Ciwon mara mai tsanani

Cutar sankara mai saurin kumburi kumburi ne da kumburin ciki.

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

Mafi yawan lokuta, enzymes suna aiki ne kawai bayan sun isa cikin hanji.

• Idan wadannan enzymes sun zama suna aiki a cikin pancreas din, zasu iya narkarda naman jikina. Wannan yana haifar da kumburi, zub da jini, da lahani ga gabar da jijiyoyinta.
• Wannan matsala ana kiranta mai suna pancreatitis mai saurin gaske.

Ciwon mara mai tsanani yana shafar maza fiye da mata. Wasu cututtuka, tiyata, da halaye suna sa ku iya samun wannan yanayin.

• Yin amfani da barasa yana da alhakin har zuwa 70% na shari'o'in a cikin Amurka. Kimanin abin sha 5 zuwa 8 a kowace rana na tsawon shekaru 5 ko sama da haka na iya lalata ƙoshin ciki.
• Duwatsu masu daraja sune sababi mafi yawan mutane. Lokacin da gallstones suka fita daga gallbladder zuwa cikin bile ducts, sai su toshe buɗewar da ke zubar da bile da enzymes. Tashin bile da enzymes "suna dawo da baya" a cikin pancreas kuma suna haifar da kumburi.
• Kwayar halitta na iya zama wani dalili a wasu yanayi. Wani lokaci, ba a san dalilin ba.

Sauran yanayin da ake dangantawa da cutar sankara sune:

• Matsalar autoimmune (lokacin da tsarin rigakafi ya afka wa jiki)
• Lalacewa ga bututun ruwa ko na fansa yayin aikin tiyata
• Babban matakan jini na mai da ake kira triglycerides - galibi sama da 1,000 mg / dL
• Rauni ga pancreas daga haɗari

Sauran dalilai sun hada da:

• Bayan wasu hanyoyin da ake amfani dasu don tantance gallbladder da matsalolin pancreas (ERCP) ko kuma duban duban dan tayi
• Cystic fibrosis
• Overactive parathyroid gland shine yake
• Ciwan Reye
• Amfani da wasu magunguna (musamman estrogens, corticosteroids, sulfonamides, thiazides, da azathioprine)
• Wasu cututtukan, kamar su mumps, waɗanda suka shafi larura

Babban alama ta pancreatitis ita ce ciwo da ake ji a gefen hagu na sama ko tsakiyar ciki. Zafi:

• Zai iya zama mafi muni a cikin 'yan mintoci bayan cin abinci ko abin sha da farko, galibi idan abinci yana da abun cikin mai mai yawa
• Ya zama mai ƙarfi kuma mai tsanani, tsawan kwanaki da yawa
• Zai iya zama mafi muni lokacin kwanciya kwance kan baya
• Zai iya yaɗuwa (haskakawa) zuwa baya ko ƙasa da gefen kafaɗar hagu

Mutanen da ke fama da matsanancin cutar sankarau galibi suna kama da rashin lafiya kuma suna da zazzaɓi, jiri, amai, da gumi.

Sauran alamun da zasu iya faruwa tare da wannan cuta sun haɗa da:

• Kujerun kala-kala
• Ciwan ciki da cikawa
• Hiccups
• Rashin narkewar abinci
• Raunin launin fata mai laushi da fari da idanu (jaundice)
• Ciwan ciki

Mai ba da sabis na kiwon lafiya zai yi gwajin jiki, wanda zai iya nuna:

• Tenderaunar ciki ko dunƙule (taro)
• Zazzaɓi
• Pressureananan hawan jini
• Saurin bugun zuciya
• Saurin numfashi (na numfashi)

Gwajin gwaje-gwaje da ke nuna sakin enzymes na pancreatic za a yi. Wadannan sun hada da:

• Levelara matakin amylase na jini
• Ara yawan jinin lipase na jini (mai nuna alamar pancreatitis fiye da matakan amylase)
• Urineara yawan fitsarin amylase

Sauran gwaje-gwajen jini da zasu iya taimakawa wajen gano cutar sankara ko rikitarwa sun haɗa da:

• Kammala ƙididdigar jini (CBC)
• M rayuwa panel

Wadannan gwaje-gwajen hotunan da zasu iya nuna kumburin hanta na iya yi, amma ba koyaushe ake buƙata don yin cutar ta hanzari ba:

• CT scan na ciki
• MRI na ciki
• Duban dan tayi

Jiyya sau da yawa yana buƙatar tsayawa a asibiti. Yana iya unsa:

• Magungunan ciwo
• Ruwan ruwa da aka bayar ta jijiya (IV)
• Dakatar da abinci ko ruwa a baki don iyakance ayyukan al'aura

Ana iya saka bututu ta hanci ko baki don cire abin da ke ciki. Ana iya yin hakan idan amai da ciwo mai tsanani ba su inganta. Bututun zai zauna na tsawon kwana 1 zuwa 2 zuwa makonni 1 zuwa 2.

Yin maganin yanayin da ya haifar da matsalar na iya hana kai hari akai-akai.

A wasu lokuta, ana buƙatar far wa:

• Magudanar ruwa wanda ya tattara a ciki ko kusa da pancreas
• Cire tsakuwa
• Sauke toshewar bututun aljihun mara

A cikin mafi munin yanayi, ana buƙatar tiyata don cire lalacewar, mataccen ko ƙwayar cutar ƙwayar cuta.

Guji shan sigari, abubuwan sha na giya, da abinci mai mai bayan harin ya inganta.

Yawancin lokuta suna wucewa cikin mako ɗaya ko ƙasa da haka. Koyaya, wasu lamura suna haɓaka zuwa rashin lafiya mai barazanar rai.

Yawan mutuwar yana da yawa lokacin da:

• Zuba jini a cikin pancreas ya faru.
• Hakanan matsalolin hanta, zuciya, ko koda suma suna nan.
• Wani ƙwayar cuta yana samar da ƙoshin mara.
• Akwai mutuwa ko necrosis na ɗimbin tsoka a cikin magaryar ciki.

Wani lokaci kumburi da kamuwa da cuta ba sa warkewa sosai. Maimaita aukuwa na pancreatitis na iya faruwa. Ofayan waɗannan na iya haifar da lahani na dogon lokaci.

Pancreatitis na iya dawowa. Yiwuwar dawowarsa ya dogara da dalilin, da yadda za a iya magance ta. Rarraba na m pancreatitis na iya haɗawa da:

• Ciwon koda
• Lalacewar huhu na dogon lokaci (ARDS)
• Ruwan ruwa a cikin ciki (ascites)
• Cysts ko ɓarna a cikin ƙwayar cuta
• Ajiyar zuciya

Kira mai ba da sabis idan:

• Kuna da zafi mai zafi, mai ci gaba.
• Kuna ci gaba da sauran alamun cututtukan pancreatitis mai tsanani.

Kuna iya rage haɗarinku na sabo ko maimaita lokuttan cututtukan pancreatitis ta hanyar ɗaukar matakai don hana yanayin kiwon lafiyar da zai haifar da cutar:

• KADA KA sha giya idan shine dalilin da zai iya haifar da mummunan harin.
• Tabbatar da cewa yara sun karbi allurar rigakafin don kare su daga kamuwa da cutar sankarau da sauran cututtukan yara.
• Bi da matsalolin likita waɗanda ke haifar da hawan jini na triglycerides.

Gallstone pancreatitis; Pancreas - kumburi

• Pancreatitis - fitarwa

• Tsarin narkewa
• Endocrine gland
• Pancreatitis, m - CT dubawa
• Pancreatitis - jerin

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

Paskar DD, Marshall JC. Ciwon mara mai tsanani. A cikin: Parrillo JE, Dellinger RP, eds. Magungunan Kulawa mai mahimmanci: Ka'idojin bincikowa da Gudanarwa a cikin Matasa. 5th ed. Philadelphia, PA: Elsevier; 2019: babi na 73.

Tenner S, Baillie J, DeWitt J, Vege SS; Kwalejin Amirka na Gastroenterology. Kwalejin Kwalejin Gastroenterology ta Amurka: gudanar da cutar ciwon hanji mai saurin ciwo. Am J Gastroenterol. 2013; 108 (9): 1400-1415. PMID: 23896955 www.ncbi.nlm.nih.gov/pubmed/23896955.

Tenner S, Steinberg WM. Ciwon mara mai tsanani. 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 58.