Thola amaqiniso nge-pancreatitis enzima futhi engapheli
Funda izibonakaliso nezimpawu zokuphefumula ngalesi sibuyekezo. Uma unesimo, kubalulekile ukuthi utholakale futhi uphathwe ngaphandle kokulibala.
Kuyini amaPancreas?
I-pancreas yakho ingumuthi omkhulu ngemuva kwesisu sakho futhi eduze ne-duodenum yakho. I-pancreas ifihla izinyimba ezinamandla zokugaya ezitholayo emathunjini amancane ngendondo. La ma-enzyme akusiza ukugaya amafutha, amaprotheni, nama-carbohydrate.
Ama-pancreas akhipha ama-hormone insulin ne- glucagon engena egazini. Lawa mahomoni ayingxenye ebalulekile ekwenzeni ushukela.
I-Pancreatitis yisifo esingavamile lapho ama-pancreas eba khona. Ukulimala kwegland kwenzeka lapho ama-enzyme yokugaya asebenza futhi aqala ukuhlasela ama-pancreas. Ezimweni ezinzima, kungase kube nokuphuma kwegazi emgodini, ukulimala okukhulu kwezicubu, ukutheleleka, nama-cysts. Ama-enzyme kanye ne-toxin angangena egazini bese elimaza kakhulu izitho, ezifana nenhliziyo, amaphaphu, nezinso.
Kunezinhlobo ezimbili ze-pancreatitis. Ifomu eliyingozi livela ngokuzumayo futhi lingaba yisifo esinzima, esisongela ukuphila ngezinkinga eziningi. Ngokuvamile, isiguli sithola ngokuphelele. Uma ukulimala ku-pancreas kuqhubeka, njengokuthi uma isiguli sigxila ekuphuzeni utshwala, uhlobo oluhlala njalo lwesifo lungase lukhule, lulethe ubuhlungu obukhulu futhi linciphise ukusebenza kwe-pancreas ezithinta ukugaya nokudala ukulahlekelwa isisindo.
Iyini i-Pancreatitis ephumelelayo?
Kulinganiselwa ukuthi ama-50,000 kuya ku-80 000 amacala okushaya i-pancreatitis ayenzeka e-United States unyaka ngamunye. Lesi sifo senziwa lapho ama-pancreas eba khona ngokuzumayo bese eba ngcono. Ezinye iziguli zinokuhlasela okungaphezu kokukodwa kodwa zilulame ngokugcwele ngemva kokukodwa.
Amacala amaningi we-pancreatitis aphezulu abangelwa ukuhlukunyezwa kabi kotshwala noma ama- gallstones .
Ezinye izimbangela zingase zibe ukusetshenziswa kwezidakamizwa ezinqunyiwe, ukuhlukunyezwa noma ukuhlinzwa esiswini noma okungajwayelekile kwe-pancreas noma emathunjini. Ezimweni ezingavamile, lesi sifo singabangela ukutheleleka, njengama-mumps. Ezingamaphesenti angu-15 amacala, imbangela ayifakazi.
Ziyini Izimpawu Zomkhuhlane We-Pancreatitis Omangalisayo?
I-pancreatitis enhle ngokuvamile iqala ngobuhlungu esiswini esingaphezulu okungase kuhlale izinsuku ezimbalwa. Ubuhlungu kaningi buvame kakhulu. Kungaba ubuhlungu obuhlala njalo, esiswini kuphela, noma kungase kufinyelele emuva naseminye imikhakha.
Ubuhlungu bungase buvele kungazelelwe futhi bukhulu, noma buqale njengenhlanhla emnene eqiniswa ngokudla futhi ikhula kancane kancane. Isisu singakhulelwa futhi sinethenda. Ezinye izimpawu zingase zibandakanye isicanucanu, ukuhlanza, umkhuhlane kanye nokwanda kwe-pulse. Umuntu ngokuvamile uzizwa futhi abukeka egula kakhulu.
Amaphesenti angaba ngu-20 amacala akhulu. Isiguli singase siphume amandla futhi sibe nomfutho wegazi ophansi . Ngezinye izikhathi inhliziyo yesiguli, amaphaphu noma izinso ziyaphumeleka. Ezimweni ezimbi kakhulu, ukuphuma kwegazi kungenzeka ku-pancreas, okuholela ekushuseni futhi ngezinye izikhathi ukufa.
I-Pancreatitis Eyingozi Iyatholakala Kanjani?
Ngesikhathi sokuhlaselwa okunamandla, amazinga aphezulu e-amylase (i- enzyme yokugaya eyakhiwe kuma-pancreas) atholakala egazini. Izinguquko zingase zenzeke emazingeni egazi we-calcium, i-magnesium, i-sodium, i-potassium, ne-bicarbonate.
Iziguli zingaba nesamba esikhulu soshukela ne-lipids (amafutha) egazini labo futhi. Lezi zinguquko zisiza udokotela ukuxilonga i-pancreatitis. Ngemuva kwe-pancreas, amazinga wegazi lalezi zinto ngokuvamile abuyele evamile.
Iyini Ukwelashwa Kwe-Pancreatitis Eyingozi?
Ukwelashwa isiguli esitholayo kuncike ekubizeni ukuhlasela. Ngaphandle kokuba izinkinga zenzeke, i-pancreatitis enzima ivame ukuba ngcono ngokwayo, ngakho-ke ukwelashwa kusekela ezimweni eziningi. Ngokuvamile, isiguli singena esibhedlela.
Udokotela ubeka umthamo nge-vein ukubuyisela umthamo wegazi. Izinso namaphaphu kungaphathwa ukuze kuvinjelwe ukwehluleka kwalezo zitho.
Ezinye izinkinga, njenge-cysts kuma-pancreas, zingadinga ukwelashwa futhi.
Ngesinye isikhathi isiguli asikwazi ukulawula ukuhlanza futhi sidinga ukuba nethubhu ngaphakathi ekhaleni ukuze sisuse isisu nomoya. Ezimweni ezinzima, isiguli singase singabi naso ukudla kwezinsuku ezintathu noma ezine kodwa sinikezwa uketshezi futhi ubuhlungu buyakunqunywa yi-vein.
Ukuhlasela okunamandla kuvame ukuphela kwezinsuku ezimbalwa kuphela, ngaphandle uma amadokodo evinjiwe yi-gallstones. Ezimweni ezimbi, isiguli singadliwa ngokusebenzisa imithanjeni amasonto amathathu kuya kwamathathu ngenkathi ama-pancreas ephilisa kancane kancane.
Ama-antibiotic anganikwa uma izimpawu zokutheleleka zivela. Ukwelashwa kungadingeka uma izinkinga ezifana nokutheleleka, ama-cysts noma ukuphuma kwegazi kwenzeka. Ukuhlasela okubangelwa ama-gallstones kungadinga ukususwa kwe-gallbladder noma ukuhlinzwa kwe-bile duct.
Ngesinye isikhathi kudingeka ukwelashwa ukuze udokotela akwazi ukukhipha ezinye izinkinga zesisu ezingahle zilingane ne-pancreatitis noma ukwelapha i-pancreatitis enzima. Uma kunobungozi obukhulu ngokufa kwezicubu, kungenziwa ukusebenza ukuze ususe izicubu ezifile.
Ngemuva kokuthi zonke izibonakaliso ze-pancreatitis ephukile ziphelile, udokotela uzoqeda imbangela futhi azame ukuvimbela ukuhlaselwa esikhathini esizayo. Kwezinye iziguli imbangela yokuhlaselwa icacile, kodwa kwabanye, ukuhlolwa okunye okudingeka kwenziwe.
Kuthiwani uma isiguli sinama-gallstones?
I-Ultrasound isetshenziselwa ukubona i-gallstones futhi ngezinye izikhathi inganikeza udokotela ngombono wokuthi kangakanani i-pancreatitis. Uma ama-gallstones atholakele, ukuhlinzwa kuvame ukudingeka ukuba ususe. Uma zisuswe kuncike ekutheni i-pancreatitis ilukhuni kangakanani. Uma kunomusa, ama-gallstones ngokuvamile angasuswa phakathi nesonto noma kunjalo. Ezimweni ezimbi kakhulu, isiguli singalinda inyanga noma ngaphezulu, kuze kuthuthukiswe, ngaphambi kokuba amatshe asuswe.
Ukuskena kwe-CAT (computer axial tomography) kungasetshenziselwa ukuthola ukuthi kwenzekani ngaphakathi nangaseduze ne-pancreas nokuthi kunzima kangakanani inkinga. Lona ulwazi olubalulekile udokotela adinga ukunquma ukuthi uzokhipha nini ama -gallstones .
Ngemuva kokuthi ama-gallstones asuswe futhi ukuvuvukala kwehla, ama-pancreas abuyele evamile. Ngaphambi kokuba iziguli zihambe esibhedlela, zeluleka ukuba zingaphuzi utshwala futhi zingadli ukudla okukhulu.
Kuyini i-Pancreatitis engapheli?
I-pancreatitis engapheli inezimbangela eziningi kepha amacala angu-70 kuya kwangu-80 amacala ayenzeka ngenxa yokusebenzisa kabi utshwala obungapheli. Kungase kuthuthuke ngemva kokuhlasela okuyisisodwa nje kuphela, ikakhulukazi uma amathayi we-pancreas ewonakele. Ukulimala kwama-pancre kusuka ekuphuzeni utshwala kungabangela izimpawu iminyaka eminingi, bese-ke isiguli sibhekene nokuhlaselwa kwe-pancreatitis.
Kuvame kakhulu emadodeni kunabesifazane futhi kuvame ukukhula phakathi kweminyaka engu-30 no-40 ubudala. Kwezinye izimo, i-pancreatitis ingase izuzwe njengefa. Amafomu azuzwayo avela ngenxa yezinto ezingavamile ze-enzyme ze-pancreas ezibangela ukuba ama-enzyme ahambisane ne-pancreas.
Esikhathini sokuqala, udokotela akakwazi njalo ukutshela ukuthi isiguli sinesifo esiyingozi noma esingapheliyo. Izimpawu zingase zibe okufanayo. Iziguli ezine-pancreatitis engapheli zivame ukuba nezinkinga ezintathu: ubuhlungu, ukuphazamiseka kokudla okuholela ekulahlekeni kwesisindo, noma isifo sikashukela .
Ezinye iziguli azinawo ubuhlungu kodwa iningi lenzalo. Ubuhlungu bungase buhlale njalo ngemuva nangesisu, kanti kwezinye iziguli, ukuhlaselwa ubuhlungu kukukhubaza. Kwezinye izimo, ubuhlungu besisu buya lapho isimo sithuthuka. Odokotela bacabanga ukuthi lokhu kwenzeka ngoba ama-enzyme e-pancreatic awasekho okwenziwa ama-pancreas.
Iziguli ezinalesi sifo zivame ukulahlekelwa isisindo, ngisho nalapho ukudla kwabo nokudla kwabo kuvamile. Lokhu kwenzeka ngoba umzimba awufihli okwanele nge-encenatic pancreatic ukudiliza ukudla, ngakho izakhi azitholakali ngokujwayelekile. Ukungcola okubi kuholela ekulahlekelweni kwamafutha, amaprotheni, noshukela esihlalweni. Isifo sikashukela singase sithuthuke ngalesi sigaba uma amaseli okhiqiza i-insulini we-pancreas (islet amaseli) ewonakele.
I-Pancreatitis Engapheli Iyatholakala Kanjani?
Ukuxilonga kungase kube nzima kepha kusizwa ngamasu amasha amaningana. Izivivinyo zomsebenzi we-Pancreatic zisiza udokotela ukuba anqume ukuthi ama-pancreas namanje angenza ama-enzyme okwanele okugaya. Udokotela angabona okungajwayelekile emaphakheni usebenzisa amasu amaningana (imaging ultrasonic, endoscopic retrograde cholangiopancreatography (ERCP), kanye ne-CAT scan).
Ezimweni eziphambili kakhulu zesifo, lapho isifo sikashukela kanye ne-malabsorption (inkinga ngenxa yokungabi namabhomu e-enzyme) kwenzeka, udokotela angasebenzisa izibalo eziningi zegazi, umchamo kanye nesitokisi ukusiza ekutholeni ukucindezeleka okungapheli nokuqapha ukuqhubeka isifo.
I-Pancreatitis Engapheli Yenziwa Njani?
Udokotela uphatha i-pancreatitis engapheli ngokunciphisa ubuhlungu nokulawula izinkinga zokudla okunomsoco nokuxilonga. Isiguli singanciphisa inani lamafutha namaprotheni alahlekile ezigodini ngokunciphisa amafutha okudla nokuthatha amaphilisi aqukethe ama-enzyme e-pancreatic. Lokhu kuzoholela ekutheni okunomsoco okungcono nokuzuza kwesisindo. Ngezinye izikhathi i-insulini noma ezinye izidakamizwa kufanele zinikezwe ukulawula ushukela wegazi lesiguli.
Kwezinye izimo, ukuhlinzwa kudingekile ukuze kunciphise ubuhlungu ngokukhipha i-pancreatic conduit ekhulisiwe. Ngezinye izikhathi, ingxenye noma iningi le-pancreas isusiwe ngomzamo wokukhulula ubuhlungu obungapheli .
Iziguli kufanele ziyeke ukuphuza, zihambisane nezidlo zazo ezinqunyiwe, futhi zithathe imishanguzo efanele ukuze zibe nokuhlaselwa okuncane futhi okunamandla.
Iphrintiwe kusukela ku-National Digestive Diseases Clearinghouse