Pseudocyst Pancreatic

ʻO kahi pseudocyst pancreatic kahi ʻeke piha piha i ka wai i loko o ka ʻōpū e kū mai ana mai ka pancreas. Loaʻa pū paha iā ia nā mea mai nā pancreas, nā enzyme, a me ke koko.

ʻO ka pancreas kahi lālā ma hope o ka ʻōpū. Hoʻopuka ia i nā kemika (i kapa ʻia nā enzyme) e pono ai e ʻeli i ka meaʻai. Hoʻopuka pū kekahi ia i nā hormones ʻo ka insulin a me ka glucagon.

Hoʻokumu pinepine nā pseudocst Pancreatic ma hope o kahi hanana o pancreatitis koʻikoʻi. Hana ʻo Pancreatitis i ka wā e wela ai kāu pancreas. Nui nā kumu o kēia pilikia.

Hiki i kēia pilikia i kekahi manawa:

• I loko o kekahi me ka huehue wā lōʻihi (mau) o ka pancreas
• Ma hope o ka hōʻeha i ka ʻōpū, pinepine pinepine i nā keiki

Hana ka pseudocyst ke hōʻino ʻia nā aʻa (nā paipu) i ka pancreas a ʻaʻole hiki i ka wai me nā enzyme ke hoʻokahe.

Hiki i nā ʻōuli ke hana i loko o nā lā i mau mahina ma hope o ka hoʻouka ʻana o pancreatitis. Pākuʻi ʻia lākou:

• ʻO Bloating o ka ʻōpū
• ʻEha mau a ʻeha mau paha i loko o ka ʻōpū, a i loko o ka hope paha e ʻike ʻia ai
• ʻO Nusea a me ka luaʻi
  
• Loaʻa ka ʻai ʻole
  
• Paʻa i ka ʻai ʻana a me ka hoʻoulu ʻana i ka meaʻai

Hoʻomaopopo paha ka mea mālama ola i kou ʻōpū no ka pseudocyst. E like ia me kahi puʻupuʻu i waena o ka ʻōpū o luna a hema paha.

Nā hoʻokolohua i hiki ke kōkua i ka ʻike ʻana i ka pancreatic pseudocyst e komo pū ana:

• Scanner CT ʻōpū
• ʻO MRI ʻōpū
• ʻO ke ultrasound ʻōpū
• Endoscopic ultrasound (EUS)

Pili ka mālama ʻana i ka nui o ka pseudocyst a inā ke kumu ʻia o nā hōʻailona. Hele aku nā pseudocst he nui iā lākou iho. ʻO nā mea i koe no 6 mau pule a ʻoi aku ka nui ma mua o 5 cm i ke anawa e pono ai i ka lāʻau.

ʻO nā hana kūpono e pili ana paha:

• Kahe ma o ka ʻili e hoʻohana ana i ka nila, alakaʻi pinepine ʻia e kahi CT scan.
• Hoʻopau kahe endoscopic-kōkua i ka hoʻohana ʻana i ka endoscope. I kēia, hāʻawi ʻia kahi ʻōmole i loaʻa i kahi kāmela a me kahi kukui i loko o ka ʻōpū)
• ʻO ke kahawai ʻoki o ka pseudocyst. Hana ʻia kahi pilina ma waena o ka cyst a me ka ʻōpū a i ʻole ka ʻōpū liʻiliʻi. Hana ʻia kēia i ka hoʻohana ʻana i ka laparoscope.

Maikaʻi ka hopena me ka lapaʻau. He mea nui ia e hōʻoia ʻaʻole ia kahi maʻi ʻaʻai pancreatic e hoʻomaka i kahi cyst, kahi hopena maikaʻi ʻole.

Komo pū nā pilikia:

• Hiki i kahi absre pancreatic ke ulu inā loaʻa ka maʻi pseudocyst.
• Hiki i ka pseudocyst ke haki hāmama (rupture). Hiki i kēia ke lilo i mea hoʻopiʻi koʻikoʻi no ka mea e hoʻomaka paha ka haʻalulu a me ke kahe ʻana o ke kahe (hemorrhage).
• Hiki i ka pseudocyst ke kaomi i lalo (compress) i nā meaola kokoke.

ʻO ka haki o ka pseudocyst kahi pilikia olakino. E hele i ka lumi pilikia a kāhea paha i ka helu kūloko kūloko (e like me 911) inā hoʻomohala ʻoe i nā ʻōuli o ke kahe ʻana a i ʻole haʻalulu, e like me:

• Mauleʻa
• Fiva a me nā anuanu
• Kuʻi puʻuwai wikiwiki
• ʻEha ʻeha loa

ʻO ke ala e pale aku ai i nā pseudocysts pancreatic ma o ka pale ʻana i ka pancreatitis. Inā kumu ʻia ka pancreatitis e nā gallstones, e hana ka mea hāʻawi i kahi ʻoki e wehe i ka gallbladder (cholecystectomy).

Ke kū nei ka pancreatitis ma muli o ka hōʻino ʻana i ka waiʻona, pono ʻoe e haʻalele i ka inu ʻana i ka ʻalekoke e pale ai i nā hoʻouka kaua e hiki mai ana.

Ke kū ʻia ka pancreatitis ma muli o nā triglycerides koko kiʻekiʻe, pono e mālama ʻia kēia ʻano.

Pancreatitis - pseudocyst

• ʻŌnaehana Digestive
• Nānā Endocrine
• Pancreatic pseudocyst - CT scan
• ʻO Pancreas

Forsmark ce ʻO Pancreatitis. I: Goldman L, Schafer AI, eds. ʻO ka lāʻau lapaʻau Goldman-Cecil. 26th ed. Piladelapia, PA: Elsevier; 2020: chap 135.

ʻO Martin MJ, Brown CVR. Ka mālama ʻana i ka pseudocyst pancreatic. I: Cameron AM, Cameron JL, eds. ʻO ke kaʻoki lāʻau lapaʻau o kēia manawa. 13th ed. Piladelapia, PA: Elsevier; 2020: 525-536.

Tenner SC, Steinberg WM. Kākoʻo pancreatitis. I: Feldman M, Friedman LS, Brandt LJ, eds. ʻO Sleisenger a me Fordtran's Gastrointestinal a me ka maʻi Liver: Pathophysiology / Diagnosis / Management. 10 o ka lā. Piladelapia, PA: Elsevier Saunders; 2016: chap 58.