Wakambovawo nechirwere chepancreatitis nekuda kwematombo emunduru here? (Gallstone Pancreatitis) Ngatitaurei nezvazvo!

Wakambonzwa here kuti matombo emunduru anogona kukonzera kuti pancreatitis izvimbe zvakanyanya kana kuzvimba? Izvi ndizvo zvinonzi navanachiremba `(Gallstone Pancreatitis)` kana `(Biliary Pancreatitis)`. Ichi chinogona kunge chiri chirwere chakakomba. Asi usazvidya mwoyo, nekuti kune mishonga yakanaka yeizvi. Nhasi, tichataura nezvese nenzira iri nyore yaunogona kunzwisisa.

Saka chii chinonzi pancreas ichi?

Zvichitaurwa zviri nyore, pancreas inhengo inokosha iri mukati medumbu redu, kuseri kwedumbu. Yakaita sefekitori diki mumuviri wedu. Inogadzira ma enzymes anonyanya kukosha ekugaya anotibatsira kugaya chikafu chatinodya. Patinodya, uye chikafu chikasvika muura hudiki, pancreas inogamuchira chiratidzo chekuburitsa ma enzymes aya. Ma enzymes aya anofamba kubva pancreas achifamba nechubhu diki (pancreatic duct) obatana nechubhu yakakura zvishoma (common bile duct). Ndimo muchubhu iyi hombe umo ma enzymes, pamwe ne bile kubva muchiropa negallbladder, anoenda kuchikamu chepamusoro cheura hudiki. Ndipo panoitika kugaya.

Zvakanaka, saka matombo aya emunduru chii?

Matombo emunduru anoumbwa munduru yedu. Gallbladder ibhegi diki rinounganidza nekuchengetera bile, iro rinogadzirwa nechiropa. Bile iri rine zvinhu zvakasiyana-siyana. Dzimwe nguva, kana paine cholesterol yakawandisa kana bilirubin munduru iyi, inogona kuita setsvina pasi penduru. Kana nduru ikasadururwa zvakanaka, zvinhu zvakaita setsvina izvi zvinogona kuungana uye nekufamba kwenguva zvinoumba matombo. Aya ndiwo atinodaidza kuti matombo emunduru.

Ko chirwere chepancreatitis chinokonzerwa nematombo emunduru chine njodzi here?

Ehe, ichi chirwere chakakomba . Kana ukawana pancreatitis, zvakakosha kutsvaga rubatsiro rwechiremba nekukurumidza sezvinobvira. Zviratidzo zvinogona kunge zviri zvishoma kana zvakanyanya. Zvisinei, kana usingarapwe kwenguva refu, ndipo pachanyanya kuipa. Kunyanya kana dombo rakanamira mumigero ye bile, ndipo panogona kukonzera matambudziko. Muzviitiko zvakakomba, zvinogona kuisa hupenyu panjodzi.

Chirwere ichi chakajairika zvakadii?

Matombo emunduru idambudziko rinowanzoitika kuvanhu vazhinji. Asi havasi vese vanawo. Semuenzaniso, muUnited States, zvinofungidzirwa kuti 10% kusvika 15% yevanhu vane matombo emunduru. Asi 0.1% chete yevanhu ivavo vanotambura nepancreatitis nekuda kwematombo emunduru. Pancreatitis inorwadza inokanganisa vanhu vanosvika 0.4% muUnited States. Matombo emunduru ndiwo anokonzera vanhu vanosvika 35% vezviitiko izvi. Chikonzero chechipiri chinowanzoonekwa kushandisa doro.

Chii chinokonzera matombo emunduru?

Zvakaoma kuziva chikonzero chimwe chete chinokonzera matombo emunduru, asi zvinhu zvakawanda zvinogona kukonzera izvi:

• Kana huwandu hwecholesterol muropa rako hwakakwira, zvinogona kunge zvichikonzerwa nechikafu chaunodya kana chirwere chemetabolism. Kana zvakadaro, cholesterol inogonawo kuungana munyongo yako.
• Kana uine chirwere chechiropa, huwandu hwebilirubin muropa rako nebile zvinogona kuwedzera.
• Kana paine dambudziko rekushanda zvakanaka kwenyongo isingabudise tsvina zvakanaka.
• Kuwanda kweestrogen kunogonawo kunonotsa kubuda kwegallbladder. Ndosaka njodzi iyi yakakura panguva yekuzvitakura.

Matombo emunduru anokonzera sei pancreatitis?

Fungidzira kuti pancreas yako, gallbladder, uye bile duct zvakabatana nechubhu inonzi common bile duct. Kazhinji, bile inobva mugallbladder yako inoyerera nepamugero uyu ichipinda muura hwako hudiki. Asi kana uine matombo emudumbu, anogonawo kufamba nepamugero uyu.

Kunyange zvazvo matombo achipfuura zviri nyore paanenge achiri mudiki, anokura zvishoma nezvishoma sezvo nyongo itsva ichipfuura pamusoro pawo. Saka, dombo raimbopfuura zviri nyore rinogona kunamira gare gare, kunyanya kana duct yacho yakamanikana. Dombo renduru rinogona kunamira mukati meduct yepancreatic kana kunamira kunze kweduct, zvichikonzera pancreatitis.

Kune dzidziso mbiri pamusoro pekuti kuvharika uku kunokonzera sei pancreatitis:

1. Dzidziso yekutanga ndeyekuti kana dombo rikavanda kunze kwemugero wenyongo, nyongo inogona kuyerera ichidzokera shure ichipinda munyongo. Nyongo ine ngura yakawanda, izvo zvinogumbura nyongo.

2. Dzidziso yechipiri ndeyekuti ma enzymes epancreas ndiwo anokonzera kuzvimba. Ma enzymes aya akagadzirirwa kugaya mapuroteni, makabhohaidhiretsi, nemafuta ari muura diki. Nokudaro, anoparadzawo zvakanyanya. Kunyangwe ura hwedu diki hwakadzivirirwa kubva kune izvi nejira gobvu remudumbu, pancreas haina dziviriro yakadaro.

Kazhinji, ma enzyme epancreas anotanga kushanda mushure mekunge asvika muura hudiki. Zvisinei, kana kumanikidzwa kwakanyanya kukavapo nekuda kwekuvharika kwemugero wepancreas, ma enzymes anogona kutanga kushanda nekumanikidzwa ikoko.

Zvisinei, tinoziva kuti pane hukama hwechikonzero nemhedzisiro pakati pematombo emunduru nepancreatitis inorwadza zvakanyanya. Paunoenda kuchipatara kunorapwa, pancreatitis inopora kana matombo ari mumigero ye bile abviswa.

Ndezvipi zviratidzo zvepancreatitis inokonzerwa nematombo emunduru?

Zviratidzo zvinowanzoonekwa ndeizvi:

• Kurwadziwa kwakanyanya mudumbu. Unganzwa izvi mudumbu rekumusoro kuruboshwe, uko kune pancreas yako. Zvinganzwa sebanga riri kukubaya kana kukudzvanya kubva mukati. Kurwadziwa uku kunogonawo kupararira pachipfuva, papfudzi, kana kumusana.
• Kusvotwa nekurutsa.

Sezvo chirwere ichi chichikura, zviratidzo zvakaita seizvi zvinogonawo kuitika:

• Kuzvimba kwedumbu.
• Kushaya mvura mumuviri.
• Kurova kwemoyo kunowedzera.
• Kufema nekukurumidza kana kuoma kufema.
• Kuderera kweropa.
• Kupisa muviri kwakaderera.
• Fivha nechando.
• Jaundice (kutsvuka kwemaziso neganda).

Ndezvipi zvinetso zvepancreatitis zvinokonzerwa nematombo emunduru?

Kana pancreas yako ikaramba ichizvimba zvakanyanya, nyama dzayo dzichakuvara zvishoma nezvishoma uye ropa rinotanga kudzikira. Izvi zvinogona kukonzera kuti pancreas irasikirwe nebasa rayo. Kuramba ichizvimba kunogona kukonzera kuti mvura iungane munyama dziri pakati penhengo (peritonitis). Mvura iyi inogona kupararira ichipinda muchipfuva, ichidzvanya mapapu nemwoyo. Sezvo mvura iyi ichiungana, huwandu hweropa remuviri hunoderera, zvichikonzera kupera mvura mumuviri zvakanyanya. Izvi zvinogona kukonzera kuti itsvo dzirambe dzichiwana mvura, zvichizoguma zvaita kuti pave nechirwere chine njodzi chinonzi hypovolemic shock.

Kana dombo rikavharika mumugero wenyongo, zvinogona kukonzera matambudziko kune dzimwe nhengo dzakabatana nemugero iwoyo. Nyongo inogona kudzokera kuchiropa nenyongo, zvichikonzera cholecystitis uye chirwere chechiropa. Kana kumanikidzwa kuri mumagero kukawedzera, mvura yekugaya senge nyongo inogona kubuda muropa. Kuvharika kunogona kubvumira mabhakitiriya kubva muura hudiki kudzokera mumigero, zvichikonzera hutachiona. Kana hutachiona uhu hukapararira muropa, hunogona kukonzera hutachiona hunokanganisa muviri wese uye hunogona kutokonzera chirwere chinouraya chinonzi septic shock.

Chirwere ichi chinoonekwa sei?

Kana ukauya kuchipatara uine zviratidzo zvakajairika, chiremba anotanga aongorora ropa kuti aone huwandu hweenzymes dzepancreas yako. Vachaongororawo huwandu hweenzymes dzechiropa chako kuti vaone kuti chiropa chako chakuvara zvakadii. Zvadaro, vachaita bvunzo dzemifananidzo kuti vaone kuti pancreas yako yakanyanya sei uye kuti kuzvimba kwacho kwakasimba sei.

Ultrasound yemudumbu inogona kuona matombo emunduru ari mumigero yenyongo. Kana zvichidikanwa, CT scan inogona kutarisa pancreas zvakadzama. Dzimwe nguva, panguva yaunouya kuzorapwa, dombo rekutanga rakatanga kuzvimba rinogona kunge rapfuura roga. Asi kana paine mamwe matombo aripo, vanachiremba vanogona kuona kuti ndiro rakakonzera.

Pancreatitis inokonzerwa nematombo emunduru inorapwa sei?

Kana chirwere chako chakanyanya kuipa, uchaiswa muchikamu chevanotarisirwa zvakanyanya. Kazhinji (anenge 80%) kana chirwere chako chisina kunyanya kuoma, rubatsiro rwekutsigira ndirwo rwekutanga. Uku ndiko chete kurapwa kwepancreas.

Kutarisirwa kwekutsigira

Kurapa kunotanga seizvi:

• Mvura yemutsinga: Nekuti vanhu vazhinji vanoshaya mvura mumuviri, huwandu hweropa hunofanira kudzoreredzwa. Chikwata chekurapa chichaisa catheter yemunyu mutsinga iri muruoko rwako kana muruoko rwako uye chicharamba chichikupa mvura. Mvura iyi inewo ma electrolytes.
• Mushonga wekurwadziwa:Vanhu vazhinji vanorwadziwa zvakanyanya, saka vanofanirwa kupiwa mishonga inonyaradza marwadzo yakasimba, kungave jekiseni kana kuti nemushonga wemunyu.
• Kurara: Uchafanira kurega kudya kusvika pancreas yako yadzikama. Izvi zvinodaro nekuti paunodya, kugaya kwako kunotanga kushanda, zvichiratidza kuti pancreas yako ibudise ma enzymes akawanda uye chiropa chako negallbladder zvibudise bile rakawanda. Izvi zvinogona kuwedzera kumanikidzwa kwemutsinga dze bile, zvichiita kuti mamiriro acho awedzere kuipa.
• Rutsigiro rwezvekudya: Zvichienderana nekuoma kwechirwere chako uye nguva yauchagara muchipatara, timu yako yezvekurapa inogona kuwedzera huwandu hushoma hweglucose mumushonga wemunyu kuti ikupe simba. Vanogonawo kukupa hutano kuburikidza nechubhu yemudumbu kana mushonga wemunyu.

Uye zvakare, kurapwa uku kunogona kuitwawo:

• Mushonga wekusvotwa.
• Kupa okisijeni.
• Mishonga inorwisa mabhakitiriya kana chirwere chakaonekwa.
• Kuisa chubhu ye nasogastric (NG) nepamhino mudumbu kubvisa mvura mudumbu.
• Kuisa catheter yekubvisa weti uye kuyera huwandu hweweti inobuda.

Uchafanira kugara uri pachirongwa ichi chekutsigira kusvika pancreas yako yatanga kudzikama. Muzviitiko zvisina kunyanya kuoma, izvi zvinowanzopera mumazuva mashoma. Kubatsira kunogonawo kubatsira dombo kuti ribude roga risati ranyanya kuipa.

Nzira dzekubvisa matombo emunduru `(Kupindira kwematombo emunduru)`

Nokufamba kwenguva, chero matombo emunduru anenge akamira mumigero yako anofanira kubviswa. Izvi zvinogona kuitwa sekuvhiyiwa kwekukurumidzira, kana mushure mekubatsirwa. Zvinoenderana nemamiriro ako ezvinhu. Kunyangwe kana dombo rekutanga rakakonzera kuvharika kwacho rapera, mamwe matombo ese achafanira kubviswa.

Ungangoda kuita imwe kana nzira mbiri idzi:

• ERCP (Endoscopic retrograde cholangiopancreatography): Izvi zvinonzi ERCP muchidimbu. Iyi inzira inoongororwa mukati memuviri, uye inobvumirawo vanachiremba kugadzirisa chero matambudziko avanosangana nawo panguva iyoyo. Maburi enyongo anoongororwa achishandisa X-rays uye endoscope (chubhu refu ine kamera yakabatanidzwa). Endoscope iyi inopinzwa nepahuro ichipinda mudumbu, uye imwe chubhu inopinzwa nepairi ichipinda muburi renyongo. Chiremba anogona kuona maburi aya achishandisa tekinoroji yeX-ray yefluoroscopic. Zvishandiso zvinogona kupfuudzwa nepachubhu kubvisa matombo enyongo uye stents dzinogona kuiswa kuderedza kuvharika.
• Kubviswa kwenyongo:Kana matombo emunduru akakonzera kuti upinzwe muchipatara, une mukana wekuwana matambudziko zvakare. Saka, mushonga chete wematombo emunduru ari kukonzera matambudziko kubvisa nduru. Iyi inzira yakachengeteka uye inoshanda. Izvi zvinowanzoitwa kuburikidza ne laparoscopic cholecystectomy. Izvi zvinoreva kuti pane kucheka kudiki kunoitwa uye kamera inonzi laparoscope inoiswa kuburikidza neimwe yekucheka kubvisa nduru. Vamwe vanhu, zvichienderana nemamiriro avo ezvinhu, vangangodawo kuvhiyiwa kwechivanhu.

Pancreatitis inokonzerwa nematombo emunduru inogona kudzivirirwa here?

Kana wakambova nezviratidzo zvematombo emunduru kare, chiratidzo chekunyevera . Unofanira kuaongororwa woabviswa kana uine. Biliary colic ichiedza chitsvuku. Ikurwadziwa kunoitika kurudyi kwedumbu rako, pasi pembabvu yako yekurudyi, uko nduru yako iri. Kunogona kuipa mushure mekudya uye kunogona kuperekedzwa nekurutsa. Kana nyonganiso iyi yemunduru ikauya yoenda, zvinoreva kuti pane kuvharika, asi kwete kuvharika zvachose, munduru kana nduru. Kurwadziwa uku kunogona kuuya kwoenda sezvo nduru ichivharika yowedzera. Inogona kuchinja nyore nyore kuita chimwe chinhu chakakomba.

Zvakakosha: Zviratidzo zvakaita sekurwadziwa mudumbu uye kuda kurutsa, kunyanya mushure mekudya, zvinogona kuva chiratidzo che `(biliary colic)`. Usambofa wakafuratira kurwadziwa. Tsvaga rubatsiro rwechiremba kuti uone chikonzero. Kana ukakurumidza kuwana kurapwa kwepancreatitis, ndipo paunopora zviri nani.

Mamiriro ezvinhu aya acharamba aripo kwenguva yakareba sei?

Izvi hazviwanzopera zvega. Asi kana uine chirwere chisina kuoma, mazuva mashoma ekutsigirana muchipatara zvakanaka. Zvisinei, ungangoda kubviswa jira rekusimbisa.

Zvinotora nguva yakareba sei kuti munhu apore mushure mekurapwa?

Vanhu vazhinji vanofanirwa kubviswa gallbladder vachivhiyiwa cholecystectomy. Nguva yekupora inoenderana nekuti wavhiyiwa sei. Zvinotora mavhiki maviri kuti upore kubva pakuvhiyiwa kwe laparoscopic. Kana wavhiyiwa pachena, zvinotora mavhiki matanhatu kusvika masere.

Vanhu vari muchipatara vane chirwere chepancreatitis nekuda kwematombo emunduru vari kupora sei?

Kunze kwekunge uine chirwere chakakomba kana chakaoma, unogona kutarisira kupora zvizere. Kubviswa kwenyongo kunoonekwa sekuvhiyiwa kudiki, kusina matambudziko akawanda. Kunyangwe pasina nyongo yako, kugaya kwako kunogona kushanda zvakanaka.

Vanhu vanosvika 20% vane chirwere chakakomba kana kuti chakaoma. Muzviitiko zvakadaro, zvakaoma kugadzirisa kukuvara kwatoitika. Kunyangwe kana munhu akachengetwa zvakanyanya, vanhu vanosvika 25% vanogona kufa. Avo vanopona vanofanira kugara muchipatara kwemavhiki kuti vapore.

Kana usingazive kuti une matombo emunduru (uye vanhu vazhinji havazive), ungashamisika uye unonetseka paunoerekana wava nechirwere chepancreatitis nekuda kwematombo emunduru. Marwadzo acho anogona kunge akanyanya uye anogona kuita seanouya pasina chikonzero. Kana uchifunga kuti ungave uine matombo emunduru, kuchenjera kuti uongororwe nekukurumidza.

Zvinhu zvakakosha zvekurangarira (Mharidzo Yekuenda Kumba)

Zvakanaka, saka hezvino zvimwe zvinhu zvaunofanira kuyeuka kubva pane zvatataura nezvazvo:

• Pancreatitis yemudumbu idambudziko rakakura. Saka kana ukaona zviratidzo, enda kuna chiremba nekukasika.
• Zviratidzo zvikuru zvinogona kunge zviri kurwadziwa kwakanyanya mudumbu rekumusoro, kunyanya kuruboshwe, kuda kurutsa, uye kurutsa .
• Kana kurapwa kunonoka kwenguva refu, matambudziko anogona kuwanda.
• Kana uchiziva kuti une matombo emunduru, kana kuti wakambova nezviratidzo zvakaita se `(biliary colic)`, ziva nezvazvo.
• Kazhinji, kubvisa nduru ndiyo mhinduro inogara iripo, uye kuvhiyiwa kwakachengeteka.
• Kana ukanzwa kurwadziwa mudumbu rako rekumusoro kurudyi mushure mekudya, zvinogona kunge zviri chiratidzo chematombo emudumbu. Taura nachiremba nezvazvo.

Kana usingatyi, tsvaga mazano akakodzera ekurapwa, uye ukawana kurapwa kwakakodzera, unogona kupora zvizere kubva mudambudziko iri. Kana uine mimwe mibvunzo, usazeza kutaura nachiremba wako.

Matombo eGallstone, Pancreatitis, Gallstone Pancreatitis, Kurwadziwa kwedumbu, Kubviswa kweGallbladder, ERCP, Pancreatitis, Bile