Pancreatic kapamba - imfa? Kuti madokotala ananena zawo za necrosis pancreatic

Amodzi mwa matenda aakulu kwambiri a dongosolo m'mimba anthu - ndi pancreatic kapamba, woopsa pa zomwe, malingana ndi kuwerengera, kumachitika mu 40-60% ya milandu.

Zimayambitsa necrosis pancreatic

Pachimake kapamba, ndilo vuto la necrosis pancreatic, tithe wachitatu pafupipafupi zosayembekezereka, kujomba patsogolo basi pachimake appendicitis ndi cholecystitis. Aliyense akufotokozera chifukwa kuwonongeka kwa maselo secretory a kapamba, kupanga muyeso ndi mkhutu pancreatic madzi outflow ake. njira izi zimachititsa:

• mwakayakaya m'mimba;
• ntchito ziwalo m'mimba;
• Kuledzela (kuphatikizapo mowa);
• thupi lawo siligwirizana;
• cholelithiasis ;
• matenda kapena parasitic matenda;
• kwambiri mowa nyama yokazinga, extractives, nyama mafuta.

Zimayambitsa pancreatic necrosis a kapamba ndi ambiri, koma nthawi zambiri akufotokozera atamwa mowa wambiri mowa, pamodzi ndi chakudya mafuta mapuloteni. Zimachitika kuti matenda amapezeka pafupifupi pomwepo ndi kuukira angathe pa maziko a bwino. Nthawi nkhani imene kapamba pancreatic necrosis, imfa anachitika amene pambuyo nkhani maola pambuyo zizindikiro woyamba wa matenda, iye atamwalira masiku angapo pambuyo phwando lalikulu.

Kodi chimachitika mu necrotizing kapamba

Healthy kapamba umabala michere zomwe zifunika kuti pogawanikana pamawere chakudya kulowa m'mimba. Ndi chifukwa iwo kuti chakudya chimene unagawika zinthu zimene zimatha kulowa magazi, omwe Nawalanditsa iwo kwa zimakhala ndi ziwalo mwa akalowa m'mimba. Izi zimapangitsa kapamba, chimodzi cha ziwalo zofunika kwambiri m'thupi. Kumwa mowa ndi zakudya zambiri mafuta kwambiri kumapangitsa madzi pancreatic, ndipo kuyambira ducts akhoza Musatuluke kwathunthu, ndiye iwo amayamba kumanga mu England lapansi. Zimenezi zimabweretsa chitukuko cha edema, psinjika winanso wa ducts excretory ndi wotsatira clogging. Yogwira pancreatic michere, amene ntchito poyamba komanso yogawanika mapuloteni exuded khoma ritsa ndi kuyamba kupasuka, pansi pa zochita za michere ndi "chimbudzi" mwini m'mawere minofu. Yogwira michere ndi mankhwala kuwonongeka inakhazikitsidwa m'zaka kugwa mu magazi ndi kulimbikitsa nchito yanyumba ziwalo zina ndi zimakhala, kuchititsa amphamvu kuledzera. Choncho, pancreatic necrosis a kapamba, amene madokotala ananena zawo n'zovuta kulosera, ndi matenda oopsa kwambiri.

gulu la necrosis pancreatic

Malinga ndi kukula kwa zotupa prostate kusiyanitsa melkoochagovyj, sredneochagovy, macrofocal, subtotal ndi okwana pancreatic necrosis. Kumene, kusiyana pakati pa mitundu iwiri yoyambirira ya kwakukulukulu ochiritsira. Izi mawu madokotala amagwiritsa ntchito kudziwa mlingo wa kuwonongeka kwa thupi. Pamene subtotal pancreatic necrosis kusintha necrotic bwanji ambiri England lapansi. Ngati thupi anakantha kwathunthu, zonse matenda pancreatic kapamba. Dzitetezeni zotsatira mu nkhani iyi ndi nthawi anati.

Pali lina lomwe gulu la. Iye ukugawa pancreatic mu mitundu iwiri:

• Limited. Izi zikuphatikizapo njira imene matumba zamitundu yosiyanasiyana anapanga.
• Common. Pankhaniyi, ambiri a zopangitsa bwanji kapena thupi lonse kwathunthu.

mitundu ya necrosis pancreatic

Malinga pamaso pa matenda mu madera okhudzidwa ndi mvulayi kusiyanitsa wosabala kapena matenda pancreatic necrosis. Kuti madokotala ananena zawo ndi akumane ndithu, monga mwayi wa mantha opatsirana mankhwala, ndi kubweretsa wodwala mu mkhalidwe umenewu ndi yovuta kwambiri pa nkhani ya ndondomeko ndi kachilombo.

Wosabala pancreatic necrosis lagawidwa mitundu zotsatirazi:

• mafuta - characteristically pang'onopang'ono chitukuko mu masiku 4-5 kapena kuposa mkati zinamuvuta;
• haemorrhagic - yodziwika ndi mafunde mofulumira ndi magazi kawirikawiri;
• Obwerawa - zimachitika kawirikawiri kwambiri chifukwa pancreonecrosis mofanana anakhudzidwa ndi adipose minofu ndi kapamba parenchyma.

Ngati matenda owononga pancreatic kapamba ntchito mosalephera. Koma nthawi sapereka chifukwa anakhumba, ndi zotheka kukonzanso chitukuko cha zotupa necrotic.

Zizindikiro ndi matenda a necrosis pancreatic

Kukomoka, pachimake kapamba zikuoneka zowawa wamphamvu lamanzere chapamwamba ululu nusu kapena nsungu khalidwe. Kusanza zili matumbo, osati zinapatsa mpumulo, kutsekula m'mimba. Nchifukwa amabwera msanga madzi m'thupi, kuchuluka kawopsedwe. Pamene matenda ndi mbiri zofunika kwambiri mankhwala. Ngati muli mfundo za kumwa mowa, kudya zakudya mafuta, kapena zokhudza matenda a chiwindi ndi chikhodzodzo ndulu, n'kutheka limakupatsani kuika matenda ichi monga pancreatic necrosis a kapamba. Kuti madokotala ananena zawo izi adzakhala kwakukulukulu kudalira pa siteji zimene matendawa wodwala pitani kuchipatala, ndi kukula kwa chiwonongeko.

Pankhani matenda choyezera, pali kulabadira kusanthula mkodzo ndi magazi, pamene pali owonjezera kwambiri a misinkhu amylase. Komanso kuchititsa ultrasound m'mimba, CT kapena Kujambula, kumene inu mukhoza kuwona maonekedwe a m'madera necrotic mu zimakhala pancreatic.

chithandizo

Nthawi zambiri, opaleshoni n'zofunika necrotizing kapamba. Pa nthawi yomweyo, ngakhale kuti kuchuluka kwa imfa ndi mkulu mokwanira, ntchito yake zimapereka mwayi waukulu kwambiri kuchira. chithandizo ndiwofatsa zikuphatikizapo zotsatirazi:

• mkati masiku angapo pambuyo isanayambike - njala, ndipo malingana ndi kuopsa kwa matenda oyamba a zakudya kudzera kulowetsedwa mtsempha mukhoza kupitiriza kwa masabata;
• kuyeretsedwa magazi (hemosorbtion) - ikuchitika kuledzera chaukali;
• somatostatin - ndi timadzi kuti amachepetsa zotsatira za chisokonezo impso, nthaŵi zambiri pancreatic necrosis;
• mitundu matenda - mankhwala.

Pachimake kapamba - zakudya

Popeza chinthu zambiri chakudyachi kwambiri chifukwa, chifukwa pachimake kapamba, ndi iye ali kufunika kwakukulu mu ndondomeko mankhwala. Monga tanena mu masiku oyambirira ndi matenda a kapamba pachimake, zakudya ndi okhwima kwambiri - kukakamizidwa njala. Zikavuta, ka zakudya parenterally mwina kwa milungu ingapo.

Kenako pamene mphamvu kapamba pancreatic necrosis kumafuna chithandizo waulemu kuti anapereka kupatulana pazipita ku zakudya za mafuta ndi chakudya, komanso mankhwala amene amayambitsa flatulence. Chakudya steamed ndi mosamala wosweka. Kutengeramo chakudya chochepa kasanu ndi kasanu ndi kamodzi patsiku. Kwathunthu inathetsedwa ntchito extractives ndi mchere zace. Chotero chakudya, malingana ndi kuopsa kwa matendawa, ayenera lapitali miyezi ingapo chaka.

Kumene, ndi matenda akuluakulu monga pancreatic necrosis a kapamba, ziyende woopsa n'kotheka, ndipo, ndithudi, ndi bwino kubweretsa thupi lanu kuukira mmene ndingathere kuthetsa zinthu chiopsezo. Koma ngati matenda adakali anali akupangidwa ndi kutsatira scrupulous chakudya chingatithandize kupewa musabise m'tsogolo.