Ciwon mara na kullum

Pancreatitis shine kumburin pancreas. Ciwon mara na kullum yana nan lokacin da wannan matsalar ba ta warke ko inganta ba, tana daɗa muni a kan lokaci, kuma tana haifar da lahani na dindindin.

Pancreas wani yanki ne dake bayan cikin. Tana samar da sinadarai (wanda ake kira enzymes) da ake buƙata don narkar da abinci. Hakanan yana samar da homonin insulin da glucagon.

Lokacin da tabon tabo ya faru, gabobin baya iya yin adadin adadin wadannan enzymes. A sakamakon haka, jikinka ba zai iya narke kitse da mahimman abubuwan abinci ba.

Lalacewa ga ɓangarorin pancreas waɗanda ke yin insulin na iya haifar da ciwon sukari mellitus.

Yanayin yakan zama sanadin lalacewar giya ne shekaru da yawa. Maimaitattun lokuttan babban ciwon sankara na iya haifar da cututtukan pancreatitis na yau da kullun. Kwayar halitta na iya zama wani dalili a wasu yanayi. Wani lokaci, ba a san musabbabin ko haifar da duwatsu masu zafin rai.

Sauran yanayin da aka danganta su da cutar pancreatitis:

• Matsaloli lokacin da garkuwar jiki ta afkawa jiki
• Toshewar bututu (bututun) wanda yake malalar enzymes daga cikin pancreas
• Cystic fibrosis
• Babban matakan mai, wanda ake kira triglycerides, a cikin jini
• Overactive parathyroid gland shine yake
• Amfani da wasu magunguna (musamman sulfonamides, thiazides, da azathioprine)
• Pancreatitis wanda aka saukar a cikin iyalai (gado)

Ciwon mara na kullum ya fi zama ruwan dare ga maza fiye da mata. Wannan yakan faru ne a cikin mutane masu shekaru 30 zuwa 40.

Kwayar cutar sun hada da:

MAGANIN LOKACI

• Mafi girma a cikin babba na ciki
• Zai iya wucewa daga sa'o'i zuwa kwanaki; a kan lokaci, na iya kasancewa koyaushe
• Zai iya zama mafi muni daga cin abinci
• Zai iya zama mafi muni daga shan barasa
• Hakanan za'a iya ji a baya kamar yana gunji ta cikin ciki

MATSALOLIN NIGERI

• Rashin nauyi na yau da kullun, koda lokacin cin halaye da adadi daidai ne
• Gudawa, jiri, da amai
• Oolunshi mai ƙamshi mai ƙanshi ko mai mai
• Leanƙara mai launi ko mai ruwan lemo

Gwaje-gwajen don tantance cutar sanƙara sun hada da:

• Gwajin mai kiba
• Levelara yawan ƙwayar amylase
• Levelara yawan ƙwayar lipase
• Maganin trypsinogen

Gwajin da zai iya nuna dalilin cutar sankarau sun hada da:

• Magani IgG4 (don bincikar autoimmune pancreatitis)
• Gwajin kwayar halitta, galibi ana yin sa ne yayin da sauran dalilan yau da kullun basa nan ko kuma akwai tarihin iyali

Ana iya ganin gwajin hoto wanda zai iya nuna kumburi, tabo, ko wasu canje-canje na pancreas akan:

• CT scan na ciki
• Duban dan tayi
• Endoscopic duban dan tayi (EUS)
• Magnetic rawa cholangiopancreatography (MRCP)
• Endoscopic retrograde cholangiopancreatography (ERCP)

ERCP hanya ce da ke duban bututun ku na bile da na hanji. Ana yin ta ta hanyar amfani da na'urar daukar hoto.

Mutanen da ke fama da ciwo mai tsanani ko waɗanda ke rasa nauyi na iya buƙatar kasancewa a asibiti don:

• Magungunan ciwo.
• Ruwan ruwa da aka bayar ta jijiya (IV).
• Dakatar da abinci ko ruwa a baki don iyakance aikin magarya, sannan sannu a hankali a fara cin abincin baka.
• Shigar da bututu ta hanci ko baki don cire abinda ke cikin ciki (tsotso ruwan dusar kankara) wani lokaci za'ayi. Bututun na iya zama na tsawon kwana 1 zuwa 2, ko kuma wani lokaci tsawon sati 1 zuwa 2.

Abincin da ya dace yana da mahimmanci ga mutanen da ke fama da cutar pancreatitis na yau da kullun don kiyaye ƙoshin lafiya da samun ingantattun abubuwan gina jiki. Masanin abinci mai gina jiki na iya taimaka maka ƙirƙirar abincin da ya haɗa da:

• Shan ruwa mai yawa
• Iyakance kitse
• Cin ƙananan abinci, abinci mai yawa (wannan yana taimakawa rage alamun alamun narkewa)
• Samun wadatattun bitamin da alli a cikin abinci, ko azaman ƙarin kari
• Iyakance maganin kafeyin

Mai ba da sabis na kiwon lafiya na iya ƙayyade enzymes na pancreatic. Dole ne ku ɗauki waɗannan magunguna tare da kowane abinci, har ma da kayan ciye-ciye. Enzymes zasu taimaka maka wajen narkarda abinci da kyau, kara kiba da rage gudawa.

Guji shan sigari da shan giya, koda kuwa cutar sanyin jiki ta zama mai sauƙi.

Sauran jiyya na iya ƙunsar:

• Magungunan ciwo ko toshe jijiyoyin tiyata don magance zafi
• Shan insulin don sarrafa matakin suga (glucose)

Za a iya yin aikin tiyata idan aka sami toshewa. A cikin yanayi mai tsanani, za a iya cire wani ɓangare na ko gabaɗɗɗar maɓallin pancreas.

Wannan babbar cuta ce wacce ke iya haifar da nakasa da mutuwa. Zaka iya rage haɗarin ta hanyar gujewa shan barasa.

Matsaloli na iya haɗawa da:

• Ascites
• Toshewa (toshewa) ta ƙananan hanji ko kuma hanyoyin bile
• Jinin jini a jijiyar saifa
• Tarin ruwa a cikin pancreas (pseudocysts pancreatic) wanda zai iya kamuwa da cuta
• Ciwon suga
• Rashin shan kitse, abubuwan gina jiki, da bitamin (galibi bitamin mai narkewa, A, D, E, ko K)
• Karancin karancin baƙin ƙarfe
• Rashin bitamin B12

Kira mai ba da sabis idan:

• Kuna ci gaba bayyanar cututtuka na pancreatitis
• Kuna da cutar pancreatitis, kuma alamunku suna daɗa taɓarɓarewa ko kuma basa inganta da magani

Neman musababbin cutar sankarau da magance ta cikin sauri na iya taimakawa hana ci gaba da cutar sanyin jiki. Iyakance yawan giyar da zaka sha don rage haɗarin kamuwa da wannan yanayin.

Na kullum pancreatitis - na kullum; Pancreatitis - na kullum - fitarwa; Pancreatic kasawa - na kullum; M pancreatitis - na kullum

• Pancreatitis - fitarwa

• Tsarin narkewa
• Pancreatitis, na kullum - CT scan

Forsmark CE. Ciwon mara na kullum. A cikin: Feldman M, Friedman LS, Brandt LJ, eds. Sleisenger da cututtukan hanta da cutar Fordtran: Pathophysiology / Diagnosis / Management. 10 ed. Philadelphia, PA: Elsevier Saunders; 2016: babi na 59.

Fosmark CE. Pancreatitis. A cikin: Goldman L, Schafer AI, eds. Magungunan Goldman-Cecil. 26th ed. Philadelphia, PA: Elsevier; 2020: babi na 135.

Paniccia A, Edil BH. Gudanar da cutar ciwon sanyi na kullum. A cikin: Cameron JL, Cameron AM, eds. Far Mashi na Yanzu. 12th ed. Philadelphia, PA: Elsevier; 2017: 532-538.