Purulent kapamba > Matenda a shuga

Purulent pancreatitis ndi matenda oopsa, limodzi ndi kutupika kwa kapamba. Nthawi zambiri, njira yotupa imayambitsa kupangika kwa zotulutsa za purulent pa chodwala.

Acute pancreatitis lero ali pa gulu lachitatu pamatenda a matenda am'mimba omwe amafunikira chithandizo kuchipatala cha opaleshoni. Malo oyamba pachikalatachi ndi appendicitis, ndipo chachiwiri ndi cholecystitis. Malinga ndi ziwerengero zapadziko lonse lapansi, pachaka pancreatitis pachaka imapezeka mwa anthu 200-800 mwa 1 miliyoni. Nthawi zambiri, matendawa amapezeka ndi amuna.

Pancreatitis ya purulent imapezeka mu 10-15% ya milandu yamatenda a pancreatitis ndipo amadziwika ndi vuto lalikulu la wodwala wokhala ndi chiopsezo chachikulu cha kufa. Kwenikweni, matendawa amapezeka monga momwe angayankhire poyankha pazinthu zosiyanasiyana za thupi, makamaka, kuledzera kwa chakudya, matenda amitsempha yamagazi

Nthawi zambiri, kuchipatala cha purcin pancreatitis, kuphatikiza kwa zinthu zingapo kumawonedwa. Matendawa pawokha, omwe adalowa m'matumbo a ma pancreatic, sangayambitse matenda oopsa kwambiri. Nthawi zambiri, njira yotupa imayamba motsutsana ndi maziko a kuphwanya umphumphu wa kapamba - minofu yake, ndulu ndi mitsempha yamagazi.

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Zomwe zimayambitsa puranc pancreatitis

Purangan pancreatitis imatha kukhala ndi zifukwa zingapo. Itha kukhala zonse zobadwa nazo za kapamba, komanso matenda ena otupa am'mimba.

Zomwe zimayambitsa puranc pitisreatitis:

uchidakwa (uchidakwa komanso woopsa),
kuledzera osiyanasiyana
kachiromboka (ma mum, hepatitis B ndi C),
kachilombo ka bacteria
cholelithiasis
matenda am'mimba ndi duodenum (zilonda, gastroduodenitis),
appendicitis
kumwa mankhwala omwe amakhudza kapamba: maantibayotiki, ma immunosuppressants, ma estrogens, azathioprine, komanso corticosteroids ndi thiazide diuretics,
othandizira opaleshoni ndikuvulala kosiyanasiyana kwa kapamba,
chibadwa.

Kutupa kwachikale kwa kapamba, chifukwa cha zomwe pur puranc pitisreatitis imayambira, malinga ndi lingaliro lalikulu lazachipatala, limayamba chifukwa cha kuwonongeka kwa maselo a chiwalochi ndi ma enzyme omwe adamulowetsa asanakwane. Pogwira ntchito pancreatic yabwinobwino, michere yamagaya imapangidwa mu mawonekedwe awo osagwira. Zimayatsidwa pakudya. Komabe, motsogozedwa ndi zinthu zosiyanasiyana za m'magazi, ma enzyme amatha kutsegulidwa mwachindunji mu kapamba, zomwe zimapangitsa kudzimbidwa kwake. Zotsatira za ndondomekoyi ndi minofu edema, kutupa pachimake, kuwonongeka kwa ziwiya za pancreatic parenchyma, chitukuko cha ma abscesses, i.e. purulent kapamba.

Njira ya pathological nthawi zambiri imafikira ku peritoneum ndi fiberoperitoneal fiber, malupu amkati, ziwalo ndi zina zake. Kusokonezeka kwakukulu mu mawonekedwe a kutupa kwachiwiri mu ziwalo zina ndi kuwonongeka kwa zovuta za dystrophic zimawonedwa.

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Zizindikiro za puranc pancreatitis

Pancreatitis wa purulent amadzimva yekha ndi kuchepa kwa chakudya, komwe kumakonda kugona, kamwa yowuma, milomo ya thukuta, kutuluka kwa magazi ndi mseru. Popeza kukula kwa puranc pancreatitis kumasokoneza magwiridwe antchito am'mimba, wodwalayo amachepetsa kwambiri. Njira yokhazikika yomwe imayendera limodzi ndi matendawa ndi kusanza.

Zizindikiro zina za puranc pancreatitis:

ululu wam'mimba wa paroxysmal - nthawi zambiri mu gawo la epigastric (kudula, kuzimiririka, kupweteka, kutsekeka, kukula)
kugunda kwa mtima
kuzizira
malungo chifukwa cha kuledzera,
mawonekedwe ofupika,
kutsitsa magazi
ukufalikira
kutsegula m'mimba kapena chopondapo,
kuwonongeka kwakukonda kwamunthu wodwala,
kwambiri leukocytosis.

Kupita patsogolo kwamatendawa kumadzetsa kuwonongeka m'mikhalidwe ya munthu - kupweteka kwambiri kumamulepheretsa. Kusuntha kulikonse, kutsokomola, kupuma kwamphamvu kumayambitsa kupweteka kosalephera, nthawi zina kumabweretsa kudabwitsidwa.

Khungu limatha kuphimbidwa ndi mawanga a cyanosis (chizindikiro cha Cullen), nthawi zambiri mdera komanso kumbali yam'mimba. Chifukwa cha kufalikira kwa mafinya m'mimba, patentonitis imatha kukhazikika, yomwe, imawonjezera chiopsezo cha kufa.

Pachimake othandizira kapamba

Pancreatitis ya purulent ingathe kuoneka ngati pachimake - ndimtundu wowopsa kwambiri wamatendawa, womwe umawonedwa kawirikawiri, mwa 10 peresenti yokha ya odwala. Mbali yodziwika bwino ya pancreatitis yovuta kwambiri ndi kupha kwambiri.

Pachimake purulent pancreatitis nthawi zambiri amayamba chifukwa cha mavuto a mitsempha kapena poizoni wa chakudya. Nthawi zina, zomwe zimayambitsa matendawa zinali syphilis, typhoid, kapena mamps. Matendawa amapitirirabe chifukwa cha ululu wowopsa, womwe umapangitsa kuti m'mimba mwake mukhale kupindika, ndipo nthawi zambiri umayambitsa kukhumudwa ndikugwa. Mukuwawidwa kowawa, nkhope ya munthu imayamba kugwa, ndipo zimachitika kuti sizimveka. Kuphatikiza apo, kuukiridwa kumayendera limodzi ndi kutulutsa magazi, nseru komanso kusanza. Pankhaniyi, kusokonezeka kwa minofu yam'mimba kumamveka.

Akatswiri ambiri azachipatala amavomereza kuti chitukuko cha pachimake purulent pancreatitis chimakwiyitsa zinthu zingapo za pathogenic. Kulowa kwa matenda sikuti chifukwa chokhacho, ndikofunikira kukhala ndi malo oyenera: ziwiya zowonongeka, minofu ya glandular, ducts. Kutsegula kwa lipase ndi trypsin kumabweretsa zovuta zamagazi. Zina mwa zinthuzi ndi monga kupweteka m'mimba, kuperewera kwa zakudya m'thupi, ndi kuvulala kwapanyumba.

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Kuzindikira kwa puranc pitisreatitis

Purulent pancreatitis imapezeka ndikuphunzira mu labotale kuyesa magazi (kawirikawiri, mwatsatanetsatane, zamankhwala am'mimba) ndi mkodzo, x-ray, ndipo, ngati pakufunika, maphunziro ena azachipatala. Mulingo wambiri wa leukocytes (leukocytosis), kumasulidwa kwa michere ya pancreatic, makamaka, kuwonjezeka kwa amylase, kuthamanga kwa ESR, kuwonjezeka kapena kuchepa kwa shuga m'magazi, ndi chithunzi cha chitukuko cha purulent pancreatitis. Mimba ya x-ray imatha kuwonetsa zizindikiro za matumbo a m'mimba, kutuluka kwamatumbo, komanso malo apamwamba kwambiri a chifanizo.

Kuzindikira kwa puranc pancreatitis kumachitidwanso pogwiritsa ntchito kupimidwa kwa ma pancreas chifukwa chotsatira chake chomwe chikuwonjezera kukula kwa ziwalo chifukwa cha kutupa kwambiri. Kuphatikiza apo, ma cysts ndi foci a abscesses amawonedwa. Nthawi zina, pozindikira molondola, kupenda kachilombo komwe kamadwala kudzera chida chapadera - laparoscope, i.e. laparoscopy ya kapamba amachitidwa.

Mwambiri, kuwunika kwa purulent pancreatitis kumapangidwa pamaziko a zidziwitso zamankhwala. Ndi chitukuko cha purcin pancreatitis, kuchuluka kwa abscess "kusungunuka" kwa kapamba kumadziwika. Kuzindikira matendawa kumafuna kuti munthu wodwala azigonekedwa m'chipatala. Odwala omwe ali ndi vutoli amayikidwa m'chipinda chothandizira odwala kwambiri.

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Chithandizo cha purcin pancreatitis

Purulent pancreatitis ndi matenda omwe amafunika chisamaliro chodzidzimutsa komanso kuyang'anira wodwala pafupipafupi kuchipatala chachipatala.

Chithandizo cha purcin pancreatitis poona magawo a matenda a catarrhal (edematous) amatanthauza kusunga malo ogona okhawo kwa wodwalayo, ndikuyesa matumbo a m'mimba ndi madzi ozizira. Wodwala amapatsidwa zakumwa zamchere, zotenthetsera ndi madzi oundana pamimba ndi njala. Kudzera pa ma dontho ndi jakisoni, ma pinkiller, antispasmodics (palibe-shpa, baralgin, papaverine, ndi zina), komanso okodzetsa pothana ndi puffiness, amalowetsedwa mthupi. Lembani heparin, novocaine ndi novocaine blockade, reopoliglyukin, kuti muchepetse katemera wa pancreatic yemwe amagwiritsidwa ntchito kwambiri ndi almagel, ranisan, trasilol, cimetidine, ndi zina zambiri.

A kwambiri mawonekedwe a purulent pancreatitis (kusintha kwa njira yotupa kukhala mawonekedwe owonongeka) ndi zotupa ndi mapangidwe ambiri amtundu m'matumba a kapamba amafunika opaleshoni yofunikira. Cholinga chachikulu cha opaleshoni yoyeretsa magazi ndikuyeretsa thupi la poizoni, kupewa madzi osafunikira komanso kuletsa chiwonongeko cha ziwonetserozo pothetsa njira yotupa. Kutsutsana ndi opaleshoni ikhoza kukhala vuto lalikulu kwambiri la wodwalayo, lomwe silingachotsere nkhawa.

Njira yabwino yothetsera opareshoni ndi laparotomy - opaleshoni mwa kudula khoma lam'mimba, lomwe limakupatsani mwayi wopita kwa mafupawo ndikuwachotsa mosamala. Poyerekeza ndi momwe opaleshoniyo imayendera, nthawi zonse kumayang'aniridwa, komanso kuwunika momwe wodwalayo alili ndi njira zomwe amaganiza - CT, fluoroscopy, ultrasound. Ngati wodwalayo ali ndi zotupa zodutsa pakhungu, amatha kukhala ndi cholecystectomy (kuchotsedwa kwa ndulu) kapena cholecystostomy (kutulutsa kwakunja kwa ndulu).

Kuteteza Kwa Pancreatitis

Kupha pancreatitis kumatha kupewedwa ngati njira zotsatiridwa zikutsatiridwa. Choyamba, munthu ayenera kuyang'anitsitsa momwe thanzi lake lilili, kuphatikizapo kupezeka kwa nthawi yake komanso chithandizo chokwanira cha matenda osiyanasiyana am'mimba, cholecystitis, matenda a ndulu. Mukazindikira matenda aliwonse a ziwalo zamkati, kuphatikizapo kapamba, ndikofunikira kulandira chithandizo chokwanira, kutsatira malangizo onse a dokotala. Pazizindikiro zoyambirira za matenda am'mimba (nseru, kusanza, kutsegula m'mimba, kutentha kwa mtima, kupweteka kwa hypochondrium, m'mimba ndi malo ena), muyenera kufunsa dokotala kuti akuuzeni malangizo.

Kupewa matenda a puranc pancreatitis kumakhalanso ndi nkhondo yolimbana ndi kudya kwambiri, kunenepa kwambiri, kuledzera. Ndikofunika kutsatira zakudya ngati kusintha kwa ma pathological kumagwira ntchito m'mimba, kapamba, chikhodzodzo kumawonedwa. Chifukwa chaichi, chakudya chamafuta ambiri, i.e. wokhala ndi mpunga, mkaka wopanda nonko, zophika zoyera, tchizi tchizi, timadziti ta zipatso.

Ndikofunikira kwambiri kutsatira malamulo a zakudya zabwino, kusiya zizolowezi zoipa, monga kusuta fodya, kumwa mowa mwauchidakwa. Amathandiza kupewa zovuta ndi kuchulukitsa kwa matenda ammimba thirakiti mankhwala spa.

Kuthamanga kwa purcin pancreatitis

Purulent pancreatitis ndikofunikira kudziwa munthawi yake kuti muchepetse chiopsezo cha kufa. Chifukwa mitundu yayikulu ya matendawa imatha kutaya munthu moyo.

Matenda a purulent pancreatitis nthawi zonse amakhala oopsa. Mavuto obwera chifukwa cha pancreatitis pachimake amaphatikizidwa makamaka ndi kutulutsidwa m'magazi a michere yambiri ya pancreatic ndi mankhwala oopsa a kuvunda kwake (pancreatic necrosis). Kulimbitsa thupi ndi kupweteka kwambiri pakukhudzidwa kumayambitsa kudwala - wodwala. Vuto lowopsa la matendawa limaphatikizanso enzymatic diffuse peritonitis, yomwe imakhala ya aseptic m'chilengedwe ndipo imayamba kutsutsana ndi maziko a kuchuluka kwa ma pancreatic enzymes omwe amakhala ndi vuto la peritoneum.

Kuledzera mwamphamvu kwa thupi, komwe kumachitika pancreatitis yovuta kwambiri, kumakhala koopsa chifukwa kungayambitse impso ndi chiwindi, kulephera kwa jaundice, zilonda zam'mimba, mapapu am'mimba chifukwa cha chibayo, komanso psychosis ya poyambira. Ziyenera kutsimikiziridwa kuti maphunzirowa komanso kupititsa patsogolo kwa puranc pitisreatitis kumakhudzidwa kwambiri ndi mowa. Ngati wodwalayo, ngakhale atazindikira kuti ali ndi matenda oopsa, akupitiliza kumwa mowa, zoopsa zakufa zimachulukanso.

Kumbukirani kuti chifukwa chachikulu cha imfa mwa odwala omwe ali ndi puranc pancreatitis ndi kuledzera kwa thupi kuphatikiza ndi zovuta za purulent-septic. Makina apamwamba kwambiri, sepsis amakula. Matenda a purulent pancreatitis amakula kwambiri chifukwa cha zovuta za matendawa. Nthawi zambiri, izi ndi zotupa zam'mimba, sepsis, retroperitoneal cellulitis ndi pylephlebitis.

Zotsatira zoyipa ndi purcin pancreatitis

Purangan pancreatitis ndiyowopsa chifukwa imatha kupha. Kuledzera kwakukulu kwa thupi la wodwala kumayambitsa kuwonongeka osati kwa kapamba kokha, komanso ziwalo zina zofunika - ubongo, impso, mtima, mapapu. Zinthu zowola ndi tinthu tating'onoting'ono timazilowetsa m'magazi, zomwe zimapangitsa kuti poizoni wambiri aziphe. Pazifukwa izi, pali chiopsezo chachikulu cha kufa.

Zotsatira zakupha ndi puranc pancreatitis zimawonedwa mu 10-15% ya milandu yonse yamatenda. Ngati poyamba zotupa zamkati chifukwa cha pachimake kapamba zimayang'ana m'chilengedwe, ndiye kuti ndi chitukuko cha matendawa, kutupa "kumayambitsa" pafupifupi thupi lonse, ndikuyambitsa kuledzera kwambiri. Kukhala bwino kwa wodwalayo kumakulirakulira ndi mphindi iliyonse, kubweretsa mavuto osapilira. Nthawi zambiri, imfa ya wodwalayo imachitika chifukwa cha matenda osayembekezereka. Zotsatira zake, chithandizo cha pathogenetic sichimabala zotsatira zomwe zimafunidwa, chifukwa zimayikidwa mochedwa.

Purangan pancreatitis ndi matenda owopsa omwe amafunika chithandizo chamankhwala mwadzidzidzi. Chifukwa chake, ndikofunikira kudziwa nthawi yomwe akudwala kuti athe kupulumutsa.

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, zamatsenga zimayamba chifukwa cha pancreatitis pachimake, yomwe imalowa mu chamba cha pancreatic.

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

Zomwe zimayambitsa puranc pancreatitis ndizobadwa nazo za gland ndi matenda ena otupa am'mimba. Zina mwa mawonekedwe a pancreatic necrosis:

ma bacteria ndi ma virus,
uchidakwa wopanda pake,
poyizoni osiyanasiyana
appendicitis
chibadwire
matenda am'mimba, kuphatikizapo gastroduodenitis ndi zilonda zam'mimba,
matenda a ndulu
kuvulala kwachikondwerero.

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

Madokotala ambiri amakhulupirira kuti kupweteka kwamphamvu kwambiri mu zotupa, zomwe zimatsogolera ku puranc pitisreatitis, 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 kutupika kwa minofu kumachitika, 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 kusinthika kwa zinthu zomwe zimachitika m'magulu osiyanasiyana, zimadziwikanso.

Zamankhwala matenda

Zizindikiro za puranc pancreatitis ndizosiyanasiyana. Zizindikiro zoyambirira za matendawa zimachitika patadutsa masiku 2-7 patatha kusintha kwachilengedwe 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:

kukomoka mtima,
kuwonongeka konsekonse,
kuzizira
hypotension
Kuchepetsa thupi osasintha zakudya komanso zolimbitsa thupi,
tachycardia
kudzimbidwa ndi kutsegula m'mimba
kuvutika kupuma.

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

Osasunthika komanso kupweteka kwapweteka kumabweretsa psychology ya pancreatic. Mkhalidwe umawonekera 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 mawonekedwe a puranc of pancreatitis amakayikiridwa, njira zingapo zodziwira matenda zimachitika. Ndi chitukuko cha matendawa mwachangu, pomwe wodwalayo adalandiridwa ku dipatimenti ya opaleshoni yayikulu kapena gastroenterology, koma nthawi yomweyo amakhala 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 puranini mu kapamba ndikumapatula 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 kudya, 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 kwa chilengedwe kwa necrotic mu kapamba. Ngakhale kusowa kwa chakudya m'magawo am'mimba kumachepetsa kutupa ndikuchepetsa ululu. Kupititsa patsogolo njira yothandizira, 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 akutsatiridwa:

mankhwala a glucocorticoid
mankhwala omwe amathandizira ntchito ya m'mapapo ndikuthandizira kupuma,
mapiritsi osintha mtima
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 opareshoni, ndi madotolo ena.

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

Ngati ndi kotheka, madera a necrotic a gland amachotsedwa, ndikutsatira kukhetsa kwa peritoneum. Kupewa puranc pancreatitis, njira zingapo za chitetezo zimachitika pambuyo pa opareshoni, chinthu chachikulu chomwe 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 kuyambitsa masamba osakhala acidic pamenyu, makamaka mu mawonekedwe owiritsa. Muthanso kumwa zipatso ndi mabulosi omwe mumakhala ndi ma compotes.

Sitikulimbikitsidwa kudya zakudya za ufa, zotsekemera, zamafuta, zotentha kwambiri, zonunkhira kapena ozizira.

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'anitsitsa thanzi lanu komanso kuchiza matenda a chiwindi, kugaya chakudya ndi chikhodzodzo.

Malingaliro ena angapo ofunikira athandiza kupewa kutulutsa njira za purongani mu kapamba:

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

Zambiri pancreatitis zimaperekedwa mu kanema munkhaniyi.

Zomwe zimayambitsa puranc pancreatitis

Mtundu wa purulent wa kapamba amatha kuwoneka pamalo angapo. Mwa zofunikira, akatswiri amasiyanitsa zovuta zamtunduwu komanso zotupa m'mimba.

Kuphatikiza apo, zofunikira za kupangika kwa kapamba kapamba kakhoza kukhala monga:

Kulandila zakumwa zoledzera kwa nthawi yayitali, uchidakwa.
Kuledzera kwathunthu kwa thupi.
Matenda opatsirana ndi ma virus.
Matenda a gallbladder.
Matenda am'mimba komanso chiwindi.
Zochita zingapo zamankhwala opaleshoni pamafinya.
Kugwiritsa ntchito kwakanthawi mankhwala.
Njira yotupa ya appendicitis.

Kutupa kotereku kumatha kupanga chifukwa cha pachimake kapamba kapena matenda a kukhulupirika kwa minofu ya kapamba. Akatswiri amalangiza kuti asanyalanyaze thanzi lawo lomwe, monga momwe kawirikawiri pancreatitis imatha kupatsira wodwalayo.

Kukula kwa puranc pancreatitis pansi pa zochita za michere

Kafukufuku wina wa zamankhwala adawonetsa kuti pancreatic abscess imatha kupanga chifukwa chogwira ntchito kwambiri ya michere ya pancreatic yomwe chiwalo chokha chimapanga.

Izi ndichifukwa choti gawo lofunikira la chiwalo chomwe chikufunsidwayi ndikubisalira kwa gawo la mahomoni - insulin ndi michere ya pancreatic, yomwe imathandizira kugaya chakudya. Ma enzyme amenewa, atalowa m'matumbo, amayamba kugwira ntchito ndikuwononga mapuloteni, mafuta ndi chakudya, zomwe zimapangitsa kuti zinthu izi zizigwira bwino ntchito. Ma enzyme asanakhale m'matumbo, amawonedwa ngati osagwira ntchito ndipo samayambitsa mavuto.

Komabe, kupweteka kwambiri kwa kapamba kapena kukokoloka kwa matenda osachiritsika kumayambitsa kusokonezeka kwa machitidwe onse mu kapamba, komwe kumakwiyitsa kukonzekera kwa ma enzymes asanachitike.

Malinga ndi mayeso azachipatala, mitundu yapadera ya kapamba imapangidwa motsutsana ndi chiyambi cha mphamvu ya michere pa kapamba.

Chowonadi ndi chakuti chitsulo chimapanga ma enzymes omwe amafunikira kuti chimbudzi chikhale. Amalowa mgonero ndipo amathandizira mmenemo. Mpaka pano, ayenera kukhala osagwira ntchito.

Koma chifukwa cha pathologies mu kapamba, ma enzymes amathandizira mwachindunji mu chiwalo chomwe chimatulutsa. Izi zikutanthauza kuti maselowo amayamba kudzimbimbira okha. Zotsatira zake, pamakhala kutupa kwa zofunikira za England, njira yotupa ndi njira ya kukhulupirika kwawo, komanso mawonekedwe a zotupa za purulent. Zotsatira zoyipa za kuphatikizika uku sizachilendo.

Zochita zamatenda a kapamba

Pamene puranc pancreatitis ikuwonekera kumbuyo kwa matenda opatsirana kapena ma virus, ma pathojeni awo amalowa mu chiwalo kudzera munjira ya biliary, potero zimapangitsa kuyambitsa matenda mkati mwake.

Mothandizidwa ndi matenda omwe ali pamtunda wa gland, purulent foci imatha kuwoneka, ikuchulukana ndikuphulika pakapita nthawi. Chifukwa chake, mafinya ndi matenda opatsirana amalowa ziwalo zina, ndikumapangitsa thupi kuledzera, m'thupi mwake, zotsatira zakupha zimawonedwanso nthawi zambiri.

Izi zimatha kukhala gwero la zosasinthika muzochitika zofunikira za ziwalo zofunika, pakakhala kuphwanya magazi awo. Ngati matendawa sanazindikiridwe munthawi yake komanso chithandizo chamankhwala sichinadziwike, zotsatira zake zimakhala imfa ya wodwala.

Purulent pancreatitis atatha opareshoni

Kukhazikitsidwa kwa mankhwala ochiritsira nthawi zambiri kumachitika pakakambirana. Akatswiri angapo amatenga nawo mbali pazokambiranazi - dokotala wa gastroenterologist, dokotala wa opaleshoni, endoscopist, ndi madotolo ena. Opaleshoni imagwiritsidwa ntchito pofalitsa kutupa kwa ziwalo za parenchymal. Opaleshoni imakhala mu zotulutsira zamkati za purulent.

Ngati ndi kotheka, madera a necrotic a gland amachotsedwa ndikutulutsa kwa peritoneum. Pofuna kupewa puranc pancreatitis, pambuyo pa opaleshoni, njira zingapo zodzitetezera zimachitika, gawo lalikulu lomwe limawonedwa ngati antibacterial chithandizo.

Gawo lofunikanso la mankhwala ndikusala kudya ndikutsatira zakudya zina zapadera. Zakudyazo ziyenera kukhala zochepa-zopatsa mphamvu, ndipo chakudya chimadyedwa m'magawo ochepa, koma nthawi zambiri (5-8 nthawi patsiku).

Pofuna kuchira posachedwa, wodwalayo ayenera kudya madzi okwanira osagwiritsa ntchito kaboni - malita awiri patsiku. Amaloledwa kugwiritsa ntchito tiyi wobiriwira, rosehip infusions, chamomile.

Akatswiri ena amalangiza odwala awo kuti amwe chakumwa chapadera cha pancreatic. Palibe mowa kapena khofi wololedwa.

Purulent pancreatitis imawonedwa ngati matenda oopsa, omwe amatsagana ndi zovuta zingapo zomwe zimayambitsa moyo. Pachifukwa ichi, ngakhale chisamaliro chambiri sichikhala ndi zolosera zabwino.

Chifukwa cha izi, opaleshoni itatha, wodwalayo amachira kwakanthawi ndipo amakambirana ndi dokotala wa gastroenterologist.

Malingaliro ena angapo ofunikira amalepheretsa kupangika kwa kapamba a purulent:

Lekani ndudu ndi mizimu kwathunthu.
Zakudya zoyenera.
Chepetsani kugwiritsa ntchito mankhwala oopsa muyezo waukulu.

Onani njira zodzitetezera popewa kutuluka kwa puritis. Chifukwa chake, muyenera kuyang'anira bwino thanzi lanu komanso kuchiza matenda a chiwindi, zimbudzi komanso chikhodzodzo.

Momwe matendawa akuwonekera, chithunzi

Ululu ndi kapamba kumachitika malinga ndi nyengo zosiyanasiyana. Zimapangitsa kupweteka mkati mwa njira yotupa yothandizira ndi njira zowonongeka pankhani ya chiwalo palokha. Malo omwe ululu umamveka pancreatitis imadziwika padera - kusakhazikika kumatsimikiziridwa pamimba yapamwamba. Nthawi zina, kupweteka sikamakhala kwachidziwikire, kupweteka kosasunthika kumakhala kumanja kapena kumanzere poyerekeza ndi pakatikati pamimba, kupatsa kwa hypochondrium.

Kuphwanya kwachizolowezi komwe kumachitika ndi kapamba (amatha kuwoneka m'chithunzichi) ndi chifukwa cha zomwe zimachitika mu ziwalo zam'mimba. Madontho ofiira okhala ndi pancreatitis pamtunda amapezeka m'malo osiyanasiyana. Kugundana ndi pancreatitis kumatha kukhala dermatitis ya atopic. Pancreatitis sikuwoneka yachilendo kwambiri ndikuwonjezereka kwa sebum, komwe kumatha kupangitsa kuti udziwike.

Sikovuta kudziwa pancreatitis kuchokera ku chithunzi ndikuwunika kwa wodwalayo - khungu la odwala limakutidwa ndi totupa yaying'ono, ndipo palibe kukayika pazotsatira zakuwunika kowonjezera. Mitundu ya ndowe za odwala omwe ali ndi kapamba zimaperekanso lingaliro kwa adotolo kuti amvetsetse.

Kuzindikira matendawa

Tizindikiritsa purulent pancreatitis n`chotheka pokhapokha angapo mayeso matenda. Kuzindikiritsa matendawa kumatengera kuyesedwa kwa magazi (mwatsatanetsatane komanso mwatsatanetsatane), urinalysis, x-ray ya peritoneum.

Kuwonjezeka kwa leukocytes kapena pancreatic enzymes, komanso kupatuka panjira yokhazikika ya shuga kumawonetsa kukhalapo kwa purulent mawonekedwe a kapamba. Ma x-ray a peritoneum amathandizira kutsimikizira kuti izi zatsimikiza. Mu chithunzi cha wodwala wokhala ndi puranc pancreatitis padzakhala zinthu zingapo: Zizindikiro za kutsekeka kwamatumbo, mapangidwe a mpweya m'matumbo.

Nthawi zina, pofuna kudziwa mtundu wa kapamba wa kapamba, laparoscopy imagwiritsidwa ntchito. Matenda amtunduwu amapangitsa kuti azindikire kukula kwa matendawa ndi mtundu wake osagwiritsa ntchito njira zopangira opaleshoni.

Chifukwa chake, ngati wodwala pazigawo zoyambirira amapita kuchipatala kuti adziwitse matenda ake, akatswiri amagwiritsa ntchito njira ngati izi:

Chofunikira kwambiri kwa akatswiri ndi chithandizo cha wodwalayo chapanthawi yake, chomwe chimapangitsa kuyambitsa mankhwalawa pakanthawi kake ndikuletsa zotsatira zakupha, chifukwa gawo lina lotsatira la matenda limakhala lovuta kuzindikira.

Zomwe panthawi yomwe wodwalayo adatembenukira kwa akatswiri kuti athandizidwe zimakhudza osati kungowonetsera chithandizo, komanso pamalo omwe matendawo adzachitikire:

Mu chipatala - ndi zizindikiro za matenda ofatsa.
Mu dipatimenti ya gastroenterological - pakati gawo loyera la purulent yotupa.
M'mikhalidwe yofuna kuyambiranso kusangalatsa - kwambiri siteji ndi mawonekedwe apamwamba a matendawa.

Kuwunikira kooneka kudzathandiza kale gawo lina kumveketsa bwino chifukwa chake. Chifukwa chake, mwachitsanzo, mawonekedwe a cyanotic amatha kuwonekera pakhungu la khoma lakumbuyo kwamkati, ndipo kutupira kwa minofu yamafuta kumawonekera m'dera lumbar. Kumva pamimba pamimba kumayambitsa kupweteka - chizindikiro chotsimikizika cha kukhumudwitsa pamimba.

Kuopsa kwa purcin pancreatitis

Ma purulent mawonekedwe a kapamba ndi matenda oopsa. Mavuto omwe amapezeka ndi matendawa, nthawi zina amatha kupha. Pazifukwa izi, ndikofunikira kudziwa matendawa kumayambiriro ndikuletsa kupangika kwa zovuta.

Chovuta chachikulu ndikuledzera kwa thupi. Njirayi, limodzi ndi ma spasms opweteka kwambiri, zimatha kudzetsa nkhawa wodwalayo, kenako ndikudzutsa imfa ya wodwalayo. Mokulirapo kuchuluka kwa zinthu zoopsa, kumakhala pachiwopsezo cha matenda ophatikizika omwe amaika pangozi moyo wa wodwalayo.

Zakudya za puranc pitisreatitis, ndingadye chiyani

Zotsatira zamankhwala amtundu wa purulent wa kapamba sangakhale wokwanira popanda kutsatira dongosolo lokhazikika lazakudya. Poyamba, zomwe wodwalayo ayenera kukumbukira ndizopatula mowa. Kuphatikiza apo, ndikofunikira kuti chakudyacho ndichopatsa mphamvu komanso chokwanira. Zakudya zofananira zitha kugwiritsidwa ntchito pancreatic necrosis.

Ndi kuchulukitsa kwa matendawa, njira yabwino yotsatsira yotupa ndikuthandizira kapamba kuti abwerere mwakale ndikukana chakudya kwathunthu. Ngati palibe chowonjezera, ndiye kuti muyenera kudya zakudya zokhala ndi mapuloteni, koma muyenera kuphika popanda mafuta kapena kuwiritsa. Ntchito zimafunikira kuti zikhale zochepa, chakudya chikuyenera kugawidwa m'magulu asanu ndi limodzi a 5-6.

Malo apadera muzakudya ayenera kudya masamba. Amaphatikizanso unyinji wa zinthu zofunikira kuti wodwala abwezeretse thanzi. Masamba amaloledwa kuti adyedwe yonse yosaphika komanso yokonzeka.

Lonse liyenera kupewa kudya mafuta, okazinga ndi osuta zakudya. Kuti aletse shuga, madokotala amalimbikitsa kuchepetsa kudya shuga ndi zakudya zotsekemera, komanso zinthu zonse za ufa.

Mitengo yamankhwala

Mitengo yochizira matenda a puranc pancreatitis ndi osiyanasiyana. Zonsezi zimayambira kuthandizidwa ndi adotolo ndipo zimatha ndi opaleshoni, ngati pakufunika. Chifukwa chake, palibe amene adzatchule mtengo wotsiriza wa chithandizo mosamalitsa. Kuphatikiza apo, mitengo yamadera osiyanasiyana pamachitidwe omwewo ingasiyane.

Chitsanzo cha mitengo yamankhwala ku Moscow:

Ultrasound wa kapamba - 900-1000 ma ruble,
Esophagogastroduodenoscopy - ruble 4500,
X-ray ya peritoneum - ma ruble 1900,
Glucose m'magazi - ma ruble 220,
Laparoscopic cholecystectomy - ma ruble 55,000,
MRI - ma ruble 6000,
Diagnostic laparoscopy - 35,000 ma ruble,

Mitengo yonse ndi yongoyerekeza ndipo imatha kusiyana kwambiri, mosiyana ndi zipatala ndi madotolo.

Pancreatitis wa purulent ndi imfa

Kuopsa kwa njira yotupa iyi kwatsimikiziridwa mobwerezabwereza ndi madokotala padziko lonse lapansi. Mwachindunji pazifukwa izi, akatswiri amalangizidwa kuti asamagwiritse ntchito molakwika mphamvu ya thupi yolimbana ndi matenda, koma alumikizane ndi chipatala mwachangu. Popeza mawonekedwe abwino a kapamba amayambitsa kupha kwa wodwala.

Kuphatikiza apo, kuledzera kwa thupi kumatha kukhala chinthu chowopsa chomwe chimayambitsa kutupa. Kuwonjezeka kwa poizoni m'thupi kungakhale chifukwa cha matenda ophatikizika, kupweteketsa mtima, kufa.

Kupewa matenda

Akatswiri amasiyanitsa kupewa koyambirira komanso kwachiwiri. Njira zazikulu zodzitetezera ndikuchizira matenda a puranc pancreatitis kuchipatala moyang'aniridwa ndi madokotala. Ndikofunikira kupitiliza chithandizo chamankhwala, ngakhale zizindikiro za matendawa kuchepetsedwa kwambiri.

Kuthana ndi kutupa kwa kapamba ndizovuta kwambiri kuposa kuchotsa zizindikilo. Zingamve kuwawa, koma matenda osachiritsika kwathunthu amatha kulowa m'malo ovuta kwambiri.

Njira zachiwiri zodzitetezera zimaphatikizapo njira zingapo zomwe zimafuna kukonza pancreatic ntchito.

Izi zikuphatikiza:

Kukana kumwa mowa,
Zakudya za moyo wonse
Ngati ndi kotheka, siyani kugwiritsa ntchito mankhwala omwe amakhudza boma.
Munthawi yake chithandizo cha matenda opatsirana komanso ma virus.

Mitundu yoyesera ya matendawa ndi matenda oopsa, koma mutha kuthana nawo ngati mudzazindikira pa nthawi yake. Izi zikuthandizira kupulumutsa moyo wa munthu, mosiyana - zotsatira zakupha.

Okondedwa owerenga, malingaliro anu ndiofunika kwambiri kwa ife - chifukwa chake tidzakhala okondwa kukumbukira zizindikiro ndi njira zochizira pancreatic pancreatitis m'mawu, izi zingakhale zothandiza kwa ogwiritsa ntchito ena tsambali.

Jana:

Pafupifupi miyezi iwiri akudwala kale kapamba. Kale chipiriro ndi mphamvu sizokwanira. Zikhala zosavuta, ndikufuna kudya chinthu chokoma. Ndikangodya, zowawa zimabweza. Sindingathe kudya pachakudya chilichonse, sindikudziwa momwe ndingazolowere. Ndinapulumuka mtundu wovuta wa kapamba, koma sindingathe kudzikoka ndekha.

Julia:

Ndimangochiritsa kapamba wokhala ndi moyo wathanzi, wopanda nkhawa, wosuta fodya. Mwa mankhwala omwe ndimamwa tiyi wa amonke okha, koma ndi azitsamba kwathunthu komanso mwachilengedwe.

Zisonyezo za opaleshoni ya pancreatic

aakulu kapamba, limodzi ndi kukokoloka pafupipafupi osatembenukira kudziko lamachimo mothandizidwa ndi mankhwala,
minofu necrosis, kukondoweza kwa kapamba,
pancreatic necrosis - imfa ndi stratization wa kapamba minofu aakulu kapena kapamba pancreatitis,
The mankhwala osagwira kwa masiku awiri, kuphatikiza zizindikiro za kupatsidwa kwa peritonitis (kuchuluka kwa kuledzera kwa enzymatic),
complication wa pachimake kapamba ndi owononga cholecystitis.

Ngati chithandizo cha opaleshoni sichiperekedwa panthawi yake, chilichonse mwa izi chimakhala ndi zotsatira zowopsa, kuphatikizapo imfa. Tiyeneranso kudziwa kuti madokotala amakakamizidwa kuti achite opaleshoni ya pancreatitis pachimake mu 6-12% yokha mwa milandu yonse.

Mitundu ya Opaleshoni ya Pancreatic

Pali mitundu itatu ya magwiridwe, kutengera nthawi yomwe amachita:

Ntchito zoyambirira (zodzidzimutsa komanso zofunikira) zimachitika nthawi yoyamba kupezeka kwa matenda owopsa omwe amawopseza moyo wa munthu (kufalikira kwa nipple yayikulu ya duodenum, enzymatic peritonitis, kuphatikiza kwa pancreatitis yayikulu ndi cholecystitis yowonongeka).
Ntchito mochedwa zimachitika pafupifupi masabata awiri atayamba matendawa, zomwe zimayenderana ndi gawo la kubwezeretsanso, kusungunuka ndi kusungunuka kwa zigawo zakufa za retoperitoneal fiber ndi kapamba.
Ntchito zosinthidwa (zakonzedwa) zimachitika mwezi umodzi, ndipo nthawi zina pambuyo pake, mpumulo wathunthu wazovuta. Cholinga cha machitidwe otere ndikuletsa kuti matenda asayambenso matenda.

Opaleshoni yamatenda a kapamba amatha kukhala ndi chikhalidwe chosiyana, kutengera mlandu womwewo. Zomwe zimakhudza opaleshoniyo ndi kukhalapo kapena kusakhalapo kwa kusiyana pakati pa matenda odwala komanso athanzi, madigiri ndi kuchuluka kwa purulent-necrotic ndondomeko mu kapamba, kuchuluka kwa zotupa ndi zotheka matenda opatsirana m'matumbo. Ndikotheka kudziwa kufunika kwa njira yina yopangira opaleshoni pogwiritsa ntchito laparoscopy, njira yotanthauzira yopenda ziphuphu ndi m'mimba.

Ngati pancreatogenic enzymatic peritonitis imakhazikitsidwa pa laparoscopy, laparoscopic m'matumbo amkati ndi zotchulidwa, kenako - peritoneal dialysis ndi kulowetsedwa kwa mankhwala. Chomwe chikugwiritsidwira ntchito ndichakuti motsogozedwa ndi laparoscope, ma microirrigator amabweretsedwa ku gland ndikutseguka ndikumanzere kwa subphrenic space, ndipo kudzera pakakhomedwe kakang'ono khoma lam'mimba, drainage dragege imalowetsedwa mu pelvis yaying'ono.

Mayankho a Dialysis amakhala ndi maantibayotiki, ma antiproteases, cytostatics, antiseptics (chlorhexidine kapena furatsilin), mayankho a glucose. Njira yakuchizira imakwaniritsa bwino ntchito yake, koma pokhapokha masiku atatu atangoyamba kumene kwa peritonitis. Palibe nzeru kugwiritsa ntchito njira iyi pamafuta pancreatic necrosis, komanso biliary pancreatitis. Kukwaniritsa kuwonongeka kwa biliary thirakiti ndi pancreatogenic peritonitis, laparoscopic drainage wam'mimba patsekeke amatha kuthandizidwa ndi kugwiritsa ntchito cholecystoma.

Zikachitika kuti mawonekedwe amitundu ina ya kapamba amadziwika nthawi ya laparotomy, minofu yoyandikana ndi kapamba imalowetsedwa ndi yankho la novocaine ndi maantibayotiki, cytostatics, ndi proteinase inhibitors. Kuphatikiza apo, pakuwonjezeranso mankhwala, microirrigator imayambitsidwa muzu wa mesentery wa transon colon. Izi zimatsatiridwa ndi kukhetsa kwa chitseko chotseguka ndi kugwiritsa ntchito cholecystoma. Poletsa kuphatikiza kwa ma enzyme komanso kufalitsa kwa zinthu zomwe zimapangitsa kuti zinthu ziwonongeke paziwongola zakumaso, thupi ndi mchira wa kapamba zimachotsedwa mu parapancreatic fiber (pamimba). Ngati vuto la necrotic siliyimitsidwa pambuyo pakuchita opaleshoni, kuyeneranso kufunikira kwa reparotomy, komwe kumayambitsa zovuta kwambiri pakhungu lofooka kale.

Nthawi zambiri opaleshoni yolowerera imafunikira pancreatitis yowerengeka, chizindikiro chachikulu chomwe ndi kupezeka kwa kapamba a calculi (miyala). Mwalawo uli m'makonkedwe, ndiye khoma lokhalo lomwe limachotsedwa. Ngati miyala ndi yambiri, ndiye kuti kugawanika kumachitika pamodzi ndi chithaphwi chonse. Pali zochitika zina zomwe zimafotokozeranso gawo lachiwalo lomwe lakhudzidwa ndi miyala. Matendawa amapezeka kwambiri mwa anthu azaka zopitilira 50.

Ngati chotupa chikapezeka mu kapamba, amachotsedwa limodzi ndi gawo la chindayo. Ngati ndi kotheka, chiwalocho chimatha kuchotsedwa kwathunthu.

Ndi khansa ya pancreatic, pali mankhwala okhawo othandizira.

Kuchita uku sikutsimikizira kuchira komanso moyo wonse, kumakhala kowopsa kwambiri ndipo kumapereka imfa zambiri. Njira ina mwa izi yomwe ikuphatikizidwenso ndi cryodestruction yomwe imachitika mu hemorrhagic pancreatic necrosis. Munthawi imeneyi, minofu imayatsidwa ndi kutentha kotsika kwambiri, kenako minofu yolumikizana bwino imawonekera pamalo owonekera.

Nthawi zambiri zimachitika kuti mavuto okhala ndi matenda am'mimba alumikizana ndi matenda a kapamba. Zinthu ngatizi zimafunikira njira yapadera komanso chisamaliro. Zikondazo zikasungunuka, chikhodzodzo cha ndulu, duodenum, ndi m'mimba zimatha kudwala. Tsoka ilo, mankhwalawa opaleshoni yamankhwala owononga a kapamba, chiwopsezo chaimfa ndichokwera kwambiri - 50-85%.

Zotsatira za opareshoni

Ndikofunikira kukonzekera chifukwa chakuti kuchitapo kanthu opaleshoni kungawononge thanzi la anthu. Tikulemba zina mwazotsatira zomwe zingachitike:

opaleshoni ikhoza kuchititsa kukulitsa kwa peritonitis (kuchuluka kwa poizoni wam'mimba),
kuchuluka kwa matenda omwe amaphatikizidwa ndi kupanga michere,
magazi kwambiri komanso kuchiritsa kwapang'onopang'ono kwa minofu pambuyo pa opaleshoni ndikotheka,
Opaleshoni imakhudza ziwalo zoyandikana ndi (duodenum, chikhodzodzo, komanso m'mimba).

Kwa milungu yochepera inayi, wodwalayo amayenera kukhala m'chipatala moyang'aniridwa ndi madokotala nthawi yonse. Ndi akatswiri omwe amatha kuzindikira kuwonongeka kwakanthawi komanso kupewa zovuta zomwe zingachitike. Mukakhala kuchipatala, mutha kupitiliza gawo la mankhwalawa kunyumba, zomwe zimaphatikizapo zakudya zomwe adokotala amapita, kupumula, kusowa masewera olimbitsa thupi komanso kumwa mankhwala.
Nthawi ya postoperative imafuna kukhazikitsidwa momveka bwino kwa zonse zomwe dokotala amakupatsani, apo ayi chiopsezo chobwereranso ndi chambiri.

Malangizidwe otsatirawa ndi omwe azikumangiriza:

Kutenga insulin. Panthawi ya matendawa, kapamba satulutsa michere yokwanira, yomwe, imatha kubweretsa kukula kwa matenda a shuga, omwe ndi omwe amapezeka pafupipafupi ndi chifuwa cham'mimba.
Kulandila ma enzyme okugaya omwe amathandiza kuti m'mimba pakhale bwino komanso molimba mtima ndi ntchito yake.
Physiotherapy yoyesedwa ndi dokotala.
Mankhwala othandizira.

Chifukwa chake, ngati pakuchitika opaleshoni ya kapamba ndi kapamba, musachite mantha ndi izi. Mankhwala amakono ali pamlingo wambiri, ndipo chithandizo chamankhwala chapanthawi yake chimatha kupulumutsa moyo wanu!