Unowanzo nzwa kuguta mushure mekudya, kurwadziwa mudumbu, uye kuva netsvina ine mafuta inonhuwa here? Ungangovewo uchidzikira uremu pasina chikonzero. Izvi hazvisi zviratidzo zvekuregeredza. Nhasi tiri kutaura nezvechirwere chinonzi Exocrine Pancreatic Insufficiency, kana kuti EPI muchidimbu, chinogona kukonzera zviratidzo izvi.
Zvichitaurwa zviri nyore, chii chinonzi EPI?
Zvakanaka, ngatizvitaure seizvi. Tine nhengo inonzi pancreas mudumbu medu. Basa rayo guru nderekugadzira ma enzymes , rudzi rwakakosha rwemakemikari anotibatsira kugaya chikafu chatinodya. Ma enzymes aya anopinda muura hwedu hudiki uye anopwanya chikafu chatinodya, kunyanya mafuta nemafuta, kuitira kuti muviri wedu ugone kuatora.
Zvino, chinoitika kumunhu ane EPI ndechekuti pancreas haigadzi ma enzymes akakwana. Chii chinoitika ipapo? Chikafu hachigayiwi zvakanaka. Muviri hautore zvinovaka muviri zvaunoda, kunyanya mafuta nemavhitamini anonyungudika mumafuta (akadai sevhitamini A, D, E, naK). Izvi zvinokonzera matambudziko akadai sekurwadziwa mudumbu uye kudzikira kwehuremu.
Asi musazvidya mwoyo. Iye zvino kune mishonga yakanaka kwazvo yekurapa izvi. Kana mukawana kurapwa kwakakodzera, munogona kurarama hupenyu hwakajairika zvakare.
Ndezvipi zvinokonzera EPI?
Chikonzero chikuru cheEPI kukuvara kwepancreas. Izvi zvinogona kunge zvichikonzerwa nezvinhu zvakawanda.
- Pancreatitis inowanzo itika: Vanachiremba vanoti iyi pancreatitis isingaperi . Chinoitika pano ndechekuti ma enzymes anogadzirwa mupancreas anotanga kushanda mukati mepancreas asati asvika muura hudiki. Izvi zvinokuvadza pancreas pachayo. Njodzi iyi yakakura kune vanhu vanonwa doro rakawanda. Zvakare, zvinhu zvakaita sehuwandu hwemafuta muropa (Triglycerides) uye immune system isina simba zvinogona kukanganisawo izvi.
- Kuvhiyiwa: Dambudziko iri rinogona kuitika dzimwe nguva nekuda kwekuvhiyiwa kwepancreas, dumbu, kana ura.
- Zvirwere zvekuzvarwa nazvo: Zvimwe zvirwere zvekuzvarwa nazvo zvinogona kukonzerawo EPI.
- Cystic Fibrosis: Vanhu vane chirwere ichi vanogadzira manyoka akakora uye anonamira mumiviri yavo. Manyoka aya anovhara ducts dzepancreas, zvichiita kuti ma enzymes asabude.
- Shwachman-Diamond Syndrome: Ichi chirwere chinokonzerwawo nemajini. Mumamiriro ezvinhu aya, masero anogadzira ma enzymes mupancreas anorasika.
- Zvimwe zvirwere: Vamwe vanhu vari panjodzi yekubatwa neEPI nekuda kwezvimwe zvirwere zvemudumbu, zvakaita seCrohn's disease neCeliac disease.
Ungaziva sei kana uine EPI? Ndezvipi zviratidzo?
Pakutanga, panogona kunge pasina zviratidzo, asi sezvo pancreas inokuvara uye kugona kwayo kupinza mafuta kuchiderera, zviratidzo zvinotanga kuoneka zvishoma nezvishoma.
Chinhu chinonyanya kukosha ndechekutsvaga mazano echiremba kana wangoona zviratidzo izvi, pane kufunga kuti, "Ingori kurwadziwa kwemudumbu."
Tafura iri pazasi inoratidza zviratidzo zvinonyanya kuzivikanwa.
| Rudzi rwechiratidzo | Tsananguro |
|---|---|
| Zviratidzo zvekugaya chikafu |
|
| Zviratidzo zvinokonzerwa nekushomeka kwemavhitamini |
Chiremba anoongorora sei chirwere ichi chaizvo?
Paunoenda kunoona chiremba, achakubvunza nezvezviratidzo zvako uye obva akuraira kuongororwa kwakawanda kuti asimbise chirwere chako.
Mibvunzo yekubvunza chiremba
- Une kurwadziwa mudumbu rako repamusoro here?
- Tsvina yacho ine hwema hwakaipa here kana kuti ine mafuta? Zvinonetsa here kuigeza?
- Une manyoka here kana kuti une kuzvimba?
- Wakaderedza uremu munguva pfupi yapfuura here?
Miedzo inogona kukurudzirwa
Kune mhando dzakasiyana dzebvunzo dzeizvi.
| Rudzi rwekuyedza | Chii chinoedza izvi? |
|---|---|
| Kuongororwa kweRopa | Inoongorora huwandu hwemavhitamini mumuviri uye kana pancreas iri kugadzira maenzymes. Inogonawo kuongorora zvimwe zvinokonzera, zvakaita sechirwere checeliac. |
| Kuedzwa kwetsvina | Kuongororwa kwetsvina kwemazuva matatu kunoongorora kuti mafuta akawanda sei ari mutsvina. Kuongororwa kwetsvina ne elastase-1 kunoongororawo huwandu hwe enzyme inokosha inogadzirwa nepancreas. |
| Miedzo yeKufungidzira | Izvi zvinobatsira kuona kana pancreas yakazvimba.
|
Ndezvipi zviri kurapwa?
Mushonga mukuru uye unoshanda zvikuru weEPI iPancreatic Enzyme Replacement Therapy (PERT) . Zvichitaurwa zviri nyore, kutora mapiritsi ekutsiva maenzyme asiri kugadzirwa nepancreas yako.
- Maitiro ekutora mapiritsi ePERT: Mapiritsi aya anofanira kutorwa panguva yekudya . Kana akatorwa usati wadya, ma enzymes anenge abuda mudumbu chikafu chisati chasvika kwachiri. Kana akatorwa mushure mekudya, ma enzymes anenge asvika kunonoka mushure mekunge chikafu chatanga kugaya. Saka, mapiritsi aya anofanira kutorwa pamwe chete nekudya kukuru uye zvekudya zvemazuva ese .
- Mishonga inoderedza acid yemudumbu: Dzimwe nguva, acid yakawanda mudumbu inogona kuparadza mapiritsi aya eenzyme asati ashanda. Kuti izvi zvisaitike, chiremba wako anogona kukupa mushonga wakaita se 'Proton pump inhibitors' (semuenzaniso omeprazole) kana 'H2 blockers' (semuenzaniso famotidine).
- Mishonga Inoderedza Marwadzo:Kana paine kurwadziwa, unogona kutora mushonga wekuderedza marwadzo wakaita seParacetamol kana wapihwa zano nachiremba wako. Kana kurwadziwa kwacho kwakanyanya, unogona kunyorerwa mishonga yakasimba. Zvisinei, mishonga yakadaro inogona kukanganisa muviri, saka inofanira kushandiswa nekungwarira kwakanyanya uye pasi pezano rachiremba.
Pamusoro pezvo, zvakakoshawo kurapa chirwere chiripo (semuenzaniso Chronic Pancreatitis, Cystic Fibrosis) chakakonzera chirwere cheEPI.
Ungazvitarisira sei?
Pamwe chete nemishonga, mararamiro ako uye tsika dzako dzekudya zvakakoshawo mukudzivirira chirwere ichi.
- Idya zvikafu zvidiki zvidiki: Pane kudya zvikafu zvikuru katatu pazuva, idya zvidiki kanenge katanhatu pazuva. Izvi zvichaita kuti zvive nyore kugaya.
- Dzivisa doro nekusvuta: Doro rinoita kuti zviomere muviri kunwa mafuta uye rinokuvadzawo pancreas. Kusvuta kunokuvadzawo pancreas.
- Inwa mavhitamini: Sezvo muviri usingaanyevi nemazvo, uchafanirwa kutora mavhitamini akaita sevhitamini A, D, E, uye K kunze. Kuti izvi zviitike, chiremba wako achakutaurira mavhitamini akakodzera uye mwero wakakodzera.
- Tsvaga mazano kubva kune nyanzvi yezvekudya: Zvakakosha zvikuru kutsvaga mazano kubva kune nyanzvi yezvekudya kuti ugadzire chikafu chinovaka muviri chinokunakira.
EPI haisi chirwere chekunetseka nacho. Kana ukarapwa zvakanaka uye mararamiro ako, unogona kuidzora uye kurarama hupenyu hwakajairika. Chinhu chakakosha ndechekugara uchitaurirana nachiremba wako uye kutevedzera mirairo yake nemazvo.
Mharidzo Yekuenda Nayo Kumba
- EPI chirwere chekugaya chikafu chinoitika kana pancreas ikasagadzira ma enzymes akakwana.
- Kurwadziwa mudumbu, tsvina ine mafuta, manyoka, uye kudzikira kwehuremu ndizvo zviratidzo zvikuru. Usazvifuratira.
- Chirwere ichi chinogona kuongororwa nemazvo kuburikidza neropa, tsvina, uye bvunzo dzekuongorora.
- Dambudziko iri rinogona kurapwa zvinobudirira nemapiritsi e enzyme anonzi PERT.
- Zvakakosha zvikuru kurega doro nekuputa fodya zvachose uye kudya chikafu chakakwana.
- Kana paine matambudziko, taura nachiremba wako pane kusarudza wega.
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