Kuchotsa kwa pancreatic cyst: zotsatirapo za opaleshoni

Chikhansa ndichofunikira kwambiri, koma nthawi yomweyo chimakhala chovuta kwambiri. Imafunika chisamaliro chapadera komanso chithandizo chamankhwala pafupipafupi ngati pali ma pathologies aliwonse. Chikhansa chimatulutsa madzi a pancreatic, ma enzymes, komanso mahomoni. Secretion wa Hormone ndi ntchito ya endocrine yokha.

Madzi ndi ma enzyme, ndiko kuti, ntchito za exocrine, ndizolimbikitsa kwambiri. Pogwiritsa ntchito njira zosiyanasiyana zotupa m'matumbo, amatha kusintha ntchito yawo motsutsana ndi maselo omwe amawatsekera.

Kuyipa kwamtunduwu kumawonekera, mwachitsanzo, pancreatitis pachimake, ndipo kumabweretsa minofu necrosis. Nthawi zambiri, gawo lochepa chabe la maselo ogwira ntchito bwino limakumana ndi necrosis, ndipo pambuyo pake limangokhala ndi kapisozi kakang'ono komwe kamangopangika. Pansi pa kapisozi, ma kapamba a pancreatic, tinthu tating'onoting'ono ta necrotic. Izi zimapanga chotupa.

Gulu la cysts mu mankhwala

Malinga ndi limagwirira la zochitika, ma cysts agawidwa kukhala owona ndi abodza.

Zowona, kapena zatsopano, zimapezeka m'matumbo kuyambira kubadwa. Ichi ndi chilema pakukula kwa fetal. Khoma la cyst loona limakhala ndi zotumphukira kuchokera mkati, ndipo izi sizikula. Ma pathologies amenewa ndi osowa kwambiri.

Cyss zabodza zimachitika nthawi yachiwiri, ndiye kuti, pambuyo pa matenda aliwonse am'mbuyomu, kuvulala, kapena opaleshoni yamapazi. Palibe epithelium yomwe imapezeka m'makoma a makoma awo.

Kutengera kuthekera kwa patsekeke, ma cysts amaikidwa motere:

• misempha ya mutu wa kapamba - amatulutsa mkati mwa cham'mimba ndipo amatha kuponderezana ndi duodenum.
• thupi la gland limakhudzidwa kwambiri ndi cysts, izi zimabweretsa kuchotsedwa pamimba ndi m'matumbo.
• zingwe zitha kukhala pamchira, pamenepa zimabwezeredwa, kapena kubwezeretsa, chilengedwe, ndizowopsa kwambiri pakuwonongeka kwa ziwalo zapafupi.

Malinga ndi maphunziro a zamankhwala, amagawika pachimake, subacute ndi abscess.

1. Pachimake amapangidwa mwachangu kwambiri, momveka bwino kuti alibe malire. M`kati mwake mumatha kukoka ma kapamba, parenchyma kapena CHIKWANGWANI.
2. Subacute, kapena yayitali, ma cysts amawoneka kuchokera pachimake chifukwa cha kupanga kwa makoma kuchokera ku minofu ya fibrous ndi granulations zomwe zimapanga nthawi ya kutupa.
3. Chithupsa ndi kuphatikizika kwazomwe zimapangidwa ndi purulent mkati mwake.

Mwa kukhalapo kwa zovuta, cysts imatha kukhala yovuta - ndi fistulas, hemorrhages, purulent nkhani komanso mafuta komanso osavuta.

Chifukwa chiyani ma cysts amachitika?

Monga tafotokozera pamwambapa, ma cysts abodza amapangidwa chifukwa cha matenda osiyanasiyana kapamba.

Pali njira ndi matenda omwe nthawi zambiri amatsogolera njira za cystic.

Izi zikuphatikiza:

• pachimake yotupa (pancreatitis),
• ziwalo zoopsa
• kufupika kwakanthawi kapena kupitilira kwa nthawi yayitali (mwachitsanzo, cholelithiasis),
• kuphwanya kwazinthu zobisika zamkati,
• helminthic infestation,
• protozoa
• machitidwe a oncological mu kapamba.

Kuphatikiza pazifukwa zomveka, pali zinthu zingapo zomwe zimayambitsa chiopsezo, kapena zinthu zomwe zimawopseza.

Izi ndi izi:

1. Uchidakwa wambiri
2. Chotseka cha bile
3. Kunenepa kwambiri
4. Kuchita opaleshoni yoyesedwa pachinthu chilichonse cham'mimba,

Kuphatikiza apo, chimodzi mwazinthu zomwe zimatanthauziratu kupezeka kwa shuga kwa wodwala.

Zizindikiro zazikulu za cyst

Zizindikiro za pancreatic cyst zimawonetsedwa m'njira zosiyanasiyana.

Zimatengera mtundu wake, malo, kukula kwake.

Ngati patsekeke ndi imodzi komanso yaying'ono, mpaka hafu ya sentimita, ndiye kuti ilibe vuto lililonse pazida zoyandikana, ziwiya ndi mitengo yamanjenje.

Ngati chotupa chili chachikulu, ndiye kuti matendawo angayambike:

• kupweteka kwambiri, nthawi zambiri kwa chilengedwe cha lamba, lakuthwa kwambiri, kuphatikiza pamimba, kumamveka m'munsi kumbuyo ndi m'mbali,
• kusanza komwe sikubweretsa mpumulo,
• kuphwanya chopondapo m'njira yamatumbo,
• kuchuluka kwambiri kwa mpweya m'mimba (flatulence),
• Kuphatikiza pa matenda am'mimba, steatorrhea imawonedwa - kupezeka kwa m'malovu am'miyendo chifukwa choperewera ndi pancreatic lipase enzyme,
• kuchuluka kwa kutentha kwa thupi mpaka manambala ocheperako,
• kufooka kotchulidwa,
• kumva kutopa mu dera lamanzere la epigastric,
• Nthawi zina khansa imatha,
• pafupipafupi pafupipafupi diuresis,
• pakamwa kowuma kosalekeza
• kukomoka.

Zizindikiro zitatu zomaliza zimachitika ndikuphwanya kwambiri inshuwaransi ndipo ndikuwonetsa matenda ashuga. Pafupifupi theka la odwala omwe ali ndi cyst pamutu pa kapamba, komanso kukula kwake, ndizotheka kudziwa kutuluka kwa khoma lam'mimba pansi pa sternum.

Njira zodziwitsira ma cysts

Ndi madandaulo ofanana ndi zomwe zikukambidwa, odwala amapita kwa gastroenterologist.

Dokotalayo amapereka mankhwala angapo othandizira odwala komanso othandizira.

Njira zogwiritsira ntchito ma labotale zimaphatikizapo maphunziro angapo:

Kuyesedwa kwa magazi konse. Ziwonetsa kuwonjezeka kwa erythrocyte sedimentation rate (ESR), kuchuluka kwa leukocytes (leukocytosis).

Pakuwunika kwama biochemical, kuwonjezereka kwa bilirubin kumatsimikizika, chifukwa chake jaundice imachitika, komanso kuwonjezeka kwa ntchito ya alkaline phosphatase.

Urinalysis Mu mkodzo, mumatha kukhala mapuloteni, omwe nthawi zambiri sayenera kukhala, ndi maselo oyera, omwe akuwonetsa kutupa.

Mwa njira zofufuzira zomwe mwakhala mukugwiritsa ntchito:

1. Kuyesa kwa Ultrasound Zimapangitsa kuwona kukula kwa ma cysts, kuchuluka kwawo ndi zovuta zilizonse, ngati zilipo.
2. Magnetic resonance therapy (MRI ya kapamba) imawonetsa bwino lomwe kapangidwe ka maphunziro ndi ubale wake ndi mapangidwe a ndulu.
3. Kafukufuku wa radioisotope (scintigraphy).
4. Kafukufuku wa radiology wam'mimba.

Kuphatikiza apo, kuyesa kwakumaso kwa minofu ya England kumachitika.

Chithandizo cha Pancreatic cyst

A cyst mu kapamba amathandizidwa ndi achipatala.

Kumwa mankhwalawa kwa ma cysts ambiri sikothandiza kwenikweni, kotero odwala amatumizidwa nthawi yomweyo kuti akachitidwe opareshoni.

Komanso, ntchito zimasonyezedwa ma cysts owopsa, ngakhale atakhala ochepa kwambiri, chifukwa amatha kupereka metastases ku ziwalo zilizonse.

Mitundu yotsatirayi ya kuchitapo kanthu pochita opaleshoni imachitika pa kapamba:

1. Mphepo yama cyst - yoyamba, patsekitoni imapunthwa, madzi onse osakanikirana amapukutidwa kuchokera pamenepo, kenako ndikuyika madzi osungiramo madzi - chubu chapadera chomwe kutuluka kwazinthu kumachitika.
2. Sclerosing - njira yogwiritsa ntchito mankhwala, mwachitsanzo, mowa wa ethyl, umalowetsedwa mu cyst, koma patangotha ​​patatha patokha. Pambuyo pa njirayi, minofu yolumikizira imawonekera patsamba la cyst ndikutseka cholakwika.
3. Kubwezeretsanso, ndiye kuti kuchotsedwa kwathunthu kwa madera omwe akhudzidwa.
4. Opaleshoni ya Laparoscopic imachitidwa ndi magawo awiri ang'onoang'ono pamimba yam'mimba momwe kamera imayikidwira kuti iwone bwino momwe ntchitoyi ikuyendera. Ndiwopweteka kwambiri.
5. Operation Frey - imakhudzana ndikuchotsa mutu ndi kulengedwa kwa njira pakati pa kapamba ndi duodenum.

Zotsatira zakuchotsa pancreatic cysts zimaphatikizapo kugaya chakudya chifukwa cha kusowa kwa michere ya pancreatic, postoperative pancreatitis, magazi, komanso matenda a shuga.

Popeza chakudya chimayenera kugayidwa, ndikofunikira kukonzekera enzyme, monga Creon, Mezim-Forte, Pangrol. Kuphatikiza apo, muyenera kutsatira zakudya zina. Pambuyo pa opaleshoni, odwala sayenera kuphatikizidwa ndi zakudya zamafuta, yokazinga, yosuta, zakudya zamchere, zonunkhira, mowa. Zakudya zonse ziyenera kuphikidwa bwino kapena kusenda. Amathandiziridwa kwambiri kutentha firiji, koma osati ozizira kwambiri osati otentha kwambiri. Ndikulimbikitsidwa kudya masamba ambiri, zipatso, mkate wowuma, pasitala, zipatso ndi mabulosi, mankhwala amkaka, nyama yochepa yamafuta ndi nsomba, ndi makeke opanda shuga. Zakudyazi ziyenera kuphatikiza zakudya zisanu ndi imodzi ndi zisanu ndi imodzi panthawi yaying'ono.

Ngati zina mwazizindikiro za pancreatic cyst zikuwoneka, nthawi yomweyo funsani kwa dokotala kuti athandizire matenda apanthawi. Ngati ndi kotheka, khalani ndi moyo wathanzi ndipo yang'anani thupi lanu.

Momwe ma cysts ndi zotupa zoyipa za kapamba zimadziwonekera akufotokozedwa muvidiyoyi.