Cyst ntawm lub txiav: kev soj ntsuam thiab yog vim li cas nws txaus ntshai?

Txoj kev tua tus kab mob hu ua pancreatic cyst yog qhov chaw kab noj hniav hauv kab ntsig ntawm sab hauv ntawm cov khoom nruab nrog sab hauv, uas yog txwv los ntawm phab ntsa ntawm cov ntaub so ntswg mob. Cov kab noj hniav puv nrog cov kua dej exudate, qhov etiology ntawm qhov tshwm sim yog vim muaj kab mob lossis mob tshwm sim hauv cov txiav ua kab mob.

Cov chaw kuaj mob sib txawv txawv hauv cov duab sib txawv. Lawv nyob ntawm qhov loj me ntawm txoj kev tsim, thaj chaw, pathogenesis ntawm kev tsim. Cov tsos mob tuaj yeem yog los ntawm lub siab ntawm qhov tsis xis nyob me ntsis mus rau kev mob hnyav.

Txheeb xyuas qhov loj thiab thaj chaw ntawm cyst, pom qhov sib txuas nrog cov ducts, xaiv cov kev cai ntawm kev kho mob, kev ntsuas duab hluav taws xob, suav tomography, MRI ntawm cov khoom nruab nrog sab hauv, thiab lwm txoj hauv kev yog ua kom rov ua dua daim duab tag nrho.

Feem ntau, kev phais mob lossis tso dej tawm sab nraud yog qhov yuav tsum tau, ib feem ntawm cov khoom nruab nrog nrog cov kab mob pathological neoplasm me ntsis tsis tshua rov ua haujlwm.

Kev faib tawm ntawm pancreatic hlwv

Raws li ICD code, pancreatitis yog mob siab, mob ntev, subacute, thiab lwm yam. Kev xyaum phais tawm cais ob hom neoplasms. Hauv thawj kis, cov qauv ntawm cov kab noj hniav yog coj mus rau hauv tus account.

Cov cyst yog qhov tseeb yog tias muaj ib qho epithelial hauv ob sab phlu. Cov kab mob no hais txog kev mob qog nqaij hlav hauv lub cev, cov raug mob sib cais tau piav qhia hauv cov tshuaj, vim nws tsis tshua muaj rau cov neeg mob.

Cov hlwv cuav yog ib qho neoplasm uas tshwm sim los ntawm tus kab mob. Nws tsis yog qhov pom los ntawm cov tsos ntawm glandular epithelium ntawm phab ntsa, yog li ntawd nws raug xaiv ua qhov tsis tseeb.

Qhov kev faib tawm zaum ob yuav siv mus rau hauv tus account qhov chaw ntawm lub cyst hauv lub txiav:

Cyst ntawm lub taub hau ntawm tus txiav (tshwj xeeb, qhov chaw nyob yog lub hnab ua kua). Raws li kev txheeb cais, qhov kev npaj kho no pom nyob hauv 15-16% ntawm cov duab hauv chaw kuaj mob. Qhov peculiarity yog tias muaj qhov nias ntawm duodenum.
Ntawm lub cev ntawm ib qho khoom nruab nrog - nws kuaj tau hauv 46-48% ntawm cov neeg mob. Nws zoo li feem ntau hloov pauv txawv ntawm ib cheeb tsam, tawm tsam keeb kwm ntawm ib qho kev hloov chaw ntawm lub nyuv thiab lub plab nws tus kheej tau qhia.
Ntawm tus Tsov tus tw - pom hauv 38-39% ntawm qhov xwm txheej. Qhov peculiarity yog tias vim xws li neoplasm, cov kabmob nyob ze tsis tshua muaj kev puas tsuaj.

Cov hlwv tseeb yeej muaj tsawg hauv qhov no, kev kuaj mob thiab cov ntsiab cai ntawm kev kho ob hom yog xyaum tsis txawv, yog li tom ntej peb yuav xav txog cov hlwv cuav xwb.

Cyst ua rau thiab cov tsos mob

Kev txiav txim siab rau kev txiav txim siab tshwm sim hauv cov neeg mob, tsis hais hnub nyoog li cas, poj niam txiv neej, tuaj yeem muaj ntau qhov ntau thiab tsawg, muaj tib thiab ntau. Hauv qee cov neeg mob, tshwj xeeb tshaj yog vim kev kuaj kab mob plab yug me nyuam, muaj cov kab mob ntawm txoj hnyuv rau lub cev, lub hlwb thiab lub siab tuaj yeem kuaj tau.

Cov hlwv cuav yeej tsis tsim nyob hauv cov kabmob uas muaj kev noj qab haus huv. Ib qho neoplasm yog ib txwm tshwm sim los ntawm cov txheej txheem tsis zoo hauv lub cev. Feem ntau cov ua rau muaj xws li mob leeg rau leeg, mob hauv lub cev

Qhov laj thawj yuav yog qhov sib tshooj luv luv ntawm qhov tso zis hla dej (piv txwv, pinched los ntawm cov hlab ntsha lossis pob zeb) lossis muaj kev cuam tshuam loj heev hauv nws cov kev ua kom lub cev muaj zog. Feem ntau, hlwv hlwv ua rau muaj cov kab mob parasitic xws li cysticercosis, echinococcosis. Pathogenesis kuj yog los ntawm cov qog ntshav hlav. Hauv daim ntawv ntev ntawm kev ua mob pancreatitis, post-necrotic cysts yog tsim nyob hauv ib nrab mob.

Lub zej zog ntawm cov neeg phais mob taw qhia cov ntsiab lus tseem ceeb ua rau muaj kev txhim kho cystic. Qhov cuam tshuam tsis zoo ntawm ntau yam tau ua pov thawj los ntawm kev tshawb fawb ntau. Cov no suav nrog:

Kev haus dej haus cawv ntau heev.
Kev pham, uas nrog cov kev ua txhaum ntawm lipid metabolism.
Keeb kwm kev phais mob rau ib qho ntawm cov plab hnyuv txhaws.
Mob ntshav qab zib mellitus (feem ntau ntawm yam thib 2).

Lub xub ntiag ntawm ib qho ntawm cov xwm txheej no hauv tus neeg mob nrog cov tsos mob ntawm tus kabmob pancreatic txhab tso cai rau kev tsim lub cyst xav tsis ntseeg.

Qhov pib ntawm cov txheej txheem pathological muaj qee qhov kev sim ua pov thawj uas tau pom hauv 90% ntawm cov neeg mob. Thaum pib, xws li ib lub tsev kho mob tshwm sim:

Mob hnyav ntawm herpes zoster. Nws nce ntxiv tom qab noj mov lossis haus cawv. Cov tshuaj loog ua kom daws tsis tau qhov teeb meem, tsis muaj tshuaj kho kom zoo.
Rov ua qhov ntuav, uas tsis ua rau kom tus neeg mob siab.
Cov tsos mob ntawm txoj hnyuv suav suav nrog raws plab, tsam plab, thiab roj.

Cov chaw kuaj mob tau ploj lossis ploj zuj zus ntawm 4-5 lub lis piam mob. Hauv cov tshuaj, lub caij nyoog no yog hu ua "qhov khoob zoo." Tom qab ntawd, cov cim ntawm tus yam ntxwv tau raug qhia tawm dua, tab sis ntau khaus thiab pheej.

Feem ntau cov neeg mob yws ntawm subfebrile lub cev kub, ua kom nkees, mob hnyav rau sab laug hypochondrium. Qee lub sij hawm (hauv kwv yees li 5% ntawm cov duab), yellowness ntawm daim tawv nqaij, cov tawv nqaij ua paug, nti ntawm lub plab hnyuv siab raum ntawm lub zeem muag tshwm sim.

Cov tsos mob ntawm tus mob hnoos qeev suav nrog kev tsim cov tshuaj hormones tsis txaus xws li insulin, somatostatin, glucagon. Lawv qhov tsis txaus ua rau qhov ncauj qhuav, nce ntxiv ntawm qhov nqus ntawm cov zis ib hnub, hauv cov mob hnyav, tsis nco qab vim yog hypoglycemic lossis hyperglycemic coma tau kuaj pom.

Kev kuaj mob

Yog tias koj xav tias kab noj hniav puv nrog kua, yuav tsum sab laj nrog kws kho mob plab raum. Thaum kuaj lub cev lub plab, nws txoj kev tawm tsam yog pom ntawm qhov chaw ntawm lub caij pathological.

Kev sim hauv tsev sim, raws li txoj cai, tsis qhia qhov hloov pauv tshwj xeeb. Muaj qhov nce me ntsis hauv leukocytes, ESR nce ntxiv. Qee lub sij hawm muaj qhov nce ntxiv hauv qhov kev txiav txim ntawm bilirubin.

Ultrasound muab cov kev ntsuas ntawm qhov loj ntawm lub neoplasm, qhia pom cov pov thawj ntawm cov kev mob uas twb muaj lawm. Piv txwv li, yog tias muaj qhov pom tseeb tam sim no, tsis pom kev echogenicity.
CT thiab MRI tuaj yeem muab cov ntaub ntawv ntxaws ntxaws ntxiv ntawm cov kev ua haujlwm hauv thaj chaw cystic tsim, nws qhov loj me, qhaj ntawv lossis tsis muaj kev sib txuas lus nrog cov ntws.

Txog kev kuaj mob, ERCP tau ua tiav - cov qauv pab kom tau txais cov ntaub ntawv ntxaws txog kev sib raug zoo ntawm cov cyst thiab pancreatic ducts, uas ntxiv txiav txim siab txog kev kho mob. Txawm li cas los xij, nrog kev kuaj xyuas zoo li no, muaj kev pheej hmoo kis tau yooj yim.

Yog li no, ERCP tau ua tshwj xeeb rau qee kis uas yuav tsum txiav txim siab txog txoj hauv kev ntawm kev phais mob, thaum siv tshuaj kho kom zoo li kev xaiv kho tsis tseem suav tias yog.

Siv tshuaj kho

Dab tsi yog qhov phom sij ntawm lub pob txhaws hauv lub qhov quav? Qhov txaus ntshai nyob rau hauv qhov tseeb hais tias kev tsim muaj ntev ntev ua rau kev tuav pov hwm ntawm cov khoom nruab nrog nyob ze, uas provokes ntau yam teeb meem. Qhov tshwm sim tuaj yeem yog cov hauv qab no: tawg, tsim kom muaj cov fistulas, ua kom zoo lossis ua rau qog ntshav, los ntshav vim tawg ntawm cov hlab ntsha.

Ua raws li cov lus tshaj tawm tshiab ntawm cov zej zog scientific, nws tuaj yeem hais tias kev kho kom zoo nrog cov ntsiav tshuaj yog ua raws qee yam. Yog tias muaj kev txwv meej ntawm cov kab mob pathological, qhov loj me ntawm lub cystic tsim tsis tshaj 2 centimeters nyob rau hauv lub taub.

Lawv kho nrog tshuaj yog tias cov leeg tsis haum rau ib leeg. Tsis muaj kev soj ntsuam cov tsos mob txhaws qau, mob mob ib nyuag.

Lub sijhawm ntxov, kev tshaib nqhis yog qhov tsim nyog. Cov rog rog, kib thiab kib zaub mov tsis suav nrog lub neej yav tom ntej, vim tias cov zaub mov zoo li no ua rau kom cov zom cov zaub mov muaj zog ntau ntxiv, uas ua rau kom cov nqaij mos ua kom lub cev puas tsuaj. Tsis suav cov kab luam yeeb thiab cov dab. Tus neeg mob xav tau lub txaj mus rau 7-10 hnub.

Thaum kho, cov tshuaj yog kws kho:

Cov tshuaj tua kab mob cuam tshuam nrog tetracyclines lossis cephalosporins. Lawv lub hom phiaj txhawm rau tiv thaiv kev nkag mus ntawm cov microbes rau hauv kab noj hniav ntawm kev tsim, uas yuav ua rau cov txheej txheem purulent.
Txhawm rau txo qhov mob thiab txo cov kev zais cia, tshuaj tiv thaiv kab mob siv - Omez, Omeprazole thiab lwm yam tshuaj.
Cov kev kho mob rau Enzyme yuav tsum ua kom lub cev tsis ua haujlwm ntawm cov carbohydrates thiab cov rog rog - cov tshuaj nrog lipase thiab amylase raug pom zoo. Nthuav qhia los ntawm pab pawg - Pancreatin, Creon.

Yog hais tias cyst yog qhov tshwm sim ntawm biliary pancreatitis, choleretic tshuaj yuav ntxiv rau kev kho mob. Qee qhov xwm txheej, tom qab tshem tawm qhov ntawm lub cyst, cov qhov txhab mob tuaj yeem daws lawv tus kheej. Txawm li cas los xij, qhov no tsis tshua muaj. Ntau tus neeg mob siv cov kev kho mob pej xeem nyob rau hauv daim ntawv ntawm decoction ntawm burdock, mummy, tincture ntawm celandine, thiab lwm yam. Kev tshuaj xyuas ntawm cov hau kev no zoo, tab sis lawv tsis txaus siab los ntawm cov pov thawj, yog li nws zoo dua tsis muaj kev pheej hmoo thiab ntseeg cov kws kho mob.

Thaum qhov kev pom zoo hauv kev saib xyuas tsis ua rau cov txiaj ntsig xav tau hauv 4 lub lis piam, cov kws kho mob pom zoo ntxiv yog kev phais mob.

Kev phais mob

Raws li kev txheeb cais, kev txuag kho nyob rau hauv tsuas yog 10% zam kev phais. Hauv lwm qhov xwm txheej, kev kho mob yog nqa tawm hauv chav phais neeg. Muaj ntau ntau dua xya kev hloov pauv ntawm txoj kev ua haujlwm uas tso cai tshem tawm cyst.

Cov kws kho mob tau sim nrhiav los ntawm kev siv cov tswv yim tsis zoo los kho tus mob. Tawm tsam keeb kwm yav dhau los ntawm kev siv dag zog li no, tus neeg mob cov tawv nqaij tsis pom kev piam sij. Cov kev tsis sib haum xeeb tsawg yog tsawg dua los ntawm cov txuj ci uas tau ua los ntawm daim tawv nqaij tswj hwm ntawm ultrasound.

Qhov siab tshaj plaws ntawm kev ua haujlwm tau raug sau tseg nyob hauv qhov muaj cov txheej txheem ntawm lub tshuab hloov mus rau hauv lub taub hau lossis lub cev. Lub hauv paus ntsiab lus ntawm cov txheej txheem yog yooj yim heev. Tom qab kev tso tshuaj ntawm ib tus neeg laus lossis tus menyuam, ib rab koob hno lossis xuas tes pliav ntsaws hauv qhov chaw txhaws ntawm thaj tsam epigastric. Ua raws li qhov loj ntawm cyst, lub lag luam tuaj yeem mus rau hauv ob txoj kev:

Kev siv percutaneous puncture ntws tawm ntawm lub neoplasm. Tom qab txhua qhov tso dej tawm hauv cyst, ib txheej roj hmab nyias nyias yog tsim los tsim qhov sib hloov tas mus li. Nws nyob hauv lub cev kom txog thaum cov kua dej ntws tawm. Xws li kev phais mob siv tsis tau yog tias lub voj voog ncig mus kaw lub ducts ntawm lub caj pas lossis loj.
Los ntawm percutaneous sclerotherapy ntawm cyst. Cov txheej txheem cuam tshuam nrog kev qhia ntawm cov kua tshuaj mus rau hauv cov kab noj hniav tom qab nws khoob. Vim li ntawd, muaj kev ntxuav cov kab noj hniav, kev nce qib ntawm qhov tsis xws luag.

Yog tias cov txheej txheem saum toj no tsis tuaj yeem ua, ces laparoscopy tau ua. Kev ua haujlwm no tau ua los ntawm kev ua ob ntu, txhua qhov ntawm nws txawv ntawm 1 txog 2 cm. Cov khoom siv tau qhia rau hauv lub plab hauv plab los ntawm lawv. Ntawm ib sab tes, cov txheej txheem ntawm cov phiaj xwm xws li yog qhov muaj peev xwm qis, txawm li cas los xij, ntawm qhov tod tes, kev txheeb cais pom tias muaj ntau yam teeb meem tshwm sim.

Tus kws kho mob yuav ua cov hauv qab no:

Kev zam thiab occlusion ntawm kev kawm ntawv. Nws yuav siv tau los thov yog tias tus cyst yog dag.
Laparoscopy muaj feem xyuam rov qab ntawm ntu ntawm pancreatic ntu. Cov lus pom zoo tseem ceeb rau kev ua txhaum loj hauv cov ntaub so ntswg.
Frey cov kev cuam tshuam nrog rov qab ntawm lub taub hau thiab tsim ntawm pancreatojejunal anastomatosis. Nws raug nquahu kom coj los tiv thaiv keeb kwm ntawm kev nthuav dav dav ntawm qhov khoom hauv nrog.

Qhov kev kwv yees yog vim muaj etiology ntawm tus kab mob, kev kuaj mob kom sai thiab lub sijhawm ntawm kev phais mob. Xws li tus kabmob muaj qhov tso tseg ntau ntawm qhov tsis zoo - ntawm 10 txog 50% ntawm tag nrho cov duab tha xim. Txhawb nqa, perforation feem ntau tshwm sim, fistulas, los ntshav hauv sab hauv plab daim ntawv plab. Txawm hais tias tom qab phais mob ntawm lub txiav, nws muaj qee qhov muaj feem yuav rov huam mob yav tom ntej.

Hais txog kev kho mob ntawm kev mob caj dab yog piav nyob rau hauv video hauv tsab xov xwm no.

Congenital

Ib qhov ua me nyuam mos lub cev yeej ib txwm muaj cov ntaub so ntswg uas qhia tawm tias nws sab hauv tag nrho.

Hauv lwm txoj kev tsim cov pancreatic, xws li hauv ob sab phlu tsis tuaj.

Nws tseem muaj qhov me me thiab feem ntau pom thaum ua haujlwm ntawm lub plab zom mov. Qhov no tsim yog 5 zaug tsawg dua li cov qog thiab cov qog ua degenerative.

Pseudocyst

Cov cyst cuav yog qhov feem ntau ntawm ntau yam mob glandular (80% ntawm txhua qhov teeb meem raug kuaj). Nws yog qhov zoo sib xws rau cystadenoma (mob qog nqaij hlav hlav) thiab yog qhov nyuaj rau kho, yog li nws feem ntau degenerates mus rau qhov muaj mob kheesxaws mucinous. Lined nrog cov ntaub qhwv cov nqaij mos, cov qib hnoos qeev tom qab muaj cov xov ntawm cov tawv nqaij tuag, ua kua dej, thiab tuaj yeem tshem tawm phais.

Qhov chaw thiab qhov ntev

Qhov tseeb neoplasms yog los ntawm 2-3 txog 27 hli.

Raws li rau pseudocyst ntawm lub tsev pheeb suab, lawv loj dua (ntawm lawv muaj cov loj heev, 15 cm hlav). Tus nqi ntawm cov kua nrog uas lawv tau ntim tuaj yeem ncav mus txog 2 litres.

Cov qauv no tuaj yeem nyob rau txhua qhov chaw ntawm lub caj pas thiab txav mus rau lwm qhov hauv plab hnyuv (GIT), nias ntawm lawv.

Piv txwv, yog tias tus kab mob pathology nyob ze ze ntawm lub hnab ntim khoom (qhov sib txawv ntawm lub plab hauv plab tom qab lub plab), tom qab ntawd nws thawb lub plab thiab lub siab nce. Yog hais tias qhov tsim ntawm tus txiav yuav kis mus rau sab qis ntawm lub plab zom plab, ces cov hnyuv me me tseem txav qis dua, thiab cov hnyuv transverse nce siab dua.

Dab tsi yog phom sij cyst hauv cov txiav ua pob

Thawb lub cev rau ntawm cov khoom noj ntawm lub plab zom mov, cyst cuam tshuam lawv txoj haujlwm, ua rau muaj kev ua haujlwm tsis zoo thiab, dhau sijhawm, ua rau muaj kab mob hauv lawv. Ib lub qog ntawm cov txiav yuav ua mob siab thiab ua rau tus neeg mob tuag, vim tias metastases los ntawm nws mus rau cov ntaub so ntswg kis tau sai.

Pseudocysts uas tshwm sim nrog kev mob caj dab ntev tuaj yeem ua rau fistulas, sib tawg. Yog hais tias lawv cov ntsiab lus hliv rau hauv lub plab hauv plab, tom qab ntawd necrosis thiab mob qog nqaij hlav tuaj yeem tshwm sim thiab muaj kev txhawb nqa ntawm tus txiav ua kua pib. Kev phom sij ntawm kev tsim tus mob peritonitis (mob ntawm peritoneum) thiab lom ntawm lub cev yog qhov zoo heev.

Kev kuaj mob

Txhawm rau hnov thawj cov tsos mob ntawm kev noj qab haus huv, ib tus neeg yuav tsum sab laj tus kws kho mob tam sim ntawd los tsim kev kuaj mob. Tus kws kho mob plab, tau hnov txog cov tsos mob ntawm tus kab mob pancreatic, yuav ua qhov kev soj ntsuam ntawm lub plab mog nrog palpation. Nws tshwm sim hais tias nyob rau hauv qhov chaw ntawm ib ncig ntawm kev tsim, lub plab yog me ntsis tawm tsam thiab qhov sib piv ntawm nws thiab tus so ntawm lub plab kab noj hniav yog hais. Ntawm palpation, qhov mob yuav muaj zog.

Hauv kev txheeb xyuas mob qog ntawm lub qog, kuaj ntshav thiab tso zis tawm yuav pab tau me me. Qee zaum leukocyte thiab qib bilirubin yuav nce siab, nce ESR raug kuaj.

Cov hau kev uas tso siab tau rau kev kuaj mob ntawm tus mob hnoos qeev hauv qhov no yog: endoscopic cholangiopancreatography (ERCP), suav tomography (CT), ultrasound thiab MRI.

Kev kuaj tsom iav qhia ib qho kev sib txuam ntawm cov kua dej thiab txiav txim siab qhov loj ntawm cyst. Yog hais tias tus tsim pib pib fester, lub ncha teeb liab tiv thaiv tom qab ntawm nws kab noj hniav yuav tsis sib luag. Thiab yog tias nws muaj cov qauv txwv (qog) hauv lumen ntawm cov kab noj hniav no, nws yuav yog mob cancer.

Nrog CT, kev ua kom pom ze ntawm kev tsim kev tuaj yeem tshawb pom meej, tab sis nws hom tsis tau txiav txim siab. MRI pab txhawm rau tshawb pom qhov sib txuas ntawm cov cyst thiab pancreatic duct.

ERCP tau pom tias yog txoj kev zoo tshaj plaws, nrog txoj kev tshawb fawb no, kev sib txuas ntawm cov qog nrog cov leeg ntawm cov khoom hauv nruab nrog yog pom meej, uas tso cai rau cov kws phais mob los txiav txim siab txog kev kho mob. Tab sis nrog txoj kev kuaj mob no, koj tuaj yeem nqa tus kab mob mus rau hauv lub cev, yog li nws tsuas yog siv los daws qhov teeb meem ntawm tus txheej txheem ntawm txoj kev phais mob.

Cov kws kho mob kho cov mob no. Hom kev khiav haujlwm yog nyob ntawm kev hloov pauv ntawm cov ntaub so ntswg ntawm lub qhov quav, qhov loj ntawm cyst, nws qhov chaw nyob. Hauv kev kho mob, kev tso dej tawm sab nraud lossis sab hauv yog siv. Cov tom kawg tau txais cov lus pom zoo, txij li kev pheej hmoo ntawm rov ua haujlwm tom qab nws tsawg, thiab mob plab mus.Hauv cov mob hnyav ntawm pathology, ib lub neoplasm yog rov sau (tshem tawm) nrog rau ntu ntawm tus txiav, uas yog nws thaj chaw.

Ib qho tseem ceeb rau kev kho mob nrog cyst ntawm lub plab zom mov yog kev noj zaub mov kom zoo thiab kev noj haus. Cov kws kho mob sau npe rau tus lej 5 ua zaub mov noj rau lawv cov neeg mob. Cov rog, haus luam yeeb thiab ntsim tais yuav tsum tau muab cais tawm ntawm cov zaub mov noj txhua hnub. Cov zaub mov yuav tsum tsis txhob npaj rau cov nqaij nqaij, tab sis rau hauv dej. Cov hau kev ua noj ua haus zoo tshaj plaws yog: ua noj, ci, txhav. Nws yog qhov zoo hauv lub ncuav ua noj qeeb. Cov neeg mob tus neeg mob hnoos qhuav yuav tsum tau noj ntau zaus, zom cov zaub mov kom zoo. Txias thiab kub lauj kaub tais diav yuav tsum tau hloov nrog cov sov sov (kom txog 37 ° С).

Cov nqaij cov khoom tso cai rau hauv cov khoom noj no yog hau, cov ntses tsis muaj roj, nqaij qaib tsis muaj nqaij, thiab nqaij, uas tau txiav zoo zoo, nqaij los yog pleev ua ntej siv. Thawj cov zaub mov yog cov nqaij ntshiv borscht thiab zaub qhwv kua zaub, mashed taub dag, qos yaj ywm, zaub ntug hauv paus kua zaub nrog kua zaub qab, ua kua zaub thiab mis kua zaub nrog nplej zom. Los ntawm cereals koj tuaj yeem noj cov nplej liab, oatmeal thiab buckwheat porridge.

Cov zaub mov ntawm cov neeg uas muaj lub qog nqaij hlav uas muaj pancreatic suav nrog rye cij thiab cij, hau los yog ci qe dawb, nws raug tso cai siv cov cheese tshiab thiab cov nqaij rog muaj cov nqaij cheese loj.

Los ntawm cov khoom siv tsis sib xws thiab cov khoom qab zib koj tuaj yeem noj cov ncuav qab zib tsis muaj ci, qhiav cij gingerbread uas tsis muaj chocolate, marmalade. Koj yuav tsum haus cov txiv hmab txiv ntoo stewed, jelly, kua txiv uas tau tov nrog dej, teas nrog txiv qaub lossis mis nyuj haus. Los ntawm cov txiv hmab txiv ntoo, koj tuaj yeem noj cov txiv tsawb, txiv av qab zib, kua txiv thiab dib liab hauv cov khoom me me.

Teeb meem

Cov phom sij txaus ntshai ntawm cov qog ntshav ntawm lub cev pancreatic yog lub ruptures, cov ntawv loj thiab cov mob polycystosis, nrog rau cov leeg mob ua si.

Thaum lub qog ua kom mob, nws cov ntsiab lus tuaj yeem ua rau lub plab zom mov lossis nkag mus rau hauv plab zom plab, uas yuav ua rau ascites (mob ua paug) lossis mob peritonitis. Yog tias koj tsis tau mus ntsib kws kho mob, tus neeg tuaj yeem tuag.

Ciav cyst

Cov qog yuav txuas rau txoj hlab ntuag yog tias nws ua rau hauv lub cev. Hauv qhov no, nws hu ua papillary-mucinous. Tsis tshua muaj qhov neoplasm tuaj yeem loj hlob nyob rau xyoo ntawd

Nws tshwm sim uas thaum ua kev ntsuam xyuas, cov kws kho mob ua yuam kev thiab ntseeg tias tus neeg mob muaj mob pancreatitis.

Qhov kab mob pancreatic no ua rau tsis zoo thiab tsis yog qhov kho tau tas mus li, vim tias qhov mob ntshav txhaws feem ntau pom muaj hauv cov neeg laus.

Loj leeb huab hwm coj

Ib qho kev ua haujlwm ntawm cov hlab ntsws loj yog lawv lub peev xwm tswj tau txog li 2 litre ntawm kev zais (kua txiv). Ncab thiab nias rau ntawm cov kabmob ib puag ncig, cov hlwv no tuaj yeem ua hws (seep) dhau ntawm lawv. Qee qhov hlav hlav hlav mus rau qhov chaw voos thiab mediastinum (thaj chaw hauv lub ntsws thiab lub plawv nyob). Yog li, lawv tuaj yeem ua rau cov kab mob ntawm cov kabmob no thiab tus neeg mob yuav tsum tau kho rau ob peb pathologies.

Kev Tiv Thaiv

Koj tuaj yeem tiv thaiv qhov pom ntawm pathology los ntawm kev soj ntsuam kev noj qab haus huv, tsis nco qab txog dej cawv, noj kom yog.

Nws yog qhov tsim nyog yuav tau ua tib zoo saib xyuas koj lub cev, yog tias muaj qhov tsis xis nyob hauv nws, mus rau tom tsev kho mob thiab raug kuaj mob ntawm tus txiav thiab lwm yam.

Puas tuaj yeem daws teebmeem pancreatic cyst?

Ncaws pom cov qog uas tsis tau tsim ua ntej kawg (tsawg dua 3 cm) tuaj yeem yaj thiab ploj yog tias kho cov tshuaj los yog tshuaj kho mob ib txwm siv rau lawv. O o nres thiab ploj mus. Cov hlwv loj loj rau lawv tus kheej tsis daws, lawv raug tshem tawm phais.

Lub neej kev kwv yees

Yog pom muaj tus kab mob pancreatic cyst thaum ntxov ntawm nws qhov kev tsim thiab nws tseem me, kab mob tuaj yeem kho tau thiab kev pheej hmoo ntawm kev rov qab tuaj yeem tshem tawm. Nrog cov laus tsim ntawm qhov loj me, kev ntsuas ntawm lub neej yog qhov muaj txiaj ntsig tsawg dua. Hauv 30-50%, cov teeb meem tshwm sim uas tsis yog ib txwm kho tau. Yog li ntawd, tib neeg kev noj qab haus huv nyob ntawm nws tus kheej.

Tus txheej txheem ntawm kev tshwm sim ntawm cov hlwv hauv nruab nrog cev

Lub txiav ua kab yog ib qho kev ua nrog cov alveolar qauv ntawm parenchyma. Tag nrho nws cov microcavities yog sib txuas los ntawm ducts. Cov kua txiv pancreatic, cov zais zais zais uas muaj cov enzymes, txav mus nrog lawv. Yog tias qhov tawm los ntawm ib lossis ntau qhov alveoli cuam tshuam, qhov txheej txheem tsis haum. Vim yog qhov cais tawm ntawm cov enzymes, nws ntws mus rau hauv o. Tawm tsam nws cov keeb kwm yav dhau los, cov ntshav ncig yog qhov cuam tshuam, uas ua rau muaj kev sib kis ntawm cov kab mob hloov pauv thoob plaws kev teeb tsa ntawm lub cev.

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Txhawm rau kom nres qhov txheej txheem, tiv thaiv kev tawm tsam yog ua rau, thiab thaj tsam ntawm qhov mob o tau dhau mus nrog cov ntaub so ntswg sib txuas lossis cov nqaij mos (ntaub qhwv). Qhov no tsis xaus qhov pathology. Thaum fouling, ib qho tshuaj ntsiav ntom ntom tuaj yeem kov cov hlab ntshav. Tom qab ntawd cov ntshav nkag mus rau hauv kab noj kab ntsig, exudate.

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Lub siab hauv cov tshuaj ntsiav tsub kom ntau ntxiv, nws loj hlob ntawm qhov loj me, nias ntawm cov nqaij mos uas nyob sib ze, ua rau pom qhov tshiab ntawm txoj kev tawg tshiab thiab txoj hlua khi. Sab hauv nws, txheej txheem purulent necrotic tuaj yeem pib ua.

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Yog li cov cysts raug tsim. Vim tias tus qauv tshwj xeeb ntawm txiav ua xua, txawm tias cov kws kho mob niaj hnub tsis tuaj yeem muab lub sijhawm no txhais cov ntsiab lus tseeb. Yog li, lub npe ua ke neoplasms hauv ib hom ntawv, hom ntsiab lus, qhov loj me thiab xwm.

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Vim li cas rau qhov tsim

Lub cyst tuaj yeem ua rau lub sijhawm ntawm tus me nyuam hauv plab. Lub anomaly yog vim muaj caj ces ua rau muaj qhov tsis zoo thiab ua haujlwm tsis zoo thaum lub sij hawm tso me nyuam hauv plab. Kev nquag muaj tshwm sim ntawm cov hlwv ua qab zib tsis ntau tshaj li 1.5% ntawm cov txheeb cov neoplasms hauv cov txiav.

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Ntau zaus, mob siab los sis mob ntev ua rau lub qog (pancreatitis) ua rau cov tsos ntawm pathological tsiav tshuaj. Raws li kev txheeb cais, nyob rau hauv 54% ntawm cov neeg uas tau kuaj mob no, cyst kuaj tom qab qee lub sijhawm. Pathologies ua rau pom muaj ntau yam:

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yees rau cov khoom noj muaj roj,
npauj
haus dej cawv muaj zog
haus luam yeeb
lub qog
plab raug mob nrog lub qog nqaij tawv.

Cysts yog tsim nyob rau hauv kev ua txhaum ntawm patency ntawm pancreatic pathways, kev txuam nrog kua txiv hauv lawv. Qhov no tshwm sim nrog lub caij nyoog tshaib plab thiab lub cev tsis zoo. Txoj kev pheej hmoo ntawm neoplasms yog nce los ntawm txhua yam kev phais mob ntawm cov hnyuv. Blockages provoke calcifications hauv cov txiav.

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Calculi tshwm sim nyob rau tom qab keeb kwm ntawm kev cuam tshuam ntawm metabolic, qee zaum pathology yog qhib los ntawm kev nkag los ntawm helminthic

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Txoj kev pheej hmoo ntawm cyst tsim nce ntshav qab zib mellitus, rog, mob gallstone.

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Hom ntawm cov chaw

Cov kws kho mob faib cov qog hauv cov txiav caj dab los ua qhov tseeb thiab tsis tseeb. Thawj zaug suav nrog kev sib daj sib deev, lawv qhov sib txawv tseem ceeb yog nyob hauv tus qauv ntawm cov tshuaj ntsiav. Nws yog tsim los ntawm cov ntaub so ntswg epithelial. Thaum lub neej, cov neoplasm tsis tuaj yeem loj thiab tsis tshua muaj kev kub ntxhov, lawv tuaj yeem ploj yam tsis muaj kev kho mob.

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Cov hlwv cuav muaj cov ntsiab lus thiab lub hau tshuaj fibrous, tau tsim nyob rau hauv cov lus teb rau kev hloov pauv, tuaj yeem nce ntxiv ntawm cov nrawm sib txawv, necrotic, tig mus rau hauv kev tshwm sim, malignant (ua malignant).

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Ntawm qhov chaw nyob, cov hlwv nyias txawv nyias:

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txiav taub hau - feem ntau ua rau cov tsos mob muaj sia, tuaj yeem ua rau mob plab hnyuv, ua kom lub plab nqaj,
lub cev - muaj peev xwm nyem lub nyuv thiab plab, muaj ntau dua li lwm tus,
Tail - tsis tshua muaj kev ua rau tsis xis nyob, vim hais tias txawm tias muaj ntau qhov ntau thiab tsawg tsis mob rau cov khoom nruab nrog nyob ze.

Los ntawm cov xwm, cov hlwv txawv rau hauv:

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neoplastic - nws nquag ua paug lossis hlav qog,
kev raug mob - tshwm sim tom qab kev raug mob tshuab,
cab - provoked los ntawm helminths los yog protozoa,
o - tshwm sim tawm tsam keeb kwm ntawm tus kab mob pancreatitis.

Mob yog hu ua cyst thaum pib ntawm nws lub ntsej muag. Cov phab ntsa ntawm cov tshuaj ntsiav hauv qhov no tsis tsim, qhov chaw yog txwv los ntawm cov ntaub so ntswg tseem ceeb ntawm cov txiav. Tom qab cov tsos ntawm phab ntsa, qhov tsim tau hu ua subacute lossis mob ntev. Thaum cov kab noj hniav puv nrog kua paug lossis cov kua dej loj, lub cyst hu ua kev tshem tawm.

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Neoplasms tuaj yeem ua ib leeg (pom meej thiab hais tawm nyob hauv tsuas yog ib feem ntawm cov khoom hauv nrog cev), ntau yam (kuaj pom 2 ntu ntawm lub qog), lossis diffuse (cov hlwv me me thoob plaws hauv parenchyma).

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Ib qho tseem ceeb ntawm tus cwj pwm yog qhov loj ntawm lub cyst. Txog li 5 cm inch, nws yog suav tias yog tsis muaj kev phom sij. Cov ntawv loj loj tuaj yeem cuam tshuam cov ntshav ncig, cuam tshuam rau cov hlab ntsha thiab kabmob.

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Cyst ua rau dab tsi?

Txhua tus hnoos qeev txiav mus rau ib qib lossis lwm qhov ntawm lub cev ua haujlwm tsis ua haujlwm. Cov ntawv me me tuaj yeem nce ntxiv. Nyob rau tib lub sijhawm, lawv pib nyem cov hlab ntsha, lub qog ua pa, ua kom poob qis, tag nrho cov no sai sai mus rau hauv o. Kev tsim tawm ntawm cov kua txiv zom muaj kev ntxhov siab, mob dyspeptic tshwm sim.

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Cov txheej txheem koom nrog ntau thiab ntau cov kab mob hauv nruab nrog cev. Lub cev noj qab haus huv yog hloov los ntawm cov nqaij mos thiab lub cev poob nws qhov elasticity. Cov ntws tawm ntawm cov kua txiv yuav nres tag nrho. Kev tiv thaiv kab mob ua rau yus tsis txaus siab (protein, rog, carbohydrate), ua tsis tau ntawm lwm yam khoom hauv nruab nrog cev tuaj.

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Nrog kev tsim ntawm txoj xov zoo, cov hlab ntsha tuaj yeem raug mob, uas yog fraught nrog sab hauv los ntshav. Qhov kev tiv thaiv kab mob rau lub sijhawm ntev thiab ntau qhov tsis txaus yog qhov tsis tuaj yeem: lub hlwb koom nrog pathology tuaj yeem ua atypical, thiab cyst hloov mus rau mob qog nqaij hlav.

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Ib qho nce ntawm cov naj npawb ntawm cov kab mob tuag, muaj huab tais huab hwm coj sib luag, sib dhos thiab tso ntshav ntxiv rau hauv tshuaj ntsiav yuav ua rau nws tawg. Qhov no yog fraught nrog kev sib kis ntawm tus kab mob mus rau txhua qhov hloov, dav dav pancreatic necrosis, peritonitis, ntshav lom, tuag.

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Kev mob cyst cuam tshuam rau cov plab hnyuv siab raum nyob ze thiab cov leeg xaim. Nws ua rau tsis xis nyob, kho teeb meem plab. Txoj kev mob taub hau niaj hnub tuaj yeem txo tus neeg mob lub neej zoo thiab xaus rau qhov tsis ua haujlwm.

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Cov tsos mob tshwm sim muab cyst

Txog thaum qhov nce siab hauv lub cheeb, neoplasm tsis muab nws tus kheej tam sim ntawd. Tus neeg mob tej zaum yuav muaj kev tsis xis nyob rau sab laug hypochondrium, ntaus nqi nws rau neuralgia lossis mob leeg. Cov teeb meem tshwm sim thaum cov qog ua loj dua - kev loj hlob ntawm cov hlwv ua rau lwm qhov (lossis thawj) exacerbation ntawm pancreatitis.

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Tus neeg mob ntsib kev mob siab rau hauv sab laug hypochondrium lossis hauv plab, feem ntau tom qab noj mov tas. Qhov siv yog nyob ntawm qhov loj ntawm qog. Yog tias cov hlab ntsha ntawm lub hnub ci plexus raug hla, muaj cov ntse hlawv xim tam sim ntawd hauv qab pob tw, tua sab nraub qaum. Yog hais tias cyst nias rau ntawm cov zis, cov neeg mob hnov mob rub rau sab hauv qab thiab hauv plab plab.

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Cov yam ntxwv tshwj xeeb - kev tawm tsam mob tsis yog nres los ntawm cov kab mob analgesic los yog antispasmodics. Cov tshuaj tsuas yog txo qis ib leeg xwb, tab sis tsis tshem tawm lawv kiag li. Yog hais tias cyst tsis provoke cov ntaub so ntswg necrosis, mob mob tom qab ob peb hnub. Kev pab tuaj yeem ntev txog li ib hlis, tom qab uas qhov qaug dab peg rov ua haujlwm.

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Vim yog tsis tuaj yeem nrog lub cev nqus dej ua pa, tag nrho cov hnyuv muaj kev txom nyem. Tus neeg mob tau txhawj xeeb txog qhov hnyav nyob hauv plab plab tom qab noj mov (txawm tias muaj qhov seem tsis txaus), xeev siab tshwm sim. Nrog kev hloov kho tsis tau ntawm lub qog, lub plab ntuav tsis tuaj yeem loj hlob, uas tsis ua rau muaj kev daws teeb meem (qhov tshwm sim ntawm intoxication ntawm lub cev).

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Kev ua haujlwm ntawm cov hnyuv hloov. Vim tias tsis muaj enzymes, cov txheej txheem ntawm kev zom zaub mov muaj kev ntxhov siab, pom kev tshwm sim, tus neeg mob tau mob plab zawv heev. Hauv cov quav, muaj impurities ntawm cov zaub mov tsis muaj kuab thiab nthuav tawm cov rog (steatorrhea).

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Lwm cov tsos mob

Tawm tsam ntawm keeb kwm ntawm xeev siab thiab tsis muaj zog, tus neeg mob poob nws qab los noj mov, thiab ib qho kev ua txhaum ntawm cov zaub mov tawg ua rau lub cev tsis muaj zaub mov zoo thiab ua kom poob phaus. Vim yog o thiab intoxication, qhov kub nce. Qhov ntsuas tsis tshua muaj ntau tshaj li qhov tsis tseem ceeb ntawm subfebrile, txawm li cas los xij, nrog cov muaj mob hnyav, kub taub hau thiab mob hyperthermia tau pom.

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Cov hlwv loj ua rau cov leeg ntshav ntawm lub nruab nrog cev. Cov tsos mob ntxiv nyob ntawm lub zog thiab thaj chaw ntawm siab:

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yog hais tias lub raum yog nyem, cov dej tawm ntawm cov zis yuav cuam tshuam,
nrog kev mob siab txog cov hnyuv, yuav muaj kev ncua qhov quav thiab cov tsos mob (mob, mob plab, asymmetry ntawm lub plab)
raug rau daim siab provokes stagnation ntawm bile thiab cov tsos ntawm jaundice.

Thaum kuaj pom thaj tsam ntawm qhov kev kwv yees ntawm lub txiav txiav ntawm sab xub ntiag phab ntsa, tubercity lossis protrusion ntawm ib ntu ntawm cov qog tuaj yeem kuaj tau.

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Kho kab mob

Cov kev cai ntawm kev kho mob yog nyob ntawm cov yam ntxwv ntawm cyst. Benign neoplasms, tsawg dua 50 hli inch, tsis ua rau lub plab zom mov, raug saib xyuas los ntawm ultrasound. Txhua tus hlav loj yuav tsum tau muab tshem tawm. Cov hlwv me me nrog fuzzy ciam teb yog rau txoj kev tshawb fawb ntxiv (kuaj me me, duab qoj ib ce) thiab tshem tawm sai sai nrog kev paub tseeb ntawm lub siab phem.

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Kev txuag tshwj xeeb

Tsis ntev los no tshwm sim pseudocysts tuaj yeem raug tshem tawm txhawm rau txhawm rau yog tias cov txheej txheem ua paug sai sai thiab cov txiav ua haujlwm rov ua haujlwm li qub. Neoplasms txog li 2 cm inch yuav daws tau. Ua li no, taw:

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7-10 hnub tom qab pw,
2-3 hnub los yoo mov,
kev noj zaub mov nruj
tso cai zais zais (Omez, Pantoprazole),
antispasmodics (Tsis-Shpa, Buskopan, Spasmomen),
tshuaj tua kab mob (los tiv thaiv kev kis tus kab mob),
siv cov tshuaj enzyme (Creon, Mezim, Pangrol, kom txo cov haujlwm ntawm lub cev).

Yog hais tias cyst tsis ploj nyob rau hauv ib hlis, cov tshuaj raug muab tso tseg thiab cov qog yuav tshuaj xyuas thaum muaj kev loj hlob ntxiv. Yog tias tsim nyog, npaj ua haujlwm.

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Qhov no nthuav! Kev kho mob nrhav

Nyob rau hauv International Kev Tshawb Fawb Kev Siv thiab Kev Coj Ua "Kev Kho Mob Niaj Hnub: Cov Teeb Meem", uas muaj nyob rau hauv Lavxias, Novosibirsk, Lub Xya Hli 6, 2016, cov txiaj ntsig ntawm kev txhim kho kev phais kom zoo los kho cov kab mob hlwb loj dua. Cov txheej txheem ntawm ob sab hauv nrog sab nraud ntawm qhov dej xau tau thov rau 11 tus neeg mob ntawm 59, nrog cyst txoj kab uas hla ntau tshaj 10 cm.

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Nrog kev laparotomic (qhib) nkag los ntawm lub plab lossis thaj chaw ntawm sab laug hypochondrium (thaum muaj kev puas tsuaj rau "tus Tsov tus tw" ntawm lub caj pas), cyst puncture tau ua. Qhov ntsuas biomaterial tau xa tawm tam sim ntawd rau kev tshuaj ntsuam biochemical thiab keeb kwm. Yog hais tias qhov xwm ntawm kev tsim yog benign, cyst phab ntsa tau qhib, lub cev muaj zog loj thiab lwm qhov sib txuam tau raug tshem tawm. Tus kab mob kamomosis tom qab tau ua tiav los ntawm lub plab thiab cov yas me me silicone tau xaws nrog kev pab ntawm catgut, qhov thib ob kawg ntawm cov uas tau coj tawm.

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Nrog kev pab ntawm txoj kev paug, qhov tseem tuaj yeem ntxuav cyst kab noj hniav nrog cov tshuaj tua kab mob tau ua tiav, kev ua haujlwm ntawm tus ntsuas mob tsis txaus ntseeg tau soj ntsuam siv hluav taws xob xoo hluav taws xob. Kev kho ntawm cyst nyob rau lub sijhawm postoperative coj mus rau kev nrawm ntawm nws cov obliteration (overgrowing). Tom qab saib xyuas lub anastomosis thiab nyob rau hauv qhov tsis muaj dej tawm los ntawm cov kua dej, lub raj tau tshem tawm.

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Cov txheej txheem txhawb nqa tsim ntawm qhov ua haujlwm tsis txaus ntseeg thiab tiv thaiv qhov tsim ntawm cov khoom noj seem hauv cov txiav. Qhov ua tau zoo ntawm kev kho mob no tau lees paub los ntawm kev txo hauv tsev kho mob tus neeg mob (txog 10 hnub). Txhua tus neeg mob ua haujlwm ntawm txoj kev no tsis muaj kev mob tshwm sim tom qab kev phais mob thiab tsis muaj qhov cyst rov ua dua.

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Lwm txoj hauv kev ntawm kev kho

Txhawm rau zam kev phais, qee tus kws kho mob thiab tshuaj ntsuab pom zoo kom kho nrog tshuaj ntsuab.Cov qauv no yuav pab tau rau "cov tshiab" cov hlwv ntawm qhov ntau thiab tsawg. Nws yog qhov zoo dua los siv lwm cov ntawv qhia ua noj tom qab kev pom zoo nrog tus kws kho mob thiab hauv kev sib txuam nrog kev kho tshuaj.

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Qhov ua tau zoo ntawm cov tshuaj ntsuab tawm tsam cov pos ntxig hnoos qeev tsis muaj pov thawj scientific. Kev siv ntawm tsuas yog lwm txoj kev kho tuaj yeem ua rau muaj qhov txhauv hauv qhov loj me, ua kom nrawm dua nws cov laus thiab kev sib tawg, uas yog fraught nrog kev ua rau neeg tuag taus.

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Kev nqis tes ntawm cov nroj tsuag yog raws kev tawm tsam, kev saib tsis taus thiab muaj kev ua kom tsis haum. Hauv kev kho mob ntawm cov hnoos qeev, nws tau pom zoo kom siv cov khoom siv los ntawm:

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Dwb Los
xev
zebcrop
hais,
Sushnitsy
xyoob ntoo
aloe
immortelle
John lub wort
plantain
oregano
txiv duaj
fennel.

Ua tau zoo dua yog kev kho mob nrog tus nqi los ntawm cov npe tshuaj ntsuab. Kev tso cov tshuaj tawm yog qhov zoo tshaj plaws rau ib tus kws paub txog tus kws kho mob. Hauv qab no yog cov kev xaiv nrov tshaj plaws rau cov tshuaj ntsuab sib xyaw ua ke tawm tsam kev tua kab mob hlwb.

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Sib npaug zos ntawm calendula, yarrow thiab celandine tshuaj ntsuab yog tov. Ib me nyuam diav ntawm cov zaub sib tov yog hliv nrog ib khob ntawm dej npau, sab laug mus rau infuse hauv qab lub hau rau 2 teev. Tom qab ntawd, lub hood yog lim, muab faib ua 3 qhov sib npaug. Ib qho ntawm lawv tau haus cawv 30 feeb ua ntej noj mov. Lub chav kawm ntawm kev kho mob kav ib hlis, tom qab ib asthiv so nws rov ua dua lossis cov tshuaj yog npaj raws li cov tshuaj hauv qab no.

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Sib tov 2 dia ntawm cov paj calendula qhuav thiab zoo li qub ntawm tws plantain shooters, 1 tablespoon ntawm tansy nyom. Ib me nyuam diav ntawm brew yog brewed nyob rau hauv ib lub khob ntawm dej npau npau rau ib thiab ib nrab teev. Tom qab lim, lub hood tau muab faib ua 3 ntu, coj li ib nrab ib teev ua ntej noj mov. Lub chav kawm ntawm kev kho mob lub hli

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Qee qhov chaw qhia pom zoo hloov 2 sau cov ntawm lawv tus kheej. Txhawm rau tshem tawm cov hlwv, nws yog qhov yuav tsum tau yauv mus kuaj 3 mus.

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Nqa cowberry, strawberry, nplooj blueberry, thiab nplooj taum thiab pob kws txaij stigmas. Ib tug tablespoon ntawm sib tov yog brewed nrog ib khob ntawm boiling dej nyob rau hauv ib lub thermos thaum hmo ntuj. Thaum sawv ntxov, lub hood yog lim, ntawm lub plab khoob lawv haus ib nrab khob. Lub chav kawm ntawm kev kho mob yog 2 lub lis piam, tom qab ntawd koj yuav tsum tau sab laj nrog tus kws kho mob thiab, yog tias tsim nyog, kev kho mob txuas ntxiv.

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St. John lub wort, nplooj mint, chamomile, plantain, yarrow thiab cinnamon yog sib xyaw. Ib me nyuam diav ntawm brew yog brewed rau 2 teev nyob rau hauv lub khob ntawm dej npau. Tom qab ua tiav, muab 3 zaug ib hnub ib nrab ib teev ua ntej noj mov. Txoj kev lis ntshav tau tshaj tawm cov khoom antispasmodic thiab nres qhov kev loj hlob ntawm cyst.

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Kev saib xyuas lub neej thiab kev pom zoo

Pancreatic cysts tsis muaj qhov pom zoo heev. Txawm hais tias muaj kev kuaj mob tsis tu ncua, ua tib zoo saib xyuas thiab tshem tawm ntawm lub neoplasm, muaj kev pheej hmoo ntawm kev cuam tshuam thiab nws degeneration mus rau mob cancer. Txog 55% ntawm cov neeg mob ntsib cyst tawg thiab suppuration ntawm cov ntaub so ntswg. Txog ib nrab ntawm kev ua haujlwm xaus rau kev rov mob siab.

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Txoj kev ua neej

Tus neeg mob nrog rau lub cyst uas xav tau yuav tsum tau muab txoj kev coj ua tsis zoo, haus dej haus cawv, thiab haus luam yeeb. Tus yuam sij rau kev ua haujlwm zoo ntawm lub qog yuav ua kom muaj kev noj haus zoo thiab ua raws txhua cov tshuaj kho mob. Txhua 3 lub hlis ib zaug, kev tiv thaiv ultrasound scan yuav tsum tau ua. Cov lus qhia zoo sib xws muaj feem xyuam rau cov neeg mob uas tau txais kev phais kom tshem tawm lub cyst.

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Hauv thawj hnub tom qab kev phais, tus neeg mob tsis noj mov. Kev tshaib plab thiab kev thaj yeeb yuav pab kho kom sai li sai tau ntawm cov ntaub so ntswg. Tom qab 2-3 hnub, plhws zaub mov noj, nqaij ua zaub mov tsis muaj roj thiab zaub nruab nrab yog qhia rau hauv cov zaub mov ua noj tom qab kev kho kub. Tus kws kho mob muab cov lus qhia ntxiv hais txog kev noj zaub mov ib leeg zuj zus.

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Kev noj haus nrog cyst thiab tom qab tawm hauv tsev kho mob tau teeb tsa raws li cov cai hauv qab no:

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ib qho kev tsis lees ua rog, haus luam yeeb, kib, salted, pickled,
kev txwv cov khoom qab zib,
kev siv cov zaub tsis muaj fiber ntau thiab cov txiv hmab txiv ntoo tsuas yog tom qab kho cua sov,
mos mos ntawm cov tais diav rau kev zom kom yooj yim,
kev tsis lees txais ntawm cov tshuaj tua kab mob ua kua txiv kab ntxwv zais cia (legumes, sorrel, txuj lom, kua nplua nuj, nceb),
nquag noj zaub mov hauv feem me me.

Nrog rau cov txiaj ntsig tau zoo ntawm kev kho mob, tus neeg mob maj mam rov qab los noj haus li qub. Yog tias muaj kev hem thawj ntawm kev rov huam mob los yog mob leeg mob ua tiav, kev noj haus tau ua raws lub neej.

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Xaus

Tus kab mob pancreatic cyst tuaj yeem tshwm sim rau tus neeg ntawm lub hnub nyoog thiab poj niam txiv neej. Hauv cov pab pawg muaj kev pheej hmoo siab yog cov neeg muaj mob txha caj qaum thiab mob vwm (rau cov lus qhia ntxiv txog cov tsos mob ntawm tus mob pancreatitis thiab kev kho mob, saib qhov txuas ntawm no), nyiam cov khoom noj muaj rog thiab haus muaj zog.

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Daim neoplasm nqa qhov tsis xis nyob thaum nws loj tuaj rau qhov loj. Nws tuaj yeem hloov mus rau mob qog noj ntshav tau, txo qhov kev kis tus kabmob mus thoob ib ce. Feem ntau, kev phais mob yog qhov tsim nyog. Thaum kuaj pom tus kab mob sai dua, nws muaj peev xwm tshem tawm nws tsawg dua nrog kev ua haujlwm tsis tshua zoo.