I-pancreatitis engapheli

I-Pancreatitis ukuvuvukala kwamanyikwe. I-pancreatitis engapheli ikhona lapho le nkinga ingapholi noma ithuthuke, iba yimbi ngokuhamba kwesikhathi, futhi iholele ekulimaleni unomphela.

Ama-pancreas isitho esitholakala ngemuva kwesisu. Ikhiqiza amakhemikhali (abizwa ngokuthi ama-enzyme) adingekayo ukugaya ukudla. Iphinde ikhiqize ama-hormone insulin kanye ne-glucagon.

Lapho kuvela isibazi samanyikwe, isitho asisakwazi ukwenza inani elifanele lala ma-enzyme. Ngenxa yalokhu, umzimba wakho ungahle ungakwazi ukugaya amanoni nezakhi zokhiye zokudla.

Ukulimala kwezingxenye zepancreas ezenza i-insulin kungaholela kusifo sikashukela.

Isimo sivame ukubangelwa ukuphuza ngokweqile eminyakeni eminingi. Iziqephu eziphindaphindwayo ze-pancreatitis ebukhali zingaholela ekuthwaseni kwamaphaphu okungamahlalakhona. Izakhi zofuzo zingaba nesici kwezinye izimo. Kwesinye isikhathi, imbangela ayaziwa noma ibangelwe ngamatshe enyongo.

Ezinye izimo ezixhunyaniswe ne-pancreatitis engapheli:

• Izinkinga lapho amasosha omzimba ehlasela umzimba
• Ukuvaleka kwamashubhu (amapayipi) okukhipha ama-enzyme emanyikwe
• ICystic fibrosis
• Amazinga aphezulu amafutha, abizwa nge-triglycerides, egazini
• Indlala ye-parathyroid eyeqile
• Ukusetshenziswa kwemithi ethile (ikakhulukazi i-sulfonamides, i-thiazides, ne-azathioprine)
• I-Pancreatitis edluliselwa emindenini (ifa)

I-pancreatitis engapheli ivame kakhulu emadodeni kunabesifazane. Lokhu kuvame ukwenzeka kubantu abaneminyaka engama-30 kuye kwengu-40.

Izimpawu zifaka:

UBUHLUNGU BESIFAZANE

• Kukhulu esiswini esingenhla
• Ingahlala kusuka emahoreni kuya ezinsukwini; ngokuhamba kwesikhathi, ingahlala ikhona
• Kungaba kubi kakhulu ekudleni
• Kungaba kubi kakhulu ngokuphuza utshwala
• Kwangathi futhi kuzwakala ngemuva sengathi kuyabhora ngesisu

IZINKINGA ZOKUDONSA

• Ukwehla kwesisindo okungapheli, noma ngabe imikhuba namanani okudla ejwayelekile
• Uhudo, isicanucanu nokuhlanza
• Amafutha anuka kabi noma indle enamafutha
• Izitulo ezinombala ophuzi noma o-orange

Ukuhlolwa kokuthola ukuthi i-pancreatitis ifaka phakathi:

• Ukuhlolwa kwamafutha endle
• Izinga le-serum amylase elandisiwe
• Izinga le-serum lipase elandisiwe
• I-Serum trypsinogen

Ukuhlolwa okungakhombisa imbangela yokuqaqamba kwamaphaphu kufaka phakathi:

• I-Serum IgG4 (yokuhlonza i-autoimmune pancreatitis)
• Ukuhlolwa kwe-Gene, okuvame ukwenziwa lapho ezinye izimbangela ezivamile zingekho noma kunomlando womndeni

Ukufanekisa izivivinyo ezingabonisa ukuvuvukala, ukusikeka, noma olunye ushintsho lwamanyikwe kungabonakala ku:

• I-CT scan yesisu
• I-Ultrasound yesisu
• I-endoscopic ultrasound (EUS)
• Imagnetic resonance cholangiopancreatography (MRCP)
• I-Endoscopic retrograde cholangiopancreatography (ERCP)

I-ERCP yinqubo ebheka imithambo yakho ye-bile ne-pancreatic. Kwenziwa nge-endoscope.

Abantu abanezinhlungu ezinzima noma abancipha emzimbeni bangadinga ukuhlala esibhedlela ukuze:

• Imithi yezinhlungu.
• Uketshezi olunikezwa ngomthambo (IV).
• Ukumisa ukudla noma uketshezi ngomlomo ukukhawulela umsebenzi wamanyikwe, bese uqala kancane ukudla okudliwayo ngomlomo.
• Ukufaka ithubhu ngamakhala noma emlonyeni ukuze ususe okuqukethwe yisisu (ukumunca i-nasogastric) kwesinye isikhathi kungenziwa. Ishubhu lingahlala izinsuku ezi-1 kuya kwezi-2, noma kwesinye isikhathi amasonto ayi-1 kuye kwayi-2.

Ukudla okulungile kubalulekile kubantu abane-pancreatitis engapheli ukuze bagcine isisindo esinempilo futhi bathole izakhi zomzimba ezifanele. Isazi sokudla okunempilo singakusiza udale ukudla okubandakanya:

• Ukuphuza iziphuzo eziningi
• Kukhawulela amafutha
• Ukudla ukudla okuncane, okuvamile (lokhu kusiza ukunciphisa izimpawu zokugaya ukudla)
• Ukuthola amavithamini ne-calcium eyanele ekudleni, noma njengezengezo ezingeziwe
• Ukunciphisa i-caffeine

Umhlinzeki wezokunakekelwa kwempilo angahle anikeze ama-enzyme e-pancreatic. Kumele uyiphuze le mithi njalo lapho udla, ngisho nokudla okulula. Ama-enzyme azokusiza ukugaya ukudla kangcono, ukhuluphele futhi wehlise nohudo.

Gwema ukubhema nokuphuza iziphuzo ezidakayo, noma ngabe i-pancreatitis yakho imnene.

Ezinye izindlela zokwelashwa zingabandakanya:

• Imithi yezinhlungu noma ibhlokhi yezinzwa yokuhlinza ukuqeda izinhlungu
• Ukuthatha i-insulin ukulawula izinga likashukela egazini (i-glucose)

Ukuhlinzwa kungenziwa uma kutholakala ukuvinjelwa. Ezimweni ezimbi kakhulu, ingxenye noma wonke amanyikwe angasuswa.

Lesi yisifo esibi esingaholela ekukhubazekeni nasekufeni. Unganciphisa ubungozi ngokugwema utshwala.

Izinkinga zingafaka:

• Ama-Ascites
• Ukuvinjelwa (ukuvinjelwa) kwamathumbu amancane noma ama-bile ducts
• Ukujiya kwegazi emthanjeni wobende
• Amaqoqo oketshezi kumanyikwe (ama-pancreatic pseudocysts) angatheleleka
• Isifo sikashukela
• Ukumuncwa kabi kwamafutha, izakhamzimba, kanye namavithamini (imvamisa amavithamini ancibilika amafutha, A, D, E, noma K)
• Ukushoda kwe-iron anemia
• Ukuntuleka kwe-Vitamin B12

Shayela umhlinzeki wakho uma:

• Uba nezimpawu ze-pancreatitis
• Une-pancreatitis, futhi izimpawu zakho ziba zimbi kakhulu noma azithuthuki ngokwelashwa

Ukuthola imbangela ye-pancreatitis ebukhali nokuyelapha ngokushesha kungasiza ekuvimbeleni isifo sokuqaqamba kwamalunga okungamahlalakhona. Nciphisa inani lotshwala obuphuzayo ukunciphisa ingozi yokuba nalesi simo.

I-pancreatitis engapheli - engapheli; I-Pancreatitis - okungapheli - ukukhishwa; Ukungakwazi ukusebenza kwepancreatic - okungapheli; I-pancreatitis enamandla - engapheli

• I-Pancreatitis - ukukhipha

• Uhlelo lokugaya ukudla
• I-Pancreatitis, okungapheli - i-CT scan

I-Forsmark CE. I-pancreatitis engapheli. Ku: Feldman M, Friedman LS, Brandt LJ, ama-eds. ISleisenger neFordtran's Gastrointestinal and Liver Disease: IPathophysiology / Diagnosis / Management. Umhlaka 10. IPhiladelphia, PA: Elsevier Saunders; 2016: isahluko 59.

I-Fosmark CE. I-Pancreatitis. Ku: IGoldman L, iSchafer AI, ama-eds. Imithi yeGoldman-Cecil. Umhla ka-26. IPhiladelphia, PA: Elsevier; 2020: isahluko 135.

IPaniccia A, u-Edil BH. Ukuphathwa kwe-pancreatitis engapheli. Ku: UCameron JL, uCameron AM, ama-eds. Ukwelashwa Kwamanje. Umhla ka-12. IPhiladelphia, PA: Elsevier; 2017: 532-538.