ʻO ka pancreatitis Biliary, he mea i ka maʻi maʻi maʻamau o ka maʻi pancreas, he ʻano lua. Ma hope o nā mea a pau, ulu ia no nā maʻi o ka ʻōpū, nā papa bile a me nāʻiole. ʻO kēia ka mea i kapa ʻia he biliary. ʻO ka hoʻonāukiuki i ka puka ʻana o ka huahe, ka palalalula a i ʻole hoʻoheheʻe ʻia i loko o ka pancreas e alakaʻi i ka hoʻomohala ʻana i ka maʻi ʻaʻai. Kālele nui ka ʻike ma waena o ka pākeke o nā pākeke, a ʻo ia ka mea i loaʻa i loko o nā wahine. Ma kahi o ka hapalua o nā hihia o ka pancreatitis ma muli o kēia kumu. Wahi a ka koʻikoʻi o ke papa, kahi hoʻokaʻawale i kahi ʻano maʻi o ka maʻi a me ka pancreatitis biliary hilinaʻi. Inā ʻaʻole i hoʻomaʻemaʻe ʻia, hiki i ka pathology ke alakaʻi i nā hoʻopiʻi koʻikoʻi a hiki hoʻi i ka make.
Nā huakaʻi hele ʻana
Hoʻohana pili ʻia ka hana maʻamau o ka pancreas i ke olakino o nā ʻokoʻa ʻē aʻe o ka gastrointestinal tract. ʻO ke kūlana o nā dile bile ka hopena ikaika ma luna o ia. Hoʻākoakoa ka gallbladder a kūʻai aku i ka bile, ka mea i loaʻa nā mea kūikawā no ka hoʻowalewale ʻana i nā momona. I ka wā o ka hana maʻamau o ka humuhumu ma hope o ka meaʻai e komo ai i loko o ka ʻōpū, kahe a kahe ma loko o nā komo i loko o ka duodenum, kahi i komo ai ia i ka hāwili ʻana. A inā i hōʻino ʻia kēia kaʻina hana, e nui nā poʻe e aʻo e pili ana i ka pancreatitis biliary.
Ma hope o nā mea a pau, ʻo ka pilikia ma ka puka ma ka bile duct e hui pū me ka Wirsung duct o ka pancreas. Ma lalo o nā kūlana maʻamau, ʻaʻole i hōʻike ʻia ka laʻa, ʻoiai ke pani ʻia nā wai hōʻeka o ka pancreatic e ka sphincter o Oddi a me ke kaomi i loko o ia mea ʻoi aku ka kiʻekiʻe ma loko o ka bile dile. Akā i kekahi manawa ke komo ka bile i ka pancreas. Hoʻopilikia kēia i nā meaʻino i kāna mau umauma e nā aihue bile. ʻO kekahi mau manawa liʻiliʻi e hōʻemi i nā wai liʻiliʻi i ka manawa like, ka pancreatic wai a me ka hua bile ma luna o ka parenchyma holoʻokoʻa o ka nui. I ka manawa like, hiki ke hoʻoneʻe ʻia nā enzyme e nā ʻoi hua bile, a me ka "hoʻoneʻe" o kā lākou iho pono iho o ka pancreatic. Hoʻopilikia kēia i kahi kaʻina huhū ikaika.
ʻO ka hapa pinepine, hoʻomohala ka palau i mua o nā pōhaku i nā dile bile
ʻO ke kumu
Hoʻokumu ʻia ka pancreatitis Biliary me ka exacerbation o nā ʻano like ʻole o ka gallbladder a i nā papa lepo. ʻO ka pinepine, ʻo ka maʻi maʻi e hoʻoiho ʻia e ka nui o ka bile i loko o ka pancreas ma muli o kahi pani o ka duct me kahi pōhaku. Akā hiki nō hoʻi ke hoʻonāukiuki i ka hoʻokaʻina o nā mea maʻamau mai kēia mau kino i loko.
ʻO nā kumu o kēia ʻano hana o nā kulekele i nā maʻi aʻe:
- maʻi maʻi pālolo;
- ka laulā maloʻo a me ke kūkulu ʻana i kahi ulu o kahi one maikaʻi i loko;
- nā anomalies i ke kumumanaʻo o ka pā biliary;
- cholecystitis calculous;
- pāpale dyskinesia;
- cholangitis;
- nā cyst a me nā neoplasms ʻē aʻe;
- halepule hana;
- Spasm o ka sphincter o Oddi;
- hōʻaʻole i ka hana o ka papale Vater, ma o laila i komo ai ka bile i ka duodenum;
- helminthic infestations;
- nā hana maʻi i ka duodenum;
- manuahi ma keia wahi;
- cirrhosis o nā ʻiʻo.
ʻAʻole wale ia e kāohi i nā kumulāʻau nāile kumu i mea e hoʻonāukiuki i ka hoʻolei ʻana o ke bile i ka pancreas a me ka hoʻonui ʻana i ke kaʻina kūlohelohe i loko. Hiki ke hoʻonui i ke kaomi ma muli o ka hoʻohana ʻana i nā meaʻai e hoʻōla ai i nā hana kūnaehana āpau. ʻO kēia ka mea inu, ka palaoa, ka ʻaluhina a me nā mea momona, nā mea inu ʻona. ʻO ke kumu o ka hoʻonāukiuki paha ke lilo i ka hoʻohana ʻana i nā lāʻau lapaʻau choleretic.
Nā Hoʻomaka
Ma muli o ke komo ʻana o ka bile a i ʻole nā mea kanu i loko o ka pancreas, kahi ulu ʻana kahi ulu ʻana ma loko. Nā kumumua ʻo nā papa momona a me nā enzyme pancreatic e hōʻeha ai i ka iwi gland, e hōʻoki pono i nā mea ona. Ma muli o kēia, ua pilikia nā hana o kēia kino.
ʻO nā hōʻailona nui o ka pancreatitis biliary ka ʻeha o ka ʻōpū, ke komo ʻana, ka nāwaliwali, a i kekahi manawa ka maʻi ʻana
ʻO nā hōʻailona nui o ka pancreatitis biliary-like me nā ʻano like ʻole. ʻO kēia nā mea ʻeha, kāʻei i ka ʻōpū ma luna o ka ʻōpū o luna, nausea, pohihihi i loko o ka ʻōpū ma hope o ka ʻai ʻana, i ka luaʻi, ka lemela, a me ka indigestion. Akā mai ka wā i hele pū ai ka maʻi o ka pancreas i kahi palolo o ka palaki i ka hoʻomohala ʻia, me kēia mākaʻikaʻi kikoʻī e ʻike ʻia. Wahi a lākou e loaʻa ai, hiki i kahi kauka ʻike ke hana i ka maʻi maʻamau ma mua o ka hoʻokolokolo.
Hiki ke loaʻa nā pōhaku i ka pancreasʻO ka hanaʻino o ke kahe o ka bile e alakaʻi i ka helehelena o ke belching me ka hoʻomau mau o ka minamina hope. Eia kekahi, hiki ke hoʻokuʻi ʻia ka ʻeha ma ka hema, e like me ka maʻamau ka pancreatitis, akā ma ka ʻūhā, a e hāʻawi ʻia ma ka ʻāʻī ʻākau, lima a i ʻole hoʻi. ʻO kekahi manawa aia ka jaundice obstructive. Hōʻike kēia hōʻailona i ka hana o ka bile dile me kahi pōhaku. Ma kahi o ka maʻi maʻamau i ka pancreatitis, ʻo kāna ʻano biliary e alakaʻi i ka constipation mau loa, i kekahi manawa e pau ana i loko o kahi pōpoki. ʻO ke ʻano o ke aniani i ke ʻano o ke kuni ʻana, inā e ala, he liʻiliʻi.
Hōʻike pū ʻia ka pancreatitis biliary e ka ʻokoʻa a me ka ʻike ʻole ʻana i loko o waho. Ke alakaʻi nei kēia i nā malfunctions like ʻole i ka hana kūnaʻi. ʻO ka hōʻemi ʻana i ka nui o nā huina e hoʻonāukiuki i ka hoʻoneʻe ʻana o nā protein, ka uhaʻi ʻana o nā momona a me ka hoʻowalewale ʻana o nā ʻaina. Ma waho aʻe o ka nausea, ka ʻōpū o ka puʻuwai, nā lemulewa a me nā pono kīkaha, ke alakaʻi nei kēia i ka hoʻohaʻahaʻa o ka momona, ka hoʻolilo ʻana o ke kaumaha a me ka hapa ʻole o nā mea pono trace. Inā make nā cell nā kuleana no ka hoʻoulu ʻana o nā hormones, ua nānā ʻia ka hyp- or hyperglycemia. Hiki i kēia ke kumu i ka maʻi diabetes.
Naʻi hoʻolika
ʻOiai ke paʻa pono ʻana me nā hōʻailona kikoʻī o ka pancaryitis e pili ana i kēlā me kēia. ʻO kēlā me kēia loulou o ka gallbladder, nā kau a me nā huhū i ka pancreas ponoʻī ua hoʻoholo pinepine ʻia e ka ultrasound. Inā he kānalua ka hele mai o nā pōhaku, ʻoi aku ka maikaʻi o ko lākou ʻaha a me nā nui e ka CT a MRI paha, i kekahi manawa ke mālama ʻia nei ʻo cholangiopancreatography.
Eia kekahi, pono ke hōʻike ʻana i ke koko a me ka hoʻāʻo. Hōʻike ka mana o ka pancreatitis biliary e ka hoʻonui i ka pae o ka leukocytes, transaminase, bilirubin a me nā enzyme phosphatase enzyal. Hiki i kahi urinalysis ke hōʻike i kahi kiʻekiʻe glucose kiʻekiʻe. ʻO ke ʻano ʻike like ʻole e kōkua i ka hoʻokaʻawale ʻana i nā maʻi o nā maʻi peptic o ka ʻōpū a me ka duodenum, nā ʻano like ʻole neoplasms, hepatitis, cholecystitis a me nā maʻi ʻē aʻe.
Hoʻomaʻamaʻa
ʻO ka hoʻouka kaua ʻana o ka pancreatitis biliary, ka mea i hōʻike ʻia e ka biliary colic, luaʻi a me ka lae o obstruktact, e koi aku i ka hana hoʻokolohua. I ka paʻa ʻana o nā papa me ka pohala, ʻoi aku ka mea e pono ai ka hana ʻana, inā ʻaʻole hiki ke hōʻeha ʻia ka maʻi ʻo ka pancreatic, hiki ke hopena i ka peritonitis, sepsis, a me ka make.
ʻO ka pancreatitis biliary maʻi, ʻoi aku hoʻi i nā hihia maʻalahi, hiki ke mālama ʻia ma lalo o ka mālama ʻana i ka maʻi ma ka home. ʻO ke kuʻuna no kēia maʻi ka pono. Pono ia me ka hoʻohana ʻana i nā lāʻau lapaʻau kūikawā a me ka meaʻai o ka meaʻai. Hoʻokomo ʻia ka intervgure i kekahi manawa e kōkua i ka hoʻihoʻi ʻana i kahi kaila o ka bile.
Me ka pancreatitis biliary e koi pinepine ʻia ka operasyon.
ʻO nā lāʻau lapaʻau no ka pancreatitis biliary e pono e kuhikuhi e ke kauka. ʻO ka maʻamau, hoʻohana ʻia nā pūʻulu o nā lāʻau lapaʻau no kēia. Hoʻokomo ʻo ia mau hoʻomaʻamaʻa paʻakikī i ka hoʻihoʻi hou i ka hana pancreatic a hoʻomaikaʻi i ke ʻano o ka mea maʻi.
ʻO ka mea mua, pono e hōʻoluʻolu i nā ʻeha. He kūpono loa nā Antispasmodics no kēia: No-Shpa, Papaverin, Drotaverin. Ma ke ʻano o ka hana o ke kulekele, ke mālama ʻia lākou i ka intravenously a i ʻole intramuscularly. Hiki ke hoʻopau ʻia ka ʻeha ʻeha me nā analgesics: Baralgin a i ʻole Analgin.
No ka hōʻemi i ke kaʻina hana a me nā maʻi, pono e hoʻemi i ka hana o nā kinemona digestive. No kēia, hoʻohana nā lāʻau antisecretory. Hiki iā omeprazole, somatostatin a i ole gastrocepin.
Ma mua o ka hoʻonāʻana, pono e hoʻohana i ka hoʻohana ʻana i nā mea maʻi. ʻO ka manawa pinepine loa, ʻo ia ʻo Ceftriaxone, Amoscicillin a i ʻole Abactal.
I ka haʻaleleʻana i nā hana exocrine o ka pancreas, hoʻihoʻi pinepine ʻia nā enzyme: Creon, Pancreatin, Panzinorm. ʻO kekahi manawa e koi ʻia ka hoʻohana ʻana i nā mea lawelawe hypoglycemic.
No ka maʻi maʻi, e hoʻohana ʻia nā lāʻau like ʻole. Ma ke alo o ka maʻi kala a me ka luaʻi - Motilium, Domperidone a ʻo Tserukal. E hoʻohiolo i ka hoʻonohonoho ʻana a me nā neʻe o ka hua bile - Hepatofalk a i Odeston. Hiki i ka Ursofalk ke hoʻopau i nā pōhaku liʻiliʻi.
Ma waho o ka meaʻai kūikawā, ʻaʻohe pono o ka hoʻomaʻamaʻa.
He mea nui loa kahi meaʻai kūikawā no ka ho'ōla wikiwiki. Ma hope o nā mea a pau, hoʻāhewa pinepine ʻia ka hoʻoulu ʻia ʻana e ka hoʻohana ʻana i ka meaʻai i loaʻa nā mea choleretic a hoʻoulu paha i ka hana o ka wai pancreatic. Pono e hoʻolei koke ʻia ia mau huahana. ʻO kēia nā mea inu ʻawaʻawa a me nā kape, nā momona momona, nā meaʻai māla a me ka palaoa. ʻO nā hua Cholagogue he ʻōmole ka pata, ka pata, ka hua manu hua, nā lau, nā kō, nā ʻoma, nā hua pāpaʻi, nā huʻu a pau, nā ʻuʻomaʻo ikaika. Pono lākou e hoʻokaʻawale loa ʻia mai ka meaʻai.
ʻO ka ʻai o ka mea maʻi e pono me ka kuke ʻia, ka meaʻai a ka ʻāina me ka ʻuʻuku ʻē ʻia. He mau ʻōpala kēia, ka ʻiʻo haʻahaʻa a me nā iʻa, nā tiʻa moʻo haʻahaʻa haʻahaʻa, ka lau maloʻo, nāʻaila mucous, ka lua wai rosehip, ka wai wai. Eʻai ʻoluʻolu ma nā wahi liʻiliʻi, 5-6 mau lā i ka lā.
Nā hopena
Inā ʻaʻole hoʻomaka ka pancreatitis biliary e mālama ʻia i ka manawa, hiki i nā hopena koʻikoʻi loa. ʻO ka mea mua, nā waikawa bile a me nā wai pancreatic i hāʻule i ka ipu gland e hiki ai i ka pancreatitis parenchymal, e kū pinepine ana i ka atrosal mucosal a me ka pancreatic necrosis. Eia kekahi, ʻo ka hōʻino i nā pili o nā lau gland ke alakaʻi i ke koko i ka hoʻowalewale ʻana, ka huakaʻi ʻeha, a me ka maʻi mellitus. Hoʻomaʻi pinepine pinepine ʻia nā mānoʻehā o ka ate, he cyst a i ʻole kekahi.
He mea paʻakikī a lōʻihi hoʻi e mālama i ka pancreatitis biliary, akā hiki ke pale ʻia kona hoʻomohala. No ka hanaʻana i kēia, he mea koʻikoʻi ke nānā i kahi kīʻai, haʻalele i nā hana ʻino a me ka meaʻai wikiwiki a nānā i ke olakino o nā kino āpau o ka pēpē gastrointestinal. ʻO ke nānā mau e ke kauka a me ke ʻano kūpono e kōkua i ka mālama ʻana i ke olakino pancreatic.
