So wo nso wowɔ pancreatic cysts? Momma yɛnka eyi ho asɛm nkɔ akyiri!

Ebia na woayɛ `Scan` esiane biribi foforo nti, te sɛ `CT` (Computed Tomography) anaa `MRI` (Magnetic Resonance Imaging), na oduruyɛfo no ka kyerɛɛ wo sɛ wowɔ cyst ketewaa bi wɔ wo pancreas mu? Sɛ wote biribi a ɛte saa a, mpofirim ara wotumi te ehu ne ehu kakra nka, ɛnte saa? Nsɛmmisa pii te sɛ "Dɛn ne eyi? So ɛyɛ hu?" sɔre wɔ w’adwene mu. Enti, mma ɛnhaw wo. Ɛnnɛ, momma yɛnka saa ntini a ɛwɔ dwensɔtwaa no mu yi ho asɛm pefee na ɛnyɛ den.

Dɛn ne pancreatic cyst?

Sɛ yɛbɛka no tiawa a, dwensɔtwaa mu akisikuru yɛ kotoku anaa ahurututu ketewaa bi a nsu ahyɛ mu ma a ɛba wo dwensɔtwaa mu, anaasɛ ɛtɔ mmere bi a ɛba ne soro. Fa no sɛ ɛte sɛ nsu mu afiri ketewaa bi. Nkwammoaa ahorow ahorow wɔ hɔ, na wɔkyekyɛ mu sɛnea nkwammoaa mu nneɛma a wɔde yɛ no te. Wɔfrɛ ahorow bi sɛ neoplastic. Neoplastic kyerɛ sɛ wɔn mu binom tumi yɛ kokoram bere a bere kɔ so no. Wɔfrɛ ahorow afoforo a ɛnyɛ neoplastic. Saa ntini a ɛnyɛ neoplastic yi ntumi nkɔ kokoram. Enti biribiara nni hɔ a ɛsɛ sɛ ɛhaw yɛn ho.

Dɛn na ɛkyerɛ sɛ obi anya dwensɔtwaa mu akisikuru?

Afei ebia woredwene sɛ, "Okay, enti sɛ mewɔ eyinom mu biako a, ɛno kyerɛ dɛn ankasa?" Bere a ebia ɛbɛyɛ te sɛ nea dwensɔtwaa mu akisikuru bi ne tebea bi a wɔfrɛ no dwensɔtwaa mu yare wɔ abusuabɔ no, mpɛn pii no, ɛba a ntease biara nnim, ɛkame ayɛ sɛ ɛyɛ akwanhyia. Nea ɛho hia ne sɛ, pancreatic cysts dodow no ara mfa ɔhaw biara mma wo. Wobetumi akɔ hɔ ara kwa.

Nanso, ɛntaa nsi koraa sɛ akisikuru bi a wɔfrɛ no `neoplastic` betumi ayɛ dwensɔtwaa mu kokoram mfiase. Titiriw sɛ obi a ɔwɔ w’abusua mu, kyerɛ sɛ, wo maame, wo papa, wo nuanom mmarima ne wo nuabeanom anya dwensɔtwaa mu kokoram a, asiane yi dɔɔso kakra sen afoforo. Nanso ɛnyɛ nea ɛtaa ba ma obiara.

So ɛsɛ sɛ mehaw me ho wɔ dwensɔtwaa mu akisikuru ho?

Eyi ne asɛmmisa kɛse a nnipa pii wɔ. Sɛ wo duruyɛfo hu dwensɔtwaa mu akisikuru bi wɔ mfoninitwa mfiri te sɛ CT anaa MRI mu a, ntɛm ara ɔbɛbu no sɛ asiane a ɛba fam, ɛyɛ mfinimfini, anaa kɛse . Saa nkyekyɛmu yi gyina sɛnea cyst a wohu wɔ scan no mu te (te sɛ ne kɛse ne ne nsusuwii) ne sɛ ebia wowɔ sɛnkyerɛnne bi a ɛfa ho anaa.

Sɛ akisikuru no hyɛ ``asiane a ɛba fam`` kuw no mu a, ebia biribiara nni hɔ a ɛsɛ sɛ ɛhaw wo ho. Mpɛn pii no, wontumi nyɛ hwee.

Sɛ asiane no yɛ ``medium`` anaa ``high`` a, nnuruyɛfo de ayaresa a ɛho hia bɛma sɛnea wɔn aduruyɛ akwankyerɛ kyerɛ.

Mpɛn pii no, wɔde pancreatic tumors sie `surveillance` ase kɛkɛ. Surveillance kyerɛ sɛ nnuruyɛfo scan wɔn bere ne bere mu, bisa sɛ, "So saa akisikuru yi reyɛ kɛse? So ɛresakra ne nsusuwii? So biribi foforo bi wɔ hɔ?" Sɛ akisikuru a asiane nnim no sesa kɔ akisikuru a asiane nnim mu bere kɔ so a, wɔyɛ `biopsy` de hwehwɛ ho nsɛm pii. Wɔyɛ `biopsy` denam biribi te sɛ ade a ɛyɛ tratraa a wɔde hyɛ mu, gye ntini ketewaa bi fi akisikuru no mu na wɔde microscope hwehwɛ mu. Saa kwan no so no, wobetumi ahu nkwammoaa ko a ɛwɔ mu pɔtee. Sɛ akisikuru a asiane wom kɛse sesa yɛ akisikuru a asiane kɛse wom, a ɛkyerɛ sɛ ɛda adi sɛ ɛyɛ kokoram kɛse a, nnuruyɛfo ayɛ nhyehyɛe sɛ wɔbɛyɛ oprehyɛn de ayi afi hɔ.

Pancreatic cysts abu so dɛn?

Nhwehwɛmu kyerɛ sɛ wohu dwensɔtwaa mu akisikuru wɔ akwanhyia mu wɔ nnipa bɛyɛ 10% a wɔyɛ wɔn CT scan (Computed Tomography scans) ne MRI (Magnetic Resonance Imaging) mu. Wɔtaa hu wɔn wɔ akwanhyia mu bere a wɔreyɛ mfoninitwa nhwehwɛmu a wɔyɛ esiane biribi foforo te sɛ yafunu mu haw ahorow nti. Esiane sɛ nnipa pii wɔ saa akisikuru yi na wɔnkyerɛ sɛnkyerɛnne biara nti, yennim nnipa dodow pɔtee a wɔwɔ wiase a wonnim sɛ wɔwɔ bi.

Pancreatic tumors ɔha biara mu nkyem ahe na ɛbɛyɛ kokoram?

Eyi nso yɛ asɛm a ɛho hia. Pancreatic cysts no mu nea ennu 1% dan kokoram ankasa. Ɛno yɛ ɔha biara mu nkyem ketewaa bi pɛ. Nanso, bɛyɛ 30% wɔ pancreatic cysts mu no tumi bɛyɛ kokoram. Wɔfrɛ eyinom sɛ precancerous cysts. Eyi nti na nnuruyɛfo hwɛ wɔn bere nyinaa no. Nanso asɛmpa bi wɔ hɔ. Saa akisikuru a edi kokoram anim yi taa nyin kɛse paa na ɛsakra wɔ ɔkwan a ɛyɛ hu so. Enti, sɛ wɔhwɛ so daa, kyerɛ sɛ, sɛ wɔyɛ nhwehwɛmu bere ne bere mu a, wobetumi ahu nsakrae a ɛba kokoram mu ntɛm ara wɔ adeyɛ no mu. Afei, wobetumi afi ayaresa ase ntɛm.

Dɛn ne dwensɔtwaa mu ntini ahorow?

Eyi yɛ nea ɛkɔ akyiri kakra, aduruyɛ din pii wɔ hɔ. Nanso momma yɛmma ɛnyɛ mmerɛw. Ɛka sɛ ahorow atitiriw abien na ɛwɔ hɔ.

Neoplastic anaa Precancerous Cysts a Ɛba

Wɔsan frɛ eyinom `pancreatic cystic neoplasms (PCN).` Eyinom ne ahorow a ɛsɛ sɛ yɛhwɛ yiye kakra. Ebi ne:

• Intraductal Papillary Mucinous Neoplasms (IPMNs): Eyinom ne akisikuru a ɛtaa ba. Wɔyɛ kɛse wɔ pancreatic duct no mu. Pancreatic duct yɛ afiri ketewaa bi a ɛde aduan mu nsu a dwensɔtwaa no yɛ no kɔ dwensɔtwaa no mu. Nsu a ɛwɔ saa akisikuru yi mu no yɛ dwensɔtwaa mu nsu ne ade a ɛyɛ den a wɔfrɛ no mucin a wɔde afra. Mucin yɛ ade bi a ɛwɔ nsu a ɛyɛ nwini mu. Saa mucin yi betumi ama dwensɔtwaa mu ntini no ahonhon na ayɛ kɛse.
• ``Mucinous Cystic Neoplasms (MCNs) a ɛma nipadua no yɛ adwuma yiye'':Eyinom nnyɛ nea abu so te sɛ `IPMNs`. Wɔtaa ba mmea a wɔadi boro mfe 50. Wɔyɛ wɔ dwensɔtwaa no mfinimfini fã (`dwensɔtwaa nipadua`).
• `Solid Pseudopapillary Neoplasms (SPNs):` Eyinom ho yɛ na yiye. Wɔwɔ ade a ɛyɛ den ne nea ɛyɛ nsu nyinaa. Wɔtaa nya nkɔso wɔ mmabaa a wɔadi mfe 20 ne 30 mu.
• Cystic Pancreatic Neuroendocrine Tumors (PNETs): Pancreatic neuroendocrine tumors (a wɔsan frɛ no islet cell tumors) yɛ akisikuru a ɛntaa nsi. Mpɛn pii no, ɛyɛ akisikuru a ɛyɛ den, nanso ɛtɔ mmere bi a ebetumi ada adi sɛ akisikuru.

Ntini a ɛnyɛ kokoram (`Nonneoplastic` anaa `Benign Cysts`) .

Eyinom mfa kokoram mma. Enti ɛho nhia sɛ yesuro wɔn dodo.

• Simple Cysts (anaasɛ Retention Cysts): Eyinom yɛ cysts a asiane biara nni ho a ɛba wɔ dwensɔtwaa no mu, na ɛtetew ne ho fi dwensɔtwaa no mu. Wɔde nkwammoaa a ɛwɔ nipadua no mu a ɛyɛ ɔfasu biako na ɛkata so. Wɔtaa ba mmofra nkumaa so.
• Serous Cystadenomas: Eyinom nso yɛ akisikuru a abu so kakra na ɛnyɛ asiane biara. Nanso, sɛ wɔyɛ akɛse a, ɛtɔ mmere bi a wotumi de ɔhaw ahorow te sɛ akwaa a ɛbɛn wɔn a wɔbɛmia so aba. Sɛ ɛba saa a, ɛtɔ mmere bi a ɛsɛ sɛ wɔyɛ oprehyɛn yi fi hɔ.
• Mucinous Nonneoplastic Cysts: Eyinom yɛ akisikuru a asiane biara nni ho, na ɛma mucin. Nanso, ɛsɛ sɛ nnuruyɛfo hwehwɛ wɔn mu yiye na ama wɔahu nsonsonoe a ɛda neoplastic ahorow a ebetumi ayɛ kokoram no ntam.
• Lymphoepithelial Cysts: Eyinom yɛ akisikuru a wɔntaa nhu koraa, na asiane biara nni ho. Wɔtaa hu wɔn wɔ mmarima mu.

Hyɛ no nsow a ɛho hia: Ade foforo bi wɔ hɔ a wɔfrɛ no `Pancreatic pseudocysts`. Ɛtɔ mmere bi a nkurɔfo de eyinom frafra akisikuru ankasa. Nanso, `pseudocyst` nyɛ nyin foforo te sɛ `tumor`. Ɛyɛ kotoku a nsu ahyɛ mu ma a ɛba bere a dwensɔtwaa mu nsu fi dwensɔtwaa mu esiane opira a ɛba dwensɔtwaa no mu nti (te sɛ `pancreatitis`). `Pseudocysts` yɛ tebea a ɛnyɛ hu.

Dɛn ne dwensɔtwaa mu akisikuru ho sɛnkyerɛnne?

Biribi a ebia ɛbɛyɛ nnipa pii nwonwa ni: Dwensɔtwaa mu akisikuru dodow no ara mfa sɛnkyerɛnne biara mma. Yiw, ɛyɛ nokware. Ebia worenhu akisikuru bi mpo. Nsɛnkyerɛnne no fi ase da adi bere a akisikuru no ayɛ kɛse araa ma esiw anaa mia dwensɔtwaa mu ntini, nsu a ɛma mogya tu, anaa yafunu anaa dwensɔtwaa (yafunu mu (GI) kwan) no so nkutoo. Sɛ ɛba saa a, nneɛma a ɛte sɛɛ betumi asi:

• Yafunu mu yaw: Ɛyaw no taa ba yafunu no atifi.
• (`Back pain`): .
• Aduan ho akɔnnɔ a ɛyera:Mehwere ɔpɛ a mewɔ sɛ medidi nyinaa.
• Wo mu duru a ɛso tew a wontumi nkyerɛkyerɛ mu: Wo mu duru so tew mpofirim ɛmfa ho mpo sɛ wonyɛ adidi anaa wonyɛ apɔw-mu-teɛteɛ de.
• Ɔhaw: Sɛ wote nka sɛ wo ho ayɛ wo hyew bere a woadi kakraa bi mpo akyi.
• Aduan a wontumi nnyae: Sɛ́ wobɛte nka sɛ aduan nyɛ nea wɔayam.
• Akisikuru: Sɛ wote nka sɛ wobɛfe.
• Jaundice: Aniwa ne honam ani fitaa dan kɔ kɔkɔɔ. Eyi ba bere a bile no ntumi nkɔ yiye no.
• Poop a ne kɔla yɛ hann na srade wom (anaasɛ steatorrhea): Nsu no kɔla sesa na ɛyɛ srade.
• Sɛ wote nka sɛ akisikuru wɔ wo yafunu mu: Sɛ akisikuru no sõ paa a, ebia wobɛte nka mpo.

Dɛn na ɛde pancreatic cysts ba?

Pancreatic cysts yɛ nkwammoaa a enyin wɔ ɔkwan a ɛnteɛ so. Sɛ yɛbɛka no tiawa a, nkwammoaa wɔ nsakrae ketewaa bi wɔ wɔn awosu mu (`awosu mu nsakrae`) na wofi ase kyekyɛ wɔ ɔkwan a ɛnteɛ so. Nanso nhwehwɛmufo da so ara nnim nea enti a awosu mu nsakrae yi ba ankasa. Wosusuw sɛ ebia wɔyɛ awosu mu su bi, dwensɔtwaa mu ɔfe, ne nneɛma afoforo a efi akyi te sɛ onyin a wɔaka abom. Nkwammoaa a ɛyɛ mmerɛw no ɔha biara mu nkyem kakraa bi pɛ ne awosu mu tebea horow bi wɔ abusuabɔ tẽẽ.

Awosu mu tebea horow bi a ebia ɛne dwensɔtwaa mu akisikuru wɔ abusuabɔ no bi ne:

• `Von Hippel-Lindau yare no`
• Polycystic kidney disease (asaabo dodow a ɛwɔ asaabo mu) .
• `Cystic fibrosis a ɛyɛ mmerɛw`

Asiane ahorow pii wɔ hɔ a ebetumi ama dwensɔtwaa mu akisikuru aba:

• Mpanyinyɛ: Asiane a ɛwɔ hɔ sɛ wubenya dwensɔtwaa mu akisikuru no yɛ kɛse bere a worenyin no. Sɛnea nhwehwɛmu kyerɛ no, wobu akontaa sɛ nnipa a wɔadi mfe 70 no mu bɛyɛ nkyem anan mu biako (25%) wɔ bi.
• Pancreatitis: Akisikuru ahorow bi ne dwensɔtwaa mu yare wɔ abusuabɔ. Afei nso, akisikuru ahorow bi betumi ama obi anya dwensɔtwaa mu yare.
• Abusua abakɔsɛm: Sɛ obi a ɔwɔ w’abusua mu anya dwensɔtwaa mu kokoram, anaasɛ wowɔ awosu mu yare bi a ɛne dwensɔtwaa mu akisikuru wɔ abusuabɔ a, ɛda adi sɛ wubenya dwensɔtwaa mu akisikuru.

Dɛn ne nsɛnnennen a ebetumi afi dwensɔtwaa mu akisikuru mu aba?

Nsɛnnennen no ntaa mma koraa, nanso sɛ ɛba a, nea ebetumi ayɛ:

• Pancreatic duct a ɛsiw: .Akuru ahorow bi a wɔfrɛ no `mucinous neoplasms` tumi yi ade a ɛyɛ den a wɔfrɛ no `mucin` kɔ dwensɔtwaa mu. Afei ntini no betumi ahonhon, ayɛ ma, na awiei koraa no, asiw. Eyi mma aduan mu enzymes a dwensɔtwaa no yɛ no ntumi mfa ntini no mu nkɔ wo dwensɔtwaa ketewa no mu. Afei enzymes no san kɔ dwensɔtwaa no mu, sɛe no na ɛma dwensɔtwaa no ho hyehye (pancreatitis). Saa bere yi de, wo digestive system no nnya enzymes a ehia na ama woatumi ayam aduan no.
• Bile duct obstruction: Sɛ akisikuru kɛse bi mia bile duct bi so a, ebetumi asiw bile no kwan. Wɔfrɛ eyi sɛ cholestasis. Eyi ma bile boaboa ano, na ebetumi asɛe bile ntini ne akwaa afoforo a ɛka ho (te sɛ mmerɛbo). Bile no nso betumi afra mogya no mu, na ɛde sɛnkyerɛnne te sɛ jaundice aba.
• Yafunu mu akwanside: Sɛ akisikuru kɛse bi mia wo yafunu anaa wo dwensɔtwaa mu a, wubetumi anya yafunu mu sɛnkyerɛnne ahorow, a nea ɛka ho ne yafunu mu yaw, wo ho nyɛ wo dɛ, wo ho popo, wo yafunu mu akisikuru, ne aduan a wompɛ. Wɔ tebea horow a emu yɛ den mu no, aduan betumi agyae sɛ ɛbɛfa wo aduan mu ntini mu koraa.
• Dwensɔtwaa mu kokoram: Sɛnea yɛadi kan aka no, akisikuru no mu kakraa bi pɛ na ebetumi abɛyɛ kokoram. Mpɛn pii no, wɔyɛ ɔkwan bi a wɔfrɛ no adenocarcinoma. Pancreatic cancer yɛ kokoram bi a ɛtaa trɛw ntɛmntɛm koraa. Enti, ɛho hia paa sɛ wuhu no ntɛm sɛnea wubetumi.

Wobɛyɛ dɛn ahu sɛ wowɔ dwensɔtwaa mu akisikuru?

Nnuruyɛfo de nhwehwɛmu ahorow a edidi so yi di dwuma de hu sɛ ebia dwensɔtwaa mu akisikuru bi wɔ hɔ anaa, na sɛ ɛte saa a, sɛnea ɛte:

• Radiology: Mfoninitwa akwan a ɛkorɔn te sɛ CT scan anaa MRI scan betumi ada dwensɔtwaa mu akisikuru adi pefee. Wobetumi ahu akisikuru ahorow bi wɔ scan no so. Nanso afoforo nso hwehwɛ sɛ wɔyɛ nhwehwɛmu foforo na ama wɔahu ɔkwan pɔtee a wɔfa so yɛ anaasɛ kokoram nkwammoaa wɔ mu anaa. Wɔ tebea horow yi mu no, ebia ebehia sɛ nnuruyɛfo fa akisikuru no nhwɛso (biopsy).
• Endoscopic Ultrasound / Fine Needle Aspiration (EUS-FNA): Adeyɛ bi a wɔfrɛ no Endoscopic ultrasound (EUS) ma oduruyɛfo tumi de endoscope ketewaa bi a ɛyɛ mmerɛw (afiri a ɛwɔ mfoninitwa afiri ne afiri a wɔde hwɛ nnyigyei a ano yɛ den wom) fa ano na ɛkɔ yafunu no mu na ama watumi adu dwensɔtwaa mu akisikuru bi ho. Ultrasound no bɛkyerɛ baabi a akisikuru no wɔ pɛpɛɛpɛ, na wɔde ade teateaa (ade a ɛyɛ fɛ) bɛfa endoscope no mu de ayi ntini ne nsu ketewaa bi afi akisikuru no mu. Wɔfrɛ eyi sɛ fine needle aspiration (FNA). Afei wɔyɛ nhwɛsode no mu nhwehwɛmu wɔ aduruyɛdan mu.
• Nsuo mu nhwehwɛmu:Wɔyɛ cystic nsu a efi FNA no mu no mu nhwehwɛmu wɔ lab mu de hu nea ɛyɛ. Wɔsan frɛ eyi cytology. Wɔhwehwɛ nneɛma te sɛ mucin. Mucin boa ma wohu mucinous neoplasms. Wɔhwehwɛ akisikuru agyiraehyɛde te sɛ carcinoembryonic antigen (CEA) nso. CEA yɛ protein a ɛwɔ mogya mu, na ne dodow betumi ama yɛanya nsɛm bi a ɛkyerɛ sɛ kokoram wɔ hɔ.

Dɛn ne ayaresa a wɔde sa dwensɔtwaa mu akisikuru?

Sɛnea wɔsa dwensɔtwaa mu akisikuru no gyina nneɛma pii so, a nea ɛka ho ne akisikuru ko, ne kɛse, sɛ ebia ɛyɛ sɛnkyerɛnne, ne asiane a ɛwɔ hɔ sɛ ɛbɛyɛ kokoram. Ayaresa atitiriw a wobetumi apaw ni:

• Hwɛ a wɔbɛhwɛ so: Eyi kyerɛ sɛ wɔnyɛ hwee, na mmom wɔbɛhwɛ so bere nyinaa na wɔahwɛ sɛ ebia akisikuru no sesa anaa.
• `Biopsy`: Fa tissue sample na wɔhwehwɛ mu de hu sɛnea akisikuru no te pɛpɛɛpɛ.
• Oprehyɛn a wɔde yi fi hɔ: Sɛ wobu akisikuru no sɛ asiane wom anaasɛ ɛde ɔhaw reba a, wɔyɛ oprehyɛn yi fi hɔ.

Wɔde ahwɛyiye na ɛsa akisikuru dodow no ara. Wei kyerɛ sɛ wobɛyɛ mfoninitwa mfiri bere ne bere mu (asram 6 biara, afe biako, anaa nea ɛboro saa) de ahwɛ sɛnea akisikuru no te. Sɛ nsakrae bi a ɛyɛ adwenem naayɛ ba a, wɔyɛ EUS-FNA na wɔyɛ nsu no mu nhwehwɛmu. Sɛ nea efi mu ba no kyerɛ sɛ kokoram a, ebia wo duruyɛfo bɛkamfo akyerɛ sɛ yi fi hɔ, a egyina sɛ ebia wowɔ tebea pa mu sɛ wɔbɛyɛ wo oprehyɛn so.

So dwensɔtwaa mu akisikuru no ankasa kɔ?

Akuru bi a ɛnyɛ hu, titiriw nketewa no, tumi twetwe n’ankasa, anaasɛ ɛtɔ mmere bi a ɛyera koraa. Nanso ahorow a wɔfrɛ no neoplastic a ebetumi abɛyɛ kokoram no ankasa nkɔ. Mpɛn pii no, wɔkɔ so nyin, nanso wɔyɛ nkakrankakra paa. Nnuruyɛfo hwɛ wɔn nyin so. Bere tenten a wɔtra hɔ nketewa no, gye sɛ wɔyɛ akɛse dodo anaasɛ wɔsakra wɔ ɔkwan a ɛyɛ adwenem naayɛ so, nnuruyɛfo nyɛ wɔn ho hwee, wɔhwɛ ara kwa.

Pancreatic tumors nyin ntɛmntɛm dɛn?

Ɛsono sɛnea dwensɔtwaa mu akisikuru ahorow nyin ntɛmntɛm, nanso ne nyinaa mu no, enyin nkakrankakra. Sɛ akisikuru bi nyin boro milimita 3 (mm 3) afe biara a, nnuruyɛfo adwenem yɛ wɔn naa kakra na wɔyɛ aso kɛse. Sɛ wɔrehwɛ akisikuru bi so sɛ nsakrae bi aba a, wɔhwɛ mu afe biara, mfe abien biara, anaa ɛtɔ mmere bi a mfe anum biara, a egyina sɛnea ɛrenyin ntɛmntɛm so.

Bere bɛn na ɛsɛ sɛ woyi dwensɔtwaa mu ntini a ɛwɔ nipadua no mu no fi hɔ?

Ebia ɛho behia sɛ woyi dwensɔtwaa mu akisikuru bi fi hɔ sɛ ɛde nsɛnnennen ba anaasɛ wosusuw sɛ ɛyɛ kokoram a. Nanso dwensɔtwaa mu oprehyɛn yɛ adeyɛ titiriw, a n’ankasa asiane ne nea efi mu ba. Ɛno nti na nnuruyɛfo susuw akisikuru biara ho yiye no. Wodi aduruyɛ mu akwankyerɛ a ɛkɔ akyiri akyi de kyerɛ bere a wɔbɛyɛ oprehyɛn na wɔayi akisikuru bi afi hɔ.

Nneɛma bi a wosusuw ho ni:

• Ne kɛse: Ebia ɛho behia sɛ wɔhwɛ akuru a ne kɛse boro sɛntimita 3 (sentimita 3), anaa nea ɛte sɛ nea ɛrenyin ntɛmntɛm sen sɛnea ɛte daa no mu hwɛ sɛ ebia kokoram betumi aba anaa. Ɛtɔ mmere bi a, ɛwom mpo sɛ akuru akɛse no nyɛ asiane biara de, nanso ebia ebehia sɛ woyi fi hɔ efisɛ ɛma obi ho yɛ no yaw anaasɛ ɛtwetwe akwaa afoforo.
• Ɔkwan a wɔfa so yɛ: Akisikuru ahorow bi (e.g., MCNs, IPMNs bi) wɔ asiane kɛse sɛ ɛbɛyɛ kokoram. Ebia oduruyɛfo bi bɛkamfo akyerɛ sɛ wonyi wɔn ntɛm. Nnuruyɛfo bɛhwɛ asiane a ɛwɔ kokoram mu na wɔde atoto asiane a ɛwɔ oprehyɛn mu ho, na wosusuw onipa no akwahosan nyinaa ho.
• Nsɛnkyerɛnne a wotumi hu: Ɛtɔ mmere bi a, nnuruyɛfo hu nsɛnkyerɛnne wɔ scan ahorow so a ɛkyerɛ sɛ ebia akisikuru bi yɛ kokoram anaasɛ kokoram ansa na aba. Sɛ nhwɛso no, ebia wubehu sɛ wo dwensɔtwaa mu ntini no ayɛ kɛse, na ebetumi akyerɛ sɛ wowɔ mucinous neoplasm a ɛretu mucin akɔ ntini no mu. Anaasɛ ebia wubehu sɛ akisikuru bi wɔ afã horow a ɛyɛ den, a ebetumi akyerɛ sɛ ɛnyɛ akisikuru a nsu ahyɛ mu ma kɛkɛ, na mmom ɛyɛ akisikuru a ɛyɛ den.
• Your condition: Some people have other health conditions (such as heart disease, diabetes) or significant factors, such as age, that make pancreatic surgery more risky for them. Nnuruyɛfo bɛkari asiane ahorow yi ne wo kokoram ho asiane a ɛwɔ hɔ no ahwɛ na wɔasi gyinae a eye sen biara.

Ɔkwan bɛn so na wɔyɛ oprehyɛn a wɔde yi dwensɔtwaa mu akisikuru?

Sɛ wo duruyɛfo kamfo kyerɛ sɛ yi akisikuru bi a, ɛkyerɛ sɛ wɔbɛyɛ wo oprehyɛn. Saa oprehyɛn ahorow yi yɛ nea ɛyɛ den kakra. Ɛtɔ mmere bi a, oduruyɛfo a ɔyɛ oprehyɛn betumi de ahwɛyiye atwitwa akisikuru no nkutoo afi wo dwensɔtwaa mu. Nanso mpɛn pii no, ɛho behia sɛ woyi wo dwensɔtwaa no fã bi nso. Ɛdenam baabi a akisikuru no wɔ so no, ebia ɛho behia nso sɛ woyi akwaa afoforo a ɛbɛn no (te sɛ akyi berɛmo anaa dwensɔtwaa ketewa no fã bi) no afã horow.

Oprehyɛn ahorow pii wɔ hɔ a wobetumi ayɛ:

• Enucleation: Eyi ne ahwɛyiye a wɔde yi akisikuru biako fi dwensɔtwaa no mu a wɔrensɛe dwensɔtwaa mu ntini a ɛwɔ apɔwmuden a atwa ho ahyia no. Sɛ wowɔ akisikuru biako, ketewaa bi a ɛnyɛ hu, ɛwɔ baabi a wotumi de wo nsa ka, na ɛnte sɛ kokoram a, ebia wobɛfata ama oprehyɛn ketewaa bi yi.
• Pancreatectomy a wɔatwa no fã bi:Nea ɛka eyi ho ne sɛ wobeyi dwensɔtwaa no fã a akisikuru anaa akisikuru no wom no afi hɔ. Fa no sɛ wo dwensɔtwaa no te sɛ apataa. Ɛwɔ "ti," "nipadua," ne "dua." Mfinimfini dwensɔtwaa a wotwa no yi dwensɔtwaa no mfinimfini fã no fi hɔ. Distal pancreatectomy yi dua no fi hɔ. Esiane sɛ dwensɔtwaa no dua ne akyi berɛmo no wɔ abusuabɔ kɛse nti, mpɛn pii no, dwensɔtwaa a ɛwɔ akyirikyiri no hwehwɛ sɛ woyi dwensɔtwaa no nso fi hɔ (splenectomy).
• Whipple adeyɛ (a wɔsan frɛ no pancreaticoduodenectomy): Eyi yɛ oprehyɛn a ɛsõ kakra. Whipple kwan no yi dwensɔtwaa no ti ne dwensɔtwaa no mu ntini ahorow no fi hɔ. Wɔtaa hu kokoram akisikuru te sɛ mucinous neoplasms wɔ saa ti yi mu. Ɛyɛ beae a adagyew nnim kɛse nso a wo dwensɔtwaa ketewaa no atifi (duodenum), dwensɔtwaa mu ntini, ne mogya ntini a ɛtaa ba no hyia. Sɛ kokoram wɔ baabiara wɔ saa nhyiam yi a, ebetumi atrɛw akɔ nkorabata afoforo mu, enti ɛnyɛ dwensɔtwaa no ti nko na Whipple kwan no yi fi hɔ, na mmom wo duodenum, bile duct a ɛtaa ba, ne gallbladder a ɛbata common bile duct no awiei foforo no nso.
• Total pancreatectomy: Eyi hwehwɛ sɛ woyi wo dwensɔtwaa nyinaa . Ebia eyi ho behia sɛ wowɔ akisikuru pii a ɛsɛ sɛ wuyi fi hɔ, anaasɛ ɛte sɛ nea kokoram atrɛw wɔ wo dwensɔtwaa mu nyinaa a. Sɛ wotwa dwensɔtwaa koraa a, ebetumi ayi mogya ntini ne akwaa a ɛbɛn te sɛ akyi berɛmo, akisikuru, akyi berɛmo, ne yafunu no ase nso afi hɔ.

Asiane ne nsunsuanso bɔne bɛn na ɛwɔ dwensɔtwaa mu akisikuru oprehyɛn mu?

Oprehyɛn a wobɛyɛ wɔ wo dwensɔtwaa ho no betumi aka sɛnea ɛyɛ adwuma sɛnea ɛsɛ. Wohia sɛ wo dwensɔtwaa no yɛ aduan mu enzyme ne hormone ahorow bi a ɛho hia, a insulin ka ho. Insulin yɛ hormone a ɛhwɛ asikre dodow a ɛwɔ mogya mu so. Sɛ wo dwensɔtwaa a wotwa no yi nkwammoaa a ɛyɛ enzyme anaa insulin no pii dodo a, ebehia sɛ wofa nkwa nna nyinaa ayaresa de si ananmu. Sɛ nhwɛso no, ebia wubehia insulin a wɔde twitwiw wo anaa nnuru a ɛma aduan mu yɛ hyew.

Oprehyɛn ahorow bi a wɔyɛ wɔ dwensɔtwaa mu nso yi akwaa afoforo fi hɔ anaasɛ wɔsesa. Wobetumi aka wo aduan mu nneɛma, wo mogya mu nsu, ne wo nipadua mu ahoɔden a ɛko tia nyarewa no. Ebia ɛbɛyɛ den ama wo sɛ wobɛyam nnuan bi na woatwe aduannuru bi (titiriw srade) wɔ ɛno akyi. Sɛ wotwa wo splenectomy a, ebia wo nipadua mu tumi a ɛko tia nyarewa no bɛyɛ mmerɛw kakra, na ebia wubenya nyarewa mpɛn pii.

Nneɛma bɔne pɔtee bi a ebetumi aba ne:

• Asikreyare: Sɛ nkwammoaa a ɛma insulin no sɛe a.
• Exocrine pancreatic a ɛnyɛ adwuma yiye:Enzymes a ɛma aduan mu yɛ den a dwensɔtwaa no yɛ a ɛnnɔɔso. Eyi betumi ama aduan afa yafunu no mu a ɛnyam.
• Srade a wɔmfa nni dwuma yiye: Ɛyɛ den sɛ wobɛyam nnuan a srade wom.
• Nkwammoaa a ɛko tia nyarewa a asɛe: Sɛ woyi akyi berɛmo no fi hɔ a.

Asiane afoforo a ɛtaa ba wɔ oprehyɛn mu ne:

• Mogya a ɛretu
• Nyarewa a wɔde nyarewa ba
• Mogya a ɛtwetwe
• Anastomotic leak (nsu a ɛtwetwe fi baabi a nneɛma te sɛ dwensɔtwaa san ka bom bere a wɔreyɛ oprehyɛn no) .

Pancreatic tumor yɛ aniberesɛm dɛn?

Akontaabu kyerɛ no, dwensɔtwaa mu akisikuru ntaa mfa ɔhaw ahorow a emu yɛ den mma. Nnuruyɛfo de ahwɛyiye kɛse sa dwensɔtwaa mu akisikuru, efisɛ wɔpɛ sɛ wɔkwati asiane biara. Wɔbɛhwɛ wo akisikuru no mu na wɔasi ahwɛyiye a ɛsɛ sɛ woyɛ ho gyinae. Ɛwom sɛ dwensɔtwaa mu oprehyɛn yɛ asɛm a anibere wom de, nanso dwensɔtwaa mu akisikuru dodow no ara nhia oprehyɛn. Enti, mma wo ho nnpopo bere a wuhu sɛ wowɔ akisikuru no.

Bere bɛn na wɔde tra ase bere a wɔasa dwensɔtwaa mu akisikuru akyi?

Eyi gyina akisikuru ko ne baabi a atrɛw akodu so. Sɛ woyi akisikuru no ansa na abɛyɛ kokoram (precancerous) anaasɛ bere a kokoram no ntrɛwee (noninvasive) a, mfe anum a wɔde tra ase wɔ dwensɔtwaa mu kokoram oprehyɛn akyi no bɛn 100%. Eyi kyerɛ sɛ nea efi mu ba no ye paa. Wɔ nnipa a wɔwɔ kokoram a ɛba nipadua mu no fam no, mfe anum a wɔde tra ase wɔ ayaresa akyi no bɛyɛ 65%-75%. Eyi nso gu ahorow gyina akisikuru ko ne baabi a kokoram no wɔ so. Nnipa dodow a wowuwu (asiane a ɛwɔ hɔ sɛ wobewu wɔ oprehyɛn no mu) wɔ dwensɔtwaa oprehyɛn kɛse biara mu no taa yɛ bɛyɛ 4%.

Nsɛmmisa bɛn na ɛsɛ sɛ mibisa me duruyɛfo fa me dwensɔtwaa mu akisikuru ho?

Sɛ wuhu sɛ wowɔ dwensɔtwaa mu akisikuru a, ɛyɛ ade a ɛfata sɛ wubenya nsɛmmisa pii wɔ w’adwene mu. Wowɔ hokwan sɛ wubisa wo duruyɛfo nsɛm te sɛ:

• "Akisikuru bɛn na mewɔ?"
• "So asiane a ɛwɔ hɔ sɛ menya nufu mu kokoram no sua, ɛyɛ mfinimfini, anaasɛ ɛkɔ soro?"
• "Mpɛn ahe na ɛsɛ sɛ meyɛ imaging scan de hwɛ me tumors?"
• "So me nufu bɛyɛ kɛse? Sɛ ɛte saa a, ntɛmntɛm dɛn?"
• "Ɛwom sɛ minni sɛnkyerɛnne biara de, nanso ɛsɛ sɛ woyi saa akisikuru yi?"
• "Sɛ ɛsɛ sɛ wɔyɛ me oprehyɛn a, asiane bɛn na ɛwɔ mu? Nsunsuanso bɔne bɛn na menya?"

Sɛ wususuw dwensɔtwaa mu kokoram ne oprehyɛn ho a, ɛwom mpo sɛ asiane no sua koraa de, nanso ebetumi ama woahaw kɛse. Nanso kae sɛ dwensɔtwaa mu akisikuru dodow no ara nyɛ biribiara a ɛsɛ sɛ wusuro. Wɔayɛ aduruyɛ mu akwankyerɛ ahorow a ɛfa sɛnea wɔhwɛ dwensɔtwaa mu akisikuru so, wɔsɔ hwɛ, na wɔsa ho sɛnea ɛbɛyɛ a ɛbɛtew saa ehu a ɛho nhia no so na abɔ wo ho ban.

Nnyin a ɛnteɛ (te sɛ akisikuru) abu so wɔ akwaa pii mu, titiriw bere a worenyin no. Pancreatic cysts yɛ akwaa biako bio a wɔde bɛka saa din no ho. Asiane a ɛwɔ hɔ sɛ saa nyini yi bɛyɛ kokoram no sua koraa. Sɛ wuyi cyst a edi kokoram anim no fi hɔ ntɛm ara a, ɛrennya hokwan sɛ ɛbɛyɛ kokoram.

Nneɛma a ɛho hia paa a ɛsɛ sɛ wokae

Mma wo ho nnyɛ wo hu anaasɛ nsuro bere a wɔka kyerɛ wo sɛ wowɔ pancreatic cyst no. Gye ahome na wo ne wo duruyɛfo nkasa pefee.

Mpɛn pii no, eyinom nyɛ asiane biara, ɛnkyerɛ yare no ho sɛnkyerɛnne, na akwanhyia mu na wohu.

Sɛ oduruyɛfo bi ka saa a, bisa nsɛm a ɛkɔ akyiri. Kyerɛkyerɛ akisikuru ko a wowɔ, sɛnea ebetumi aka wo, ne nea ɛsɛ sɛ woyɛ akyi.

Ɛwom sɛ kokoram ahorow bi wɔ hɔ a ebetumi aba de, nanso mprempren akwan a ɛkɔ akyiri wɔ hɔ a wɔfa so hu na sɛ ɛho hia a, wɔasa wɔ bere a ɛfata mu. Ade a ɛho hia sen biara ne sɛ wubedi oduruyɛfo no akwankyerɛ akyi yiye na wɔayɛ nhwehwɛmu a wɔde di akyi wɔ bere a ɛfata mu. Afei ɛho renhia sɛ wohaw wo ho wɔ eyi ho a ɛho nhia. Tra ase a ahoɔden wom!

` Pancreas, Pancreatic Cysts, Pancreatic Cancer, Pancreatic Nsɛnkyerɛnne, Pancreatic Ayaresa, Pancreatic Oprehyɛn