Simila we ubende: Izimbangela, Izimpawu, Ukwelashwa

Esikhathini sethu, the simila we ubende - isifo sitholakale cishe 1% wesibalo sabantu. Kuyinto kumiswa okungavamile umzimba yangaphakathi nge isikhoxe esigcwele uketshezi. Izifo bangase hit ubani, kodwa kuvamile kabanzi ku abesifazane abaneminyaka engu 35-55. Futhi yingakho sibangelwa nalokho ukwelashwa kungasetshenziswa, bheka kabanzi.

Izici ukubonakaliswa basemtholampilo isifo

ukubonakaliswa Clinical yalesi sifo bathembele ngokuphelele ezifana izici neoplasms, njengoba kwasendaweni, uhlamvu isixazululo. izimbotshana ezincane, okuyinto ngeke idlule 2 cm ububanzi, ngaphandle kokukubonisa izimpawu ukuthuthukisa. Isiguli alazi ngenkinga ekhona ezempilo, futhi lapho ngesikhathi kuhlolwa isimiso phendla lo isifo, akukho badideke mkhawulo.

isifo esikhohlisayo kuzibonakalisa yokuthi izimpawu ebonakalayo kwezinye izimo kungenzeka zingatholakali, nalapho semali ingaphakathi kumiswa. Kodwa iningi simila izimpawu ubende namanje, libonisa Nokho, ubunjalo babo azibangelwa ukukhathazeka kakhulu nesineke, ngakho avame umane indiva. Abantu musa ukuya kudokotela, kuyilapho isifo uyaqhubeka ethuthuka.

symptomatology lesi sifo

Uma nginesimila we ubende unamahlangothi abalulekile, isiguli has a unomphela noma paroxysmal zibuthuntu ubuhlungu kwesokunxele quadrant engenhla, okungase irradirovat ehlombe esiswini ngakwesokunxele. Kwezinye izimo, iziguli esekhala ukungakhululeki, ezifana umuzwa wobukhulu futhi distension e ubende.

Ezisithinta izinguquko isakhiwo yangaphakathi isitho ikani futhi umgudu wokuphefumula. Iphika, ukukhwehlela kanye ukuluma esifubeni ku wabubula. Nakuba izimpawu ezinjalo esivela kwezinye izifo eziningi, lihambisana emizweni ubuhlungu kwesokunxele quadrant engenhla, lokhu kufanele kukhuthaze umuntu ukuba afune usizo lwezokwelapha.

Lwasemtholampilo isithombe lesi sifo umkhankaso

Lapho umgodi owodwa fibrosis ifinyelela usayizi kakhulu (7-8 cm), noma izinhlumba eziningi ezithinta engaphezu kwengu-20% isitho, kungukuphula we wokugaya ukudla pheshana imisebenzi. Kulokhu, isiguli ekhononda ka isicanucanu njalo, ukubhodla, isisu kabi ngisho ubuhlungu.

Inqubo ukuvuvukala kule simila futhi ithumba nokuqukethwe kwalo kuholela ubuhlungu anda, kanye nemfiva, Ukugodola, nobuthakathaka jikelele. Uma uqaphela izimpawu ezinjalo kufanele ngokushesha ufune usizo lwabezokwelapha. Kungenjalo, ubende simila angase aqhume futhi ekuqukethe - ukungena ngaphakathi komgodi ongaphakathi kwamathumbu.

Ukwahlukaniswa izifo

Kuye etiology, lesi sifo ihlukaniswe izinhlobo ezintathu eziyinhloko. Eyokuqala - ongowamambala (azalwa naso) ingaphakathi fibrosis kuwumphumela okungafanele ukuthuthukiswa isitho utero. Kuyaphawuleka ukuthi nginesimila we ubende e usana ludinga zokuqapha ehlelekile ngudokotela. It eqoshiwe Ezimweni eziningi lapho ingane eba neminyaka iminyaka emibili yemfundo wanyamalala, futhi igunya atholwe isakhiwo evamile.

Uhlobo lwesibili - kuyinto pseudocysts (kuzuze), eziye asethuthukile ngenxa izifo. Ukuqoqa out simila yisinanakazana we ubende, okuyinto eba lapho ededelwa emzimbeni nezilwanyana ezincane yisinanakazana.

izinhlobo izifo

Ushintsho E-Ukuklanywa komzimba ingaqala ngezindlela ezimbili. Lapho kuqala leli umgodi owodwa kuphela uketshezi elinendawo indawo ethize. Ukuqhubeka kwesifo kuholela ekwakhekeni lelitfutfukile osayizi enjalo. Njengoba uhlobo lwesibili, kudinga inombolo enkulu izimbotshana ezincane fibrosis kabani kwasendaweni alinaso imingcele ecacile. Uhlelo lokubhalwa kohlelo sifo libhekene ukubukeka izimbotshana entsha.

Izimbangela isifo

Uma unesifo simila we ubende, imbangela isinyathelo kufanele esekelwe esimweni futhi uhlobo imfundo. Iqiniso simila okunzima noma eyodwa ngokuvamile kwenzeka ngenxa embryogenesis. Ngisho esibelethweni, imvuthuluka isitho akhiwa izimbotshana okuyinto emva kokuzalwa Ungaqhubeka sikhule.

izinhlumba Amanga singenzeka ngenxa ithumba yezokwelapha, ukuhlinzwa, unesifo noma ukulimala ahlukahlukene. Ukuthuthukiswa sifo uhlobo umzimba asabela ngayo isenzo zangaphandle.

Njengoba for izimbangela izinhlumba yisinanakazana, nokunye kuyaqondakala - igciwane yisinanakazana.

ukuhlola Izici

Njengoba lesi sifo ukuqhubeka ngaphandle esibangela izimpawu ebonakalayo, nezinkinga ekuhlonzweni umane akunakugwenywa. Ngokuvamile, isifo kubonakele ngesikhathi Luhlolo isimiso ukuhlolwa Dispensary. Thola khona izinhlumba e ubende, ungasebenzisa i-ultrasound, noma i-MRI.

Kuphela ezimweni lapho isifo Usuqhubekile, futhi ukubonakaliswa emitholampilo igqamile kakhulu, udokotela ithumela isiguli ngenjongo ubende luhlolo. Ukuze wenze lokhu, isiguli akumelwe kuphela kudlule US, kodwa futhi ukuletha ephelele segazi. Ephambi kwezinduna yalolu cwaningo laboratory lesi sifo ke likhomba isimo jikelele isiguli kanye ukunquma ngasiphi isigaba ukuvuvukala.

Simila we ubende ezinganeni

Ezinganeni ukugula ngokuvamile iningi isici azalwa naso,% 20-25 kuphela amacala ukubukeka izinhlumba elihlobene ne ukuvuvukala noma ezithathelwanayo. Kungakhathaliseki omsakazo, lesi sifo singumbulali ikakhulukazi asymptomatic. Izimpawu izinguquko sokugembula e ubende avele kuphela uma ubende simila wengane ikhula usayizi othile, noma elikhanyayo.

Ezimweni ezinjalo, imvuthuluka iqala ngokuvamile esekhala ubuhlungu hypochondrium kwesokunxele nesiyezi ehlelekile. Uma ingane incane kakhulu futhi abakwazi ukuchaza imbangela yokuhlupheka kwabo, abazali kufanele waziswe ukuziphatha imvuthu. Kid iba engaphathekile, ukhala futhi ngesikhathi kuhlaselwa kungenzeka noma ukuchema kuzo imilenze ukuze lwesisu, noma nje ucindezela inkinobho kuya flank ngakwesokunxele. Ukufinyelela udokotela nge izimpawu ezinjalo akufanele imisiwe, ngoba lesi sithombe sokucindezeleka isici hhayi kuphela izinhlumba e ubende, kodwa futhi nezinye izifo eziningi eziyingozi.

Lwasemtholampilo isithombe izinhlobo eziphambili lesi sifo izingane

Uma izinhlumba zaba nkulu ngakho, noma izinhlumba encane wamshaya ezingaphezu kuka-20% emzimbeni, yezimpawu ezibonakala ngokucacile. Futhi ezimweni lapho ingaphakathi namanje okhulayo kanye ukuvuvukala, i imvuthuluka ihlangabezana ngisezinhlungwini e waya engxenyeni kwesokunxele engenhla, okuvame obusuka ku esifundeni scapular kanye ehlombe. Phakathi neziqubu ubuhlungu iyakhula. Eshiswa ubende simila e ingane kungaba okufanayo imbangela imfiva, iphika ukukhwehlela okuncane engatheli.

Ezimweni ezinjalo, ukwelashwa ukunakekelwa ngezokwelashwa afanelekayo kufanele kube impoqo. Ngemva indiva izimpawu isifo kungaholela nemiphumela eyingozi kakhulu, enye yazo peritonitis.

I esiyingozi simila we ubende?

Ukungabi ukuxilongwa ngesikhathi esifanele kanye nokwelashwa kumiswa fibrosis kungabangela izinkinga eziningi zempilo, futhi kuze kubangele ukufa.

Ngo okuqukethwe ezinzima ukugula simila ngezinye izikhathi kancane agelezela esiswini futhi zibangele ukuvuvukala eyinkimbinkimbi obuhlukahlukene. Kwezinye izimo, izinhlumba asivulele ukopha, okuyinto iyingozi kakhulu ngenxa yokuphila isiguli.

Uma kuqhuma ubende simila nokuqukethwe ithole ngokuphelele phakathi komgodi peritoneal amahora ambalwa bese umuntu eba isithombe lokho okubizwa ngomlobokazi "esiswini oyingozi", ngenxa yalokho, peritonitis. Ukuswelakala kokusebenza ngokuhlanganyela okuthile kuyisimo esiphuthumayo yini kuleli cala, kungaba yingozi.

Kodwa iqhubeka izinhlumba, ngisho noma ubuqotho bayo, kubangela ukudakwa oyingozi.

Ukwelashwa nokuvikelwa imfundo fibrosis

Kuze kube manje, izidakamizwa ukuthi ukubhekana imfundo fibrosis nje ayikho. Uma isiguli sekutholakele ukuthi sine- nginesimila we ubende, yini okufanele uyenze ukuxazulula udokotela kuphela. Ngo ayinzima kumiswa non-yisinanakazana, futhi leyo mali ingeqi 3 cm, iziguli kufanele ibhekane biannual ultrasound luhlolo. Ngokusekelwe imiphumela uphethwe, udokotela uzokwazi ukulandela okubakhona ingaphakathi fibrosis futhi, uma kunesidingo, ukuncoma ukwelashwa kuhlinzwa.

Uma e inqubo ukuqapha Uchwepheshe ithumba izinguquko isakhiwo kanye nosayizi simila, isiguli ezinqunyiwe scan CT. Le ndlela zokuxilonga ivumela ukukhipha khona e ezindongeni komdlavuza ingaphakathi.

Ubani can ukwelashwa kuhlinzwa yesifo?

Uma sisheshe ubende simila, ukuhlinzwa iyona ndlela kuphela nokulahla isifo egcwele. Nokho, uma kumiswa isikhathi eside engashintshwa ngobukhulu futhi isakhiwo ezinzile okudingekayo ngakho akukho olukhulu ukwelashwa indlela.

I izinkomba ukuhlinzwa kuphela amafomu eziyinkimbinkimbi lesi sifo. Ukususwa we simila ubende ngempela eyenziwa ikhefu futhi iqhubeka ingaphakathi, kanye ukopha. Related izinkomba ngokuphelele ukuhlinzwa yimfundo, okuyinto engaphezu kwengu-10 cm ububanzi, ne isithombe evelele emtholampilo. ukuphathwa Steel lesi sifo kungabuye Kunconywa iziguli izinhlumba yansukuzonke Usayizi 3-10 cm.

Izinhlobo zokuhlinza

Kuze kube manje, ukwelashwa zokusebenza imfundo fibrosis - okuwukuphela kwendlela ukuqeda isifo kanye neziguli ukubuyela indlela yokuphila evamile. Kuye kobukhulu isifo, futhi udokotela nezinye izici kwasendaweni kumiswa ikhetha indlela eliphezulu kokungenela kuhlinzwa. Ngakho, lapho izimila eziningi hit ezingaphezu kuka-40% we-ubende, uhlaka lususwe. Lezi zinhlobo ezilandelayo imisebenzi ingasetshenziswa ahleleka olulodwa:

- ukususwa izinhlumba kuphela amagobolondo zayo zangaphakathi kanye yangaphandle kanye nokwelashwa izilonda argon plasma-sithuthukiswe;

- excision esinqunyiwe (resection) abathintekayo izitho kanye kumiswa fibrosis;

- ukususwa izinhlumba nomzimba izingxenye, okusho okwalandela autologous ubende asesibelethweni le omentum okukhulu ;

- wokubhoboza (uketshezi eyanele) ingaphakathi fibrosis futhi isethulo yezokwelapha sclerosing isixazululo ekhethekile.

Indlela yesimanje wokusebenza

Indlela ephumelela kunazo zonke ukuhlinzwa namuhla laparoscopy. It ikuvumela nje kuphela ukuba sibhekane ngokugcwele lesi sifo, kodwa futhi ukunciphisa nesineke inqubo nokuvuselelwa. ukusebenza enjalo wenziwa amahora amabili ngokusebenzisa ephezulu ukucacisa amathuluzi nekhamera ekhethekile. Ngemva kokuhlinzwa emzimbeni wesiguli 3 kuphela sebeziqhumbuza ezincane, okuyinto zisetshenziswa 1 kuphela umphetho yezimonyo. Phakathi nezinyanga ezimbalwa AMANXEBA ugxile cishe ngokuphelele.

Life ngaphandle ubende

Yiqiniso, kungcono ukuba afeze, uma unesifo simila we ubende, ukwelashwa ngaphandle ukuhlinzwa, kodwa, ngeshwa, akwenzeki ngaso sonke isikhathi. Esimweni lapho umzimba waphupha zisuswe, isiguli kumele ushintshe ngokuphelele sengqondo maqondana nempilo yabo engozini.

Ngaphambili, ngisho odokotela useyile ukubaluleka ubende e ekusebenzeni kahle izinhlelo ukwesekwa ukuphila emzimbeni. Nokho, eminyakeni yamuva nje, ososayensi bebelokhu besebenza ukudala izindlela sokulondoloza leli umzimba ngisho ngaphansi yokulimala kabi futhi usizi. Ngemva ubende has umsebenzi hematopoietic hhayi kuphela, kodwa futhi uhlobo isihlungi amagciwane. Ngemva ukususwa emzimbeni izivikeli mzimba is kakhulu ziyancipha, ngakho-ke kubalulekile ukuba singaxoxi umsebenzi okuvikela umzimba usebenzisa izidakamizwa immunomodulatory, futhi ahileleke kakhulu ezemidlalo, futhi banake ngenxa lukhuni.