Necrosis ea lik'hemik'hale ke bothata bo makatsang ba ho ruruha ho matla kapa ho sa foleng (pancreatitis), eo ho eona ho nang le necrosis ea 'mele. Tlhahlobo e joalo e tebile haholo, e beha bophelo kotsing. Mokhoa oa ho shoa o bakoa ke ho qhibiliha ha lisele tse ngata tsa pancreatic ka li-enzyme, tse hlahisoang ke eona, hammoho le tšoaetso, ho ruruha ha peritoneum le mekhoa e meng ea mafu.
Mabaka a Necrosis ea Pancreatic
Lintho tse ngata tse lebisang ho nts'etsopele ea metsoako ea methapo ea makhethe liphatsong tsa marang-rang ke:
- ho sebelisa lino tse tahang kamehla;
- ho ja haholo, haholo-holo o halikiloeng, lijo tse tsuba le tse mafura;
- ho ba teng ha majoe ka gallbladder ;
- seso sa peptic;
- ho tsoa likotsi le ho kenngoa ha lijo ka mpeng;
- maloetse a tšoaetsanoang a matla.
Mehato ea ntshetsopele ea pancreatic necrosis
Ho bolaea menoana bothateng bona bo hlaha ka mekhahlelo e meraro:
- Bothata ba ho ba le khatello ea kelello - ponahalo maling a chefo ea tlhaho ea baktheria, tlhahiso e ntseng e eketseha ea li-enzyme tsa pancreatic.
- Ntlafatso ea sekheo ke ho ruruha ha purulent ea mahlaseli a liphatsa le likarolo tsa litho tse potolohileng.
- Liphetoho tse nang le phetoho meleng.
Ka bongata ba liphetoho tsa pathological necrosis ea liphakaretsi li khetholloa ho tsepamisa maikutlo le tse pharaletseng. Mokhoa oa li-tissu necrosis o ka tsoela pele lethargic kapa o hatela pele kapele.
Lipontšo tsa pancreatic necrosis
Matšoao a maholo a lefu lena ke bohloko, bo leng sebakeng se ka holim'a mpa ho tloha ka lehlakoreng le letšehali, tlas'a likhopo. Bohloko bo ka boela ba utluoa sebakeng sa epigastric, se fanoeng ka morao. Ka tlhaho, boikutlo bona ba kamehla, bo matla kapa bo leka-lekaneng, hangata bo matlafala ka mor'a hore ba je, ba tsamaisana le lithethefatsi le ho hlatsa ka makhetlo a mangata.
Lintlha tse ling li kenyeletsa:
- ho itšoara hampe ka lebaka la mekhoa ea ho senya le ho belisoa ka maleng;
- ho khubelu ha letlalo le amanang le ho lokolloa maling a dintho tse fokolisang lijana, ka lebaka la ho senyeha ha liphakaretsi:
- ho tsoa mali ka mali ho amana le phello e senyang ea li-enzyme tse marako a majoe;
- ho shebahala mahlakoreng, mpa le likoti tsa mabala a mangata a cyanotic kapa a pherese (letšoao la Grey-Turner);
- letlalo le omeletseng le lesela le fokolang, le fokotseha letlalo, le nyoriloe (matšoao a ho felloa ke metsi);
- ho fokotsa khatello ea mali;
- mocheso oa 'mele o eketsehileng;
- tlhaloso, tlōlo ea tsebo, joalo-joalo.
Kalafo ea pancreatic necrosis
Bakeng sa lefu lena, phekolo e lokela ho etsoa sepetleleng. Tlhahiso ea sekolo le phello ea pancreatic necrosis e itšetlehile ka hore na litho li ameha hakae, le hore na lefu lena le etsoa ka potlako joang 'me phekolo e qala.
Kalafo ea tlhokomelo ea pancreatic necrosis e kenyeletsa meriana e latelang:
- lithethefatsi tse thibelang mosebetsi oa sekhahla le ho qeta li-enzyme tse hlahisoang ke eona (li-antitiferment le li-agent tsa cytotoxic);
- li-antibacterial agents;
- analgesics;
- antispasmodics ;
- immunostimulants;
- antiallergic agents;
- litokisetso tsa diuretic.
Tšebeliso e nang le necrosis ea lik'hemik'hale e loketse ho se be le phello e ntle ea phekolo ea meriana. Ho khahloa ke lisele tse ammeng tsa lesela le etsoa. Re lokela ho hlokomela hore tekanyo ena ke e feteletseng, hobane ho kenella ka tsela e joalo ho amana le kotsi e itseng 'me ho thata ho mamella bakuli.
Mehleng ea pele ea phekolo ea pancreatic necrosis, ho na le tlala ea phekolo ea meriana, ho lateloa ke lijo tse nang le mafura, letsoai, ho tsuba, lijo tse halikiloeng le tse monate, lijana tse chesang le tse batang le joala.
E lumeletsoe ho sebelisa:
- pene holim'a metsi;
- li-broth tse khanyang;
- meroho e phehiloeng;
- nama e tlaase e mafura;
- litholoana tse behiloeng;
- lihlahisoa tse entsoeng ka lebese, joalo-joalo.