Kei te mōhio koe ki te āhua morearea o te pancreatitis necrotizing?

Kua rongo koe i tētahi mate kino e mate ai tētahi wāhanga o te repe taiaki ? Koinei te mea e kiia nei e tātou i roto i te rongoā ko te "Necrotizing Pancreatitis". Whakaarohia te kino o te ngaronga o tētahi wāhanga o tētahi okana nui o tō tātou tinana. Ka puta tēnei ina tino kino te mate e kiia nei ko te "Acute Pancreatitis ". I tēnei rā, ka kōrerohia e tātou tēnei mea me te taipitopito, me te mea kei te kōrero tātou ki tētahi hoa.

He aha rawa te "(Necrotizing Pancreatitis)"?

Ki te kī ngāwari, ko te "Necrotizing Pancreatitis" te matenga o tētahi wāhanga o tō "Pancreas" (Necrosis). Ka puta tēnei ina tino kino te mate "Pancreatitis". Ko te Pancreatitis te wā ka pupuhi, ka whero, ka mamae te pancreas nā te whara, nā te paitini rānei. Ki te tino kino tēnei mumura, ka raru pea te rere o te toto ki ngā kiko pancreatic, arā, ko te "Ischemia". Kātahi ka kore e whiwhi aua kiko i te hāora me ngā matūkai e hiahiatia ana e rātou, ā, ka tīmata rātou ki te mate . Ka kiia tēnei ko te "Necrosis". He tino morearea tēnei mate.

Ki te tupu tēnei, ka puritia koe e tō tīma hauora ki te hōhipera mō tētahi wā, ā, ka tirotirohia koe mō ētahi atu raruraru . Ko te mea nui hei tūpato ko te mate . Whakaarohia mēnā ka tīmata te kai a ngā huakita i te kiko mate, ka tere te piki me te horapa puta noa i tō tinana. Ki te tupu tēnā, ka arahi pea ki ngā āhuatanga kino pērā i te ngoikore o ngā okana , ka morearea pea te ora. I roto i ēnei āhuatanga, me tango pea e ngā tākuta te kiko mate mā te pokanga .

He pēhea te noa o tēnei āhuatanga?

I te nuinga o te wā, tata ki te 20% o te hunga e pāngia ana e te pancreatitis whakapeka ka pāngia e te pancreatitis necrotizing. I roto i tētahi whenua pērā i te Hononga o Amerika, e kiia ana e tata ana ki te toru rau mano tāngata e noho ana i te hōhipera i ia tau nā te pancreatitis. Nō reira, he tau nui te 20%, tika?

He aha ngā tohu o te `(Necrotizing Pancreatitis)`?

Ko ngā tohu tuatahi e puta mai ana ko ngā tohu o te pancreatitis whakapeka. Ko ēnei:

• Te mamae nui ki te puku o runga. Tērā pea ka horapa atu tēnei mamae ki te tuara.
• Te pupuhi, te pupuhi rānei o te puku.
• Whakapairuaki me te ruaki.

I te kaha haere o te pancreatitis, ka puta pea ēnei tohu:

• Te kirika me te makariri.
• Te pikinga o te tere o te ngakau (Tachycardia).
• Te matewai nui, te matewai rānei.

He aha ngā take o te "Necrotizing Pancreatitis"?

Ka puta tēnei i roto i ētahi wāhanga. Tuatahi, ka kaha te mumura noa o te repe taiaki (Acute Pancreatitis). Kātahi ka whakararuraruhia te rere o te toto (Ischemia), ā, hei whakamutunga, ka mate ngā kiko (Necrosis). He rerekē ngā take mō ia o ēnei āhuatanga.

Kia pēhea te kaha o te pancreatitis?

Ko te mate kōhatu o te puku te tino take o te mate pancreatitis whakapeka. Ka puta tēnei ina noho te kōhatu o te puku ki roto i te puku, ā, ka ārai i te awaawa o te puku. Ka kiia hoki tēnei ko te pancreatitis kōhatu. Ko te tuarua o ngā take matua ko te nui rawa o te inu waipiro .

Ko te mumura te huarahi a te tinana ki te urupare ki tētahi whara, ki te ngana ki te whakatika i te kino. Engari i ētahi wā ka tino kaha rawa te urupare mumura ka tīmata te kino.

Kāore anō kia mārama he aha i kaha ake ai tēnei urupare mumura i roto i ētahi tāngata i ētahi atu. Heoi, e mārama ana ka puta he " pānga pōro hukarere" i roto i te repe taiaki.

Mā te pēhanga nui e puta mai i te mumura nui ka whakahohehia ngā whākōkī repeure i roto i te kiko repeure. I te nuinga o te wā, ka whakahohehia ēnei whākōkī nakunaku i muri i te urunga o te kai ki te pūnaha nakunaku. Engari ki te whakahohehia wawetia, ka tīmata te nakunaku i te repeure tonu. Whakaarohia, kei te nakunaku koe i tō ake whekau me ō ake whākōkī!

Ka hua te ngoikore o te toto i te "Ischemia" me te mate o ngā kiko "Necrosis"

Ka kino haere tonu te mate pāwera i te pancreas nā te mea ka nui haere te mate pāwera. Ā tōna wā, ka whānui haere ngā oko toto i te pupuhi o te pancreas, ka whakaiti i te nui o te toto e rere ana ki ngā kiko.

Ko tētahi atu āhuatanga ka pā ki tēnei ko te Systemic Inflammatory Response Syndrome (SIRS). He āhuatanga mumura tēnei e puta ana puta noa i te tinana. Ka taea e tēnei te whakaiti i te toto toto me te rere o te toto.

Ka mate ngā kiko (necrosis) i te ngaronga o te rere o te toto (ischemia). Tērā pea ka whai wāhi atu te nakunaku o te repe taiaki e ngā whākōkī repe taiaki ki te mate o tēnei kiko.

He aha ngā raruraru ka pā mai i te `(Necrotizing Pancreatitis)`?

Ka taea e tēnei āhuatanga te whakararu i ngā momo raruraru i te wā poto me te wā roa.

Ngā raruraru poto:

• Mate urutā: Koinei te tūponotanga tino mōrearea o te Necrotizing Pancreatitis. Ka pā pea tēnei ki te 20% o ngā tūroro. He rite te kiko mate ki te wāhi kai pai mō ngā huakita e kopikopiko haere ana. He uaua ki te whakahaere i te mate urutā ina kua pāngia koe e te mate. Ki te horapa ki te toto, ka mate pea. Ka taea e te mate urutā te mate sepsis , ka arahi pea ki te ngoikore o ngā okana maha . Koinei te tino take o te mate i roto i te hunga e pāngia ana e te Necrotizing Pancreatitis.
• Ngā Kohinga Wai Necrotic: I roto i te pancreatitis kino, ka taea e ngā whākōkī pancreatic kua whakahohehia te turuturu mai i te pancreas ka kino te kiko e karapoti ana. Ka puta he kāpū kiko angiangi huri noa i te wai pancreatic. Mena kei roto i tēnei kāpū he kiko mate me ngā huakita, ka taea e te mate te tīmata me te horapa. He onge, ka taea e tēnei kāpū te whakanui me te pēhi i ngā whekau tata, pērā i te puku, ngā uaua toto, ngā awa au rānei.
• Te toto: He onge te mate pāwera toto, engari ka mate pea mēnā ka puta. Ka whakanui ake te mate pāwera i te mate pāwera. Ko tētahi huarahi ka puta ai tēnei ko te horapa o te mumura, te wai rānei i roto i te repe taiaki ki tētahi uaua tata, ka pakaru te pakitara o te uaua, ka puta ai te toto. Ko tētahi atu huarahi ko te pakaru o te pakitara o te uaua e ngā whākōkī repe taiaki, ka puta ai he pseudoaneurysm , ka pakaru, ka puta ai te toto.
• Te Mate Puku: Ko te pupuhi, te toto, me ētahi atu wai e kohia ana e te pancreatitis necrotizing ka puta he pēhanga nui i roto i te kōhao puku. Ka kitea nuitia tēnei i roto i ngā tūroro tino mate. Ka heke te rere o te toto ki ngā whekau, ka puta he toto totoka , he ischemia, me te hypoxia . Ka taea hoki e tēnei te arahi ki te ngoikore o ngā whekau maha.

Ngā hua mō te wā roa:

• Te ngoikore o te repe taiaki: Mēnā ka ngaro te nui o te kiko repe taiaki, ka ngaro pea ētahi o ngā mahi a te repe taiaki. Ko te ngoikore o te repe taiaki o waho ko te wā kāore e nui ngā whākōkī e whakaputaina ana e te repe taiaki hei keri i te kai. Ka arahi pea tēnei ki te ngoikore o te mimiti me te kore kai pai . Ko te ngoikore o te repe taiaki o roto ko te wā kāore e nui ngā homoni e whakaputaina ana e te repe taiaki hei whakahaere i ngā taumata huka toto. Ka arahi pea tēnei ki te hyperglycemia me te mate huka .
• Te Mate Puta o te Repeure: Mā te pupuhi nui, te toto, te mate o te kiko, me ētahi atu raruraru o te pancreatitis necrotizing ka wehea te repeure mai i te repeure, i te whekau iti rānei. Ka puta pea te turuturu tonu o ngā whākōkī repeure. Ka taea e tēnei turuturu te arahi ki te kohikohi wai mō te wā roa, me/ranei te pancreatitis mau tonu.
• Te Whakaiti o te Piripiri:Ka taea e te mumura kino me te roa te whakararu i ngā awaawa katoa e hono ana i te repe taiaki ki te pūnaha nakunaku (awaawa taiaki, awaawa aukume, duodenum - te tīmatanga o te whekau iti). Mā tēnei raru ka whakawhāiti rawatia te awaawa (stricture). Ka whakaroahia te rere o te aukume, ā, ka tīmata te aukume ki te hoki ki roto i te pūnaha aukume.
• Te Thrombosis o te Uaua Splanchnic: Kei raro i tō repeure ō uaua splanchnic. Ka taea e te pancreatitis kino te mumura. Ka taea e tēnei te arahi ki te toto totoka (thrombosis) i roto i ēnei uaua. Kei roto i ēnei uaua te uaua splenic, te uaua mesenteric, te uaua ate, me te uaua portal. Mena ka puta he toto totoka i roto i tētahi o ēnei, ka puta he maha ngā raruraru, pērā i te portal hypertension , te varices gastrointestinal, te toto gastrointestinal, te ischemic colitis, me te mesenteric ischemia.

Me pēhea te tautuhi i te mate Pancreatitis Necrotizing?

Ka tātaritatia tēnei mate `(Necrotizing Pancreatitis)` i muri i te tātaritatia tuatahi o `(Acute Pancreatitis).` Kāore e puta ngā tohu mārama o te matenga o te kiko `(Necrosis)` tae noa ki te toru ki te rima ngā rā i muri i te tīmatanga o te pancreatitis. Mēnā ka kitea ngā tohu o te pancreatitis kino i roto i ētahi rā i muri i te mumura tuatahi, ka whakamahia e tō tākuta he matawai CT me te tae kanapa `(Contrast-enhanced CT scan)` he MRI rānei.` (MRI - Magnetic Resonance Imaging)` hei rapu i tēnei matenga o te kiko. Ka rapua hoki e rātou ētahi atu raruraru, pērā i te kohikohinga wai.

He aha ngā maimoatanga mō tēnei?

Ka whakawhirinaki tō maimoatanga ki te mate pāwera, ki ētahi atu raruraru rānei kei a koe. Mena he koretake te mate pukupuku o te pancreas, ā, kāore he tohu, ka rongoatia e ngā tākuta mā te tiaki tautoko . Mena ka puta he tohu mate pāwera, he raruraru rānei, ka wawao ngā tākuta ina hiahiatia. Ka ngana rātou ki te tango i te kiko mate mā te whakamahi i ngā tikanga iti rawa te whakaekenga i mua i te whakamahi i te pokanga.

Whakahaere Matatapu

Ko te tiaki tautoko mō te "Sterile Necrotizing Pancreatitis" kore-pango kei roto ko:

• Ngā rongoā whakamamae.
• Ngā wai werohanga uaua `(ngā wai werohanga)`.
• Kai Kai o te Puku.

Ko te nuinga o ngā kēhi kāore i te uaua ka ea mā te tiaki tautoko anake. I tēnei wā, ka aro turukihia tō āhua e tō rōpū hauora. Ka aro turukihia e rātou ō tohu ora , tō pēhanga puku, me te tatau toto katoa.Ka aroturukihia e rātou ngā mea pēnei i te Tatau Toto Katoa (CBC) me te tirotiro mō ngā raruraru pea. Mēnā ka puta he mate, he ngoikore rānei o te okana, ka whakaratohia e rātou he tautoko ora, he wawaotanga rānei e tika ana.

Te Waikeri me te Whakakore i ngā Para

Ina tīmata koe ki te kite i ngā tohu o te mate, ka tīmata tō tīma hauora ki te hoatu i ngā paturopi , ā, ka whakamahere hoki ki te tango i ngā kiko mate mēnā ka taea. Ka tīmata rātou me te tikanga tino iti rawa te whakaekenga, kātahi ka whakanui haere i te kaha mēnā e tika ana.

Kei roto i ēnei tikanga:

• Te whakaheke i te wai i roto i te kiri: Ko te tikanga o te whakaheke i te wai i roto i te kiri. Ka whakamahia e te tohunga hihi-X ngā tikanga whakaahua (he maha ngā wā ka whakamahia te ultrasound, te CT scan rānei) hei kimi i te wāhi o te kiko mate, ā, ka whakauruhia he ngongo ki roto i tō kiri. Ka waiho te ngongo ki tōna tūranga, ka horoia ki te tote i ētahi wā i te rā hei whakaheke i te wai. Koinei anake te kōwhiringa mō te hautoru o ngā tūroro. Mō ētahi atu, ka āwhina i te whakahaere i te mate tae noa ki te wā ka taea te mahi haumaru i ētahi atu tikanga tango i te wai.
• Te Tangohanga Endoscopic: Mā te tikanga e kīia nei ko te endoscopy ka taea e te tākuta gastroenterologist te toro atu ki ngā kiko mate i roto i tō tinana me te kore e haehae i tō kiri. Ka tukuna e ia he endoscope, he mea kei roto he taputapu ultrasound, mā roto i tō ara kai o runga hei kimi i te wāhi o te pancreas. Kātahi ka tukuna ngā taputapu mā roto i te endoscope hei hanga i tētahi awa i waenganui i te kiko mate me tō ara kai. Ka tangohia te kiko mate mā roto i taua awa.
• Te Tangohanga Retroperitoneal Āwhina-Ataata (VARD): He tikanga pokanga iti rawa te whakaekenga tēnei. Kei roto i tēnei ko te whakauru i ngā taputapu pokanga mā roto i te tapahi kotahi kei roto i tō kiri e kiia nei ko te Percutaneous Drainage Portal, ā, ka haere ki te wāhi kei reira te kiko mate. Ka whakamahia e te taote pokanga he forceps, he irrigation me te momi hei tango i te kiko mate mā roto i te tapahi. Mena e tika ana, ka taea te whakawhānui i te tapahi, ā, ka taea te whakauru i tētahi ngongo kei roto i te kāmera e kiia nei ko te laparoscope. Kātahi ka tangohia te kiko e toe ana mā te whakamahi i tētahi tikanga laparoscopic e kiia nei ko te pokanga laparoscopic.
• Pokanga Tuwhera - Necrosectomy: Ko te necrosectomy te tango i ngā kiko mate. Ko te pokanga tuwhera ko te whakatuwhera i te kōhao puku me te kimi i te kiko mate (Laparotomy). Koinei tonu te huarahi tere ki te kimi me te rongoā i ngā raruraru ohorere. Ahakoa he mōrearea ētahi o ngā pokanga, koinei te huarahi whakamutunga mō ngā āhuatanga ohorere, me te kore e angitu ngā tikanga iti ake te whakaekenga.

He aha te auau mate me te auau ora mō te `(Necrotizing Pancreatitis)`?

Ko te tūponotanga o te ora ka whakawhirinaki ki te nui o tō repe taiaki kua mate, ahakoa he mate pāwera, he ngoikore rānei ōkana, me te pai o tō urupare ki te maimoatanga. Mena he iti iho i te 30% o tō repe taiaki e pāngia ana, he iti iho i te 15% te auau mate . Mena he mate kiko anake kāore he mate pāwera, he pai tēnā. Engari ki te neke atu i te 50% o tō repe taiaki e pāngia ana, ā, ka pāngia koe e te mate pāwera, e te ngoikore rānei o ōkana, ka piki ake te auau mate ki te neke atu i te 30% .

Kaua e mataku i ēnei tatauranga. He kōrero whānui noa iho ēnei. Ko te tīma hauora anake e rongoā ana i a koe te hunga tino tika ki te kōrero ki a koe mō tō āhua me ō tupono ki te ora.

He aha te mea ka tupu i muri i te maimoatanga?

I tō wā tirotiro whai muri i te maimoatanga, ka pātai atu tō tākuta ki a koe mō ngā tohumate kei te haere tonu, ngā tohumate hou rānei. Ka pā mai pea ngā raruraru roa mō te mate Pancreatitis Necrotizing ahakoa kua oti te maimoatanga. Mēnā he tohumate kei a koe, ka tonoa pea koe kia whakamātauria he toto, he whakamātautau taiwhanga, he whakamātautau whakaahua rānei hei tirotiro i aua tohumate. Tērā pea ka hiahiatia he maimoatanga tāpiri mō ngā raruraru, he wā poto, he wā roa rānei.

He tino raruraru kino te pancreatitis necrotizing o te pancreatitis acute. Ahakoa ko te nuinga o te tangata ka ora mai i te pancreatitis acute mā te tiaki tautoko anake, ko te hunga e pāngia ana e te pancreatitis kino me te necrosis me whai tiaki roa, kaha. Me whai rōpū tākuta maha-mātauranga koe hei aroturuki i tō āhua me ngā raruraru ka puta mai. Me hiahia pea koe ki ngā wawaotanga, ki te pokanga rānei, me te tiaki whai muri pea.

Ngā mea tino nui hei maumahara mā tātou mai i tēnei pūrākau (Karere hei tango ki te kāinga)

• He mate kino te Pancreatitis Necrotizing e mate ai tētahi wāhanga o te repe taiaki.
• He maha ngā wā ka puta mai tēnei i te pancreatitis kino. Ko ngā tino take ko ngā kohatu o te pūkahukahu me te inu nui i te waipiro .
• Ki te puta mai ngā tohu pēnei i te mamae nui o te puku, te kirika, te whakapairuaki, me te ruaki, rapua tonutia he tohutohu hauora.
• Ko te mate pāwera te raruraru matua me te tino morearea o tēnei mate.
• He rerekē ngā kōwhiringa maimoatanga i runga i te āhua o te tūroro. He maha ngā momo maimoatanga , mai i te tiaki tautoko ki te pokanga .
• Ahakoa he mate kino tēnei, he tokomaha ngā tāngata ka ora ake mā te maimoatanga me te tiaki hauora tika . Nō reira kaua e mutu te tumanako.

Mena kei a koe, kei tētahi rānei e mōhio ana koe, tētahi o ēnei tohu, me toro atu ki te tākuta tonu. Mā te maimoatanga wawe ka ora ai ngā tāngata!

` Pankreatitis Necrotizing, Pancreatitis, Matenga o te repeure, Mamae puku, Mate pukupuku, Pancreatitis Sinhala, Ngā mate pukupuku