Pancreatitis - abantwana

I-Pancreatitis ebantwaneni, njengabantu abadala, yenzeka xa i-pancreas idumba kwaye idumbe.

Ipancreas lilungu elisemva kwesisu.

Ivelisa imichiza ebizwa ngokuba zii-enzyme, eziyimfuneko ukwetyisa ukutya. Uninzi lwexesha, ii-enzymes zisebenza kuphela emva kokuba zifike emathunjini amancinci.

Xa ezi enzymes zisebenza ngaphakathi kwipancreas, zetyisa izicwili zepancreas. Oku kubangela ukudumba, ukopha kunye nomonakalo kwilungu nakwimithambo yegazi. Le meko ibizwa ngokuba yi-pancreatitis.

Izizathu eziqhelekileyo zepancreatitis ebantwaneni zibandakanya:

• Umothuko ukuya kwisisu, njengokuphathwa kwebhayisikile yokubamba ukonzakala
• I-bile bile evinjiweyo
• Iziphumo ebezingalindelekanga zamayeza, ezinje ngamayeza okulwa ukuxhuzula, i-chemotherapy, okanye ezinye i-antibiotics
• Usulelo lwentsholongwane, kubandakanya uqwilikana kunye necoxsackie B
• Amanqanaba egazi aphezulu enqatha egazini, elibizwa ngokuba yi-triglycerides

Ezinye izizathu zibandakanya:

• Emva kokufakelwa komzimba okanye ithambo
• Icystic fibrosis
• Isifo seCrohn kunye nokunye ukuphazamiseka, xa amajoni omzimba ehlasela kwaye etshabalalisa izicwili zomzimba ezisempilweni ngempazamo
• Uhlobo lwe-1 yeswekile
• Ukudlala okugqithisileyo kweparathyroid
• Isifo seKawasaki

Ngamanye amaxesha, unobangela awaziwa.

Uphawu oluphambili lwe-pancreatitis kubantwana lubuhlungu obukhulu kwisisu esingasentla. Ngamanye amaxesha iintlungu zisasazeka ngasemva, emazantsi esisu, nangaphambi kwesifuba. Intlungu inokunyuka emva kokutya.

Ezinye iimpawu zingabandakanya:

• Khohlela
• Isicaphucaphu nokugabha
• Ukudumba esiswini
• Ifiva
• Utyheli kulusu, olubizwa ngokuba yijaundice
• Ukuphelelwa ngumdla wokutya
• Ukonyusa ukubetha kwentliziyo

Umboneleli wezempilo womntwana wakho uya kwenza uvavanyo lomzimba, olunokubonisa:

• Ukuthamba kwesisu okanye isigaxa (ubunzima)
• Ifiva
• Uxinzelelo lwegazi oluphantsi
• Ukukhawuleza kwentliziyo
• Ukukhawuleza ukuphefumla

Umboneleli uya kwenza iimvavanyo zelebhu ukujonga ukukhutshwa kwee-enzymes zepancreatic. Oku kubandakanya iimvavanyo zokujonga:

• Inqanaba le-amylase yegazi
• Inqanaba legazi lipase
• Inqanaba lomchamo we-amylase

Olunye uvavanyo lwegazi lubandakanya:

• Gcwalisa ubalo lwegazi (CBC)
• Iphaneli okanye iqela leemvavanyo zegazi ezibonelela ngomfanekiso opheleleyo webhalansi yemichiza yomzimba wakho

Ukulinganisa iimvavanyo ezinokubonisa ukudumba kwepancreas kubandakanya:

• I-Ultrasound yesisu (exhaphake kakhulu)
• Ukuvavanywa kwe-CT kwesisu
• I-MRI yesisu
  

Unyango lunokufuna ukuhlala esibhedlele. Inokubandakanya:

• Amayeza entlungu
• Ukuyeka ukutya okanye ulwelo ngomlomo
• Ulwelo olunikwa ngomthambo (IV)
• Amayeza anti-isicaphucaphu ukuba isicaphucaphu nokugabha
• Ukutya okunamafutha asezantsi

Umboneleli unokufaka ityhubhu ngempumlo yomlomo okanye ngomlomo ukuze asuse imixholo yesisu. Umbhobho uza kushiyeka usuku olunye okanye nangaphezulu. Oku kunokwenziwa ukuba ukugabha kunye neentlungu ezinzima aziphucuki. Umntwana usenokunikwa nokutya ngemithambo (IV) okanye ngombhobho wokutyisa.

Umntwana anganikwa ukutya okuqinileyo akuba eyekile ukugabha. Uninzi lwabantwana bayakwazi ukuthatha ukutya okuqinileyo kwisithuba seentsuku ezi-1 okanye ezi-2 emva kohlaselo lwepancreatitis etsolo.

Ngamanye amaxesha, unyango luyafuneka ukuze:

• Ukucoca ulwelo oluqokelelwe ngaphakathi okanye ngeenxa zonke zepancreas
• Susa amatye enyongo
• Nciphisa iibhlokhi zepayipi zepancreatic

Amatyala amaninzi ayaphela ngeveki. Abantwana bahlala bechacha ngokupheleleyo.

I-pancreatitis engapheliyo ayifane ibonwe ebantwaneni. Xa isenzeka, ihlala ihleli ngenxa yeziphene zemfuza okanye iziphene zokuzalwa kwepancreas okanye imibhobho yebiliary.

Ukurhawuzelelwa yipancreas, kunye ne-pancreatitis ngenxa yengozi ebuthathaka, enje ngebhasi yokubamba ibhayisekile, kunokubangela iingxaki. Oku kunokubandakanya:

• Ukuqokelelwa kolwelo olujikeleze ipancreas
• Ukwakhiwa kolwelo esiswini (ascites)

Tsalela umnxeba ukuba umntwana wakho ubonakalisa iimpawu zepancreatitis. Biza kwakhona ukuba umntwana wakho unale mpawu:

• Kunzulu, iintlungu esiswini esingapheliyo
• Ukuphuhlisa ezinye iimpawu zepancreatitis ebukhali
• Iintlungu ezingaphezulu esiswini kunye nokugabha

Uninzi lwexesha, akukho ndlela yokuthintela i-pancreatitis.

Ikhonkco BL. Ipancreatitis ebukhali. Ku: I-SS ende, iProber CG, uFischer M, ii-eds. Imigaqo kunye nokuziqhelanisa nezifo ezosulelayo zabantwana. Umhla we-5. IPhiladelphia, PA: Elsevier; I-2018: isahluko 63.

IKliegman RM, iSt. Geme JW, iBlum NJ, i-Shah SS, iTasker RC, uWilson KM. Ipancreatitis. Ku: Kliegman RM, St Geme JW, Blum NJ, Shah SS, Tasker RC, Wilson KM, ii-eds. Incwadi kaNelson yeNcwadi yePediatrics. Umhla wama-21. IPhiladelphia, PA: Elsevier; 2020: isahl. 378.

IVitale DS, Abu-El-Haija M.Pancreatitis. Ku: Wyllie R, Hyams JS, Kay M, ii-eds. Izifo zesisu esiswini kunye nezifo zesibindi. Umhla wesi-6. IPhiladelphia, PA: Elsevier; 2021: isahluko 82.