Pancreatic cyst: Zizindikiro, zoyambitsa ndi chithandizo

Pancreatic cyst (CSF) ndi kapangidwe kakang'ono ka minofu yolumikizana ndi zinthu zamadzimadzi, zomwe zimakhala ndi minofu yoyandikana ndi England. Izi sizipezeka kawirikawiri kwa kapamba (kapamba), monga lamulo, ndi zotsatira za zotupa kapena zotupa za chiwalo parenchyma. Kuphatikiza apo, ma cysts amatha kukhala parasitic poyambira.

Zizindikiro za CSF zimatengera kuchuluka kwa madzi omwe amapezeka, kuphwanya kwa ntchito yake komanso kuchuluka kwa kukakamizidwa ndi ziwalo zapafupi. Kuchuluka kwa matumba a cystic ndikosintha kwambiri ndipo zimatengera etiology, mankhwala omwe amapangidwira komanso kupezeka kwa zinthu zowonjezera. Ma cyst amatha kukhala ndi 50 ml mpaka malita 7-8 amadzi ndipo amapita kutali ndi thupi.

Zoyambitsa

Pancreatic cysts amatha kuwoneka mwa anthu amisinkhu yosiyanasiyana. Ma kapisolo a cystic amatha kukhala osiyana kukula ndi kuchuluka. Systemic polycystosis imatheka ngati osati kapamba yokha yomwe imagwidwa, komanso thumba losunga mazira, ubongo, chiwindi ndi / kapena impso. Ichi ndi chidziwitso cha matenda obadwanso mwatsopano. Pseudocyst imachitika motsutsana ndi kumbuyo kwa matenda ena.

kufupika kwakanthawi kwam'mphepete mwa mwala ndi mwala (nthenda ya ndulu),
pachimake kapamba
kuvulala kwachikondwerero
matenda aparasitiki oyambitsidwa ndi helminths - cysticercosis, echinococcosis,
kapamba wam'mimba,
compression ya duct ya ndulu ndi chotengera,
kusowa kwa galimoto pancreatic,
lembani matenda ashuga 2.

Zomwe zimayambitsa zimatha chifukwa cha kukhudzana ndi zinthu zina zakunja, monga:

uchidakwa
kunenepa kwambiri chifukwa cha kuperewera kwa lipid kagayidwe,
kale anasamutsa ntchito pa chilichonse chiwalo cha m'mimba thirakiti.

Gulu

Pali magawo awiri akuluakulu omwe ma cysts onse omwe amapanga pamapazi amapangika. Mtundu woyamba wa magawidwe, ma cysts amasiyanitsidwa ndi kapangidwe kawo. Ndiye pali:

pancreatic cyst yeniyeni (ndi chida chobadwa nacho chomwe chimakhala ndi glandular epithelial wosanjikiza),
pancreatic cyst (yopangidwa pambuyo pa matenda).

Komanso, mawonekedwe amkati amayang'aniridwa ndi malo omwe achititsa kuti pakhale ziwalo. Chifukwa chake, pali malo atatu achitukuko:

kapamba wam'mimba kapamba (kapangidwe kake sikukhudza ziwalo zozungulira kapamba),
chotupa cham'mimba cha pancreatic (kapangidwe kamene kamakhala kocheperako kuposa ena ndipo kamatha kutsina ndi duodenum),
chotupa pa thupi la kapamba (nthawi zambiri, chimaphwanya malo am'mimba ndi m'matumbo) /

Ndi chikhalidwe cha maphunziro kusiyanitsa:

chidziwitso
zoyipa
zopitilira muyeso.

Kukula, ma cysts ndi ochepa komanso akuluakulu. Zing'onozing'ono nthawi zambiri zimakhala ndi kukula kwa 20 mamilimita, zazikuluzikulu zimatha kufika masentimita khumi.

A cyst mu kapamba imadutsa magawo angapo a mapangidwe:

Kapangidwe kake kamene kamayambitsa kuphatikizika, nthawi zambiri izi zimachitika pakatha miyezi 1-1,5 pambuyo pancreatitis.
Pambuyo pamiyezi iwiri kapena itatu, kapisozi amawoneka, koma makoma ake ndi otayirira kwambiri komanso osatetezeka.
Pakatha pafupifupi miyezi isanu ndi umodzi, neoplasm imamaliza kupanga ndipo tsopano ili ndi makhoma owuma.
Pambuyo pa miyezi 6 mpaka 12, kapisozi yokhala ndi madzimadzi imasiyanitsidwa ndi zimakhala zapafupi ndipo imakhala yodziyimira payokha, yomwe ikhoza kusintha kuchoka komwe idakhalapo.

Chithunzi cha matendawa chimatengera kukula kwa mapangidwe ake. Chifukwa chake, ngati tili ndi kukula kochepa, wodwalayo sangamve kusokonezeka, ndipo ma cyst nthawi zina amapezeka pa scan ya scan. Pamene kuchuluka kwa cystic kukukula, zizindikiro zotsatirazi zikuwonekera:

Kuchepetsa thupi, kufooka, nthawi yanthete,
nseru, kusanza, mapindikidwe osokonekera,
kupweteka kwakanthawi mu dera la epigastric kapena kumbuyo, kukulira nthawi yowonjezereka kuchokera ku kuwukira kupita ku kuwukira, makamaka chovuta ngati chotupa chakumaso chapakati pa dzuwa,
chotupa chingalande ziwalo zoyandikana (m'mimba, matumbo, chiwindi) ndikusokoneza ntchito yawo,
ndi kukula kokwanira kwa cyst, imayamba kumveka kudzera m'mimba khoma ngati mawonekedwe oyenda bwino, osapweteka konse,
Kusintha kwachilengedwe mu mawonekedwe a ululu ndi kukula kwa mapangidwe, kudumphadumpha kutentha kumatha kuwonetsa kukula kwa pancreatic cyst,
ngati bile duct cysts ndi kukanikizidwa m'mutu wa England, jaundice amawonekera.

Matenda a cyst

Ndi ultrasound, mutha kudziwa kuzungulira kwa madipatimenti onse a kapamba - mutu, thupi ndi mchira. Endoscopic ultrasound kuwonjezera imakuthandizani kuti mudziwe maphunziro oyipa kapena owopsa.

Njira zophunzitsira ndizosiyanasiyana. Pa radiograph ya kafukufuku wam'mimba, mutha kudziwa mthunzi, malo omwe ukufanana ndi malire a cyst. Ngati malire am'mimba opunduka apezeka phunziroli, cyst imakayikiranso.

Duodenography motsimikiza imawululira zovuta zakuyenda. Ndi irrigoscopy, mutha kupeza ma cysts akuluakulu otsika pansi, polycystic pancreas, ndi angiorgia a nthambi za celiac artery, ma contours a cysts a kukula kulikonse amawoneka bwino.

Kodi kuchitira chotupa?

Chithandizo cha pancreatic cysts ndi njira zochizira zimachitika ngati:

Maganizo athu ndi ochepa,
ili ndi voliyumu yaying'ono komanso mainchesi (mpaka awiri masentimita awiri),
maphunziro amodzi okha
palibe zizindikiro za jaundice wopewera komanso kupweteka kwambiri.

Nthawi zina, pezani njira zochizira.

Kwa masiku atatu oyamba, chakudya cham'malo chimalembedwa. Pambuyo pake, ndikofunikira kuchepetsa kudya kwamafuta, okazinga ndi mchere, chifukwa kumalimbikitsa kubisala kwa michere ya pancreatic ndikuwonjezera chiwonongeko cha minofu (onani zomwe zingadyedwe ndi chifuwa chachikulu cha pancreatitis). Mowa ndi kusuta ziyeneranso kuletsedwa. Dongosolo la wodwalayo ndilo kupuma pabedi (masiku 7-10).

Mankhwala othandizira a Tetracycline kapena cephalosporins adalembedwa, omwe cholinga chake ndi kupewa kulowa kachilomboka kukalowa mu cyst patsekelo ndikuzadza ndi mafinya. Kupanda kutero, ndizotheka kusungunula makhoma ndikufalitsa msanga njirayo kudzera mu minyewa ndi pafupi.

Ndizotheka kuchepetsa ululu ndikuchepetsa kubisalira polemba "proton pump inhibitors" (OMEZ, Omeprazole, Rabeprazole, ndi ena otero). Pakugaya kwabwinobwino kwa chakudya chamafuta ndi mafuta osiyanasiyana, mankhwala a enzyme akuwonetsedwa - mankhwala omwe akuphatikizapo Lipase ndi Amylase, koma palibe bile acid (Pancreatin, Creon).

Njira zopangira opaleshoni

Ngati chithandizo chawofatsa sichitha kwa milungu 4, opaleshoni imasonyezedwa. Mankhwala amakono amatanthauza kuchotsedwa kwa ma cyss pogwiritsa ntchito njira zowononga zachilengedwe. Komabe, 92% ya odwala amakakamizidwa kukhala m'chipatala nthawi yayitali. Pali zosankha zisanu ndi ziwirizi zogwira ntchito.

Ngati kulowererapo kuchitidwa moyang'aniridwa ndi makina a ultrasound, izi zimachepetsa kwambiri chiopsezo chovuta. Amawonetsedwa ngati mapangidwe ali m'chigawo cha thupi la chiwalo kapena m'chigawo cha mutu wake, chifukwa m'mikhalidwe imeneyi amapereka zabwino kwambiri. Kuti achite njirayi, wodwalayo amapakidwa m'dera la epigastric, singano ya punction imayikidwamo kudzera (monga njira, gawo), kenako cyst imachotsedwa.

Kudzinyenga kwa dokotala wa opaleshoni kumatengera kukula kwa mapangidwe:

Percutaneous puncture drainage wa cyst - atatsuka cyst patsekeke kuchokera ku madzimadzi, ngalande (mphira wa mphira) waikika pakupanga, komwe kumatsimikizira kutuluka kwa madzi am'magazi kuchokera pakapangidwe. Drainage samachotsedwa mpaka atachotsedwa kale. Izi ndizofunikira kuti pakhale kutsekeka kolakwika (kuthana ndi minofu yolumikizana). Kuchita kotereku sikumachitika ngati chotupa chili ndi voliyumu yayikulu (kupitilirapo 50-100 ml) kapena kuletsa kutulutsa kwa gland.
Sclerosis ya mapangidwe imakhazikika pakukhazikitsa yankho ndi mankhwala enaake. Imaperekedwa pambuyo pothana ndi cyst. M'tsogolomu, njira yachilengedwe yowonjezerera minofu yolumikizidwa imachitika ndipo chilema chimachotsedwa.

Ngati ndizosatheka kuchita mawonedwe obisika, ndiye kuti muyenera kupita ku mtundu wa laparoscopic. Imaperekanso kukhazikitsidwa kwa zigawo ziwiri zosaposa 2 cm, mwa zomwe zida za endoscopic zimayikiridwa pamimba. Ntchito zoterezi zimadziwika ndi kuchuluka kwa zovuta zomwe zingachitike, ngakhale zitakhala zochepa. Izi zikuphatikiza:

Kusangalatsa ndi mapangidwe a maphunziro. Kuchita opareshoni ndikotheka pamene ma cyst ndiwowonjezera. Munthawi ya dongosololi, dokotalayo amamutsegulira, amagwiritsa ntchito njira zothetsera matendawa ndikuwugwiritsa mwamphamvu. Ndikotheka kugwiritsa ntchito electrocoagulator mmalo mwa singano, komabe, pankhaniyi, kuyika chubu cha drainage kwa sabata limodzi kumafunika.
Laparoscopic resection, yomwe imachitika pamaso pa chilema kutchulidwa mu minofu ya chiwalo. Mwachitsanzo, ngati chotupa cha mutu wa gland chili ndi kukula kwa 50-70 mm, ndiye kuti kuchotsa mutu kumafunika. Ngakhale opareshoni iyi ndi yowopsa, chiopsezo chobwereranso sichiri chochepa.
Opaleshoni Frey (kuchotsedwa kwa mutu wa chithokomiro ndi kupanga pancreatojejunal anastomosis) ndi imodzi mwazomwe zasinthidwa pochita opareshoni zomwe tafotokozazi. M'pofunika pamaso pa kukulitsa kwamphamvu kwa mzere wa gland. Njira yochitira opaleshoni yamtunduwu ndikukwapula kutulutsa kwa gland m'matumbo ochepa. Izi zimakuthandizani kuti musinthe njira yodzipatula ya michere ndikuchepetsa mwayi wokhala ndi pancreatic necrosis.

Opaleshoni ya Laparotomy ndiye njira yaposachedwa yomwe madokotala ochita opaleshoni amayambiranso. Pa kukhazikitsidwa kwake, chizimba cham'mimba ndizofunikira. Poterepa, wodwala akuyenera kudutsa nthawi yayitali kuti achire.

Laparotomy ikhoza kuchitidwa molingana ndi mfundo:

Open resection,
Malinga ndi mfundo yofikira mapangidwe ndi madzi ake ena,
Kusintha kwa ma cyst - ntchito yotereyi idachitidwa koyamba mu makumi asanu ndi awiri ndipo lero siyinathere pomwepo. Maluso ake ndi achikale kwambiri ndipo amatsegula ndi kuyeretsa chotupa, pambuyo pake makoma adakhomedwa mpaka m'mphepete mwa chisonyezo. Kenako, kuyika bala lonse kumachitika. Choyipa chachikulu cha njirayi ndi kupangidwe pafupipafupi kwa ma fistulous ndima.

Masiku ano, mankhwala amakono amatha kuthana ndi matendawa popanda zovuta zapadera. Chowona chokha chotsimikizira zotsatira zabwino zochizira pancreatic cysts ndikufikira kwa panthawi yake thandizo loyenerera.

Kukonzanso zakudya

Matenda aliwonse a kapamba amaphatikizapo zakudya. Ngati pali chotupa, chidzafunika kuvomerezedwa kwanthawi yayitali. Pankhani ya matenda osachiritsika, chakudyacho chimasankhidwa kuti chikhale ndi moyo.

Zoletsedwa kugwiritsa ntchito:

yokazinga, yosuta, zonunkhira,
zakudya zowuma
mowa
wolakwa,
mafuta, mafuta,
maswiti okhala ndi kirimu (makeke, makeke),
Katundu wophika kumene
msuzi, mayonesi,
zokometsera.

Odwala atenge:

phala (buckwheat, mpunga, oat, semolina),
nsomba zopanda mafuta
mkaka wamafuta ochepa ndi mkaka wowawasa,
mazira (makamaka mapuloteni),
nyama yophika ndi yophika nkhuku, kalulu ndi ng'ombe (osati mafuta),
sopo pamadzi.

Kunja kwa gawo lowonjezera, mutha kugwiritsa ntchito nkhumba yophika, barele. Zinthu zina ziyenera kukambidwa ndi dokotala, yemwe amasintha menyu ngati kuli koyenera.

Limagwirira chitukuko ndi zimayambitsa pancreatic cysts

Zikondwererozi zimagwira nawo mokhudzana ndi kusweka ndi kugaya chakudya zamafuta, mafuta, mapuloteni. Maonekedwe a chiwalochi amakonda mapangidwe a mawonekedwe a cystic, zomwe ndi chifukwa cha kusamvana konsekapangidwe kapangidwe kake ka kapamba, komanso zinthu zina.

Makina otukula motengera kuwonongeka kwa minyewa ya m'matumbo ndi kubwezeretsanso kwawo. Maselo akufa amadziunjikira m'magulu a kapamba, thupi limachepetsa gawo lomwe lawonongeka kuchokera ku zimakhala zathanzi, zomwe zimapangitsa kuti pakhale chifuwa. Ma cystic patsekeke imapangidwa kuchokera ku minofu yolumikizana (fibrous), yodzazidwa ndi madzi achinsinsi.

Zomwe zimapangitsa kupangika kwa cysts pa kapamba zikuphatikizapo:

Kuphwanya kutulutsa kwa katulutsidwe chifukwa cha kutsekeka kwa ma ducts. Mkhalidwe wamatumbo umachitika chifukwa cha kubadwa kwatsopano,
Kukula kwa kapamba amtundu wina (aakulu, mowa,
Kupanga miyala,
Pancreatic necrosis, nthenda yayikulu yomwe ndi complication ya pancreatitis pachimake,
Zowawa, kuvulala, mabala am'mimba,
Matenda a endocrine system: shuga, kunenepa kwambiri,
Matenda a parasitic.

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Chingwe pamutu wa kapamba

Chingwe pamutu pa kapamba ndimapangidwe omwe ali patsekeke wokhala ndi madzimadzi am'madzi. Maphunziro ngati amenewo siofala. Matenda a m'magazi amawonongeratu kugwira ntchito kwa matendawa, amalepheretsa kupanga ma mahomoni ndi michere ya protein. Ndi kukula kwake, kufinya duodenum ndikotheka. Kupangidwe kwa mutu wa chiwalo kumawonetsedwa ndi kupweteka komanso kusasangalala, chifukwa cha kukakamiza kwa zimakhala ndi ziwalo zapafupi.

Pancreatic mchira cyst

Mapangidwe amtunduwu amapezeka kumapeto kwake (mchira) wa chiwalo. Mawonekedwe a malo ake amakulolani kuti musakhale ndi vuto pa tinthu komanso ziwalo zozungulira. Nthawi zambiri, cysts izi zimachitika chifukwa cha chifuwa chachikulu. Post-necrotic pancreatic cyst, yopangidwa mchira wa chiwalo, ndi kudzikundikira kwamadzi am'madzi, komwe kumakhazikitsidwa ndi makoma a kapisozi kuchokera ku minofu yolumikizira.

Maphunziro amasankhidwa malinga ndi njira zina:

Mtundu wa zochitika. Chitsimikizo ichi chimatilola kugawa maphunziro kukhala owona ndi abodza. Neoplasms yeniyeni ndi yacysts cysts yomwe imapangika chifukwa chazachilendo pakupanga chiwalo mkati mwa nthawi ya embryonic. Mwambiri, mtundu uwu wa mapangidwe sikumakula. Kupanga koona kumadzazidwa ndi kubisalira, komwe kumakhala ndi ma epithelial cell.

Cysts zabodza zimapangidwa chifukwa cha matenda akale. Mwambiri (mpaka 90%), mapangidwe amtunduwu ndi chifukwa cha kapamba kapena kapamba. Chifukwa cha kukula kwa ma pathologies awa, minofu ya gland imawonongeka. Dera lomwe lakhudzidwalo limatetezedwa ku zimakhala zowoneka bwino ndikapangidwa ndi kapisozi ka minofu yam'mimba.

Kusungika kwakumapeto kwa kapamba kumapangidwa chifukwa chotseketsa mzere. Mapangidwe amtunduwu amakonda kukula. Njira zosiyidwa zitha kuphulika chifukwa cha zinthu zosiyanasiyana.

Ma cysts a parasitic nthawi zambiri amapangika pamene tiziromboti timagazi (echinococcus, opisthorchus) kulowa m'thupi. Mapangidwe amtunduwu ndi owopsa kwambiri, amakonda kukula msanga, mavuto obwera chifukwa cha zimakhala ndi ziwalo zozungulira,

Njira ya matenda.Masanjidwe agawidwa kukhala ophatikizika (ndi kupezeka kwa fistulas, mafinya, mafuta, magazi), osavuta,
Kugawika kwa Atlanta (kulekanitsa cysts komwe kumachitika chifukwa cha pancreatitis pachimake):

The pachimake mawonekedwe - mawonekedwe amapezeka mwachangu, organ ducts amatha kukhala ngati ma cystic cavities. Kapangidwe ka cyst sikadziwika,
Matenda amtundu kapena subacute - amapangidwe kuchokera ku mawonekedwe owopsa,
Kupukusira kwa kutupa kwa ma cystic mapangidwe - chithupsa, chotupa cha cyst chimadzaza ndi zamkati za purulent.

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Zizindikiro za pancreatic cyst

Nthawi zambiri, mapangidwe amakula modabwitsa. Kupezeka kwa zizindikiro za pancreatic cysts kumachitika chifukwa cha kukula kwa kapangidwe, komwe adachokera, komwe akukhalako. Panthawi yopanga nyumba imodzi, kukula kwake osafikira 5 cm, Zizindikiro zazikulu sizipezeka - mawonekedwe samapereka mphamvu pazinthu zoyandikana, ma ducts, mathero a mitsempha samatupa. Wodwalayo samakumana ndi mavuto komanso akumva kuwawa.

Kukula kwa maphunziro, kuwonjezeka kwa kukula kumapereka mawonekedwe owonetsedwa. Chizindikiro chachikulu cha cystic neoplasm chachikulu ndi kupweteka. Ndi chikhalidwe chake, ndizotheka kuzindikira kuchuluka kwa zowonongeka:

Panthawi ya chitukuko cha ma cysts abodza, chifukwa cha kapamba, kupweteka kwambiri. Ululu umafalikira mbali yakumanzere ndi lumbar dera,
Ululu wowoneka bwino komanso wosapiririka womwe unachitika mwakachetechete umatha kuwonetsa kuchuluka kwa mapangidwe, kupindika kwa cystic patsekeke. Vutoli nthawi zambiri limatsagana ndi kuwonjezeka kwa kutentha,
Kupweteka kwakapepuka kumayang'ana kumbuyo kumaonetsa cyst yayikulu yomwe imakakamiza dzuwa.

Zizindikiro zophatikizana ndi zowawa ndiz:

Mphekesera ndi kusanza,
Kuphwanya kapangidwe ka ndowe: steatorrhea (madontho amafuta mu chopondapo), kusinthasintha (kumakhala kowala),
Kusintha kwa mkodzo - kumadetsa nkhawa,
Anachepetsa chilako
Matenda am'mimba, chifukwa chake zomwe zofunikira za thupi sizingatengeke bwino, kudya zakudya zochepa, kuchepa,
Pali kuwonjezeka kwa kutentha.

Kukhazikika kwa kapangidwe ka cystic mu gland kamakhala ndi zotsatirapo zoyipa. Chiwopsezo cha pancreatic cysts chagona pakupanga kwake kukhala chotupa choopsa. Khansa yapakansa ndi vuto lalikulu lomwe silitha kuchiritsidwa. Zimadziwika ndi chitukuko chofalikira komanso kufalikira kwa metastases.

Kupanga kwa ma Benign ndi owopsa ndi mwayi wopezeka ndi chitukuko cha peritonitis.

Chimodzi mwazinthu zovuta kwambiri ndikupanga fistulas. Maonekedwe a magawo olankhulana olumikizana ndi ziwalo zina, chilengedwe chakunja chimakulitsa chiwopsezo cha matenda ndikukula kwa zotupa zambiri za bakiteriya.

Nyumba zazikulu za cystic zimafinya mitsempha yamagazi, ma ducts, zimayambitsa ziwalo zapamimba. Zotsatira zoyipa za cysts zimabweretsa zovuta zingapo:

Kukula kwa matenda a Injili (jaundice). Izi zimayambitsa mkwiyo.
Kuphatikizika kwa mitsempha yapa portal, yomwe imabweretsa kutupa kwambiri, kuuma ndi kuwawa kwa malekezero akumunsi,
Matenda aysysic akuwonekera chifukwa cha kukakamiza kwamikodzo. Ululu ndi kupweteka zimawonekera pokonzekera kukodza, kukakamiza pafupipafupi, kukodzetsa kwamikodzo, kuperewera,
Kulepheretsa kwamkati. Mkhalidwe wamatumbo umachitika chifukwa cha kufinya kwamatumbo. Zodabwitsazi zimachitika kawirikawiri ndipo zimachitika chifukwa cha ma pancreatic cysts.

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Kupima mayeso

Kuzindikira matenda a pancreatic cysts kumaphatikizapo kuchezera kwa gastroenterologist. Dokotala amawunika, akukhathamiritsa zam'mimba. Kumva malowa kumakuthandizani kuti muzindikire kuzungulira kwa mawonekedwe owongoka-onenepa komanso malire omveka. Katswiri amafunsira wodwalayo, powunika chidwi ndi njira zotsatirazi: zaka, kupezeka kwa matenda osachiritsika, zizolowezi zoipa, moyo.

Tsimikiziranini matendawa pogwiritsa ntchito njira zothandizira kudziwa ngati muli ndi matenda:

Kuyesa kwelebhu: kuphunzira kwa magazi, sayansi ya zamankhwala. Kukhalapo kwa mitundu ya cystic kukuwonetsa kusintha kwa ESR (erythrocyte sedimentation rate), kuchuluka kwa bilirubin, kuchuluka kwa activation ya alkaline phosphatase, kuchuluka kwa maselo oyera a magazi. Kutupa m'mitsempha yama cystic kumawonetsa kukhalapo kwa maselo oyera ndi mapuloteni onse mu mkodzo,
Njira zopangira zida:

Kufufuza kwa Ultrasound, komwe kumakupatsani mwayi kuti muwone kukula kwa mawonekedwe, malo, kutengera, kutulutsa kwa cystic lesion, mavuto obwera,
Magnetic resonance imaging (MRI) imawulula tsatanetsatane wa kapangidwe ka kapangidwe kake ka ma cystic, kukula kwake, kuchuluka kwake pakukhudza minofu ndi zida zapafupi,
Endoscopic cholangiopancretography, ndi njira yofufuzira yolondola kwambiri yomwe imakupatsani mwayi wowerengera mwatsatanetsatane mawonekedwe a cyst, mawonekedwe a kapangidwe kake, momwe minofu yowazungulira, kulumikizana ndi ma ducts,
Radionuclide imaging (scintigraphy). Njirayi imagwiritsidwa ntchito ngati njira yowonjezera yowerengera zakumapeto,
Ma radiograph ambiri am'mimbamu amagwiritsidwa ntchito kuti adziwe malire a mawonekedwe a cystic,
Biopsy Phunziroli limachitika pofotokoza momveka bwino zamkati mwazomwe zimapangidwira. Kupenda kumawonetsa maselo a khansa. Kuchita biopsy kumachitika pakanema wothandizidwa kapena moyang'aniridwa ndi ultrasound. Kuyeserera kwamtunduwu kumakupatsani mwayi kusiyanitsa mawonekedwe a cystic, kuzindikira zotupa, ndikuletsa kukula kwa maselo a atypical.

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Chithandizo cha Pancreatic cyst

Pancreatic cysts amachitidwa opaleshoni, chifukwa mankhwalawa siothandiza. Kuchita opaleshoni sikofunikira ngati mapangidwe a cystic ali osakwatiwa komanso osakhazikika, ali ndi kukula kochepa (mpaka 5 cm), chotupa sichimakhudza ziwalo ndi ziwalo zapafupi, komanso sichizindikiro chachikulu. Ma cysts oyipa ali ndi zovuta zowachotsa opaleshoni.

Mitundu yayikulu yogwiritsira ntchito pancreatic cyst imaphatikizapo:

Kukhazikikanso - kuchotsa kwa mawonekedwe a cystic,
Chitseko cha Neoplasm (mkati ndi kunja),
Njira ya laparoscopic.

Kuyambiranso kumakhudzanso kuchotsa kwa cystic patsekeke ndi malo oyandikana ndi kapamba.

Kukhetsa kwamkati kwa pancreatic cyst kumachitika kudzera mu gawo la cyst thupi ndi m'mimba, yaying'ono kapena duodenum. Opaleshoni yamtunduwu ndi njira yotetezeka, yocheperako pang'ono. Kutulutsa kwakunja kumachitika ndi zovuta kupanga kwa cystic.

Laparoscopy ndiyo njira yofatsa kwambiri: kukonzekera kwa opaleshoni ndizochepa kwambiri, nthawi yothamanga kwambiri yokonzanso. Mtundu wa opaleshoni yamtunduwu imagwiritsidwa ntchito pochotsa mitundu yayikulu.

Zakudya zamankhwala

Ntchito yofunikira pakupanga ma cysts mu kapamba imayimbidwa ndi chithandizo cha zakudya, zomwe zimathandizira kuchepetsa chiopsezo chobwereranso, kuti thupi lizigwira ntchito bwino.

Kodi pali chiani ndi pancreatic cyst? Zakudya zotsatirazi ziyenera kukondedwa:

Masamba opepuka a masamba okoma ndi supuni ya kirimu wowawasa wopanda mafuta,
Msuzi wamafuta ochepa wopanda nyama, wokhala ndi tchizi, oatmeal, mpunga, Zakudyazi, kaloti,
Nsomba yamafuta ochepa kapena yowiritsa,
Wophika kapena wosenda zipatso ndi masamba,
Ndikofunikira kumwa rosehip infusions, tiyi wofooka wokhala ndi mkaka. Madzi okonzedwa mwatsopano ayenera kuchepetsedwa ndi madzi (1: 2),
Oat, buckwheat, phala la mpunga pamadzi,
Mazira owiritsa kapena ma omeled otentha,
Zakudya zamtundu kuchokera ku mitundu yazakudya: kalulu, nkhuku, nkhuku, nkhuyu. Nyamayo yanyongedwa kapena kuwiritsa
Zinthu zamkaka zamafuta ochepa,
Mkate wowuma kapena wakuda.

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Chithandizo cha anthu

Chithandizo cha pancreatic cysts ndi wowerengeka azitsamba ziyenera kuchitika atakambirana ndi adokotala. Maphikidwe othandiza kwambiri ndi awa:

Chitsamba chazitsulo cha zigawo zitatu. Calendula, yarrow ndi celandine amasakanikirana mofanana. Supuni ya tiyi yaiwisi imathiridwa mu kapu yamadzi otentha. Msuzi umalowetsedwa kwa maola awiri, kusefedwa, kutengedwa pakamwa musanadye,
Kulowetsedwa kwa zosakaniza 5. Zofunika: masamba a sitiroberi, lingonberry, mabulosi abulu, masamba a nyemba, manyazi a chimanga. Zigawo zonse zimaphatikizidwa mosiyanasiyana. Supuni ya zinthu zopaka amathiridwa mu kapu yamadzi otentha. Msuzi umalowetsedwa usiku wonse, kenako kusefedwa. The kulowetsedwa amatengedwa pakamwa pamaso 2 milungu.

Mu maphikidwe a wowerengeka, zitsamba zimagwiritsidwa ntchito zomwe zimakhala ndi mphamvu yosinkhira, analgesic, anti-yotupa, kuthetsa ma spasms ndikuthandizira minofu yamapamba kuti ichoke msanga.

Kuzindikira komanso kupewa pancreatic cysts

The matendawa mwachindunji zimatengera chimayambitsa chomwe chinadzetsa kukhazikika kwa matenda a m'mimba, kudziwa nthawi komanso kufunika kwa mankhwalawa. Cysts amadziwika ndi chiopsezo chachikulu cha zovuta, kuphatikiza khansa. Pambuyo posinthira, pamakhala kuthekera kwakukulu kobwereranso, kukula kwa mitundu yatsopano.

Kukhala ndi moyo wabwinobwino kumatsimikiziridwa ndikutsatira mosamalitsa malangizo azachipatala, kuyang'anira chithokomiro, komanso kumwa zinthu zofunika ndi ma enzyme.

Popewa kuyambiranso, khalani ndi chikhalidwe chomwe sichitsutsana ndi moyo wabwino, ndikofunikira: