Cyst. Echinococcosis isibindi: oonobangela unyango, iimpawu, uthintelo

Echinococcosis na udidi helminthiasis ye cestodosis, nto leyo ekhokelele emiphungeni, nezi ntso, nomhlehlo wesibindi kunye nezinye izigqeba okanye kwizihlunu kwenzeka cyst. isifo hydatid isibindi ibangelwa intshayelelo kunye nokuvuthwa tapeworm yayo mibungu.

Ezibangela isifo

Le sisiqinisekiso usulelo lwe echinococcosis yabantu livela ukuqhagamshelana ne inja (nezinambuzane carrier), nto leyo ukufumana isifo ngokutya inkunkuma inyama. Enye siyacela enokwenzeka kungaba usulelo izinja zokuzingela iziphumo - amalungu ezonakalisiweyo okanye ndibutyabeke ngomswane izilwanyana zasendle.

Xa abantu, usulelo ikakhulu ivela esandleni ezingahlanjwanga. Usulelo nga oluphumayo inja nge iinwele zakhe, okanye ulwimi. Ezinye izilwanyana ingaba efanayo awufuni amaqanda zidlulisele kwaye ofikisayo kwakunye adibane nezinja abagulayo.

Kwakhona kukho kungenzeka ukuba umntu unakho ukufumana isifo hydatid ngeziqhamo esidla, imifuno kunye namaqunube, abangancedekanga nahlanjwa okanye ukuba bafumene unyango lokuqala. Amanzi namachibi zendalo Ephantsi- njengomthombo usulelo.

Cyst kusengenzeka kunye nabantu abasebenza emasimini yezimvu. It strigali izimvu, abelusi, abelusi abo ukunxibelelana aba bantu (amalungu osapho).

zimpawu echinococcosis

Izalathi si zokunikwa esi sifo iintlungu ikota yesangqa ephezulu ngasekunene, esiswini isibindi isicaphucaphu. Ukususela ekuqaleni usulelo kwaye ukubhaqa iimpawu zokuqala kuthatha iminyaka eliqela, maxa wambi amashumi eminyaka. Kubonakaliswa echinococcosis zibangelwa yokubekwa, umthamo, amazinga lokukhula cyst kunye nefuthe layo phezu amalungu ezingqongileyo kunye namalaphu.

Kwezinye iimeko, le sifo unokuwisa kungekho naziphi na iimpawu, yaye maxa wambi ukubona ultrasound okanye X-ray umsebenzi. Isifo kucala ezineempawu ezifanayo - elide elisezantsi-grade fever, ukwehla kobunzima, ukutyhafa, kunye negazi.

Ubukhulu becala cyst ekuqaleni ibekwe esibindini. Factor imele iimpawu ejikeleza: yayikukuphuphuma igazi ukusuka emathunjini iya portal umthambo kwesibindi ukucoca igazi. Ukufumana tapeworm emzimbeni ngokuba sisifo hydatid kwesibindi.

echinococcosis Hepatic zezi:

• ukuphelelwa umoya ngenxa kwasendaweni ekuhanjisweni uvalo;
• intlungu ngasekunene;
• isicaphucaphu nokugabha;
• senyongo kulogo (xa acudisiweyo izicatshulwa biliary);
• isibindi yesinye.

Oku kushenxisa cyst kwesibindi?

Unyango lwe sifo ngokwabo ezifana nesifo hydatid kwesibindi, oko nje akunakwenzeka. Nangona kwiimeko ezinqabileyo kakhulu kukho self-impiliso ezinxulumene kunye Ukubuna le imibungu. Ukuba cyst sifunyenwe, ukuzalwa echinococcus, ngoko akukho unyango ngamachiza ukuba baye bayiyeka ezimfimfitha igazi. cyst uqhekeko uthetha imfuneko atyandwe ngokukhawuleza.

Lisuswe lonke cyst. Ukuba kunjalo umaleko isibindi izihlunu, ngoko usisuse akunakwenzeka ngokupheleleyo, ngenxa yokuba kungenzeka umonakalo omzimba. Kule meko, susa ngechitin cyst udonga iplagi imixholo yawo. Ngoko kukho ukususwa cyst ngokwayo, ekubeni akukho amathuba komsipha kunye ukungcola sisidleleli. Phezu nokuhlutha ngempumelelo indawo cyst kwalo nomphetho iintsholongwane kwaye sutured.

Nokusebenza kusiwa esibindini ukuze ukususa ngokupheleleyo cyst evela iqokobhe lakhe umxholo, kangangokuba akukho nto emzimbeni, le esiswini kunye ukuqanda thoracic. Ngendawo enzulu okanye iintsalela boyise iqokobhe kakhulu. Ukusebenza kunye nemiqulu yayo umsebenzi zibangelwa ubungakanani cyst kunye iingxaki ukuba nayo. Ukuba umda nokubekwa cyst elibhaqiweyo, ngoko luthe lwancothulwa kunye philisi. Le etyandwa Ungasebenzisa ukususwa laser cyst hydatid.

iintlobo zemisebenzi

Ukuba oimeetsya cysts ezininzi isibindi hydatid mikhulu, ngoko ke resected. Xa yokuchaza cysts enkulu eziveliswa ukusebenza Spasokukotsky okanye Bobrov, apho yinto echinococcectomy lwangaphakathi.

Ukuze ukuba ukumelana ulusu usulelo cyst akahlambulukanga, yaye kwisisu yayo iphathwa iziyobisi kweentshulube, umzekelo, formalin, iodine okanye utywala.

Ukuba cyst ibekwe phantsi uvalo, yaye ngenxa kotyando kukho umngxuma omkhulu, ngoko nsinya usebenzisa indlela Pulatova okanye Delbo okanye ukuwuvala lweHo- wambumba undinike isiqwenga uvalo.

Ukuba kukho impumelelo cyst kwi bile duct, umsebenzi olungxamisekileyo luyenziwa. Kwaye cyst udonga yasuswa kwiziza uchaphazelekayo womGaqo-phecana biliary. Kule meko, yokuhambisa amanzi biliary yayingenakuthinteleka.

Ukuba umsantsa kwenzeka cysts kwisisu, ngoko kwenziwa umsebenzi kaxakeka. Ngethuba lale nkqubo, wasusa cyst, kunye njengezingxobo, ezibe kwi bronchi, pleural kunye indawo esiswini. Oku kwenziwa echinococcectomy-ivaliwe semi. Kwiimeko kakhulu zivuleleke Echinococcectomy.

Nge mass echinococcus isibindi kubalulekile ukwenza ungenelelo zoqhaqho phambi kokuba kwenzeke ingxaki. Lo msebenzi izakwenziwa osesibindini 2-3 Inkqubo bebekwe ukusuka kwiiveki ezimbini ukuya kwiinyanga ezintathu.

Kwanokufa Echinococcus u-1 ukuya kwisi-5% yabantu sifo. Likakade kwakhona kwenzeka ukuba cyst lakrazuka.

ukuvimbela

Usulelo nezilwanyana zasekhaya kunye nabantu isekelwe phezu iinkqubo ezenziwa neenkonzo zonyango lwezilwanyana. Kufuneka njalo lokuhlola ikhaya kunye nenkonzo izinja, ukuba ziimpethu, ngokukodwa kwiindawo ezihlelelekileyo, unyango lwabo, ukubulawa kwezilwanyana abangenamakhaya, kwakunye nokusetyenziswa kolawulo inyama namadela.

Yintoni efunekayo?

Ukuqhuba nococeko rhoqo labemi (bezinja, abalimi nemfuyo, ngabazingeli kunye neentsapho zabo), ukuba bagcine izinja nococeko, ahlambe rhoqo izandla zabo emva ukunxibelelana nabo, ngokunjalo phambi kokuba ukutya, kungalelwa abantwana ukuba uqhagamshelane kunye nezilwanyana abangenamakhaya, ukuzihlamba njani imifuno, namaqunube, into eselwayo iintsholongwane amanzi.

Lung cyst

Esi sifo isaqala kwaye ubonisa kancinane ukubonwa yi ukuhlolwa X-ray zokukhanya ngohlobo i omhle elimbhoxo ngemigca ngqo. Le hemogram zibonisa eosinophilia.

The degree of cysts non-zisiba wabumba Ukhohlokhohlo okuqhubayo kunye eziqatha, ukuphelelwa umoya, isiqabu sokuphefumla kwindawo ye sisidleleli, intlungu ejongisele ezahlukeneyo esifubeni, ukuhamba amalungu mediastinal, libonakaliswa ukuncitshiswa yesandi yesandi. Ray ubonisa pulmonary omkhulu isithunzi setyhula yakhiwe ezithile, nto leyo etshintsha ukuma Iihambo nokuphefumla ye uvalo.

Isigaba sesithathu echinococcosis wemiphunga abe ibinzana kakhulu nophuhliso zophendlo lwezifo yenkqubo iingxaki. Uneempawu ze ucinezelo iimpahla ezinkulu amalungu mediastinum, ephawulwe deformation esifubeni sakho, dyspnea kunye hemoptysis. Xa ukufa cysts echinococcus ukudumba kunye neempawu ezithile kwezonyango empyema pleural okanye semiphunga.

cysts kwesidumbu ehamba sicatshulwa bronchus nokukhutshwa inani elininzi ehlele eliqaqambileyo bladders nkampani echinococci enemizila ngegazi. Nge iyabhiqiza mawuvuleke ibrashi amagqabi ukopha ubovu isikhohlela, kwakunye wabonakala ebona yityhefu. Ukuxelwa cysts iqokobhe umngxuma kuphakamisa imbonakalo unepleurisy exudative nokothuka anaphylactic. iimviwo X-ray ubonisa Faka kumphezulu ulwelo oxwesileyo akukho ngamandla kubonakaliswa nokungena perifocal. nokungena enjalo wabonakala, ukuba cyst ithumba.

unyango

Sebenzisa amayeza zokusebenza (cyst isusiwe cuticular philisi lung isusiwe). Liqikelele serzno ngokwaneleyo, kunye echinococcosis mazwe ngoku nezizisekondari - buhlungu.

isifo sezintso hydatid

Hydatid cyst of kidney namhlanje ingaqhelekanga, ingakumbi kwiindawo ezisemaphandleni. Oluthile kuba yimincili helminth yitaenia echinococcus. Distributors ka pathogen zizilo - izinja kunye neekati. Njengomgaqo, omnye kidney umntu ochaphazelekayo, kwiimeko ezinqabileyo - ezimbini. isibindi echinococcosis labantu kakubi qela lobudala 20 40 iminyaka, ingakumbi amabhinqa.

helminth iqanda engena lymphogenous kwezintso okanye indlela hematogenous, uninzi Ebubanzini cortical.

Treatment nabanye abantu abane

kuba ubukhulu becala, unyango engashiyi yaye zisasebenza. Ukusebenza kakhulu enokuthenjwa nekhawulezayo - yinto ehinokokkotomiya-kusenjalo ngaphakathi. Kwakhona nephrectomy.

unyango Echinococcus ifuna iinkqubo zemfundo ezempilo ukuze wazi abantu abosuleleke esisoyikiso evela izilwanyana, unyanzeliso kweliso yococeko lwezilwanyana wokuBulala.

Emva unyango operative ibe nesimo sengqondo esihle.

spleen isifo hydatid

cysts olwaye lwamfimfitha le udakada zidla eyenziwe Echinococcus. Ubude sifo iminyaka eli-15 okanye ngaphezulu. Ngokutsho iqondo uphuhliso sisidleleli yenziwa ukuhambisa bucala ezingqonge amalungu esiswini, udakada izicwili necrosis kwenzeka.

Esi sifo kunzima ukubona. Cyst kunye spleen ubunzima ikota yesangqa yasekhohlo ephezulu, ukuphazamiseka okanye ukuqhina, iintlungu minor buthuntu, isicaphucaphu postprandial negazi lakho. Kwi Ngokucofa-udakada ukufaka izandiso. amaqamza enkulu iimvaba, nto leyo ngokufuthi ekhokelela ekufeni ehamba ilungu komsipha.

Phantsi sisidleleli yangoku badla ingxelo iimpawu nokwaliwa - izigxala, ukurhawuzelela kunye nabanye. Xa spleen echinococcosis ezilwenza zingenzeka cysts umsantsa suppuration okanye isifo yayo amabinzana onyango.

Uhlaziyo endleni, ngelishwa, ayichazi ubukho gazi. Uxilongo lisekelwe iimviwo X-reyi kwaye ultrasound, apho multi-wegumbi amaqamza ebonakalayo.

unyango

Eyona ndlela isebenzayo unyango cysts udakada ingqalelo uqhaqho laparoscopy. Cyst esebenza ngeendlela ezininzi:

• nokususwa ngokupheleleyo udakada;
• cyst yokuvula kunye nokususa okuqulathwe lulo, zokuhlanjululwa umgodi;
• ngokusika indawo uchaphazelekayo womGaqo-udakada;
• ekususeni spleen ukusuka eludongeni cyst neziqulatho zayo;
• amaqokobhe cyst eqingqiweyo.

Ukusebenza lohlobo laparoscopy ngezakhi cyst udakada na ngendlela eqhelekileyo, yakwazi ukuba ukususa ngokupheleleyo umthombo sifo. Ukususwa le cyst udakada yenziwa usebenzisa izixhobo ophezulu nocoselelo ufake ikhamera eyodwa. Ixesha eliya kuthathwa amanyathelo operative - Iiyure 1.5-2. Khona ngexesha elithile kuhlala ubuhlungu, kodwa kwixesha elifutshane ngexesha isigulana ngokupheleleyo kwi namaKaledi.