Nā ʻano, nā hōʻailona a me nā hoʻolālā ʻana no ka pancreatitis

ʻO ka pancreas he ʻāpana o nā pūnaehana ʻelua i ka manawa hoʻokahi - lawe a hoʻoneʻe a me ka endocrine.

ʻOiai ke kaumaha haʻahaʻa (ma kahi o 70 mau kāmeka), ʻo kāna hana i ka hana maʻamau o kēia mau ʻōnaehana a nui loa.

Hana ia i ka hana o ka huna huna o waho, huna i ka wai pancreatic no ka duodenum. Loaʻa ia 3 mau enzymes - lipase, trypsin a me amylase.

ʻO kekahi hana hou o ke kino ʻo ia ka hana o nā hormones e hoʻoponopono i kekahi mau ʻano o ka metabolism - protine, lipid a me nā mea ʻawaʻawa. Ua hoʻohuʻi ʻia ka 5 o ka hormone i ka hao, me ka insulin, glucagon.

ʻO ka pancreatitis ka mumū o ka pancreas. ʻO ka mea nui o nā mea i loko o ka hana ʻana a me nā kaʻina metabolic i alakaʻi i ka hoʻomohala ʻana o nā loli nui i ke kūlana o ka mea maʻi a me ka hana pono ʻole o ke ola holoʻokoʻa.

He aha ka pancreatitis, a no ke aha e maluhia ai?

I loko o ka pancreas (pancreas), hoʻoulu ʻia ka wai o ka pancreatic, a laila lawe ʻia i loko o nā pali i loko o ka ʻāpana o ka hana kūwili ʻana. ʻO ka hoʻoneʻe o ka hoʻoneʻe i ka hoʻohuihui o ka wai pākīpī

ʻO ka pupule ʻana o nā kolo o ka huina e alakaʻi i ka pani ʻana i nā ala no ke kaʻe o ka wai wai. Noho ia ma ka lepa lā a hoʻomaka e hana i kāna ʻili - ua eli ia iā lākou.

Hoʻomaka ka hemahema o ka pancreas i ka hiki ʻole i ka hoʻoulu i ka wai, kona ʻano a me nā nui e lilo i lawa no ka hoʻowalewale maʻamau. ʻO nā Neoplasms a me nā pōhaku e hōʻole i ka hopena maʻamau o nā enzymes hiki ke lilo i kumu waiwai hou o ka hana gland function.

Hoʻohāluulu ʻia ka wai pancreatic, ʻaʻohe puka waho, e kū pono i ke kino. Hoʻopuka maoli ʻo nā enzymes i ka pancreas. Ua wikiwiki ka kaʻina, e hoʻomohala ka ʻōpū necrosis. Hoʻopilikia ka kaʻina hoʻonā ʻana i nā kolo pili kokoke.

Hāʻawi ʻia ka nui o nā mea i paʻi ʻia i loko o ke kahe wai, e hōʻona i ke kino holoʻokoʻa, huapalapala ka maʻi. Ua hōʻeha ʻia ka pōʻino, ka naʻau, ka ʻōpū, a me nā lolo. Hoʻopuka koke i ka intoxication me ka pancreatitis wikiwiki.

Nā kumu kumu o ka paleka pancreatic

ʻO ke kumu o ka hoʻomohala ʻana o ka pancreatitis he lohi i ka wai pancreatic i loko o ke kīpē, kahi hōʻino o kona puka ʻana. Hoʻoulu pinepine ʻia kahi hōʻeha koʻikoʻi ma muli o ka inu ʻawa a me ka hoʻopaʻa ʻana i ka hoʻokuʻu ʻana o nā enzymes ma muli o nā pōhaku (maʻi gallstone).

Hiki iā ʻoe ke hoʻokaʻawale i nā kumu o ke aloha ʻo ka pancreatitis i nā hui 3.

1. Ka uhi ʻana o ke kumuhua a me ka hopena o ka hoʻopiʻi o nā enzymes i ka luhi. Hiki ke hiki i kēia ma muli o nā pōhaku, nā nūpepa a me nā ala o nā pili pili.
2. Hoʻonuiʻia ka hana o nā enzymes i ka nui o nā mea i koi ʻia.
3. Hoʻowalewale i ka bile i ka papa pancreatic.

Nā ʻano ʻokoʻa o ke ola i nā keiki a me nā pākeke e alakaʻi i kēia mau kumu.

I nā pākeke

ʻO nā kumu maʻamau o ka hoʻomohala ʻana i ke ʻano o nā hua a me nā mea e ulu ai ka maʻi o ka maʻi:

• nā kala momona - kaʻai nui, ka momona i nā momona, nā mea ʻala, nā mea ʻai ʻole;
• ka hoʻohana ʻana o kekahi mau lāʻau;
• ʻeha a hōʻeha ʻia, me ka hoʻohui ʻana ma hope o ka hōʻemi ʻana;
• nā pōhaku i nā dile bile;
• nā maʻi endocrine (diabetes mellitus) a me nā pathologies vascular me ka hoʻōla koko i ʻole i ka pancreas;
• nā hopena o nā maʻi viral;
• oncological pathologies, pilikia ʻole.

ʻO ke kumu pinepine o ka hoʻomohala ʻana o ka maʻi i nā kāne, ʻo ka hōʻemi kino ʻana e hui pū me nā meaʻai momona momona. Aia nō ka huaʻōlelo ʻo "ka maʻi lawaiʻa wai". Hoʻopilikia pinepine ka maʻi maʻi i nā limahana e ʻai i nā meaʻai a me nā sandwich.

ʻO nā mea hou aʻe e hoʻonāukiuki i ka maʻi ma nā wahine he aloha i ka papaʻaina a me ka pōloli. Hoʻokumu maikaʻi kahi meaʻai ʻai i ke kaumaha hou ma ke kino. ʻO nā maʻi o ka hormonal, ke hāpai ʻana, a me ka hoʻohana ʻana i nā contraceptives e alakaʻi i ka hoʻomohala ʻana o ka maʻi.

ʻLelo nā ʻikepili e pili ana i ka ulu ʻana o ka pancreatitis ma muli o ke ʻano, ʻokoʻa. ʻO kēia ma muli o nā kuʻuna meaʻai, ka makemake o ka poʻe e inu i ka wai ʻona a me nā makemake like ʻole gastronomic.

Video e pili ana i nā kumu a me nā hōʻailona o ka pancreatitis:

I nā keiki

Ma muli o ka ʻōnaehana pale ʻole o ka maʻi i loko o nā keiki ke alakaʻi nei lākou i ka maʻi maʻamau.

Hiki i ke kumu o ka pancreatitis i kahi keiki.

• ka hoʻokaʻawale ʻana i ka meaʻai, nā hakakā nui ma waena o nā meaʻai;
• nā huaʻala (ke ʻano, nā wīwī);
• maʻi kūlohelohe i nā huahana;
• nā microsic fibrosis - kahi poʻomanaʻo congenital;
• ka hoʻohana ʻana o ka meaʻai i kūpono ʻole no ka wa, ka momona, paʻakai, ka meaʻai wikiwiki;
• luhi a hoʻomāhuahua i ka hoʻoikaika kino, i nā kamaliʻi makua, nā papa ma hope o ke kula i loko o nā kahe, nā ʻāpana, electives;
• he ʻeha i ka ʻōpū o ka ʻōpū.

Hiki ke hoʻomohala i ka huli ʻana ma ke ʻano he pilikia paʻakikī a i ʻole ka maʻi bacterial (chickenpox, herpes, mumps), a me nā pilikia o ka ʻeha o ka gastrointestinal. ʻO ke Dysbacteriosis pinepine ke alakaʻi i ke kūkulu ʻana i kahi palapala maʻamau i nā keiki.

Nā wikiō mai Dr. Komarovsky:

Nā ʻano a me keʻano o ka maʻi

Hoʻokahele ʻia ka pancreatitis i nā ʻano ma muli o ka hiki ʻana mai o:

1. Hoʻopuka ka pae mua ma muli o ka hanaʻino o ka kaila pancreatic. Hoʻomaka ʻia e nā ʻona ʻai, nā mea ʻona me ka lāʻau lapaʻau, nā huahana. Hiki ke kumu paha he predisposition genetic a me nā maʻi congenital. Hiki i nā maʻi kuku i kekahi mau makahiki. ʻO ka maʻi kūpono a me ka hāmeʻa kūpono e hiki ai ke hoʻi i nā ʻili kino i ka maʻamau.
2. Hoʻoholo ʻia ka puka ʻāpana (hope aʻe) inā i hoʻomohala ʻia ka maʻi maʻi ma muli o nā maʻi ʻē aʻe. ʻO ke kumu ke kumu o ka maʻi gallstone (cholelithiasis), nā maʻi maʻi maʻi, nā maʻi parasit o ka biliary tract, ka maʻi cardiovascular. ʻO ka pōmaikaʻi o ka mālamaʻana o ka pancreatitis i kēia hihia ke hilinaʻi nei i ka ʻike a me ke kinai ʻana i nā kumu, ʻo ia hoʻi, ka maʻi maʻamau. ʻAʻole pinepine nā kumu e hoʻokū a hoʻopau ʻia.

ʻO ka pinepine ke kumu o ka mumū i ka gastritis, dyskinesia biliary.

ʻO ka pancreatitis ka maʻi a me ka maʻi.

Hōʻike ka ʻano o ka huaʻona i kahi hoʻomaka wikiwiki o ka mumū, hoʻonui nui i ka hōʻailona. ʻO ka wai pancreatic, hoʻokū i ka pancreas, hoʻomaka e hoʻopau i kāna mau puna. Hoʻonui ka nui o ke kīpē i ka nui ma muli o ka edema. ʻO ke ʻano ʻoi kino ka mea hoʻohālikelike o nā kānaka i 30 a 60 mau makahiki a me nā keiki.

ʻO ke ʻano kino o ka maʻi e loaʻa ana i ke ʻano o nā manawa o ka exacerbation a me ka attenuation o nā hōʻailona. ʻAʻole ke kumu ʻoi loa ka pae mua. I kēia manawa, nalowale nā ​​peka pancreatic i kā lākou hana a ua hoʻololi ʻia ia e nā kiko e hoʻohui. Hoʻohana ʻia nā Enzymes a me nā hormone i nā liʻiliʻi liʻiliʻi, ʻaʻole hiki ke hāʻawi hou i ka hoʻoneʻe ʻana a me nā kaʻina metabolic.

Me ka paleʻole o ka meaʻai a i ka kaumaha paha, hoʻomaka kahi exacerbation. Me kahi loli nui i nā kiko, ʻike ʻia nā hōʻailona mau o ka pancreatic dysfunction.

Nā hōʻailona a me nā hōʻailona

Hoʻololiʻokoʻa ka hōʻailona hōʻailona o nā ʻano. ʻO ke ʻano kino i ka hoʻomaka ʻana o ka maʻi he ʻike ʻole ʻole.

ʻAno ʻano

ʻO ka lohiʻana o nā enzymes i ka līpona e alakaʻi i ka luku ʻana i kāna mau ʻiʻo. Hoʻonui ka momona momona, hoonui ka māla. Hiki i nā Necrosis (make) o nā lau ke ulu wikiwiki. Me kahi ʻano aseptic, hoʻomohala hou ke kaʻina ma mua o ka maʻi maʻi.

Nā hōʻailona:

• ke hoʻonui ʻana i ka pae ma luna o 38º, kahi piʻi i ka nui o ka puʻuwai ma luna (ma luna o 90), kahi emi o ke kaomi (ma lalo o 90 mm / Hg);
• loli a constipation a me nā maʻi pākana, i nā ʻāpana feces o ka meaʻai i kapa ʻole ʻia;
• holo, holo mai me ka ʻili;
• ʻeha ka maʻi ʻeha ma lalo o nā hana liʻiliʻi a me nā kāʻei, hiki ke hoʻomohala ʻia ka ʻeha o ka hōʻeha me ka ʻike ʻole;
• hua maloʻo, nele o kaʻai ʻana;
• palani waha, belching, ʻalekilima;
• luu ana a me ke paa o ka opu;
• nā hoʻololi i ka malu o ka ʻili - pallor i uliuli, yellowness o ka sclera;
• hoʻonui hoʻonui, ke kaumaha, kaumaha, nāwaliwali.

He koʻikoʻi ke kūlana o ka mea maʻi a koi aku i ka haukapila. I kekahi manawa ʻaʻole paleha nā hōʻailona, ​​ʻae ʻole nā ​​maʻi i ka ʻole o ka mālama ʻana i ka lāʻau. Hoʻoweliweli kēia me ka hana koʻikoʻi o ka hana pancreatic.

Ka ʻike maʻi

Hoʻomaʻamaʻi ʻia ka ʻeha ma ka wahi like - a hāʻawi ʻia ka hypochondrium i ke kua, loaʻa i kahi ʻano kāʻei. Me ka pīhoihoi nui o ka pancreas, lawe ka ʻōpū āpau i ka ʻeha. Hōʻike ʻia e ka hoʻemi ʻana o ka eha me nā loli i ka kūlana kino - slope a me squats.

ʻO ke hoʻonāukiuki e hoʻonāukiuki i ka hoʻohana ʻana i ka waiʻona a me ka meaʻai kaumaha.

ʻO nā hōʻailona o ka maʻi i nā kāne a me nā wahine like like. Hōʻike pinepine nā hōʻailona o ka pancreatitis i nā kāne ma hope o nā hōʻuluʻulu ʻana me ka waiʻona, ʻike pinepine ʻia nā hōʻailona ma nā wahine ma hope o ka hoʻāʻo ʻana i ka meaʻai hou a i ʻole ka wikiwiki ma mua o ka hoʻomaha.

Nā hōʻailona ʻē aʻe:

• nā ʻeha, ʻimi ʻia e ka constipation, nausea hoʻomau, mau manawa ka lua;
• nā ʻāpana kāwili i ka moʻo a me ka lua;
• nā lehelehe i loko o ka ʻōpū, belching, hiccups;
• hākihi pinepine;
• ho feelingolohe pinepine ʻole ka kaumaha, ke kaumaha, kaumaha loa.

ʻO ka hoʻonāukiuki ʻana o ke kino me nā mea huna hakahaka ma muli o ka luku ʻana i ka nui o nā kelepona e alakaʻi i ka momona wikiwiki, kūlike.

Me kahi ʻehaʻeha o ka home, pono ʻoe e hōʻole i ka meaʻai, nānā i ka hoʻomaha hoʻomaha moe. Hiki ke hoʻopili ʻia Cold i kēlā me kēia 2 mau hola no 10-15 mau minuke.

Nā wikiō mai Dr. Malysheva:

Nā hopena

ʻO ka pancreatitis kekahi o nā maʻi e kū mālie loa, i kekahi manawa ʻaʻole he mau pule ma mua o nā hebedoma ma waena o ka hoʻomaka a me ka hoʻomaka ʻana o nā hoʻopiʻi.

E hele pū ana ka ʻaoʻao akomi e ka ʻeha nui, pinepine ʻo ia i ka haʻalulu. Hoʻonui pinepine ʻia nā ʻōmole o ka hoʻokomo i ka palau - pallor o ka ʻili, ka hoʻomohala ʻana o ka maikaʻi o ka renal, ka huina o ke kīpē o nā kīʻaha koko ma muli o nā huahana kīnā.

Pōkole ke kū ʻana o ka hanu, ʻeha paha ka ʻōpū. ʻO nā hui i ʻike ʻole i kahi ala i waho a hōʻuluʻulu i loko o ke kōpana hiki ke loaʻa i ka maʻi a me ka purulent foci. Hiki i ka Peritonitis. ʻO ka make ʻana o nā ʻāpana o ke kino e alakaʻi i ka hiki ʻole ke hoʻomau i ka hoʻoneʻe ʻana. I ka hopena o ka hopena endocrine o nā kelepa, nā ʻāpana o Langerhans, ua pau ka make ʻana o ka hana ʻana.

I kahi maʻi maʻi, hoʻomohala nā maʻi o nā hui pili i ka pancreas. ʻO ia nā palaleka a me nā dile, ʻoi aku ka nui o nā māmā. ʻO Hepatitis, cholecystitis, ʻo ka pneumonia hiki ke lilo i hoa no ka maʻi pancreatitis.

Hoʻokomo ʻia i ka ʻōpū o ka pancreatic i alakaʻi i kona deformasi, ka hoʻokumu ʻana o ka cysts, a me kekahi manawa kanesa. I ka nui o nā hihia, ulu mai ka hemahema hao.

ʻO ke kumu nui o ka make i ka pancreatitis ka hoʻomohala ʻana o ka maʻi purulent a me ka hoʻohui ʻana o ka sepsis.

Nā Palapala Diagnostic

Hāʻawi kekahi hōʻike hōʻike mua i ka mea maʻi i ke kiʻi o ka maʻi. Me ka pancreatitis, ʻike ʻia ka hoʻomohala ʻana o ka mumū o ka pancreas e ke ʻano o ka ʻeha a me kā lākou ʻōlala.

Nā noiʻi i noi ʻia:

• ka nānā koko ākea, biochemical, ma ke kuhikuhi o alpha-amylase - hōʻike i ke kuni, ana anemia, nā maʻi o ka pancreatic;
• koko no nā electrolytes - hiki iā ʻoe ke ʻike i ka pohō o ke kino a hoʻonui i nā mea momona;
• hōʻike loiloi (coprogram) - hoʻoholo o ka pancastatic elastase;
• ka nānāʻana i ka urine;
• Hōʻike - hōʻike i ka nui a me nā kihi o ke kino, e hoʻololi i nā loli i loko o nā kiko, i ka i ʻole i hoʻonui ʻia, nā hoʻonui ʻana o nā papa, nā cysts;
• Hoʻohana ʻia ka radiograma e koho i nā pōhaku;
• CT, MRI - kōkua iā ia i ka ʻikeʻana i nā loli, nā loli ma nā papa, ke kūlana o ka pancreas a me nā ʻāpana kokoke;
• ʻO ka hoʻokolohua endoskopika o nā dile bile (ERCP) - kahi loiloi aʻoi, ua kau ʻia inā pono.

I nā pilikia paʻakikī, hiki iā lākou ke kuhikuhi i ka laikini sampling no ka biopsy. Hoʻoholo ʻia ia e ʻike i ke kiʻekiʻe o nā mea ʻeha necrotic a hoʻoholo i nā mea kūpono e hiki ai i ka maʻi maʻi. Hoʻokomo kahi gastroenterologist i ka maʻi me ka mālama ʻana. ʻO ke code ICD 10 no ka puka waha he K85, ʻo K86 ka maʻi pancreatitis maʻamau.

Nā lāʻau lapaʻau

Ke lawe nei ka hana o ke ʻano lāʻau i loko o ka haukapila.

Ua kuhikuhi ʻia nā pūʻulu o nā lāʻau lapaʻau:

1. ʻO nā hōʻokiʻoki, nā antispasmodics - No-shpa, Platifillin, Baralgin, Pentazocine, Gastocepin. Me nā ʻeha koʻikoʻi - Promedol.
2. Nā lāʻau lapaʻau Diuretic e hoʻoneʻe i nā huahana decay a hoʻomaha i ka huehue - Lasix.
3. Nā lāʻau Antisecretory - Omeprazole, Cimetidine.
4. Probiotics - Bifiform e hoʻomaikaʻi i ka hana bowel.
5. Nā ʻimi - Enzystal, Pancreatin.
6. Antibiotics - Doxycycline, Ampioks e kāpae a i ka mālama ʻana i ka maʻi maʻi.
7. Antiemetic - Cerucal e pale ai i ka hoʻoheheʻe.

No ka mālamaʻana i ka helehelena maʻamau, kau:

• mau ʻōmole i loaʻa nā huaora A, B, E, D, K;
• hoʻomākaukau o ka enzyme - Festal, Digestal, Creon, Pancreatin;
• painkillers - Gastocepin, Papaverine, Analgin, Ketanov;
• antioxidants - Hypoxene, Unitiol;
• immunomodulators - Timogen, Amiksin;
• secretolytics e hōʻemi i ka hoʻokuʻu ʻana o ka wai pancreatic - Nizatidine, Omeprazole.

I ka mālamaʻana o ka pancreatitis o kekahi ʻano, pono ke ʻai. Me kahi hōʻike ʻike o ka maʻi, hōʻike ʻia ka pōloli.

Ma ke ʻano palani, ua hōʻike ʻia ka pololi me ka hoʻohana ʻana i ka wai o ka mineral a me kahi mau rosehip no kahi ʻekolu lā i hōʻike ʻia. Ma hope o ka hoʻomaikaʻiʻana i ke kūlana, nā cereals a me nā decoction me kahi kiʻekiʻe kiʻekiʻe o ka gluten i hoʻohui ʻia i ka meaʻai.

Haʻioa

Hoʻohana ʻia ka hana hoʻomaʻamaʻa o ke pancreatitis i loko o nā ʻano aʻeha a me nā maʻi. Pono ke pancreatitis hana e hana ai i ka hana, inā hiki ʻole ke hoʻokūkū i ka kūlana o ka lāʻau lapaʻau o ka lāʻau, ka wikiwiki a me ka ʻai. Hoʻokuʻu ʻia ia me nā nēne me ka necrosis kiko, absseses ma ka gland, cholecystitis a me peritonitis.

Me ka pōʻino nui i ka mea maʻi, ua hoʻihoʻi ʻia nā wahi i hoʻopilikia ʻia e pale i ka hoʻolaha ʻana i nā leʻa purulent a me ka nekrosis.

Ma ka papa maʻi o ka pancreatitis, e hana ʻia nā hana ma lalo aʻe nei:

• neoplasms hewa ʻole;
• nā pōhaku i nā dile bile;
• ʻeha kahi maʻi ʻeha hiki ke ʻokoʻa;
• stenosis o ka maniki a i ʻole nā ​​papa pancreatic;
• kahe koko.

Ke hana ʻia nei kekahi mau ʻano hana, i kekahi manawa i hui pū ʻia.

Hana ʻia ka Shunting a me ka hoʻhoihoi ʻana o kahi ʻāpana i ka wā i hoʻopilikia ai ʻo necrosis i kekahi mau wahi wale nō o ka pancreas.

Physiotherapy

Hoʻohana ʻia nā hana Physiotherapeutic i ka manawa o ka hoʻihoʻi hou ʻana ma hope o ka hana ʻana a ma ka ʻano maʻi o ke ʻano i ka kala.

Hōʻike ʻia nā kaʻina hana i lalo ma ke pancreas:

• magnet;
• hana hoʻonaninani laser;
• nā electrophoresis me nā lāʻau lapaʻau;
• wahī;
• ʻikeʻike ultrasound.

Hōʻalo nā kaʻina hana i nā kaʻina metabolic a me ka hāʻawi ʻana i ke koko i ke kino, paipai i ka hōʻeha ʻana i nā hōʻeha ma hope o ka hoʻomaʻemaʻe ʻana.

Kāohi

ʻO nā kaʻina pale he nā lula o ke ʻano ola kino. I waena o lākou, ʻo kekahi o nā mea nui o ka hōʻole ʻana i ka waiʻona. E kōkua ana kahi meaʻai maikaʻi e hōʻemi i ka kaumaha ma luna o ka pancreas. Ka ʻai fractional - 5-6 manawa i ka lā. Pono ʻoe e haʻalele i ka hoʻohana ʻana i nā kīʻaha wela a me ke anu. Hoʻokomo ʻia nā ʻano kuke ʻana i ka kuke ʻana, ka hoʻomau a me ka ʻū ʻana.

Mākaukau nā kīʻaha o nā ʻiʻo mai nā ʻano o ka momona o ka ʻiʻo, ka mea minced - i ke ʻano o nā pastes, cutlets, soufflé, casseroles. Loaʻa nā huahana momona momona pau ʻole. Ua pili kēia mau lula i ka meaʻai No.

Hoʻokomo ʻia nā kauka o nā lāʻau lapaʻau e hōʻemi ana i ka luhi ma ka pancreas:

1. Nā huaora B - hoʻomaikaʻi i nā kaʻina metabolic, hoʻonui i ka hemoglobin, hoʻoikaika i nā kīʻaha koko.
2. Nā Enzymes - Pancreatin, Mezim, Festal - hana i ka nāwaliwali o ke kino, kōkua i ka hoʻowalewale ʻana.
3. Antispasmodics no ka huhū bowel syndrome - Duspatalin.

Ma hope o ka pau ʻana o ke kaʻina a i ʻole ke kala ʻana, hōʻike ʻia ka hoʻōla ʻana ma nā hale hōʻaele balneological me nā wai minerika bicarbonate. Ma hope o ka hele ʻana e lilo i ala no ke ola, inā ʻaʻole e pau ka hana o ka pancreas.