Hemrosis hemorrhagic pancreatic

Hāʻawi mākou iā ʻoe e heluhelu i ka ʻatikala ma ke kumu: "hemorrhagic pancreatic necrosis" me nā ʻōlelo a nā kauka. Inā makemake ʻoe e nīnau i kahi nīnau a kākau paha i nā ʻōlelo, e maʻalahi ʻoe i kēia ma lalo o ka ʻatikala. ʻO kā mākou loea endoprinologist e ʻike maoli iā ʻoe.

He aha ka hemorrhagic pancreatic necrosis a me ka hoʻomaʻamaʻa hou aku i ka mālama ʻana o ka maʻi

Wikiō (kaomi ke pāʻani).

Hōʻike ʻia nā maʻi e ulu nei ma ka pancreas e ke ʻano holomua wikiwiki, a me ko lākou hiki ke hoʻonāukiuki i nā hoʻopiʻi koʻikoʻi loa. I waena o nā ala āpau e hiki ke kapa ʻia i ka hemorrhagic pancreatic necrosis, he maʻi hōʻeha a hoʻoweliweli.

He aha ke ʻano o ka maʻi, he aha nā mea e hoʻonāukiuki ai i kona hoʻomohala ʻana, a no ke kumu hikiʻole ke hoʻōla, e wehewehe ʻia ma kēia ʻatikala.

ʻO ka hemorrhagic pancreatic necrosis (pancreas) kekahi o nā pilikia nui loa me kahi papa kūikawā. Me ka hoʻolālāʻana o kēia maʻi, hiki ʻole i nā hana kūpono ʻole a me ka wikiwiki o nā nekrosis o nā nui ola.

I kēia maʻi paha:

Ma ke ʻano he kānāwai, he mea maʻamau ka hōʻike ʻia o ka maʻi pancreatitis, akā hiki ke mālama ʻia i ka manawa o ka exacerbation o ka maʻi pancreatitis.

Wikiō (kaomi ke pāʻani).

Hana ka hemorrhagic necrosis:

Lokalaka (partial cell death).
Ka nui (make o nā poʻe āpau āpau).

Eia nō naʻe, me nā ʻano like ʻole, ka maʻi like ʻole e pili ai i ka pathologically i ka ʻaoʻao o ka lilo ʻana o ka pancreas, ka mea i kapa ʻia ʻo acinus, nona ka hana ʻana i nā enzyme, nā mea kūikawā ʻokoʻa nā mea o ka pehu o ka pancreatic.

Eia kekahi, ua māhelehele ʻia kēia palola e like me ka pae, a he mau ʻano like ʻole.

Mai kahi pili:

Necrosis o kahi ʻano pilikino, hiki ke liʻiliʻi, liʻiliʻi a nui paha.
ʻO Subtotal a me ka huina, nā mea i kapa ʻia ʻo ka necrosis maʻamau, kahi e pili ai kekahi o nā pancreas a pau paha.

Ma ka hele a haʻalele ʻole paha i nā mea maʻi bakteria:

Aia i kāu ʻano, hiki i ka maʻi ke:

ʻO nā ʻano āpau o nā maʻi e kū i ka manawa e loaʻa ai ka ikaika o nā kinina, ʻaʻohe hōʻailona koʻikoʻi. No laila, me ka hoʻoulu hou ʻana o nā enzymes, ua hoʻomaopopo ʻia ke kaʻina o ka hydrolysis o nā protein.

Eia kekahi, ʻo kekahi o kēia mau enzymes (ka mea i kapa ʻia elastase), hiki ke hōʻeha i ka membrane o nā kīʻaha koko, ma laila ke kumu o ka ʻike ʻana i ke koko. I ka lāʻau lapaʻau, kapa ʻia kēia mea kapa ʻia "autoaggression o nā enzyme pancreatic."

No laila, hemorrhagic pancreatic necrosis he hopena o ka hōʻino hoʻonāukiuki o nā huina o nā ʻano kaila: elastase, chymotrypsin, trypsin.

Hōʻike ʻia ka maʻi e kahi hoʻomohala phased.

ʻO ke ʻano mua: ma ka pancreas, he ulu kahi hoʻomohala o nā mea pathogen e hoʻonāukiuki i nā mea kūʻole e like me ka autoaggression a me ka toxinemia o nā enzyme pancreatic, ka mea i hōʻike ʻia e kēlā mau hōʻailona: ka stst ststable, luaʻi a me ke kuni.

ʻO ka papa mua: ka hoʻonā ʻana o ka hoʻomaʻemaʻe ʻana o nā ʻāpana o nā hua i ke kō, me ka hoʻomohala ʻana o kahi hala ʻole (lua) i loko o ka pancreas.

ʻO ke kolu ʻ tiga: e laha nā ʻōlaʻi i nā ʻōnaehana olakino e pili ana, e hana ana i kahi kūlana kaumaha no ke kino.

E like me kāu e ʻike ai, he pilikia nui kēia maʻi no ke ola o ke kanaka a pono i ka therapeutic koʻikoʻi a, inā pono, ʻo ka lāʻau lapaʻau.

I kēia manawa, ʻike ke lāʻau lapaʻau i nā mea nui e kōkua i ka hoʻomohala ʻana i kēia kaʻina pili. Ka mea maʻamau ma waena o lākou:

Hoʻokumu ʻia nā ʻaila o ka pancreas, kahi i ʻike ʻia ai kona mau mokuna atherosis, a me ke kahe ʻana o ka puna pancreatic (ʻawaʻawa).
ʻO ka pōʻino (hoʻoheheʻe) o ke kino ma ke ʻano he maʻamau, ʻo ia ka mea e hoʻokuʻi pinepine ai inā loaʻa ka mea maʻi i ka maʻi ʻakaʻaka.
ʻO ka ʻōnaehana hoʻonohonoho pono ʻana o ka wai pancreatic i loko o nā kumu no ka pancreatic, ka mea maʻamau i ka neʻe ʻana o nā pōhaku i ka puʻuwai.
ʻO ka hele mua ʻana o ka pāpaʻi infectious i loko o nā kaile bile a me nā kumu bile, he hanana maʻamau me ka cholecystitis a me cholangitis.
Disseminated intravascular coagulation a me ka thrombohemorrhagic syndrome, e hele pinepine ana i nā ʻano like ʻole o nā maʻi a me nā maʻi bacterial, a hele mai ma hope o chemotherapy a ma hope o ka ʻike ʻana i nā dosis kiʻekiʻe o ka radiation ionizing.
ʻO ka vasculitis hemorrhagic (pathology autoimmune).
Trauma mekanika o ka pancreatic parenchyma, loaʻa kahi ʻano kūlohelohe ma hope o ka hoʻomaʻamaʻa ʻana.

He hōʻeha kēia maʻi no ka mea hiki ke hoʻopilikia i nā kino ʻē aʻe o ka papa gastrointestinal, e hōʻeha nei i kā lākou hana.

ʻO kēia mau hōʻailona me ka hōʻailona o kēia maʻi:

Ka huehue, ikaika ikaika loa i ka ʻeha ma ka hypochondrium hema, e kū ana i ka umauma hema, ke poʻohiwi a me ke kua i lalo.
Putu maloʻo.
ʻO ka manaʻo o ka ʻauhau ʻana o ka alelo.
He luaʻi hoʻohiki.
Kahula
He luaʻi ʻino.
Lūlū.
Nā maʻi maʻi
Hoʻonui ka mīkini.

Eia kekahi, hoʻopiʻi ka mea maʻi i nā hōʻailona ʻē aʻe:

Ke kiʻekiʻe kiʻekiʻe.
ʻO ka hele ʻana aku o nā ʻāpana polū a i ʻole ʻulaʻula paha ma nā ʻaoʻao o ka ʻōpū a i ʻole ma kona kikowaena waena, e hōʻike ana i ka hiki ʻana o ke koko kūloko.
He kahe koko e kaomi ʻole.
Pulse wikiwiki.
Hoʻopili iki i ka hanu.
Ka liʻiliʻi o nā urine inā urinating.
ʻO nā maʻi noʻonoʻo.

Wahi a nā helu olakino, ʻo ka hemorrhagic pancrosatic pancrosatic ma 1/5 o nā mea maʻi e hoʻonāukiuki i kahi pōpilikia, a ma ka 1/3 aia kahi coma a i ʻole ka pilikia o kahi ʻano aʻokiʻoki.

Ma ke ʻano o ka hoʻokumu ʻana o ka fistula pancreatic-retroperitoneal, ʻihaʻeha ʻia ke ʻano o ka mea maʻi ma muli o ke komo ʻana i nā mea pancreatic ma ka ʻōpū o ka ʻōpū, a me nā mea pākana o kāna mau make make, ma muli o kahi o ka manawa o nā ʻōpū o ka ʻōpū a me ka hoʻomohala ʻana i ka peritonitis me nā hōʻailona purulent e hoʻomaka.

Hōʻike pinepine nā kauka i ka mālama pilikino ʻana o kēia mahele me ka hoʻohana ʻana i nā ʻano hana pilikino ua contraindicated. Hiki ke hoʻohana ʻia ma hope o ka pau ʻana o ka hoʻohana ʻana i nā loina olakino holomua i ka manawa hōʻola o ke kino, a ma lalo o ka mālama pono ʻana i kahi kauka.

ʻO nā mahele nui o ke komo pū ʻana:

Hoʻokuʻu i ka ʻeha. No kēia, ua kauoha ʻia nā analgesics, antispasmodics (Papaverine, No-shpa, Novocaine a pēlā aku).
ʻO ka hana o ka hoʻonāukiuki o nā enzyme pancreatic. Hoʻonohonoho ʻia nā kiʻi inikini a me nā ʻekena e hoʻohana ana i ka infusion Trasilol a i ʻole Trotikal infusion.
ʻO ka hoʻopau ʻana o nā spasms, ka mea e hiki ai ke hoʻonui i ke ʻano o ke kumu o ke kīpona, a ʻo nā hana kekahi e lawe ʻia no ka hoʻemi ʻana i ka nui o ka wai o loko o ka gasted i huna ʻia. Ma kēia ʻano, pono eʻai i kahi papa me nā manawa nui o ka pololi. ʻO nā lāʻau lapaʻau i hoʻohana ʻia ʻo Ephedrine, Atropine.
ʻO ka pale ʻana i ka hoʻolaha ʻana i nā meaola a me nā meaʻino i nā kino kokoke. No kēia, ua kauoha ʻia nā antibiotika, no ka laʻana ʻo Zeporin, Gentamicin a me Kanamycin. E hoʻoneʻe i nā toxins mai ke kino, hoʻohana ʻia ka glucose me ka insulin a me nā hopena ʻē aʻe.

Me ka holomua o ka pathology me ka nui o ka hōʻino o ke kino, ua kuhikuhi ʻia ka hana ʻoihana.

Eia kekahi, ʻo ka huina hemorrhagic pancreatic necrosis, i hui pū ʻia e nā hōʻailona o ka maʻi, e koi ana i ka papa ʻaʻā pancreatic, a i ʻole he ʻano hana hou i hoʻokaʻawale ʻia - ke kinai ʻana o ka pancreas (ua kapa ʻia kēia hana ma ka pancreatectomy).Eia naʻe, hana ʻia kēia hana i nā hihia maʻamau, ʻoiai he kiʻekiʻe kiʻekiʻe o ka morbidity a me ka make.

ʻO kekahi ala hou e neʻe ai ka leʻaleʻa o nā pūnaewele make (sequestrectomy).

I ka wā o kēia mau hana, ua kiʻekiʻe ka hopena o ka hōʻeha hōʻeha i nā ʻokoʻa pili i ke kino, e hoʻonui ai i ka hopena o ka hoʻomohala ʻana i nā hoʻopiʻi like ʻole a me nā hihia momona.

ʻO ke kaumaha o kēia maʻi he hopena lōʻihi loa ia, hiki ke lawe ʻia i ka manawa mai nā hebedoma a ʻeono mau mahina, a ʻoi aku paha.

Nui nā mea maʻi me kēia maʻi e hoʻomaka nei inā make lākou mai ka hemroshitis pancreatic hemorrhagic. Makemake lākou e ʻike i ka nui o nā manawa kūpono e hoʻolaʻa hou ʻia, a he aha ka mea e hiki ai ke ʻikeʻike no ka hemorrhagic pancreatic necrosis?

ʻO ka mea pōʻino, ʻaʻole i hōʻoluʻolu iki nā helu o nā kauka: i nā mea āpau o ka maʻi, he 50% i make. ʻO ke kumu o ka make he make piha o ke kino, hoʻonāukiuki ʻia e ka peritonitis purulent.

I ka manawa like, ʻike ʻia nā helu ʻoi pololei, no ka laʻana, me ka hemorrhagic pancreatic necrosis ma ke kumu o ka make:

7-15% - hui kino.
40-70% - me nā ʻano hoʻohālike ikaika.

ʻO nā kānaka e predisposed, a i loaʻa paha kekahi pilikia me ka pancreas, pono e hoʻāʻo e pili pono i nā lāʻau lapaʻau pono āpau e mālama ai a pale i ka hoʻomakeʻe hou aʻe o ka maʻi.

ʻO ka mea maʻamau, i mea e pale ai i ka necrosis pancreatic, pono e hana ʻia nā mea āpau e pale ai i ka hoʻokumu ʻana o ka pancreatitis.

Hoʻopau i kahi hoʻohālike i ka meaʻai.
Ka hoole loa ʻana i ka ʻona.
Ma ke alo o kekahi mau maʻi gastrointestinal, pono lākou e mālama ʻia i ka manawa kūpono.

ʻO ka mālama wale ʻana i kou olakino hiki ke kōkua i ka hōʻalo ʻana i nā hopena pōʻino.

E like me kāu e ʻike ai, pono e hoʻopiʻi nā maʻi me kēia maʻi i nā ʻōlelo āpau a ka gastroenterologist, a me kahi predisposition i nā anomalies gastric, i mea e pale ʻole ai i nā hōʻiliʻili like ʻole, e lawe i nā hana kūpono e pale aku ai iā lākou.

ʻO ke ʻano kēia, pono ʻoe e ʻimi i ke kōkua olakino i kahi manawa kūpono no ka hoʻopuʻi liʻiliʻi ʻana i ka mahele o ke aʻi, a me nā pancreas. ʻO ka nele o ka lāʻau kūpono e hoʻonui i ka hopena o ka make.

ʻO ka hoʻohana mauʻana o ka uku monastery no ka mālamaʻana o ka pancreatitis

E kāhāhā ʻoe i ka wikiwiki o ka emi ʻana o kēia maʻi. E mālama i ka pancreas! ʻOi aku ka nui o nā poʻe 10,000 i ʻike i kahi holomua nui o ko lākou olakino ma ke inu ʻana i ke kakahiaka ...

He aha nā pancrosatic pancreatic a me kona weliweli?

Ke ulu nei ʻo ia, hiki i ka nekrosis ke pālahalaha a pākī i nā lālā pili kokoke. Ma ka manawa like, ʻo kēlā mau kiko i hāʻule i lalo, ʻo ia hoʻi, ua make, ʻaʻole ʻae hou ʻia

No ke aha i hōʻeha ai ka hōʻeha o ka maʻi me ka pancreatitis a pehea e hōʻoluʻolu ai i kahi kiʻi migraine?

ʻAʻole aneane hiki ʻole ke ʻike i ke kumu o nā ʻiwi o ka hōʻeha i ka poʻe maʻi me ka pancreatitis, no ka mea, ʻo kēia hōʻailona, i ka laulā, he hoa maʻamau mau o ka maʻi pancreatic.

ʻO nā kumu a me nā hiʻohiʻona o ka palaka i ka pancreatitis

ʻO ka maʻi ʻeha ma ka ʻōpū o ka ʻāpana nui ke kumu nui i hōʻike mau ʻia. Hiki i ke ʻeha ke hōʻoki, ʻoki ʻia, a i ʻole ka maʻa mau ʻia, akā nuku.

Pehea e hoʻomaha wikiwiki ai i ke kaumaha me ka hoʻoulu ʻia o ka pancreas?

I mea e hōʻeha ʻole i nā ʻeha hōʻeha o kou noho maʻamau, pono ʻoe e makaʻala pono ʻaʻole i ka meaʻai maikaʻi wale nō, akā no ke ʻano maʻamau.

ʻO ka neurrosis pancreatic pancreatic he pathology koʻikoʻi, kahi e make wikiwiki ai nā pūʻulu o nā pūpuna i nā kiko o ka pancreas. ʻAʻole hiki ke hoʻololi ʻia kēia kaʻina a hiki mai i ka hana hōʻino ʻana i ka hoʻouluʻana o ka enzyme a me nā hana humoral, ka hopena nui i ka kūlana maʻamau o ke kino.

Hoʻopilikia ka maʻi, no ka mea, aia he pilikia koʻikoʻi no ka hoʻoulu ʻana i nā hopena koʻikoʻi no ke kino o nā mea ʻokoʻa like, e like me ka make.

ʻO ka hana o ka hoʻohālikelike o ka nekrosis ʻo ka hiki ʻole o ka umauma pancreatic e kū ai i ka hopena luku loa o ka wai hoʻonaninani kūwaho. ʻO ka wai pancreatic i kahi hopena alkaline, ma hope o ke komo ʻana i nā ʻāpana, pale ʻia e nā puna o ka ʻōpū. Akā i kēlā mau hihia ke hiki ʻole ke neʻe i nā enzyme mai ka lula, e wāwahi ana ka alkali i nā mea palepona o nā nui. Hoʻopuka ʻia ka luku luku ʻana i nā moku koko e komo ana i ka pala, a hoʻopōʻino i nā hōʻeha kahi a ke kahe o ke koko. ʻO ke kaʻina o ka luku ʻana i nā wahī a nā kino i hua ʻia he wai e kāhea ʻia.

Wahi a ka papa inoa o nā maʻi o ka maʻi āpau, aia ka pathology i ka kumuhana ʻo "Acre pancreatitis" me ke code K85.

Hoʻopili hou ʻia ka wai pancreatic, ʻoi aku ka wikiwiki o ka hoʻowalewale ʻana iā ia iho, a ʻoi aku ka ʻoi o kona ʻano.

Hiki i ka hemorrhagic pancreatic necrosis ke hōʻeha a me ka make o nā pū o nā mea ola ʻē aʻe i kahi kokoke i ka pancreas.

Hiki i nā mea like ke hoʻonāukiuki i ka hoʻomaka ʻana o ke kaʻina pili.

hoʻonāukiuki i nā hana kūwaho i loko o ka aʻe i lilo ʻia e ka heʻe ʻole o ka hoʻoneʻe ʻana o ka wai enzyme,
ka hoʻonāukiuki o nā ʻōnaehana me ka ethyl alkohol no ka manawa lōʻihi,
lohi i ka wai pancreatic i loko o nā kīpaha,
nā maʻi ʻeha o ka biliary tract (cholecystitis, cholangitis, etc.),
pani ana o ka kiko biliary (me ka maʻi o ka gallstone),
hoonui ka nui o ke koko i loko o nā moku me ka neoplasms malignant, a me ka nui o ke koko thrombosis i loko o ke kino ma hope o nā koina nui o ka radiation.
pilikia kāmona (vasculitis),
nā hoʻopiʻi ma hope o nā maʻi a me nā maʻi me kahi pilikia koʻikoʻi,
he overdose o kekahi mau hui o ke raina,
kaumaha nui ke kaumaha,
nā hōʻeha a me nā hoʻopiʻi ʻana ma hope o ka hōʻiliʻili ʻana o nā kaona o ka ʻōnaʻai.

ʻO nā enzyme eʻoi aʻe ka nui i loko o ka hana huna pancreatic i hana ʻia e wāwahi i ka mololi o ka protein o nā meaʻai e komo ai i loko o nā ʻāpana. ʻO Elastase, trypsin a me chemotrypsin alakaʻi i ka luku wikiwiki i nā sela parenchyma gland, i kekahi manawa e hoʻopiʻi ana i nā wahi nui. Ma muli o kēia, ua ulu ka pancreas a hoʻonui i ka nui, kahi ʻano nui e hoʻowalewale nei i ke olakino o ke kanaka.

Nā kumu kūlana no ka puka ʻana o kēia maʻi ʻino.

kaʻai ʻai ʻana me ka nui o ka momona a me ka waiʻona i ka mea ʻai,
ka huakaʻi a hele paha i ka maʻi pancreatitis,
ka hana mau ʻana o nā momona trans.

ʻO ka ikaika a me nā hōʻike hōʻike e hilinaʻi nui ʻia i ka nui o ka lesion. ʻO kahi e pili ana:

palena (me kahi liʻiliʻi, waena a i ʻole ka mana nui).
pālahalaha (pālahalaha i kahi ʻāpana āpau, ka kelepona holoʻokoʻa a i pālahalaha paha i loko o ka kiko).

Eia nō hoʻi, ʻokoʻa ka papa o ka necrosis pancreatic i ke alo o nā mea infectious:

Loaʻa ka hoʻomohala ʻana o ka maʻi i kekahi mau manawa:

I ka papa mua, hoʻomaka nā microorganism i ka hoʻouluola a hoʻonui i loko o ka pulupulu. ʻO ka hoʻonui hoʻonui ʻana i kā lākou helu mea hoʻonāukiuki i nā mea make hou aku me nā huahana lapuwale, kahi kumu o ka hōʻike ʻana i nā kao a hoʻonāwaliwali i ke kino ma mua o ka autoaggression. Hoʻopau kēia ʻano ma kahi o kahi hebedoma.
Ma ka lua o ka hana, ma muli o ka hemo o nā ʻāpana o ka parenchyma, hana ka foci o ka hana purulent a me nā hemahema o ke kūleʻa i ke kino.
I ka hana hope loa, pili ka maʻi i kahi ʻāina nui a hohola i nā ʻili o nā ʻāpana kū kokoke, kahi e hoʻonāukiuki i kahi hopena o nā ʻōnaehana kino āpau.

ʻO ka hōʻailona ma kahi o ke ʻano o kēia pathology i hele pinepine ʻole ai e hōʻeha. Kāʻe mālama ʻia ke ʻeha ma ka ʻaoʻao hema a i ʻole hypochondrium ma ka ʻaoʻao hema.Hoʻomaopopo ʻia ka nui o nā hōʻeha hōʻeha a wehewehe ʻia i ka komo ʻana o nā mauʻa o ka nerve i ka hana hoʻonāukiuki. Me ka piʻi ʻana o nā hōʻailona, hiki i ka ʻeha ke lilo i kāʻei a hāʻawi i ka ʻāina lumbar o ke kua, ke kāʻei poʻohiwi a i ʻole ke sternum.

Nā hōʻailona ʻokoʻa:

a laila hoʻohālikelike hou ʻia (ma ka luaa, ʻike ʻia ke ʻano o ke koko a me ka bile),
ua uhi ʻia ka alelo me nā lepa melemele ākea.
hypohidrosis oiwi waha,
ka hoʻemi ʻana o ka nui o ka urine i ke kāʻei o ka pane ʻana o ka laulā maʻamau,
ʻākipīlū a me ke ahulau,
hiva, hiki i ke kuni,
hoʻololi koke i ke koko,
ʻaʻano pōkole
lele i loko o ka pae ʻai i mea e hiki ai ke hoʻomākaʻaka, ʻalo ʻia a i ʻole hoʻi e leʻaleʻa, kūlana hilahila.

Hiki ke ʻike ʻia kekahi mau hōʻike. ʻO kēia mau hōʻailona hōʻailona o ka nerosis pancreatic pancreatic:

ka ʻōpū ʻana o ka ʻōpū
hele aku nā wahi ulaula me kahi kaila ʻulaʻula ma ka ʻōpū, ma nā ʻaoʻao. Hiki i nā ʻāpana ke hoʻopuni i ka pusaka a i ʻole paha ma nā ʻalā, he hopena ia i ke kahe ʻana o ka ʻōpala.
e lilo ana ka hanu a pinepine,
ma muli o ka emi ʻana o ka lumen o nā kahe koko, ua ʻulaʻula ʻia ka maka, akā me ka ʻokoʻa nui o ka pae o ka glucose, ulu ka paleness,
ka wikiwiki o ka puʻuwai naʻau a kiʻekiʻe loa,
melemele a ʻulaʻula paha i ke kino.

Hoʻonuiʻia nā hōʻailona mai nā hoʻopiʻi. Me kahi hopena i haʻi aku ai i ke kino i kahi kūlana kaumaha, hiki i ka nui o nā pilikia ke kūpaʻa. Ma muli o ke kahe o loko, ua hoʻoneʻe ka nui o ke koko ma ke kino holoʻokoʻa. Hiki i nā liona ke hoʻopilikia i ka ate, hāʻawi i nā hoʻopiʻi i ka māmā, a hana i nā puka purulent i ka ʻōkake pancreatic a me ka rehiyon retroperitoneal.

Ma hope o kēia, hoʻomohala ʻia ka loaʻa ʻana o nā abscesses ma ka ʻōpū o ka ʻōpū a me ke ʻano o ka peritonitis purulent. Hiki i ke kūlana o ke ʻano hoʻokahuli a coma paha.

ʻO nā hōʻailona nā hōʻailona o ka hemorrhagic pancreatic necrosis i nā nui e like me ka hōʻike ʻana o nā maʻi maʻi ʻē aʻe o ka ʻōwili, no laila, ke nānā wale nei i ka mea maʻi no kahi maʻi maʻi.

ʻO ka mea mua, hōʻiliʻili ke kauka i ka ʻikepili no nā anamnesis, kahi i loaʻa nā pane i kēlā mau nīnau:

He hōʻino paha ka mea maʻi i ka waiʻona
inā luhi ka mea i ka manawa o ka hoʻomohala ʻana i nā hōʻailona lapaʻau,
inā he maʻi maʻi paha ka maʻi pakanā.

No ka wehewehe ʻana i ka maʻi maʻi ma mua, ua kau ke kauka i kahi manawa no nā hoʻokolohua diagnostic:

hoʻāʻo ke koko, kahi e hoʻoholo ai i ka pae o ke mua o nā papa o ka huna huna pancreatic. Me ka hemorrhagic pancreatic necrosis, hiki ke hoʻonui ʻia ka hana enzymatic i nā manawa 6-9,
me urinalysis me ka manaʻo o ka uroamylase a me ka trypsinogen,
ka hoʻoholo ʻana o ka paʻakai o nā ʻōpū o ka ʻōpū,
ʻO ka pōkole o nā ʻōpū o ke kino e ʻike ai i ka hopena,
probing pancreatic hunaia e ike i bicarbonates a me na hana ikaika,
coproscopy, he mea kōkua e hoʻokūkū i ka pakeneka o ka momona i loaʻa ʻole i nā momona,
radiologie pancreatic,
hoʻoholo o ka amylase a me ka triglycerides i ka ea hanu,
Endoscopika pancreatocholangiography,
uku no ka lawe ʻana i kahi kikoʻī o ka ʻōpala necrotic,
magnetic resonance imaging a me CT e hoʻomaopopo i ka foci o nā hana necrotic.

Me ka hemorrhagic type pancreatic necrosis, ka mea maʻi, ma ke ʻano he kānāwai, hoʻopau i loko o kahi keʻena olakino ma hope o ke kāhea ʻana i kahi ʻāpana, a ma muli o ia i kau ʻia ai i loko o ka hale haukapila a lawe ʻia kahi hoʻokolokolo nui loa.

Ma ke kūlana koʻikoʻi o ka mea maʻi, pono e hoʻokau ʻia nā lāʻau ma ka hui mālama mālama me ka mālama mau ʻana i kona ʻano.

Hoʻololi ʻia ka mālama ʻia ʻana me nā mea kanu hānai no ka maikaʻi ʻole.Lawe ʻia ka Therapy i nā hana maʻamau o ka mālama ʻana i ke ʻano o ke kanaka e nā limahana lapaʻau koʻikoʻi.

I nā lā 3-4 mua, mālama ʻia ka mālama conservative ma ke ʻano o ka pōloli piha. I kēia manawa, mālama ʻia nā momona. I mea e pale aku ai i ka hana huna ʻana o ka ʻaila pancreatic, lawe ʻia nā mea o loko o ka ʻōpū ma ka holoi ʻana.

Pono e hoʻokaʻawale ʻia ka lumi i kahi e mālama ai ka mea maʻi. ʻAʻole hiki ke neʻe kahi kanaka e hōʻemi i ka hoʻonui ʻia o nā toxins ma loko o ke kino.

ʻO nā hana nui a nā kauka i kēia manawa o ka lapaʻau.

E hooki i ka eha. No ka hōʻeha ʻana i nā ʻeha, hoʻohana ʻia nā lāʻau e like me Ketanov, perade peritoneal-lumbar blockade e hui pū me nā ʻano lulu e pili ana i ka Novocain a i Promedol.
Hoʻopau i kahi manawa i ka hana o ka pancreas a hōʻemi i ka hana kemikū o ka huna ʻana o ka enzyme. No kēia mau pahuhopu, hoʻohana ʻia nā lāʻau lapaʻau e pili ana i ka lolo Atropine, Ftorafur, Trasilol, Gordoks, etc.
E hōʻoluʻolu i ka hoʻopihapiha ʻana, hoʻomaha ʻoluʻolu a kāpae i ke kani ʻana i nā kumu pancreatic. No kēia mea, hoʻohana ʻia nā lāʻau antispasmodic No-shpa, ʻo Dortaverin a i ʻo Platifillin e hoʻohana ʻia.
E hōʻemi i ka luhi ma ka kelomi ma o ka hoʻemi ʻana i ka nui o nā mea huna o ka gastric a hoʻihoʻi i kona kaila. Loaʻa kēia i ke kōkua o antisecretolytics Ephedrine, Atropine a i Quamatel paha.
Kāohi i ka hoʻonui ʻana o ka maʻi infectious a me ka hoʻonui ʻana i ka pehu, kāpae i ka nui o ka suppuration i loko o nā ʻōpū o ka ʻōpū. ʻO ka hana o nā hui antimicrobial e hana ʻia e nā antibiotic Zeporin, Cephalexin a i Kanamycin.
E hoʻolei i nā toxins e like me ka hiki ke hoʻohana ʻana i nā infusions glucose me ka insulin, ka paʻakai a i ʻole ka hopena o Ringer.

I kahi nui o nā hihia, ʻaʻole kōkua nā hana mālama i ka hoʻopaʻa ʻana i ke ʻano o ka mea maʻi. A laila ua ulu ka nīnau no ke ʻano o ke kaʻina hana o ka mālama ʻana.

Inā paʻa kahi papa no ka infectious o ka hemorrhagic pancreatic necrosis, hoʻohana ʻia ka puna laparoscopic. Me nā nui o ka exudate, hoʻomaʻemaʻe ʻia ke koko peritoneal e kūlike ma ka dialysis intraperitoneal.

I ka manawa i koho ʻia ai ka maʻi maʻi, koho ʻia kekahi ʻano ʻano hana hou: ʻo ka pancreatic resection me ka wehe ʻana i nā wahi i paʻi ʻia e nā nekrosis.

I ka hihia o nā pūnaewele make nui, hana ʻia kahi hana koʻikoʻi nui - ka pancreatectomy, ka mea e pili ana i ka hoʻopau piha ʻana o ka pancreas. I loko o kēia hana hoʻopunipuni paʻakikī, hiki ke hōʻeha ʻia nā hoalauna a me nā mea make, e hoʻoweliweli ʻia ana me nā hopena cardinal, no laila ua kuhikuhi ʻia i nā hihia koʻikoʻi.

ʻO kekahi ʻano loiloi hou ʻole ʻo ka mālama maʻi he sequestrectomy me ka haʻalele ʻana i nā wahi make.

ʻAʻole ʻae ka hana ʻo ia i ka neʻe ʻana aku o ka pilikia, i kekahi manawa e hoʻomau ʻia ma hope o ke kaʻina a pono ke hoʻouka.

Hoʻomoe ka hana hoʻihoʻi e pili ana i ʻeono mahina, ma hope o ka mea ke kākau inoa ʻia me ka dispensary. Pono ka mea e hoʻomaʻamaʻa i kahi lua i kēlā me kēia mahina ʻeono.

I kēlā me kēia kūlana, hiki i ka hopena ke hele i ka ʻoluʻolu a me ka hewa. Aia nō i kēlā mau kumu:

ka laha ʻana o ke kaʻina pili,
ke kahua i loaʻa ai i ka mea mālama ola,
ka nui o nā meʻe therapeutic
hoʻomanawanui
pae pae hoʻomanawanui o ka maʻi.

ʻO ka awelika huakaʻi maʻamau no ka hemorrhagic type pancreatic necrosis ʻo 40-70%. ʻO ke kumu maʻamau o ka make he lūlū ma mua loa o ka haukapila. ʻO ke kumu nui ka nui o ke kaʻina hana: ʻoi aku ka nui o ka ʻāpana o nā lesi necrotic, ʻoi aku ka kiʻekiʻe o ka make ʻana.

I kekahi manawa ʻo ka hopena o ka maʻi. Hiki i kēia ke hana me kahi ikaika ikaika o ka maʻi a i ʻole ma muli o nā hoʻopiʻi ma hope o ka hoʻomaʻamaʻa.

Hoʻonui ka manawa kūpono i ke ola inā loaʻa i ke kōkua mua a me ke kōkua pono. Ma hope o ka hoʻoulu hou ʻana, pono ke kanaka e ʻai i kahi meaʻai kūikawā no ke ola, e kāpae i ka waiʻona a e hoʻokipa ʻo ia e haʻalele i ka ulaula inā he mea puhaka ʻo ia ma mua o ka maʻi.

I ke wikiō, e kamaʻilio ana ke kaikamahine e pili ana i kona mōʻaukala olakino a me ke ola ma hope o ka hoʻomaʻemaʻe ʻana.

ʻO nā kumu a me nā hopena o ka necrosis pancreatic hemorrhagic

ʻO ka neurrosis pancreatic hemorrhagic (helu ICD 10 K86.8.1) ka make piha a ʻāpana paha o ka maʻa pancreatic.

ʻO ka maʻi kekahi o nā ala e hiki ai i ka make ʻana o kahi maʻi maʻi i kahi manawa pōkole.

No ka paʻakikī o ka mālama ʻia e pili pū ana me ka helu o ka hoʻomohala ʻana o ka necrosis pancreatic (1 lā) a me ka ʻoiaʻiʻo o ke ʻano i hoʻopili ʻia ʻaʻole i ola hou a hana ʻole i kahi mau enzyme a me nā hormone a ma hope o ka mālama ʻana.

ʻO ia ke kumu o ka hoʻopiʻi ʻana o ka maʻi i lilo i ka maʻi diabetes mellitus type 2.

He aha kēia maʻi a he aha nā kumu no kona hoʻomohala ʻana? Me ka pancreatic necrosis, kahi fistula i hoʻokumu ʻia, kahi e hoʻopili ai nā ʻike o nā pancreas i loko o ka ʻōpū o ka ʻōpū ma kahi ʻole i hoʻopuni ʻole ʻia.

ʻO ka make ʻili me ka hemorrhagic exudate e lilo i mea hoʻoikaika i ka hoʻomohala ʻana o ka peritonitis purulent, ma 50% o nā hihia i hala i ka make ʻana o ka mea maʻi.

Tissue necrosis e hele mai ma muli o ka hiki ʻole o ka pancreas e kū i ka wai o loko o ka gastric. ʻAʻole hoʻopili ʻia nā ʻaʻano mai nā mea i hoʻopili ʻia a hoʻomaka ka alkali e wāwahi i ka pūmua protein.

ʻO ia, e hoʻomaka ka pancreas i ka hoʻoilo ponoʻī iā ia iho. ʻAʻole keʻakeʻa kēia luku ʻia i kēia. Holo aku ʻo Necrosis i nā kahe koko e ʻoki ana i ke kumukanawai, e hōʻeha ana iā lākou a e kū hoʻi ke koko.

ʻAʻole kū i ka hemorrhagic pancreatic necrosis mai ka wā o ke kahiki.

Hiki i nā mea like ke hoʻonāukiuki i kahi hoʻokūkū koʻikoʻi:

poino a waiʻu make,
hana hōʻino i nā kīʻaha e hoʻokaʻawale i ka gastrointestinal tract (koi, paʻakai, momona)
nā hopena kūlohelohe
nā maʻi autoimmune
hōʻeha kino ʻole e hui pū ʻia e ka maʻi maʻi,
bile pauku
nā maʻi ʻeha, ka mea e komo ai i nā maʻi o ke ake palapa, lupus a me nā ʻōpala,
ka lawe ʻana i nā lāʻau lapaʻau a me nā lāʻau lapaʻau me ka ʻole nā kauka a ke kauka.
nā hopena endocrine (hypothyroidism, diabetes mellitus, paʻakikī e nā maʻi o ke kūpaʻa o ke akea).

I waena o nā poʻe i ka pilikia, hiki i kekahi ke hoʻākāka i kēia mau helu:

mea inu waiʻona
nā poʻe ʻelemakule me kahi ʻōpū o nā maʻi,
nā mea maʻi me nā pathologies o ka pancreas, ate, gastrointestinal tract,
poʻe e hōʻāʻālua mau i ka mea momona, ka paʻakai, ka uohu a me ka momona.
poʻe me nā ʻeha hōʻeha.

Nā hōʻailona maʻamau o ka hemorrhagic pancreatic necrosis i kūleʻa i nā manawa a pau. ʻAʻole hiki ke ʻike iā lākou. I ka hoʻomaka mua, hoʻomaka ka mea maʻi e hopohopo e pili ana i ka ʻōpū, ka ʻehaʻeha o kaʻeha, pinepine pinepine i ka hale ma ka hypochondrium hema.

ʻO kekahi manawa like me ke ʻano o ke kāʻei, e like me ka hōʻailona o ka hōʻā ʻana o ka puʻuwai. Hiki i ka mea ke hōʻemi wale i nā mea hōʻeha ʻeha ma kahi noho, e kū pinepine me kona mau kuli i loko o kona ʻōpū.

Eia kekahi, ʻano hiʻohiʻona i nā hōʻailona:

ʻōlelo a pilau pinepine a ʻaʻole hoʻi i hali iā ia,
ke ulu ikaika ʻana i ka mahana o ke kino i nā waiwai nui,
nā loli i loko o ka ʻili (ʻulaʻula, nā pallor, ke ʻano o ka hematomas, ka piʻi ʻana o ka ʻeha ʻana me ke kukui māmā).
e kū'ē ana i ke kua o ka necrosis pancreatic, ascites, ʻōpū o ka ʻōpū o ka ʻōpū,
piʻi ka nui o ke kōpaʻa koko, he mea weliweli kēia i ka maʻi diabetes a hiki ke alakaʻi i ka maʻi hyperglycemic com,
aia kekahi manaʻo o ka hoʻohālikelike ʻana i ka ʻōlelo,
hoʻēmi ka nui o ka urine i ka wā o ka urination.
ka puka ʻana o ka hanu, puka mai ka puliki, lele ke koko.
hiki ke hoʻomaopopo ʻia ka haunaele ma ka ʻaoʻao o ka ʻōnaehana o ka nerve (inhibition or arousal) paha,
e ʻike i kēlā me kēia ʻelima i kahi kūlana o ka hina, hoʻokahi ma ka ʻekolu i hāʻule i kahi coma.

Nui nā mana kānāwai o ka hoʻomohala ʻana.

I ka mua, nā microorganism pathogenic hoʻomaka i ka nui e hoʻopili i nā kelenehana pili. Aia ma kahi o ka maʻi e hoʻomaka ai ka luaʻi i ka hōʻeha, lilo ka papa i ka paʻa ʻole, piʻi nui ke ʻano o ke kino.

I ka lua o ka hana, hoʻomaka ka hoʻomaʻemaʻe purulent o nā sela, a me kahi puka ʻole i loko o ke kino. ʻO ka pae ʻino loa ʻo ia ke kolu. Hoʻoulu koke ka maʻi ʻaʻa ma nā wahi o ke kino palupalu, ka wikiwiki o ka luku ʻana i ka pancreas.

Hāʻawi i ka wikiwiki me kahi alapahi e hoʻohuli ai i ka mea ma mua, hikiʻole ke kali ke kāhea aku i kahi ambulance ma kekahi hihia.

Ma hope o ka lawe ʻia ʻana o ka mea maʻi i kahi keʻena olakino, ʻike pono ʻia ʻo ia, ke ʻano a me ke ʻano o ke ana o ka necrosis pancreatic, a hoʻomaka ʻia ka mālama ʻana i nā patology.

ʻO ka maʻi, hiki ke hoʻomohala ma muli o kekahi hopena positing, pono ia i ke ʻano ʻoihana hoʻokolohua a me ka mālama ʻana i ka pilikia.

Kūkulu ʻia ka necrosis mai ka pathology i kekahi mau ʻano. Hāʻawi kēia iā ʻoe no ka kākau ʻana i ka hoʻoponopono lāʻau kūpono a me ka holo ʻana ma ka manawa o ka mea maʻi, lawe ʻia i ka haukapila.

Hiki paha ke pio:

liʻiliʻi liʻiliʻi
waena kū
ʻike nui,
subtotal
huakai.

Hoʻokumu ʻia ka maʻi maʻi i ka nui o ke wahi no ka pancreatic i pā ʻia e ka pancreatic necrosis.

I ka papa mua a i ʻole ka lua, ua palu nā palena. I ke kolu, ua ʻike maopopo ʻia a ʻike ʻia. ʻO ka pae subtotal e pili ana i ka make o ka hapa o ka nui o ke kino, ka huina - ka make piha o ke kiko pancreatic.

I nā papa hope loa, nui nā hanana. Pono e hoʻokaʻawale ʻia ke kiko hele.

Pēlā nō, hoʻokaʻawale ka pankreatic necrosis ma ka hele ʻana a i ʻole he launa mai kahi paʻa i hoʻopaʻa ʻia - maʻi a i ʻole ka make.

Ma ka nānā ʻana a me ke nānā ʻana ma hope, ua ʻokoʻa nā hemorrhagic pancreatic necrosis me nā mau ala ʻē aʻe. No ka hana i kēia, ninaninau ke kauka i ka mea maʻi, ʻike ʻoiai ke hoʻomau ʻo ia i ka waiʻona a i nā momona momona paha, nā mea maʻi e pili ana i kāna anamnesis.

ʻO kekahi, ua hele ka mea maʻi i kahi scan CT o ka ʻōpū o ka ʻōpū a i ʻole ke ultrasound, ua hōʻike ʻia nā helu he nui, ʻo ia hoʻi:

kahi hōʻike koko e hōʻike ana i ka ʻikepili o ka kauka ma ka ʻike o nā enzyme pancreatic (he hoʻonui ma kēia mau ʻōlelo ma o nā manawa 6-9 e hōʻike ana i ka hemorrhagic pancreatic necrosis),
ka nānā ʻana i ka wai momona, kahi e hiki ai iā ʻoe ke hoʻoholo wikiwiki a kiʻekiʻe i ka pae o ka acidity,
urinalysis no ka noiʻi ʻana ma ka ureaplasma a me ka trypsinogen,
kani ʻana no ka hoʻoholo ʻana o nā bicarbonates a me nā enzyme,
ka nānā ʻana i ka ea o ka ea no amylase a me ka triglycerides,
coproscopy pono e aʻo i nā koena momona i nā moʻo.

Ua mālama ʻia kahi puʻukū o ka wahi o ka nekrosis i ka percutaneously, ʻo ka endreatopiko pancreatocholangiography a inā pono, ke hoʻomaʻamaʻa ʻia ka laparoscopy ʻōpū, kahi e hiki ai ke ʻike i ke ʻano holoʻokoʻa o ka pōʻino i ka pancreas a me nā mea nui ʻē aʻe.

Ma hope wale nō o nā kaʻina diagnostic paʻakikī paʻakikī lākou e hoʻomaka e mālama i ka mea maʻi.

I nā ʻōmama mua o ka neka no ka pancreatic, ua mālama ʻia ka mea maʻi. Ma hope o ka hoʻomāʻeha ʻana, hoʻouna ʻia ka mea maʻi i kekahi o ka mālama mālama pilikino, a i ʻole i ka lumi o ka hana. Pono e hana wikiwiki e like me ka hiki e mālama i ka pancreas a me ke ola o ka mea maʻi.

ʻO ka mea mālama:

huki i ka hōʻeha a me ka spasm mai nā puka bile,
hooki ana i ka hana enina,
ho'ēmi i ka hana o ka gastric wai,
ka pale ʻana i ka hoʻopili ʻana o kahi maʻi lua.

ʻO ka mea maʻi e mālama ʻia i nā lāʻau e hōʻoluʻolu i ka ʻeha, no ka laʻana, novocaine blockade.Hoʻomaha ʻo Anesthesia i nā panina, hiki i ka wai pancreatic ke puka.

Hiki iā lākou ke hoʻokūkū i ka hoʻoulu ʻana o nā enzymes ma o ka hoʻomākaukau ʻana o nā polokalamu antienzyme, a me nā hōʻola antibacterial e pale ai i ka maʻi o nā kino ʻē aʻe a me nā ʻāpana. ʻAe kēia iā ʻoe e kāpae i ke kaʻina o ka hana hewa ʻana i ka hana o ka enzymatic a me nā hana humoral o ka pancreas.

Ke lawe ʻia nei ka hana conservative e pili ana i ka ʻenehana o ka wikiwiki ʻona. Hoʻopili wale ʻia nā mea e pono ai nā mea e hoʻokaʻawale i ka mea huna o ka mea huna huna pancreatic.

Ma mua, ua hoʻoneʻe ʻia ka ʻike holoʻokoʻa o ka ʻōpū ma ka holoi ʻana. He mea nui e hāʻawi i ka mea maʻi i ka maluhia a me nā kūlana ʻoluʻolu loa. Pono e hoʻoweliweli ʻia ka lumi me kahi mahana hoʻoluʻolu o ka ea. E kōkua kēia i ka pale ʻana i ka hoʻolaha ʻia o nā toxins i hoʻoiho ʻia e ka mea maʻi.

Inā ʻaʻole e hoʻomaikaʻi, hele pono no ka hōʻulu ʻana o ka hoʻopiʻi. Aia ke ʻano o ka hana i ka papa o nā necrosis hemorrhagic pancreatic. ʻO ka pāpaʻi laparoscopy a percutaneous paha he kūpono no nā hihia i nele ai ka maʻi.

Hana ʻia kahi hana cavity ke hōʻiliʻili ʻia ka nui o nā exudate. Hoʻohana nui ʻia ka dialysis peritoneal, kahi e hoʻomaʻemaʻe i ke koko o nā toxins a me nā enzymes a no laila e pale aku i ka mea maʻi mai ka make mai ka make ʻole me nā huahana decay.

He lōʻihi a paʻakikī paha ka manawa postoperative. ʻO ke kūlana koʻikoʻi no ka hoʻihoʻi ka hoʻokō ʻana me ka hoʻomaha hoʻomaha me ka liʻiliʻi o ka hoʻāliʻi kino no ka wā holo holoʻokoʻa (ma ka liʻiliʻi loa 4 mau mahina).

Pono e lawe i nā lāʻau lapaʻau e pili ana i ka insulin, nā lāʻau lapaʻau e hoʻolauleʻa ai i ka nānā ʻana o nā meaʻai (enzymes).

ʻO ka mea maʻi i loaʻa i ka necrosis pancreatic maʻa ua kauoha ʻia nā hana physiotherapeutic a me nā hoʻomaʻamaʻa physiotherapy e pono ai no ka hoʻoponopono hou.

Loaʻa nā pau ʻana i ka meaʻai. ʻO kaʻai momona e hoʻemi ana i ka ukana ma ka pancreas. He mea nui ia e ʻai maʻamau a mau pinepine (5-6 manawa i ka lā). Pono ka ʻai o ka pākeke a me ka hoʻomau mau ʻana.

Ma waena o nā huahana i manaʻo ʻia no ka hoʻohana ʻana i kēlā me kēia lā.

kalala a ʻaila paha.
paila ma ka wai
ʻai (waʻa)
nā māmā ʻona
nā huahana dairy me ka liʻiliʻi momona momona,
ka ʻai moa.

Nui nā huahana a nā poʻe i loaʻa i kēia maʻi weliweli e hoʻopoina mau loa ai.

Ka lūlū ʻana:

nā meaʻai iʻa (iʻa, iʻa, nā lau)
Ma kahi kīʻaha waiʻona, ʻoiai ma ka liʻiliʻi loa,
ʻona
nā mea inu ʻoki
nā mea momona momona
kahi hana hou
meaʻai wikiwiki
waiū piha
Hoʻopau
pickles
nā lauala, nā hua ʻai a me nā huaila (hou).

He mea nui ia e pili ana i ia meaʻai e pale ai i ka hoʻoulu ʻia ʻana o nā pilikia pili i ka hiki ʻole o ka pancreas e hana i nā hormones a me nā enzyme e pono ai.

No ka lilo pinepine ka mellitus maʻi maʻi i ka hoʻopiʻi o ka necrosis pancreatic, he mea nui ia e nānā i nā pae o ke kō, a hoʻomaʻamaʻa pinepine ʻia a hahai i nā ʻōlelo lapaʻau a pau o kahi endocrinologist.

Wikiō mai ka mea maʻi i loaʻa ka maʻi:

Pono ka mea i pilikia no ka hoʻomohala ʻana i kēia kuʻekuʻe, pono e hana i nā mea pale. No ka hana ʻana i kēia, haʻalele loa i ka hoʻohana ʻana i nā mea inu wai ʻona, pili pono i nā lula o nā meaʻai kūpono.

Pono pono e hōʻoia a mālama i nā maʻi i ka manawa hiki ke alakaʻi i ka hoʻomohala ʻana o ka necrosis hemorrhagic pancreatic - biliary dyskinesia, ulia duodenal a me nā ʻōpū o ka ʻōpū, cholecystitis.

He mea kūpono hoʻi no ka hoʻokaʻawale ʻana o kekahi manawa i ka momona momona a i ʻole ka waiʻona hiki ke alakaʻi iā pankreatic necrosis a, ma muli o ia, i ka hōʻea kino a hiki nō hoʻi i ka make.

Pono ka poʻe e loaʻa kekahi mōʻaukala o kekahi ʻano maʻi mellitus no ka papa ʻaina. ʻAʻole hiki ke hōʻoiaʻiʻo i nā hana pale maʻalahi e hoʻomohala ka pancreatic necrosis, akā hōʻemi lākou i ka hiki ke ʻike i ka pathology iā ʻoe iho i ka liʻiliʻi.

Aleksandrov, D. N. Nā Mīkini Waiwai o ka Makahiki. Ke ʻano a me ke ʻano o ka ʻenehana: monograph. / D.N. Alexandrov, M.A. Alieskerov, T.V. Akhlebinin. - M .: Flint, Nauka, 2016 .-- 520 p.
"ʻO wai a i ka honua o ka maʻi maʻi." Buke a i hoʻoponopono ʻia e A.M. Krichevsky. Moscow, Kaule Pakihi ʻo Art, 2001
Naʻi maʻi mellitus. Nā hopena hoʻonā a me nā maʻi āpau, Medical News Agency - M., 2011. - 480 c.

E haʻi iaʻu iaʻu. ʻO Elena koʻu inoa. Ua hana wau ma ka endocrinologist ma mua o 10 mau makahiki. Ke manaʻoʻiʻo nei wau he kanaka mākeke wau i kaʻu kahua a makemake wau e kōkua i nā malihini a pau i ka pūnaewele e hoʻonā i nā paʻakikī a ʻaʻole pēlā nā hana. ʻO nā ʻikepili a pau no ka pūnaewele e hōʻiliʻili a hoʻomaʻamaʻa maikaʻi i mea e hōʻike ʻia e like me nā mea e pono ai ka ʻike. Ma mua o ka hoʻopili ʻana i ka mea i hōʻike ʻia ma ka pūnaewele, he kūkākūkā mandatory me nā mea loea.

Alikaole

Loaʻa ka maʻi i ka poʻe i hoʻomāʻamaʻa i ka waiʻona no nā makahiki he nui. ʻO nā mea kanu momona i hoʻokuʻu ʻia i ka wā o ka uhaʻiʻana o ka waila ethyl e komo i loko o nā puna o ka pancreas, e kōkua ana i ka luku ʻia. Hoʻokomo kahi exacerbation e pili ana i ke kua o ka hauā a i ka hoʻohana ʻana i ka meaʻai maikaʻi ʻole.

I ka manawa pinepine, ʻike ʻia ka pancreatitis waipona i ka poʻe i hoʻomāʻamaʻa i ka waiʻona no nā makahiki he nui.

ʻO ka hapa nui o nā kiko o ka pancreas e pili i ka hana pili. E loaʻa ana ka maʻi maʻi i ka papa pilikia loa. Hoʻopilikia koke ke ʻano o ka mea maʻi me ka hoʻomaka koke o ka lāʻau. I ka haʻalele ʻana o ka hana kūpono, ua hoʻohui ʻia nā hōʻailona o ka nui o ke kūleʻa o ke kino i ka necrosis kiko - kahi ʻāina o ka hina, kahi hāʻule nui i ke koko, ʻike māʻona.

Subtotal

Hōʻike ʻia kēia ʻano o ka nepe pancreatic ma ka make o 50-75% o nā peka pancreatic. Hoʻopili ʻia ia me nā pilikia o ke kahe, e alakaʻi ana i ke ʻano o nā koikoi koko i nā moku nui o ke kino. ʻO ka hoʻopau ʻana o ka papa ʻaina i mea e hoʻopau ai i ke kaʻina o kā lākou pala. Hoʻolaha ʻia ka mālama ʻana ma o ka hana o ke keʻena ʻana e ukali ʻia e ka hoʻomaka ʻana o ka hoʻomākaukau ʻana o ka enzyme.

Hanaʻia ka Subtotal pancreatic necrosis me nā hoʻomaʻemaʻe.

No ke aha e kū nei

Hoʻokumu ka ʻekoekoe pancreatic hemorrhagic i lalo o ka mana o kēia mau mea:

ka hana ʻana i ka maʻi o ka pancreas, i hui pū ʻia me ka pale hewa ʻana o ka wai ʻana o ka wai pancreatic i loaʻa nā proteolytic enzymes,
ka hoʻomāloʻuki i ke kino me nā huahana kīnāwī o ka ʻāʻī alkohol (ʻo ka poʻe e hoʻopau i ka ʻawaʻawa ikaika ʻoi aku ka nui o ka maʻi).
ka cholelithiasis, kahi i hāʻawi ʻia i ka hoʻolei ʻana o nā maʻi pancreatic i loko o nā kumu o ka pākī,
nā hopena maʻi o ka ʻōpū a me ka pā o ka biliary,
ʻO ka maʻi thrombohemorrhagic, i hele pū me ka kahe o ke koko i loko o nā kukui o nā veins,
mea hoʻopale kino i ka pili i ka pili a me ka pili o nā ʻili,
hoonui i ka hoʻohana ana o ka chemotherapeutic drug,
e ʻike aku nei i ka radiation
ka pāheʻe autoimmune, i hui pū ʻia e ka hemorrhagic vascular faaleagaina,
ka maʻi puʻuwai coronary, e hōʻino i ka pono o nā mea āpau a me nā kiko,
nā ʻeha a me nā hoʻonāukiuki o ka peritoneum,
whakatumu ʻana o ka pale ʻana

ʻO nā kumu ʻē aʻe o ke kumu e alakaʻi nei i ka necrosis pancreatic, ʻo ka hana o ka hoʻolālā ʻana o ka maʻi e komo i kēia mau makahiki:

ʻO ka hoʻonāukiuki o ke kikowaena acinus-secretory ke kuleana no ka hoʻokumu ʻana o ka huna pancreatic.
I ka hoʻonui ʻana o ke kaena o ka huina i loko o nā kiko o ka pancreas a hiki i ka nui o nā waiwai i ʻae ʻia.Kōkua e hoʻomaka i ke kaʻina hana o ka wāwahi i kākā - protein hydrolysis.
ʻO ka hōʻinoʻana i ka kūʻokoʻa o nā paia o nā veins a me nā aʻa. ʻO ka komo ʻana o ka elastase i loko o ka ʻōpū me ka hemorrhage. Hoʻohālikelike ʻia i ka lāʻau lapaʻau i kapa ʻia ʻo ka pancreatic autoaggression.
ʻO ka luku ʻia o nā protein e loaʻa ana ma lalo o ka mana o ka pancreatopeptidase a me ka trypsin.
ʻO ka hōʻino ʻana i ke kaʻina hana humoral ka kaohi ʻana i ka hana o nā enzyme pancreatic.

No nā neurrosis pancreatic hemorrhagic, hōʻike ʻia nā hōʻike hou aʻe:

ʻokiʻoki i nā ʻāʻī i loko o ka ʻōpū a me ka ʻaoʻao hema, e pā ana i ka ʻūhā me ke poʻohiwi,
ka waha maloʻo mau loa
ka nui o ʻō keokeo kala i ka ʻōlelo,
nā hōʻailona o ka hoʻomoʻaʻana i ka gastric (nausea, ka hopena o nā puka o ka luaʻi ʻaʻole e lawe i ke kōkua i ka mea maʻi)
pepelu, pākuʻoki a pua,
constipation, loli maoli me ka maʻi palolo,
ʻO ka maʻiemia a me ka ʻili o ka ʻili o ka maka, ʻāʻī a me ka umauma.
peritoneal syndrome, i hele pū me ka hoʻokumu ʻana o nā ʻōpū i loko o ka ʻili o ka ʻōpū,
lele i loko o ke koko,
mahuahua,
ka hoemi ana o ka urine output,
nā hōʻailona o ka hanana ʻōnaehana o ka neʻe a me ka neʻe ʻana (hoʻonui i ka mana o ke kaʻa, ka pale ʻana i nā hopena).

Hōʻike ʻia ka hemorrhagic pancreatic necrosis e nā lele i ke koko.

Naʻi hoʻolika

No ka hana pono ʻana i ka maʻi kūpono, hoʻohana ʻia nā ʻoihana noiʻi a me nā mīkini noiʻi e kōkua ai i ka hoʻoholo ʻana i ke ʻano o ka maʻi a hoʻokaʻawale iā ia mai nā ala ʻē aʻe o ka ʻeha gastrointestinal e hāʻawi nei i nā hōʻailona o kahi ʻōpū ōʻeha. Ma kahi kūlana koʻikoʻi o ka mea maʻi, hoʻoholo ka hoʻoholo no ka hana ʻana i kahi hana diagnostic e kuhikuhi ana i ka nānā ʻana i ke ʻano o nā māhele o ka ʻōpū.

E kōkua kēia kaʻina e hoʻoholo i ke ʻano a me ka palalapala o nā loli pathological i loko o nā kiko o ka pancreas. ʻO ka mandatory he scan ultrasound o nā ʻōpana kokoke a me nā kiko.

Kōkua ka ultrasound e kōkua ai i ke ʻano o ke ʻano a me ka nui o nā loli pathological i loko o nā kiko o ka pancreas.

No ka hōʻoia i ka hoʻomohala ʻana, hoʻohana nā kauka i nā ʻano o nā hoʻokolohua ma lalo nei.

Kūʻai koko nui. Me ka luku ʻana i nā kola glandular, ua hōʻemi iho nei ka nui o ka hemoglobin a me nā ʻōpū o ke koko, kahi nui o ka ESR, ka nui ka nui o ka nui o nā leukocytes.
ʻO ka loiloi Fecal. ʻO ka nele o nā enzyme digestive e hoʻopili i ka hoʻihoʻi ʻana o nā meakanu maʻamau, e pili ai i ka hana o nā feces. ʻO nā moa momona i nā necrosis pancreatic he mau haʻahaʻa momona a me nā pāleka meaʻai undigested.
Hōʻike koko koko biochemical. Kōkua i ka ʻike bilirubin - kahi hoʻohui o ka hua bile, ke kiʻekiʻe o ka hoʻonui me ka blockage o nā kumu bile. Ke hoʻonui nei nā ʻikepili o ka amylase a me ka trypsin, nā enzyme e hoʻopili i ka hoʻoneʻe o nā mea kanu, ke ulu nei.
ʻO ka hoʻāʻo urine no trypsinogen.

I ka ʻike ʻana i ka necrosis pancreatic, pono kahi hoʻokahe koko biochemical.

ʻO kahi hōʻeha hōʻeha o ka hemorrhagic pancreatic necrosis kahi hōʻailona no ka waihoʻana i ka mea maʻi i ka waihona mālama mālama. Ke kuhikuhi ʻia nei ka Therapy:

ka hemo ana o ka eha kaumaha
kua hoemi i ka hana o ka pancreas,
cramping
ka hoʻihoʻi hou ʻana i ka pā o nā kuli o ka lālani,
hoʻemi i ka nui o ka wai momona,
ka pale ʻana o ka hana hōʻā (a pane aku) a me nā mea make o ke kino,
ka pale ʻana i ka make ma kahi hoʻopili o ka ʻōpū o ka ʻōpū.

Hoʻokomo ʻia i ka regimen lapaʻau ke komo pū ʻana, nā lāʻau lapaʻau, nā hoʻomaha ʻana o ka moena a me nā mea ʻai.

Hoʻokomo ʻia ka lāʻau lapaʻau no ka pankīnoho pancreatic i ka hōʻoluʻolu ʻana i ka ʻeha nui.

Hoʻopau i nā ʻōmole

E hoʻomau i ka mea maʻi me ka necrosis pancreatic, hoʻohana ʻia nā lāʻau lapaʻau penei:

Hoʻopilikia a me nā antispasmodics. ʻO ka hoʻomakaʻana o kahi hopena o ka novocaine me ka glucose e kōkua wikiwiki i ka hoʻoulu hou ʻana i kahi hōʻeha o ka ʻeha. I nā hihia koʻikoʻi, hoʻohana ʻia nā analgesics narcotic.I ka wā e hiki mai ana, ua hoʻohana ʻia ʻo Ketanov, Papaverine, Platifillin.
Nā hui antibacterial (Kanamycin, Cefazolin). ʻO nā dosis kiʻekiʻe o nā lāʻau lapaʻau e hoʻopau i nā pathogens e kumu ai ka peritonitis a me ka nele.
ʻO ka hopena Isotonic. Hoʻonui i ke kaʻina o ke kāpae ʻia o nā toxins, pale i ka dehydration a me ka hoʻohuihui o ke kino.
Nā mea hoʻonani o nā enzymes proteolytic (Kontrikal). Kakono lākou i nā enzyme pancreatic, kahi e pani ai i ke kaʻina o ka luku ʻana i nā hua gland.
Antacids (Ephedrine). Hoʻohana ʻia lākou e pale i ka ulceration o nā paia o ka ʻōpū i ka wā wikiwiki.

Haʻioa

Me ka loaʻa ʻole o ka lāʻau lapaʻau, ua hoʻoholo ʻia ka hoʻoholo e pili ana i ka pono no ka hana. Wahi a ke kūlana o ka mea maʻi, ua kuhikuhi ʻia:

Mahu laueʻo Laparoscopic o nā wahi i pili ʻia. Kuhi i ka wehe ʻana i nā huahana wāwahi kino. Ke lawe ʻia nei me ia me kahi papa ʻole o ka maʻi.
Lākila peritoneal. Hoʻomaʻemae ke ʻōpū o ka ʻōpū ma ka lolo a mālama ʻia me ka antiseptics.
ʻOmaʻomaʻi Hoʻohui piha ʻia ka pancreas e hōʻike ʻia no ka luku piha ʻana i kāna mau ʻiʻo.

I nā lā mua ma hope o ka hoʻomaka ʻana ʻana o kahi hoʻouka ʻana, kāpae ʻoe i ka ʻai ʻana i ka meaʻai. Ke lawe maʻalahi nei ka hoʻokomo ʻana i nā huahana i loko o ka meaʻai. Pono ʻoe e hoʻopili i kahi meaʻai sparing i kou ola a pau, e kōkua kēia i ka pale ʻana i ka exacerbation lua. Hoʻomoʻa ʻia ka meaʻai, ʻomo ʻia a hoʻomoʻa ʻia me ka ʻole o ka hoʻohana ʻana i ka aila. ʻAi i nā wahi liʻiliʻi, 5-6 mau lā i ka lā. ʻO nā meaʻala, nā mea inu wai, nā mea momona, nā momona momona a me nā meaʻai, nā hua momona i haʻalele ʻole i ka meaʻai.

I nā lā mua ma hope o ka hoʻomaka ʻana ʻana o kahi hoʻouka ʻana, pono ʻoe e hōʻalo i ka ʻai ʻana i ka meaʻai.

Nā hopena

Ma kahi o 20% o nā maʻi i loaʻa i ka necrosis pancreatic maʻi a hāʻule i loko o kahi coma a i make i ka make. Hoʻopilikia ka pilikia noʻonoʻo i kēlā me kēia 4 maʻi. ʻO ka liʻiliʻi, ua hoʻokumu ʻia kahi fistula retroperitoneal, ma o nā mea hōʻeha kū a me ka hōʻiliʻili o ka hua a komo i loko o ka ʻōpū o ka ʻōpū. Hāʻawi kēia i ka hoʻolālā ʻana o ka peritonitis a me ka absul purulent.

Mea maʻi

Hoʻomaopopo ka pūʻulu kīpē i ke ʻano o ke ʻano a me ka paʻakikī o ka papa o ka necrosis pancreatic, ka hele ʻana o nā hoʻopiʻi a me ka hiki ʻana o ka mea maʻi ke alakaʻi i kahi ʻano maʻamau. Ma ke ʻano hoʻohālike ʻole o ka pathology, ʻekolu mau nāhele o ka maʻi maʻi. I loko o nā pilikia o ka hana kino ʻana a me ka hoʻokumu ʻana o fistulas, loaʻa ka mea maʻi i nā hui 2. Hoʻonoho ʻia i nā pūʻulu 1 ma hope o ka wehe ʻana o ka pancreas a i ʻole ka hanana pinepine o ke koko i loko.

Nā kumu o nā hemroshitis pancreatic hemorrhagic

Nā kumu o nā hemorrhagic pancreatic necrosis e pili ana i nā mea e like me:

hoʻonāukiuki i ka pancreas, i hele pū me kona ʻāpana kūwaho a me ka hala ʻole o ka puka ʻana o ka wai maoli pancreatic,
hoʻohuihui etanol
ka hoʻomau ʻana o ka wai pancreatic i loko o nā kumu pancreatic (ʻoi, he kānāwai, me nā pōhaku i loko o ka puʻuwai),
hopohopo lēpaʻi o nā dile cile a me ka biliary tract (cholangitis, cholecystitis),
thrombohemorrhagic a i ʻole DIC-syndrome (e hoʻolaha ʻia ana i ka intravascular coagulation), ulu i ka wā o ka maʻi bacterial-viral maʻi, ma hope o ka chemotherapy o ke maʻi maʻi, a me ka wā i ʻike ʻia i nā ʻaina kiʻekiʻe o ka radiation ionizing,
maʻi maʻi carimmune (hemorrhagic vasculitis),
nā hōʻeha poʻomanaʻo o ka parenchyma organ, e komo ana i ka wā o ka hōʻiliʻili o ka maʻi.

Akā, ʻaʻole paha he kumu kumu o ka mua o ka hōʻike ʻana i ka necrosis pancreatic hemorrhagic kūloko (ʻo ia hoʻi, ka make ʻana o nā ʻāpana a i ʻole nā mea āpau)ʻO nā ʻano āpau o ka necrosis pancreatic e hele mai ana i ka manawa o ka hana o kēia mau enzyme e hōʻea i kahi kiʻekiʻe nui, a hoʻomaka lākou e hōʻino maikaʻi i ka palaka o ke kino - e hoʻololi ai i kāna mau protein. Eia kekahi, hiki i ka enast elastase ke hōʻino i nā paia o nā kīʻaha koko, e alakaʻi ana i nā hemorrhages. In the gastroenterology clinical, ua kapa ʻia kēia ʻano maʻi autoaggression o ka pancreatic enzymes.

Hoʻokumu ka hemorrhagic pancreatic necrosis ma muli o nā hopena kūlohelohe o ka trypsin, chymotrypsin a me ka elastase (pancreatopeptidase E) - nā proteolytic nui (nā molina pūmū palaka e hāloi) pono i nā enzyme pancreatic i pono no ka hoʻokaʻina ʻana o nā meaʻai protein.

Ke noi nei i nā kumu o nā hemorrhagic pancreatic necrosis, hele mai ka gastroenterologists i ka hopena o ka hikiʻole i ke kaʻina hana humoral paʻakikī e hoʻoponopono i ka hana o nā enzyme digestive e hana nui i nā pathogenesis o kēia maʻi. A ke komo nei i ka nui o nā hormones. No laila, ʻo nā testosterone glucagon a me somatostatin (i hana ʻia e nā sela o nā mokupuni Langerhans i ka pancreas), nā calcitonin (i hana ʻia e ka thyroid gland), a me nā pūmua serum kūikawā o antitrypsin pale i ka huna ʻia o nā enzyme proteolytic. The stimulators of the enzyme production and their activity are: secretin synthesized by the ʻāeʻa ʻawaʻawa liʻiliʻi, cholecystokinin (pancreosimine) i hana ʻia e ka duodenum, me insulin, gastrin a, ʻoiaʻiʻo, serotonin, the lion's of of that synthesized in the maliit intestinal and pancreas.

, , , , , ,

Nā hōʻailona o ka hemorrhagic pancreatic necrosis

ʻO nā hiʻohiʻona maʻamau loa o ka hemorrhagic pancreatic necrosis e like me:

ʻeha, ka wā o ka ʻeha a ʻole e pale ʻia, hoʻokaʻawale ʻia i ka hypochondrium hema a hāmiʻu i ka ʻāina lumbar, a me ka hapa hema o ka umauma a me ka poʻohiwi,
ʻōlelo a me ka waha maloʻo
kanala a me ka ʻeha mau ʻana i ka luaʻi ʻana,
ʻōpū o ka ʻōpū o ka ʻōpū, ka ʻōpū a me ke kū ʻana o ka maʻi,
ka ʻala a me ke ohi,
hyperemia o ka ʻili o ka maka,
uliuli-poni i ʻulaʻula a i ka ʻaoʻao paha o ka peritoneum,
hoʻonui spasmodic a hoʻoemi i ke koko,
ka pōkole o ka hanu a me ka puliki wikiwiki.
ho'ēmi i ka hopena o ka urine
nā pilikia noʻonoʻo (state state of excitement or lethargy).

ʻO ka nepe i ka hemorrhagic pancreatic ma kahi kokoke i ka hapalima o nā maʻi e hōʻeha i kahi kūlana o ka hina, a ma ke kolu - coma a i ʻole nā hopena noʻonoʻo. Ke hoʻokumu nei i kahi fistula pancreatic e alakaʻi i ka mea i hoʻopili ʻia ai nā kumuwaiwai pancreas, hapa o nā mea make a me ka hemorrhagic exudate i loko o kahi ʻōpū o ka ʻōpū. ʻO kēia ke kumu e nalowale ai i ka kiko o peritoneal a me ka peritonitis purulent.

, , , , , ,

Nā ʻōpū o ka holomua o ka maʻi

Hōʻike ʻia ka maʻi e kahi hoʻomohala phased.

ʻO ka papa mua: ka hoʻonā ʻana o ka hoʻomaʻemaʻe ʻana o nā ʻāpana o nā hua i ke kō, me ka hoʻomohala ʻana o kahi hala ʻole (lua) i loko o ka pancreas.

ʻO ke kolu ʻ tiga: e laha nā ʻōlaʻi i nā ʻōnaehana olakino e pili ana, e hana ana i kahi kūlana kaumaha no ke kino.

E like me kāu e ʻike ai, he pilikia nui kēia maʻi no ke ola o ke kanaka a pono i ka therapeutic koʻikoʻi a, inā pono, ʻo ka lāʻau lapaʻau.

ʻO nā kumu o ka hoʻomohala ʻana o ka pathology i ke kino o ke kanaka

I kēia manawa, ʻike ke lāʻau lapaʻau i nā mea nui e kōkua i ka hoʻomohala ʻana i kēia kaʻina pili. Ka mea maʻamau ma waena o lākou:

Hoʻokumu ʻia nā ʻaila o ka pancreas, kahi i ʻike ʻia ai kona mau mokuna atherosis, a me ke kahe ʻana o ka puna pancreatic (ʻawaʻawa).
ʻO ka pōʻino (hoʻoheheʻe) o ke kino ma ke ʻano he maʻamau, ʻo ia ka mea e hoʻokuʻi pinepine ai inā loaʻa ka mea maʻi i ka maʻi ʻakaʻaka.
ʻO ka ʻōnaehana hoʻonohonoho pono ʻana o ka wai pancreatic i loko o nā kumu no ka pancreatic, ka mea maʻamau i ka neʻe ʻana o nā pōhaku i ka puʻuwai.
ʻO ka hele mua ʻana o ka pāpaʻi infectious i loko o nā kaile bile a me nā kumu bile, he hanana maʻamau me ka cholecystitis a me cholangitis.
Disseminated intravascular coagulation a me ka thrombohemorrhagic syndrome, e hele pinepine ana i nā ʻano like ʻole o nā maʻi a me nā maʻi bacterial, a hele mai ma hope o chemotherapy a ma hope o ka ʻike ʻana i nā dosis kiʻekiʻe o ka radiation ionizing.
ʻO ka vasculitis hemorrhagic (pathology autoimmune).
Trauma mekanika o ka pancreatic parenchyma, loaʻa kahi ʻano kūlohelohe ma hope o ka hoʻomaʻamaʻa ʻana.

He hōʻeha kēia maʻi no ka mea hiki ke hoʻopilikia i nā kino ʻē aʻe o ka papa gastrointestinal, e hōʻeha nei i kā lākou hana.

Nā hōʻailona hōʻailona o kēia maʻi

ʻO kēia mau hōʻailona me ka hōʻailona o kēia maʻi:

Ka huehue, ikaika ikaika loa i ka ʻeha ma ka hypochondrium hema, e kū ana i ka umauma hema, ke poʻohiwi a me ke kua i lalo.
Putu maloʻo.
ʻO ka manaʻo o ka ʻauhau ʻana o ka alelo.
He luaʻi hoʻohiki.
Kahula
He luaʻi ʻino.
Lūlū.
Nā maʻi maʻi
Hoʻonui ka mīkini.

Eia kekahi, hoʻopiʻi ka mea maʻi i nā hōʻailona ʻē aʻe:

Ke kiʻekiʻe kiʻekiʻe.
ʻO ka hele ʻana aku o nā ʻāpana polū a i ʻole ʻulaʻula paha ma nā ʻaoʻao o ka ʻōpū a i ʻole ma kona kikowaena waena, e hōʻike ana i ka hiki ʻana o ke koko kūloko.
He kahe koko e kaomi ʻole.
Pulse wikiwiki.
Hoʻopili iki i ka hanu.
Ka liʻiliʻi o nā urine inā urinating.
ʻO nā maʻi noʻonoʻo.

Wahi a nā helu olakino, ʻo ka hemorrhagic pancrosatic pancrosatic ma 1/5 o nā mea maʻi e hoʻonāukiuki i kahi pōpilikia, a ma ka 1/3 aia kahi coma a i ʻole ka pilikia o kahi ʻano aʻokiʻoki.

Nā hiʻohiʻona o ka lāʻau lapaʻau

ʻO nā mahele nui o ke komo pū ʻana:

Hoʻokuʻu i ka ʻeha. No kēia, ua kauoha ʻia nā analgesics, antispasmodics (Papaverine, No-shpa, Novocaine a pēlā aku).
ʻO ka hana o ka hoʻonāukiuki o nā enzyme pancreatic. Hoʻonohonoho ʻia nā kiʻi inikini a me nā ʻekena e hoʻohana ana i ka infusion Trasilol a i ʻole Trotikal infusion.
ʻO ka hoʻopau ʻana o nā spasms, ka mea e hiki ai ke hoʻonui i ke ʻano o ke kumu o ke kīpona, a ʻo nā hana kekahi e lawe ʻia no ka hoʻemi ʻana i ka nui o ka wai o loko o ka gasted i huna ʻia. Ma kēia ʻano, pono eʻai i kahi papa me nā manawa nui o ka pololi. ʻO nā lāʻau lapaʻau i hoʻohana ʻia ʻo Ephedrine, Atropine.
ʻO ka pale ʻana i ka hoʻolaha ʻana i nā meaola a me nā meaʻino i nā kino kokoke. No kēia, ua kauoha ʻia nā antibiotika, no ka laʻana ʻo Zeporin, Gentamicin a me Kanamycin. E hoʻoneʻe i nā toxins mai ke kino, hoʻohana ʻia ka glucose me ka insulin a me nā hopena ʻē aʻe.

Me ka holomua o ka pathology me ka nui o ka hōʻino o ke kino, ua kuhikuhi ʻia ka hana ʻoihana.

ʻO kekahi ala hou e neʻe ai ka leʻaleʻa o nā pūnaewele make (sequestrectomy).

ʻO ke kaumaha o kēia maʻi he hopena lōʻihi loa ia, hiki ke lawe ʻia i ka manawa mai nā hebedoma a ʻeono mau mahina, a ʻoi aku paha.

Ka ʻike hou aku a me ka make.

I ka manawa like, ʻike ʻia nā helu ʻoi pololei, no ka laʻana, me ka hemorrhagic pancreatic necrosis ma ke kumu o ka make:

7-15% - hui kino.
40-70% - me nā ʻano hoʻohālike ikaika.

ʻO nā kānaka e predisposed, a i loaʻa paha kekahi pilikia me ka pancreas, pono e hoʻāʻo e pili pono i nā lāʻau lapaʻau pono āpau e mālama ai a pale i ka hoʻomakeʻe hou aʻe o ka maʻi.

ʻO ka mea maʻamau, i mea e pale ai i ka necrosis pancreatic, pono e hana ʻia nā mea āpau e pale ai i ka hoʻokumu ʻana o ka pancreatitis.

Hoʻopau i kahi hoʻohālike i ka meaʻai.
Ka hoole loa ʻana i ka ʻona.
Ma ke alo o kekahi mau maʻi gastrointestinal, pono lākou e mālama ʻia i ka manawa kūpono.

ʻO ka mālama wale ʻana i kou olakino hiki ke kōkua i ka hōʻalo ʻana i nā hopena pōʻino.

Hoʻohālikelike

ʻO ka hoʻohana mauʻana o ka uku monastery no ka mālamaʻana o ka pancreatitis

He aha nā pancrosatic pancreatic a me kona weliweli?

Ke ulu nei ʻo ia, hiki i ka nekrosis ke pālahalaha a pākī i nā lālā pili kokoke. Ma ka manawa like, ʻo kēlā mau kiko i hāʻule i lalo, ʻo ia hoʻi, ua make, ʻaʻole ʻae hou ʻia

No ke aha i hōʻeha ai ka hōʻeha o ka maʻi me ka pancreatitis a pehea e hōʻoluʻolu ai i kahi kiʻi migraine?

ʻAʻole aneane hiki ʻole ke ʻike i ke kumu o nā ʻiwi o ka hōʻeha i ka poʻe maʻi me ka pancreatitis, no ka mea, ʻo kēia hōʻailona, i ka laulā, he hoa maʻamau mau o ka maʻi pancreatic.

ʻO nā kumu a me nā hiʻohiʻona o ka palaka i ka pancreatitis

ʻO ka maʻi ʻeha ma ka ʻōpū o ka ʻāpana nui ke kumu nui i hōʻike mau ʻia. Hiki i ke ʻeha ke hōʻoki, ʻoki ʻia, a i ʻole ka maʻa mau ʻia, akā nuku.

Pehea e hoʻomaha wikiwiki ai i ke kaumaha me ka hoʻoulu ʻia o ka pancreas?

I mea e hōʻeha ʻole i nā ʻeha hōʻeha o kou noho maʻamau, pono ʻoe e makaʻala pono ʻaʻole i ka meaʻai maikaʻi wale nō, akā no ke ʻano maʻamau.

ʻO nā kumu nui o ka maʻi

Hoʻomaka ka hemorrhagic pancreatitis ma lalo o ka hopena o nā mea i kuleana no ka hoʻopili ʻana i nā ʻōnaehana o ka huina o ke kino. I waena o nā kumu nui o ka maʻi, ka gastroenterologists e kāhea i nā ʻōnaehana maʻi, e hele pū ana me ka loli o ka puka ʻana o nā mea huna.Hiki i ka DIC, ke hoʻohuʻā waiʻona a me nā pilikia autoimmune e hiki ai ke hoʻonāukiuki i nā hana pili.

Me ka hemorrhagic pancreatitis, ʻike ʻia a ʻāpana paha a piha paha i ka hoʻopiha hewa. Hoʻopilikia kēia i ka hōʻea o ke kiʻi ʻana i ka hoʻokūkū koʻikoʻi o nā enzymes - trypsin a me elastase. Ma ke hopena, hoʻomaka ka ʻōnaehana kelepona i ke kaʻina hana o ka hoʻāʻo ʻana iā ʻoe iho, a ua luku ʻia nā paia o nā moku koko. Hoʻomākū nā ʻili o nā lālā i ke koko, huehue nā mea uʻi i loko o ka ʻōpū o ka ʻōpū, e hōʻemi ana i ka peritonitis.

ʻO nā hōʻailona mua o ka maʻi

Hoʻonui ka hōʻailona maʻi o ka maʻi i nā hola he nui. ʻO kāna hōʻailona nui he hua'ōlelo eha. ʻO ka pancreatitis hemorrhagic i ukali pū me ka ʻeha o ka ʻōpū. ʻOkoʻa paha ka ʻeha i ka herpes zoster a i ʻole e ʻohi ai i ka hope i lalo. Kū ʻo ia i kēia manawa, akā hemo i loko o ke kūlana me nā wāwae piko. Ma muli o ka ikaika o ka ʻeha e hilinaʻi i ka pae o ka hōʻino ʻana i ka huelo.

He aha nā hōʻailona ʻē aʻe e hele pū me ka pancreatitis hemorrhagic? Nā hōʻailona o ka maʻi, e like me ke kānāwai, ʻike koke. ʻO ka mea mua, ʻike kekahi i ka ʻeha nui ma nā wahi epigastric. E like me ke koʻikoʻi o nā mea i kapa ʻia ʻo vasoactive i loko o ke koko, hoʻonui ʻia ka hyperemia o ka ʻili. Eia kekahi, no kēia maʻi, nā hiʻohiʻona e like me ka alelo maloʻo, ka tachycardia, a me ka hoʻohaʻahaʻa i ke koko i nā ʻano. E kū'ē i ke kua o ke ʻano kino kino kino, e piʻi ka piʻi ʻana o ka puʻuwai i 180 beats i hoʻokahi minuke.

I ka wā o ka maʻi o ka maʻi, ua hoʻokaʻawale ka gastroenterologists i ʻekolu mau manawa, kēlā me kēia mea i ʻokoʻa i ke kiʻi o ka maʻi. Hoʻohālikelike ka hana mua e ke kaumaha me ka pancreatogenic koʻikoʻi. I nā hola 2-3, hoʻomohala ka maʻiemia. Ma ka lua o ke kahua, hoʻohui ʻia ke kiʻi o ka lāʻau lapaʻau e nā hōʻailona o ka hana hewa ʻana i nā kino ola. ʻO nā maʻi noʻonoʻo, ua hopohopo nui a me ke ʻano kūpono ʻole. Hōʻike ke kolu o ka paeʻala e ka ulu ʻana o nā hoʻopiʻi purulent.

ʻO nā kumu waiwai o ka mālamaʻike

Inā kānalua ka hemorrhagic pancreatitis, nā kumu i wehewehe ʻia i loko o kēia ʻatikala, hōʻike ʻia ka mea maʻi i ka hoʻokipa mālama pilikia. Hoʻomaʻamaʻa pinepine ʻia ka hana e hoʻopau i ka ʻeha a hoʻomāinoino hou i ka lula, e pale ana i nā hoʻopiʻi purulent. ʻO nā lāʻau lapaʻau i kuhikuhi i nā antispasmodics ("Papaverine"), analgesics, antihistamines. ʻO Novocain blockade he kauoha. ʻO nā hoʻopiʻi hoʻopiʻi pinepine ʻana i ka pancreatitis hemorrhagic, no laila ke kuhikuhi ʻia nei ka maʻi antibacterial mai ka lā mua loa.

ʻAtikala hoʻohana? Kaʻana i ka pili

ʻOiai ke ʻano o ke ʻano o ka mea maʻi, ua hāmama ʻia kahi papa ʻaina. Me ka hana ʻole o nā ʻano mālama mālama conservative o ka mālama ʻana, ua kuhikuhi ʻia ke komo ʻana o ka mea hana. E pili ana i ka hana me ka wehe ʻana i ka capsule o ka mea hoʻopale, a hoʻoheheʻe ʻia a hoʻohemo aku i nā wahi necrotic Me kahi kaʻina nui o ka papaʻaina, kahi ka hoʻokaʻina piha ʻana o ke kino a i ʻole ka ʻāpana.

ʻO ka wānana a me ke kālai

ʻO ka ʻano hemorrhagic o ka pancreatitis i manaʻo ʻia i ka maikaʻi loa mai ke ʻano mua o ka ʻike. Wahi a nā helu helu, loaʻa kahi hopena momona i 50% o nā hihia, ʻoiai ke hāʻawi nei i ka mālama lapaʻau. ʻO ke kumu nui o ka make ka maʻi pancreatogenic.

Hiki ke pale ʻia kēia maʻi. ʻO ka mālama ʻana i ka pancreatitis hemorrhagic ma ka nānā ʻana i nā loina o ka meaʻai kūpono, hōʻole i nā hoʻohui (me ka inu ʻana, ka inu alaka). Manaʻo hoʻi nā kauka i nā hoʻokama pale pale i hiki i ka wā ke ʻike i nā maʻi o nā kino o loko.

Ma muli o ke kauʻana i kekahi mau mea pōʻino, ka maʻi meaʻai a i ka hōʻemi ʻana i ka waiʻona, ulu ka pancreatitis koʻikoʻi. Pono kēia kūlana i nā mea lapaʻau wikiwiki; ma ka papa kuhi pono ʻole, hoʻopiʻi ka pankreatic pancreatic i kēlā.Hana ka hana o ka pancreatic necrosis i loko o kahi hale mālamaʻai a ke kō nei ʻo ia e kāpae i ka luku mua ʻana i ka pancreas a me ka hoʻihoʻi i ke kino holoʻokoʻa.

Ka hana o ka hoʻomohala o nā necrosis pancreatic

ʻO ke kumu nui no ka hoʻomohala ʻana o ka necrosis pancreatic ʻo ia ka hana mua o ka proenzymes, ka mea e hoʻokū i ka pūliki o nā hopena e hoʻōla ai i ke kaʻina o ka luku kino ʻana. ʻO nā mea aʻe e hiki ke alakaʻi i kēia:

Alimentary kumu. Hoʻoulu nui ʻia ka hoʻonāukiuki o ka ʻāpana o ka exocrine o ka lālani, e kuleana ana i nā ʻano āpau o ka metabolism. Ma muli o ka hōʻemi ʻana i ka waiʻona, ka ʻai ʻana i ka momona momona a maikaʻi ʻole paha, ka nui o nā huina e hoʻokuʻu i nā cell acinar o nā pancreas, e hoʻomaka ana e luku i nā kiko o ka lula ponoʻī ponoʻī.

Nā kumu kūpono. Aia kahi poloka o ka papa pancreatic, ma ke ʻano he kānāwai, e kū'ē i ka mua o ka maʻi o ka gallstone. Ma muli o kēia, ke piʻi aʻe ke kahakai o nā kulu, ua piʻi ke kaʻe vascular a me ka pahu o nā hopena e hoʻōla ai i nā enzyme, ke kīmaka "nā loiloi" iho

Hoʻohui ʻano. Hoʻokuʻu ʻia ka bile mai ka duodenum i loko o ka pancreas, ma muli o ka mea e hoʻomaʻamaʻa ʻia nā proenzymes e neʻe mua ma mua o ka manawa, hoʻomaka ka kaulahao o ka hoʻouka o ka hoʻouka, a hiki i ka hopena o ke kipi o ka lāpē a me ka nekrosis o kāna mau kiko.

Nā wahi biochemical o ka necrosis pancreatic

ʻO ka mea mua, hoʻōla ʻia nā enzymes e like me lipase a me ka phospholipase A, e wāwahi ana lākou i nā aʻa momona o ka kelepa. Aia nā pūpū o ka momona o ka nano pancreatic momona, kahi e hoʻokaʻawale ana i nā wahi olakino o ka pancreas e ka ʻōpala maʻi. Aia ka hōʻuluʻuluʻana o nā momona momona, kahi o ka pH o nā mea hele i ka ʻaoʻao acidic. Hōʻalo kēia i ke kaʻina hana o ka trypsin intracellular, hoʻomaka ka wāwahi i ka protein pancreatic. Hoʻāla ʻia ʻo Elastase, ka mea e hoʻokaʻawale i nā paia o nā kīʻaha koko, a ʻo ke kaʻina hana ʻoi aku ma mua o ka pancreas iho a lilo i ka huki ʻole.

Pehea e hōʻike ʻia ai ka maʻi pankreatic pancreatic?

ʻO nā hōʻailona nui o ka pancreatic necrosis pancreis e hilinaʻi nei i ka pae o ka prevalence o ka poino kino a ma ka manawa i hala i ka wā o ka hoʻomaka ʻana o ka maʻi.

E like me ke kānāwai, ke hōʻeha nui i ka ʻōpū o luna, kahi e hiki ai ke hoʻopuʻe i hope a me nā wāwae, hūnā. Eia kekahi, hoʻoulu a maʻi a hoʻomau ʻia ka hopena, e hopena ana i ka dehydration. Hiki i nā puka ke like, like me nā pōkole me ka tinge melemele, ma ka ʻaoʻao hema a me ka ʻaoʻao o ka pusaka. Ke ulu nui nei ka hoʻowalewale o ke kino, ʻoiai ka hopena o ka enzymatic i loko o ke kelepona e pili i ka hana o nā mea āpau a me nā ʻōnaehana. Me ka ʻole o ka mālama kūpono, ʻoiela, hepatic, pulmonary failed, a i ʻole nā mea hoʻonā a pau ʻole i ka ulu.

Hōʻike ka ʻikepili Laboratory i ka hoʻonuiʻana i ka amylase, diastase, leukocytosis, ke kīwaha i ke koko a me nā ʻikepili ʻē aʻe e hōʻike ana i ka nui o ke kaʻina.

ʻO ka hopena hōʻeha me ka pancreatic pancreatic necrosis e nānā ʻia ana i ka laha mai 15 a 70% o nā hihia, e like me ke ʻano o ka maʻi a ma ka manawa e hoʻolilo ai ka mea maʻi me ke mālama ʻole. Eia naʻe, ʻoiai me ka mālama kūpono ʻana, e noho mau nei kēia mea ʻike.

Nā papa o ka hoʻolālā ʻana o ka maʻi

ʻO ka nekrosis pancreatic i ka hoʻomaka o kona hoʻomohala ʻana he aseptic i loko o ke ʻano, ʻo ia hoʻi, ʻo ke kaʻina hana ʻoi aku ma muli o ke ʻano o nā hana a pau a ʻaʻohe i kahi pathogen infectious.

I ka wā e hiki mai ana, e hele ana ke kaʻina i loko o ka maʻi o ka maʻi, hōʻeha nā pilikia o ka pankreatic pancreatic, e like me ka luhi o ka pancreas a i ʻole phlegmon o ka wahi o ka retroperitoneal.

Eia kekahi, ʻo ka papa o ka necrosis pancreatic i kēlā me kēia manawa e hiki ke paʻakikī e ka peritonitis, hoʻokumuʻana i ka cystre pancreatic, pīhoihoi a me ka hapa o ke kūlohelohe.

Ka loiloi no ka pancreatic necrosis pancreatic i loko o nā hola mua o 48 mai ka manawa o ka komo ʻana i ka haukapila i loiloi ʻia e like me ka Ranson scale, nona ka 11 mau hōʻailona like ʻole o ka hoʻohiwahiwa o ke kino. ʻO nā pane pane maikaʻi aʻe ma laila, ʻoi aku ka maikaʻi o ka prognosis.

Pehea e mālama ʻia ai ka necrosis pancreatic?

Hoʻomaka wale ʻia ke ʻano o ka pancreatic pancreatic necrosis ma kahi kūlana o ke haukapila a koho ʻia hoʻokahi ia mea ma ke ʻano o ke kaʻina o ke kaʻina a me ka hiki ʻana o nā hoʻopiʻi. ʻO nā loiloi laulā e iho i lalo i ka detoxification a me ka hoʻonui hou o nā kahe a me ka electrolyte nalowale.

ʻO nā lāʻau lapaʻau i ʻōlelo ʻia e hōʻoluʻolu i nā spasms o ke aʻalolelima lipine lipine, hoʻēmi i ka ʻaihue kikowaena, ʻae i ka hana hōʻiliʻili intracellular i nā hana o enzim. Eia kekahi, kuhikuhi ʻia nā homololi a me nā antibiotika ma muli o ke ʻano o ka maʻi.

Hoʻokomo ʻia ka hoʻomaʻamaʻa ʻana i ka laparoscopy a i ʻole laparotomy, i ka pae o ka prevalence o ke kaʻina a me ka hiki ʻana o nā hoʻopiʻi.

ʻO nā meaʻono no ka pancreatic necrosis pancre ka mea makua. Hāʻawi ʻia nā mea maʻi i ka uʻi nasogastric e pani i ka hana o nā enzyme i loko o ka ʻōpū a me nā pancreas.

I ka hoʻihoʻi hou ʻana, hōʻike ʻia kahi meaʻai hāmeʻa, papaʻaina 5 e like me Pevzner. E hōʻike ana i nā cereals, nā kāliki mashed, nā mea kanu fractional. Ka haʻaleleʻole i ka wai, nā mea ʻona, nā ʻona. ʻIke ʻoe i nā loina kumu nui o ka pāʻai ʻana no ka hoʻihoʻi ʻana i ke kumuhana i loko o ka ʻatikala: Nā ʻōlelo e pono ai no ka meaʻai ʻai kai no nā maʻi o ka pancreas.

Manaʻo'ōlelo: ua hoʻohālikelike maoli ka waiʻona me kekahi ʻano luhi o ka pancreas, me ka hoʻonui ʻana i ka pume ma nā kāwaha a hoʻonui i ke kani o nā sphincters. Hoʻokumu kēia i nā pono no ka hoʻōla ʻana i nā enzyme a me ka hoʻomaka ʻana o kahi kahe o ka hopena e hoʻopau ai i ka pancreatic tissue. ʻO ka hoʻopau ʻana i ka waiʻona mai ka hoʻopau ʻana, e mālama ʻoe i kou olakino no nā makahiki he nui.

ʻO ka nepe neo hemorrhagic pancrosatic kahi hana pathological e loaʻa ana i nā kolo o ka pancreas.

Hōʻike ʻia kēia maʻi e ka luku wikiwiki a hiki i ka hoʻoliʻiliʻi ʻana o ke kino.

Inā makemake ʻoe e ʻike i ke kumu o ke ʻano o kēia maʻi, a inā he pili kūpono ia, a laila e heluhelu i kēia ʻatikala.

Nā kumu kumu o ka maʻi

ʻO ka pancreas kahi ʻōpala o ke ʻōnaehana kūwale o ke kanaka, i hana pū ʻia me nā hana huna.

ʻO nā enzyme i haku ʻia e ka pancreas o kahi kanaka olakino ʻaʻole i loaʻa i nā pilikia me kēia ʻupena i waiho i kāna mau mokuna me ka wai pancreatic e komo ana i ka duodenum.

ʻO ka pahuhopu nui o ka wai pancreatic, i hoʻomehana ʻia me nā enzymes e like me elastase, trypsin a me ka chymotrypsin, ʻo ia ka wāwahi i ka ʻai o ka protein.

ʻAʻole maopopo i ke kumu o ka hemorrhagic pancreatic necrosis, akā naʻe, ke manaʻoʻiʻo nei nā kauka e hiki ke hoʻomohala kēia palaka ma muli o nā hopena o nā hopena o kēia mau mea:

nā hana maʻi pancreatic hope e alakaʻi ana a hoʻopau paha i kahi hapa o kēia ʻōpū,
kauā ka puka ʻana o ka wai o ka pancreatic,
lilo i loko o nā mea i loaʻa ʻole ke ʻano o ka hoʻopōʻino i ka kino a e ala mai ka wai kūlohelohe a me nā mea ʻawaʻawa paha,
nā maʻi maʻi āpau (no ka laʻana, cholangitis a cholecystitis), i hoʻokuʻi ʻia ma nā dile bile,
coagulability koko kiʻekiʻe, hōʻailona i ka wā i hoʻoili ʻia i nā maʻi maʻi viral, chemotherapeutic effects, etc.,
kekahi mau maʻi autoimmune (no ka laʻana, ka hemorrhagic type vasculitis),
nā manaʻo pilikino e alakaʻi i ka hanaʻino i ka kūʻiʻo o ka pancreatic parenchyma.

Hopu wikiwiki ka hemorrhagic pancreatic. Ma ke alo o kēia maʻi, ʻaʻole wale ka maʻi parenchyma a me ka mucous waha o ka gallbladder, akā kekahi ʻāpana ʻokoʻa o kēia ʻohana e kuleana ai i ka hoʻoulu ʻana o nā enzyme digestive.

ʻO kēia wahi a ka pancreas i kapa ʻia "acinus". ʻO ka poino i kēia neʻe e hoʻonāukiuki i ka hana nui o nā kōnamu i waiho ʻole i ka okana me ka hapa nui o ka puna pancreatic, akā e noho nei i loko a loaʻa kahi hopena hoʻoweliwela i nā kino i hoʻopau ʻia, hoʻonāukiuki i kā lākou mau protein a hōʻino i nā paia o nā moku koko, hoʻonāukiuki i nā mikroble he nui.

ʻO kēia kūlana, keʻano o ka hemorrhagic type pancreatic necrosis, ua heluʻia e nā kauka e autoaggression o ka pancreatic enzymes.

Pehea e mālama ai i ka hemorrhagic type pancreatic necrosis?

Inā manaʻo ʻoe i nā hōʻailona i kākau ʻia ma lalo o kēia ʻatikala, a laila e kānalua a ʻimi koke i ke kōkua olakino kūpono.

Eʻoi aku ka maikaʻi i ke kāhea aku i ka hui ambulance i kēlā me ke ʻano, ma mua o ka hele ʻana i ka haukapila ma kāu ʻano pono ʻole.

ʻO kahi hui o nā kauka e hiki mai i kahi o kāhea kelepona e alakaʻi i kahi loiloi mua o kou kūlana a, inā pono, hāʻawi iā ʻoe i kekahi mau lāʻau i ʻae ʻia i kēia kūlana.

Hoʻomaopopo ʻia ka mālama ʻana i kēlā ʻano maʻi me ke ʻano hemorrhagic type pancreatic pancreatic ma nā kūlana paʻa.

Inā ka pancreatic necrosis holoʻokoʻa i loko o ke ʻano, a laila ʻaʻole i waiho ʻia ka mea maʻi i ka waihona maʻamau, akā ma ka mālama pono ʻole e mālama i kona ʻano a hana i nā manawa kūpono e hāʻawi i ke kōkua.

Ma hope o ka hōʻea ʻana o kahi mea i loaʻa i ka neka pancreatic i ka haukapila, ua hoʻomaʻamaʻa ʻia ʻo ia i ka ʻike nui ʻana.

Inā hōʻoia ka hōʻoia ʻana, a hoʻomaka koke nā kauka i ka mālama ʻana i ka mea maʻi.

E hoʻomaka me kahi kanaka e loaʻa ana i ka hemroshicic necrosis e loaʻa i nā lāʻau lapaʻau kūikawā e hiki ai ke hoʻopau i ka hōʻeha ʻana i nā hōʻeha o ke ʻeha, me nā lāʻau e hoʻōla ana i ka hoʻoulu ʻana o nā enzyme pancreatic.

I ka wā hou o ka mālama maʻi inpatient o ka hemroshitis pancreatic hemorrhagic, hōʻeuʻeu nā kauka i ka mea maʻi e hoʻomaʻemaʻe i nā mea i hōʻiliʻili ʻia i loko o kāna mau ʻāpana, hoʻomaʻamaʻa i ke ʻano o ka wai o ka gastricatic, a me ka hoʻāʻo hoʻi e kāpae i ka necrosis pancreatic.

Ma hope o ka hoʻomau ʻana o ke kūlana o ka mea maʻi, e hana ʻia ka hana.

Ma ke ʻano he rula, aia ma ka laparoscopic a i ʻole transcutaneous pānaehana o ka wahi i hoʻopili ʻia o ka pancreas, a i ʻole ka mālama piha ʻana o kēia ʻala.

Ma hope o ka heluhelu ʻana i ka ʻatikala, ua hiki iā ʻoe ke ʻike i nā hōʻailona a me nā kumu e hoʻonāukiuki ai i ke ʻano o kēia ʻano pathology e like me ka hemorrhagic pancreatic necrosis, kahi i hōʻike ʻia e kahi papa koʻikoʻi.

ʻO ka nele o ka kūpono a me ka wā kūpono no ka hemorrhagic pancreatic necrosis hiki i ka make.

Hiki ke pale i kēia kūlana ma o ka hoʻopili koke ʻana i nā kauka i hoʻāʻo no ka mālama ʻana i kēia pilikia.

ʻO kekahi o nā maʻi koʻikoʻi o ka ʻōnaehana o ke kanaka ʻo ka pancreatic pancreatic necrosis, kahi hopena momona kahi i hana ai, ma muli o nā helu helu, loaʻa i ka 40-60% o nā hihia.

ʻO nā kumu o ka necrosis pancreatic

ʻO ka pancreatitis akue, ka mea hoʻohui i ka pancreatic necrosis, ma ke kolu o kahi o ka neʻe o ka hanana, e hoʻokuʻu wale i ka appendicitis hoʻonā a me nā cholecystitis. Ma ke kānāwai, ulu ia i ka hopena o ka hōʻino i nā mea huna o nā ʻāpana huna o ka pankreas, ka nui o ka hoʻouka ʻana i ka wai pancreatic a me ka hopena i waho. Hiki i kēia mau kaʻina ke hoʻonāukiuki:

ʻeha nā hōʻeha
ʻōpū o ka ʻōpū
hoʻonāukiuki i ke kino (me ka waiʻona),
nā hopena kūlohelohe
maʻi maʻi
maʻi ʻeha a i ʻole ka maʻi parasit,
kaʻai nui ʻana o ka iʻa ʻai, nā mea lae, nā momona holoholona.

ʻO nā kumu o ka pankreatic pancreatic necrosis he nui, akā pinepine ka ulu ʻana ma hope o ka inu nui o ka ʻawaʻawa e hui pū ʻia me nā meaʻai momona momona.Hōʻike ʻia ka hoʻomaka koke ʻana o ka maʻi a hoʻomohala mai kahi kaua kūʻē mai i ke ʻano o ka maikaʻi maikaʻi. Ua hōʻike ʻia nā nūhi i ka wā ʻo ka pancreatic pancreatic necrosis, kahi hopena hōʻeha i loaʻa i loko o nā hola ma hope o nā hōʻailona mua o ka maʻi, i hoʻomohala ʻia i kekahi mau lā ma hope o kahi ʻaha nui.

He aha ka mea e hoʻonani ai i ka necrosis pancreatic

Hoʻokumu kahi pancreas maikaʻi i nā enzyme e pono ai no ka hoʻopau ʻana o ka meaʻai i loko o ka ʻōpū. Mahalo iā lākou ua hoʻokaʻawale ʻia ka meaʻai i nā mea i hiki ke komo i ke koko ma o ka membous waha o ka ʻōpū, kahi e hāʻawi iā lākou i nā io a me nā kino. Hoʻohana kēia i ka pancreas i kekahi o nā mea nui i ke kino. ʻO ka inu ʻawaʻawa me nā mea momona momona e hoʻouluhua nui i ka pancreas e hoʻoulu i ka wai, a no ka mea hiki ʻole i nā kīnā ke wehe ʻē aʻe, hoʻomaka ia e hōʻuluʻulu i loko o ka kelopona. Ke alakaʻi nei kēia i ka hoʻolālāʻana o ka edema, ka hoʻopihapiha hou aʻe o nā papa excretory a me kā lākou hana i hala. ʻO nā enzyme o ka pancreas, ka mea nāna i hana mua i ka wāwahi i ka nui o ka protein, ka hoʻoheheʻe ʻana ma ka paia o nā papa me ka hoʻomaka ʻana e hoʻoheheʻe ʻia i lalo o lalo o ke ʻano o nā enzymes, "kaugalingon" nā kelepaʻi kelepona ka "ʻeli". Hoʻokomo ke ʻano o nā enzymes a me nā huahana decay i loko o kēia kaʻina i ke kahe a ke kōkua i ka luku ʻana i nā kino ʻē aʻe a me nā ʻāpana, hoʻokūkū i nā make nui. Pēlā, ʻo ka pancreatic pancreatic necrosis, ʻo ka hoʻomaʻamaʻa ʻana o kahi mea paʻakikī loa e wānana, he maʻi ʻokoʻa loa ia.

Ka helu ʻana o ka necrosis pancreatic

Aia i ka laulā o ka lesion o ka hiʻona, liʻiliʻi liʻiliʻi, nā kiko-lahilahi, nui-puna, subtotal and total pancreatic necrosis is divished. ʻO kaʻoiaʻiʻo, ʻo ka hoʻokaʻawale ʻana ma waena o nā ʻano ʻelua ʻelua he kanaka kū ʻole kekahi. Ke hoʻohana nei nā kauka i kēia mau manaʻo e hoʻoholo ai i ke ʻano o ka hōʻino kino o nā kino. Me nā subtotal pancreatic necrosis, ua loli ka hopena o ka necrotic i ka hapa nui o nā kinipona. Inā pili ke kino i ka huelo, a laila loaʻa ke maʻi pancreatic pancreatic necrosis. I kēia hihia, e nānā mau ʻia ka hopena momona.

Aia kahi koho hoʻoili ʻē aʻe. Hoʻomaka ʻo ia i nā necrosis pancreatic i ʻelua mau ʻano:

Limited. Hoʻopili kēia i kahi kaʻina kahi i hoʻokumu ʻia ai nā ʻano o nā ʻano like ʻole.
Maʻamau. I kēia hihia, pili ke kelepona a nā maʻi ʻehā ʻē aʻe paha.

ʻO nā ʻano o ka necrosis pancreatic

Aia i ka heleʻana o ka maʻi i nā wahi i hoʻopili ʻia, hoʻokaʻawale ʻia a sterre ʻole a pankre ka maʻi pancreatic. Eia nō naʻe, ma kahi kaʻina o nā mea i hoʻopiʻi ʻia, kūpono ʻole ka hoʻomaʻamaʻa ʻana, no ka mea aia ke kiʻekiʻe nui o ka hoʻoulu ʻana i ka mea hopohopo maʻi, a hikiʻole i ka paʻakikī ke loaʻa i kahi maʻi i waho o kēia ʻano.

Ua hoʻokaʻawale ʻia ʻo ka mikrosis pancreatic ʻehā no kēia ʻano:

momona - hōʻailona ia i ka hoʻomohala wikiwiki no 4-5 mau lā a me kahi papa haʻahaʻa,
hemorrhagic - kiʻi ʻia i ka papa wikiwiki a me nā kahe koko pinepine ʻana,
hoʻākoʻa - ʻike pinepine ʻia, ʻoiai me ka pancreatic necrosis, pili adipose a me ka pancreatic parenchyma i like like.

Inā loaʻa ka pancreatic necrosis pancreatic, ʻaʻole hiki ke hoʻokō ʻia. Akā ʻaʻole pinepine ia hāʻawi i ka hopena i makemake ʻia, a paha paha ke kūkulu hou ʻana i ka foci necrotic.

Nā hōʻailona a me ka maʻi hopena o ka necrosis pancreatic

Hoʻololi ʻia ka maʻi pancreatitis maemae e ka eha ʻeha ma ka hypochondrium hema a i ʻole ʻeha hoʻi e loaʻa kahi maʻi. Aia ka luaʻi ʻana o nā ʻōpū o ka pūpū, ʻaʻole lawe mai i ka hōʻoluʻolu, ka ʻeha. E pale aku i kēia kiʻi, hele koke ka dehydration, hoʻoikaika nui. Ke hana nei i kahi maʻi, ʻo ka hōʻiliʻili o ka anamnesis he mea nui loa.Inā loaʻa nā ʻike e pili ana i ka hōʻinoʻino o ka waiʻona, nā momona momona a i ʻole ka ʻike e pili ana i nā maʻi o nā ʻōpū a me nā pāpale keleli, ʻo kēia paha ke hoʻopaʻa nei i ka maʻi maʻi pancreatic pancreatic necrosis. ʻO ka manaʻoʻike ma kēia hihia ke hilinaʻi nui ʻia i kēlā me kēia manawa o ka maʻi i ʻimi ai ke kanaka maʻi i ke kōkua olakino, a i ka nui o ka lesion.

E like me nā diagnostics laboratorium, eia lākou e nānā pono ai i ka loiloi ʻana o ka urine a me ke koko, kahi kahi nui loa o ka pae o ka amylase. ʻO ka mākeke ʻana o ka ʻōpū o ka ʻōpū, ʻo CT a i ʻole MRI e hana, i ʻike ʻia ʻoe i ke ʻano o nā wahi o ka necrotic i loko o nā ʻāpana o ka pancreas.

I ka hapa nui, koi aku ka pancreatic necrosis i ka ʻoki ʻana me ka hōʻoki. I ka manawa like, ʻoiai ka mea o ka nui o ka make ma mua o ka nui, ʻo ka hoʻokaho manawa e hāʻawi ai i kahi manawa nui o ka hoʻōla. Hoʻopili ʻia ka mālama mālama ʻana i nā ʻoihana penei:

i loko o kahi mau lā ma hope o ka hoʻouka ʻana - hoʻopau pōloli, a me ka ʻano nui o ka maʻi, ʻo ka hoʻomaka ʻana o nā mea kanu ma o nā maʻi infravenous hiki ke hala i nā hebedoma,
ka hoʻomaʻemaʻe ʻana i ke koko (hemosorption) - i lawe ʻia me ka hoʻoweliweli koʻikoʻi,
ʻO ka somatostatin he hormone e hiki ai ke hōʻemi i nā hopena o nā hana renal impaired, e hele pū me ka pancreatic necrosis,
me nā hua infectious - antibiotics.

Pancreatitis kūpaʻa - Diet

ʻO ka mea ʻo ia ka meaʻaiʻai e hele pinepine ai i ke kumu o ka pancreatitis maʻa, he mea nui ia i ke kaʻina hana. E like me ka mea i ʻōlelo ʻia ma luna, i nā lā mua ma hope o ka paʻa ʻana o ka maʻi pancreatitis akuhi, ua koʻikoʻi ʻo ka ʻai - ua mālama ʻia ka pololi piha. I nā pilikia koʻikoʻi, hiki i ka lawelawe makua makua ka mālama ʻana i kekahi mau pule.

I ka wā e hiki mai ana, ʻo ka ʻai me ka pancreatic necrosis pancreis e hoʻopiʻi ana i kahi hanana kuʻi, ka mea e ʻike ʻia e ka ʻokoʻa loa o nā momona a me nā mea kalaiwa mai ka meaʻai, a me nā huahana e hoʻolōʻihi i ka hoʻomohala ʻana. Kāno ʻia ka meaʻai a kāwili ʻia loa. Lawe ʻia ʻo ia ma nā wahi liʻiliʻi ʻelima i ʻeono i ka lā. Ua kāohi ʻia ka hoʻohana ʻana o nā mea hemo a me ka paʻakai. ʻO kēlā kīnā meaʻai, ma muli o ka nui o ka maʻi, pono e mau ʻia mai kekahi mau mahina i hoʻokahi makahiki.

ʻO kaʻoiaʻiʻo, me kahi maʻi maʻi e like me ka pancreatic pancreatic necrosis, he hopena momona kahi mea, a, ʻoiaʻiʻo, ʻoi aku ka maikaʻi o ka lawe ʻana i kou kino i kahi hōʻeha ʻana, e kāpae ana i nā mea pōʻino e like me ka hiki. Akā inā i hoʻomohala ʻia ka maʻi, a laila e pili pono ka mālama ʻana i ka meaʻai i ka pale ʻana i ka hoʻi hou ʻana i ka wā e hiki mai ana.