Pancreatitis pseudotumor: oonobangela, iimpawu kunye neempawu unyango

Pancreatitis pseudotumor - luhlobo pancreatitis elide-ezikhoyo ezingapheliyo phezu. Esi sifo sichaphazela abantu kaninzi ngaphezu abafazi. ngezifo Igama livela elithi "injeke" Greek - zepancreas, "itis" - nangokurhala, "ithumba" - ithumba. Oko nezwi ngokuthi oko kuba njalo - ukudumba nepancreas olungele inkqubo neoplastic.

Pseudotumor pancreatitis: Ubangela, Iimpawu

mandundu ekuphuhlisweni esi sifo inkqubo ngezifo hepato-biliary (umz, CL) kunye nokusetyenziswa elide utywala. Kakhulu ngaphantsi - ngokuthatha amayeza kunye nezinye zempilo. Kwiimeko ezininzi, pancreatitis pseudotumor i ngenxa yenkqubo esinganyangekiyo ukudumba kwi injeke nezihlunu ngaphantsi kakhulu (malunga ne-10% livela) ukuba ibhaqwe emva ukudumba oyingozi.

Uphuhliso iimpawu kwisiqalo of cholelithiasis abhalwe rhoqo kwabasetyhini. Noko ke, hayi kuphela ibe ngumba ukunisa kubaluleke kakhulu apha yaye malformations yenkqubo biliary, izifo we bile duct wenziwamkhulu okanye papilla ka Vater. Kule meko, kukukrala iphuhlisa ngenxa ekubunjweni okokoko inyongo kungena duct nepancreatic.

Enye yeendlela yophuhliso pseudotumor pancreatitis kunokuba lymphogenous boyise nepancreas zomzimba (idla ndlala indawo intloko), xa ukudumba isasazeka ukusuka senyongo ngokusebenzisa ezalathelwe emithanjeni kunye nempahla.

Kwiimeko kakhulu ezinqabileyo, uhlobo pseudotumor of pancreatitis esinganyangekiyo kuyenzeka imvelaphi lokusetyenziswa ixesha elide estrogen, acetaminophen kunye nezinye iziyobisi okanye ukuthwala njengelifa. Kwaye xa umyalezo ilifa, isifo siqhubela ngononophelo, kwenyusa amathuba yobubi (yobubi), kwaye ukunqongophala intsimbi likhula ngokukhawuleza.

kubonakaliswa clinical

Le symptomatology le fom ye-pancreatitis ezinxulumene ucinezelo ye phecana biliary, ukusilela yonyango kunye nokungabikho enqanda pancreatic ebandakanyeka ukudla. Ngaphezu koko, yamathumba iimpawu akhoyo kunye neentlungu kakhulu phakathi ekubonakalisweni onyango. Iifom sigaba Pseudotumor lokuqala inokuba nazimpawu.

Kodwa izigulane ezininzi thaca alandelayo iimpawu zokugula:

• senyongo;
• intlungu umbhinqo kwenzeka emva kokungenisa okanye okunamafutha etsolo ukutya, nayiphi na utywala okanye ukudla;

• ukutya undigested kule isitulo ;
• isicaphucaphu, kulandele ukugabha, fikisa;
• "Bold 'endleni (steatorrhea);
• sorhudo beman nge kwesisu;
• ukuncipha ukunyamezelana glucose;
• elimsulwa komzimba;
• injeke gasket intloko - Ngokucofa;
• ukwanda umhlaza.

Ezisebenza ukubonakala iimpawu eziphambili

Xa isifo ochazwe kukunyuka zepancreas, nto leyo ehambisana kunye nokwenzeka cysts (pseudotumor pancreatitis ezingapheliyo, cyst pancreatic), uphuhliso lipomatosis kunye izilonda sokuhlasela.

Ukudumba ngokuqhelekileyo kuchaphazela intloko injeke - indawo yokuphuma we bile engundoqo pancreatic. Ngenxa yoko, indlela yokugqibela iingqameko, kunye nencindi pancreatic stagnates emzimbeni. Ngenxa yoko, le bile lizele, yaye ingcinezelo kuyo uyakhula. Enzyme equlethwe incindi, baqale ukugaya izihlunu pancreatic, nto leyo ekhokelela ukuba isenzeko syndrome intlungu kakhulu, nto leyo edla kunye uhlobo pseudotumor olwaneleyo pancreatitis.

senyongo obstructive

Xa indlela le uphawu idlala indima ephezulu umhlaza intloko ezandisiweyo, abenze choledoch (inyongo yobisi). Ngenxa inyongo esibindini akakwazi ingena duodenum, ngenxa apho uxinzelelo kwi ukunyuka itshaneli kunye inyongo ngcembe ongena egazini.

Izikhalazo ephambili senyongo obstructive ezi endleni olumbhatshileyo, ukurhawuzelela kakhulu, umchamo mnyama, kwaye yellowing ulusu kunye sclera.

ukufumana njani pseudotumor pancreatitis okanye somdlavuza

Wachaza indlela sifo ukuba ithathelwe ingqalelo zonke izikhalazo kunye ezibonisa kwezonyango sifo yaye ecaleni nezinye izifo, hayi kuphela nepancreas (umzekelo, umhlaza), kodwa ke amalungu ezikufutshane, ezineempawu ezifanayo. Ukulungiselela le njongo ke inyanzelekile:

• yokubonisana gastroenterologist.
• Imbali Medical kunye nezikhalazo (pancreatitis kwangaphambili, cholelithiasis, ngokuthatha amayeza, izikhalazo intlungu ikota yesangqa ekunene ongentla kummandla epigastric, kunye nabanye).
• Uviwo lwe isigulane kunye nokuziphatha Ngokucofa (itywina kunokwenzeka nanobubele kule ndawo pancreas).
• iimvavanyo wegazi. Ukuze ufumane ifomu lithile pancreatitis ukunyuka uphawu kwi amanqanaba trypsin, amylase kunye lipase, nokuphazamiseka glucose nokunyamezelana.
• Ukumiselwa amakishayo thumba kunye polypeptide pancreatic (ukuphelisa umhlaza). Ngokwandisa inani iantigens carcinoembryonic, CA 125, CA 19-9, polypeptide pancreatic, ithumba uxilongo kuqinisekisiwe, kwaye xa izinto ukunciphisa ichazwe ngentla-bagqibe malunga ubukho ukudumba, nto leyo engqina uxilongo "pancreatitis pseudotumor".
• US nepancreas (phambi hypertrophy, kwaye utshintsho kwisakhiwo imibhobho nobubovu izihlunu, ukungabikho / ubukho calcifications).
• CT okanye MRI (ngaphandle neoplasms amabi).
• ERCP. utshintsho umfanekiso ubuchule kwi duct nepancreatic.
• tseliakografiya ukukhetha (imeko ukuzimisela izitya pancreatic).

therapy

Pseudotumor pancreatitis, apho unyango kwixesha etsolo iqhutyelwa gastoenterologii, iphawulwa ngumdolomba ikhosi (okt alternation of Uxolelo kunye exacerbations).

Unyango lwesi sifo iquka ukuqeshwa ukutya engashiyi (itheyibhile №5). Uvunyelwe izidlo rhoqo (ezintlanu ukuya kwezintandathu amaxesha ngosuku), kodwa izabelo ezincinane. Iindlela okupheka: okubila ukubhaka, akufane - ucimayo. uyadinga ezingavumelekanga, ukutya eqhotsiweyo, amaqanda aqhotsiweyo, iti eyomeleleyo, ikofu, ngokungqongqo umda kwimali inyama (ingakumbi yehagu) kunye nobisi.

Eyona njongo iphambili yale unyango na unyango etiotropic, okt nokuphelisa izinto ukunisa (ukusebenzisa utywala, iziyobisi) kunye nezizathu eziye zabangela le meko. Umzekelo, ukuba enyongweni - cholecystectomy, njalo-njalo.

unyango Drug kufuneka lujoliswe ekulungiseni esinobubovu insufficiency obuvakalayo exocrine. Ukuze wenze oku, ekuyaleleni iziyobisi, iienzymes, "Pancreatin" kubanjiswene ne "Solizimom" okanye "lipase". Ukunciphisa steatorrhea asidi ezisetyenzisiweyo kunye nezongezo calcium.

Ukwenzela ukunciphisa zeDyskinesia anticholinergics alawulwa. Kuba Umfanekiso antispasmodics kusetyenziswa iintlungu syndrome kakhulu okanye "Atropine". Njengendlela olusebenzayo sphincter spasmolytic of Oddi sebenzisa "Mebeverin" okanye "Gimekromon". Unyango elithi exacerbation ziquka antimicrobials. Ukuba unyango ngamachiza akusenzi ekweneni yesinye, kunye hypersecretion, emva koko onyule nokushisa yasekuhlaleni (local) okanye ukungakhuseleki radiation lwengingqi.

Ngaphandle kwezi zonyango, ngokufuthi kunye Pseudotumor pancreatitis ezaneleyo ukuqhuba utyando endoscopic (umz, papillosphincterotomy) yenzelwe decompress inkqubo wobisi. uphazamiseko olunjalo isebenza ingakumbi xa zingaxhomekekanga prepalillyarnogo ikhadi, papillostenoze, ilungeniselo intloko nepancreas, ekhatshwa senyongo, kunye ucinezelo akwi common bile duct.

ukuvimbela

amanyathelo azizithintelo kwi lokufunyaniswa "pancreatitis pseudotumor" ukunciphisa, ngokuyintloko, ukuya ukungahoywa ukusetyenziswa iziselo ezinxilisayo. Kwakhona kubalulekile ukuba unyango olwaneleyo ngexesha zizifo engabangela le ngezifo. Kuyanceda ukunqanda izifo kucocekile, nelawulwa yi ukwamkelwa abaziingcali iziyobisi ezinokuba yingozi.

Outlook

Uqikelelo xa ivela pancreatitis ezichazwe kwifom zangaphakath. Esi sifo enqabileyo kunye exacerbations inkqubela kancinane, ezidalwe insufficiency abafane iqulathe uphuhliso umonakalo kwezintso kunye angiopathy. Inkqubela sifo kuvingcwa ekuqeshweni unyango ngexesha nokuphunyezwa kweengcebiso igqirha nokuya ngamaxesha kuxolelwa. Hlala uphilile!