So wowɔ akisikuru bi a nsu ahyɛ mu ma nso wɔ wo dwensɔtwaa mu? (Pancreatic Pseudocyst) - So yɛbɛka eyi ho asɛm?

So woanya tebea bi a wɔfrɛ no pancreatitis pɛn? Sɛ ɛba saa a, ɛtɔ mmere bi a kotoku a nsu ahyɛ mu ma betumi atwa yɛn dwensɔtwaa ho ahyia. Eyi ne nea yɛfrɛ no pancreatic pseudocyst. Ebia edin no bɛyɛ te sɛ nea ɛyɛ hu kakra, nanso sɛ yehu nea ɛyɛ pɛ a, ɛho nhia sɛ yɛbɔ hu.

Dɛn ne pancreatic pseudocyst?

Sɛ yɛbɛka no tiawa a, sɛ wo dwensɔtwaa asɛe, sɛ nhwɛso no, sɛ wowɔ dwensɔtwaa mu yare a, kotoku bi a nsu ahyɛ mu ma a wɔfrɛ no pancreatic pseudocyst twa ho hyia. Afei hwɛ, yɛn dwensɔtwaa yɛ akwaa a ɛho hia a ɛwɔ yafunu no atifi. Ɛyɛ enzymes, anaa nneɛma a ɛboa ma aduan a yedi no yam. Saa enzymes yi tu kwan sɛ nsu fa dwensɔtwaa no mu kɔ yɛn dwensɔtwaa ketewa no mu.

Nanso, sɛ tebea bi a emu yɛ den te sɛ dwensɔtwaa mu yare ba a, saa dwensɔtwaa mu ntini yi betumi asɛe, na ama nsu a ɛwɔ aduan mu enzymes mu no pue. Saa nsu a ɛretu yi ma ntini a atwa ho ahyia no yɛ basaa. Afei nipadua no yɛ ɔfasu a ɛbɔ ho ban twa nsu a ɛretu no ho hyia. Ntini a ɛyɛ nhama a ɛte sɛ akuru na ɛyɛ ɔfasu yi. Ɛno ne nea yɛfrɛ no pseudocyst.

Nsonsonoe bɛn na ɛda cyst ankasa ne pseudocyst ntam?

Eyi yɛ asɛm a ɛho hia paa. Pancreatic pseudocyst nyɛ cyst ankasa. Efisɛ ɛnyɛ dwensɔtwaa no ankasa ntini ankasa na ɛwom. Sɛnea madi kan aka no, n’afasu no yɛ akuru a ɛyɛ nhama. Nkwammoaa soronko a wɔfrɛ no epithelial cells a wohu wɔ dwensɔtwaa mu ntini ankasa mu no nni saa pseudocysts yi afasu mu. Mmom no, wɔde granulation tissue akata wɔn afasu so. Saa granulation tissue yi yɛ ntini foforo bi a ɛba kuru atifi bere a ɛsa no.

Sɛ yɛbɛka no tiawa a, pancreatic pseudocyst nyɛ ade a ɛyɛ soronko ankasa, na mmom ɛyɛ akuru a ɔfe na ɛde ba. Pancreatic cyst yɛ nyinsɛn a ɛwɔ dwensɔtwaa no fasu mu a efi n’ankasa ntini mu ba. Ebetumi ayɛ nsu ne nneɛma a ɛyɛ den nyinaa. Nkwammoaa bi betumi adan kokoram. Nanso, pseudocysts nyɛ tebea a edi kokoram anim.

So saa dwensɔtwaa mu pseudocyst yi yɛ asiane?

Mpɛn pii no, dwensɔtwaa mu pseudocysts ntumi nkɔ kokoram, na ɛntaa mma nsɛnnennen a emu yɛ den. Wɔn mu dodow no ara ho tɔ wɔn ankasa bere kɔ so no. Nanso, sɛ saa akisikuru yi nyin kɛse a, asiane ketewaa bi wɔ hɔ sɛ ɛbɛka akwaa anaa mogya ntini a ɛbɛn hɔ no. Ɛtɔ da nso a, wotumi nya ɔyare mmoawa. Ɛno na nnuruyɛfo de wɔn ho gye mu na wɔsa wɔn yare. Enti ɛho nhia sɛ wobɔ hu, nanso ɛho hia sɛ wohu eyi.

Saa tebea yi abu so dɛn?

Pseudocysts of the pancreas yɛ tebea a ebetumi aba wɔ nnipa a wɔwɔ dwensɔtwaa mu yare a enni sabea bɛyɛ 35% ne nnipa a wɔwɔ dwensɔtwaa mu yare a emu yɛ den bɛyɛ 10% mu. Pseudocysts ne cyst a ɛtaa ba wɔ dwensɔtwaa mu. Wɔn na wɔyɛ bɛyɛ 75% wɔ pancreatic cysts nyinaa mu. Nanso, mpɛn pii no, ɛnyɛ nea abu so kɛse. Wɔka mpanyimfo bɛyɛ 3% afe biara. Wɔn ho yɛ na koraa wɔ mmofra mu.

Dɛn na ɛde pancreatic pseudocysts ba?

Nea ɛde eyi ba titiriw ne dwensɔtwaa mu ɔfe, a ɛyɛ `(Pancreatitis)`. Ade titiriw a ɛde `(Pancreatitis)` a ɛma pseudocysts ba ne nsa a wɔnom . Pancreatic pseudocysts 70% fi dwensɔtwaa mu yare a nsa na ɛde ba. Ade titiriw a ɛto so abien a ɛde ba ne dwensɔtwaa mu yare a ɛnam akisikuru so. Wɔ mmofra mu no, saa tebea yi taa fi opira bi `(Trauma).`

Fa no sɛ, sɛ dwensɔtwaa no ho yɛ hyew esiane dwensɔtwaa mu yare nti, anaasɛ sɛ epira wɔ akwanhyia mu a, dwensɔtwaa no mu ntini no betumi asiw, anaasɛ abusuabɔ a ɛda ne dwensɔtwaa ntam no betumi asɛe. Afei, nsu a dwensɔtwaa no yɛ no bi tu kɔ baabi a ɛwɔ yafunu no mu, kyerɛ sɛ, yafunu no mu. Saa nsu yi boaboa ano wɔ akwaa no afasu ntam, na kotoku bi a ɛbɔ ho ban twa ho hyia, sɛnea madi kan aka no. Ɛno ne nea wɔfrɛ no pseudocyst.

Dɛn ne sɛnkyerɛnne ahorow a ɛkyerɛ sɛ obi anya dwensɔtwaa mu pseudocyst?

Ebia pseudocyst nketewa remfa sɛnkyerɛnne biara mma. Nanso, ebia nea ɛsõ sen saa no. Wɔn sɛnkyerɛnne betumi ayɛ te sɛ dwensɔtwaa mu yare no. Nanso, wɔtaa nya wɔ adapɛn pii akyi wɔ dwensɔtwaa mu yare a emu yɛ den akyi, anaasɛ bere a dwensɔtwaa a enni sabea akɔ anim na aka dwensɔtwaa no mu ntini no akyi.

Nsɛnkyerɛnne a ɛtaa ba:

• Yafunu mu yaw: Eyi ne sɛnkyerɛnne titiriw.
• Wo yafunu a ɛyɛ wo yaw: Ebia wo yafunu bɛte nka sɛ ayɛ ma.
• Anorexia: Nkate a ɛne sɛ ɔmpɛ sɛ odidi.
• Akisikuru anaa ɔfe: Saa nsɛnkyerɛnne yi nso abu so.

Sɛ nsɛnnennen ba a, yare no ho sɛnkyerɛnne:

Ɛtɔ da bi a, sɛ nsɛnnennen ba a, sɛnkyerɛnne te sɛ eyinom nso betumi aba:

• Atiridii anaa atiridiinini: Eyi betumi ayɛ ɔyare mmoawa ho sɛnkyerɛnne.
• Koma a ɛbɔ a ɛkɔ soro:
• Adwene a ɛyɛ basaa anaasɛ te nka sɛ ne ti yɛ hare:
• Jaundice: Aniwa ne honam ani yɛ kɔkɔɔ.

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

Ɛwom sɛ nsɛnnennen ntaa mma de, nanso eye sɛ wubehu.

• Nyarewa: Bere a dwensɔtwaa mu nsu nkutoo na ɛwɔ pseudocyst dodow no ara mu no, ebia ntini a awu asinasin na ɛwɔ ebinom mu. Sɛ eyi ba a, mmoawa te sɛ mmoawa tumi di ntini a awuwu no na ɛde ɔyare mmoawa ba. Pseudocyst a ɔyare no wɔ no betumi ayɛ asiane kɛse sɛ ɛpae a. Ɛwom sɛ eyi ntaa mma de, nanso sɛ ɛba saa a, ɔyare no betumi atrɛw akɔ yafunu no mu, na ɛde tebea bi a wɔfrɛ no septicemia aba.
• Ntini a ɛtwetwe: Pseudocyst kɛse betumi amia mogya ntini anaa bile duct a ɛbɛn hɔ, na ebetumi asiw mogya a ɛsen anaasɛ bile a ɛsen fa ntini no mu no kwan. Pseudocyst no nso betumi amia dwensɔtwaa no mu ntini no, na ɛde nsɛnnennen foforo aba.
• Yafunu mu akwanside: Pseudocyst kɛse bi betumi asiw yafunu anaa dwensɔtwaa ketewaa no ano, na ama ayɛ den sɛ wobedi anaa wɔbɛnom. Eyi betumi ama ayɛ den sɛ obedidi na watu nsu.
• Mogya a ɛtɔ: Sɛ wɔde pseudocyst bi mia mogya ntini bi mu a, saa ntini no fasu betumi asɛe na ama mogya atu. Sɛ mogya fi mogya ntini no mu kɔ pseudocyst no mu a, cyst no betumi apae.

Kae sɛ ɛnyɛ obiara na onya saa nsɛnnennen yi. Mpɛn pii no, pseudocysts sa yare a ɔhaw biara nni ho.

Ɔkwan bɛn so na nnuruyɛfo hu dwensɔtwaa mu pseudocysts?

Mpɛn pii no, nnuruyɛfo betumi de mfonini a ɛyɛ papa te sɛ CT mfonini a ɛkyerɛ sɛnea nneɛma te anaa MRI mfonini ahu dwensɔtwaa mu pseudocysts. Nanso ɛtɔ mmere bi a, ɛsɛ sɛ wɔfa nhwɛsode bi de hu sɛ ebia ɛyɛ pseudocyst anaasɛ akisikuru foforo. Wɔde endoscopic ultrasound ne fine needle aspiration na ɛyɛ eyi.

Endoscopic ultrasound a wɔde hwɛ nipadua no mu

Eyi hwehwɛ sɛ wɔde endoscopy ne ultrasound ka bom. Oduruyɛfo no de afiri tenten bi (endoscope) a mfoninitwa afiri ketewaa bi abata wo menewam na ɛkɔ wo dwensɔtwaa ketewa no mu. Afei, wɔde afiri a ɛyɛ tratraa foforo a ultrasound afiri no fã ketewaa bi wom fa afiri kɛse no mu de hwehwɛ dwensɔtwaa no mu.

Fine needle aspiration a wɔde hyɛ nipadua muFine needle aspiration a wɔde hyɛ nipadua mu

Eyi yɛ biopsy bi. Bere a wɔreyɛ endoscopy no, oduruyɛfo no betumi de ade a ɛyɛ tratraa a ɛyɛ tokuru ahyɛ afiri no mu na wagye nsu ne ntini bi afi pseudocyst no mu. Afei wɔde saa nhwɛsode ahorow yi kɔ adwumayɛbea bi ma wɔsɔ hwɛ.

Ɔkwan bɛn so na saa pseudocysts yi da adi wɔ scan ahorow mu?

Yɛn dwensɔtwaa no te sɛ apataa - a ɛwɔ ti, mfinimfini fã ne dua. Pseudocysts bɛyɛ nkyem abiɛsa mu abien nyin wɔ dwensɔtwaa no dua fã, na nkyem abiɛsa mu biako nso nyin wɔ ti fã. Wɔtaa yɛ kurukuruwa, na wɔn ani yɛ torotoro na wɔn afasu mu da hɔ. Nsu bi a emu da hɔ na ɛyɛ nsu wɔ mu. Wɔn kɛse tumi gu ahorow fi sɛntimita 2 kosi 30. Nnipa binom wɔ bi, na afoforo nso wɔ dodow bi.

Ɔkwan bɛn so na nnuruyɛfo sa dwensɔtwaa mu pseudocysts?

Pancreatic pseudocysts dodow no ara ankasa siesie bere kɔ so. Nnuruyɛfo hwɛ wɔn so na wɔde ɔhwɛ a ɛboa ma sɛnea ɛho hia. Nhwɛsoɔ:

• Nnuru a wɔde kum ɛyaw: Wɔde nnuru ma de tew ɛyaw so.
• Nsu a wɔde fa IV mu: Wɔde nneɛma te sɛ nkyene ma sɛnea ɛbɛyɛ a nsu ntumi nkɔ nipadua no mu na ama nipadua no anya nsu a ehia.
• Aduan a wɔde ma (ɛdenam afiri mu anaasɛ wɔde fa ntini mu (IV): Sɛ wuntumi nnidi a, wɔde aduannuru fa afiri mu anaa wɔde fa ntini mu ma.

Sɛ pseudocysts no ankasa nsa, anaasɛ ɛda nsɛnnennen ho sɛnkyerɛnne adi a, nnuruyɛfo de wɔn ho bɛhyɛ mu na wɔasa.

Bere tenten ahe na egye ansa na dwensɔtwaa mu pseudocyst asa?

Mpɛn pii no, nnuruyɛfo de wɔn ho gye mu sɛ pseudocysts wɔ hɔ bɛboro adapɛn asia a. Wɔn mu bɛyɛ nkyem abiɛsa mu biako bɛsa wɔn ankasa yare wɔ saa bere yi mu. Sɛ wowɔ pseudocysts pii, anaasɛ wowɔ nsɛnnennen a ɛtra hɔ kyɛ, te sɛ akuru a efi dwensɔtwaa mu yare a enni sabea mu ba a, ebia ɛnyɛ den koraa sɛ wɔn ankasa bɛsa.

Dɛn ne ayaresa ahorow a wɔde sa pseudocyst a ɛyɛ den na asiane kɛse wom?

Nnuruyɛfo sa pseudocysts denam nsu a wɔtwe fi mu no so. Wobetumi ayɛ eyi wɔ akwan horow pii so. Mpɛn pii no, endoscopic drainage ne nea edi kan a wɔpaw. Nanso, wɔ nsɛm bi mu no, akwan foforo te sɛ oprehyɛn betumi ahia. Endoscopic drainage yɛ adeyɛ a ɛnyɛ den pii a ebetumi ama wɔanya nea ɛte saa ara bere tenten wɔ oprehyɛn mu.

Cystogastrostomy a wɔde yɛ adwuma

Eyi ne ɔkwan a wɔfa so yɛ ade a wɔahyɛ da ayɛ. Cystogastrostomy yɛ adeyɛ a ɛma abusuabɔ ba pseudocyst no ne wo yafunu no ntam, na ɛma nsu a ɛwɔ cyst no mu no kɔ wo yafunu mu. Wobetumi de saa nkitahodi yi akɔ dwensɔtwaa ketewaa anaa dwensɔtwaa no mu a egyina baabi a pseudocyst no wɔ so.

Wo yafunu ne wo dwensɔtwaa ketewaa no tumi di nsu a efi pseudocyst no mu ba no ho dwuma yiye, efisɛ abien no nyinaa wɔ ade titiriw bi a ɛbɔ ho ban fi aduan mu enzymes ne acid ho. (Mpɛn pii no, dwensɔtwaa mu nsu kɔ dwensɔtwaa ketewa no mu.) Sɛ nsu no nyinaa sa a, akisikuru no fasu no ankasa bɛpete.

Dɛn na wubetumi ahwɛ kwan bere a woasa dwensɔtwaa mu pseudocyst awie no?

Sɛ wɔsa dwensɔtwaa mu pseudocyst a, ebegye nna kakraa bi wɔ ayaresabea. Ɛno akyi no, wɔbɛka akyerɛ wo sɛ san bra wɔ adapɛn kakraa bi akyi na woayi stent anaa nsu a wɔde yi nsu mu no afi hɔ. Ayaresa a wɔde yi nsuo no fi hɔ no di nkonim bɛboro 90%. Nanso, wɔ tebea horow a ɛntaa nsi mu no, pseudocysts betumi asan aba bio.

Bere bɛn na ɛsɛ sɛ wokɔ oduruyɛfo nkyɛn fa dwensɔtwaa mu pseudocyst ho?

Sɛ wowɔ dwensɔtwaa mu yare ho sɛnkyerɛnne a, kɔ oduruyɛfo nkyɛn ntɛm ara. Eyi kyerɛ sɛ: ɛyaw a ɛba wo yafunu mu a ɛhyerɛn kɔ w’akyi, na wowɔ akisikuru ne/anaasɛ wofe. Sɛ wɔasa wo dwensɔtwaa mu yare nnansa yi na wo sɛnkyerɛnne no san ba wɔ adapɛn anan kosi asia akyi a, ebia wowɔ dwensɔtwaa mu pseudocyst.

Pancreatic pseudocysts yɛ ade bɔne a ɛtaa ba wɔ dwensɔtwaa mu yare mu. Wobetumi ama w’ayaresa no akyɛ na ama woahia ayaresa pii bere a wususuw sɛ woawie no ara pɛ. Bere a eyi betumi ayɛ ade a ɛhaw adwene ankasa no, kae sɛ pseudocysts dodow no ara mfa ɔhaw foforo mma anaasɛ enhia ayaresa foforo.

Nnuruyɛfo dwen pseudocysts ho, nanso wɔtaa hwɛ so ara kwa. Sɛ wowɔ sɛnkyerɛnne ahorow a, wɔsa. Sɛ pseudocysts hwehwɛ sɛ wɔyɛ oprehyɛn a, mpɛn pii no nsu a wɔtwe fi mu no siesie ɔhaw no. Mpɛn pii no, saa ayaresa ahorow yi nyɛ nea wɔde hyɛ nipadua no mu kɛse, a ɛkyerɛ sɛ ennya nipadua no so nkɛntɛnso kɛse.

Nkrasɛm a Wɔde Kɔ Fie

Okay, enti nneɛma bi a ɛsɛ sɛ wokae fi nea yɛaka ho asɛm no mu ni:

• Pancreatic pseudocyst yɛ kotoku a nsu ahyɛ mu ma a ɛte sɛ kotoku a ɛtwa dwensɔtwaa no ho hyia bere a asɛe no, titiriw esiane dwensɔtwaa mu yare nti.
• Eyi nyɛ akisikuru ankasa, enti nsuro dodo sɛ ɛbɛdan kokoram.
• Mpɛn pii no, eyinom ankasa bɛyɛ yiye. Nanso, sɛ wɔyɛ akɛse, wonya ɔyare mmoawa, anaa wonya ɔhaw afoforo a, ebia ebehia sɛ wɔsa wɔn yare.
• Nea ɛde ba titiriw ne dwensɔtwaa mu yare a nsa de ba.
• Nsɛnkyerɛnne no betumi ayɛ yafunu mu yaw, akisikuru, aduan ho akɔnnɔ a ɛyera, ne akisikuru.
• Nnuruyɛfo nam nhwehwɛmu te sɛ `(CT scan)`, `(MRI)`, ne `(Endoscopic ultrasound)` so hu eyinom.
• Ayaresa titiriw ne nsu a wɔde fi nipadua mu, a mpɛn pii no wobetumi de endoscopic ayɛ.
• Sɛ wunya dwensɔtwaa mu yare ho sɛnkyerɛnne, anaasɛ sɛ sɛnkyerɛnne no san ba bere a woasa wo yare bere tiaa bi akyi a, hwɛ hu sɛ wobɛkɔ oduruyɛfo nkyɛn.

Ade a ɛho hia sen biara ne sɛ woremmɔ hu na wudi aduruyɛ mu afotu a ɛteɛ akyi. Yɛpɛ sɛ wo ho tɔ wo ntɛm!

` Pancreas, pseudocyst, pancreatitis, yafunu mu yaw, aduan mu nhyehyɛe, endoscopy, aduruyɛ