Sophele pancreatitis: Oonobangela, Iimpawu, Treatment

Sophele pancreatitis - uhlobo kakhulu lomonakalo pancreatic. Disorder ukuze ngaphambi kukuzingxala, uhamba kunye nokwamkelwa iziselo ezinxilisayo. Uhlaselo ukuvela imvelaphi inkqubo yokukrala ekhoyo ekuqaleni. Isiphumo na izihlunu necrosis, ukopha ezininzi kunye peritonitis. Enoba siyintoni na isizathu, le ngezifo isoloko kwandiselwa kwiindawo namadlala secretory, athi abenoxanduva kwimveliso enzyme, kunye imithambo yegazi. Yena sizalwa intlungu kakhulu kunye ukunxila. Ebudeni ngosuku lokuqala mhlawumbi ebulalayo. Ngokutsho manani, 60% ezigulane nesi sifo kuvela ukuphazamiseka kwengqondo,-sesithathu enye - waphazamiseka okanye ukuba khokhoma.

Eyona engundoqo zokugula

pancreatitis sophele kwenzeka phantsi kwempembelelo imiba inoxanduva ukusebenza kweenkqubo enzyme komzimba. Phakathi Iimbangi ezingundoqo sifo zibizwa ngokuba gastroenterologists iinkqubo ukudumba sikhatshwe utshintsho nencindi netuwa. DIC, ukunxila butywala kunye samathambo ukuphazamiseka angangunobangela wokuhlaselwa engaqhelekanga.

Xa sophele pancreatitis elifana neli buso okanye epheleleyo umonakalo ndlala. Oku kwenzeka sizoku lwisana xi ezibalulekileyo enqanda - trypsin kunye elastase. Ngenxa yoko, le nkqubo iqala ibele parenchyma autodigestion, kwaye inqanawa igazi iindonga ziwe. Body inyama ebegqwese kufuma ligazi, izinto silwe bagxalathelane ukuya kwisisu, ebangela peritonitis.

Iimpawu zokuqala sifo

Symptomatology kwesifo liyenyuka kwisithuba kwiiyure ezimbalwa. main osemqoka Its - a iqapheleka iintlungu syndrome. Sophele pancreatitis njalo luhambisana ubuhlungu esiswini. Intlungu zingahluka zoster umlinganiswa okanye angakanani ukuya ngasemva. Ngoko usoloko ekhona, kodwa kunciphisa ngemilenze onke. Ubunzulu iintlungu kuxhomekeke kubungakanani umonakalo omzimba.

Ziziphi ezinye iimpawu kunye ukopha pancreatitis? Iimpawu zesi sifo ngesiqhelo ngesiquphe. Okokuqala, umntu uziva intlungu kummandla epigastric. Ngenxa yokwanda egazini uyondelelwano lwee- izinto ekuthiwa-vasoactive iphuhlise anozizi ulusu. Kuba ezi zifo luphawulwa iziganeko ezifana ulwimi owomileyo, tachycardia, kunciphisa umfutho wegazi. Kwisiqalo lobushushu bomzimba oluqhelekileyo kwandisa izinga intliziyo ukuya 180 ibetha ngomzuzu.

Xa ekuhambeni gastroenterologists iba ezintathu, ngasinye nomfanekiso eyahlukileyo clinical. Inqanaba lokuqala iphawulwa usengxakini ngokukhawuleza pancreatogenic. iiyure 2-3 okhulayo toxemia. Kulo lesibini inqanaba umfanekiso lwezonyango yi zincediswe iimpawu ukungasebenzi amalungu abalulekileyo. Kukho abagula ngengqondo, ngokugqithiseleyo ukuziphatha kuyakhathaza engafanelekanga. Inqanaba lesithathu luphawulwa kukuvela iingxaki nokulimala.

lokufunyaniswa kwesifo

Xa okusolwayo etsolo izigulane ukopha pancreatitis ubonisa ultrasound elingaphezulu esiswini. Olo isifundo ukufumanisa ubukhulu endlaleni, isakhiwo sayo kunye ubukho kwiindawo necrotic. Akukho kangako ulwazi luphawulwa laparoscopy diagnostic, nto leyo eza kunceda ukuchonga iimpawu peritonitis nakujoliso olutsha lwe legazi. Ukuba isigulana ifika kanzima, wabelwe laparotomy. Ngexesha iinkqubo zokuhlaziya zenziwa oogqirha esisu kunye ukuqikelela imeko zepancreas, ukuxhaphaza therapeutic luyenziwa xa kukho imfuneko.

imigaqo esisiseko zonyango

Bethengisa pancreatitis ukopha, izizathu ezo zichazwe kweli nqaku, isigulana ubonisa esibhedlele kaxakeka. Unyango idla ezijoliswe ekupheliseni intlungu umonakalo ngokubhekele phaya esinobubovu, yokuthintela iingxaki nokulimala. Of amachiza babelwa spasmolytics ( "Papaverine"), analgesics, antihistamines. Kwakhona inyanzelekile novocaine kwamabutho. iingxaki ezisulelayo soloko ilandelwa lutshintsho lwemithetho ukopha pancreatitis, ngoko ukususela kwimini yokuqala otyunjwe unyango isibulala-zintsholongwane.

Nokuba imeko yomguli Kucetyiswa ukuba yindlala yokudla. Ngenxa kwawo iindlela angqingqwa zotyando unyango elimisiweyo. Umsebenzi kuthetha yi indlala evula philisi, yamanzi kunye nokususwa kwiindawo necrotic. Kwenkqubo ebanzi zophendlo lwezifo enze resection ngokupheleleyo emzimbeni okanye iinxalenye zayo.

Ipredikshini kunye nokuthintela

uhlobo sophele of pancreatitis kuthathwa kwindawo ezingaginyisi prognostic umbono. Ngokutsho manani, ukufa kwenzeka-50% yamatyala, nditsho kukhathalelo lwempilo. Eyona nobangela wokufa toxemia pancreatogenic.

Ngaba kunokwenzeka ukuba ukuthintela esi sifo? Uthintelo sophele pancreatitis ithobelana nemigaqo ukutya okusempilweni, ukwala imikhwa emibi (ukutshaya, ukusela utywala). oogqirha bancoma bahlolwe kwangethuba ukuze akwazi ukufumanisa izifo nezibilini.