Kodi simungathe kugaya chakudya? Kupweteka m'mimba? Izi zitha kukhala EPI (Exocrine Pancreatic Insufficiency)

Kodi nthawi zambiri mumamva kukhuta mukatha kudya, mukumva kupweteka m'mimba, komanso mumakhala ndi ndowe zonunkha komanso zonenepa? Mwinanso mumachepetsa thupi popanda chifukwa. Izi si zizindikiro zoti muzizinyalanyaza. Lero tikulankhula za vuto lotchedwa Exocrine Pancreatic Insufficiency, kapena EPI mwachidule, lomwe lingayambitse zizindikirozi.

Mwachidule, kodi EPI ndi chiyani?

Chabwino, tiyeni tinene motere. Tili ndi chiwalo chotchedwa kapamba m'mimba mwathu. Ntchito yake yayikulu ndikupanga ma enzyme , mtundu wapadera wa mankhwala omwe amatithandiza kugaya chakudya chomwe timadya. Ma enzyme amenewa amalowa m'matumbo athu ang'onoang'ono ndikuswa chakudya chomwe timadya, makamaka mafuta ndi mafuta, kuti thupi lathu lizitha kuyamwa.

Tsopano, chomwe chimachitika kwa munthu amene ali ndi EPI ndichakuti kapamba sapanga ma enzyme okwanira. Nanga chimachitika n’chiyani? Chakudya sichigayidwa bwino. Thupi silimayamwa michere yomwe limafunikira, makamaka mafuta ndi mavitamini osungunuka m’mafuta (monga mavitamini A, D, E, ndi K). Izi zimayambitsa mavuto monga kusokonezeka kwa m’mimba ndi kuchepa thupi.

Koma musadandaule. Tsopano pali mankhwala abwino kwambiri pa izi. Ngati mutalandira chithandizo choyenera, mutha kukhalanso ndi moyo wabwinobwino.

Kodi zifukwa za EPI ndi ziti?

Chifukwa chachikulu cha EPI ndi kuwonongeka kwa kapamba. Izi zitha kukhala ndi zifukwa zingapo.

• Matenda a kapamba ofala: Madokotala amatcha matenda a kapamba osatha . Chomwe chimachitika apa ndichakuti ma enzyme omwe amapangidwa mu kapamba amayamba kugwira ntchito mkati mwa kapamba asanafike m'matumbo ang'onoang'ono. Izi zimawononga kapamba palokha. Chiwopsezochi chimakhala chachikulu mwa anthu omwe amamwa mowa wambiri. Komanso, zinthu monga kuchuluka kwa mafuta m'magazi (Triglycerides) ndi chitetezo chamthupi chofooka zimathanso kukhudza izi.
• Opaleshoni: Vutoli nthawi zina limatha kuchitika chifukwa cha opaleshoni ya kapamba, m'mimba, kapena m'matumbo.
• Matenda obadwa nawo: Matenda ena obadwa nawo angayambitsenso EPI.
• Cystic Fibrosis: Anthu omwe ali ndi matendawa amapanga ntchofu yokhuthala komanso yomata m'thupi lawo. Ntchentche imeneyi imatseka ducts za kapamba, zomwe zimalepheretsa ma enzyme kutuluka.
• Matenda a Shwachman-Diamond: Uwu ndi matenda omwe amabwera chifukwa cha majini. Pa vutoli, maselo omwe amapanga ma enzymes mu kapamba amatayika.
• Matenda ena: Anthu ena ali pachiwopsezo chotenga EPI chifukwa cha matenda ena am'mimba, monga matenda a Crohn ndi matenda a Celiac.

Kodi mumadziwa bwanji ngati muli ndi EPI? Kodi zizindikiro zake ndi ziti?

Poyamba, sipangakhale zizindikiro, koma pamene kapamba wawonongeka ndipo mphamvu yake yoyamwa mafuta imachepa, zizindikiro zimayamba kuonekera pang'onopang'ono.

Gome ili m'munsimu likuwonetsa zizindikiro zodziwika bwino.

Kodi dokotala amazindikira bwanji matendawa molondola?

Mukapita kukaonana ndi dokotala, adzakufunsani za zizindikiro zanu kenako adzakulangizani kuti muyesedwe kangapo kuti atsimikizire kuti mwapezeka ndi matendawa.

Mafunso oti mufunse dokotala

• Kodi muli ndi ululu m'mimba mwanu chapamwamba?
• Kodi ndowe zili ndi fungo loipa kapena zili ndi mafuta? Kodi n'zovuta kutsuka?
• Kodi muli ndi vuto lotsegula m'mimba kapena kudzimbidwa?
• Kodi mwachepetsa thupi posachedwapa?

Mayeso omwe angalimbikitsidwe

Pali mitundu yosiyanasiyana ya mayeso a izi.

Kodi mankhwala ake ndi otani?

Chithandizo chachikulu komanso chothandiza kwambiri cha EPI ndi Pancreatic Enzyme Replacement Therapy (PERT) . Mwachidule, ndikumwa mapiritsi kuti alowe m'malo mwa ma enzyme omwe kapamba wanu sakupanga.

• Momwe mungatengere mapiritsi a PERT: Mapiritsi awa ayenera kumwedwa panthawi ya chakudya . Ngati atengedwa musanadye, ma enzymes adzakhala atatuluka m'mimba chakudya chisanafike. Ngati atengedwa mutadya, ma enzymes adzakhala atafika mochedwa chakudya chikayamba kugaya. Chifukwa chake, mapiritsi awa ayenera kumwedwa pamodzi ndi chakudya chachikulu ndi zokhwasula-khwasula .
• Mankhwala omwe amachepetsa asidi m'mimba: Nthawi zina, asidi wambiri m'mimba amatha kuwononga mapiritsi a enzyme awa asanayambe kugwira ntchito. Kuti athetse izi, dokotala wanu angakulembereni mankhwala monga `Proton pump inhibitors` (monga omeprazole) kapena `H2 blockers` (monga famotidine).
• Mankhwala opha ululu:Ngati pali ululu, mutha kumwa mankhwala ochepetsa ululu monga Paracetamol potsatira malangizo a dokotala wanu. Ngati ululuwo ndi waukulu, mankhwala amphamvu angakupatseni. Komabe, mankhwala oterewa akhoza kukhala osokoneza bongo, choncho ayenera kugwiritsidwa ntchito mosamala kwambiri komanso motsatira malangizo a dokotala.

Kuphatikiza apo, ndikofunikira kwambiri kuchiza matenda omwe amayambitsa matendawa (monga Pancreatitis Yosatha, Cystic Fibrosis) omwe adayambitsa vuto la EPI.

Kodi mungadzisamalire bwanji?

Kuphatikiza pa mankhwala, moyo wanu ndi zakudya zanu ndizofunikira kwambiri poletsa vutoli.

• Idyani zakudya zazing'ono zingapo: M'malo modya zakudya zazikulu zitatu patsiku, idyani zakudya zazing'ono pafupifupi kasanu ndi kamodzi patsiku. Izi zipangitsa kuti kugaya chakudya kukhale kosavuta.
• Pewani mowa ndi kusuta: Mowa umavuta kuti thupi lizitenga mafuta komanso umawononga kapamba. Kusuta fodya kumavulazanso kapamba.
• Imwani mavitamini: Popeza thupi silimayamwa bwino, muyenera kumwa mavitamini monga mavitamini A, D, E, ndi K. Pachifukwa ichi, dokotala wanu adzakupatsani mavitamini ndi mlingo woyenera.
• Funsani uphungu kwa katswiri wa zakudya: Ndikofunikira kwambiri kufunsa uphungu kwa katswiri wa zakudya kuti mukonze zakudya zopatsa thanzi zomwe zingakukomereni.

EPI si vuto loti munthu azidandaula nalo. Ndi chithandizo choyenera komanso moyo wabwino, mutha kulilamulira ndikukhala moyo wabwinobwino. Chofunika kwambiri ndikulankhulana ndi dokotala wanu ndikutsatira malangizo ake molondola.