Ama-Cyst E-Pancreas

Ama-cyst e-pancreas ayizikhwama ezifana ne-saki ezigcwele uketshezi olusemilenzeni yakho noma ngaphakathi kwayo. I-pancreas yilungu elikhulu elisemuva kwesisu elikhiqiza ama-homoni nama-enzyme asiza ekweluleni ukudla. Ama-cyst e-pancreas avame ukutholakala ngesikhathi sokuhlolwa kwezithombe ngenxa yenkinga enye.

Awukwazi ukuthi uba nezimpawu ezivela kuma-cyst e-pancreas, okuvamile ukutholakala lapho kwenziwa ukuhlolwa kwezithombe zesisu ngenxa yesizathu esithile.

Uma izimpawu noma izimpawu zama-cyst e-pancreas zivele, ngokuvamile zihlanganisa:

• Ubuhlungu obuqhubekayo besisu, obungase bukhanye emuva
• Ukuhlanza nokugabha
• Ukwehla kwesisindo
• Ukuzizwa ugcwele ngokushesha nje uma uqala ukudla

Ngokwemvelo, ama-cyst angatheleleka. Bheka udokotela uma une-fever nobuhlungu obuqhubekayo besisu.

Ukuphazamiseka kwe-cyst yepancreatic kungaba yingozi yezokwelapha, kodwa ngenhlanhla kuyabambeka. I-cyst ephazamisekile ingabangela ukutheleleka komgudu wesisu (peritonitis).

Imbangela yeningi lama-cyst e-pancreas ayaziwa. Amanye ama-cyst ahambisana nezifo ezingavamile, kuhlanganise isifo sezinso eziningi noma isifo se-von Hippel-Lindau, isifo sokuzalwa esingathinta i-pancreas namanye amalungu omzimba.

Pseudocysts ngokuvamile ilandelwa yisimo sobuhlungu lapho ama-enzyme okuhlanza ukudla ehlala asebenza ngaphambi kwesikhathi futhi akhungathekise i-pancreas (pancreatitis). Ama-pseudocyst angabuye aphumelele ekulimala esiswini, njengokulimalwa ngengozi yemoto.

Ukusebenzisa utshwala kakhulu kanye namathumbu ethumbu yizimbangela zengozi ye-pancreatitis, futhi i-pancreatitis iyimbangela yengozi yama-pseudocysts. Ukulimala komgudu futhi kuyimbangela yengozi yama-pseudocysts.

Indlela engcono kakhulu yokugwema i-pseudocysts ukugwema i-pancreatitis, evame ukubangelwa yamatye e-gallbladder noma ukusebenzisa utshwala kakhulu. Uma amatye e-gallbladder ebangela i-pancreatitis, kungase kudingeke ukuba ukhishwe i-gallbladder yakho. Uma i-pancreatitis yakho ivela ekusebenziseni utshwala, ukungaphuzi kunganciphisa ingozi yakho.

Ama-cyst e-pancreas atholakala kakhulu kunakuqala ngoba ubuchwepheshe obuthuthukisiwe bokubona buya kubatholakala kalula. Ama-cyst amaningi e-pancreas atholakala ngesikhathi sokucubungula isisu ngenxa yezinye izinkinga.

Ngemva kokuthatha umlando wezokwelapha nokwenza ukuhlolwa komzimba, udokotela wakho angakuncoma ukuhlolwa kwezithombe ukuze kusize ekutholakala nasekulungiseni ukwelashwa. Izivivinyo zihlanganisa:

Izici nendawo ye-cyst ye-pancreas, kanye nobudala bakho nobulili, ngezinye izikhathi zingasiza odokotela ukuthi baqonde uhlobo lwe-cyst onayo:

Amahlobo amaningi ama-cyst angakhula e-pancreas, amanye ayingozi amanye awabi ngongozi.

• Ukuhlolwa kwe-computerized tomography (CT). Lolu hlolo lwezithombe lunganikeza ulwazi oluqondile ngobukhulu nendlela ye-cyst ye-pancreas.

• Ukuhlolwa kwe-MRI. Lolu hlolo lwezithombe lungaveza imininingwane ebucayi ye-cyst ye-pancreas, kufaka phakathi ukuthi inezinto eziphakamisa ingozi enkulu yomdlavuza.

• I-ultrasound ye-endoscopic. Lolu viyo, njenge-MRI, lunganikeza isithombe esicacile se-cyst. Futhi, i-fluid ingabuthelwa kwi-cyst ukuze ihlolwe elabhoratri ukuze kutholakale izimpawu zomdlavuza.

• I-magnetic resonance cholangiopancreatography (MRCP). I-magnetic resonance cholangiopancreatography (MRCP) ibhekwa njengohlolo lwezithombe olufanelekile lokuqapha i-cyst ye-pancreas. Lolu hlobo lwezithombe lusiza kakhulu ekulinganiseni ama-cyst e-pancreatic duct.

• Ama-pseudocysts awabi ngongozi (awabi ngongozi) futhi avame ukubangelwa yi-pancreatitis. Ama-pancreatic pseudocysts angabangelwa futhi yi-trauma.

• Ama-serous cystadenomas angakhula amakhulu ngokwanele ukuba asuse izitho eziseduze, abangele ubuhlungu besisu nomuzwa wokugcwaliswa. Ama-serous cystadenomas avame kakhulu kwabesifazane abadala kuno-60 futhi kancane nje aba yingozi.

• Ama-mucinous cystic neoplasms avame ukuba emzimbeni noma ekhanda le-pancreas futhi cishe ahlale evela kwabesifazane, ngokuvamile kwabesifazane abaphakathi nendawo. I-mucinous cystadenoma iyimbangela yomdlavuza, okusho ukuthi ingaba yimdlavuza uma ingalashwa. Ama-cyst amakhulu angase abe yimdlavuza uma etholakala.

• I-intraductal papillary mucinous neoplasm (IPMN) ukukhula kwephansi le-pancreas noma kwesinye sezinhlobo zalo. I-intraductal papillary mucinous neoplasm (IPMN) ingaba yimbangela yomdlavuza noma ibe yimdlavuza. Ingaba khona kokubili kubantu besilisa nabesifazane abadala kuno-50. Kuye ngendawo yayo nezinye izinto, i-IPMN ingadinga ukususwa ngokusebenza.

• Ama-solid pseudopapillary neoplasms avame ukuba emzimbeni noma ekhanda le-pancreas futhi avame kakhulu kwabesifazane abaneminyaka engaphansi kuka-35. Awavamile futhi ngezinye izikhathi abe yingozi.

• I-cystic neuroendocrine tumor iningi layo liqinile kodwa lingaba nezinto ezifana ne-cyst. Zingadideka nezinye ama-cyst e-pancreas futhi zingaba yimbangela yomdlavuza noma ibe yimdlavuza.

Ukubhekela noma ukwelashwa kuncike ohlotsheni lwesistimu onayo, usayizi wayo, izici zayo nokuthi iyakubangela yini izimpawu.

Isistimu esilungile, ngisho noma ilikhulu, ingashiywa ilodwa uma ingakuphazamisi. I-serous cystadenoma ayivame ukuba umdlavuza, ngakho-ke nayo ingashiywa ilodwa ngaphandle uma iphazamisa noma ikhula. Ezinye izistimu ze-pancreatic kufanele ziqaphawe.

Isistimu engapheliyo ebangela izimpawu eziphazamisayo noma ekhula ingase ihlanzwe. Umphako omncane onenhlanzi (endoscope) udluliselwa emlonyeni wakho esiswini nasemathunjini amancane. I-endoscope ihlotshiswe nge-probe ye-ultrasound (endoscopic ultrasound) nesihlangu sokuhlanza isistimu. Ngezinye izikhathi ukuhlanza ngokusebenzisa isikhumba kuyadingeka.

Ezinye izinhlobo ze-pancreatic cysts zidinga ukususwa ngokusebenza ngenxa yengozi yomdlavuza. Ukuhlinzwa kungase kudingeke ukususa isistimu esikhulu noma i-serous cystadenoma ebangela ubuhlungu noma ezinye izimpawu.

Isistimu engapheliyo ingase ibuyele uma une-pancreatitis eqhubekayo.