Chotupa chiwindi: chithandizo zotsatira matenda

Amadziwika kuti ziwalo zonse za mkati ndi cholinga awo irreplaceable, chiwindi si zosiyana, ndipo imachita ntchito thupi zofunika. Koposa zonse, utisambitsa magazi ku zinthu zoipa ndi otembenuka zinthu zosiyanasiyana chofunika shuga, komanso mtsikanayu kaphatikizidwe mapulotini ena magazi. Komabe, nthawi zambiri poyera kuti pathologies kwambiri pamene anapezeka ndi matenda "kwa chiwindi chotupa", umene chithandizo chofunika yomweyo. Kotero kuti matenda yodziwika ndi zotupa chosaopsa mu chiwindi, ndi maonekedwe a M'mimbamo wodzazidwa ndi misa madzi. Chotupa khoma akupereka wosanjikiza woonda maselo angathe kubala madzimadzi, kuchititsa kudwala moto coarsens kwambiri mu miyeso awo, ndiko kuti, angafikire masentimita 25 bwereza. Chifukwa cha ndondomeko pathological kwambiri kusokonezedwa chiwindi histology ndi kufooka kwa chikhalidwe ambiri wodwala.

Komabe, ngati wapezeka ndi chotupa chiwindi, mankhwala ndi makonda ndipo zimadalira zinthu zingapo achikhazikitso, kuphatikizapo udindo ankaimba ndi zosiyanasiyana zotupa tizilombo. Choncho, cysts ndi woona ndi wabodza. Mu chimake choyamba amatanthauza zosayembekezereka wa cysts ngati kumene nthawi ya embryonic chitukuko zimawonedwa kuti kugwirizana akaphatikiza biliary thirakiti munthu ducts ya ndulu, kotero, pakalibe zotsatilazi, titero, ndi chinthu tizilombo mu kupitirira kwa matenda. Pankhani ya cysts onyenga chifukwa pathological choipa chiwindi ndi isanafike, komanso kuchotsa ake Echinococcus kapena abscess.

Ngati chotupa chipezeka mu chiwindi, mankhwala akhoza kukhala mbali zingapo Komabe, choyamba tiyenera kumvetsa mmene kudwala imeneyi kumaonekera. chiwindi cysts zili anagonjera kapena zofiirira mandala madzi wothira magazi kapena ya ndulu zambiri chimaposa mu Lobe kumanzere kwa chiwindi. Ambiri, matenda ndi asymptomatic mu akhudzidwa chamoyo Komabe, wodwala zambiri akusokoneza wodzikweza pakuwonana koyamba, ululu dera epigastric ndi ufulu chapamwamba nusu, ndipo zithunzi asymmetry wa pamimba ndi predominance wa enlargements kumanja.

Matenda kuli kovuta kwambiri chifukwa chosowa zizindikiro chitaperekedwa kotero matenda kawirikawiri wapezeka yekha pa ultrasound yokonzedweratu pa tinafotokoza mwatsatanetsatane za ziwalo zina za m'kati. Koma ngati chomaliza matenda "chotupa a chiwindi" onse, chithandizo sangakhoze anachedwa, malinga ndi kukula kwa foci wa matenda ndi malo awo. Nkofunika kufotokozera kuti chotupa ndi awiri ndi kutseka 3 cm musati amafuna chithandizo cha mankhwala, koma iwo ayenera kuyang'aniridwa ndi kuchita Kupimidwa kamodzi pachaka, pa nkhani ya zithunzi zina matenda popanda mankhwala zipatso sangathe, chitanthauza operable wina alowererepo.

ntchito zofanana anawagawa kwakukulu-kwakukulu conventionally, palliative. Mbali yoyamba zikutanthauza chiwindi kupatsidwa zina. Pakuti ntchito makonzedwe cysts kwakukulu amakonda extrude kuchokera chigoba chake, kuchotsa mwachindunji gawo chiwindi matenda losema, kapena chotupa khoma. Koma zikunena palliative yodziwika ndi kutsegula ndi kuchotsa chotupa ndi tsistoentero-, tsistogastroanastomoz. Apa tiyenera momveka bwino kuti: marsupializatsii chibadidwe chotupa kung'ambika, kuchotsa nkhani zake zonse ndi mapangidwe ndi thumba yokumba ndi tsistogastroanastomozu - mapangidwe a chotupa M'mimbamo kulankhulana ndi M'mimbamo a m'mimba kapena m'matumbo.

Ngati matenda a chotupa chiwindi ndi wapezeka, mankhwala ayenera kuikidwa Katswiri yekha wodziwa pamaziko kuwerenga ultrasound, komanso mawonekedwe ndi siteji ya matenda, komanso musaiwale za m'badwo wa wodwalayo.