I-pancreatitis engapheliyo

I-Pancreatitis kukudumba kwepancreas. I-pancreatitis engapheliyo ikhona xa le ngxaki ingaphilisi okanye iphucule, iba mandundu ngokuhamba kwexesha, kwaye ikhokelele kumonakalo osisigxina.

Ipancreas lilungu elibekwe emva kwesisu. Ivelisa iikhemikhali (ezibizwa ngokuba zii-enzymes) ezifunekayo ukwetyisa ukutya. Ikwavelisa iihomoni insulin kunye neglucagon.

Xa kuvela ukudakumba kwepancreas, ilungu elo alisakwazi ukwenza isixa esifanelekileyo kwezi enzayim. Ngenxa yoko, umzimba wakho awunakho ukucola amanqatha kunye nezinto eziphambili zokutya.

Umonakalo kwiindawo zepancreas ezenza i-insulin ingakhokelela kwisifo seswekile.

Imeko ihlala ibangelwa kukusetyenziswa gwenxa kotywala kwiminyaka emininzi. Ukuphindaphindwa kwepancreatitis ebukhali kunokukhokelela kwisifo sokudumba kwanyango okungapheliyo. Imfuza inokuba yinto ethile kwezinye iimeko. Ngamanye amaxesha, unobangela awaziwa okanye ubangelwe ngamatye enyongo.

Ezinye iimeko ezinxulunyaniswe ne-pancreatitis engapheliyo:

• Iingxaki xa amajoni omzimba ehlasela umzimba
• Ukuvalwa kweetyhubhu (imibhobho) ekhupha ii-enzymes kwi-pancreas
• Icystic fibrosis
• Amanqanaba aphezulu amafutha, abizwa ngokuba yi-triglycerides, egazini
• Ukudlala okugqithisileyo kweparathyroid
• Ukusetyenziswa kwamayeza athile (ngakumbi i-sulfonamides, i-thiazides, kunye ne-azathioprine)
• I-Pancreatitis edluliswa kwiintsapho (ilifa)

I-pancreatitis engapheliyo ixhaphake emadodeni kunabafazi. Oku kuhlala kwenzeka kubantu abaneminyaka engama-30 ukuya kuma-40.

Iimpawu zibandakanya:

INTLUNGU ZESISU

• Eyona inkulu esiswini esingaphezulu
• Ngamana unokuhlala kwiiyure ukuya kwiintsuku; ixesha elingaphezulu, unokuhlala ubakho
• Isenokuba mandundu kukutya
• Isenokuba mandundu kukusela utywala
• Ingavakala nasemva ngokungathi iyadika kwisisu

IINGXAKI ZOPHANDO

• Ukwehla kwesisindo esingapheliyo, nokuba ukutya kunye nexabiso kuyinto eqhelekileyo
• Urhudo, isicaphucaphu, kunye nokugabha
• Amafutha anukayo okanye ilindle elinamafutha
• Ibala elinombala o-orenji okanye umbala o-orenji

Uvavanyo lokufumanisa isifo sepancreatitis lubandakanya:

• Uvavanyo lwamafutha e-fecal
• Ukunyuka kwenqanaba le-serum amylase
• Ukunyuka kwenqanaba le-serum lipase
• I-serum trypsinogen

Uvavanyo olunokubonisa unobangela wepancreatitis lubandakanya:

• I-Serum IgG4 (yokufumanisa isifo se-autoimmune pancreatitis)
• Uvavanyo lwe-Gene, olwenziwa rhoqo xa ezinye izizathu eziqhelekileyo zingekho okanye kukho imbali yosapho

Ukulinganisa iimvavanyo ezinokubonisa ukudumba, ukubola, okanye olunye utshintsho lwepancreas kunokubonwa ku:

• Ukuvavanywa kwe-CT kwesisu
• I-Ultrasound yesisu
• I-endoscopic ultrasound (i-EUS)
• Imagnetic resonance cholangiopancreatography (MRCP)
• I-Endoscopic retrograde cholangiopancreatography (ERCP)

I-ERCP yinkqubo ejonga i-bile kunye ne-pancreatic ducts. Yenziwa nge-endoscope.

Abantu abanentlungu ebukhali okanye abaphulukana nobunzima bangadinga ukuhlala esibhedlele:

• Amayeza entlungu.
• Ulwelo olunikwa ngomthambo (IV).
• Ukuyekisa ukutya okanye ulwelo ngomlomo ukunciphisa umsebenzi wepancreas, emva koko ucothe ukutya ngomlomo.
• Ukufaka ityhubhu ngempumlo okanye emlonyeni ukususa imixholo yesisu (ukumunca i-nasogastric) ngamanye amaxesha kunokwenziwa. Umbhobho unokuhlala iintsuku ezi-1 ukuya kwezi-2, okanye ngamanye amaxesha iiveki ezi-1 ukuya kwezi-2.

Ukutya okufanelekileyo kubalulekile kubantu abane-pancreatitis engapheliyo ukugcina ubunzima obunempilo kunye nokufumana izondlo ezichanekileyo. Ingcali yesondlo inokukunceda wenze ukutya okubandakanya:

• Ukusela ulwelo oluninzi
• Ukunciphisa amafutha
• Ukutya ukutya okuncinci, okuncinci (oku kunceda ukunciphisa iimpawu zokugaya ukutya)
• Ukufumana iivithamini ezaneleyo kunye necalcium ekudleni, okanye njengezongezo ezingaphezulu
• Ukunciphisa umda wecaffeine

Umboneleli wezempilo unokuyalela ii-enzymes zepancreatic. Kufuneka uwathathe la mayeza ngesidlo ngasinye, nangamashwamshwam. Ii-enzymes ziya kukunceda ukwetyise ukutya ngcono, utyebe kwaye unciphise urhudo.

Kuphephe ukutshaya nokusela iziselo ezinxilisayo, nokuba ipancreatitis yakho ithambile.

Olunye unyango lunokubandakanya:

• Amayeza eentlungu okanye ibhloko yotyando yokuphelisa iintlungu
• Ukuthatha i-insulin ukulawula inqanaba leswekile yegazi (iswekile)

Ugqirha lunokwenziwa ukuba kufumanekile ukubhloka. Kwiimeko ezimandundu, inxenye yepancreas ingasuswa.

Esi sisifo esibi esinokukhokelela ekukhubazekeni nasekufeni. Unokuwunciphisa umngcipheko ngokuphepha utywala.

Iingxaki zinokubandakanya:

• I-Ascites
• Ukuvaleka (ukuphazamiseka) kwamathumbu amancinci okanye imibhobho yenyongo
• Igazi elijiyileyo emthanjeni wethambo
• Ukuqokelelwa kolwelo kwi-pancreas (i-pancreatic pseudocysts) enokuthi yosuleleke
• Seswekile
• Ukungenisa kakubi amanqatha, izondlo kunye neevithamini (amaxesha amaninzi iivithamini ezinamafutha, A, D, E, okanye K)
• Ukunqongophala kwe-anemia
• Ukusilela kweVitamin B12

Fowunela umnikezeli wakho ukuba:

• Uphuhlisa iimpawu zepancreatitis
• Unayo i-pancreatitis, kwaye iimpawu zakho ziya ziba zimbi okanye zingaphuculi ngonyango

Ukufumana unobangela we-pancreatitis ebukhali kunye nokunyanga ngokukhawuleza kunokunceda ukukhusela i-pancreatitis engapheliyo. Nciphisa inani lotywala obuselayo ukunciphisa umngcipheko wokuphuhlisa le meko.

I-pancreatitis engapheliyo - engapheliyo; I-Pancreatitis - ukukhutshwa okungapheliyo; Ukungabikho kwepancreatic - okungapheliyo; I-pancreatitis enamandla - engapheliyo

• Pancreatitis - ukubhobhoza

• Inkqubo yokwetyisa
• I-Pancreatitis, isifo esinganyangekiyo se-CT

Indawo yeForsmark CE. I-pancreatitis engapheliyo. Ku: UFeldman M, uFriedman LS, uBrandt LJ, ii-eds. Sleisenger kunye neFordtran's Amathumbu kunye nezifo zesibindi: iPathophysiology / Diagnosis / Management. Ngomhla we-10. IPhiladelphia, PA: Elsevier Saunders; Ngo-2016: isahluko 59.

IFosmark CE. Ipancreatitis. Ku: IGoldman L, iSchafer AI, ii-eds. Amayeza eGoldman-Cecil. Ngomhla wama-26. IPhiladelphia, PA: Elsevier; 2020: isahl. 135.

IPaniccia A, uEdil BH. Ulawulo lwe-pancreatitis engapheliyo. Ku: UCameron JL, uCameron AM, ii-eds. Unyango lwangoku lonyango. Umhla we-12. IPhiladelphia, PA: Elsevier; Ngo-2017: 532-538.