhi i ka mālama mālama ʻana. Eia nō naʻe, ʻaʻole ke haʻalele ʻia ka hoʻololi ʻana o ka pancreatitis akene i ka hana aʻoki i ka wā e ukali ʻia nā lāʻau lapaʻau āpau. I kēia hihia, nā pilikia a me nā kaumaha ma ka ʻōpū, huhū nui, hōʻeha a me ka ʻeha e hele mau ana ka maʻi. Eia kekahi, nui nā mea maʻi e hoʻopiʻi nei i ka hoʻowalewale ʻana i ka ʻai i ka palaoa a me nā momona.
Nā ʻōpū me ka pancreatic
ʻO Pacreonecrosis kahi hoʻopiʻi o ka pancreatitis maʻa a ke kumu ʻia e ka hoʻonāukiuki ʻana i nā hana palekana o nā pancreas mai nā hopena hōʻino o nā enzymes. ʻAʻole e like me pancreatitis, pili kēia maʻi ma ka poʻe inu ʻole. Akā, i ka nui o nā hihia, kahi pāʻina hoʻokahi o nā ʻaina lehulehu i hui pū ʻia me kahi kīʻai nui e alakaʻi i kona kūkulu.
A ke hopena, piʻi nui ka hana o ka exocrine o ka pancreas, e hoʻonui a hāhā ana kāna mau kukuna, a ke emi maila ka puka o ka wai o ka digestive. Ma muli o ka lohi ʻana o nā pākuʻi, piʻi ke kumu o loko o ia mau mea, e alakaʻi ai i ka huehue o ka parenchyma a me ka luku ʻana i nā keola olakino o ka lālani.
Hoʻokomo ʻia nā enzyme i hoʻokaʻawale ʻia, ʻo ia ke kumu o ka hoʻowalewale ʻana me ka hoʻomaka ʻana o ka necrosis nui. Hoʻokomo ʻia nā ʻano o nā lipases i ka make ʻana o nā mea momona, a me nā elastases e luku i ka pā vascular. Hoʻopili ia, nā enzymes a me nā haʻalulu o ka nāe o nā pili make i komo i ke kahe wai, e hoʻokaʻawale i kahi ʻano holoʻokoʻa.
ʻO ka ʻeha ma ka ʻaoʻao o ka hypochondrium hema o hope, nausea a me ka luaʻi paha e kuhikuhi ai i ka hoʻomohala ʻana o nā hanana pathological i ka pancreas
ʻAʻole hiki ke nalo i nā hōʻailona o nā pilikia pancreatic i kēia hihia, ʻo ka neʻe ʻana o ka necrosis pancreatic e kekahi ʻano a me ka hoʻomaka koke ʻana. Mālama kēia i nā mea maʻi i ka ʻai a inu paha i ke kumu.
ʻO ka mea mua, hele mai kahi ʻeha hōʻeha o ke kāʻei, e noʻonoʻo nui ana i ka ʻaoʻao hema o ka ʻōpū. ʻAʻohe kahi pancreatic necrosis me ka hōʻeha o ka ʻeha, a ʻo ka ikaika ʻo ka ʻeha, ʻo ka ʻoi aku ka maʻi o ka maʻi. Pono e hoʻomaopopo ʻia e hala ka palu ʻana o ka maʻi, no ka mea, ua pālaʻi ka hana pālaʻi me nā hopena o ke aʻa. Ia manawa i ka manawa like nā hōʻailona o ka hoʻobalopapa, a laila maʻamau ka makemake ʻana o ka prognosis.
I kekahi manawa ma hope o ka hoʻomaka ʻana ʻana o kahi ʻehaʻeha o ka hōʻeha ʻana, hoʻomaka ʻia ka lua, ʻaʻole hiki ke hoʻomaha. I ka luaʻi, kaʻaila a me ke koko i ka manawa pinepine. ʻO ka pane i ka nīnau "he aha e hana ai me ka pancreatic necrosis" hiki ʻole i ka manawa: e kāhea i kahi ambulance.
I ka nui o nā hihia, pono i nā mea maʻi e hana i ka wehe ʻana i nā huahana necrotic a hoʻihoʻi i ka kahe ʻana o nā enzymes. He mea nui ia e ʻike i ka mau lā ʻelima mua, ʻaʻole ia i hoʻokō ʻia ka hana ma muli o ka hiki ʻole o ka loiloi ʻana i ka pae o ka necrotization.
Cyst (pseudocyst)
Ua kapa ʻia kahi kika kahi lua i loko o ka parenchyma, nona nā pā a me nā ʻona. Hiki iā ia ke hōʻeha ma muli o ke kaʻina a me nā hōʻeha i ka traumatic i ka pancreas.
E kū'ē i ke kua o ke kuni ʻana, kū ʻia nā mea pseudocyst e loaʻa nei ka epithelium. Inā uhaʻi ʻia nā aluhiʻiia, ʻoiaʻiʻo a i ʻole ka noho ʻana o nā cysts i ka mea i loaʻa i ka lula epithelial.
He aha nā hōʻailona e hele pū ai ka cyst ma ke kumu he nui - ka hoʻonohonoho ʻana i ka nui, nā nui a me nā kumu o kona hiki ʻana mai. Me nā pilikia me ka pancreas o kahi ʻano palaka (pancreatitis), kahi e ʻike ʻia ai kahi hua cyst, nā maʻi koʻikoʻi nui loa. ʻO ka lōʻihi o ka manawa, lilo lākou i ʻōlelo a hoʻopau loa.
Eia kekahi i nā ʻeha, aia kekahi mau hōʻailona ʻē aʻe:
No ke aha i hoʻonuiʻia ai ka pancreas- hemo wale, he luaa
- noho ka paa;
- waiho kaumaha;
- ka pigmentation laupaʻa i ka ʻili a me ka maka sclera;
- ka huehue o nā wāwae (me ka hoʻoweliweli ʻana o ka portal vein cyst);
- kaohi ʻana a me ka ʻoki ʻana, ʻāpana āpau.
He aha kaʻu e hana inā ʻike ʻia ka cyst? ʻO nā ala Therapeutic i kēia hihia ke mana ʻole, a e kōkua wale nō ke hōʻola. A eia kahi ʻelua i hiki ke koho: ka wehe a me ka huki o ka cyst. ʻO ke koho o nā kaʻina hana hoʻokele e pili ana i nā hiʻohiʻona o ka neoplasm.
Nā maʻi ʻōpiopio
Hiki i kahi keiki ke hoʻomohala i ka pancreatitis reactive, maʻi pancreatic, a me ka maʻi diabetes. ʻO ka kīleʻa pancreatic he mau congenital, a maikaʻi ʻole i ka mālama ʻia. Eia naʻe, me ka mālama kūpono a me ka mālama olakino maʻamau, hiki nō ke mālama i ke kaʻina hana ʻana ma kahi pae ʻae ʻia.
Hoʻomaʻamaʻa ʻia nā ʻano palaka o ka pancreatic i ka ʻeha o ka ʻōpū o ka ʻōpū, nā ʻāpana kī ʻole o ka meaʻai i nā mea feces, nā puka o ka ʻōpū, a me nā kīkaha paʻa ʻole.
ʻOi aku ka palankalelo o nā keiki he maʻi maʻamau, ʻeha loa nā maʻi ʻo ka pancreatic
ʻO ka maʻi maʻi pancreatic maʻamau i loko o nā keiki he react pancreatitis, e hele ana i ka wā e pīhoihoi ana nā mea'ē aʻe o ke ake o ka gastrointestinal. No kona hoʻomohala ʻana, ma ke kānāwai, aia kekahi mau kumu:
- nā maʻi hopohopo - tonsillitis, flu, makika;
- parasestestestestest;
- trauma i ka ʻōpū o ka ʻōpū;
- ke kūlike ʻole o nā meaʻai no ka manawa lōʻihi;
- nā hana hōʻulepule i pili ke kīpili;
- hana me nā antibiotics ikaika.
Hiki i ka maʻi pancreatitis hiki ke ʻeha i nā hōʻailona he nui. Hoʻopili kēia i ka ʻeha ma ka ʻōpū ma luna o ka hema, hema ʻole o ka momona, ka mālamalama a me nā kīwaha palu, indigestion a me ka hoʻonui iki ʻana i ke ʻano kino o ke kino.
Naʻi maʻi mellitus
Ma muli o ka huehue o ka hoʻomehana ʻana o ka metabolika ma o ka hōʻemi ʻana i ka hana o ka insulin e ka pancreas a me ka hoʻonui ʻana o ka glucose o ke koko. Nā kumu kumu no kona hoʻomohala ʻana, ʻo nā ʻenima autoimmune o ka pancreas, nā maʻi viral a me ka hoʻohuʻemi me nā mea ʻala (nā pesticides, kekahi mau lāʻau lapaʻau, nā carcinogens).
Hiki ke hoʻonāukiuki i ka maʻi maʻi o ka pancreas e hoʻonāukiuki i ka maʻi maʻi, ma muli o nā mea i hoʻokaʻawale ʻia nā mea o nā sela o ka isleter Langerans e hua ana i ka make o ka insulin. Hoʻokomo kēia hormon i ka wāwahi o ka glucose a me kāna halihali i nā ʻili kino o ke kino. Me ka nele o ka insulin, ʻaʻole i wāwahi ka glucose a hoʻonoho i ka kahe koko.
Aia kekahi mau hiʻohiʻona he mau hiʻohiʻona o ka maʻi type 1:
- poʻomanaʻo
- makewai mau ʻole a me ka waha maloʻo;
- hoʻonui nui momona;
- ua emi mai a ikeu;
- nā palena koko;
- pallor o ka ʻili;
- nā urination pinepine.
ʻO ka pale maikaʻi loa o nā maʻi pancreatic kahi maʻi olakino a me ka maʻamau maʻamau, a me ka nui o ka wai i loko o ka meaʻai
He microsic fibrosis
Ua ʻike ʻia kēia maʻi hoʻoilina koʻikoʻi ma ka cystic fibrosis a pākī i nā peka pancreatic exocrine. No ke aha e ala ai a pehea e hōʻike ʻia ai? Ma muli o kahi genation gen, kahi hana āpau o ka protein MWTP, nāna i lawe i ka hoʻoliʻiliʻi o ka wai-electrolyte metabolism o ka epithelium lining i nā kumuwaiwai kūloko, me ke ʻano o ka pancreas.
Hiki i nā fibrosis Cystic ke hele mai i nā ʻano like ʻole - pulmonary, intestinal a kāwili ʻia. Ma kahi o kahi hapakolu o nā maʻi āpau, loaʻa iā ia i nā lā mua o ke ola ma ka ʻano o ka halekele meconium, ʻo ia hoʻi, ʻaʻole i hoʻokuʻu ʻia nā feces mua i kahi keiki hou.
ʻOiai inā ʻaʻohe mau maʻi ʻeha, akā ʻo ka hōʻeha o ka ʻōpū a me ke kāpili ʻana ke hōʻuluʻulu ʻia e ka ʻōnaehana pono, pono ia e ʻike i ke kumu ma ka hoʻopili ʻana i ka hale lapaʻau
Hiki i ka maʻi ke ulu i kēlā me kēia makahiki. ʻO kekahi o kāna mau hiʻohiʻona hiʻohiʻona ka papa ka papa pancreatitis ka mea i hoʻopili ʻia e:
- ʻeha a me ka ʻeha i loko o nā ʻāpana;
- nāwaliwali o ke kino;
- ka manaʻo ʻana i ka makewai a me ka waha maloʻo;
- koi pinepine ʻole i ka hemahema;
- hoʻemi i ka momona.
Hoʻomaʻamaʻa ka maʻi no ka cystic fibrosis, ke kuhikuhi nui i ka hoʻoponopono ʻana i ke ʻano. Ka maikaʻi ʻole ka prognosis, kūpono i ka hopena o ke ʻano o ka hopena o ka hopena. ʻO ka lōʻihi o ke ola o nā maʻi me nā cystic fibrosis he 48 mau makahiki.
ʻO nā moʻi manuahi
Ma ka hapa hapa o nā hihia a pau, hele mai ka maʻi pancreatic no kahi kumu ʻike ʻole ʻole. Hoʻonui ka ʻoliā o kona hanana me nā makahiki. ʻO nā hopena koʻikoʻi he mau maʻi e like me ka diabetes mellitus o kēlā me kēia ʻano, ka pancreatitis a me nā malformations congenital o ka digestive tract.
Me nā hua o ka ʻōpiopio kino, hoʻonui pinepine ka palaka maʻi, a hoʻomaka me ka hōʻeha iki ʻole i ke kolu o ka ʻōpū o ka ʻōpū. A laila aia ke ʻano ʻeha, kahi hiki ke hāʻawi ʻia i hope a pālahalaha ʻia a puni ka ʻāpana holoʻokoʻa o ke kino. Ke ulu nei ka ʻōpala, ulu aʻe ke ʻeha a ʻōlelo nui ʻia me ka pīkī.
Hiki ke hana wale ʻia kahi maʻi kūpono ma hope o ka nānā ʻana a me ka nānā ʻana.
ʻO ka hōʻike olakino o ka maʻi maʻi pancreatic hiki i ka melemele o ke kino a me ka ʻeha, ke kau ʻana o ke kaumaha a me ka makemake, ka urineʻeleʻele, a me nā moʻo kala māmā. Inā hoʻopaʻa ka ʻōpū i ka duodenum a i ʻole ka ʻōpū, a laila hopohopo ka mea maʻi i ka maʻi a me ka luaʻi.
He maʻi maʻi kino ka maʻi pancreatic a ʻoi hiki ke hoʻōla. ʻO kēia ma muli o kona neʻe ʻana hope loa, ʻoiai ke ʻano neʻe pinepine nei nā hōʻailona ma nā papa mua.
Hoʻopilikia a me ka mālama ʻana
Nui nā ʻano aʻoaʻo no ke nānā ʻana i ka pancreas, e ʻae ana i kahi loiloi hohonu o ka moku o ke ʻano a hoʻokū i kahi maʻi kūpono. Hoʻomoe ʻia ka maʻi maʻi o ka maʻi pancreatic e ka gastroenterologist a ke loaʻa nei kahi hōʻike pilikino, kahi hoʻokolohua hoʻomanawanui, ʻo nā mea noiʻi a me nā hoʻokolohua hoʻoliʻi.
Ma muli o nā hoʻopiʻi a me nā hōʻailona kino, kau ʻia ka mea maʻi:
- E nānā i ka hemogram a me ka helu kuʻina o ke koko;
- nā palapala neʻe a me nā hōʻike pā ʻana;
- hōʻike hoʻololi me ka ʻole hana o ka hana ʻana;
- hoʻāʻo ʻia ke koko no ka ʻike o nā kinohi;
- coprogram (nānā fecal);
- hōʻike no nā māka ʻōiwi.
Nā hana kiko o ka hoʻokolohua:
- FGS;
- X-rayā
- Hōʻailona i ka kahe ʻōpū;
- Endo-ultrasonography;
- CT, MRI;
- biopsy o ka pancreatic kiko.
Ma nā hihia lohi, hoʻohālikelike ʻia ʻo ERCP - ke kaʻina hana endoskopika e pono ai e ʻike i nā pōhaku, nā tumors a me nā hōʻuluʻulu ʻana i ka protein i nā papa o nā kuhi.
Hoʻokumu i nā hopena, kuhikuhi ke kauka i ka mālama maʻi, hiki iā ia ke lilo i conservative a surgical paha. Pehea e mālama ai i nā maʻi pancreatic i ʻike ma aneʻi. E ola kino!
