Kupukusira kwa Aberrant ndikosazindikira kwam'mimba.
Izi zimawonekera pokhazikitsa minyewa yofanana ndi kapangidwe kake kamene kamakhala m'chigawo cha m'mimba, duodenum, kapena pafupi ndi kapamba palokha.
Kusokonezeka kwamankhwala kumachitika pang'onopang'ono pa gawo la embyogenis, pamene kuyika ndi kupanga ziwalo kumachitika.
Zina mwazomwe zimayambitsa gland
- kutengera kwa chibadwa;
- kukopa kwa mwana wosabadwayo wa zizolowezi zoyipa za mayi;
- matenda opatsirana (chikuku, rubella);
- kuwonetsera ma radiation;
- kukonzekera kwina kwamankhwala.
Cancreas yakuberi sindiwo matenda, komanso imatha kufooka ndikuwonongeka, imatha kuponderezana ziwalo zapafupi kenako kudziwonekera.
Gland yonyansa yotereyi yomwe imapangidwa imafanana ndi yabwinobwino, imakhala ndi pancreatic duct yake, yomwe imatseguka m'matumbo lumen.
Cancreas ya aberrant imatanthauzidwa ngati minofu ya kapamba, yomwe ilibe matupi a anatomical komanso zotumphukira ndi thupi lalikulu la kapamba. Pancreatic heterotopy yodziwika bwino kwambiri imapezeka m'mimba, duct ya excretory nthawi zambiri imayenda m'chigawo chodutsa.
Odwala ambiri omwe ali ndi gastro-aberrant pancreas ali asymptomatic. Iwo samabwera kawirikawiri ndi zizindikiro zamankhwala monga kupweteka kwam'mimba komanso magazi. Milandu ingapo yodutsa pancreatic gland yovuta chifukwa cha kutupa pachimake, monga kapamba, akuti.
Pancreatic ectopia imapezeka kwambiri mwamwayi, pakasaka zotupa za m'mimba, popeza chipatala chimafanana ndi gastritis yovuta kwambiri. Chifukwa chake, kubowoleza kwapang'onopang'ono kwa kapamba kumakwiyitsa chithunzi chachipatala ndi zizindikiro zotsatana, kutengera malo ndi kukula kwanu.
Dystopia ikhoza kutengedwa:
- khoma la m'mimba;
- m'madipatimenti a duodenum;
- mu ileamu, m'matumbo a diverticulum;
- makulidwe am'mimba mwa matumbo ang'ono;
- ndulu;
- mu ndulu.
Chithunzi pamakhalidwe azachipatala
Ectopic pancreatic gland ikhoza kukhala m'madipatimenti osiyanasiyana.
Ngati ili m'mphepete mwa m'mimba ndi duodenum, ndiye kuti imapereka chithunzi cha matenda ofanana ndi chilonda cha duodenal.
Pali zopweteka m'dera la epigastric, nseru, magazi amatha kutuluka.
Kuphatikiza apo, chithunzi cha matenda ndi makonzedwe awa a ectopic pancreatic gland chingafanane:
- Cholecystitis - kupweteka kwa hypochondrium yoyenera, jaundice, kuyabwa kwa khungu.
- Appendicitis - kupweteka pamimba kapena kumanzere kwa dera lachiac, nseru, kusanza kamodzi.
- Pancreatitis ndi ululu m'chiuno kwambiri kumapeto theka lamanzere pamimba.
Ndi kutukuka m'mimba, chipatala ndi chofanana:
- ndi zilonda zam'mimba.
- ndi kapamba.
Pancreatitis pachimake yomwe imapezeka m'matumbo am'mimba yotupa sichitha, ndipo chimodzi mwazizindikiro zake zazikulu ndi ululu wam'mimba. Pafupifupi nthawi zonse, kuwonjezeka pang'ono kwa seramu amylase kumawonedwa.
Chifukwa chake, pancreatitis yovuta kapena yopweteka yomwe imayambitsidwa ndi kapamba wam'mimba imatha kuchitika chifukwa cha kutsekeka kwa ma ducts, koma osati kuwonongeka mwachindunji kwa cell komwe kumachitika chifukwa chomwa mowa wambiri.
Zizindikiro zoopsa zikagwidwa ndi matenda a pancreas oyipa:
- Ectopic organ necrosis;
- Kuphwanya kukhulupirika kwa malinga a dzenje;
- Kutulutsa magazi, kuwonongeka kwa ziwiya za England.
- Kukula kwamatumbo kutsekeka chifukwa cha kutsekeka kwa kapamba wom'mimba.
Nthawi zambiri, mavutowa amakula ndikugulitsa minofu yaying'ono yam'mimba m'matumbo ang'onoang'ono, mawonekedwe a lumen mu gawo ili ndi ochepa. Zotsatira zake, pamakhala chitukuko chambiri cholepheretsa.
Zizindikiro zoyambirira ndi kutukusira kwa kutupa mu ectopic organ ndi:
- matumbo dongosolo;
- ululu mutatha kudya ndi kupweteka kwam'mimba;
- kuphwanya gawo la chakudya, limodzi ndi mseru komanso kusanza.
Popeza zizindikirazo ndizazachuma ndipo zimatha kufanana ndi matenda ambiri am'mimba, chidziwitso chogwiritsa ntchito ndi labotale sichingagawidwe nawo.
Kuzindikira kwa matenda
Ectopy ya chiwalo ichi sichovuta kudziwa, koma imatha kubisala kumbuyo kwa zigoba za matenda ena.
Mutha kuwona m'maganizo maphunziro pogwiritsa ntchito njira zina zothandiza.
Kuzindikira matenda, njira zotsatirazi zikugwiritsidwa ntchito:
- Kupindika kwa m'mimba kumakupatsani mwayi wowona kutulutsa kwa mucosa ndikusiyana kwambiri ndi nkhaniyi.
- Fibrogastroduodenoscopy - kukhalapo kwa malo ampangidwe a mucosa, pamwamba pomwe pali chithunzi, kutuluka kwa malo ogwedeza.
- Kupenda kwa Ultrasound kwam'mimba, kuphunziraku kumachitika pazozama zosiyanasiyana za kapamba komanso matulutsa amkati palokha.
- Tomography yowerengeka imawonetsa matenda, koma pali kufunika kosiyanitsa ndi njira zotupa, pokhudzana ndi izi, biopsy ya mapangidwe imachitidwa ndikuwunikanso kwa histological kutsimikizira kuzindikiridwa panthawi ya fibrogastroduodenoscopy.
Gland ya Aberrant ikhoza kugawidwa m'magulu atatu a histology.
Mtundu I uli ndi minyewa yokhala ndi bolodi yokhala ndi kakhalidwe kakang'ono ndi masisumbu ofanana ndi masisitere achizolowezi;
Mtundu Wachiwiri umakhala ndi minyewa ya pancreatic yokhala ndi ma acini ambiri komanso ma ducts angapo opanda maselo a islet;
Lembani III, momwe mumapezeka ma ducti okha.
Chifukwa chake, pancreas yonyansa (makamaka mitundu I ndi II) imatha kuwonetsa machitidwe osiyanasiyana a kapamba, kuphatikizapo kapamba (pachimake ndi chovuta), komanso kusinthasintha kwa kovutirapo ndi koipitsitsa.
Chithandizo cha matenda am'thupi
Zimakhala zowunikiratu ngati kusinthika kwamphamvu kapena kwakanthawi kotupa komwe kumachitika chifukwa cha kapamba kumachitika chifukwa cha zomwe zimachitika zomwe zimayambitsa kupindika kwa kapamba.
Chiwalo cha ectopic chimatha kukhalabe mumithunzi yonse moyo, koma ngati chayambukiridwa ndi njira ya pathological, ndiye kuti chithandizo chopambana kwambiri ndicho opareshoni.
Pakadali pano, amagwiritsanso ntchito mankhwala omwe amagwiritsidwa ntchito ngati mankhwala a somatostatin - mahomoni a pituitary, mankhwalawa ndi othandizira ndipo samathandiza kuchepetsa matumbo a stenosis.
Tsopano madokotala ochita opaleshoni akuyesetsa kuchitira opareshoni zowopsa kwambiri, ndipo ngati chithokomiro cha pancreatic chachitika, njira zamagetsi zosafunikira kwenikweni kapena njira zochitira opaleshoni ya maso zimagwiritsidwa ntchito:
- Kugwira kwa microlaparotomy ndi mapangidwe anastomosis pakati pa anatomical ndi aberrant glands - izi zimapewa kukula kwa kutupa kwa ectopic organ.
- Ngati kapamba amapezeka khoma la antrum, pomwe nthawi zambiri amakhala ndi mawonekedwe a kukula kwa polypous, endoscopic electroexcision imagwiritsidwa ntchito.
Chifukwa chake, kuchotsedwa kwa maphunziro kumachitika popanda zotupa za mucosa, komanso kutaya magazi pang'ono.
Zikatero, wodwalayo amatha kupita kunyumba masiku awiri kapena atatu.
Zizindikiro za matenda a kapamba amafotokozedwa mu kanema munkhaniyi.
