ʻO ka maʻi pancreatitis a me ka maʻi maʻi i ka pōpoki

ʻO ka pancreas (pancreas) he endocrine (ka hāʻawi ʻana i loko) a me ka exocrine (ka hāʻawi ʻana i waho). Hoʻopuka ka ʻāpana endocrine i nā hormones koʻikoʻi e like me ka insulin, glucagon, a me ka somatostatin. Hoʻoulu ka ʻāpana exocrine i kahi huna glandular e wāwahi i ka meaʻai i mau mea hoʻohana. Loaʻa ka mea huna i nā precursors hana ʻole o nā enzyme digestive. Hoʻoikaika wale kēia mau mea i ka wā e hiki ai i ka ʻōpū. Mālama kēia mau mea hana mua i ka pancreas mai ka ʻeli ʻana iho.

Hoʻokumu ʻia ka pancreatitis i ka wā i pau ʻole ai kēia ʻano pale. Hoʻokuʻu mua ʻia nā enzyme digestive i loko o ka ʻiʻo pancreatic a alakaʻi i ka mumū a me ka ʻai ʻana iā ia iho a hiki i ka luku ʻana i ka pancreas a me nā ʻiʻo a puni.

Hoʻokaʻawale mākou i waena o nā ʻano maʻi maʻi, maʻi, a me nā ʻano o ka pancreatitis. ʻO ka mea hope no ka mea ʻaʻole i hoʻōla loa nā pōpoki me ka pancreatitis, ʻo ia hoʻi, e ʻā pinepine ka ʻā i nā nalu, no laila ke kamaʻilio nei mākou i kahi maʻi maʻi i lilo i hoʻouka kaua me nā hōʻailona koʻikoʻi.

Hiki ke hōʻike ʻia ka maʻi pancreatitis i nā pōpoki o kēlā me kēia makahiki mai ʻehā pule a hiki i 18 mau makahiki, me ka ʻole o ka ʻano a me ke kāne. Wahi a kekahi mau noiʻi, ʻoi aku ka hopena o nā pōpoki Siamese a me nā ʻōpio kahiko ma mua o ka awelika.

ʻOiai ua piʻi nui ka ʻike o kēia maʻi i nā makahiki i hala iho nei, ʻaʻole i noiʻi ʻia ke kumu o ka pancreatitis. ʻO ka hōʻailona a me ka hoʻomaʻamaʻa ʻana he mau pilikia nui.

E like me nā manawa a pau, kūikawā loa kā mākou mau pōpoki i kēia maʻi. ʻAʻole like me nā kānaka a me nā ʻīlio, e hōʻike ana i nā hōʻailona maopopo o ka pancreatitis (ka luaʻi, ka ʻōpū, a me ka ʻeha ʻeha ʻeha he maʻamau), ʻeha nā pōpoki me ka leo ʻole.

ʻO ka mea nui, ʻaʻole mākou e ʻike i ka hōʻailona nui o ka pancreatitis - ʻeha nui loa ke kau ʻia ke kaomi i ka ʻōpū. Eia nō naʻe, ʻoiai me ka ʻole o nā hōʻailona o waho, manaʻo mākou he ʻeha loa ka pancreatitis no nā pōpoki, ʻoiai ʻo ke ʻano o ka pōpoki maʻi e hoʻomaikaʻi wikiwiki loa me ka hoʻokele ʻana i nā ʻeha. Ua ʻike ʻia he akamai nā pōpoki i ka hūnā ʻana i ka ʻeha.

He paʻakikī a loli ka laulā o nā hōʻailona. ʻIke wale ʻia ka hapa nui o nā pōpoki ma muli o nā ʻike kikoʻī ʻole e like me ka emi ʻana o ka makemake (advanced stage anorexia), listlessness (lethargy), a me ka pohō kaumaha. No kēia kumu, ʻaʻole hiki iā mākou ke hoʻokaʻawale i ka maʻi maʻi inā e loaʻa ana ka pōpoki i ka maʻi maʻi, maʻi maʻi, a i ʻole ka maʻi maʻi pancreatitis.

ʻOiai nā hōʻailona subclinical ʻaʻole kikoʻī, hiki ke hoʻololi i kahi pae weliweli i ke ola e pili ana i ka haʻalulu cardiovascular a / a i ʻole ka hemahema o nā ʻāpana he nui i kēlā me kēia manawa. He wai ka hoʻololi. I kekahi mau mea maʻi, hoʻomau ka maʻi pancreatitis i ka localized, aʻo nā mea ʻē aʻe e pālahalaha ʻia ma ka ʻōnaehana. ʻO nā hōʻailona ʻē aʻe e pili pū ana me ka maʻi maʻi, constipation, a me ka jaundice. I nā hihia koʻikoʻi, hiki mai ka dehydration a me ka hypothermia. Me ka maʻi diabetes mellitus, polydipsia (hoʻonui i ka makewai) a me ka polyuria (hoʻonui ʻia ka urine) nā hōʻailona nui.

ʻAʻole hiki ke wānana i ka wā e hoʻololi ai i kahi kūlana weliweli. ʻOiai inā e hoʻomaikaʻi mua ʻia ke ʻano o ka pōpoki me ka lāʻau lapaʻau, hiki ke hoʻihoʻi hou ʻole ʻia. No laila, e makaʻala mau ka wānana i ka pōpoki me ka pancreatitis. Ma ke ʻano he kānāwai, hōʻike wale ʻia nā holoholona i ka hana i ka wā i holomua maikaʻi ai ka maʻi. No laila, koi mau ʻia ka lāʻau lapaʻau wikiwiki, ʻoiai inā ʻaʻole i hoʻokumu ʻia ka ʻike.

I ka hihia o nā ʻike kikoʻī ʻole a pau e like me ka luaʻi ʻana, ka maʻi paʻi, ka jaundice, ka ʻeha ʻōpū, ka hoʻonui ʻana o ka ʻōpū, ka polyuria, a me ka polydipsia, pono e hoʻomaʻamaʻa mau ʻia ka ʻike ʻokoʻa o ka pancreatitis. Pono kēia, ʻoiai ʻo nā hōʻailona i ʻōlelo ʻia e hiki ke hōʻike mau i kahi maʻi i kona pono ponoʻī. Eia nō naʻe, hiki iā lākou ke hōʻike i ka pancreatitis a i ʻole, i ka hihia maikaʻi loa, hiki ke hoʻomaka. I kekahi manawa o ka maʻi, ʻaʻole hiki ke ʻike hou ʻia ke kumu a me ka hopena.

ʻO ka ʻāʻī ʻana o ka ʻōpū maʻamau he kumu nui loa ia no ka ulu ʻana o ka pancreatitis. ʻO ke kumu o kēia pili ʻana, ʻo nā pōpoki e loaʻa ana i ka maʻi maʻi maʻi maʻamau e loaʻa pū kekahi i ka luaʻi mau ʻana, ʻo ka hoʻonui ʻana i ka luaʻi e alakaʻi i ka piʻi ʻana i ka ʻōpū. Ma kahi e kahe ai ka bile a me ka pancreatic secretion i loko o ka duodenum, ʻo ka piʻi ʻana o ke kaomi e hoʻihoʻi hou ʻia ka bile a me ka huna pancreatic i loko o ka pancreas. Hoʻohana ʻia kēia reflux e ka ʻano anatomical peculiarity o ka pōpoki, nona ka puʻupuʻu excretory maʻamau mai ka bile a me ka pancreas i loko o ka duodenum. Eia kekahi, ʻoi aku ka ikaika o ka ʻōpū liʻiliʻi o ka pōpoki ma mua o ka ʻīlio, ʻo ia hoʻi, ʻo ka hoʻihoʻi ʻana o nā germs i loko o ka ʻōnaehana duct o ka bile a me ka pancreas e hoʻoikaika i ka mumū.

Inā hoʻonui ka pancreatitis i loko o kahi hanana systemic, he mea weliweli ka maʻi. Hiki i nā pōpoki ke make i ka haʻalulu, ka hōʻino ʻole o ka renal, septicemia, a i ʻole endotoxemia. Hoʻonui pinepine ʻia ka wai i loko o ka umauma a me ka ʻōpū (pleural effusion/ascites).

ʻO ka mea pōʻino, ʻaʻole maʻalahi ka maʻi o ka pancreatitis a koi i ka nui o nā hoʻokolohua. Loaʻa kēia i nā hoʻokolohua kikoʻī kikoʻī (hematology, serum chemistry, urinalysis, a me nā hoʻokolohua kūikawā) a me nā kaʻina hana kiʻi.

ʻAʻole kōkua nui ka X-ray wale nō, akā hoʻohana ʻia ia e hoʻokuʻu i nā maʻi ʻokoʻa hou aʻe. ʻAʻole hiki iā mākou ke ʻike i ka maʻi pancreatitis ma muli o nā hihi X o ka ʻōpū wale nō, akā kōkua lākou iā mākou e ʻike i nā pilikia pili.

Hiki ke ʻike maikaʻi ʻia nā loli i ka pancreas ma ka ultrasound, akā pono e hoʻomanaʻo ʻia ʻo ka pancreatitis hiki i kekahi manawa ke ʻike ʻole ʻia i ka ultrasound. Eia nō naʻe, me nā hōʻailona, ​​​​nā helu koko i hoʻololi ʻia, a me ka hōʻailona pancreas, hiki ke hana i ka maʻi o ka pancreatitis. I ka wā lapaʻau, pono e hoʻololi maikaʻi kēia waiwai.

He mea nui ka loiloi kūpono o ka pae o ka pancreatitis. ʻO ka maʻi pancreatitis koʻikoʻi e hoʻoweliweli mau i ke ola a pono e mālama ʻia me ka ikaika loa, pinepine me ka noho lōʻihi o ka haukapila. ʻO ka maʻi o ka pancreatitis he ʻekolu mau pahuhopu nui:

• ka hakakā ʻana i ke kumu,
• hōʻailona hōʻailona,
• ka ʻike mua ʻana a me ka mālama ʻana i nā pilikia systemic.

He mea nui ia e hōʻoiaʻiʻo i ka hoʻoheheʻe ʻana o ka ʻiʻo, e kaupalena i ka hoʻolaha ʻana o ka maʻi bacteria a kāohi i nā mediators inflammatory a me nā enzyme pancreatic.

Pono nā pōpoki i ka nui o ka protein. Inā ʻaʻole ʻai nā pōpoki i ka meaʻai no nā lā ʻelua a ʻekolu paha (anorexia), hiki ke maʻi nui ke ake (hepatic lipidosis = fatty liver). No laila he mea nui e hoʻolohe i ka hānai ʻana. I nā poʻe maʻi anorectic, ʻo ke kākoʻo ʻana i ka meaʻai ma o ka hānai enteral hiki ke mālama i ke ola.

ʻAi pinepine nā pōpoki i ka wā e hānai ʻia ai a hāʻawi lima ʻia ka meaʻai. Eia ka makemake nui o ke aloha a me ka malama ana i ka TFA. Me ka nui o ka hoʻomanawanui, hiki i ka pōpoki ʻai ʻole ke hoʻohuli ʻia e lawe i ka meaʻai mai kou lima aku, ʻo kēlā me kēia hoʻomaka liʻiliʻi he neʻe nui i mua i ka therapy.

He mea koʻikoʻi nō hoʻi ke kaiapuni no ka holomua o ka lāʻau lapaʻau, pono ʻole ke koʻikoʻi a me ka pipi. ʻAi pinepine nā pōpoki ma ka home. Inā ʻae ko lākou kūlana olakino, hiki iā lākou ke hoʻokuʻu ʻia i ka home i ka pō, kahi e ʻai mau ai lākou i ko lākou wahi i kamaʻāina. I ka lā hoʻihoʻi ʻia lākou i ka hana e hāʻawi ʻia i ka lāʻau lapaʻau.

ʻO ke ana koʻikoʻi ʻo ia ka hoʻololi ʻana i ka wai intravenous ma o ka paila infusion.

No ka mea ʻo ka nausea ke kumu o ka hōʻole ʻana i ka meaʻai, ʻoi aku ka maʻamau o ka lawelawe ʻana i kahi antiemetic.

Hoʻopaʻapaʻa ka hoʻohana ʻana i nā lāʻau lapaʻau no ka mea ʻo ka feline pancreatitis he hana maʻamau. Eia nō naʻe, i nā pōpoki me nā hōʻike o ka haki ʻana o ka ʻōpū o ka ʻōpū, hōʻike ʻia ka mālama prophylactic o nā lāʻau lapaʻau ākea ākea e pale i ka ulu ʻana o ka maʻi bacteria.

Ma muli o ka paʻakikī o ka loiloi ʻana i ka ʻeha o nā pōpoki, he mea nui ka mālama ʻana i ka ʻeha i ka mālama ʻana i ka pancreatitis. Hoʻopili pinepine nā pōpoki i ka ʻeha ma ka haʻalele ʻana a hōʻole ʻole i ka ʻai, ʻo ia wale nō nā hōʻailona e kuhikuhi i ke ala i ka pancreatitis. ʻO ka hoʻomaʻamaʻa maikaʻi ʻana, a ma luna o nā mea a pau, makemake ʻia ka empathy ma ka ʻaoʻao o ka TFA ma aneʻi. I kēlā me kēia manawa, pono e hōʻoia ka TFA i ka ʻeha hou o ka pōpoki. ʻO ka Glasgow Pain Scale (nānā ma lalo), e kōkua ana i ka loiloi i ke kūlana o ka mea maʻi e pili ana i ke kūlana a me ka ʻike maka.

Kūkākūkā ʻia ka lawelawe ʻana i nā corticosteroids ma nā ʻano like ʻole. He ʻāpana lākou o ka papa hana lapaʻau no nā pōpoki me nā kuʻuna. I kēia manawa, ke kūkākūkā ʻia nei kahi etiology idiopathic (kahi mai kahi kumu ʻike ʻole) i nā pōpoki. Ma kēia ʻano, hōʻike kekahi mau mea kākau i nā hopena maikaʻi i ka maʻi pancreatitis maʻi.