He aha ka Secretin (Ala ʻana i loko o ke koko): Nā hoʻohana, ka nui, nā hopena ʻaoʻao a me nā mea hou aku

ʻO ka Secretin he lāʻau lapaʻau hormone i hana ʻia e hāʻawi ʻia ma o ka IV e kōkua i nā kauka e ʻike i nā pilikia me kou pancreas a me ka gallbladder. Hana maoli kou kino i ka secretin i loko o kou ʻōpū liʻiliʻi, akā ua hana kūikawā ʻia ka mana lapaʻau e hoʻoulu i kou pancreas e hoʻokuʻu i nā wai digestive i hiki i nā kauka ke ʻike i ka maikaʻi o ka hana ʻana o kēia mau ʻōpū.

Hoʻohana nui ʻia kēia lāʻau lapaʻau i ka wā o nā hoʻokolohua lapaʻau kūikawā, ʻaʻole ma ke ʻano he lāʻau lapaʻau maʻamau āu e lawe ai ma ka home. E noʻonoʻo iā ia ma ke ʻano he mea diagnostic e kōkua ana i kāu hui mālama ola e kiʻi i kahi kiʻi maopopo o ke olakino o kāu ʻōnaehana digestive.

No ke aha e hoʻohana ʻia ai ka Secretin?

He mea kōkua diagnostic ka Secretin e kōkua i nā kauka e loiloi i ka maikaʻi o ka hana ʻana o kou pancreas a me ka gallbladder. ʻO ke kumu nui e hoʻoulu i kou pancreas e hana a hoʻokuʻu i kāna mau enzyme digestive a me ka wai wai bicarbonate.

Hoʻohana pinepine nā kauka i ka secretin i ka wā o ke kaʻina hana i kapa ʻia ʻo secretin-enhanced magnetic resonance cholangiopancreatography (MRCP). Hōʻike kēia inoa nani i kahi scan MRI kūikawā e lawe ana i nā kiʻi kikoʻī o kāu mau bile ducts a me nā pancreatic ducts. Ke hāʻawi ʻia ka secretin i kēia hoʻokolohua, e ʻike ʻia kēia mau mea ma ke kiʻi ʻana, e kōkua ana i nā kauka e ʻike i nā poloka, nā mumū, a i ʻole nā ​​pilikia ʻē aʻe.

Hoʻohana pū nā mea mālama ola i ka secretin e hoʻāʻo no kahi maʻi i kapa ʻia ʻo Zollinger-Ellison syndrome. ʻO kēia maʻi maʻamau e hana i nā maʻi maʻi i loko o kou pancreas a i ʻole ka ʻōpū liʻiliʻi e hana nui i ka waikawa ʻōpū. Hiki i ka hoʻokolohua secretin ke kōkua i ka hōʻoia ʻana i kēia hōʻailona ma ke ana ʻana i ka pane ʻana o kou kino i ka hormone.

Pehea ka hana ʻana o ka Secretin?

Hana ka Secretin ma ka hoʻohālike ʻana i ka hormone maoli o kou kino e haʻi ana i kou pancreas e hana. Ke ʻai ʻoe, hoʻokuʻu maʻamau kou ʻōpū liʻiliʻi i ka secretin e hōʻailona i kou pancreas e hana i nā wai digestive e kōkua i ka wāwahi ʻana i ka meaʻai.

Hana ka manaʻo synthetic i ka hana like akā ma kahi i hoʻomalu ʻia, ma ke ʻano lapaʻau. I loko o kekahi mau minuke ma hope o ka loaʻa ʻana o ka injection IV, hoʻomaka kāu pancreas e hoʻokuʻu i kahi wai maopopo, alkaline waiwai i ka bicarbonate. Kōkua kēia wai i ka hoʻopau ʻana i ka waikawa ʻōpū a loaʻa nā enzymes e ʻeli i nā momona, nā protein, a me nā carbohydrates.

Ua manaʻo ʻia kēia lāʻau lapaʻau he mea diagnostic ikaika. ʻAʻole ia e like me nā waihoʻoluʻu ʻokoʻa, akā ʻaʻole ia e like me nā lāʻau chemotherapy. He manawa pōkole nā hopena a pau i loko o kekahi mau hola i ka wā e hana ai kou kino a hoʻopau i ka hormone synthetic.

Pehea wau e lawe ai iā Secretin?

Hāʻawi ʻia ʻo Secretin e nā poʻe loea mālama ola i loko o kahi keʻena lapaʻau ma o ka laina intravenous (IV). ʻAʻole ʻoe e lawe i kēia lāʻau lapaʻau ma ka home a hāʻawi iā ʻoe iho.

Ma mua o kāu kaʻina hana, e noi paha kāu kauka iā ʻoe e hoʻokē ʻai no 8 a 12 mau hola. ʻO ia hoʻi, ʻaʻohe meaʻai a i ʻole nā mea inu koe wale nō nā sips liʻiliʻi o ka wai. Kōkua ka ʻōpū ʻole i ka hōʻoia ʻana i nā hopena hōʻike pololei a hoʻemi i ka pilikia o ka nausea i ka wā o ke kaʻina hana.

I ka wā o ka hoʻāʻo ʻana, e hoʻokomo kahi kahu hānai a i ʻole technician i kahi catheter IV liʻiliʻi i loko o kahi vein i kou lima. A laila e hoʻokomo mālie ʻia ka secretin ma o kēia laina IV. Pono ʻoe e moe mālie i ka wā o ka ʻāpana kiʻi o ka hoʻāʻo, e lawe maʻamau i 30 a 60 mau minuke.

Ma hope o ka loaʻa ʻana o ka secretin, e ʻike paha ʻoe i kahi manaʻo mahana a i ʻole ka ʻulaʻula iki. He mea maʻamau kēia a hala koke. E nānā kāu hui mālama ola iā ʻoe i ka wā o ke kaʻina hana e hōʻoia ai ua ʻoluʻolu ʻoe a pane maikaʻi i ka lāʻau lapaʻau.

Pehea ka lōʻihi e lawe ai au iā Secretin?

Hoʻohana ʻia ʻo Secretin hoʻokahi wale nō i kēlā me kēia kaʻina hana diagnostic, ʻaʻole ma ke ʻano he lāʻau lapaʻau e hoʻomau nei. Hāʻawi ʻia ka lāʻau lapaʻau ma ke ʻano he injection hoʻokahi e hana ana no ka lōʻihi o kāu hoʻāʻo.

He 2 a 4 hola ka lōʻihi o nā hopena o ka secretin ma hope o ka hoʻokomo ʻia ʻana. I loko o kēia manawa, e hoʻomau ana kāu pancreas i ka hana ʻana i nā wai digestive e kōkua ana i nā kauka e ʻike maopopo i kou mau ʻano i loko o nā haʻawina kiʻi.

Inā pono ʻoe e hana hou i nā hoʻokolohua i ka wā e hiki mai ana, hiki i kāu kauka ke kauoha i kekahi kaʻina hana i hoʻonui ʻia e ka secretin. Eia naʻe, ʻaʻole pono ka nui o nā lāʻau i ka wā o kahi hālāwai hoʻokolohua hoʻokahi ke ʻole i ʻōlelo ʻia e kāu mea mālama ola.

He aha nā hopena ʻaoʻao o Secretin?

ʻO ka hapa nui o nā kānaka e ʻae maikaʻi i ka secretin, akā e like me nā lāʻau lapaʻau, hiki iā ia ke hana i nā hopena ʻaoʻao. ʻO ka nūhou maikaʻi, ʻaʻole maʻamau nā hopena koʻikoʻi, a ʻo ka hapa nui o nā hopena ʻaoʻao he maʻalahi a he manawa pōkole.

Eia nā hopena ʻaoʻao maʻamau e hiki iā ʻoe ke ʻike i ka wā a i ʻole ma hope koke o ka loaʻa ʻana o ka secretin:

• ʻO ka nausea maʻalahi a i ʻole ka ʻoluʻolu o ka ʻōpū
• ʻO ka manaʻo mahana a i ʻole ka ʻulaʻula i kou maka a me kou ʻāʻī
• ʻO ka ʻūlū iki a i ʻole ka māmā
• Hoʻonui iki i ka helu o ka puʻuwai
• ʻO ka ʻeha maʻalahi i kou ʻōpū

Hoʻomaka maʻamau kēia mau hopena i loko o kekahi mau minuke o ka loaʻa ʻana o ka injection a maʻamau e mae i loko o 30 a 60 mau minuke. E nānā pono ana kāu hui mālama ola iā ʻoe a hiki ke hāʻawi i nā ana hōʻoluʻolu inā pono.

ʻO nā hopena ʻaoʻao liʻiliʻi akā ʻoi aku ka koʻikoʻi e hiki ke komo i nā hopena maʻi maʻi koʻikoʻi, ʻoiai he mea maʻamau kēia. ʻO nā hōʻailona o kahi hopena maʻi maʻi koʻikoʻi e komo pū ana me ka pilikia o ka hanu ʻana, ka pehu nui ʻana o kou maka a i ʻole ka ʻāʻī, ka ʻōpala ākea, a i ʻole ka ʻūlū nui. Inā loaʻa kekahi o kēia mau mea, e pane koke kāu hui lapaʻau me ka lāʻau kūpono.

Hiki i kekahi poʻe ke ʻike i ke koko haʻahaʻa ma hope o ka loaʻa ʻana o ka secretin, hiki ke hana i nā manaʻo o ka nāwaliwali a i ʻole ka maʻi. ʻO ia ke kumu e nānā ʻia ai ʻoe i loko o ke kaʻina hana a no ka manawa pōkole ma hope.

ʻO wai ka mea ʻaʻole pono e lawe i ka Secretin?

ʻAʻole palekana ʻo Secretin no nā mea a pau, a e nānā pono kāu kauka i kāu mōʻaukala olakino ma mua o ka ʻōlelo ʻana i kēia hoʻokolohua. Pono nā kānaka me kekahi mau maʻi a i ʻole nā maʻi maʻi e pale i ka secretin a i ʻole e hoʻohana me ka akahele.

ʻAʻole pono ʻoe e loaʻa i ka secretin inā he maʻi ʻoe i ka secretin ponoʻī a i ʻole kekahi o kāna mau mea. Inā ua loaʻa iā ʻoe kahi hopena i kēia lāʻau lapaʻau, e hōʻoia e haʻi i kāu mea mālama ola ma mua o kekahi kaʻina hana.

ʻAʻole paha he mau moho maikaʻi nā kānaka me nā maʻi puʻuwai koʻikoʻi, ke koko kiʻekiʻe ʻole, a i ʻole nā puʻuwai puʻuwai hou no ka hoʻāʻo ʻana i ka secretin. Hiki i ka lāʻau lapaʻau ke hoʻopilikia i kou puʻuwai a me ke koko no ka manawa pōkole, hiki ke pilikia inā he pilikia puʻuwai kou.

Inā hāpai ʻoe a i ʻole e hānai ana i ka waiū, e kūkākūkā i nā pilikia a me nā pōmaikaʻi me kāu kauka. ʻOiai ʻaʻole i hōʻike ʻia ka secretin e hōʻino i nā pēpē e ulu ana, hoʻohana ʻia ia i ka wā e pono ai ka ʻike diagnostic no kou olakino.

Pono paha nā mea maʻi me nā maʻi kīkī a i ʻole ke ake koʻikoʻi i nā hoʻoponopono ʻana i ka maʻi a i ʻole nā ʻano hoʻāʻo ʻē aʻe. Kōkua kēia mau ʻōkana i ka hana ʻana a me ka hoʻopau ʻana i nā lāʻau lapaʻau mai kou kino, no laila hiki i nā pilikia me ka hana kīkī a i ʻole ke ake ke hoʻopilikia i ka hana ʻana o ka secretin a i ʻole ka lōʻihi o kona noho ʻana i loko o kou ʻōnaehana.

Nā inoa inoa Secretin

Loaʻa ka Secretin ma lalo o ka inoa inoa ChiRhoStim ma ʻAmelika Hui Pū ʻIa. ʻO kēia ke ʻano maʻamau o ka secretin synthetic no nā kaʻina hana diagnostic.

Hoʻokumu ʻia ʻo ChiRhoStim no ka hoʻohana ʻana i ka lāʻau lapaʻau a hele mai ma ke ʻano he pauka i hui pū ʻia me ka wai sterile ma mua o ka injection. Loaʻa wale ka lāʻau lapaʻau ma o nā mea mālama ola a ʻaʻole hiki ke kūʻai ʻia no ka hoʻohana ʻana i ka home.

Hiki i kekahi mau keʻena lapaʻau ke kuhikuhi i ke kaʻina hana ma nā inoa like ʻole, e like me

He nui nā hoʻokolohua ʻē aʻe e hiki ke loiloi i ka hana o ka pancreas, ʻoiai he mau pono a me nā palena ko kēlā me kēia. E koho kāu kauka i ke koho maikaʻi loa e pili ana i kāu mau hōʻailona a me ka mōʻaukala olakino.

Hāʻawi ka ultrasound endoscopic (EUS) i nā kiʻi kikoʻī o kāu pancreas me ka ʻole e koi i ka hoʻoulu ʻana i ka hormone. Hoʻohana kēia kaʻina hana i kahi paipu lahilahi a maʻalahi me kahi probe ultrasound e nānā i kāu pancreas mai loko o kāu ʻōnaehana digestive.

Hiki i nā scans MRI a i ʻole CT maʻamau ke hōʻike i nā abnormalities pancreatic, ʻoiai ʻaʻole lākou e hāʻawi i ka ʻike kikoʻī e pili ana i ka hana e like me nā haʻawina i hoʻonui ʻia e ka secretin. Hoʻohana pinepine ʻia kēia mau hoʻokolohua i ka wā ʻaʻole kūpono a loaʻa ʻole ka secretin.

Hiki i nā hoʻokolohua koko e ana ana i nā enzymes pancreatic e like me ka lipase a me ka amylase ke hōʻike i nā pilikia pancreatic, akā ʻaʻole lākou e hāʻawi i ka ʻike structural kikoʻī e hāʻawi ai nā hoʻokolohua kiʻi. Hoʻohana pinepine ʻia kēia mau mea ma ke ʻano he mea hana screening mua.

No ka maʻi Zollinger-Ellison i manaʻo ʻia, hiki i nā kauka ke hoʻohana i nā hoʻokolohua hoʻoulu hormone ʻē aʻe a i ʻole ke ana i nā mea hōʻailona koko kikoʻī ma kahi o ka hoʻāʻo secretin.

Ua ʻoi aku ka maikaʻi o ka Secretin ma mua o nā hoʻokolohua hana pancreatic ʻē aʻe?

Hāʻawi ka kiʻi i hoʻonui ʻia e Secretin i nā pono kūʻokoʻa e lilo ia i koho makemake ʻia no kekahi mau kūlana diagnostic. ʻO ka pōmaikaʻi nui ʻo ia ka hāʻawi ʻana i ka ʻike structural a me ka hana e pili ana i kāu pancreas i hoʻokahi hoʻokolohua.

ʻAʻole like me nā hoʻokolohua kiʻi maʻamau, hōʻike ka hoʻoulu ʻana i ka secretin i ka maikaʻi o ka hana ʻana o kāu pancreas, ʻaʻole wale nō ke ʻano o ia mea. He mea nui kēia ʻike hana no ka ʻike ʻana i nā kūlana e like me ka pancreatitis maʻi, kahi e nānā ai ka pancreas i ka maʻamau akā hana maikaʻi ʻole.

I ka hoʻohālikelike ʻana me nā kaʻina hana invasive hou e like me ka endoscopic retrograde cholangiopancreatography (ERCP), ʻoi aku ka liʻiliʻi o nā pilikia o ka secretin-enhanced MRCP. Pono ka ERCP i ka hoʻokomo ʻana i kahi scope ma kou waha i loko o kāu ʻōnaehana digestive, kahi i loaʻa ai ka pilikia kiʻekiʻe o nā pilikia e like me ka pancreatitis a i ʻole ke kahe ʻana.

Akā, ʻaʻole maikaʻi mau ka hoʻāʻo ʻana o ka secretin. No kekahi mau maʻi, hiki i nā hoʻāʻo koko maʻalahi a i ʻole nā kiʻi maʻamau ke hāʻawi i ka ʻike lawa. E noʻonoʻo kāu kauka i kāu mau hōʻailona, ​​ka mōʻaukala olakino, a me ka ʻike kikoʻī e pono ai e hana i ka maʻi kūpono.

Nā Nīnau i Nīnau Pinepine ʻia e pili ana i ka Secretin

He Palekana ka Secretin no ka poʻe me ka maʻi diabetes?

He palekana ka Secretin no ka poʻe me ka maʻi diabetes, akā pono e nānā hou i kāu pae kō koko i ka wā a ma hope o ke kaʻina hana. Hiki i ka lāʻau lapaʻau ke hoʻopilikia i ke ʻano o ka hana ʻana o kou kino i ka glucose.

Inā ʻoe e lawe i nā lāʻau lapaʻau diabetes, hiki i kāu kauka ke hoʻololi i kāu papa hana dosing no ka lā o ka hoʻāʻo, ʻoiai pono ʻoe e hoʻokē ʻai ma mua. E hōʻoia e kūkākūkā i kāu hoʻolālā mālama diabetes me kāu hui mālama ola ma mua o ke kaʻina hana.

ʻO ka poʻe me ka maʻi diabetes i mālama maikaʻi ʻia e ʻae maʻamau i ka secretin me ka ʻole o nā pilikia. Eia naʻe, inā ʻaʻole paʻa kāu kō koko i kēia manawa, makemake paha kāu kauka e hoʻopaneʻe i ka hoʻāʻo a hiki i ka mālama maikaʻi ʻana o kāu maʻi diabetes.

He aha kaʻu e hana ai inā loaʻa iaʻu ka nui o ka Secretin?

He mea maʻamau loa ka overdose secretin no ka mea, hāʻawi ʻia ka lāʻau lapaʻau e nā poʻe loea mālama ola i aʻo ʻia i nā wahi lapaʻau i mālama ʻia. Hoʻohālikelike ʻia ka dosing me ka mālama nui ʻia e pili ana i ke kaumaha o kou kino a me ka hoʻāʻo kikoʻī e hana ʻia nei.

Inā hāʻawi ʻia ka nui o ka secretin, hiki iā ʻoe ke ʻike i nā hopena ʻaoʻao ʻoi aku ka ikaika e like me ka nausea koʻikoʻi, nā loli nui o ke koko, a i ʻole ka ʻeha o ka ʻōpū lōʻihi. E hāʻawi koke kāu hui lapaʻau i ka mālama kākoʻo a nānā pono iā ʻoe.

ʻO ka nūhou maikaʻi, ua hana ʻia ka secretin a hoʻopau ʻia mai kou kino me ka wikiwiki, no laila, inā loaʻa kahi overdose, e lilo nā hopena i mea manawa. Loaʻa i kāu mau mea mālama ola nā lāʻau lapaʻau a me nā lāʻau lapaʻau e mālama i nā hopena koʻikoʻi.

He aha kaʻu e hana ai inā haʻalele au i kahi mahele o Secretin?

ʻAʻole pili maoli kēia nīnau i ka secretin no ka mea ʻaʻole ia he lāʻau lapaʻau āu e lawe mau ai ma ka home. Hāʻawi ʻia ka Secretin hoʻokahi wale nō i ka wā o nā kaʻina hana diagnostic kūikawā ma nā keʻena lapaʻau.

Inā ʻoe e hala i kāu manawa i hoʻonohonoho ʻia no ka hoʻāʻo secretin, e kelepona wale i ke keʻena o kāu kauka e hoʻonohonoho hou. ʻAʻohe pilikia i ka hoʻopaneʻe ʻana i ka hoʻāʻo no kekahi mau lā a i ʻole mau pule, ke ʻole ʻoe e loaʻa ana i nā hōʻailona koʻikoʻi e pono ai ka loiloi koke.

E haʻi aku kāu kauka iā ʻoe i ka wā e pono ai e hoʻopau ʻia ka hoʻāʻo e pili ana i kāu kūlana olakino. I ka hapanui o nā hihia, ʻaʻole e pili ka hoʻonohonoho hou ʻana i ka pololei o nā hopena a i ʻole kāu hoʻolālā lapaʻau.

I ka manawa hea e hiki ai iaʻu ke hooki i ka lawe ʻana i ka Secretin?

ʻAʻole pono ʻoe e hopohopo e pili ana i ka hooki ʻana i ka secretin no ka mea ʻaʻole ia he lāʻau lapaʻau e hoʻomau nei. E pau nā hopena i loko o kekahi mau hola ma hope o ka injection hoʻokahi i hāʻawi ʻia i ka wā o kāu kaʻina hana diagnostic.

E hoʻopau kou kino i ka hormone synthetic ma kou mau puʻupaʻa a me ke ake, e like me ke kaʻina hana ʻana i nā lāʻau lapaʻau ʻē aʻe. ʻAʻohe tapering a i ʻole ka hoʻemi ʻana e pono ai.

Inā pono ʻoe i ka hoʻāʻo ʻana i ka wā e hiki mai ana, e mālama ʻia kēlā me kēia kaʻina hana secretin ma ke ʻano he hanana hoʻokahi. ʻAʻohe hopena cumulative a i ʻole pono e noʻonoʻo i nā mea i hala i ka wā e hoʻolālā ai i nā hoʻāʻo e hiki mai ana.

Hiki iaʻu ke kalaiwa ma hope o ka loaʻa ʻana o ka Secretin?

Hiki i ka hapa nui o nā kānaka ke kalaiwa ma hope o ka loaʻa ʻana o ka secretin, akā pono ʻoe e kali a hala loa ka ʻūlū a i ʻole ka māmā. Hiki i ka lāʻau lapaʻau ke hoʻopilikia i kou koko a me ka puʻuwai, hiki ke hoʻolilo iā ʻoe i mea paʻa ʻole.

E hoʻolālā e noho ma ke keʻena lapaʻau no ka liʻiliʻi o 30 mau minuke ma hope o kāu kaʻina hana i hiki i nā limahana ke hōʻoia e paʻa ana ʻoe a makaʻala. Inā ʻoe e ʻike i ka ʻūlū mau, ka nausea, a i ʻole ka nāwaliwali, e hoʻonohonoho i kekahi e kalaiwa iā ʻoe i ka home.

Hū ana kekahi poʻe ma hope o ke kaʻina hana, ʻoiai inā pono lākou e hoʻokē ʻai ma mua a i ʻole inā he pilikia ka hoʻokolohua. E hoʻolohe i kou kino a mai kānalua e noi i ke kōkua me ka halihali inā ʻaʻole ʻoe e manaʻo maʻamau.