Necrosis olunamandla kwamanyikwe. Izimpawu, ukwelashwa

Kwamanyikwe yasisiza peritoneum ezingeni mina-II lumbar izingxenye vertebral. Lokhu umzimba ehilelekile izinqubo ezibaluleke kakhulu emzimbeni. Ngokulandelayo, siyowuqonda, yini imisebenzi yakhe, lokho kungaba ukushayisana imisebenzi yayo. Ikakhulukazi, sicabanga esiboniswe acute necrosis pancreatic.

Uhlolojikelele

Amanyikwe (olingene: 15-10 cm - ubude 2-3 cm - ububanzi) kubhekwa umzimba enkulu ngokwanele. Isisindo sayo e abadala - mayelana 100 g at isisindo sokuzalwa kwakhe kungekho amagremu angaphezu kwamathathu. Kubantu, umzimba wenza imisebenzi emibili ebalulekile. Ake sixoxe ngazo kabanzi ngezansi.

isitho umsebenzi

amanyikwe Exocrine kubalulekile duodenum - ime phandle wakhe juice pancreatic. Iqukethe enzyme: Amylase, lactase, maltase, lipase, trypsin nezinye. Ngenxa juice pancreatic is neutralized esidi okuqukethwe esiswini kanye ukugaya ukudla. Ekuqaleni, ama-enzyme akhiqizwa ifomu ngasebenzi, kamuva isebenze-duodenum 12. Isenzo sabo siqondiswe ukubhidlika carbohydrate, amafutha, amaphrotheni phezu izingxenye eziyinhloko. Ukwenza kusebenze enzyme kuthonywa Bile enterokinase. Uketshezi Yangaphakathi kukhiqizwe compounds ezibalulekile. Lezi zihlanganisa, ngokukhethekile, zihlanganisa lipokain, glucagon futhi nge-insulini. Eminyakeni emibili abamelene komunye nomunye. Ababandakanyeka ukulawulwa kashukela okuhlushwa, umzimba carbohydrate. Ngenxa lipokaina kumiswa kwenzeka phospholipids isibindi. Lokhu, kunomphumela ezuzisayo phezu namachibi of okunamafutha acid. Ngezinye ukuntula lipokaina cishe okunamafutha isibindi.

Amapayipi

Ngaphakathi indlala sihamba isiteshi kuvula phakathi duodenum. I Bile ezivamile futhi Amapayipi pancreatic, ezimweni eziningi kumiswa isitsha. Ngenxa yalokho, baba ukuvula esikhulu ingono 12 duodenal isilonda. I Amapayipi pancreatic ingcindezi evamile kumele kube kunaleyo evamile Bile imbobo. Lokhu kungenxa isidingo ukuvimbela ukukhululwa okuqukethwe emathunjini bese esinyeni nenyongo.

Ukuphulwa imisebenzi umzimba

Lapho izinguquko umehluko ukugandeleleka imbobo pancreatic livela nomfutho wegazi ophezulu. Lihlobene nokubhekana ubuso nobunzima outflow juice pancreatic, ukukhulula okuqukethwe esinyeni nenyongo noma wamathumbu. Against isizinda ingcindezi enkulu ngokuhlangana kwamaseli abo siqu pancreatic uqale lonakele. Of la ma-enzyme zikhishwa futhi isebenze uxhumano. Bona ukungena parenchyma, amafutha kanye ezicutshini we wendlala. Umphumela ukusabela chain. Ngomuntu oyedwa enzyme ikhishwe kokubili. Lokhu kuphakamisa i ukuvuvukala ukuthi kuholela ukugeleza kwegazi, futhi kamuva - ku yokujama tsi wegazi. Lokhu kunomthelela thrombosis kule ndlala. Ngenxa yalokho, kwegazi disorder kwenzeka pancreatitis, ngokuvamile ingqondo necrosis pancreatic.

Izimbangela kuphazamiseka we

isimo sokugembula ngokuvamile kubonakala ngenxa yokuhlaselwa izikhathi olulodwa noma okuphindiwe pancreatitis. Ifomu acute is ngqo exhumene ne cholelithiasis. Njengoba izinto ayeke ukunisa kuphuma izilonda (esiswini noma duodenum 12), isifo sokusha, ukushisa kwesibindi, ukuluthwa utshwala.

Imininingwane ebalulekile

Njengoba kushiwo ngenhla, omunye imisebenzi endocrine nezindlala zihlanganisa ekukhiqizweni kwama-hormone. Njengoba sifeza lesi msebenzi wawuhilela zesiqhingi ka-Langerhans. Endabeni kunqotshwa kwazo isizinda pathologies, kuhlanganise pancreatitis ezingelapheki, ukuthuthukisa okunamafutha ukonakala kwesibindi nesifo sikashukela (sikashukela). Kwamanyikwe uyakwazi self-ulungise nohlobo ukudla. Konke kuncike ukudla. Uma uthola semali carbohydrate icushiwe ezingaphezu kuka yehlukanise enzyme yabo. Uma oqavile ukudla okunamafutha, uveza lipase ngaphezulu, futhi uma amaprotheni - trypsin. Nokho, ngenxa yokuhlukunyezwa lezi zici akufanele kube. Iqiniso liwukuthi kwamanyikwe kuyaqabukela siveza izimpawu mayelana sindisa kungenzeka. Ngokuvamile ukuthi kuziveza ngempela yokusabela enobudlova, okuyinto kufakazela ukuba esigabeni sokuqala isifo, futhi yokuqhuma yayo egcwele.

Imiphumela izifo dengwane

Wokungayifuni isimo kwamanyikwe kungabangela yezinkinga ezihlukahlukene. Ingozi iba ikakhulukazi yokuthi eduze kwalo kukhona nezinye izinhlaka ukuthi kukhona kubaluleke ngokufanayo emzimbeni. Lokhu, ikakhulukazi, ubende, isibindi, isisu. Akukona ahlale ongangeneki inhliziyo. Lapho ukwephula emsebenzini kwamanyikwe nomzimba wagcizelela. Izinguquko ohlelweni zenzeka ngokushesha okukhulu. Kwaphela amahora umdlavuza pancreatic ngezinye izikhathi ezimbalwa nje.

necrosis olunamandla kwamanyikwe

Le nqubo izicubu ekubhujisweni umzimba. Ukuthuthukiswa Its kuthinta izici ezihlukahlukene esibuhlungu. At inhliziyo kubo amanga isitho ukuvuvukala. necrosis olunamandla kwamanyikwe eba ngendaba yensizwa kokuqina luhlolo yayo kanye nokwelashwa. Phakathi iqhaza ngqo yabo enzyme emzimbeni. Ngokusebenzisa umsebenzi wabo eziswini kwamanyikwe. Lapho ocushiwe enzyme interstitial ethuthuka izinqubo sokugembula. Ngenxa yalokho, bakha foci of necrosis amafutha.

Incazelo yenqubo

Ngenxa wokuqhekeka acid okunamafutha kwenzeka pH shift. Kuvuselela tripsogen intracellular. Ngenxa yalokho, uguqulwa trypsin. Le ngxube, esikhundleni salokho, oyenza proteases akha emaphaketheni ethize proteolytic. Enzyme uqale ukukhukhula izindonga semithambo kanye ezicutshini. nqubo ebhubhisayo sidlulela ngalé kwamanyikwe. yokutakula umzimba kuleli cala akunakwenzeka. Lapho ukubonakaliswa izimpawu ezisobala ukufa kungase kube ezamanje.

izici ngodlame

Necrosis kwamanyikwe, izimpawu iluphi okuzoxoxwa ngalo ngezansi, ngokujayelekileko uba yini umphumela ukusetshenziswa ngokweqile kotshwala, isiminzi, adle dyskinesia esiqeshini biliary, ama-enzyme outflow kwezinso ngenxa cholangitis, cholecystitis calculous. Inselele zokugula may umthamo ayilungile imithi, umthamo ukuhlukumeza kanye isicelo wesifunda. Acute necrosis pancreatic kungahle kubangelwe njalo izifo ezithathelwanayo ekucindezelekeni.

zokugula ngoba

Kuye Proliferation, acute necrosis pancreatic impilo kungase kuthathe isikhathi futhi eqondile. Inqubo bathuthuke ngokushesha noma sasivumela ukugeleza nevilaphayo. Ngokuhambisana uhlobo sokugembula Yiqiniso pancreatic leyabantu elimazayo, ukusebenza, hemostatic, oluhambisana futhi edematous. Lesi sakamuva kubhekwa ifomu omnene kakhulu. Ngenxa anda ukuvuvukala kwamanyikwe ezizokhuthaza ukwanda ingcindezi pankreotsity futhi ukuphazamiseka microcirculation. Ukwelashwa nokuvikelwa esiteji edematous, ngokuvamile ngempumelelo. Aqalisele okungazelele zokugula onekhono uthatha uhlobo ukugijima. Ikakhulukazi, inqubo necrotic unika outflow ka pancreatic umdlavuza wokugaya ukudla enzyme. Ngenxa ukugaya iqala kusuka ngaphakathi emzimbeni. Ngokuhamba inqubo iqala kokuziphatha ubomvu phakathi komgodi ongaphakathi kwamathumbu. Ngenxa peritonitis eba ifomu oyingozi. Lokhu nakanjani ukuhlinzwa. Kungenjalo uqale sepsis, okwaholela ekufeni.

emitholampilo isithombe

Yiziphi izimpawu necrosis pancreatic? Ngezimpawu zesifo uqine ngokwanele. Ngo kwesokunxele engenhla quadrant yobuhlungu herpes zoster kukhulisa ubunjalo. Elulele wonke umzimba ngezansi izimbambo. Ubuhlungu ehlombe ukunika ukudla njengoba ngemuva kokuhlaselwa yisifo senhliziyo. Izinqubo ahambisana ukuhlanza kakhulu, ukuvuvukala, ukubuyisa. Isiguli sinelungelo enomkhuhlane, isikhumba uphendulela okhanyayo noma reddens. Uphawu oyinhloko isimo sokugembula ubhekwa uphawu Ubumpunga Turner. It kubonakala ngesimo izindawo bluish ezinhlangothini esiswini. Palpation odongeni imakwe ubuhlungu, ukungefani kubangela izingxabano. Sifo Kwenziwa okusekelwe luhlolo ezibukwayo, izikhalazo nesineke, kanye ngemiphumela yocwaningo wezinsimbi futhi laboratory. Ukuze ukuhlola echogenicity parenchymal aqokwe ultrasound. CT nama-MRI scan, angiography futhi laparoscopy zikuvumela ukuba usethe ukuqala ngqo lesi sifo.

izinyathelo zokwelapha

Ukwelashwa nokuvikelwa necrosis acute kungaba kuhlinzwa noma olandelanayo. Kukhethwa kuzoncika izinguquko sokugembula emzimbeni. Izidakamizwa ukuchayeka inikezwa ngamunye. Phakathi kwezidakamizwa Kunconywa reception, - spasmolytics (elisho ukuthi "Cha-spa", isibonelo), kanye nezidakamizwa antifermental cytotoxic ezithinta enzyme zamagama. Amasu kuhlinzwa esetshenziswa laparotomy futhi laparoscopy. Nokho, ngokuhamba ukusebenza akusiyo njalo kungenzeka ukuqeda ngokuphelele egunjini lokuhlolwa kwezifo. Ngokuvamile, nokwelashwa kweziguli esimweni esibhedlela wenziwa.