He aha te Secretin (Ara I roto i te Uaua): Ngā Whakamahinga, te Inenga, Ngā Pānga Taha me Ētahi Atu

Ko te Secretin he rongoā taiaki waihanga ka tukuna mā roto i te uaua e āwhina ana i ngā tākuta ki te tātaritanga i ngā raruraru o tō puku me te pūpū. Ka hangaia e tō tinana te secretin i roto i tō whekau iti, engari he mea hanga motuhake te putanga rongoā hei whakaoho i tō puku ki te tuku wai keri kia kite ai ngā tākuta i te pai o te mahi o ēnei okana.

Ko tēnei rongoā te nuinga ka whakamahia i ngā whakamātautau rongoā motuhake, ehara i te rongoā auau ka tango koe i te kāinga. Whakaarohia he taputapu tātaritanga e āwhina ana i tō rōpū hauora kia mārama ake ki te hauora o tō pūnaha keri.

He aha te Secretin e Whakamahia Ana?

He āwhina tātaritanga te Secretin hei āwhina i ngā tākuta ki te arotake i te pai o te mahi o tō puku me te pūpū. Ko te kaupapa matua ko te whakahihiri i tō puku ki te whakaputa me te tuku i ōna hāora keri me te wai whai bicarbonate.

Ko te nuinga o ngā tākuta e whakamahi ana i te secretin i te wā o te tikanga e kiia nei ko te secretin-enhanced magnetic resonance cholangiopancreatography (MRCP). Ko tēnei ingoa huatau e whakaatu ana i te karapa MRI motuhake e tango ana i ngā pikitia taipitopito o ō rārangi pāpā me ngā rārangi puku. Ka tukuna te secretin i te wā o tēnei whakamātautau, ka kitea ake ēnei hanganga i runga i te whakaahua, e āwhina ana i ngā tākuta ki te kite i ngā aukati, te mumura, me ētahi atu raruraru.

Ka whakamahi hoki ngā kaiwhakarato hauora i te secretin ki te whakamātautau mō te āhua e kiia nei ko te Zollinger-Ellison syndrome. Ko tēnei mate onge e pā ana ki ngā puku i roto i tō puku, i tō whekau iti rānei e whakaputa ana i te nui rawa o te waikawa puku. Ka āwhina te whakamātautau secretin ki te whakapūmau i tēnei tātaritanga mā te ine i te urupare o tō tinana ki te taiaki.

Me pēhea te Mahi a te Secretin?

Ka mahi te secretin mā te whai i te taiaki tūturu o tō tinana e kī ana ki tō puku kia pukumahi. Ka kai koe, ka tuku noa tō whekau iti i te secretin hei tohu i tō puku ki te whakaputa wai keri e āwhina ana ki te wawahi i te kai.

He rite tonu te mahi a te momo waihanga engari i roto i te taiao rongoa, i te wa e whakahaerehia ana. I roto i nga meneti i muri i te whiwhinga o te werohanga IV, ka timata to repe taiaki ki te tuku i te wai marama, kawakore, he nui te bicarbonate. Ka awhina tenei wai ki te whakaiti i te waikawa puku, kei roto hoki nga enzyme e keri ana i nga ngako, nga pūmua, me nga warowaihā.

Ko tenei rongoa e kiia ana he kaihoko tātaritanga kaha ngawari. Ehara i te mea ngawari penei i etahi tae rerekē, engari ehara i te mea kaha penei i nga raau taero chemotherapy. Ko nga paanga he wa poto noa iho, ka ngaro i roto i etahi haora i te wa e tukatukahia ana e to tinana, ka whakakore i te homoni waihanga.

Me pehea taku tango i te Secretin?

Ka tukuna te Secretin e nga tohunga hauora i roto i te whare rongoa ma te raina intravenous (IV). E kore koe e tango i tenei rongoa i te kainga, e hoatu ranei ki a koe ano.

I mua i to tikanga, ka tono pea to taakuta kia nohopuku koe mo te 8 ki te 12 haora. Ko te tikanga tenei karekau he kai, he inu ranei engari he wai iti. Ko te puku kau ka awhina i te whakarite kia tika nga hua o te whakamatautau, ka whakaiti i te tupono o te nausea i te wa o te tikanga.

I te wa o te whakamatautau, ka whakauru te nēhi, te tohunga hangarau ranei i te catheter IV iti ki roto i te uaua i to ringa. Na ka werohia te secretin i roto i tenei raina IV. Me takoto tonu koe i te wa o te waahanga whakaahua o te whakamatautau, e 30 ki te 60 meneti te roa.

I muri i te whiwhinga o te secretin, ka rongo pea koe i te mahana, i te whero iti ranei. He mea noa tenei, ka tere te pahemo. Ka aroturukihia koe e to roopu hauora puta noa i te tikanga kia pai ai koe, kia pai hoki te urupare ki te rongoa.

Kia pehea te roa e tango ai ahau i te Secretin?

Ka whakamahia te Secretin kotahi anake mo ia tikanga tātaritanga, ehara i te maimoatanga haere tonu. Ka tukuna te rongoa hei werohanga kotahi e mahi ana mo te roa o to whakamatautau.

Ko te pānga o te secretin te tikanga ka roa i waenga i te 2 ki te 4 haora i muri i te werohanga. I roto i tenei wa, ka whakaputa tonu tō pūkahukahu i ngā wai keri hei āwhina i ngā tākuta ki te kite mārama i ō hanganga o roto i ngā rangahau whakaahua.

Mēnā e hiahia ana koe ki te whakamātau anō ā muri ake nei, tērā pea ka tono tō tākuta i tētahi atu tikanga whakarei secretin. Heoi, kāore he take ki te maha o ngā horopeta i roto i tētahi wā whakamātau kotahi, ki te kore e tohutohutia e tō kaiwhakarato hauora.

He aha ngā pānga taha o te Secretin?

He pai te whakamanawanui o te nuinga o te tāngata ki te secretin, engari pērā i ētahi rongoā, ka pānga taha. Ko te rongo pai he mea noa ngā pānga kino, ā, he ngawari, he wā poto noa iho te nuinga o ngā pānga taha.

Koinei ngā pānga taha e mōhiotia ana ka pā ki a koe i te wā, i muri tata rānei i te whiwhinga secretin:

• Te whakapairuaki ngawari, te mamae puku rānei
• Te mahana, te whero rānei o tō mata me tō kaki
• Te whanoke iti, te mārō rānei
• Te pikinga wā poto o te pōturi o te ngākau
• Te kōpū ngawari i tō puku

Ko te tikanga ka tīmata ēnei pānga i roto i ngā meneti i muri i te werohanga, ā, ka ngaro i roto i te 30 ki te 60 meneti. Ka mātakitaki tata tō rōpū hauora i a koe, ā, ka taea e rātou te whakarato i ngā āwhina whakamarie ki te hiahiatia.

Ko ngā pānga taha kāore i te mōhiotia engari he kino ake pea ko ngā tauhohenga mate pāwera kino, ahakoa he mea noa ēnei. Ko ngā tohu o te tauhohenga mate pāwera kino ko te uaua ki te hā, te pupuhi nui o tō mata, o tō korokoro rānei, te pūhihi whānui, te whanoke kino rānei. Ki te puta ēnei, ka urupare tonu tō rōpū hauora me te rongoā tika.

Tērā pea ka pā te pēhanga toto iti ki ētahi tāngata i muri i te whiwhinga secretin, ka pā te ngoikore, te ngaro rānei. Koinei te take ka mātakitaki koe i te wā o te tikanga, ā, mō tētahi wā poto i muri mai.

Ko wai kāore e tika kia tango Secretin?

Kāore te secretin i te haumaru mō te katoa, ā, ka āta tātari tō tākuta i tō hītori hauora i mua i te tūtohu i tēnei whakamātautau. Ko ngā tāngata e pā ana ki ētahi āhuatanga, ki ngā mate pāwera rānei, me karo te secretin, me whakamahi rānei me te tūpato nui.

Kāore koe e whiwhi secretin mēnā he pāwera koe ki te secretin ake, ki ētahi o ōna whakauru rānei. Mēnā i pā koe ki tētahi urupare i mua ki tēnei rongoā, me mōhio ki tō kaiwhakarato hauora i mua i tētahi tikanga.

Ko ngā tāngata e pā ana ki ngā āhuatanga ngākau nui, te toto tiketike kāore i te whakahaeretia, te whakaeke ngākau tata rānei, kāore pea e pai mō te whakamātautau secretin. Ka pā tēnei rongoā ki tō reiti ngākau me te toto i te wā poto, he mea kino pea mēnā he raruraru ngākau tō raro.

Mēnā kei te hapū koe, kei te whāngai ū rānei, kōrerohia ngā tūponotanga me ngā painga ki tō tākuta. Ahakoa kāore anō te secretin i whakaatu i te kino ki ngā pēpi e whanake ana, ka whakamahia anake i te wā e whai pānga ana ngā mōhiohio tātaritanga ki tō hauora.

Ko ngā tūroro e pā ana ki te mate tākihi, te mate ate rānei, ka hiahia pea ki te whakatikatika i te horopeta, ki ētahi atu tikanga whakamātautau rānei. Ka āwhina ēnei okana ki te tukatuka me te whakakore i ngā rongoā mai i tō tinana, nā reira ka pā pea ngā raruraru ki te mahi tākihi, ki te mahi ate rānei ki te mahi a te secretin, ki te roa rānei e noho ana i roto i tō pūnaha.

Ngā Ingoa Waitohu Secretin

Kei te wātea te secretin i raro i te ingoa waitohu ChiRhoStim i te United States. Koinei te puka e whakamahia nuitia ana o te secretin waihanga mō ngā tikanga tātaritanga.

I hangaia te ChiRhoStim mō te whakamahi rongoā, ā, ka tae mai i te puka paura e konatunatua ana ki te wai kōhi i mua i te werohanga. Kei te wātea anake te rongoā mā ngā kaiwhakarato hauora, ā, kāore e taea te hoko mō te whakamahi i te kāinga.

Ka taea e ētahi whare rongoā te kī i te tikanga mā ētahi ingoa rerekē, pēnei i te

He maha ngā whakamātau kē atu ka taea te arotake i te mahi o te pūkahukahu, ahakoa he pai me ōna ake here. Mā tō tākuta e whiriwhiri te kōwhiringa pai rawa atu i runga i ō tohu motuhake me te hītori hauora.

E whakaatu ana te ultrasound endoscopic (EUS) i ngā whakaahua taipitopito o tō pūkahukahu me te kore e hiahia ki te whakaihiihi i te homoni. E whakamahi ana tēnei tikanga i tētahi ngongo angiangi, ngawari me tētahi pūwero ultrasound hei tirotiro i tō pūkahukahu mai i roto i tō ara kūnatu.

Ka taea hoki e ngā karapa MRI, CT rānei te whakaatu i ngā hē o te pūkahukahu, ahakoa kāore pea e nui te taipitopito mō te mahi pērā i ngā rangahau whakarei ake i te huna. He maha ngā wā e whakamahia ana ēnei whakamātau ina kāore e tika ana, e wātea ana rānei te huna.

Ka taea e ngā whakamātau toto e ine ana i ngā whākōkī pūkahukahu pērā i te lipase me te amylase te tohu i ngā raruraru o te pūkahukahu, engari kāore e whakaatu i ngā kōrero hanganga taipitopito e tukuna ana e ngā whakamātau whakaahua. He maha ngā wā e whakamahia ana ēnei hei taputapu tātari tuatahi.

Mō te mate Zollinger-Ellison e whakapaehia ana, ka whakamahi pea ngā tākuta i ētahi atu whakamātau whakaihiihi homoni, ka ine rānei i ngā tohu toto motuhake hei utu mō te whakamātau huna.

He Pai Ake Te Huna I Ētahi Atu Whakamātau Mahi Pūkahukahu?

E tuku ana te whakaahua whakarei ake i te huna i ngā painga ahurei e waiho ana hei kōwhiringa pai rawa atu mō ētahi āhuatanga tātaritanga. Ko te painga nui ko te tuku kōrero hanganga me te mahi mō tō pūkahukahu i roto i te whakamātau kotahi.

Kāore i rite ki ngā whakamātau whakaahua paerewa, e whakaatu ana te whakaihiihi huna i te pai o te mahi o tō pūkahukahu, ehara i te mea te ahua noa iho. He mea nui tēnei kōrero mahi mō te tātaritanga i ngā āhuatanga pērā i te pancreatitis tawhito, kei te ahua noa pea te pūkahukahu engari he ngoikore te mahi.

Ki te whakataurite ki ngā tikanga whakawetiweti ake pērā i te endoscopic retrograde cholangiopancreatography (ERCP), he iti ake ngā tūponotanga e mau ana i te MRCP whakarei ake i te huna. E whai ana te ERCP i te whakauru i tētahi āwhina mā tō waha ki roto i tō ara kūnatu, he nui ake te tūponotanga o ngā raruraru pērā i te pancreatitis, te whakaheke toto rānei.

Heoi anō, kāore i te pai tonu te whakamātautau secretin. Mō ētahi āhuatanga, he nui noa atu ngā whakamātautau toto māmā, ngā whakaahua paerewa rānei e whakarato mōhiohio ana. Ka whakaaro tō tākuta ki ō tohumate, hītori hauora, me ngā mōhiohio motuhake e hiahiatia ana hei whakatau i te tātaritanga tika.

Ngā Pātai Auau mō Secretin

He Haumaru a Secretin mō te Hunga Mate Huka?

He haumaru te secretin mō te hunga mate huka, engari me nui ake te aroturuki i ō taumata huka toto i te wā o te tukanga me muri mai. Ka pā te rongoā ki te āhua o te tukatuka a tō tinana i te kūhuka.

Mēnā kei te tango rongoā mate huka koe, tērā pea ka whakatika tō tākuta i tō hōtaka inenga mō te rā o te whakamātautau, ina koa me pōkai koe i mua. Me kōrero ki tō rōpū hauora mō tō mahere whakahaere mate huka i mua i te tukanga.

Ko te hunga mate huka e pai ana te whakahaere i te nuinga o te wā ka aro ki te secretin kāore he raruraru. Heoi anō, mēnā kāore i te pūmau tō huka toto i ngā wā tata nei, tērā pea ka hiahia tō tākuta ki te whakawhāiti i te whakamātautau kia pai ake ai te whakahaere i tō mate huka.

Me Pēhea Taku Mahi Mēnā Ka Whiwhi Au i te Nui Rawa o te Secretin?

He tino onge te nui rawa o te secretin i te mea ka hoatu te rongoā e ngā tāngata ngaio hauora whakangungu anake i ngā wāhi rongoā whakahaere. Ka tātai pai te inenga i runga i tō taumaha tinana me te whakamātautau motuhake e mahia ana.

Mēnā ka hoatu te nui rawa o te secretin, tērā pea ka pā ki a koe ngā pānga taha kaha ake pēnei i te whakapairuaki nui, ngā huringa nui o te pēhanga toto, te kōpū roa rānei. Ka whakarato tonu tō rōpū hauora i te manaaki tautoko me te aroturuki i a koe.

Ko te rongo pai ko te secretin ka tukatukahia, ka whakakorea atu i tō tinana i te tere, nō reira ahakoa ka puta te nui rawa, he wā poto noa ngā pānga. He rongoā me ngā maimoatanga e wātea ana ki ō kaiwhakarato hauora hei whakahaere i ngā tauhohenga nui.

Me Pēhea Taku Mahi Mēnā Ka Ngaro Au i te Inenga Secretin?

Kāore tēnei pātai e pā ana ki te secretin nā te mea ehara i te rongoā ka tangohia e koe i te kāinga. Kotahi anake te wā e tukuna ana te Secretin i ngā wā o ngā tikanga tātaritanga i ngā whare rongoā.

Mēnā ka ngaro koe i tō rā whakarite mō te whakamātautau secretin, waea atu ki te tari o tō tākuta ki te whakarite anō. Kāore he mōrearea i te whakaroa i te whakamātautau mō ētahi rā, wiki rānei, ki te kore koe e pā ana ki ngā tohumate nui e hiahia ana kia arotakengia tonutia.

Ka whakamōhio tō tākuta ki a koe i te wā e tika ana kia oti te whakamātautau i runga i tō āhuatanga hauora. I te nuinga o ngā wā, kāore te whakarite anō e pā ki te tika o ngā hua, ki tō mahere rongoā rānei.

Āhea ka taea e au te whakamutu i te tango secretin?

Kāore koe e hiahia ki te māharahara mō te whakamutu i te secretin nā te mea ehara i te rongoā e haere tonu ana. Ka ngaro noa ngā pānga i roto i ētahi haora i muri i te werohanga kotahi i te wā o tō tikanga tātaritanga.

Ka whakakorehia e tō tinana te homoni waihanga mā tō pūkahukahu me te ate, pērā i te tukatuka i ētahi atu rongoā. Kāore he whakaiti haere, he whakaiti rānei e hiahiatia ana.

Mēnā e hiahia ana koe ki te whakamātautau whai muri i te wā, ka āta whakaarohia ia tikanga secretin hei tūtakitanga motuhake, kotahi anō te wā. Kāore he pānga whakahiato, he hiahia rānei ki te whakaaro ki ngā horopeta o mua i te wā e whakamahere ana i ngā whakamātautau ā muri ake nei.

Ka taea e au te taraiwa i muri i te whiwhi secretin?

Ka taea e te nuinga o te tangata te taraiwa i muri i te whiwhi secretin, engari me tatari koe kia ngaro katoa te whanoke, te māmā rānei. Ka taea e te rongoā te pā ki tō toto me te tere o te ngākau, ka waiho pea koe i te kore pūmau.

Whakarite kia noho koe ki te whare rongoā mō te 30 meneti i muri i tō tikanga kia mōhio ai te kaimahi kei te pūmau koe, kei te tūpato. Mēnā ka pā ki a koe te whanoke, te whakapairuaki, te ngoikore rānei, whakarite kia taraiwa tētahi atu i a koe ki te kāinga.

Ka ngenge ētahi tāngata i muri i te tikanga, inā koa me nohopuku rātou i mua, ki te mea rānei he pōuri te whakamātautau. Whakarongo ki tō tinana, kaua e whakaroa ki te tono awhina mō te kawe waka mēnā kāore koe i te tino pai.