Pancreatitis maʻi

ʻO Pancreatitis ka pehu o ka pancreas. Aia ka pancreatitis maʻi mau ke hana ʻole kēia pilikia a hoʻomaikaʻi paha, hele a hewa i ka manawa, a alakaʻi i ka pōʻino mau loa.

ʻO ka pancreas kahi lālā ma hope o ka ʻōpū. Hoʻopuka ia i nā kemika (i kapa ʻia nā enzyme) e pono ai e ʻeli i ka meaʻai. Hoʻopuka pū kekahi ia i nā hormones ʻo ka insulin a me ka glucagon.

Ke hiki mai ka scarring o ka pancreas, ʻaʻole hiki i ka ʻōpona ke hana i ka nui kūpono o kēia mau ʻenema. A ʻo kahi hopena, ʻaʻole hiki i kou kino ke hoʻoulu i ka momona a me nā mea nui o ka meaʻai.

ʻO ka hōʻino i nā ʻāpana o ka pancreas e hana i ka insulin hiki ke alakaʻi i ka maʻi diabetes.

Hoʻokumu pinepine ʻia kēia ʻano e ka hōʻino ʻana i ka waiʻona i nā makahiki he nui. ʻO nā ʻāpana i hana hou ʻia o ka pancreatitis koʻikoʻi hiki ke alakaʻi i ka pancreatitis mau. ʻO Genetics paha ke kumu i kekahi mau hihia. I kekahi manawa, ʻike ʻole ʻia ke kumu a kumu ʻole ʻia e nā pōhaku o ke au.

Nā kūlana ʻē aʻe i pili i ka pancreatitis mau:

• Nā pilikia ke hoʻouka ka ʻōnaehana pale kino i ke kino
• ʻO ka pale ʻana o nā paipu (ducts) e hoʻokahe i nā enzymes mai ka pancreas
• ʻO Cystic fibrosis
• Nā pae kiʻekiʻe o kahi momona, i kapa ʻia nā triglycerides, i ke koko
• ʻO ke kino kelepaʻi overactive
• Hoʻohana o kekahi mau lāʻau (no ka sulfonamides, thiazides, a me azathioprine)
• Pancreatitis i hoʻoili ʻia i loko o nā ʻohana (hoʻoilina)

ʻOi aku ka maʻamau o ka pancreatitis maʻi ma nā kāne ma mua o nā wahine. Hana pinepine kēia i nā poʻe mai 30 a 40 mau makahiki.

ʻO nā hōʻailona me:

ABDOMINAL EHA

• ʻOi aku i loko o ka ʻōpū luna
• Mei paha mai nā hola a i nā lā; ma hope o ka manawa, noho mau paha
• Hiki ke ʻino aʻe i ka ʻai ʻana
• E hele a mānoanoa paha i ka inu lama ʻana
• ʻIke ʻia hoʻi i ka hope me he mea lā leʻaleʻa i loko o ka ʻōpū

NA PILIKIA DIGESTIVE

• ʻO ka pohō kaumaha kaumaha, ʻoiai ke ʻano maʻamau nā ʻano maʻamau a me nā nui
• ʻO ka maʻi hānō, kahe, a me ka luaʻi
• ʻO nā noho momona momona a ʻaila paha
• Nā noho Pale a i ʻole ʻalani

ʻO nā hoʻokolohua e kuhikuhi ai i ka pancreatitis me:

• Hōʻike momona momona
• Hoʻonui i ka pae serum amylase
• Hoʻonui i ka pae lipase serum
• Trypsinogen serum

Hōʻike paha nā hōʻike e hiki ke hōʻike i ke kumu o ka pancreatitis:

• Serum IgG4 (no ka hōʻoia ʻana i ka pancreatitis autoimmune)
• ʻO ka hoʻāʻo ʻana o ka moʻomeheu, hana pinepine ʻia inā ʻaʻole nā ​​kumu maʻamau ʻē aʻe a i ʻole he moʻolelo ʻohana

Hiki ke ʻike ʻia nā hoʻokolohua kiʻi hiki ke hōʻike i ka pehu ʻana, ka scarring, a i ʻole nā ​​hoʻololi ʻē aʻe o ka pancreas ma:

• CT scan o ka ʻōpū
• Ultrasound o ka ʻōpū
• Endoscopic ultrasound (EUS)
• Mākēneki resonance cholangiopancreatography (MRCP)
• Endoscopic retrograde cholangiopancreatography (ERCP)

He hana ʻo ERCP e nānā ana i kāu aʻa a me nā aʻa pancreatic. Hana ʻia ia ma o ka endoscope.

ʻO ka poʻe me ka ʻehaʻeha a i ʻole e lilo ana ka kaumaha e pono e noho i ka haukapila no:

• Nā lāʻau ʻeha.
• Nā Fluids i hāʻawi ʻia ma o kahi aa (IV).
• Ke kū nei i ka meaʻai a wai paha e ka waha e palena ai i ka hana o ka pancreas, a laila e hoʻomaka mālie i kahi papaʻai waha.
• Hoʻokomo i kahi paipu ma o ka ihu a waha paha e wehe i nā mea o ka ʻōpū (nasogastric suctioning) i kekahi manawa. Noho ka paipu i 1 a 2 mau lā, a i kekahi manawa no 1 a 2 mau pule.

He mea nui ka papaʻai kūpono no ka poʻe me ka pancreatitis mau e mālama ai i ka paona olakino a loaʻa i nā meaʻai kūpono. Hiki i kahi meaʻai meaʻai ke kōkua iā ʻoe e hana i kahi papaʻai e hoʻopili pū me:

• Ke inu nei i nā wai he nui
• Ka palena ʻana i nā momona
• ʻO ka ʻai ʻana i nā meaʻai liʻiliʻi, pinepine (kōkua kēia i ka hōʻemi ʻana i nā hōʻailona digestive)
• Loaʻa ka lawa ʻana o nā wikamina a me ka puna i loko o ka papaʻai, a i ʻole me he mea hoʻohui keu
• Ka palena ʻana o ka caffeine

Kauoha ka mea mālama ola i nā ʻenekope pancreatic. Pono ʻoe e lawe i kēia mau lāʻau me kēlā me kēia pāʻina, a me nā meaʻai māmā. E kōkua nā enzyme iā ʻoe e hoʻowali i ka meaʻai ʻoi aku ka maikaʻi, loaʻa ke kaumaha a hoʻēmi i ka palahō.

Hōʻalo i ka puhī ʻana a me ka inu ʻana i nā mea inu ʻona, ʻoiai inā akahai kāu pancreatitis.

Pili paha nā hana ʻē aʻe i:

• Nā lāʻau ʻeha a i ʻole kahi poloka nerve e hōʻoluʻolu i ka ʻeha
• Lawe i ka insulina e kaohi i ke kō o ke kō (glucose)

Hana ʻia ke kaha inā loaʻa kahi paʻa. I nā hihia koʻikoʻi, hiki ke hoʻoneʻe ʻia kahi ʻāpana o a i ʻole ka pancreas holoʻokoʻa.

He maʻi nui kēia e hiki ai i ke kīnā a me ka make. Hiki iā ʻoe ke hōʻemi i ka makaʻala ma ka hōʻalo ʻana i ka ʻalekohola.

Komo pū nā pilikia:

• Ascites
• Ka pale (keakea) o ka ʻōpū liʻiliʻi a i ʻole nā ​​aʻa o ka bile
• ʻO ke kōkuʻu koko i ka aa o ka lola
• ʻO nā hōʻiliʻili wai i ka pancreas (pancreatic pseudocysts) i loaʻa i maʻi
• Diabetes
• Ka maikaʻi o ka lawe ʻana o ka momona, nā mea momona, a me nā wikamina (ʻo ka pinepine i nā wikamina hiki ke hoʻoheheʻe ʻia ka momona, A, D, E, a me K)
• Anemia hemahema hao
• Ka nele o ka Vitamin B12

Kāhea i kāu mea hāʻawi inā:

• Hoʻolālā ʻoe i nā ʻōuli o ka pancreatitis
• Loaʻa iā ʻoe ka pancreatitis, a ʻoi aku ka maikaʻi o kāu mau hōʻailona a hoʻomaikaʻi ʻole paha me ka lāʻau

Ke loaʻa nei i ke kumu o ka pancreatitis huʻi a mālama koke iā ia hiki ke kōkua i ka pale ʻana i ka pancreatitis mau. Palena i ka nui o ka wai ʻona āu e inu ai e hōʻemi i kou makaʻu i ke kūkulu ʻana i kēia ʻano.

Pancreatitis maʻi - maʻi mau; Pancreatitis - maʻi - hoʻokuʻu; Ka lawa ʻole o Pancreatic - maʻi mau; Huʻi pancreatitis - maʻi

• Pancreatitis - hoʻokuʻu

• ʻŌnaehana Digestive
• Pancreatitis, maʻi mau - CT scan

Forsmark ce Pancreatitis maʻi. I: Feldman M, Friedman LS, Brandt LJ, eds. ʻO Sleisenger a me Fordtran's Gastrointestinal a me ka maʻi Liver: Pathophysiology / Diagnosis / Management. 10 o ka lā. Piladelapia, PA: Elsevier Saunders; 2016: chap 59.

ʻO Fosmark CE. ʻO Pancreatitis. I: Goldman L, Schafer AI, eds. ʻO ka lāʻau lapaʻau Goldman-Cecil. 26th ed. Piladelapia, PA: Elsevier; 2020: chap 135.

Paniccia A, Edil BH. Ka mālama ʻana i ka pancreatitis mau. I: Cameron JL, Cameron AM, eds. ʻO ke kaʻoki lāʻau lapaʻau o kēia manawa. 12th ed. Piladelapia, PA: Elsevier; 2017: 532-538.