Dziviriro yemuviri wako iri kukubata here? Ngatidzidzei nezveAutoimmune Pancreatitis nenzira iri nyore!

Tine nzira yekudzivirira inoshamisa mumiviri yedu, handiti? Ndizvo zvatinoti system yekudzivirira muviri. Inotidzivirira nekurwisa utachiona, mabhakitiriya, nemavhairasi anokonzera zvirwere. Asi fungidzira, ko kana dzimwe nguva system yedu yekudzivirira ikavhiringidzwa nemasero akanaka mumuviri wedu yotanga kuarwisa? Ndipo panoitika, inonzi ``Autoimmune Pancreatitis''. Zvichitaurwa zviri nyore, system yako yekudzivirira muviri inotanga kushanda ichirwisa pancreatitis yako.

Chii chinonzi "Autoimmune Pancreatitis"? Zvichitaurwa zviri nyore...

Funga nezvemasoja emuviri wako seuto rinodzivirira nyika. Basa reuto iri nderekudzivirira nyika kubva kuvavengi vekunze (vakadai sehutachiona nemavhairasi). Asi mu `(Autoimmune Pancreatitis)`, uto iri rinoita chikanganiso rorwisa vagari vasina mhosva venyika yaro (ndiko kuti, masero ane hutano mupancreas) vachifunga kuti vavengi. Nekuda kweizvozvo, pancreatitis inozvimba, inokuvara, uye basa rayo rinokanganiswa. Izvi ndizvo zvatinodaidza kuti autoimmune pancreatitis .

Chirwere ichi chakajairika zvakadii?

Kutaura zvazviri, `(Autoimmune Pancreatitis)` chirwere chisingawanzoitiki . Chinowanzoonekwa mumunhu mumwe chete pavanhu zana rezviuru. Kana tikatora zvirwere zvepancreas zvinogara kwenguva refu (`chronic pancreatitis`), 2% chete yavo inowira muchikamu ichi che`(Autoimmune Pancreatitis)`. Saka, ichi hachisi chirwere chinokanganisa munhu wese.

Kune mhando dze `(Autoimmune Pancreatitis)` here?

Ehe, kune mhando mbiri dze `(Autoimmune Pancreatitis)`. Ngationei kuti ndedzipi.

1. Rudzi rwekutanga rweAutoimmune Pancreatitis

Iyi ndiyo mhando inonyanya kuwanikwa . Muizvi, tine puroteni inonzi `(Immunoglobulin G4)` kana `(IgG4)` mumuviri wedu. Iyi `(IgG4)` imhando yeantibody. Kana paine kuzvimba kana kuzvimba chero kupi zvako mumuviri, huwandu hweiyi `(IgG4)` hunowedzera.

Asi murudzi urwu rwekutanga, dambudziko harisi repancreas chete. Rinogonawo kukanganisa dzimwe nhengo dzemuviri wedu. Semuenzaniso:

• Mapaipi emudumbu: Aya machubhu akafanana nemachubhu anotakura bile kubva pachiropa kuenda kuura hudiki.
• Machubhu eitsvo: Machubhu ari muitsvo.
• Chiropa
• Mapapu
• Dundira
• Mate glands
• Gland re thyroid

Kuzvimba nekukuvara zvinogonawo kuitika munzvimbo dzakadai.

2. Rudzi rwechipiri rweAutoimmune Pancreatitis

Rudzi urwu runokanganisa pancreas chete . Chinoitika pano ndechekuti rudzi rwemasero machena eropa anonzi ``neutrophils`` runokuvadza pancreas neducts dzepancreas. Dambudziko iri rinowanzoonekwa muvanhu vadiki.Vane mukana mukuru wekuva nechirwere chemudumbu chinonzi inflammatory bowel disease (IBD).

Ndezvipi zvinokonzera `(Autoimmune Pancreatitis)`? Pane zvinhu zvine njodzi here?

Vaongorori vachiri kuedza kutsvaga chikonzero chaicho , asi chinowanzoitika kuvanhu vane makore ari pakati pe50 ne60. Zvisinei, chinogona kuitika kare. Varume vane mukana wakapetwa kaviri wekubata chirwere ichi kupfuura vakadzi.

Dzimwe nguva, zvinofungidzirwa kuti imhaka yekuti masoja emuviri anokonzera hutachiona hwebhakitiriya. Pamusoro pezvo, vanhu vane mamwe matambudziko ekudzivirira muviri vari panjodzi huru yekubatwa nahwo. Semuenzaniso:

• (Hashimoto's thyroiditis): Izvi zvinoita kuti thyroid gland isashande zvakanaka (hypothyroidism).
• (Chirwere chemudumbu chinozvimba - IBD): Kunyanya zvirwere zvakaita se `(ulcerative colitis)`.
• (Chirwere chikuru che biliary cholangitis)
• Retroperitoneal fibrosis: Kuumbwa kwenyama yakaita sevanga mudumbu riri kumashure kwedumbu.
• Rheumatoid arthritis: Kuzvimba kwemajoini.
• (Sarcoidosis)
• (Sjögren's syndrome)

Kana uine zvimwe zvirwere zve autoimmune zvakaita seizvi, zvakanaka kuti uzvidye mwoyo nezve Autoimmune Pancreatitis zvakare.

Ndezvipi zviratidzo zve `(Autoimmune Pancreatitis)`?

Pakutanga kwechirwere ichi , panogona kunge pasina zviratidzo . Zvisinei, sezvo chirwere ichi chichienderera mberi, migero yepancreas inotanga kutetepa, zvichiita kuti ma enzymes anoburitswa nepancreas asakwanise kupfuura zvakanaka.

Kuvharika kwemugero wepancreatic kunogona kukonzera zviratidzo zvakaita se:

• Marwadzo emudumbu repamusoro
• Kurwadziwa kwepakati pemusana
• Manyoka
• Kusvotwa/kurutsa
• Kuderedza huremu

Zvakakosha: Zvimwe zvezviratidzo izvi zvinogona kuonekwawo mukenza yepancreas. Saka, kana uine zviratidzo izvi, kuchenjera kusatya wobva waona chiremba nekukasika kuti uzive kuti dambudziko racho nderei . Kuva ne `(Autoimmune Pancreatitis)` hazvirevi kuti une kenza.

Pamusoro pezvo, chirwere che autoimmune pancreatitis chinogona kukonzera kuzvimba, kukura kusiri kwekenza, uye ma cysts azere nemvura mupancreas. Kana kuzvimba uku, mapundu, kana ma cysts zvikaitika mumusoro wepancreas yako, zvinogona kuvharira duct ye bile, izvo zvinogona kudzivirira bile kuti isafambe zvakanaka muura hudiki. Bile rine pigment inonzi bilirubin. Kana bilirubin iyi ikaungana muropa, inogona kukonzera jaundice.Ganda nemachena emaziso zvinova yero (jaundice), uye unogona kunzwa kuneta. Kana bilirubin ikawedzera muweti , weti inosviba . Kana bilirubin ikaburitswa muura , tsvina inogona kucheneruka .

Ndezvipi zvinetso zvinogona kuitika zve `(Autoimmune Pancreatitis)`?

Kuzvimba kwenguva refu kwepancreas kunogona kukonzera kuda kurutsa, kudzikira uremu, uye kurwadziwa kunogara kuripo mudumbu nemusana. Uyewo, kana masero anogadzira insulin mupancreas akakuvara , chirwere cheshuga chinogona kukura.

Ma antibodies eIgG4 anogona kurwisa kwete pancreas chete, asiwo dzimwe nhengo, kunyanya murudzi rwekutanga. Nhengo dzakadaro dzinosanganisira:

• Mapaipi e bile
• Mate glands
• Matumbu emudumbu
• Gland reGyroid (`Gyroid`)
• Itsvo
• Mwoyo
• Mapapu ne pleura (mukati memapapu)

Pancreatitis yeAutoimmune inoonekwa sei?

Kuti unyatsoongorora chirwere ichi uye uve nechokwadi chekuti hachisi kenza yepancreas, panodiwa bvunzo dzinoverengeka. Uchafanirwa kuita bvunzo dzakadai:

• Kuongororwa kweropa: Izvi zvinoongorora huwandu hwakanyanya hweIgG4, pamwe nekushanda kwechiropa uye huwandu hwemamwe marudzi emasero eropa.
• Miedzo yekufungidzira: Iyi inotarisa saizi yepancreas, kana paine mavanga, kana kuti migero yeropa yakatetepa here. Mienzaniso yemiedzo iyi ndeiyi `(CT scan)` uye `(MRI scan)`.
• Kuongororwa kweropa: Izvi zvinosanganisira kutora chidimbu chidiki chenyama kubva padumbu rako wochiongorora uchishandisa maikorosikopu. Izvi zvinowanzoitwa kuburikidza nemaitiro e endoscopic asinganyanyi kupindira anonzi Endoscopic Ultrasound (EUS). Mukuita uku, chiremba wako anoisa chubhu refu, inochinjika (ine mudziyo wakareruka uye we ultrasound kune rimwe divi) mudumbu mako nemumatumbu kuti atarise dumbu rako. Sampuro ye biopsy inozotorwa kuburikidza nedumbu rako kana muura. Dzimwe nguva, chiremba anovhiya angangoda kuita kucheka kudiki paganda rako (laparoscopy) kuti atore sampuro ye biopsy.
• Kuedzwa kweCorticosteroid: Izvi zvinobatsirawo kusimbisa chirwere ichi. Unopiwa mishonga yesteroid kwenguva pfupi kuti uone kana mazinga eIgG4 ako aderera uye kana bvunzo dzako dzemifananidzo dzichivandudzika.

`(Autoimmune Pancreatitis)` inorapwa sei?

Zvinoshamisa kuti, kuvanhu vashoma, chirwere ichi chinopera chega pasina kurapwa . Asi kune vazhinji, kurapwa kunodiwa .

Autoimmune Pancreatitis inonyanya kurapwa ne corticosteroids.Rudzi rwemushonga unonzi steroid. Semuenzaniso, mushonga wakaita se `(prednisone)` kana `(prednisolone)`. Mishonga iyi inoshanda nekuderedza kuzvimba uye kudzikamisa dziviriro yemuviri inoshanda zvakanyanya. Kurapa kunowanzo tanga nekushandisa steroid yakawanda. Zvadaro mushonga wacho unodzikiswa zvishoma nezvishoma (`tapered`).

Kana usina matambudziko, hauwanzoda mamwe marapirwo. Kurapwa kunodiwa kunoenderana nerudzi rwedambudziko racho. Kana paine kutetepa kwepancreatic duct (`duct decreasing`), nzira inogona kuitwa yekuvhura duct uye kuisimbisa nechinhu chine hollow mesh (`stent`).

Ndinogona here kudzivirira `(Autoimmune Pancreatitis)`?

Kutaura zvazviri, hapana chaungaita kudzivirira chirwere ichi kuti chisatange nekuti idambudziko rine masoja edu ekudzivirira chirwere.

Ndeipi tarisiro yevanhu vane `(Autoimmune Pancreatitis)`?

Vanhu vazhinji vanopora zvakanaka mushure mekurapwa ne corticosteroids , uye hapana matambudziko. Kuva ne autoimmune pancreatitis hakukanganisi makore ekurarama kwako .

Zvisinei, `(Autoimmune Pancreatitis)` inogona kudzoka (kudzoka) . Izvi zvinonyanya kuitika kuvanhu vane rudzi rwekutanga (`Rudzi 1`). Chirwere ichi chinowanzo dzoka mukati memakore matatu ekutanga mushure mekuonekwa kwacho. Munhu ane chirwere ichi anowanzo dzokawo ane mukana wekuwana matambudziko.

Chii chinoitika kana chirwere chikadzoka?

Kana zvikatarisirwa zvakanaka, kunyange avo vane chirwere chinodzoka vanogona kurarama hupenyu hune hutano uye hune hutano .

Ungangoda kutanga kushandisa mishonga ye corticosteroid zvakare. Vamwe vanhu vanoramba vachitora mishonga ye steroid kwemakore akati wandei kuti zviratidzo zvisadzoke. Vanachiremba vanogonawo kuedza mimwe mishonga inorapa masoja emuviri anonyanya kushanda (mishonga inobvisa immune system uye inodzvinyirira immune system).

Ndichanzwa sei panguva yekurapwa?

Mimwe migumisiro inogona kuitika kana uchishandisa ma steroids. Semuenzaniso, kurwadziwa mudumbu, kuwedzera kwekudya, kusagadzikana, uye kuoma kurara. Migumisiro iyi inogona kukanganisa hupenyu hwezuva nezuva, asi ndeyenguva pfupi . Kuti uwane zvakanyanya kubva mukurapwa kwako kweAutoimmune Pancreatitis, zvakakosha kuramba uchitora ma steroids sezvakarairwa nachiremba wako .

Kana migumisiro yacho ichikunetsa zvakanyanya, iva nechokwadi chekuzivisa chiremba wako usati warega kurapwa. Anogona kukupa mamwe marapirwo kuti akubatsire kuwana zororo, kana kuchinja hurongwa hwako hwekurapwa.

Ndingadzokera rini kumabasa angu enguva dzose mushure mekurapwa kwe `(Autoimmune Pancreatitis)`?

Kurapwa neSteroid kunowanzo deredza zviratidzo zve `(Autoimmune Pancreatitis)` mukati memavhiki mashoma.Vanhu vazhinji vanodzokera kumabasa avo enguva dzose mushure mekunge zviratidzo zvavo zvapera.

Autoimmune Pancreatitis chirwere chisingawanzoitiki chekuzvimba chinogona kukanganisa mashandiro epancreas. Kuona chiremba anoziva nezvezvirwere zvepancreas kunogona kukubatsira kuwana rubatsiro rwakanakisisa rwaunoda. Vanhu vazhinji vanopora zvizere mushure mekutora mishonga yesteroid . Vamwe vanhu vangangoda mamwe marapirwo eAutoimmune Pancreatitis kuti vawane zororo renguva refu.

Chekupedzisira, yeuka izvi (Mharidzo Yekuenda Kumba)

• Autoimmune Pancreatitis chirwere chisingawanzoitiki apo masoja emuviri wako anorwisa pancreas yako.
• Kana uine zviratidzo zvakaita sekurwadziwa mudumbu, kudzikira kwehuremu, kana jaundice , iva nechokwadi chekutsvaga rubatsiro rwechiremba .
• Iyi haisi kenza yepancreas, asi zviratidzo zvayo zvakafanana, saka kuongororwa kwakakodzera kwakakosha .
• Mushonga mukuru i corticosteroids.
• Vanhu vazhinji vanopora zvakanaka nekurapwa, asi chirwere ichi chinogona kudzoka.
• Zvakakosha kutevedzera mirairo yachiremba nemazvo kuti munhu apore nekukurumidza .

Yeuka kuti hausi wega. Zvakajairika kuva nepfungwa dzakawanda dziri kufamba mupfungwa dzako mumamiriro ezvinhu akadai. Saka, vhura pfungwa dzako kuna chiremba wako wobvunza mibvunzo yako. Varipo kuti vakubatsire.

` Autoimmune Pancreatitis, Pancreatitis, Autoimmune, IgG4, Hutano hwePancreas, Pancreatitis Sinhala, Hutano hwekugaya chikafu