Mob reactive pancreatitis

Nyob rau hauv mob pancreatitis yog meant arisen los yog long-term (mob) ntws inflammatory txheej txheem nyob rau hauv lub pancreas. Tus kab mob tej zaum yuav tshwm sim chiv. Tsis tas li ntawd nyias emit reactive pancreatitis uas tsim tawm tsam lub backdrop ntawm ntev plaub, kab mob ntawm lub digestive system. Qhov no mob yog tsim nyob rau hauv lub muaj mob cholecystitis, pob zeb nyob rau hauv lub zais zis, nrog uas tsis nyob rau hauv kev noj haus thiab mob alcoholism, ulcerative txhab ntawm lub plab los sis duodenum. Reactive pancreatitis yuav tshwm sim nyob rau hauv kis kab mob, cab infestations, atherosclerotic vascular txhab ntawm lub pancreas, mob qaug cawv nyob rau hauv tej kev kawm.

Pathological dab tshwm sim nyob rau hauv lub pancreas nyob rau hauv pancreatitis

Aggravation ntawm pancreatitis ua o ntawm lub cev thiab cov kev ua txhaum ntawm lub outflow faib kua txiv. Yog li muaj yog kev puas tsuaj ntawm prostate cov ntaub so ntswg (autolysis) thiab muab los ntawm lub glandular qauv cicatricial connective cov ntaub so ntswg.

Yog hais tias qhov ua rau ntawm lub o - kab neeg sawv cev, nws ntog mus rau hauv lub pancreas los ntawm nws cov ducts los yog cov ntshav.

O yuav tshwm sim nrog hlav ntawm duodenal papilla. Nyob rau hauv cov ntaub ntawv no kuj muaj yog ib lub cev tam sim no ua txhaum ntawm pancreatic kua txiv thiab raws li ib tug tsim nyog tau - txoj kev loj hlob ntawm o.

Pathological txheej txheem yuav ntes xwb ib feem ntawm lub cev los yog ncua mus rau tag nrho cov caj pas (diffuse pancreatitis).

Nyob rau hauv cov tshuaj, lub nram qab no ntawm reactive pancreatitis: Edematous, parenchymal, calculous thiab sclerosing.

Cov tsos mob ntawm pancreatitis

Exacerbation ntawm tus kab mob tsiag ntawv los ntawm cov tsos mob nyob rau hauv lub projection ntawm lub plab, sab laug sab sauv quadrant. Mob tej zaum yuav muab nyob rau hauv lub rov qab, caj npab, thiab nqa herpes cim. Tej zaum tus mob yuav ua tau yuam kev rau angina. Nws zoo nkaus li malaise, kem plab (xeev siab, ntuav), impaired quav. Tus neeg mob tej zaum yuav tsis txaus siab ntawm ua daus no thiab uas tsis muaj-qib kub. Aggravation ntawm pancreatitis yuav muaj ib tug meej dependence rau cov zaub mov kom tsawg thiab los ntawm cov aggravation ntawm lwm yam kab mob ntawm lub digestive ib ntsuj av. Mob yog tu ncua thiab paroxysmal nyob rau hauv cov xwm. Heev feem ntau nws puv zoo cov tsos mob Mayo-Robson (mob nyob rau hauv lub tav-vertebral sab laug ces kaum).

Reactive pancreatitis yog pheej tsis qab los noj mov thiab kem plab. Tej cov neeg mob feem ntau depleted. Ib tug ntev-lub sij hawm o yuav ua tau kom cov ntshav qab zib. haum mob ua txhaum cai ntawm lub rooj zaum, nws yuav undigested thiab smelly (pancreatic raws plab), vitamin tsis tshwm sim.

diagnostics

Reactive pancreatitis yog tsiag ntawv los ntawm muaj tej yam uas concomitant cov kab mob ntawm lub digestive system, piv txwv li muaj yog ib tug ntshiab kev twb kev txuas nrog cov aggravation ntawm tus kab mob.

Nyob rau hauv cov ntshav cai ntsis anemia, nce ntshav dawb thiab ESR, ua txhaum ntawm cov protein muaj pes tsawg leeg ntawm cov ntshav.

Yog hais tias reactive pancreatitis ua rau mob ntshav qab zib mellitus, cov ntshav qab zib yog muaj zog thiab nws yog muab sau ntau zog urinary feem. Nws yog ib tug ua txhaum ntawm ntsha metabolism. Nws sau ntawv ib tug ntau nce ntawm pancreatic enzymes nyob rau hauv cov ntshav.

Nyob rau ultrasound txiav tej zaum yuav muab tau ntau zog loj vim o, nws kuj nce echogenicity, nkhaus ntxhib. Thaum advanced theem thiab lub caij nyoog ntev ntev tej zaum yuav, on qhov tsis tooj, txo kom tsawg thiab glandular nqaij yog hloov nrog caws pliav. Ib tug ntau yog daim duab thiab localization ntawm lub inflammatory txheej txheem yuav muab ib tug computer tomography.

kev kho mob

Thaum lub sij hawm exacerbation ntawm pancreatitis kev kho mob yog zoo tshaj plaws ua nyob rau hauv ib tug lub tsev kho mob. Nws yog ib qho tseem ceeb los mus tshem tawm cov thawj ua ntawm tus kab mob. Tus neeg mob yuav tsum ua raws li ib tug nruj noj cov zaub mov uas muaj txaus protein tsawg. Los ntawm cov zaub mov cais txhoj puab heev cov zaub mov thiab haus dej cawv. Tsa los ntawm antifermental tshuaj. Raws li cov lus tim khawv siv tshuaj tua kab mob. Sau antispasmodics thiab analgesics. Nyob rau hauv loj heev zaum yuav tsum tau phais kho mob.