Loaʻa iā ʻoe kekahi mau cysts pancreatic? E kamaʻilio kākou e pili ana i kēia me nā kikoʻī!

Malia paha ua loaʻa iā ʻoe kahi `Scan` no kekahi kumu ʻē aʻe, e like me `CT` (Computed Tomography) a i ʻole `MRI` (Magnetic Resonance Imaging), a ua haʻi aku ke kauka iā ʻoe he cyst liʻiliʻi kou i loko o kou pancreas? Ke lohe ʻoe i kahi mea e like me ia, hiki iā ʻoe ke manaʻo koke i ka makaʻu a me ka hopohopo, ʻeā? Nui nā nīnau e like me "He aha kēia? He mea weliweli anei?" e kū mai ana i loko o kou manaʻo. No laila, mai hopohopo. I kēia lā, e kamaʻilio kākou e pili ana i kēia mau cysts i loko o ka pancreas me ka maopopo a me ka maʻalahi.

He aha ka ʻano o ka cyst pancreatic?

I ka ʻōlelo maʻalahi, he ʻeke liʻiliʻi a pehu paha ka cyst pancreatic i piha i ka wai e hana ʻia ana i loko o kou pancreas, a i ʻole ma luna o kona ʻili. E noʻonoʻo iā ia e like me kahi pōpō wai liʻiliʻi. Aia nā ʻano cysts like ʻole, i hoʻokaʻawale ʻia e like me nā mea cellular i hana ʻia ai lākou. Ua kapa ʻia kekahi mau ʻano he neoplastic. ʻO ke ʻano o ka neoplastic he hiki i kekahi o lākou ke lilo i kanesa i ka hala ʻana o ka manawa. Ua kapa ʻia kekahi mau ʻano he nonneoplastic. ʻAʻole ulu kēia mau cysts nonneoplastic i kanesa. No laila, ʻaʻohe mea e hopohopo ai.

He aha ka manaʻo o ka loaʻa ʻana o kahi maʻi pancreatic?

I kēia manawa, ke noʻonoʻo nei paha ʻoe, "ʻAe, he aha ke ʻano maoli o ia mea inā loaʻa iaʻu kekahi o kēia?" ʻOiai kekahi mau cysts pancreatic e pili ana i kahi maʻi i kapa ʻia ʻo pancreatitis, ʻo ka hapa nui o ka manawa e ulu aʻe lākou me ke kumu ʻole, kokoke i ka ulia. ʻO ka mea nui, ʻo ka hapa nui o nā cysts pancreatic ʻaʻole ia e hoʻopilikia iā ʻoe. Hiki iā lākou ke noho ma laila.

Eia nō naʻe, he mea kākaʻikahi loa, hiki i kahi ʻano puʻupuʻu i kapa ʻia ʻo `neoplastic` ke lilo i hoʻomaka o ka maʻi ʻaʻai pancreatic. ʻOi loa inā ua loaʻa i kekahi o kou ʻohana, ʻo ia hoʻi kou makuahine, kou makuakāne, kou mau kaikunāne a me kou mau kaikuahine, ka maʻi ʻaʻai pancreatic, ʻoi aku ka kiʻekiʻe o kēia pilikia ma mua o nā mea ʻē aʻe. Akā, ʻaʻole maʻamau ia no nā mea āpau.

Pono wau e hopohopo e pili ana i ka maʻi pancreatic?

ʻO kēia ka nīnau nui loa a ka poʻe he nui. Inā ʻike kāu kauka i kahi cyst pancreatic ma kahi scan kiʻi, e like me CT a MRI paha, e hoʻokaʻawale koke ʻo ia iā ia ma ke ʻano he haʻahaʻa, waena, a kiʻekiʻe paha . Hoʻokumu ʻia kēia hoʻokaʻawale ʻana ma ke ʻano o ka cyst i ʻike ʻia ma ke scan (e like me kona nui a me ke ʻano) a inā he mau hōʻailona kāu e pili ana iā ia.

Inā hāʻule ka puʻupuʻu i loko o ka māhele "pilikia haʻahaʻa", ʻaʻohe mea e hopohopo ai. I ka hapanui o nā hihia, ʻaʻohe mea hiki ke hana ʻia.

Inā he "waena" a "kiʻekiʻe" paha ka pilikia, e hāʻawi nā kauka i ka lāʻau lapaʻau e pono ai e like me kā lākou mau alakaʻi lapaʻau.

ʻO ka hapa nui o ka manawa, mālama ʻia nā puʻupuʻu pancreatic ma lalo o ke 'nānā ʻana'. ʻO ke ʻano o ke nānā ʻana, e nānā nā kauka iā lākou i kēlā me kēia manawa, e nīnau ana, "Ke ulu nui nei kēia puʻupuʻu? Ke loli nei ke ʻano? Aia kekahi mea hou?" Inā loli kahi puʻupuʻu haʻahaʻa i kahi puʻupuʻu pilikia waena i ka hala ʻana o ka manawa, hana ʻia kahi 'biopsy' e ʻike hou aku e pili ana iā ia. Hana ʻia kahi 'biopsy' ma ke komo ʻana i kahi mea e like me ka nila lahilahi, e lawe ana i kahi ʻāpana liʻiliʻi loa o ka ʻiʻo mai ka puʻupuʻu a nānā iā ia ma lalo o kahi microscope. Ma kēlā ala, hiki ke hoʻoholo ʻia ke ʻano kikoʻī o nā cell i loko. Inā loli kahi puʻupuʻu pilikia waena i kahi puʻupuʻu pilikia kiʻekiʻe, ʻo ia hoʻi ke ʻano he ʻoi aku ka maʻi kanesa, hoʻolālā nā kauka e hana i ke ʻoki e wehe iā ia.

Pehea ka maʻamau o nā cysts pancreatic?

Ua hōʻike ʻia nā noiʻi ua loaʻa nā cysts pancreatic ma kahi o 10% o ka poʻe e hana ʻia ana i nā CT scans (Computed Tomography scans) a me MRIs (Magnetic Resonance Imaging). ʻIke pinepine ʻia lākou ma ka ulia i ka wā o nā hoʻokolohua kiʻi i hana ʻia no kekahi kumu ʻē aʻe, e like me nā pilikia ʻōpū. No ka mea, he nui ka poʻe i loaʻa i kēia mau cysts a ʻaʻole hōʻike i kekahi mau hōʻailona, ​​ʻaʻole mākou i ʻike pono i ka nui o ka poʻe ma ka honua i ʻike ʻole he cysts ko lākou.

ʻO ka hapa hea o nā puʻupuʻu pancreatic e lilo i maʻi kanesa?

He mea nui nō hoʻi kēia. ʻAʻole i hiki i ka 1% o nā cysts pancreatic ke lilo i maʻi kanesa. He pakeneka liʻiliʻi loa ia. Eia nō naʻe, ma kahi o 30% o nā cysts pancreatic e hiki ke lilo i maʻi kanesa. Ua kapa ʻia kēia mau mea he cysts precancerous. ʻO ia ke kumu e makaʻala mau ai nā kauka iā lākou. Akā aia ka nūhou maikaʻi. Ulu pinepine kēia mau cysts precancerous i ka nui a loli weliweli. No laila, me ka nānā mau ʻana, ʻo ia hoʻi, me nā scans manawa, hiki ke ʻike ʻia nā loli maʻi kanesa i ka wā mua loa o ke kaʻina hana. A laila, hiki ke hoʻomaka koke ʻia ka lāʻau lapaʻau.

He aha nā ʻano like ʻole o nā cysts pancreatic?

He kikoʻī iki kēia, nui nā inoa lapaʻau. Akā e mālama kākou i ka maʻalahi. ʻŌlelo ʻia he ʻelua ʻano nui.

Nā Cysts Neoplastic a i ʻole Precancerous

Ua kapa ʻia hoʻi kēia mau mea he 'pancreatic cystic neoplasms (PCN).' ʻO kēia nā ʻano e pono ai mākou e nānā pono aku. ʻO kekahi o lākou:

• ʻO nā Intraductal Papillary Mucinous Neoplasms (IPMNs): ʻO kēia ke ʻano maʻamau o ka puʻupuʻu neoplastic. Hoʻomohala lākou i loko o ka pancreatic duct. ʻO ka pancreatic duct kahi paipu liʻiliʻi e lawe ana i nā wai ʻai i hana ʻia e ka pancreas i nā ʻōpū. ʻO ka wai i loko o kēia mau puʻupuʻu he hui ʻana o nā wai pancreatic a me kahi mea mānoanoa i kapa ʻia ʻo mucin. ʻO Mucin kahi ʻāpana o ka mucus. Hiki i kēia mucin ke hoʻoulu i ka pancreatic duct e pehu a lilo i mea nui.
• ʻO nā Neoplasms Cystic Mucinous (MCNs)ʻAʻole kēia mau mea i like me nā `IPMN`. ʻIke pinepine ʻia lākou i nā wahine ma luna o 50 mau makahiki. Hoʻokumu ʻia lākou ma ka ʻaoʻao waena o ka pancreas (ke `kino o ka pancreas`).
• ʻO nā Neoplasms Pseudopapillary Paʻa (SPNs): He mea kākaʻikahi loa kēia. Loaʻa iā lākou kahi ʻāpana paʻa a me kahi ʻāpana wai. Hoʻomohala pinepine lākou i nā wahine ʻōpio i ko lākou mau makahiki 20 a me 30.
• ʻO nā puʻupuʻu neuroendocrine pancreatic Cystic (PNETs): ʻO nā puʻupuʻu neuroendocrine pancreatic (i kapa ʻia hoʻi he mau puʻupuʻu cell islet) he ʻano puʻupuʻu kakaikahi. He mau puʻupuʻu paʻa lākou, akā hiki ke ʻike ʻia i kekahi manawa he cysts.

Nā cysts ʻaʻole cancerous ('Nonneoplastic' a i ʻole 'Benign Cysts')

ʻAʻole kēia mau mea ke kumu o ka maʻi kanesa. No laila, ʻaʻohe pono e makaʻu nui iā lākou.

• Nā Cysts Maʻalahi (a i ʻole nā ​​Cysts Paʻa): He mau cysts ʻino ʻole kēia e ulu ana i loko o ka pancreas, i hoʻokaʻawale ʻia mai ke ala pancreatic. Ua uhi ʻia lākou me kahi papa hoʻokahi o nā cell epithelial. ʻIke pinepine ʻia lākou i nā keiki ʻōpio.
• ʻO Serous Cystadenomas: He mau puʻupuʻu maʻamau a ʻino ʻole kēia. Eia nō naʻe, inā ulu nui lākou, hiki iā lākou ke hana i nā pilikia e like me ke kaomi ʻana i nā ʻōpū kokoke. I kēlā hihia, pono e wehe ʻia i kekahi manawa ma ke ʻoki ʻana.
• Nā Cysts Mucinous Nonneoplastic: He mau cysts hana mucin ʻino ʻole kēia. Eia nō naʻe, pono nā kauka e nānā pono iā lākou e hoʻokaʻawale iā lākou mai nā ʻano neoplastic, hiki ke lilo i maʻi kanesa.
• Nā Cysts Lymphoepithelial: He mau puʻupuʻu kakaikahi loa kēia, ʻino ʻole. ʻIke pinepine ʻia lākou i nā kāne.

Manaʻo koʻikoʻi: Aia kekahi mea ʻē aʻe i kapa ʻia ʻo 'Pancreatic pseudocysts'. I kekahi manawa, huikau ka poʻe i kēia me nā cysts maoli. Eia naʻe, ʻaʻole he ulu hou ka 'pseudocyst' e like me ka 'tumor'. He ʻeke piha wai ia e hana ʻia i ka wā e kahe ai nā wai pancreatic mai ka pancreas ma muli o kahi ʻeha i ka pancreas (e like me ka 'pancreatitis'). He maʻi maikaʻi ʻole nā ​​'Pseudocysts'.

He aha nā hōʻailona o ka maʻi ʻōpū pancreatic?

Eia kekahi mea e kahaha paha i nā poʻe he nui: ʻO ka hapa nui o nā puʻupuʻu pancreatic ʻaʻole ia e hōʻike i kekahi mau hōʻailona. ʻAe, he ʻoiaʻiʻo. ʻAʻole paha ʻoe e ʻike i kahi puʻupuʻu. Hoʻomaka wale nā ​​​​hōʻailona e ʻike ʻia ke lilo ka puʻupuʻu i nui e ālai a kaomi paha i ka duct pancreatic, ke ala biliary, a i ʻole ka ʻōpū a i ʻole nā ​​​​​​naʻau (gastrointestinal (GI) tract). Ke hana ʻia kēlā, hiki ke hana ʻia nā mea e like me kēia:

• ʻEha ʻōpū: Loaʻa pinepine ka ʻeha ma ka ʻōpū o luna.
• ʻEha hope: I kekahi manawa hiki i ka ʻeha o ka ʻōpū ke hoʻolaha i ke kua.
• Ka nalowale o ka makemake:Ua nalowale koʻu makemake e ʻai.
• ʻO ka pohō kaumaha i wehewehe ʻole ʻia: Ua pohō koke kou kaumaha ʻoiai ʻaʻole ʻoe e hoʻemi ana i ka ʻai a hoʻoikaika kino paha.
• Pehu: Manaʻo piha ʻoiai ma hope o ka ʻai ʻana i kahi liʻiliʻi.
• ʻAʻai ʻole: Manaʻo e like me ka mea ʻaʻole i ʻeli ʻia ka meaʻai.
• Nausea: Manaʻo e like me ʻoe e luaʻi ana.
• Jaundice: Lilo ke keʻokeʻo o nā maka a me ka ʻili i melemele. Hana ʻia kēia ke kahe pono ʻole ka bile.
• ʻO ka ʻōpala māmā, ʻaila (a i ʻole steatorrhea): Hoʻololi ke kala o ka ʻōpala a lilo i ʻaila.
• Manaʻo e like me kahi puʻupuʻu i loko o kou ʻōpū: Inā nui loa ka puʻupuʻu, hiki ke ʻike ʻia.

He aha ke kumu o nā cysts pancreatic?

ʻO nā cysts pancreatic he ulu ʻana o nā cell maʻamau ʻole. I ka ʻōlelo maʻalahi, loaʻa i nā cell kahi loli liʻiliʻi i kā lākou mau genes (kahi 'mutation genetic') a hoʻomaka e māhele maʻamau ʻole. Akā, ʻaʻole maopopo i nā mea noiʻi ke kumu o kēia mau loli genetic. Manaʻo lākou he hui pū ʻana paha o kahi predisposition genetic, ka mumū o ka pancreas, a me nā kumu waho ʻē aʻe, e like me ka ʻelemakule. He hapa liʻiliʻi loa o nā cysts e pili pono ana i kekahi mau kūlana hoʻoilina.

ʻO kekahi mau kūlana hoʻoilina e pili ana me nā cysts pancreatic:

• ʻO ka maʻi ʻo Von Hippel-Lindau
• ʻO ka maʻi puʻupaʻa Polycystic (ka nui o nā cysts i loko o nā puʻupaʻa)
• ʻO ka fibrosis cystic

Aia kekahi mau kumu e kōkua ai i ka ulu ʻana o nā ʻōpū pancreatic:

• ʻO ka holomua ʻana o ka makahiki: Piʻi ka pilikia o ka loaʻa ʻana o nā cysts pancreatic i kou wā ʻelemakule. Wahi a ka noiʻi, ua manaʻo ʻia he hapaha (25%) o ka poʻe i ko lākou mau makahiki 70 i loaʻa iā lākou.
• Pancreatitis: Pili kekahi ʻano o nā puʻupuʻu me ka pancreatitis. Eia kekahi, hiki i kekahi ʻano o nā puʻupuʻu ke hana i ka pancreatitis.
• Moʻolelo ʻohana: Inā ua loaʻa i kekahi o kou ʻohana ke kanesa pancreatic, a inā he maʻi hoʻoilina kou e pili ana i nā maʻi pancreatic, ʻoi aku ka nui o kou loaʻa ʻana o nā maʻi pancreatic.

He aha nā pilikia e hiki ke loaʻa mai nā maʻi ʻōpū pancreatic?

He mea kākaʻikahi loa nā pilikia, akā inā loaʻa lākou, hiki iā lākou ke komo pū me:

• Ka ālai ʻana o ke ala pancreatic:Hiki i kekahi mau ʻano puʻupuʻu i kapa ʻia ʻo 'mucinous neoplasms' ke hoʻopuka i kahi mea mānoanoa i kapa ʻia ʻo 'mucin' i loko o ke kahawai pancreatic. A laila hiki i ke kahawai ke pehu, hoʻopiha, a laila paʻa. Pale kēia i nā enzyme digestive i hana ʻia e ka pancreas mai ka hele ʻana ma o ke kahawai i loko o kou ʻōpū liʻiliʻi. A laila hele hou nā enzymes i loko o ka pancreas, e hōʻino ana iā ia a hoʻoulu i ka mumū o ka pancreas (pancreatitis). I kēia manawa, ʻaʻole loaʻa i kāu ʻōnaehana digestive nā enzymes e pono ai e hoʻoheheʻe i ka meaʻai.
• Ke ālai ʻia ʻana o ke ala bile: Inā e kaomi ana kahi puʻupuʻu nui i kahi ala bile, hiki iā ia ke ālai i ke kahe ʻana o ka bile. Ua kapa ʻia kēia he cholestasis. Hoʻoulu kēia i ka hōʻiliʻili ʻana o ka bile, kahi e hōʻino ai i ke ala bile a me nā ʻāpana ʻē aʻe e pili ana iā ia (e like me ke akepaʻa). Hiki i ka bile ke hui pū me ke koko, e hana ana i nā hōʻailona e like me ka jaundice.
• Ka ālai ʻana o ka ʻōpū: Inā e kaomi ana kahi puʻupuʻu nui i kou ʻōpū a i ʻole nā ​​​​​​naʻau, hiki iā ʻoe ke ʻike i nā ʻano hōʻailona ʻōpū like ʻole, me ka ʻeha o ka ʻōpū, ka ʻoluʻolu ʻole, ka pehu ʻana, ka paʻa ʻana o ka ʻōpū, a me ka nalowale o ka makemake. I nā hihia koʻikoʻi, hiki i ka meaʻai ke oki loa i ka neʻe ʻana ma kāu ʻōnaehana hoʻoheheʻe.
• ʻAʻai kanesa pancreatic: E like me ka mea i ʻōlelo ʻia ma mua, hiki i kahi pakeneka liʻiliʻi loa o nā puʻupuʻu ke ulu i loko o ke kanesa. ʻO ka hapa pinepine, he ʻano lākou i kapa ʻia ʻo adenocarcinoma. ʻO ke kanesa pancreatic kahi ʻano kanesa e pālahalaha koke ana. No laila, he mea nui loa ka ʻike ʻana iā ia i ka wā hikiwawe.

Pehea e hōʻike ai i kahi maʻi pancreatic?

Hoʻohana nā kauka i nā hoʻokolohua aʻe e hoʻoholo ai inā loaʻa kahi cyst pancreatic a, inā pēlā, pehea kona ʻano:

• Radiology: Hiki i nā ʻano hana kiʻi kiʻekiʻe, e like me nā scan CT a i ʻole nā ​​​​scan MRI, ke hōʻike maopopo i nā puʻupuʻu pancreatic. Hiki ke ʻike ʻia kekahi mau ʻano puʻupuʻu ma ke scan. Akā ʻo kekahi e pono ai ka hoʻāʻo hou aʻe e hoʻoholo pono i ke ʻano o lākou a i ʻole e ʻike inā he mau hunaola kanesa ko lākou. I kēia mau hihia, pono paha nā kauka e lawe i kahi laʻana (he biopsy) o ka puʻupuʻu.
• ʻO ka Endoscopic Ultrasound / Fine Needle Aspiration (EUS-FNA): ʻO ke kaʻina hana i kapa ʻia ʻo Endoscopic ultrasound (EUS) e ʻae i ke kauka e hoʻokomo i kahi endoscope liʻiliʻi a palupalu (kahi paipu me kahi kāmela a me kahi mea ultrasound) ma o ka waha a i loko o ka ʻōpū e hiki ai i kahi puʻupuʻu pancreatic. E hōʻike pololei ka ultrasound i kahi o ka puʻupuʻu, a e hoʻokomo ʻia kahi nila lahilahi (he nila lahilahi) ma o ka endoscope e wehe i kahi laʻana liʻiliʻi o ka ʻiʻo a me ka wai mai ka puʻupuʻu. Ua kapa ʻia kēia he fine needle aspiration (FNA). A laila ua kālailai ʻia ka laʻana ma kahi keʻena hoʻokolohua.
• Ka loiloi wai:Hoʻāʻo ʻia ka wai cystic mai ka FNA i loko o kahi keʻena hoʻokolohua e hoʻoholo ai i ke ʻano o ia mea. Ua kapa ʻia hoʻi kēia he cytology. Ke nānā nei lākou i nā mea e like me ka mucin. Kōkua ʻo Mucin i ka ʻike ʻana i nā neoplasms mucinous. Ke nānā pū nei lākou i nā māka tumor e like me ka carcinoembryonic antigen (CEA). He protein ka CEA i loaʻa i loko o ke koko, a hiki i kona mau pae ke hāʻawi i kekahi mau hōʻailona e pili ana i ke alo o ka maʻi kanesa.

He aha nā lāʻau lapaʻau no nā maʻi ʻōpū pancreatic?

ʻO ka mālama ʻana i kahi puʻupuʻu pancreatic e pili ana i nā kumu he nui, me ke ʻano o ka puʻupuʻu, kona nui, inā he hōʻailona ia, a me kona pilikia o ka lilo ʻana i maʻi kanesa. Eia nā koho lapaʻau nui:

• Nānā: ʻO ke ʻano kēia o ka hana ʻole ʻana, akā ke nānā mau nei a me ka nānā ʻana e ʻike inā loli ka ʻōpū.
• `Biopsy`: Ke lawe ʻana i kahi hāpana ʻiʻo a nānā iā ia e hoʻoholo ai i ke ʻano kikoʻī o ka puʻupuʻu.
• Ka wehe ʻana ma ke ʻoki ʻana: Inā manaʻo ʻia ka puʻupuʻu he mea weliweli a ke kumu nei paha i nā pilikia, e wehe ʻia ma ke ʻoki ʻana.

Hoʻōla ʻia ka hapa nui o nā cysts me ka nānā ʻana. ʻO ke ʻano kēia e loaʻa iā ʻoe nā scan kiʻi mai kēlā manawa a i kēia manawa (i kēlā me kēia 6 mahina, hoʻokahi makahiki, a ʻoi aku paha) e nānā i ka cyst. Inā he mau loli kānalua, hana ʻia kahi EUS-FNA a kālailai ʻia ke kahe. Inā hōʻike nā hopena i ka maʻi kanesa, hiki i kāu kauka ke ʻōlelo aku e wehe iā ia, ma muli o kou kūlana maikaʻi e hana ai i ke ʻoki kino.

Ke nalowale nei nā ʻōpū pancreatic iā lākou iho?

Hiki i kekahi mau puʻupuʻu maikaʻi ʻole, ʻoiai nā mea liʻiliʻi, ke emi iho ma o lākou iho, a i kekahi manawa nalo loa. Akā, ʻo nā ʻano i kapa ʻia ʻo neoplastic, hiki ke lilo i maʻi kanesa, ʻaʻole lākou e nalowale ma o lākou iho. I ka hapa nui o ka manawa, hoʻomau lākou i ka ulu ʻana, akā lohi loa. Nānā nā kauka i ko lākou ulu ʻana. Inā lākou e noho liʻiliʻi ana, ke ʻole lākou e nui loa a loli paha ma ke ʻano kānalua, ʻaʻohe hana a nā kauka e pili ana iā lākou, nānā wale lākou.

Pehea ka wikiwiki o ka ulu ʻana o nā ʻōpū pancreatic?

ʻOkoʻa ka nui o ka ulu ʻana o nā ʻano puʻupuʻu pancreatic, akā ma ke ʻano holoʻokoʻa, lohi loa ko lākou ulu ʻana. Inā ʻoi aku ka nui o ka ulu ʻana o kahi puʻupuʻu ma mua o 3 millimeters (3 mm) i kēlā me kēia makahiki, kānalua iki nā kauka a nānā nui aku. Inā e nānā ʻia ana kahi puʻupuʻu no nā loli, e nānā ʻia i kēlā me kēia makahiki, i kēlā me kēia ʻelua makahiki, a i ʻole i kekahi manawa i kēlā me kēia ʻelima makahiki, ma muli o ka wikiwiki o kona ulu ʻana.

I ka manawa hea e pono ai e wehe ʻia nā cysts pancreatic?

Pono paha e wehe ʻia kekahi mau puʻupuʻu pancreatic inā he mau pilikia a i ʻole ke kānalua ʻia he maʻi kanesa. Akā, he hana nui ka ʻoki ʻana i ka pancreas, me kona mau pilikia ponoʻī a me nā hopena ʻaoʻao. ʻO ia ke kumu e noʻonoʻo pono ai nā kauka i kēlā me kēia puʻupuʻu. Hahai lākou i nā alakaʻi lapaʻau kikoʻī e hoʻoholo ai i ka wā e hana ai a wehe i kahi puʻupuʻu.

Eia kekahi mau mea a lākou e noʻonoʻo nei:

• Nui: ʻO nā puʻupuʻu i ʻoi aku ma mua o 3 kenimika (3 cm), a i ʻole nā ​​mea i ʻike ʻia e ulu wikiwiki ana ma mua o ka maʻamau, pono paha e nānā ʻia no ka pilikia o ka maʻi kanesa. I kekahi manawa, ʻoiai ʻaʻole pōʻino nā puʻupuʻu nui, pono paha e wehe ʻia no ka mea e hōʻeha ai lākou a hoʻopilikia paha i nā kino ʻē aʻe.
• ʻAno: ʻOi aku ka nui o ka pilikia o kekahi mau ʻano puʻupuʻu (e laʻa me MCN, kekahi mau IPMN) i ka lilo ʻana i maʻi kanesa. Hiki i ke kauka ke ʻōlelo aku e wehe koke iā lākou. E loiloi nā kauka i ka pilikia o ka maʻi kanesa a hoʻohālikelike iā ia me nā pilikia o ke ʻoki kino, me ka noʻonoʻo ʻana i ke olakino holoʻokoʻa o ke kanaka.
• Nā hōʻailona ʻike maka: I kekahi manawa, ʻike nā kauka i nā hōʻailona ma nā scan e hōʻike ana he maʻi kanesa a precancerous paha ka puʻupuʻu. No ka laʻana, ʻike paha ʻoe ua hoʻonui ʻia kou duct pancreatic, ʻo ia hoʻi he neoplasm mucinous kou e hūnā ana i ka mucin i loko o ka duct. A i ʻole ʻike paha ʻoe he mau ʻāpana paʻa ko ka puʻupuʻu, ʻo ia hoʻi ʻaʻole ia he puʻupuʻu piha i ka wai, akā he puʻupuʻu paʻa.
• Kou kūlana: Loaʻa i kekahi poʻe nā kūlana olakino ʻē aʻe (e like me ka maʻi puʻuwai, ka maʻi diabetes) a i ʻole nā ​​​​kumu koʻikoʻi, e like me ka makahiki, e hoʻolilo ai i ke ʻoki pancreatic i mea pilikia no lākou. E kaupaona nā kauka i kēia mau mea pilikia e kūʻē i kou pilikia maʻi kanesa e hana i ka hoʻoholo maikaʻi loa.

Pehea e hana ʻia ai ke ʻoki ʻana e wehe i kahi puʻupuʻu pancreatic?

Inā ʻōlelo kāu kauka e wehe i kahi puʻupuʻu, ʻo ia hoʻi e hana ʻia ʻoe i ke ʻoki kino. He ʻoi aku ka paʻakikī o kēia mau ʻoki kino. I kekahi manawa hiki i ke kauka lapaʻau ke ʻoki pono i ka puʻupuʻu mai kou pancreas. Akā ʻoi aku ka pinepine, pono e wehe ʻia kahi ʻāpana o kou pancreas. Ma muli o kahi o ka puʻupuʻu, pono paha e wehe i nā ʻāpana o nā ʻāpana kokoke ʻē aʻe (e like me ka spleen a i ʻole kahi ʻāpana o ka ʻōpū liʻiliʻi).

Aia kekahi mau ʻano hana ʻoki kino e hiki ke hana ʻia:

• Enucleation: ʻO kēia ka wehe pono ʻana o kahi puʻupuʻu hoʻokahi mai ka pancreas me ka ʻole o ka hōʻino ʻana i nā ʻiʻo pancreatic olakino a puni. Inā he puʻupuʻu hoʻokahi, liʻiliʻi, maikaʻi ʻole kou, aia ia ma kahi hiki ke palpable, a ʻaʻole like me ke kanesa, hiki paha iā ʻoe ke kūpono no kēia ʻoki kino liʻiliʻi.
• ʻO ka hoʻopau ʻana i ka pancreas hapa:ʻO kēia ka wehe ʻana i ka ʻāpana o ka pancreas e loaʻa ana ka puʻupuʻu a i ʻole nā ​​puʻupuʻu. E noʻonoʻo i kou pancreas e like me ke ʻano o ka iʻa. He "poʻo," he "kino," a he "huelo." ʻO ka pancreatectomy waena e wehe i ka ʻāpana waena o ka pancreas. ʻO ka pancreatectomy distal e wehe i ka huelo. No ka mea, pili loa ka huelo o ka pancreas a me ka spleen, ʻo ka pancreatectomy distal pinepine e pili ana i ka wehe ʻana i ka spleen (splenectomy).
• ʻO ke kaʻina hana Whipple (i ʻike ʻia hoʻi he pancreaticoduodenectomy): He hana nui iki kēia. Hoʻopau ke kaʻina hana Whipple i ke poʻo o ka pancreas a me nā ducts pancreatic. Loaʻa pinepine nā puʻupuʻu kanesa, e like me nā neoplasms mucinous, ma kēia poʻo. He hui nui loa hoʻi ia kahi e hui ai ka ʻaoʻao o luna o kou ʻōpū liʻiliʻi (duodenum), ke duct pancreatic, a me ke duct bile maʻamau. Inā aia ke kanesa ma kekahi wahi ma kēia hui ʻana, hiki iā ia ke laha i nā lālā ʻē aʻe, no laila ʻaʻole wale ke kaʻina hana Whipple e wehe i ke poʻo o ka pancreas, akā, ʻo kou duodenum hoʻi, ke duct bile maʻamau, a me ka gallbladder, i hoʻopili ʻia i kekahi ʻaoʻao o ke duct bile maʻamau.
• ʻO ka pancreatectomy holoʻokoʻa: Pili kēia i ka wehe ʻana i kāu pancreas holoʻokoʻa . Pono paha kēia inā he nui kāu mau puʻupuʻu e wehe ai, a inā paha ua pālahalaha ke kanesa ma loko o kāu pancreas. Hiki i ka pancreatectomy holoʻokoʻa ke wehe i nā kīʻaha koko a me nā ʻōpū kokoke e like me ka spleen, gallbladder, duodenum, a me ka ʻāpana haʻahaʻa o ka ʻōpū.

He aha nā pilikia a me nā hopena ʻaoʻao o ke ʻoki ʻana i ka cyst pancreatic?

Hiki i ke ʻoki ʻana ma kou pancreas ke hoʻopilikia i kāna hana maʻamau. Pono ʻoe i kou pancreas e hana i kekahi mau enzyme digestive koʻikoʻi a me nā hormones, me ka insulin. ʻO ka insulin kahi hormone e kaohi i nā pae kō koko. Inā wehe kāu pancreatectomy i ka nui o nā cell e hana i nā enzymes a i ʻole insulin, pono ʻoe e lawe i nā lāʻau lapaʻau no ke ola holoʻokoʻa e pani iā ​​lākou. No ka laʻana, pono paha ʻoe i nā inikini insulin a i ʻole nā ​​​​​​pills enzyme digestive.

Hoʻoneʻe a hoʻololi paha kekahi mau ʻoki pancreatic i nā ʻāpana ʻē aʻe. Hiki iā lākou ke hoʻopilikia i kāu ʻōnaehana digestive, ʻōnaehana biliary, a me ka ʻōnaehana pale. Loaʻa paha iā ʻoe ka pilikia i ka ʻeli ʻana i kekahi mau meaʻai a me ka omo ʻana i kekahi mau meaola (ʻoi aku ka momona) ma hope. Inā loaʻa iā ʻoe kahi splenectomy, e nāwaliwali iki paha kāu ʻōnaehana pale, a hiki iā ʻoe ke loaʻa pinepine i nā maʻi.

ʻO nā hopena ʻaoʻao kikoʻī e hiki ke hana ʻia:

• Maʻi diabetes: Inā ua luku ʻia nā pūnaewele e hana ana i ka insulin.
• ʻO ka lawa ʻole o ka pancreas exocrine:ʻAʻole lawa nā enzymes digestive i hana ʻia e ka pancreas. Hiki i kēia ke hana i ka meaʻai e hele ma ka ʻōpū me ka ʻole o ka ʻeli ʻia.
• ʻO ka malabsorption momona: He paʻakikī ke hoʻoheheʻe ʻia nā meaʻai momona.
• Ka palekana i hoʻopilikia ʻia: Inā wehe ʻia ka spleen.

ʻO nā pilikia maʻamau ʻē aʻe o ke ʻoki ʻana:

• Ke kahe ʻana o ke koko
• Nā maʻi
• Nā ʻūpā koko
• Ka leaka anastomotic (ka leakage mai kahi i hoʻopili hou ʻia ai nā mea e like me nā ʻōpū i ka wā o ke ʻoki ʻana)

Pehea ke koʻikoʻi o ka maʻi pancreatic?

Ma ke ʻano helu, ʻaʻole nui ka pilikia o nā puʻupuʻu pancreatic. Mālama nā kauka i nā puʻupuʻu pancreatic me ke akahele loa, no ka mea makemake lākou e pale i kekahi pilikia. E loiloi lākou i kāu puʻupuʻu a hoʻoholo i nā mea e pono ai ke hana. ʻOiai he mea koʻikoʻi ke ʻoki ʻana i ka pancreas, ʻaʻole pono ka hapa nui o nā puʻupuʻu pancreatic i ke ʻoki ʻana. No laila, mai hopohopo ke ʻike ʻoe he puʻupuʻu kou.

He aha ka manawa e ola ai ma hope o ka mālama ʻana no ka maʻi pancreatic?

Aia kēia i ke ʻano o ka puʻupuʻu a me ka mamao o kona laha ʻana. Inā wehe ʻia ka puʻupuʻu ma mua o kona lilo ʻana i maʻi kanesa (precancerous) a i ʻole i ka wā i laha ʻole ai ke kanesa (noninvasive), ʻo ka nui o ke ola ʻelima makahiki ma hope o ke ʻoki ʻana i ke kanesa pancreatic kokoke i ka 100%. ʻO ke ʻano kēia he maikaʻi loa nā hopena. No ka poʻe me ke kanesa invasive, ʻo ka nui o ke ola ʻelima makahiki ma hope o ka mālama ʻana ma kahi o 65%-75%. ʻOkoʻa nō hoʻi kēia ma muli o ke ʻano o ka puʻupuʻu a me ke kahua o ke kanesa. ʻO ka nui o ka make (ka pilikia o ka make ʻana mai ke ʻoki ʻana) no kekahi ʻoki pancreatic nui ma kahi o 4%.

He aha nā nīnau e pono ai iaʻu e nīnau aku i kaʻu kauka e pili ana i kaʻu mau cysts pancreatic?

Ke ʻike ʻoe he puʻupuʻu pancreatic kou, he mea maʻamau ka loaʻa ʻana o nā nīnau he nui i loko o kou manaʻo. Loaʻa iā ʻoe ke kuleana e nīnau i kāu kauka i nā nīnau e like me:

• "He aha ke ʻano o ka puʻupuʻu i loaʻa iaʻu?"
• "He haʻahaʻa, waena, a kiʻekiʻe paha koʻu pilikia o ka loaʻa ʻana o ka maʻi ʻaʻai umauma?"
• "ʻEhia pinepine e pono ai iaʻu ke kiʻi imaging e nānā i koʻu mau puʻupuʻu?"
• "E nui aʻe anei koʻu mau umauma? Inā pēlā, pehea ka wikiwiki?"
• "ʻOiai ʻaʻohe oʻu hōʻailona, ​​pono anei iaʻu e wehe i kēia puʻupuʻu?"
• "Inā pono iaʻu e hana i ke ʻoki kino, he aha nā pilikia? He aha nā hopena ʻaoʻao e loaʻa iaʻu?"

Ke noʻonoʻo ʻoe e pili ana i ke kanesa pancreatic a me ke ʻoki ʻana, ʻoiai he liʻiliʻi loa ka pilikia, hiki iā ia ke hoʻoulu i ka hopohopo nui. Akā e hoʻomanaʻo, ʻaʻohe mea e makaʻu ai ka hapa nui o nā puʻupuʻu pancreatic. Ua hoʻolālā ʻia nā alakaʻi lapaʻau no ka nānā ʻana, ka hoʻāʻo ʻana, a me ka mālama ʻana i nā puʻupuʻu pancreatic e hōʻoluʻolu i kēlā makaʻu pono ʻole a pale iā ʻoe.

He mea maʻamau nā ulu ʻano ʻē (e like me nā cysts) i nā ʻōpū he nui, ʻoiai ke ulu ʻoe. ʻO nā cysts pancreatic kekahi ʻōpū hou e hoʻohui i kēlā papa inoa. He liʻiliʻi loa ka pilikia o kēia mau ulu ʻana e lilo i maʻi kanesa. Inā wehe koke ʻoe i kahi cyst precancerous, ʻaʻole ia e loaʻa ka manawa e lilo ai i maʻi kanesa.

ʻO nā mea nui loa e pono ai ʻoe e hoʻomanaʻo

Mai hopohopo a makaʻu paha ke haʻi ʻia aku he cyst pancreatic kou. E hanu iki a kamaʻilio ākea me kāu kauka.

ʻO ka hapa nui o ka manawa, ʻaʻohe mea ʻino kēia mau mea, ʻaʻole hōʻike i nā hōʻailona, ​​a ʻike ʻia ma ka ulia.

Inā ʻōlelo ke kauka pēlā, e noi i nā kikoʻī. E wehewehe i ke ʻano o ka puʻupuʻu āu, pehea e pili ai iā ʻoe, a me nā mea āu e pono ai e hana ma hope.

ʻOiai aia kekahi mau ʻano maʻi kanesa e hiki ke ulu, aia nā ʻano hana holomua i kēia manawa e ʻike ai iā lākou a, inā pono, e mālama iā lākou i ka manawa kūpono. ʻO ka mea nui loa, ʻo ia ka hahai pono ʻana i nā ʻōlelo a ke kauka a loaʻa nā scans hahai i ka manawa kūpono. A laila, ʻaʻole ʻoe e hopohopo no kēia mea pono ʻole. E ola i kahi ola olakino!

ʻAkeka , Nā Kika ʻAkeka, Kanesa ʻAkeka, Nā Hōʻailona ʻAkeka, Lāʻau ʻAkeka, ʻOki ʻAkeka