Koj puas muaj cov qog nqaij hlav hauv lub pancreas thiab? Cia peb tham txog qhov no kom meej!

Tej zaum koj tau kuaj mob "Scan" vim lwm yam, xws li "CT" (Computed Tomography) lossis "MRI" (Magnetic Resonance Imaging), thiab tus kws kho mob hais rau koj tias koj muaj ib lub cyst me me hauv koj lub pancreas? Thaum koj hnov ​​​​​​ib yam dab tsi zoo li ntawd, koj tuaj yeem ntshai thiab ntxhov siab me ntsis, puas yog? Muaj ntau cov lus nug zoo li "Qhov no yog dab tsi? Puas yog nws txaus ntshai?" tshwm sim hauv koj lub siab. Yog li, tsis txhob txhawj. Hnub no, cia peb tham txog cov cysts hauv lub pancreas kom meej thiab yooj yim.

Lub cyst pancreatic yog dab tsi?

Hais yooj yim xwb, lub cyst pancreatic yog ib lub hnab me me uas muaj kua dej los yog npuas uas tsim nyob rau hauv koj lub pancreas, lossis qee zaum ntawm nws qhov chaw. Xav txog nws zoo li lub npas dej me me. Muaj ntau hom cysts sib txawv, uas raug faib ua pawg raws li cov khoom siv cellular uas lawv ua los. Qee hom hu ua neoplastic. Neoplastic txhais tau tias qee qhov ntawm lawv muaj peev xwm ua mob qog noj ntshav raws sijhawm. Lwm hom hu ua nonneoplastic. Cov cysts nonneoplastic no tsis loj hlob mus ua mob qog noj ntshav. Yog li ntawd tsis muaj dab tsi yuav txhawj txog.

Yuav ua li cas thiaj paub tias muaj mob qog nqaij hlav pancreatic?

Tam sim no tej zaum koj yuav xav tias, "Zoo, yog li ntawd qhov ntawd txhais li cas tiag tiag yog tias kuv muaj ib qho ntawm cov no?" Txawm hais tias qee cov cysts pancreatic zoo li muaj feem cuam tshuam nrog tus mob hu ua pancreatitis, feem ntau lawv tshwm sim yam tsis muaj laj thawj pom tseeb, yuav luag los ntawm qhov xwm txheej. Qhov tseem ceeb yog, feem ntau cov cysts pancreatic tsis ua rau koj muaj teeb meem. Lawv tsuas yog nyob ntawd xwb.

Txawm li cas los xij, tsis tshua muaj ib hom qog hu ua 'neoplastic' tuaj yeem yog qhov pib ntawm mob qog nqaij hlav pancreatic. Tshwj xeeb tshaj yog tias ib tug neeg hauv koj tsev neeg, uas yog, koj niam, koj txiv, cov kwv tij thiab cov muam, tau muaj mob qog nqaij hlav pancreatic, qhov kev pheej hmoo no siab dua li lwm tus. Tab sis nws tsis yog ib txwm muaj rau txhua tus.

Kuv puas yuav tsum txhawj xeeb txog qhov mob qog nqaij hlav pancreatic?

Qhov no yog lo lus nug loj tshaj plaws uas ntau tus neeg muaj. Yog tias koj tus kws kho mob pom ib lub cyst pancreatic ntawm daim duab scan, xws li CT lossis MRI, nws yuav faib nws ua qhov muaj kev pheej hmoo qis, nruab nrab, lossis siab tam sim ntawd. Qhov kev faib tawm no yog raws li qhov xwm txheej ntawm lub cyst pom ntawm daim duab scan (xws li nws qhov loj thiab cov duab) thiab seb koj puas muaj cov tsos mob cuam tshuam nrog nws.

Yog tias tus mob qog no poob rau hauv qeb "kev pheej hmoo tsawg", tej zaum yuav tsis muaj dab tsi yuav txhawj txog. Feem ntau, tsis muaj dab tsi ua tau.

Yog tias qhov kev pheej hmoo yog "nruab nrab" lossis "siab", cov kws kho mob yuav muab kev kho mob tsim nyog raws li lawv cov lus qhia kho mob.

Feem ntau, cov qog nqaij hlav pancreatic tsuas yog raug saib xyuas xwb. Kev saib xyuas txhais tau tias cov kws kho mob yuav tshuaj xyuas lawv qee zaum, nug tias, "Puas yog cov qog no loj zuj zus? Puas yog nws hloov pauv duab? Puas muaj dab tsi tshiab?" Yog tias cov qog uas muaj kev pheej hmoo tsawg hloov mus ua cov qog uas muaj kev pheej hmoo nruab nrab dhau sijhawm, yuav ua ib qho 'biopsy' kom paub ntau ntxiv txog nws. Kev 'biopsy' yog ua los ntawm kev ntxig ib yam dab tsi zoo li koob nyias nyias, rho ib daim nqaij me me los ntawm cov qog thiab tshuaj xyuas nws hauv qab lub tshuab microscope. Ua li ntawd, hom hlwb tseeb hauv nws tuaj yeem txiav txim siab tau. Yog tias cov qog uas muaj kev pheej hmoo nruab nrab hloov mus ua cov qog uas muaj kev pheej hmoo siab, txhais tau tias nws zoo li yuav yog mob qog noj ntshav ntau dua, cov kws kho mob npaj yuav phais kom tshem nws tawm.

Cov cysts pancreatic feem ntau tshwm sim li cas?

Cov kev tshawb fawb qhia tau tias cov qog nqaij hlav hauv lub qog pancreatic pom muaj li ntawm 10% ntawm cov neeg uas tau kuaj CT scans (Computed Tomography scans) thiab MRIs (Magnetic Resonance Imaging). Feem ntau lawv pom muaj li ntawm thaum lub sijhawm kuaj duab vim lwm yam, xws li teeb meem plab. Vim tias muaj ntau tus neeg muaj cov qog no thiab tsis qhia cov tsos mob, peb tsis paub tseeb tias muaj pes tsawg tus neeg hauv ntiaj teb uas tsis paub tias lawv muaj ib qho.

Muaj pes tsawg feem pua ​​ntawm cov qog nqaij hlav pancreatic uas dhau los ua mob qog noj ntshav?

Qhov no kuj yog ib qho tseem ceeb. Tsawg dua 1% ntawm cov cysts pancreatic tiag tiag hloov mus ua mob qog noj ntshav. Qhov ntawd yog ib feem pua ​​me me heev. Txawm li cas los xij, kwv yees li 30% ntawm cov cysts pancreatic muaj peev xwm ua mob qog noj ntshav. Cov no hu ua precancerous cysts. Qhov no yog vim li cas cov kws kho mob ib txwm saib xyuas lawv. Tab sis muaj xov xwm zoo. Cov precancerous cysts feem ntau loj hlob loj heev thiab hloov pauv txaus ntshai. Yog li ntawd, nrog kev saib xyuas tsis tu ncua, uas yog, nrog kev soj ntsuam tsis tu ncua, kev hloov pauv ntawm mob qog noj ntshav tuaj yeem txheeb xyuas tau thaum ntxov hauv cov txheej txheem. Tom qab ntawd, kev kho mob tuaj yeem pib sai.

Cov hom pancreatic cysts sib txawv yog dab tsi?

Qhov no yog ib qho piav qhia me ntsis, muaj ntau lub npe kho mob. Tab sis cia peb ua kom yooj yim. Nws hais tias muaj ob hom tseem ceeb.

Cov qog nqaij hlav neoplastic lossis precancerous

Cov no kuj hu ua 'pancreatic cystic neoplasms (PCN).' Cov no yog cov hom uas peb yuav tsum tau saib ze dua me ntsis. Ib txhia ntawm lawv yog:

• Cov qog nqaij hlav hauv lub plab (Intraductal Papillary Mucinous Neoplasms - IPMNs): Cov no yog hom qog nqaij hlav uas feem ntau pom. Lawv loj hlob hauv cov hlab ntsha pancreatic. Cov hlab ntsha pancreatic yog ib lub raj me me uas nqa cov kua zaub mov uas pancreas tsim tawm mus rau cov hnyuv. Cov kua dej hauv cov qog nqaij hlav no yog cov kua txiv pancreas thiab cov khoom tuab hu ua mucin. Mucin yog ib feem ntawm cov hnoos qeev. Cov hnoos qeev no tuaj yeem ua rau cov hlab ntsha pancreatic o thiab loj dua.
• Cov qog nqaij hlav mucinous cystic neoplasms (MCNs):Cov no tsis tshua muaj ntau npaum li 'IPMNs'. Feem ntau lawv tshwm sim rau cov poj niam hnub nyoog tshaj 50 xyoo. Lawv tsim nyob rau hauv nruab nrab ntawm lub pancreas (lub 'lub cev ntawm lub pancreas').
• `Cov qog nqaij hlav tawv khov (SPNs):` Cov no tsis tshua muaj. Lawv muaj ob qho tib si khov thiab kua. Feem ntau lawv tshwm sim rau cov poj niam hluas hnub nyoog 20 thiab 30 xyoo.
• Cov Qog Mob Cancer Cystic Pancreatic Neuroendocrine (PNETs): Cov qog mob pancreatic neuroendocrine (tseem hu ua cov qog mob islet cell) yog ib hom qog mob tsis tshua muaj. Feem ntau lawv yog cov qog mob khov kho, tab sis qee zaum tuaj yeem tshwm sim ua cov cysts.

Cov cysts uas tsis yog mob qog noj ntshav (`Nonneoplastic` lossis `Benign Cysts`)

Cov no tsis ua rau mob qog noj ntshav. Yog li ntawd, tsis tas yuav ntshai lawv heev.

• Cov Pob Zeb Yooj Yim (lossis Cov Pob Zeb Khaws Cia): Cov no yog cov pob zeb tsis muaj teeb meem uas tsim nyob rau hauv lub txiav, sib cais los ntawm cov kav dej txiav. Lawv muaj ib txheej ntawm cov hlwb epithelial. Lawv feem ntau tshwm sim rau cov menyuam yaus.
• Cov Cystadenomas Loj: Cov no kuj yog cov qog nqaij hlav uas pom ntau thiab tsis muaj teeb meem. Txawm li cas los xij, yog tias lawv loj hlob tuaj, qee zaum lawv tuaj yeem ua rau muaj teeb meem xws li nias rau ntawm cov kabmob ze. Yog li ntawd, qee zaum lawv yuav tsum tau phais tshem tawm.
• Cov Pob Txha Uas Tsis Yog Nqaij Mos: Cov no yog cov pob txha uas tsim cov nqaij mos. Txawm li cas los xij, cov kws kho mob yuav tsum kuaj xyuas lawv kom zoo kom paub qhov txawv ntawm cov pob txha uas yog nqaij tawv, uas tuaj yeem ua rau mob qog noj ntshav.
• Lymphoepithelial Cysts: Cov no yog cov qog nqaij hlav uas tsis tshua muaj thiab tsis muaj teeb meem dab tsi. Feem ntau pom muaj rau cov txiv neej.

Lus Cim Tseem Ceeb: Muaj lwm yam hu ua 'Pancreatic pseudocysts'. Qee zaum tib neeg tsis nkag siab cov no nrog cov cysts tiag tiag. Txawm li cas los xij, 'pseudocyst' tsis yog ib qho kev loj hlob tshiab zoo li 'qog'. Nws yog ib lub hnab uas muaj kua dej uas tsim thaum cov kua txiv pancreatic tawm ntawm pancreas vim yog raug mob rau pancreas (xws li 'pancreatitis'). 'Pseudocysts' yog ib qho mob tsis muaj teeb meem.

Cov tsos mob ntawm tus mob pancreatic yog dab tsi?

Nov yog qee yam uas yuav ua rau ntau tus neeg xav tsis thoob: Feem ntau cov qog nqaij hlav pancreatic tsis ua rau muaj tsos mob. Yog lawm, nws yog qhov tseeb. Tej zaum koj yuav tsis pom ib qho qog nqaij hlav. Cov tsos mob tsuas yog pib tshwm sim thaum lub qog nqaij hlav loj txaus los thaiv lossis nias rau ntawm cov hlab ntsha pancreatic, txoj hlab pas dej, lossis lub plab lossis txoj hnyuv (txoj hlab pas dej (GI)). Thaum qhov ntawd tshwm sim, tej yam zoo li no tuaj yeem tshwm sim:

• Mob plab: Feem ntau qhov mob tshwm sim rau sab saud ntawm lub plab.
• Mob nraub qaum: Qee zaum mob plab kuj tuaj yeem kis mus rau nraub qaum.
• Tsis qab los noj mov:Kuv tsis xav noj mov li lawm.
• Kev poob phaus yam tsis paub meej: Koj cia li poob phaus txawm tias koj tsis tau noj zaub mov lossis ua si.
• Kev Plab: Xav tias puv txawm tias tom qab noj me me lawm los xij.
• Kev zom zaub mov tsis zoo: Xav tias zaub mov tsis zom tau.
• Xeev siab: Zoo li koj yuav ntuav.
• Mob daj ntseg: Cov dawb ntawm lub qhov muag thiab daim tawv nqaij tig daj. Qhov no tshwm sim thaum cov kua tsib tsis ntws zoo.
• Cov quav xim dawb, roj ntau (lossis steatorrhea): Cov quav hloov xim thiab dhau los ua roj.
• Zoo li lub pob hauv koj lub plab: Yog tias lub qog loj heev, nws yuav hnov ​​​​​​tau.

Dab tsi ua rau muaj cov qog pancreatic?

Cov cysts pancreatic yog cov cell loj hlob tsis zoo li qub. Hais yooj yim xwb, cov cell muaj kev hloov me me hauv lawv cov gene (ib qho 'genetic mutation') thiab pib faib tsis zoo li qub. Tab sis cov kws tshawb fawb tseem tsis tau paub meej tias vim li cas cov kev hloov pauv gene no tshwm sim. Lawv xav tias tej zaum lawv yog kev sib xyaw ua ke ntawm kev mob gene, o ntawm lub pancreas, thiab lwm yam sab nraud, xws li kev laus. Muaj ib feem me me ntawm cov cysts uas txuas ncaj qha rau qee yam mob uas tau los ntawm noob caj noob ces.

Qee yam mob uas muaj keeb kwm los ntawm noob caj ces uas tej zaum yuav cuam tshuam nrog cov cysts pancreatic suav nrog:

• Kab mob Von Hippel-Lindau
• Kab mob raum polycystic (muaj ntau cov cysts hauv lub raum)
• Kab mob cystic fibrosis

Muaj ntau yam kev pheej hmoo uas tuaj yeem pab txhawb rau kev loj hlob ntawm cov qog pancreatic:

• Hnub nyoog nce ntxiv: Qhov kev pheej hmoo ntawm kev mob qog nqaij hlav pancreatic nce ntxiv thaum koj laus zuj zus. Raws li kev tshawb fawb, kwv yees li ib feem plaub (25%) ntawm cov neeg hnub nyoog 70 xyoo muaj cov qog no.
• Kab mob Pancreatitis: Qee hom qog nqaij hlav muaj feem cuam tshuam nrog kab mob pancreatitis. Tsis tas li ntawd, qee hom qog nqaij hlav tuaj yeem ua rau mob pancreatitis.
• Keeb Kwm Tsev Neeg: Yog tias ib tug neeg hauv koj tsev neeg tau muaj mob qog nqaij hlav pancreatic, lossis yog tias koj muaj mob caj ces uas cuam tshuam nrog cov qog nqaij hlav pancreatic, koj yuav muaj feem ntau dua los tsim cov qog nqaij hlav pancreatic.

Cov teeb meem uas yuav tshwm sim ntawm cov qog pancreatic yog dab tsi?

Cov teeb meem tsis tshua muaj, tab sis yog tias lawv tshwm sim, lawv tuaj yeem suav nrog:

• Kev thaiv ntawm cov hlab ntsha pancreatic:Qee hom qog nqaij hlav hu ua 'mucinous neoplasms' tuaj yeem tso tawm cov khoom tuab hu ua 'mucin' rau hauv cov hlab ntsha pancreatic. Cov hlab ntsha tuaj yeem o, puv, thiab thaum kawg raug thaiv. Qhov no tiv thaiv cov enzymes zom zaub mov uas lub pancreas tsim los ntawm kev hla cov hlab ntsha mus rau hauv koj txoj hnyuv me. Cov enzymes ces rov qab mus rau hauv lub pancreas, ua rau nws puas tsuaj thiab ua rau lub pancreas o (pancreatitis). Lub sijhawm no, koj lub cev zom zaub mov tsis tau txais cov enzymes uas nws xav tau los zom zaub mov.
• Kev thaiv cov kav dej kua tsib: Yog tias ib qho qog loj nias rau ntawm cov kav dej kua tsib, nws tuaj yeem thaiv cov dej ntws ntawm cov kua tsib. Qhov no hu ua cholestasis. Qhov no ua rau cov kua tsib sib sau ua ke, uas tuaj yeem ua rau cov kav dej kua tsib thiab lwm yam kabmob uas txuas nrog nws puas tsuaj (xws li lub siab). Cov kua tsib kuj tseem tuaj yeem sib xyaw nrog cov ntshav, ua rau muaj cov tsos mob xws li mob daj ntseg.
• Kev thaiv txoj hnyuv: Yog tias ib lub qog loj nias rau ntawm koj lub plab lossis txoj hnyuv, koj yuav muaj ntau yam tsos mob ntawm txoj hnyuv, suav nrog mob plab, tsis xis nyob, o, cem quav, thiab tsis xav noj mov. Hauv cov xwm txheej hnyav, cov khoom noj yuav tsis txav mus los ntawm koj lub cev zom zaub mov kiag li.
• Mob qog nqaij hlav pancreatic: Raws li tau hais ua ntej lawm, muaj ib feem me me ntawm cov qog nqaij hlav uas tuaj yeem loj hlob mus ua mob qog nqaij hlav. Feem ntau, lawv yog ib hom hu ua adenocarcinoma. Mob qog nqaij hlav pancreatic yog ib hom mob qog nqaij hlav uas feem ntau kis tau sai heev. Yog li ntawd, nws yog ib qho tseem ceeb heev uas yuav tsum tau kuaj pom nws sai li sai tau.

Yuav ua li cas thiaj kuaj tau tus kab mob pancreatic?

Cov kws kho mob siv cov kev kuaj mob hauv qab no los txiav txim siab seb puas muaj pancreatic cyst thiab, yog tias muaj, nws zoo li cas:

• Kev Tshawb Fawb Txog Kab Mob: Cov txheej txheem thaij duab zoo, xws li CT scans lossis MRI scans, tuaj yeem pom tseeb tias muaj cov qog nqaij hlav pancreatic. Qee hom qog nqaij hlav tuaj yeem txheeb xyuas tau ntawm daim scan. Tab sis lwm tus yuav tsum tau kuaj ntxiv kom paub meej tias lawv yog hom twg lossis kom pom tias lawv puas muaj cov qe ntshav dawb. Hauv cov xwm txheej no, cov kws kho mob yuav tsum tau coj ib qho qauv (kev kuaj nqaij) ntawm cov qog nqaij hlav.
• Kev Siv Tshuaj Ultrasound Endoscopic / Fine Needle Aspiration (EUS-FNA): Ib txoj kev kho mob hu ua Endoscopic ultrasound (EUS) tso cai rau tus kws kho mob ntxig ib lub endoscope me me, yoog tau (ib lub raj nrog lub koob yees duab thiab lub cuab yeej ultrasound) los ntawm qhov ncauj thiab mus rau hauv lub plab kom mus txog rau hauv lub qog pancreatic. Lub ultrasound yuav qhia meej tias lub qog nyob qhov twg, thiab ib rab koob nyias nyias (ib rab koob me me) yuav raug xa mus rau hauv lub endoscope kom tshem tawm ib qho qauv me me ntawm cov nqaij thiab cov kua dej los ntawm lub qog. Qhov no hu ua kev siv koob me me aspiration (FNA). Tom qab ntawd cov qauv raug tshuaj xyuas hauv chav kuaj mob.
• Kev tshuaj xyuas kua:Cov kua dej cystic los ntawm FNA raug tshuaj xyuas hauv chav kuaj mob kom paub seb nws yog hom twg. Qhov no kuj hu ua cytology. Lawv nrhiav cov khoom xws li mucin. Mucin pab txheeb xyuas cov mucinous neoplasms. Lawv kuj nrhiav cov cim qog nqaij hlav xws li carcinoembryonic antigen (CEA). CEA yog ib qho protein pom nyob rau hauv cov ntshav, thiab nws cov qib tuaj yeem muab qee cov lus qhia txog kev muaj mob qog noj ntshav.

Cov kev kho mob rau cov qog pancreatic yog dab tsi?

Kev kho mob qog nqaij hlav pancreatic nyob ntawm ntau yam, suav nrog hom qog nqaij hlav, nws qhov loj me, seb nws puas muaj tsos mob, thiab nws qhov kev pheej hmoo ntawm kev mob qog nqaij hlav. Nov yog cov kev xaiv kho mob tseem ceeb:

• Kev Soj Ntsuam: Qhov no txhais tau tias tsis ua dab tsi li, tab sis tas li luam theej duab thiab saib xyuas seb qhov qog puas hloov pauv.
• `Biopsy`: Muab ib daim qauv nqaij thiab kuaj xyuas seb puas yog qhov mob qog.
• Kev Tshem Tawm Los Ntawm Kev Phais: Yog tias qhov mob qog no suav tias yog qhov txaus ntshai lossis ua rau muaj teeb meem, nws yuav raug tshem tawm los ntawm kev phais.

Feem ntau cov cysts raug kho nrog kev saib xyuas. Qhov no txhais tau tias koj yuav muaj kev luam theej duab los ntawm lub sijhawm mus rau lub sijhawm (txhua 6 lub hlis, ib xyoos, lossis ntev dua) los xyuas cov cyst. Yog tias muaj kev hloov pauv txawv txawv, EUS-FNA yuav ua thiab cov kua dej yuav raug soj ntsuam. Yog tias cov txiaj ntsig qhia txog mob qog noj ntshav, koj tus kws kho mob yuav pom zoo kom tshem nws tawm, nyob ntawm seb koj puas nyob hauv qhov xwm txheej zoo rau kev phais.

Cov qog nqaij hlav pancreatic puas ploj mus ntawm lawv tus kheej?

Qee cov qog nqaij hlav tsis muaj mob, tshwj xeeb tshaj yog cov me me, tuaj yeem ntsws lawv tus kheej, lossis qee zaum ploj mus tag. Tab sis cov hom hu ua neoplastic, uas tuaj yeem ua mob qog noj ntshav, tsis ploj mus lawv tus kheej. Feem ntau, lawv txuas ntxiv loj hlob, tab sis qeeb heev. Cov kws kho mob saib xyuas lawv txoj kev loj hlob. Yog tias lawv tseem me me, tshwj tsis yog tias lawv loj dhau lossis hloov pauv mus rau hauv txoj kev xav tsis thoob, cov kws kho mob tsis ua dab tsi txog lawv, lawv tsuas yog saib xwb.

Cov qog nqaij hlav pancreatic loj hlob sai npaum li cas?

Cov qog nqaij hlav pancreatic sib txawv loj hlob ntawm qhov nrawm sib txawv, tab sis feem ntau, lawv loj hlob qeeb heev. Yog tias ib qho qog loj hlob ntau dua 3 millimeters (3 mm) ib xyoos, cov kws kho mob yuav ua tib zoo xav me ntsis thiab ua tib zoo mloog ntxiv. Yog tias ib qho qog raug saib xyuas seb puas muaj kev hloov pauv, nws raug kuaj xyuas txhua xyoo, txhua ob xyoos, lossis qee zaum txhua tsib xyoos, nyob ntawm seb nws loj hlob sai npaum li cas.

Thaum twg yuav tsum tshem tawm cov cyst pancreatic?

Tej zaum yuav tsum tau tshem tawm qee cov qog nqaij hlav hauv lub qog pancreatic yog tias lawv ua rau muaj teeb meem lossis xav tias yog mob qog noj ntshav. Tab sis kev phais mob pancreatic yog ib qho kev phais loj, nrog nws cov kev pheej hmoo thiab cov kev mob tshwm sim. Yog vim li cas cov kws kho mob thiaj li xav txog txhua qhov qog nqaij hlav. Lawv ua raws li cov lus qhia kho mob kom ntxaws kom txiav txim siab thaum twg yuav phais thiab tshem tawm cov qog nqaij hlav.

Nov yog qee yam uas lawv xav txog:

• Loj: Cov pob loj dua 3 centimeters (3 cm), lossis cov uas zoo li loj sai dua li qub, yuav tsum tau kuaj xyuas seb puas muaj feem yuav mob qog noj ntshav. Qee zaum, txawm tias cov pob loj tsis muaj teeb meem dab tsi los xij, tej zaum yuav tsum tau tshem tawm vim tias lawv ua rau tsis xis nyob lossis cuam tshuam rau lwm yam kabmob.
• Hom: Qee hom qog nqaij hlav (piv txwv li, MCNs, qee qhov IPMNs) muaj feem yuav mob qog nqaij hlav ntau dua. Tus kws kho mob yuav pom zoo kom tshem tawm lawv thaum ntxov. Cov kws kho mob yuav soj ntsuam qhov kev pheej hmoo ntawm mob qog nqaij hlav thiab piv rau qhov kev pheej hmoo ntawm kev phais, xav txog tus neeg txoj kev noj qab haus huv feem ntau.
• Cov cim pom: Qee zaum, cov kws kho mob pom cov cim ntawm cov duab scan uas qhia tias qog nqaij hlav yuav yog qog nqaij hlav lossis ua ntej qog nqaij hlav. Piv txwv li, koj yuav pom tias koj lub pancreas duct loj dua, uas txhais tau tias koj muaj cov mucinous neoplasm uas tso cov mucin rau hauv lub duct. Lossis koj yuav pom tias qog nqaij hlav muaj cov khoom khov kho, uas txhais tau tias nws tsis yog tsuas yog ib lub pob uas muaj kua dej xwb, tab sis yog ib lub qog nqaij hlav khov kho.
• Koj tus mob: Ib txhia neeg muaj lwm yam mob (xws li kab mob plawv, ntshav qab zib) lossis lwm yam tseem ceeb, xws li hnub nyoog, uas ua rau kev phais mob pancreatic muaj kev pheej hmoo ntau dua rau lawv. Cov kws kho mob yuav ntsuas cov yam txaus ntshai no piv rau koj qhov kev pheej hmoo mob qog noj ntshav kom txiav txim siab zoo tshaj plaws.

Yuav ua li cas phais kom tshem tawm cov qog nqaij hlav pancreatic?

Yog koj tus kws kho mob pom zoo kom tshem tawm ib qho qog, nws txhais tau tias koj yuav tsum tau phais. Cov kev phais no nyuaj me ntsis. Qee zaum tus kws phais mob tuaj yeem ua tib zoo txiav tsuas yog qhov qog ntawm koj lub txiav. Tab sis feem ntau, ib daim ntawm koj lub txiav kuj tseem yuav tsum tau tshem tawm. Nyob ntawm qhov twg qhov qog nyob, nws kuj tseem yuav tsum tau tshem tawm qee qhov ntawm lwm cov kabmob ze (xws li lub po lossis ib feem ntawm txoj hnyuv me).

Muaj ntau hom kev phais mob uas ua tau:

• Kev phais tshem tawm ib lub qog: Qhov no yog kev tshem tawm ib lub qog ntawm lub qog pancreas yam tsis ua rau lub qog pancreas noj qab nyob ib puag ncig puas tsuaj. Yog tias koj muaj ib lub qog me me, tsis muaj teeb meem dab tsi, nws nyob rau hauv qhov chaw uas koj kov tau, thiab nws tsis zoo li mob qog, koj yuav tsim nyog rau qhov kev phais me me no.
• Kev phais mob pancreatic ib nrab:Qhov no suav nrog kev tshem tawm ib feem ntawm lub pancreas uas muaj cov qog lossis cov qog nqaij hlav. Xav txog koj lub pancreas zoo li ntses. Nws muaj "lub taub hau," "lub cev," thiab "tus tw." Kev phais pancreatectomy hauv nruab nrab tshem tawm qhov nruab nrab ntawm lub pancreas. Kev phais pancreatectomy distal tshem tawm tus tw. Vim tias tus tw ntawm lub pancreas thiab tus po muaj feem cuam tshuam ze heev, kev phais pancreatectomy distal feem ntau suav nrog kev tshem tawm tus po thiab (splenectomy).
• Kev phais Whipple (tseem hu ua pancreaticoduodenectomy): Qhov no yog kev phais loj dua me ntsis. Kev phais Whipple tshem lub taub hau ntawm lub pancreas thiab cov pancreas ducts. Cov qog nqaij hlav, xws li mucinous neoplasms, feem ntau pom muaj nyob rau hauv lub taub hau no. Nws kuj yog ib qho chaw sib tshuam uas muaj neeg coob heev uas sab saud ntawm koj txoj hnyuv me (duodenum), cov pancreas duct, thiab cov duct bile sib ntsib. Yog tias mob qog nqaij hlav nyob qhov twg ntawm qhov sib tshuam no, nws tuaj yeem kis mus rau lwm ceg, yog li kev phais Whipple tsis yog tsuas yog tshem lub taub hau ntawm lub pancreas xwb, tab sis kuj tshem koj lub duodenum, cov duct bile, thiab lub gallbladder, uas txuas nrog rau lwm qhov kawg ntawm cov duct bile.
• Kev phais mob pancreatectomy tag nrho: Qhov no suav nrog kev tshem tawm tag nrho koj cov pancreas . Qhov no yuav tsum tau ua yog tias koj muaj ntau cov qog nqaij hlav uas yuav tsum tau tshem tawm, lossis yog tias mob qog nqaij hlav zoo li tau kis thoob plaws koj cov pancreas. Kev phais mob pancreatocomy tag nrho kuj tseem yuav tshem tawm cov hlab ntsha thiab cov kabmob nyob ze xws li lub po, lub zais zis, duodenum, thiab qhov qis ntawm lub plab.

Cov kev pheej hmoo thiab cov kev mob tshwm sim ntawm kev phais mob pancreatic cyst yog dab tsi?

Kev phais ntawm koj lub qog pancreas tuaj yeem cuam tshuam rau nws txoj haujlwm ib txwm. Koj xav tau koj lub qog pancreas los tsim qee cov enzymes thiab cov tshuaj hormones tseem ceeb rau kev zom zaub mov, suav nrog insulin. Insulin yog ib qho hormone uas tswj cov ntshav qab zib. Yog tias koj qhov kev phais pancreatocytosis tshem tawm ntau dhau ntawm cov cell uas tsim cov enzymes lossis insulin, koj yuav tsum tau siv kev kho mob mus tas li kom hloov lawv. Piv txwv li, koj yuav xav tau kev txhaj tshuaj insulin lossis cov tshuaj enzyme zom zaub mov.

Qee qhov kev phais mob pancreatectomy kuj tshem tawm lossis hloov kho lwm yam kabmob. Lawv tuaj yeem cuam tshuam rau koj lub cev zom zaub mov, lub cev biliary, thiab lub cev tiv thaiv kab mob. Koj yuav muaj teeb meem zom qee yam khoom noj thiab nqus qee yam khoom noj (tshwj xeeb tshaj yog rog) tom qab ntawd. Yog tias koj muaj splenectomy, koj lub cev tiv thaiv kab mob yuav qaug zog me ntsis, thiab koj yuav kis tau kab mob ntau zaus dua.

Cov kev mob tshwm sim tshwj xeeb uas yuav tshwm sim yog:

• Kab mob ntshav qab zib: Yog tias cov hlwb uas tsim cov insulin raug rhuav tshem.
• Kev tsis ua haujlwm ntawm pancreatic exocrine:Cov enzymes zom zaub mov tsis txaus uas lub txiav ua rau lub plab zom mov. Qhov no tuaj yeem ua rau cov khoom noj hla dhau lub plab yam tsis tau zom.
• Kev nqus rog tsis zoo: Cov khoom noj uas muaj roj ntau nyuaj rau zom.
• Kev tiv thaiv kab mob tsis zoo: Yog tias tus po raug tshem tawm.

Lwm yam kev pheej hmoo ntawm kev phais mob yog:

• Los ntshav
• Kev kis kab mob
• Cov ntshav txhaws
• Kev xau anastomotic (kev xau los ntawm thaj chaw uas cov khoom xws li cov hnyuv rov txuas dua thaum lub sijhawm phais)

Mob qog nqaij hlav pancreatic loj npaum li cas?

Raws li kev suav lej, cov qog nqaij hlav pancreatic tsis tshua muaj feem ua rau muaj teeb meem loj. Cov kws kho mob kho cov qog nqaij hlav pancreatic nrog kev ceev faj heev, vim lawv xav kom tsis txhob muaj kev pheej hmoo. Lawv yuav soj ntsuam koj cov qog nqaij hlav thiab txiav txim siab seb yuav tsum ceev faj li cas. Txawm hais tias kev phais pancreatic yog ib qho teeb meem loj, feem ntau cov qog nqaij hlav pancreatic tsis tas yuav phais. Yog li, tsis txhob ntshai thaum koj pom tias koj muaj qog nqaij hlav.

Lub sijhawm muaj sia nyob tom qab kev kho mob rau qog pancreatic yog dab tsi?

Qhov no nyob ntawm seb hom qog nqaij hlav thiab nws kis mus deb npaum li cas. Yog tias qog nqaij hlav raug tshem tawm ua ntej nws dhau los ua qog nqaij hlav (precancerous) lossis thaum qog nqaij hlav tsis tau kis mus (noninvasive), tus nqi ciaj sia tsib xyoos tom qab phais mob qog nqaij hlav pancreatic yuav luag txog 100%. Qhov no txhais tau tias cov txiaj ntsig zoo heev. Rau cov neeg uas muaj qog nqaij hlav invasive, tus nqi ciaj sia tsib xyoos tom qab kev kho mob yog li 65% -75%. Qhov no kuj txawv nyob ntawm hom qog nqaij hlav thiab theem ntawm qog nqaij hlav. Tus nqi tuag (kev pheej hmoo ntawm kev tuag los ntawm kev phais) rau txhua qhov kev phais mob qog nqaij hlav loj feem ntau yog li 4%.

Kuv yuav tsum nug kuv tus kws kho mob li cas txog kuv cov cysts pancreatic?

Thaum koj pom tias koj muaj qog nqaij hlav hauv lub qog pancreatic, nws yog ib qho ib txwm muaj ntau cov lus nug hauv koj lub siab. Koj muaj cai nug koj tus kws kho mob cov lus nug xws li:

• Kuv muaj hom qog nqaij hlav zoo li cas?
• Kuv qhov kev pheej hmoo ntawm kev mob qog noj ntshav hauv lub mis puas qis, nruab nrab, lossis siab?
• Kuv yuav tsum tau mus kuaj mob qog nqaij hlav ntau npaum li cas?
• "Kuv lub mis puas yuav loj dua? Yog tias loj dua, yuav loj sai npaum li cas?"
• Txawm hais tias kuv tsis muaj tsos mob los, kuv puas yuav tsum tshem tawm cov qog no?
• Yog tias kuv yuav tsum tau phais, muaj kev pheej hmoo dab tsi? Kuv yuav muaj cov kev mob tshwm sim dab tsi?

Thaum koj xav txog mob qog nqaij hlav pancreatic thiab kev phais, txawm tias qhov kev pheej hmoo me me heev, nws tuaj yeem ua rau muaj kev ntxhov siab ntau. Tab sis nco ntsoov, feem ntau cov qog nqaij hlav pancreatic tsis muaj dab tsi yuav tsum ntshai. Cov lus qhia kho mob rau kev saib xyuas, kev kuaj mob, thiab kev kho cov qog nqaij hlav pancreatic yog tsim los txo qhov kev ntshai tsis tsim nyog thiab tiv thaiv koj.

Cov qog nqaij hlav tsis zoo li qub (xws li cov qog nqaij hlav) feem ntau tshwm sim hauv ntau lub cev, tshwj xeeb tshaj yog thaum koj laus zuj zus. Cov qog nqaij hlav pancreatic tsuas yog ib qho ntawm cov qog nqaij hlav uas yuav tsum ntxiv rau daim ntawv ntawd. Qhov kev pheej hmoo ntawm cov qog nqaij hlav no yuav dhau los ua qog nqaij hlav yog me heev. Yog tias koj tshem tawm cov qog nqaij hlav ua ntej qog nqaij hlav tam sim ntawd, nws yuav tsis muaj lub sijhawm los ua qog nqaij hlav.

Cov yam tseem ceeb tshaj plaws uas koj yuav tsum nco ntsoov

Tsis txhob ntshai thaum lawv qhia koj tias koj muaj mob qog nqaij hlav hauv lub plab. Ua pa me ntsis thiab tham nrog koj tus kws kho mob.

Feem ntau, cov no tsis muaj teeb meem dab tsi, tsis qhia cov tsos mob, thiab raug tshawb pom los ntawm kev sib tsoo.

Yog tus kws kho mob hais li ntawd, nug kom paub meej ntxiv. Piav qhia seb koj muaj hom qog nqaij hlav dab tsi, nws yuav cuam tshuam li cas rau koj, thiab koj yuav tsum ua dab tsi tom ntej.

Txawm hais tias muaj ntau hom mob qog noj ntshav uas tuaj yeem tshwm sim los xij, tam sim no muaj cov txheej txheem siab heev los nrhiav lawv thiab, yog tias tsim nyog, kho lawv rau lub sijhawm zoo. Qhov tseem ceeb tshaj plaws yog ua raws li cov lus qhia ntawm tus kws kho mob kom zoo thiab muaj kev soj ntsuam tom qab rau lub sijhawm zoo. Ces koj yuav tsis tas txhawj txog qhov no yam tsis tsim nyog. Ua neej noj qab haus huv!

` Pancreas, Pancreatic Cysts, Pancreatic Cancer, Pancreatic Cov tsos mob, Pancreatic kev kho mob, Pancreatic phais