I-pancreatitis esebenzayo kufanele iqondwe njengesifo esenzeka ngenxa yokusebenza ngokungafanele kwamanyikwe nokuvuvukala kwawo. I-gland inesibopho sokutholwa kwejusi ye-pancreatic, equkethe ama-enzymes wokugaya asemqoka.
Ngenxa yama-pancreas, kukhiqizwa ama-hormone alawula ukwelashwa kwamafutha, amaprotheni nama-carbohydrate asemzimbeni womuntu.
Ezigabeni zokuqala, i-pancreatitis esebenzayo ibonakala ngokuboniswa okuhlukahlukene, futhi izimpawu lapha zinezindlela eziningi, ngokwesibonelo, ukushisa kwenhliziyo, ukuqhakaza, ukubopha kanye nobutha ezitsheni ezinamafutha. Uma kuvela izimpawu ezinjalo, khona-ke lokhu kuba yinkomba yokufuna usizo lodokotela olufanele ngokushesha, ikakhulukazi uma kufikwa ezinganeni.
Ubani osengozini?
I-pancreatitis esebenzayo ngokwayo ayinakubizwa ngokuthi ukugula okuyingozi, noma kunjalo, uma ukwelashwa kwayo kungaqalwa ngendlela yesikhathi, lesi sifo siphenduka isimo esibi kakhulu. I-pancreatitis esebenzayo iyisibonakaliso sokuqala nje sokuthi umuntu udla kahle.
Njengomthetho, amadoda ahlushwa yilolu hlobo lwe-pancreatitis ngenxa yokunganakwa okujwayelekile kokudla nokuphuza utshwala. Lesi simo sengqondo sibangela ingcindezi gallbladder ne-duodenum. Ngenxa yalokhu, ukuphuma kwejusi le-pancreatic kumisiwe futhi kusebenze lesi sifo kuqala. Ngaphezu kwalokho, i-pancreatitis esebenzayo ingaba ukubonakaliswa kwanoma yiziphi izifo ezikhona:
- izilonda zesisu;
- ukuqina kwesibindi;
- i-hepatitis yegciwane;
- i-gastritis;
- isifo se-gallstone;
- cholecystitis.
Ukugula kungaqala emuva kokushaywa yimali, okuholele ekuqhekekeni kwezicubu. Ezimweni ezinjalo, ama-enzyme esiswini ayeka ukungena ngaphakathi kwe-duodenum, okuholela ekubhujisweni kwezicubu nokuzicwilisa kwesisu, izimpawu lapha zihlala zikhanya kakhulu.
Kwezinye izimo, ukuthuthukiswa kwe-pancreatitis esebenzayo kungavusa ukusetshenziswa kwezidakamizwa njalo:
- paracetamol;
- ama-hormone;
- metranidozole.
I-pancreatitis nayo ingadala ukukhula kwesifo sikashukela, ngoba yi-pancreas okuyisitho esibhekele ukwenziwa kwe-insulin. Uma izimpawu zibonisa ukuvuvukala kwendlala, khona-ke ukungasebenzi kahle kuyabonakala emsebenzini wayo, izinga loshukela wegazi liqala ukuncipha bese ngaleyo ndlela zivuse ukuqala kwesifo sikashukela kubantu abadala nasezinganeni.
Izimpawu ze-pancreatitis esebenzayo
Uma sikhuluma ngezimpawu zomlingisi, khona-ke lesi sifo sikhonjiswa ngeminjunju eyanele yokusika ezimbanjeni, ukunxenxa njalo ukuhlanza nama-hiccups. Izimpawu zobuhlungu zingenzeka ngemvamisa ehlukahlukene kanye namandla, kepha lokhu akunakuba yisizathu sokuthatha ama-painkillers kuphela.
Ngaphezu kwalokho, kungalimaza ezindaweni ezahlukene, ngenxa yokuthi izingxenye ezahlukahlukene ze-gallbladder zishiswa. Uma ingaphansi layo lithintekile, khona-ke ukungajabuli kuyozwakala ngaphansi kwembambo yangakwesokudla, kepha uma umzimba wesikhumba, lapho-ke ungaphansi kwesikhafu. Ukuvuvukala kwentamo ye-gallbladder kuzobonakala ngezinhlungu ngaphansi kwembambo yangakwesobunxele. Uma kuyi-pancreatic necrosis, khona-ke izimpawu zizoba sobala, futhi umphumela uyoba mubi.
Kukhona ezinye izinkomba zokuthuthuka kwalesi sifo. Izimpawu ezinjalo zifaka ukulahleka okubukhali kwesifiso sokudla, ukuthanda ukudla, futhi kungahle kube nokushiswa ngokweqile, ukuthokomala, ukuhlaselwa kwenhliziyo okuhlukahlukene kokuqina, okuboniswa kubantu abadala nasezinganeni.
Uma sikhuluma ngezingane, khona-ke lesi sifo sivame ukuhambisana nesifo sohudo, umkhuhlane kanye nesifiso sokudla.
Ungasibona kanjani lesi sifo?
Kunzima impela ukuthola lesi sifo futhi ngenxa yalokhu kuyadingeka ukuthi wenze izindlela eziningi zokwelashwa:
- hlolwa nokuhlolwa kwe-ultrasound (i-ultrasound) yesibeletho sesisu;
- nikeza umchamo wokuhlaziywa okujwayelekile;
- nikela ngegazi ukuze lihlaziye umtholampilo kanye ne-biochemistry;
- yenza i-gastroscopy;
- hamba nge-compact tomography.
Ngayinye yalezi zinqubo ibalulekile futhi iyadingeka ukuthola inqanaba lomonakalo womzimba. Ukuhlolwa kwegazi okujwayelekile kuzobonisa inani lama-leukocytes, ngoba lapho kukhona i-pancreatitis esebenzayo, izinga labo lizonyuswa kakhulu. I-biochemistry ingabona amazinga e-amylase, okuzosiza ukwenza ukuxilongwa kokugcina esigulini.
Ngemuva kokudlulisela inqubo ye-gastroscopy egunyaziwe, udokotela uzokwazi ukuthola imiphumela ye-biopsy, futhi ezocacisa isithombe sonke sesi sifo. IGastroscopy izokhombisa izinga lokuvuvukala kwezicubu ze-duodenum nesisu. Ukuhlolwa kwe-Ultrasound kwesifunda esiswini kuzosiza ekunqumeni ushintsho oluthile ezithweni nasezingeni lokuphambuka kwabo esimweni esivamile. Ukuhlolwa kwesimo sezinto eziphilayo kwenziwa kusetshenziswa i-computer tomography.
Ukwelashwa
I-pancreatitis esebenzayo, yize ingeyona ingozi, idinga ukwelashwa ngaphandle kokuhluleka. Ngaphezu kwalokho, kunconywa ukubhekwa njalo kwezempilo yabo, kanye nokubambelela ekudleni okukhethekile. Ukuzelapha kungaba yisona sizathu esikhulu soguquko lwesifo lube esigabeni sesifo esingamahlalakhona.
Kwezinye izimo, i-pancreatitis esebenzayo ibandakanya ukulaliswa esibhedlela okuphuthuma kakhulu kwabadala nezingane. Uma kunokuhlaselwa ukugula, khona-ke izinsuku ezine endaweni yesibhedlela bazohlanza esiswini. Ukwelashwa ngalesi sikhathi kufaka ohlelweni lokuphuza olususelwa emanzini amaminerali ngaphandle kwegesi, kanye nokusetshenziswa kwephaza lokushisa elibandayo esiswini.
Ukuqeda ukugula kubantu abadala nasezinganeni, kuyadingeka ukuthi kwenziwe inkambiso ephelele yezinqubo ezahlukahlukene zokutakula ukuthola ukusebenza okujwayelekile kwesisu nakulelo pheshana. Ukwelashwa kwe-pancreatitis yaleli fomu kuqala ngamaconsi, ama-painkillers nezidakamizwa ze-diuretic ezingakudambisa ukuvuvukala. Ngaphezu kwalokho, udokotela unquma izidakamizwa zokucindezela ukucasulwa kwejusi ye-pancreatic.
Udokotela utusa kakhulu ukudla okuphezulu kwekhwalithi ephezulu usuku lonke nokudla okuqinile okungenakugwema. Kuzoba nokuqedwa ngokuphelele kokudla okusindayo kusuka kumenyu: okumnandi, okuthosiwe, okunosawoti, okunamafutha, okubhemayo, kanye nokususwa kotshwala. Ubuningi bokudla kwansuku zonke kufanele kube uketshezi.
Uma i-pancreatitis eyingozi ezinganeni itholakala, ngokwesibonelo, ke ezimweni ezinjalo izindlela zokwelapha zinobumnene. Yonke imishanguzo inqunyelwa ukuthi icabange iminyaka yesiguli ngasinye kanye nobunzima balesi sifo. Ngokukhula ngokweqile kwe-pancreatitis esebenzayo, ukusetshenziswa kwezidakamizwa okunjalo kuyanconywa:
- duspatoain;
- i-octreotide;
- pirenzepine.
Ngaphezu kwezokwelapha, ukwelashwa kufaka ukudla okhethekile kohlobo olunconyelwe abadala.
Kukhona izidakamizwa ezithinta ngokomzimba imigilingwane ye-bile yabantu abadala nezingane. Bayakwazi ukuthuthukisa umsebenzi wabo, kanye nokusungula umsebenzi we-duodenum. Ngendlela ehlanganisiwe ekwelashweni kwalesi sifo, kunganconywa amabhaktheriya aphilayo anikela ekwenzeni ngcono i-microflora yepheshana lesisu.
