He aha te Pancreatitus Autoimmune? Tohutohu, Take, me te Maimoatanga

Ko te pancreatitis autoimmune tetahi āhuatanga e whakaekehia ai e tō pūnaha matewai tō pancreas, ā, ka puta he mumura me te pupuhi. Whakaarohia he pohehe te pūnaha tiaki o tō tinana, ā, ka whakaeke i tetahi whekau hauora hei utu mō ngā kaiwhakaeke kino.

He tino onge tenei momo pancreatitis, e pā ana ki te 1 i te 100,000 o te iwi ia tau. Kāore i rite ki te pancreatitis koi nui ake e puta mai ana i ngā kohatu gallstones rānei i te waiū, ka tupu haere te pancreatitis autoimmune, ā, ka rite tonu ki te mate pukupuku pancreatic i ōna wā tuatahi, ka āwangawanga pea te hunga māui me ō rātou whānau.

He aha te Pancreatitus Autoimmune?

Ka puta te pancreatitis autoimmune ina hangaia e tō pūnaha matewai ngā antibodies e whakaeke ana i te kiko o tō pancreas. He whekau nui tō pancreas e noho ana i muri i tō kopu, ā, ka whakaputa i ngā enzymes digestive me ngā homoni pēnei i te insulin.

E rua ngā momo matua o tēnei āhuatanga. Ko te momo 1 o te pancreatitis autoimmune te mea tino noa, ā, ka pā pea ki ētahi atu whekau hoki, i te wā e noho ana te momo 2 ki te pancreas. Ka puta i ngā momo e rua te pupuhi me te mumura o te pancreas, engari ka pai te whakautu ki te maimoatanga ina mau wawe.

Ko te rongo pai, he āta maimoatia tenei āhuatanga, ā, ka nui te whakapai ake o te hunga maha me te tiaki hauora tika. Ka taea e tō pancreas te hoki ki te mahi noa ina manaakihia te mumura.

He aha ngā Momo o te Pancreatitus Autoimmune?

Ko te momo 1 o te pancreatitis autoimmune te momo tino noa, e 80% pea o ngā keehi puta noa i te ao. Ko tēnei momo ka uru pea ki ētahi atu whekau pēnei i ō kauwhata bile, ngā whekau salivary, rānei ngā whatukuhu, ā, ka hangaia e ngā tākuta he āhuatanga autoimmune “multi-organ”.

Ko te momo 2 o te pancreatitis autoimmune ka pā noa ki tō pancreas, ā, he tino noa i ngā tāngata kōhungahunga. Ko tēnei momo ka hono atu ki te mate puku mumura, inā te mate ulcerative colitis, ā, ka puta he tauira mumura rerekē i raro i te microscope.

Ko te mārama ki te momo kei a koe ka āwhina i tō tākuta ki te whiriwhiri i te huarahi maimoatanga tino whai hua. Ka whakautu ngā momo e rua ki te maimoatanga, engari ka rerekē pea ngā rongoā me ngā rautaki aroturuki.

He aha ngā Tohutohu o te Pancreatitus Autoimmune?

Ka tupu haere ngā tohu o te pancreatitis autoimmune i roto i ngā wiki rānei i ngā marama, ā, ka ngāwari te tirotiro i te tīmatanga. He tokomaha ngā tāngata e kōrero ana mō te “kore pai” i mua i te kite i te tauira mārama.

Ko ēnei ngā tohu tino noa ka pā pea ki a koe:

• Te mamae o te kopu ka ngawari ki te reo, kei runga i tō puku.
• Te ngaro o te taumaha kaore i te whakamārama i roto i ngā wiki rānei i ngā marama.
• Te kōwhai o tō kiri me ō kanohi (jaundice) nā te uru atu o te kauwhata bile.
• Te mimi pouri me ngā paru ngawari, hinuhinu.
• Te ngaro o te hiahia kai me te ngāwari te makona.
• Te ngenge me te ngoikore whānui.
• Te tīmatanga hou o te mate huka rānei te whakapaitanga o te mana whakahaere o te huka toto.

Ka pā pea ki ētahi atu whekau ētahi atu tohu, ki te momo 1 o te pancreatitis autoimmune. Ka uru pea ēnei ki te waha maroke, ngā whekau salivary pupuhi, rānei ngā raruraru whatukuhu. Ko te whakakotahitanga o ngā tohu ka āwhina i ngā tākuta ki te wehewehe i tēnei āhuatanga i ētahi atu mate pancreatic.

He aha ngā Take o te Pancreatitus Autoimmune?

Kāore i tino mārama te take tika o te pancreatitis autoimmune, engari e whakapono ana ngā kairangahau he whakakotahitanga o te whakawhānautanga ira me ngā kaiwhakaoho taiao. Ka pohehe te pūnaha matewai o tō tinana, ā, ka tīmata te whakaeke i te kiko pancreatic hauora.

He maha ngā take ka āwhina ki te whanake i tēnei āhuatanga:

• Ngā take ira e āhei ai tō pūnaha matewai ki te mahi he.
• Ngā mate o mua ka whakaoho pea i te whakautu autoimmune.
• Ngā whakamahinga taiao, ahakoa kāore i te mārama ngā kaiwhakaoho motuhake.
• Te whai i ētahi atu āhuatanga autoimmune pēnei i te mate rheumatoid rānei te mate puku mumura.

I roto i ngā keehi onge, kua whakapaehia etahi rongoā rānei poizon hei kaiwhakaoho pea, engari kāore te nuinga o te hunga e whai ana i te pancreatitis autoimmune i te take e taea te whakamārama. Ko te mea nui kia mahara, ehara tēnei i te mea i puta mai i a koe, kāore hoki e taea te aukati.

He aha ngā Take Pānga mō te Pancreatitus Autoimmune?

Ka piki pea ētahi take i tō tūponotanga ki te whanake i te pancreatitis autoimmune, ahakoa te whai i ēnei take pānga, kāore e tikanga ka whiwhi koe i te āhuatanga. Ka āwhina te mārama ki ēnei take i a koe me tō tākuta ki te tiaki mō ngā tohu wawe.

Ko ngā take pānga matua ko:

• Ko te tane me te neke atu i te 50 tau te pakeke (ahakoa ka pā ki te tangata).
• Te whai i ētahi atu āhuatanga autoimmune pēnei i te mate puku mumura.
• Te hītori whānau o ngā mate autoimmune.
• Ētahi tohu ira, inā i ngā iwi Ahia.
• Te hītori o ngā āhuatanga mate pāwera rānei ngā taumata IgG4 teitei i roto i ngā whakamātautau toto.

Ko ngā take pānga onge ake ko te whai i ētahi mate i mua rānei te whakamahinga ki ētahi kaiwhakaoho taiao motuhake. Heoi, kāore te nuinga o te hunga e whai ana i te pancreatitis autoimmune i ngā take pānga mārama, e whakamahara ana ki a tātou ka taea e tēnei āhuatanga te pā ki te tangata.

Nōhea te Tūhono ki te Tākuta mō te Pancreatitus Autoimmune?

Me whakapiri atu koe ki tō tākuta ki te pāngia koe e te mamae o te kopu e mau tonu ana, te ngaro o te taumaha kaore i te whakamārama, rānei te kōwhai o tō kiri me ō kanohi. Ka hiahia ēnei tohu ki te aromatawai hauora tere, inā ka puta tahi.

Rapua te awhina hauora tere ki te puta mai he mamae kopu nui, he kirika nui, rānei ngā tohu o te ngenge wai nui. Ahakoa ka tupu haere te pancreatitis autoimmune, ka puta pea ngā raruraru i etahi wā e hiahia ana ki te tiaki tere.

Kaua e tatari ki te kite koe i ngā tohu mate huka hou pēnei i te matewai nui, te mimi pinepine, rānei te ngenge kaore i te whakamārama, inā kei runga ake i te 50 ō tau. Ka taea e te taumata me te maimoatanga wawe te aukati i ngā raruraru me te āwhina i te tiaki i tō mahi pancreatic.

He aha ngā Raruraru Pea o te Pancreatitus Autoimmune?

Ahakoa he āta maimoatia te pancreatitis autoimmune, ka āhei te arahi ki ngā raruraru ki te kore e maimoatia, ki te whakaroa rānei te maimoatanga. Ko te mārama ki ēnei take pea ka āwhina i te whakau i te hiranga o te tiaki hauora tika.

Ko ngā raruraru tino noa ko:

• Te mate huka mellitus nā te pakaru o ngā pūtau whakaputa insulin.
• Ngā strictures kauwhata bile e puta ai te jaundice mau tonu.
• Te kore o te mahi pancreatic e arahi ana ki ngā raruraru digestive.
• Ngā raruraru whatukuhu, inā ki te momo 1 o te pancreatitis autoimmune.
• Te kore mahi o te whekau salivary e puta ai te waha maroke.

Ko ngā raruraru onge engari kino ka uru ki te pakaru nui o te pancreas rānei te uru atu o ngā oko toto nui. Ka puta pea ki ētahi atu pseudocysts rānei ngā wāhanga hou ki te kore e manaakihia tika te āhuatanga. Ko te rongo pai, ka taea te aukati i te nuinga o ngā raruraru, ki te āta maimoatia rānei ina mau wawe.

Me pēhea te Taumata o te Pancreatitus Autoimmune?

Ko te taumata o te pancreatitis autoimmune ka hiahia ki te whakakotahitanga o ngā rangahau whakaahua, ngā whakamātautau toto, me ngā tauira kiko i etahi wā. Ka tīmata pea tō tākuta me te hītori hauora taipitopito me te whakamātautau tinana ki te mārama ki ō tohu.

Ko te tukanga taumata ka uru pea ki ngā tirohanga CT rānei MRI ki te kite i tō pancreas me te rapu i ngā huringa āhuatanga. Ka tirotiro ngā whakamātautau toto i ngā taumata IgG4 teitei me ētahi atu tohu autoimmune e āwhina ana ki te wehewehe i tēnei āhuatanga i te mate pukupuku pancreatic.

I roto i ētahi keehi, ka tūtohutia pea e tō tākuta he biopsy rānei ngā tukanga endoscopic ki te titiro tata atu ki te kiko pancreatic. I etahi wā, ka whakamahi ngā tākuta i te “whakamātautau steroid” e hoatu ana e rātou te rongoā anti-mumura ki te kite mena ka pai ake ō tohu, ka āwhina pea i te taumata.

He aha te Maimoatanga mō te Pancreatitus Autoimmune?

Ko te maimoatanga matua mō te pancreatitis autoimmune ko te corticosteroids pēnei i te prednisone ki te whakaiti i te mumura me te whakakore i te whakautu matewai nui. Ka whakautu nui te nuinga o te iwi ki tēnei maimoatanga, i roto i ngā rā rānei i ngā wiki.

Ka tīmata pea tō tākuta me te nui ake o te rongoā steroid, ā, ka whakaiti haere i roto i ngā marama maha. Ka āwhina tēnei huarahi ki te manaaki i te mumura i te wā e whakaiti ana i ngā pānga kino mai i te whakamahinga steroid roa.

Mō te hunga kaore e taea te whakamanawanui ki ngā steroids rānei ngā relapses, ka taea te whakamahi i ētahi atu rongoā immunosuppressive pēnei i te azathioprine rānei te mycophenolate. Ka āwhina ēnei rongoā ki te pupuri i te remission i te wā e āhei ana mō ngā rongoā steroid iti ake.

Ka uru pea ngā maimoatanga atu ki ngā tāpiri enzyme ki te kore e whakaputa i ngā enzymes digestive nui tō pancreas, me te insulin ki te puta mai te mate huka. Ka aroturuki hoki tō tākuta me te maimoatanga i ngā raruraru e pā ana ki ētahi atu whekau.

Me pēhea te Tango Maimoatanga Kāinga i te Wā o te Pancreatitus Autoimmune?

Ko te whakahaere i te pancreatitis autoimmune i te kāinga ka uru ki te tango i ō rongoā tika i te mea i whakaritea me te aroturuki mō ngā huringa i ō tohu. Kaua rawa e mutu, ki te whakaiti rānei i ō steroids me te kore e ui ki tō tākuta, ka āhei pea tēnei ki te puta he flare-up.

Pupurihia he kai hauora e ngāwari ana ki tō pūnaha digestive. Ka uru pea tēnei ki ngā kai iti ake, maha atu, me te karo i ngā kai e tino ngawari ana rānei e uaua ana ki te whakahaere. Noho pai te inu wai, ā, whakaarohia te pupuri i te tātai tohu ki te aroturuki i tō ahuatanga.

Tirohia ngā tohu o ngā raruraru pēnei i te whakapainga o te mamae o te kopu, te tīmatanga hou o ngā tohu mate huka, rānei ngā huringa i te tae o tō kiri. Ko ngā huihuinga aroturuki noa he mea nui mō te aroturuki i tō whakautu ki te maimoatanga me te whakarite i ngā rongoā i te mea e hiahiatia ana.

Me pēhea te Whakarite mō tō Huihuinga Tākuta?

I mua i tō huihuinga, tuhia katoa ō tohu, tae atu ki te wā i tīmata ai rātou me te āhua o te huringa i te wā. Kawe mai he rārangi o ngā rongoā katoa, ngā tāpiri, me ngā rēkōta hauora o mua e pā ana ki tō āhuatanga.

Whakaritea ngā pātai mō tō mahere maimoatanga, ngā pānga kino pea o ngā rongoā, me te mea e tatari ana i te wā whakaora. Ui mō ngā whakarerekētanga oranga, ngā tūtohu kai, me ngā tohu o ngā raruraru hei tiaki mō.

Whakaarohia te kawe mai i te mema whānau rānei te hoa ki te āwhina i a koe ki te mahara ki ngā mōhiohio nui i kōrerohia i te wā o te huihuinga. Kaua e whakaroa ki te ui ki tō tākuta ki te whakamārama i tetahi mea kaore koe i te mārama.

Me pēhea te Aukati i te Pancreatitus Autoimmune?

Aroha mai, kāore he huarahi e mohiotia ana ki te aukati i te pancreatitis autoimmune, no te mea he āhuatanga autoimmune me ngā kaiwhakaoho kaore i te mārama. Ko te huarahi pai ko te pupuri i te hauora pai whānui me te mōhio ki ngā tohu ki te whai koe i ngā take pānga.

Ki te whai koe i ētahi atu āhuatanga autoimmune, mahi tata atu ki tō rōpū hauora ki te whakahaere pai i a rātou. Ka āhei pea tēnei ki te whakaiti i tō kawenga mumura whānui me te whakaiti pea i tō tūponotanga ki te whanake i ngā raruraru autoimmune atu.

Arotahi ki te pupuri i te oranga hauora me te whakakori noa, te kai tōtika, me te whakahaere i te ahotea. Ahakoa kāore ēnei e aukati i te pancreatitis autoimmune motuhake, ka tautoko rātou i tō hauora pūnaha matewai whānui.

He aha te Tākutake Matua mō te Pancreatitus Autoimmune?

He āhuatanga maimoatia te pancreatitis autoimmune e whakautu pai ana ki te tiaki hauora tika. Ahakoa ka wehi pea te taumata, inā te rite ki te mate pukupuku pancreatic, ko te pororohanga he tino pai me te maimoatanga tika.

Ko te matua ko te kite wawe me te maimoatanga tere me ngā rongoā anti-mumura. Ka nui te whakapai ake o te nuinga o te iwi i ō rātou tohu, ā, ka taea te hoki ki ngā mahi noa me te whakahaere hauora haere tonu.

Kia mahara he āhuatanga roa tēnei e hiahia ana ki te aroturuki roa, engari me te tiaki tika, ka ora te nuinga o te iwi i ngā oranga noa, hauora. Noho hono atu ki tō rōpū hauora, ā, kaua e whakaroa ki te whakapiri atu ki te whai koe i ngā awangawanga.

Ngā Pātai Nui e Uihia ana mō te Pancreatitus Autoimmune

U1: He rite te pancreatitis autoimmune ki te mate pukupuku pancreatic?

Kāo, he rerekē rawa te pancreatitis autoimmune i te mate pukupuku pancreatic. Ahakoa ka puta mai ngā tohu rite pēnei i te mamae o te kopu me te ngaro o te taumaha i ngā āhuatanga e rua, he āhuatanga mumura te pancreatitis autoimmune e whakautu pai ana ki te maimoatanga anti-mumura. He mate pukupuku te mate pukupuku pancreatic e hiahia ana ki ngā huarahi maimoatanga rerekē. Ka taea e tō tākuta te wehewehe i waenga i ēnei āhuatanga mā te whakamahi i ngā rangahau whakaahua me ngā whakamātautau toto.

U2: Me tango tonu ngā steroids?

Kāore te nuinga o te iwi e hiahia ana ki te tango i ngā steroids mutunga kore. Ko te akoranga maimoatanga noa ka uru ki te tīmatanga me ngā rongoā teitei ake, ā, ka whakaiti haere i roto i ngā marama 6-12. Ka taea e ētahi te whiwhi i te remission roa, ā, ka taea te mutu i ngā steroids katoa, i te wā e hiahia ana ētahi ki te maimoatanga tiaki iti rānei ngā rongoā immunosuppressive atu. Ka mahi tahi tō tākuta me koe ki te kimi i te maimoatanga tino whai hua.

U3: Ka taea te hoki mai te pancreatitis autoimmune i muri i te maimoatanga?

Ae, ka taea te hoki mai te pancreatitis autoimmune, inā te Momo 1, he 30-40% te auau o te hoki mai. Heoi, ka whakautu pai ngā relapses ki te tīmatanga rānei te whakapainga i te maimoatanga anti-mumura. Ko te aroturuki noa me tō tākuta ka āwhina ki te mau wawe i ngā relapses ina ngāwari ake te maimoatanga. Ko te Momo 2 o te pancreatitis autoimmune he iti ake te auau o te hoki mai.

U4: Ka pā pea tēnei āhuatanga ki toku kaha ki te whakahaere kai?

Ka puta pea ki ētahi e whai ana i te pancreatitis autoimmune te kore o te mahi pancreatic, ko te tikanga kāore e whakaputa i ngā enzymes digestive nui tō pancreas. Ka āhei pea tēnei ki ngā tohu pēnei i ngā paru hinuhinu, te pupuhi, me ngā kore o ngā matūkai. Ki te puta mai tēnei, ka taea e tō tākuta te whakarite i ngā tāpiri enzyme pancreatic e tangohia ana e koe me ngā kai ki te āwhina i te whakahaere. He tino whai hua ēnei tāpiri ina whakamahia tika.

U5: Ka taea e au te ora i te oranga noa me te pancreatitis autoimmune?

Ae rawa. Me te maimoatanga me te aroturuki tika, ka taea e te nuinga o te hunga e whai ana i te pancreatitis autoimmune te ora i ngā oranga tino, mahi. Ka hiahia pea koe ki te tango i ngā rongoā roa me te whai i ngā tirotiro noa, engari kāore ēnei e āhei te whakaiti i ō mahi o ia rā. Ka hoki te nuinga ki te mahi, te whakakori tinana, me te pai ki ō mahi noa ina manaakihia pai tō āhuatanga. Ko te matua ko te mahi tata atu ki tō rōpū hauora me te whai i tō mahere maimoatanga.