Lokho okubizwa ngokuthi yi-neoplasm yamanga esikwatini sokugaya ngemisebenzi ye-endocrinological kuhlukile kwisimila seqiniso. Kukhona i-pseudocyst yama-pancreas ngezizathu eziningana futhi inezimpawu zayo. Yiziphi izimpawu eziphawuleka ngesifo esitholwayo? Itholakala kanjani futhi ilashwa? Yiziphi izibikezelo zezokwelapha ezigulini ezilashwa kulokhu kutholwa?
Isinqumo se-gastroenterologist
Ingozi yanoma yisiphi isifo ukuthi ingaba yi-asymptomatic. Noma, njengomthetho, ekuqaleni, esigabeni esibuhlungu, sibonisa umzimba ngokwenzeka kwawo. Ngokuhamba kwesikhathi, ukuguqukela kwifomu elingamahlalakhona, kungenzeka ngaphandle kokubonakaliswa kwangaphandle.
Emsebenzini wezokwelapha, amaqiniso okuzithiba kabusha kwama-pseudocysts ama-pancreas ayaziwa. Ukuhamba kwesikhathi, okuvame ukutholwa ngengozi kuba nezinkinga ezinkulu.
Yini i-pseudocyst yama-pancreas? Le neoplasm isesimweni sokuqongelelwa koketshezi lwe-pancreatic ebusweni noma izicubu (i-parenchyma) ye-gland. Izinhlobo zayo zihlukaniswa ngokuya ngendawo (emzimbeni wesitho, umsila, ikhanda). I-cyst yamanga ayinayo i-glandular coating. Kwenzeka kaningi kunezinye izinhlobo zezimila.
Izici zokuvela kwama-pseudocysts ngenxa ye:
- i-pancreatitis e-acute, engapheli;
- ukulimala kwemishini kwama-pancreas (ngokwesibonelo, ama-hematomas);
- ukuthatha inqwaba yezidakamizwa;
- i-organ atherosulinosis;
- njengempendulo (ngaphambili) kokuhlinzwa kwensimbi.
Kuqinisekisiwe ngobuningi ukuthi ngemuva kwesimo esibi kakhulu se-pancreatitis ku-20% yamacala kutholakala ukuthi i-pseudocyst, ngenxa yesifo esingamahlalakhona - 80%. Isimo somtholampilo sokukhula kwe-neoplasm yamanga asihlukile kweqiniso. Izinhlobonhlobo zesigaxa se-pancreatic sincike, ngokulandelana, kusici sokuqala (i-pancreatic, postoperative, post-traumatic).
Ngesifo esinefa, ukuwohloka kwe-cystic of izicubu zezitho kungenzeka. I-Pathology yenzeka ngenxa yokuvaleka kwemigqa ebunjiwe ye-gland ekhiqizwa uketshezi. Ukungaguquguquki okuyimfihlo kwama-Viscous kwenza amaqoqo. Kukhona ukubambezeleka kokukhula ngokomzimba nangokwengqondo ezinganeni. Ezinye zezimpawu ezikhona kwakubuhlungu besisu, ukwanda kwesifiso sokudla, ukuntuleka kwamavithamini, ukugayeka kokudla, kanye ne-metabolism.
Ama-enzymes ejusi wokugaya awasetshenziswa emzimbeni ogulayo ngezinhloso zawo ezihlosiwe. Ngakho-ke ukuntuleka kwamavithamini anyibilikayo (A, E, K, D), ukusweleka kwamaprotheni. Ama-pancreas we-Polycystic aphathwa nge-lipase ngokusekelwe kumayunithi ayi-1,500 nge-1 kg yesisindo sengane. Umkhiqizo uphathwa ngomlomo ngesikhathi sokudla noma ngokushesha nje emva kwawo. Ngomshini wesifo sikashukela ofanayo, ukwelashwa kwe-insulin kuyadingeka.
I-Neoplasm ibeka ingcindezi kwizitho eziseduze
Izimpawu nezigaba zokuthuthuka
Phakathi kwezimpawu ze-neoplasm yangempela, ukuqina kuyabonakala. Ukuqina kwemizwa engakhululeki kuncike ngosayizi, isigaba sokuthuthuka nendawo okukhona kuyo isimila esithweni.
Ezinye izibonakaliso zijoyina uphawu lobuhlungu:
- isicanucanu
- ukuhlanza
- ukwehla kwesifiso sokudla;
- ngenxa yalokho, ukulahleka kwesisindo komuntu okubukhali.
Cysts kungaba single futhi amaningi. Ekukhuleni kwabo, badlula ezigabeni eziningana:
- kokuqala - umthamo we-neoplasm yesikhathi esizayo uyakhiwa, inqubo ithatha izinyanga ezingaba ngu-1.5-2.0;
- owesibili - kwenzeka isigaxa esikhululekile (ngemuva kwezinyanga ezi-3);
- okwesithathu ukuvuthwa kwezicubu ze-cyst ze-cyst;
- okugcina ukwakheka kwesakhiwo esiminyene.
Lapho ama-pseudocysts etholakala ekhanda le-pancreas, izinhlungu zizwakala kuyi-hypochondrium kwesokudla nakwisisu sangaphezulu, ngokulandelana, emzimbeni nasemsileni - ohlangothini lwesobunxele
Isifundo esibi futhi esisheshayo senzeka esikhathini esingaphansi kwezinyanga ezintathu, i-subacute - izinyanga eziyisithupha, ezingamahlalakhona - ngaphezu kwezinyanga ezi-6. Esikhathini esisekupheleni kokukhula kwesimila, izinga lama-enzymes e-pancreatic liyancipha. Lapho kutholwa, kwenziwa ucwaningo lwe-cytological lokuqukethwe kwalo ukuze kungafakwa i-cyst eyiqiniso, i-benign neoplasm, umdlavuza we-pancreatic.
Ukuhlaselwa kobuhlungu kwenzeka ngemuva:
I-pancreatic cyst- ukusetshenziswa kwezitsha "ezinobungozi" (okunamafutha, okubabayo, okuthosiwe);
- ushintsho olubukhali lwesikhundla somzimba (kusuka phezulu kuya mpo);
- ukuzikhandla okusindayo ngokomzimba (ngokunyusa isisindo);
- kufinyeza udonga lwangaphambili lwesisu sesisu (ibhande noma i-corset).
Ama-pancreatic pseudocysts asengozini ye-pancreatitis.
Isibonakaliso sobuhlungu obukhulu kakhulu senzeka ezigabeni zokuqala nezesibili zokukhula kwe-neoplasm. Kubalulekile ukuthi ungalahli isikhathi ekuqaleni kwesifo. Lezo ziguli ezikhuthazelela noma ezilwa nemizwa engathandeki ngosizo lwabanama-painkillers zifika ngephutha. Bese, njengomthetho, ukungakhululeki kuthatha umlingiswa wangaphandle ophela ngokuqhubeka okuqhubekayo kwe-cyst yamanga.
Izindlela zokwelapha
Ukwelashwa kwalesi sifo kuhlanganisa inkimbinkimbi yezindlela zokuhlinzwa nezokwelapha. Okwangaphambili kufaka phakathi ukukhishwa kwangaphandle noma kwangaphakathi. Ohlelweni lwesibili - ukuphathwa ngaphakathi kwamakhambi we-liquid antiseptic, inhlangano yokudla okunempilo. Ukudla kufanele kuphekwe kahle, kuhlanganiswe, kufakwe amaprotheni anele.
Ukuhlinzwa kubekelwe ama-pseudocysts amakhulu kuno-6 cm. Isinqumo sokususa senziwa lapho i-tumor yenziwe ekhaya emsileni nasendaweni yekhanda le-pancreatic.
Inkambo yokulondolozwa yinde, ithatha izinyanga ezimbalwa. Udokotela we-gastroenterologist unquma izidakamizwa:
- proton pump inhibitors;
- Ama-blockers e-H2 histamine receptor;
- anticholinergics.
Ukudonsa amanzi ngaphandle kuyangena esikhunjeni, ngaphakathi - kuya esiswini
Uma ibanga phakathi kwesisu ne-cyst lingaphansi kuka-1 cm, okunqunywa izindlela zokuhlonza izinsimbi, khona-ke ukudonsa kokuqukethwe kwe-pseudocyst kwenziwa esiswini. Ngokusebenzisa i-catheter, i-patity igcotshwa uketshezi lwe-antiseptic. Ngebanga elingaphezu kuka-1 cm, kwenziwa imisele engaphandle.
Ngemuva kokuhlinzwa, izinkinga kungenzeka:
- i-scarring, izicubu ze-necrosis (kuma-73% amacala);
- ukutheleleka, i-fistula, i-abscess (20%);
- hemorrhage (10-12%);
- ukwephulwa okungenzeka kokwethembeka kwama-membrane we-mucous wezinye izitho eziseduze.
Izindlela ezijwayelekile zokuvimbela i-pathology zibandakanya ukugwema ukulimala esiswini, ukugcina impilo enempilo kanye nokudla okufanele. Iziguli ziphathwa ngokohlelo lomuntu ngamunye. Okuningi kuncike ebukhoneni noma ukungabikho kwalezi zinto ezichazwe ngenhla.
Izibalo zezokwelapha ziningi kangangokuba izinga lokufa kwalesi sifo licishe libe ngu-11%, okukhona ukuthi inani lezibalo lenyuka laya ku-30%. Ukuphindaphindeka kokubukeka kwe-pseudo-cyst kuvame ukutholakala ngemuva kwezindlela zokwelapha nezokulondolozwa kokulondolozeka.
