Necrosis ntawm lub txiav txiav yog ib qho mob nyhav los ntawm mob ntsws los yog muaj mob ntev heev (pancreatitis), uas nyob hauv cov ntswg ntawm lub cev nqaij daim tawv necrosis. Xws li kev kuaj mob yog qhov loj heev, lub neej txoj sia. Tus txheej txheem ntawm kev tuag tau los ntawm kev sib tw ntawm pancreatic cov ntaub so ntswg by enzymes, uas yog tsim los ntawm nws, nrog rau tus kab mob, o ntawm peritoneum thiab lwm yam kev pathological.
Ua rau Pancreatic Necrosis
Qhov feem ntau yuav muaj feem rau txoj kev loj hlob ntawm cov txheej txheem necrotic nyob rau hauv cov ntaub so ntswg ntawm txiav txiav:
- kev ua phem rau kev haus cawv;
- nquag overeating, tshwj xeeb yog kib, haus luam yeeb thiab rog rog;
- muaj lub pob zeb nyob hauv lub gallbladder ;
- peptic ulcer;
- kev raug mob thiab kev phais mob hauv cov kab mob plab;
- kab mob loj heev.
Cov theem ntawm kev loj hlob ntawm pancreatic necrosis
Tuag nqaij hauv cov kab mob no tshwm sim hauv peb theem:
- Qee lub qe - qhov tshwm sim hauv cov co toxins ntawm cov kab mob keeb kwm, ntau zuj zus ntawm pancreatic enzymes.
- Txoj kev loj hlob ntawm kev hnoos yog qhov purulent inflammation ntawm cov nqaij tawv nqaij thiab cov ntaub so ntswg uas nyob ib ncig ntawm lub cev.
- Purulent hloov hauv cov ntaub so ntswg.
Los ntawm cov kev hloov ntawm txoj kev hloov necrosis ntawm txiav txiav cais hauv khov thiab ua kom zoo. Cov txheej txheem ntawm cov ntaub so ntswg necrosis tuaj yeem ua rau tsis muaj zog lossis kev nce qib sai.
Cov cim qhia ntawm pancreatic necrosis
Qhov tsos mob ntawm cov kab mob pathology yog qhov mob, uas yog nyob rau sab saum toj ntawm lub plab ntawm sab laug, hauv cov tav. Kev mob kuj muaj peev xwm tau hnov nyob rau hauv cheeb tsam epigastric, muab nyob rau hauv rov qab, flanks. Los ntawm qhov xwm txheej, qhov xwm txheej, mob siab heev lossis mob qis, uas feem ntau ua kom zoo tom qab noj mov, nrog qee lub caij los ntawm xeev siab thiab rov qab ntuav.
Lwm cov nta xws li:
- flatulence raws li ib tug ntawm kev ntawm putrefaction thiab fermentation nyob rau hauv intestine;
- redness ntawm daim tawv nqaij txuam nrog tso tawm rau hauv cov ntshav ntawm tshuaj uas dilate lub vessels, vim kev puas tsuaj rau txiav:
- txoj hnyuv tawm ntshav nrog txuam nrog cov kev txuam ntawm cov nplooj ntawv ntawm cov leeg ntog;
- tsos ntawm sab, lub plab thiab pob tw ntawm cov cyanotic loj loj los sis ntshav pob (ib qho ntawm Grey-Turner);
- qhuav ntawm daim tawv nqaij thiab mucous membrane, tawv nqaij elasticity, nqhis dej (cim qhia lub cev qhuav dej);
- txo cov ntshav siab;
- ntxiv zog kub cev;
- delirium, qhov ua txhaum ntawm kev xav, thiab lwm yam.
Kev kho mob ntawm pancreatic necrosis
Rau cov kab mob pathology no, kev kho yuav tsum tau ua nyob hauv tsev kho mob. Qhov kev kuaj mob rau qhov kev kawm thiab qhov tshwm sim ntawm pancreatic necrosis nyob ntawm seb lub koom haum cuam tshuam ntau npaum li cas, thiab sai npaum li cas tus kab mob yog pib thiab kev kho mob pib.
Kev kho kom zoo ntawm pancreatic necrosis muaj cov tshuaj nram qab no:
- yeeb tshuaj uas thaiv kev ua haujlwm ntawm lub caj pas thiab ua rau cov khoom noj uas ua los ntawm nws (tshuaj tua kab thiab cytotoxic);
- cov tshuaj tiv thaiv kab mob;
- analgesics;
- antispasmodics ;
- immunostimulants;
- Antiallergic cov neeg ua hauj lwm;
- diuretic npaj.
Kev khiav hauj lwm nrog necrosis ntawm qhov txiav pwm yog tsim nyog rau qhov tsis tuaj yeem ua haujlwm zoo ntawm txoj kev kho tshuaj. Tshem tawm ntawm cov ntaub so ntswg ntawm caj pas yog nqa tawm. Nws yuav tsum tau sau tseg tias qhov kev ntsuas no yog huab, vim hais tias xws li kev phais mob phais yog muaj feem xyuam nrog ib qho kev txaus ntshai thiab yuav zam rau cov neeg mob.
Nyob rau cov hnub thaum ntxov ntawm kev kho tus mob pecreatic necrosis, ua rau kev noj qab haus huv muaj kev qhia, ua raws li kev noj haus uas tsuas yog rog, qab ntsev, smoked, kib thiab qab zib, zaub mov kub thiab txias, thiab cawv.
Tso cai siv:
- porridge ntawm dej;
- lub teeb ci;
- boiled zaub;
- cov roj tsawg;
- ci txiv hmab txiv ntoo;
- fermented mis nyuj khoom, thiab lwm yam.