Pseudotumor pancreatitis: mgbaàmà, ọgwụgwọ

Otu n'ime ụdị nke ọrịa pancreatitis na-adịghị ala ala nke ọ nwere ike ịrụpụta n'ihi ọgwụgwọ na-enweghị ọgwụgwọ bụ pseudotumor pancreatitis. A na-akpọ ụdị a n'ihi na ihe mgbaàmà nke ọrịa ọrịa pancreatitis dị n'ọtụtụ ụzọ yiri mgbaàmà nke akpụ na-egosipụta peshịọ (“pseudo” - pụrụ ichetụ n'echiche, ụgha, “akpụ” - akpụ).

Kedu ka pseudotumor pancreatitis na-adịghị ala ala si egosipụta?

Site na oge nchọpụta “ọrịa na-adịghị ala ala” na mmepe nke ụdị pseudotumorous, afọ 10-15 nwere ike ịgafe. Ọtụtụ mgbe, a na-agwọ onye ọrịa ahụ kpamkpam maka ọrịa imeju, cholecystitis na-adịghị ala ala ma ọ bụ biliary dyskinesia, nchọpụta nke ugbu a na-apụta ìhè naanị mgbe nyochachara zuru ezu n'oge ọnụnọ ụlọ ọgwụ. N'ihe dị ka 5% nke ndị ọrịa nwere ọrịa na-adịghị ala ala, bụ ndị nọ na nyocha, anyị achọpụtala ụdị pseudotumor. N’ime ihe dị ka mmadụ asaa n’ime mmadụ iri n’ime ọrịa iri, a na-achọpụta ọrịa ahụ n’usoro mmepe nke nsogbu.

Ihe mgbaàmà ndị a dị ịrịba ama:

Mgbu siri ike.
Nnukwu ibu na obere oge.
Ọ na - eme ka amụbawanye n'ihe mgbu, na - apụtakarị site na afọ.
Mmebi nke ọrụ exocrine nke anụ ahụ site n'ụdị nke ezughi oke - stool na-akwụghị ọtọ, steatorrhea ("stool fat"), nnukwu ego nke eriri na - enweghị eriri na akwara ike.
Ihe onyonyo e ji mara ya mgbe ị na - eme nchọpụta nyocha nke ultrasound: uto (dịka iwu) nke anụ ahụ isi n’akpịrị, mgbasawanye nke Wirsung duo, contours na-edobe anya, na-achagharị, na pseudocysts.

Nchọpụta nke pseudotumor pancreatitis

Ọ bụrụ na inyo ụdị pseudotumor pịudotumor na-arịa ala ala, ọ dị mkpa iji nyocha ya wee nwee nnukwu nchọpụta - ọrịa cancer akpa ume (adenocarcinoma), nke na 80% nke metụtara isi akụkụ ahụ.

Nzube nke a, a na-eme biopsy nke pancreas na nyocha nke akụkọ ihe mere eme nke enwetara anụ ahụ sitere na mpaghara emetụtara. Ọ bụrụ na achọpụtara sel mkpụrụ ndụ (tumor), onye ọrịa ahụ nwere ọrịa kansa.

Agbanyeghị, usoro biopsy maka ọrịa kansa naanị na 56% nke ikpe na-ekpughere mkpụrụ ndụ na-adịghị ala ala, na 12% nke ndị ọrịa rụrụ ọrụ maka ọrịa pseudotumor, a na-achọpụta ọrịa kansa. (Dịka ndị nyocha German). Ya mere, mgbe ị na-ewulite nchoputa n’ọnọdụ ndị a na-enyo enyo, a na-eleba ọtụtụ ihe anya.

Ọrịa pseudotumor pancreatitis

Otu n'ime ngosipụta nke mbufụt na pancreas bụ ihe mgbu. Site na pseudotumor pancreatitis, a na-ekwupụta ya. Ọfụma na - abụkarị ihe mgbochi, nwere ike inye hypochondria na azụ. Mgbu na-eme, ọ na - abụkarị mgbe eri ma ọ bụ drinkingụọ mmanya. Ọtụtụ mgbe, ihe mgbu na-eme n'abalị.

Okwesiri iburu n’uche na ihe mgbu nwere ike isoro jikota onu ya na ino ya. Nnukwu ihe mgbu na pseudotumor pancreatitis adịghị ejikọta ya na ogo mgbanwe nke gland n'onwe ya.

Ihe atụ ọzọ nke ụdị pseudotumor nke pancreatitis bụ mbelata ibu n’ahụ. Ihe kpatara nke a bụ enweghị nkụpu nke gland, nke ọ na - atụgharị na ego ihe ọ juiceụ producedụ ezughị ezu iji gwuo nri. N'ihi nke a, usoro ịme nri na - agbagha - flatulence, enweghi ike itinye aka na stool (nke nwere ike ịmasị ma afọ ntachi na afọ ọsịsa). Odidi nke stool n’onwe ya na - agbanwe - ọ na - akawanye aru, na-achawanye ike ma na - enwekarị isi utịp.

N'akụkọ banyere ọrịa nke ọrịa pseudotumor pancreatitis, dọkịta nwere ike ịchọpụta mgbaàmà ndị a:

mmụba n'ihe afọ nile,
palpation na-ekpughe nnukwu isi nke pancreas,
ọnya na mpaghara epigastric.

Iji gosipụta nchoputa a, a na-enye ọgwụ ọkụ ma ọ bụ ntụgharị uche ọgwụ, nke na-ekpughere mmụba nke isi gland, contours nke akụkụ ahụ na ngalaba a bụ ajị ajị anụ na enweghị nhịahụ. A na-ahụta ịdị elu nke belata na mpaghara emetụtara, na-enwe pseudocysts, yana mpaghara nchịkọta.

Ọgwụ ọgwụgwọ na ọgwụ ndiife

Ntụziaka niile nke ọgwụ ọdịnala nwere ike ịbụ naanị mgbakwunye na ọgwụgwọ dọkịta nyere. N'okwu a, enwere ike iji tinctures dị iche iche na nkwadebe ahịhịa.

Otu n'ime osisi eji eme ihe maka ọgwụgwọ ọdịnala maka pseudotumor pancreatitis bụ afụ ọnụ ọla edo. Iji kwadebe ihe ọ drinkụ healingụ na-agwọ ọrịa, ịkwesịrị iji obere obere ihe ọkụkụ (ihe dị ka cm 20), gbue ya ma gwepịa ya. Mgbe ahụ, a ga-awụsa mmịcha a na mmanya na oke nke 1: 1 ma kwe ka inye ya izu 2 n'ọchịchịrị. Mgbe nke a gasịrị, a na-agbanwe infusion ma were ya na 5-10 ml mgbe nkeji iri atọ gachara.

Prognosis maka ụdị pseudotumor nke pancreatitis na-adabere na oge ọgwụgwọ nke ịwa ahụ. Ọ bụrụ na ọ rụpụtara nsonaazụ dị mma, mgbe ahụ iji nọgide na-enwe ọnọdụ ahụike, a na-atụ aro onye ọrịa ịgbaso nri ụfọdụ - zere mmanya, tinye ngwaahịa mmiri ara ehi dị ala. Ọzọkwa, iji nọgide na-enwe pancreas, dọkịta ahụ nwere ike ịkọ ụfọdụ enzymes.

Naanị mgbe ihe niile ndị ọkachamara kwuru na-emezu mgbe amụma ahụ ga-adị mma.

A na-akpọ mbufụt na-egbu oge nke pancreas, n'oge nke ọbara mgbali elu ya na ihe na - adịghị mma, a na - akpọ ya.

A na-egosipụta pseudotumor pancreatitis site na ihe mgbaàmà ndị yiri ya na mgbaàmà nke usoro oncological, yabụ ọ dị ezigbo mkpa ịghọta na nke a bụ iji wepụta ọnọdụ pathological iche n'oge oge wee bido ịgwọ ọgwụ ma ọ bụ ịwa ahụ.

Kedu ihe kpatara pseudotumor pancreatitis na-eme?

Usoro mkpali nke pancreas nke ọdịdị adịghị ala ala nwere ike ime n'ihi ọtụtụ ihe - ndị na - eme mkpọtụ.

Ekwesiri ichebara ha echiche karie:

Usoro ọgwụgwọ nke ọrịa akwara na-agbanwe n'ụzọ na-ezighi ezi, nke na-eji nwayọọ nwayọọ ghọọ ala ala.
A na - enweta ọnya ndị dị na gallbladder.
Ionụbiga mmanya ókè na ị abuseụbiga mmanya ókè.
Mmepe nke oria na aru.
Ọrịa autoimmune.
Mechanical emebi ahu.
Ọdịdị dị na pancreas nke cysts ma ọ bụ akpụ nke ọdịdị dị iche.

Na mgbakwunye na ihe ndị a, mmepe nke pseudotumor pancreatitis na-emetụta site na ileghara iwu nke ihe oriri anya na eketa eketa - ọnụnọ nke nsogbu pancreatic na otu nke nwanne.

Ọ dịwo anya egosipụtara na pseudotumor pancreatitis na-etolitekarị oge ọrịa na ndị ọrịa na-a smokeụ sịga.

Olee otu esi egosiputa ogwu?

Pseudotumor pancreatitis nwere ike itolite ogologo oge. Mmepe nke ọrịa a na - enwe site na ọrịa pancreatitis na-adịghị ala ala na ọnya anụ ahụ na - ewe site na afọ 10 ruo 18.

Mgbe mgbe, a ga-ekpebi ihe nchọpụta n’ezie mgbe enwere nyocha nke onye ọrịa a gwọọrịrị ogologo oge site na biliary dyskinesia, ụdị cholecystitis na-adịghị ala ala, ma ọ bụ ọrịa imeju dị iche iche.

Dịka e kwuru n’elu, pseudotumor pancreatitis gosipụtara onwe ya n’otu ụzọ ahụ dị ka usoro oncological nke pancreas, ya mere, enweghị ike ozugbo ịchọpụta ya.

E gosipụtara eziokwu ahụ na onye ọrịa ahụ atụlee ụdị ọrịa pancreatitis site na mgbaàmà ndị a:

Ọkpụkpụ mgbu nke a na-enwe na hypochondrium ekpe.
Ọrịa diski diski mgbe niile: afọ ọsịsa na-anọchi afọ ntachi, ndị dọkịta enweghị ike igosipụta ihe kpatara nke a.
Ihe ịrịba ama nke usoro nri nri na-ewe iwe.
Nausea, tinyere ọgbụgbọ, nke na-apụta ozugbo ị risịrị nri.
Nnukwu oke n’arụ ahụ n’enweghị ezi ihe kpatara ya.
Chapu anụahụ: akpụkpọ ahụ na-acha odo odo na-acha odo odo.
Mgbu na-ebilite n'oge palpation nke akụkụ ụbụrụ epigastric.
N'oge palpation, dọkịta chere na isi nke pancreas na-abawanye nke ukwuu.
Ahụji na-egbu oke ma na-egbu egbu, n'ihi na mmadụ na-efelata ngwa ngwa.
Ike na-abawanye ọbụna mgbe mgbatị ahụ siri ike.
In ụra, nchekasị na ụra miri emi.
Mgbanwe mberede na mberede.

Ọ bụrụ n ’mgbaàmà a pụtara, ị ga-eme ya na ọkachamara.

Ọ dị mma icheta na ọ bụ naanị dọkịta nwere ọtụtụ ihe ga-enwe ike ime nchọpụta ziri ezi ma depụta usoro ọgwụgwọ oge na nke zuru oke, nke ga-eduga n'ịchọpụta chọrọ.

Etu esi achọpụta ọrịa pathology nke ọma

Ihe dị mkpa banyere nyocha onye ọrịa bụ nchọpụta ọrịa a na-ahụ anya. Maka ebumnuche ndị a, ndị dọkịta na-arụ ọrụ ndị a:

Testsme ule: feces, ọbara, mmamịrị. Researchme nyocha ihe eji eme ha.
Nyocha ultrasound nke akụkụ dị n'ime.
Ọbara biochemistry.
Radiorụ ihe nkiri.
MRI na CT.
Ọmụmụ nyocha nke ọgwụ akwara site na endoscopy.
Histology - usoro nke ga - enyere gị aka iduzi ọmụmụ ihe dị iche na - enyere aka ịmata pseudotumor pancreatitis site na kansa nke isi pancreas.

Na-enweghị nyocha na ọmụmụ ihe ndị a niile, ọ fọrọ nke nta ka ọ bụrụ ihe na-agaghị ekwe omume ịchọpụta nchoputa ziri ezi.

Ihe a na-ahụ na ule ụlọ nyocha

N'ime mmadụ na-arịa ọrịa ahụ na ajụjụ, a ga-ahụ ihe ndị na-egosi ihe a n’ọbara:

Mmụba na ESR.
Onu ogugu na - eme ka obara di ocha.
Mmụba bilirubin, lipase, sialic acid na trypsin.

Na mmamịrị, bilirubin ga-aba ụba, mana enweghi urobilin. Na mgbakwunye, enwere mmụba nke alfa - amylase. Site na anụ ahụ, ị nwere ike ikpebi etu mgbaze si agbaji.

Ultrasound nke akụkụ dị n'ime

Site na iji nyocha nke ultrasound nke oghere dị n’afọ, dọkịta nwere ike ikpebi ma enwere ike ịmụba akụkụ ahụ, ma ọ bụ mgbaàmà azụ sitere n’ọdịdị akwara ji erute, lee ka ntụgharị nke pancreas si dị mma, ma enwere mkpụchi ụzọ ma ọ bụ na-egbochi ya kpamkpam.

Iji mụọ ọrịa ahụ n'ụzọ zuru ezu na iji chọpụta ọdịiche dị na oncology n'oge oge, ndị ọkachamara ruru eru depụtara nyocha nke akụkọ ihe mere eme.

Ihe MRI gosiputara

Usoro a na-atụle bụ usoro nchọpụta kachasị dị irè, nke na-eme ka o kwe omume ịtụle akụkụ parenchymal. N'oge nyocha MRI, ọ bụ ihe ejiji iji kwenye ma ọ bụ ịgbagide uto carcinoma.

N'ime usoro MRI, ndị dọkịta nwere ike ime ERCP - usoro nke na-enyere aka nyochaa ọdịdị nke akwara ahụ ma ghọta etu o si emetụta ya.

Na mgbakwunye, ndị ọkachamara na-ejikarị nyocha nke angiographic nke arịa gland.

Nhọrọ ọgwụgwọ Pathology

Usoro ọgwụgwọ nke ọrịa a na - enyere aka belata ihe mgbu, na - eme ka usoro mwepụ ghara ịrịa ahụ, ma kwụọ ụgwọ maka enweghị ume - nke intracretory insufficiency.

Ofzọ ọgwụgwọ nke pseudotumor pancreatitis gụnyere usoro agbakwunyere. Ọ bụ n'oge usoro ọgwụgwọ a ka a ga-esi nweta atụmanya dị mma.

Ọ dị mma ịtụle na ekwesịrị ịme ọgwụgwọ n'ụlọ ọgwụ, n'okpuru nlekọta dọkịta.

Fọdụ ndị ọrịa na-atụ egwu ịwa ahụ nke na ha dị njikere ị pụ ọgwụ n’oge ndụ ha niile.

Nke a ezighi ezi, n'ihi na ọ bụrụ na ọ dị mkpa iji mepụta ya, mgbe ahụ wepu ya abụghị ihe a na-atụ aro. N’ezie, ọtụtụ mgbe maka mgbaghara ogologo oge, ọ bụ mwepụ nke ahụ na-emetụta akụkụ ahụ achọrọ.

Ọgwụ ọgwụ

Illsnweta ọgwụ bụ nhọrọ ọgwụgwọ ọzọ, n'ihi na ọ bụ naanị obere oge ọ na-eme ka mmadụ nwee mgbapụta, ọ naghị agbasi mbọ ike na-akpata ọdịdị ahụ.

Dịka usoro ọgwụgwọ ọrịa Symptomatic, ndị dọkịta depụtara ọgwụ a:

Spasmodic: No-shpa, Duspatalin, Spazmalgon.
Anticholinergics: Argoprin, Methyldiazil.
Ihe enzyme: Mezim, Pancreatin.
Antacids: Phosphalugel, Maalox.
Ọgwụ antibacterial: Ampicillin.

N'ihe banyere ọgwụ ndị a na - enye nsogbu adịghị enye nsonaazụ dị mma, ndị dọkịta kpebiri ikpebi ọgwụgwọ mpaghara: ha na - ewepụ okpomoku ma ọ bụ jiri laser.

Ihe ogwugwo

Iji gwọọ ọrịa a, enwere ike iji ụdị arụmọrụ abụọ. Ha bụ ndị a:

Excation nke anụ ahụ metụtara. Interventiondị usoro ịwa ahụ a na - ewepụ mkpakọ nke Versungs na dule bile. N'oge mmejuputa ya, ndị ọkachamara na-enyocha akwara anụ ahụ. Ọ bụrụ na achọpụtara ihe ịrịba ama nke ọrịa kansa, ndị dọkịta na-achọpụta ụdị atụgharị nke ọrịa pancreatoduodenal - usoro na-emetụta duodenum, bile duct, ma ọ bụ anụ ahụ nke pericancreatic. Ọ bụrụ na akụkọ ihe mere eme ghọrọ ọcha ma ghara ịchọpụta ọnya anụ ahụ na-emebi emebi, a na-ewepụta isi ahụ wee buru nnukwu cysts ndị na-aga n'ihu.
Ihe eji agba mmiri nke Pancreatic. Usoro ahụ gụnyere iwebata ọkpọkọ silicone pụrụ iche n'ime ọnya ahụ, site na enyemaka nke enwere ike iwepu mmiri na pusi na akụkụ ahụ emetụtara. A na-etinye draịva otu onu na ọnya ahụ, a na-ebeda isi ya n'ime akpa mkpofu pụrụ iche.

N'ihi eziokwu ahụ na nsị dị na ọnya ahụ ogologo oge, a ga-eji ọgwụ antiseptik saa ha oge.

Omume ndị dị otú a na-enye aka igbochi ịbanye na ọnya nke ọrịa na-eme mgbe tube na-abanye ikuku.

Ọkpụkpụ mmiri gbasasịrị na-egbochi nsogbu ndị na-egbu egbu. Nke a bụ n'ihi na usoro ahụ na-ekpughe ọnya ọgbụgba na ọnya purulent ma sachapụ ya.

Kedu ụdị ọrụ kwesịrị ka amasị - naanị ndị dọkịta na-abịa ihe ahụ kpebiri. Nwanne a ga-elebara ọnọdụ ahụike mmadụ anya na ịdị omimi nke ọrịa.

N'ime mwepu nke ogwu nke oge a, enwere otutu usoro nka endoscopic nke dikwa nma itinye aka na gland, ighapu uzo na ngosiputa ihe. Na mgbakwunye, enwere ike idozi akụkụ nke papillary na stenosis na ngosipụta ahụ.

Akụkụ nke ọgwụ ọdịnala

Na mgbakwunye na nhọrọ ọgwụgwọ ndị a, ndị dọkịta nwere ike ịkwado iji ego site n'aka ndị mmadụ. Nke a gụnyere ihe ịchọ mma nke ahịhịa, ọtụtụ tinctures na infusion nke ahịhịa ọgwụ.

Ihe ndozi nke chamomile na calendula, nke di iche na mgbochi mbu na ogwugwo oria na enwe oria.

Ezi nzaghachi kwesiri ekwesi na tincture nke barberry.

Iji sie ya, ịkwesịrị ịnwe gram 20 nke ihe ọkụ a n'aka, wụsa ya na milili 200 nke mmanya ma hapụ ya ka ọ na-emeju maka izu 2.

Were tincture dị otú a na usoro onunu ogwu dika dọkịta gị nyere gị iwu.

O kwere omume wepu nsí niile n'ahụ ahụ ma mezie arụ ọrụ nke pancreas site n'enyemaka nke ịchọ mma na kissels mere na ndabere nke otite.

Ego ndị ahụ echebara echiche kwesịrị ị beụ mmanya na-egbu maka ihe dị ka ụbọchị iri anọ, mgbe ha nyochachara ọkachamara.

Ihe ojoo Pseudotumor Pancreatitis

A na-atụle pathology, na-enweghị ọgwụgwọ kwesịrị ekwesị, nwere ike ịkpasu nsogbu na-adịghị mma na nke dị ize ndụ. Ikwesiri imuta ha n'uju:

Peritonitis
Jaundice
Ọkpụkpụ ọbara na akị.
Cystic neoplasms.
Ọbara nke dị n'ime.
Ọgba aghara.

Ọ bụrụ n’ịchọpụta usoro ọmụmụ n’oge na-enye ọfụma ma nyekwa ọgwụgwọ kwesịrị ekwesị, mgbe ahụ enwere ike ịhapụ nsogbu ndị a site na ịhapụ onye ọrịa ahụ erughị ala.

Mgbochi nke ọrịa

E nwere ọtụtụ ụzọ mgbochi mgbochi ga - enyere aka gbochie pseudotumor ụdị nke pancreatitis. Ha bụ ndị a:

Usjụ omume ọjọọ ndị dị adị: ise siga, mmanya, ọgwụ ọjọọ.
Nyochaa nri nke gị.
Ndụ ibi ndụ na agụmakwụkwọ anụ ahụ kwa ụbọchị.
Treatmentgba oge ọsịsa maka ọrịa nke ọrịa: caries, otitis media na sinusitis.
Ing gafere nyocha kwa ụbọchị.

Ndị dọkịta kwuru na ụdị ọrịa a na-enye puseeji na-enye ọkaibe maka ọgwụgwọ. Ọrịa ụbụrụ anaghị aka njọ, ọ na-amalite nwayọ nwayọ.

Mana ebe ekwesiri iburu n'uche na enweghi oke nke endocrine nwere ike iduga nephropathy na angiopathy.

Ihe kachasị mkpa bụ ịzaghachi mmeghachi omume nke ahụ gị nke ọma, ịghara ileghara ihe mgbaàmà na-akpata iwe anya na ịchọ enyemaka ahụike n'oge.

Egwuregwu vidiyo bara uru

Ọria pancreatitis bụ ọrịa na-egbu mgbu nke pancreas kpatara site na mgbagide nke enzymes n'ime ahụ, mgbaze onwe ya na mbibi ya. Ọkpụkpụ tozuru oke na-abanye na sistem ma na-emebi akụkụ ahụ - obi, umeji, akụrụ.
Pseudotumor pancreatitis bụ ụdị pụrụ iche nke ọrịa na-efe efe nke akwara, akwara nke isi ya na-etolite ma ọ bụrụ na a gwọghị ya n'oge. A na-achọpụta ụdị ọrịa a ihe dị ka afọ iri ruo afọ iri na ise malite n'oge mgbanwe nke mkpali na gland.
Ọrịa pseudotumor na-adịghị ala ala na-enwekarị mgbagwoju anya na ọrịa nke biliary tract ma ọ bụ imeju na-achọpụtakarị mgbe onye ọrịa batara n'ụlọ ọgwụ na ọrịa ndị ọzọ.

Etiology na akara

Ihe mgbaàmà nke pseudotumor pancreatitis bụ ihe mgbu a na-eme ugboro ugboro, nsị exocrine, mmụba na pancreas, na mbelata ahu ngwa ngwa.

Pseudotumor pancreatitis na-abụkarị nsonaazụ nke ọrụ ụjọ usoro biliary dyskinesia ma ọ bụ cholecystitis na-enweghị atụ. Ihe kpatara mmepe ya bu ị abuseụbiga mmanya ókè, ketara eketa, ịxụ ọgwụ ọjọọ.

Ejiri oria a mara puru iche nke isi pancreas, ihe na-acha nzuzu na-akọwaghị nke ọma. Akpukpo aru nke mpaghara emetụtara gland na-apụta, na-eji pseudocyst emetụ ya, ma na-etolite ebe ahụ na-abawanye dayameta.

Elekarị anya maka pseudotumor pancreatitis na-adịghị ala ala:

Afọ dị obere.
Ndi nwoke - nwoke karikariri ahuhu.
Abuse abuseụbiga mmanya ókè.
Anụ anaisịis nke ọrịa karịrị otu afọ na ọkara.
Ibu oke ibu (kariri kilogram 10).
Ọrịa mgbu afọ.
Jaundice n'ihe kariri 20% nke ndị ọrịa na-ata ahụhụ na okike, na-enwe mmụba dị elu na bilirubin.
Ultrasound na CT scan na-egosi mbelata ihe omimi nke isi nke gland n'ihe dị ka 18% nke ikpe.

Picaldị ọrịa kansa a na-apị:

Afọ ndụ tozuru oke, na nkezi, afọ 59.
A na-emetụta ma ụmụ nwoke ma ụmụ nwanyị.
Igha ibu dị obere ruo 5-6 n'arọ.
Jaundice na-aga n'ihu na bilirubin dị elu na 90% nke ndị ọrịa.
Ultrasound na CT na-egosi mbelata ihe omimi nke isi nke gland n'ihe dị ka 75% nke ikpe.

Ihe kpatara oria a

Ndị ọkachamara na-achọpụta isi ihe abụọ na-akpalite mmepe nke pathology:

Dabere na ọnụ ọgụgụ, ihe ndị dị n'elu na-akpata ihe dị ka 80% nke ikpe ndị akọwapụtara banyere pseudotumor pancreatitis.

N'etiti ọrịa na imeju na ọnya, ọrịa gallstone kacha. Ọkpụkpụ akụrụngwa site n'ụdị ọnya biliary, ọrịa nke nnukwu paodenal papilla, na ụyọkọ akwara na-adịkarị obere. Violationsdị mmebi ndị a na-eduga na ntinye oge nke bile n'ime akwara nke pancreas, n'ihi nke a, ọnyá ha.

Ọrịa na-egbu egbu na-arịa oke akwara nwere ike ịbụ n'ihi njirimara agbụrụ. Ejiri ụdị ọrịa a na - ketara eketa site na enweghi ike iwelata akwara yana oke nke puru ime nke uto hypertrophied banye tumo-akpukpo aru.

Utionkpachara anya Ọrịa ahụ nwere ike ịdapụta n'ihi ị ofụ ọgwụ ogologo oge, nke estrogens, anidlides (acetaminophen) na-achịkwa.

Ntughari nke oria na-adighi ala ala n’otutu pseudotumor na-ewe site n’agbata afọ ise ruo n’afọ 15, ọ na-afọkwa asymptomatic.

Ihe ngosipụta mbụ nke ọrịa ahụ, dịka iwu, bụ ihe mgbochi na mgbu.

Nke ikpeazụ anaghị eme mgbe niile; ọ na-abụ mpaghara ya n'okpuru ọgịrịga n'aka nri ma ọ bụ na epigastrium. Mgbu ahụ na-adị nwayọ, njọ mgbe eri nri ma daa nwayọ mgbe awa ole na ole gasịrị.

Ihe mgbaàmà ndị ọzọ nke pseudotumor pancreatitis:

ọgbụgbọ
vom, emesia onye ahụ nwee ahụ efe,
nsogbu na-adịghị mma nke pancreas (nke palpation na ultrasound chọpụtara)
inwe mmetụta nke ịdị arọ na afọ ojuju n'akụkụ,
ifelata ngwa ngwa
imebi akwa (afọ ọsịsa, afọ ntachi),
ọnụnọ n'ime ohere nke abụba abụba, eriri na akwara anụ ahụ,
akpukpọ aru nke akpukpọ aru
adighi ike na aru.

Mgbe ị na-enyocha akwara Site n'enyemaka nke ultrasound, a na-ahụ mgbasa nke isi nke akụkụ ahụ, ọnụnọ nke pseudocyst, mgbasawanye nke ducts ahụ.

Nyere! Pseudotumor pancreatitis enweghị akara njirimara, ọ na-agbaghasịkarị ya na ọrịa biliary dyskinesia, cholecystitis, na ọrịa imeju.

Zọ nyocha

Chọpụta ọrịa siri ike n'ihi myirịta nke ihe mgbaàmà ya na ọrịa ndị ọzọ gbasara ọnya nri: ọrịa cancer nke akwara afọ, afọ, eriri afọ, ọnya afọ, gastritis.

Iji mee nyocha ziri ezi, a na-enyocha onye ọrịa nyocha ọ bụla:

Ajụjụ ọnụ na nyocha nke onye ọrịa. Na palpation, a na-achọpụta mmụba nke akụkụ ahụ, na ebe nrụgide, a na-enwe ihe mgbu nke ike dị iche. Onye ọrịa ahụ nwere agba odo na-adịghị mma.
Nnyocha ọbara na mmamịrị. Achọpụtaghị nnukwu ihe dị iche na usoro onye ọrịa, mana a na - achọpụta ihe dị njọ nke ọrịa mgbu, mmụba nke ọkwa enzymes (amylase, lipase, trypsin).
Nyocha ọbara maka nnabata glucose. Site na pseudotumor pancreatitis, nnabata glucose na-emebi emebi: ọkwa shuga mgbe mgbatị ahụ gasịrị karịa akara a nabatara.
Chọpụta ọkwa nke ihe nrịbama (otu CA 19-9). Iszọ ahụ bụ ihe ọmụma ma na-enye ohere ikpebi pseudotumor pancreatitis ma ọ bụ kansa n'ime onye ọrịa nwere ntụkwasị obi dị elu.
Nyocha maka ego nke protein pịrịkụl. Site na mbufụt nke pancreas, mbelata ihe ngosi peptide na-edekọ, yana ọrịa kansa, mmụba.
Ultrasound Ọmụmụ ihe ahụ na-enye gị ohere ikpebi ogo mgbanwe akụkụ ahụ, idoanya nke ihe dị n'ime ya, ịchọpụta mpaghara nwere mgbanwe echogenicity (xeudocysts, calcifications).
MRI na ERCP. Thezọ ndị a na-enye ohere omumu ihe omimi banyere mgbanwe na parenchyma nke pancreas na akwara ya, yana wezuga carcinoma ji nwayọọ nwayọọ.

Nyere! Pseudotumor pancreatitis nwere koodu dabere na ICD 10 - K86.1.

Ọgwụ

A na-eme ọgwụgwọ nke pseudotumor pancreatitis na ngalaba nke eriri afọ. Edere onye ọrịa ahụ nri (tebụl Nke 5), na nnukwu ikpe - ọgwụgwọ na-ebu ọnụ ọtụtụ ụbọchị. Ọgwụ ọgwụ anaghị anabata mgbake, a na-eji ya belata ọnọdụ onye ọrịa ma ọ bụ dịka nkwadebe tupu ịwa ahụ.

Ọgwụ nchekwa

Ọgwụ Pharmacological maka ọgwụgwọ A na-eji pseudotumor pancreatitis mee ihe iji kwụọ ụgwọ ezighi ezi nke pancreatic:

Enzymes Edere onye ọrịa ọrịa pancreatin yana yana lipase.
Antacids. Ọgwụ na-enyere aka kwụsịlata hydrochloric acid, n'ihi nke stool bụ ahaziri.
Nkwadebe Calcium. Nlekọta nkwonkwo na antacids na-ewepụ steatorrhea ("abụba").
Ọgwụ antispasmodics. A na-ewe ha iji belata spasm nke akwara njikọ, nke na-eme ka ihe nzuzo ya dị ka mma.
Ọgwụ nje. A na-eme ọgwụgwọ antibacterial n'oge oge oke.
Ihe mgbu. Ha na - enyere aka belata ihe mgbu ma melite ọdịmma nke onye ọrịa.

Zọ ịwa ahụ

N'ọnọdụ ebe enwere mmụba dị ukwuu na isi pancreas na mkpakọ nke ihe na -adakarị nsoro, naanị ụzọ iji kpochapụ ihe kpatara ọrịa ahụ ma nweta mgbaghara kwụsiri ike bụ ịwa ahụ.

Ntị! Patientsfọdụ ndị ọrịa nwere pseudotumor pancreatitis jụrụ ịwa ahụ wee kwado ụzọ ọgwụgwọ. Mkpebi dị otú ahụ nwere ike ịka njọ ọnọdụ ahụ, n'ihi iji ọgwụ mee ihe ogologo oge ga -eme ka ibu dị arọ karịa imeju, mana ọ gaghị eweta ọgwụgwọ.

Thezọ ọgwụgwọ ahụ na-emetụta mwepu anụ ahụ emetụtara na mmebi nke akwara.

Ọganihu nke ọhụụ na nkà mmụta ọgwụ na-enye gị ohere inweta nsonaazụ ndị achọrọ site na iji usoro ịta ahụhụ dị obere.

Ọ bụ ihe siri ike ikwu ogologo oge ọ ga-agbake onye ọrịa na pseudotumor pancreatitis mgbe ọwachara ahụ.

Oge oge mgbake na-adabere n'ịdị ọcha nke ọrịa, afọ onye ọrịa yana njirimara ndị ọzọ nke onye ọrịa.

Dị Mkpa! Onye ọrịa ga-agbasosi ike na ndụmọdụ nke dọkịta ma soro usoro nri ụbọchị ndụ ya niile!

Amụma na nsogbu enwere ike

Prognosis maka ndụ nwere pseudotumor pancreatitis dị mma. Ọrịa ahụ na-amalite nwayọọ nwayọọ, iwe ọkụ dị ụkọ, mana na enweghị ọgwụgwọ, onye ọrịa ahụ nwere ike inwe nsogbu ndị a:

imeju gland,
jaundice
mgbochi nke veins
peritonitis
ọrịa shuga mellitus
ọbara ọgbụgba n'ime
mmebi ahụ n’akwara anụ ahụ na-ebu ibu ma ọ bụ neoplasm ọjọọ.

Herapagidesi ike na ndụmọdụ nke dọkịta ahụ ga-eme ka onye ọrịa chekwaa ndụ ya wee hụ na enwere ike ịgbaghara ya.

Mgbochi

Ndụmọdụ ndị a dị mkpa kachasị mkpa maka ndị ọrịa na-arịa ụdị ọrịa ọ bụla nke pancreatitis:

Jụ mmanya na sịga.
Belata iji ihe eji eghe anụ, anụ ndị dị ụtọ, na abụba. Ndị ọrịa kwesịrị iwepụ ha kpam kpam na menu ma jikọta ya na nri (tebụl Nke 5).
Ka oge na-aga ịgwọ ọrịa ndị nwere ike ịmalite mmepe nke ọrịa.
Banye maka egwuregwu, mana n'otu oge zere ibubata ibu.
Mgbe nile, a na-enyocha ule mgbochi site n'aka onye na-ahụ maka ọrịa kansa.

Dị Mkpa! Nwere ike zere ọrịa ahụ ma ọ bụrụ na-agbaso usoro mgbochi.

Ọrịa nyocha

Ọrịa Pseudotumor bụ ihe siri ike ịchọpụta, n'ihi na n'ọtụtụ ụzọ, ọ bụ ọrịa dịka nke digestive system, nke nwere arụ ọrụ yana anatomical na njikọ ya na pancreas. Mmebi nke ọrịa ahụ nwere ike ịkpalite mmebi nke ọnya afọ na-adịghị ala ala.
Ya mere, nchọpụta nke pseudotumor pancreatitis na-ewere ọnọdụ n'ọtụtụ nkebi:

Mwepu nke ọrịa nwere onyonyo yiri ya bụ ọrịa carcinoma, ọnya afọ, ọnya afọ, ọnya na-adịghị ala ala, ọnya na-adịghị ala ala, ọrịa na-adịghị ala ala, ọrịa arteriomesenteric na-adịghị ala ala.
Nchọpụta ụlọ nyocha: na-eme ceruline, bentiramine na luid test, mkpebi nke enzymes n'ọbara - amylase, lipase, elastase,
Nchọpụta akwara dị iche iche: ultrasound nke usoro nri, foto panoramic, duodenography, gbakọrọ tomography, endoscopic echolocation.
Mkpebi nke mgbanwe na nnukwu bile na paodilla papilla na-eji gastroduodenoscopy, intravenous cholangiography, radionuclide cholecystography.
Nnyocha endoscopic nke isi akwara ji aga na arịgo pacreatocholangiography.
Ihe omumu banyere ihe ndi putara ihe na ihe ndi ozo di iche.

A na-achọpụta pseudotumor pancreatitis na-adịghị ala ala naanị na 5% nke ndị ọrịa nwere mbufụt nke pancreatic, ya mere, n'ihe fọrọ nke nta ka ọ bụrụ ndị ọrịa niile, pathology na-aga n'ihu na nsogbu.

Ọgwụ ịwa ahụ

A na-agwọ ọrịa Pseudotumor pancreatitis. Ebumnuche nke ọrụ a bụ iwepu akpụ, nke na-eduga n’ọganihu na arụ ọrụ nke pancreas, mwepu nke ihe mgbaàmà nke ọrịa ahụ, mgbochi nke enwere ike ibute ọrịa consolitant - ọrịa gallstone ma ọ bụ ọrịa shuga.
Nsonaazụ nke ịwa ahụ bụ mmalite nke mgbaghara zuru ezu ma ọ bụ ezughi ezu, dịka ọmụmaatụ, nsị mmetụta nke pancreatic steatorrhea, unodensstad duodenostasis, pseudocysts ga-ekwe omume. Mgbe ọgwụgwọ ogwugwo nke pseudotumor pancreatitis gasịrị, a na-enyocha ndị ọrịa oge niile na nleta ndị ọkachamara ugboro abụọ n'afọ, mkpebi nke ọrụ exocrine pancreatic na ultrasound.
Ugbu a, a tọhapụrụ ọnụ ọgụgụ dị ukwuu nke ọgwụ ndị dị irè, nke iji ya belata ọnụ ọgụgụ arụ nke ọrịa a. Rụ ọrụ n'ime gallbladder, afo na pancreas enwebeghị nsogbu ụnyaahụ. Na 80% nke ikpe niile, pseudotumor pancreatitis na-ejedebe na mgbake nke ndị ọrịa.

Ihe mgbochi

Ihe mgbochi maka pseudotumor pancreatitis gụnyere:

Changgbanwe nri - a na-atụ aro ndị ọrịa ị dietụ nri nwere nri protein na nri nwere obere abụba.
Ojiji nke ọgwụ ndị na-akwụsịlata ọrụ nke sistemụ enzyme pancreatic, nke na-atụnye ụtụ na ahụ ngwa ngwa.
Mmanya na-aba n'anya zuru ezu.
Nchoputa oge na ọgwụgwọ nke oria bu oria n’ahụ: ezé na-egbu mgbu, tonsillitis, sinusitis.
Ọgwụ Sanatorium.

Ọ bụrụ na ị na-agbaso usoro mgbochi niile dị mkpa, ị ga - enwetacha mgbaghara nke ọrịa.

Pseudotumor pancreatitis nwere ihe mgbaàmà nke dabara na ndị na-apụta na mmepe nke akpụ akpụ. Na pathology, nke nwere koodu maka ICD 10 K 86.1, a na-edekọ hypertrophy na fibrosis nke anụ ahụ gland. Ọrịa ahụ na-akpalite mmụba mpaghara na mpaghara ahụ, nke na-emebi ọrụ ya.

Ọrịa ahụ na-akpalite mmụba mpaghara na mpaghara ahụ, nke na-emebi ọrụ ya.

Na-akpata

Usoro mbufụt ke pancreas, tinyere uto nke anụ ahụ ya, na - eme ihe megide usoro nke usoro ịba ọcha n'anya, dịka ọmụmaatụ, cholecystitis, ọrịa gallstone, ọrịa ịba ọcha n'anya. Ọrịa ahụ na-etolite na enweghị ọgwụgwọ maka ọrịa pancreatitis na-adịghị ala ala. N'ime ihe ndị bụ isi kpatara ya bụ ihe ketara eketa, ị alcoholụbiga mmanya ókè.

Ihe ndị ọrịa na - akpata ọrịa bụ:

Ọrịa gallbladder.
Mechanical mmerụ ahụ nke pancreas.
Guzosi nke cysts.
Ọrịa autoimmune.

Ọrịa ndị na-efe efe nwekwara ike ime ka e nwee nnukwu akpụ na pancreas.

Zọ ọgwụgwọ

A na-agwọ ọrịa ahụ site na ịwa ahụ. Nke a nwere ike bụrụ mmịpụta nke ọkpọ a na - egbochi (imeziwanye nzere ha na ihe ọ juiceụ juiceụ ha), ma ọ bụ nwee ike wepụta isi nke pancreas.

Zọ ichekwa ichekwa na-eweta enyemaka na nwa oge ma ghara idozi nsogbu ahụ - enweghị ike inweta enyemaka site na enyemaka ha.Ha gụnyere ojiji nke painkiller (antispasmodics - no-spa, papaverine, duspatalin, wdg), ọgwụ na-egbochi nzuzo (kontrikal, gordoks). N’oge nsogbu, a na-ede agụụ maka ụbọchị 2-3.

Ihe ndị a niile bụ nkwadebe n'ụdị okike, mgbe mmesịrị ahụ belatara, onye ọrịa chọrọ ịwa ahụ.

Mwepu anụ ahụ juputara na isi onye gland na - enyere gị aka inweta akụrụngwa Wirsung na akwara mmiri. Iberibe anụ ahụ gland na-emetụta nyocha nke akụkọ ihe mere eme n’oge ịwa ahụ. Ọ bụrụ na achọpụtara mkpụrụ ndụ kansa, mgbe ahụ PDR - pancreatoduodenal yiri ka ejikarị ya. Nke a bụ ihe mgbagwoju anya nke ukwuu, na - emetụta akụkụ ndị dị n'akụkụ anụ ahụ - duodenum, dule dupe, anụ ahụ na - emetụta ala.

Ọ bụrụ na nyocha nke akụkọ ihe mere eme anaghị ekpughe ọnya ọjọọ nke anụ ahụ, mgbe ahụ dọkịta na-awa ahụ na-egosipụta isi ma na-emechi oghere ndị kasị ukwuu, na-akụ nnukwu ọkpọ ahụ. Operationrụ ụdị ọrụ ahụ na-eme ka mgbaghara zuru oke ma ọ bụ ihe fọrọ nke nta ka ọ bụrụ na, mgbe oge mmegharị ahụ gasịrị, na-eme ka ndụ ndị ọrịa dịkwuo mma. N'ọnọdụ ụfọdụ, ọ na-egbochi mmepe nke ọrịa shuga, ebe akụkụ dị ukwuu nke gland na-aga n'ihu na-arụ ọrụ ma na-emepụta insulin.

Kedu ihe na-achọ ịjụ ojuju nke ọgwụgwọ ịwa ahụ? Ọrịa na - enweghị atụ, ọrịa na-arịwanye elu, ịba ụba jaundice na mmanya n'ihi mmụba nke akụkụ ndị agbata obi. Mmepe nke endocrine na insocrine ezughi oke.

N'ezie, ndị ọrịa na-arụ ọrụ ga-agbaso nri maka ndụ - nke nwere protein na abụba dị ntakịrị. Ha ga-akwụsị ị alcoholụ mmanya. Iji belata ụkọ akụrụngwa, ha kwesiri ị were enzymes. Fastingbọchị na-ebu ọnụ oge, ọgwụgwọ sanatorium n'ụlọ ebe a na-a drinkingụ mmanya - Kislovodsk, Essentuki, Zheleznovodsk, Truskavets, Morshin, Karlovy Vary bara uru maka ndị ọrịa dị otú ahụ.

M na-agwọ ndị ọrịa kemgbe 1988. Gụnyere pancreatitis. M na-ekwu maka ọrịa ahụ, ihe mgbaàmà ya, ụzọ nke nyocha na ọgwụgwọ, mgbochi, nri na usoro.

Etiology nke onu

Isi ihe kpatara mmepe nke ọrịa:

ihe ọ alcoholụ alcoholụ na-egbu egbu, nri “dị arọ”, ị smokingụ sịga,
ọgwụ ogologo oge
ihe nketa
nsi kemịkal na mmerụ ahụ ngwara,
ịwa ụkwara akwara mbu
nro nke pancreatitis na-adịghị ala ala,
ọrịa dị iche iche nke afọ na eriri afọ, okwute n’ime eriri afọ, mebiri imeju na ọnya biliary, wdg,
ọrịa obi na ọrịa nke usoro akwara obi,
ọrịa na-efe efe (nje ịba ọcha n'anya, kịtịkpa, tonsillitis, sepsis, wdg),
allergies
helminthiasis,
ọrịa shuga mellitus.

Ọ dị mkpa iburu n'uche na na 80% nke ikpe, ihe kpatara mmepe pseudotumorous pancreatitis bụ ọrịa nke gallbladder, imeju na bile ducts.

Ngosipụta Symptomatic

Ihe mgbaàmà nke pseudotumor pancreatitis (PTP):

ihe mgbu agbatị mgbe niile dị na hypochondrium dị mma, ọ ka njọ mgbe eri nri na ka ọrịa ahụ na-aga n'ihu,
imebi ọrụ nzuzo nke pancreas,
Ntughari nke pancreas (otutu oge),
ifelata
akpụkpọ ahụ, anya, ọchịchịrị nke mmamịrị na -eme ka ọnya na-egbu, itching,
imebi Stool
afọ dị n’ime afọ mgbe ị richara nri nke abụba, mmanya
ọgbụgbọ na ọgbụgbọ
nri na-ezighi ezi nke nri na ahihia nri na nri,
endocrine na exocrine ezuru oke - mbelata mmepụta nke homonụ na enzymes nke metụtara na ndụ mmadụ.

Ihe omume adighi adighi nma bu na a na-ahuta oria a n’azu ikpe oria. Ka oge na-aga, akàrà etioloji etioloji etiology nwere ike ime na akụkụ ndị emetụtara nke pancreas, ọbara mgbali subhepatic (mgbali elu na vein veal n'ihi thrombosis) nwere ike ime. N'ọnọdụ a, ọpụpụ nke bile na umeji n'ime duodenum, nke na-eduga na mmepe nke ngọngọ (sistem) jaundice. Isi a pịrị apị mebiri emebi ma karie nha nha n’ihi anụ ahụ na - eme ka ọpụpụ nke ihe n’akpịrị n’ahụ pụta, enzymes a na - agbakọ amalite na - emechi mgbidi na sel nke gland. Bile mechiri emeju na-abanyekwa n'akpịrị, na-abawanye ụba ma na-emetụta ọria ahụ. N'ihi eziokwu ahụ bụ na isi ihe a na-ejikọ ya na sisitemu, usoro mkpali nke ahụ na-agbasa n’ime ahụ niile.

Pesdị na nhazi nke pancreatitis

E nwere ọtụtụ ụdị na ụdị mbufụt nke pancreas. Ọ dị ezigbo mkpa iji kwado nchoputa nke ọrịa dịka pancreatitis, nhazi nke ọrịa ahụ. N'ime omume ahụike, ọ dabere na Nhazi International Marseille, nke gụnyere ụdị ọrịa puru iche:

Nkọ.
Ọrịa na - enwe ọganihu na ikike iji weghachi ọrụ akwara.
Ọganiihu na-ala ala, ya na nnukwu ọgụ, ya na mweghachi nke gland nwere ike ikwe omume. Ọ na-enwe aha parenhematous pancreatitis.
Ihe na - egbochi ihe mgbochi okwute, nnabata, ike mmadụ nwere gbasara ihe akwara na -emepụta akwara.
Alakụba na-adịghị ala ala na mgbanwe mgbanwe na akwara nke gland. Mgbe ụfọdụ, ọ na - esonye ya na itinye okwute, na - esochi ime ka ọ bụrụ ihe na - amalite ime, ndị a bụ usoro necrotic. A na - emetụta acini nke mepụtara mmepụta enzymes na usoro mgbaze.

A na-ahụ maka itinye ihe nnu n'ime pancreas site na mmebi nke mmiri kemịkal nke pancreatic ma na-eduga n'ịbebe okwute ma ọ bụ aja n'ime oghere nke gland site na mmiri nke ọịị. N'ihi ya, na saịtị nke akwara ụkwụ, usoro necrotic nke gland anụ ahụ na-amalite. Ọrịa akwara na-enwekarị ọrịa na-adịghị mma n'ihi eziokwu ahụ bụ na usoro arụrụala na-amalite ịmalite na anụ ahụ necrosis.

Ọdịdị na ọnya ọnya akwara dị iche iche na -eme ka ụdị ọrịa a dị iche iche:

Edematous pancreatitis bụ, dịka iwu, ụdị mmalite nke mmepe nke nnukwu ọrịa na ọrịa na-adịghị ala ala. Edema na - ekpuchi ahu ihi n’akpata enweghi mgbanwe. Ọ na - ahụkarị ụmụ nwoke, ebe ọ bụ na isi ihe kpatara ya bụ ọnya afọ nke gland, nke na-akpalite ọrịa edematous. Edematous pancreatitis na-atụgharị. Site na ọgwụgwọ n'oge na iwepu puff puffen, prognosis dị mma.
Parenchymal pancreatitis bụ ọnya nke anụ ahụ niile ma ọ bụ akụkụ ya, ya na mmebi nke ọrụ exocrine nke ahụ. Parenchymal pancreatitis dị nnọọ ize ndụ maka ihe mgbagwoju anya ya, nke nwere ike ibute ọnwụ onye ọrịa.
Ọrịa na-efe efe na-ebute nzụlite nke ọrịa nje, nke bụ ịba ọcha n'anya nke nje virus, na-eduga na mmebi nke ọrịa akwara na-eme ka ọ bụrụ ihe dị ngwa nke akwara anụ ahụ.
Site na ọgwụgwọ adịghị mma, ụdị anya a na - eleghara nnukwu ọrịa nke ọ na - efe efe na - efe efe na - efe efe. Site n'ụdị ọrịa a, a na-achọpụta ọnya ọnya nke parenchyma. Nke a chọrọ ịwa ahụ ngwa ngwa. Ọ nwere ike isi na ya pụta. Ọrịa ọnya na-akpatakarị nkụchi akwara necrotic, ya bụ, usoro nke ịnwụ nke anụ ahụ metụtara.
Neglectdị nfụkasị nke pancreas na-adịghị ala ala nwere ike ibute nchara nke nta nke nta. Atrophic pancreatitis na-amalite site na mgbanwe fibrotic na gland, nke na-eji nwayọ gbasaa n'ime akwara, na-emebi emebi ọdụ, oghere interlobular, agwaetiti nke Langerhans, nke na-eduga n'ịba ụba homonụ na enzymatic nke gland. Ihe ọzọ na-emebi mmiri na akwara ndị ahụ na-enye aka n'ọbara na-akpalite ma na-eme ka ọnya na-egbu ọwụwa. Ọ nwere ike jupụta ma ọ bụ nwee akụkụ. A na-ebelata akụkụ ahụ nke ukwuu nha ma buru carilaginous, nke na-akpasu imeju imeju. Prognosis adịghị njọ.
Hemorrhagic pancreatitis bụ nsonazụ nke mbibi nke akwara ozi nke pancreas n'ihi fibrosis ma ọ bụ corroding nke arịa arịa site na ya enzymes n'ihi igbochi nke okporo nke gland. Na nke a, profuse n'ime ọbara ọgbụgba na peritonitis eme.
N'ime ụdị ọrịa ọrịa pancreatic bụ nke a na-ahụkarị na ụmụ nwanyị, idiopathic pancreatitis bụ ọnọdụ mgbe a gbanwere anụ ahụ nke ọma. Amabeghị ihe na-akpata mgbanwe mgbanwe dị otú a. Enwere otutu oria idiopathic pancreatitis: mbido (nke na - eme na afọ 15-20), ebe a na - ekpo oke mmiri (nke a na - ahụ ndị bi na obodo ebe okpomọkụ ma na - akpata ụkọ protein na mineral), senile (senile).
A na-ekebi mmebi nke pancreas na nguzobe nke eriri afọ na okwute n'ime akwara ahụ ka ọ bụrụ ọrịa akwara nke ime mmụọ. Ọrịa ahụ na - eduga ná mgbochi nke akwara a na-egbochi mmadụ, si otú ahụ na-emebi mwepu mmiri nke pancreatic n'ime ọwara. Nsonaazụ nke a bụ imebi usoro nri, ọrịa nke duodenum, imeju, eriri afọ. Ọrịa pancreatitis nke ime mmụọ na-akpata megide ya.
Diseasedị ọrịa akwara na-adịghị ahụkebe na usoro ahụike bụ autoimmune pancreatitis. Ọ na-egosipụta na malfunctions nke ahụ na-agbachitere ahụ, mgbe ọgụ mụbara na mkpụrụ ndụ na-alụso ọrịa ọgụ na-amalite 'ịwakpo' ahụ ha. Autoimmune pancreatitis gosipụtara onwe ya na mmebi ọ bụghị naanị pancreas n'onwe ya, kamakwa maka akụkụ ahụ niile metụtara ya (imeju, akụrụ, ọnya ọbara, gland salvary, bile ducts, eriri afọ). Ọ na-egosipụta onwe ya dị ka usoro nke ihe ịrịba ama njirimara nke ụdị ọrịa pancreatitis niile - jaundice, ọrịa dyspeptik, enzyme na ụkọ nke homonụ, ọrịa shuga mellitus, oke ibu, adịghị ike n'ozuzu ya na ike ọgwụgwụ, wdg.

Dika onodu mmepe nke oria a, ha kere ndi nke a:

Enzymatic frasi (ụbọchị 3-5) - n’oge a enwere pathogenesis nke necrosis (pancreatic necrosis), ịxụ ahụ nke anụ ahụ na endotoxins (endotoxemia) na-amalite, mgbe ụfọdụ, ọ na-agbagha akụkụ ahụ ndị ọzọ n'ihi mmebi ha (ọtụtụ akụkụ ahụ) na endotoxin ujo na-ahụ.
Oge mmeghachi omume (ụbọchị 6-15) - emere ka mmalite nke usoro mkpali na mpaghara necrotic.
Usoro usoro ịkpa ike (mgbe izu abụọ gachara) - pụtara ntolite na pancreas nke saịtị necrotic (usoro). Enwere usoro sistemụ na -eme ka usoro cystoma na perforation na septic, nke purulent-necrotic mbufụt nke pancreas na-agbagha.
Oge mmalite - apụta mgbe ọnwa isii gachara akara nke ịba.

Usoro nyocha

Nchọpụta nke PTP na-amalite site na nkọwapụta nke ihe ịrịba ama nke ọrịa ahụ dabere na mkpesa ndị ọrịa. Mgbe emesịrị ọmụmụ ihe ndị miri emi.

Nnwale ụlọ nyocha nwere ike ikpebi ihe ndị a:

nnwale ọbara - steeti ESR na sel ọbara, ọnụnọ nke bilirubin, enzymes na acid dị iche iche,
urinalysis - ọnụnọ nke bilirubin, urobilin na amylase,
coprology - ogo mgbaze nri na ọnụnọ nke abụba.

CT
Ihe ntanetị nke na-eme nri.
roentgenogram
nkuzi endoscopic,
eriri afọ na eriri afọ na ọnya biliary,
intravenous cholangiography - iwebata ihe dị iche n’ime mmiri n’akwara akwara ịmụ banyere ihe mgbochi, ọnụnọ nke nkume na neoplasms,
radionuclide cholecystography - iwebata ihe dị iche maka ndị na-esote redio nke ahụ, na-enye gị ohere inweta nkọwa doro anya nke pancreas na foto a,
akụkọ ihe mere eme - ọmụmụ nke anụ ahụ sitere na onye ọrịa maka ọnụnọ oncology.

Principleskpụrụ ọgwụgwọ

Ọrịa pancreatitis nwere ọtụtụ usoro. Nke mbụ n’ime ha bụ ọgwụ ọgwụ, ọ gụnyere:

na-ewere ọgwụ mgbochi iji kpochapụ ọrịa mgbu (No-shpa, Spazmalgon, Drotaverinum),
belata na njikọ nke enzymes nke na-emebi gland, - nhọpụta nke ọgwụ nke belata ihe nzuzo nke enzymes (Omeprazole, Omez, Contrical, Ribonuclease, wdg),
na-a enụ enzymes iji weghachite erughi oke (Pancreatin, Mezim-forte, Creon, Gastenorm, wdg),
mweghachi nke acid-base daidaita nke afọ, nke nri digestibility nri na-agbagha (Maalox, Gastal, Almagel),
nwetaghachi vitamin ụkọ nke vitamin n'ihi ihe dị mgbagwoju anya nwere ihe ndị otu A, E, C, D, K na B,
ọgwụ na-akpali motility nke eriri afọ (Motilium, Cerucal, Allohol),
N'okwu ikpe siri ike nke ọrịa na mgbochi nke esophagus, a na-edozi nri mmezi site na nchịkwa parenteral nke ihe pụrụ iche (Alvezin, Aminosol, 10% ngwọta nke potassium chloride na calcium gluconate).

N'oge ọgwụgwọ na mgbe ọ dị mkpa ịgbaso nri. Nọmba tebụl 5 - nri bara ụba na protein na carbohydrates. Ọ gụnyere mwepu nke abụba na nri na-ekpo ekpo, inine karịa na mkpụrụ osisi, ọtụtụ mmiri, wdg.

Ọ bụrụ na ọgwụ nchekwa ahụ adịghị arụ ọrụ, a na-enye ya ọrụ ịwa ahụ - iwepu akpụ ahụ iji weghachi ọria, na-esochi mgbe niile ka enwere ike ịgbaghara ya. Usoro ọgwụgwọ spa ga-enyere aka. Mgbe ị na-achọpụta usoro oncological, a na-enye ọgwụ ọgwụgwọ radieshon.

Nri Nri Ahụ

Ihe oriri kwesịrị ịgụnye ụba ọdịnaya nke protein na vitamin, na -emechi oriri na abụba na carbohydrates.

Nkeji akara menu maka nri Nke 5:

Ihe ọmụmụ mbụ gụnyere eji ofe “ọkụ” na mgbakwunye ọka (osikapa, oatmeal, semolina, buckwheat, bali), akwụkwọ nri na anụ ezi,
A na-akwadobekwa isi nri site na anụ ezi anụ ezi ma ọ bụ anụ ọkụkọ, azụ, akwa omelettes na-anakwere,
kwere ka e were achịcha ọka, achịcha, achịcha kwa ụbọchị, obere mmanụ nri,
cheese, kefir, yogọt, chiiz, mmiri ara ehi,
Site na inine ị nwere ike iri poteto, beets, carrots, ugu, bochchch, akwa, site na mkpụrụ osisi - apụl na-abụghị acid, pears, tomato,
A na-egbochi ihe ọ carbonụ carbonụ karama na ihe ọ ,ụholicụ na-aba n'anya, ihe ọ fruitụ fruitụ mkpụrụ osisi, compotes mkpụrụ osisi a mịrị amị, ofe rosehip, tii na-adịghị ike, a na-ahapụ mmiri ịnweta ịnweta,
Site na desserts na oke obere ị nwere ike iri mmanụ a pureụ dị ọcha, jam na chocolate, beri mousses na jelii.

A na-esi nri ma ọ bụ asịrị efere niile. Nri kwesiri ịdị na obere akụkụ (ugboro 5-6), iche. Ekwula nri dị oke ọkụ ma ọ bụ jii oyi.

Amụma na mgbochi nke pseudotumor pancreatitis

Site na ọgwụgwọ n'oge kwesịrị ekwesị nke pseudotumor pancreatitis, enwere ike ịkọ ihe ga-adị mma (ihe ruru 80% nke ikpe ịgbake). Ọ bụ ezie na enwere nsogbu ụfọdụ metụtara mmebi nke usoro endocrine (nephropathy na angiopathy), mana ụdị ikpe ndị ahụ adịkarịghị ala.

Ihe mgbochi iji gbochie omume nke ọgwụ mgbochi TB - ị alcoholụ mmanya na-egbu egbu, iji ọgwụ ọdịnala dochie ọgwụ ọjọọ ndị na-emerụ ahụ, ọgwụgwọ mmachi nke ọrịa ndị nwere ike ịkpalite mmepe nke pseudotumor pancreatitis, mgbochi nke nje na-efe efe (ịgba ọgwụ mgbochi, usoro nchebe, mgbochi siri ike), ịga Sanatoriums na ntụrụndụ, ahụ ike. ụdị ndụ, egwuregwu.