He aha te mea Zollinger-Ellison syndrome?

Zollinger - Ellison - he mate rawa onge, āhuatanga nei i te te aroaro o nga gastrinomas pera-ka karanga. Gastrinoma - he puku mārere, i hanga nei e i pūtau o te repe taiaki me ko te tikanga i roto i te hiku ranei i roto i te rohe upoko o te repe. I roto i te wā onge, e taea te paetata te puku i roto i te kōateate, ate, me te tahi atu whēkau. whakaaro Zollinger-Erihana syndrome te he mate tino kino, pera i roto i te tātaritanga i ngā wāhanga i muri mai o te maimoatanga he tata e taea.

Zollinger-Erihana syndrome, me ona take. Ka rite ki kua whakahuatia, te take matua mō te whanaketanga o tenei mate - ko reira he puku o te repe taiaki. Ko te tino motuhake pērā mātauranga, rite hua moni nui o te gastrin. Tenei pūhui, i tahuri, whakaongaonga te secretion o te waikawa pekitīlia. Ko te nui haere kawatanga ai te hanganga o tuwhenua pekitīlia, e kore e taea e e mau, antiulcer maimoatanga.

Ko nga take o te puku iho, e kore e ano i matau tino te tikanga. Kei te whakapono te reira e te vai nei he take, me predisposition ira. Heoi, e kore te raraunga tika i runga i te tupu me te whanaketanga o te mate pukupuku elucidated.

Zollinger-Ellison syndrome: tohumate. I roto i te wāhanga tuatahi o te whanaketanga o ngā tohu o te mate , ko te tata katoa ngaro. meinga tamau korere e te nui haere secretion o te waikawa pekitīlia - te tohu anake.

Ki te whanaketanga atu o te mate haamata te hanganga o tuwhenua, a kei te tū ratou i roto i te wahi tino uncharacteristic. I te wa taua ki reira me te rota o te mamae, ki te tango kore te mea rite ngāwari rite i roto i te noa taua whewhe puku. I te tahi taime e taea mariao horahia ki te pū kai, me te paru.

Syndrome Zollmngera-Ellison syndrome: tātaritanga. I roto i te aroaro o te korere tamau, te mamae nui ranei i roto i te puku he tika ki te rapu i te āwhina o te tākuta mātanga. Kei te matau te reira e te tātaritanga o tenei mate ko te tino matatini, me te whai wāhi te rota o te rangahau me te tātari.

Hei tauira, whakapau rangahau gastroenterological e heheu te aroaro o tuwhenua, me te ki te whakatau i to ratou wāhi. I tua atu, me hoki haere koutou i te whakamātautau toto. Ki te taea te kitea he mate taua i roto i te ngako feces maha nui kia e te tauira kumete e hiahiatia hoki.

I roto i te tikanga ki te whakahau i te maimoatanga tika hiahiatia ki te kitea, ka tūhura gastrin, i roto i te nuinga o te wā he rahi iti rawa. Ki tenei mutunga, tikanga fluoroscopic he rangahau whakamahia me te he tomogram rorohiko. E te tikanga taua e taea te kitea me te aroaro o metastases, e e te nuinga o kei roto i te kopa o te kōateate, ate me te waitinana kōpuku.

Ko te huarahi tata ki te tātari - ko te angiogram o te rua ate, i roto i nei te kohinga o toto mo te tātari. hanga i tēnei tikanga e taea ki te aromatawai i te taumata o te gastrin i te toto. Kia aroha mai, titau taua rangahau i te rota o te mahi me te pūkenga hauora, na e kore e te mea kawea atu i roto i ia whare hauora.

Zollinger-Ellison syndrome: maimoatanga. Ko te tikanga o te maimoatanga ki taua mate e taea e rānei momo hāparapara ranei. I roto i te tīmatanga o te mate te manawanui ki te manawanui whakahau taero e tautāwhi i secretion waikawa pekitīlia me te ārai i te mahi o te gastrin.

Ki te he kotahi te puku, kia hoatu ai te manawanui he maimoatanga hāparapara ki te tango i te repara. I roto i ētahi wā tino, whakahau kaiwhakaako te tango oti o te puku.

I roto i taua take, ki te mea kua metastasized te puku, puta noa i te tinana, te tango i kore e whakaoti reira tetahi mea. take pērā i roto i te mahi hauora tata 60% mutunga i roto i te hapanga.