Pancreatitis pseudotumor: take, tohu me ngā āhuatanga maimoatanga

pseudotumor Pancreatitis - he puka o roa-tīariari pancreatitis ma'i runga. pā te mate tangata atu pinepine atu i te wahine. māuiuitanga mai te ingoa i te Kariki kupu "taiaki" - te repe taiaki, "te nuinga o" - mumura me "puku" - he puku. Ko te mooni iritihia taea e te reira na - mumura o te repe taiaki e ka tāwhai i te tukanga neoplastic.

Pseudotumor pancreatitis: Okú, Tohu

āhuatanga whakahōhā i roto i te whanaketanga o tenei mate ko te pūnaha māuiuitanga hepato-biliary (hei tauira, CL) me te whakamahi roa o te waipiro. He nui iti - tango rongoa me ētahi atu disorders hauora. I roto i te nuinga o te wā, pancreatitis pseudotumor ko te putanga o te tukanga inflammatory ma'i i roto i te repe taiaki me te kopa nui iti (āhua 10% tupu) kitea ana e ia i muri i te mumura whakapeka.

maha tuhia te whanaketanga o tohu ki runga ki te whakamārama o te cholelithiasis i roto i nga wahine. Heoi, ka taea e kore anake e reira he take precipitating o faufaa nui konei, ka whai malformations o te pūnaha biliary, mate o te tau mahani ate te papilla o Vater ranei. I roto i enei take, whakawhanake te mumura rite ki te hua o te whakaitinga tonu o ate ki te tau mahani pancreatic.

Ko tētahi o nga ara o te whanaketanga o te pseudotumor pancreatitis taea e lymphogenous kiko hinga taiaki (te tikanga repe wāhi upoko), ka horahia te mumura i te gallbladder roto i te kōpuku lymphatic me oko.

I roto i te wā nui atu te utu, puka pseudotumor o pancreatitis ma'i taea puta ki te whakamārama o te whakamahi wā roa-o estrogen, acetaminophen me ētahi atu taero kawe tuku ranei. A ka etiology tuku, kauneke te mate kaha, faarahi te reira i te tūponotanga o te repara (repara), a kei te tipu rino hē tere.

faaiteraa haumanu

Ko te tohutanga o tenei puka o pancreatitis e pā ana ki kōpeketanga o te wahi biliary, kore endocrine me te kore o te whākōkī pancreatic e whai wāhi i roto i te nakunaku. Ano, te pukupuku he tohu hakari, me te mamae kino i roto i faaiteraa haumanu. kia asymptomatic puka atamira Pseudotumor tuatahi.

Ko tapaea te nuinga tūroro e whai ake tohu o te mate:

• jaundice;
• mamae whitiki e puta i muri i ingestion fatty whakapeka ranei kai, tetahi waipiro opue ranei;

• kai pukupuku i roto i te kumete ;
• whakapairuaki, aru i te ruaki, e hopoi mai te tauturu;
• "Taekaha" feces (steatorrhea);
• korere tētahi ki kōroke;
• iti i roto i te kātakí kūhuka;
• mate taimaha waroa;
• taiaki gasket upoko - palpation;
• he hua i roto i te mate pukupuku.

Tikanga o ahua o nga tohu matua

I roto i te mate whakaahuatia ko te hua i roto i te repe taiaki, e pā nei te ki te takanga o cysts (pseudotumor pancreatitis ma'i, whēwhē pancreatic), whanaketanga lipomatosis me pāpaka autoimmune.

te tikanga ka pā mumura te matenga taiaki - he wahi o putanga o te tau mahani pancreatic matua. Ka rite ki te hua, kei te whāiti te whakamutunga, ka stagnates wai pancreatic i roto i te tinana. Ka rite ki te hua, he tonu te tau mahani, a kei te tipu haere te pēhanga i roto i reira. Whākōkī roto i te wai, timata ki te ngaungau i te kiko pancreatic, e arata'i ki te takanga o te syndrome mamae nui, Kei te maha i tahi e puka pseudotumor rawaka o te pancreatitis.

jaundice taunutia

I roto i te huarahi o tenei tohu whai wāhi tino upoko rahi mate pukupuku, pēpēhinga choledoch (ate tau mahani). Ka rite ki te hua e kore e taea e rere ki te duodenum, e tika ana ki nei te pēhanga i roto i te piki te hongere me ate āta tomo te awa toto o ate i roto i te ate.

Ko te amuamu matua ki jaundice taunutia he feces poapoa, minamina nui, mimi pouri, me kōwhaitanga o te kiri, me te mā karu.

Me pēhea te ki te kitea i roto i pseudotumor pancreatitis manawanui mate pukupuku ranei

Whakaahuatia nga tikanga tātaritanga i i tangohia ki pūkete nga amuamu katoa me faaiteraa haumanu o te mate, me te ki te tutakina atu mate, e kore e anake o te repe taiaki (hei tauira, mate pukupuku), engari ano hoki nga whekau pātata, me tohu rite. Hoki tenei whakaaro ko reira whakahauanga:

• kōrero gastroenterologist.
• hītori Medical me amuamu (pancreatitis mua, cholelithiasis, tango rongoa, amuamu o mamae i roto i te hautahi matau o runga, me te rohe epigastric, me ētahi atu).
• Examination o te manawanui me te whakahaere palpation (taea hiri me te here i roto i te rohe o te repe taiaki).
• whakamātautau toto. Hoki te puka i homai o te pancreatitis te hua āhuatanga i roto i te taumata o te trypsin, amylase me lipase, waimaero kātakí kūhuka.
• Whakatau i o tohu puku, me te polypeptide pancreatic (ki te whakakore mate pukupuku). Na roto i te whakanui ake i te nui o antigen carcinoembryonic, CA 125, CA 19-9, polypeptide pancreatic, kua whakapumautia puku tātaritanga, me ka faaoti nga matū i runga ake-whakaahuatia whakaiti e pā ana ki te aroaro o te mumura, e haapapu te tātaritanga "pseudotumor pancreatitis".
• US taiaki (aroaro o hypertrophy, me te huringa i roto i te hanganga o aerodynamics repe kikokiko, te ngaro / aroaro o calcifications).
• CT MRI ranei (ki te aukati neoplasms mārere).
• ERCP. huringa atahanga technique i roto i te tau mahani pancreatic.
• tseliakografiya tīpakopako (faaotiraa huru oko pancreatic).

therapy

pancreatitis Pseudotumor, tū nei maimoatanga i roto i te wā whakapeka te i roto i te gastoenterologii, āhuatanga e tāwakawaka akoranga (arā whakarerekētanga o remissions me exacerbations).

Maimoatanga o tenei mate tā te whakarite o te kai e tohu i (tepu №5). kai auau tukua (e rima ki te ono nga wa i ia ra), engari i roto i nga wahi iti. tikanga tunu kai: e koropupu me tunu, uaua - tinei. hinuhinu rāhuitia, kai parai, hua parai, tea kaha, kawhe, tino whāiti ki te nui o te kai (rawa poaka), me te waiu.

Ko te arotahi matua o te therapy he maimoatanga etiotropic, arā whakakorenga o ngā āhuatanga precipitating (te whakamahi o te waipiro, taero) me nga take e kua meinga tenei āhuatanga. Hei tauira, ki te gallstones - cholecystectomy, a na i runga i.

kia hāngai maimoatanga Drug i fakatonutonu i te iti hoki repe te pütahitanga, me te exocrine. Ki te mahi i tenei, whakahau taero, whākōkī, "Pancreatin" i roto i te taha ki "Solizimom" ranei "lipase". Hei whakaiti i steatorrhea waikawa whakamahia me tāpiringa konupūmā.

I roto i te tikanga ki te whakaiti i dyskinesia anticholinergics whakahaere. Hoki te tanga o nui te mamae syndrome antispasmodics whakamahia ranei "Atropine". Ka rite ki te tikanga whai hua mō te sphincter spasmolytic o oddi whakamahi "Mebeverin" ranei "Gimekromon". Te maimoatanga exacerbation wā ngā antimicrobials. Ki te kore e therapy tarukino whakaiti i te huamo o te prostate, me hypersecretion, ka whakarite tūāhuruiti rohe (rohe) he puaretanga radiation rohe ranei.

Haunga enei maimoatanga, maha ki pancreatitis Pseudotumor rawaka te whakahaere pokanga endoscopic (hei tauira, papillosphincterotomy) hangaia ki te decompress te pūnaha ductal. Ko tino whai hua taua pokanoa ina prepalillyarnogo whakatūpehupehu kāri, papillostenoze, hua o te matenga taiaki, tahi e te jaundice taunutia, me te kōpeketanga bile noa tau mahani.

ārai

āraihia atu i roto i te tātaritanga o "pseudotumor pancreatitis" whakaiti, matua, ki te whakarerenga o te whakamahi o te ava. He nui hoki te maimoatanga tika me te wā o te mate e taea tīmata tenei māuiuitanga hoki reira. E tauturu te reira ārai mate, me te noho pai, te mana e te fariiraa mātanga o taero pea mōrearea.

outlook

Haurangi i takanga o pancreatitis whakaahuatia puka āhua pai. He onge ki exacerbations me āta ahu whakamua tenei mate, me endocrine iti hoki varavara e faatupu te whanaketanga o te kino tākihi me te angiopathy. Ka taea te mutu te ahunga whakamua o te mate i roto i te whakarite o te maimoatanga wā, me te whakatinanatanga o te taunakitanga o te rata haere i roto i ngā wā o te murunga. E noho hauora!