Chikhansa ndichofunikira kwambiri, koma nthawi yomweyo chimakhala chovuta kwambiri. Imafunikira chisamaliro chapadera komanso chithandizo chamankhwala pafupipafupi ngati patadwala matenda alionse. Chikhansa chimatulutsa madzi a pancreatic, ma enzymes, komanso mahomoni. Secretion wa Hormone ndi ntchito ya endocrine yokha.
Madzi ndi ma enzyme, ndiye kuti, ntchito za exocrine, zimakhala zolimba kwambiri. Pogwiritsa ntchito njira zotupa m'matumbo, amatha kusintha ntchito yawo motsutsana ndi maselo omwe amawatsekera.
Kuyipa kwamtunduwu kumawonekera, mwachitsanzo, pancreatitis yovuta, ndipo kumabweretsa minofu necrosis. Nthawi zambiri, gawo lokha la maselo ogwira ntchito bwino limakhala ndi necrosis, ndipo pambuyo pake limangokhala ndi kapisozi kakang'ono komwe kamangopangika. Pansi pa kapisozi, ma kapamba a pancreatic, tinthu tating'onoting'ono ta necrotic. Izi zimapanga chotupa.
Gulu la cysts mu mankhwala
Malinga ndi limagwirira la zochitika, ma cysts agawidwa kukhala owona ndi abodza.
Zoona, kapena zatsopano, zimapezeka m'matumbo kuyambira kubadwa. Ichi ndi chilema pakukula kwa fetal. Khoma la cyst loona limakhala ndi zotumphukira kuchokera mkati, ndipo izi sizikula. Ma pathologies amenewa ndi osowa kwambiri.
Cyss zabodza zimachitika nthawi yachiwiri, ndiye kuti, pambuyo pa matenda aliwonse am'mbuyomu, kuvulala, kapena opaleshoni yamapazi. Palibe epithelium yomwe imapezeka m'makoma a makoma awo.
Kutengera kuthekera kwa patsekeke, ma cysts amaikidwa motere:
- misempha ya mutu wa kapamba - amatulutsa kamtsempha kameneka ndipo amatha kuponderezana ndi duodenum.
- Thupi la chithokomiro limakhudzidwa kwambiri ndi cysts, izi zimapangitsa kuti m'mimba ndi m'mimba musamayende.
- zingwe zitha kukhala pamchira, pamenepa zimabwezeredwa, kapena kubwezeretsa, chilengedwe, ndizowopsa kwambiri pakuwonongeka kwa ziwalo zapafupi.
Malinga ndi maphunziro a zamankhwala, amagawika pachimake, subacute ndi abscess.
- Pachimake amapangidwa mwachangu, momveka bwino kuti alibe malire. Mumkati mumatha kukhala zikopa za kapamba, parenchyma kapena CHIKWANGWANI.
- Subacute, kapena yayitali, ma cysts amawoneka kuchokera pachimake chifukwa chakuti makoma amapanga minofu ndi michere yomwe imapangika nthawi yotupa.
- Chithupsa ndi kuphatikizika kwazomwe zimapangidwa ndi purulent mkati mwake.
Mwa kukhalapo kwa zovuta, cysts imatha kukhala yovuta - ndi fistulas, hemorrhages, purulent nkhani komanso mafuta komanso osavuta.
Chifukwa chiyani ma cysts amachitika?
Monga tafotokozera pamwambapa, ma cysts abodza amapangidwa chifukwa cha matenda osiyanasiyana kapamba.
Pali njira ndi matenda omwe nthawi zonse amatsogolera njira za cystic.
Izi zikuphatikiza:
- pachimake yotupa njira (kapamba);
- zowawa;
- kufupikitsa kwakanthawi kapena kupitiriza kwa nthawi yayitali (mwachitsanzo, cholelithiasis);
- kuphwanya kwakukulu kwa katulutsidwe;
- helminthic infestations;
- protozoa;
- machitidwe a oncological mu kapamba.
Kuphatikiza pazifukwa zomveka, pali zinthu zingapo zomwe zimayambitsa chiopsezo, kapena zinthu zomwe zimawopseza.
Izi ndi izi:
- Uchidakwa wambiri;
- Kufalikira kwa biliary thirakiti;
- Kunenepa kwambiri;
- Kuchita opaleshoni yochitira mbali iliyonse yamatumbo;
Kuphatikiza apo, chimodzi mwazinthu zodziwika bwino zomwe zikuwonetsa kudziwikiratu ndi kupezeka kwa matenda ashuga mwa wodwala.
Zizindikiro zazikulu za cyst
Zizindikiro za pancreatic cyst zimawonetsedwa m'njira zosiyanasiyana.
Zimatengera mtundu wake, malo, kukula kwake.
Ngati patsekeke ndi imodzi komanso yaying'ono, mpaka hafu ya sentimita, ndiye kuti ilibe vuto lililonse pazida zoyandikana, ziwiya ndi mitengo yamanjenje.
Ngati chotupa chili chachikulu, ndiye kuti matendawo angayambike:
- kupweteka kwambiri, nthawi zambiri kwa chilengedwe cha lamba, lakuthwa kwambiri, kuphatikiza pamimba, kumamveka m'munsi kumbuyo ndi m'mbali;
- kusanza komwe sikubweretsa mpumulo;
- kuphwanya chopondapo munjira ya m'mimba;
- kuchuluka kwambiri kwa mpweya m'mimba (flatulence);
- kuwonjezera pa matenda am'mimba, steatorrhea imawonedwa - kupezeka kwa m'malovu oyendetsa mafuta mu chopondapo chifukwa cha kusowa kwa enzime ya pancreatic;
- kuchuluka kwa kutentha kwa thupi mpaka manambala a subfebrile;
- kufooka kotchulidwa;
- kumverera kolemetsa m'dera lamanzere la epigastric;
- jaundice nthawi zina amatha kuwonekera;
- pafupipafupi pafupipafupi diuresis;
- kuluma kowuma pakamwa;
- kukomoka.
Zizindikiro zitatu zomaliza zimachitika ndikuphwanya kwambiri inshuwaransi ndipo ndikuwonetsa matenda ashuga. Pafupifupi theka la odwala omwe ali ndi cyst pamutu wa kapamba, komanso kukula kwake, ndizotheka kudziwa kutuluka kwa khoma lam'mimba pansi pa sternum.
Njira zodziwitsira ma cysts
Ndi madandaulo ofanana ndi zomwe zikukambidwa, odwala amatembenukira kwa gastroenterologist.
Dokotalayo amapereka mankhwala angapo othandizira odwala komanso othandizira.
Njira zogwiritsira ntchito ma labotale zimaphatikizapo maphunziro angapo:
Kuwerengera magazi kwathunthu. Ziwonetsa kuwonjezeka kwa erythrocyte sedimentation rate (ESR), kuchuluka kwa leukocytes (leukocytosis).
Pakuwunika kwama biochemical, kuwonjezereka kwa bilirubin kumatsimikizika, chifukwa chake jaundice imachitika, komanso kuwonjezeka kwa ntchito ya alkaline phosphatase.
Urinalysis Mu mkodzo, mumatha kukhala mapuloteni, omwe nthawi zambiri sayenera kukhala, ndi maselo oyera, omwe akuwonetsa kutupa.
Mwa njira zofufuzira zomwe mwakhala mukugwiritsa ntchito:
- Kuyesa kwa Ultrasound Zimapangitsa kuwona kukula kwa ma cysts, kuchuluka kwawo ndi zovuta zilizonse, ngati zilipo.
- Magnetic resonance therapy (MRI ya kapamba) imawonetsa bwino lomwe kapangidwe ka maphunziro ndi ubale wake ndi mapangidwe a ndulu.
- Kafukufuku wa radioisotope (scintigraphy).
- Kafukufuku wa radiology wam'mimba.
Kuphatikiza apo, kuyesa kwakumaso kwa minofu ya England kumachitika.
Chithandizo cha Pancreatic cyst
A cyst mu kapamba amathandizidwa ndi achipatala.
Kumwa mankhwalawa kwa ma cysts ambiri sikothandiza kwenikweni, kotero odwala amatumizidwa nthawi yomweyo kuti akachitidwe opareshoni.
Komanso, ntchito zimasonyezedwa ma cysts owopsa, ngakhale atakhala ochepa kwambiri, chifukwa amatha kupereka metastases ku ziwalo zilizonse.
Mitundu yotsatirayi ya kuchitapo kanthu pochita opaleshoni imachitika pa kapamba:
- Mphepo yama cyst - yoyamba, patsekitoni imapendedwa, madzi onse osakanikirana amapukutidwa kuchokera pamenepo, kenako amatulutsira madziwo - chubu lapadera lomwe kutulutsira mosalekeza kwapezeka.
- Sclerosing - njira yogwiritsa ntchito mankhwala, mwachitsanzo, mowa wa ethyl, umalowetsedwa mu cyst, koma patangotha patatha patokha. Pambuyo pa njirayi, minofu yolumikizira imawonekera patsamba la cyst ndikutseka cholakwika.
- Kubwezeretsanso, ndiye kuti kuchotsedwa kwathunthu kwa madera omwe akhudzidwa.
- Opaleshoni ya Laparoscopic imachitidwa ndi magawo awiri ang'onoang'ono pamimba yam'mimba momwe kamera imayikidwira kuti iwone bwino momwe ntchitoyi ikuyendera. Ndiwopweteka kwambiri.
- Operation Frey - imakhudzana ndikuchotsa mutu ndi kulengedwa kwa njira pakati pa kapamba ndi duodenum.
Zotsatira zakuchotsa pancreatic cyst zimaphatikizapo kugaya chakudya chifukwa cha kusowa kwa michere ya pancreatic, postoperative pancreatitis, magazi, komanso matenda ashuga.
Popeza chakudya chimayenera kugayidwa, ndikofunikira kukonzekera enzyme, monga Creon, Mezim-Forte, Pangrol. Kuphatikiza apo, muyenera kutsatira zakudya zina. Pambuyo pa opaleshoni, odwala sayenera kuphatikizidwa ndi zakudya zamafuta, yokazinga, yosuta, zakudya zamchere, zonunkhira, mowa. Zakudya zonse ziyenera kuphikidwa bwino kapena kusenda. Amathandizidwa kwambiri kutentha kutentha, koma osati ozizira kwambiri osati otentha kwambiri. Ndikulimbikitsidwa kudya masamba ambiri, zipatso, mkate wowuma, pasitala, zipatso ndi mabulosi, mankhwala amkaka, nyama yochepa yamafuta ndi nsomba, ndi makeke opanda shuga. Zakudyazi ziyenera kuphatikiza zakudya zisanu ndi imodzi ndi zisanu ndi imodzi panthawi yaying'ono.
Ngati zina mwazizindikiro za pancreatic cyst zikuwoneka, nthawi yomweyo funsani kwa dokotala kuti athandizire matenda apanthawi. Ngati ndi kotheka, khalani ndi moyo wathanzi ndipo yang'anani thupi lanu.
Momwe ma cysts ndi zilonda zopweteka za kapamba zimadziwonetsera muvidiyoyi.
