Kodi impso chotupa ndi oopsa

Aliyense chotupa impso ndi gawo kusinthidwa mu minofu thupi.

zotupa zonse anawagawa chosaopsa ndi zilonda. Ambiri yosavuta chotupa - ndi M'mimbamo ndi chakumwa konse likunyonyotsoka khansa. Ndi chotupa yosavuta odwala moyo wautali moyo wonse, ndipo anapezeka ndi mwayi pa mayeso zachipatala.

Zovuta chotupa madzi nthawi zonse kumafuna zina histological kuona ndi chithandizo choyenera.

Chotupa olimba a impso, amene imakhala parenchyma kusinthidwa, nthawi zambiri mitundu zilonda. Pakati zilonda aimpso zotupa ambiri aimpso carcinoma khungu kapena adenocarcinoma, sarcoma limapezeka kamodzikamodzi, ngakhale kwambiri kawirikawiri - chotupa Vililmsa.

Chosaopsa chotupa a impso konse ali metastases, sayambitsa edema ndi ascites, zilibe ululu ndipo amafuna chithandizo mwamsanga.

• Adenoma a impso ndi wamba, makamaka amuna a zaka zoposa 40. chotupa ichi cha zaminyewa, kukula pang'onopang'ono kukula ang'onoang'ono. Ndi kuwonjezeka izo masentimita 2, pamene pali psinjika za ureter ndi mitsempha, izo amaonedwa monga chikhalidwe precancerous ndipo amafuna alowererepo zachipatala.

• Oncocytomas - ndichithu zaminyewa chotupa a impso, amene angafikire chachikulu, mwangozi anawulula, mankhwala amachitidwa opaleshoni.

• Angiomyolipoma - mtundu osowa wa chosaopsa zotupa mesenchymal, ambiri mwa akazi zaka zoposa 35. Iwo amaganizira tuberous sclerosis impso, ndi osowa tinatengera matenda. Odwala awa, pali maganizo kakulidwe yomweyo, khunyu ndi zotupa angapo a ziwalo zina. Pakuti zamitundu yaing'ono mphamvu chofunika kulamulira mu ultrasound ndi njira opaleshoni ya mankhwala chofunika pamene yambiri chotupa.

• Fibroma - chotupa a impso, amene alibe zizindikiro konse, mpaka kufika chachikulu.

• Lipoma ndi chotupa ozungulira minofu mafuta ndi kapisozi a impso, amene mankhwala mwamsanga.

• Hemangioma akufotokozera mu mafupa a chiuno ndi aimpso ndi lymphangioma, n'zochepa kwambiri.

Pamene zotupa danga-agwilitse kukomoka kuwonekera colic aimpso, kupweteka kwa msana, magazi mu mkodzo, kuthamanga kwa magazi, kapena kuti akugwira masiyanidwe matenda ndi khansa impso amakhala kovuta.

Matenda a ultrasound jambulani, CT bwinobwino biopsy zoona histologic minofu impso.

Kuti madokotala ananena zawo a zotupa chosaopsa bwino, koma pamafunika anaziika zonse ndi maphunziro zikuchitika kwa nthawi.

khansa impso makamaka amakhudza amuna a zaka zoposa 45. Hematuria limapezeka mu magawo oyambirira, pangakhale kuda magazi mu mkodzo kwa nthawi yaitali, kuti ayenera kuchenjeza mtima. Kenako kuoneka ululu kuzimiririka, varicocele. Kuchokera mbali ambiri imfa yochititsa chidwi kulemera, malungo, kuchepa magazi, kuledzera, inapita ESR.

Mu gawo lachitatu la khansa akhoza anamva chotupa yokha, koma tisachedwe. Kukula kwa chiwindi kuwonongeka, imagwera albumin ndi prothrombin index, kuchuluka misinkhu ya phosphatase zamchere ndi michere ina.

Tsimikizani chotupa zilonda za impso ndi kuthandiza njira zina Kupenda:

1. akupanga chindodo

2. Radioisotope Kupenda

3. X-ray Kupenda (angiography, urography)

4. CT kuphunzira

5. kulingalira m'dera m'mimba

Kulosera tsogolo la matenda a matenda zimadalira m'badwo wodwala, siteji ya matenda, metastasis ndi anapezazo histological. matenda oyambirira, achinyamata ndi chosakhwima chotupa cha kumawonjezera mwayi wa zotsatira zabwino. Sizikuyenda chizindikiro ndi varicocele, amene kutha mu malo yopingasa, inapita ESR, metastases angapo lakutali.

Bwino imachitika postoperative immunotherapy ukuwonjezeka kupulumuka kwa odwala pa zaka zingapo.