Dzimwe nguva unongoerekana wava kurwadziwa mudumbu zvakanyanya, handiti? Zvakafanana nebanga rinokubaya mudumbu. Pamwe chete neizvozvo, unonzwa kuda kurutsa, kurutsa, uye dzimwe nguva kutoita fivha. Dzimwe nguva dzakadai, vazhinji vedu tinofunga kuti tine gastritis kana chepfu yechikafu. Asi haasi marwadzo ese emudumbu ari gastritis. Pamwe iri idambudziko repancreas , nhengo iri mumuviri wedu inokosha zvikuru asi hatitauri zvakawanda. Saka nhasi, ngatitaurei nezvekuongororwa kweropa kuri nyore asi kwakakosha kuti tione mamiriro epancreas iyi.
Ngatitangei tione, ndiani pancreas iyi?
Zvichitaurwa zviri nyore, pancreas igland rakati sandara riri mukati medumbu redu, kuseri kwedumbu. Kunyangwe riri diki, basa raro harisi rekutamba. Rine mabasa maviri makuru.
1. Kubatsira mukugaya chikafu: Rimwe remabasa ayo kugadzira nekutumira muura hwedu hudiki mhando dzakasiyana dzema enzyme anodiwa kuti tigaye zvakanaka makabhohaidhiretsi, mafuta, uye mapuroteni muzvikafu zvatinodya.
2. Kugadzirwa kwemahormone: Uyu ndiwo muviri unoburitsa mahormone akakosha zvikuru akaita se insulin, iyo inodzora huwandu hweshuga muropa redu.
Iye zvino wava kunzwisisa kukosha kweizvi, handiti? Saka kana paine dambudziko nepancreas iyi, kunyanya chimwe chinhu chakadai sekuzvimba, inogona kukanganisa muviri wedu wese.
Saka chii chinonzi bvunzo yeropa repancreas?
Iyi bvunzo iri nyore kwazvo. Iongororo yeropa iri nyore inotorwa kubva mutsinga iri muruoko rwako. Iyi bvunzo inotarisa huwandu hwema enzyme maviri muropa rako atakataura nezvawo kare, ayo anogadzirwa nepancreas uye anobatsira mukugaya.
Funga nezvepancreas sefekitori inogadzira ma enzymes aya. Kazhinji, ma enzymes aya anoenda zvakananga muura hwedu. Asi kana chimwe chinhu chakakuvara mupancreas, kana paine kuzvimba, zvinoita sekunge madziro efekitori aputsika uye zvinhu zviri kubuda, uye huwandu hwakawanda hwema enzymes aya hunoburitswa muropa. "Kubuda" ikoko ndiko kwatinoona nekuongorora ropa uku.
Ndezvipi zviratidzo zvandinofanira kuongororwa izvi?
Chiremba wako acharaira kuti ropa rako riongororwe kana vachifungidzira kuti une chirwere chepancreatitis chinokurumidzira , kuzvimba kwepancreas kamwe kamwe. Izvi ndizvo zviratidzo zvinowanzoonekwa zvechirwere ichi.
| Chiratidzo | Zvishoma nezvazvo |
|---|---|
| Kurwadziwa kwakanyanya mudumbu | Ichi ndicho chiratidzo chikuru. Ikurwadziwa kwakanyanya, kusingatsungiririki kunotanga mudumbu repamusoro uye kunoenda sebhandi kumusana. Kurwadziwa kwacho kunogona kuita sekunge kwaderera zvishoma kana ukakotama mberi. |
| Kusvotwa nekurutsa | Unogona kugara uchingonzwa kuda kurutsa uye kurutsa. Kunyangwe mushure mekurutsa, kurwadziwa kwemudumbu hakuperi. |
| Fivha uye dzihwa | Panogona kunge paine kunzwa kwekupisa kwemuviri kuchikwira, pamwe nekunzwa kudedera. |
| Kuda kudya | Unonzwa sekuti haudi kudya kana kunwa chero chinhu. |
| Kurova kwemoyo | Kurova kwemoyo kunogona kuwedzera. |
Kana uine zviratidzo zvakaita seizvi, chiremba wako acharaira kuti ropa rako riongororwe kuti aone kana dambudziko repancreas riripo kana kuti kwete.
Ngatidzidzei zvishoma nezve ma enzyme maviri anonzi Amylase naLipase.
Ma enzyme maviri makuru anoedzwa muongororo iyi yeropa ndiAmylase neLipase .
| Enzimu | Basa guru | Kukosha |
|---|---|---|
| Amylase | Zvinobatsira kugaya makabhohaidhiretsi (starch) atinodya, akadai semupunga nechingwa. | Mazinga eAmylase muropa anowedzera kana paine matambudziko epancreas. Zvisinei, nekuti iyi enzyme inogadzirwawo nemate glands edu, mazinga eamylase anogonawo kuwedzera mune mamwe mamiriro ehutano. |
| Lipase | Zvinotibatsira kugaya mafuta akaita semafuta nebhota zvatinodya. | Iyi ndiyo bvunzo chaiyo nekuti enzyme ye lipase inonyanya kugadzirwa nepancreas. Saka, kana huwandu hwe lipase muropa hwakakwira, pane mukana mukuru wekuti pave nedambudziko nepancreas. |
Saka, vanachiremba vanowanzo tarisa huwandu hwema enzyme ese ari maviri kuti vaone kana chirwere chacho chakanyatsojeka.
Kugadzirira kuongororwa ropa uye maitiro ekuita bvunzo
Izvi hazvidi kugadzirira kwakawanda. Maitiro acho ari nyore kwazvo.
- Kugadzirira: Kana uchikwanisa, pfeka hembe ine maoko mapfupi. Izvi zvichaita kuti zvive nyore kuti munhu ari kutora ropa awane tsinga muruoko rwako. Hapana imwe nzira yakakosha inodiwa.
- Maitiro ekutora ropa:
1. Kutanga, bhandi rerabha (senge tourniquet) rinosungirirwa paruoko rwako pamusoro pegokora kuti tsinga isimbiswe.
2. Wobva wachenesa nzvimbo ine tsinga uchishandisa mushonga wealcohol.
3. Uchishandisa tsono diki kwazvo, huwandu hweropa hunodiwa hunotorwa kubva mutsinga huchienda muchubhu diki.
4. Izvi zvinotora miniti imwe kana maviri. Zvadaro tsono inobviswa, chidimbu chedonje chinoiswa panzvimbo yacho, uye plaster inoiswa.
Paunotorwa ropa rako, unganzwa kurwadza, sekunge svosve diki riri kukuruma. Asi zvinongogara kwemasekonzi mashoma chete. Saka hapana chikonzero chekutya.
Mushure mekutorwa ropa, unogona kunzwa kukuvara kudiki paruoko rwako. Izvi zvinowanzopera mushure mezuva rimwe kana maviri.
Nzira yekunzwisisa sei kukosha kuri mumushumo webvunzo?
Mushure mekunge sampuro yeropa rako yatumirwa kurabhoritari kuti iongororwe, uchagamuchira mushumo. Ichanyora kukosha kwema enzyme aya. Aya ndiwo mazinga anofanirwa kunge ari muropa remunhu ane hutano.
| Enzimu | Range Yakajairika |
|---|---|
| Amylase | Mayunitsi 23 kusvika 85 pa litre (23 - 85 U/L). Mune mamwe marabhoritari, izvi zvinogona kusvika 140 U/L. |
| Lipase | 0 kusvika 160 mayunitsi pa litre (0 - 160 U/L). |
Zvakakosha: Hunhu uhwu hunogona kusiyana zvishoma kubva pakurabhoritari kuenda pakurabhoritari. Saka, zvakakosha kuenzanisa hunhu hwako ne'Normal Range' yataurwa mumushumo wako. Zvisinei, usaedze kududzira zviri mumushumo uyu iwe pachako. Chiremba wako chete ndiye anogona kuuongorora nemazvo, kuuenzanisa nezviratidzo zvako, uye kusvika pamhedziso chaiyo.
Mhedzisiro isina kujairika... ko kana mazinga e enzyme akakwira?
Kana huwandu hweAmylase neLipase muropa rako hwakapfuura katatu kupfuura huwandu hwepamusoro hwakajairika , humbowo hwakasimba hwekuti une chirwere chepancreatitis chakanyanya.
Asi chiremba haangoiti sarudzo zvichibva pane zvakabuda pakuongororwa kweropa. Anokuongorora iwe, zviratidzo zvako, uye anounganidza zvese izvi kuti asvike pamhedziso.
Dzimwe nguva, bvunzo dzakawanda dzingadiwa kuti pave nechokwadi chekuti chirwere chacho chaongororwa uye kuti pancreas yacho yakakuvara zvakadii.
- Ultrasound Scan: Izvi zvinogona kutora mifananidzo yenhengo dziri mudumbu. Izvi zvinogona kubatsira kuona zvinhu zvakaita sematombo emudumbu.
- CT Scan: Izvi zvinogona kutora mifananidzo yakajeka uye yakadzama yepancreas nedzimwe nhengo dzakapoteredza.
- MRI Scan: Izvi zvinobatsira kuwana mifananidzo yakajeka kupfuura CT scan.
- Endoscopy: Maitiro ekuisa chubhu diki ine kamera kuburikidza nemuromo kuti iongorore dumbu neura hudiki.
Chiremba wako ndiye achasarudza kuti ndeipi yemiedzo iyi yamunoda.
Unofanira kuona chiremba rini chaizvo?
Ichi ndicho chinhu chakakosha. Kana uine kurwadziwa kwakanyanya mudumbu sekwataurwa pamusoro apa , usangogara kumba uchifunga kuti chirwere chegastritis. Enda kuchipatara chiri pedyo neEmergency Department (ETU) nekukasika.
Chiremba achateerera zviratidzo zvako, okuongorora, uye oongorora zvabuda muongororo iyi yeropa kuti aone kuti unoda kurapwa kupi. Kutanga kurapwa nekukurumidza kunogona kubatsira kudzivirira matambudziko akakomba.
Mharidzo Yekuenda Nayo Kumba
- Kurwadziwa kwakanyanya mudumbu nekurutsa hazvisirizvo zvinogara zvichikonzera gastritis. Zvinogonawo kuva dambudziko nepancreas.
- Kuongororwa kweropa reAmylase neLipase, kunoitirwa kutarisa mamiriro epancreas, inzira iri nyore uye inokosha zvikuru.
- Mazinga ema enzyme e Lipase chiratidzo chakajeka chematambudziko epancreas.
- Usaedza kududzira kukosha kwemuongororo yeropa wega, gara uchikurukura nachiremba wako.
- Kana muine kurwadziwa kwakanyanya mudumbu, tsvagai rubatsiro rwechiremba nekukasika kubva kuEmergency Treatment Unit (ETU) yechipatara.
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