Whēwhē ate: maimoatanga me te putanga haumanu

Kei te mohiotia te reira e nga whekau katoa i to ratou whakaaro koha, kahore he te ate he okotahi ki, a e i roto i te tinana mahi nui. Runga ake katoa, e tamā te reira i te toto i ngā āhuatanga kino, me te tahuri te ngā āhuatanga e hiahiatia ana i roto i te kūhuka, engari ano hoki wāhi i roto i te kōtuitui o etahi pūmua toto. Heoi, kei te maha kitea reira ki pathologies nui ka pāngia mate "whēwhē ate", e hiahiatia ana e maimoatanga te tonu. Heoi te āhuatanga te mo tenei mate e pukupuku mārire i roto i te ate, he te ahua o te kōhao ki tonu i te papatipu wai. E whakaatu ana taiepa whēwhē he kahu angiangi o ngā pūtau e taea o te whakaputa inu, meinga māuiuitanga kanga coarsens tino i roto i to ratou taha, e ko, e taea tae te reira 25 cm, me te mo. Ka rite ki te hua a te tukanga pathological tino ohorere ate histology me taumaha huru whānui o te manawanui.

Heoi, ki te kitea he whēwhē o te ate, maimoatanga whaiaro te ka tei runga i te maha o ngā āhuatanga taketake, tae atu i te wāhi nui takaro e te momo o te pukupuku pathogenic. Ko te kupu, he pono, me te teka nga cysts. I roto i te whakatinanatanga tuatahi e pā ana ki te tupu o cysts i roto i te take te wahi te wā o embryonic kitea te whanaketanga ki te hononga whakahiato wahi biliary aerodynamics ate takitahi, na te ngaro o te urupare, kia ki te korero, a ka he te take pathogenic i roto i te ahunga whakamua o te mate. I roto i te take o cysts teka meinga he mua whara ate pathological, me te tona Echinococcus tango whēwhē ranei.

Ki te kitea te whēwhē i roto i te ate, kia whai te maha ngā wāhi maimoatanga, Heoi, Me tuatahi ki te mārama me pēhea faaite tenei māuiuitanga iho. cysts ate Ihirangi tuku ranei he maha wai mārama parauri i konatunatua ki te toto ate ranei Predominates i te taupa maui o te ate. I roto i te whānui, he asymptomatic i te rauropi pā te mate, Heoi, kei te maha whakararuraru i te manawanui poauau i titiro tuatahi, te mamae i roto i te rohe epigastric me tika hautahi o runga, me te karawhiti ataata o te puku ki te predominance o whakarahinga i te taha ki matau.

Tātarihia Ko te tino uaua tenei mate no te mea o te kore o tohu korerotia, na te maha kitea te mate anake i te ultrasound whakaritea i te whakamātautau taipitopito o ētahi atu whekau. Otiia ki te mea i te whakamutunga tātaritanga "whēwhē o te ate" katoa, e kore e taea te roa te maimoatanga, i runga i te rahi o te aronga o te mate, me o ratou wāhi rānei. He mea nui ki te whakamārama e kore te whēwhē ki te diameter ki runga ki te 3 cm e rapua e aro hauora, engari kia hoki kia aroturuki ratou na roto i te raveraa i mātaki i te iti rawa kotahi te tau, i roto i te take o te tahi atu pikitia haumanu kahore maimoatanga hua kore e taea te mahi, te tikanga reira operable kotahi wawaotanga.

E wehea ngā mahi e rite ki tuwhena-tuwhena conventionally, whànau,. I roto i te take tuatahi tikanga ate transplantation. Hoki ngā mahi herenga cysts tuwhena ahu ki extrude i tona anga, whakairo tango tika o te wāhanga mate ate taiepa whēwhē ranei. Ko hoki wawaotanga whànau, āhuatanga e whakatuwhera me te putu i te whēwhē, me te tsistoentero-, tsistogastroanastomoz. Here kia mārama ai: marsupializatsii tuaki whēwhē tūturu, te tango i ona tirotiro katoa me te hanganga o te pute haavare me tsistogastroanastomozu - te hanganga o te kōrero whēwhē kōhao ki te kōhao o te puku paru ranei.

Ki te kitea te tātaritanga o te ate whēwhē te, kia whakaritea maimoatanga tohunga anake mātau i runga i te pūtake o pānuitanga ultrasound, me te te ahua, me te atamira o te mate, engari e kore ano hoki e wareware e pā ana ki te tau o te manawanui.