Hemorrhagic pancreatitis: Ua, Cov tsos mob, kev kho mob

Hemorrhagic pancreatitis - ib tug loj heev hauv daim ntawv ntawm pancreatic kev puas tsuaj. Disorder yuav ua ntej overeating, ua ke nrog rau cov me nyuam los tu ntawm dej cawv haus. Tus nres npaj rau lub keeb kwm yav dhau ntawm lub inflammatory txheej txheem yog tam sim no ua ntej lawm. Cov no cov ntaub so ntswg necrosis, ntau yam los ntshav thiab peritonitis. Txawm yog vim li cas, lub pathology yog yeej ib txwm ncua mus rau qhov chaw secretory qog, uas yog lub luag hauj lwm rau zus tau tej cov enzymes, thiab cov hlab ntsha. Nws yog xam qhovkev nyob rau hauv lub muaj zog mob thiab intoxication. Thaum lub sij hawm thawj hnub tejzaum tuag taus. Raws li statistics, 60% ntawm cov neeg mob nrog tus kab mob no tshwm sim puas siab puas ntsws, ib feem peb - fem thiab coma.

Lub ntsiab ua rau ntawm tus kab mob

Hemorrhagic pancreatitis tshwm sim nyob rau hauv tus ntawm cov yam tseem ceeb luag hauj lwm rau cov ua kom cov enzyme systems ntawm lub cev. Ntawm cov ntsiab ua rau tus kab mob no yog hu ua gastroenterologists inflammatory dab nrog kev hloov nyob rau hauv lub outflow ntawm kua. DIC, intoxication los ntawm dej cawv thiab autoimmune ntshawv siab kuj ua rau txawv txav.

Nyob rau hauv hemorrhagic pancreatitis yog cai feem los sis tag kev puas tsuaj caj pas. Qhov no tshwm sim tawm tsam lub backdrop ntawm tseem ceeb heev concentration ntawm enzymes - trypsin thiab elastase. Raws li ib tug tshwm sim, cov txheej txheem pib mis parenchyma autodigestion, thiab cov hlab ntsha cev qhuav dej. Lub cev nqaij yog maj soaked nrog cov ntshav, txhoj puab heev hais maj mus rau hauv lub plab kab noj hniav, ua peritonitis.

Cov thawj cov cim qhia ntawm tus kab mob

Symptomatology ntawm tus kab mob loj zuj zus tuaj nyob rau hauv ib ob peb teev. Nws lub ntsiab feature - ib tug qhia tau mob syndrome. Hemorrhagic pancreatitis yog yeej ib txwm nrog mob plab tsis xis nyob. Tus mob yuav sib txawv zoster cwj pwm los yog ntaiv los rau sab nraum qab. Nws yog ib txwm tam sim no, tab sis txo nrog bent ob txhais ceg. Cov kev siv cov kev mob nyob rau hauv lub qhov kawg ntawm hloov khoom nruab nrog kev puas tsuaj.

Yuav ua li cas lwm yam kev mob nrog hemorrhagic pancreatitis? Cov tsos mob ntawm tus kab mob feem ntau yog tshwm sim mam li nco dheev. Thawj, tus neeg pom tau tias mob nyob rau hauv lub epigastric cheeb tsam. Nrog lub nce nyob rau hauv cov ntshav concentration ntawm lub thiaj li hu ua vasoactive tshuaj muaj lossis puas liab liab ntawm daim tawv nqaij. Rau cov kab mob tsiag ntawv los ntawm phenomena xws li qhuav nplaig, tachycardia, tsis muaj ntshav siab. Nyob rau hauv keeb kwm yav dhau ntawm tej lub cev kub tsub kom lub plawv dhia mus rau 180 beats per minute.

Nyob rau hauv lub chav kawm ntawm tus kab mob no gastroenterologists yog peb lub sij hawm, txhua yam uas ib tug txawv soj ntsuam daim duab. Tus thawj theem yog yus muaj los ntawm ib tug qhia tau pancreatogenic poob siab. 2-3 teev tsim toxemia. Nyob rau hauv lub thib ob theem tus soj ntsuam daim duab yog complemented los ntawm cov tsos mob malfunction ntawm siab ntsws tseem ceeb. Muaj kev puas hlwb kev ntshawv siab, ntau worrying thiab tsis tsim nyog coj tus cwj pwm. Qhov thib peb theem yog tsiag ntawv los ntawm tshwm sim ntawm lub taub dej khawb teeb meem.

mob ntawm tus kab mob no

Thaum xav tias mob hemorrhagic pancreatitis cov neeg mob qhia tau hais tias ntxiv ultrasound ntawm lub plab mog. Xws li ib tug kev tshawb los mus txiav txim qhov loj ntawm lub prostate, nws cov qauv thiab muaj cov necrotic chaw. Tsis muaj tsawg tuav yus muaj los ntawm diagnostic laparoscopy, uas yuav pab kom paub tias cov tej yam tshwm sim ntawm peritonitis thiab foci ntawm hemorrhage. Yog hais tias tus neeg mob tuaj txog nyob rau hauv ib qho tseem ceeb mob, nws yog muab tso rau laparotomy. Thaum lub sij hawm kho nqi lus txheej txheem yog nqa cov kws kho mob plab mog thiab kwv yees ib tug mob ntawm lub pancreas, kho manipulation yog ua yog tias tsim nyog.

Basic ntsiab cai ntawm kev kho mob

Rau xav tias hemorrhagic pancreatitis, ua rau uas yog piav nyob rau hauv no tsab xov xwm, cov neeg mob qhia tau hais tias thaum muaj xwm ceev pw tsev kho mob. Kev kho mob feem ntau yog aimed ntawm cov tshem tawm ntawm kev mob thiab ntxiv kev puas tsuaj rau lub caj pas, kev tiv thaiv ntawm lub taub dej khawb teeb meem. Ntawm cov tshuaj yog muab spasmolytics ( "Papaverine"), analgesics, antihistamines. Tsis tas li ntawd yuav tsum tau yog novocaine blockade. Kis kab mob yog feem ntau nrog hemorrhagic pancreatitis, yog li ntawm thawj hnub teem tseg los ntawm tshuaj tua kab mob.

Tsis hais txog ntawm kev mob ntawm tus neeg mob yog pom zoo kom starvation noj cov zaub mov. Nrog rau cov ineffectiveness ntawm conservative txoj kev kho mob taw phais. Lag luam txhais tau tias los ntawm ib tug caj pas qhib lub tshuaj ntsiav, nws kua thiab tshem tawm ntawm necrotic chaw. Nrog nws kim heev pathological kev ua ib tug tag nrho resection ntawm lub cev los yog nws qhov chaw.

Twv ua ntej thiab tiv thaiv

Hemorrhagic daim ntawv ntawm pancreatitis yog suav tias yog lub feem ntau unfavorable prognostic taw tes ntawm view. Raws li statistics, kev tuag tshwm sim nyob rau hauv 50% ntawm cov neeg, txawm nyob rau hauv kev kho mob. Lub ntsiab ua rau ntawm kev tuag yog pancreatogenic toxemia.

Puas yuav ua tau kom tiv thaiv tau tus kab mob no? Kev tiv thaiv ntawm hemorrhagic pancreatitis yog nyob rau hauv kev ua raws cai nrog rau cov hauv paus ntsiab lus ntawm cov khoom noj kom, tsis kam ntawm cov teeb meem cwj pwm tsis zoo (haus luam yeeb, haus dej haus cawv kev tsim txom). cov kws kho mob kuj pom zoo kom raws sij hawm mus kuaj mob nyob rau hauv kev txiav txim mus ntes cov kab mob ntawm hauv nruab nrog cev.