I-pancreatic cyst

I-cyst yi-benign mass, i-cavity eboshwe ngezindonga futhi igcwele uketshezi. Kungakhiwa kunoma yisiphi isitho, kwephula imisebenzi yaso. Muva nje, ukwakheka okunjalo kuma-pancreas kutholakala kakhulu, ikakhulukazi kubantu abaneminyaka engaphezu kwengama-40 ubudala. Lokhu kungenxa yokukhula okuvamile kwe-pancreatitis ngenxa yokungondleki noma imikhuba emibi. Ngokuya ngosayizi, indawo kanye nembangela yokwakheka kwe-cyst, kungahle kungakhombisi zimpawu noma kukhubazeke umsebenzi we-pancreatic kakhulu. Kulokhu, ukwelashwa kwe-pathology kungenzeka ukuhlinzwa kuphela.

Isimilo esivamile

Ama-cancts ama-pancreatic ayinkinga evamile yokuhlanza i-pancreatitis. Izimbobo ezinjalo zakhiwa ngomonakalo wezicubu zesitho, ukuphazamiseka kokujikeleza kanye nokuphuma kwejusi le-pancreatic. Ngenxa yalezi zinqubo ezinjalo, kwakhiwa isigaxa endaweni yamangqamuzana afile, aboshwe ngezindonga zamaseli e-izicubu ezithintekayo. Imvamisa kugcwaliswa ujusi we-pancreatic, kepha okuqukethwe kwawo kungaba yimbumba, igazi noma ukuvuvukala okuvuvukala. Inqubo yokwenziwa kwayo ingaba yinde - ukusuka ezinyangeni eziyisithupha kuya kweziyi-12.

I-cyst kuma-pancreas ezimweni eziningi ifomu endaweni yamaseli we-parenchyma efile. Ngokuvuvukala noma ukunqwabelana Ijusi le-pancreatic, izicubu zonakaliswa endaweni eyodwa. Ngaphezu kwalokho, le ndawo ivame ukukhawulelwa. Kuyo, ukwanda kwezicubu ezithintekayo kwenzeka. Kancane kancane, amaseli omzimba abhubhisa ukugxila kokuvuvukala, kepha i-cavity ingahlala. I-cyst enjalo ye-post-necrotic igcwele amaseli afile, i-exudate yokuvuvukala, igazi, kepha kaningi - ujusi we-pancreatic.

Uhlobo lwenkambiso efanayo, lapho kwakhiwa khona imithambo eminingi esifundeni se-gucts, yi-cystic fibrosis noma i-cystic fibrosis. Lokhu kuyindlela yokuzalwa yofuzo ebonakala ngokuqina kwejusi le-pancreatic nokusika kwe-ducts ye-gland. Kepha ama-cysts akakhiwa hhayi kulesi sitho, kepha namaphaphu noma amathumbu.

I-cyst ingumugqa oyindilinga ogcwele uketshezi olungakheka nomaphi lapho kuhlangana khona indlala.

Izinhlobo

Esikhathini esiningi, konke ukwakheka okunjalo kumapancake kuhlukaniswe ngamaqembu amabili. Ama-cysts eqiniso afaka imisele efakwe ngamaseli we-epithelial kusuka ngaphakathi. Zingakha ku-pathology ye-ducts ye-gland noma ngenxa yokulimala kokuthuthukiswa kwe-intrauterine. I-pseudocyst ukwakheka okwenzeka endaweni lapho kugxilwa khona ngokuvuvukala. Yize i-pathology enjalo ivame kakhulu ukwedlula ama-cysts ayiqiniso, ososayensi abaningi abahlukanisi eqenjini elihlukile.

Ngaphezu kwalokho, ama-cysts akhiwa ngesikhathi se-pancreatitis ahlukaniswa. Kunezindlela zokwakheka okuvame kakhulu ezingenayo izindonga zazo. Izindonga zemisele, indlala uqobo, noma ezinye izitho zingadlala indima yazo. Kukhona ne-pathology efana ne-cystofibrosis, lapho kwakhiwa khona imithambo eyakhiwe kahle, imvamisa eyindilinga ngesimo. Izindonga zawo zakhiwe ngezicubu ezinemisipha. Icala elinzima kakhulu yilapho kwenzeka ithumba eligcwele ubomvu. Lesi simo sibuye sibizwe ngokuthi ama-cysts, ngoba sakhiwa esikhundleni se-cyst egqamile noma izicubu ezifile ezine-necrosis.

Ukwakheka okunjalo kuhlukaniswa ngokuya ngendawo yasendaweni. Imvamisa, i-cyst yekhanda le-pancreas iyakhiwa, ngoba lapha kunama-ducts amaningi, i-bile duct iyadlula, kunomyalezo nge-duodenum. I-cyst yomzimba noma umsila wama pancreas nawo ungavela.

Ngaphezu kwalokho, kwesinye isikhathi ama-cysts ahlukaniswa ngohlobo lwezicubu nesizathu sokubonakala:

• ukuhlukumezeka kuvela ngenxa yokulimala noma ukuqubuka okulimazayo esiswini;
• i-parasitic iyindlela yokusabela ukutheleleka nge-parasites, ngokwesibonelo, i-echinococci;
• ukuzalwa komzimba kuvela ngesikhathi sokukhula kwengane;
• ukugcinwa kuqubuka ngenxa yokuvinjwa kwemigqa;
• ama-pseudocysts akhiwa endaweni yokufa kweseli.

Ama-Cysts angahluka endaweni, ngosayizi nokuqukethwe.

Izizathu

Muva nje, lokhu kudalwa kwezifo sekuyinsakavukela. Ngaphezu kwalokho, imbangela yako ezimweni eziningi i-pancreatitis. Indlela ebabazekayo yalesi sifo, eholela ekufeni kwamaseli we-parenchyma, cishe ku-15 ukuya ku-20% wamacala kuholela ekwakhekeni komgodi ofanayo. Lokhu kwenzeka emavikini angama-3-4 ngemuva kokuqala kokuvuvukala, lapho kuvela isiza se-necrosis ezicutshini zesikhumba. Kodwa ezimweni eziningi, imithambo enjalo yakhiwa ku-pancreatitis engapheli. Ngaphezu kwesigamu seziguli, ikakhulukazi lezo ezingahambisani nezincomo zikadokotela, zibhekene nalokhu kutholwa.

Ukwakheka kwe-cyst ye-post-necrotic kungadala ukwephulwa kokuphuma kwejusi le-pancreatic, kunciphisa i-sphincter ye-Oddi, isifo se-gallstone. Zonke lezi zi-pathologies ziholela ekufeni kwamaseli e-pancreatic, futhi ezimweni eziningi amafomu we-patity asendaweni yawo. Kepha ezinye izizathu zingadala ukukhula kwenqubo enjalo:

• ukulimala kwesisu;
• ukwephulwa kokuhlinzekwa kwegazi ku-gland ngenxa yokuqhuma kwemithambo yegazi ngejazi legazi;
• ukuhlukana kwe-artery;
• ukuphazamiseka ekukhuleni kwe-intrauterine kohlelo lwe-ductal gland;
• izifo ezithathelwanayo.

Izimpawu

Akusikhona njalo ukwakheka kwe-cyst kubangela ukungaphatheki kahle kweziguli. Ukwakheka okuncane okungacindezeli izindunduma zesikhumba noma ezinye izitho kungenakuqashelwa isikhathi eside. Ngaphezu kwalokho, ezimweni eziningi, ukwakheka kwayo kwenzeka ngokumelene nesizinda sezinqubo zokuvuvukala, ngakho-ke ubuhlungu buvezwa yi-pancreatitis. Ubuhlungu be-cyst bungaba mnene, bubonakalise ukungaphatheki kahle okuncane. Noma kwenzeka paroxysmally. Ubuhlungu obukhulu buvela lapho i-cyst encipha imicu, izicubu zezinzwa, nezinye izitho zomzimba.

Uma i-cyst ikhula ibe ngu-5 cm noma icindezela izicubu ezizungezile, ingadala ubuhlungu, isicanucanu, kanye nokuqunjelwa.

Ngaphezu kwalokho, kungahle kube nezimpawu ezinjalo ze-pancreatic cysts efana nokukhuphuka kwezifo zesisu:

• isicanucanu, kwesinye isikhathi sokuhlanza;
• i-belching, flatulence, ukushisa kwenhliziyo;
• ukuphazamiseka kwamathumbu;
• ukuntuleka kokudla;
• ngenxa yokungafakwa kahle kwezakhamzimba, isisindo singancipha;
• ukwehla kokusebenza.

Uma i-cyst ikhula ngaphezu kuka-5 cm, izovela ekuphazamisekeni okukhulu kakhulu. Izimpawu zalesi simo zizoxhomekeka endaweni okwakheke ngayo. I-cyst etholakala ekhanda le-gland ivame ukucindezela izindunduma ze-bile. Lokhu kubonakala ngesimo se-jaundice esivimbayo, ukulunywa kanzima kwesikhumba. Ukucindezelwa kwemithambo yegazi kungadala ukwephulwa kokuhlinzekelwa kwegazi ezithweni zesisu futhi nokuvuvukala kwemikhawulo engezansi. Ama-cysts amakhulu omsila we-pancreatic kwesinye isikhathi aphazamisa ukuphuma komchamo futhi aholele ekugcinweni komchamo, futhi angabuye anciphise amathumbu noma ubanzi. Umphumela walokhu ukuphazamiseka kwamathumbu namanye ama-pathologies.

Ukuxilonga

Akuwona wonke umuntu ongacabanga ngengozi ye-cyst kuma-pancreas. Kepha yize lokhu kuyisakhiwo esingenangqondo, imiphumela yokungaphathwa ingaba yimbi. Okokuqala, i-cyst ingakhula, okuzoholela ekucindezelweni kwezicubu zesikhumba noma ezinye izitho zomzimba. Ngaphezu kwalokho, ingaqhakaza, ibe yinkimbinkimbi ngokugcotshwa kwezindonga noma ukopha. Ngakho-ke, uma usola i-pathology enjalo, nakanjani kufanele uhlolwe.

Lapho esexilongiwe, udokotela angavele asole ukuthi kukhona i-pancreatic cyst yezimpawu zesimilo, futhi ngesibalo esikhulu semfundo, isisu sikhomba ohlangothini olulodwa. Kepha kusetshenziswa ukuhlolwa kwenhliziyo. Indlela ejwayelekile kakhulu yi-ultrasound. Ucwaningo olunjalo lukuvumela ukuthi uqinisekise ukuba khona kwe-cyst, uhlole usayizi wayo, futhi usola ukuthuthukiswa kwezinkinga. Uma kunesidingo, i-MRI ibekiwe, enganquma ngokunembile ubukhulu bokwakheka, ukuxhumana namacele, ukulimala kwezicubu.

Kungenzeka ukuthola i-cyst kuphela lapho uqhuba ukuhlolwa kwenhliziyo, imvamisa iskena se-ultrasound senzelwe lokhu

Kwesinye isikhathi i-CT noma i-scintigraphy nayo ibekelwa ukucacisa ukutholakala kwezifo nokuthola imininingwane mayelana ne-pathology. Futhi esigabeni sokulungiselela ukusebenza, i-ERCP - i-endoscopic retrograde cholangiopancreatography - iyenziwa ngempela. Kuyadingeka ukuthola imininingwane eningilizayo ngohlobo lwe-cyst, ukuxhumana kwayo nama-ducts, imithambo yegazi, nezinye izicubu.

Ukwelashwa

Ukwelashwa kwama-cysts e-pancreatic kungenzeka kuphela ngokwesibalo. Kepha isidingo sokuhlinzwa ngaso sonke isikhathi asiqhamuki. Ngemuva kwakho konke, uma i-cyst incane, ingakhuli futhi inganciphisi izicubu, ayizibangeli usizi. Kulokhu, isiguli sidinga kuphela ukulandela ukudla nokuhlolwa okujwayelekile kwezokwelapha ukuze singaphuthelwa yizinkinga ezingenzeka.

Kudingeka usizo lwezokwelapha oluphuthumayo lapho isiguli sizwa ubuhlungu obukhulu esiswini, siphelelwe ngumqondo, sihlanza ngokungafanele ngegazi, ukushayeka kwenhliziyo okulimazayo. Kuyadingeka ukumhambisa esikhungweni sezokwelapha, okuhle kunakho konke - emnyangweni wokuhlinzwa, ngoba kungenzeka ukuthi uzodinga ukuhlinzwa. Ngemuva kwakho konke, izimpawu ezinjalo zivela lapho i-cyst iqhuma, ukuvinjwa kwe-duct noma ukopha.

Lapho ekhetha indlela yokwelashwa kokuhlinzwa, udokotela uhlala egxile ezicini ezithile zomuntu ngamunye. Ama-cysts amakhulu, ikakhulukazi uma enwebeka noma esongela ukucindezela izindunduma, kufanele asuswe. Ngokuvamile lokhu kwenziwa kanye nengxenye ye-gland uqobo. Umthamo wezicubu osusiwe uxhomeke osayizi be-cyst kuphela, kepha futhi ngesimo se-parenchyma. Ukuvimbela ukubuyela emuva, ingxenye elimele ye-gland ingasuswa. Kepha imisebenzi enjalo eguquguqukayo ayenziwa kakhulu, ngoba ngemuva kwalokho ubunzima obukhulu kungenzeka.

Uma i-cyst cavity incane, futhi ingahlanganiswa yinkimbinkimbi ngamanye ama-pathologies, kungahle kunconywe ukugeleza kwamanzi. Udonga lokwakheka lugwazwe futhi okuqukethwe kulo kuhloselwe. Kunezinhlobo eziningi zedamu. Uma i-cyst ingathinti imicucu ye-pancreatic, ukubhoboza kwenziwa esikhunjeni. Kusungulwa amanzi lapho okuqukethwe okuku-cyst kuphuma khona. Kwesinye isikhathi kwenziwa ukuhlinzwa kwe-laparoscopic noma i-gastric drainage.

Izimpawu ze-Insulinomas

Phakathi kokwelashwa okulondolozayo kwama-cysts, kusetshenziswa ukwelashwa okubonisa izimpawu. Ngokuvamile, umsebenzi we-pancreatic onale pathology uyancishiswa, ngakho-ke kunconywa ukuthi njalo kwenziwe amalungiselelo we-enzyme. Kungaba yiPancreatin, iPanzinorm, iCreon, iFestal. Iziguli ezinamathela ekuvinjelweni okuthile kokudla futhi zenze amalungiselelo e-enzyme anikezwe udokotela azizwa emuhle futhi angagwema izinkinga ze-pathology.

Kepha kwesinye isikhathi eminye imithi nayo iyadingeka. Kungaba ama-antispasmodics noma ama-analgesics ngobuhlungu obukhulu, izidakamizwa ze-carminative ze-flatulence, antiemetics. Nge-cyst parasitic, inkambo yezidakamizwa ze-anthelmintic isetshenziswa empeleni. Kwesinye isikhathi kuvunyelwe ukususa izimpawu ngamakhambi esintu. Ngokuvamile, itiye le-herbal elususelwa ku-decoction ye-calendula liyanconywa. Kuyasiza ukwengeza i-celandine, i-yarrow, i-chicory, amaqabunga ama-currant nama-lingonberry kubo.

Umsoco

Kungakhathaleki ukuthi iyiphi indlela yokwelashwa ekhethiwe, isiguli esitholakala sinalokhu sidinga ukushintshela ekudleni kokudla. Ukudla kufanele kuthathwe ngezingxenye ezincane, kaningi - kuya ezikhathini ezi-6,7 ngosuku. Lokhu kuzokhulula ukucindezelwa kumanyikwe. Qiniseka ukuthi ungafaki imikhiqizo ekhuthaza ukukhiqizwa kwejusi ye-pancreatic. Lokhu ikakhulukazi umhluzi oqinile, izinongo, ukudla okunamafutha, ama-marinade kanye no-ukhukhamba. Kepha futhi akunconywa ukusebenzisa imikhiqizo enambitheka okhulumisiwe.

Ukulandela ukudla okuyisipesheli kuzosiza ekugwemeni izinkinga futhi kusize isiguli sizizwe siphile kahle.

Ukudla okungekho emthethweni kufaka phakathi uphuzo oludakayo, ikofi, ushukela, amaswidi, inyama ebhemayo kanye no-apula. Kuyinto engathandeki ukusebenzisa i-legumes, iklabishi, isithombo, isithombo, i-garlic, amakhowe, ngoba le mikhiqizo ibangela ukwanda kwegesi. Ukuze wehlise umthwalo ku-iron, ukudla kufanele kuthathwe ngendlela okuhlanjululwe ngayo. Kwenqatshelwe ukuyithambisa, kungcono ukubamba, ukubilisa noma isitshulu.

Ukudla kwe-cyst pancreatic kubandakanya ukusetshenziswa kwemikhiqizo enjalo:

• inyama nenhlanzi;
• ubisi lwe-skim, i-kefir, ubisi olubilisiwe olubilisiwe, iyogathi yemvelo;
• irayisi, i-buckwheat, i-oatmeal;
• amaqanda abilisiwe;
• isinkwa esimhlophe esimhlophe, iziqhekeki, amabhisikidi;
• imifino ebilisiwe noma ebhakwe;
• imifino emisha;
• izithelo ngamanani amancane, kepha hhayi acidic;
• i-compote yezithelo eyomile, umhluzi we-rosehip, itiye eliluhlaza elibuthakathaka.

Izinkinga

I-prognosis ye-cancts ye-pancreatic incike kumbangela ye-pathology, indawo ye-patity, kanye nesikhathi sokwelashwa. Cishe ingxenye yamacala alesi sifo ahambisana nezinkinga. Ama-fistulas avela, i-cosmetic, ukopha noma i-supplement kungenzeka. Kulokhu, ukutheleleka kwe-cavity yesisu kungenzeka - peritonitis. Kwesinye isikhathi lesi sigaxa esinamandla singakhula sibe isimila esibuhlungu.

Umbuzo wesidingo sokuhlinzwa ukuze ususe i-cyst unqunywa ngokuhlukile

Noma ngabe ukwelashwa okufika ngesikhathi, i-pathology isengabhekana nemiphumela emibi. Uma izimbangela zalo zingaqediwe, i-cyst ingaphinde ibumbe. Ngakho-ke, kubaluleke kakhulu ukuthatha izinyathelo zokuvikela lesi simo. Ukuze udle ngendlela efanele, yeka utshwala nokubhema, futhi uma kunezimpawu zokuphulwa komgudu wokugaya ukudla ngesikhathi ukuze wenze ukwelashwa.

Ukubuyekezwa

I-cyst kuma-pancreas yinto eyenzeka kahle impela. Kodwa akuzona zonke iziguli ezaziyo ukuxilongwa kwazo, ngoba ukwakheka okuncane akubangeli usizi. Abantu abaningi bayazibuza ukuthi kungenzeka yini ukwenza ngaphandle kokuhlinzwa. Konke kuya ngezimpawu zomuntu ngamunye. Kepha ungafunda ukubuyekezwa kweziguli zezindlela ezahlukahlukene zokwelashwa.