Ampulla of Vater: Yɛn aduan mu ntini a ɛka bom ketewaa nanso ahoɔden wom!

So woasusuw nea ɛkɔ so wɔ yɛn nipadua mu bere a yɛadi awie no ho yiye pɛn? Bere a aduan a yedi no fi yɛn anom kɔ yɛn yafunu mu akyi no, adeyɛ bi a ɛyɛ den a ɛyɛ nwonwa kɔ so ma ɛyam, ɛma ahoɔden, na ɛma yenya aduannuru a yɛn nipadua hia. Wɔ saa adeyɛ yi mu no, akwaa biara bom yɛ adwuma sɛ kuw. Ɛnnɛ, yɛrebɛka beae ketewaa bi a ɛho hia yiye wɔ yɛn aduan mu a ɛyɛ adwuma te sɛ keteke kwan titiriw bi ho asɛm. Ɛno ne "Ampulla a ɛwɔ Vater".

Dɛn ankasa ne Ampulla of Vater?

Sɛ yɛbɛka no tiawa a, Vater ampulla yɛ ɔkwan ketewaa bi a ɛbue kɔ yɛn dwensɔtwaa ketewa (duodenum) no fã a edi kan no mu. Nanso ɛnyɛ ade biara a wobebue kɛkɛ. Ɛyɛ beae titiriw a nsu abien a ɛho hia ma yɛn aduan mu no bom na ɛfrafra aduan mu.

Susuw ho saa kwan yi so. Common bile duct a ɛde bile fi yɛn mmerɛbo mu, ne pancreatic duct a ɛde enzymes fi yɛn dwensɔtwaa mu a ɛboa yɛn ma yɛyam aduan no bom yɛ kotoku ketewaa bi. Wɔfrɛ saa kotoku no Vater ampulla. Afei bile ne dwensɔtwaa mu enzymes no fra bom na ɛkɔ dwensɔtwaa ketewa no mu.

Wonyaa saa din yi fii nokwasɛm bi a ɛyɛ nwonwa mu. Wɔde toa kurukuruwa bi a wɔfrɛ no "ampulla" a na wɔde di dwuma wɔ Romafo bere so no nsusuwii na ɛtoo no. Wɔsan nso too din "of Vater" de hyɛ nipadua ho nimdefo Abraham Vater a odii kan kaa ho asɛm no anuonyam.

Ɛhe na akwaa ketewa yi wɔ?

Vater ampulla no wɔ duodenum no fasu mu, yɛn dwensɔtwaa ketewaa no fã a edi kan . Duodenum yɛ dwensɔtwaa ketewa no fã a ɛfa mu wɔ yafunu no akyi, na ne tenten bɛyɛ nsateakwaa 10. Vater ampulla no wɔ saa duodenum yi mfinimfini.

Saa beae yi ho hia yiye wɔ aduruyɛ mu. Efisɛ ɛha na aduan a wɔabubu na abubu wɔ yafunu no mu no kɔ so yam na nipadua no fi ase twetwe aduannuru a ɛwɔ mu no. Te sɛ nea wɔkyɛ adwuma no mu, bere a yafunu no reyɛ n’adwuma sɛ ɛbɛbubu aduan no, duodenum ne dwensɔtwaa ketewaa a aka no fi ase twetwe. Sɛ nsu a efi yafunu no ampulla yi mu ba no nni hɔ a, saa adeyɛ no ntumi nyɛ yiye.

Dɛn ne Ampulla of Waiter no afã horow ne ne dwumadi ahorow?

Wɔ saa nhyiam ketewa yi mu no, nhyehyɛe bi a ɛyɛ den yiye na ɛyɛ nwonwa wɔ hɔ. Ɛyɛ ntini ahorow a atwa ho ahyia titiriw. Yɛfrɛ saa sphincters yi . Te sɛ nsu a wɔde hyɛ mu no, saa ntini ahorow yi a wobue na ɛto mu no na ɛhwɛ sɛnea bile ne enzymes kɔ dwensɔtwaa ketewa no mu, ne bere a ɛkɔ dwensɔtwaa ketewa no mu.

Yɛrentumi nni saa ntini ahorow yi so sɛnea yɛpɛ. Wɔyɛ adwuma ankasa sɛnea nsɛnkyerɛnne a yenya fi yɛn ntini mu no te. Sɛ yedi aduan a srade wom a, yehia bile pii na ama yɛatumi ayam. Afei, sɛnkyerɛnne bi fi yɛn amemene mu ba, na saa ntini ahorow yi bue na ɛma mogya dodow a ɛho hia no fi hɔ. So ɛnyɛ nwonwa?

Pon a ɛwɔ aseɛ ha no bɛboa yɛn ama yɛate n’afã titire ne ne dwumadie ase tiawa.

Nyarewa bɛn na ebetumi aka ɔfã yi?

Sɛ biribi ankɔ yiye wɔ beae ketewaa a ɛho hia paa yi a, ebetumi aka yɛn nipadua nyinaa. Efisɛ sɛ bile ne enzymes ntumi mfi adi na ɛkɔhyɛ mu a, ebetumi asan akɔ akyi na asɛe mmerɛbo ne dwensɔtwaa no.

Nea edidi so yi ne aduruyɛ mu tebea atitiriw a ebetumi aba a ɛbata Vater ampulla ho.

Mɛyɛ dɛn ahu sɛ ɔhaw bi wɔ me ampulla of waiter no ho? Dɛn ne sɛnkyerɛnne ahorow no?

Sɛ akisikuru, ɔbo, anaa ɔhaw foforo bi siw Vater ampulla no kwan a, bile ne enzymes ntumi nkɔ mu. Afei saa nsu yi boaboa ano wɔ bile ntini ne dwensɔtwaa no mu, na ɛma nhyɛso no yɛ kɛse na ɛsɛe nhyehyɛe no nyinaa. Eyi betumi de sɛnkyerɛnne ahorow a edidi so yi aba:

• Yafunu mu yaw: Ɛyaw, titiriw wɔ yafunu no atifi nifa so.
• Biliary colic: Ɛyaw a emu yɛ den a ɛba mpofirim na ɛbrɛ ase bere tiaa bi akyi.
• Jaundice: Aniwa ne honam ani fitaa a ɛyɛ kɔkɔɔ. Eyi ba bere a wontumi nyi bile mfi mu, na bilirubin a ɛyɛ kɔkɔɔ no boaboa ano wɔ mogya no mu no.
• Akisikuru ne ɔfe: Saa tebea yi betumi aba esiane aduan a wontumi nnya nti.

Ɔkwan bɛn so na nnuruyɛfo sɔ eyi hwɛ na wɔsa?

Nea eye ne sɛ, esiane nnɛyi nnuruyɛ mu mfiridwuma a ɛkɔ anim nti, ɛho nhia sɛ wɔyɛ oprehyɛn kɛse de hwehwɛ Vater ampulla yi mu na wɔsa. Nnuruyɛfo taa de ɔkwan bi a wɔfrɛ no endoscopy di dwuma de yɛ eyi.

Sɛ yɛbɛka no tiawa a, eyi hwehwɛ sɛ wɔde afiri teateaa bi a mfoninitwa afiri ketewaa bi wɔ n’awiei fa ano no mu, fa yafunu no mu, na wodu Vater ampulla a ɛwɔ akisikuru no mu. Yɛfrɛ saa adeyɛ yi ERCP (Endoscopic Retrograde Cholangiopancreatography) .

Ade titiriw a ɛwɔ saa kwan yi mu ne sɛ:

1. Nhwehwɛmu: Oduruyɛfo no betumi de mfoninitwa afiri ahwɛ beae yi yiye na wahu nea ɛyɛ ɔhaw no ankasa.

2. Ayaresa: Saa bere no, wobetumi de nnwinnade nketewa afa afiri no mu de ayi akisikuru biara a akɔhyɛ akisikuru no mu, atrɛw nea asiw no mu, anaasɛ wɔbɛfa ntini ketewaa bi (biopsy) akɔhwɛ mu. Wobetumi ayi akisikuru nketewa bi mpo afi hɔ saa kwan yi so.

Eyi kyerɛ sɛ hokwan wɔ hɔ sɛ wɔbɛyɛ nhwehwɛmu ne ayaresa nyinaa wɔ ɔkwan biako so. Eyi yɛ nea ɛfata paa ma ayarefo.

Ebia Vater ampulla yɛ nsensanee ketewaa bi wɔ yɛn nipadua mu, nanso ɛyɛ adwuma kɛse. Ɛyɛ ɔpon titiriw a ɛkɔ yɛn aduan mu nhyehyɛe mu. Ɛyɛ ɔpon koro no ara a nnuruyɛfo fa so hwɛ yɛn bile ntini ne yɛn dwensɔtwaa mu nso. Ebia worente saa din yi da, nanso sɛ oduruyɛfo bi bɔ din da bi a, nsuro. Mprempren wobetumi de akwan a ɛkɔ akyiri adi ne haw ahorow no pii ho dwuma.