ʻike, o ka pancreatitis, kona ki ina hana like. Nā symptoms a me ka lapaʻau o ka maʻi

Li nui o na pancreas - heʻawaʻawa loa a me ka weliweli ano. Ma lapaau ka mea, ua kapaia pancreatitis. Ma keia maʻi, na nā'ūhū hua mai ma na pancreas, noho i loko o laila, hoʻomaka e luku aku i kona'aʻaʻa. Lapaʻau e halihaliia oia iwaho i loko o ka 'eleu kūpono. I ole ia, i ka li nui i maʻi. He aha, a laila, hiki ke huai ae ka huʻi ano o ka maʻi? Pehea o ka palena pauʻike, o ka maʻi pancreatitis? Ma keia mau mea e e kūkākūkā i ka au mamuli.

Ke ae pā o ka maʻi

Pancreas - he uuku, akā, nui hui, o ka digestive nenoaiu. , Ae waiho nei ma ke kua o ka opu, a kŰlń ao mai ka duodenum a hiki i ka spleen. Ma pancreatic lobed 'ole. Ma kēlā me kēia lobe i ka leki uea. Ke kino o nā mea a pau ducts i pili, a hana i ka papa kuhikuhiE pancreatic leki uea. Aia Ua hoi ka lua (hou) leki uea. Kēlā i kekahi o ia mau mea hina i loko o ka duodenum.

Ka hao i loko o ka kanaka kino, he mau hana:

1. Exocrine (exocrine). Wai hookuu mai ka gland i loko o ka duodenum, na nā'ūhū. Ka mea i komo i loko o ka digestion o ke kumuʻiʻo, carbohydrate a me ka momomaʻai.
2. Endocrine (endocrine). Ke pancreas malū i loko o ke koko polypeptide hormones. Ka mea, hooponopono metabolic keʻano o ka hanaʻana i loko o ke kino.

I ka li nui o na pancreas i hehiʻana. Kēia keʻae i ka ʻike, o ka pancreatitis. Ke huna ia i hookuu mai i ke kino i loko o ka duodenum. Ma pili ana me kēia kaʻina hana o ka pakiko-digestion gland mau huli. Part o nā'ūhū a me toxins i ka ia manawa kuu i loko o ka ipu koko, hohola ma ke kino a me ka piʻi 'ē aʻe nā loko (akepaa, puupaa, maʻiʻaʻai, naau, a hiki i ka lolo).

I ka maʻi i loko o ia lŘlŘ kānaka ma muli o ia mau kumu. 'Ikepili helu hōʻike i ka 50% o nā kanaka e ae, mai li nui o na pancreas aie i ka waiʻona hainā. I ka 20% o ka hoopii,ʻike, o ka pancreatitis i loko o nā mākua hōʻike i ka maʻi e hoʻomōhala ana i aie i ka cholelithiasis. Other kumu o pancreatic li nui nā:

• infectious, mea hoʻomaʻi a me ka parasitic maʻi;
• fungal nā mea palahēhē;
• ino a me kaʻapu kōheoheoʻana;
• endoscopic manipulations a me ka hana.

Mea Maluna o ka pancreatitis

Ma 'ano o ka maʻi papa i e huʻi (OP) a me ka maʻi (KP). Ma lalo o ka palapala mua o ka maʻi ka mea, ua manaoia he hoʻoʻino kaʻina e ia lŘlŘ ma ka pancreas a me ka hele ana i nā nā'aʻaʻa a me nā loko. I ka maʻi? Acaeoey? Koke no i kaʻai ana o ka waiʻona, spicy a momomaʻai. Ma kekahi mau hihia, o ka hoouka kaua ana o ka maʻi a me ka hoopau ana o ka nui o ka meaʻai ma hope o hooloihi ae i ka hookeai hou pili.

Huʻi pancreatitis poe akamai i classify like penei:

1. Loa huʻi pancreatitis. Me keia palapala o ka mea na nā loko i ole functioning pono. Diff. ʻike, o ka pancreatitis hōʻike aʻe 'nui.
2. Huʻi mehana palapala. I ka hehiʻana o kēiaʻano o ka maʻi o ka oihana o ka palena iki.
3. Loa huʻi pancreatitis huikau parapancreatic infiltrate, peritonitis, purulent abscesses, sepsis, kahe ana ke koko.

Maʻi pancreatitis ia lŘlŘ i loko o kānaka ma hope o huʻi ano o ka li nui o ka pancreas. Ke kaumaha ma muli o ka oolea o ke akamai i līkaia no:

1. Loa. No ka typical ana-pancreatitis relapsing papa. Manawa o ke kala, he pohihihi a me ka pōkole-noho.
2. No ka moderately loa maʻi. Exacerbations 3-4 manawa i ka makahiki ana i loko o li nui o ka pancreas. Ola abdominal maʻi pale lōʻihi lawa.
3. Mehana papa o ka maʻi. Exacerbations i pōkole-nohoʻana a me ka pohihihi. Ka mea ana 1-2 manawa o ka makahiki.

Na hoailona o ka huʻi li nui

Epigastric eha - he symptom hōʻike o ka huʻi pancreatitis. Palena pauʻike, o ka alo ana o keia hiʻona ua lawe mai koke ma hope o ka eha, he pinepine no ka ikaika i kanaka hiki ole ke wahahee mai mālie a me ka noho. Wale nō ma hope o kaʻike, a me ka pololeiʻike, hoʻomalu e lawe i kekahi ana e alleviate i ke kulana o ka hoʻomanawanui iki mai.

Kekahi e like me ka hoailona o ka huʻi li nui o na pancreas - ua ka luaʻi, ma ka hapanui o na hihia mea mau. Ia, aole ia i lawe mai i ke ola i ka maʻi kanaka. Lākou kulana mea ma muli o ka luaʻi ua wale noho lanakila ia. Other symptoms o huʻi pancreatitis nā:

• haikea ili, akrozianoz (āpana cyanotic ili waihoʻoluʻu);
• bloating;
• kali hou aku; kinoea noho;
• loa ka nawaliwali.

Symptoms o ka maʻi pancreatitis

Nā hiʻona ano o ka HPʻokoʻa ma ka manawa o ka exacerbations a me remissions. Ka mea, hilinaʻi ma ka helu o nā kumumea: ke kahua, ka lapaʻau ano o ka maʻi papa. I loko nō o kēia, loaʻa nō kekahi mau nui symptoms o ka maʻi pancreatitis:

1. Indigestion. Ua hoike mai ai ia i ka hoomahuahua i ka buke a me ka alapine (frequency) o ka pā holoi. Kalou i ka maʻi pancreatitis mea hoʻomaopop 'ana i loko o ka grayish waihoʻoluʻu a me fetid ala. Ua pinepine kekahi mauʻai residues i mea ole ma lalo i ka digestion. Ka luna symptoms ana no ka downsizing functioning exocrine parenchyma a me ka Kahiāuli Ho'ā aʻe 'gland secretions i loko o ka duodenum.
2. Nawaliwali, tremors ma ke kino, ka pololi, ke kāʻili 'ana, involuntary defecation a me ka urination, poho o ka ike paka i. Mau symptoms i pili i ka CP 'aʻe ana i endocrine pancreatic kuleana pili i.
3. Abdominal eha maʻi pale. Pain, aole maopopo IIeEeAIEUAA. Ua hiki ana ma ka waena a me ka luna abdomen, a e shingles külana. Ma kekahi mau hihia, o ka eha ua i mālama.

ʻike, ka huʻi pancreatitis

E hoʻokūpaʻa i kaʻike,, kauka i hoakaka ia i kā lākou nā mea maʻi ninaninau. Ua nāʻike, o ka pancreatitis koko e ho'āʻo ai i mālama 'ia e hooholo i ka nui hua mai la i loko o ka pancreas nā'ūhū. I mahele hoao no ka amylase ma ka lāʻau lapaʻau. Ka nui o keia'ūhū Uaʻoi kona kiʻekiʻe ma mua o maʻamau i loko o kekahi mau manawa no ka poe kanaka, ka poe hele kino aku huʻi pancreatitis.

PalekanaEND_LINK ki ina hana like i nā mimi. E like me ka hopena o ke Ka Ikepili o nā mea maʻi hoikeia:

• proteinuria (kumuʻiʻo ma ka mimi);
• microscopic hematuria (koko i loko o ka mimi ma luna o ka physiological kūmau);
• cylindruria (ma ka mimi paukūʻolokaʻa keena loko mai o ke koko keena, coagulated kumuʻiʻo,ʻaʻa puʻuwai omo epithelium).

Ike loea hana o kaʻike, ka huʻi pancreatitis mea he Me tomography (HI). Ua hoʻolako i nā kiʻi o nā pancreas, a puni nā'aʻaʻa a me nā loko, i hōʻike complications o ka maʻi, e Loiloi i ka laulā a me ka ano o lesions o ka pancreas me ka pancreatic necrosis.

ʻike, a me ka lapaʻau o huʻi pancreatitis hiki ke mālama 'ia ma laparoscopy. E ho ohana i ka mea, me ke degere kiʻekiʻe o ka pono kauka ho oholo i ka palapala o ka maʻi, hōʻike a me ka hoʻopau i kekahi o na complications o ka maʻi.

Ka loa, he pono ole, informative, noonoo ole a me ka palekana iaoia o kaʻimiʻana i ka maʻi - ultrasoundʻike, o ka huʻi pancreatitis (US). Ma ka hooko ana mai kona anaia Ana, contours, kinona, na 'ole, echogenicity pancreatic ductal nenoaiu moku'āina.

Diagnosing maʻi ano

ʻike, o ka pancreatitis i loko o nā mākua ka loaʻa o ka ultrasound mua a me ka HI. Maʻi poʻe mākaukau i endoscopic retrograde cholangiopancreatography. Kēia hana o ka hoʻokolokolo 'ana i kekahi hui malu pu ana o endoscopy fluoroscopic ninaninau.

ʻike, o ka maʻi pancreatitis i ka loaʻa o ka hoʻoholo 'exocrine pancreatic kuleana pili i. Me keia mea, mākaukau alakaʻi coprogram - keʻena hoʻokolohua ao, hiki oe e huai ae residues ma na feces undigested ai.

Exocrine hana o ka pancreas hiki e wale ia no hoi ma ka C-hanu ho'āʻo ma. Lākou ka papa kuhikuhiE lanakila - ia mea 'ole-invasive (ʻaʻohe pono, e kue ana i ka pono o ka mea maoli paia waho ke'ākeʻakeʻa mai o ke kino). Oia kaʻike, o ka pancreatitis hiki i ka hoʻoholo 'ana i ka laulā o'ūhū Inc.

Nā Papahana O Ka ana huʻi pancreatitis

Inā 'oe i kekahi symptoms suggestive o? Acaeoey o ka OP, nele i ka maʻi kanaka e i ke kōkua mua:

• ae i ka? eaia o ka ai a me ka inu i kekahi mau lā;
• paʻa i ka epigastric māhele 'āina i iaia? aaaoaeuiuo me ke anu ka wai a me ka hau pack;
• haawi antispasmodics (ma ka hoʻohana 'ana o "ole-Spa" a me "Papaverine" emi'ūhū? iecaianoaaiiuo).

Ma hope o mua kōkua lakou e ike koke i kapa aku ai i ke kauka. A kanaka e e hospitalized i loko o ka haukapila. Ka haukapila koke paa ultrasoundʻike, o ka huʻi pancreatitis. Ma hope iho o ke kukuluia'na o ka pololeiʻike, e ia analgesics ( "Baralgin" "Analgin") i mea e uhi eha.

I ka lapaau a me ka pāʻoihana o'amino nāʻakika a me ka monakō koko i hoʻohana. Ka mea, e mai i ke ea, a me ka ikehu pono o ke kanaka kino. Kohoia a antibiotics. Mau ai 'i pono ai no ka lapaau a me ka Kāohiʻana o septic complications.

A mau lā ma hope o lapaau hoʻomaka 'ana ma o ka poe uuku liʻiliʻi ua hookupaaia stylet. He mea pono no ke noi ana o kāu kiʻina hana o enteral e ai ana. I ka na naau oʻu kuleana pili i ua hoʻihoʻi, ka hoʻomanawanui ua 'ae' ia ai i loko o ka kūlohelohe alanui. Keʻai E komo o kiliala, moʻa ka lau, ai: i ka hua.

Makeʻe kulana lapaʻau i ka 87% o ka hihia ia mea holomua. Ke koe 13% o ka maʻi kanaka ma ka pono o keʻoki kino. Ua Ua lawe mai ka wā o kaʻike, o ka pancreatitis hōʻike complications nui. ʻoki lāʻau lapaʻau lapaau o na kēia mau pahu hopu.

1. Ke emi ma ka endotoxemia. No keia hoonoho nōkahea a me ka decompression biliary nōkahea a me sanitation o ka abdominal lua. Iloko o ka hana o ke kino i loko nā'ūhū, toxins a me nā biologically hana waiwai.
2. Lapaʻau o infectious pancreatic necrosis a necrotic complications (abscesses, fistulas, cysts, peritonitis). E hooko i kēia pahuhopu, hoʻomalu e wehe a me ka nōkahea postnecrotic, purulent cavities, a me ka sequestrectomy resection o ka pancreas.

Iapaau ana o ka maʻi li nui

'ūhū hoomakaukau i ke kumu o ka pancreatin ( "Mezim", "Festal", "Creon"), antibiotics ( "Abaktal", "Amoxiclav" "Sumamed"): Inā pancreatitisʻike, hoike mai i kekahi maʻi ano o ka maʻi, likeʻole ai 'hiki ke lawelawe i nā mea maʻi ¶ AL. Ma kekahi hihia (e laʻa me, ka wā i hanaʻia pseudocysts) pono minimally invasive (transcutaneous) a nōkaheaʻoki kino.

Ua Radio he nui kūlana kino. Ma ka exacerbation o ka maʻi no 1-2 lā maʻi hiki ole i kekahi mea eʻai ai. Mākou e inu wale wai (1-1,5 nā lika no ka lā): nawaliwali kī,'ākilikai mea pōhaku wai me ke kinoea kai puhaka, (1-2 makaaniani). 2-3 lā 'ae' ia ai. Hoʻokomo mucous Nā Kopa, ka maluhia a wai a haleʻuwī waiū koshi, nō puree, hua wai jelly.

Ma ke kala pono hoopili aku i ka kēia mau kōkua:

1. Cook no ka hui, i loko o ka shabby a hana kālua i loko o ka umu. Hookaawale ia ke kaikea a me ka maemae palapala mai o kaʻai, a, e kali i ka paʻakai koloriside a me 6 g. No ka lā.
2. ʻai liʻiliʻiʻai 5-6 manawa i ka lā. I ka paipai ana wela o ka wela kona mau kīʻaha -ʻaʻole ma luna 57-62 degere, anu - i emi aku 15-17 degere.
3. Hookaawale ia mai i kaʻai o ka huawaina, pahi, spicy a me ka canned ai, peas a me ka papapa maka, Fish, pahee a me kanakaʻona mau kea, kvass, huawaina hua Piʻihonua, ono Hale Puhi Palaoa huahana. Holika a me ka vinega holika e ae ma ka meaʻuʻuku i loko o kona mau kīʻaha.

Nontraditional ano o ka lapaau

Ma ka huʻi ano o ka li nui o na pancreas wale pololei pāʻoihana mea, e leka uila i kou kauka. Experimenting me ka poʻe ma lalo o ka hoʻonā 'ana i kēiaʻano o ka maʻi mea i pono. Inā na symptoms a me kaʻike, o ka pancreatitis wahi i ka maʻi maʻi, e hiki ke ho'āʻo i nā kiʻina hana o ka iapaau ana i kaumaha aku ai ma kekahi papa hana laau lapaau.

Ua maikaʻi ia i loko o ka hapanui o na hihia e hāʻawi mai ai lāʻau lapaʻau lapaau. Ka hoʻohana o ka lāʻau lapaʻau E ho oku ui me ka nui loa hoʻoikaika i keʻano o ke kanaka e loaa ana mai ka maʻi pancreatitis. Eia ka he beauty o ka loina lapaau.

• Hui like māhele o ka palaoa silika, pua chamomile a me ka calendula, plantain lau a me ka mineta uliuli;
• lawe 1 hola. ho'āo ai. mai ka kūpono läÿau, a me ka ninini 2 puna o nā kapuahi e ka wai;
• , waiho ihola ia i loko o ka wai auau no 15 mau minuke;
• makaukau loa hookomo ua no 45 minuke, a Kānana.

Kai ua pono e inu ekolu manawa i ka lā no 15 minuke ma mua ai ana i ka ai o 0,4 na kiaha, ka mālama '-nāu kekahi me ka mehana ka wai a hiki i ka hano. E mālama i ka mea paahana hiki ke refrigerated mai i 5 mau lā.

Kāohiʻana o ka pancreatitis

Pale aku i ka ulu ana o pancreatitis me ke kūʻokoʻa. Ka mua ka mea, e nānā aku ma hope o kā lākou ola. Kekahi maʻi o biliary'āpana a me ka laau awaawa, bladder, gastrointestinal'āpana hoonaukiuki pancreatic li nui. A hiki i ka mea hōʻemi o ke ola, a me ka nānā aku o ka hana kupua symptoms e koke hele aku i ke kauka, lawe i ka mea e pono ai e ho'āʻo ai, a examinations lawe wahi hoonohoia.

Kekahi mea nui kāohi ana - mea e ho'ēmi i ka waiʻona hokii. A hiki pono ola kanaka, poe akamai i kūkā iho,ʻaʻole e inu nui dala o ka waiʻona-i loaʻa nā mea inu. I maʻi o ka gastrointestinal'āpana, mai ka waiʻona a me ka nele i ka loa haʻalele.

Ma ka hopena, e pono ke kūʻai 'ana i kumumanaʻo i ka pancreatitis (? Aaieou, lapaʻau' ana, lapaau o ka maʻi) - ka manaʻo 'inikua pukana. Inā 'oe i kekahi symptoms suggestive o ka li nui o na pancreas, ia mea pono, e nīnau aku i ke kauka. Pae holomua Lālā paʻa maʻi hiki i complications kaumaha a me ke ola-na olelo hooweliweli au.