Pancreatic pseudocyst

Pseudocyst ya pancreatic ndi chikwama chodzaza madzi m'mimba chomwe chimachokera ku kapamba. Ikhozanso kukhala ndi minofu yochokera ku kapamba, michere ndi magazi.

Mphepete ndi chiwalo chomwe chimakhala kuseri kwa m'mimba. Zimapanga mankhwala (otchedwa ma enzymes) ofunikira kupukusa chakudya. Zimapanganso mahomoni a insulin ndi glucagon.

Ma pancreatic pseudocysts nthawi zambiri amakula pambuyo panthaŵi ya kapamba kakang'ono. Pancreatitis imachitika pomwe kapamba wanu amatupa. Pali zifukwa zambiri zavutoli.

Vutoli nthawi zina limatha kuchitika:

• Kwa munthu amene ali ndi kutupa kwa kapamba kwanthawi yayitali (kwanthawi yayitali)
• Pambuyo povulala m'mimba, nthawi zambiri mwa ana

Pseudocyst imachitika pomwe ma ducts (machubu) omwe amapezeka m'mankhwala awonongeka ndipo madzi amadzimadzi omwe ali ndi michere sangathe kukhetsa.

Zizindikiro zimatha kuchitika patadutsa masiku kapena miyezi kuchokera pamene chiwombankhanga chayamba. Zikuphatikizapo:

• Kuphulika pamimba
• Kupweteka kosalekeza kapena kupweteka kwambiri m'mimba, komwe kumamvekanso kumbuyo
• Nseru ndi kusanza
  
• Kutaya njala
  
• Kuvuta kudya ndi kugaya chakudya

Wothandizira zaumoyo atha kumva kuti m'mimba mwanu ndi pseudocyst. Zimamva ngati chotupa chapakati kapena chakumanzere chapamwamba.

Mayeso omwe angathandize kuzindikira pseudocyst ya kapamba ndi awa:

• M'mimba mwa CT scan
• M'mimba mwa MRI
• M'mimba ultrasound
• Endoscopic ultrasound (EUS)

Chithandizo chimadalira kukula kwa pseudocyst komanso ngati chikuyambitsa matendawa. Ma pseudocysts ambiri amapita okha. Omwe amakhala kwa milungu yopitilira 6 ndipo amakhala akulu kuposa 5 cm m'mimba mwake amafunikira chithandizo.

Mankhwala omwe angakhalepo ndi awa:

• Kutulutsa madzi kudzera pakhungu pogwiritsa ntchito singano, nthawi zambiri kumawongoleredwa ndi CT scan.
• Ngalande zothandizidwa ndi Endoscopic pogwiritsa ntchito endoscope. Mwa ichi, chubu chokhala ndi kamera ndi kuwala kumadutsa m'mimba)
• Ngalande ya opaleshoni ya pseudocyst. Kulumikizana kumapangidwa pakati pa chotupa ndi m'mimba kapena m'matumbo ang'ono. Izi zitha kuchitika pogwiritsa ntchito laparoscope.

Zotsatira zake zimakhala zabwino ndi chithandizo. Ndikofunikira kuwonetsetsa kuti si khansa ya kapamba yomwe imayamba mu cyst, yomwe imakhala ndi zoyipa zoyipa kwambiri.

Zovuta zingaphatikizepo:

• Pancreatic abscess ikhoza kukula ngati pseudocyst itenga kachilomboka.
• Pseudocyst imatha kutseguka (kutuluka). Izi zitha kukhala zovuta kwambiri chifukwa mantha ndi kutaya magazi kwambiri (kukha magazi) kumatha kuyamba.
• Pseudocyst imatha kukanikiza (compress) ziwalo zapafupi.

Kung'ambika kwa pseudocyst ndi vuto lazachipatala. Pitani kuchipinda chodzidzimutsa kapena itanani nambala yadzidzidzi yakomweko (monga 911) ngati mwayamba kukhala ndi vuto lakutuluka magazi kapena mantha, monga:

• Kukomoka
• Malungo ndi kuzizira
• Kugunda kwamtima mwachangu
• Kupweteka kwambiri m'mimba

Njira yopewera kapamba wa pseudocysts ndikuletsa kapamba. Ngati kapamba amayamba chifukwa cha ndulu zam'mimba, wothandizirayo achita opaleshoni kuti achotse ndulu (cholecystectomy).

Pamene kapamba amapezeka chifukwa chakumwa mowa mopitirira muyeso, muyenera kusiya kumwa mowa kuti mupewe zovuta zamtsogolo.

Pamene kapamba amapezeka chifukwa cha magazi ambiri a triglycerides, vutoli liyenera kuthandizidwa.

Pancreatitis - pseudocyst

• Dongosolo m'mimba
• Matenda a Endocrine
• Pancreatic pseudocyst - Kujambula kwa CT
• Miphalaphala

Forsmark CE. Pancreatitis. Mu: Goldman L, Schafer AI, olemba. Mankhwala a Goldman-Cecil. 26 wa. Philadelphia, PA: Elsevier; 2020: chap 135.

Martin MJ, Brown CVR. Kuwongolera kwa pseudocyst ya pancreatic. Mu: Cameron AM, Cameron JL, olemba., Eds. Chithandizo Chamakono Cha Opaleshoni. Wolemba 13. Philadelphia, PA: Elsevier; 2020: 525-536.

Tenner SC, Steinberg WM. Pachimake kapamba. Mu: Feldman M, Friedman LS, Brandt LJ, olemba. Sleisenger ndi Fordtran's Mimba ndi Matenda a Chiwindi: Pathophysiology / Diagnosis / Management. 10th ed. Philadelphia, PA: Elsevier Saunders; 2016: chap 58.