Unewo pancreatic cysts here? Ngatitaurei nezvenyaya iyi zvakadzama!

Pamwe wakaongororwa `Scan` nechikonzero chimwe, chakadai se`CT` (Computed Tomography) kana `MRI` (Magnetic Resonance Imaging), uye chiremba akakuudza kuti une cyst diki mupancreas yako? Paunonzwa chimwe chinhu chakadai, unogona kungoerekana wanzwa kutya uye kutya, handiti? Mibvunzo yakawanda yakaita sekuti "Chii ichi? Chine njodzi here?" inomuka mupfungwa dzako. Saka, usazvidya mwoyo. Nhasi, ngatitaure nezve cysts idzi mupancreas zvakajeka uye zviri nyore.

Chii chinonzi pancreatic cyst?

Zvichitaurwa zviri nyore, pancreatic cyst ibhegi diki kana bubble rine mvura rinoumbwa mukati mepancreas yako, kana dzimwe nguva pamusoro payo. Funga nezvayo sebharuni diki remvura. Kune mhando dzakasiyana dzemacysts, ayo akarongwa zvichienderana nezvinhu zvakagadzirwa nemasero. Mamwe marudzi anonzi neoplastic. Neoplastic zvinoreva kuti mamwe acho ane mukana wekuva kenza nekufamba kwenguva. Mamwe marudzi anonzi nonneoplastic. Aya macysts asiri neoplastic haakure kuita kenza. Saka hapana chekunetseka nezvawo.

Zvinorevei kuva nebundu repancreas?

Iye zvino ungangove uchifunga kuti, "Zvakanaka, saka izvozvo zvinorevei chaizvo kana ndiine chimwe cheizvi?" Kunyange zvazvo mamwe ma cysts epancreatic angaita seane chekuita nechirwere chinonzi pancreatitis, kazhinji anokura pasina chikonzero chakajeka, anenge netsaona. Chinhu chakakosha ndechekuti, ma cysts mazhinji epancreatic haakukonzere matambudziko. Anogona kungovapo chete.

Zvisinei, kashoma, mhando yebundu rinonzi `neoplastic' rinogona kuva kutanga kwekenza yepancreas. Kunyanya kana mumwe munhu mumhuri yako, kureva amai vako, baba vako, vanun'una nehanzvadzi, akambova nekenza yepancreas, njodzi iyi yakakwira zvishoma pane yevamwe. Asi hazviwanzoitiki kune wese munhu.

Ndinofanira kunetseka nezve bundu repancreas here?

Uyu ndiwo mubvunzo mukuru unobvunzwa nevanhu vazhinji. Kana chiremba wako akaona pancreatic cyst pakuongorora mifananidzo, senge CT kana MRI, achaiisa muchikamu chenjodzi yakaderera, yepakati, kana yepamusoro . Kupatsanurwa uku kunoenderana nemhando yecyst inoonekwa pakuongorora (senge saizi yayo nechimiro chayo) uye kana uine zviratidzo zvine chekuita nayo.

Kana bundu iri rikawira muchikamu che "risingakoshi" zvishoma, pamwe hapana chekunetseka nacho. Kazhinji, hapana chinogona kuitwa.

Kana njodzi yacho iri "yepakati" kana "yakakwira", vanachiremba vachapa kurapwa kwakakodzera zvichienderana nemirairo yavo yekurapa.

Kazhinji, bundu repancreatic rinongochengetwa richitariswa. Kutariswa kunoreva kuti vanachiremba vanoriongorora nguva nenguva, vachibvunza kuti, "Bundu iri riri kukura here? Riri kuchinja chimiro here? Pane chimwe chinhu chitsva here?" Kana bundu risina njodzi diki rikachinja kuita bundu rine njodzi diki nekufamba kwenguva, "biopsy" inoitirwa kuti uwane rumwe ruzivo nezvaro. "Biopsy" inoitwa nekuisa chimwe chinhu chakaita setsono diki, kutora chidimbu chidiki chenyama kubva mubundu uye kuriongorora pasi pemaikorosikopu. Nenzira iyi, mhando chaiyo yemasero ari mariri inogona kuonekwa. Kana bundu rine njodzi diki diki rikachinja kuita bundu rine njodzi diki, zvichireva kuti rinogona kunge riri kenza, vanachiremba vanoronga kuita oparesheni kuti varibvise.

Ma cysts epancreatic anowanikwa kakawanda sei?

Ongororo dzinoratidza kuti ma cysts epancreatic anowanikwa netsaona muvanhu vanosvika 10% vanoongororwa neCT scans (Computed Tomography scans) uye MRIs (Magnetic Resonance Imaging). Anowanzoonekwa netsaona panguva yekuongororwa kwemifananidzo kunoitwa nechimwe chikonzero, senge matambudziko emudumbu. Sezvo vanhu vazhinji vaine ma cysts aya uye vasingaratidze zviratidzo, hatizivi kuti vangani pasi rose vasingazive kuti vane imwe.

Ndeipi chikamu chegomarara repancreatic chinova kenza?

Iyi ipfungwa inokoshawo. Zvishoma pane 1% zve pancreatic cysts zvinoshanduka kuita kenza. Izvi zvishoma kwazvo. Zvisinei, inenge 30% ye pancreatic cysts ine mukana wekuva kenza. Idzi dzinonzi precancerous cysts. Ndosaka vanachiremba vachigara vachidzitsvaga. Asi pane mashoko akanaka. Aya ma pancreatic cysts anowanzo kukura zvikuru uye anochinja zvine njodzi. Saka, nekuongororwa nguva dzose, ndiko kuti, nekuongororwa nguva nenguva, shanduko dzekenza dzinogona kuonekwa pakutanga kwazvo. Zvadaro, kurapwa kunogona kutanga nekukurumidza.

Ndeapi marudzi akasiyana-siyana epancreatic cysts?

Izvi zvakatsanangurwa zvishoma, kune mazita akawanda ekurapa. Asi ngatizvichengetedzei zviri nyore. Zvinoti kune mhando mbiri huru.

Neoplastic kana Precancerous Cysts

Idzi dzinonziwo `pancreatic cystic neoplasms (PCN).` Idzi ndidzo mhando dzatinofanira kutarisa zvakadzama. Dzimwe dzadzo ndedzinotevera:

• Matumbu emudumbu emukati medumbu (IPMNs): Aya ndiwo marudzi ebundu rinowanzoonekwa. Rinokura mumugero wepancreas. Mugero wepancreas ichubhu diki inotakura muto wekugaya unogadzirwa nepancreas kuenda kumatumbo. Mvura iri mukati mematumbu aya musanganiswa wemuto wepancreas nechinhu chakakora chinonzi mucin. Mucin chikamu chemushonga. Mucin uyu unogona kukonzera kuti mugero wepancreas uzvimbe uye uve mukuru.
• "Mucinous Cystic Neoplasms (MCNs)":Izvi hazviwanzoitika se 'IPMNs'. Zvinowanzoitika kuvakadzi vane makore anopfuura makumi mashanu. Zvinoumba pakati pepancreas ('muviri wepancreas').
• `Solid Pseudopapillary Neoplasms (SPNs):` Aya haawanzoitiki. Ane chikamu chakasimba nechakaita semvura. Anowanzoonekwa muvakadzi vechidiki vane makore ekuma20 ne30.
• Matumbu eCystic Pancreatic Neuroendocrine (PNETs): Matumbu ePancreatic neuroendocrine (anonziwo islet cell tumors) rudzi rusingawanzoitiki rwetumo. Anowanzova matumbu akasimba, asi dzimwe nguva anogona kuoneka semacysts.

Ma cysts asiri ekenza (`Nonneoplastic` kana `Benign Cysts`)

Izvi hazvikonzeri kenza. Saka hapana chikonzero chekuzvitya zvakanyanya.

• Simple Cysts (kana kuti Retention Cysts): Aya ma cysts asina njodzi anokura mukati mepancreas, akaparadzaniswa nepancreatic duct. Akazara nechikamu chimwe chete chemasero epithelial. Anowanzoonekwa muvana vadiki.
• Serous Cystadenomas: Aya mabundu akajairika uye asingakuvadzi. Zvisinei, kana akakura, dzimwe nguva anogona kukonzera matambudziko akadai sekudzvanya nhengo dziri pedyo. Kana zvakadaro, dzimwe nguva anofanira kubviswa nekuvhiyiwa.
• MaCysts Asina Kugadzirwa Neganda: Aya maCysts asina njodzi, anogadzira maCysts. Zvisinei, vanachiremba vanofanira kunyatsoaongorora kuti vasiyanise nemarudzi emaCysts, ayo anogona kukonzera kenza.
• Lymphoepithelial Cysts: Aya mabundu asingawanzoitiki uye asingakuvadzi. Anowanzoonekwa muvarume.

Zvakakosha kuziva: Pane chimwe chinhu chinonzi `Pancreatic pseudocysts`. Dzimwe nguva vanhu vanovhiringidza izvi nema cysts chaiwo. Zvisinei, `pseudocyst` haisi bundu idzva se`bundu`. Ibhegi rine mvura rinoumbwa kana muto wepancreatic uchibuda kubva mupancreas nekuda kwekukuvara kwepancreas (senge `pancreatitis`). `Pseudocysts` chirwere chisina njodzi.

Ndezvipi zviratidzo zvebundu repancreas?

Heino chimwe chinhu chingashamisa vanhu vazhinji: Mabundu mazhinji epancreas haakonzeri zviratidzo. Ehe, ichokwadi. Ungasatomboona bundu. Zviratidzo zvinotanga kuoneka kana bundu racho rakura zvakakwana kuti rivhare kana kudzvanya padumbu repancreas, duct ye biliary, kana mudumbu kana ura (mudumbu). Kana izvozvo zvikaitika, zvinhu zvakaita seizvi zvinogona kuitika:

• Kurwadziwa kwemudumbu: Kurwadziwa kunowanzoitika mudumbu repamusoro.
• Kurwadziwa kwemusana: Dzimwe nguva kurwadziwa kwemudumbu kunogonawo kuoneka kumusana.
• Kurasikirwa nechido chekudya:Ndinorasikirwa nechido chekudya chose.
• Kudzikira kwehuremu kusingatsananguriki: Unobva wadzikira huremu kamwe kamwe kunyangwe usiri kudya zvakanyanya kana kurovedza muviri.
• Kuzvimba: Kunzwa kuguta kunyangwe mushure mekudya zvishoma.
• Kusagaya: Kunzwa sekunge chikafu hachigayiwi.
• Kusvotwa: Kunzwa sekunge ucharutsa.
• Jaundice: Machena emaziso neganda anoshanduka kuita yero. Izvi zvinoitika kana nyongo isingayerere zvakanaka.
• Tsvina ine ruvara rwakachenuruka, ine mafuta (kana kuti steatorrhea): Tsvina inochinja ruvara yoita mafuta.
• Kunzwa sebundu mudumbu: Kana bundu racho rakakura zvikuru, rinogona kutonzwikwa.

Chii chinokonzera pancreatic cysts?

Ma cysts epancreatic kukura kwemasero kusingawanzoitiki. Zvichitaurwa zviri nyore, masero ane shanduko diki mumajini awo ('genetic mutation') uye anotanga kupatsanuka zvisinganzwisisike. Asi vaongorori havasati vaziva kuti nei shanduko idzi dzemajini dzichiitika. Vanofunga kuti dzinogona kunge dziri musanganiswa wezvinokonzerwa nemajini, kuzvimba kwepancreas, nezvimwe zvinhu zvekunze, zvakaita sekukwegura. Chikamu chidiki kwazvo che cysts chakabatana zvakananga nezvimwe zvirwere zvenhaka.

Zvimwe zvirwere zvekuzvarwa nazvo zvinogona kukonzerwa nepancreatic cysts zvinosanganisira:

• `Chirwere cheVon Hippel-Lindau`
• Chirwere cheitsvo chinonzi Polycystic (huwandu hwakawanda hwema cysts muitsvo)
• `Cystic fibrosis`

Kune zvinhu zvakawanda zvinogona kukonzera kukura kwekenza yepancreatic:

• Kukura: Njodzi yekubatwa nepancreas cysts inowedzera sezvaunokura. Sekutsvagurudza kwakaitwa, zvinofungidzirwa kuti chikamu chimwe muzvina (25%) chevanhu vane makore ari pakati pe70 vane chirwere ichi.
• Pancreatitis: Mamwe marudzi emabundu ane chekuita nepancreatitis. Uyewo, mamwe marudzi emabundu anogona kukonzera pancreatitis.
• Nhoroondo yemhuri: Kana mumwe munhu mumhuri yako akambova nekenza yepancreas, kana kuti kana uine chirwere chekuzvarwa nacho chine chekuita nemapundu epancreas, une mukana mukuru wekuva nemapundu epancreas.

Ndezvipi zvinetso zvinogona kuitika nekuda kwekenza yepancreatic?

Matambudziko haawanzoitiki, asi kana akaitika, anogona kusanganisira:

• Kuvharika kwenzira yepancreatic:Mamwe marudzi emabundu anonzi `mucinous neoplasms` anogona kuburitsa chinhu chakakora chinonzi `mucin` mupancreatic duct. Duct inogona kuzvimba, kuzadza, uye pakupedzisira kuvharika. Izvi zvinodzivirira ma enzymes ekugaya anokonzerwa nepancreas kuti asapfuure nemu duct achipinda muura hwako hudiki. Ma enzymes acho anobva adzokera mupancreas, achikuvadza uye achikonzera kuzvimba kwepancreas (pancreatitis). Panguva iyi, gadziriro yako yekugaya haiwani ma enzymes ainofanira kugaya chikafu.
• Kuvharika kwenzira dzemanyowa: Kana bundu guru rikadzvanya nzira dzemanyowa, rinogona kuvharira kufamba kwenyowa. Izvi zvinonzi cholestasis. Izvi zvinokonzera kuti nyowa iungane, izvo zvinogona kukuvadza nzira dzemanyowa nedzimwe nhengo dzakabatana nadzo (senge chiropa). Nyowa inogonawo kusangana neropa, zvichikonzera zviratidzo zvakaita sejaundice.
• Kuvharika kwedumbu: Kana bundu guru rakakumanikidza mudumbu kana muura, unogona kuona zviratidzo zvakasiyana-siyana zvemudumbu, zvinosanganisira kurwadziwa mudumbu, kusagadzikana, kuzvimba, kuvimbiwa, uye kushaya chido chekudya. Muzviitiko zvakakomba, chikafu chinogona kumira kufamba nemudumbu rako zvachose.
• Kenza yepancreatic: Sezvambotaurwa, bundu diki kwazvo rinogona kukura kuita kenza. Kazhinji, imhando inonzi adenocarcinoma. Kenza yepancreatic imhando yekenza inowanzo pararira nekukurumidza. Saka, zvakakosha kuti uione nekukurumidza.

Ungaziva sei bundu repancreas?

Vanachiremba vanoshandisa bvunzo dzinotevera kuti vaone kana pancreatic cyst iripo uye, kana zvakadaro, kuti inoita sei:

• Radiology: Nzira dzepamusoro-soro dzekufungidzira, dzakadai seCT scans kana MRI scans, dzinogona kuratidza zvakajeka bundu repancreas. Mamwe marudzi emabundu anogona kuonekwa pascan. Asi mamwe anoda kuongororwa kwakawanda kuti aonekwe kuti ndeerudzii kana kuti kuona kana aine masero ekenza. Muzviitiko izvi, vanachiremba vangangoda kutora sampuli (biopsy) yebundu.
• Kufema neEndoscopic Ultrasound / Fine Needle Aspiration (EUS-FNA): Nzira inonzi Endoscopic ultrasound (EUS) inobvumira chiremba kuisa endoscope diki, inochinjika (chubhu ine kamera nechinhu chinoongorora ultrasound) nemuromo nemudumbu kuti isvike pabundu repancreas. Ultrasound icharatidza kuti bundu riri kupi chaizvo, uye tsono diki (tsono diki) ichapfuudzwa nepa endoscope kubvisa sampuli diki yenyama nemvura kubva pabundu. Izvi zvinonzi fine needle aspiration (FNA). Sampuli yacho inozoongororwa murabhoritari.
• Kuongorora mvura:Mvura yecystic inobva kuFNA inoongororwa murabhoritari kuti ione kuti ndeyerudzii. Izvi zvinonziwo cytology. Vanotsvaga zvinhu zvakaita semucin. Mucin inobatsira kuona maronda emucinous. Vanotsvagawo zviratidzo zvebundu zvakaita secarcinoembryonic antigen (CEA). CEA ipuroteni inowanikwa muropa, uye huwandu hwayo hunogona kupa zviratidzo nezvekuvapo kwekenza.

Ndeapi marapirwo ekenza yepancreatic?

Kurapwa kwegomarara repancreas kunoenderana nezvinhu zvakawanda, kusanganisira rudzi rwegomarara, saizi yaro, kana richiratidza zviratidzo, uye njodzi yekuva negomarara. Heano maitiro makuru ekurapa:

• Kutarisa: Izvi zvinoreva kusaita chero chinhu, asi kugara uchitarisa nekutarisa kuti uone kana bundu racho rachinja.
• `Kuongorora ganda`: Kutora sampuli yenyama woiongorora kuti uone rudzi chairwo rwebundu.
• Kubviswa nekuvhiyiwa: Kana bundu richionekwa serine njodzi kana kuti riri kukonzera matambudziko, rinobviswa nekuvhiyiwa.

Ma cysts mazhinji anorapwa nekuongororwa. Izvi zvinoreva kuti muchaongororwa mifananidzo nguva nenguva (mwedzi mitanhatu yega yega, gore, kana kupfuura) kuti muone kana cyst iri. Kana paine shanduko dzinofungidzirwa, EUS-FNA inotorwa uye mvura yacho inoongororwa. Kana zvabuda zvinoratidza kuti une kenza, chiremba wenyu anogona kukurudzira kuti ibviswe, zvichienderana nekuti muri mumamiriro akanaka here kuti muvhiyiwe.

Matumbu epancreatic anopera ega here?

Mamwe mabundu asina njodzi, kunyanya madiki, anogona kuzvimba ega, kana dzimwe nguva kunyangarika zvachose. Asi mhando dzinonzi neoplastic, dzinogona kuva kenza, hadziperi dzoga. Kazhinji, dzinoramba dzichikura, asi zvishoma nezvishoma. Vanachiremba vanoongorora kukura kwadzo. Chero bedzi dzichiramba dziri diki, kunze kwekunge dzakura zvakanyanya kana kuchinja nenzira inofungirwa, vanachiremba havaiti chero chinhu nezvazvo, vanongotarisa.

Matumbu epancreatic anokura nekukurumidza sei?

Mhando dzakasiyana dzemabundu epancreas dzinokura nematanho akasiyana, asi kazhinji, dzinokura zvishoma nezvishoma. Kana bundu richikura kupfuura mamirimita matatu (3 mm) pagore, vanachiremba vanofungira zvishoma uye vanoteerera zvakanyanya. Kana bundu richitariswa kuti rione shanduko, rinoongororwa gore rega rega, makore maviri ega ega, kana dzimwe nguva makore mashanu ega ega, zvichienderana nekuti riri kukura nekukurumidza sei.

Ma cysts epancreatic anofanira kubviswa riini?

Mamwe mabundu epancreas angangoda kubviswa kana achikonzera matambudziko kana kuti achifungidzirwa kuti ane kenza. Asi kuvhiyiwa kwepancreas inzira huru, ine njodzi dzayo uye migumisiro yayo. Ndosaka vanachiremba vachinyatsoongorora bundu rega rega. Vanotevedzera nhungamiro dzekurapa dzakadzama kuti vasarudze nguva yekuvhiya uye kubvisa bundu.

Heano zvimwe zvinhu zvavanofunga nezvazvo:

• Saizi: Mapundu akakura kupfuura 3 cm (3 cm), kana ayo anoita seari kukura nekukurumidza kupfuura zvakajairika, angangoda kuongororwa kuti haana njodzi yekenza here. Dzimwe nguva, kunyangwe mapundu makuru asina njodzi, angangoda kubviswa nekuti anokonzera kusagadzikana kana kukanganisa dzimwe nhengo dzemuviri.
• Rudzi: Mamwe marudzi emagomarara (semuenzaniso, MCNs, mamwe maIPMNs) ane njodzi yakakura yekuva negomarara. Chiremba anogona kukurudzira kuti abviswe nekukurumidza. Vanachiremba vachaongorora njodzi yegomarara voienzanisa nenjodzi dzekuvhiyiwa, vachifunga nezvehutano hwemunhu.
• Zviratidzo zvinoonekwa: Dzimwe nguva, vanachiremba vanoona zviratidzo pakuongorora zvinoratidza kuti bundu rinogona kunge riri rekenza kana kuti risati rasvika kenza. Semuenzaniso, unogona kuona kuti duct yako yepancreatic yakakura, izvo zvinogona kureva kuti une mucinous neoplasm iri kuburitsa mucin muduct. Kana kuti unogona kuona kuti bundu rine zvikamu zvakasimba, izvo zvinogona kureva kuti harisi bundu rakazadzwa nemvura chete, asi bundu rakasimba.
• Dambudziko rako: Vamwe vanhu vane zvimwe zvirwere (zvakaita sechirwere chemwoyo, chirwere cheshuga) kana zvinhu zvakakosha, zvakaita sezera, zvinoita kuti kuvhiyiwa kwepancreas kuve nengozi kwavari. Vanachiremba vachaongorora zvinhu izvi zvine njodzi vachienzanisa nenjodzi yako yekenza kuti vasarudze zvakanakisisa.

Kuvhiyiwa kwekubvisa bundu repancreas kunoitwa sei?

Kana chiremba wako akakurudzira kubvisa bundu, zvinoreva kuti uchavhiyiwa. Kuvhiyiwa uku kwakaoma zvishoma. Dzimwe nguva chiremba anogona kubvisa bundu racho nokungwarira kubva padumbu rako. Asi kazhinji, chidimbu chedumbu rako chinofanirawo kubviswa. Zvichienderana nekuti bundu riri kupi, rinogonawo kubvisa zvimwe zvikamu zvenhengo dziri pedyo (senge chiropa kana chikamu cheura hudiki).

Kune mhando dzakasiyana dzekuvhiya dzinogona kuitwa:

• Kubvisa dumbu: Uku kubvisa bundu rimwe chete kubva mudumbu pasina kukuvadza nyama yedumbu yakakomberedza ine hutano. Kana uine bundu rimwe chete, diki, risina njodzi, riri panzvimbo inonzwisisika, uye risingaratidzike sekenza, unogona kukodzera kuvhiyiwa uku kudiki.
• Kubviswa kwepancreat muchikamu:Izvi zvinosanganisira kubvisa chikamu chepancreas chine bundu kana mabundu. Funga nezvepancreas yako yakaita sehove. Ine "musoro," "muviri," uye "muswe." Kubviswa kwepancreas pakati kunobvisa chikamu chepakati chepancreas. Kubviswa kwepancreas kubva kure kunobvisa muswe. Nekuti muswe wepancreas nebeche zvakabatana zvakanyanya, kubviswa kwepancreas kubva kure kunowanzosanganisira kubviswa kwebeche zvakare (splenectomy).
• Maitiro eWhipple (anozivikanwawo sepancreaticoduodenectomy): Uku kuvhiyiwa kwakakura zvishoma. Maitiro eWhipple anobvisa musoro wepancreas nepancreas. Matumbu ane kenza, akadai semucinous neoplasms, anowanzo kuwanikwa mumusoro uyu. Inzvimbo yakabatikana zvikuru panosangana chikamu chepamusoro cheura hwako hudiki (duodenum), pancreatic duct, ne common bile duct. Kana kenza iri chero kupi zvako panosangana dumbu iri, inogona kupararira kune mamwe matavi, saka maitiro eWhipple haabvisi musoro wepancreas chete, asiwo duodenum yako, common bile duct, negallbladder, iyo yakabatana kune rimwe divi re common bile duct.
• Kubviswa kwepancreat yese: Izvi zvinosanganisira kubviswa kwepancreat yese . Izvi zvinogona kudiwa kana uine bundu rakawanda rekubvisa, kana kuti kenza ichiita seyapararira mupancreat yese. Kubviswa kwepancreat yese kunogonawo kubvisa mitsipa yeropa iri pedyo nedumbu senge spleen, gallbladder, duodenum, uye chikamu chezasi chedumbu.

Ndezvipi njodzi nemigumisiro yekuvhiyiwa kwepancreatic cyst?

Kuvhiyiwa kwepancreas yako kunogona kukanganisa mashandiro ayo akajairika. Unoda kuti pancreas yako igadzire mamwe ma enzymes nemahormone akakosha ekugaya chikafu, kusanganisira insulin. Insulin ihormone inodzora huwandu hweshuga muropa. Kana pancreatectomy yako ikabvisa masero akawanda anogadzira ma enzymes kana insulin, uchafanirwa kutora mishonga yehupenyu hwese kuti uvatsive. Semuenzaniso, ungangoda jekiseni re insulin kana mapiritsi ema enzyme ekugaya chikafu.

Kumwe kuvhiyiwa kwepancreatectomy kunobvisawo kana kugadzirisa dzimwe nhengo dzemuviri. Kunogona kukanganisa kugaya kwako, nyongo, uye immune system. Ungave nedambudziko rekugaya zvimwe zvekudya uye kunwa zvimwe zvinovaka muviri (kunyanya mafuta) mushure mezvo. Kana ukavhiyiwa splenectomy, immune system yako inogona kunge isina simba, uye unogona kuwana hutachiona kakawanda.

Migumisiro chaiyo inogona kuitika ndeiyi:

• Chirwere cheshuga: Kana masero anogadzira insulin akaparadzwa.
• Kusakwana kwe exocrine pancreatic:Kusakwana kwema enzymes ekugaya anokonzerwa nepancreas. Izvi zvinogona kukonzera kuti chikafu chipfuure nemudumbu chisina kugayiwa.
• Kusanyorova mafuta: Zvikafu zvine mafuta zvakaoma kugaya.
• Kusashanda zvakanaka kwemuviri: Kana chirwatata chikabviswa.

Dzimwe njodzi dzinowanzoitika dzekuvhiyiwa ndedzinotevera:

• Kubuda ropa
• Utachiona
• Kugwamba kweropa
• Kubuda kwemvura kubva panzvimbo inosanganisirwa zvinhu zvakaita sematumbu panguva yekuvhiyiwa (anastomotic leak)

Bundu repancreas rakakomba zvakadini?

Panyaya dzehuwandu, bundu repancreas hariwanzo kukonzera matambudziko akakomba. Vanachiremba vanorapa bundu repancreas nekungwarira kukuru, nekuti vanoda kudzivirira njodzi. Vachaongorora bundu rako vosarudza matanho ekutora. Kunyange zvazvo kuvhiyiwa kwepancreas kuri nyaya yakakomba, bundu repancreas zhinji haridi kuvhiyiwa. Saka, usatya kana ukaona kuti une bundu.

Ndeipi nguva yekupona mushure mekurapwa kwebundu repancreas?

Izvi zvinoenderana nerudzi rwebundu uye kuti rapararira kusvika papi. Kana bundu rikabviswa risati rava kenza (risati rava kenza) kana kenza isati yapararira (isina kupararira), mwero wekurarama kwemakore mashanu mushure mekuvhiyiwa kwekenza yepancreas uri pedyo ne100%. Izvi zvinoreva kuti mhedzisiro yacho yakanaka kwazvo. Kune vanhu vane kenza inopararira, mwero wekurarama kwemakore mashanu mushure mekurapwa uri pakati pe65%-75%. Izvi zvinosiyanawo zvichienderana nerudzi rwebundu uye danho rekenza. Mwero wekufa (njodzi yekufa nekuvhiyiwa) kune chero kuvhiyiwa kukuru kwepancreas unowanzo kuve 4%.

Mibvunzo ipi yandinofanira kubvunza chiremba wangu nezve pancreatic cysts yangu?

Kana ukaona kuti une bundu repancreas, zvakajairika kuva nemibvunzo yakawanda mupfungwa dzako. Une kodzero yekubvunza chiremba wako mibvunzo yakaita seiyi:

• "Ndine bundu rerudzii?"
• "Njodzi yangu yekubatwa nekenza yemazamu yakaderera here, iri pakati nepakati, kana kuti yakakwira?"
• "Ndinofanira kuongororwa kangani kuti ndione bundu rangu?"
• "Mazamu angu achakura here? Kana zvakadaro, nekukurumidza zvakadii?"
• "Kunyangwe ndisina zviratidzo, bundu iri rinofanira kubviswa here?"
• "Kana ndichifanira kuvhiyiwa, njodzi dziripo ndedzipi? Ndezvipi zvimwe zvandichasangana nazvo?"

Paunofunga nezvegomarara repancreas nekuvhiyiwa, kunyangwe njodzi yacho iri diki, zvinogona kukonzera kuzvidya mwoyo kukuru. Asi yeuka kuti magomarara mazhinji epancreas haafanirwe kutya. Mitemo yekurapa yekutarisa, kuyedza, uye kurapa magomarara epancreas yakagadzirirwa kuderedza kutya ikoko kusingakoshi uye kukudzivirira.

Kukura kusina kujairika (senge ma cysts) kwakajairika munhengo dzakawanda dzemuviri, kunyanya sezvaunokura. Ma cysts epancreatic ingori imwe nhengo yekuwedzera pane iyo rondedzero. Njodzi yekuti ma cysts aya ave kenza idiki kwazvo. Kana ukabvisa cyst isati yatanga kenza nekukasika, haizove nemukana wekuva kenza.

Zvinhu zvinonyanya kukosha zvaunofanira kuyeuka

Usatya kana kutya kana ukaudzwa kuti une pancreatic cyst. Fema wotaura nachiremba wako pachena.

Kazhinji, izvi hazvina njodzi, hazviratidzi zviratidzo, uye zvinowanikwa netsaona.

Kana chiremba akataura izvozvo, bvunza ruzivo rwakadzama. Tsanangura rudzi rwebundu raunaro, kuti ringakukanganisa sei, uye zvaunofanira kuita zvinotevera.

Kunyangwe paine mhando dzegomarara dzinogona kukura, ikozvino kune nzira dzepamusoro dzekudziona uye, kana zvichidikanwa, kurapa panguva yakakodzera. Chinhu chakakosha kutevedzera mirairo yachiremba nokungwarira uye kuita maskeni ekutevera panguva yakakodzera. Ipapo hauzofaniri kunetseka nezveizvi zvisina basa. Rarama hupenyu hune hutano!

Pancreas , Pancreatic Cysts, Cancer yePancreatic, Zviratidzo zvePancreatic, Kurapa Pancreatic, Kuvhiyiwa kwePancreatic