Necrosis Acute zepancreas. Iimpawu, unyango

Le injeke ubuxoki emva peritoneum kwi I-II namacandelo empontshwa vertebral kwinqanaba. Le umzimba inxaxheba kwiinkqubo zibalulekileyo emzimbeni. Emva koko, siya ukuqonda, yintoni umsebenzi wakhe, yintoni kuba amakhwiniba imisebenzi yayo. Ngokukodwa, sicinga elibonakalisiweyo necrosis oyingozi pancreatic.

Overview

Nepancreas (ubukhulu eqhelekileyo: 15-10 cm - ubude 2-3 cm - ububanzi) ithathwa umzimba enkulu ngokwaneleyo. ubunzima bayo abadala - malunga 100 g ekuzalweni wehla akukho grams ngaphezulu kwesithathu. Xa abantu, umzimba owenza imisebenzi emibini ebalulekileyo. Makhe siqwalasele ngokweenkcukacha ngakumbi ngezantsi.

umsebenzi zomzimba

nepancreas Exocrine kubalulekile ukuba duodenum - ime phandle kuyo incindi pancreatic. Iqulethe enzyme: amylase, yelactose, maltase, lipase, trypsin kunye nezinye. Ngenxa juice pancreatic ukuba bangabi imixholo emuncu esiswini kunye ukwetyisa ukutya. Ekuqaleni, enzyme ziveliswa ngohlobo opholileyo, kamva isebenze le duodenum-12. isenzo sabo sibhekiswe ukuwa carbohydrate, amafutha, kwiiproteni iinkalo eziphambili. Ukusebenza enqanda iphenjelelwa inyongo enterokinase. Secretion yangaphakathi imveliso iikhompawundi ebalulekileyo. Ezi ziquka, ingakumbi, iquka lipokain, glucagon kunye insulin. Le yokugqibela ezimbini abamelene omnye komnye. Bona inxaxheba ekumiseleni eswekile yegazi ingqalelo, ukutya ekudleni. Ngenxa lipokaina owabumba luyenzeka phospholipids esibindini. Oku, iba nefuthe kuyingenelo kwi igcwala ye asidi okunamafutha. Xa deficiency lipokaina mhlawumbi okunamafutha isibindi.

yobisi

Ngaphakathi ndlala eyipasile umjelo ivula kungena duodenum. Enyongweni eziqhelekileyo kunye imibhobho pancreatic, kwiimeko ezininzi wabumba ingqayi. Ngenxa yoko, vula i enkulu ingono 12 duodenal isilonda. Le imibhobho pancreatic uxinzelelo eqhelekileyo kufuneka ibe ngaphezulu kuno kwi bile duct eqhelekileyo. Oku kungenxa imfuneko ukunqanda ukukhutshwa imixholo amathumbu kunye isinye nenyongo.

Nokuhlukunyezwa imisebenzi zomzimba

Xa utshintsho umahluko ingcinezelo kwi duct nepancreatic kubonakala lwegazi. It linxulunyaniswa nobunzima yayikukuphuphuma yejusi pancreatic, khupha imixholo esinyini inyongo okanye kwesisu. Ngokuchasene imvelaphi ukwanda xi iiseli zabo pancreatic baqale ukuba yonakele. Kwezi enzyme zikhutshwa kwaye luvuleke udibaniso. Bona ingangena kungena parenchyma, amafutha kunye zomzimba nokuqina ye endlaleni. Isiphumo ukusabela chain. Esebenzisa enzyme omnye uyakhululwa zombini. Oku kuphakamisa yinkqubo yokukrala ekhokelela ekwandeni kokuqukuqela igazi, yaye emva koko - ukuba kungekho kukhula igazi. Oku kunegalelo thrombosis kwi le ndlala. Ngenxa yoko, igazi disorder kwenzeka pancreatitis, ngokufuthi ingqondo necrosis pancreatic.

Izinto ezibangela ukuphazamiseka le

imeko yezifo ngokuqhelekileyo ivela njenge ngenxa yokuhlaselwa badla omnye okanye ngokuphindaphindiweyo pancreatitis. Le fom etsolo inxulumene ngqo cholelithiasis. Njengoko izinto ukunisa kuphuma nezilonda (esiswini okanye duodenum 12), ukuqina kwesibindi, ihepatitis, butywala.

inkcazelo ebalulekileyo

Njengokuba kukhankanyiwe ngentla, omnye wemisebenzi unamadlala ezidalwe ziquka ukuveliswa hormone. Ekwenzeni lo msebenzi ababandakanyekayo ukuba nemisele ka Langerhans. Kwimeko ukoyiswa yabo imvelaphi ezimbi, kubandakanywa pancreatitis esinganyangekiyo ngaphakathi, nokuphuhlisa ngamanqatha ukonakala kwesibindi seswekile (diabetes). Le injeke uyakwazi self-aqhelane uhlobo lokutya. Konke kuxhomekeke ekudleni. Xa ufumana isixa esikhulu carbohydrate luvuliwe ngaphezu kokusasaza enzyme zabo. Ukuba ukudla okunamafutha nakolu, uvelisa lipase ngakumbi, yaye ukuba kwiproteni - trypsin. Nangona kunjalo, ezi mpawu akufuneki ibe ukuxhatshazwa. Inyaniso kukuba lo injeke kunqabile unika imiqondiso malunga overload kunokwenzeka. Ngokuqhelekileyo oku kubonakala kakhulu yokusabela ugonyamelo, nto leyo ungqina ukuba lokuqala inqanaba sifo, kwaye yintlahla zayo ngokupheleleyo.

Imiphumo kwezifo abangakhathalelwanga

Ngezenzo urhulumente zepancreas kunokubangela iingxaki ezahlukahlukeneyo. Ingxaki kakhulu kukuba ecaleni kwaso kukho nezinye ii-arhente ukuba kubalulekile ukuba umzimba. Oku, ngokukodwa, udakada, isibindi, isisu. Akunyanzelekanga ube likheswa nentliziyo. Xa ukunyhashwa kumsebenzi zepancreas kunye umzimba wagxininisa. Utshintsho kwindlela kwenzeka ngokukhawuleza kakhulu. Kuba iiyure umhlaza pancreatic maxa wambi nje ezimbalwa.

necrosis Acute zepancreas

Le nkqubo umzimba inyama intshabalalo. uphuhliso iyasichaphazela imiba eyahlukeneyo esibuhlungu. Xa intliziyo yabo ubuxoki ilungu komtshiso oko. necrosis Acute zepancreas kuphuhliswa kwimeko kuqhinwe zeemviwo yayo kunye nonyango. Ngexesha inxaxheba enqanda abo omzimba. Ngenxa umsebenzi wabo ekugayeni pancreas. Xa isebenze enzyme Embi phambili iinkqubo zophendlo lwezifo. Ngenxa yoko, bakha nakujoliso olutsha of necrosis ngamanqatha.

Inkcazelo yenkqubo

Ngenxa ukuqhekeka fatty lwenzeka pH shift. Oku usebenze tripsogen intracellular. Kamva, oku uguqulwa trypsin. Le ezimbaxa, yena, owenza usebenze proteases ukuba zibe nepokotho ezithile proteolytic. Enzyme baqale ezinokudla iindonga nemithambo kunye zomzimba nokuqina. inkqubo entshabalalo lingaphezu pancreas. recovery Body kule meko yinto engenakwenzeka. Xa ngokubonakala iimpawu ezicacileyo yokuba ukufa inokuba ngokukhawuleza.

mandundu

Necrosis zepancreas, iimpawu eziza kuxoxwa ngezantsi, kudla ngokubangelwa kukutya kakhulu utywala, ukudla, zeDyskinesia kwisiqwenga biliary, enzyme ukungaqheleki lokuphuma ngenxa cholangitis, cholecystitis calculous. Challenge ngezifo ukuze ithamo olungachanekanga amayeza, idosi ukungathobeli kunye yesekethe isicelo. necrosis Acute pancreatic ukuba zibangelwa yi rhoqo zizifo ezosulelayo ntshikilelo.

zokugula ukuba

Kuxhomekeka Proliferation, necrosis etsolo pancreatic inokuba esityebileyo focal. Le nkqubo inkqubela ukuhamba elidangeleyo ngokukhawuleza okanye ngokufanelekileyo. Ukungqinelana uhlobo zophendlo lwezifo ikhosi pancreatic yahlulwe entshabalalo, esebenza, hemostatic, ukopha kunye edematous. Le yamva ithathwa ifomu ngobulali. Ngenxa yokwanda okwandisa injeke okuvuselela ukwanda uxinzelelo pankreotsity kunye ukuphazamiseka microcirculation. Unyango lwe sigaba edematous, ngokuqhelekileyo ngempumelelo. Ngokubhekiselele ngezifo lingekabi lilixa abanezakhono kuthatha uhlobo ukubaleka. Ingakumbi, inkqubo necrotic unika outflow of pancreatic umhlaza digestive enzymes. Ngenxa ukwetyisa iqala ngaphakathi emzimbeni. Ekuhambeni le nkqubo iqala afunxwe ubofu kungena kwisisu. Ngenxa peritonitis senzeka ngohlobo yayiyazi. Oku uqhaqho. Kungenjalo ukuqala nokudumba, nisingise ekufeni.

picture clinical

Ziintoni iimpawu necrosis pancreatic? Iimpawu zezifo ibingenamongo ngokwaneleyo. In ekhohlo intlungu ikota yesangqa eliphezulu herpes zoster kukhulisa ubunjalo. Lithe laqhenqetha wonke umzimba ngezantsi ezimbanjeni. Ubuhlungu ihlombe kwaye unika nencakuba nje ukuhlaselwa yintliziyo. Iinkqubo zihambisana ukugabha lweenkcukacha, ukuqumba, flatulence. Isigulane enefiva, isikhumba ujika luthuthu okanye reddens. Uphawu olungundoqo imeko zophendlo lwezifo kuthathwa ukuba kube uphawu Grey-Turner. Oku kubonakala ngokohlobo amabala bamantshontsho emacaleni esiswini. Ngokucofa udonga ephawulwe iintlungu, ukugogeka. Uphethwe mazenziwe ngokususela uviwo ezibonwayo, izikhalazo nomonde, kwakunye neziphumo izifundo zomculo kwaye elabhoratri. Ukuvavanya echogenicity parenchymal otyunjwe ultrasound. CT kunye MRI scans, angiography kunye laparoscopy kukuvumela ukuba ukucwangcisa isiqalo ngqo esi sifo.

amanyathelo zonyango

Unyango necrosis etsolo isenokuba utyando okanye endala. Ukhetho luya kuxhomekeka utshintsho zophendlo lwezifo emzimbeni. exposure Drug yabelwe ngamnye. Phakathi amachiza Kucetyiswa ukuba ukwamkela, - spasmolytics (lithetha "No-Spa", umzekelo), kunye namachiza cytotoxic antifermental echaphazela enzyme yokuqaphela. Ndlela ngotyando lusetyenziswayo yi laparotomy kunye laparoscopy. Nangona kunjalo, ngexesha lo msebenzi akusoloko kusenzeka ukuba ecaleni ngokupheleleyo ngezifo. Ngokubanzi, unyango lwezigulana isicwangciso se esibhedlele olwenziweyo.