Kūkulu ʻia nā ʻano kumu pancreatitis e nā mea etiological, nā hiʻohiʻona morphological, nā hōʻike kino, nā hiʻohiʻona hana a me nā kūlana, a me nā ʻāpana.
ʻAʻohe mea e hoʻokaʻawale ʻia e ka ʻānela o nā kulekule maʻi. Ke hana nei kekahi mau kauka i kahi maʻi maʻi e like me nā ʻano o A. S. Loginov, hoʻohana kekahi mau mea lapaʻau hou i ka ʻano honua Marseille-Roman.
Wahi a ka ICD (International Classification of Diseases), loaʻa ka maʻi pancreatitis ma lalo o ke code K86.0, e hōʻike ana i ka mea ʻawaʻawa o ke kaʻina pili.
Hoʻopili ʻia i loko o Code K86.1 nā ʻano maʻi ʻē aʻe - kahi hua mai ka maʻi hopohopo, kahi ʻano relapsing, etc.
ʻO nā ʻano o ka pancreatitis sluggish
ʻO ka maʻi nui a ma ka lua. I ka hihia mua, hoʻomaka pololei ke kaʻina o nā maʻi maʻamau i ka pancreas. Ma ka hāwele lua, ʻike ʻia ka pathology ma muli o nā maʻi o nā ʻili kūloko o ke kino - ka ʻōpū ʻana i ka ʻōpū, ka ʻōpū, a,.
ʻO nā kumu o ka maʻi maʻamau ke komo i ka waiʻona hilinaʻi, kahi predisposition genetic, hiki ke hoʻomālamalama i ka lāʻau, ʻimi lōʻihi ka ulaula, ke kaumaha mau a me ka neurosis.
Hoʻololi ka etiology o kahi maʻi kūloko ma muli o nā pathologies o ke gallbladder (cholecystitis me ka hoʻokumu ʻana o nā pōhaku), cirrhosis o ka ate, nā ʻano maʻi o ka hepatitis.
Wahi a Loginov, ma muli o ke kauka, loaʻa ke pancreatitis maʻi:
- Hoomaka ʻōlelo. Hōʻike ʻia kēia maʻi e nā ala ʻana o ka maʻi, ka mea i hoʻololi ʻia e nā wā kala.
- ʻO ka ʻaoʻao ʻeha me ke kaumaha mau.
- Ka pepa Pseudotumor. ʻO ka ʻōmaʻomaʻi koʻikoʻi koʻikoʻi ka jaundice kikoʻī.
- ʻEha ʻole a i ʻole ka waiho ʻia ʻana. Kūʻai pinepine pinepine ʻia me ka lawa ʻole o ka exocrine, i ʻole ka liʻiliʻi o ka intracretory.
- ʻO ka pancleritis sclerging. Hoʻopili ʻia kēia maʻi me ka lawa ʻole o ka ʻōpū o loko, hoʻomohala pū me nā ala ʻē aʻe.
I like hoʻi me ka papa helu Marseille-Roma, ua ʻike ʻia kēia maʻi ma kēia ʻano.
- Ke helu helu helu. Hoʻomake ʻia ka maʻi me ka hoʻomohala ʻana i nā pahuhopu protein a i ʻole nā pōhaku i nā kumu o ke kīpē. Hoʻomaopopo ʻia ma ka 50-85% o nā kiʻi haukapila a pau. Ma ka huli ʻana, ua mahele ʻia i nā hui pū. Ma ka hihia mua, hoʻokumu ʻia nā kristal kūpono kūpono, ʻo ka etiology ma muli o ka ʻai maikaʻi ʻole o ka meaʻai a me ka inu ʻona. Ma ka lua o nā hāmeʻa, nā pōhaku palupalu, kahi i hoʻokumu ʻia i ka hoʻoilina.
- Hoʻokomo ʻia ka pancreatitis obra i ka neone ʻana o nā papa pancreatic a i ʻole nā neoplasm tumor.
- ʻ formlelo maoli. ʻO kēia ka fibrosis Gland.
- ʻO Pseudocysts aiʻole cysts maoli (puka cystic).
E like me ka papa o Loginov, he pancreatitis sluggish he nui o ka nui o ka maʻa - mauʻano maʻalahi, ʻona a paʻakikī.
ʻO ka maʻi ʻeha
Hiki i ke ʻano maʻamau ke hoʻomau mau i ka hala, kahi e hiki ai i kahi exacerbation o ke kaʻina pili. ʻO ka maʻi maʻi e hiki ke alakaʻi i ka hikiʻole o ke kino kino i kahi manawa pōkole loa.
Me ka maʻi mau lōʻihi i ke kino, ʻike ʻia nā loli e hiki ʻole ai, e alakaʻi ana i ka holo piha ʻana. Ma nā hoʻomaʻamaʻa lāʻau, ua mahele ʻia ka maʻi e like me ka paʻakikī.
Initial (pae mua) no ka lōʻihi o ke kahe aku ʻole ma mua o 10 mau makahiki. Hōʻano ʻia e ka wā lōʻihi o ke kala ʻana, akā nō, ʻaʻole ia he lōʻihi o nā manawa o ka exacerbation. Ke heʻe nei ka ʻeha i kēia hāhā, ʻo ka manawa pinepine ka maʻi ʻehaʻeha o ka ʻeha mai ka hypochondrium hema. ʻO ka maʻi dyspeptic ma hope o ka hoʻomaʻemaʻe piha.
I ka wā e hiki mai ana, holomua ka maʻi. Aia nā hōʻailona o ka hala o exocrine, ikaika lākou. Ua emi iki ka maʻi ʻehaʻeha, akā ʻōlelo nā kauka he maikaʻi kēia, ʻo ka mea hou nā foci o nā hana ʻoi ʻana i loko o ka pancreas.
Me kahi ʻano koʻikoʻi o ka kaʻina o ka papaʻaina, ulu nā ʻano like ʻole. Aia nā hōʻeha koʻikoʻi, nā lāʻau lapaʻau me ka hopena analgesic e kōkua ʻole e hōʻoluʻolu iā lākou. Kūkā ʻia ka noho ikaika o ka maʻi dyspeptic.
E kū mai nā hoʻokūkū (e like me ka helu ʻana o Ivashkin):
- Huehue ka puka ʻana o ke bile.
- Pūnaewele puka o ka hypertension.
- Nā maʻi huhū.
- Huli ka hoʻonāukiuki - nā cysts, cholecystitis, ka puka o ke kōpono o ke ake ʻole, ke koko i ka ʻōpū, a me nā mea hoʻi.
- ʻO nā maʻi Endocrine: ke ʻano pancreatic o ka maʻi mellitus o ka maʻi mellitus, hypoglycemia.
Hoʻonui nui ka ulu ʻana i ka maʻi paleka pancreatic i nā maʻi e loaʻa me ka maʻi pancreatitis me ka nui.
Ka helu ʻana o ka maʻi pancreatitis e like me Khazanov
ʻO ka pancreas kahi ma ke kino, ke poʻo a me ka huelo. ʻAʻole nā papa i ka mālama i ka wahi o ke kaʻina o ke ʻano. I ka lāʻau lapaʻau, nā mea maʻamau e hoʻohana nui nei no ka slankish pancreatitis e like me ka helu ʻana o Khazanov.
Interstitial (puka edematous) ʻano. Ma nā hōʻike kikowaena, kokoke loa ia i ke ʻano kūpono o ka maʻi. ʻO 6 kona mau mahina he ʻeono mahina. Hoʻopiʻi ka poʻe maʻi i ka ʻeha nui, ʻāha a me ka luaʻi. I ka wā o ke kaʻahele o nā pathology, loli pinepine ka ʻili e puni ana i ka pancreas. Hoʻokumu nā hopena i 30-40% o nā hihia a pau o ka morbidity.
Hoʻoulu ʻia ka pancreatitis pinepine ʻia e nā pinepine pinepine i nā manawa 2-3 i kēlā me kēia makahiki. ʻ syndromelelo iki ka maʻi ʻeha. Wahi a ka ʻikepili ultrasound, loli iki ka nui o ke anuʻu, ua kūlike ka ʻano, ua paʻa. Hele nā pathology i 50% mau hihia. He mea maʻamau loa i nā mea maʻi e hoʻomaopopo i nā hoʻopiʻi. Ua kūpono ka prognosis me ka mālama kūpono i ka manawa a me ka kūpono.
ʻO nā ʻano ʻē aʻe o ka pancreatitis luhi:
- ʻIbpolapaʻi. Ma ka ultrasound, liʻiliʻi ka piʻi ʻana o ka hao, i kekahi mau mea maʻi e hoʻemi a pau loa. Aia kekahi ʻeha. Hoʻopuka nā kāpena pancreatic. ʻO kēia ʻano o ka pancreatitis e alakaʻi pinepine i nā hoʻopiʻi. Ke hoʻomau nei ka papa pathology.
- Hōʻailona Cystic. Hōʻike ka ultrasound i kahi pūnāwai i kū ʻole ʻia o ke kino, kahi hoʻonui o ka nui, nā pūpili liʻiliʻi i piha i ka wai wai. ʻO ka pālahalaha nui e hoʻonui. Ua hōʻike ʻia kēia mahele iā 6-10% o nā maʻi.
- ʻO ka ʻike Hyperplastic. Hoʻākāka nui ʻia nā maʻi ʻeha, hōʻeha nā mea maʻi i ka paona, kūloko i ka wahi i ka hao. Ma kahi o 70% e ulu i nā hoʻopiʻi. Ua nui kēia maʻi.
I mua o kahi cyst i ka pancreas a i kahi ʻano pseudotumor o ka pancreatitis, nā neoplasms tumor e pili ana me ka pancreas hiki i ka palpated.
Bending a me ka loli ʻana o ka pancreas
ʻO ka loli ʻana o ke ate a me ka pancreas ma muli o nā kumu like ʻole. Hoʻopili kēia me kaʻai palaka ʻole, hōʻino a me ka inu ʻawaʻawa, ka hoʻohana ʻana i nā meaʻaiʻai e hōʻemi ai ka nui o ke kino.
Hoʻomaʻama pinepine ʻia ka etiology e nā ʻalopona me nā mea i hoʻopau ʻia, ka lōʻihi o ka mālama ʻana i ka antibiotic, nā hopena maikaʻi ʻole o nā maʻi maʻi, nā parasit a me nā microbes, a me kekahi mau maʻi concomitant.
I ka hoʻomaka ʻana o nā aʻa e hele hewa, ʻike ʻia nā hōʻailona like ʻole. Hoʻohana pinepine ʻia ka mālama ʻana. Hoʻomaopopo ʻia ka mea maʻi i ka ʻelima o kaʻai ʻo ka papa pancreatic, nā lāʻau lapaʻau e hoʻihoʻi ana i ka hana o ke ake.
ʻAʻole ʻano maʻi nā mea hōʻaiʻē o ka pancreas, ʻo ka mea i loko o ke kino ka hiki ke kū pololei a me ka curl. Nui nā poʻe maʻi, i lohe ʻia ma kahi ultrasound e pili ana i ka curvature o ka pancreas, panic. Eia naʻe, ʻaʻole e pilikia kēia hanana i ka pākeke a me nā keiki.
Hoʻohui ka nui o ka pancreas i ka pathology, i ka wā e hoʻopuni ai ke aʻalolo, me ka twist i ka duodenum. Akā ʻoi ʻole ka maʻi o ia mau maʻi ma ka hoʻomaʻamaʻa ʻana ma ke ʻano o nā hana lapaʻau.
I kekahi mau kiʻi pena, hana ʻia ka ʻike mele, kahi e ʻae ai i ka ʻike ʻana i nā ʻike duodenal. He nui nā contraindications o kēia kaʻina - maʻi o ka naʻau, ka huhū o ka ʻōpū, ka lua a me ka hoʻopuka, a me ke kiʻekiʻe o ka hypertension, etc.
Hoʻolaha ʻo RV bending no nā kumu penei:
- Ke ʻano a me ka maʻi maʻamau o ka pancreatitis. Ma ka haʻalele ʻole o ka mālama ʻana, hiki i ka curvature ke hoʻololi i ka deforme, i ukali ʻia e ka neʻe ʻana o ka hana o ke kino kūloko.
- ʻO ke kumu o nā cyst. Ke koi ʻia kahi maʻi hohonu e ʻike i nā pilikia kūikawā o ke kino.
- Tumor neoplasms. I kēia hihia, ʻo ka hoʻohui ʻia ʻana o kahi scan ultrasound, kahi mākaʻi CT a i ʻole kahi MRI scan kahi i hana ʻia. Hōʻike nā kiʻi i kahi nui i hoʻonui ʻia, ka loli nā contours. Kūkulu, ua iho mai ka mālama ʻana i ka hoʻomaʻamaʻa pancreatic.
I nā keiki, ʻo ka uku ʻana o ka pancreas i ka manawa maʻamau, ʻoiai ka manawa a ka ulu a me ka hoʻomohala ʻana o ke kanaka, e hāwaha ka ʻōpū a kū pinepine i kahi ʻano elongated.
ʻO ka prognosis no ka maʻi pancreatitis ma muli o nā kumu he nui. Hoʻopili kekahi o ka ʻike o ka maʻi, ka makahiki o ka mea maʻi, ka mālama. Ke hahai ʻia nā ʻōlelo a pau a ke kauka, ua hoʻemi ʻia ka nui o nā ʻōpiopio.
ʻO ke ʻano etiology a me nā ʻano pancreatitis e kūkākūkā i ke wikiō ma kēia ʻatikala.
