He aha ka biliary pancreatitis? Symptoms a me Kāohi

No ka nui kanaka, ka pancreas hoʻomaka e hāʻuleʻole ai, e hana i ka li nui ia ia lŘlŘ ma muli o ia i ka 'aʻe' ana o bile auaiaea. ? Ac? Aaioea biliary pancreatitis, i loa pinepine e loli ai i nā mākua. Kēia maʻi He treatable, akā, malalo ia o ka 'eleu lapaau i ke kauka, a like me nā mea a pau e pono rula. Aie i ka mea pono ka hana o pancreatic nā mea maʻi koke hoʻi i ka maʻamau ola.

Hiʻona o ka maʻi

Biliary pancreatitis ia lŘlŘ ma cholelithiasis. Ua hoʻomōhala ana i like me ka hopena o ka hoolei ana i ka wai i loko o ka ducts o na pancreas, hoʻomakaʻu dermatitis. Kēia kaʻina Hōʻike he malfunction o ka gallbladder.

Ma ke ola i ke kanaka i ka puʻe i loko o nā ducts o ke kino, ua nui haʻahaʻa ma mua o ka'aloʻahiʻa pae ma na ducts o ka pancreas. Kona mea ulu Hōʻike i ka keʻakeʻa nei e ālai 'ia' o ka bile pono, e lawe mai konaʻikena. Kēia paha e ku pono ana i ka blockage o na ducts, pinepine ia me na pohaku. A pau i kēia hiki aku ai i ka wai, kiola ia i loko o ka pancreas.

Nā kumu o ka maʻi

Kēia pathology ke'ākoʻakoʻa no kela kumu. E noonoo oe i ka walaʻauʻana.

Inā poino kekahi kanaka mai ka gallstone maʻi, ia mea pinepine i ka wa a ka maʻi hoʻomaka e stagnate i ka digestive wai o ka hoailona iho la i leki uea pohaku. A pau i kēia hiki aku i ka mahuahua puʻe i loko o kēia mau aoao, ka hoʻopukaʻana i ko lakou kiola i ka loli i loko o ka pancreas.

Cholecystitis gallbladder ma luna o kaʻili, he mea ka hoʻoʻino kaʻina, i haawi i ka wai, e kahe maʻamau.

Paipai 'ia ka cholangitis a me biliary pancreatitis, i mea uncharacteristic ducts li nui i kupu mai ma muli i ka patency o ka biliary'āpana a me ka secretion o ka maʻiʻaʻai.

Ka luna i oleloia mai ma ka hui pu ana, me ka biliary pancreatitis i ke kēia mau hoʻololi i loko o nā pancreas:

• aat i a me ka degeneration;
• ka hoʻonuiʻana o connective'aʻaʻa keena;
• aʻe 'ana i loko o kona hana.

Akā,ʻaʻole wale nō kēia mau kumumea he hoʻonui i ka muli o ka maʻi. Ke kāʻili 'ana loa pinepine iwaena o ipo o pono ai. Ia ai ke malama i ka provocateur spasms gallbladder a pancreatic edema ka poʻea pau. Eia hou kekahi, pancreatitis e hoʻomōhala ana i aie i ka overeating, ai stale a'ānaiʻia ai.

Pehea o ka maʻi?

Biliary pancreatitis i e maʻi a me ka huʻi ano. Ka hope kupu mai ka hoʻohana 'ana i ka ai, a stimulates a pau i ka digestive keʻano o ka hanaʻana. Ua hiki e palai ai Pie, palupalu kea, i ka mea ono meaʻai māmā, Grill ai.

Kēiaʻai i ole, ua noʻonoʻo ola, e like me ka mea paipai 'ana i ka neʻeʻana o nā pōhaku, a hiki pani i ka leki uea i loko o ka gallbladder. Hoʻomanawanui iki mai me ka maʻi maʻi holo ana, ka nānāʻia ma kaʻai ke pale i ka hanana o biliary pancreatitis.

Ka hanana o biliary pathology hilinaʻi nui ma luna o ka hana o nā pōhaku i mea i loko o ka bile leki uea. Inā ka mea, i ka poe liilii, ma ka nui a me ka mea pono i loko o ka duodenum, ke hoʻomanawanui i ka ke ano e ka hoʻomaikaʻi hikiwawe loa. Inā o ka neʻeʻana o nā pōhaku o ke Canal mea pilikia, ia mea ia e makaʻu no ke ola o ka hoʻomanawanui i loko o keia hihia.

Symptoms o biliary pancreatitis

Symptoms o kēia maʻi, loa e ku ei ka stagnation o bile, loa ai ka nohona, no laila, i kēia pathology Ua paʻakikī e diagnose.

Penei, ina o ka hoʻomanawanui i ka biliary pancreatitis, na symptoms i loaʻa i nā kēia:

• Ka muli o achingʻeha a pau ma luna o ka luna o ka opu, i hiki ke haawiia mai ma ka hope paha i loko o ka wahi o ka hypochondria. Loa pinepine he mea eha ma hope o ia e hoopau ana momoma, palai a pakaʻai. Kona amplification i wahi i ka po, a me nā hola ma hope o kaʻai.
• Hoʻopale awaawa ho'āʻoʻana i loko o ka waha.
• Nausea, ka luaʻi.
• Diarrhea, constipation paha bloating.
• Hiki iki ala i loko o ke kino ana wela.

Huʻi biliary pancreatitis ua wehewehe aku eʻoi eha ma ka hypochondria, ala ma muli o ka spasms o ala apuupuu Muscle e hoʻonāukiukiʻana mai o ka pohaku, a me ka maʻi - aching eha e mau i ka lōʻihi manawa.

Eia kekahi, i loko o ka maʻi ano o ka maʻi hiki i hoʻomaka ai jaundice symptoms, mai biliary'āpana iaʻi a me ka digestive wai komo ai i ka circulatory nenoaiu. Ke'ōlelo mai melemele 'oiaʻiʻo ma loko o ka maka a me ka ili. Ma keia hihia, lapaʻau e e hoʻomaka koke, no ka mea, ke hoopau i loa kaumaha.

ʻike, no ka maʻi

Ke hoomanawanui Pono e hele i ka lapaʻau a me ka biochemical koko e ho'āʻo ai. I ka maʻi pancreatitis, biliary ia mahuahua ma ka pae o ka bilirubin,'ākilikai phosphatase, naʻokoko, a me ka lākiō o ka nui nā polokina ma ka mea ku ole, hoemiia. I mimi a me ke koko 3-6 manawa hoonuiia pae o ka amylase.

Mai poina e lawe mai ultrasound o na pancreas, a me ultrasound o ka hepatobiliary'ōnaehana, hiki e hōʻike i ke alo o nā pōhaku i loko o nā ducts, like hoʻi me ka mau ana o ka pancreas.

E kuhikuhi i na pohaku hoonoho i na pono ka ki ina hana like, e like me intraductal a endoscopic ultrasound.

Ka loa informative hana noʻonoʻo HI biliary'āpana, o ka oi aku ina mea ua lawelawe i ka Akä naÿe hope paha. MRPHG a ERCP ua hoi i hoʻohana no kaʻike, o pancreatic a me ka biliary ducts.

maʻi lapaʻau

Lapaʻau o biliary pancreatitis ua mālama 'ia ma lalo o ka hooponopono ana o ka gastroenterologist, endoscopist a me ka surgeon. I ka maʻi i holo hou ia, e like me ka pono me ka Kāohiʻana o exacerbations, hana lapaau o ka nń ku maʻi.

Inā hala maʻi pathology ma huʻi biliary pancreatitis, E e hana i ka iapaau ana wale nō i loko o ka haukapila. Lapaau ana huʻi ano o ka luna ', a me ka pono o ka lapaʻauʻia a me kaʻai.

Biliary pancreatitis i loko o ka huʻi ke kahua ia lŘlŘ me ka ikaika eha maʻi pale, a ua wehe 'ia ma ka mea o analgesics a me spasmolytics. ? Iaea lawe Ua hoi mai kūloko ma, a mawaho secretory hana o na pancreas, detoxification, me antibiotics ua hana Kāohiʻana o infectious complications.

Ma ka exacerbation i loko o ka muaʻekolu lā o ka hooke ai ana, a me ia mea e pono ai ka hana o ka ole-carbonated'ākilikai mea pōhaku wai. Once mana ua laila, eʻoiaʻiʻo, e kali i kaʻai o nā bipi kūpaluʻia, carbohydrates e uumi e no hoi.

E emi i ka luku 'ana o ka ho'ā' pancreatic nā'ūhū lawelawe somatostatin, protease nā mea kūpale, proton EII ni nā mea kūpale. Kou kauka hiki no hoi i hoakaka ia microspherical nā'ūhū e kōkua i ka enzymatic dysfunction o ka pancreas e hoihoi. I ke koko kōpaʻa hoi aku la i ka maʻamau, hoakaka hypoglycemic konohiki.

A hiki i ka huʻi kaua ua wehe, ke kahuna lapaau e paipaiʻoki kino, e wehe i ka pohaku. Ua ua lawe mai i loko o nā aoao: oki keena abdominal pa (laparotomy) ole e me na ia liilii puncture i loko o ka abdominal pā (laparoscopy).

hiki complications

Inā biliary pancreatitis hana pono, i ka hoʻomanawanui, e koke mai hoʻi i ka maʻamau ola. Inā malama ole lakou i na mai ke hoʻoneʻe i nā pōhaku i loko o ka biliary ducts. Inā ka maʻi e na mea ho one, a hana i kekahi mea, ka mea e alakai ai i ka mea hōʻemi o ka gastrointestinal'āpana. Kēlā me kēia manawa, ai ka eha e wale hoʻonui, loa e lawe i ka junk ai ma hope.

Eia hou, i ka holomua maʻi hiki ke hele i loko o parenchymal pancreatitis. Kēia hiki hooweliweli i ka hoʻomanawanui like penei:

• hooloihi ae i lapaʻau i loko o ka haukapila okoʻa no ka manawa;
• nuiʻoki kino;
• ka lōʻihi like 'ole o ka hoʻopulapula Inc;
• ke kanana 'ʻai kokoke pau kona ola.

E pale aku biliary pancreatitis mea pono, e malama i ke ola i ke Aloha Hawaii, ai'ākau, a me ka loa e haawi i ka waiʻona.

ʻai

Inā ua biliary pancreatitis, heʻai i ke e ka naauao. Iloko o ka lā, i ka hoʻomanawanui E e hanaiia 4-5 manawa o ka buke o kekahi hapa e e ole oi ma mua o 250 ml. Ua Ua pololei papaia, paka, a me ka palai momomaʻai.

I loko o kaʻai o nā polokina pono e mahuahua ma ka 25%. Ke'ī mai, i ka hoʻomanawanui no ka lā eʻai 120 g. Kumuʻiʻo huahana. Akā, no ka nui o ka momona, ma ka mea ku ole, e e hoemi ma ka 20%, a i ka lā o kaʻai ana e ole oi E e hoemi hoi '80 carbohydrateʻai ana, a me ka mea, e ia 350 nā huna no ka lā. Ke dala o ke kō ua? Aeiiaiaoaony e ho'ēmi i ka 2 manawa ke koi 'ia hae.

ka hopena

Maʻi biliary pancreatitis (oi loa ka huʻi palapala) - he maʻi loa nui. He nui no ka pono diagnose keia pathology a me i kakahiaka nui lapaʻau, no ka mea, e hoʻomau i ka ho'āhewa wale, e lilo hou pinepine, e lawe mai ana i ka hailona o ka ehaeha. Keia Manawa waleʻoki kino kōkua pakele o biliary pancreatitis.