Chiwonetsero cha Aberrant: ndi chiyani?

Nthawi zina chilengedwe chimasewera nthabwala mwankhanza ndimunthu, ndikumulipiritsa ziwalo zowonjezera kapena ziwalo zomwe sizofunikira zokha, komanso zowopsa.

Nkhani yodabwitsayi ndi pancreas (AP) yovuta, yomwe ilibe palibe chochita ndi chitsulo wamba.

Ichi ndi chiyani

Mawu oti "wobwebweta" amatanthauza zachilendo, zonyansa.

Pankhani ya kapamba, mawuwa amamveka zodutsitsa zowonjezera. Zofananazo ndizosowa kwambiri. Nthawi zambiri imakhala pafupi ndi makhoma am'mimba, duodenum, matumbo ang'ono, chikhodzodzo, kapena ndulu. Tizilombo ta Aberrant timakhala ndi minyewa yofanana ndi kapamba wamba, koma samalumikizana.

Zitsamba zina zowonjezera zimakhala ndi kapangidwe kofanana ndi chiwalo chachikulu: mutu, thupi, mchira, magazi ndi malo okhala. Ma ducts amalowa mu mawonekedwe a m'mimba kapena duodenum. Nthawi zina amaimira zidutswa za kapamba. Nthawi zambiri chiwalo chowonjezeranso, amatulutsa mahomoni.

Limagwirira maphunziro ndi zoyambitsa

Malinga ndi madotolo, zifukwa zomwe zimawonekera ngati gawo lachilendo lotereli kubadwa kwatsopano. Njira zamaphunziro sizimamveka bwino. Zinthu zomwe zimakhudza kuwonekera kwa kubadwa kwa mwana wosabadwa ndi:

• masinthidwe amtundu
• kuyang'anira ma radiation
• kugwiritsa ntchito mankhwala ena pa nthawi ya pakati,
• kupsinjika
• ecology yoyipa
• kugwiritsa ntchito mankhwala osokoneza bongo, kusuta, mowa,
• matenda a virus: rubella, chikuku, herpes, toxoplasmosis,
• listeriosis bacterium.

Zizindikiro zamatsenga

Nthawi zambiri, gland yodutsitsa imakhalako popanda kudzipereka, makamaka ikakhala ya m'matumbo aang'ono. Zizindikiro zimadalira malo ndi kukula kwake. Zizindikiro za matenda:

• kupweteka m'mimba ndi duodenum (ndi kutulutsa pafupi ndi ziwalo),
• kutupa kwa kapamba weniweni (kapamba),
• kupweteka mu hypochondrium yoyenera, ngati chiwalocho chili pafupi ndi chiwindi kapena ndulu.
• kupweteka kwapweteka kumunsi kwa dzanja lamanja, malingana ndi mtundu wa appendicitis (ndi kufalikira kwamatumbo).

Komanso, wodwalayo amatha kumva mseru wopanda pake, kusanza, kuwonda. Zizindikiro zoterezi ndizofanana ndi kuwonetsa kwa matenda ena, sanatchulidwechifukwa chake odwala samapita kwa dokotala.

Khansa ya m'magazi imatha kubweretsa zovuta - kuchokera pakukula mpaka khansa.

Mavutowa akuphatikizapo:

• matumbo,
• kapamba ndi kapamba,
• zilonda zam'mimba
• chotupa choteteza chifukwa cha kupanikizana kwa ma ducts a bile,
• magazi amkati.

Kutupa kwa kapamba kuyenera kusiyanitsidwa ndi kutupa kwa kapamba uyu. Poterepa, mawu "Matenda a kapamba". Kusintha kukhala chotupa cha oncological kumachitika kawirikawiri.

Zizindikiro

Ngati dokotala akukayikira kukhalapo kwa ALS, ndikofunikira kusankha wodwala maphunziro angapo azachipatala:

1. X-ray wogwiritsa ntchito wothandizira. Kukula kwakukulu pa mucosa kumaonekera pazithunzizi, sing'anga yosiyanayo imakhazikika m'derali.
2. CT scan ya pamimba. Chithunzi choyikidwa chimakulolani kuti muone malo, kukula ndi kapangidwe kazinthu zowonjezera (onani chithunzi - APA m'mimba). Imasiyanitsa bwino APA ndi khansa.
3. Endoscopy ndi biopsy. Iyi ndi njira yodalirika yopezera matenda. Ngati pali kukula kwakukulu pa mucosa ndi kukhumudwa pakati, ichi ndi chizindikiro cha ALA.
4. Fibrogastroscopy. Kafukufukuyu akutsimikizira kupezeka kwa chiwalo chonyansa chikakhala cham'mimba. Imazindikira mawonekedwe ozungulira osayenda pansi pamimba.

Momwe gastroscopy imachitikira ikufotokozedwa mwatsatanetsatane kanema wamakanema:

Kodi kuchitira?

Ngati chiwalo chonyansa ndichochepa ndipo sichimabweretsa nkhawa kwa wodwalayo, ndiye kuti dokotala amasankha njira zopenyererandikuwunikira pafupipafupi ma ultrasound.

Pochizira AP yovuta, madokotala amalimbikitsa mosavomerezeka kuti amuchotsere mankhwalawo, ngakhale atakhala kuti. Iyi ndiye njira yokhayo yochotsetsa matenda. Kuyeserera koyambirira kwakale kuyenera kuchitidwa. kupatula njira ya oncological.

Kuchulukitsa ndi mtundu wa maopareshoni zimatengera komwe kuli komanso kukula kwa AF. Mitundu ya ntchito:

• opaleshoni yotseguka komanso kupatula kwam'mimba,
• cholecystectomy (kuchotsedwa kwa ndulu) kumachitika pamene chodabwitsachi chapezeka m'goli.

Ngati AFL ili ndi mawonekedwe a polyp m'matumbo kapena m'mimba, ndiye kuti ntchito imachitika pogwiritsa ntchito njira zowononga pang'ono. Maphunziro achotsedwa pogwiritsa ntchito malupu apadera.

Zinthu zikuipiraipira ndi kapangidwe ka kapamba mu duodenum ndi kapamba weniweni. Panthawi imeneyi, opaleshoni imaphatikizapo kapangidwe kazinthu, zomwe zimachulukitsa chiwopsezo cha zovuta.

Palinso njira yochizira ALA yokhala ndi electrocoagulator. Amayambitsa kulowetsa mu ALA kenako chiwalo chonyansa chimawonongedwa.

Mankhwala a mahomoni okhala ndi somatostatins samachitika kawirikawiri, chifukwa mankhwalawa ndiwowoneka bwino ndipo amagwiritsidwa ntchito. chifukwa cha ntchito.

Kukula kwa mankhwalawa kwa matenda a pathology mwachindunji kumatengera kuchuluka kwa matenda a mtima komanso kukhalapo kwa zovuta. Mwachitsanzo, mawonekedwe a pancreatitis owonongera kapena chikhansa chokhala ndi chindoko kwambiri. Chithandizo chopambana chitha kupezedwa mwa kupeza nthawi komanso kugwiritsa ntchito njira zamakono zochizira.

Poganizira za kubadwa kwa matendawa, palibe chomwe chinganene za matendawa.

Ponena za kusiyanasiyana ndi gulu lankhondo, anthu okhala ndi matenda oterewa amapatsidwa tikiti yoyera. Malinga ndi nkhani 10 ya Military Service Act, matendawa amagwera pagulu la "zida zoperetsetsa zamagetsi".

Aberrant kapamba, mankhwala ake

Cancreas ya Aberrant (kapena chowonjezera) ndi chosapangika chachilendo cha kukula komwe kumapangitsa kukula kwa minofu yake mosalumikizana ndi tiziwalo timene timapezeka m'mitundu kapena ziwalo zosiyanasiyana.

Izi zosaoneka bwino zimatha kupezeka m'makoma am'mimba, duodenum, mesentery ya jejunum, ndulu, kupindika kwa ileamu kapena ndulu.

Nthawi zambiri, zikondamoyo zoyipa zimapezeka mwa amuna ndipo nthawi zambiri zimapezeka m'chigawo cha gastroduodenal (mu antrum kapena pyloric gawo la m'mimba).

Kodi chifukwa chiyani kapamba owononga amapezeka? Amawonekera bwanji? Chifukwa chiyani ziziwopsezo zowonjezerazi zili zowopsa? Kodi ndi njira ziti zodziwitsa ndi kugwiritsa ntchito mankhwalawa zomwe zimagwiritsidwa ntchito pazosagwirizana? Mutha kupeza mayankho a mafunso awa powerenga nkhaniyi.

Kapangidwe kazinthu zina zowoneka bwino ndi kofanana ndi chiwalo chachikulu - zimakhala ndi thupi, mutu ndi mchira, malo awo amkati ndi magazi zimayendetsedwa mosiyanasiyana kuchokera ku ziwalo zina zam'mimba, ndipo ndowe zimatseguka. Tizilombo tina tambiri timene timakhala ndi ziwalo zokhazokha.

Mapangidwe akewa ndi achikaso achikuda omwe amakhala ndi mkanda wowoneka bwino wozungulira pakati, wofanana ndi mseru. Zowonjezeranso tinthu timene timapezeka mu diverticulum zimapangidwa kuchokera kuzinthu zosiyanasiyana (endocrine, glandular komanso yolumikizana) ndipo zimatha kukhala ndi ma cystic cavities. Amasanjidwa pamtundu wa gawo la diverticulum ndikuwoneka ngati ma polvex polyps (osakwatiwa kapena angapo).

Mitundu ina imakhala ndi kukhumudwa pakati.

Kapangidwe ka zinthu zowonjezera kumachitika ngakhale pa gawo la intrauterine minofu itagona. Zoyipa ndi matenda opatsirana omwe mayi wapakati, kumwa kwake mowa, kusuta fodya, kukhudzana ndi radiation.

Pakadali pano, asayansi sanapezebe chomwe chimayambitsa kupangika kwa kapamba. Kusamvana kumeneku ndi kobadwa nako, ndipo kuyikika kwa zinthu zowonjezera kumachitika pamlingo wa chitukuko cha fetal.

Malinga ndi zomwe akatswiri adawona, zikondamoyo zomwe zimakonda kupezeka nthawi zambiri zimapezeka mwa anthu omwe amayi awo amawonetsedwa pazochitika zotsatirazi pa nthawi yapakati:

• matenda opatsirana: chikuku, rubella, herpes, syphilis, listeriosis, etc.,
• ionizing radiation
• kumwa mankhwala osokoneza bongo, mowa ndi kusuta,
• kupsinjika kwakukulu
• kumwa mankhwala ena.

Asayansi samasankha kuti zinthu zina zamtunduwu zimatha kupangitsa kuti kapamba asamalidwe.

Kuopsa kwa zizindikiro zamatenda omwe ali ndi kapamba wonyansa kumadalira malo ndi kukula kwake. Kuwonetsedwa kwa anomatic kumachitika ndikukula kwa zovuta.

Ndi maphunzirowa, wodwalayo amawonetsa zizindikiro za gastritis, zilonda zam'mimba, kapamba, cholecystitis kapena appendicitis.

Nthawi zina, zikondamoyo zowonjezerazi sizimawonekera mwanjira iliyonse ndipo zimapezeka mwamwayi panthawi ya mayeso a matenda ena kapena pamayeso apadera.

Ngati gland yomwe ikupezeka pamalo a gastroduodenal zone ndipo imatha kupanga madzi a pancreatic, ndiye kuti wodwalayo ali ndi zizindikiro zotsatirazi:

• kupweteka (kuyambira paung'ono mpaka kwambiri ngati matenda a zilonda zam'mimba),
• m'mimba kukokana
• chimbudzi
• kubzala wowawasa kapena wowawa,
• kusanza ndi kusanza
• kuwonda
• mapangidwe kukokoloka pa mucous nembanemba zam'mimba kapena duodenum.

Pambuyo pake, matendawa angayambitse kukulira kwa magazi am'mimba, kupaka mafuta, kulowa m'mimba kapena kupweteka kwa zilonda zam'mimba.

Ngati chindapusa chamtunduwu chikukakamiza kukhathamiritsa kwa ndulu, ndiye kuti wodwalayo amakula manjawo. Ndi kutanthauzira kwa gland yotsekera m'matumbo aang'ono, zovuta zake zimatha kubweretsa kukula kwa matumbo. Ngati kapamba wolowererayo ali mu diversiculum ya Meckel, ndiye kuti wodwalayo akuwonetsa kuwonekera kwa pachimake.

Nthawi zina, kapamba wowonjezera amayenda pansi pa zigoba za matenda otsatirawa:

• gastritis
• polyposis yam'mimba kapena matumbo,
• kapamba (kapena cholecystopancreatitis).

Chizindikiro cha kapamba woperewera sichisowa. Nthawi zambiri, adenocarcinomas omwe ali mu gawo laling'ono amatha kukula m'malo mwake. Pambuyo pake, chotupacho chimafalikira ku mucous nembanemba. Pa nthawi iyi ya khansa, ndizovuta kusiyanitsa ndi adenocarcinoma wamba.

Zovuta zotheka

Kupukusira kwa Aberrant kungayambitse kukula kwa zovuta zotsatirazi:

• m'mimba,
• pyloric stenosis yam'mimba, duodenum kapena matumbo,
• peritonitis kapena kulowa kwa zilonda,
• kapamba (kapena cholecystopancreatitis),
• kwathunthu kapena pang'ono pang'ono matumbo
• zilonda zam'mimba kapena zilonda zam'mimba,
• malignary wa chowonjezera kapamba ku adenocarcinoma.

Ngati pali chiopsezo cha kupunduka kwa kapamba owonjezerako ngati ali ndi vuto linalake kapena kumayambitsa kukula kwa zovuta, opaleshoni akuwonetsedwa kwa wodwalayo.

Kuthekera kwa kuvulala kwa kapamba kaperekedwe ndikukula kwa zovuta zina (magazi, kukakamira, ndi zina zambiri).

) amatanthauza kufunikira kochotsa opaleshoni iyi.

Komabe, pakalibe zizindikiro za zovuta zake, nthawi zina dokotalayo angalimbikitse wodwalayo kuwunika kwa gland yowonjezerapo, komwe kuyezetsa kwapachaka komwe kumathandizira kuti azindikire zilonda zapakati (ultrasound, FGDS, etc.).

Munthawi yovuta ya ochita kupanikizika, opareshoni imachitika chifukwa cha chithandizo chake, njira yomwe imatsimikiziridwa ndi dokotala. Ndi chapamwamba chokhazikitsidwa ndi chowonjezera chotsekera mu antrum yam'mimba kapena duodenum, kuchotsedwa kwake kwa masanjidwe am'mimba kungachitike mwa electroexcision ya mapangidwe ndi zofewa kapena zolimba diathermic.

Nthawi zina, minilaparotomy imatha kuchitika pogwiritsa ntchito thandizo la endoscopic kapena laparoscopic. Njirayi imakupatsani mwayi wopangira anastomosis pakati pa zitseko zomwe zimakhala zabwinobwino komanso zodumphitsa ndipo sizitanthauza kuti ichotsedwe.

Ntchito yofananayi ikhoza kuchitika ngati mapangidwewo samatuluka pakubowo ndipo osasokoneza gawo la chakudya. Ngati cysts yayikulu ikupezeka mu chiwalo chowonjezeracho, ndiye kuti kufalikira kwawo kwa endoscopic kumachitika.

Ngati nkosatheka kugwiritsa ntchito njira zowononga zachilengedwe zowonongeka, laparotomy yakale imagwiritsidwa ntchito kuti ikhale ngati gawo limodzi la m'mimba. Tizilombo tosiyanasiyana tokhala m'mabakiteriya amachotsedwa ndi cholecystectomy.

Ngozi yayikulu imayimiriridwa ndi zikondamoyo zowonjezera, zomwe zimatulutsidwa m'dera la duodenum ndipo sizingachotsedwe m'njira yowononga.

Zikatero, ndikofunikira kuchita pancreatoduodenal resection, yomwe imakhala ndikuchotsa gawo lamimba, kapamba, chikhodzodzo, ndi duodenum.

Ntchitozi ndizovuta kwambiri ndipo zimatsagana ndi zovuta zambiri.

M'zaka zaposachedwa, asayansi akhala akuphunzira za kuthandizira kapamba wopatsirana kwa nthawi yayitali ndi mapangidwe ena a somatostatin. Ngakhale kuthekera kwa njira yothandizirana koteroko kumakayikirabe, popeza mankhwalawa amangochita zozizwitsa ndipo samalepheretsa chitukuko cha duodenal stenosis.

Dokotala uti kuti mulumikizane

Ngati muli ndi ululu wam'mimba komanso matenda am'mimba, muyenera kufunsa katswiri wa gastroenterologist. Pambuyo pakuchita kafukufuku wambiri (radiografia, ultrasound yam'mimba, fibrogastroduodenoscopy, CT, ndi zina) ndi kuzindikira zizindikiritso za opaleshoni yodutsa, adokotala adzaika dokotala wofunsa dokotala wa m'mimba.

Cancreas ya Aberrant ndi chosasangalatsa cha chitukuko, chomwe chimatsatana ndi kukhalapo kwa ziwalo zowonjezera tiziwalo tosiyanasiyana tiziwalo tosiyanasiyana.

Izi matenda zimawonekera pokhapokha pakukula kwa zovuta ndipo zimatha kubweretsa zotsatira zowopsa (kutuluka magazi, zilonda zam'mimba, chitukuko cha kapamba, peritonitis, kutsekeka kwamatumbo ndi matenda owopsa.

Nthawi zambiri, wodwalayo akulimbikitsidwa opaleshoni ya gland.

Kupukusira kwa Aberrant - chithandizo, zimayambitsa

Cancreas yowonjezera kapena yopitilira ndi vuto lachilendo lam'mimba. Khalani mu ziwalo zotsatirazi:

• duodenum
• ileum diverticulum,
• jejunum mesentery,
• khoma lam'mimba
• ndulu
• chikhodzodzo.

Zikondamoyo zina zonyansa zam'mimba zimakhala ndi mawonekedwe ofanana ndi chinthu chabwinobwino - monga mutu, thupi, mchira, ndere. Kupereka magazi ndi malo ogona nawonso ndi ake, osayimira ziwalo zina zam'mimba. Amatuluka m'miyendo ya m'mimba kapena duodenum.

Pali zosintha zina zapancuras zobwera za antrum. Zili ndi zinthu zina za thupi zokha. Mitundu yachikasu imakhala yozungulira yozungulira yokhala ndi "msomali" womwe umakokedwa pakati - mawonekedwe okumbidwa.

Zitsulo zowonjezera za Meckel's diverticulum zimakhala ndi mawonekedwe apadera ndipo zimawoneka mosiyana. Amapangidwa ndi mitundu yosiyanasiyana ya minofu - glandular, connective, endocrine.Mukhoza kukhala ndi mawonekedwe a cystic.

Imawoneka ngati ma polyps amodzi kapena angapo opanga ma minofu kapena gawo la diverticulum. Ma polyp ena pakati amakhala ndi mawonekedwe.

Mavuto

Zitsulo zowonjezera pazokha zimatha kuyambitsa zovuta komanso matenda omwe amafunikira chithandizo, monga:

• kuzimiririka koipa,
• m'mimba ndi magazi m'matumbo,
• gawo limodzi kapena matumbo athunthu,
• chilonda chachikulu komanso chamba
• stenosis amodzi mwa matumbo, duodenum, pylorous.

Maphunziro azachipatala nthawi zambiri amafanana ndi zilonda zam'mimba, zilonda zam'mimbazi ndi zilonda zam'mimba, appendicitis, cholecystitis, kapamba. Ndi kuwonjezeka kwa ntchito zachinsinsi.

• kupweteka kwa epigastric
• mavuto a dyspeptic
• kuwonda
• kusanza, kusanza.

Zizindikiro zamankhwala ndizokhudzana ndi kukula, malo omwe gland ikupezeka.

Kupukusira kwa Aberrant: kuzindikira, zizindikiro ndi chithandizo

Choberekera, kapena kapamba wonyansa sichinthu chachilendo pakukula kwa thirakiti la m'mimba, mukaphatikizira ku gland yayikulu, pakumananso wina.

Chiwalocho chili pakanema kamatumbo, pafupi ndi khoma la m'mimba kapena 12 duodenal, ileamu kapena matumbo ang'onoang'ono, mesentery. Imawerengedwa ngati yopanda tanthauzo ndipo imawonekera kuwonjezera pa chiwalo chachikulu, chokhala ndi minofu yomweyo, koma sichimalumikizana nacho konse.

Momwe matenda amadziwonekera komanso zomwe zikuyenera kuchitika, tikambirana zambiri.

Kodi chobisika pansi pa mawu oti "aberrant pancreas" ndi chiani?

Zowonjezereka m'maso zimawoneka ngati chifukwa cha kukula kwachilendo. Sikoyenera kuganizira mawonekedwe ake ngati matenda, nthawi zina siziwonetsa konse ndipo sizimalepheretsa munthu kukhala ndi moyo wonse.

Pathology imatha kupezeka mwamwayi, pa laparotomy, yomwe idalembedwa chifukwa china.

Mwachitsanzo, kapamba akamayang'aniridwa kuti akuchotseredwa, ndikuthandizira opaleshoni kuti muchotse zilonda m'mimba kapena matumbo, chithandizo cha opaleshoni ya cholecystitis m'njira zowerengeka.

Zilonda zam'mimba zonyansa ndi chiwalo wamba zimapangidwa ndi zigawo zomwezo. Pancreas ya Aberrant imakhala ndi duct yomwe imatsegula kuwala kwake m'mimba kapena matumbo. Zotsatira zake, pancreatitis yovuta kwambiri imatha kukhala m'minyewa yowonjezera. Matenda osowa kwambiri ndi monga magazi am'mimba.

Zomwe zimayambitsa kukula kwa zowonjezera

Mpaka pano, asayansi akulimbana ndi funso lalikulu: chifukwa chani kupangira kwapawiri kwa pancreatic duct kumapangidwa. Koma pali chidziwitso chodalirika choti anomatic imachitika ngakhale m'mimba, ndipo zinthu zambiri zosakhudzika zimakhudza kakulidwe kake:

• chilengedwe chosasangalatsa, chomukhudza mkazi panthawi yobala mwana,
• ma genetic pathologies
• kusuta ndi kumwa mowa pa mimba,
• malo osokoneza nthawi ndi nthawi,
• matenda opatsirana omwe adasamutsidwa ndi mkazi panthawi yobala mwana, kuphatikizapo syphilis, rubella, herpes ndi ena,
• kumwa mankhwala osafunikira kwa mayi wapakati.

Zizindikiro za matendawa

Mawonetsedwe azachipatala a kukhalapo kwa olengedwa kapamba kumadalira kukula kwake ndi malo.

Ngati ili m'dera lakhomalo la m'mimba, ndiye kuti matendawa ndi ofanana ndi chiwonetsero cha gastritis, ndipo ngati ikupezeka m'dera la duodenum 12, ndiye pamenepa mawonekedwe amawonetsa kukula kwa chilonda.

Kuphatikiza apo, zizindikiro zimatha kuwoneka ngati kapamba, cholecystitis kapena appendicitis. Zizindikiro izi sizikakamiza wodwalayo kuti akaonane ndi dokotala, ndipo matenda a m'matumbo sangawonekere kwa nthawi yayitali.

Koma nthawi zambiri, zizindikirazo sizimawonekera, madandaulo a wodwalayo amangotuluka zovuta zitayamba. Izi ndi:

• yotupa njira
• kukonzanso khoma lamatumbo kapena m'mimba,
• necrosis
• magazi
• matumbo kutsekereza.

Nthawi zambiri, zovuta zimawonekera ngati gland yowonjezera ikupezeka m'matumbo aang'ono. Vuto linalake pamenepa ndi chotchinga chake. Ndipo ngati pakadali zotupa mthupi, ndiye kuti wodwalayo amatha kusokonezeka, kukhumudwa kwambiri mu peritoneum.

Panthawi yopima ma labotale, hyperlipasemia ndi hyperamylasemia zimatha kupezeka.

Mitundu ya matenda

Pali mitundu ingapo ya zodabwitsazi. Itha kutumizidwa:

• zigawo zonse zamapamba: zikopa ndi magawo achinsinsi,
• gawo lokhazikika, lomwe limayang'anira ntchito yopanga madzi a m'mimba,
• molunjika ku gawo la endocrine, ndikuthandizira kupanga mahomoni ofunikira omwe amayambitsa shuga,
• adenomyosis - minofu ya kapamba imalowa m'chipinda chachikulu cha 12 cha duodenal (awa ndi malo omwe amatsegulanso kutulutsa tiziwalo mu duodenum).

Komwe kuli chonyansa

Zikondamoyo zoyipa m'mimba ndi ziwalo zina zimapezekanso:

• esophagus
• duodenum
• Makoma a ndulu,
• chiwindi
• ndulu
• matumbo ochepa
• mesentery yamatumbo ang'onoang'ono, mu khola kapena mucous membrane wam'mimba.

Momwe mungapezere matenda?

Pathology imatha kudziwika ndi njira zosiyanasiyana, zonse zimatengera komwe zikutulutsa.

Ngati chakumwa chonyansa cha kapambayu chili pakhoma la duodenum, m'matumbo akulu kapena m'mimba, pamenepo pamakhala zosavuta kuzindikira.

Mwambiri, umapezeka pofufuza. Zaka za odwala omwe nthawi zambiri amapezeka ndi matendawa ndi zaka 40-70.

Pali njira zingapo zopezera vuto:

• Endoscopic. Mwanjira iyi, gland ndi chilumba chachikulu cha minofu ya glandular, nthawi zambiri imakhala ngati polyp, yomwe ili pamtunda waukulu. Nthawi zambiri pamwamba pa chilumbachi pamakhala chithunzi, chomwe ndi chizindikiro chosatha cha vuto lotayika. Ngati mapangidwe a biopsy atengedwa nthawi ya kafukufukuyu, zimakhala zovuta kupeza zolondola.
• X-ray Pankhaniyi, anomaly ikhoza kukhala mapangidwe akulu, omwe amadziwika mwa njira yodzikundikira. Koma pamenepa, pakamwa pa duct, yomwe imasiyananso, imatha kuonekera.
• Ultrasound Mukamayesedwa ndi ultrasound, zothandizira zowonetsedwa zimatha kuzindikira, komanso mawonekedwe a hypoechoic, kupezeka kwa milomo yowonjezera komanso doko la anechogenic zimathandizira izi.
• CT scan ya pamimba. Kafukufukuyu athandiza kudziwa kutulutsa magazi ngati kuli pamakoma a chiwalo. Kuunika kumeneku kumathandizira kuyambitsa matenda osiyanasiyana a neoplasms oyipa. Pazotupa, pamakhala chiwopsezo cha ziwalo zoyandikana ndi peritoneum ndi kukhalapo kwa metastases. Koma kuzindikira kusiyanasiyana kungakhale kovuta ngati chotupacho chatulutsidwa m'magawo am'magazi (leiomyoma, lipoma ndi myosarcoma).

Chithandizo cha kupweteka kwa kapamba

Odwala omwe apezeka kuti ali ndi vuto lotere amakhulupirira kuti nthawi yomweyo adzagona pansi pa mpeni wa dokotala wa opaleshoni. Ali ndi funso lanzeru: kodi ndibwino kuti muchotse zikondwerero zoyipitsa? Ndikosatheka kungosiyira osakuyang'anira, chifukwa nzoopsa kuti zilonda zam'mimba zimatha.

Pakupezeka kwake, ndikofunikira kuchita maphunziro angapo omwe angathandize kupatula chotupa chowopsa. Koma atazindikira kotsiriza, kuchotsedwa kwa anomaly kumalimbikitsidwa, koma njira yomwe dokotalayo angasankhe pamenepa imadalira malo omwe glandyo ili.

Ngati chiwalo chowonjezeracho chili mosadukiza, ndiye kuti kukhuthala kwa endoscopic ndikofunikira. Ngati pali ma cysts mu chiwalo, ndiye pamenepa kuphatikizanso kwa cysts kumachitika.

Chithandizo cha Conservative chimathandizanso bwino ngati palibe chiopsezo cha khansa. Mankhwala omwe akhala akuchita kwa nthawi yayitali amalimbikitsidwa, ma analoge a Somatostatin ndiwofunikira kwambiri. Nthawi yomweyo, mankhwala othandizira amachitidwa.

Kupukusira kwa aberrant kwa antrum sikowopsa kwa wodwalayo mpaka njira za m'magazi zimayamba kukula. Ichi ndichifukwa chake, pamaso pa chida chowonjezera mwa wodwala, chithandizo sichingagwiritsidwe ntchito, koma katswiri amayenera kuyang'anira pafupipafupi.