Yɛn aduan mu ɔbran ketewaa bi: Momma yensua Ampulla of Vater ho ade.

So woasusuw sɛnea yɛyam aduan a yedi no ho pɛn? Ɛyɛ adeyɛ a ɛyɛ den yiye, nanso yensusuw nneɛma nketenkete a ɛwɔ yɛn nipadua mu a ɛboa no ma ɛkɔ so no ho pii, ɛnte saa? Wiɛ, ɛnnɛ yɛbɛka akwaa bi a wonnim no pii a ɛyɛ komm di dwuma kɛse wɔ yɛn aduan mu nhyehyɛe mu ho asɛm. Ɛyɛ "Ampulla a ɛwɔ Vater." Ɛwom sɛ ebia ne din bɛyɛ te sɛ nea ɛyɛ nwonwa de, nanso n’adwuma ho hia paa.

Enti, hena ne Vater Ampulla yi? Ɔwɔ he?

Sɛ yɛbɛka no tiawa a, Vater ampulla yɛ yɛn aduan mu nhyehyɛe no fã . Sɛ yɛbɛka no pɛpɛɛpɛ a, ɛwɔ yɛn yafunu mfinimfini, na ɛbɛn akwaa ahorow pii a ɛho hia te sɛ dwensɔtwaa , mmerɛbo , dwensɔtwaa ketewaa, ne akisikuru . Fa no sɛ ɛyɛ baabi a akwan abien hyia. Saa ara na Vater ampulla no ba baabi a yɛn mogya ntini a ɛtaa ba ( afiri a ɛde bile fi mmerɛbo ne akisikuru mu ) ne dwensɔtwaa mu ntini (nsu a ɛde nsu a ɛma aduan mu nsu fi dwensɔtwaa mu) hyia no. Nsu a efi saa ntini abien yi mu ba, a ɛne bile (a ɛboa ma wɔyam srade) ne dwensɔtwaa mu nsu (a ɛboa ma protein ne carbohydrates a ɛwɔ aduan mu) no bom na afei ɛkɔ yɛn dwensɔtwaa ketewa no fã a edi kan no mu . Yɛfrɛ no duodenum . Enti saa nsu ampulla yi te sɛ beae a nsu a ɛho hia yi tra hɔ kakra na afei ɛma kwan ma ɛkɔ duodenum no mu bere a ɛho hia no. Ɛtɔ mmere bi a nnuruyɛfo nso frɛ no hepatopancreatic ampulla.

Ɔkwan bɛn so na Ampulla of Vater yi yɛ adwuma?

Okay, afei momma yɛnhwɛ sɛnea ɔfã ketewa yi yɛ adwuma. Wɔ Vater ampulla yi awiei, baabi a ɛne duodenum no di nkitaho no, bue ketewaa bi wɔ hɔ. Wɔfrɛ eyi sɛ duodenal papilla kɛse anaa Vater papilla. Fa no sɛ ɛte sɛ nsu a wɔde fa nsu mu. Ntini soronko bi wɔ hɔ a ɛhwɛ saa bue yi so. Wɔfrɛ no Oddi sphincter . Eyi ne nea ɛyɛ n’ade te sɛ ɔpon ano hwɛfo. Sɛ aduan kɔ duodenum no mu a, Oddi sphincter yi bue, na ɛma bile ne pancreatic nsu a aboaboa ano wɔ ampulla no mu no kɔ duodenum no mu. Eyi ne bere a eyinom fra aduan no na wofi ase di aduan yiye. Afei, saa valve yi to mu, na ɛmma aduan ntumi nsan nkɔ ampulla no mu. Ɛyɛ adeyɛ a wɔde anifere kɛse di so.

Enti dɛn ne adwuma titiriw a saa hepatopancreatic ampulla yi yɛ?

N’adwuma titiriw ne sɛ ɛbɛyɛ adwuma sɛ ɔkwankyerɛfo wɔ yɛn aduan mu akwaa ahorow no ntam. Sɛ yɛbɛka no pɛpɛɛpɛ a:

• Ɛyɛ adwuma te sɛ bere tiaa mu akorae ketewaa bi a wɔde bile ne dwensɔtwaa mu nsu gu mu.
• Saa nsu yi a ɛboa yɛn nipadua ma ɛyam aduan na ɛtwetwe emu aduannuru no bue kwan ma duodenum no gyae bere a ɛfata ne dodow a ɛfata .

Sɛ yɛbɛka no tiawa a, sɛnea ɛbɛyɛ a nipadua no benya ahoɔden afi aduan a yedi mu no, ɛsɛ sɛ adamfo ketewa yi a wɔfrɛ no Ampulla of Vater no yɛ adwuma yiye.

Nsu ampulla yi te dɛn?

"Ampoule" yɛ Latin asɛmfua. Ɛkyerɛ "toa ketewa" anaa biribi te sɛ "flask." Ebia woahu nkotoku bi a ɛtrɛw wɔ ase na ɛyɛ teateaa wɔ soro. Saa na Ampulla of Vater yi te. Ɛyɛ kotoku ketewaa bi a wɔahyɛ no ma kakra a ɛte sɛ ahina . Ɛyɛ kurukuruwa wɔ ɔfã biako na ɛyɛ kurukuruwa wɔ ɔfã foforo.

Nyarewa bɛn na ebetumi aka Vater ampulla?

Mpɛn pii no, ɔyɛ n’adwuma a ɔhwere ade. Nanso ɛtɔ mmere bi a, ɔhaw ahorow betumi asɔre. Ma yɛnhwɛ nea wɔyɛ:

Ampullary adenoma a ɛwɔ nipadua no mu

Eyi yɛ nyini ketewaa bi a ɛba ampulla no mu. Sɛ yɛbɛka no pɛpɛɛpɛ a, ɛyɛ polyp . Eyinom taa yɛ tebea horow a ɛnyɛ kokoram. Wɔnkyerɛ sɛnkyerɛnne soronko biara. Mpɛn pii no, wohu wɔn wɔ akwanhyia mu bere a wɔreyɛ endoscopy de ahu yafunu mu haw foforo no. Nanso, ɛtɔ mmere bi a adenoma yi betumi abɛyɛ kokoram. Sɛ ɛba saa a, nnuruyɛfo kamfo kyerɛ sɛ wɔnyɛ oprehyɛn yi fi hɔ (resection).

Ampullary kokoram

Ɛtɔ mmere bi a, polyps a yɛadi kan aka ho asɛm no betumi adan kokoram. Eyi yɛ kokoram a ɛntaa nsi koraa . Wɔtaa hu wɔ nnipa a wɔadi mfe 70 mu. Sɛ obi a ɔwɔ abusua no mu wɔ tebea bi te sɛ polyposis syndrome, anaasɛ ɔwɔ abusua abakɔsɛm a ɛfa kokoram ahorow bi a ɛwɔ akyi berɛmo mu (agyapade a ɛnyɛ polyposis kokoram a ɛwɔ akyi berɛmo mu) ho a, asiane a ɛwɔ hɔ sɛ obenya kokoram yi yɛ kɛse kakra. Sɛ wohu ntɛm a, wobetumi ayɛ oprehyɛn de ayi akisikuru no afi hɔ. Wɔ tebea horow a atrɛw kakra mu no, ebia nnuru ne mframa a wɔde sa yare nso ho behia.

Abo a wɔde yɛ akisikuru

Ɛtɔ mmere bi a, akisikuru betumi akɔhyɛ Vater ampulla mu. Eyi yɛ tebea a asiane wom na ebetumi de nkwa ato asiane mu. Sɛ eyi ba a, oduruyɛfo a ɔyɛ oprehyɛnWɔnam endoscopy so yi abo no fi hɔ.

Sɛ ɔhaw bi wɔ ampulla no ho a, sɛnkyerɛnne bɛn na ɛbɛda no adi?

Wo de susuw ho hwɛ, sɛ polyp, kokoram akisikuru, anaa akisikuru bi kɔhyɛ ampulla no mu a, dɛn na ɛba? Afei bile a efi bile duct no mu ne aduan mu nsu a efi pancreatic duct no mu no ntumi nkɔ yiye. Ɛno kyerɛ sɛ wɔasiw nkyekyem no kwan . Ɛno na sɛnkyerɛnne ahorow fi ase da adi. Nhwɛsoɔ:

• Ebia wo yafunu bɛyɛ wo yaw .
• Mmoawa a ɛde ɔyare mmoawa ba bile ntini mu (cholangitis) betumi ama obi anya atiridiinini ne jaundice (aniwa ne honam ani yɛ kɔkɔɔ).
• Ebia akisikuru ne ɔfe bɛba.
• Ebia dwensɔtwaa mu ɔfe, anaa dwensɔtwaa mu yare , bɛba.
• Ebia wubehu sɛ nipadua mu duru so atew .

Sɛ wowɔ saa sɛnkyerɛnne ahorow yi mu biako anaa nea ɛboro saa a, ɛho hia yiye sɛ wohwehwɛ aduruyɛfo afotu.

Yɛbɛyɛ dɛn ama nsu ampulla yi ayɛ nea ahoɔden wom?

Sɛ yɛbɛka nokware a, abenfo da so ara nnim ɔkwan pɔtee a wɔbɛfa so asiw ampullary polyps anaa kokoram a ɛbɛba no ano. Nanso, nneɛma kakraa bi wɔ hɔ a yebetumi ayɛ de asiw akisikuru ano na yɛama yɛn aduan mu nneɛma nyinaa ayɛ yiye wɔ ɔkwan a ɛkɔ akyiri so.

• Kwati nnuan a carbohydrates a wɔayɛ no yiye pii wom . Ɛno kyerɛ sɛ wɔbɛtew nnuan a wɔde paanoo esiam ne nnuan a asikre pii wom so sɛnea wobetumi.
• Sɛ́ anka wubenya nnuan a wɔayam ne nnɔkɔnnɔkɔwade no, paw srade a ahoɔden wom. Sɛ nhwɛso no, nneɛma te sɛ mpataa ngo ne ngodua ngo ye.
• Di nnuan a ahoɔdennuru pii wom pii . Nnuaba, nhabannuru, atoko, nnuaba, ne aburow a wɔayam yɛ nhwɛso pa. Fiber ho hia yiye ma yɛn aduan mu nhyehyɛe.
• To asikre a wobɛnom ano hye sɛnea wubetumi biara.

Sɛ wudi saa nneɛma yi akyi a, ɛnyɛ Ampulla of Vater nko na wubenya aba pa ara, na mmom w’akwahosan nyinaa nso.

Awiei koraa no, nea ɛsɛ sɛ wokae (Take-Home Message) .

Afei ebia woate ase sɛ saa Ampulla of Vater yi yɛ ɔbran ketewaa bi a ɔyɛ ɔsom adwuma a ɛho hia yiye, nanso ɔyɛ komm wɔ yɛn aduan mu. Ɛwɔ baabi a common bile duct ne pancreatic duct no hyia no, ɛboaboa bile ne pancreatic nsu ano na ɛboa ma wɔde kɔ dwensɔtwaa ketewa (duodenum) mu bere a ɛho hia no. Eyi nti na aduan a yedi no yam yiye na nipadua no nya aduannuru.

Enti, ɛsɛ sɛ yesusuw n’akwahosan nso ho. Aduan a ɛkari pɛ a wobedi ne asetra pa a wobɛtra ase no bɛboa kɛse wɔ ɔbran ketewa yi a wɔbɛbɔ wɔn ho ban afi yare ho na wɔaboa no ma wayɛ n’adwuma yiye no mu. Efisɛ, sɛ ɔwɔ apɔwmuden a, yɛn nso yɛwɔ apɔwmuden!