ʻ claimlelo nā helu helu ʻo ka panculitis purulent ke kolu o ka maʻi maʻamau e pili ana i ka cholecystitis a me ka appendicitis. Ke hōʻike nei ke kakō o ka maʻi parenchymal ma 500 o ka poʻe mai kahi miliona.
ʻO ka hapa nui, ʻike pono ʻia ka pankreatic i nā maʻi kāne kāne. I loko o 10-15% o nā hihia, alakaʻi i ka lapalapa o ke kelepona i ka make.
ʻO nā hopena ʻē aʻe o nā kaʻina necrotic ka hoʻomohala ʻana i ka renal, pulmonary, a me ka puʻuwai a me nā hemahema. E mālama i ke ola a pale i ka hōʻeha ʻana o nā hoʻopiʻi weliweli loa, he mea nui ia e ʻike i ka etiology o ka absent pancreatic, kāna mau hōʻailona a hoʻomaopopo i ka pehea e mālama ai i ka pathology.
ʻO nā hiʻohiʻona a me nā kumu kumu o ka pancreatitis purulent
He maʻi pōpilikia o Parenchymal gland he maʻi hopena e kū mai nei ma muli o ke kaʻi o ke kino a hōʻiliʻili ka umauma i loko. ʻO ka pinepine, ka ulu ʻana o nā pathology ma ke ʻano o ka pancreatitis o ka maʻi, e kahe ana i ka necrosis pancreatic.
ʻO nā hōʻeha maʻamau o ka maʻi he exacerbation o ka maʻi maʻi, peritonitis, kahe, hoʻoneʻe, pale a me ka nele o ka maʻi, a me ka haki. No laila, ma hope o ka hana ʻana, e hoʻoneʻe ʻia ka mea maʻi i ka ʻāpana mālama mālama kino, kahi i hāʻawi ʻia ai ia me ka mālama pilikino.
ʻO nā kumu ʻē aʻe o ke ʻano purulent o ka pancreatitis he mau mānoanoa congenital o ka lepa a me nā ʻano maʻi like ʻole o ke ʻano o ka kūnao ʻana. ʻO nā kumuhana ʻē aʻe o ke ʻano o ka necrosis pancreatic:
- maʻi pāpaʻi a me nā maʻi viral;
- nā huʻeha a me nā maʻi alakaʻi;
- nā mea ʻino loa o ke kino;
- appendicitis
- hoʻoilina ʻōna;
- maʻi maʻi gastrointestinal, hui pū me ka gastroduodenitis a me ka maʻi ulia;
- maʻi maʻi pālolo;
- ka ʻeha hōʻoki o ka pancreatic.
Eia kekahi, pancreatitis, i hele pū me nā kaʻina purulent, hele ma hope o ka lawe ʻana i nā lāʻau lapaʻau e pili kino ana i ka pancreas. Hoʻopili kēia ma ka diuret thiazide, antibiotics, azathioprine, estrogens, corticosteroids, immunosuppressants.
ʻO ka hapanui o nā kauka ke manaʻo ka hana ʻoi ʻana o ka ʻaʻalā keola a nā lolo, ke alakaʻi nei i ka pancreatitis purulent, no ka hoʻopōʻino ʻana i nā pūpuna o nā huelo a nā ʻenehana hana luhi. Me ka hana kūlohelohe o ka organ parenchymal, ua hūnā ʻia kēia mau mea i kahi hana ʻole. Hoʻokomo ʻia kā lākou hāmeʻa i ka pale ʻana o ka ʻōnaehana.
Akā ma lalo o ke ʻano o nā kūlana pathological like, hiki i nā huina ke hoʻomaka i kā lākou hana i ka pancreas, kahi i hāʻawi ʻia i ka hoʻoliʻi ʻana o ke kanaka ponoʻī. A laila hele mai ka edema kiko, hoʻopilikia ka ulu ʻana o nā maʻi a me nā kīʻaha parenchyma.
Hoʻolaha, hele nā kaʻina pathogen i nā ʻōpala kokoke a me nā ʻili - nā hāmeʻe o ka ʻōpū, peritoneum, omentums.
ʻO nā maʻi koʻikoʻi, e like me ka pauku a me ke hoʻololi ʻana i ka dystrophic e tupu ana i nā kino like ʻole, ua ʻike pū ʻia.
ʻO nā hiʻohiʻona hau o ka maʻi
ʻOkoʻa nā hōʻailona o ka pancreatitis purulent. Hōʻike nā hōʻailona mua o ka maʻi ma kahi o 2-7 mau lā ma hope o ka hoʻomaka ʻana o nā loli pathological i ke kino.
ʻO ke kumu alakaʻi e pili ana i kahi huikau he colic pancreatic. Hōʻike ʻia ʻo ia e nā maʻi e kāʻei i hoʻopaʻa ʻia ma ka piko o ka peritoneum.
Hoʻomaka pinepine ka ʻeha ma ka kua a me nā ʻāʻī o ka poʻohiwi. Me ka hoʻomaʻemaʻe ʻana o ka pancreas, nā ʻano ʻono ʻole i ʻike ʻole ʻia, a nalowale ka ʻike.
Me ka hana pilikino, loaʻa ke kanaka i ka ʻeha o ka ʻōpū. Hiki i kēia mau mea ke hele pū me ka hoʻopiʻi ʻana, e hoʻemi ana i ka nui o kaʻeha.
E hele nui aku ka weliweli a ʻo ke kīʻaha e hoʻonui ai i ke kumu o ka intrauterine i loko o ka pancreas. Hoʻopuka kēia i ka luaʻi. E hoʻemi i ka ʻeha, ua koi ʻia ke kanaka e moe ma kona ʻaoʻao, a e hāpai i kona mau kuli i kona ʻōpū.
Nā hōʻailona ʻē aʻe o ka maʻi pancreatitis purulent:
- palpitations puʻuwai;
- pau i ka pili kino i ke olakino;
- ohua;
- hypotension;
- lilo ka kaumaha me ka hoʻoli ʻole ʻana o ka ʻai a me ka pae o ka hana kino;
- tachycardia;
- kūlia a me ke ʻeha;
- paʻakikī ka hanu.
I ka hoʻomaka mua o ka hoʻomohala ʻana o ka maʻi, kahi hōʻailona e like me ke mahana subfebrile e hele mai ana. Ke ulu nui nei ke ʻano, piʻi a hiki i ka 38-39 degere.
ʻAʻole ka helu ʻana a me ka hoʻowalewale ʻeha e alakaʻi i ka hoʻomaka ʻana o ka maʻi maʻi pancreatic. Hōʻike ʻia ke ʻano e ka ulu ʻana o ka hopohopo, ke poʻo, ke kaumaha, ka hopohopo i ka olakino olakino. Hōʻike pū ʻia ka anemia, a he hopena ke hoʻopololei i ka ʻiʻo iwi, a alakaʻi i ka thrombocytopenia.
Ke holomua nei ka pancreatitis purulent, hoʻomohala ka mea maʻi i ka hyperpigmentation kino. ʻO ka poʻomanaʻo o ka hana ke kāpili ke alakaʻi nei i ka hāʻule o ka pulmonary a me ka ʻike ʻole i ke koko.
ʻO nā hopena o ka hoʻokaʻawale o nā membrane mucous a me nā kiko: sepsis, thrombosis a me ka hoʻokumu ʻana o fistulas.
Hoʻopilikia a me ka mālama ʻana
Inā kānalua ka ʻano purulent o ka pancreatitis, ua hana ʻia nā ʻano diagnostic like ʻole. Me ka hoʻomohala wikiwiki ʻana o ka maʻi, i ka manawa i hōʻoia ʻia ai ka mea maʻi i ka 'Oihana o ka maʻa nunui a i ʻole ka gastroenterology, akā i ka manawa like i ka noho paʻa ʻana, he nui nā haʻawina e hana nei.
ʻO ka MRI pancreatic, ʻeha x-ray, ultrasonography a laparoscopy paha e hana i hōʻoia e hōʻoia ai i ka maʻi maʻi. Hana ʻia nā kānalua a me ke koko.
ʻO ka hui pū ʻana o nā maʻi āpau āpau e hiki ai iā ʻoe ke ʻike i ka hele ʻana o nā kaʻina purulent i ka pancreas a haʻalele i nā ʻano ʻē aʻe o nā ala maʻi. Hāʻawi nā haʻawina i kahi manawa e wānana i ka hopena o ka maʻi a koho i ke ʻano kūpono o ka lāʻau.
ʻAʻole hiki ke mālama ʻia ka pancreatitis purulent ma kāna iho, no ka mea hiki ke alakaʻi i ka make. ʻO ka hopena o ka maʻi e lawe wale ʻia ma ka hale haukapila.
No ka hōʻemi i nā maʻi ʻehaʻeha, mālama maʻi infusion, ka wikiwiki, paʻa diuresis, a me nā lāʻau lapaʻau e hoʻohana ʻia. Inā pono, e hoʻokaʻawale a ʻoki paha i ke kaola o ka mea i hoʻomaka e pala.
Hiki i ka wikiwiki ke hōʻemi i ka hoʻouluʻana o ka wai pancreatic, kahi e alakaʻi ai i kahi lohi maoli kūlohelohe o ke kaʻina necrotic i loko o ka pancreas. ʻOiai ka nele o ka meaʻai i loko o ka pānaʻi ʻana e hōʻemi i ka maʻi a hōʻemi ʻana i ka nui o ke ʻeha. No ka hoʻoikaika i ka hopena therapeutic, ua hoʻopili ʻia nā kī anuanu i ka ʻōpū o ka mea maʻi.
Hoʻokomo ʻia ka lāʻau lapaʻau e hoʻohana ai i ka diuretics a me ka paʻakai, e hoʻokuke koke i nā toxins mai ke kino. Hāʻawi ʻia ka mea maʻi i nā lāʻau lapaʻau kūikawā e hoʻolōʻihi i ka hana o nā enzymes. Kōkua ka hopena glucose i ka hoʻololi ʻana i ke kō koko koko me ka hoʻohaʻahaʻa ikaika.
E hōʻoluʻolu i ka ʻeha, ua kuhikuhi ʻia nā papa spasmolytic a me nā analgesics narcotic. E hoʻopau i ka mumū, kuhikuhi ke kauka i nā lāʻau lapaʻau.
Me nā hoʻopiʻi, e like me ka ʻike ʻole o nā ʻōpū like ʻole o nā kino like ʻole, ua kau ʻia nā lāʻau lapaʻau e like me kēia:
- nā lāʻau lapaʻau glucocorticoid;
- nā lāʻau lapaʻau e kākoʻo ana i ka hana ʻana a hoʻihoʻi i ka hana hanu;
- nā paila e hoʻomaikaʻi i ka hana naʻau;
- nā lāʻau lapaʻau e kākoʻo ana i ka hana o nā kuhi a me ka ʻōnaehana urinary.
Hōʻike pinepine ʻia nā papa lāʻau lapaʻau i ka wā o ke kūkākūkā ʻana. Hoʻokomo kekahi o nā loea i ke kūkākūkā - kahi gastroenterologist, endoscopist, hapai maʻi, a me nā kauka ʻē aʻe.
Hoʻohana ʻia ka hoʻokele no ka hoʻōla ʻokoʻa ʻana o ka organ parenchymal. Hoʻolaha ka hana ma ka huki o nā kahe purulent.
Inā pono, e hoʻokaʻawale ʻia nā wahi ʻalani o ka lālani, ukali ʻia e ka pāhaʻi o ka peritoneum. I mea e pale aku ai i ka pancreatitis purulent, ma hope o ka hana, ua lawe ʻia nā hana he nui o ka pale ʻana, ʻo ka mea nui i ka lāʻau antibiotic.
ʻO kahi hana kūpono e mālama ai i ka wikiwiki a me ka hana ʻana ma hope o kahi meaʻai kūikawā. Pono ka haʻahaʻa o ka meaʻai, a lawe ʻia ka meaʻai i nā wahi liʻiliʻi, akā ʻo ka manawa (5-8 mau manawa i ka lā).
No ka wikiwiki o ka wikiwiki, pono ka mea maʻi e inu i ka wai mineral-carbonated lawa loa - a hiki i 2 lita i kēlā me kēia lā. Hāʻawi ia e hoʻohana i kaʻaila uliuli, decoction o chamomile, rose hips.
Ke ʻōlelo nei kekahi mau kauka e lawe i kā lākou poʻe maʻi i kahi inu pancreatic kūikawā. Lā ʻia ka ʻawaʻawa a me ke kofe.
ʻO ka papaʻai no ka panculitis purulent ka mea i hoʻopuka i nā mea kanu ʻole i ka wai ʻole ma ka papa kuhikuhi, maikaʻi i loko o kahi kupa. Hiki iā ʻoe ke inu i ka hua a me nā huaʻai a me nā mea hoʻohuihui.
E ʻai i nā huahana o ka palaoa, momona, momona nui, wela nui, ʻāluʻima a i ʻole anu ʻole ka meaʻai i ʻōlelo ʻia ʻole.
ʻO ka wānana a me ke kālai
He maʻi maʻi nui ka maʻi peka o ka pancreatitis, i hui pū ʻia me nā helu o nā ola e hoʻoweliweli. No laila, ʻo ka hana kūlohelohe inā ʻaʻole i maikaʻi ka prognosis.
I ka nānāʻana i kēia, ma hope o ka hana ʻana, e hoʻomanawanui ka mea maʻi ma muli o ka hōʻola hou ʻana i ka wā lōʻihi a kūkā pū me kekahi gastroenterologist. No laila, ʻoi aku ka maikaʻi o ka pale ʻana i ka hoʻoulu ʻana o kahi absre pancreatic ma mua o ka mālama ʻana i nā hopena pōʻino.
ʻO ka mālama me nā hana pale e kōkua i ke pale ʻana i ke ʻano o ka pancreatitis purulent. No laila, pono ʻoe e kiaʻi pono i kou olakino a me ka manawa kūpono e mālama i nā maʻi o ka ate, ka pale ʻana a me ka ʻoka ʻana o ke aniani.
Nui kekahi mau ʻōlelo manaʻo e kōkua i ka pale ʻana i ka hoʻomohala ʻana o nā kaʻina purulent i ka pancreas:
- hōʻole kūʻokoʻa o ka nikotine a me ka waiʻona;
- kaʻai kūpono;
- palena palena o nā lāʻau lapaʻau nui ma ka nui kiʻekiʻe.
Hāʻawi ʻia ka ʻike e pili ana i ka pancreatitis i ke wikiō ma kēia ʻatikala.
