Hemorrhagic pancreatitis: akpatara, Mgbaàmà, Ọgwụgwọ

Hemorrhagic pancreatitis - a oké ụdị pancreatic mebiri. Aghara nwere ike ebu ókè, tinyere doo nke na-aba n'anya. Ndị agha na-amalite na ndabere nke mkpali usoro bụ ugbu mbụ. N'ihi bụ anụ ahụ necrosis, multiple ọbara ọgbụgba na peritonitis. N'agbanyeghị ihe ọ bụla mere daa ọrịa na-mgbe akp ka ebe secretory glands, nke na-ahụ maka mmepụta nke enzymes, na ọbara arịa. Ọ bụ pụta ụwa ike mgbu na igbu egbu. N'oge mbụ ụbọchị ikekwe na-egbu egbu. Dị ka ọnụ ọgụgụ, 60% nke ọrịa na ọrịa a na-egosi ọrịa uche, onye-na-atọ - delirium na amaghị onwe ya.

The isi na-akpata ọrịa

Hemorrhagic pancreatitis emee n'okpuru nduzi nke ihe maka ebighị nke enzyme usoro nke ahu. Otu n'ime ihe ndị isi na-akpata ọrịa na-akpọ gastroenterologists mkpali Filiks esonyere mgbanwe outflow nke secretions. DIC, igbu egbu site mmanya na autoimmune ọrịa nwekwara ike ịkpalite ndiiche.

Na hemorrhagic pancreatitis a hụrụ ele mmadụ anya n'ihu ma ọ bụ zuru ezu mmebi gland. Na nke a emee megide backdrop nke oké egwu ịta nke enzymes - trypsin na elastase. N'ihi ya, usoro na-amalite ara parenchyma autodigestion, na ọbara arịa mgbidi ida. Isi anụ ahụ na-eji nwayọọ nwayọọ tinye na ọbara, ike ike ọcha ọsọ n'ime abdominal uji eze, na-eme ka peritonitis.

The mbụ ihe ịrịba ama nke ọrịa

Symptomatology nke ọrịa na-amụba n'ime awa ole na ole. Ya isi mma - a akpọ mgbu syndrome. Hemorrhagic pancreatitis na-esokarị site na abdominal erughị ala. Ihe mgbu nwere ike ịdị iche iche zoster agwa ma ọ bụ radiate na azụ. Ọ bụ mgbe ugbu a, ma mbelata na kpebisiri ụkwụ. Siri nke mgbu na-adabere na n'ókè nke ngwa mebiri.

Gịnị mgbaàmà ndị ọzọ esonyere hemorrhagic pancreatitis? Mgbaàmà nke ọrịa na-emekarị na-egosi na mberede. Mbụ bụ na onye na-ele ihe mgbu na epigastric mpaghara. Na-abawanye na ọbara ịta nke a na-akpọ vasoactive bekee amalite nācha ọbara-ọbara nke anụ ahụ. N'ihi na ndị a ọrịa na-ji phenomena dị ka akọrọ ire, tachycardia, ebelata ọbara mgbali. Na ndabere nke nkịtị ahu okpomọkụ enwekwu obi ọnụego 180 gafere kwa nkeji.

Ke N'ezie nke ọrịa gastroenterologists bụ atọ, ọ bụla na a dị iche iche na-adakarị picture. The akpa ogbo e ji a akpọ pancreatogenic ujo. 2-3 awa na-emepe emepe toxemia. Na nke abụọ ogbo adakarị picture na-complemented mgbaàmà malfunction nke dị oké mkpa akụkụ. E nwere ọrịa uche, oké ichegbu onwe na-ekwesịghị ekwesị na omume. Agba nke atọ e ji omume nke septic nsogbu.

nchoputa nke ọrịa

Mgbe enyo enyo nnukwu hemorrhagic pancreatitis ọrịa na-egosi extra ultrasound nke afo. Ọmụmụ ihe dị otú chọpụta size nke prostate, ya Ọdịdị na ọnụnọ nke necrotic ebe. Ọ dịghị obere ihe ọmụma ji achọpụta ọrịa laparoscopy, nke na-enyere iji mata ihe ịrịba ama nke peritonitis na foci nke hemorrhage. Ọ bụrụ na onye ọrịa abịa oké egwu ọnọdụ, na e kenyere ya laparotomy. N'oge idegharị usoro na-rụrụ dọkịta afo na-eme atụmatụ a ọnọdụ nke pancreas, ọgwụgwọ mkpachapụ a rụrụ ma ọ bụrụ na ọ dị mkpa.

Basic ụkpụrụ nke ọgwụgwọ

N'ihi na-enyo enyo na hemorrhagic pancreatitis, na-akpatara ndị nke na-a kọwara n'isiokwu a, onye ọrịa na-egosi na mberede ụlọ ọgwụ. Ọgwụgwọ a na-emekarị iji na mkpochapu mgbu na n'ihu mmebi na gland, mgbochi nke septic nsogbu. Nke ọgwụ ọjọọ na-kenyere spasmolytics ( "Papaverine"), analgesics, Antihistamines. Ọzọkwa amanyere bụ iwu bụ novocaine mgbochi. Infectious nsogbu na-esokarị site hemorrhagic pancreatitis, otú malite n'ụbọchị mbụ họpụtara ogwu mgbochi ọgwụ.

N'agbanyeghị ọnọdụ nke onye ọrịa na-atụ aro ka agu nri. Na adịghị ike nke ndị mgbanwe ụzọ nke ọgwụgwọ họpụtara n'ịwa ahụ. Operation pụtara site a gland emeghe Capsule, ya drainage na mwepụ nke necrotic ebe. Na ọtụtụ enweghị nchịkwa usoro rụrụ a zuru resection nke ahụ ahụ ma ọ bụ ya n'akụkụ.

Prediction na mgbochi

Hemorrhagic ụdị pancreatitis a na-ewere ndị kasị ọjọọ prognostic ele ihe anya. Dị ka ọnụ ọgụgụ, ọnwụ n'akparamagwa 50% nke ikpe, ọbụna ahụ ike na-elekọta. The isi na-akpata ọnwụ bụ pancreatogenic toxemia.

Ọ ga-ekwe omume iji gbochie ọrịa? Prevention of hemorrhagic pancreatitis bụ na nnabata na ụkpụrụ nke kwesịrị ekwesị oriri na-edozi, ịjụ àgwà ọjọọ (ise siga, ịṅụbiga mmanya ókè). dọkịta na-ike ikwu na-adọ ele ahụ iji chọpụta ọrịa nke esịtidem akụkụ.