Ingabe ngezinye izikhathi uzwa ubuhlungu obungavamile obuqala esiswini esingezansi budlulele emhlane? Noma uzizwa usuthi noma ungakhululekile ngemva kokudla? Mhlawumbe ngemuva kwalezi zinto kunenkinga ngesitho esibaluleke kakhulu esingakhulumi kakhulu ngaso, kodwa esingase sibe yiso. Namuhla, ake sixoxe nge-pancreas kanye nokuvuvukala kwayo, `(Pancreatitis)`.
Iyini le pancreas? Kwenzekani kuyo?
Kalula nje, i-pancreas yakho iyisitho esincane, kodwa esibaluleke kakhulu esiswini sakho. Uma ubeka isandla sakho sokunene phezu kwesisu sakho, yileyo ndlela i-pancreas yakho enkulu ngayo, ngemuva kwesisu sakho nangaphambi kancane komgogodla wakho. Lesi sitho esincane senza izinto ezimbili ezinkulu: 1.
Ukusiza ekugayweni kokudla: Senza ama-enzyme akhethekile (njenge-amylase) asiza umzimba wakho ukuthi umunce izakhamzimba ekudleni okudlayo. La ma-enzyme ahamba ngepayipi le-pancreas aye emathunjini amancane, lapho kugcinwa khona ukudla okudlayo. 2.
Ukulawula amazinga kashukela egazini: Cishe uke wezwa nge-insulin. I-pancreas yenza ama-hormone asiza ukugcina amazinga kashukela egazini elawulwa.
Ngakho-ke, kuyini i-pancreatitis?
I-pancreatitis ukuvuvukala noma ukuvuvukala kwe-pancreas yakho. Kufana nokuthi uma sithola ukulimala endaweni ethile emzimbeni wethu, kuyavuvukala futhi kubuhlungu. Lokhu kuvuvukala yikho okubangela ubuhlungu besisu esikhulume ngakho ekuqaleni. Cabanga ngakho, lapho uhlelo lokuzivikela lomzimba wethu (amasosha omzimba) luzama ukwelapha indawo elimele, ukuvuvukala kwenzeka. Lokhu kuvuvukala kwenzeka lapho i-pancreas ilimele noma yonakele. Esikhathini esiningi, lokhu kubangelwa amatshe enyongo avimba umgudu we-pancreas noma ukuphuza utshwala ngokweqile.
Ingabe zikhona izinhlobo zalokhu?
Yebo, kunezinhlobo ezimbili eziyinhloko ze-pancreatitis:
1. I-Acute Pancreatitis
Lolu uhlobo
lwesikhashana . Kwenzeka lapho i-pancreas izama ukuphola ngemva kokulimala okuncane, kwesikhashana. Iningi labantu liyalulama ngokuphelele ezinsukwini ezimbalwa. Kodwa-ke, kudinga ukwelashwa okufanele
, njengokuphumula, ukuphuza uketshezi oluningi, kanye nokuthatha izidambisi-zinhlungu . Kodwa-ke, ngezinye izikhathi lesi simo "se-pancreatitis esibi kakhulu"
singaba sibi kakhulu futhi singaholela ezinkingeni ezisongela ukuphila .
2. I-Pancreatitis Engapheli
Lolu uhlobo
oluhlala isikhathi eside, oluqhubekayo . Alugcini nje ngokuba ngcono, luya luba lubi kakhulu ngokuhamba kwesikhathi. Lesi simo senzeka lapho umonakalo we-pancreas uqhubeka. Lokhu kubangela izibazi (`(Fibrosis)`) zezicubu ze-pancreas, eziqala ukukhiqiza ama-enzyme nama-hormone amancane okudingeka akwenze. Lokhu kungathatha iminyaka ukuthi kwenzeke.
Sivame kangakanani lesi sifo?
Ezweni elifana neMelika, abantu abangaphezu kuka-200,000 bangeniswa esibhedlela minyaka yonke ngenxa ye-acute pancreatitis. Kulaba, cishe u-20% kuthiwa usesimeni esibucayi. I-pancreatitis engamahlalakhona ayivamile kangako, kodwa isabangela ukulaliswa esibhedlela okungaba ngu-86,000 minyaka yonke. Lesi simo sibonakala kakhulu naseSri Lanka.
Ziyini izimpawu? Uzizwa kanjani?
Uphawu oluyinhloko lwe-pancreatitis ubuhlungu besisu . Kodwa-ke, kungase kube nezinye izimpawu.
Izimpawu ezibukhali:
Izimpawu zesifo esingamahlalakhona:
Lokhu kusho ukuthi i-pancreas yakho iyahluleka kancane kancane.
Buzwakala kanjani lobu buhlungu?
Ubuhlungu be-pancreatitis
bungasukela kobuphakathi kuya kobukhulu . Kuvame ukuzwakala sengathi
buphuma esiswini kuya ngaphandle . I-pancreatitis ebukhali ivame
ukuba nzima kakhulu, futhi ingazwakala njengobuhlungu obuhlabayo . Ingabuye ibe buhlungu uma uthinta isisu sakho. Ubuhlungu be-pancreatitis obungapheli bungahlukahluka kumuntu nomuntu. Ngezinye izikhathi buyafika budlule, kodwa abupheli ngokuphelele. Buvame kakhulu ngemva kokudla. Kwabanye abantu, ubuhlungu buhlala njalo.
Lapho ubuhlungu buba bubi kakhulu:- Uma ugoba emuva.
- Uma ukhwehlela.
- Uma uzivocavoca.
- Uma udla kakhulu.
Ubuhlungu bungancipha uma:- Uma uhlala uqonde.
- Uma ugoba phambili.
- Uma uzigoqa njengebhola.
- Uma udla kancane.
Wazi kanjani ukuthi i-pancreas ayisebenzi kahle?
Uma i-pancreas iyeka ukusebenza kahle ngenxa ye-pancreatitis engapheli, ungase uqale uqaphele izinguquko ohlelweni lwakho lokugaya ukudla. Uma i-pancreas ingakwazi ukukhiqiza ama-enzyme okugaya ukudla anele futhi iwathumele emathunjini, umzimba awukwazi ukumunca kahle izakhamzimba ezitholakala ekudleni, ikakhulukazi amafutha. Lokhu kungabangela ukungakhululeki ngemva kokudla, futhi amafutha angagayiwe angadlula endle yakho. Ngokuhamba kwesikhathi, ungase uqale nokunciphisa isisindo.
Yiziphi izizathu eziyinhloko?
Izimbangela ezimbili eziyinhloko ze-pancreatitis yilezi: 1.
Amatshe enyongo (Amatshe enyongo) 2.
Ukuphuza utshwala ngokweqile. Uma lezi zimbangela ezimbili zihlanganiswa, zibalelwa ku-80% weziguli ezine-pancreatitis.
1. I-Gallstone pancreatitis
Inyongo enyongweni yakho ingena emathunjini akho ngenyongo evamile. Lo msele kanye nomsele we-pancreatic zombili zivulekela emathunjini akho endaweni efanayo. Cabanga ukuthi kwenzekani uma itshe lenyongo libhajwa kuleyo ndawo yokuhlangana? Amajusi e-pancreatic awakwazi ukuphuma, abhajwa ngaphakathi kwe-pancreas. Bese ingcindezi iyanda, bese lawo ma-enzyme eqala ukusebenza ngaphakathi kwe-pancreas, bese eqala ukugaya i-pancreas uqobo. Yilokho okubangela lokhu kuvuvukala.
2. Ukusetshenziswa kotshwala ngokweqile
Ukuphuza utshwala ngokweqile nakho kuyimbangela ecacile ye-pancreatitis. Nakuba ososayensi bengakaqiniseki ukuthi kwenzeka
kanjani , kucatshangwa ukuthi izingxenye ezinobuthi otshwaleni zibangela ukuvuvukala kwe-pancreas, noma ukuthi ama-enzyme okugaya ukudla asebenza ngamakhemikhali. Cishe ingxenye yazo zonke izimo ze-pancreatitis ebukhali nengamahlalakhona kuthiwa ibangelwa ukuphuza utshwala ngokweqile.
Ezinye izizathu
Ngaphezu kwalezi zizathu ezimbili eziyinhloko, kunezinye izizathu, kodwa azivamile kangako.
- Izifo ezahlukahlukene, isibonelo amagciwane.
- Amasosha omzimba ahlasela i-pancreas (`(Autoimmune pancreatitis)`).
- Ukuguqulwa kwezakhi zofuzo okudluliswa ezizukulwaneni ngezizukulwane (`(I-Hereditary pancreatitis)`).
- Izinkinga zezimo ezifana ne-cystic fibrosis.
- Amazinga aphezulu amafutha (ama-triglyceride) egazini (`(i-Hypertriglyceridemia)`).
- Amazinga aphezulu e-calcium egazini (i-Hypercalcemia).
- Ukuncipha kokunikezwa kwegazi kuma-pancreas (`(Ischemia)`).
- Isimo somdlavuza.
- Ukulimala kwe-pancreas.
- Eminye imithi iyingozi kuma-pancreas.
Zonke lezi zizathu zifinyelela cishe ku-20%. Ngezinye izikhathi, asikho isizathu esingatholakala.
Ingabe ukuvuvukala okubukhali nokungapheli kuyafana?
Ngokuvamile, i-pancreatitis ivela ngokuzumayo futhi iphele okwesikhashana (`(Acute)`). Kodwa-ke, uma kunezimbangela eziqhubekayo, njengezifo ezizuzwe njengefa, i-pancreatitis ingavela esikhathini esithile (`(I-pancreatitis Engapheli)`). Ngokufanayo,
uma i-pancreatitis ebukhali ivele ngokuphindaphindiwe, ingaba yisimo sesikhathi eside.Cabanga nje, lapho i-pancreas icindezelwa futhi yonakaliswa njalo, umzimba uyajwayela futhi ungase uqhubeke nokuvuvukala ngisho nangemva kokuba umonakalo uphelile.
Ingabe lokhu kungaholela ekufeni?
Yebo,
uma i-pancreatitis ebukhali iba nzima kakhulu, izinkinga zingaholela ngisho nasekufeni. Kwabantu abambalwa, i-pancreatitis ebukhali kakhulu ingabangela ukusabela okuthinta umzimba wonke. Lokhu kungaholela ekushaqekeni nasekuhlulekeni kwezitho eziningi. Uma kungelashwa ngokushesha, kungaba yingozi empilweni.
Kungcono ukuya esibhedlela ngoba kunzima ukuqonda ukuthi isimo sibi kangakanani uma unezimpawu. Yiziphi izinkinga ezingaba khona?
Iningi lamacala e-acute pancreatitis awabangeli izinkinga. Kodwa cishe oyedwa kwabahlanu bangaba nzima kakhulu. Akukacaci okwamanje ukuthi kungani abanye abantu beba nzima kangaka. Amacala amakhulu angaholela ngisho nasekufeni. I-pancreatitis engapheli nayo ingabangela izinkinga, kodwa zikhula kancane kancane futhi azibe yingozi empilweni ngokushesha. Izinkinga eziningi zingaphathwa ngokwelashwa.
Izinkinga ze-Acute Pancreatitis:
- Ukufa kwezicubu (`(Necrosis)`) kanye nokutheleleka: Ezimweni ezingaba ngu-1 kwezingu-3 ze-pancreatitis ebukhali kakhulu, i-pancreas ivuvukala kangangokuthi igazi eliya kuyo liyanqamuka. Bese kuthi, izicubu kwezinye izingxenye ze-pancreas zife. Lesi zicubu ezifile ziyindawo enhle yamagciwane. Uma amabhaktheriya etheleleka, angasakazeka ngokushesha futhi angene egazini. Ukutheleleka egazini (`(Septicemia)`) kuyisimo esiphuthumayo. Umzimba usabela kulokhu ngesimo esibizwa ngokuthi `(Systemic Inflammatory Response Syndrome)`. Lokhu kubangela ukuthi imithambo yegazi ikhule, umfutho wegazi wehle (`(Septic shock)`) kanye negazi eliya ezithweni ezibalulekile lehle, okungaholela `(Ukwehluleka kwezitho eziningi)`.
- Ama-pseudocyst e-Pancreatic: Ukuvuvukala kwe-pancreas kungavimba umgudu othwala ujusi we-pancreatic uye emathunjini. Ujusi ube usuvuza uzungeze i-pancreas, okubangela ukuvuvukala ezicutshini ezizungezile. Ngokuhamba kwesikhathi, isikhwama esiqinile esinoketshezi sakha indawo evuvukele, ebizwa ngokuthi i-pseudocyst. Esikhathini esiningi, la ma-cyst awabangeli izimpawu noma adinge ukwelashwa. Kodwa-ke, ngezinye izikhathi angatheleleka noma akhule abe makhulu futhi abangele izinkinga. Akuvamile, umthambo wegazi ungangena kwi-cyst bese wopha. Kulesi simo, odokotela kungadingeka bakhiphe uketshezi noma bamise ukopha.
- I-pancreatitis Engapheli: Uma i-pancreatitis ebukhali ivela ngokuphindaphindiwe, ingaba yisifo esingapheli. Uma i-pancreas ivuvukala njalo, kuvela izibazi (i-fibrosis) ezicutshini. Lokhu kuvimbela i-pancreas ekusebenzeni njengendlala. Ngokuhamba kwesikhathi, ikhono lomzimba lokukhiqiza ama-enzyme nama-hormone liyancipha kancane kancane, okuholela ezinkingeni ezengeziwe.
Izinkinga ze-pancreatitis engapheli:
Lokhu kwenzeka kancane kancane:
- Ukuntuleka kwe-Exocrine pancreatic (EPI), ukungamuncwa kahle, kanye nokungondleki kahle: Njengoba i-pancreas iba nezibazi, ikhiqiza ama-enzyme amancane adingekayo ukugaya ukudla. Lokhu kwenza kube nzima ngomzimba ukumunca izakhamzimba , ikakhulukazi amafutha namavithamini ancibilikayo emafutheni. Amafutha amaningi akhishwa esithweni sangasese, okuholela esithweni sangasese esinamafutha, futhi kamuva, isifo sohudo. Uma ungatholi ukudla okwanele ekudleni kwakho, uba mncane futhi uqala ukuzwa imiphumela yokuntuleka kokudla okunempilo.
- Ushukela wegazi ophansi (`(Hypoglycemia)`), ushukela wegazi ophezulu (`(Hyperglycemia)`), kanye nesifo sikashukela sohlobo 1 (`(Type 1 diabetes)`): Ukuvuvukala kwesikhathi eside kwe-pancreas kunciphisa nokukhiqizwa kwama-hormone alawula ushukela wegazi. Kuye ngokuthi iyiphi i-hormone ethintekayo kuqala, ukulahlekelwa yi-glucagon kungabangela ushukela wegazi ophansi (`(Hypoglycemia)`) noma ukulahlekelwa yi-insulin kungabangela ushukela wegazi ophezulu (`(Hyperglycemia)`). Ekugcineni, womabili ama-hormone ayalahleka futhi isifo sikashukela siyakhula.
- Ubuhlungu obuqhubekayo: Nakuba abanye abantu bethola impumuzo ebuhlungwini babo, abanye bathola ukuthi ubuhlungu buba bukhulu futhi buhlala njalo. Lokhu kungaba nzima ukukulawula, ngisho nangemithi, futhi kungathinta nempilo yakho yengqondo.
- Ingozi ekhulayo yomdlavuza we-pancreatic: Noma yikuphi ukuvuvukala okuqhubekayo noma kuphi kwandisa ingozi yomdlavuza. Abantu asebene-pancreatitis isikhathi eside basengozini engu-1% kuya ku-2% yokuba nomdlavuza we-pancreatic (i-pancreatic adenocarcinoma). Ngenxa yokuthi izimpawu zifana nezokuvuvukala okungapheli, ngezinye izikhathi kungabonakala. Odokotela batusa ukuthi abantu abanalesi simo bahlolwe njalo umdlavuza.
Ungasithola kanjani lesi sifo?
Uma unezimpawu ze-pancreatitis, udokotela wakho uzohlola i-pancreas yakho ngokuhlolwa kwegazi kanye nokuhlolwa kwezithombe. Ukuhlolwa kwegazi kubheka amazinga aphezulu ama-enzyme e-pancreas egazini lakho. Uma ephakeme ngokuphindwe kathathu kunokujwayelekile, kusolwa ukuthi i-pancreatitis. Kungenziwa i-CT scan noma i-MRI ukuqinisekisa ukuxilongwa. Lezi zithombe zingabonisa izimpawu zokuvuvukala kanye nokunqwabelana koketshezi ku-pancreas. Uma besola ukuthi une-pancreatitis engapheli, kungenziwa ezinye izivivinyo:
- Ukuhlolwa kwe-glucose (ukuhlola ukuthi i-pancreas ikhiqiza i-insulin kahle yini).
- Ukuhlolwa kwe-elastase yendle (ukuhlola ukuthi i-pancreas ikhiqiza ama-enzyme okugaya anele yini).
- Ukuhlaziywa kwamafutha endle (bheka ukuthi kunamafutha amaningi yini esitulweni, okuyisibonakaliso sokumuncwa kabi kwamafutha).
- Ukuhlolwa kwegazi (ukuhlola isimo sakho sokudla okunempilo nokuthi unamavithamini anele yini ancibilikayo egazini lakho).
Iphathwa kanjani?
Ukwelashwa kuncike embangela, kungakhathaliseki ukuthi ibuhlungu noma ayipheli, nokuthi ibuhlungu kangakanani. Ngokuvamile, uma unezimpawu ze-pancreatitis, kufanele ubonane nodokotela. Ezinye izimo ezibuhlungu zingaphathwa zodwa, kodwa lokhu kuncike embangela kanye nobunzima. Okwamanje, abantu abaningi badinga imithi yokwelapha izinhlungu ukuze basize ekulawuleni ubuhlungu. Abanye abantu badinga ukwelashwa okuphuthumayo. Abanye bangadinga ukunakekelwa okujulile ngenxa yezinkinga.
Ukwelashwa kwe-Acute Pancreatitis:
Ukunakekelwa Okusekelayo
Uma imbangela isixazululiwe futhi isimo singesibi kakhulu, isinyathelo esingcono kakhulu ukusiza umzimba ukuthi ululame ngokwawo. Lokhu kuvame ukufaka:
- Ukunikeza usawoti (uketshezi lwe-IV): I-Pancreatitis ibangela ukuphelelwa amanzi emzimbeni, futhi uketshezi lubaluleke kakhulu ukuze umuntu alulame.
- Ukondla ngepayipi: Uma ungakwazi ukudla ngomlomo, unikezwa ukudla ngepayipi elifakwa ngekhala lakho noma esiswini sakho.
- Ukudla okunomsoco kwabazali: Ezimweni ezimbi kakhulu, ukudla okunomsoco kunganikezwa ngqo ngomthambo.
- Ama-Painkiller: Ama-Painkiller anikezwa ngemithambo yegazi noma ngomlomo.
Ukususwa Kwamatshe Enyongo
Uma une-pancreatitis ngenxa yamatshe enyongo, kungadingeka ukuthi kususwe itshe emgudwini wakho wenyongo. Ungase futhi unconywe ukuthi ususwe inyongo yakho (ukuhlinzwa kokususwa kwenyongo) ukuze uvimbele le nkinga ukuthi ingaphinde yenzeke. Nakhu ongakwenza:
- I-Endoscopic retrograde cholangiopancreatography (ERCP): Lokhu kuhilela ukudlulisa i-endoscope (ithubhu elincane, eliguquguqukayo elinekhamera enamathiselwe) emigudwini ye-bile. Amatshe amaningi angasuswa ngale ndlela. Ithubhu lifakwa emphinjeni bese lidlula esiswini liye emigudwini ye-bile.
- Ukuhlinzwa kokususwa kwenyongo: Uma usungeniswe esibhedlela ngenxa yamatshe enyongo, cishe uzoba nezinkinga futhi. Ngakho-ke inyongo ivame ukususwa. Lokhu kuvame ukwenziwa nge-laparoscopically (`(Laparoscopic cholecystectomy)`), okusho ukuthi kungenziwa ngokusikwa okuncane okumbalwa.
Usekelo Olwengeziwe
Uma kunezinkinga, lezi zingadingeka futhi:
- Ama-antibiotic.
- Ukuhlinzwa kokususa uketshezi noma izicubu ezifile.
- Ukunakekelwa okujulile.
Ukwelashwa kwe-pancreatitis engapheli:
Uma unalesi simo, udokotela wakho ojwayelekile uzokudlulisela kuchwepheshe (udokotela wezifo zamathumbu). Ukwelashwa kuqala ngokuphathwa kobuhlungu kanye nokushintsha indlela yokuphila ukuze uvimbele lesi simo ukuba singabi sibi kakhulu. Ngokuhamba kwesikhathi, kungadingeka ukuthi uthathe imithi yangaphandle ukuze ufake esikhundleni sama-enzyme kanye ne-insulin engakhiqizi i-pancreas yakho.
Izinguquko Zendlela Yokuphila
Lokhu kubaluleke kakhulu.
Kudingeka nakanjani uyeke ukuphuza utshwala nokubhema.Zombili lezi zinto zinomthelela omkhulu ku-pancreatitis, futhi lesi sifo singaba sibi kakhulu ngokushesha. Udokotela wakho uzokutshela ukuthi ungalutholaphi usizo lokunqanda lokhu. Kubaluleke kakhulu futhi
ukujwayela ukudla ukudla okunamafutha amancane, imifino nezithelo eziningi, nokuphuza amanzi anele usuku lonke .
Ukuphathwa Kobuhlungu
Ukuphatha ubuhlungu obungapheli kungaba nzima. Kungase kudingeke uzame imithi nezindlela ezahlukene ukuthola ukuthi yini ekusebenzelayo. Qiniseka ukuthi ukhuluma nodokotela wakho ngobuhlungu bakho nokuthi yini ongayenza uma izinto zingasizi. Angase akuthumele kuchwepheshe wokuphatha ubuhlungu (uchwepheshe wobuhlungu obungapheli). Kwezinye izimo, ukususwa kwezicubu zesilonda noma amatshe e-pancreatic nge-endoscopic kungasiza ekunciphiseni izimpawu. Ukujova i-anesthesia emithanjeni ye-pancreas (i-celiac plexus block) kungenye indlela yeziguli ezikhethiwe.
Izithako zokudla okunempilo
Ngokuhamba kwesikhathi, abantu abaningi baba nokuntuleka kwe-exocrine pancreatic insufficiency (EPI). Kumelwe bathathe ama-enzyme e-pancreatic avela emithonjeni yangaphandle. Kudingeka futhi bathathe izithasiselo zokudla ukuze bathole amakhalori nezakhamzimba ezanele (amavithamini namaminerali). Abanye abantu abasakwazi ukubekezelela ushukela, ekugcineni baba nesifo sikashukela futhi bathembele ku-insulin.
Ukuhlinzwa
Uma ukuvuvukala okukhulu kukhawulelwe engxenyeni ethile ye-pancreas, futhi leyo ngxenye ibangela ubuhlungu noma izinkinga ezingabekezeleleki, udokotela wakho angase ancome ukususa leyo ngxenye (`(Ukususwa)`). Ezimweni ezithuthukile kakhulu, uma i-pancreas yonakele kakhulu futhi kusenobuhlungu obukhulu, lonke i-pancreas lingasuswa (`(I-Total pancreatectomy)`).
Luhlobo luni lwesimo olungalindelwa esikhathini eside?
Iningi labantu liyalulama ngokuphelele kwi-pancreatitis ebukhali. Uma ingeyona embi kakhulu, ivame ukuxazululeka ezinsukwini ezi-5-10. Ezimweni ezimbi kakhulu noma ezinkingeni, kungadingeka uhlale esibhedlela amasonto ambalwa. Uma ungakwazi ukwelapha imbangela, kungenzeka ukuvimbela ukuphinda kuvele. Ebangeni elincane labantu abathola ukwehluleka kwezitho zomzimba, izinga lokufa licishe libe ngu-20%. I-pancreatitis engapheli iyisifo esiqhubeka kancane kancane. Ngokufuna usizo lwezokwelapha njalo nokuqapha intuthuko yaso, ungavimbela izinkinga ngaphambi kokuba zenzeke. Ukulawula ubuhlungu kungaba yinselele kwabanye abantu, futhi kungathinta impilo yengqondo kanye nekhwalithi yokuphila. Ukuhlinzwa kungacatshangelwa. Kungenzeka ukuphila ngaphandle kwe-pancreas, kodwa kungadingeka uthembele ku-insulin.
Ingabe lokhu kungavinjelwa?
Akuzona zonke izimbangela ezingavinjelwa. Kodwa unganciphisa ingozi yakho
ngokunciphisa ukuphuza kwakho utshwala . Esinye isizathu esikhulu samatshe enyongo
ukwehlisa i-cholesterol yakho . Uma uke waba ne-pancreatitis ebukhali,
ukuyeka utshwala nokubhema kungasiza.Kuyasiza ekuvimbeleni ukuphinda kuvele. Uma kubangelwa amatshe enyongo, ukususa inyongo kungavimbela ukuphinda kuvele.
Cishe awucabangi kakhulu nge-pancreas yakho kuze kube yilapho ngolunye usuku ibuhlungu. Lokhu kungaba yindlela eyesabekayo necindezelayo yokuthola ukunakwa kwakho.
Okokugcina, izinto okufanele uzikhumbule
Uma unezimpawu ze-pancreatitis,
sicela ungayinaki. Bona udokotela ngokushesha. Iningi lamacala e-pancreatitis ebukhali azophola ezinsukwini ezimbalwa. Uma ungathola ukuthi yini eyibangela, ungangabazi ukuyelapha. I-pancreatitis engapheli ingaqala kancane futhi ingatholakali ngesikhathi usuyazi. Ngenkathi ezinye izimbangela, njengotshwala, zibikezelwa, ezinye zingaba ezingavamile futhi ezingalindelekile. Kungenzeka ukuthi awukaze ucabange ukuthi usengozini yokuthola lesi simo sesikhathi eside. Kodwa-ke, ukufunda ukuphila naso kungaba yinselele. Uzodinga udokotela omethembayo ukukusiza ukuthi usilawule impilo yakho yonke.
Impilo yakho ingumthwalo wakho, ngakho-ke yinakekele. I-Pancreatitis, I-Pancreatitis, Ubuhlungu Besisu, Amatshe Enyongo, Utshwala, Ukugaya
💬 Comments (0)
Awekho amazwana athunyelwe okwamanje. Faka amazwana akho lapha okokuqala ngqa.
Engeza amazwana akho