Aberrant rwatata: chirwere, Zviratidzo neMarapirwo

Incremental kana aberrant rwatata - isingawanzowanikwi anomaly pakati nemudumbu, apo kunze huru shwanu pane mumwe. The Nhengo iri mune antral mugove mudumbu, mudumbu kana rusvingo 12 duodenal, ileum kana vaduku ura, mesentery. Iye anonzi ane anomaly uye anozviratidza kuwedzera huru muviri, pamwechete rejira chete, asi izvozvo hazvina chokuita naye. Ndezvipi zviratidzo uye zvokurwara kudiwa kutora, funga zvakare.

Zvakavanzwa pasi rokuti "aberrant rwatata?"

Extra simbi iri nemhaka mwero kukura. Funga izvozvo pakuonekwa chirwere haisi zvakakodzera, mune zvimwe zviitiko, iye haana kuratidza zvachose, uye akapotsa hakutadzisi munhu kurarama upenyu huzere. Wanikidza abnormalities anogona netsaona, munguva laparotomy, rakanga rakarongwa kuti wakasiyana chikonzero. Somuenzaniso, kana rwatata iri zvakaongororwa abnormalities pakuvhiya kubvisa nemaronda mudumbu kana ura, kushanda kuporeswa calculous cholecystitis chimiro.

Zvemamiriro zvinyama uye zvakajairika shwanu muviri ine zvakafanana zvinoriumba. Aberrant rwatata rine mutsinga dzinofamba nemukaka iyo rinovhura skylight mudumbu kana muura. Somugumisiro, mamwe Hardware anogona kutanga pfungwa nomuviri zvemwana asati ari rikwanise chimiro. By zvisingawanzoitiki zvirwere zvinosanganisira gastrointestinal kubuda ropa.

Zvinokonzera chishongedzo shwanu

Kusvikira ikozvino, masayendisiti vachirwira nyaya huru: vamwe chikonzero, vakaumba miviri aberrant pancreatic mutsinga dzinofamba nemukaka. Asi pane dzechokwadi mishumo kuti anomaly rinowanikwa mudumbu, uye mugumisiro wayo kukura zhinji ipa zvinhu:

• yaivhuvhuta zvipenyu nezvakazvipoteredza background, chinobata vakadzi panguva gestation mwana;
• nemagene chirwere;
• kusvuta uye doro anonwa panguva pamuviri;
• kakawanda kuora mwoyo uye kunetseka mupfungwa;
• zvirwere, zvange kune mumwe mukadzi apo akatakura mwana, pakati pavo - njovhera, rubella, herpes, uye vamwe;
• zvisingavaki muviri nokuti mukadzi ane pamuviri gadziriro.

symptomatology chirwere

Clinical zvinoratidza kuvapo aberrant rwatata zvinoenderana ukuru hwaro uye localization. Kana munzvimbo mudumbu rusvingo, zviratidzo zviri zvikuru zvakafanana kuratidzwa gastritis, uye kana riri mukati duodenum 12 pane izvi, kuti vanoratidza zvingaratidza kukura nemaronda. Uyezve, pangava zviratidzo ane pfungwa nomuviri zvemwana asati, cholecystitis kana appendicitis. Zviratidzo izvi regai kuti murwere kuona chiremba, uye zvokurwara kwenguva refu haagoni kuonekwa.

Asi kakawanda, zviratidzo haamo zvinenge zvichemo, murwere chete kuonekwa kana kukura yematambudziko. Ivo:

• anogumbura pezvakaitwa;
• perforation of bowel kana nomudumbu rusvingo;
• necrosis;
• ropa;
• ileus.

Kakawanda matambudziko angamuka kana imwe simbi iri mupasi mune ura duku. Kuomesa hazvisi kwayo mhingaidzo. Uye kana zvimwe kuzvimba mumuviri aripo, murwere anogona kuva dyspepsia, kurwadziwa ari peritoneum.

Panguva murabhoritari kuongororwa vangazivikanwa uye giperlipazemiya hyperamylasemia.

marudzi chirwere

Pane zvakawanda siyana aberrant kenza. Inogona dzaimirirwa:

• zvose huripo zvinoumba rwatata: secretory ducts uye muzvikamu;
• exocrine chikamu chete, basa pagadzirwe gastric muto;
• zvakananga kwemakemikari anobudiswa chikamu kubatsira kubudisa mahormone zvinokosha inodzora ropa shuga yomuropa;
• adenomyosis - pancreatic zvinyama midzi yakafarikana duodenal papilla 12 (iyi ndiyo nzvimbo nokuvhura shwanu ducts ari duodenum 12).

Isa aberrant localization kweprostate

Inogona riri aberrant rwatata mudumbu uye dzimwe nhengo:

• yegurokuro;
• duodenum;
• pamasvingo gallbladder;
• chiropa;
• chirwatata;
• ura diki;
• mesentery of ura duku, kuti crease kana abdominal mucosa.

How rokuongorora chirwere?

Zvokurwara anogona kuonekwa ne nzira dzakasiyana-siyana, izvozvo zvose zvinoenderana umo vemunyika. Kana pancreatic aberrant bande iri parusvingo duodenum 12, iri guru ura kana mudumbu, zvino iyi ichava nyore kuziva. Kazhinji, zviri dzakaonekwa panguva imwe kuongorora kuzviongorora. Zera varwere inonyanyoshandiswa chirwere chirwere makore 40-70.

Ziva chinhu anomaly matongero akawanda:

• Endoscopically. Muchiitiko chino, simbi huru kadikidiki chitsuwa glandular zvinyama, kazhinji chakatodzana polyp, iyo iri rakafara hwaro. Kazhinji panguva pamusoro chitsuwa ichi inogona kumanikidzirwa shure, ndicho chiratidzo endoscopic aberrant shwanu. Kana, ipapo wana mashoko yakarurama kwakaoma panguva yokudzidza ino kutora biopsy pakati pemvura.
• X-ray. Panyaya iyi, iyo anomaly angava dhigirii guru, riri kuoneka muchimiro nesumbu kusiyana. Asi pano, zvingava zvinooneka mumuromo mutsinga dzinofamba nemukaka, rinova zvichisiyaniswa.
• US. Patinoita Ultrasound dzokuwedzera Hardware anogona kuonekwa sezvo kuita kuti uyu hypoechoic mamiriro, kuvapo zvimwe in uye anechoic mutsinga dzinofamba nemukaka.
• CT dumbu. Kunzvera Izvi zvichakubatsira kuziva shwanu iri chiitiko kuti riri pamadziro negomba muviri. Ongororo iyi zvinobatsira kuita differential chirwere kuti malignancy. Kana bundu kubvuta anofanira pedyo nhengo uye peritoneum metastases. Zvisinei, differential zvokuongorora kungava kwakaoma kana bundu iri mupasi riri submucosal akaturikidzana (leiomyoma, lipoma uye miosarkoma).

Mabatirwo aberrant rwatata

Varwere vane anomaly akaziviswa, zvinofungidzirwa kuti kamwe aizofanira kuenda pasi chiremba wacho banga. Vanogona kubvunza mubvunzo: kana kubvisa aberrant rwatata? Kuzvisiyira vasina akavatarisa haigoni kuva, nokuti ngozi nokuti zvinogona kuitika malignancy munyama. Panguva chichikosha zvinofanira kukurumidza kupfuura nhevedzano zvidzidzo ichabatsira kubvisa kukura nyanyisa anomera. Asi pashure kwokupedzisira zvokuongorora inokurudzirwa nokubviswa anomaly, asi nzira iyi anosarudza chiremba kunobva kenza yacho nzvimbo.

Kana mamwe muviri ari surfactant, zvavakabvumirana endoscopic elektroekstsizitsiya. Kana muviri ane chikofu, zvino iyi rinoitwa fenestration pakati cysts.

Kuchinja mabatiro zvakare tsime inobatsira vanenge apo pasina mukana yokuchinjira kenza. Pachii refu-achiita mishonga, yakanakisisa analogues "Somatostatin" zvakakodzera. Panguva imwe chete symptomatic kurapa.

Aberrant rwatata antrum haisi ngozi murwere chero bedzi pachava pathological kwendangariro. Ndokusaka kuvapo mamwe kenza murwere kurapwa hazvigoni kushandiswa, asi kuramba zvichiongororwa kubudikidza nyanzvi kuva.

Matambudziko uye migumisiro

Zvinokosha kuyeuka kuti chose kufuratira ariko anomalies mu rwatata isina kukodzera, nokuti chipi inokanganisa zvinogona nyore kutungamirira kukudziri- pathologies dzakadaro:

• pfungwa nomuviri zvemwana asati - rirwadze nemamwe simbi;
• ropa mudumbu kana muura;
• akaipa neoplasm pamusoro chishongedzo shwanu kana rwatata.

Kudzivirira yematambudziko kubva chishongedzo shwanu

Kana paine pachisara resimbi, ipapo kuongorora pakuzadzisa ayo zvinodiwa nguva dzose. Kuti haakonzeri matambudziko gobvu zvakafanira dziviriro:

• Omerera zvaunodya: zvakawanda zvokudya kuwedzera nyore digestible mapuroteni, zvokudya akavakirirwa norusvingo faibha. A zvishoma mafuta uye chinhu zvingadai makawedzera havi.
• Kushandisa zvinodhaka kuti kubatsira kugaya muitiro Somuenzaniso, "Creon" muchimiro Mini-microspheres. Capsules vari nyore hwakakanyiwa chikafu mudumbu uye kupinda ura. Izvi zvinokosha kana pasina rudzi wayo makemikari.
• Kurega kusvuta uye doro.

Kana uchitevera kunenge uye kunoramba chaichengetwa chiremba, imwe simbi haakonzeri chero kuzvuzvungudza. Chero zvazvingava, zvinoda kuramba zvichiongororwa pedyo nyanzvi, kuti nokukurumidza kuziva matambudziko uye kutora matanho akakodzera.