Momwe mungachiritsire polyps mu kapamba

Mankhwala, ma polyp amatchedwa benign neoplasms omwe amapangidwa kuchokera ku epithelium ya mucous membranes ndipo amatha kukhala amodzi kapena angapo. Zikondamoyo sizikhala ndi ma membala amadzimadzi otere, chifukwa ma polyp sangathe kupanga. Komabe, pamakhala zochitika zina, panthawi yoyeserera, madokotala amazindikira ma polyp mu kapamba ndikupereka chithandizo chapadera kwa odwala awo. Chifukwa chiyani izi zikuchitika? Ndipo kodi madotolo amatanthauzanji kwenikweni mwa kuzindikira kumeneku?

Mawonekedwe a neoplasms

Monga tanena kale, ma polyp sangathe kupanga pa kapamba, chifukwa amapangika kuchokera ku epithelium ya mucous membrane, yomwe chiwalochi chilibe. Zikondamoyo zimakhala ndi minyewa yam'mimba, monga chiwindi, pomwe ma neoplasms awa sangapangidwe.

Komabe, ngati izi neoplasms zimakula ndipo ndizambiri (zopangidwira pamalo amodzi), ndiye kuti madokotala amawazindikira ngati cysts. Mitundu iyi imakhala ndi kusiyana pakati pa polyp, popeza ali ndi kachulukidwe kakang'ono kamkati momwe mumakhala madzi amadzimadzi a serous.

Pancreatic cyst ndiye nthawi yodziwika bwino komanso yophatikiza, popeza imaphatikizapo mfundo izi:

• Congenital cyst. Mapangidwe ake amachokera ku maula a ndulu kapena ma ducts, amadziwika ngakhale ali mwana.
• Wopeza chotupa. Mapangidwe ake amachitika chifukwa cha kufalikira kwa kutulutsa kwa ndulu ndi ma stony ma stony kapena storis.
• Zododometsa. Zimachitika chifukwa cha kuwonongeka kwa minyewa ya glandular, mwachitsanzo, pakuchita opaleshoni, hemorrhage wamkati kapena pancreatic necrosis, pomwe kapamba amathandizidwa ndi njira za necrotic (kufa kwa minofu).

Palinso malingaliro monga proliferative tumors, cystadenocarcinomas ndi paropic neoplasms yomwe imatuluka chifukwa cha kuwonongeka kwa kapamba ndi majeremusi (cysticerci, echinococci, ndi zina).

Kuzindikira kwa pancreatic polyp kumapangidwa kangapo - pomwe dokotala sangadziwe mawonekedwe enieni a cyst kapena mapangidwe angoyamba kumene mapangidwe ake ndipo ndi ochepa kwambiri.

Zimayambitsa mapangidwe a zotupa mu kapamba

Zomwe zimapangidwira mapangidwe otchedwa ma polyp mu kapamba ndizosiyana. Amatha kuchitika chifukwa cha kukanika kwa embryonic kapena chifukwa cha kuvulala kwa ziwalo. Koma nthawi zambiri, neoplasms zotere zimachitika:

• kuperewera kwa zakudya m'thupi
• uchidakwa
• kusuta
• kugwiritsa ntchito mankhwala kwakanthawi
• matenda a kapamba (kapamba, kapamba, matenda a ndulu, ndi zina zambiri).

Monga tanena kale, ma polyp omwe amapezeka mu kapamba sapereka chizindikiro. Koma ma cysts omwe ali m'gululi amapereka zidziwitso zomwe zimafuna kuti wodwala azimugoneka mwachangu komanso kuchitidwa opaleshoni.

Zizindikiro zazikulu za kapangidwe ka cystic mu kapamba ndi:

• kupweteka kumtunda kumanzere kwamimba
• kamwa yowuma
• kufooka
• kutentha kwambiri
• polyuria.

Monga lamulo, zizindikiro zazikulu zimachitika pamene neoplasm ifika kukula kwakukulu ndikuyamba kuponderezana ziwalo zapafupi. Ndi chifukwa cha ichi kuti ma cysts omwe ali ochepa kwambiri samapereka zizindikiro zilizonse ndipo samapezeka kawirikawiri pazoyeserera za matenda ena.

Nthawi zina, zotupa zazikulu pa kapamba zimawoneka ndi diso lamaliseche, chifukwa zimatuluka pakhungu. Cysts zoterezi sizinganyalanyazidwe, ngakhale siziyenda ndi zizindikiro zazikulu, chifukwa zotsatira za izi zingakhale zosiyana kwambiri. Choyamba, pali chiopsezo chachikulu cha kusinthika kwa chotupa chija kukhala chotupa, ndipo chachiwiri, nembanemba yake imatha kuphulika, zomwe zimapangitsa kutulutsa kwake kwamkati kumimba ndipo kumayambitsa kukula kwa abscess kapena sepsis.

Komabe, kusowa kwa zizindikiro za pachimake ndi ma cysts akuluakulu ndikofunikira. Nthawi zambiri, ndi kukula kwawo pang'onopang'ono, zizindikiro zotsatirazi zimadziwika:

• kupweteka kosalekeza pakulankhula kwamanjenje,
• matenda am'mimba, owonetsedwa ndi kusanza, nseru, matenda am'mimba, etc.,
• kutopa kwa thupi.

Zotheka ndi zovuta

Ma Cysts, kapena monga amatchedwanso polyps, ndi neoplasms yomwe ingayambitse zovuta zotsatirazi:

• kupezeka kwa magazi mkati,
• kuchuluka kwa matenda a kapamba,
• peritonitis
• cholestasis
• kunyowa
• mapangidwe a fistula
• kusamalira kwa cyst
• kupasuka kwa ndulu.

Zinthu zonsezi ndizowopsa pa thanzi la munthu komanso moyo. Chifukwa chake, pozindikira polyp mu kapamba, ndikofunikira kuti ayambe mankhwala. Palibe phindu kuchita mankhwala azitsamba, chifukwa sangapereke zotsatira zabwino. Pofuna kuthana ndi neoplasms kamodzi, pakufunika ntchito.

Pancreatic polyps ndi ma cysts amangochizidwa. Izi ndichifukwa choti ma neoplasms awa alibe mwayi wodziyamwa pansi pa ntchito ya mankhwala ena. Komabe, opaleshoni isanachitike, odwala adalembedwabe njira ya mankhwala, cholinga chake ndikupewa kuchitika kwa zovuta za postoperative.

Kuchotsa kwa polyp ndi pancreatic cysts kumachitika m'njira ziwiri: laparotomy ndi laparoscopic. Zotsalazo zimagwiritsidwa ntchito ngati neoplasm ndi yaying'ono. Pakupanga opaleshoni, osati polyp yokha yomwe imachotsedwa, komanso minyewa yamtundu wapafupi.

Popeza izi zimayambitsa kukanika kwa chithokomiro, atamuchita opaleshoni, wodwalayo amapatsidwa chithandizo cha moyo wonse, zomwe zimaphatikizapo kukonzekera enzyme. Ngati ma cell a pancreatic omwe amapanga insulini adawonongeka pa ntchito, mankhwalawa amachepetsa shuga amagwiritsidwa ntchito limodzi ndi kukonzekera kwa enzyme, chifukwa pamenepa thupi limataya mwayi wodziimira pawokha shuga. Njira zotsala zotsalira zimatengera kuchuluka kwa ma polyp anali, ndi malo omwe adachititsidwa.

Njira zopewera

Palibe amene samatetezedwa ndi ma polyps ndi ma pancreatic cysts. Chifukwa chake, munthu aliyense ayenera kutsatira njira zodzitetezera zomwe zimamupangitsa kuti azitha kugwira ntchito za kapamba komanso kupewa kupanga zotupa mmenemo.

Njira zodzitetezera ndizosavuta ndipo zimaphatikizapo:

• kusiya kusuta fodya ndikuledzera.
• kuyambitsa moyo wokangalika,
• zakudya zoyenera
• Kutsatira ndi zochitika za tsiku ndi tsiku
• osapitilira muyeso ndi nthawi ya mankhwalawa omwe adokotala adalandira kuti athandize matenda ena,
• mayeso a panthawi yake (nthawi imodzi pachaka).

Powombera pamwambapa, ziyenera kudziwika kuti ma polyp sangathe kupanga kapamba. Ndipo ngakhale dotolo atanena za kupezeka kwawo mthupi, ndiye kuti amatanthauza cyst pansi pa mawu ake. Kukhalapo kwake mu kapamba kumakhala kowopsa ndipo kumatha kudzetsa mavuto akulu azaumoyo. Chifukwa chake, kuchedwetsa opaleshoni sikuyenera. Zocheperako chotupa ndi momwe zimachotsedwa posachedwa, zimachepetsa chiopsezo chotsatira.

Mawonekedwe a pancreatic polyps

Ma polyp ndi zotupa zovunda. Samakula msanga ndipo sapanga ma metastases. Mu kapamba, nthawi zambiri amakhala osowa kwambiri. Malinga ndi ziwerengero, zotupa izi zimapezeka mwa anthu atatu mwa miliyoni imodzi.

Ma polyp mu kapamba ali ndi izi:

• Zizindikiro zofatsa
• palibe chizolowezi chokukula
• amapangika pancreatic duct.

Ngakhale mwayi wopeza matendawa ndi wocheperako, komabe sikuyenera kuthandizira mosamala thanzi lanu. Ndikofunika kumakayezetsa magazi pafupipafupi kuti muchepetse kufooka kwa neoplasms.

Zomwe zimapangidwira:

• kukhalapo kwa pseudocysts (opangidwa mwa odwala ndi kapamba),
• matenda obadwa nawo,
• fibrosis ya zimakhala zamkati,
• kufinya ndi kapamba kapena bala lalikulu,
• kuvulala kwambiri
• matenda opatsirana.

Nthawi zina zotupa zimatha kuwoneka mwa odwala omwe adwala ndi majeremusi. Mwachitsanzo, monga echinococcus.

Kodi cyst imasiyana bwanji ndi polyp?

Nthawi zina polyp amapezeka molakwika ngati cyst. Zotsirizirazi zikufanana ndi mtundu wina wosungira womwe umadzazidwa ndimadzimadzi komanso ochepa minofu. Zovuta:

• chotupa chimapangidwa kuchokera ku minyewa ya ndulu (nthawi zambiri imakhala matenda obadwa nawo),
• mawonekedwe a chotupa nthawi zina amakhumudwitsidwa ndi matenda osiyanasiyana,
• Itha kupangika pamene ziwalo za ziwalo zamkati zatsekedwa.

Chizindikiro Chambiri - pali mwayi woti mawonekedwe ofanana a cysts ndi polyps awoneke. Izi zimachitika pambuyo povulala kwambiri kapena munthu akadzilemetsa kwambiri ndi zolimbitsa thupi. Zimatha kukhala zolimba kapena masewera (makamaka olimbitsa thupi).

Zizindikiro za pancreatic polyps

Nthawi zambiri, zotupa zonse zopindika sizikhala ndi mawu osonyeza. Izi sizingogwira ma cysts okha. Zizindikiro zimayamba kuwonekera akangotupa kukula.

• Wodwala nthawi zina amamva kupweteka chifukwa cha kukakamizidwa kwa ziwalo zamkati zomwe zimakhala pafupi ndi polyp. Kupindika, mosalekeza, chikhalidwe chake chimasintha munthu akasintha maonekedwe a thupi.
• Ululu umawonekera kutengera komwe kuli neoplasm. Mwachitsanzo, ngati polyp ili m'thupi la chiwalo, pamimba pake pamapweteka, ngati mchira, ndiye kuti zowawa zimayang'anidwa mu hypochondrium wamanzere, ndipo ngati mutu, ndiye epigastrium.
• Ngati thupi la munthu lipanga insulin yochulukirapo, ndiye kuti ali ndi thukuta, kufooka. Wodwalayo amakhala wokwiyitsa kwambiri, akumva kupweteka mtima msanga.
• Thupi likatulutsa glucagon wambiri, munthu amachepetsa msanga kwambiri. Amakhala ndi vuto la kuchepa magazi. Lilime limakhala lofiira kwambiri komanso losalala. Kuthamanga kumawonekera pang'onopang'ono, komanso m'chiuno. Odwala amatha kuoneka ngati ma gingivitis, stomatitis, vaginitis. Kuphatikiza apo, matenda a shuga ndi chizindikiro chokhala ndi chotupa chomwe chimatulutsa glucagon.

Zizindikiro zina za kapamba:

• kutsegula m'mimba
• kufooka, kugwira ntchito kwambiri,
• kupweteka pamimba
• kutentha

Ndikofunikira kulabadira kuti zisonyezo zotere zimawoneka chotupa chikakhala chachikulu. Ngati polyp ili yaying'ono, ndiye kuti mutha kuyipeza mwamwayi pa scan ya ultrasound.

Ngati wodwala akuwona kuwonongeka kwake pakuwonekera kwake, kupweteka pafupipafupi, komanso kusamva bwino kwina, tikulimbikitsidwa kukaonana ndi dokotala nthawi yomweyo. Dokotala adzamuyesa ndi kupereka mankhwala kuti ateteze zovuta zomwe zingachitike.

Ndizosowa kwambiri, koma zimachitika kuti polyp pa kapamba imakula kukula kwambiri, yomwe imatuluka m'thupi la munthu, kuipitsa ziwalo zamkati. Izi zimachitika chifukwa odwala samalabadira zam'tsogolo mwawo. Opaleshoni yapano yaperekedwa pano.

Zizindikiro

Kuti adziwe kupezeka kwa ma pancreatic polyps, munthu ayenera kupita ndi ma ultrasound, dokotala wolemba gastroenterologist amalembera mayendedwe ake. Choyipa chachikulu cha njirayi ndikuti siziwona zotupa zazing'ono. Kuti muphunzire mwatsatanetsatane mkhalidwe wa kapamba, munthu ayenera kuchita zowonjezera za CT ndi MRI. Kusanthula kumachitidwanso kwa zotupa, biochemistry. Kuphatikiza apo, nthawi zina madokotala amakonza angiography, scintigraphy ndi biopsy.

Chithandizo cha zotupa mu kapamba zimachitika kokha mwa opaleshoni. Ndiye kuti, kuwunika madera owonongeka kumachitika. Koma chithandizo choterechi chimatheka pokhapokha ngati polyp ili mu gland palokha ndipo ikapangidwa ndi minofu yake.

Mitundu ya kulowererapo kwa opaleshoni:

• Kukonzanso. Imatembenuza kuchotsedwa kwa gawo la kapamba, limodzi ndi polyp. Njira imeneyi imagwiritsidwa ntchito ngati chotupa chili chachikulu.
• Mphamvu. Amapangidwa kuti achotse ma polyps omwe amapangika pamtunda pamwamba pa kapamba.
• X-ray endovascular embolization wa mitsempha. Cholinga cha opareshoni iyi ndikutseka mitsempha yamagazi yomwe imadyetsa polyp kuti ziwalo zake zife. Njirayi ndi yothandiza kwambiri ndipo sikuti imakhala yoopsa.

Ndikofunika kulabadira kuti kukana kugwira ntchito kumeneku kumatha kubweretsa zovuta zambiri, ndipo nthawi zina mpaka kufa. Chifukwa chake, muyenera kuchitira chithandizo mosamala, ndiye kuti matulukiridwe azikhala abwino.

Kodi ma polypous amapanga chiyani?

Nanga, kodi ma polyp amapezeka kuti mu kapamba, bwanji ndipo amawoneka kuti? Musanayankhe funso ili, muyenera kutengera chidwi chimodzi.

Polyps ndi benign neoplasms yomwe imatha kupanga minyewa yamitundu yambiri yamkati. Amatha kukhala osakwatiwa, kapena gulu, ndiye kuti, angapo. Komabe, mosasamala kanthu za kuchuluka kwawo, amafunika kutayidwa chifukwa chokhoza kukula m'matumbo oyipa.

Kwa polyps, ndi mawonekedwe:

1. Amapangidwa okha mu pancreatic duct.
2. Mu magawo oyambilira ndi asymptomatic.
3. Kukula pang'onopang'ono.

Ma polyp amatha kudziwonetsa pena paliponse pomwe zimakhala zimagwira mucous, mwachitsanzo, m'matumbo, m'mimba, ndi zina zambiri, makamaka ziwalo zomwe zilibe mawonekedwe.

Chonde dziwani kuti kapamba sakhala chiwalo, maziko ake ndi minofu ya parenchymal, kotero ma polyp samawonekera nthawi zambiri. Komabe, imapezekabe nthawi zina, ndipo makamaka m'matumba a pancreatic. Kuphatikiza apo, ndizovuta kudziwa, popeza amadziwika ndi kukhalapo kwa asymptomatic, makamaka kumayambiriro kwa mapangidwe awo. Zowona, zimapezeka bwino pa ultrasound.

Madokotala ena ali ndi lingaliro lakuti m'chilengedwe mulibe zinthu monga ma polyp mu zikondamoyo. Mawu awa nthawi zambiri amatanthauza cyst, koma mawonekedwe awa sangakhale polyp mwanjira iliyonse pa chifukwa chosavuta, ali ndi etiology yosiyana kotheratu. A cyst ndi kachitsulo kakang'ono m'gulu linalake lomwe limadzazidwa ndi madzi.

Mitundu ya Polyps

Chilichonse chomwe chinali, chimamera pa zikondamoyo, ndiye kuti, m'mapanga ake, ngakhale ndizachilendo, zimachitika. Izi ndi:

1. Congenital (ongenetic). Amadziwika ndi kupezeka zingapo, nthawi zambiri amaphatikizidwa ndi polycystic impso, mapapu, chiwindi ndi ziwalo zina.
2. Kuchulukitsa. Amapangidwa chifukwa chochulukirapo kwa ductal epithelium ndi fibrosis ya minofu ya pancreatic. Kwenikweni, ma polyp oterewa ndi osiyanasiyana.
3. Kusungabe. Amapangika pomwe ma ductswo amaphwanyidwa ndi kanga, chotupa, chotupa kapena chophatikizika. Kukula kotereku kumadziwika ndi kupatula komanso kukula kwakukulu. Komabe, pali milandu ya mankhwala pamene ma neoplasms oterewa adalipo mwa zochulukirapo.
4. Pseudocysts (zabodza).Nthawi zambiri zimawonedwa mwa anthu omwe ali ndi hemorrhagic pancreatitis m'malo a minofu necrosis.

Choopsa chachikulu cha ma polyp oterewa chimakhala choti chitha kukhala zotupa, kupangitsa kuti matumbo azitsekeka komanso kuti ziwonjezeke, komanso zingayambitse zovuta zingapo:

• Kukula kwa njira ya kapamba.
• Chuma choperewera magazi.
• Cholestasis.
• Mapangidwe a Fistula.
• Kutulutsa magazi mkati.
• Kukula kwa zilonda.
• Kuvulala (kutumphuka) kwa ndulu.
• Peritonitis

Chifukwa chake, ndikofunikira kwambiri kuti muzikhala ndi chidwi ndi thanzi lanu, komanso kuti musochere pang'ono, pitani kuchipatala.

Zimayambitsa ma polyp mthupi

Monga tafotokozera pamwambapa, ma polyps mu kapamba ndizoperewera, komabe ali ndi malo oti akhale. Monga lamulo, nthawi zambiri amapezeka mwa anthu omwe adutsa zaka makumi anayi zakubadwa.

Ndi zinthu ziti zomwe zimapangitsa ma neoplasms amenewa kuwoneka? Mwa zina mwa zifukwa zomwe zimapangitsa kuti ma polyps azisoka mu kapamba azitchedwa:

• Makamaka.
• Kuwonongeka kobadwa nako kwa ma pancreatic ducts.
• Kuvulala kwambiri.
• Zotsatira Zosiyanasiyana.
• Kuponderezedwa ndi chiwalo china kapena chilonda chifukwa chovulala kapena chifukwa cha kudwala kwa chiwalo ichi.
• Monga complication matenda opatsirana.
• Pseudocyst, chifukwa cha kapamba.
• Mowa.
• Zakudya zopanda pake.
• Kukhalapo kwa njira zotupa.

Ma polyps mu kapamba, monga ma pathologies ake ena, atha kupewa ngati mukutsatira moyo wathanzi, ndiko kuti, osamwa mowa, siyani kusuta, yang'anani bwino zomwe zili mu chakudya. Osadzilimbitsa kapena kumwa mankhwala aliwonse popanda chilolezo cha dokotala. Chowonadi ndi chakuti mankhwala ena amatha kupatsa zovuta zingapo.

Zizindikiro za kukhalapo kwa zophuka

Chifukwa chakuti zophukira za polypous zimadziwika ndi njira yachete komanso yobisalira, nthawi zambiri imadziwika mwadzidzidzi pakaunikidwe ka chipangizo cha wodwalayo kapena kudzipangitsa kuti azimva ngati itakhala nthawi yayitali komanso mokhazikika. Potere, amayamba kuletsa kutulutsa kwazimbulu, komanso kukanikiza pazinthu zomwe zili pafupi, zomwe zimapangitsa kuti moyo wa munthu ubwerere bwino.

Pankhaniyi, wodwalayo amayamba kudandaula za zovuta zotsatirazi:

• Zofooka.
• Kuchepetsa ntchito m'mimba.
• Mavuto akuyenda kwamatumbo.
• Kupweteka ndi kupweteka kosalekeza pamimba.
• Ludzu laudzu.
• Kudula m'mimba.
• Kuchepetsa mseru
• Kukodza pafupipafupi.
• Kuchepetsa thupi.
• Kuzindikira kwa thanzi labwino.

Muzochitika zina, kuchepa kwamphamvu kwambiri kwa thupi kumawonedwa, ndipo ndi magawo apamwamba akukulira kwa kapamba, kugwira ntchito kolakwika kwa ziwalo zambiri zamkati kunadziwika.

Zinthu zakuzindikira kwa polyp wokayikiridwa

Kuti atsimikizire kupezeka kapena kusapezeka kwa ma polyps, adokotala amafotokozera mayeso angapo ndikuwunika pazinthu zamankhwala:

1. Ultrasound
2. Kuyesa kwamwazi wamagazi.
3. MRI
4. Biopsy
5. CT
6. Angiography.
7. Mbiri.

Malinga ndi zotsatira za kafukufuku omwe ali pamwambapa, chithandizo chowonjezereka chimayikidwa, pomwe zimatengera makamaka kukula kwa polyp. Ndiye, momwe mungachitire ndi ma polyp mu zikondamoyo?

Kodi chithandizo chake ndi chiani?

Chithandizo cha zophuka zimachitika kokha ndi opareshoni. Komabe, njira zolembera zingagwiritsidwenso ntchito ngati kukula kwa ma polyp kuli mpaka 2 mm, koma pamenepa kukula kumakhalabe komweko ndipo kumafunikira kuyang'aniridwa ndi achipatala pafupipafupi (nthawi 1 pamwezi). Nthawi zina, polyp akaposa 2 mm, opaleshoni imachitidwa.

Ngati mchaka chikukula msanga, ndipo kukula kwake ndi 10 mm kapena kuposerapo, funso limakhala la opaleshoni yothamanga, yomwe imachitikanso pamene wodwala amadandaula za ululu ndi zovuta zina zosasangalatsa.

Tiyenera kunena kuti masiku ano pali mitundu itatu ya kulowererapo. Ndi chisankho chiti chomwe chidzagwiritsidwe ntchito nthawi zina chimatsimikiziridwa ndi njira ya matenda:

1. Kutengera kwachikhalidwe. Chowoneka ngati oblique chimapangidwa pamimba.
2. Kanema wa laparoscopic resection. Kuchekeka sikunachitike, kulowererako kumachitika pogwiritsa ntchito kamera ya kanema.
3. Tsegulani resear lapopu. Magawo a Microscopic amapangidwa.
4. Zomwe zimatchedwa en enation zingagwiritsidwenso ntchito, zomwe zikuwonetsedwa ma polyps osaposa 20 mm kukula.

Kuphatikiza apo, ndikotheka kupereka opaleshoni monga endovascular embolization of the mitsempha. Ikachitika, mitsempha yamagazi yomwe imadyetsa kukula imakulirakulira, chifukwa chake imataya zikhalidwe zake kukhalapo ndikufa.

Kuchita koteroko kumakhala kovuta chifukwa cha kufooka kwakukulu kwa parenchyma komanso malo omwe amapezeka paliponse payokha.

Mankhwala ena

Chithandizo chotsatira chikuchitidwa moyang'aniridwa ndi gastroenterologist. Kuthekera kwa kubwereza kwakanthawi pambuyo poti dokotala wa opaleshoni apezeka, kotero wodwalayo ayenera kutsatira malangizo onse azachipatala.

Kutengera zomwe zimayambitsa matupi a polyp, wodwalayo atha kupatsidwa mankhwala omwe amachepetsa kuchuluka kwa shuga kapena amatha kupondereza hypersecretion ya m'mimba:

Komanso, chinthu chofunikira mu nthawi ya postoperative komanso munthawi ina ndikutsatira zakudya zapadera.

Zakudya zamafuta ndi maphikidwe ena a mankhwala

Zakudya ndi pancreatic polyp amatanthauza tebulo nambala 5, ndipo m'masiku oyamba a postoperative amaloledwa kudya zakudya zopukuta zokha.

1. Amakulolani kuti musinthe magwiridwe antchito amthupi munthawi yochepa.
2. Zimalepheretsa kuwoneka ndi kukula kwa mabakiteriya okhala ndi tizilombo.
3. Kuchuluka chitetezo chokwanira.
4. Chimalimbikitsa kugwira ntchito kwa ziwalo zonse.

Dokotala amapatsa wodwala mndandanda wazakudya ndi zoletsedwa. Lamulo lofunika kwambiri la zakudya zotere ndizopatula nyama zomwe zimasuta, zakudya zamafuta ndi zolemera, zakudya zopanda acid ndi zonunkhira, komanso zakudya zamafuta ambiri.

Ponena za mankhwalawa polyps mu zikondamoyo ndi mankhwala wowerengeka, madokotala amalimbikitsa kuti musamagwiritse ntchito maphikidwe awa. Kugwiritsa ntchito kwake kungakulitse matendawa ndikuwadzetsa zovuta zingapo. Mankhwala ayenera kukhala okhawo omwe adokotala adawauza.

Ponena za momwe mathedwe am'mankhwala amathandizira amakhalapo, zambiri zimatengera momwe ma neoplasms apanthawi yomweyo amapezeka. Monga lamulo, nthawi zambiri zimakhala zabwino. Ma polyps sakonda kwenikweni kukhala zotupa zoyipa, koma mwayi wokhala ndi jaundice komanso m'mimba mwake umapangitsa madotolo kuti alangize kuchotsedwa kwawo.

Pomaliza

Kuti mupewe kukula kwa matenda aliwonse, kuphatikiza polyp, ndikofunikira kuti mupimidwe dokotala pafupipafupi. Posakhalitsa matenda atapezeka, apezeka mwayi wochira msanga, potero akuletsa kuyambika kwa zovuta zosiyanasiyana.

Muzochitika kuti ultrasound yowonetsa polyp, musataye mtima. Ndi kuwunikira kwakanthawi kachipatala komanso kulandira chithandizo kwakanthawi koyamba m'magawo awo, izi zimachiritsidwa kwathunthu, popanda zovuta komanso zovuta zina.

Komabe, wodwalayo ayenera kumvetsetsa kuti ngati mankhwalawo alibe tanthauzo, polola kuti polyp ipitirire patsogolo, imadziyika yokha. Potere, mankhwalawa atenga nthawi yayitali, ovuta, ndipo mwayi wochira umachepetsedwa kwambiri.

• Kugwiritsa ntchito ndalama ya amonke pochizira kapamba

Mudzadabwa momwe matendawa amachepera msanga. Samalani kapamba! Anthu opitilira 10,000 awona kusintha kwakukulu paumoyo wawo pakumwa m'mawa ...

Zimayambitsa maonekedwe a cystic mawonekedwe a kapamba ndi njira zawo zamankhwala

Chizindikiro chachikulu cha matendawa ndi kupweteka kosakhazikika kapena paroxysmal a chilengedwe chosasintha. Malo omwe kusapeza kupweteka kumamveka ndipo ndi malo a anomaly mu gland

Zolemba ndi njira zochizira zikondwerero zotsutsana ndi matenda a shuga

Pankhani ya matenda a shuga 2, chitsulo chimasinthidwa kwambiri, chomwe chimapangitsa kuchepa kwa maselo a endocrine ndipo ambiri a iwo amafa

Udindo wa michere ya pancreatic ndikuchira kwawo pakudziwika kwa kuperewera kwa enzyme

Uwu ndi mtundu wapadera wa chinthu chomwe chimbudzi chachilengedwe chimachitika. Pakakhala chiwerengero chawo chosakwanira kapena zochulukirapo, njira za matenda zimayamba kukula

Momwe mungazindikire ndikuchotsa miyala kuchokera ku kapamba?

Chimodzi mwamagawo ofunikira m'thupi la munthu ndi kapamba, matenda omwe sangapangitse moyo wanu kukhala wosasangalala, komanso wobweretsa mavuto akulu.

Chifukwa chiyani ma polyp amakula

Zomwe zimawoneka ngati polyp m'mimba zimawerengedwa motere:

• zaka zopitilira 40: ndi zaka, mwayi wakusintha kwa mucosa wam'mimba umawonjezeka,
• Helicobacter pylori imayambukiridwa ndi bacterium: ndi ma microorganism awa omwe amayambitsa kuchuluka kwakukulu kwa gastritis, komwe mapangidwe a polypoid amapezeka.
• mkhalidwe pambuyo pa gastondolaomy: pamenepa, peristalsis yachilendo imasokonekera, ndipo zomwe zili mu duodenum zimaponyedwa motsutsana ndi momwe zimakhalira,
• cholowa cham'tsogolo: Pali matenda omwe amatchedwa "Family adenomatous polyposis", omwe amapezeka 1 kesi 30,000 ya anthu.

Kodi matendawa ndi oopsa bwanji?

Ma polyp m'mimba amatchulidwa kuti matenda opatsirana, popeza amapangika kale ndi maselo a ziwalo zosinthika, ndipo mwayi woti chizindikiritso chowonjezereka chiwadzere ndiwabwino kwambiri.

Chenjezo! Palibe dokotala amene angatchule nthawi pamene polyp iyi imayamba kukhala chotupa chowopsa.

Ma polyp ndi khansa yam'mimba imatha kukhala ndi izi:

1. Carcinoma imapangidwa kuchokera ku polyp, yomwe nthawi ya gastroscopy imawoneka ngati yopanda mawonekedwe ochepa kwambiri, koma pa X-ray mosiyana nayo sinawoneke konse.
2. Khansayi idachokera ku polyp, yomwe idapangidwa moyenera ndipo idatsimikizika mwanjira yothandizira. Zaka 1-2 zidadutsa nthawi yovulala isanakwane.
3. Pafupifupi 8% ya khansa ya m'mimba koyambirira imakhala ndi ma polyp. Kukula kwa polypous kumatha kukhazikika pamalo a zilonda zam khansa kapena m'mphepete mwa chilondacho. Odwala oterewa amakhalanso ndi polyp imodzi kapena zingapo pamtunda wina kuchokera pachotupa choyipa.

Chenjezo! Ngozi yayikulu kwambiri poyerekeza ndi kupunduka koyipiridwa imayimiridwa ndi ma polyps omwe mainchesi ake amapitilira masentimita awiri. Koma kukula kwake sikomwe kutsimikizira kwakukulu: milandu inalembedwa pomwe carcinoma imachokera ku polyp villus imodzi. Nthawi zambiri, tinthu tating'onoting'ono ta m'mimba timakhala tili ndi vuto.

Ndi mbiri yakale

Pali mitundu yotere:

1. Polyp ya adenomatous (kapena glandular) yam'mimba imapangidwa kuchokera ku maselo a epithelium momwe gland ya m'mimba imapangidwira. Uwu ndi chotupa chovomerezeka chamapangidwe osiyanasiyana - tubular, papillary kapena osakanikirana - omwe ali ndi chiopsezo chachikulu cha kufooka kwa khansa.
2. Hypypplastic polyp yam'mimba ndi gawo lina lalikulu kapena laling'ono momwe kukula kwa ma epithelial maselo am'mimba kumachitika. Mawonekedwe amenewo amapezeka m'malo omwe mumakhala kuchuluka kwam'mimba. Chotupa chamtunduwu ndizofala kwambiri m'thupi, chimakhala ndi chiopsezo chochepa (ndiye kuti sichingachitike kawirikawiri khansa).
3. Hyperplasiogenic polyp yam'mimba ndimapangidwe omwe amayamba chifukwa cha kusabereka bwino kwa minyewa yomwe imakhala mucous membrane wam'mimba.

Kodi matendawa amawonetsedwa bwanji?

Nthawi zambiri, mawonekedwe a polypoid amapezeka mwamwayi panthawi ya FEGDS. Koma nthawi zina, ma polyp m'mimba amawonetsedwa ndi zizindikiro zotere:

1. kupweteka m'mimba mwa m'mimba:
   • wopusa, wopweteka,
   • zimapezeka koyamba mukamadya, kenako zimadziwika.
   • perekani phewa kapena m'munsi kumbuyo,
2. kubwatula
3. nseru
4. kutentha kwa mtima
5. kukoma koyipa mkamwa
6. chisangalalo
7. kuphatikiza pa zizindikiritso zazikulu, hyperplasiogenic polyp yam'mimba imawonetsedwa ndi kukodzedwa kwamunthu mwachangu, kuchepa kwa chilakolako chofuna kudya.

Nthawi zambiri, matenda ovuta kale kuwonekera ndi zizindikiro:

1. Ngati zilonda zam'mimba izi zikuchitika, ndiye kuti magazi akutuluka m'mimba amadziwika: kusanza ndi zakuda zakuda, pallor, kufooka, kutsekula m'mimba. Ngati mapangidwe a kukula kwakukulu atapola, ndiye kuti chopondacho chimakhala chakuda, choterera.
2. Ngati polyp ya antrum ili yayikulu kwambiri ndikulepheretsa chizolowezi chazomwe zili, munthu amayamba kusanza, kuwawa mkamwa, kugona ndi mseru.
3. Ngati chotupa chija chili ndi mainchesi ndipo chili kumtunda kwa m'mimba (mu antrum), ndiye, panthawi yomwe chimakulirakulira mpaka kulowa m'm zilonda 12 zam'mimba, munthu amamva kupweteka kwambiri "pansi pamimba" yomwe imatuluka m'mimba yonse. Kuphatikiza apo, mseru komanso kusanza kudzadziwika.
4. Ngati chotupa chikuyipa, munthu amachepetsa thupi, amawona kufooka, amasiya kudya.

Kodi matenda amapezeka bwanji?

Katswiri wazachipatala wodziwa zambiri angakayikire kukhalapo kwa matenda oterewa kudzera m'madandaulo omwe munthu amapanga, komanso poti adazindikira zizindikiro za gastritis (ndipo ndi iye amene ali gawo lalikulu kwambiri la mapangidwe a polypo) kwanthawi yayitali.

Mutha kutsimikizira kupezeka kwa ma polyp mothandizidwa ndi maphunziro othandiza:

Fibrogastroscopy ndi njira yofufuzira, yomwe imakhala ndikuwunika mucosa wa m'mimba pogwiritsa ntchito zida zapadera zomwe zimawoneka ngati kafukufuku wakuda wokhala ndi fiber optic "kudzaza". Pamaso pa FGDS, kusala kudya kwa maola 4-6 ndikukana kumwa ndikofunikira. Panthawi ya mankhwalawa, adokotala samangoyang'ana pamimba, komanso amatha kupanga chiwembu cha polyp kuti adziyese m'mbiri, komanso kuyesedwa kwa kukhalapo kwa Helicobacter pylori m'mimba.

Chenjezo! Kusowa kwa maselo atypical pakuwunika kwa polyp imodzi sikukutanthauza kuti mitundu yotsalayo ndiyofanana.

Tifunikanso kukayezetsa magazi kuti tidziwe kuchuluka kwa kuchepa kwa magazi, komanso magazi kuti athetse ma antibodies a Helicobacter, ngati kafukufukuyu sanachitike panthawi ya fibrogastroscopy.

Ngati matendawa atsimikiziridwa chifukwa chotsatira mayeso azachipatala, dokotala amafufuza njira yoyenera yamankhwala. Zomwe mankhwala amakono amapereka kuti athane ndi matendawa, tafotokoza mwatsatanetsatane m'nkhaniyi: Kodi ma polyp amapangidwa bwanji m'mimba amathandizidwa?

Polyp mu kapamba nthawi zambiri amatchedwa fibroma, cyst, kapena leiomyoma.

Chowonadi ndi chakuti ma polypous mawonekedwe a chiwalo ichi cha dongosolo la kugaya chakudya sakhala ndi chikhalidwe, chifukwa sizothandiza ndipo zimasowa mucous membrane.

Kuphatikiza apo, kukula kwachuma m'matumbo pansi pamimba amapezeka pokhapokha pokhapokha.

Chifukwa chiyani polyp imawonekera ndipo imasokoneza bwanji?

M'matumba a kapamba, polyp imatha kukula ngati pali zifukwa zotsatirazi:

• cholowa, kutanthauza mitundu yopanda tanthauzo m'thupi ili yapezeka mwa abale enieni,
• malo osokoneza malo omwe amakhala,
• zizolowezi zoipa, ndiye kuti, kusuta fodya komanso kuledzera.

Kuphatikizika kwina mu kapamba kumatha kuwonekera chifukwa cha chifukwa monga njira ya pathological mu chiwalo yomwe idatuluka chifukwa cha kuwonongeka kwa maselo ake.

Nthawi zambiri zimachitika ndi odwala omwe ali ndi pancreatitis aakulu. Mofananamo, pakhoza kukhala omwe amadya mosayenera, ndiye kuti, kudya mafuta ochulukirapo, kudya kwambiri kapena kudumpha zakudya.

Nthawi zina, polyp m'gaye yomwe imatulutsa madzi okhala ndi ma enzymes okumba chakudya imapangidwa chifukwa cha kuchepa kwa mavitamini m'thupi, matenda akulu, kapena kuvulala.

Nthawi zambiri munthu amene ali ndi polyp mu kapamba koyambirira amamva bwino. Zizindikiro za matendawa zimawonekera pokhapokha mapangidwe ake atakula kwambiri.

Zikondamoyo zomwe zimakhala ndi polyp yayikulu zimayamba kuthinitsa ziwalo zoyandikana, zomwe zimapangitsa kuti m'mimba kupweteke, ndipo kusasangalala kwake sikufooketsa komanso kumakulirakulira ngati wodwalayo asintha mawonekedwe ake.

Ndi kupweteka, mutha kudziwa komwe khosi lobadwa kumene lakulira. Zomverera zowawa zomwe zimakhudzidwa pamimba kumtunda zimawonetsa mawonekedwe a polyp mu gland.

Ngati munthu akumva kusokonezeka kwakukulu mu gawo la epigastric, ndiye kuti njira ya pathological idakhudza mutu wa chimbudzi.

Ululu pansi pa nthiti kumanzere kwa thupi ndichizindikiro cha kupangidwa kwa polyp mumchira wa gland yomwe imatulutsa michere.

Chotupa cha pancreatic, kukanikiza matumbo, kumatha kupangitsa chotupa, ndiye kuti, kutsekeka kwa chimbudzi.

Ngati polyp ipanga mahomoni omwe amakhudza thupi kwambiri, ndiye kuti zizindikirazo zingakhale motere:

• kufooka kwambiri, thukuta la thupi, kusakhazikika, maliseche komanso chizungulire kwambiri pakupanga insulin ndi tinthu tambiri,
• kupweteka kwa epigastric zone, ndikuwonetsedwa, kumverera koyaka mu chifuwa, kukoma wowawasa mkamwa, kukhumudwa pang'onopang'ono chifukwa cha kusokonezeka kwa kupukusa kwam'mimba ndi zilonda zamkati zam'mimba ndi matumbo zimawonedwa popanga kuchuluka kwa mahomoni a gastrin,
• kuwonda mwadzidzidzi, kuchepa kwachitsulo m'magazi, kuphimba thupi ndi zotupa, makamaka m'chiwopsezo ndi m'chiuno, kuwonongeka kwa mucous membrane, komwe kumayambitsa matenda monga vaginitis ndi stomatitis, chifukwa chopanga glucagon kwambiri.

Ngati benign cystic mapangidwe, ndiye pali zizindikiro monga kusakhazikika pamimba, kutopa kwambiri ndi kufooka, kumapita pafupipafupi kupita kuchimbudzi, pomwe chimbudzi ndicholimba, ndi kutentha thupi.

Kodi kuchitira kapamba ndi polyp?

Conservative njira yochotsa pancreatic polyp sichingathandize. Popanda opaleshoni, wodwalayo samva bwino.

Dokotala amatha kuthandizira munthu yemwe polyp yake yakula pazinthu zodyera kuti alandire chithandizo pogwiritsa ntchito imodzi mwa ntchito zotsatirazi:

• kuchuluka. Imapangidwa ngati kuli kofunikira kuchotsa mawonekedwe osaposa 2 cm kukula omwe amawonekera pazinthu zakunja za chimbudzi. Kuphatikiza apo, kuti kutulutsa kwa magazi kusakhe, kutulutsa kwa magetsi kumachitika, pambuyo pake chotupacho chimadzakidwa bwino.
• kapangidwe. Kuchita koteroko kumaphatikizapo kudula gawo lina la ndulu momwe polyp imawonekera. Imachitika ngati chotupa chija chakhala chachikulu kapena chayamba kupweteka,
• X-ray endovascular embolization wa mitsempha. Opaleshoni imeneyi imaphatikizapo kutsekeka kwa mitsempha yamagazi yomwe chidetso chake chimadzaza ndi magazi. Chifukwa cha izi, minofu ya polyp imafa.

Ngati ma polyp angapo amawonedwa pazinthu zogaya, ndiye kuti ndizoletsedwa kupanga resection. Pankhaniyi, chithandizo chimachitika chomwe chimachotsa chizindikiro cha matendawa.

Kusankha kwa mankhwala kumatsimikiziridwa ndi timadzi timene timatulutsa timadzi tambiri ndikupanga neoplasm. Mankhwala omwe amachepetsa shuga ya magazi amagwiritsidwa ntchito.

Chithandizo cha pancreatic chimaphatikizaponso kudya zakudya. Pamenepo, wodwalayo amayenera kukhala atachitidwa opaleshoni.

Nthawi zambiri, kudya kumatenga nthawi yayitali, ndipo nthawi zina ngakhale kwa moyo wonse. Chithandizo cha zakudya chimakhazikitsidwa ndi malamulo angapo.

Chachikulu ndikuti wodwalayo akuyenera kudya pang'ono pang'onopang'ono, koma, kuwonjezera pa zakudya zazikuluzikulu zitatu, payenera kukhala awiri ena.

Ndikofunikira kudya panthawi yotsimikizika, yomwe imateteza chimbudzi cholimbitsa thupi kuti chisalephereke ndikuthandizira magwiridwe ake.

Popeza polyp idachotsedwa pazitsulo, zomwe zimakhudza ntchito yake, ndizoletsedwa kudya zokazinga ndi zophika, komanso zakudya zamzitini ndi zakudya zotsiriza.

Wodwalayo amalimbikitsidwa kudya zakudya zowiritsa, zaphikidwa ku boma la mushy. Nsomba ndi nsomba zonenepa kwambiri ziyenera kupezekanso muzakudya.

Nthawi zambiri, madokotala amakupatsani chakudya No. 5 kwa wodwala yemwe amachitidwa opaleshoni ya England: Kodi ndizotheka kudya pakapita kanthawi, monga kale, adokotala adzakuwuzani pambuyo pake.

Ngati munthu azindikira kuchuluka kwa gastrin kapena polyps, chithandizo ndi Omeprazole, Ranitidine, ndi Famotidine ndi mankhwala. Mankhwalawa onse cholinga chake ndi kuchepetsa kupanga msuzi wa m'mimba.

Njira zopewera kupangira polyp zilibe.

Chokhacho, popeza zomwe zimayambitsa pafupipafupi mawonekedwe a chotupa pachakudya chamagulu am'mimba ndi mowa komanso kusowa kwa chakudya, muyenera kutsatira moyo wathanzi ndikupita kwa dokotala kuti mupeze zizindikiro zoyambirira za kudwala.

Chifukwa chake, nthawi zambiri, odwala omwe kapamba awo adakhudzidwa ndi kupukutira kwa polyp amachira. Chotupa pa chiwalo chodyera chija sichimakhala zovulala.

Komabe, polyp imatha kudzetsa matumbo kapena jaundice, ndichifukwa chake chithandizo chamankhwala sichokwanira popanda opareshoni.

Chiwalo chapaderachi cha dongosolo logaya chakudya chimapangidwa m'njira yoti chizigwira ntchito ziwiri zazikulu. Loyamba ndi kuphwanya mankhwala osakanikirana ndi zakudya kukhala osavuta. Ntchito yachiwiri imadziwika pamene, kudzera pakupanga mahomoni, mulingo wa shuga wamagazi umawongoleredwa. Kapangidwe ka kapamba ndi kachitidwe kovuta, ntchito yake imapereka chimbudzi chokwanira cha munthu malinga ndi "omnivorous" wake.

Ziwalo zomanga thupi

Zikondamoyozo zimalemera pafupifupi magalamu 90 ndipo zimapezeka m'malo obwezeretsanso. M'mapangidwe ake, mutu umasiyanitsidwa, womwe umatha kukhala wopindika, thupi la chindacho ndi mchira wake. Nthawi zina chiwalochi chimakulungidwa, chomwe chimakhala chowopsa potengera kukakamira kwa duodenum. Citsulo cambiri chimakhala kumanzere kwa hypochondrium, komabe, mutu wake, womwe umalumikizana kwambiri ndi duodenum, umapereka chidikizo m'derali pamwamba pa navel kumanzere.

Kachitidwe ka gland

Zikondwererozi zimakhala ndi maselo omwe amayang'anira ntchito ya exocrine komanso masamba omwe amapanga mahomoni.

• Maselo omwe amapanga madzi a pancreatic komanso okhala ndi ma enzymes mu mawonekedwe osagwira amapezeka mu mawonekedwe a acini. Mwa izi, chinsinsi cha pancreatic chimayenda m'mphepete mwa mitsuko yomwe imalowa mumayendedwe wamba (Wirsung) duct. Ma pancreatic enzymes ndi chymotrypsin, trypsin, alpha-amylase ndi lipase. Kubisala kwa gland kumakhala ndi malo amchere chifukwa cha kupezeka kwa ma bicarbonates.
• Pakati pa acini pali magawo a ma cell omwe alibe ma ducts. Amatchedwa islets of Langerhans. Zilumba zoterezi zimapezeka kwambiri mchira wawo, ma mahomoni amapangidwa mwa iwo. Insulin ikalowa m'magazi, imatsitsa shuga, ndikuthandizira kutulutsa shuga mu cell, ndipo glucagon, m'malo mwake, imakweza shuga. Chifukwa chake, metabolism ya carbohydrate imayendetsedwa.

Malangizo: Pa vuto lililonse logaya chakudya, pitani kwa dokotala kuti apende mayeso am'mimba. Kuzindikira koyambirira kwa njira zotupa, kusowa kwa michere kapena mavuto ena kumathandiza kupewa zovuta.

Kutulutsa magazi kwa magazi

Zikondazo zimalandira magazi ochepa kuchokera ku mitsempha ya pancreatoduodenal, kumtunda ndi kutsika, komanso kuchokera ku spellic artery. Kukutulutsa kwa venous kumachitika kudzera m'mitsempha ya pancreatoduodenal. Kuphatikiza apo, gland ili ndi mitsempha yake ya kapamba. Mitsempha yonseyi imalowera mu mitsempha ya portal, kenako kulowa mkati mwa vena cava, omwe amayenda mumtima wolondola. Zikondazo zimakhala ndimagazi ambiri, motero njira yotupa ya chiwalochi imafalikira mwachangu kudzera mu fayilo ya retroperitoneal.

Malangizo: Ngati muli ndi ululu wam'mimba kwambiri, kusanza ndi kutentha thupi - imbani ambulansi kuti mumveketse bwino matendawa. Kapangidwe ka kapangidwe kake ka kapamba kumathandizira kuti patangopita maola ochepa chichitikire kuukira, pancreatic necrosis imatha kukhazikika.

Vutoli ndi lalikulu kwambiri kuposa zonse, lomwe lingayambitse kutupa kwa kapamba. Tinafotokozera zomwe zimayambitsa, magawo ndi chithandizo cha matenda m'nkhaniyi: Kuphwanya kovuta kwa pancreatitis pachimake ndi pancreatic necrosis.

Kodi zikondamoyo ndi duodenum zimalumikizana bwanji?

Zakudya zomwe zimalandiridwa kuchokera m'mimba mu duodenum zimakhala ndi ma peptides omwe amafunikira kuwonongeka kwina kwa ma amino acid, chakudya chamafuta ndi mafuta. Maselo a mucous membrane wa duodenum amasanthula kaphatikizidwe kazinthu kena ka chakudya. Amazindikira kuchuluka kwa pancreatic lipase, trypsin ndi amylase, komanso kuchuluka kwa momwe mungafunikire kuti muchepetse ndulu.

Dambo la Wirsung limalumikizana ndi kulowerera kwa ndulu ndikutseguka ndi papilla yayikulu ya duodenal pa duodenum.

Nthawi zambiri, kapamba amatha kukhala ndi duct yowonjezera, yomwe imayamba ndi pilla ya duodenal yaying'ono, pang'ono kuposa yoyamba.

Kuchuluka kwa madzi a pancreatic panthawi yake yovomerezeka kumafika mpaka 2 malita patsiku. Izi ndizokwanira kuti zitsimikizike chimbudzi. Pankhani ya matenda a pancreatic, kuchuluka kwa madzi a pancreatic kumachepa ndipo kusintha kwake kumasintha.

Malangizo: Kuti mukhale ndi thanzi labwino komanso chimbudzi chokwanira kwa zaka zambiri, muyenera kuteteza kapamba komanso kupewa kumwa mowa kwambiri.

Amayambitsa ndi mitundu ya polyp

Ndi ma polyp a chiwalo ichi makamaka amatanthauza chotupa. Nthawi zina madotolo amalakwitsa ndikulankhula kuti cyst ndi polyp. Pansi pa cyst imatchedwa mapangidwe amadzimadzi, omwe amapangidwa kuchokera ku minofu ya chiwalo ichi ndipo amangokhala ngati mtundu wa kapisozi. Kukula ngati tumor ndi:

• kubadwa
• zopezeka
• osachiritsika (i.e., chotupa chinaonekera pambuyo povulala, hemorrhage kapena pancreatic necrosis),
• kuchuluka
• cystadenocarcinoma
• chotupa chomwe chimapangidwa chifukwa cha zochita za majeremusi.

Zinthu zosiyanasiyana zimathandizira pakupanga ma polyp. Conysital cysts amapangidwa kuchokera kumunsi kwa chiwalo kapena minofu yoyandikana nayo, yomwe imakonda kukokoloka. Dzinalo lokha likuwonetsa kale kuti zamatenda zimayamba ku utero. Ndi chotupa chotumphuka chimatanthawuza kupangika komwe kwapangidwa mothandizidwa ndi zinthu zoipa pa kapamba.

Mwachizolowezi, chotupa chimapangidwa chifukwa choboweka pamiyala ndi miyala kapena kupezeka kwa zotupa.

Proliferative cysts mawonekedwe mu thupi patsekeke. Izi zitha kukhala cystadenomas. Mwa cystadecarcinoma amatanthauza chotupa chowopsa chomwe chimafuna chithandizo chamankhwala. Mavuto amatha kupha.

Palinso ma pysreatic cysts abodza komanso owona. Ma cysts abodza (cystoid, pseudocyst) amatha kukula kwakukulu. Amadziwika kumtunda kwa gland, koma zimakhudza chiwindi, m'mimba kapena matumbo ochepa. Kukhazikitsa etiology ya pathology ndizotheka pokhapokha mwa mayeso apadera.

Kufotokozera kwa matendawa

Ma polyp mu kapamba amawonekera kutengera kukula, malo ndi kuchuluka kwa mapangidwe ake. Zizindikiro zodziwika bwino za matenda a m'matumbo ndi izi:

• kupweteka pamimba
• matumbo
• kugaya chakudya dongosolo
• ludzu lochulukirapo
• kufooka kwa thupi,
• malungo
• kukodza pafupipafupi
• kuwonda.

Zizindikiro zina zimawonedwa. Koma zizindikilo zotere ndi mawonekedwe a neoplasms omwe afika kale pamitundu yayikulu. Zotsatira zake, kupsyinjika kwa ziwalo zozungulira kumachitika. Kusakhumudwitsidwa kumapangitsa wodwala kufunafuna thandizo, pambuyo pake atatulukira.

Nthawi zina, pamene chotupacho chikukula msanga, chitha kukula thupi la wodwalayo. Pankhaniyi, chithandizo chamankhwala chimafunika.

Chithandizo cha matendawa chimaphatikizapo kuchotsedwa kwa polyp. Koma mfundo zina ndizofunikira. Chotupa chaching'ono sichichotsedwa

Kuchulukana kwa cystic ndizowopsa kwa odwala matenda ashuga. Mavuto amatha kutuluka ndi magazi, kukula kwa peritonitis, mapangidwe a fistulas.

Kuphulika kwa chotupa ndi chinthu choopsa, ngakhale kwa nthawi yayitali wodwalayo angamasuke.

Zizindikiro zakukula kwa zipolopolo mu kapamba

Mitundu yambiri ya zotupa zokhala ndi zotupa zomwe zimamera m'matumbo amtunduwu sizisonyeza zizindikiro zowonekera. Monga lamulo, Zizindikiro zimawonedwa ndi kuwonjezeka kwa ma polyp mu kapamba mpaka kukula akulu. Kupanga koteroko kumachepetsa minofu yathanzi. Izi nthawi zambiri zimabweretsa kuwoneka kwa kupweteka kosalekeza mu hypochondrium yoyenera.

Nthawi zambiri, zosasangalatsa zomverera zimawonjezera ndikusintha kwa maonekedwe a thupi.

Pypreatic polyp yayikulu imatha kupanikizika m'matumbo, ndikupangitsa kutsekeka. Kuwoneka kwa zizindikiro zazikulu nthawi zambiri kumawonedwa ngati kupangika kopanda mphamvu kumatha kupanga mahomoni. Nthawi zambiri pamakhala kuchuluka kwamatumbo a insulin, gastrin ndi glucagon.

Kuchuluka kwamafuta m'thupi kumatha kupangitsa zotsatirazi:

• kufooka koopsa
• thukuta kwambiri
• chizungulire
• tachycardia
• zilonda zingapo pamimba ndi m'mimba,
• kutentha kwa mtima
• kubzala wowawasa,
• kutsegula m'mimba
• kuwonda
• kuchepa magazi
• erythema migrans rash,
• matenda oyamba ndi mabakiteriya,
• matenda ashuga.

Zizindikiro zambiri zimangowoneka pokhapokha ngati chotupacho chikukula kwakukulu. Ma polyp ang'ono, monga lamulo, samachititsa munthu kusasangalala. Nthawi zambiri, mapangidwe otere amadziwika mwamwayi pakudziwika kwazinthu zina zamatenda.

Chithandizo cha polyps kapamba

Ngakhale wowerengeka kapena mankhwala sangachiritse mawonekedwe omwe alipo. Ngati ma polyp mu gland samasiyana kukula kwakukulu ndipo samapanga mahomoni, kuyembekezera kungakhale kovomerezedwa ndi opezekapo gastroenterologist.

Popeza kuti zotupa zotere zimadziwika ndi kukula kwambiri, sizikhala zomwe zimayambitsa kuwoneka kwa zizindikiro zazikulu ngakhale patatha zaka makumi angapo. Ngati polyp yafika pamlingo wokulirapo, sikuyenera kuchedwa ndi chithandizo chamankhwala, chifukwa sizotheka kuchotsa mapangidwe pogwiritsa ntchito njira zochepa komanso kupulumutsa wodwalayo pazinthu zosasangalatsa m'njira zina.

Chithandizo cha polyps ndizotheka ndi mitundu yosiyanasiyana yolowererapo. Itha kukhala:

• kuchuluka
• kapangidwe
• endovascular embolization wa mitsempha.

Njira iliyonse imakhala ndi zopindulitsa. Mpweya wamtundu umakupatsani mwayi kuti muchotse ma polyps mpaka 20 mm omwe amapezeka pa kapamba.Chofunikira pakuchita opaleshoni yotere ndikumaphatikizidwa ndi kuzimiririka koipa.

Mukamapanga gawo, gawo la kapamba omwe polyp ilipo amachotsedwa. Kuchitapo kanthu kumeneku kumakhala kowopsa ndipo nthawi zambiri kumachitika pokhapokha ngati chotupacho chikugoneka mahomoni ambiri kapena pakakhala vuto lotupa.

Kutupa kwa endovascular kumaphatikizapo kutseka mitsempha ya magazi yomwe imadyetsa chotupacho. Izi zimabweretsa kutsika kwa polyp, kenako kumaliza necrosis ya minofu yake. Nthawi zambiri, cholumikizira kapena hydrogel chimagwiritsidwa ntchito ngati chinthu chophatikizika. Njira yodziwikirayi siivulaza pang'ono.