Kodi pseudocyst wa kapamba ndi chiani?

Pali matenda ambiri omwe amayamba ndi asymptomatic. Izi zimaphatikizapo cyst ndi pseudocyst wa kapamba. Amatchulidwanso kuti pancreatic pseudocyst. Nthawi zambiri, maphunziro amayamba chifukwa cha pancreatitis yovuta kapena yopweteka. Pseudocyst ndi kudzikundikira kwa madzi a pancreatic ozunguliridwa ndi minofu ya fibrous. Ndizowopsa chifukwa madzi a pancreatic ndi chinthu chankhanza kwambiri, ndipo ngati alowa m'ziwalo zoyandikana, amatha kudzipangitsa kudzimbidwa.

Chimodzi mwazinthu zomwe zimayambitsa pseudocysts ndi kuledzera. Itha kupangika chifukwa cha kufinya kwa kapamba kapena kuvulala kwam'mimba.

Zizindikiro ndi zovuta za pseudocysts

Pseudocyst mu kapangidwe kake imasiyana ndi cyst kokha chifukwa kuti chipolopolo chakunja sichikhala ndi epithelium. Ma pseudocyst ena onse amakhala ngati cyst wamba, ndipo atha kukhala osadalirika pakukula kwake. Ma cysts onse amawagawa malinga ndi kukula kwake, kapangidwe kake ndi kuchuluka kwa ngozi kwa thupi. Pseudocyst iliyonse imatha kukula kwambiri kotero kuti imayika mavuto pazinthu zamkati ndikulepheretsa magwiridwe antchito awo. Nthawi zina, zotupa mu kapamba zimatha kutha popanda kuchitidwa opaleshoni, chifukwa chakudya kwambiri. Nthawi zambiri, kulowererapo kwa opaleshoni kudzafunika: ngalande zamkati kapena zakunja, zotulutsa za cyst (i.e. kuchotsedwa).

Mu 85% ya milandu, pseudocyst imapangidwa m'thupi ndi mchira wa kapamba, 15% yotsalayo - m'mutu. Pancreatic pseudocyst ndiowopsa chifukwa cha kusowa kwa matchulidwe. Pafupifupi pamakhala kupweteka kwam'mimba, mapokoso okhumudwa, kusefukira. Zizindikiro zimachitika ngati chotupa chafika kale pamlingo wokulirapo, pomwe amatha kuphulika ndikupanga zigawo zoloza kumimba. Ngati chotupa chiwononga chotengera chachikulu, kutulutsa magazi m'mimba kudzachitika - chinthu chowopsa kwambiri chomwe chikuyika moyo wa anthu pachiwopsezo. Njira ina yovutikira ndikusinthasintha kwa cyst, ndikupanga chotupa chamkati chomwe chimafunikira opaleshoni yomweyo.

Kukula kwa ma pseudocysts amatha kuchoka pa 2 cm mpaka 40, ndipo ndikokulirapo, ndiye kuti akhoza kuphulika. Ndipo izi zimabweretsa zotsatira zoyipa kwa wodwala. Kuti mupewe izi, ndikofunikira kupeza chithandizo chamankhwala munthawi yake, osazengereza kulandira chithandizo. Pofuna kuthana ndi pseudocyst wa kapamba, njira zingapo za opaleshoni zitha kugwiritsidwa ntchito. Mwachitsanzo, kukhetsa kwamkati ndi kunja, kapena cyst resection, i.e. kuchotsedwa kwake ndi gawo la ndulu. Ndi mtundu wanji wa opareshoni omwe adzachitike omwe amasankhidwa ndi adokotala nthawi iliyonse, kutengera kukula kwa chotupa, mkhalidwe wa wodwala komanso chithunzi cha matenda. Pambuyo pochotsa ma cyst, wodwalayo ayenera kutsatira zakudya zosamalidwa ndi adokotala kuti asadzayambenso. Mutha kuyesa chithandizo ndi wowerengeka azitsamba. Kuphatikiza ndi zakudya, zimapereka zotsatira zabwino.

Pseudocyst ngalande

Ma cyst kapena pseudocyst ndiowopsa komanso amatha kuvulaza thupi. Ngati ikuphulika, wodwala yemwe ali ndi mwina 50% amayembekezeredwa kuti afe. Chifukwa chake, ndikofunikira kuyang'anira momwe cyst imayang'anira ndikuwunikira kukula kwake ndi momwe zilili. Pseudo-cyst yochepera 4 mm kukula kwake imawerengedwa ngati yaying'ono; ikapezeka wodwala, kuyang'ana kumakhazikitsidwa ndikuwunika pafupipafupi kwa ultrasound. Pseudocyst wamkulu kuposa 4 mm wayamba kale kudandaula, chifukwa zimatha kubweretsa zovuta monga kupindika kwa chotupa, magazi amkati, etc. Nthawi zambiri, mkhalidwe wa wodwalayo umayang'aniridwa kwa masabata 4-6, ndipo ngati kukula kwa pseudocyst sikusintha panthawiyi, ndiye kuti kungagwiritsidwe ntchito ngalande yake, yochitika pogwiritsa ntchito endoscope.

Drainage ndi imodzi mwanjira zomwe zimagwiritsidwa ntchito pochiza pancreatic pseudocysts. Pali njira zakunja ndi zamkati zotayira. Nthawi zambiri, madokotala amagwiritsa ntchito njira yamkati yokokera ma pseudocysts. Kutengera ndi momwe amachitira opaleshoniyo, cystoyunoanastomosis (opaleshoni ya Brown, Shalimov, opaleshoni ya Ru), cystogastroanastomosis (opaleshoni ya Jurash) ndi cystoduodenoanastamosis ndizodziwika. Ntchito zonsezi zimakhala ndi njira zosiyanasiyana zophera, koma pamapeto pake zimatsogolera pakukutunga kwamadzi komwe kuli mu cyst. Kutengera komwe kuli ma cyst, mtundu wina wa ntchito umasankhidwa. Kwa cysts ya mutu wapakondamoyo, cystoduodenoanastamosis imasonyezedwa, ndipo kwa pseudocysts ya mchira wa pancreatic, cystogastroanastomosis imasonyezedwa.

Njirazi ndizoyenera kwambiri, chifukwa zimathandizira kuyambiranso kwa ma pancreatic secretion, kuchepetsa ululu komanso kuchepetsa mwayi wobwereranso. Pafupipafupi, koma zovuta sizimachotsedwa, monga kulowetsedwa kwamatumbo m'matumbo a pseudocyst ndi kusasitsa, zilonda zam'mimba, komanso kutuluka kwa magazi.

Kutulutsa kwakunja kwa ma pseudocysts sikugwiritsidwa ntchito kwenikweni. Kwenikweni, mtundu uwu wa opareshoni umasonyezedwa kuti uwonjezeranso patimataya, kolimba mtima ya mapangidwe ndi vuto lalikulu la wodwalayo. Nthawi zambiri awa amakhala maopaleshoni opaka, i.e. amachitidwa mwachangu, chifukwa chakuwoneka pangozi kwa wodwala. Izi zitha kukhala magazi otseguka kapena mawonekedwe a chiwalo. Mukamagwira ntchito kunja, mumakhala kuthekera kwakukulu komanso kupangika kwa chifuwa, chomwe mtsogolomo chingafune kukhazikitsa ma opaleshoni yovuta kwambiri. Mitundu yonse yamayendedwe a drainage imachitika pokhapokha akatsimikizire mawonekedwe omwe siotupa a cyst.

Njira zochepa zowonongera komanso ma cyst resection

Njira zochepa zowononga zoyendetsa ma drainage zikuyamba kutchuka, koma ngakhale adalonjeza, ali ndi zovuta zambiri za postoperative, monga pancreatic fistula, sepsis.

Njira ina yochotsera pseudocysts ikhoza kuchotsedwa kwake. Opaleshoni iyi imachitika ndikudula gawo la kapamba limodzi ndi chotupa. Kuchuluka kwa resection kumatsimikizika ndi kukula kwa cyst ndi momwe zilili.

Kuchiza pseudocysts ndi njira yayitali komanso yovuta, komabe, chifukwa cholumikizana ndi akatswiri ndi kutsatira malangizo onse a dokotala, zotsatira zabwino za chithandizo zimatheka pafupifupi 80% ya milandu. Peresenti 20 yotsala ya odwala, kuyambiranso kudikirira.

Chithandizo cha zakudya

Panthawi yomwe pseudocyst siziwonekera mwanjira iliyonse, madokotala salimbikitsa njira zochizira zilizonse. Opanga Opaleshoni samachitidwanso. Pali kuthekera kwakuti njira zoterezi zimatha kuzisintha pawokha, ngakhale pakalibe kulandira mankhwala. Nthawi zambiri, odwala pseudocyst wa kapamba amalimbikitsidwa kuchita izi:

• wodwala ayenera kutsatira zakudya mosamalitsa,
• wodwala amafunika kumayesedwa pafupipafupi ndikuwunika momwe kapamba amakhalira,
• nthawi ndi nthawi kuti mumayesedwe, kuti musaphonye kuwonongeka kwa thupi.
• Mutha kuyesa maphikidwe a mankhwala azikhalidwe.

The okhwima zakudya zotchulidwa madokotala matenda a kapamba amatanthauza kupatula zotsatirazi mankhwala:

• nyama yamafuta ndi mafuta
• zakumwa zoledzeretsa zilizonse
• tsabola kapena mchere wamchere,
• margarine
• ketchups, mayonesi,
• khofi, tiyi wamphamvu, zakumwa zozizilitsa kukhosi,
• Confectionery yokhala ndi mafuta ndi shuga ambiri.

Ndikulimbikitsidwa kudya zipatso ndi masamba ambiri. Musanadye, ndibwino kuwira kapena kuwira. Osamadya chakudya chotentha kapena chozizira. Mutha kuwonjezera chithandizo cha mankhwala wowerengeka pachakudya, palimodzi zimathandizira kuti muchotse bile yambiri ndikuwongolera kapamba.

Maphikidwe a mankhwala achikhalidwe

Kuchiza pogwiritsa ntchito njira zina nthawi zambiri kumakhala ndi zotsatirapo zabwino. Kuphatikiza ndi zakudya, zimatha kuyimitsa kukula kwa pseudocysts ndikuletsa kutuluka kwatsopano. M'mankhwala azikhalidwe, njira zingapo zodziwika bwino zomwe zingathandize polimbana ndi matenda, nazi zina mwa:

1. Yarrow, celandine ndi calendula amatengedwa chimodzimodzi, ndiye 1 tbsp. l Zitsamba zosakanikirana ziyenera kuthiridwa ndi chikho chimodzi cha madzi otentha ndikuwasiya kwa maola awiri. Sumutsani chifukwa cha msuzi ndipo mutenge 3-4 tbsp. l musanadye.
2. Mivi ya plantain, tansy, calendula. Ndikofunikira kusakaniza iwo muyezo wofanana ndikuthira madzi otentha, pamlingo wa 1 tbsp. l kapu ya madzi otentha. M'pofunika kunena chifukwa msuzi kwa maola angapo, kenako mavuto. Muyenera kumwa kamodzi patsiku kotala kapu. Njira ya mankhwala osachepera mwezi umodzi.
3. Kukonzekera njira ina yochizira pancreatic pseudocysts, yotchuka mu wowerengeka azitsamba, ndikofunikira kutenga masamba ofanana ndi masamba a bloeberry, stigmas, masamba nyemba, lingonberries, sitiroberi. 1 tbsp. l chisakanizo choterechi chizikhala chodzaza ndi kapu yamadzi otentha ndikuwasiya mpaka m'mawa. Kenako msuzi wotsatira uyenera kusefedwa ndi kutengedwa kamodzi patsiku mu theka lagalasi. Njira ya mankhwalawa ndi milungu iwiri, pambuyo pake yopuma imachitika.
4. Mummy ndi chida chodziwika bwino pochiza matenda osiyanasiyana, chimathandizira kuyambiranso kwa zisindikizo zosiyanasiyana zomanga thupi. Ndi pseudocyst, kutenga mummy kumakhala ndi zotsatira zabwino. Muyenera kutenga m'mawa pamimba yopanda kanthu. Gawo lakumutu lofananira liyenera kusungunuka m'madzi ndikuledzera. Njira ya mankhwala kumatenga masiku 20.

Pa mankhwala, muyenera kumwa zamchere mchere madzi. Kuchepetsa kuchuluka kwa acidity kumakhudza mkhalidwe wa kapamba, kuthandizira kupewetsa kutupa ndikuyeretsa thupi la poizoni.