Ama-pancreas abhekwa njengesinye sezitho eziyinkimbinkimbi kunazo zonke emzimbeni womuntu. Izinkinga zesifo sezinzwa kunzima ukuzazi, futhi lapho zenzeka, kunzima kakhulu ukubuyisa umsebenzi womzimba.
I-metabolism nokugaya okuphelele kuncike emsebenzini wamanyikwe. Izifundo zobudokotela zibonisa ezingaphezu kwe-200 izimbangela ze-pancreatitis.
Izimbangela eziphambili zezinkinga ze-pancreatic yisifo se-gallstone nokusebenzisa kabi utshwala. Kuyaziwa ukuthi inkinga ngesisu futhi, ikakhulukazi, ngamanyikwe kunabantu abaningi abaphuza utshwala ngokuhlelekile.
Kodwa-ke, namuhla sizokhuluma ngokuthi yini ngempela ebangela isifo esinjenge-pancreatitis, yini izimbangela zaso, ngaphezu kokungondleki kahle.
Umsebenzi we-pancreatic
I-pancreas yisitho esiyimfihlo esikhiqiza ama-hormone akhethekile kanye nojusi wesisu. Ngaphandle kwama-pancreas, akunakwenzeka ukwenza inqubo yokugaya umzimba kanye nokudla okugcwele emzimbeni womuntu.
Ama-pancreas angamasentimitha ayi-15 kuphela ubude, kepha isisindo sawo okungenani amagremu angama-80. Ngosuku olulodwa, umzimba ufaka ngaphezulu kwamalitha ayi-1,4 we secancion ye-pancreatic.
Umsebenzi oyimfihlo we-pancreas ukuthutha ujusi we-pancreatic ohlukile kwi-duodenum.
Ijusi le-pancreatic linama-enzyme ambalwa:
- trypsin
- maltose
- i-lactase
- lipase.
Amanyikwe futhi akhiqiza ama-hormone:
- glucagon
- insulin
- i-lycopoin.
Lawa ma-hormone abhekene noshukela wegazi, futhi ayabandakanyeka ekwakheni ama-phospholipids kanye ne-carbohydrate metabolism
Izimbangela ze-Pancreatitis
Kuyiqiniso, amanyikwe athinta ngqo indlela yokuphila nokudla okudliwa ngumuntu. Ukuze kugaywe ama-carbohydrate, amaprotheni namafutha, amanyikwe akhiqiza ama-enzyme akhethekile, ngokwesibonelo, yi-trypsin yamaprotheni, ne-lipase yokudla kwamafutha.
Kungakho ukuphuza ngokweqile utshwala, ukudla okulimazayo, izidakamizwa kuholela ekunciphiseni ukuphuma kwejusi le-pancreatic. Ijusi lihlala kuphela kwizicubu ze-gland, lingafinyeleli kwi-duodenum, lezi yizizathu zokuqala eziholela ezinkingeni eziningi, kufaka phakathi i-pancreatitis eqala ukukhula.
Njengomphumela wokuphazamiseka kokugaya ukudla, kuvela inqubo yokuvuvukala, futhi, futhi, i-pancreatitis eyingozi. Izimbangela zesifo:
- ukulimala
- ukudla ngokweqile
- ubuthi.
Cishe azikho izehlakalo lapho inqubo yokuvuvukala iqhubeka njengombuso ozimele kumanyikwe. Ama-pancreas ahlala afakwa ezinqubweni ze-pathological kunoma yisiphi isifo, ikakhulukazi uhlelo lokugaya ukudla.
Njengomthetho, isimo se-pancreas akulula ukusinquma, ngoba ukuxilonga lesi sitho esincane kusiphazamisa ngokwedlulele. Kubalulekile ukwazi ukuthi ungayilungiselela kanjani kahle i-ultra pancreatic ukuze uthole imiphumela efanele ...
Ngakho-ke, i-pancreatitis eyingozi inezimbangela ezamukelwa emhlabeni wonke ngomuthi womhlaba.
Izifo zepheshana elihlanganisiwe kanye nesinye sezindlala
Isici singenye yezinto ezibaluleke kakhulu ekubonakaleni kwe-pacreatitis, ngomfutho wegazi ophakeme emgudwini we-biliary kumanyikwe, izinqubo zamakhemikhali ezingekho emthethweni ziqala ukukhula ngokushesha.
Bese kuba nokuqongelela kwezinto okuvusa ukwenziwa kwamandla kwama-enzymes ngokumelene nezicubu ze-pancreatic. Kule nqubo, imithambo yegazi iyathinteka, okudala i-edema yezicubu ezinzima kanye nama-hemorrhages alandelayo.
Lokhu kwenzeka emaphesheni angama-70% ezinqubo zokuvuvukala okunamandla kumanyikwe. Ku-30%, i-pancreatitis ingaba yi-idiopathic.
Izifo ze-duodenum nesisu
Ukwakheka kokunganele kwe-sphincter ye-Oddi kuvela ngokuphulwa komgudu wokugaya ukudla, njengoku:
- i-gastritis
- ukuvuvukala kwe-duodenal
- isilonda sesisu
- buthaka umsebenzi wezimoto.
Ngalezi zifo, okuqukethwe kwamathumbu kuphonswa emiseleni yamanyikwe, kanye nezifo ze-gallbladder.
Kulezi zifo ezilandelayo, kukhona ukwephulwa kokugeleza kwegazi egazini, okukhawulela umsoco walo bese, ngaleyo ndlela, kukhula i- pancreatitis. Sibala lezi zifo:
- isifo sikashukela mellitus
- isifo sokuqina kwemithambo yegazi
- umfutho wegazi ophakeme
- ukukhulelwa
Ukukhulelwa kuvusa ingcindezi yesibeletho emikhunjini, okubangela ukwakheka kwe-pancreatic ischemia, ngakho-ke kukhona ubungozi be-pancreatitis esibuhlungu.
Ama-enzyme e-pancreatic enza kusebenze ukudla, utshwala kanye nobuthi bamakhemikhali. Ukuxilongwa kungaba:
- Unobuthi
- I-Alkaline
- Acidic
- Ngokuphikisana nesizinda sokuhlasela kwe-helminthic.
Ukusetshenziswa kwemifino nezithelo ngenani elikhulu lama-pesticides nokugcwala okuningi kwezithasiselo zamakhemikhali ekudleni nakho kunomthelela kusebenze kwama-enzyme wensimbi.
Ngaphezu kwalokho, kunezidakamizwa ezimbalwa ezibangela le nqubo ye-pathological, phakathi kwazo:
- Izidakamizwa ezingezona ezokwehlisa ukuvuvukala ezingezona ezibangelwa ukuvuvukala
- I-Furosemide
- Azathioprine
- Metronidazole
- Ama-estrogens
- I-Tetracycline
- I-Thiazide diuretics
- Ama-Sulfonamides
- I-Glucocorticosteroids
- Ama-Cholinesterase Inhibitors
Imvamisa, i-pancreatitis ivela kubantu abadla ngokweqile ngokweqile. Ukulimazeka kwe-fat metabolism nakho kuyimbangela yokwenza kusebenze ama-enzymes.
Uma umuntu enomkhuba wokudla ngokweqile, khona-ke ingozi yokuthola i-pancreatitis inyuka kaningana, ikakhulukazi ngokumelene nesizinda sokudla okuthosiwe nokunamafutha. Ngokuvamile, ngaso sonke isikhathi kubalulekile ukwazi ukuthi yini okuthandwa yi-pancreas ukuze kugcinwe lomzimba uhlelekile.
Ngamanxeba, ukulimala okulimaza, kanye nangenxa yokusebenza okungaphumeleli ku-duodenum kanye ne-gall bladder, kungavela inqubo yokulimala okubi kakhulu kumanyikwe.
Ingozi ye-pancreatitis yanda ngezifo ezithathelanayo:
- I-hepatitis engalapheki futhi i-acute.
- Ukwehluleka kwesibindi okungamahlalakhona.
- I-tonsillitis engapheli.
- Inkukhu pox
- Izimpungushe (umiyane).
- Izinqubo ze-Purulent-inflammatory (ezijwayelekile futhi ezise-peritoneum).
- Isisu.
- I-Sepsis yamathumbu.
Abanye odokotela bathi ezinye izinhlobo ze-pancreatitis zivela emzimbeni. Iziguli ezinjalo zivame ukuba nama-antibodies egazini lazo elibonisa i-autoaggression. Lokhu kudala ukuvuvukala ku-pancreatitis.
Kunezinkinga eziningi zofuzo kanye nokuphazamiseka lapho lesi sifo sivela ezinsukwini zokuqala zokuphila.
Umphumela wotshwala ekuthuthukiseni i-pancreatitis
Iningi labantu abagulayo esibhedlela okutholakala ukuthi banesifo sokuwa pancreatitis ngabantu abaphuza utshwala obuningi.
Ngokweminye imininingwane, ngaphezu kwezi-40% zeziguli ezilashwa endaweni yezokwelapha zingabaphuza i-pancreatic necrosis, kanye ne-pancreatitis ebhubhisayo.
- Zingu-30% kuphela iziguli ezilashelwa isifo se-gallstone.
- Cishe ama-20% abantu abakhuluphele abaphethwe yilesi sifo.
- Ukulimala, i-virpatitis hepatitis, ukusetshenziswa kwezidakamizwa nobuthi yizimbangela ze-pancreatitis emaphesenti ama-5 kuphela.
- Ama-Anomalies of development, deficiity, ukuzalwa kofuzo awudluli i-5%.
Ukuvimbela I-pancreatitis
Ukuhlaselwa kwe-pancreatitis ngendlela eyingozi, lesi yisizathu esibucayi sokunakwa okuphuthumayo kwezokwelapha. Ukwelashwa kufanele kwenziwe esibhedlela, kwesinye isikhathi kungenelelwa ngokuhlinzwa.
Imvamisa, i-pancreatitis esefomini ebandayo iba yisikhathi esingamahlalakhona. Kulokhu, ama-pancreas angaphansi kokuzicekela phansi ngaso sonke isikhathi.
Ukuvimbela zonke izinhlobo ze-pancreatitis kuyindlela engcono yokugwema izinkinga eziningi ezivame ukungalungiseki.
Ukuyeka ukubhema nokuphuza utshwala kuzonciphisa umthwalo kuma-pancreas, nangezikhathi ezithile. Ngaphezu kwalokho, nge-pancreatitis engapheli, isikhathi sokuxolelwa sizohlala isikhathi eside.
Ukwanda kwe-pancreatitis kungavela ngenxa:
- Ukuzivocavoca ngokweqile
- Bath ne-sauna
- Ukugijima nokugijimela amakilasi
Ukwehluka okuphezulu kakhulu kokuzivocavoca ngokomzimba kulesi simo, ososayensi baqaphela ukugcotshwa kwezinwele, izindlela zokwelapha nokuzivocavoca ngokuphefumula.
Kubalulekile ukususa amatshe ebhlokweni lapho nje esetholakale ngudokotela. Umsebenzi wamanyikwe kuncike esimweni sendawo nenyongo.
Ngenqubo yokwelashwa okuyinkimbinkimbi, udokotela uzobeka indlela yokudla ekhethekile yamatshe e-gallbladder. Kuyadingeka ukusondela ekudleni ngendlela efanele, ubheka zonke izincomo zezokwelapha.
