I-necrosis ye-Pancreatic ye-pancreas - izimpawu nokuphathwa

I-pancreatitis enamandla ukuvuvukala okukhulu kwama-pancreas, futhi ukuphikisana kwayo yi-necrosis ye-pancreatic yama- pancreas. Lesi yisifo esibi kakhulu, ngakho-ke, amangqamuzana e-pancreatic afa ngokuzibulala. Umphumela waleso sifo njenge-necrosis ye-pancreatic ye-pancreas yikongeza kokutheleleka okungeziwe, okuholela ku-peritonitis nezinye izinkinga ezinkulu.

Imithi yanamuhla ayikwazi ukuqinisekisa ukuthi i-100% ilulamekile, futhi uma i-pancreatitis ingaba ngu-15% wokufa, i-pancreatic necrosis yamaphakresi ibangela ukufa ku-50-70% yazo zonke izimo. Kodwa-ke, emitholampilo ehamba phambili yomhlaba, lesi sibonakaliso sincishisiwe sibe ngu-20%, kodwa futhi asikwazi ukuqinisekisa ukutholakala okugcwele ngemva kwalesi sifo.

Ngokwezibalo ezikhona, cishe u-70% wabo bonke abantu abane-pancreatic necrotic necrosatic necrosis yokusebenzisa kabi utshwala. Futhi, 30% yazo zonke iziguli zine- gallstone isifo isikhathi eside ngaphambili .

Amafomu we-pancreatitis nezimbangela

Kunezinhlobo ezintathu ze -pancreatitis enzima: i- necrosis ye-pancreatic enegazi, i-fatty pancreatic necrosis kanye ne-panicreatitis edematous.

Izimbangela eziyinhloko zalesi sifo ukuhlukumeza utshwala, kanye nokudla ngokweqile, ikakhulukazi ukudla okuthosiwe namafutha, ukutholakala kwe-cholelithiasis. Futhi, imbangela ingase ibe isilonda se-duodenum noma isisu, i-poisoning enzima, izifo ezithathelwanayo nezifo.

I-necrosis ye-Pancreatic - izimpawu

Esinye sezikhalo eziyinhloko zesiguli kukhona ubuhlungu besifunda esiswini, okwenzeka ku-hypochondrium kwesokunxele. Futhi, ubuhlungu bunganikezwa emhlane ongezansi, uhlangothi lwe-ehlombe lwesokunxele nengalo, ngokuvamile ubuhlungu bubonakala ngendlela yokugubha. Ezigulini, ukuhlanza kanye nokucwenga, ukuhuda nokubhula kwenzeka. Ukushisa komzimba kuphakama, futhi kwezinye izimo ezinzima kungaba kakhulu, okwenza kube nomkhuhlane nokuqonda okudidekile.

I-necrosis ye-Pancreatic - imiphumela kanye nezinkinga

Izinkinga eziyinhloko zalesi sifo yizi:

- ukuphuza ngokweqile yonke inyama, ukuphazanyiswa kwazo zonke izinhlelo zayo;

- ukubukeka kwe-cyst pancreatic. Kulesi simo, uketshezi luqoqa ngesimo sendawo futhi lokhu kungaba kokubili ngaphandle kwegland futhi ngaphakathi kwalo;

- ukubonakala kwe-pancreatitis engapheli, kuyilapho izicubu ezinempilo zishintshwa yi-connective;

- ukubonakala kwe-fistula ye-pancreas, iyinhlanganisela yokugeleza kwegundane ngezitho zangaphakathi noma nemvelo yangaphandle;

- i-peritonitis nokudakwa okukhulu kwenyama yonke kungaqala;

- Ukuphuma kwegazi ngaphakathi kwegazi kungase kwenzeke, okuphumela ekubeni iqiniso lokuthi ijusi le-pancreatic lilimaza imithwalo yegazi;

- ukubonakala kwesiguli nesifo sikashukela, njengoba kunokuphazamiseka ohlelweni lwe-endocrine.

Ukuxilongwa kwesifo

Ukusola kokuqala kokutholakala kwesifo kungatholakala ngokubuzwa okuningiliziwe kwesiguli mayelana nempilo yakhe. Uma kukhona ukukhathazeka, khona-ke ungaqhuba i-ultrasound, ikhompyutha ye-tomography noma i-imaging resonance imaging, kanye nezinye izindlela zokuxilonga eziphambili. Kungenzeka futhi ukucacisa ukuba khona kwalesi sifo ngokuqhuba i-laboratory test blood.

Ukwelashwa kwe-necrosis ye-pancreatic.

Ukwelashwa kwalesi sifo kunokwenzeka kuphela esibhedlela sokuhlinzeka, njengoba kungenzeka kube nezinkinga ezinkulu, okuzokwenzeka kuphela ngokusebenzisa ukuhlinzwa okuphuthumayo.

Uma lesi sifo senziwa ngaphandle kokucindezeleka, khona-ke ezimweni ezinjalo isiguli sinqunyelwe ukudla. Unqunywe i-glucose eningi kanye ne-saline, ephathwa ngendlela yangaphakathi, ngaleyo ndlela ukunciphisa ukudakwa komzimba. Nika izidakamizwa ezinciphisa ukuvinjelwa kwe-pancreatic juice nomsebenzi we-enzyme.

I-nasogastric tube ibuye ifakwe ukunciphisa ingcindezi emaphethelweni emathunjini. Nika ama-antibiotic futhi, uma kunesidingo, imithi yobuhlungu. Uma konke kwenziwa ngesikhathi, amathuba okuthola isimo esivela esigulini aphezulu kakhulu.