Kūmole pancreatic

He ʻōpiopio ka ʻaila, kahi lua i hoʻopaʻa ʻia e nā pā pōhaku a piha i nā kahe. Hiki ke hana ʻia i kekahi pūpū, hana hewa ʻole i kāna mau hana. ʻO nā mea hou nei, ʻike nui ʻia nā hana like ma luna o ka pancreas, ʻoiai hoʻi ma waena o nā kānaka he 40 a ʻoi aku paha. ʻO kēia ma muli o ka hoʻomohala pinepine ʻana o ka pancreatitis ma muli o ka maʻi malia a i ʻole mau ʻano maikaʻi ʻole. Wahi a ka nui, kahi a me ke kumu o ka hoʻokumu ʻana o ka cyst, ʻaʻole ia e ʻike i kekahi mau hōʻailona a i ʻole ka hana hōʻeha kino pancreatic. I kēia hihia, hiki ke mālama wale ʻia ke mālama ʻana i nā maʻa.

ʻO keʻano maʻamau

ʻO nā cysts pancreatic kahi hoʻopiʻi maʻamau i nā maʻi pancreatitis. Kūkulu ʻia kēlā mau ʻano me ka ʻino o nā kino o nā ʻiole, nā māla ʻona a me ke kahe ʻana o nā wai pancreatic. Ma muli o ia mau kaʻina hana, hoʻokumu ʻia kahi capsule ma kahi o nā ʻāpana make, i hoʻopaʻa ʻia e nā pā o nā pili o nā kelepona pili. ʻO ka hapanui pinepine ke hoʻopiha ia me ka wai pancreatic, akā hiki i kona mea i lilo i mau pū, koko a exudate inflammatory paha. Hiki ke lōʻihi ke kaʻina o kona hoʻolālā - mai 6 a 12 mau mahina.

ʻO kahi pūpili ma ka pancreas i nā nui he nui i ka pūnaewele o nā pakanui parenchyma make. Me ka mumū a hōʻiliʻili ʻana i ka wai o pancreatic, hoʻopau ʻia nā kolo i kahi wahi. Hoʻopau loa, ʻohi pinepine kēia wahi i ka ʻike. I loko, ulu ka hoʻopili o nā kiko. Hoʻololi i nā kinipona pale hoʻopau i ka pīhoihoi, akā e noho paha ka lua. Kēia mea ua waiho ʻia me kahi hua make, piha ka maʻi exudate, koko, akā ʻimi pinepine - nā wai pancreatic.

Kahi ʻano ʻano like ʻole, kahi i kūkulu ʻia ai nā ʻāpana he nui i ka wahi o nā dalu o ka pala, he cystic fibrosis a i ʻole nā ​​cystic fibrosis. He mau huaʻala nui kēia e hoʻoili ʻia e ka hoʻonaninani ʻana i ka wai pancreatic a me ka pani ʻana o nā kumulā o ka aila. Hoʻokumu ʻia nā cysts i kēia huelo wale nō, akā, i loko o nā pūpū a pūpū paha.

He ʻano paipu lepa a nā kika e hoʻopiha i nā wahi me ka wai.

Nā Manuia

ʻO ka hapa pinepine, ʻo ia mau ʻano hana like ʻole i ka pancreas i hoʻokaʻawale ʻia i ʻelua mau pūʻulu. Hoʻokomo ʻia nā pūpona maoli i nā ana i hoʻopaʻa ʻia me nā cell epithelial mai loko. Hiki iā lākou ke hana i loko o ke ʻano o nā kumu o ka hoʻopā a i ʻole nā ​​mea maʻamau o ka hoʻomohala intrauterine. He pseudocyst kahi kumu e kū mai ana ma ka pūnaewele o kahi manaʻo koʻikoʻi. ʻOiai ʻoi aku ka ʻike o kēia mau kaila ma mua o nā cysts maoli, nui ka ʻepekema i hoʻokaʻawale ʻole iā lākou ma kahi hui kūʻokoʻa.

Eia kekahi, ʻo nā cyst i hoʻokumu ʻia i ka wā o ka pancreatitis e papahele. Aia nā mākohu palau pinepine i loaʻa ʻole ko lākou mau pā ponoʻī. ʻO nā paia o nā papa, nā kime ka mea pono'ī, a i ʻole nā ​​mea kino'ē aʻe e hana i ko lākou kuleana. Aia kekahi ʻano ala e like me cystofibrosis, kahi i kohu ʻia ai nā ʻāpana i kūkulu ʻia, kahi ʻano like ʻole o ka helehelena. Kūkulu ʻia ko lākou mau paia i ka pili fibrous. ʻO ka ʻoi loa ka paʻakikī o ka wā i loaʻa ai ka huhū i hoʻopiha ʻia me ka pus. Ua kapa ʻia kēia ʻano me nā cysts, no ka mea i hana ia ma kahi o kahi pūpū a i ʻole kahi make make me ka necrosis.

Kuhi ʻia kēlā mau ʻano ʻano e like me ke wahi o ka wahi ʻōlala. ʻO ka pinepine loa, ʻo ka mākeke o ke poʻo o ka pancreas i hoʻokumu ʻia, ʻoiai ʻo ia kekahi hapa o ka ducts, nā pass dile bile, aia kahi leka me ka duodenum. Kahi pū kekahi ʻano o ke kino a i ʻole ʻili o ka pancreas.

Eia kekahi, i kekahi mau manawa cysts ua papahele ʻia e nā ʻano kiko a me ke kumu o ke ʻano o:

• hele mai ka traumatic ma muli o ka hōʻeha a me ka trauma ʻeha i ka ʻōpū;
• parasites he hopena i ka maʻi me nā parasites, no ka laʻana, echinococci;
• helehelena hele mai i ka wā hāpai ʻana;
• ua kū mai ka noho ʻana ma muli o ke kaohi ʻana i nā kahawai;
• Kūkulu ʻia ka pseudocysts ma kahi o ka make mū.

Hiki i nā cysts ke ʻokoʻa i ka wahi, ka nui a me ka ʻikepili.

ʻO ke kumu

I kēia manawa, lilo kēia maile kuʻuna i mea maʻamau. Eia kekahi, ʻo ke kumu o ia mau mea i ka nui he pancreatitis. ʻO ke ʻano o ka maʻi o ka maʻi, e alakaʻi ana i ka make o nā pihi parenchyma, ma kahi o 15-20% o nā hihia e alakaʻi i ka hoʻokumu ʻana o kahi ʻūlū like. Hana kēia i nā wiki he 3-4 ma hope o ka hoʻomaka ʻana o ka mumū, i ka manawa e kū ʻia ai kahi pūnaewele o nā nekrosis i ka nui o ka kelepona. Akā i ka nui o nā hihia, ua hoʻokumu ʻia kēlā mau 'ano i loko o ka maʻi pancreatitis. ʻOi aku ma mua o ka hapalua o nā mea maʻi, ka poʻe nui ʻole i hoʻokō ʻole ʻia i nā ʻōlelo ʻana a ke kauka, ua kū i ka hopena o kēia maʻi.

Ma ke ʻano o kahi pūpae post-necrotic ke hiki ke hoʻonāukiuki i ka puka ʻana o ka wai pancreatic, ʻiliʻili ʻana i ka sphincter o Oddi, maʻi maʻi gallstone. Ke alakaʻi nei kēia mau maʻi āpau i ka make o nā maʻi pancreatic, a ma nā manawa he nui kahi ʻano lua i ko lākou wahi. Akā ʻo nā kumu ʻē aʻe ke kumu i ka hoʻomohala ʻana o ia ʻano hana.

• nā ʻōpū o ka ʻōpū;
• ka hōʻeuʻeu ʻana o ke kahe koko i ka wai i ka mea hoʻopiʻi ma muli o ke pani ʻana o nā kīʻaha koko e ke kahe koko;
• kuʻumehana haole;
• nā hana ʻino i ka hoʻomohala kūloko o ka ʻoihana o ka wai o ka pākuʻi;
• maʻi infite.

Nā Hoʻomaka

ʻAʻole mau ka hoʻokumu ʻana o kahi cyst e hōʻeha i ka mea maʻi. ʻO nā liʻiliʻi liʻiliʻi nā mea e hoʻonāukiuki i nā kumu o nā lehelehe a i ʻole nā ​​kino ʻē aʻe ke hele me ka nānā ʻole no ka manawa lōʻihi. Eia kekahi, ma nā hihia he nui, kūlohelohe kona kūkulu ʻana i ke ʻano o ke ʻano o nā hana ʻoi ʻana, no laila e pili ana ka ʻeha i ka pancreatitis. Hiki i ka ʻeha ke ʻano ʻōwili ke hōʻike ʻia nei. A i ʻole pili i ka paroxysmally. ʻAe ʻia ka ʻeha nui i ka wā o ka kaomi ʻana i ka pulu, nā mānoanoa o nā nerve, a me nā wahi ʻē aʻe.

Inā ulu ka cyst i 5 cm a ʻokiʻoki i ka kiko e hoʻopuni ai iā ia, hiki iā ia ke hōʻeha i ka ʻeha, ke ʻōpū, a me ka indigestion.

Eia kekahi, aia paha kahi mau hōʻailona like o ka pankreatic i like me ka exacerbation o nā maʻi gastrointestinal:

• nausea, i kekahi manawa wāau;
• ʻōloli, hakuleka, puʻuwai;
• nā hana hoʻoweliweli o nā ʻāpana;
• nele o ka momona;
• ma muli o ka loaʻa ʻole o nā mea kanu, e hoʻemi ʻia ka paona;
• ho'ēmi ʻia ka hana.

Inā ulu ka cyst iʻoi aku ma mua o 5 cm, pono e hōʻike iā ia iho i nā maʻi nui. Aia nā hōʻailona o kēia ʻano i ka mea o kahi i hoʻokumu ʻia. Hoʻokomo pinepine ʻia kahi ʻōpiopio ma ke poʻo o ka umu i nā kolo maile. Hōʻike ʻia kēia ma ke ʻano o ka jaundice obstructive, ʻeha kino ʻeha. ʻO ke kaʻe ʻana o ke kīʻaha koko ke kumu i ka hōʻino ʻia o ke kaʻa o ke koko i nā ʻōpū o ka ʻōpū a me ke kuʻi ʻana hoʻi i nā ʻoihana haʻahaʻa. ʻO nā kahe pōkole ʻo ka pancreatic i ka manawa maʻamau e hoʻopili i ka kahe o ka urine a alakaʻi i ka mālama ʻana i ka urinary, a hiki nō hoʻi ke kāʻī i nā ʻōpū a i ʻole a pehu. ʻO ka hopena o kēia hana kaʻuʻawa a me nā ʻaoʻao ʻē aʻe.

Naʻi hoʻolika

ʻAʻole hiki i nā kānaka āpau ke noʻonoʻo i ka pōʻino o kahi pūsti i loko o ka pancreas. Akā ʻoiai he mea kūpono ia, he hopena koʻikoʻi nā hopena o ka mālama ʻole ʻana. ʻO ka mea mua, hiki ke ulu i kahi pōkole, kahi e alakaʻi ai i nā kaomi o nā umauma o nā aʻehā a me nā mea ola ʻē aʻe. Eia kekahi, hiki ke fester, paʻakikī i ka hoʻoilo ʻia o nā paia a i ʻole ke kahe. No laila, inā kānalua ʻoe i kēlā ʻano palolo iā ʻoe, pono pono ʻoe e hoʻomaʻamaʻa.

Ma ke nānā ʻana, hiki i ke kauka ke kānalua koke i ka hiki ʻana o kahi peka pancreatic no nā hōʻailona ʻano, a me kahi nui o ka hakahaka, kū ka ʻōpū i kekahi ʻaoʻao. Akā e kuhikuhi ʻia i kahi hoʻokolohua mea kōkua. ʻO ke ala maʻamau ka ultrasound. Ma kēia ʻano hōʻike e hiki ai iā ʻoe ke hōʻoia i ka hele ʻana o kahi cyst, loiloi i kona nui, a me ke kānalua i ka hoʻomohala ʻana o nā hoʻopiʻi. Inā pono, ua kau ʻia ʻo MRI, ka mea e hiki ke hoʻoholo pololei i ka nui o ke kau, ka kamaʻilio me nā papa palapala, ʻino kino.

Hiki wale ke ʻike i ka cyst wale nō ke hele nei i kahi hoʻokolohua kahi instrumental, ʻo ka mea pinepine mau i ka scan ultrasound i hana no kēia

ʻO kekahi manawa ʻo ka CT a i ʻole ka scintigraphy i kuhikuhi ʻia e hoʻomaʻamaʻa i ka maʻi maʻi a me ka kikoʻī kikoʻī i ka ʻikepili e pili ana i ka pathology. A ma ke kahua o ka hoʻomākaukau no ka hana, he ERCP - ʻo Endoscopic retrograde cholangiopancreatography - hana maoli ia. Pono ia e loaʻa i ka ʻike kikoʻī e pili ana i ke ʻano o ka cyst, nā pili me nā umauma, nā kīʻaha koko, a me nā kino ʻili.

Hoʻomaʻamaʻa

Hoʻohana ʻia ka paʻa ʻana o nā cysts pancreatic wale nō. Akā ʻaʻole pono ka manaʻo no ka hoʻomaʻamaʻa ʻana. Ma hope o nā mea a pau, inā he liʻiliʻi ka cyst, ʻaʻole e ulu a ʻū ʻole i ka ʻāpana, ʻaʻole ia e hoʻokūwī ʻia. I kēia hihia, pono ka mea maʻi e hahai i ka ʻai a hoʻomaʻamaʻa i ke ʻano lapaʻau maʻamau no ka mea ʻole o ka nalo i nā hōʻeha hiki.

Ke koi nei ka mālama ʻana i ka ulia pōpilikia i ka wā e loaʻa ai i ka mea maʻi i ka ʻeha nui o ka ʻōpū, hōʻeha ka ʻike, ua ulu ʻole ʻo ia me ka koko, pīkī puʻuwai. Pono e hoʻolauna iā ia i kahi keʻena olakino maikaʻi, ʻoi loa i nā mea āpau - i ka keʻena hoʻokipa, no ka mea, ʻoiaʻiʻo loa ia e makemake i ka papa hana. Ma hope o nā mea āpau, kū ʻia nā hōʻailona like i ka wā i pohi ai ka cyst, duct had a i ʻole nā ​​kahe.

Ke koho ʻana i kahi ala o ka lāʻau lapaʻau, kū pololei ke kauka i nā hiʻohiʻona pilikino. ʻO nā pūlima nunui, ʻoi loa inā lākou e hoʻonui a hoʻoweliweli paha e hoʻopaʻa i nā pale, pono e hoʻoneʻe ʻia. ʻO ka pinepine pinepine e hana i kēia me ka ʻāpana o ka lepa ponoʻī. ʻAʻole i pili iki i ka nui o ka pūpiki, akā, i ka ʻāina o ka parenchyma. I mea e pale ai i ka hūnā, hiki ke hoʻokaʻawale i kahi ʻāpana i hoʻopiha ʻia o kaandia. Akā, ʻaʻole hana pinepine ʻia kēlā me kēia ʻano hana, ʻoiai ke hiki ke pohō ʻia nā hōʻeha koʻikoʻi.

Inā liʻiliʻi ka lua o ka cyst, ʻaʻole ia e paʻakikī i nā ala āpau, hiki ke ʻōlelo ʻia ke kahe wai. Ua kāwili ʻia ka pālahalaha a ʻike ʻia nā ʻike. Aia kekahi ʻano ʻano kahawai. Inā ʻaʻole pili ka cyst i nā kumu maʻi pancreatic, hana ka ʻoki ma o ka ʻili. Hoʻokumu ʻia kahi hū wai ma o kahi mea i kahe a ka pūpū. I kekahi manawa ua hana ʻia ka laparoscopic kaʻeha a i ʻole ka lohi i loko o ka gastric.

Hoʻomaopopo o ka Insulinomas

I waena o nā hana mālama mālama no ka cysts, hoʻohana ʻia ke ʻano maʻi hōʻailona. ʻO ka maʻamau, hoʻemi ʻia ka hana pancreatic me kēia pathology, no laila ke noi ʻia e hoʻomau mau i ka hoʻomākaukau ʻana i nā enzyme. Hiki iā ia ke Pancreatin, Panzinorm, Creon, Festal. ʻO nā mea maʻi e pili ana i kekahi o nā meaʻai aʻai a lawe i ka hoʻomākaukau ʻana o ka enzyme i ʻōlelo ʻia e ke kauka e ʻoluʻolu a hiki ke hōʻalo i nā hoʻopiʻi o ka pathology.

Akā i kekahi manawa ua makemake ʻia nā lāʻau lapaʻau ʻē aʻe. Hiki iā ia ke antispasmodics a analgesics no ka hōʻeha nui, nā lāʻau carminative no ka flatulence, antiemetics. Me kahi cyst parasitic, pono kahi papa o nā lāʻau anthelmintic. ʻO kekahi manawa i ʻae ʻia e wehe i nā hōʻailona e nā lāʻau lapaʻau. ʻO ka manawa pinepine, ua ʻōlelo ʻia nā lāʻau ʻōpala e pili ana i kahi decoction o calendula. Maikaʻi e hoʻohui i ka celandine, yarrow, chicory, currant leaf a lingonberries iā lākou.

Mea ʻai

ʻO ke ʻano o ke ʻano o ke ʻano i koho ʻia, he mea maʻi e loaʻa ana i kēia mea pono ke hoʻololi i kahi meaʻai meaʻai. Pono ka ʻai ʻia i nā meaʻai i loko o nā wahi liʻiliʻi, pinepine loa - a hiki i ka 6-7 mau manawa i ka lā. E hōʻoluʻolu kēia i ka kaumaha ma luna o ka pancreas. Hōʻoia e hoʻokaʻawale i nā huahana e hoʻoikaika i ka hana o ka wai pancreatic. ʻO kēia mau mea momona ikaika, nā mea ʻala, nā mea momona, nā marinades a me nā pickles. Akā ʻaʻole ʻia nō hoʻi e hoʻohana i nā huahana i loaʻa i ka ʻono ʻono.

Ke hahai nei i kahi meaʻai kūikawā e kōkua i ka pale ʻana i nā hoʻopiʻi ʻana a kōkua i ka mea maʻi i hōʻoluʻolu maikaʻi.

ʻAi nā meaʻai ʻawaʻawa i ka inu ʻawaʻawa, kofe, soda, nā ʻoniʻoni, nā ʻiʻo i poki ʻia a me nā pickles. He pono ʻole ia e hoʻohana i kaʻula, ka kāpeti, ka ʻōpala, ka ʻōpala, ke kāleka, nā ʻōpū, ʻo nā hua like ka hopena o ka hoʻomohala ʻana. E ho'ēmi i ka ukana ma ka hao, pono ke lawe ʻia ka meaʻai i loko o kahi ʻano. Hāʻawi ʻia ka pīkī ʻana, ʻoi aku ka maikaʻi o ka ʻaʻa, hoʻomala a ʻū ʻia.

ʻO ka papaʻai no ka cystre pancreatic i ka hoʻohana ʻia ʻana o ia mau huahana:

• ʻai ʻai a me ka iʻa;
• skim waiū, kefir, ka hoʻomoʻa ʻia o ka waiū i loko, ka ʻono maoli;
• huʻu, ʻōpala, oatmeal;
• hua palaoa;
• papa ʻaila maloʻo, nā ʻāʻī, nā ʻōhua;
• kāʻai a ʻāpala ʻole;
• nā greens hou;
• nā hua i kahi liʻiliʻi, akā naʻe ʻaʻole acid;
• fruit compote compact, rosehip sabela, palupalu ʻōmaʻomaʻo mau.

Nā hopena

Hoʻokomo ka manaʻo i ka prankosis no ka pancreatic cysts i ke kumu o ka patology, ke kahi o ka ana, a me ke ʻano o ka mālama ʻana. Kokoke hapalua o nā hihia o ka maʻi e hele pū me nā hoʻopiʻi. Kūpono nā ʻōkuhi, perforation, koko a hoʻomaka paha ka manaʻo ʻana. I kēia hihia, hiki ke loaʻa ka maʻi o ka ʻōpū o ka ʻōpū. I kekahi manawa hiki i kēia hoʻomohala ulu ke ulu i loko o kahi maʻi palupalu.

ʻO ka nīnau ke pono e hana no ka wehe ʻana i ka cyst i hoʻoholo ʻia i hoʻokahi

ʻOiai me ka mālamaʻana i ka manawa kūpono, hiki ke hoʻokuʻi i ka hopena me nā hopena koʻikoʻi. Inā ʻaʻole hoʻopau ʻia nā kumu kumu, e puka hou ka pūkia. No laila, he mea nui loa nā hana e pale ai i kēia kūlana. I mea eʻai pono ai, hāʻawi i ka wai inu a me ka uahi ʻana, a inā inā aia nā hōʻailona o ka hōʻino ʻana i ka pēpē ʻana i ka manawa e hoʻokō ai ka mālama ʻana.

Hoike Mai

ʻO kahi huelo ma ka pancreas he hanana maʻamau. Akā ʻaʻole ʻike nā mea maʻi āpau i kā lākou maʻi ʻana, ʻoiai nā puka liʻiliʻi e hana ʻole i kahi pilikia ʻole. Manaʻo ka poʻe he nui inā hiki ke hana inā ʻaʻohe hana. Aia wale nō i ka ʻano pilikino. Akā hiki iā ʻoe ke aʻo i ka loiloi maʻi hoʻomanawanui o nā ʻano lāʻau lapaʻau like ʻole.