Loaʻa iā ʻoe kekahi cyst piha i ka wai i loko o kou pancreas? (Pancreatic Pseudocyst) - E kamaʻilio kākou e pili ana i kēia?

Ua loaʻa anei iā ʻoe kahi maʻi i kapa ʻia ʻo pancreatitis? Ke hana ʻia kēlā, hiki i kekahi manawa ke hana ʻia kahi ʻeke piha wai a puni ko mākou pancreas. ʻO kēia ka mea a mākou e kapa nei he pseudocyst pancreatic. He mea weliweli iki paha ka inoa, akā i ka manawa a mākou e ʻike ai i ke ʻano o ia mea, ʻaʻohe pono e hopohopo.

He aha ka pseudocyst pancreatic?

I ka ʻōlelo maʻalahi, ke hōʻino ʻia kou pancreas, no ka laʻana, ke loaʻa iā ʻoe ka pancreatitis, e hoʻokumu ʻia kahi ʻeke piha wai i kapa ʻia he pseudocyst pancreatic a puni ia. I kēia manawa e nānā, ʻo kā mākou pancreas kahi ʻōkana koʻikoʻi e loaʻa ana ma ka ʻaoʻao o luna o ka ʻōpū. Hana ia i nā enzymes, a i ʻole nā ​​​​mea e kōkua ai i ka hoʻoheheʻe ʻana i ka meaʻai a mākou e ʻai ai. Hele kēia mau enzymes ma ke ʻano he wai ma o ka duct pancreatic i loko o ko mākou ʻōpū liʻiliʻi.

Eia nō naʻe, i ka wā e loaʻa ai kahi maʻi koʻikoʻi e like me ka pancreatitis, hiki ke hōʻino ʻia kēia ala pancreatic, e hoʻoheheʻe ana i ka wai me nā enzyme digestive. Hoʻopilikia kēia wai e kahe ana i nā ʻiʻo a puni. A laila hana ke kino i kahi pā pale a puni ka leaka. Hana ʻia kēia pā me nā ʻiʻo fibrous, e like me ka ʻeha. ʻO ia ka mea a mākou e kapa nei he pseudocyst.

He aha ka ʻokoʻa ma waena o kahi cyst maoli a me kahi pseudocyst?

He mea nui loa kēia. ʻAʻole he cyst maoli ka pseudocyst pancreatic. No ka mea, ʻaʻole ia i hana ʻia me ka ʻiʻo maoli o ka pancreas ponoʻī. E like me kaʻu i ʻōlelo ai ma mua, ua hana ʻia kona paia me ka ʻiʻo ʻeha fibrous. ʻO ke ʻano kūikawā o nā cell i kapa ʻia he epithelial cells i loaʻa i loko o ka ʻiʻo pancreatic maoli, ʻaʻole ia i loko o nā paia o kēia mau pseudocysts. Akā, ua uhi ʻia ko lākou mau paia me ka ʻiʻo granulation. ʻO kēia ʻiʻo granulation kahi ʻano ʻiʻo hou e hana ʻia ma luna o kahi ʻeha ke ho'ōla ʻia.

I ka ʻōlelo maʻalahi, ʻaʻole he ʻano ʻokoʻa ka pseudocyst pancreatic, akā he ʻeha i hoʻokumu ʻia e ka mumū. ʻO ka cyst pancreatic kahi ulu ʻana i loko o ka paia o ka pancreas e ulu ana mai kona ʻiʻo ponoʻī. Hiki iā ia ke loaʻa nā mea wai a me nā mea paʻa. Hiki i kekahi mau cysts ke lilo i maʻi kanesa. Eia nō naʻe, ʻaʻole he kūlana precancerous nā pseudocysts.

He mea weliweli anei kēia pseudocyst pancreatic?

ʻO ka hapa nui o ka manawa, ʻaʻole e lilo nā pseudocyst pancreatic i ka maʻi kanesa, a ʻaʻole pinepine lākou e hoʻoulu i nā pilikia koʻikoʻi. Hoʻōla ka hapa nui o lākou iā lākou iho i ka hala ʻana o ka manawa. Eia nō naʻe, inā ulu nui kēia mau cysts, aia kahi pilikia liʻiliʻi o ka hoʻopilikia ʻana i nā ʻōpū kokoke a i ʻole nā ​​​​kīʻaha koko. I kekahi manawa hiki iā lākou ke loaʻa i ka maʻi. ʻO ia ka manawa e komo ai nā kauka a mālama iā lākou. No laila, ʻaʻohe pono e hopohopo, akā he mea nui e makaʻala i kēia.

Pehea ka maʻamau o kēia ʻano?

ʻO nā pseudocysts o ka pancreas kahi maʻi e hiki ke loaʻa ma kahi o 35% o ka poʻe me ka pancreatitis mau loa a ma kahi o 10% o ka poʻe me ka pancreatitis koʻikoʻi. ʻO nā pseudocysts ke ʻano maʻamau o ka cyst i loko o ka pancreas. He 75% lākou o nā cysts pancreatic āpau. Eia naʻe, ma ke ʻano laulā, ʻaʻole lākou i maʻamau loa. Hoʻopilikia lākou ma kahi o 3% o nā pākeke i kēlā me kēia makahiki. He mea kākaʻikahi loa lākou i nā keiki.

He aha ke kumu o nā pseudocysts pancreatic?

ʻO ke kumu nui o kēia, ʻo ia ka mumū o ka pancreas, ʻo ia hoʻi ka `(Pancreatitis)`. ʻO ke kumu nui o `(Pancreatitis)` e hoʻoulu ai i ka hoʻokumu ʻana o nā pseudocysts, ʻo ia ka inu ʻana i ka waiʻona . 70% o nā pseudocysts pancreatic i hoʻokumu ʻia e ka pancreatitis e pili ana i ka waiʻona. ʻO ka lua o ke kumu nui, ʻo ia ka pancreatitis i hoʻokumu ʻia e nā gallstones. I nā keiki, hoʻokumu pinepine ʻia kēia ʻano e kekahi ʻano ʻeha `(Trauma).`

E noʻonoʻo, i ka wā e pehu ai ka pancreas ma muli o ka pancreatitis, a i ʻole i ka wā e ʻeha ai i kahi ulia, hiki ke ālai ʻia ke ala pancreatic, a i ʻole e haki kona pilina me ka ʻōpū. A laila, e kahe ana kekahi o ka wai i hana ʻia e ka pancreas i loko o ka hakahaka i loko o ka ʻōpū, ʻo ia hoʻi, ka lua o ka ʻōpū. Hōʻiliʻili kēia wai ma waena o nā paia o nā ʻōpū, a hana ʻia kahi ʻeke pale a puni ia, e like me kaʻu i ʻōlelo ai ma mua. ʻO ia ka mea i kapa ʻia he pseudocyst.

He aha nā hōʻailona o ka pseudocyst pancreatic?

ʻAʻole paha e hōʻike nā pseudocysts liʻiliʻi i kekahi mau hōʻailona. Eia nō naʻe, hiki i nā mea nui. Hiki ke like ko lākou mau hōʻailona me nā pancreatitis. Eia nō naʻe, ulu pinepine lākou i kekahi mau pule ma hope o ka pancreatitis acute, a i ʻole ma hope o ka holomua ʻana o ka pancreatitis mau a hoʻopilikia i ka pancreatic duct.

Nā hōʻailona maʻamau:

• ʻEha ʻōpū: ʻO kēia ka hōʻailona nui.
• Pehu: E piha paha kou ʻōpū.
• Anorexia: Ka manaʻo o ka makemake ʻole e ʻai.
• Ka luaʻi a i ʻole ka luaʻi ʻana: He mea maʻamau kēia mau hōʻailona.

Nā hōʻailona inā loaʻa nā pilikia:

I kekahi manawa, inā loaʻa nā pilikia, hiki ke ʻike ʻia nā hōʻailona e like me kēia:

• Kuni a ʻūlū paha: He hōʻailona paha kēia o kahi maʻi.
• Hoʻonui ʻia ka helu o ka puʻuwai:
• Pōniuniu a i ʻole ke poʻo māmā:
• Jaundice: Melemele o nā maka a me ka ʻili.

He aha nā pilikia e hiki mai ana o kahi pseudocyst pancreatic?

ʻOiai he mea kākaʻikahi nā pilikia, he mea maikaʻi ke ʻike iā lākou.

• Maʻi: ʻOiai ʻo ka hapa nui o nā pseudocysts he wai pancreatic wale nō, aia paha i kekahi mau ʻāpana o nā ʻiʻo make. Ke hana ʻia kēia, hiki i nā germs e like me ka bacteria ke ʻai i nā ʻiʻo make a hoʻoulu i kahi maʻi. Hiki i kahi pseudocyst i loaʻa i ka maʻi ke lilo i mea weliweli loa inā pahū. ʻOiai he mea kakaikahi kēia, inā hana ia, hiki i ka maʻi ke pālahalaha i loko o ka ʻōpū, e alakaʻi ana i kahi maʻi i kapa ʻia ʻo septicemia.
• Ke kaomi ʻana o ke kīʻaha koko: Hiki i kahi pseudocyst nui ke kaomi i kahi kīʻaha koko kokoke a i ʻole ke kahawai bile, hiki ke ālai i ke kahe koko a i ʻole ke kahe ʻana o ka bile ma o ke kahawai. Hiki i ka pseudocyst ke kaomi i ke kahawai pancreatic, e hoʻoulu ai i nā pilikia hou aʻe.
• Ka ālai ʻana o ka ʻōpū: Hiki i kahi pseudocyst nui ke ālai i ka ʻōpū a i ʻole ka ʻōpū liʻiliʻi, e paʻakikī ai ka ʻai ʻana a me ka inu ʻana. Hiki i kēia ke alakaʻi i ka paʻakikī o ka ʻai ʻana a me ka hoʻokahe ʻana.
• Hemorrhage: Inā paʻi ʻia kahi pseudocyst i kahi kīʻaha koko, hiki ke hōʻino ʻia ka paia o kēlā kīʻaha koko a hoʻoulu i ke kahe ʻana o ke koko. Inā kahe ke koko mai ke kīʻaha koko i loko o ka pseudocyst, hiki i ka cyst ke pahū.

E hoʻomanaʻo, ʻaʻole i loaʻa i nā kānaka a pau kēia mau pilikia. ʻO ka hapa nui o ka manawa, ho'ōla nā pseudocysts me ka ʻole o nā pilikia.

Pehea e ʻike ai nā kauka i nā pseudocysts pancreatic?

Hiki i nā kauka ke ʻike i nā pseudocyst pancreatic me kahi scan maikaʻi, e like me ka scan CT contrast a i ʻole MRI scan. Akā i kekahi manawa, pono lākou e lawe i kahi laʻana e hoʻoholo ai inā he pseudocyst a i ʻole kekahi ʻano puʻupuʻu ʻē aʻe. Hoʻohana lākou i ka ultrasound endoscopic a me ka aspiration nila maikaʻi e hana i kēia.

ʻO ka ultrasound endoscopic

Hoʻokomo kēia i ka hui pū ʻana o kahi endoscopy a me kahi ultrasound. Hoʻokomo ke kauka i kahi ʻōmole lōʻihi (endoscope) me kahi kāmela liʻiliʻi i hoʻopaʻa ʻia i lalo o kou puʻu a i loko o kou ʻōpū liʻiliʻi. A laila, hoʻokomo ʻia kekahi ʻōmole lahilahi me kahi ʻāpana liʻiliʻi o ka mīkini ultrasound ma o ka ʻōmole nui e nānā i ka pancreas.

Ka ʻomi ʻana i ka nila maikaʻiKa ʻomi ʻana i ka nila maikaʻi

He ʻano biopsy kēia. I ka wā o ka endoscopy, hiki i ke kauka ke hoʻokomo i kahi nila lahilahi a hakahaka ma o ka ʻōmole a lawe i kahi laʻana o ka wai a me nā ʻiʻo mai ka pseudocyst. A laila hoʻouna ʻia kēia mau laʻana i kahi keʻena hoʻokolohua no ka hoʻāʻo ʻana.

Pehea ke ʻano o kēia mau pseudocysts ma nā scan?

Ua like ke ʻano o ko kākou pancreas me ka iʻa - me ke poʻo, ka ʻāpana waena a me ka huelo. Ma kahi o ʻelua hapakolu o nā pseudocysts e ulu ana ma ka huelo o ka pancreas, a ʻo ke kolu ʻē aʻe ma ke poʻo. He poepoe ko lākou ʻano maʻamau, me kahi ʻili laumania a me nā paia moakaka. Aia i loko he wai moakaka a wai. Hiki ke ʻokoʻa ko lākou nui mai 2 a 30 kenimika. Loaʻa i kekahi poʻe kekahi, a ʻo kekahi he nui.

Pehea e mālama ai nā kauka i nā pseudocysts pancreatic?

Hoʻopau ka hapa nui o nā pseudocyst pancreatic iā lākou iho i ka hala ʻana o ka manawa. Nānā nā kauka iā lākou a hāʻawi i ka mālama kākoʻo e like me ka mea e pono ai. Eia kekahi laʻana:

• Nā lāʻau hoʻopau ʻeha: Hāʻawi ʻia ka lāʻau lapaʻau e hōʻemi i ka ʻeha.
• Nā wai IV: Hāʻawi ʻia nā mea e like me ka saline e pale aku i ka maloʻo ʻana o ka wai a hāʻawi i ke kino i nā wai e pono ai.
• ʻAi (ma o kahi paipu a i ʻole intravenous (IV): Inā ʻaʻole hiki iā ʻoe ke ʻai, hāʻawi ʻia ka meaʻai ma o kahi paipu a i ʻole intravenous.

Inā ʻaʻole e ho'ōla ʻia nā pseudocysts iā lākou iho, a inā hōʻike lākou i nā hōʻailona o nā pilikia, e komo nā kauka a mālama iā lākou.

Pehea ka lōʻihi o ka ho'ōla ʻana o ka pseudocyst pancreatic?

ʻO ka maʻamau, hoʻokomo nā kauka inā ua loaʻa nā pseudocysts no nā pule ʻeono a ʻoi. Ma kahi o ka hapakolu o lākou e ho'ōla iā lākou iho i loko o kēia manawa. Inā he nui kou mau pseudocysts, a inā he mau pilikia lōʻihi kou, e like me ka ʻeha mai ka pancreatitis mau, ʻaʻole paha lākou e ho'ōla iā lākou iho.

He aha nā lāʻau lapaʻau no kahi pseudocyst paʻakikī a kiʻekiʻe hoʻi?

Hoʻōla nā kauka i nā pseudocysts ma ka hoʻokahe ʻana iā lākou. Hiki ke hana ʻia kēia ma nā ʻano he nui. ʻO ka hoʻokahe endoscopic ka mea mua loa. Eia nō naʻe, i kekahi mau hihia, pono paha nā ʻano hana ʻē aʻe, e like me ke ʻoki ʻana. ʻO ka hoʻokahe endoscopic kahi hana invasive ʻole e hiki ke hāʻawi i nā hopena lōʻihi like me ke ʻoki ʻana.

ʻO ke kaʻina hana ʻoki kino

ʻO kēia ke kaʻina hana maʻamau. ʻO ka cystogastrostomy kahi kaʻina hana e hana ai i kahi pilina ma waena o ka pseudocyst a me kou ʻōpū, e ʻae ana i ka wai i loko o ka cyst e kahe i loko o kou ʻōpū. Ma muli o kahi o ka pseudocyst, hiki ke hana ʻia kēia pilina i ka ʻōpū liʻiliʻi a i ʻole ke kahawai pancreatic.

Hiki i kou ʻōpū a me kou ʻōpū liʻiliʻi ke mālama pono i ke kahe e puka mai ana mai ka pseudocyst, no ka mea, he uhi kūikawā ko lāua ʻelua e pale aku ai iā lāua mai nā enzymes digestive a me nā waikawa. (ʻO ka maʻamau, hele ka wai pancreatic i loko o ka ʻōpū liʻiliʻi.) Ke pau nā wai a pau, e heheʻe ka paia cyst ma kona iho.

He aha kāu e manaʻo ai ma hope o ka mālama ʻana no ka pseudocyst pancreatic?

Pono ka mālama ʻana no ka pseudocyst pancreatic i kekahi mau lā ma ka haukapila. Ma hope o kēlā, e noi ʻia ʻoe e hoʻi mai i loko o kekahi mau pule e wehe ʻia nā stent a i ʻole nā ​​​​ʻōmole hoʻokahe. ʻOi aku ka holomua o nā lāʻau lapaʻau e wehe i ke kahe ma mua o 90%. Eia nō naʻe, i nā hihia kakaikahi, hiki i nā pseudocysts ke hana hou.

I ka manawa hea ʻoe e ʻike ai i ke kauka e pili ana i ka pseudocyst pancreatic?

Inā loaʻa iā ʻoe nā hōʻailona o ka pancreatitis, e ʻike koke i ke kauka. ʻO ke ʻano kēia: ʻeha i loko o kou ʻōpū e pālahalaha ana i kou kua, a loaʻa iā ʻoe ka nausea a/a i ʻole ka luaʻi ʻana. Inā ua mālama ʻia ʻoe no ka pancreatitis a hoʻi mai kāu mau hōʻailona ma hope o ʻehā a ʻeono pule, loaʻa paha iā ʻoe kahi pseudocyst pancreatic.

ʻO nā pseudocyst pancreatic kahi hopena maʻamau o ka pancreatitis. Hiki iā lākou ke hoʻolōʻihi i kāu lāʻau lapaʻau a koi iā ʻoe e pono hou aku i ka lāʻau lapaʻau ke manaʻo ʻoe ua pau. ʻOiai he mea hopohopo maoli kēia, e hoʻomanaʻo ʻaʻole ka hapa nui o nā pseudocyst e hoʻoulu i nā pilikia hou a i ʻole e koi i ka lāʻau lapaʻau hou.

Hopohopo nā kauka e pili ana i nā pseudocysts, akā nānā pinepine lākou iā lākou. Inā loaʻa iā ʻoe nā hōʻailona, ​​mālama lākou iā lākou. Inā pono ke ʻoki ʻana i nā pseudocysts, ʻo ka hoʻokahe ʻana i ka wai e hoʻoponopono pinepine i ka pilikia. ʻO kēia mau lāʻau lapaʻau he mea liʻiliʻi loa ia, ʻo ia hoʻi, ʻaʻole lākou e hoʻopilikia nui i ke kino.

Leka Lawe-Home

ʻAe, eia kekahi mau mea e pono ai ʻoe e hoʻomanaʻo mai nā mea a mākou i kamaʻilio ai:

• He ʻeke piha wai ka pseudocyst pancreatic e like me ke ʻeke e hana ʻia a puni ka pancreas i ka wā e hōʻino ʻia ai, ʻoiai ma muli o ka pancreatitis.
• ʻAʻole kēia he puʻupuʻu maoli, no laila mai makaʻu nui o lilo ia i maʻi kanesa.
• I ka hapa nui o ka manawa, e hoʻōla kēia mau mea iā lākou iho. Eia nō naʻe, inā nui lākou, loaʻa ka maʻi, a i ʻole he mau pilikia ʻē aʻe, pono paha lākou e mālama ʻia.
• ʻO ke kumu nui ka pancreatitis i hoʻoulu ʻia e ka waiʻona.
• Hiki i nā hōʻailona ke komo pū me ka ʻeha o ka ʻōpū, ka pehu ʻana, ka nalowale o ka makemake, a me ka nausea.
• Hoʻomaopopo nā kauka i kēia ma o nā hoʻokolohua e like me `(CT scan)`, `(MRI)`, a me `(Endoscopic ultrasound)`.
• ʻO ka lāʻau nui ka hoʻokahe wai, hiki ke hana pinepine ʻia ma ke ʻano endoscopically.
• Inā loaʻa iā ʻoe nā hōʻailona o ka pancreatitis, a inā hoʻi mai nā hōʻailona ma hope o kahi manawa pōkole o ka mālama ʻana, e ʻike pono i ke kauka.

ʻO ka mea nui loa, ʻaʻole e hopohopo a hahai i nā ʻōlelo aʻoaʻo lapaʻau kūpono. Ke makemake nei iā ʻoe e ho'ōla koke!

ʻO ka pancreas, pseudocyst, pancreatitis, ʻeha ʻōpū, ʻōnaehana hoʻoheheʻe, endoscopy, lāʻau lapaʻau