Khansa ndulu

Khansa ya ndulu ya - matenda kawirikawiri akufotokozera mu cholecystitis aakulu, matenda gallstones. chotupa ili pansi ndi khosi chikhodzodzo. Ndi zilonda. zinthu chotupa achuluke kwambiri mu chiwindi, kwa chiwindi mmatumbo mitsempha, pomenya extrahepatic ya ndulu ducts. Pakhomo la deta chiwindi mapangidwe ndi zinaphatikizidwa mu umodzi limodzi wandiweyani ndi chikhodzodzo khosi, kulenga kulowererana foloko imawunikidwa kwa ducts chiwindi. Metastasis ndi njira lymphatic mu ozungulira zimakhala, Para-kung'ambika minofu, kapamba, peritoneum parietal.

Cancer ya ndulu ya ali m'magulu atatu (by kalasi). Tsimikizani poyerekeza ndi minofu yachibadwa a ndulu ya. digiri yoyamba - osauka, wachiwiri digiri - mungafike lachitatu digiri - mkulu.

Kulosera tsogolo la matenda zachokera mlingo wa chotupa chija. Avereji odwala - zaka 50-70. Mwina wa matenda mu amuna ndi pang'ono apamwamba Mwina matenda a akazi.

zinthu chiopsezo osati kwathunthu kumatanthauza. Komabe, malinga ndi ziwerengero za 90% odwala anali miyala ndi aakulu kutupa kwa thupi. Koma pamaso pa miyala si chinthu chofunika khansa. Kuwonjezera matenda amenewa, kulimbikitsa maonekedwe a zotupa:

- aakulu cholecystitis,

- kunenepa,

- tizilombo ting'onoting'ono ndulu,

- Kumwa mowa,

- typhoid,

- aakulu cholecystitis,

- chakudya zoipa.

Khansa ya ndulu ya. zizindikiro

Ndulu matenda a pa chikhodzodzo pachiyambi zovuta kudziwa. Atatu matenda ndi anatomical matenda:

- kutupa chikhodzodzo;

- kuwonjezeka chiwindi;

- matenda a chikasu ndiyo (kuwira osati kuchuluka).

Malinga kuzipenya pa, nthawi ya apano cholelithiasis zimasintha chikhalidwe. The intervals pakati pa chifundo cha ululu kutha, ululu chosatha. Pankhaniyi, mankhwala kale ogwira salinso atengeke. Ngati gallstone khansa matenda si anenedwa, pa khansara anganene panali ululu malo pomwe subchondral. (Wamkulu oyamba), ndipo dyspeptic zizindikiro (kusowa chilakolako komanso).

khansa ndulu ndipo amakhala ndi mtundu zosiyanasiyana za ululu: kulimbikira ululu, chosadziwika (m'dera la chikhodzodzo ndulu), ziribe kanthu ofanana ndi ululu pamene yanthaŵi cha colic biliary. Ngakhale ululu kwina palimodzi.

Chinthu chofunika kwambiri kwa matenda (anamuona pa kotala milandu onse) ndi akufufuza mpata mu ndulu wandiweyani, knobby nthawizina ambiri maloboleznennoy chotupa. kukhalapo kwake molumikizana ndi madandaulo, khalidwe kwa matenda (makamaka ngati ululu zasintha chikhalidwe), ndi chizindikiro chapadera cha khansa. Matenda a chikasu ndiyo pali. Matendawa akhoza limodzi ndi malungo, asanaloŵebe zinangokhalako yotupa pa dzanja limodzi, ndi "khansa malungo" nthawi zambiri anamuona pa kukula chotupa pa ena.

X-ray, mwatsoka, sikuti kuthandiza kutsimikiza kapena kukana akudwala matenda presumptive. zithunzi zitha zina kuona mthunzi ofooka kuwira chilema.

Palpate chotupa sangakhale, koma ikusonyezedwa matenda a chikasu ndiyo, chiwindi kukulitsa, kuphatikiza onse kudya kuchepa kumeneko iskhudanie.Vozmozhno kukhalapo kwa magazi m'manyi. Pamene chotupa kukula ndi malangizo kwa chiwindi chiwindi nthawi kuchuluka. Magazi kuphunzira limasonyeza leukocytosis, kuchuluka erythrocyte sedimentation mlingo.

khansa ndulu angathe kuchizidwa, ngati ndondomeko si mukuchitika ndipo ali mu magawo oyambirira chitukuko. Choncho, pa chizindikiro pang'ono anafotokoza m'bukuli (matenda a chikasu ndiyo, ululu, kutentha) ayenera kuyezedwa. Ndipo ngati chotupa akapezeka, ndikofunika kudziwa mbali yake. Ndipo moganizira pa siteji, adokotala akhoza kupanga Mapa ndi chithandizo choyenera. Ngati mawonekedwe kale anapezerapo kuti muchepetse ululu palliation anachita.