Ingabe nawe uzwa ubuhlungu obukhulu esiswini? Ingabe lokhu kungaba yi-pancreatitis?

Cabanga nje ukuthi ngokuzumayo uqala ukuzwa ubuhlungu obukhulu esiswini sakho esingaphezulu, njengokugwazwa ngommese. Ubuhlungu busakazeka kancane kancane emhlane wakho. Uzizwa unesicanucanu futhi uhlanza. Kungakhathaliseki ukuthi wenzani, akubi ngcono. Wake waba nakho okufana nalokhu? Abantu abaningi bacabanga ukuthi banesifo sohudo ngezikhathi ezinjengalesi. Kodwa ngezinye izikhathi lokhu kungaba kubi kakhulu. Yilolo hlobo lwesimo esikhuluma ngaso namuhla, esibizwa ngokuthi i-pancreatitis.

Kalula nje, iyini i-pancreatitis?

I-pancreatitis yilapho indlala emzimbeni wethu ebizwa ngokuthi i-pancreas ivuvukala noma itheleleka. Kulungile, manje ungase uzibuze ukuthi iyini le-pancreas.

I-pancreas iyisitho esibalulekile esitholakala ngemuva kwesisu sethu, eduze kwamathumbu amancane. Yenza imisebenzi emibili eyinhloko:

1. Ukusiza ekugayeni ukudla: Kukhiqiza ama-enzyme anamandla kakhulu adingekayo ekugayeni ukudla esikudlayo futhi kuwathumele ngepayipi elincane emathunjini ethu amancane.

2. Ukulawulwa koshukela egazini: Ukukhiqizwa nokukhishwa kwamahomoni amabili abizwa ngokuthi i-insulin ne-glucagon egazini, adingekayo ukulawula amazinga kashukela emzimbeni wethu.

Ake ucabange nje, kwenzekani uma la ma-enzyme anamandla azama ukugaya ukudla eqala ukusebenza ngaphakathi kwe-pancreas ngaphambi kokuba afike emathunjini amancane? Bese lawo ma-enzyme eqala ukulimaza i-pancreas uqobo. Okusho ukuthi, i-pancreas iqala ukugaya ngokwayo. Yilokho esikubiza ngokuthi i-pancreatitis.

Kunezinhlobo ezimbili eziyinhloko zalokhu.

Lesi simo singahlukaniswa kakhulu sibe izinhlobo ezimbili.

• I-Acute Pancreatitis: Lesi yisimo esiphuthumayo nesinzima esivame ukuxazululeka ezinsukwini ezimbalwa ngokwelashwa. Kodwa-ke, kwezinye izimo, singaba sibi ngokwanele ukuba sibe yingozi empilweni.
• I-Pancreatitis Engapheli: Lesi yisimo esihlala isikhathi eside. Ngezinye izikhathi, lesi simo esingamahlalakhona singabangelwa yizigameko eziphindaphindwayo zokuvuvukala okukhulu. Lokhu kubangela umonakalo ongapheli kumanyikwe.

Ziyini izimpawu zalokhu?

Izimpawu zingahluka kuye ngokuthi hlobo luni lokuvuvukala onalo. Ake sibheke ukuthi ziyini lezi.

Isikhathi sokuthola iseluleko sezokwelapha ngokushesha

Uma unezinye zezimpawu ezingezansi, hamba uye eMnyangweni Wezimo Eziphuthumayo (ETU) wesibhedlela esiseduze ngokushesha.

• Ubuhlungu besisu obungabekezeleleki.
• Ukuhlanza okungayeki.
• Ukushaya kwenhliziyo okusheshayo ngokweqile.
• Ubunzima bokuphefumula.
• Ukuphuzi kwamehlo nesikhumba (i-jaundice).
• Imfiva.

Kungani lokhu kwenzeka?

Kunezimbangela eziningana eziyinhloko ze-pancreatitis. Izimbangela ezimbili ezivame kakhulu eSri Lanka amatshe enyongo kanye nokuphuza utshwala ngokweqile.

• Amatshe enyongo: Amatshe enyongo angaphuma enyongo futhi avimbe umgudu othwala ama-enzyme enyongo. Ama-enzyme abe esebhajwa ngaphakathi kwenyongo, okubangela ukuvuvukala.
• Ukusetshenziswa Kotshwala Obunamandla: Ukuphuza utshwala obuningi isikhathi eside kuyimbangela enkulu ye-pancreatitis engapheli.
• Amazinga aphezulu amafutha egazini: Esinye isizathu yizinga eliphezulu kakhulu lama-triglycerides (ngaphezu kuka-1000 mg/dL) egazini.
• Imithi ethile: Lesi simo singaba khona futhi njengomphumela ongemuhle wemithi ethile.
• Izimbangela zofuzo: Uma othile emndenini wakho enalesi sifo, nawe usengozini ethile yokuba naso.
• Ezinye izimbangela: Lesi simo singabangelwa nokuhlinzwa okuthile, izifo ezithathelwanayo, kanye nezifo ezihlasela amasosha omzimba.

Ukuthola kanjani lokhu, Dokotela?

Uma uya esibhedlela, udokotela uzokwenza izivivinyo eziningana ukuze athole ukuthi isifo sini.

1. Ukukubuza ngezimpawu zakho, uhlobo lobuhlungu bakho, kanye nokusebenzisa kwakho utshwala.

2. Ukuhlolwa komzimba: Isisu siyaphathwa ngesandla ukuze kuhlolwe ubuhlungu kanye nohlobo lwaso.

3. Ukuhlolwa kwegazi: Lokhu kubaluleke kakhulu . Amazinga ama-enzyme abizwa ngokuthi i-amylase ne -lipase, akhishwa egazini lapho i-pancreas yonakele, ayahlolwa. Uma lokhu kuphezulu kakhulu, kuyisibonakaliso esikhulu se-pancreatitis. Ngaphezu kwalokho, kwenziwa nokuhlolwa ukuhlola isimo sesibindi kanye namazinga amafutha.

4. Ukuskena:

• Ukuskena nge-Ultrasound: Lokhu kubaluleke kakhulu ukuhlola amatshe enyongo.
• I-CT Scan: Lokhu kusiza ukubona ngokucacile ukuthi i-pancreas ivuvukele kangakanani nokuthi umonakalo ungakanani.
• I-MRI Scan: Lokhu kungadingeka nakwezinye izimo.

Yiziphi izindlela zokwelapha lokhu?

Ukwelashwa kuncike ebunzimeni besimo sakho. Esikhathini esiningi, uzolaliswa esibhedlela ukuze uthole ukwelashwa.

• Ukunikeza ama-pancreas ukuphumula: Into yokuqala okufanele uyenze ukuyeka ngokuphelele ukudla nokuphuza bese unikeza ama-pancreas ukuphumula. Lokhu kubizwa ngokuthi ukuzila ukudla .
• Ama-IV Fluids: Njengoba ungadli noma ungaphuzi, usawoti unikezwa ngemithambo yegazi ukuze uvimbele ukuphelelwa amanzi emzimbeni.
• Ama-Painkiller: Ama-Painkiller anamandla anikezwa ukulawula ubuhlungu obukhulu.
• Ukwelapha imbangela:
• Uma lesi simo sibangelwa amatshe enyongo, inqubo ebizwa ngokuthi i-ERCP (Endoscopic Retrograde Cholangiopancreatography) noma ukuhlinzwa kungadingeka ukuze kususwe amatshe.
• Uma kukhona ukutheleleka, kunikezwa ama-antibiotic.
• Ukwelashwa kwezimo ezingamahlalakhona:Abantu abanokuvuvukala okungapheli kungadingeka baphuze amaphilisi e-enzyme yokugaya ukudla, baphuze imithi yobuhlungu, futhi baphathe isifo sikashukela. Kubalulekile futhi ukuyeka ngokuphelele ukuphuza utshwala nokubhema.

Singazivikela kanjani kulokhu?

Nakuba singenakukwazi ukulawula ezinye zezimbangela, singayinciphisa le ngozi ngokushintsha indlela yethu yokuphila.

• Yeka ukuphuza utshwala: Uma ungumuntu ophuza utshwala, kubaluleke kakhulu ukuyeka ukuphuza utshwala ngokuphelele noma ukubunciphisa kakhulu. Uma kudingeka, funa iseluleko sezokwelapha ngalokhu.
• Gwema ukubhema: Ukubhema nakho kuyimbangela eyingozi yalesi sifo.
• Ukudla okunempilo: Nciphisa ukudla okunamafutha amaningi bese uthola ukudla okulinganiselayo okucebile ngemifino, izithelo, kanye nokolweni ophelele.
• Gcina isisindo esinempilo: Kubalulekile futhi ukulawula ukukhuluphala.

Uma lesi simo sitholakala kusenesikhathi futhi selashwa kahle, izinkinga ezinkulu zingavinjelwa futhi ukululama kungashesha. Ngakho-ke, uma uzwa ubuhlungu obungavamile nobunzima esiswini, ungacabangi ukuthi yi-gastritis nje, kodwa bona udokotela ngokushesha.