Pseudocyst ea Pancreatic

Pseudocyst ea pancreatic ke mokotla o tletseng mokelikeli ka mpeng o hlahang liphakeng. E kanna ea ba le lisele tsa liphakaretsi, li-enzyme le mali.

Manyeme ke setho se ka mora mpa. E hlahisa lik'hemik'hale (tse bitsoang li-enzyme) tse hlokahalang ho sila lijo. E boetse e hlahisa lihomone tsa insulin le glucagon.

Li-psereatocyst tsa Pancreatic hangata li hlaha kamora ketsahalo ea ho fokola ha matla. Pancreatitis e etsahala ha manyeme a hao a ruruha. Ho na le lisosa tse ngata tsa bothata bona.

Ka linako tse ling bothata bona bo ka hlaha:

• Ho motho ea nang le nako e telele (e sa foleng) ho ruruha ha manyeme
• Kamora khatello ea maikutlo mpeng, hangata ho bana

Pseudocyst e etsahala ha methapo (methapo) ea manyeme e senyehile mme mokelikeli o nang le li-enzyme o sitoa ho tsoa.

Matšoao a ka hlaha matsatsing a seng makae ho isa ho likhoeli kamora ho hlaseloa ke pancreatitis. Li kenyeletsa:

• Ho ruruha hoa mpa
• Ho opeloa khafetsa kapa bohloko bo tebileng ka mpeng, le bona bo ka utloang mokokotlong
• Ho nyekeloa le ho hlatsa
  
• Ho felloa ke takatso ea lijo
  
• Ho thata ho ja le ho sila lijo

Mofani oa tlhokomelo ea bophelo a ka utloa mpa ea hau bakeng sa pseudocyst. E tla utloa eka ke hlama e bohareng kapa e ka mpeng ea mpa.

Liteko tse ka thusang ho lemoha pseudocyst ea pancreatic e kenyelletsa:

• Tlhaloso ea mpa ea mpa
• MRI ea mpeng
• Mpa ea ka mpeng
• Endoscopic ultrasound (EUS)

Kalafo e ipapisitse le boholo ba pseudocyst le hore na e baka matšoao. Li-pseudocyst tse ngata li ea ka botsona. Tse setseng nako e fetang libeke tse 6 'me li le kholo ho feta bophara ba lisenthimithara tse 5 hangata li hloka kalafo.

Kalafo e ka bang teng e kenyelletsa:

• Ho lutla ka letlalo ka nale, hangata ho tataisoa ke CT scan.
• Drainage e thusitsoeng ke endoscopic e sebelisang endoscope. Ho sena, tube e nang le kh'amera le khanya e fetisetsoa ka mpeng)
• Metsi a ho buoa a pseudocyst. Khokahano e etsoa lipakeng tsa cyst le mpa kapa mala a manyane. Sena se ka etsoa ka ho sebelisa laparoscope.

Phello hangata e ntle ka kalafo. Ho bohlokoa ho netefatsa hore ha se mofetše oa pancreatic o qalang ka cyst, o nang le litlamorao tse mpe.

Mathata a ka kenyelletsa:

• Phofu ea pancreatic e ka hlaha haeba pseudocyst e ka tšoaetsoa.
• Pseudocyst e ka phatloha (ho phatloha). Sena e ka ba bothata bo tebileng hobane ts'abo le ho tsoa mali ho feteletseng (hemorrhage) ho ka hlaha.
• Pseudocyst e ka hatella litho tsa haufi.

Ho phatloha ha pseudocyst ke tšohanyetso ea bongaka. E-ea kamoreng ea maemo a tšohanyetso kapa u letsetse nomoro ea ts'ohanyetso ea lehae (joalo ka 911) haeba u ba le matšoao a ho tsoa mali kapa ho ts'oha joalo ka

• Ho akheha
• Feberu le ho bata
• Ho otla ha pelo kapele
• Bohloko bo bohloko ba mpeng

Tsela ea ho thibela li-pseudocysts tsa pancreatic ke ka ho thibela ho fokola ha masapo. Haeba pancreatitis e bakoa ke li-gallstones, mofani oa litšebeletso o tla etsa opereishene ho tlosa gallbladder (cholecystectomy).

Ha pancreatitis e hlaha ka lebaka la tšebeliso e mpe ea joala, o tlameha ho emisa ho noa joala ho thibela litlhaselo tse tlang.

Ha pancreatitis e hlaha ka lebaka la triglycerides e phahameng ea mali, boemo bona bo lokela ho phekoloa.

Pancreatitis - pseudocyst

• Tsamaiso ea ho sila lijo
• Litšoelesa tsa endocrine
• Pancreatic pseudocyst - Tlhatlhobo ea CT
• Mekhanya

Forsmark CE. Pancreatitis. Ka: Goldman L, Schafer AI, li-eds. Phekolo ea Goldman-Cecil. La 26th. Philadelphia, PA: Elsevier; 2020: khaolo ea 135.

Martin MJ, CVR e sootho. Tsamaiso ea pseudocyst ea pancreatic. Ka: Cameron AM, Cameron JL, bahlophisi. Phekolo ea Hajoale ea Ts'ebetso. 13th ed. Philadelphia, PA: Elsevier; Ka selemo sa 2020: 525-536.

Tenner SC, Steinberg WM. Pherekano e matla. Ka: Feldman M, Friedman LS, Brandt LJ, bahlophisi. Sleisenger le Fordtran's Mafu a ka Mpeng le a Sebete: Pathophysiology / Diagnosis / Management. 10th ed. Philadelphia, PA: Elsevier Saunders; 2016: khaolo ea 58.