Chenjera necrosis pakati rwatata. Zviratidzo, mabatiro

Rwatata nhema seri peritoneum pachiyero I-II lumbar vertebral zvikamu. muviri ichi chinobatanidzwa kwemasayendisiti inokosha mumuviri. Next, isu anofanira kunzwisisa, chii mabasa ake, chii chinogona kuva hadzina kufambiswa zvakanaka pakuvhiya ayo. Zvikurukuru, isu funga sezvo kwakaratidzwa chakasimba pancreatic necrosis.

tsananguro

Rwatata (nomumhu: 15-10 masendimita - kureba 2-3 masendimita - upamhi) anonzi guru muviri zvakakwana. uremu kwayo vakuru - anenge 100 g pakuzvarwa kwake uremu hakuna magiramu anodarika matatu. Muvanhu, muviri anoita zviviri zvinokosha mabasa. Ngationgororei navo zvizere pazasi.

nhego basa

Exocrine rwatata kunokosha kuti duodenum - anomira kunze kwake pancreatic muto. Rine makemikari: amylase, lactase, maltase, lipase, trypsin nezvimwe. Nokuda pancreatic musvi neutralized acidic gastric zviri uye kugaya zvokudya. Pakutanga, makemikari anobudiswa nenzira akaneta chimiro, vakabva simba 12-duodenum. Zvavakaita inoendeswa kuparara makabhohaidhiretsi, mafuta, mapuroteni pamusoro huru zvinoriumba. Activation kuti makemikari ari kufurirwa enterokinase bile. Internal Secretion ndiyo kugadzirwa zvinokosha yeimwe. Izvi zvinosanganisira, kunyanya zvinosanganisira lipokain, glucagon uye jekiseni. Okupedzisira maviri anopikisana mumwe. Ivo vanobatanidzwa mune mitemo ropa shuga wevasungwa, carbohydrate muviri. Nokuda lipokaina inotungamirwa kunoitika muna chiropa phospholipids. Izviwo, ane zvainoita oxidation kuti mafuta acids kunobatsira. At kushaikwa lipokaina zvimwe nemafuta chiropa.

ducts

Inside the shwanu inopfuura gwara anovhura kupinda duodenum. Vanhuwo bile uye pancreatic ducts, kazhinji akaumba chinu. Somugumisiro, anovhura guru munyatso 12 duodenal urikanwi. The pancreatic ducts romuzvarirwo kufurirwa zvinofanira kupfuura vari vanhuwo bile mutsinga dzinofamba nemukaka. Izvi imhaka kudikanwa kudzivirira kusunungurwa intestinal zviri uye nenduru dundira.

Kutyorwa mabasa muviri

Kana zvachinja nevezera musiyano iri pancreatic mutsinga dzinofamba nemukaka anooneka neBP. Rinobatanidzwa ne kuoma water drainage pakati pancreatic muto, musunungure zviri nduru dundira kana bowel. Tikafunga kuwedzera kumanikidzwa pachavo masero dzavo pancreatic dzinotanga kuti ukama. Of makemikari aya akasunungurwa uye kusashanda papi. Ivo kupinda mukati parenchyma, mafuta uye connective zvinyama kweprostate. Zvinoguma cheni maitiro. Kuburikidza imwe enzayemu asunungurwa vaviri. Izvi chinokurwadzai chinhu kushoma inotungamirira aibuda wakawedzera ropa, uye zvadaro - kuti kurega kunotanga ropa. Izvi zvinobatsira kuti thrombosis ari shwanu. Somugumisiro, kufamba kweropa wenyonganyonga kunoitika pfungwa nomuviri zvemwana asati, kazhinji afunge pancreatic necrosis.

Zvinokonzera matambudziko ari

Pathological ezvinhu Kazhinji anooneka somugumisiro kutambura rimwe kana kudzokororwa tichibatwa pfungwa nomuviri zvemwana asati. The chenjera chimiro kwakabatana zvakananga cholelithiasis. Sezvo precipitating zvinhu makabuda nemaronda (dumbu kana duodenum 12), cirrhosis, hepatitis, udhakwa.

anokosha mashoko

Sezvataurwa pamusoro apa, mumwe mashandiro nezvokushanda kwemakemikari anobudiswa mumasero zvinosanganisira kugadzirwa mahormone. Patinoita basa iri raisanganisira nezviduku ose Langerhans. Kana kukundwa kwavo pakanyorwa pathologies, kusanganisira chirwere pfungwa nomuviri zvemwana asati mukati, kukudziridza mafuta degeneration chiropa uye chirwere cheshuga (chirwere cheshuga). Rwatata anokwanisa kuzvidzora kuchinjira mhando yezvokudya. Zvose zvinoenderana chikafu yaunodya. Kana ukapiwa yakawanda carbohydrate iri kusashanda kupfuura anotsemura makemikari dzavo. Kana koshesa mafuta zvokudya, inobereka zvakawanda lipase, uye kana puroteni - trypsin. Zvisinei, kushungurudzwa izvi zvinhu havafaniri kuva. Chokwadi ndechokuti rwatata haawanzopiwi rinopa zviratidzo pamusoro zvichibvira zadzisa. Kazhinji chinoratidza pachayo yakati chisimba maitiro, inopupura kwete kutanga kwekupwanyiwa chirwere, uye azere ayo maruva.

Zvakaipira ndasiya zvirwere

Kushora nokuti mamiriro rwatata kunogona kukonzera matambudziko akasiyana-siyana. Ngozi yacho kunyanya pakuti pedyo nayo pane dzimwe nevaari vari kunongokosha muviri. Izvi, chaizvoizvo, chirwatata, chiropa, mudumbu. Hazvina wova zindoga uye mwoyo. Kana kutyorwa mubasa rwatata uye muviri akasimbisa. Kuchinja maitiro kuitika nokukurumidza. Kwemaawa ari pancreatic kenza dzimwe nguva shomanana.

Chenjera necrosis pakati rwatata

Izvi ndizvo zvinyama kuparadza muviri. kukura kwayo chinobata siyana yaizoitika zvinhu. At moyo wavo nhema nhego kuzvimba. Chenjera necrosis pakati rwatata ikabuda zvakaitika tightening yayo bvunzo uye kurapwa. Munguva kutora mukana kwavo muviri makemikari. Kuburikidza nebasa ravo digesting rwatata. Kana kusashanda interstitial makemikari mberi pathological kwendangariro. Somugumisiro, vakaumba foci mafuta necrosis.

Description acho

Somugumisiro kukamurwa zvakakora acids kunoitika ph kusuduruka. Izvi zvaanopa simba intracellular tripsogen. Naizvozvo, zviri kuva trypsin. remubatanidzwa Izviwo, zvaanopa simba proteases kuti vanoumba zvakananga proteolytic muhomwe. Makemikari anotanga kukanganisa mashoko vascular madziro uye connective tishu. Rokuparadza muitiro kunosvika mhiri rwatata. Muviri kupora muchiitiko ichi hazvibviri. Kana kuratidzwa zviratidzo pachena kuti rufu angava nokukurumidza.

sembura zvinhu

Necrosis pakati rwatata, zviratidzo izvo dzichakurukurwa pazasi, kunowanzokonzerwa wokunzwa doro, nokudyisa, dyskinesia ari biliary turakiti, makemikari water drainage abnormalities nokuda cholangitis, calculous cholecystitis. Challenge zvokurwara dai zvisiri dose kurapwa, dose kukanganisa uye chikumbiro redunhu. Chenjera pancreatic necrosis anogona kukonzerwa kakawanda zvinotapukira kunetseka.

zvokurwara nokuti

Zvichienderana Proliferation, chenjera pancreatic necrosis angava dzakawanda uye muzinda. The muitiro mberi nokukurumidza kana zvakanaka usimbe chokubuda. Maererano kwoita dzinoparadza, chadzo, hemostatic, Hemorrhagic uye edematous mhando pathological kosi pancreatic. Yokupedzisira ichaongororwa kupfuura munyoro chimiro. Nokuda vawedzere kuzvimba rwatata kuti kunomutsa kuwedzera kumanikidza pankreotsity uye kukanganisika microcirculation. Mabatirwo edematous Danho, kazhinji zvinobudirira. Kurehwa kukurumidza unyanzvi zvokurwara anotora kumhanya mhando. Zvikurukuru, necrotic muitiro anopa water drainage pamusoro pancreatic kenza zvomudumbu makemikari. Somugumisiro kugaya kunotangira mukati mumuviri. Nokufamba kwacho kunotanga infiltration pakati pus kupinda abdominal mhango. Somugumisiro peritonitis ikabuda muimba rikwanise muchimiro. Izvi ndezvechokwadi kuvhiyiwa. Zvikasadaro kutanga sepsis, cherufu.

zvekuchipatara mufananidzo

Ndezvipi zviratidzo pancreatic necrosis? Zviratidzo chirwere vane simba zvakakwana. In kuruboshwe yokumusoro quadrant marwadzo herpes zoster hwapedyo hunhu. Kupararira yose muviri pazasi mbabvu. Kurwadziwa pafudzi uye anopa chipande sezvo chomwoyo. Pezvakaitwa vari achiperekedzwa kunonyengedza kurutsa, bloating, flatulence. Murwere ane fivha, ganda anochinja dzi kana reddens. The chikuru chiratidzo munhu pathological mamiriro anoonekwa kuva chiratidzo Gray-Turner. Kunoratidza pacharo muchimiro rinokwanisa kucheneruka makwapa kumativi mudumbu. Palpation rusvingo anozivikanwa marwadzo, makakatanwa. Chirwere rinoitwa kwakavakirwa kutarisana kuongororwa, mwoyo murefu zvichemo, uyewo migumisiro richishanda uye mumarabhoritari zvidzidzo. Rokuongorora parenchymal echogenicity akagadzwa Ultrasound. CT uye MRI Scans, angiography uye laparoscopy kubvumira kuti kuisa chaiyo kutanga chirwere.

kuchirapa matanho

Mabatirwo chenjera necrosis anogona kunge zvomusejari kana kuchinja. Kusarudza achaenderana Kumwe kuchinja kunotanga mumuviri. Drug ekisiposha iri basa nomumwe. Pakati mishonga rakarumbidza kuti mabiko, - spasmolytics (rinoreva "No-Spa", somuenzaniso), uye zvinodhaka antifermental cytotoxic chokuita enzayemu usage. Pakati zvomusejari nzira dzakashandiswa laparotomy uye laparoscopy. Zvisinei, muna kosi hwokushanda hazvisi nguva zvichiita kubvisa zvachose zvokurwara. Kazhinji, kurapwa wevarwere muchipatara marongero rinoitwa.