Thupi likasanduka mdani ndikuukira kapamba - tiyeni tikambirane za Autoimmune Pancreatitis!

Chitetezo cha thupi lanu, chitetezo cha mthupi, chili ngati gulu lankhondo lomwe limateteza dziko. Ntchito ya gulu lankhondo ili ndi kuzindikira ndikuukira adani monga majeremusi ndi mavairasi ochokera kunja, ndikutipulumutsa ku matenda. Koma, taganizirani mtundu wanji wa chiwonongeko chomwe chingachitike ngati gulu lankhondo ili litalakwitsa pang'ono ndikuyamba kuukira anthu abwino m'dziko lathu, poganiza kuti ndi adani? Ndicho chimene chimachitika mu matenda otchedwa Autoimmune Pancreatitis (AIP). Apa, dongosolo lathu loteteza limaganiza molakwika kuti kapamba wathu ndi mdani ndipo limayamba kuwukira.

Mwachidule, kodi Autoimmune Pancreatitis (AIP) ndi chiyani?

Imeneyi ndi vuto losowa kwambiri. Monga tanenera kale, chitetezo chathu chamthupi chimaukira kapamba wathu, zomwe zimayambitsa kutupa kosatha, kapena kapamba. Ndi pokhapokha kuwonongeka kumeneku kukachitika pakapita nthawi pomwe mavuto akulu amayamba. Nthawi zambiri, sitingazindikire zizindikiro zilizonse mpaka kuwonongeka kwakukulu kwachitika.

Zingakhale zovuta kuzindikira matendawa. Izi zili choncho chifukwa ndi matenda osowa, zizindikiro zake sizimaonekera nthawi zonse, ndipo ngakhale pa scan, zimatha kuwoneka ngati matenda ena, makamaka khansa ya kapamba . Izi zitha kukhala zoopsa kwa anthu ambiri. Koma chinthu chabwino kwambiri ndichakuti mukangopezeka ndi matendawa ndikuyamba chithandizo choyenera, mutha kuchira mwachangu .

Pali mitundu iwiri ikuluikulu ya Autoimmune Pancreatitis (AIP):

Pali mitundu iwiri ikuluikulu ya matendawa. Momwe amakhudzira matupi athu ndi osiyana pang'ono. Tiyeni tiwone zomwe zili.

Zambiri zokhudza Type 1 AIP...

Mwachidule, iyi ndi gawo limodzi mwa magulu akuluakulu a matenda otchedwa matenda okhudzana ndi IgG4. IgG4 ndi mtundu wa ma antibodies omwe thupi lathu limapanga. Mu matendawa, IgG4 ndi maselo oteteza thupi otchedwa maselo a plasma amalumikizana kuti ayende m'maselo a kapamba, zomwe zimayambitsa kutupa ndi zipsera.

Zambiri zokhudza Type 2 AIP...

Mu mtundu uwu, milingo ya IgG4 siikwera. Ndipo ziwalo zina sizikhudzidwa. Komabe, anthuwa nthawi zina amatha kukhala ndi matenda a kapamba obwerezabwereza. Izi zikutanthauza kuti, kapambayo imatupa mwadzidzidzi ndipo zizindikiro zimawonekera, zomwe zimachepa patatha masiku angapo.

Kodi zizindikiro za matendawa ndi ziti?

Ngakhale kuti sipangakhale zizindikiro kwa nthawi yayitali, chizindikiro choyamba chomwe chimawoneka nthawi zambiri ndi jaundice yopanda ululu . Ichi ndi chizindikiro chofunikira kwambiri. Anthu ena amatha kumva kupweteka m'mimba kapena kumbuyo. Izi zili choncho chifukwa kapamba wathu ali pakati pa mimba ndi msana.

Komanso, mukhoza kuona zizindikiro izi:

• Mkodzo wakuda ndi ndowe zotumbululuka (zosawoneka zoyera)
• Kutopa
• Kusagaya bwino chakudya
• Kutaya chilakolako cha chakudya ndi kuchepetsa thupi
• Kusanza ndi kusanza

N’chifukwa chiyani matendawa amapezeka? Kodi zinthu zoopsa ndi ziti?

Ndipotu, asayansi sanganene motsimikiza 100% chifukwa chake matenda a autoimmune awa amakula. Amakhulupirira kuti ndi kuphatikiza kwa majini ndi zinthu zachilengedwe . Mwachitsanzo, thupi lathu likalandira matenda oopsa, chitetezo chathu chamthupi chimatha kugwira ntchito mopitirira muyeso kuti chithane nawo. Nthawi zina, nkhondoyo itatha, dongosololi limatha kuiwala momwe lingakhazikitsire mtima pansi ndikuyamba kuukira maselo ake.

Komanso, munthu amene ali kale ndi matenda ena a autoimmune ali ndi mwayi wochepa wopeza AIP. Mwachitsanzo:

• Matenda a Hashimoto (matenda okhudzana ndi chithokomiro)
• Matenda a ulcerative colitis (kutupa kwa matumbo akulu)
• Matenda a nyamakazi
• Matenda a Sjögren (matenda omwe malovu ndi zotupa zimauma)

Kodi ndi mavuto otani omwe angayambitse matendawa?

Kutupa kwa nthawi yayitali kungawononge ziwalo zathu. Izi zimapangitsa kuti minofu ya chilonda ipangidwe. Zilondazi zingasokoneze kugwira ntchito kwa kapamba. Kenako, thupi lathu limasiya kupanga mahomoni ndi ma enzyme omwe limafunikira, zomwe zingayambitse mavuto m'mimba komanso matenda a shuga.

Pali mavuto awiri akuluakulu omwe angawonekere:

1. Kutsekeka kwa ndulu: Mitsempha ya ndulu yomwe imanyamula ndulu, madzi omwe amapangidwa m'chiwindi chathu, kupita kumatumbo imadutsa mu kapamba. Pancreas ikatupa kapena kukhala ndi zipsera, mitsempha iyi imatha kutsekeka. Kenako, ndulu imasonkhana m'thupi, zomwe zimayambitsa jaundice.

2. Chiwopsezo cha khansa ya kapamba: Ichi ndi chomwe anthu ambiri amachiopa. Matenda a kapamba odziteteza okha si khansa. Komabe, munthu amene ali ndi kapamba kosatha, pazifukwa zilizonse, ali ndi chiopsezo chochepa kwambiri (pafupifupi 1% - 2%) chotenga khansa ya kapamba. Popeza zizindikiro za matenda onsewa ndi zofanana, ndikofunikira kusiyanitsa pakati pa awiriwa. Ichi ndichifukwa chake dokotala wanu adzafufuza izi mosamala.

Kodi madokotala amazindikira bwanji matendawa molondola?

Izi zili ngati nkhani yofufuza. Kuyesa kamodzi kokha sikungatsimikizire matendawa. Ndikofunikanso kuchotsa matenda ena, makamaka khansa. Ichi ndichifukwa chake dokotala adzachita mayeso angapo.

Kodi mankhwala ake ndi otani?

Chithandizo chachikulu komanso chothandiza kwambiri cha matenda a kapamba omwe amadziteteza okha ndi gulu la mankhwala otchedwa corticosteroids . Prednisone ndiye mankhwala omwe amagwiritsidwa ntchito kwambiri. Mankhwalawa amagwira ntchito pochepetsa mphamvu ya chitetezo chamthupi chathu yogwira ntchito mopitirira muyeso komanso kuchepetsa kutupa.

Chithandizo nthawi zambiri chimayamba ndi kumwa mankhwala ambiri . Pamene zizindikiro zanu ndi zotsatira za mayeso zikukwera, dokotala wanu amachepetsa pang'onopang'ono mlingo. Nthawi zina, mutasiya kumwa mankhwala a steroid, mungapatsidwe mankhwala ena oletsa chitetezo chamthupi kuti muchepetse matendawa.

Ngati pali mavuto, monga kutsekeka kwa duct ya bile, izi ziyenera kuthandizidwa padera. Mwachitsanzo, stent ikhoza kuyikidwa kuti itsegule duct yotsekeka. Nthawi zambiri, opaleshoni ingafunike.

Kodi moyo udzakhala bwanji ndi matendawa?

Nkhani yabwino ndi yakuti matenda a autoimmune pancreatitis ndi matenda ochiritsika kwambiri . Mutha kuwona kusintha kwakukulu mu zizindikiro zanu patatha milungu ingapo mutayamba kulandira mankhwala a steroid. Anthu ambiri amatha kusiya kumwa mankhwalawo pakapita nthawi.

Komabe, nthawi zina (makamaka mu mtundu woyamba wa AIP) zizindikiro zimatha kubwerera (kubwerera m'mbuyo) mutasiya kulandira chithandizo. Zikatero, mungafunike kupitiriza kumwa mankhwalawo pa mlingo wochepa. Dokotala wanu apitiliza kuyang'anira vuto lanu ndikupanga dongosolo la chithandizo lomwe lingakhale labwino kwa inu.

Imeneyi ikhoza kukhala matenda obisika pang'ono. Zizindikiro zimatha kusapezeka kwa zaka zambiri, ndipo zizindikiro zikaonekera, zimatha kusokoneza. Chifukwa chake zingatenge nthawi kuti mudziwe matenda molondola. Komabe, kumbukirani kuti pali mankhwala othandiza kwambiri a matendawa, ndipo ndi chithandizo, mutha kuchira mwachangu. Zimenezi zimakupatsani mphamvu zambiri.