Pancreatitis ndi matenda, omwe kukula kwake kumayendera limodzi ndi kupezeka kwa zovuta zingapo. Izi pathological zinthu zitha kuchititsidwa ndi kupezeka kwa kukakamizirana kwa zimakhala zozungulira, njira zowonongeka mu tiziwalo ta kapamba, matenda olowera mu gawo la kutupa.
Mu chifuwa chachikulu cha pancreatitis, kuoneka kwa kuphwanya kumachitika mwachangu kwambiri. Nthawi zambiri kuphwanya koteroko kumakhala chifukwa cha kupita patsogolo kwa njira zowonongeka mu maziko a pancreatic necrosis. Pamaso pa chifuwa chachikulu, zovuta zotere zimatha kuyamba pang'onopang'ono pazaka zingapo.
Matenda ambiri amafunikira kuchitira opaleshoni chithandizo. Kutengera mphindi yakubwera yakuphwanya, agawika m'magulu awiri - koyambirira komanso mochedwa. Kuphatikiza apo, gululi limachitika malinga ndi kutanthauzira kwa zovuta poyerekeza ndi matenda oyamba.
Pogwirizana ndi cholinga choyambirira cha kukhazikitsidwa kwa matenda, mitundu yotsatirayi imadziwika mu gulu:
- Zofala - kuphimba pamimba yonse yam'matumbo, minofu ya kapamba ndi parapancreatic fiber.
- Yotukuka ndi limba - pali zotupa za ziwalo zina zomwe zimalumikizana ndi kapamba.
Kutengera ndi mawonekedwe a anatomical ndi topographic, akatswiri azachipatala amasiyanitsa ma intra- ndi owonjezera pamimba. Maonekedwe a zovuta zoyambirira zimachitika chifukwa cha zomwe zimayambitsa matenda oyamba komanso asekondale m'masiku oyamba a kudwala kwamatenda. Ma pathologies apambuyo ndi chifukwa chosungunuka mu necrotic foci. Nthawi zambiri, mawonekedwe a ma microbial komanso mawonekedwe a puroma-yotupa amathandizira pakukula.
Madokotala ambiri amagawa matendawa kukhala othandiza komanso achilengedwe. Ntchito yogwira pancreatic yovuta kuthandizira pogwiritsa ntchito njira zosasamala. Organic - zovuta kuchiza, kuchitapo kanthu mwachangu kapena njira zopangira opaleshoni zimagwiritsidwa ntchito pazifukwa izi.
Chimodzi mwazomwe chimachitika ndi kutukusira kwa minyewa ya retroperitoneal ndi pancreatogenic abscess ya cell ya recoperitoneal cellular kapena m'mimba.
Kodi parapancreatitis ndi chiyani?
Parapancreatitis ndiofala kwambiri yodziwika pancreatitis. Awa ndi matenda omwe minyewa ya retoperitoneal pericanopancreatic imakhudzidwira.
Njira yotupa iyi mu kapamba imatanthauzira kulephera kwapadera kwapadera.
Gululi limaphatikizapo izi:
- Cholangitis ndi kutukusira kwa ma ducts a bile.
- Omentitis ndi njira yotupa mu omentum.
- Ligamentitis ndi kutupa kwa minyewa ya chiwindi.
- Peritonitis ndi njira yotupa mu khoma la peritoneal.
Kutengera ndi etiology, pancreatogenic parapancreatitis yonse ikhoza kugawidwa m'magulu awiri:
- aakulu
- lakuthwa.
Kugawika m'magulu awa kumatengera kulumikizidwa ndi matenda a chifuwa chachikulu kapena chifuwa chachikulu.
Gulu la pachimake parapancreatitis nawonso linagawidwa zotsatirazi mitundu:
- Hemorrhagic.
- Necrotic.
- Purroc necrotic.
Gulu la matenda a parapancreatitis mu mankhwala agawika mitundu iwiri:
- sclerotic;
- polycystic.
Iliyonse mwa maguluwa ndi mitundu ili ndi mawonekedwe ake.
Chikhalidwe cha gulu la pachimake parapacreatitis
M'magawo oyambilira atatha kuwonekera kwa pancreatic, kuwonongeka kwa fiber kumapezeka mu mawonekedwe a edema, hemorrhage kapena mapangidwe a necrosis yamafuta.
Kuzindikira kwa pachimake parapancreatitis siivuta makamaka kwa wothandizidwayo, ngati tikumbukira kuti kuvulala kwa serous ndi hemorrhagic fiber kumawonedwa mwa odwala onse omwe ali ndi mawonekedwe oopsa a pancreatitis.
Kusintha kwa chotupa pakachitika chitukuko cha mthupi cha kulowetsedwa-necrotic kapena purulent-necrotic mtundu wa zovuta za mesentery wamatumbo ang'onoang'ono kumayendera limodzi ndi odwala ndi mapangidwe a matumbo.
Pankhani yakufalikira kwa njira zotupa kumaloku kwa ma canal peritoneal canal, kuoneka kwa puffness kwa minofu subcutaneous mu lumbar dera thunthu wapezeka.
Kupezeka kwa chotupa cholowerera cha necrotic chofunikira kwambiri chimadziwika ndi mawonekedwe monga kufooka kwapweteka. Chizindikiro cha kupita patsogolo kumene chimadziwika pakumuyesa thupi la wodwalayo pogwiritsa ntchito computer tomography ndi ultrasound.
Mapangidwe ofunikira kwambiri a parapancreatitis, omwe mkati mwa kulowetsedwa kwa gland, nthawi zambiri amayenda limodzi ndi mawonekedwe a kupsinjika kwa ndulu ndi chisa.
Mawonekedwe a zovuta pachimake mitundu yamavuto
Serous ndi serous-hemorrhagic impregnation wa fiber panthawi yake komanso mokwanira mankhwala a pachimake kapamba atangoyamba kuwonetseredwa nthawi zambiri kumayambitsa kusinthika kwina ndipo sikumayambitsa yachiwiri yotupa.
Pafupipafupi, zotupa zazikuluzikulu zimatha kupezeka m'malo obwezeretsanso, zimayendetsedwa ndikupanga timatanda tating'onoting'ono m'malo omwe timatulutsa magazi.
Zikakhala zoterezi, magazi omwe amathiridwa mu CHIKWANGWANI amathandizira kuti pakhale kutengeka kwakukulu, komwe kumayendera limodzi ndi kupangika kwa gawo lalikulu la kulowetsedwa kuzungulira kapamba.
Cholinga chakapangidwe kamene kamakhala kolowera-necrotic kakhoza kukhala:
- hemorrhagic imbibition;
- mapangidwe a mafuta ochulukitsa a necrosis.
Pamaso pa aseptic zinthu, kulowetsedwa-necrotic zotupa akhoza kudutsa pang'onopang'ono, kwa miyezi yopitilira atatu, resorption pang'ono ndi mapangidwe maselo minofu kusintha kapena mapangidwe a parapancreatic cyst mu lesion area.
Pamaso pa purulent-putrefactive matenda mu lesion, kukula kwa purulent-putrefactive parapancreatitis kumachitika. Mbali yokhala ndi kusungunuka kwa chidwi cha necrotic ndikupanga kwa abscess.
Chithandizo serous hemorrhagic ndi hemorrhagic mitundu yamavuto
Njira zozizira zimagwiritsidwa ntchito nthawi zambiri kuchiza mtundu uwu wa zotupa za minofu ya retroperitoneal. Njira zoterezi zimaphatikizanso kusintha kwa mankhwala a pancreatitis. Kusintha kwa mankhwala othandizira pancreatic kumakhala kugwiritsa ntchito njira zowonjezera za detoxization ndi kugwiritsa ntchito mankhwala a antibacterial omwe amagwira ntchito ya prophylactic.
Mitundu yolowedwa imathandizidwa ndikuchiritsa pogwiritsa ntchito mankhwala akuluakulu. Pa mankhwalawa, mfundo za de-escalation therapy zimagwiritsidwa ntchito. Mothandizidwa ndi mankhwalawa, endolymphatic ya antibacterial mankhwala imagwiritsidwa ntchito.
Ndi chitukuko cha m'thupi la wodwala kwambiri cha hemorrhagic parapancreatitis, chomwe chimayendera limodzi ndi kuphatikizika koyambirira kwa minyewa yomwe yachitika, komanso kudziwika kwa mitundu yonse ya zovuta za purulent-necrotic, kulowererapo kwa opareshoni kwalimbikitsidwa.
Zomwe zimachitika pa fomu yodwala komanso chithandizo chake
Fomu yodwalayo imatha kuganiziridwa kuti ndi imodzi mwazotsatira zamatenda am'matendawa kapena mtundu wina wa parapancreatitis, womwe sunasinthe.
Mitundu yosatha imadziwika ndi mawonekedwe osawoneka bwino azachipatala. Nthawi zina, kupitilira kwa zovuta pakudziwonetsera kwawo kumatsutsana ndi kubwereza kosatha kwa kapamba.
Kuzindikiritsa matendawa kumathandizika kwambiri ngati wodwala ali ndi fistulas yakunja. Kupita patsogolo kwa mtundu wa sclerosing kungayambitse kuphatikizika kwamitsempha yamagazi yomwe ili pafupi ndikuyang'anitsitsa. Zinthu zoterezi zimatha kudzetsa chitukuko cha ischemic syndrome ndi mitundu yamatenda oopsa a portal.
Kuchita mosamalitsa chithandizo cha matenda osakhwima sikungachitike, koma kugwira ntchito yomwe ikukonzekera pancreas kumachitika pokhapokha ngati wodwalayo ali ndi vuto la kuponderezedwa kwa malo obisika a venicial ndi venous trunks. Komanso, zikuwonetsa kuti ndi milandu ya kuoneka kwa matenda oopsa ndipo Zizindikiro za ischemic syndrome, zosagwirizana ndi chithandizo chamankhwala.
Momwe mungapewere zovuta za kapamba kufotokozedwa mu kanema munkhaniyi.
