Hauv tib neeg, tus txiav ua leeg nyob rau sab qaum kev nws lub plab plab. Cov khoom nruab nrog yog ib qhov tseem ceeb thoob plaws hauv lub cev, vim tias nws yog lub qog no uas ua rau cov enzymes tshwj xeeb uas koom nrog cov rog, protein thiab carbohydrate metabolism.
Kev txiav tawm ua cov kua dej insulin, uas tswj theem ntawm cov piam thaj hauv cov ntshav. Nws yog vim li no ib qho neoplasms hauv cov khoom tseem ceeb no tuaj yeem ua rau muaj kev ua txhaum ntawm nws txoj haujlwm. Tus neeg muaj mob pib hnov mob ntaug zuj zus, nrog rau mob tsis txaus ntawm qhov sib txawv, uas ua tiav rau ntawm qhov chaw ntawm lub qog, thiab nws qhov loj thiab hom.
Kev faib tawm cov qog hauv lub qhov quav
Hauv cov txiav, nws yog kev cai los paub qhov txawv ntawm ntau hom qog:
- epithelial:
- benign neoplasms (adenoma, cystadenoma);
- mob qog mob hlav (adenocarcinoma, cystadenocarcinoma, acinar, squamous, undifferentiated hlav);
- neoplasms ntawm pancreatic islets;
- sib xyaw-hom qog;
- tsis-epithelial neoplasms;
- lymphoid, hematopoietic;
- metastatic;
- suav tsis tau.
Benign hlav hauv lub txiav
Cov qog no hauv lub ntsej muag xaum muaj ntau tus cwj pwm txawv. Yog li, lawv tau pom los ntawm kev loj hlob qeeb, qhov tsis muaj ntau yam qe hauv cov kabmob uas nyob ib sab, cov "nqaij" uas tau tshwj tseg, thiab pib ntawm metastases txo qis rau xoom.
Nws yog qhov tsim nyog tias qog hlav hlav muaj qhov tsis tshua muaj tshwm sim, thiab qhov tsis zoo yuav tshwm sim rau tus txiv neej thiab poj niam nrog tib zaus.
Neignas qhov txhab tuaj yeem yog ntau hom:
- adenomas, as well as cystadenomas (tshwm sim los ntawm epithelial ntaub so ntswg ntawm lub txiav);
- fibromas, lipomas (tsim los ntawm cov ntaub so ntswg sib txuas);
- leiomyomas (los ntawm cov leeg);
- lymphangiomas thiab hemangiomas (los ntawm ntaub so ntswg);
- neuromas thiab ganglioneuromas (feem ntau ntawm neurogenic keeb kwm);
- insuloma (los ntawm pancreatic islets).
Cov hlav hauv cov hnyuv plab no tau txawv tus lej ntawm cov qauv, vim tias lawv tuaj yeem muaj ntau yam lossis ntau. Neoplasms muaj nyob ib leeg hauv ib feem ntawm cov txiav ua ke sib npaug. Nws tuaj yeem yog cov qog ntawm lub Tail, lub taub hau ntawm hloov khoom nruab nrog lossis tsim los ntawm kev sib koom ua ke.
Cov tshuaj tam sim ntawd hais txog ntau yam uas tuaj yeem ua rau kev txhim kho ntawm qhov mob txhab ntawm lub plab zom mov. Ua ntej tshaj plaws, nws yuav tsum raug sau tseg qhov kev mob caj ces, thiab tom qab ntawd cov kev quav ntxiv rau tus neeg mob, nws tus cwj pwm noj, nrog rau keeb kwm yav dhau los ntawm thaj chaw uas nws nyob.
Nws tsis yooj yim sua kom pom ib qho laj thawj tshwj xeeb rau kev mob qog, vim hais tias kev kawm niaj hnub no tseem tsis tau tsim nws.
Cov cim tseem ceeb ntawm cov qog benign
Zoo li lwm yam mob, neoplasms muaj lawv cov tsos mob hauv tsev kho mob:
- cov cim qhia ntawm kev hloov pauv keeb kwm ntawm ib tug neeg (qaug zog, tsis hnov ntshai ntawm kev ntshai, tawm hws ntau dhau, kiv taub hau lossis txawm tsis nco qab ib ntus);
- mob rau sab laug lossis sab xis ntawm txoj hlab ntaws, qee qhov mob tuaj yeem muab rau tus neeg mob lub xub pwg hniav lossis sab caj npab, lossis nws yuav yog girdle, paroxysmal
- qhov pib ntawm jaundice (yog tias muaj qog tawm ntawm lub taub hau, nws pib ua kom nrawm nrog cov kua tsib);
- bouts ntawm xeev siab, ntuav tom qab noj mov (vim yog nyem ntawm duodenum).
Txawm hais tias ua tus cwj pwm tsis tseem ceeb ntawm qhov neoplasm, nws tuaj yeem dhau los ua qhov tsim nyog rau kev txhim kho ntawm kab mob pathological ntawm ib tus neeg uas ua rau nws raug mob:
- malignancy (kev tsis zoo rau lub qog ua hlav);
- intoxication nrog bile (nrog rau ntawm qhov kaw ntawm txoj kev cai feem ntau);
- pancreatitis (hauv mob lossis mob hauv hom ntawv);
- cov mob qog.
Yuav ua li cas txheeb xyuas qhov qog benign?
Neoplasms ntawm lub benign xwm rau lub sijhawm ntev heev tsis qhia cov cim qhia ntawm lawv lub cev hauv tib neeg lub cev, thiab tuaj yeem txheeb tau ntawm lub sijhawm. Txhawm rau kom pom tseeb xws li kuaj mob, suav tomography, sib nqus cov duab sib nqus, tso ntshav pub rau biochemistry, kev tshuaj xyuas dav dav, nrog rau cov cim cov cim qog nqaij hlav yuav tsum tau ua.
Kev kho mob ntawm kev mob tsuas yog tuaj yeem ua haujlwm nkaus xwb.
Hom kev phais mob
Muaj ntau ntau hom kev khiav haujlwm rau benign pancreatic hlav:
- ntu rov ua dua (tshem tawm tsuas yog ib feem ntawm cov khoom hauv nruab nrog, raws li txoj cai, yog siv los tua cov qog hauv tus Tsov tus tw);
- husking (tau tshem tawm cov qog nws tus kheej. Siv rau tshuaj insulinoma);
- pancreatoduodenal resection (tshem tawm ib qho neoplasm uas tau sawv hauv lub taub hau ntawm cov khoom hauv nruab nrog, nrog rau duodenum);
- kev tiv thaiv luv laparoscopic kev cuam tshuam (siv rau cov qog me me uas nyob hauv tus Tsov tus tw ntawm cov leeg viav vias thiab tsis ua rau pom kev tsis ua haujlwm).
Txoj kev kho kom rov zoo li cas?
Tom qab ib qho kev phais twg, nws yog ib qho tseem ceeb kom teeb tsa cov kev kho kom rov zoo li qub kom tswj tau lub cev. Yog li, nws yog qhov yuav tsum tau ua kom tsis pub siv tag nrho kev siv cov qab ntsev, rog, qab zib, kib thiab hmoov hmoov rau xyoo tom ntej. Nws yog ib qho tseem ceeb kom tsis txhob hnov qab txog kev noj cov pancreatic enzymes tshwj xeeb, nrog rau kev txwv qee yam kev ua haujlwm lub cev thaum thawj 6 lub hlis tom qab kev phais.
Nws yog ib qho tsim nyog yuav tsum tau hnav txoj siv tshwj xeeb rau thawj ob peb lub hlis tom qab tshem tawm cov qog, uas yuav pab tiv thaiv qhov tshwm sim ntawm postoperative hernias. Nws yuav ua ntu zus mus rau kev kho mob spa.
Hauv thawj ob xyoos tom qab kev khiav haujlwm, nws yog ib qho tsim nyog yuav tau soj ntsuam kev soj ntsuam uas yog siv ntsuas ultrasound.
Pancreatic malignancies
Cov qog loj no suav hais tias yog qhov nyuaj thiab kho tau tsawg. Yog hais tias tus neoplasm nyob rau hauv lub taub hau ntawm txiav, tom qab qhov no dhau los ua qhov teeb meem ntawm cov muaj feem ntau cov kua tsib thiab duodenum. Txuas ntxiv. Cov tsos mob ntawm tus kabmob kheesxaws hauv cov pojniam thiab tus txiv neej zoo ib yam, thiab nws tsis tuaj yeem nco lawv.
Thaum lub cev ntawm cov khoom nruab nrog cev puas lawm, cov qog tuaj yeem loj hlob mus rau phab ntsa ntawm lub plab. Qhov tsim muaj nyob rau hauv tus Tsov tus tw hlob mus rau hauv cov hlab ntsha ntawm tus po, thiab tus kabmob tuaj yeem npog tag nrho lub caj pas.
Cov tsos mob
Koj tuaj yeem paub tus mob neoplasms phem los ntawm lawv cov cim:
- mob hnyav hauv plab, tshwj xeeb tshaj yog thaum tsaus ntuj;
- tsis muaj qab los noj mov, ua kom tsis meej pem rau kas fes thiab haus dej cawv, cov rog thiab cov nqaij;
- ntse poob ceeb thawj;
- teeb meem pw tsaug zog thiab qhov tsis muaj zog dav dav;
- transient peripheral leeg mob thrombosis;
- txuas ntxiv ntawm lub zais zis, uas tuaj yeem kuaj pom ntawm palpation;
- co tawv nqaij tawg;
- kev zom plab zom mov;
- qhov kev xav ntawm hnyav rau hauv plab txawm tias tom qab me me ntawm cov khoom noj;
- lub plab zom mov thiab cov hnyuv hauv plab (nrog cov xoom xim dub los yog tso quav ntawm tib xim);
- ntau dhau ntawm kev nqhis dej, qhov ncauj qhuav, ua pob khaus ntawm daim tawv nqaij;
- ascites.
Raws li kev xyaum kho mob qhia, cov tsos mob saum toj no tsis tuaj yeem hu ntxov. Tsis tas li ntawd, tsis muaj ib qho twg tuaj yeem raug cim meej meej meej rau mob qog nqaij hlav pancreatic.
Yuav kuaj li cas?
Txhawm rau kom paub tseeb cov kwv yees hais txog tus kab mob, koj yuav tsum tau hu rau kws kho mob. Nws yuav sau cov qauv hauv qab no rau kev tshuaj ntsuam cov qog ua hlav:
- kev kuaj mob ntawm txhua lub plab hauv lub plab (tuaj yeem qhia qhov tsim ntawm lub me me), koj yuav tsum nug tias kev npaj dab tsi rau kev txiav pancreatic ultrasound;
- suav tomography (yuav ua kom nws pom tseeb qhov chaw nyob thiab qhov loj ntawm cov mob kheesxaws, nrog rau qhov txheeb ze ntawm kev sib koom ua ke ntawm cov nqaij thiab cov plab hnyuv siab raum);
- positron emission tomography (tsim nyog los tsim qhov kev ntsuas ntawm qhov tseem ntawm cov txhab, qhov ntxim nyiam ntawm metastases);
- kev xoo hluav taws xob ntawm cov hnyuv thiab lub plab (yuav pab kom paub qhov ntau npaum li cas ntawm kev hloov khoom nruab nrog los ntawm lub siab ntawm cov qog, nrog rau kev nkag siab nws txoj kev tawm hauv phab ntsa);
- fibrogastroduodenoscopy thiab lub qhov ncauj pancreatocholangiography (cov hauv kev kuaj mob yuav pab txheeb xyuas qhov chaw nyob ntawm qhov kev sim ua kom pom tseeb). Txoj kev siv tshuab xyab (biopsy) yog ua los ntawm kev qhia txog lub tshuab hluav taws xob (endoscope) tshwj xeeb rau cov kabmob uas ua rau mob cancer.
Cov mob txhab rau tawv nqaij txham, txawm tias thaum ntxov ntawm chav kawm, yog tus cwj pwm tsis txaus ntseeg qhov tsis tshua pom muaj txiaj ntsig. Tsuas yog 10 feem pua ntawm cov neeg mob qog ntshav yuav tuaj yeem xav txog 5 xyoos hauv lawv lub neej.
Txhawm rau tiv thaiv tus kab mob phem txaus ntshai, nws yog ib qho tsim nyog yuav tsum tau ua kom tiav thiab tau noj, nrog rau tso tseg cov kev quav, hloov lawv nrog kev ua kis las thiab kho spa.
