Pancreatic kenza: zviratidzo, nechirwere, kurapwa

Imwe ngozi bundu pathologies ndiyo rwatata. Zviratidzo zviri chirwere kuziva vachiri Danho kwakaoma zvisingaiti. chirwere ichi chiri chirwere Varwere, kazhinji azara. A mushonga mberi zvokurwara iwayo akaoma.

The tsananguro anatomical

Rwatata - imwe nhengo duku, iri chete shure mudumbu. It anoita zviviri zvinokosha mabasa:

1. Mumatumbu. The Nhengo unobereka makemikari. Ivo pave nokuparara akasvika mapuroteni zvokudya, mafuta, makabhohaidhiretsi. Voga kuti makemikari zvinoberekwa prostate ducts kupinda duodenum.
2. Kwemakemikari anobudiswa. Rwatata pave hormone munyaya metabolic kwendangariro. Pakati pavo jekiseni. Kemikari inokwanisa richikwidibira ropa shuga yomuropa. Chimwe chezvinhu zvinowanikwa ndiyo glucagon. The kemikari kunonatsiridza shuga. No kukosha ndiyo kugadzirwa gastrin. Izvi kemikari kunowedzera runningaway shwanu pancreatic muto.

The anatomi pakati rwatata ndivo madhipatimendi zvinotevera:

• musoro;
• pamutsipa;
• muviri;
• muswe.

Anowanzodanwa chirwere bundu pakati rwatata musoro.

zvokurwara Zvinokonzera

Pancreatic kenza, zviratidzo zviri pachena runoonekwa okupedzisira matanho - malignancy ichi. Zvokurwara rakanyatsojeka nevakawanda oncology. Sezvo nyaya ikawanda mutoro pamusoro Hardware. Somugumisiro, muviri havangagoni kukunda kwavo moyo mabasa.

VaBennett nokuora kurapwa ezvinhu akawanda anoramba ari chakavanzika. Zvisinei, vanachiremba kuziva zvinoita kuti anopa zvinhu nokuda kwezvisikwa masero kenza.

Saka, munhu akaipa nebundu rimwe rwatata angatanga pamusoro necheshure:

1. Kusvuta. Ndicho chinhu chokutanga kuti chinokurwadzai kukura zvokurwara. Polycyclic zvinonhuwirira Mahydrocarbon zviri fodya utsi, iri simba stimulator kuti bundu kukura. Chinenge 1/3 zvirwere zvose rwatata kunouya nokusvuta kenza.
2. Vakwegura. Vanhu makore 60 vari tichikurumidza ngozi nechirwere.
3. Gender. Maererano nenhamba, shwanu bundu iri panoonekwa kakawanda vanhu.
4. Diabetes. High ropa shuga yomuropa kungaita kuti pave pancreatic kenza.
5. Chisingaperi pfungwa nomuviri zvemwana asati. Long ruchiyerera kuzvimba kunowanzokonzerwa predisposing chokufunga kukura chirwere. Reactive kuchinja rwatata, kuti hunhu kuti pfungwa nomuviri zvemwana asati, kutsamwisa kuzvimba muviri. The water drainage kuti makemikari chakaoma. Pancreatic muto haana kupinda zvomudumbu turakiti, tigume pamusoro zvinyama ari nhengo. Somugumisiro, zvakakomba kwakakanganiswa pancreatic parenchyma.
6. Kufutisa. Kufuta uye anoenderana nepfungwa mumuviri zvinogona kukonzera kenza.
7. Kushaya Zvokudya Zvinovaka Muviri. Kushandisa makabhohaidhiretsi, mafuta anosika munhu kunowedzera mutoro pamusoro muviri. Somugumisiro, simbi angatadza. Zvokudya akapfuma michero, miriwo yekudyidzana kunoderedza ngozi anomera.
8. Nhodzera. In pamberi hama vakambova zvokurwara ichi, ngozi yokuva nekenza yeprostate inowedzera zvikuru.

Zviratidzo chirwere rokutanga

Zvakaoma chaizvo kuziva nguva kana paine matambudziko okutanga pamwe rwatata. Zviratidzo zvingava imperceptible kusvikira pakatanga pachikuva 4 kenza. Uye zvinosuwisa, hazvishamisi. Somunhu zvazviri chete akura pancreatic bundu. Zviratidzo chirwere kukonzerwa kupararira kenza kune dzimwe nzvimbo dzomuviri.

Zvisinei, pane zvinhu izvo zvinogona vanofungidzirwa chirwere ari kutanga kwekupwanyiwa. Vari zvachose novimba localization kuti zvokurwara.

Munguva kutanga nezvinetso rwatata, zvinotevera zviratidzo:

• oncology musoro - uremu, jaundice, mafuta ari pachituru, abdominal kurwadziwa;
• kenza muviri, muswe - uremu, abdominal kusagadzikana.

Zvokurwara kuti anova musoro omumuviri, anoita pacharo ainzwa ipapa pane oncology, yakabuda mune dzimwe nzvimbo rwatata.

Key zvinhu

Kazhinji, kana pamusoro pezvatinotaura pancreatic kenza, zvinotevera zvingaratidza kuitika:

1. Marwadzo epigastric kusanzwa. Ndicho murwere zvichemo vokutanga chaizvo. Nokuda kushandiswa kwezvokudya ari kutonga, haagoni kurondwa. The marwadzo zvakatoipa usiku. Tiine localization kuti pathologies musoro shwanu kusagadzikana ichibudira akarurama yepamusoro quadrant uye mapazi guvhu. Kana akarova nomuswe, muviri rwatata, murwere anosangana marwadzo, interscapular nharaunda. Kusagadzikana kana nzvimbo zvinogona kuchinja zvikuru. Naizvozvo, marwadzo iyi kakawanda seva radikulitnoy.
2. Paraneoplastic zviratidzo. Murwere kunzwa kuneta, kurasikirwa kudya. Kazhinji pane kusada kuti mafuta, nyama kudya. Murwere akaramba kufarira kudhaka - caffeine, doro, fodya. Characteristically kuratidzwa uremu, hope nenyonganiso, Trousseau Syndrome (dzichitama thrombosis pamusoro peripheral mutsinga).
3. Jaundice. Vari chakatsindirwa bile mutsinga dzinofamba nemukaka. Somugumisiro, murwere weti uye ganda anowana zvasviba mimvuri. Fecal vakareruka. Pane kuvaviwa. Nduru dundira ruchatambanudzirwa kuti kubata, nyarara.
4. Kutyora chikafu kugaya. Mune lumen pamusoro ura haina kugamuchira nhamba inodiwa makemikari uye bile. Somugumisiro, murwere anorasikirwa uremu nokukurumidza. It kuchimuka tsika manyoka.
5. A Kunzwa waziya. duodenum anoita compression murwere wacho kunzwa pakuzara, kunyange kana shoma chikafu kudyiwa. Possible belching zvakaora. Dzimwe nguva anobatana kurutsa chikafu.
6. Ropa. Kana bundu inokura rusvingo mudumbu, murwere anogona kuona chiratidzo ichi. It kunoratidzwa kurutsa, mushy guru chetsoka dema kana marasha-dema.
7. Zviratidzo hypersplenism. Vanoonekwa panguva kudzvinya ari splenic tsinga bundu. Murwere yakatanga leukopenia, kupererwa neropa, thrombocytopenia. Zvichida kuwedzera kukura chirwatata - splenomegaly.
8. Zviratidzo cheshuga. Kana kuparadzwa jekiseni zvibereko nezviduku kweprostate, murwere kusangana zvemo zviratidzo. Pane nyota kwazvo, kuvava ganda uye mucous membranes, kuoma pamuromo.
9. Ascites. Ichi kunonoka chiratidzo zvokurwara. Zvinoratidza metastases ari peritoneum, iyo portal tsinga.

Chero pamusoro zviratidzo haisi chaicho oncology. Naizvozvo, kunetseka chokuita rwatata - a fanira chikonzero kuona chiremba.

nzira nechirwere

kuongororwa chete kunoratidza bundu.

Kunyange zvazvo paine zviratidzo (izvo zvinogona anoratidza vamwe pathologies), zvinotevera ongororo zvinoitiswa:

1. US. Zviri nzira yakachengeteka zvikuru anodzidzisa. Kwakadaro kudzidza kuona pamberi kuzvimba, reactive kuchinja rwatata yayo ezvinhu. Ultrassom ongororo inoratidza bundu iri kupfuura 2 cm. Mukuwedzera, kudzidza zvinopa pfungwa pamusoro padanho echogenicity. Kana kuongorora kuona mamiriro zvinyama yakadai parenchyma pakati rwatata. Ultrassom anozivisa STRUCTURAL kuchinja ayo.
2. CT. The Ongororo anopa rondedzero ukuru, nzvimbo, zvokurwara, kunobatanidza pedyo nhengo. Investigation zvakakwana akavimbika kuziva miedzo bundu kubva 3 cm. Zvisinei, CT chokuita X-ray irradiation. Saka kazhinji hazvina varumbidzwa kuita.
3. MR. High mashoko zviri nzira unobatanidzwa ane mutoro duku pamusoro muviri.
4. Biopsy. Ndiwo rakavimbika kupfuura zvokuongorora kenza. Yokutsvakurudza chinobviswa imwe nzvimbo bundu, iyo nyatsonzvera nemaikorosikopu. Fence zvakakodzera zvinhu rinoitwa munzira mbiri. Kutongwa US chaiyo tsono kutaurwa kupinda nzvimbo bundu. Anogona kushandisa endoscopic nzira. Mumuromo murwere anopiwa mutete chubhu chaiyo.
5. Blood kuongorora. Zvinonzi dzakaonekwa kubva kuwedzera oncology nevamiririri. Zvisinei, kunyange zvazvo izvi zvinogona kuva zviratidzo zvimwe zvirwere.

Kana ukaona kenza sero biopsy chirwere kunosimbiswa. Zvisinei, kuona padariro chirwere zvinoda tichiongorora: bhokisi X-ray, Ultrasound kuzviongorora chiropa.

kurapwa chirwere

The chirwere ndeimwe akaoma zvikamu oncology. Kusvikira nhasi, vanachiremba havagoni zvakajeka kupindura sei kurapa rwatata. The matambudziko chokuita varwere vakwegura. Uyezve, varwere vane zvakasiyana-siyana mikana zvirwere. Chimwe chinhu zvinoomesa kurapwa, ndicho tsanangudzo zvirwere Papera matanho, kana bundu kunokanganisa pedyo zvomukati.

The chikuru treatment - ari pakuvhiya rwatata. Migumisiro Kupindira kwakadaro kunoenderana zvinhu zvakawanda, mukuru pakati iri dariro chirwere.

Isai, zvichienderana uchapupu, uye dzimwe nzira kurapwa:

• palliative Kuvhiya;
• nemwaranzi kurapa;
• mishonga.

kuvhiya kurapwa

By oparesheni chinorehwa Kuda kwaMwari nzira. Murwere kunobvisa chikamu prostate rine bundu. Uyezve zviri pasi chete nzira chikamu mudumbu, duodenum, nduru dundira, node nodes, izvo riri pedyo rwatata.

Kudikanwa kubvisa miviri dzakawanda nokuda anatomical nzvimbo yacho shwanu pachayo. Rwatata iri kunyatsotevera yakabatana-ataurwa pamusoro munyama. Nezvenyaya iyi, bundu kuti anopararira nokukurumidza zvikuru pedyo nhengo. Kubviswa kwavo kunoita kuti kumisa kuwanda kwezvirwere.

Zvinosuruvarisa 10-25 chete% kenza varwere pamusoro ndakarumbidzwa oparesheni rwatata. Migumisiro Kuvhiya haritirambidzi kufa.

In ichi nhamba anopa zvinotevera mashoko kana totaura varwere chirwere kuti "pancreatic kenza":

1. Pasina Kuvhiya paavhareji kuti murwere upenyu anotarisirwa anenge 6 mwedzi.
2. Pashure pokuvhiyiwa, imwe nguva kunowandawo, zvichienderana pavaipfuura chirwere, kusvikira makore 1.5-2.

palliative kuvhiya

Vanobvumira kuti:

• kuvandudza kunaka kwoupenyu;
• kubvisa marwadzo kusagadzikana;
• irwa obstructive jaundice;
• adzorere patency of duodenum.

Pane nzira dzakawanda kuti palliative kuvhiyiwa anogona kuitwa. Pancreatic bundu, zvinosuruvarisa haina kubviswa. Zvisinei, kunaka kwoupenyu akavandudzika zvishoma.

Huru dzinoshandiswa:

1. Endoscopic stenting. Pakakoromoka kujekesa mutsinga dzinofamba nemukaka akasuma kumicheto kana waya puranga. Anotambanudza nduru nzira. Saka kufefemuka nokushanda dziriko. Bile akasununguka akaratidza.
2. Abudise installation. Kureva oparesheni hwakafanana yapfuura mumwe. Chete patency pamusoro bile haina akadzorerwa, uye asunungurwa kuti kunze - ari yakarongerwa bhegi.

Ver marwadzo analgesics achibvumira. With simba kusanzwa murwere yakatarwa marwadzo analgesics:

• "Promedol".
• "Morphine".
• "Omnopon".

nopindirana kwomuchipatara

Kuti tikurire pancreatic oncology murwere anogona kurapa zvinotevera mhando nemwaranzi mishonga:

• bremsstrahlung nemwaranzi;
• kure wegamma-kurapa;
• irradiation nokuda kutsanya maerekitironi.

Radiation mushonga igotakurwa pamberi, pashure pokuvhiyiwa, uye dzimwe nguva pachinzvimbo. Ya murwere upenyu 12-13 mwedzi. Kana nemwaranzi kurapa unobatanidzwa pamwe palliative oparesheni, asi lifespan kuti paavhareji inenge 16 mwedzi.

Mishonga inoshandiswa kana hazvibviri kuitisa mamwe marapiro kana kuti kuwedzera sei pakurapwa ashandiswe. Zvinosuruvarisa yakadaro nzira anobvumira kuti vabudirire chete rushoma regression yacho neoplasm.

zvokurwara kushurudzira

In vakawanda zviitiko chirwere azara. Murwere ane zvekuchipatara kuratidzwa kuonekwa zvirwere zvakadai pancreatic bundu. Fungidziro chirwere zvisingafadzi..

Varwere vanofa nokukurumidza kuwedzera kudhaka, cachexia, intestinal mhingaidzo, jaundice uye zvimwe zvirwere.

Pashure pokuvhiyiwa, kwemakore mashanu wokurarama wevarwere (sezvinoratidzwa vanyori siyana) ndiyo 8-35%.

zvokurwara Prevention

Sei kurapa rwatata mu oncology? Sezvineiwo, zviri zvakaoma. Uye dzimwe nguva hazvibviri. Ndokusaka zvose chinofanira kudzivisa chirwere.

Kuti aite izvi, teererai nyore nhungamiro:

1. Kusvuta.
2. Simbisai zvokudya zvakanaka.
3. Kubvisa deleterious migumisiro kwezvakatipoteredza (asbestos guruva).
4. Panguva Chaiyo vaitire zvirwere: pfungwa nomuviri zvemwana asati, chirwere cheshuga.
5. Zvakanyatsorongwa vanosangana chokudzivirira kunoonekwa nachiremba, kunyanya pamberi cysts, nhoroondo yemhuri.

Usapa chero mukana kutanga zvirwere mumuviri wako. Stay utano!