Neoplastic pseudotumor pancreatitis - ndi chiyani? Matendawa ndi mtundu wa zotupa zopezeka m'mapapo, zimakhudza amuna ambiri kuposa akazi. Zomwe zimayambitsa matendawa zimayenera kutchedwa kuti uchidakwa wambiri, matenda a gallstone ndi mavuto ena a hepatobiliary system (ICD code - 10).
Nthawi zambiri, kapamba wotereyu amayamba chifukwa cha mankhwala omwe amayamba chifukwa cha mankhwala, matenda amtundu winawake, kutupa kwa kapamba. Kukula kwa zisonyezo zakusokonezeka poyang'ana maziko a cholelithiasis nthawi zambiri kumachitika mwa akazi.
Kulakwitsa kwa biliary system, matenda a bile ducts, papilla ya papilla imakhala yolimbikitsa zinthu. Pankhaniyi, pali chosakanikirana chamtundu uliwonse cha ndulu. Njira ina yothandizira matendawa imatha kuwonongeka kwa minyewa ya minyewa, pomwe yotupa imafalikira kuchokera mu chikhodzodzo kudzera m'mitsempha yamagazi komanso ma semphere.
Nthawi zina mtundu wamtunduwu wa kapamba umapweteka chifukwa chotenga Acetaminophen, estrogens, komanso cholowa. Ndizofunikira kudziwa kuti ndi ma genetic etiology, njira yachilengedwe yachulukidwe imachulukirachulukira, chiwopsezo cha matenda ndi matenda a chithokomiro chimakulitsidwa kwambiri.
Zizindikiro za matendawa
Kuwonetsedwa kwa matendawa kumalumikizidwa ndi kuperewera kwa pancreatic enzyme, kusokonezeka kwa endocrine, kuponderezedwa kwam'mimba. Pakati pazizindikiro za matendawa, odwala amawona mtundu wotchulidwa ululu.
Kumayambiriro kwenikweni kwamatenda am'mimbamo, palibe chizindikiro cha matendawa, patapita nthawi wodwalayo amakhala ndi vuto la chodwala, kuperewera kwa chakudya chosagwiritsidwa ntchito mu ndowe, mseru ndi kusanza, kutsekula m'mimba, kusinthana ndi kudzimbidwa, komanso kuchepa kwa kukana kwa glucose.
Kuphatikiza apo, madokotala amalimbikitsa kuyang'anira zomwe akumva atamwa kapena kudya zamafuta, ndikovuta ndi kapamba, zilonda zam'mimba zimachitika kawirikawiri.
Zizindikiro zina ndi:
- kuwonda popanda chifukwa chodziwikiratu;
- kukulitsa ziwalo;
- mutu wopangidwa ndi England.
Kutupa kumakhudza mutu wa kapamba, kuchepa kwa kapangidwe ka madzi, kuthilira kwa madzi, kusefukira kwa chiwalo ndikuwonjezeka ndi kukakamizidwa mkati mwake. Matendawa akamayamba, kudzimbidwa kwa minyewa ya minyewa yake kumachitika, zimachitika motsutsana ndi maziko akumva kupweteka kwambiri.
Mu makina a chitukuko cha jaundice, gawo lalikulu limapatsidwa kuwonjezeka kwa mutu wa chiwalo, chomwe chimakakamiza bile duct. Zotsatira zake, kudzikundikira kwa bile sikungatuluke mu duodenum, kukakamizidwa kumawonjezeka, bile imayamba kulowa m'magazi.
Ndi zochitika izi, wodwalayo amadandaula za kuyabwa kwambiri m'dera la anal, kusungunula zikopa, kuthyola khungu, sclera, komanso kuyesa mkodzo.
Njira zoyesera
Pseudotumor mawonekedwe a pancreatitis amadziwika pamaziko am'chipatala, zotsatira zoyeserera, kafukufuku wamayeso a ziwalo zamkati zapafupi, zomwe zimatha kuperekanso zofanana. Kuphatikiza apo, kuyankhulana ndi gastroenterologist, mbiri ya zamankhwala idzafunika, ndipo milandu yapitayi ya kapamba ndi matenda a ndulu iyenera kukhazikitsidwa.
Pa kafukufuku wodwala, adokotala amapaka kapamba, ndipo matendawa amakhala ndi ululu pafupi ndi chiwalo, zisindikizo zimatheka.
Ndikofunikira kuyambitsa masiyanidwe osiyanasiyana kupatula njira ya oncological mu gland, cysts, madokotala akuchita kafukufuku kuti adziwe chizindikiro cha zotupa, pancreatic polypeptide.
Patsani mayeso a ultrasound (ultrasound) a kapamba, makompyuta ndi maginito a resonance imaging (MRI) amathandiza kuwona ngati neoplasms yoyipa.
Celiacography yosankhidwa imagwiritsidwa ntchito kuti isinthe kusintha kwa ma ducts a bile.
Kuchiza matenda
Pathology imadziwika ndi njira yonga mafunde, nthawi zambiri imachulukitsa boma ndikukhululukidwa. Chithandizocho chimayamba ndi kukhazikitsidwa kwa tebulo la matenda ashuga No. 5 malinga ndi Pevzner, chakudyacho chimapatsa zakudya zowonjezera, chakudya chimawotchera, kuwiritsa kapena kuwotcha. Sizoletsedwa kudya zakudya zamafuta, komanso zokazinga, khofi wachilengedwe wamphamvu, tiyi, mkaka wonse ndi nkhumba.
Mankhwalawa cholinga chake ndikuchotsa zinthu zoyipa monga mowa, mankhwala oledzera, ndi maziko a matendawo. Mwachitsanzo, ngati matendawa akuphatikizana ndi cholelithiasis, cholecystectomy ndi njira zina zochizira zimasonyezedwa.
Mankhwala kukonza malinga ndi matenda a exocrine ndi intracecretory insuffence akulimbikitsidwa. Pazifukwa izi, pamafunika kukonzekera enzyme:
- Pancreatin
- Malembo
- Chiboni
- Solizim.
Ndikotheka kutsika steatorrhea ndimakonzedwe a calcium, maantacid, anticholinergics ayenera kumwedwa kuti athetse dyskinesias, Atropine imagwira ntchito motsutsana ndi ululu. Gimekromon, Mebeverin amakhala mankhwala abwino a antispasmodic.
Ndi kuchulukitsa kwa matendawa, mankhwala omwe akukakamizika azikhala antimicrobials, omwe amathandiza kupewa zovuta za matendawa, kuwonjezereka kwa zizindikiro. Momwe mankhwala othandizira samathandizira kuti matendawa azikula, kutupira komanso kusokonezeka kwa thupi kumapitilira, kuwonjezera apo, adotolo amalimbikitsa kuti wodwalayo athandizidwe. Kuchitapo kanthu ndikufuna kuwongolera dongosolo la ductal, ndikothandiza kwambiri kukulitsa mutu wa ndulu ndi chindoko chofewa, kufinya gawo la bile, kutsekemera kwa dera la prealillary, ndi papillostenosis.
Pambuyo pakuchita opaleshoni, odwala omwe ali ndi pseudotumor pancreatitis ayenera kukhalabe akuyang'aniridwa pafupipafupi, kuyendera dokotala osachepera kawiri pachaka. Tanthauzo la exocrine pancreatic function, nthawi ndi nthawi ya ultrasound ya chiwalo imawonetsedwa.
Njira zina zamankhwala zotere masiku ano sizibweretsa zotsatira.
Kupewa komanso kudwala
Pofuna kupewa pseudotumor pancreatitis, tikulimbikitsidwa kuti tisiye chizolowezi chomwa mowa, kuchitira zinthu nthawi yake zomwe zingayambitse kutupa m'matumbo. Madokotala amalangizanso kupewa kumwa mosalamulirika.
Ndi chitukuko cha mawonekedwe a kapamba, matchulidwe amtsogolo nthawi zambiri amakhala abwino, njira ya matendawa imadziwika ndi kusowa kwakanthawi, kupita patsogolo pang'onopang'ono. Koma kuperewera kwa endocrine kumadzala ndi kuwonongeka kwa impso, angiopathy. Kukula kwa matendawa kutha kuimitsidwa ngati chithandizo cha kapamba chayamba kale ndipo malangizo a dokotala amatsatiridwa kwathunthu. Wodwala yemwe ali ndi vuto lotere amapatsidwa chilema.
Kodi kapamba kofotokozedwera kanema munkhaniyi.
