Chotupa cha ndulu kuti: Zoyambitsa, Zizindikiro, Chithandizo

Mu nthawi yathu, chotupa cha ndulu - matenda amene amawapeza pafupifupi 1% ya anthu. Ndi mapangidwe nthenda ya thupi mkati ankakhala ndi bowo wodzazidwa ndi madzimadzi. Disease akhoza kugunda aliyense, koma ndi ambiri pa akazi zaka 35-55. Ndipo ndicho chifukwa chake akufotokozera ndi zimene mankhwala angagwiritsidwe ntchito, kuyang'ana mwatsatanetsatane.

Features maonekedwe matenda a matenda

Chipatala kuwonekera kwa matenda ndi kum'patsa pa makhalidwe neoplasms, monga kutanthauzira, khalidwe ndi mapeto. Small mphako, umene musalumphe 2 cm mwake, popanda kuwonetsa zizindikiro kukhala. Wodwala sadziwa za matenda alipo, ndi pamene nthawi kuyendera chizolowezi anaulula matenda, palibe adzadabwitsa malire.

matenda sioneka kumaonekera chakuti zizindikiro kuonekera zina sangakhale alipo, ndi pamene wambirimbiri M'mimbamo mapangidwe. Koma ambiri a chotupa zizindikiro ndulu akadali zikusonyeza Komabe, khalidwe la kwawo osati chifukwa nkhawa kwambiri mu mtima, kotero nthawi zambiri chabe ananyalanyaza. Anthu sapita kwa dokotala, pamene matenda akupitiriza kupita patsogolo.

symptomatology matendawa

Ngati chotupa cha ndulu ali miyeso kwambiri, wodwalayo chokhalitsa kapena paroxysmal kuzimiririka ululu lamanzere nusu chapamwamba, amene angathe irradirovat pamimba ndi kumanzere phewa. Nthawi zina, odwala akudandaula cha ululu, monga kumverera kwa kulemera ndi distension mu ndulu ya.

Zimakhudzira kusintha mu dongosolo la mkati limba akhoza ndi dongosolo kupuma. Kufupika kwa mpweya, chifuwa ndi kumva kulasalasa pamtima pa akuusa kwambiri. Ngakhale zizindikiro amenewa ndi chibadidwe matenda ena ambiri, osakaniza ndi zomverera chowawa lamanzere nusu chapamwamba zimenezi ziyenera kulimbikitsa munthuyo kuti apite kuchipatala.

The matenda chithunzi cha matenda anapezerapo

Pamene umodzi enaake M'mimbamo ukufika ndi kukula kwambiri (7-8 cm), kapena cysts angapo bwanji oposa 20% ya limba, ndi kuphwanya ntchito kapepala m'mimba. Pankhaniyi, wodwalayo anadandaula wa nseru zonse, belching, m'mimba ululu komanso ngakhale kupweteka.

The yotupa njira chotupa ndi abscess wokhutira kumabweretsa padzakhala ululu, komanso malungo, kuzizira, ndi kufooka ambiri. Ngati inu mungazindikire zizindikiro ayenera yomweyo kuchipatala. Apo ayi, ndulu chotupa mwina amaphulika ndipo nkhani zake - kulowa zonse m'mimba.

gulu la matenda

Malinga etiology ndi matendawa lagawidwa zitatu zazikulu. The choyamba - woona (kobadwa nako) enaake M'mimbamo chifukwa cha chitukuko zosayenera limba mu utero. Dziwani kuti chotupa cha ndulu mwa ana akhanda amafuna polojekiti mwadongosolo ndi dokotala. Izo zinalembedwa Nthawi zambiri mwanayo umalandira zaka ziwiri maphunziro osaonekanso, ndi ulamuliro anapeza dongosolo yachibadwa.

Mtundu chachiwiri - ndi pseudocysts (kuthi), kuti apanga chifukwa matenda. Nazo kunja chotupa parasitic a ndulu, amene akufotokozera pamene anamasulidwa mu thupi la tizilombo parasitic.

mitundu ya matenda

Kusintha kapangidwe ka thupi angathe m'njira ziwiri. Pamene woyamba kupangidwa kokha M'mimbamo wina ndi madzi amene ali ndi malo enieni. Kukula kwa matenda kumabweretsa mwai mapangidwe zamitundu amenewa. Monga mtundu wachiwiri, pamafunika ambiri cavities yaing'ono enaake amene kutanthauzira alibe omveka bwino. The ndondomeko ya kudwala matenda amakhala ndi maonekedwe a cavities latsopano.

The zimayambitsa matenda

Ngati ndi matenda a chotupa cha ndulu, ndi chifukwa cha kanthu zikhazikitsidwe chikhalidwe ndi mtundu wa maphunziro. N'zoona angapo kapena osakwatira chotupa zambiri kumachitika chifukwa embryogenesis. Ngakhale m'mimba, limba nyenyeswa anapanga cavities amene atabadwa mukhoza kupitiriza kukula.

cysts onyenga angayambe chifukwa cha abscess zachipatala opaleshoni, matenda kapena kuvulala zosiyanasiyana. Chitukuko cha matenda ndi mtundu wa thupi anachita kanthu kunja.

Koma zimayambitsa cysts parasitic, ndipo n'zomveka - matenda parasitic.

diagnostics Features

Popeza matenda chitani pasanabuke zizindikiro zooneka, ndi mavuto ndi matenda oyambirira sitingapeze kupewedwa. Nthawi zambiri, matenda anali atazindikira pa mayeso nthawi ndi kuyendera dispensary. Kudziwa kumene kuli cysts mu ndulu, mukhoza kugwiritsa ntchito ultrasound kapena Kujambula.

Only pa nthawi imene matenda ndi mu gawo zapamwamba, ndi maonekedwe matenda chowala kwambiri, adokotala amatumiza wodwalayo purposefully ndulu bwino. Kuti tichite zimenezi, wodwala amayenera kupereka US, koma kundipulumutsa wathunthu magazi. Pamaso pa phunziro ili zasayansi wa matenda womwe umakhalapo limasonyeza boma ambiri a wodwalayo komanso kudziwa zimene siteji ndi yotupa ndondomeko.

Chotupa cha ndulu ana

Ana matendawo ndi zambiri kobadwa nako chilema, 20-25 yekha% milandu maonekedwe a cysts kugwirizana ndi yotupa kapena matenda ndondomeko. Kaya etiology, matenda ndi makamaka asymptomatic. Zizindikiro za kusintha pathological mu ndulu kuoneka kokha pamene mwana ndulu chotupa limakula ndi kukula ena, kapena chofuna.

Zikatero, ndi crumb akuyamba Kawirikawiri ululu mu hypochondrium kumanzere ndi chizungulire mwadongosolo. Ngati mwana wamng'ono kwambiri ndipo sindingathe kulongosola mavuto awo, makolo ayenera kukadziwitsa khalidwe nyenyeswa. Mwana amakhala kukwiya, amalira kwambiri ndi pa nkhondo mwina kukondera miyendo ndi mimba, kapena basi tilimbikire kogwirira kozungulira kwa pambali yakumanzere. Kupeza dokotala ndi zizindikiro ena sayenera anachedwa, chifukwa cithunzithunzi ici matenda silili formations enaake mu ndulu, komanso ambiri matenda ena oopsa.

The matenda chithunzi cha mitundu zapamwamba za matendawa ana

Ngati cysts moti waukulu, kapena cysts yaing'ono anakantha oposa 20% ya thupi, zizindikiro akuwonetseredwa bwino. Ndipo pa nthawi imene M'mimbamo akadali osauka ndi yotupa ndondomeko, ndi crumb ndi ululu zonse lamanzere nusu chapamwamba, nthawi zambiri chimachokera kwa dera scapular ndi mapewa. Pa chifundo cha ukuwonjezeka ululu. Chofuna ndulu chotupa mwana ifenso chifukwa malungo, kufupika kwa mpweya ndi pang'ono wosabereka chifuwa.

Zikatero, mankhwala chithandizo oyenerera ayenera kuvomerezedwa. Pambuyo kunyalanyaza zizindikiro matenda angakhale ndi zotsatira zoopsa kwambiri, mmodzi amene ndi peritonitis.

The chotupa yoopsa ndulu ya?

Kupanda matenda yake ndi chithandizo mapangidwe enaake zingachititse ambiri matenda, ndipo ngakhale imfa.

Mu nkhani aakulu matenda chotupa zina pang'ono amalowa pamimba ndi chifukwa kutupa kusinthasintha kwambiri. Nthawi zina, cysts atitsegulire magazi, omwe ali oopsa kwambiri moyo wa wodwalayo.

Ngati ndulu chotupa kuphulika ndi nkhani zake kwathunthu analowa M'mimbamo peritoneal maola angapo munthu akufotokozera otchedwa chithunzi cha "pamimba pachimake", monga Motero, peritonitis. Chosowa ndi ngozi zachipatala mu nkhani iyi, akhoza chakupha.

Koma zamafinya zinangoti cysts, ngakhale okhulupirika ake, amachititsa pachimake kuledzera.

Chithandizo cha maphunziro enaake

Pakali pano, mankhwala akhoza kuthana ndi maphunziro enaake kulibe. Ngati wodwalayo ali ndi matenda a chotupa cha ndulu, kodi kuchita kuthetsa dokotala angakhoze kokha. Mu wopepuka mapangidwe sanali parasitic, kuchuluka kwa zomwe si upambana 3 cm, odwala ayenera kukayezetsa biannual ultrasound bwino. Kutengera pa matenda zotsatira, adokotala athe kutsatira mphamvu ya M'mimbamo enaake ndipo ngati n'koyenera, amalangiza mankhwala opaleshoni.

Ngati mu ndondomeko ya polojekiti katswiri analanda kusintha kapangidwe ndi kukula kwa chotupa, wodwalayo Kwalamulidwa ndi CT jambulani. njira yodziwira zimathandiza kuti achotse kukhalapo mu mpanda wa malignancies patsekeke.

Amene mungathe chithandizo opaleshoni ya matenda?

Ngati matenda ndulu chotupa opaleshoni ndi njira yokhayo ya kutaya matenda zonse. Komabe, ngati mapangidwe pa nthawi yaitali sanasinthe kukula ndiponso ali ndi dongosolo khola makhalidwe palibe kwakukulu mankhwala njira.

The zikuonetsa kwa opaleshoni lokha mitundu zovuta za matendawa. Kuchotsa ndulu chotupa kwenikweni ikuchitika pa yopuma ndi zamafinya zinangoti M'mimbamo, komanso magazi. Zokhudzana zikuonetsa mtheradi kwa opaleshoni ndi maphunziro, zomwe zoposa 10 cm mwake, ndi kutchulidwa chithunzi matenda. Opaleshoni chithandizo cha matenda wodwala odwala cysts kobwereza kukula 3-10 cm.

Mitundu ya opaleshoni

Pakali pano, mankhwala ntchito za maphunziro enaake - njira yokhayo kuthetsa matenda ndi odwala kubwerera ku moyo wabwinobwino. Malinga ndi kukula kwa matenda, ndi makhalidwe ena kutanthauzira mapangidwe dokotala amasankha njira mulingo woyenera alowererepo pa opaleshoni. Choncho, pamene cysts angapo amene wakumenya oposa 40% ya ndulu, ndi chiwalo kuchotsedwa kwathunthu. Mitundu zotsatirazi ntchito angagwiritsidwe ntchito mwa dongosolo lomenyera limodzi:

- kuchotsa cysts yekha ndi zipolopolo zake mkati ndi kunja ndi mankhwala a zotupa za argon plasma-kumatheka;

- tsankho excision (resection) anakhudzidwa ziwalo pamodzi ndi mapangidwe enaake;

- kuchotsa cysts ndi ziwalo, zomwe zikusonyeza wotsatira autologous ndulu minofu ya omentum wamkulu ;

- puncture (madzimadzi kudya) enaake M'mimbamo ndi oyamba wapadera mankhwala matenda yankho.

The njira yamakono ya ntchito

The njira yabwino kwambiri ya opaleshoni lero ndi laparoscopy. Timatha inu osati kulimbana mokwanira ndi matenda, komanso kuchepetsa wodwalayo konzanso ndondomeko. opareshoni amenewa ikuchitika kwa maola awiri pogwiritsa ntchito zida mkulu-yolinganizika ndi kamera wapadera. Pambuyo opaleshoni thupi wodwalayo ali okha 3 amacheka ang'ono amene yofunsira 1 okha zodzikongoletsera msoko. Patangotha miyezi yochepa kuti mabala pafupifupi atamezedwa kotheratu.

Moyo wopanda ndulu ndi

Kumene, ndi bwino kuchita, ngati anapezeka ndi chotupa cha ndulu ndi, mankhwala popanda opaleshoni, koma, mwatsoka, sizingatheke. Pankhaniyi kumene anali akali kuti kuchotsedwa, wodwala ayenera kwathunthu kusintha khalidwe lokonda umoyo wawo.

Poyamba, ngakhale madokotala akhala saganizira kufunika ndulu mu uziyenda bwino kachitidwe moyo thandizo thupi. Komabe, m'zaka zaposachedwapa, asayansi akhala akugwira ntchito kulenga njira kusunga thupi ili ngakhale pansi kuvulala kwambiri ndi mabvuto. Pambuyo ndulu ali ndi hematopoietic ntchito, komanso mtundu wa mabakiteriya fyuluta. Pambuyo kuchotsa dongosolo thupi yotiteteza kwambiri yafupika, choncho tiyenera kusunga ntchito kuteteza thupi ntchito mankhwala immunomodulatory, ndi kuchita mbali pa masewera, ndipo tchera khutu chifukwa kuumitsa.