Pancreatitis enamandla

-Delile

• Yini ebangela i-acute pancreatitis?
• Izimbangela eziqondile
• Izimbangela ezingaqondile
• Ngubani osemngciphekweni wokuhlaselwa yisifo sokuqaqamba kwamalunga ngamandla?
• Ukuqaphela izimpawu ze-pancreatitis enamandla
• Yiphule: Ubuhlungu Besisu
• Ukuhlonza i-pancreatitis enamandla
• Ukwelapha i-pancreatitis ebukhali
• Indlela yokuphila nokudla
• Izinkinga ze-pancreatitis enamandla
• Umbono

Kuyini i-acute pancreatitis?

Ama-pancreas isitho esitholakala ngemuva kwesisu futhi siseduze namathumbu amancane. Ikhiqiza futhi isakaze i-insulin, ama-enzyme wokugaya ukudla, namanye ama-hormone adingekayo.

I-Acute pancreatitis (AP) ukuvuvukala kwamanyikwe. Kwenzeka ngokuzumayo futhi kubangele ubuhlungu esifundeni esingenhla esiswini (noma se-epigastric). Ubuhlungu buvame ukuphuma emhlane wakho.

I-AP ingafaka futhi ezinye izitho. Ingakhula futhi ibe i-pancreatitis engapheli uma uneziqephu eziqhubekayo.

Yini ebangela i-acute pancreatitis?

I-pancreatitis enamandla ibangelwa ngqo noma ngokungaqondile. Izimbangela eziqondile zithinta amanyikwe uqobo, izicubu zawo, noma amapayipi awo. Izimbangela ezingaqondile zibangelwa izifo noma izimo ezivela kwenye indawo emzimbeni wakho.

Ama-gallstones angenye yezimbangela ezinkulu ze-pancreatitis ebukhali. Ama-gallstones angahlala emgodini ovamile we-bile futhi avimbele umgudu we-pancreatic. Lokhu kuphazamisa uketshezi olugeleza luye noma lusuke kumanyikwe futhi kudala umonakalo.

Izimbangela eziqondile

Ezinye izimbangela eziqondile zepancreatitis ebukhali zifaka:

• ukuhlaselwa amasosha omzimba ngokuzumayo kuma-pancreas, noma i-autoimmune pancreatitis
• ukulimala kwepancreatic noma i-gallbladder kusuka ekuhlinzweni noma ekulimaleni
• amafutha amaningi ngokweqile okuthiwa i-triglycerides egazini lakho

Izimbangela ezingaqondile

Izimbangela ezingaqondile ze-pancreatitis enamandla zifaka:

• ukuphuza ngokweqile
• i-cystic fibrosis, isimo esibi esithinta amaphaphu akho, isibindi, namanyikwe
• Isifo i-Kawasaki, isifo esivela ezinganeni ezingaphansi kweminyaka emihlanu ubudala
• ukutheleleka ngegciwane njengamagundane nokutheleleka kwamagciwane njenge-mycoplasma
• I-Reye's syndrome, inkinga evela kumagciwane athile angathinta nesibindi
• imithi ethile equkethe i-estrogen, i-corticosteroids, noma ama-antibiotic athile

Ngubani osemngciphekweni wokuhlaselwa yisifo sokuqaqamba kwamalunga ngamandla?

Ukuphuza kakhulu utshwala kungakubeka engcupheni yokuvuvukala kwepancreatic. I-National Institutes of Health (NIH) ichaza “ngokweqile” njengeziphuzo ezingaphezu kwesisodwa ngosuku kwabesifazane neziphuzo ezimbili ngosuku. Abesilisa basengozini enkulu kunabesifazane ngokuthuthukisa i-pancreatitis ehlobene notshwala.

Ukubhema ugwayi kukhulisa nethuba lakho le-AP. Izinga lokubhema nokuphuza liyafana kwabamnyama nabamhlophe baseMelika, kepha abamnyama baseMelika bangamathuba angaphezu kokuphindwe kabili okuthuthukisa i-AP. Umlando womndeni womdlavuza, ukuvuvukala, noma esinye isimo se-pancreatic nakho kukubeka engozini.

Ukuqaphela izimpawu ze-pancreatitis enamandla

Isibonakaliso esivelele se-pancreatitis esibuhlungu ubuhlungu besisu.

Yiphule: Ubuhlungu Besisu

Ubuhlungu bungashintsha kuye ngezici ezithile. Lokhu kufaka phakathi:

• Ubuhlungu ngaphakathi kwemizuzu yokuphuza noma yokudla ukudla
• ubuhlungu busakazeka esiswini sakho buye emhlane noma endaweni yesikhala sehlombe
• ubuhlungu obuhlala izinsuku ezimbalwa ngasikhathi
• ubuhlungu lapho ulele ngomhlane, kakhulu kunangesikhathi uhleli phansi

Ezinye izimpawu zingakhuphula nobuhlungu nokungakhululeki. Lokhu kufaka phakathi:

• imfiva
• isicanucanu
• ukuhlanza
• ukujuluka
• i-jaundice (ukuphuzi kwesikhumba)
• isifo sohudo
• ukuqunjelwa

Lapho noma yiziphi zalezi zimpawu zihambisana nobuhlungu besisu, kufanele ufune usizo lwezokwelapha ngokushesha.

Ukuhlonza i-pancreatitis enamandla

Udokotela wakho angakwazi ukuxilonga i-AP ngokusebenzisa ukuhlolwa kwegazi nokuskena. Ukuhlolwa kwegazi kubheka ama-enzyme (i-amylase ne-lipase) avuzayo amanyikwe. Iskena se-ultrasound, CT, noma seMRI sivumela udokotela wakho ukuthi abone noma ikuphi ukungajwayelekile ngaphakathi noma ezungeze amanyikwe akho. Udokotela wakho uzokubuza futhi ngomlando wakho wezokwelapha futhi akucele ukuthi uchaze ukungaphatheki kahle kwakho.

Ukwelapha i-pancreatitis ebukhali

Imvamisa uzolaliswa esibhedlela ukuze uhlolwe kakhudlwana futhi uqiniseke ukuthi uthola uketshezi olwanele, imvamisa ngemithambo. Udokotela wakho angalawula imishanguzo yokwehlisa ubuhlungu futhi aphathe noma yikuphi ukutheleleka okungenzeka. Uma lezi zindlela zokwelapha zingasebenzi, ungadinga ukuhlinzwa ukuze ususe izicubu ezilimele, ukhiphe uketshezi, noma ulungise amapayipi avinjiwe. Uma ama-gallstones adala inkinga, ungadinga ukuhlinzwa ukuze ususe i-gallbladder.

Uma udokotela wakho ephetha ngokuthi umuthi ubangela i-pancreatitis yakho ebukhali, yeka ukusebenzisa leyo mithi ngokushesha. Uma ukulimala okubuhlungu kubangele i-pancreatitis yakho, gwema lo msebenzi uze ululame ngokuphelele ekwelashweni. Buza nodokotela wakho ngaphambi kokukhulisa umsebenzi wakho.

Ungahle uzwe ubuhlungu obukhulu ngemuva kokuqaqamba kwamaphaphu, ukuhlinzwa noma ezinye izindlela zokwelashwa. Uma unikezwe umuthi wezinhlungu, qiniseka ukuthi ulandela uhlelo lukadokotela wakho lokunciphisa ukungakhululeki kwakho uma ufika ekhaya. Gwema ukubhema ngokuphelele, futhi uphuze uketshezi oluningi ukuze uqiniseke ukuthi awupheli amanzi emzimbeni.

Uma ubuhlungu noma ukungaphatheki kahle kungabekezeleleki, kubalulekile ukuthi ubuye nodokotela wakho ukuze uthole ukuhlolwa kokulandela.

I-acute pancreatitis kwesinye isikhathi ixhunyaniswa nohlobo 2 lwesifo sikashukela, oluthinta ukukhiqizwa kwakho kwe-insulin. Ukudla ukudla okufana namaprotheni anciphile, imifino enamaqabunga, kanye nezinhlamvu ezigcwele kungasiza amanyikwe akho akhiqize i-insulin njalo futhi ngobumnene.

Indlela yokuphila nokudla

Hlala u-hydrated ngaso sonke isikhathi. Gcina ibhodlela lamanzi noma isiphuzo esifakwe i-electrolyte njengeGatorade.

Siza ukuvimbela i-AP ngokunciphisa inani lotshwala oliphuzayo. Uma ngabe usuvele une-pancreatitis futhi awukazenzi izinguquko zokuphila, kungenzeka ukuyihlakulela futhi. Izingane, nentsha engaphansi kweminyaka engu-19, akufanele bathathe i-aspirin ngaphandle uma udokotela wabo ekuyala. I-Aspirin ingadala iReye's syndrome, okuyisisusa esaziwayo se-pancreatitis ebukhali.

Izinkinga ze-pancreatitis enamandla

I-pancreatitis enamandla ingadala ama-pseudocysts kuma-pancreas akho. Lamasaka agcwele uketshezi angaholela ekuthelelekeni nasekuphumeni kwegazi kwangaphakathi. I-pancreatitis enamandla nayo ingaphazamisa ibhalansi yomzimba womzimba wakho. Lokhu kungaholela ezinkingeni eziningi.

Ungase futhi ubhekane nethuba lesifo sikashukela noma sezinso eziholela ku-dialysis. Noma ukungondleki kahle, uma i-pancreatitis yakho ebukhali inzima, noma uma uba ne-pancreatitis engapheli ngokuhamba kwesikhathi.

Kwabanye abantu, i-pancreatitis enamandla ingaba uphawu lokuqala lomdlavuza we-pancreatic. Khuluma nodokotela wakho mayelana nokwelashwa ngokushesha nje lapho kutholakala ukuthi une-pancreatitis ebukhali ukugwema izinkinga. Ukwelashwa okusheshayo nokusebenzayo kunciphisa ubungozi bezinkinga kakhulu.

Umbono

I-Pancreatitis ingadala ubuhlungu obukhulu besikhashana. Amacala angalashwa kanye nokuphindaphinda kungaholela ezinkingeni ezingapheli. Izimo eziningi zingelashwa. Uma ungeniswa esibhedlela ngenxa yokuqaqamba kwamaphaphu okunamandla, kuzodingeka uhlale isikhathi esingakanani kususelwa ebukhulwini besiqephu sakho. Gwema ukuphuza utshwala, ukuvivinya umzimba kanzima, bese ulandela uhlelo lokudla oluvumela amanyikwe akho ukuthi alulame ngaphambi kokubuyela ekudleni okuvamile.

Izimpawu zepancreatitis zingadida. Ubuhlungu besisu kanye nobuhlungu beqolo bungaba nezinye izimbangela. Uma ubona lezi zimpawu bheka udokotela wakho.

I-acute pancreatitis ingalashwa ngempumelelo, futhi imvamisa ushintsho lwendlela yokuphila luzokuvumela ukuthi uphile impilo yakho ngokunethezeka, noma ngabe unama-flare-ups ngezikhathi ezithile. Khuluma nodokotela wakho ukuze uqiniseke ukuthi ulandela uhlelo olulungile lwezokwelapha kanye nezinguquko zendlela yokuphila ukuze unciphise ubungozi bokuqubuka kwesikhathi esizayo kwe-pancreatitis enamandla.