N'okpuru mmetụta nke nnukwu ọrịa pancreatitis, necrosis pancreatic nwere ike ịmalite na 10% nke ikpe. Eriri nke dị gburugburu pancreas na-anwụ, dịkwa ka ọrịa na-anwụ anwụ. Nke a bụ n'ihi ọrụ nke lipase, enzyme nke pancreas.
Nke mbu, necrosis na-egbu egbu na-amalite, megidere onodu nke oria buorrland na arria, nke n’eduba n’akuku neisioria, tinyere orima n’azu azu. Dị nke necrosis na-emekọ ihe ọnụ: ya na mpaghara ọbara ọgbụgba na ọbara ọgbụgba na-efe efe, na-agbanwe agbanwe.
Ọrịa Necrotic na ọrịa
Dị ka ị maara, necrosis nke akụkụ a na-egosi n'okpuru mmetụta nke pancreatitis. Ejiri mmalite ọrịa ahụ bụ ịda ogbenye nke mgbaàmà. Otu n'ime ụdị mgbaàmà ndị a na-ahụkarị n'ụlọ ọgwụ nwere ike ịba ama pallor nke anụ ahụ, ụzụ nke sclera na ntakịrị cyanosis.
Ọkpụkpụ ahụ nwere ike ịbụ nke nkịtị ma ọ bụ jiri nwayọ, oge ahụ, dịka iwu, anaghị agbanwe agbanwe. Ọ bụrụ na ọrịa bidoro na mpaghara necrotic, okpomoku ahụ na-ebili.
Palpation na-egosipụtakarị ihe mgbu dị n’etiti epigastrium na bloating. Na nzụlite nke necrosis na-egbu egbu, a na-emepụta infrimrate infactrate ngwa ngwa. Ọ nwere ike na-ahụ na elu afọ n'oge palpation, nsonaazụ ebe a nwere ike ịbụ ihe kachasị njọ, ya bụ, ọnwụ abụghị ihe dị iche.
Ọrịa ahụ na-ebilite site na mmụba nke paresis na iji iwe na -eme mkpesa na-enweghị isi, ihe niile nwere ike igosipụta ihe ịrịba ama nke kansa akwara, ihe mgbaàmà ndị a na-eyikarị.
Ọrịa necrosis pancreatic na-akpalite ọdịdị nke ọrịa nke usoro nzaghachi na mbufụt, ọrụ nke akụkụ dị mkpa na-aka njọ, nke na-eduga n'ọdịdị nke enweghị oke, nsonaazụ ahụ abụghị nke kachasị mma. Ọrịa nwere ike ime:
- Ọkpụkpụ akwara;
- Ntughari
- Ntaramahụhụ;
- Hepatic
- Ọkụ afọ nri.
A na-emetụta akụkụ ahụ nke akụkụ okuku ume, nke a na-egosipụta n'ụdị nkwakọ ọnụ na oghere ime mmụọ nke transudate na akụkụ ụbụrụ.
Site na enweghi ike akwara obi, hypotension na-egosi, akwara filamentia, ischemia myocardial, cyanosis nke akpukpo aru na mpụta nke mucous, mbelata nke olu ihe gbasara obi, ihe iriba ama ndia n’egosiputa necrosis.
Na mgbakwunye, ndị ọrịa nwere nsogbu mgbatị uche ugboro ugboro, nke na-egosipụta onwe ya dị ka ọgba aghara na (ma ọ bụ) oke obi ụtọ. Ọkpụkpụ ọrụ nke imeju na-efukarị, nke na-adakarị, ọ na-egosipụta onwe ya dị ka jaundice.
A na - ahụta oke ihe na - akpata nrịanrịa necrosis:
- Hypovolemic ujo;
- Otutu nkpuru otu;
- Ọrịa Pleuropulmonary;
- Ọkpụkpụ akwara azụ nke retroperitoneal na pancreas;
- Fistulas nke dị n’ime na nke ime;
Peritonitis na ọbara ọgbụgba n'ime ya nwere mgbaàmà dị iche iche. Peritonitis na-aputa ihe site na nsogbu nke etuto ahụ a na-enwe n’ime oghere dị n’afọ.
N'ọtụtụ ọnọdụ, mpaghara nke necrosis na-amalite ịbanye ike, ya bụ, site na kapusto nke anụ ahụ jikọrọ ya na akwara ahụ dị mma. Cyst nwere ike ma ihe uto ma ogwugwu.
Ọrịa Pancreatic Necrosis
A na-eji ọgwụgwọ nchịkọta, nke nwere ọrụ ndị a:
- Mgbu mgbu;
- Mwepu nke oru puru iche;
- Mgbake nke ọnụọgụ ọbara kachasị mma;
- Parenteral ihe oriri;
- Usoro ọgwụgwọ detoxification.
Iji belata ihe mgbu, a na-eji analgesics na - edeghị ọgwụ. Ọ bụrụ na ikpe malitere, a na-eji ọgwụ ọjọọ eme ihe, ihe bụ isi bụ na nsonaazụ ahụ abụghị ọgwụ riri ahụ.
Iji gbochie ọrụ nzuzo nke gland, a ga-agụpụ iri nri n'ọnụ. Ejiri antacids na anticholinergics (atropine).
Iji weghachi olu ọbara na-ekesasị, ọ dị mkpa iji intravenly na-achịkwa ihe ngwọta nke crystalloid na colloidal. Otutu ihe dị mkpa electrolytes dị ugbu a na edozi crystal; ndị a bụ klorine, calcium, potassium, na sodium.
Ọnọdụ dị mkpa maka nri na-emekpa ahụ ihe bụ ikwekọ ume nke ahụ mmadụ. Ọ na-eji ngwọta nke amino acid, glucose na protein hydrolysates.
A na-agwọ ọnya nke a na - akpọ pancreatic necrosis ngwa ngwa site na mwepu pancreas. Gerywa ahụ chọrọ iwepu mpaghara anụ ahụ necrotic ruo n'ọbara. Ọ bụrụ na enwere ọrịa peritonitis, a na-eme nsị nke peritoneum.
Egosiputara gland anya di ya maka mgbanwe n’iru ya. A na - ewepụ pancreas kpam kpam n'ọnọdụ ikpere nke necrosis. Operationrụ ọrụ dị otú ahụ dị oke egwu, ọ nwere ike na nsonaazụ ga-egbu, yabụ anaghị arụ ya ma ọ bụrụ na enwere ike iji ụzọ dị mma gwọ ọrịa pancreatic.
N'oge na-adịbeghị anya, ndị dọkịta na-ahọrọ iji nhọrọ ndị na-achọghị mgbanwe maka ịrụ ọrụ na necrosis na nsogbu ndị ọ na-akpata, nke mere na ihe na-akpata ọnwụ bụ ihe gara aga.
Dịka iwu, a na-etinye drains n'olulu purulent. Nke a na - eme ka ichere nke ọdịnaya nke cysts na iwebata ihe ndị na - egbochi ọgwụ nje. A nabatara ọgwụgwọ ahụ nke ọma, nwee obere ọrịa ọrịa ma gosipụta ọnụọgụ ọghọm.
