Unoziva here nezvengozi yechirwere chepancreatitis chinouraya vanhu?

Wakambonzwa nezvechirwere chakakomba apo chikamu chepancreas chinofa here? Izvi ndizvo zvatinodaidza kuti ``Necrotizing Pancreatitis''. Fungidzira kuti zvakakomba sei kurasikirwa nechikamu chenhengo inokosha mumuviri wedu. Izvi zvinoitika kana chirwere chinonzi ``Acute Pancreatitis '' chikanyanya kuipa. Nhasi, tichataura nezvazvo zvakadzama, sekunge tiri kutaura neshamwari.

Chii chaizvo chinonzi ``(Necrotizing Pancreatitis)``?

Zvichitaurwa zviri nyore, "Necrotizing Pancreatitis" kufa kwechikamu che "Pancreas" yako (Necrosis). Izvi zvinoitika kana chirwere che "Pancreatitis" chanyanya kuipa. Pancreatitis inguva apo pancreas inozvimba, yakatsvuka, uye inorwadza nekuda kwekukuvara kana chimwe chinhu chakaita sechepfu. Kana kuzvimba uku kukanyanya, kuyerera kweropa kuenda kunhengo dzepancreas kunogona kukanganisa "Ischemia". Zvadaro nhengo idzodzo hadzina kuwana okisijeni nezvinovaka muviri zvinodiwa uye dzinotanga kufa . Izvi zvinonzi "Necrosis". Ichi chirwere chine njodzi zvikuru.

Kana izvi zvikaitika, timu yako yezvekurapa ichakuchengeta muchipatara kwenguva yakati rebei uye ichakutarisa zvakanyanya kana paine zvimwe zvinetso . Chinhu chakakosha chekutarisira hutachiona . Fungidzira kana mabhakitiriya akatanga kudya nyama yakafa, anogona kukurumidza kuwanda ndokupararira mumuviri wako wese. Kana izvozvo zvikaitika, zvinogona kutungamira kumatambudziko akakomba akadai sekutadza kushanda kwenhengo , izvo zvinogona kuisa hupenyu panjodzi. Muzviitiko zvakadaro, vanachiremba vangafanira kubvisa nyama yakafa nekuvhiyiwa .

Dambudziko iri rakajairika zvakadii?

Zvichitaurwa zviri pachena, vanhu vanosvika 20% vanorwara nepancreatitis inouraya vanhu. Munyika yakaita seUnited States, zvinofungidzirwa kuti vanhu vanosvika mazana matatu ezviuru vanopinda muchipatara gore rega rega nekuda kwepancreatitis. Saka, 20% inhamba yakakosha, handiti?

Ndezvipi zviratidzo zve `(Necrotizing Pancreatitis)`?

Zviratidzo zvekutanga zvinoonekwa ndezvechirwere chepancreatitis chinorwadza zvakanyanya. Izvi ndeizvi:

• Kurwadziwa kwakanyanya mudumbu repamusoro. Kurwadziwa uku kunogonawo kuoneka kumusana.
• Kuzvimba kwedumbu kana kuzvimba.
• Kusvotwa nekurutsa.

Kana pancreatitis ikanyanya kuoma, zviratidzo zvakaita seizvi zvinogonawo kuoneka:

• Fivha nechando.
• Kuwedzera kwekurova kwemoyo (Tachycardia).
• Nyota zvakanyanya kana kupera mvura mumuviri.

Ndezvipi zvikonzero zve "Necrotizing Pancreatitis"?

Izvi zvinoitika muzvikamu zvakasiyana-siyana. Chekutanga, kuzvimba kwakajairika kwepancreas (Acute Pancreatitis) kunova kwakanyanya. Zvadaro, ropa rinokanganiswa (Ischemia), uye pakupedzisira, kufa kwenyama (Necrosis) kunoitika. Pane zvikonzero zvakasiyana zvechimwe nechimwe chezviitiko izvi.

Pancreatitis yakanyanya sei?

Chikonzero chikuru chechirwere chegomarara chinokonzerwa nechirwere chegomarara . Izvi zvinoitika kana gomarara rakadzika mugomarara rovhara nzira yegomarara. Izvi zvinonziwo gomarara regomarara. Chikonzero chechipiri chikuru kunwa doro zvakanyanya .

Kuzvimba inzira yemuviri yekubatsira kana wakuvara, uchiedza kugadzirisa kukuvara kwacho. Asi dzimwe nguva kuzvimba uku kunova kwakanyanya zvekuti kunotanga kukonzera kukuvara.

Hazvisati zvanyatsojeka kuti sei kuzvimba uku kwakanyanya kune vamwe vanhu kupfuura vamwe. Zvisinei, zviri pachena kuti izvi zvinogadzira " chando chechando" mukati mepancreas.

Kumanikidzwa kwakanyanya kunokonzerwa nekuzvimba kwakanyanya kunoita kuti ma enzymes epancreas ashande mukati me pancreatic tissue. Kazhinji, ma enzymes aya ekugaya ashande mushure mekunge chikafu chapinda mu kugaya. Asi kana akashanda kare, anotanga kugaya pancreas pachayo. Fungidzira, uchigaya nhengo yako wega nema enzymes ako!

Kuderera kweropa kunokonzera "Ischemia" uye kufa kwenyama "Necrosis"

Kukuvadzwa kuri kuramba kuripo kwepancreas kunoita kuti pancreatitis iwedzere kuipa. Pakupedzisira, kuzvimba kwepancreas kunoita kuti tsinga dzeropa dziwedzere, zvichiita kuti ropa riderere kuenda munyama.

Chimwe chinhu chinogona kukanganisa izvi iSystemic Inflammatory Response Syndrome (SIRS). Ichi chirwere chekuzvimba kunoitika mumuviri wese. Izvi zvinogona kukonzera kumanikidzwa kweropa uye kuyerera kweropa kuderera.

Kurasikirwa nekuyerera kweropa (ischemia) kunokonzera kufa kwenyama (necrosis). Kugayiwa kwepancreas nema enzymes epancreas kunogonawo kukonzera kufa kwenyama iyi.

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

Dambudziko iri rinogona kukonzera matambudziko akasiyana-siyana munguva pfupi uye kwenguva refu.

Matambudziko enguva pfupi:

• Utachiona: Iyi ndiyo njodzi ine njodzi huru yeNecrotizing Pancreatitis. Izvi zvinogona kuitika muvanhu vanosvika 20%. Nyama yakafa yakaita senzvimbo yakanaka yekudya mabhakitiriya anofamba-famba. Zvakaoma kudzora hutachiona kana watove kurwara. Kana hukapararira muropa, hunogona kutyisidzira hupenyu. Utachiona muropa hunogona kukonzera sepsis , izvo zvinogona kukonzera kutadza kushanda kwenhengo dzakawanda . Ichi ndicho chikonzero chikuru cherufu muvanhu vane Necrotizing Pancreatitis.
• Kuunganidzwa kweNecrotic Fluid: Muchirwere chepancreatitis chakakomba, maenzymes epancreas anoshandiswa anogona kubuda mupancreas nekukuvadza nyama yakapoteredza. Kapusule yenyama yakatetepa inoumbwa yakatenderedza mvura yepancreas. Kana kapusule iyi iine nyama yakafa nemabhakitiriya, hutachiona hunogona kutanga nekupararira zviri nyore. Kashoma, kapusule iyi inogona kukura nekudzvanya nhengo dziri pedyo, dzakadai sedumbu, mitsipa yeropa, kana ducts dze bile.
• Kubuda ropa: Kubuda ropa pancreatitis hakuwanzoitiki, asi kunogona kuisa upenyu panjodzi kana zvikaitika. Kubuda ropa pancreatitis kunowedzera njodzi yekubuda ropa uku. Imwe nzira inogona kuitika izvi ndeye kana kuzvimba kana mvura iri mupancreas ikapararira ichienda kutsinga iri pedyo, zvichikuvadza madziro etsinga uye zvichikonzera kubuda ropa. Imwe nzira ndeye kana ma enzymes epancreas achipwanya madziro etsinga, zvichigadzira pseudoaneurysm , iyo inoputika uye ichikonzera kubuda ropa.
• Syndrome yeAbdominal Compartment: Kuzvimba, kubuda ropa, uye mamwe mvura inoungana pamwe chete nepancreatitis inouraya zvinogona kukonzera kumanikidzwa kwakanyanya mukati medumbu. Izvi zvinonyanya kuonekwa muvarwere vanorwara zvakanyanya. Izvi zvinogona kukonzera kudzikira kweropa kuenda kunhengo dzemuviri, izvo zvinogona kukonzera kuvharika kweropa , ischemia, uye hypoxia . Izvi zvinogona zvakare kukonzera kutadza kushanda kwenhengo dzakawanda.

Migumisiro yenguva refu:

• Kusakwana kwePancreatic: Kana huwandu hwakawanda hwepancreas hukarasika, mamwe mabasa epancreas anogona kurasikirwa. Kusakwana kwePancreatic muExocrine kunoitika kana pancreas isingagadzire ma enzymes akakwana ekugaya chikafu. Izvi zvinogona kukonzera kusakwana kwemuviri uye kushaya chikafu chinovaka muviri . Kusakwana kwePancreatic muEndocrine kunoitika kana pancreas isingagadzire mahormone akakwana anodzora huwandu hweshuga muropa. Izvi zvinogona kukonzera hyperglycemia uye chirwere cheshuga .
• Disconnected Pancreatic Duct Syndrome: Kuzvimba kwakanyanya, kubuda ropa, kufa kwenyama, nezvimwe zvinetso zvinokonzerwa ne necrotizing pancreatitis zvinogona kukonzera kuti pancreatic duct ipararire zvishoma kubva pancreatitis kana muura hudiki. Izvi zvinogona kukonzera kuramba kuchibuda ma enzymes epancreas. Kubuda uku kunogona kutungamira mukuunganidzwa kwemvura kwenguva refu uye/kana pancreatitis isingaperi.
• Kuoma kweBiliary:Kuzvimba kwakanyanya uye kwenguva refu kunogona kukonzera mavanga mune chero nzira dzinobatanidza pancreas nedumbu (pancreatic duct, bile duct, duodenum - kutanga kweura hudiki). Mavanga aya anoita kuti duct iite diki zvisina kujairika (stricture). Izvi zvinononotsa kuyerera kwe bile, uye bile inotanga kudzokera mu biliary system.
• Splanchnic Vein Thrombosis: Mitsipa yako ye splanchnic iri pasi pepancreas yako. Pancreatitis yakanyanya inogona kukonzera kuzvimba. Izvi zvinogona kukonzera kuumbwa kweropa (thrombosis) mumitsipa iyi. Mitsipa iyi inosanganisira splenic vein, mesenteric vein, hepatic vein, uye portal vein. Kana ropa rikagwamba mune chimwe cheizvi, matambudziko akasiyana-siyana anogona kuitika, akadai se portal hypertension , gastrointestinal varices, gastrointestinal bleeding, ischemic colitis, uye mesenteric ischemia.

Necrotizing Pancreatitis inoonekwa sei?

Vanachiremba vanoongorora chirwere ichi `(Necrotizing Pancreatitis)` mushure mekutanga kuongorora `(Acute Pancreatitis).` Zviratidzo zviri pachena zvekufa kwenyama `(Necrosis)` hazvionekwe kusvika mazuva matatu kusvika mashanu mushure mekutanga kwepancreatitis. Kana uine zviratidzo zvepancreatitis yakanyanya mazuva mashoma mushure mekuzvimba kwekutanga, chiremba wako achashandisa CT scan ne fluorescent dye `(Contrast-enhanced CT scan)` kana MRI.` (MRI - Magnetic Resonance Imaging)` kuti vaone kufa kwenyama iyi. Vachatsvagawo zvimwe zvinetso, zvakaita sekuunganidzwa kwemvura.

Ndezvipi zvinorapwa izvi?

Kurapwa kwako kunoenderana nekuti une hutachiona here kana kuti zvimwe zvinetso. Kana pancreatic necrosis isina utachiona uye pasina zviratidzo, vanachiremba vanowanzoirapa nerubatsiro rwekuchengetedza . Kana zviratidzo zvehutachiona kana zvimwe zvinetso zvikaitika, vanachiremba vanopindira sezvinodiwa. Vachaedza kubvisa nyama yakafa vachishandisa nzira dzisinganyanyi kukuvadza vasati vavhiyiwa.

Kutarisira kwekuchengetedza

Kubatsira kwe "Sterile Necrotizing Pancreatitis" isingatapukire kunosanganisira:

• Mishonga inouraya marwadzo.
• Mvura inopinzwa mutsinga `(IV Fluids)`.
• Kudya Kwemuviri.

Nyaya zhinji dziri nyore dzinopera nekubatsirwa chete. Munguva iyi, timu yako yezvekurapa ichanyatsoongorora mamiriro ako ezvinhu. Vachaongorora zviratidzo zvako zvinokosha , kumanikidzwa kwedumbu, uye huwandu hweropa rako rose.Vachaongorora zvinhu zvakaita seComplete Blood Cell Count (CBC) uye vachatarisa matambudziko angangoitika. Kana chimwe chinhu chakadai sehutachiona kana kutadza kushanda kwenhengo dzemuviri, vachapa rutsigiro rwehupenyu kana mamwe maantibayotiki sezvinodiwa.

Kudhonza Mvura Uye Kubvisa Mvura

Kana wangotanga kuona zviratidzo zvehutachiona, timu yako yezvekurapa ichatanga kukushandisa mishonga inorwisa mabhakitiriya uye icharonga kubvisa chero nyama yakafa kana zvichibvira. Vachatanga nenzira isinganyanyi kukuvadza, vozowedzera simba rayo zvishoma nezvishoma kana zvichidikanwa.

Nzira idzi dzinosanganisira:

• Kuyerera kwemvura muganda: Nzira yekubvisa tsvina kuburikidza neganda. Nyanzvi ye radiation inoshandisa nzira dzekufungidzira (kazhinji ultrasound kana CT scans) kuti iwane nzvimbo yenyama yakafa uye inoisa chubhu kuburikidza neganda rako. Chubhu inosiyiwa panzvimbo yayo uye inosukwa ne saline kakawanda pazuva kuti ibudise mvura. Iyi ndiyo sarudzo chete kune chikamu chimwe muzvitatu chevarwere. Kune vamwe, inobatsira kudzora hutachiona kusvika dzimwe nzira dzekubvisa tsvina dzave dzakachengeteka.
• Kubviswa kweEndoscopic: Maitiro anonzi endoscopy anobvumira chiremba wedumbu kusvika panyama yakafa iri mumuviri wako pasina kucheka ganda rako. Achapfuura ne endoscope, ine ultrasound probe, kuburikidza nedumbu rako repamusoro kuti awane nzvimbo yepancreas. Zvadaro, zvishandiso zvinopfuudzwa kuburikidza ne endoscope kuti zvigadzire mugero pakati penyama yakafa nedumbu rako. Nyama yakafa inobviswa kuburikidza negwara iroro.
• Kubviswa kweropa nepaburi remudumbu (VARD) kuburikidza nevhidhiyo: Uku kuvhiya kushoma. Izvi zvinosanganisira kuisa zvishandiso zvekuvhiya kuburikidza nekucheka kwawakaita kare paganda rako kunonzi Percutaneous Drainage Portal woenda kunzvimbo ine nyama yakafa. Chiremba anoshandisa forceps, irrigation uye suction kubvisa nyama yakafa kuburikidza nekucheka. Kana zvichidikanwa, kucheka kunogona kuwedzerwa uye chubhu ine kamera inonzi laparoscope inogona kuiswa. Nyama yasara inozobviswa uchishandisa nzira ye laparoscopic inonzi laparoscopic surgery.
• Kuvhiyiwa Kwakavhurika - Necrosectomy: Necrosectomy kubvisa nyama yakafa. Kuvhiyiwa kwakavhurika kunosanganisira kuvhura mudumbu uye kuwana nyama yakafa (Laparotomy). Iyi ichiri nzira inokurumidza yekuwana nekurapa matambudziko ekukurumidza. Kunyangwe kuvhiyiwa kune dzimwe njodzi, ndiyo nzira yekupedzisira yekukurumidza uye kana nzira dzisinganyanyi kupindira dzakatadza.

Chii chiri chiyero chekufa uye chiyero chekupora kwe `(Necrotizing Pancreatitis)`?

Mikana yekupora inoenderana nekuti pancreas yako yakafa yakawanda sei, kungave uine hutachiona kana kuti nhengo yako yakakundikana kushanda zvakanaka, uye kuti unopindura zvakanaka sei kana ukarapwa. Kana pancreas yako iri pasi pe30%, huwandu hwerufu huri pasi pe15% . Kana paine kufa kwenyama chete pasina hutachiona, hazvina kuipa. Asi kana pancreas yako inopfuura 50% ikabatwa, uye iwe ukaita hutachiona kana nhengo yako yakakundikana kushanda zvakanaka, huwandu hwerufu hunowedzera kusvika pa30% .

Usavhunduke nenhamba idzi. Idzi ingori ruzivo rwese. Chikwata chekurapa chiri kukurapa chete ndicho chinogona kukuudza zviri nani nezvechirwere chako uye mikana yako yekupora.

Chii chinoitika mushure mekurapwa?

Pakusangana kwako mushure mekurapwa, chiremba wako achakubvunza nezvezviratidzo zviri kuramba zvichiitika kana zvitsva. Necrotizing Pancreatitis inogona kuva nematambudziko kwenguva refu kunyangwe mushure mekurapwa. Kana uine zviratidzo, unogona kukumbirwa kuti uongororwe ropa, uongororwe murabhoritari, kana kuti uongororwe mifananidzo kuti uone kana zviri zvechokwadi. Matambudziko anogona kuda kurapwa kwakawedzerwa, kungave kwenguva pfupi kana kwenguva refu.

Kuuraya pancreatitis idambudziko guru rinokonzerwa nechirwere chepancreatitis chakakomba. Kunyange zvazvo vanhu vazhinji vachipora kubva pachirwere chepancreatitis chakakomba nekubatsirwa chete, avo vanowana chirwere chepancreatitis chakakomba uye necrosis vanoda kurapwa kwenguva refu. Uchada timu yevanachiremba vane hunyanzvi hwakasiyana-siyana kuti vatarise mamiriro ako ezvinhu uye chero matambudziko angamuka. Ungangoda kupindira kana kuvhiyiwa, pamwe nekutarisirwa kwekutevera.

Zvinhu zvakakosha zvatinofanira kurangarira kubva munyaya iyi (Mharidzo Yekuenda Kumba)

• Necrotizing Pancreatitis chirwere chakakomba apo chikamu chepancreas chinofa.
• Izvi zvinowanzokonzerwa nechirwere chepancreatitis chakanyanya. Zvikonzero zvikuru matombo emunduru uye kunwa doro zvakanyanya .
• Kana uine zviratidzo zvakaita sekurwadziwa mudumbu zvakanyanya, fivha, kuda kurutsa, uye kurutsa, tsvaga rubatsiro rwechiremba nekukasika.
• Kutapukirwa ndicho chinetso chikuru uye chine njodzi zvikuru chechirwere ichi.
• Nzira dzekurapa dzinosiyana zvichienderana nemamiriro emurwere. Kune nzira dzakasiyana-siyana dzekurapa , kubva pakubatsira varwere kusvika pakuvhiyiwa .
• Kunyangwe ichi chiri chirwere chakakomba, vanhu vazhinji vanopora nekurapwa kwakakodzera uye kutarisirwa . Saka musarasa tariro.

Kana iwe kana mumwe munhu waunoziva aine chimwe chezviratidzo izvi, ndapota shanyirai chiremba nekukasika. Kurapwa nekukurumidza kunogona kuponesa hupenyu!

` Necrotizing Pancreatitis, Pancreatitis, Kufa kwepancreatitis, Kurwadziwa kwedumbu, Utachiona hwepancreatic, Pancreatitis Sinhala, Zvirwere zvepancreatic