Ka helu ʻana i ka necrosis pancreatic: nā kumu a me nā ʻano o ka hoʻolālā ʻana i kahi maʻi pōpilikia

ʻO ka maʻi ʻeha loa ʻoi loa ʻo ka hemorrhagic pancreatic necrosis. ʻO kēia ke kaʻina o ka make hikiʻole ʻana o kāna mau kō, e loaʻa ana i ka wikiwiki kiʻekiʻe. ʻO ka maʻi ka hoʻomau ʻana o ka maʻi pancreatitis maʻa. Pale ke ʻano o kēia pancreatitis ma muli o ka hoʻohālikelike, ka pohō hōʻino, nā hoʻopiʻi ma hope o ka hoʻomaʻamaʻa ʻana. Hōʻike pū ʻia ka pancreatic necrosis mai ka exacerbation o nā maʻi maʻamau o ka pancreas.

I loko o kahi kanaka olakino, hoʻoulu ʻia ka wai o ka pancreatic i nā gland, e hoʻomaʻamaʻa i nā protein no ke kaomi ʻana. Hoʻokuʻu ʻia nā ʻaʻono i loko o ka wai mai ka pancreas i ka duodenum. I ka hihia o ka hōʻino ʻole o ka hana ʻana i nā mea huna o kēia mau enzyme, kā lākou hōʻiliʻili ʻole ʻia, e kū ana i ka make ʻana o ka pancreas. Ua hōʻino ʻia nā hemo a me nā kīʻaha koko. Hōʻike ʻia nā hemorrhages. ʻAʻole liuliu, noho nā seleka make i nā wahi hou (necrosis). Aia ka wikiwiki o ke kaʻina e pili ana i ke pae o ka hana o ka nui o nā enzyme.

Pilikia ke ʻano he ʻano maʻamau i ka hana maʻamau o ke kino holoʻokoʻa. Huhū ka hana ʻana o ke aʻa, hoʻomoʻi ʻia ka pale ʻole. Hōʻike nā helu lapaʻau i nā ikehu hoihoi. ʻO ka hemorrhagic pancreatic necrosis ke kumu o ka make ma 7 a 15 mau pakeneka ke nānā ʻia.

Nā kumu kumu o ka maʻi

ʻAʻole hiki i ka ʻepekema ʻo kēia maʻi maʻi i ka ʻae ʻana i nā kumu i kumu ai i kumu. Akā hiki i ka hoʻomaʻamaʻa lāʻau lapaʻau e hiki iā mākou ke hoʻopaʻapaʻa i nā mea i hōʻike aʻe i mea e hoʻonāukiuki i ka nānā ʻana o ka hemrosis pancreatic hemorrhagic:

• inā ma mua he mau lōlani o ka pancreas, kahi i lilo ai kekahi ʻāpana o kāna mau hana,
• inā pilikia ka hopena o ka wai pancreatic,
• inā aia he mau pōpilikia honua mai ka waiʻona a i ʻole nā ​​mea ʻemi.
• inā aia nā maʻi lēpa o ka bile dile: cholangitis, cholecystitis, etc.,
• inā he puʻu koko nui ma muli o nā maʻi viral i hala, nā hopena therapeutic e hoʻohana ana i nā mea kemik a.
• inā loaʻa nā pathimemune o nā ʻano hemorrhagic i ke kino,
• inā ua hōʻeha ʻia ka parenchyma o ka pala ma muli o nā hana mekanika, no ka laʻana, ka peni komo
• inā i mālamaʻia ka oncology me chemotherapy a i ʻole radiation, a e kūʻē ana i kēia kiʻi, ua kū ʻo DIC.

Hoʻopilikia kēia mau kumu i ka hana o ka acinus, ke kuleana no ka hana ʻana o nā enzyme. Ua hōʻike ʻia mai nā poʻe Gastroenterologist mai nā hualoaʻa o nā haʻawina ʻo kekahi o nā hana koʻikoʻi i ka mea i ʻike ʻia i ka pankreatic pancreatic he mau ʻanaki kūloko. E mālama i kēia hana i ke ola o kekahi kanaka ma o ke koko, lymph, a me nā mea kūkā wai ʻē aʻe e hoʻohana ana i nā hormones.

Nā hōʻailona o ka patology

Loaʻa ka pilikia o ka palaka ma ka maʻi me kēia maʻi e ʻike ʻia nā hōʻailona kūikawā e hiki ai i ke maʻi me ka kiʻekiʻe kiʻekiʻe. ʻO ka pilikia ʻo ia ka wikiwiki o ka hemorrhagic pancreatic necrosis e ulu wikiwiki, a hele ka poʻe maʻi i ka haukapila i ka pō. A i kēia kūlana, hiki i nā lawelawe lapaʻau ʻano hou ke hiki ke kōkua. I hoʻokahi o waho o ʻelima mau hihia, e haki ana kekahi, a hāʻule kekahi hapakolu o lākou i kahi coma. Kekahi ka ʻeha loa ka pancreas. ʻO ka wai pancreatic ma loko o ka ʻōpū o ka ʻōpū, e hoʻonā ai i nā peritonitis purulent. I mea e pale aku ai i ka ʻinoʻino, pono ʻoe e ʻike i nā ʻōuli o ka mea i loaʻa i ka necrosis pancreatic:

• ʻeha ka ʻeha nui ma ka hypochondrium hema, kahi e hiki ai iā ia ke hāʻawi i ka umauma me nā poʻohiwi a me ke kua i lalo,
• ke ʻano o ke aniani pōpilikia i kahi ʻōlelo i ʻalā a keʻokeʻo paha i ka melemele.
• hikiwawe ka maloʻo maloʻo, hikiʻole ke ʻalo ʻia,
• e hoomau ana,
• he ʻano hūnā
• nā ninia
• huakai, no ka awaawa,
• hoʻonui ka ʻai
• ka hōʻā ʻana o ka ʻili i ka wahi maka,
• ʻōpū ʻōpū
• huki koko koko
• kahi hoʻoluhi nui i ka hana o ka ʻōnaehana excretory (urine, feces),
• pae paepae o ke kūlana psychoemotional (kaumaha, hoʻonāukiuki).

ʻO ka ʻeha ma ka hema o ka hypochondrium

ʻO ka maʻi hoʻoliʻi o ka maʻi

Hiki i nā kauka ke hana i kahi maʻi kūpono ma hope o ka hōʻike paʻa ʻana: nā diagnostics kamepiula, nā hōʻike hōʻike. Inā kānalua ʻoe he hemorrhagic pancreatic necrosis, ua ʻōlelo ʻia kēia mau mea penei:

• Paona o ka pancreas,
• ʻO kā CT kahi māka holoʻokoʻa o nā ʻōpū o ka ʻōpū,
• MRIAHUI
• nā hoʻāʻo ʻia o ke koko, ka hōʻike ʻana i ka urine,
• ka hoʻoholo ʻana i ka ʻano hana o nā ʻōpū pancreatic a me nā wai momona.

Loiloi ʻia ke koko no ka ʻike o nā huina i hoʻopuka ʻia e ka mailo. I ka urine, ua huki ʻia ka nānā ʻana i ka neʻe ʻana o ka trypsinogen, amylase. Ka mea nui o ka wai o ka gastric, ʻo ka nui o nā kinemona i loko o ka wai pancreatic, nā momona i loko o nā feces, triglycerides i loko o nā māmā he mea nui nō hoʻi. Pono paha e kau i kahi puncture o ke kino make.

ʻO ka nui o nā hualoaʻa i loaʻa ke kōkua i ka hoʻokaʻawale ʻana i kēia maʻi mai nā ala ʻē aʻe o ka ʻōpū a me nā ʻōpū. I kekahi mau hihia, ua hoʻokomo ʻia nā mea maʻi i kahi lāʻau lapaʻau i kahi kūlana e loaʻa koke ai lākou i ka laparoscopy me ka ʻole o nā haʻawina mua.

Kahi ʻano a me nā ʻano

Ma hope o kahi hoʻokolohua piha loa no ka neho hemis hemorrhagic pancreatic, ua helu ʻia ka maʻi i loko o nā pūʻulu e pili ana i ka:

• mai ka nui o nā wahi i kau ʻia,
• mai ke alo o ka maʻi,
• mai ka kūlana o ka maʻi.

I ka hihia o nā wahi liʻiliʻi i hoʻopili ʻia, ua maʻi ʻia ka maʻi e like me ka necrosis palena. Ma waho aʻe o ia, nā huina hemorrhagic pancreatic necrosis (neʻe ākea ka nui).

Aia kekahi ʻano he nui o ka necrosis pancreatic: sterile a me nā maʻa. Inā aia kahi ala momona o ka maʻi, a laila he maikaʻi ke pono o ka prognosis, hoʻomōmaikaʻi ka hoʻolālā ʻana. Me nā necrosis i hui pū ʻia, e hana ʻia kekahi hana ikaika e kumu ai ke koko.

Hiki i ka maʻi ke pani (puka abortive) a wikiwiki i ka ulu ʻana (puka holomua).

ʻO ka maʻi maʻi

Inā ulu kahi kanaka i kahi ʻeha huehue o ka necrosis hemorrhagic pancreatic, koi ʻia ka hoʻokele. ʻO ka hoʻohana ʻana i ka mālama ponoʻī-ʻoi aku ka ʻoi aku ka pilikia. ʻO ke kumu o ka make e hele ai i loko o ka hoʻopukapuka olakino maoli. Me kēia helu ʻana, ʻelua mau koho: hoʻopau ka mea maʻi i ka ʻāpana mālama mālama a i ʻole ma ka papa ʻaina hana. Hoʻohana ka hana maʻi ma nā hana penei:

• ua oki ʻia ka ʻehaʻeha,
• ka hoōno nui ʻana o nā enzyme pancreatic
• mākaʻikaʻi ʻia nā spasms
• hoʻemi ʻia ka hiʻona ʻana o ka wai momona.
• pale ʻia ka maʻi.

Pono e hoʻopili ʻia nā hana kūʻē me ke kali ʻole. Hoʻohana ʻia nā antispasmodics. ʻO ka hana wikiwiki ua Novocain. Hoʻopau ke kumu a me nā wai pancreatic i hoʻopili ʻia ʻole. Mai nā hola mua ka hoʻohana ʻia nā antienzyme a me nā lāʻau lapaʻau, hoʻopau ʻia ka hana secretory a ua ālai ʻia ka necrosis tissue.

Ma hope o kekahi mau hola o kēlā ʻano lapaʻau, nānā nā kauka i kona pono, ke kaupaona nei i ka hoʻopi a me ka ʻoluʻolu. E hoʻoholo i ka pono o ka hāʻawi ʻana i nā mea maʻi. Inā ʻaʻole infect ke ʻano o ke ʻano, a laila hōʻike ʻia ka laparoscopy. Hiki iā ia ke hoʻohana i ka nahonu luawai ma o ka ʻili. Inā ʻike nui ka exudate, a laila e hana ʻia kahi hana ma ka ana. E kūpono ka hopena kūpono mai ke kaʻina hana o ka dialysis peritoneal.Mahalo iā ia, ua hoʻoneʻe ʻia nā enzymes a me nā mea huʻawaʻu mai ke koko, ua hoʻemi ʻia ka ʻōpū o ka make.

Me nā necrosis pancreatic maʻamau, wehe i kahi ʻāpana o ka pancreas (ʻaʻole hoʻopau piha) pono paha. Ma hope koke iho o ka hoʻomaʻamaʻa ʻia, ua kuhikuhi ʻia ka lāʻau lapaʻau maʻamau. I kēia hihia, pono nā lāʻau lapaʻau e kākoʻo i ke kāpae ʻana i ka hana o ka gland.

Hōʻailonaʻeha Patology

E hoʻōla ma hope o ka hana ʻana, pono ʻoe ma mua o ʻehā mau mahina. I ka manawa like, ua hōʻike ʻia nā meaʻai kūikawā, hoʻomaha me ka liʻiliʻi o ke kaumaha a me ke kūkulu hou ʻia ʻana o ka hoʻolaʻa hou. ʻO kahi papa e lawe i nā pills me ka insulin, nā lāʻau lapaʻau enzyme, ua kuhikuhi ʻia ka physiotherapy.

Pono e hahai i kahi meaʻai paʻa i ke ola holoʻokoʻa. Lawe ʻia ka meaʻai 5-6 manawa i ka lā ma kahi liʻiliʻi. Ke like me ka manawa like. Hōʻike ʻia ia i ka kuke ai a i ʻole nā ​​mea ʻai ʻai. ʻO ka paila wale nō i ka wai, nā huahana momona haʻahaʻa. ʻO ka ʻai, nā paila e hōʻike ʻia ai. Lā ʻia ka ʻai ʻana i nā huaʻai a me nā mea ʻai ʻai, nā huahana wikiwiki, nā wai inu, ka waiū, mālama.

I mea e pale ai i ka hoʻomaka ʻana o ka hemorrhagic pancreatic necrosis, pono ʻoe e hahai i nā kānāwai maʻalahi o ke ʻano ola. ʻAi hou i nā mea kanu hou a me nā hua ʻai, nā huaʻai a pau, nā nati, nā aila like ʻole, nā kai kūʻai. Hōʻalo i nā momona momona, nā meaʻai i hoʻoulu ʻia, ka nui o ke kō a me ka paʻakai. E inu hou i ka wai maʻemaʻe. E ho'ōki i ka ulaula, mai hōʻino i ka waiʻona, neʻe a holo pinepine i ka ea hou. Hōʻalo i nā pilikia koʻikoʻi a loaʻa i nā ʻano lāʻau lapaʻau maʻamau.

Hoʻohālikelike

Pono ʻoe e ʻike i nā helu helu e pili ana i nā pūʻulu o nā mea i nui aʻe o ka nui o ka necrosis pancreatic: ka poʻeʻelemakule, nā mea hoʻonaninani a me nā mea inu lāʻau lapaʻau, ʻoi aku ke kaumaha ma muli o ka ʻai nui o nā momona momona, me nā maʻi maʻi o ka ʻōpū, ka ʻawaʻawa, aʻa, pancreas, a me nā hōʻino kino i ka ʻōpū nahenahe.

ʻO ka hoʻomaopopo ʻana i nā hana o ka nekrosis (nā kumu, nā hōʻailona a me ka mālama ʻana) e pale aku i nā hoʻopiʻi a me ka hoʻomaka ʻana o nā kaʻina hana hiki ʻole. ʻAʻole i loaʻa mai kahi maʻi koʻikoʻi mai ka wā kālai ʻole. Pono ia i mau makahiki o ka mālama liʻiliʻi a me kahi mea hoʻonāukiuki. ʻO ke ala kūpono i kou olakino e pale aku iā ʻoe mai ka hemorrhagic necrosis a me nā maʻi ʻē aʻe he nui.

ʻO ka manaʻo nui o ka kaʻina pili

Hoʻoulu ka hemorrhagic pancreatic i ka pancreas ma ke ʻano o ke ake o ka pancreatitis a i ʻole me kahi kaʻina maʻi exacerbated i loko o ka pancreas. Hōʻike ʻia ka Patology e ka make wikiwiki o nā wahī o nā selela, a he mau hoʻololi ʻole ʻia kēia mau hoʻololi. ʻO kēia, ke huli nei i ka mau hewa i ka hana humoral a me ka enzymatic o ke kino.

Nui ʻino ka maʻi, a inā ʻaʻole i ʻike ʻole ʻia ma ke ʻano, a laila he mea make. Hiki i ke kaʻina hana ke luku i nā wahī a me nā kino ʻē aʻe i kokoke i ka pancreas, ka mea i hōʻike ʻia i kekahi pilikia ʻē aʻe.

No ke aha i hoʻomake ai ka maʻi?

Ua hōʻike ʻia ma ke ʻano he maʻi mahele, e ulu nā hemorrhagic pancreatic necrosis ma muli o kēia ʻano kumu.

• hana kino i loko o ka pancreas, i hele pū me ka neʻeneʻe a me nā hana hewa i ka hoʻokuʻu ʻana o nā huaʻala,
• mea e make ai i ka meaʻai, ka hoʻohuʻihui ethanol ma muli o ke inu ʻana i ka waiʻona, overdose me kekahi mau lāʻau lapaʻau,
• pancreatitis maʻiʻeha, hoʻolako ʻia ʻaʻole hahai ʻia kahi meaʻai kūikawā,
• alaala
• ka hopena o ka hōʻemi ʻole ʻana ma ka lua o ka hāhai ʻana, ma hope o ka hoʻopiʻi ʻia ʻana o nā hoʻopiʻi.
• ka ʻeha hōʻoki o ka pancreatic
• pili i ke kūmole i ka wa o ka pancreatic wai i hoʻolei i loko o nā kino,
• hopu i ka maʻi kikoʻeha
• ʻO ka DIC-syndrome, ka mea i kū'ē i ke kua o nā maʻi a me nā maʻi virus, nā hopena maikaʻiʻole o nā huawai, chemotherapy.

ʻOiai ke kumu o ke kumu o ka hoʻomohala ʻana o ka pathology, hemorrhagic pancreatic necrosis e pili ana i ka acinus, nona ke kuleana no ka hoʻoulu ʻana i nā enzymes no ka hana ʻana o ka kūlohelohe. ʻO ke hopena, hoʻonui nui ʻia ka nui o nā enzyme, e pili ʻole ana i ka maʻi pancreatic ma muli o ka uhai ʻana o kāna mau protein. Hoʻopilikia kēia i nā hoʻomaka. ʻO kekahi o kēia mau enzyme i kapa ʻia he elastase, ka mea e hōʻino ai, me nā kīʻaha koko, e kū ana i ka hemorrhage.

ʻO nā ʻano a me nā ʻina o ka necrosis pancreatic hemorrhagic

Wahi a ka ʻaoʻao i pili ʻia, ua hoʻokaʻawale ʻia nā ʻano o ke ʻano: ka palena (focal, me ke ʻano nui like ʻole)

Ua hoʻokaʻawale ʻia nā ʻano o kēia maʻi:

• ʻO ka keaka, e mau ana ma kahi hebedoma, kahi e ulu ai ka hoʻoulu ʻana o nā maʻi (ʻo ka nui o ka piʻi ʻana o ia mau mea i nā mea make o ke kino e nā huahana waiwai, e hoʻonāwaliwali ai i ka pili kino)
• ʻO kahi papa II: i hōʻike ʻia e ka ʻōpala o nā hua o ka pala, e hoʻopili ana i nā hiʻohiʻona o ka ful purulent a me nā hemahema o ke ʻano hoʻokahi,
• Stage III, kahi e palahalaha ai ka maʻi a ʻaʻole wale ma ka laula o ka lepale, akā, ʻo nā ʻiwi ʻē aʻe.

Pehea e ʻike ai ka maʻi?

I ka hoʻomaka, hōʻiliʻili ka loea i kahi anamnesis, ma hope o kāna hana ʻana i kahi hoʻokolokolo o waho (ʻili, waha ka waha) a me ka palpation o ka peritoneum. A laila hana ʻia kahi urinalysis e hoʻoholo i ka ʻike o nā trypsinogen a me uroamylase i loko, ke koko ma ka pae o nā enzyme. Eia kekahi, kahi hana i kuhikuhi ʻia e hoʻoholo ai i ka momona o ka gastric, kahi hōʻike no ka wai pancreatic e ʻike i ka pae o nā bicarbonates, me ka nānā pūʻana i nā feces no ka loaʻa o nā koena momona i loaʻa ʻole. E koi ʻia nā hana diagnostic hoʻomōhala hou ʻia:

• ʻO ka MRI a me ka CT, e hoʻoholo ai i kahi o ka ʻino,
• Endoscopiko pancreatocholangiography.

I ka wā i kuhikuhi ʻia, kuhikuhi ʻia ka laparoscopy o ka peritoneum, ka mea e hōʻike ana i ke kiʻekiʻe o ka hōʻino ʻana i nā kino o loko i ke kaʻina pili.

He aha nā lāʻau lapaʻau e hoʻohana ʻia?

Ma ka hapa nui o ka maʻi hemorrhagic pancreatic necrosis e pono ai ka mālama ola olakino, mālama lākou iā ia wale nō i loko o kahi hale hoʻomaha, a me nā hihia koʻikoʻi e koi i ka mea maʻi e waiho i ka waihona mālama mālama. ʻO ka mea mua, mālama ʻia ke ʻano conservative (koe wale nō i nā hihia kahi e wikiwiki koke ai ka hana). ʻO kāna mau hana nui, me ka ʻekolu a ʻehā paha o ka hookeai, penei:

• hōʻoluʻolu o ka maʻi ʻeha, ka mea maʻa mau ka lāʻau lapaʻau e hoʻohana ʻia ana i ka blockoc novocaine, no ka mea, ʻo ka ʻeha, ma ke ʻano he ʻōlelo,
• ka hoʻohiʻona maʻamau o ka acidity me antisecretolytics,
• hōʻemi ma ka helu o nā enzyme i hana ʻia,
• cramping
• pale aku i ka maʻi e pale ai i ka hoʻomohū ʻana o ka suppuration me ka hoʻohana ʻana i nā mea antibacterial agents.

I ka nui o nā hihia, ʻaʻole ia e hoʻopaʻa pono i nā ʻano like ʻole o ke kino. A laila ua kuhikuhi ʻia kahi lilo ʻana, kahi mea i hōʻike ʻia ma ke ʻano nui o ka maʻi me ka maʻi, no ka laʻana, me ka hoʻolaha ʻana o ke kaʻina pili ma nā ʻaoʻao kokoke.

Hoʻohana pinepine, laparoscopy e hana i nā wahi o ka nekrosis, a me ka hele ʻana o kahi hana infectious, kahi kumu maʻi pancreas. ʻO nā hihia koʻikoʻi nui, i hele pū me ka make o nā ʻāpana nui o ke kino, pono i kahi hana i kapa ʻia ʻo pancreatectomy.

Pono e ʻōlelo ʻoi ʻaʻole paha e hoʻowalewale i ka hōʻiliʻili ʻoi mau loa i nā pathology me ka pancreatic necrosis o ka hemorrhagic ʻano. I kekahi mau hihia, pono e hoʻopili i kahi hana lua.

Hōʻike ʻia nā maʻi pancreatic e kahi ala wikiwiki a me ke kiʻekiʻe o nā ʻōpiopio. ʻO kahi maʻi e like me ka hemorrhagic pancreatic necrosis he mea koʻikoʻi loa. Me kēia maʻi, kahi wikiwiki, akā, ʻo ka mea nui loa, ʻaʻole e hiki ke hoʻololi ʻia i ke kaʻina o ka make o ka papa. Hoʻokumu ka hoʻopiʻi pinepine ʻana i ka maʻi pancreatitis a i ʻole hoʻi hoʻomaha. ʻO ka pōpilikia ʻoiai ke hoʻomaka ka mālama ʻana i ka manawa ʻaʻole e hōʻoia ka necrosis e make i ka make.

Hemorrhagic pancreatic necrosis - kahi ʻano e pono ai ka mālama mālama

Nā hōʻailona a me nā pae

Hoʻokumu nā hōʻailona ma ke ala o ka maʻi a me ka nui o ka lesion. E like me ka hōʻike hope loa, ua pau (ke kau ʻia nā wahi o ka nekrosis i hoʻokahi wahi) a pālahalaha ʻia (e pili ana ka maʻi i ka ʻāpana āpau a i ʻole ke kino holoʻokoʻa).

Kahi ʻano o ka hemorrhagic necrosis ma ke ʻano:

• Sharp. Hoʻoulu ka maʻi ma muli o ka hopena a i ʻole. ʻO ka nekrosis pancreatic pancreatic e hōʻike ʻia e nā hōʻailonaʻōlelo a alakaʻi i nā hopena koʻikoʻi.
• Ka Hoola ʻO kahi ʻano koʻikoʻi kahi hiʻohiʻona wale nō no ke kahua o ka hoʻōla.

E like me ka paʻakikī o ka lesion:

• Lokalaka ʻO ka make kelepona kikowaena he ʻano hiʻohiʻona o ia.
• ʻO ka neʻe piha o ka hemorrhagic pancreatic. Ua hōʻike ʻia ma ka make ʻana o nā maʻi āpau.

E ka hopena o ka maʻi.

Ma ke ʻano o ka papa:

ʻO ke ʻano o ke ʻano, pono e mālama ʻia ka maʻi.

ʻO ka hōʻailona nui o ka hemorrhagic pancreatic necrosis he ʻeha ma ka ʻaoʻao hema. He ikaika nā manaʻo ikaika, i kekahi manawa hāʻawi lākou i ka ʻāina o ke kua i lalo, poʻohiwi a i ʻole ka umauma.

• ka luaʻi huki i kāwili ʻia me ke koko a me ka bile,
• hua laikē ʻalani ma ka lehelehe,
• ka malo maloʻo
• lemala
• nā ninia
• ka hoemi ʻana i ka hopena o ka urine, hōʻailona o ka dehydration,
• puripish-blue ʻōpū ma ka ʻōpū e hōʻike ana i ke koko,
• nā ʻokoʻa koko
• hiva, hiwa,
• pauna aho hanu
• puʻuwai puʻuwai a me ka puʻuwai puʻuwai
• a palaha, ʻili a ʻulaʻula paha i ka ʻili o ka maka,
• lele i loko o ka paka
• koikoi pūmū, hoʻomāukiuki, a i ʻole ka lethargy.

Ke ulu nei nā ʻōpiopio, ʻoi aku ka koʻikoʻi o nā maʻi. Loaʻa paha ka hoʻomohala ʻana o ka hana pinepine ʻana o ke kino, ka huhū o loko, a me ka peritonitis.

Ma 20% o nā maʻi, ʻo ke ʻano nui o nā maʻi e alakaʻi ai i kahi pōpilikia, ma ka 35% e hoʻoulu ai i kahi maʻi noʻonoʻo.

Hoʻokumu pinepine ka hemorrhagic pancreatic necrosis. Aia iā ʻEla he 3 mau papa:

• ʻO ka mea mua, ʻo ia ka hana hou ʻana o nā microorganisms pathogenic e hoʻonāwaliwali i ke kino, hoʻonāukiuki i ka hoʻowalewale me nā huahana lapuwale. ʻO ka lōʻihi ka hopena o kahi kūlana mua.
• ʻO ka lua ua kiʻi ʻia e ka purulent decomposition o nā ʻōnaehana me ka hoʻomohala hou aʻe o nā lua o kona mau paia.
• I ke kolu o ke kolu, ua pā ka hapanui o ka pancreas i luna, hohola nā maʻi i nā ʻāiwi kokoke.

Hōʻemi a me ka prognosis

ʻO ka makeʻana mai ka hemroshitis pancreatic hemorrhagic he 7-15%, me nā papa koʻikoʻi - 40-70%. ʻAʻole alakaʻi wale ka maʻi maʻi i ka hana hewa ʻana o ka pancreas, akā no nā kino ola holoʻokoʻa. Hoʻemi ka pale o ka mea maʻi, hana ʻino ka kaʻina o ka digestive.

Hiki i ka hemorrhagic pancreatic necrosis ke hana i ka necrosis o nā sela o nā mea ola ʻē aʻe i kahi kokoke i ka pancreas.

ʻO ke kumu nui o ka make mai kēia mau maʻi ke komo i ka make o ke kino ma muli o ka peritonitis purulent.

Ka makemake maikaʻi ʻia no ka hoʻihoʻi ʻana me ke kipa mua ʻana i ka haukapila a me ka lapaʻau pono. Ma hope o ka mālama ʻana, pono ʻoe e hahai i kahi meaʻai a haʻalele i nā hana ʻino.

He wikiō hoʻohana e pili ana i ka necrosis pancreatic

ʻO ka nekrei pancreatic o ka pancreas e hoʻopiʻi nei i ka make o nā pūpuna o kēia ʻano maʻi ma muli o ka ulu ʻana o ka pancreatitis. Hana ʻia ka maʻi maʻi e ka mea maʻi, ʻoiai he mea hoʻohālikelike o kēia kaʻina hana i hiki pinepine ʻia i ka make.

ʻO ka neʻe ʻana o ka pancreatic ma muli o ka pancreatitis, inā ʻaʻole i mālama ʻia no ka manawa lōʻihi, a i ʻole ka mea maʻi i hana i ka lāʻau kūʻokoʻa pono ʻole me ka mālama pono ʻana.

Hoʻokumu ʻia ka pancreatitis ma muli o:

• ka inu mau i ka waiʻona,
• ka maʻi ʻino, ka mea i hoʻonoho ʻia e nā meaʻai momona kiʻekiʻe,
• nā maʻi o ka bile-form and excretory organ,
• palulu ʻana o kekahi ʻōpū o nā ʻōpū.

ʻO ke kumu kaulana loa no ka poʻe e hele i ka papaʻa me nā mea lapaʻau ʻo ia hoʻi ka hana ʻino ʻana i nā wai nui a me ke kīpē momona. E like me ke kānāwai, ma hope o nā hōʻuluʻulu ʻana me nā pāʻina piha, ua piha nā keʻena o nā hui a me nā gastroenterology me nā mea maʻi.

ʻO ka nepe ʻana o ka maʻi nepe no ka pancreatic he kelepona hōʻeuʻeu no ka ambulance a lawe aku paha i kahi mea maʻi i ka ʻoihana ʻoki. ʻO ka mea pōʻino loa, ʻo ka hapa nui o nā mea i loaʻa koke ke loaʻa i ka maʻi o ka necrosis pancreatic, ʻoiai ma mua o ka komo ʻana i ka haukapila i loaʻa nā mua o ka pancreatitis.

He mea kūpono ʻole ia e ʻike i nā kumu like ʻole o kēia ʻano maʻi.

Inā loaʻa kekahi o nā hihia ma luna aʻe, pono e nānā pono kekahi kanaka e kahi gastroenterologist e pale ai i nā hoʻopiʻi.

Ma mua o nā hoʻopiʻi o ka pancreas, ʻo ka pancreatic necrosis he kumu maʻamau loa o ka make. Aia ka hopena o ka make ma ke ʻano o nā maʻi. Kuhi ʻia ka mea e like me nā helu, ʻo kēlā me kēia mea i noʻonoʻo pono ai ka ʻokoʻa.

ʻĀpana ʻokoʻa

E hoʻomaka, e hoʻoholo ke kauka i ke ʻano o ka hoʻomohala ʻana o nā neʻe.

• liʻiliʻi liʻiliʻi
• waena kū
• hōʻike nui
• subtotal
• huakai.

Hoʻoholo ʻia ka ʻano ākea e ka nui o ka lesion o ka hui me ka necrosis pancreatic. ʻAʻole he palena paʻa ʻokoʻa a mua a me ka lua hoʻi, ke koʻikoʻi loa ke kolu. I ka ʻehā o nā ʻanuʻu, ʻike ka poʻe loea i ka make o ka hapalua o nā ʻoka.

Hemorrhagic total necrosis - he aha ia? ʻO kēia make wikiwiki a hoʻopau i ka make o ke kino, e alakaʻi ai i ka make.

ʻO nā pae i luna i mua he ʻelua wale nō mau hui - ua palena (ka ʻekolu o nā papa mua) a ākea (ʻelua mau manawa hope loa, e alakaʻi ana i ka make). Ua manaʻo ʻia kēia ʻano maʻalahi maʻalahi.

Ka helu ʻana ma ke ʻano o kahi kaʻina hoʻokō

A he ʻelua mau ʻano hou o ka necrosis pancreatic - sterile a me nā maʻi āpau. Hoʻololi nui kēia ʻano i nā koho maʻi, no ka mea e hōʻike ana i ka ʻole a i ʻole o ka hoʻopiʻi ʻana i ka maʻi kuʻuna i ka huelo. E noʻonoʻo pono iā lākou i nā kikoʻī.

ʻAno hemorrhagic

ʻO ka hemorrhagic pancreatic necrosis (pancreatitis) a ʻo ka pancreatic necrosis he maʻi hopohopo hou ia e alakaʻi ana i ka make kanaka i loko o 24 mau hola. ʻO ka maʻi ka mea e kapa ʻia ʻo "gangrene" - nā nekrosis o nā ʻona kino ma ka pala.

Hoʻokumu ka ʻekoekoe pancreatic hemorrhagic ma muli o ia mau ʻano:

• mea make nui
• maikaʻi ʻole me ka hōʻino ʻana o nā meaʻai e hoʻonāukiuki i ka hana ʻana o ka huina (spicy, fatty, sour and salty),
• nā pepeke
• me ka maʻi ʻaʻa pū i ka hui pū ʻana me nā maʻi o nā hui kūwili,
• kele hala
• lawe ʻia i nā lāʻau he nui i nā kauka ʻole i kaohi ʻia e ke kauka.
• kekahi mau maʻi hopohopo (mumps, acute intestinal infection),
• a me nā mea like.

ʻO ke kumu nui e hoʻopōmaikaʻi nei i ka nānā ʻana o ka necrosis ʻo ka hoʻohui pū ʻana o ka waiʻona a me nā mea momona momona ʻO ke kumu o ka make i ka hemorrhagic pancreatic necrosis ʻo ka pala o ka ʻiʻo, e hana ana i nā ʻōpū a me nā ʻōnaehana aʻa ka mea ʻino mai loko mai.

ʻO kahi hōʻailona hōʻailona o ka hoʻomohala ʻana i ka necrosis kahi ao o ke ʻano o ka mea maʻi. No ka mea ua hoʻokuʻu ʻia nā mea ola kino i ka wā o ka decompposation o nā kiko ola, hana kēia i ka pīhoihoi i loko o ke kino:

• ua ʻoli ke kino o ka maʻi,
• nalowale ka pulse
• kūkulu ka pākia o ka ʻōpū.

ʻO nā hōʻailona ʻē aʻe o ka maʻi i ka wā o ka exacerbation, e like me cholecystitis, loaʻa pū kekahi mau hōʻailona iā ʻoe. Hōʻike ʻia ka mikrosis Pancreatic i kēlā mau hōʻike āpau i hōʻike koke ʻia ma hope o ka ʻai ʻana.

Hoʻokomo ʻia ka hemorrhagic pancreatic necrosis mai hoʻokahi a ʻelua mau pule, e hoʻopau ana i ka make. Ma nā hihia kaawale, pau nā mea āpau i kēlā me kēia lā.

Ma ke kaʻina hana e hoʻonāukiuki i ka hana maʻamau o nā huina o ka huna ʻia e ka pancreas. Ma kahi kaʻina hana maʻamau, huna ʻia lākou mai ka okana a kahe i loko o ka ana o ka ʻōpū. Loaʻa ia i ka bile i hua ʻia e ka pepi. I ka hoʻopili ʻana, hoʻolaʻa ʻia kēia mau mea ʻelua a hoʻomaka e hoʻokaʻa i ka meaʻai.

Inā haʻi ʻia ka papahele, hoʻāla ʻia nā huakaʻi i nā kumulāʻau, ʻaʻole i hiki i kahi o ka hele. Ma muli o kēia, ʻaʻole lākou e hoʻoponopono i ka meaʻai, akā ka hao wale nō ia e hana nei.

Hoʻopili ka pancreatitis i kahi ʻano kūka ma muli o kahi hoʻohālikelike koʻikoʻi. I kēia hihia, ʻike ʻia nā loli like o ke kino.

• ka sphincter i mālama i ke kahe o ka huahe a me ka pancreatic i loko o ke ana o ka duodenum hoʻonui i ka leo,
• hoʻonui ʻia kahi kūleʻa
• hoʻonui nui i ke kaomi ma luna o ka bile duct a me nā pauku pancreatic.

ʻO kēia mau hoʻololi āpau e alakaʻi i ka neʻe o ka bile i nā kālai pancreatic, no ka mea, ʻaʻohe ona mea e kahe ai. ʻAʻole i hoʻolilo ʻia ka sphincter i loko o ka ʻōpū, kāwili ʻia me ka wai pancreatic i lawe a kahe i loko o nā wahi enima pancreatic. No laila aia kahi hana o kēia mau mea. ʻO ka mea mua, ua luku ʻia nā membran o nā mea ola olakino, a inā e hoʻomau ʻia ke kaʻina hana, wāwahi ka protein i lalo o ka hana o nā enzymes, ka mea i kapa ʻia ʻo autolysis o ka pancreas.

ʻO kēia ke hana ʻana o ka hoʻopili pono ʻana o ka huina. ʻO ka ʻoiaʻiʻo, ua hoʻopau iā ia iho.

E makaʻala! ʻO ka hoʻopiʻi koʻikoʻi kahi nekrosis pancreatic me peritonitis - ke kiʻi nei i nā kiko o nā huina o ke aʻai i loko o kahi ʻeha o ka ʻōpū.

Nā nekrosis pancreatic hemorrhagic

ʻO ka hemorrhagic (parenchymal) ʻo ka nekrosis pancreatic he hopena ia o ka proteolysis o ka puna pancreatic, kahi ʻano kolokipiko. Ua hoʻomaopopo ʻia ma 37.2% o nā ʻano āpau o ka pacreatitis maʻa, ʻoi aku ka nui o ka waiʻona (52.7%), biliary (31.3%), emi iki pinepine - i kahi ʻano. ʻO ka hōʻeha nui o nā loli pathomorphological ma muli o ke kūlana o ka maʻi. Hoʻopili ʻia ka pancreas me nā pākuʻi, pālahalaha, bluish-red, purplish-ʻeleʻele a ʻeleʻele paha i ka pena me nā ʻāpana ʻokoʻa o kahi ʻano i hoʻololi ʻole.

Nā kime hemorrhagic me nā wahi o ka hemorrhage, ua hoʻomaopopo ʻia ka hemorrhagic imbibition. Ka hoʻokolokolo ʻia o ka mikroskopika e ka nehocis parenchymal, hemorrhage, edema, thrombosis o arterioles a me nā venules me kahi hopena hoʻonaninani. Aia nā pūpū o nā nekrosis momona. Hoʻomaʻamaʻa, emi ka hopena o ka maʻi, hoʻonui ka hoʻoponopono a me ka hoʻihoʻi ʻana.

ʻO ka hemorrhagic acute pancreatic necrosis he subtotal a i ʻole ka nui-focal ma ke ʻano, he hopu a i ʻole nā ​​mea ʻehā o ka pala, pili maoli ka hōʻino.

Mai ka lā 2-3 o ka hebedoma, palupalu nā wahi necrotic a lawe i ke ʻano o ka palupalu, palupalu, maʻalahi i hoʻokaʻawale i nā brownish-brown a brownish-black massses, a i ʻole i hoʻonohonoho ʻia.

Niko momona pancreatic momona

Hoʻokumu ka necrosis momona i nā hana kaomi o nā enzyme lipolytic i hoʻōla, ka coagulation ma ke ʻano. Hoʻonui ʻia ka pancreas i nā manawa he 3-4, tuberous, ākea me ka nui o ke keʻokeʻo-ʻoniʻoni a i ʻole na melemele-hina paha o nā momona necrosis o nā ʻāpana like ʻole, i kekahi manawa ka hui pū ʻana me kekahi. Hiki i nā hemorrhages hoʻokaʻawale a me nā limahana o nā parrosisis parenchymal i hiki ke nānā ʻia.

ʻO nā mea hoʻonaninani i loko o nā foci o ka nekrosis i loko o ka dystrophy a i ʻole necrosis i ke ʻano o ka nui o ka hanganga, ʻaʻole hoʻokaʻawale.ʻAʻohe o Nuklei, ma ka parenchyma i mālama ʻia e ka gland, edema o ka pāka intralobular, fibrinoid necrosis o nā paia o nā moku liʻiliʻi. ʻO ka hiʻohiʻona ka hele i loko o ka ʻōpū o ka pūpū o ke kukui melemele mālamalama o ka ʻano paʻakikī.

Mālama, e like me ka edema a me ka hoʻōla o ka infiltration, ua waiho ʻia nā paʻakai kalima i loko o ka foci o ka necrosis pancreatic maʻa, ua hana ʻia ke ʻano o kahi palaka, a lawe ʻia ka foci i ke ʻano o ka nui o ka "caseous". Hoʻopili ʻia nā pūpū nui o nā nekrosis momona me ka hoʻokumu ʻana o ka "hina" a i ʻole ka "keʻokeʻo" sequestration.

Me ka hiki i ka hoʻomohala ʻana o ka proteolysis a me ka lipolysis o ka pancreas, ua hui ʻia ka necrosis pancreatic. Ma ka hōʻeha nui, e pono ka lua ma hope o ka hemorrhagic pancreatic necrosis, hōʻike no 19.2% o nā ʻano hana ʻē aʻe. Hoʻohālikelike ia me ka prevalence a me ka hele ʻana i ka pancreas o nā wahi nui o ka hemorrhage, parenchymal a me ka momona pancrosatic pancreatic, ka loaʻa o ka hemorrhagic effusion i loko o kahi ʻōpū. Ua hoʻonui ʻia ke pancreas, nā ʻāpana o ka necrosis e hoʻohuli me nā wahi i loli ʻole ʻia. Ma hope o hoʻokahi hebedoma, ma muli o ka hala o ke koko, lawe ka foci o nā hemorrhages i kahi kikoʻoniʻu brownish-brown, nā pulu palupalu e hele mai ana ma ka pelekupepa o ka foci o ka necrosis. Hoʻohālikelike a hoʻoiho ʻia i ka neʻe o ka necrosis me nā hana hoʻoponopono hou, fibrosis. ʻO ka thrombosis o nā moku nui a me ka sequestration o nā pōpō nui o ka pancreas, i ka ʻokoʻa me ka hemorrhagic pancreatic necrosis, ʻaʻole i mālama ʻia.

ʻIke ʻia ka Microscopically i nā hoʻomaka mua o ka maʻi edema, parenchymal, necrosis pancreatic fatty, hemorrhage, thrombosis capillary a me nā venules. Hoʻopuni i ka foci o ka nekrosis, ua hōʻike ʻia kahi hopena hoʻonā maʻi. Hoʻomoe iki ʻia, hoʻopili ʻia ka detritus kiko e ka macrophages, kokoke i ka foci o ka momona nekrosis momona, hōʻuluʻulu nā lipophages me ka hoʻomaʻamaʻa ʻana o nā fibroblasts a me ka hoʻokumu ʻana o ka umauma ʻōpio, collagenization o ka kiko interstitial i nā ʻāpana a pau o ka pancreas. Hoʻoulu ka pilina ʻōpiopio olakino i loko o nā pahu me ka atrophy o ka acini. A puni nā alaloa, nā moku, a me nā nīnū i nā neʻe, "ka hui a" hana ʻia mai loko mai o ka palaka hoʻohui poloka.

Ma nā maʻi pancrosatic pancreatic, i ʻōlelo ʻia i nā loli like pathological ʻaʻole wale nō e pili ana i ka pancreas, akā pū kekahi hoʻi i ka ʻōpū retroperitoneal, omental bursa, peritoneum (enzymatic peritonitis), omentum (omentitis), ke ōlaʻi huapalapala (nā enzymatic cholecystitis), a me ka mesentery ʻōpū, hepatoduodenal ligament ( , hana ʻōnaehana.

Ma ka pālahalaha, hoʻokaʻawale ka ʻenehana me ka pancreatic i ka pancreatic.

• 1. Hāʻawi ʻia ka necrosis pancreatic maʻa e ke kuʻina o ka foci o ka nekrosis ma loko o ka māhele anatomical like o ka pancreas a me nā wahi kikoʻī o ka serat parapancreatic.
• 2. Hōʻike ʻia ka necrosis pancreatic maʻi maʻamau e ka neʻe ʻana o nā loli necrotic i kekahi mau ʻāpana o ka pancreas e pili ana i ka parapancreal wale nō, akā nā ʻāpana ʻē aʻe o ka fiber retroperitoneal.

ʻAʻole like nā loli o ka pancreas, retroperitoneal tissue ma nā manawa like ʻole o ka nīnēnē pancreatic o ka maʻi, ʻo ia ka mea i hoʻololi ʻia ai ka ʻili o ka necrotic i loko o kahi manawa aseptic a infectious paha o ke ʻano o ka maʻi.

I ka manawa aseptic, ʻo ka nekrosis pancreatic maʻa a me ka parapancreal retroperitoneal fiber e hoʻopili ai i ka pancreatic infiltrate mai nā ʻokoʻa pili: ʻōpū, duodenum, transverse colon, omentum, ate.

ʻO ka hopena o ka infiltration inflammatory o ka fiboperitoneal fiber e hoʻopuni ana i kona mau ʻono necrotic, ʻo ka hoʻokumu ʻana o ka phlegmon necrotic o ka wahi o ka retroperitoneal.

Ua hoʻomākaukau a a hoʻoponopono ʻia e: ke kauka

ʻO nā kumu o ka necrosis pancreatic

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 hana ai i ka necrosis pancreatic

Hoʻopuka ke olakino 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 mucosa o ka gastric, e hāʻawi ana iā lākou i nā lau 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 ikaika o ka pancreas, ka mea nāna i hana mua i ka wāwahi i nā protein, ka hoʻoheheʻe ʻana ma nā paia o nā papa a hoʻomaka i ka hoʻoheheʻe ʻia ʻana, ma lalo o ke ʻano o nā kinona, "nā" kūlohelohe a me nā "kelepa" loʻa. 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 pīhoihoi maʻi pāpaʻomaʻi, a hiki loa i ka paʻakikī ke hiki i ka mea maʻi mai waho aʻe o kēia kūlana.

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

• momona - loaʻa ia i ka hoʻolālā lohi i loko o 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, hiki i ka dehydration, ikaika i nā ʻalā. 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 kelpona, paʻa paha kēia 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. Hoʻohana ʻia kahi ultrasound ʻōpū, CT a me MRI paha, kahi e hiki ai ke ʻike i ke ʻano o nā wahi a me ka necrotic i loko o nā kiko 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.

Alikaole

I ka manawa pinepine, ua hōʻike ka maʻi maʻi i ka poʻe e ʻalanā ana i ka ʻawaʻawa.

Hoʻokumu nā huaʻawa i ka hopena o ka wāwahi i ka hopena o ka ethyl alkohol i hōʻiliʻili i nā kinona o ka pancreas, i hōʻea ai i ko lākou luku ʻia. Hōʻike ʻia nā hōʻailona mua o kahi puka kūlohelohe e pili ana i ke kaona o ka inu ʻona, i hui pū me ka hoʻohana ʻana i nā mea momona momona.

ʻO ka hemorrhagic pancreatic necrosis ua manaʻo ʻia he maʻi koʻikoʻi loa ia, kahi o ka 90% o ka maʻi pancreatic i pā ʻia. Ke kaumaha nei ke kūlana o ka mea maʻi i loko o nā lā 1-3 a hiki me ka mālama koʻikoʻi, hoʻohui ʻia nā hōʻailona o ka nui o ke kūlohelohe ʻana i ka maʻi ʻeha.

Subtotal

Me kēia ʻano o ka maʻi, ua ʻike ʻia ka necrosis o 50-70% o ka maʻi pancreatic. Mālama ʻia kēia i ka thrombosis e kū nei i ke kūpaʻa o ke kaila o ke kahe.

Ke kāpae nei i ka hoʻōla ʻia o nā io o nā kino i ke kahe o ka nui o kāna mau puna.

ʻO nā mea maʻi me ka subtotal pancreatic necrosis e hōʻike ʻia no ka pale ʻana i ka ʻoki ʻana i mālama ʻia e ka ʻoi ʻana.

No ke aha e kū ai ka hemorrhagic pancreatic necrosis

ʻO nā mea pili i kēia hana i ka hoʻomohala ʻana o ka necrosis pancreatic:

• hoʻonāukiuki i ka pancreas me ka uʻe ʻana i kāna mau hana a me ka pau ʻana o ke kahe mai o ka wai pancreatic,
• inu huki me ke kino kūlohelohe me ka hoʻohana ʻana i ka ʻōnaehana hoʻohālikelike.
• Reflux pinepine i ka wai pancreatic i loko o nā kumu pancreatic i kū me ka maʻi gallstone,
• nā maʻi ʻeha o ka pīpī a me nā kumu bile,
• ʻO ka maʻi thrombohemorrhagic, i hele pū me ka kahe o ke koko i loko o nā moku,
• huʻi a me nā pōpō maʻi,
• wā hoʻohana lōʻihi o cytostatics,
• ʻike maka
• nā ala polimona (hemorrhagic vasculitis),
• ʻO ka maʻi ʻeha coronary, ka mea e hoʻopilikia ai i ka pōpilikia o nā mea āpau a me nā kiko,
• Nā hōʻeha o ka pancreas, ka hoʻohui pū ʻana o nā mea hōʻiliʻili hōlua.

ʻO ke kumu o ke kumu o ka necrosis pancreatic, ʻo ka ʻōnaehana o kona hoʻomohala ʻia e kau ana:

• i ka poina o ka acinus-secretory kikowaena kuleana no ka hana ʻana o nā pancreatic enzim,
• e hoʻonui i ka pae o ka waihonaʻenehana i nā waiwai koʻikoʻi. I kēia hihia, hoʻomaka nā mea e hoʻopau i ka pancreatic kiko - e hoʻoulu ai i nā protein
• ka pohō i nā paia o nā kīʻaha koko. ʻO ka hōʻiliʻili ʻana o ka hoʻomehana elastase i loko o ke kōpuna e alakaʻi i ka hemorrhages. Ke kapa neiʻo Gastroenterologists i kēia ʻano paleka puhaluhi pancreatic,
• ma nā hopena hopena o ka trypsin a me ka pancreatopeptidase - nā enzymes proteolytic i pono no ka uhaʻi ʻana i nā meaʻai o ka protein,
• ma kahi maikaʻi ʻole i ka hana kūlohelohe o ka kāohi ʻana i ka synthesis o nā hana digestive.

ʻO ke kiʻi like kino o ka necrosis pancreatic e loaʻa:

• ʻā, ʻo ka ʻeha hōʻeha e hoʻomāliuli ʻia ma ka ʻaoʻao hema o ka ʻāina epigastric, e pā ana i ka ʻūhā poʻohiwi a me ke poʻohiwi,
• ka malo maloʻo
• ka hiʻohiʻona o ka ulaula māmā i ka ʻōlelo,
• ninaki a me ka luaʻi ʻaʻole ia e hali,
• pepelu, pupule,
• palaka papahele
• ʻili a pallor a ʻili paha o ka ʻili o ka maka,
• hoʻoneʻe ʻana o ka peritoneum, i hele pū me ka hiʻohiʻona o nā ʻulaʻulaʻula ma ka ʻili o ka ʻōpū,
• hoʻololi koke i ke koko,
• tachycardia, pōkole o ka hanu,
• kuʻe o nā diuresis,
• nā maʻi noʻonoʻo (motor agitation a lethargy) paha.

Hoʻopilikia ʻana i nā necrosis pancreatic hemorrhagic

Me ka pancreatic necrosis, hōʻike ʻia ka hoʻokele hoʻomaha ma ka waihona mālama mālama kino. Kau ʻia

• e hōʻoluʻolu i ka ʻeha
• e hooki i ka luhi o ka nīna pāuna,
• e hoʻopau ai i nā spasms,
• e hoʻihoʻi hou i nā patestatic ducts,
• e hoemi i ka huni o ka waiva a me ka momona,
• i mea e pale ai i ka hoʻomohala ʻana o ka hoʻomāinoino a me ka hoʻomāinoino o ke kino,
• i mea e pale ai i nā hoʻopiʻi i pili i ka maʻi o ka ʻōpū o ka ʻōpū.

No kēia mau pahuhopu, hoʻohana ʻia nā mea lapaʻau hou, nā lāʻau lapaʻau, nā meaʻai kūikawā, a me ka hoʻomaha ʻana o ka moena.

Hoʻolāla lāʻau

ʻO ka hoʻoponopono lāʻau lapaʻau no ka necrosis pancreatic e hoʻohana i ka hoʻohana ʻana i kēia mau lāʻau penei:

• Analgesics a me antispasmodics. E hōʻoluʻolu i ka mea maʻi mai ka hōʻeha kaumaha. ʻO nā lāʻau kūpono loa ʻo Papaverine, Platifillin, Ketanov. ʻO ka hui ʻana o ka hoʻonā novocaine i hui pū me ka glucose i ka wahi peritoneum-lumbar e hoʻopau koke i ka ʻeha. Hoʻohana hou ia ʻo Promedol me Diphenhydramine.
• Nā mea hoʻonani o nā enzymes proteolytic (Gordox, Ribonuclease, Contrical). Intravenous hoʻokō o nā lāʻau lapaʻau e neutralizing i ka hopena luku loa o ka wai pancreatic.
• Antacids (Atropine, Kvamatel, Ephedrine). Hoʻemi i ka acidity o ka wai momona, i hoʻohana pū ʻia me ka ʻaina therapeutic.
• Antibiotics (Cephalexin, Kanamycin). ʻO nā dosis nui o nā lāʻau lapaʻau e pale i ka hoʻomohala ʻana o ka peritonitis a me ka pohō.

Haʻioa

ʻO ka hoʻoholo e pili ana i ka pono no ka hana ʻana e hana ʻia e ke kūkākūkā ʻana o nā kauka e pili ana i nā hopena o ka mālama conservative a me ke ʻano maʻamau o ka mea maʻi. Inā ʻaʻole i hele pū ʻia ka pancreatic necrosis e ka hoʻomohala ʻana o nā hoʻopiʻi, lawa ka lawa ka pōkole laparoscopic. Me ka hōʻiliʻili o ka hemudhagic exudate, hōʻike ʻia ka dialy peritoneal - hoʻomaʻemaʻe ʻia ka intraperitoneal o ke koko. ʻO ka neʻe pancreatic necrosis kahi hōʻailona no ka pancreatectomy (lawe piha i ka pancreas).

E mālama ʻia kahi kīʻai kūikawā ʻaʻole wale i ka wā mālama, akā i ka holo ʻana.

ʻAi i nā wahi liʻiliʻi, 5-6 mau lā i ka lā. Kele ʻia ka meaʻai me ka ʻole o ka hoʻohui a me nā mea ʻala, hoʻopau ʻia i ke ʻano mahana. Puhi, nā momona, ke kua a me nā meaʻai maikaʻi, nā hua ʻala, nā mea ʻona i haʻalele ʻia i ka meaʻai.

Nā hopena

I ka 20% o nā hihia, ua hele pū ʻia ka necrosis pancreatic e kahi kūlana hoʻokupu a i ʻole coma, loaʻa nā maʻi noʻonoʻo noʻonoʻo ma kēlā me kēia 4 maʻi. Hoʻokumu ka hana i kahi fistula pancreatic i ka hoʻomaka ʻana o ka wai pancreatic, ka make a me ka hemorrhagic exudate i loko o kahi ʻōpū. ʻO kēia ke kumu o ka suppuration o ka peritoneum a me ka hoʻomohala ʻana o ka peritonitis.

Mea maʻi

Hāʻawi ʻia ka hui kīnā mua i nā maʻi i lawe ʻia i ka hōʻoki ʻana o ka pancreatic, i ka ʻeha ʻana i ke koko i loko a me nā pilikia ʻoi loa. Ma ka hōʻole o nā ʻōpiopio, aia ka manawa e loaʻa ai nā hui ʻekolu.ʻO ka hoʻokumu ʻana o nā fistulas o waho, nā maʻi hana hōʻemi maʻalahi - hōʻailona no ka hana ʻana o ka hui ʻelua o ka maʻi kīnā.

Nā hōʻailona a me nā hōʻailona

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 ākea a palahalaha paha i loko o ka kiko).

Eia kekahi, ʻokoʻa ka papa o ka necrosis pancreatic ma 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 paʻi a nāwaliwali 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 loko o ke kino.
• I ka hana hope loa, hoʻopilikia ka maʻi i kahi ʻāina nui a hohola i nā ʻili o nā ʻāpana kū kokoke, kahi e hoʻonā i ka hopena ma waena 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 kōpaʻa,
• 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 hōʻike paha i nā ʻōpū, he hopena ia o ke kahe ʻana o ka hoʻowalewale ʻana,
• 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, hoʻomohala i nā hana purulent i ka ʻōpū o ka 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.

Pehea ka maʻi o ka maʻi

ʻO nā hōʻailona nā hōʻailona o ka hemorrhagic pancreatic necrosis ma nā mea he 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,
• a i ʻole ka mea maʻi a i ʻole ka lolo.

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,
• 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 pancreatic necrosis, ʻo ka mea maʻi, ma ke ʻano he kānāwai, e hoʻopau i loko o kahi keʻena olakino ma hope o ke kāhea ʻana i kahi kaʻa.

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.

Nā ʻōnaehana hana

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 ka lua o kēlā me kēia ʻeono mahina.

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 i ka haʻalele ʻana 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.

I ka papa o nā huaʻai a me ka maʻi pancreatic necrosis (Atlanta), ʻelua o kona mau ʻano i hoʻokaʻawale ʻia e pili ana i ka maʻi: sterile a i ʻole ʻoki ʻia me ka hoʻokaʻawale ʻole i nā ʻano pathomorphological: hemorrhagic (parenchymal), momona a kāwili ʻia. ʻO ka mahele i loko o ia mau ʻano "mai ka hiʻohiʻona o nā manaʻo hou ʻaʻole iʻike i ke ʻano he nui a me ke ʻano hohonu hohonu."

ʻAʻole hiki i ka wehewehe ʻana o ka necrosis pancreatic maʻa me ka hoʻokaʻawale ʻana i kēia mau ʻano. Eia kekahi, nā ala like ʻole o ka pancreatic necrosis i hoʻohui ʻia e nā ʻokoʻa ʻana o ka nui o ka papa lāʻau, ka ʻalā o nā hoʻopiʻi a me nā make. Me ka hoʻolālāʻana o ka lāʻau lapaʻau a me ka lāʻau lapaʻau, hiki i ka mālama pathogenetic nā proteolytic a lipolytic paha o nā nekrosis.

He aha ka pancreatitis hemorrhagic

ʻO ka pancreatitis Hemorrhagic i hui pū ʻia me kahi papa maʻa ʻaʻole ia he mea ʻē aʻe o kahi ʻano paʻakikī o ka hōʻino ʻana o kēia kino, no ka mea, ʻo ke ʻano maʻi me ka wikiwiki o ka luku ʻana i ka pā o ka parenchyma a me nā moku pancreatic. ʻO kēia kaʻina hana i nā necrosis, ukali ʻia e nā ʻapihā a lawe ʻia ʻo ia ma muli o kāna mea ponoʻī. Hoʻopau ia i ka hoʻomohala ʻana o ka peritonitis hemorrhagic.

Kuhi ʻia nā hōʻailona koʻikoʻi o kēia maʻi e kekahi mau hōʻike.

1. ʻO ka loaʻa ʻana o ka eha, loaʻa ka ʻano o ka maʻi maʻi.
2. ʻO ka hoʻomohala ʻana i ka maʻi maʻamau.

ʻO ke kūlana maʻamau o nā mea maʻi e manaʻo ʻia he mea koʻikoʻi. I mea e loaʻa ai kahi manaʻo pehea e ulu ai ka pancreatitis hemorrhagic, he aha ke kumu o kona helehelena ʻana, pehea e hoʻomaʻamaʻa ai a mālama i ka maʻi, ua aʻo ʻia e noʻonoʻo i kekahi ʻike o ka ʻike e pili ana i kēia pilikia.

ʻO nā kumu o ka pancorritis hemorrhagic

ʻO nā kumu ke kumu o ka hoʻomohala ʻana o ka maʻi pancreatitis hemorrhagic:

• hoʻonāukiuki o ke kino ma muli o ka make ʻana o ka meaʻai,
• kaʻai ʻole kūpono: nā hana hōʻeuʻeu i nā mea momona, nā mea momona a me nā mea ʻai palaoa, kāmena a me nā meaʻai poma
• ka hoʻomohala ʻana i kahi hopena maʻi no kekahi mau kumu,
• ʻōpū maʻi ʻōpū
• nā kue ʻana i nā hana hana o ka pancreas,
• ka overdose o nā lāʻau
• nā ʻeha ma ke kua a me ka ʻōpū.

Hiki ke hōʻike ʻia kēia maʻi i ka poʻe i kēlā me kēia makahiki, ʻaʻohe ʻano o ke kāne. Wahi a nā helu loea, pinepine ka maʻi pancreatitis hemorrhagic e ulu i loko o nā kāne i ka wā'ōpiopio, ʻoi aku hoʻi i ka poʻe i makemake i ka loaʻa ʻana o ka paona a me ka hōʻino hōʻino. ʻO ke kaʻina o ka hoʻomohala ʻana o ka maʻi pono pū me ka hoʻōla ʻana o ka trypsin i ka pancreas, ʻoiai i kahi hanana maʻamau ke kū nei i ka maʻi o loko o ka ʻawaʻawa.

I ka nui o nā hihia, e hoʻomaka koke ana ka hoʻomohala ʻana o ka pancreatitis hemorrhagic e hui pū ʻia me ka hoʻopiʻi ʻana o ka ʻeha ʻeha e kūleʻa ana i ka lumbar. A ʻo kahi o kāna ʻoihana nui, ʻo ka pancreas.

ʻO nā hōʻailona o ka pancreatitis hemorrhagic

E like me nā maʻi ʻē aʻe, he hemorrhagic pancreatitis kona mau hōʻailona. Ke ulu nei kona hoʻomohala ma kahi o ka hoʻolaha ʻana i kekahi mau kumu kumu no ka hoʻopōmaikaʻi ʻana o ka enzymatic activation o ka pancreas.

Hoʻopuka ʻia ka hemorrhagic pancreatitis e ka hoʻomohala ʻana o ke kaʻina hana kūleʻa ikaika, ke alakaʻi nei i ke kuʻe hewa ʻana o ka wai wai i huna ʻia e ka pancreas. ʻO nā kumu e hoʻomohala i ka maʻi pancreatitis hemorrhagic e pinepine i nā maʻi me ke ʻano kūʻokoʻa kūʻokoʻa, kahi i hoʻokaʻawale ʻia ai nā mea penei:

• ka hoʻopumu ʻana i nā gallstones
• ka hoʻomohala ʻana o ka DIC
• nā maʻi ʻolima.

I waena o nā hōʻailona ʻē aʻe, hiki i ka hoʻomohala ʻana o kēia ala ke alakaʻi i nā nui o ka radiation ionizing, a me nā mea ʻeha a i ʻole ka hōʻeha kino ʻana i ka pancreas.

ʻO ka pōʻino i ke kumulā paha ma muli o ka manaʻo nui o ka enzymatic i ka pancreas, ka mea e alakaʻi ai i ka pale ʻana ponoʻī o ka parenchyma, ma muli o ka pau i ka paia o nā kīʻaha koko. Ke alakaʻi nei ke kaʻina holoʻokoʻa i ka ʻoiaʻiʻo e hoʻopili ʻia ka iwi me ke koko a me nā ʻalaehae i komo i loko o ke ana o ka ʻōpū, hiki iā ia ke alakaʻi i ka peritonitis.

He hana koʻikoʻi i ka hoʻomohala o ka pancreatitis hemorrhagic e pāʻani ana i nā mana hoʻoponopono humoral e pili ana i ka helu o ka hana pancreatic enzyme.

ʻO kekahi o nā hiʻohiʻona o ka maʻi i ka hilahila. Aia no nā hōʻailona o waho, hiki iā lākou ke hoʻokomo i kahi hoʻololi i ke kaʻe, ka mea e lawe ana i ka pupuʻu hina. Hoʻopili ʻia kēia hōʻailonaatology me ka pulse filamentous. ʻO ka mea ʻo ke kaʻina hana mau e neʻe nei i ke kino e hiki ke hoʻoponopono ma luna o nā hopena o nā hōʻike koko lapaʻau.

Ma muli o ke ʻano o ka pīhoihoi i ke ʻano o ka hemorrhagic pancreatitis he hoʻoiho o ke kino, ka mea e hele pinepine ʻia e ka decomppos o ke ʻano. Hōʻeha ʻia ke ʻano, ʻo ka mea paʻa me ka pancreas me ka nui o ka hopena o nā nerve.

ʻO kahi palapala koʻikoʻi o ka maʻi e pōʻino ai i ke ola o ke kanaka, ʻoiai e hiki ke make ma hope o kekahi mau lā.

Hoʻopapa a me ka mālama ʻana i ka pancreatitis hemorrhagic

E like me nā maʻi ʻē aʻe, ʻo ka hemorrhagic pancreatitis e pono ai ka maʻi kiʻekiʻe a me ka mālama ʻana. I kēia hihia, nā ala ʻōkuhi ulia pōpilikia, e like me:

• Paona o ka ʻōpū
• laparoscopy

I waena o nā mea ʻē aʻe, ʻo ka mea nui o ka maʻi like ʻole o nā maʻi āpau, ʻo ia hoʻi:

• ʻōpū ʻōpū
• wahī
• unuhi ʻia e ka papa ʻaina.

ʻO ka maʻi pancreatitis hemorrhagic kahi kumu kūpono loa no ka mālama maʻi o ka mea maʻi, ka mea i lawe ʻia me ka pahuhopu o ka resuscitation o ka mālama mālama kino a me ka mālama hou ʻana ma o ka pale ʻana i ka maʻi.

ʻO ka nekrei pancreatic o ka pancreas e hoʻopiʻi nei i ka make o nā pūpuna o kēia ʻano maʻi ma muli o ka ulu ʻana o ka pancreatitis. Hana ʻia ka maʻi maʻi e ka mea maʻi, ʻoiai he mea hoʻohālikelike o kēia kaʻina hana i hiki pinepine ʻia i ka make.

ʻO ka neʻe ʻana o ka pancreatic ma muli o ka pancreatitis, inā ʻaʻole i mālama ʻia no ka manawa lōʻihi, a i ʻole ka mea maʻi i hana i ka lāʻau kūʻokoʻa pono ʻole me ka mālama pono ʻana.

Hoʻokumu ʻia ka pancreatitis ma muli o:

• ka inu mau i ka waiʻona,
• ka maʻi ʻino, ka mea i hoʻonoho ʻia e nā meaʻai momona kiʻekiʻe,
• nā maʻi o ka bile-form and excretory organ,
• palulu ʻana o kekahi ʻōpū o nā ʻōpū.

ʻO ke kumu kaulana loa no ka poʻe e hele i ka papaʻa me nā mea lapaʻau ʻo ia hoʻi ka hana ʻino ʻana i nā wai nui a me ke kīpē momona. E like me ke kānāwai, ma hope o nā hōʻuluʻulu ʻana me nā pāʻina piha, ua piha nā keʻena o nā hui a me nā gastroenterology me nā mea maʻi.

ʻO ka nepe ʻana o ka maʻi nepe no ka pancreatic he kelepona hōʻeuʻeu no ka ambulance a lawe aku paha i kahi mea maʻi i ka ʻoihana ʻoki. ʻO ka mea pōʻino loa, ʻo ka hapa nui o nā mea i loaʻa koke ke loaʻa i ka maʻi o ka necrosis pancreatic, ʻoiai ma mua o ka komo ʻana i ka haukapila i loaʻa nā mua o ka pancreatitis.

He mea kūpono ʻole ia e ʻike i nā kumu like ʻole o kēia ʻano maʻi.

Inā loaʻa kekahi o nā hihia ma luna aʻe, pono e nānā pono kekahi kanaka e kahi gastroenterologist e pale ai i nā hoʻopiʻi.

Ma mua o nā hoʻopiʻi o ka pancreas, ʻo ka pancreatic necrosis he kumu maʻamau loa o ka make. Aia ka hopena o ka make ma ke ʻano o nā maʻi.Kuhi ʻia ka mea e like me nā helu, ʻo kēlā me kēia mea i noʻonoʻo pono ai ka ʻokoʻa.

Pancreatitis kūpaʻa - Diet

ʻO ka mea ʻo ia ka meaʻaiʻai e hele pinepine loa ai i ke kumu o ka pancreatitis o ka'ōpala, 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 nā mea kanu i hiki i hope i nā hebedoma.

I ka wā e hiki mai ana, ʻo ka pancreas e hoʻopiʻi i kahi ʻoihana kuʻi, ka mea i mālama ʻia e ka nui loa o nā momona a me nā ʻekaʻawa mai ka meaʻai, a me nā huahana e hoʻopiʻi nui ana 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 hala 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 mumū i ka wā e hiki mai ana.

Ua hōʻike ʻia ka pancreas ma kahi o nā ʻano nui a ulu ʻia. Hoʻokumu i ka inoa ponoʻī, aia ka huaʻōlelo o "necrosis", hiki i ka mea ke hoʻomaopopo i ka nui o kēia maʻi. Ma hope o nā mea a pau, ua unuhi ʻia ka "necrosis" e like me ka "make, make" a wehewehe ʻia e like me ka luku ʻana o nā hua a nā ʻāpili ma lalo o ka mana o nā bakteria, ʻo ia hoʻi.

Hoʻonui ʻia nā helu o nā necrosis pancreatic piha, kaumaha, ma kahi o 80% o nā hihia i pau i ka make o nā maʻi.

Me ka maʻi, loaʻa ka hoʻoneʻeneʻe lohi o ka mea maʻi, ka mea i loaʻa ma muli o ka wāwahi o nā puna a me nā ʻine ma lalo o ke ʻano o nā huina. Laha ka helu o ka pōʻino i ka nui o nā enzymes proteolytic e komo ana i ka pancreas ma o ka lymph a me ka kahe koko.

Hiki i ka make o kahi mea maʻi ke hōʻeha ma muli o ka hoʻopōʻino nui o kekahi mea ʻaʻole hiki ke hoʻōla ʻia nā ʻili a me nā ʻili. Ua ʻike nā kānaka a pau ke kuleana ʻo ka pancreas no ka hoʻoulu ʻana o nā enzyme kikoʻī e kōkua ana i ka hoʻololi ʻana i ka meaʻai. Auwe, ʻaʻole hiki i ke kanaka ke ola me kēia.

ʻO kēia maʻi ka maʻi piha o nā hōʻailona e hōʻike i kona neʻe ʻana:

• , ka puʻuwai ikaika, ʻike mua ka mea maʻi i ka ʻaoʻao hema o ka ʻōpū o ka ʻōpū, a laila e paʻa ʻia i ke ʻāpana lumbar, hui pū poʻohiwi,
• Hoʻomaʻamaʻa, hoʻohikiʻole ʻaʻole ia e manaʻo i ka hoʻomaha,
• Kahe wai kahe i ka maka, a laila e ʻulaʻula i ka ʻulaʻula,
• I ka nui o nā ʻōpū o ka ʻōpū, i hui ʻia e ka lemuleka,
• Ke hoʻohuli ʻia ʻole o ke koko, a laila hina, a laila lele.
• ʻOi aku ka wikiwiki o ka puls
• E hoʻohiolo ma lalo o ka urine i loko o ka pākī
• Plaque ma ka alelo, a me ka manaʻo i ka maloʻo ma ka lua waha.
• Hoʻopili iki i ka hanu, ka hanu wikiwiki.

I ke kau ʻana i nā hōʻailona ma luna, i nā mea maʻi e loaʻa ana i kēia maʻi ma ke kiʻi haukapila, aia paha nā hōʻailona ʻē aʻe. Ma kahi o 2/5 mau maʻi me ka maʻi pancreatic necrosis e hele aku, e ʻike ana i ka ʻāina i kapa ʻia ʻo "ka hāʻule ʻana", aʻo nā mea maʻi e loaʻa nei i ka hoʻomohala ʻana o ka maʻi noʻonoʻo ma ke kūnake pancreatic. No ka mea laʻa, hiki i ke kūlana panic-kuʻuna ʻole e hoʻomohala.

He aha ka mea e hiki ai ke hoʻāhu i ke ʻano?

ʻO nā kumu kaulana loa o ka hemorrhagic pancreatic pancreatic necrosis i kēia lā:

• ʻO kaʻai kūpono ʻole, ka mea i hele pū me ka hoʻohana ʻana o ka nui o nā mea inu wai me ka ʻai momona.
• ʻO ka heleʻana o ka maʻi pancreatitis.
• Hōʻalo ʻia no ka meaʻai maikaʻi ʻole a me nā meaʻai trans-fat.
• ʻO ka maʻi Gallbladder.
• ʻOenekini a kāpili paha i nā maʻi a nā pancreas.

Aia kekahi mau hoʻonāukiuki ʻē aʻe o ka maʻi, i waena e hiki ai ke kiʻi ʻia kēia mau kumu:

ʻO ke kiʻi lapaʻau i hōʻike ʻia e ka mea maʻi i ka gastroenterologist ʻaʻole ia e ʻae loa e hoʻopaʻa i ka maʻi maʻi. ʻO nā ʻōuli āpau i hui pū ʻia me ka mea maʻi e like like me nā maʻi maʻi ʻē aʻe o ka gastrointestinal tract, ke ʻano o ka maʻi i waena o lākou iho, heʻokoʻa ka ʻokoʻa.

I mea e hoʻoholo ai i ke kumu o nā hōʻailona, ​​hiki i ke kauka ke kākau iā ʻoe i mea e ʻike ai no ka ultrasound, compute tomography a. ʻO nā hōʻike ʻaoʻao e hiki ke kōkua i ke kauka me ka kanalua ka komo ʻana i kahi hōʻike koko, kahi urinalysis, kahi hōʻike o ka waiʻai pancreatic, kahi hōʻike ʻana o ka wai ʻōpū, a me ka coproscopy.

ʻO nā wānana maʻi.

ʻO kekahi mau mea pale i ka hū ʻana i kēia maʻi, kahi: ke nānā ʻana me ke ʻano lapaʻau i hoʻokahi manawa i kēlā me kēia mahina 6 mau malama, pono i kaʻai, kūpono ka hoʻopau ʻana i nā hana maikaʻi ʻole.

Hoʻokumu i ka paʻakikī o ka hihia, ka wikiwiki o ka hoʻomohala ʻana, nā ala o ka mālama ʻana a me kona wā kūpono, hiki ke loaʻa i ka prognosis maikaʻi a me kahi mea ʻilihune.

Hōʻike ʻia kahi wānana maikaʻi inā ʻaʻole i hāʻawi ʻia kahi meli i loko o nā nekrosis pancreatic maʻa. Kōkua a hoʻomaka ʻo ia i ka peritonitis. Nā mea e ulu ai ma muli o ke komo ʻana o ka ʻōpala decomposed, nā pala i pau nā mea paʻa i loko o ka ʻōpū o ka ʻōpū āpau, e like me ke ʻano, i kēlā ʻano hanana, he nui ka piʻi o ka ʻole i ka koko.

I ka nui o nā hihia, ua hoʻokumu ʻia ka loaʻa ʻana o ka maʻi i ka lāʻau lapaʻau.

ʻO ka nekrosis pancreatic hemorrhagic (code e like me ICD 10 K86.8.1) ka make piha a ʻāpana paha i nā kiko.

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 mālamaʻana e pili pū ana me ka helu o ka hoʻomohala ʻana o ka necrosis pancreatic (1 lā), a me ka manaʻo o ke ʻano i hoʻopili ʻia ʻaʻole i ola hou a hana ʻole ʻia kekahi 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.

ʻEnehana hoʻomohala

He aha kēia maʻi a he aha nā kumu kumu o 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.

Nā kumu kumu o ke kuʻuna

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 loaʻa ʻole o ka kauka.
• nā huakaʻi endocrine (hypothyroidism, maʻi mellitus, paʻakikī i 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 o ka maʻi

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 nui ke koko, ʻoi aku ka maikaʻi o ka maʻi diabetes a hiki ke alakaʻi
• 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.

ʻO nā pae holomua

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 ʻia 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.

Diagnosis

Ma ka hoʻokolohua a me nā hoʻokolohua o hope, kūʻokoʻa ka 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.

• kahi hōʻike koko e hōʻike ana i ka ʻikepili a 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 o 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.

Ola ma hope

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.

ʻO ke ola mau mea paʻa. 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 ʻana o ka ʻai me ka pālahalaha haʻahaʻa.

• 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.

Hoʻoulu ʻia ka Taboo ma:

• 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, e nānā pinepine ʻia a ʻimi i nā ʻōlelo lapaʻau a pau o ka endocrinologist.

Wikiō mai ka mea maʻi i loaʻa ka maʻi:

Kāohi ʻana o ka necrosis pancreatic hemorrhagic

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.

He mea nui 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 nā kānaka e loaʻa kekahi moʻolelo o kekahi ʻano maʻi i ka papa ʻaina i ka lā hoʻomaha. 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.

Hōʻike ʻia nā maʻi pancreatic e kahi ala wikiwiki a me ke kiʻekiʻe o nā ʻōpiopio. ʻO kahi maʻi e like me ka hemorrhagic pancreatic necrosis he mea koʻikoʻi loa. Me kēia maʻi, kahi wikiwiki, akā, ʻo ka mea nui loa, ʻaʻole e hiki ke hoʻololi ʻia i ke kaʻina o ka make o ka papa. Hoʻokumu ka hoʻopiʻi pinepine ʻana i ka maʻi pancreatitis a i ʻole hoʻi hoʻomaha. ʻO ka pōpilikia ʻoiai ke hoʻomaka ka mālama ʻana i ka manawa ʻaʻole e hōʻoia ka necrosis e make i ka make.

Hemorrhagic pancreatic necrosis - kahi ʻano e pono ai ka mālama mālama

ʻO nā kumu hoʻomohala maʻi

I nā mea e kōkua ana i ka hoʻomohala ʻana o ka maʻi i hōʻike ʻia, kāhea nā kauka:

1. Hoʻokomo ʻia nā maʻi ma ka bile a me ke ala kahi e hoʻopili ʻia ai ka bile.
2. ʻO ka hōʻinoʻana i ka waiʻona, ka mea i kapa pinepine ʻia e nā poʻe loea i mea e hoʻomoʻi ai i ka hoʻomakeʻa o ka maʻi.
3. E hoʻolei i ka wai pancreatic i loko o nā papa o kahi mea maʻamau.
4. ʻO ke koko a me ka thrombosis, i ʻike pinepine ʻia i nā mea maʻi e hoʻomaʻamaʻa ana i ka chemotherapy, a ma nā maʻi maʻi bacterial a viral paha.
5. ʻO ka hoʻomohalaʻana o nā pathologies autoimmune a ma ka vasculitis hemorrhagic mua.
6. ʻO ka ʻeha kino i hoʻoneʻe ʻia, hiki iā ia ke kū me ka pupuhi ikaika a i ka wā e hoʻomaʻamaʻa ana i nā mea ola i loaʻa i loko o ka ʻōpū.

Inā hoʻomohala ka mea maʻi i ka kūloko a me ka hemorrhagic pancrositis hemroshagic, a ma kēlā me kēia mea, ka acinus, nona ke kuleana no ka hoʻouka ʻana i nā enzyme e hana nei me kekahi o nā kumu kumu o ka wai pancreatic, e komo pū i loko o kēia kaʻina hana. Inā loaʻa ka nui o kēia mau enzyme i kahi waiwai nui, a laila hoʻomaka lākou i ka hopena maikaʻi loa i nā kinona o ka kelepaʻi iho a me nā kīʻaha koko. Ke hopena, ua hoʻopuni ʻia nā paia o nā moku me ka hoʻomohala a me nā hemorrhages a hoʻomaʻamaʻa, e hāʻawi ana i ka inoa i ka maʻi.

Nā Kānana Diology

Ma ka hoʻomaʻamaʻa lāʻau lapaʻau, aia kekahi mau hihia i ke kumu i make ai nā mea maʻi i ka hemroshagic pancreatic necrosis. I mea e pale ai i kēlā ʻano hanana, pono e ʻike ʻia i kekahi mau hōʻailona a i ʻole ka hōʻike ʻana o ka maʻi i ka ʻaoʻao o ke kino, no ka mea i loaʻa i kēia maʻi kekahi mau hōʻailona kikoʻī, kahi e hiki ai ke hoʻomaopopo me ka ʻole o nā pilikia kūikawā.

I mea e hōʻoia ai ai a hōʻole paha i ka maʻi maʻi, e hoʻouna ʻia ka mea maʻi i lalo o kahi ʻano o ka hoʻopaʻa ʻana i nā hoʻopaʻa ʻana a me ka hoʻopaʻa ʻana i nā loea. ʻAe e ʻae kēia me ka pololei kiʻekiʻe e ʻike i ke kumu o ka maʻi o ka mea maʻi i noi no ke kōkua.

He mea koʻikoʻi ia no kēlā me kēia kanaka e hiki ke hiki i kahi maʻi maʻiʻeha e hiki ke hōʻeha wale i ka hana hana, nā ʻeha hōʻeha ʻeha, ʻaʻole hoʻi he make.

Ka hoʻokaʻawale ʻana nā mea loea i kēia mau hōʻailona e pili ana i ka nerosisis pancreatic hemorrhagic:

• ʻO ka hōʻeha ʻeha ma ka wahi o ka hypochondrium hema, hiki ke lohe ʻia ia ma ke kō, nā poʻohiwi a me ke kua i lalo,
• ʻano polaki ma ka ʻōlelo a keokeo a he melemele paha,
• ua maloʻo maloʻo, kahi e hele ʻole ʻole ai me ka holoi ʻole.
• ke kūlana e kū nei o ka moemoe a me ka luaʻi, ʻaʻole ia e ʻoluʻolu iā ʻoe,
• ka ʻōpū ʻana o ka ʻōpū
• huhū
• ka mahana o ke kino a me ke kūlana o ke ʻano o ka maʻi, ka mea i hoʻoiho ʻia e ka nui o ke ʻano o ke kino,
• ʻulaʻula a ka ʻili, ʻo ia hoʻi i ka maka.
• uliuli a hematomas ma loko o ka ʻōpū,
• kiʻekiʻe a haʻahaʻa paha ke koko, tachycardia,
• ka hoʻemi ʻana o ka feces a me ka urine, hoʻopili ʻia e ke kino.
• kūlana o ka apathy a i ʻole, ma ke kipi, ke ʻano hoʻomāhewa ʻole a me nā hōʻailona ʻē aʻe o nā hana hoʻoweliweli.

Hiki ke hōʻoia ʻia ka maʻi e ka nānā ʻana i ka ultrasound o ka pancreas a i ʻike ʻia i ka tomography compulate o ka ʻōpū.

E like me nā hoʻokolohua ʻana i mea e hiki ai ke hoʻokumu i kahi maʻi pololei, pono i ka mea maʻi ma ke ʻano o ka hoʻokaʻawale ʻana i ke koko a me nā ʻano o ka urine, me ka hoʻomaʻamaʻa ʻana no ka wai o ka ʻōpū a me nā pancreas no kahi ka ʻike nui o kekahi mau kaila o ka huina o loko.

Hoʻohana ʻia

E like me ka hōʻike ʻana o ka hoʻomaʻamaʻa, ʻo ka hapa nui o nā maʻi me ka like me ka maʻi like ʻole e hoʻopau i kahi kahua lapaʻau ma kahi ambulance. No ka mālamaʻana i kēia kūlana pathological, ua kau ʻia nā mea maʻi i loko o kahi haukapila, e like me ke kānāwai, i loko o ka waihona mālama mālama. ʻO nā hana a pau me nā limahana olakino i kēia hihia e kāohi ai i ka hōʻeha ʻana, me ka hoʻokaʻawale ʻana i ke ʻano o ka hana enzyme o ke kino, cramping e hoʻonui i ka lawe ʻana i ka wai, hōʻemi ka hana ʻana i ka wai a me ka hōʻemi ʻana i ka hoʻoliʻiliʻi-kākā, pale i ka hoʻomohala ʻana i ke kaʻina maʻi a me ka wehe ʻana i nā toxins mai ke kino.

Ma muli o nā hopena o nā haʻawina a i ʻole ʻole ka hopena kūpono o ka hoʻohana ʻana i nā lāʻau lapaʻau i kauoha ʻia, a i ʻole hoʻi e pili ana i ke ʻano maʻamau o ka mea maʻi, ua hoʻoholo ke kauka inā kūpono paha ke kaʻina.Inā, kūʻē i ke kua o ke ʻano o ka maʻi i hōʻike ʻia, ʻaʻohe ʻike maka i ʻike ʻia, a laila hoʻomanawanui ka mea maʻi i ke kaʻina o ka laparoscopy a i ʻole ka noho ʻana o kahi percutaneous o ka ʻōpū o ka ʻōpū. Akā, inā naʻe, ua ʻike ʻia ke kaʻina o ka maʻi, a laila hiki ke hoʻokaʻawale a hoʻopau paha i nā ʻāpana i koho ʻia.

ʻO ka makemake i nā poʻe maʻi, ma 50% o nā hihia i hōʻike ʻia i ka make, ua loaʻa ke kumu o ka hauoli o ke kino ma muli o ka peritonitis purulent.

Inā mākou e kamaʻilio e pili ana i ka pale ʻana o ka maʻi, a laila i loko o ka wehe ʻana i ka waiʻona mai ka ʻaʻai a me ka meaʻai ʻana. ʻOiaʻiʻo, e like me nā hopena o nā haʻawina, me ka hoʻohana ʻana o kēlā me kēia lā i ka 80 ml o nā mea inu ʻona no nā makahiki he nui, hiki i ka nui o ka ulu ʻana o kēia maʻi.

ʻOiai ke kūpono i ka mālamaʻana i ka cholecystitis ma ke alo o ia mau maʻi, nā maʻi gallstone, nā ʻōpū ʻōpū a me nā ʻōpū duodenal. Inā ʻoe e hahai i nā ʻōlelo hōʻike ma luna, a laila hiki i nā poʻe āpau ke pale i kēlā maʻi a me ke ola i ke ola piha a hauʻoli.

ʻO ka nekrosis pancreatic hemorrhagic (code e like me ICD 10 K86.8.1) ka make piha a ʻāpana paha i nā kiko.

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 mālamaʻana e pili pū ana me ka helu o ka hoʻomohala ʻana o ka necrosis pancreatic (1 lā), a me ka manaʻo o ke ʻano i hoʻopili ʻia ʻaʻole i ola hou a hana ʻole ʻia kekahi 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.

Nā kumu o nā hemroshitis pancreatic hemorrhagic

ʻO ka ulu ʻana o nā nerosis hemorrhagic pancreatic i hōʻike ʻia e ka hoʻōla ʻana o kekahi mau enzyme e komo ana mai loko mai o ka lymph nika i loko o ka pancreas. A mai laila a hiki i ke kahawai nui. ʻO ka make ʻana o ka hapa nui o nā kelu ma muli o ko lākou nalo ʻana pono ʻana e ka pancreas i kēia maʻi.

Nā kumu kumu o ka hemorrhagic pancreatic necrosis:

• hana hoʻonā i loko o ka pancreas,
• ka ulia o ke kino ma muli o ka paina o ka eʻai a me nā mea hoʻopā waiʻu i loko o laila,
• hopu i ka maʻi kikoʻeha
• thrombophlebitis a i ʻole vasculitis o nā moku pancreatic, me ka hopena o ka hoʻopiʻi ʻana o ka naʻau a pau,
• hōʻeha kino ma muli o ke kahe kuʻi ʻana i ke ʻano mechanical,
• ke hakakā kino ʻana. Inā hiki ʻole i nā ʻāpana pale ke hoʻomaopopo i nā pūnaʻu kino. Ua lawe ʻia lākou no nā microorganisms o nā haole a, ʻoiai, ke hōʻole ʻia,
• nā pohō ma hope o ka hana ʻana ma ka ʻōpū o ka ʻōpū,
• nā hopena koʻikoʻi a i ʻole ka luku ʻana i ka ʻili o ka pancreatic ma muli o ka hiki ʻana o nā neoplasms maʻi i ke kino,
• ka hōʻino ʻana i ka inu ʻawaʻawa, kahi mea e hoʻopilikia maoli ai i ka pancreas, hoʻāla i kāna hana huna.

ʻO ke kūʻokoʻa kūʻokoʻa o ka hemorrhagic pancreatic necrosis hiki wale nō me nā hana ʻino kūlohelohe loa i ke kiko pancreatic. I kekahi mau hihia'ē aʻe, ua hoʻokumu ʻia ma muli o ke ʻano o ke ʻano o ka pancreatitis i hui pū me ka maʻi ʻaʻai o ka pancreas.

Nā hōʻailona o ka hemorrhagic pancreatic necrosis

• ʻEha nā paroxysmal ʻeha i ka hypochondrium hema.
• Paki maloʻo, hoʻomehana, a hoʻoiho hou ʻana me ka lua.
• ʻO ka lūlū ʻana, lemi a me nā maʻi pāholo.
• Kālea a me ka hoʻonui nui ʻana i ke ea wela o ke kino. ʻO kekahi manawa kiʻekiʻe ke uluʻana o ka mea maʻi i ke kuni a, a no laila, huikau.
• ʻĀnō uluhua ʻulaʻula o ka ʻili o ka maka, a me nā hiʻohiʻona ʻula hoʻi o ka ʻili o ka ʻōpū.
• Ue koke i loko o ke koko.Mai ka hoʻohaʻahaʻa nui loa a kiʻekiʻe loa.
• Palpitations puʻuwai a me kaʻoki iki o ka hanu ma ka hoʻomaha.
• ʻO ka ʻāina hoihoi, hopohopo.
• Hoʻohālikelike ka hōʻike ʻana i nā ʻōmaʻomaʻi o ka hiki ʻole o ka renal.
• I kekahi mau hihia, ʻike ʻia nā pilikia noʻonoʻo.

Hōʻike mau ʻia nā hōʻailona o ka hemroshagic pancreatic pancrosatic a hoʻomohala koke a hoʻomohala wikiwiki. ʻO ka pinepine ka loaʻa ʻana o kēia manawa ma hope o ka manawa pōkole ma muli o ka ʻai ʻana i ka meaʻai i pāpā ʻia no kēia maʻi. He paʻakikī paʻakikī ka hemorrhagic pancreatic necrosis, akā ua hoʻomaopopo ʻia nā ʻelua ʻelua hui, ʻo ia hoʻi:

• hana mua. He maʻamau ka lōʻihi ma kahi o hoʻokahi pule, i kekahi manawa ʻoi aku ka lōʻihi. I loko o kēia manawa, hoʻomaka ka enzyme proteolytic i ka neʻe i loko o ke koko, ma laila hana ʻia ka hopena o nā ʻalā i nā ʻāpana āpau. ʻAʻole hiki ke kāohi i nā hōʻike hōʻike ʻana me ka hoʻohana ʻana i nā lāʻau kūpono,
• lua lua. Hāʻawi ʻia e nā purulent a me nā hoʻopiʻi postnecrotic. Kau maʻa maʻamau i kahi. Hoʻopilikia ka huina o ka foci o ka hemorrhagic pancreatic necrosis. Hōʻike maopopo ʻia nā hopena o ka hoʻohuihui purulent o ke kino. Hoʻonui hou ka ulu ʻana o ka puʻuwai, ʻeha ʻo ke kaumaha. I ke ʻano o nā lā he nui o ke ea wela, ua hōʻike ʻia ka hyperthermia o nā naʻau o loko. Hoʻomaka ka hoʻomaka ʻana ma muli o ka kahe ʻana o nā paia vascular.

Hemorrhagic pacreonecrosis - ke kumu o ka make

I loko o nā lā mua o ka hoʻomakeʻe ʻana o ka maʻi, ua loaʻa i kekahi o nā mea maʻi ka ʻeha loa, a me ka loaʻa ʻole o nā loea ʻona i ke koko.

Ma muli o nā kumu i luna aʻe, me ka hoʻohui ʻole o ka detoxify i ke kino o ka mea maʻi, hiki i ka hemorrhagic pancreatic necrosis e hōʻeha i ka make.

I kēia manawa, aia kekahi mau papa inoa o ka necrosis pancreatic, kahi e ʻoi loa ka mea kaulana loa i ka hoʻokaʻawale ʻana mai 1992.

ʻO ka necrosis pancreatic kahi hoʻopiʻi i kahi maʻi e like me ka pancreatitis koʻikoʻi (ka mumū o nā pancreas). ʻO ka make ma kēia maʻi koʻikoʻi.

Me ka pancreatitis, ʻo kaʻai ʻana ka mea kūpono e mālama pono ʻia, kahi i ʻike ʻia e nā ʻano lāʻau lapaʻau he nui. ʻO ka mea mua, ʻo kēia huahana.

He aha ke kumu o ka hemorrhagic pancreatic necrosis

Hōʻike ʻia nā maʻi pancreatic e kahi ala wikiwiki a me ke kiʻekiʻe o nā ʻōpiopio. ʻO kahi maʻi e like me ka hemorrhagic pancreatic necrosis he mea koʻikoʻi loa. Me kēia maʻi, kahi wikiwiki, akā, ʻo ka mea nui loa, ʻaʻole e hiki ke hoʻololi ʻia i ke kaʻina o ka make o ka papa. Hoʻokumu ka hoʻopiʻi pinepine ʻana i ka maʻi pancreatitis a i ʻole hoʻi hoʻomaha. ʻO ka pōpilikia ʻoiai ke hoʻomaka ka mālama ʻana i ka manawa ʻaʻole e hōʻoia ka necrosis e make i ka make.

ʻŌnaehana ʻoihana

Nā nekrosis pancreatic aʻeha mau ke kumu o ka hoʻokipa ʻana. Hoʻomaopopo ʻia nā mea maʻi i ka ʻāpana mālama pili kino, a i ʻole e hoʻopili pololei ʻia i ka hana. Eia nā pahuhopu:

• ua hoʻopau ʻia ka ʻehaʻeha,
• hoʻōki ka hana enzymatic
• kaʻe ʻia i ke kahā, kamaʻilio ʻia,
• Hoʻemi ʻia ka hana ʻana o ka wai momona
• ua ʻohi ʻia nā maʻi maʻi lua.

Ma muli o ka pono o ka pancreatic necrosis ke kumu nui o ka make ma nā keʻena o gastroenterology, hoʻomaka koke nā hana therapeutic. No kēia mea, ʻo ka mea mua, hoʻomaka nā antispasmodics. He hopena maikaʻi ka Novocain blockade. Ma muli o kēia, hiki ke hoʻomaha i nā pā me ka hāʻawi i kahi puka i waho no ka wai pancreatic.

Eia kekahi, ua hoʻopau ʻia ke kumu nui - hoʻonui i ka hana o nā enzymes. Wahi a ia, hoʻomākaukau nā mea antienzyme, nā mākaʻikaʻi e hōʻemi i ka mea huna, nā mea ʻōwili e hopu ai i ka histamine.Mai nā lā mua o ke kuni ʻana, ulu ka necrosis kiko, no laila pono pono e hoʻopili ʻia ka lāʻau lapaʻau e pili i ka lāʻau antibacterial.

Ke hoʻomau nei ka mālama ʻana i kekahi mau hola, ma hope o ka loiloi a me ka pono o ka hana ʻai loiloi. Hoʻonui kēia i nā manawa kūpono e pale aku ai i ka make o ka mea maʻi.

Hiki i ka hana hōʻemi ke hana koke ma hope o ka mālama ʻana. Hoʻokumu pololei ka ʻano hana i nā hiʻohiʻona o ka papa o ka necrosis pancreatic. I ka haʻalele ʻole o ka maʻi, e kuhikuhi ʻia ka laparoscopy. E kūpono hoʻi ka pāhonu Percutaneous o ka ana. Inā, ma muli o ka hoʻokolohua, kahi hōʻuluʻulu nui o kahi nui o ka exudate i hōʻike ʻia, pono ia e hoʻokō i nā hōʻeha ʻeha. Eia kekahi, ʻo kahi kaʻina e like me ka dialysis peritoneal e hoʻopili maikaʻi nei i ke kūlana o ka mea maʻi. Mahalo iā ia, ua manamanaʻo ia e hoʻomaʻemaʻe i ke koko o nā enzymes a me nā mea huʻala, e hōʻemi ana i ka make o ka mea maʻi mai ka hoʻolalelepa.

I ka pili ʻana o nā wahi ākea o ka pala. Ma nā hihia līpika loa, hoʻoili ʻia kahi kao piha holoʻokoʻa. ʻO ke ʻano o kahi ʻano i hoʻohana ʻia, ma hope koke o ka hana ʻana, e hoʻolaʻa ʻia me nā lāʻau lapaʻau ma luna. I ka wā e hiki mai ana, e hoʻomākaukau i ka hoʻoponopono o ka enzyme e hoʻomaʻamaʻa i ka hana ʻana o ka gland.

No ke aha i kū ʻia ai ka maʻi?

E like me ke kānāwai, ʻo ka hemorrhagic pancreatic necrosis he ʻano holoʻokoʻa. Mālama i nā wahi a pau o ka lepa a puka mai me ka wikiwiki o ka uila. No laila, pono e hoʻonāukiuki nā mea ikaika.

1. Hiki i ka pancreatitis hemorrhagic ke hoʻopau i ka meaʻai meaʻai (ʻo ka mea maʻamau ka nui o ka inu wai).
2. Hōʻike ka maʻi i ke kua o ka pancreatitis kūlohelohe, ke loli nei ka palaka, a ʻaʻole i ka mea maʻi e hahai i ka pāʻai a ʻai i ka nui o nā momona, momona, a me nā mea hoʻonaninani.
3. ʻO ka nehope hemorrhagic pancreatic ka hopena pinepine ma hope o nā hōʻeha gland. E puka mai nā kaila me ke hoʻopunipuni ʻana i nā hopena ʻino.
4. ʻO kekahi manawa e hoʻonāukiuki kēia kūlana i nā kauka. ʻO ke kumu o ka maʻi aia ma ka hoʻopunipuni ma ka papa pancreatic (ERCP).
5. Hele mai ka hemorrhagic pancreatitis me nā pathologies viral a me ka autoimmune. No ka laʻana, he ʻano paʻakikī koʻikoʻi o nā ʻōpala a i ʻole ka maʻi ke hōʻeha i nā hoʻopiʻi i nā kelepa. ʻO ka systemus lupus erythematosus i kekahi manawa e hoʻopau i nā ipu o ka pancreas.
6. I nā keiki, hiki ke maʻi pancreatitis hemorrhagic ma muli o nā pilikia pili. ʻO nā fibrosis Cystic a me nā abnormalities i ke kūkuluʻana o ka momona i nā kumu e alakaʻi ai i ka maʻi a me ka make wikiwiki.
7. ʻO nā maʻi o ka puʻuwai a me ka papaʻi e hana i ka lua o ka hana koʻikoʻi i ka hoʻomohala ʻana i ka maʻi reaktate o ka pancreas (nā ʻāpana palaka, nā paʻa o nā kohu, cholangitis).

Nui nā kumu o ka maʻi, akā, e like me ka hōʻike ʻana o nā hana, pinepine, ua kūlohelohe ʻo nā leona i ke kumu o ka inu ʻana i ka ʻona. Hoʻomaopopo ka poʻe maʻi i ka haukapila me ka hoʻouka ʻana i loko o nā hola 6 mai ka hoʻomaka ʻana o ka maʻi. ʻO nā hōʻailona ʻokoʻa ka hōʻike ʻano o ka necrosis pancreatic:

• ke kūlana koʻikoʻi o ka mea maʻi,
• ka ʻili o ka ʻili a me ka ʻiliʻeleʻele,
• puʻuwai haʻahaʻa haʻahaʻa a pulse,
• ʻūlū
• kani kūlohelohe o ka paia ʻili,
• hoʻoili ʻaʻole lawe mai i ka hoʻomaha
• nā cyanotic spots, hemorrhages ʻike ma ka ʻōpū, hope a me nā ʻaoʻao.

Ma ke ʻano he kānāwai, hele koke nā mea maʻi i ka ʻāpana mālama mālama manuahi a i ʻole ka lawelawe mālama koʻikoʻi. He mea nui e haʻalele i nā kumuwaiwai ʻē aʻe o ka maʻi peritonitis, i mea e pono ai ka mālama ʻana i nā maʻi maʻi (calculous cholecystitis, perforated ulcer).

Hiki i ka pīhoihoi pancreatic ke hōʻeha i ka make. ʻOiai, i ka wā o ka maʻi, ua hana ʻia kekahi mau mea pōʻino: ʻeha, hōʻino o ke kino, ke hoʻomohala ʻana i nā pilikia o ka ʻōnaehana coagulation. Hele mai ka make mai nā helu kūlohelohe a me nā hoʻopiʻi purulent. Ma ka hoʻomaʻamaʻa, loaʻa nā hihia i ka manawa 1 hala aku nei mai kahi hoʻomaka ʻana o kahi hoʻouka i ka make.No laila, koi i kēia ʻano hoʻonā nui o ka pancreatitis e mālama koke.

ʻO ka mea mua e pono ai i ka mea maʻi e lawa ka hōʻoluʻolu ʻana a me ka hakakā ʻana me ka pīhoihoi. No ka hana ʻana i kēia, ua hoʻopaʻa ʻia ka mea maʻi me nā hoʻonā electrolyte a me ka hoʻomākaukau ʻana i ka protein o ke koko (Polyglukin, Reopoliglukin, Hemodez, plasma a me albumin). No nā analgesia, ua hoʻohana ʻia nā analgesics narcotic (Promedol, Diazepam). I kekahi mau hihia, ua hoʻopili ʻia me ka hui mua antihistamines, ʻaʻohe ona anti-alia, akā he hopena sedative nō hoʻi.

ʻO kahi ʻōlelo e kauoha ai i ka hana ʻo ia ka wehe ʻana o ka spasm spasm. No kēia, hoʻohana nā antispasmodics (Platifillin, Papaverin, Eufillin). Hiki i ka luaʻiʻino ke kumu i kahi hōʻemi electrolyte. No laila, ʻo ka mea maʻi i ka mālama uluʻana e hoʻoulu pinepine ʻia me nā hopena o ka pāhare, kalima, magnesium. Hāʻawi lākou i ka hana maʻamau o ka pūlima puʻuwai.

No ka hōʻemi ʻana i ka hopena hōʻino o nā kinemona, ʻo nā lāʻau lapaʻau e hōʻemi i ka hana o nā proteases (Trasilol, Contrical) e lawelawe ʻia ana. Pēlā nō hoʻi, ʻo ka hana o ka pili i ka lālani i pale ʻia e nā lāʻau lapaʻau (Octreocide, Sandostatin). Holo lākou i ka wahi o ka necrosis. Me kā lākou hoʻokele prophylactic i ka wā o ka mālama hao, ua emi ka hoʻonāukiuki o nā enzymes.

Me nā nekrosis pancreatic, hohola ka kaʻina ma waho o ke kino, ka ulu ʻana o ka pūpū o nā pōʻino i nā kino a puni. No laila, he mea kūpono nui ka mālama ʻana me ka ʻano o kēia pancreatitis. ʻO ka hana i loko o ka ʻōpū o ka ʻōpū he hopena walania. Makemake nā kauka i nā pale laparoscopic. I kēia hihia, lawe ʻia nā foci o nā necrosis, ua hoʻokomo ʻia nā pākuhi wai i loko o nā infiltrates.

I ka hihia ke hāʻawi ʻole ʻia nā ala āpau i ka hopena i makemake ʻia, aia kahi hopena lethal. Me kēia ʻano o ka maʻi, hiki ke hiki i ka lā mua o ka maʻi. Me ka mālama kūpono, akā ikaika mau mea pale o ke kino, make ka poʻe maʻi 1-2 mau pule ma hope o ka hōʻā. ʻO nā kumu nui o ka make ka hewa he purulent-septic komplication, pneumonia, multiple organ failed, infectious toxic shock. I ka poʻe e ola ana, ua alakaʻi ka pancreatic necrosis i ka pilikia.

ʻO ka pale ʻana i ka maʻi

ʻO ka momona o ka necrosis o nā kelipi. No laila, inā he pilikia kāu me ka pancreas, pono ʻoe e akahele nui.

1. Hoʻopau i nā meaʻai i hōʻike ʻia e kāu kauka (mai ʻai i ka momona, ka momona, ka momona, ka ʻāʻī, ka ʻohiʻopa).
2. Kuʻi ka inu a me ka ulaula (ʻaʻole i pāpā ʻia nā lāʻau lapaʻau).
3. Mālama i nā maʻi maʻi koikoi a me ka papa maʻi i ka manawa.
4. E alakaʻi i kahi olakino olakino.

ʻO ka hemorrhagic pancreatic pancreatic: 80% o ka make ahonui

ʻO ka hemorrhagic pancreatic pancreatic necrosis ua wehewehe ʻia kekahi o nā ala nui a nui loa a koʻikoʻi. Hoʻokumu i ka inoa ponoʻī, aia ka huaʻōlelo o "necrosis", hiki i ka mea ke hoʻomaopopo i ka nui o kēia maʻi. Ma hope o nā mea a pau, ua unuhi ʻia ka "necrosis" e like me ka "make, make" a wehewehe ʻia e like me ka luku ʻana o nā hua a nā ʻāpili ma lalo o ka mana o nā bakteria, ʻo ia hoʻi.

Hoʻonui ʻia nā helu o nā necrosis pancreatic piha, kaumaha, ma kahi o 80% o nā hihia i pau i ka make o nā maʻi.

Me ka maʻi, loaʻa ka hoʻoneʻeneʻe lohi o ka mea maʻi, ka mea i loaʻa ma muli o ka wāwahi o nā puna a me nā ʻine ma lalo o ke ʻano o nā huina. Laha ka helu o ka pōʻino i ka nui o nā enzymes proteolytic e komo ana i ka pancreas ma o ka lymph a me ka kahe koko.

Hiki i ka make o kahi mea maʻi ke hōʻeha ma muli o ka hoʻopōʻino nui o kekahi mea ʻaʻole hiki ke hoʻōla ʻia nā ʻili a me nā ʻili. Ua ʻike nā kānaka a pau ke kuleana ʻo ka pancreas no ka hoʻoulu ʻana o nā enzyme kikoʻī e kōkua ana i ka hoʻololi ʻana i ka meaʻai. Auwe, ʻaʻole hiki i ke kanaka ke ola me kēia.

Pehea e maopopo ai nā hōʻailona kino e pili ana i ka pankreatic pancreatic?

ʻO kēia maʻi ka maʻi piha o nā hōʻailona e hōʻike i kona neʻe ʻana:

• ʻO ka ʻeha o ke kala, ikaika nui, ʻike mua ka mea maʻi i ka ʻaoʻao hema o ka ʻōpū o ka ʻōpū, a laila hoʻokū ʻia ʻo ia ma ke ʻano o ke kua i lalo, ke poʻohiwi kihi,
• Hoʻomaʻamaʻa, hoʻohikiʻole ʻaʻole ia e manaʻo i ka hoʻomaha,
• Kahe wai kahe i ka maka, a laila e ʻulaʻula i ka ʻulaʻula,
• I ka nui o nā ʻōpū o ka ʻōpū, i hui ʻia e ka lemuleka,
• Ke hoʻohuli ʻia ʻole o ke koko, a laila hina, a laila lele.
• ʻOi aku ka wikiwiki o ka puls
• E hoʻohiolo ma lalo o ka urine i loko o ka pākī
• Plaque ma ka alelo, a me ka manaʻo i ka maloʻo ma ka lua waha.
• Hoʻopili iki i ka hanu, ka hanu wikiwiki.

I ke kau ʻana i nā hōʻailona ma luna, i nā mea maʻi e loaʻa ana i kēia maʻi ma ke kiʻi haukapila, aia paha nā hōʻailona ʻē aʻe. Ma kahi o 2/5 mau maʻi me ka maʻi pancreatic necrosis e hele aku, e ʻike ana i ka ʻāina i kapa ʻia ʻo "ka hāʻule ʻana", aʻo nā mea maʻi e loaʻa nei i ka hoʻomohala ʻana o ka maʻi noʻonoʻo ma ke kūnake pancreatic. No ka mea laʻa, hiki i ke kūlana panic-kuʻuna ʻole e hoʻomohala.