Exocrine pancreatic tsis txaus yog teeb meem ntawm txoj hnyuv. Ib tus neeg laus noj qab nyob zoo tsim tawm kwv yees li 1.5 litres (51 kua ooj) ntawm cov kua dej muaj protein ntau txhua hnub. Cov kua dej no pab koj lub plab zom zom cov protein, cov rog, thiab cov hmoov txhuv nplej siab. Thaum ib tus muaj exocrine pancreatic tsis txaus, cov kua dej zom zaub mov no tsis tau tsim tawm kom txaus, uas ua rau tsis xis nyob, zom zaub mov tsis txaus, thiab poob phaus thaum kawg. Txhawm rau kuaj mob exocrine pancreatic tsis txaus, koj yuav tsum tau ua haujlwm ze nrog koj tus kws kho mob thiab yoo cov ntshav thiab tso quav ntau zaus.
Cov kauj ruam
Txoj Kev 1 ntawm 3: Saib Xyuas Cov tsos mob ntawm EPI
Kauj Ruam 1. Ua tib zoo saib mob plab
Mob plab hauv plab yog cov tsos mob tshwm sim ntawm EPI, thiab tuaj yeem yog lub cim qhia tias koj lub cev tsis tsim cov zom zaub mov zoo lossis nqus cov khoom noj kom raug. Yog tias koj muaj mob plab hnyav, npaj sijhawm teem sijhawm nrog koj tus kws kho mob thiab nug txog EPI.
- EPI tshwj xeeb tshaj yog cuam tshuam nrog mob plab epigastric, uas yog mob hauv lub plab sab sauv ntawm koj lub sternum (pob txha mis) thiab ntaws. Qhov mob no yuav kis tau rau koj nraub qaum.
- EPI feem ntau nyuaj rau kev kuaj mob, txij li nws cov tsos mob-suav nrog mob plab-tau sib koom los ntawm ob peb lwm yam mob plab thiab zom zaub mov, suav nrog mob plab zom mov, mob plab, mob lub zais zis, thiab mob plab.
Kauj Ruam 2. Saib xyuas kom poob phaus lossis tsis muaj peev xwm ua kom hnyav
Txij li EPI txo qis cov zom zaub mov noj qab haus huv hauv koj lub cev thiab txo koj lub cev lub peev xwm zom thiab nqus cov rog thiab cov vitamins zoo los ntawm zaub mov, nws ib txwm muaj rau cov tib neeg nrog EPI kom poob phaus, qee zaum ntawm qhov nrawm. Raws li lwm qhov tshwm sim ntawm kev zom zaub mov tsis txaus, cov tib neeg nrog EPI tuaj yeem ntsib kev nkees ntau lossis qaug zog.
Tsis muaj peev xwm ua kom hnyav yog qhov tshwm sim tshwm sim ntawm EPI hauv menyuam yaus. Txij li thaum menyuam yaus hnyav me ntsis pib nrog, qhov tsis muaj peev xwm ua kom hnyav yuav tsum tau ua tiag thaum pom thawj zaug
Kauj Ruam 3. Saib xyuas koj cov quav
Txij li EPI yog ib qho xwm txheej ntawm cov txheej txheem zom zaub mov, nws tuaj yeem muaj qhov tseem ceeb ntawm qhov zaus thiab xwm yeem ntawm cov quav. Yuav luag txhua tus tib neeg nrog EPI raug mob raws plab, uas yog EPI raug hu ua "steatohhrea." Cov quav no ua rau muaj roj ntau, hnyav, daj, dej, thiab tsw ntxhiab heev.
- Steatohhrea muaj cov rog ntau dua li cov quav noj qab nyob zoo, vim EPI tiv thaiv lub cev los ntawm kev zom tag nrho cov rog uas ib txwm yuav nqus mus rau hauv cov ntshav. Qhov xwm txheej no ua rau koj muaj kev pheej hmoo poob ntawm cov vitamins uas muaj roj-soluble tseem ceeb, xws li cov vitamins A, D, E thiab K, thiab tuaj yeem ua rau cov vitamin tsis txaus.
- Cov quav tuaj yeem muaj cov dej ntws tawm, thiab tuaj yeem ntab mus rau saum cov dej hauv lub tais tso quav, ua rau nws nyuaj rau yaug lub sijhawm.
Txoj Kev 2 ntawm 3: Xeem Ntshav thiab Cov Quav txhawm rau kuaj EPI
Kauj Ruam 1. Nug koj tus kws kho mob txog kev ua ntshav
Kev kuaj ntshav yog qhov pib ua hauv kev ntsuas rau EPI, txawm hais tias cov txiaj ntsig ntsuas ntshav tsuas tuaj yeem lees paub cov teeb meem tshwm sim ntawm EPI; cov txiaj ntsig los ntawm kev ua ntshav ib leeg tsis tuaj yeem siv los txheeb xyuas tag nrho EPI. Thaum koj cov ntshav raug xa mus rau chav kuaj ntshav, nws cov ntshav liab suav yuav txiav txim siab, txij li ntshav tsis txaus (suav ntshav liab tsawg) yog ib qho xwm txheej tshwm sim hauv cov neeg mob los ntawm EPI.
Kev ua haujlwm hauv chaw kuaj ntshav kuj tseem yuav ntsuas koj cov ntshav rau qhov muaj qhov tsis txaus ntawm cov as -ham uas feem ntau yuav nqus tau los ntawm lub cev ua kom muaj kev noj qab haus huv zoo ntawm cov txiav txiav. Cov as -ham no suav nrog hlau, vitamin B12, thiab folate
Kauj Ruam 2. Muab cov quav tso rau qhov quav quav elastase
Txij li txoj hnyuv zom zaub mov yog lub cev ua haujlwm tau zoo tshaj plaws los ntawm EPI, ntsuas cov quav yog ib txoj hauv kev zoo los ntsuas lub cev zom zaub mov kom zoo. Txog kev ntsuas elastase, koj yuav tsum tau muab koj tus kws kho mob nrog ib qho quav quav ua piv txwv, uas yuav xa mus rau chav kuaj thiab ntsuas rau ib qho enzyme hu ua "elastase."
Cov enzyme no ua lub luag haujlwm tseem ceeb hauv kev zom cov zaub mov thaum txheej txheem zom zaub mov. Cov tib neeg nrog EPI zoo li tsis tshua muaj qib elastase tsawg
Kauj Ruam 3. Muab cov quav coj mus kuaj rau 3 hnub
Ib qho ntxiv (lossis hloov pauv) cov qauv quav rau qhov kev kuaj elastase, koj tus kws kho mob yuav hais kom koj muab cov quav tso rau qhov kev kuaj quav 3-hnub. Txhawm rau tsim cov qauv xav tau, koj yuav tsum sau cov qauv ntawm koj cov quav dhau 3-hnub thiab xa lawv mus rau koj tus kws kho mob. Ib yam li mus rau qhov quav elastase kuaj, 3-hnub kuaj kuj tseem yuav raug xa mus rau ib lub chaw kuaj ntshav, qhov twg cov rog uas cov quav muaj yuav raug kuaj.
Cov quav muaj roj ntau dhau yog lub cim ntawm EPI, vim nws qhia tias txoj hnyuv zom zaub mov tsis txaus nqus cov rog los ntawm cov zaub mov zom zaub mov, thiab yog li ntawd cov enzymes tsim tawm hauv lub txiav tsis muaj nyob hauv qhov ntau
Txoj Kev 3 ntawm 3: Kev Xeem Kho Mob rau EPI
Kauj Ruam 1. Nug koj tus kws kho mob kom kuaj qhov ua haujlwm pancreatic ncaj qha
Nov yog ib qho ntawm txoj kev ntsuas raug tshaj plaws rau EPI. Hauv qhov kev ntsuas ua haujlwm, ib rab koob me me tau tso ncaj qha rau hauv koj txoj hnyuv me thiab siv los thim tawm cov kua pancreatic enzyme. Cov kua no raug kuaj los txiav txim seb lawv puas muaj cov zaub mov muaj txiaj ntsig zoo lossis tsis zoo ntawm cov enzymes.
- Txawm hais tias nws ua tau zoo, qhov kev xeem no muaj tsawg thiab tsuas yog ua hauv qee lub chaw kho mob lossis chaw kuaj ntshav.
- Yog tias koj tus kws kho mob xub thawj tsis tuaj yeem ua qhov kev kuaj ntshav ua haujlwm ncaj qha, nug seb lawv puas tuaj yeem xa koj mus rau lub tsev kho mob nyob ze uas tuaj yeem ua qhov kev sim.
Kauj Ruam 2. Nkag mus rau qhov endoscopic ultrasound
Ib qho endoscopic ultrasound yuav tso cai rau koj tus kws kho mob saib koj lub txiav txiav nws tus kheej (thiab lwm yam khoom nruab nrog sab hauv) kom pom seb puas puas sab hauv lossis mob ua rau EPI lossis EPI zoo li cov tsos mob. Qhov kev xeem no yuav zoo li yuav tsum tau muab hauv tsev kho mob: tus kws kho mob yuav ua tus nab tshwj xeeb hauv koj lub caj pas, hla koj lub plab, thiab mus rau saum koj lub plab me. Qhov taub ntawm lub raj tshwj xeeb yuav muaj qhov ntsuas ultrasound uas ua rau lub suab nthwv dej thiab yuav tsim cov duab ntawm koj lub plab sab hauv, uas yuav pab kws kho mob qhia yog tias koj cov txiav txiav puas.
Endoscopic ultrasound yog txheej txheem kho mob sab nrauv thiab yuav tsum siv sijhawm tsawg dua 45 feeb. Qhov kev sim tuaj yeem ua nrog tus neeg mob txawm tias tsis nco qab lossis tsis nco qab lawm; yog tias koj paub, cov neeg ua haujlwm kho mob yuav muab tshuaj rau koj kom txo qhov tsis xis nyob
Kauj Ruam 3. Tham nrog koj tus kws kho mob txog kev kuaj CT
Kev kuaj CT feem ntau tsis tas yuav kuaj mob EPI, tab sis qee qhov nws yuav pab tau. Yog tias koj tus kws kho mob txiav txim siab xav tau CT scan los pab txheeb xyuas koj li EPI, koj yuav raug xa mus rau lub tsev kho mob nrog lub tshuab CT. Txog rau txheej txheem kev tshuaj xyuas, koj yuav tsum tau pw ntawm koj nraub qaum hauv lub tshuab loj loj zoo li lub tshuab CT; koj yuav swb rau hauv lub tshuab thaum nws ntsuas koj lub plab. Xais hluav taws xob CT yuav muab duab xoo hluav taws xob ntawm koj lub plab hauv cheeb tsam, thiab yuav pab kws kho mob pom cov tsos mob ntawm tus kab mob pancreatitis ntev, ib qho ntawm qhov tshwm sim feem ntau ntawm EPI.
- Qee qhov xwm txheej, koj yuav raug hais kom haus cov tshuaj yej zoo li sib xyaw hu ua "sib piv" txhawm rau hais txog qhov sib txawv ntawm koj tus qauv hauv plab thiab ua kom yooj yim rau cov kws kho mob nyeem CT cov txiaj ntsig.
- Nyob ntawm koj tus kws kho mob qhov xav tau thiab cov cuab yeej siv kho mob muaj, koj tuaj yeem tau txais MRI scan lossis MRCP scan hauv qhov chaw CT scan. Tag nrho peb qhov no ua haujlwm ntau lub hom phiaj zoo ib yam thiab yuav pab tau zoo ib yam hauv kev tso cai kws kho mob kuaj mob tus kab mob pancreatitis ntev.
Lub tswv yim
- EPI feem ntau yog tshwm sim los ntawm tus kab mob pancreatitis ntev lossis cystic fibrosis, txawm hais tias nws tuaj yeem tshwm sim los ntawm lwm yam mob, suav nrog kab mob celiac, Crohn tus kab mob, thiab ntshav qab zib, ntawm lwm tus.
- EPI tsis yooj yim rau kev kuaj mob, txij li nws cov tsos mob zoo ib yam li lwm yam kev mob ntawm lub plab thiab zom zaub mov. Koj yuav zoo li yuav tsum tau kuaj qee qhov kev ntsuas piav qhia saum toj no kom tso cai rau koj tus kws kho mob mus txog qhov kuaj mob.
