Pancreatitis - ana

Pancreatitis mwa ana, monga akulu, imachitika pamene kapamba amatupa ndikutupa.

Mphepete ndi chiwalo kumbuyo kwa mimba.

Amapanga mankhwala otchedwa ma enzyme, omwe amafunikira kupukusa chakudya. Nthawi zambiri, ma enzyme amangogwira ntchito akangofika m'matumbo ang'onoang'ono.

Mavitaminiwa akamayamba kugwira ntchito mkati mwa kapamba, amasamba minofu ya kapamba. Izi zimayambitsa kutupa, kutuluka magazi komanso kuwonongeka kwa chiwalo ndi mitsempha yake. Matendawa amatchedwa kapamba.

Zomwe zimayambitsa kufooka kwa ana ndi monga:

• Kupweteka pamimba, monga kuvulala kwa njinga
• Mitsempha yotulutsa bile
• Zotsatira zoyipa zamankhwala, monga mankhwala oletsa kulanda, chemotherapy, kapena maantibayotiki ena
• Matenda a kachilombo, kuphatikizapo mitsempha ndi coxsackie B
• Kuchuluka kwamagazi m'magazi, otchedwa triglycerides

Zina mwa zifukwa zake ndi izi:

• Pambuyo pofikitsa chiwalo kapena mafupa
• Cystic fibrosis
• Matenda a Crohn ndi zovuta zina, pomwe chitetezo chamthupi chimagunda ndikuwononga minofu yathanzi mwangozi
• Type 1 shuga
• Kuchulukitsa kwa parathyroid gland
• Matenda a Kawasaki

Nthawi zina, chifukwa chake sichidziwika.

Chizindikiro chachikulu cha kapamba m'mwana ndi kupweteka kwambiri m'mimba. Nthawi zina ululuwo umafalikira kumbuyo, pamimba, komanso kutsogolo kwa chifuwa. Kupweteka kumatha kukulira mukatha kudya.

Zizindikiro zina zitha kuphatikiza:

• Tsokomola
• Nseru ndi kusanza
• Kutupa m'mimba
• Malungo
• Chikasu chachikopa, chotchedwa jaundice
• Kutaya njala
• Kuchuluka zimachitika

Wopereka chithandizo chamankhwala wa mwana wanu ayesa mayeso, omwe angawonetse:

• Kutentha m'mimba kapena mtanda (misa)
• Malungo
• Kuthamanga kwa magazi
• Kuthamanga kwa mtima
• Kupuma mwachangu

Woperekayo ayesa mayeso a labu kuti aone ngati mavitamini a pancreatic atulutsidwa. Izi zikuphatikiza kuyesedwa kuti muwone:

• Mulingo wama amylase wamagazi
• Mulingo wamagazi lipase
• Mlingo wamkodzo amylase

Mayeso ena amwazi ndi awa:

• Kuwerengera kwathunthu kwa magazi (CBC)
• Gulu kapena mayeso amwazi omwe amapereka chithunzi chonse cha kuchuluka kwa mankhwala m'thupi lanu

Kuyesa kuyesa komwe kumatha kuwonetsa kutupa kwa kapamba ndi monga:

• Ultrasound pamimba (ambiri)
• CT scan pamimba
• MRI ya pamimba
  

Chithandizo chingafune kukhala mchipatala. Zitha kuphatikizira:

• Mankhwala opweteka
• Kuletsa chakudya kapena madzi pakamwa
• Madzi operekedwa kudzera mumtsempha (IV)
• Mankhwala oletsa kunyansidwa ndi mseru komanso kusanza
• Zakudya zonenepa kwambiri

Woperekayo akhoza kuyika chubu kudzera m'mphuno kapena mkamwa mwa mwana kuti achotse zomwe zili m'mimba. Chubu chimatsalira kwa tsiku limodzi kapena angapo. Izi zitha kuchitika ngati kusanza komanso kupweteka kwambiri sikusintha. Mwanayo amathanso kupatsidwa chakudya kudzera mu mtsempha (IV) kapena chubu chodyetsera.

Mwana atha kupatsidwa chakudya chotafuna akangosiya kusanza. Ana ambiri amatha kudya chakudya chotafuna pasanathe masiku amodzi kapena awiri atadwala kapamba.

Nthawi zina, mankhwala amafunika kuti:

• Thirani madzi omwe asonkhanitsa kapamba kapena mozungulira
• Chotsani ndulu
• Pewani zotchinga zapakhosi

Nthawi zambiri zimatha patatha sabata. Ana nthawi zambiri amachira kwathunthu.

Matenda opatsirana opitirira nthawi zambiri sawoneka mwa ana. Izi zimachitika, nthawi zambiri zimachitika chifukwa cha zofooka zamtundu kapena kubadwa kwa kapamba kapena ma biliary ducts.

Kukwiya kwambiri kwa kapamba, ndi kapamba chifukwa chopwetekedwa mtima, monga kuchokera pamalo ogwiritsira njinga zamoto, zimatha kubweretsa zovuta. Izi zingaphatikizepo:

• Kutola kwamadzimadzi mozungulira kapamba
• Kumanga madzimadzi pamimba (ascites)

Itanani wothandizirayo ngati mwana wanu akuwonetsa zizindikiro za kapamba. Komanso itanani ngati mwana wanu ali ndi izi:

• Kwambiri, kupweteka kwam'mimba kosalekeza
• Kukulitsa zizindikiro zina za pachimake kapamba
• Kumva kupweteka kwambiri m'mimba ndikusanza

Nthawi zambiri, palibe njira yopewera kapamba.

Connelly BL. Pachimake kapamba. Mu: Long SS, Prober CG, Fischer M, eds. Mfundo ndi Zochita za Matenda Opatsirana a Ana. 5th ed. Philadelphia, PA: Elsevier; 2018: mutu 63.

Kliegman RM, St. Geme JW, Blum NJ, Shah SS, Tasker RC, Wilson KM. Pancreatitis. Mu: Kliegman RM, St. Geme JW, Blum NJ, Shah SS, Tasker RC, Wilson KM, olemba. Nelson Textbook of Pediatrics. Wolemba 21. Philadelphia, PA: Elsevier; 2020: chap 378.

Vitale DS, Abu-El-Haija M. Pancreatitis. Mu: Wyllie R, Hyams JS, Kay M, olemba., Eds. Matenda a m'mimba ndi Matenda a Chiwindi. Lachisanu ndi chimodzi. Philadelphia, PA: Elsevier; 2021: mutu 82.