He aha kahi pseudocyst o ka pancreas

Nui nā maʻi e hoʻomaka ana ka asymptomatic. Hoʻopili kēia ma ka cyst a me kahi pseudocyst o ka pancreas. Ua kapa ʻia nō hoʻi ʻo ka pancreatic pseudocyst. ʻO ka pinepine, ʻo ka hoʻonaʻauao ka hopena o ke aʻeha o ke pancreatitis a maʻi mau paha. ʻO kahi pseudocyst kahi hōʻiliʻili o nā wai pancreatic i hoʻopuni ʻia e ka iwi fibrous. He pōʻino no ka mea, he mea paʻakikī loa ka wai pancreatic, a inā e komo ia i nā ʻili e hoʻopuni nei, hiki iā ia ke hōʻalo iā ia iho.

ʻO kekahi kumu maʻamau maʻamau o pseudocysts ʻo ia ka hōʻino wai. Hiki iā ia ke ulu pū ma muli o ka hoʻokuʻu ʻana o ka dankre pancreatic a i ʻole hoʻi ka trauma i loko o ka ʻōpū.

Nā hōʻailona a me nā hoʻopiʻi hiki ʻana i nā pseudocysts

ʻAʻohe ʻokoʻa ka pseudocyst i kona pānaʻi ʻana i ka ʻala i loko wale nō i kona ʻili ʻole i waho me ka epithelium. ʻAno ke ʻano o ka pseudocyst e like me ke kuʻi maʻamau, a hiki ke ʻano paʻakikī i kāna hoʻomohala ʻana. Hoʻopili ʻia nā cysts e like me ka nui, ka hoʻonohonoho ʻana a me ke kiʻekiʻe o ka pilikia i ke kino. Hiki i ke pseudocyst ke hoʻonui i ka nui ka nui o ia e kau i ka pehu ma luna o nā kino o ka wahī a kau i kā lākou hana maʻamau. I nā hihia lohi, hiki i nā ʻōpū ma nā pancreas ke nalowale me ka ʻole o ka hōʻino ʻana, ma muli o kaʻai paʻa loa. I ka hapa nui, e koi ʻia ka hoʻopili ʻana ma ka ʻohi ʻana: ma waena a i ʻole waho o ka pāheʻe, cyst resection (i.e. wehe).

I ka 85% o nā hihia, kū kahi pseudocyst i loko o ke kino a me ka huelo o ka pancreas, ke koena 15% - i ke poʻo. Pateudocyst ka pancreatic ma muli o ka nalo o nā hōʻailona i haʻi ʻia. Kēia hiki i ka ʻōpū o ka ʻōpū, huhū, hoʻoweliweli. Ke hele nei nā ʻōhaka i ka manawa i hiki ai ka pūpū i kahi nui nui, ma ke kumu kahi e haki a hana ai i nā hua palapala i nā ʻōpū o ka ʻōpū. Inā hōʻino ka ʻala i ka moku nui, hiki mai ke koko gastrointestinal - kahi hopena maikaʻi loa e hoʻopiʻi nei i mea e hoʻoweliweli ai i ke ola o ke kanaka. ʻO kahi koho hou aʻe no nā hoʻopiʻi ʻana, ʻo ia ka hoʻomanawanui o ka cyst, aʻo ke kūkulu ʻana i kahi kahe o loko e pono ai ka hana koke koke.

ʻO ka nui o nā pseudocysts hiki ke hoʻopaʻa ʻia mai ka 2 cm a 40, a ʻoi aʻe ka nui, ʻo ke kiʻekiʻe aʻe ka mōʻihi e wāwahi ai. A ʻo kēia, ke huli nei i nā hopena koʻikoʻi no ka mea maʻi. No ka hōʻalo ʻana i kēia, pono ia e ʻimi i ke kōkua olakino i ka manawa kūpono, me ka ʻole ʻana o ka hana ʻana. No ka hiki i ka weheʻana i ka pseudocyst o ka pancreas, hiki i nā hana hoʻokipa ke hoʻohana ʻia. Penei kahi hiwahiwa oloko, a me waho ole o ka paepae, a i ole cyst resection, i.e. ka wehe ana me ka mahele o ka kumilima. He aha ke ʻano o ka hana e koho ʻia e ke kauka ma kēlā me kēia hihia, e pili ana i ka nui o ka cyst, ke kūlana maʻamau o ka mea maʻi a me ke kiʻi o ka maʻi maʻi o ka maʻi. Ma hope o ka wehe ʻana i ka cyst, pono e hoʻopiʻi ka mea maʻi i kahi meaʻai paʻa i kauoha ʻia e ke kauka e pale i ka hoʻi hou ʻana. Hiki iā ʻoe ke ho'āʻo i ka mālama ʻana me ka mālama ʻana i ka lāhui. I ka hui pū me kahi meaʻai, hāʻawi lākou i ka hopena maikaʻi.

Mahu palapala Pseudocyst

He cyst a pseudocyst kahi pōpilikia nui a hiki i ke kumu hōʻeha maikaʻi ʻole i ke kino. Inā hāʻule, hiki i ka mea maʻi me kahi 50% e manaʻo ʻia e make. No laila, he mea nui loa ia e nānā i ke kūlana o ka cyst a kiaʻi pinepine mau i kona nui a me ke kūlana. Kuhi ʻia kahi pseudo-cyst e liʻiliʻi i ka 4 mm ka nui a ka mea i ʻike ʻia i ka mea maʻi, ʻike ʻia ka nānā ʻana me ka nānā ʻana i ka ultrasound maʻamau. Ke hoʻomaka nei kahi pseudocyst i mua o 4 mm i ka hopohopo, no ka mea e hiki ke hoʻopiʻi i nā hoʻopiʻi e like me ka pohō ʻana o ka cyst, ka hoʻokaʻaka o loko, a me nā mea maʻamau a maʻamau, ʻo ka maʻi o ka mea maʻi e nānā ʻia no nā wiki he 4-6, a inā ʻaʻole e loli ka nui o ka pseudocyst i kēia manawa, a laila hiki ke noi. kona hakahaka, lawe ʻia ma ka hoʻohana ʻana i kahi endoscope.

ʻO ka hōʻalo o kekahi o nā kaʻina hana i hoʻohana ʻia i ka mālamaʻana i ka pseudocysts pancreatic. Aia nā ʻano loiloi o waho a me waho. ʻO ka manawa pinepine, hoʻohana nā kauka i ke ala o loko i ka pseudocysts wai. Mamuli o ke ʻano o ka hana, ua wehe ʻia ka cystoyunoanastomosis (hana Brown, ka hana Shalimov, hana ʻo Ru), ʻo cystogastroanastomosis (hana Jurash) a me cystoduodenoanastamosis e wehe. ʻO kēia mau hana āpau he ʻenehana hoʻokele like ʻole, akā ma hope ke alakaʻi nei i kahi kahe o ka wai i loko o ka cyst. Wahi a kahi o nā cyst, ua koho ʻia he ʻano hana kūikawā. No nā cysts o ke poʻo pancreatic, hōʻike ʻia ka cystoduodenoanastamosis, a no ka pseudocysts o ka huelo pancreatic, cystogastroanastomosis e hōʻike ʻia.

Ua kūpono kēia mau ala, no ka mea ke kōkua nei lākou i ka hoʻihoʻi ʻana o ka neʻe ʻana o nā mea huna pancreatic, hōʻemi i ka ʻeha a hōʻemi i ka hopena o ka hoʻi hou ʻana. Kēia, akā ʻaʻole i hoʻokaʻawale ʻia nā hoʻopiʻi, e like me ka hoʻowalewale o ka huina a pau i loko o ka lua o ka pseudocyst me ka suppuration, ʻāhā peptic, a me ke koko i loko o ka lua o ka cyst.

Hoʻohana ʻia ka lua o waho o nā pseudocysts. Kūkākena, ua hōʻike ʻia kēia ʻano hana no ka suppuration o ka ana, kahi vascularization ikaika o ke ʻano a ma ke ʻano he nui koʻikoʻi o ka mea maʻi. ʻO ka maʻamau ka hānā o kēia mau kaukau palliative, i.e. ka lawe wikiwiki ʻia lākou, ma muli o ka hiki ʻana mai o nā kūlana weliweli i kahi maʻi. He ʻano wehe paha paha kēia a i ʻole nā ʻōpū o kahi ona hakahaka. Ke hoʻokō nei i kahi kahe o waho, aia kahi kiʻekiʻe o ka suppuration a me ka hoʻokumu ʻana o fistula pancreatic, kahi i ka wā e hiki mai ana i ka hoʻokō ʻana i nā kaʻina hana ʻoi aku ka paʻakikī. ʻO nā ʻano hana holo ʻole āpau e hana wale ma hope o ka hōʻoia ʻana o ka ʻano non-tumor o ka cyst.

Hoʻololi nā minimally invasive a me ke aloha cyst

Hoʻomaʻamaʻa nā kaʻina minimally no ka mālama ʻana i nā hana pana wai, akā, ʻoiai ke hoʻohiki nei lākou, he nui nā mea hoʻonāukiuki hope, e like me ka pancreatic fistula, sepsis.

ʻO kekahi ala hou e wehe ai i nā pseudocysts hiki i kona wehe. Hana ʻia kēia hana ma ka hōʻoki ʻana i kahi ʻāpana o ka pancreas me kahi cyst. Kuhi ʻia ka nui o ka hōʻa hou ʻana e ka nui o ka cyst a me kona ʻano.

He hopena lōʻihi a paʻakikī paha ke ʻano o ka pseudocysts, akā, no ka hoʻopili ʻana i ka manawa kūpono me nā poʻe loea a me ka mālama pono i nā kauoha a ke kauka, hiki ke loaʻa i kahi hopena kūpono o ka mālama ʻia i nā 80% o nā hihia. I ke koena o 20% o nā maʻi, e kali ana ka hoʻomaha.

Hoʻohana maikaʻi

Ma ka hihia i ka wā ʻaʻole i hōʻike ka pseudocyst iā ia iho i kekahi ʻano, ʻaʻole kaukaʻi nā kauka i kekahi mau lāʻau lapaʻau. ʻAʻole hana ʻia ka hana ʻoi ʻana. Aia aia kekahi hiki i ia ʻano hoʻohālike i hoʻoholo i kā lākou iho, ʻoiai me ka nalo ʻole o ka lāʻau lapaʻau. ʻO ka maʻamau, ʻo nā mea maʻi me kahi pseudocyst o ka pancreas e kono ʻia e hana i kēia mau koho iho:

pono ke hahai mau ka mea maʻi i kahi meaʻai paʻa,
pono ka hoʻomanawanui ma ka maʻi maʻamau a nānā i ke ʻano o ka pancreas,
ia manawa mai ia manawa e hoʻokau ai i nā hoʻokolohua, i ʻole e hopohopo i ka pōʻino o ke kino,
Hiki iā ʻoe ke ho'āʻo i nā ʻano lāʻau lapaʻau kuʻuna.

ʻO ka pāʻai koʻikoʻi i hōʻike ʻia e nā kauka no nā maʻi o ka pancreas e hoʻopili nei i ka wehe ʻana ʻana o nā huahana e hiki mai ana mai ka papaʻai:

momona momona a me nā momona
nā mea inu ʻona
pepa a i ʻole ka ʻai i ka paʻakai
margarine
ketchups, mayonnaise,
kofe, tī keke, inu inu maikaʻi,
E kuhi ana i ka nui o ka momona a me ke kō.

Hoʻonohonoho ʻia e ʻai i nā hua a me nā meaʻai. Ma mua o ka ʻai ʻana, ʻoi aku ka maikaʻi o ka ʻū a i ʻole kaomi. Mai ʻai i nā meaʻai wela a i ʻole nō hoʻi. Hiki iā ʻoe ke hoʻohui i ka mālama ʻana me nā leʻaleʻa pilikino i ka meaʻai, a me ke kōkua pū i ka puhi ʻana i ka nui o ka umauma a hoʻomaikaʻi i ka pancreas.

Nā lāʻau lapaʻau lāʻau lapaʻau no ka mālama ʻana

Hāʻawi pinepine ʻia nā mea me nā ala koho ʻē aʻe i nā hopena maikaʻi. I ka hui pū me kahi meaʻai, hiki iā ia ke kāpae i ka hoʻomohala ʻana o nā pseudocysts a pale i ka puka ʻana o nā puka hou. I ka lāʻau lapaʻau o nā kānaka, kaulana nā helu o hiki ke kōkua i ka hakakā ʻana me kēia maʻi, eia kekahi o lākou:

ʻO Yarrow, celandine a me calendula e lawe i nā kumukūʻai like, a laila 1 tbsp. la l ʻO ka kihi hopena o nā mea kanu i ninini ʻia me ka 1 kīʻaha o ka wai a hoʻolapalapa a waiho i ka waʻa no ʻelua mau hola. E hoʻomaloʻo i ka waiu hopena a lawe i ka 3-4 tbsp. la l ma mua o ka ʻai ʻana.
ʻO nā pua o ka mea kanu, tansy, calendula. Pono e hoʻokaʻawale iā lākou i nā waiwai like a ninini i ka wai kohua, ma ka pae o 1 tbsp. la l i loko o kahi aniani o ka wai e hoʻolapalapa ana. Pono e pīpī i ka wai hopena i mau hola, a laila kānana. Pono ʻoe e inu i hoʻokahi manawa i ka lā no kahi hapa kīʻaha. ʻO ka papa akoranga o ka mālama liʻiliʻi ma ka 1 mahina.
No ka hoʻomākaukau ʻana i kekahi ʻano o ka mālama ʻana i ka pseudocysts pancreatic, kaulana i ka lāʻau lapaʻau ʻana, pono ia e loaʻa i nā ʻāpana like i nā lau blueberry, stigmas palaoa, bean leaf, lingonberry, strawberry. 1 tbsp. la l Kūkulu ʻia kēlā ʻano hui piha me kahi ipu anana o ka wai piha a waiho ʻia a hiki i kakahiaka. A laila e hoʻokaʻawale ʻia ka hupa hopena a lawe ʻia hoʻokahi manawa i ka lā ma ka hapalua o ke aniani. ʻO ke papa no ka mālamaʻana he 2 mau pule, ma hope o ke kau ʻana o kahi hoʻomaha.
He mea waiwai ʻo Mummy no ka mālama ʻana i nā maʻi like ʻole, e hoʻolauleʻa ana i ka hoʻoulu ʻana o nā ʻano pihi āpau i loko o nā kīwaha o ka hoʻoponopono o ke kino kino. Me ka pseudocyst, ka lawe ʻana i ka mummy he hopena maikaʻi. Pono ʻoe e lawe i ke kakahiaka ma kahi ʻōpū ʻole. Pono e hoʻokaʻawale ʻia ka hapa ʻāpana o ka mākaukau i ka wai a inu. ʻO ka papa papa o ka mālama ʻana he 20 mau lā.

I ka wā mālama, pono ʻoe e inu i ka wai minima alkaline. ʻO ka hōʻemi i ke kiʻekiʻe o ka waikawa e hoʻopōmanu maoli ʻia i ke kūlana o ka pancreas, kōkua e hōʻoluʻolu i ke kuni a hoʻomaʻemaʻe i ke kino o nā toxins.