Injeke pancreatic - ukufa? I-ALS of necrosis pancreatic

Enye izifo ezininzi kakhulu kwinkqubo yokwetyisa wesintu - nepancreas pancreatic, iyabulala apho, ngokutsho manani, oku kwenzeka ngo-40-60% yamatyala.

Izinto ezibangela necrosis pancreatic

pancreatitis Acute, nto leyo kwingxaki ye necrosis pancreatic, ubekwa kwindawo yesithathu kwi-frequency ukwenzeka, isuka imitsi phambili appendicitis nje oyingozi futhi cholecystitis. Ngokuqhelekileyo eyenzeke ngenxa umonakalo kwiiseli secretory zepancreas, imveliso kwemfuneko kunye kakuhle juice pancreatic ukuphuma kwayo. Ezi nkqubo zingabangela:

• ukuphatheka esiswini;
• isebenzela amalungu esiswini;
• ukunxila (kubandakanywa utywala);
• ziyabagulisa;
• cholelithiasis ;
• nezifo ezosulelayo okanye olwaye lwamfimfitha;
• kukutya kakhulu inyama eqhotsiweyo, extractives, amafutha ezilwanyana.

Izinto ezibangela necrosis pancreatic zepancreas baninzi, kodwa amaxesha amaninzi uqala emva kokudla izixa ezikhulu utywala, ukudityaniswa ukutya okunamafutha protein. Kuyenzeka ukuba sifo kwenzeka phantse nangoko kwaye ahlasele uyakwazi ukuphuhlisa kwi imvelaphi intlalo-ntle. amatyala akhawunti apho injeke necrosis pancreatic, ukufa kwenzeka emva kokuba umbandela iiyure emva kokuba iimpawu zokuqala zesi sifo, waba emva kweentsuku nje ezimbalwa apho emva itheko elikhulu.

Kwenzeka ntoni ku necrotizing pancreatitis

Healthy nepancreas ivelisa enzayim ezo ezifunekayo cleavage ukutya nghena isisu. Kuyinto ngenxa kubo ukuba ukutya zahlulwe zaba izinto ezinokuthi ukungena igazi, ezisa ukuba ancedisana izitho ingaphakathi isisu. Oku kwenza injeke, omnye amalungu zibalulekileyo emzimbeni. Ukusela utywala kunye nokutya okunamafutha intabalala kabukhali ivuselele juice pancreatic, kwaye ukusukela ukuba imibhobho ayikwazi ukusirhoxisa ngokupheleleyo, ngoko iqala kukwakha phakathi le ndlala. Oku kukhokelela kuphuhliso nokudumba, ucinezelo ngakumbi imibhobho excretory kunye odla elandelayo. enzyme pancreatic Active, ogama msebenzi ekuqaleni kokusasaza kwiiproteni exuded eludongeni bile iqale ukunyibilikisa kubo, phantsi amanyathelo enqanda yi "ukwetyisa" eyakhe inyama ibele. enzyme esebenzayo kunye iimveliso nokucazululwa lasekwa ngo oku kuwa phakathi kwegazi nokukhuthaza zokuchithwa namanye amalungu kunye namalaphu, ebangela ukunxila olomeleleyo. Ngenxa yoko, necrosis pancreatic zepancreas, ogama ALS Kunzima ukuqikelela, sisifo kuyingozi kakhulu.

ngezigaba necrosis pancreatic

Ngokuxhomekeka kubukhulu ezitshangubeni prostate ezahlula melkoochagovyj, sredneochagovy, macrofocal, Iyonke kunye necrosis iyonke pancreatic. Kakade ke, umahluko phakathi kweentlobo ezimbini zokuqala ubukhulu becala eqhelekileyo. Le oogqirha amagama basebenzise ukuqonda iqondo umonakalo emzimbeni. Xa necrosis pancreatic utshintsho losuku necrotic phantse le ndlala. Ukuba umzimba ubethwe ngokupheleleyo, inani lilonke ndine pancreas pancreatic. esibulalayo kule meko isoloko waphawula.

Kukho olunye uhlobo lwale yokuhlela. Yena wahlula pancreatic ngeentlobo ezimbini:

• Limited. Oku kuquka inkqubo apho kucebisa ngobukhulu ezahlukeneyo kwakheka.
• Common. Kulo mzekelo, uninzi amadlala ochaphazelekayo okanye umzimba wonke ngokupheleleyo.

iintlobo necrosis pancreatic

Kuxhomekeka ubukho zokugula kwiindawo ezichaphazelekayo ukwahlula necrosis engenazintsholongwane okanye esosulelayo pancreatic. I-ALS kakhulu ntle, njengoko amathuba bothukile ezosulelayo ezingenabungozi, kwaye ukuba isigulana bakhuphe kule karhulumente kunzima kakhulu kwimeko yenkqubo sifo.

necrosis wawuqalekisa pancreatic yohlulwe ezi ndidi zilandelayo:

• fat - Akumangalisi kuphuhliso olucothayo kwiintsuku 4-5 okanye ngaphezulu phakathi lula kuye;
• haemorrhagic - luphawulwa imisinga okukhawulezileyo rhoqo ukopha;
• Icandelo elinezakhiwo - zenzeka qho, kuba pancreonecrosis abachaphazelekayo ngokulinganayo kunye adipose inyama nepancreas parenchyma.

Ukuba une operation etshabalalisayo nepancreas pancreatic ayinakuphepheka. Kodwa ke engaphenduli oko akufunayo, yaye kunokwenzeka re-uphuhliso izilonda necrotic.

Iimpawu kunye isifo necrosis pancreatic

Ngokwezonyango, pancreatitis etsolo ivela iintlungu yomeleleyo ekhohlo iintlungu ikota yesangqa eliphezulu okanye herpes mlinganiswa. Linganihlanzi imixholo isisu, yivusa isiqabu, urhudo. Ngokuchasene neli qonga lingasemva uza ngokukhawuleza emzimbeni, ukwanda letyhefu. Xa uphethwe imbali yezonyango kubaluleke kakhulu. Ukuba iqulathe ulwazi malunga kakubi kotywala, ukutya okunamafutha, okanye ulwazi malunga izifo wesibindi nenyongo isinyi, kungenzeka kakhulu ikuvumela ukuba esi sifo njengoko necrosis pancreatic zepancreas. I-ALS oku kuya kuxhomekeka koko inqanaba lesi sifo isigulana afune uncedo lonyango, kunye nezinga le ntshabalalo.

Ngokubhekiselele kwilabhoratri uphethwe, kukho ingqalelo ekuhlalutyeni umchamo negazi, apho kukho ngaphezu elibalulekileyo kumanqanaba amylase. Kwakhona ukuqhuba ultrasound esiswini, CT okanye MRI, apho ubona ukuvela kwiindawo necrotic emzimbeni pancreatic.

unyango

Kwiimeko ezininzi, utyando kuyimfuneko necrotizing pancreatitis. Kwangaxeshanye, nangona ukuba ipesenteji abafayo phezulu ngokwaneleyo, ukusebenza ngexesha unika ithuba kakhulu achache. unyango Conservative kuquka la manyathelo alandelayo:

• kwiintsuku nje ezimbalwa emva kokuqala - yindlala, yaye ngokuxhomekeke ebukhulwini ngokuqaliswa sifo kwezondlo nge ukumnika efakwa ungaqhubeka iiveki;
• zokuhlanjululwa igazi (hemosorbtion) - oluqhutywa ukunxila okanye kakhulu;
• somatostatin - hormone kunciphisa iimpembelelo yokuphazamiseka nezintso, asoloko ehamba necrosis pancreatic;
• Iifom esosulelayo - antibiotics.

pancreatitis Acute - yokudla

Ekubeni ke into ukudla kuvame kakhulu unobangela, kubangela pancreatitis etsolo, oko nje ukuba ibaluleke kakhulu kule nkqubo yonyango. Njengoko kukhankanyiwe ngasentla, kwiintsuku zokuqala emva kokuba une pancreatitis ludlule, ukutya ngqongqo kakhulu - yindlala zinyanzelwe. Kwiingozi ezimasikizi, ulawulo izondlo parenterally ungatsala iiveki eziliqela.

Kamva xa injeke amandla necrosis pancreatic lubandakanya unyango gentle ukuba wasinika nokukhutshelwa eliphezulu yomxhesho amafutha kunye carbohydrate, kwakunye neemveliso ezidala flatulence. Ukutya iyabiliswa nokutyunyuzwa ngenyameko. Esithathwe iinxalenye ezincinane izihlandlo ezihlanu ukuya kwezintandathu ngosuku. Ngokupheleleyo nya ukusetyenziswa extractives kunye neetyuwa zayo. Loo ukutya, kuxhomekeke ubungqongqo esi sifo, kufuneka kuhlala ukusuka kwiinyanga eziliqela ukuya kunyaka.

Kakade ke, kunye kwezifo ezifana ezifana necrosis pancreatic zepancreas, isiphumo ebulalayo kunokwenzeka, yaye, ke, kubhetele ukuba ukuzisa umzimba wakho ukuba ukuhlasela kangangoko kunokwenzeka ukuphelisa izinto ingozi. Kodwa ukuba isifo useza ke yaqulunqwa, ukuba yimibhalo ukuya ukutya kuya kunceda siphephe likakade elizayo.