Kodi mulinso ndi pancreatic cysts? Tiyeni tikambirane za izi mwatsatanetsatane!

Mwina munachita `Scan` pazifukwa zina, monga `CT` (Computed Tomography) kapena `MRI` (Magnetic Resonance Imaging), ndipo dokotala anakuuzani kuti muli ndi chotupa chaching'ono mu kapamba wanu? Mukamva chinthu chonga chimenecho, mwadzidzidzi mungamve mantha pang'ono komanso mantha, sichoncho? Mafunso ambiri monga "Ichi ndi chiyani? Kodi ndi choopsa?" amabuka m'maganizo mwanu. Chifukwa chake, musadandaule. Lero, tiyeni tikambirane za chotupa ichi mu kapamba momveka bwino komanso mosavuta.

Kodi pancreatic cyst ndi chiyani?

Mwachidule, pancreatic cyst ndi thumba laling'ono lodzaza ndi madzi lomwe limapangidwa mkati mwa pancreatic yanu, kapena nthawi zina pamwamba pake. Ganizirani ngati baluni yaying'ono yamadzi. Pali mitundu yosiyanasiyana ya ma cysts, omwe amagawidwa malinga ndi zinthu zomwe zimapangidwa ndi maselo. Mitundu ina imatchedwa neoplastic. Neoplastic imatanthauza kuti ina mwa iyo imatha kukhala khansa pakapita nthawi. Mitundu ina imatchedwa nonneoplastic. Ma cysts awa omwe si neoplastic sakula kukhala khansa. Chifukwa chake palibe chodetsa nkhawa.

Kodi kukhala ndi chotupa cha pancreatic kumatanthauza chiyani?

Tsopano mwina mukuganiza kuti, "Chabwino, ndiye zikutanthauza chiyani kwenikweni ngati ndili ndi chimodzi mwa izi?" Ngakhale kuti ma cysts ena a pancreatic angawoneke ngati akugwirizana ndi vuto lotchedwa pancreatitis, nthawi zambiri amakula popanda chifukwa chomveka, pafupifupi mwangozi. Chofunika ndichakuti, ma cysts ambiri a pancreatic sakubweretserani mavuto. Akhoza kungokhalapo.

Komabe, nthawi zambiri, mtundu wa chotupa chotchedwa `neoplastic` ungakhale chiyambi cha khansa ya kapamba. Makamaka ngati wina m'banja mwanu, kutanthauza amayi anu, abambo anu, abale ndi alongo anu, adadwala khansa ya kapamba, chiopsezochi chimakhala chachikulu pang'ono kuposa ena. Koma si zachilendo kwa aliyense.

Kodi ndiyenera kuda nkhawa ndi chotupa cha pancreatic?

Funso lalikulu lomwe anthu ambiri amakhala nalo ndi ili. Ngati dokotala wanu awona pancreatic cyst pa scan, monga CT kapena MRI, nthawi yomweyo adzaiika m'gulu la chiopsezo chochepa, chapakati, kapena chachikulu . Kugawa kumeneku kumadalira mtundu wa cyst yomwe imawoneka pa scan (monga kukula kwake ndi mawonekedwe ake) komanso ngati muli ndi zizindikiro zilizonse zokhudzana ndi iyo.

Ngati chotupacho chili m'gulu la "chiopsezo chochepa", mwina palibe chodetsa nkhawa nacho. Nthawi zambiri, palibe chomwe chingachitike.

Ngati chiopsezo chili ``chapakati`` kapena ``chapamwamba``, madokotala apereka chithandizo chofunikira malinga ndi malangizo awo azachipatala.

Nthawi zambiri, zotupa za kapamba zimangoyang'aniridwa. Kuyang'aniridwa kumatanthauza kuti madokotala azizisanthula nthawi ndi nthawi, ndikufunsa kuti, "Kodi chotupachi chikukulirakulira? Kodi chikusintha mawonekedwe? Kodi pali china chatsopano?" Ngati chotupa chotsika chikusintha kukhala chotupa chotsika pakapita nthawi, 'biopsy' imachitidwa kuti mudziwe zambiri za icho. 'Biopsy' imachitika poika chinthu chonga singano yopyapyala, kutenga chidutswa chaching'ono kwambiri cha chotupacho ndikuchiyang'ana pansi pa maikulosikopu. Mwanjira imeneyi, mtundu weniweni wa maselo omwe ali mmenemo ukhoza kudziwika. Ngati chotupa chotsika chisintha kukhala chotupa choopsa kwambiri, zomwe zikutanthauza kuti chikuwoneka kuti ndi khansa, madokotala akukonzekera kuchita opaleshoni kuti achichotse.

Kodi ma cysts a pancreatic ndi ofala bwanji?

Kafukufuku akusonyeza kuti ma cysts a pancreatic amapezeka mwangozi mwa anthu pafupifupi 10% omwe amachitidwa CT scans (Computed Tomography scans) ndi MRIs (Magnetic Resonance Imaging). Nthawi zambiri amapezeka mwangozi panthawi yoyezetsa zithunzi zomwe zimachitika pazifukwa zina, monga mavuto am'mimba. Popeza anthu ambiri ali ndi ma cysts awa ndipo sasonyeza zizindikiro zilizonse, sitikudziwa bwino kuti ndi anthu angati padziko lonse lapansi omwe sadziwa kuti ali nawo.

Kodi ndi kuchuluka kotani kwa zotupa za pancreatic zomwe zimakhala khansa?

Iyi ndi mfundo yofunika kwambiri. Zochepera 1% ya ma cysts a pancreatic amasanduka khansa. Imeneyi ndi chiwerengero chochepa kwambiri. Komabe, pafupifupi 30% ya ma cysts a pancreatic amatha kukhala khansa. Izi zimatchedwa ma cysts a precancerous. Ichi ndichifukwa chake madokotala nthawi zonse amakhala akuwayang'ana. Koma pali nkhani yabwino. Ma cysts a precancerous awa nthawi zambiri amakula kwambiri ndipo amasintha moopsa. Chifukwa chake, ndikuwunika nthawi zonse, ndiko kuti, ndi ma scan nthawi ndi nthawi, kusintha kwa khansa kumatha kuzindikirika msanga kwambiri. Kenako, chithandizo chingayambe mwachangu.

Kodi mitundu yosiyanasiyana ya ma cysts a pancreatic ndi iti?

Izi zafotokozedwa mwatsatanetsatane, pali mayina ambiri azachipatala. Koma tiyeni tizitsatira mosavuta. Limati pali mitundu iwiri ikuluikulu.

Ma cysts a Neoplastic kapena Precancerous

Izi zimatchedwanso `pancreatic cystic neoplasms (PCN).` Izi ndi mitundu yomwe tiyenera kuyang'ana bwino. Zina mwa izo ndi:

• Ma Intraductal Papillary Mucinous Neoplasms (IPMNs): Awa ndi mtundu wofala kwambiri wa chotupa cha neoplastic. Amakula mu pancreatic duct. Pancreatic duct ndi chubu chaching'ono chomwe chimanyamula madzi ogaya chakudya omwe amapangidwa ndi kapamba kupita nawo m'matumbo. Madzi omwe ali mkati mwa zotupazi ndi osakaniza a pancreatic juices ndi chinthu chokhuthala chotchedwa mucin. Mucin ndi gawo la ntchofu. Mucin iyi ingayambitse pancreatic duct kutupa ndikukula.
• "Matenda a Mucinous Cystic Neoplasms (MCNs)":Izi sizichitika kawirikawiri ngati `IPMNs`. Nthawi zambiri zimapezeka mwa akazi azaka zopitilira 50. Zimapezeka pakati pa kapamba (`thupi la kapamba`).
• `Matenda Olimba a Pseudopapillary Neoplasms (SPNs):` Awa ndi osowa kwambiri. Ali ndi gawo lolimba komanso lamadzimadzi. Nthawi zambiri amakula mwa akazi achichepere azaka za m'ma 20 ndi 30.
• Ziphuphu za Pancreatic Neuroendocrine Tumors (PNETs): Ziphuphu za Pancreatic neuroendocrine tumors (zomwe zimatchedwanso islet cell tumors) ndi mtundu wosowa wa chotupa. Nthawi zambiri ndi zotupa zolimba, koma nthawi zina zimatha kuoneka ngati ma cysts.

Ma cysts osakhala a khansa (`Nonneoplastic` kapena `Benign Cysts`)

Izi sizimayambitsa khansa. Choncho palibe chifukwa choziopa kwambiri.

• Ma Cysts Osavuta (kapena Ma Cysts Osungira): Awa ndi ma cysts osavulaza omwe amakula mkati mwa kapamba, olekanitsidwa ndi njira yolumikizira kapamba. Amakutidwa ndi gawo limodzi la maselo a epithelial. Nthawi zambiri amapezeka mwa ana aang'ono.
• Serous Cystadenomas: Izi ndi zotupa zomwe zimapezeka kawirikawiri komanso zopanda vuto lililonse. Komabe, ngati zikukula, nthawi zina zimayambitsa mavuto monga kukanikiza ziwalo zapafupi. Zikatero, nthawi zina zimafunika kuchotsedwa opaleshoni.
• Ma cysts Osakhala a Neoplastic: Awa ndi ma cysts osavulaza, omwe amapanga mucin. Komabe, madokotala ayenera kuwafufuza mosamala kuti awasiyanitse ndi mitundu ya neoplastic, yomwe ingakhale khansa.
• Matenda a Lymphoepithelial Cysts: Izi ndi zotupa zomwe sizimapezeka kawirikawiri komanso zopanda vuto lililonse. Nthawi zambiri zimapezeka mwa amuna.

Chofunika kudziwa: Pali chinthu china chotchedwa `Pancreatic pseudocysts`. Nthawi zina anthu amasokoneza izi ndi ma cysts enieni. Komabe, `pseudocyst` si chomera chatsopano ngati `chotupa`. Ndi thumba lodzaza madzi lomwe limapangidwa pamene madzi a pancreatic akutuluka kuchokera ku pancreatic chifukwa cha kuvulala kwa pancreatic (monga `pancreatitis`). `Pseudocysts` ndi matenda abwino.

Kodi zizindikiro za chotupa cha pancreatic ndi ziti?

Nayi chinthu chomwe chingadabwitse anthu ambiri: Ziphuphu zambiri za kapamba sizimayambitsa zizindikiro zilizonse. Inde, ndi zoona. Simungazindikire ngakhale chotupa. Zizindikiro zimayamba kuonekera pamene chotupacho chikukulirakulira mokwanira kutseka kapena kukanikiza njira ya kapamba, njira ya biliary, kapena m'mimba kapena matumbo (njira ya m'mimba). Izi zikachitika, zinthu ngati izi zitha kuchitika:

• Kupweteka m'mimba: Kupweteka kumeneku nthawi zambiri kumachitika m'mimba chapamwamba.
• Kupweteka kwa msana: Nthawi zina ululu wa m'mimba ukhozanso kufalikira kumsana.
• Kutaya chilakolako:Ndimataya chilakolako chonse chofuna kudya.
• Kuchepetsa thupi mosadziwika: Mwadzidzidzi mumataya thupi ngakhale simukuchita masewera olimbitsa thupi kapena kuchepetsa thupi.
• Kutupa: Kumva kukhuta ngakhale mutadya pang'ono.
• Kusagaya chakudya: Kumva ngati chakudya sichikugayidwa.
• Kusanza: Kumva ngati ukusanza.
• Jaundice: Zoyera za m'maso ndi pakhungu zimakhala zachikasu. Izi zimachitika ngati ndulu sikuyenda bwino.
• Matope opaka mafuta (kapena steatorrhea): Chimbudzi chimasintha mtundu wake n’kukhala mafuta.
• Kumva ngati chotupa m'mimba mwako: Ngati chotupacho ndi chachikulu kwambiri, chingamvekenso.

Kodi n’chiyani chimayambitsa matenda a pancreatic cysts?

Ma cysts a Pancreatic ndi kukula kosazolowereka kwa maselo. Mwachidule, maselo amakhala ndi kusintha pang'ono m'majini awo ('masinthidwe a majini') ndipo amayamba kugawikana modabwitsa. Koma ofufuza sakudziwabe chifukwa chake kusintha kwa majini kumeneku kumachitika. Amaganiza kuti kungakhale kuphatikiza kwa majini, kutupa kwa kapamba, ndi zinthu zina zakunja, monga ukalamba. Chiŵerengero chochepa kwambiri cha ma cysts chimagwirizana mwachindunji ndi matenda enaake obadwa nawo.

Matenda ena obadwa nawo omwe angagwirizane ndi pancreatic cysts ndi awa:

• Matenda a Von Hippel-Lindau
• Matenda a impso a Polycystic (kuchuluka kwa ma cysts mu impso)
• 'Cystic fibrosis'

Pali zinthu zingapo zomwe zingayambitse kukula kwa zotupa za pancreatic:

• Kukalamba: Chiwopsezo chokhala ndi ma cysts a pancreatic chimawonjezeka mukamakula. Malinga ndi kafukufuku, akuti pafupifupi kotala (25%) ya anthu azaka za m'ma 70 ali ndi ma cysts.
• Pancreatitis: Mitundu ina ya zotupa imagwirizanitsidwa ndi kapamba. Komanso, mitundu ina ya zotupa ingayambitse kapamba.
• Mbiri ya Banja: Ngati wina m'banja mwanu wakhala ndi khansa ya kapamba, kapena ngati muli ndi vuto lobadwa nalo lokhudzana ndi zotupa za kapamba, muli ndi mwayi waukulu wopeza zotupa za kapamba.

Kodi ndi mavuto ati omwe angayambitse matenda a kapamba?

Mavuto ndi osowa kwambiri, koma ngati achitika, angaphatikizepo:

• Kutsekeka kwa njira yotulutsira pancreatic:Mitundu ina ya zotupa zotchedwa `mucinous neoplasms` imatha kutulutsa chinthu chokhuthala chotchedwa `mucin` mu duct ya pancreatic. duct imatha kutupa, kudzaza, kenako nkutsekeka. Izi zimaletsa ma enzyme opangidwa ndi pancreatic kuti asadutse mu duct kupita m'matumbo ang'onoang'ono. Kenako ma enzyme amabwerera mu pancreatic, n'kuwononga ndikuyambitsa kutupa kwa pancreatic (pancreatitis). Pakadali pano, kugaya chakudya kwanu sikulandira ma enzyme omwe amafunikira kuti adye chakudya.
• Kutsekeka kwa njira yotulutsira ndulu: Ngati chotupa chachikulu chikakankhira njira yotulutsira ndulu, chingalepheretse kuyenda kwa ndulu. Izi zimatchedwa cholestasis. Izi zimapangitsa kuti ndulu ikulukane, zomwe zingawononge njira yotulutsira ndulu ndi ziwalo zina zolumikizidwa nayo (monga chiwindi). Ndulu imathanso kusakanikirana ndi magazi, zomwe zimayambitsa zizindikiro monga jaundice.
• Kutsekeka kwa m'mimba: Ngati chotupa chachikulu chikukankhira m'mimba mwanu kapena m'matumbo, mutha kukhala ndi zizindikiro zosiyanasiyana za m'mimba, kuphatikizapo kupweteka m'mimba, kusapeza bwino, kudzimbidwa, kudzimbidwa, komanso kusowa chilakolako cha chakudya. Pa milandu yoopsa, chakudya chingasiye kuyenda m'mimba mwanu.
• Khansa ya Pancreatic: Monga tanenera kale, khansa yochepa kwambiri imatha kukhala khansa. Nthawi zambiri, ndi mtundu wotchedwa adenocarcinoma. Khansa ya Pancreatic ndi mtundu wa khansa womwe umafalikira mwachangu. Chifukwa chake, ndikofunikira kwambiri kuizindikira msanga momwe mungathere.

Kodi mumazindikira bwanji chotupa cha pancreatic?

Madokotala amagwiritsa ntchito mayeso otsatirawa kuti adziwe ngati pali pancreatic cyst, ndipo ngati ndi choncho, momwe imaonekera:

• X-ray: Njira zamakono zojambulira zithunzi, monga CT scans kapena MRI scans, zimatha kuwonetsa bwino zotupa za kapamba. Mitundu ina ya zotupa imatha kuzindikirika pa scan. Koma zina zimafunika kuyesedwa kwina kuti zidziwe mtundu wake weniweni kapena kuti zione ngati zili ndi maselo a khansa. Pazochitikazi, madokotala angafunike kutenga chitsanzo (biopsy) cha chotupacho.
• Kuyeza Endoscopic Ultrasound / Fine Needle Aspiration (EUS-FNA): Njira yotchedwa Endoscopic ultrasound (EUS) imalola dokotala kuyika endoscope yaying'ono kwambiri, yosinthasintha (chubu chokhala ndi kamera ndi chipangizo cha ultrasound) kudzera pakamwa ndi m'mimba kuti ifike pa chotupa cha kapamba. Ultrasound idzawonetsa komwe chotupacho chili, ndipo singano yopyapyala (fine needle aspiration) idzadutsa mu endoscope kuti ichotse chitsanzo chaching'ono cha minofu ndi madzi kuchokera pa chotupacho. Izi zimatchedwa fine needle aspiration (FNA). Kenako chitsanzocho chimafufuzidwa mu labotale.
• Kusanthula kwa madzimadzi:Madzi a cystic ochokera ku FNA amafufuzidwa mu labu kuti adziwe mtundu wake. Izi zimatchedwanso cytology. Amafufuza zinthu monga mucin. Mucin imathandiza kuzindikira ma mucinous neoplasms. Amafufuzanso zizindikiro za chotupa monga carcinoembryonic antigen (CEA). CEA ndi puloteni yomwe imapezeka m'magazi, ndipo kuchuluka kwake kungapereke zizindikiro zina zokhudza kukhalapo kwa khansa.

Kodi mankhwala a khansa ya pancreatic ndi ati?

Chithandizo cha chotupa cha kapamba chimadalira zinthu zambiri, kuphatikizapo mtundu wa chotupacho, kukula kwake, ngati chili ndi zizindikiro, komanso chiopsezo chake chokhala ndi khansa. Nazi njira zazikulu zochizira:

• Kuyang'anira: Izi zikutanthauza kusachita chilichonse, koma kuyang'ana nthawi zonse ndikuyang'ana ngati chotupacho chasintha.
• `Biopsy`: Kutenga chitsanzo cha minofu ndikuiyang'ana kuti mudziwe mtundu weniweni wa chotupacho.
• Kuchotsa chotupacho mwa opaleshoni: Ngati chotupacho chikuonedwa kuti ndi choopsa kapena chikuyambitsa mavuto, chimachotsedwa mwa opaleshoni.

Ma cysts ambiri amachiritsidwa ndi kuyang'aniridwa. Izi zikutanthauza kuti mudzakhala ndi ma scan nthawi ndi nthawi (miyezi 6 iliyonse, chaka, kapena kupitilira apo) kuti muwone ngati pali cyst. Ngati pali kusintha kulikonse kokayikitsa, EUS-FNA imachitidwa ndipo madzi amawunikidwa. Ngati zotsatira zake zikusonyeza khansa, dokotala wanu angakulangizeni kuti muchotsedwe, kutengera ngati muli bwino kuti muchite opaleshoni.

Kodi zotupa za pancreatic zimatha zokha?

Ziphuphu zina zosaopsa, makamaka zazing'ono, zimatha kudzichepera zokha, kapena kutha kwathunthu. Koma mitundu yotchedwa neoplastic, yomwe ingakhale khansa, siitha yokha. Nthawi zambiri, imapitirira kukula, koma pang'onopang'ono kwambiri. Madokotala amawunika kukula kwawo. Bola ngati ali ang'onoang'ono, pokhapokha ngati akukula kwambiri kapena kusintha mwanjira yokayikitsa, madokotala sachita chilichonse chokhudza iwo, amangowayang'anira.

Kodi zotupa za pancreatic zimakula mofulumira bwanji?

Mitundu yosiyanasiyana ya zotupa za kapamba imakula pamlingo wosiyana, koma kawirikawiri, imakula pang'onopang'ono kwambiri. Ngati chotupa chikukulira kuposa mamilimita atatu (3 mm) pachaka, madokotala amakayikira pang'ono ndipo amasamala kwambiri. Ngati chotupa chikuyang'aniridwa kuti chione ngati chasintha, chimawunikidwa chaka chilichonse, zaka ziwiri zilizonse, kapena nthawi zina zaka zisanu zilizonse, kutengera momwe chikukulira mwachangu.

Kodi ma cysts a pancreatic ayenera kuchotsedwa liti?

Ziphuphu zina za kapamba zingafunike kuchotsedwa ngati zikuyambitsa mavuto kapena zikuganiziridwa kuti ndi khansa. Koma opaleshoni ya kapamba ndi njira yaikulu, yokhala ndi zoopsa zake komanso zotsatira zake. Ndicho chifukwa chake madokotala amaganizira mosamala chotupa chilichonse. Amatsatira malangizo atsatanetsatane azachipatala kuti asankhe nthawi yochita opaleshoni ndikuchotsa chotupa.

Nazi zina mwa zinthu zomwe amaganizira:

• Kukula: Ziphuphu zazikulu kuposa masentimita atatu (3 cm), kapena zomwe zimawoneka kuti zikukula mofulumira kuposa masiku onse, zingafunike kufufuzidwa ngati zili ndi chiopsezo cha khansa. Nthawi zina, ngakhale kuti ziphuphu zazikulu sizili zoopsa, zingafunike kuchotsedwa chifukwa zimayambitsa kusasangalala kapena kusokoneza ziwalo zina.
• Mtundu: Mitundu ina ya zotupa (monga MCN, zina za IPMN) ili ndi chiopsezo chachikulu chokhala khansa. Dokotala angakulangizeni kuti muwachotse msanga. Madokotala adzayesa chiopsezo cha khansa ndikuchiyerekeza ndi zoopsa za opaleshoni, poganizira thanzi la munthuyo.
• Zizindikiro zooneka: Nthawi zina, madokotala amaona zizindikiro pa scan zomwe zikusonyeza kuti chotupa chingakhale khansa kapena chisanafike khansa. Mwachitsanzo, mungaone kuti pancreatic duct yanu yakula, zomwe zingatanthauze kuti muli ndi mucinous neoplasm yomwe imatulutsa mucin mu duct. Kapena mungaone kuti chotupa chili ndi zigawo zolimba, zomwe zingatanthauze kuti si chotupa chodzaza ndi madzi okha, koma chotupa cholimba.
• Matenda anu: Anthu ena ali ndi matenda ena (monga matenda a mtima, matenda a shuga) kapena zinthu zofunika kwambiri, monga ukalamba, zomwe zimapangitsa kuti opaleshoni ya kapamba ikhale yoopsa kwa iwo. Madokotala adzayesa zinthuzi poganizira za chiopsezo chanu cha khansa kuti apange chisankho chabwino.

Kodi opaleshoni yochotsa chotupa cha kapamba imachitidwa bwanji?

Ngati dokotala wanu akulangizani kuchotsa chotupa, zikutanthauza kuti mudzachitidwa opaleshoni. Ma opaleshoni awa ndi ovuta pang'ono. Nthawi zina dokotala amatha kudula mosamala chotupacho kuchokera ku kapamba wanu. Koma nthawi zambiri, chidutswa cha kapamba wanu chidzafunikanso kuchotsedwa. Kutengera komwe chotupacho chili, chingafunikenso kuchotsa ziwalo zina zapafupi (monga ndulu kapena gawo la matumbo ang'onoang'ono).

Pali mitundu ingapo ya opaleshoni yomwe ingachitike:

• Kutulutsa ndulu: Uku ndi kuchotsa mosamala chotupa chimodzi kuchokera ku kapamba popanda kuwononga minofu yathanzi ya kapamba yozungulira. Ngati muli ndi chotupa chimodzi, chaching'ono, chosaopsa, chili pamalo osavuta kumva, ndipo sichikuwoneka ngati khansa, mutha kuchitidwa opaleshoni yaying'ono iyi.
• Kuchotsa Pancreatectomy pang'ono:Izi zikuphatikizapo kuchotsa gawo la kapamba lomwe lili ndi chotupa kapena zotupa. Ganizirani kuti kapamba wanu ndi wofanana ndi nsomba. Ali ndi "mutu," "thupi," ndi "mchira." Pancreatectomy yapakati imachotsa gawo lapakati la kapamba. Pancreatectomy ya distal imachotsa mchira. Chifukwa mchira wa kapamba ndi kapamba ndi zogwirizana kwambiri, distal pancreatectomy nthawi zambiri imaphatikizaponso kuchotsa kapamba (splenectomy).
• Njira ya Whipple (yomwe imadziwikanso kuti pancreaticoduodenectomy): Iyi ndi njira yayikulu pang'ono. Njira ya Whipple imachotsa mutu wa kapamba ndi ducts za kapamba. Zotupa za khansa, monga mucinous neoplasms, nthawi zambiri zimapezeka m'mutu uwu. Ndi malo otanganidwa kwambiri pomwe gawo lapamwamba la matumbo anu ang'onoang'ono (duodenum), duct ya kapamba, ndi duct ya bile yodziwika bwino zimakumana. Ngati khansa ili paliponse pamalo olumikizirana awa, imatha kufalikira ku nthambi zina, kotero njira ya Whipple siichotsa mutu wa kapamba wokha, komanso duodenum yanu, duct ya bile yodziwika bwino, ndi ndulu, zomwe zimalumikizidwa kumapeto ena a duct ya bile yodziwika bwino.
• Kuchotsa Pancreatectomy yonse: Izi zimaphatikizapo kuchotsa kapamba wanu wonse . Izi zingafunike ngati muli ndi zotupa zambiri zoti muchotse, kapena ngati khansa ikuoneka kuti yafalikira mu kapamba wanu wonse. Kuchotsa Pancreatectomy yonse kungachotsenso mitsempha yamagazi ndi ziwalo zapafupi monga ndulu, ndulu, duodenum, ndi m'munsi mwa m'mimba.

Kodi zoopsa ndi zotsatirapo zake za opaleshoni ya pancreatic cyst ndi ziti?

Opaleshoni ya kapamba wanu ingakhudze ntchito yake yachibadwa. Mukufunika kapamba wanu kuti apange ma enzyme ndi mahomoni ofunikira ogaya chakudya, kuphatikizapo insulin. Insulin ndi mahomoni omwe amalamulira kuchuluka kwa shuga m'magazi. Ngati pancreatectomy yanu yachotsa maselo ambiri omwe amapanga ma enzyme kapena insulin, muyenera kutenga mankhwala a moyo wonse kuti muwalowe m'malo. Mwachitsanzo, mungafunike jakisoni wa insulin kapena mapiritsi a ma enzyme ogaya chakudya.

Maopaleshoni ena ochotsa kapamba amachotsanso kapena kusintha ziwalo zina. Amatha kukhudza dongosolo lanu logaya chakudya, dongosolo lanu la ndulu, ndi chitetezo chamthupi. Mungakhale ndi vuto logaya zakudya zina komanso kuyamwa michere ina (makamaka mafuta) pambuyo pake. Ngati mwachitidwa opaleshoni ya splenectomy, chitetezo chanu chamthupi chikhoza kufooka pang'ono, ndipo mutha kutenga matenda pafupipafupi.

Zotsatirapo zinazake zomwe zingachitike ndi izi:

• Matenda a shuga: Ngati maselo omwe amapanga insulin awonongeka.
• Kulephera kwa pancreatic exocrine:Kusakwanira kwa ma enzymes ogaya chakudya omwe amapangidwa ndi kapamba. Izi zingapangitse kuti chakudya chidutse m'mimba popanda kugayidwa.
• Kusayamwa mafuta: Zakudya zamafuta zimakhala zovuta kuzigaya.
• Chitetezo chamthupi chofooka: Ngati ndulu yachotsedwa.

Zoopsa zina zomwe zimachitika chifukwa cha opaleshoni ndi izi:

• Kutuluka magazi
• Matenda
• Magazi amaundana
• Kutuluka kwa madzi m'thupi (kutuluka kwa madzi m'thupi kuchokera pamalo pomwe zinthu monga matumbo zimalumikizananso panthawi ya opaleshoni)

Kodi chotupa cha pancreatic ndi chachikulu bwanji?

Malinga ndi ziwerengero, zotupa za kapamba sizingayambitse mavuto aakulu. Madokotala amachiritsa zotupa za kapamba mosamala kwambiri, chifukwa amafuna kupewa zoopsa zilizonse. Adzawunika chotupa chanu ndikusankha njira zodzitetezera. Ngakhale kuti opaleshoni ya kapamba ndi nkhani yaikulu, zotupa zambiri za kapamba sizifuna opaleshoni. Chifukwa chake, musachite mantha mukazindikira kuti muli ndi chotupa.

Kodi nthawi yopulumuka pambuyo pa chithandizo cha chotupa cha pancreatic ndi iti?

Izi zimatengera mtundu wa chotupa ndi momwe chafalikira. Ngati chotupacho chachotsedwa chisanakhale khansa (chisanafike khansa) kapena pamene khansayo sinafalikire (yosafalikira), kuchuluka kwa moyo wa zaka zisanu pambuyo pa opaleshoni ya khansa ya kapamba kumakhala pafupifupi 100%. Izi zikutanthauza kuti zotsatira zake zimakhala zabwino kwambiri. Kwa anthu omwe ali ndi khansa yofalikira, kuchuluka kwa moyo wa zaka zisanu pambuyo pa chithandizo ndi pafupifupi 65%-75%. Izi zimasiyananso kutengera mtundu wa chotupa ndi gawo la khansa. Chiŵerengero cha imfa (chiopsezo cha kufa chifukwa cha opaleshoni) pa opaleshoni iliyonse yayikulu ya kapamba nthawi zambiri chimakhala pafupifupi 4%.

Ndi mafunso ati omwe ndiyenera kufunsa dokotala wanga okhudza ma cysts anga a pancreatic?

Mukazindikira kuti muli ndi chotupa cha kapamba, ndikwachibadwa kukhala ndi mafunso ambiri m'maganizo mwanu. Muli ndi ufulu wofunsa dokotala wanu mafunso monga:

• "Ndi chotupa chamtundu wanji chomwe ndili nacho?"
• "Kodi chiopsezo changa chotenga khansa ya m'mawere ndi chochepa, chapakati, kapena chapamwamba?"
• "Ndiyenera kujambulidwa kangati kuti ndione zotupa zanga?"
• "Kodi mabere anga adzakula? Ngati ndi choncho, mofulumira bwanji?"
• "Ngakhale kuti ndilibe zizindikiro, kodi ndiyenera kuchotsa chotupa ichi?"
• "Ngati ndiyenera kuchitidwa opaleshoni, zoopsa zake ndi ziti? Ndi zotsatirapo ziti zomwe ndikumana nazo?"

Mukamaganizira za khansa ya kapamba ndi opaleshoni, ngakhale kuti chiopsezo chake ndi chochepa kwambiri, chingayambitse nkhawa zambiri. Koma kumbukirani kuti, zotupa zambiri za kapamba siziyenera kuopa. Malangizo azachipatala okhudza kuyang'anira, kuyesa, ndi kuchiza zotupa za kapamba apangidwa kuti achepetse mantha osafunikira ndikukutetezani.

Kukula kosazolowereka (monga ma cysts) kumachitika kawirikawiri m'ziwalo zambiri, makamaka mukamakula. Ma cysts a Pancreatic ndi chimodzi mwa ziwalo zina zomwe mungawonjezere pamndandandawu. Chiwopsezo chakuti kukula kumeneku kukhale khansa n'chochepa kwambiri. Ngati mutachotsa cyst yomwe isanafike khansa nthawi yomweyo, sidzakhala ndi mwayi wokhala khansa.

Zinthu zofunika kwambiri zomwe muyenera kukumbukira

Musachite mantha kapena kuchita mantha akakuuzani kuti muli ndi pancreatic cyst. Pumulani mpweya ndipo lankhulani momasuka ndi dokotala wanu.

Nthawi zambiri, izi sizili zoopsa, siziwonetsa zizindikiro, ndipo zimapezeka mwangozi.

Ngati dokotala wanena zimenezo, funsani zambiri. Fotokozani mtundu wa chotupa chomwe muli nacho, momwe chingakukhudzireni, komanso zomwe muyenera kuchita kenako.

Ngakhale pali mitundu ya khansa yomwe ingayambike, tsopano pali njira zamakono zodziwira matendawa ndipo, ngati kuli kofunikira, kuwachiza panthawi yoyenera. Chofunika kwambiri ndikutsatira malangizo a dokotala mosamala ndikupeza ma scan otsatira panthawi yoyenera. Mukatero simudzadandaula za izi mosafunikira. Khalani ndi moyo wathanzi!

Pancreas , Pancreatic Cysts, Khansa ya Pancreatic, Zizindikiro za Pancreatic, Chithandizo cha Pancreatic, Opaleshoni ya Pancreatic