Pancreatic pseudocyst

Pancreatic pseudocyst ibhegi rakazara nemvura mudumbu rinomuka kubva mupancreas. Inogona zvakare kuve nemanyowa kubva mupancreas, enzymes, uye ropa.

Iyo pancreas inhengo iri kuseri kwedumbu. Inogadzira makemikari (anonzi maenzyme) anodikanwa kugaya chikafu. Iyo zvakare inogadzira mahormone insulin uye glucagon.

Pancreatic pseudocysts kazhinji inokura mushure mechikamu chepancreatitis yakaoma. Pancreatitis inoitika kana pancreas yako yapiswa. Kune zvakawanda zvinokonzera dambudziko iri.

Dambudziko iri dzimwe nguva rinogona kuitika:

• Mune mumwe munhu ane kwenguva refu (chisingaperi) kuzvimba kwepancreas
• Mushure mekukuvadzwa kusvika padumbu, kazhinji muvana

Iyo pseudocyst inoitika kana ma ducts (machubhu) ari mupancreas akanganiswa uye mvura ine maenzyme haigone kubuda.

Zviratidzo zvinogona kuitika mukati memazuva kusvika kumwedzi mushure mekurwiswa kwepancreatitis. Zvinosanganisira:

• Kuvhara mudumbu
• Kugara uchirwadziwa kana kudzika kurwadziwa mudumbu, izvo zvinogona zvakare kunzwika kumashure
• Kusvotwa uye kurutsa
  
• Kupererwa nechido
  
• Zvakaoma kudya uye kugaya chikafu

Mutapi wezvehutano anogona kunzwa dumbu rako kune pseudocyst. Inonzwa kunge bundu riri pakati kana kuruboshwe kumusoro kwedumbu.

Kuyedza kunogona kubatsira kuona pancreatic pseudocyst inosanganisira:

• Abdominal CT scan
• Abdominal MRI
• Abdominal ultrasound
• Endoscopic ultrasound (EUS)

Kurapa kunoenderana nesaizi yepseudocyst uye kana iri kukonzera zviratidzo. Mazhinji pseudocysts anoenda ega. Izvo zvinosara kweanopfuura mavhiki matanhatu uye zvakakura kupfuura masendimita mashanu muhupamhi zvinowanzoda kurapwa.

Zvinogona kurapwa zvinosanganisira:

• Drainage kuburikidza neganda uchishandisa tsono, kazhinji inotungamirwa neCT scan.
• Endoscopic-inobatsira drainage uchishandisa endoscope. Mune izvi, chubhu ine kamera uye mwenje unopfuudzwa uchipinda mudumbu)
• Kuvhiya drainage yepseudocyst. Kubatana kunoitwa pakati pe cyst uye mudumbu kana dumbu ura. Izvi zvinogona kuitwa uchishandisa laparoscope.

Mhedzisiro yacho kazhinji yakanaka nekurapwa. Izvo zvakakosha kuti uve nechokwadi chekuti haisi kenza yepancreatic inotangira mu cyst, iyo ine mhedzisiro yakaipa.

Zvinetso zvinogona kusanganisira:

• Pancreatic abscess inogona kukura kana iyo pseudocyst ikatapukirwa.
• Iyo pseudocyst inogona kuvhurika (kuputika). Ichi chinogona kuve chinetso chakakomba nekuti kuvhunduka uye kubuda kweropa kwakanyanya (kubuda ropa) kunogona kukura.
• Iyo pseudocyst inogona kutsikirira pasi (compress) nhengo dziri padyo.

Kubvaruka kwepseudocyst ndeyekukurumidzira kwekurapa. Enda kuimba yekukurumidzira kana kufonera iyo yemuno emergency emergency (yakadai se911) kana iwe ukaita zviratidzo zvekubuda ropa kana kuvhunduka, senge:

• Kufenda
• Fivha uye kutonhora
• Kukurumidza kurova kwemoyo
• Kutambudzika kwakanyanya kwepamuviri

Nzira yekudzivirira pancreatic pseudocysts ndeyekudzivirira pancreatitis. Kana kurwara nepancreatitis kuchikonzerwa nenyuchi, mupi achavhiya kubvisa nduru (cholecystectomy).

Kana pancreatitis ikaitika nekuda kwekushandisa doro zvisina kufanira, unofanirwa kurega kunwa doro kudzivirira kurwisa munguva yemberi.

Kana pancreatitis ichiitika nekuda kweropa rakakwira triglycerides, iyi mamiriro inofanira kurapwa.

Pancreatitis - pseudocyst

• Kugaya chirongwa
• Endocrine masero
• Pancreatic pseudocyst - CT scan
• Pancreas

Forsmark CE. Pancreatitis. Mune: Goldman L, Schafer AI, eds. Goldman-Cecil Mushonga. 26th ed. Philadelphia, PA: Elsevier; 2020: chits. 135.

Martin MJ, Brown CVR. Manejimendi yepancreatic pseudocyst. Mune: Cameron AM, Cameron JL, eds. Parizvino Kuvhiya Therapy. 13 ed. Philadelphia, PA: Elsevier; 2020: 525-536.

Tenner SC, Steinberg WM. Acute pancreatitis. Muna: Feldman M, Friedman LS, Brandt LJ, eds. Sleisenger uye Fordtran's Gastrointestinal uye Chirwere Chirwere: Pathophysiology / Diagnosis / Management. 10th ed. Philadelphia, PA: Elsevier Saunders; 2016: chits. 58.