Zizindikiro za puranc pancreatitis atachitidwa opaleshoni

Kafukufuku akuti purcin pancreatitis ndi nthenda yachitatu yofala kwambiri yotsatira cholecystitis ndi appendicitis. Chotupa cha chiwalo cha parenchymal chimapezeka mwa anthu 500 mwa miliyoni imodzi.

Kwambiri, pancreatic necrosis imawonedwa mwa odwala amuna. Mu 10-15% ya milandu, kufa kwa minofu ya glandular kumabweretsa kufa.

Zotsatira zina zowopsa za njira za necrotic ndikukhazikika kwa impso, mapapo, mtima ndi chiwindi. Kuti mupulumutse moyo komanso kupewa kukhalapo kwa zovuta zoopsa, ndikofunikira kudziwa etiology ya pancreatic abscess, zizindikiro zake ndikumvetsetsa momwe mungachiritsire matenda.

Zinthu ndi zomwe zimayambitsa puranc pancreatitis

Parenchymal gland necrosis ndi matenda owopsa omwe amapezeka chifukwa cha kutukusira kwa chiwalo pamene mafinya amadzazana mkati mwake. Nthawi zambiri, matenda a m'matumbo amayamba chifukwa cha pancreatitis pachimake, yomwe imalowa mu chamba cha pancreatic.

Mavuto omwe amatchuka ndi matendawa ndi kuchuluka kwa matenda ashuga, peritonitis, magazi, impso, vuto la chiwindi, komanso mavuto obwera. Chifukwa chake, atachitidwa opaleshoni, wodwalayo amasamutsidwa kumalo osamalira odwala kwambiri, komwe amapatsidwa chisamaliro payekha.

Zina mwazomwe zimapangitsa purancreatitis yoyipa ya pancreatitis kuphatikizika kwa matuza ndi matenda ena otupa am'mimba. Zina mwa mawonekedwe a pancreatic necrosis:

1. ma bacteria ndi ma virus;
2. uchidakwa wadzaoneni;
3. ma poizoni osiyanasiyana amthupi;
4. appendicitis
5. kubadwa mwabadwa;
6. matenda am'mimba thirakiti, kuphatikizapo gastroduodenitis ndi zilonda;
7. matenda a ndulu;
8. kuvulala kwachikondwerero.

Komanso, kapamba, limodzi ndi njira za purulent, amachitika atamwa mankhwala omwe amakhudza ziphuphu. Izi zimaphatikizapo thiazide diuretics, maantibayotiki, azathioprine, estrogens, corticosteroids, immunosuppressants.

Madokotala ambiri amakhulupirira kuti kupweteka kwamphamvu kwambiri m'matumbo, komwe kumatsogolera ku purancitisitis, kumachitika chifukwa cha kuwonongeka kwa maselo a ziwalo ndi ma enzymes osagwira ntchito. Ndi ntchito yachilengedwe ya chiwalo cha parenchymal, zinthuzi zimasungidwa mwachangu. Kuyambitsa kwawo kumachitika m'mimba.

Koma mothandizidwa ndi mitundu yosiyanasiyana ya matenda, ma enzyme amatha kuyambitsa ntchito zawo kapamba, zomwe zimapangitsa kudzimbidwa kwa chiwalo. Kenako minofu ya edema imachitika, kutupa kwakakhungu kumayamba, zotupa ndi zotupa za parenchyma zimakhudzidwa.

Pang'onopang'ono, njira za pathogenic zimadutsa ziwalo zapafupi ndi minofu - matumbo malupu, peritoneum, omentums.

Zovuta zazikulu, monga kutupa kwachiwiri ndi kusintha kwa dystrophic kumachitika mu ziwalo zosiyanasiyana, zimadziwikanso.

Zamankhwala matenda

Zizindikiro za puranc pancreatitis ndizosiyanasiyana. Zizindikiro zoyambirira za matendawa zimachitika patadutsa masiku 2-7 patatha kusintha kwa ziwalo m'thupi.

Chizindikiro chotsogolera cha chosafunikira ndi pancreatic colic. Amadziwika ndi kupweteka m'chiuno kumtunda kwa peritoneum.

Nthawi zambiri kusokonezeka kumafalikira kumbuyo ndi kumapeto kwa phewa. Ndi purulent kutupa kwa kapamba, zosasangalatsa zomverera sizingalephereke, ndipo wodwala amataya chikumbumtima.

Ndi zolimbitsa thupi, munthu amakhala ndi ululu wam'mimba. Zonsezi zimatha kutsagana ndi kusanza, komwe kumachepetsa kukula kwa kusapeza bwino.

Zovuta zimakhala zowawa kwambiri pamene ma enzyme omwe amawonjezera kukakamiza kwa intrauterine amalowa m'matumbo. Izi zimayambitsa kusanza. Kuti achepetse kupweteka, munthu amakakamizidwa kugona pambali pake, ndikukweza mawondo ake m'mimba mwake.

Mawonetsedwe ena a puranc pancreatitis:

• kukoka kwamtima;
• kuwonongeka kwa thanzi lonse;
• kuzizira;
• hypotension;
• Kuchepetsa thupi osasintha zakudya komanso kuchuluka kwa zolimbitsa thupi;
• tachycardia;
• kudzimbidwa ndi kutsekula m'mimba;
• kuvutika kupuma.

Kumayambiriro kwa matendawo, chizindikiritso monga kutentha kwa subfebrile chimawonekera. Vutolo likamakulirakulira, limakwera mpaka 38-39 madigiri.

Kupanda kuchepa komanso kupweteka kwambiri kumayambitsa kupezeka kwa pancreatic psychosis. Mkhalidwewo ukuwonekera ndi nkhawa yowonjezereka, kupweteka mutu, kuda nkhawa, kuwonongeka m'moyo wonse. Anemia imawonekeranso, ndipo ma enzyme amakhala ndi vuto pamafupa ndipo amatsogolera ku thrombocytopenia.

Pamene puranc pancreatitis ikupita, wodwalayo amakulitsa khungu. Poizoni wam'mimba umayambitsa kuperewera kwa m'mapapo komanso magazi osakwanira.

Zotsatira zakulekanitsidwa kwa mucous nembanemba ndi izi: sepsis, thrombosis ndi mapangidwe a fistulas.

Kuzindikira ndi chithandizo

Ngati njira yapamwamba ya kapamba kumayikiridwa, njira zingapo zodziwira matenda zimachitika. Ndi chitukuko cha matendawa mwachangu, pomwe wodwalayo adalandiridwa ku dipatimenti ya opaleshoni yayikulu kapena gastroenterology, koma nthawi yomweyo ali okhazikika, maphunziro angapo akuchitika.

Pancreatic MRI, m'mimba x-ray, ultrasonography kapena laparoscopy amachitidwa kuti atsimikizire kuti apezeka. Kuyesa kwamkodzo ndi magazi kumachitidwanso.

Kuphatikizidwa kwa kufufuza kwazinthu zonse kumakupatsani mwayi kuti muwone kupezeka kwa njira za purulent mu kapamba komanso kupatula mitundu ina ya pathologies oyipa. Kafukufuku amapereka mwayi woneneratu za matendawo ndikusankha njira zabwino zochizira.

Chiphuphu cha pancreatitis sichitha kuthandizidwa pawokha, chifukwa izi zimatha kufa. Chithandizo cha matendawa chimachitika kokha kuchipatala chopangira opaleshoni.

Kuchepetsa zizindikiro zopweteka, kulandira kulowetsedwa, kusala, kukakamiza, ndi mankhwala othandizira amagwiritsidwa ntchito. Ngati ndi kotheka, kuchotsa kwina kapena koyenera kwa chiwalo chomwe chinayamba kuvunda kumachitika.

Kusala kudya kumachepetsa kupanga kwa pancreatic juice, komwe kumapangitsa kutsika kwachilengedwe kwa mapangidwe a necrotic. Ngakhale kusowa kwa chakudya m'magawo am'mimba kumachepetsa kutupa ndikuchepetsa ululu. Kupititsa patsogolo othandizira, ma compress ozizira amayikidwa pamimba ya wodwalayo.

Kugwiritsa ntchito mankhwala osokoneza bongo kumaphatikizapo kugwiritsa ntchito ma diuretics ndi saline, omwe amachotsa poizoni m'thupi mwachangu. Wodwalayo amapatsidwanso mankhwala ena omwe amachepetsa kupanga ma enzyme. Njira yothetsera glucose imathandizira kusintha shuga m'magazi ndi kuchepa kwamphamvu.

Kuti muchepetse kupweteka, mapiritsi a spasmolytic ndi narcotic analgesics amalembedwa. Kuti athetse kutupa, dokotala amalembera mankhwala othandizira.

Ndi zovuta, monga mawonekedwe a kusakwanira kwa ziwalo zosiyanasiyana, mankhwalawa akutsatira:

1. mankhwala a glucocorticoid;
2. mankhwala omwe amathandizira ntchito ya m'mapapo ndikubwezeretsa kupuma;
3. mapiritsi omwe amasintha ntchito ya mtima;
4. mankhwala omwe amathandiza ntchito ya impso ndi dongosolo lonse la kwamikodzo.

Mankhwala a mankhwala ochiritsira nthawi zambiri amachitika pakafunsidwa. Akatswiri angapo amatenga nawo mbali pazokambirana - dokotala wa gastroenterologist, endoscopist, dokotala wa opaleshoni, ndi madotolo ena.

Opaleshoni imagwiritsidwa ntchito pochotsa kutupa kwa chiwalo cha parenchymal. Opaleshoniyo imapangidwa ndi kukhetsa kwa zigawo zamkati za purulent.

Ngati ndi kotheka, madera a necrotic a gland amachotsedwa, ndikutsatira kukhetsa kwa peritoneum. Pofuna kupewa purcin pancreatitis, atachitidwa opaleshoni, njira zingapo zodzikonzera zimachitika, gawo lalikulu lomwe ndi mankhwala othandizira.

Gawo lofunikanso lamankhwala ndikusala kudya ndikutsatira zakudya zapadera. Zakudyazo ziyenera kukhala zama calorie ochepa, ndipo chakudya chimatengedwa m'magawo ang'onoang'ono, koma nthawi zambiri (5-8 nthawi patsiku).

Kuti muchiritse mwachangu, wodwalayo amwe madzi okwanira osagwiritsa ntchito kaboni - mpaka malita awiri patsiku. Amaloledwa kugwiritsa ntchito tiyi wobiriwira, decoctions a chamomile, m'chiuno chamadzuka.

Madokotala ena amalimbikitsa kuti odwala awo amwe chakumwa chapadera cha pancreatic. Mowa ndi khofi ndizoletsedwa.

Zakudya za puranc pancreatitis zimaphatikizapo kukhazikitsa masamba osakhala acidic pamenyu, makamaka mu mawonekedwe owiritsa. Muthanso kumwa zipatso ndi mabulosi omwe mumakhala ndi ma compotes.

Kudya zakudya za ufa, zotsekemera, zamafuta, zotentha kwambiri, zonunkhira kapena ozizira sizilimbikitsidwa.

Zotsogola ndi kupewa

Purulent mawonekedwe a kapamba ndimatenda oopsa, limodzi ndi zovuta zingapo zowopsa m'moyo. Chifukwa chake, ngakhale chithandizo chakuchipatala sichimapangitsa kuti matendawa akhale abwino.

Poganizira izi, atachitidwa opaleshoni, wodwalayo amapatsidwa chithandizo chanthawi yayitali ndipo amakambirana ndi dokotala wa gastroenterologist. Chifukwa chake, ndibwino kuletsa kukula kwa chifuwa cha pancreatic kuposa kuthana ndi zovuta zake.

Kuthana ndi njira zopewera kumathandizira kupewa mawonekedwe a purulent pancreatitis. Chifukwa chake, muyenera kuyang'anira bwino thanzi lanu komanso kuchiza matenda a chiwindi, kugaya chakudya komanso chikhodzodzo.

Malingaliro ena angapo ofunikira athandizira kupewa kutulutsa njira za purong mu kapamba:

• kukana kwathunthu chikumbumtima ndi mowa;
• zakudya zoyenera;
• kugwiritsa ntchito mankhwala osokoneza bongo ochepa.

Zambiri pancreatitis zimaperekedwa mu kanema munkhaniyi.