Ðe ʋuʋudedi si yɔ fũ kple tsi hã le wò dɔgbo mea? (Pancreatic Pseudocyst) - Ðe míaƒo nu tso esia ŋua?

Ðe dɔléle aɖe si woyɔna be dɔgbo ƒe dɔléle ɖe fu na wò kpɔa? Ne edzɔ alea la, kotoku si me tsi yɔ fũ ate ŋu aƒo xlã míaƒe dɔgbo ɣeaɖewoɣi. Esiae nye nusi míeyɔna be pancreatic pseudocyst. Ŋkɔa aɖi vɔvɔ̃ vie, gake ne míenya nya nusi wònye ko la, mehiã be míatsi dzodzodzoe o.

Nukae nye dɔgbo ƒe pseudocyst?

Kpuie ko la, ne wò dɔgbo gblẽ, le kpɔɖeŋu me, ne dɔdzẽ le ŋuwò la, kotoku si me tsi yɔ fũ si woyɔna be dɔgbo ƒe aʋatsokaka la dzɔna ƒo xlãe. Azɔ kpɔ ɖa, míaƒe dɔgbo nye ŋutinu vevi aɖe si le dɔgboa ƒe akpa si le etame. Ewɔa enzyme, alo nusiwo kpena ɖe mía ŋu míeɖua nuɖuɖu siwo míeɖuna. Enzyme siawo zɔa mɔ abe tsi ene to dɔgboa ƒe mɔ̃ me yia míaƒe dɔgbo suea me.

Gake ne dɔléle sesẽ aɖe abe dɔdzẽ ene do mo ɖa la, dɔgboa ƒe mɔ̃ sia ate ŋu agblẽ, si ana tsi si me nuɖuɖumeŋusẽwo le la nado go. Lãmetsi sia si le dodom la nana lãmeka siwo ƒo xlãe la mesea veve o. Emegbe ŋutilãa wɔa gli si kpɔa ame ta ƒo xlã tsi si le dodom la. Gli sia nye lãmenugbagbevi siwo me ka le, siwo le abe abi ene. Emae nye nusi míeyɔna be pseudocyst.

Vovototo kae le cyst vavã kple pseudocyst dome?

Esia nye nya vevi aɖe ŋutɔ. Dɔgbo ƒe pseudocyst menye cyst ŋutɔŋutɔ o. Elabena menye dɔgboa ŋutɔ ƒe lãkusi ŋutɔŋutɔe wɔe o. Abe alesi megblɔe va yi ene la, abi ƒe lãkusi si me ka le ye le eƒe gli ŋu. Lãmenugbagbevi tɔxɛ siwo woyɔna be lãmenugbagbevi siwo woyɔna be epithelial cells siwo le dɔgboa ƒe lãkusi ŋutɔŋutɔwo me la mele pseudocyst siawo ƒe gliwo me o. Ke boŋ wotsɔa granulation tissue tsyɔa woƒe gliwo dzi. Granulation tissue sia nye lãmenugbagbevi yeye ƒomevi aɖe si dzɔna ɖe abi tame ne ehaya.

Kpuie ko la, menye wɔwɔme si to vovo ŋutɔŋutɔe dɔgbo ƒe aʋatsokaka nye o, ke boŋ enye abi si dɔdzẽ hena vɛ. Dɔgbo ƒe ʋuʋudedi nye tsitsi le dɔgboa ƒe gli me si dona tso eya ŋutɔ ƒe lãkusi me. Tsi kple nu sesẽ siaa ate ŋu anɔ eme. Aɖuɖɔtoe aɖewo ate ŋu atrɔ azu kansa. Gake pseudocysts menye nɔnɔme si do ŋgɔ na kansa o.

Ðe afɔku le dɔgboa ƒe pseudocyst sia mea?

Zi geɖe la, dɔgbo ƒe aʋatsokaka metrɔna zua kansa o, eye ƒã hafi wohea kuxi sesẽwo vɛ. Wo dometɔ akpa gãtɔ ƒe lãme sẽna le wo ɖokui si le ɣeyiɣi aɖe megbe. Gake ne ƒunukpeƒetetedɔ siawo lolo la, afɔku sue aɖe li be woadze ŋutinu alo ʋuka siwo te ɖe wo ŋu dzi. Ɣeaɖewoɣi la, woate ŋu axɔ dɔa hã. Ɣemaɣie ɖɔktawo dea nu nyaa me hedaa dɔ na wo. Eyata mehiã be nàtsi dzodzodzoe o, gake ele vevie be nànya esia.

Aleke gbegbee nɔnɔme sia bɔe?

Pseudocysts of the pancreas nye nɔnɔme si ateŋu adzɔ le amesiwo ŋu dɔdzẽ si nɔa anyi didi le abe 35% ene kple amesiwo ŋu dɔdzẽ sesẽ le abe 10% ene. Pseudocysts ye nye cyst ƒomevi si bɔ wu le dɔgboa me. Woawoe nye dɔgbo ƒe ʋuʋudediwo katã ƒe 75% lɔƒo. Gake le goawo katã me la, womebɔ boo o. Wodzea ame tsitsi siwo ade 3% dzi ƒe sia ƒe. Wobɔ ŋutɔ le ɖeviwo me.

Nukae hea aʋatsokaka siwo le dɔgboa me vɛ?

Nusi koŋ gbɔ esia tsona enye dɔdzẽ si le dɔgboa me, si nye `(Aɖuɖɔtoedɔ)`. Nusi koŋ gbɔ `(Pancreatitis)` si nana pseudocysts dzɔnae nye ahanono . 70% le dɔgboa ƒe pseudocysts me tso ahanono ƒe dɔgbo ƒe dɔléle gbɔ. Nu vevitɔ evelia si gbɔ wòtsonae nye dɔgbo ƒe dɔléle si tsoa aɖuɖɔ me kpewo gbɔ. Le ɖeviwo gome la, zi geɖe la, abi ƒomevi aɖe `(Trauma) gbɔe nɔnɔme sia tsona.`

Bu eŋu kpɔ, ne dɔgboa xɔ abi le dɔgbo ƒe dɔléle ta, alo ne exɔ abi le afɔku aɖe me la, dɔgboa ƒe mɔ̃a ate ŋu axe, alo eƒe kadodo kple dɔgboa ate ŋu agbã. Emegbe, tsi si dɔgboa wɔna la dometɔ aɖewo sina yia teƒe si le ƒodoa me, si nye ƒodoa me. Lãmetsi sia ƒoa ƒu ɖe ŋutinuwo ƒe gliwo dome, eye ametakpɔkotoku aɖe ƒoa xlãe, abe alesi megblɔe va yi ene. Emae nye nusi woyɔna be pseudocyst.

Nukae nye dɔgbo ƒe aʋatsokaka ƒe dzesiwo?

Ðewohĩ pseudocyst suewo mahe dzesi aɖeke vɛ o. Ke hã, esiwo lolo wu ate ŋu adzɔ. Woƒe dzesiwo ate ŋu asɔ kple dɔdzẽ ƒe dzesiwo. Gake zi geɖe la, wodzɔna le kwasiɖa geɖe le dɔgbo ƒe dɔléle sesẽ megbe, alo ne dɔgbo ƒe dɔléle si nɔa anyi didi la do ŋgɔ eye wògblẽ nu le dɔgboa ƒe mɔ̃a ŋu vɔ megbe.

Dzesi siwo bɔ:

• Dɔgbo ƒe vevesese: Esiae nye dzesi vevitɔ.
• Ʋuʋudedi: Wò dɔgbo ate ŋu ase le eɖokui me be yeyɔ.
• Nuɖuɖumadzroame: Seselelãme si nye be yemedi be yeaɖu nu o.
• Aɖuɖɔtoe alo aɖuɖɔtoe: Dzesi siawo hã bɔ.

Dzesiwo ne kuxiwo do mo ɖa:

Ɣeaɖewoɣi la, ne kuxiwo do mo ɖa la, dzesiwo abe esiawo ene hã ate ŋu ado mo ɖa:

• Asrã alo vuvɔ: Esia ate ŋu anye dɔlékui aɖe ƒe dzesi.
• Dzi ƒe tsotso ƒe dzidziɖedzi:
• Taɖuame alo taɖuame ƒe seselelãme:
• Jaundice: Ŋku kple ŋutigbalẽ ƒe ɣie.

Nukawoe nye kuxi siwo ate ŋu ado tso dɔgboa ƒe aʋatsokaka me?

Togbɔ be kuxiwo mebɔ o hã la, anyo be nànya wo.

• Dɔlékuiwo: Togbɔ be dɔgbo me tsi koe le pseudocyst akpa gãtɔ me hã la, lãkusi kuku kakɛwo ate ŋu anɔ wo dometɔ aɖewo me. Ne edzɔ alea la, dɔlékuiwo abe dɔlékuiwo ene ate ŋu aɖu lãmenugbagbevi kukuawo eye woaxɔ dɔlékuiwo. Pseudocyst si ŋu dɔlélea le ate ŋu anye afɔku gã aɖe ne egbã. Togbɔ be esia mebɔ o hã la, ne edzɔ la, dɔlékuia ate ŋu akaka ɖe ƒodoa ƒe akpa si le eme, si ahe nɔnɔme aɖe si woyɔna be septicemia vɛ.
• Ʋukawo ƒe tete: Pseudocyst gã aɖe ate ŋu ami ʋuka alo ʋuka si te ɖe eŋu, si ate ŋu axe mɔ na ʋu ƒe sisi alo ʋuka ƒe sisi to ʋukaa me. Pseudocyst la ate ŋu aƒo dɔgboa ƒe mɔ̃a hã nu ƒu, si ahe kuxi bubuwo vɛ.
• Dɔgbo ƒe mɔxexe: Pseudocyst gã aɖe ate ŋu axe dɔgboa alo dɔgbo suea, si ana nuɖuɖu alo nunono nasesẽ. Esia ate ŋu ana nuɖuɖu kple aɖuɖɔ ɖeɖe nasesẽ na ame.
• Ʋudodo: Ne womi aʋatsoka aɖe ɖe ʋuka aɖe ŋu la, ʋuka ma ƒe gli ate ŋu agblẽ eye wòana ʋu nado. Ne ʋu do tso ʋukaa me yi ɖe pseudocyst la me la, ʋukaa ate ŋu agbã.

Ðo ŋku edzi be menye amesiamee xɔa kuxi siawo o. Zi geɖe la, pseudocysts hayana kuxi aɖeke manɔmee.

Aleke ɖɔktawo wɔa dea dzesi dɔgbo ƒe aʋatsokaka?

Zi geɖe la, ɖɔktawo te ŋu dea dzesi dɔgboa ƒe aʋatsokakawo to foto si le nyonyome nyuitɔ me, abe CT scan alo MRI scan si me woɖea vovototo le ene. Gake ɣeaɖewoɣi la, ehiãna be woaɖe kpɔɖeŋu aɖe atsɔ anya nenye be pseudocyst alo dɔdzẽ ƒomevi bubue. Wozãa endoscopic ultrasound kple fine needle aspiration tsɔ wɔa esia.

Ultrasound si wotsɔa dɔlékuiwo kpɔna

Esia bia be woatsɔ endoscopy kple ultrasound aƒo ƒui. Ðɔktaa tsɔa mɔ̃ didi aɖe (endoscope) si me fotoɖemɔ̃ sue aɖe le la dea wò ŋɔti me yia wò dɔgbo suea me. Emegbe wotsɔa mɔ̃ tsɛ bubu si me ultrasound-mɔ̃a ƒe akpa sue aɖe le la toa mɔ̃ si lolo wu la me be woado dɔgboa kpɔ.

Aŋe nyui ƒe aspirationAŋe nyui ƒe aspiration

Esia nye ŋutilã ƒe akpa aɖewo ɖeɖeɖa ƒomevi aɖe. Le dɔlékuiwo me toto me la, ɖɔkta ate ŋu ade aŋe tsɛ aɖe si me do le la me to mɔ̃a me eye wòaxɔ tsi kple lãkusi aɖe tso pseudocyst la me. Emegbe woɖoa kpɔɖeŋu siawo ɖe nudokpɔƒe aɖe be woado wo kpɔ.

Aleke pseudocyst siawo dzena le scan-wo me?

Míaƒe dɔgbo ƒe nɔnɔme le abe tɔmelã ene - ta, titina kple asike le esi. Pseudocysts ƒe akpa eve le etɔ̃ me lɔƒo va nɔa dɔgboa ƒe asike ƒe akpa si le asike me, eye akpa etɔ̃lia mamlɛa tsina le ta ƒe akpa si. Zi geɖe la, woƒe nɔnɔme nɔa goglo, eye woƒe anyigba le gbadzaa eye woƒe gliwo me kɔ. Tsi si me kɔ eye tsi le eme la le eme. Woƒe lolome ate ŋu ato vovo tso sentimeta 2 va ɖo 30. Ðeka le ame aɖewo si, evɔ geɖe le ame bubuwo si.

Aleke ɖɔktawo daa dɔ na dɔgboa ƒe aʋatsokaka?

Dɔgbo ƒe aʋatsokaka akpa gãtɔ nu tsona le wo ɖokui si le ɣeyiɣi aɖe megbe. Ðɔktawo léa ŋku ɖe wo ŋu eye wonaa kpekpeɖeŋu wo ne ehiã. Le kpɔɖeŋu me:

• Vevesesenutsitikewo: Wona atikewo be woatsɔ aɖe vevesese dzi akpɔtɔ.
• Lãmetsi siwo wodona ɖe ʋuka me: Wonaa nuwo abe saline ene be tsi nagage ɖe lãme na ame o eye wòana tsi si ŋutilãa hiã.
• Nunyiame (to mɔ̃ me alo to ʋuka me (IV): Ne mète ŋu ɖua nu o la, wonaa nunyiame to mɔ̃ me alo to ʋuka me.

Ne pseudocysts mehaya le wo ɖokui si o, alo ne woɖe kuxiwo ƒe dzesiwo fia la, ɖɔktawo ade nu nyaa me ahada wo.

Ɣeyiɣi didi kae wòxɔna hafi dɔgboa ƒe pseudocyst hayana?

Zi geɖe la, ɖɔktawo dea nu nyaa me ne pseudocysts li wu kwasiɖa ade. Wo dometɔ siwo ade akpa etɔ̃lia ada gbe le wo ɖokui si le ɣeyiɣi sia me. Ne pseudocysts geɖe le ŋuwò, alo ne kuxi siwo nɔa anyi didi, abe abi siwo tso dɔgbo ƒe dɔléle si nɔa anyi didi gbɔ ene, le ŋuwò la, ɖewohĩ womate ŋu ada le wo ɖokui si o.

Nukawoe nye atike siwo wozãna na pseudocyst si sesẽ, si me afɔku le ŋutɔ?

Ðɔktawo daa pseudocysts to tsi si woɖena le wo me me. Woate ŋu awɔ esia le mɔ vovovowo nu. Zi geɖe la, tsi si woɖena le dɔgboa me ye nyea tiatia gbãtɔ. Gake le go aɖewo me la, mɔnu bubuwo, abe amekoko ene, ate ŋu ahiã. Endoscopic drainage nye dɔdamɔnu si me womewɔa nuvevi ame boo o si ate ŋu ana amekoko nado tso eme ɣeyiɣi didi nenema ke.

Cystogastrostomy ƒe dɔwɔwɔ

Esiae nye ɖoɖo si wowɔna ɖaa. Cystogastrostomy nye dɔwɔwɔ si naa kadodo nɔa pseudocyst kple wò dɔgbo dome, si wɔnɛ be tsi si le cyst la me la sina yia wò dɔgbo me. Le afisi pseudocyst la le nu la, woate ŋu awɔ kadodo sia kple dɔgbo suea alo dɔgbo ƒe mɔ̃a.

Wò dɔgbo kple dɔgbo sue ate ŋu akpɔ tsi si dona tso pseudocyst la me nyuie ŋutɔ, elabena nu tɔxɛ aɖe le wo ame evea siaa ŋu si kpɔa wo ta tso nuɖuɖumeŋusẽ kple acid me. (Zi geɖe la, dɔgbo me tsi gena ɖe dɔgbo suea me.) Ne tsiawo katã nya vɔ ko la, ƒunukpeƒea ƒe gli la alɔ̃ le eɖokui si.

Nukae nàte ŋu akpɔ mɔ na le dɔdamɔnu na dɔgbo ƒe aʋatsokaka vɔ megbe?

Dɔdamɔnu na dɔgbo ƒe aʋatsokaka abia be woanɔ kɔdzi ŋkeke ʋɛ aɖewo. Le ema megbe la, woabia tso asiwò be nàtrɔ ava le kwasiɖa ʋɛ aɖewo megbe aɖaɖe ʋuka siwo me woɖea tsi le alo tsi si woɖena tsoa eme la ɖa. Atikewɔwɔ siwo wowɔna tsɔ ɖea tsi la ɖa la kpɔa dzidzedze wu 90%. Gake le go siwo mebɔ o me la, pseudocysts ate ŋu agadzɔ ake.

Ɣekaɣie wòle be nàkpɔ ɖɔkta tso dɔgbo ƒe aʋatsokaka ŋu?

Ne dɔdzẽ ƒe dzesiwo le ŋuwò la, yi ɖɔkta gbɔ enumake. Esia fia be: vevesese le wò dɔgbo me si klẽna ɖe wò akɔta, eye wò ʋuʋudedi kple/alo ʋuʋudedi. Ne woda dɔ na wò nyitsɔ laa le dɔgbo ƒe dɔléle ta eye wò dzesiwo gadze le kwasiɖa ene va ɖo ade megbe la, ke ate ŋu anye be dɔgboa ƒe aʋatsokaka aɖe le ŋuwò.

Dɔgbo ƒe pseudocysts nye dɔgbo ƒe dɔléle ƒe nugbegblẽ le ame ŋu si bɔ. Woate ŋu ana wò atikewɔwɔ nadidi ɖe edzi eye wòana nàhiã atikewɔwɔ geɖe wu le ɣeyiɣi si tututu nèsusu be yewu enu. Togbɔ be esia ate ŋu anye nusi ŋu nàtsi dzi ɖo ŋutɔŋutɔ hã la, ɖo ŋku edzi be pseudocyst akpa gãtɔ mehea kuxi yeyewo vɛ alo hiãa atikewɔwɔ yeye o.

Ðɔktawo tsia dzi ɖe pseudocysts ŋu, gake zi geɖe la, ɖeko woléa ŋku ɖe wo ŋu. Ne dzesiwo le ŋuwò la, wodaa wo. Ne pseudocysts hiã be woawɔ dɔ na wo la, zi geɖe la, tsi si woɖe tso eme la kpɔa kuxia gbɔ. Zi geɖe la, atikewɔwɔ siawo mewɔa nu boo aɖeke o, si fia be womekpɔa ŋusẽ boo aɖeke ɖe ŋutilãa dzi o.

Gbedasi si Wotsɔ Yi Aƒeme

Enyo, eyata nu aɖewo siwo dzi wòle be nàɖo ŋkui tso nusiwo ŋu míeƒo nu tsoe me lae nye esi:

• Dɔgbo ƒe pseudocyst nye kotoku si me tsi yɔ fũ abe kotoku ene si ƒoa xlã dɔgboa ne egblẽ, vevietɔ le dɔdzẽ ta.
• Esia menye dɔdzẽ ŋutɔŋutɔ o, eyata mègavɔ̃ akpa be atrɔ azu kansa o.
• Zi geɖe la, amesiawo anyo ɖe edzi le wo ɖokui si. Gake ne wova lolo, dɔlékuiwo le wo ŋu, alo kuxi bubuwo do mo ɖa la, ate ŋu ahiã be woawɔ atike na wo.
• Nusi koŋ gbɔ wòtsonae nye dɔdzẽ si ahanono hena vɛ.
• Dzesiawo ate ŋu anye dɔgbo ƒe veve, fuɖename, nuɖuɖu ƒe dzodzro, kple lãmetutudɔ.
• Ðɔktawo dea dzesi esiawo to dodokpɔwo abe `(CT scan)`, `(MRI)`, kple `(Endoscopic ultrasound)` me.
• Dɔdamɔnu vevitɔe nye tsi si woɖena le lãme na ame, si woate ŋu awɔ zi geɖe to dɔgbo me.
• Ne dɔdzẽ ƒe dzesiwo dze le ŋuwò, alo ne dzesiawo gadze le atikewɔwɔ na wò ɣeyiɣi kpui aɖe megbe la, kpɔ egbɔ be yeyi ɖɔkta gbɔ.

Nu vevitɔe nye be màgatsi dzodzodzoe ahawɔ ɖe atikewɔlawo ƒe aɖaŋuɖoɖo nyuitɔ dzi o. Míele didim be nàhaya kaba!

` Dɔgbo, pseudocyst, dɔgbo ƒe dɔléle, dɔgbo ƒe vevesese, nuɖuɖumeŋusẽ, endoscopy, atikewɔwɔ