Pancreatitis yovuta

Zamkati

• Nchiyani chimayambitsa kapamba kakang'ono?
• Zomwe zimayambitsa
• Zoyambitsa zina
• Ndani ali pachiwopsezo cha kapamba kakang'ono?
• Kuzindikira zizindikiro za pachimake kapamba
• Phwanya: Kupweteka m'mimba
• Kuzindikira kapamba kakang'ono
• Kuchiza chifuwa chachikulu
• Moyo ndi zakudya
• Zovuta za pachimake kapamba
• Chiwonetsero

Kodi pachimake kapamba ndi chiyani?

Mphepete ndi chiwalo chomwe chimakhala kuseri kwa m'mimba komanso pafupi ndi matumbo ang'onoang'ono. Amapanga ndikugawa insulini, michere yam'mimba, ndi mahomoni ena ofunikira.

Pachimake kapamba (AP) ndi kutupa kwa kapamba. Zimachitika mwadzidzidzi ndipo zimayambitsa kupweteka kumtunda kwa m'mimba (kapena epigastric). Kupweteka kumawonekera kumbuyo kwanu.

AP itha kuphatikizanso ziwalo zina. Itha kukhalanso matenda opatsirana kwanthawi yayitali ngati mwapitilirabe.

Nchiyani chimayambitsa kapamba kakang'ono?

Pachimake kapamba amayamba mwachindunji kapena m'njira zina. Zomwe zimayambitsa zimakhudza kapamba, zotupa zake, kapena mapiko ake. Zoyambitsa zina zimachokera ku matenda kapena mikhalidwe yomwe imachokera kwinakwake mthupi lanu.

Miyala yamiyala ndi chimodzi mwazinthu zazikuluzikulu zomwe zimayambitsa chifuwa chachikulu. Miyala yamiyala imatha kukhala munjira yodziwika ya ndulu ndikuletsa njira yolumikizira kapamba. Izi zimawononga madzimadzi kuti asamayende ndikupita kuchokera ku kapamba ndipo zimawononga.

Zomwe zimayambitsa

Zina mwazomwe zimayambitsa kudwala kwamphamvu ndi awa:

• chitetezo chamthupi mwadzidzidzi chimayamba kapamba, kapena autoimmune kapamba
• kapamba kapena ndulu kuwonongeka kwa opaleshoni kapena kuvulala
• mafuta ochulukirapo otchedwa triglycerides m'magazi anu

Zoyambitsa zina

Zomwe sizimadziwika bwino za kapamba kakang'ono ndizo:

• kumwa mowa mwauchidakwa
• cystic fibrosis, vuto lalikulu lomwe limakhudza mapapu anu, chiwindi, ndi kapamba
• Matenda a Kawasaki, matenda omwe amapezeka mwa ana ochepera zaka 5
• matenda opatsirana ngati mavairasi ndi matenda a bakiteriya monga mycoplasma
• Reye's syndrome, vuto lochokera kuma virus ena omwe amathanso kukhudza chiwindi
• mankhwala ena okhala ndi estrogen, corticosteroids, kapena maantibayotiki ena

Ndani ali pachiwopsezo cha kapamba kakang'ono?

Kumwa mowa kwambiri kumatha kuyika pachiwopsezo cha kutupa kwa kapamba. National Institutes of Health (NIH) imamasulira "kumwa kwambiri" monga zakumwa zingapo patsiku kwa akazi komanso zakumwa ziwiri patsiku kwa amuna. Amuna ali pachiwopsezo chachikulu kuposa akazi omwe amayamba kapamba.

Kusuta fodya kumakulitsanso mwayi wanu wa AP. Kusuta ndi kumwa mowa kuli kofanana ndi anthu akuda ndi azungu aku America, koma anthu akuda aku America ali ndi mwayi wopitilira AP. Mbiri yakubadwa kwa khansa, kutupa, kapena vuto lina la kapamba imakuyikani pachiwopsezo.

Kuzindikira zizindikiro za pachimake kapamba

Chizindikiro chachikulu cha kapamba kakang'ono ndi kupweteka m'mimba.

Phwanya: Kupweteka m'mimba

Ululu umasiyana malinga ndi zinthu zina. Izi zikuphatikiza:

• kupweteka mkati mwa kumwa pang'ono kapena kudya chakudya
• kupweteka kufalikira kuchokera pamimba panu kupita kumbuyo kapena kumbuyo kwa tsamba lamapewa
• ululu womwe umatha masiku angapo nthawi
• kupweteka mukamagona chagada, koposa momwe mumakhalira

Zizindikiro zina zimathanso kukulitsa ululu komanso kusapeza bwino. Izi zikuphatikiza:

• malungo
• nseru
• kusanza
• thukuta
• jaundice (chikasu cha khungu)
• kutsegula m'mimba
• kuphulika

Ngati zina mwazizindikirozi zikuphatikizidwa ndi kupweteka m'mimba, muyenera kupeza chithandizo chamankhwala mwachangu.

Kuzindikira kapamba kakang'ono

Dokotala wanu amatha kudziwa AP pogwiritsa ntchito magazi ndikuwunika. Kuyezetsa magazi kumayang'ana michere (amylase ndi lipase) yomwe imatuluka m'mapapo. Kujambula kwa ultrasound, CT, kapena MRI kumalola dokotala wanu kuti awone zovuta zilizonse m'matumba anu. Dokotala wanu amafunsanso za mbiri yanu yazachipatala ndikukufunsani kuti mufotokoze zovuta zanu.

Kuchiza chifuwa chachikulu

Nthawi zambiri mumalandiridwa kuchipatala kukayezetsa kwambiri ndikuonetsetsa kuti mwalandira madzi okwanira, nthawi zambiri kudzera m'mitsempha. Dokotala wanu akhoza kuyitanitsa mankhwala kuti muchepetse ululu ndikuthandizira matenda aliwonse omwe angakhalepo. Ngati mankhwalawa sakugwira ntchito, mungafunike kuchitidwa opaleshoni kuti muchotse minofu yowonongeka, kukhetsa madzi, kapena kukonza mapaipi otsekedwa. Ngati ma gallstones adayambitsa vutoli, mungafunike kuchitidwa opaleshoni kuti muchotse ndulu.

Ngati dokotala anena kuti mankhwala akuyambitsa matenda anu opatsirana oopsa, lekani kugwiritsa ntchito mankhwalawo nthawi yomweyo. Ngati kuvulala koopsa kwadzetsa chifuwa chanu, pewani zochitikazo mpaka mutachira. Funsani dokotala musanachite zambiri.

Mutha kumva zowawa zambiri mutatha kuphulika kwamphamvu, opaleshoni, kapena chithandizo china. Ngati mwalandira mankhwala opweteka, onetsetsani kuti mukutsatira dongosolo la dokotala wanu kuti muchepetse kusowa mtendere mukangofika kunyumba. Pewani kusuta kwathunthu, ndipo imwani madzi ambiri kuti muwonetsetse kuti simutha.

Ngati kupweteka kapena kusasangalala kukuvutikirabe, ndikofunikira kubwereranso ndi dokotala kuti akawunikenso.

Pachimake pachimake nthawi zina chimalumikizidwa ndi mtundu wachiwiri wa shuga, womwe umakhudza kupangika kwanu kwa insulin. Kudya zakudya monga zomanga thupi zomanga thupi, masamba obiriwira, ndi mbewu zonse zitha kuthandizira kuti kapamba wanu apange insulin pafupipafupi komanso mofatsa.

Moyo ndi zakudya

Khalani ndi hydrated nthawi zonse. Sungani botolo lamadzi kapena chakumwa cholowetsedwa ndi electrolyte monga Gatorade.

Thandizani kupewa AP poletsa kuchuluka kwa zakumwa zomwe mumamwa. Ngati mwadwala kale kapamba ndipo simunasinthe moyo wanu, ndizotheka kuyambiranso. Ana, ndi achinyamata osakwana zaka 19, sayenera kumwa aspirin pokhapokha ngati dokotala wawauza. Aspirin amatha kuyambitsa matenda a Reye's, omwe amadziwika kuti amayambitsa matenda opatsirana kwambiri.

Zovuta za pachimake kapamba

Pachimake pachimake chimatha kuyambitsa ma pseudocysts m'matumba anu. Matumba odzaza ndi madzi amtunduwu amatha kubweretsa matenda komanso kutuluka magazi mkati. Pakhosi lalikulu limatha kusokonezanso thupi lanu. Izi zitha kubweretsa zovuta zambiri.

Muthanso kuthana ndi vuto la matenda ashuga kapena impso zomwe zimayambitsa dialysis. Kapenanso kusowa kwa zakudya m'thupi, ngati kapamba kapamba kali koopsa, kapena mukayamba kudwala kapamba pakapita nthawi.

Kwa anthu ena, pachimake kapamba amatha kukhala chizindikiro choyamba cha khansa ya kapamba. Lankhulani ndi dokotala wanu za chithandizo mukangopezeka ndi kapamba kakang'ono kuti mupewe zovuta. Chithandizo chofulumira komanso chothandiza chimachepetsa chiopsezo chanu chazovuta kwambiri.

Chiwonetsero

Pancreatitis imatha kupweteka kwambiri kwakanthawi kochepa. Milandu yosachiritsidwa ndi kubwereza kumatha kubweretsa zovuta. Matenda ambiri amatha kuchiritsidwa. Ngati mwalandiridwa kuchipatala chifukwa cha kapamba kakang'ono, nthawi yayitali mudzafunika kutengera kukula kwa gawo lanu. Pewani kumwa mowa, kuchita masewera olimbitsa thupi, komanso kutsatira dongosolo lomwe limalola kuti kapamba wanu azichira musanabwerere pachakudya chanu.

Zizindikiro za pancreatitis zitha kukhala zosokoneza. Kupweteka m'mimba ndi kupweteka kwa msana kumatha kukhala ndi zifukwa zina. Mukawona zizindikirozi onani dokotala wanu.

Matenda achilengedwe amatha kuchiritsidwa bwino, ndipo kusintha kwa machitidwe kumakuthandizani kuti mukhale moyo wabwino, ngakhale mutakhala ndi zovuta nthawi ndi nthawi. Lankhulani ndi dokotala wanu kuti muwonetsetse kuti mukutsatira ndondomeko yoyenera ya mankhwala ndi kusintha kwa moyo wanu kuti muchepetse chiopsezo chanu chamtsogolo cha kapamba.