Acute pancreatitis

Acute pancreatitis kukurumidza kuzvimba uye kuzvimba kwepancreas.

Iyo pancreas inhengo iri kuseri kwedumbu. Inoburitsa mahormone insulin uye glucagon. Inogadzirawo mishonga inonzi enzymes inodiwa kugaya chikafu.

Kazhinji yenguva, ma enzymes anongoshanda chete mushure mekunge vasvika mudumbu diki.

• Kana aya ma enzymes akazoita anoshanda mukati mepancreas, anogona kugaya iwo matinji epancreas. Izvi zvinokonzera kuzvimba, kubuda ropa, uye kukuvara kune iyo nhengo nemidziyo yeropa.
• Dambudziko iri rinonzi acute pancreatitis.

Acute pancreatitis inobata varume kazhinji kupfuura vakadzi. Zvimwe zvirwere, kuvhiyiwa, uye tsika zvinokuita iwe mukana wekuvandudza mamiriro aya.

• Kunwa doro kunokonzera 70% yematambudziko muUnited States. Zvinenge zvishanu kusvika zvisere zvinwiwa pazuva kwe5 kana anopfuura makore zvinogona kukuvadza pancreas.
• Matombo ematombo ndiwo anonyanya kukonzera chikonzero. Kana nduru dzacho dzichibuda kunze kweguruva dzichipinda mumatope enyongo, dzinovhara buri rinoburitsa bile nema enzymes. Iyo bile nema enzymes "anodzosera kumusoro" mupancreas uye anokonzera kuzvimba.
• Genetics inogona kuve chinhu mune zvimwe zviitiko. Dzimwe nguva, chikonzero hachizivikanwe.

Mimwe mamiriro anga akabatanidzwa nepancreatitis ndeaya:

• Autoimmune matambudziko (apo immune system inorwisa muviri)
• Kukuvadza kune ducts kana pancreas panguva yekuvhiyiwa
• Yakakwira ropa mazinga emafuta anonzi triglycerides - kazhinji kazhinji pamusoro pe1,000 mg / dL
• Kukuvadza kune pancreas kubva mutsaona

Zvimwe zvikonzero zvinosanganisira:

• Mushure memamwe maitiro anoshandiswa kuongorora nduru uye pancreas matambudziko (ERCP) kana ultrasound inotungamirwa biopsy
• Cystic fibrosis
• Yakawandisa parathyroid gland
• Reye chirwere
• Kushandiswa kwemimwe mishonga (kunyanya estrogens, corticosteroids, sulfonamides, thiazides, uye azathioprine)
• Humwe hutachiona, hwakadai semumota, hunosanganisira rwatata

Chiratidzo chikuru chepascreatitis kurwadziwa kunonzwika muchikamu chepamusoro kuruboshwe kana pakati pedumbu. Kurwadziwa:

• Zvinogona kuve zvakaipisisa mukati memaminitsi mushure mekudya kana kunwa pakutanga, kazhinji kana chikafu chiine mafuta akawanda
• Inova yenguva dzose uye yakaoma, inogara kwemazuva akati wandei
• Zvinogona kuve zvakaipisisa kana wakarara wakarara kumusana
• Inogona kupararira (kupenya) kumashure kana pasi pejasi reruboshwe

Vanhu vane acute pancreatitis vanowanzo tarisa uye vanorwara nefivha, kuda kurutsa, kurutsa uye kudikitira.

Zvimwe zviratidzo zvinogona kuitika nechirwere ichi zvinosanganisira:

• Zvigaro zvine ruvara rwevhu
• Kuzvimba uye kuzara
• Hiccups
• Kuzvidya mwoyo
• Kunyorova yero yeganda uye chena yemeso (jaundice)
• Dumbu rakazvimba

Iye wekuchengetedza hutano achaita bvunzo dzepanyama, dzinogona kuratidza:

• Abdominal unyoro kana bundu (mashoma)
• Kupindwa nechando
• Kuderera kweropa
• Kukurumidza kurova kwemoyo
• Kukurumidza kufema (kufema) chiyero

Miedzo yeLab inoratidza kuburitswa kwepancreatic enzymes ichaitwa. Izvi zvinosanganisira:

• Kuwedzera kweropa amylase level
• Yakawedzera serum reropa lipase nhanho (yakanyanya kuratidza chiratidzo chepancreatitis kupfuura mazinga eamylase)
• Yakawedzera weti amylase nhanho

Mimwe miedzo yeropa inogona kubatsira kuongorora kurwara kwepancreatitis kana matambudziko ayo anosanganisira:

• Yakazara kuverenga ropa (CBC)
• Yakakwana metabolic pani

Iyi inotevera miedzo yekufungidzira iyo inogona kuratidza kuzvimba kwepancreas inogona kuitwa, asi haigare ichidikanwa kuti kuongororwa kweaccancreatitis:

• CT scan yemudumbu
• MRI yemudumbu
• Ultrasound yemudumbu

Kurapa kunowanzoda kugara muchipatara. Inogona kusanganisira:

• Mishonga yemarwadzo
• Mvura inopihwa kuburikidza netsinga (IV)
• Kumisa chikafu kana fluid nemuromo kudzikisira zviitiko zvepancreas

Chubhu inogona kuiswa kuburikidza nemhino kana muromo kuti ubvise zviri mudumbu. Izvi zvinogona kuitwa kana kurutsa uye kurwadziwa kwakanyanya kusiri kuwedzera. Iyo chubhu ichagara mukati me1 kusvika 2 mazuva kusvika 1 kusvika 2 mavhiki.

Kurapa mamiriro akakonzera dambudziko kunogona kudzivirira kurwisa kwakadzokororwa.

Mune zvimwe zviitiko, kurapwa kunodiwa ku:

• Dhonza fluid iro rakaunganidzwa mukati kana kutenderedza pancreas
• Bvisa nduru
• Bvisa zvivharo zvepancreatic duct

Muzviitiko zvakakomba kwazvo, kuvhiya kunodiwa kuti ubvise rwatata, rwakafa kana hutachiona.

Dzivisa kuputa, zvinwiwa zvinodhaka, uye chikafu chine mafuta mushure mekurwiswa kwave nani.

Mhosva zhinji dzinoenda muvhiki kana zvishoma. Zvisinei, zvimwe zviitiko zvinokura kuva chirwere chinotyisa.

Mwero wekufa wakakwira kana:

• Kubuda ropa mupancreas kwaitika.
• Chiropa, moyo, kana itsvo matambudziko aripowo.
• Bundu rinoumba rwatata.
• Iko kune kufa kana necrosis yeakakura huwandu hwetissue mupancreas.

Dzimwe nguva kuzvimba uye hutachiona hazvipore zvakakwana. Dzokorora zvikamu zvepancreatitis zvinogona zvakare kuitika. Chero izvi zvinogona kutungamira kukuvara kwenguva refu kwepancreas.

Pancreatitis inogona kudzoka. Iyo mikana yekudzoka inoenderana nechikonzero, uye kuti ingarapwe zvakadii. Zvinetso zveaccancreatitis zvinogona kusanganisira:

• Yakakomba itsvo kutadza
• Yakareba-refu kukuvara kwemapapu (ARDS)
• Kuvaka kwemvura mudumbu (ascites)
• Mapundu kana mapundu mupancreas
• Kutadza kwemoyo

Fonera mupiki wako kana:

• Iwe une zvakanyanya, zvinogara zvichirwadza mudumbu.
• Iwe unovandudza zvimwe zviratidzo zveakanyanya pancreatitis.

Iwe unogona kudzikisa njodzi yako yezvitsva kana kudzokorora zvikamu zvepancreatitis nekutora matanho ekudzivirira mamiriro ekurapa anogona kutungamira kuchirwere.

• Usanwa doro kana chiri icho chinokonzeresa kurwisa kwakanyanya.
• Ita shuwa kuti vana vanogamuchira majekiseni ekudzivirira kubva pamamonya uye zvimwe zvirwere zvevacheche.
• Rapa matambudziko ekurapa anotungamira kune yakakwira ropa mazinga e triglycerides.

Gallstone pancreatitis; Pancreas - kuzvimba

• Pancreatitis - kubuda

• Kugaya chirongwa
• Endocrine masero
• Pancreatitis, yakaoma - CT scan
• Pancreatitis - akateedzana

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

Paskar DD, Marshall JC. Acute pancreatitis. Mune: Parrillo JE, Dellinger RP, eds. Critical Kuchengetedza Mushonga: Nheyo dzeKuongorora uye Management muVakuru. 5 ed. Philadelphia, PA: Elsevier; 2019: chits. 73.

Tenner S, Baillie J, DeWitt J, Vege SS; American Koreji yeGastroenterology. American College yeGastroenterology nhungamiro: manejimendi epaccreatitis yakaoma. Ndiri J Gastroenterol. 2013; 108 (9): 1400-1415. PMID: 23896955 www.ncbi.nlm.nih.gov/pubmed/23896955.

Tenner S, Steinberg WM. Acute pancreatitis. 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. 58.