Kenza duodenum: wokutanga zviratidzo, chirwere, kurapwa, fungidziro

Musoro nyaya iri kenza yacho duodenum uye zviratidzo chirwere wokutanga. Pasi apa, nyaya iyi ichakurukurwa zvakadzama. Tinodzidza pamusoro zviratidzo, nechirwere, kurapwa uye uprofita kuti ape nyanzvi. All unofanira kuziva kenza ichi, verenga nyaya.

Chii pamusoro?

Duodenal kenza - chirwere unowanikwa varume nevakadzi zvakaenzana maitikiro. Zvinokanganisawo kunyanya vanhu makore 55. Vechiduku vari zvakare kuita pathologies 12th of rawa ura, asi zviitiko izvi hadziwanzowaniki.

zvikonzero

Nokuti kutanga zvinokosha kuziva kuti hunhu uye zvinokonzera kenza nokuti vanachiremba vane vachiri chakavanzika. Izvi zvinoreva kuti vanachiremba kuvaka vamwe zvekungofungira Zvisinei, vakati kuti yaiva imwe chinhu chinokonzera oncology, hazvibviri. The chikuru, kureva huru zvikonzero asingazivikanwi kusvikira sainzi, asi zvinokwanisika kutsanangura yechipiri zvinokonzera kenza, ndiko kutaura zvinokonzera njodzi. Vanogona kubatsira chidzoke kenza 12-duodenum.

zvinokonzera njodzi

Zvinofungidzirwa kuti kenza anogona kuitika nokuda kwezvikonzero zvinoverengeka. Kenza 12 duodenum kungawedzera zvinotevera:

• fodya kufanira uye kupindwa muropa nedoro;
• pfungwa nomuviri zvemwana asati, chirwere cheshuga, kana mabwe ari urogenital ino;
• wo kakawanda kunwa zvekudya remhuka mavambo;
• Genet.

Zvimwe zvinokonzera njodzi zvakare zvipenyu nezvakatipoteredza mamiriro ezvinhu, uye mugumisiro kwemakemikari kuona carcinogens. Chimiro namamota uye kungawedzera pakushandisa mafuta emhuka, somugumisiro ichi rakawedzera pamwero cholecystokinin, izvo zvinozoita kungaita kuti hyperplasia isiri yekenza rokumusoro chifukidziro zvomudumbu turakiti.

Nguva ichangopfuura, nevatsvakurudzi kuti zvimwe zvinoumba kofi, zvakare, unogona kukonzera kenza. Saka, zvinogona kukonzera anofanira kuwedzerwa kuti kunyanyisa kushandisa chinonwiwa ichi.

pathogenesis

Kugadzirwa Oncology kusiyanisa kenza nokuda duodenal papilla, uyewo nekenza bile mutsinga dzinofamba nemukaka. Bundu rinokanganisa bowel haisi zvachose, asi nzvimbo mashomanana. Kakawanda ndiwo okumusoro mugove chinjikira, uye pamusoro-pasi dhipatimendi. The kunotoda weboka chirwere zvinoenderana kenza localization.

localization

Kenza achiburuka chikamu 12 rawa urikanwi kwakajairika chaizvo, vanenge 75% nyaya. Kukudziridza kubva epithelium yose inowanwa mucosa. Kutanga chaiyo nzvimbo kwagara kwakaoma, kunyanya kana ari kuongorora chiri kuitwa papera nzendo. Kenza duodenum, zviratidzo risingagoni pakarepo kusvetukira maziso rokutanga, ngozi, nekuti kurapwa kwakaoma pachayo, asi mune rokupedzisira zvokukura murume muduku mukana.

Rokumusoro chinjikira chikamu ura ndiyo kenza localization chete muna 12-15% nyaya. Namamota panzvimbo dzapasi chinjikira mugove Anonziwo infrapapilyarnym kenza. maitikiro Its Zviri 10%.

zviratidzo

Sezvo akaratidza nekenza duodenum? Zviratidzo zvokutanga zviri zvikuru zvakafanana avo kuti vanhu ruzivo oncology mudumbu. Kuitira kuona kenza nguva, oncologists vakauya mapoka matatu zvichibvira zviratidzo.

Boka rokutanga riri pasi chinonakidza kuti kudhaka. Dzinoratidzwa abdominal marwadzo, kurasikirwa kudya, lethargy uye uremu. Zvinonzi yakataurawo nokusava nyika yakavapoteredza.

Boka rechipiri chokuita chinonakidza kuti mhingaidzo. Zvose paanotanga kana bundu rinotanga kushingirira dzimwe nhengo. Panguva ino, anotanga biliary BP, kunowedzera iri kukura chiropa, mutsvina yadzo kunova Hauoneki. Jaundice zvingaitika. Doctors cherechedza hadzina kufambiswa zvakanaka munyika zvemwoyo, maitiro itsvo uye chiropa kukundikana kunogona kuitika uye kuvhiringidza metabolic kwendangariro.

Chiitiko kuti compression rinowanikwa mukupera nzendo chirwere kana munhu anonzwa kurwadziwa kubva bundu pazvisviniro tsinga dzose rwatata.

Dzakaoma simba tichitarisa vanachiremba ndiyo duodenum. Apo riri uye sei zvichirwadza, havazivi zvose vanhu. Hazvina dumbu chete pazasi mudumbu kurudyi, kumusoro kweguvhu. marwadzo kenza anogona kuva akasiyana, zvikuru pakuti padariro chirwere uye duodenal urikanwi chirwere localization. Kupi uye sei zvichirwadza, unogona kukumbira chiremba wako kana pane kunyumwira pamusoro oncology.

Kuona chirwere ravo pachavo hakusi nyore. Zviratidzo duodenal kenza achiri Danho haigoni kuonekwa, sezvo chirwere chacho asymptomatic. Asi pashure penguva yakati vanhu vanotanga kunetseka nezvoutano ake nokuda kwake yokutambudzwa kutanga kugara abdominal marwadzo. Sei nekenza duodenum nokufamba kwenguva? Huru zviratidzo zvinosanganisira zvakakomba abdominal marwadzo, kungoerekana uremu, jaundice, nefivhiri, kuvaviwa uye kurasikirwa kudya.

Kenza mu akazotevera matanho

Kenza Danho duodenal urikanwi 4. Kurapwa nhatu dzokutanga kunogona kubatsira murwere, asi pakupedzisira Danho havangagoni kubatsira, nekuti haana zvose kunobva kurapwa. Zvisinei, zviitiko zvakadaro zvakaitika.

Hatigoni kutaura pamusoro zviratidzo kenza iri akazotevera matanho nekuti panguva iyi anogona kutsamwisa yematambudziko mune dzimwe nhengo. In inonyanya chirwere kunoratidza zviratidzo kudhaka. Uyewo iripo vari kuratidzwa vakadaro:

• tembiricha;
• kuoma kwezvinhu mucous membranes;
• kusada kudya zvokudya;
• kurutsa, manyoka, kupatira, kuda kurutsa,
• yellowing ganda;
• mukuru novutera muviri;
• nezvinetso zvepfungwa.

Kunyange kana munhu akasatenda zviratidzo uye haadi kuona chiremba, pamusoro madikanwa hwaro vanofanira kuteerera izvi zviratidzo chirwere:

• kurutsa pashure kudya, pashure izvo zvichiri sokuti mudumbu izere;
• ropa iri pachituru;
• jaundice.

Zvinofanira kucherechedzwa kuti zviratidzo duodenal kenza nevanhu vakafanana vakadzi.

Diagnostics

Kurapa chirwere, zvakakosha kutanga kurapwa nenguva, uye nokuda ichi zvinokosha kuona kenza. To musi, chirwere ndeyokuita kwomurabhoritari uye richishanda nzira. Analysis kuti bundu zvezvinangwa kuti kenza mudumbu uye duodenum kuchakubatsira kuziva kenza masero munguva. Zvinokosha kucherechedza kuti bundu zvezvinangwa - zvinhu kuti pave kukura masero kenza. Chirwere ine matanho matatu:

1. Kutanga kuongorora pathologies uye nhoroondo zvokurapa. Chiremba anoongorora murwere inopedza abdominal palpation. Kufungisisa zvekuchipatara yevanhu zvichemo akadai kurutsa, abdominal marwadzo, kurasikirwa kudya.
2. Panguva wechipiri, murabhoritari kudzidza murwere, zvinosanganisira Kazhinji ropa pachisara weti uye chetsoka pachisara nokukanganisika ropa kuongorora uye bundu zvechinguvana.
3. Chechitatu Danho iri paku kuzviongorora.

Rokupedzisira danho iri rinokosha mune chirwere pamusoro duodenal kenza. Zviratidzo zvokutanga anogona kutorwa kana uchapupu vamwe chirwere, asi pakutsvakurudza kunoita iwe kuti kuongororwa zvakarurama. Doctor anobata esophagogastroduodenoscopy panguva iyo akaongorora yegurokuro, dumbu, bile mutsinga dzinofamba nemukaka, uye 12-Palaia ura. Panguva kuongorora zvinyama kutora nokukanganisika kuongorora.

Zvadaro, chiremba anotungamirira murwere pachipfuva maekisirei uye musiyano radiography 12 duodenal urikanwi uye mudumbu. Uyewo, chiremba wako anogona vanonyorera Ultrasound, rinobva resonance uye computed tomography. Panguva iyoyowo murwere ari ndiongororwe dzose nyanzvi.

mabatiro

Gore negore yakawanda uye anonyanya kenza yacho duodenum. Vangani vari kurarama nechirwere ichi, hazvibviri kupindura, nokuti hakubvi chete pachikuva panguva iyo kutanga kurapwa, asiwo vakawanda mamiriro eutano muviri, kukwanisa wayo kudzivisa chirwere.

Kazhinji, kurapwa rinoitwa nomudzimu dzekare urongwa. Chokutanga, bundu chinobviswa surgically. Kungada rushoma nokubviswa 12-duodenum. Kuvhiya pachii vanhu kusvika makore 75, asi chete ezvinhu kuti pakanga pasina metastasis.

Pashure kuvhiya kubviswa bundu mishonga ndechokuti zvinokosha kusimbisa zvabuda. Hazvina kwairayirwa, sezvo anovimbisa kuparadzwa masero kanganisika vavo kuwanda.

Radiation kurapa kakawanda kuitwa mukutanga nzendo chirwere, kana zvichibvira kurapa murwere pasina pakuvhiya.

Panopera kana mavambo kurapwa mishonga kungadiwa, nechinangwa ndichipfeka kubvisa zviratidzo murwere. Pakutanga zvakafanira kubatsira munhu kubatwa, uye pakupera ndeyekupedzisira nechiyero.

sejari

Treatment kungava surgically 3 musimboti. Nokubviswa chikamu muura kunodikanwa zvose zvitatu nyaya. Zvinhu yokutanga ndiyo huru, kunoitika apo bundu asiwo excretory mutsinga dzinofamba nemukaka uye doudenalny munyatso. Panyaya iyi, chiremba anobvisa kwete chete chikamu 12 rawa ura, asiwo ari mutsinga dzinofamba nemukaka uye pancreatic musoro. Kana duku nebundu resection inoitwa dzeraundi, izvo zvinoreva achibvisa chete njodzi nhengo nzvimbo pamwe zvichibvira kupora. A yechitatu Ipfungwa Anonziwo dzeraundi resection, asi kuita izvozvo kana ura zvakabatana magumo kuguma, kuti ndizvo zvinogona.

mataridzikiro

Kuti ramangwana ramangwana chiremba murwere kuita kuti Pakadaro, kana uchiziva, kana kurapwa akatanga. Zvinhu zvinotevera zvinokosha: yomunhu zera, kuvapo metastasis uye anogumbura pezvakaitwa ari nemudumbu nhengo. Zvinhu Zvinoipisisa, kana metastases zvinowanikwa mudumbu, nhengo dzinobudisa maitiro uye biliary ducts. Possible yematambudziko kunogona vainyeperwa nokushanda genitourinary hurongwa. Dzimwe nguva pane stenosis 12-kuvatadzi muura, nguva kubuda ropa. Zvinonzi maonero anoita varwere riri vanoshorwa, asi kwete tariro. Chinetso ndechokuti kuziva kenza chichiri kutanga, kana kurapa iri zvinenge anosimbiswa kubatsira, zvakaoma chaizvo.

Kuti uzvidzivirire ichi inotyisa chirwere kenza uye zvimwe miviri, vanofanira kusiya tsika dzakaipa uye kucherechedza zvaunodya. Chero zvingaita zano nyore, asi vanoita basa. Kudya zvinovaka muviri uye kusvuta kumbomira uye doro kunogona kuchengetedza pamusoro dzinoverengeka zvirwere, uye kwete oncological hunhu chete.

Tinoziva kuti ndiye kenza yacho duodenum, uyewo zvose zvayo nzira uye kurapwa. Zvinosuruvarisa hapana anogona hazvivimbisi kuti vazvidzivirire kubva kenza. Tatotaura pamusoro kukosha mararamiro utano, asi hapana zvisinganyanyi kukosha ndiyo uchizvichenjerera iwe muviri wako anonongedzera. Dzimwe nguva zviri nani kamwe mudzokere chiremba uye kuti kuedzwa.