Pancreatitis - yara

Pancreatitis a cikin yara, kamar yadda yake a manya, yana faruwa ne lokacin da ƙosar ta kumbura ta kumbura.

Pancreas wani yanki ne dake bayan ciki.

Tana samar da sinadarai da ake kira enzymes, wadanda ake buƙata don narkar da abinci. Mafi yawan lokuta, enzymes suna aiki ne kawai bayan sun isa cikin hanji.

Lokacin da wadannan enzymes suka zama suna aiki a cikin pancreas, sai su narkarda jikin fida. Wannan yana haifar da kumburi, zub da jini da lalacewar gaɓa da jijiyoyin jini. Wannan yanayin ana kiransa pancreatitis.

Abubuwan da ke haifar da cutar sankara a cikin yara sun haɗa da:

• Cutar ciki, kamar daga rauni keke na rauni
• An toshe bututun bututun bile
• Illolin magani, kamar su magungunan kama-kaifin, chemotherapy, ko wasu maganin rigakafi
• Kwayar cututtukan ƙwayoyin cuta, gami da cutar kanjamau da coxsackie B
• Yawan matakan jini na mai a cikin jini, wanda ake kira triglycerides

Sauran dalilai sun hada da:

• Bayan dashen wani gabobi ko kashi
• Cystic fibrosis
• Cututtukan Crohn da sauran rikice-rikice, lokacin da garkuwar jiki ta kai hari da lalata ƙwanƙolin ƙoshin lafiya ta kuskure
• Rubuta ciwon sukari na 1
• Overactive parathyroid gland shine yake
• Cutar Kawasaki

Wani lokaci, ba a san dalilin ba.

Babban alama ta pancreatitis a cikin yara shine ciwo mai tsanani a cikin babba na ciki. Wani lokaci ciwon na iya yaduwa zuwa baya, ƙananan ciki, da kuma gaban ɓangaren kirji. Ciwon na iya ƙaruwa bayan cin abinci.

Sauran cututtuka na iya haɗawa da:

• Tari
• Tashin zuciya da amai
• Kumburi a ciki
• Zazzaɓi
• Yellowing na fata, ana kiransa jaundice
• Rashin ci
• Pulara bugun jini

Mai ba da kula da lafiyar yaronku zai yi gwajin jiki, wanda zai iya nuna:

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

Mai ba da sabis ɗin zai yi gwaje-gwajen gwaje-gwaje don bincika sakin enzymes na pancreatic. Waɗannan sun haɗa da gwaji don bincika:

• Matakin amylase na jini
• Matsayin lipase na jini
• Fitsarin amylase

Sauran gwajin jini sun hada da:

• Kammala ƙididdigar jini (CBC)
• Orungiya ko rukuni na gwajin jini wanda ke ba da hoto gabaɗaya na ma'aunin ƙwayoyin jikinku

Gwajin hoto wanda zai iya nuna kumburin pancreas ya haɗa da:

• Duban dan tayi (na kowa)
• CT scan na ciki
• MRI na ciki
  

Jiyya na iya buƙatar tsayawa a asibiti. Yana iya unsa:

• Magungunan ciwo
• Dakatar da abinci ko ruwa a baki
• Ruwan ruwa da aka bayar ta jijiya (IV)
• Magungunan hana tashin zuciya don tashin zuciya da amai
• Abincin mai ƙananan mai

Mai ba da sabis na iya saka bututu ta hanci ko bakin yaron don cire abin da ke ciki. Za a bar bututun a cikin kwana ɗaya ko fiye. Ana iya yin hakan idan amai da ciwo mai tsanani ba su inganta. Hakanan za'a iya ba yaro abinci ta jijiya (IV) ko bututun ciyarwa.

Ana iya ba yaro abinci mai ƙarfi da zarar sun daina yin amai. Yawancin yara suna iya shan abinci mai ƙarfi a cikin kwanaki 1 ko 2 bayan harin da aka samu na cutar sankara mai tsanani.

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

Mafi yawan lokuta suna wucewa cikin mako guda. Yara yawanci yakan warke sarai.

Ba a taɓa ganin ƙarancin pancreatitis na yara a cikin yara ba. Lokacin da hakan ta faru, galibi hakan na faruwa ne saboda larurar kwayoyin halitta ko larurar haihuwa na mahimmar pancreas ko kuma hanyoyin motsa jiki.

Tsananin fushi na pancreas, da kuma pancreatitis saboda mummunan rauni, kamar daga sandar ɗaukar keke, na iya haifar da rikitarwa. Waɗannan na iya haɗawa da:

• Tarin ruwa a kusa da pancreas
• Ruwan ruwa a cikin ciki (ascites)

Kira mai ba da sabis idan ɗanka ya nuna alamun alamun pancreatitis. Hakanan kira idan ɗanka yana da waɗannan alamun:

• M, zafi na ciki akai
• Addamar da wasu alamun cututtukan cututtukan hanji mai zafi
• Tsananin ciwon ciki na sama da amai

Mafi yawan lokuta, babu yadda za'a hana cutar sankara.

Connelly BL. Ciwon mara mai tsanani. A cikin: Long SS, Prober CG, Fischer M, eds. Ka'idoji da Aiki na cututtukan cututtukan yara na yara. 5th ed. Philadelphia, PA: Elsevier; 2018: babi na 63.

Kliegman RM, St. Geme JW, Blum NJ, Shah SS, Tasker RC, Wilson KM. Pancreatitis. A cikin: Kliegman RM, St. Geme JW, Blum NJ, Shah SS, Tasker RC, Wilson KM, eds. Nelson Littafin koyar da ilimin yara. 21st ed. Philadelphia, PA: Elsevier; 2020: babi na 378.

Vitale DS, Abu-El-Haija M. Pancreatitis. A cikin: Wyllie R, Hyams JS, Kay M, eds. Ciwon ciki na yara da cutar Hanta. Na 6 ed. Philadelphia, PA: Elsevier; 2021: babi na 82.