I kekahi manawa, loaʻa koke iā ʻoe kahi ʻeha nui o ka ʻōpū, ʻeā? Ua like ia me ka pahi e hou ana iā ʻoe i loko o ka ʻōpū. Me kēlā, manaʻo ʻoe i ka luaʻi, luaʻi, a i kekahi manawa loaʻa iā ʻoe ke kuni. I nā manawa e like me kēia, manaʻo ka hapa nui o mākou he gastritis a he lāʻau make paha kā mākou. Akā, ʻaʻole nā ʻeha ʻōpū a pau he gastritis. Malia paha he pilikia kēia me ka pancreas , kahi ʻāpana i loko o ko mākou kino he mea nui loa akā ʻaʻole mākou e kamaʻilio nui e pili ana. No laila i kēia lā, e kamaʻilio kākou e pili ana i kahi hoʻāʻo koko maʻalahi akā koʻikoʻi loa e nānā i ke kūlana o kēia pancreas.
E nānā mua kākou, ʻo wai kēia pancreas?
I ka ʻōlelo maʻalahi, he ʻāpana pālahalaha ka pancreas i loko o ko kākou ʻōpū, ma hope o ka ʻōpū. ʻOiai he liʻiliʻi ia, ʻaʻole ia he mea liʻiliʻi kāna lawelawe. He ʻelua kāna mau hana nui.
1. Kōkua i ka ʻai ʻana: ʻO kekahi o kāna mau hana, ʻo ia ka hana ʻana a me ka hoʻouna ʻana i ko kākou ʻōpū liʻiliʻi i kekahi mau ʻano enzyme e pono ai no ka ʻai pono ʻana i nā kalapona, nā momona, a me nā protein i nā meaʻai a kākou e ʻai ai.
2. Ka hana ʻana o ka hormone: ʻO kēia ke kelepaʻi e hana i nā hormones koʻikoʻi e like me ka insulin, ka mea e kaohi ai i ko mākou pae kō koko.
I kēia manawa ua maopopo iā ʻoe ke koʻikoʻi o kēia, ʻeā? No laila, inā he pilikia me kēia pancreas, ʻoiai kekahi mea e like me ka mumū, hiki iā ia ke hoʻopilikia i ko mākou kino holoʻokoʻa.
No laila he aha kēia hoʻāʻo koko pancreas?
He hoʻāʻo maʻalahi loa kēia. He hoʻāʻo koko maʻalahi ia i lawe ʻia mai kahi aʻa koko ma kou lima. Nānā kēia hoʻāʻo i nā pae o ʻelua mau enzymes i loko o kou koko a mākou i kamaʻilio ai ma mua, i hana ʻia e ka pancreas a kōkua i ka ʻai ʻana.
E noʻonoʻo i ka pancreas e like me kahi hale hana e hana ai i kēia mau enzymes. ʻO ka maʻamau, hele pololei kēia mau enzymes i ko kākou ʻōpū. Akā inā ua hōʻino ʻia kekahi mea i loko o ka pancreas, a inā paha he mumū, ua like ia me ka haki ʻana o ka paia o ka hale hana a ke liki nei nā waiwai, a ua hoʻokuʻu ʻia ka nui o kēia mau enzymes i loko o ke koko. ʻO kēlā "leak" ka mea a mākou e ʻike ai me kēia hoʻāʻo koko.
He aha nā hōʻailona e pono ai iaʻu e hana i kēia hoʻāʻo?
E kauoha aku kāu kauka i kēia hoʻāʻo koko inā manaʻo lākou he pancreatitis koʻikoʻi kou, kahi mumū koke o ka pancreas. ʻO kēia nā hōʻailona maʻamau o kēia maʻi.
| Hōʻailona | He wahi liʻiliʻi e pili ana i ia mea |
|---|---|
| ʻEha nui ka ʻōpū | ʻO kēia ka hōʻailona nui. He ʻeha nui a hiki ʻole ke hoʻomanawanui e hoʻomaka ana ma ka ʻōpū o luna a hele e like me ke kāʻei i ke kua. Me he mea lā e emi iki ka ʻeha ke kūlou ʻoe i mua. |
| Ka luaʻi a me ka luaʻi | Hiki iā ʻoe ke loaʻa pinepine i ka nausea a me ka luaʻi. ʻOiai ma hope o ka luaʻi ʻana, ʻaʻole e emi ka ʻeha o ka ʻōpū. |
| Kuni a me nā anu | Aia paha kahi manaʻo o ka piʻi ʻana o ka wela o ke kino, me ka manaʻo o ka haʻalulu. |
| Makemake nui | Manaʻo ʻoe ʻaʻole ʻoe makemake e ʻai a inu paha i kekahi mea. |
| Nā palpitations o ka puʻuwai | Hiki ke hoʻonui ʻia ka helu pulse. |
Inā loaʻa iā ʻoe nā hōʻailona e like me kēia, e kauoha kāu kauka i kēia hoʻāʻo koko e hōʻoia inā he pilikia pancreatic a ʻaʻole paha.
E aʻo iki kākou e pili ana i nā enzyme ʻelua ʻo Amylase lāua ʻo Lipase.
ʻO nā enzymes nui ʻelua i hoʻāʻo ʻia ma kēia hoʻāʻo koko ʻo Amylase lāua ʻo Lipase .
| ʻEnzima | Hana nui | Koʻikoʻi |
|---|---|---|
| ʻAmylase | Kōkua ia i ka hoʻoheheʻe ʻana i nā kalapona (starch) a mākou e ʻai ai, e like me ka laiki a me ka berena. | Piʻi aʻe nā pae amylase i loko o ke koko i nā hihia o nā pilikia pancreatic. Eia nō naʻe, no ka mea ua hana ʻia kēia enzyme e kā mākou mau kelepa salivary, hiki ke piʻi aʻe nā pae amylase i kekahi mau kūlana olakino ʻē aʻe. |
| Lipase | Kōkua ia iā mākou e hoʻoheheʻe i nā momona e like me ka ʻaila a me ka pata a mākou e ʻai ai. | ʻO kēia ka hoʻāʻo kikoʻī loa no ka mea ʻo ka pancreas ka mea nui i hana i ka enzyme lipase. No laila, inā kiʻekiʻe ka pae lipase i loko o ke koko, he mea hiki loa ke loaʻa kahi pilikia me ka pancreas. |
No laila, nānā pinepine nā kauka i nā pae o kēia mau enzyme ʻelua e hana i kahi hōʻailona pololei.
Ke hoʻomākaukau nei no kahi hoʻāʻo koko a pehea e hana ai i ka hoʻāʻo
ʻAʻole pono kēia i ka hoʻomākaukau nui ʻana. He hana maʻalahi loa ia.
- Hoʻomākaukau: Inā hiki iā ʻoe, e ʻaʻahu i kahi pālule lima pōkole. E maʻalahi kēia i ka mea e lawe ana i ke koko ke loaʻa i kahi aa koko ma kou lima. ʻAʻohe pono o kahi hoʻomākaukau kūikawā ʻē aʻe.
- Pehea e lawe ai i ke koko:
1. ʻO ka mea mua, ua nakinaki ʻia kahi kaula laholio (e like me ka tourniquet) a puni kou lima ma luna pono o ke kuʻekuʻe e hoʻopaʻa i ke aʻa koko.
2. A laila e hoʻomaʻemaʻe i kahi o ke aʻa me kahi ʻūpā waiʻona.
3. Me ka hoʻohana ʻana i kahi nila liʻiliʻi loa, ua hōʻiliʻili ʻia ka nui o ke koko e pono ai mai ke aʻa koko i loko o kahi ʻōmole liʻiliʻi.
4. E lawe kēia ma kahi o hoʻokahi a ʻelua paha minuke. A laila e wehe ʻia ke kui, e kau ʻia kahi ʻāpana pulupulu ma ia wahi, a e kau ʻia kahi palaki.
Ke huki ʻia kou koko, e manaʻo paha ʻoe i kahi ʻano ʻū, e like me kahi ʻanuʻu liʻiliʻi e ʻū ana iā ʻoe. Akā he mau kekona wale nō ia. No laila, ʻaʻohe kumu e makaʻu ai.
Ma hope o ke kaha ʻia ʻana o ke koko, e ʻike paha ʻoe i kahi palapū liʻiliʻi ma kou lima. Nalo pinepine kēia i hoʻokahi a ʻelua paha lā.
Pehea e hoʻomaopopo ai i nā waiwai i ka hōʻike hoʻāʻo?
Ma hope o ka hoʻouna ʻia ʻana o kāu hāpana koko i ka hale hana no ka nānā ʻana, e loaʻa iā ʻoe kahi hōʻike. E papa inoa ia i nā waiwai o kēia mau enzymes. ʻO kēia nā pae e pono e loaʻa maʻamau i loko o ke koko o ke kanaka olakino.
| ʻEnzima | Pae Maʻamau |
|---|---|
| ʻAmylase | 23 a 85 mau ʻāpana no ka lita (23 - 85 U/L). I kekahi mau keʻena hoʻokolohua, hiki i kēia ke piʻi i 140 U/L. |
| Lipase | 0 a 160 mau ʻāpana no ka lita (0 - 160 U/L). |
He mea nui loa: Hiki ke ʻokoʻa iki kēia mau waiwai mai ka hale hana a i ka hale hana. No laila, he mea nui e hoʻohālikelike i kāu mau waiwai me ka 'Normal Range' i ʻōlelo ʻia ma kāu hōʻike. Eia naʻe, mai ho'āʻo e wehewehe i nā ʻike o kēia hōʻike iā ʻoe iho. ʻO kāu kauka wale nō ke hiki ke kālailai pololei iā ia, e hoʻohālikelike iā ia me kāu mau hōʻailona, a hiki i kahi hopena pololei.
Nā hopena maʻamau ʻole ... pehea inā kiʻekiʻe ka pae enzyme?
Inā ʻoi aku ka nui o ka amylase a me ka lipase i loko o kou koko ma mua o ʻekolu manawa o ka palena kiʻekiʻe maʻamau , he hōʻike ikaika ia e loaʻa ana iā ʻoe ka pancreatitis acute.
Akā, ʻaʻole hoʻoholo wale ke kauka ma muli o nā hopena o kēia hoʻāʻo koko. Nānā ʻo ia iā ʻoe, i kou mau hōʻailona, a hoʻohui i kēia mau mea a pau e hiki ai i kahi hopena.
I kekahi manawa, pono paha nā hoʻokolohua hou aʻe e hōʻoia i ka maʻi a hoʻoholo i ka nui o ka hōʻino ʻana i ka pancreas.
- ʻO ke kiʻi ʻana i ka ultrasound: Hiki i kēia ke kiʻi i nā kiʻi o nā ʻōpū i loko o ka ʻōpū. Hiki i kēia ke kōkua i ka ʻike ʻana i nā mea e like me nā pōhaku gall.
- CT Scan: Hiki i kēia ke kiʻi i nā kiʻi maopopo a kikoʻī hoʻi o ka pancreas a me nā ʻōpū e pili ana.
- MRI Scan: Kōkua kēia i ka loaʻa ʻana o nā kiʻi ʻoi aku ka maopopo ma mua o ka CT scan.
- Endoscopy: He kaʻina hana e hoʻokomo ʻia ai kahi ʻōmole liʻiliʻi me kahi kāmela ma o ka waha e nānā i ka ʻōpū a me ka ʻōpū liʻiliʻi.
Na kāu kauka e hoʻoholo i kahi o kēia mau hoʻokolohua āu e pono ai.
I ka manawa hea ʻoe e pono ai e ʻike i ke kauka?
ʻO kēia ka mea nui loa. Inā loaʻa iā ʻoe ka ʻeha ʻōpū koʻikoʻi a hiki ʻole ke hoʻomanawanui e like me ka mea i ʻōlelo ʻia ma luna , mai noho wale ma ka home me ka manaʻo he gastritis ia. E hele koke i ka Emergency Department (ETU) o ka haukapila kokoke loa.
E hoʻolohe ke kauka i kāu mau hōʻailona, e nānā iā ʻoe, a e nānā hou i nā hopena o kēia hoʻāʻo koko e hoʻoholo ai i ke ʻano o ka lāʻau āu e pono ai. ʻO ka hoʻomaka ʻana i ka lāʻau i ka wā mua e hiki ke kōkua i ka pale ʻana i nā pilikia koʻikoʻi.
Leka Lawe-Home
- ʻAʻole ʻo ka ʻeha nui o ka ʻōpū a me ka luaʻi he gastritis mau. Hiki nō hoʻi ke lilo i pilikia me ka pancreas.
- ʻO ka hoʻāʻo koko Amylase a me Lipase, kahi i hana ʻia e nānā i ke kūlana o ka pancreas, he hoʻokolohua maʻalahi loa a koʻikoʻi hoʻi.
- ʻO ka pae o ka enzyme Lipase kahi hōʻailona kikoʻī o nā pilikia pancreatic.
- Mai ho'āʻo e wehewehe i nā waiwai i loko o ka hōʻike hoʻāʻo koko iā ʻoe iho, e kūkākūkā mau me kāu kauka.
- Inā loaʻa iā ʻoe ka ʻeha nui o ka ʻōpū hiki ʻole ke hoʻomanawanui, e ʻimi koke i ke kōkua lapaʻau mai ka Emergency Treatment Unit (ETU) o ka haukapila.











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