Necrosis ya kapangidwe ndi vuto lalikulu la kutupa koopsa kapena matenda aakulu (pancreatitis), kumene necrosis ya ziwalo zimayambira. Matenda oterewa ndi oopsa kwambiri, owopsyeza moyo. Njira yakufa imachokera ku kutayika kwa mapiko a pancreatic ndi ma enzyme, omwe amapangidwa ndi iwo, kuphatikizapo matenda, kutupa kwa peritoneum ndi njira zina zolakwika.
Zifukwa za Pancreatic Necrosis
Zowonjezera zomwe zimayambitsa chitukuko cha mankhwala osokoneza bongo m'magazi a kapangidwe ndi:
- kumwa mowa mopitirira muyeso;
- kudya mobwerezabwereza, makamaka yokazinga, kusuta ndi mafuta;
- kukhalapo kwa miyala mu ndulu ;
- ululu;
- kuvulala ndi kupaleshoni opaleshoni m'mimba;
- matenda aakulu opatsirana.
Miyeso ya chitukuko cha pancreatic necrosis
Kutaya minofu mu matendawa kumapezeka mu magawo atatu:
- Gawo lachilombo - maonekedwe a m'magazi a poizoni kuchokera kumabakiteriya, kuwonjezeka kwa mavitamini operewera.
- Kukula kwa kupuma kwapadera ndiko kutukumula kwa chifuwa cha matenda ndi ziphuphu za ziwalo zozungulira.
- Kusintha kwaukhondo m'matumba.
Chifukwa cha kuchuluka kwa matenda osokoneza bongo a necrosis a mphukira amaikidwa mwapadera. Mchitidwe wa minofu ya necrosis ikhoza kupitilira mofulumira kapena kupita patsogolo mofulumira.
Zizindikiro za pancreatic necrosis
Chizindikiro chachikulu cha matendawa ndi kupweteka, komwe kumakhala pamwamba pa mimba kuchokera kumanzere, pansi pa nthiti. Ululu ukhoza kumvekanso ku dera la Epigastric, lomwe limaperekedwa kumbuyo, kumbuyo. Mwachilengedwe, zimakhala zovuta, zowonjezereka kapena zowonongeka, zomwe nthawi zambiri zimakhala zowonjezereka atatha kudya, pamodzi ndi zifukwa zina ndi kusanza ndi kusanza mobwerezabwereza.
Zina zingaphatikizepo:
- Kupeputsa chifukwa cha njira zowonongeka ndi kuyaka m'mimba;
- Kufiira kwa khungu kumagwirizana ndi kumasulidwa m'magazi a zinthu zomwe zimayambitsa zotengera, chifukwa cha kuwonongeka kwa makoswe:
- Kuchetsa m'mimba kumakhudzana ndi zotsatira zowonongeka za michere pazitali za m'mimba;
- kuoneka pambali, pamimba ndi m'matako a malo akuluakulu a cyanotic kapena afiira (chizindikiro cha Gray-Turner);
- khungu louma ndi mucous membrane, kuchepa kwa khungu kutsika, ludzu (zizindikiro za kuchepa madzi);
- kuchepetsa kuthamanga kwa magazi;
- kutentha kwa thupi;
- delirium, kuphwanya chidziwitso, ndi zina zotero.
Kuchiza kwa pancreatic necrosis
Pa matendawa, chithandizo chiyenera kuchitidwa kuchipatala. Malingaliro a maphunziro ndi zotsatira za pancreatic necrosis zimadalira momwe thupi limakhudzidwira, ndi momwe matendawa amathandizira mwamsanga ndipo mankhwala ayambitsidwa.
Chithandizo chodziletsa cha pancreatic necrosis chikuphatikizapo mankhwala awa:
- mankhwala omwe amaletsa ntchito ya gland ndikuyambitsa mavitamini omwe amapangidwa ndi (mankhwala osokoneza bongo ndi cytotoxic);
- antibacterial agents;
- analgesics;
- antispasmodics ;
- chithunzi;
- antiallergic;
- kukonzekera kwa diuretic.
Kugwiritsidwa ntchito ndi necrosis ya kapangidwe n'koyenera ngati palibe mankhwala othandizira mankhwala. Chidutswa cha minofu yomwe imakhudzidwayo imatuluka. Tiyenera kukumbukira kuti izi ndizowopsya, chifukwa Kuchita opaleshoni koteroku kumakhudzana ndi chiopsezo china ndipo ndi zovuta kulekerera ndi odwala.
M'masiku oyambirira a mankhwala a pancreatic necrosis, nthendayi yamatenda imasonyezedwa, kenako amadya zakudya zopatula mafuta, mchere, kusuta, zokazinga ndi zakudya zokoma, mbale zotentha ndi ozizira, ndi mowa.
Amaloledwa kugwiritsa ntchito:
- phala pamadzi;
- mipira yowala;
- masamba owiritsa;
- nyama zonenepa;
- zipatso zokaphika;
- mankhwala opangira mkaka, ndi zina zotero.