ʻO ka pancreas Aberrant, kāna mālama > Hoʻopiʻi nā maʻi maʻi

ʻO Aberrant (a i ʻole ka mea waiwai) pancreas kahi anomali developmenten kakaʻikepili ma kahi o nā ʻāpana āpau a me nā ʻiole he nui nā ulu o kona mau ʻili i pili ʻole i ka lula nui. Hiki ke ʻike ʻia kēia mau hemahema i loko o nā paia o ka ʻōpū, duodenum, mesentery o ka jejunum, spleen, diverticulum o ka iʻa a i ʻole gall bladder. I ka manawa pinepine, ʻike ʻia ka pancreas aberrant i nā kāne a ua maʻamau lākou ma ka wahi o ka gastroduodenal (ma ka pūnū a i ʻole pyloric ʻōpū o ka ʻōpū).

No ke aha e hana ai nā pancreas aberrant? Pehea lākou e ʻike ai? No ke aha he pilikia ʻino kēia mau kelima hou? He aha nā hopena diagnostic a me nā maʻi lapaʻau e hoʻohana ai no kēlā mau anomalies? Hiki iā ʻoe ke loaʻa pane i kēia mau nīnau ma ka heluhelu ʻana i ka ʻatikala.

Hoʻohālike ʻia ke ʻano o kekahi mau papa momona hou - he ʻano kino, he poʻo a me ka huelo, ko lākou naʻau a me ka hoʻokahe koko ke autonomous mai nā ʻāpana ʻē aʻe o ka ʻili o ka huehue, a wehe ʻia nā kumuwaiwai i ka lumen o ka duodenum. ʻO nā kelepona manuahi ʻē aʻe nā mea wale nō o nā mea pilikino o ke kino maʻamau. Ka puka melemele lākou me ke kiʻi excretory i huki ʻia ma ke kikowaena, e like me ka navel. Hoʻokumu ʻia nā honu hou i loko o ka diverticulum mai i nā ʻāpana kikoʻī (endocrine, glandular a hoʻohui pū) a hiki i nā pūlima cystic. Hoʻonohonoho ʻia lākou i ka layer subucosal o ka diverticulum a like me ka polyps convex (hoʻokahi a nui paha). Loaʻa kekahi mau puka kaumaha i ke kikowaena.

A i kēia manawa, ʻaʻole i hiki i nā kānaka ʻepekema ke hoʻokumu i nā kumu pololei o ka hoʻokumu ʻana i kahi pancreas aberrant. ʻO kēia neʻeneʻo he congenital, a me ka waiho ʻana o ka kelepona hoʻouluulu i ka manawa i hoʻomohala ai i ka hoʻoulu ʻana o ka maʻi hānau. Wahi a nā ʻike loea, ʻike pinepine ka pancreas i ka poʻe i loaʻa ka mau makuahine i nā mea e pili ana i ka wā o ka hapai:

nā maʻi hopohopo: tigala, rubella, herpes, syphilis, listeriosis, etc.
huehu
lawe i ka raau, inu a me ka ulaula
kaumaha koʻikoʻi
ka lawe ʻana i kekahi mau lāʻau lapaʻau.

ʻAʻole ka haʻalele ʻana o nā ʻepekema ʻo kekahi mau mea genetic i hiki i ke kau ʻana i kahi pancreas aberrant.

ʻO ka paʻakikī o nā hōʻailona maʻi me ka pancreas aberrant e hilinaʻi nei i kona wahi a me ka nui. Hōʻike ʻia nā hoʻohālikelike o kēia ʻaina me ka hoʻomohala ʻana i nā pilikia. Me kēia papa, hōʻike ka mea maʻi i nā hōʻailona o gastritis, ulia peptic, pancreatitis, cholecystitis a appendicitis paha. I nā kumu'ē aʻe, ʻaʻole i ʻike ʻia ka pancreas e ʻike ʻia ma ka manawa kūpono a i ka wā hele i nā maʻi ʻē aʻe a i ʻole ke wā e nānā aku ai i nā hoʻokolohua.

Inā loaʻa ka kelepona aberrant ma kahi o gastroduodenal a hiki ke hoʻopuka i ka waiū pancreatic, a laila e loaʻa i ka mea maʻi i kēia mau maʻi.

ʻeha (mai kahi liʻiliʻi i ke koʻikoʻi e like me ka maʻi ʻeha peptic),
ʻōpū o loko
hoʻoweliweli ʻōpana
ʻala ʻia ka ʻawaʻawa
ninaki a me ka luaʻi
mea kaumaha
ka hana ʻana o ka ʻōpala ma ka membrane waha o ka ʻōpū a i ʻole duodenum.

Ma hope mai, hiki i ke maʻi ke alakaʻi i ke ʻano o ke koko gastrointestinal, perforation, ke komo ʻana a i ʻole hōʻino ʻia o ka ʻōpala maʻi maʻi.

Inā hoʻokomo nā kelepona aberrant i ka dile bile extrahepatic, a laila hoʻomohala ka mea maʻi i ka jaundice mechanical. Me ka hoʻokalakupua o nā kelepona loaʻa i loko o ka ʻōpū liʻiliʻi, ʻo kāna papa paʻakikī e hiki ke alakaʻi i ka hoʻomohala ʻana i ka ʻoki o ka ʻōpū. Inā loaʻa ka pancreas aberrant i ka diverticulum Meckel, a laila hōʻike ka mea maʻi i nā hōʻike o ka appendicitis maʻa.

I kekahi mau hihia, holo nā pancreas i lalo o nā mākaʻi ʻana o nā maʻi i lalo iho nei:

Lele ʻo ka hoʻonāukiuki ʻana no kahi papa pancreas maʻa. ʻO ka maʻamau, hiki i ka adenocarcinomas e waiho ana i ka layer submucosal i hiki ke ulu ma kona wahi. Ma hope mai, hohola ke Tumua i nā membrane mucous a me nā ulcerates. I kēia mahele o ke kaʻina o ke kanesa, paʻakikī ke hoʻokaʻawale iā ia mai i ka adenocarcinoma maʻamau.

ʻO nā ʻōhua hiki

Hiki i ke pancreas aberants ke alakaʻi i ka hoʻomohala ʻana o nā ʻōlelo hoʻopiʻi penei:

ka huhū haole,
stenosis pyloric o ka ʻōpū, duodenum a i ʻole lau,
peritonitis a i komo ʻole ia i ka ulia,
pancreatitis (a i ʻole cholecystopancreatitis),
piha a ʻāpana paha wahi kīpē liʻiliʻi,
ʻeha hōʻeha o ka ʻōpū o ka ʻōpū a i ʻole ulī duodenal,
hoʻonāukiuki i ka puna o ka pancreas i adenocarcinoma.

Nā huapau

Loaʻa ka ʻike ʻana o kahi papa pancreas i ka wā e exacerbated a i ka wā e nānā ʻia ai ka mea maʻi no kekahi maʻi ʻē. ʻO ka ʻike ʻia o kahi aniani hoʻopili ʻike ʻia i ka wā e ʻike nei.

fibrogastroduodenoscopy - ma ka ʻaoʻao o ka membous waha o ka ʻōpū a i ʻole duodenum, kahi islena polypoid o ka nui o ka lipipula i hōʻike ʻia ma luna o ka waihona ākea, loaʻa kahi manaʻo ma kona poʻo.
X-ray - ke kiʻi nei ke kiʻi i ka hoʻokumu ʻana i ke ʻano o ka hōʻuluʻuluʻana o nā ʻokoʻa ākea me nā hōʻailona o ka neʻe ʻana o ka wai excretory,
Hōʻike - ke hōʻike aku nei ka nānā ʻana i ke ʻano hypoechoic a me ke ʻano o ka anechoic o ka puna accessory, i kekahi manawa hiki ke ʻike ʻia nā lua cystic.
CT - hōʻike aku i nā kipi ʻē aʻe e pili ʻia ana i ka paia o nā mea i hlo, a ua hoʻohui ʻia e ka biopsy a me ka loiloi histological, e ʻae ʻia i ka hoʻokaʻawale ʻana i nā anomali mai nā neoplasma malignant.

ʻO ka hopena o ka hikiʻole o ka pancreas aberrant a me ka hoʻomohala o nā pilikia ʻē aʻe (ka pehu ʻana, ka hoʻoweliweli ʻana, a me nā mea ʻē aʻe) e pili ana i ka pono o ka hoʻoiho ʻana o kēia anomaly. Eia naʻe, i ka nele o nā hōʻailona o kona papa paʻakikī, hiki i kekahi manawa ke kuhikuhi aku ke kauka i ka nānā kia ʻana o ka maʻi e pili ana i ka nui o ka gland, a ma ke ʻano he hoʻomaʻamaʻa i kēlā me kēia makahiki e ʻae ai i ka nānā pono o ka ʻilaʻawa (ultrasound, FGDS, etc.).

Ma ka papa paʻakikī o ka pancreas aberrant, e hana ʻia ana ka ʻaha hana no ka mālama ʻana, i ke ʻano o ke ʻano o ka hihia kauka. Me ka hoʻokūkū superficial o ka hoʻopili lili i ka antrum o ka ʻōpū a i duodenum paha, hiki ke hoʻopau ʻia kona hopena endoskopika e ka electroexcision o ka hoʻokumu me nā kīʻaha hanamaha a paʻakikī paha.

I kekahi mau hihia, hiki ke hoʻokele minilaparotomy me ke kākoʻo endoscopic a i ʻole laparoscopona. Hiki i kēia ala ke hana e hana i kahi anastomosis ma waena o nā papa lepo o nā lewa maʻamau a me ka aberrant, ʻaʻole pono ia i ka hoʻohemo ʻana o ka hopena. Hiki ke hoʻokō ʻia kahi hana like ʻole ke kū ʻole ka neʻe ʻana i ka lumen o ka hoka ʻoka ʻole a ke kāpae ʻole ʻia i ka paukū o nā kīʻaha meaʻai. Inā ʻike ʻia ka nui o nā cysts i loko o ke kumuhana hou, a laila hana ʻia ko lākou endoscopic fenestration. Inā hiki ʻole ke hoʻohana ʻokiʻoki me nā mea hana minimally invasive, hoʻokō ʻia ka laparotomy papa i mea e ʻike hou ai i kahi ʻāpana o ka ʻōpū. Nā kelaha aberrant aia i loko o ka biliary tract e neʻe aku e ka cholecystectomy.

ʻO ka pōʻino nui loa i hōʻike ʻia e nā pancreas hou, i waiho ʻia i ka duodenum a hiki ʻole ke hoka ʻia ma ke ala mehameha. I ia mau hihia, he mea pono ia e hoʻokō i ka haʻaleleʻana o ka pancreatoduodenal, ka mea e hoʻokaʻawale i ka ʻāpana o ka ʻōpū, pancreas, gall bladder a me duodenum. He hana paʻakikī kēia mau hana a ua pū ʻia me nā helu he nui o nā hoʻopiʻi.

I kēia mau makahiki i hala, ua noiʻi nā ʻepekema i ka pono o ka mālama ʻana i ka pancreas aberrant me ka lōʻihi o ka analogues o somatostatin. ʻOiai ka hiki o ke ʻano o ke ʻano o ka mālama ʻana i ke kanalua, no ka mea ke hana nei kēia mau lāʻau a he hōʻailona wale nō a ʻaʻole pale i ka hoʻomohala ʻana o ka stenosis duodenal.

ʻO kekahi kauka e hoʻopili ai

Inā loaʻa iā ʻoe ka ʻeha ʻeha a me nā pilikia o ke kao ʻana, pono ʻoe e nīnau me ka gastroenterologist. Ma hope o ka hoʻomālamalama ʻana i nā ʻano noiʻi (radiography, ka ultrasound o ka ʻōpū o ka ʻōpū, fibrogastroduodenoscopy, CT, a me nā mea hou aʻe) a me ka ʻike ʻana i nā hōʻailona o kahi pancreas aberrant, e koho ke kauka i ka kūkākūkā o kahi haukapila ʻōpū.

ʻO ka pancreas Aberrant kahi mea hoʻonaninani o ke kūkulu ʻana, i ukali ʻia e ka ʻāhaʻi o nā mea ʻai kelepona hou i nā ʻāpana ʻokoʻa a me nā kiko. Hōʻike ka ʻola nei iā ia iho i ka wā o ka hoʻomohala ʻana o nā hoʻopiʻi a hiki ke alakaʻi i ka hopena i nā pōʻino (pehu, ulceration, hoʻomohala o ka pancreatitis, peritonitis, hana āpau a me ka hōʻino). I ka hapa nui, ua kono ʻia e ka mea maʻi e lapaʻau ʻia ka mālama ʻana o ka aila aberrant.

He aha nā mea i hūnā ma lalo o ka hua'ōlelo "aberrant pancreas"?

Hōʻano ʻia nā kūlepona hou ma muli o ka hoʻomohala kino. ʻAʻole kūpono ia e noʻonoʻo i kona ʻano e like me ka maʻi, i kekahi mau mea, ʻaʻole ia e hōʻike iā ia iho i kēlā a me ka paʻakikī ke pale i kahi kanaka mai ke ola piha. Hiki ke ʻike ʻia ka ʻatikala ma ka manawa, ma kahi laparotomy, i kuhikuhi ʻia no kekahi kumu ʻē aʻe. No ka laʻana, ka nānā ʻia o ka pancreas no abnormalities, me ka hoʻoweliweli ʻana e wehe i nā ʻeha i loko o ka ʻōpū a i loko paha o ka ʻōpū, ka hoʻomaʻamaʻa ʻana i ka cholecystitis ma ke ʻano helu.

ʻO nā ʻāpana o ke kelepona kūlohelohe a me ke kino maʻamau, ua hui ʻia nā māhele like ia. ʻO ka pancreas Aberrant ka pūʻali e wehe ai i kona lumen i loko o nā ʻōpū a i loko paha o ka pūpū. Ma muli o kēia, hiki i ka pancreatitis hoʻonā ke hoʻomohala i ka gland hoʻohui. ʻO nā maʻi nui ʻino loa e loaʻa ai ke koko gastrointestinal.

ʻO nā kumu o ka hoʻomohala ʻana o ka kelepona hoʻouluulu

A hiki i kēia manawa, hakakā ka poʻe ʻepekema me ka nīnau kumu: no ke aha ke kumu ʻelua i hoʻohana ʻia i ka pancreatic dank. Akā aia kekahi ʻike kūpono e hiki ana kekahi anomali i loko o ka ʻōpū, a he nui nā mea pono ʻole e pili i kona hoʻomohala ʻana.

maikaʻi ʻole kaiapuni, e pili ana i ka wahine i ka manawa o ka hānau ʻana o kahi pēpē
ʻōlia genetic
i ka ulaula a me ka inu la i ka wa e hapai ana,

Nā hōʻailona o ka maʻi

ʻO nā hōʻike olakino e pili ana i ka loaʻa o ka pancreas aberrant e hilinaʻi nei i kona nui a me kahi o ia wahi. Inā aia ma ka wahi o nā paia o ka ʻōpū, a laila pili loa nā hōʻailona i ka hōʻike ʻana i ke gastritis, a inā aia ma kahi o ka duodenum 12, a laila ma kēia hihia ke hōʻike nei nā hōʻike hoʻomohala i kahi hoʻomau o kahi ulia. Eia kekahi, hiki paha i nā hōʻailona ke kuhikuhi i ka pancreatitis, cholecystitis a i ʻole appendicitis. ʻAʻole e hoʻokaʻawale kēia mau hōʻailona i ka mea maʻi e nīnau aku i ke kauka, a hiki paha ke ʻike ʻole ʻia ka pathology no ka manawa lōʻihi.

Akā i ka nui o nā hihia, ʻaʻole aneane ʻike ʻia nā hōʻailona, ulu wale nā hoʻopiʻi o ka mea maʻi me ka hoʻomohala ʻana o nā ʻōpiopio. I kēia:

nā hana hoʻopā
kaauhau ʻana o ka paia a ʻōpū paha,
nā ʻōpū
kahe koko
ke kālai ʻia.

ʻO ka pinepine loa, ʻike ʻia nā ʻōlapa inā he ʻōlapa hou ka kelepona i loko o nā ʻāpana liʻiliʻi. ʻO kahi hoʻopiʻi i kēia hihia ka mea e hoʻomōhule ʻia ai. A inā he mau ʻehaʻeha i loko o ke kino, a laila hoʻomohala paha ka mea maʻi i nā maʻi dyspeptic, ʻeha ʻeha i ka peritoneum.

I ka wā nānā o ke kikowaena, hiki ke ʻike ʻia ka hyperlipasemia a me ka hyperamylasemia.

Nā ʻano o ka maʻi

Aia i kekahi mau hiʻohiʻona o ka kelepa aberrant. Hiki iā ia ke hāʻawi:

nā mea a pau pancreatic i loaʻa: nā māpana a me nā mea huna;
kūʻokoʻa wale nō exocrine, ke kuleana no ka hana ʻana i ka wai momona,
pololei i ka ʻāpana endocrine, e kōkua ana e hana i nā hormones koʻikoʻi e hoʻoponopono i ke kō koko,
adenomyosis - komo i ka pancreatic tissue i loko o ka papilla nui duodenal 12 (ʻo ia ke pūnaewele o ka wehe ʻana o ka hamo o ka kelepa i loko o ka duodenum).

ʻO kahi o nā kelepa aberrant

Hiki ke kūmole pancreas i loko o ka ʻōpū a me nā ʻokoʻa ʻē aʻe:

esophagus
duodenum
nā paia o ke auhau,
nā ate
spleen
pōpilikia liʻiliʻi
mesentery o ka pūpili liʻiliʻi, ma ka lipina a i ʻole ka mucous waha o ka ʻōpū o ka ʻōpū.

Pehea e hōʻoia ai i ka maʻi?

Hiki ke ʻike ʻia nā ʻatikala e nā ʻano like ʻole, āpau wale nō ia ma kahi o kona wahi ʻoi aku. Inā loaʻa ka lobulole aberrant o ka pancreas ma ka paia o ka duodenum, i loko o ka ʻōpū nui a i ʻole ʻōpū paha, a laila ma kēia ʻano e maʻalahi ke kuhikuhi. I ka nui o nā hihia, ʻike ʻia i ka wā o ke aʻo screening. ʻO nā makahiki o nā maʻi e hōʻike pinepine ʻia i nā maʻi he 40-70 mau makahiki.

Aia kekahi mau ala e ʻike ai i kahi anomali:

Endoscope. ^ E Ha yM. I kēia hihia, he mokupuni nui ka nui o ka nui o ka mea maʻi, ua like like me ka polyp, aia i ke kahua ākea. ʻO ka manawa pinepine ma ka piko o ia mokupuni he manaʻo paha, ʻo ia kahi hōʻailona endoscopic o kahi kelepa aberrant. Inā loaʻa ka biopsy papa i ka wā o kēia noiʻi ʻana, hiki ke loaʻa iā ia kahi ʻike pololei.
Kaukau. ^ E Ha yM. I kēia hihia, hiki i ka anomali ke hana i kahi hoʻokumu nui, ʻike ʻia i ke ʻano o ka hōʻiliʻili ʻana o ka hoʻohālikelike. Akā i kēia hihia, hoʻohālikelike ʻia ka waha o ke au o ka au, ʻo ia hoʻi.
Papaki ʻōnaehana. ^ E Ha yM. I ka wā o ka nānā ʻana i ka ultrasound, hiki ke ʻike ʻia ka nui o ka gland, a me ke ʻano hypoechoic, ka loaʻa ʻana o nā mea hou aku a me ke ʻano o ka anechogenic i kēia.
CT nānā o ka ʻōpū ʻeha. E kōkua kēia noiʻi ʻike ʻana i ka lula inā aia ma luna o nā paia o kahi mea hoka. E kōkua kēia hoʻokolokolo e hana i ka maʻi kūlike o nā neoplasms malignant. I loko o kahi hihia o kahi nīnē, aia ke komo ʻana o nā kino i kokoke i ka peritoneum a me ka loaʻa o nā metastases. Akā hiki ke paʻakikī ka maʻi ʻokoʻa ʻana inā e hoʻokūlū ʻia ka lūlū i nā papa kūloko (leiomyoma, lipoma a me myosarcoma).

Ke mālama ʻana i ka pancreas aberrant

ʻO nā mea maʻi i loaʻa i ka maʻi maukino ke manaʻo nei lākou e moe koke i lalo o lalo o ka pahi o ka mea hoʻokō. Hiki iā lākou ke nīnau kūpono: pono paha e hoʻopau i ka pancreas aberrant? ʻAʻole hiki ke waiho iā ia i ka nānā ʻole ʻia, no ka mea he pōʻino no ka mea hiki ke mālama ʻia ka maʻi maʻi. I ka wā o kona hūnā ʻana, koi nui ʻia e hoʻomaʻamaʻa ʻia o kekahi mau haʻawina e kōkua ai i ka haʻalele ʻana i ka hoʻomohala ʻana o kahi maʻi hōʻino. Akā ma hope o ke kū ʻana o ka maʻi hope, ua neʻe ʻia ka wehe ʻana o nā anomali, akā he aha ke ʻano e koho ai ka mea lapaʻau no kēia mea hilinaʻi i kahi o ka hoʻopiha.

Inā loaʻa ka nui o nā mea kikoʻī, a laila e kauoha ʻia ka endoscopic electroexcision. Inā he pū ka mea i loko o ka okana, a ma kēia hihia ke hana ʻia kahi fenestration o nā cysts.

Loaʻa maikaʻi hoʻi ka mālama ʻana i ka maʻi ma nā hihia inā ʻaʻole hanana o ka maʻi maʻi. Kūkulu ʻia nā lāʻau lapaʻau lōʻihi, kūpono nā Somatostatin analogues. I ka manawa like, hana ʻia ke ʻano tohu maʻi.

ʻAʻohe pale i ka pancreas o ka antrum no ka mea maʻi a hiki i ka hoʻomaka ʻana o nā kaʻina pili. ʻO ia ke kumu, ma ke alo o kahi kelepona hou i ka mea maʻi, ʻaʻole hiki ke hoʻohana ʻia ka lāʻau lapaʻau, akā, pono i nā loea e mālama mau.

Nā hopena a me nā hopena

He mea kūpono paha ke hoʻomanaʻo ʻole ʻole i ka nānā ʻole ʻana i ka hele mai o ka anomali i ka pancreas, no ka mea, me nā hopena maikaʻi ʻole, hiki iā ia ke alakaʻi maʻalahi i ka hoʻomohala ʻana o ia mau holomua:

pancreatitis - hana hou ʻia ke kūlohelohe,
kahe ʻana i ka ʻōpū a ʻeha paha,
neoplasm malignant o ka launaea gland a i ʻole pancreas.

ʻO ka paleʻana i nā hoʻopiʻi mai ka gland accessory

Inā loaʻa kahi kelila hou, a laila pono e hoʻomalu i ka hoʻomohala hou. No laila ʻaʻole ia e kumu i ka nui o nā hoʻopiʻi, pono e ʻalo ʻia:

Inā ʻoe e ʻimi i nā loiloi a nānā mau ʻia e ke kauka, a laila ʻaʻole i hoʻonāukiuki ʻia ka pilikia hou. I kekahi hihia, pono ka mālama mau ʻana e ka loea i ka manawa pono e hoʻomaopopo i ka hoʻopiʻi ʻana a lawe i nā hana e pono ai.

ʻO nā hiʻohiʻona a me nā kumu o ke ʻano o nā kelima hou

Kahi like ʻole nā kelepona aberrant kekahi i ka ʻōnaehana nui, ʻo ia hoʻi, he poʻo, ka puʻupuʻu, ka ʻili a me ka kaila o ke koko e kūʻokoʻa mai nā ʻāpana ʻāwili ʻē aʻe. E hāliʻi pū nā kumu o kēia mau ʻōiwi i ka lumen o ka duodenum.

Akā aia pū kekahi mau mea luhi i nā mea pilikino wale nō o ke kō, nā melemele pukaʻai me ka excretory duct i ke kikowaena. Hoʻopili hou nā kūpeʻe keu i ka diverticulum mai ka glandular, endocrine, hoʻohui pūnaehana, a me nā pinepine o nā ʻie cystic. Hiki ke hoʻonohonoho ʻia iā lākou i loko o ke kao o ka subucosal o ka diverticulum, a hoʻohālike i nā polyps convex i ko lākou mau hiʻohiʻona.

Hoʻomaopopo nā poʻe loiloi i ka hoʻopili hou ʻia o nā puhaka hou i loko o ka ʻōpū, a ma waena o nā mea pōpilikia he pono ke hoʻomaopopo i ka maʻi o ka wahine hāpai (herpes, measles, rubella, etc.), nā hopena i loko o kona kino o ka radiation a me nā mea hōʻeha mai i nā mea ʻomaʻawa, ka wai ʻawa. ʻAʻole haʻalele nā mea genetic i nā hopena maikaʻiʻole o ke kaumaha.

Nā ʻlelo a me nā Diagnosis

ʻO kekahi kūlana, e hilinaʻi ʻia nā hōʻailona o ka pathology ma kahi o ka pancreas aberrant, ma kona nui. ʻO ka hapanui pinepine, ʻaʻoleʻike nā hōʻailona a hiki i ka hoʻomaka ʻana o nā hoʻopiʻi. Me kahi papa like, hiki i nā hōʻailona o ka appendicitis, gastritis, pancreatitis, cholecystitis a me nā ʻhina. Ma nā kūlana ʻē aʻe, ʻaʻohe hōʻike a me nā pilikia ke ʻike wale ʻia ma ka wā o ka hoʻokolokolo no kekahi kumu ʻē aʻe.

Akā e wehewehe ʻo ka poʻe loea: i ka wā i loaʻa ai ka pili i ka ʻai momona ma ka wahi gastroduodenal a me kona hana ʻana i ka wai pancreatic, ʻeha hōʻeha i nā ʻano like ʻole (e like me ka ʻūhā), nā ʻōpū o ka ʻōpū, ke alo a me ka luaʻi, ka belching ʻākala a me ka kawa hiki mai paha. I ka mucosa o ka duodenum a i ʻole ʻōpū paha ka ʻaʻe. I ka manawa like, ma muli o ka hoʻowalewale ʻana, lawe līlī kekahi kanaka i ka paona. Ke hele nei ka maʻi, hiki ke hoʻomaka ʻia nā maʻi hōʻeha o ka uluna peptic, perforation, penetration, a me ka ʻeha o ka gastrointestinal.

Ke kuhi ʻia ka hao hou e nā dile extrahepatic bile, hoʻomaka ka jaundice (e hoʻomoʻi iā ia, lawa ka hoʻopau ʻana i ke kaomi). ʻO ka heleʻana o nā anomalies ma loko o ka wahī liʻiliʻi e alakaʻi ai i nā hoʻopiʻi ma ke ʻano o ka pākīpī o ka ʻōpū, a me kahi e loaʻa ai i ka hopena diverticulum ʻo Meckel ma nā hōʻike hōʻike o ka appendicitis maʻa. ʻO ka maʻi hoʻonā o nā kelepona o ke kelepona aberrant i ka maʻi maʻamau, akā inā loaʻa kēia, hele mai ʻo adenocarcinomas ma kahi o ka kelepa.

ʻO ka mea nui e pili ana i ka maʻi āpau. Maanei, e kōkua i ka mea loea, fibrogastroduodenoscopy (ma ka membrane mucous o ka duodenum a i ʻole ʻōpū, hiki iā ʻoe ke ʻike i kahi hoʻokumu polypoid mai ka paleparula ma kahi pālahalaha me kahi hoʻonāukiuki ma luna). Hoʻohana pū ʻia nā X-hihi a me ke ultrasound (kahi kime anechogenic o ke kinipōpeka aberrant me nā cystic cavities. Ma ka CT, ʻike ʻia nā hila hou i loaʻa i ka paia o ke ʻano o ka hollow. Hoʻopili ʻia kēia ʻaoʻao hope me kahi biopsy i mea e ʻike ʻole ʻia ka maʻi maʻi.

ʻO ke kiʻi lāʻau lapaʻau hiʻona

Hiki ke loaʻa i ka gland pancreatic gland i nā keʻena ʻē aʻe.

Inā aia ia ma ka ʻae o ka ʻōpū a me ka duodenum, a laila e hāʻawi i ke kiʻi i kauka i like me ka ulia duodenal.

Aia ka ʻeha ma ka wahi o ka epigastric, hōʻelele, hiki paha ke koko.

Eia kekahi, ʻo ke kiʻi o ka lāʻau lapaʻau me kēia hoʻonohonoho o nā kelepa pancreatic ectopic e like me:

ʻO Cholecystitis - ʻeha i ka hypochondrium ʻokoʻa, ka jaundice, ka ʻeha o ka ʻili.
Appendicitis - ʻeha ma ka ʻōpū o luna a i ʻole ka ʻāpana iliac ʻokoʻa, ʻanoʻano ʻuwelele, luaʻi ka manawa like.
ʻO ka pancreatitis kahi mea kāʻei ʻokoʻa ma ka hapa hema hema o ka ʻōpū.

Me ke kiʻina i ka ʻōpū, ua like ke ʻano maʻi.

me ka ʻōpū ʻeha.
me ka pancreatitis.

ʻO ka papa pancreatitis e hana ana ma ka gasterintestinal gland lipi ma kahi liʻiliʻi, a ʻo kekahi o kāna mau kumu nui ka ʻeha o ka ʻōpū. I ka aneane āpau, ʻike ʻia kahi hoʻoulu iki o ka serum amylase.

No laila, hiki i ka pancreatitis aʻeha paha a ke kumu kokoke i ka pancreas aberrant hiki ke hele mai ma muli o ka hakakā ʻana o nā keaka, akā, ʻaʻole mai nā kino o ke kelepona i hoʻokumu ʻia e ka hoʻohana ʻana i nā mea inu ʻona.

Nā hōʻailona weliweli i ka wā e komo ai i ke kaʻina pathological o kahi pancreas aberrant:

ʻRoslelo kikoʻī ʻĀpelika,
Hōʻea ka hana kūʻokoʻa o nā paia o kahi ʻōpū,
Hoʻopili ʻia, hoʻopōʻino i nā kīʻaha o ke kīʻaha.
ʻO ka hoʻomohalaʻana o ka ʻoki o ka ʻōpū ma muli o ka paniʻana o ka pancreas aberrant o ka ʻawa.

ʻO ka pinepine, ʻo kēia mau hōʻeha koʻikoʻi e kū mai me ka submucosal a i ʻole subsistous localization o ka lau glandular kiko i loko o ka ʻōpū liʻiliʻi, ʻo ka lumen ma kēia ʻāpana he ʻikiʻuku. A ke hopena, loaʻa ka hoʻomohala wikiwiki.

ʻO nā hōʻailona mua me ka hoʻomohala ʻana o ka mumū i ka ola ectopic ʻo nā:

pilikia kūwili,
hōʻeha ma hope o ka ʻai ʻana a me ka pōloli
ka pale ʻana i ka pae ʻana o ka meaʻai, hele pū me ka ʻuwāha a me ka luaʻi.

No ka mea maʻamau nā hōʻailona a hiki i ka pili ʻana i kahi nui o nā maʻi o ka pēpē gastrointestinal, ʻo ka mea pono a me ka hoʻokaʻawale ʻana o nā keʻena hoʻokolohua.

Ka hoʻomaʻamaʻa ʻana o nā pathology organ

Noho mau ka debatable inā he loli a ʻoi paha ka hoʻololi ʻana o ka maʻi pancreas i ka abrerant pancreas ma muli o nā hanana pathological like e hoʻonāukiuki i ka pancreatitis i ka pancreas anatomical.

Hiki i kahi ʻāpana ectopic ke noho mau ma ka malu i ke ola holoʻokoʻa, akā inā hoʻopilikia ʻia e ke kaʻina pathological, a laila ke hoʻomaʻamaʻa loa ka hopena ʻoi loa.

I kēia manawa, hoʻohana pū lākou i ke ala o ka lāʻau lapaʻau o ka lāʻau me nā mea kikowaena o somatostatin - ka nui o ka hormone pituitary, he hōʻailona ka noʻonoʻo a ʻaʻole kōkua i ka hoʻemi ʻana i ka stenosis bowel.

Ke hoʻoikaika nei nā loiloi i nā hana traumatic loa, a ma ka hihia o ke kōkō pancreatic aberrant, minimally invasive endoscopic technique a ophthalmic surgical interventions ka hoʻohana ʻana:

ʻO ka hana ʻana o ka microlaparotomy me ka hoʻokumu ʻana o ka anastomosis ma waena o nā kelima anatomical a me ka aberrant - ke pale aku nei i ka hoʻomohala ʻana o ka mumū o ka ola ectopic.
Inā loaʻa ka pancreas i ka paia o ka nalu, kahi e ʻike pinepine ai ka ʻano o ka ulu polypous, ua hoʻohana ʻia ka endoscopic electroexcision.

No laila, ʻo ka wehe ʻana o ka hoʻonaʻauao e loaʻa ʻole me nā ʻeha traumatic o ka mucosa, a me ka nalowale o ke koko.

Ma ka hihia o kēlā mau hōʻemi, hiki i ka mea maʻi ke hoʻi i ka home i ʻelua a ʻekolu mau lā.

Hōʻike ʻia nā hōʻailona o nā maʻi pancreatic ma ke wikiō i kēia ʻatikala.

1 He aha ke ʻano?

Hoʻopuka ʻia nā pancreas i ka hoʻohui i ke kino maʻamau. ʻAʻole manaʻo ʻia ka gland hou i kahi maʻi, i ka loaʻa ʻole o nā hoʻopiʻi i kekahi mau hōʻailona ʻaʻole ia e kumu. Kuhi ʻia kahi hewa nui ma ka manawa, ʻoiai ma loko o ke kaʻina hana no ka hōʻole ʻana o nā ʻōpū gastrointestinal tract, i ka mālama ʻana o ka cholecystitis calculous.

ʻO nā kiko o nā papa a me nā pancreas e like ka like ʻana. Hoʻokomo ʻia kekahi mea ʻokoʻa e komo i kahi kahe e komo ai ka mea i komo i loko o ka lua o ka ʻōpū a i ʻole ka ʻokiʻoki. I nā kelakona hou, hoʻoulu ʻia nā ʻōnaehana, nā neoplasms benign a me nā hōʻino.

2Mekanisma o ke aʻo ʻana a me nā kumu

ʻAʻole i aʻo ʻia ka lawelawe ʻana o ke kūkulu ʻana i kahi papa pancreas hou i ka ʻāina antrum.

He congenital ka pathology i loko o ke ʻano a hana ʻia i ka wā kūkulu o ka wā hāpai. Ua manaʻoʻiʻo ia nā mea pili i ka hopena o ke ʻano o ka anomali:

Predisposition genetic. I kēia hihia, hiki ke hoʻohui ʻia nā pathology me nā hemahema ʻē aʻe, no ka laʻana, he congenital ovarian cyst.
Palapala genetite hoʻokūkū. Hiki ke loaʻa ka pancreas i nā keiki me ka Edwards syndrome (kahi maʻi chromosomal e hōʻeha ai i nā nui o nā hewa o nā kino o loko).
Hōʻike i ka radiation radiation. Hoʻopilikia i nā kūnaehana o ka hoʻokaʻawale cell i ka papa kahi o ka hoʻomohala a embryonic.
ʻO ka ulaula, ka lāʻau a me ka inu ʻāʻī i ka wā hāpai.
Nā maʻi maʻi maʻi. ʻO nā maʻi hānai koʻikoʻi e kū'ē i ka hope o nā herpes mua, rubella, a i ʻole ʻōpala, e hoʻomaka ana i ka wā hāpai.
ʻO ka lawe ʻana i ka wahine hāpai me ka lāʻau lapaʻau teratogenic.
Hoʻopilikia i ka hoʻoukaʻana me ka listeriosis i hoʻoiho ʻia mai nā holoholona a me nā kānaka.

ʻO nā hōʻailona o kahi pancreas aberrant e hilinaʻi ana i ka wahi o ka hiʻona hou a me kona nui. Ke hele nei kekahi ʻōpū i loko o ka ʻōpū, ʻike ʻia nā hōʻailona e like me nā hōʻailona o ka gastritis:

ʻeha i ka ʻōpū o luna,
ka ʻeha o ke kaumaha i loko o ka ʻōpū ma hope o ka ʻai ʻana,
puʻuwai a me ke kala
ninaki a me ka luaʻi
ʻūlū.

Hōʻike pinepine ʻia nā hōʻailona ʻano maʻi o ka pancreatitis, acute appendicitis, cholecystitis:

ʻoki ʻana a hōʻeha paha i ka ʻeha o ka ʻōpū ma ke kua a i ke kua
ka hale ʻaihuli (ka lōʻihi o ka hele ʻana i ke kōkā)
lilo ka aiono, me ka nalowale o ke kino o ke kino,
malo nui, maloʻo mau nō,
nā hōʻailona o ka hoʻomaloka (ke kuni, ka ʻīwī, ka hoʻohui a me ka ʻāʻā o nā ʻōpū),
ka ʻōulu ʻili o ka ʻili a me ka sclera,
lawelawe aho ʻaia,
nā huki pinepine o ka luaʻi ʻole e lawe mai i ke kōkua i ka mea maʻi.

4 nā Palapala Diagnostic

ʻIke pinepine ʻia ka pathology i ka wā nānā o ka nānā ʻana i nā mea maʻi o nā pākeke a me nā makahiki ʻelemakule. ʻO kēia ka mea i wehewehe ʻia e ka pinepine pinepine ʻana o nā hoʻopiʻi i kēia manawa. Hoʻohana ʻia nā kaʻina hana i ʻike ʻia e ʻike ai i nā anomalies:

ʻO ka nānā ʻana a me ka nīnau ʻana i ka mea maʻi. Kuhi ke kauka i kahi anamnesis, kākuhi i nā hōʻailona o ka mea maʻi. I ka palpation o ka ʻōpū o luna, ua loaʻa kekahi pancreas hou, aia ma ka wahi o ke kahe o ka ʻōpū i loko o ka duodenum.
Endoscopy. E hoʻomaʻamaʻa ka huli ʻana o ka ʻōnaehana endoskopika i ke ʻike ʻana i nā hōʻuluʻulu nui o ka mucosa mākaʻi, ka ʻano like me nā polyps ma ka pālahalaha. Aia ka fossa ma luna o ka papakihi, i manaʻo ʻia he hōʻailona ʻano maʻi o ka maʻi heterotopy pancreatic. ʻO ka hopena o ka hoʻokolokolo hīmeni pinepine pinepine a uninformative.
X-ray hōʻike o ka ʻōpū a me nā ʻili. Kuhi ʻia nā anomaly he ulu nui, e hoʻopili ana i ka nui o ke kūlike ʻole o ka medium medium. I nā kiʻi, ʻikea ka waha o ka umauma o ke kuhi manu hou.
Paona o ka kahe ʻōpū. ʻO ka pancreas Aberrant he dec anechoic, hoʻokaʻawale ka mea ola a ke kumu hypoechoic me nā lua hou.
Hoʻohālikelike tomography. Kōkua ke kōkua iā ia ke ʻike i kahi abnormality localized ma ka ʻaoʻao o kahi mea hollow. Hoʻohana ʻia hoʻi ke ʻano e ʻike i nā hōʻailona o ka malenerant degeneration. I ka wā o ke kaʻina hana, ʻike ʻia ka komo ʻana o ka tumomo i nā ʻili kokoke me ka mua o ka metastases i nā wahi mamao.

5ʻO ka hoʻomaʻamaʻa

ʻO ke ala maikaʻi wale nō e hoʻopau i ke ʻano o ke kuʻuna kuilā. Hoʻohana ʻia ka lāʻau hoʻokolohua e hoʻopau i nā hōʻailona. Hoʻokomo ʻia ia me ka hoʻohana ʻana i ka analogues synthetic o somatostatin long-acting. Hoʻopili iki nā lāʻau invasive o ka mālamaʻana i ka heterotopy pancreatic. ʻO nā ʻōuli no kā lākou hana ke ʻano o nā ʻano neʻe manuahi:

puʻupuʻu
polani
ʻĀpio
slimy
infiltrating
ulokokola.

Kuhi ʻia ke ʻano a me ka laulā o ka hoʻomaʻamaʻa ʻana i nā hōʻaia o ka pathology, localization a me ka nui o ka nui o ka gland.

Ma mua o ka hana, ua ʻike ʻia kahi hoʻokolohua histological e hoʻokaʻawale i ke ʻano kino o nā neoplasm. Ua hoʻohana ʻia nā kaʻina hana penei:

ʻO Laparotomy me ke kākoʻo endoscopic. I ka wā o ke kaʻina hana, hoʻokaʻawale ʻia nā ʻili ākea i waho o ke kaʻi liʻiliʻi o ka pancreas e hui pū ʻia. ʻAʻole mea i hoʻoneʻe ʻia ka mea ola hou, ka mea e kōkua i ka pale ʻana i ka hoʻomohala ʻana o nā fistulas a me nā ʻōnaehana maʻi.
Electroexcision Endoskopaka. Hoʻohana ʻia ia i ka wā i loaʻa i ka pancreas i luna o ka ʻōpū o ka ʻōpū a i ʻole duodenum. Kūkulu ʻia ka hui hou like he cyst a polyp paha. I ka wā o ke kaʻina hana, ua hōʻoki ʻia ka ulu me kahi papa lāʻau diatherm ikaika a palupalu paha.
Endestopic fenestration. Hōʻike ʻia ka intervent no ka ʻike ʻana i nā neoplasms benign i loko o nā kiko o ka pancreas aberrant. Kuhi pono no ka hana ʻana i ka helu a me ka nui o nā cysts. Ua hoʻāpono ʻia ka noi o ke ʻano ma ke alo o nā hoʻopiʻi hoʻokahi.

He aha ke ʻano o ka "ektopika" pancreas?

ʻO ka huaʻōlelo "ectopia" i ka unuhi ʻana mai ka ʻōlelo Helene ka manaʻo - neʻe, hewa a hewa ʻole paha. No laila, kahi inoa paleka ectopic kahi inoa like ʻole no ka mea pili iʻa a i ʻole kahi kelepa aberrant. ʻO kēia neʻe ʻana, e like me ka mea i ʻōlelo ʻia ma mua, i pili pū me ka hoʻokalakupua maoli loa o nā ʻāpana pancreatic, akā, ʻaʻole i kamaʻilio ka ʻaha abnormal me nā pancreas maʻamau, a loaʻa iā ia kona kaila koko a me nā kumu excretory.

Hiki i ke kelepona hou ke ʻano kūlike a i ʻole paha i nā ʻaukā maʻalahi. ʻO ka nui o kēia ʻohi ke maʻamau mai 1 a 2.5-3 cm ka lōʻihi. Kahi like ʻole ka maʻi anomali kēlā me kahi polyp, akā ʻaʻole i hoʻokaʻawale ʻia e ka hui ʻana o nā pua i hui pū ʻia i ka hapa ma waena (ma ka hana o ka waha o ka mana o ka excretory gland) - ʻo ia ka mea nui i waena o kēia mau ʻano. Hoʻomaka ka papa excretory o ke kaola o ka mea i loko o ka lumen o ka ʻōpū a i ʻole ka ʻokiʻoki. Pēlā, i ka pancreas ectopic, a me ka pūnaehana maʻamau, hiki i ka hoʻomohala ʻana o nā hōʻailona me kahi hana aʻokiʻoki a i ʻole kahi hanana luku.

Kēia hui kūloko hanana neʻe i pili i ka nui o nā hihia i kahakaha ʻia ma ka paia o ka ʻōpū a i ʻole duodenum, ʻoiai ʻo nā ke ʻano o nā ʻano hana i loko o nā ʻano like ʻole o ka umauma a me ka ʻōpū o ka ʻōpū. I 70-75% o nā hihia āpau, ua hoʻoneʻe ʻia ka pancreas ectopic i ka wahi o ka pyloric o ka ʻōpū - i loko o ka pūhaka o ke kino.

He aha ke kumu o ka hoʻomohala ʻana i kahi kelepona aberrant?

ʻAʻole ʻimi i nā ʻepekema ʻo ke kumu no ke ʻano o ka pancreatic duct i loko o ke kino o ke kanaka. Hoʻokahi mea wale nō ka mea hiki ke ʻōlelo ʻia - hiki mai kēia anomali i ka utero, a ʻo kēia mau mea e loaʻa kahi hopena pololei i ka nānā ʻana i kahi pōmaikaʻi like ʻole o ka hemahema o ka keiki hānau ʻole.

ʻO ka hopena maikaʻi o ke kaina i ke kino o ka wahine hāpai (radioactive a i ʻole radiation ultraviolet, kūʻai ke kiʻekiʻe o ke ʻano).
Nā maʻi genetic (ka hana hewa ʻana i ka hoʻonohonoho pololei o nā genes i loko o nā pūpuna o kahi ʻano hoʻomohala).
ʻO nā hana ʻino a ka makuahine i ka wā o ka hāpai ʻana (ka hōʻemi ʻana i ka wai, ka uahi ʻana, hoʻohana i ka lāʻau lapaʻau).
Hoʻokaumahaʻia ke kaumaha, mau kaumaha pinepine.
Nā maʻi like ʻole o ka ʻano luhi ka mea a ka mea nona ka mea i loaʻa ai i ka wā e hapai ai (herpes, rubella, syphilis, listeriosis, etc.).
ʻO ka hoʻohana ʻana i kekahi mau lāʻau lapaʻau i kūpono ʻole ʻia no nā wahine hāpai i kēia manawa.

He aha nā hōʻailona o ka pancreas hou?

Nā hōʻailona lapaʻau e like me ke kūʻokoʻa i ka hoʻolālā ʻana, e like me ke kelepona ectopic, ʻike ʻia ma muli o ka nui a me kahi o ka hoʻokumu. I ka hihia i kahi o ka ola abnormal e kau ana ma luna o ka paia o ka ʻōpū, hiki i nā hōʻailona o kēia ala ke hoʻohālikelike i ka gastritis. Inā hoʻokomo ʻia ke kumuhana hou i ka duodenum - ʻo nā hōʻailona o ke kolohe ʻole hiki ke hoʻowalewale e like me nā ulia peptic. Hoʻopilikia pinepine kahi abnormality i ka uluʻana o ka pancreatitis, cholecystitis a appendicitis paha. Eia nō naʻe, ʻo ka hapa nui o nā maʻi i hōʻike i kēia maʻi ʻino, ʻaʻole lākou i manaʻo i ka hōʻoluʻolu ma mua, a ke kū nei nā hōʻailona o ka maʻi i hope wale nō o nā hōʻeha.

ʻO nā pane o kahi pancreas hou aʻe i loaʻa:

kaʻalo lāʻau
ʻōpala hui kiko,
ke alohele ʻia,
hoʻololi i ka pā o ka ʻōpū a i ʻole ka ʻōpū,
kahe koko.

Hōʻike kēia mau hewa i ka ʻōpala i kahi e loaʻa ai ka anomali, a ʻo ia ke kumu i hoʻomāliʻi ʻia i kēlā mau kūlana. I ka hihia o ka huhū o ka kelepona ectopic ʻo ia iho, hōʻike paha ka mea maʻi i nā maʻi like dyspeptic a me ke ʻeha i loko o ka ʻōpū.

Ke mālama nei i kahi pancreas hou

He mea nui ia e hoʻomaopopo i ka kapa ʻia o kēia kuhi ʻia e manaʻo ʻia he pōpilikia, no ka mea hiki ke hoʻonāukiuki i loko o kahi hana hoʻomāinoino. No laila, i ka hihia a kaukaʻi ka hele ʻana o kahi pancreas aberrant, pono i ka mea maʻi he nui o nā hana diagnostic e hoʻopau i ka hiki ke hoʻomau i ka oncology.

Ma hope o kēia hōʻoia o ka hōʻoia ʻana, hana ka lāʻau lapaʻau i kahi hana maʻi, i ka wā o kona ʻoki ʻana i ka hoʻokumu. Koho ʻia ke ʻano o ke kaʻina hana o ka holo ʻana e ke kauka i hilinaʻi ʻia ma ke ʻano, ka hoʻokona ʻana o nā mea maʻamau a me ka hele ʻana a i ʻole i ʻole kahi hanana holomua o loko. Inā loaʻa ka nui o ka kelepona ectopic ma ka papa o ka mea ola, e hoʻohana ʻia ka endroopō electroexcision.

Ma ka hihia inā ʻaʻohe pilikia o ka degeneration o ka hōʻino kino i loko o kahi maʻi o ke kanesa, hiki ke mālama ʻia ka mālama ʻana o kēia ʻola. Ua kuhikuhi ʻia ka mea maʻi i nā lāʻau lapaʻau o ka hana lōʻihi - ʻo ia ka mea he somatostatin a i kāna mau analogues. Ma ka hoʻohālike, mālama ʻia ke ʻano hōʻailona maʻi.

ʻAʻole kau ka gland hou i kahi pōpilikia a hiki i ka manawa ke hoʻomaka ana nā ʻōnaehana holomua i loko o ia mea. No kēia kumu, inā i ʻike ʻole ʻia ka mea lawehala, ʻaʻole hiki i kekahi mea loea ke mālama i ke ʻano maʻi no kēlā mau kipi. Akā i kēia hihia, pono mau ka mea maʻi ma lalo o ka mālama o kāna kauka.

Nā kumuhana pili:

ʻO kahi papahele a i ʻole ka aberrant pancreas kahi lohi maʻamau o ka gastrointestinal tract. Aia i loko o nā ʻōhua:

duodenum
ileum,
laia
ka pa o ka opu
spleen
humuhumu kalaiwa.

ʻO kekahi pancreas aberrant o ka ʻōpū e loaʻa kahi ʻano anatomical e like me kahi kino maʻamau - e komo ai ke poʻo, ke kino, ka ʻili, a me nā kumu. ʻO nā kahe koko a me ka hoʻowalī wale nō kekahi, ka ʻokoʻa o nā kino ʻē aʻe o ka pānaʻi ʻana. Ke wehe nei nā kumu waiʻai i ka lua o ka ʻōpū a i ʻole duodenum.

Eia kekahi mau loli ʻē aʻe o ka pancreas aberrant o ka antrum. Hoʻokomo wale lākou i kekahi mau mea o kēia kino. ʻO nā kaho melemele he mau ʻāpana lauwili me ka "navel" i huki ʻia i ke waenakonu - ka punawai excretory.

ʻO ka hao ʻē aʻe o ka Minkel's diverticulum he hana kūikawā a ʻano like. Kuhi ʻia ia e nā ʻano ʻano like ʻole - kaipapa, pili, ʻae hoʻoneʻe. Hiki i nā puka cystic.

ʻO ia ka hiʻohiʻona o nā polyps convex nui a i ʻole i ka loiloi a i ʻole kolo apono o ka diverticulum. ʻO kekahi mau polyp ma ke kikowaena pili i nā hiʻohiʻona ʻano.

ʻAʻole maopopo i ke kumu o ka aberrant pancreas. He kumulako ʻo Patology a waiho ʻia ma ka ʻōpū. Ua kuhi ia ana ua palahalahaia ke kuana o na helehelena:

mea pili genetic
ʻike maka
mauʻano maikaʻi maikaʻiʻole - nā lāʻau lapaʻau, ka uahi inu, ka waipona
maʻi maʻi maʻi - ke kaumaha, herpes, rubella,
kekahi mau lāʻau lapaʻau i hoʻohana ʻia e ka makuahine i ka wā hāpai,
ʻO nā maʻi Listeriosis i loaʻa i nā poʻe a me nā holoholona.

ʻAʻole lōʻihi e hele ai ka pathology. Kuhi ia ʻia ma nā keiki a me nā pākeke ma o ka ulia i ka wā o ka hoʻokolokolo diagnostic no kekahi kumu ʻē aʻe.

Nā hopena a me nā hopena hiki

Inā loaʻa ka hao hou i kekahi kanaka, no laila ʻaʻole pono ia e nānā ʻole ʻia. ʻO nā hōʻailona āpau e nānā pono ʻia, a ma ka manawa kūpono, pono e mālama ʻia ka mea maʻi. Inā hoʻomaka ʻoe e lohi i ka mālama ʻana, e loaʻa paha iā ʻoe nā pilikia olakino ʻē aʻe. ʻO ka pancreatitis, ka huhū o ka ʻōpū kūloko, hiki ke hōʻeha ka lā.

I mea e pale aku ai i nā hoʻopiʻi ma luna nei, pono ʻoe e kiaʻi mau i ka kelepona a me ke ʻano o kou kino. Aia nā hana kūpono i ka meaʻai - pono ʻoe e hoʻohui i nā ʻai he nui, nā huaʻai, ka moa a me ka iʻa i ka papaʻaina e like ai. Pono ka maʻalahi o ka protein e hoʻaloʻole - mai poina e pili ana i nā huahana pākuʻi. ʻAʻole pono e hilinaʻi i nā momona, momona nui a me nā mea momona. Eia nō hoʻi, mai hilinaʻi i nā mea inu me ka ʻawaʻawa.

Inā ʻoe e hoʻomalu i kaʻai, alakaʻi ʻoe i ke ola olakino a kipa maʻamau i ke keʻena o ke kauka, a laila, ʻaʻole ka lula e noho pilikia ai, a e piha ka ola a piha.

Kahi helu

Hoʻopili ʻia ka hao keleawe i kekahi mau ʻano:

Ma kahi o ka hoʻolālā: i ka membrane mucous, nā māla o nā io o ke kino, ma lalo o ka membous serous.
Ma ke ʻano he macroscopic, ʻo ka pancreas aberrant ka:

Knotted - conglomerates i ke ʻano o nā kūmole, kūpono snugly,
Polypous - ua like ia me kahi polyp i ke kaʻe, protrudes i ka lumen,
Hoʻolaha - hoʻomāliʻu i nā paia o ka mea i hoʻopili ʻia, ʻaʻole ʻokoʻa e like me ka maʻi maʻi ʻana,
Kāwili - ka hui pū ʻana o kekahi mau mea huakaʻi.

3. E like me ka papa hana:

Kūpono i ka kelepona nui,
Nā hana hoʻopiʻi me ka ʻokoʻa o nā mokupuni o Langerhans (mahele exocrine)
ʻO ka heleʻana o nā alaloa a me nā panuhila.
Hoʻokumu ʻia nā lawelawe excretory (adenomyosis).

Nui! ʻOi ka nui o ka nui o ka pancreas aberrant, ʻoi aku ka nui o ka hoʻomohala ʻana i ke kiʻi lāʻau ākea ʻo ka pancreatitis.

Nā kumu a me nā pathogenesis

Hoʻokomo ʻia nā mākele e noʻonoʻo i ka pancreas aberrant ma muli o kahi haki ʻole o ka embryogenesis, i ka wā e kau ʻia kahi ʻōpula maʻa a ulu. I ka manawa e kūkulu ai i ka invaginations endodermal o ka paia kumu o ka duodenum, lilo ka hope i ke kino a me ka ʻili, a me ka mua - ke poʻo.

Me ka embryopathy, noho mau i nā hapa o nā mea nui i ka rudiments o ka ʻōpū, ka ʻōpū, ka naʻau a me nā ʻano ʻē aʻe, kahi e hoʻomau ai lākou. Hoʻomaopopo ʻia kēia mau manawa i ka remoteness o ka foci, no ka laʻana, e like me ka spleen, colon.

Ka wehe ʻana o nā ʻokoʻa a me ka adhesion ma nā wahi pili kokoke i ka manawa o ka neʻe i ka bookal ma ka ventral e wehewehe ana i ka heterotopy i loko o ka ʻōpū o ka pūpū, ovaries, a me mediastinum.

ʻO nā kumu hoʻonāukiuki kumu:

Hoʻopilikia ʻana i nā ʻano genetic ma muli o ka mutation,
Ka hōʻike ʻana i ke kahua radiation.
ʻO ka hoʻohana ʻana i nā lāʻau lapaʻau hāpai, ka waiʻona, nā huahana tabako,
Puhi nui, kaumaha i ke ʻano,
ʻO nā wahi pōʻino o ke kaiāulu,
ʻO ka maʻi maʻi i ka wā o ka hānau ʻana o kahi keiki me ka ʻōpala, rubella, maʻi herpes, toxoplasma,
ʻO ka listeriosis o ka makuahine ma muli o nā hopena o ka perinatal a me ka neonatal pathology.

He mea nui e hoʻomanaʻo! Hiki i ka poʻe ke noho lōʻihi no kahi papa pancreas aberrant, ʻaʻole maopopo i kona ola, ʻike ʻia e ka nānā screening.

Nā hōʻailona a me nā hōʻailona

ʻAʻole kahi mau hōʻailona kikoʻī, hoʻoholo ʻia e ke kikowaena ʻana a me ke kūkulu ʻana i nā hōʻailona o ka ʻōpiopio. ʻO ka pīpī liʻiliʻi haʻahaʻa no ka manawa lōʻihi he asymptomatic, e like me ka hepatic a me splenic.

Hoʻohālikelike ʻia ka huaʻeha e nā hōʻeha hōʻeha o ke aching a huki ʻano, nā mea maʻi e hoʻōla i ka hōʻeha i ka ʻeha. No laila, hiki i kahi hōʻailona ke hoʻoluhi i nā malama a he mau makahiki. ʻAʻole pili ka ʻeha me ka ʻai, pono e hoʻomaopopo ʻia ma kahi mua. Hiki iā ia ke hoʻohuli i ke aʻalolo, ʻoki a me ka pahi me ka ulceration me ke koko a me ka perforation.

ʻO Antrum Choristoma

ʻO ka pancreas o Aberrant e hoʻonāukiuki i ka haʻalele o ka chyme i ka duodenum, kahi manaʻo o kaʻeha a me ka piha o ka ʻōpū. Hiki paha i kahi belching me nā mea leʻaleʻa a me ka huhū (me ka lōʻihi o ka lohi ʻana i nā ʻona). Hōʻike ʻia me ka gastritis. Hoʻohui ʻia, hoʻohui ʻia ka nausea a me ka lua.

ʻO ka papa pancreas maʻi e hōʻike pinepine ʻia e ka lehe o ka ʻōpū me nā hōʻailona holoi. Hoʻomaopopo ka ʻeha ma ka epigastric a me ka hypochondrium hema. ʻAʻole pili e pili ana i ka ʻai ʻana.

He mea nui e hoʻomaopopo! I ka hoʻohālikelike ʻana me nā maʻi o ka maʻi maʻi, kahi ʻano ʻokoʻa o ka nalo o ka pohō o ke kino, discoloration o ka ʻili, ka ʻaluna i ka meaʻai, kahi ʻāpana o ka ʻono a me ka asthenization e like me ka oncopathology.

Hoʻohālikelike

Pono ka hoʻolālā holomua. Inā ʻaʻole ʻike ʻia nā hōʻailona hōʻailona hōʻailona, ʻaʻole hōʻeha mai ke kuhi maʻamau i ke kanaka, ʻaʻole hiki ke hoʻokō ʻia.

Inā naʻe e hōʻole ka hōʻailona o ka hoʻonaʻau i ka mea, pono ke ʻano wikiwiki. I ka hihia o ka pancreatitis luku ʻia me nā hoʻopiʻi koʻikoʻi i ʻike ʻia, ʻike ʻia nā hiʻona maikaʻi ʻole.

Hōʻemi ka hōʻeha ʻana i nā hoʻopiʻi ʻana ma o ka hoʻohana ʻana o ka mālama i kuhikuhi ʻia ma ka manawa, me ka hana wikiwiki. Mālama kēia hana i ka pale ʻana i kekahi kanaka mai ka hoʻōla ʻana o ka hoʻonaʻauao ʻia i loko o kahi ʻano palupalu.