A na-ele ọria pancreatitis, ma ọ bụ mbufụt nke pancreas, anya dị ka ọrịa dị ize ndụ n'ihi nsogbu ndị a na-enwekarị na-etinye ndụ mmadụ n'ihe egwu. Ọnwụ nke anụ ahụ n'ihi mmetụta nke enzymes nke ha na-eduga ná mbibi nke pancreas, mwepụta nke toxins n'ime ọbara n'ozuzu ya, na ịmepụta usoro pathologies. A na - akpọ usoro a pancreatic necrosis ma bụrụ ihe mgbagwoju anya na - akpata ọnwụ na ihe fọrọ nke nta ka ọ bụrụ ọkara ikpe (dịka ụfọdụ akụkọ si kwuo - 80%).
Mmebi na arịa ọbara nke pancreas, na - ewere ọnọdụ megide usoro nke mkpali, na - edugakarị ịmalite oruru ọbara na parenchyma. Hematomas ndị a na-eme ka usoro nje na-arịwanye elu, na-azọpu ọkpọ ahụ ma na-eme ka ọ sie ike igbapu akụkụ ahụ. Ọ bụ ọbara ọgbụgba ọbara ọbara ka a na-eme, ebe ọrịa vaskụla na-ebute ụzọ na mbibi gland.
Ebumnuche na usoro mmepe
N'ọnọdụ ụfọdụ, ọrịa dị n’azụ (na nke mbụ) na-aghọ nnukwu oria akpa ume, ya bụ, mmalite nke mbibi anụ ahụ n’akwara site na enzymes na usoro mkpali. Ihe eji mara ya bụ mbibi nke mgbidi vaskụla, mwepụta ọbara n'ime oghere ndị metụtara mmekọrịta, ịmịbara ọbara. Ihe omimi ndi a bidoro igbuputa ebe ndi aru aru aru, ndi na eme ka ihe ma obu agwo oru ghari.
N'ọnọdụ ụfọdụ, mgbaji akwara ọbara ma ọ bụ ihie mgbidi ha anaghị eme, mana ọgbụgba ọbara na-etolite, nke a na - esonyere na sistemụ arụmọrụ. Ha na - emechi arịa ndị ahụ, n'ihi nke akụkụ nke gland na - anọgide n'enweghị oxygen ma malite ịnwụ. Ọrịa pancreatitis dị otú ahụ, nke na-agbanwe necrosis, bụ nke akpọrọ ischemic, nke ahụ bụ, na mbụ dabere na ọnwụ nke mkpụrụ ndụ, mana usoro mbufụt na-esonye mgbe oge ụfọdụ gasịrị.
Nnukwu ọgbụgba na-aghọ akụkụ nke necrosis
Na agbanyeghị ihe kpatara mmebi nke mpaghara akwara ma ọ bụ akụkụ ahụ niile, mmetụta nke enzymes, hemorrhages ma ọ bụ ischemia anụ ahụ, ha na-amalite ida ngwa ngwa. N’ọnọdụ ha, a na-emepụta ntọala nke ire ere, ebe ọbara, mmiri n’etiti, nnukwu ọnya na-agakọ. Ihe ndị a niile na-amalite ịbanye n’ọbara, ‘na-egbu anụ’ ahụ. Site n'ọbara na-enwe ọria ọbara ọgbụgba, nke na-agbanwe necrosis, akụrụ, obi, umeji na ụbụrụ na-ata ahụhụ.
Enwere ọtụtụ ihe nwere ike ibute ọrịa akwara nke nnukwu nsogbu, necrosis na-agbagwoju anya. Enwere ike ịnọchi anya ha:
- ị excessiveụbiga mmanya ókè;
- oke abụba, ihe oriri na-egbu egbu, na-egbu egbu;
- n'azu ọrịa nke imeju na eriri afọ (cholecystitis, cholelithiasis, biliary dyskinesia);
- nsogbu ọbara ọgbụgba;
- usoro nyocha autoimmune (vasculitis system);
- mmebi nke pancreas n'oge mmerụ ahụ ma ọ bụ usoro ịwa ahụ.
Dị ka omume ụlọ ọgwụ na-egosi, nnukwu ọria akwara na-etolite etolite mgbe ọ dị obere na n ’etiti, na njehie mmanya na nri na-akpata ihe na-akpata ya. N'otu oge, ndị ọrịa n'ọtụtụ ọnọdụ abụghị “ndị hụrụ mmanya n'anya,” mana otu ị etụbiga mmanya ókè nwere ike ibute nsonaazụ na-emenye ụjọ na gland. N'ime ndị a alcoụrụma, ị ofụbiga mmanya ókè mgbe niile n'ime ahụ a anaghị enwekarị akpata akwara na-egbu egbu, ọ na-enwekarị nsogbu akwara na-esochi, ọrịa sclerosis na-esochi.
Ọrịa
Ọrịa necrosis na-enwe nnukwu ọrịa ngwa ngwa, n'ime awa ole na ole ruo otu ụbọchị. Na nmalite nke usoro pathologies, mgbe nsụhọ ka ga-adị ọcha, onye ọrịa nwere ike dozie mmalite ọrịa ahụ na oriri, dịka ọmụmaatụ, nnukwu mmanya (ndị a na-egbu ndị ọrịa). Mgbe ahụ, mgbe akpọpụtara ọrịa mmịnwụ akpọrọ na mbibi ụbụrụ, igwe-ojii na enweghị mmụọ na-apụta.
Ya mere, ekwesịrị ịnye onye ọrịa nlekọta ahụike n'oge ihe mberede. A na-ebunye ndị ọrịa ụdị ọgwụgwọ ahụ ngwa ngwa na ngalaba nlekọta ahụike, ebe ọ bụ na n'ụzọ nkịtị, nkeji ọ bụla nwere ike ikpebi mmadụ.
Na mkpokọta, akara akparamaagwa nke ọbara ọgbụgba akwara na-adịkarị ala na nnukwu ọrịa akwara, mana ọdịdị ha na-eto ngwa ngwa. Na mgbakwunye, n'ime ụbọchị mbụ site na mmalite nke necrosis, mmerụ akụrụ malitere ịpụta, nsogbu akwara na ụbụrụ amalite.
Udiri ihe nrịba ama nke akwara nke pancreatic necrosis bụ ndị a:
Mmadu nwere ike ibi n’enweghi oria- Nkọ, na-etolite mgbu na elu afọ na hypochondrium, na-agbasa n'akụkụ aka ekpe. N'oge awa mbụ nke necrosis, ogo ihe mgbu kwekọrọ na ogo nke ọrịa na ogo mbibi nke pancreas. Mana mgbe ahụ, mgbe ọnwụ nke akwara bidoro n'ahụ ahụ, nnata nke ihe mgbu na-akwụsị. A na-ewere ọnụnọ nke egbu egbu na ebumnuche iji belata ihe mgbu bụ ihe ịrịba ama na-adịghị mma.
- Ugboro ọgbụgba ugboro ugboro, nke na-egosi obere oge mmalite nke ihe mgbu ma na-eduga ná mmịpụ nke onye ahụ (na vomit - imi, bile na ọbara).
- Akpịrị kpọrọ nkụ na akpụkpọ ahụ mucous n'ihi akpịrị ịkpọ nkụ, nke nwere obere ncha.
- Ejiri akọrọ kpuchie ya na akwa ọcha.
- Ọrịa intoxication (ahụ ọkụ, akpata oyi, adịghị ike gabigara ókè, enweghị agụụ).
- Ọrịa vaskụla, nke na-egosipụta site n’iji mgbanwe mgbanwe ọbara mgbali. Ọtụtụ mgbe, ọ na-ada, na-eduga n'ịda mba (ịkụda mmụọ).
- Mmepe nke flatulence n'ihi na nke nta nke eriri afọ motility na enweghi stool.
- Mbelata mmamịrị mbelata ma ọ bụ enweghị mmamịrị.
- Formationme encephalopathy, ma ọ bụ mmebi ụbụrụ (nsụhọ mgbagwoju anya, ọgba aghara, obi mgbawa, mgbe ahụ ihe mgbaàmà ndị a na-agbanwe ghọọ coma).
Na mgbakwunye, enwere ọbara ga-ahụ n'ọbara afọ ya na akụkụ akụkụ ahụ niile nke ahụ. Ha dị ka ntụpọ nke cyanotic (cyanotic) megide nzụlite nke acha anụnụ anụnụ na akpụkpọ ahụ oyi.
Ihe njiri mara ahụ na anụ ahụ na-eme ka o kwe omume ịchọpụta nchọpụta ziri ezi.
Ọnwụ ngwa ngwa nke akwara na akwara, nke na-eme n’oge mbibi, tumadi mbibi kpamkpam, mgbe awa ole na ole gasịrị, eduga n’ịpụta nsonaazụ dị oke egwu. Ọdịnaya nke pancreas, iberibe anụ ahụ necrotic, hemorrhagic exudate, toxins gafere ahụ, ya bụ, n'ime oghere afọ. Peritonitis malitere, nguzosi nke purulent abscesses na peritoneum na akụkụ ahụ ndị ọzọ dị n'ime, sepsis na - amalite (oria n'obara nke ọbara). Usoro ndị a niile na-eme ka onye ọrịa ghara ịdịte aka.
Zọ nyocha
Ọsọ nke usoro nchọpụta na nyocha ọfụma na-ekpebi ihe ịga nke ọma nke ọgwụgwọ na prognosis. N'ime ngalaba nnabata nke ụlọ ọgwụ onye ọrịa, onye na-anọkarị n'ọnọdụ dị oke njọ, ọtụtụ ndị dọkịta na-enyocha (therapist, gastroenterologist, dọkịta na-awa ahụ, resuscitator). A kọwapụtara data anamnesis n'ime ndị mmadụ na-eso onye ọrịa, mkpesa, ma ọ bụrụ na ọ ga-ekwe omume, na onye ọrịa ahụ n'onwe ya. A na-enyocha ọnọdụ akpụkpọ ahụ, ọnụnọ nke ihe mgbu, ogo mmamịrị mmụpụta, idoanya nke mmụọ.
A na-eme nnwale ndị dị mkpa ngwa ngwa:
- ọbara maka ikpebi ọdịnaya nke enzymes (amylase, lipase, trypsin, elastase);
- mmamịrị maka amylase;
- na-eji ụda ọ ,ụ ,ụ, a juiceụ ihe ọricụricụ gastric na pancreatic, nke a na-ekpebi enzyme na ogo nke acidity;
- coprogram maka ọdịnaya abụba.
Na mgbakwunye na nyocha ụlọ nyocha, a na-ejikwa ụzọ eji eme ihe. Ndị a bụ ultrasound, nyocha ihe osise, CT, MRI. Ọ bụrụ na ọ dị mkpa, a na-eji laparoscopy ma ọ bụ endoscopy eme ihe, nke na-enye gị ohere ịbanye na ihu anya, nyochaa ọnọdụ nke akwara yana oghere dị n'ime ahụ.
A na-eme ule niile maka necrosis pancreatic.
Diagnozọ nyocha niile, n’otu oge na ịkọwapụta nchoputa nke pancreatitis ma ọ bụ nnukwu pancreatic necrosis, nwere ike wepu ọrịa ndị ọzọ na-apụta na mgbaàmà ndị yiri ya. Nke a bụ nnukwu mgbochi afọ, nnukwu ọrịa appendicitis, nnukwu cholecystitis, ọnya afọ na-egbu mgbu, mgbaze nke aorta, thrombosis nke arịa nke oghere afọ.
Zọ ọgwụgwọ
Usoro ọgwụgwọ nke necrosis dị mgbagwoju anya ma bụrụ ngwakọta nke ụzọ ichebe na usoro ịgba egwu. N'ime ụbọchị ole na ole mbụ site na mmalite nke ọrịa akwara nke pancreatic, a naghị atụ aro ntinye aka nke ịwa ahụ, ebe ọ bụ na enwere ike ibute ọrịa ngwangwa megide ndabere nke ngwa ngwa "agbaze" nke anụ ahụ akwara nwere ike ịka njọ nke onye ọrịa. N’oge a, a na-ahọrọ ntụgharị uche.
Emebere ya:
- ibelata ihe mgbu;
- mwepu nke pancreas na nzuzo;
- ibelata nrụgide intraorgan;
- iwepu nsí n’ahụ.
Iji wepu ma wepu enzymes na pancreas, a na-eji Trasilol, Mgbakọ, Ribonuclease. Ọ dịkwa mkpa iji belata acidity nke ihe ọricụricụ gastric na Atropine, Ephedrine. Ojiji nke diuretics na-ebute mbelata edema na anụ ahụ yana mbelata mgbali nke capsule na parenchyma. Site na ntinye nke ndị nnọchi ọbara na ntinye aka nke ọgwụ diuresis na - eji nsị, wee mee ya nsị site na nsí.
Hecorrhagic pancreatic necrosis na-achọkarị ịwa ahụ
Mgbe ụbọchị ole na ole gasịrị, ọ bụrụ na arụmọrụ nke ụzọ ichebe mkpuchi dị obere, a na-arụ ọrụ. N'oge ịwa ahụ, a na-ewepụ ọbara ọgbụgba na necrotic, a na-eweghachi ikike nke akwara ndị ahụ, a na-agbazi usoro ọbara. Mkpokọta neisosis panorrhagic nke pancatisk na-achọ ọdịdị nke akụkụ ahụ ma ọ bụ wepu ya kpamkpam.
Prognosis maka ụdị ọbara ọgbụgba ọsịsa niile na - enweghị isi. Ọnụ ọgụgụ ọnụọgụ ọnwụ dị oke elu, ọkachasị bụ n'ihi ọnya ọnya na-akpakọrịta, mana enwere ike ịnwe mgbake.
