Pancreatitis

Ko nga kōhatu huka te take noa o te pancreatitis. Ko nga kōhatu huka, e hangaia ana i roto i te putea huka, ka taea te ngaro atu i te putea huka ka aukati i te ngongo kawa, ka mutu te haere o nga enzymes pancreatic ki te whekau iti ka akiaki ano ki te pancreas. Katahi ka timata nga enzymes ki te whakaohooho i nga pūtau o te pancreas, ka puta mai te mumura e hono ana ki te pancreatitis.

Ko te pancreatitis te mumura o te pancreas. Ko te mumura te mahi a te pūnaha mate e taea ai te pupuhi, te mamae, me nga huringa o te mahi a te whekau, te kiko ranei.

Ko te pancreas he whekau roa, papatahi kei muri o te kopu. Ko te pancreas te awhina i te tinana ki te whakahaere kai me te whakahaere i nga huka toto.

Ka taea e te pancreatitis te noho hei ahuatanga koi. Ko te tikanga tenei ka puta mai i te wa poto ka roa noa iho te wa poto. Ko te pancreatitis roa he ahuatanga roa. Ka taea te kino o te pancreas i te wa roa.

Ka taea e te pancreatitis koi te pai ake ma ia ano. Ko te mate kino ake ka hiahia ki te maimoatanga i te hohipera ka taea te tupu o nga raruraru kino.

Ka rereke pea ngā tohu o te pancreatitis. Āhei ngā tohu o te pancreatitis koi ki te whai: Tōki i te puku o runga. Tōki i te puku o runga e horapa ana ki te tua. Māuiui ina pā te ringa ki te puku. Werawera. Tūpato te ngākau. Raru te puku. Ruaki. Ngā tohu me ngā āhuatanga o te pancreatitis roa e whai ake nei: Tōki i te puku o runga. Tōki o te puku e kaha ake ana te mamae i muri i te kai. Ngaro te taumaha kahore he whakamaumahara. Tūkino, kakara kino ngā paru. Ko ētahi o te hunga e pangia ana e te pancreatitis roa ka puta noa ngā tohu i muri i te whāinga o ngā raruraru o te mate. Whakapa atu ki tō tākuta mēnā kei a koe te mamae ohorere o te puku, te mamae rānei o te puku e kore e pai ake. Rapua te awhina hauora tūturu mēnā he nui rawa te mamae kia kore ai e taea e koe te noho mā te rangimarie, te kimi rānei i te tūnga e pai ake ai koe.

Whakakōrero atu ki tō tākuta mena kei te mamae ngā kopu ohorere, kei te mamae rānei ngā kopu, ā, kāore e pai ake. Rapua te awhina hauora tūturu mena he nui rawa te mamae, ā, kāore e taea e koe te noho mā te rangimarie, kāore rānei e kitea he tūnga e pai ake ai tō ihu.

Ko te pancreas he rua ngā mahi nui. Ka whakaputa ia i te insulin, ā, tēnā te whakahaere me te whakamahi i ngā huka e te tinana. Ka whakaputa hoki te pancreas i ngā wai kai, e kiia nei ko ngā enzymes, ā, tēnā te awhina i te whakahaunga. Ka hanga me te tāpiri te pancreas i ngā putanga 'kītua' o ngā enzymes. I muri i te tuku a te pancreas i ngā enzymes ki te puku iti, ka 'whakahohe' rātou ka wawahi i ngā pūmua i roto i te puku iti. Ki te whakahohe wawe rawa ngā enzymes, ka tīmata rātou te mahi pērā i ngā wai whakahaunga i roto i te pancreas. Ka āwangawanga, ka pakaru, ka whakangaro rānei i ngā pūtau te mahi. Ko te raruraru nei, ka ārahi ki ngā whakautu pūnaha ārai mate e pā ana ki te pupuhi me ētahi atu kaupapa e pā ana ki te mahi a te pancreas. He maha ngā āhuatanga ka ārahi ki te pancreatitis koi, tae atu ki: Te aukati i te ngongo bile i puta mai i ngā kōhatu gallstones.Te inu waipiro nui.Ngā rongoā motuhake.Ngā taumata triglyceride teitei i roto i te toto.Ngā taumata kārati teitei i roto i te toto.Te mate pukupuku pancreas.Ngā whara mai i te pakaru, te pokanga rānei.Ko ngā āhuatanga ka ārahi ki te pancreatitis roa, tae atu ki: Te pakaru mai i te pancreatitis koi maha.Te inu waipiro nui.Ngā ira kua oti te whakawhiwhi e hono ana ki te pancreatitis.Ngā taumata triglyceride teitei i roto i te toto.Ngā taumata kārati teitei i roto i te toto.I etahi wā, kāore e kitea he take mō te pancreatitis. E mohiotia ana tēnei ko te pancreatitis idiopathic.

Ngā take ka piki ake ai tō tūponotanga ki te pancreatitis:

• Te whakamahinga nui o te waiūkawa. E whakaatu ana ngā rangahau ko te inu i te whā, e rima rānei o ngā inu i te rā ka piki ake te tūponotanga o te pancreatitis.
• Te whakakī. Ki te whakataurite ki te hunga kāhore e whakakī, e toru teitei ake te tūponotanga o te hunga whakakī ki te whanake i te pancreatitis roa. Ka taea te whakaiti i te tūponotanga mā te mutu i te whakakī.
• Te momona. Kei te piki ake te tūponotanga o te pancreatitis mō te hunga he tohu taumaha tinana o te 30 neke atu rānei.
• Te mate huka. Ka piki ake te tūponotanga o te pancreatitis ki te mate huka.
• Te hītori whānau o te pancreatitis. Kua honoa te maha o ngā ira ki te pancreatitis roa. Ka honoa te hītori whānau o te mate ki te piki ake o te tūponotanga, inā koa ka whakakotahitia ki ētahi atu take tūponotanga.

Ka taea e te pancreatitis te whakaeke i ngā raruraru kino, tae atu ki:

• Te korenga o ngā whatukuhu. Ka taea e te pancreatitis ohorere te korenga o ngā whatukuhu ki te tautuhi i ngā paru mai i te toto. Ka hiahiatia pea te tautuhi mahi, e kiia nei ko te dialysis, hei rongoā mo te wā poto, te wā roa rānei.
• Ngā raruraru manawa. Ka taea e te pancreatitis ohorere te whakarereke i te mahi o ngā pūkahukahu, ka heke iho te taumata o te hāora i roto i te toto ki ngā taumata iti rawa.
• Te mate pukupuku. Ka taea e te pancreatitis ohorere te whakawehi i te pancreas ki ngā mate pukupuku. He kino ngā mate pukupuku o te pancreas, me te hiahia ki te rongoā nui, penei i te pokanga, i ētahi atu tukanga rānei hei tango i te kiko kua pangia.
• Pseudocyst. Ka taea e te pancreatitis ohorere me te roa te kohikohi o te wai me ngā paru ki roto i te "poka" i roto i te pancreas, e kiia nei ko te pseudocyst. Ka taea e te pseudocyst nui e pakaru ana te whakaeke i ngā raruraru penei i te toto o roto me te mate pukupuku.
• Te kore kai. Ki te pancreatitis ohorere me te roa, ka kore pea te pancreas e whakaputa i ngā enzymes hei whakamahi mō te pūnaha kai. Ka taea e tēnei te arahi ki te kore kai, te ruaki me te ngaro o te taumaha.
• Te mate huka. Ka taea te whanake o te mate huka ina pakaru te pancreatitis roa i ngā pūtau e whakaputa ana i te insulin.
• Te mate pukupuku o te pancreas. Ko te mumura roa i roto i te pancreas he take morearea mō te mate pukupuku o te pancreas.

Kaore he uauatanga

Ka ui atu tō kaiāwhina hauora ki a koe mō ngā kōrero hauora o mua, me ngā tohu kei a koe, ka tuku atu he tirotiro tinana whānui, ka tirotiro hoki i te mamae, i te ngawari rānei o tou puku.

Ko ētahi o ngā whakamātautau me ngā tukanga ka whakamahia:

• Ka taea e ngā whakamātautau toto te hoatu i ngā tohu mō te mahi o te pūnaha mate pukupuku, te pancreas me ētahi atu whekau e hono ana.
• Ka taea e ngā whakaahua Ultrasound te whakaatu i ngā kōhatu i roto i te gallbladder, i te mumura rānei o te pancreas.
• Ka whakaatuhia e te CT scan (Computerized tomography) ngā kōhatu me te nui o te mumura.
• Magnetic resonance imaging (MRI) hei kimi i ngā kiko, i ngā hanganga rānei kāore i te tika i roto i te gallbladder, te pancreas me ngā ngongo bile.
• Ko te Endoscopic ultrasound he taputapu ultrasound kei runga i te pūpoi iti e whāngai ana i roto i te waha, ka uru ki te pūnaha kai. Ka taea te whakaatu i te mumura, ngā kōhatu, te mate pukupuku, me ngā aukati i roto i te ngongo pancreatic, i te ngongo bile rānei.
• Ka taea e ngā whakamātautau paru te ine i ngā taumata o te ngako ka taea te kī he kore te pūnaha kai o te tinana e tango i ngā matūkai penei i te mea me mahi.

Ka taea e tō tākuta te tūtohutia ētahi atu whakamātautau, kei runga i ō tohu, i ētahi atu āhuatanga rānei kei a koe.

Kāore he rongoā motuhake hei whakaora i te pancreatitis. Ka tīmata te maimoatanga me te noho i te hōhipera hei whakahaere i ngā tohu me ngā raruraru. Kei roto i ēnei:

• Rongoā mamae. Ka taea e te pancreatitis te whakaeke i te mamae nui. Ka hoatu e tō rōpū hauora ngā rongoā hei āwhina i te whakahaere i te mamae.
• Wai intravenous (IV). Ka whiwhi koe i te wai mā te uaua i tō ringa hei pupuri i a koe kia makuku.
• Kai. Ka tīmata koe ki te kai anō ina taea e koe te mahi penei me te kore e ruaki, me te kore mamae. I ētahi wā, ka whakamahia he pūnaha whāngai. Ina kua whakahaeretia ngā tohu me ngā raruraru, ka whakamahia ētahi atu maimoatanga hei whakaora i ngā take taketake. Kei roto pea i ēnei: Ka whakamahia te Endoscopic retrograde cholangiopancreatography (ERCP) ki te whakaatu i ngā ara bile i runga i ngā whakaahua X-ray. He pūnaha angiangi, ngawari me te kamera kei te pito, e kiia nei he endoscope, ka haere mā te korokoro ki te puku iti. Ka tomo te tae ki ngā ara mā te pūnaha iti, e kiia nei he catheter, ka tukuna mā te endoscope. Ka taea hoki te whakamahi i ngā taputapu iti e tukuna ana mā te catheter hei tango i ngā kōhatu gall.
• Ngā tukanga hei whakatuwhera i ngā ara bile. Ka whakamahia te tukanga e kiia nei ko te endoscopic retrograde cholangiopancreatography (ERCP) hei kimi me te tango i te kōhatu gall. He pūnaha roa me te kamera ka whāngaihia mā te waha me te pūnaha kai ki te ara bile. Ka whakamahia hoki tēnei pūnaha hei tiki i ngā taputapu iti ki te wāhi hei tango i te kōhatu me te whakamārama i te ara bile. Ka taea e te ERCP te whakaeke i te pancreatitis koi, engari kua awhina ngā rangahau mō ngā take morearea ki te whakapai ake i ngā hua.
• Taha whakaora gallbladder. Mena ko ngā kōhatu gall te take o te pancreatitis, ka taea te tūtohutia te pokanga hei tango i te gallbladder. Ko tēnei tukanga e kiia nei ko te cholecystectomy.
• Ngā tukanga pancreas. Ka taea te whakamahi i ngā tukanga me te kamera endoscopic me ngā taputapu hei whakaheke i te wai mai i te pancreas, te tango ranei i te kiko mate.
• Maimoatanga mō te tūmanako waipiro. Mena ko te whakamahinga nui o te waipiro te take o te pancreatitis, ka tūtohuhia he kaupapa maimoatanga mō te taumanutia waipiro. Ko te inu tonu i te waipiro ka kaha ake te pancreatitis, ka arahi ki ngā raruraru nui.
• Ngā huringa i ngā rongoā. Mena ko te rongoā te take pea o te pancreatitis koi, ka mahi tahi tō kaimahi hauora ki a koe ki te kimi i ētahi atu whiringa. Ka hiahia pea te pancreatitis roa ki ētahi atu maimoatanga, tae atu ki:
• Whakahaere mamae. Ka whakaeke te pancreatitis roa i te mamae nui, roa. I tua atu i te tāpanga rongoā, ka rapu tō kaimahi hauora i ngā take, i ngā raruraru ranei o te pancreatitis roa e whakaeke ana i te mamae. Kei roto pea i ngā maimoatanga ngā tukanga hei whakapai ake i te whakaheke mai i te pancreas, i ngā werohanga ranei hei aukati i ngā tohu io mai i te pancreas ki te roro. Ka taea te tuku atu koe ki te tohunga mamae.
• Ngā enzyme hei whakapai ake i te nakunaku. Ina ka whakaeke te pancreatitis roa i te ruaki, i te ngaro taimaha ranei, ka taea e koe te tango i ngā taapiri enzyme pancreatic. Ka tangohia me ia kai, ka āwhina ēnei taapiri enzyme i tō tinana ki te wawahi me te whakamahi i ngā kai i roto i te kai.
• Ngā huringa ki tō kai. Ka taea e tō taakuta te tuku atu koe ki te kaiwhakaako kai ka taea te āwhina i a koe ki te whakarite i ngā kai iti-ngako e nui ana te kai.

Kaore he uauatanga