Nā Cyst Pancreatic

ʻO nā cyst pancreatic he mau ʻeke wai ia ma luna a i ʻole i loko o kou pancreas. ʻO ka pancreas kahi ʻōnaehana nui ma hope o ka ʻōpū e hana ana i nā hormones a me nā enzyme e kōkua ana i ka hoʻoheheʻe ʻana i ka meaʻai. Loaʻa pinepine nā cyst pancreatic i ka wā o ka hoʻokolohua kiʻi no kahi pilikia ʻē aʻe.

ʻAʻole paha ʻoe e loaʻa nā hōʻailona mai nā cysts pancreatic, kahi i loaʻa pinepine ʻia i ka wā e hana ʻia ai nā hoʻokolohua kiʻi o ka ʻōpū no ke kumu ʻē aʻe.

I ka wā e loaʻa ai nā hōʻailona a i ʻole nā ​​hōʻailona o nā cysts pancreatic, ʻo ia mau mea maʻamau:

• ʻEha ʻōpū mau, hiki ke pālahalaha i kou kua
• Nāʻā a me ka luaʻi
• Pau ke kaupaona
• Manaʻo piha koke ma hope o kou hoʻomaka ʻana e ʻai

Lohiau, hiki i nā cysts ke maʻi. E ʻike i ke kauka inā loaʻa iā ʻoe kahi kuni a me ka ʻeha ʻōpū mau.

Hiki i kahi cyst pancreatic i pahū ke lilo i pilikia olakino, akā maikaʻi loa, he mea maʻamau ʻole ia. Hiki i kahi cyst i pahū ke hoʻoulu pū i ka maʻi o ka ʻōpū (peritonitis).

ʻAʻole maopopo ke kumu o ka hapa nui o nā cysts pancreatic. Hoʻopili ʻia kekahi mau cysts me nā maʻi maʻamau ʻole, me ka polycystic kidney disease a i ʻole ka von Hippel-Lindau disease, kahi maʻi kino e hiki ke hoʻopili i ka pancreas a me nā ʻōnaehana ʻē aʻe.

Hoʻomaka pinepine nā pseudocysts ma hope o kahi maʻi ʻeha kahi e hana ai nā enzyme digestive ma mua o ka manawa a hoʻonāukiuki i ka pancreas (pancreatitis). Hiki nō hoʻi i nā pseudocysts ke hopena mai ka hōʻeha ʻana i ka ʻōpū, e like me kahi pōʻino kaʻa.

ʻO ka hoʻohana nui ʻana i ka waiʻona a me nā pōhaku ʻōpū nā mea pilikia no ka pancreatitis, a ʻo ka pancreatitis he mea pilikia no nā pseudocysts. He mea pilikia hoʻi ka hōʻeha ʻana o ka ʻōpū no nā pseudocysts.

ʻO ke ala maikaʻi loa e pale aku ai i nā pseudocysts, ʻo ia ka pale ʻana i ka pancreatitis, kahi i hana pinepine ʻia e nā pōhaku bile a i ʻole ka inu nui ʻana i ka waiʻona. Inā ʻo nā pōhaku bile ka mea e hoʻoulu ai i ka pancreatitis, pono paha ʻoe e wehe i kou gallbladder. Inā ʻo ka inu ʻana i ka waiʻona ke kumu o kāu pancreatitis, hiki i ka ʻole o ka inu ʻana ke hoʻemi i kou pilikia.

Ua ʻike pinepine ʻia nā cysts pancreatic ma mua o ka wā ma mua, no ka mea, ʻike maʻalahi ʻia nā ʻenehana kiʻi hou. Loaʻa nā cysts pancreatic he nui i ka wā o ka nānā ʻana i ka ʻōpū no nā pilikia ʻē aʻe.

Ma hope o ka lawe ʻana i ka mōʻaukala lapaʻau a me ka hana ʻana i kahi hoʻokolohua kino, hiki i kāu kauka ke ʻōlelo aku i nā hoʻokolohua kiʻi e kōkua i ka ʻike a me ka hoʻolālā lapaʻau. ʻO nā hoʻokolohua e komo pū ana:

ʻO nā ʻano a me kahi o ka cyst pancreatic, me kou makahiki a me kou wahine, hiki ke kōkua i nā kauka i kekahi manawa e hoʻoholo i ke ʻano o ka cyst āu i loaʻa ai:

Hiki i nā ʻano cysts ke ulu ma ka pancreas, ʻo kekahi he kanesa a ʻo kekahi he benign.

• CT scan (Computerized tomography). Hiki i kēia hoʻokolohua kiʻi ke hāʻawi i ka ʻike kikoʻī e pili ana i ka nui a me ke ʻano o ka cyst pancreatic.

• MRI scan. Hiki i kēia hoʻokolohua kiʻi ke hōʻike i nā kikoʻī subtle o ka cyst pancreatic, me ka loaʻa paha o nā mea e hōʻike ana i kahi pilikia kiʻekiʻe o ka maʻi kanesa.

• Endoscopic ultrasound. E like me ka MRI, hiki i kēia hoʻokolohua ke hāʻawi i kahi kiʻi kikoʻī o ka cyst. Eia kekahi, hiki ke ʻohi ʻia ka wai mai ka cyst no ka loiloi ʻana i kahi labo no nā hōʻailona o ka maʻi kanesa.

• Magnetic resonance cholangiopancreatography (MRCP). Ua manaʻo ʻia ka magnetic resonance cholangiopancreatography (MRCP) he hoʻokolohua kiʻi koho no ka nānā ʻana i ka cyst pancreatic. He mea kōkua loa kēia ʻano kiʻi no ka loiloi ʻana i nā cysts i ka pancreatic duct.

• ʻAʻole kanesa nā Pseudocysts (benign) a maʻamau ka pancreatitis ke kumu. Hiki nō hoʻi i nā trauma ke kumu o nā pancreatic pseudocysts.

• Hiki i nā Serous cystadenomas ke lilo i nui e hoʻoneʻe i nā ʻōnaehana kokoke, e hoʻokumu ana i ka ʻeha ʻōpū a me ka manaʻo piha. Loaʻa pinepine nā Serous cystadenomas i nā wāhine ma mua o 60 a he kakaikahi wale nō ka lilo ʻana i kanesa.

• Aia maʻamau nā Mucinous cystic neoplasms i ke kino a i ʻole ka huelo o ka pancreas a kokoke mau loa i nā wāhine, ʻoi aku ka pinepine i nā wāhine waena. He precancerous ka Mucinous cystadenoma, ʻo ia hoʻi hiki ke lilo i kanesa inā waiho ʻole ʻia. Hiki i nā cysts nui ke lilo i kanesa i ka wā i loaʻa ai.

• ʻO ka intraductal papillary mucinous neoplasm (IPMN) kahi ulu i ka pancreatic duct nui a i ʻole kekahi o kāna mau lālā ʻaoʻao. Hiki i ka intraductal papillary mucinous neoplasm (IPMN) ke lilo i precancerous a i ʻole kanesa. Hiki ke loaʻa i nā kāne a me nā wāhine ma mua o 50. Ma muli o kona wahi a me nā mea ʻē aʻe, pono paha ka wehe ʻana i ka ʻoki ʻana i ka IPMN.

• Aia maʻamau nā Solid pseudopapillary neoplasms i ke kino a i ʻole ka huelo o ka pancreas a loaʻa pinepine i nā wāhine ma lalo o 35. He kakaikahi a i kekahi manawa he kanesa.

• ʻO ka hapa nui he paʻa ka cystic neuroendocrine tumor akā hiki ke loaʻa nā ʻāpana cystlike. Hiki ke huikau ʻia me nā cysts pancreatic ʻē aʻe a he precancerous a i ʻole kanesa paha.

Ke kali akahele a i ʻole ka mālama ʻana e hilinaʻi ana i ke ʻano o ka cyst āu i loaʻa ai, kona nui, kona mau ʻano a inā paha e hoʻoulu ana i nā hōʻailona.

Hiki ke waiho wale ʻia kahi pseudocyst maikaʻi, ʻoiai he nui loa ia, i ka wā lōʻihi ʻaʻole ia e hoʻopilikia iā ʻoe. ʻAʻole pinepine ka serous cystadenoma e lilo i kanesa, no laila hiki ke waiho wale ʻia ke ʻole ia e hoʻoulu i nā hōʻailona a ulu paha. Pono e nānā ʻia kekahi mau cysts pancreatic.

Hiki ke hoʻokahe ʻia kahi pseudocyst e hoʻoulu ana i nā hōʻailona pilikia a ulu nui paha. Hoʻokomo ʻia kahi tube liʻiliʻi palupalu (endoscope) ma o kou waha i kou ʻōpū a me ka ʻōpū liʻiliʻi. Hoʻolako ʻia ka endoscope me kahi ultrasound probe (endoscopic ultrasound) a me kahi nila e hoʻokahe i ka cyst. I kekahi manawa, pono ka hoʻokahe ʻana ma o ka ʻili.

Pono kekahi mau ʻano o nā cysts pancreatic i ka wehe ʻana ma ka ʻoki ʻana ma muli o ka pilikia o ka kanesa. Pono paha ka ʻoki ʻana e wehe i kahi pseudocyst nui a i ʻole kahi serous cystadenoma e hoʻoulu ana i ka ʻeha a i ʻole nā ​​hōʻailona ʻē aʻe.

Hiki i kahi pseudocyst ke hoʻi hou mai inā loaʻa iā ʻoe ka pancreatitis mau.