Necrosis whakapeka o te repe taiaki. Tohumate, maimoatanga

Te repe taiaki takoto muri te peritoneum i te taumata e ahau-II lumbar wāhanga vertebral. whai wāhi ana tēnei tinana i roto i te tukanga tino nui i roto i te tinana. Next, ka matau tatou, he aha ana mahi, he aha e taea e kōtītiti i roto i ona ngā mahi. I roto i ngā, whakaaro tatou rite whakakitea necrosis pancreatic whakapeka.

Overview

whakaaro te nui nui tinana: taiaki (whanui 15-10 cm - - te roa o 2-3 cm te rahi noa). Ko tōna taimaha i roto i ngā pakeke - e pā ana ki 100 g i whanau tana taimaha kore ake atu i te toru karamu. I roto i te tangata, i te tinana mahi e rua ngā mahi nui. Kia whai whakaaro ano tatou ratou i roto i te kōrero atu i raro.

mahi okana

He nui ki te duodenum taiaki Exocrine - tu atu i roto i tona wai pancreatic. Kei te reira i whākōkī: amylase, lactase, maltase, lipase, trypsin me ētahi atu. Nā ki te wai pancreatic whāpāharehia te waikawa tirotiro pekitīlia me nakunaku o kai. I te tīmatanga, e hua whākōkī i roto i te puka paruparu, muri whakahohe i te 12-duodenum. whakahaua ratou mahi e ki te rärangi o te warowaihā, te ngako, pūmua i runga i te wae matua. tākiekina whakahohenga o whākōkī e ate enterokinase. Secretion ā-ko te hanga o pūhui nui. Ko ētahi o ēnei, i roto i ngā, ngā lipokain, glucagon me te taiāki. Ko te rua whakamutunga e fakafili ki tahi i te tahi. E whai wāhi ana ratou i roto i te ture o te huka toto kukū, pākia warowaihā. puta hanganga lipokaina Nā i roto i phospholipids ate. Tenei, i roto i te tahuri, kua he pānga painga i runga i te hāora o waikawa ngakongako. I hē lipokaina pea ngako ate.

aerodynamics

Roto te repe haere oroko te awa ki te duodenum. Te ate ki noa me aerodynamics pancreatic, i roto i te nuinga o te wā i hanga oko. Ka rite ki te hua, whakatuwhera ratou he nui kōmata 12 duodenal whewhe. Me nui ake hoki i roto i te tau mahani ate noa te pēhanga noa aerodynamics pancreatic. Ko tenei e tika ana ki te hiahia ki te aukati i te tuku o nga tirotiro intestinal me te tōngāmimi kawa.

Maumaui o ngā mahi tinana

A, no te huringa i roto i te rerekētanga pēhanga i roto i te tau mahani pancreatic puta takawhita. Kei te whai pānga te reira ki te uaua o te matamua o te wai pancreatic, tukua nga tirotiro o te tōngāmimi au whēkau ranei. Ki te whakamārama o te whakanui ake te pēhanga o ratou ake pūtau pancreatic timata ki te kia pakaru. O enei whākōkī e tukua, ka whakahohe te hononga. tomo ratou ki roto ki te parenchyma, ngako me te kiko tūhonohono o te repeure. Ko te hua ko te tauhohenga mekameka. Na roto i tetahi whākōkī tukua te rua. whakaoho tenei he tukanga inflammatory e arata'i ki nui haere rere toto, a muri - ki te stagnation o toto. whai wāhi ana tēnei ki Thrombosis i te repe. Ka rite ki te hua, puta toto tohanga te whakararuraru, pancreatitis, maha whakapataritari necrosis pancreatic.

Take o disorders o te

te tikanga puta huru pathological rite ki te hua o te mamae i te pāngia kotahi toutou ranei o pancreatitis. Kei te tika hono te puka whakapeka ki cholelithiasis. Ka rite ki ngā āhuatanga precipitating protrudes mariao (puku ranei duodenum 12), cirrhosis, kakā, waipiro.

ngā mōhiohio nui

Ka rite ki whakahuatia i runga ake, tetahi o nga mahi o repe endocrine ngā hanga o hormones. I roto i te mau ana i whai wāhi tenei mahi nga moutere o Langerhans. I roto i te take o to ratou hinga i roto i te papamuri o pathologies, tae atu pancreatitis ma'i roto, te whakawhanake fatty tupu o te ate, me te mate huka (huka). taea te repe taiaki he ki te whakarite-whaiaro ki te momo o te kai. Te reira i katoa tei runga i te horomanga kai. A, no te riro koe whakahohe te nui nui o te warowaihā te neke atu i te wāwāhi i ratou whākōkī. Ki te nga kai fatty matua, hua reira atu lipase, a ki te te pūmua - trypsin. Heoi, ko te tūkino kore e enei āhuatanga kia. Ko te meka Ko e te varavara homai te repe taiaki tohu e pā ana ki te kikī taea. Ko te tikanga faaite te reira iho rawa he tauhohenga tutu, e kore nei e whakaatu ki te wāhanga tuatahi o te mate, me ona pua tonu.

Ko te mau hopearaa o mate mahue

Riri mo te āhua o nga repe taiaki taea meinga ngā pōauautanga. Te ati takoto te nuinga i roto i te meka e muri ki reira i reira e te tahi atu pokapü e he kore iti nui mo te tinana. Tenei, i roto i ngā, i te kōateate, ate, puku. e kore e noho te reira watea, me te ngakau. A, no te fakamamafa'i maumaui i te mahi o te repe taiaki me te tinana te. rawa hohoro huringa i roto i te pūnaha puta. Hoki te mate pukupuku pancreatic ētahi wā he torutoru noa haora.

necrosis whakapeka o nga repe taiaki

Ko tenei tukanga tinana kiko whakangaromanga. pānga Ko tōna whanaketanga ngā āhuatanga ngaukino. I te ngakau o ratou takoto okana mumura. necrosis whakapeka o te repe taiaki whanake i roto i te take o te tightening o tona whakamātautau me te maimoatanga. I roto i te whai wāhitanga mātātoa o ratou ake whākōkī tinana. Na roto i to ratou mahi horokai, te repe taiaki. A, no te whakahohe whākōkī interstitial ahu tukanga pathological. Ka rite ki te hua, i hanga e ratou aronga o necrosis ngako.

Whakaahuatanga o te tukanga

Ka rite ki te hua o te wāwāhi o waikawa ngako puta pH neke. whakahohetia tēnei tripsogen intracellular. I muri, kua puta ai ki trypsin. Tenei pūhui, i tahuri, whakahohetia proteases e hanga whitiki proteolytic motuhake. timata whākōkī ki waikura nga taiepa iaia me te kiko tūhonohono. toro tukanga kino tua atu i te repe taiaki. whakaora Body i roto i tenei take e taea. A, no te te faaiteraa o tohu kitea o te mate kia tonu.

āhuatanga whakahōhā

Necrosis o nga repe taiaki, te tohu o e ka e kōrero i raro, he maha te hua o te kai nui o te waipiro, opue, dyskinesia i roto i te wahi biliary, whākōkī abnormalities matamua tika ki cholangitis, cholecystitis calculous. kia wero māuiuitanga horopeta hē o rongoā, horopeta takahi me te ara iahiko tono. kia meinga whakapeka necrosis pancreatic e auau mate hopuhopu taumahatanga.

māuiuitanga hoki

Tei runga i te tini, kia whānui, me te wāhi whakapeka necrosis pancreatic. Ka taea e te tukanga i mua tere tika ranei rere puhoi. I roto i runga ki te momo o te pancreatic akoranga pathological wehea ki haamou, mahi, hemostatic, hemorrhagic me edematous. whakaaro te whakamutunga ko te puka tino ngawari. Nā ki nui haere huamo te repe taiaki e whakaihiihi ana i te hua i roto i te pēhanga ki runga i pankreotsity me te mate o te microcirculation. Maimoatanga o te atamira edematous, te tikanga pai. Ki te tohutoro ki te māuiuitanga mohio materoto e te momo rere. I roto i ngā, homai tukanga necrotic matamua o pancreatic mate pukupuku o kūnatu whākōkī. Ka rite ki te hua o te nakunaku e haamata i roto i te tinana. I roto i te akoranga o te tukanga haamata kookuhutanga o pirau ki te kōhao puku. Ka rite ki te hua o te peritonitis whanake i roto i te puka whakapeka. Tenei pokanga heipü. Kore timata sepsis, ārahi ki te mate.

pikitia haumanu

He aha e nga tohu o te necrosis pancreatic? He kaha Tohu o mate nui. I roto i te mamae hautahi o runga maui o te herpes zoster whakawhanake huru. horahia te reira i puta noa i te tinana i raro i te rara. Mamae i roto i te pokohiwi, me te homai i te mata rite te whakaeke ngakau. E haere tahi tukanga i te ruaki auau, bloating, flatulence. Te manawanui he kirika, tahuri koma reddens ranei te kiri. whakaaro te tohu matua o te huru pathological te ki te waiho i te tohu o Kerei-Turner. faaite te reira i ano i roto i te puka o te wahi kikorangi i runga i nga taha o te puku. taiepa Palpation tohua mamae, mānukanuka. kawea tātaritanga te i roto i i runga i te whakamātautau ataata, amuamu manawanui, me te e nga hua o akoranga mauhaa me taiwhanga. Hei aromatawai i te echogenicity parenchymal i whakaritea e te ultrasound. CT ko MRI scans, angiography me laparoscopy tukua ki a koutou whakaturia te tīmatanga tangohia o te mate.

mehua haumanu

Maimoatanga o te necrosis whakapeka taea e rānei hāparapara momo ranei. Ka whakawhirinaki te kōwhiringa i runga i te huringa pathological i roto i te tinana. whakaritea Drug puaretanga te takitahi. I roto i te raau taero tūtohutia hoki fariiraa, - spasmolytics (tikanga "No-kaukau", mo te tauira), ka antifermental taero cytotoxic e pā whākōkī kōtuitanga. O nga tikanga hāparapara whakamahia e laparotomy me laparoscopy. Heoi, i roto i te akoranga o te mahi e kore he reira tonu taea ki te whakakore rawa i te māuiuitanga. I roto i te whānui, whakamana maimoatanga o tūroro i roto i te tautuhinga hōhipera te.