Amanyikwe Aberrant: Ihlahlubo, Izimpawu kanye Ukwelashwa

Yokwanda noma aberrant amanyikwe - a anomaly ezingavamile pheshana emathunjini, lapho ngaphezu indlala main kunesinye. Isitho itholakala engxenyeni antral isisu, esiswini noma udonga 12 duodenal, ileum noma emathunjini amancane, mesentery. He kubhekwa anomaly futhi livela ngaphezu umzimba omkhulu, nge lendwangu efanayo, kodwa akuhlangene naye. Ziyini izimpawu pathology ngesidingo ukuthatha, ukuwucabangela ngokwengeziwe.

Yini zazifihlwa ngaphansi elithi "amanyikwe aberrant?"

yensimbi Extra kuwumphumela ukuthuthukiswa okungavamile. Cabanga-ke ukubukeka kwalesi sifo akudingekile, kwezinye izimo, yena akazange abonise nhlobo, futhi cishe akuvimbeli umuntu uphila impilo egcwele. Thola kwezinso can ngephutha, ngesikhathi laparotomy, okuyinto kwakuhlelwe ngesizathu esihlukile. Ngokwesibonelo, lapho kwamanyikwe is kuhlolelwe kwezinso ngesikhathi ukuhlinzwa ukhishwe izilonda esiswini noma emathunjini, op ukuphulukiswa cholecystitis calculous ngefomu.

izicubu okungavamile nomzimba evamile indlala aqukethe izakhi efanayo. amanyikwe Aberrant siqukethe imbobo lapho kuvula skylight esiswini noma emathunjini. Ngenxa yalokho, i-hardware eyengeziwe okungenzeka ukuthuthukisa pancreatitis ngefomu oyingozi. Ngu izifo ezingavamile zihlanganisa ukopha emathunjini.

Izimbangela indlala-accessory

Kuze kube manje, ososayensi alwa phezu okumqoka: ngasizathu simbe, kwakheka double aberrant imbobo pancreatic. Kodwa kukhona imibiko obuzwakalayo bokuthi anomaly kwenzeka esibelethweni, kanye nomthelela ekuthuthukisweni izici zayo eziningi ezingezinhle:

• enqabayo isizinda emvelweni, kuthinta abesifazane ngesikhathi sokukhulelwa umntwana;
• isifo esidluliselwa ngofuzo;
• ukubhema nokusebenzisa kabi utshwala iziphuzo lapho ukhulelwe;
• ukucindezeleka njalo nokucindezeleka;
• izifo ezithathelwanayo, okuye sidluliselwe owesifazane uthwele ingane, phakathi kwawo - ugcunsula, rubella, i-herpes, nabanye;
• okungenamsoco ukuze ukhulelwe owesifazane amalungiselelo.

symptomatology lesi sifo

ukubonakaliswa Clinical phambi amanyikwe aberrant incike ubukhulu bawo kwasendaweni. Uma kuwukuthi endaweni odongeni esiswini, izimpawu zifana kakhulu ukubonakaliswa kolwelwesi, futhi uma kutholakala duodenum 12, kulesi simo, isibonisi kungase kubonise ukuthuthukiswa izilonda. Ngaphezu kwalokho, kungase kube izimpawu pancreatitis, cholecystitis noma appendicitis. Lezi zimpawu musa abangele isiguli ukubona udokotela, pathology isikhathi eside ayikwazi ukutholwa.

Kodwa ezimweni eziningi, izimpawu awaveli cishe izikhalazo, isiguli kuzovela kuphela uma ukuthuthukiswa ukuxakeka. Ziyakwazi:

• izinqubo ukuvuvukala;
• perforation wamathumbu noma isisu udonga;
• necrosis;
• ukopha;
• ileus.

Ngokuvamile kuphakama izinkinga ezingase zivele uma insimbi eyengeziwe itholakala emathunjini amancane. Inkinga kulokhu isimiso salo. Futhi uma ukuvuvukala okwengeziwe emzimbeni likhona, isiguli singase ukuthuthukisa dyspepsia, ubuhlungu obukhulu kule peritoneum.

Phakathi luhlolo laboratory bungabonakala futhi giperlipazemiya hyperamylasemia.

izinhlobo isifo

Kukhona izinhlobo eziningana umdlavuza aberrant. Singasho amelelwe:

• zonke izingxenye ekhona kwamanyikwe: Amapayipi secretory nezingxenye;
• kuphela exocrine ingxenye, obangela ukukhiqizwa of juice esiswini;
• ngqo endocrine ingxenye ngokusiza ekukhiqizeni ama-hormone ezibalulekile ukuthi ekulawuleni amazinga kashukela egazini;
• adenomyosis - izicubu pancreatic ezishumekwe papilla esikhulu duodenal 12 (lena indawo kokuvula Amapayipi indlala ku duodenum 12).

Beka kwasendaweni aberrant we wendlala

Kungenziwa akhiwe amanyikwe aberrant esiswini kanye nezinye izitho:

• emphinjeni;
• duodenum;
• ezindongeni gallbladder;
• isibindi;
• ubende;
• emathunjini amancane;
• mesentery emathunjini amancane, crease noma mucosa esiswini.

Indlela ukuxilonga izifo?

Pathology kungatholakala ngezindlela ezihlukene, konke kuncike lapho zendawo. Uma pancreatic locezu aberrant isendaweni odongeni duodenum 12, emathunjini ezinkulu noma esiswini, bese kulokhu kuyoba lula ukuhlonza. Ezimweni eziningi, it is itholwe ngenkathi ukuhlolisisa ukuhlolwa. Ubudala ekubulaleni iziguli ezigulela evamise kutholakala ukuthi uphethwe isifo iminyaka 40-70.

Thola anomaly e izindlela eziningana:

• Endoscopically. Kulokhu, yensimbi iyisiqhingi obujwayelekile esikhulu izicubu yezindlala, ngokuvamile sifana polyp, esemgwaqweni nsuku ezibanzi. Ngokuvamile phezulu kulesi siqhingi kungenziwa bophezela emuva, okuyinto kuwuphawu endoscopic indlala aberrant. Uma-ke uthole idatha olunembile kunzima ngesikhathi yalolu cwaningo ukuthatha biopsy we ebusweni.
• -X-ray. Kulokhu, lo anomaly kungenzeka ngezinga elikhulu, okuyinto ephawuleka ngesimo yinhlanganisela umehluko. Kodwa kulokhu, kungaba ebonakalayo futhi umlomo uvule imbobo, okuyilona elisebenzayo futhi waqhathanisa.
• US. Lapho efeza ultrasound hardware eyengeziwe kungabhekwa njengokuvikela nengxenye kule isakhiwo hypoechoic, khona izimbotshana ezengeziwe futhi imbobo anechoic.
• CT esiswini. Lolu cwaningo lizosiza ukukhomba indlala uma kwenzeka ukuthi itholakala kwi izindonga umzimba eziyize. Lokhu inhlolovo kusiza lokwenza ukuxilongwa umehluko umdlavuza. Endabeni isimila ayehlasela has kwezitho elingumakhelwane metastases peritoneum. Nokho, uphethwe umehluko kungase kube nzima uma isimila itholakala izingqimba submucosal (leiomyoma, lipoma futhi miosarkoma).

Ukwelashwa nokuvikelwa amanyikwe aberrant

Iziguli kabani anomaly wakhonjwa, kunenkolelo yokuthi uma kwakuzodingeka kuze ngaphansi ngommese likadokotela ohlinzayo. Babekwazi kubuzwa lo mbuzo: noma ukususa amanyikwe aberrant? Leave it zingagadiwe akukwazi, ngoba kuyingozi ngoba kungenzeka kwezicubu umdlavuza. Ngesikhathi ukutholakala yayo kumelwe kuthathelwe izinyathelo ngokushesha ukudlula uchungechunge izifundo azosiza ukuqeda ukuthuthukiswa izimila ebulalayo. Kodwa ngemva uphethwe wokugcina Kunconywa ekususweni anomaly, kodwa indlela kulolu ukhetha udokotela ohlinzayo incike indawo umdlavuza sika.

Uma umzimba eyengeziwe kuyinto surfactant, watusa elektroekstsizitsiya endoscopic. Uma umzimba has nginesimila ke kulesi simo Kwenziwa fenestration ka izinhlumba.

ukwelashwa okulondoloza futhi kahle kuyasiza ezimweni lapho kungekho ingozi angenise umdlavuza. Kunconywa imithi eside esebenza, le analogue engcono "Somatostatin" kufanelekile. yokwelapha Kanyekanye lingaze.

Aberrant amanyikwe antrum akuyona kuyingozi isiguli uma nje ozokhula izinqubo sokugembula. Yingakho ingasetshenziswa khona ukwelashwa okwengeziwe umdlavuza lesiguli cha, kodwa ukuqapha njalo nguchwepheshe kufanele kube.

Izinkinga nemiphumela

Kubalulekile nokukhumbula ukuthi ukuziba ngokuphelele ukuba khona anomalies e kwamanyikwe akuyona asizisoli ngoba noma ikuphi ukonakaliswa ke engase iholele kalula ukuthuthukiswa pathologies ezifana:

• pancreatitis - abavusa yensimbi esengeziwe;
• ukopha esiswini noma emathunjini;
• neoplasm ebulalayo of indlala isesekeli noma amanyikwe.

Ukuvimbela izinkinga indlala-accessory

Uma kukhona babutha yensimbi ke ukuqapha ukuthuthukiswa yayo olwengeziwe njalo. Lokho-ke akakubangeli yezinkinga lemayelana nekuvinjelwa ezidingekayo:

• Namathela ekudleni kwakho: ngaphezulu ekudleni ukuze ungeze amaprotheni kalula digestible, ukudla eziqinile fibre. Linanincane amafutha nanoma yini, sokuthi kwenyuswe amaholo iphango.
• Ukuthatha imithi ezisiza inqubo ukugaya, isibonelo, "Creon" ngesimo mini-microspheres. Amaphilisi Abonayo basuke kalula exutshwe ukudla esiswini bese ufaka emathunjini. Lokhu kuyadingeka uma kungekho isizukulwane enzyme lalo.
• Ukuyeka ukubhema kanye notshwala.

Uma ulandela izincomo futhi njalo okuphawulwe udokotela, insimbi eyengeziwe akubangi ngokuphazamiseka. Kunoma ikuphi, idinga ukuqapha njalo nguchwepheshe, ngokushesha ukukhomba yezinkinga sithathe izinyathelo ezidingekile.