I-Pancreatitis - izingane

I-Pancreatitis ezinganeni, njengabantu abadala, ivela lapho amanyikwe evuvukala futhi evuvukala.

Ama-pancreas isitho ngemuva kwesisu.

Ikhiqiza amakhemikhali abizwa ngokuthi ama-enzyme, adingekayo ukugaya ukudla. Isikhathi esiningi, ama-enzyme asebenza kuphela ngemuva kokufinyelela emathunjini amancane.

Lapho la ma-enzyme esebenza ngaphakathi kwamanyikwe, agaya izicubu zomanyikwe. Lokhu kubangela ukuvuvukala, ukopha nokonakala esithweni nasemithanjeni yaso yegazi. Lesi simo sibizwa ngokuthi i-pancreatitis.

Izimbangela ezivamile ze-pancreatitis ezinganeni zifaka:

• Ukuhlukumezeka esiswini, njengokulimala kwesibambo sebhayisikili
• I-bile duct evinjiwe
• Imiphumela emibi yomuthi, njengemithi elwa nokuquleka, i-chemotherapy, noma amanye ama-antibiotic
• Ukutheleleka ngegciwane, kufaka phakathi ama-mumps kanye ne-coxsackie B
• Amazinga aphakeme egazi lamafutha egazini, okuthiwa i-triglycerides

Ezinye izimbangela zifaka:

• Ngemuva kokufakelwa komzimba noma ithambo
• ICystic fibrosis
• Isifo seCrohn nokunye ukuphazamiseka, lapho amasosha omzimba ehlasela futhi abhubhise izicubu zomzimba ezinempilo ngephutha
• Thayipha isifo sikashukela sokuqala
• Indlala ye-parathyroid eyeqile
• Isifo seKawasaki

Kwesinye isikhathi, imbangela ayaziwa.

Uphawu oluyinhloko lwe-pancreatitis ezinganeni ubuhlungu obukhulu esiswini esingenhla. Kwesinye isikhathi izinhlungu zingasabalala ziye emuva, esiswini esingezansi, nengxenye engaphambili yesifuba. Ubuhlungu bungakhuphuka ngemuva kokudla.

Ezinye izimpawu zingafaka:

• Khwehlela
• Isicanucanu nokuhlanza
• Ukuvuvukala esiswini
• Imfiva
• Ukuphuzi kwesikhumba, okubizwa nge-jaundice
• Ukuphelelwa isifiso sokudla
• Ukushaya ngamandla kwenhliziyo

Umhlinzeki wezokunakekelwa kwempilo yengane yakho uzokwenza ukuhlolwa komzimba, okungakhombisa:

• Ubumnene besisu noma isigaxa (isisindo)
• Imfiva
• Umfutho wegazi ophansi
• Ukushaya kwenhliziyo okusheshayo
• Izinga lokuphefumula okusheshayo

Umhlinzeki uzokwenza izivivinyo zebhu ukubheka ukukhishwa kwama-enzyme e-pancreatic. Lokhu kufaka phakathi ukuhlolwa kokuhlola:

• Izinga le-amylase yegazi
• Izinga legazi lipase
• Izinga le-urine amylase

Okunye ukuhlolwa kwegazi kufaka:

• Qedela ukubalwa kwegazi (CBC)
• Iphaneli noma iqembu lokuhlolwa kwegazi okunikeza isithombe esiphelele sebhalansi yamakhemikhali omzimba wakho

Ukuhlola ukuhlolwa okungabonisa ukuvuvukala kwamanyikwe kufaka:

• I-Ultrasound yesisu (esivame kakhulu)
• I-CT scan yesisu
• I-MRI yesisu
  

Ukwelashwa kungadinga ukuhlala esibhedlela. Kungabandakanya:

• Imithi yezinhlungu
• Ukumisa ukudla noma uketshezi ngomlomo
• Uketshezi olunikezwa ngomthambo (IV)
• Imithi yokulwa nesicanucanu yokuhlanza nokuhlanza
• Ukudla okunamafutha amancane

Umhlinzeki angafaka ishubhu ngamakhala noma ngomlomo wengane ukuze asuse okuqukethwe yisisu. Ishubhu lizoshiywa usuku olulodwa noma ngaphezulu. Lokhu kungenziwa uma ukuhlanza nobuhlungu obukhulu kungathuthuki. Ingane nayo inganikezwa ukudla ngomthambo (IV) noma ngepayipi lokudla.

Ingane inganikezwa ukudla okuqinile uma isiqeda ukuhlanza. Iningi lezingane liyakwazi ukuthatha ukudla okuqinile kungakapheli izinsuku ezi-1 noma ezi-2 ngemuva kokuhlaselwa kwepancreatitis ebukhali.

Kwezinye izimo, ukwelashwa kuyadingeka:

• Khipha uketshezi oluqoqwe ngaphakathi noma ezungeze amanyikwe
• Susa amatshe enyongo
• Yehlisa ukuvinjelwa komgudu wepancreatic

Amacala amaningi ayahamba ngesonto. Izingane zivame ukululama ngokuphelele.

I-pancreatitis engapheli ayibonakali ezinganeni. Lapho kwenzeka, kuvame kakhulu ngenxa yokukhubazeka kofuzo noma ukukhubazeka kokuzalwa kwamanyikwe noma ama-biliary ducts.

Ukucasuka okukhulu kwamanyikwe, kanye ne-pancreatitis ngenxa yokuhlukumezeka okungaqondile, okuvela kubha yesibambo sebhayisikili, kungadala izinkinga. Lokhu kungafaka:

• Ukuqoqwa koketshezi oluzungeze amanyikwe
• Ukwakhiwa koketshezi esiswini (ascites)

Shayela umhlinzeki uma ingane yakho ikhombisa izimpawu ze-pancreatitis. Fonela futhi uma ingane yakho inalezi zimpawu:

• Ubuhlungu obukhulu, obuhlala njalo besisu
• Kuthuthukisa ezinye izimpawu zepancreatitis ebukhali
• Ubuhlungu obukhulu besisu nokuhlanza

Isikhathi esiningi, ayikho indlela yokuvimbela i-pancreatitis.

I-Connelly BL. I-pancreatitis enamandla. Ku: SS ende, Prober CG, Fischer M, eds. Izimiso kanye Nokuzijwayeza Kwezifo Ezithathelwanayo Zengane. Umhlaka 5. IPhiladelphia, PA: Elsevier; 2018: isahluko 63.

IKliegman RM, iSt. Geme JW, iBlum NJ, i-Shah SS, iTasker RC, iWilson KM. I-Pancreatitis. Ku: Kliegman RM, St Geme JW, Blum NJ, Shah SS, Tasker RC, Wilson KM, eds. Incwadi kaNelson Yezingane. Umhlaka 21. IPhiladelphia, PA: Elsevier; 2020: isahluko 378.

IVitale DS, Abu-El-Haija M. Pancreatitis. Ku: Wyllie R, Hyams JS, Kay M, eds. Izifo Zamathumbu Emathunjini Nesibindi. Umhlaka 6. IPhiladelphia, PA: Elsevier; 2021: isahluko 82.