M necrosis na pancreas. Alamun, magani

A pancreas ta'allaka ne a baya da peritoneum a matakin na-II lumbar vertebral segments. Wannan jiki ne da hannu a cikin mafi muhimmanci matakai a cikin jiki. Next, za mu fahimci, abin da ya ayyuka, abin da zai iya zama tafka magudi a gudanar da ayyukanta. A musamman, mu yi la'akari da matsayin bayyana m pancreatic necrosis.

Overview

Pancreas (al'ada size: 15-10 cm - da tsawon 2-3 cm - nisa) an dauki manyan isa jiki. Its nauyi a cikin manya - game da 100 g at haihuwa ta nauyi ba fiye da uku grams. A cikin mutane, jiki ya yi aikin biyu da muhimmanci ayyuka. Bari mu bincika su, a cikin mafi daki-daki a kasa.

Gabar aiki

Exocrine pancreas ne mai muhimmanci ga duodenum - tsaye a waje a ta pancreatic ruwan 'ya'yan itace. Ya ƙunshi enzymes: amylase, lactase, maltase, lipase, trypsin da sauran. Saboda pancreatic ruwan 'ya'yan itace ne neutralized acidic na ciki da abinda ke ciki da kuma narkewa abinci. Da farko, enzymes ake samar a wani m nau'i, baya kunna 12-duodenum. Su mataki ne directed ga rashin lafiya na carbohydrates, fats, sunadarai a kan babban aka gyara. Rayar da na enzymes ne ya rinjayi enterokinase bile. Ciki mugunya ne samar da muhimmanci mahadi. Wadannan sun hada da, musamman, sun hada da lipokain, glucagon da insulin. A karshe biyu ne antagonistic zuwa juna. Cewa suna da hannu a cikin tsari da jini sugar taro, carbohydrate metabolism. Saboda lipokaina samuwar auku a hanta phospholipids. Wannan, bi da bi, yana da amfani sakamako a kan hadawan abu da iskar shaka daga m acid. A karanci lipokaina yiwuwa m hanta.

ducts

Ciki da gland shine yake wuce da tashar yana buɗewa a cikin duodenum. The kowa bile da pancreatic ducts, a mafi yawan lokuta kafa vial. A sakamakon haka, sun bude wani babban nono 12 duodenal miki. A pancreatic ducts al'ada matsa lamba dole ne ya fi a da na kowa bile bututu. Wannan shi ne saboda bukatar a hana saki da hanji abinda ke ciki da kuma gall mafitsara.

Take hakki na jiki ayyuka

Lokacin da canje-canje a cikin matsin bambanci a cikin pancreatic bututu bayyana hauhawar jini. An hade da wahala da outflow na pancreatic ruwan 'ya'yan itace, saki da abinda ke ciki na gall mafitsara ko hanji. Kan bango na kara matsin lamba daga nasu pancreatic Kwayoyin fara da za a lalace. Daga cikin wadannan enzymes an saki da kuma kunna connection. Sun shiga cikin parenchyma, mai kuma connective nama na prostate. A sakamakon haka ne sarkar dauki. Ta hanyar daya enzyme da aka saki biyu. Wannan tsokani wani kumburi tsari da take kaiwa zuwa ƙãra jini ya kwarara, kuma baya - to a stagnation na jini. Wannan na taimaka wa thrombosis a cikin gland shine yake. A sakamakon haka, jini zagayawa cuta auku pancreatitis, sau da yawa ya sa pancreatic necrosis.

Sanadin cuta na

Pathological yanayin yawanci bayyana a sakamakon fama da guda ko maimaita bouts na pancreatitis. A m nau'i ne kai tsaye da nasaba da cholelithiasis. Kamar yadda precipitating dalilai protrudes ulcers (ciki ko duodenum 12), cirrhosis, hepatitis, shan barasa.

muhimmanci bayanai

Kamar yadda aka ambata a sama, daya daga cikin ayyuka na endocrine gland hada da samar da hormones. A dauke da fitar da wannan aikin hannu da tun fil azal na Langerhans. A cikin hali na shan kashi a baya na pathologies, ciki har da na kullum pancreatitis cikin, masu tasowa, m degeneration na hanta da ciwon sukari (ciwon sukari). A pancreas ne iya kai-daidaita zuwa ga irin abinci. A duk ya dogara a kan abinci ci. Lokacin da ka karɓi wani babban adadin carbohydrate da aka kunna fiye tsagawa su enzymes. Idan m m abinci, shi samar da karin lipase, kuma idan gina jiki - trypsin. Duk da haka, da zagi da wadannan siffofin kada ta kasance. Gaskiyar ita ce, da pancreas yana da wuya ya bada sakonni game da wani yiwu obalodi. Yawancin lokaci shi bayyana kanta quite wani tashin hankali dauki, wanda shaida ba to da farko mataki na cuta, kuma ta cika Bloom.

A sakamakon sakaci cututtuka

Ƙabĩlanci for jihar na pancreas zai iya sa daban-daban rikitarwa. A hatsari ya ta'allaka yafi a gaskiyar cewa gaba da shi akwai sauran hukumomin da suke da babu kasa mai muhimmanci ga jiki. Wannan, musamman, da baƙin ciki, hanta, ciki. Yana ba ya zama aloof da kuma zuciya. Lokacin da take hakki a cikin ayyuka na pancreas da kuma jiki ne ya jaddada. Canje-canje a cikin tsarin faruwa sosai da sauri. Domin da pancreatic ciwon daji wani lokacin kawai 'yan sa'o'i.

M necrosis na pancreas

Wannan tsari shi ne nama halaka jiki. Its raya rinjayar daban-daban traumatic dalilai. A zuciya na su ta'allaka Gabar kumburi. M necrosis na pancreas tasowa a game da wani tightening na jarrabawa da kuma magani. A lokacin da gudummawar nasu jiki enzymes. Ta hanyar da aiki digesting da pancreas. Lokacin kunna interstitial enzymes ci gaba pathological tafiyar matakai. A sakamakon haka, da suka kafa foci na kitse necrosis.

Description of aiwatar

A sakamakon daga cikin tsagawa m acid auku PH motsi. Wannan activates kwayuka tripsogen. Daga bisani, an canza kama zuwa trypsin. Wannan fili, bi da bi, activates proteases cewa samar takamaiman proteolytic Aljihuna. Enzymes fara corrode da jijiyoyin bugun gini ganuwar da connective nama. Hallakaswa aiwatar kara a hayin pancreas. Jikin dawo da a wannan yanayin ne ba zai yiwu ba. Lokacin da bayyanuwar shakka akwai ayoyi na mutuwa na iya zama nan da nan.

m dalilai

Necrosis na pancreas, da bayyanar cututtuka na wanda za a tattauna a kasa, shi ne sau da yawa da sakamakon wuce kima amfani da barasa, overeating, dyskinesia a biliary fili, enzymes outflow munanan saboda cholangitis, calculous cholecystitis. Challenge Pathology yiwu ba daidai ba kashi na magani, kashi take hakkin da kuma aikace-aikace kewaye. M pancreatic necrosis iya lalacewa ta hanyar m cututtuka gajiyan.

Pathology ga

Dangane da yaduwa, m pancreatic necrosis iya zama m kuma mai da hankali. A tsari zai iya ci gaba cikin sauri, ko fairly kasãla kwarara. A daidai da irin pathological Hakika pancreatic rabu cikin hallakaswa, aikin, hemostatic, hemorrhagic da edematous. A karshen an dauki mafi m form. Saboda ya karu busa pancreas cewa stimulates da karuwa a matsa lamba a kan pankreotsity da cuta daga microcirculation. Jiyya na edematous mataki, yawanci nasara. Tare da tunani zuwa untimely gwani Pathology daukan wani Gudun irin. A musamman, necrotic tsari ba outflow na pancreatic ciwon daji na narkewa kamar enzymes. A sakamakon narkewa fara daga cikin jiki. A cikin shakka daga cikin tsari fara infiltration na ruɓaɓɓen jini a cikin kogon ciki. A sakamakon peritonitis tasowa a wani m form. Wannan babu makawa tiyata. In ba haka ba za a fara sepsis, abu don mutuwa.

asibiti hoto

Mene ne bayyanar cututtuka na pancreatic necrosis? Alamun cutar suke da karfi isa. A hagu na sama quadrant zafi na herpes zoster tasowa hali. Yana wãtsa a ko'ina cikin jiki a kasa da karankarman ƙirji. Pain a kafada da kuma bada ruwa a matsayin ciwon zuciya. Matakai suna tare da profuse amai, bloating, flatulence. A haƙuri yana da zazzaɓi, da fata jũya kodadde ko reddens. Babban alama na wani pathological yanayin da aka dauke su a alama na Gray-Turner. Yana bayyana kanta a cikin nau'i na bluish spots a tarnaƙi daga ciki. Palpation bango alama zafi, tashin hankali. Ganewar asali ne da za'ayi bisa na gani jarrabawa, haƙuri gunaguni, kazalika da sakamakon instrumental da dakin gwaje-gwaje da karatu. Don tantance parenchymal echogenicity nada ta duban dan tayi. CT da kuma MRI scans, angiography da laparoscopy ba ka damar kafa ainihin farko na cutar.

warkewa matakan

Jiyya na m necrosis iya zama ko dai m, ko ra'ayin mazan jiya. A zabi zai dogara ne a kan pathological canje-canje a cikin jiki. Drug daukan hotuna da ake sa akayi daban-daban. Daga cikin kwayoyi shawarar domin liyafar, - spasmolytics (yana nufin "A'a-dima jiki", misali), da kuma antifermental cytotoxic kwayoyi shafi enzyme kira. Na m dabaru amfani da laparotomy da laparoscopy. Duk da haka, a cikin shakka daga cikin aiki da shi ba ko da yaushe zai yiwu don kawar da gaba daya da Pathology. A general, lura da marasa lafiya a wani asibiti saitin aka yi.