He mea koʻikoʻi loa ka pancreas, akā i ka manawa like pū me nā mea ʻino loa. Pono ia i ka nānā kūikawā a me ka mālama koke i ka hihia o kekahi mau pathologies. Hoʻopūnī ka pancreas i ka wai o ka pancreatic, nā enzyme, a me nā hormone. He mea hoʻonaʻauao Hormone he hana maʻamau endocrine.
ʻO ka waiʻona a me nā hoʻoulu, ʻo ia hoʻi, ka hana exocrine, he huhū loa. Me nā ʻōnaehana maʻamau i ka pala, hiki iā lākou ke hoʻohuli i kā lākou hana ma nā papa kūpono ʻole e huna ai iā lākou.
Hōʻike ʻia kēlā ʻano ʻano loiloi maʻamau, no ka laʻana, i ka pancreatitis koʻikoʻi, a alakaʻi i ka necrosis kiko. Hoʻomaʻama pinepine, ʻo kekahi wale nō o nā pūnaehana hana olakino e hele ai i ka necrosis, a ma hope ke kaupalena ʻia i ka pahu kuhi hou i hana ʻia. Ma lalo o nā capsule, nā mea huna o ka pancreatic, ʻāpana o nā ʻili o ka necrotic, hōʻiliʻili. Ua kāpae i kahi pōkole.
Ka helu ʻana o nā cyst i ka lāʻau lapaʻau
Wahi a ke ʻano o ka hanana, ua mahele ʻia nā cysts i ka pololei a me ka hewa.
ʻO kaʻoiaʻiʻo, a i ʻole nā congenital cysts i loaʻa i nā pancreas mai ka hānau ʻana. ʻO kēia kahi kīnā i ka hoʻomohala a me ke keiki. Hilahila ʻia ka paia o ka cyst i ka epithelial tissue mai loko, a ʻaʻole lākou iho hoʻonui i ka nui. ʻAʻole ʻano pinepine loa kēlā mau ʻaoʻao.
ʻO nā ʻōhā hewa hoʻi e hana hou i kekahi lua, ʻo ia hoʻi, ma hope o nā maʻi o ka wā ma mua, ʻo ka hōʻeha, a i ʻole ka hōʻoki ʻana i ka pancreatic. ʻAʻole ʻike ka epithelium i nā papa o ko lākou pā.
Wahi a hiki i ke kikowaena hiki ke kō, helu ʻia nā cysts penei:
- nā cysts o ke poʻo o ka pancreas - pale lākou i ke ana o ka omsa bursa a hiki ke hoʻomoʻi i ka duodenum.
- hana pinepine ʻia ke kino o ka gland i nā cysts, alakaʻi kēia i kahi neʻe o ka ʻōpū a me ke kolu.
- Hiki i nā lua ke loaʻa ma ka huelo, ma kēia hihia ke retroperitoneal, a i ʻole retroperitoneal, nā lokomaʻāina, ʻo ia ka mea liʻiliʻi loa e pili ana i ka hōʻeha ʻana i nā kino kokoke.
Wahi a ke aʻo ma nā haʻawina ʻoihana kula, ua mahele ʻia lākou i ka ʻāʻī, subacute a me ka nele.
- Hoʻokani koke ʻia ka huehue i maopopo ʻole ʻaʻole kaupalena ʻia. I ka lua, hiki ke lilo i nā alapine o nā pancreas, parenchyma a i ʻole fiber.
- ʻO subacute, a i ʻole nā maʻi kani, hele mai nā pūpili mai nā mea aʻalolo ma muli o ka mea i hana ʻia nā pā mai ka fibrous tissue a me nā granule e kū nei i ka wā o ke kaʻina hana.
- ʻO kahi pohō he hōʻemi paʻa i nā kiko purulent i loko o kahi ana hou i kūkulu ʻia.
Ma mua o nā hoʻopiʻi ʻana, hiki ke paʻakikī i ka cysts - me nā fistulas, hemorrhages, nā maʻi purulent a me nā perforations a me nā hoʻopiʻi ʻole ʻana.
No ke aha i kū ai nā cysts?
E like me ka mea i ʻōlelo ʻia ma luna, i hoʻokumu ʻia nā cysts he hopena no nā maʻi like ʻole o ka pancreas.
Aia nā kaʻina a me nā maʻi e aneane pinepine i nā kaʻina cystic.
E pili ana kēia:
- kaʻeha ʻeha a nā maʻi maʻi (pancreatitis);
- trauma organ;
- ka pōkole a i ʻole ka lōʻihi o ka pae i ka excretory duct (no ka laʻana, cholelithiasis);
- uhaʻi koʻikoʻi o ka neʻe i ka hewa;
- helminthic infestations;
- protozoa;
- nā kaʻina lakohana ma ka pancreas.
Ma kahi o nā kumu pahuhopu, aia kekahi mau pilikia e pili ana i ka hopena, a i nā mea predisposing paha.
ʻO kēia mau mea:
- Kauaʻawaʻawa ola;
- Hoʻopili ʻana i ka pā i ka mea kūʻai;
- ʻO ka momona;
- Hoʻouku i nā hōʻiliʻili pule ma luna o kekahi mea o ke ake o ka pēpē;
Eia kekahi, ʻo kekahi o nā mea pono mua predisposing o ka hele ʻana o ka maʻi maʻi ma kahi maʻi.
ʻO nā hōʻailona nui o ka cyst
Hōʻike ʻia nā hōʻailona o kahi pūmani pancreatic i nā ʻano like ʻole.
Aia lākou i kona ʻano, kona wahi, ka nui.
Inā liʻiliʻi ka liʻiliʻi o ka lua, hiki i ka hapalua kenimika ka nui, a laila ʻaʻohe hopena maikaʻi loa e pili ana i nā lālā pili, nā moku a me nā hehi o ka nerve.
Inā nui ka cyst, a laila hiki mai ke ʻano o nā hōʻike like ʻana:
- nā ʻeha koʻikoʻi, ʻoi aku ka nui o ke ʻano o ke kāʻei, ʻoi loa, ʻoiai me ka ʻōpū, ua ʻike ʻia i ke kua ma hope a me nā ʻaoʻao;
- hoʻoheheʻe ʻole ʻole e lawe mai i kahi hōʻoluʻolu;
- ka hana hōʻeuʻeu i ka stool ma ke ʻano o ka huehue;
- ka hōʻiliʻili nui o nā hoʻomehana i loko o ka ʻōpū (flatulence);
- i ka manawa i nā maʻi o ka maʻi, ua ʻike ʻia ka steatorrhea - ka hiki ʻana o nā puʻupuʻu momona i loko o ka papa ma muli o ka nele o ka enzyme lipase pancreatic;
- ke hoʻonui i ka mahana o ke kino i nā helu subfebrile;
- nāwaliwali pane nui;
- kahi manaʻo o ka kaumaha i ka pae epigastric hema;
- hiki ke kūleʻa ʻia ka jaundice;
- diuresis pinepine kope;
- ka waha maloʻo maloʻo;
- mai nāwaliwali.
ʻO nā hōʻailona hope ʻekolu e hele pū me kahi hōʻino koʻikoʻi i ka huna ʻana o ka insulin a he hōʻike kēia o ka maʻi diabetes. Ma kahi hapalua o nā poʻe maʻi me ka wahi o ka pūpū ma ke poʻo o ka pancreas, a me kona nui o nā kupanaha, hiki iā ia ke ʻike pono i ka pale ʻana o ka pā o ka ʻōpū ma lalo o ka sternum.
Nā ala no ka hoʻomohala ʻana i nā cyst
Me nā hoʻopiʻi e like ana i nā maʻi i kūkākūkā ʻia, huli ka poʻe maʻi i kahi gastroenterologist.
Kuhi aku ke kauka i kahi helu o ka hoʻopaʻa ʻana o ka ʻenehana a me nā haʻawina kumu.
Ke loaʻa nei nā ʻano hana Laboratory i kekahi mau haʻawina:
ʻO ka helu koko piha. E hōʻike ana i ka hoʻonuiʻana i ka pākuʻiʻana o ka erythrocyte sedimentation (ESR), kahi nui o leukocytes (leukocytosis).
I kahi loiloi biochemical, ua hoʻoholo ʻia ka nui o ka bilirubin, ʻo ia ke kumu e tupu ai ka jaundice, a me ka hoʻonui o ka hana alkatine phosphatase.
ʻĀninalysis I loko o ka urine, aia paha he palama, ka mea maʻamau a pono ʻole, a me nā keʻena koko keʻokeʻo, e hōʻike ana i kahi kaʻina hana maʻi.
Ma waena o nā pono noiʻi noiʻi i hoʻohana ʻia:
- Hoʻopiʻi ʻōnaehana Hiki iā ia ke ʻike i ka nui maoli o nā cyst, ko lākou helu a me nā ʻōmole, inā he.
- Hoʻomaʻamaʻa maikaʻi aku i ke ʻano o ka hoʻonaʻauao a me kāna pilina me nā kumu kumu o ka waiwai.
- Ke noiʻi radioisotope (scintigraphy).
- ʻO ka ʻōhumu ʻana o ka ʻōpū o ka ʻōpū.
Hoʻohui, hana ʻia nā huaola biopsy o ka nui o ke kino.
Hoʻomaʻamaʻa maikaʻi loa ʻo Cyst Pancreatic
Hoʻokomo ʻia kahi cyst i ka pancreas i ka lāʻau lapaʻau a me ka ʻoi ʻana.
ʻO ka lawe ʻana i nā lāʻau lapaʻau no ka nui o nā cysts e noʻonoʻo pono, no laila e hoʻouna koke ʻia nā poʻe maʻi i ka hoʻokō.
Eia kekahi, ʻo nā hana, ua hōʻike ʻia no nā cyclect malignant, ʻoiai inā heʻuʻuku loa, no ka mea hiki iā lākou ke hāʻawi i nā metastases i kekahi mau lālā.
ʻO nā ʻano hana kaʻa kākā i hana ʻia ma ka pancreas:
- Pāheʻe ka lālani - mua, kahi hoʻopiʻi ka ana, ua hoʻokahe ʻia ka wai o loko mai loko mai o ia mea, a laila waiho ʻia kahi pāholo - kahi pā wai kūikawā ma kahi e puka mai ai kahi nūhou o nā mea.
- Sclerosing - kahi hopena hoʻonā mauila ʻoi aku, no ka laʻana, ka ethyl alkohol, ua kau ʻia i ka lepona, akā ma hope wale o ka ana ʻole ʻia. Ma hope o kēia kaʻina hana, ʻike ʻia ka pili pili ma ka pūnaewele o ka cyst a pani i ka hemahema.
- Hōʻike, ʻo ia, ke hoʻopau piha ʻana o nā wahi i pili ʻia.
- Hana ʻia ka hana ʻo Laparoscopic e ʻelua mau liʻiliʻi i loko o ka ʻōpū o ka ʻōpū ma o ke kāmeʻa i hoʻopili ʻia e ʻike pono ai ke kaʻina hana. ʻO ia ka hapa traumatic.
- ʻO Operation Frey - pili ia i ka wehe o ke poʻo a me ke kūkulu ʻana i kahi mana ma waena o ka pancreas a me ka duodenum.
ʻO nā hopena o ka wehe ʻana i kahi pūʻai pancreatic i loko o ka hana ʻana o ka digestive ma muli o ka nele o nā enzyme pancreatic, pankreatitis postoperative, ka huhū, a me ka maʻi maʻi.
No ka mea e ʻeli ʻia ka meaʻai, pono e lawe i nā hoʻomākaukau o ka enzyme, e like me Creon, Mezim-Forte, Pangrol. Eia kekahi, pono e pili pono i kahi papa meaʻai. Ma hope o nā hōʻemi, pono e hoʻokaʻawale ʻia nā mea maʻi mai ka momona momona, ka ʻalī, ka uahi, ka meaʻai paʻakai, nā mea ʻala, ka waiʻona. Pono e kuke ʻia i nā pā ʻaina ʻē a ʻaihue paha. Hoʻohana maikaʻi ʻia lākou i ke keʻena lumi, akā ʻaʻole maloʻo, ʻaʻole wela ʻole. Hoʻohana ʻia e ʻai i nā mea kanu aku, nā huaʻai, ka lau maloʻo, ka pasta, nā huaʻai a me nā hua pā kāmona, nā hua waiū-waiū, nāʻaʻai haʻahaʻa a me nā iʻa, a me nā kuki me ka mea ʻole gula. Pono ka papaʻaina e ʻai i nā ʻaina 5-6 i ka manawa like ma nā wahi liʻiliʻi.
Inā ma ka liʻiliʻi o kekahi o nā hōʻailona o kahi pūnoho pancreatic, e kamaʻilio koke i kahi kauka e mālama i ka pathology i ka manawa. Inā hiki, alakaʻi i kahi ola olakino a kiaʻi i kou kino.
Pehea ka wehewehe ʻana i nā cysts a me nā popo malignant o ka pancreas i loko o ka wikiō ma kēia ʻatikala.
