Ingabe nawe une-cyst egcwele uketshezi ku-pancreas yakho? (I-Pancreatic Pseudocyst) - Singaxoxa ngalokhu?

Wake wahlushwa yisifo esibizwa ngokuthi i-pancreatitis? Uma lokho kwenzeka, isikhwama esigcwele uketshezi singakheka ngezinye izikhathi sizungeze i-pancreas yethu. Lokhu yilokho esikubiza ngokuthi i-pseudocyst ye-pancreatic. Igama lingase lizwakale liyesabeka kancane, kodwa uma sesikwazi ukuthi liyini, asikho isidingo sokwesaba.

Iyini i-pseudocyst ye-pancreatic?

Kalula nje, uma i-pancreas yakho yonakele, isibonelo, uma une-pancreatitis, kwakheka isikhwama esigcwele uketshezi esibizwa ngokuthi i-pancreatic pseudocyst. Manje bheka, i-pancreas yethu iyisitho esibalulekile esitholakala engxenyeni engenhla yesisu. Yenza ama-enzyme, noma izinto ezisiza ekugayeni ukudla esikudlayo. La ma-enzyme ahamba njengoketshezi nge-duct ye-pancreatic aye emathunjini ethu amancane.

Kodwa-ke, uma kwenzeka isimo esibi njenge-pancreatitis, lo msele we-pancreatic ungonakala, okubangela ukuthi uketshezi oluqukethe ama-enzyme okugaya ukudla luphume. Lolu ketshezi oluvuzayo lubangela ukungakhululeki ezicutshini ezizungezile. Umzimba ube usudala udonga oluvikelayo oluzungeze ukuvuza. Lolu donga lwakhiwe ngezicubu ezinamathelayo, ezifana nezibazi. Yilokho esikubiza ngokuthi i-pseudocyst.

Uyini umehluko phakathi kwe-cyst yangempela ne-pseudocyst?

Leli iphuzu elibaluleke kakhulu. I-pseudocyst ye-pancreatic akuyona i-cyst yangempela. Ngoba ayakhiwe yizicubu zangempela ze-pancreas uqobo. Njengoba ngishilo ngaphambili, udonga lwayo lwakhiwe yizicubu zesibazi esine-fibrous. Uhlobo olukhethekile lwamaseli abizwa ngokuthi amaseli e-epithelial atholakala ezicutshini zangempela ze-pancreatic alukho ezindongeni zala ma-pseudocyst. Esikhundleni salokho, izindonga zawo zimbozwe yizicubu ze-granulation. Le tissue ye-granulation uhlobo lwezicubu ezintsha ezakheka phezu kwesilonda lapho siphola.

Kalula nje, i-pseudocyst ye-pancreatic akuyona ngempela isakhiwo esihlukile, kodwa kunalokho iyisilonda esibangelwa ukuvuvukala. I-pancreatic cyst iwukukhula odongeni lwe-pancreas okuvela ezicutshini zayo. Ingaqukatha kokubili izinto eziwuketshezi neziqinile. Amanye ama-cyst angaphenduka umdlavuza. Kodwa-ke, ama-pseudocyst awayona inkinga engaphambi komdlavuza.

Ingabe le pseudocyst ye-pancreatic iyingozi?

Esikhathini esiningi, ama-pseudocyst e-pancreatic awaguquki abe umdlavuza, futhi awavamile ukubangela izinkinga ezinkulu. Iningi lawo liba ngcono ngokwalo ngokuhamba kwesikhathi. Kodwa-ke, uma la ma-cyst ekhula abe makhulu, kunengozi encane yokuthinta izitho noma imithambo yegazi eseduze. Ngezinye izikhathi nawo angangenwa yileli gciwane. Yilapho odokotela bengenelela khona futhi bewelapha. Ngakho-ke asikho isidingo sokwesaba, kodwa kubalulekile ukuqaphela lokhu.

Sivame kangakanani lesi simo?

Ama-pseudocyst e-pancreas ayisimo esingaba khona kubantu abangaba ngu-35% abane-pancreatitis engapheli kanye nabantu abangaba ngu-10% abane-pancreatitis ebukhali. Ama-pseudocyst ayilona uhlobo oluvame kakhulu lwe-cyst e-pancreas. Angaba ngu-75% wawo wonke ama-cyst e-pancreas. Kodwa-ke, ngokuvamile, awavamile kakhulu. Athinta cishe abantu abadala abangu-3% ngonyaka. Akuvamile kakhulu ezinganeni.

Yini ebangela ama-pseudocysts e-pancreatic?

Imbangela eyinhloko yalokhu ukuvuvukala kwe-pancreas, okuyi-`(Pancreatitis)`. Imbangela eyinhloko ye-`(Pancreatitis)` ebangela ukwakheka kwama-pseudocysts ukusetshenziswa kotshwala . Ama-70% ama-pseudocysts e-pancreatic abangelwa yi-pancreatitis ehlobene notshwala. Imbangela yesibili eyinhloko yi-pancreatitis ebangelwa amatshe enyongo. Ezinganeni, lesi simo sivame ukubangelwa uhlobo oluthile lokulimala `(I-Trauma).`

Cabanga nje, lapho i-pancreas ivuvukala ngenxa ye-pancreatitis, noma lapho ilimele engozini, umgudu we-pancreas ungavaleka, noma ukuxhumana kwawo namathumbu kungaphuka. Bese kuthi, olunye uketshezi olukhiqizwa yi-pancreas luvuza lungene esikhaleni esingaphakathi kwesisu, okungukuthi, umgodi wesisu. Lolu ketshezi luqoqana phakathi kwezindonga zezitho zomzimba, bese kwakheka isikhwama esivikelayo nxazonke, njengoba ngishilo ekuqaleni. Yilokho okubizwa ngokuthi i-pseudocyst.

Yiziphi izimpawu ze-pseudocyst ye-pancreatic?

Ama-pseudocyst amancane angase angabingeli zimpawu. Kodwa-ke, amakhulu angase abe khona. Izimpawu zawo zingafana neze-pancreatitis. Kodwa-ke, avame ukuvela emavikini ambalwa ngemva kwe-pancreatitis ebukhali, noma ngemva kokuba i-pancreatitis engamahlalakhona isiqhubeke futhi yathinta umsele we-pancreatic.

Izimpawu ezivamile:

• Ubuhlungu besisu: Lolu uphawu oluyinhloko.
• Ukuqunjelwa: Isisu sakho singase sizizwe sigcwele.
• I-Anorexia: Umuzwa wokungafuni ukudla.
• Isicanucanu noma ukuhlanza: Lezi zimpawu nazo zivamile.

Izimpawu uma kuvela izinkinga:

Ngezinye izikhathi, uma kuvela izinkinga, izimpawu ezinjengalezi zingase zivele:

• Umkhuhlane noma ukubanda: Lokhu kungaba uphawu lokutheleleka.
• Ukwanda kwesilinganiso senhliziyo:
• Ukuzizwa unesizungu noma uzizwa ukhathazekile:
• I-Jaundice: Ukuphuzi kwamehlo nesikhumba.

Yiziphi izinkinga ezingaba khona ze-pseudocyst ye-pancreatic?

Nakuba izinkinga zingajwayelekile, kuhle ukuzazi.

• Ukutheleleka: Nakuba ama-pseudocyst amaningi aqukethe uketshezi lwe-pancreatic kuphela, amanye angase abe nezingcezu zezicubu ezifile. Uma lokhu kwenzeka, amagciwane afana namagciwane angadla izicubu ezifile futhi abangele ukutheleleka. I-pseudocyst ethelelekile ingaba yingozi kakhulu uma iqhuma. Nakuba lokhu kungavamile, uma kwenzeka, ukutheleleka kungasakazekela ngaphakathi kwesisu, okuholela esimweni esibizwa ngokuthi i-septicemia.
• Ukucindezelwa kwemithambo: I-pseudocyst enkulu ingacindezela umthambo wegazi oseduze noma i-bile duct, okungavimba ukugeleza kwegazi noma ukugeleza kwe-bile nge-duct. I-pseudocyst ingacindezela nomthambo we-pancreatic, okubangela izinkinga ezengeziwe.
• Ukuvaleka kwamathumbu: I-pseudocyst enkulu ingavimba isisu noma amathumbu amancane, okwenza kube nzima ukudla noma ukuphuza. Lokhu kungaholela ekuhluphekeni kokudla kanye nokuphuma kwendle.
• Ukopha: Uma i-pseudocyst icindezelwa emthanjeni wegazi, udonga lwalowo mthambo lungalimala futhi lubangele ukopha. Uma igazi liphuma emthanjeni wegazi liye ku-pseudocyst, i-cyst ingaqhuma.

Khumbula, akuwona wonke umuntu othola lezi zinkinga. Esikhathini esiningi, ama-pseudocyst ayaphola ngaphandle kwezinkinga.

Odokotela bawathola kanjani ama-pseudocysts e-pancreatic?

Odokotela bavame ukuhlonza ama-pseudocyst e-pancreatic nge-scan yekhwalithi enhle, njenge-CT scan ehlukanisayo noma i-MRI scan. Kodwa ngezinye izikhathi, badinga ukuthatha isampula ukuze bathole ukuthi ngabe yi-pseudocyst noma olunye uhlobo lwesimila. Basebenzisa i-endoscopic ultrasound kanye ne-fine needle aspiration ukwenza lokhu.

I-ultrasound ye-endoscopic

Lokhu kuhilela inhlanganisela ye-endoscopy kanye ne-ultrasound. Udokotela ufaka ithubhu ende (i-endoscope) enekhamera encane exhunywe emphinjeni wakho iye emathunjini akho amancane. Ngemuva kwalokho, kudlula elinye ithubhu elincane elinengxenye encane yomshini we-ultrasound ngethubhu elikhulu ukuze kuhlolwe i-pancreas.

Ukufuthwa kwenaliti okuncaneUkufuthwa kwenaliti okuncane

Lolu uhlobo lwe-biopsy. Ngesikhathi se-endoscopy, udokotela angafaka inalithi encane, engenalutho ngepayipi bese ethatha isampula yoketshezi kanye nezicubu ezivela ku-pseudocyst. Lawa masampula abese ethunyelwa elabhorethri ukuze ayohlolwa.

Lawa ma-pseudocyst avela kanjani kuma-scan?

I-pancreas yethu icishe ifane nenhlanzi - inekhanda, ingxenye ephakathi kanye nomsila. Cishe izingxenye ezimbili kwezintathu zama-pseudocyst zikhula engxenyeni yomsila we-pancreas, kanti enye ingxenye yesithathu ikhula engxenyeni yekhanda. Ngokuvamile ziyindilinga ngesimo, zinobuso obubushelelezi nezindonga ezicacile. Ngaphakathi kukhona uketshezi olucacile nolunamanzi. Zingahluka ngobukhulu kusukela kumasentimitha amabili kuya kwangu-30. Abanye abantu banelinye, kanti abanye baneziningana.

Odokotela baphatha kanjani ama-pseudocysts e-pancreatic?

Ama-pseudocyst amaningi e-pancreatic ayaziqeda ngokwawo ngokuhamba kwesikhathi. Odokotela bayawaqapha futhi banikeze ukunakekelwa okusekelayo njengoba kudingeka. Isibonelo:

• Izibulali-zinhlungu: Kunikezwa imithi yokunciphisa ubuhlungu.
• Uketshezi lwe-IV: Izinto ezifana nosawoti zinikezwa ukuvimbela ukuphelelwa amanzi emzimbeni futhi zinikeze umzimba uketshezi oluwudingayo.
• Ukudla okunempilo (ngepayipi noma ngemithambo yegazi (IV): Uma ungakwazi ukudla, ukudla okunempilo kunikezwa ngepayipi noma ngemithambo yegazi.

Uma ama-pseudocyst engazipholi ngokwawo, noma uma ekhombisa izimpawu zezinkinga, odokotela bazongenela futhi bawaphathe.

Kuthatha isikhathi esingakanani ukuthi i-pseudocyst ye-pancreatic iphole?

Odokotela bavame ukungenelela uma ama-pseudocyst esekhona isikhathi esingaphezu kwamasonto ayisithupha. Cishe ingxenye yesithathu yawo izophola yodwa phakathi nalesi sikhathi. Uma une-pseudocyst eminingi, noma uma unezinkinga zesikhathi eside, njengezibazi ezivela ku-pancreatitis engapheli, kungenzeka ukuthi awapholi ngokwawo.

Yiziphi izindlela zokwelapha i-pseudocyst eyinkimbinkimbi futhi eyingozi kakhulu?

Odokotela belapha ama-pseudocyst ngokuwakhipha amanzi. Lokhu kungenziwa ngezindlela eziningana. Ukukhipha amanzi nge-endoscopic kuvame ukuba ukukhetha kokuqala. Kodwa-ke, kwezinye izimo, ezinye izindlela, njengokuhlinzwa, zingadingeka. Ukukhipha amanzi nge-endoscopic kuyindlela engangenisi kakhulu enganikeza imiphumela yesikhathi eside efana nokuhlinzwa.

I-Cystogastrostomy

Lena inqubo ejwayelekile. I-cystogastrostomy inqubo edala ukuxhumana phakathi kwe-pseudocyst nesisu sakho, okuvumela uketshezi oluku-cyst ukuthi luphume luye esiswini sakho. Kuye ngokuthi i-pseudocyst ikuphi, lokhu kuxhumana kungenziwa emathunjini amancane noma emgudwini we-pancreatic.

Isisu sakho kanye namathumbu amancane kungaphatha uketshezi oluphuma ku-pseudocyst kahle kakhulu, ngoba kokubili kunendwangu ekhethekile ebavikela kuma-enzyme okugaya ukudla kanye nama-asidi. (Uketshezi lwe-pancreatic luvame ukungena emathunjini amancane.) Uma lonke uketshezi seluhambile, udonga lwe-cyst luzoncibilika lodwa.

Yini ongayilindela ngemva kokwelashwa kwe-pseudocyst ye-pancreatic?

Ukwelashwa kwe-pseudocyst ye-pancreatic kuzodinga izinsuku ezimbalwa esibhedlela. Ngemva kwalokho, uzocelwa ukuthi ubuye emavikini ambalwa ukuze kususwe ama-stents noma amapayipi okukhipha amanzi. Ukwelashwa kokususa uketshezi kuphumelele ngaphezu kuka-90%. Kodwa-ke, ezimweni ezingavamile, ama-pseudocyst angaphinde avele.

Kufanele ubonane nini nodokotela mayelana ne-pseudocyst ye-pancreatic?

Uma unezimpawu ze-pancreatitis, bona udokotela ngokushesha. Lokhu kusho ukuthi: ubuhlungu esiswini sakho obuphuma emhlane wakho, futhi unesicanucanu kanye/noma ukuhlanza. Uma usanda kwelashwa i-pancreatitis futhi izimpawu zakho zibuya ngemva kwamasonto amane kuya kwayisithupha, ungase ube ne-pseudocyst ye-pancreatic.

Ama-pseudocyst e-pancreatic ayimiphumela emibi evamile ye-pancreatitis. Angakwandisa isikhathi sokwelashwa kwakho futhi abangele ukuthi udinga ukwelashwa okwengeziwe lapho nje ucabanga ukuthi usuqedile. Nakuba lokhu kungaba yinto ekhathazayo ngempela, khumbula ukuthi ama-pseudocyst amaningi awabangeli izinkinga ezintsha noma awadingi ukwelashwa okusha.

Odokotela bakhathazekile ngama-pseudocyst, kodwa bavame ukuwaqapha nje. Uma unezimpawu, bayawelapha. Uma ama-pseudocyst edinga ukuhlinzwa, ukukhipha uketshezi kuvame ukuxazulula inkinga. Lokhu kwelashwa kuvame ukuphazamisa kancane, okusho ukuthi akunamthelela omkhulu emzimbeni.

Umlayezo Wokuya Nawe Ekhaya

Kulungile, ngakho-ke nazi ezinye izinto okudingeka uzikhumbule kulokho esikhulume ngakho:

• I-pseudocyst ye-pancreatic iyisikhwama esifana noketshezi esifana nesikhwama esakheka lapho i-pancreas yonakele, ikakhulukazi ngenxa ye-pancreatitis.
• Lesi akusona isimila sangempela, ngakho ungesabi kakhulu ukuthi sizophenduka umdlavuza.
• Esikhathini esiningi, lezi zizolulama zodwa. Kodwa-ke, uma ziba zinkulu, zithelelekile, noma zinezinye izinkinga, zingadinga ukwelashwa.
• Imbangela eyinhloko yi-pancreatitis ebangelwa utshwala.
• Izimpawu zingase zihlanganise ubuhlungu besisu, ukuqunjelwa, ukulahlekelwa yisifiso sokudla kanye nesicanucanu.
• Odokotela baxilonga lokhu ngokuhlola okufana `(CT scan)`, `(MRI)`, kanye `(Endoscopic ultrasound)`.
• Ukwelashwa okuyinhloko ukukhipha amanzi emzimbeni, okuvame ukwenziwa nge-endoscopically.
• Uma uba nezimpawu ze-pancreatitis, noma uma izimpawu zibuya ngemva kwesikhathi esifushane sokwelashwa, qiniseka ukuthi ubona udokotela.

Into ebaluleke kakhulu ukungesabi bese ulandela iseluleko sezokwelapha esifanele. Ngikufisela ukululama okusheshayo!

I- Pancreas, i-pseudocyst, i-pancreatitis, ubuhlungu besisu, uhlelo lokugaya ukudla, i-endoscopy, ukwelashwa kwezokwelapha