Chikofu chiropa: kurapwa uye zvekuchipatara nei

Zvinozivikanwa kuti zvose zvomukati vane chinangwa chavo irreplaceable, chiropa haisi anosiiwa, uye anoita mumuviri kuchikosha basa. Kupfuura zvose, rabvisa ropa pashamwari okunze uye vatendeuki siyana zvinhu zvinodiwa shuga, asiwo paChikoro kwetunhu zvimwe mapurotini ropa. Zvisinei, kazhinji pachena kuti zvakakomba pathologies apo panoonekwa chirwere "hepatic chikofu", iro kurapwa kunodiwa pakarepo. Saka kuti chirwere ichi kunoratidzwa benign mapundu ari chiropa, vane chimiro mhango izere mvura guru. Chikofu rusvingo anopa mutete rukoko masero aigona kubudisa fluid kukonzera zvokurwara pachoto coarsens yekudyidzana pakati kukura kwavo, ndiko, zvinogona kusvika 25 masendimita uye pamusoro. Somugumisiro pathological muitiro yekudyidzana vachanetseka chiropa histology uye kuderera mukuru ezvinhu omurwere.

Zvisinei, kana kuona mumwe chikofu chiropa, kurapwa ari munhu zvichienderana uye kunoenderana dzinoverengeka zvikuru zvikonzero, kusanganisira rinokosha basa reDare dzakasiyana-siyana pathogenic anomera. Nokudaro, cysts ndezvechokwadi uye venhema. In wokutanga musimboti rinoreva panowanikwa cysts zvakadyiwa apo nguva embryo pakukura kurangarirwa uwandu hwezvinhu zvose zvabatanidzwa. kubatana biliary turakiti nomumwe bile ducts, saka pasina inofambiswa, saka kutaura, uye ari pathogenic chakaita kuchiita chirwere. Kana cysts venhema kukonzera pathological chiropa kukuvara iri risati, uyewo yaro kubviswa Echinococcus kana pute.

Kana chikofu unowanikwa chiropa, kurapwa vangava nzvimbo dzinoverengeka Zvisinei, kutanga vaifanira kunzwisisa sei zvokurwara ichi hworatidza pacharo. Content chiropa cysts akabvuma kana shava läpinäkyvä mvura hwakakanyiwa ropa kana bile kazhinji chinokurira iri rworuboshwe akafukidza chiropa. Kazhinji, chirwere chacho asymptomatic mu njodzi muviri, zvisinei, murwere zvinowanzooneka anokangaidza benzi pakutanga kuona, kurwadziwa pasi epigastric nharaunda uye zvakanaka yokumusoro quadrant, uye kutarisana asymmetry pakati mudumbu aine predominance pakati enlargements kurutivi rworudyi.

Rokuongorora chirwere ichi kwakaoma chaizvo nemhaka yokushayiwa raidudzwa zviratidzo, saka chirwere zvinowanzooneka dzakaonekwa chete panguva yakarongwa Ultrasound panguva hwakadzama kuongorora dzimwe nhengo dzomukati. Asi kana zvose kwokupedzisira zvokuongorora "chikofu chiropa", mishonga haigoni ndikanonoka, zvichienderana kukura foci zvirwere uye dzavo nzvimbo. Zvinokosha kujekesa kuti chikofu aine dhayamita kusvika 3 masendimita regai zvinoda kurapwa, asi ivo vanofanira kuongororwa nokuita chekiapu kanenge kamwe pagore, panyaya mamwe zvekuchipatara mifananidzo pasina zvibereko kunokwanisa kuita, zvinoreva operable chete kupindira.

akavhiyiwa akafanana rakakamurwa kukuru-kukuru conventionally, palliative. Muchiitiko chokutanga zvinoreva chiropa transplantation. For zvimiso akavhiyiwa okunyanyisa cysts vanowanzotevedzera extrude kubva ayo goko, zvakananga kubviswa muchikamu chiropa chirwere wakavezwa kana chikofu rusvingo. Asi nokuda palliative kupindira dzinoratidzwa nokuvhura uye nokuisa ari chikofu uye tsistoentero-, tsistogastroanastomoz. Pano zvinofanira kujekeswa: marsupializatsii yokusafa chikofu kwetsinga, kubvisa zvose zvirimo uye paumbwe rakagadzirwa nevanhu homwe uye tsistogastroanastomozu - paumbwe chikofu mhango kutaurirana pamwechete mhango mudumbu kana muura.

Kana nechirwere kuti chiropa chikofu ari kuona, kurapwa inofanira kugadzwa chete noruzivo nyanzvi pamusana Ultrasound kuverengwa, uyewo chimiro uye pavaipfuura chirwere, asi usakanganwa pamusoro nemakore murwere.