ʻO ka pancreatitis Pseudotumor

ʻO ka pseudotumorous (pseudotumor) ka maʻi pancreatitis ʻaʻole ia he maʻi ʻokoʻa, akā he ʻano o ka ʻiʻomaʻi o ke aʻoki o ka pancreas, ʻo ka hōʻailona nui ka maʻi o ka maʻi hypertrophy organ. ʻO kēia ʻano o ka pancreatitis ka nui o nā hōʻailona e hoʻohala nei i ka maʻi oncological o kahi mea kino. I waena o lākou, ka jaundice obstructive, lilo nui koʻikoʻi a me ka hoʻohaʻemi ʻana i nā echogenicity kino. Eia kekahi, aia nā hōʻailona dyspeptic, ka hemahema o ka endocrine a me ka ʻeha, maʻamau o ka pancreatitis. ʻO ka mālama ʻana i ka pancreatitis pseudotumor i ka hapanui o ka hopena.

ʻEnehana hana

Hoʻomaka ka kaʻina hana ʻino i ka pancreas i ka hoʻōla ʻana o ka huina o ka enzyme (trypsin, phospholipase, etc.) i mea e hoʻoulu ai i ka edema a me ka hoʻokaʻawale ʻana pono o kāna ʻāpala, kahi i alakaʻi ai i ka make a me ka necrotization o nā pauku waiwai.

I mea e pale ai i ka komo ʻana o nā huahana hōʻeha i ka hoʻokahe i ke kahe, hoʻōla ka kino i ka ʻoihana pale - ke kāpae nei i ka pālahalaha ʻana o nā toxins, fencing ka ʻōpū me ka launa pū me ka paʻa o nā pseudocysts (formations piha me nā necrotic masses). Me kēlā me kēia exacerbation o nā maʻi, nui aʻe nā ʻano a me ke ʻano o ka ʻaʻa ʻana, a wili ka hao.

Ma hope mai, ke kumilima o ka papa o ka pseudocyst ka mea, i loko o 10-15 mau makahiki e alakaʻi ana i ka hoʻopili a me ka hoʻonui ʻana o ke kino. ʻO kēia kaʻenehana, ma ka lima hoʻokahi, e pale i ke kino mai ka hoʻohālikelike a me ka make, akā ma ka ʻaoʻao ʻē aʻe, alakaʻi ia i ka hypertrophy nui o ka aʻalolo a me ka hoʻouluulu ʻana o nā ʻala pili kokoke.

I ka lōʻihi o ka manawa, ua hoʻoiho ʻia nā kino i hope aku:

• nā hua hao ʻoi
• duodenum
• waihona a me nā keʻena splenic.

A hopena, ʻo ke ola o ka mea maʻi me ka pancreatitis ma muli o ka hoʻopōʻino ʻana i nā mea pili i pili pono i ka nui aʻe o ka ulu.

Nā hōʻailona o ka patology

Kūkala iki kēia ʻano o ka pancreatitis. ʻO ka hoʻololi mai ka maʻi pancreatitis i ka pseudotumor hiki ke lawe mai ka 10 a 15 mau makahiki.

I kekahi manawa ua hoʻokumu ʻia ka maʻi kūlohelohe wale nō i ka wā e nānā ai i ka inpatient, a i kēia manawa a pau ka maʻi maʻi ʻaʻole i mālama ʻia no ka dyskinesia o ka ʻeha gastrointestinal, cholecystitis kūloko a i ʻole nā ​​maʻi maʻi.

ʻO nā ʻano pseudotumor o ka pancreatitis he mau hōʻailona ma lalo nei:

• jaundice kaahope
• ʻeha nui
• ninaki a me ka luaʻi
• hoopoulu maha?
• ka kaumaha nui me ka manawa pōkole,
• lawa o ka hana exocrine pancreatic hana, ka mea i hōʻike ʻia ma ka steatorrhea, ʻano paʻa ʻole o ka papaʻaina, ka hele ʻana o nā hakina lauwili o nā kinapo a me nā kinikini o ka naʻau ma loko.

Ma ka ultrasound, ʻike pinepine ʻia ka hypertrophy o ke poʻo poʻo o ke kīpē, ʻike ʻia ke kiko o ke kuhi me ka pseudocyst maha, ʻo ka hoʻonui ʻia ʻana o ka wahī Wirsung.

ʻO ka maʻi hoʻoliʻi o ka maʻi

He paʻakikī nui ka pseudotumor ʻano o ka pancreatitis i ka hoʻokaʻawale ʻana i nā hōʻailona mai nā maʻi ʻē aʻe o ka ʻāpana gastrointestinal e pili ana me nā hana pancreatic. Hiki i kahi exacerbation o ke ʻano o kēia mau maʻi e hoʻonāukiuki i ka hoʻonāukiuki ʻana i ke kūlana o ka lula.

He mea nui loa ia i ka hoʻokaʻawale ʻana i ke ʻano pseudotumor me ka maʻi kanesa. I ka hapa pinepine, aia ka ʻōpū i ke poʻo o ka pancreas a hui pū ʻia me ka jaundice obstructive.

Eia ka hōʻike ʻana o ka pankulop pseudotumor penei:

• ka ʻokoʻa o nā maʻi me nā hōʻailona like - adenocarcinoma pancreatic, carcinoma gastric, colon cancer, ʻeuʻeu o gastritis a i ʻole enteritis, gastroduodenal ulia, etc.,
• nā hoʻokolohua hōʻoia: he hōʻike koko no nā enzymes, kahi bentiramine a me ka hōʻike cerulin.
• nā hana kōkua: echolocation endoscopic, radiography, ultrasound, duodenography, CT,
• ʻO ka hana a retrograde pancreatocholangiography a me ka endoscopy o ka nui o ka dute pancreatic, gastroduodenoscopy, cholecystography a me ka cholangiography he mau hana maikaʻi,
• hoʻonā i ka biopsy i hoʻopā ʻia a me ka hoʻoholo ʻana o nā māka ʻōpū.

ʻImi pinepine ʻia nā maʻi pseudotumor pancreatitis ma kahi helu hiki ʻole i nā poʻe maʻi me ka maʻi pancreatic, no laila, i nā nui nui o nā maʻi i hoʻopiʻi ʻia me ka hoʻopiʻi.

Hoʻololi i ka pancreatitis mai ka pancenatic adenocarcinoma e like me nā kuhikuhi ma hope.

Nā hōʻailona hōʻailona i noho ma ka poʻe maʻi me kahi ʻano pseudo-tumor o ka pancreatitis:

• awelika (30 a 50)
• ke kāne ka nui o ke kāne
• ke kumu nui kūhā,
• ʻO ka lōʻihi o ka maʻi ma mua o 1.5 mau makahiki,
• nā kaumaha nui (ma mua o 10 kg),
• ʻeha ka ʻōpū
• ka hana ʻana i ka jaundice me ka nui o ka piʻi ʻana o ka bilirubin i loko o kahi 20% o nā maʻi,
• ʻO ka ultrasound a me nā noiʻi kamepiula i lalo o 20% o nā hihia ke hōʻike i ka emi ʻana o ka echogenicity o ke poʻo pancreatic.

Ma kahi o nā hōʻailona i luna aʻe, ʻo ke ala o ka panketitis pseudotumor i hele pū me ka nāwaliwali a me ka olakino olakino o ka mea maʻi.

No ka adenocarcinoma pancreatic, maʻamau:

• mau makahiki he nui (ma kahi o 60 mau makahiki).
• ʻo nā kāne like a ʻelua e pā like ʻia
• pohuluhi o ke kino ana a hiki i 6 kg,
• ka jaundice holomua ma ka hapa nui o nā maʻi (e pili ana i 90%) me kahi kiʻekiʻe o ka bilirubin,
• nā haʻawina haʻawina ma kahi o 75% o nā hihia e hōʻike ana i ka emi ʻana o ka echogenicity o ke poʻo pancreatic.

ʻO nā hōʻailona mua o ka adenocarcinoma pancreatic i kekahi manawa he nausea, hoʻopuka, anorexia, a me kahi kūlana kaumaha. Hoʻohana ʻia kahi biopsy no ka hoʻokaʻawale ʻana o nā maʻi me ka PP, akā ʻaʻole naʻe hiki ke hoʻoholo mau i ka maʻi kaulike. Hiki i ke ʻano o ke aʻo ʻana ke hoʻokūpaʻa wale nō ma hope o ke kaʻina.

ʻO ka maʻi maʻi

Hana ʻia ka pseudotumor ʻano maʻi pancreatitis e ka ʻoi ʻana. No ka hana ʻana i kēia, ua hoʻohana ʻia nā kaʻina e like me ke kahe ʻana o nā kumu pancreatic e hoʻomaikaʻi i ka kahe ʻana o nā wai pancreatic a me ka wehe ʻana i nā io hypertrophic o ke poʻo o ke kula.

Kūʻai ʻo Pharmacotherapy e hōʻoluʻolu i nā hōʻailona hōʻeha a lawe mai i kahi hoʻomaha iki i ka mea maʻi. ʻAʻole hiki iā ia ke hoʻoponopono i ka pilikia a loaʻa i ke kala paʻa. Hoʻokomo ʻia i ka maʻi ʻōpū me ka hoʻohana ʻana i nā lāʻau lapaʻau hōʻeha (Papaverine, Drotaverinum), nā lāʻau antisecretory (Gordoks, Kontrikal). Eia kekahi, e noi ʻia ke mālama me ka pōloli no 2-3 lā.

ʻO ka lāʻau lapaʻau ka mea e hoʻomākaukau ai i ka maʻi, ʻoiai ka manawa o ke kala ʻana ke hoʻomau ʻia ka mea maʻi.

ʻO ka wehe ʻana o ke poʻo o ke kelepona e hoʻopau i ka hoʻoweliweli o nā papa bile. Hoʻouna ʻia nā pulupulu o nā lau pancreatic overgrown no ka histology pololei i ka wā o ke kaʻina. ʻO nā hana hou aʻe o ka hana e hilinaʻi i ka hopena o ka hopena o ka hopena.

• Inā ʻike ʻia nā cell atypical, a laila e noi ʻia PDR (resign pancreatoduodenal). ʻO kēia kahi hana koʻikoʻi e hoʻopilikia ana i nā kino pili i ka pancreas - nā dile bile, duodenum a me nā fiber, aia i ka ʻaoʻao o ka kelepona.
• Inā ʻaʻole i hōʻike ka histology i nā loli o ka maʻi ma ke kiko o ka pancreatic, a laila ua hoʻowalewale ke poʻo o ke ʻano me ka husking nui formations e loaʻa ai ka pume ma ka pancreatic duct nui. ʻO kēia ala o ka hōʻiliʻili o ke kaʻa hiki ke hoʻopau i ka hoʻomohala ʻana i ka maʻi a loaʻa ka kala, a ma hope o ka hoʻihoʻi ʻana, hoʻomaikaʻi maikaʻi ʻia ka maʻi o ka mea maʻi. Lala, ke pale nei kēia hana i ka maʻi maʻi, ʻo ka mea ka hapanui o ka papa hana i hiki ke hoʻokō i kāna hana endocrine ma ka hana ʻana i ka insulin.

I ka wā hana, hiki ke hoʻomau nā mea maʻi i nā mea paʻa i kaʻai ʻana i ka meaʻai a me ka haʻalele ʻole i ka inu ʻana i ka waiʻona. Eia kekahi, pono ka hoʻololi hou ʻana o nā lāʻau me ka hoʻomākaukau ʻana o ka enzyme, ka manawa hoʻokeo ʻana a me ka mālama ʻana i ka spa i nā ʻoihana o kahi kōkuhi gastroenterological.

Hoike ʻike

ʻAʻole kahi ʻāpana nosological hoʻokaʻawale ʻo Pseudotumor pancreatitis, he ʻano morphological o ka pancreatitis kino, ka mea i hōʻike ʻia e ke ʻano maʻi, ʻo ka partial fibrosis a me parenchyma hypertrophy. ʻO nā hiʻohiʻona ʻokoʻa o kēia ʻano ke ʻano o ke kūloko o kahi kūloko, i kekahi manawa i ʻōlelo ʻia he nui ka nui o kekahi o nā keʻena o ka pancreas, a me ke ʻano o ka foci o ka hoʻonui nui ʻia. ʻO ia ke kumu he nui ka pseudotumor pancreatitis e hoʻokaʻawale i ka oncopathology o ke kino. ʻO ke poʻo o ka pankreas ka hopena pinepine, no laila, ʻo ka jaundice a me nā haʻahaʻa subhepatic o nā portal hypertension e lanakila ma ka haukapila.

ʻAʻole loaʻa nā helu helu ʻikepili i ka epidemiology o pseudotumor pancreatitis, no ka mea, ʻaʻole nui nā biopsy intravital o ka mea pili i nā mea momona, akā, he mea nui loa nā loea i ke kula o ka gastroenterology e hoʻonui i ka ulu. ʻO ka ʻikepili o ka ʻike ākea ka nele i ka pili ʻana me nā ala like ʻole i ka nānā ʻana i nā patology: he nui nā mea maʻi me ka pankona pseudotumor i manaʻo ʻia he poʻe kanaka me ka cholelithiasis, nā waiʻona hoʻonaninani maʻi maʻi, kahi papillitis duodenal a me nā maʻi ʻē aʻe.

ʻO nā mea nui e hoʻonāukiuki i ka hoʻomohala ʻana o ka pankunitis pseudotumor ka lōʻihi o ka hōʻino ʻona ʻawaʻawa a me nā pathary pathology (cholelithiasis a me nā maʻi ʻē aʻe o ka ate a me ka pēpili biliary) - ʻoi aku ma mua o 80% o nā hihia a pau i hoʻokumu ʻia e kēia mau kumu. ʻO ka maʻamau, lilo ka pseudotumor pancreatitis i ka hopena o ka lawe ʻana i kekahi mau lāʻau lapaʻau, nā maʻi āpau ʻē aʻe. Ke manaʻoʻiʻo ua hoʻomau ka pseudotumor pancreatitis o ka etiology ʻawaʻawa ma hope o kahi kaʻina hana ma ke ʻano he 10% wale nō o nā hihia, aʻo nā manawa hoʻonā nui o ka pancreatitis e hōʻike pinepine ʻia e pili ana i ke kāʻei o kahi hoʻomanawanui maʻamau. Ua hōʻike ʻia ka piʻi nui ʻana o ka maʻi o ka maʻi i nā mea poki.

Ma ka hapalua o nā hihia, ka biliary pseudotumor pancreatitis (biliary pancreatitis) he hopena o cholelithiasis, ʻoi aku ka hoʻopaʻa pinepine ʻana i kēia ʻano o ke ʻano i nā wahine, a ʻo ka hopena o kona hoʻomohala ʻana e hoʻoholo ʻia e ka lōʻihi o ka maʻi o ka lalo o ka maʻi a me ka localization o ka calculi. ʻO nā mea ʻē aila o ka pancreatitis biliary ka komo pū ʻana me ka anomalies congenital o ka mahele biliary, nā maʻi o ka Vater papilla a me nā kumu umauma bile. Hōʻike ka pathogenesis o ka pancreatitis i kēia hihia ma ke kaohi mau ʻana o ka huahe nui ma loko o ka papa pancreatic. He hana nui hoʻi ka limahana lymphogenous o ka pihi pancreatic, ʻo ia ka luna o ke pancreas, kahi e hoʻomaʻi ai ke kaʻina o nā hanana mai ka palaki i ka kaulahao o ka lymph nodes.

Hoʻoulu ka lāʻau lapaʻau pseudotumor pancreatitis me ka hoʻohana lōʻihi o ka acetaminophen, estrogen a me nā lāʻau lapaʻau ʻē aʻe. ʻO kekahi, maʻi pancreatitis me ka parenchyma hypertrophy hiki i ka etiology hoʻoilina: ke ʻano nei kēia ʻano ma ka holomua ʻōnaehana, ka hoʻonui ʻana o ka hoʻōla o ka endocrine a me ka exocrine, a me kahi nui o ka hōʻinoʻana.

Hoʻomaopopo o ka pankuloti pankuloti

Kuhi ʻia ke kiʻi o ka lāʻau lapaʻau e ka poʻe nui o nā hōʻailona o ka hoʻopiʻi ʻana i ka pā o ka biliary e ke poʻo pancreatic hoʻonui ʻia, nā hōʻailona o ka ʻōpū o endocrine, a me nā dyspeptic a me nā ʻeha hōʻeha.Maʻa pinepine, ʻo kēia ʻano o ka maʻi i ke ʻano maʻamau a hoʻomaka paha i ka asymptomatic i nā papa mua. Hoʻohālikelike ka ʻike mua. ʻO ka ʻeha ma ka ʻōpū o luna o nā mea ikaika like ʻole kekahi mea, no ka manawa lōʻihi paha ka hoʻopiʻi wale nō ka mea maʻi. Ma kahi liʻiliʻi ma hope, ua hui pū ka endocrine (hoʻohaʻahaʻa haʻahaʻa i ka mau pateate me nā hihia pili ketoacidosis, nephropathy) a me ka hoʻopuka exocrine (dyspeptic syndrome a me ka steatorrhea).

ʻOiai ke kūpono o ka ʻeha he pathognomonic no ka pancreatitis, me kahi puka pseudotumor aia wale nō i ka 30-40% o nā maʻi. Hoʻomaʻamaʻa pinepine ʻia ka ʻeha ma ka epigastrium a me ka hypochondrium pololei, ma hope o ka pāʻina nui, ʻoi aku ka meli, e hoʻomau ana no ʻelua a ʻekolu mau hola. ʻO ka hoʻopiʻi Dyspeptic e komo ana i ka nausea, ka luaʻi, a me ka emiʻana o ka momona a me nā huehue e pili ana i ka nele o ka enzyme a me ka hoʻowalewale ʻana o ka hoʻōla ʻana.

Ke mālama nei i ka pancreatitis pseudotumor

Hoʻohana ʻia ka mālama ʻana i nā mea maʻi me ka maʻi hōʻoia a pseudotumor pancreatitis i ka wā o kahi exacerbation i hana ʻia i ka keʻena o ka gastroenterology. Hoʻokomo ʻia ma ka lāʻau lapaʻau i ke kau ʻana o ka papaʻaina 5. ʻO ka hana koʻikoʻi i ka hana maʻi i hāʻawi ʻia i ka kuhikuhi etiotropic - ke kāʻili ʻana o ke kumu o ka maʻi (no ka laʻana, ʻo cholecystectomy me ka cholelithiasis, ka lawe ʻana i ka papillostenosis a me nā mea ʻē aʻe).

ʻO ka pahuhopu nui o ka lāʻau lapaʻau ka hoʻoponopono ʻana i nā maʻi exocrine a me intrasecretory pancreatic. Hoʻonohonoho ʻia nā hoʻomākaukau ʻana o Enzyme - pancreatin i hui pū me ka lipase a i ʻole nā ​​solisim. ʻO ka lawa ʻole o ka ʻikepili o nā bicarbonates e uku ʻia e ka hoʻohana ʻana o nā antacids, ka mea, i hui pū ʻia me ka hoʻomākaukau ʻana i ka calcium, e hoʻēmi ana hoʻi i ka steatorrhea.

No ka hoʻēmi ʻana i nā mea hoʻonā dyskinetic o ka apparatus sphincter, ua hoʻonoho ʻia nā cholinolytics. Hoʻomaʻamaʻa ka ʻeha ʻeha me ka lawe ʻana i ka atropine, antispasmodics. ʻO kahi hopena antispasmodic maikaʻi e kū'ē i ka sphincter o Oddi ʻo Gimecromon, mebeverin. I ka wā o ka exacerbations, ke kau mau nei i ka lāʻau maʻi antibacterial. I ka hihia o ka hoʻohana ʻana i nā lāʻau lapaʻau kaila o ka gland edema a me hypersecretion o nā kinina, ka radiation radiation a me ka hypothermia kūloko e hoʻohana ʻia.

I ka mālamaʻana i ka pancreatitis pseudotumor, maikaʻi loa nā hana endoscopic. ʻO nā ʻōmaka no kēlā mau hōʻiliʻili ka nui o ke poʻo o ka pancreas me ka hoʻomoʻi ʻana i ka pono o ka bile dile a me ka jaundice obstructive, a me ka papillostenosis, nā hana paʻa o ka pauku prepapillary. I kēlā mau hihia, hoʻōla ʻia ka papillosphincterotomy e decompress i ka ʻōnaehana wai.

ʻO ka wānana a me ke kālai

Ua makemake nui ʻia ka prognosis no kēia ʻano maʻi: ka pankuditis pseudotumor e hōʻike ʻia e ka exacerbations infrequent, lohi ka holomua, ka endocrine insufficiency (pancreatogenic diabetes) hiki pinepine i ka nephropathy a me ka angiopathy. ʻO ka mālama ʻana i ka manawa kūpono, ʻo ia hoʻi ka pili pono i nā ʻōlelo hōʻike i ka wā o ke kala ʻana, hiki ke pale i ka holomua. ʻO ka pale aku ke kaupalena ʻana i ka hoʻohana ʻana i nā mea inu wai ʻona, hiki i nā lāʻau lapaʻau pilikia, mālama i ka manawa kūpono o nā maʻi e hiki ai i ka pancreatitis pseudotumor.

ʻO ka pancreatitis Pseudotumor: he aha ia?

Hoʻolālā ʻia ka pancreas e hana i nā enzymes (lipase, trypsin, phospholipase, etc.) e wāwahi i ka meaʻai i ka duodenum. Eia nō naʻe, ma muli o kekahi mau kūlana, ua nele ka laha o kēia mau mea. ʻO ka hapanui o lākou ke hōʻiliʻili i nā ʻili o ka pancreas, ʻo ia ke kumu no ka hana ʻino ʻana i nā huaʻōlelo i manaʻo ʻia no ka hoʻouka ʻana i ka meaʻai he hopena hōʻino i nā kolo o ka huelo.

Eia naʻe, kāpena ʻo ka pale o ke kino, ka mea i pale aku i nā huahana i hoʻokumu ʻia mai ka luku ʻia ʻana o ka huʻu laupana mai ke komo ʻana i ke kahe o ke kahe, alakaʻi i ka nui o ka nui o ka pili e hoʻopili ai i lilo i mea paʻa. He ʻano Pseudocysts. ʻO ka pancreatitis kahiʻoi aku ka nui, ʻo ka nui o nā puka pseudocystic e hoʻonui. Ma ke lōʻihi o ka manawa, ulu nā nui o ia mau ʻano a alakaʻi i ke ʻano o ka hakakā ʻana a me ke hoʻonui ʻana i ka nui o ka pancreas.

ʻO kaʻoiaʻiʻo, e hāʻawi nā hana palekana i ke kino i ka manaʻo ʻole ʻaʻole i komo nā mea i make i ke kahe, e pale ai i ka mea maʻi mai nā hopena koʻikoʻi. Eia nō naʻe, ʻo ka nele o ka hana kūpono e alakaʻi i ka hopena ʻo ke neoplasm ka hopena e alakaʻi i ka loli hypertrophic nui i ka hoʻopili kino a me nā hana i ʻole e pili ana i nā ʻōpio kokoke, e like me ka duodenum, nā papa pipi, nā nīpepa a me nā veins splenic.

ʻO ka momona a me ka metabolic o ka maʻi

E noʻonoʻo i kahi hana hou no ka hoʻomohala ʻana o ka maʻi, ʻoiai, ma ka hapa nui o ke kumu o ka pseudotumor pancreatitis ka hoʻopōʻino ponoʻī o ka ʻōpala nui a me ka hoʻohana lōʻihi o kekahi mau lāʻau lapaʻau (acetaminophen, estrogens). ʻO ka Ethanol i loko o nā wai inu wai hiki ke alakaʻi nui i ka nui o ka molekō o ka protein o ka wai pancreatic.

Hoʻokomo ʻia nā ʻ opio manuahi i ka wā o ka hoʻokaʻawale ʻana i nā mea waiwai ʻona i ka hoʻoulu ʻana i ke kaʻina o ka sedimentation o ka calcium carbonate i loko o ke ana o ke kino. Ke alakaʻi aku nei kēia i ka hoʻokumu i nā pōhaku e hoʻopili nei i ka puka ʻana o nā enzymes a me ka ulceration o nā pā epithelial.

ʻO ka hoʻomohala hoʻomohala a me nā ala no ka mālama ʻana i ka pancreatitis pseudotumor

He ʻokoʻa nā pilikia o ka hana i loko o ka pancreas, hoʻokahi o ia mau pseudotumor pancreatitis.

ʻO ia kekahi o nā poho ʻeha ʻoi loa, no ka mea e make paha ka mea maʻi.

No laila, pono ʻoe e ʻike i ke ʻano o ia, pehea ka ʻokoʻa o ka pathology me ka pancreatitis maʻamau a no ke aha e kū ai.

Nā hōʻailona o ka patology

Nā hōʻailona nui o nā patologi:

• nāwaliwali
• luhi, luhi
• ʻōpala
• huhū
• ka ʻeha mau loa a lōʻihi hoʻi
• nā hana ʻino ma ka hana o ka ʻōnaehana dyspeptic,
• ninini
• utuka
• hoʻemi i ka momona
• ka emi ʻana o ke kaumaha o ke kino,
• ʻo nā mea ʻili, ʻili o ka ʻili.

mai Kauka Malysheva:

Hōʻike ʻia kēia ʻano pancreatitis e ka hoʻomohala hoʻomohala ʻana. I kekahi manawa hiki i ke kaʻina hana ke hana ma mua o 10 mau makahiki. He mea paʻakikī ka maʻi kūpono ma muli o nā hōʻailona o ka maʻi e like me ka hōʻike ʻana o nā maʻi ʻē aʻe, a me nā loli nui i ke ʻano a me ke ʻano o ka pancreas i ʻike koke ʻole ʻia.

ʻO kēia ke ala i hiki ke kali i nā loli e like me:

• ka hele ʻana o ka ulu ʻana o ka pancreas (ʻike ʻia e ka palpation),
• ulana ulu ʻana,
• nā kolohe i ka hana exocrine o ka pancreas.

ʻAʻole hiki ke nānā pono i kēia mau hiʻohiʻona iā ʻoe iho, no ka mea koi kēia ʻike i nā ʻike a i nā hanana diagnostic kūikawā paha.

Nā Palapala Diagnostic

Pono ʻia kahi papa hana i hōʻike ʻia e hōʻoia i ka maʻi maʻi.

Aia i ka:

1. ʻO nā hoʻāʻo koko ākea, urine, feces. Me ka maʻi pseudotumor, ke piʻi aʻe ke kiʻekiʻe o ka leukocytes a me ESR i ke koko. ʻO ka urine ka nui o ka bilirubin a me alpha-amylase i ka lilo ʻole o urobilin. ʻO ka nānāʻana i nā feces e hiki ai iā ʻoe ke ʻike i nā abnormalities ma kahi o ka kūnao ʻana.
2. Uiuei ʻO ka pōkole o ka puʻuwai ʻōpū e hōʻike i ka nui o ka pancreas. Eia kekahi, ʻo ia ʻano haʻawina e kōkua ana e hoʻopaʻa i ke ʻano o nā kumu o ka pancreatic.
3. Hōʻike koko koko biochemical. ʻO ka heleʻana o kahi ʻano pseudotumor e hōʻike nei i ka hoʻonui ʻia o ka trypsin, lipase, waikawa sialic, bilirubin i ke koko.
4. Hoʻokomo ʻia
5. Ke hōʻike ʻo CT (MRI).Mahalo i kēia mau hana, hiki iā ʻoe ke loiloi i ke kūlana o ke kino a hoʻoholo i ka hopena o ka ulu ʻana i nā carcinomas.
6. ʻO ke aʻo ʻana o nā kumu pancreatic e hoʻohana ana i ka endoscopy.
7. Kūlohelohe mōʻaukala. Pono e hoʻokaʻawale i kēia ʻano o ka pancreatitis mai nā maʻi maʻi pancreatic.

Inā pono, hiki i ke kauka ke kuhikuhi i nā kaʻina hana hou: ka hoʻāʻo ʻana o ka enzyme i ke koko, ka hoʻāʻo cerulin, cholecystography.

ʻO ka echogram o ka pancreatitis hoʻololi maʻamau: a) virsungolithiasis, b) hoʻonui ʻia Virsungianov duct

Hōʻalo a me ka prognosis

Me ka mālama kūpono a me ka manawa kūpono o ka pankuditis pankudotoror, ʻoluʻolu ke kūmole ka prognosis. Hiki i ka mea maʻi ke alakaʻi i kahi ola maʻamau, ke hāʻawi nei ʻo ia e nānā pono i ka pale ʻana.

1. Ka hoole ʻana i ka hewa maikaʻi (hōʻemi i ka inu ʻawa,).
2. Lawe i nā lāʻau lapaʻau i kuhikuhi ʻia e kāu kauka.
3. Hoʻohana kūpono i nā maʻi maʻi maʻi, nā kuhi ʻana i ka maʻi puhiwa.
4. ʻO kaʻai kūpono.

ʻO ke kūpaʻa me kēia mau ʻōlelo aʻoaʻo e kōkua i ka pale ʻana mai ka maʻi maʻi a me ka hoʻomohala ʻana o nā ʻōpiopio. Inā mālama ʻole ʻoe i nā lula, a laila ʻeha hou ka maʻi.

Eia kekahi, hiki ke hui pū:

• uaua vekoposis,
• maʻi mellitus maʻiʻi
• peritonitis
• jaundice
• ka ho okumu ana o kauaka,
• ka hooulu ʻana o nā cysts i loko o kahi kaomi maʻi kino.

ʻO ka pancreatitis Pseudotumor kahi halelo weliweli, hoʻopilikia me ka hoʻoweliweli ʻana i ka maʻi kanesa. No laila, he mea nui e ʻike i kahi manawa kūpono a mālama iā i ka mālama ʻana.

Manaʻo mākou i nā ʻatikala e pili ana

No ke aha i hana ai ka pancreatitis pseudotumor?

Hiki ke hele mai ke ʻano o ka hoʻōla ʻana o ka pancreas o ke ʻano maʻamau no ka nui o nā mea - hoʻonāukiuki.

E pono e noʻonoʻo ʻia nā mea hou aku:

1. Hoʻololi a maikaʻi ʻole a koho ʻia kahi maʻi lapaʻau o ka maʻi pancreatitis, e hoʻololi iki i loko.
2. Loaʻa nā ala i loaʻa i ka gallbladder.
3. Pane a hōʻino paha i ka waiʻona.
4. ʻO ka hoʻomohala ʻana o kahi maʻi luhi ma ke kino.
5. Nā maʻi Autoimmune.
6. Hoʻopilikia ka mīkini i ke aʻoki.
7. ʻO ke hiʻohiʻona ma ka pancreas o nā cysts a i ʻole nā ​​hōʻemi o kahi ʻano ʻē aʻe.

Ma kahi o kēia mau kumu, ua hoʻopili ʻia ka hoʻomohala ʻana o ka pancreatitis pseudotumor ma ka nānā ʻole ʻana i nā rula o ka meaʻai a me ka hoʻoilina pōpilikia - ka hiki ʻana o nā pilikia pancreatic ma kahi o ka moʻo o ka moʻo.

Ua hōʻike hope loa ia e ulu pinepine ana ʻo pseudotumor pancreatitis i kahi maʻi kūlohelohe i kēlā poʻe maʻi e ulaula.

Pehea e hōʻike ʻia ai ka holoholo?

Hiki i ka pseudotumor pancreatitis ke hoʻomohala ma kahi lōʻihi. ʻO ka hoʻomohala ʻana o ka maʻi mai ka nīnau mai ka pancreatitis maʻi i ka hypertrophy organ e lawe ana mai ka 10 a 18 makahiki.

ʻO ka manawa pinepine, hiki ke hoʻoholo ʻia i kahi hoʻokolohua ʻoiʻi wale nō i ka wā hōʻike o ka mea maʻi i mālama ʻia no ka manawa lōʻihi loa mai ka biliary dyskinesia, kahi ʻano maʻi o ka cholecystitis a i ʻole nā ​​ʻano naʻau ʻē aʻe.

E like me ka mea i hōʻike ʻia ma luna nei, e hōʻike ana ʻo pseudotumor pancreatitis iā ia iho ma ke ʻano like me ka hana oncological o nā pancreas, no laila, ʻaʻole hiki koke ke kiʻi iā ia.

ʻO ka mea hoʻonaninani i ka mea maʻi i hōʻike ʻia i ke ʻano o ka pancreatitis e hōʻike ʻia e nā hōʻailona ma lalo nei:

1. Kuku ʻia o ka eha e ʻoliʻoli nei i ka hypochondrium hema.
2. Nā maʻi maʻi dyspeptic maʻamau: ua hoʻololi ʻia ke ʻano maʻi o nā constipation, a ʻaʻole hiki i nā kauka ke hoʻokū i nā kumu o kēia ʻano.
3. ʻO nā hōʻailona o kahi ʻōnaehana huhū.
4. ʻAno, hele pū ʻia me ka luaʻi, e kū koke ana ma hope o ka ʻai ʻana.
5. ʻO ke kahe nui ʻana i ka paona kino me ke kumu maikaʻi.
6. Hoʻololi ka ʻili o ke ʻano: ʻili nā ʻōuli.
7. ʻO ka ʻeha e hōʻea ana i ka wā o ka palpation o ka wahi epigastric.
8. I ka wā palpation, manaʻo ke kauka ke hoʻonui nui ʻia ke poʻo o ka pancreas.
9. ʻO ka ʻūlū a me ka ʻili maloʻo nui, no ka mea, e wikiwiki ana ka mea luhi.
10. Hoʻopili ka wai momona ma hope o ka hoʻomaʻamaʻa kino pilikino.
11. Nā hiamoe, hopohopo a hiamoe hoʻi.
12. Uwa koke a ʻano pinepine.

Inā hele kēia kuhihewa, pono e hana koke ʻoe i kahi manawa me kahi loea.

He mea kūpono hoʻi e hoʻomanaʻo i ke kauka me ka ʻike nui loa e hiki iā ia ke hana i kahi maʻi maʻi kūpono a kuhikuhi i ka manawa kūpono a kūpono hoʻi, ka mea e alakaʻi ai i ka hopena makemake.

Pehea e hoʻoponopono pono ai i nā patula

ʻO ka hiʻona o ka hōʻike hoʻomanawanui kahi maʻi maʻi phased. No kēia mau pahuhopu, mālama nā kauka i nā hana penei:

1. Lawe i nā hoʻokolohua: ka maʻiiki, koko, urine. Ke hana nei i kā lākou noiʻi noiʻi.
2. ʻO ka loiloi ʻōnaehana o nā kino kūloko.
3. Pākuʻi ʻia ke koko.
4. Hana ke kiʻi o nā kiʻiʻoniʻoni.
5. MRI me CT.
6. ʻO ke aʻo ʻana o ka hana pancreatic ma ka endoscopy.
7. Palekana - kahi hana e hiki ai iā ʻoe ke hana i kahi haʻawina like me ke kōkua i ka wehe ʻana i ka pankuditis pseudotumor mai ke kanesa o ke poʻo o ka pancreas.

Ma waho o kēia mau loiloi a me nā noiʻi, aneane hiki ʻole ke hoʻokū ʻo kahi maʻi kūpono.

ʻO nā mea e ʻike ʻia i nā hōʻike hoʻokolohua

Ma kahi kanaka e loaʻa ana i ka maʻi i nīnauʻa ʻia, e ʻike ʻia nā mau hōʻailona i loko o ke koko:

1. ʻO ka hoʻonui aʻe ESR.
2. ʻO kekahi nui o nā sela koko keʻokeʻo.
3. Hoʻonuiʻia nā pae o bilirubin, lipase, waikawa sialic a me ka trypsin.

I ka urine, e hoʻonui ʻia ai ka bilirubin, akā aia maoli ʻaʻohe urobilin. Eia kekahi, loaʻa kekahi hoʻonui o alpha - amylase. Ma nā feces, hiki iā ʻoe ke hoʻoholo i ka wā hea i hōʻemi ʻia ai ka hoʻowalewale ʻana.

Kaona o nā kino o loko

Ka hoʻohana ʻana i ka diagnostics ultrasound o ka ʻōpū o ka ʻōpū, hiki i ke kauka ke hoʻoholo inā he mālama ʻia kahi hui ʻana, inā paha he lono mai ka pae ʻana o ka maʻi pancreatic i loaʻa maoli, pehea ke ʻano o ka pancreas, inā he ʻalani o nā kumu a i ʻole paʻa ʻia lākou.

I mea e aʻo hou ai i ka maʻi ma ka kikoʻī a hoʻokaʻawale iā ia mai ka oncology i ka manawa kūpono, hāʻawi ʻia nā loea i nā loiloi hīmeni.

ʻO nā mea a MRI e hōʻike nei

ʻO ke kaʻina hana ma lalo o ka noʻonoʻo, ʻo ka hopena diagnostic hopena maikaʻi loa, kahi e hiki ai ke noʻonoʻo i nā kino parenchymal. I ka wā kahaki MRI, he kapa ia no ka hōʻoia a hoʻopaʻa ʻole i ka ulu lāʻau carcinoma.

Ma ke kaʻina o ka hana ʻana i kahi MRI, hiki i nā kauka ke hana i ka ERCP - kahi hana e kōkua ai e nānā i ke ʻano o ke kumu o ka pancreatic duct a hoʻomaopopo i ka hoʻopōʻino.

Eia kekahi, ʻo nā loea e hele pinepine i nā hoʻokolokolo angiographic o nā moku kelepa.

ʻO nā koho lapaʻau papa hana

Hoʻomaʻo ka hopena o ka maʻi maʻi e hōʻoluʻolu i ka ʻeha, hoʻoliʻiliʻi i ke kaʻina o ke kāpili bile, a me ka hoʻopiʻi ʻana i waho a me ka hana - intracretory insufficiency.

ʻO ke ʻano o ka mālama ʻana i ka pankōneke pseudotumor e komo i kahi ala komo. ʻO ia me kēia regimen lapaʻau e hiki ai ke loaʻa kahi prognosis maikaʻi.

Pono ia e noʻonoʻo pono e mālama ʻia ka mālama ʻana i ka haukapila, ma lalo o ka mākaʻikaʻi paʻa o ke kauka.

Ke hopohopo nei kekahi mau maʻi me ka mākaukau ua mākaukau lākou e inu i nā peni i ko lākou ola āpau.

He hewa kēia, no ka mea inā e pono ia e lawe ʻia, a laila hoʻokuʻu ʻia. ʻOiaʻiʻo, pinepine loa no ke kala ʻana i ka wā lōʻihi, ʻo ia ka ʻoki ʻana i ka mahele i ka ʻāpana o ke kino e pono ai.

ʻO ka lāʻau lapaʻau

ʻO ka lawe ʻana i nā pills he koho hoʻomohala hou, no ka manawa pōkole wale nō e hōʻoluʻolu i kahi kanaka o ka hōʻailona, ​​ʻaʻole hakakā me nā kumu o ko lākou helehelena ʻana.

E like me ke ʻano maʻi maʻi, kaukaʻi nā kauka i kēlā lāʻau lapaʻau:

1. Spasmodic: No-shpa, Duspatalin, Spazmalgon.
2. Anticholinergics: Argoprin, Methyldiazil.
3. Nā mea momona Enzyme: Mezim, Pancreatin.
4. Antacids: Phosphalugel, Maalox.
5. Nā lāʻau lapaʻau anti: Ampicillin.

I ka hihia inā ʻaʻole nā ​​kumuwaiwai e noʻonoʻo ana i ka hopena maikaʻi, ke hoʻoholo nei nā kauka e alakaʻi i ka lāʻau kūloko: e wehe ana lākou i ke ʻano kino o ke kino a mālama paha me kahi laser.

Hoʻolā hewa

No ka mālamaʻana i kēia kuʻuna, hiki ke hoʻohana ʻia i ʻelua ʻano hana. Eia ka lākou penei:

1. ʻO ka hoihoi o ke kiko i hoʻopā ʻia. ʻO kēia keʻakeʻa hoʻokele hana e hoʻopau i ka hoʻopihapiha o Versungs a me nā kaila bile maʻamau. I ka wā o kona hoʻokō ʻana, nānā ka poʻe loea i nā kikoʻelele a me nā mea. I ka nānā ʻana i nā hōʻailona oncological, hele nā ​​kauka i ka hōʻola pancreatoduodenal - kahi kaʻina e kū ai i ka duodenum, biliary a i ʻole ka maʻi periopancreatic. Inā he maʻemaʻe ka moʻolelo a ʻaʻole i ʻike ʻia ka lesi o ka lau a ke kino, hoʻowalewale ʻia ke poʻo a lawe ʻia nā cysts nui i kaomi ma luna o nā papa pancreatic.
2. Momi palapala wai. Hoʻokomo ʻia ke kaʻina hana i ka hoʻokomo ʻana i nā wai silicone kūikawā i loko o ka ʻeha, me ke kōkua o kēia hiki ke wehe ʻia nā wai a me ka pana mai ka mea i hoʻopuni ʻia. Hoʻokomo ʻia ka lepo me kekahi kihi i ka ʻeha, a ua hoʻohaʻahaʻa ʻia kona ʻaoʻao i loko o kahi pahu make wai kūikawā.

Ma muli o ke kumu i nā pūlei i loko o ke ʻeha no ka lōʻihi, pono e holoi ʻia lākou me ka lāʻau antiseptic.

Pēlā nā hana e kōkua ai i ka pale ʻana i ka hōʻeha ʻana i ka maʻa ʻeha i kū mai ana ke kolamu me ka lewa.

Hōʻalo ka hoʻoiho postoperative i nā hoʻopiʻieha. ʻO kēia no ka mea hōʻike ke kaʻina i kahi loiloi pathological me nā leʻemae purulent a hoʻomaʻemaʻe.

ʻO kēlā me kēia ʻano hana e makemake ʻia - ʻo ka kahu kauka wale nō e hoʻoholo. Ma aneʻi e ukali i ke kaikunāne i ka kūlana maʻamau o ke olakino o ke kanaka a me ka nui o ka hoʻokō.

I loko o ka mea i loko o ka lāʻau lapaʻau ka nui he nui nā loina endoskopika i ʻōlelo ʻia e hoʻopili me ka hoʻonui ʻia ʻana o ka puhipuhi, ka pīʻī ʻana i nā kahawai a me ka hōʻike ʻana o ka jaundice obstructive. Eia kekahi, ʻo ka paʻa o nā paukū papillary a me stenosis hiki ke hoʻohālikelike i nā hōʻike.

Nā hiʻohiʻona o nā lāʻau lapaʻau

Ma kahi o kēia mau koho lapaʻau, hiki i nā kauka ke ʻākala i ka hoʻohana ʻana i nā kālā mai nā poʻe. Hoʻopili kēia i nā decoction o nā mea kanu, nā ʻano tincture a me ka hoʻopihapiha o nā mea kanu lāʻau.

ʻO ka decoction o chamomile a me calendula, kahi ʻokoʻa i nā hopena antibacterial a me anti-inflammatory, he hopena hōʻoluʻolu.

Pono kūpono nā manaʻo kūpono a me ka wai ʻona o ka barberry.

I mea e kuke ai, pono ʻoe e loaʻa i ka 20 mau peka o kēia mea kiko ma ka lima, e ninini iā ​​ia me 200 millilate o ka waiʻona a e hoʻolapalapa iā 2 mau pule.

Lawe i kahi tincture i kahi ʻano i uku ʻia e ke kauka.

Hiki iā ia ke hoʻopau i nā toxins a pau mai ke kino a hoʻonā i ka hana o nā pancreas me ke kōkua o decoctions a me kissels i kumu kumu o nā oats.

Pono ka inu ʻana o nā kālā kālā no 40 mau lā, ma hope o ke kūkā ʻana me ka loea.

ʻO nā hoʻokō o ka Pōkotitis Pseudotumor

Hiki i ka pathology ke noʻonoʻo ʻia, me ka ʻole o ka mālama pono, hiki ke hoʻonāukiuki i nā hoʻopiʻi maikaʻi ʻole a me nā meaʻino. E aʻo hou aku iā lākou ma ka kikoʻī:

1. Peritonitis
2. Jaundice
3. Hoʻopili ke koko i nā veins.
4. Nā neoplasms Cystic.
5. ʻO ke koko hoʻoneʻe.
6. ʻIke ʻia.

Inā hōʻike ʻia kahi palolo i ka manawa kūpono a hāʻawi ʻia i kahi lāʻau kūpono, a laila hiki ke pale ʻia kēia mau pilikia ma ka hānai ʻana i ka mea maʻi o ka ʻeha kaumaha.

Kākoʻo i kahi kūlana patological

Nui nā mana kūpono e pale aku ai e kōkua i ka pale aku i ka pseudotumor form o ka pancreatitis. Eia ka lākou penei:

1. Hōʻole i nā hana hewa i nā manawa: ka uahi uila, ka inu wai, ka lāʻau lapaʻau.
2. E nānā i kāu ʻai ponoʻī.
3. ʻO ke ʻano kino a me nā hoʻonaʻauao kino o kēlā me kēia lā.
4. ʻO ka mālama ʻana i ka foci o ka maʻi: caries, otitis media a me ka sinusitis.
5. Ke hōʻike nei i kahi nānā nānā maʻamau.

ʻ saylelo aku nā kauka, ua hāʻawi kēia ʻano pancreatitis i kahi prognosis makemake nui loa no ka lapaʻau. Maʻalahi ke hoʻoweliweli ʻana ke ʻano i ka holomua.

Akā eia ka mea e hoʻomaopopo e hiki i ka hemahema o endocrine hiki ke alakaʻi i ka nephropathy a me ka angiopathy.

ʻO ka mea nui, ʻo ia ka pane pono i ka pane ʻana o kou kino ponoi, me ka haʻalele ʻole i ka hoʻoluhi ʻia ʻana a me ke ʻimi ʻana i ke kōkua olakino i ka manawa.

ʻO nā mea āpau e pili ana i ka pancreitis Pseudotumor

ʻO ka pancreatitis Pseudotumor - he aha ia? I kapa ʻia nā maʻi ʻoi loa o ka pancreas (ma aneʻi i ʻōlelo ʻia ʻo ka pancreas), kekahi o nā ʻano morphological o ka maʻi pancreatic maʻi. Ua nui ka nui o nā wahi i hoʻopā ʻia. ʻO nā hōʻailona koʻikoʻi e pili ana i ka maʻi ʻeha, ka jaundice obstrate, nā maʻi hormonal, dyspepsia.

Pehea ke ʻano?

ʻO ka pseudotumor pancreatitis kahi hana morphological o ke kaʻina mālaʻeha a kahi maʻi maʻi i ka pancreas. ʻAʻole kaʻawale ʻia i kahi ʻano nosological ʻokoʻa. Hoʻomaopopo ka hypertrophy o ka parenchyma a me ka fibrosis.

ʻO Fibrosis ka hoʻololi o kahi kino olakino e hana pono ai i nā kiko o ka maikaʻi. ʻAʻole hiki i nā mea i hoʻololi ʻia o ke kumupaʻa ke hoʻokō i kā lākou hana maʻamau, no ka mea, me ka ʻōlelo iki ʻana, he scars. Hana kēia i nā hihia i kahi e pono ai ke kino e hoʻokaʻawale i ke kikowaena o ka mumū mai nā palupalu ʻole i ʻeha a me nā kahe o nā ʻōnaehana.

Hōʻike ʻia kēia ʻano o ka pancreatitis e ke ʻano nui o ke kaiaulu i ka nui o kekahi o nā ʻāpana o ka pancreas. ʻO kahi hanana maʻamau kahi e hana ai i nā sila o ke kai, no laila, e lawe ʻia ana ka maʻi me ka maʻi oncopathology.

ʻO nā maʻi he nui i kahi ʻano pseudotumorous o ka mumū i loaʻa ka maʻi gallstone, ka hypertension portal, a ua ʻōnaʻi pū kekahi me ka wai ʻona.

ʻOiai ke ākea ka nui o nā kumu no ka hoʻomohala ʻana o ka pancreatitis (mai ka formst cystic i nā maʻi a me nā palaka parasit), ma 90% o nā hihia, hoʻonāukiuki ka maʻi i nā pathary biliary a me ka hōʻino pono ʻana ma ka waiʻona. Hōʻeha ka pilikia o ka pīpīpīpī i ka cholelithiasis (ma aneʻifter - cholelithiasis) a me nā ala ʻē aʻe o ka ate a me ka pāpaʻi biliary.

I kekahi manawa ke kumu o ka pseudotumor ʻano hana o ka pancreatitis e lilo i ka komo ʻana o kekahi mau lāʻau, ka hoʻolaha ʻana o ke kaʻina a mai ka lolo i ka lymphatic system, a me ka hiki ʻana i ka hana concomitant hana a me nā pathologies organik.

Nā kumu o ka pancreitis pseudotumor

ʻOiai ke ākea ka nui o nā kumu no ka hoʻomohala ʻana o ka pancreatitis (mai ka formst cystic i nā maʻi a me nā palaka parasit), ma 90% o nā hihia, hoʻonāukiuki ka maʻi i nā pathary biliary a me ka hōʻino pono ʻana ma ka waiʻona. Hōʻeha ka pilikia o ka pīpīpīpī i ka cholelithiasis (ma aneʻifter - cholelithiasis) a me nā ala ʻē aʻe o ka ate a me ka pāpaʻi biliary.

I kekahi manawa ke kumu o ka pseudotumor ʻano hana o ka pancreatitis e lilo i ka komo ʻana o kekahi mau lāʻau, ka hoʻolaha ʻana o ke kaʻina a mai ka lolo i ka lymphatic system, a me ka hiki ʻana i ka hana concomitant hana a me nā pathologies organik.

ʻO 50% o nā hihia o ka cholelithiasis ke kumu o nā biliary-dependant pectudotumorous pancreatitis. Ua hōʻike nui ʻia i loko o nā wahine, a me ka hopena o ka maʻi ma muli o ka lōʻihi o ka maʻi ma lalo o ke ʻano, a me ka nui, ka ʻano, ka wahi o ka calculi.

ʻO ka hoʻomohala ʻana o ka ʻano hanana o ka pseudotumor pancreatitis e hana ma muli o ka hoʻohana mau ʻana o ka paracetamol, kahi estrogen-loko a me nā lāʻau ʻē aʻe.

Hoʻonui ka mea maʻamau i ka maʻi ma waena o ka waiʻona a me ka poʻe aloha aloha hū.

E nānā mākou i ka kikoʻī he aha kahi pseudotumor ʻano maʻi o ka pancreatitis a ke kumu e hoʻomaka ai ka maʻi. ʻAʻole ia ka maʻi i hōʻike ʻia no ke kumu ʻole, lilo ia i ka hopena o nā mau ʻōmaka, kahi i:

1. ʻO nā ʻano kaʻeha o ka pancreatitis.
2. ʻO ka maʻi Gallbladder.
3. ʻO kekahi mau maʻi ʻeha.
4. Nā maʻi Autoimmune.
5. Mea hōʻeha lāʻau i ka pancreas.
6. ʻO nā Tumors a me nā cyst ma ke pancreas

I ka nui o nā maʻi āpau, ʻo ka hoʻomohala ʻana o ka maʻi e mākaʻi ʻana ma o ka nele o ka mālama ʻana no ka maʻi pancreatitis maʻi, ka mālama ʻole ʻana i ka meaʻai i hāʻawi ʻia a ma nā ʻano, ka hana hewa - ka uahi a me ka inu wai. Hōʻike ʻia kahi kumu hoʻoilina.

Ke manaʻoʻiʻo nei ua hiki i ka poʻeʻelemakule i hoʻopau i ka nui o ka waiʻona.

ʻOi aku ka hapa o ka hapa o nā hihia ma muli o ka hōʻino lōʻihi o ka waiʻona a me ka loaʻa ʻana o nā pathology o nā ate a i ʻole nā ​​mea ʻoi. I ka manawa like, nui ka ulaula e hoʻonui i nā kaʻina hana hōʻino, e wikiwiki ana i ko lākou ulu ʻana.

Aia kekahi mau hihia i ʻike ʻia i ka wā e kū mai ai ka maʻi ma muli o ka hoʻokomo i ka nui o nā lāʻau i hōʻino i ka hana o ka ʻeha o ka gastrointestinal.

Wahi a nā helu helu, ʻoi aku ka nui o nā hapa o ka pancreatitis o ka maʻi e hoʻonāukiuki ʻia e ka hōʻeha lōʻihi o ka ʻaka inu hiki ʻana. I kekahi mau maʻi me ka concomitant gastrointestinal pathologies a me ke ʻano ʻole o ka mālama ʻana i ka manawa kūpono, hiki ke maʻi koke i kahi ʻano maʻi. Ua hōʻoia kekahi mau noiʻi i ka hopena o ka ulaula ma ka hoʻonui ʻana i ka pilikia o ka hana kūlohelohe.

ʻO ka pseudotumor ʻano maʻamau o ka pancreatitis pinepine e kū pinepine i ke kuana ʻana o nā pathologies o ke ake, ka ʻōpū a me nā kumu o nā papa. Hōʻino ka hala ʻana o ka huaheo i nā ʻano no ka hoʻomaka a me ka holomua o ka mumū, ʻĀpana kūlike ia mau mea i ka lōʻihi o ke ʻano o ka maʻi i lalo, ka nui a me ka localization o nā calculi i nā kālai.

I kekahi mau hihia, ua maopopo ka ala lymphogenous o ka hōʻeha kino i ka parenchyma kelepona. I ka poʻe me ka hoʻoulu ʻana a parasitiki, foci o ka maʻi maʻamau, me ka cholecystitis, ka maʻi ma o nā moku lymphatic a me nā node i komo i ke poʻo a hoʻonāukiuki i ka hoʻomaka ʻana o nā patula.

ʻO ka lawe ʻana i kekahi mau lāʻau lapaʻau ke alakaʻi pū kekahi i ka pancreatitis. ʻO ka hoʻohana lōʻihi ʻana o ka acetaminophen a me ka estrogen e hoʻopili i ka palalalula a me ka stagnation o ka bile.

Ua loaʻa i ka puka pseudotumor kona inoa no ka mea e like me ka like ʻana o ka morphology o ka kelima i hoʻopā ʻia me ka tumor neoplasms. Hoʻopili i kahi hypertrophy parenchyma, e kū ana ka maʻi, kahi, me kahi papa lōʻihi, e hānai i ka ulu o nā kaula kīwila a me ka fibrosis. ʻO kēlā ʻano hoʻololi i ka hoʻolālā o ka kiko e alakaʻi i ka puki ʻana i nā kumu pancreatic a me ka stagnation o ka mea huna.

Ka poʻomanaʻo ethanol maʻi, nā hopena maikaʻi o ka lāʻau a me ka hoʻōki i ke kuana o ke ola ikaika o nā maʻi i hoʻomaka ai ka maʻi ʻaʻihi, alakaʻi i ka palalupua o ka wai pancreatic ma muli o ka hoʻonui o ka hapa o ka protein i loko o kāna hana. Ma lalo o ke kumu o nā hopena maikaʻiʻole, e waiho ana ka ua o ka calcium carbonate.

Ke alakaʻi nei i nā papa o ke kumu e alakaʻi ai i ke ʻano o nā protrusions cystic. Hoʻomoe ka hōʻaia o ke kahe koko i loko o nā mau i ka hoʻomaka i ka hoʻomaka ʻana o nā degeneration fibrous o ke kino, ke ʻano o ka hoʻololi ʻana o ka maʻi i ka pae maʻi.

Me kēia, hoʻāla ka wīwī o ka nui o nā pehu i nā hopena radical oxidative free. Hoʻopilikia ʻia nā ʻōpala i nā membides lipid o nā pūpuna, a i ka nui, hoʻonāukiuki i ka hana o nā kola.

ʻO nā kumu nui e alakaʻi i ka ulu ʻana o ka lapaleka o ka pancreatic i nā maʻi nā kakano o ka ʻōnaehana hepatobiliary (hepatitis, cholecystitis, cholelithiasis, biliary dyskinesia) a me nā mea inu waiʻona.

ʻAliola o ka pancreatitis pseudotumor

ʻO nā kaʻina o nā maʻi i ka lula e alakaʻi i kahi pōkole o kāna kumu nui a me ka hana ʻana i ka kahe o ka enzymes a me ka wai i loko o ka pancreas. Ma kahi ʻano koʻikoʻi o ka maʻi, ua pāpā ʻia ke kumupaʻa nui, ma muli o ke ʻano o ka pancreatic a me nā enzymes hoʻowalewale a hōʻuwī i ka kelepa iho.

Nā hōʻailona hōʻailona a me nā hōʻailona o ka maʻi

ʻO ke ʻano o ka pancreatitis i hōʻike ʻia me ka nui o nā hōʻailona e hōʻike ana i nā kaʻina pathological e kū mai ana i ka pancreas a me nā mea pili ʻē aʻe. Loaʻa i ka poʻe maʻi nā hōʻailona pili i ka maʻi maʻi. Hoʻoloka mākou i nā hōʻailona kūpono paha o ka pankōnohi pseudotumor.

1. Loaʻa i ka poʻe maʻi nā maʻi aʻokiʻoki ikaika e hiki mai ana ma hope o ka ʻai ʻana i ka hua momona, a momona a i ʻole ka waiʻona, ke koi nei i ka pō.
2. Loaʻa ka poʻe maʻi i ka nausea, hōʻa pinepine i ka luaʻi, e lawe mai ana i kahi hōʻoluʻolu.
3. Hoʻonui ka nui o ka ʻōpū ma muli o ka ʻike o nā neoplasms a me ka ulu ʻana o ka pancreas i ka nui.
4. Nā kumulāau o ka stool e nānā ʻia (hoʻololi ʻia ka constipation e ke kahikila).
5. ʻO ka ʻili o ka mea maʻi a me ka ʻula o nā maka ke loaʻa i kahi kaila melemele (e hōʻike ana i ka hoʻomohala ʻana o ka jaundice obstrate).
6. Loaʻa nā ʻāpana o ka meaʻai i nā feces, e hōʻike ana i ka hemahema o ke kaomi ʻana.
7. Loaʻa ka poʻe maʻi i ka hoʻoluhi kaumaha koʻikoʻi, kahi kaumaha o ke kūlana maʻamau.
8. I ka hoʻokipa ʻana i ka wā o ka palpation, ua kahakaha ke kauka i kahi hōʻailona ma ka wahi o ke poʻo o ka pancreas.

ʻO nā hōʻailona maʻamau o ka pankōneke pseudotumor hōʻeha nui ke kāʻei o ke kāʻei ʻoi a me ka pohō nui ʻana.

Ma muli o ke koi ʻana o ka pā biliary e ka poʻo i hoʻonui ʻia, e ulu pū kekahi kiʻi kauka o ka hanana exocrine gland insufficiency. Pēlā e neʻe ai me kēia, hiki i ke kaʻina pili ke hāhai i nā mokupuni o Langerhans a hoʻolilo i ka hala ʻole o ka hana endocrine. Ma keʻano holoʻokoʻa, e hele mai nā hōʻailona like ʻole:

• ka eha mau ma ka ʻāina epigastric a ma ka hypochondrium pololei, aia kekahi mau hanana kāʻei o ke kāʻei a hoʻonui ʻia ma hope o ke kō ʻana o nā momona momona, a me ke ahiahi a me ke ao,
• ʻO ka huakaʻi, a i ʻole a i ʻole ka maʻi ʻana,
• discolavola
• ka kaumaha a me ka nui o ke kaupaona ʻana o ke kino o ke kino i kahi manawa pōkole,
• ka lā e puka ana ka nausea, ka luaʻi,
• ka ʻōmaʻomaʻo o ka ʻili, nā membrane mucous, kūikawā i ka sclera,
• i nā hoʻokolohua laboratory, kahi hōʻemi i nā pae o ka insulin a, no laila, hiki ke ʻike ʻia kahi piʻi o ka nui o ka glucose o ke koko.

ʻO nā hōʻailona a me ke kaha o ka maʻi

I nā hoʻomaka mua, ua holoi nā hōʻailona o nā maʻi. E like me ka hoʻonui ʻana o ka pancreatic pancreatic i ka ulu ʻana, e ulu ana:

• jaundice kaahope
• ʻeha i ka ʻeha o ka epigastrium, ke ʻano a me ka nui o kēlā me ke ʻano.
• nā hōʻike ʻana o ka nele o ka endocrine - ke hoʻomanawanui i ka hoʻohaʻahaʻa glucose a me nā kūkulu hou aʻe o ka nephropathy, ketoacidosis,
• nā hōʻike no ka hana o ka exocrine - nā maʻi dyspeptic: indigestion, ʻālaʻi a me ka luaʻi, ke ʻeha.

Me ka puka pseudotumorous, hōʻeha ʻia ka ʻeha ma ka wahi o ka epigastric i hoʻokahi hapakolu wale nō o nā mea maʻi, ʻoiai no nā ʻano hana ʻē aʻe o ka pancreatitis ka maʻi ʻehaʻeha he pathognomonic.

Nā hōʻailona nui o nā patologi:

• nāwaliwali
• luhi, luhi
• ʻōpala
• huhū
• ka ʻeha mau loa a lōʻihi hoʻi
• nā hana ʻino ma ka hana o ka ʻōnaehana dyspeptic,
• ninini
• utuka
• hoʻemi i ka momona
• ka emi ʻana o ke kaumaha o ke kino,
• ʻo nā mea ʻili, ʻili o ka ʻili.

Hōʻike ʻia kēia ʻano pancreatitis e ka hoʻomohala hoʻomohala ʻana. I kekahi manawa hiki i ke kaʻina hana ke hana ma mua o 10 mau makahiki. He mea paʻakikī ka maʻi kūpono ma muli o nā hōʻailona o ka maʻi e like me ka hōʻike ʻana o nā maʻi ʻē aʻe, a me nā loli nui i ke ʻano a me ke ʻano o ka pancreas i ʻike koke ʻole ʻia.

ʻO kēia ke ala i hiki ke kali i nā loli e like me:

• ka hele ʻana o ka ulu ʻana o ka pancreas (ʻike ʻia e ka palpation),
• ulana ulu ʻana,
• nā kolohe i ka hana exocrine o ka pancreas.

ʻAʻole hiki ke nānā pono i kēia mau hiʻohiʻona iā ʻoe iho, no ka mea koi kēia ʻike i nā ʻike a i nā hanana diagnostic kūikawā paha.

Manifestations o ka maʻi e pili me ka maʻi pancreatic enzyme deficiency, endocrine disorders, luhi o ka biliary tract. I waena o nā hōʻailona o ka maʻi, ʻike ka poʻe maʻi i kahi maʻi 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, hoʻohuli me ka constipation, a me ka hoʻēmi ʻana i ka kūpaʻa glucose.

Eia kekahi, ʻōlelo nā kauka i ka mālama ʻana i nā manaʻo 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:

1. kau kaumaha no ke kumu ʻike ʻole ʻole
2. hoʻonui ʻia
3. mika kikowaena o ka kuhi hewa.

Hoʻokomo ka ʻeha i ke poʻo ʻo ka pancreatic, ka hoʻopili ʻana i ka hopena o ka pancreatic, stagnation o ka wai, kaʻe ʻana o ke kino a hoʻonui i ke kao i loko.

I ka hana o ka uluʻana o ka jaundice, ua hoʻonoho ʻia ka mana nui i ka hoʻonui ʻana i ke poʻo o ke kolo, ka mea e hoʻomoʻi i ka dile bile. Ma muli o kēia, ʻo ka hōʻiliʻili o ka ʻoihana i hiki ke hele i loko o ka duodenum, ke piʻi nui ʻana o ke paʻu, hoʻomaka ka bile e komo i ke koko.

Hōʻike ʻia ka pancseitis Pseudotumor e ka maʻi ʻehaʻeha. Lalo loa ia ma ka wahi o ka pōʻai a ma lalo o nā iwi. Loaʻa i kēlā me kēia maʻi ka lua me ka digestive tract (ʻeha a me ka constipation, ka hapanui) ʻO ka manawa pinepine, e kū'ē i ke ʻano maʻamau, ʻike ka nausea, i nā wā līkō, ʻike ʻole.

Me kahi papa lōʻihi o ka maʻi, ke emi ka nui o ke kino ma muli o ka nele o nā mea kīnā i loko o ke kino, ke aniani o ka ʻili, ka hōʻemi ʻana i ke kūlana o ka lauoho a me nā kui. I nā feces, hiki iā ʻoe ke nānā i nā palona o ka meaʻai i ʻolua ʻole ai ke kino.

Hoʻokumu kekahi mau maʻi i ka diabetes mellitus e pili ana i ke ʻano o kēia ʻano o ka pathology.

ʻO ka hoʻomohala ʻana o ka panketitis pseudotumor e lawe ʻia ana e ka hoʻokolokolo piha. ʻO kahi scan ultrasound e hōʻike ana i kahi pancreas i hoʻonui nuiʻia a me kahi nahā o kona poʻo. E hōʻike ka urinalysis i ka hoʻonuiʻana i ka amylase a me ka heleʻana o bilirubin. ʻO kahi hōʻike koko - he hoʻonui i ka nui o ka amylase, nā keʻena koko keʻokeʻo, trypsin, bilirubin, a me ka wikiwiki hoʻi o ka ESR.

ʻO ka pancreatography e hoʻoholo i ka kaohi ʻana o ke kumuhana o ka momona. ʻO kahi hoʻokolohua o ka endoskopika e hāʻawi i kahi manawa e nānā ai i ke kumulāʻau nui o ke kīpī o nāandia a me nā kumu bile a me nā mea e ʻike ai ko lākou hoʻonui a hōʻaia paha. E hoʻonohonoho ka loiloi X-ray i ka hele ʻana o nā kalaloki a me kahi ʻōpū tuberous o ke kīʻaha, ʻoi ka nui o kona nui.

Nā ʻano hana

ʻO nā lāʻau lapaʻau ka mea kaulana loa. E hoʻokuʻi ʻia lākou ma hope o ka nīnau ʻana i kahi kauka. Me ka pancreatitis, ua hoʻohana ʻia nā hoʻomākaukau lāʻau a me nā decoction.

ʻO nā ʻāpana Birch, ka aʻa barberry, ka mea hānai a me ka nettle i hui ʻia ma nā ʻāpana like. Hiki iā ʻoe ke hoʻohui i ke kalendula a me kā wānana ʻo John John. Kīia ʻia kahi liʻiliʻi o ka hui ʻana me ka lita o ka wai aniani e ʻae ʻia i ka wai no ka lā hoʻokahi. Ua lawe ʻia ka decoction o 50-100 ml ma mua o ka ʻai ʻana.

Nā hiʻohiʻona hana

No ka hoʻomaʻamaʻa paʻakikī, hāʻawi nā kauka i ka hoʻoponopono ʻana i ka meaʻai. Hāʻawi ʻia ka maikaʻi i nā huahana protein a me nā cereals like ʻole. ʻAʻole komo i ka palaoa, momona a me nā mea laono, ka momona sosa, ke kī paʻa a me ke ʻona. ʻO nā wai kohua wale nō me ka liʻiliʻi paʻakai e ʻae ʻia. I ka wā o ka exacerbation, pinepine ʻoe e hōʻole loa i ka meaʻai. No ka hoʻokomoʻana i nā mea kanu, hoʻokomo ʻia nā mea ʻoki.

Mālama ia meaʻai ʻai e hōʻoluʻolu ke kaʻina o nā maʻi a hoʻōla i ka hoʻōla.

Eia kekahi, pono e lawe i nā lāʻau lapaʻau e hōʻoluʻolu i nā spasms a hoʻōla i nā enzyme pancreatic. Ua koho ʻia lākou e nā kauka ma kahi o ke kū hoʻokahi.

Hoʻopilikia ka pseudotumor pancreatitis i ka pancreas. ʻAʻole hiki ke hoʻihoʻi ʻia me ka loaʻa ʻana o ka hoʻokō mālama ʻoihana pono. Pono e hahai pinepine i ka ʻai ʻana a haʻalele loa i nā mea inu ʻawaʻī. He mea kūpono hoʻi ke kau inoa ʻana me ka loea a hoʻomaikaʻi pinepine ʻia i nā hōʻike ʻike (ma kahi o 2 mau manawa i ka makahiki). Ma ke ʻano e mālama ʻia ai e kahi kauka niho a me ka ENT e kōkua i ka pale ʻana o ka hoʻowalewale ʻana o ka pēpē.

Ke huli nei i nā poʻe loea ma ka hōʻike iki iki i nā hōʻailona no ka mālama hoʻokūkū kōkua e pale i nā hoʻopiʻi ʻana a hoʻolōʻihi i ke kala ʻana o ka maʻi.

Hoʻopilikia ke ʻano o kēia ʻano pancreatitis i kekahi mau pilikia. Pono nā kauka i hoʻokaʻawale i ke kaʻina oncological, nānā nui i ka morphology a me ka hana o nā ate, nā koʻi papa. ʻAʻole nui ka poʻe maʻi me kēia palaka i ʻike ikaika ʻia a mālama ʻia e like me nā mea maʻi me ka maʻi gallstone, papillitis, a i ʻole lākou i ka nānā ʻana i nā hōʻailona me ke hōʻike ʻana o ka inu waila.

Hāʻawi kahi hoʻonohonoho o ke kaʻina hana no ka kūkākūkā me ke kauoha. I ka wā o ke kamaʻilio ʻana me ka mea maʻi, hiki i ka gastroenterologist ke ʻike i ka noho ʻana o nā hoʻopiʻi ʻano maʻi i ka mea maʻi, me ka mālama pū ʻana i ka maʻi a me ka palpation o ka ʻōpū. Hoʻomaopopo ka ʻehaʻāina kūloko ma ka wahi o ka projection o ke poʻo, me ka palpation hohonu, ka nui o ka nui o ke kino e pīhoihoi ana.

No ka ʻike pololei ʻana, ua kuhikuhi ʻia kahi papa inoa o nā haʻawina:

• hōʻikeʻike koko ololi,
• ka hoʻoholo ʻana o ka paʻa ʻana o nā enzyme pancreatic,
• ʻoliʻi-pancreasimine a me ka hōʻike bentiramine,
• cholecystography
• esophagogastroduodenoscopy,
• ka nānāʻana o ka feces a me nā urine,
• ʻO ka pōkole o ka ʻōpū o ka ʻōpū a me nā wahi o ka retroperitoneal,
• MRI me CT
• retrograde pancreatocholangiography,
• biopsy a me ka loiloi hīnaʻi ʻana o ka hana kelepona e wehe i ka maʻi.

Nui! Hiki i kahi nānā holoʻokoʻa piha wale nō ke hāʻawi i kahi kiʻi piha o ke kūlana o nā kino o loko. Ke hana nei i kekahi kaʻina loiloi hopena i ka hoʻokaʻawale ʻana mai ke koena e ʻae iā ʻoe e hōʻoia pololei ai a ʻike inā he gastritis a cholecystitis paha, pancreatitis a i ʻole ka ʻoki o ka ʻawaʻawa.

E like me ke kānāwai, me ka hoʻonui ʻia o ka pancreatitis, hoʻonui ʻia nā pae o ka trypsin, lipase a me nā amylase koko.

Hiki i nā mea āpau me kēia maʻi ke hōʻole i ka hoʻohaʻahaʻa glucose hoʻonā, kahi i hoʻoholo ʻia ma ka ʻōpū ʻole a ma hope o ka ukana o ka haʻawina kalepa.

Eia kekahi, inā e kānalua ka neoplasm, e hoʻoholo ʻia nā pae koko o nā mākaukau hāmama a me nā polypeptide pancreatic.

Paona o ka ʻōpū

ʻO ka papa hana diagnostic maʻamau no nā maʻi ʻeha o ka ʻōpū. Hāʻawi ia i nā ʻike kikoʻī e pili ana i ka nui o ke kumulā, ke ʻano o ke parenchyma a me nā keʻena nui, a hiki nō hoʻi ke koho i nā pōhaku.

ʻO ka MRI ka ala ʻike nui loa no ka nānā ʻana i nā palupalu palupalu. Ke hoʻokō nei i kēia noiʻi e kāpae i ka loaʻa o nā pulu volumetric me nā hōʻailona o ka ulu maikaʻi ʻana.

Inā kānalua ʻoe i kahi ʻano pseudotumor o ka pancreatitis kūloko, he mea nui ia e hoʻokō i kahi maʻi ʻokoʻa me ka maʻi maoli.

No kēia pahuhopu, hana ʻia kahi biopsy o ka pancreas me ka palapala ʻike moʻolelo o nā kiʻi i loaʻa mai nā ʻāpana i hoʻopili ʻia. Inā ʻike ʻia nā cell atypical (tumor), ʻike ʻia ka mea maʻi i ka maʻi maʻi.

Eia nō naʻe, aia ka biopsy maʻi kanesa ma nā mea wale nō o 56% o nā hihia i hōʻike aku ai i nā cell atypical, a ma 12% o nā maʻi e hoʻomoʻa ʻia no ka pseudotumor pancreatitis, ʻike ʻia ka maʻi pancreatic (e like me nā mea noiʻi Kelemania).No laila, ke hoʻokumu nei i kahi maʻi maʻi i nā hihia kānalua, nui nā hōʻailona e noʻonoʻo.

• He ʻōpio ka ʻōpio.
• Kāmaʻa - ʻoi aku ka pilikia o nā kāne.
• Ka inu maikaʻi ʻana i ka waiʻona.
• ʻO kahi anamnesis o ka maʻi i hoʻokahi makahiki a me ka hapa.
• ʻO ka momona kaumaha (ʻoi aku ma mua o 10 kg).
• ʻO ka maʻi ʻehaʻeha o ka puʻuwai.
• ʻO Jaundice ma kahi o 20% o nā mea maʻi he regressive, me ka piʻi iki ʻana o ka bilirubin.
• Hōʻike ka Ultrasound a me ka CT scan i ka hōʻemi o ka echogenicity o ke poʻo o ke kīpē i kahi o 18% o nā hihia.

Pehea e mālama ʻia ai ka pancreitis ʻano pseudotumor

I nā manawa o ka exacerbation, hoʻomaha i ka haukapila, i ke keʻena gastroenterological. Hoʻolālā ka:

1. ʻO ka haʻaleleʻana i ke kumu i hoʻonāukiuki i ka hoʻomōhala ʻia ʻana o ka maʻi. ʻO kēia paha ka lawelawe no ka maʻi gallstone, no ka laʻana.
2. Hoʻopau i kahiʻai maʻi. ʻO kēlā me kēia ʻano o ka pancreatitis e koi i kaʻai paʻa ʻana. Koho ʻia ka papa helu 5.
3. ʻO ka lāʻau lapaʻau. ʻO ka hana nui ka uku o nā maʻi ex ex a me endocrine. ʻO nā mea hoʻonani enzyme e hoʻopau ai, antacids, Ca.
4. Me nā hōʻike hoʻonāukiuki, hōʻike ʻia e kuhikuhi i nā lāʻau anticholinergic.
5. Hoʻonui a Antispasmodics i ka hōʻeha.

I kekahi mau manawa e hōʻike ʻia nā kaʻina endoskopika, ka hōʻailona o ka mea he hoʻonui i ka nui o kahi hapa o ke kumuhana, ka mea e alakaʻi ai i ka pipiʻi o ka dile bile.

No ka hoʻopau ʻana i ka pancreatitis pseudotumor, pono kahi hopena paʻakikī, kahi o nā ʻano ʻano like ʻole.

1. Hōʻikeʻike i nā lāʻau. ʻAʻole noʻonoʻo ʻia ka hoʻomaʻamaʻa ʻana ʻana no ka maʻi maʻamau. ʻAʻole pono ka hoʻohana ʻana i nā lāʻau lapaʻau i ka hopena e pono ai, ʻoi aku hoʻi i ka pae kiʻekiʻe o ka maʻi. Pono e hoʻohana ʻia ma ka hoʻomaka mua o ka pankōneke pseudotumor (inā ua loaʻa mua ka maʻi ma mua). Pēlā nō, kōkua ka lāʻau lapaʻau e hoʻolōʻihi i ka holomua o ka pathology. Hoʻohana pinepine ʻia e hoʻomākaukau no ka hoʻokō ʻana. Hoʻokomo nā lāʻau lapaʻau i nā hōʻailona, ​​hoʻomaikaʻi i ka mālama pono ʻana, e hōʻoluʻolu i ke kino e hoʻomaʻemaʻe i ke kaʻina. Me kēia alaole, pono ke ʻano o nā lāʻau lapaʻau e ka loea e pili ana i nā hiʻohiʻona o ke kiʻi lapaʻau. Hoʻomaʻamaʻa pinepine ʻia nā maʻi hōʻeha a me nā lāʻau lapaʻau e kōkua ai i ka hoʻonui ʻana i ka pancreas.
2. Hoʻolā hewa. He mea nui kēia ala ma ka mālama ʻana. I ka wā o ka hana, ua hoʻohanohano ʻia nā ʻili o overgrown, e hōʻoia ai i ka hoʻemi ʻana o ke kaomi ma luna o nā mea pili. Pono ia e hana i ka hoʻokolokolo hīmeni koke o kēia mau kiko, a inā ke ʻike ʻia nā ʻōpū o ka maʻi maʻi, e hoʻoponopono hou i nā wahi i hōʻino ʻia o ka pancreas. Inā ʻike ʻole nā ​​ʻōpio kanesa, pono loa e wehe ʻia nā pehē nui cystic a i ʻole ke poʻo pancreas. E hōʻemi kēia i ka hoʻokaumaha ʻia ma nā kumu papa pancreatic. ʻO ka hoʻopiʻi ʻana ka maʻi ʻoi aku ka maʻi koʻikoʻi, ʻoiai ke hele koke mai nei nā hoʻomaikaʻi. He mea nui loa ia e hoʻoponopono ai iā lākou me ke kōkua o ka lāʻau lapaʻau a me nā hōʻola nā kānaka.
3. ʻO ka hoʻohana ʻana i nā kuʻuna o kānaka. Hoʻohana pinepine ʻia nā ʻano koila ʻoihana, ʻoiai ʻaʻole hiki ke hoʻokō i nā hopena me ko lākou kōkua wale nō. Akā i ka hui pūʻana me nā mea hoʻohālike therapeutic, he mea waiwai nui lākou. I waena o nā mea lapaʻau kaulana kaulana ke kapa ʻia he decoction o nā lāʻau lapaʻau. Kōkua lākou i ka hoʻōla ʻana i nā hana o ka pancreas, hōʻoluʻolu i ka ʻeha, hoʻomaʻemaʻe i ke kino, a hōʻemi i ka hana ʻino.
4. Hoʻopau i kahiʻai maʻi. Hiki i kaʻai ʻana ke hoʻolōʻihi i ka helu o ka hoʻomohala ʻana o ka maʻi. ʻO ka hoʻopauʻana i nā huahana maikaʻi mai ka meaʻai, hiki ke hoʻemi i ka ukana ma luna o ka digestive tract. Eia kekahi, kahi meaʻai hoʻonaʻauao e hiki ai iā ʻoe ke hoʻopiha hou i ka lako o nā mea trace ponoi, hoʻoikaika i ke kino. Me nā exacerbations o ke kulekele, i ka wā e kuhikuhi pono ʻia ka pōloli, kahi e hoʻomaʻemaʻe i nā toxins. Ma hope o ka wehe ʻana, kōkua ka lāʻau lapaʻau e hoʻōla i ka wikiwiki.

Ke hoʻonohonoho ʻana i nā meaʻai no kēlā mau maʻi, pono e hoʻokaʻawale i nā huahana aʻe:

Pono e hana ʻia ka meaʻai mai ka iʻa a me ka iʻa o nā ʻano momona haʻahaʻa (ʻoi loa i nā ʻano kohu), cereals, nā huahana wai skim. ʻO nā mea kanu a me nā huaʻai ma mua o ka hoʻohana ʻana e pono ai ka mālama wela. Nā mea inu hua, nā hua ʻai, nā mea kanu lāʻau kūpono i ka inu.

Pono pseudotumor pancreatitis koi i ka mālama ʻana i ka maʻi ma loko o kahi haukapila. Hoʻohana ʻia ka therapy paʻakikī, nā ʻano pilikino e hilinaʻi ʻia ma ke kiʻi o ke kino o ka maʻi a me ke kūlana o ka mea maʻi.

ʻO ka mea mua, ua kuhikuhi ʻia nā mea maʻi i kahi meaʻai kūikawā. ʻO ke ʻano nui e hiki mai ana ke kāpae ʻana i ke kumu o ka hoʻomohala ʻana i ka maʻi a me ka hoʻoponopono ʻana i nā hana huna o nā pancreas.

Pāʻaiʻai Therapeutic

Inā hōʻike ka pseudotumor pancreatitis i ka hoʻomaka mua ʻana, ua hāʻawi ʻia nā mea maʻi i kekahi meaʻai No 5, e hōʻoluʻolu ana i ke ʻano. I nā manawa ulu, ua ʻōlelo ʻia ka hoʻokē ʻai no nā lā mua, a laila e lūlū iki ʻia ka mālama ʻana i ka meaʻai i loko o ka ʻai ʻana o ka mea maʻi i nā wahi liʻiliʻi. ʻO ka hoʻokō ʻana me ka papa ʻaina i kauoha ʻia ma mua o ka hoʻokō ʻana.

1. E hoʻopau i ka maʻi ʻeha, ua kuhikuhi ʻia nā mea maʻi antispasmodics (no ka laʻana, No-shpa, Papaverine).
2. ʻO nā hua lāʻau i kauoha ʻia e hoʻoponopono i ka hana o nā enzymes (pancreatin, amylase).
3. Ma ka noʻonoʻo o ke kauka, ua hoʻohālikelike ʻia nā lāʻau antibacterial a me nā lāʻau ʻē aʻe.

I nā hoʻomaka mua o ka maʻi, e kōkua nā ʻoihana mālama i ka pale ʻana i ka wawa ʻana. Inā pono ke kaʻina, ma hope o ke kaʻina, ua kuhikuhi ke kauka i ka lāʻau lapaʻau e hoʻoikaika i ka hana maʻamau o ka pancreas a hōʻoluʻolu i ke kūlana o ka mea maʻi.

ʻO ka mea kaumaha loa, i ka hapa nui, ʻo ka hōʻola no ka preudotumor pancreatitis he mea hiki ʻole me ka hoʻomaʻamaʻa ʻana e wehe i ka ʻūʻū a i ʻole ka mea i pā ʻia o ka pancreas, a me ka hoʻihoʻi hou i ka papa pancreatic. I ka wā o ka hana, ua paʻilima ʻia nā pūpū i ʻike ʻia, kahi i lawe ʻia kekahi hapa o nā mea i hoʻokaʻawale ʻia e hana ai i ka nānā ʻana a histological i loko o kahi pōkole. Inā hoʻopaʻa ʻia ka maʻi maʻi, e hoʻoponopono ka mea maʻi i ke ala o ka hana.

Hāʻawi nā ʻano hana i nā kauka e hoʻokō i ke kala mau, e pale i ka hoʻomohala ʻana o nā ala ʻē aʻe - maʻi diabetes mellitus a me ka maʻi gallstone. Akā naʻe, ʻaʻole ia ka hana no ka hoʻōla hope loa. Pono nā mea maʻi e hahai i ka papaʻai, ʻai i nā lāʻau lapaʻau kūikawā a ʻike i ke kauka.

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 i ka meaʻai fractional, ʻā ʻia ka meaʻai, ʻahu ʻia a kālua ʻia paha. Ua pāpā ʻia i ka ʻai ʻana i nā meaʻai momona, nā ʻala, i ka kī kūlohelohe ikaika, ʻū, ʻo ka 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 pili 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:

Hiki iā ia 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 ka lāʻau lapaʻau antispasmodic maikaʻi ʻo Gimekromon, Mebeverin.

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.

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.

ʻO ka pancreatitis o ka etiology biliary

ʻO 50% o nā hihia o ka cholelithiasis ke kumu o nā biliary-dependant pectudotumorous pancreatitis. Ua hōʻike nui ʻia i loko o nā wahine, a me ka hopena o ka maʻi ma muli o ka lōʻihi o ka maʻi ma lalo o ke ʻano, a me ka nui, ka ʻano, ka wahi o ka calculi.

Hiki ke hoʻopau ʻia nā hemahema ma ke kūkulu ʻana i nā dile bile. I kēlā mau kūlana, ulu ka pancreatitis ma muli o ke kao ʻana o ka lolo ma ke kahawai pancreatic.

ʻO ka pancreatitis o ka etiology

ʻO ka hoʻomohala ʻana o ka ʻano hanana o ka pseudotumor pancreatitis e hana ma muli o ka hoʻohana mau ʻana o ka paracetamol, kahi estrogen-loko a me nā lāʻau ʻē aʻe.

Hoʻonui ka mea maʻamau i ka maʻi ma waena o ka waiʻona a me ka poʻe aloha aloha hū.

I nā hoʻomaka mua, ua holoi nā hōʻailona o nā maʻi. E like me ka hoʻonui ʻana o ka pancreatic pancreatic i ka ulu ʻana, e ulu ana:

• jaundice kaahope
• ʻeha i ka ʻeha o ka epigastrium, ke ʻano a me ka nui o kēlā me ke ʻano.
• nā hōʻike ʻana o ka nele o ka endocrine - ke hoʻomanawanui i ka hoʻohaʻahaʻa glucose a me nā kūkulu hou aʻe o ka nephropathy, ketoacidosis,
• nā hōʻike no ka hana o ka exocrine - nā maʻi dyspeptic: indigestion, ʻālaʻi a me ka luaʻi, ke ʻeha.

Me ka puka pseudotumorous, hōʻeha ʻia ka ʻeha ma ka wahi o ka epigastric i hoʻokahi hapakolu wale nō o nā mea maʻi, ʻoiai no nā ʻano hana ʻē aʻe o ka pancreatitis ka maʻi ʻehaʻeha he pathognomonic.

Pūnaewele noiʻi

Ma nā haʻawina noiʻi, ʻike mau ʻia nā hōʻike kuikahi o ka palaki ʻana, ʻoi aku hoʻi i nā wā mua. Pono pinepine nā loli, ʻaneʻane ʻike kikoʻī. ʻO ka nānā kūikawā e uku ʻia ai i:

1. Hoʻoikaika glucose hoʻohaʻahaʻa. Pono ia e hoʻomaopopo i ke kiʻekiʻe o nā māka ʻeha o ka pale ʻana i ka pale o ke kanesa ʻo pancreatic.
2. I ka wā o ka hoʻomohala ʻana i ka hōʻike o ke koko holoʻokoʻa (OAC) a me ka nānā nui ʻana o ka urine (OAM), he hoʻonui nui ʻia ma ka amylase, lipase, a me ka trypsin.
3. ʻO ka pae o ka polypeptide pancreatic - me ka hoʻēmi ʻana me ka huhū, me ka hoʻonui ʻana o ka oncopathology.

I kekahi mau hihia, ua kuhikuhi ʻia nā haʻawina ʻē aʻe.

Ke noiʻi noiʻi

Ma o ka diagnostics ultrasound o ka pancreas, ua hoʻopili ʻia nā loli o ka parenchymal, ka palena o ka hoʻonui ʻana o ke pancreas, ʻo ka manaʻo o ka hele ʻana o nā kalima.

I mea e wehewehe pono ai i nā loli a haʻalele i ka carcinoma, hoʻonā ʻia nā imon resonance magnetic. E noʻonoʻo i nā kumu a me ka mua o nā loli, ua kuhikuhi ʻia ʻo retrograde cholangiopancreatography.

I kekahi manawa hana ka pancreas angiography e loaʻa ka ʻike hou.

I nā manawa o ka exacerbation, hoʻomaha i ka haukapila, i ke keʻena gastroenterological. Hoʻolālā ka:

1. ʻO ka haʻaleleʻana i ke kumu i hoʻonāukiuki i ka hoʻomōhala ʻia ʻana o ka maʻi. ʻO kēia paha ka lawelawe no ka maʻi gallstone, no ka laʻana.
2. Hoʻopau i kahiʻai maʻi. ʻO kēlā me kēia ʻano o ka pancreatitis e koi i kaʻai paʻa ʻana. Koho ʻia ka papa helu 5.
3. ʻO ka lāʻau lapaʻau. ʻo ka hana ka uku no ka pilikia o exo- a me endocrine. ʻO nā mea hoʻonani enzyme e hoʻopau ai, antacids, Ca.
4. Me nā hōʻike hoʻonāukiuki, hōʻike ʻia e kuhikuhi i nā lāʻau anticholinergic.
5. Hoʻonui a Antispasmodics i ka hōʻeha.

I kekahi mau manawa e hōʻike ʻia nā kaʻina endoskopika, ka hōʻailona o ka mea he hoʻonui i ka nui o kahi hapa o ke kumuhana, ka mea e alakaʻi ai i ka pipiʻi o ka dile bile.

Makemake ʻia nā wānana. Hoʻopuka pinepine ʻia nā exacerbations. Ke holomua ka holomua. Hōʻino ka hoʻonāukiuki i ka hoʻohaʻahaʻa glucose i nā hoʻopiʻi inā e noʻonoʻo pono ʻoe i ke ʻano o kou kino.

ʻO ke kumu no ka pale ʻana i ka pankuditis pseudotumor ʻo ka hōʻole ʻana o ka hoʻohana ʻana i ka ʻōnaehana ʻana o ka ʻawaʻawa, ke koho paʻa ʻana i nā lāʻau lapaʻau (ʻoi aku paha he mau hanana kūpono), me ka mālama ʻana i nā maʻi ʻē aʻe e pili ana i ka hoʻomohala ʻana o ka pancreatitis.

Nā Huaʻōlelo Diabostic Laboratory

I ke koko, i ka wā aʻo noiʻi ʻana i loaʻa.

• hoʻonui mahuahua o ESR,
• helu kōpaʻa koko nui keʻokeʻo,
• hōʻike nā haʻawina biochemical i ka hoʻonui ʻana i ka bilirubin, lipase, trypsin a me ka waʻa sialic.

Hōʻike ka urinalysis i ka nui o ke kaila o ka bilirubin, akā me kaʻole o ka urobilin, a me ka nui o ka alpha-amylase. Wahi a ka loiloi o nā feces, ua huki ʻia nā hopena e pili ana i ka hōʻino ʻana o nā kaʻina hana.

MRI ʻO pancreatic

ʻO ka maʻi MRI kekahi o nā ala ākea loa e hoʻomālamalama ai i ka kūlana o nā kino parenchymal. Ke lawe nei i kahi MRI a i ʻole kahi scan CT, ua hōʻoia ʻia ke hōʻoia a i ʻole ka hoʻomohala ʻana o kahi kaʻina lohi o ka carcinoma formation.

I mea e noʻonoʻo ai i ke ʻano o nā papa o nā pancreatic a me ka loiloi i ka nui o ko lākou hōʻeha i ka wā MRI, ua hoʻokō ʻia ke kaʻina ERCP, a ma kekahi mau kūlana, hiki i kahi noiʻi angiographic o nā vascular fibers o ka pancreas hiki ke hoʻokō.

ʻO ka mālama ʻana

ʻAʻole ʻano mea kūpono loa kēia ʻano hana i ka hoʻomohala ʻana i kēia maʻi. ʻO ka hoʻohana ʻana o nā painkillers me kahi kikoʻī o ka hana, kahi pōloli i ka wā o ka exacerbation o ka pathology a me ka hoʻohana ʻana i nā mea hana e hoʻomaʻamaʻa i ka hana o ka hoʻopihapiha o nā kinipona, ʻaʻole i hāʻawi i ka hopena e pono ai a i ʻole e hāʻawi i ka hoʻololi i ka maʻi ma ke kahi o ke kala mau.

ʻOiai, ʻo ia ka mea e pono ai ke hana i kēia mau ʻoihana i mea e pono ai ka pehu o ka pancreas i kahi ʻoluʻolu ʻokoʻa ʻoi loa ka hoʻomaʻamaʻi ʻana.

Nā mea lawelawe

I ka wā hana, hoʻihoʻi ʻia ka nui o nā kiko kiko o ka pancreas, e kōkua ana e hōʻoluʻolu i ka hoʻopiʻi ʻana mai nā Wirsung a me nā papa lepo.

E nānā koke ʻia nā kiko o nā ʻili i hoʻopili ʻia no ka mōʻaukala.

Ma ka hihia i ka wā e hōʻike nei ka hoʻokolohua moʻolelo i ka noho ʻana o nā pūpū o ke kanesa, a laila, me ka ʻole o ka hoʻopau ʻana i ka hana, hoʻomanawanui ka maʻi i ka pancreatoduodenal e hoʻoneʻe nei i nā ʻili i hoʻopili ʻia.

Inā, ma hope o ka loiloi hīmeni, ʻaʻole i ʻike ʻia ka hele ʻana o nā pūpū o ke kanesa, a laila hoʻomanawanui ka mea maʻi i ka kaohi o ke poʻo o ka aʻai a me ka husking o nā mea nui kaʻi cystic e loaʻa ai ka hopena compressive ma ke kumu o ka pancreatic.

Ma hope o kahi hana like, aneane koke ka maʻi i ke ʻano o ke kala mau i ka hoʻomau.

ʻO nā hopena palekana

No ka mālamaʻana i ka pancreas, hoʻohana pinepine ʻia nā mau aʻoaʻo mai nā mea lapaʻau kuʻuna. E hoʻihoʻi hou i ka hana pono o nā mea i hoʻopuni ʻia, e kākoʻo iā ia i nā manawa o ke kala ʻana, e like me nā infusions a me nā decoction mai nā lāʻau lapaʻau, me ka tinctures a me ka oatmeal jelly, e kōkua wale nō ʻaʻole i hoʻomaʻamaʻa i ka hiʻona, akā e hoʻomaʻemaʻe nō i ke kino holoʻokoʻa o nā meaʻala a me nā meaʻala, e kōkua.

ʻO kekahi o nā hana e pono ai kahi decoction e pili ana i ka calendula a me ka chamomile, kahi nona nā anti-inflammatory a me nā antibacterial. Ma mua o ka hoʻohana ʻana i kekahi kālā mai nā mea lapaʻau kuʻuna, pono e kūkā me kāu kauka.

Kai a me ka Puʻu

No ka hoʻoulu ʻia ʻana i ka meaʻaiʻai, ua kauoha ʻia nā koina hana i ka papa ʻaina No. 5, e hoʻolako nei no ka wehe ʻana o nā meaʻai i lalo iho nei:

• ʻO nā wai ikaika a me nā mea inu kīkaha, ʻoiai ka waiʻona,
• kālua palaoa, a me ka leʻaleʻa,
• nā meaʻai momona
• ka ʻōpala a me nā paʻi,
• nā huaʻai hua me kahi hua hoʻonaninani i ʻōlelo ʻia.

• kaila ʻaila a me nā hua ʻai,
• ʻaʻole momona momona o ka iʻa a me ka iʻa i kolo ʻia;
• moʻo i mau ʻupena
• wai momona wai momona leʻaila,
• hepana me nā lālā
• compote, mea inu hua, inu ʻala.

ʻO ka meaʻai meaʻai pono no ke kanaka ke hoʻololi i ke ʻano o ke ʻano i loko o ke ola holoʻokoʻa, pono e hoʻopili ʻia i loko o ke au o ka hana o ke ola. Ma kēia ala wale nō e hiki ai i kekahi ke helu i kahi kala mau loa o ka pathology.

ʻO ke hōʻole ʻana i ka hana ʻino ma ke ʻano o ka inu ʻawa a me ka uahi e lilo i kumu palekana pale e kū'ē i ka hoʻomohala ʻana o ka lūlū a me ka hoʻonui ʻana o ka maʻi.

ʻO ka hoʻomaʻamaʻaʻana no ka mālama a me nā hoʻopiʻi o ka maʻi

Pono ka hopena lapaʻau o ka pathology me ka pono o ka prognosis maikaʻi, akā naʻe, me kēia, ʻo ke kaʻina hana o ke kāpae ʻana iho me ka pili pono i ka kuleana āpau a pono e mālama ʻia nā kauka a pau kauka. Inā ʻaʻole, hiki i ka hoʻomohala holomua o ka mōʻaukala olakino e hoʻonāukiuki i kēia mau ʻano o nā hoʻopiʻi hou ʻana:

• jaundice
• peritonitis
• uaua vekoposis,
• hoonuiia ae o na ano o ke ano,
• hemorrhage kūloko
• hoʻohaʻahaʻa.

Eia kekahi, hoʻowahāwahā ʻia kahi pseudotumor pancreatitis e hiki ai i ka hoʻomohala ʻana i ka maʻi diabetes.

Nā kumu o ka Pōnekoti Pseudotumor

ʻO nā mea nui e hoʻonāukiuki i ka hoʻomohala ʻana o ka pankunitis pseudotumor ka lōʻihi o ka hōʻino ʻona ʻawaʻawa a me nā pathary pathology (cholelithiasis a me nā maʻi ʻē aʻe o ka ate a me ka pēpili biliary) - ʻoi aku ma mua o 80% o nā hihia a pau i hoʻokumu ʻia e kēia mau kumu.

ʻO ka maʻamau, lilo ka pseudotumor pancreatitis i ka hopena o ka lawe ʻana i kekahi mau lāʻau lapaʻau, nā maʻi āpau ʻē aʻe. Ke manaʻoʻiʻo ua hoʻomau ka pseudotumor pancreatitis o ka etiology ʻawaʻawa ma hope o kahi kaʻina hana ma ke ʻano he 10% wale nō o nā hihia, aʻo nā manawa hoʻonā nui o ka pancreatitis e hōʻike pinepine ʻia e pili ana i ke kāʻei o kahi hoʻomanawanui maʻamau.

Ua hōʻike ʻia ka piʻi nui ʻana o ka maʻi o ka maʻi i nā mea poki.

Ma ka hapalua o nā hihia, ka biliary pseudotumor pancreatitis (biliary pancreatitis) he hopena o cholelithiasis, ʻoi aku ka hoʻopaʻa pinepine ʻana i kēia ʻano o ke ʻano i nā wahine, a ʻo ka hopena o kona hoʻomohala ʻana e hoʻoholo ʻia e ka lōʻihi o ka maʻi o ka lalo o ka maʻi a me ka localization o ka calculi.

ʻO nā mea ʻē aila o ka pancreatitis biliary ka komo pū ʻana me ka anomalies congenital o ka mahele biliary, nā maʻi o ka Vater papilla a me nā kumu umauma bile. Hōʻike ka pathogenesis o ka pancreatitis i kēia hihia ma ke kaohi mau ʻana o ka huahe nui ma loko o ka papa pancreatic.

He hana nui hoʻi ka limahana lymphogenous o ka pihi pancreatic, ʻo ia ka luna o ke pancreas, kahi e hoʻomaʻi ai ke kaʻina o nā hanana mai ka palaki i ka kaulahao o ka lymph nodes.

Hoʻoulu ka lāʻau lapaʻau pseudotumor pancreatitis me ka hoʻohana lōʻihi o ka acetaminophen, estrogen a me nā lāʻau lapaʻau ʻē aʻe. ʻO kekahi, maʻi pancreatitis me ka parenchyma hypertrophy hiki i ka etiology hoʻoilina: ke ʻano nei kēia ʻano ma ka holomua ʻōnaehana, ka hoʻonui ʻana o ka hoʻōla o ka endocrine a me ka exocrine, a me kahi nui o ka hōʻinoʻana.

Hōʻike ʻia ke kiʻi o ke kino o ka pankudum pankuditis e kahi mea nui o ka hōʻailona o ka bile duct compression me ka nui o ka poʻo pancreatic, nā hōʻailona o ka ʻōpū o endocrine, a me nā dyspeptic a me nā ʻeha hōʻeha.Maʻa pinepine, ʻo kēia ʻano o ka maʻi i ke ʻano maʻamau a hoʻomaka paha i ka asymptomatic i nā papa mua.

Hoʻohālikelike ka ʻike mua. ʻO ka ʻeha ma ka ʻōpū o luna o nā mea ikaika like ʻole kekahi mea, no ka manawa lōʻihi paha ka hoʻopiʻi wale nō ka mea maʻi.

Ma kahi liʻiliʻi ma hope, ua hui pū ka endocrine (hoʻohaʻahaʻa haʻahaʻa i ka mau pateate me nā hihia pili ketoacidosis, nephropathy) a me ka hoʻopuka exocrine (dyspeptic syndrome a me ka steatorrhea).

ʻOiai ke kūpono o ka ʻeha he pathognomonic no ka pancreatitis, me kahi puka pseudotumor aia wale nō i ka 30-40% o nā maʻi.

Hoʻomaʻamaʻa pinepine ʻia ka ʻeha ma ka epigastrium a me ka hypochondrium pololei, ma hope o ka pāʻina nui, ʻoi aku ka meli, e hoʻomau ana no ʻelua a ʻekolu mau hola.

ʻO ka hoʻopiʻi Dyspeptic e komo ana i ka nausea, ka luaʻi, a me ka emiʻana o ka momona a me nā huehue e pili ana i ka nele o ka enzyme a me ka hoʻowalewale ʻana o ka hoʻōla ʻana.

ʻO ka maʻi ʻaia o ka pancreatitis pseudotumor

Hoʻokumu ʻia ka maʻi pākīpī o ka pankulopohi pseudotumor i kahi loiloi o ke kiʻi kulekele a me ka wehe ʻana o nā maʻi ʻē aʻe o ka pancreas a me nā ʻōpio kokoke, e hiki ai i nā maʻi like like, me ka maʻi o ke poʻo pancreatic.

ʻO ke kūkākūkā me kahi gastroenterologist e hōʻike i kekahi mau ʻōmaʻomaʻo maʻamau: ʻo ka mea i hoʻohālikelike ʻia i kahi pseudotumor pancreatitis he mea hoʻonui ʻia, ʻo ka nui o nā maʻi i ke poʻo o ka pancreas ka palpated ma o ka paia o ka ʻōpū.

I kekahi o nā mea maʻi, ʻike ʻia ka ʻeha kūloko i ka wā e palapa ʻia ana ka pancreas.

Ma nā hoʻokolohua ulana lāʻau, ʻaʻohe hōʻailona maopopo ʻole o ka maʻi: aia paha ka liʻiliʻi o ka nui o nā trypsin, lipase, ka koko a me ka urine amylase i ka wā o kahi exacerbation a i ʻole he manawa hōʻeha. ʻOi aku ma mua o ka 90% o nā mea maʻi me ka pankuditis pseudotumor i loaʻa i ka hoʻomanawanui i ka hoʻoliʻi glucose.

ʻO ka maʻi āpau āpau me ka kānalua o kēia alahele e loiloi no nā mākaka maʻi (CA 19-9, CA 125, antigen embryonic antigen), kahi e hoʻopau nei i ka maʻi maʻi pancreatic. No ka kumuhana like, e hoʻoholo ʻia ke pae o ka polypeptide pancreatic, ka mea i hoʻemi ʻia i ka wā o ka hoʻoulu ʻana, a hoʻonui ʻia i ka wā neoplasm malignant.

ʻO kahi ala e ʻike nui ai no ka maʻi o ka pateudotumor pancreatitis - ka ultrasound o ka pancreas. Hōʻike kēia haʻawina iā ʻoe e hoʻoholo i ke kiʻekiʻe o ka hoʻonui ʻana i ka okana, nā ʻano hoʻohālikelike i ka parenchyma a me nā punawai, ʻo ka hele a me ka ʻole o nā kala.

I mea e wehewehe ai i nā hoʻololi a hoʻokaʻawale i nā carcinoma i hoʻonui pinepine ʻia, ka tomography a i ʻole MRI o ka pancreas e hana. I mea e noʻonoʻo ai i ka ʻano o ka pancreatic nui a hoʻomaikaʻi i ke ʻano o nā loli, ua hoʻokō ʻia ʻo ERCP.

I kekahi mau hihia, e hoʻomaʻamaʻa i ka maʻi maʻi, ka angiography o nā moku pancreatic (selective celiacography) e koi.

Hoʻohana ʻia ka mālama ʻana i nā mea maʻi me ka maʻi hōʻoia a pseudotumor pancreatitis i ka wā o kahi exacerbation i hana ʻia i ka keʻena o ka gastroenterology. Hoʻokomo ʻia ma ka lāʻau lapaʻau i ke kau ʻana o ka papaʻaina 5. ʻO ka hana koʻikoʻi i ka hana maʻi i hāʻawi ʻia i ka kuhikuhi etiotropic - ke kāʻili ʻana o ke kumu o ka maʻi (no ka laʻana, ʻo cholecystectomy me ka cholelithiasis, ka lawe ʻana i ka papillostenosis a me nā mea ʻē aʻe).

ʻO ka pahuhopu nui o ka lāʻau lapaʻau ka hoʻoponopono ʻana i nā maʻi exocrine a me intrasecretory pancreatic. Hoʻonohonoho ʻia nā hoʻomākaukau ʻana o Enzyme - pancreatin i hui pū me ka lipase a i ʻole nā ​​solisim. ʻO ka lawa ʻole o ka ʻikepili o nā bicarbonates e uku ʻia e ka hoʻohana ʻana o nā antacids, ka mea, i hui pū ʻia me ka hoʻomākaukau ʻana i ka calcium, e hoʻēmi ana hoʻi i ka steatorrhea.

No ka hoʻēmi ʻana i nā mea hoʻonā dyskinetic o ka apparatus sphincter, ua hoʻonoho ʻia nā cholinolytics. Hoʻomaʻamaʻa ka ʻeha ʻeha me ka lawe ʻana i ka atropine, antispasmodics.

ʻO kahi hopena antispasmodic maikaʻi e kū'ē i ka sphincter o Oddi ʻo Gimecromon, mebeverin. I ka wā o ka exacerbations, ke kau mau nei i ka lāʻau maʻi antibacterial.

I ka hihia o ka hoʻohana ʻana i nā lāʻau lapaʻau kaila o ka gland edema a me hypersecretion o nā kinina, ka radiation radiation a me ka hypothermia kūloko e hoʻohana ʻia.

I ka mālamaʻana i ka pancreatitis pseudotumor, maikaʻi loa nā hana endoscopic. ʻO nā ʻōmaka no kēlā mau hōʻiliʻili ka nui o ke poʻo o ka pancreas me ka hoʻomoʻi ʻana i ka pono o ka bile dile a me ka jaundice obstructive, a me ka papillostenosis, nā hana paʻa o ka pauku prepapillary. I kēlā mau hihia, hoʻōla ʻia ka papillosphincterotomy e decompress i ka ʻōnaehana wai.

ʻO ka pancreatitis Pseudotumor: kumu, nā hōʻailona

Ke hāʻawi nei i nā mea i hoʻomohala ʻia o kēia maʻi nā ala no ka ʻōnaehana hepatobiliary (no ka laʻana, ka cholelithiasis) a me ka inu o ka inu lōʻihi. ʻOi iki ka liʻiliʻi - lawe i nā lāʻau lapaʻau a me nā maʻi ʻē aʻe. ʻO ka pinepine, ʻo ka pseudotumor pancreatitis he hopena o kahi hana maʻi maʻi i nā pale pancreas a hōʻemi pinepine ʻia (e pili ana i 10% mau hihia) ke nānā ʻia ma hope o ke kūlohelohe.

ʻO ka hoʻomohala ʻana o nā hōʻailona kūʻē i ka kua o ka cholelithiasis i hoʻopaʻa pinepine ʻia i nā wahine. Eia naʻe, ʻaʻole wale ia e lilo i mea hoʻonāukiuki, nā hemahema o ka system biliary, nā maʻi o ka bile duct a i ʻole Vater papilla he mea koʻikoʻi nui maanei. I kēia mau hihia, ulu mai ka ulu ʻana ma muli o ka pani mau ʻana o ka hua bile i loko o ka papa pancreatic.

ʻO kekahi o ke ala no ka hoʻomohala ʻana o ka panketitis pseudotumor hiki i ka lymphogenous tissue hōʻino kino i ka pancreas (ʻo ka maʻamau ke kumu o ke aniani) ma ka lihi ʻana o ke kaʻina maʻi mai ka palani ʻana ma o ka lymphatic network o nā node a me nā kīʻaha koko.

Ma nā hanana nui aʻe, hiki i ka pseudotumor form of the pancreatitis kroni hiki ke kūʻē i ke kiʻi ʻana o ka hoʻohana mau ʻana o ka estrogens, acetaminophen a me nā lāʻauʻokoʻa ʻē aʻe, a i ʻole he hoʻoilina. Eia kekahi, me ka etiology heredary, e holomua ana ka maʻi, hiki i ka hala o ke kolohe (ke kino ʻana), e loli nui ana ka nui o ka hana kelepona.

Nā hōʻike haukapila

ʻO nā hōʻailona o kēia ʻano o ka pancreatitis e pili ana me ka luhi ʻana i ka pā o ka biliary, ka huina o ka endocrine a me ka hapa ʻole o nā enzyme pancreatic i hoʻopili ʻia me ka hoʻowalewale ʻana. Eia kekahi, ma waena o nā hōʻike maʻi haukapila, aia kahi mau hōʻailona o ka maʻi a me ka hōʻeha nui. ʻO ke kumu mua o ka puka pseudotumorous hiki ke asymptomatic.

Akā i ka manawa pinepine, ʻo nā maʻi i loaʻa i kēia mau hōʻailona i loko o ka maʻi:

• jaundice kaahope
• kāʻei i ka ʻeha e kū mai ma hope o ka ʻai ʻana i ka meaʻai momona a i ʻole nā ​​momona, nā mea ʻawa a i ʻole ka ʻai nui ʻana.

• ka lau ʻana i ka meaʻai i nā mea hao,
• holo ʻoluʻolu e ukali ʻia ana,
• ʻO ka papa momona (steatorrhea),
• huʻi ke kūleʻa ʻana me ka constipation,
• ho'ēmi i ka hoʻohaʻahaʻa glucose
• poʻomanaʻo ka mālama kaumaha
• ma ka palpation - he poʻo pancreas paʻa
• ka hoʻonui ana o ka ihe.

ʻO nā mīkini o nā hiʻohiʻona o nā hōʻailona nui

Me ka maʻi i hōʻike ʻia, loaʻa ka nui i ka pancreas, kahi i pili ʻia me ke ʻano o nā cysts (pseudotumor pancreatitis maʻi, pancreatic cyst), ka hoʻomohala ʻana o nā lipomatosis a me nā lesima autoimmune.

ʻO ke kaʻina hana palupalu, ma ke ʻano he kānāwai, kau ʻia ka poʻo o ka pancreas - ka puka o waho o ka wai pancreatic nui. A ke hopena, hiolo ka hopena o ka hope, a kū ka ʻaina pancreatic i loko o ke kino. ʻO ke hopena, piʻi ka huhū, a piʻi nui ka ikaika i loko.Hoʻomaka nā ʻawaʻawa i loko o ka wai i ka kōpū pancreatic, kahi e hōʻeha ai i ka eha ʻeha, ke hele pinepine ʻia e ka pseudotumor form of pancreatitis.

ʻO nā kaʻina Autoimmune kahi kumu o ka hoʻomohala ʻana o ka pathology

Me nā mea hoʻonāukiuki i nā kaʻina autoimmune, ʻike pinepine ʻia nā loli o nā pathological i nā pālule nui a me ka nui o nā interlobular. ʻO nā kaʻina hoʻonā e ulu nei i ka wikiwiki i ka infiltration o kēia mau papa, e hoʻopiha i nā kahawai me ka nui o nā kiko epithelial. ʻO ka maʻamau ka ʻike lākou i ka hōkū.

Ke hāholo nei ke kaʻina hana i loko o nā moku, ka lipipapa kūlohelohe, kahi e hana ai i ka hana o ka pale, nalowale kāna mau mea palekana. Hoʻohana ʻia ke poʻo o ka kipi. ʻO ka neoplasm e hoʻopaʻa i ka duodenum, hiki iā ia ke alakaʻi i ka cholecystitis. I nā wā holomua, hiki i ka hala o ke akeʻa.

ʻO nā maʻa Biliary, kekahi o nā kumu o ka maʻi

ʻO ka heleʻana o ka cholelithiasis o ka puhilohi a me ka mea laʻa o ka biliary kekahi o nā kumu nui o ka hoʻokumu ʻia ʻana o ka pancreatitis pseudotumor. ʻO ka pancreatitis Biliary, e like me ka hōʻike ʻana o nā helu helu, ʻike pinepine ʻia i nā wahine. ʻO ke ʻano o ka maʻi a me kona mau hopena e hilinaʻi ana i ka hoʻokalakupua o nā caluli. ʻO nā kumu nui e alakaʻi ana i ka pancreatitis biliary ʻo nā anomalies congenital o ka biliary tract, nā loli pathological i ka Vater papillae a me ka choledochus.

ʻO ka Bile, ma kāna ʻano he kūkiu, hoʻoheheʻe pinepine ʻia i loko o ka wai pancreatic. Hoʻomoʻa ka lymph node o ka ʻiʻo pancreatic, ma ke ʻano nui i ke wahi o ke poʻo o ka pancreas.

ʻO nā kumu a pau o ka maʻi, ka kumu nui e alakaʻi ana i ke ʻano o kahi hōʻailona i ka pancreas, he kipa ʻole hiki ʻole i ke kauka. Aia ma nā hoʻomaka mua o ka pancreatitis a i ʻole ka hele ʻana o nā pōhaku, ʻaʻole hiki ke mālama ʻia kēia mau loli. Eia nō naʻe, ʻaʻole i ʻike ka neoplasm i kahi manawa pōkole. E noʻonoʻo i nā hōʻailona koʻikoʻi o ka maʻi, he kumu maikaʻi loa no ka hele ʻana i ke kauka.

Me ka pancreitis pseudotumor ma muli o ke poʻo pancreatic i hoʻonui ʻia, manaʻo kekahi manaʻo. Nā mea oki ke hoʻopili ʻia. Eia nō naʻe, ua hōʻike ka palaka maoli ʻana i kēia ʻano ma ka hope o ke ʻano o ka maʻi. I nā hoʻomaka mua, hiki i ka maʻi ke like asymptomatic.

Ma hope aʻe, hiki iā ʻoe ke nānā i nā hanana like ʻole:

• jaundice kaahope
• ka eha nui ma ka ʻōpū o luna, ma ka hypochondrium. ʻO ka manawa pinepine ma hope o ka ʻai ʻana, ʻoi loa ke ʻai i nā mea momona momona,
• hoʻololi i ka endocrine i ke kino (hiki ke nephropathy, ketoacidosis, ka hoʻemi ʻana i ka hoʻāʻo ʻana ke kālai ʻia).
• ke emi ʻana o ka momona o ke kino no ka nele o ka moʻo ʻana,
• paila, mamaila,
• ka huʻeha o ka maʻi, ma muli o ka hōʻeha ʻana i nā hana kūwili,
• palpation e ka mea loea, hiki iā ʻoe ke ʻike i ka nui o ka ʻōpū a me ke poʻo o ka wahī.
• Hoʻololi pū ka naʻau psycho-naʻau maʻi ma muli o ka nāwaliwali, luhi a me ka insomnia.

ʻO kahi jaundice kikoʻī

I ka hana o ka hoʻomohalaʻana o kēia hōʻailona, ​​ka poʻo o ka ulu i hoʻonui ʻia i ke aniani, e hoʻoneʻeneʻe i ka umauma bile maʻamau (bile duct), hana i ka hana nui. Ma muli o kēia, ʻo ka bile i hana ʻia i loko o ka ate ʻaʻole hiki ke komo i ka duodenum, no muli i ke piʻi ʻana o ke kaʻe ma ke ʻano, a komo mālie ke kō i ke kahe.

ʻO nā hoʻopiʻi nui me ka jaundice obstrate: discolored feces, hōʻeha nui, kūnihaʻeleʻele, a me ka melemele o ka sclera a me ka ʻili.

Pehea e ʻike ai i ka pancreatitis pseudotumor a i ʻole ka maʻi maʻi i ka maʻi

Ua hōʻike ʻia ka maʻi i hōʻike ʻia i nā hoʻopiʻi a me nā hōʻike āpau o nā maʻi i lawe ʻia a paʻa nā maʻi ʻē aʻe, ʻaʻole wale nō ka pancreas (no ka laʻana, ke kanesa) wale nō, akā ʻo nā ʻūkuē kokoke me nā hōʻailona like ʻole. No kēia, he mea pono kēia:

• Kūkākūkā o ka gastroenterologist.
• ʻO ka hōʻiliʻili o ka anamnesis a me nā hoʻopiʻi (ʻo ka pancreatitis o mua, cholelithiasis, lāʻau lapaʻau, hoʻopiʻi i ka hōʻeha o ka ʻeha ma ka hypochondrium kūpono a me ka ʻāina epigastric, a me nā mea ʻē aʻe).
• ʻO ka nānā ʻana o ka mea maʻi me ka palpation (ʻoheʻu a me ka ʻoluʻolu i ka pancreas hiki).
• Nā pilikia koko. Hōʻike ʻia kēia ʻano me ka pancreatitis e ka liʻiliʻi iki i nā pae o ka trypsin, amylase a me ka lipase, hoʻohaʻahaʻa i ka hoʻoliʻi glucose.
• Ka ʻike ʻana i nā mākau ʻana a me nā pae polypeptide pancreatic (e hoʻokaʻawale i ke kanesa). Me ka hoʻonui ʻana o ka nui o ka antigen embryonic, CA 125, CA 19-9, polypeptide pancreatic, ua hoʻopaʻa ʻia ka ʻike ʻana i ke kuʻuna, a me ka hoʻēmi ʻana ma luna o nā mea i luna, ua hoʻoholo ʻia he hanana maʻi maʻi, e hōʻoia ana i ka maʻi maʻi o ka pankudotum pancreatitis.
• ʻO ka pancreas Ultrasound (ke hele ʻana o ka hypertrophy, ke hoʻololi nei i ke ʻano o nā kumuhā a me nā kiko gland, ka haʻalele / ka noho ʻana o nā kala).
• ʻO CT a i ʻole MRI (e wehe i nā neoplasms malignant).
• ERCP. Ke ʻano no ka ʻike ʻana i nā loli i ka papa hana pancreatic.
• Seleli celiacography (hoʻoholo i ka mokuʻāina o nā moku o ka pancreas).

Pseudotumor pancreatitis, ka mālama ʻia o ka manawa o ka exacerbation e lawe ʻia i loko o ka gastoenterology, hōʻike ʻia e kahi ala o ka wavy (ʻo ia hoʻi, kahi hoʻololi o nā kala a me nā exacerbations).

Hoʻokomo i ka Therapy o kēia ʻano pili i ke koho ʻana i kahi papa sparing (papaʻaina 5). ʻAe ʻia nā meaʻai maʻamau (ʻelima a ʻeono mau manawa i ka lā), akā ma nā wahi liʻiliʻi. ʻO nā ala o ka kuke ʻana: ka kuke kuke a me ka palaoa, ka mea maʻamau - kaʻahele. ʻO ka momona, nā meaʻai i kuhi ʻia, nā hua ʻeliʻoki, ke kīwī ikaika, ua pāpā ʻia ka kofe, ka nui o ka ʻiʻo (a me ka puaʻa) a me ka waiū ka palena ʻole.

ʻO ka mea nui o ka maʻi ʻo ka hoʻomaʻamaʻa etiotropic, ʻo ia hoʻi, ʻo ke kāpae ʻana i nā mea hoʻonāukiuki (ka komo ʻana o ka ʻona, nā lāʻau lapaʻau) a me nā kumu i loaʻa ai kēia ʻano. No ka laʻana, me ka cholelithiasis - cholecystectomy, a pēlā aku.

Pono e nānā pono i ka lāʻau lapaʻau e hoʻoponopono i ka intra- a i ʻole ka hoʻokaʻawale o nā kelepona exocrine. No ka hana i kēia, e kuhikuhi i ka hoʻomākaukau ʻana o ka enzyme: Pancreatin i hui pū me Solizim a i Lipase paha. Hoʻohana ʻia nā antacids a me ka calcium e hoʻemi i ka steatorrhea.

I mea e hōʻemi ai i ka dyskinesias, ua kuhikuhi ʻia nā anticholinergics. No ka hōʻoluʻolu o ka ʻeha nui, hoʻohana ʻia nā antispasmodics a i Atropine. E like me ka antispasmodic maikaʻi loa no ka sphincter o Oddi, hoʻohana lākou iā Mebeverin a i ʻole Gimekromon. I ka wā o ka exacerbation, komo nā lāʻau lapaʻau i loko o ka mālama. Inā ʻaʻole hōʻemi ka lāʻau lapaʻau i ka hōʻā ʻana o ka aila a me ka hypersecretion, a laila e kuhikuhi ʻia ana ka maʻi hyperthermia (kūloko) a i ʻole ka hopena o ke ʻano o ka radiation.

A me nā mea i luna o ka hana ma luna aʻe, nī pinepine pinepine me ka pankuditis pseudotumor, nā hana endoscopic (no ka laʻana, ka papillosphincterotomy) hana ʻia e nānā i ka decompression o ka ʻōnaehana ductal. ʻO kēlā mau hōʻiliʻili he mea kūpono loa ia no ka hana ʻana o ka ʻāina prepalillary, papillostenosis, kahi piʻi i ke poʻo o ka pancreas, ka ukali ʻia e ka jaundice obstract a me ka hoʻopiʻi ʻana i ka pā o ka bile maʻamau.

Nā kumu o ke poʻo o ka maʻi pancreatitis

ʻO nā mea kumu nui nui o ka pancreatitis kūmau e like me kēia:

• ka hōʻino ʻana i ka waiʻona, ka hopena me ka hopena kūlohelohe a ka luhi me ka hoʻoulu ʻana i ke kaʻina o ke fibrosis (proliferation o nā hoʻopili pili),
• ka nele o ka ʻaʻai i ka meaʻai,
• ʻO nā hewa kīnā i ka wā e ʻai ai nā kānaka i nā momona momona, nā meaʻai iʻa, me ka hoʻouka pū ʻana iā lākou i ka waiʻona,
• hoonui i ka paipai ʻana i ke kumu o ka pancreas, ka mea e ulu nei i ka ʻūhā o ka aʻa e ka pōhaku, stenosis ka nipple o Vater i ka duodenum, me kāna edema,
• ʻO ka maʻi pancreatic,
• nā maʻi hoʻohālikelike o ka ʻeha gastrointestinal, etc.

No laila, ʻo ka papa inoa o nā kumu kumu kumu o ke kūleʻa ʻana ma ke ʻano ʻo pancreatic he ʻokoʻa. Hōʻike ka ʻike i kēia mau mea e ʻāpono i ka pale ʻana o ka pancreatitis.

ʻO ka hoʻokolohua o ka hoʻomohala ʻana o ka maʻi

ʻO ka līlū ʻana o ke kaʻina hana aʻeha e alakaʻi i kahi kuhi i ka hana maʻamau o ka epithelium glandular o ka pancreas.

Hoʻololi koke ia e kahi waihona kikoʻōlelo, ʻaʻole i hana i ka hana pancreatic, ʻo ia hoʻi, ʻaʻohe wahi huna o nā enzyme digestive.
ʻO ka nui o ka ulu ʻana o ka umu hoʻohui e alakaʻi i ka hoʻonui o ke kūpaʻa o ka a me kona ʻāʻī ʻana. Hoʻohana ʻia kēia hanana ma ka huli ʻana.

Nā ʻimi noiʻi

Hoʻokumu ʻia ka maʻi o ka maʻi pancreatitis ma ke ʻano loiloi paʻa ʻana o nā maʻi lapaʻau, akā e pili ana i nā hana noiʻi hou aku.
Ka mea maʻamau.

• ka loiloi ʻana o ka hana biochemical o ka wai pancreatic,
• ka loiloi o ka hana a amylase, ka mea i loaʻa i ka pancreas,
• hana i kahi koprogram e hōʻike ana i nā ʻōpala kai undigested,
• X-ray o ka pancreas, ka mea e hōʻike wale ana i nā loli anatomical gross wale nō i ke kino,
• ʻO ka ultrasound ka mea kaulana loa i kēia manawa, ʻoiai he mea non-invasive a informative diagnostic method.

Diet ma kahi kumu nui o ke mālama ʻana

ʻO kaʻaiʻai meaʻai no ka maʻi pancreatitis maʻamau kekahi o nā wahi nui, ka mea nui i ka wā kala. Hāʻawi ia iā ʻoe e hōʻemi i ka ukana ma luna o ka pancreas a hoʻomaikaʻi i ke kaʻina o nā hana reparative ma loko. I ka hopena, hoʻēmi nui ʻia kēia i ka emi ʻana o kekahi maʻi hou.
Kālai ʻia ka mea ʻai no ka pancreatitis kūlohelohe i kēia mau kumuhana:

1. pono e hoʻonui ʻia ka nui o nā protein, no ka mea ua hoʻopau ʻia lākou ma ke ʻano he hale hana i ka wā o ka hoʻomaikaʻi ʻana (ka hoʻihoʻi hou ʻana o nā pancreas),
2. pono nā ʻaina 4-5
3. Hōʻalo i ka hoʻoluhi nui
4. ʻoi ka mea e hoʻolapalapa ʻia ka meaʻai (pono e hōʻole i ka palaoa a me ka pulima).
5. ka nui o nā momona a me nā haʻahaʻa i kālai ʻia e hoʻemi nui i ka meaʻai
6. ʻaʻole loa i hoʻāliʻi ʻia nā hakahaka nui.

Ke hoʻohalike, pono ka mea maʻi e haʻalele i ka hoʻohana ʻana i ka waiʻona, e alakaʻi ana i ka pōʻino o ka maʻi pancreas.
He mea nui ia e mālama i nā loina o ka meaʻai i ka palaʻai i ke kuhi ʻole i kahi mea nui aʻe o ka maʻi a hoʻomaikaʻi i ka hana o ka pancreas!
E mālama i ka lōʻihi o ke kala ʻana, pono e loli ka mea maʻi i kona ʻano ma o ka haʻalele ʻana i ka ʻai ʻona a me ka hoʻohiolo ʻana i ka ʻai. E hoʻihoʻi kēia i ka pancreas i hoʻopau ʻia a hoʻomaikaʻi i kāna hana ʻana.

ʻO ka pancreatitis kahi maʻi maʻi maʻi o ka pancreas i hoʻihoʻi ʻia e ka stagnation o nā enzymes i loko o ke kino, ka pale ʻana a me ka luku. Hāʻawi ʻia nā toxins i hoʻolaʻa ʻia i ka ʻōnaehana kaei ʻana a me ka hōʻino o nā ʻōpū i loko - puʻuwai, ʻōpū, nā ʻōpū.
ʻO ka pseudotumor pancreatitis kahi ʻano kūikawā o ka mumū o ka maʻi o ka pancreas, i hōʻike ʻia e kahi puna o kona poʻo a ke ulu nei i ka loaʻa ʻole o ka mālama kūpono ʻana. Ua ʻike ʻia kēia ʻano maʻi ma kahi o ʻumi a hiki i ʻumikūmālima mau makahiki mai ka manawa i hana ʻia ai nā loli hoʻololi i ka palipihi.
Hoʻololi pinepine ka pseudotumor pancreatitis i nā maʻi o ka biliary tract a i ʻole ka palu ʻana ma hope o ke komo ʻana o ka mea maʻi i kahi haukapila me nā maʻi ʻē aʻe.

ʻO Ezology a me nā hōʻailona

ʻO nā mea nui ka maʻi o ka pancreitis pseudotumor e hōʻeha pinepine nei i ka poʻe kāʻei, ka exocrine dysfunction, he hoʻonui i ka pancreas, a me ka hoʻohaʻemi wikiwiki ʻana i ke kaumaha o ke kino.

ʻO ka pancreitis pseudotumor ka hopena o ka hana hūnā i ka ʻoihana o ka huao: biliary dyskinesia a calculous cholecystitis paha. ʻO nā kumu no kona hoʻomohala ʻana me ka inu ʻona, ka lawehala, nā mea inu wai.

Hōʻike kēia ʻano i ka palia o ke poʻo o ka pancreas, nā contours o nā ʻōpū a me ka wehewehe ʻole. E lilo nā mānoanoa o nā wahi i hoʻopili ʻia o ka palaki, i hoʻopili ʻia me ka pseudocyst, a me ka nui ke kumu.

Hana hoʻomaʻamaʻa

Hoʻohana nui ʻia ka pankudot pancoritis. ʻO ke kumu o ka hana, ʻo ia ke kāpae i ka ʻōpū, kahi e alakaʻi ai i ka hoʻomaikaʻi ʻana i ka pancreas, ka nalowale ʻana o nā hōʻailona o ka maʻi, a me ka pale ʻana i ka hiki ʻana mai o nā maʻi concomitant - maʻi gallstone a diabetes mellitus.
ʻO nā hopena o ka hana ʻoi ka hoʻomaka ʻana o ka kala piha piha ʻole ʻana, no ka laʻana, ka hopena o ke koena o ka steatorrhea pancreatic, duodenostasis uncompensated, pseudocysts hiki. Ma hope o ka lapaʻau ʻana o ka pankuditis pseudotumor, nānā pinepine ʻia nā mea maʻi me nā kipa i kahi loea i ʻelua mau makahiki i ka makahiki, hoʻonā o ka hana exocrine pancreatic a me ka ultrasound.
I kēia manawa, ua hoʻokuʻu ʻia kahi nui o nā lāʻau lapaʻau maikaʻi, ka hoʻohana nui ʻana i ka helu o ka exacerbations o kēia pathology. ʻO nā hana ma ka gallbladder, ʻōpū a me nā pancreas he mea liʻiliʻi loa kēia mau hoʻopiʻi postoperative. Ma 80% o nā hihia a pau, pau ka pseudotumor pancreatitis i ka hoʻihoʻi hou ʻana i nā maʻi.

Nā hana kūpono

ʻO nā kaʻina hana no ka pankulopohi pseudotumor e loaʻa:

• Ke hoʻololi nei i ka meaʻai - ua hoʻolako ʻia nā mea maʻi e ʻai i ka ʻai o ka protein a me nā meaʻai haʻahaʻa haʻahaʻa.
• Ke lawe nei i nā lāʻau lapaʻau e hoʻolōʻihi i ka hana o nā ʻōnaehana o ka pancreatic, kahi e kōkua ai i ka hoʻihoʻi wikiwiki ʻana i ke kino.
• Hōʻike piha i ka waiʻona.
• Ka ʻike nānā ʻana a me ka mālama ʻana i ka foci o ka maʻi i ke kino: nā niho ʻeleʻele, tonsillitis, sinusitis.
• Hoʻohana ʻia ka Sanatorium.

Inā ʻoe e ʻimi pono i nā hana pale e pono ai, a laila hiki iā ʻoe ke hoʻokō i ke kala paʻa o ka maʻi.

Kāhea ʻia ka maʻi maʻi o ka pancreas, ma ke ʻano kahi o kona hypertrophy o ke ʻano kūlike ʻole i kapa ʻia ka pancreatitis pretumorous.

Hōʻike ka pseudotumor pancreatitis e nā hōʻailona e like me nā hōʻailona o ka kaʻina oncological, no laila he mea koʻikoʻi loa ia e hoʻomaopopo he mea ʻē kēia i nā kūlana pathological i ka manawa kūpono a hoʻomaka i ka lāʻau lapaʻau a ʻoi paha ka lāʻau lapaʻau.