I-Necrosis ye-pancreas iyinkimbinkimbi ephawulekayo yokuvuvukala okunamandla noma okungapheli (pancreatitis), lapho i-necrosis yamathangi e-organ eyenzeka khona. Ukuxilongwa okunjalo kuyingozi kakhulu, kusongela ukuphila. Inqubo yokufa ivela ekuqothulweni kwezicubu ze-pancreatic nge-enzyme, ezikhiqizwa yiyo, ngokuhambisana nokutheleleka, ukuvuvukala kwe-peritoneum nezinye izinqubo ze-pathological.
Izimbangela ze-Necrosis ye-Pancreatic
Izici ezivame ukuholela ekuthuthukiseni izinqubo ze-necrotic emaqenjini we-pancreas yizi:
- ukuhlukumeza njalo utshwala;
- ukudla ngokweqile, ikakhulukazi okuthosiwe, ukudla okubhemayo nokudla;
- ukutholakala kwamatshe e-gallbladder ;
- i-peptic ulcer;
- ukulimala kanye nokungenelela okuhlinzekwa emgodini wesisu;
- izifo ezithathelwanayo ezinkulu.
Izinyathelo zokuthuthukiswa kwe-necrosis ye-pancreatic
Ukubulala izicubu kulezi zifo kwenzeka ezinyathelweni ezintathu:
- Isigaba sokubhema - ukubonakala egazini lezinyosi ezivela empilweni, ukukhiqizwa kwe-enzyme ye-pancreatic.
- Ukuthuthukiswa kwe-abscess kuyinto ukuvuvukala okungenangqondo kwamathambo nama-tishu wezitho ezizungezile.
- Izinguquko eziguquguqukayo ezikhathini.
Ngokusakazeka kwezinguquko ze-pathological necrosis ye-pancreas ihlukaniswa ibe yilapho igxile kakhulu. Inqubo ye-tishu necrosis ingaqhubeka i-lethargic noma iqhubekela phambili ngokushesha.
Izimpawu ze-necrosis ye-pancreatic
Uphawu oluyinhloko lwe-pathology lubuhlungu, olusendaweni engaphezulu kwesisu esisuka kwesobunxele, ngaphansi kwezimbambo. Ubuhlungu bungabuye buzwakale esifundeni se-epigastric, esinikezwe ngemuva, sondela. Ngokwemvelo, lokhu kuzwela, okunamandla noma okulinganiselayo, okuvame ukuqinisa ngemva kokudla, kuhambisane kwezinye izimo ngokunyanyisa nokuhlanza okuphindaphindiwe.
Ezinye izici zingabandakanya:
- i-flatulence ngenxa yezinqubo zokuphazamiseka nokuvutshelwa emathunjini;
- ukubomvu kwesikhumba okuhlobene nokukhululwa egazini lezinto ezithwala izitsha, ngenxa yomonakalo kuma-pancreas:
- ukuphuma kwamagciwane okuhambisana nomphumela wokulimaza wama-enzyme ezindongeni zamasongo;
- ukubukeka ezinhlangothini, esiswini kanye namadokodo amabala amakhulu ama-cyanotic noma aphuzi (isibonakaliso seGrey-Turner);
- isikhumba esomile kanye nezinambuzane ezimangqamuzana, kunciphisa isikhumba somzimba, ukoma (izimpawu zokuphela kwamanzi);
- ukunciphisa ukucindezelwa kwegazi;
- ukushisa komzimba okwandisiwe;
- i-delirium, ukwephula ulwazi, njll.
Ukwelashwa kwe-necrosis ye-pancreatic
Ngenxa yalesi sifo, ukwelashwa kufanele kwenziwe endaweni yokubhedlela. Isibikezelo se-course kanye nomphumela we-pancreatic necrosis kuncike ekutheni isakhi sithinteka kanjani, nokuthi ngokushesha kangakanani ukuxilongwa kwenziwa futhi ukwelashwa kuqaliswa.
Ukwelashwa okuqaphayo kwe-necrosis ye-pancreatic kuhlanganisa imithi elandelayo:
- izidakamizwa ezivimbela umsebenzi we-gland futhi zivimbele ama-enzyme akhiqizwa (ama-antiferment nama-cytotoxic agents);
- ama-antibacterial agents;
- ama-analgesics;
- antispasmodics ;
- ama-immunostimulants;
- ama-antiallergic agents;
- ama-diuretic amalungiselelo.
Ukusebenza nge-necrosis ye-pancreas kufanelekile uma kungekho umphumela omuhle wezokwelapha izidakamizwa. Ukucabangela kwezicubu ezithintekayo zegland kwenzeka. Kumele kuqashelwe ukuthi lesi silinganiso siphutha, ngoba Ukungenela okunjalo kuhloswe ngengozi ethile futhi kunzima ukubekezelela iziguli.
Ezinsukwini zakuqala ze-pancreatic necrosis therapy, kutholakala indlala yokwelashwa, kulandelwa ukudla ngaphandle kokudla okunamafutha, okusawoti, okubhema, okuthosiwe kanye okumnandi, izitsha ezishisayo nezokubandayo kanye nophuzo.
Kuvunyelwe ukusebenzisa:
- ikhalenda emanzini;
- ama-broths alula;
- imifino ebilisiwe;
- inyama enamafutha aphansi;
- izithelo ezibhaka;
- imikhiqizo yobisi evutshiwe, njll.