Kodi mulinso ndi chotupa chodzaza madzi m'thupi lanu? (Pancreatic Pseudocyst) - Kodi tikambirane za izi?

Kodi mudadwalapo matenda otchedwa pancreatitis? Zimenezi zikachitika, thumba lodzaza ndi madzi nthawi zina limatha kupangika mozungulira kapamba wathu. Ichi ndi chomwe timachitcha kuti pancreatic pseudocyst. Dzinalo lingamveke ngati loopsa pang'ono, koma tikadziwa kuti ndi chiyani, palibe chifukwa chochita mantha.

Kodi pseudocyst ya pancreatic ndi chiyani?

Mwachidule, ngati kapamba wanu wawonongeka, mwachitsanzo, mukakhala ndi kapamba, thumba lodzaza ndi madzi lotchedwa pancreatic pseudocyst limapangidwa mozungulira. Tsopano onani, kapamba wathu ndi chiwalo chofunikira chomwe chili kumtunda kwa m'mimba. Amapanga ma enzyme, kapena zinthu zomwe zimathandiza kugaya chakudya chomwe timadya. Ma enzyme amenewa amayenda ngati madzi kudzera mu duct ya kapamba kupita m'matumbo athu ang'onoang'ono.

Komabe, matenda oopsa monga kapamba akachitika, njira yotulutsira kapamba iyi imatha kuwonongeka, zomwe zimapangitsa kuti madzi okhala ndi michere yogaya chakudya atuluke. Madzi otuluka awa amayambitsa kusasangalala ku minofu yozungulira. Kenako thupi limapanga khoma loteteza kuzungulira kutulukako. Khoma ili limapangidwa ndi minofu yonga zipsera. Ndicho chomwe timachitcha pseudocyst.

Kodi kusiyana pakati pa cyst yeniyeni ndi pseudocyst ndi kotani?

Iyi ndi mfundo yofunika kwambiri. Pseudocyst ya kapamba si cyst yeniyeni. Chifukwa siimapangidwa ndi minofu yeniyeni ya kapamba yokha. Monga ndanenera kale, khoma lake limapangidwa ndi minofu ya fibrous scar. Mtundu wapadera wa maselo otchedwa epithelial cells omwe amapezeka mu minofu yeniyeni ya kapamba sali m'makoma a pseudocysts awa. M'malo mwake, makoma awo amaphimbidwa ndi minofu ya granulation. Minofu ya granulation iyi ndi mtundu wa minofu yatsopano yomwe imapangika pamwamba pa bala ikachira.

Mwachidule, pseudocyst ya kapamba si kapangidwe kosiyana, koma ndi chilonda chomwe chimachitika chifukwa cha kutupa. Pancreatic cyst ndi chophuka chomwe chimapezeka pakhoma la kapamba chomwe chimachokera ku minofu yake. Chimatha kukhala ndi zinthu zamadzimadzi komanso zolimba. Ma cyst ena amatha kusanduka khansa. Komabe, pseudocysts si matenda omwe amabwera munthu asanayambe khansa.

Kodi pseudocyst iyi ya pancreatic ndi yoopsa?

Nthawi zambiri, ma cyst a kapamba sasintha kukhala khansa, ndipo nthawi zambiri samayambitsa mavuto aakulu. Ambiri mwa iwo amachira okha pakapita nthawi. Komabe, ngati ma cyst awa akukula, pamakhala chiopsezo chochepa chokhudza ziwalo zapafupi kapena mitsempha yamagazi. Nthawi zina amathanso kutenga kachilomboka. Pamenepo ndi pomwe madokotala amalowererapo ndikuwachiza. Chifukwa chake palibe chifukwa chochita mantha, koma ndikofunikira kudziwa izi.

Kodi vutoli ndi lofala bwanji?

Matenda a kapamba (Pseudocysts) ndi matenda omwe amatha kuchitika mwa anthu pafupifupi 35% omwe ali ndi kapamba kosatha komanso pafupifupi 10% omwe ali ndi kapamba woopsa. Matenda a kapamba (Pseudocysts) ndi matenda omwe amapezeka kwambiri m'mapapo. Amagawira pafupifupi 75% ya matenda onse a kapamba. Komabe, nthawi zambiri, si ofala kwambiri. Amakhudza pafupifupi 3% ya akuluakulu pachaka. Ndi osowa kwambiri kwa ana.

Kodi n’chifukwa chiyani ma pseudocysts a pancreatic amayamba?

Chifukwa chachikulu cha izi ndi kutupa kwa kapamba, komwe ndi `(Pancreatitis)`. Chifukwa chachikulu cha `(Pancreatitis)` chomwe chimayambitsa mapangidwe a pseudocysts ndi kumwa mowa . 70% ya pseudocysts ya kapamba imayamba chifukwa cha kapamba wokhudzana ndi mowa. Chifukwa chachiwiri chachikulu ndi kapamba woyambitsidwa ndi miyala ya ndulu. Mwa ana, vutoli nthawi zambiri limayamba chifukwa cha kuvulala kwina `(Kuvulala).`

Tangoganizirani, pamene kapamba watupa chifukwa cha kapamba, kapena akavulala pangozi, njira yolumikizira kapamba imatha kutsekedwa, kapena kulumikizana kwake ndi matumbo kumatha kusweka. Kenako, madzi ena omwe amapangidwa ndi kapamba amatuluka m'malo omwe ali mkati mwa mimba, kutanthauza m'mimba. Madzi awa amasonkhana pakati pa makoma a ziwalo, ndipo thumba loteteza limapangidwa mozungulira, monga ndanenera kale. Ndicho chomwe chimatchedwa pseudocyst.

Kodi zizindikiro za pseudocyst ya pancreatic ndi ziti?

Ma pseudocysts ang'onoang'ono sangayambitse zizindikiro zilizonse. Komabe, akuluakulu amatha. Zizindikiro zawo zimatha kufanana ndi za kapamba. Komabe, nthawi zambiri zimayamba milungu ingapo pancreatitis ya pachimake, kapena pancreatitis yosatha yapitirira ndikukhudza njira yodutsa kapamba.

Zizindikiro zodziwika bwino:

• Kupweteka m'mimba: Ichi ndiye chizindikiro chachikulu.
• Kutupa: Mimba yanu ingamve ngati yadzaza.
• Kusowa chakudya: Kumva ngati sukufuna kudya.
• Kusanza kapena kusanza: Zizindikiro zimenezi n’zofala kwambiri.

Zizindikiro ngati mavuto achitika:

Nthawi zina, ngati mavuto achitika, zizindikiro monga izi zimathanso kuchitika:

• Malungo kapena kuzizira: Ichi chikhoza kukhala chizindikiro cha matenda.
• Kuwonjezeka kwa kugunda kwa mtima:
• Chizungulire kapena kumva ngati watopa:
• Jaundice: Kuoneka kwachikasu m'maso ndi pakhungu.

Kodi ndi zovuta ziti zomwe zingachitike chifukwa cha pseudocyst ya pancreatic?

Ngakhale kuti mavuto ndi osowa, ndi bwino kuwadziwa.

• Matenda: Ngakhale kuti ma pseudocyst ambiri amakhala ndi madzi a kapamba okha, ena amakhala ndi zidutswa za minofu yakufa. Izi zikachitika, majeremusi monga mabakiteriya amatha kudya minofu yakufayo ndikuyambitsa matenda. Pseudocyst yomwe ili ndi kachilomboka ikhoza kukhala yoopsa kwambiri ngati itaphulika. Ngakhale izi sizichitika kawirikawiri, ngati zitachitika, matendawa amatha kufalikira mkati mwa mimba, zomwe zimapangitsa kuti munthu akhale ndi matenda otchedwa septicemia.
• Kukanikiza kwa chotengera: Chotupa chachikulu cha pseudocyst chingathe kukanikiza mtsempha wamagazi wapafupi kapena ndulu, zomwe zingatseke kuyenda kwa magazi kapena ndulu kudutsa mu ndulu. Chotupa cha pseudocyst chingathenso kukanikiza ndulu ya kapamba, zomwe zimayambitsa mavuto ena.
• Kutsekeka kwa m'mimba: Chotupa chachikulu cha pseudocyst chingatseke m'mimba kapena m'matumbo ang'onoang'ono, zomwe zimapangitsa kuti zikhale zovuta kudya kapena kumwa. Izi zingayambitse vuto la kudya ndi kuchita chimbudzi.
• Kutaya magazi: Ngati pseudocyst ikanikizidwa pa mtsempha wamagazi, khoma la mtsemphawo likhoza kuwonongeka ndikuyambitsa kutuluka magazi. Ngati magazi atuluka kuchokera m'mitsempha yamagazi kupita ku pseudocyst, cyst ikhoza kuphulika.

Kumbukirani, si aliyense amene amakumana ndi mavuto amenewa. Nthawi zambiri, ma pseudocysts amachira popanda vuto lililonse.

Kodi madokotala amazindikira bwanji ma pseudocysts a pancreatic?

Madokotala nthawi zambiri amatha kuzindikira ma pseudocysts a pancreatic pogwiritsa ntchito scan yabwino, monga contrast CT scan kapena MRI scan. Koma nthawi zina, amafunika kutenga chitsanzo kuti adziwe ngati ndi pseudocyst kapena mtundu wina wa chotupa. Amagwiritsa ntchito endoscopic ultrasound ndi fine needle aspiration kuti achite izi.

Ultrasound ya endoscopic

Izi zimaphatikizapo kuphatikiza kwa endoscopy ndi ultrasound. Dokotala amaika chubu chachitali (endoscope) chokhala ndi kamera kakang'ono komwe kamalumikizidwa pakhosi panu ndikulowa m'matumbo ang'onoang'ono. Kenako, chubu china chopyapyala chokhala ndi gawo laling'ono la makina a ultrasound chimadutsa mu chubu chachikulu kuti chione kapamba.

Kutulutsa singano pang'onoKutulutsa singano pang'ono

Uwu ndi mtundu wa biopsy. Pa nthawi ya endoscopy, dokotala amatha kulowetsa singano yopyapyala, yopanda kanthu kudzera mu chubu ndikutenga chitsanzo cha madzi ndi minofu kuchokera ku pseudocyst. Kenako zitsanzozi zimatumizidwa ku labotale kuti zikayesedwe.

Kodi ma pseudocyst awa amawoneka bwanji pa scan?

Pancreas yathu imaoneka ngati nsomba - yokhala ndi mutu, gawo lapakati ndi mchira. Pafupifupi magawo awiri mwa atatu a pseudocysts amakula m'mbali mwa mchira wa kapamba, ndipo gawo lina lachitatu m'mbali mwa mutu. Nthawi zambiri amakhala ozungulira, okhala ndi pamwamba posalala komanso makoma omveka bwino. Mkati mwake muli madzi oyera, amadzi. Amatha kukula mosiyanasiyana kuyambira masentimita 2 mpaka 30. Anthu ena ali ndi imodzi, pomwe ena ali ndi zingapo.

Kodi madokotala amachiritsira bwanji matenda a pseudocysts a pancreatic?

Ma pseudocysts ambiri a kapamba amatha okha pakapita nthawi. Madokotala amawayang'anira ndikupereka chithandizo chothandizira pakafunika kutero. Mwachitsanzo:

• Mankhwala ochepetsa ululu: Mankhwala amaperekedwa kuti achepetse ululu.
• Madzi a m'mitsempha: Zinthu monga saline zimaperekedwa kuti zisawononge madzi m'thupi komanso kuti thupi lipeze madzi omwe limafunikira.
• Zakudya (kudzera mu chubu kapena kudzera mu mtsempha (IV): Ngati simungathe kudya, zakudya zimaperekedwa kudzera mu chubu kapena kudzera mu mtsempha.

Ngati ma pseudocysts sachira okha, kapena ngati akuwonetsa zizindikiro za mavuto, madokotala adzalowererapo ndikuwachiza.

Kodi pancreatic pseudocyst imatenga nthawi yayitali bwanji kuti ichiritse?

Madokotala nthawi zambiri amalowererapo ngati ma pseudocysts akhalapo kwa milungu yoposa isanu ndi umodzi. Pafupifupi gawo limodzi mwa magawo atatu a iwo amachira okha mkati mwa nthawi imeneyi. Ngati muli ndi ma pseudocysts ambiri, kapena ngati muli ndi mavuto a nthawi yayitali, monga zipsera chifukwa cha matenda a kapamba osatha, mwina sachira okha.

Kodi njira zochizira pseudocyst yovuta komanso yoopsa kwambiri ndi ziti?

Madokotala amachiritsa ma pseudocysts powatulutsa madzi. Izi zitha kuchitika m'njira zingapo. Kutulutsa madzi m'thupi nthawi zambiri kumakhala chisankho choyamba. Komabe, nthawi zina, njira zina, monga opaleshoni, zingakhale zofunikira. Kutulutsa madzi m'thupi m'thupi ndi njira yosalowerera yomwe ingapereke zotsatira zofanana ndi opaleshoni.

Cystogastrostomy

Iyi ndi njira yodziwika bwino. Cystogastrostomy ndi njira yomwe imapanga kulumikizana pakati pa pseudocyst ndi m'mimba mwanu, zomwe zimathandiza kuti madzi omwe ali mu cyst atuluke m'mimba mwanu. Kutengera ndi komwe pseudocyst ili, kulumikizana kumeneku kungapangidwe ku matumbo ang'onoang'ono kapena njira yolumikizira kapamba.

M'mimba mwanu ndi m'matumbo ang'onoang'ono zimatha kugwira bwino madzi omwe amatuluka mu pseudocyst, chifukwa zonse ziwiri zili ndi denga lapadera lomwe limawateteza ku ma enzymes am'mimba ndi ma acid. (Madzi a Pancreatic nthawi zambiri amapita m'matumbo ang'onoang'ono.) Madzi onse akatha, khoma la cyst lidzasungunuka lokha.

Kodi mungayembekezere chiyani mutalandira chithandizo cha pseudocyst ya pancreatic?

Chithandizo cha pseudocyst ya pancreatic chimatenga masiku angapo kuchipatala. Pambuyo pake, mudzapemphedwa kuti mubwererenso pakatha milungu ingapo kuti mudzachotsedwe ma stent kapena machubu otulutsira madzi. Chithandizo chochotsa madzi chimagwira ntchito bwino ndi 90%. Komabe, nthawi zina, pseudocysts zimatha kubwereranso.

Kodi muyenera kupita liti kwa dokotala za matenda a pancreatic pseudocyst?

Ngati muli ndi zizindikiro za kapamba, pitani kwa dokotala nthawi yomweyo. Izi zikutanthauza: kupweteka m'mimba komwe kumatuluka kumsana, ndipo mukumva nseru ndi/kapena kusanza. Ngati mwalandira chithandizo cha kapamba posachedwapa ndipo zizindikiro zanu zibwereranso patatha milungu inayi kapena isanu ndi umodzi, mutha kukhala ndi pancreatic pseudocyst.

Ma pseudocysts a kapamba ndi zotsatira zoyipa za kapamba. Amatha kutalikitsa nthawi ya chithandizo chanu ndikukupangitsani kufunikira chithandizo chowonjezereka mukangoganiza kuti mwamaliza. Ngakhale izi zitha kukhala nkhawa yeniyeni, kumbukirani kuti ma pseudocysts ambiri samayambitsa mavuto atsopano kapena amafunikira chithandizo chatsopano.

Madokotala akuda nkhawa ndi ma pseudocysts, koma nthawi zambiri amawayang'anira. Ngati muli ndi zizindikiro, amawachiza. Ngati ma pseudocysts amafunika opaleshoni, kutulutsa madzi m'thupi nthawi zambiri kumathetsa vutoli. Mankhwalawa nthawi zambiri salowerera kwambiri, zomwe zikutanthauza kuti sakhudza thupi kwambiri.

Uthenga Wopita Nawo Kunyumba

Chabwino, nazi zinthu zina zomwe muyenera kukumbukira kuchokera pa zomwe takambirana:

• Chifuwa cha kapamba ndi thumba lodzaza ndi madzi ngati thumba lomwe limapangidwa pamene kapamba wawonongeka, makamaka chifukwa cha kapamba.
• Ichi si chotupa chenicheni, choncho musaope kwambiri kuti chidzasanduka khansa.
• Nthawi zambiri, matendawa amatha okha. Komabe, ngati akukula, kutenga kachilombo, kapena kukhala ndi mavuto ena, angafunike chithandizo.
• Chifukwa chachikulu ndi kapamba woyambitsidwa ndi mowa.
• Zizindikiro zake zingakhale kupweteka m'mimba, kudzimbidwa, kusowa chilakolako cha chakudya, komanso nseru.
• Madokotala amazindikira izi kudzera mu mayeso monga `(CT scan)`, `(MRI)`, ndi `(Endoscopic ultrasound)`.
• Chithandizo chachikulu ndi kuchotsa madzi m'thupi, zomwe nthawi zambiri zimatha kuchitika pogwiritsa ntchito endoscopically.
• Ngati mukupeza zizindikiro za kapamba, kapena ngati zizindikirozo zabwereranso mutatha chithandizo cha kanthawi kochepa, onetsetsani kuti mwaonana ndi dokotala.

Chofunika kwambiri ndi kusachita mantha ndikutsatira malangizo oyenera a dokotala. Ndikukufunirani kuti muchire mwachangu!

Khansa ya m'mimba, pseudocyst, kapamba, kupweteka m'mimba, m'mimba, endoscopy, chithandizo chamankhwala