About mitundu, zovuta ndi chithandizo cha pancreatic cysts

Pancreatic cyst ndichotsekezera cham'mimba cha ziwalo zamkati, zomwe zimakhazikitsidwa ndi makoma a minofu yolumikizana. Mimbayo imadzaza ndimadzi zotuluka, etiology ya mwadzidzidzi imachitika chifukwa cha kuvulala kapena kupweteka kwa kapamba.

Mawonetsedwe azachipatala amasiyana kwambiri pazithunzi zosiyanasiyana. Zimatengera kukula kwa mapangidwe, malo, pathogenesis ya mapangidwe. Zizindikiro zake zimatha kukhala zopanda chidwi komanso kupweteka kwambiri.

Kuti mupeze kukula ndi malo omwe ma cystwo ali, muwone kulumikizana ndi ma ducts, sankhani njira zamankhwala othandizira, kusunthika kwa ultrasound, computer tomography, MRI yamkati yamkati, ndipo njira zina zimachitidwa kuti mubwereze chithunzi chonse.

Nthawi zambiri, kuchitapo kanthu opaleshoni kapena kukhetsa kwina kumafunikira, gawo la chiwalo limodzi ndi pathological neoplasm silikhala lofanana.

Gulu la pancreatic cysts

Malinga ndi code ya ICD, kapamba ndimapapo, nthawi yayitali, subacute, ndi mitundu ina. Kuchita opaleshoni kumasiyanitsa mitundu iwiri ya neoplasms. Poyambirira, kapangidwe ka patimayo kamakhudzidwa.

Cyst imakhala yoona ngati pali chingwe cha epithelial. Izi matendawa amatanthauza kubadwa kwatsopano, milandu yodziwika yokha imafotokozeredwa mu mankhwala, chifukwa ndizosowa kwambiri kwa odwala.

Masewera abodza ndi vuto lomwe limayamba chifukwa cha matenda. Sichizindikirika ndi mawonekedwe a glandular epithelium pamakoma, chifukwa chake amasankhidwa kuti abodza.

Gulu lachiwiri limaganizira malo a cyst omwe amapezeka m'mimba:

• Cyst ya mutu wa kapamba (makamaka, malowa ndi kathumba kakulu). Malinga ndi ziwerengero, makonzedwe awa amawoneka mu 15-16% a zithunzi zamankhwala. Chodabwitsa ndichakuti pali kuphatikizika kwa duodenum.
• Pa thupi la chiwalo - imapezeka mu 46-48% ya milandu. Zikuwoneka kuti ndizosinthika kwambiri pachitukuko, kumbuyo komwe kufalikira kwawoko ndi m'mimba yakeyo kuwululidwa.
• Mchira - wopezeka 38-39% ya zochitika. Chodabwitsachi ndikuti chifukwa cha chotupa chotere, ziwalo zapafupi sizowonongeka.

Cysts owona ali osowa pankhaniyi, mawonetsedwe azachipatala ndi mfundo zamankhwala amitundu yonseyi sizosiyana, chifukwa mtsogolomo tidzangolingalira zonyenga zokha.

Zomwe zimayambitsa ndi ma cyst

Cancreatic cysts amapezeka mwa odwala, mosaganizira zaka, mtundu, amatha kukhala osiyanasiyana, amakhala amodzi komanso angapo. Mwa odwala ena, makamaka chifukwa cha kubadwa kwa m'mimba, ma ovicular systemic, ubongo, ndi chiwindi zimatha kupezeka.

Cyss zabodza sizimapanga gawo lathanzi. Mitsempha nthawi zonse imakhala chifukwa chazinthu zoyipa mthupi. Zomwe zimayambitsa kwambiri zimaphatikizapo pachimake kapamba, kuvulala kwa ziwalo

Choyambitsa chimatha kukhala chochulukirapo kwa duct ya excretory (mwachitsanzo, chopindika ndi mtsempha wamagazi kapena mwala) kapena vuto lalikulu m'maluso ake oyendetsa galimoto. Nthawi zambiri, ma cysts amapezeka ndi matenda a parasitic monga cysticercosis, echinococcosis. Pathogenesis imayambikanso ndi chotupa neoplasms. Mu chifuwa chachikulu cha kapamba, ma post-necrotic cysts amapangidwa theka la milandu.

Gulu la madokotala othandizira opaleshoni limazindikira zomwe zimapangitsa kuti pakhale mapangidwe a cystic. Zovuta zoyipa zatsimikiziridwa ndi kafukufuku wambiri. Izi zikuphatikiza:

1. Mowa wambiri.
2. Kunenepa kwambiri, komwe kumayendetsedwa ndi kuphwanya kwa lipid metabolism.
3. Mbiri yokhudza kuchitapo kanthu pakuchita opaleshoni pachinthu chilichonse cha m'mimba.
4. Matenda a shuga (nthawi zambiri amtundu wa 2).

Kukhalapo kwa imodzi mwazinthu izi wodwala wokhala ndi zizindikiro za zotupa zam'mimba zimathandizira kupanga mapangidwe a cyst.

Kukhazikika kwa njira ya pathological kumakhala ndi mawonetsedwe ena azachipatala omwe amawonedwa mu 90% ya odwala. Poyamba, chipatala choterocho chimawonekera:

• Zowawa za herpes zoster. Zimawonjezeka ndikatha kudya kapena kumwa mowa. Piritsi loletsa mankhwala silithetsa vutoli, palibe njira zochizira.
• Kusanza mobwerezabwereza, komwe sikubweretsa mpumulo kwa wodwala.
• Zizindikiro za vuto la m'matumbo zimaphatikizapo kutsegula m'mimba, kutulutsa magazi, ndi mpweya.

Mawonetseredwe azachipatala amatheratu kapena atachepa pakadutsa milungu 4-5. Mankhwala, nthawi imeneyi imatchedwa "kusiyana kowala." Pambuyo pake, zizindikiritso zimawululidwanso, koma zowonjezereka komanso kulimbikira.

Nthawi zambiri odwala amadandaula za kuchepa thupi kutentha, ulesi, kuvuta kwambiri kumanzere kwa hypochondrium. Nthawi zina (pafupifupi 5% ya zithunzi), khungu la pakhungu, mucous membranes, sclera ya ziwalo zamasomphenya imachitika.

Zizindikiro za pancreatic cysts zimaphatikizapo kusakwanira kwa kupanga mahomoni monga insulin, somatostatin, glucagon. Kuperewera kwawo kumabweretsa pakamwa pouma, kuwonjezeka kwamkodzo mwachindunji patsiku, m'malo ovuta kwambiri, kuchepa kwa chikumbumtima chifukwa cha kukomoka kwa hypoglycemic kapena hyperglycemic.

Njira zoyesera

Ngati mukukayikira kuti m'mimba mwadzaza madzi, kufunsira kwa gastroenterologist ndikofunikira. Pakuwunika pamimba, kutuluka kwake kumayang'aniridwa pamalo omwe amapezekera.

Mayeso a labotale, monga lamulo, samawonetsa kusintha kwina. Pali kuwonjezeka pang'ono kwa leukocytes, ESR ikuwonjezeka. Nthawi zina pamakhala kuchuluka kwa bilirubin.

1. Ultrasound imapereka kuyesa kukula kwa neoplasm, imawonetsa zizindikiro zosakhudzana ndi zovuta zomwe zilipo. Mwachitsanzo, ngati kupendekera kulipo, kufalikira kosagwirizana kumapezeka.
2. CT ndi MRI imatha kupereka zambiri mwatsatanetsatane pazomwe zimapangidwira mawonekedwe a cystic, kukula kwake, kusakhalapo kapena kukhalapo kwa kulumikizana ndi kuzungulira.

Pozindikira, ERCP imachitidwa - njirayi imathandizira kupeza zambiri mwatsatanetsatane pa ubale wa ma cyst ndi ma pancreatic ducts, omwe amawonjezeranso njira yamankhwala. Komabe, mwa kufufuza koteroko, pamakhala mwayi wina wodwala.

Chifukwa chake, ERCP imachitika pokhapokha ngati pakufunika kusankha njira yopangira opaleshoni, pomwe chithandizo chamankhwala chosasinthika sichingaganiziridwe nkomwe.

Mankhwala

Kodi chiwopsezo cha chotupa cha m'mimba chimakhala chiani? Choopsa chagona poti kupangika kwanthawi yayitali kumayambitsa ziwalo zamkati zoyandikana, zomwe zimayambitsa mavuto osiyanasiyana. Zotsatira zake zitha kukhala zotsatirazi: kupasuka, mapangidwe a fistulas, supplement kapena vaccess, magazi chifukwa chotumphukira mtsempha wamagazi.

Malinga ndi zomwe aposachedwa omwe asayansi akuwonetsa, zitha kunenedwa kuti chithandizo chokhala ndi mapiritsi chimachitika pazochitika zina. Ngati pali choletsa chomveka bwino cha pathological element, kukula kwa mapangidwe a cystic kulibe kupitirira masentimita awiri.

Amathandizidwa ndi mankhwala osokoneza bongo ngati neoplasm ndi imodzi. Palibe mawonetseredwe azachipatala a jaundice ovuta, kupweteka kwapakati.

M'masiku oyambilira, njala imayikidwa. Zakudya zamafuta, zosalimba komanso zamchere sizimayikidwa m'tsogolo, chifukwa zakudya zotere zimayambitsa kupanga michere yambiri, zomwe zimapangitsa kuti minofu iwonongeke. Pewani ndudu ndi mizimu. Wodwala amafunikira kupumula pa kama kwa masiku 7-10.

Mankhwala, mankhwala amakonzekera:

• Maantibayotiki okhudzana ndi ma tetracyclines kapena cephalosporins. Cholinga chake ndikulepheretsa kulowetsedwa kwa ma virus m'mitsempha ya mapangidwe, zomwe zimatsogolera njira zoyipa.
• Pofuna kuchepetsa kupweteka komanso kuchepetsa kubisala, ma inhibitors amagwiritsidwa ntchito - Omez, Omeprazole ndi mankhwala ena.
• Mankhwala a enzyme amafunika kuti achulukitse chimbudzi cha mafuta ndi mafuta - Mankhwala okhala ndi lipase ndi amylase amalimbikitsidwa. Zowonetsedwa ndi gulu - Pancreatin, Creon.

Ngati cyst ndi chifukwa cha biliary pancreatitis, mankhwala a choleretic mwina akhoza kupatsidwa. Nthawi zina, mutatha kuchotsa komwe kumayambira cyst, zotupa zimatha kusintha pazokha. Komabe, izi ndizosowa. Odwala ambiri amagwiritsa ntchito wowerengeka azitsamba popanga mankhwala a squock, mummy, tincture wa celandine, ndi zina. Kuunikira kwa njirazi ndi kwabwino, koma sikugwirizana ndi umboni, choncho ndibwino kuti usaike pachiwopsezo ndikudalira madokotala.

Ngati chithandizo chamankhwala chosasintha sichinatulutse zotsatira zofunika mkati mwa milungu 4, kulimbikitsanso kwa dotolo ndikuchita opareshoni.

Mankhwala othandizira

Malinga ndi ziwerengero, chithandizo chamankhwala cha 10% chimapewe opaleshoni. Nthawi zina, mankhwalawa amachitika mu dipatimenti yochita opareshoni. Pali zosiyana zopitilira zisanu ndi ziwiri za njira yothandizira zomwe zimalola kuchotsedwa kwa cyst.

Madotolo amayesa kudutsamo ndi njira zochepa zowononga zochizira matendawa. Poyerekeza ndi zomwe mabodzawo amachita, khungu la wodwalayo silikuwonongeka. Mavuto ocheperako amadziwika ndi maluso omwe amachitika kudzera pakhungu motsogozedwa ndi ultrasound.

Mulingo woyenera kwambiri wamankhwala umadziwika pamaso pa dongosolo la volumetric pathological pamutu kapena pa thupi. Mfundo za machitidwe ndizosavuta. Pambuyo pa mankhwala okhudzana ndi munthu wamkulu kapena mwana, singano yopopera kapena yoyesa imayikidwa mwa kupyoza m'gawo la epigastric. Kutengera ndi kukula kwa cyst, opareshoniyo amatha kupita m'njira ziwiri:

1. Kugwiritsa ntchito njira yokhotakhota yopopera. Madzi onse akatulutsidwa mu cyst, chubu chopyapyala cha rabara chimayikidwa kuti chikhale chotuluka nthawi zonse. Muli m'thupi mpaka madzi atuluka. Kudzinyenga kotereku sikuchitika ngati cystic element yatseka zisa za gland kapena yayikulu.
2. Mwa percutaneous sclerotherapy ya chotupa. Njirayi imaphatikizira kukhazikitsidwa kwa madzi amkati mumtunda utatha. Zotsatira zake, ndikuyeretsa kwamkati, kuthana ndi chilema.

Ngati njira zomwe zili pamwambazi sizingatheke, ndiye kuti laparoscopy imachitika. Izi zimachitika pogwiritsa ntchito zigawo ziwiri, chilichonse chomwe chimasiyana kuchokera 1 mpaka 2 cm. Zida zimayambitsidwa pamimba kudzera mwa iwo. Kumbali ina, njira za dongosolo lotere limadziwika ndi kufooka, komabe, ziwonetsero zimawonetsa kuti zovuta zambiri zimachitika nthawi zambiri.

Dokotala angachite izi:

• Kusangalatsa ndi mapangidwe a maphunziro. Ndizovomerezeka kugwiritsa ntchito ngati cyst ndiwowonjezera.
• Laparoscopy yokhudza kuphatikizanso gawo la kapamba. Malangizo akulu a chilema chachikulu mkati mwa zimakhala.
• Kulowera kwa Frey kumakhudzanso kuphatikizanso kwa mutu komanso kulengedwa kwa kapamba ka pancreatojejunal anastomatosis. Ndikofunika kuchitira motsutsana ndi maziko amakulidwe a ziwalo.

Kuneneratu kumachitika chifukwa cha ukadaulo wa matendawa, kuzindikira kwa nthawi yake komanso njira ya opareshoni. Matendawa amakhala ndi pafupipafupi pazotsatira zoyipa - kuyambira 10 mpaka 50% ya zojambula zonse. Kuchulukitsa, kupaka mafuta kumachitika nthawi zambiri, fistulas, kutaya magazi mkati mwa mawonekedwe a m'mimba. Ngakhale atachitidwa opaleshoni ku kapamba, pamakhala chiwopsezo chobwereranso mtsogolo.

Pazithandizo za pancreatic cysts akufotokozedwa mu kanema munkhaniyi.

Congenital

Chobadwa choona chobadwa nacho nthawi zonse chimakhala ndi minofu ya epithelial yomwe imalowa mkati mwake.

M'mitundu ina, zikondwerero zotere sizikupezeka.

Ilinso ndi kukula kocheperako ndipo nthawi zambiri imapezeka mukamagwira ntchito pazogaya chakudya. Kapangidwe kameneka kamakhala kocheperako kawiri kuposa zotupa ndi ma cysts.

Pseudocyst

Cyst yabodza ndiye mtundu wotchuka kwambiri wa glandular misa (80% ya milandu yonse yomwe yapezeka). Ndizofanana ndi cystadenoma (chotupa chotupa) komanso chovuta kuchiza, chifukwa chake nthawi zambiri chimayamba kupangika khansa yotupa. Wokhala ndi minofu ya granulation, chotupa cha post-necrotic chomwe chimakhala ndi tinthu tating'onoting'ono tomwe timatulutsa timadzi tambiri, timadzimadzi totulutsa madzi, ndipo timatha kuchotsedwa mochita kugoba.

Malo ndi Makulidwe

Ma neoplasms owona amachokera ku 2-3 mpaka 27 mm.

Ponena za mafinya a kapamba, ndiakulu kwambiri (pakati pawo pali zotupa zazikulu, 15 cm). Kuchuluka kwa madzi komwe amadzaza kumatha kufikira malita awiri.

Mitunduyi imatha kupezeka paliponse mu ndulu ndikuyika ziwalo zina zam'mimba (GIT), ndikulimbikira.

Mwachitsanzo, ngati matendawa apezeka pafupi ndi chikwama cholandirira (malo osungira pamimba kumbuyo kwa m'mimba), ndiye kuti chimakankhira m'mimba pansi ndikuwonetsa chiwindi. Ngati mapangidwe a kapamba afalikira mpaka kumunsi kwa m'mimba, ndiye kuti matumbo ochepa amapitilira pansi, ndipo colon yopingasa imakwera mmwamba.

Zowopsa zomwe zimachitika mu kapamba

Kukankhira pambali ziwalo zam'mimba, ma cyst amasokoneza ntchito yawo, kumayambitsa vuto ndipo, pakapita nthawi, kumayambitsa matenda mwa iwo. Chotupa pa zikondwerero zimatha kudwala ndikupangitsa kuti wodwalayo afe, chifukwa ma metastases ochokera kwa iwo amafalikira.

Ma pseudocysts omwe amawoneka kuti ali ndi pancreatitis osatha amatha kuputa fisi, kupasuka. Ngati zomwe zafotokozedwazo zimatsikira m'mimba, ndiye kuti necrosis ndi minofu yolowa ikhoza kuchitika ndikuwonjezereka kwa kapamba kumayamba. Kuopsa kotenga peritonitis (kutupa kwa peritoneum) ndi poyizoni wa thupi ndikwabwino.

Zizindikiro

Popeza wamva zoyamba za matenda, munthu ayenera kufunsa dokotala kuti adziwe ngati ali ndi matenda. Dokotala wa m'magazi, atamva za matenda a kapamba, adzawunika pamimba pochita kupindika. Zimachitika kuti m'malo opangidwira mapangidwe, pamimba pamatuluka pang'onopang'ono ndipo kusiyana komwe kulipo pakati pa mbali yotsala yam'mimba. Pa palpation, ululu umalimba.

Pozindikira chotupa cha ziwalo, kuyesa magazi ndi mkodzo sizithandiza pang'ono. Nthawi zina milingo ya leukocyte ndi bilirubin imakwezedwa, kuwonjezeka kwa ESR kumapezeka.

Njira zodalirika zodziwira pancreatic cysts mu nkhaniyi: endoscopic cholangiopancreatography (ERCP), computer tomography (CT), ultrasound ndi MRI.

Kuunika kwa Ultrasound kumawonetsa kuchuluka kwa madzimadzi ndikuwona kukula kwa cyst. Ngati mapangidwewo ayamba kupendeka, chizimba cha phokoso chakumaso kwake sichikhala chofanana. Ndipo ngati pali kapangidwe kake (chotupa) mu lumen ya patali, ikhoza kukhala khansa.

Ndi CT, kutengera kwa mapangidwe ake kumatha kuwonekera molondola, koma mtundu wake sungadziwike. MRI imathandizira kuzindikira kulumikizana pakati pa cyst ndi pancreatic duct.

ERCP imawerengedwa kuti ndi njira yabwino kwambiri, ndipo phunziroli, kulumikizana kwa chotupa ndi mavu a chiwalo kukuwonekera bwino, zomwe zimaloleza opanga maopaleshoni kudziwa njira zamankhwala. Koma pogwiritsa ntchito njira yodziwitsira matenda, mutha kubweretsa matendawa mthupi, ndiye kuti amangogwiritsidwa ntchito kuthetsa vuto la opaleshoni.

Madokotala amathandizira matendawa. Mtundu wa ntchito umatengera kusintha kwa minyewa ya kapamba, kukula kwa chotupa, malo omwe amakhala. Muzochita zachipatala, ngalande zakunja kapena zamkati zimagwiritsidwa ntchito. Omaliza adalandira malangizo abwino, chifukwa chiopsezo chobwereranso pambuyo pake, komanso ululu wam'mimba umachoka.Milandu yayikulu ya matenda, neoplasm imapangidwanso (kuchotsedwa) pamodzi ndi gawo la kapamba, komwe ndiko kutulutsa kwake.

Chofunikira pakumwa mankhwala ndi chotupa cha chimbudzi ndi chakudya choyenera komanso chopatsa thanzi. Madotolo amapereka No. 5 ya pancreatic zakudya kwa odwala awo. Zakudya zamafuta, zomwe zimasunthidwa komanso zonunkhira siziyenera kuphatikizidwa kuchokera kuzakudya za tsiku ndi tsiku. Zakudya siziyenera kuphikidwa pa broth nyama, koma pamadzi. Njira zabwino kwambiri zophikira ndi izi: kuphika, kuphika, kusenda. Ndi bwino kuphika ophika pang'onopang'ono. Odwala omwe ali ndi pancreatic cyst ayenera kudya pafupipafupi, akupera chakudya bwino. Zakudya zozizira komanso zotentha ziyenera kusinthidwa ndi zina zotentha (mpaka 37 ° С).

Zinthu zomwe ziloledwa pachakudya ichi ndi nyama yophika, yokhala ndi mafuta ochepa, nkhuku zopanda khungu, komanso nyama yamphongo, yomwe amaidula bwino, kuikika kapena kuisenda kuti isagwiritse ntchito. Zakudya zoyambirira ndizopanda borscht ndi msuzi wa kabichi, msuzi wosenda, mbatata, msuzi wa karoti ndi kirimu wowawasa, ngale ndi msuzi wamkaka ndi pasitala. Kuchokera ku mbewu monga chimanga mumatha kudya mpunga wamafuta, oatmeal ndi phala la buckwheat.

Zosankha za anthu omwe ali ndi chotupa cha pancreatic chimaphatikizapo mkate wa rye ndi chinangwa, yophika kapena yophika dzira loyera, amaloledwa kugwiritsa ntchito tchizi chatsopano komanso tchizi chamafuta ochepa.

Kuchokera ku confectionery ndi zinthu zotsekemera mungathe kudya ma cookie opanda chofufumitsa, ma cookie a gingerbread opanda chokoleti, marmalade. Muyenera kumwa zipatso zosawidwa, zakudya, zakudya, zosaphika ndi madzi, tiyi ndi mandimu kapena mkaka. Kuchokera pa zipatso, mumatha kudya nthochi, maapulo otsekemera, mavwende ndi vwende m'miyeso yaying'ono.

Mavuto

Mavuto owopsa a chotupa cha chi pancreatic ndi zingwe, mawonekedwe akulu ndi polycystosis, komanso cyst cyst.

Chotupa chikang'amba, zomwe zili mkati mwake zimatha kutumphuka kapena kulowa m'mimba, zomwe zimayambitsa ascites (dropsy) kapena peritonitis. Ngati simukuwona dokotala, munthu akhoza kufa.

Kuyendetsa njinga

Chotupa chikhoza kulumikizana ndi chimbudzi cha pancreatic ngati chapanga mkati mwa chiwalo. Poterepa, amatchedwa papillary-mucinous. Neoplasm yachilendo imatha kupezeka patapita zaka.

Zimachitika kuti akapanga matenda, madokotala amalakwitsa ndipo amakhulupirira kuti wodwalayo ali ndi kapamba.

Matendawa amapezeka m'mavuto owopsa ndipo samachiritsidwa nthawi zonse, chifukwa nthawi zambiri michere yolowa mkati imapezeka mwa anthu okalamba.

Makulu akulu a cystic

Chizindikiro cha ma neoplasms akuluakulu ndikutha kwawo kukhala ndi malita awiri a secretion (juwisi) .Kutambasula ndikudinikiza ziwalo zozungulira, ma cysts awa amatha thukuta kudzera mwa iwo. Zotupa zina za pancreatic zimafika ku scrotum ndi Mediastinum (dera lomwe mapapu ndi mtima uli). Chifukwa chake, amatha kupweteketsa matenda a ziwalozi ndipo wodwala amayenera kulandira chithandizo zingapo.

Kupewa

Mutha kupewa kuwoneka kwa matenda a zamiseche powonera moyo wathanzi, kuiwala za mowa, kudya moyenera.

Ndikofunika kumvetsera thupi lanu, ngati pali zovuta zina, pitani kuchipatala kukayezetsa kapamba ndi ziwalo zina.

Kodi chizolowezi cha pancreatic chingathetse?

Zotupa zomwe zapezeka munthawi yake, zomwe sizinapangidwe kumapeto kwake (osachepera 3 cm) zimatha kusungunuka ndikutha ngati chithandizo chamankhwala chovomerezeka kwa iwo chimagwiritsidwa ntchito. Kutupa kumayima ndikuchokapo. Cysts zazikuluzikulu sizimathetsa, zimachotsedwa modabwitsa.

Mbiri ya moyo

Ngati pancreatic cyst ikapezeka kumayambiriro kwa mapangidwe ake ndipo ndi yaying'ono, matendawa amatha kuchiritsidwa ndipo chiwopsezo chotembenukiranso chitha. Ndi kapangidwe kakale kakang'ono kwambiri, zakukula kwa moyo sizabwino. Mu 30-50%, mavuto akhoza kuchitika omwe samachiritsidwa nthawi zonse. Chifukwa chake, thanzi la munthu limadzidalira.

Limagwirira a mwadzidzidzi cysts mu limba

Mphepoyi ndi chiwalo chovuta kwambiri ndi mawonekedwe a alveolar a parenchyma. Ma microcavities ake onse amalumikizidwa ndi ma ducts. Madzi a pancreatic, chinsinsi cha pancreatic chomwe chili ndi ma enzymes, amayenda limodzi nawo. Ngati kutulutsa kuchokera ku alveoli imodzi kapena zingapo kusokonekera, zimachitika. Chifukwa chogawa ma enzyme, amayamba kutupa. Kutengera komwe kunayambira, kufalikira kwa magazi kumasokonezeka, zomwe zimapangitsa kufalikira kwa kusintha kwamatumbo m'thupi lonse.

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Kuletsa njirayi, njira zotchinjiriza zimayambitsa, ndipo gawo lakutupa limakulidwa ndi minofu yolumikizidwa kapena ma fibrous fibers (encapsated). Izi sizimaliza zamatsenga. Pakusangalatsa, kapisozi wakuda amakhudza mitsempha ya magazi. Kenako magazi amalowa m'magazi a patological, exudate.

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Kupanikizika mu kapisolo kumakulirakulira, kumakula kukula, kupanikizana ndi minofu yoyandikana, kumabweretsa kuwoneka kwa zotupa zatsopano ndi zingwe zopota. Mkati mwake, puroses necrotic process ingayambe.

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Chifukwa chake ma cysts amapangidwa. Chifukwa cha kapangidwe kake kapamba, ngakhale madokotala amakono sangapereke tanthauzo lenileni. Chifukwa chake, dzinalo limaphatikiza neoplasms mwanjira iliyonse, mtundu wazinthu, kukula ndi chilengedwe.

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Zifukwa zakapangidwe kameneka

A cyst amatha kupanga mu nthawi ya fetal development. Kusamveraku kumachitika chifukwa cha chibadwa chakupsa ndi zolakwika pakuika ziwalo zamkati mwa mwana wosabadwayo. Pafupipafupi mwadzidzidzi wa cysts wobadwa nawo simapitilira 1.5% pakati pa neoplasms odziwika mu kapamba.

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Nthawi zambiri, kutupa kwambiri kwa chindoko kapena khunyu (pancreatitis) kumabweretsa kuoneka ngati makapisozi am'thupi. Malinga ndi ziwerengero, mwa anthu 54% omwe ali ndi vutoli, a cyst amadziwika nthawi yayitali. Matenda oyamba amachititsa zinthu zina:

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• mankhwala osokoneza bongo
• kudya kwambiri
• kumwa kwambiri mowa
• kusuta
• ma gallstones
• zilonda zam'mimba ndi zotupa zovulala.

Cysts amapangidwa motsutsana ndi patency yamapa pancreatic, kudzikundikira kwa madzi mkati mwake. Izi zimachitika ndi nthawi yayitali yanjala komanso kuperewera kwa zakudya m'thupi. Chiwopsezo cha neoplasms chimakulitsidwa ndi njira iliyonse ya opaleshoni yogaya chakudya. Blockages imayambitsa kuwerengera mu kapamba.

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Calculi imachitika kumbuyo kwa kusokonezeka kwa metabolic, nthawi zina matenda amayamba ndi ma helminthic.

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Kuopsa kwa mapangidwe a cyst kumawonjezera matenda a shuga, kunenepa kwambiri, matenda a ndulu.

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Mitundu ya mabungwe

Madotolo amagawa zotupa mu kapamba kukhala zowona ndi zabodza. Zoyambilira zimaphatikizapo kubadwa kwa cysts, kusiyana kwawo kwakukulu kuli kapangidwe ka kapisozi. Amapangidwa ndi minyewa ya epithelial. Pa moyo, ma neoplasms oterewa samachulukana kukula komanso samasangalatsa, sangathe popanda chithandizo.

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Ma cysts abodza amaphatikizidwa ndi zomwe zili mkati ndi kapisozi wam'mimba, amapangidwa mogwirizana ndi kusintha kwa kutupa, amatha kuwonjezeka kuthamanga, necrotic, kusintha kukhala ma abscesses, zilonda (kukhala zoyipa).

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Pamalo, ma cysts amadziwika:

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• mitu ya pancreatic - nthawi zambiri imayambitsa zizindikiro zowoneka bwino, imatha kupangitsa matumbo kusokonezeka, kukondoweza kwa bile,
• matupi - amatha kufinya koloni ndi m'mimba, ndizofala kuposa ena,
• mchira - sizimayambitsa kusasangalatsa, chifukwa ngakhale ndi zazikulu sizimapweteka ziwalo zoyandikana.

Mwachilengedwe, ma cysts amasiyanitsidwa:

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• neoplastic - wokonda kusinthika kapena zotupa zoyipa,
• zopweteka - zimachitika pambuyo pamavuto amakina,
• parasitic - wokwiyitsidwa ndi helminths kapena protozoa,
• kutupa - anaonekera motsutsana maziko a kapamba.

Pachimake amatchedwa cyst kumayambiriro kwa mawonekedwe ake. Makoma a kapisozi pamilandu iyi samapangidwa, malo ndi ochepa ndi minofu yayikulu ya kapamba. Pambuyo pakuwoneka makoma, mapangidwe amatchedwa subacute kapena aakulu. Mitsempha ikadzaza ndi mafinya kapena ma necrotic, chotupa chimatchedwa chithupsa.

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Ma neoplasms amatha kukhala amodzi (osatsimikizika komanso opangidwira gawo limodzi lokha), ophatikizidwa (omwe amapezeka m'magawo awiri a gland), kapena kupatsanso (cysts yaying'ono panthawi yonse ya parenchyma).

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Chofunikira ndi kukula kwa cyst. Kufikira masentimita 5, imawerengedwa kuti siowopsa. Kupanga kwakukulu kumatha kusokoneza magazi, kusokoneza mitsempha ndi ziwalo.

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Kodi zingwe zimabweretsa chiyani?

Onse cancreatic cysts kumlingo wina kapena wina womaliza. Magawo ang'onoang'ono angachuluke. Nthawi yomweyo, amayamba kufinya mitsempha yamagazi, zodzaza ndi ndulu, kusowetsa mtendere, zonsezi zimayamba kuyamwa. Kutulutsa kwa madzi am'mimba kumasokonekera, zovuta za dyspeptic zimawonekera.

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Maselo ochulukirachulukira amatenga nawo mbali mchitidwewu. Wathanzi amasinthidwa ndi minyewa yam'mimba ndipo chiwalo chimachepa. Kutulutsa kwa msuzi kumatha kusiyiratu. Metabolism imasokonezeka (mapuloteni, mafuta, chakudya), kukanika kwa ziwalo zina zamkati kumawonekera.

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Ndikapangira zingwe zam'manja, mitsempha yamagazi imatha kuvulazidwa, yomwe imakhala yodzaza ndi magazi amkati. Kuyankha kwa chitetezo cha mthupi pakukhalitsa komanso kufalikira kwakutali sikungachitike: ma cell omwe akhudzidwa ndi pathology amatha kukhala atypical, ndipo cyst imasanduka khansa.

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Kuwonjezeka kwa maselo akufa, masamu a purulent, kutulutsa kwanyonga ndi wamagazi mkati mwa kapisozi kungayambitse kupasuka kwake. Ichi chikuwunda ndikufalikira kwa matenda kufalikira kwa chiwalo chonse, chokwanira cha kapamba, peritonitis, poyizoni wamagazi, imfa.

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Chingwe chokukula chimakhudza ziwalo zapafupi komanso mathero amtsempha. Zimayambitsa kusapeza bwino, matenda ammimba. Pancreatic cyst imatha kuchepetsa kwambiri moyo wa wodwalayo ndikutha polephera.

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Zizindikiro ziti zimapereka cyst

Mpaka kuwonjezeka kwakukulu m'mimba mwake, neoplasm silipereka mwanjira iliyonse. Wodwala amatha kusokonezeka nthawi yayitali mu hypochondrium, chifukwa cha neuralgia kapena kupweteka kwa minofu. Mavuto amabuka pamene chotupacho chikula - kukula kwa ma cysts kumapangitsa wina (kapena woyamba) kuchuluka kwa kapamba.

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Wodwala amakhala ndi zowawa mu hypochondrium yakumanzere kapena m'mimba, nthawi zambiri atatha kudya. Kukula kwake kumatengera kukula kwa chotupacho. Ngati mitsempha ya solar plexus ikuphwanyidwa, pamakhala zowawa zowawa nthawi yomweyo pansi pa sternum, ndikuwombera kumbuyo. Ngati cyst ikanikizira ziwalo zamkodzo, wodwalayo amamva kukoka m'munsi kumbuyo ndi pamimba.

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Chizindikiro - kupweteka kwapweteka sikuyimitsidwa ndi ma analgesic othandizira kapena antispasmodics. Mankhwala amangokulitsa kwakanthawi, koma osawachotseratu. Ngati chotupa sichinakhumudwitse minofu necrosis, ululu umatha pambuyo masiku ochepa. Kuthandizirana kumatha kukhala mpaka mwezi umodzi, pambuyo pake kugwiranso.

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Chifukwa cha kukoka kwa kapamba, chimbudzi chonse chimachepa. Wodwala amakhala ndi nkhawa chifukwa cha kulemera kwam'mimba mutatha kudya (ngakhale ndi mbali zochepa), nseru imachitika. Ndi zotupa zosasinthika za England, kusanza kosaloledwa kumayamba, komwe sikubweretsa mpumulo (zotsatira za kuledzera kwa thupi).

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Ntchito yamatumbo imasintha. Chifukwa cha kuchepa kwa ma enzymes, njira yogaya chakudya ndikusokoneza, flatulence imachitika, wodwala amakula m'mimba kwambiri. Mu ndowe, mumakhala zosayenera za chakudya chosasankhidwa ndikugawa kwamafuta (steatorrhea).

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Zizindikiro zina

Poyerekeza ndi mseru komanso kufooka, wodwalayo amataya chilakolako chake, ndipo kuphwanya kwa kuphwanya chakudya kumabweretsa kuchepa kwa michere ndi kunenepa kwambiri. Chifukwa cha kutupa ndi kuledzera, matenthedwe amakwera. Zizindikiro sizichulukitsa zomwe zimakhala zochepa, komabe, ndi zovuta, kutentha thupi ndi matenda oopsa zimawonedwa.

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Large cysts amachititsa compression syndrome yamkati ziwalo. Zizindikiro zowonjezera zimatengera mphamvu komanso kutengera kwapanthawiyo:

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• impso zikamezedwa, kutuluka kwa mkodzo kumasokonekera.
• ndi kupsinjika kwamatumbo, pakhoza kukhala chocheperako chimbudzi ndi zizindikiro zotsekera (kupweteka, kupindika, asymmetry pamimba),
• kukhudzana ndi chiwindi kumakwiyitsa bile ndi maonekedwe a jaundice.

Mukamayang'ana m'dera la kapamba wakhoma wam'mimba khoma, chifuwa kapena kutulutsa kwa gawo lina la gland.

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Kuchiza matenda

Malingaliro azithandizo zimatengera mawonekedwe a cyst. Benign neoplasms, osakwana 50 mm m'mimba mwake, osautsa zovuta m'mimba, amayang'aniridwa ndi ultrasound. Zotupa zonse zazikulu zimayenera kuchotsedwa. Ma cysts ang'onoang'ono omwe ali ndi malire owopsa ndi oti apitilize kafukufuku (biopsy, endoscopy) ndikuchotsa mwachangu ndikutsimikizira kuti ndi yoyipa bwanji.

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Mankhwala othandizira

Posachedwa pseudocysts atha kuchotsedwa motsimikiza ngati njira yotupa imayimitsidwa mwachangu ndipo kapamba amayambiranso kugwira ntchito bwino. Ma neoplasms mpaka masentimita awiri amatha kuthetsa. Kuti muchite izi, sankhani:

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• Masiku 7-10 pogona,
• 2-3 masiku osala,
• chakudya chokhwima
• secretion registrates (Omez, Pantoprazole),
• antispasmodics (No-Shpa, Buskopan, Spasmomen),
• maantibayotiki (kupewa kufalitsa matenda).
• enzyme m'malo mankhwala (Creon, Mezim, Pangrol, kuchepetsa magwiridwe antchito thupi).

Ngati chotupa sichitha mkati mwa mwezi umodzi, mankhwalawo amathetsedwa ndipo chotupacho chimayang'aniridwa ngati chikukula kwambiri. Ngati ndi kotheka, konzekerani ntchito.

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Izi ndizosangalatsa! Zithandizo zamankhwala

Pa Msonkhano Wapadziko Lonse wa Sayansi Yothandiza "Zamakono Zamakono: Nkhani Zapamwamba", zomwe zidachitika ku Russia, Novosibirsk, Julayi 6, 2016, zotsatira za njira yopangira opaleshoni yochiritsira cysts yayikulu idasindikizidwa. Njira yowonjezera kawiri mkati ndi zotulutsira kunja idagwiritsidwa ntchito kwa odwala 11 mwa 59, omwe ndi mainchesi ofunda kuposa 10 cm.

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Ndi mwayi wa laparotomic (wotseguka) kudzera m'mimba kapena gawo lamanzere la hypochondrium (kuwonongeka kwa "mchira" wa gland), kubowola kwa cyst kunachitika. Zomwe zidatengedwa zidatumizidwa nthawi yomweyo kuti zikawonetse zam'tsogolo komanso za mbiri. Ngati mawonekedwe a mapangidwe anali osakhazikika, khoma la cyst lidatsegulidwa, magulu akuluakulu a necrotic ndi mitundu ina yopanga akachotsedwa. Anastomosis idapangidwa kudzera m'mimba ndipo chubu chaching'ono cha silicone chidasokedwa mothandizidwa ndi thumbu, kumapeto kwachiwiri komwe kumatulutsidwa.

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Mothandizidwa ndi kukhetsa, kuthekera kochotsa mawonekedwe a cyst ndi antiseptics yolimba kunatheka, magwiridwe antchito a anastomosis amayang'aniridwa pogwiritsa ntchito kafukufuku wa X-ray. Kuchotsedwanso kwa chotupa munthawi yogwira ntchito kumapangitsa kuti chiwongola dzanja chake chikhale chambiri. Nditayang'ananso anastomosis komanso pakamaboweka chinyezi kuchokera mumakina, chubu chinachotsedwa.

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Njira imalimbikitsa kupangika kwa anastomosis yothandiza ndipo imalepheretsa mapangidwe amatsalira mu kapamba. Kupambana kwa mankhwalawa kumatsimikiziridwa ndikuchepetsa kwa kukhalanso kuchipatala kwa wodwala (mpaka masiku 10). Odwala onse omwe amachitidwa mwanjira iyi samakumana ndi zovuta atachitidwa opaleshoni ndipo palibe kubwezeretsedwa kwa cyst komwe kunalembedwa.

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Njira zina zochiritsira

Popewa kuchitidwa opaleshoni, ochiritsa ena ndi azitsamba amalimbikitsa kuchiza ndi zitsamba.Njirayi itha kukhala yothandiza kwa "mwatsopano" cysts ang'onoang'ono. Ndikwabwino kugwiritsa ntchito njira zina maphikidwe mutagwirizana ndi adokotala komanso mogwirizana ndi mankhwala.

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Kuchita bwino kwa zitsamba motsutsana ndi pancreatic cysts kulibe umboni wa sayansi. Kugwiritsa ntchito njira yokhayo yothandizirana kungapangitse kukula kwa cysts kukula kwake, kuthamangitsa kusasitsa kwake ndi kupasuka, komwe kumakhala ndi zotsatira zoyipa.

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Zomwe zimachitika pazomera zimadalira anti-yotupa, chinsinsi komanso zotsatira za ma analgesic. Mankhwala a pancreatic cysts, tikulimbikitsidwa kugwiritsa ntchito zochotsa ku:

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• daisi
• yarrow
• stonecrop
• wamisala,
• Sushnitsy
• elecampane
• aloe
• wosafera
• Wort wa St.
• chomera
• oregano
• peppermint
• fennel.

Chothandiza kwambiri ndichithandizo chindapusa kuchokera ku zitsamba zomwe zidatchulidwa. Kupanga mankhwala ndikofunikira kumanzere kwa katswiri wazitsamba. Pansipa pali njira zotchuka kwambiri zosakanizira za zitsamba motsutsana ndi pancreatic cysts.

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Zofanana zofanana za masamba a calendula, yarrow ndi celandine ndi osakanikirana. Supuni ya supuni ya masamba imathiridwa ndi kapu yamadzi otentha, ndikusiyidwa ndikuphika pansi pa chivindikiro kwa maola awiri. Pambuyo pake, ulusiwo umasefa, ndikugawidwa m'magawo atatu ofanana. Aliyense wa iwo aledzera mphindi 30 asanadye. Njira ya mankhwalawa imatha mwezi, pakatha sabata yopuma imabwerezedwanso kapena mankhwalawa adakonzedwa molingana ndi dongosolo lotsatira la mankhwala.

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Sakanizani supuni ziwiri za maluwa zouma za calendula ndi ofanana ndi owaza obzala, supuni 1 ya udzu wopanda kanthu. Supuni yophika imaswedwa mu kapu yamadzi otentha kwa ola limodzi ndi theka. Mutatha kusefa, hoodyo imagawidwa m'magawo atatu, amatenga theka la ola musanadye. Njira ya mankhwala ndi mwezi

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Mabuku ena amalimbikitsa kusinthanitsa zophatikiza ziwiri pakati pawo. Kuti muchotse ma cysts, ndikofunikira kuthana ndi zovuta zitatu.

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Tengani cowberry, sitiroberi, tsamba la mabulosi, komanso masamba a nyemba ndi mchitidwe wosweka wa chimanga. Supuni ya chisakanizochi imapangidwa ndi kapu yamadzi otentha mu thermos usiku wonse. M'mawa, hoodyo imasefedwa, pamimba yopanda kanthu amamwa theka lagalasi. Njira ya chithandizo ndi masabata awiri, ndiye muyenera kufunsa dokotala ndipo ngati ndi kotheka, pitilizani mankhwala.

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Wort wa St. John, masamba a timbewu, chamomile, plantain, yarrow ndi sinamoni amaphatikizidwa. Supuni ya tiyi ya Bavani imamenyedwa kwa maola awiri mu kapu yamadzi otentha. Pambuyo popsinjika, tengani 3 pa tsiku theka la ola musanadye. Kulowetsako kwatulutsa katundu wa antispasmodic ndikuletsa kukula kwa chotupa.

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Maganizo a moyo ndi malingaliro

Pancreatic cysts alibe zabwino kwambiri. Ngakhale utazindikira mozungulira, kuyang'anira ndi kuchotsa mankhwalawa mosavutikira, pamakhala chiwopsezo cha zovuta ndi kusinthika kwake ku khansa. Pafupifupi 55% ya odwala amakumana ndi zotumphukira komanso kusinthasintha kwa zimakhala. Pafupifupi kotala la ntchito limatha kubwerera m'mbuyo.

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Moyo

Wodwala yemwe ali ndi cyst wozindikira ayenera kusiya zizolowezi zoipa, kumwa mowa, ndi kusuta. Chinsinsi cha magwiridwe antchito oyenera chizikhala chakudya chamagulu komanso kutsatira malangizo onse azachipatala. Kamodzi pa miyezi itatu iliyonse, njira yoyeserera yodziwika bwino iyenera kuchitidwa. Malangizo omwewo ndi othandiza kwa odwala omwe amachitidwa opaleshoni kuti achotse chotupa.

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M'masiku oyamba atachitidwa opaleshoni, wodwala samadyetsedwa. Njala ndi mtendere zidzapereka kubwezeretsa mwachangu kwa minofu ya pancreatic. Pambuyo masiku awiri ndi atatu, chimanga chophika, nyama zamafuta ochepa ndi masamba osalowerereka amadziwitsidwa m'zakudya mutatha kupukusa kutentha. Dokotalayo amapereka malangizo enanso okhudza chakudyacho.

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Zakudya zomwe zili ndi cyst ndikutulutsa kuchokera ku chipatala zimapangidwa molingana ndi malamulo awa:

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• kukana kwathunthu mafuta, osuta, okazinga, amchere,
• kuletsa kwa maswiti,
• kugwiritsa ntchito masamba opanda zipatso ndi zipatso pokhapokha kutentha,
• kapangidwe kake ka zinthu zonse zofunika kuzimbidwa,
• kukana kwa oyambitsa a pancreatic juisi katulutsidwe (nyemba, sorelo, zonunkhira, msuzi wolemera, bowa),
• kudya pafupipafupi m'magawo ang'onoang'ono.

Ndi zotsatira zabwino za chithandizo, wodwalayo pang'onopang'ono amabwerera ku zakudya zomwe amakonda. Ngati mukuwopseza kuyambiranso kapena chifuwa chachikulu chokhazikitsidwa, chakudyacho chimatsatiridwa moyo.

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Pomaliza

Pancreatic cyst imatha kuwoneka mwa munthu wazaka zilizonse komanso wamkazi. Gululi lomwe lili pachiwopsezo chachikulu ndi anthu omwe ali ndi pancreatitis yayikulu komanso yovuta (kuti mumve zambiri pazizindikiro za kapamba ndi njira zamankhwala, onani ulalo pano), okonda zakudya zamafuta ndi zakumwa zoledzeretsa.

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Mitsempha imabweretsa chisangalalo ikakula mpaka kukula. Itha kusintha khansa ya England, ndikuwopseza kufalikira kwa matenda mthupi. Nthawi zambiri, kuchitidwa opaleshoni ndikofunikira. Posakhalitsa matenda atapezeka, pamakhala mwayi wambiri kuti athetse ndi zovuta zina zowononga.