Pancreatic necrosis yepancreas - mugumisiro unouraya? Pancreonecrosis prognosis

Chimwe chezvirwere zvakakomba zvekudya kwevanhu zvinokonzera pancreatic necrosis yepancreas, mugumisiro unouraya umo, maererano nehuwandu, inowanikwa mune 40-60% yematambudziko.

Zvinokonzera pancreatic necrosis

Pachcreatitis yakajeka, iyo pancreatic necrosis inonetsa, zvikamu zvitatu muhuwandu hwekutanga, zvichisiya chete zvakanyanya appendicitis uye cholecystitis mberi. Sezvo mutemo, unowedzera pamusana pekukuvadza kune masero akavanzika epancreas, kugadzirwa kwakanyanya kwepancreatic juice uye kushungurudzika kwekubuda kwayo. Izvi zvinogona kukuvadza:

• Dambudziko remuviri;
• Kushanda kwezvikamu zvemuviri wepamuviri;
• Kunyorerwa kwemuviri (kusanganisira doro);
• Allergic reactions;
• Cholelithiasis ;
• Zvirwere zvinotapukira kana zvirwere;
• Kunyanyisa kushandiswa nyama yakakangwa, zvinyorwa, mafuta emhuka kubva.

Zvinokonzera pancreatic necrosis zvepancreas dzakawanda, asi kazhinji zvinowedzera mushure mekupedza doro rakawandisa pamwe nemafuta emaprotheni. Zvinowanzoitika kuti chirwere chacho chiri pedyo nekungoerekana uye kurwisa kunogona kukurwisana nehupenyu hwakakwana. Pane zviitiko apo pancreatic necrosis yepascreas, mugumisiro unouraya wakaitika mukati maawa mashomanana mushure mekuonekwa kwezviratidzo zvechirwere ichi, yakagadzirwa mazuva mashomanana mushure memutambo mukuru.

Chii chinoitika nepancreaticecrosis

Ipancreas ine utano inobereka mishonga inokonzera kuputsa zvokudya zvinopinda mudumbu. Iko kuvonga kwavo kuti chikafu chinoparadzaniswa muzvikamu zvinokwanisa kuerera kuburikidza ne gastric mucosa muropa, iyo inovaendesa kumatumbu uye nhengo. Izvi zvinogadzira pancreas chimwe chezvinhu zvinokosha mumuviri. Kushandisa doro nemafuta akawanda ane simba kunokonzera pancreatic juice yekugadzirwa kwejusi, uye sezvo ducts isingagoni kuibvisa zvachose, inotanga kuunganidzwa mukati megland. Izvi zvinotungamirira kukurudzirwa kweedema, kuwedzera kuwedzerwa kwemakumbo ekubuda uye kuvhara kwekupedzisira. Izvo zvine maitiro emagetsi epancreas, ayo aimbova mararamiro emapuroteni, achipisa mumadziro ematope ndokutanga kuparadza, maitiro e "digest" awo mazamu maitiro. Kushanda mishonga yemakemikari nemichero yekuora, yakagadzirirwa munyaya iyi, kupinda muropa uye nekusimudzira kupererwa kwemamwe nhengo nemaviri, zvichikonzera kudhakwa kwakanyanya. Nokudaro, pancreatic necrosis yepascreas, iyo inofanirwa kufanotaura kuti yakaoma kufanotaura, chirwere chinotyisa.

Kurongwa kwepancreatic necrosis

Zvichienderana nehuwandu hwechiremera cheglandu, duku-focal, mid-focus, chikuru-focal, subtotal uye pancreonecrosis yakazara yakasiyana. Zvechokwadi, kusiyana kwe pakati pemarudzi maviri ekutanga kunonyanya kugadziriswa. Aya mazwi madhavhiredzi anoshandisa kuongorora kuwanda kwechimiro chemuviri. Ne subtotal pancreatic necrosis, mararamiro emagetsi anokanganisa zvikuru gland. Kana muviri ukabatwa zvachose, ipapo pancreatic necrosis yepancreas inowanikwa. Muchiitiko ichi, mhedzisiro inouraya inogara ichionekwa.

Pane imwezve maitiro ekugadzirisa. Inoparadzanisa pancreatic necrosis mumarudzi maviri:

• Zvishoma. Izvi zvinosanganisira nzira iyo foci yakasiyana-siyana yakasikwa.
• Kazhinji. Muchiitiko ichi, dzakawanda zveglande kana nhengo yose inoshandiswa.

Mhando dzepancreatic necrosis

Zvichienderana nehupo hwehutachiwana munzvimbo dzakakanganiswa, isina kuchena kana kuti ane hutachiwana pancreatic necrosis yakasiyana. Muchiitiko ichi, kufungidzira kunenge kusina kunaka munyaya yehutachiwana hwehutachiona, sezvo mikana yekuvandudza kushungurudzwa kwehutachiona hunopisa, uye zvakaoma zvikuru kubvisa murwere kubva mumamiriro aya.

Sterile pancreonecrosis inogoverwa mumhando dzinotevera:

• Fatty - inoratidzika nekukurumidza kukura mukati memazuva mana kusvika ku5 uye kuve nyore kufamba;
• Hemorrhagic - inoratidzika nekukurumidza kufamba uye kubuda ropa nguva dzose;
• Mixed - inowanzoitika kakawanda, sepancreatic necrosis, maviri adipose uye parenchyma yepascreas akanganiswa zvakaenzana.

Kana pane kuparadza pancreatic necrosis inoratidzwa, kushanda hakudzivisiki. Asi kazhinji haisi kupa chikonzero chaidiwa, uye zvinokwanisika kuwedzerazve necrotic foci.

Zviratidzo uye Kuongororwa kwePancreaticecrosis

Kushandiswa kwepaccititis yakajeka kunoratidzwa nekurwadziwa kwakanyanya kuruboshwe hypochondrium kana marwadzo ane bhanhire. Kune kurutsira kwemuviri mukati, kwete kuunza kuponeswa, chirwere. Mukurwisana nemamiriro ezvinhu aya, kupera simba kwemuviri kunotanga nokukurumidza, uye kudhakwa kunowedzera. Paunenge uchitarisa chirwere, zvakakosha kuva neamnesnesis. Kana iine ruzivo pamusoro pokudhakwa kwewaini, mafuta ekudya kana ruzivo pamusoro pezvirwere zvechiropa uye gallbladder, izvi zvinogona kubvumira kuongororwa kwakafanana nepancreatic necrosis yepascreas. Izvo zvinodavirwa munyaya iyi zvinonyanya kutarisa padanho rechirwere murwere akakumbira rubatsiro rwechiremba, uye chiyero chechirwere chacho.

Sezvokuongorora hurabhoreta, pano tinocherechedza kuongororwa kwemuti neropa, uko kune zvakakosha zvezinga reamylase. Uyewo, ultrasound yemakumbo emimba, CT kana MRI, paunogona kuona kuonekwa kwenzvimbo dzakasviba mumatumbu epancreas.

Kurapa

Muzviitiko zvakawanda, pancreatic necrosis inoda kupindira kwokuvhiya. Panguva imwecheteyo, pasinei nekuti chiyero chekufa chiri chakakwana zvakakwana, kushanda panguva yakakodzera kunopa mukana mukuru wekudzikinura. Kuchengetedza kurapa kunosanganisira zvikamu zvinotevera:

• Mazuva mashomanana mushure mekurwisana - nzara yakakwana, uye zvichienderana nekuoma kwechirwere, kuiswa kwezvimiti kuburikidza nehupombwe huri mukati kunokwanisa kugara kwevhiki;
• Kucheneswa kweropa (hemosorption) - inoitwa nekudhakwa kwakanyanya;
• Somatostatin ihomoni inoderedza migumisiro yehutano husina utano, kazhinji inopindirana nepancreatic necrosis;
• Pazvipembenene zvinotapukira - antibiotics.

Zvakanyanya pancreatitis - kudya

Sezvo ichi ndicho chikafu chinowanzova chikonzero chekutengesa kukuru, ndiyo iyo inokosha zvikuru mukurapa. Sezvataurwa pamusoro apa, mumazuva ekutanga mushure mekunyatsoonekwa kwepaccreatitis yakajeka yakagadzirwa, kudya kunonyanya kuoma - nzara yakakwana inoonekwa. Mumatambudziko akaoma, kuiswa kwezvibereko parenterally kunogona kupedza vhiki dzinoverengeka.

Kuwedzera kune chikafu pamwe ne pancreatic necrosis yepancreas zvinoreva kuregerera, izvo zvinosimbiswa nekudarika kwemafuta nemahydrohydrates kubva pane kudya, pamwe chete nezvibereko zvinokonzera kuwedzera kwekugadzira gesi. Zvokudya zvakanyanyisa uye zvakapwanyika zvakakwana. Inotorwa muzvikamu zviduku zvishanu kusvika katanhatu pazuva. Kushandiswa kwekuwedzera uye munyu hakubviswa zvachose. Kudya kwakadaro, zvichienderana nekuoma kwechirwere, kunofanirwa kupedzisira kubva pamwedzi yakawanda kusvika gore.

Zvechokwadi, nechirwere chakakomba chakadai sa pancreatic necrosis, zvinogumbura zvinokwanisika, uye, zvechokwadi, zviri nani kusaunza muviri wako kurwisa, kusabatanidzi mungozi zvakanyanya. Asi kana chirwere icho chichiri kuitika, kunyatsoteerera kwezvokudya kuchabatsira mune ramangwana kuti usadzoke zvakare.