Impso chotupa. chithandizo

Munthu pambuyo ultrasound kuti anapeza pa chotupa impso munthawi yake yoyamba limafotokoza nkhawa mitu kuti mwamsanga akufotokozera mu suspiciousness chopweteka. Komabe, m'zaka zaposachedwapa anthu, makamaka achikulire, nthaŵi zambiri impso chotupa. Chithandizo wodwala uyu sankakhoza ngakhale kumugwira, monga mwayankha za matendawo. Matendawa sikumangotikhudza umoyo ndi kulibe vuto moyo. Chiphunzitso cha chotupa impso mwadzidzidzi anagwa pa mliri wa anthu zachitika chifukwa cha kumayambiriro ambiri ultrasound mu zipatala ndi zipatala.

Nthawi zambiri, aimpso chotupa - pathological mapangidwe M'mimbamo ozungulira ndi makoma wandiweyani wodzazidwa ndi nkhani madzi. Mwachidule, ndi thumba la minofu connective ndi madzi mandala chikasu. Chotupa impso zambiri amachita monga matenda obadwa nawo, amathanso kupangidwa chifukwa kutupa protracted ndi amatha pang'onopang'ono kuonjezera (angafikire masentimita 10 m'mimba mwake).

Kwa zaka zambiri, nthendayo sangakhale ngakhale. Anamubisa pa chitukuko cha cysts aimpso anawona pafupifupi kotala odwala. Komabe, kuganizira mmene kuchiza chotupa mu impso, koma iwo anayamba ndi kudziwika zizindikiro zimene anaonetsanso cysts kuonjezera (zambiri kuposa 4 cm) kapena suppuration:

- ululu adazindikira hypochondria kapena m'chiuno kumbali kumene impso zimakhudzira;

- colic aimpso ;

- kuthamanga kwa magazi (matenda oopsa).

Mosiyana ndi khansa, aimpso chotupa - mtima wabwino chotupa. N'chifukwa chake, ngati dokotala wapeza kuti wodwalayo chotupa aimpso, mankhwala si nthawi kumene. Mu 70% milandu, kenako mmodzi angaone, popanda kuwaika kanthu opaleshoni. Ngati cysts kukula si lalikulu (m'mimba mwake wa osapitirira 5-6 cm), ndipo m'kupita pang'onopang'ono kumawonjezera, kapena ukuwonjezeka pang'ono, koma zimenezi sizitanthauza zimathandiza kuti kusokoneza otaya aimpso magazi ndi mkodzo outflow, mu nkhani iyi ambiri sikutanthauza alibiretu mankhwala. Ndi kamodzi pa chaka kukumana kuphunzira ultrasound.

Ambiri ziyenera kuti munthu aliyense amene chotupa aimpso anali wapezeka, mankhwala ayenera kusankhidwa mosamalitsa payekha, pokhapokha, ndithudi, pamaso pa cysts alibe gwero, ie, Zilibe kuonekera, ndipo palibe chilichonse chosonyeza kuti kuchotsa opaleshoni. Pankhani ya kukhalapo kwa mapuloteni mu mkodzo kapena erythrocytes ndi mkhutu outflow ya mkodzo ndi ululu, funso mmene angakhalire ndi chotupa mu impso amakhala aakulu kwambiri.

The njira ambiri ndipo kawirikawiri ntchito mankhwala a cysts umodzi impso (palibe lalikulu kuposa 5 cm) - percutaneous puncture ikuchitika pansi ultrasound malangizo ntchito singano chabwino, cysts ngalande, i.e. zili achoke ndi oyamba mu M'mimbamo matenda ake njira (gluing wothandizila), chifukwa chotupa khoma ndodo pamodzi. Mu cysts aimpso minofu malo awa salinso umatulutsa.

Komabe, njira imeneyi chithandizo n'zokayikitsa mkulu wa zisadzachitikenso matendawa. Komanso, kuchokera mfundo luso amazionera, osati cysts onse akhoza atabayidwa (malingana ndi kutanthauzira kwake mu impso ndi).

njira zina amagwiritsidwa ntchito, ngati anapeza kuti chotupa chachikulu kwambiri wafika impso. Chithandizo Pankhaniyi imagwiridwa ndi ntchito percutaneous kudzera nefrakskopa ankalamulira x-ray kapena ultrasound - erases nkhani za chotupa ndi mpanda wake. Open opaleshoni imagwiridwa mu nthawi zina: Kuthana kapena zamafinya zinangoti chotupa, kusintha kwake mu chotupa kapena impso chiwonongeko, komanso kupeza cysts mumtima impso ndi. Zikuonetsa kwa opaleshoni lotseguka (makamaka ngati chotupa kapena Mipikisano chipinda makoma), ayenera ikuchitika osati US, koma CT jambulani ziwalo ili danga retroperitoneal, kupatulapo kuti tingadziwe khansa.