Pancreatic pseudocyst (cnye)

Pancreatic pseudocyst bụ akpa mmiri jupụtara n’ime afọ nke na-esite na pancreas. Ọ nwekwara ike ịnwe anụ ahụ site na pancreas, enzymes, na ọbara.

Pancreas bụ ngwa dị n’azụ afọ. Ọ na - emepụta kemikal (a na - akpọ enzymes) chọrọ iji gbari nri. Ọ na-arụpụtakwa homonụ insulin na glucagon.

Pancreatic pseudocysts na-etokarị mgbe ọ gbasasịrị nke nnukwu pancreatitis. Pancreatitis na-eme mgbe pancreas gị na-agbanye ọkụ. Enwere ọtụtụ ihe kpatara nsogbu a.

Nsogbu a nwere ike mgbe ụfọdụ ime:

• Na onye nwere ogologo oge (ala ala) ọzịza nke pancreas
• Mgbe enwere nsogbu na afọ, ọtụtụ mgbe na ụmụaka

Pseudocyst na - eme mgbe ọwa mmiri (tubes) dị na pancreas mebiri emebi na mmiri nwere enzymes enweghị ike ịmịpụ.

Mgbaàmà nwere ike ime n'ime ụbọchị ruo ọnwa mgbe mwakpo nke pancreatitis. Ha gụnyere:

• Afọ nke afọ
• Ihe mgbu mgbe niile ma ọ bụ mgbu miri emi na afọ, nke nwekwara ike na-eche na azụ
• Ọgbọ na ọgbụgbọ
  
• Loss nke agụụ
  
• O siri ike iri nri na ịgbari nri

Onye nlekọta ahụike nwere ike iche afọ gị maka pseudocyst. Ọ ga-adị ka akpụ n’etiti etiti aka ekpe ma ọ bụ aka ekpe.

Ule nke nwere ike inyere aka chọpụta pseudocyst pancreatic gụnyere:

• Ime CT i scanomi
• Afọ MRI
• Ime ultrasound
• Endoscopic ultrasound (EUS)

Ọgwụgwọ dabere nha pseudocyst na ma ọ na-ebute mgbaàmà. Ọtụtụ pseudocysts na-aga onwe ha. Ndị na-adịgide karịa izu isii ma buru ibu karịa 5 cm na dayameta na-achọkarị ọgwụgwọ.

Usoro ọgwụgwọ nwere ike ịgụnye:

• Ingbapu mmiri site na iji agịga, nke a na-ejikarị nyocha CT.
• Endoscopic-enyere drainage site na iji endoscope. N'ime nke a, ọkpọkọ nwere igwefoto na ọkụ na-agbada n'ime afọ)
• Wa ahụ drainage nke pseudocyst. Njikọ dị n'etiti cyst na afọ ma ọ bụ obere eriri afọ. Enwere ike ime nke a site na iji laparoscope.

Nsonaazụ ya na-adịkarị mma na ọgwụgwọ. Ọ dị mkpa ijide n'aka na ọ bụghị ọrịa pancreatic na-amalite na cyst, nke nwere nsonaazụ ka njọ.

Nsogbu nwere ike ịgụnye:

• Azụ pancreatic nwere ike ịmalite ma ọ bụrụ na pseudocyst na-ebute ọrịa.
• Pseudocyst nwere ike imebi (mgbapu). Nke a nwere ike ịbụ nnukwu nsogbu n'ihi na ujo na ịkwafu ọbara (ọbara ọgbụgba) nwere ike ịmalite.
• Pseudocyst nwere ike ịpị aka (mkpakọ) akụkụ dị nso.

Mgbapu nke pseudocyst bụ ihe mberede ahụike. Gaa na ụlọ mberede ma ọ bụ kpọọ nọmba mberede obodo (dịka 911) ma ọ bụrụ na ị nwee ihe mgbaàmà nke ọbara ọgbụgba ma ọ bụ ụjọ, dị ka:

• Da mba
• Ahụ ọkụ na akpata oyi
• Otito otiti
• Oké mgbu mgbu

Tozọ iji gbochie pseudocysts pancreatic bụ site na igbochi pancreatic. Ọ bụrụ na enwere pancreatitis site na gallstones, onye na-eweta ya ga-awa ahụ iji wepu gallbladder (cholecystectomy).

Mgbe pancreatitis pụtara n'ihi ị abuseụbiga mmanya ókè, ị ga-akwụsị ị drinkingụ mmanya na-aba n'anya iji gbochie mwakpo n'ọdịnihu.

Mgbe pancreatitis pụtara n'ihi ọbara triglycerides dị elu, a ghaghị ịgwọ ọnọdụ a.

Pancreatitis - pseudocyst

• Usoro nri
• Ọgwụ endocrine
• Pancreatic pseudocyst - CT nyocha
• Pancreas

Forsmark OA. Pancreatitis. Na: Goldman L, Schafer AI, eds. Ọgwụ Goldman-Cecil. Nke 26th. Philadelphia, PA: Elsevier; 2020: isi 135.

Martin MJ, Brown CVR. Nchịkwa nke pseudocyst pancreatic. Na: Cameron AM, Cameron JL, eds. Usoro ọgwụgwọ nke oge a. Nke 13. Philadelphia, PA: Elsevier; 2020: 525-536.

Tenner SC, Steinberg WM. Nnukwu pancreatitis. Na: Feldman M, Friedman LS, Brandt LJ, eds. Sleisenger na Ọrịa Cancer nke Fordtran na Ọrịa Imeju: Pathophysiology / Diagnosis / Management. Nke iri. Philadelphia, PA: Elsevier Saunders; 2016: isi 58.