Pancreatitis - vana

Pancreatitis muvana, sevanhu vakuru, inoitika apo pancreas inozvimba uye inotsva.

Iyo pancreas inhengo iri kuseri kwedumbu.

Inogadzira makemikari anonzi enzymes, ayo anodiwa kugaya chikafu. Kazhinji yenguva, ma enzymes anongoshanda chete mushure mekunge vasvika mudumbu diki.

Kana ma enzymes aya achinge ave kushanda mukati mepancreas, ivo vanogaya iwo matinji epancreas. Izvi zvinokonzera kuzvimba, kubuda ropa uye kukuvara kunhengo uye nemidziyo yeropa. Mamiriro aya anonzi pancreatitis.

Zvinowanzoitika zvikonzero zvekurwara nepancreatitis muvana zvinosanganisira:

• Kushungurudzika kusvika padumbu, senge kubva kune bhasikoro mubato kubara kukuvara
• Yakadzivirirwa bile duct
• Zvimwe zvinokonzeresa zvemushonga, senge mishonga yekurwisa kubatwa, chemotherapy, kana mamwe maantibayoti
• Utachiona hutachiona, kusanganisira mamora uye coxsackie B
• Yakakwira ropa mazinga emafuta muropa, anonzi triglycerides

Zvimwe zvikonzero zvinosanganisira:

• Mushure memuviri kana pfupa rekutsvaira
• Cystic fibrosis
• Chirwere cheCrohn uye kumwe kusarongeka, apo immune system inorwisa uye nekuparadza hutano hutano nyama nekukanganisa
• Tora 1 chirwere cheshuga
• Yakawandisa parathyroid gland
• Kawasaki chirwere

Dzimwe nguva, chikonzero hachizivikanwe.

Chiratidzo chikuru chepancreatitis muvana kurwadziwa kwakanyanya mudumbu repamusoro. Dzimwe nguva marwadzo anogona kutenderera kumusana, mudumbu nepasi pechipfuva. Iyo kurwadziwa kunogona kuwedzera mushure mekudya.

Zvimwe zviratidzo zvinogona kusanganisira:

• Kukosora
• Kusvotwa uye kurutsa
• Kuzvimba mudumbu
• Kupindwa nechando
• Yero yeganda, inonzi jaundice
• Kupererwa nechido
• Yakawedzera kupisa

Mubatsiri wehutano wemwana wako achaita bvunzo dzepanyama, dzinogona kuratidza:

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

Iye mupi achaita bvunzo bvunzo kutarisa kusunungurwa kwepancreatic enzymes. Izvi zvinosanganisira bvunzo kutarisa:

• Ropa amylase chikamu
• Ropa lipase chikamu
• Urine amylase nhanho

Mimwe miedzo yeropa inosanganisira:

• Yakazara kuverenga ropa (CBC)
• Paneti kana boka rekuongororwa kweropa iro rinopa mufananidzo wakazara wemuviri wemakemikari ako akaenzana

Kufungidzira bvunzo dzinogona kuratidza kuzvimba kwepancreas dzinosanganisira:

• Ultrasound yemudumbu (yakajairika)
• CT scan yemudumbu
• MRI yemudumbu
  

Kurapa kunogona kuda kugara muchipatara. Inogona kusanganisira:

• Mishonga yemarwadzo
• Kumisa chikafu kana zvinwiwa nemuromo
• Mvura inopihwa kuburikidza netsinga (IV)
• Mishonga yekudzivirira kusvotwa nekusvotwa
• Kudya kwemafuta mashoma

Mupiki anogona kuisa chubhu kuburikidza nemhuno kana muromo wemwana kuti abvise zviri mudumbu. Iyo chubhu inosiiwa mukati kwezuva rimwe kana anopfuura. Izvi zvinogona kuitwa kana kurutsa uye kurwadziwa kwakanyanya kusiri nani. Mwana zvakare anogona kupihwa chikafu kuburikidza nemutsinga (IV) kana pombi yekudyisa.

Mwana anogona kupihwa chikafu chakasimba kana ambomira kurutsa. Vazhinji vana vanokwanisa kutora chikafu chakasimba mukati me1 kana mazuva maviri mushure mekurwiswa kwepancreatitis.

Mune zvimwe zviitiko, kurapwa kunodiwa ku:

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

Mhosva zhinji dzinoenda pasvondo. Vana vanowanzo pora zvakakwana.

Chirwere chepancreatitis hachiwanzo kuonekwa muvana. Kana zvikaitika, zvinowanzoitika nekuda kwekuremara kwemajini kana kuremara kwekuzvarwa kwepancreas kana biliary ducts.

Kushatirwa kwakanyanya kwepancreas, uye pancreatitis nekuda kwekushungurudzika kwakashata, senge kubva kubhavha yekubata bhasikoro, kunogona kukonzera matambudziko. Izvi zvinogona kusanganisira:

• Unganidzo yemvura yakatenderedza pancreas
• Kuvaka kwemvura mudumbu (ascites)

Fonera mupiki kana mwana wako achiratidza zviratidzo zvepancreatitis. Zvakare fona kana mwana wako aine izvi zviratidzo:

• Yakasimba, inogara ichirwadza mudumbu
• Inoita zvimwe zviratidzo zvepaccreatitis yakaoma
• Kukura kwepamusoro kwepamuviri kurwadziwa uye kurutsa

Kazhinji yenguva, hapana nzira yekudzivirira pancreatitis.

Connelly BL. Acute pancreatitis. Mu: Yakareba SS, Prober CG, Fischer M, eds. Misimboti uye Maitiro ePediatric Infectious Zvirwere. 5 ed. Philadelphia, PA: Elsevier; 2018: chits. 63.

Kliegman RM, St. Geme JW, Blum NJ, Shah SS, Tasker RC, Wilson KM. Pancreatitis. Mune: Kliegman RM, St. Geme JW, Blum NJ, Shah SS, Tasker RC, Wilson KM, eds. Nelson Chinyorwa chePediatrics. 21st ed. Philadelphia, PA: Elsevier; 2020: chitsiko 378.

Vitale DS, Abu-El-Haija M. Pancreatitis. Mune: Wyllie R, Hyams JS, Kay M, eds. Chiremba Gastrointestinal uye Chirwere Chiropa. 6th ed. Philadelphia, PA: Elsevier; 2021: chits. 82.