Mate pukupuku Pancreatic: tohumate, te tātaritanga, maimoatanga

Ko tētahi o nga pathologies puku kino he repe taiaki. Tohu o te mate ki te tāutu i i te wā wawe he tata e taea. pāngia ana tēnei mate i roto i tūroro, te tikanga i roto i te wā arā atu. Ko te tino uaua te rongoa māuiuitanga ahu whakamua.

Te whakamārama kikokiko

Taiaki - he okana iti, kei tika i muri i te puku. mahi reira e rua ngā mahi nui:

1. Kūnatu. Ko te okana hua whākōkī. whai wāhi ratou ki te rärangi tae ki pūmua kai, te ngako, te warowaihā. aerodynamics wehe o whākōkī whakaputaina e te repeure ki te duodenum.
2. Endocrine. Te repe taiaki hua he taiki whai wāhi i roto i ngā tukanga pūkoro tinana. I roto ia ratou taiāki. Taiaki ahei o tukupu taumata huka toto. Ko tētahi atu whakauru nui he glucagon. whakarei ake i te taiaki kūhuka. No nui iti ko te hanga o te gastrin. Tenei piki taiaki runningaway repe wai pancreatic.

Ko te tinana o te repe taiaki ko nga tari e whai ake nei:

• upoko;
• kaki;
• te tinana;
• hiku.

Nuinga noa pāngia puku o te matenga taiaki.

Take māuiuitanga

mate pukupuku Pancreatic, e mārama whakakitea nga tohu o nei i roto i te wāhanga whakamutunga - i tenei repara. Ko te tino noa i roto i te matepukupuku māuiuitanga. Mai nui haere pūkete kawenga i runga i te taputapu. Ka rite ki te hua, e kore e taea e fekuki tonu te tinana me o ratou mahi matua.

Take o te mate pukupuku i te maha ngā āhuatanga haumanu tonu te mea ngaro. Heoi, kua tāutuhia tākuta āhuatanga e whakarato nga tikanga mo te hanganga o ngā pūtau mate pukupuku.

Na, he puku mārere o te repe taiaki e taea te whakawhanake i runga i te papamuri:

1. Smoking. Ko te take tuatahi e whakaoho te whanaketanga o te māuiuitanga tenei. waiwaro kakara Polycyclic roto i roto i te paowa tupeka, ko te stimulator puai o te whanaketanga puku. Tata 1/3 o mate katoa o te repe taiaki e pōreareatanga e ifi mate pukupuku.
2. Kaumātua. Iwi i runga i 60 tau e atu e pängia ana ki te mōrearea mō te mate.
3. Ira. E ai ki ngā tatauranga, pāngia tenei puku repe te ake maha i roto i nga tangata.
4. Diabetes. Ka taea e High taumata huka toto arahi ki te whanaketanga o te mate pukupuku pancreatic.
5. pancreatitis ma'i. Ko maha mumura rere roa te take predisposing ki te whanaketanga o te mate. huringa urupare i roto i te repe taiaki, te āhuatanga mō te pancreatitis, whakapataritari huamo tinana. He uaua te matamua o whākōkī. kihai wai Pancreatic i whiwhi ki te wahi kūnatu, pānga tuukino i runga i te kikokiko o te okana. Ka rite ki te hua, tino fakahohaasi parenchyma pancreatic.
6. Mōmonatanga. disorders taumaha me te hāngai ana i roto i te tinana e taea e te puna o te mate pukupuku.
7. Pohokore. Abuse o te warowaihā, hanga ngako he kawenga whakarei i runga i te tinana. Ka rite ki te hua, kia kore te rino. He kai taonga i roto i hua, huawhenua tino whakaiti te mōrea o te pukupuku.
8. Whakapapa. I roto i te aroaro o te whanaunga e i i tenei māuiuitanga, te mōrea o te whakawhanake i piki repeure mate pukupuku tino.

Ko te tohu tuatahi o te mate

Ko reira tino uaua ki te whakatau i te wā ka reira ko nga raruraru tuatahi ki te repe taiaki. kia äta tae noa ki te tīmatanga o te atamira 4 mate pukupuku tohumate. Na, kāore, e kore te mea te reira nohinohi te. Ka rite ki te pānga tupu anake puku pancreatic. Tohu o te mate pōreareatanga i te horapa o te mate pukupuku ki te tahi atu te kopa.

Heoi, i reira he āhuatanga e taea te whakapae mate i roto i te wāhanga tuatahi. He tino ti'aturi i runga i te localization o māuiuitanga ratou.

Tohu i te raruraru tuatahi ki te repe taiaki, te tohu e whai ake nei:

• upoko mātai - mate taimaha, jaundice, ngako i roto i te kumete, mamae puku;
• tinana mate pukupuku, hiku - mate taimaha, hūhi puku.

Māuiuitanga e whanake i roto i te repe upoko, hanga ua iho nui mua atu i te matepukupuku, puta i roto i te tahi atu wahi o te repe taiaki.

āhuatanga matua

I roto i te whānui, ki te kōrero tatou e pā ana ki te matepukupuku pancreatic, kia puta te tohu e whai ake nei:

1. Mamae hūhi epigastric. Ko te amuamu manawanui rawa tuatahi tenei. Nā ki te whakamahi o te kai e rite ana te tikanga, e kore e taea te ata. Ko nui kino i te po i te mamae. Ki te localization o pathologies i roto i te hūhi upoko repe whakatika i roto i te tika hautahi me rohe pito runga. Ki te patua e te hiku, te tinana o te repe taiaki, ite te manawanui mamae, wāhi interscapular. Hūhi ka taea te tūranga te huri i te kaha. Na reira, kei te maha pōhēhē whakaaro tenei mamae ki radikulitnoy.
2. tohu Paraneoplastic. Kei te faaruru i te manawanui rohirohi, mate o hiahia. E mea pinepine i reira he he tikanga ki ngako, kai kai. Ko te manawanui e pai haurangi tino - kawhe, waipiro, te tupeka. Characteristically whakaaturia mate taimaha, raruraru moe, Trousseau Syndrome (heke Thrombosis o uaua piringa).
3. Jaundice. E aki bile tau mahani. Ka rite ki te hua, mimi o te manawanui, me te kiri whiwhi whakamarumaru mumura. Fecal mama. He he minamina. totoro te tōngāmimi au te ki te pa, ongonoa.
4. Tūkinotanga o nakunaku kai. I roto i te lumen o te whēkau e kore e riro i te maha e hiahiatia o whākōkī, me te ate. Ka rite ki te hua, ngaro te manawanui taimaha hohoro. whakatika te reira i te haafifi i ki korere.
5. He mana'o o te pouri. duodenum ai kōpeketanga o mana'o o te manawanui o te tini, ara ka kai te nui iti o te kai. te paowa pea pirau. I te tahi taime honoa ruaki kai.
6. Toto. Ki te tupu te puku i roto i te taiepa o te puku, kia ite i te manawanui tenei tohu. Kei te āhuatanga i te reira na roto i te ruaki, papatipu mushy o kumete pango waro-mangu ranei.
7. Ko te tohu o te hypersplenism. puta ratou i pēpēhinga te puku rua splenic. whakawhanakehia te manawanui leukopenia, anemia, thrombocytopenia. Pea te hua i roto i te rahi o te kōateate - splenomegaly.
8. Signs o te mate huka. Ki te whakangaromia moutere taiāki-whakaputa o te repeure, te faaruru i te manawanui tohu angamaheni. He he he matewai nui, te kaikā kiri me kiriuhi mucous, maroke o te mangai.
9. Ascites. Ko te tohu mutunga o te māuiuitanga tenei. E whakaatu ana te reira i metastases i te peritoneum, te rua tomokanga.

Ko whakauaua motuhake mō te matepukupuku Tetahi o nga tohu i runga ake. Na reira, ko te hūhi e pā ana ki te repe taiaki - he take whakahauanga kia kite i te tākuta.

tikanga o te tātaritanga

heheu whakamātautau anake te puku.

Ahakoa te aroaro o ngā tohu (e ai kia tohu o ētahi atu pathologies), e whakahaeretia nga akoranga e whai ake nei:

1. US. Ko te tikanga haumaru, me te nui ngā mōhiohio ki. Taua ki te ako whakatau i te aroaro o te mumura, huringa urupare o te repe taiaki me tona huru. heheu Ultrasound whakamātautau te puku e te mea nui atu i te 2 cm. I tua atu, i te ako homai he whakaaro e pā ana ki te taumata o te echogenicity. A, no te rangahau ki te whakatau i te āhua o taua kikokiko rite te parenchyma o te repe taiaki. Ultrasound heheu ona huringa hanganga.
2. CT. Te rangahau homai he whakaahuatanga o te rahi, wāhi, māuiuitanga, whai wāhi o whekau pātata. Investigation rapunga feunga pono o te puku i te 3 cm. Heoi, hono CT te ki te irradiation X-ray. Heoi maha e kore e tūtohu ana ki te kawe i roto i.
3. Mua. ngā High ihirangi mōhiohio o te tikanga e ki te kawenga iti i runga i te rauropi.
4. Unuhanga. Ko te tātaritanga tino pono o te mate pukupuku tenei. Hoki te rangahau tangohia te he tetahi wāhi o te puku, i te āta te uiui i raro i te karu. kawea taiepa rauemi e tika ana i roto i roto i ara e rua. I raro i te mana o US ngira motuhake kua whakaurua ki roto ki te rohe o te puku. Ka taea e te whakamahi i tikanga endoscopic. I roto i te mangai homai te manawanui ko te ngongo kikokore motuhake.
5. tātari Toto. Kei te kitea te reira i te hua i roto i āpiha matepukupuku. Heoi, ka taea e tenei huru e tohu o ētahi atu mate.

Ki te kitea e koe i whakapumautia he tātaritanga unuhanga pūtau mate pukupuku te. Heoi, ki te whakatau i te wā o te mate rapu whakamātautau atu: pouaka X-ray, ultrasound whakamātautau o te ate.

maimoatanga mate

Ko te mate i roto i te wāhanga uaua tino o matepukupuku. Tae noa tenei ra, e kore e taea e rata āta whakahoki pehea ki te whakaora i te repe taiaki. Ko te uauatanga e pā ana ki ngā tūroro paari. I tua atu, E tūroro he momo o mate kapo. Ko tētahi atu take e fakafaingata'a'ia'i te maimoatanga, ko reira te whakamāramatanga o te mate i roto i nga wāhanga muri, ka pānga te puku nga whekau pātata.

Ko te maimoatanga matua - ko te pokanga i runga i te repe taiaki. Ko te mau hopearaa o taua wawaotanga tei runga i ngā āhuatanga maha, tino i roto i nei ko te wā o te mate.

Te whakamahi, i runga i te taunakitanga rānei, me ētahi atu tikanga o te maimoatanga:

• pokanga whànau;
• radiation therapy;
• hahau.

maimoatanga hāparapara

Na roto i te mahi tikanga o te tukanga o Will. tango te manawanui wahi o te repeure e kei te puku. I tua atu kua waiho i raro i te reira ki te wahi tikanga ano o te kopu, duodenum, au tōngāmimi, taikiri, e kua kei tata te repe taiaki.

Ko te hiahia ki te tango pera maha tinana e tika ana ki te wāhi kikokiko o te repe iho. Ko te tata pātata ki te kopa i runga ake-whakahuatia te repe taiaki. I roto i tenei hononga, he puku e horahia rawa tere ki whēkau pātata. Ratou tango taea ki a koe te aukati i te tini o nga mate.

Kia aroha mai,% 10-25 anake o tūroro mate pukupuku i runga i taiaki mahi tūtohu. Ko te mau hopearaa o te pokanga kore e whakakore te tahuti nei.

I roto i tenei tatauranga homai te raraunga e whai ake nei, ina tae mai te reira ki te tūroro ki te tātaritanga o "mate pukupuku pancreatic":

1. Kahore pokanga tümanako ora o te manawanui toharite ko e pā ana ki 6 marama.
2. I muri i te pokanga, he piki wā, i runga i te atamira o te mate, ki runga ki te 1.5-2 tau.

pokanga whànau,

tukua ratou ki a koutou ki:

• whakapai ake te kounga o te ora;
• whakakore mamae hūhi;
• whawhai ki jaundice taunutia;
• whakahokia patency o te duodenum.

He maha ngā tikanga e kia whakamana ai te pokanga whànau. puku Pancreatic, kāore, e kore e nekehia. Heoi, ake te kounga o te ora ahua.

Ko te tikanga matua ko:

1. stenting Endoscopic. Ko te āputa whāiti mahani whakaurua he anga ngongo waea ranei. E horahia ana e ia te ara kawa. Ko te kupu ora te rere mahi. noa whakaaturia bile.
2. tāutanga pana i te wai. Te tikanga i te mahi he rite ki te kotahi o mua. e kore e whakahokia patency anake o ate, ka tukua ki te waho - i roto i te putea i āta hangaia.

Whawhai i te mamae Pë tukua. Ki te kaha hūhi ki te manawanui whakaritea Pë whakapōauau:

• "Promedol".
• "Rehunanu".
• "Omnopon".

haumanu äwhina

Ki te aro manawanui matepukupuku pancreatic taea hamani i te momo e whai ake nei o te radiation therapy:

• radiation bremsstrahlung;
• tawhiti gamma-therapy;
• irradiation e irahiko nohopuku.

kia kawea radiation therapy ai i te aroaro o, i muri i te pokanga, a ētahi wā hei utu. Ko te roanga o te ora o te manawanui ko te 12-13 marama. Ki te radiation therapy ngā te ki mahi whànau, te roa o te toharite o e pā ana ki 16 marama.

whakamahia hahau te ina e kore e taea ki te whakahaere i ētahi atu maimoatanga ranei ki te whakarei ake i te pānga o te therapy whakahaeretia. Kia aroha mai, ka taea te tikanga taua ki te whakatutuki i inenga anake te kanohi o te neoplasm.

matapae māuiuitanga

I roto i te nuinga o te wā e pāngia i roto i te wā arā atu. Te manawanui he mau faaiteraa haumanu puta taua mate rite puku pancreatic. Waitohunga o te mate kino.

mate tūroro i tere nei te piki haurangi, cachexia, te tutukitanga intestinal, jaundice me te maha o te tahi atu pōauautanga.

I muri i te pokanga, te-tau e rima tere ora o tūroro (rite kitea e ngā kaituhi) he 8-35%.

Prevention māuiuitanga

Me pēhea te ki te whakaora i te repe taiaki i roto i te matepukupuku? Kia aroha mai, Ko reira tino uaua. A te tahi mau taime ko reira e taea. Ko Ko te aha kia kaha ki te karo i te mate.

Ki te mahi i tenei, whakarongo ki te aratohu ohie:

1. Kāti kai paipa.
2. A haamau i te kai tika.
3. Whakakore pānga deleterious o te taiao (papa kiripaka puehu).
4. mate wā whāki: pancreatitis, mate huka.
5. Nahanaha mamae ārai Taki-ups, rawa i roto i te aroaro o cysts, te aamu utuafare.

Kaua e hoatu tetahi faingamālie ki te whakawhanake i mate i roto i to koutou tinana. E noho hauora!