Chii chinonzi Autoimmune Pancreatitis? Zviratidzo, Zvinokonzera, & Kurapa

Autoimmune pancreatitis chirwere umo masimba emuviri wako anorwisa ropa rako, zvichikonzera kuzvimba nekukura. Fungidzira sekuti masimba emuviri wako ari kupenga achirwisa chikamu chemuviri chakanaka panzvimbo pezvinhu zvinokuvadza.

Uyu rudzi rwakasiyana rwe pancreatitis unosvika munhu mumwe chete pane vanhu 100 000 gore rega rega. Kusiyana ne acute pancreatitis inowanzoitika nekuda kwe gallstones kana doro, autoimmune pancreatitis inouya zvishoma nezvishoma uye kazhinji inoita se pancreatic cancer pakutanga, izvo zvinogona kutya varwere nemhuri dzavo.

Chii chinonzi Autoimmune Pancreatitis?

Autoimmune pancreatitis inoitika kana masimba emuviri wako akasika maantibodies anorwisa tishu dzepancreas yako. Pancreas yako ndiyo nhengo inokosha iri kumashure kwemudumbu rako uye inogadzira ma enzymes ekugaya nemahomoni se insulin.

Kune marudzi maviri makuru erudzi urwu. Rudzi 1 autoimmune pancreatitis ndirwo runowanzoitika uye kazhinji runokanganisawo dzimwe nhengo, nepo Rudzi 2 kazhinji rinoramba riri mu pancreas. Marudzi ose maviri anoita kuti pancreas ikure uye izvimbe, asi anopindura zvakanaka pakurapa kana akabatwa nekukurumidza.

Mashoko akanaka ndeakuti chirwere ichi chinorapika, uye vanhu vazhinji vanowana kugadziriswa kukuru nekurapa kwakakodzera. Pancreas yako inogona kudzoka kune basa rayo kana kuzvimba kwadzorwa.

Ndeapi Marudzi eAutoimmune Pancreatitis?

Rudzi 1 autoimmune pancreatitis ndirwo rudzi runowanzoitika, rinosvika 80% yezviitiko pasi rose. Rudzi urwu kazhinji runosanganisira dzimwe nhengo senge bile ducts, salivary glands, kana itsvo, zvichiita kuti vanachiremba vataure kuti "multi-organ" autoimmune condition.

Rudzi 2 autoimmune pancreatitis kazhinji rinokanganisa pancreas chete uye rinowanzoitika kuvanhu vaduku. Rudzi urwu runowanzoenderana ne inflammatory bowel disease, kunyanya ulcerative colitis, uye rine nzira yakasiyana yekuzvimba pasi pemikroskopu.

Kunzwisisa rudzi rwaunaro kunobatsira chiremba wako kusarudza nzira yekurapa inonyanya kushanda. Marudzi ose maviri anopindura pakurapa, asi mishonga nezvirongwa zvekuongorora zvinogona kusiyana zvishoma.

Ndeapi Zviratidzo zveAutoimmune Pancreatitis?

Zviratidzo zve autoimmune pancreatitis kazhinji zvinouya zvishoma nezvishoma kwemavhiki kana mwedzi, zvichiita kuti zvive nyore kukanganwa pakutanga. Vanhu vazhinji vanorondedzera kunzwa "vakashata" kwenguva yakati usati wazviziva zvakajeka.

Aya ndiwo zviratidzo zvakajairika zvaunogona kuona:

• Kurwadziwa kwemudumbu kunogona kuva kushoma kusvika pakati, kazhinji kumudumbu rako rekumusoro
• Kurasikirwa nehuremu pasina chikonzero kwemavhiki kana mwedzi yakati
• Kuyerera kweganda nemaziso (jaundice) nekuda kwe bile duct
• Weewee rima uye matumbu machena, ane mafuta
• Kushaya chido chekudya uye kunzwa wakazara nekukurumidza
• Kuneta uye kushaya simba
• Diabetes itsva kana kuwedzera kwehuga hweropa

Vamwe vanhu vanonzwawo zviratidzo mune dzimwe nhengo kana vakave neRudzi 1 autoimmune pancreatitis. Izvi zvinogona kusanganisira muromo wakaoma, salivary glands dzakazvimba, kana matambudziko etsvo. Kusanganiswa kwezviratidzo kazhinji kunobatsira vanachiremba kusiyanisa chirwere ichi nedzimwe chirwere dzepancreas.

Chii Chinokonzera Autoimmune Pancreatitis?

Chikonzero chaicho che autoimmune pancreatitis hachizivisike zvizere, asi vatsvakurudzi vanotenda kuti chinosanganisira kusanganiswa kwe genetic predisposition uye zvinokonzera zvakatipoteredza. Masimba emuviri wako anova akanganisa uye anotanga kurwisa tishu dzepancreas dzakanaka.

Zvinhu zvakati wandei zvinogona kuita kuti chirwere ichi chiitike:

• Genetic factors anoita kuti masimba emuviri wako ave nyore kukanganisa
• Zvirwere zvakapfuura zvinogona kutanga autoimmune response
• Zvinhu zvakatipoteredza, kunyangwe zvinokonzera zvakajeka zvisingazivikanwe
• Kuve nedzimwe autoimmune conditions senge rheumatoid arthritis kana inflammatory bowel disease

Mu zviitiko zvisingawanzoitika, mishonga kana zvinhu zvine chepfu zvakafungidzirwa sezvinokonzera, asi vanhu vazhinji vane autoimmune pancreatitis havazivi chikonzero chaicho. Chinhu chakakosha kukurangarira ndechekuti izvi hazvisi chimwe chinhu chawakakonzeresa kana waigona kudzivirira.

Ndeapi Ngozi DzeAutoimmune Pancreatitis?

Zvinhu zvakati wandei zvinogona kuwedzera mukana wako wekuwana autoimmune pancreatitis, kunyangwe kuva nezvinhu izvi hazvirevi kuti iwe uchawana chirwere ichi. Kunzwisisa zvinhu izvi kunogona kukubatsira iwe nechikura wako kuramba muri vakangwarira pazviratidzo zvepakutanga.

Ngozi huru dzinosanganisira:

• Kuve murume uye ane makore anopfuura 50 (kunyangwe zvingakanganisa ani zvake)
• Kuve nedzimwe autoimmune conditions senge inflammatory bowel disease
• Nhoroondo yemhuri ye autoimmune diseases
• Genetic markers, kunyanya muvanhu vekuAsia
• Nhoroondo yezvirwere zveallergic kana IgG4 yakakwira mu bvunzo dzeropa

Ngozi dzisingawanzoitika dzinosanganisira kuva nezvirwere zvakati zvakapfuura kana kuiswa mune zvinhu zvakatipoteredza. Nekudaro, vanhu vazhinji vane autoimmune pancreatitis havazivi ngozi dzakajeka, izvo zvinotiyeuchidza kuti chirwere ichi chinogona kukanganisa ani zvake.

Rini Unofanira Kuona Chiremba neAutoimmune Pancreatitis?

Unofanira kubata nachiremba wako kana uine kurwadziwa kwemudumbu kunoramba kuripo, kurasikirwa nehuremu pasina chikonzero, kana kuyerera kweganda nemaziso. Zviratidzo izvi zvinoda kuongororwa nekukurumidza, kunyanya kana zvichiitika pamwechete.

Tsvaka rubatsiro rwekurapa nekukurumidza kana uine kurwadziwa kwemudumbu kwakasimba, fivha yakakwira, kana zviratidzo zvekuoma kwemuviri. Kunyangwe autoimmune pancreatitis kazhinji inouya zvishoma nezvishoma, matambudziko anogona kuitika anoda kurapwa nekukurumidza.

Usamirira kana ukaona zviratidzo zve diabetes itsva senge nyota yakawandisa, kuenda ku toilet kazhinji, kana kushaya simba pasina chikonzero, kunyanya kana uine makore anopfuura 50. Kuongororwa nekukurumidza nekurapa kunogona kudzivirira matambudziko uye kubatsira kuchengetedza basa re pancreas yako.

Ndeapi Matambudziko Anogona Kuitika eAutoimmune Pancreatitis?

Kunyangwe autoimmune pancreatitis ichirapika, inogona kutungamira kumatambudziko kana isina kurapwa kana kurapwa kwakakanganisika. Kunzwisisa matambudziko aya kunobatsira kusimbisa kukosha kwekuchengetedzwa kwakakodzera.

Matambudziko anowanzoitika anosanganisira:

• Diabetes mellitus nekuda kwekuvadza masero anogadzira insulin
• Bile duct strictures inokonzera jaundice inoramba iripo
• Pancreatic insufficiency inotungamira kumatambudziko ekugaya
• Matambudziko etsvo, kunyanya neRudzi 1 autoimmune pancreatitis
• Salivary gland dysfunction inokonzera muromo wakaoma

Matambudziko asingawanzoitika asi akakomba anogona kusanganisira kuwanda kwakasimba kwe pancreas kana kukanganisa midziyo mikuru yeropa. Vamwe vanhu vanogonawo kuwana pseudocysts kana kuwana zviitiko zvinodzokororwa kana chirwere ichi chisingatarisirwi zvakanaka. Mashoko akanaka ndeakuti matambudziko mazhinji anogona kudzivirirwa kana kurapwa zvakanaka kana akabatwa nekukurumidza.

Autoimmune Pancreatitis Inooongororwa Sei?

Kuongorora autoimmune pancreatitis kunoda kusanganiswa kwekuongorora mifananidzo, bvunzo dzeropa, uye kazhinji tishu samples. Chiremba wako achavhura nhoroondo yako yekurapa uye kuongorora kwemuviri kunzwisisa zviratidzo zvako.

Maitiro ekuongorora kazhinji anosanganisira CT scans kana MRI kuona pancreas yako uye kutsvaga shanduko dzakakosha. Bvunzo dzeropa dzichaongorora IgG4 yakakwira uye mamwe autoimmune markers anobatsira kusiyanisa chirwere ichi ne pancreatic cancer.

Mu zviitiko zvakati, chiremba wako anogona kukurudzira biopsy kana endoscopic procedures kuti aone zvakanyanya tishu dzepancreas. Dzimwe nguva, vanachiremba vanoshandisa "steroid trial" umo vanokupa mishonga inorwisa kuzvimba kuti vaone kana zviratidzo zvako zvichagadziriswa, izvo zvinogona kubatsira kusimbisa kuongororwa.

Kurapa kweAutoimmune Pancreatitis Ndeapi?

Kurapa kukuru kwe autoimmune pancreatitis kunosanganisira corticosteroids senge prednisone kuderedza kuzvimba uye kudzora kupindura kwemasimba emuviri. Vanhu vazhinji vanopindura zvakanyanya pakurapa uku, kazhinji mukati memavhiki mashoma.

Chiremba wako achavhura nedose yakakwira yesteroids uye zvishoma nezvishoma achidzideredza pamwedzi yakati. Nzira iyi inobatsira kudzora kuzvimba nepo kuderedza migumisiro yekushandisa steroids kwenguva yakareba.

Kune vanhu vasina kushivirira steroids kana vane relapses, mishonga inodzora masimba emuviri senge azathioprine kana mycophenolate inogona kushandiswa. Mishonga iyi inobatsira kuchengetedza remission nepo kubvumira dose shoma yesteroids.

Kurapa kuwedzerwa kunogona kusanganisira enzyme supplements kana pancreas yako isingagadzire ma enzymes ekugaya akakwana, uye insulin kana diabetes ikaitika. Chiremba wako achaongorora uye kurapa chero matambudziko anokanganisa dzimwe nhengo.

Nzira Yekurapa Kumba Panguva yeAutoimmune Pancreatitis?

Kutarisira autoimmune pancreatitis kumba kunosanganisira kutora mishonga yako sezvakarayirwa uye kuongorora chero shanduko muzviratidzo zvako. Usambomisa kana kuderedza steroids ako usati wabvunza chiremba wako, sezvo izvi zvinogona kutungamira pakuzvimba.

Chengeta kudya kwakanaka kunyore ku digestive system yako. Izvi zvinogona kusanganisira kudya duku, kazhinji uye kudzivisa zvokudya zvine mafuta kana zvakaoma kugaya. Gara wakanyorova uye funga kuchengeta diary yezviratidzo kuti uteedzere kufambira kwako.

Tarisa zviratidzo zvematambudziko senge kurwadziwa kwemudumbu kunowedzera, zviratidzo zvitsva zve diabetes, kana shanduko muvara reganda rako. Kuongororwa nguva dzose nekuona chiremba kwakakosha pakutevera kupindura kwako pakurapa uye kugadzirisa mishonga sezvinodiwa.

Ungagadzirira Sei Kune Chiremba Wako?

Usati waenda kuchiremba, nyora zviratidzo zvako zvose, kusanganisira apo zvakatanga uye zvakashanduka sei nekufamba kwenguva. Uya ne rondedzero yemishonga yose, zvinowedzerwa, uye chero marekodhi ekurapa apfuura ane chekuita nechirwere chako.

Gadzira mibvunzo nezvechirongwa chako chekurapa, migumisiro inogona kuitika yemishonga, uye zvaunofanira kutarisira panguva yekudzorera. Bvunza nezvekuchinja mararamiro, mazano ekudya, uye zviratidzo zvematambudziko ekutarisa.

Funga kuuya nemumwe wemhuri kana shamwari kuti akubatsire kurangarira ruzivo rwakakosha rwakataurwa panguva yekuona chiremba. Usanetseka kubvunza chiremba wako kuti atsanangure chero chinhu chisinganzwisisiki kwauri.

Autoimmune Pancreatitis Inogona Kudzivirirwa Sei?

Nekudaro, hapana nzira inozivikanwa yekudzivirira autoimmune pancreatitis sezvo iri autoimmune condition ine zvinokonzera zvisingazivikanwe. Nzira yakanaka ndeyekuchengetedza hutano hwakanaka uye kuziva zviratidzo kana uine ngozi.

Kana uine dzimwe autoimmune conditions, shanda nechikwata chako chehutano kuti uvatarise zvakanaka. Izvi zvinogona kubatsira kuderedza kuzvimba kwako kwese uye zvichida kuderedza mukana wako wekuwana matambudziko akawanda e autoimmune.

Tarisira kuchengetedza mararamiro akanaka ne kurovedza muviri nguva dzose, kudya kwakaringana, uye kudzora kushushikana. Kunyangwe izvi zvisingadziviriri autoimmune pancreatitis chaiyo, zvinotsigira hutano hwako hwese hwemasimba emuviri.

Chii Chinonyanya Kukosha Nezve Autoimmune Pancreatitis?

Autoimmune pancreatitis chirwere chinorapika chinopindura zvakanaka pakurapa kwakakodzera. Kunyangwe kuongororwa kunogona kutya, kunyanya nekufanana kwayo ne pancreatic cancer, kuona kwenguva refu kazhinji kwakanaka nekurapa kwakakodzera.

Chinhu chikuru ndechekuziva nekukurumidza nekurapa nekukurumidza nemishonga inorwisa kuzvimba. Vanhu vazhinji vanowana kugadziriswa kukuru muzviratidzo zvavo uye vanogona kudzoka kune mabasa avo emazuva ese nekutarisirwa kwemishonga.

Rangarira kuti iyi chirwere chekare chinoda kutarisirwa kwenguva refu, asi nekutarisirwa kwakakodzera, vanhu vazhinji vanorarama hupenyu hwakajairika, hunogara zvakanaka. Gara wakabatana nechikwata chako chehutano uye usazeza kubata kana uine zvinokunetsa.

Mibvunzo InowanzoBvunzwa Nezve Autoimmune Pancreatitis

Mubvunzo 1: Autoimmune pancreatitis yakafanana here ne pancreatic cancer?

Kwete, autoimmune pancreatitis yakasiyana zvachose ne pancreatic cancer. Kunyangwe zvirwere zviviri zvinogona kukonzera zviratidzo zvakafanana senge kurwadziwa kwemudumbu nekurasikirwa nehuremu, autoimmune pancreatitis chirwere chekuzvimba chinopindura zvakanaka pakurapa kunorwisa kuzvimba. Pancreatic cancer ndiyo tumor yakaipa inoda nzira dzakasiyana dzekurapa. Chiremba wako anogona kusiyanisa pakati pezvirwere izvi achishandisa kuongorora mifananidzo ne bvunzo dzeropa.

Mubvunzo 2: Ndichada here kutora steroids nekusingaperi?

Vanhu vazhinji havadi kutora steroids nekusingaperi. Nzira yekurapa inowanzoitika inosanganisira kutanga nedose yakakwira uye zvishoma nezvishoma kuderedza pamwedzi 6-12. Vamwe vanhu vanowana remission kwenguva refu uye vanogona kurega steroids zvachose, nepo vamwe vachida kurapwa kwenguva refu kana mishonga inodzora masimba emuviri. Chiremba wako acashanda newe kuti uwane kurapa kunonyanya kushanda.

Mubvunzo 3: Autoimmune pancreatitis inogona kudzokera here mushure mekurapa?

Hongu, autoimmune pancreatitis inogona kudzokera, kunyanya Rudzi 1, rine huwandu hwekudzoka kwe 30-40%. Nekudaro, kudzokera kazhinji kunopindura zvakanaka pakutanga kana kuwedzera kurapa kunorwisa kuzvimba. Kuongororwa nguva dzose nechikura wako kunobatsira kubata kudzokera nekukurumidza kana kuri nyore kurapa. Rudzi 2 autoimmune pancreatitis ine huwandu hwakaderera hwekudzoka.

Mubvunzo 4: Chirwere ichi chichakanganisa here kugona kwangu kugaya chikafu?

Vamwe vanhu vane autoimmune pancreatitis vanogona kuwana pancreatic insufficiency, zvinoreva kuti pancreas yavo haigadzire ma enzymes ekugaya akakwana. Izvi zvinogona kutungamira muzviratidzo senge matumbu ane mafuta, kuzvimba, uye kushayikwa kwezvinovaka muviri. Kana izvi zvikaitika, chiremba wako anogona kunyora pancreatic enzyme supplements aunotora nezvokudya kuti akubatsire kugaya. Mishonga iyi inoshanda zvikuru kana yakashandiswa zvakanaka.

Mubvunzo 5: Ndingararama hupenyu hwakanaka here ne autoimmune pancreatitis?

Chokwadi. Nekurapa kwakakodzera nekutarisa, vanhu vazhinji vane autoimmune pancreatitis vanogona kurarama hupenyu hwakazara, hunoshanda. Ungada kutora mishonga kwenguva refu uye kuve nekuongororwa nguva dzose, asi izvi hazvifaniri kukanganisa zvikuru mabasa ako emazuva ese. Vanhu vazhinji vanodzoka kubasa, kurovedza muviri, uye kunakidzwa nemaitiro avo emazuva ese kana chirwere chavo chakadzorwa zvakanaka. Chinhu chikuru ndechekushanda nechikwata chako chehutano uye kutevera chirango chako chekurapa.