He aha ka hopohopo ma hope o ka hoʻomaʻamaʻa ʻana no ka pancreatic necrosis pancreatic?

ʻO ke koho ʻoi no ka hana maʻi no ka pancreatic necrosis (kahi maʻi maʻi nui o ka pancreas) ʻike pinepine ʻia ka hopena kūpono loa e hoʻopakele ai i ke ola o ka mea maʻi. Pono e ʻike pono ʻia nā ʻōkuhi no ka pale ʻana i nā maʻi, nā ʻoihana hoʻokō, a me ka paʻakikī o ke kaʻina hana e hoʻoponopono hou ʻia.

Nā hiʻohiʻona o ka necrosis pancreatic

Me ka pancreatitis necrotic, make kekahi o nā ʻāpana o ka pancreas. ʻO kēia ma muli o ka hopena pathological i loko o nā kino o nā enzymes i hana ʻia e ke kino. Hoʻopili pinepine kēia kaʻina me ka hoʻolaha ʻana o ka maʻi a i ʻole ka hoʻomohala ʻana i nā maʻi ʻē aʻe o ka maʻi.

ʻO nā ʻano hua iho o ka necrosis pancreatic:

1. ʻO nā edematous Acute.
2. Hemorrhagic.
3. Kūpono.
4. Mālule.
5. Hoʻopau maikaʻi ʻole.

ʻO ka makelaea kūpono loa no ka necemisis edematous pancreatic. ʻO ka hoʻopiʻi weliweli loa he peritonitis koʻikoʻi. Ke holo nei ka maʻi i kēia mahele, pono ke kanaka i ka hoʻokū wikiwiki. A i ʻole, e hoʻomoʻa ka sepsis purulent a make ka mea maʻi i loko o kekahi mau hola.

ʻO nā kumu nui o ka necrosis pancreatic

ʻO ke kumu nui no ka hoʻomohala ʻana o ka necrosis pancreatic ʻo ka hana ʻino ʻana i nā kumu inu ʻona no ka manawa lōʻihi. Ma kahi o 25% o nā maʻi e loaʻa ana i ka mōʻaukala o ka cholelithiasis. Ma kahi o 50% o nā maʻi me ka maʻi e nānā mau nei. ʻO kā lākou ʻai me ka palaoa, iʻa, a momona nā meaʻai.

ʻO nā kumu ʻē aʻe no ke kūkulu ʻana i nā necrosis pancreatic e loaʻa:

• nā ʻeha hōʻeha
• ka holomua ʻana o ka ulia duodenal,
• e pili ana i ka huakaʻi
• ka hoʻomohala ʻana o nā ʻōpū kuʻuna,
• ʻōpū ʻōpū.

ʻO kekahi kumu hoʻonāukiuki kahi noho lōʻihi ma kahi kūlana koʻikoʻi. ʻO kekahi mau manawa ka neʻe ʻana o ka pancreatic necrosis e pili ana i ka mua o ka komo ʻole ʻana o kekahi mau lāʻau lapaʻau.

Nā papa hana o ka hoʻolālā ʻana o ka pancreatitis necrotic

ʻO ka hoʻomohala ʻana o ka necrosis pancreatic ka hana ma nā hanana. Hoʻomaka ia me nā toxemia. I loko o ke koko o kahi mea maʻi, loaʻa nā poʻokela i loaʻa ke ʻano maʻi. ʻO nā mikrobes e hana i nā huakaʻi i kēia manawa mau.

I ke kahua 2, ʻike ʻia kahi pohō. I kekahi manawa pili i nā kino kokoke. ʻO ka hiʻohiʻona o nā loli purulent i loko o nā uaua pancreatic he ʻano no 3 mau kūlana.

ʻO nā hiʻohiʻona nui o ka patologi

ʻO ka hōʻailona nui o ka maʻi ka ʻeha. Hele ia ma ka ʻaoʻao hema o ka ʻōpū o ka ʻōpū. Ua hoʻokaʻawale ʻia kona ikaika i nā ʻano 4:

I kekahi manawa ua hōʻike ʻia ka maʻi ʻeha ma ka wāwae hema a i ka ʻāina lumbar paha. Hiki ke kūleʻa ʻana o ke kino, ʻike ʻia ka nausea, hiʻi ka puka, a heʻe wale ka pā.

E pale aku i ke kūlana o nā hoʻopiʻi purulent o ka necrosis pancreatic pancreatic, nui ka ʻeha nui o ka mea maʻi. Ke ʻū nei ʻo ia a me ka mai. Aia kekahi mau kānaka i nā hōʻailona o ka hiki ʻole o ka hana renal ka hina. Hoʻopapa ʻia nā maʻi ʻōnaehana o ka maʻi ma kekahi manawa. Me kahi kiʻi haukaʻeha koʻikoʻi, hāʻule ka mea maʻi i kahi coma.

Hana hoʻomaʻamaʻa

Inā hele mai nā ʻūhā ma ke kua o ka holankeu pankreatic pancreatic holomua, he hopena hōʻeha. No laila, ua hāʻawi ʻia i ka mea maʻi he hana wikiwiki.

Hoʻopau ka mea hoʻokūkū i nā kiko make. ʻO ka hana hope e hoʻihoʻi i ka hoʻokele wai. Inā ʻaʻole lawe ia ka mālama i ka hopena i makemake ʻia, ua kauoha ʻia kahi hana lua. No 48% o nā maʻi, ua hoʻopau maikaʻi.

No ke aha e make ai nā mea maʻi

Ua kiʻekiʻe ka nui o ka maʻi pākēnē no kēia maʻi. Hoʻonohonoho ʻia e 20 a 50%. ʻO ke kumu nui o ka make he lika a me nā hōʻailona maʻi maka mua. Hoʻohui ʻia lākou me ka nui o ka palekaleka ʻole. Loaʻa ia i kēlā me kēia mea maʻi 4 me kēia maʻi maʻi.

ʻO kekahi kumu nui o ka make o ka mea maʻi e hoʻokiʻewaʻewa i kahi meaʻeha. He hoʻonāukiuki ʻia e nā hoʻopiʻi ʻana o ka maʻi.

ʻO ka pōkole o ka pancreatic necrosis me ka pōʻino:

• ka hele ʻana o nā hoʻololi hou i ka foci necrotic,
• hoʻololi i ka hoʻololi i nā kiko a me nā ʻola o ke kino,
• ka hoʻokumu ʻana o ka foci necrotic.

ʻO ka hopena o ka make o ka mea maʻi e loli i nā hola 3-4 i 2-3 mau lā. Kuhi loa paha ka noho o ka mea maʻi ma mua o 14 mau lā.

Hoʻomaka ka pancreas

Ma hope o ka wehe ʻana, hōʻike ʻia ka mea maʻi i kēia mau lāʻau lapaʻau e hiki mai ana:

1. Physiotherapy.
2. Lakalalo haʻahaʻa.
3. Hoʻomoana paʻa.

Overworking ke kanaka kūlike ua contraindicated. Ma hope o ka ʻai ʻana, koi ʻia ʻo ia e hoʻomaha. Hoʻoponopono ʻia ka hana ma nā huakaʻi hele e ke kauka hele mai.

ʻO ka pane i ka nīnau inā hoʻihoʻi ka pancreas ma hope o ka pancreatic necrosis hiki ke loaʻa mai i kāu gastroenterologist a i ʻole endocrinologist. Hiki ke hana hou ʻia nā hana o kēia kino me ke kōkua o nā hana hoʻomaʻemaʻe. ʻOi loa ka kōkua, ʻo ka pele infusion e kōkua ai.

No ka hoʻomākaukau i ka huahana, pono ʻoe e kuke i nā lau 10 o ka mea kanu 200 ml i kahi thermos. nā wai i hoʻolapalapa ʻia, hoʻopaʻa i nā hola 24. E lawe i 50 g. hapalua hola ma mua o ka papaʻaina.

I mea e hoʻihoʻi hou ai i nā enzyme o ke ʻano, ua kuhikuhi ʻia ka mea maʻi e lawe ana iā Creon, Pancreatin, Mezim-forte. ʻO lākou ka protease, lipase, a me ka amylase. Hoʻohā like kēia mau mea me nā enzyme e haku ʻia e ka pancreas.

Ola ma hope o ka mālama ʻana o ka necrosis pancreatic

Ma hope o ka hana, lilo ka mea maʻi i ka palapala. I kēlā me kēia mau mahina ʻeono, hana ke kanaka e nānā i ka digestive tract. Hōʻike ʻia ʻo ia i ke kaʻina o ka ultrasound. Hoʻomaopopo ʻia ka MRI Abdominal i kekahi manawa.

Loaʻa ke ola o kahi mea maʻi ma hope o ka necrosis pancreatic o ka pancreas. Ua kauoha ʻia ʻo ia i ke koi ikaika loa. He mea nui ia e hāʻawi i ka meaʻai fractional. Pono e hōʻoluʻolu ʻia ka meaʻai. Hoʻohana ʻia ka hoʻohana ʻana i ka wai inu wai, inu ʻole nā ​​mea inu waiinu. ʻO ka pōmaikaʻi nui loa i ke kino ke hōʻole i nā manamana.

Inā hōʻemi ke kanaka i ka meaʻai, ua hoʻemi ʻia kona ola i kona ola. Ke hele mai nei ke ʻano latino, hiki ke hoʻonui ʻia ka papa inoa o nā huahana i ʻae ʻia.

I kekahi mau mea maʻi ma hope o ka hoʻomaʻemaʻe ʻana, hōʻemi ke koko i ka emi ʻana o 20%. ʻO 30% o nā kānaka he mau pilikia koʻikoʻi me ko lākou mau lālā o ka ʻike. Nui ka makapō. I kekahi manawa ulu ka uluʻana o ka hypoxia i ka ʻōpū o ka pūnao. Hōʻikeʻia nā ʻeha hōʻeha o nā ʻeha hanu. Loaʻa i kekahi poʻe maʻi ka maʻi male.

ʻO ka loaʻa ʻana o ka maʻi me ka pancreatic necrosis

Hele mai ka maʻi me ka thrombosis vein hohonu a me ka loaʻa ʻana o nā mea i loaʻa i ka ʻōpū o ka ʻōpū. Me kahi palena haʻahaʻa o ke ola, loaʻa ka mea maʻi i ka hui 3. Inā loaʻa kahi loiloi ʻino a ʻike ʻia kahi kuhi i ke kaila o ka hōʻemi o ka hōʻemi, hāʻawi ʻia iā 2 mau grama. Kakaha 1 gr. hāʻawi wale ʻia inā he pōpilikia o ka make.

He hiki paha ia e hana me ka ʻole ʻoi ʻana

Me ka pancreatic necrosis, no nā kumu like ʻole, ke kaʻina o ka hoʻopaʻa ʻana o ka wā ponoʻī o nā pancreas e kāna iho ponoʻī. ʻOkoʻa nā manaʻo o nā kauka e pili ana i nā ʻano hana a me nā ʻano o ka mālama ʻana i kēia ʻano maʻa. Loaʻa kēia ma muli o ka make nui o nā maʻi i ka wā mālama a me ka wā mālama.

Me ka hanaʻino o nā mea i ʻoi aku ma mua o 50%, he mea nui ke hanana. Akā inā ʻaʻole i hele nui ʻia ka maʻi a ʻaʻole i loaʻa nā ʻōpili, a laila e hoʻomanawanui mua ka mea maʻi i ka maʻi conservative, ʻo ia hoʻi:

• ka koho ʻana i nā lāʻau antibacterial laulā,
• ka hemo ʻana o nā hōʻailona koʻikoʻi,
• ka puʻuwai pōkole
• meaʻai meaʻai kūikawā.

ʻO ke kiʻekiʻe o ke ʻano hanohano me kēia patula i ka wā a ma hope o ka hoʻomaʻamaʻa ʻana ua kiʻekiʻe loa. He paʻakikī nā hana, ʻaeʻole i ka maʻi o nā maʻi, he kiʻekiʻe ka hopena o nā hoʻopiʻi, no laila, ma kahi hoʻomaka o ka maʻi, ua kau ʻia ka manaʻo ma ka mālama koʻikoʻi. Ma hope o 5 mau lā o ka launa ʻana i mālama ʻole ʻia, hoʻokō ʻia kahi ʻano radical.

ʻO wai ka mea pono

ʻO nā ʻōmaʻomaʻo piha loa no ke koho ʻana i ka mālama ʻana i ka maʻi o ka mea maʻi me ka necrosis pancreatic ʻo:

• ʻO ka maʻi pancreatic,
• hemorrhagic effusion,
• peritonitis
• hoʻohemo enzymatic,
• ka pālahalaha o ka maka o ka necrosis i loko o ka lua peritoneal i nā ʻiʻo kokoke,
• huhū pancreatic,
• phlegmon
• ka hopena o nā hana mālama conservative.

Hoʻopuka ʻia nā hana hōʻeha no ka pancreatic necrosis me ka hoʻomohala ʻana o ka cardiac, renal a pulmonary failed. ʻO ka pōʻino o ka hoʻokumuʻana o kahi kīnā ʻole me nā palena ʻole (phlegmon) ma ka pancreas e pili ana i ka hiki ke hoʻolele wikiwiki ka poʻe a puni ke kino ma o nā kahawai o ka lymph a i kahe koko. Me ka peritonitis, nui ka wai o ka nui o ka wai i loko o ka wahi o ka retroperitoneal, e pono ai e lawe ʻia mai.

Me ka hopena o ka hemorrhagic ma lalo o ka mana o kahi hoʻomohala wikiwiki i ka hanana pathological i ka pancreas a me ka peritoneum, nā ʻōpū i piha i ka ʻano koko.

Hoʻokomo ʻia nā hōʻiliʻili manuahi no ka neku ʻana o ka pancreatic i nā hui nui 2.

I ka manawa hiki, hoʻāʻo ke kauka e hoʻokau i ka manipulation pono e hoʻohana ana i nā kaʻina minimally invasive me ka wehe ʻole i ka ʻōpū o ka ʻōpū. Hoʻonui ka hana o nā ala kuʻuna i ka hopena o ka make.

Wahi a ka manawa o nā ʻimi hōʻole, ka ʻanā o ka hui ʻana:

• ulia (i ka wā koke ma hope o ka laweʻana)
• koi (i loko o 3 mau lā ma hope o ka hoʻomaka ʻana o ka hoʻouka ʻana),
• i hala (ma hope o 2 mau pule).

Wahi a nā helu loea, hoʻonui kekahi i ka make ma hope o ka hana mua a me ka hoʻokele ʻana.

Kahiko kōʻai

Pili pū ʻia ka hana kikika me ka:

• kahi pilikia nui loa o ka maʻi o nā ʻōpū kokoke a me ka ʻōpū o ka ʻōpū,
• nui koko,
• hōʻino i ka hoʻowalewale uku.

Ua mahele ʻia ka wehe ʻana i nā ʻāpana ʻelua:

• ka pilina ma ka leʻaleʻa o ke kino a i ʻole ili o ka pancreas,
• mālama mālama ʻana i nā hui (abdominization, sequestrectomy, necrectomy).

Ke hana nei i kahi hana hōʻihoʻi e like me nā hōʻailona, ​​me ka wehe ʻana i ka ʻāpana necrotic i loko o ka pancreas, nā ʻōpala i hōʻino ʻia - hiki i ka spleen, gall bladder ke hoʻopau ʻia.

Me ka hoʻomaʻamaʻa ʻana me ka mālama ʻana e mālama i ke kino, hoʻopau kaila, kahe, ke koko a me nā pana paha i hoʻopau ʻia. A laila e hana i ka hoʻonohonoho hoʻonohonoho hou ʻana i ke kino, ua paʻa ka hoʻoheheʻe.

Inā ala mai nā ʻano hoʻopiʻi like i ka wā o ka hana, ke hana nei ka hana e hoʻopau iā lākou.

Hoʻopili liʻiliʻi

Manaʻo ʻia nā hana hōʻemi a ka minimally i kahi ʻano hōʻoluʻolu o ka hiki ke kāpili no ka maʻi pancreatic necrosis. Hana ʻia nā Manipulasi me ka wehe ʻana i ka ʻōpū ma kahi huina kūikawā ma lalo o ka mākaʻikaʻi mau ʻana o nā mea hana hou. Ke hana ʻia nei ia hana i mea e kāohi ai i ka exudate i hōʻiliʻili ʻia (ke kahe i hoʻokuʻu ʻia mai nā moku koko i ka wā o ka hoʻowalī ʻana) mai i nā ʻāpana o ke kino a hoʻohemo i nā hana kelepona make. Hoʻouna ʻia nā mea i loaʻa i ka wā o ka hana no ka noiʻi ʻana i nā kahu ʻana.

Hoʻopili iki i loko o nā minimally invvent no ka pancreatic necrosis:

• puncture - hoʻokahi manawa o ka hoʻokaʻawale ʻana i nā wai mai ka foci o ka necrosis o kahi ʻano kū ʻole o ka maʻi hopohopo,
• Holo uku - ka hana mau ʻana o ka exudate ma o ka pono hana a me ka holoi ʻana i nā ʻaila me nā hopena antiseptic.

ʻO nā papa inoa o nā hōʻiliʻili o nā laka e kōkua i ka pale ʻana i ka wehe ʻana o ka ʻōpū, hoʻonui i ka pono o ka mea maʻi e hoʻolaʻa, a e hōʻemi i ka hopena o nā hopena maikaʻi ʻole.

Akā i kekahi manawa aia kēia mau hana lapaʻau e hoʻonāukiuki i ka palaka a hoʻopilikia i ke kūlana o ka mea maʻi. I kēia mau hihia, he mea pono nui ka hoʻopili ʻana.

Hoʻāla

ʻO ka hoʻihoʻi hou ʻana i ka mea maʻi e hoʻomaʻamaʻa nei i nā hana maʻi no ka pancreatic necrosis e hana ana ma lalo o ka mākaʻikaʻi koʻikoʻi o ke kauka kūloko ma kahi o kahi e noho ai.

ʻO ka hoʻoponopono hou ʻana no ka nekrosis pancreatic e komo:

• maʻi maʻi maʻi
• Hoʻomaʻamaʻa hoʻomaʻamaʻa
• kau lāʻau paʻa
• mea ʻai meaʻai
• ka hoʻoponopono maʻamau no kēlā me kēia lā
• nā hana o waho,
• haʻalele i nā kūlana kaumaha,
• hoʻokaʻawale i nā hana maikaʻi: ka uka a me ka uahi o ka uahi.
• ʻO nā hoʻokolohua olakino maʻamau o ka ʻōnaehana ʻana.

ʻO ka lōʻihi o ka manawa hoʻoponopono i kēlā me kēia mea maʻi e kū hoʻokahi a hilinaʻi i kona kūlana ākea o ke olakino, ka makahiki a me ka nui o ka pathology. ʻO ke ola olakino olakino a me kaʻai e pono ai ke hahai i ke ola holoʻokoʻa.

ʻO kahi kūlana koʻikoʻi no ka mālamaʻana i ka necrosis pancreatic he meaʻai kūikawā. Pono ke kino nāwaliwali e loaʻa i kahi piha piha, akā me ka māhele o ka hōʻemi.

Me kahi exacerbation o kēia maʻi, i kekahi mau lā ma mua a ma hope o ka hōʻoki ʻana, ua hāʻawi ʻia ka mea maʻi i ka wikiwiki therapeutic. Hoʻopuka ʻia ka olakino ma o ke komo ʻana i ke koko o nā hana kūikawā me nā mea kanu pono.

E hoʻohana i ka wai maʻemaʻe a i ʻole ka maʻi hipʻi infusion no 4-5 mau lā ma hope o ke kūpeʻe ʻana.

Mālama iki ʻia, hoʻokomo ʻia nā meaʻai i loko o ka meaʻai a ka mea maʻi. No nā poʻe me nā pilikia o ka pancreas, ka ʻōpū, ka ʻāʻī a me nā mea kino ʻē aʻe e komo pū ana i ke kaʻina hana ʻana, kahi hana kūikawā ʻehā.

ʻO ke hoʻohana ʻana i nā meaʻai no nā mea maʻi e hoʻonaʻauao wale ʻia ma kahi ʻano mahana a me ka maikaʻi. ʻAʻole ʻae ʻia ka overeing. Pono ʻoe e ʻai pinepine, akā i nā wahi liʻiliʻi. ʻAe ʻia ka meaʻai ʻaihuki e ka ala o ka ʻoki ʻana, ka kuke ʻana, ka palaoa. ʻAe ka meaʻai i ka momona, ka momona, ka aniani, ka meaʻai paʻakai.

ʻO nā mea inu a me nā meaʻai ʻaʻa kahi i loaʻa no ka necrosis pancre ola lōʻihi.

• inu ʻona i kekahi ikaika
• nā ʻona ʻona
• momona momona o ka iʻa a me ka iʻa,
• a me nā kohu wela
• nā mea inu ʻoki
• nā lāʻau ʻai ʻili
• nā lole ʻaoa.

Mea kanu Therapeutic no ka nekrosis pancreatic. E ʻike i ka papa kuhikuhi hoʻohālike no ka hebedoma ma aneʻi.

Inā ʻaʻole i hahai ʻia nā meaʻai i kauoha ʻia e kekahi loea, hiki i ke ʻano o ka pancreas i noho i loko o ka mea maʻi me ka pancreatic necrosis, kahi e alakaʻi ai i nā hopena pōʻino.

Nā hopena

Ka hoʻokō ʻana i nā manawa māmā no ka pancreatic necrosis ʻaʻole hiki ke hōʻoiaʻiʻo i ka ʻole o nā hoʻopiʻi postoperative. E pili ana kēia:

• hopohopo ole purulent,
• fistulas, phlegmon, sepsis,
• kahe koko i loko
• peritonitis
• ka hana 'ana o ke kau o benign,
• maʻi mellitus maʻiʻi
• ʻO nā maʻi lipid metabolism,
• pilikia pilikia
• constipation
• cardiac, pulmonary, pilikia ʻole,
• hypotension
• nā ʻōiwi āpau a me nā psychoses,
• nā hōʻailona o ka nui o nā pūleo organ, etc.

Pono ka mea maʻi me ka pancreatic necrosis e hoʻomaʻamaʻa i ka lāʻau lapaʻau maʻamau no ka ʻike ʻana i nā loli maikaʻi ʻole i ka pancreas, ʻano o ke olakino i ka manawa a lawe i nā ʻano kūpono.

ʻO ka hoʻomaʻamaʻa no ka pancreatic necrosis pancreis he mea paʻakikī. ʻO ka hopena o ka make i kahi ala maikaʻi ʻole o ka maʻi hiki i ka 70%. Ua make ka lua o ka maʻi āpau i ka wā o ka hoʻomaʻamaʻa ʻana. ʻO kēia no ka paʻakikī o ka hana ʻana i ka hana a me kahi kiʻekiʻe kiʻekiʻe o nā hihia postoperative koʻikoʻi.

Hoʻonui nā mea hou i ka pilikia o ka make me kēia patula:

• hiʻona kiʻekiʻe
• ka loaʻa ʻana o nā maʻi hui koi,
• hiki i ke kāhea aku i kahi loea,
• ka hana paʻa ʻole i ka maʻi.

ʻO ke kūlana maikaʻi loa o ka mea maʻi e hoʻomau i nā lā he nui ma hope o ka hana.

Julia, 54 makahiki, Saratov

ʻEono mahina i hala aku nei, ua hana kāna kāne i kahi hōʻola no ka pancreatic necrosis. ʻO ke kumu o ka maʻi ʻana i ka hōʻemi ʻona.E hoʻopiʻi ʻo ia i nā ʻeha ma ka hypochondrium hema no ka manawa lōʻihi, ʻaʻole naʻe i kūkā i ke kauka. Ua mālamaʻia ia i ka hōkake i kahi hōʻeha koʻikoʻi. Ua hana ʻia kahi hana ʻōwali. Ua hala ka lōʻihi o ke ola ʻana.

I kēia manawa ua paʻa paʻa ka kāne i ka waiʻona a me ka nicotine, pili i ka meaʻaiʻai paʻa, e noho mau ana ma nā porridges a me nā mea i mauʻu. Makemake ʻiʻo ʻoe e ola!

Egor, 35 makahiki, Shatura

ʻO ka mea i hala koke nei, ua loaʻa ka makuakāne, kahi mea aloha i ka waiʻona a me nā mea momona momona, me ka pancreatic necrosis o ka pancreas a ua kuhikuhi ʻia i kahi hana e wehe ai i nā wahi o nā nekrosis o kēia ʻola. E hiki koke mai ana ka hana, akā ʻaʻole hāʻawi nā kauka i nā mea e hōʻoiaʻiʻo ana. Ke hoʻomaka nei nā ʻohana a pau loa a me ka makua kāne. Noho mau ia i ka pule a lana no ka mea maikaʻi loa.

Marina, 31 makahiki, Moscow

I kekahi mau manawa i hala aku nei, ua hōʻike ke kauka i ka māmā me ka maʻi pancreatic pancreatic necrosis a hana i kahi puncture i ka wā a lākou i pīhoihoi ai i ka wai mai ka necrotic foci o kēia kēna. Ua kūleʻa ka hana, ua hoʻi mālie ke makuahine. Kūlike ʻo ia me ka meaʻai kuhikuhi a me nā ʻōlelo a pau a nā kauka.