I-Neoplastic pseudotumor pancreatitis - yini? Lesi sifo siyindlela yenqubo evikela ukuvuvukala kumanyikwe, sithinta kakhulu amadoda kunabesifazane. Izimbangela zalesi sifo kufanele zibizwe ngokuthi ukusebenzisa kabi utshwala isikhathi eside, isifo se-gallstone kanye nokunye ukuphazamiseka kohlelo lwe-hepatobiliary (ICD code - 10).
Kaningi kaningi, i-pancreatitis enjalo ibangelwa ukwelashwa ngezidakamizwa, izifo ezibangelwa ukuvuvukala, ukuvuvukala okungapheli kumanyikwe. Ukuthuthukiswa kwezimpawu zokuphazamiseka ngokumelene nesizinda se-cholelithiasis kuvame ukwenzeka kwabesifazane.
Ukungalungile kohlelo lwe-biliary, i-pathology ye-bile ducts, i-papilla ye-papilla iba yizinto ezivusa inkanuko. Kulokhu, kune-Reflux engaguquki ye-bile emiseleni yomzimba. Enye indlela yokukhula kwalesi sifo kungaba wukulimala kwemizwa kwezicubu ze-gland, lapho inqubo yokuvuvukala isisabalale kusuka emgudwini wenyongo ngemithambo yegazi nenethiwekhi ye-lymphatic.
Kwesinye isikhathi lolu hlobo lwe-pancreatitis luyacasulwa ngokuthatha i-Acetaminophen, i-estrogens, kanye nezinto eziyizindlalifa zifa. Kuyaphawuleka ukuthi nge-etiology ye-genetic, inqubo ye-pathological ihlala ikhula, ingozi yokulimala kwesifo kanye nokuntuleka kwe-gland kukhuphuka kakhulu.
Izimpawu zesifo
Ukubonakaliswa kwalesi sifo kuhambisana nokushoda kwe-enzyme ye-putereat pancreatic, ukuphazamiseka kwe-endocrine, ukugcizelela kwendlela yokuphilisana. Phakathi kwezimpawu zesifo, iziguli ziqaphela i-syndrome okuthiwa ibuhlungu.
Ekuqaleni kwenqubo ye-pathological, azikho izimpawu zesifo, ngemuva kwesikhashana isiguli sinezimpawu zokulimala kwejekithali, iminonjana yokudla okungaphazamisiwe emgodini, isicanucanu kanye nokuhlanza, isifo sohudo, ukushintshana ngokuqunjelwa, kanye nokwehla kwe-glucose.
Ngaphezu kwalokho, odokotela batusa ukunaka imizwa ngemuva kokuphuza utshwala noma ukudla ukudla okunamafutha, nezinkinga ngama-pancreas, ukudabukisa kuvame ukwenzeka.
Ezinye izinkomba yilezi:
- ukunciphisa umzimba ngaphandle kwesizathu esibonakalayo;
- ukukhulisa isitho;
- inhloko ehlanganisiwe ye-gland.
Ukuvuvukala kuthinta ikhanda le-pancreatic, kunciphisa i-pancreatic duct, ijubane lejusi, ukugcwala kwesitho futhi kukhuphuke nengcindezi kuso. Njengoba lesi sifo siqhubeka, ukuzicwilisa kwezicubu ze-gland kwenzeka, kwenzeka ngokumelene nesizinda sobuhlungu obukhulu.
Emshini wokuthuthuka kwe-jaundice, indima eyinhloko inikezwe ukwanda kwekhanda lesitho, elicindezela i-bile duct. Ngenxa yalokhu, ukunqwabelana kwe-bile akunakuphuma ku-duodenum, umfutho uyanda, i-bile iqala ukungena egazini.
Ngale ntuthuko yemicimbi, isiguli sikhononda ukulunywa kanzima endaweni ye-anal, sidilize amatoho, ukugcwala kwesikhumba, i-sclera kanye nokuba mnyama komchamo.
Izindlela zokuxilonga
Indlela ye-pseudotumor ye-pancreatitis itholakala ngesisekelo somtholampilo, imiphumela yokuhlolwa, idatha yokuhlolwa kwezitho zangaphakathi ezingomakhelwane, ezinganikeza izimpawu ezifanayo. Ngaphezu kwalokho, ukubonisana nodokotela we-gastroenterologist, kuzodingeka umlando wezokwelapha, futhi amacala asedlule we-pancreatitis kanye nesifo se-gallstone kumele asungulwe.
Ngesikhathi sokuhlolwa kwesiguli, udokotela ubeka i-pancreas, ngalesi sifo kukhona izinhlungu eduze kwesitho, izimpawu zingenzeka.I-pseudotumor pancreatitis ebonakalayo ibonakala ngoshintsho ekwakhiweni kwegazi, ukwanda kwe-amylase, lipase, ne-trypsin kuphazamisekile.
Kubalulekile ukwenza ukuxilongwa okuhlukile ukuze kubandakanywe inqubo ye-oncological gland, cysts, odokotela benza ucwaningo ukuthola izinkomba ze-tumor markers, pancreatic polypeptide.
Nikeza ukuhlolwa kwe-ultrasound (i-ultrasound) kwama-pancreas, computer kanye ne-magnetic resonance imaging (MRI) kusiza ukubheka ama-neoplasms amabi.
I-celiacography ekhethiwe isetshenziselwa ukuthola izinguquko emigudwini ye-bile.
Ukwelashwa kwezifo
I-Pathology ibonakala ngenkambo efana ne-wave, evame ukwandisa isimo kanye nokuxolelwa. Ukwelapha kuqala ngokuqokwa kwetafula likashukela No. 5 ngokusho kukaPevzner, ukudla okuhlinzeka ngokudla okunempilo, ukudla kuyabiliswa, kubilisiwe noma kubhakwe. Kwenqatshelwe ukudla ukudla okunamafutha, futhi okuthosiwe, ikofi yemvelo eqinile, itiye, ubisi lonke nengulube.
Ukwelashwa kuhloselwe ukuqeda izinto ezicasulayo ezinjengotshwala, umuthi osindayo, nesizinda sesifo. Isibonelo, uma lesi sifo sihlotshaniswa ne-cholelithiasis, i-cholecystectomy nezinye izindlela zokwelapha zikhonjisiwe.
Kunconywa ukulungiswa kwezidakamizwa ngokuya ngokujwayelekile kokungalingani kwe-exocrine kanye ne-intracecretory insuffence. Ngalezi zinhloso, kuyadingeka ukuthatha amalungiselelo enzyme:
- I-Pancreatin
- I-Hermitage
- Ikhoni
- Solizim.
Kungenzeka ukwehlisa i-steatorrhea ngokulungiswa kwe-calcium, ama-antacid, ama-anticholinergics kufanele athathwe ukuqeda i-dyskinesias, i-Atropine isebenza ngokumelene nesifo sezinhlungu. IGimekromon, Mebeverin iba umuthi omuhle we-antispasmodic.
Ngokukhuculula kwalesi sifo, isakhi esiyimpoqo sizoba ngama-antimicrobials, asiza ukuvikela ubunzima besifo, ukwanda kwezimpawu. Lapho i-regimen yokwelashwa ehlongozwayo inganiki amandla ahlukahlukene alesi sifo, ukuvuvukala ne-hypersecretion kuqhubeka, ngaphezu kwalokho, udokotela uncoma ukuthi isiguli sisebenze. Ukungenelela kuhloselwe ukubuyisa uhlelo logesi
Ngemuva kokuhlinzwa, iziguli ezine-pseudotumor pancreatitis kufanele zihlale zigadiwe njalo, zivakashele udokotela okungenani kabili ngonyaka. Ukuchazwa komsebenzi we-pocrreatic pancreatic, i-periodic ultrasound yesitho iyakhonjiswa.
Ezinye izindlela zokwelashwa kuleli cala azilethi imiphumela.
Ukuvimbela nokwelashwa kwezifo
Ukuvimbela i-pseudotumor pancreatitis, kunconywa ukuyeka umkhuba wokuphuza utshwala, ukwelashwa okufika ngesikhathi izimo ezingavusa inqubo yokuvuvukala kumanyikwe. Odokotela babuye beluleke nokugwema ukwelashwa okungalawulwa.
Ngokuthuthuka kwendlela ecatshangwayo ye-pancreatitis, i-prognosis yekusasa ngokuvamile iyathandeka, inkambo yalesi sifo ibonakala ngezikhathi ezingandile zokwanda, inqubekela phambili kancane. Kodwa ukungapheleli kwe-endocrine kugcwele ukulimala kwezinso, i-angiopathy. Ukuqhubeka kwesifo kungamiswa uma ukwelashwa kwama-pancreas kuqalile ngaphambili nemiyalo kadokotela ilandelwa ngokuphelele. Isiguli esithola lelo gciwane sinokukhubazeka.
I-pancreatitis ichazwa kanjani kule vidiyo?
