ʻO nā polipeka pancreatic > Hoʻopiʻi nā maʻi maʻi

I ka lāʻau lapaʻau, kapa ʻia nā polyps i kahi neoplasms benign i haku ʻia mai ka epithelium o nā membrane mucous a hiki i hoʻokahi helu a i hoʻokahi paha. ʻAʻohe o nā memo pancreas i kēlā me ia, no laila ʻaʻole hiki ke hoʻopili ʻia ka polyp i loko. Eia nō naʻe, aia kekahi mau hihia i ka wā o ke nānā ʻana, hōʻike nā kauka i nā polyp i ka pancreas a kuhikuhi i ka mālama kūikawā no ko lākou poʻe maʻi. No ke aha i hana ai kēia? A he aha ke ʻano o nā kauka e ka maʻi maʻi?

Nā hiʻohiʻona o nā neoplasms

E like me ka mea i ʻōlelo ʻia ma mua, ʻaʻole hiki i nā polyp ke kau i ka pancreas, no ka mea, ʻike ʻia ia mai ka epithelium o nā membrane mucous, ʻaʻohe o kēia ʻuhane. ʻO ka pancreas kahi ʻano parenchymal tissue, e like me ka ate, kahi hiki ʻole o kēia mau neoplasms.

Eia nō naʻe, inā ulu kēia mau neoplasms a ua nui ka (iona i hoʻokahi wahi), a laila ʻike ka poʻe kauka iā lākou he cysts. Aia kekahi mau ʻano ʻokoʻa ʻole mai ka polyp, no ka mea he palena ʻonaʻu kahe i loko o loko kahi o ka wai serous.

ʻO ka cyst Pancreatic ka maʻi maʻamau a me ka huaʻōlelo hoʻokahi, no ka mea, ʻo ia nā manaʻo e pili ana i kēia mau manaʻo:

Kapila cyst. Loaʻa kona hoʻokumu ʻana mai ka parenchyma o ka hoʻopiha a i ʻole nā dāltso, ʻike ʻia i ka wā kamaliʻi.
Loaʻa cyst. Kūkulu ʻia kona helehelena ma muli o ka blockage o nā kahakui excretory o ka gland me nā pahu stony a i ʻole nā Tumors.
Kūpono kahe eona. Ua kū ia ma muli o ka hōʻino ʻana i ka mea i loko o ka gland, no ka laʻana, i ka wā o ka hōʻola, ka hemorrhage kūloko a i ʻole necrosis pancreatic, i ka manawa o ka pancreatitis e hoʻohui ʻia e nā kaʻina necrotic (make i ka ʻōpū).

Aia kekahi mau manaʻo like e like me ke tumupa proliferative, cystadenocarcinomas a me nā neoplasm parasit e ulu ana ma muli o ka hōʻeha ʻana i ka pancreas e nā parasites (cysticerci, echinococci, etc.).

Hana ʻia ka maʻi maʻi poli o ka pancreatic i kekahi mau hihia - ke hiki ʻole i ke kauka ke hoʻoholo i ke ʻano maoli o ka pūpo a i ʻole ka hoʻomaka ʻana o ka hoʻokumu.

ʻO nā kumu o ka hoʻokumu ʻana o nā tumors i ka pancreas

ʻO nā kumu no ke kūkulu ʻia ʻana o nā mea i kapa ʻia he polyp i nā pancreas he ʻokoʻa. Hiki iā lākou ke hōʻeha ma muli o kahi hoʻomohala embryonic impaired a i ʻole e kū i ka hope o nā hōʻeha o ke kino. Akā i ka manawa pinepine, ʻo ia neoplasms ʻo ia ka hopena o:

ke ola kino
inu waiʻawa
ulaula
hoʻohana lōʻihi o kekahi mau lāʻau,
nā maʻi o ka pancreas (pancreatitis, pancreatic necrosis, gallstone disease, etc.).

E like me ka mea i hōʻike ʻia ma mua, ʻaʻole i hāʻawi i nā polyps i hoʻokumu i ka pancreas i kahi mau hōʻailona. Akā hāʻawi nā cysts i kēia ʻāpana i nā hōʻailona e pono ai ka hoʻokipa koke ʻana i ka mea maʻi a me nā hana.

ʻO nā hōʻailona nui o ka hoʻokumu ʻana i nā puka cystic i loko o ka pancreas:

ʻeha i ka ʻōpū hema hema
ka malo maloʻo
nāwaliwali
kiʻekiʻe ke kiʻekiʻe
polyuria.

E like me ke kānāwai, hōʻea nā hōʻailona koʻikoʻi i ka wā e hōʻea ai ka neoplasm i kahi nui nui a hoʻomaka e hoʻopaʻa i nā ʻāpana pili kokoke. ʻO ia no kēia mea hāʻawi nā cysts i ka nui i nā hōʻailona a ʻike pinepine ʻole ia i ka wā o ka hoʻokolokolo diagnostic no nā maʻi ʻē aʻe.

I kekahi mau hihia, ʻike ʻia nā ʻōpala nui ma luna o ka pancreas i ka maka ʻili, ʻoiai e kūʻiʻo ana ma luna o ka ʻili o ka ʻili. ʻAʻole hiki ke hoka ʻia kēlā mau pahuhopu ʻole, ʻoiai inā ʻaʻole lākou i hele pū ʻia e nā maʻi koʻikoʻi, no ka mea he mea ʻokoʻa loa nā hopena o kēia. ʻO ka mea mua, aia kahi ola nui o ka degeneration o ka cy i kahi maʻi malignant, a me ka lua, hiki ke wāwahi paha kona membrane, ka mea e alakaʻi ai i ka puka ʻana o kona waihona kū i loko o ka ʻeha o ka pūpū a e hoʻonāukiuki i ka hoʻomohala ʻana o ka absent a sepsis paha.

Eia naʻe, ʻo ka loaʻa ʻana o nā hōʻailona kūpono me nā cysts nui kahi luhi. Hoʻohana pinepine ʻia, me kā lākou ulu holomua ʻana, nā ʻōkuhi i hōʻike ʻia:

nā ʻeha mau ʻana i ka manawa o ka loaʻa ʻana o ka neoplasm,
nā hana hoʻowalewale, i hōʻike ʻia e ka luaʻi, ke aho, ka ʻōpū, a,.
ka luhi ana i ke kino.

Nā hopena hiki paha ke hoʻopiʻi

ʻO Cysts, a i kapa ʻia lākou hoʻi he polyps, he neoplasms hiki i kēia ke hōʻeha ka hopena:

ka ʻike ʻana i ke koko o loko,
ka hana hoʻokaumaha o ka pancreatitis maʻamau,
peritonitis
cholestasis
hoʻohanu
fistula hoʻomohala ʻana
manao ana o ka opala
Hooliili o ka palaoa.

ʻO kēia mau kūlana āpau he mea pōʻino loa ia no ke olakino a me ke ola. No laila, ke kau nei i kahi polyp i ka pancreas, pono ia e hoʻomaka koke i kā lākou mālama. He mea ʻole ke hoʻokō ʻia i ka lāʻau lapaʻau me nā lāʻau kuʻuna, no ka mea, ʻaʻole lākou e hāʻawi i kahi hopena kūpono. No ka hoʻopau ʻana i nā neoplasms hoʻokahi a no kahi āpau, e koi ʻia kahi hana.

Hoʻohana ʻia nā polyps pancreatic a me nā cysts wale nō ka hoʻomaʻamaʻa ʻana. ʻO kēia ma muli o ka loaʻa ʻole o kēia mau neoplasma i ka waiwai o ka hoʻopaʻa ʻana iho ma lalo o ka hana o kekahi mau lāʻau lapaʻau. Eia nō naʻe, ma mua o ka hana, ua kuhikuhi ʻia nā mea maʻi i kahi papa o ka lāʻau lapaʻau, ke kumu e pale ai i ka loaʻa ʻana o nā pilikia postoperative.

ʻO ka wehe ʻana o ka polyp a me ka pancreatic cysts e lawe ʻia i ʻelua alahele: laparotomy a me laparoscopic. Hoʻohana ʻia ka hope inā he liʻiliʻi ka neoplasm. I ka wā o ka hōʻola ʻana, ʻaʻole wale ka lawe ʻana i ka polyp, akā, ʻo ka kiko gland kokoke.

Ma muli e alakaʻi ana kēia i kahi hana o ka pala, ma hope o ka pau ʻana, ua kuhikuhi ʻia ka mea maʻi i ke ola e ola ai, ʻo ia hoʻi ka lawe ʻana i ka hoʻomākaukau o ka enzyme. Inā ua make nā seleka pancreatic i ka hoʻomohala ʻana i ka insulin i ka wā o ka hana, ua hoʻohana ʻia nā lāʻau lapaʻau haʻahaʻa me ka hoʻomākaukau ʻana i ka enzyme, no ka mea i kēia ke ʻano o ka hanu o ke kino e hiki ke hoʻomalu kūʻokoʻa i nā pae kō koko koko. ʻO ke koena o ka mālama ʻana i ka hana kūpono ma luna o ke ʻano o ka nui o nā polyp, a ma kahi o ko lākou wahi.

Nā hana kūpono

ʻAʻohe mea pale ʻole mai ka polyps a me nā pancreatic cysts. No laila, pono e hana kēlā me kēia kanaka i nā hana pale e hiki ai iā ia ke mālama i ka hana hana pancreas a pale i ka hoʻokumu ʻana o nā maʻi i loko.

He maʻalahi nā hana kūpono e komo:

kaawale ana i ka ulaula a inu i ka pono makeʻawa,
ka hoʻolauna ʻana i ke ola kino,
hānai kūpono
Ke hoʻokō nei i nā hana maʻamau i kēlā me kēia lā
ʻaʻole iʻoi aku i ke koʻikoʻi a me ka lōʻihi o ka lāʻau lapaʻau i kuhikuhi ʻia e ke kauka no ka mālama ʻana i nā maʻi ʻē aʻe.
nā hōʻike hōʻike pale ākea (ma kahi o ka 1 manawa ma kēlā me kēia makahiki).

Ke hōʻuluʻulu i luna o luna, pono e hoʻomaopopo ʻia ʻaʻole hiki i nā polyp ke hoʻokō i ka pancreas. Aʻo ka ʻōlelo a ke kauka e pili ana i ko lākou hele mai i kēia kino, ʻo ia paha ke kumu o ke kuʻina ma lalo o kāna mau ʻōlelo ponoʻī. ʻO kona heleʻana i ka pancreas he pilikia a hiki ke alakaʻi i nā pilikia olakino olakino. No laila, ʻaʻole kūpono ia ka hoʻopiʻi i ka hana. ʻO ka liʻiliʻi o ka cyst a me ka wikiwiki ke neʻe ʻia, ʻo ka haʻahaʻa o nā hopena o ka hopena.

Nā hiʻohiʻona o nā polyps pancreatic

ʻO nā polyp ka benign. ʻAʻole ulu ulu lākou a hana i nā metastases. Ma nā pancreas, maʻamau pinepine lākou. Wahi a nā helu helu, ʻike ʻia kēia mau wala i ka poʻe ʻekolu mai loko o hoʻokahi miliona.

ʻO nā polyps i ka pancreas he mau hiʻohiʻona penei:

nā hōʻailona maʻemaʻe
ʻaʻole ulu a ulu,
haku wale ʻia ma ka pankreatic duct.

ʻOiai ka liʻiliʻi o ka wā o ke kaʻahele ʻana i kēia ʻano kuaki, ʻaʻole naʻe ia i kūpono no ka mālama ʻana i kou olakino me ka mālama. Hoʻomaopopo ʻia e hoʻomaʻamaʻa pinepine aku i nā lāʻau lapaʻau pinepine e hōʻemi i ka neoplasms.

Nā kumu no ka hoʻokumu ʻana o nā polyps:

ka heleʻana o nā pseudocysts (i hoʻokumu ʻia i nā mea maʻi me ka maʻi pancreatitis),
lauhaʻāina
ʻO nā fibrosis o nā palola o nā kino o loko,
ka ʻaʻa ʻia e ka pancreas a i ʻole nā ʻāpana nui,
nā hōʻeha kino kino
nā maʻi ʻohi.

I kekahi manawa hiki ke nānā ʻia nā maʻi i nā maʻi e loaʻa i ka maʻi āpau. ʻO ia ke ʻano, e like me echinococcus.

Pehea kahi cyst e like me ka polyp?

I kekahi manawa ke hewa hewa kahi polyp e like me ka cyst. Hoʻohālike ka hopena hope loa i kahi ʻano kumu wai piha i piha i ka wai me ka pohō ʻana i ka kiko. Nā ʻano hiʻohiʻona:

Hoʻokumu ʻia kahi puʻu mai nā lau o ka lipine (ʻo ka maʻi maʻamau).
ke ʻano ʻino ʻia nei ke ʻano o kahi pūpana.
hana paha i ka wā i pale ʻia ai nā kumuwaiwai o kekahi mau kino o loko.

ʻO ka hōʻailona aʻoaʻo - aia ka manawa like o ka hele like ʻana o nā cysts a me nā polyps. Hoʻohā pinepine ʻia kēia ma hope o nā hōʻeha hōʻeha a i ʻole ke kau ʻana o kekahi iā ia iho me ka hoʻoikaika kino. Hiki iā ia ke hana i ka hana a i ʻole nā haʻuki a (keu paha i ke kalapu).

Nā hōʻailona o nā polyps pancreatic

ʻO ka maʻamau, ʻaʻole i hoʻohiki ʻia nā hōʻailona āpau benign pancreatic. ʻAʻole pili kēia i nā cysts. Hoʻomaka ka hōʻailona ʻana i ka wā e ulu ai ka huki i ka nui.

Hoʻomaʻamaʻa ka mea maʻi i nā manawa ma muli o ke kaomi o ke kino i loko i ke kokoke o ka polyp. Aching, ʻano maʻamau, hoʻololi ʻia kona ʻano ke hoʻololi ke kanaka i ke kūlana o ke kino.
E hōʻike ʻia ke ʻeha ma muli o ke wahi o ka neoplasm. Penei ka hui, inā loaʻa ka polyp i loko o ke kino o ka wahī, a laila ʻeha ka ʻōpū o luna, inā he ʻili, a laila e ʻike ʻia ka ʻeha ma ka hypochondrium hema, a inā i loko o ke poʻo, a laila ma ka epigastrium.
Inā nui ka wai o ke kanaka e hana i ka nui o ka insulin, a laila ua lulu ʻo ia, nāwaliwali. E lilo ka mea maʻi i ka huhū nui, manaʻo i ka puʻuwai wikiwiki.
Ke hoʻohālikelike nei ke kino i ka nui o ka glucagon, hele wikiwiki loa ke kanaka i ke kaumaha. Loaʻa iā ia nā hōʻailona o ka anemia. E lilo ke aniani ʻulaʻula a me ka hamama. Lā kekahi ʻōhumu i loko o ka ʻōpū, a me nā pūhaka. Hiki i nā mea maʻi ke hele aku i nā ala e like me ka gingivitis, stomatitis, vaginitis. Eia kekahi, ʻo ke ʻano maʻi o ka maʻi ka hōʻailona o ka loaʻa ʻana o ka ʻōpeʻa e hana ai i ka glucagon.

ʻO nā hōʻailona ʻē aʻe:

nā ninia
nāwaliwali, nawaliwali,
ʻeha i ka ʻōpū ma luna
kauai

Pono e mālama pono i ka maopopo ʻana o kēlā mau hōʻailona i ka wā e hiki ai kahi ʻōpiopio i kahi nui. Inā liʻiliʻi ka polyp, a laila hiki ke ʻike iā ia ma ka hiki wale ʻana ma kahi ʻōhai ultrasound.

Inā nānā ka mea maʻi i kahi palupalu i ʻike ʻia i loko o kona kūlana maʻamau, i ka ʻeha pinepine ʻana, a me nā ʻano ʻoluʻolu ʻole aʻe, pono ʻia e ʻōlelo koke i kekahi kauka. E hana ke kauka i kahi hoʻokolohua a kuhikuhi i ka lāʻau lapaʻau e pale ai i nā hoʻopulapula hiki.

Hōʻike pinepine ʻia, akā ulu ia ka polyp i ka pancreas i ulu i nā nui nui, e kūleʻa nei i waho o ke kino o ke kanaka, hoʻohuli i nā kino o loko. Hana kēia no ka mea ʻaʻole i hoʻolohe ka poʻe maʻi i kā lākou pathology. Hoʻolaha koke ʻia nā hana maʻalahi ma ʻaneʻi.

Naʻi hoʻolika

I mea e ʻike ai i ka hele ʻana o nā polyps pancreatic, pono kekahi i ka pā ʻana i ka ultrasound scan, ua kākau kekahi gastroenterologist i kahi kuhikuhi no ia. ʻO nā poʻomanaʻo nui o kēia ʻanoʻelima, ʻaʻole ia e ʻike i nā nīnū liʻiliʻi. I mea e aʻo ai i ka kikoʻī o ke kūlana o ka pancreas, pono ka mea e hoʻomau i ka CT a me ka MRI. Ke hana ʻia nei kahi ʻano loiloi no nā mākēkē o nā hua mānoanoa, biochemistry. Eia kekahi, i kekahi manawa kaukaʻi nā kauka i ka angiography, scintigraphy a me biopsy.

Hoʻohana ʻia ka mālama ʻana o nā tumors i loko o ka pancreas. Pēlā, hana ʻia ka wehe ʻana o nā wahi i hōʻino ʻia. Akā hiki ke mālama wale ʻia kēlā hanana inā loaʻa ka polyp i ka lemil ponoʻī a hana ʻia e kona ʻōpala.

Nā ʻano o ka lilo ʻana i kaʻaila:

Kāoʻae. Hōʻike i ka wehe o kahi ʻāpana o ka pancreas, me ka polyp. Hoʻohana ʻia kēia ʻano pākahi inā he nui ka lahilahi.
Kālā. Hoʻohana ʻia ia e wehe i nā polyps i hoʻopaʻa ʻia ma ka ʻaoʻao o ka pancreas.
X-ray endovascular embolization o nā māla. ʻO ke kumu o kēia hana, ʻo ia ka poloka i nā moku koko e hānai i ka polyp i make ai kona kino. Maikaʻi loa ke ʻano o kēia ʻano hana a inā ʻaʻole traumatic.

He mea kūpono ʻole ke hoʻolohe ʻana i ka nui o ka hōʻole ʻana i ka hana hiki ke alakaʻi i nā hoʻopiʻi nui, a i kekahi manawa ke make. No laila, pono ʻoe e mālama i ka hoʻomaʻamaʻa ʻana i ka maʻi, a laila e makemake ʻia ka prognosis.

He aha nā puka polypous?

No laila, he aha nā polyps i ka pancreas, no ke aha a pēlā mai? Ma mua o ka pane ʻana i kēia nīnau, pono ʻoe e hoʻolohe i hoʻokahi nuance nui.

ʻO nā polyps he neoplasms benign i hiki ke hoʻokumu i nā kinona o nā meakanu o nā ʻano o nā kino o loko. Hiki iā lākou ke hoʻokahi a hoʻokahi, a hui pū paha, i hoʻokahi. Eia nō naʻe, ʻo kahi o kā lākou helu, pono e hemo ʻia no ka hiki i kā lākou hiki ke ulu i loko o ka maʻi hōʻeha.

No nā polyps, aia keʻano:

Hoʻohui wale ʻia lākou ma ke kumu ʻo ka pancreatic.
I nā wā mua i like asymptomatic.
E hoʻomohala nui.

Hiki i nā polyps ke hōʻike iā lākou iho ma nā wahi āpau i loaʻa i nā membous kaila, no ka laʻana, ma loko o ka ʻōpū, ka ʻōpū, a pēlā aku, ka mea nui i nā lālā me kahi hana hollow.

ʻAʻole e ʻike ka pili o ka pancreas i nā ʻāpana hollow, ʻo kona kumu ke kiko parenchymal tissue, no laila ʻaʻole i hele pinepine nā polyps. Eia nō naʻe, ʻike ʻia i kekahi manawa, a ma ka maʻamau i nā papa pihi pancreatic. Eia kekahi, he paʻakikī lākou e ʻike, no ka mea, ua hōʻike lākou e kahi anymptomatic hōʻailona, ʻoiai ke hoʻomaka ma kā lākou hoʻokumu. ʻOiaʻiʻo, ua ʻike maikaʻi ʻia lākou ma ka ultrasound.

ʻO kekahi mau kauka i ka manaʻo e like me ke ʻano o ka polyps i loko o ka pancreas. ʻO kēia terminology ka mea pinepine loa e pili ana i ka cyst, akā ʻaʻole hiki ke lilo i kēia palapula i kahi polyp i nā mea āpau no ke kumu maʻalahi loa, he etiology ʻokoʻa ʻē aʻe. He ʻōkopa liʻiliʻi kahi ʻano liʻiliʻi i kekahi mea ʻona i piha i ka wai.

Nā ʻano o Polyps

ʻO kēlā me kēia mea, ulu i nā pancreas, ʻo ia hoʻi, ma kona mau lakana, ʻoiai ka loaʻa ʻole. ʻO lākou:

Congenital (ontogenetic). Hoʻohui ʻia lākou e ka nui o ka hoʻokau ʻana, ua hui pinepine ʻia lākou me ka polycystic kidney, pūpū, ka ʻū a me nā mea ʻokoʻa ʻē aʻe.
Kumupua. Ua hoʻokumu ʻia ia ma muli o ka hoʻopōkole o ka epithelium o nā kumulani a me nā fibrosis o ka ʻāpana pancreatic. ʻO ka kumu, ʻo ia mau polyps he lehulehu-keʻena.
Nā noho paʻa. Kūkulu lākou i ka wā e wāwahi ʻia ke kumu o kahi ʻōpala, cyst, ke aʻa a i ʻole ka hoʻonui ʻia o ke kino. Kuhi ʻia kēlā mau ulu e ka lewa a me ka nui. Eia nō naʻe, ʻike ʻia nā hihia i ka lāʻau i ka wā i loaʻa ai nā neoplasma like i ka plural.
ʻO Pseudocysts (wahaheʻe).Hoʻohana pinepine ʻia ka poʻe i ka pancreatitis hemorrhagic koʻikoʻi ma nā wahi o ka nīnika kiko.

ʻO ka pōʻino nui o kēlā polyps e waiho i ka mea hiki ke hoʻowalewale i loko o nā ʻōpū malignant, hoʻonāukiuki i ka nānā ʻana o ke kaʻa a me ka jaundice, a hiki ke alakaʻi i kahi nui o nā hoʻopiʻi.

ʻO ka uluʻana o ka papa o ka pancreatitis.
Anemia pale pio.
Cholestasis.
ʻO ke kūkulu Fistula.
ʻO ke koko hoʻoneʻe.
Ke hoʻomau ʻana o nā ʻōpala.
Hoʻopilikia hou (rupture) o ka spleen.
Peritonitis

No laila he mea nui loa ke lilo i kou nānā ʻana i kou olakino, a no ka mea liʻiliʻi loa i kou kū maikaʻi ʻana, e ʻimi i nā ʻōlelo lapaʻau.

Nā kumu kumu o ka polyp i ke kino

E like me ka mea i ʻōlelo ʻia ma luna nei, he ʻano paʻakikī ia o ka polyp i loko o ka pancreas, akā aia nō naʻe kahi wahi e pono ai. Ma ke ʻano he kānāwai, ʻike pinepine lākou i nā poʻe i hele i ke kiʻekiʻe o ke kanahā mau makahiki.

He aha nā mea e kōkua ai i ka nānā ʻana o kēia mau neoplasms? I waena o nā kumu e hoʻonāukiuki ai i nā polyps i ka pancreas e kapa ʻia:

Predisposition genetic.
Deenity deformity o nā kumu papa pancreatic.
ʻO ka hōʻeha maikaʻi.
ʻĀpilikia Kūʻai.
ʻO ka hoʻopiʻi ʻana e kekahi ʻokoʻa a i ʻole ʻoloka ma muli o ka hōʻeha a ma muli o ka maʻi o kēia ʻola.
Me ka hoʻopiʻi ʻana i nā maʻi maʻi maʻi.
ʻO Pseudocyst, ma muli o ka pancreatitis.
Ka inu maikaʻi ʻana i ka waiʻona.
ʻAʻohe meaʻai kūpono.
ʻO ka heleʻana o nā kaʻina hana.

Hiki ke pale ʻia nā polyps i ka pancreas, e like me kona mau ala hou ʻē aʻe inā e pili ʻoe i ke ola olakino, ʻo ia hoʻi, mai inu i ka waiʻona, kāpae i ka ulaula, e nānā i kahi mea kūpono i ka meaʻai. ʻAʻole i hoʻōki ʻole ʻia a lawe i kekahi lāʻau lapaʻau me ka ʻole o ka ʻae i ke kauka. ʻO kaʻoiaʻiʻo hiki i kekahi mau lāʻau lapaʻau ke hāʻawi i kahi nui o nā hoʻopiʻi.

Nā hōʻailona o ka heleʻana o ka ulu

Ma muli o ke kumu o nā ulu polypous e ka hiʻohiʻona a kahi polū a nūhou, ʻo ka mea pinepine ka ʻike ʻia ʻana i ka maʻamau no ka noi ʻana o ka maʻi maʻi o ka mea maʻi a hoʻolilo lākou iā lākou iho i ka wā i lōʻihi ai a hoʻopaʻa paʻa ʻia nā maʻi pancreatic. I kēia hihia, hoʻomaka lākou e pale i ka kaila o ka huna ʻana o ka wahī, a i ka hoʻokele ʻana i nā ʻāpana kokoke, e hoʻopilikia nui ʻia ana i ke ola o kahi kanaka.

I kēia hihia, hoʻomaka ka mea maʻi e hoʻopiʻi i nā maʻi ʻē aʻe:

Kaumo luhi.
Hoʻemi ka hana a me ka hana ʻana.
ʻO nā pilikia me nā neʻe o ka bowel.
Ke maʻi a kū mau nei ma ka ʻōpū o luna.
Pau ka makewai.
ʻOki ʻoki i ka ʻōpū o ka ʻōpū.
Kahula
Kūʻai pinepine.
ʻO ka lilo kaumaha.
ʻO ka hoʻoholo o ke olakino maʻamau.

I kekahi mau manawa, ua ʻike nui ʻia ka pohō loa o ke kaumaha o ke kino, a me nā neʻe holomua o nā ulu ʻana o ka pancreas, hewa ʻole i hana i nā kuhi kino he nui.

Nā hiʻohiʻona o ka maʻi no ka pīpī polyp

I mea e hōʻoia ai i ka hele ʻana a me ka ʻole o ka polyp, e kuhikuhi ke kauka i kahi ʻano hoʻokolohua a me nā hoʻokolohua ma nā mea lapaʻau:

Uiuei
Hōʻike koko koko biochemical.
MRIAHUI
Biopsy
CT
Angiography.
Scintigraphy.

Wahi a nā hopena o nā haʻawina i luna, ua kuhikuhi hou ʻia ka mālama ʻana, ʻoiai e hilinaʻi nui ʻia i ka nui o ka polyp. No laila, pehea e mālama ai i nā polyps i ka pancreas?

He aha ka mea lapaʻau?

Hoʻopuka ʻia ka hoʻomaʻamaʻa ʻana i ka ulu ʻana. Eia naʻe, hiki ke hoʻohana pū i nā ala kalakela inā inā ka nui o ka polyp a hiki i 2 mm, akā ma kēia hihia e hoʻomau ʻia ka ulu a mālama pono i ka mālama kiaʻi mau ʻia a me ka hoʻohanaʻana i ka ultrasound maʻamau (1 mau manawa i kēlā me kēia mahina). I nā kūlana ʻē aʻe, i ka wā he nui aku ka polyp i ka 2 mm, hoʻokō ʻia ka hana.

Inā i ka makahiki o ko lākou ulu wikiwiki ʻana, a ʻo kona nui he 10 mm a i ʻole, ʻo ka nīnau no ke ʻano o ka hana hōʻeuʻeu, e ʻike ʻia i nā hanana a me ka hoʻomāinoino o ka mea maʻi.

Pono e ʻōlelo ʻia i kēia lā, ʻekolu mau ʻano o ka hoʻopiʻi ʻana. ʻO kahi koho e hoʻopili ʻia ma kahi hihia e hoʻoholo nui ʻia e ka papa hoʻokahi o ka pathology.

ʻĀnana kūlohelohe. Kahi ka lihilihi e hana ʻia ma ka ʻōpū o ka ʻōpū.
Nā hōʻaiho laparoscopic video. ʻAʻole i hana ʻia ka kohi, ua lawe ʻia ka wawaay me ka mea wikiō wikiō.
Wehe i ka hoʻonā laparoscopic. Hoʻololi ʻia nā pauku mikroskopika.
Hiki nō ke hoʻohana ʻia i ka enucleation ka mea i hōʻike ʻia, no ka polyps ʻaʻole iʻoi aku ma mua o 20 mm o ka nui.

Eia kekahi, hiki ke kuhikuhi hou i kahi hana e like me ka endovascular embolization o nā kīʻaha. Ke lawe ʻia, lawe ʻia nā kīʻaha i loko o ke koko e ʻai i ka ulu i luna, ma muli o ia mea o ka nalo i nā kūlana no kona noho ʻana a make.

ʻO kā kēlā mau hana e paʻakikī loa ma muli o ka palupalu nui o ka parenchyma a me ka kahi o anatomical wahi o ka pancreas ponoʻī.

Hana hou ʻia

Hana ʻia ke ʻano maʻi ma lalo o ka mālama ʻana o kahi gastroenterologist. Hiki i ka wā hoʻi e hana hou ʻia ma hope o ke koʻokoʻo o ka maʻi loiloi, no laila e pono i ka mea maʻi ke hahai i nā ʻōlelo lapaʻau a pau.

Wahi a ke kumu o ka huaʻehā o ka polyp, hiki i ka mea maʻi ke kuhikuhi i nā lāʻau lapaʻau e hoʻohaʻahaʻa ana i ka nui o ka glucose a i ʻole e hoʻokau i ka hypersecretion gastric:

Eia kekahi, kahi mea nui i ka wā postoperative a ma ke ʻano hou, ʻo ka mālama ʻana i nā meaʻai kūikawā.

Therapeutic meaʻai a me nā lāʻau lapaʻau hou e hoʻōla aku ai

Hoʻohui ʻia me ka papa pancreatic polyp i ka papa helu 5, ʻoiai ma nā lā postoperative mua i ʻae ʻia ka ʻai wale ʻana i ka meaʻai.

ʻAe iā ʻoe e hoʻoponopono i nā hana hana o ke kino i ka manawa liʻiliʻi loa.
Mālama i ka helehelena a me ka hoʻomohala ʻana o nā maʻi pathogenic.
Hoʻonui i kahi paleʻai.
Hoʻopau i ka hana maʻamau o nā kino āpau.

Hāʻawi ke kauka i ka mea maʻi i kahi papa inoa o nā meaʻai i ʻae ʻia a papa ʻia. ʻO ke kānāwai kumu nui o ia meaʻai ka ka piha piha ʻana i nā mea momona, nā mea momona a me nā mea momona, nā mea momona a me nā mea momona, a me nā meaʻai momona.

No ka nānā ʻana i ka mālama ʻana o nā polyp i ka pancreas me ka lapaʻau ʻana o nā kānaka, ʻōlelo ikaika aku nā kaukaʻi ʻoe e hōʻole i ka hoʻohana ʻana i ia mau ʻano aʻoaʻo. Hiki i kā lākou hoʻohana ke hoʻonui i ka papa o ka maʻi a alakaʻi i nā hoʻopiʻi like ʻole. ʻO ka lāʻau pono wale nō ka mea i kuhikuhi ʻia e ke kauka.

E pili ana i ka maikaʻi o ka prognosis no ka ho'ōla, hiki ke nui ke pili i ka manawa i ʻike ʻia ai ka neoplasms pancreatic manawa. Ma ke ʻano he kānāwai, i ka nui o nā hihia he mea kūpono ia. Maʻa pinepine nā polyps i ka hōʻeha ʻana i nā maʻi hōʻeha, akā ʻo ka hiki ke hoʻomohala i ka huehue a me ka pākī ʻōpio e alakaʻi i nā kauka e aʻo aku i ko lākou wehe.

Hoʻohālikelike

I mea e pale ʻole ai i ka hoʻomohala ʻana o nā maʻi, me ka polyp, pono e ʻike pinepine ʻia e ke kauka. Ua ʻike koke ʻia ka pathology wikiwiki, ʻoi aku ka kiʻekiʻe o ka ho'ōla wikiwiki, no laila e pale ʻia ai ke ʻano o nā hōʻuluʻulu ʻana.

I ka hanana ʻana o ka ultrasound he polyp, mai hopohopo. Me ka mālama mau ʻana o nā lāʻau lapaʻau a me ka mālama ʻana i ka manawa ma ko lākou mau hoʻomaka mua ʻana, e mālama maikaʻi ʻia kēia mau ulu, me ka ʻole o nā hoʻopiʻi a me nā ʻikepili pinepine ʻana.

Eia nō naʻe, pono e ʻike ka mea maʻi inā ʻaʻole pono ka mālama ʻana, e ʻae ʻia ka polyp e hoʻomohala hou aku, e hoʻopau ʻia ʻo ia iho. I kēia hihia, e lōʻihi ka paʻakikī, hoʻoweliweli a loaʻa ke ʻano o ka hoʻōla.

ʻO ka hoʻohana mauʻana o ka uku monastery no ka mālamaʻana o ka pancreatitis

E kāhāhā ʻoe i ka wikiwiki o ka emi ʻana o kēia maʻi. E mālama i ka pancreas! ʻOi aku ka nui o nā poʻe 10,000 i ʻike i kahi holomua nui o ko lākou olakino ma ke inu ʻana i ke kakahiaka ...

Nā kumu o ke ʻano o nā puka cystic o nā pancreas a me nā ala o kā lākou mālama ʻana

ʻO ka hōʻailona nui o ka maʻi ka maʻi kaumaha a paroxysmal mau ke ʻano maʻamau. ʻO kahi kahi i manaʻo ʻia ai ka ʻehaʻeha a me kahi o nā anomali i ka kuʻi

Nā hiʻohiʻona a me nā ala e mālama ai i ka pancreas e kūʻē i ka maʻi maʻi

I ka hihia o ka maʻi maʻi type 2, ua hana ka hao i nā hoʻololi koʻikoʻi koʻikoʻi, kahi e hōʻemi ai i ka nui o nā cell endocrine a nui o lākou e make

ʻO ke kuleana o nā enzyme pancreatic a me kā lākou hoʻihoʻi ʻana i ka maʻi o ka huehue o ka enzyme

He ʻano pahu ʻokoʻa kēia o ka hoʻokaʻina ʻana o nā meaʻai maʻamau. I ka hihia o kā lākou helu ʻokoʻa a i ʻole ka oversupply, hoʻomaka nā ʻōnaehana pathological e hoʻomohala

Pehea e ʻike ai a wehe i nā pōhaku mai ka pancreas?

ʻO kekahi o nā mea nui o ke kino o ke kanaka ʻo ka pancreas, nā maʻi e hiki ʻole ai ke hoʻopiha wale i kou ola ma ke ʻano o ka ʻoluʻolu ʻole, akā e alakaʻi pū ʻia ana nō hoʻi i nā pilikia nui.

No ke aha e hoʻomohala ai nā polyps

ʻO nā kumu no ka ʻike ʻana o kahi polyp i loko o ka ʻōpū e noʻonoʻo ʻia ana penei:

he mau makahiki ʻoi aku he 40 mau makahiki: me ka makahiki, he manawa e ulu ai nā loli i ka mucosa o ka ʻōpū o ke akea,
Pāpaʻi ʻia ka helicobacter pylori e ka baki: ʻo kēia microorganism kekahi e hoʻokele i ka nui nui o ka gastritis, kahi e hoʻomohala ai kahi hoʻokumu polypoid,
ʻO ke ʻano ma hope o ka gastrectomy: ma kēia hihia, ke haunaele nei ka peristalsis maʻamau, a ke hoʻolei ʻia nā kumuhana o ka duodenum ma kāna papa maʻamau,
predisposition hoʻoilina: aia kahi maʻi i kapa ʻia "Family adenomatous polyposis", aia i loaʻa ma ka 1 pālākiō no 30 tausani o ka lehulehu.

He aha ka mea maʻi i ka pōʻino?

Kahi ʻia nā polyps ma loko o ka ʻōpū i nā maʻi precancerous, ʻoiai ua pili mua lākou i nā ʻano mea i hoʻololi ʻia, a kiʻekiʻe loa hoʻi kahi hōʻailona e hoʻomau ai i ka mutation.

Ke pāpā ʻana! ʻAʻole hiki i kekahi kauka ke inoa i ka manawa kahi o ka polyp i ka maʻi hōʻeha.

Hiki i nā polyps a me ke kano o ka ʻōpū ke loaʻa nā hui hoʻohui:

Hoʻokomo ʻia ka carcinoma mai kahi polyp, ma ka manawa o ke gastroscopy he hiʻohiʻona o kahi nilo benign o ka liʻiliʻi liʻiliʻi, akā ma kahi X-ray me ke ʻano like ʻole ʻaʻole i ʻike ʻia.
Ma ke kano mai puka mai kahi polyp, he mea maoli maoli nō i hana a ua hoʻoholo ʻia i ka radiographically. Ua hala ʻo 1-2 mau makahiki ma mua o ka manawa o ke hōʻino ʻana.
Ma kahi o 8% o nā maʻi o ka gastric i hoʻomaka ʻia ke ʻano o kahi polyp. Hiki ke ulu i nā ulu polypous ma ke kahua o ka ulia maʻi a i ʻole ka lihi o kēia ulia. Loaʻa i kēia mau mea maʻi kekahi a i ʻole keu a polyps i kahi mamao mai ka malignant tumor.

Ke pāpā ʻana! ʻO ka pōʻino nui loa e pili ana i ka malignant degeneration e hōʻike ʻia e nā polyps nona ka lōʻihi ma mua o 2 cm. Akā, ʻaʻole nui ka nui o ka nui i ka hihia: ua hoʻopaʻa ʻia nā hihia i ka wā i ulu ʻia ka carcinoma mai kahi polus villus wale nō. ʻO ka hapa pinepine, ʻo ka glandular polyp o ka ʻōpū ua hōʻino ʻia.

Ma ka ʻano hīmeni

Aia kekahi mau ʻano like ʻole:

Hoʻokahi ʻia ka polypen o ka ʻāpana adenomatous (a i ʻole glandular) mai nā pūpuna o ka epithelium kahi i hoʻokumu ʻia ai nā kūmole o ka pūpū. He maʻi kini i loko o nā ʻano like ʻole - tubular, papillary a i ʻole i hui ʻia - me ka nui o ka maʻi maʻi o ka maʻi degeneration.
ʻO kahi polyp hyper o ka ʻōpū o kahi ʻōpū he māhele o kahi ākea nui a liʻiliʻi paha i kahi e ulu ai nā ulu o nā epithelial o ka ʻōpū. Aia kēlā mau ʻano ʻano ma kēlā mau wahi kahi i hoʻonui ʻia ai ka nui o nā ʻāpana o nā ʻōpū. ʻO kēia ʻanoʻano o nā ʻano ka adenomatous maʻamau ākea, aia ka hopena o ka oncogenic haʻahaʻa (ʻo ia hoʻi, ʻaʻole hiki ke hoʻoneʻeneʻe i ka maʻi kanesa).
ʻO ka polyp Hydplasiogen o ka ʻōpū ua hoʻoili ʻia e like me ka hopena o ka hōʻea hou ʻana o kēlā mau a ke a me ka huile o ka ʻōpū.

Pehea e hōʻike ʻia ai ka maʻi?

ʻO ka manawa pinepine, ʻike ʻia nā hana polypoid e ka manawa ma mua o FEGDS. Akā i kekahi mau hihia, hōʻike ʻia nā polyps ma loko o nā ʻōpū e nā ʻano maʻamau.

ʻeha i ka lua o ka ʻōpū:
- hele hewa, hele kino
- e ulu mua ma hope o ka ʻai ʻana, a laila ʻike mau ʻia lākou,
- hāʻawi i ka ʻūhā poʻohiwi a i lalo paha,
ʻālina
ninini
puʻuwai
maikaʻi ʻaʻala i loko o ka waha
he ʻano hūnā
i ka hoʻohui i nā hōʻailona nui, hōʻike ʻia ka polyplasiogenic polyp o ka ʻōpū ma ka saturation wikiwiki o kahi kanaka, ka nalo o ka ʻono.

ʻO ka pinepine, ʻo kahi maʻi maʻi paʻakikī e hōʻike iā ia iho me nā hōʻailona:

Inā hele ʻia ka ulceration o kēia ʻaila benign, a laila ʻike ʻia nā hōʻailona o ka huhū o ka gastric: e lua ana me nā ʻāpana ʻeleʻele, a me nā palupalu, nā maʻi ʻeha. Inā ulcerated ke ʻano o ke ʻano nui, a laila e ʻeleʻele ka makeke, ʻohi.
Inā nui loa ka polyp o ka aniani a pākuʻi ʻia i ka hele ʻana o nā mea pono, hoʻomohala ke kanaka i ka luaʻi, ʻawaʻawa i ka waha, belching, a me ka lua.
Inā ka nunui ka māka a loaʻa i ka puka o ka ʻōpū (ma ka nuku), a laila i ka wā o kona wā i loaʻa ai i ka ʻūhā 12 duodenal, ʻike nui kekahi kanaka i nā ʻehaʻeha ma lalo o ka ʻōpū o ka ʻōpū ma loko o ka ʻōpū. Eia kekahi, e nānā ʻia ka nausea a me ka lua.
Ke hele hewa ka ʻōlapa, hōʻemi kekahi kanaka i ka paona, me ka nāwaliwali, ka nalo ʻana o ka ʻono.

Pehea ia kahi maʻi?

Hiki i kekahi gastroenterologist hiki ke hopohopo i ka hele ʻana o ia ʻano mākaʻi ma o nā hoʻopiʻi a ke kanaka e hana ai, me ka mea nō hoʻi ʻo ia i ʻike pū i ke ʻano o ka gastritis (a ʻo ia nō ia ka paepae nui o ka hoʻokumu polypo) no ka manawa lōʻihi.

Hiki iā ʻoe ke hōʻoia i ka hele ʻana o nā polyps me ke kōkua o ia mau haʻawina kōkua:

ʻO Fibrogastroscopy kahi hana noiʻi, aia i ka nānā ʻana i ka mucosa gastric e hoʻohana ana i kahi mea hana kūikawā kūikawā e like me ke kuʻalāno mānoanoa me kahi "opt" hoʻopiha. Ma mua o FGDS, ʻo ia ka ʻaʻa hola-4 a me ka hōʻole ʻana i ka inu e pono ai. I ka wā o ke kaʻina hana, ʻaʻole ke nānā wale ke kauka i ka ʻōpū, akā hiki nō iā ia ke hana i kahi kihi o ka polyp no ka hoʻokolokolo histological, me ka hōʻike ʻana no ka hele mai o Helicobacter pylori i loko o ka ʻōpū.

Ke pāpā ʻana! ʻO ka hala ʻana o nā cell atypical i ka wā o ka loiloi histological o hoʻokahi polyp, ʻaʻole ia ka manaʻo o ke koena ʻano mea i like me ka benign.

Pono hoʻi ke lawe i ka hōʻike koko koko nui e hoʻoholo i ke kiʻekiʻe o ka anemia, a me ke koko e hoʻoholo ai i nā antibodies i Helicobacter, inā ʻaʻole kēia loiloi i ka wā o ka fibrogastroscopy.

Inā hōʻoia ka hopena ma muli o nā hopena o ka hōʻike maʻi, hoʻoholo ke kauka i ke ala kūpono. ʻO ka mea a ka lāʻau lapaʻau i hāʻawi aku ai i ke kaua i kēia maʻi, ua wehewehe mākou i ka kikoʻī o ka ʻatikala: Pehea e hana ʻia ai nā polyps i ka ʻōpū o ka ʻōpū.

ʻO kahi polyp ma ka pancreas i kapa ʻia ʻo fibroma, cyst, a i nā leiomyoma.

ʻO ka ʻoiaʻiʻo o nā puka polypous no kēia ʻanoʻano o ka digestive, ʻaʻole ia he ʻano, no ka mea ʻaʻole i māmole a nele i kahi membrane mucous.

Eia kekahi, ulu nā mea ulu a benign ma loko o ka lepili ma lalo o ka ʻōpū i loaʻa wale i nā kūlana kūʻokoʻa.

No ke aha i kūlike ai ka polip a pehea e haunaele ai?

I loko o nā kiko o ka pancreas, hiki i kahi polyp ke ulu inā loaʻa nā kumu e like me kēia:

ka mea hoʻoili, ʻo ia hoʻi, nā hana kino i loko o kēia kino i ʻike ʻia i nā hoahānau pili,
pōʻino kūlana kūlohelohe i kahi o ka noho,
mau ʻino maikaʻi, ʻo ia ka uahi o ka paka a me ka hoʻohui ʻana i ka wai inu.

ʻO kekahi neoplasm ʻē aʻe i loko o ka pancreas e kū mai ma muli o ke kumu e like me ke kaʻina pili ma ke aʻalolo na mea i kū mai ma muli o ka hōʻino ʻana i kāna mau sela.

Hoʻomaʻamaʻa pinepine kēia i nā poʻe maʻi me ka maʻi pancreatitis maʻi. Ma ke kūlana like ʻole, aia paha ka poʻe e ʻai pono ʻole, ʻo ia hoʻi, ʻai nui i ka momona, ʻai mau ʻia a skip i nā meaʻai paha.

I kekahi mau hihia, he polyp i ka ʻōpala kūwili e hana ana i ka wai me nā enzyme no ka hoʻāʻo ʻana i ka meaʻai ua hoʻokumu ʻia ma muli o ka nele o nā meaora i loko o ke kino, nā maʻi koʻikoʻi, a i ʻole hōʻeha.

ʻO ka manawa maʻamau ke ʻoluʻolu kahi kanaka me ka polyp i ka pancreas. Hōʻike nā hōʻailona o ka maʻi i ka wā i ulu ai ka hoʻokumu i kahi nui nui.

Hoʻomaka ka pancreas me kahi polyp nui e kau i ka pohihihi i nā pūpū pili, e hōʻeha ana i ka ʻōpū, a ʻaʻole e hoʻonāwaliwali ka ʻeha a hoʻomaikaʻi paha inā loli ke kanaka i kona ʻano kino.

Ma ke kaumaha, hiki iā ʻoe ke hoʻoholo pololei i kahi i ulu ai kahi hoʻokumu benign. ʻO nā maʻi hōʻeha ma loko o ka ʻōpū ma luna e hōʻike i ke ʻano o kahi polyp i loko o ka aahu.

Inā ʻike kekahi kanaka i ka ʻeha i loko o ka wahi o ka epigastric, a laila pili ke kaʻina pili i ke poʻo o ke kaomi.

ʻO ka ʻeha ma lalo o nā kīwī ma ka ʻaoʻao hema o ke kino he hōʻailona ia i ka hoʻokumu ʻana o kahi polyp i ka huina o kahi kipi e hua ai nā ʻaina.

ʻO kahi ʻoki o ka pancreatic, kaomi ʻana i nā ʻōpū, hiki iā ia ke hōʻoki i ka ʻōpū o ka ʻai, ʻo ia hoʻi, ka aʻa o ka huina.

Inā hoʻohālikelike ka polyp i nā hormones e pili i ke kino, a laila e like paha nā hōʻailona like ʻole:

nāwaliwali nui, kahe ʻana o ke kino, ka huhū, nā palpitations a me ka dizziness me ka hana nui o ka insulin e ka hoʻopili kino ʻana,
ʻeha i ka ʻōpū o ka epigastric, a hōʻike, ʻā ʻia ka umauma i ka umauma, ʻono ʻono i ka waha, ʻehaʻeha no ka hōʻeha ʻana o ka hana kūwili ʻana a me ka ʻuwīwī o ka waha o ka ʻōpū a me ka ʻili o ka ʻāʻī e nānā ana i ka wā e hana ana i ka nui o ka gastrin o ka hormone,
ʻO ka pohō kaumaha, ka uha ʻole i ke koko, ke uhi ʻana i ke kino me ka ʻū, ka mea nui i ka ʻūhā a me nā kuʻekuʻe, hōʻino ʻia i nā membuses mucous, kahi e hoʻooli ai i nā maʻi e like me ka vaginitis a me stomatitis, ma muli o ka hana nui o ka glucagon.

Inā he male cystic formive, laila aia nā hōʻailona e like me ka hōʻeha ma ka ʻōpū ma luna, nā hōʻeha koʻikoʻi a me ka nāwaliwali, nā huakaʻi hele pinepine i ka lua, ʻoiai ka palaka, a me ke kīwaha.

Pehea e mālama ai i kahi pancreas me kahi polyp?

Conservative ʻo ke kāpae ʻana i ka polyp pancreatic ʻaʻole ia e kōkua. Ma waho o ka hōʻino ʻana, ʻaʻole e hōʻoluʻolu o ka mea maʻi.

Hiki i ke kauka ke kahakaha i kahi mea nona ke polyp i ulu a nānā i ka hōʻeha ʻana me ka hoʻohana ʻana i kekahi o ia mau hana:

nenoaiiao. Hoʻohana ʻia ia inā pono e hoʻokaʻawale i kahi kūkulu no kahi lōʻihi ma mua o 2 cm i ka nui e ʻike ʻia ma nā ʻaoʻao waho o nā mea kūnaʻi. Eia kekahi, no laila ʻaʻole i uwi ka ʻaʻehā, ua hana ka electrocoagulation, ma hope o ka pae ʻana o ka pūnaewele i ka mākū pono
haki. Kahi hana ʻia ua hōʻoki ʻia i kekahi wahi o ka lula i ʻike ʻia ai ka polyp. Hoʻōla ʻia ia i ka wā i hiki aku ai ka huki i kahi nui nui a i lilo ʻole paha i mau maʻi.
X-ray endovascular embolization o nā māla. Ua pili kēia hana i ka pani ʻana o nā moku koko ma ke ʻano kahi i hoʻopihapiha ʻia kahi benign me ke koko. Ma muli o kēia, ua make kā ka polyp.

Inā nānā ʻia kekahi mau polyp i ke kō, a laila pāpā ʻia ʻo ia ke ʻae. I kēia hihia, lawe ʻia ka hana hoʻoneʻe e hoʻopau i nā hōʻailona o ka maʻi.

ʻO ka koho o nā lāʻau lapaʻau e hoʻoholo ʻia e kekahi hormone i hua ʻia i ka nui a hoʻopaʻa i kahi neoplasm. Hoʻohana pinepine ʻia nā lāʻau lapaʻau e hōʻemi i ke kōhi koko.

Hoʻokomo pū ka mālama maʻi pancreatic i ka papa ʻaina. Ma luna, noho ka mea maʻi ma hope o ka hoʻomaʻamaʻa ʻana.

ʻO ka pinepine, ʻo kaʻaiʻai e lawe i kahi manawa lōʻihi, a i kekahi manawa hoʻi i ke ola. Kuhi ʻia ka mea mālama meaʻai i ka nui o nā rula.

ʻO ka mea nui ʻo ka mea maʻi eʻai liʻiliʻi ma ka liʻiliʻi, akā naʻe, i ka 3 i nā kīʻai nui, pono ʻelua e loaʻa hou aku.

Pono e ʻai i ka manawa i wehewehe ʻia, i mea e pale ai i ka iliʻi hāmeʻa maikaʻi ʻole mai ka maikaʻi ʻole a me ka hoʻomaʻamaʻa ʻana i kāna hana.

ʻO ka haʻalele ʻana o ka polyp i ka hao, ka mea i pili i kāna hana, ʻaʻole mea ʻia iā ia e ʻai i ka kīʻaha i kīʻaha ʻia, a me ka meaʻai i loko a me nā meaʻai semi-hoʻopau.

Hoʻomaopopo ʻia ka mea maʻi e ʻai i nā meaʻai i kuke ʻia, kōlepa i kahi kūlana mushy. Pono ka iʻa a me ka iʻa momona haʻahaʻa i ka meaʻai.

ʻO ka maʻamau, kuhikuhi nā kauka i ka meaʻai No. 5 i ka mea maʻi i ka hōʻola gland ʻOi aku ka mea e ʻai ma hope o kekahi manawa, e like me ka wā ma mua, ke haʻi aku ke kauka iā ʻoe.

Inā hōʻike kekahi kanaka i ka nui o nā gastrin a i ʻole polyps, mālama ʻia me Omeprazole, Ranitidine, a me Famotidine i kuhikuhi ʻia. Ke hāpai nei kēia mau lāʻau āpau i ka hōʻemi ʻana i ka hana o nā wai momona.

ʻO nā kaʻina hana e pale ai i ka hoʻokumu ʻia ʻana o kahi polyp i noho ʻole ʻia.

ʻO ka mea wale nō, ʻo nā kumu maʻamau o ka puka ʻana o ke ʻano o ke ʻanoʻano o ka puhaka o ka huina o ka ʻaihue a me ka ʻai maikaʻi, pono ʻoe e pono i kahi ola olakino a hele i ke kauka i nā hōʻailona mua o ka malaise.

No laila, ʻo ka manawa pinepine, nā maʻi i loaʻa i ka pancreas e kahi polyp i hoʻōla. Hoʻokahi ʻia kahi hōʻiliʻili o kēia ʻano hanu.

Eia nō naʻe, hiki i ka polyp ke alakaʻi i ka kuʻekuʻe puaʻa a i ʻole jaundice, ʻo ia ke kumu ke hoʻopau nei ka therapeutic therapy me ka ʻole o ka hoʻomaʻamaʻa ʻana.

Hoʻonohonoho ʻia kēia ʻenehana pilikino o ka ʻōnaehana hana ma ke ʻano he ʻelua hana nui. ʻO ka mea mua, ʻo ia e wāwahi i nā mea ulu o ka meaʻai i loko o nā mea maʻalahi. Hoʻomaopopo ka hana ʻelua inā, ma o ka hana ʻana o nā hormones, ua hoʻoponopono ʻia ka pae koko koko. ʻO kahi hoʻonohonoho o ka pancreas he pūnaehana paʻakikī, ʻo kāna hana e hāʻawi no ka hoʻowalewale maikaʻi ʻana o kekahi kanaka i nā kūlana o kāna "omnivorous".

ʻAno anatomy

Ke kūpaʻa nei ka pancreas ma kahi o 90 mau kāleka a aia i ka lumi retroperitoneal. Ma kona ʻano, ua hoʻokaʻawale ʻia ke poʻo, aia paha i loaʻa i ke kaʻina pili, ke kino o ka huʻu a me kona huelo. I kekahi manawa he kiko-kahina kēia ʻano, he mea pōpilikia i nā ʻōlelo o ka hoʻomohala ʻana o ka duodenum. ʻO ka hapa nui o ka hao aia ma ka hypochondrium hema, akā naʻe, ʻo kona poʻo, kahi e pili kokoke ana me ka duodenum, hāʻawi i kahi kō iʻe i loko o ka wahi ma luna o ka pehu ma ka ʻaoʻao hema.

Ka hana ʻenehana o ka hoʻopiha

ʻO ka pancreas kekahi o nā pona e kuleana no ka hana exocrine a me nā pūnaewele e hoʻoili ai i nā hormone.

ʻO nā kinapona e hana ai i ka wai pancreatic a loaʻa i nā enzyme i kahi hana ikaika ʻole, aia i ka hana acini. ʻO kēia mau mea, neʻe ka mea huna pancreatic ma lalo o nā panui e kahe ana i ka wai maʻamau (Wirsung). ʻO nā enzyme pancreatic he chymotrypsin, trypsin, alpha-amylase a me lipase. ʻO ka huni o ka kohu he wahi alkaline ma muli o ka heleʻana o nā bicarbonates.
Ma waena o acini he mau ʻāpana o nā pūpū, ʻaʻole nā lakana. Ua kapa ʻia lākou he mau moku ʻo Langerhans. Aia kēlā mau mokupuni aia i ka hū o ka lālani, hua ʻia ka hormone i loko o lākou. Ke komo ka insulin i ka kahe, e hoʻohaʻahaʻa i nā pae gula, e hoʻomaʻamaʻa ana i ka halihali o ka glucose i loko o ka pūpū, a me ka glucagon, ma ke kū'ē, e hoʻāla i ke pae o ke kō koko. No laila, ke hoʻoponopono nei ka metabolism.

Manaʻo Kōlea: No kekahi pilikia o ka digestive, nīnau aku i ke kauka e nānā i ka ʻōnaehana o ka digestive. ʻO ka nānā mua ʻana o nā hana ʻehaʻeha, nā hemahema o nā enzyme a i ʻole nā pilikia ʻē aʻe e kōkua i ka pale ʻana i nā hoʻopiʻi ʻana.

ʻO ke kākoʻo koko

Loaʻa ka pancreas i ke koko arterial mai ka maʻi pancreatoduodenal, nā luna a me lalo, a mai ka splenic artery. Ke puka mai nei nā hanana waho ma o nā vena pancreatoduodenal. Eia kekahi, loaʻa i ka kelepona nā kūmole pancreatic ponoʻī. Ke kahe nei kēia mau maʻi āpau i ka ʻōnaehana vein portal, a laila i loko o ka veva cava inferior e kahe ana i ka puʻuwai ʻākau. ʻO ka pancreas ka nui o ke kahe o ke koko, no laila ʻo ka pānaʻi ʻana o nā kaʻina hana o kēia kino i ka lolo o ka retroperitoneal.

Kōkua: Inā loaʻa iā ʻoe ka ʻeha ʻeha o ka ʻōpū, hoʻoulu a me ke ala - kelepona i kahi ambulance e hoʻomaʻemaʻe i ka maʻi. Hāʻawi ka hana anatomical o ka pancreas i ka ʻoiaʻiʻo i loko o kekahi mau hola ma hope o ka hoʻomaka ʻana o kahi hoʻouka ʻana, hiki i ka pancreatic necrosis ke ulu.

ʻO kēia hoʻopiʻi ka hopena nui loa o nā mea a pau, hiki ke hele i kaʻeha o ka pancreas. Ua wehewehe mākou i nā kumu kumu, nā ʻāpana a me nā mālama ʻana o kēia maʻi ma ka ʻatikala: ʻO ka hoʻopiʻi koʻikoʻi o ka pancreatitis o ka maʻi, ʻo ka pancreatic necrosis.

Pehea ka pilina o ka pancreas a me ka duodenum?

ʻO nā meaʻai i loaʻa mai ka ʻōpū ma loko o ka duodenum he mau peptides e koi hou i ka hōʻemi hou i nā waʻa amino, nā aihue, a me nā momona. ʻO nā ʻōnaehana o ka membrane o ka membone o ka duodenum i ka hoʻohālikelike ʻana i ka pūnaa o ka meaʻai. Hoʻomaopopo lākou i ka nui o ka nui o ka lipase pancreatic, trypsin a me ka amylase, me ka nui o ka pila e pono ai e hoʻolauna i ka puʻuwai.

Hoʻopili ke ʻano o ke kaona Wirsung me ka papa o ka puʻuwai a wehe ʻia me ka papilla duodenal nui ma ka duodenum.

ʻO ka pinepine, hiki i ka pancreas ke loaʻa i kahi uka hou, kahi e wehe ʻia me kahi papilla duodenal liʻiliʻi, ʻoi aku ke kiʻekiʻe o ka mea mua.

ʻO ka nui o ka wai o ka pancreatic i ka wā o kāna hana maʻamau e hōʻea i 2 lita i kēlā me kēia lā. He lawa kēia e hōʻoia i ka lawa ʻana o ka moʻo ʻana. I ke ʻano o ka palaki pancreatic, hoʻemi ka nui o ka wai pancreatic a me nā loli i ke ʻano.

Kōkua: I mea e mālama ai i ka olakino maikaʻi a me ka hoʻoneʻe maʻamau ʻana i nā makahiki he nui, pono ʻoe e pale i ka pancreas a pale i ka inu ʻona a me ka lawena.

Nā kumu a me nā ʻano o ka polyp

Ma ka polyps o kēia kēpana e pili ana i ka cyst. I kekahi manawa hana hewa nā kauka a kapa ʻia he cyst he polyp. Ma lalo o ka cyst ua kapa ʻia ke ʻano o ke kahe, kū kaʻu mai loko o ka ʻāpana o kēia ʻano a ʻohi ʻia i kahi ʻano o ka capsule. He mau Tumor-e like me:

kumulela
loaʻa
degenerative (i.e., i puka mai kahi cy ma hope o kahi hōʻeha, hemorrhage a pancreatic necrosis),
proliferative
cystadenocarcinoma
kahi kāpena i hoʻokumu ʻia ma muli o nā hana o nā parasit.

ʻO nā ʻāpana like ʻole e hana i ka hana i ka hoʻokumu ʻana o nā polyps. Hoʻokumu ʻia nā pūpū kongenital mai ka pae kumu o ka mea ʻalani a i ʻole nā mea i hoʻopili ʻia, ʻoi aku nā mea pinepine. Ua hōʻike mua ʻia ka inoa iā ia e hoʻomohala ana ka palaki i ka utero. Ma o ka loaʻa i nā ʻūpiki i manaʻo ʻia i ke kumu i hana ʻia ma lalo o ka mana o nā mea maikaʻi ʻole ma ka pancreas.

ʻO ka maʻamau, hana ʻia kahi pūpiki ma muli o ka hemo ʻana o nā pā me nā pōhaku a i ʻole ka hele ʻana o nā tumors.

Hoʻokomo ʻia nā pūpū proliferative i ka ana kino. ʻO kēia paha ka cystadenomas. Ma ka cystadecarcinoma ke ʻano he maʻi hōʻino e pono ai ka mālama koke. Hiki ke hōʻeha ka hōʻeha.

Aia pū kekahi mau wahaheʻe wahaheʻe pono a me ka pololei. Hiki i nā pihi liʻiliʻi (cystoid, pseudocyst) hiki ke hele i kahi nui. Hoʻonohonoho ʻia lākou i ke poʻo o ka hiʻona, akā pili lākou i ka pā ʻana o ke ake, ka ʻōpū a me ka ʻili liʻiliʻi hoʻi. No ka hoʻokau ʻana i ka etiology o ka patology hiki wale i ka hōʻike kūikawā.

ʻO ka weheweheʻana i nā hōʻailona o ka maʻi

E kūleʻa nā polyps ma ka pancreas ma muli o ka nui, kahi a me nā helu o nā ʻano pathological. ʻO nā ʻōuli maʻamau loa o nā kulekele penei:

ʻeha i ka ʻōpū ma luna
ʻolua ʻōpū
hoʻoweliweli ʻōnaehana o ka ʻona
ua nui ka makewai
ka nawaliwali laulā o ke kino,
fiva
nā hoʻomaʻa pinepine ʻana
mea kaumaha.

ʻO nā maʻi ʻē aʻe e nānā ʻia. Akā keʻano o kēlā mau hōʻailona he neoplasm i hiki i ka nui. Ke hopena, loaʻa ka hoʻouluulu ʻana o nā ʻāpana pili. Hōʻeha ka ʻeha ʻana i ka mea maʻi e ʻimi i ke kōkua, ma hope o ka hana ʻana i kahi maʻi maʻi.

I nā hanana kaila, i ka wā e loaʻa ai ka ulu hoʻōla me ke ʻano nui, e hāhaka ka nui o ke kino o ka mea maʻi. I kēia hihia, koi ʻia ka mālama ʻana.

ʻO ka hoʻomaʻamaʻa ʻana o ka maʻi e pili ana i ka wehe ʻana o ka polyp. Akā he mea nui kekahi mau manaʻo. ʻAʻole lawe ʻia ka ʻōpū liʻiliʻi

Hoʻopilikia ka Cystic proliferation no nā poʻe maʻi me ka maʻi maʻi. Hiki i nā ʻōleʻa me ke kahe, ke hoʻomohala ʻana i ka peritonitis, ke hoʻokumu ʻana o fistulas.

ʻO kahi wehe ʻana o ka cyst he mea paʻakikī ia, ʻoiai no kekahi manawa hiki paha i ka mea maʻi ke hōʻoluʻolu.

Hoʻomaopopo o nā hōʻailona o ka hoʻomaʻamaʻaʻana o nā polyps i ka pancreas

ʻO nā ʻano nui o nā tumign benign e ulu ana i loko o nā lau o nā lepili ʻaʻole hōʻike i nā hōʻailona ʻike nui. E like me ke kānāwai, ʻike ʻia nā hōʻailona me ka hoʻonui o ka polyps i ka pancreas i nā nui nui. Kūkulu ʻia kēlā ʻano ma ka ʻaoʻao maikaʻi o ke olakino. Hōʻike pinepine kēia i ke ʻano o ke ʻano o ka ʻeha mau ʻana i ka hypochondrium kūpono.

ʻO ka pinepine, hoʻonui ʻia nā manaʻo ʻino me kahi loli ma ke kūlana o ke kino.

Hiki i ka polyp pancreatic nui ke hoʻoikaika i ka paipai ʻana i nā iwi ʻawaʻawa, e hoʻonāukiuki ana i ka hana. ʻIke pinepine ʻia ke ʻano o nā hōʻailona koʻikoʻi inā hiki i kahi form benign ke hoʻokō i nā hormone. I ka pinepine pinepine o ka hoʻonui ʻia ʻana o ka haki o ka insulin, ka gastrin a me ka glucagon.

ʻO kahi hapau loa o kēia mau hormones hiki ke hoʻonāukiuki i kēia mau hōʻailona aʻe:

nāwaliwali koʻikoʻi
ka momona loa
āhāhuʻe
tachycardia
mau ulia lehulehu me ka ʻōpū ma ka ʻōpū a me ka ʻōpū,
puʻuwai
ʻaukā wai
nā ninia
mea kaumaha
anemia
erythema migrans rash,
fungal a me nā maʻi bacterial,
maʻi mellitus maʻiʻi.

Hōʻike maʻamau kēia mau maʻi i nā kūlana i ka wā e hiki ai ka ʻōno i ka nui. ʻO nā polyp liʻiliʻi liʻiliʻi, e like me ke kānāwai, mai hoʻonāukiuki i kahi kanaka. ʻO ka pinepine, ʻike ʻia nā hana like ʻole e ka manawa i ke ʻano o ke ʻano o nā kūlana pathological ʻē aʻe.

Hoʻohana ʻia o nā polyps pancreatic

ʻAʻole hiki i ka lāhui a me ka lāʻau lapaʻau ke hoʻōla i nā ʻano mua. Inā ʻaʻole ʻokoʻa nā polyp i ka gland i nā nui a ʻaʻole i hana i nā hormone, hiki i ke kūlana kali ke kali ʻana e ka hele ʻana i ka gastroenterologist.

Kuhi ʻia nā ʻano o kēlā me ke ʻano o ka lohi a lohi, ʻaʻole lākou e hoʻonā mau i nā hōʻailona koʻikoʻi ʻoi aku ma hope o nā kenekulia. Inā hōʻea ka polyp i nā nui nui, ʻaʻole pono e hoʻopiʻi i ka lāʻau lapaʻau, ʻoiai hiki ʻole ia e hiki ke kāpae i ka hoʻokumu ʻana me ka hoʻohana ʻana i nā pānaʻi like ʻole a hōʻemi i ka mea maʻi o nā mea leʻaleʻa i nā ala ʻē aʻe.

Hiki ke lawelawe ʻia nā polyp me nā ʻano like ʻole. Hiki iā ia:

nenoaiiao
haki
endovascular embolization o nā māla.

Loaʻa i kēlā me kēia me kona mau pono. Hiki i ka enakomi ke hoʻopau iā polyps a hiki i 20 mm aia ma ka pancreas.ʻO ke koi nui no ia hana, ʻo ka wehe ʻana o ka hoʻopoina kolohe.

Ke hana nei i kahi kuhi, ua wehe ʻia ka hapa o ka pancreas ma kahi o ka polyp. Pilikia kēia hana a he hana wale nō ia i nā hihia inā hūnā ʻo ke ʻano palupalu i nā nui he nui a i ʻole ka hopena i ka maʻi kino.

Hoʻopau ʻia nā hana endovascular e hoʻopaʻa ana i nā kahe koko e hānai ana i ka ʻōpū. Ke alakaʻi nei kēia i kahi emi i ka polyp, a laila e hoʻopau i ka necrosis o kāna mau ʻiʻo. ʻO ka maʻamau, hoʻohana ʻia kahi occluder a hydrogel paha e hoʻohana ʻia. ʻO kēia kaʻina o ka hoʻolaha ʻana he minimally invasive.