Whēwhē tākihi. maimoatanga

A, no te he tangata i muri ultrasound mea e kitea e ia i runga i te whēwhē tākihi i roto i tona taime tuatahi hipokina reira āwangawanga e pokaikaha e hohoro whanake ki suspiciousness mamae. Heoi, i roto i nga tau tata nei i te iwi, rawa nga kaumatua, maha puta he whēwhē tākihi. e kore Treatment i roto i tenei manawanui i taea e ara mau, kahore i rite i mohio i mua i pā ana ki te mate. E kore e te mate pā te pai-oranga, me te, notemea kahore ati ki te ora. rite ohorere hinga te ariā o te whēwhē tākihi runga kua whakawhanakehia te whiu o te tangata kia rite ki te hua o te whakataki whānui o te ultrasound i roto i ngā hōhipera me haumanu.

I roto i te nuinga o te wā, whēwhē tākihi - hanganga pathological o te kōhao porohita ki taiepa matotoru ki tonu i te tirotiro wai. Mämä noa iho, te reira te putea o te kiko tūhonohono ki te wai kowhai mārama. Whēwhē tākihi maha mahi rite te mate congenital, kia hoki kia hanga e tika ana ki te mumura auroa me te kaha ki te whakapiki ake i āta (taea tae 10 cm te whānui).

No te tau, te mate ano kore e taea e noa. Huna i roto i te whanaketanga o cysts tākihi kitea i roto i te tata i te hauwhā o tūroro. Heoi, whakaaro me pehea ki te whakaora i te whēwhē i roto i te tākihi, anake timata ratou ki te rapunga o tohu e kua whakakitea ina ake i nga cysts (te tikanga nui ake i te 4 cm) ranei suppuration:

- Ua ite te mamae i roto i te hypochondria hope ranei i te taha i te wahi pāngia te tākihi te;

- colic tākihi ;

- pēhanga toto tiketike (takawhita).

Haunga te mate pukupuku, whēwhē tākihi - he puku Koló. Ko te aha, ki te kitea e te tākuta e te manawanui he whēwhē tākihi, e kore he maimoatanga tonu e whakarite. I roto i te 70% o te wā, aru e tika tetahi e taea mau, paitanga ki te mahi hāparapara. Ki te kore he rahi cysts nui (diameter o kore neke atu i 5-6 cm), a reira te mutunga āta faarahi, ranei piki paku, engari e kore e tenei whai wāhi ki te rangirua o te rere toto tākihi me te mimi matamua, i roto i tenei take te nuinga e kore e rapua e tino kore rongoa. Ko reira anake kotahi te tau amohia e ako ultrasound.

I roto i te whānui me te mea te reira e tetahi tangata e kua i kitea whēwhē tākihi, kia whiriwhiri tino takitahi maimoatanga, te kore, o te akoranga, te aroaro o cysts e kore e whai i te pānga, arā, e kore e faaite mai te reira iho, a kahore he tohu mo te tango hāparapara. I roto i te take o te aroaro o te pūmua i roto i te mimi erythrocytes ranei ki matamua waimaero o te mimi me te mamae kino, te pātai o te pehea, ki te hamani i te whēwhē i roto i riro te tākihi atu nui.

Ko te tikanga nui rawa mō me pinepine whakamahia o te maimoatanga o te cysts tākihi kotahi (kaua e nui ake i te 5 cm) - kawea poka percutaneous te roto i raro i te arata'iraa ultrasound te whakamahi i te ngira pai, cysts waikeri, i.e. hōneatanga ihirangi me te whakataki ki ona tikanga kōhao sclerosing (te pia māngai), hua tahi rakau taiepa whēwhē. I roto i cysts kiko tākihi i roto i tenei wahi te kore hua.

Heoi, i tenei tikanga o te maimoatanga he he tūponotanga nui o hohokitanga o te mate. I tua atu, i te wāhi hangarau o te tirohanga, e taea te punctured kore cysts katoa (i runga i tona localization i roto i te tākihi).

E whakamahia Ētahi atu tikanga, ki te mea i kitea e kua tae whēwhē rawa nui nga whatukuhu. Treatment i roto i tenei take whakamana e ngā mahi percutaneous roto i nefrakskopa te mana x-ray ultrasound ranei - kōmurua te tirotiro o te whēwhē, me tona taiepa. whakamana Open pokanga te i roto i wā onge: ofatiraa ranei hakihaki whēwhē, tona huringa ki te puku täkihi ranei whakangaromanga, me te te kimi cysts hohonu i roto i te tākihi. hoki tuwhera pokanga (rawa, ki te te whēwhē he-ruma maha ranei he taiepa), kia kawea Tuhinga i te US kore anake, engari he whekau scan CT kei roto i te wāhi retroperitoneal, ki okotahi ki te tuhituhi mo te mate pukupuku.