Kodi kuchitira polyp pancreatic?

Pancreatic polyp ndi chopondera chachikulu chomwe sichikula msanga. Pofuna kuti tisasocheretse owerenga, ndikofunikira kutchula nthawi yomweyo kuti kukula kwa polyposis mu gawo ili la chimbudzi sikutha kuchitika. Izi ndichifukwa choti m'matumba mulibe ma cavity akulu, komanso timimba ta mucous, komwe polyp imatha kumera. Itha kupangika pakulowetsa ziwalo, komabe, ndizosatheka kuzizindikira pamenepo, chotupacho, chotupa sichimapereka chizindikiro. Chifukwa chake, nthawi zambiri pansi pa mawu akuti "pancreatic polyp" amatanthauza cyst, hemangioma, fibroma, lipoma, leiomyoma, neurinoma kapena schwannoma.

Mwambiri, chotupa chodziwika bwino sichimapezeka kawirikawiri m'mapamba. Malinga ndi ziwerengero, zotupa zotere zimapezeka mwa anthu osapitilira atatu mwa miliyoni.

Zizindikiro za pancreatic polyp

Monga lamulo, zotupa zonse za mahomoni ogwirizana, kupatula mawonekedwe a cystic, sizimapereka chizindikiro.

Amadziwonetsa pokhapokha akakwaniritsa kukula:

Chifukwa chokakamizidwa ndi ziwalo zoyandikana, munthu amatha kumva ululu. Mawonekedwe awo amakhala opweteka, nthawi zina amatha kulimba ndi kusintha kwa thupi,

Kutengera ndi komwe chotupacho chidawonekera, kutulutsa kwazinthu zopweteka kumasiyana. Ngati neoplasm ili m'thupi lachiberekero, pamimba limapweteka, ngati m'mutu mwake zosasangalatsa zomveka zimapezekanso mu epigastrium, ngati mchira wa hypochondrium wamanzere upweteka,

Kukakamiza kwamatumbo kumachitika, kutsekeka kumatha kuchitika.

Zotupa zoterezi zomwe zimapanga mahormoni zimatha kukhala ndi mphamvu kwambiri mthupi.

Zonse zimatengera momwe ma neoplasm amapangira:

Ngati insulin yochuluka kwambiri imawonedwa, ndiye kuti wodwalayo amakhala ndi kufooka kosatha, ali ndi thukuta kwambiri. Odwala otere nthawi zambiri samakwiya, amakhala ndi vuto la tachycardia ndi chizungulire,

Ngati chotupa chimatulutsa gastrin, ndiye kuti izi zimayambitsa zilonda zam'mimba zambiri m'mimba ndi matumbo. Wodwalayo amakumana ndi zovuta mu dera la epigastric. Zowawa zake zimakhala zowawa kwambiri. Kuphatikiza apo, kutentha pa chifuwa kumawonekera, kumakhala ndi acidic zomwe zili m'mimba, matumbo a matumbo amasauka. Izi zimayambitsa kusokonezeka kwa chimbudzi, komanso kutsegula m'mimba.

Ndikupanga glucagon mopitirira muyeso, wodwalayo amayamba kuchepa msanga, amakhala ndi vuto la kuchepa magazi. Pamaso pa lilime limakhala lofiira komanso losalala. Kuthamanga kwa thupi kumawonekera ngati chithaphwi chosamukira. Nthawi zambiri zimakhala pamtunda wa inguinal zone ndi m'chiuno. Zomwe zimapanga mucous zimakhudzidwa. Pafupifupi odwala onse amakhala ndi stomatitis kapena gingivitis, ndipo azimayi amakhala ndi vaginitis. Matenda a shuga ndi chizindikiro china chotupa chomwe chimatulutsa glucagon.

Ponena za pancreatic cyst, imatha kuwonekera motere:

Ululu pamimba chapamwamba

Kutopa ndi kufooka

Matenda osapatsirana

Zizindikiro zonsezi zimachitika pamene mapangidwe afikira kukula kosangalatsa. Ngati ma cyst ndi ochepa, ndiye kuti ndizotheka kudziwa izo mwangozi, panthawi yoyeserera ya ultrasound.

Zimayambitsa pancreatic polyp

Pali zinthu zina zomwe zingakhudze kukula ndi kukula kwa zotupa:

Kudziwikiratu kwa chibadwa cha kufalikira kwa minofu ya neoplastic,

Kukhala m'malo okhala ndi zovuta zachilengedwe,

Kutsatira zizolowezi zoipa, makamaka kusuta fodya komanso uchidakwa.

Njira zotupa zomwe zimachitika mthupi. Nthawi zambiri, zotupa zimayamba chifukwa cha matenda kapamba,

Zakudya zopanda pake. Ngati menyu umayendetsedwa ndi zakudya zamafuta, pali kusowa kwa fiber, mavitamini ndi michere, ndiye izi zingayambitse kupangika kwa benign pancreatic form. Zakudya zopanda pake, komanso kudya kwambiri, ndizomwe zimapangitsa,

Kuwoneka ngati chotupa kumayambitsa kuvulala kwa ziwalo, komanso kutaya kwamkati chifukwa cha matenda osiyanasiyana.

Kuzindikira kwa polyp ya pancreatic

Kuti mupeze chotupacho, muyenera kuwunika ma ultrasound. Mayendedwe kwa wodwala amaperekedwa ndi gastroenterologist. Choipa cha njira yodziwitsira anthu nkhaniyi ndikuti simalola kuwona zotupa zazing'ono zomwe zimapanga mahomoni. Chifukwa chake, ngati mukukayikira ngati chotupa chofanana cha pancreatic, ndikofunikira kuti muchite MRI ndi CT. Izi zipangitsa kuti ziunikenso bwino kwambiri.

Kuphatikiza apo, scintigraphy ndi angiography zitha kuchitidwa. Njirazi ndizofunikira kwa ma insulomas omwe amaganiziridwa, gastrinomas ndi hemangiomas. Pofuna kupatula kukhalapo kwa maselo a atypical, kuyenera kofanana ndi mtundu wina kuyenera kutsatiridwa ndi kafukufuku wazotsatira.

Kuchokera pa njira zodziwira matenda a labotale, kuyezetsa magazi am'magazi kumachitika, komanso kutsimikiza kwa zotupa zolemetsa, zomwe siziyenera kuchuluka.

Chithandizo cha pancreatic polyp

Sizingatheke kuti muchotse chotupa chovomerezeka cha pancreatic pogwiritsa ntchito njira zosungira. Wodwala adzafunika opaleshoni.

Mtundu wa opaleshoni ukhoza kukhala motere:

Mphamvu. Njirayi imakupatsani mwayi wopulumutsa wodwala ku mawonekedwe omwe ali pamwamba pa chiwalo. Komabe, kukula kwawo sikuyenera kupitirira 20 mm, komanso pasapezeke chiwopsezo chilichonse chazovuta zawo. Popewa kutulutsa magazi, njira yama electrocoagulation imagwiritsidwa ntchito, ndipo kama wa chotupacho womwe udalipo uyenera kuyatsidwa bwino. Njira yakuthandizira imakuthandizani kuti thupi lanu lizigwira ntchito,

Kukonzanso. Njira yopangira opaleshoni imaphatikizapo kuchotsedwa kwa gawo lina la chiwalo limodzi ndi mafupipafupi. Kuchita kofananako kumachitika ndi zotupa zazikulu, komanso ndi zilonda zawo. Itha kuchitika padera pofanana ndi mchira kapena mutu wa kutulutsa tizi, kapena pancreatoduodenal resection, pamene gawo la duodenum likuyenera kuchotsedwa,

Endovascular embolization wa mitsempha. Chofunika cha njirayi ndikuti mitsempha yamagazi yomwe imadyetsa chotupacho chikupanikizika. Zotsatira zake, kufa kwa zotupa kumachitika. Monga chosinthika, hydrogel kapena occluder imagwiritsidwa ntchito. Iyi ndi njira yothandiza kwambiri komanso yovutirapo.

Panthawi yomwe wodwalayo awulula mawonekedwe angapo osakanikirana, ndikuwoneka kuti sizotheka, chithandizo chamankhwala chimaperekedwa kwa wodwala. Zimatengera mtundu wa mahomoni omwe amapangidwa ndi chotupacho. Nthawi zambiri, mankhwala omwe amachepetsa shuga m'magazi amafunikira. Pankhaniyi, sizingatheke popanda chakudya chothandizira.

Ndikofunika kutchulira padera za zakudya zamankhwala, chifukwa zidzakhala zofunikira pambuyo pakuchita opareshoni. Muyenera kutsatira zakudya zosafunikira kwakanthawi, komanso nthawi zina m'moyo wanu wonse.

Mfundo za chikhalidwe:

Muyenera kudya zakudya zazing'ono, zosachepera 5 patsiku. Ndikofunikira kutsatira zakudya ndikuyesera kudya chakudya cham'mawa, nkhomaliro komanso chakudya chamadzulo nthawi yomweyo. Izi zimapewa kulemera kwa thupi, chifukwa zimakonzekereratu chakudya chotsatira.

Wodwala adzafunika kukana mbale yokazinga ndi yophika. Njira zophikira zotheka ndi kuwira, kuwongolera kapena kuwotcha,

Nthawi yoyamba pambuyo pa opaleshoni, chakudyacho chimakhuthulidwa kapena kugayidwa kuti chikugonjetse.

Ndikofunika kusiya kudya zakudya zamzitini ndi nyama. Ponena za nyama ya mawonekedwe osagulitsidwa, iyenera kukhala mitundu yamafuta ochepa. Ndikofunika kudya mbalame ndi nsomba.

Nthawi zambiri, wodwalayo amalimbikitsidwa kuti azitsatira patebulo la chakudya lachitatu. Ndikotheka kubwereranso ku menyu yam'mbuyo mutakambirana ndi adokotala.

Ngati wodwala ali ndi gastrinomas angapo, ndiye kuti amawonetsedwa monga Omeprazole, Ranitidine, Famotidine. Cholinga chake ndikuti athetse vuto la m'mimba.

Palibe chothandiza kupewa matendawa. Chifukwa chake, zakudya zabwino zokha komanso kukana kumwa mowa ndi zomwe zingalimbikitsidwe. Ngati muli ndi zizindikiro za matenda am'mimba thirakiti, muyenera kupita kuchipatala msanga.

Ponena za m'tsogolo kuti muchiritsidwe, ndikupezeka kwa nthawi yayitali ya chign pancreatic neoplasm, nthawi zambiri imakhala yabwino. M'pofunika kudziwa kuti zotupa zotere ndizosavulaza kwambiri. Komabe, chiopsezo chotenga matumbo chitsekere kapena jaundice yama makina opanga zimapangitsa madokotala kuti alimbikitse kuchitidwa opareshoni.

Maphunziro: Dipuloma mu "General Medicine" yapadera idapezeka ku Russian State Medical University. N.I. Pirogova (2005). Maphunziro omaliza maphunziro mu "Gastroenterology" yapadera - maphunziro ndi sayansi yazachipatala.

Zinthu 15 zomwe zimathandizira ubongo ndikusintha kukumbukira

Zolakwika 7 chifukwa cha zomwe ma tonometer overestimates kuwerenga amawerengera

Ma polyp mu kapamba

Kuti mumveke bwino, muyenera kumvetsetsa mwatsatanetsatane momwe mawonekedwe a polyps amapezekera.

Ndi zotupa zopusa zomwe zimatha kupezeka m'zilonda za thupi lonse. Kuchuluka kwake kumasiyanasiyana.

Popita nthawi, nthawi zambiri amasintha kukhala zotupa zopweteka.

1. Mapangidwe mu kapamba wa kapamba.
2. Kukula pang'ono.
3. Magawo oyambirirawo sadziwika ndi zizindikiro zapadera.

Maonekedwe awo ndi otheka ku mucous membrane wa ziwalo zonse, ndi mawonekedwe olola. Kapangidwe ka kapamba sikabwino pakukula kwawo, kotero mawonekedwe a neoplasms pa iye ndi osowa. Koma, zonyansa za kapamba ndiz malo mosazungulira pomwe amazindikira polyp. Kukhalapo kwa polyp mthupi kwathunthu kuli asymptomatic koyambira koyamba, zida zapadera zokha ndi zomwe zingazipeze. Kujambula kwa ultrasound kumathandiza kuwazindikira.

Akatswiri amakana kuthekera kwa polyp pa kapamba. Nthawi zambiri mawuwa amasinthidwa ndi liwu lakuti cyst. Palibe chifukwa cha izi, chifukwa chikhalidwe ndi zomwe amachita izi ndizosiyana. Maonekedwe a polyp sichinthu chosadziwika. Zomwe zimachokera ndizosiyana:

1. Matenda obadwa nawo. Lumikizanani ndi ma pathologies a ziwalo zina.
2. Chifukwa chothamangitsanso maselo mwakugawika.
3. Kusungabe. Amadzuka pomwe msambo womwewo umakodwa ndi chotupa, chilonda, ziwalo zokulitsidwa chifukwa cha pathologies. Nthawi zambiri amakhala akulu.
4. Ma polyp abodza. Amadziwikanso kuti ma pseudocysts. Wopezeka mu minofu necrosis mwa anthu omwe ali ndi vuto la gastritis.

Nthawi zina anthu amasankha kupanga ma pseudocysts kunyumba. Pali njira yopitilira imodzi yochitira izi. Gwiritsani ntchito decoctions wa viburnum, celandine, ikani enemas. Ndalamazi zili ndi ndemanga zopitilira umodzi.

Amakhala owopsa chifukwa amatha kuyamba kudwala, amatha kuyambitsa matenda a jaundice komanso matumbo.

Ma polyps amatha kuyambitsa zovuta zotsatirazi:

• magazi amkati,
• cholestasis
• mawonekedwe a zilonda zam'mimba,
• zimatha kudzetsa nthongo,
• imatha kudanitsa kapamba,
• zimatha kupangitsa kukula kwa peritonitis.

Ngati mukukayikira kuphwanya thanzi, muyenera kufunsa dokotala.

Polyp mu kapamba choti achite, zizindikiro za matenda

Amapangidwa mwa anthu a gulu 40+. Kupanga kwa polyp kumachitika motsogozedwa ndi zinthu zina. Zomwe zimachitika pankhaniyi si imodzi. Kusuta chibadwa kungakhale chinthu chofunikira kwambiri pamatendawo. Ma polyp amakhalanso mthupi chifukwa chachilengedwenso, kufooka, kubadwa ndi matenda, ma pseudocysts, kumwa mowa wambiri, kuperewera kwa zakudya m'thupi, komanso kutupa.

Amakhulupilira kuti kupezeka kwa polyp kuli ndi zoopsa. Ichi ndi nthano yomwe sinatsimikizidwe. Pambuyo pakuvulala, pamakhala chiopsezo cha chotupa, kapena chotupa. Polyps pankhaniyi sizimatuluka. Amadzuka palokha, chikhalidwe chawo chimakhala ndi chikhalidwe chosiyana.

Inde, zonsezi ziyenera kudziwikiratu: yambani kudya moyenera, pewani zakudya zoyipa, siyani kumwa mowa ndi utsi. Choyamba, muyenera kukhala ndi chidwi ndi zomwe mumadya. Koma simuyenera kumwa mankhwalawo popanda chilolezo cha dokotala, chifukwa izi zimabweretsa zovuta

Ma polyp alibe zizindikilo, ali ndi njira yobisika ndikuwazindikira mwangozi.

Zizindikiro zimachitika ngati matendawa apita patsogolo m'thupi. Mitsempha imayamba kuthana ndi ziwalo komanso thanzi la munthu limakulirakulira.

Palibe chizindikiro chimodzi chomwe, ngati chilipo, chimalimbikitsa malingaliro.

1. Ntchito zam'mimba zimapangika kwambiri.
2. Zofooka ndi kukwiya.
3. Ululu wamadzimadzi umadzaza m'mimba.
4. Pali zovuta ndi chopondapo.
5. Munthu amakhala ndi ludzu pafupipafupi.
6. Nthawi zambiri amafuna kukodza.
7. Munthuyo wadwala.
8. M'mimba, kudula ululu.
9. Kuchepetsa thupi.
10. Kukhala ndi thanzi labwino kumakhala koipa kwambiri.

Ngati simupereka chidwi kwa zomwe zikuwonetsa kwa nthawi yayitali, ndiye kuti posachedwa polyp iwoneka ndi maliseche. Amangodzuka mthupi. Kenako zinthu zidzaipa kwambiri.

Mwa njira, mutatha bulging, imatha kudutsa ngati chithupsa. Kenako munthuyo amamva bwino, koma izi ndizosakhalitsa. Munthawi imeneyi, machitidwe a thupi sangathe kunenedweratu, chifukwa adzidwalapo ndi poizoni osiyanasiyana. Ndi mtundu 1 wa matenda ashuga, ma polyp nthawi zambiri amakhala ndi vuto lalikulu. Zonenedweratu pankhaniyi mwina sizolimbikitsa. Kuti muzindikire molondola, muyenera kulumikizana ndi katswiri yemwe angakuthandizeni kudziwa.

Mankhwala odzipaka nokha ndi oletsedwa, chifukwa mankhwala aliwonse angayambitse zotsatira zosakonzekera.

Kupewa koyambirira ndi chithandizo cha ma polanc a pancreatic

Chithandizo pamenepa ndi chinthu chimodzi chokha - kuchotsa pochita opaleshoni.

Dzina lasayansi pazomwezi zimachitika ndi polyectomy.

Kuchotsa kumatha kukhala kwamitundu yambiri, kutengera zovuta.

Njira zotsatirazi zochitira opaleshoni zimachitika:

• pancreatic cyst resection imayikidwa mu milandu yofatsa, pomwe ma polyp okha omwe akhudza gland amachotsedwa,
• pancreatectomy imayikidwa pamaso pa mitundu ingapo, momwe gawo limodzi la ndulu kapena zonse zimachotsedwa,
• kukhetsa cyst patsekeke chifukwa cha zovuta kwambiri kutupa.

Kugwirira ntchito kwamtunduwu ndizovuta kwambiri chifukwa cha kuterera kwa ndulu. Ngakhale opareshoniyo itachitidwa, izi sizimalepheretsa kubwereza matendawa. Chifukwa chake, muyenera kuyesedwa ndi madotolo pafupipafupi, kutsatira zakudya zina, kumwa mapiritsi ake odziwika kuti muchepetse vuto.

Kugwiritsa ntchito njira zoyambirira kupewa sikungakane. Kuyang'anitsitsa thanzi lanu ndiye lamulo loyamba komanso lalikulu. Ngati simuchenjeza, ndiye kuti mutha kuchepetsa mwayi wazachipatala. Kulemba pafupipafupi kumathandizira kukwaniritsa zotsatira zoyenera.

Muyenera kuchotsa m'moyo wanu zoyipa zonse, kukhala moyo wakhama, kusewera masewera. Ndikofunikira kutsatira zomwe dokotala wapeza.

Ma polyp ndi matenda oopsa mu minyewa ya kapamba ndipo amafunikira chisamaliro chapadera podziwitsa.

Ndikofunika kupewa kuti zisachitike, kapena muchepetse ngozi zomwe zingachitike. M'malo mwake, ndizosavuta monga choncho. Izi ndizosavuta kuchita ngati mutsatira malamulo oyambira amoyo wathanzi.

M'masiku amakono, ndiye zakudya zopanda pake komanso zizolowezi zomwe zimayenda ndi munthu kudzera m'moyo zomwe zimatha kuyambitsa matendawa.

Chofunikira ndikudziwona kwakanthawi neoplasms. Ngati munthu sapita kwa dotolo, ndiye kuti sizachilendo kuwazindikira panthawi yake sizingatheke.

Zambiri pancreatic ntchito zimaperekedwa mu kanema munkhaniyi.