Dab tsi yog Kab Mob Raum Cyst
Jul 04, 2022
Txoj kev kho rau lub raum hlwv nyob rau theem kev kho mob tam sim no tsis tau kho cov nyhuv tshwj xeeb ntawm lub raum hlwv. Rau lub raum me me, tsis muaj kev kho mob yog qhov tsim nyog thaum asymptomatic, tab sis kev tshuaj xyuas ib ntus yuav tsum tau ua kom pom tias lub cyst tseem loj hlob. Cov neeg mob asymptomatic yuav tsum tau kuaj zis ntau zaus, suav nrog kev kuaj zis niaj hnub, kab lis kev cai tso zis, thiab kuaj lub raum ua haujlwm txhua rau lub hlis mus rau ib xyoos, suav nrog kev tshem tawm creatinine endogenous. Vim hais tias tus kab mob yog ib qho tseem ceeb ntawm kev loj hlob ntawm tus kab mob, yuav tsum tsis txhob ua ib qho kev ntsuam xyuas urinary ib ntsuj av yog tias tsim nyog. Puncture ntawm lub raum cyst muaj cov nyhuv me me, tsis tsuas yog yooj yim rau kev kis tus kab mob, yooj yim rau relapse tab sis kuj tsis tuaj yeem ncua qhov tshwm sim ntawm lub raum ua haujlwm puas tsuaj tom qab kev soj ntsuam mus ntev. Kev ua haujlwm excises cyst kuj tsis yog ib qho yooj yim, vim hais tias lub cyst ntawm lub raum nto tuaj yeem raug txiav, tab sis yuav tsum txiav cov cyst uas faus rau hauv lub raum tob yog qhov nyuaj heev. Yog hais tias lub qog loj thiab malignant, kev tshawb nrhiav kev phais tuaj yeem ua tiav. Yog tias nws tau lees paub tias yog cyst benign, lub cyst phab ntsa ntawm lub raum tuaj yeem raug tshem tawm, thiab cov ntug tuaj yeem raug sutured tsis tu ncua nrog txoj hnyuv thiab lub raum parenchyma, thiab cov phab ntsa cyst residual tuaj yeem coated nrog iodine tincture. Kev puas tsuaj ntau ntawm ib lub raum parenchyma, contralateral lub raum ua haujlwm, thiab nephrectomy yog ua tau.
Nyem rau cistanche tubulosa vs deserticola rau kab mob raum
Dab tsi yog kab mob raum cyst? Koj xav tau kev xeem dab tsi?
Txoj kev kuaj mob raum cysts ntau txhim khu kev qha txoj kev muaj kev kuaj X-ray sib piv, raum B qauv kuaj ultrasonic, radionuclide scan, thiab CT kuaj. Nyob rau hauv cov ntaub ntawv ntawm lub raum cyst, lub raum pelvis thiab calyces yuav compressed thiab deformed ntawm urography, tab sis cov npoo yog du thiab tsis puas. Lub raum cyst tsis yog qog nqaij hlav tab sis yooj yim tsis meej pem nrog cov qog, yog li qhov sib txawv ntawm lub raum cyst thiab lub raum malignant qog yog qhov tseem ceeb heev. Lub raum substantive ct lossis lub raum arteriography tuaj yeem siv los paub qhov txawv ntawm ob. Ct ntawm lub raum parenchyma pom cov cyst ntiav thiab cov qog tob. Nyob rau hauv lub raum arteriography, muaj sparse hlab ntsha ntawm lub cyst site thiab tsis muaj contrast agent concentration, thaum nyob rau hauv lub raum malignancy, muaj contrast agent concentration vim muaj cov hlab ntsha. Thaum xav tias muaj kev hloov pauv ntawm lub cyst, qhov cyst puncture tuaj yeem ua tiav, thiab cov kua dej cyst tuaj yeem muab rho tawm rau niaj hnub kuaj thiab kuaj lub cev; Tus neeg sawv cev sib txawv kuj tuaj yeem raug txhaj rau hauv lub cyst los xyuas seb lub cyst phab ntsa puas yog mob qog noj ntshav. B - ultrasound thiab CT tuaj yeem paub qhov txawv ntawm lub raum los ntawm cov qog nqaij hlav hauv lub raum, yog li lawv yog txoj hauv kev zoo tshaj plaws.
⑥ Lub raum kev ua haujlwm poob qis: vim yog cyst nyob, compression, kom cov ntaub so ntswg hauv lub raum txo qis, lub raum ua haujlwm tsis zoo.
Kev kub siab: cov khoom cyst kev tsim txom ntawm lub raum, ua rau lub raum ischemia, renin secretion nce, ua rau kub siab. Thaum lub raum ua haujlwm zoo li qub, ntshav siab tau tshwm sim ntau dua 50 feem pua ntawm cov neeg mob, thiab thaum lub raum ua haujlwm qis, qhov tshwm sim ntawm cov ntshav siab siab dua.
④ Proteinuria: feem ntau tsis ntau, 24 teev cov zis yuav tsis pub tshaj 2g. nephrotic syndrome tsis tshwm sim nyob rau hauv feem ntau.
(3) Lub plab plab: qee zaum qhov laj thawj tseem ceeb rau cov neeg mob mus ntsib kws kho mob, 60 feem pua rau 80 feem pua ntawm cov neeg mob tuaj yeem kov lub raum o. Feem ntau, lub raum loj dua, lub raum ua haujlwm tsis zoo.
② Hematuria: tuaj yeem tshwm sim raws li microscopic hematuria lossis tag nrho hematuria. Kev tawm tsam yog ncua sij hawm. Mob nraub qaum feem ntau hnyav dua thaum muaj kev tawm tsam, kev tawm dag zog hnyav, kev raug mob, lossis kev kis mob tuaj yeem ua rau raug mob lossis hnyav dua. Yog vim li cas rau qhov hemorrhage yog tias muaj ntau cov hlab ntsha hauv qab lub capsule phab ntsa. Vim yog qhov nce siab los yog kev sib xyaw ua ke ntawm cov kab mob, cov hlab ntsha hauv cov phab ntsa capsule tuaj yeem tawg thiab los ntshav vim yog rub ntau dhau.
① Lub duav, plab tsis xis nyob lossis mob: qhov laj thawj yog vim qhov o thiab nthuav dav ntawm lub raum, nce hauv qhov nro ntawm lub raum capsule, lub raum pedicle raug rub, los yog ua rau compression ntawm cov kabmob uas nyob ib sab. Tsis tas li ntawd, lub raum polycystic cov dej hauv lub raum ua rau hnyav, thiab poob rub kuj yuav ua rau mob duav. Qhov mob yog tus cwj pwm los ntawm qhov mob npub, mob npub, kho ntawm ib lossis ob sab, tawg mus rau sab qis thiab nraub qaum. Yog hais tias muaj los ntshav intracapsular los yog kis kab mob thib ob, qhov mob yuav dhau mus zuj zus. Lub raum colic tuaj yeem tshwm sim yog pob zeb lossis cov ntshav txhaws thaiv cov zis tom qab los ntshav.
Dab tsi yog kab mob raum cyst? Cov tsos mob yog dab tsi?
Cov tsos mob tseem ceeb ntawm lub raum cyst feem ntau ntawm lub raum hlwv yog asymptomatic. Qee tus neeg mob tuaj yeem yog vim cyst nws tus kheej thiab nce siab hauv cov tshuaj ntsiav, kab mob, thiab lwm yam tsos mob ntawm cov hauv qab no:
Tus menyuam mos polycystic raum kab mob feem ntau tuag ntawm uremia hauv thawj ob peb lub hlis ntawm lub neej. Pediatric polycystic raum kab mob feem ntau tuag ntawm daim siab kab mob thiab uremia ua ntej neeg laus. Txoj kev loj hlob ntawm cov neeg laus polycystic raum kab mob rau uremia yog qeeb heev, qhov nruab nrab lub neej expectancy ntawm cov neeg mob yog hais txog 50 xyoo, thiab tom qab lub tsos ntawm cov tsos mob, qhov nruab nrab ciaj sia taus lub sij hawm yog hais txog 10 xyoo, tab sis ib tug neeg sib txawv loj heev, muaj. ntau lub neej tsis muaj kev kho mob tshwm sim. Txawm tias nyob rau theem kawg ntawm uremia, lwm txoj kev kho mob xws li hemodialysis, zais zis lim ntshav, thiab hloov lub raum kuj muaj, thiab cov neeg laus tshaj plaws ntawm peb tau nyob rau ntau tshaj 10 xyoo. Lub raum cyst muaj xws li ib leeg-poj niam lub raum cyst, congenital polycystic raum, thiab congenital ntau lub raum. Tus neeg mob feem ntau tsis muaj tsos mob thiab tsuas yog ib lossis ob peb lub hlwv pom ntawm lub raum los ntawm b-ultrasound. Ob peb tus neeg kuj tuaj yeem loj hlob ntau lub hlwv, tab sis ob sab cyst muaj nyob rau tib lub sijhawm, uas tsis tshua muaj neeg. Lub cyst muaj ib tug nyias phab ntsa thiab ib tug ntshiab yellowish kua nyob rau hauv. Feem ntau cysts yog qhov loj ntawm walnuts. Qhov ua rau tshwm sim ntawm lub raum cyst yog tsis meej heev tseem, xav tias yuav mus rau lub raum degenerative pw ua ke mus hloov ntau zaus, los ntawm cov neeg yog cov laus dua. Cov hlwv me me tsis ua rau muaj tsos mob. Tsis ntev los no, vim kev loj hlob ntawm B ultrasonic kuaj, tus naj npawb ntawm cov neeg uas muaj lub raum cyst tau nce.
Polycystic raum kab mob (PCD) yog ib qho kab mob autosomal tseem ceeb nyob rau hauv uas lub cortex thiab medulla ntawm ob lub raum tau ntim nrog ntau lub hnab nyias nyias. Kev tsim ntawm cov hlwv tuaj yeem tshwm sim los ntawm kev sib cais ntawm cov hlab ntim thiab cov tubules distal convoluted ntawm qee cov nephrons hauv lub embryo. Vim hais tias cyst oppresses nephritic unit, ua rau lub zos ob leeg nyob rau hauv lub raum, cuam tshuam rau lub raum kev ua haujlwm, lub rooj sib tham tsis tu ncua ua rau lub raum tsis ua hauj lwm maj mam, suav txog 5 feem pua ~ 10 feem pua ntawm uremia etiology, nws qhov tshwm sim ntawm cov txiv neej thiab poj niam tsis muaj qhov txawv txav, kev kuaj mob tus nqi. tsis siab, feem ntau misdiagnosis. Feem ntau, tom qab muaj hnub nyoog 40 xyoo kom pom cov tsos mob, cov tsos mob feem ntau yog mob flank mob thiab hematuria. Cov neeg mob feem ntau yuav muaj teeb meem nrog cov kab mob urinary, tso zis ntau zaus, tso zis sai, thiab tso zis mob, 75 feem pua ntawm cov neeg mob muaj ntshav siab, uas tseem nrog lub ntsws, tus po, pancreas, zes qe menyuam, thiab lwm yam hlwv. Kev ntsuam xyuas tuaj yeem pom cov proteinuria nrog rau qib sib txawv, hematuria, thiab lub davhlau ya nyob twg tuaj yeem tshwm sim anemia. Kev txiav txim siab txiav txim siab yog kev tso dej hauv pyelography. B - Ultrasonography, CT, X-ray tomography, thiab isotope raum scan kuj tseem siv tau los ua qhov tseem ceeb pabcuam kev kuaj mob.
Tau txais lub raum hlwv tshwm sim feem ntau tom qab uremia lossis kev lim ntshav. Nws tsis muaj dab tsi ua rau hnub nyoog, tab sis nrog lub sijhawm ntawm hemodialysis. Lub raum tsis muaj lub raum hlwv thaum xub thawj, thiab nws tau tshaj tawm hauv cov ntaub ntawv hais tias feem ntau cov neeg mob uas muaj ntau tshaj 3 xyoos ntawm kev lim ntshav yuav tsim cov hlwv. Muaj tsawg kawg yog 4 hlwv hauv ib lub raum, feem ntau yog 2 mus rau 3 centimeters nyob rau hauv txoj kab uas hla. Qee lub hlwv tuaj yeem kis tau lossis mob qog noj ntshav, uas tuaj yeem paub tseeb los ntawm B ultrasound lossis CT kuaj.
Ib qho yooj yim kev sib deev raum cyst tej zaum yuav yog ib yam ntawm congenital abnormality, nws yog ib tug unilateral los yog ob sab ob lub raum thiab muaj ib los yog ob peb ntau qhov sib txawv ntawm lub voj voog thiab sab nraud tsis txuas nrog lub hnab kab noj hniav, feem ntau yog unilateral, vim li cas hais tias kev sib deev yooj yim. lub raum cyst. Nws qhov tshwm sim ntawm tus kab mob tuaj yeem nce ntxiv raws li hnub nyoog xws li, tus neeg muaj hnub nyoog 50 xyoo saum toj no ua B kom siab dua, muaj 50 feem pua ntawm cov cyst tuaj yeem tshawb pom hom kab mob no. B ultrasound thiab CT tuaj yeem kuaj tau.
Cov neeg laus lub raum polycystic yog ib qho kab mob hauv lub cev, lub raum parenchyma muaj ntau qhov ntau thiab tsawg ntawm cov cystic insoluble, thiab cov kua dej cystic, qhov muag liab qab tsis tuaj yeem pom qhov me me, loj tuaj yeem yog ob peb centimeters, yog li nws hu ua polycystic raum. Cov tsos mob yog nce nocturnal tso zis, lumbago, kub siab, thiab hais txog. Kev kuaj zis nrog hematuria, thiab cov proteinuria tsawg tsawg, feem ntau maj mam txhim kho mus rau lub raum tsis ua haujlwm. Lub raum pob zeb tshwm sim hauv 10 feem pua ntawm cov neeg mob thiab kab mob polycystic daim siab tshwm sim hauv 30 feem pua ntawm cov neeg mob. Qhov kev kuaj mob tuaj yeem lees paub los ntawm tus kws kho mob uas paub txog nrog ultrasound thiab tso dej pyelography.
Dab tsi yog kab mob raum cyst? Lub raum cyst yog lub npe dav dav uas tshwm hauv lub raum qhov loj me txawv ntawm sab nraud tsis sib txuas lus cystic kev sib deev pob, ntau lub raum cyst tuaj yeem faib ua tus neeg laus tus qauv polycystic raum, yooj yim deev raum cyst, thiab tau txais kev sib deev raum cyst.
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