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Ngaba nawe uneentlungu zesisu? Mhlawumbi yi-pancreatitis!

Ngaba nawe uneentlungu zesisu? Mhlawumbi yi-pancreatitis!
Ngaba ngamanye amaxesha ukhe uve iintlungu ezingaqhelekanga eziqala esiswini esisezantsi zize ziye emqolo? Okanye uzive uhluthi okanye ungakhululekanga emva kokutya? Mhlawumbi ngasemva kwezi zinto kukho ingxaki yelungu elibalulekileyo esingathethi kakhulu ngalo, kodwa elisenokuba lilo. Namhlanje, masithethe ngepancreas kunye nokudumba kwayo, `(Pancreatitis)`.

Yintoni le pancreas? Kwenzeka ntoni kuyo?

Ngamafutshane, ipancreas yakho sisitho esincinci, kodwa esibaluleke kakhulu esiswini sakho. Ukuba ubeka isandla sakho sasekunene phezu kwesisu sakho, yiyo loo nto ipancreas yakho inkulu, ngasemva kwesisu sakho naphambi kancinci komqolo wakho. Esi sitho sincinci senza izinto ezimbini ezinkulu: 1. Ukunceda ekugayweni kokutya: Senza ii-enzymes ezikhethekileyo (ezifana ne-amylase) ezinceda umzimba wakho ukuba ufunxe izondlo ekutyeni okutyayo. Ezi enzymes zihamba nge-pancreatic duct ziye emathunjini amancinci, apho ukutya okutyayo kugcinwa khona. 2. Ukulawula amanqanaba eswekile egazini: Mhlawumbi ukhe weva nge-insulin. Ipancreas yenza iihomoni ezinceda ukugcina amanqanaba eswekile egazini elawulwa.

Ngoko ke, yintoni i-pancreatitis?

I-Pancreatitis kukudumba okanye ukudumba kwepancreas yakho. Kufana nokuba xa sifumana ukwenzakala kwindawo ethile emzimbeni wethu, kuyadumba kwaye kubuhlungu. Oku kudumba kuko okubangela iintlungu zesisu esizikhankanyileyo ngaphambili. Cinga ngako, xa inkqubo yokuzikhusela yomzimba wethu (inkqubo yomzimba yokuzikhusela) izama ukuphilisa indawo eyonzakeleyo, ukudumba kwenzeka. Oku kudumba kwenzeka xa ipancreas yonakele okanye yonakele. Uninzi lwexesha, oku kubangelwa ngamatye enyongo avala umbhobho wepancreas okanye ukusela utywala kakhulu.

Ngaba kukho iintlobo zezi?

Ewe, kukho iintlobo ezimbini eziphambili ze-pancreatitis:

1. I-Acute Pancreatitis

Olu luhlobo lwexeshana . Lwenzeka xa ipancreas izama ukuphola emva kokwenzakala okuncinci, okwethutyana. Uninzi lwabantu luyaphola ngokupheleleyo kwiintsuku ezimbalwa. Nangona kunjalo, lufuna unyango olufanelekileyo , njengokuphumla, ukusela ulwelo oluninzi, kunye nokusela iintlungu . Nangona kunjalo, ngamanye amaxesha le meko "ye-Acute pancreatitis" inokuba nzima kakhulu kwaye inokubangela iingxaki ezisongela ubomi .

2. I-Pancreatitis Engapheliyo

Olu luhlobo oluhlala ixesha elide, oluqhubekayo . Alupheleli nje ekubeni ngcono, luba mandundu ngokuhamba kwexesha. Le meko yenzeka xa umonakalo kwi-pancreas uqhubeka. Oku kubangela amanxeba (`(Fibrosis)`) kwizicubu ze-pancreas, aqala ukuvelisa ii-enzymes kunye nee-hormone ezimbalwa ekufuneka zenziwe. Oku kungathatha iminyaka ukuba kwenzeke.

Ixhaphake kangakanani le sifo?

Kwilizwe elifana neMelika, abantu abangaphezu kwama-200,000 bangeniswa esibhedlele minyaka le ngenxa ye-acute pancreatitis. Kulaba, malunga nama-20% kuthiwa bakwimeko embi kakhulu. I-pancreatitis engapheliyo ayixhaphakanga kangako, kodwa isabangela ukuba abantu abamalunga nama-86,000 bangeniswe esibhedlele minyaka le. Le meko ikwabonakala ngakumbi eSri Lanka.

Zithini iimpawu? Uziva njani?

Uphawu oluphambili lwe-pancreatitis ziintlungu zesisu . Nangona kunjalo, ezinye iimpawu zinokuvela.

Iimpawu ezibukhali:

Iimpawu zesifo esingapheliyo:

Oku kuthetha ukuba i-pancreas yakho iyasilela kancinci kancinci.

Ivakala njani le ntlungu?

Intlungu yepancreatitis ingahluka ukusuka kwephakathi ukuya kwenkulu . Ihlala ivakala ngathi iphuma esiswini iye ngaphandle . I-acute pancreatitis idla ngokuba nzima ngakumbi, kwaye inokuvakala njengentlungu yokuhlaba . Inokuba buhlungu xa uchukumisa isisu sakho. Intlungu yepancreatitis engapheliyo inokwahluka ukusuka kumntu nomntu. Ngamanye amaxesha iyafika ize ihambe, kodwa ayipheli ngokupheleleyo. Ixhaphake kakhulu emva kokutya. Kwabanye abantu, intlungu ayipheli. Xa intlungu iba mandundu:
  • Xa uthe tyaba ngasemva.
  • Xa ukhohlela.
  • Xa uzilolonga.
  • Xa utya kakhulu.
Intlungu ingancitshiswa xa:
  • Xa uhlala ngqo.
  • Xa ugoba phambili.
  • Xa uzisonga njengebhola.
  • Xa usitya kancinci.

Ungazi njani ukuba i-pancreas ayisebenzi kakuhle?

Xa ipancreas iyeka ukusebenza kakuhle ngenxa ye-pancreatitis engapheliyo, unokuqala uqaphele utshintsho kwinkqubo yakho yokugaya ukutya. Xa ipancreas ingakwazi ukuvelisa ii-enzymes zokugaya ukutya ezaneleyo kwaye izithumele emathunjini, umzimba awukwazi ukufunxa kakuhle izondlo ezikukutya, ingakumbi amafutha. Oku kunokubangela ukungakhululeki emva kokutya, kwaye amafutha angagayekiyo anokudlula kwindle yakho. Ekuhambeni kwexesha, unokuqala nokunciphisa umzimba.

Ziziphi izizathu eziphambili?

Iimbangela ezimbini eziphambili ze-pancreatitis zezi: 1. Amatye enyongo (Amatye enyongo) 2. Ukusela utywala ngokugqithisileyo. Xa ezi zizathu zimbini zidityanisiwe, zimalunga nama-80% ezigulane ze-pancreatitis.

1. I-Gallstone pancreatitis

Inyongo ekwinyongo yakho ingena emathunjini akho ngenyongo eqhelekileyo. Le nyongo kunye nomjelo we-pancreatic zombini zivulekela emathunjini akho kwindawo enye. Khawucinge ukuba kwenzeka ntoni ukuba i-gallstone ibambeke kuloo ndawo idibana kuyo? Iijusi ze-pancreatic azikwazi ukuphuma, zibambeke ngaphakathi kwi-pancreas. Emva koko uxinzelelo luyanda, kwaye ezo enzymes ziqala ukusebenza ngaphakathi kwi-pancreas, kwaye ziqala ukugaya i-pancreas ngokwayo. Yiyo loo nto ibangela oku kuvutha.

2. Ukusetyenziswa kotywala ngokugqithisileyo

Ukusela utywala ngokugqithisileyo nako kuyimbangela ecacileyo ye-pancreatitis. Nangona izazinzulu zingakaqiniseki ukuba kwenzeka njani , kukholelwa ukuba izinto ezinobuthi ezikwi-alcohol zibangela ukudumba kwe-pancreas, okanye ukuba ii-enzymes zokugaya ukutya zisebenza ngamakhemikhali. Malunga nesiqingatha sazo zonke iimeko ze-pancreatitis ebukhali nengapheliyo kuthiwa zibangelwa kukusela utywala ngokugqithisileyo.

Ezinye izizathu

Ukongeza kwezi zizathu zimbini ziphambili, kukho nezinye izizathu, kodwa azixhaphakanga kangako.
  • Iintsholongwane ezahlukeneyo, umzekelo iintsholongwane.
  • Inkqubo yomzimba yokuzikhusela ihlasela ipancreas (`(Autoimmune pancreatitis)`).
  • Utshintsho lwemfuza oludluliselwa kwizizukulwana ngezizukulwana (`(I-Hereditary pancreatitis)`).
  • Iingxaki zeemeko ezifana ne-cystic fibrosis.
  • Amanqanaba aphezulu amafutha (ii-triglycerides) egazini (`(i-Hypertriglyceridemia)`).
  • Amanqanaba aphezulu e-calcium egazini (i-Hypercalcemia).
  • Ukuncipha kokunikezelwa kwegazi kwi-pancreas (`(Ischemia)`).
  • Imeko yomhlaza.
  • Ukulimala kwi-pancreas.
  • Amanye amayeza ayingozi kwi-pancreas.
Zonke ezi zizathu zongeza ziye kuthi ga kwi-20%. Ngamanye amaxesha, akukho sizathu sinokufunyanwa.

Ngaba ukudumba okukhawulezileyo nokungapheliyo kuyafana?

Amaxesha amaninzi, i-pancreatitis iyenzeka ngequbuliso ize iphele okwethutyana (`(Acute)`). Nangona kunjalo, ukuba kukho izizathu eziqhubekayo, ezifana nezifo ezizuzwa njengelifa, i-pancreatitis inokwenzeka ngokuhamba kwexesha (`(Chronic pancreatitis)`). Ngokufanayo, ukuba i-acute pancreatitis iyenzeka ngokuphindaphindiweyo, inokuba yimeko yexesha elide.Khawucinge nje, xa i-pancreas isoloko iphantsi koxinzelelo kunye nomonakalo, umzimba uyaqhelana nayo kwaye usenokuqhubeka nokudumba nokuba umonakalo uyekile.

Ngaba oku kungakhokelela ekufeni?

Ewe, ukuba i-pancreatitis ebukhali iba mandundu kakhulu, iingxaki zinokukhokelela ekufeni. Kwinani elincinci labantu, i-pancreatitis ebukhali inokubangela impendulo echaphazela umzimba wonke. Oku kunokukhokelela ekuthukeni nasekungasebenzini kwamalungu amaninzi. Ukuba ayinyangwa ngokukhawuleza, inokuba yingozi ebomini. Kungcono ukuya esibhedlele kuba kunzima ukuqonda ukuba imeko imbi kangakanani xa uneempawu.

Ziziphi iingxaki ezinokubakho?

Uninzi lweemeko ze-acute pancreatitis azibangeli iingxaki. Kodwa malunga ne-1 kwi-5 yeemeko inokuba nzima kakhulu. Akukacaci ukuba kutheni abanye abantu beba nzima kangaka. Iimeko ezinzima zinokukhokelela ekufeni. I-pancreatitis engapheliyo nayo inokubangela iingxaki, kodwa zikhula kancinci kancinci kwaye azibeki ubomi esichengeni ngoko nangoko. Uninzi lweengxaki zinokulawulwa ngonyango.

Iingxaki ze-Acute Pancreatitis:

  • Ukufa kwezicubu (`(Necrosis)`) kunye nosulelo: Kwimeko enye kwezi-3 ze-pancreatitis ebukhali kakhulu, i-pancreas idumba kangangokuba ukuhanjiswa kwegazi kuyo kuyanqanyulwa. Emva koko, izicubu kwezinye iindawo ze-pancreas ziyafa. Le tissue ifileyo yindawo elungileyo yeentsholongwane. Ukuba iintsholongwane ziyosuleleka, zinokusasazeka ngokukhawuleza zize zingene egazini. Usulelo egazini (`(Septicemia)`) lungxamiseko. Umzimba usabela koku ngemeko ebizwa ngokuba yi`(Systemic Inflammatory Response Syndrome)`. Oku kubangela ukuba imithambo yegazi ikhule, uxinzelelo lwegazi luyehla (`(Septic shock)`) kwaye igazi liye kwizitho ezibalulekileyo linciphe, nto leyo enokukhokelela kwi`(Ukusilela kwamalungu amaninzi)`.
  • Ii-pseudocysts zePancreatic: Ukudumba kwepancreas kunokuvala umjelo othwala ijusi yepancreas uye emathunjini. Ijusi emva koko iyavuza ijikeleze ipancreas, ibangele ukudumba kwizicubu ezijikelezileyo. Ekuhambeni kwexesha, ingxowa eqinileyo enolwelo lwenzeka ijikeleze indawo evuvukileyo, ebizwa ngokuba yi-pseudocyst. Uninzi lwexesha, ezi cysts azibangeli zimpawu okanye azifuni unyango. Nangona kunjalo, ngamanye amaxesha zinokosuleleka okanye zikhule zibe nkulu kwaye zibangele iingxaki. Amaxesha amaninzi, umthambo wegazi unokungena kwi-cyst uze wophe. Kwimeko enjalo, oogqirha banokufuna ukukhupha ulwelo okanye bayeke ukopha.
  • I-pancreatitis engapheliyo: Xa i-pancreatitis ebukhali isenzeka ngokuphindaphindiweyo, inokuba yi-chronic. Xa i-pancreas iqhubeka nokuvuvukala, kuvela amanxeba (i-fibrosis) kwizicubu. Oku kuthintela i-pancreas ekusebenzeni njenge-gland. Ekuhambeni kwexesha, amandla omzimba okuvelisa ii-enzymes kunye nee-hormone ayancipha kancinci kancinci, nto leyo ekhokelela kwiingxaki ezingaphezulu.

Iingxaki ze-pancreatitis engapheliyo:

Ezi zenzeka kancinci kancinci:
  • Ukungabikho kakuhle kwe-exocrine pancreatic insufficiency (EPI), ukungafunxwa kakuhle kwe-pancreatic, kunye nokungondleki kakuhle: Njengoko i-pancreas iba namanxeba, ivelisa ii-enzymes ezimbalwa ezifunekayo ekugayeni ukutya. Oku kwenza kube nzima emzimbeni ukufunxa izondlo , ingakumbi amafutha kunye neevithamini ezinyibilikayo kumafutha. Amafutha agqithisileyo aphuma kwi-stool, nto leyo ekhokelela kwi-oily stool, kwaye kamva, i-diarrhea. Xa ungafumani izondlo ezaneleyo ekutyeni kwakho, uba mncinci kwaye uqale ukuziva iziphumo zokunqongophala kwezondlo.
  • Iswekile ephantsi egazini (`(Hypoglycemia)`), iswekile ephezulu egazini (`(Hyperglycemia)`), kunye nesifo seswekile sohlobo 1 (`(Type 1 diabetes)`): Ukudumba kwexesha elide kwepancreas kunciphisa ukuveliswa kweehomoni ezilawula iswekile yegazi. Ngokuxhomekeke ekubeni yeyiphi ihomoni echaphazeleka kuqala, ukulahleka kweglucagon kunokubangela iswekile ephantsi egazini (`(Hypoglycemia)`) okanye ukulahleka kwe-insulin kunokubangela iswekile ephezulu egazini (`(Hyperglycemia)`). Ekugqibeleni, zombini iihomoni ziyalahleka kwaye isifo seswekile siyakhula.
  • Intlungu engapheliyo: Nangona abanye abantu befumana isiqabu kwiintlungu zabo, abanye bafumanisa ukuba iintlungu ziba nzima kwaye zihlala ixesha elide. Oku kunokuba nzima ukukulawula, nokuba usebenzisa amayeza, kwaye kunokuchaphazela impilo yakho yengqondo.
  • Umngcipheko okhulayo womhlaza wepancreatic: Nakuphi na ukudumba okuqhubekayo naphi na kwandisa umngcipheko womhlaza. Abantu ababene-pancreatitis ixesha elide banomngcipheko we-1% ukuya kwi-2% wokuba nomhlaza wepancreatic (pancreatic adenocarcinoma). Ngenxa yokuba iimpawu zifana nezo zokudumba okungapheliyo, ngamanye amaxesha zinokungaqatshelwa. Oogqirha bacebisa ukuba abantu abanale meko bahlolwe umhlaza rhoqo.

Indlela yokuxilonga esi sifo?

Ukuba uneempawu ze-pancreatitis, ugqirha wakho uza kuhlola i-pancreas yakho ngovavanyo lwegazi kunye novavanyo lwemifanekiso. Uvavanyo lwegazi lujonga amanqanaba aphezulu ee-enzymes ze-pancreas egazini lakho. Ukuba zingaphezulu ngokuphindwe kathathu kunesiqhelo, kurhanelwa ukuba i-pancreatitis iphezulu. I-CT scan okanye i-MRI inokwenziwa ukuqinisekisa ukuxilongwa. Ezi skeni zinokubonisa iimpawu zokudumba kunye nokwakheka kolwelo kwi-pancreas. Ukuba bakrokrela ukuba une-pancreatitis engapheliyo, ezinye iimvavanyo zinokwenziwa:
  • Uvavanyo lweglucose (ukujonga ukuba ipancreas ivelisa i-insulin ngokufanelekileyo na).
  • Uvavanyo lwe-elastase yestool (ukujonga ukuba ipancreas ivelisa ii-enzymes zokugaya ezaneleyo na).
  • Uhlalutyo lwamafutha endle (jonga ukuba kukho amafutha amaninzi na esitulweni, nto leyo ebonisa ukuba amafutha akakwazi ukufunxwa kakuhle).
  • Uvavanyo lwegazi (ukujonga imeko yakho yesondlo kunye nokuba unazo na iivithamini ezaneleyo ezinyibilikayo egazini lakho).

Iphathwa njani?

Unyango luxhomekeke kwisizathu, nokuba sibukhali okanye asipheli, kunye nokuba sibi kangakanani. Ngokubanzi, ukuba uneempawu ze-pancreatitis, kufuneka ubone ugqirha. Ezinye iimeko ezibukhali zinokulawulwa zodwa, kodwa oku kuxhomekeke kwisizathu kunye nobunzima. Okwangoku, abantu abaninzi bafuna amayeza okudambisa iintlungu ukunceda ukulawula iintlungu. Abanye abantu bafuna unyango olungxamisekileyo. Abanye banokufuna unyango olunzulu ngenxa yeengxaki.

Unyango lwe-Acute Pancreatitis:

Inkathalo Exhasayo

Ukuba unobangela ulungisiwe kwaye imeko ayinzima, eyona ndlela ilungileyo kukunceda umzimba uziphilise ngokwawo. Oku kudla ngokuquka:
  • Ukunika i-saline (IV fluids): I-Pancreatitis ibangela ukuphelelwa ngamanzi emzimbeni, kwaye ukuphelelwa ngamanzi emzimbeni kubaluleke kakhulu ukuze umntu aphile.
  • Ukondla ngetyhubhu: Ukuba awukwazi ukutya ngomlomo, unikwa ukutya ngetyhubhu efakwa ngempumlo okanye esiswini sakho.
  • Isondlo sabazali: Kwiimeko ezinzima kakhulu, isondlo sinokunikwa ngqo ngomthambo.
  • Iipilisi zokubulala iintlungu: Iipilisi zokubulala iintlungu zinikwa ngemithambo yegazi okanye ngomlomo.

Ukususwa kweGallstone

Ukuba une-pancreatitis ngenxa yamatye enyongo, kunokufuneka ususwe ilitye kwi-bile duct yakho. Ungacetyiswa nokuba ususwe inyongo yakho (utyando lokususa i-gallbladder) ukuthintela le ngxaki ukuba ingaphindi yenzeke. Nantsi into onokuyenza:
  • I-Endoscopic retrograde cholangiopancreatography (ERCP): Oku kuquka ukudlulisa i-endoscope (ityhubhu encinci, eguquguqukayo enekhamera eqhotyoshelweyo) kwimibhobho yenyongo. Amatye amaninzi anokususwa ngale ndlela. Ityhubhu ifakwa ezantsi emqaleni ize idlule esiswini iye kwimibhobho yenyongo.
  • Utyando lokususa inyongo: Wakuba ungeniswe esibhedlele ngenxa yamatye enyongo, kusenokwenzeka ukuba ube neengxaki kwakhona. Ngoko ke inyongo idla ngokususwa. Oku kudla ngokwenziwa nge-laparoscopically (`(Laparoscopic cholecystectomy)`), oko kuthetha ukuba kungenziwa ngokusikwa okuncinci okumbalwa.

Inkxaso eyongezelelweyo

Ukuba kukho iingxaki, ezi zinokufuneka:
  • Amayeza okubulala iintsholongwane.
  • Utyando lokususa ulwelo okanye izicubu ezifileyo.
  • Unyango olunzulu.

Unyango lwe-pancreatitis engapheliyo:

Ukuba unale meko, ugqirha wakho oqhelekileyo uza kukuthumela kwingcali (ingcali yezifo zesisu). Unyango luqala ngokulawula iintlungu kunye nokutshintsha indlela yokuphila ukuthintela ukuba imeko ingabi mandundu. Ekuhambeni kwexesha, unokufuna ukuthatha amayeza angaphandle ukuze uthathe indawo yee-enzymes kunye ne-insulin engavelisiyo yipancreas yakho.

Utshintsho kwindlela yokuphila

Oku kubaluleke kakhulu. Ngokuqinisekileyo kufuneka uyeke ukusela utywala nokutshaya.Zombini ezi zinto zinempembelelo enkulu kwi-pancreatitis, kwaye esi sifo sinokukhula ngokukhawuleza. Ugqirha wakho uza kukuxelela apho ungafumana khona uncedo lokunqanda oku. Kubaluleke kakhulu ukuqhelana nokutya okunamafutha aphantsi, imifuno neziqhamo ezininzi, kunye nokusela amanzi aneleyo imini yonke .

Ulawulo lweentlungu

Ukulawula iintlungu ezingapheliyo kunokuba nzima. Kusenokufuneka uzame amayeza neendlela ezahlukeneyo ukuze ufumane into ekusebenzelayo. Qiniseka ukuba uthetha nogqirha wakho malunga neentlungu zakho kunye nento onokuyenza ukuba izinto azincedi. Angakuthumela kwingcali yokulawula iintlungu (ingcali yeentlungu ezingapheliyo). Kwezinye iimeko, ukususwa kwezicubu ezibomvu okanye amatye e-pancreatic nge-endoscopic kunokunceda ukunciphisa iimpawu. Ukujova i-anesthesia kwimithambo-luvo kwi-pancreas (i-celiac plexus block) lolunye ukhetho kwizigulana ezikhethiweyo.

Izongezo zesondlo

Ekuhambeni kwexesha, abantu abaninzi baba nokungabikho ngokwaneleyo kwe-exocrine pancreatic insufficiency (EPI). Kufuneka bathathe ii-enzymes ze-pancreatic ezivela kwimithombo yangaphandle. Kufuneka bathathe izongezo zesondlo ukuze bafumane iikhalori nezakhamzimba ezaneleyo (iivithamini kunye neeminerali). Abanye abantu abakwazi ukunyamezela i-glucose, ekugqibeleni baphuhlise isifo seswekile kwaye baxhomekeke kwi-insulin.

Utyando

Ukuba ukudumba okukhulu kunqunyelwe kwinxalenye ethile yepancreas, kwaye loo nxalenye ibangela iintlungu okanye iingxaki ezinganyamezelekiyo, ugqirha wakho unokucebisa ukuba isuswe loo nxalenye (`(Ukususwa)`). Kwiimeko eziphucukileyo kakhulu, ukuba ipancreas yonakele kakhulu kwaye kusekho iintlungu ezinzima, yonke ipancreas inokususwa (`(I-pancreatectomy epheleleyo)`).

Luhlobo luni lwemeko olunokulindelwa kwixesha elide?

Uninzi lwabantu luyachacha ngokupheleleyo kwi-acute pancreatitis. Ukuba ayinzima kangako, ihlala iphela kwiintsuku ezi-5-10. Kwiimeko ezinzima okanye ezineengxaki, kunokufuneka uhlale esibhedlele iiveki ezininzi. Ukuba unokunyanga unobangela, kunokwenzeka ukuthintela ukuphinda kwenzeke kwayo. Kwinani elincinci labantu abafumana ukungasebenzi kakuhle kwamalungu omzimba, izinga lokufa limalunga nama-20%. I-pancreatitis engapheliyo sisifo esiqhubeka kancinci kancinci. Ngokufuna unyango rhoqo kunye nokujonga inkqubela yayo, unokuthintela iingxaki ngaphambi kokuba zenzeke. Ulawulo lweentlungu lunokuba ngumceli mngeni kwabanye abantu, kwaye lunokuchaphazela impilo yengqondo kunye nomgangatho wobomi. Utyando lunokuqwalaselwa. Kunokwenzeka ukuphila ngaphandle kwe-pancreas, kodwa kunokufuneka uthembele kwi-insulin.

Ngaba oku kungathintelwa?

Ayizizo zonke izizathu ezinokuthintelwa. Kodwa unganciphisa umngcipheko wakho ngokunciphisa ukusetyenziswa kotywala . Esinye isizathu esikhulu se-gallstones kukunciphisa i-cholesterol yakho . Ukuba ukhe waba ne-pancreatitis ebukhali, ukuyeka utywala nokutshaya kunokunceda.Inceda ekuthinteleni ukuphinda kuvele isifo senyongo. Ukuba sibangelwa ngamatye enyongo, ukususa inyongo kunokuthintela ukuphinda kuvele isifo senyongo.
Mhlawumbi awucingi kakhulu ngepancreas yakho de kube ngenye imini ibuhlungu. Le inokuba yindlela eyoyikisayo nebangela uxinzelelo yokufumana ingqalelo yakho.

Okokugqibela, izinto ekufuneka uzikhumbule

Ukuba uneempawu ze-pancreatitis, nceda ungayityesheli. Bona ugqirha ngoko nangoko. Uninzi lweemeko ze-pancreatitis ebukhali ziya kuba ngcono kwiintsuku ezimbalwa. Ukuba unokufumanisa ukuba yintoni ebangela oko, ungathandabuzi ukuyinyanga. I-pancreatitis engapheliyo inokuqala kancinci kwaye ingabonwa ngexesha oyaziyo. Ngelixa ezinye izizathu, ezifana notywala, zinokulindeleka, ezinye zinokuba zingaqhelekanga kwaye zingalindelwanga. Usenokuba awuzange ucinge ukuba usemngciphekweni wokufumana le meko yexesha elide. Nangona kunjalo, ukufunda ukuhlala nayo kunokuba ngumceli mngeni. Uya kufuna ugqirha omthembayo ukukunceda uyilawule ubomi bakho bonke. Impilo yakho luxanduva lwakho, ngoko ke yinyamekele. I-Pancreatitis, I-Pancreatitis, Intlungu Yesisu, Amatye Enyongo, Utywala, Ukugaya
⚠️ Important: The medical articles and information on Nirogi Lanka are for general awareness only, and are by no means a substitute for professional medical advice, diagnosis, or treatment. For any medical problem you have, consult a qualified physician immediately.

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Ngaba nawe uneentlungu zesisu? Mhlawumbi yi-pancreatitis!

Ngaba nawe uneentlungu zesisu? Mhlawumbi yi-pancreatitis!

Ngaba ngamanye amaxesha ukhe uve iintlungu ezingaqhelekanga eziqala esiswini esisezantsi zize ziye emqolo? Okanye uzive uhluthi okanye ungakhululekanga emva kokutya? Mhlawumbi ngasemva kwezi zinto kukho ingxaki yelungu elibalulekileyo esingathethi kakhulu ngalo, kodwa elisenokuba lilo. Namhlanje, masithethe ngepancreas kunye nokudumba kwayo, `(Pancreatitis)`.

Yintoni le pancreas? Kwenzeka ntoni kuyo?

Ngamafutshane, ipancreas yakho sisitho esincinci, kodwa esibaluleke kakhulu esiswini sakho. Ukuba ubeka isandla sakho sasekunene phezu kwesisu sakho, yiyo loo nto ipancreas yakho inkulu, ngasemva kwesisu sakho naphambi kancinci komqolo wakho. Esi sitho sincinci senza izinto ezimbini ezinkulu: 1. Ukunceda ekugayweni kokutya: Senza ii-enzymes ezikhethekileyo (ezifana ne-amylase) ezinceda umzimba wakho ukuba ufunxe izondlo ekutyeni okutyayo. Ezi enzymes zihamba nge-pancreatic duct ziye emathunjini amancinci, apho ukutya okutyayo kugcinwa khona. 2. Ukulawula amanqanaba eswekile egazini: Mhlawumbi ukhe weva nge-insulin. Ipancreas yenza iihomoni ezinceda ukugcina amanqanaba eswekile egazini elawulwa.

Ngoko ke, yintoni i-pancreatitis?

I-Pancreatitis kukudumba okanye ukudumba kwepancreas yakho. Kufana nokuba xa sifumana ukwenzakala kwindawo ethile emzimbeni wethu, kuyadumba kwaye kubuhlungu. Oku kudumba kuko okubangela iintlungu zesisu esizikhankanyileyo ngaphambili. Cinga ngako, xa inkqubo yokuzikhusela yomzimba wethu (inkqubo yomzimba yokuzikhusela) izama ukuphilisa indawo eyonzakeleyo, ukudumba kwenzeka. Oku kudumba kwenzeka xa ipancreas yonakele okanye yonakele. Uninzi lwexesha, oku kubangelwa ngamatye enyongo avala umbhobho wepancreas okanye ukusela utywala kakhulu.

Ngaba kukho iintlobo zezi?

Ewe, kukho iintlobo ezimbini eziphambili ze-pancreatitis:

1. I-Acute Pancreatitis

Olu luhlobo lwexeshana . Lwenzeka xa ipancreas izama ukuphola emva kokwenzakala okuncinci, okwethutyana. Uninzi lwabantu luyaphola ngokupheleleyo kwiintsuku ezimbalwa. Nangona kunjalo, lufuna unyango olufanelekileyo , njengokuphumla, ukusela ulwelo oluninzi, kunye nokusela iintlungu . Nangona kunjalo, ngamanye amaxesha le meko "ye-Acute pancreatitis" inokuba nzima kakhulu kwaye inokubangela iingxaki ezisongela ubomi .

2. I-Pancreatitis Engapheliyo

Olu luhlobo oluhlala ixesha elide, oluqhubekayo . Alupheleli nje ekubeni ngcono, luba mandundu ngokuhamba kwexesha. Le meko yenzeka xa umonakalo kwi-pancreas uqhubeka. Oku kubangela amanxeba (`(Fibrosis)`) kwizicubu ze-pancreas, aqala ukuvelisa ii-enzymes kunye nee-hormone ezimbalwa ekufuneka zenziwe. Oku kungathatha iminyaka ukuba kwenzeke.

Ixhaphake kangakanani le sifo?

Kwilizwe elifana neMelika, abantu abangaphezu kwama-200,000 bangeniswa esibhedlele minyaka le ngenxa ye-acute pancreatitis. Kulaba, malunga nama-20% kuthiwa bakwimeko embi kakhulu. I-pancreatitis engapheliyo ayixhaphakanga kangako, kodwa isabangela ukuba abantu abamalunga nama-86,000 bangeniswe esibhedlele minyaka le. Le meko ikwabonakala ngakumbi eSri Lanka.

Zithini iimpawu? Uziva njani?

Uphawu oluphambili lwe-pancreatitis ziintlungu zesisu . Nangona kunjalo, ezinye iimpawu zinokuvela.

Iimpawu ezibukhali:

Iimpawu zesifo esingapheliyo:

Oku kuthetha ukuba i-pancreas yakho iyasilela kancinci kancinci.

Ivakala njani le ntlungu?

Intlungu yepancreatitis ingahluka ukusuka kwephakathi ukuya kwenkulu . Ihlala ivakala ngathi iphuma esiswini iye ngaphandle . I-acute pancreatitis idla ngokuba nzima ngakumbi, kwaye inokuvakala njengentlungu yokuhlaba . Inokuba buhlungu xa uchukumisa isisu sakho. Intlungu yepancreatitis engapheliyo inokwahluka ukusuka kumntu nomntu. Ngamanye amaxesha iyafika ize ihambe, kodwa ayipheli ngokupheleleyo. Ixhaphake kakhulu emva kokutya. Kwabanye abantu, intlungu ayipheli. Xa intlungu iba mandundu:
  • Xa uthe tyaba ngasemva.
  • Xa ukhohlela.
  • Xa uzilolonga.
  • Xa utya kakhulu.
Intlungu ingancitshiswa xa:
  • Xa uhlala ngqo.
  • Xa ugoba phambili.
  • Xa uzisonga njengebhola.
  • Xa usitya kancinci.

Ungazi njani ukuba i-pancreas ayisebenzi kakuhle?

Xa ipancreas iyeka ukusebenza kakuhle ngenxa ye-pancreatitis engapheliyo, unokuqala uqaphele utshintsho kwinkqubo yakho yokugaya ukutya. Xa ipancreas ingakwazi ukuvelisa ii-enzymes zokugaya ukutya ezaneleyo kwaye izithumele emathunjini, umzimba awukwazi ukufunxa kakuhle izondlo ezikukutya, ingakumbi amafutha. Oku kunokubangela ukungakhululeki emva kokutya, kwaye amafutha angagayekiyo anokudlula kwindle yakho. Ekuhambeni kwexesha, unokuqala nokunciphisa umzimba.

Ziziphi izizathu eziphambili?

Iimbangela ezimbini eziphambili ze-pancreatitis zezi: 1. Amatye enyongo (Amatye enyongo) 2. Ukusela utywala ngokugqithisileyo. Xa ezi zizathu zimbini zidityanisiwe, zimalunga nama-80% ezigulane ze-pancreatitis.

1. I-Gallstone pancreatitis

Inyongo ekwinyongo yakho ingena emathunjini akho ngenyongo eqhelekileyo. Le nyongo kunye nomjelo we-pancreatic zombini zivulekela emathunjini akho kwindawo enye. Khawucinge ukuba kwenzeka ntoni ukuba i-gallstone ibambeke kuloo ndawo idibana kuyo? Iijusi ze-pancreatic azikwazi ukuphuma, zibambeke ngaphakathi kwi-pancreas. Emva koko uxinzelelo luyanda, kwaye ezo enzymes ziqala ukusebenza ngaphakathi kwi-pancreas, kwaye ziqala ukugaya i-pancreas ngokwayo. Yiyo loo nto ibangela oku kuvutha.

2. Ukusetyenziswa kotywala ngokugqithisileyo

Ukusela utywala ngokugqithisileyo nako kuyimbangela ecacileyo ye-pancreatitis. Nangona izazinzulu zingakaqiniseki ukuba kwenzeka njani , kukholelwa ukuba izinto ezinobuthi ezikwi-alcohol zibangela ukudumba kwe-pancreas, okanye ukuba ii-enzymes zokugaya ukutya zisebenza ngamakhemikhali. Malunga nesiqingatha sazo zonke iimeko ze-pancreatitis ebukhali nengapheliyo kuthiwa zibangelwa kukusela utywala ngokugqithisileyo.

Ezinye izizathu

Ukongeza kwezi zizathu zimbini ziphambili, kukho nezinye izizathu, kodwa azixhaphakanga kangako.
  • Iintsholongwane ezahlukeneyo, umzekelo iintsholongwane.
  • Inkqubo yomzimba yokuzikhusela ihlasela ipancreas (`(Autoimmune pancreatitis)`).
  • Utshintsho lwemfuza oludluliselwa kwizizukulwana ngezizukulwana (`(I-Hereditary pancreatitis)`).
  • Iingxaki zeemeko ezifana ne-cystic fibrosis.
  • Amanqanaba aphezulu amafutha (ii-triglycerides) egazini (`(i-Hypertriglyceridemia)`).
  • Amanqanaba aphezulu e-calcium egazini (i-Hypercalcemia).
  • Ukuncipha kokunikezelwa kwegazi kwi-pancreas (`(Ischemia)`).
  • Imeko yomhlaza.
  • Ukulimala kwi-pancreas.
  • Amanye amayeza ayingozi kwi-pancreas.
Zonke ezi zizathu zongeza ziye kuthi ga kwi-20%. Ngamanye amaxesha, akukho sizathu sinokufunyanwa.

Ngaba ukudumba okukhawulezileyo nokungapheliyo kuyafana?

Amaxesha amaninzi, i-pancreatitis iyenzeka ngequbuliso ize iphele okwethutyana (`(Acute)`). Nangona kunjalo, ukuba kukho izizathu eziqhubekayo, ezifana nezifo ezizuzwa njengelifa, i-pancreatitis inokwenzeka ngokuhamba kwexesha (`(Chronic pancreatitis)`). Ngokufanayo, ukuba i-acute pancreatitis iyenzeka ngokuphindaphindiweyo, inokuba yimeko yexesha elide.Khawucinge nje, xa i-pancreas isoloko iphantsi koxinzelelo kunye nomonakalo, umzimba uyaqhelana nayo kwaye usenokuqhubeka nokudumba nokuba umonakalo uyekile.

Ngaba oku kungakhokelela ekufeni?

Ewe, ukuba i-pancreatitis ebukhali iba mandundu kakhulu, iingxaki zinokukhokelela ekufeni. Kwinani elincinci labantu, i-pancreatitis ebukhali inokubangela impendulo echaphazela umzimba wonke. Oku kunokukhokelela ekuthukeni nasekungasebenzini kwamalungu amaninzi. Ukuba ayinyangwa ngokukhawuleza, inokuba yingozi ebomini. Kungcono ukuya esibhedlele kuba kunzima ukuqonda ukuba imeko imbi kangakanani xa uneempawu.

Ziziphi iingxaki ezinokubakho?

Uninzi lweemeko ze-acute pancreatitis azibangeli iingxaki. Kodwa malunga ne-1 kwi-5 yeemeko inokuba nzima kakhulu. Akukacaci ukuba kutheni abanye abantu beba nzima kangaka. Iimeko ezinzima zinokukhokelela ekufeni. I-pancreatitis engapheliyo nayo inokubangela iingxaki, kodwa zikhula kancinci kancinci kwaye azibeki ubomi esichengeni ngoko nangoko. Uninzi lweengxaki zinokulawulwa ngonyango.

Iingxaki ze-Acute Pancreatitis:

  • Ukufa kwezicubu (`(Necrosis)`) kunye nosulelo: Kwimeko enye kwezi-3 ze-pancreatitis ebukhali kakhulu, i-pancreas idumba kangangokuba ukuhanjiswa kwegazi kuyo kuyanqanyulwa. Emva koko, izicubu kwezinye iindawo ze-pancreas ziyafa. Le tissue ifileyo yindawo elungileyo yeentsholongwane. Ukuba iintsholongwane ziyosuleleka, zinokusasazeka ngokukhawuleza zize zingene egazini. Usulelo egazini (`(Septicemia)`) lungxamiseko. Umzimba usabela koku ngemeko ebizwa ngokuba yi`(Systemic Inflammatory Response Syndrome)`. Oku kubangela ukuba imithambo yegazi ikhule, uxinzelelo lwegazi luyehla (`(Septic shock)`) kwaye igazi liye kwizitho ezibalulekileyo linciphe, nto leyo enokukhokelela kwi`(Ukusilela kwamalungu amaninzi)`.
  • Ii-pseudocysts zePancreatic: Ukudumba kwepancreas kunokuvala umjelo othwala ijusi yepancreas uye emathunjini. Ijusi emva koko iyavuza ijikeleze ipancreas, ibangele ukudumba kwizicubu ezijikelezileyo. Ekuhambeni kwexesha, ingxowa eqinileyo enolwelo lwenzeka ijikeleze indawo evuvukileyo, ebizwa ngokuba yi-pseudocyst. Uninzi lwexesha, ezi cysts azibangeli zimpawu okanye azifuni unyango. Nangona kunjalo, ngamanye amaxesha zinokosuleleka okanye zikhule zibe nkulu kwaye zibangele iingxaki. Amaxesha amaninzi, umthambo wegazi unokungena kwi-cyst uze wophe. Kwimeko enjalo, oogqirha banokufuna ukukhupha ulwelo okanye bayeke ukopha.
  • I-pancreatitis engapheliyo: Xa i-pancreatitis ebukhali isenzeka ngokuphindaphindiweyo, inokuba yi-chronic. Xa i-pancreas iqhubeka nokuvuvukala, kuvela amanxeba (i-fibrosis) kwizicubu. Oku kuthintela i-pancreas ekusebenzeni njenge-gland. Ekuhambeni kwexesha, amandla omzimba okuvelisa ii-enzymes kunye nee-hormone ayancipha kancinci kancinci, nto leyo ekhokelela kwiingxaki ezingaphezulu.

Iingxaki ze-pancreatitis engapheliyo:

Ezi zenzeka kancinci kancinci:
  • Ukungabikho kakuhle kwe-exocrine pancreatic insufficiency (EPI), ukungafunxwa kakuhle kwe-pancreatic, kunye nokungondleki kakuhle: Njengoko i-pancreas iba namanxeba, ivelisa ii-enzymes ezimbalwa ezifunekayo ekugayeni ukutya. Oku kwenza kube nzima emzimbeni ukufunxa izondlo , ingakumbi amafutha kunye neevithamini ezinyibilikayo kumafutha. Amafutha agqithisileyo aphuma kwi-stool, nto leyo ekhokelela kwi-oily stool, kwaye kamva, i-diarrhea. Xa ungafumani izondlo ezaneleyo ekutyeni kwakho, uba mncinci kwaye uqale ukuziva iziphumo zokunqongophala kwezondlo.
  • Iswekile ephantsi egazini (`(Hypoglycemia)`), iswekile ephezulu egazini (`(Hyperglycemia)`), kunye nesifo seswekile sohlobo 1 (`(Type 1 diabetes)`): Ukudumba kwexesha elide kwepancreas kunciphisa ukuveliswa kweehomoni ezilawula iswekile yegazi. Ngokuxhomekeke ekubeni yeyiphi ihomoni echaphazeleka kuqala, ukulahleka kweglucagon kunokubangela iswekile ephantsi egazini (`(Hypoglycemia)`) okanye ukulahleka kwe-insulin kunokubangela iswekile ephezulu egazini (`(Hyperglycemia)`). Ekugqibeleni, zombini iihomoni ziyalahleka kwaye isifo seswekile siyakhula.
  • Intlungu engapheliyo: Nangona abanye abantu befumana isiqabu kwiintlungu zabo, abanye bafumanisa ukuba iintlungu ziba nzima kwaye zihlala ixesha elide. Oku kunokuba nzima ukukulawula, nokuba usebenzisa amayeza, kwaye kunokuchaphazela impilo yakho yengqondo.
  • Umngcipheko okhulayo womhlaza wepancreatic: Nakuphi na ukudumba okuqhubekayo naphi na kwandisa umngcipheko womhlaza. Abantu ababene-pancreatitis ixesha elide banomngcipheko we-1% ukuya kwi-2% wokuba nomhlaza wepancreatic (pancreatic adenocarcinoma). Ngenxa yokuba iimpawu zifana nezo zokudumba okungapheliyo, ngamanye amaxesha zinokungaqatshelwa. Oogqirha bacebisa ukuba abantu abanale meko bahlolwe umhlaza rhoqo.

Indlela yokuxilonga esi sifo?

Ukuba uneempawu ze-pancreatitis, ugqirha wakho uza kuhlola i-pancreas yakho ngovavanyo lwegazi kunye novavanyo lwemifanekiso. Uvavanyo lwegazi lujonga amanqanaba aphezulu ee-enzymes ze-pancreas egazini lakho. Ukuba zingaphezulu ngokuphindwe kathathu kunesiqhelo, kurhanelwa ukuba i-pancreatitis iphezulu. I-CT scan okanye i-MRI inokwenziwa ukuqinisekisa ukuxilongwa. Ezi skeni zinokubonisa iimpawu zokudumba kunye nokwakheka kolwelo kwi-pancreas. Ukuba bakrokrela ukuba une-pancreatitis engapheliyo, ezinye iimvavanyo zinokwenziwa:
  • Uvavanyo lweglucose (ukujonga ukuba ipancreas ivelisa i-insulin ngokufanelekileyo na).
  • Uvavanyo lwe-elastase yestool (ukujonga ukuba ipancreas ivelisa ii-enzymes zokugaya ezaneleyo na).
  • Uhlalutyo lwamafutha endle (jonga ukuba kukho amafutha amaninzi na esitulweni, nto leyo ebonisa ukuba amafutha akakwazi ukufunxwa kakuhle).
  • Uvavanyo lwegazi (ukujonga imeko yakho yesondlo kunye nokuba unazo na iivithamini ezaneleyo ezinyibilikayo egazini lakho).

Iphathwa njani?

Unyango luxhomekeke kwisizathu, nokuba sibukhali okanye asipheli, kunye nokuba sibi kangakanani. Ngokubanzi, ukuba uneempawu ze-pancreatitis, kufuneka ubone ugqirha. Ezinye iimeko ezibukhali zinokulawulwa zodwa, kodwa oku kuxhomekeke kwisizathu kunye nobunzima. Okwangoku, abantu abaninzi bafuna amayeza okudambisa iintlungu ukunceda ukulawula iintlungu. Abanye abantu bafuna unyango olungxamisekileyo. Abanye banokufuna unyango olunzulu ngenxa yeengxaki.

Unyango lwe-Acute Pancreatitis:

Inkathalo Exhasayo

Ukuba unobangela ulungisiwe kwaye imeko ayinzima, eyona ndlela ilungileyo kukunceda umzimba uziphilise ngokwawo. Oku kudla ngokuquka:
  • Ukunika i-saline (IV fluids): I-Pancreatitis ibangela ukuphelelwa ngamanzi emzimbeni, kwaye ukuphelelwa ngamanzi emzimbeni kubaluleke kakhulu ukuze umntu aphile.
  • Ukondla ngetyhubhu: Ukuba awukwazi ukutya ngomlomo, unikwa ukutya ngetyhubhu efakwa ngempumlo okanye esiswini sakho.
  • Isondlo sabazali: Kwiimeko ezinzima kakhulu, isondlo sinokunikwa ngqo ngomthambo.
  • Iipilisi zokubulala iintlungu: Iipilisi zokubulala iintlungu zinikwa ngemithambo yegazi okanye ngomlomo.

Ukususwa kweGallstone

Ukuba une-pancreatitis ngenxa yamatye enyongo, kunokufuneka ususwe ilitye kwi-bile duct yakho. Ungacetyiswa nokuba ususwe inyongo yakho (utyando lokususa i-gallbladder) ukuthintela le ngxaki ukuba ingaphindi yenzeke. Nantsi into onokuyenza:
  • I-Endoscopic retrograde cholangiopancreatography (ERCP): Oku kuquka ukudlulisa i-endoscope (ityhubhu encinci, eguquguqukayo enekhamera eqhotyoshelweyo) kwimibhobho yenyongo. Amatye amaninzi anokususwa ngale ndlela. Ityhubhu ifakwa ezantsi emqaleni ize idlule esiswini iye kwimibhobho yenyongo.
  • Utyando lokususa inyongo: Wakuba ungeniswe esibhedlele ngenxa yamatye enyongo, kusenokwenzeka ukuba ube neengxaki kwakhona. Ngoko ke inyongo idla ngokususwa. Oku kudla ngokwenziwa nge-laparoscopically (`(Laparoscopic cholecystectomy)`), oko kuthetha ukuba kungenziwa ngokusikwa okuncinci okumbalwa.

Inkxaso eyongezelelweyo

Ukuba kukho iingxaki, ezi zinokufuneka:
  • Amayeza okubulala iintsholongwane.
  • Utyando lokususa ulwelo okanye izicubu ezifileyo.
  • Unyango olunzulu.

Unyango lwe-pancreatitis engapheliyo:

Ukuba unale meko, ugqirha wakho oqhelekileyo uza kukuthumela kwingcali (ingcali yezifo zesisu). Unyango luqala ngokulawula iintlungu kunye nokutshintsha indlela yokuphila ukuthintela ukuba imeko ingabi mandundu. Ekuhambeni kwexesha, unokufuna ukuthatha amayeza angaphandle ukuze uthathe indawo yee-enzymes kunye ne-insulin engavelisiyo yipancreas yakho.

Utshintsho kwindlela yokuphila

Oku kubaluleke kakhulu. Ngokuqinisekileyo kufuneka uyeke ukusela utywala nokutshaya.Zombini ezi zinto zinempembelelo enkulu kwi-pancreatitis, kwaye esi sifo sinokukhula ngokukhawuleza. Ugqirha wakho uza kukuxelela apho ungafumana khona uncedo lokunqanda oku. Kubaluleke kakhulu ukuqhelana nokutya okunamafutha aphantsi, imifuno neziqhamo ezininzi, kunye nokusela amanzi aneleyo imini yonke .

Ulawulo lweentlungu

Ukulawula iintlungu ezingapheliyo kunokuba nzima. Kusenokufuneka uzame amayeza neendlela ezahlukeneyo ukuze ufumane into ekusebenzelayo. Qiniseka ukuba uthetha nogqirha wakho malunga neentlungu zakho kunye nento onokuyenza ukuba izinto azincedi. Angakuthumela kwingcali yokulawula iintlungu (ingcali yeentlungu ezingapheliyo). Kwezinye iimeko, ukususwa kwezicubu ezibomvu okanye amatye e-pancreatic nge-endoscopic kunokunceda ukunciphisa iimpawu. Ukujova i-anesthesia kwimithambo-luvo kwi-pancreas (i-celiac plexus block) lolunye ukhetho kwizigulana ezikhethiweyo.

Izongezo zesondlo

Ekuhambeni kwexesha, abantu abaninzi baba nokungabikho ngokwaneleyo kwe-exocrine pancreatic insufficiency (EPI). Kufuneka bathathe ii-enzymes ze-pancreatic ezivela kwimithombo yangaphandle. Kufuneka bathathe izongezo zesondlo ukuze bafumane iikhalori nezakhamzimba ezaneleyo (iivithamini kunye neeminerali). Abanye abantu abakwazi ukunyamezela i-glucose, ekugqibeleni baphuhlise isifo seswekile kwaye baxhomekeke kwi-insulin.

Utyando

Ukuba ukudumba okukhulu kunqunyelwe kwinxalenye ethile yepancreas, kwaye loo nxalenye ibangela iintlungu okanye iingxaki ezinganyamezelekiyo, ugqirha wakho unokucebisa ukuba isuswe loo nxalenye (`(Ukususwa)`). Kwiimeko eziphucukileyo kakhulu, ukuba ipancreas yonakele kakhulu kwaye kusekho iintlungu ezinzima, yonke ipancreas inokususwa (`(I-pancreatectomy epheleleyo)`).

Luhlobo luni lwemeko olunokulindelwa kwixesha elide?

Uninzi lwabantu luyachacha ngokupheleleyo kwi-acute pancreatitis. Ukuba ayinzima kangako, ihlala iphela kwiintsuku ezi-5-10. Kwiimeko ezinzima okanye ezineengxaki, kunokufuneka uhlale esibhedlele iiveki ezininzi. Ukuba unokunyanga unobangela, kunokwenzeka ukuthintela ukuphinda kwenzeke kwayo. Kwinani elincinci labantu abafumana ukungasebenzi kakuhle kwamalungu omzimba, izinga lokufa limalunga nama-20%. I-pancreatitis engapheliyo sisifo esiqhubeka kancinci kancinci. Ngokufuna unyango rhoqo kunye nokujonga inkqubela yayo, unokuthintela iingxaki ngaphambi kokuba zenzeke. Ulawulo lweentlungu lunokuba ngumceli mngeni kwabanye abantu, kwaye lunokuchaphazela impilo yengqondo kunye nomgangatho wobomi. Utyando lunokuqwalaselwa. Kunokwenzeka ukuphila ngaphandle kwe-pancreas, kodwa kunokufuneka uthembele kwi-insulin.

Ngaba oku kungathintelwa?

Ayizizo zonke izizathu ezinokuthintelwa. Kodwa unganciphisa umngcipheko wakho ngokunciphisa ukusetyenziswa kotywala . Esinye isizathu esikhulu se-gallstones kukunciphisa i-cholesterol yakho . Ukuba ukhe waba ne-pancreatitis ebukhali, ukuyeka utywala nokutshaya kunokunceda.Inceda ekuthinteleni ukuphinda kuvele isifo senyongo. Ukuba sibangelwa ngamatye enyongo, ukususa inyongo kunokuthintela ukuphinda kuvele isifo senyongo.
Mhlawumbi awucingi kakhulu ngepancreas yakho de kube ngenye imini ibuhlungu. Le inokuba yindlela eyoyikisayo nebangela uxinzelelo yokufumana ingqalelo yakho.

Okokugqibela, izinto ekufuneka uzikhumbule

Ukuba uneempawu ze-pancreatitis, nceda ungayityesheli. Bona ugqirha ngoko nangoko. Uninzi lweemeko ze-pancreatitis ebukhali ziya kuba ngcono kwiintsuku ezimbalwa. Ukuba unokufumanisa ukuba yintoni ebangela oko, ungathandabuzi ukuyinyanga. I-pancreatitis engapheliyo inokuqala kancinci kwaye ingabonwa ngexesha oyaziyo. Ngelixa ezinye izizathu, ezifana notywala, zinokulindeleka, ezinye zinokuba zingaqhelekanga kwaye zingalindelwanga. Usenokuba awuzange ucinge ukuba usemngciphekweni wokufumana le meko yexesha elide. Nangona kunjalo, ukufunda ukuhlala nayo kunokuba ngumceli mngeni. Uya kufuna ugqirha omthembayo ukukunceda uyilawule ubomi bakho bonke. Impilo yakho luxanduva lwakho, ngoko ke yinyamekele. I-Pancreatitis, I-Pancreatitis, Intlungu Yesisu, Amatye Enyongo, Utywala, Ukugaya
⚠️ Important: The medical articles and information on Nirogi Lanka are for general awareness only, and are by no means a substitute for professional medical advice, diagnosis, or treatment. For any medical problem you have, consult a qualified physician immediately.

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