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Pancreatitis

Uhlolojikelele

Amagatsha e-gallstone yimbangela evamile ye-pancreatitis. Amagatsha e-gallstone, akhiqizwa esikhwameni se-gallbladder, angaphuma esikhwameni se-gallbladder bese avivinya umthambo we-bile, avikele ama-enzyme e-pancreatic ukuba aye esibindini esincane futhi awaphoqelele emuva e-pancreas. Khona-ke ama-enzyme aqala ukuvuvukala amangqamuzana e-pancreas, ebangela ukuvuvukala okuhlotshaniswa ne-pancreatitis.

I-Pancreatitis iwukuvuvukala kwe-pancreas. Ukuvuvukala kuyisenzo sesistimu yokukhulula umzimba esingabangela ukukhula, ubuhlungu, kanye nezinguquko zendlela ilungu noma izicubu ezisebenza ngayo.

IPancreas yigxathu elide, elihleli ngemuva kwesisu. I-pancreas iyasiza umzimba ukuba uhlanze ukudla futhi ilawule ushukela egazini.

IPancreatitis ingaba yisimo esibuhlungu. Lokhu kusho ukuthi ivele ngokuzumayo futhi ngokuvamile ihlala isikhathi esifushane. I-pancreatitis ehlala njalo yisimo sesikhathi eside. Ukonakala kwe-pancreas kungaba kubi kakhulu ngokuhamba kwesikhathi.

IPancreatitis ebuhlungu ingase iphulukiswe yodwa. Ubuhlungu obukhulu kudinga ukwelashwa esibhedlela futhi bungabangela izinkinga ezingabulala.

Izimpawu

Izimpawu ze-pancreatitis zingase zihluke. Izimpawu ze-pancreatitis ebukhali zingafaka: Ubuhlungu esiswini esingaphezulu. Ubuhlungu esiswini esingaphezulu obuhlungela emuva. Ubuhlungu lapho uthinta isisu. Ukuqanduseka. Izingozi ezikhulu. Ukuphazamiseka kwesisu. Ukugabha. Izimpawu nezimpawu ze-pancreatitis ehlala njalo zifaka: Ubuhlungu esiswini esingaphezulu. Ubuhlungu besisu obukhulu ngemuva kokudla. Ukulahlekelwa isisindo ngaphandle kokuzimisela. Izisu ezinamafutha, ezinuka kabi. Abanye abantu abane-pancreatitis ehlala njalo bathola izimpawu kuphela ngemuva kokuthola izinkinga zesifo. Yenza i-aphoyintimenti nodokotela wakho uma unebuhlungu besisu obuzumayo noma ubuhlungu besisu obungaphuli. Funani usizo lwezokwelapha ngokushesha uma ubuhlungu bakho bukhulu kangangokuba awukwazi ukuhlala phansi noma uthole isimo esikwenza ukhululeke.

Isikhathi sokubona udokotela

Yenza i-aphoyintimenti nodokotela wakho uma unezinhlungu zesisu eziqubukelayo noma ezinhlungu zesisu ezingaphuli. Funani usizo lwezokwelapha ngokushesha uma ubuhlungu bakho bukhulu kangangokuba awukwazi ukuhlala phansi noma uthole isimo esikwenza ukhululeke.

Izimbangela

I-pancreas inomisebenzi emikhulu emibili. Yenza i-insulin, esiza umzimba ukuthi uphathe futhi asebenzise ushukela. I-pancreas futhi yenza amajusi okudla, abizwa ngama-enzyme, asiza ekudleni. I-pancreas yenza futhi igcine izinguqulo "ezicishiwe" zama-enzyme. Ngemva kokuthi i-pancreas ithumele ama-enzyme esibindini esincane, "aqaliswa" futhi ahlukanise amaprotheni esibindini esincane. Uma ama-enzyme eqaliswa ngokushesha kakhulu, angaqala ukusebenza njengamajusi okudla ngaphakathi kwe-pancreas. Lokhu kusebenza kungathukuthelisa, konakalise noma kubhubhise amangqamuzana. Le nkinga, ngokulandelayo, iholela ezimpendulweni zesimiso somzimba ebangela ukukhuluphala nezinye izehlakalo ezithinta indlela i-pancreas esebenza ngayo. Izimo eziningi zingabangela i-pancreatitis ebukhali, okuhlanganisa: Ukuvinjwa kwephepha le-bile elibangelwa amatshe e-gall. Ukusetshenziswa okukhulu kotshwala. Imithi ethile. Amazinga aphezulu e-triglyceride egazini. Amazinga aphezulu e-calcium egazini. Umdlavuza we-pancreas. Ukulimala okuvela ekulimala noma ekuhlinzweni. Izimo ezingabangela i-pancreatitis ehlala njalo zihlanganisa: Ukonakala okuvela e-pancreatitis ebukhali ephindaphindayo. Ukusetshenziswa okukhulu kotshwala. I-gene ezitholakala ezinhlelweni ezihlobene ne-pancreatitis. Amazinga aphezulu e-triglyceride egazini. Amazinga aphezulu e-calcium egazini. Ngezinye izikhathi, imbangela ye-pancreatitis ayitholakali. Lokhu kuyaziwa ngokuthi yi-pancreatitis ye-idiopathic.

Izici eziyingozi

Izimbangela ezikhuphula ingozi yakho ye-pancreatitis zihlanganisa:

  • Ukusebenzisa utshwala ngokweqile. Ucwaningo lubonisa ukuthi ukusebenzisa izithelo ezine noma ezinhlanu ngosuku kukhuphula ingozi ye-pancreatitis.
  • Ukubhema isigarethi. Uma kuqathaniswa nabantu abangabhemi, ababhemi ngokwesilinganiso banethuba elingaphezulu kathathu lokukhula kwe-pancreatitis ehlala njalo. Ukushiya ukubhema kunganciphisa ingozi.
  • Ukukhuluphala. Abantu abane-body mass index engu-30 noma ngaphezulu banengozi enkulu ye-pancreatitis.
  • Ukuhlushwa yi-Diabetes. Ukuba ne-diabetes kukhuphula ingozi ye-pancreatitis.
  • Umlando womndeni we-pancreatitis. Inani le-genes liye laxhunyaniswa ne-pancreatitis ehlala njalo. Umlando womndeni wesifo uxhunyaniswe nengozi eyenyuka kakhulu, ikakhulukazi uma uhlanganiswe nezinye izimbangela zengozi.
Izingqinamba

I-pancreatitis ingabangela ukuphazamiseka okukhulu, okuhlanganisa:

  • Ukwehluleka kwempumputhe. I-pancreatitis ebukhali ingabangela ukuba izinkalankala zingakwazi ukuhlanza udoti egazini. Ukuhlanzwa okwenziwa ngamandla, okuthiwa yi-dialysis, kungase kudingeke ekwelapheni kwesikhathi esifushane noma eside.
  • Izinkinga zokuphefumula. I-pancreatitis ebukhali ingabangela ukushintsha endleleni amaphaphu asebenza ngayo, okubangela amazinga oksijini egazini awele emazingeni aphansi kakhulu.
  • Ukutheleleka. I-pancreatitis ebukhali ingenza i-pancreas ibe sengozini yokutheleleka. Ukutheleleka kwe-pancreas kuyinkulu futhi kudinga ukwelashwa okukhulu, njengokuhlinzwa noma ezinye izinqubo zokususa inyama etheleleke.
  • I-Pseudocyst. I-pancreatitis ebukhali nehlala njalo ingabangela ukuba amanzi nezinto ezingcolile ziqoqwe 'epoketini' e-pancreas, okuthiwa yi-pseudocyst. I-pseudocyst enkulu ephuka ingabangela ukuphazamiseka okunjengokuphuza kwegazi yangaphakathi nokutheleleka.
  • Ukondleka okungalungile. Ngokuphathelene ne-pancreatitis ebukhali nehlala njalo, i-pancreas ingase ingakhi ama-enzyme anele ohlelweni lokugaya. Lokhu kungabangela ukondleka okungalungile, ukweluka nokunciphisa isisindo.
  • I-Diabetes. I-diabetes ingathuthuka lapho i-pancreatitis ehlala njalo yonakalisa amaseli akhiqiza i-insulin.
  • Umkhuhlane we-pancreas. Ukuvuvukala okuhlala isikhathi eside e-pancreas kuyisici esingozini yomdlavuza we-pancreas.
Ukuxilongwa

Uchwepheshe wakho wezempilo uzokubuza imibuzo mayelana nomlando wakho wezempilo kanye nezimpawu, akunikeze ukuhlolwa komzimba jikelele, futhi ahlole ubuhlungu noma ukubuthakathaka esiswini sakho.

Amathethhu nezindlela ezingase zisetshenziswe zihlanganisa okulandelayo.

  • Izivivinyo zegazi zingakunika izinkomba mayelana nendlela isimo sokuvikela somzimba, i-pancreas namalungu ahlobene asebenza ngayo.
  • Izithombe ze-Ultrasound zingabonisa amatshe e-gallbladder noma ukuvuvukala kwe-pancreas.
  • I-Computerized tomography (CT) scan ibonisa amatshe e-gallbladder nobunzima bokuvuvukala.
  • I-Magnetic resonance imaging (MRI) ukubheka izicubu noma izakhiwo ezingajwayelekile e-gallbladder, i-pancreas kanye ne-bile ducts.
  • I-Endoscopic ultrasound iyidivayisi ye-ultrasound ephezulu olukhulu olusetshenziswa emlonyeni oluya ohlelweni lokugaya ukudla. Ingabonisa ukuvuvukala, amatshe e-gallbladder, umdlavuza, kanye nokuvinjwa kwepancreatic duct noma i-bile duct.
  • Izivivinyo zesitulo zingalinganisa amazinga amafutha angabonisa ukuthi uhlelo lwakho lokugaya ukudla aludli ukudla njengoba kufanele.

Udokotela wakho angakuncoma ezinye izivivinyo, kuye ngezimpawu zakho noma ezinye izimo onazo.

Ukwelashwa

Asikho iyeza eliqondene ngokuqondile lokuwelapha isifo sepankriyasi. Ukwelashwa kuqala ngokuhlala esibhedlela ukuze kuphathwe izimpawu nezingxaki. Lezi zihlanganisa:

  • Imithi yokunciphisa ubuhlungu. Isifo sepankriyasi singabangela ubuhlungu obukhulu. Iqembu lakho lokunakekelwa kwezempilo lizokunika imithi ezosiza ekulawuleni ubuhlungu.
  • Amanzi okuphuza nge-Intravenous (IV). Uzothola amanzi ngomqondo ophakathi komsipha wakho wezandla ukuze uhlale uthambile.
  • Ukudla. Uzoqala ukudla futhi uma usukwazi ukwenza kanjalo ngaphandle kokuhhuluka noma ubuhlungu. Kwezinye izimo, kusetshenziswa umzila wokudla. Uma izimpawu nezingxaki zilawulwa, eminye imithi isetshenziswa ukuwelapha izimbangela eziyisisekelo. Lezi zingafaka: Endoscopic retrograde cholangiopancreatography (ERCP) isebenzisa umbala ukuqokomisa imiqondo ye-bile ezithombeni ze-X-ray. Umphetho omncane, onobuningi, onenkhamera ekupheleni, obizwa ngokuthi yi-endoscope, uya ngomlomo bese uya esibindini esincane. Umbala ungena emiqondweni ngomphetho omncane ohlongozwayo, obizwa ngokuthi yi-catheter, edluliselwe yi-endoscope. Amathuluzi amancane adluliselwe yi-catheter nawo angasetshenziswa ukususa amatshe e-gall.
  • Izindlela zokuvula imiqondo ye-bile. Inkqubo ebizwa ngokuthi yi-endoscopic retrograde cholangiopancreatography (ERCP) isetshenziswa ukuthola nokususa itshe le-gall. Umphetho omde onenkhamera uyakhishwa ngomlomo nesistimu yokugaya ukudla kuya emgqondweni we-bile. Lo mphetho ubuye usetshenziswe ukuthola amathuluzi amancane endaweni yokususa itshe nokuhlanza umgqondo we-bile. I-ERCP ngokwayo ingase iqalise isifo sepankriyasi esibuhlungu, kodwa ucwaningo mayelana nezici eziyingozi luye lwasekela ukuthuthukisa imiphumela.
  • Ukuhlinzwa kwe-gallbladder. Uma amatshe e-gall ebangela isifo sepankriyasi, ukuhlinzwa kokususa i-gallbladder kungase kunconywe. Le nqubo ibizwa ngokuthi yi-cholecystectomy.
  • Izindlela ze-pancreas. Izindlela ezinekhamera ye-endoscopic namathuluzi zingasetshenziswa ukususa ulwelo oluvela e-pancreas noma ukususa inyama egulayo.
  • Ukuphathwa kokuxhomeka kotshwala. Uma ukusetshenziswa okukhulu kotshwala kubangele isifo sepankriyasi, uhlelo lokwelapha ukulutha utshwala lunconywa. Ukuqhubeka nokupuza utshwala kulimaza isifo sepankriyasi futhi kuholela ezingxakini ezinzima.
  • Ukushintsha kwemithi. Uma imithi ingumsuka ongaqondakali wesifo sepankriyasi esibuhlungu, ochwepheshe bakho bezempilo bazosebenza nawe ukuthola ezinye izinketho. Isifo sepankriyasi esingapheli singadinga ukwelashwa okwengeziwe, okuhlanganisa:
  • Ukulawulwa kobuhlungu. Isifo sepankriyasi esingapheli sivame ukubangela ubuhlungu obukhulu, obuhlala isikhathi eside. Ngaphezu kokubhalela imithi, ochwepheshe bakho bezempilo bazofuna izimbangela noma izingxaki zesifo sepankriyasi esingapheli esibangela ubuhlungu. Ukwelashwa kungafaka izindlela zokuthuthukisa ukopha oluvela e-pancreas noma ukugxilisa ukugxila imizwa evela e-pancreas eya ebuchosheni. Ungase uqondiswe ochwepheshe bokuwelapha ubuhlungu.
  • Ama-enzyme ukuthuthukisa ukugaya ukudla. Uma isifo sepankriyasi esingapheli sibangela ukukhuluka noma ukulahlekelwa isisindo, ungase uthathe izithasiselo ze-pancreatic enzyme. Zithathwe ngesikhathi ngasinye sokudla, lezi zithasiselo ze-enzyme zisiza umzimba wakho ukuthi uqhekeze futhi usebenzise izondlo ekudleni.
  • Ukushintsha ekudleni kwakho. Udokotela wakho angase akuqondise kumchwepheshe wokudla ongakusiza ukuhlela ukudla okune-low-fat okucebile ngezondlo.

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