Izifo zePancreatic

Isibhedlela Esihamba Phambili Sokwelashwa Kwe-Pancreatitis E-Hyderabad

I-pancreas iyindlala etholakala ngemuva kwesisu sakho nangaphambi komgogodla wakho. Lesi sitho sikhiqiza amajusi asiza ekugayeni ukudla namahomoni alawula amazinga kashukela egazini. Uma ama-pancreas engasebenzi kahle, izinkinga eziningi zempilo zingenzeka. Zihlanganisa:

• Isimo esaziwa ngokuthi i-pancreatitis senzeka lapho ama-enzyme okugaya ehlasela amanyikwe ngokwawo.

• Umdlavuza we-Pancreatic

• I-Cystic fibrosis yisifo esiwufuzo lapho amafinyila aqinile, anamathelayo angaphinde avale amashubhu e-pancreatic

Isifo sikashukela sidalwa nangama-pancreas. Umuntu onesifo sikashukela sohlobo loku-1 akasayikhiqizi i-insulin ngoba amasosha akhe omzimba ahlasele amaseli e-beta we-pancreas. I-pancreas ayikhiphi i-insulin eyanele ekuphenduleni ukudla kubantu abanesifo sikashukela sohlobo 2.

Isibhedlela i-CARE yisibhedlela esingcono kakhulu sokwelashwa kwe-pancreatitis e-India eselapha i-pancreatitis eyingozi, i-pancreatitis engapheli, umdlavuza we-pancreatic, kanye nezimila. 

Sifo

I-pancreatitis ingatholwa kusetshenziswa izivivinyo nezinqubo ezilandelayo:

• Ukuhlolwa kwegazi- ukukala amazinga e-enzyme e-pancreatic, amaseli amhlophe egazi, ukusebenza kwezinso, nama-enzyme esibindi.

• I-Abdominal ultrasound - ukubona i-gallstones nokuvuvukala kwama-pancreas.

• I-Computerized tomography (CT) scan- ukuhlola amatshe enyongo kanye nokuhlola ubulukhuni bokuvuvukala kwe-pancreatic.

• I-Magnetic resonance imaging (MRI) - ukuze kutholwe ukungahambi kahle kwe-gallbladder, pancreas, nama-ducts.

• I-Endoscopic ultrasound - esetshenziselwa ukuxilonga ukuvuvukala kanye nokuvinjelwa komgudu we-pancreatic noma i-bile duct.

• Ukuhlolwa kwendle- esetshenziselwa ukunquma ukuthi uhlelo lwakho lokugaya lumunca imisoco ngendlela efanele ku-pancreatitis engapheli.

Ungayelapha kanjani i-pancreatitis?

1. Ukukhetha indlela yokuphila kungasiza ekuvimbeleni ezinye, kodwa hhayi zonke, izimbangela ze-pancreatitis.

• Ukuphuza utshwala ngokweqile kuyimbangela evamile yakho kokubili i-pancreatitis eyingozi futhi engapheli, ngakho-ke kubalulekile ukukugwema ngokuphelele ukuphuza utshwala ngokweqile.
• Ukukhuluphala ngokweqile kwandisa ubulukhuni kanye nengozi ye-pancreatitis, ngakho-ke ukulawula ukukhuluphala kubalulekile.

2. Ukuzigcina umatasa nokugwema indlela yokuphila yokunganyakazi kunganciphisa ingozi yokuba nenyongo nokukhuluphala, okuhlobene ne-pancreatitis.
3. Izidakamizwa ezithile, njenge-steroids ne-azathioprine, kufanele zithathwe kuphela ngaphansi kokuqondisa kukadokotela ukuze zigweme ukuvusa i-pancreatitis.
4. Uma une-gallstone futhi idala izimpawu, kungcono ukuthi welashwe ngokuhlinzwa kwe-laparoscopic ukuvimbela i-gallstone pancreatitis. Ukusebenzisa eminye imithi ukuncibilikisa i-gallstone kungaba yingozi uma uhlakulela i-pancreatitis okwamanje, okungaba yingozi empilweni.

Ukwelashwa

Ukwelashwa kokuqala kwesibhedlela kungase kuhlanganise:

• Ukudla kwasekuseni - Ukudla ukudla ngokushesha ngangokunokwenzeka kusiza ekwelapheni amanyikwe. Phuza uketshezi olucacile futhi udle ukudla okungenalutho njengoba uzizwa ungcono futhi ukuvuvukala kumanyikwe wakho kuba ngcono. Ukuvuvukala kwama-pancreas kuzoqala ukudamba ngokuhamba kwesikhathi. Odokotela abathintekayo bangase batuse ishubhu lokuphakelayo uma izimpawu zakho ze-pancreatitis ziqhubeka futhi unenkinga yokudla.
• Imithi yezinhlungu- I-pancreatitis ingaba buhlungu kakhulu. Ukuze usize ukulawula ubuhlungu, udokotela wakho angase akunikeze imithi.
• I-intravenous (IV) uketshezi- Njengoba umzimba wakho ulungisa amanyikwe akho, ungase uphelelwe amanzi emzimbeni. Ngesikhathi uhlala esibhedlela, uzothola uketshezi olwengeziwe ngomthambo osengalweni yakho.

Lapho nje i-pancreatitis yakho isilawulwa, ithimba lakho lezokunakekelwa kwempilo lizoyihlola futhi lelaphe umsuka wayo. I-pancreatitis ingelashwa ngezindlela ezahlukahlukene ngokuya ngembangela:

• Ukususwa kwe-bile duct obstructions- Kungase kudingeke uvule noma unwebe i-bile duct ezimweni ze-pancreatitis ebangelwa umgudu we-bile owumngcingo noma ovalekile.

• Ukuhlinzwa kwe-Gallbladder - Uma i-gallstones iyimbangela ye-pancreatitis yakho, udokotela wakho uzoncoma i-cholecystectomy ukususa i-gallbladder yakho.

• Izinqubo ze-Pancreas - Ungadinga inqubo ye-endoscopic ukukhipha uketshezi ku-pancreas yakho noma ukukhipha izicubu ezigulayo.

• Ukwelashwa kokuncika otshwaleni- I-pancreatitis ingabangelwa ukuphuza iziphuzo ezimbalwa ngosuku iminyaka eminingi. Kungase kudingeke ukuthi ufake uhlelo lokwelapha umlutha wotshwala uma lokhu kuyimbangela ye-pancreatitis yakho. Ukusetshenziswa kotshwala kungakhuphula i-pancreatitis yakho futhi kubangele izinkinga ezinkulu.

• Izinguquko emithini- Uma umuthi udala i-pancreatitis eyingozi, udokotela wakho angawumisa futhi athole enye indlela.

Ukwelashwa okwengeziwe kwe-pancreatitis engapheli

I-pancreatitis ebangelwa yizimo ezingamahlalakhona ingadinga ukwelashwa okwengeziwe, okuhlanganisa:

• Ukuphathwa kwezinhlungu- Ubuhlungu obungapheli besisu bungabangwa yi-pancreatitis engapheli. Imbangela ye-pancreatitis engapheli izonqunywa udokotela wakho, futhi kungase kunikezwe imithi yokulawula ubuhlungu bakho. Ungase futhi udluliselwe kuchwepheshe wezinhlungu uma kunesidingo. Ubuhlungu bungadanjiswa ngama-endoscopic ultrasounds noma imijovo evimba izinzwa ezidlulisa izimpawu zobuhlungu ebuchosheni zisuka kumanyikwe.

• Thuthukisa ukugaya ngama-enzyme - Ukwengeza ngama-enzyme e-pancreatic kungasiza umzimba wakho ukuthi uphule futhi usebenze imisoco etholakala ekudleni uma uhlushwa yi-pancreatitis engapheli. Ngokuvamile kuthathwa kanye noma kabili ngosuku ngokudla.

• Yenza izinguquko zokudla- Ungacela udokotela wakho ukuthi akudlulisele kungoti wezokudla ongakusiza uhlele ukudla okunempilo, okunamafutha amancane.

Kungani ukhethe us?

Izibhedlela ze-CARE ziwuhlelo oludidiyelwe lokunakekelwa kwezempilo oluhlanganisa izingxenye ezihlobene zemfundo nokuqeqeshwa, ngaphezu kokuphishekela izinto ezintsha ezenza ukunakekelwa kwezempilo kufinyeleleke kakhudlwana. Izibhedlela ze-CARE ziyindawo ekhethwayo yokunakekelwa kwezempilo kubantu abahlala eNdiya nakwamanye amazwe ngenxa yengqalasizinda yayo yesimanje, odokotela abagunyazwe umhlaba wonke kanye nendawo enakekelayo.

Imibuzo Evame Ukubuzwa

1. Iyini indima yama-enzyme e-pancreatic?

Ama-enzyme e-pancreatic adlala indima ebalulekile ekugayweni kokudla. Amanyikwe akhiqiza ama-enzyme afana ne-trypsin, i-chymotrypsin, i-lipase, ne-amylase, asize ekuqhekekeni kwamaprotheni, amafutha, nama-carbohydrate. Kulokhu, i-lipase ibalulekile ekugayweni kwamafutha. Ukuntuleka kwe-pancreatic kungaholela ekulahlekelweni kwe-fat malabsorption, ukuntuleka kokudla okunomsoco, okuhlanganisa amavithamini ancibilikayo, i-calcium malabsorption, kanye nezinkinga ezihlukahlukene zezempilo, kuhlanganise ne-osteoporosis, isibindi, nezinkinga zenhliziyo.

2. Yikuphi ukwelashwa okungcono kakhulu kwe-acute pancreatitis? 

Ku-pancreatitis eyingozi, ukwelashwa kuyehluka ngokwesigaba sokugula. Phakathi nesigaba sokuvuvukala (amasonto amabili okuqala), ukunakekelwa okusekelayo kubalulekile, okuhlanganisa ukugeleza kwamanzi, ukusekelwa kokudla okunomsoco, umfutho wegazi, nokugcinwa komsebenzi wezinso namaphaphu. Esigabeni sokutheleleka (emva kwamasonto amabili), izinqubo zokuhlasela kancane njenge-endoscopic necrosectomy (ukususwa kwezicubu zamanyikwe afile kusetshenziswa i-endoscopy) noma amasu e-laparoscopic ngokuvamile ayindlela engcono kakhulu.

3. Ingabe ukwelashwa isikhathi eside kwe-antacid kubangela i-pancreatic adenocarcinoma?

Ukusetshenziswa isikhathi eside kwama-antacid akuhlotshaniswa nengozi eyengeziwe ye-pancreatic adenocarcinoma. Kodwa-ke, ukusetshenziswa ngokweqile nokungenasidingo kwe-antacid kungaba neminye imiphumela emibi emzimbeni, njengokusebenzisana nemithi yenhliziyo, izinkinga zezinso, kanye nesixhumanisi esingaba khona ezimweni ezifana nesifo i-Alzheimer's.