I-pseudocyst yePancreatic

I-pseudocyst yepancreatic sisipaji esigcwele ulwelo esiswini esivela kwi-pancreas. Inokuthi iqulethe izicubu ezivela kwi-pancreas, i-enzyme kunye negazi.

Ipancreas lilungu elibekwe emva kwesisu. Ivelisa iikhemikhali (ezibizwa ngokuba zii-enzymes) ezifunekayo ukwetyisa ukutya. Ikwavelisa iihomoni insulin kunye neglucagon.

Iipancreatic pseudocysts zihlala zikhula emva kwesiqendu se-pancreatitis eqatha. I-Pancreatitis yenzeka xa iipancreas zakho zivutha. Zininzi izinto ezibangela le ngxaki.

Le ngxaki ngamanye amaxesha inokwenzeka:

• Kumntu onexesha elide (elingapheliyo) ukudumba kwepancreas
• Emva koxinzelelo kwisisu, rhoqo ebantwaneni

I-pseudocyst yenzeka xa imibhobho (iityhubhu) kwi-pancreas yonakele kwaye ulwelo olunee-enzymes alunakukhupha.

Iimpawu zinokwenzeka ngaphakathi kweentsuku ukuya kwiinyanga emva kokuhlaselwa kwepancreatitis. Ziquka:

• Ukuqunjelwa kwesisu
• Iintlungu eziqhubekayo okanye iintlungu ezinzulu esiswini, ezinokuthi zive emva
• Isicaphucaphu nokugabha
  
• Ukuphelelwa ngumdla wokutya
  
• Kunzima ukutya kunye nokwetyisa ukutya

Umboneleli wezempilo unokuziva isisu sakho ngepseudocyst. Iya kuziva ngathi isisigaxa embindini okanye ngasekhohlo esiswini esiswini.

Uvavanyo olunokunceda ekufumaneni i-pseudocyst yepancreatic ibandakanya:

• Ukuskena kwe-CT esiswini
• I-MRI yesisu
• I-ultrasound yesisu
• I-endoscopic ultrasound (i-EUS)

Unyango luxhomekeke kubungakanani bepseudocyst kunye nokuba ngaba ibangela iimpawu. Uninzi lwee-pseudocysts zihamba lodwa. Ezo zihlala ngaphezulu kweeveki ezi-6 kwaye zinkulu kune-5 cm ubukhulu zihlala zifuna unyango.

Unyango olunokubakho lubandakanya:

• Ukuhambisa amanzi ngesikhumba kusetyenziswa inaliti, okuhlala kukhokelwa kukuvavanywa kwe-CT.
• Umsele wokuncedisa i-Endoscopic usebenzisa i-endoscope. Kule nto, ityhubhu equlethe ikhamera kunye nokukhanya kudluliselwe ezantsi esiswini)
• Umjelo wotyando lwepseudocyst. Unxibelelwano lwenziwa phakathi komqala kunye nesisu okanye ithumbu elincinci. Oku kunokwenziwa kusetyenziswa i-laparoscope.

Iziphumo zihlala zilungile kunyango. Kubalulekile ukuba uqiniseke ukuba ayingomhlaza wepancreatic oqala kwi-cyst, enesiphumo esibi.

Iingxaki zinokubandakanya:

• Ithumba le-pancreatic linokuphuhla ukuba isifo sepseudocyst siyosuleleka.
• I-pseudocyst inokuqhekeka (ivuleke). Oku kunokuba yingxaki enkulu kuba ukothuka nokopha kakhulu (ukopha) kunokukhula.
• I-pseudocyst inokucinezela (i-compress) kwizitho ezikufuphi.

Ukuqhekeka kwepseudocyst ngxamiseko lonyango. Yiya kwigumbi likaxakeka okanye fowunela inombolo yongxamiseko yendawo (enje nge-911) ukuba uvelisa iimpawu zokopha okanye ukothuka, njenge:

• Ukufa isiqaqa
• Umkhuhlane kunye nokubanda
• Ukubetha kwentliziyo okukhawulezayo
• Iintlungu ezinzima zesisu

Indlela yokuthintela i-pancreatic pseudocysts kukuthintela i-pancreatitis. Ukuba i-pancreatitis ibangelwa ngamatye enyongo, umboneleli uya kwenza utyando ukususa i-gallbladder (cholecystectomy).

Xa i-pancreatitis ivela ngenxa yokusetyenziswa gwenxa kotywala, kuya kufuneka uyeke ukusela utywala ukunqanda uhlaselo oluzayo.

Xa i-pancreatitis ivela ngenxa ye-triglycerides ephezulu yegazi, le meko kufuneka inyangwe.

Ipancreatitis - ipseudocyst

• Inkqubo yokwetyisa
• Amadlala endocrine
• Ipancreatic pseudocyst-CT ukuskena
• Iipancreas

Indawo yeForsmark CE. Ipancreatitis. Ku: IGoldman L, iSchafer AI, ii-eds. Amayeza eGoldman-Cecil. Ngomhla wama-26. IPhiladelphia, PA: Elsevier; 2020: isahl. 135.

UMartin MJ, uBrown CVR. Ulawulo lwepseudocyst yepancreatic. Ku: ICameron AM, uCameron JL, ii-eds. Unyango lwangoku lonyango. Umhla we-13. IPhiladelphia, PA: Elsevier; Ngo-2020: 525-536.

Tenner SC, Steinberg WM. Ipancreatitis ebukhali. Ku: UFeldman M, uFriedman LS, uBrandt LJ, ii-eds. Sleisenger kunye neFordtran's Amathumbu kunye nezifo zesibindi: iPathophysiology / Diagnosis / Management. Ngomhla we-10. IPhiladelphia, PA: Elsevier Saunders; 2016: isahluko 58.