Chifukwa cha kuvulala kwa kapamba, kapena chifukwa cha kutupa komwe kumayamba mu chiwalochi, ma post-necrotic pancreatic cysts amatha kuonekera. Amapanga mwachindunji mu mafunde a limba, ali ndi makoma omwe amachepetsa mbali zina za chiwalo. Nthawi zambiri pamakhala timadzi.
Kuzindikira zamaphunziro ndizotheka pokhapokha mothandizidwa ndi zida zapadera. Koma pali zizindikiro zina zomwe zitha kuwonetsa kukhalapo kwa cysts mkati mwa chiwalo chapamwamba.
Zizindikiro zimatha kusiyanasiyana, kutengera kukula kwa ma cysts, malo omwe ali komanso zifukwa zake. Nthawi zina zimakhala zovuta kumva, koma nthawi zambiri, wodwalayo amamva kupweteka kwambiri. Zizindikiro zopweteka zimachitika chifukwa cha kupangika kwa ziwalo zapafupi.
Matendawa amathandizidwa pokhapokha mothandizidwa ndi opaleshoni yothandizira; pancreatic drainage imagwiritsidwa ntchito pazifukwa izi. Pafupipafupi, amatha kusewera gawo la chiwalo komwe kupezeka kwa ma cystic apezeka.
Musanayambe kuchitapo kanthu, muyenera kupenda wodwalayo mosamala. Wodwalayo amatumizidwa kuti atumizire ultrasound, MRI kapena CT ndi ERCP.
Kodi muyenera kudziwa chiyani za matendawa?
Ndi mapangidwe a cyst, minofu necrosis imayamba, yomwe imathandizira kuwoneka kwa granular misa ndikudziunjikira kwa katulutsidwe ka pancreatic.
Pali mitundu iwiri ya ma cystic omwe amapanga - obadwa nawo komanso otengedwa.
A cyst ikhoza kukhudza magawo onse a kapamba - mutu, thupi la ndulu ndi mchira wake. Mfundu ikhoza kukhala yosavuta kapena yovuta.
M'mayiko azachipatala, ma pathological patiski amagawika m'magulu awiri molingana ndi chikhalidwe chawo:
- matumbo oyambitsidwa ndi kutukusira komanso opanda malire am'manja;
- neoplasms, pambuyo pake amapanga kutsekeka kwa ma ducts.
Ndipo zotupa zomwe zimachitika chifukwa cha zovuta za pachimake kapamba zimagawika:
- Pachimake, omwe alibe makhoma awo ndipo amagwiritsa ntchito pazinthu zotsekemera za England kapena ma ducts, pancreatic fiber. Nthawi zina m'malo mwa makhoma mumakhala zokutira za ziwalo zoyandikana.
- Mapangidwe amadzimadzi am'madzi omwe ali ndi makoma a minofu ya fibrous.
- Zotsatira za pancreatic necrosis zimatha kukhala mawonekedwe a patsekeke lodzala ndi mafinya - ichi ndi chifuwa.
Pancreatitis ndiyomwe imayambitsa kwambiri cysts, imati:
- mu kutupa kwambiri kwa kapamba - kuyambira 5% mpaka 20 peresenti ya milandu ya cysts yomwe imawonekera pakatha masabata 3-4 akudwala;
- aakulu kapamba ndi chifukwa mu mawonekedwe a pambuyo-necrotic cysts mu 75% milandu.
Nthawi zina, mawonekedwe a cystic amawoneka chifukwa cha mawonekedwe amiyala mu chikhodzodzo, pomwe kutulutsa kwa madzi a pancreatic kumasokoneza.
Kuphatikiza apo, mapangidwe a cysts amatha kuchitika chifukwa cha kuvulala kwamakina, kapangidwe kake ka pancreatitis komanso stenosis ya sphincter ya Oddi.
Pathologies mu kapamba amapangidwa motere:
- Kuwonongeka kwa zokutira kwa minofu kumachitika, komwe kumayendetsedwa ndi kudziunjikira kwa neutrophils ndi lymphocyte, njira zowonongeka komanso zotupa.
- Dera lomwe lakhudzidwalo limakhala laling'ono kuchokera ku maselo a epithelial omwe amagwira ntchito, chifukwa chomwe kuchuluka kwa minofu yolumikizana kumayambira ndikuyamba kupindika.
- Thupi, kuyesera kudzitchinjiriza ku njira zowonongeka, kugunda kutupa, maselo a chitetezo cha mthupi amawononga tinthu tomwe timayang'ana pakatupa timene timayambitsa mimbayo.
- Kutengera komwe kuli khomalo, madzi a kapamba, zokutira, zotupa, kapenanso magazi atha kudzikundikira. Mapeto ake amatha ndi kuwonongeka kwa mtima.
Kuphatikizika kwa magazi mkati mwazinthu zazikulu ndizomwe zimawoneka ngati zotupa, chifukwa ndi izo, kupanikizika mkati mwamkati kumatha kuwonjezeka katatu, komwe kumayambitsa ziwopsezo zazing'ono.
Zomwe zimayambitsa komanso zizindikiritso za pancreatic cysts
Posachedwa, pancreatic cyst ndi matenda ofala kwambiri. Kuopsa kopezeka, kukula ndi kuchuluka kwa mitundu yotereyi m'matumbo sizitengera zaka kapena mtundu wa munthu. Magawo onse aanthu ali ogonjera, ngakhale gawo la zochitika kapena gulu. Komanso, chotupa chingakhudze ziwalo zathanzi.
Ndikofunikira kudziwa kuti m'thupi lathanzi, mitundu yonyenga ya ma cysts sikhala. Komanso, imapangidwa monga chifukwa cha kusokonezeka kulikonse m'thupi.
Matenda omwe amafala kwambiri ndi kapamba ndi kuvulala, mwachitsanzo, kuphatikizika kapena kusagwira bwino ntchito kwa duct. Izi zitha kuchitika ndi thrombosis, pomwe zolembera zitatseka chotengera.
Kuphatikiza apo, chotupa chimatha kupangidwa chifukwa chakuwukira kwa parasitic m'thupi. Koma gawo la mkango pamilandu ndi kapamba, mawonekedwe osakhalitsa omwe angayambitse kuwoneka ngati post-necrotic cyst.
Zotsatira zamaphunziro angapo azachipatala, zifukwa zotsatirazi zoyipa zomwe zimawoneka komanso kukulitsa mawonekedwe a cystic zatsimikiziridwa:
- kukonda mowa;
- kunenepa kwambiri, komwe kumatha kuyambitsa vuto la lipid metabolism;
- mavuto pambuyo opaleshoni ziwalo nawo chimbudzi;
- mtundu II matenda a shuga.
Kukhalapo kwa cyst mwa munthu ndikotheka, ngakhale kungafanane ndi chimodzi mwazinthu izi pamwambapa, zomwe zimakhudza magwiridwe antchito a kapamba.
Zizindikiro zomwe zimawonekera kwambiri nthawi zambiri cha cystosis:
- Mukatha kudya kapena kumwa mowa, kupweteka kwambiri kwa herpes zoster kumawonekera, komwe sikopita pakumwa mankhwala. Kupweteka pafupipafupi ndikotheka, kukulitsidwa ndi kudya, mapiritsi nawonso samathandizira kuchepetsa ululu. Kusanza pafupipafupi kumathandiza kuthetsa ululu.
- Kulephera m'matumbo - kutsekula m'mimba, kupangika kwa mpweya m'thupi, kuphuka nthawi zonse.
- Nthawi zambiri kutentha kwa thupi kumakwera, kuwonda kumawonekera, kumakhala kupweteka kwamphamvu kukakamira mbali yakumanzere.
Ndizodziwika kuti chizindikiro ichi chimatha pambuyo pa milungu ingapo, koma kungosangalatsa kwakanthawi wodwalayo ndi chifukwa chodandaula kwambiri, chifukwa ndiye kuti ululu umabweranso ndikulimba.
Ndiwothekanso kukhala ndi pakamwa pouma, kugwiritsa ntchito chimbudzi pafupipafupi osafunikira, komanso m'malo ovuta kwambiri - kutaya chikumbumtima komanso kugona.
Njira zodziwitsira ndi njira zamankhwala
Ngati dokotala wodziwikiratu wavumbulutsa kuwonekera kwa wodwala mthupi kuti pakhale kupangika kwa chifuwa, kupenda kwa endocrinological kumachitika.
Ngati kukayikiraku kuli koyenera, ndiye kuti mndandanda wowonjezera umachitika.
Kuti muwone chithunzi chonse cha matendawa, kuti mudziwe kuchuluka ndi kuchuluka kwa ma neoplasms, ma radiation a ultrasound amalo omwe akhudzidwa amachitidwa.
Ngati pali purulent cystic neoplasms, kusinthasintha kwa zachilengedwe kudzakhalapo. Pofuna kuphunzira mosamalitsa ma neoplasms ndi momwe zimakhalira, kuti mudziwe ubale ndi othandizira komanso kulumikizana ndi ziwalo zina, MRI ya kapamba ndi CT zimachitika.
Kuti mupeze mankhwala molondola, ndikofunikira kudziwa ubale wa mawonekedwe a cystic ndi ma pancreatic ducts. Izi zimakuthandizani kuti muchite endoscopic retrograde cholangiopancreatography (ERCP).
Kwenikweni, ERCP imalembedwa ngati chithandizo cha mankhwala sichingatheke ndipo njira zopangira opaleshoni zikufunika kuthana ndi mavuto, zomwe ndi njira monga kukhetsa kwa pancreatic cyst ndi marsupialization ya pancreatic cyst.
Njira yoyamba yoperekera opaleshoni ndiyo kukhetsa madzi kunja, komwe kumapangidwira kuchiritsa wodwala kuchokera ku mawonekedwe a cystic. Kuti mugwire bwino ntchito, ndikofunikira kuti ma cyst apangidwe ndi okulirapo (kupitirira masentimita 5).
Mtundu wachiwiri wa opaleshoni ndi womwe umapangidwira ngati madziwo amachotsedwa ndipo amasiyana m'mawuwo kuti ma cyst samachotsedwa koma amathiridwa kanthu, ndipo m'mphepete mwake amakankhidwa kumphepete mwa opaleshoni kuti opaleshoni isachitike.
Chithandizo chachipatala cha ma cystic form form ndikotheka ngati cyst ndi yokhayo, ili ndi malire omveka ndipo m'mimba mwake simapitirira 2 cm.
Njira yothandizira mankhwalawa a kapamba ndi motere:
- Pa gawo loyamba, wodwalayo ayenera kutsatira zakudya mosamalitsa, kukana chakudya kwathunthu.
- Kenako mutha kudya, kupatula zakudya zamchere, zokazinga ndi zamafuta kuchokera kuzakudya.
- Kuletsedwa mwamphamvu zakumwa zoledzeretsa ndi malonda a fodya.
- Kupuma pogona kuyenera kuonedwa mosamalitsa kwa sabata limodzi ndi theka.
Pambuyo pokwaniritsa zofunikira za gawo loyamba la chithandizo, mankhwala amalembedwa:
- kupewa ma virus omwe amalowa mu cyst patsekeke yomwe imayambitsa njira zowola, tetracyclines kapena cephalosporins ndi mankhwala;
- ma inhibitors adapangidwa kuti athetse ululu ndikuchepetsa kubisalira. Nthawi zambiri, Omez ndi Omeprazole amalembedwa;
- kukonzekera okhala ndi lipase ndi amylase, kumathandizira kuti pakhale chimbudzi. Nthawi zambiri, Pancreatin ndi Creon amatchulidwa kuti azisintha njira zokumba.
Mapangidwe a cystic omwe amapezeka ndi biliary pancreatitis amafunikira chithandizo chowonjezera ndi mankhwala a diuretic.
Nthawi zina mapangidwe a cystic amatha pambuyo pakutha kwa chinthu chomwe chimapangitsa mapangidwe awo. Ngati chithandizo cha mankhwala sichinayende bwino mkati mwa mwezi umodzi wa kalendala, opaleshoni imayikidwa.
Mutha kupeza ndemanga zambiri zothandiza pa njira zina zamankhwala, kuphatikizira decoctions a burdock, celandine, mummy, etc., koma palibe umboni wazachipatala wazomwe amachita. Chifukwa chake, nkoyenera kufunsa funso, kodi ndikofunikira kuyika thanzi ndi kuyesa?
Zakudya za mitundu yama cystic zimafanana ndi chakudya cha kapamba. Zakudya ndizofunikira kuti muchiritse bwino mankhwala, ngakhale mutakhala mankhwala kapena opareshoni. Chofunikira kuti munthu abwezeretsedwe pambuyo pake, ndikutsatira kwambiri zakudya zopatsa thanzi.
Zotsatirazi ndizoletsedwa:
- zakudya zamafuta;
- zakudya zokazinga;
- zakudya zamchere (ndipo nthawi zina kukana mchere kwathunthu ndikofunikira).
Ndiosafunika kudya zakudya zozizira kapena zotentha ndi zakumwa. Muyenera kudya zakudya zotentha zokha, zatsopano. Chakudya chophatikiza chimayenera kukhala pansi mu blender kuti chithandizire kugaya. M'pofunika kuganizira za zakudya zosiyana. Ndikulimbikitsidwa kudya pang'ono, koma nthawi zambiri.
Chithandizo cha post-necrotic cysts chikufotokozedwa mu kanema munkhaniyi.
