Pancreatitis pseudotumor: mea, lalau mai, symptoms a me ka hana hiʻona

Pancreatitis pseudotumor - heʻano o ka lōʻihi-nei maʻi pancreatitis no. I ka maʻi e loli ai na kanaka oi ma mua o nā wāhine pinepine. pathology ka inoa e hele mai, mai ka olelo Helene, o hua'ōlelo "pancreas" - na pancreas, "itis" - li nui, a "ʻeho" - heʻeho. I ua literally unuhi mea hiki e ai - li nui o ka pancreas e mimics ka neoplastic kaʻina.

Pseudotumor pancreatitis: mea, lalau mai, Symptoms

Ano hoomainoino aʻe i loko o ka ulu ana o keia maʻi mea he pathology hepato-biliary'ōnaehana (e laʻa me, Cl) a ua hoʻolōʻihiʻia hoʻohana o ka waiʻona. Loa emi - lawe lapaau a me nā 'inikua kāna hana. Ma ka hapanui o hoopii, pancreatitis pseudotumor mea heʻilihune o ka maʻi hoʻoʻino kaʻina hana ma nā pancreas a me nā'aʻaʻa nui emi (ka hola 10% hanana) ia ia akulla ma hope o huʻi li nui.

Ka hooulu ana o symptoms ma luna o ke kāʻei kua o ka cholelithiasis pinepine kākau i loko o nā wāhine. Eia naʻe,ʻaʻole wale hiki ia ia he precipitating ololi o ka nui 'aneʻi, a i malformations o ka biliary oihana, maʻi o ka bile leki uea' ole i ka papilla o Vater. Ma kēia hihia, me ka li nui e hoʻomōhala ana i like me ka hopena o ke ana hooleiia'na o bile i loko o ka pancreatic leki uea.

Kekahi o hiki e lymphogenous pio pancreas'aʻaʻa na aoao o ke? Acaeoey o pseudotumor pancreatitis (IeAUPIIe, IAa IO gland poo āpana), i ka wa a ka li nui hohola mai ka gallbladder ma ka lymphatic aka wahi a me nā ipu.

I hou pohihihi keia hoopii, pseudotumor ke ano o ka maʻi pancreatitis ke'ākoʻakoʻa ku e ke kāʻei kua o ka lōʻihi-makahiki hoʻohana o estrogen, acetaminophen a me ka 'ē aʻe ai' ole e lawe hereditary. A i ka wā hereditary etiology, ka maʻi progresses 'Imi, ka mea maoli i ka likelihood o malignancy (malignancy), a me ka hao deficiency ua ulu hikiwawe loa.

lapaʻau hoike ana

Ke symptomatology o keia palapala o ka pancreatitis pili me ka mīkini'opihia o ka biliary'āpana, endocrine ka hoʻokō 'ole a me ka nele o ka pancreatic nā'ūhū i ka pae'āina ma ka digestion. A, hikoko ka nanaia mai symptoms a loa kaʻeha i waena o lapaʻau hoike ana. Ka loiloi mua ke kahua Pseudotumor 'ano apau loa i e asymptomatic.

Akā, ka hapanui o nā mea maʻi hoike kēia mau hoailona o ka maʻi.

• jaundice;
• kaei eha e ia lŘlŘ ma hope o 'ai, inu a huʻi momoma ai, i kekahi ka waiʻona paha overeating;

• undigested ai i loko o ka noho ;
• nausea, ukali ma ka luaʻi, e hookomo ana ke ola;
• "Wiwo ole" feces (steatorrhea);
• diarrhea alternating me ka constipation;
• emi ma ka monakō koko ioeeiiaiey;
• causeless kaumaha poho;
• palpation - poo gasket pancreas;
• ka hoomahuahua i ka maʻi 'aʻai.

Maomeka o ka helehelena o ka papa kuhikuhiE symptoms

I ka mea i ho'ākāka 'ia maʻi o ka ulu i loko o ka pancreas, a ua pili i ka hanana o cysts (pseudotumor maʻi pancreatitis, pancreatic cyst), lipomatosis ulu a me ka autoimmune lesions.

Li nui ana e loli ai i ka pancreas poʻo - he wahi o ka OAAIeOO o ka papa kuhikuhiE pancreatic leki uea. E like me ka hopena, i ka hope o ua hou, a me ka pancreatic wai stagnates i loko o ke kino. E like me ka hopena, ua piha i ka leki uea, a me ka puʻe i loko o ka mea, ua ulu ana. Nā'ūhū na i loko o ka wai, hoʻomaka e hōʻuluʻulu i ka pancreatic'aʻaʻa, e hiki aku ai i ka hanana o loa eha maʻi pale, a ua pinepine pu e lawa pseudotumor ke ano o ka pancreatitis.

obstructive jaundice

Ma keʻano papa hana o keia symptom Radio he Hoʻohaku kūlana hoonee aku i ke poo o Ka maʻi 'aʻai,'ōpā choledoch (bile leki uea). E like me ka hopena o ka bile ma ke akepaʻa hiki ole kahe i loko o ka duodenum, ma muli o ia i ka puʻe i loko o ke kai, piʻi pū me bile ke kiʻekiʻe o komo i ke koko kahawai.

O ka papa kuhikuhiE hoopii me ka obstructive jaundice i discolored feces, loa ka ohane, pouli mimi, a me ka yellowing o ka ili a me ka sclera.

Pehea e loaʻa mai pseudotumor pancreatitis a maʻi 'aʻai ahonui

Ho'ākāka 'ia ma kaʻike, mea i i ia i loko o ka mooolelo a pau o ka hoopii a me ka lapaʻau hoike ana mai o ka maʻi, a, e hookaawale ia na maʻi,ʻaʻole wale nō o ka pancreas (e like, Ka maʻi' aʻai), akā, i ka mea e pili nā loko, me ka like symptoms. No keia mea mea mea OAXA:

• gastroenterologist kuka.
• Lapaʻau o mōʻaukala a me ka hoopii (ma mua o pancreatitis, cholelithiasis, lawe laau lapaau, hoopii o kaʻeha ma ka akau luna quadrant a me epigastric aina, a me na mea e ae).
• Hookolokolo ana o ka hoʻomanawanui me ka hana palpation (hiki o ka wepa, a no ka palupalu i loko o ka wahi o ka pancreas).
• Koko e ho'āʻo ai. No ka hāʻawi ano o ka pancreatitis kekahi ano mea ulu i loko o ka pae o ka trypsin, amylase a me ka lipase, hoʻopōʻino monakō koko ioeeiiaiey.
• Hoʻoholo 'o kaʻeho hōʻailona a me pancreatic polypeptide (e hoʻopau maʻi' aʻai). Ma ka hoʻoulu i ka nui o carcinoembryonic antigen, HI 125, CA 19-9, pancreatic polypeptide,ʻehoʻike, ua hookupaa iho la ia, a me ka wā o ka luna-i ho'ākāka 'ia hoemi' ona manao e pili ana i ke alo o ka li nui, a keʻae i kaʻike, "pancreatitis pseudotumor".
• US pancreas (alo aku o ka hypertrophy, a me ka loli i loko o ka 'ole o ka ducts gland'aʻaʻa, i ka wa e kaawale aku / alo o calcifications).
• HI a MRI (e hookaawale ia malignant neoplasms).
• ERCP. kiʻi 'ana i kūpono hoʻololi i loko o ka pancreatic leki uea.
• E wae tseliakografiya (manao ana pancreatic moku).

Inc

Pseudotumor pancreatitis, i lapaau i ka huʻi wā ua paʻa ma ka gastoenterologii, wehewehe aku ma ka undulating papa (oa alternation o remissions a me exacerbations).

Iapaau ana o keia maʻi komo ai i ka hookohu o ka hookoe mai i kekahiʻai (papaaina №5). Aeia mai pinepineʻai (elima i eono manawa o ka lā), akā, ma ka liʻiliʻi'āpana. Keiki epekema: baila aʻela i a me ka baking, kākaʻikahi - I hoopio ai hoi. Hookapu momoma, palai iʻai, palai hua paha, ikaika kī, kope, ikaika i kaupalena 'ia ka nui o kaʻai (oiʻiʻo puaʻa) a me ka waiu.

I ka papa kuhikuhiE pulakaumaka o ka Inc mea etiotropic lapaʻau, oa hoʻopau o precipitating kumumea (hoʻohana 'ana o ka waiʻona, ai') a me na kumu i ua kena ae la keia kulana. No ka laʻana, ina gallstones - cholecystectomy, a no laila, ma luna o.

Lāʻau lapaʻau E e nona ma? Ee i ka intra- a me ka exocrine gland insufficiency. E hana i kēia, i koi 'ia ai', nā'ūhū, "Pancreatin" i loko o ka huipūʻana me "Solizimom" a me "lipase". I ka ho'ēmi i steatorrhea hoʻohana antacids a me kalipuna kumukanawai.

I mea e ho'ēmi i dyskinesia lawelawe anticholinergics. No ka mea kokua o loa eha maʻi pale hoʻohana antispasmodics a "Atropine". E like me ka pono ka mea e no spasmolytic sphincter o Oddi hoʻohana "Mebeverin" a me "Gimekromon". Ke kau exacerbation lapaau nā antimicrobials. Inā lāʻau Inc 'aʻole i emi i ka nani o ka prostate, a me ka hypersecretion, laila, koho kūloko hyperthermia (kūloko) a me ka' āina 'pāhawewe waiū.

Ma waho kēia mau nohoʻana, pinepine me ka lawa Pseudotumor pancreatitis hoʻomaka endoscopicʻoki kino (e laʻa me, papillosphincterotomy) ke hoʻololi e decompress i ka ductal nenoaiu. Ke 'ākeʻakeʻa mea pakahi aku la ia ka hoʻokō strictures prepalillyarnogo ka wā kāleka, papillostenoze, mea ulu o ka pancreas poʻo, pu ma obstructive jaundice a me ka mīkini'opihia, he pono ole bile leki uea.

Kāohi

Kāohi ana i loko o kaʻike, o "pancreatitis pseudotumor" ho'ēmi i, kuhikuhi, a hiki i ka abandonment o ka pono o ke kanakaʻona mau nā mea inu. Ua mea i nui ai kūpono a me ka 'eleu hana o ka maʻi i ke kāhea keia pathology. Ua kōkua pale maʻi a me ka tidy, malalo o ko hoʻomalu? Eaia o ka palena papaha pilikia ai '.

Outlook

Nā wānana waiwai ma hanana o ke pancreatitis i hoakakaia palapala kŘpa a maikaʻi. Kēia maʻi He pohihihi keia me exacerbations a me ka holo pono lohi, a me ka endocrine insufficiency kākaʻikahi entails ka hooulu ana o kaʻaʻa puʻuwai poino a me ka angiopathy. I ka holomua o ka maʻi hiki ke papani iho la i loko o ka manawa i oleloia ai o ka 'eleu lapaau a me ka hoʻokō' ana i nā koi o ka hele ana i kahuna lapaau i manawa o ke kala. E hoʻokaʻaʻike ola!