Ngaba nawe unayo i-cyst egcwele ulwelo kwi-pancreas yakho? (I-Pancreatic Pseudocyst) - Singathetha ngale nto?

Ngaba wakha waphathwa yimeko ebizwa ngokuba yi-pancreatitis? Xa oko kusenzeka, ingxowa egcwele ulwelo ngamanye amaxesha inokwakheka ijikeleze i-pancreas yethu. Oku sikubiza ngokuba yi-pancreatic pseudocyst. Eli gama lisenokuvakala lisoyikisa kancinci, kodwa xa sele siyazi ukuba yintoni, akukho mfuneko yokoyika.

Yintoni i-pseudocyst ye-pancreatic?

Ngamafutshane, xa ipancreas yakho yonakele, umzekelo, xa une-pancreatitis, ingxowa egcwele ulwelo ebizwa ngokuba yi-pancreatic pseudocyst iyakheka iyijikelezile. Ngoku khangela, i-pancreas yethu sisitho esibalulekileyo esikwinxalenye ephezulu yesisu. Yenza ii-enzymes, okanye izinto ezinceda ekugayeni ukutya esikutyayo. Ezi enzymes zihamba njengolwelo nge-pancreatic duct ukuya emathunjini ethu amancinci.

Nangona kunjalo, xa kuvela imeko enzima efana ne-pancreatitis, le duct ye-pancreatic inokonakala, nto leyo ebangela ukuba ulwelo olune-enzymes zokugaya luphume. Olu lwelo luvuzayo lubangela ukungakhululeki kwizicubu ezingqongileyo. Emva koko umzimba wenza udonga olukhuselayo olujikeleze ukuvuza. Olu donga lwenziwe zizicubu ezinamafutha, ezifana nezikrweqe. Yiloo nto siyibiza ngokuba yi-pseudocyst.

Yintoni umahluko phakathi kwe-cyst yokwenyani kunye ne-pseudocyst?

Eli linqaku elibaluleke kakhulu. I-pancreas pseudocyst ayilo-cyst yokwenyani. Kuba ayenziwanga sisicwili sokwenyani se-pancreas ngokwayo. Njengoko benditshilo ngaphambili, udonga lwayo lwenziwe sisicwili se-fibrous scar. Uhlobo olukhethekileyo lweeseli ezibizwa ngokuba zii-epithelial cells ezifumaneka kwi-real pancreatic tissue azikho kwiindonga zezi pseudocysts. Endaweni yoko, iindonga zazo zigqunywe yi-granulation tissue. Le granulation tissue luhlobo lwe-tissue entsha eyenzeka phezu kwenxeba xa iphola.

Ngamafutshane, i-pseudocyst yepancreatic ayilolwakhiwo olwahlukileyo, kodwa sisilonda esibangelwa kukudumba. I-pancreatic cyst kukukhula eludongeni lwe-pancreas oluvela kwizicubu zalo. Inokuba nezinto ezilulwelo neziqinileyo. Ezinye ii-cysts zinokuguquka zibe ngumhlaza. Nangona kunjalo, ii-pseudocysts azikho ngaphambi kokuba kubekho umhlaza.

Ngaba le pseudocyst yepancreatic iyingozi?

Uninzi lwexesha, ii-pseudocysts zepancreas aziguquki zibe ngumhlaza, kwaye azifane zibangele iingxaki ezinkulu. Uninzi lwazo ziyaphola ngokwazo ngokuhamba kwexesha. Nangona kunjalo, ukuba ezi cysts zikhula zibe nkulu, kukho umngcipheko omncinci wokuchaphazela amalungu okanye imithambo yegazi ekufutshane. Ngamanye amaxesha zinokosuleleka. Kulapho oogqirha bangenelela khona baze banyange. Ngoko ke akukho mfuneko yokoyika, kodwa kubalulekile ukuqaphela oku.

Ixhaphake kangakanani le meko?

Ii-Pseudocysts zepancreas yimeko enokwenzeka kubantu abamalunga nama-35% abane-pancreatitis engapheliyo kunye nabantu abamalunga ne-10% abane-acute pancreatitis. Ii-Pseudocysts zezona ntlobo zixhaphakileyo ze-cyst kwi-pancreas. Zimalunga nama-75% azo zonke ii-cysts zepancreas. Nangona kunjalo, ngokubanzi, azixhaphakanga kangako. Zichaphazela malunga ne-3% yabantu abadala ngonyaka. Zinqabile kakhulu ebantwaneni.

Yintoni ebangela i-pseudocysts ye-pancreatic?

Eyona nto ibangela oku kukudumba kwepancreas, okuyi `(Pancreatitis)`. Eyona nto ibangela ukuba kubekho i-`(Pancreatitis)` kukusetyenziswa kotywala . Ama-70% e-`pancreatic pseudocysts` abangelwa yi-pancreatitis enxulumene notywala. Eyona nto ibangela ukuba kubekho i-pancreatitis ebangelwa yi-gallstones. Kubantwana, le meko idla ngokubangelwa luhlobo oluthile lokulimala`(Trauma).`

Khawucinge nje, xa ipancreas ivuvukala ngenxa yepancreatitis, okanye xa yenzakele kwingozi, umbhobho wepancreas unokuvaleka, okanye unxibelelwano lwawo namathumbu lunokuqhekeka. Emva koko, olunye ulwelo oluveliswa yipancreas luvuza lungene kwindawo engaphakathi kwesisu, oko kukuthi, umngxuma wesisu. Olu lwelo luqokelelana phakathi kweendonga zamalungu omzimba, kwaye ingxowa ekhuselayo iyakha ngeenxa zonke, njengoko benditshilo ngaphambili. Yiloo nto ibizwa ngokuba yi-pseudocyst.

Ziziphi iimpawu ze-pancreatic pseudocyst?

Ii-pseudocysts ezincinci zisenokungabangeli zimpawu. Nangona kunjalo, ezinkulu zinokubangela. Iimpawu zazo zinokufana nezo ze-pancreatitis. Nangona kunjalo, zihlala zikhula emva kweeveki ezimbalwa emva kwe-pancreatitis ebukhali, okanye emva kokuba i-pancreatitis engapheliyo iqhubekile yaza yachaphazela umjelo we-pancreatic.

Iimpawu eziqhelekileyo:

• Intlungu yesisu: Olu luphawu oluphambili.
• Ukudumba: Isisu sakho sisenokuvakala sigcwele.
• I-Anorexia: Imvakalelo yokungafuni ukutya.
• Isicaphucaphu okanye ukuhlanza: Ezi mpawu nazo ziqhelekile.

Iimpawu ukuba kukho iingxaki:

Ngamanye amaxesha, ukuba kukho iingxaki, iimpawu ezinjalo zinokubakho:

• Umkhuhlane okanye ukubanda: Oku kungaba luphawu losulelo.
• Ukunyuka kwesantya sentliziyo:
• Ukuba nesiyezi okanye ukuziva ukhathazekile:
• I-Jaundice: Ukutyheli kwamehlo nolusu.

Ziziphi iingxaki ezinokubakho ze-pancreatic pseudocyst?

Nangona iingxaki zinqabile, kulungile ukuzazi.

• Usulelo: Nangona uninzi lwee-pseudocysts ziqulathe ulwelo lwe-pancreatic kuphela, ezinye zinokuba neziqwenga zezicubu ezifileyo. Xa oku kusenzeka, iintsholongwane ezifana neebhaktheriya zinokutya izicubu ezifileyo zize zibangele usulelo. I-pseudocyst esulelekileyo inokuba yingozi kakhulu ukuba iyaqhuma. Nangona oku kunqabile, ukuba kuyenzeka, usulelo lunokusasazeka luye ngaphakathi esiswini, nto leyo ekhokelela kwimeko ebizwa ngokuba yi-septicemia.
• Ukucinezelwa kwemithambo: I-pseudocyst enkulu inokucinezela umthambo wegazi okufutshane okanye i-bile duct, enokuthintela ukuhamba kwegazi okanye ukuhamba kwe-bile kwi-duct. I-pseudocyst inokucinezela i-pancreatic duct, nto leyo ebangela iingxaki ezingaphezulu.
• Ukuvaleka kwamathumbu: I-pseudocyst enkulu inokuvala isisu okanye amathumbu amancinci, nto leyo eyenza kube nzima ukutya okanye ukusela. Oku kunokubangela ubunzima bokutya kunye nokuphuma kwendle.
• Ukopha: Ukuba i-pseudocyst icinezelwe kumthambo wegazi, udonga lwaloo mthambo lunokonakala kwaye lubangele ukopha. Ukuba igazi liphuma emthambo wegazi liye kwi-pseudocyst, i-cyst inokuqhuma.

Khumbula, ayinguye wonke umntu ofumana ezi ngxaki. Uninzi lwexesha, ii-pseudocysts ziyaphola ngaphandle kweengxaki.

Oogqirha bafumanisa njani i-pseudocysts yepancreatic?

Oogqirha badla ngokubona ii-pseudocysts zepancreas nge-scan esemgangathweni, efana ne-CT scan echaseneyo okanye i-MRI scan. Kodwa ngamanye amaxesha, kufuneka bathathe isampuli ukuze babone ukuba yi-pseudocyst okanye olunye uhlobo lwethumba. Basebenzisa i-endoscopic ultrasound kunye ne-fine needle aspiration ukwenza oku.

I-ultrasound ye-endoscopic

Oku kubandakanya indibaniselwano ye-endoscopy kunye ne-ultrasound. Ugqirha ufaka ityhubhu ende (i-endoscope) enekhamera encinci enamathele entanyeni yakho iye emathunjini amancinci. Emva koko, enye ityhubhu encinci enenxalenye encinci yomatshini we-ultrasound idlula kwityhubhu enkulu ukuze ihlole i-pancreas.

Ukufunxwa kwenaliti encinciUkufunxwa kwenaliti encinci

Olu luhlobo lwe-biopsy. Ngexesha le-endoscopy, ugqirha unokufaka inaliti encinci, engenanto ngaphakathi kwityhubhu aze athathe isampuli yolwelo kunye nezicubu kwi-pseudocyst. Ezi sampuli emva koko zithunyelwa kwilebhu ukuze zivavanywe.

Zibonakala njani ezi pseudocysts kwi-scan?

I-pancreas yethu imile okwentlanzi - inentloko, inxalenye ephakathi kunye nomsila. Malunga nesibini kwisithathu se-pseudocysts zikhula kwinxalenye yomsila we-pancreas, kwaye enye inxalenye yesithathu kwinxalenye yentloko. Zihlala zingqukuva, zinomphezulu ogudileyo kunye neendonga ezicacileyo. Ngaphakathi kukho ulwelo olucacileyo nolunamanzi. Zinokwahluka ngobukhulu ukusuka kwiisentimitha ezi-2 ukuya kwezingama-30. Abanye abantu banenye, ngelixa abanye benazo ezininzi.

Oogqirha baphatha njani i-pseudocysts yepancreatic?

Uninzi lwee-pseudocysts zepancreatic ziyaphela ngokwazo ngokuhamba kwexesha. Oogqirha bayabajonga baze banike uncedo oluxhasayo njengoko kufuneka. Umzekelo:

• Iipilisi zokunciphisa iintlungu: Kunikwa amayeza okunciphisa iintlungu.
• Ulwelo lwe-IV: Izinto ezifana ne-saline zinikwa ukuthintela ukuphelelwa ngamanzi emzimbeni nokubonelela umzimba ngolwelo olufunekayo.
• Isondlo (ngetyhubhu okanye ngemithambo yegazi): Ukuba awukwazi ukutya, isondlo sinikwa ngetyhubhu okanye ngemithambo yegazi.

Ukuba ii-pseudocysts azizipholi zodwa, okanye ukuba zibonisa iimpawu zeengxaki, oogqirha baya kungenelela baze banyange.

Kuthatha ixesha elingakanani ukuba i-pancreatic pseudocyst iphiliswe?

Oogqirha badla ngokungenelela ukuba ii-pseudocysts bezikho kangangeeveki ezingaphezu kwezintandathu. Malunga nesinye kwisithathu sazo ziya kuphola zodwa ngeli xesha. Ukuba une-pseudocysts ezininzi, okanye ukuba uneengxaki ezihlala ixesha elide, ezifana nokuvaleka ngenxa ye-pancreatitis engapheliyo, zisenokungabi lula ukuba ziphilise zodwa.

Ziziphi iindlela zonyango ze-pseudocyst enzima neyingozi kakhulu?

Oogqirha banyanga ii-pseudocysts ngokuzikhupha amanzi. Oku kungenziwa ngeendlela ezahlukeneyo. Ukukhupha amanzi nge-endoscopic kudla ngokuba lukhetho lokuqala. Nangona kunjalo, kwezinye iimeko, ezinye iindlela, ezinje ngotyando, zinokufuneka. Ukukhupha amanzi nge-endoscopic yinkqubo engangenisi ntsholongwane enokubonelela ngeziphumo ezifanayo nexesha elide notyando.

I-Cystogastrostomy

Le yindlela eqhelekileyo. I-cystogastrostomy yinkqubo edala unxibelelwano phakathi kwe-pseudocyst kunye nesisu sakho, ivumela ulwelo olukwi-cyst ukuba luphume luye esiswini sakho. Ngokuxhomekeke ekubeni iphi i-pseudocyst, olu nxibelelwano lunokwenziwa kumathumbu amancinci okanye kwi-pancreatic duct.

Isisu sakho kunye namathumbu amancinci ziyakwazi ukuphatha ulwelo oluphuma kwi-pseudocyst kakuhle, kuba zombini zine-lining ekhethekileyo ezikhusela kwii-enzymes zokugaya ukutya kunye nee-asidi. (Ulwelo lwePancreatic luhlala lungena emathunjini amancinci.) Nje ukuba lonke ulwelo luphele, udonga lwe-cyst luya kunyibilika lodwa.

Yintoni onokuyilindela emva konyango lwe-pancreatic pseudocyst?

Unyango lwe-pancreatic pseudocyst luza kufuna iintsuku ezimbalwa esibhedlele. Emva koko, uza kucelwa ukuba ubuye kwiiveki ezimbalwa ukuze kususwe ii-stents okanye iityhubhu zokukhupha amanzi. Unyango lokususa ulwelo luphumelela ngaphezu kwe-90%. Nangona kunjalo, kwiimeko ezingaqhelekanga, ii-pseudocysts zinokuphinda zibuye.

Ufanele uye nini kugqirha malunga ne-pancreatic pseudocyst?

Ukuba uneempawu ze-pancreatitis, bonana nogqirha ngokukhawuleza. Oku kuthetha: intlungu esiswini sakho ephuma emqolo, kwaye unesicaphucaphu kunye/okanye ukuhlanza. Ukuba usandul' ukunyangwa i-pancreatitis kwaye iimpawu zakho zibuya emva kweeveki ezine ukuya kwezintandathu, usenokuba ne-pancreatic pseudocyst.

Ii-pseudocysts zepancreatic ziziphumo eziqhelekileyo ze-pancreatitis. Zinokwandisa unyango lwakho kwaye zibangele ukuba udinge unyango olungakumbi xa ucinga ukuba ugqibile. Nangona oku kunokuba yingxaki yokwenyani, khumbula ukuba uninzi lwee-pseudocysts azibangeli iingxaki ezintsha okanye azifuni unyango olutsha.

Oogqirha baxhalabile ngee-pseudocysts, kodwa bahlala bezijonga nje. Ukuba uneempawu, bayazinyanga. Ukuba ii-pseudocysts zifuna utyando, ukukhupha ulwelo kudla ngokusombulula ingxaki. Olu nyango ludla ngokungenelela kancinci, oko kuthetha ukuba alunampembelelo ingako emzimbeni.

Umyalezo Wokuya Ekhaya

Kulungile, nazi izinto ekufuneka uzikhumbule koko sithethe ngako:

• I-pancreas pseudocyst yingxowa efana nolwelo ezaliswe yingxowa eyenzeka xa i-pancreas yonakele, ingakumbi ngenxa ye-pancreatitis.
• Asilothumba lokwenyani eli, ngoko ke ungoyiki ukuba liza kuba ngumhlaza.
• Uninzi lwexesha, ezi ziya kuba ngcono ngokwazo. Nangona kunjalo, ukuba ziba nkulu, zosulelekile, okanye zinezinye iingxaki, zinokufuna unyango.
• Eyona nto ibangela yi-pancreatitis ebangelwa butywala.
• Iimpawu zingabandakanya iintlungu zesisu, ukudumba, ukungabi namdla wokutya, kunye nokucaphuka.
• Oogqirha baxilonga ezi ngovavanyo olufana `(CT scan)`, `(MRI)`, kunye `(Endoscopic ultrasound)`.
• Unyango oluphambili kukukhupha amanzi emzimbeni, olunokwenziwa rhoqo nge-endoscopically.
• Ukuba ubonakalisa iimpawu ze-pancreatitis, okanye ukuba iimpawu zibuya emva kwexesha elifutshane lonyango, qiniseka ukuba ubona ugqirha.

Eyona nto ibalulekileyo kukungaxhalabi uze ulandele icebiso elifanelekileyo lezonyango. Ndikunqwenelela ukuchacha ngokukhawuleza!

I- Pancreas, i-pseudocyst, i-pancreatitis, iintlungu zesisu, inkqubo yokugaya ukutya, i-endoscopy, unyango lwezonyango