I-Necrosis ye-pancreas yinkcenkceshe ephawulekayo yokuvuvukala komzimba (pancreatitis), apho i-necrosis yezicubu zomzimba zenzeka. Ukuxilongwa okunjalo kubaluleke kakhulu, kusongela ubomi. Inkqubo yokufa ibangelwa kukupheliswa kwamathambo e-pancreatic nge-enzymes, eziveliswa yiyo, ngokubambisana nosulelo, ukuvuvukala kwe-peritoneum kunye nezinye iinkqubo zokugula.
Izizathu zePancreatic Necrosis
Iziganeko ezikhokelela ekuphuhliseni iinkqubo zesifo se-necrotic kwiiscupu ze-pancreas zi:
- ukusetyenziswa kakubi rhoqo kotywala;
- ukudla ngokutya ngokukodwa, ngokukodwa okuthosiweyo, ukutshaya kunye nokutya okunamafutha;
- ubukho bamatye kwi-gallbladder ;
- isilonda sesilonda;
- ukulimala kunye nokungenelelo okutyalwa kwisisu esiswini;
- izifo ezithintekayo.
Amanyathelo okuphuhlisa i-pancreatic necrosis
Ukulahla izicubu kule ngozi kuvela kwizigaba ezintathu:
- Isigaba sokuxhatshazwa komzimba - ukubonakala egazini leetyhefu ezivela kumabhakteria, ukwanda kwemveliso ye-enzyme ye-pancreatic.
- Ukuphuhliswa kwe-abscess kuyinto ukuvuvukala kwegazi kunye nezicubu zomzimba wezitho zomzimba.
- Utshintsho olulungileyo kwiifom.
Ngobuninzi beentsholongwane ze-necrosis zee-pancreas zikwahlula zibe zijolise kwaye zibanzi. Inkqubo ye-tissu necrosis inokuqhubela phambili i-lethargic okanye inkqubela phambili.
Iimpawu ze-pancreatic necrosis
Uphawu oluphambili lwe-pathology intlungu, eyona ndawo iphezulu kwisisu esisuka kwicala lasekhohlo, phantsi kwembambo. Ubuhlungu bunokuthi buvezwe kwingingqi ye-epigastric, enikezwe ngasemva, iiflansi. Ngokwemvelo, oku kuqhubekayo, okunamandla okanye okucwangcisiweyo, okudla ngokuqinileyo emva kokutya, kuhamba kwezinye iimeko ngeentlanzi kunye nokuhlanza okuphindaphindiweyo.
Ezinye iinkalo zibandakanya:
- ukuguquka ngenxa yeenkqubo zokunyusa nokuvuthwa emathunjini;
- ubomvu obunxulumene nokukhululwa kwigazi lezinto ezihlambulula izitya, ngenxa yomonakalo kwi-pancreas:
- ukuphuma kwintsholongwane ehambelana nomonakalo owonakalisayo wee-enzyme kwiindonga ze-vascular;
- ukubonakala emacaleni, isisu kunye namathambo ezinamabala amakhulu ase-cyanotic okanye obomvu (uphawu lweGrey-Turner);
- isikhumba esomileyo kunye ne-membrane ye-mucous, ukunciphisa isikhumba esikhathekayo, ukoma (iimpawu zokudambisa amanzi);
- ukunciphisa uxinzelelo lwegazi;
- ukwanda kweqondo lomzimba;
- i-delirium, ukuphula umthetho, njl njl.
Unyango lwe-pancreatic necrosis
Kule ntsholongwane, unyango kufuneka lwenziwe kwisibhedlele. Ukugqitywa kwekhosi kunye nesiphumo se-pancreatic necrosis kuxhomekeke ekubeni lichaphazeleka kangakanani iqumrhu, kwaye ngokukhawuleza ukuxilongwa kwenziwa kwaye unyango luqaliswa.
Unyango olulondolozo lwe-pancreatic necrosis lubandakanya la mayeza:
- iziyobisi ezithintela umsebenzi we-gland kwaye zingacwangcisi i-enzyme eziveliswa yiyo (i-antiferment kunye nama-cytotoxic agents);
- antibacterial agents;
- analgesics;
- antispasmodics ;
- i-immunostimulants;
- antiallergic agents;
- amalungiselelo edayuretic.
Ukusebenza nge-necrosis ye-pancreas ifanelekile ekungabikho kwemiphumo emihle yonyango lweziyobisi. Ukuxubusha kwezicubu ezichaphazelekayo zengqungquthela zenziwa. Kufuneka kuqatshelwe ukuba le milinganiselo iphezulu, ngenxa yokuba Ukungenelela okunjalo kunxulumene nomngcipheko othile kwaye kunzima ukunyamezela zizigulane.
Kwiintsuku zokuqala zonyango lwe-pancreatic necrosis, indlala yonyango iboniswa, ilandelwa kukutya ngaphandle kweoli, inyuse, ukubhema, ukutya okuthosiweyo kunye nokutya, izitya ezishisayo nezokubandayo kunye notywala.
Kuvumelekile ukusebenzisa:
- iphalaji emanzini;
- imibala ekhanyayo;
- imifuno ephekiweyo;
- inyama ephantsi;
- ziqhamo;
- iimveliso zobisi zobisi, njl njl