Ọria oria akwara bụ ihe ọmụmụ, ihe na - esochi ya na nsogbu yana nsogbu dị iche iche. Ọnọdụ ndị a na - akpata nsogbu nwere ike ibilite site na ntinye nke anụ ahụ gbara gburugburu, usoro na - emebi emebi na akwara nke pancreas, ọrịa na - abanye na ebe a na - ebute mbufụt.
Na nnukwu ọrịa pancreatitis, ọdịdị nke imebi na-apụta ngwa ngwa. Ọtụtụ mgbe ụdị mmebi ndị a bụ ihe na-esite na ngụkọ nke usoro mbibi a na -emepụta akwara nke akwara. Na ọnụnọ nke ọrịa akwara na-adịghị ala ala, nsogbu ndị dị otú ahụ nwere ike ịmalite nke nwayọ nwayọ karịa ọtụtụ afọ.
Ọtụtụ nsogbu na-achọ ịwa ahụ n’oge ọgwụgwọ. Dabere na oge nke mmebi iwu, a na-ekewa ha abụọ - n'oge na mbubreyo. Ke adianade do, nhazi ahụ a na-eme dị ka nsonaazụ ụmụ irighiri ihe metụtara isi ọrịa na-elekwasị anya.
N'ihe banyere isi mmalite mmepe nke ọrịa, a na-akwanyere iche iche dị iche iche na nhazi ọkwa ahụ:
- Ihe a na - ahụkarị - na - ekpuchi ubu ahihia, anụ ahụ na akwara.
- Mpaghara ya na akụrụngwa - enwere ọnya anụ ahụ na - arụ ọrụ nke na-arụ ọrụ yana akwara.
Dabere na njirimara nke anatomical na topographic, ndị ọkachamara n'ịgwọ ahụike na-achọpụta ọdịiche gbasara intra- na extra-abdominal. Ọdịdị nke nsogbu ndị dị na mbụ bụ n'ihi ihe nke isi na nke abụọ na-ebuso ndị iro ọgụ ụbọchị mbụ nke ọrịa. Usoro ngwụsị nke ọrịa bụ n'ihi usoro ịgbaze na necrotic foci. Ọtụtụ mgbe, microbial ihe kpatara ya na ngosipụta purulent-inflammatory mpaghara na-enye aka na mmepe ahụ.
Imirikiti ndị dọkịta kewara ọgba aghara ahụ na arụ ọrụ. A pụrụ ịgwọ ụdị nsogbu nke ọrịa a na-egbu egbu site na iji usoro eji eme ihe. Organic - siri ike ịgwọ, ọgwụgwọ ngwa ngwa ma ọ bụ atụmatụ ịwa ahụ ejiri maka ebumnuche a.
Otu n'ime ihe a na-ahụkarị bụ mbufụt nke anụ ahụ retroperitoneal na ọnya nke pancreatogenic nke oghere cellular ma ọ bụ oghere ime.
Gịnị bụ parapancreatitis?
Parapancreatitis bụ nsogbu na-apụtakarị ọrịa na-efe efe. Nke a bụ pathology nke retroperitoneal pericanopancreatic anụ ahụ metụtara.
Usoro mbufụt a na akwara na-ezo aka na mmebi nke akari.
Otu a gụnyere mmebi iwu ndị a:
- Cholangitis bụ mbufụt nke bile ducts.
- Omentitis bụ usoro mkpali n’erụ ahụ.
- Ligamentitis bụ mbufụt nke akwara nke imeju.
- Peritonitis bụ usoro mkpali na mgbidi peritoneal.
Dabere na etiology, enwere ike ekewa panninogenic parapancreatitis niile n'ime ìgwè abụọ:
- ala ala
- nkọ.
Nkewa n'ime otu ndị a dabere na njikọta na ọgụ nke ọrịa na - adịghị ala ala ma ọ bụ nnukwu ọrịa.
A na-ekewa ìgwè nke nnukwu parapancreatitis n'aka nke ndị a:
- Ọbara.
- Necrotic.
- Necrotic purulent.
A na-ekewa ìgwè nke parapancreatitis na-adịghị ala ala na nkà mmụta ọgwụ abụọ:
- sclerotic;
- polycystic.
Nke ọ bụla n’ime otu ndị a na ụdị ha nwere njiri mara ha.
Characterization nke otutu nke parapacreatitis
N'oge mbido oria mmerụ ahụ, a na-achọpụta mbibi ịba ọcha n'ụdị edema, ọbara ọgbụgba ma ọ bụ nguzo nke nejrosis.
Dichọpụta ọrịa parapancreatitis siri ike adịghị esiri onye na - eme ya ike, ma ọ bụrụ na anyị echeta na a na - ahụkarị nhụsianya nke ọnya ọnya ọgbụgba na ọnya ọbara na ndị ọrịa niile nwere nnukwu ajọ ọrịa ọria.
Ntughari nke usoro mkpali n'ihe banyere mmepe n'ime ahụ mmadụ nke ụdị infiltrative-necrotic ma ọ bụ purulent-necrotic ụdị ihe mgbagha nke mesentery nke obere eriri afọ na-eso ndị ọrịa iji guzobe paresis eriri afọ.
N'ihe banyere mgbasa nke usoro mkpali na akwara nke ọwapụ n’akpụkpọ ahụ, a na-achọpụta ọdịdị puppy nke anụ ahụ na-akpụ akpụ na mpaghara lumbar nke akpati ahụ.
Ihe nrịba nke ọnya ọgbụgba na nwanyị nwere oke ọnụọgụ bụ ihe ejiri mara ya bụ ihe mgbaàmà dịka ọzịza na-egbu mgbu. A na-achọpụta ihe ịrịba ama dị otú ahụ n'oge ọganihu nke ahụ onye ọrịa site na iji tomography na ultrasound agbakọrọ.
Guzobe nnukwu parapancreatitis, nke ihe jikọrọ nke ukwuu na mpaghara isi nke gland, na-abụkarị njiri nke ihe mgbaàmà nke mkpakọ nke gland na choledochus.
Njirimara nke ụdị nsogbu mgbagwoju anya
Ọrịa ụbụrụ nke na - egbu egbu nke akpịrịkpa nwa oge n'oge ọgwụgwọ zuru oke ma nwee nchekwaba banyere ọrịa akwara na - egbu oge ọsịsọ nke izizi ya na - edughari na mmepe azụma anaghị ebute usoro mkpali nke abụọ.
N’oge na-adịbeghị anya, oke ọbara ọgbụgba nwere ike ịdapụta na oghere ohere, ha na-esonyere n’ịzụlite obere mkpụkọ n’agha ebe ọbara ọgbụgba dị.
N'ọnọdụ dị otú ahụ, ọbara a wụsara na eriri ahụ na-enye aka n'ọdịdị mmeghachi omume mkpasu iwe, nke a na -emepụta ọnụ ọgụgụ buru ibu nke na-emetụta ihe mgbu.
Ihe mere eji mepụta ụdị intricrative-necrotic nwere ike ịbụ:
- ọbara ọgbụgba;
- nguzobe nke oke necrosis.
Na ọnụnọ nke ọnọdụ aseptic, ọnya infiltrative-necrotic leision nwere ike ịda nwayọ nwayọ, karịa ọnwa atọ, ntinye akụkụ na -eme mgbanwe anụ ahụ ma ọ bụ guzobe ọnya nkwonkwo na mpaghara ọnya.
Na ọnụnọ nke purulent-putrefactive ọrịa na ọnya, mmepe nke purulent-putrefactive parapancreatitis pụtara. Otu njirimara bụ ngbanye uche nke necrotic na ịmepụta etuto ahụ.
Ọgwụgwọ ọrịa ọbara ọgbụgba na-arịa ọbara na ụdị ọbara ọgbụgba
A na-ejikarị usoro ichebe ụdị ọrịa anụ ahụ nke ọrịa retroperitoneal. Suchzọ ndị dị otú a gụnyere mmezi nke ọgwụgwọ ọgwụ pancreatitis. Ntughari nke ọgwụgwọ ogwu a na - etinye n'ime ojiji nke ọgwụgwọ detoxification di elu na ojiji nke ọgwụ mgbochi nje nke na - aru oru prophylactic.
Umu ogwu di iche-iche na-ewere otutu ogwu eji ogwu agha. N'oge ọgwụgwọ ahụ, a na-eji usoro nke ọgwụgwọ mbibi ọrịa. N'ime usoro ọgwụgwọ, a na-eji njikwa ọgwụ endolymphatic nke ọgwụ nje.
Site na mmepe n'ime ahụ onye ọrịa nke ụdị parapatcreatitis na-arịa ọbara ọgbụgba, nke na-esonye na mmalite purulent nsogbu nke anụ ahụ na - eme ala, ọ bụrụkwa na njirimara nke ụdị nsogbu purulent-necrotic niile, a na-atụ aro itinye aka na ịwa ahụ.
Njirimara nke ụdị ọrịa na-adịghị ala ala na ọgwụgwọ ya
Enwere ike ịtụle ụdị na-adịghị ala ala dịka otu n'ime nsonaazụ nke omentitis mpaghara ma ọ bụ nnukwu ọrịa parapancreatitis, nke na-emebeghị mgbanwe purulent.
A na-eji ụdị dị iche iche na-adịghị ala ala mara ọdịdị nke onyonyo a na-edoghị anya. N'ọnọdụ ụfọdụ, mgbanwe nke nsogbu na ngosipụta ha na-e attacksomi ọgụ ugboro ugboro nke ọrịa akwara na-adịghị ala ala.
Identmata ọrịa a na-akwadoro nke ọma ma ọ bụrụ na onye ọrịa ahụ nwere fistulas mpụga purulent. Ọrịa sclerosing nwere ike bute nsị nke akwara ọbara dị nso na-elekwasị anya. Ọnọdụ dị otú ahụ nwere ike ịkpalite mmepe nke ọrịa ischemic na ụdị mpaghara ọbara mgbali elu.
Ductme ọgwụgwọ achọghị ka mmadụ sie ike ụdị nsogbu a bụ nke na - apụtakarị ọrịa, ma ọ bụrụ na onye ọrịa nwere nsogbu ọfụma na mpaghara ahụ, ọ na - arụ ọrụ ebumnuche na pancreas. Ọzọkwa, ihe ngosi bụ ikpe nke ọdịdị nke mgbaàmà ọbara mgbali elu na ihe ịrịba ama nke ischemic syndrome, nke na-eguzogide ọgwụgwọ na-egbochi mgbanwe.
A kọwara etu esi egbochi nsogbu nke ọrịa pancreatitis na vidiyo n'isiokwu a.
