Chiwalo chilichonse chitha kupitilizidwa kukoka, kapamba sangakhale wopanda lamulo. Nthawi zina pseudocyst imawonekera m'mutu mwake, thupi kapena mchira wake, matendawa sapereka matendawo mwatsatanetsatane motero sangadziwike kwa nthawi yayitali.
Madokotala amati matendawa amapezeka pafupipafupi chifukwa cha kupweteka kwambiri kwa kapamba, komanso vuto la matenda omwe amapezeka m'misempha. Kunja, neoplasm imafanana ndi hematoma, pakati imakhala ndi michere yambiri.
Ngati pancreatic cyst yabwera chifukwa cha kuvulala, akuwonetsa opaleshoni yochotsa chotupa. Malinga ndi ndemanga, pambuyo pa opareshoni pali zochitika zina zabwino, kusintha kwakukulu paumoyo.
Pafupipafupi kuphatikiza kwa ACE zoletsa kumatha kuyambitsa pseudocyst, mwatsoka, chithandizo choterechi ndi chofunikira mu matenda a kapamba. Chifukwa chake, musanagwiritse ntchito mankhwala a gululi, ndikofunikira kuzindikira kukula kwa cyst yabodza.
Nthawi zambiri, mapangidwe amawoneka pambuyo pa kuvutika kwa atherosulinosis ya kapamba. Vuto lina ndi iatrogenic cysts abodza, amakhala zotsatira za opaleshoni. Izi sizikutanthauza kuti vuto lachiphuphu ndi zotsatira za cholakwika chachipatala, limakhala mtundu wa zomwe thupi limachita pomupweteketsa mtima.
Gawo la matenda ndi zizindikiro
Ndi chizolowezi kusiyanitsa mitundu ingapo ya ma pseudocysts, amapezeka pamutu, thupi la kapamba, nthawi zina amapezeka mchira wa chiwalo. Kuphatikiza apo, neoplasms imagawidwa ndi etiology: postoperative, pancreatic, post-traumatic.
Chithandizo chimatengera malo a cyst wabodza komanso kunyalanyaza kwa matenda. Gawo loyamba limatenga pafupifupi mwezi ndi theka, munthawi imeneyi khosi la zotupa limapangidwa. Gawo lotsatila limatenga miyezi itatu, mzerewo umamasuka. Gawo lachitatu limakhala pafupi miyezi isanu ndi umodzi, tsopano kapisozi kakang'ono kakuyamba kuwonekera.
Kumayambiriro kwa matendawa, mapangidwe amachiritsa bwino, mphamvu zake zimakhala zabwino, odwala ena amangomva mavuto, nthawi zambiri amaphatikizidwa ndi mtundu wina wamatenda oyamba.
Gastroenterologists amatha kugawa ma cyst malinga ndi gulu lina, malinga ndi momwe pali mitundu ya matendawa:
- pachimake (kumakhala kochepera miyezi itatu);
- subacute (osaposa miyezi isanu ndi umodzi);
- aakulu (a zaka zopitilira miyezi isanu ndi umodzi).
Chithandizo chophweka kwambiri ndi pseudocyst wa kapamba mu mawonekedwe owopsa a kutupa, ma cyst aakulu amatha kuthetsedwa kokha ndi njira ya opaleshoni. Muyenera kudziwa kuti ma cyst samachitika mu kope limodzi, wodwala amakula zingapo nthawi imodzi.
Ma pseudocyst a mutu wa pancreatic poyamba samapereka zizindikiro, wodwalayo sangayerekeze ngakhale pang'ono kukhalapo kwa matendawa. Madokotala amalimbikitsa kumvera thanzi lawo, kulabadira zizindikiro za atypical. Choyamba, awa ndi ululu pamimba pamimba, poyamba amakhala owawa, pomwe vutolo limakulirakulira, ululu umayamba kufooka kapena kumabwera kwathunthu, kumangosiyidwa pang'ono.
Ngati neoplasm ikasokonekera, zizindikiro zapadera komanso zamtima zimayamba. Kuchokera kumbali yamtima kumatha kukhala:
- dziko lodetsa nkhawa;
- tachycardia;
- hypotension.
Zizindikiro zapadera ndimimba yovuta, Zizindikiro za peritonitis, kupweteka kwapweteka. Matenda akayamba, kutentha kwa thupi kumakwera, kusinthasintha pakati pa 37.9 ndi 39 digiri, wodwalayo akunjenjemera, leukocytosis ya neutrophilic imayamba.
Odwala ena amakhala ndi mseru komanso kusanza, koma kudwala matenda akewa sikuti kwadziwika. Zizindikiro izi zitha kuwonetsa kuyambika kwa zovuta .. Odwala omwe adakumana ndi vuto lonyansa la cyst amadziwa kuti mutu ulibe kutupa, kapena kumanzere kwa hypochondrium vuto likakhudza mchira kapena thupi la kapamba.
Zisangalalozi zimakhala ngati mafunde, nthawi zambiri zimakhala zowawa komanso zowawa za paroxysmal.
Njira Zodziwitsira
Dokotala amayang'ana kaye madandaulo a wodwala, amawunika za moyo wake, amamuwunika. Chifukwa cha palpation pamimba ndi peritoneum, adotolo amasankha kukhalapo kwa asymmetry, mipira yaying'ono. Ngati wodwalayo akudandaula za kupweteka, kuzindikira kumayambira ndikutulutsa mkodzo ndi magazi.
X-ray yokhala ndi zosiyana imayesedwa kuti ndi njira yamakono yofufuzira, ngati pali cyst, imawoneka pazithunzi, chifukwa cha kukula kwantchito, kusintha kosiyanasiyana kwa ziwalo zina zamkati kumawonedwa.
Ndikulimbikitsidwanso kuyendetsa makina a ultrasound, akuwonetsa komwe gawo la chotupacho ili, limapangitsa kutsutsa kapena kutsimikizira zovuta.
Kukhazikitsa njira yotupa, kutsekeka kwamkati ndi kukulitsa kwamitsempha kumalola njira ya EDGS.
Njira ina yophunzitsira ndiyogwiritsa ntchito tomography, imawonetsa kutupa moyenera momwe mungathere. Mukazindikira cyst yabodza, ndikofunikira kuchita kafukufuku wa cytological.
Chithandizo chamankhwala ndi opaleshoni
Chithandizo cha pseudocysts cha kapamba akhoza kukhala wachipatala kapena wa opaleshoni, kugwiritsa ntchito mankhwala kumakhala koyenera ngati pseudocyst adawoneka kalekale. Komanso, mankhwala othandizira amatha kuthandizira pakalibe kupweteka m'mimba, kukula kwa neoplasm sikupitilira masentimita 6.
Ndizotheka kuti neoplasm ikathetse yokha, chifukwa chake madokotala ena safuna kutipatsa mankhwala mankhwala atapezeka. Pankhaniyi, ndikofunikira kuwunika kwa miyezi ingapo, pamene chipatalachi chatsalira, ndiye kuti pitani ndi chithandizo chamankhwala. Kuphatikiza apo, catheter imatha kuyikidwanso, ndipo mankhwala opatsirana amayambitsidwa kudzera. Njira yakuchizira pancreatitis ndi pseudo-aneurysm wa kapamba ingakhale chimodzimodzi
Ngati njira yodziyimira yochiritsira siyithandiza, ndipo chotupa cham'mimba chikukula kwambiri, dokotala amapanga lingaliro la opareshoni. Pali njira zingapo zochizira izi, imodzi mwazinthu zothandiza kwambiri ndi yotsetsereka. Linear endoscopic sonography ingagwiritsidwenso ntchito, kukhetsa kumachitika kudzera:
- m'mimba;
- rectum.
Njira ndi yoyenera ngati chotupacho chidawoneka pafupi ndi m'mimba.
Njira yachikale yothandizira ndikutulutsira mkati, mankhwala amakono sagwiritsa ntchito, odwala amalekerera chithandizo chotere, matendawo sakhala abwino nthawi zonse.
Zina zonse zikalephera, ma pseudocysts amafunsidwa kuti achotse kwathunthu, pakulowerera kwawo amapanga chachikulu pamimba. Njirayi ndiyowopsa, yowopsa, imagwiritsidwa ntchito pothana ndi vuto mchira kapena mutu wa kapamba.
Pambuyo pa njirayi, wodwalayo amawonetsedwa zakudya zovomerezeka.
Mavuto omwe angakhalepo komanso chidziwitso cha matendawo
Pakakhala chithandizo cha kapamba panthawi yake, kupweteka kumabweretsa vuto lalikulu mthupi, mavuto amakula. Nthawi zambiri, wodwalayo amakumana ndi chotupa, kuwonjezereka kapena magazi, kuledzera ndi zomwe zilimo. Kutupa kwam'mimba, kuwonongeka kwa ziwalo zomwe zili pafupi, fistulas, njira yopatsirana kapena kusintha kwa cyst yabodza pa oncology sikutsutsidwa. Ngati zochuluka za zovuta zitha kupewedwa, ndiye kuti sizingatheke kuti mupewe zovuta.
Pseudocyst sitha kutchedwa kuti matenda opha, koma pali chiwopsezo. Milandu ya kufa mwachisawawa ikafika 14%, ndiye kuti ngati wodwala sapita kwa dokotala ndipo samamwa mankhwalawa. Komabe, mwayi wamwaliridwe sunaperekedwe panthawi ya opareshoni, pomwe kuchuluka kwa zotsatira zomvetsa chisoni kumafikira 11. Chiwopsezo chimawonjezeka kwambiri pamene pseudocyst adawonekera. kuchuluka, matenda.
Tisaiwale kuti kuyambiranso kwa matenda ndi kotheka, kuthekera kwake ndikochepa, komabe. Malinga ndi ziwerengero, kuthekera kwakukonzanso kwa cyst yabodza ndi 30 peresenti. Amakhulupirira kuti kupindika mobwerezabwereza ndi koopsa nthawi zambiri kuposa koyambirira. Kubwezeretsanso, chotupacho chimatha kupita ku njira ya oncological, komanso kukula kwa zovuta zowopsa, ndipo kufa pamilandu iyi kumakhala kambiri kangapo.
Momwe ma pancreatic cysts amathandizira akufotokozedwa mu kanema munkhaniyi.
