Pancreatic cyst

Cyst ndi benign misa, mzere womangidwa ndi makhoma ndipo wadzazidwa ndi madzi. Itha kupangika mu chiwalo chilichonse, kuphwanya ntchito zake. Posachedwa, mitundu yotereyi pa zikondamoyo imapezeka kwambiri, makamaka pakati pa anthu azaka zopitilira 40. Izi zimachitika chifukwa chopezeka pafupipafupi ndi kapamba chifukwa cha kuperewera kwa zakudya kapena zizolowezi zoipa. Kutengera ndi kukula, malo ndi zomwe zimapangidwira mapangidwe a cyst, sizingawonetse chilichonse kapena kuwononga kwakukulu pancreatic function. Pankhaniyi, mankhwalawa a matenda a pathology ndi okhawo opaleshoni.

Makhalidwe wamba

Pancreatic cysts ndi njira yodziwika bwino yofinya. Mitsempha yotereyi imapangidwa ndikuwonongeka kwa tiziwalo tathupi, kusokonezeka kwa magazi ndi kutuluka kwa madzi a pancreatic. Zotsatira zake, njirayi imapangidwa m'malo mwa maselo akufa, omangidwa ndimakoma a minofu yolumikizana. Nthawi zambiri imadzazidwa ndi madzi a pancreatic, koma zomwe zimakhala mkati mwake zimatha kukhala mafinya, magazi kapena kutulutsa kwadzuwa. Njira ya mapangidwe ake imatha kukhala yayitali - kuyambira 6 mpaka 12 miyezi.

Chotupa pa kapamba nthawi zambiri mafomu patsiku la maselo a parenchyma. Ndi kutupa kapena kudzikundikira kwa madzi a pancreatic, minofu imawonongeka malo amodzi. Komanso, malowa nthawi zambiri amakhala ochepa. Mmenemo, kuchuluka kwa minofu yolumikizika kumachitika. Pang'onopang'ono, maselo oteteza kumatenda amawonongeratu mphamvu yotupa, koma patsekedwe limatsalira. Chotupa chotchedwa post-necrotic cyst chimadzaza ndi ma cell akufa, yotupa exudate, magazi, koma nthawi zambiri - madzi a pancreatic.

Mtundu wa matenda ofanana, omwe m'mitsempha yambiri mumapangidwa gland, ndiye cystic fibrosis kapena cystic fibrosis. Ichi ndi chibadwa chatsopano chaubadwa chodziwika ndi kukula kwa kapamba ndi kufalikira kwa maukidwe a gland. Koma ma cysts amapangika osati m'chiwalo ichi, komanso m'mapapu kapena m'matumbo.

Mzere ndi kuzungulira kwa mizere komwe kumadzaza madzimadzi omwe amatha kupezeka paliponse mu gland.

Zosiyanasiyana

Nthawi zambiri, mitundu yonseyi mu kapamba imagawika m'magulu awiri. Cysts zowona zimaphatikizira zingwe zamkati zomwe zimakhala ndi epithelial cell kuchokera mkati. Amatha kupangika mu matenda a zonyansa za m'matumbo kapena chifukwa cha zododometsa za chitukuko cha intrauterine. Pseudocyst ndi kapangidwe kameneka kamene kamapezeka pamalo otupa. Ngakhale matenda oterewa ndiofala kwambiri kuposa ma cysts owona, asayansi ambiri sawasiyanitsa pagawo lina.

Kuphatikiza apo, ma cysts omwe amapangidwa nthawi ya kapamba amadziwika. Pali mitundu yodziwika yomwe nthawi zambiri ilibe makoma awo. Makoma a ma ducts, gland palokha, kapena ziwalo zina zimatha kugwira ntchito yawo. Palinso matenda monga cystofibrosis, momwe mahatchi opangidwa bwino, nthawi zambiri amakhala owumbika. Makoma awo amapangidwa ndi minofu ya ulusi. Mlandu wovuta kwambiri ndi pamene chithupsa chodzaza ndi mafinya chimachitika. Vutoli limatchulidwanso kuti cysts, chifukwa limapangidwa m'malo mwa kukhuthala kwa cyst kapena minofu yakufa ndi necrosis.

Mapangidwe oterewa amaphatikizidwanso molingana ndi malo achitukuko. Nthawi zambiri, kamutu wa kapamba amapangidwa, chifukwa apa pali ma ducts ambiri, duct ya bile imadutsa, pali uthenga ndi duodenum. Phata la thupi kapena mchira wa kapamba zimawonekeranso.

Kuphatikiza apo, nthawi zina cysts imasankhidwa ndi mtundu wa minofu ndi chifukwa chowonekera:

• zoopsa zimachitika chifukwa chovulala kapena kuvulala kwam'mimba.
• parasitic amathandizira kutenga matenda a majeremusi mwachitsanzo, echinococci;
• kobadwa nako kuonekera pa fetal;
• kusunga kumachitika chifukwa chotseketsa ma ducts;
• ma pseudocysts amapangidwa pamalo omwe amafa maselo.

Ma Cysts amatha kukhala osiyana pamalopo, kukula kwake komanso zomwe zili.

Zifukwa

Posachedwa, izi zachipatala zikuchulukirachulukira. Komanso, chomwe chimayambitsa nthawi zambiri ndi kapamba. The pachimake mawonekedwe a matenda, zikubweretsa imfa ya maselo a parenchyma, pafupifupi 15-20% ya milandu kumabweretsa mapangidwe ofanana. Izi zimachitika patadutsa milungu itatu itatha isanayambike kutupa, pomwe malo a necrosis awonekera m'matumbo a minyewa. Koma nthawi zambiri, zotumphukira zotere zimapangidwa mu chifuwa chachikulu. Oposa theka la odwala, makamaka omwe satsatira malangizo a dokotala, akukumana ndi vutoli.

Kapangidwe ka post-necrotic cyst kumatha kuyambitsa kuphwanya kwa kutuluka kwa kapamba wa pancreatic, kutsekeka kwa sphincter ya Oddi, matenda a ndulu. Ma pathologies awa onse amatsogolera pakufa kwa maselo a pancreatic, ndipo nthawi zambiri mawonekedwe amkati mwake amakhala m'malo mwawo. Koma zifukwa zina zitha kuchititsa kuti izi zitheke:

• kuvulala kwam'mimba;
• kuphwanya kwamphamvu magazi ku chisa chifukwa chotuluka kwamitsempha yamagazi ndi magazi;
• chotupa cha msempha;
• mavuto mu intrauterine kukula kwa ductal dongosolo la gland;
• matenda oyamba ndi majeremusi.

Zizindikiro

Osati nthawi zonse kupangidwa kwa chotupa kumapangitsa wodwala kusasangalala. Mitundu yaying'ono yomwe singakakamize kutsitsa kwa ziwalo kapena ziwalo zina imatha kuonekera kwa nthawi yayitali. Komanso, nthawi zambiri, mapangidwe ake amapezeka motsutsana ndi maziko a kutupa, chifukwa chake kupweteka kumachitika chifukwa cha kapamba. Ululu wammbuyo umatha kukhala wofatsa, kuwoneka ngati kusapeza bwino pang'ono. Kapenanso zimachitika paroxysmally. Kupweteka kwambiri kumawonekera pamene chotupa chikufinya, ulusi wamanjenje, ndi ziwalo zina.

Ngati chotupa chikukula mpaka 5cm kapena kufinya minofu yoyandikana, imatha kupweteka, nseru, komanso kudzimbidwa.

Kuphatikiza apo, pakhoza kukhala ndi zizindikiro za pancreatic cysts zomwe zimafanana ndi kufalikira kwa matenda am'mimba:

• nseru, nthawi zina kusanza;
• belching, flatulence, kutentha kwache;
• kusokoneza kwamatumbo;
• kusowa kwa chakudya;
• chifukwa chosamwa bwino zakudya, kunenepa kumachepa;
• kuchepa kwa magwiridwe.

Ngati chotupa chikukula kuposa 5 cm, chidzadziwonetsa m'mavuto akulu. Zizindikiro za izi zimadalira malo omwe adapangidwira. A cyst yomwe ili pamutu pa zofunikira nthawi zambiri imakankhira ndulu za bile. Izi zimawonetsedwa mu mawonekedwe a jaundice wopewera, kuyabwa kwambiri pakhungu. Kupsinjika kwamitsempha yamagazi kumatha kuyambitsa kuphwanya kwamwazi m'matumbo am'mimba komanso kutupa kwa m'munsi. Cysts yayikulu yayikulu ya pancreatic nthawi zina imasokoneza mkodzo kutuluka ndikuwongolera kukokoloka kwamkodzo, komanso imatha kufinya matumbo kapena ndulu. Zotsatira zake ndi kutsekeka m'matumbo ndi ma pathologies ena.

Zizindikiro

Si aliyense amene angayerekezere kuopsa kwa chotupa cha kapamba. Koma ngakhale izi ndizabwino, zotsatirapo zake osalandira chithandizo zingakhale zazikulu. Choyamba, chotupa chimatha kukula, zomwe zimapangitsa kuti minyewa ya ndulu kapena ziwalo zina ziwonongeke. Kuphatikiza apo, imatha kukhala yotupa, yovuta ndi mafuta a makoma kapena magazi. Chifukwa chake, ngati mukukayikira zamtunduwu, muyenera kukayesedwa.

Mukamufufuza, adokotala amatha kukayikira nthawi yomweyo kupezeka kwa pancreatic cyst pazowonetsa zikhalidwe, ndipo ndi maphunziro ambiri, pamimba imangotuluka mbali imodzi. Komabe kuyezetsa kothandiziridwa ndi komwe kumayikidwa. Njira yodziwika kwambiri ndi ultrasound. Kufufuza kotereku kumakupatsani mwayi wotsimikizira kukhalapo kwa cyst, kuwunika kukula kwake, ndikuyikira kukonzekera kwa zovuta. Ngati ndi kotheka, MRI imayikidwa, yomwe imatha kudziwa kukula kwa mapangidwe, kulumikizana ndi ma ducts, kuwonongeka kwa minofu.

Ndikotheka kudziwa cyst pokhapokha ngati mukuyesa mayeso ogwiritsa ntchito, nthawi zambiri kupenda kwa ultrasound kumachitika chifukwa cha izi

Nthawi zina CT kapena scintigraphy imapangidwanso kuti imveketse bwino matendawa komanso tsatanetsatane wa chidziwitso cha matenda. Ndipo pakukonzekera ntchitoyo, ERCP - endoscopic retrograde cholangiopancreatography - imachitidwa. Zimafunikira kuti mudziwe zambiri zamtundu wa cyst, momwe zimalumikizirana ndi ma ducts, mitsempha yamagazi, komanso zimakhala zina.

Chithandizo

Chithandizo cha pancreatic cysts ndi zotheka pokhapokha. Koma kufunikira kwa opareshoni sikumabuka nthawi zonse. Kupatula apo, ngati chotupa chiri chaching'ono, sichikukula ndipo sichifinya minofu, sichimayambitsa chisokonezo. Potere, wodwalayo amangofunika kutsatira zakudya ndikumamufufuza pafupipafupi kuti asaphonye zovuta zomwe zingachitike.

Kusamalira mwadzidzidzi kumafunika ngati wodwala akumva ululu wam'mimba, wasowa chikumbumtima, wasanza osagwirizana ndi magazi, wamtima osweka. Ndikofunikira kuti mumuperekeze kuchipatala, koposa zonse - ku dipatimenti yochita opaleshoni, chifukwa nthawi zambiri adzafunika opaleshoni. Kupatula apo, zizindikilo zotere zimawonekera pamene chotupa chikuyenderera, kukhetsa kapena kutulutsa magazi.

Mukamasankha njira yochitira opaleshoni, dokotala nthawi zonse amayang'ana kwambiri payekha. Zoyikapo zikuluzikulu, makamaka ngati zimakulitsa kapena kuwopseza kuponderezana, zimachotsedwa. Nthawi zambiri izi zimachitika limodzi ndi gawo la chitsa chakecho. Kuchuluka kwa minofu yomwe imachotsedwa sikungotengera kukula kwa cyst, komanso mkhalidwe wa parenchyma. Popewa kutayidwanso, gawo lowonongeka la chindacho limatha kuchotsedwa. Koma ntchito zoterezi sizichitika kawirikawiri, chifukwa pambuyo pake zovuta zambiri ndizotheka.

Ngati cyst patsekopo ndi yaying'ono, ndipo siyovuta ndi ma pathologies ena, ngalande itha kukhala yoyenera. Khoma la mapangidwe limabedwa ndipo zomwe zili mkati mwake ndizofunikira. Pali mitundu ingapo ya ngalulu. Ngati chotupa sichikhudzanso kukoka kwa kapamba, kuboola kumachitika kudzera pakhungu. M ngalande imakhazikitsidwa pomwe mkati mwake ma cyst amatuluka. Nthawi zina opaleshoni ya laparoscopic kapena ngalande yam'mimba imachitidwanso.

Zizindikiro za Insulinomas

Pakati pazamankhwala osokoneza bongo a cysts, symptomatic mankhwala amagwiritsidwa ntchito. Childs, pancreatic ntchito ndi matenda amachepetsa, motero tikulimbikitsidwa kuti nthawi zonse tizikonzekera enzyme. Itha kukhala Pancreatin, Panzinorm, Creon, Festal. Odwala omwe amatsatira zoletsa zina pazakudya ndikutsatira kukonzekera kwa adokotala amamva bwino ndipo amatha kupewa zovuta zamatenda.

Koma nthawi zina makhwala ena amafunikanso. Imatha kukhala antispasmodics kapena analgesics yopweteka kwambiri, mankhwala othandizira a flatulence, antiemetics. Ndi parasitic cyst, njira ya mankhwala anthelmintic imagwiritsidwa ntchito. Nthawi zina zimakhala zovomerezeka kuchotsa zizindikiro ndi wowerengeka azitsamba. Nthawi zambiri, tiyi wazitsamba wozikidwa pa decoction ya calendula amalimbikitsidwa. Ndikofunika kuwonjezera celandine, yarrow, chicory, masamba a currant ndi lingonberry kwa iwo.

Chakudya chopatsa thanzi

Mosasamala kanthu za njira yomwe mankhwalawo amasankhidwa, wodwala yemwe wapezeka ndi izi amafunika kusinthana ndi zakudya. Chakudya chimayenera kuthandizidwa m'magawo ang'onoang'ono, nthawi zambiri - mpaka 6-7 patsiku. Izi zimathandizira kupsinjika kwa kapamba. Onetsetsani kuti simukuchotsa zinthu zomwe zimapangitsa kuti ipange mandala. Izi makamaka msuzi wamphamvu, zonunkhira, zakudya zamafuta, marinade ndi pickles. Komanso sikulimbikitsidwa kugwiritsa ntchito zinthu zomwe zimakhala ndi kukoma.

Kutsatira zakudya zapadera kumathandiza kupewa zovuta komanso kuthandiza wodwalayo kumva bwino.

Zakudya zopanda chilolezo zimaphatikizapo zakumwa zoledzeretsa, khofi, koloko, maswiti, nyama zosuta ndi zipatso. Sikoyenera kugwiritsa ntchito nyemba, kabichi, radish, radishes, adyo, bowa, chifukwa zinthu izi zimapangitsa kuti pakhale kupangika kwa gasi. Kuti muchepetse katundu pazitsulo, chakudya chimayenera kudyedwa chifukwa cha mafuta. Sizoletsedwa kuti ziwazungulidwe, ndibwino kuti zizisenda, kuwira kapena kuwotcha.

Zakudya za pancreatic cyst zimaphatikizapo kugwiritsa ntchito zinthu monga:

• nyama yokonda ndi nsomba;
• skim mkaka, kefir, mkaka wowotchera, yogati wachilengedwe;
• mpunga, buluwheat, oatmeal;
• mazira owiritsa;
• mikate yoyera yoyera, zopopera, masikono;
• masamba ophika kapena ophika;
• amadyera atsopano;
• zipatso zazing'ono, koma osati acidic;
• zipatso zouma, compota, msuzi wobiriwira.

Mavuto

Kukula kwa pancreatic cysts zimatengera chomwe chimayambitsa matenda, malo amkati, komanso nthawi yayitali ya chithandizo. Pafupifupi theka la milandu ya matendawa imayendera limodzi ndi zovuta. Fistulas imawoneka, mafuta othamanga, magazi kapena kuwonjezereka kumatha kuchitika. Pankhaniyi, matenda am'mimbamo amatheka - peritonitis. Nthawi zina izi zitha kukhala zotupa.

Funso la kufunika kwa opaleshoni yochotsa cyst imasankhidwa payekha

Ngakhale ndi chithandizo chanthawi yake, matenda a zamatumbo amatha kukumana ndi zovuta. Ngati zifukwa zake sizikuchotsedwa, chotupa chingathe kupangidwanso. Chifukwa chake, ndikofunikira kwambiri kuchitapo kanthu kupewa izi. Kuti mudye moyenera, perekani zakumwa zoledzeretsa komanso kusuta, ndipo ngati pali chilichonse chosonyeza kuti akuphwanya njira yotsegulira chakudya munthawi yake kuti mupereke chithandizo.

Ndemanga

Masewera olimbitsa thupi amapezeka pancreas. Koma si odwala onse omwe amadziwa momwe amadzidziwira, popeza mawonekedwe ocheperako samabweretsa chisokonezo. Anthu ambiri amakayikira ngati zingatheke popanda kuchita opareshoni. Zonse zimatengera umunthu payekha. Koma mutha kuwerengera owonetsa odwala njira zosiyanasiyana zochiritsira.