He aha ka Pancreatitis Autoimmune? Nā Hōʻailona, Nā Kumu, & Lapaʻau

ʻO ka pancreatitis autoimmune kahi kūlana kahi e hoʻouka ai kou ʻōnaehana pale kino i kou pancreas, e hoʻoulu ai i ka mumū a me ka pehu. E noʻonoʻo iā ia e like me ka hoʻopilikia ʻana o ka ʻōnaehana pale o kou kino a me ka hoʻouka ʻana i kahi kino olakino ma mua o nā mea hoʻouka kaua ʻino.

ʻO kēia ʻano pancreatitis maʻamau ʻole e pili ana i kahi 1 i 100,000 mau kānaka i kēlā me kēia makahiki. ʻAʻole e like me ka pancreatitis acute maʻamau i hana ʻia e nā gallstones a i ʻole ka waiʻona, ulu mālie ka pancreatitis autoimmune a hoʻohālikelike pinepine i ka maʻi kanesa pancreatic i kona mau wā mua, kahi e hiki ai ke hopohopo nui i nā mea maʻi a me ko lākou mau ʻohana.

He aha ka Pancreatitis Autoimmune?

Hana ʻia ka pancreatitis autoimmune i ka wā e hana ai kou ʻōnaehana pale kino i nā antibodies e hoʻouka i nā pūnaewele o kou pancreas. ʻO kou pancreas kahi kino nui e noho ana ma hope o kou ʻōpū a hana i nā enzyme hoʻoheheʻe a me nā hormones e like me ka insulin.

Aia ʻelua ʻano nui o kēia kūlana. ʻOi aku ka maʻamau o ka pancreatitis autoimmune Type 1 a hoʻopili pinepine i nā kino ʻē aʻe pū kekahi, ʻoiai ʻo ka Type 2 e noho mau ana ma ka pancreas. Hoʻoulu ʻelua ʻano i ka pancreas e pehu a mumū, akā pane maikaʻi lākou i ka lapaʻau ke hopu ʻia i ka wā mua.

ʻO ka ʻoiaʻiʻo maikaʻi, hiki ke mālama ʻia kēia kūlana, a nui nā kānaka e ʻike i ka hoʻomaikaʻi nui me ka mālama lapaʻau kūpono. Hiki i kou pancreas ke hoʻi i ka hana maʻamau ke kaohi ʻia ka mumū.

He aha nā ʻAno o ka Pancreatitis Autoimmune?

ʻO ka pancreatitis autoimmune Type 1 ka ʻano maʻamau, e pili ana i ka 80% o nā hihia ma ka honua holoʻokoʻa. Hoʻopili pinepine kēia ʻano i nā kino ʻē aʻe e like me kou mau bile ducts, nā salivary glands, a i ʻole nā ​​kidneys, e hana ana i ka mea a nā kauka i kapa ai ʻo kahi kūlana autoimmune

ʻO ka pancreatitis autoimmune ʻano 2 maʻamau e pili wale ana i kāu pancreas a ʻoi aku ka nui i nā poʻe ʻōpio. Hoʻohui pinepine ʻia kēia ʻano me ka maʻi inflammatory bowel, ʻoi aku hoʻi ka ulcerative colitis, a he ʻano ʻokoʻa o ka mumū ma lalo o ka microscope.

Ke hoʻomaopopo ʻoe i ke ʻano āu e loaʻa ai, e kōkua ia i kāu kauka e koho i ke ala lapaʻau kūpono loa. Pane nā ʻano ʻelua i ka lapaʻau, akā ʻokoʻa iki paha nā lāʻau lapaʻau a me nā ʻano kiaʻi.

He aha nā Hōʻailona o ka Autoimmune Pancreatitis?

Hoʻomohala mālie nā hōʻailona o ka pancreatitis autoimmune ma luna o nā hebedoma a i ʻole nā ​​mahina, e maʻalahi ai ke nānā ʻole i ka hoʻomaka. He nui nā kānaka e wehewehe i ka manaʻo ʻana i ka

• Nā kumu kūlohelohe e hoʻonui ai i ka hiki ke hana hewa kāu ʻōnaehana pale kino
• Nā maʻi mua i hiki ke hoʻoulu i ka pane autoimmune
• Nā mea i loaʻa i ke kaiapuni, ʻoiai ʻaʻole maopopo nā mea hoʻoulu kūikawā
• Loaʻa nā kūlana autoimmune ʻē aʻe e like me ka rheumatoid arthritis a i ʻole ka inflammatory bowel disease

I nā hihia kakaikahi, ua kānalua ʻia kekahi mau lāʻau a i ʻole nā ​​mea ʻawaʻawa e like me nā mea hoʻoulu hiki, akā ʻaʻohe kumu i ʻike ʻia i ka hapa nui o nā kānaka me ka autoimmune pancreatitis. ʻO ka mea nui e hoʻomanaʻo ai, ʻaʻole kēia kahi mea āu i hana ai a i ʻole hiki ke pale aku.

He aha nā mea pilikia no ka Autoimmune Pancreatitis?

Hiki i kekahi mau mea ke hoʻonui i kou hiki ke loaʻa i ka autoimmune pancreatitis, ʻoiai ʻaʻole ia he manaʻo e loaʻa nō ʻoe i ke kūlana inā loaʻa kēia mau mea pilikia. Hiki i ka hoʻomaopopo ʻana i kēia mau mea ke kōkua iā ʻoe a me kāu kauka e makaʻala no nā hōʻailona mua.

ʻO nā mea pilikia nui e komo pū ana:

• He kāne a ma mua o 50 mau makahiki (ʻoiai hiki ke hoʻopili i kekahi)
• Loaʻa nā kūlana autoimmune ʻē aʻe e like me ka inflammatory bowel disease
• Mōʻaukala ʻohana o nā maʻi autoimmune
• Kekahi mau māka genetika, ʻoi aku ka nui i nā heluna ʻAsia
• Mōʻaukala o nā kūlana ʻeha a i ʻole nā ​​pae kiʻekiʻe o IgG4 i nā hoʻokolohua koko

ʻO nā mea pilikia liʻiliʻi e komo pū ana ka loaʻa ʻana o kekahi mau maʻi i ka wā ma mua a i ʻole ka hōʻike ʻia i nā mea hoʻoulu kūikawā o ke kaiapuni. Eia naʻe, ʻaʻohe mea pilikia maopopo i ka nui o nā kānaka me ka autoimmune pancreatitis, kahi mea e hoʻomanaʻo ai hiki ke hoʻopili i kekahi kēia kūlana.

I ka wā e ʻike ai i ke kauka no ka Autoimmune Pancreatitis?

Pono ʻoe e hoʻokaʻaʻike i kāu kauka inā loaʻa iā ʻoe ka ʻeha ʻōpū mau, ka nalowale kaumaha i wehe ʻole ʻia, a i ʻole ka melemele o kou ʻili a me kou mau maka. Pono kēia mau hōʻailona i ka loiloi lapaʻau koke, ʻoi aku ka nui ke loaʻa pū lākou.

E ʻimi koke i ka mālama lapaʻau inā loaʻa iā ʻoe ka ʻeha ʻōpū nui, ka mahana kiʻekiʻe, a i ʻole nā ​​hōʻailona o ka nele wai nui. ʻOiai ke ulu mālie nei ka pancreatitis autoimmune, hiki ke loaʻa i kekahi manawa nā pilikia e pono ai ka mālama wikiwiki.

Mai kali inā ʻike ʻoe i nā hōʻailona o ka maʻi diabetes hou e like me ka makewai nui, ka mimi pinepine, a i ʻole ka luhi wehe ʻole, ʻoi aku hoʻi inā ʻoe ma luna o 50. Hiki i ka ʻike mua ʻana a me ka mālama ʻana ke pale aku i nā pilikia a kōkua i ka mālama ʻana i kāu hana pancreatic.

He aha nā pilikia hiki ke loaʻa i ka Autoimmune Pancreatitis?

ʻOiai hiki ke mālama ʻia ka pancreatitis autoimmune, hiki iā ia ke alakaʻi i nā pilikia inā waiho ʻole ʻia a i ʻole inā hoʻokaʻulua ʻia ka mālama ʻana. ʻO ka hoʻomaopopo ʻana i kēia mau pilikia hiki ke kōkua i ka hoʻoikaika ʻana i ke koʻikoʻi o ka mālama lapaʻau kūpono.

ʻO nā pilikia maʻamau loa e komo pū ana:

• Diabetes mellitus ma muli o ka hōʻino ʻana i nā cell hana insulin
• Nā strictures bile duct e hoʻokumu ana i ka jaundice mau
• Ka nele pancreatic e alakaʻi ana i nā pilikia digestive
• Nā pilikia o ka puʻupaʻa, ʻoi aku hoʻi me ka pancreatitis autoimmune Type 1
• Ka hana ʻole o ka salivary gland e hoʻokumu ana i ka waha maloʻo

Hiki i nā pilikia koʻikoʻi akā kakaikahi ke komo pū me ka ʻeha nui o ka pancreas a i ʻole ka komo ʻana o nā moku koko nui. Hiki i kekahi poʻe ke loaʻa pū nā pseudocysts a i ʻole nā ​​hanana hou inā ʻaʻole mālama pono ʻia ke kūlana. ʻO ka ʻoiaʻiʻo maikaʻi, hiki ke pale ʻia a mālama pono ʻia ka hapa nui o nā pilikia ke hopu ʻia i ka wā mua.

Pehea ka ʻike ʻana i ka Autoimmune Pancreatitis?

ʻO ka ʻike ʻana i ka pancreatitis autoimmune e pono ai ka hui pū ʻana o nā haʻawina kiʻi, nā hoʻokolohua koko, a i kekahi manawa nā laʻana pūnaewele. E hoʻomaka paha kāu kauka me ka moʻolelo lapaʻau kikoʻī a me ka nānā kino e hoʻomaopopo i kāu mau hōʻailona.

ʻO ka hana hoʻomaopopo maʻamau, ʻo ia ka CT scan a i ʻole MRI e ʻike i kou pancreas a huli i nā loli kūpono. E nānā nā hoʻokolohua koko i nā kiʻekiʻe IgG4 a me nā māka autoimmune ʻē aʻe e kōkua i ka hoʻokaʻawale ʻana i kēia kūlana mai ka maʻi kanesa pancreas.

I kekahi mau hihia, hiki i kāu kauka ke ʻōlelo aku i kahi biopsy a i ʻole nā ​​​​kaʻina hana endoscopic e nānā kokoke aku i ka ʻiʻo pancreas. I kekahi manawa, hoʻohana nā kauka i kahi

Mālama i ka ʻai olakino maʻalahi i kou ʻōnaehana ʻai. Loaʻa paha kēia i nā ʻai liʻiliʻi, pinepine a me ka pale ʻana i nā meaʻai momona loa a paʻakikī hoʻi e ʻai. E noho wai maikaʻi a noʻonoʻo e mālama i kahi moʻolelo hōʻailona e hahai i kou holomua.

E nānā i nā hōʻailona o nā pilikia e like me ka ʻeha ʻōpū e ʻoi aku ka nui, ka hoʻomaka hou ʻana o nā hōʻailona maʻi diabetes, a i ʻole nā ​​hoʻololi i ke kala o kou ʻili. He mea nui nā hālāwai kūkākūkā maʻamau no ka nānā ʻana i kou pane i ka lāʻau a me ka hoʻoponopono ʻana i nā lāʻau lapaʻau e like me ka pono.

Pehea ʻoe e hoʻomākaukau ai no kāu hālāwai kauka?

Ma mua o kāu hālāwai, e kākau i kāu mau hōʻailona a pau, me ka manawa i hoʻomaka ai a pehea lā i loli ai i ka manawa. E lawe mai i ka papa inoa o nā lāʻau lapaʻau a pau, nā mea hoʻohui, a me nā moʻolelo lapaʻau ma mua e pili ana i kou kūlana.

E hoʻomākaukau i nā nīnau e pili ana i kāu hoʻolālā mālama, nā hopena ʻaoʻao o nā lāʻau lapaʻau, a me ka mea e manaʻo ai i ka wā hoʻōla. E nīnau e pili ana i nā hoʻololi ʻano ola, nā ʻōlelo aʻoaʻo meaʻai, a me nā hōʻailona o nā pilikia e nānā ai.

E noʻonoʻo e lawe mai i kahi lālā ʻohana a hoaaloha paha e kōkua iā ʻoe e hoʻomanaʻo i ka ʻike nui i kūkākūkā ʻia i ka wā hālāwai. Mai kānalua e noi i kāu kauka e wehewehe i kekahi mea āu i ʻike ʻole maopopo ai.

Pehea e hiki ai ke pale ʻia ka Pancreatitis Autoimmune?

ʻAʻole maikaʻi, ʻaʻohe ala i ʻike ʻia e pale aku ai i ka pancreatitis autoimmune ʻoiai he kūlana autoimmune ia me nā mea hoʻonāukiuki maopopo ʻole. ʻO ke ala maikaʻi loa ka mālama ʻana i ka olakino maikaʻi a me ka ʻike ʻana i nā hōʻailona inā loaʻa iā ʻoe nā kumu pilikia.

Inā loaʻa iā ʻoe nā kūlana autoimmune ʻē aʻe, e hana pili pono me kāu hui mālama ola e hoʻokele pono iā lākou. Hiki paha kēia ke kōkua i ka hoʻemi ʻana i kāu ukana inflammatory holoʻokoʻa a hoʻemi paha i kou pilikia o ka loaʻa ʻana o nā pilikia autoimmune hou aʻe.

E hoʻomaʻamaʻa i kahi ola olakino me ka hoʻoikaika kino mau, ka ʻai kaulike, a me ka hoʻokele koʻikoʻi. ʻAʻole kēia e pale aku i ka pancreatitis autoimmune, akā, ke kākoʻo nei i kou olakino pale kino holoʻokoʻa.

He aha ka mea nui e pili ana i ka Pancreatitis Autoimmune?

He maʻi hiki ke mālama ʻia ka pancreatitis autoimmune e pane maikaʻi ana i ka mālama lapaʻau kūpono. ʻOiai hiki i ka ʻike ʻana ke hopohopo, ʻoi aku hoʻi i kona like mua ʻana me ka maʻi kanesa o ka pancreas, ʻoi aku ka maikaʻi o ka prognosis me ka mālama kūpono.

ʻO ka mea nui ka ʻike mua ʻana a me ka mālama koke ʻana me nā lāʻau anti-inflammatory. ʻIke ka hapa nui o nā kānaka i ka hoʻomaikaʻi nui ʻana i ko lākou mau hōʻailona a hiki ke hoʻi i nā hana maʻamau me ka mālama lapaʻau mau.

E hoʻomanaʻo he maʻi maʻi mau kēia e pono ai ka nānā lōʻihi, akā me ka mālama kūpono, noho ola maʻamau nā kānaka, ola olakino. E noho pili me kāu hui olakino a mai kānalua e hoʻopili mai inā loaʻa iā ʻoe nā manaʻo hopohopo.

Nā Nīnau Pinepine e pili ana i ka Pancreatitis Autoimmune

Q1: ʻO ka pancreatitis autoimmune anei ka mea like me ka maʻi kanesa o ka pancreas?

ʻAʻole, ʻokoʻa loa ka pancreatitis autoimmune mai ka maʻi kanesa o ka pancreas. ʻOiai hiki i nā kūlana ʻelua ke hana i nā hōʻailona like e like me ka ʻeha ʻōpū a me ka pohō kaumaha, he maʻi inflammatory ka pancreatitis autoimmune e pane maikaʻi ana i ka mālama anti-inflammatory. He tumor malignant ka maʻi kanesa o ka pancreas e pono ai nā ala mālama ʻokoʻa. Hiki i kāu kauka ke hoʻokaʻawale i kēia mau kūlana me ka hoʻohana ʻana i nā haʻawina kiʻi a me nā hoʻokolohua koko.

Q2: Pono anei au e lawe i nā steroids mau loa?

ʻAʻole pono ka hapa nui o nā kānaka e lawe mau i nā steroids. ʻO ke ʻano maʻamau o ka mālama ʻana, ʻo ia ka hoʻomaka ʻana me nā nui kiʻekiʻe a hoʻemi mālie iā lākou ma luna o 6-12 mau mahina. Loaʻa i kekahi poʻe ka remission lōʻihi a hiki ke hoʻōki loa i nā steroids, ʻoiai e pono paha i kekahi poʻe ka mālama ʻana i ka nui haʻahaʻa a i ʻole nā lāʻau lapaʻau immunosuppressive ʻē aʻe. E hana pū kāu kauka me ʻoe e ʻimi i ka mālama ʻana i ka hopena liʻiliʻi loa.

Q3: Hiki i ka pancreatitis autoimmune ke hoʻi mai ma hope o ka mālama ʻana?

ʻAe, hiki i ka pancreatitis autoimmune ke hoʻi hou mai, ʻoiai ʻo ke ʻano 1, kahi i loaʻa ai ka nui o ka hoʻi hou ʻana ma kahi o 30-40%. Eia naʻe, pane maikaʻi nā hoʻi hou ʻana i ka hoʻomaka hou ʻana a i ʻole ka hoʻonui ʻana i ka mālama anti-inflammatory. Ke kōkua nei ka nānā mau ʻana me kāu kauka e hopu i nā hoʻi hou ʻana i ka wā mua i ka wā maʻalahi ke mālama.

Q4: E hoʻopili paha kēia kūlana i koʻu hiki ke ʻai?

Loaʻa i kekahi poʻe me ka pancreatitis autoimmune ka nele o ka pancreas, ʻo ia hoʻi ʻaʻole lawa nā enzyme digestive e hana ai ko lākou pancreas. Hiki i kēia ke alakaʻi i nā hōʻailona e like me nā ʻōpala momona, ka pupule, a me nā nele o nā meaʻai. Inā hana kēia, hiki i kāu kauka ke kuhikuhi i nā mea hoʻohui enzyme pancreatic āu e lawe ai me nā meaʻai e kōkua i ka ʻai ʻana. He maikaʻi loa kēia mau mea hoʻohui ke hoʻohana pono ʻia.

Q5: Hiki iaʻu ke ola i kahi ola maʻamau me ka pancreatitis autoimmune?

ʻAe. Me ka mālama kūpono a me ka nānā ʻana, hiki i ka hapa nui o nā kānaka me ka pancreatitis autoimmune ke ola i nā ola piha a hana. Pono paha ʻoe e lawe i nā lāʻau lapaʻau lōʻihi a loaʻa nā nānā maʻamau, akā ʻaʻole pono kēia mau mea e kaupalena nui i kāu mau hana i kēlā me kēia lā. Hoʻi hou ka nui o nā kānaka i ka hana, ka hoʻoikaika kino, a hauʻoli i kā lākou mau leʻaleʻa maʻamau ke hoʻomalu maikaʻi ʻia ko lākou kūlana. ʻO ke kī, ʻo ia ka hana pili loa me kāu hui olakino a hahai i kāu hoʻolālā mālama.