Mob pancreatitis

Mob pancreatitis yog dab tsi?

Harvard Health Publishing

Mob pancreatitis yog ib qho mob tshwm sim ntawm tus txiav.



Lub pancreas yog cov qog loj nyob rau sab sauv ntawm lub plab, tom qab lub plab. Nws tsim cov enzymes digestive thiab cov tshuaj hormones.



Hauv pancreatitis, enzymes uas ib txwm tso tawm rau hauv lub plab zom mov pib ua rau txiav txiav nws tus kheej. Lub caj pas ua o thiab o. Ntau cov enzymes raug tso tawm rau hauv cov ntaub so ntswg thiab cov hlab ntsha.

Yog li ntawd, kev zom zaub mov qeeb thiab ua rau mob. Lwm lub cev ua haujlwm tuaj yeem cuam tshuam. Cov kab mob pancreas tuaj yeem raug puas tsuaj tas mus li thiab muaj caws pliav yog tias muaj kev tawm tsam hnyav, ntev lossis nquag.



Nws tsis paub meej tias vim li cas cov enzymes pib ua rau lub txiav ua puas. Tab sis muaj ob peb lub npe hu ua mob pancreatitis.

guaifenesin codeine phoov txoj kev tus nqi

Ib qho ntawm feem ntau ua rau mob pancreatitis yog gallstones. Gallstones uas khiav tawm ntawm lub gallbladder tuaj yeem thaiv cov kab mob pancreatic. (Cov kab mob pancreatic xa cov enzymes digestive los ntawm pancreas mus rau txoj hnyuv me.) Thaum cov kab mob pancreatic blocked, cov enzymes tsis tuaj yeem ntws zoo. Lawv tuaj yeem rov qab mus rau hauv lub txiav. Qhov no ua rau pancreas ua rau mob.

Mob pancreatitis



Lwm qhov ua rau mob pancreatitis yog kev haus cawv ntau. Cov neeg haus cawv feem ntau yeej tsis muaj tus mob pancreatitis. Tab sis qee tus neeg yuav mob pancreatitis tom qab haus cawv ntau. Kev haus dej cawv yuav siv sij hawm dhau ib lub sij hawm los yog hauv ib qho binge. Kev haus cawv ua ke nrog kev haus luam yeeb ua rau muaj kev pheej hmoo ntawm tus mob pancreatitis.

Lwm qhov ua rau mob pancreatitis yog qhov teeb meem ntawm txoj kev kho mob hu ua ERCP. ERCP yog ua los ntawm qhov endoscope. Qhov no yog ib tug saj zawg zog raj nrog ib tug me me lub koob yees duab thiab lub teeb ntawm ib kawg thiab ib tug eyepiece nyob rau lwm yam. ERCP yog siv los txheeb xyuas cov pob zeb thiab cov qog thiab saib cov ducts hauv lub txiav, daim siab thiab lub gallbladder.

Lwm yam uas qee zaum tuaj yeem ua rau mob pancreatitis suav nrog:

  • Kev siv ib yam ntawm ntau yam tshuaj, xws li
    • Cov tshuaj sulfa
    • Cov tshuaj dej (hydrochlorothiazide, lwm tus)
    • Immunosuppressants (azathioprine)
    • Cov tshuaj siv los kho HIV
  • Kev phais plab
  • Kev raug mob hnyav
  • Cov kab mob metabolic, xws li ntshav siab ntawm calcium lossis triglycerides
  • Qee tus kab mob, xws li mumps lossis kab mob siab viral

Muaj ntau zaus, tsis pom qhov laj thawj.

Cov tsos mob

Feem ntau cov tsos mob ntawm tus mob pancreatitis yog mob plab sab sauv. Nws tuaj yeem ua tau los ntawm kev zam mus rau qhov hnyav.

Qhov mob feem ntau tshwm sim nyob rau hauv nruab nrab ntawm lub cev, nyob rau hauv lub tav. Tab sis qee zaum nws muaj kev xav ntawm sab laug lossis sab xis. Qhov no yog ib qho tsis tu ncua, drilling lossis 'dov' mob. Nws tuaj yeem tawg mus rau sab nraub qaum, flank, hauv siab lossis hauv plab.

Qhov mob nce mus txog qhov siab tshaj plaws sai, feem ntau hauv 30 feeb. Hauv kev haus cawv vim mob pancreatitis, qhov mob zoo li pib ib mus rau peb hnub tom qab binge.

Tej zaum nws yuav nyuaj rau nrhiav txoj hauj lwm xis. Khoov los yog pw ntawm koj sab yuav txo qhov mob. Kev noj zaub mov feem ntau ua rau mob hnyav dua.

Lwm cov tsos mob ntawm tus mob pancreatitis muaj xws li:

  • xeev siab thiab ntuav
  • Poob qab los noj mov
  • Mob plab plab

Thaum mob hnyav, ua npaws, ua pa nyuaj, tsis muaj zog thiab poob siab yuav tshwm sim.

Kev kuaj mob

Koj tus kws kho mob yuav kuaj xyuas tus mob pancreatitis raws li:

  • Koj cov tsos mob
  • Kev kuaj lub cev
  • Qee qhov kev kuaj sim

Kev kuaj ntshav feem ntau qhia txog qib siab ntawm ob lub pancreatic enzymes.

Qee zaum, kev kuaj tomography (CT) tuaj yeem ua tiav. Kev soj ntsuam tuaj yeem txheeb xyuas qhov o ntawm lub txiav thiab sib sau cov kua dej hauv plab.

Lub scan kuj tseem tuaj yeem pom tias koj puas muaj pancreatic pseudocysts. Pseudocysts yog cov hnab ris ntawm cov enzymes digestive. Lawv tshwm sim hauv qee kis mob pancreatitis hnyav lossis tom qab rov ua dua. Cov teeb meem loj tuaj yeem tshwm sim yog tias cov pseudocysts tawg thiab nchuav cov enzymes mus rau cov ntaub so ntswg.

Yog tias xav tias muaj kab mob gallstone, kev kuaj ultrasound ntawm lub gallbladder yuav ua tau.

Lub sijhawm xav tau

Mob pancreatitis me me mus rau nruab nrab feem ntau ploj mus ntawm nws tus kheej hauv ib lub lis piam. Tab sis cov mob hnyav tuaj yeem kav ntev li ob peb lub lis piam.

Yog tias muaj kev puas tsuaj loj rau txiav txiav hauv ib qho kev tawm tsam hnyav lossis ntau qhov kev tawm tsam rov qab, tus kab mob pancreatitis tuaj yeem tshwm sim.

Kev tiv thaiv

Tsis txhob haus cawv hnyav yuav pab tiv thaiv kab mob pancreatitis. Txhua tus neeg uas twb muaj ib tus mob pancreatitis tshwm sim los ntawm cawv yuav tsum tsis txhob haus cawv tag nrho. Qhov no yog ib qho tseem ceeb los tiv thaiv tus mob kom tsis txhob rov qab los lossis ua mob ntev.

Feem ntau thawj zaug ntawm tus mob pancreatitis uas tsis cuam tshuam nrog kev haus cawv tsis tuaj yeem tiv thaiv. Txawm li cas los xij, ua cov kauj ruam los tiv thaiv kab mob gallstone tuaj yeem pab tiv thaiv kab mob pancreatitis. Txhawm rau pab tiv thaiv kab mob gallstone, tswj qhov hnyav ib txwm thiab zam kev poob phaus sai.

Yog hais tias qhov ua rau yog gallstones, kev phais gallbladder feem ntau yuav raug pom zoo los tiv thaiv kev tawm tsam yav tom ntej. Thaum noj tshuaj yog qhov ua rau, nws yuav tsum nres yog tias ua tau.

Kev kho mob

Yog tias koj xav tias koj muaj tus mob pancreatitis, tsis txhob noj lossis haus dab tsi txog thaum koj mus ntsib kws kho mob. Cov zaub mov thiab dej haus ua rau tso tawm cov enzymes ntawm lub txiav. Qhov no yuav ua rau qhov mob hnyav dua.

Feem ntau cov neeg uas muaj tus kab mob pancreatitis tau mus pw hauv tsev kho mob. Lawv raug kho nrog cov tshuaj tua kab mob thiab cov kua dej tso rau hauv.

Koj yuav tsis raug tso cai noj lossis haus kom txog thaum koj cov tsos mob pib zoo dua. Feem ntau, tsis muaj dab tsi tuaj yeem ua kom kho tau sai lossis luv luv. Yog tias qhov mob tshwm sim ntev, thiab tus neeg mob tsis tuaj yeem noj tau ntev dua ib lub lis piam, kev noj zaub mov yuav raug muab tso rau hauv cov hlab ntsha.

Qee zaum, cov tshuaj tua kab mob tuaj yeem raug sau tseg. Cov no yuav pab tiv thaiv lossis kho kab mob hauv cov txiav lossis cov ntaub so ntswg ib puag ncig. Feem ntau tsis xav tau tshuaj ntxiv.

Yog tias koj muaj tus kab mob pancreatitis tshwm sim los ntawm lub gallstones, koj yuav tsum muaj ERCP. Thaum lub sijhawm kuaj, tus kws kho mob tuaj yeem txiav me me rau hauv qhov qhib ntawm cov kua tsib kom kho tam sim no lossis yav tom ntej. Tej zaum koj yuav raug qhia kom tshem koj lub gallbladder. Qhov no feem ntau yog ua txhua hnub rau lub lis piam tom qab tus mob pancreatitis tau ploj mus. Kev phais tam sim ntawd yog technically nyuaj dua thiab tuaj yeem ua rau mob pancreatitis tsis zoo.

Hauv qee kis, kev phais yuav tsum tau ua rau:

  • Tshem tawm pseudocyst
  • Kho ib qho abscess
  • Txhob los ntshav

Thaum Hu Rau Tus Kws Tshaj Lij

Hu rau koj tus kws kho mob lossis mus rau chav kho mob xwm txheej ceev uas ze tshaj plaws yog tias koj muaj:

  • Mob plab plab uas kav ntev tshaj 30 feeb
  • Mob nrog ntuav lossis xeev siab heev

Kev kwv yees

Feem ntau, mob pancreatitis ploj mus ntawm nws tus kheej tom qab ob peb hnub. Feem ntau tsis muaj teeb meem lossis teeb meem ntxiv.

Ib feem me me ntawm cov neeg mob tsim teeb meem. Cov no tuaj yeem suav nrog pseudocyst lossis abscess hauv pancreas. Tej zaum lawv yuav xav tau kev saib xyuas lossis kev kho mob ntxiv.

Pancreatitis tshwm sim los ntawm kev haus dej ntau yuav rov qab los yog tias haus dej ntxiv. Nyob rau tib lub sijhawm, kev puas tsuaj tas mus li yuav ua rau tus txiav. Ib daim ntawv ntev ntawm tus kab mob tuaj yeem tsim.

Cov peev txheej sab nraud

National Institute of Diabetes & Digestive & Kidney Disorders
http://www.niddk.nih.gov/

Cov ntaub ntawv ntxiv

Nco ntsoov sab laj nrog koj tus kws kho mob kom paub tseeb tias cov ntaub ntawv uas tshwm sim hauv nplooj ntawv no siv tau rau koj tus kheej.