Chirwere chepancreatitis

Pancreatitis iri kuzvimba kwepancreas. Chisingaperi pancreatitis chiripo kana dambudziko iri risingarape kana kugadzirisa, rinowedzera kuwedzera nekufamba kwenguva, uye rinotungamira mukukuvara zvachose.

Iyo pancreas inhengo iri kuseri kwedumbu. Inogadzira makemikari (anonzi maenzyme) anodikanwa kugaya chikafu. Iyo zvakare inogadzira mahormone insulin uye glucagon.

Kana kuora kwepancreas kukaitika, nhengo yacho haichakwanise kugadzira huwandu chaihwo hweaya maenzyme. Nekuda kweizvozvo, muviri wako unogona kutadza kugaya mafuta uye zvakakosha zvinhu zvekudya.

Kukuvadza kwezvikamu zvepancreas zvinogadzira insulin zvinogona kutungamira kuchirwere cheshuga mellitus.

Mamiriro acho anowanzo kukonzerwa nekushandisa doro zvisina kufanira kwemakore mazhinji. Dzokororo yezvikamu zveacce pancreatitis inogona kutungamira kune isingaperi pancreatitis. Genetics inogona kuve chinhu mune zvimwe zviitiko. Dzimwe nguva, chikonzero hachizivikanwe kana kukonzerwa nematombo enduru.

Mimwe mamiriro akange akabatanidzwa necreative pancreatitis:

• Matambudziko apo immune system inorwisa muviri
• Kuvharirwa kwemachubhu (ducts) anodhonzera maenzyme kubva mupancreas
• Cystic fibrosis
• Mareji akakwirira emafuta, anonzi triglycerides, muropa
• Yakawandisa parathyroid gland
• Kushandiswa kwemimwe mishonga (kunyanya sulfonamides, thiazides, uye azathioprine)
• Pancreatitis inopfuudzwa mumhuri (nhaka)

Chirwere chepancreatitis chinowanzoitika kune varume kupfuura vakadzi. Izvi zvinowanzoitika muvanhu vane makore makumi matatu kusvika makumi mana.

Zviratidzo zvinosanganisira:

MARWADZO EMUDUMBU

• Chikuru mudumbu repamusoro
• Inogona kugara kubva maawa kusvika mazuva; nekufamba kwenguva, inogona kugara iripo
• Zvinogona kuwedzera kubva pakudya
• Zvingatonyanya kubva pakunwa doro
• Inogonawo kunzwika kumashure senge iri kufinha nemudumbu

DAMBUDZIKO DZOKUDZIDZA

• Kurarama nekuremerwa uremu, kunyangwe kana tsika dzekudya uye huwandu zvakajairika
• Dhairrhea, kusvotwa, uye kurutsa
• Mafuta anonhuwa-mafuta kana zvituru zvine mafuta
• Pale kana macuru-mavara macuru

Kuyedza kuongorora kurwara nepancreatitis kunosanganisira:

• Fecal mafuta bvunzo
• Yakawedzera serum amylase nhanho
• Yakawedzera serum lipase level
• Serum trypsinogen

Miedzo inogona kuratidza chikonzero chepancreatitis inosanganisira:

• Serum IgG4 (yekuongorora autoimmune pancreatitis)
• Kuongorora kweGene, kunowanzoitwa kana zvimwe zvikonzero zvakajairika zvisipo kana paine nhoroondo yemhuri

Kufungidzira bvunzo dzinogona kuratidza kuzvimba, vanga, kana kumwe kuchinja kwepancreas kungaonekwa pa:

• CT scan yemudumbu
• Ultrasound yemudumbu
• Endoscopic ultrasound (EUS)
• Magnetic resonance cholangiopancreatography (MRCP)
• Endoscopic kudzokorora cholangiopancreatography (ERCP)

ERCP maitiro anotarisa kune yako bile uye pancreatic ducts. Izvo zvinoitwa kuburikidza ne endoscope.

Vanhu vane kurwadziwa kwakanyanya kana vari kurasikirwa uremu vangangoda kugara muchipatara kwe:

• Mishonga yemarwadzo.
• Mvura inopihwa kuburikidza netsinga (IV).
• Kumisa chikafu kana fluid nemuromo kudzikamisa zviitiko zvepancreas, uye zvishoma nezvishoma kutanga kudya kwemuromo.
• Kuisa chubhu kuburikidza nemhuno kana muromo kubvisa zviri mudumbu (nasogastric suctioning) dzimwe nguva zvinogona kuitwa. Iyo chubhu inogona kugara mukati me1 kusvika kumazuva maviri, kana dzimwe nguva kwe1 kusvika kumavhiki maviri.

Kudya kwakakodzera kwakakosha kune vanhu vane chirwere chepancreatitis chisingaperi kuti vachengetedze huremu hwakanaka uye vawane zvinovaka muviri. Nyanzvi yezvokudya inogona kukubatsira iwe kugadzira chikafu chinosanganisira:

• Kunwa zvinwiwa zvakawanda
• Kukanganisa mafuta
• Kudya zvidiki, zvinogara zvichidya (izvi zvinobatsira kudzora zviratidzo zvekugaya)
• Kuwana mavitamini akakwana uye calcium mukudya, kana sekuwedzera zvinowedzera
• Kukanganisa caffeine

Anopa hutano anogona kupa pancreatic enzymes. Iwe unofanirwa kutora mishonga iyi nekudya kwese, uye kunyangwe nezvikafu zvishoma. Iwo ma enzymes achakubatsira iwe kugaya chikafu zvirinani, kuwedzera uremu uye kudzikisa manyoka.

Dzivisa kusvuta uye kunwa zvinwiwa zvinodhaka, kunyange kana pancreatitis yako iri nyore.

Mimwe mishonga inogona kusanganisira:

• Mishonga yemarwadzo kana yekuvhiya tsinga yekudzivirira marwadzo
• Kutora insulin kudzora shuga yeropa (glucose) chiyero

Kuvhiya kunogona kuitwa kana kuvhara kwakawanikwa. Muzviitiko zvakakomba, chikamu cheiyo kana pancreas yose inogona kubviswa.

Ichi chirwere chakakomba chingakonzera kuremara uye kufa. Iwe unogona kudzikisa njodzi nekudzivirira doro.

Zvinetso zvinogona kusanganisira:

• Ascites
• Kuvharika (kuvharirwa) kwemukati mudumbu kana bile ducts
• Ropa rinovhara mumutsipa wepleen
• Mvura inounganidzwa mupancreas (pancreatic pseudocysts) inogona kutapukirwa
• Chirwere cheshuga
• Kusatora zvakanaka mafuta, zvinovaka muviri, uye mavhitaminzi (kazhinji kazhinji mavhitaminzi ane mafuta, A, D, E, kana K)
• Iron kushomeka anemia
• Vitamin B12 kushomeka

Fonera mupiki wako kana:

• Unovandudza zviratidzo zvepancreatitis
• Une chirwere chepaccreatitis, uye zviratidzo zvako zvinowedzera kana kusavandudza nemushonga

Kutsvaga iyo yakakomba pancreatitis uye kurapa nekukurumidza kunogona kubatsira kudzivirira chisingaperi pancreatitis. Deredza huwandu hwedoro raunonwa kuti udzikise njodzi yako yekukura mamiriro aya.

Chisingaperi pancreatitis - chisingaperi; Pancreatitis - chisingaperi - kubuda; Pancreatic kusakwana - kusingaperi; Acute pancreatitis - isingagumi

• Pancreatitis - kubuda

• Kugaya chirongwa
• Pancreatitis, chisingaperi - CT scan

Forsmark CE. Chirwere chepancreatitis. Muna: Feldman M, Friedman LS, Brandt LJ, eds. Sleisenger uye Fordtran's Gastrointestinal uye Chirwere Chirwere: Pathophysiology / Diagnosis / Management. 10th ed. Philadelphia, PA: Elsevier Saunders; 2016: chits. 59.

Fosmark CE. Pancreatitis. Mune: Goldman L, Schafer AI, eds. Goldman-Cecil Mushonga. 26th ed. Philadelphia, PA: Elsevier; 2020: chits. 135.

Paniccia A, Edil BH. Iwo manejimendi echirwere chisingaperi pancreatitis. Mune: Cameron JL, Cameron AM, eds. Parizvino Kuvhiya Therapy. 12th ed. Philadelphia, PA: Elsevier; 2017: 532-538.