Koj puas muaj ib lub cyst uas muaj kua dej nyob hauv koj lub pancreas? (Pancreatic Pseudocyst) - Peb puas yuav tham txog qhov no?

Koj puas tau muaj mob hu ua pancreatitis? Thaum qhov ntawd tshwm sim, qee zaum yuav muaj ib lub hnab dej puv nkaus nyob ib puag ncig peb lub pancreas. Qhov no yog qhov peb hu ua pancreatic pseudocyst. Lub npe yuav zoo li ntshai me ntsis, tab sis thaum peb paub tias nws yog dab tsi, tsis tas yuav ntshai.

Dab tsi yog pancreatic pseudocyst?

Hais yooj yim xwb, thaum koj lub qog pancreas puas lawm, piv txwv li, thaum koj muaj mob pancreatitis, ib lub hnab uas muaj kua hu ua pancreatic pseudocyst tsim nyob ib puag ncig nws. Tam sim no saib, peb lub qog pancreas yog ib lub cev tseem ceeb nyob rau sab saud ntawm lub plab. Nws ua cov enzymes, lossis cov tshuaj uas pab zom cov khoom noj uas peb noj. Cov enzymes no mus ncig ua kua los ntawm cov pancreas duct mus rau hauv peb txoj hnyuv me.

Txawm li cas los xij, thaum muaj mob hnyav xws li mob pancreatitis, cov hlab ntsha pancreatic no tuaj yeem puas tsuaj, ua rau cov kua dej uas muaj cov enzymes zom zaub mov tawm. Cov kua dej tawm no ua rau cov nqaij nyob ib puag ncig tsis xis nyob. Lub cev tom qab ntawd tsim ib phab ntsa tiv thaiv ib puag ncig qhov xau. Phab ntsa no yog ua los ntawm cov nqaij fibrous, zoo li caws pliav. Qhov ntawd yog qhov peb hu ua pseudocyst.

Qhov txawv ntawm lub cyst tiag tiag thiab lub cyst pseudocyst yog dab tsi?

Qhov no yog ib qho tseem ceeb heev. Lub pancreatic pseudocyst tsis yog lub cyst tiag tiag. Vim tias nws tsis yog ua los ntawm cov nqaij ntawm lub pancreas nws tus kheej. Raws li kuv tau hais ua ntej, nws phab ntsa yog ua los ntawm cov nqaij fibrous caws pliav. Cov hlwb tshwj xeeb hu ua epithelial cells uas pom muaj nyob rau hauv cov nqaij pancreas tiag tiag tsis nyob hauv cov phab ntsa ntawm cov pseudocysts no. Hloov chaw, lawv cov phab ntsa yog npog nrog cov nqaij granulation. Cov nqaij granulation no yog ib hom nqaij tshiab uas tsim rau saum qhov txhab thaum nws kho.

Hais yooj yim xwb, lub pancreatic pseudocyst tsis yog ib qho qauv sib cais, tab sis yog ib qho mob uas tshwm sim los ntawm kev o. Lub pancreatic cyst yog ib qho kev loj hlob hauv phab ntsa ntawm lub pancreas uas tsim los ntawm nws cov ntaub so ntswg. Nws tuaj yeem muaj cov khoom ua kua thiab cov khoom khov. Qee lub cysts tuaj yeem hloov mus ua mob qog noj ntshav. Txawm li cas los xij, pseudocysts tsis yog ib qho mob ua ntej mob qog noj ntshav.

Qhov pancreatic pseudocyst no puas txaus ntshai?

Feem ntau, cov pancreatic pseudocysts tsis hloov mus ua mob qog noj ntshav, thiab lawv tsis tshua ua rau muaj teeb meem loj. Feem ntau ntawm lawv zoo dua lawv tus kheej dhau sijhawm. Txawm li cas los xij, yog tias cov cysts no loj hlob tuaj, muaj kev pheej hmoo me me ntawm kev cuam tshuam rau cov kabmob ze lossis cov hlab ntsha. Qee zaum lawv kuj tuaj yeem kis kab mob. Thaum ntawd cov kws kho mob cuam tshuam thiab kho lawv. Yog li tsis tas yuav ntshai, tab sis nws yog ib qho tseem ceeb kom paub txog qhov no.

Tus mob no feem ntau tshwm sim li cas?

Cov cysts ntawm lub pancreas yog ib qho mob uas tuaj yeem tshwm sim rau kwv yees li 35% ntawm cov neeg uas muaj tus kab mob pancreatitis ntev thiab kwv yees li 10% ntawm cov neeg uas muaj tus kab mob pancreatitis sai. Cov cysts yog hom cyst feem ntau hauv lub pancreas. Lawv suav txog li 75% ntawm tag nrho cov cysts pancreatic. Txawm li cas los xij, feem ntau, lawv tsis tshua muaj. Lawv cuam tshuam rau kwv yees li 3% ntawm cov neeg laus txhua xyoo. Lawv tsis tshua muaj menyuam yaus.

Dab tsi ua rau muaj pancreatic pseudocysts?

Qhov ua rau muaj qhov no yog mob o ntawm lub txiav, uas yog '(Pancreatitis)'. Qhov ua rau muaj '(Pancreatitis)' uas ua rau muaj pseudocysts yog haus cawv . 70% ntawm pancreatic pseudocysts yog tshwm sim los ntawm pancreatitis uas cuam tshuam nrog cawv. Qhov ua rau thib ob yog pancreatitis uas tshwm sim los ntawm gallstones. Rau cov menyuam yaus, qhov mob no feem ntau yog tshwm sim los ntawm qee yam kev raug mob '(Trauma).'

Xav txog seb, thaum lub qog pancreas o vim yog mob pancreatitis, lossis thaum nws raug mob hauv qhov xwm txheej, cov hlab ntsha pancreas yuav raug thaiv, lossis nws txoj kev sib txuas rau txoj hnyuv yuav raug rhuav tshem. Tom qab ntawd, qee cov kua dej uas lub qog pancreas tsim tawm yuav nkag mus rau hauv qhov chaw hauv plab, uas yog, lub plab. Cov kua dej no sib sau ua ke ntawm phab ntsa ntawm cov kabmob, thiab ib lub hnab tiv thaiv tsim nyob ib puag ncig nws, raws li kuv tau hais ua ntej. Qhov ntawd yog qhov hu ua pseudocyst.

Cov tsos mob ntawm tus kab mob pancreatic pseudocyst yog dab tsi?

Cov pseudocysts me me yuav tsis ua rau muaj tsos mob. Txawm li cas los xij, cov loj dua yuav ua tau. Lawv cov tsos mob yuav zoo ib yam li cov mob pancreatitis. Txawm li cas los xij, lawv feem ntau tshwm sim ob peb lub lis piam tom qab mob pancreatitis, lossis tom qab mob pancreatitis ntev zuj zus thiab cuam tshuam rau cov hlab ntsha pancreatic.

Cov tsos mob feem ntau:

• Mob plab: Qhov no yog cov tsos mob tseem ceeb.
• Kev o: Tej zaum koj lub plab yuav puv.
• Anorexia: Kev xav tsis xav noj mov.
• Xeev siab los yog ntuav: Cov tsos mob no kuj tshwm sim ntau.

Cov tsos mob yog tias muaj teeb meem tshwm sim:

Qee zaum, yog tias muaj teeb meem tshwm sim, cov tsos mob xws li cov no kuj tseem yuav tshwm sim:

• Kub taub hau los yog mob khaub thuas: Qhov no yuav yog ib qho cim qhia txog kev kis kab mob.
• Lub plawv dhia ceev dua:
• Kiv taub hau los yog xav tias lub taub hau me me:
• Jaundice: Qhov muag thiab daim tawv nqaij daj.

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

Txawm hais tias muaj teeb meem tsawg tsawg los xij, nws yog qhov zoo uas yuav tsum paub txog lawv.

• Kev Kab Mob: Txawm hais tias feem ntau cov pseudocysts tsuas muaj cov kua qaub ncaug pancreatic xwb, qee qhov yuav muaj cov nqaij tuag. Thaum qhov no tshwm sim, cov kab mob xws li cov kab mob bacteria tuaj yeem noj cov nqaij tuag thiab ua rau muaj kev kis kab mob. Ib qho pseudocyst uas muaj kab mob tuaj yeem ua rau muaj kev phom sij heev yog tias nws tawg. Txawm hais tias qhov no tsis tshua muaj, yog tias nws tawg, qhov kev kis kab mob tuaj yeem kis mus rau sab hauv ntawm lub plab, ua rau muaj mob hu ua septicemia.
• Kev nias ntawm cov hlab ntsha: Ib lub pseudocyst loj tuaj yeem nias ib lub hlab ntsha lossis cov kav dej kua tsib ze, uas tuaj yeem thaiv cov ntshav ntws lossis cov kav dej kua tsib ntws los ntawm cov kav dej. Lub pseudocyst kuj tseem tuaj yeem nias lub raj pancreatic, ua rau muaj teeb meem ntxiv.
• Kev thaiv txoj hnyuv: Ib lub pseudocyst loj tuaj yeem thaiv lub plab lossis txoj hnyuv me, ua rau nws nyuaj rau noj lossis haus. Qhov no tuaj yeem ua rau nyuaj rau noj thiab tso quav.
• Los ntshav: Yog tias lub pseudocyst raug nias rau ntawm cov hlab ntsha, phab ntsa ntawm cov hlab ntsha ntawd tuaj yeem raug puas tsuaj thiab ua rau los ntshav. Yog tias cov ntshav ntws los ntawm cov hlab ntsha mus rau hauv lub pseudocyst, lub cyst tuaj yeem tawg.

Nco ntsoov tias, tsis yog txhua tus neeg muaj cov teeb meem no. Feem ntau, cov pseudocysts kho tau yam tsis muaj teeb meem dab tsi.

Cov kws kho mob kuaj mob pancreatic pseudocysts li cas?

Feem ntau cov kws kho mob tuaj yeem txheeb xyuas cov pancreatic pseudocysts nrog kev ntsuas zoo, xws li kev ntsuas CT sib piv lossis MRI. Tab sis qee zaum, lawv yuav tsum tau coj ib qho qauv los txiav txim siab seb nws puas yog pseudocyst lossis lwm hom qog. Lawv siv endoscopic ultrasound thiab koob txhaj tshuaj me me los ua qhov no.

Kev kuaj mob ultrasound hauv endoscopic

Qhov no suav nrog kev siv lub tshuab endoscopy thiab lub tshuab ultrasound ua ke. Tus kws kho mob muab ib lub raj ntev (endoscope) nrog lub koob yees duab me me txuas rau hauv koj lub caj pas thiab rau hauv koj txoj hnyuv me. Tom qab ntawd, lwm lub raj nyias nyias nrog ib feem me me ntawm lub tshuab ultrasound raug xa mus rau hauv lub raj loj dua los kuaj xyuas lub txiav.

Kev rho tawm koob me meKev rho tawm koob me me

Qhov no yog ib hom kev kuaj mob. Thaum lub sijhawm endoscopy, tus kws kho mob tuaj yeem ntxig ib rab koob nyias nyias, khoob rau hauv lub raj thiab coj cov kua dej thiab cov nqaij ntawm lub pseudocyst. Cov qauv no tom qab ntawd raug xa mus rau chav kuaj mob kom kuaj.

Cov pseudocysts no tshwm sim li cas ntawm kev luam theej duab?

Peb lub qog pancreas zoo li ntses - muaj lub taub hau, nruab nrab thiab tus tw. Kwv yees li ob feem peb ntawm cov pseudocysts tsim nyob rau hauv qhov pancreas tus tw, thiab lwm qhov thib peb nyob rau hauv lub taub hau. Lawv feem ntau yog puag ncig, nrog rau qhov chaw du thiab phab ntsa ntshiab. Sab hauv yog cov kua dej ntshiab. Lawv tuaj yeem sib txawv qhov loj me ntawm 2 txog 30 centimeters. Ib txhia neeg muaj ib qho, thaum lwm tus muaj ntau.

Cov kws kho mob kho cov pancreatic pseudocysts li cas?

Feem ntau cov pancreatic pseudocysts ploj mus lawv tus kheej raws sijhawm. Cov kws kho mob saib xyuas lawv thiab muab kev pab txhawb nqa raws li qhov xav tau. Piv txwv li:

• Cov Tshuaj Tua Kab Mob: Cov tshuaj no muab rau kom txo qhov mob.
• Cov kua dej IV: Cov khoom xws li saline yog muab rau lub cev kom tiv thaiv kev qhuav dej thiab muab cov kua dej uas lub cev xav tau.
• Kev Noj Haus (los ntawm ib lub raj lossis txhaj rau hauv cov hlab ntsha (IV): Yog tias koj noj tsis tau, kev noj haus yuav muab los ntawm ib lub raj lossis txhaj rau hauv cov hlab ntsha.

Yog tias cov pseudocysts tsis kho lawv tus kheej, lossis yog tias lawv qhia cov cim qhia tias muaj teeb meem, cov kws kho mob yuav cuam tshuam thiab kho lawv.

Yuav siv sijhawm ntev npaum li cas rau qhov mob pancreatic pseudocyst kom kho tau?

Feem ntau cov kws kho mob yuav pab yog tias cov pseudocysts tau muaj ntau tshaj rau lub lis piam. Kwv yees li ib feem peb ntawm lawv yuav zoo lawv tus kheej hauv lub sijhawm no. Yog tias koj muaj ntau lub pseudocysts, lossis yog tias koj muaj teeb meem mus sij hawm ntev, xws li qhov caws pliav los ntawm tus kab mob pancreatitis ntev, lawv yuav tsis zoo lawv tus kheej.

Yuav kho cov mob pseudocyst uas nyuaj thiab muaj kev pheej hmoo siab li cas?

Cov kws kho mob kho cov pseudocysts los ntawm kev rho lawv tawm. Qhov no tuaj yeem ua tau ntau txoj hauv kev. Kev rho dej los ntawm kev siv lub koob yees duab feem ntau yog thawj qhov kev xaiv. Txawm li cas los xij, qee zaum, lwm txoj hauv kev, xws li kev phais mob, yuav tsum tau ua. Kev rho dej los ntawm kev siv lub koob yees duab yog ib txoj kev phais mob uas tsis mob heev thiab tuaj yeem muab cov txiaj ntsig zoo ib yam li kev phais mob mus sij hawm ntev.

Kev phais plab cystogastrostomy

Qhov no yog tus txheej txheem ib txwm muaj. Kev phais cystogastrostomy yog ib qho txheej txheem uas tsim kev sib txuas ntawm pseudocyst thiab koj lub plab, uas cia cov kua dej hauv lub cyst ntws mus rau hauv koj lub plab. Nyob ntawm seb lub pseudocyst nyob qhov twg, qhov kev sib txuas no yuav ua rau txoj hnyuv me lossis lub pancreas duct.

Koj lub plab thiab txoj hnyuv me me tuaj yeem tswj cov kua dej uas tawm hauv lub pseudocyst tau zoo heev, vim tias ob qho tib si muaj ib daim ntaub tshwj xeeb uas tiv thaiv lawv ntawm cov enzymes thiab cov kua qaub hauv plab. (Cov kua pancreatic feem ntau mus rau hauv txoj hnyuv me.) Thaum cov kua dej tag nrho ploj mus, phab ntsa ntawm lub cyst yuav yaj nws tus kheej.

Tom qab kho mob pancreatic pseudocyst, koj yuav xav tau dab tsi?

Kev kho mob rau tus kab mob pancreatic pseudocyst yuav siv sijhawm ob peb hnub nyob hauv tsev kho mob. Tom qab ntawd, koj yuav raug hais kom rov qab los rau ob peb lub lis piam kom tshem cov stents lossis cov raj xa dej. Kev kho mob kom tshem tawm cov kua dej ntau dua 90% ua tiav. Txawm li cas los xij, qee zaum, pseudocysts tuaj yeem rov tshwm sim dua.

Thaum twg koj yuav tsum mus ntsib kws kho mob txog qhov mob pancreatic pseudocyst?

Yog tias koj muaj cov tsos mob ntawm tus kab mob pancreatitis, mus ntsib kws kho mob tam sim ntawd. Qhov no txhais tau tias: mob hauv koj lub plab uas nthuav mus rau koj nraub qaum, thiab koj xeev siab thiab/lossis ntuav. Yog tias koj nyuam qhuav kho tus kab mob pancreatitis thiab koj cov tsos mob rov qab los tom qab plaub txog rau lub lis piam, koj yuav muaj lub pancreatic pseudocyst.

Cov pancreatic pseudocysts yog ib qho kev mob tshwm sim ntawm pancreatitis. Lawv tuaj yeem ncua koj txoj kev kho mob thiab ua rau koj xav tau kev kho mob ntxiv thaum koj xav tias koj tau ua tiav lawm. Txawm hais tias qhov no tuaj yeem yog qhov txhawj xeeb tiag tiag, nco ntsoov tias feem ntau cov pseudocysts tsis ua rau muaj teeb meem tshiab lossis xav tau kev kho mob tshiab.

Cov kws kho mob txhawj xeeb txog cov pseudocysts, tab sis lawv feem ntau tsuas yog saib xyuas lawv xwb. Yog tias koj muaj cov tsos mob, lawv kho lawv. Yog tias pseudocysts xav tau kev phais, kev ntws cov kua dej feem ntau daws qhov teeb meem. Cov kev kho mob no feem ntau tsis tshua muaj kev cuam tshuam, txhais tau tias lawv muaj kev cuam tshuam tsawg dua rau lub cev.

Cov Lus Qhia Txog Kev Coj Mus Tsev

Zoo, ntawm no yog qee yam uas koj yuav tsum nco ntsoov los ntawm qhov peb tau tham txog:

• Ib lub pancreatic pseudocyst yog ib lub hnab zoo li cov kua dej uas tsim nyob ib puag ncig lub pancreas thaum nws raug puas tsuaj, tshwj xeeb tshaj yog vim muaj mob pancreatitis.
• Qhov no tsis yog ib qho mob qog nqaij hlav tiag tiag, yog li ntawd tsis txhob ntshai tias nws yuav hloov mus ua mob qog nqaij hlav.
• Feem ntau, cov no yuav zoo dua thaum lawv tus kheej mob. Txawm li cas los xij, yog tias lawv loj hlob tuaj, kis kab mob, lossis muaj lwm yam teeb meem, lawv yuav xav tau kev kho mob.
• Lub hauv paus tseem ceeb yog pancreatitis los ntawm cawv.
• Cov tsos mob yuav muaj xws li mob plab, o, tsis xav noj mov, thiab xeev siab.
• Cov kws kho mob kuaj pom cov no los ntawm kev kuaj xws li (CT scan), (MRI), thiab (Endoscopic ultrasound).
• Kev kho mob tseem ceeb yog kev ntws dej, uas feem ntau ua tau los ntawm kev siv endoscopically.
• Yog tias koj muaj cov tsos mob ntawm tus kab mob pancreatitis, lossis yog tias cov tsos mob rov qab los tom qab lub sijhawm luv luv kho mob, nco ntsoov mus ntsib kws kho mob.

Qhov tseem ceeb tshaj plaws yog tsis txhob ntshai thiab ua raws li cov lus qhia kho mob kom raug. Xav kom koj zoo sai sai!

` Mob qog nqaij hlav, mob qog nqaij hlav pseudocyst, mob qog nqaij hlav pancreatitis, mob plab, lub cev zom zaub mov, kev siv tshuab endoscopy, kev kho mob