ʻO ka huaʻōlelo "fat necrosis" ʻo ia ka necrosis focal o ke kiko adipose ma muli o ka hana o nā ʻano mea like ʻole. Loaʻa ka momona necrosis i loko o ka pancreas, i ka retroperitoneal adipose tissue, i waena o ka momona o ka omentum, mesentery, i ka momona momona o ka mediastinum, i ka momona epicardial, i ka papa momona ma lalo o ka parietal pleura, i loko o ka momona subcutaneous a i ka iwi iwi.
ʻO ke ʻano anatomical o nā pendants i ka sigmoid colon e hōʻike ana i kā lākou volvulus a me ka ulu ʻana o ka mumū a me ka necrosis. ʻO ke kumu o ka hoʻokuʻu ʻia ʻana o ka volvulus ke kūʻai aku iā lākou i ka peritoneum parietal a i ʻole nā mea ʻē aʻe. He nui nā hoʻokolohua o ka poʻe ʻelemakule e loaʻa ana i ka constipation ua alakaʻi i ka hopena ua hoʻonui ʻia kā lākou sigmoid colon i ka nui a no laila ua paʻi ʻia nā pendants momona i ka paia o ka ʻōpū mua.
ʻO nā ʻiʻo o ka paia ʻōpū mua, ma muli o nā loli hypotrophic, loaʻa nā hernias ma nā wahi palupalu, nā momona momona o ka ʻaoʻao manuahi o ka kolone sigmoid e hāʻule i loko o ka puʻuwai a i ʻole fossa o ka parietal peritoneum, lilo i inflamed a kūʻai ʻia iā ia. Ma hope mai, hiki ke ulu ka necrosis.
Nui nā ʻano o ka momona necrosis
· Enzymatic fat necrosis He hopena ia o ka maʻi pancreatitis a me ka hōʻino ʻana i ka pancreas, hana ʻia i ka wā e puka ai nā enzyme pancreatic i nā ducts i loko o nā ʻiʻo a puni. Hoʻopau ka lipase pancreatic i nā triglycerides i loko o nā mea momona i glycerol a me nā momona momona, a laila e hui pū me nā ion calcium plasma e hana ai i ke kopa calcium. Hōʻike ʻia nā pāpaʻi keʻokeʻo a me nā nodules i ka ʻiʻo adipose. Inā komo ka lipase i ke koko, a laila hiki ke ʻike ʻia ka necrosis momona ma nā wahi he nui o ke kino.
· Non-enzymatic fat necrosis ʻike ʻia ma ka mammary gland, subcutaneous adipose tissue a ma ka ʻōpū o ka ʻōpū, ua kapa ʻia ʻo traumatic fat necrosis. Hoʻonui ia i ka nui o nā macrophages me nā cytoplasm foamy, neutrophils a me nā lymphocytes. Hiki ke hana ʻia ke kaʻina hana o ka ʻiʻo pili (fibrosis), i kuhi pinepine ʻia no ka hoʻokumu ʻana o kahi ʻōpū.
Ua ʻike ʻia ʻaʻole e hoʻololi ʻia ka necrosis momona i kahi maʻi maʻi maʻi, akā hiki ke hoʻohālikelike iā ia. Loaʻa ka necrosis momona o ka mammary gland ma muli o ka trauma, ma muli o ka pōʻino o nā moku liʻiliʻi, nalowale ke koko. Hiki ke loaʻa kēia pathology i ka wā o ka radiation therapy, me ka wikiwiki o ke kaumaha.
Hiki i ka maʻi ke hele me ka ʻeha ʻole a i ʻole ka manaʻo o ka ʻeha ma ka palpation. Hōʻike ʻia ia e ka piʻi ʻana o nā lymph nodes a me ka hoʻokumu ʻana o nā dimples ma ka ʻili. ʻO ka hoʻomaʻamaʻa ʻana i ka wehe ʻana i ke kiko o ka momona necrosis ma o ka wehe ʻana i ka ʻāpana.
ʻO ka maʻi inflammatory a i ʻole necrosis o ka ʻiʻo adipose subcutaneous e ulu nui ʻia i nā keiki hou.
I kēia lā, ʻaʻole i wehewehe ʻia nā kumu. ʻO ka localization nui o ka pathology e ʻike ʻia ma ka ʻāʻī, nā ʻūhā, ke kua, nā lima a me ka maka. ʻO ka hoʻokumuʻiaʻana o kēia kaʻina hana ma mua o ka'ōhū nui o kaʻili. ʻO ka necrosis i kēia hihia hiki ke kikoo a pālahalaha paha. Hoʻoholo ʻia ia e ka loaʻa ʻana o nā nodes ʻeha o ka ʻili a i ʻole ʻulaʻula me kahi ʻulaʻula poni a me ke ʻano like ʻole.
Ma nā wahi o nā lesions, hiki ke kū mai ka neutralization arbitrary o nā ʻano pathological, kahi i koe ʻole ai nā ala. Inā hoʻokumu ʻia nā paʻakai calcium ma ka wahi i hoʻopilikia ʻia e ka necrosis, a laila puka mai ka ʻike wai, a laila hiki ke hana i nā liʻiliʻi liʻiliʻi. I nā hihia liʻiliʻi, hiki i nā hōʻailona ma lalo nei: hoʻohaʻahaʻa i ke koko, ka luhi, ka luaʻi a me nā kūlana feverish.
Hōʻike ka hōʻike i ka piʻi ʻana o ka nui o ka calcium i loko o ke koko koko a me kahi pae kiʻekiʻe o ka lipid. Hoʻoulu ʻia ka necrosis momona i nā keiki ma muli o ka trauma hānau, asphyxia, ka hopena o nā haʻahaʻa haʻahaʻa a i ʻole ka emi ʻana o ka mahana o ke kino. I ke aʻo ʻana, he mea koʻikoʻi nā loli histological, i hōʻike ʻia e ka mānoanoa o ka fibrous septa, ka waiho ʻana o nā kristal i loko o nā momona momona a me nā infiltrates cell granulomatous.
ʻAʻole pono ka maʻi, no laila ʻaʻole pono ka hoʻomaʻamaʻa ʻana, ʻaʻole pono e aspirate me ka nila mai nā mea ʻili fluctuating, hiki ke hoʻoulu i ka maʻi, a laila hiki ke hoʻopiʻi ʻia. Aia pū kekahi necrosis adipose tissue, kahi e lilo ai ka ʻiʻo adipose a puni nā ami.
I kēia hihia, piʻi mau ka mahana o ke kino, ulu ka arthritis, a luku ʻia nā hono. ʻO ka necrosis i hoʻolaha ʻia o ka ʻiʻo adipose e kū mai ana i ka ʻoiaʻiʻo e komo nā enzyme pancreatic i ke koko a i ʻole lymph. He kiʻekiʻe loa ka make ma kēia ʻano o ka adipose tissue necrosis, pono ʻoe e hoʻomanaʻo mau e hōʻike ʻoe i nā hōʻailona o ke olakino maikaʻi ʻole i kāu kauka. ʻO ka mālama olakino kūpono wale nō e kōkua i ka mālama ʻana i ke olakino.