I izinhlumba isibindi esiyingozi, ukuthi kanjani lesi sifo

Isibindi ingenye izihlungi eziyisisekelo ngomzimba womuntu. Ngemva contact nge ubuthi egazini emzimbeni, imiphumela Ukungena enjalo sakugcina impilo lesiguli.

Ngenxa yomsebenzi walo asebenzayo ukuze ahlanze umzimba, isibindi uchayeke izifo eziningi. Omunye wabo kumiswa izinhlumba. Lolu hlobo sikhwama ukuthi has a udonga futhi okuqukethwe. Eyingozi kakhulu isibindi simila? Ngeshwa, isimo sokugembula enjalo kuvamile impela, ikakhulu phakathi abantu abadala kanye oseqinile. Ukhuthaza unesimila kungabangela isitho ukungasebenzi, kokubanga ukungcoliswa umzimba nokufa okwalandela isiguli.

Uhlolojikelele

Manje uyazi ukuthi nginesimila esibindini. Noma ngabe isifo esiyingozi, futhi kufanele aphathwe kanjani, sizokutshela kancane ephansi.

simila hepatic kwakhiwa-1% wesibalo sabantu. Ngokwezibalo, abantu bangayithola imfundo enjalo kusengozini yokuthi wobulili bubuhle. Ivame sitholakale kubantu abaneminyaka engu 30-50.

Eyingozi kakhulu isibindi simila? Ochwepheshe bathi ukwakheka enjalo sokugembula yenkambo kungavamile ukuba ingozi. Ngokuvamile, esobala ketshezi egcwele simila, nakuba ezimweni ezingajwayelekile, elikuqukethe kungaba mass jelly-like esesikhundleni umbala ophuzi.

Ukuphendula umbuzo ngalokho izinhlumba isibindi esiyingozi musa asikwazi ukuthi imfundo enjalo kungaba isebenze ezingxenyeni ezihlukahlukene igunya wathi. Kulesi simo sikhwama ngokwayo ngokuvamile ifinyelela usayizi esingeqile 15 cm.

Kufanele kuphawulwe ukuthi iminyaka eminingi ngokuvamile kakhulu emva okuvela nginesimila, ngenxa yezizathu ezithile, isiguli kungase kudingeke izinhlumba eziningi. Nale inkulumo mkhuba ngesifo inkimbinkimbi.

Ngakho yeka ukuthi kuyingozi kanjani isibindi simila? Uma uneminye yalemitimba kukhona awokuthi ukuthi lesi simo senzeka sokugembula isiguli ngeke kuphela. Ngenxa yokuba khona isifo sokusha kwesibindi, Bile Amapayipi izinhlumba, polycystic isifo sezinso futhi wesibeletho kungenzeka zimbi nakakhulu. Ngakho-ke kubalulekile ukuba afeze wokuhlola okuqhubekayo kuzo zonke izitho eseminyaka zokwakheka entsha.

Ukwahlukaniswa izifo

Yiziphi izinhlobo owenza simila isibindi? Ngengozi leso sifo? Lezi zinkinga atehlukaniseki, njengoba usongo obuphathekayo impilo nokuphila isiguli akuxhomekile nje kuphela esimweni ubukhulu ekwakhekeni, kodwa futhi ku uhlobo yayo. Okwamanje, lokhu okulandelayo izinhlobo izinhlumba:

1. Non-yisinanakazana.
2. Ezidlayo.

Ngakwelinye ihlangothi, ngamunye omelelwa uhlobo lesi sifo sehlukaniswe subtypes eziningana. Ake sixoxe ngazo ngokuningiliziwe.

1. Ukungatholakali yisinanakazana simila

Lolu hlobo lwesimila kungaba:

• zamanga;
• kweqiniso.

Lo mqeqeshi owake wapheka zihlanganisa ukwakhiwa, esadaleka ngenxa ukuchayeka esibuhlungu, okusho isitho ukudabuka. Lesi simo esiyingqayizivele sibangelwa kungenzeka uma kususwa isibindi ithumba noma Echinococcus. Ngokusekelwe lokhu, nginesimila zamanga sehlukaniswe kuhlasimulise futhi ukuvuvukala.

Ngokuqondene isimila yangempela, kuba imfundo, esadaleka ngaso esigabeni wokukhula kwengane esiswini. Lokhu simila ngokuvamile kwenzeka ngenxa uxhumano uvule imbobo Bile kuya izindlela nenyongo. isimila True ukutholwa ithuba ngesikhathi ultrasound.

Phela, lo imfundo zokugcina uhlukaniswe kwenye izinhlobo ezintathu:

• polycystic;
• wodwa kanjani;
• cystic fibrosis.

Cabanga kubo ikakhulukazi manje.

polycystic

It libhekene nginesimila ezinjalo yayibheka esibindini? Akuve kuyingozi ngoba indoda? Kulokhu sikhuluma izinhlumba eziningi. Kuyinto yesifo azalwa naso okubangwa kuguquka ezakhini zofuzo.

Usayizi yalemitimba zingahluka. Sikwazi ukukhula izinhlumba kuyo yonke impilo isiguli. Abantu abaningi abaphethwe isibindi polycystic, ngokuvamile baphawula izinguquko fibrosis ku izinso, wamaphaphu amanyikwe. Kufanele kuphawulwe ukuthi kwezinye izimo ngenxa isifo ukuhluleka isibindi sokusebenza kungakheka kunoma abantu, umfutho wegazi ophakeme portal futhi varices ngomphimbo.

simila wodwa kanjani

I esiyingozi simila ku abadududu isibindi? Imfundo enjalo has simise oyindilinga. Kungabangela nezinkinga ezilandelayo: umdlavuza, ukopha phakathi komgodi ongaphakathi kwamathumbu, simila torsion, ukudabuka, ithumba futhi ukopha odongeni simila.

cystic fibrosis

Azalwa naso cystic fibrosis kwesibindi uvame kakhulu izingane ezincane. Lapho leso sifo ngokuvamile baphawula yezinkinga ezilandelayo: isifo sokusha, umfutho ophakeme wegazi portal, yokwehluleka kwesibindi ukusebenza futhi zisebenza kahle.

2. simila ezidlayo

Kuyini simila yisinanakazana kwesibindi? Eyingozi kakhulu (izibuyekezo on ekwelapheni lesi sifo banikwa ngezansi) lesi sifo kubantu? Kuye lwegciwane imfundo enjalo has izinhlobo eziningana:

• hydatid;
• alveokokkovy.

Kufanele kuqashelwe ukuthi le ezivamile isifo ezinjalo kuba asymptomatic. Uma kutholwa isiguli ngeke bakhumbule njalo lapho ukuxhumana yesilwane okwakungenzeka ngegciwane ke.

ukubukwa hydatid

Ngokuvamile lokhu kwenzeka ngo ukwakheka Lobe kwesokudla isibindi. Ukubukeka izinhlumba hydatid elihlobene ne esigabeni fibrosis noma elalikudle lapho liseyisibungu yentuthuko tapeworm (ehinokokkoznogo) ngokuthi Echinococcus granulosus.

ukubukwa Alveokokkovy

Alveokokkovoe imfundo ibizwa nangokuthi izinhlumba njengoba yisinanakazana. Isimila yalolu hlobo kwenzeka uma cestodes parasitizing esigabeni elalikudle lapho liseyisibungu, okuthiwa Echinococcus multilocularis.

Njengoba kushiwo ngenhla, KWAMAGUNDANE ngokuvamile kwenzeka contact lapho womuntu izimpungushe, izinja, izimpisi kanye izimpungushe. izakhiwo ezinjalo zithambekele ukukhula okuqhubekayo. Lapho ubheka ubungako bawo, kulapho cishe ingozi yezinkinga ezilandelayo: izinhlumba ukudabuka, ukopha ukopha.

izimpawu

Kufika isikhathi athile simila isibindi eba asymptomatically. Kwaze kwaba yilapho sebeshiye isifinyelele Usayizi abalulekile, umuntu angase abe nomuzwa:

• iphika;
• isicanucanu;
• ubuhlungu ngakwesokudla quadrant engenhla;
• isifo sohudo,
• kwesisindo;
• ukungakuthandi ukudla;
• ukwanda ubukhulu umzimba;
• umuzwa ukugcwala futhi ukusinda ngemuva kokudla.

ukuhlola

Lesi sifo kuncike kungatholakala nomaphi ngesikhathi ultrasound besisu. Futhi simila isibindi ngokuvamile kunqunywa echography. Le ndlela zokuxilonga ivumela ukumambula okuqukethwe sikhwama we isimila (ubomvu noma igazi).

Nge-computer futhi magnetic resonance imaging futhi scintigraphy Umthambo mesenteric futhi angiography hepatic celiac isiqu okungenzeka kwenziwe ukuxilongwa umehluko imfundo hemangioma ekhona, metastatic isitho izilonda, izimila emathunjini amancane, gallbladder sokuvuvuka futhi t. D. Uma kukhona ukungabaza, ochwepheshe enze laparoscopy zokuxilonga.

zokwelapha

I esiyingozi isibindi simila nokuthi kanjani lesi sifo? Lawa imibuzo sizobe ngayo kulesi sihloko.

Uma isiguli wathola nginesimila ezincane, ukwelashwa iqala ehlelekile eyalandela, gastroenterologist. Ngokuphathelene ukususwa kuhlinzwa we kumiswa ezinjalo, kungashiwo siboniswa yezinkinga (isib suppuration, ukopha futhi ukudabuka). Kufanele kuqashelwe ukuthi le imisebenzi eyenziwa ngaleso amanani giant nezinkulu izinhlumba (10 cm noma ngaphezulu), kokucindezelwa ipheshana biliary, ngenela zhelchetoka, kokucindezelwa ka vein portal nge nomfutho wegazi ophezulu (i-portal) lokubuya kwesifo izinhlumba ngemva wokubhoboza futhi izimpawu zokwelashwa liphinyiselwe, okuyinto elilulaza izinga ukuphila kwesiguli.

Ukususwa kwezimiso izinhlumba isibindi - kuyingozi? Ochwepheshe bathi ezimweni eziningi, imisebenzi enjalo ziyimpumelelo futhi ngaphandle nanoma yiziphi izinkinga.

Ngo ukwakheka ukuhlinzwa isibindi akusho ukususwa izinhlumba besisu. imisebenzi enjalo aqukethe lubhoboze kuphela okuqukethwe sikhwama.

umphumela Nobungapheli kufinyelelwa ngemva kokungenela kuhlinzwa nge Ubukhulu encane ingaphakathi (isb, kuze 5-6 cm).

izindlela kwesiko kanye nokubuyekeza

Abagqugquzeli imithi ehlukile uncamela aphathe izinhlumba isibindi ungalilahli imithi infusions ehlukahlukene Iziphungo. Nanyana kunjalo, ukutshwaya kusukela ochwepheshe ukubika ukuthi lezi zindlela akuvamile kuholele elamukelekile. Ngaphezu kwalokho, lapho ukulethwa okungazelele lemfundo ukunakekelwa kwezempilo ongafinyelela usayizi esikhulu, okuyinto iyingozi kakhulu ngenxa yokuphila isiguli.