Aberrant pancreas: ganewar asali, Alamun kuma Jiyya

Kari ko aberrant pancreas - a rare anomaly na gastrointestinal fili, inda a Bugu da kari ga babban gland shine yake akwai wata. Gabar da aka located a cikin antral rabo daga ciki, ciki ko garun 12 duodenal, ileum ko da kananan hanji, mesentery. An dauke da wani anomaly da kuma bayyana a cikin Baya ga manyan jiki, da wannan masana'anta, amma yana da kõme ba yi da shi. Mene ne bayyanar cututtuka da kuma Pathology na bukatar daukan, la'akari da kara.

Abin da yake a ɓõye, a karkashin kalmar "aberrant pancreas?"

Karin baƙin ƙarfe ne a sakamakon mahaukaci ci gaba. La'akari da shi bayyanar cutar ba lallai ba ne, a wasu lokuta, ita kanta bai nuna a duk, kuma kusan ba ya hana mutum ya zama cikakken rai. Gane munanan iya bazata, a lokacin da wani laparotomy, wanda aka shirya don wani daban-daban dalilin. Alal misali, sa'ad da pancreas aka bari ga munanan a lokacin tiyata don cire ulcers a ciki ko hanjinsu, gudanar da waraka calculous cholecystitis a form.

Mahaukaci nama da kuma al'ada gland shine yake jiki kunshi guda aka gyara. Aberrant pancreas kunshi wani bututu wanda ya buɗe wa skylight a ciki ko hanjinsu. A sakamakon haka, ƙarin hardware iya ci gaba pancreatitis a m form. By rare cututtuka sun hada da gastrointestinal zub da jini.

Sanadin m gland shine yake

Har yanzu, masana kimiyya suna fada a kan babban batu: saboda wasu dalilai, kafa biyu aberrant pancreatic bututu. Amma akwai samu rahotanni cewa anomaly auku a cikin mahaifar, da kuma sakamako a kan ta ci gaba da yawa m dalilai:

• m muhalli bango, rinjayar mata a lokacin gestation baby.
• kwayoyin cuta.
• shan taba da kuma shan barasa drinks a lokacin daukar ciki.
• m ciki da kuma danniya.
• cututtuka, wanda aka canjawa wuri zuwa wani mace yayin dauke da jariri, daga gare su - syphilis, rubella, herpes, da sauransu.
• takarce ga mace mai ciki shirye-shirye.

symptomatology da cutar

Clinical manifestations gaban aberrant pancreas dogara a kan ta size da kuma sarrafawa. Idan shi ne a cikin yankin na ciki bango, da cututtuka su ne sosai kama da bayyanuwar gastritis, kuma idan an located in duodenum 12, a cikin wannan yanayin, da nuni iya nuna ci gaban da ulcers. Bugu da kari, akwai iya zama alamun wani pancreatitis, cholecystitis ko appendicitis. Wadannan cututtuka ba sa cikin haƙuri ganin likita, kuma Pathology na dogon lokaci ba za a iya gano.

Amma a mafi yawan lokuta, cututtuka ba bayyana kusan gunaguni, da mãsu haƙuri zai bayyana ne kawai idan da ci gaban da rikitarwa. Su ne:

• kumburi tafiyar matakai.
• perforation na hanji ko ciki bango.
• necrosis.
• zub da jini;
• ileus.

Mafi sau da yawa rikitarwa bayyana idan karin baƙin ƙarfe ne sarrafa a cikin kananan hanji. Wahala a wannan yanayin ne ta shãmakacẽwa. Kuma idan m kumburi a jikinsa ne ba, da mãsu haƙuri iya ci gaba dyspepsia, ciwo mai tsanani a cikin peritoneum.

A lokacin da dakin gwaje-gwaje jarrabawa za a iya gano da kuma giperlipazemiya hyperamylasemia.

siffofin da cutar

Akwai da dama siffofin aberrant ciwon daji. Yana za a iya wakilta:

• duk data kasance gyara na pancreas: secretory ducts da kuma sassa.
• kawai exocrine part, alhakin samar da ciki ruwan 'ya'yan itace.
• kai tsaye zuwa endocrine bangare na taimakawa wajen samar da muhimmanci hormones cewa gwada jini sugar matakan.
• adenomyosis - pancreatic nama saka a babban duodenal papilla 12 (wannan shi ne wurin da bude gland shine yake ducts a duodenum 12).

Sanya aberrant sarrafawa na prostate

Za a iya located aberrant pancreas a ciki da kuma sauran gabobin:

• esophagus.
• duodenum.
• ganuwar da gallbladder.
• hanta.
• baƙin ciki.
• kananan hanji.
• mesentery na kananan hanji, da crease ko na ciki mucosa.

Yadda za a gane asali cutar?

Pathology za a iya gano ta ne ta hanyoyi daban-daban, shi duka dogara a kan inda aka sarrafa. Idan pancreatic aberrant yanki da aka located a kan bango na duodenum 12, a cikin manyan hanji ko ciki, sa'an nan a cikin wannan harka da shi zai zama da sauki gane. A mafi yawan lokuta, an gano a lokacin da wani nunawa jarrabawa. Age na marasa lafiya da suke mafi akai-akai kamu da cutar ne 40-70 shekaru.

Gano wani anomaly a hanyoyin da dama:

• Endoscopically. A wannan yanayin, da baƙin ƙarfe ne babban sized tsibirin glandular nama, sau da yawa kama wani polyp, wanda aka located a kan wani m-akai. Sau da yawa a saman wannan tsibirin za a iya tilasta baya, wanda shi ne wata ãyã daga endoscopic aberrant gland shine yake. Idan, sa'an nan samun cikakken bayanai ne da wuya a lokacin da wannan binciken ya dauki wani biopsy na surface.
• X-ray. A wannan yanayin, da anomaly iya zama wani babban mataki, wanda yake shi ne m, a cikin wani nau'i na tari na bambanci. Amma a cikin wannan hali, zai iya yiwuwa a bayyane da kuma bakin bututu, wanda aka kuma contrasted.
• Amurka. A dauke da fitar duban dan tayi ƙarin hardware za a iya gani a matsayin bayar da tasu gudunmuwar da wannan hypoechoic tsarin, gaban ƙarin cavities da anechoic bututu.
• CT ciki. Wannan bincike zai taimaka wajen gano da gland shine yake a cikin taron cewa shi ne located a kan ganuwar da m jiki. Wannan binciken taimaka wajen yin bambanci ganewar asali malignancy. A cikin hali na ƙari mamayewa yana zuwa makwabciyar gabobin da kuma peritoneum metastases. Duk da haka, da bambanci ganewar asali iya zama da wuya idan ƙari da aka sarrafa a cikin submucosal yadudduka (leiomyoma, lipoma da miosarkoma).

Jiyya na aberrant pancreas

Marasa lafiya wanda anomaly aka gano, an yi imani da cewa da zarar zai yi tafiya a karkashin Likita ta wuka. Za su tambayi tambaya: ko cire aberrant pancreas? Bar shi unattended ba zai iya zama, saboda shi ne mai hadarin gaske saboda shi zai iya faruwa malignancy kyallen takarda. A lokacin da gano dole gaggawa wuce jerin nazarin cewa zai taimaka wajen kawar da cin gaban m siffofin maruran. Amma bayan da karshe ganewar asali ne shawarar kau da anomaly, amma a hanya domin wannan ance Likita ya dogara da ciwon daji ta location.

Idan ƙarin jiki ne mai surfactant, da shawarar endoscopic elektroekstsizitsiya. Idan jiki yana da wani mafitsara, sa'an nan a cikin wannan hali ne da za'ayi fenestration na cysts.

Conservative magani ne ma da taimaka a lokuta inda akwai wani hadarin mika mulki cikin ciwon daji. Nagari ga tsawon aiki magunguna, da mafi kyau analogues "Somatostatin" Fit. Lokaci guda symptomatic far.

Aberrant pancreas antrum ba hatsari ga mãsu haƙuri, muddin dai za su ci gaba pathological tafiyar matakai. Wannan shi ne dalilin da ya sa gaban ƙarin ciwon daji haƙuri ta magani ba za a iya amfani, amma m monitoring da wani gwani ya zama.

Matsalolin da kuma sakamakon

Yana da daraja ambaton cewa gaba daya watsi da wanzuwar anomalies a cikin pancreas aka ba shi daraja, saboda ga wani mummunan tasiri da shi zai iya kai ga ci gaban wannan pathologies:

• pancreatitis - inflamed karin baƙin ƙarfe.
• zub da jini a ciki ko hanjinsu.
• m neoplasm na m gland shine yake ko pancreas.

Rigakafin rikitarwa daga m gland shine yake

Idan akwai wani ragi na baƙin ƙarfe, sa'an nan saka idanu ta kara ci gaba da ake bukata a kan akai-akai. Wannan shi ba ya haifar da rikitarwa taro dole rigakafin:

• Tsaya rage cin abinci: mafi a rage cin abinci don ƙara sauƙi digestible gina jiki, abinci garu da zare. A m na kitse da kuma wani abu da zai yi ya karu da ci.
• Shan magungunan da taimakon narkewa tsari, misali, "Creon" a cikin nau'i na mini-microspheres. Capsules suna readily gauraye da abinci a ciki da kuma shigar da hanji. Wannan wajibi ne a lokacin da babu wani ƙarni na da kansa enzymes.
• Bada har shan taba da kuma shan barasa.

Idan ka bi shawarwari da kullum lura da wani likita, da karin baƙin ƙarfe ba ya haifar da wani cikas. A cikin wani hali, shi na bukatar m monitoring da wani gwani, to da sauri gane da matsalolin da kai da matakan.