I-pseudocyst yePancreatic

I-pseudocyst ye-pancreatic yisikhwama esigcwele uketshezi esiswini esivela kumanyikwe. Ingase futhi iqukethe izicubu ezivela kumanyikwe, ama-enzyme, nasegazini.

Ama-pancreas isitho esitholakala ngemuva kwesisu. Ikhiqiza amakhemikhali (abizwa ngokuthi ama-enzyme) adingekayo ukugaya ukudla. Iphinde ikhiqize ama-hormone insulin kanye ne-glucagon.

Ama-pseudocysts epancreatic avame ukukhula ngemuva kwesiqephu se-pancreatitis esibi. I-Pancreatitis yenzeka lapho amanyikwe akho evuvuka. Ziningi izimbangela zale nkinga.

Le nkinga ingavela kwesinye isikhathi:

• Kumuntu onokuvuvukala kwamanyikwe okuhlala isikhathi eside (okungapheli)
• Ngemuva kokuhlukumezeka esiswini, kaningi ezinganeni

I-pseudocyst yenzeka lapho amapayipi (amashubhu) asemanyikwe elimele futhi uketshezi olunama-enzyme lungakwazi ukukhipha.

Izimpawu zingenzeka kungakapheli izinsuku kuya ezinyangeni ngemuva kokuhlaselwa kwe-pancreatitis. Kubandakanya:

• Ukuqunjelwa kwesisu
• Ubuhlungu obuhlala njalo noma ubuhlungu obujulile esiswini, obuzwakala ngemuva
• Isicanucanu nokuhlanza
  
• Ukuphelelwa isifiso sokudla
  
• Kunzima ukudla nokugaya ukudla

Umhlinzeki wezokunakekelwa kwempilo angazizwa isisu sakho nge-pseudocyst. Kuzozwakala njengesigaxa maphakathi noma kwesobunxele esiswini esingaphezulu.

Ukuhlolwa okungasiza ukuthola i-pseudocyst ye-pancreatic kufaka:

• Iskena se-CT esiswini
• I-MRI yesisu
• I-ultrasound yesisu
• I-endoscopic ultrasound (EUS)

Ukwelashwa kuya ngosayizi we-pseudocyst nokuthi ngabe kudala izimpawu. Ama-pseudocyst amaningi ahamba ngokwawo. Lokho okusala ngaphezu kwamasonto ayisithupha futhi kukhulu kuno-5 cm ububanzi ngokuvamile kudinga ukwelashwa.

Ukwelashwa okungenzeka kufaka phakathi:

• Ukugeleza kwesikhumba usebenzisa inaliti, okuvame ukuholwa yi-CT scan.
• Umsele osizwa nge-Endoscopic usebenzisa i-endoscope. Kulokhu, ithubhu equkethe ikhamera nokukhanya kudluliselwa esiswini)
• Umsele wokuhlinzwa we-pseudocyst. Ukuxhumana kwenziwa phakathi kwe-cyst nesisu noma ithumbu elincane. Lokhu kungenziwa kusetshenziswa i-laparoscope.

Umphumela ngokuvamile muhle ngokwelashwa. Kubalulekile ukuqinisekisa ukuthi akuwona umdlavuza we-pancreatic oqala ku-cyst, onomphumela omubi kakhulu.

Izinkinga zingafaka:

• Ithumba le-pancreatic lingakhula uma i-pseudocyst itheleleka.
• I-pseudocyst ingavuleka (ukuqhekeka). Lokhu kungaba inkinga enkulu ngoba ukushaqeka nokopha ngokweqile (ukopha) kungahle kuvele.
• I-pseudocyst ingacindezela phansi (icindezele) izitho eziseduze.

Ukuqhekeka kwe-pseudocyst kuyisimo esiphuthumayo sezokwelapha. Iya egumbini labezimo eziphuthumayo noma ushayele inombolo ephuthumayo yendawo (efana ne-911) uma uba nezimpawu zokopha noma zokushaqeka, njenge:

• Ukuquleka
• Umkhuhlane namakhaza
• Ukushaya kwenhliziyo okusheshayo
• Ubuhlungu obukhulu besisu

Indlela yokuvimbela ama-pseudocysts e-pancreatic ukuvimbela i-pancreatitis. Uma i-pancreatitis ibangelwa ama-gallstones, umhlinzeki uzokwenza ukuhlinzwa ukuze asuse i-gallbladder (cholecystectomy).

Lapho i-pancreatitis ivela ngenxa yokusebenzisa kabi utshwala, kufanele uyeke ukuphuza utshwala ukuze uvikele ukuhlaselwa okuzayo.

Lapho i-pancreatitis ivela ngenxa ye-triglycerides ephezulu yegazi, lesi simo kufanele silashwe.

I-Pancreatitis - i-pseudocyst

• Uhlelo lokugaya ukudla
• Izindlala ze-Endocrine
• I-pseudocyst ye-Pancreatic - i-CT scan
• Amapancreas

I-Forsmark CE. I-Pancreatitis. Ku: IGoldman L, iSchafer AI, ama-eds. Imithi yeGoldman-Cecil. Umhla ka-26. IPhiladelphia, PA: Elsevier; 2020: isahluko 135.

UMartin MJ, uBrown CVR. Ukuphathwa kwe-pseudocyst ye-pancreatic. Ku: UCameron AM, uCameron JL, ama-eds. Ukwelashwa Kwamanje. Umhlaka 13. IPhiladelphia, PA: Elsevier; 2020: 525-536.

I-Tenner SC, iSteinberg WM. I-pancreatitis enamandla. Ku: Feldman M, Friedman LS, Brandt LJ, ama-eds. ISleisenger neFordtran's Gastrointestinal and Liver Disease: IPathophysiology / Diagnosis / Management. Umhlaka 10. IPhiladelphia, PA: Elsevier Saunders; 2016: isahluko 58.