Injeke amanyala: diagnosis, Iimpawu and Treatment

Uguquko okanye amanyala nepancreas - a anomaly engaqhelekanga phecana zesisu, apho ukongeza esinobubovu eziphambili kukho omnye. I-organ ise kwinxalenye antral esiswini, isisu okanye duodenal udonga 12, ileum okanye emathunjini amancinci, mesentery. Yena kugqalwa anomaly kwaye kubonakala ukongeza umzimba omkhulu, kunye laphu efanayo, kodwa akunanto yakwenza naye. Ziziphi iimpawu kunye ngezifo imfuneko yokuba athathe, cinga ngakumbi.

Yintoni into efihlakeleyo phantsi elithi "injeke amanyala?"

nentsimbi Extra i sisiphumo sophuhliso engaqhelekanga. Qwalasela oku yimbonakalo sifo ayikho kuyimfuneko, kwezinye iimeko, yena akazange abonise konke konke, yaye phantse akuthinteli umntu aphile ubomi ngokupheleleyo. Ukungaphili ungakwazi ngempazamo, ngexesha laparotomy, leyo ezicwangciselwe isizathu esahlukileyo. Ngokomzekelo, xa injeke lukhangelwa ezingaqhelekanga ngexesha utyando ukususa nangezilonda esiswini okanye amathumbu, operative ukuphiliswa cholecystitis calculous kule fomu.

inyama ezingahambi kunye nomzimba nobubovu eqhelekileyo iquka amacandelo efanayo. nepancreas amanyala iquka duct luvula kule mbobo esiswini okanye emathunjini. Ngenxa yoko, hardware eyongeziweyo ukuphuhlisa pancreatitis ngohlobo oyingozi. Ngu kwizigulo ezinqabileyo ziquka ukopha zesisu.

Izinto ezibangela ndlala na isincedisi

De kube ngoku, oosonzululwazi ukulwa phezu umba eziphambili: ngesizathu esithile, kwasekwa duct kabini amanyala pancreatic. Kodwa kukho iingxelo ezikholisayo ukuba anomaly lwenzeka kwi esizalweni, kunye nesiphumo kuphuhliso izinto zayo ezininzi ezibi:

• imvelaphi ezimbi eziphilayo, kuchaphazela amabhinqa ngexesha yokumitha baby;
• yemfuzo;
• iziselo ukutshaya kunye utywala ngethuba lokukhulelwa;
• ukudandatheka rhoqo kunye noxinzelelo;
• izifo ezosulelayo, ethe wasiwa emfazini ngoxa ephethe usana, phakathi kwabo - negcushuwa, rubella, i-herpes, kunye nabanye;
• junk ukuba amalungiselelo ekhulelwe umfazi.

symptomatology kwesifo

ezibonisa lwezonyango lobukho nepancreas amanyala ixhomekeke kubungakanani bayo zalapha. Ukuba kummandla kodonga isisu, iimpawu ezifana kakhulu ngokubonakala gastritis, kwaye ukuba ibekwe kwi duodenum 12, kulo mzekelo, kwidispleyi kubonisa uphuhliso izilonda. Ukongeza, kusenokubakho iimpawu i-pancreatitis, cholecystitis okanye appendicitis. Ezi mpawu musa ukuba isigulane ukubona ugqirha, yaye kwegazi ixesha elide ayikwazi andibhaqwa.

Kodwa kwiimeko ezininzi, iimpawu musa kuvela phantse izikhalazo, isigulana siya kuvela kuphela xa kuphuhliso iingxaki. Zezi:

• iinkqubo arhabaxa;
• perforation kwamathumbu okanye isisu eludongeni;
• necrosis;
• ukopha;
• ileus.

Amaninzi kuvela iingxaki ukuba intsimbi extra yenzelwe emathunjini amancinci. Kama kule meko kokuphazanyiswa wayo. Ukuba ukudumba ngakumbi umzimba langoku, isigulane lisenokuba ukuqunjelwa, iintlungu kakhulu kwi peritoneum.

Ngethuba loviwo yemigaqo kuchongwa kunye giperlipazemiya hyperamylasemia.

Isifo

Kukho iintlobo ezininzi zomhlaza amanyala. It angamelwa:

• onke amacandelo ezikhoyo zepancreas: imibhobho secretory neenxalenye;
• nje inxalenye exocrine, unoxanduva lokuyila yejusi esiswini;
• ngqo ezidalwe inxalenye ekuncedeni ukuvelisa iihomoni ebalulekileyo elawula amaqondo eswekile yegazi;
• adenomyosis - zomzimba pancreatic elungiselwe papilla enkulu duodenal 12 (le yeyona ndawo lokuvula imibhobho ndlala kwi duodenum 12).

Beka kwasendaweni amanyala ye endlaleni

Ngaba kuba injeke amanyala esiswini kunye namanye amalungu:

• umphimbo;
• duodenum;
• iindonga senyongo;
• isibindi;
• spleen;
• emathunjini amancinci;
• mesentery ye emathunjini amancinci, umsipha okanye isifo esiswini.

Indlela ukufumanisa esi sifo?

Pathology kungabonwa ngeendlela ezahlukahlukeneyo, konke oko kuxhomekeke apho yenzelwe. Ukuba benga pancreatic amanyala ukwakweli eludongeni duodenum 12, kwi Amathumbu amakhulu okanye isisu, ngoko kulo mzekelo kuya kuba lula ukubona. Kwiimeko ezininzi, oko kubonakele ngexesha a loviwo zokuhlola. Age of kwizigulane qho kwafunyaniswa ukuba izifo yiminyaka 40-70.

Chonga i anomaly kwiindlela ezininzi:

• Endoscopically. Kulo mzekelo, intsimbi sisiqithi ertyisi enkulu izihlunu glandular, ngokufuthi efana liqhubu, nto leyo kubekwe ngesiseko esibanzi. Kudla phezulu kwalo siqithi unokunyanzeliswa umva, Nguwo lowo umqondiso nobubovu endoscopic amanyala. Ukuba, ngoko data echanekileyo kunzima ngexesha yesi sifundo ukuthatha biopsy bobume.
• X-ray. Kulo mzekelo, i anomaly inokuba iqondo elikhulu, nto leyo olubonakalayo ekwimo Sisihloko umahluko. Kodwa kulo mzekelo, kusenokuba ezibonakalayo umlomo we bile, nto leyo nayo kwakungafani.
• US. Ekuphumezeni ultrasound hardware ezongezelelweyo kunokubonwa negalelo kule isakhiwo hypoechoic, ubukho nemingxuma ezongezelelweyo kunye duct anechoic.
• CT esiswini. Olu phando luza kunceda ukuchonga esinobubovu xa kunokwenzeka ukuba kubekwe phezu kweendonga umzimba vuphukuphuku. Olu phando kunceda ukwenza isifo mahluko ngenxa yobubi. Kwimeko ithumba ilungelo liye ukuba amalungu angabamelwane kunye metastases peritoneum. Noko ke, uxilongo umahluko kusenokuba nzima ukuba ithumba yenzelwe kwiingcamba submucosal (leiomyoma, lipoma kunye miosarkoma).

Unyango lwe pancreas amanyala

Izigulane kabani anomaly iye yachongwa, kukholelwa ukuba kanye kuya kufuneka uye phantsi ngesitshetshe ngoogqirha. Bambuze lo mbuzo: ingaba ukususa pancreas amanyala? Uzakuwushiya ungajongwangwa akanakuba, kuba oko kuyingozi kuba le nto inokwenzeka kwizihlunu yobubi. Ngexesha ukufunyanwa layo kufuneka ngokukhawuleza kudlula uthotho izifundo eziza kunceda ekupheliseni uphuhliso yamathumba amabi. Kodwa emva kokuba uxilongo lokugqibela kucetyiswa kususwa anomaly, kodwa indlela le ukhetha ugqirha kuxhomekeka kwindawo umhlaza ngayo.

Ukuba umzimba olongezelelweyo a lunezinto, lo elektroekstsizitsiya endoscopic kucetyiswa. Ukuba Umzimba cyst, ngoko kule meko yenziwa fenestration of cysts.

unyango Conservative naye kakuhle kunceda kwiimeko apho kungekho bungozi utshintsho zibe ngumhlaza. Icetyiselwe amayeza elide-ebambeleyo nganye, i-analogue best "Somatostatin" kufanelekile. unyango ngaxeshanye nomqondiso.

Amanyala nepancreas antrum ayikho yingozi isigulana yonke imihla iza kuphuhlisa iinkqubo zophendlo lwezifo. Kungenxa yoko le nto zingasetyenziswa ubukho unyango lomhlaza yesigulane ezongezelelweyo bakaThixo, kodwa esweni rhoqo ngu oyingcali kufuneka.

Iingxaki kunye neziphumo

Kubalulekile ukukhumbula ukuba ngoyaba ngokupheleleyo ubukho mgaqweni kwi injeke angafanele, ngenxa yokuba naliphi na ifuthe elingancomekiyo kulula kukhokelela kuphuhliso ezimbi ezifana:

• pancreatitis - kunokutshiseka yentsimbi engaphezulu;
• ukopha esiswini okanye emathunjini;
• neoplasm ebulalayo of nobubovu na isincedisi okanye pancreas.

Uthintelo iingxaki ukusuka ingaba into

Ukuba kukho intshiyekela yesinyithi, ngoko iliso uphuhliso yayo ngakumbi luyafuneka rhoqo. Loo nto ayithethi ukuba iingxaki mass eziyimfuneko zothintelo:

• Hlala ekudleni kwakho; ngakumbi ekutyeni ukongeza iiprotini ngokulula ukutya, ukutya ezinqatyisiweyo kunye nefayibha. Ubuncinane ezityebileyo kunye nantoni na eyayiza kwenyuswe awuzali.
• Ukuthatha iziyobisi ukunceda inkqubo yesisu, umzekelo, "Creon" ngokohlobo mini-microspheres. Njengezingxobo zixubene lula ukutya esiswini kwaye ufake emathunjini. Oku kuyimfuneko xa kungekho isizukulwana enqanda zayo.
• Ukuyeka ukutshaya kunye notywala.

Ukuba ulandele iingcebiso kwaye rhoqo waphawula ngugqirha, intsimbi extra akuthethi esingenakubangela naliphi na ukuphazamiseka. Kuyo nayiphi na imeko, ukuba ufuna esweni rhoqo ngu oyingcali, ukuchonga ngokukhawuleza iingxaki uze uthabathe amanyathelo ayimfuneko.