Neoplastic pseudotumor pancreatitis - he aha ia? ʻO ka maʻi ka ʻano o ke kaʻina hana a protracted i ka pancreas, ʻoi aku ka hopena o nā kāne ma mua o nā wahine. ʻO nā kumu kumu o ka maʻi e kapa ʻia e hoʻomaloka ʻana i ka inu ʻona lōʻihi, ka maʻi gallstone a me nā pilikia ʻē aʻe o ka hepatobiliary system (code ICD - 10).
ʻOi aku ka liʻiliʻi o ka maʻi maʻamau, ua hoʻoulu ʻia kēlā pancreatitis e ka mālama ʻana me nā lāʻau lapaʻau, nā maʻi āpau, nā maʻi paʻa ʻole i ka pancreas. ʻO ka hoʻomohala ʻana o nā hōʻailona o ka maʻi i ka hope o ka cholelithiasis e hana pinepine ana i loko o nā wahine.
ʻO nā kuhi hewa o ka palena biliary, pathology o nā dile bile, ka papilla o ka papila i lilo i mea hoʻonāukiuki. I kēia hihia, loaʻa kahi pale piha o ka bile i loko o nā papa o ke kino. ʻO kahi ala ʻē aʻe no ka hoʻomohala ʻana o ka maʻi hiki ke lilo i ka pohō lymphogenous i nā kaena o ka puna, i ka wā o ka hoʻoulu ʻana o ka maʻi maʻi mai ka papaʻi ʻana ma o nā kīʻaha koko a me nā limahana lymphatic.
ʻO kekahi manawa hoʻonāukiuki ʻia kēia ʻano pancreatitis e ka lawe ʻana iā Acetaminophen, estrogens, a me nā mea hoʻoilina. ʻAʻole ia he mea nui ka piʻi ʻana o ka etiology genetic, ke hoʻomāhuahua nei ka kaʻina o nā pathological, ʻo ka piʻi ʻana o ka hōʻeha ʻana o ka maʻi a me ka hoʻopiʻi ʻana o ka luhi i ka nui.
Nā hōʻailona o ka maʻi
Manifestations o ka maʻi e pili me ka maʻi pancreatic enzyme deficiency, endocrine disorders, luhi o ka biliary tract. I waena o nā hiʻohiʻona o ka maʻi, ʻike ka poʻe maʻi i kahi hōʻeha ʻeha.
I ka hoʻomaka ʻana o ke kaʻina pili, ʻaʻohe hewa o nā hōʻailona o ka maʻi, ma hope iki ua loaʻa i ka mea maʻi nā hōʻailona o ka jaundice obstructive, he mau ala o ka ʻai ʻana i ka feces, ka lua a me ka luaʻi, ke ʻōpala, nā mea pili me ka constipation, a me ka hoʻēmi i ka pale ʻana i ka glucose.
Eia kekahi, ʻōlelo nā kauka i ka mālama ʻana i nā ʻano ma hope o ka lawe ʻana i ka wai ʻona a ʻai ʻana i nā meaʻai momona, me nā pilikia me ka pancreas, hele pinepine ka ʻeha.
ʻO nā ʻōuli ʻē aʻe:
- kau kaumaha no ke kumu ʻike ʻole;
- hoʻonaninani kūlū;
- mika kikowaena o ka kuhi hewa.
Hoʻokomo ka ʻeha i ke poʻo ʻo ka pancreatic, ka hoʻopili ʻana i ka wai o ka pancreatic, stagnation o ka wai, kahe ʻana o ka ʻōpū a hoʻonui i ke kaʻe o loko.
I ka hana o ka uluʻana o ka jaundice, ua hoʻonoho ʻia ka hana nui i ka nui o ke poʻo o ke oʻa, ka mea e hoʻomoʻa i ka dile bile. Aʻo kahi hopena, ʻaʻole hiki i ka hōʻiliʻili o ka hua ʻōlelo ke hele i loko o ka duodenum, ke piʻi nui ʻana o ke paʻa, hoʻomaka ka hua wili i loko o ke koko.
Me kēia hoʻomohala ʻana i nā hanana, hoʻopiʻi ka mea maʻi i ka ʻehaʻeha koʻikoʻi ma ka wahi anal, nā kīʻaha discolored, ke ao ʻana o ka ʻili, sclera, aʻeleʻele hoʻi i ka urine.
Nā hana hoʻohālikelike
Hōʻike ʻia ka ʻano pseudotumor o ka pancreatitis ma ke kumu o ke kikowaena, nā hōʻike hōʻike, ka ʻike noiʻi ʻana i nā ʻili kūloko ʻē aʻe, hiki ke hāʻawi i nā hōʻailona like. Eia kekahi, kahi kūkā me ka gastroenterologist, e koi ʻia ka mōʻaukala olakino, a pono e hoʻokū ʻia nā hihia o mua o ka maʻi pancreatitis a me ka maʻi gallstone.
I ka hoʻomaka ʻana o ka mea maʻi maʻi, palpates ke kauka i ka pancreas, me ka maʻi aia ka ʻeha kokoke i ke ʻala, hiki i nā kelima ke hōʻike ʻia ka panko pactudotumor maʻi maʻamau e nā loli i ka pūnāwai o ke koko, ka hoʻonui ʻana i ka amylase, lipase, a me trypsin i hoʻomaopopo ʻia, ʻike ʻia ka kūleʻa glucose.
He mea nui e hana i nā diagnostics mea wehe ke haʻalele i ke kaʻina hana oncological i ke kōkō, nā cysts, ke kauka nei nā kauka i kahi noiʻi e hoʻoholo ai i nā hōʻailona o nā mākēkē o nā mākī, pancreatic polypeptide.
Hāʻawi i kahi hōʻike ultrasound (ultrasound) o ka pancreas, kamepiula a me magnetic resonance imaging (MRI) kōkua i ka nānā pono ʻana no ka neoplasms malignant.
Hoʻohana ka celiacography koho i mea e hoʻoholo ai i nā loli i nā dile bile.
ʻO ka maʻi maʻi
Hōʻike ʻia ke ʻano me ke ala e like me ka nalu, e hōʻike pinepine ana i ke kūlana a me ke kala ʻana. Hoʻomaka ka Therapy ma ke koho ʻana i kahi papa maʻi kanesa No. 5 e like me Pevzner, hoʻolako ka meaʻai no ka meaʻai fractional, ʻā ʻia ka meaʻai, ʻū ʻia a ʻano ʻā ʻia. Lā ʻia ka ʻai ʻana i nā meaʻai momona, ke kālai ʻia hoʻi, ka kī kūlohelohe ikaika, ʻū, aila waiū a me ka puaʻa.
Hoʻomaʻo ka mālama ʻana i ka hoʻopau ʻana i nā mea hoʻonāukiuki e like me ka waiʻona, nā lāʻau lapaʻau kaumaha, a me ke kumu o ka maʻi. ʻO kahi laʻana, inā e pili pū ka maʻi me ka cholelithiasis, ua hōʻike ʻia ka cholecystectomy a me nā hana e pili ana i ka therapeutic.
Hoʻonohonoho ʻia kahi lāʻau lapaʻau e pili ana i ka normalization o ka exocrine a me ka intracecretory insufficiency. No kēia mau pahuhopu, pono e lawe i ka hoʻomākaukau ʻana i ka enzyme:
- Hoʻopuka
- Kaulana
- Kahi
- Solizim.
Hiki ke hoʻohaʻahaʻa i ka steatorrhea me ka hoʻomākaukau ʻana i nā calcium, nā antacids, nā anticholinergics e lawe pono e hoʻopau i ka dyskinesias, hana a Atropine i kahi maʻi ʻeha. ʻO Gimekromon, lilo ʻo Mebeverin i ka lāʻau antispasmodic maikaʻi.
Me kahi exacerbation o ka maʻi, ka mea i koi ʻia e lilo i antimicrobials, e kōkua ana i ka pale aku i nā hoʻopiʻi o ka maʻi, hōʻiliʻili o nā hōʻailona. Inā ʻaʻole hāʻawi ʻo ka hoʻoponopono regimen i ka dinamika kūpono o ka maʻi, ka māla ʻana a me nā hypersecretion e hoʻomau nei, ʻo ia hoʻi, ke ʻōlelo nei ke kauka e lawelawe ʻia ka mea maʻi. Hoʻomaopopo ʻia ka lilo ʻana i ka decompensation o ka panu kālā, ʻoi aku ka maikaʻi no ka hoʻonui ʻana i ke poʻo o ka aila me ka jaundice obstructive, ka pīʻō i ka wai panile maʻamau, ka paʻa o ka wahi prepalillary, a me ka papillostenosis.
Ma hope o nā hōʻemi, ʻo nā mea maʻi me ka pancreatitis pseudotumor e noho pono ma lalo o ka mālama kia ʻana ma hope, e kipa i ke kauka ma ka liʻiliʻi ʻelua i kēlā me kēia makahiki. Hōʻike ʻia ka wehewehe ʻana o ka hana exocrine pancreatic, ka manawa o ka ultrasound o ke kino.
ʻAʻole nā hopena kumu e pono ai e mālama i kēia hihia.
Hōʻalo a me ka prognosis
No ka paleʻana i ka pancreatitis pseudotumor, ʻoi aku ia e haʻalele i ka maʻamau o ka inu ʻawa ʻana, mālama pono i nā kūlana pathological e hiki ai ke hoʻonāukiuki i kahi hanana maʻi ma loko o ka pancreas. Kōkua kekahi kauka i ka pale ʻana i ka lāʻau lapaʻau ʻole ʻole.
Me ka hoʻomohala ʻana o ke ʻano o ka pancreatitis i manaʻo ʻia, ʻoluʻolu ka maikaʻi o ka hoʻomaʻamaʻa ʻana no ka wā e hiki mai ana, ke ʻano pono nei ke kaʻina o ka maʻi i nā wā lohi o ka exacerbation, lohi wikiwiki. Akā kaʻai ʻole o ka endocrine i hoʻopōʻino ʻia i ka pōʻino o ka keiki, angiopathy. Hiki ke hoʻopau ʻia ka holomua o ka maʻi inā hoʻomaka ʻia ke mālama ʻana i ka pancreas a hoʻomaka ʻia nā ʻōlelo a ke kauka. Hāʻawi ʻia kahi mea maʻi me kahi maʻi maʻi kīnā.
He aha ka pancreatitis i wehewehe ʻia i loko o ke wikiō ma kēia ʻatikala.
