Unewo cyst yakazara nemvura mupancreas yako here? (Pancreatic Pseudocyst) - Tingataura nezveizvi here?

Wakambosangana nechirwere chinonzi pancreatitis here? Kana izvozvo zvikaitika, saga rakazara nemvura rinogona kuumbwa rakakomberedza pancreatitis yedu. Izvi ndizvo zvatinodaidza kuti pancreatic pseudocyst. Zita racho rinogona kunzwika richityisa, asi kana taziva kuti chii, hapana chikonzero chekuvhunduka.

Chii chinonzi pseudocyst yepancreatic?

Zvichitaurwa zviri nyore, kana pancreatitis yako yakuvara, semuenzaniso, kana uine pancreatitis, sac yakazara nemvura inonzi pancreatic pseudocyst inoumbwa ichiipoteredza. Zvino tarisa, pancreas yedu inhengo inokosha iri muchikamu chepamusoro chedumbu. Inogadzira ma enzymes, kana zvinhu zvinobatsira kugaya chikafu chatinodya. Ma enzymes aya anofamba semvura kuburikidza nepancreatitis duct achipinda muura hwedu hudiki.

Zvisinei, kana pakaitika chirwere chakakomba chakadai sepancreatitis, nzira iyi yepancreas inogona kukuvara, zvichiita kuti mvura ine ma enzymes ekugaya ibude. Mvura iyi inobuda inokonzera kusagadzikana kumatishu akaipoteredza. Muviri unobva wagadzira rusvingo runodzivirira rwakatenderedza mvura inobuda. Madziro aya anoumbwa nematishu akaita semavanga. Ndizvo zvatinodaidza kuti pseudocyst.

Ndeupi musiyano uripo pakati pecyst chaiyo nepseudocyst?

Iyi inyaya yakakosha zvikuru. Chipembenene chepancreas hachisi chipembenene chechokwadi. Nekuti hachina kuumbwa nenyama chaiyo yepancreas pachayo. Sezvandambotaura kare, madziro aro anoumbwa nenyama ine mavanga efibrous. Mhando dzakasiyana dzemasero anonzi epithelial cells anowanikwa munyama chaiyo yepancreas haasi mumadziro ezvipembenene izvi. Asi, madziro avo akafukidzwa nenyama ine mavanga. Iyi nyama ine mavanga imhando yenyama itsva inoumbwa pamusoro peronda painopora.

Zvichitaurwa zviri nyore, pancreatic pseudocyst haisi chimiro chakasiyana, asi chironda chinokonzerwa nekuzvimba. Pancreas cyst ibukira riri mumadziro epancreas rinobuda kubva munyama yaro. Rinogona kuva nezvinhu zvakaita mvura uye zvakasimba. Mamwe ma cysts anogona kushanduka kuita kenza. Zvisinei, pseudocysts haisi chirwere chisati chaitika kenza.

Iyi pancreatic pseudocyst ine njodzi here?

Kazhinji, ma "pancreatic pseudocysts" haashanduki kuita kenza, uye haawanzo kukonzera matambudziko akakomba. Mazhinji acho anopora ega nekufamba kwenguva. Zvisinei, kana ma "cysts" aya akakura, pane mukana mudiki wekubata nhengo dzemuviri dziri pedyo kana mitsipa yeropa. Dzimwe nguva anogonawo kutapukirwa. Ndipo panopindira vanachiremba nekurapa. Saka hapana chikonzero chekutya, asi zvakakosha kuziva izvi.

Dambudziko iri rakajairika zvakadii?

Mafinya epancreas chirwere chinogona kuitika muvanhu vanosvika 35% vane pancreatitis isingaperi uye vanhu vanosvika 10% vane pancreatitis inorwadza. Mafinya ndiwo mhando yefinya inowanikwa zvakanyanya mupancreas. Anoumba 75% yefinya yese yepancreas. Zvisinei, kazhinji, haawanzoitiki. Anobata vanhu vakuru vanosvika 3% pagore. Haawanzoitiki kuvana.

Chii chinokonzera pancreatic pseudocysts?

Chikonzero chikuru cheizvi kuzvimba kwepancreas, inova `(Pancreatitis)`. Chikonzero chikuru che`(Pancreatitis)` chinoita kuti pseudocysts iumbwe kushandiswa kwedoro . 70% yepancreas pseudocysts inokonzerwa nepancreatitis ine chekuita nedoro. Chikonzero chechipiri chikuru ipancreatitis inokonzerwa nematombo emunduru. Muvana, chirwere ichi chinowanzo kukonzerwa nekukuvara kwerudzi rwe`(Trauma).`

Fungidzira, kana pancreatitis ikazvimba nekuda kwepancreatitis, kana ikakuvara mutsaona, duct yepancreas inogona kuvharika, kana kubatana kwayo neura kunogona kutyoka. Zvadaro, imwe yemvura inogadzirwa nepancreas inodonhera munzvimbo iri mukati medumbu, kureva mudumbu. Mvura iyi inoungana pakati pemadziro enhengo, uye saga rinodzivirira rinoumbwa rakaripoteredza, sezvandambotaura. Ndiyo inonzi pseudocyst.

Ndezvipi zviratidzo zve pseudocyst yepancreatic?

Zvipembenene zvidiki zvinogona kusakonzera zviratidzo. Zvisinei, zvikuru zvinogona kukonzera. Zviratidzo zvazvo zvinogona kufanana nezvechirwere chepancreatitis. Zvisinei, zvinowanzoonekwa mavhiki akati wandei mushure mekunge pancreatitis yanyanya, kana mushure mekunge pancreatitis isingaperi yafambira mberi uye yakanganisa duct yepancreas.

Zviratidzo zvakajairika:

• Kurwadziwa kwemudumbu: Ichi ndicho chiratidzo chikuru.
• Kuzvimba: Dumbu rako rinogona kunzwa rakazara.
• Anorexia: Kunzwa kusada kudya.
• Kusvotwa kana kurutsa: Zviratidzo izvi zvinowanzoitikawo.

Zviratidzo kana matambudziko akaitika:

Dzimwe nguva, kana matambudziko akaitika, zviratidzo zvakaita seizvi zvinogonawo kuitika:

• Fivha kana kutonhora: Izvi zvinogona kuva chiratidzo chehutachiona.
• Kurova kwemoyo kwakawedzera:
• Dzungu kana kunzwa kusuruvara:
• Jaundice: Kutsvuka kwemaziso neganda.

Ndezvipi zvinetso zvinogona kuitika nekuda kwe pancreatic pseudocyst?

Kunyange hazvo matambudziko asingawanzoitiki, zvakanaka kuziva nezvawo.

• Utachiona: Kunyange zvazvo ma pseudocysts mazhinji aine pancreatic fluid chete, mamwe anogona kunge aine zvidimbu zvenyama yakafa. Kana izvi zvikaitika, utachiona hwakadai semabhakitiriya hunogona kudya nyama yakafa uye kukonzera hutachiona. Pseudocyst ine utachiona inogona kuva nengozi zvikuru kana ikaputika. Kunyangwe izvi zvisingawanzoitiki, kana zvikaitika, hutachiona hunogona kupararira mukati medumbu, zvichikonzera chirwere chinonzi septicemia.
• Kudzvanywa kwemudziyo: Pseudocyst hombe inogona kudzvanya tsinga yeropa iri pedyo kana duct ye bile, izvo zvinogona kuvharira kuyerera kweropa kana duct ye bile kuburikidza ne duct. Pseudocyst inogonawo kudzvanya duct yepancreatic, zvichikonzera mamwe matambudziko.
• Kuvharika kwedumbu: Chipembenene chikuru chinogona kuvhara dumbu kana ura hudiki, zvichiita kuti zviome kudya kana kunwa. Izvi zvinogona kukonzera kuoma kwekudya nekuita tsvina.
• Kubuda ropa: Kana chivharo chetsinga chikadzvanywa patsinga yeropa, madziro etsinga iyoyo anogona kukuvara uye kukonzera kubuda ropa. Kana ropa rikabuda mutsinga yeropa rikapinda mutsinga yetsinga, chivharo chinogona kuputika.

Yeuka kuti havasi vese vanowana matambudziko aya. Kazhinji, mafirosi anopora pasina matambudziko.

Vanachiremba vanoongorora sei pseudocysts dzepancreatic?

Vanachiremba vanowanzo kwanisa kuona ma pseudocysts epancreas ne scan yemhando yepamusoro, senge contrast CT scan kana MRI scan. Asi dzimwe nguva, vanofanirwa kutora sampuro kuti vaone kana iri pseudocyst kana imwe mhando yebundu. Vanoshandisa endoscopic ultrasound uye fine needle aspiration kuita izvi.

Ultrasound ye endoscopic

Izvi zvinosanganisira musanganiswa we endoscopy ne ultrasound. Chiremba anoisa chubhu refu (endoscope) ine kamera diki yakasungirirwa pahuro pako uye muura hwako hudiki. Zvadaro, imwe chubhu yakatetepa ine chikamu chidiki chemuchina we ultrasound inopfuudzwa nemuchubhu hombe kuti iongorore pancreas.

Kusveta tsono zvakanakaKusveta tsono zvakanaka

Iyi imhando ye biopsy. Panguva ye endoscopy, chiremba anogona kuisa tsono yakatetepa, isina chinhu nepaburi remuchubhu uye kutora sampuli yemvura nenyama kubva ku pseudocyst. Samples idzi dzinozotumirwa kurabhoritari kuti dziongororwe.

Mafirosi aya epseudocysts anoonekwa sei pakuongorora?

Pancreas yedu yakaita sehove - ine musoro, chikamu chepakati nemuswe. Zvikamu zviviri muzvitatu zvepseudocysts zvinokura muchikamu chemuswe wepancreas, uye chimwe chikamu muchikamu chetatu mumusoro. Kazhinji dzine chimiro chedenderedzwa, dzine pamusoro pakachena uye madziro akajeka. Mukati mune mvura yakajeka, ine mvura. Dzinogona kusiyana muhukuru kubva pamasendimita maviri kusvika makumi matatu. Vamwe vanhu vane imwe, nepo vamwe vaine dzakawanda.

Vanachiremba vanorapa sei pancreatic pseudocysts?

Mazhinji emapazi epancreatic anopera ega nekufamba kwenguva. Vanachiremba vanoatarisa uye vanopa rubatsiro rwekutsigira sezvinodiwa. Semuenzaniso:

• Mishonga yekurwadziwa: Mishonga inopiwa kuderedza marwadzo.
• Mvura yemumushonga weIV: Zvinhu zvakaita semunyu zvinopihwa kudzivirira kupera mvura mumuviri uye kupa muviri mvura yaunoda.
• Kudya kunovaka muviri (kuburikidza nechubhu kana netsinga (IV): Kana usingakwanise kudya, kudya kunovaka muviri kunopihwa nechubhu kana netsinga.

Kana mafirosi asingapore ega, kana kuti akaratidza zviratidzo zvematambudziko, vanachiremba vanopindira voarapa.

Zvinotora nguva yakareba sei kuti pancreatic pseudocyst ipore?

Vanachiremba vanowanzo pindira kana ma-pseudocysts avapo kweanopfuura mavhiki matanhatu. Chikamu chimwe muzvitatu chavo chinopora chega mukati menguva iyi. Kana uine ma-pseudocysts akawanda, kana kana uine matambudziko kwenguva refu, akadai semavanga anokonzerwa nepancreatitis isingaperi, vanogona kunge vasina mukana wekupora vega.

Ndeapi marapirwo epseudocyst yakaoma uye ine njodzi huru?

Vanachiremba vanorapa mafirosi epseudocysts nekuabvisa. Izvi zvinogona kuitwa nenzira dzakasiyana-siyana. Kubvisa mafirosi eendoscopic kazhinji ndiyo sarudzo yekutanga. Zvisinei, mune dzimwe nguva, dzimwe nzira, dzakadai sekuvhiya, dzingadikanwa. Kubvisa mafirosi eendoscopic inzira isinganyanyi kukuvadza inogona kupa mhedzisiro yakafanana neyekuvhiya kwenguva refu.

Cystogastrostomy

Iyi ndiyo nzira yakajairika. Cystogastrostomy inzira inobatanidza pseudocyst nedumbu, zvichiita kuti mvura iri mucyst ibude mudumbu mako. Zvichienderana nekuti pseudocyst iri kupi, kubatana uku kunogona kuitwa nedumbu diki kana pancreatic duct.

Dumbu rako neura diki zvinogona kubata mvura inobuda mupseudocyst zvakanaka, nekuti zvese zvine jira rakakosha rinozvidzivirira kubva kuma enzymes ekugaya chikafu nema acids. (Pancreatic fluid inowanzo pinda muura diki.) Kana mvura yese yapera, madziro ecyst anonyungudika ega.

Chii chaungatarisira mushure mekurapwa kwechirwere chepancreatic pseudocyst?

Kurapwa kwechirwere chepancreatic pseudocyst kunoda mazuva mashoma muchipatara. Mushure meizvozvo, uchakumbirwa kudzoka mumavhiki mashoma kuti ubvise stents kana machubhu emvura. Kurapa kubvisa mvura kunobudirira ne90%. Zvisinei, mune dzimwe nguva, chirwere chepseudocyst chinogona kudzokazve.

Unofanira kuona chiremba rini nezve pancreatic pseudocyst?

Kana uine zviratidzo zvepancreatitis, enda kuna chiremba nekukasika. Izvi zvinoreva: kurwadziwa mudumbu kunoyerera kumusana, uye une kuda kurutsa uye/kana kurutsa. Kana uchangobva kurapwa pancreatitis uye zviratidzo zvako zvikadzoka mushure memavhiki mana kusvika matanhatu, unogona kunge uine pancreatic pseudocyst.

Mafivha epancreatic anowanzo kukonzera chirwere chepancreatitis. Anogona kurebesa nguva yekurapwa kwako uye kuita kuti ude kurapwa kwakawanda paunenge wafunga kuti wapedza. Kunyange zvazvo izvi zvichigona kukunetsa, yeuka kuti mafivha mazhinji haakonzeri matambudziko matsva kana kuti haadi kurapwa kutsva.

Vanachiremba vanonetseka nezvema-pseudocysts, asi vanowanzo tarisa zviratidzo zvacho. Kana uine zviratidzo, vanorapa. Kana ma-pseudocysts achida kuvhiyiwa, kubvisa mvura mumuviri kunowanzo gadzirisa dambudziko racho. Kurapa uku kunowanzo kanganisa zvishoma, zvichireva kuti hakunyanyi kukanganisa muviri.

Mharidzo Yekuenda Nayo Kumba

Zvakanaka, saka hezvino zvimwe zvinhu zvaunofanira kuyeuka kubva pane zvatataura nezvazvo:

• Chitubu chepancreas ibhegi rakaita sesagi rizere nemvura rinoumbwa kana pancreas yakuvara, kunyanya nekuda kwepancreas.
• Iri harisi bundu chairo, saka usatya zvakanyanya kuti richashanduka kuita kenza.
• Kazhinji, izvi zvinozopora zvega. Zvisinei, kana zvikakura, zvikabatwa nehutachiona, kana kuti zvikava nezvimwe zvinetso, zvingada kurapwa.
• Chikonzero chikuru chirwere ichi chinokonzerwa nedoro.
• Zviratidzo zvinogona kusanganisira kurwadziwa mudumbu, kuzvimba, kurasikirwa nechido chekudya, uye kuda kurutsa.
• Vanachiremba vanoongorora izvi kuburikidza nemiedzo yakaita se `(CT scan)`, `(MRI)`, uye `(Endoscopic ultrasound)`.
• Kurapa kukuru kunosanganisira kudhonza mvura, izvo zvinogona kuitwa ne endoscopically.
• Kana ukaona zviratidzo zvepancreatitis, kana zviratidzo zvikadzoka mushure menguva pfupi yekurapwa, iva nechokwadi chekuona chiremba.

Chinhu chinonyanya kukosha kusatya uye kutevedzera mazano akakodzera ekurapa. Tinokushuvirai kupora nekukurumidza!

Pancreas , pseudocyst, pancreatitis, kurwadziwa kwemudumbu, kugaya chikafu, endoscopy, kurapwa kwechiremba