Zomwe zimatchedwa kuti zabodza pa chimba cham'mimba chogwiritsa ntchito endocrinological zimasiyana ndi chotupa chowona. Pali pseudocyst wa kapamba pazifukwa zingapo ndipo ali ndi mawonekedwe ake. Kodi matenda omwe amapezeka ndi zizindikiro ziti? Kodi imapezeka bwanji? Kodi ndi maulosi ati azachipatala omwe amalosera kwa odwala omwe akuchita chithandizo chodziwikiratu?
Chitsimikiziro cha gastroenterologist
Choopsa cha matenda aliwonse ndikuti chimatha kukhala asymptomatic. Kapenanso, monga lamulo, pachiyambipo, mu gawo lazowawa, limayimira thupi pakuchitika kwake. Popita nthawi, kusintha mawonekedwe osatha, kumatha kuchitika popanda mawonekedwe akunja.
Muzochita zamankhwala, zowona za kudzipatula kwa ma panciras amadziwikanso. Mochedwa, ma neoplasms omwe amapezeka mwangozi amakhala ndi zovuta zazikulu.
Kodi panciras ndi chiyani? Izi neoplasm ili mu mawonekedwe a kudzikundikira kwa pancreatic madzimadzi pansipo kapena matishu (parenchyma) a England. Mitundu yake imagawidwa potengera malo (pa thupi la chiwalo, mchira, mutu). Masewera abodza alibe zolaula. Imachitika nthawi zambiri kuposa mitundu ina ya zotupa.
Zambiri za ma pseudocysts chifukwa:
- pachimake, aakulu kapamba;
- kuvulala kwamakina kwa kapamba (mwachitsanzo, hematomas);
- kumwa mankhwala ambiri;
- organ atherosulinosis;
- monga yankho la (m'mbuyomu) opaleshoni yachitsulo.
Kuli kotsimikizika kuti pambuyo pa mawonekedwe a kapamba mu 20% amodzi amapezeka pseudocyst, chifukwa chodwala - 80%. Chithunzi cha chipatala cha kukula kwa neoplasm yabodza sichosiyana ndi chowona. Zosiyanasiyana zama chotupa cha pancreatic zimadalira, motengera, pa zoyambira (pancreatic, postoperative, post-traumatic).
Ndi matenda obadwa nawo, kusinthasintha kwa ziwalo zathupi lathu ndikotheka. Pathology imachitika chifukwa cha kufalikira kwa kutulutsa kwina kwa tiziwalo timene timatulutsa timadzimadzi. Kusasinthasintha kwachinsinsi kumakhala masango. Pali kuchedwa mu kukula kwa thupi ndi kwamaganizidwe kwa ana. Zina mwazizindikirozi zinali kupweteka kwam'mimba, kudya kwambiri, kusowa kwa mavitamini, kudzimbidwa, komanso kuperewera kwa thupi.
Ma enzymes amadzimadzi ogwiritsa ntchito sagwiritsidwa ntchito m'thupi la odwala pazolinga zake. Chifukwa chosowa mavitamini osungunuka a mafuta (A, E, K, D), kuchepa kwa mapuloteni. Pancreas ya polycystic imachiritsidwa ndi lipase kutengera 1,500 magawo pa kilogalamu imodzi ya kulemera kwa mwana. Mankhwalawa amaperekedwa pakamwa pakudya kapena akangomaliza kudya. Ndi khansa yofanana, matenda a insulin amafunikira.
Neoplasm imayika kupanikizika kwa ziwalo zapafupi
Zizindikiro ndi magawo a chitukuko
Mwa zina mwazowona, kupweteka kumasiyana. Kukula kwa zomangika kosatulutsa kumadalira kukula kwake, gawo la chitukuko ndi komwe chotupacho chili pa chiwalo.
Mawonetseredwe ena amalowa ndi chizindikiro cha ululu:
- nseru
- kusanza
- kuchepa kwa chakudya;
- chifukwa chake, kuwonda kwambiri kwa munthu.
Ma Cysts amatha kukhala osakwatiwa komanso angapo. Pakutukuka kwawo, amadutsa magawo angapo:
- koyamba - mawonekedwe amtsogolo a neoplasm amapangidwa, njirayi imatenga miyezi 1.5-2.0;
- chachiwiri - kapisozi kotayirira kumachitika (pambuyo pa miyezi itatu);
- lachitatu ndikusunthika kwa minofu ya mafinya a cyst;
- chomaliza ndi mapangidwe a mawonekedwe owuma.
Pamene ma pseudocysts ali pamutu wa kapamba, ululu umamveka mu hypochondrium ndi kumimba kwapamwamba, motero, pathupi ndi mchira - kumanzere
Chowawa komanso chofulumira chimachitika pasanathe miyezi itatu, subacute - miyezi isanu ndi umodzi, matenda - oposa miyezi 6. M'mapeto a chotupa, kuchuluka kwa michere ya pancreatic kumachepa. Mukazindikira, cytological yowerenga zomwe zili mkati mwake zimachitika pofuna kupatula yeniyeni ya cyst, benign neoplasm, khansa ya kapamba.
Zowawa zimachitika pambuyo pa:
Pancreatic cyst- kugwiritsa ntchito mbale "zovulaza" (zamafuta, zokometsera, zokazinga);
- Kusintha kwakuthwa kwamphamvu pamthupi (kuchokera patali kupita patali);
- kulimbitsa thupi mwamphamvu (ndikukweza miyendo);
- kufinya khoma lakumaso kwa m'mimba (lamba kapena corset).
Pancreatic pseudocysts ali pachiwopsezo cha kapamba.
Chizindikiro chopweteka kwambiri chimachitika koyamba komanso kwachiwiri kwa chitukuko cha neoplasm. Ndikofunika kuti musataye nthawi kumayambiriro kwa matendawo. Odwala omwe amapirira kapena kulimbana ndi zovuta zosasangalatsa mothandizidwa ndi ma pinkillers amafika molakwika. Ndiye, monga lamulo, kusapeza kumatenga mawonekedwe akunja ndi kukula kosalekeza kwa cyst yabodza.
Njira zochizira
Chithandizo cha matendawa chimaphatikiza zovuta za opareshoni ndi njira zochizira. Zoyambazo zimaphatikizapo kukhetsa kwakunja kapena mkati. Kwa mtundu wachiwiri - mtsempha wa magazi amadzimadzi, gulu la zakudya zopatsa thanzi. Chakudya chizikhala chophika bwino, chosenda, chokhala ndi mapuloteni okwanira.
Opaleshoni imayikidwa kuti apange ma pseudocysts akuluakulu kuposa masentimita 6. Lingaliro lochotsa limapangidwa pamene chotupacho chimapezedwa mchira ndi dera la mutu wa pancreatic.
Njira yokhazikika yochiritsira ndi yayitali, imatenga miyezi ingapo. Dokotala wa gastroenterologist amapereka mankhwala:
- proton pump zoletsa;
- H2 histamine receptor blockers;
- anticholinergics.
Kutulutsa kwakunja kudutsa pakhungu, mkati - mpaka m'mimba
Ngati mtunda pakati pamimba ndi chotupa ndi wocheperapo 1 cm, womwe umatsimikiziridwa ndi njira zodziwira matenda, ndiye kuti kukhetsa kwa zomwe zili pseudocyst kumachitika m'mimba. Kudzera mu catheter, patimayo imakutidwa ndi madzi a antiseptic. Ndi mtunda wopitirira 1 cm, ngalande zakunja zimachitika.
Pambuyo pa opaleshoni, zovuta zimatheka:
- chilonda, minofu necrosis (73% ya milandu);
- matenda, fistula, abscess (20%);
- hemorrhage (10-12%);
- mwina kuphwanya umphumphu wa mucous nembanemba wa ziwalo zina zapafupi.
Njira zothandizira kupewa matenda a m'matumbo zimaphatikizapo kupewa kuvulala m'mimba, kukhalabe ndi moyo wathanzi komanso kukhala wathanzi. Odwala amathandizidwa molingana ndi dongosolo la munthu payekha. Zambiri zimadalira kupezeka kapena kusapezeka kwa zinthu zomwe tafotokozazi.
Ziwerengero zachipatala ndizakuti kuchuluka kwa anthu omwe amwalira ndi matendawa ndi pafupifupi 11%, ndipo kuchuluka kwa manambala kumakwera mpaka 30%. Nthawi zambiri pamakhala kubwereranso kwina kwa ma pseudo-cysts pambuyo pochita opaleshoni komanso njira zowonjezera zochizira.
