ENDOCRINE ROLES
The hormones modulate every other aspect of cellular nutrition
-Rate of adsorption of food stuffs
-Cellular storage or metabolism of nutrients
The islets of Langerhans
The endocrine pancreas consists of The endocrine pancreas consists of 0.7-1 million small endocrine glands -the islets of Langerhans- scattered within the glandular substance of the exocrine pancreas.
▦ Physiologic Action of Gut Hormones
Criteria
① Peptide must be related into blood during time that a biologic response in a target organ is being stimulated or inhibited
② IV infusion of pure natural peptide must reproduce the effect on target organ
③ Synthetic peptide should reproduce the effect found with natural peptide
④ Circulating concentration of peptide that cause stimulat
있지 않다.
만성 췌장염의 분류
Marseille-Rome Classification (1988)
분류: 1) acute pancreatitis
2) chronic pancreatitis: 병리조직소견상 subclassification
(1) chronic obstructive pancreatitis
(2) chronic calcifying pancreatitis
intraductal protein plug 또는 calculi 가 항상 존재
원인이 제거되어도 대부분 구조 및 기능의 변화가 진행
1 aa of each 각각
2 a.c before meals / ante cibum 식전
3 b.i.d twice a day / bis in die 하루 두 번
4 C.C chief complaint 주 증상
5 D/C Discontinue 중지
6 gtt drops 방울
7 hs at bedtime / hora somni 취침시간
8 I&D incision and drainage 절개와 배액
9 I&O intake and output 섭취와 배설
10 NPO nothing by mouth / nothing per oral 금식
11Right eye / oculus dexter
pancreatic adenocarcinoma, with mesenteric vascular insufficiency, or in systemic diseases such as diabetes, scleroderma, and amyloidosis. Idiopathic gastroparesis occurring in the absence of systemic illness may follow a viral prodrome, suggesting an infectious etiology. Intestinal pseudoobstruction is characterized by disrupted intestinal and colonic motor activity and leads to retention of foo
내분비계
I. 총론
우리 몸에서 분비되는 물질이 체외로 분비되는 것을 외분비(exocrine)라 하며 대표적인 것은 땀과 소화액 분비이다. 내분비(endocrine)는 체내로 분비되는 물질로 일반적으로 혈액내로 분비되어 멀리 떨어진 그 물질에 대한 수용체를 갖고 있는 세포나 장기에 작용하는 물질을 호르몬이
2) 인슐린 공급 : 저혈당에 주의해야 한다. pancreatic polypeptide로 당뇨를 조절한다.
3) pancreatic enzyme replacement
① Diarrhea, steatorrhea
-비록 지방변이 완전히 좋아지지는 않더라도 enzyme replacement tx로 설사와 지방변이
흔히 호전된다.
-주 문제는 효소를 십이지장으로 충분히 전달하는 것이 중요한데 대략 li
client's own verbal expression of
problems, concerns
reasons for change
optimism regarding change
Motivational Enhancement Therapy
effective with
a broad range of severity of alcohol problems
clients in the earliest stages of change
problem drinkers
marijuana and heroin users
may be insufficient
for clients who desire clear direction and advice
with more severely impaired clients