Pezani zenizeni pa chiwopsezo chachikulu komanso chopweteka
Phunzirani zizindikiro za kuperewera kwapansi ndi ndemangayi. Ngati muli ndi vutoli, ndikofunika kuti mupeze ndi kuchiritsidwa mwamsanga.
Kodi Pancreas Ndi Chiyani?
Zikwangwani zanu ndi zazikulu m'mimba mwanu komanso pafupi ndi duodenum yanu. Nkhonozi zimayambitsa michere yambiri ya m'mimba yomwe imalowa m'matumbo ang'onoang'ono kudzera m'matope. Mavitaminiwa amakuthandizani kukumba mafuta, mapuloteni, ndi chakudya.
Nkhanzazi zimatulutsanso mahomoni insulini ndi glucagon m'magazi. Mahomoni amenewa amathandiza kwambiri shuga.
Pancreatitis ndi matenda omwe sakhala osowa kwambiri omwe amaphulika. Kuwonongeka kwa chiberekero kumachitika pamene mavitamini a digestive atsegulidwa ndi kuyamba kuyambitsa ziphuphu. Pakakhala zovuta kwambiri, pangakhale magazi m'matumbo, kuwonongeka kwa minofu, matenda, ndi ziphuphu. Mavitamini ndi poizoni angalowe m'magazi ndipo amavulaza kwambiri ziwalo, monga mtima, mapapo, ndi impso.
Pali mitundu iwiri ya chifuwa chachikulu. Maonekedwe ovuta amapezeka mwadzidzidzi ndipo angakhale matenda aakulu, owopsyeza moyo ndi mavuto ambiri. Kawirikawiri, wodwalayo amachira bwinobwino. Ngati kuvulala kwa mphukira kukupitirira, monga pamene wodwala akupitirizabe kumwa mowa, matenda aakulu amatha kukhalapo, amachititsa ululu wowawa komanso kuchepetsa kugwira ntchito kwa mphutsi zomwe zimakhudza chimbudzi komanso zimayambitsa kulemera.
Kodi Pancreatitis Yotani Ndi Yabwino?
Anthu pafupifupi 50,000 mpaka 80,000 ali ndi matenda oopsa a chifuwa chachikulu ku United States chaka chilichonse. Matendawa amapezeka pamene mphukira imatuluka mwadzidzidzi ndikukhala bwino. Odwala ena ali ndi vuto limodzi koma amachira pambuyo pake.
Nthawi zambiri matenda otukuka kwambiri amayamba chifukwa chomwa mowa mopitirira muyeso kapena pogwiritsa ntchito mankhwala osokoneza bongo.
Zina zimayambitsa mankhwala, mankhwala opweteka kapena opaleshoni kwa mimba kapena zolakwika za kapangidwe kapena matumbo. Nthawi zambiri, matendawa amatha chifukwa cha matenda, monga mitsempha. Pafupifupi 15 peresenti ya milandu, chifukwa chake sichidziwika.
Kodi Ndi Zizindikiro Ziti za Pancreatitis Yachilendo?
Kuchuluka kwa chifuwa chachikulu kumayamba ndi ululu m'mimba yapamwamba yomwe ikhoza kukhala masiku angapo. Nthawi zambiri ululu umakhala wowawa kwambiri. Kungakhale kupweteka kosalekeza, mu mimba, kapena kumatha kumbuyo ndi kumadera ena.
Ululu ukhoza kukhala mwadzidzidzi komanso woopsa, kapena ukhoza kuyamba monga kufatsa komwe kumawonjezereka ndi kudya ndipo pang'onopang'ono kumafala kwambiri. Mimba ikhoza kutupa ndipo imakhala yosangalatsa kwambiri. Zizindikiro zina zimaphatikizapo kunyoza, kusanza, kutentha thupi komanso kuchuluka kwa chiwombankhanga. Nthawi zambiri munthu amamva komanso amawoneka akudwala kwambiri.
Pafupifupi 20 peresenti ya milandu ndi oopsa. Wodwala akhoza kutaya madzi ndi kutsika kwa magazi . Nthawi zina mtima wa wodwala, mapapo kapena impso amalephera. Pa milandu yoopsa kwambiri, kutuluka kwa magazi kumachitika m'ziphalaphala, zomwe zimachititsa mantha komanso nthawi zina imfa.
Kodi Pancreatitis Yoyamba Ipezeka Bwanji?
Panthawi yovutitsa kwambiri, amylase apamwamba ( mavitamini operekera m'mimba ) amapezeka m'magazi. Zosintha zingakhalenso m'magazi a calcium, magnesium, sodium, potassium, ndi bicarbonate.
Odwala angakhale ndi shuga ndi lipids (mafuta) ambiri m'magazi awo. Kusintha kumeneku kumathandiza dokotala kupeza matenda opatsirana. Pambuyo pa zikondamoyo, zigawo za magazizi nthawi zambiri zimabwerera kuzinthu zachilengedwe.
Kodi Chithandizo cha Pancreatitis Yachilendo N'chiyani?
Chithandizo chimene wodwalayo amalandira chimadalira kuipa kumeneku. Pokhapokha ngati zovuta zikuchitika, kupweteka koopsa kwapadera kumawoneka bwino, choncho mankhwala amathandiza nthawi zambiri. Kawirikawiri, wodwala amapita kuchipatala.
Dokotala amapereka mankhwala kuti azitsitsimutsa magazi. Impso ndi mapapo angapangidwe pofuna kulepheretsa kulephera kwa ziwalo.
Mavuto ena, monga cysts mu zikondamoyo, amafunikanso chithandizo.
Nthawi zina wodwala sangathe kuletsa kusanza ndi zosowa kukhala ndi chubu kudzera m'mphuno mpaka m'mimba kuchotsa madzimadzi ndi mpweya. Panthawi zochepa, wodwalayo sangakhale ndi chakudya kwa masiku atatu kapena anayi koma amapatsidwa madzi ndi ululu wothandizidwa ndi mitsempha.
Kuukira kwakukulu kumangokhala masiku owerengeka, kupatula ngati mapiko atsekedwa ndi nyongolotsi. Pa milandu yovuta, wodwala akhoza kudyetsedwa kupyola mitsempha kwa masabata atatu mpaka asanu pamene mphukira imachiza pang'onopang'ono.
Mankhwala opha tizilombo angaperekedwe ngati zizindikiro za matenda zimayamba. Kuchita opaleshoni kungafunikire ngati zovuta monga matenda, chiphuphu kapena kutuluka magazi kumapezeka. Zilonda zomwe zimayambitsa ndulu zimatha kuchotsa ndulu kapena opaleshoni ya ndondomeko ya bile.
Nthaŵi zina opaleshoni amafunika kuti dokotala athetse mavuto ena a m'mimba omwe angawononge kuperewera kwa matenda kapena kupatsirana koopsa. Pakuvulazidwa kwambiri ndi imfa ya minofu, opaleshoni ingatheke kuchotsa minofu yakufa.
Pambuyo pa zonse zizindikiro za kuperewera kwa chifuwa chapita, dokotala amadziwa chifukwa chake ndikuyesera kupewa zida zamtsogolo. Kwa odwala ena chomwe chimachititsa kuti chiwonongeko chiwonekere, koma kwa ena, mayesero ena ayenera kuchitidwa.
Bwanji ngati Wodwala Ali ndi Magalasi?
Ultrasound amagwiritsidwa ntchito kuti azindikire nthendayi ndipo nthawi zina akhoza kupereka dokotala ndi lingaliro la momwe chiwopsezo chilili. Pamene zimbudzi zimapezeka, kafukufuku amafunika kuwathetsa. Akachotsedwa zimadalira momwe chiwopsezo chilili. Ngati ndi yofewa, gallstones nthawi zambiri amachotsedwa mkati mwa sabata kapena kuposa. Pa milandu yovuta kwambiri, wodwalayo akhoza kuyembekezera mwezi kapena kuposerapo, kufikira atakula, miyalayo isanatuluke.
CAT (kompyuta axial tomography) ingagwiritsidwe ntchito kuti mudziwe zomwe zikuchitika mkati ndi kuzungulira kapangidwe ndi momwe vuto lirili. Izi ndizofunikira zomwe dokotala ayenera kudziwa kuti achotse ndondomeko zotani .
Pambuyo pa mitsempha yamtunduwu ndi kutupa kutuluka, ziphuphu zimabwereranso kuzinthu zachilendo. Asanayambe kupita kuchipatala, amauzidwa kuti asamwe mowa komanso kuti asadye chakudya chachikulu.
Kodi Pancreatitis Ndi Chiyani?
Kuchuluka kwa chizoloŵezi chochulukirapo kumachititsa anthu ambiri koma 70 mpaka 80 peresenti ya milandu chifukwa cha kumwa moŵa mopitirira muyeso. Zingawoneke pambuyo powaukira kokha, makamaka ngati mazira a panjakita atayika. Kuwonongeka kwa kapangidwe kakumwa mowa mopitirira muyeso sikuthetsa zizindikiro kwa zaka zambiri, ndipo wodwalayo mwadzidzidzi akudwala matenda opatsirana.
Amakonda kwambiri amuna kuposa akazi ndipo nthawi zambiri amakula pakati pa zaka 30 ndi 40. Nthawi zina, kuperewera kwa matenda kungapangidwe. Mafomu obadwa nawo amawoneka kuti akuchokera chifukwa cha zosawonongeka za tizilombo toyambitsa matenda omwe amachititsa kuti michereyo ikhale ndi mavitamini.
Poyambirira, dokotala sangathe nthawi zonse kudziwa ngati wodwalayo ali ndi matenda aakulu kapena aakulu. Zizindikiro zikhoza kukhala chimodzimodzi. Odwala omwe ali ndi matenda oopsa opatsirana amakhala ndi mavuto atatu: kupweteka, kumwa zakudya zomwe zimayambitsa kuchepa, kapena shuga .
Odwala ena alibe ululu koma ambiri amachita. Ululu ukhoza kukhala wambiri kumbuyo ndi pamimba, ndipo kwa odwala ena, ululu umapweteka. Nthawi zina, ululu wa m'mimba umachoka pamene chikhalidwe chimakula. Madokotala amaganiza kuti izi zimachitika chifukwa ma enzyme a pancreatic salinso opangidwa ndi zikondamoyo.
Odwala omwe ali ndi matendawa nthawi zambiri amalephera kulemera, ngakhale pamene chilakolako chawo ndi zakudya zawo ndi zachilendo. Izi zimachitika chifukwa thupi silitulutsa mavitamini amphamvu kuti aswe chakudya, kotero kuti zakudya sizimangokhala bwino. Kuperewera kwa zakudya molakwika kumachititsa kuti mafuta, mapuloteni, ndi shuga ziwonongeke. Matenda a shuga angapangidwe panthawiyi ngati maselo opanga insulini a mphukira (maselo a maselo) aonongeka.
Kodi Pancreatitis Yosatha Imadziwika Bwanji?
Kusanthula kungakhale kovuta koma kumathandizidwa ndi njira zingapo zatsopano. Kuyeza kwapancreatic test test kumathandiza dokotala kusankha ngati ziphuphu zikhoza kupanga zokwanira mavitamini a m'mimba. Dokotala amatha kuona zosaoneka bwino m'ziphalala pogwiritsa ntchito njira zingapo (kujambula kojambula, kupopera koyambirira kwa cholangiopancreatography (ERCP), ndi kanema ka CAT).
Pazigawo zapamwamba kwambiri za matendawa, pamene matenda a shuga ndi malabsorption (vuto chifukwa cha kusoŵa kwa michere) zimachitika, dokotala angagwiritse ntchito mayesero ambiri a magazi, mkodzo ndi chithunzithunzi kuti athandizidwe kuti apeze matenda oopsa a chifuwa chachikulu ndi kuwona kupitiriza kwa matendawa.
Kodi Pancreatitis Yopanda Pansi Imachitika Bwanji?
Dokotala amatha kupwetekedwa mtima kosatha mwa kuchepetsa kupweteka komanso kuthana ndi mavuto a zakudya ndi zamagetsi. Wodwala akhoza kuchepetsa kuchuluka kwa mafuta ndi mapuloteni omwe amatayika m'maselo mwa kuchepetsa kudya mafuta komanso kumwa mapiritsi omwe ali ndi michere yoipa kwambiri. Izi zidzakuthandizani kuti mukhale ndi zakudya zabwino komanso kulemera. Nthaŵi zina insulini kapena mankhwala ena ayenera kupatsidwa kuti athetse shuga wa magazi.
Nthaŵi zina, opaleshoni imafunika kuti athetse ululu mwa kukhetsa makina opanga mpweya wotentha. Nthawi zina, mbali kapena zambiri za kapangidwe zimachotsedwa pofuna kuthetsa ululu wosatha .
Odwala ayenera kusiya kumwa, kutsatira zofunikira zawo, ndi kumwa mankhwala oyenera kuti akhale ndi zovuta zochepa.
Anasindikizidwanso ku National Digestive Diseases Clearinghouse