Oge na-adịghị ala ala

Pancreatitis bụ ọzịza nke pancreas. Pankreatitis na-adịghị ala ala dị mgbe nsogbu a adịghị agwọ ma ọ bụ meziwanye, na-akawanye njọ karịa oge, na-eduga ná mmebi na-adịgide adịgide.

Pancreas bụ ngwa dị n’azụ afọ. Ọ na - emepụta kemikal (a na - akpọ enzymes) chọrọ iji gbari nri. Ọ na-arụpụtakwa homonụ insulin na glucagon.

Mgbe ọnya pancreas na-eme, akụkụ ahụ enwekwaghị ike ịme ezigbo ego nke enzymes ndị a. N'ihi ya, ahụ gị nwere ike ghara ịgbari abụba na isi ihe nri.

Mmebi nke akụkụ nke pancreas na-eme insulin nwere ike ibute ọrịa shuga mellitus.

Ọ na-abụkarị ị byụbiga mmanya ókè na-akpata ọnọdụ a ọtụtụ afọ. Ugboro ugboro nke nnukwu pancreatitis nwere ike ibute ọrịa pancreatitis na-adịghị ala ala. Jenetik nwere ike ịbụ ihe na-akpata ụfọdụ ọnọdụ. Mgbe ụfọdụ, a maghị ihe kpatara ya ma ọ bụ kpatara ọjị.

Ọnọdụ ndị ọzọ ejikọtara na pancreatitis na-adịghị ala ala:

• Nsogbu mgbe usoro mgbochi ji alụso ahụ ọgụ
• Mkpokọta nke tubes (ducts) nke na-ekpocha enzymes site na pancreas
• Ọrịa Cystic
• Oke abụba, nke a na-akpọ triglycerides, n'ime ọbara
• Overactive parathyroid gland
• Iji ọgwụ ụfọdụ eme ihe (ọkachasị sulfonamides, thiazides, na azathioprine)
• Pancreatitis nke a gafere ezinụlọ (hereditary)

Pankreatitis na-adịghị ala ala na-arịakarị ụmụ nwoke karịa ụmụ nwanyị. Nke a na-apụtakarị n’ihe dị ka afọ 30 ruo 40.

Mgbaàmà gụnyere:

Ahụhụ Ọrịa

• Ukwuu n'ime elu afọ
• Nwere ike ịnwụ site na awa rue ụbọchị; oge na-aga, nwere ike ịdị mgbe niile
• Nwere ike njọ na-eri
• Drinking drinkingụ mmanya na-aba n'anya nwere ike ịka njọ
• Enwere ike iche na azụ dị ka a ga - asị na ọ na - agwụ ike site na afọ

Nsogbu di iche

• Ọnwụ na-adịkarị ala ala, ọbụlagodi mgbe ị na-eri nri ma na-eri nri dị otú o kwesịrị
• Afọ, ọgbụgbọ, na ịgba agbọ
• Ezigbo abụba abụba ma ọ bụ mmanụ mmanu
• Icha mmirimmiri ma ọ bụ oroma nwere agba

Ule iji chọpụta pancreatitis gụnyere:

• Ugwu abụba ule
• Ọbara amylase dị elu
• Mụbara ọbara lipase larịị
• Ọbara trypsinogen

Ule nke nwere ike igosi ihe kpatara pancreatitis gụnyere:

• Ọbara IgG4 (maka ịchọpụta autoimmune pancreatitis)
• Ule nke mkpụrụ ndụ ihe nketa, nke a na-emekarị mgbe ihe ndị ọzọ na-akpata adịghị ma ọ bụ nwee akụkọ ntolite ezinụlọ

Enwere ike ịhụ nnwale onyonyo nke nwere ike igosi ọzịza, ọnya, ma ọ bụ mgbanwe ndị ọzọ nke pancreas na:

• Nyocha CT nke afọ
• Ultrasound nke afọ
• Endoscopic ultrasound (EUS)
• Magnetik resonance cholangiopancreatography (MRCP)
• Endoscopic retrograde cholangiopancreatography (ERCP) Ọgwụgwụ

ERCP bụ usoro nke na-ele gị bile na pancreatic duct. Emere ya site na endoscope.

Ndị nwere nnukwu mgbu ma ọ bụ ndị na-efulata nwere ike ịdị mkpa ịnọ n'ụlọ ọgwụ maka:

• Ọgwụ mgbu.
• Fluids nyere site akwara (IV).
• Kwụsị nri ma ọ bụ mmiri mmiri n'ọnụ iji belata ọrụ nke pancreas, wee jiri nwayọọ nwayọọ malite nri ọnụ.
• Tinye ọkpọkọ n’imi ma ọ bụ n’ọnụ iji wepu ihe ndị dị n’ime afọ (nasogastric suctioning) nwere ike ime mgbe ụfọdụ. Akpịrị nwere ike ịnọ n’ime ụbọchị abụọ ruo ụbọchị abụọ, ma ọ bụ oge ụfọdụ n’izu ụka iri ma ọ bụ abụọ.

Nri kwesịrị ekwesị dị mkpa maka ndị nwere ọrịa pancreatitis na-adịghị ala ala iji debe oke ahụike ma nweta ezigbo nri. Onye na-edozi ahụ nwere ike inyere gị aka ịmepụta nri nke gụnyere:

• Na-a plentyụ nnukwu mmiri mmiri
• Na-egbochi abụba
• Iri obere, nri oge niile (nke a na - enyere aka belata mgbaàmà mgbaze)
• Inweta vitamin na calcium zuru oke na nri, ma ọ bụ dị ka mgbakwunye
• Ebelata caffeine

Onye nlekọta ahụike nwere ike ịnye enzymes pancreatic. Ga-ewere ọgwụ ndị a na nri ọ bụla, yana ọbụlagodi na nri. Enzymes ga - enyere gị aka ịgbari nri nke ọma, bulie ibu ma belata afọ ọsịsa.

Zere ị smokingụ sịga na ị drinkingụ ihe ọ alcoụ alcoụ na-aba n'anya, ọ bụrụgodị na pancreatitis gị adịghị ike.

Usoro ọgwụgwọ ndị ọzọ nwere ike ịgụnye:

• Ọgwụ mgbu ma ọ bụ ngọngọ akwara ịwa ahụ iji belata ihe mgbu
• Na-ewere insulin ịchịkwa ọkwa shuga (glucose)

Enwere ike ịwa ahụ ma ọ bụrụ na achọtara mgbochi. N'okwu ndị siri ike, enwere ike wepu otu akụkụ ma ọ bụ pancreas dum.

Nke a bụ ajọ ọrịa nke nwere ike ibute nkwarụ na ọnwụ. Can pụrụ ibelata ihe ize ndụ ahụ site n’izere mmanya na-aba n’anya.

Nsogbu nwere ike ịgụnye:

• Ascites
• Mgbochi (mgbochi) nke eriri afọ ma ọ bụ eriri afọ
• Ọbara ọbara n'ime akwara
• Nchịkọta ọmụmụ na pancreas (pancreatic pseudocysts) nke nwere ike ibute ọrịa
• Ọrịa shuga
• Enweghị ike ịmịkọrọ abụba, nri, na vitamin (na-abụkarị vitamin ndị nwere abụba, A, D, E, ma ọ bụ K)
• Anaemia nke Iron
• Vitamin B12 erughi

Kpọọ onye na-eweta gị ma ọ bụrụ:

• Develop na-emepe mgbaàmà nke pancreatitis
• Have nwere pancreatitis, ihe mgbaàmà gị na-akawanye njọ ma ọ bụ na ọ dịghị emeziwanye na ọgwụgwọ

Chọta ihe kpatara nnukwu pancreatitis na ịgwọ ya ngwa ngwa nwere ike inye aka gbochie ọrịa pancreatitis na-adịghị ala ala. Belata mmanya na-aba n'anya ị na-a toụ iji belata nsogbu ị nwere ibute ọnọdụ a.

Oge na-adịghị ala ala pancreatitis - ala ala; Pancreatitis - ala ala - ihapu; Pancreatic insufficiency - ala ala; Nnukwu pancreatitis - ala ala

• Pancreatitis - ihapu

• Usoro nri
• Pancreatitis, ala ala - CT i .omi

Forsmark OA. Oge na-adịghị ala ala. Na: Feldman M, Friedman LS, Brandt LJ, eds. Sleisenger na Ọrịa Cancer nke Fordtran na Ọrịa Imeju: Pathophysiology / Diagnosis / Management. Nke iri. Philadelphia, PA: Elsevier Saunders; 2016: isi 59.

Fosmark OA. Pancreatitis. Na: Goldman L, Schafer AI, eds. Ọgwụ Goldman-Cecil. Nke 26th. Philadelphia, PA: Elsevier; 2020: isi 135.

Paniccia A, Edil BH. Njikwa nke pancreatitis na-adịghị ala ala. Na: Cameron JL, Cameron AM, eds. Usoro ọgwụgwọ nke oge a. Agba nke iri na abụọ. Philadelphia, PA: Elsevier; 2017: 532-538.