Coagulation necrosis: kufotokoza, zimayambitsa ndi mankhwala

Necrosis ndi ndondomeko sizingasinthe chiwonongeko ndi selo imfa ziwalo, chimene chayambitsa malinga ndi tizilombo toyambitsa matenda. Chifukwa chitukuko kungakhale: kukhudzana ndi kutentha (kwa amayaka), otsatira matenda kapena mankhwala, kuwononga makina. Necrosis kungakhale coagulation (youma) kapena kollikvatsionny (chonyowa). M'nkhani tione zimene zimayambitsa necrosis youma, komanso njira zochizira izo.

ndi coagulation necrosis Kodi

Youma necrosis zambiri amakhudza ziwalo wolemera mu mapuloteni, koma otsika zili madzi. Njirazi ndi monga:

• impso;
• ndi zopangitsa adrenal;
• ndulu;
• myocardium.

Dieback matupi maselo kumachitika chifukwa otaya osakwanira magazi ndi oxygenation chifukwa cha ikukhudzana mankhwala, makina, kuwonongeka poizoni. Chifukwa, maselo akufa adzauma, ndipo pali ndondomeko kukonzera mitembo kuti isawonongeke. maselo akufa kusiyanitsidwa kukhala mzere bwino.

Zimayambitsa necrosis youma

necrosis youma aumbike mwa choncho:

• matenda magazi zinachitika pokonza yeniyeni chandamale limba malo, magwero chifukwa cha kuperewera kwa mpweya ndi zofunika zakudya;
• matenda pang'onopang'ono;
• m'madera ziwalo anakhudzidwa analibe madzi okwanira (mafuta minofu minofu minofu);
• maselo mu zinkakhala m'dera palibe tizilombo ting'onoting'ono tizilombo.

Development wa necrosis youma ndi sitichedwa anthu ndi machitidwe amphamvu chitetezo ndi kuperewera kwa zakudya m'thupi.

Coagulation necrosis: limagwirira chitukuko

Chifukwa maselo osakwanira oxygenation ndi matenda magazi a ndondomeko ya coagulation ndi kusindikizidwa kwa protoplasm, m'dera zambiri zinkakhala uphwetsa. mbali kuonongeka ndi zotsatira poizoni pa zimakhala moyandikana wamoyo.

The zinkakhala m'dera ali ndi maonekedwe chosiyana: maselo bwino akufa contoured mzere ndi ndi kutchulidwa lachikasu imvi kapena dongo-chikasu. Dera limeneli ndi tikaumbike ndi nthawi. M'chigawo izo Tingaone kuti zimakhala ndi mouma, kusasinthika wowumitsa, ndi chitsanzo chachilengulengu. Chifukwa cha kugwa kwa phata selo ngati misa cytoplasm homogenous. Komanso, pa chitukuko cha necrosis ndi kutupa Tingaone akufa minofu kukanidwa. Ngati matendawa amakhudza khutu kapena mafupa, fistula ndi aumbike. Komabe, limagwirira ya coagulation necrosis komabe si bwino kwathunthu.

Zosiyanasiyana coagulation necrosis

Coagulation necrosis zikuphatikizapo mitundu ingapo:

• Mtima - mtundu ambiri. Akufotokozera chifukwa matenda mtsempha wamagazi. Zilibe kukhala minofu ubongo. Pamene vuto la mtima kungakhale kusinthika kwathunthu kwa minofu kuonongeka.
• Waxy (Zenker a) - amayamba ndi zotupa aakulu opatsirana. matendawa amakhudza minofu minofu nthawi zambiri zimayambitsa minofu ntchafu ndi zapambuyo m'mimba khoma. Kukula kwa necrosis imfayo kale anasamutsa matenda monga Nthenda yofanana ndi tayifodi kapena tayifodi. malo anakhudzidwa ndi imvi.
• Wowumitsa necrosis - ndi mtundu wa matenda. Sputnik TB, chindoko, khate, khate, matenda a Wegener. Ndi mtundu wa imfa necrotic amapezeka parenchyma ndi stroma (ulusi ndi maselo). Mbali za matenda kuti kuwonjezera yamawangamawanga youma, anapanga wowumitsa pasty kapena granulomas. The zimakhala anakhudzidwa chowala pinki. Wowumitsa necrosis - mmodzi wa owopsa chifukwa chakuti iye amatha "kupha" mbali yaikulu.
• Fibrinoid - matenda amene kuwononga connective minofu. Necrosis amapezeka matenda autoimmune monga lupus kapena nyamakazi. Matendawa kwambiri mwamphamvu amakhudza minofu yosalala Mitsempha ndi ulusi. Fibrinoid necrosis amakhala ndi kusintha mkhalidwe yachibadwa ya kolajeni ndi kudzikundikira chuma necrotic. Tosaoneka Kuphunzira zimakhala anakhudzidwa ofanana Ulimbo. Pankhaniyi, akufa ndi yowala mtundu pinki. Madera anakhudzidwa ndi necrosis fibrinoid, muli wambirimbiri immunoglobulin, komanso mankhwala oipa a Ulimbo ndi kolajeni.
• Mafuta - zotsatira matenda kuchokera kuvulala ndi haemorrhage, komanso kuwonongedwa kwa zimakhala chithokomiro. Necrosis amakhudza pamimba ndi mawere.
• Gangrenous - zikhoza kukhala wouma lonyowa mpweya. Bedsores odwala chigonere zimagwilanso nchito kwa mtundu uwu wa necrosis. Nthawi zambiri, maonekedwe a matenda amathandiza kuti mabakiteriya kulowa malo anakhudzidwa.

Youma chilonda monga mawonekedwe a coagulation necrosis

Youma chilonda - matenda amene khungu necrosis akufotokozera mu kukhudzana ndi chilengedwe kunja. Monga ulamuliro, mu chitukuko cha matenda tizilombo aliyense sanapange nawo. Youma chilonda zambiri zimakhudza nthambi. Kuonongeka, zimakhala ndi mdima, mtundu pafupifupi wakuda, ndi bwino limasonyeza mizere. kusintha mtundu mchikakamizo cha sulfide wa hydrogen. Izi zimachitika chifukwa hemoglobin inki mtima mu sulfide chitsulo. Youma chilonda akufotokozera zinthu zotsatirazi:

• Pamene wolumikizira thrombosis ndi atherosclerosis m'makona.
• Atadziŵa nthambi kutentha kapena otsika (kwa zilonda zamoto kapena frostbite).
• Ndi chitukuko cha matenda Raynaud a.
• Mu kukhalapo kwa matenda, monga Nthenda yofanana ndi tayifodi.

Chithandizo ikuchitika yekha ndi kuchotsa opaleshoni minofu akufa.

yonyowa chilonda

M'madzi chilonda - matenda amene akufotokozera mu kukhudzana ndi tizilombo toyambitsa mu minofu kuonongeka. matendawa amakhudza ziwalo wolemera chinyezi, angayambe pa khungu, koma nthawi kufalikira ku ziwalo. M'madzi chilonda amakhudza matumbo (ndi kutsekeka kwa mitsempha) ndi mapapo (chibayo zikuchitika monga zotsatira zake).

Nthawi zambiri, matenda amapezeka ana chifukwa chitetezo chokwanira awo pamene polumikiza matenda zambiri malleable mawonekedwe chilonda. Kugonjetsedwa poyera minofu zofewa wa masaya ndi perineum. nthendayo imatchedwa khansa madzi. malo anakhudzidwa ndi kutupa kwambiri ndipo ndi mtundu mdima. No demarcates dera kotero matenda ndi zovuta amenable mankhwala opaleshoni, chifukwa n'kovuta kudziwa mapeto mu zimakhala anakhudzidwa. m'madera Gangrenous ndi chosangalatsa fungo kwambiri, matenda, nthawi zambiri amapha.

Gasi chilonda ndi decubitus

Gasi chilonda mu mawonekedwe ake zofanana kwambiri ndi konyowa, koma zifukwa zosiyanasiyana. Mtundu wa chilonda kuyambika kuyambira akhudzidwa minofu necrosis kupeza mabakiteriya mitundu Clostridium perfringens, ndi mwachangu zikuchulukirachulukira. Mabakiteriya moyo wake anapambulwa mpweya yeniyeni, umene wapezeka mu zimakhala matenda. Imfa ku matenda ndi mkulu.

Anzanu zilonda ndi imodzi mwa mitundu ya chilonda, imene ndondomeko kufa nsalu. Matenda ambiri sachedwa odwala recumbent, monga zina za thupi kuchokera immobilization yaitali kupanikizidwa ndi simulandira zipangizo chofunika ndi magazi. Chifukwa ndi imfa maselo a khungu. Kugonjetsedwa kwa malo ambiri poyera za sacrum ndi zidendene, m'chuuno.

Matenda a coagulation necrosis

Pakuti matenda "coagulative necrosis", vuto la kuwonongeka ndi chabe, dokotala ndi okwanira kuti magazi ndi zowonongeka minofu chitsanzo kwa kusanthula.

Ngati pali kukayikitsa necrosis ziwalo, kafukufuku ikuchitika ochulukirapo. Kuchita izi:

• Kuchititsa radiography. Phunziro ili ndi zofunika makamaka ngati pali kukayikirana mpweya chilonda.
• Phunziro radioisotope. Akapatsidwa, ngati X-ray anaulula palibe kusintha (pa siteji koyamba za matenda). Thupi la munthu jekeseni mankhwala nyukiliya. Ngati pali kusintha mu zimakhala necrotic za thupi, adzakhululukidwa anatsindika malo amdima.
• Kuchititsa CT. Iwo ikuchitika ngati pali kukayikitsa zotupa fupa.
• Kujambula. The njira yabwino kwambiri za kafukufuku komanso ngakhale kusintha zazing'ono zokhudzana ndi mkhutu magazi.

zosokonezeka necrosis

Necrosis ndi "imfa" ziwalo kuonongeka ndi zimakhala. Choncho mitundu yake yosiyanasiyana, monga mtima, ubongo necrosis, impso ndi chiwindi, kungachititse imfa ya munthu.

Yaikulu necrosis zingachititse mavuto aakulu, monga bedsores angapo zotheka kuphatikana matenda oopsa. Akufa minofu n'kopanda mankhwala ake kuvunda kwa thupi, motero zikubweretsa mavuto oopsa. Ngakhale mitundu bata cha matenda kungachititse kuti zotsatira zoipa, monga amamuyambitsa timabala m'mnyewa wamtima ndi mapangidwe cysts mu ubongo.

necrosis chithandizo

Chithandizo Necrosis Imayamba ndi kutanthauzira za mtundu wake, zinawononga ziyenera ndi chizindikiritso cha matenda zokhudzana.

Pamene matenda a "youma khungu necrosis" amagwira ntchito mankhwala apakhungu a:

• Mankhwala a m'madera akhudzidwa Zelenko.
• Kuyeretsa pamwamba khungu ntchito antiseptics.
• Bandaging ndi njira "Chlorhexidine".

Odwala anali allocated mankhwala ndi opaleshoni kubwezeretsa yachibadwa magazi, kuphatikizapo anthu okhala m'madera okhudzidwa. opaleshoni ndi resection a m'madera okhudzidwa ndi cholinga zambiri anachita kuchotsa maselo a khungu akufa. amputation imagwiridwa kuteteza mbali zabwino kufala kwa matendawa.

Youma necrosis za ziwalo mankhwala wothandizila odana ndi yotupa, vasodilators, hondroprotektorov. Pankhani ya chithandizo kulephera chithandizo opaleshoni.