Khansa Pancreatic: zizindikiro, matenda, mankhwala

Mmodzi wa owopsa pathologies chotupa ndi kapamba. Zizindikiro za matenda kudziwa pa siteji oyambirira kuli kovuta. matenda anapezeka odwala, zambiri mu gawo patsogolo. A mankhwala mwapang'onopang'ono kudwala ndi kovuta.

Malongosoledwe anatomical

Kapamba - chiwalo yaing'ono, yomwe ili kumbuyo m'mimba. Iwo amagwira ntchito ziwiri zofunika:

1. M'mimba. Limba umabala michere. Amathandiza kusokoneza anafika ndi mapuloteni chakudya, mafuta, chakudya. Kutalikirana kwa michere umatulutsa prostate ducts mu duodenum ndi.
2. Endocrine. Kapamba umabala timadzi nawo njira kagayidwe kachakudya. Pakati pawo insulin. Timadzi amatha kutsitsa shuga. amishonale n'kofunika glucagon. The timadzi timapitiriza shuga. No zofunika zochepa ndi kupanga gastrin. uku kukuwonjezekera timadzi runningaway yomweyo madzi pancreatic.

The thunthu la kapamba ndi mabungwe otsatirawa:

• mutu;
• khosi;
• thupi;
• mchira.

Ambiri matenda chotupa cha kapamba mutu.

kudwala Zoyambitsa

khansa Pancreatic, zizindikiro za amene kuonekera mu masiteji yotsirizira - chotupa chija izi. Kudwala si chinthu chachilendo mu Oncology. Popeza nkhani kuchuluka katundu pa hardware lapansi. Motero, thupi silingaone nthawi kupirira ntchito zawo pachimake.

Chimayambitsa khansa ya mu zinthu zambiri matenda akhala chinsinsi. Komabe, madokotala apeza zimatsimikizira kuti kupereka zinthu kwa chilengedwe cha maselo a khansa.

Choncho, chotupa zilonda za kapamba angathe pa maziko:

1. Kusuta. Ichi ndi chinthu choyamba chimene amakwiya chitukuko cha kudwala. Polycyclic chimasanduka onunkhira ali utsi fodya, ndi stimulator amphamvu chitukuko chotupa. Pafupifupi 1/3 matenda onse a kapamba kumayambika ndi kusuta khansa.
2. Okalamba. Anthu opitirira zaka 60 ali sitichedwa chiopsezo cha matenda.
3. Gender. Malinga ndi kafukufuku, izi England chotupa amawapeza zambiri amuna.
4. Shuga. kofunikira kwambiri shuga kungachititse kuti chitukuko cha khansa pancreatic.
5. Matenda kapamba. Long madzi kutupa zambiri zinanso yofunika chitukuko cha matenda. kusintha zotakasika mu kapamba, khalidwe kwa kapamba, imfayo kutupa thupi. The outflow wa michere ndi zovuta. madzi Pancreatic sanapeze mu m'mimba thirakiti, zimawononga amasintha minofu ya limba. Chifukwa cha zimenezi, kwambiri akusokoneza pancreatic parenchyma.
6. Kunenepa. matenda onenepa ndi ofanana mu thupi chingatipatse khansa.
7. Kutupikana. Nkhanza chakudya, mafuta amalenga katundu kumatheka pa thupi. Chifukwa, chitsulo angalephere. Zakudya za zipatso, masamba kwambiri amachepetsa chiopsezo zotupa.
8. Chibadwa. Mu kukhalapo kwa abale amene anali kudwala ichi, kusamala angathe kukhala ukuwonjezeka khansa kwambiri.

Zizindikiro zoyambirira za matenda

Zovuta kudziwa nthawi imene pali mavuto oyamba ndi kapamba. Zizindikiro kungakhale imperceptible mpaka isanayambike siteji 4 khansa. Ndipo, mwatsoka, si zachilendo. Monga gwero yekha wamkulu pancreatic chotupa. Zizindikiro za matenda amayamba ndi kufala kwa khansa zimakhala ena.

Komabe, pali zinthu sipangakhalenso amaganiziridwa matenda siteji koyamba. Amadalira kwathunthu pa kutanthauzira wa kudwala.

Zimaonetsa mavuto koyamba ndi kapamba, zizindikiro zotsatirazi:

• Oncology mutu - kuwonda, matenda a chikasu ndiyo, mafuta m'manyi, kupweteka m'mimba;
• khansa thupi, mchira - kuwonda, m'mimba nkhawa.

Kudwala kuti akufotokozera mu zopangitsa mutu, zimapangitsa lokha anamva kale kwambiri kuposa Oncology, anatuluka m'madera ena a kapamba.

mbali Ofunika

Ambiri, ngati tikukamba za khansa pancreatic, zizindikiro izi zingachitike:

1. Ululu epigastric nkhawa. Iyi ndi nthawi yoyamba mtima kwambiri madandaulo. Chifukwa cha ntchito ya chakudya monga ulamuliro, sakhoza kunachokera. ululu ndi woipa kwambiri usiku. Ndi kutanthauzira za pathologies mu mutu England kusapeza ikutuluka lamanja chapamwamba nusu ndi zone m'michombo. Ngati chidwi ndi mchira, thupi la kapamba, wodwala amakhala ululu, interscapular m'deralo. Kusapeza pamene malo angasinthe kukula. Choncho, kuwawa kawirikawiri molakwika ankaona kuti radikulitnoy.
2. Paraneoplastic zizindikiro. Wodwala akukumana kutopa, kusowa chilakolako. Nthawi zambiri pali tikamapita ku mafuta, nyama chakudya. Wodwala akukana ankakonda kuledzera - tiyi kapena khofi, mowa, fodya. Characteristically wasonyeza kuwonda, kugona zipolowe, Trousseau Syndrome (kusamuka thrombosis ya mitsempha zotumphukira).
3. Matenda a chikasu ndiyo. Mwamtundu ya ndulu ritsa. Chifukwa, mkodzo wodwalayo ndi khungu afika mdima mthunzi. Fecal mbandakucha. Pali kuyabwa. The chikhodzodzo ndulu lidakali ku kukhudza, sabweretsa chisoni.
4. Kulakwila chakudya chimbudzi. Mu lumen wa intestine si nambala ofunikira michere ndi ya ndulu. Motero, wodwalayo wotaya kulemera msanga. Vutolo limachitika chizolowezi m'mimba.
5. Kuona chisoni. duodenum amachititsa psinjika mtima wodwalayo wa chidzalo, ngakhale pamene pang'ono chakudya. N'zotheka belching yoola. Nthawi zina akulowa kusanza chakudya.
6. Magazi. Ngati chotupa limakula khoma la mmimba, wodwala akhoza kuona chizindikiro ichi. Iwo amakhala ndi kusanza, mushy Unyinji wa wakuda chopondapo kapena malasha wakuda.
7. Zizindikiro za hypersplenism. Iwo amaoneka pa kufinya kwa splenic mtsempha chotupa. Wodwala anayamba leukopenia, kuchepa magazi, thrombocytopenia. Mwina kuwonjezeka kukula kwa ndulu ya - splenomegaly.
8. Zizindikiro za matenda a shuga. Ngati anawononga insulin yotulutsa Zilumba za Prostate, wodwalayo akukumana zizindikiro lililonse. Pali ludzu kwambiri, kuyabwa khungu ndipo zimagwira ntchito zosiyanasiyana mucous, dryness mkamwa.
9. Ascites. Ichi ndi chizindikiro mochedwa kudwala. Izo zikusonyeza metastases mu peritoneum ndi, m'mitsempha zipata.

Aliyense zizindikiro pamwamba si enieni Oncology. Choncho, kusapeza kugwirizana ndi kapamba - chifukwa kuvomerezedwa kuwona dotolo.

njira matenda

Kupenda Only limasonyeza chotupa.

Ngakhale pamaso pa zizindikiro (omwe mwina zimasonyeza pathologies zina), maphunziro awa imachitika:

1. US. Ndi njira otetezeka ndipo kwambiri nkhani. Phunziro ngati kudziwa pamaso kutupa, kusintha zotakasika a kapamba ndi chikhalidwe chake. Ultrasound mupeza chotupa kuti ndi lalikulu kuposa masentimita 2. Komanso kuphunzira kupereka lingaliro za mlingo wa echogenicity. Pamene kafukufuku kudziwa boma minofu monga parenchyma a kapamba. Ultrasound limasonyeza kusintha ake structural.
2. CT. The kafukufuku akulongosola za kukula, malo, kudwala, kuphatikizidwa ziwalo pafupi. Investigation mokwanira odalirika kudziwika chotupa 3 cm. Komabe, CT chikugwirizana ndi X-ray walitsa. Nthawi zambiri si analimbikitsa kuchita.
3. MR. Mkulu zambiri zili njira ndi pamodzi ndi katundu zing'onozing'ono pa chamoyo.
4. Biopsy. Ichi ndi matenda yodalirika ya khansa. Kuti mudziwe akutengedwa malo ena chotupa, amene mosamala pansi simungathe kutiona. Mpanda zinthu zofunika ikuchitika m'njira ziwiri. Pansi pa ulamuliro wa US singano wapadera anadzetsa dera chotupa cha. Kodi ntchito endoscopic njira. Mkamwa wodwala wapatsidwa wapadera woonda chubu.
5. kusanthula magazi. Iwo wapezeka ku kuwonjezeka wothandizila Oncology. Komabe, khalidwe zingakhale zizindikiro za matenda ena.

Mukayamba matenda a khansa selo biopsy zikutsimikiziridwa. Komabe, kudziwa siteji ya matenda amafuna kupenda: pachifuwa X-ray, ultrasound Kupenda chiwindi.

chithandizo matenda

Matendawa mwa zigawo zovuta kwambiri Oncology. Mpaka lero, madokotala sangakhoze bwino kuyankha mmene kuchiza kapamba. mavuto kugwirizana ndi odwala okalamba. Komanso, odwala osiyanasiyana matenda osadziwika bwino. Chinthu china chimene complicates mankhwala, ndi tanthauzo la matenda magawo nthawi imene chotupa amakhudza ziwalo pafupi.

Mankhwalawa chachikulu - ndi opaleshoni kapamba. Zotsatira za aziloŵerera kumatengera zifukwa zambiri, wamkulu amene ali gawo la matenda.

Ikani, malingana ndi umboni, ndi njira zina zochizira

• palliative opaleshoni;
• cheza mankhwala;
• Morning.

chithandizo opaleshoni

Ndi ntchito amatanthauza ndondomeko Will a. Wodwala amachotsa mbali ya prostate kuti muli chotupa. Komanso iwo pansi chimodzimodzi ndondomeko gawo la mmimba, duodenum, chikhodzodzo ndulu, lymph mfundo, yomwe ili pafupi ndi kapamba.

Kufunika kuchotsa matupi ambiri chifukwa malo anatomical wa yomweyo. Kapamba ndi mosamala pafupi zimakhala tatchulawa. Pa nkhani imeneyi, chotupa chimene chimayanga mofulumira kwambiri ziwalo pafupi. kuchotsa awo amalola kuti asiye kuchuluka kwa matenda.

Mwatsoka, 10-25 yekha% odwala khansa kapamba opaleshoni. Zotsatira za opaleshoni sichimachotsa imfa.

Mu ziwerengero ukupereka deta otsatirawa pankhani odwala ndi matenda a "khansa pancreatic":

1. Popanda opaleshoni pafupifupi wodwalayo moyo amayembekezeka ndi za 6 miyezi.
2. Pambuyo pa opaleshoni, nthawi ukuwonjezeka, malingana siteji ya matenda, mpaka zaka 1.5-2.

opaleshoni palliative

Iwo amakulolani:

• kusintha khalidwe la moyo;
• kupweteka kusapeza;
• kulimbana ndi matenda a chikasu ndiyo obstructive;
• kubwezeretsa patency wa duodenum ndi.

Pali njira zingapo kuti opaleshoni palliative akhoza anachita. Pancreatic chotupa, mwatsoka, si kuchotsedwa. Komabe, khalidwe la moyo bwino penapake.

Njira yaikulu ndi:

1. Endoscopic stenting. Kusiyana mwapang'ono ritsa anayambitsa chubu kapena waya chimango. Ayala njira ndulu. Choncho akuchira otaya ntchito. Ya ndulu momasuka anasonyeza.
2. Ngalande unsembe. Kutanthauza ntchito ndi ofanana ndi amene m'mbuyomu. Only patency wa ya ndulu si kubwezeretsedwa, kudzapereka kunja - thumba mwapadera.

Limba ululu analgesics kutero. Ndi kusapeza amphamvu munthu wodwala yoikidwiratu chomwa mankhwalawa analgesics:

• "Promedol".
• "Morphine".
• "Omnopon".

mankhwala wowonjezera

Pofuna pancreatic Oncology wodwala kuchitira mitundu zotsatirazi mankhwala cheza:

• bremsstrahlung cheza;
• lakutali Popanga madzi a gamma-mankhwala;
• walitsa ndi ma elekitironi kudya.

Cheza mankhwala akhoza umachitikira pamaso, pambuyo opaleshoni, ndipo nthawi zina m'malo. Kutalika kwa moyo wa wodwala ndi miyezi 12-13. Ngati mankhwala cheza ndi pamodzi ndi ntchito palliative, ndi kutalika kwa moyo wa avareji pafupifupi 16 miyezi.

Morning ntchito pamene sikutheka kuchititsa mankhwala ena kapena kupititsa patsogolo zotsatira za mankhwala kucitika. Mwatsoka, njira yotero walola kuti tikwaniritse zochepa chabe mgwirizano wa neoplasm lapansi.

kudwala Mapa

Mu ambiri milandu amapezeka mu gawo patsogolo. Wodwalayo mawonetseredwe matenda kuoneka matenda monga chotupa pancreatic. Kulosera tsogolo la matenda a matenda akumane.

Odwala amafa chikuwonjezereka kuledzera, cachexia, kutsekeka m'matumbo, matenda a chikasu ndiyo ndipo chiwerengero cha mavuto ena.

Pambuyo pa opaleshoni, ndi zaka zisanu kupulumuka mlingo wa odwala (umboni ndi olemba zosiyanasiyana) ndi 8-35%.

kudwala Kuteteza

Kodi kuchiritsa kapamba ku Oncology? Mwatsoka, ndi kovuta. Ndipo nthawizina n'zosatheka. N'chifukwa chake aliyense ayenera kuyesetsa kukhala kupewa matenda.

Kuti tichite zimenezi, mverani malangizo akuti:

1. Kusiya kusuta.
2. Kukhazikitsa kudya bwino.
3. Kuthetsa zotsatira deleterious cha chilengedwe (asibesitosi fumbi).
4. matenda panthawi yake azichitira: kapamba, matenda a shuga.
5. Mwadongosolo kukumana njira cheke akuluakulu, makamaka pamaso pa cysts, mbiri banja.

Musataye mwayi uliwonse kukhala matenda m'thupi lanu. Khalani wathanzi!