Pancreatic o feem ntau yuav siv sij hawm ntev kawm. Hauv qhov no, lub hlwb zoo tuaj yeem tuag thiab hloov los ntawm cov ntaub so ntswg sib txuas. Tus txheej txheem no yog hu ua fibrotic hloov pauv ntawm txoj kev txiav Ntxiv mus, qhov no tsis yog tus kab mob ywj siab, tab sis lub xeev ntawm lub qog ua ke, uas feem ntau tshwm nrog lub caij nyoog ntev ntawm kev mob qog ntshav. Feem ntau, tus neeg mob pom cov lus no hauv kev soj ntsuam ntawm kev kuaj ultrasound. Ntxiv mus, muaj ib qho kev kuaj mob sib xws ntau zaus. Qhov nyuaj yog tias fibrosis feem ntau yog asymptomatic, yog li nws tsis tshua pom ntawm qhov pib theem. Tab sis maj mam hloov cov hlwb noj qab haus huv nrog cov ntaub so ntswg sib txuas ua rau poob ntawm lawv txoj haujlwm.
Tus yam ntxwv dav
Pancreatic fibrosis yog ib qho kev mob ntawm cov nqaij hauv lub cev uas pib tawm tsam keeb kwm ntawm mob txhaws. Nws sawv cev rau kev hloov kab mob ntawm cov kab mob hlwb, hloov lawv nrog cov hlwb ua mob sib txuas. Feem ntau cov txheej txheem no tsuas yog txhim kho nrog qhov exacerbation ntawm cov txheej txheem inflammatory. Nws tuaj yeem ua rau kev haus dej haus cawv, ib qho kev ua txhaum ntawm kev noj zaub mov, kev mob thiab lwm yam pathologies.
Lub pathology no muaj ntau hom. Lawv sib txawv nyob rau hauv qhov chaw ntawm lub hloov hlwb, lawv cov lej thiab hom. Feem ntau, nyob rau hauv qhov chaw ntawm kev noj qab haus huv cov ntaub so ntswg, cov ntaub so ntswg sib txuas. Yog hais tias qhov no tshwm sim tusyees dhau ntawm tag nrho saum npoo ntawm lub qog, lawv hais tias diffuse fibrotic hloov hauv lub cev yog tam sim no. Tab sis qee zaum ntawm lub hlwb hloov pauv tau nyob rau hauv cov av me me. Qhov no yog focal fibrosis. Qhov hloov zuj zus ntawm tus mob no tuaj yeem ua rau txoj kev loj hlob ntawm cov qog benign - fibroma.
Ntxiv nrog rau cov ntaub so ntswg sib txuas, cov roj hlwb zoo tuaj yeem hloov los ntawm cov rog rog. Xws li cov nqaij mos adipose nqaij kuj tuaj yeem nyob rau tag nrho saum npoo ntawm lub qog lossis hauv qhov chaw cais. Nyob ntawm seb cov qog twg ntau dua cov nqaij lossis muaj rog, lipofibrosis lossis pancreatic fibrolipomatosis tau kuaj pom. Nrog rau qhov tshwm sim ntawm cov nqaij mos adipose, lawv feem ntau tham txog kev rog ntawm lub qog. Tus txheej txheem no yog nrog los ntawm dystrophy. Thiab thawj qhov tseem ceeb ntawm cov roj ntsha ua rau cov leeg ua haujlwm ntau ntxiv.
Yog tias lawv qhov kev nce siab nce ntxiv, ntsaws ruaj ruaj, nodes, ntau cov fibromas tshwm sim. Tib lub sijhawm, kev kuaj mob fibromatosis - kuaj mob hnyav uas tuaj yeem kho tau phais xwb. Tom qab tag nrho, ib qho kev nce hauv qhov ntom ntawm cov qog nqaij ua txhaum ntau heev nws txoj haujlwm.
Lwm yam kev hloov pauv zoo li no hauv cov qe ntawm cov khoom nruab nrog cev yog cystofibrosis. Tsis zoo li fibrosis zoo tib yam, uas txhim kho nyob rau hauv teb rau o, tus kab mob no yog keeb kwm. Nws yog qhov zoo dua lub npe hu ua cystic fibrosis. Ntau cov kabmob muaj kev cuam tshuam nrog cov kab mob pathology, tab sis cov txiav tus kab mob tshwj xeeb yog cuam tshuam tshwj xeeb. Cystic fibrosis hauv qhov chaw no ua rau cov cell puas ua rau lub txiaj ntsig vim qhov tseeb tias cov kua txiv pancreatic ua kua tuab heev thiab txhaws cov hlab ntaws.
Cov kev hloov pauv sai yog diffuse lossis laus hauv ib qho chaw
Vim li cas
Dab tsi yog fibrosis, cov neeg mob uas muaj mob txhaws qa, uas nquag ua kom tus mob, feem ntau pom tau. Lawv provoke kev tuag ntawm cov hlwb thiab kev loj hlob ntawm cov nqaij txuas hauv lawv qhov chaw. Qhov ua rau ntawm ob qho tib si fibrosis thiab pancreatic lipofibrosis yog cov kab mob ntawm qhov no thiab cov kabmob nyob sib ze. Qhov kev mob no yog kuaj rau cov neeg mob pancreatitis, cholecystitis, cholelithiasis, rog ua kom mob siab.
Ntxiv rau, muaj qee yam ua kom nrawm hloov cov qog noj qab haus huv nrog cov ntaub so ntswg sib txuas. Qhov no feem ntau tshwm sim hauv cov neeg haus luam yeeb, tsim txom cawv, rog dhau, thiab noj tsis txaus. Cov kab mob sib kis, kev ntxhov siab, mob plab, ua txhaum loj ntawm lub cev lossis siv sijhawm ntev ntawm qee yam tshuaj tuaj yeem txhawb txoj kev no. Nws tau sau tseg tias qhov no feem ntau tshwm sim vim muaj hnub nyoog hloov pauv hauv cov txheej txheem hauv cov metabolism, yog li ntawd, fibrosis hauv tib neeg tom qab 60 xyoo tuaj yeem txhim kho yam tsis muaj laj thawj.
Cov tsos mob
Cov kev hloov zoo sib xws hauv cov hlwb ntawm tus txiav yog qhov ntau ntawm cov neeg laus. Tab sis qhov teeb meem yog tias nws tsis yog tam sim ntawd kom paub txog pathology. Cov kev hloov pauv no feem ntau tsis ua rau muaj kev tsis xis nyob. Tshwj xeeb feem ntau diffuse fibrosis tshwm sim asymptomatically, nyob rau hauv uas hloov ntawm cov hlwb tshwm sim tusyees thoob plaws lub parenchyma ntawm lub caj pas, yog li nws lub luag haujlwm yog qee khaws cai. Thiab nrog kev puas tsuaj rau cov islets ntawm Langerhans, tus neeg mob pib mob ntshav qab zib mellitus, txij li thaum muaj kev zais ntawm ob qho tshuaj insulin thiab glucagon txo.
Feem ntau, fibrosis yog asymptomatic, tab sis nrog nws kev mob, mob, xeev siab, tsam plab tuaj yeem tshwm sim.
Qhov kev tsim kab mob no tsuas yog ua kom muaj kev mob siab rau mob hlwb los yog lwm yam kab mob. Yog li ntawd, kev tsis xis nyob tseem nyob niaj hnub no. Tab sis nws tshwm sim nrog exacerbation ntawm cov txheej txheem inflammatory lossis tom qab kev ua txhaum kev noj haus.
Hauv qhov no, cov tsos mob hauv qab no ntawm fibrosis tuaj yeem pom:
Pancreatic Noj Qab Haus Huv- tsis tshua muaj qab los noj mov, hnyav nyob hauv plab, maj mam zom cov zaub mov;
- xeev siab, ntuav, tshwj xeeb tshaj yog tom qab noj zaub mov muaj roj;
- mob plab qhov quav, nyob ntawm cov zaub mov tsis muaj kuab rau hauv cov quav;
- kev sib tw, ntswj, nce roj ntxiv;
- mob nyob rau hauv sab laug hypochondrium.
Kev ua kom muaj zog ntawm cov phiajcim no tuaj yeem tshwm sim yog hais tias lub hlwb hloov pauv tau ib ncig hauv ib qho chaw thiab qhov kev tsim kho no ua rau cov ntaub so ntswg nyob sib ze, cov hlab ntsha lossis ducts ntawm lub qog. Hauv qhov no, qhov kub yuav nce siab, ntuav heev, hnov mob hauv plab sab sauv, thiab ob lub cev txhaws qog tuaj yeem tshwm sim. Tus mob no yuav tsum tau txais kev kho mob sai.
Kev kuaj mob
Txij li cov kab mob no tsis muaj cov tsos mob tshwj xeeb, thiab nws cov tsos mob zoo ib yam nrog ntau cov kab mob ntawm txoj hnyuv, thiaj li tso tseg txoj kev hloov thiab tiv thaiv kom tsis txhob muaj teeb meem, nws raug nquahu kom mus kuaj mob. Nws yog qhov ua tau kom pom kev kuaj pom ntawm pancreatic fibrosis tsuas yog thaum ua haujlwm ultrasound. Ntaub so ntswg kev sib koom tes yog manifested hauv sonogram los ntawm kev nce echogenicity.
Feem ntau, cov kev hloov fibrotic hauv cov txiav ua rau pom thaum lub sij hawm ultrasound
Kev kuaj ntshav uas pom tias muaj cov enzymes kuj tau sau tseg. Piv txwv, tsis tshua muaj amylase kev ua haujlwm qhia kev puas tsuaj rau qhov tseem ceeb ntawm cov qog ua haujlwm. Enzyme deficiency kuj tuaj yeem tshawb pom nrog coprogram. Yog tias muaj cov fibers uas tsis muaj kev tiv thaiv, cov rog lossis cov protein nyob hauv cov quav, qhov no qhia tau hais tias cov qib qis ntawm cov enzymes uas ua los ntawm cov qog. Txhawm rau kom paub tseeb tias kev kuaj mob, kev thaij duab CT lossis kuaj me me tuaj yeem tsim kho, uas ntau dua tso cai rau koj los txiav txim qhov chaw thiab hom ntawm cov ntaub so ntswg hloov.
Kev Kho Mob
Txawm hais tias kev kuaj mob raws sij hawm, qhov pom ntawm pancreatic fibrosis tsis zoo. Niaj hnub nimno kho mob muaj peev xwm tsis tuaj yeem rov qab hloov lub hlwb. Yog li, tsis muaj txoj hauv kev tshwj xeeb kev kho mob. Lub hom phiaj tseem ceeb ntawm txoj kev kho yog los daws cov tsos mob thiab tiv thaiv qhov muaj mob ntawm kev hloov pauv ntawm fibrotic. Rau qhov no, siv yeeb siv tshuaj thiab cov khoom noj tshwj xeeb siv.
Kev sib xyaw ua ke yog siv los daws cov tsos mob ntawm pancreatic fibrosis. Cov tshuaj sib txawv feem ntau siv, qhov kev xaiv ntawm uas nyob ntawm qhov kev ua kom pom ntawm pathology:
- antispasmodics pab daws qhov mob - Drotaverin, No-Shpa;
- NSAIDs txo qis qhov mob - Ibuprofen, Nimesulide, Diclofenac;
- yog hais tias tus neeg mob quaj los ntawm xeev siab thiab ntuav nquag, Cerucal, Domperidone, Metoclopramide tau raug sau tseg;
- nrog mob raws plab, koj tuaj yeem haus Lopedium lossis Smecta;
- cov roj ntau lawm yog tshem tawm los ntawm Espumisan;
- Kev kub siab thiab mob hauv plab yuav tsum tau siv omeprazole lossis Almagel.
Kev kho cov fibrosis yuav tsum tau tsom mus rau tshem tawm qhov ua rau ntawm cov ntaub so ntswg hloov pauv, nrog rau kev tshem tawm enzyme tsis txaus. Yog li ntawd, cov tshuaj tseem ceeb rau pancreatic fibrosis yog enzyme npaj. Cov nyiaj no feem ntau pom zoo kom haus dej kom ntev nyob ntawm txhua pluas noj. Tom qab tag nrho, kev tuag ntawm cov qog noj qab nyob zoo ua rau muaj kev txo qis tso pa tawm ntawm cov kua txiv pancreatic, yog li kev zom zaub mov qeeb. Txhawm rau tso cov qog thiab txhim kho kev nqus ntawm cov khoom noj muaj txiaj ntsig, noj Pancreatin, Panzinorm, Festal, Enzistal, Mezim thiab lwm yam kev npaj enzyme.
Txoj kev kho yuav tsum muaj kev noj haus tshwj xeeb thiab npaj ua enzyme
Yog tias pancreatic fibrosis ua rau kev puas tsuaj rau cov hlwb endocrine, yuav tsum siv cov tshuaj txo cov ntshav qab zib. Lawv pab tshem tawm cov kev ua kom yuag cov zaub mov tsis txaus siab. Lwm yam tshuaj kuj tseem siv, qhov kev txiav txim uas yog tsom rau kev kho qhov tsis haum xeeb hauv lwm cov kabmob uas tuaj yeem ua rau hloov fibrotic. Nws tuaj yeem yog antacids rau kev kho mob ntawm gastritis, choleretic tshuaj, tshuaj tua kab mob.
Ib qho ntxiv, kev kho txoj kev kho mob tseem ceeb suav nrog kev noj zaub mov tshwj xeeb, uas tau hais tseg rau tus kheej. Cov zaub mov yuav tsum tau sparing. Nws yog ib qho tsim nyog yuav tsum tsis suav cov khoom uas tsim kev thauj khoom ntawm lub nqus tsev pheeb suab thiab tuaj yeem ua rau exacerbation. Cov no yog haus luam yeeb, ntsim khoom, marinades, zaub mov kaus poom, txhua yam kib thiab roj tais, txuj lom, nqaij nqaij, haus dej haus, cov ncuav qab zib tshiab. Nco ntsoov tias tsis pub haus cawv.
Nws tsis pom zoo kom kib thiab ci cov khoom nrog roj, nws yog qhov zoo dua rau kev rhaub, stew lossis ncu. Nws yog qhov tsis tsim nyog kom noj zaub tshiab thiab txiv hmab txiv ntoo, ncuav qab zib, ncuav ci. Nws kuj tseem pom zoo kom haus tsawg kawg 2 litres dej txhua hnub.
Fibrous hloov nyob rau hauv lub txiav yuav nres. Txawm hais tias cov ntaub so ntswg ua haujlwm yuav tsis rov qab los, nws muaj peev xwm kom tshem tawm tsis xis nyob thiab zam kom tsis txhob muaj teeb meem loj. Muaj tseeb, rau qhov no koj yuav tsum tau soj ntsuam koj tus kheej tas li: ua raws kev noj zaub mov zoo, tso tseg tsis zoo, noj tshuaj uas koj tus kws kho mob sau tseg.
