He aha ka pancreatitis a he aha ka hopena o kēia maʻiʻino? I kēlā me kēia makahiki, hiki i 800 helu no ka 1000000 mau kānaka i hoʻopaʻa inoaʻia ma ka honua. ʻO kaʻaiʻoleʻana, ka hōʻinoʻana i ka waiʻona, nā kiʻekiʻe kiʻekiʻe o ke kaumaha -ʻo kēia mau mea he mau hopena e hoʻopōʻinoʻia ana ma ka pancreas.
He aha ka pancreatitis a pehea keʻano weliweli?
ʻO Pancreatitis kekahi pūʻulu o nā maʻi me kekahi mau hōʻikeʻike a me nā syndromes. I unuhiʻia mai ka dr.-grik πάγκρεας - pancreas + lat. -itis - ka mumuna o ka pancreas. He mauʻano maʻi likeʻole, a he mea weliweli kēlā i ke ola o kānaka. No ka hoʻomaopopo i ka pancreatitis, a he mea weliweli paha, he mea nui e noʻonoʻo i ka hana hana i laweʻia e ka pancreas.
Nā hana o ke kino:
- 'Okohu a me ka hanaʻikeʻike waho. ʻO ka hanaʻana i nā enzymes digestive: trypsin, chemotripsin, amylase a me ka lipase pancreatic. Hoʻopau ka Enzymes i ka waiʻawaʻawa wai a makemakeʻia no ka weheʻana i ka meaʻai, nā mea hoʻomalu, nā momona a me nā huaʻalea e hele mai me ka meaʻai.
- Ka hana humoa. Ka hoʻoponopono o ka nui o ka wai pancreatic glandular i ka nui o kahi e laweʻia ai ka hoʻonuiʻia o nā mea.
- Hana Endocrine. ʻO nā mokupuni o Langerhans, kahi i loko o ka nui o nā kuʻina ma waena o nā lobuni pancreas, e hana i nā hormones antagonists: glucagon a me insulin, e hoʻoponopono ana i ka metabolism carbohydrate. Hoʻopilikiaʻo Glucagon i ka piʻiʻana o ka glucose i loko o ke koko, insulin - he emi.
ʻO ka pancreatitis nui - he aha ia?
Ma hope o kaʻahaʻaina nui i nā lāʻahaʻaina a me ka hoʻomāinoinoʻana i ka waiʻona, nā mea kaumaha, he nui ka poʻe e aʻo i kaʻoihana pancreatitis nuiʻaʻole lohe. ʻO ka maʻi i ke kolu o nā wahi i waena o nā maʻi'ē aʻe o ka lua o ka'ōpū, e hāʻawi ana i ka pāma i ka cholecystitis a me ka appendicitis. Hiki i nā kānaka ke hoʻonui i ka hoʻonui pinepineʻana i nā wāhine. No ka pancreatitis ākea eʻikeʻia i ka make kiʻekiʻe - a hiki i ka 15% o nā hihia a pau.
Ke kumuhana o nā pancreatitis nui:
- hoʻohana pū i ka waiʻona;
- nā meaʻona e hōʻino ai (ka paʻakai, ka momona, kaʻono, kaʻono);
- kekahi mau maʻi maʻi (cystic fibrosis);
- hoʻohana hoʻohana i nā lāʻau lapaʻau i loaʻa i ka hopena i ka hopena (hormones, thiazide diuretics);
- nā papahana inflammatory o ka'ōnaehana'ōpena;
- nā maʻi viral a bacterial (parotitis, mycoplasma ).
I ka wā o ka hoʻolālāʻana i ke kaʻina hana, ua hōʻinoʻia nāʻoihana maʻamau:ʻo nā enzymes a me nā hormones, i hanaʻia i ka hanuʻole (hanaʻia ma ka'ōpala digestive), hoʻomaka kokeʻia e hoʻonāʻia ma ka pancreatic pono'ī, e hoʻomaka ana i ka hanaʻana o ka'alemuʻana i nā kinopaʻu. E hoʻomohala i ka palaho a me ka mumū.
He aha ka palacreatitis mau loa?
ʻO ka pancreatitis panana ka hopena o ka pancreas. Hoʻohui pūʻia ka papahana me ka lawaʻole o kaʻikepili o nā enzymes, nā hoʻololi i hikiʻole ke hoʻololiʻia i ka parenchyma o ke kino, ka wrinkling a me ka hoʻonuiʻana i nā mea kiko. ʻO ke kūlana o ka pancreatitis mau loa e kū'ē i ke kumu o nā pilikia, me ke kūpilikiʻi.
Nā hopena o kēia maʻi:
- Nā maʻi o ka maʻi;
- he maiʻokoʻa B a me C, i ka fiva typhoid , parotitis;
- atherosclerosis ;
- helivthic invasions;
- ka lāʻauʻona me nā mea lāʻauʻino,ʻaiʻole ka maikaʻi;
- ka waiʻona .
Parenchymal pancreatitis - he aha ia?
I loko o nā lobules glandular o ka parenchyma (pancreatic tissue) ka hoʻonaninanaʻana o nā hormones a me nā enzymes e puka mai, no laila, inā e hāpaiʻia kahi nīnau: he aha lā pacane pancreatitis - hiki ke paneʻiaʻo ia ka maʻi maʻamau i nā maʻi maʻamau. Nā hana e hana nei i loko o ka pancreatitis parenchymatty:
- ka hewa o ka mana o nā duwa, no ka edema;
- ua emi iho ka syntulin insulin;
- nā hoʻololi pilikino i loko o ka'ōnaehana hoʻopunipuni;
- i ka pāʻana o ka parenchyma e 80% - ka uluʻana o ka maʻi diabetes .
ʻO nā hana pāʻaniʻino - he aha ia?
No ka manawa mua i kūpono i ka maʻi, he nui nā nīnau a ke kanaka: he aha keʻano o ka pancreatitis, ke maʻi e pilikino no ke ola a pehea e ola ai? ʻO ka pancreatitis pāpālua kahi maʻi nui. Ma waena o nā kānaka lapaʻau iʻikeʻia heʻano maʻalahi loa ia, hiki i ka hoʻoponopono. ʻO ka hapanui o ka manawa e kū ai i ke kumu o nā maʻi o ka'ōpū, ka ate a me ka gallbladder, nā pūpū. ʻO kahi kumu nui e hoʻonāukiuki i ka pukaʻana o ka pancreatitis reactive he meaʻai ia a me kaʻaiʻana i nā mea momona.
Psevdotumorozny pancreatitis - he aha ia?
ʻO kēiaʻanoʻano pilikinoʻano i kapaʻia i kahi hana pseudo-tumo,ʻoiaiʻo nā hana i hanaʻia ma kaʻahu e like me ka oncology. ʻO ka psevdotumorozny pancreatitis o ka pancreas e like me nāʻikepili i loaʻa i kēlā me kēia 10 hihia, i waena o ka poʻe i loaʻa i ka pancreatitis, pinepine i nā kāne. ʻO ka kumu nui o ka maʻi he waiʻona nui loa o ka waiʻona.
He aha ka biliary pancreatitis?
ʻO ka Pancreas - hoʻonāukiʻia me ka biliary pancreatitis, e pili kokoke i nā maʻi o ke ake a me ka gallbladder. Ua hōʻike nā haʻawina o nā poʻe maʻi i ka 60% o nā hihia o nā cholelithiasis,ʻo ka maʻi concomitant ka maʻi biliary pancreatitis. Nā hopena o kēia maʻi:
- ʻo nā maʻi o ka'ōmole biliary ma nā alanui lymphatic i hoʻolahaʻia i ka pancreas;
- ʻo ka hoʻoiliʻana o ka bile i loko o nā'āpana pancreatic e hōʻinoʻia ai nā kino a me nā lewa o ke āpau.
Eia ka mea biliary pancreatitis i loko o nā hōʻailona:
- ke kaumaha nui e like me colic;
- sclera;
- ka waiʻeleʻele.
Nā pilikia e puka mai ana mai ka maʻi:
- ka hāʻuleʻana o ka hanu liʻiliʻi;
- ka mea weliweli;
- ke kahe'alehema;
- pancreatic necrosis.
Nā pancreatitis hōʻailona - he aha ia?
ʻO ka pancreatitis hōʻailona kekahiʻano maʻi'ē aʻe kahi i puhiʻia ai ka pancreas. Pancreatitis ke ola ma muli o nā makahiki he 50 ma ke kumu o ka hoʻololiʻana i ka hoʻohuiʻana o ka wai'alewai, hoʻomaka ke kola calcium e hōʻiliʻili i loko o ia mea, e hana ana i kahi helu helu porous nui. Nā hōʻailona o ka maʻi:
- manaʻo paʻa;
- ka eha ma ka pono hypochondrium aiʻole shingles;
- nā kukoʻeleʻele;
- ka wela nui;
- ka nui o ka'alema o ka'ōpū;
- ka poho paʻakikī.
Necrosis o ka pancreas - he aha ia?
ʻO ka hōʻailona o nā pancreatitis hiki i ka hopena hiki ke alakaʻi i kahi hana pilikino koʻikoʻi o ka necrosis pancreatic, kahi e pale ai ke kino a me ka make ma hope. I loko o 70% o nā hihia, uaʻikeʻia i loko o nā maʻi i hoʻonāukiuki i ka waiʻona,ʻo nā kumu'ē aʻe ka mea e hoʻopiʻi ai i ka pancreatitis nui a me ka lolo. Nā hōʻaia o ka necrosis pancreatic:
- kaʻeha ikaika, pilikiaʻole;
- ʻO ka luaʻi puna waiʻaʻole e hoʻomaha;
- nā kiko'ī cyanotic ma nāʻaoʻao (Hōʻailona Gray-Turner);
- i ke kaumaha ma ka wā palpation.
ʻO ka mumū o ka pancreas - hōʻailona
ʻO nā hōʻailona a me nā hōʻailona o ka hoʻoulu pancreatic i loko o ka pae māmā e kauʻia ana ma ka hōʻailona o ka paʻakikī:
- Hōʻike puka. ʻO ka liloʻana o ka pancreas a me ka'āpanaʻaiʻeleʻeleʻole. I ka wā o ka hōʻoiaʻana, ua mālamaʻia ka'ōleloma. Nā hōʻailona Dyspeptic (ke kuʻiʻana, ka umauma āpau). Paʻaʻole ka maʻi Pain: loaʻa i ka epigastrium, ma ka hema hypochondrium. Hoʻopiliʻia keʻano o kaʻeha, me ka hoʻonāʻole i ka hope. ʻO Jaundice sclera.
- Hea kahiʻano. Nā hōʻailona o ka pancreatitis: kaʻeha nui,ʻoi aku kaʻino ma ke kūlana o ka mea maʻi ma ke kua. ʻO Nausea, ka luaʻi o bile. Kūlana kiʻekiʻe.
Ka hopena ma keʻano koʻikoʻi o ka pancreatitis nui, ka nui o ka makehality nui:
- pancreatic necrosis me ka maʻi o nā'aleleʻeleʻele;
- ka pīpī pancreatic (piʻi i ka pancreas a me nā'ōpū e pili ana).
ʻO nā hopena wikiwiki e hanaʻia ana i ka pancreas, ma keʻano likeʻole i nā kaʻinaʻoihana - hiki i kahi manawa me ka lohi a me ka asymptomatically a hiki i kekahi manawa, aʻo ka loli o loko, he mea koʻikoʻi loa, hiki ke hoʻomaka i ka hoʻomakaʻana o ka maʻi diabetes. Nā hōʻailona pancreatitis i ka manawa o ka exacerbation, a he mea nui ia e hoʻolohe:
- ʻo kaʻeha o kahi kāʻei paroxysmal eʻano likeʻole mai ka nāwaliwali a hiki i ka ikaika;
- reflux esophagitis - ma muli o ka hoʻonāwaliwali o ka mea loiloi haʻahaʻa o ka esophagus,ʻo ka hopena o nā mea e hoʻi ai i ka esophagus, e hele pū ana me kahi belching,'ākaupalapala;
- ka pīhoihoi pinepine me ka meaʻala;
- ka poʻona kaumaha nui;
- kahi hanana o angiomas ma kaʻili.
ʻO ka mumū o ka pancreas - ka mālamaʻana
Ma hope o ka hōʻoiaʻana a me ka hōʻoia o ka hōʻailona,ʻo ka mua o ka kauka e haʻi i ka mea maʻi: he aha ka pancreatitis, he aha nā pilikia e hiki ai ke maʻi. Hoʻomaopopoʻia nā kānalua e pili ana i kaʻike o kēlā me kēia kanaka o ka mea maʻi. Pehea e mālama ai i ka pancreatitis, e pili ana i nā kumu he nui:
- ke kaʻina hana a lōʻihi;
- i ke kūʻana o nā maʻi concomitant;
- ka palekana o ka lāʻau.
Pehea e hoʻomaha ai i ka wela pancreatic?
ʻO wai ka mea i loaʻa i kaʻeha i ka mumūʻana o ka pancreas, eʻike i ka pancreatitis. ʻO ka hōʻeha o ka pancreatitis he meaʻeha loa a heʻehaʻeha. ʻAʻole ia e'ōleloʻia e hoʻokuʻu i ka mumunona ma kona iho pono'ī, akā, aia kekahi mau hihia inā loaʻaʻole ka lāʻau lapaʻau, a he mea nui e hana i kekahi mea e hoʻohaʻahaʻa ai i keʻano. Ke kōkua mua no pancreatitis:
- hoʻomaha aʻaʻohe hana kūlohelohe, e lawe i ke kiʻi hoʻohiahia;
- ka hau ma luna o ka hypochondrium;
- pololi;
- ka laweʻana o ka wai i nā'āpana liʻiliʻi i kēlā me kēlā me kēia hapalua hola (i ka wā e inu ai i ka pīpī,ʻelua mau hapa o ka spoon e inu);
- E lawe i ka papaʻaina o Drotaverine hydrochloride, ma ke kohoʻana e hana i kahi inokopiʻole 0.8 mg.
Hanaʻia o nā pancreatitis mau
Hoʻomaʻoʻia i ka hoʻonāʻana o ka pancreatic i ka home e hiki ke alakaʻi i nā hopena hikiʻole ke hoʻopili. I loko o kahi hoʻonāukiukiʻana o ka maʻi pancreatitis mau loa e mālamaʻia ana i loko o kahi hōkele. ʻO kekahi o nā kumu nui no ka hoʻomaikaʻiʻana i ka maʻi o ka mea hoʻomanawanui he mea maʻalahi ia i ka pancreatitis. ŸO ka hoÿomaÿalima o ka ÿumehana hoÿomanaÿa e komo i loko o kahi ÿano o nä mea ÿole:
- nā lāʻau'alopeloʻokoʻa (Ampicillin, Gentamicin) me nā maʻi'ākau;
- antihistamine (Dimedrol, Suprastin) - kahi hana hoʻonaʻauao kūikawā a me ka hana hypnotic;
- antispasmodics (No-sppa, Papaverina hydrochloride) - hoʻomaha a hoʻonele i ke kaumaha i loko o nā au o ke awa;
- nā papa hana palekana (Gordoks, Katrikal) - hoʻopau i ka hana o nā enzymes o trypsin, chemotripsin a me amylase;
- analgesics (Anal, Baralgin );
- Cytostatics (cyclophosphamide) me nā pancreatitis pseudotumorous.
He aha kāu eʻai ai me ka pancreatitis?
ʻO ka pāʻani i pancreatic pancreatitis ka mea nui i ka lāʻau lapaʻau maikaʻi a me ka hoʻopauʻana i nā hana inflammatory i loko oʻelua pule. ʻO ka papahana no pancreatitis ka mea e pono ai a mālamaʻia, nā māmā a me ka meaʻai. Hōʻoiaʻia nā meaʻai a me nā pāpale no pancreatitis:
- ka pahu me kaʻailaʻole;
- nāʻiʻo'ūpī steamed i hanaʻia i nā mea momona a momona;
- nā huaʻaila ma ka wai;
- nā pīpīʻuala;
- porridge (rice, oats, buckwheat);
- low-fat kefir;
- nā puʻona o nā hua maloʻo;
- nā hua'ōpiopio;
- nā'ōlaʻa 'ai;
- Māleʻa i ka palaoa palaoa.