Iimpawu kunye neempawu zepascreatitis kumadoda nabasetyhini. Izindlela zonyango lwe-pancreatitis

I-Pancreatitis kukuvuvukala kwepascreas, edlala indima ebalulekileyo ekutyeni. Izibalo zibonisa ukuba ngamnye umntu wesibhozo kunye nomfazi omnye kwabasetyhini bajongene nale ngxaki. Kwiqela elijongene nobungozi ngabantu abadala kunye nokukhululeka. Iimpawu zepascreatitis emadodeni zibonakaliswa ngokuphindaphindiweyo kwifomu engapheliyo, kwaye kwisiqingatha esicuthakathaka sabantu, uhlobo olunzima lwesifo lukhula kaninzi. Upapasho luyazinikezelwa kwiinkalo zesifo kunye neendlela zokwelapha.

Yintoni i-pancreatitis

Iimpawu kunye nokunyangwa kwesi sifo zichazwe ngezantsi. Ukubunjwa kwejusi yokugaya i-secrete yentsimbi kubandakanya i-enzyme kunye ne-bicarbonate. Bawela kwiphubhu elincinci elibizwa ngokuba ngumzila wepakreta kwaye lidibanise emathunjini amancinci. Ama-enzyme anceda ekuphahleni kwamaprotheni kunye namafutha kwiimelelekyuli ezinokubanjelwa igazi. I-Bicarbonate ayithinteli i-asidi yesisombululo se-acid esiswini. Uveliswe ama-hormone yokugaya i-glucagon kunye ne-insulin, ukungena kwigazi, ukulawula izinga leswekile kwigazi. Kwi- enzyme yepakreta ijoyina i-bile - umkhuhlane ovela esibindi ukuya kwi-gallbladder kwaye unceda ekutyeni ukutya. Ukongezelela, kuthathwa ingqalelo kwiziphi iifom zesifo se-pancreatitis, iimpawu zesifo zibonakalisa.

Ama-enzyme aqhelekanga asebenze ade ade angene emathunjini amancinci. Kodwa ngokuvuvukala kwepakreas, baqala ukuhlasela nokulimaza iifom e zivelisa. Ijezi zokugaya zithinjwe kwaye ziqala ukugaya intsimbi. Ngoko kukho i-pancreatitis, ingaba nzima okanye ingapheliyo. Naliphi na le fomu kunokukhokelela kwiinkathazo, umzekelo, ukuphuhliswa kwezifo, ukuphaphaza kunye nokulimala kwimizimba. I-pancreatitis enobuchule, iimpawu kunye nokonyango kwesi sifo zichazwe ngezantsi.

I-pancreatitis enobuchule kwaye engapheliyo

I-pancreatitis enobuqili iqala ngokukhawuleza emva kokulimala kwengqungquthela. Amaxhoba amaninzi ahamba kunye neentlungu zokungahambi, kodwa i-20% yazo inzulu kakhulu. Zigqiba ixesha elifutshane, emva koko iqela libuyela kwilizwe eliqhelekileyo. Ukuhlaselwa kwe-pancreatitis, iimpawu, unyango oluchazwe ngezantsi, lunokuba nzima. Emva koko udinga ukulala esibhedlele.

I-pancreatitis engapheliyo, iimpawu kunye nokunyanga okungafaniyo kubantu abahlukeneyo, kuqala ngokuqatha, ngokuhlaselwa, kwaye ukuba isinyithi sichaphazelekile kwaye ayikwazi ukubuyela kwiimeko zangaphambili zezicubu, ngoko kugula kuya kwimeko engapheliyo. Ukuvuvukala kwesi siko akusayi kuhamba, kwaye isizathu esivame kakhulu ukusetyenziswa kotywala ngokugqithiseleyo iminyaka emininzi, izifo ezifa, i-cystic fibrosis, iingxaki zokuzimela.

Iimpawu

I-pancreatitis enobuchule, iimpawu kunye nokunyangwa kwazo ezixutyushwa kule nqaku, ngokuqhelekileyo ziqala ngokunyuka ngokuthe ngcembe okanye intlungu ebuhlungu kwisisu esiswini. Kungaba lula kwaye kuqiniswe emva kokutya. Kwakhona kwenzeka ukuba iimvakalelo ezibuhlungu zingashiyi umntu iintsuku eziliqela, isigulane sibukeka siziva sibi kwaye sidinga ukunakekelwa kwangoko kunyango.

Ziziphi iimpawu ezingenzeka kwi-pancreatitis:

• Ukucinywa kunye neentlanzi;
• Isisu esiswini esibuhlungu;
• Ukukhawuleza kwangoko;
• Fever.

Iimpawu ezinjalo zokuphazamiseka komzimba kwabasetyhini ziqhelekileyo. Ngoko ke, ukuba kukho iintlungu ezibukhali kummandla wesisu esiphezulu, ukuhlanza nomlomo owomileyo, i-hiccups, oko kuya kubonisa ukuba inkqubo yokuvuvukala iqala kwi-pancreas. I-pancreatitis eyingozi kakhulu ibangela ukungcola nokuxinzelela kwegazi, intliziyo, imiphunga okanye izintso zingaphumeleli. Iimpawu ezinjalo ze-pancreatitis kumadoda nabasetyhini zihlala zifana. Ukuhlamba kwi-pancreas kukuphazamisa kwaye kufuthi kubulawe.

Okuyingozi kakhulu ukunyuka kwe-pancreatitis, iimpawu zayo zingakhokelela kwimiphumo emibi. Ifomu engapheliyo inokufana okufana neentlobo zeempawu, kodwa ngaphandle kwazo zingabandakanya ihudo, izihlalo ezinamafutha kunye nokulahleka kwesisindo.

Diagnostics

Izibonakaliso ze-pancreatitis, iimpawu zalo zixutyushwa apha ngasentla, kodwa isifo sifumaneka njani? Emva kwengxoxo kunye novavanyo olucokisekileyo, ugqirha ubeka iimvavanyo zegazi ezikunceda ekufumaneni isifo. Kwi-pancreatitis ephazamisayo, igazi linezihlandlo kathathu ngaphezu komgangatho we-amylase ne-lipase. Utshintsho ekubunjweni kwayo lunokuxhalabisa izixhobo ezifana ne-glucose, i-sodium, i-potassium, i-magnesium, i-calcium kunye ne-bicarbonate. Emva kokuhlaselwa kwehla, kwaye imeko yomntu iphucula, ukubunjwa kwegazi kudla ngokuphindaphindiweyo.

Ukuxilongwa kwe-pancreatitis kudla kunzima ngenxa yendawo enzulu yee-pancreas, ngoko ke kukho ezinye iimfuno ezifunekayo ezibandakanya:

• I-Ultrasound yesigxina esiswini, apho amaza athunyelwa khona kwicala ngefowuni ephathekayo, ehamba ngesisu. Zibonakaliswa kwizitho kwaye zakha umfanekiso kwiskrini sobume. Ukuba kukho amatye kwi-gallbladder engabangela i-pancreatitis, amaza omsindo aya kubonakalisa kubo, ebonisa kwisikrini indawo yabo;
• I-tomography ekhompyutheni, le ndlela ivelisa imifanekiso emithathu yezitho zamalungu, ngoncedo apho kunokwenzeka ukuqwalasela isantya sesilonda se-pancreatic;
• I-endoscopic ultrasound ikwabizwa ngokuba yi-cholangiopancreatographyography kwaye ingakwazi ukujonga uhlobo lwezilonda zesigane kunye namatye okunokwenzeka kwi-gallbladder. Ngexesha le nkqubo, okokuqala usebenzisa i-aerosol, umhobho ungasondeli, kwaye i-endoscope ifakwe kwisitumbu ngokusebenzisa isisu kunye nesisu, ityhumbini elincinci elinesibane;
• Ukuboniswa kwemifanekiso yamagnetic kuvelisa izigaba zemifanekiso yezitho emva kokusungulwa kwesisu emgqeni wombala, kukuvumela ukuba ubone imeko yendawo echaphazelekayo.

I-pancreatitis engapheliyo, ngokukodwa iimpawu ze-pancreatitis emadodeni, eziphuhliswe ixesha elide ngenxa yokudla utywala, ziyafunyaniswa ngendlela efana neyobuhlungu, kwaye idla ngokudibanisa nale fom yokugula. Ukuxilongwa ngokuhlukileyo, uncedo olungundoqo lunokunikwa ngokufunda imbali yeentsholongwane zentsapho, ukutya kunye nendlela yokuba utywala utshiswa ngumguli. Izibonakaliso zesifo ziyakhula ngokukhawuleza, oku kukuphazamiseka kwamathambo.

Iimpawu kunye nokunyangwa kwe-pancreas kuxhomekeke kwizizathu zesifo.

Kodwa i-pancreatitis ayitholakali kuphela kubantu abadala. Ukuba i-pancreatitis ikhula kubantwana, iimpawu zingabangela ukuba ukungondleki, ukungabikho kokuzalwa komntwana kwindlela yokugaya ukutya, ukukhathazeka, ukutyhelwa kokutya okanye ukuthatha i-antibiotics.

Izizathu

Ukubunjwa kwama-gallstones nokusetyenziswa kakubi kotywala yizona zimbini ezibangela i-pancreatitis kunye ne-80-95% yazo zonke izifo zesifo. Kwamadoda, isifo esixhatshazwayo soxholongwane sisifo se-pancreatitis. Ngokuqhelekileyo isimo sotywala sesi sifo sivela kubantu abahlala bethabatha iziphuzo zotywala iminyaka emi-5-7. Ngokuqhelekileyo umntu usetyenziselwa unyango lwezonyango nangona isigulo sithathe inkambo engapheliyo ngokukhawuleza, okufana nezibonakaliso kwi-pancreatitis enzima.

Amatye e-gallbladder angavimbela i-pancreatic disk, ekuthintela ukunyakaza okuqhelekileyo kwemfihlo kunye negalelo ekuhlanganiseni kwilungu ngokwayo. Iimpawu zepascreatitis kwabasetyhini ngesi sizathu sinokukhula emva kweminyaka engama-50.

Ama-10-15% asele ahlawulwa ngenxa yeemeko ezahlukeneyo:

• Ukuthatha amayeza;
• Ukubonakaliswa kwamachiza athile;
• Ukulimala kunye nokulimala;
• Izifo ezithintekayo;
• Usulelo;
• Ukungaqhelekanga kwamathumbu namaphancasi;
• Umgangatho ophezulu we lipid egazini.

Kwi-pancreatitis ephazamisayo, i-15% yezimbangela zihlala zingaziwa, kunye nama-40% eengxaki zesifo esingapheliyo sesifo. Ngaloo nto i-pancreatitis ephawulekayo, iimpawu kunye nokunyangwa kwempilo, funda.

Unyango

Ukuba iimpawu zilula, ke unqande ukuphuhliswa kwesi sifo, ukuyeka ukusela, ukutshintshwa kwisondlo sokutya kunye nezitya ezifana neesobho, umhluzi kunye namazambane ahlambulukileyo. Gwema ii-painkillers ezingasichaphazela kakhulu isibindi, umzekelo, iziyobisi "Acetaminophen", "iTylenol". Uphulo luhlala lujoliswe ekunciphiseni iimpawu kunye nokuthintela ukunyusa okunye. Iingxaki ezinzulu zingadinga ukunyelwa igazi okanye ukungenelela okutyathwayo.

Unyango lwe-pancreatitis enobuhlungu

Kule fomu yesifo, ukulaliswa esibhedlele nokulawulwa kwee-antibiotics kuyimfuneko. Isigulana asinakuyidla iintsuku eziliqela ukunika amathumbu ukuphumla. Ukukhethwa kwonyango kuxhomekeke kubukhulu bokuhlaselwa. Ukuba akukho zinkathazo, unyango lujolise ekunciphiseni iimpawu kunye nokubuyisela imisebenzi yepascreas. Kwiigulane ezineengxaki zokugwinya, ukulawulwa kwezilwanyana kunye nokusetyenziswa kwamanzi kuyasetyenziswa.

Ukuba kuyimfuneko, ugqirha unika imishanguzo yentlungu kunye neentlanzi, i-antibiotics phambi kokusuleleka. Abanye abantu bafuna ithubhu ye-nasogastric, apho ityhubhu encomekayo yongxowankulu ifakwe kwisisu kunye namathumbu ukuba asuse ama-juice angaphezulu kwaye anikeze ukutya. Ukuba uhlaselo luhlala ixesha elide, izisombululo zezondlo ziqaliswa ngendlela. Ngonyango olwaneleyo, i-pancreatitis enzima iyanqotshwa kwiintsuku ezimbalwa.

Ngexesha kunye nangemva kokunyanzeliswa, akuvunyelwe ukusela utywala, iimveliso ezinamanqatha kunye nokutshaya. Emva kokukhutshwa, iimvavanyo zenziwa ukuze kuhlolwe imeko yomzimba. Iimpawu ze-pancreatitis, iimpawu ezinzima zixutyushwa ngaphambili.

ERPHG

I-Endoscopic retrograde ye-pancreatocholangiography isetyenziselwa kwi-pancreatitis emibini kunye neyingozi. Kule meko, ubuchule obukhethekileyo kusetyenziswa ukuhlolisisa i-pancreas, gallbladder kunye neendlela zokuphatha iingxaki ezinjenge-gallstones, i-constriction okanye ukucinywa kwe-conduit kunye nokuqokelela kwamanzi. Ngefowuni unga:

• I-Sphincterotomy, apho kuqhutyelwa iincincope encinci usebenzisa i-endoscope kwi-duct ukuqinisekisa ukuphuma kwamanzi;
• Ukususwa kwamatye kwi-gallbladder;
• Ukufakwa kwe-stent yokwandisa i-lumen yeduct;
• Balloon dilatation.

Abantu abafumana unyango nge-ERCPH abanomngcipheko omkhulu wokuba neengxaki ezinjengezonyango, ukunyuka kwamathumbu emathumbu, ukuphuma kwamanzi ngaphakathi. Iingxaki ezifanayo ziqhelekileyo kwizigulane ezine-pancreatitis eziqatha kwaye ziphindaphindiweyo. Kubalulekile, emva kwenkqubo, ukunyamekela iimpawu ezinjengeentlungu zesisu, ubunzima bokugwinya, ukubola, isifuba kunye nentlungu emqaleni, kwaye ngokukhawuleza ubaxelele ngogqirha wokunyanga.

Unyango lwe-pancreatitis engapheliyo

Ngolu hlobo lwesifo, unyango lujolise ekunciphiseni ukuvakalelwa okubuhlungu kunye nokuthintela ukunyuka okukhulu, kunye nokukhulisa amandla omzimba wokuthatha nokutya ukutya. Xa kunzima ukukhushulwa kunye nobukho beengxaki, ukufunyanwa esibhedlela kungadingeka. Ukutya kufuneka kuqulethe inani elincinci leoli kunye nenqanaba eliphezulu le-carbohydrates, akukho kunconywa ngaphantsi, kwaye ukutya okuninzi rhoqo kunokunceda ukukhusela ukuphuhliswa kwemiphumo embi kwi-pancreas. Ukuba ukusetyenziswa kokutya kuyinkathazo, ukulungiswa kwe-enzyme yokulawulwa komlomo kuqeshwe, oku kunceda ukutya ukutya. Abantu abanokuxilongwa nge-pancreatitis engapheli bayakhuthazwa kakhulu ukuba bayeke ukusela utywala. Ukuba i-pancreas ayivelisi ngokwaneleyo i-insulin kwaye ukulawulwa kwamanqanaba e-glucose egazi kuphazamiseka, iilenki zezinto ezinokuthi zifunekayo.

Unyango lwezonyango lwe-pancreatitis kunye nezongezo zokutya

Kukho inani elikhulu leemifuno kunye nezongezelelo ezihlukahlukeneyo ezinokubambisa iimpawu ze-pancreatitis engapheliyo. Ukunyangwa kwezemvelo kunomthombo othile, oko kukuthi umngcipheko wokuphuhlisa imiphumo yecala iyancitshiswa. Ngaphandle kwonyango, okhethwe ngumgqirha oya kuzo, ewe, ayenze ukwenza, kodwa ukwandisa ukusebenza kwonyango kunye nokukhawuleza ukuphulukana kunokuncediswa ngamanyathelo athile emvelo. Makhe sibhale uluhlu oluphambili.

Ukukhishwa kweDandelion, okukhuthaza ukuveliswa kwe-bile. Isityalo sinokuthi sithathwe ngendlela yetiyi, kuba oku kuyimfuneko ukusebenzisa izimbali eziphuzi ngaphambi kokuba iziqhamo zivuthwe.

Ukukhupha ubisi lwebisi, okunceda ukukhupha isibindi, okanye ngamanye amazwi, ukuhlambulula i-toxins. I-silika, ekhoyo kwisityalo, inceda ukulungisa izicubu ezonakaliswe ukuvuvukala. Ukuze iresiphi ungathatha i-teaspoon yobisi yebhanqa imbewu, uthele amanzi ngamanzi abilayo kwaye ufune iiyure ezingama-2-3, okanye uthathe loo mveliso ngendlela yokutywala utywala.

I-Soy inceda ukulawula izinga leswekile kwigazi. Ungasebenzisa ubhontshisi kwifom eluhlaza, ubisi lwe-soy. I-Turmeric iqulethe isakhiwo esinepropati yokunciphisa ubukhulu bokuvuvukala kwiipakreta. Unokongeza le nkqubela kwiitya okanye uthathe izongezo ezisekelwe kule mveliso. Nangona kunjalo, abantu abanesifo sengqondo se-hypoglycemia, basebenzise le sixhobo ngobuninzi bobunconywa.

Ingcambu ye-gentian ithathwa njengempendulo ebonakalayo yendalo yokunyanga kwe-pancreatitis, kuba iqulethe i-glycosides kunye ne-alkaloids ekubunjweni kwayo. Ezi zixhobo zikunceda ukukhulula intlungu kunye nokunciphisa ukuvuvukala. Ukwamkela isityalo kuyimfuneko ngohlobo lweeyi, nje ukupheka iipilisi ezimbini zeetafile zengcambu ezichotshoziweyo kwiitre zamanzi. Ingqungquthela yokukhushulwa iya kuba yinkqalaza, ngoko unokongeza i-orange okanye ijusi yamanzi. Kubalulekile ukuba ukuthatha la mayeza alunyanzelwanga kubafazi abakhulelwe kunye nabantu abanesifo esiphambili segazi kunye nezifo zesisu.

I-Chamomile inefuthe lokunciphisa kwaye ivelisa uncedo olubonakalayo ekuvukisweni kwepascreas. Iingxenye ezibalulekileyo zesityalo kule ndawo zii-coumarins, i-acids plant, i-glycosides kunye neericylate derivatives. Phuza itiye ye-chamomile kwaye usebenzise i-oli efunekayo yezityalo njenge-aromatherapy.

Umnquma kunye negalikhi, enezakhiwo ezichasayo nezichithisi. Ioli e-Olive inceda ukutshabalalisa ama-radical ekhululekile emzimbeni, okwenyusa kuphela iimpawu zepascreatitis kumadoda nabasetyhini. Yongeza ioli kwiladidi kwaye uyisebenzise ukupheka ezinye izitya.

Kwakhona luncedo kwi-pancreatitis iivithamini ezifuneka ukuba zithathwe kunye, kunye ne-lecithin, ekhuthaza ukuxutywa kwamafutha. Ugqirha oya kwiinkcukacha unokukwazi ukumisela i-lactobacilli, umzekelo, i- "Acidophylline", ebuyisela i-microflora eqhelekileyo emathunjini. Kwabaninzi, ukusebenzisa izithako ezisekelwe kulezi zixhobo zisiza ukukhawuleza iimpawu ezibuhlungu zesifo. Nangona kunjalo, musa ukuzibamba, kungcono ukubonisana nodokotela malunga nalokhu. Oku kuyimfuneko ukwenzela ukuba ungabandakanyi ukusebenzisana kakubi kunye neziyobisi.

Ugqirha khona ukuze bancome anikezela ngezakhi kunye antioxidants ezifana vitamin A, E, iivithamini C no-B, iiminerali, umkhondo izinto, ingakumbi calcium, nemagnesium, selenium, zinc. Ukongeza, ukwandisa ukusebenza kwenkqubo omzimba wakho kwaye zinciphisa nangokurhala kunceda omega-3 okunamafutha acid, nto leyo ezininzi ezifumaneka flaxseed ioli oyile kunye nentlanzi. Nganye kwezi mveliso ifumaneka ifom capsule elula, leyo zingathengwa phantse naluphi ekhemisti.

Features ukutya pancreatitis

Ukuthintela uhlaselo iimpawu pancreatitis, ungasebenzisa i ukuthobela ukutya ezizodwa kunye nokulahla ukutya okuthile. Nazi imithetho embalwa malunga ukutya umntu ogulayo.

Khetha ukutya ephantsi kukutyeba, kuya kuthintela olunye exacerbations kunye nokuhlasela. inani imihla ngamanqatha mayingagqithi 30-35 grams. Kufuneka inkunkuma evela ukutya eqhotsiweyo kunye nokutya okukhawulezayo kuba ziqulathe eninzi tran-szhirov uyadinga asidi eyingozi. Kuba ukutya okunjalo ziquka namafetshu anesiraphu, chips, cookies, crackers, ehla kunye namaqebengwana. Kuyanconywa ukuba asebenzise imajarini, ibhotolo kunye neeoyile: omnquma, flaxseed, zikajongilanga, umbona.

Yitya protein wayama ngayo, kwakhona ikuvumela ukulawula komtshiso oko. Khetha imithombo protein ezifana nentlanzi, iinkukhu, iimbotyi, iimveliso zesoy, kodwa inyama ebomvu Kuyancomeka ukunika up. Ukuyibalekela iimveliso okunamafutha zobisi - itshizi, ice cream, ubisi, cream ubumuncu. Amaqanda, ingakumbi sac, nayo hayi Kucetyiswa ukuba basebenzise, kodwa unako ukwenza omelette evela protein. Kuluncedo ukuba iyabiliswa, ezifana isidlo na kuphekwa broccoli kunye isiqwenga webele inkuku, kwiziselo ukukhetha iglasi juice tomato okanye iyogurt nonfat. Ukuze bafumane isidlo sasemini, unako ukupheka zonke iintlobo broths, ezifana nemifuno kunye engenamafutha, salads, enongwe namafutha omnquma. Lweemveliso yokubhaka, khetha isonka sengqolowa kunye nezongezelelo, cereal isonka, zama ukususa ukusuka ezityiwa isonka esimhlophe, goods amnandi ezifana namaqebengwana, muffins kunye cheesecakes.

Quka ekudleni carbohydrate ezintsonkothileyo. Yitya iziqhamo kunye nemifuno zityebi e antioxidants, ezifana cherries, icherry, iitumato, iipepile intsimbi, iiblueberries kunye cranberries. Yitya kakhulu imifuno eluhlaza enamagqabi - ikhaphetshu, isipinatshi, lettuce, kuba ziqulathe isixa esikhulu yentsimbi pancreatitis luncedo kunye neevithamini eqela B. A umthombo omangalisayo ezinokutya ezintsonkothileyo, okanye kade, iikhabhohayidrethi zithathwa liphela: oatmeal, amazimba, neyeeperile nerhasi, rice emdaka. Nciphisa ukusetyenziswa kutya eling'awukazi zize zilungelelaniswe, kwaye ukutya eninzi starch: ipasta, isonka esimhlophe, iswekile, iibhiskithi, irayisi emhlophe kunye crackers.

Kuphephe ukutya nezinongo, utywala, caffeine, njengoko zisenza ngamandla nokusebenza zepancreas, ukwandisa umsebenzi kuyo nzeke wayedinwa kunye nokudumba. Kuyimfuneko ukuba bashiye iimveliso ezibangela flatulence, kwaye kananjalo ukukhangela le menu ubukho ialeji kunokwenzeka, umzekelo, kwisigcinakaliso, gluten, ongeziweyo ukutya chemical. Ayikhuthazwa tu into yokuba kakubi ukutya ezinetyuwa ebomvu, kwakunye amashwamshwam ezahlukeneyo ezifana crackers, iitshiphusi, kunye nentlanzi eyomileyo.

Pancreatitis ziikati

Iimpawu, unyango kwesi sifo kuyafana ngokuyinxenye kwabo abantu. Ugqirha ukhetha amachiza afanelekileyo, amathamo kunye neendlela. Neekati nazo ziyakwazi ukuza pancreatitis exacerbation, iimpawu - ukulahlekelwa ukutya kunye nokutha emzimbeni, silale, ukungakhathali kwabanye, isisu esihambisayo kunye emzimbeni. Ukugabha kunye neentlungu esiswini ngenxa neekati ezininzi aziqhelekanga nesi sifo, ezi mpawu ibonakala kuphela ngo-25% yezi izilwanyana.

Kwezinye iimeko, ngwe pancreatitis inokuphela ulawulo kwaye kungakhokelela kubunzima ezinkulu ezifana ukusilela yokuphefumla, nangokurhala buhlungu kwamanqatha ongama, lo ngezifo zeminye imibutho. Ukuba isilwanyana sakho pancreatitis, iimpawu kunye nonyango, ukutya okunesondlo kufanele ukuba sizimisele kuphela yincutshe. Ngelishwa, pancreatitis ziikati sisifo eqhelekileyo kakhulu, ngoko zama ukunikela ingqalelo ukuziphatha kunye nemeko qabane lakho, ukuze ukwazi ukunika ndimnyamekela ngexesha lwezilwanyana xa kuyimfuneko.