Nnukwu pancreatitis

Nnukwu pancreatitis bụ mberede ọzịza na mbufụt nke pancreas.

Pancreas bụ ngwa dị n’azụ afọ. Ọ na-emepụta insulin na glucagon. Ọ na-ewepụta kemịkal a na - akpọ enzymes dị mkpa iji gbari nri.

Ọtụtụ oge, enzymes na-arụ ọrụ naanị mgbe ha ruru obere eriri afọ.

• Ọ bụrụ na enzymes ndị a na-arụ ọrụ n'ime pancreas, ha nwere ike ịgbari anụ ahụ nke pancreas. Nke a na-ebute ọzịza, ọbara ọgbụgba, na mmebi nke akụkụ ahụ na akwara ọbara ya.
• A na - akpọ nsogbu a nnukwu pancreatitis.

Nnukwu pancreatitis na-emetụta ụmụ nwoke karịa ụmụ nwanyị. Ọrịa ụfọdụ, ịwa ahụ, na omume na-eme ka ị nwee ike ibute ọnọdụ a.

• Use Alụ mmanya na-aba n'anya bụ ihe ruru 70% nke ikpe na United States. Ihe dị ka mmanya 5 ruo 8 kwa ụbọchị maka afọ 5 ma ọ bụ karịa nwere ike imebi pancreas.
• Nkume gall bụ ihe na-esotekarị. Mgbe gallstones si gallbladder na-esi n'ime eriri mmiri, ha na-egbochi oghere nke na-ekpochapu bile na enzymes. Bile na enzymes "na-akwado" n'ime pancreas na-eme ka ọzịza.
• Jenetik nwere ike ịbụ ihe na-akpata ụfọdụ ọnọdụ. Mgbe ụfọdụ, amaghị ihe na-akpata ya.

Ọnọdụ ndị ọzọ ejikọtara na pancreatitis bụ:

• Nsogbu autoimmune (mgbe usoro ahụ ji alụso ọrịa ọgụ ọgụ)
• Mmebi nke ducts ma ọ bụ pancreas n'oge ịwa ahụ
• Ọbara dị elu nke abụba a na-akpọ triglycerides - na-abụkarị karịa 1,000 mg / dL
• Nhụsi ike na pancreas site na ihe mberede

Ihe ndị ọzọ gụnyere:

• Mgbe ụfọdụ usoro eji achọpụta gallbladder na nsogbu pancreas (ERCP) ma ọ bụ ultrasound na-eduzi biopsy
• Ọrịa Cystic
• Overactive parathyroid gland
• Ọrịa Reye
• Iji ụfọdụ ọgwụ (ọkachasị estrogens, corticosteroids, sulfonamides, thiazides, na azathioprine)
• Ọrịa ụfọdụ, dị ka mumps, na-emetụta pancreas

Ihe mgbaàmà kachasị nke pancreatitis bụ ihe mgbu na-eche n'akụkụ aka ekpe ma ọ bụ n'etiti afọ. Ihe mgbu:

• Nwere ike ịka njọ n'ime nkeji ole na ole ị risịrị ma ọ bụ drinkingụọ ihe ọ drinkingụ drinkingụ na mbụ, karịa ma ọ bụrụ na nri nwere ọdịnaya abụba dị elu
• Aghọọ mgbe niile ma sie ike karị, na-adịgide ruo ọtụtụ ụbọchị
• Nwere ike njọ mgbe dina ala azụ
• Nwere ike gbasaa (gbasaa) na azụ ma ọ bụ n'okpuru aka ekpe ubu aka ekpe

Ndị mmadụ na nnukwu pancreatitis na-adịkarị ka ọrịa ma nwee ahụ ọkụ, ọgbụgbọ, ọgbụgbọ, na ọsụsọ.

Mgbaàmà ndị ọzọ nwere ike ịrịa na ọrịa a gụnyere:

• Akwa odo odo
• Bloating na njuputa
• Mgbochiume
• Afọ mgbu
• Nwayọọ yellowing nke anụ na ọcha nke anya (jaundice)
• Iza aza

Onye nlekọta ahụike ga-eme nyocha anụ ahụ, nke nwere ike igosi:

• Mmetụta afọ ma ọ bụ ntụ (uka)
• Ahụ ọkụ
• Ọbara mgbali elu
• Otutu obi
• Na-eku ume ngwa ngwa (iku ume)

Nyocha ụlọ nyocha na-egosi ntọhapụ nke enzymes pancreatic ga-eme. Ndị a gụnyere:

• Ọbara amylase ọbara
• Mụbara ọbara lipase dị elu (ihe ngosi doro anya nke pancreatitis karịa ọkwa amylase)
• Mụbara mmamịrị amylase larịị

Nyocha ọbara ndị ọzọ nwere ike inyere aka chọpụta pancreatitis ma ọ bụ nsogbu ya gụnyere:

• Ọnụọgụ ọbara zuru ezu (CBC)
• Comprehensive metabolic dị na mmiri

Enwere ike ịme ule nyocha ndị a nwere ike igosi ọzịza nke pancreas, mana ọ bụghị mgbe niile ka ọ dị mkpa iji chọpụta nchoputa nke nnukwu pancreatitis:

• Nyocha CT nke afọ
• MRI nke afọ
• Ultrasound nke afọ

Ọgwụgwọ na-achọkarị ịnọ n'ụlọ ọgwụ. Ọ nwere ike ịgụnye:

• Ọgwụ mgbu
• Fluids nyere site a akwara (IV)
• Kwụsị nri ma ọ bụ mmiri mmiri n'ọnụ iji belata ọrụ nke pancreas

Enwere ike itinye tub site na imi ma ọ bụ ọnụ iji wepụ ihe ndị dị n'ime afọ. Enwere ike ịme ya ma ọ bụrụ na agbọ agbọ na nnukwu mgbu anaghị emeziwanye. Ọmịsọ ahụ ga-anọru ụbọchị mbụ ruo ụbọchị abụọ rue izu 1 ruo izu 2.

Gwọ ọnọdụ ahụ kpatara nsogbu ahụ nwere ike igbochi mwakpo ugboro ugboro.

N'ọnọdụ ụfọdụ, achọrọ ọgwụgwọ iji:

• Igbapu mmiri na-anakọtara na ma ọ bụ gburugburu pancreas
• Wepu okwute
• Mechie mkpọchi nke eriri afọ

N'okwu ndị kachasị njọ, achọrọ ịwa ahụ iji wepụ anụ ahụ pancreatic mebiri emebi, nke nwụrụ anwụ ma ọ bụ nke nje.

Zere ị smokingụ sịga, ihe ọ alcoụ alcoụ na-aba n'anya, na nri mara abụba mgbe ọgụ ahụ ka mma.

Ọtụtụ ikpe gafere otu izu ma ọ bụ karịa. Otú ọ dị, ụfọdụ ọnọdụ na-aghọ ọrịa na-eyi ndụ egwu.

Ọnwụ ọnwụ dị elu mgbe:

• Ọbara ọgbụgba na pancreas emeela.
• Imeju, obi, ma ọ bụ akụrụ nwekwara nsogbu.
• Ihe etuto etolite pancreas.
• Ọnwụ ma ọ bụ necrosis nke nnukwu anụ ahụ dị na pancreas.

Mgbe ụfọdụ ọzịza ahụ na ọrịa ahụ adịghị agwọ nke ọma. Tinyegharịa ngosipụta nke pancreatitis nwekwara ike ime. Otu n'ime ndị a nwere ike ibute mmebi nke pancreas ogologo oge.

Pancreatitis nwere ike ịlaghachi. Ohere nke ịlaghachi na-adabere n'ihe kpatara ya, yana otu esi agwọ ya. Nsogbu nke nnukwu pancreatitis nwere ike ịgụnye:

• Nnukwu akụrụ akụrụ
• Ogologo oge mmebi akpa ume (ARDS)
• Mgbapụta nke mmiri n'ime afọ (ascites)
• Cysts ma ọ bụ etuto na pancreas
• Obi mgbawa

Kpọọ onye na-eweta gị ma ọ bụrụ:

• Inwere ihe mgbu na-egbu mgbu mgbe nile.
• Develop mepee mgbaàmà ndị ọzọ nke nnukwu pancreatitis.

Nwere ike belata ihe egwu gị nke ọhụụ ma ọ bụ megharịa ngosipụta nke pancreatitis site na ịme ihe iji gbochie ọnọdụ ahụike nke nwere ike ibute ọrịa:

• Aụla mmanya ma ọ bụrụ na ọ bụ ya nwere ike ịkpata ọgụ dị egwu.
• Gbaa mbọ hụ na ụmụaka natara ọgwụ mgbochi iji chebe ha pụọ ​​n’ọrịa mumps na ọrịa ụmụaka ndị ọzọ.
• Na-agwọ nsogbu ahụike na-eduga n'ọbara dị elu nke triglycerides.

Gallstone pancreatitis; Pancreas - mbufụt

• Pancreatitis - ihapu

• Usoro nri
• Ọgwụ endocrine
• Pancreatitis, nnukwu - CT scan
• Pancreatitis - usoro

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Paskar DD, Marshall JC. Nnukwu pancreatitis. Na: Parrillo JE, Dellinger RP, eds. Ọgwụ Nlekọta Ahụ Ike: Prinkpụrụ nke Nyocha na Nchịkwa na Okenye. Nke 5. Philadelphia, PA: Elsevier; 2019: isi 73.

Tenner S, Baillie J, DeWitt J, Vege SS; Mahadum America nke Gastroenterology. American College of Gastroenterology guideline: management nke nnukwu pancreatitis. Am J Gastroenterol. Ọrịa. 2013; 108 (9): 1400-1415. PMID: 23896955 www.ncbi.nlm.nih.gov/pubmed/23896955.

Tener S, Steinberg WM. Nnukwu pancreatitis. 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 58.