Pseudotumor pankreatit: sababaha, calaamadaha iyo astaamaha daaweynta

Pankreatit pseudotumor - nooc ka mid ah pankreatit muddo dheer jira chronic badan. Cudurku waxa uu saameeyaa dadka oo inta badan haweenka. cudurada magac wuxuu ka yimid erayga Giriigga ah ee "beeryarada" - beeryarada, "itis" - barar iyo "buro" - buro. Taas waxaa la macno turjumay waxay noqon kartaa sidaas - bararka ganaca in sameeyay habka neoplastic.

pankreatit Pseudotumor: Sababaha, Calaamadaha

Waxyaabaha uga sii dara horumarinta cudurkan waa nidaam cudurada hepato-biliary (tus, Champions League) iyo isticmaalka dheer oo khamriga. Badan ka yar - qaadashada daawada iyo cudura kale oo caafimaad. Xaaladaha intooda badan, pseudotumor pankreatit waa natiijo ah oo geedi chronic bararka ee beeryarada iyo unugyada badan ka yar (ku dhowaad 10% dhacdo) waxay ogaan ka dib markii caabuq ba'an.

Horumarinta ee calaamadaha ku saabsan asalka ah ee cholelithiasis inta badan laga diiwaan geliyay dumarka. Si kastaba ha ahaatee, ma aha oo kaliya waxay noqon kartaa arrin-qaabo muhiimad weyn halkan oo ay leeyihiin cilladaha nidaamka biliary, cudurada of koollo bile ama papilla ee Vater. Xaaladahan, caabuq ku yeesho sabab u ah shubay joogtada ah ee bile duct galay ee ganaca.

Mid ka mid ah jidadka horumarinta pankreatit pseudotumor noqon kartaa unugyada ganaca guuldaradii lymphogenous (sida caadiga ah makrii meesha madaxa), markii caabuq ku fidaa iyadoo kaadi haysta iyada oo qanjidhada lymphatic iyo weelal.

Xaaladaha wax dhif ah, foomka pseudotumor of pankreatit chronic dhici karaan dhanka ah asalka ah oo la isticmaalo muddada-dheer ee estrogen, acetaminophen iyo daroogooyinka kale ama qaado dhaxlo. Oo markii etiology dhaxlo, cudurka si firfircoon uga sii darayo, waxaa kordhisaa suurtagalnimada of kansar (kansar), iyo birta si degdeg ah u koraya.

daliilka kiliinikada

symptomatology foomkan of pankreatit la xidhiidha riixo of mareenka biliary, hormoonada jidhka failure iyo la'aanta ensaymes ganaca in ay ku lug dheefshiidka. Waxaa intaa dheer, burooyinka yihiin calaamadaha joogo iyo xanuun aad u daran id daliilka kiliinikada. Foomamka Bilowga Pseudotumor stage waxaa laga yaabaa in astaamo.

Laakiin bukaan ugu soo bandhigaan socda calaamadaha cudurka:

• cagaarshow,
• xanuun-xidhka dhacda ka dib markii uu qofku cuno ama dufan ba'an cuntooyinka, khamriga ama cunid,

• cuntada nuxurrada saxarada ;
• lalabo, matag ku xiga, in keenaya qalbi qabowsado;
• saxarada "Geesi" (steatorrhea);
• shuban talantaalli ah caloosha oo,
• hoos ku dulqaadka sonkorta;
• sababla'aan khasaaro miisaankeedii dhan yahay;
• beeryarada goomahooda madaxa - taataabasho;
• kordhiyo kansarka.

Farsamo ee muuqaalka ah calaamadaha ugu muhiimsan

In cudurka tilmaamay waa in la kordhiyo beeryarada, kaas oo la xiriira dhicitaanka of fiix (pseudotumor pankreatit chronic, cyst ganaca), horumarinta lipomatosis iyo lesions shalalka.

Caabuq inta badan ku dhaco madaxa beeryarada - meel bixitaanka of koollo ugu weyn ganaca. Sidaas darteed, tan dambe ayaa waxaa cidhiidhi ah, iyo juice ganaca stagnates ee jirka. Sidaas darteed, koollo waxaa ka buuxda, iyo cadaadiska waxa ay ku korayo. Falgalka ku jira casiir ah, bilaabaan in ay dheefshiido unugyada ganaca, taas oo horseedaysa in ay dhacdo xanuun syndrome daran, oo inta badan la socda foomka pseudotumor ku filan oo pankreatit.

joonis obstructive

In hab ay of this calaamad u ciyaara kansarka madaxa balaartay door adag ah, Tuujiya choledoch (duct bile). Sidaas darteed of bile ee beerka uma ay soo qulquli karaan malawadka, ay sabab u tahay taas oo cadaadiska ku kordhay channel iyo bile si tartiib tartiib ah uu galo dhiigga.

The cabashooyinka ugu weyn ee la joonis obstructive waa saxarada discolored, cuncun daran, kaadi madow, iyo huruud ah maqaarka iyo sclera.

Sidee si aad u ogaato pankreatit pseudotumor ama bukaanka kansarka

Ku tilmaamay hab ogaanshaha in la tixgeliyo oo dhan cabashooyinka iyo daliilka kiliinikada ee cudurka iyo si looga saaro cudurrada kale, ma aha oo kaliya ganaca (tusaale ahaan, kansarka), laakiin sidoo kale xubnaha ku xeeran, oo leh calaamado la mid ah. Ujeedada this waa waajib:

• tashi dheefshiidka.
• taariikhdaada caafimaad iyo cabashooyinka (pankreatit ka hor, cholelithiasis, qaadashada daawada, cabashooyinka xanuun Rubuca midigta sare iyo gobolka gaastari, iyo kuwo kale).
• Imtixaanka bukaanka la taataabasho dhaqanka (seal suurto gal ah oo jilicsanayd aawadeed aagga ganaca).
• Tijaabooyinka dhiiga. Waayo, nooc ka mid ah la siiyo ee pankreatit koror sifo ee heerarka trypsin, amylase iyo lipase, dulqaad glucose oo yaraada.
• Determination of calamado buro iyo polypeptide ganaca (in la baabi'iyo kansarka). By kordhinta cadadka antigen carcinoembryonic, CA 125, CA 19-9, polypeptide ganaca, cudurka buro waxaa xaqiijiyey, oo markii walxaha kor ku tilmaamay yaraynta gabagabeeyo ku saabsan joogitaanka barar, taasoo Xaqiijiyay cudurka "pseudotumor pankreatit".
• beeryarada US (jiritaanka hypertrophy, iyo isbedelka dhismaha marinnada makrii unugyada, maqnaanshaha / joogitaanka laabatooyinkeeda).
• CT ama MRI (si looga saaro neoplasms malignant).
• ERCP. isbedelka farsamo imaging in koollo ah ganaca.
• tseliakografiya Selective (xaalad go'an weelashii ganaca).

therapy

pankreatit Pseudotumor, taas oo daaweynta muddada ba'an oo lagu qabtay gastoenterologii, lagu gartaa dhireedku Dabcan (Kala Duwaanta ie of remissions iyo exacerbations).

Daaweynta cudurkan ku lug leedahay magacaabista cunto jarin (miiska №5) a. cunto joogto ah la ogol yahay (shan ilaa lix jeer maalintii), laakiin in qaybo yaryar. Hababka Karinta: karaya iyo dubista, dhif - demin karin. dufanka leh mamnuuc, cunto la shiilay, ukun la shiilay, shaah xoog leh, kafeega, si adag u xadidan oo ay ku xaddiga hilib (gaar ahaan hilibka doofaarka) iyo caano.

Diirada ugu weyn ee daaweynta waa daaweyn etiotropic, tirtiridda ie arrimood qaabo (isticmaalka khamriga, daroogada) iyo sababaha keenay in xaaladda this. Tusaale ahaan, haddii laga soosaaray - cholecystectomy, iyo wixii la mid ah.

daaweynta daroogada waa in la talagalay in lagu saxo la'aan qanjirka soonoolaysay exocrine. Si arrintan loo sameeyo, daawo, ensaymes, "Pancreatin" in lala "Solizimom" ama "lipase". Si loo yareeyo steatorrhea laabjeexa iyo calcium supplements loo isticmaalo.

In si loo yareeyo Tardive anticholinergics maamulo. Wixii caawimo ah ee xanuun syndrome antispasmodics daran isticmaalo ama "Atropine". Sida hab waxtar u leh endetarms- spasmolytic of Oddi isticmaalaan "Mebeverin" ama "Gimekromon". daaweynta sii daridda dheer waxaa ka mid ah antimicrobials. Haddii daaweynta daroogada ma yareeyo bararka qanjirka 'prostate', oo hypersecretion, markaas magacaabi hyperthermia deegaanka (degaanka) ama fur shucaaca gobolka.

Ka sokow daawaynta waxaa, inta badan la pankreatit Pseudotumor filan sameeyo qaliin endoscopic (tus, papillosphincterotomy) loogu tala galay in decompress nidaamka ductal ah. faragelinta noocan oo kale ah waa wax ku ool ah gaar ahaan marka la abaarsadaa prepalillyarnogo card, papillostenoze, koror of madaxa beeryarada, Ulasocto joonis obstructive iyo riixo koollo bile caadi ah.

ka hortagga

tallaabooyinka ka hortagga in cudurka of "pseudotumor pankreatit" yareeyo, ugu horrayn, in baxsi ah ee isticmaalka cabitaanka khamriga. Waxa kale oo ay muhiim u tahay daaweyn ku filan iyo waqtigii cudurada dhalin kara cudurada this. Waxay ka caawisaa looga hortago cudurka ah oo hagaagsan, ay gacanta ku soo dhaweynta ku takhasusay daroogada aadka u halista ah.

Odoroska

Saadaasha at dhacdo ee pankreatit tilmaamay qaab yara wanaagsan. Cudurka Tani waa dhif ah la exacerbations iyo horumar si tartiib ah, iyo yaridu hormoonada jidhka dhif weeyaan horumarinta dhaawac kelyaha iyo angiopathy. horukaca cudurka waa la joojin karaa ballan daaweynta iyo fulinta talooyinka dhakhtarka xaadirka waqtigii xilliyada dembidhaafka. Joog caafimaad!