Pancreatic polyp > Mob ntshav qab zib

Lub pancreatic polyp yog benign loj uas tsis cuam tshuam rau kev loj hlob sai. Txhawm rau kom tsis txhob ntxias cov neeg nyeem, nws tsim nyog qhia tam sim ntawd tias kev loj hlob ntawm polyposis hauv qhov khoom ntawm lub plab tsis tuaj yeem tshwm sim hauv txoj ntsiab cai. Qhov no yog vim qhov tseeb hais tias nyob rau hauv lub txiav kab tsis muaj kab noj hniav loj, ntxiv rau ua mob rau ntawm cov leeg, ntawm qhov uas polyp tuaj yeem loj tuaj. Nws tuaj yeem tsim tau tsuas yog nyob rau hauv lub duct ntawm cov khoom hauv lub cev, txawm li cas los xij, nws yuav luag tsis muaj peev xwm txheeb xyuas nws nyob ntawd, ntxiv mus, xws li cov qog tsis muab cov tsos mob. Yog li, ntau zaus nyob rau hauv cov lus "polyp ntawm txiav" txhais tau tias mob cyst, hemangioma, fibroma, lipoma, leiomyoma, neurinoma lossis schwannoma.

Feem ntau, qog benign tau pom qhov tsis tshua pom muaj nyob rau ntawm tus txiav. Raws li kev txheeb cais, cov qog zoo li no tau kuaj pom tsis muaj ntau tshaj 3 ntawm ib lab neeg.

Cov tsos mob ntawm tus mob pancreatic polyp

Raws li txoj cai, txhua tus benign hormonal hlav hlav, tshwj tsis yog cystic formations, tsis txhob muab cov tsos mob tshwm sim.

Lawv pom lawv tus kheej tsuas yog lawv ua tiav loj:

Vim lub siab rau cov kabmob sib ze, ib tus neeg yuav hnov mob. Lawv tus cwj pwm tsis tu ncua, ua kom tiav, qee zaum lawv muaj peev xwm los kawm ua kom muaj zog nrog kev hloov pauv ntawm lub cev,

Ua raws li qhov twg cov qog tshwm sim, kev ua haujlwm hauv cheeb tsam ntawm qhov mob siab yuav txawv. Yog hais tias lub neoplasm nyob rau hauv lub cev ntawm qhov khoom hauv nruab nrog, lub plab sab saud mob, yog tias nyob hauv nws lub taub hau tsis hnov zoo nkauj tau txhawm rau hauv lub epigastrium, yog tias tus Tsov tus tw sab laug hypochondrium mob,

Thaum nias lub plab hnyuv tau tshwm sim, kev khaum kev kuj yuav tshwm sim.

Cov qog uas tsim cov tshuaj hormones tuaj yeem muaj kev cuam tshuam ntau ntxiv rau lub cev.

Txhua yam nws yog nyob ntawm yam tshuaj twg neoplasm tsim:

Yog tias muaj kev zais ntshav ntau dhau ntawm kev tshuaj xyuas, ces tus neeg mob lub zog tsis tu ncua, ua rau muaj hws ntau dhau. Cov neeg mob zoo li feem ntau yog chim siab, lawv tau muaj kev tawm tsam tachycardia thiab kiv taub hau,

Yog hais tias cov qog tsim cov kua roj gastrin, tom qab ntawd qhov no ua rau ntau qhov mob ntawm lub plab thiab txoj hnyuv. Tus neeg mob ntsib kev tsis xis nyob hauv thaj av epigastric. Qhov mob yuav mob siab heev. Tsis tas li ntawd, kev mob siab ua haujlwm tshwm, thiav nrog cov ntsiab lus acidic, lub plab hnyuv plab yog qhov tsis muaj peev xwm. Qhov no ua rau muaj kev cuam tshuam nyob rau hauv kev zom zaub mov, nrog rau raws plab,

Nrog ntau dhau lawm ntawm glucagon, tus neeg mob pib sai sai poob phaus, nws muaj cov cim ntawm ntshav liab. Lub ntsej muag ntawm tus nplaig ua caws pliav thiab du. Cov pob xoo tshwm rau ntawm lub cev ua ib daim pa tawm. Ntau zaus nws tau nyob hauv thaj chaw inguinal thiab ntawm lub duav. Cov leeg puas tuaj yeem cuam tshuam. Yuav luag txhua tus neeg mob tau mob stomatitis lossis gingivitis, thiab cov poj niam muaj vaginitis. Mob ntshav qab zib mellitus yog lwm qhov ntawm cov qog ntshav uas tsim cov glucagon.

Raws li rau pancreatic cyst, nws tuaj yeem tshwm sim nws tus kheej raws li hauv qab no:

Mob hauv lub plab mog sab sauv

Qaug zog thiab tsis muaj zog

Tsis kis yooj yim ua npaws

Tag nrho cov tsos mob no tshwm sim thaum tsim tau nce mus txog qhov loj me. Yog tias lub cyst me me, tom qab ntawd nws tuaj yeem kuaj pom nws tsuas yog kev sib tsoo, thaum lub sijhawm kuaj ultrasound.

Ua rau ntawm pancreatic polyp

Muaj qee yam ua tuaj yeem cuam tshuam txog kev loj hlob thiab kev loj hlob ntawm cov qog:

Kev tshuaj ntsuam caj ces ua rau cov txheej txheem ntawm cov leeg nqaij mos ntawm lub cev tsis ua haujlwm,

Nyob hauv cov chaw uas muaj cov nyom ib puag ncig,

Ua raws cov cwj pwm tsis zoo, tshwj xeeb haus luam yeeb thiab dej cawv,

Cov txheej txheem o tshwm sim hauv cov khoom hauv nrog cev. Feem ntau, hlav hlav nyob ntawm keeb kwm ntawm mob txha cajqaum,

Kev noj haus tsis zoo. Yog tias cov ntawv qhia zaub mov los ntawm cov khoom noj muaj roj, muaj qhov tsis muaj tshuaj fiber, vitamins thiab kab kawm, qhov no tuaj yeem ua rau tsim cov benign pancreatic formations. Noj tsis xwm yeem, nrog rau noj sib xyaw ua ke, yog qhov tshwm sim lwm yam,

Qhov pom ntawm qog tuaj yeem ua rau mob hauv nruab nrog cev, nrog rau cov ntshav los sab hauv los ntawm ntau yam kab mob.

Kev kuaj mob ntawm tus kab mob pancreatic polyp

Txhawm rau kuaj cov qog, yuav tsum tau kuaj ib qho ultrasound scanner. Qhov kev taw qhia rau tus neeg mob yog muab los ntawm tus kws kho mob plab zom mov. Qhov tsis zoo ntawm qhov kev kuaj mob no yog qhov tseeb nws tsis pub qhov pom kev ntawm cov qog me me uas tsim cov tshuaj hormones. Yog li, yog tias koj xav tias muaj cov qog hlwb zoo li tua kabmob, nws raug nquahu kom hla MRI thiab CT. Qhov no yuav ua rau nws muaj peev xwm tshuaj xyuas cov khoom hauv nruab nrog ntau dua.

Tsis tas li ntawd, scintigraphy thiab angiography tuaj yeem ua. Cov hau kev no tau qhia rau cov xav tias insulomas, gastrinomas thiab hemangiomas. Txhawm rau tshem tawm lub xub ntiag ntawm atypical hlwb, ib qho kev kuaj me me yog tsim nyog ua raws li kev tshawb fawb ntawm cov khoom tiav.

Los ntawm cov kev kuaj pom txoj kev, kuaj ntshav biochemical, ua rau kev txiav txim siab ntawm cov cim qog ntshav, qhov theem uas ib txwm yuav tsum tsis txhob nce ntxiv.

Pancreatic polyp kho mob

Nws yuav tsis tuaj yeem tau tshem ntawm benign pancreatic hlav siv cov txheej txheem kev ua kom zoo. Tus neeg mob yuav xav tau kev kho mob phais mob.

Hom kev phais tej zaum yuav muaj raws li hauv qab no:

Txaus Ntshai. Qhov txheej txheem no tso cai rau koj kom txuag tau tus neeg mob los ntawm cov qauv ntawv uas nyob rau saum npoo. Txawm li cas los xij, lawv qhov loj yuav tsum tsis pub tshaj 20 hli, thiab tseem yuav tsum tsis muaj kev pheej hmoo me ntsis ntawm lawv cov malignancy. Txhawm rau txhawm rau los ntshav, txoj kev siv electrocoagulation, thiab lub txaj ntawm cov qog uas twb muaj lawm yuav tsum ua tib zoo sutured. Txoj kev kho no tso cai rau koj ua kom lub cev ua haujlwm,

Kev Txheeb Ze. Txoj kev phais mob no cuam tshuam nrog kev tshem tawm qee qhov ntawm kev hloov khoom nruab nrog nrog neoplasm uas twb muaj lawm. Kev ua haujlwm zoo sib xws yog nqa nrog cov qog nqaij hlav loj, nrog rau lawv cov malignancy. Tuaj yeem ua nyias rov ua dua tus Tsov tus tw lossis lub taub hau ntawm lub caj pas, lossis pancreatoduodenal resection, thaum ib feem ntawm duodenum raug rau kev tshem tawm ntxiv

Endovascular embolization ntawm cov hlab ntsha. Qhov tseem ceeb ntawm cov txheej txheem yog cov hlab ntshav uas pub cov nqaij hlav uas twb muaj lawm thawb ua haujlwm. Raws li qhov tshwm sim, kev tuag ntawm qog nqaij hlav tshwm sim. Raws li cov khoom siv embolizing, hydrogel lossis ib qho occluder yog siv. Nov yog ib txoj hauv kev kho mob siab thiab raug mob qis dua.

Nyob rau hauv rooj plaub thaum tus neeg mob nthuav tawm ntau hom benign, thiab rov qab tau tsis yooj yim sua, kev kho mob tshwm sim los ntawm tus neeg mob. Nws yuav yog nyob ntawm seb yam tshuaj hormones yog tsim los ntawm cov qog noj. Feem ntau, cov tshuaj uas txo cov ntshav qab zib yuav tsum muaj. Hauv qhov no, nws tsis tuaj yeem ua yam tsis muaj kev txhawb nqa kev noj haus.

Nws yog tsim nyog teev cais txog kev noj haus kev kho mob, vim tias nws yuav tsim nyog tom qab phais. Koj yuav tsum ua raws li kev noj haus kom nruj rau qee lub sijhawm, thiab qee zaum thoob plaws koj lub neej.

Cov ntsiab cai ntawm khoom noj khoom haus:

Koj yuav tsum tau noj cov zaub mov hauv qhov me me, tsawg kawg 5 zaug hauv ib hnub. Nws yog ib qho tseem ceeb kom ua raws kev noj haus thiab sim ua tshais, noj su thiab noj hmo tib lub sijhawm. Qhov no yuav zam kom tsis txhob muaj lub nra hnyav rau lub cev, vim tias nws yuav npaj nws ua ntej rau pluas noj tom ntej,

Tus neeg mob yuav xav tau tsis kam noj zaub mov kib thiab ci. Txoj kev ua noj ua haus yog hau, ncu lossis ncu,

Thawj thawj zaug tom qab kev phais mob, cov zaub mov raug txhuam los yog zom rau hauv lub xeev,

Nws tsim nyog tso tseg kev noj cov kaus poom thiab cov nqaij. Raws li rau nqaij nyob rau hauv daim ntawv tsis tsim nyog, nws yuav tsum muaj cov rog muaj roj tsawg. Nws pom zoo kom noj noog thiab ntses.

Feem ntau, tus neeg mob tau pom zoo kom ua raws lub rooj noj mov ntawm tus lej tsib. Nws yuav rov qab mus rau daim ntawv qhia ua noj yav dhau los tsuas yog tom qab sab laj nrog tus kws kho mob.

Yog tias tus neeg mob muaj ntau tus kab mob gastrinomas, tom qab ntawd nws tau qhia cov tshuaj xws li Omeprazole, Ranitidine, Famotidine. Lawv lub hom phiaj yog xav kom tshem tawm cov plab hnyuv siab dhau.

Tsis muaj ib txoj kev tiv thaiv tus kabmob zoo. Yog li ntawd, tsuas yog kev pom zoo noj zaub mov kom zoo thiab tsis kam haus cawv kom zoo xwb. Yog tias koj muaj cov tsos mob ntawm tus mob plab zom mov, koj yuav tsum nrhiav kev kho mob sai sai.

Raws li kev soj ntsuam rau kev rov qab los, nrog kev kuaj pom lub sijhawm muaj tus kabmob benign pancreatic neoplasm, nws yog qhov muaj txiaj ntsig feem ntau. Nws yog tsim nyog sau cia tias cov qog ntawd tsis tshua muaj kev siab phem. Txawm li cas los xij, txoj kev pheej hmoo ntawm kev txhim kho plab hnyuv ob lub plab lossis lub ntsej muag daj ntawm lub tshuab kho mob ua rau cov kws kho mob pom zoo kom phais mob ntawm kev tsim.

Kev Kawm: Daim ntawv kawm tiav hauv qhov tshwj xeeb "Cov Tshuaj Kho Mob" tau txais ntawm Lavxias Lub Xeev Kev Kho Mob University. N.I. Pirogova (2005). Cov kev tshawb fawb tom qab qib siab hauv kev tshwj xeeb "Gastroenterology" - chaw kawm txuj ci thiab chaw kho mob.

15 tshuaj uas ua rau kom lub hlwb khiav ceev thiab txhim kho kev nco

7 yuam kev vim qhov uas tus tonometer overestimates siab nyeem ntawv

Polyps hauv lub txiav

Txhawm rau kom meej meej, koj yuav tsum nkag siab txhua yam ntawm kev tshwm sim ntawm polyps.

Lawv yog cov qog ua haujlwm uas tuaj yeem tsim nyob rau ntawm cov leeg ntawm lub cev. Qhov ntau thiab tsawg yuav txawv.

Ntev mus ntau zaus, lawv feem ntau tig mus ua cov hlav qog.

Tsim nyob rau hauv lub pancreatic duct.
Kev loj hlob qeeb.
Cov theem thaum ntxov tsis tau pom tseeb los ntawm cov tsos mob tshwj xeeb.

Lawv cov tsos yog ua tau rau ntawm mucous daim nyias nyias ntawm tag nrho cov plab hnyuv siab raum, nrog rau kev tso cai. Cov qauv ntawm lub txiav ua tsis haum rau lawv txoj kev loj hlob, yog li cov tsos ntawm neoplasms ntawm nws yog yam tsis tshua muaj. Tab sis, cov ducts ntawm lub txiav yog qhov chaw nrhiav chaw ntawm polyp tas mus li. Lub xub ntiag ntawm polyp hauv lub cev yog kiag li asymptomatic ntawm thawj theem, tsuas yog siv cov cuab yeej tshwj xeeb yuav ntes lawv. Kev kuaj xyuas hluav taws xob (ultrasound) yuav pab qhia lawv.

Cov kws tshaj lij tsis kam lees qhov muaj peev xwm ntawm polyp nyob rau ntawm lub txiav. Ntau zaus lo lus no yog hloov lo lus cyst. Tsis muaj lub hauv paus rau qhov no, vim hais tias xwm thiab chav ntawm cov xwm txheej no txawv. Cov tsos ntawm polyp tsis yog qee yam tsis paub. Lawv cov keeb kwm sib txawv:

Congenital pathology. Txuas nrog pathologies ntawm lwm yam kabmob.
Vim tias kev ua kom muaj zog nrawm ntawm cov hlwb los ntawm kev faib.
Tuav. Lawv tshwm sim thaum lub zuaj nws tus kheej yog nyem los ntawm qog, ib qho caws pliav, mob plab hnyuv siab raum vim pathologies. Feem ntau lawv loj.
Polyps tsis yog. Lawv tseem raug hu ua pseudocysts. Pom nyob rau hauv cov ntaub so ntswg necrosis hauv cov neeg uas raug kev txom nyem gastritis.

Qee lub sij hawm tib neeg txiav txim siab los tsim pseudocysts nyob hauv tsev. Muaj ntau ntau dua ib txoj hauv kev los ua qhov no. Siv decoctions ntawm viburnum, celandine, muab enemas. Cov peev nyiaj no muaj ntau dua kev tshuaj xyuas ib qho zoo.

Lawv yog qhov txaus ntshai nyob rau hauv uas lawv tuaj yeem pib ua kev loj hlob, lawv tuaj yeem ua rau mob daj ntseg thiab mob hnyuv tawm tsam.

Polyps tuaj yeem ua rau kev txhim kho ntawm cov teeb meem hauv qab no:

los ntshav hauv nruab nrog cev,
cholestasis
qhov tshwm sim ntawm abscesses,
tuaj yeem ua rau tawg ntawm tus po,
tuaj yeem ua rau mob pancreatitis,
tuaj yeem ua rau tsim kho tus mob peritonitis.

Yog koj xav tias koj tau ua txhaum kev noj qab haus huv, koj yuav tsum sab laj nrog kws kho mob sai.

Polyp hauv cov txiav ua dab tsi, cov tsos mob ntawm tus kab mob

Lawv tsim nyob hauv cov neeg ntawm qeb 40+. Polyp tsim tshwm sim nyob hauv qab ntawm qee yam. Qhov laj thawj hauv rooj plaub no tsis yog ib qho. Kev quav tshuaj muaj yees tuaj yeem yog qhov txiav txim siab hauv tus kabmob. Polyps kuj tseem khom rau hauv lub cev vim kev tsis zoo rau ecology, ua kom lub cev puas tsuaj, qhov muaj teeb meem ntawm tus kab mob, pseudocysts, haus dej cawv ntau, noj tsis txaus, thiab o.

Nws tau pom dav dav tias qhov tshwm sim ntawm polyp muaj qhov xwm txheej. Qhov no yog lus dab neeg tsis tau lees paub. Tom qab raug mob, nws muaj kev pheej hmoo ntawm cyst, lossis qog. Polyps hauv qhov no tsis tshwm sim. Lawv tshwm sim autonomously, lawv qhov muaj tus cwj pwm sib txawv.

Yog lawm, txhua yam no yuav tsum tau npaj tseg: pib noj haus kom zoo, zam tej khoom noj uas tsis zoo, txwv tsis pub haus cawv thiab haus luam yeeb. Ua ntej tshaj, koj yuav tsum tau ua tib zoo saib koj cov kev noj haus. Tab sis koj tsis tas yuav haus cov tshuaj yam tsis tau tso cai los ntawm kws kho mob, vim tias qhov no ua rau muaj kev nyuaj

Polyps tsis muaj phiajcim, muaj cov chav kawm raug zais thiab tshawb xyuas lawv yam tsis tau hnov.

Cov tsos mob tshwm sim yog tias tus kab mob tau ua ntev ntev hauv lub cev. Tus neoplasm pib muab tso rau lub cev thiab cov neeg noj qab haus huv zuj zus.

Tsis muaj ib qho kev mob tshwm sim, yog tias muaj, yuav tsum xav kev xav.

Lub luag haujlwm ntawm cov txheej txheem zom plab yog qhov cuam tshuam.
Tsis muaj zog thiab malaise.
Mob taub hau ua rau lub plab mog sab saud.
Nws muaj teeb meem nrog cov quav.
Ib tug neeg yog qhis tas li.
Ntau zaus xav tso zis.
Tus neeg muaj mob.
Hauv plab zom plab, txiav mob plab.
Lub cev yuag.
Kev noj qab nyob zoo yog mob loj dua.

Yog tias koj tsis them sai sai rau cov tsos mob rau lub sijhawm ntev, tom qab ntawd tsis ntev polyp yuav pom nrog lub qhov muag liab qab. Nws yuav yog su rau ntawm lub cev. Thaum ntawd ces txhua yam yuav txais kev phem.

Los ntawm txoj kev, tom qab bulging, nws tuaj yeem tawg los ntawm zoo li abscess. Tom qab ntawd tus neeg yuav zoo me ntsis, tab sis qhov no rau ib pliag. Hauv lub xeev no, tus cwj pwm ntawm lub cev tsis tuaj yeem kwv yees tau, vim nws yuav lom los ntawm ntau cov co toxins. Nrog ntshav qab zib hom 1, polyps feem ntau muaj kev phom sij loj heev. Txoj kev kwv yees hauv qhov no yuav tsis yog kev nplij siab. Txhawm rau kuaj mob kom raug, koj yuav tsum hu rau tus kws tshaj lij uas yuav pab txiav txim siab.

Kev noj tshuaj rau tus kheej yog txwv tsis pub siv, vim tias ib yam yeeb tshuaj tuaj yeem ua rau qhov kev xav tsis tuaj yeem tshwm sim.

Thawj qhov kev tiv thaiv thiab kho ntawm pancreatic polyps

Cov kev kho mob hauv qhov no tsuas yog ib yam - los tshem nws tawm phais.

Lub npe xaj ntawm kev ua haujlwm yog polyectomy.

Kev tshem tawm tuaj yeem yog ob peb hom, nyob ntawm qhov nyuaj.

Cov kev phais mob hauv qab no yog nqa tawm:

pancreatic cyst resection yog qhov mob me me, thaum tsuas yog polyps uas tau cuam tshuam cov qog raug tshem tawm,
txiav tus kab mob txiav yog nyob ntawm qhov muaj ntau hom, qhov ntawd yog ib feem ntawm lub caj pas lossis tag nrho nws raug tshem tawm,
hlwv cyst cov kab noj hniav hauv qhov xwm txheej txheem ntawm cov txheej txheem muaj ntau heev.

Kev ua haujlwm ntawm hom no yog qhov nyuaj heev vim muaj qhov tawg ntawm lub qog. Txawm hais tias kev ua haujlwm tau ua, qhov no tsis txwv ib qho kev mob ntxiv ntawm tus kab mob. Yog li, koj yuav tsum tau soj ntsuam cov kws kho mob tsis tu ncua, ua raws li qee yam zaub mov, haus lawv cov tshuaj noj kom tiv thaiv kev txaus ntshai.

Qhov txiaj ntsig ntawm kev tiv thaiv thawj tsis tuaj yeem tsis lees paub. Saib xyuas koj txoj kev noj qab haus huv yog thawj txoj cai. Yog tias koj tsis ceeb toom, tom qab ntawd koj tuaj yeem txo txoj kev muaj kab mob pathology. Kev tshuaj xyuas tas li yuav pab ua kom tiav qhov tshwm sim.

Koj yuav tsum tau muab tshem tawm ntawm koj lub neej txhua yam kev coj ua tsis zoo, ua lub neej nquag, ua kis las. Nws yog ib qho tseem ceeb kom ua raws li kws kho mob sau tseg.

Polyps sawv cev tus kabmob tseem ceeb rau hauv cov ntaub so ntswg ntawm tus txiav thiab xav tau kev saib xyuas tshwj xeeb thaum kuaj pom.

Nws yog qhov zoo tshaj plaws los tiv thaiv lawv qhov tshwm sim, lossis tsawg kawg txo qhov txaus ntshai ntawm tshwm sim. Qhov tseeb, nws yooj yim npaum li ntawd. Qhov no yog qhov yooj yim tshaj plaws yog tias koj ua raws cov cai yooj yim ntawm kev noj qab haus huv.

Hauv cov xwm txheej niaj hnub no, nws yog cov zaub mov qua ntxi thiab cov cwj pwm uas nrog tus neeg dhau los ntawm lub neej tuaj yeem dhau los ua ib tus neeg muaj mob rau tus kabmob.

Ib qho tseem ceeb tseem ceeb yog qhov paub txog cov ntshav tsis nrawm. Yog hais tias ib tug neeg twg tsis mus cuag kws kho mob, ces nws yog ib qho uas qhia rau lawv raws sijhawm kom yooj yim.

Cov ntaub ntawv hais txog kev ua haujlwm rau pancreatic yog muab hauv video hauv tsab xov xwm no.