Ngenxa yokulimala kumanyikwe, noma ngenxa yenqubo yokuvuvukala engaqala ukwenzeka kulesi sitho, ama-cysts e-post-necrotic pancreatic cysts angabonakala. Akhula ngokuqondile ku-parenchyma yesitho, abe nezindonga eziwakhawulela kwezinye izingxenye zesitho. Ngokuvamile kukhona uketshezi ngaphakathi ekwakhiweni.
Ukuxilongwa kwemfundo kungenzeka kuphela ngosizo lwemishini ekhethekile. Kepha kunezimpawu ezithile ezingakhombisa ubukhona be-cysts ngaphakathi kwesitho esingenhla.
Izimpawu zingahluka, kuye ngosayizi wama-cysts, indawo akuyo nezizathu zokwakheka kwawo. Kwesinye isikhathi kungaba umuzwa ojwayelekile wokungakhululeki, kepha kaningi, isiguli sizwa ubuhlungu obukhulu impela. Isibonakaliso sobuhlungu senzeka ngenxa yokwakheka kwezitho zomakhelwane ezihlangene.
Lesi sifo selashwa kuphela ngosizo lokungenelela kokuhlinzwa; ukugeleza kwe-pancreatic kusetshenziselwa le njongo. Esikhathini esiningi, bangenza resection yengxenye yesitho lapho kutholakala khona ukwakheka kwama-cystic.
Ngaphambi kokwenza ukungenelela okunjalo, udinga ukuhlola isiguli ngokucophelela. Isiguli sithunyelwa i-ultrasound, MRI noma i-CT ne-ERCP.
Odinga ukukwazi mayelana nokuxilongwa?
Ngokwakhiwa kwe-cyst, izicubu ze-necrosis ziqala, ezinomthelela ekubonakaleni kwesisindo se-granular kanye nokuqongelela kokugcinwa kwe-pancreatic.
Kunezinhlobo ezimbili zokwakheka kwe-cystic - ezizalwe zatholakala.
I-cyst ingathinta zonke izindawo zamanyikwe - inhloko, umzimba wesibeletho nomsila wayo. I-neoplasm ingaba lula noma ibe yinkimbinkimbi.
Emhlabeni wezokwelapha, imithambo ye-pathological in izicubu ihlukaniswe yaba izinhlobo ezimbili ngokuya ngesimo se-morphological:
- imisebe evela ngenxa yokuvuvukala futhi ngaphandle kwezicubu zomngcele;
- ama-neoplasms, okwalandela ukwakheka kokuphazanyiswa kweziqubu.
Ngakolunye uhlangothi, izimila ezingumphumela wezinkinga ze-pancreatitis eyingozi zihlukaniswe zaba:
- I-acute, engenazo izindonga zayo futhi isebenzisela le njongo i-parenchyma yesibeletho noma imisele, i-pancreatic fiber. Kwesinye isikhathi endimeni yezindonga kukhona imbobo yezitho zomakhelwane.
- Ama-subacute fluid formations anezindonga zezicubu ze-fibrous.
- Umphumela we-pancreatic necrosis kungaba ukubukeka kwethambo eligcwele ubomvu - lokhu kungutho.
I-pancreatitis iyimbangela evame kakhulu yama-cysts, ibangela lokhu:
- ekuvuvukaleni okukhulu kwamanyikwe - kusuka kumaphesenti angama-5 kuya kwangama-20 ezimo zamakhaza ezibonakala ngesikhathi samasonto angama-3-4 okugula;
- i-pancreatitis engapheli iyimbangela yokubonakala kwama-cysts e-post-necrotic ezimweni ezingama-75%.
Kwezinye izimo, ukwakheka kwe-cystic kuvela ngenxa yokuvela kwamatshe esigageni senyongo, lapho ukuphuma kwejusi le-pancreatic kuphazamiseka.
Ngaphezu kwalokho, ukwakheka kwama-cysts kungenzeka ngenxa yokulimala kwemishini ye-pancreas, nge-pancreatitis engapheli yempilo kanye ne-stenosis ye-sphincter ye-Oddi.
Ama-pathologies kuma-pancreas akhiwa ngokulandelayo:
- Ukulimala kokugqokwa kwezicubu kwenzeka, okuhambisana nokuqongelela kwama-neutrophils nama-lymphocyte, izinqubo ezibhubhisayo nezokuvuvukala.
- Indawo ethintekile ikhawulelwe kusuka kumaseli e-epithelial asebenzayo, ngenxa yalokho ukwanda kwezicubu ezithintekayo kuqala futhi kwakhiwe ukubumbana.
- Umzimba, uzama ukuzivikela ezinqubweni ezonakalisayo, uhlasela ukuvuvukala, amaseli omzimba abhubhisa izakhi zezicubu lapho kugxilwa khona inqubo yokuvuvukala eyakha i-cavity.
- Kuya ngendawo okuhlala kuyo umthambo, ijusi le-pancreatic, ukumbozwa kwezicubu, ukuvuvukala okudala ukuvuvukala, noma ngisho negazi kunganqwabelana kuyo. Lesi sakamuva kungenzeka ngomonakalo wemithambo.
I-Intraductal hypertension iyisici esiyinhloko ekubukekeni kwezimbotshana, ngoba ngayo, ingcindezi engaphakathi kwethambo ingakhuphuka amahlandla amathathu, okukhinyabeza umonakalo emikhunjini emincane.
Izimbangela eziphambili nezimpawu ze-pancreatic cysts
Muva nje, i-pancreatic cyst yisifo esivame kakhulu. Ubungozi bokwenzeka, usayizi nenani lezindlela ezinjalo ku-gland akuxhomekile kubudala noma ubulili bomuntu. Zonke izingxenye zabantu zingaphansi kwawo, kungakhathalekile isigaba somsebenzi noma isigaba sezenhlalo. Ngaphezu kwalokho, i-cyst ingathinta izitho ezinempilo.
Kuhle ukuqaphela ukuthi emzimbeni onempilo, izinhlobo zamanga ze-cysts azikaze zakhiwe. Ngaphezu kwalokho, empeleni lakhiwa ngenxa yokuphazamiseka emzimbeni.
Izinkinga ezivame kakhulu i-pancreatitis kanye nokuhlukumezeka, ngokwesibonelo, ukunqwabelana noma ukungasebenzi kahle ohlelweni lwe-duct. Lokhu kungenzeka nge-thrombosis, lapho i-plaque ivala umkhumbi.
Ngaphezu kwalokho, i-cyst ingakhiwa ngenxa yokuhlaselwa kokuhlaselwa komzimba emzimbeni. Kodwa isabelo sebhubesi samacala yi-pancreatitis, uhlobo olungamahlalakhona olungadala ukuvela kwe-post-necrotic cyst.
Njengomphumela wezifundo eziningi zemitholampilo, kuye kwafakazelwa izimbangela ezingezinhle ezilandelayo zokubukeka nokukhula kwezindlela zokwenziwa kwe-cystic:
- ukuthanda utshwala;
- isisindo ngokweqile, okungaholela ekusebenzeni kahle kwe-lipid metabolism;
- izinkinga ngemuva kokuhlinzwa kwizitho ezithintekile ukugaya;
- Uhlobo II isifo sikashukela mellitus.
Ukuba khona kwe-cyst kumuntu kungenzeka, noma ngabe kulingana nentwana eyodwa yezinto ezingenhla, okuthinta kabi ukusebenza kwamanyikwe.
Izimpawu ezibonakaliswa ngokomtholampilo ezimweni eziningi ze-cystosis:
- Ngemuva kokudla noma ukuphuza utshwala, kuvela izinhlungu eziqinile ze-herpes zoster, ezingahambi lapho uphuza imithi. Ubuhlungu obuhlala buba khona kungenzeka, bukhula ngokudla, amaphilisi nawo awasizi ukunciphisa izinhlungu. Ukuhlanzwa njalo nje kusiza ekudambiseni izinhlungu.
- Ukwehluleka emathunjini - isifo sohudo, ukwanda kwerhasi emzimbeni, ukuqhuma njalo.
- Imvamisa izinga lokushisa lomzimba liyenyuka, i-lethargy ivele, kube nobuhlungu obuqinile besimo esicindezelayo ohlangothini lwesobunxele.
Kuyinto eqondile ukuthi lokhu kubonakaliswa kwesifo okunyamalala ngemuva kwamasonto ambalwa, kepha ukuthambisa isikhashana okwesikhashana isiguli kuyisizathu sokukhathazeka kakhulu, ngoba lapho-ke lobuhlungu buyabuya buqine.
Kungenzeka futhi kube ngumlomo owomile, ukusetshenziswa njalo kwendlu yangasese ngesidingo esincane, futhi ezimweni ezinzima kakhulu - ukulahlekelwa ukwazi ngisho nethambo.
Izindlela zokuxilonga nezokwelashwa
Uma udokotela ovezile eveze ukuthi umzimba uzoba yini emzimbeni wakhe ekwakhiweni komthambo emzimbeni wamanyikwe, kwenziwa ukuhlolwa kwe-endocrinological.
Uma izinsolo zinobulungiswa, khona-ke kwenziwa uchungechunge lokuhlolwa okwengeziwe.
Ukubona isithombe esigcwele sesi sifo, ukuthola inani nenombolo ye-neoplasms, imisebe ye-ultrasound yendawo ethintekile iyenziwa.
Uma kukhona ama-purulent cystic neoplasms, ukungalingani kwe-echogenicity kuzoba khona. Ukuze utadishe ngokucophelela ama-neoplasms kanye nokwenziwa kwawo, ukuthola ubudlelwane nezinceku kanye nokuxhumana nezinye izitho, kwenziwa i-MRI yamanyikwe kanye ne-CT.
Ukuze unqume ngokunembile ukwelashwa, kuyadingeka ukuthola ukuthi ubudlelwane bama-cystic formings ngama-pancreatic ducts. Lokhu kukuvumela ukuthi wenze i-endoscopic retrograde cholangiopancreatography (ERCP).
Ngokuyisisekelo, i-ERCP ichazwe lapho ukwelashwa kwezidakamizwa kungenakwenzeka futhi kungenelela okufanele kuxazululwe, phakathi kwazo okuyizindlela ezifana nokukhipha i-pancreatic cyst kanye ne-marsupialization ye-pancreatic cyst.
Inketho yokuqala yokungenelela kokuhlinzwa ukuhlinza okungaphandle, okuchazwe ukwelapha isiguli ngokuphelele ekwakhekeni kwe-cystic. Ukuze usebenze ngempumelelo, kubalulekile ukuthi i-cyst yakhiwe futhi inkulu ngokwanele (amasentimitha angaphezu kwama-5).
Uhlobo lwesibili lokusebenza lubekelwa ezimweni lapho kudonswa khona amanzi bese kuhluka ngokuthi i-cyst ayisusiwe kepha idakiwe, futhi imiphetho yayo ifakwa emaphethelweni we-upasuaji incision ukuze i-fibrosis ingenzeki.
Ukwelashwa ngezokwelapha okwenziwe ngama-cystic kungenzeka uma i-cyst ingashadile, inemingcele ecacile futhi ububanzi bayo abudluli ngaphezu kuka-2 cm.
Indlela yokwelapha izidakamizwa i-pancreas imi ngale ndlela elandelayo:
- Esigabeni sokuqala, isiguli kufanele silandele ukudla okuqinile, sikwenqabe ngokuphelele ukudla.
- Ngemuva kwalokho ungadla, kepha ungafaki usawoti, okuthosiwe kanye namafutha ekudleni.
- Kuvinjelwe ngokuqinile iziphuzo ezidakayo nemikhiqizo kagwayi.
- Ukuphumula kombhede kufanele kuqashelwe ngokuqinile isonto elilodwa nesigamu.
Ngemuva kokugcwalisa imibandela yesigaba sokuqala sokwelashwa, kunikezwa imithi:
- ukugwema amagciwane angena ku-cyst cavity ebangela izinqubo zokubola, ama-tetracyclines noma ama-cephalosporins anqunyelwe;
- ama-inhibitors aklanyelwe ukudambisa izinhlungu nokunciphisa ukucasulwa. Kaningi, u-Omez no-Omeprazole banqunywe;
- amalungiselelo aqukethe i-lipase ne-amylase, anomthelela ekujuleni kokugaya. Imvamisa, i-Pancreatin neCreon kubekelwa inqubo yokugaya ejwayelekile.
Ukwakheka kwe-cystic okubangelwa i-biliary pancreatitis kudinga ukwelashwa okwengeziwe ngezidakamizwa ze-diuretic.
Kwesinye isikhathi ukwakheka kwe-cystic kuxazulula ngemuva kokunyamalala kwento edala ukwakheka kwabo. Uma ukwelashwa kwezidakamizwa kungaphumelelanga kungakapheli inyanga eyodwa yekhalenda, kuyahlinzwa ukunqunywa.
Ungathola inani elikhulu lokubuyekezwa okuhle kwezinye izindlela zokwelashwa, kufaka phakathi ama-decoctions we-burdock, i-celandine, i-mummy, njll, kepha abukho ubufakazi bezokwelapha bokusebenza kwabo. Ngakho-ke, kufanelekile ukubuza lo mbuzo, ingabe kuyadingeka ukufaka impilo nokuzifaka engozini?
Ukudla okwenzelwe ama-cystic kufana nokudla kwe-pancreatitis. Ukudla kuyadingeka ekwelashweni okuphumelelayo, noma ngabe kungumuthi noma ukuhlinzwa. Isidingo sokululama okujwayelekile esikhathini se-postoperative ukunamathela ngokuqinile ekudleni okunempilo.
Imikhiqizo elandelayo inqatshelwe ngokuphelele:
- ukudla okunamafutha;
- ukudla okuthosiwe;
- ukudla okunosawoti (futhi kwesinye isikhathi ukwenqatshwa ngokuphelele kasawoti kuyadingeka).
Kuyinto engathandeki kakhulu ukudla izitsha ezibandayo noma ezishisayo neziphuzo. Udinga ukudla kuphela izitsha ezifudumele, ezisanda kulungiswa. Ukudla okuhlanganisiwe kufanele kube ngumhlabathi ku-blender ukwenza lula ukugaya. Kuyafaneleka ukucabanga ngokudla okuhlukile. Kunconywa ukudla okuncane, kepha kaningi.
Ukwelashwa kwama-cysts e-post-necrotic kuchazwe kule vidiyo kule ndatshana.
