Chikofu of chirwatata: Zvinokonzera, Zviratidzo, Treatment

Munguva yedu, vanhu chikofu of chirwatata - chirwere kuti chirwere mu zvinenge 1% vemo. It chinhu zvemamiriro paumbwe womukati muviri ane mhango izere mvura mvura. Chirwere anogona rova munhu, asi zvakawanda zvakajairika nevakadzi makore nemakore 35-55. Uye ndokusaka inokudziridza uye chii kurapa zvinogona kushandiswa, tarisa zvizere.

Features kunotoda kurapwa kuratidzirwa chirwere

Clinical Kuratidza chirwere ichi vari kunobva pachido vakadaro maitiro neoplasms, sezvo localization, maitiro uye chisarudzo. in Small ucharega haapfuuri 2 cm dhayamita, pasina nokuratidza zviratidzo kukudziridza. Murwere asina pfungwa pamusoro dambudziko raivapo utano, uye kana panguva purogiramu vaongo- kwakaratidza chirwere ichi, hapana muganhu nokuvhiringidzika.

Achinyengera chirwere kunooneka pacharo pakuti chepanyika zviratidzo mune zvimwe zviitiko kungasava kuwanikwa, uye kana yakawanda mhango inotungamirwa. Asi akawanda chikofu zviri chirwatata zviratidzo achiri zvinoratidza Zvisinei, unhu hwavo kwete kukonzera hanya zvikuru murwere, saka vanowanzoororwa nyore kuteerera. Vanhu havaendi chiremba, asi chirwere inoramba mberi.

symptomatology chirwere

Kana chikofu pamusoro chirwatata ane zvinokosha kukura, murwere ane chechigarire kana paroxysmal patainzwa kurwadziwa kuruboshwe yokumusoro quadrant, izvo zvinogona irradirovat mudumbu uye rworuboshwe. Mune zvimwe zviitiko, varwere chokunyunyuta pamusoro kusanzwa, akadai kunzwa waziya uye distension ari chirwatata.

Kwadzinoita kuchinja chimiro dzomunyika nhengo zvinogona uye kufema gadziriro. Kupfupika mweya, chikosoro uye tingling ari mubhokisi iri rakadzika vanogomera. Kunyange zvazvo zviratidzo zvakadaro kuri mune dzimwe hosha dzakawanda, akabatana kurwadza nezvekufadza vari kuruboshwe repamusoro quadrant zvinofanira kukurudzira munhu kuti kurapwa.

The kunotoda Mufananidzo chirwere kwakatangwa

Kana kuroorwa cystic mhango rinosvika wakakura saizi (7-8 cm), kana akawanda cysts sei anopfuura 20% of nhengo, zviri kutyora zvomudumbu turakiti mabasa. Panyaya iyi, murwere anonyunyuta tinyanye kuda kurutsa, belching, dumbu kusagadzikana uye kunyange marwadzo.

Kushoma munyika chikofu uye pute ayo kugutsikana kunotungamirira vawedzere marwadzo, uyewo fivha, chills, uye mukuru novutera. Kana ukaona zviratidzo zvakadai hwobva kurapwa. Zvikasadaro, chirwatata chikofu anogona hombodo uye zviri mariri - kupinda abdominal mhango.

kupatsanura zvirwere

Zvichienderana etiology, hosha rakakamurwa marudzi mikuru mitatu. Chokutanga - wechokwadi (vachiberekwa) cystic mhango mugumisiro kukodzera nhengo kukura mune utero. Zvinokosha kucherechedza kuti chikofu zviri chirwatata iri achangoberekwa kunoda enderana zvichiongororwa nachiremba. It akanyora zviitiko zvakawanda apo mwana anotanga makore maviri dzidzo vakanyangarika, uye nesimba akava chakaipa marongerwo.

The mhando rechipiri - iri pseudocysts (vawana), kuti zvave nokuda zvirwere. Rounding kunze parasitic chikofu pamusoro chirwatata, iyo anovandudza kana kusunungurwa muMutumbi parasitic tusingaoneki.

Mhando zvirwere

Zvakachinja nemamiriro muviri anogona kuva nenzira mbiri. Apo akatanga kuumbwa chete mhango imwe mvura iyo ine kwaanogara. Kuchiita hosha kunotungamirira rakawedzera inotungamirwa hukuru dzakadaro. Kana yechipiri mhando, zvinoda vazhinji duku cystic in vane localization haana miganhu zvakajeka. Muitiro kuva hosha kunoratidzwa chimiro in matsva.

The zvinokonzera chirwere

Kana nechirwere chikofu pakati chirwatata, zvinokonzera zviito zvinofanira inobva hunhu uye mhando dzidzo. Ichokwadi mazhinji kana kuroorwa chikofu kazhinji kunoitika nokuda embryogenesis. Kunyange muchibereko, kuti nhengo mafufu vari vakaumba in iyo pashure pokuberekwa anogona kuramba vachikura.

cysts zvenhema anogona kuitika somugumisiro zvokurapa pute, kuvhiyiwa, chirwere kana kukuvara siyana. Kukura chirwere rudzi muviri pavakanzwa kwokunze chiito.

Kana zvinokonzera parasitic cysts, uye saka zvinonzwisisika - a parasitic chirwere.

Diagnostics Features

Sezvo chirwere anogona munobuda pasina anokonzera zviratidzo zvinoonekwa, uye matambudziko okutanga chirwere nyore hazvingadziviswi. Kakawanda, chirwere chakanga dzakaonekwa panguva dzose bvunzo uye dispensary kuongorora. Wanikidza kuvapo cysts ari chirwatata, unogona kushandisa Ultrasound kana MRI.

Chete zviitiko apo hosha iri azara, uye kurapwa kuratidzwa yakajeka kwazvo, chiremba anotumira murwere kuti zvinechinangwa chirwatata kuongorora. Kuti aite izvi, murwere haafanire chete zvakaitika US, asi uchaisawo yakakwana ropa count. In pamberi ichi murabhoritari kudzidza chirwere rinotipa rairatidza vakawanda mamiriro murwere uye kuziva pane rwakazara ndiyo kushoma.

Chikofu of chirwatata muvana

In vana chirwere zvinokonzerwa vachiberekwa urema, 20-25 chete% nyaya chimiro cysts chokuita anogumbura kana rwarisa muitiro. Pasinei etiology, chirwere chacho vainyanya asymptomatic. Zviratidzo Kumwe kuchinja kunotanga vari chirwatata kuonekwa chete kana mwana wacho chirwatata chikofu inokura kuti imwe kukura, kana zvomoto.

Muzviitiko zvakadaro, mashoko muvhuruvhuru unotanga kazhinji chokunyunyuta pamusoro marwadzo hypochondrium kuruboshwe uye hurongwa dzungu. Kana mwana iduku kwazvo uye havagoni kutsanangura chikonzero kutambura kwavo, vabereki vanofanira kuva vakachenjedza mafufu maitiro. The mbudzana inova tsamwa, achingochema uye panguva kurwiswa anogona kutsvetera makumbo kusvika padumbu, kana chete achizviendesa nepfundo kuti parutivi kuruboshwe. Access kuna chiremba nezviratidzo kwakadaro hakufaniri ndikanonoka, nekuti mufananidzo uyu kurapwa maitire kwete cysts vari chirwatata, asi zvimwe zvirwere zvakawanda ngozi.

The kunotoda mufananidzo yepamusoro siyana hosha muvana

Kana cysts kuva zvakadaro guru, kana cysts duku akarova anopfuura 20% muviri, zviratidzo hwakaratidzwa pachena. Uye zviitiko apo mhango ichiri kukura uye kushoma, kuti muvhuruvhuru ari kuona kugara marwadzo ari kuruboshwe yokumusoro quadrant, izvo kazhinji anoratidza kuti scapular nharaunda uye papfudzi. Panguva tichibatwa marwadzo inowedzera. Zvomoto chirwatata chikofu ari mwana zvinogonawo chikonzero fivha, kupfupika mweya uye zvishomanana isingabereki chikosoro.

Muzviitiko zvakadaro, kurapwa nokuti anokwanisa kurapwa kunofanira fanira. Mushure nebasa chirwere zviratidzo kungakonzera nemigumisiro ngozi chaizvo, rimwe riri peritonitis.

The chikofu ngozi yacho chirwatata?

Kushaya nenguva nechirwere uye vabatwe cystic inotungamirwa kunogona kukonzera zvakawanda zvoutano, uye kunyange kukonzera rufu.

In nechirwere chakakomba mukati chikofu dzimwe nguva aoma runoyerera kupinda mudumbu uye kukonzera kuzvimba kunosiyana kunzwisisa. Mune zvimwe zviitiko, cysts anogona kuzarura ropa, riri nengozi zvikuru upenyu murwere.

Kana chirwatata chikofu dzinokaroparuka uye mariri vakamuka zvachose munzvimbo peritoneal mhango kwemaawa anoverengeka munhu hwapedyo Yaunoti mufananidzo "rikwanise dumbu", sezvo zvakaguma peritonitis. Kushaya yezvokurapa zvaipa munyaya iyi, unogona kuva zvinouraya.

Asi chinoda kugadziriswa cysts, kunyange kana kuvimbika kwayo, kunokonzera rikwanise kudhaka.

Mabatirwo cystic dzidzo

To musi, zvinodhaka kuti aigona kurarama cystic dzidzo nyore haako. Kana murwere nechirwere chikofu pamusoro chirwatata, zvokuita kugadzirisa chiremba anogona chete. In nyore dzisiri parasitic inotungamirwa, uwandu asingasvavi kupfuudza 3 masendimita, varwere vanofanira kumbotambudzika biannual Ultrasound ongororo. Zvichienderana migumisiro nechirwere, chiremba achakwanisa kutevera simba pamusoro cystic mhango uye, kana zvakakodzera, vanokurudzira kuvhiya kurapwa.

Kana nedanho zvichiongororwa nyanzvi rinoburitsa kuchinja marongerwo uye kukura chikofu, murwere ushandiswe imwe CT scan. Nzira iyi chirwere rinobvumira kuti haabatanidzi kuvapo muna masvingo mhango malignancies.

Ndiani unogona kuvhiya nokurapa chirwere?

Kana chirwere chikofu chirwatata, kuvhiya ndiyo chete nzira Kuraswa chirwere zvizere. Zvisinei, kana paumbwe pamusoro refu hakuna kushanduka kukura uye ane yakatsiga marongerwo aida saka hapana yakakura kurapwa nzira.

The zvairatidza kunorapwa ndivo chete kunzwisisa siyana chirwere. Nokubviswa chirwatata chikofu hazvo kuitwa panguva yokumbozorora uye chinoda kugadziriswa mhango, uyewo ropa. Related Mhedziso zvairatidza kuti kuvhiyiwa vari dzidzo, izvo zvinopfuura 10 masendimita dhayamita, ane raidudzwa kunotoda mufananidzo. Kuvhiya pakurapa chirwere kunogonawo akakurudzira varwere idzokororo cysts Size 3-10 cm.

Types Kuvhiya

Kusvika panguva operative dambudziko cystic dzidzo - chete nzira kubvisa chirwere uye varwere kudzokera hwandaiva mararamiro. Zvichienderana kwokuomerwa chirwere, uye mamwe maitiro localization inotungamirwa chiremba anosarudza Zvakanyanya Kunaka Panguva Yepamuviri nzira kuti kuvhiya kupindira. Saka, kana akawanda cysts yakarova anopfuura 40% of chirwatata, imwe nhengo akabvisa zvachose. Marudzi anotevera remapazi zvinogona kushandiswa chete inotungamirwa:

- kubviswa cysts chete nezvido zvayo anoshongwa yomukati dzokunze uye mabatiro maronda ose argon plasma-kunowedzera;

- haasaruri excision (resection) kukanganiswa nhengo pamwe chete cystic inotungamirwa;

- Kubviswa cysts uye dzomuviri, iro rinoreva haizopereri autologous chirwatata rinenge riri mukuru omentum ;

- ponji (Urume yaunodya) cystic mhango uye kutanga chaiyo zvokurapa chinonzi sclerosing mhinduro.

The nzira yemazuva ano oparesheni

Nzira inonyatsobudirira Kuvhiya nhasi laparoscopy. Kunoitawo iwe kwete zvakazara kutsungirira chirwere, asiwo kurerutsa murwere vapore rikurumidze. mashandiro kwakadaro rinoitwa kwemaawa maviri achishandisa mukuru-zvakarurama zviridzwa uye chinokosha kamera. Pashure pokuvhiyiwa iri muviri murwere vari cheka diki 3 chete, ayo anechekuita nokuda chete 1 musono zvizorwa. Mumwedzi mishomanana mavanga raisangoita rinenge zvachose.

Upenyu pasina chirwatata

Chokwadi, zviri nani kuita, kana nechirwere chikofu pamusoro chirwatata, kurapwa pasina vavhiyiwa, asi zvinosuwisa kwete nguva dzose zvinoita. Kana muviri apo akanga achiri kuti kubviswa, murwere unofanira zvachose kuchinja mafungiro kune pachavo utano hwavo.

Kare, kunyange vanachiremba makarerutsa kukosha chirwatata iri zvakakodzera nokushanda kwenhengo dzomuviri rutsigiro upenyu enyika. Zvisinei, mumakore achangopfuura, masayendisiti ave kushanda kuti pave nzira kuchengetedza muviri ichi kunyange pasi mukukuvara kukuru uye traumas. Mushure chirwatata ane hematopoietic basa kwete chete, asiwo rudzi firita mabhakitiriya. Pashure nokubviswa muviri zvirwere zviri ipfupi, saka zvakakosha kuti tirambe inodzivirira kushanda muviri kushandisa zvinodhaka immunomodulatory, uye kushingaira kuita zvemitambo uye kubhadhara zvakafanira nezvezvipfeko kuomesa.