Pancreatic necrosis ndi matenda oopsa a kapamba omwe maselo ake amadzigaya okha. Zotsatira za matendawa ndi kufa kwa maselo a ziwalo ndipo, monga chotulukapo, minofu necrosis. Pancreatic necrosis imatha kutsimikiziridwa pokhapokha atamwalira wodwalayo ndikutseguka.
Matendawa, pancreatic necrosis, imatha kubweretsa zovuta zingapo za kapamba. Izi zimatha kubweretsa chotupa cham purifungo kapena kusagwira bwino ntchito kwa ziwalo zina zamkati.
Zimayambitsa pancreatic necrosis
Malinga ndi ziwerengero, pafupifupi 70% ya odwala omwe adazindikira izi amamwa mowa moyo wawo wonse, pafupifupi 30% ya odwala anali ndi matenda oopsa.
Madokotala amawunikira zifukwa zingapo zomwe zimatha kupangitsa kuti pakhale zovuta monga pancreatic pancreatic necrosis:
- kumwa mowa kwa nthawi yayitali;
- kudya kwambiri;
- zakudya zamafuta ndi zosuta;
- ntchito m'mbuyomu pamimba;
- matenda oopsa omwe amayambitsidwa ndi kumeza mavairasi kapena matenda;
- matenda a ndulu;
- zilonda zam'mimba kapena duodenum.
Nthawi zina zomwe zimayambitsa matendawa zimatha kukhala kuphwanya kwa kagayidwe kachakudya mthupi, mwachitsanzo, kuphwanya mulingo wamadzi. Potere, ma enzymes ochokera mumimba amakalowa kapamba, ndipo njira yotupa imayamba.
Njira zamankhwala othandizira pancreatic necrosis
Mankhwala
M'magawo oyamba a matendawa, mankhwala angagwiritsidwe ntchito kuchepetsa ululu. Dokotala amasankha mankhwala mwanjira yochepetsera kupweteka m'mapapo ndipo ngati zingatheke, amachotsa zomwe zimayambitsa matendawa.
Chizindikiro chachikulu cha pancreatic necrosis ndikusanza kwambiri. Zotsatira zake, kuchepa kwamphamvu kwa thupi ndi kuphwanya kwamchere wamadzi kumachitika. Kuti abwezeretse, wodwalayo amapaka jekeseni wa potaziyamu mankhwala ena omwe amawonjezeredwa ndi kulowetsedwa.
Matenda a kapamba amaphatikizidwa ndi kuledzera kwambiri kwa thupi komanso kusokoneza magazi m'thupi lathu. Kuti muthane ndi zizindikiro izi, mankhwala otsatirawa amatha kuperekedwa kwa wodwala:
- Kukhazikika kwa ma albumin kapena magazi a m'magazi omwe atapanga mazira.
- Kupititsa patsogolo kukwera kwa magazi, dextran ndi pentoxifylline ndi mankhwala.
- Kuchepetsa kuchuluka kwa kusintha kwa thupi, wodwalayo amalimbikitsidwa kuti amwe madzi ambiri ndikutenga ma diuretics, mwachitsanzo, furosemide.
Ndi pancreatic necrosis, kapamba payokha amawononga maselo ake, mwakutero ntchito yake imasokonekera ndipo imakhudza njira zonse mthupi momwe zimachitikira. Pankhaniyi, wodwalayo amapatsidwa mankhwala omwe amachepetsa kugwira ntchito kwa kapamba. Cholinga cha mankhwalawa ndikuyesa kuchepetsa njira yodziwonongera yokha.
Pachifukwa ichi, zinthu zapadera zimayambitsidwa m'thupi la wodwalayo zomwe zimachepetsa kupanga pancreatic enzyme. Komabe, posachedwapa, madokotala asiya njira iyi yochizira matendawa, popeza sizinathandize.
M'mankhwala amakono, njira zotsatirazi zimagwiritsidwa ntchito kwambiri kuti muchepetse thupi la wodwalayo, monga plasmapheresis kapena ultrafiltration. Komabe, gwiritsani ntchito njirazi kuchotsa poizoni m'thupi mosamala kwambiri.
Akatswiri ena adanenanso kuti njira zomwe zimagwiritsidwa ntchito sizibweretsa zotsatira zomwe zikuyembekezeka ndipo sizikhudzanso kubwezeretsa kwa odwala.
Pancreatic necrosis ndi matenda omwe amakula msanga mokwanira. Zimatha kutenga kachilombo ka bakiteriya, komwe kanthawi kochepa komwe kungayambitse kudwala. Chifukwa chake, adotolo ayenera kufotokozera maantibayotiki nthawi yomweyo kuti aletse kufalikira kwa matenda.
Mankhwala opaleshoni ya pancreatic necrosis
Nthawi zambiri, popanda kuchitidwa opaleshoni, mwayi wochira wodwala wokhala ndi pancreatic necrosis amakhala kuti ulibe. Opaleshoniyo imayikidwa popanda vuto pamene matenda alowa mthupi.
Opaleshoniyo ngati sinachitike munthawi yake, ndiye kuti wodwalayo akhoza kufa.
Ngati matendawa sanalowe m'thupi la munthu, ndiye kuti kuthekera kwa opaleshoni kumawunikiridwa malinga ndi njira zina zingapo. Ndi matenda osabala a matendawa, opaleshoni imalembedwa motere:
- mankhwala osokoneza bongo sanali othandiza ndipo matendawa akupitilizabe kuyenda;
- pali mwayi wotupa ndi matenda a kapamba;
- pancreatic necrosis imafikira kwa ziwalo zapafupi zam'mimba.
Ngati madokotala akutsimikiza kuti palibe matenda opatsirana, ndiye kuti wodwalayo amapatsidwa njira ina yothandizira, mwachitsanzo, opaleshoni yovulala yochepa. Amachitidwa popanda kutsegula m'mimba, komwe kumawonjezera mwayi wodwalayo ndikuchepetsa chiopsezo chotaya magazi ndi matenda am'mimbamo pakuchita opaleshoni.
Opaleshoni yocheperako
Kwenikweni, njira iyi yopangira opaleshoni imagwiritsidwa ntchito ngati zikondamoyo zimangoyambika ndi matendawa, ndipo pancreatic necrosis sinayambike. Potsogola matendawa, madzi am'madzi ndi maselo akufa amadzisonkhanitsa. Ntchito ya dokotala wa opaleshoniyo pakuchita maopaleshoni ocheperako ndikuchotsa madzimadzi ndi maselo.
Maselo a pancreatic amatumizidwa pambuyo pake pamayeso angapo othandizira omwe amathandizira kudziwa zomwe zimayambitsa matendawa komanso njira yake yachitukuko.
- Phunziro la bacteriological limathandizira kudziwa kupezeka kwa tizilombo mu kapamba.
- Kuunika kwa mbiri yakale ndikufuna kuzindikira maselo osowa m'thupi, monga ma cell a khansa.
- Kupenda kwamomwe kumachitika zamadzimadzi.
Ubwino wa mtundu wamtunduwu ndikuti umachitidwa ndikuwunika pafupipafupi kwa ultrasound. Izi zimathandiza kudziwa molondola kwambiri pancreatic necrosis, monga momwe matendawa amafotokozera komanso kudziwa njira yobweretsera singano m'thupi kuti mutulutse madzi, pomwe simumenya ziwalo zina ndi mitsempha yamagazi.
Cholinga chachikulu cha ntchitoyi ndikuchotsa chidwi cha pancreatic necrosis ndipo potero mupewe opareshoni yotseguka.
Kuchita opaleshoni yovuta kwambiri kumakupatsani mwayi wodziwa matendawa, kupezeka kwa matenda ndi kuchuluka kwa zotupa. Kutengera ndi zomwe zapezedwa ndikufufuza, chisankho chimapangidwa pakuchita opaleshoni yotseguka.
Zosiyanasiyana zochitika zowononga - - kupuma ndi kukhetsa
Mukapopera madzimadzi kuchokera ku foci ya necrosis, dokotala amayika singano yapadera mu kapamba. Ngati madzimadzi atulutsidwamo ndi singano yachotsedwa m'gululi, ndiye kuti mtundu wina wa opereshawo umatchedwa punction.
Ntchito yamtunduwu imagwiritsidwa ntchito pokhapokha ngati wodwala ali ndi vuto losakanikirana la pancreatic necrosis ndipo ngati palibe matenda. Komanso, singano itachotsedwa pamkono, madzimadzi sadziunjikira.
Kupanda kutero, zida zapadera zimayambitsidwa mu zikondwerero - ngalande, momwe zimapangidwira madzi ndi kuwola. Zitha kukhazikitsidwa zingapo. Kudzera pamadzi, njira zapadera zimayambitsidwa ndi kapamba kuti azitsuka mkati mwake ndikuchotsa exudate.
Nthawi zina njira zochiritsira zomwe zimagwiritsidwa ntchito sizimabweretsa zotsatira zomwe zimafunikira ndipo kufalikira kwamatenda kumatheka. Zikatero, opaleshoni yachindunji ndiyofunikira. Mulimonsemo, vuto monga pancreatic necrosis prognosis silingakhale lokwanira 100%.
Tsegulani pancreatic opaleshoni
Pakadali pano, njira zingapo zoyendetsera kapamba zimagwiritsidwa ntchito. Komabe, cholinga chawo chachikulu chimatsala kuti aletse matendawa ndipo ngati kuli kotheka achotse chomwe chimayambitsa.
Panthawi ya opaleshoni, madokotala samayesetsa kuchotsa kapamba konse, koma nthawi zambiri amakhala ndi necrosis. Poletsa kukula kwa matendawa komanso kutupa kwa ziwalo zina pogwira ntchito, chikhodzodzo kapena ndulu zimatha kuchotsedwa.
Kuchiza nthawi zonse kumadalira kuchuluka kwa kuwonongeka kwa ziwalo; munthawi ya opaleshoni, ngalowa zitha kukhazikitsidwa kudzera pomwe madzi ndi madzi ochuluka. Wodwala wokhala ndi madzi okhazikika ayenera kukhala moyang'aniridwa ndi madokotala nthawi zonse. Kuchita opaleshoni mobwerezabwereza kumatha kukulitsa vuto la wodwalayo ndikupangitsa zovuta.
Moyo pambuyo opaleshoni
Malinga ndi ziwerengero zamankhwala, pafupifupi 50% ya odwala amapulumuka atachitidwa opaleshoni ya pancreatic, matendawo sakhala otonthoza kwambiri, koma ziwonetserozo sizinama ndipo kufa kuchokera ku chancreatic necrosis kumachitika kawirikawiri. Popewa kugwiranso ntchito, wodwalayo ayenera kuyang'aniridwa ndi achipatala mosalekeza.
Odwala omwe adachitapo opaleshoni yovuta chotere ayenera kupitiliza chithandizo, komanso kupewa kupewa kuyambiranso matendawa kwa moyo wawo wonse. Mankhwala ena amatengera kuuma kwa matendawa komanso momwe thupilo limagwirira ntchito.
Pambuyo pa opaleshoni, wodwala wotero amayenera kupita pafupipafupi ndi dokotala, kupita kukayezetsa ndikumayang'aniridwa ndi m'mimba. Ndizofunitsanso kuti wodwala azitsatira zakudya, pamenepa, matendawo amakhala abwino nthawi zonse.
Chifukwa chakuti akatha opareshoni, kapamba amapitiliza kupanga mahomoni, komabe, kupanga ma enzymes okhudzana ndi chimbudzi cha chakudya kumachepetsedwa kwambiri, zovuta zotsatirazi ndizotheka:
- chimbudzi;
- mapangidwe a cyst;
- kuphwanya lipid kagayidwe;
- matenda a shuga;
- kapamba wa kapamba.
Pambuyo pa opareshoni, wodwalayo amaletsedwa kudya zakudya zamafuta, mowa ndi zakudya zokhala ndi shuga. Mosakayikira pambuyo poti chithandizo chayamba, wodwala ayenera kusiya kusuta. Pofuna kupweteka m'matumbo, wodwala amatha kupatsidwa mankhwala othana ndi kutupa ndi antispasmodic.
