Pancreatitis pseudotumor: haddasawa, cututtuka da kuma magani siffofin

Pancreatitis pseudotumor - wani nau'i na dogon-data kasance kullum pancreatitis kan. Haka kuma cutar rinjayar maza mafi sau da yawa fiye da mata. Pathology The sunan zo daga kalmar Helenanci "pancreas" - pancreas, "itis" - kumburi da kuma "ƙari" - wani ƙari. Wannan ne zahiri fassara shi zai iya zama haka - kumburi daga cikin pancreas cewa mimics da neoplastic tsari.

Pseudotumor pancreatitis: Haddasawa, Alamun

M dalilai a ci gaba da wannan cuta ne Pathology hepato-biliary tsarin (msl, CL) da kuma tsawo da yin amfani da barasa. Da yawa kasa - shan magunguna da sauran likita cuta. A mafi yawan lokuta, pancreatitis pseudotumor ne a sakamakon wani na kullum kumburi tsari a cikin pancreas da kuma tsokoki da yawa kasa (kamar 10% aukuwa) shi gano bayan m kumburi.

A ci gaba da cututtuka a kan wani bango na cholelithiasis sau da yawa na rubuce a cikin mata. Duk da haka, ba kawai za su iya shi zama precipitating factor na bayar da muhimmanci a nan da kuma samun malformations na biliary tsarin, cututtuka na bile bututu ko papilla na Vater. A cikin wadannan lokuta, da kumburi tasowa a sakamakon ci gaba da zaben 'yan wasa na bile cikin pancreatic bututu.

Daya daga cikin hanyoyi na ci gaba pseudotumor pancreatitis iya zama lymphogenous kashi pancreas nama (yawanci gland shine yake kai yanki), a lokacin da kumburi shimfidawa daga gallbladder ta hanyar da lymphatic nodes da kuma tasoshin.

A mafi rare lokuta, pseudotumor nau'i na kullum pancreatitis iya faruwa da wani bango na dogon lokaci da yin amfani da estrogen, acetaminophen da sauran kwayoyi ko kawo hereditary. Kuma a lokacin da hereditary etiology, cutar progresses rayayye, yana qara da alama na malignancy (malignancy), da na baƙin ƙarfe rashi ne na girma da sauri.

asibiti manifestations

A symptomatology wannan nau'i na pancreatitis hade tare da matsawa na biliary fili, endocrine gazawar da kuma rashin pancreatic enzymes cewa suna da hannu a cikin narkewa. Bugu da ƙari, marurai suna ba cututtuka da kuma ciwo mai tsanani daga gare asibiti manifestations. Farko Pseudotumor siffofin iya zama asymptomatic.

Amma mafi yawan marasa lafiya gabatar wadannan alamun rashin lafiya:

• jaundice.
• abin ɗamara zafi da ya auku bayan ingestion ko m m abinci, wani barasa ko overeating.

• undigested abinci a cikin stool .
• tashin zuciya, bi da amai, da ya kawo sauƙi.
• "Bold" tumbi (steatorrhea).
• zawo alternating tare da maƙarƙashiya.
• rage a cikin glucose haƙuri.
• causeless nauyi asara.
• palpation - kai GASKET pancreas.
• da karuwa a ciwon daji.

Sassan bayyanar da babban bayyanar cututtuka

A bayyana cutar da karuwa a cikin pancreas, wanda ake dangantawa da ya faru na cysts (pseudotumor kullum pancreatitis, pancreatic mafitsara), lipomatosis ci gaba da kuma autoimmune raunuka.

Kumburi yawanci rinjayar da pancreas kai - a wurin fita daga cikin babban pancreatic bututu. A sakamakon haka, da karshen ne quntata, kuma pancreatic ruwan stagnates a cikin jiki. A sakamakon haka, da bututu ne cika, da kuma matsa lamba a shi ne girma. Enzymes dauke a cikin ruwan 'ya'yan itace, za a fara zuwa nike da pancreatic nama, wadda take kaiwa zuwa da ya faru na ciwo mai tsanani ciwo, wanda aka sau da yawa tare da isasshen pseudotumor nau'i na pancreatitis.

obstructive jaundice

A ginshikai na wannan alama taka gagarumar rawar kara girman kai da ciwon daji, squeezing choledoch (bile bututu). A sakamakon bile a cikin hanta ba zai iya daga ƙarƙashinsu a cikin duodenum, saboda abin da matsa lamba a cikin tashar ƙaruwa da bile hankali shiga cikin jini rafi.

Babban gunaguni da obstructive jaundice ne discolored tumbi, mai tsanani itching, duhu fitsari, da kuma yellowing na fata da kuma sclera.

Yadda za a gano pseudotumor pancreatitis ko ciwon daji haƙuri

Bayyana ganewar asali nufin cewa an ɗauke shi zuwa lissafi duk gunaguni da kuma na asibiti manifestations da cutar da kuma ware wasu cututtuka, ba kawai na pancreas (misali, ciwon daji), amma kuma da m gabobin, tare da irin wannan bayyanar cututtuka. A saboda wannan dalili shi ne m:

• gastroenterologist shawara.
• Medical tarihi da kuma gunaguni (kafin pancreatitis, cholelithiasis, shan magunguna, gunaguni na jin zafi a dama babba quadrant da epigastric yankin, da sauransu).
• Jarrabawa na haƙuri da hali palpation (yiwu hatimi da kuma taushi a yankin na pancreas).
• Jini gwaje-gwaje. Ga wani bai nau'i na pancreatitis halayyar karuwa a cikin matakan trypsin, amylase da lipase, illa glucose haƙuri.
• Tabbatar da dalilin da ƙari alamomi da pancreatic polypeptide (don kawar da ciwon daji). By kara adadin carcinoembryonic antigen, CA 125, CA 19-9, pancreatic polypeptide, ƙari ganewar asali aka tabbatar, da kuma lokacin da sama-aka bayyana a rage abubuwa gama game da kasancewar kumburi, wanda ya tabbatar da ganewar asali "pancreatitis pseudotumor".
• Amurka pancreas (gaban hypertrophy, da kuma canji a cikin tsarin ducts gland shine yake nama, babu / gaban calcifications).
• CT ko MRI (ware m neoplasms).
• ERCP. Dabarar m canje-canje a cikin pancreatic bututu.
• Zababben tseliakografiya (kafiya yanayin pancreatic tasoshin).

far

Pseudotumor pancreatitis, wanda magani a cikin m lokacin da aka gudanar a gastoenterologii, halin da undulating hanya (watau canzawar remissions da exacerbations).

Jiyya da wannan cuta ya shafi nada wani ƙwauro rage cin abinci (tebur №5). Halatta m abinci (biyar zuwa sau shida a kowace rana), amma a cikin kananan rabo. Cooking hanyoyin: tafasar da kuma yin burodi, da wuya - quenching. Haramta m, soyayyen abinci, soyayyen qwai, karfi shayi, kofi, tsananin iyakance ga adadin nama (musamman naman alade) da kuma madara.

The main mayar da hankali na far ne etiotropic magani, watau kawar da precipitating dalilai (yin amfani da barasa, kwayoyi) da kuma dalilai da suka sa wannan halin da ake ciki. Alal misali, idan gallstones - cholecystectomy, da sauransu.

Miyagun ƙwayoyi jiyya ya kamata a da nufin gyara intra- da exocrine gland shine yake insufficiency. Don yin wannan, rubũta kwayoyi, enzymes, "Pancreatin" a tare da "Solizimom" ko "lipase". Don rage steatorrhea amfani antacids da alli kari.

Domin rage dyskinesia gudanar anticholinergics. Domin da taimako na ciwo mai tsanani ciwo amfani antispasmodics ko "Atropine". Kamar yadda wani tasiri wajen domin spasmolytic sphincter na Oddi amfani da "Mebeverin" ko "Gimekromon". A lokaci exacerbation magani hada antimicrobials. Idan miyagun ƙwayoyi far ba rage kumburi da prostate, kuma hypersecretion, sa'an nan Ya sanya na gida hyperthermia (gida) ko wani yanki radiation daukan hotuna.

Bayan wadannan jiyya, sau da yawa tare da isasshen Pseudotumor pancreatitis gudanar endoscopic tiyata (msl, papillosphincterotomy) tsara don decompress da ductal tsarin. Irin wannan tsoma baki ne musamman tasiri a lokacin da strictures prepalillyarnogo katin, papillostenoze, karuwa daga cikin pancreas kai, tare da obstructive jaundice da kuma matsawa kowa bile bututu.

rigakafin

M, a cikin matakan da ganewar asali "pancreatitis pseudotumor" rage, da farko, da abandonment na yin amfani da giya. Yana da muhimmanci ga isasshen kuma dace magani daga cututtuka da za su iya fararwa wannan Pathology. Ya taimaka hana cutar da kuma shirya, sarrafawa da gwani liyafar da yiwuwar hatsari kwayoyi.

Outlook

Tsinkaya a faru na pancreatitis bayyana fom in mun gwada m. Wannan cuta ne rare tare da exacerbations da kuma ci gaba sannu a hankali, da kuma endocrine insufficiency da wuya entails ci gaban da na koda da lalacewar da angiopathy. A ci gaba da cutar za a iya tsaya a nada dace magani da kuma aiwatar da shawarwari da halartar likita sã'õ'in gafarta musu. Zauna lafiya!