So wo dwensɔtwaa te sɛ eyi? Momma yensua (Pancreas Divisum) ho ade!

So wɔayɛ wo yafunu mu CT scan esiane biribi foforo biara nti na oduruyɛfo no ka kyerɛɛ wo sɛ biribi ketewaa bi a ɛnteɛ wɔ wo dwensɔtwaa mu a wɔfrɛ no Pancreas Divisum? Anaasɛ ebia woayɛ yafunu mu yaw ne akisikuru mpɛn pii na woabehu ho asɛm. Dɛn ankasa ne Pancreas Divisum? So eyi yɛ biribi a ɛsɛ sɛ ɛhaw yɛn ho? Momma yɛnka ho asɛm nkɔ akyiri nnɛ.

Dɛn ne (Pancreas Divisum)? Sɛ yɛbɛka no tiawa a...

Sɛ yɛbɛka no tiawa a, Pancreas Divisum yɛ ade ketewaa bi a ɛtaa yɛ asiane biara a efi awo mu wɔ wo dwensɔtwaa mu. Nnuruyɛfo nso frɛ no awo mu yare, a ɛkyerɛ sɛ ɛyɛ biribi a wɔde awo yɛn.

Yɛn dwensɔtwaa no ma wonya nsu a ɛho hia a ɛma aduan mu yɛ hyew (pancreatic juices). Saa nsu yi fi dwensɔtwaa no mu fa afiri ketewaa bi (pancreatic duct) mu kɔ yɛn dwensɔtwaa ketewa no mfiase. Wɔ obi a ɔwɔ Pancreas Divisum mu no, ntini titiriw no ntumi nwie. Enti, dwensɔtwaa mu nsu taa sen fi ɔkwan ketewaa bi a wɔabue mu (papilla ketewaa bi) mu sen sɛ ebebue kɛse bi (papilla kɛse). Eyi betumi ama nsu no asen yiye.

Nanso, nnipa dodow no ara nnya yare no ho sɛnkyerɛnne biara esiane eyi nti. Nanso, wɔ nnipa binom fam no, esiane ɔhaw ahorow a ɛwɔ nsu a ɛsen mu nti, sɛnkyerɛnne te sɛ ``Pancreatitis'' anaasɛ dwensɔtwaa mu ɔfe betumi aba.

Eyi abu so dɛn?

So wunim? Saa tebea yi a wɔfrɛ no ``Pancreas Divisum'' ne awo mu dɛmdi a ɛtaa ka dwensɔtwaa no. Wɔkyerɛ sɛ nnipa dodow no ara mu bɛyɛ 10% na wɔwɔ saa tebea yi. Ɛno bɛyɛ nnipa du biara mu biako. Enti eyi nyɛ nea ɛntaa nsi saa.

So Pancreas Divisum yɛ aniberesɛm?

Mpɛn pii no, dabi. Nnipa dodow no ara a wɔwɔ Pancreas Divisum no nni ɔhaw biara. Mpɛn pii no, ɛnsiw ɔkwan a wo dwensɔtwaa boa ma ɛyam aduan no kwan.

Nanso, ɔha biara mu kakraa bi pɛ, kyerɛ sɛ, nnipa kakraa bi a wɔwɔ `(Pancreas Divisum)`, betumi anya `(Pancreatitis)` anaasɛ dwensɔtwaa mu ɔfe a yɛadi kan aka ho asɛm no ho sɛnkyerɛnne. Nanso, mpɛn pii no, saa sɛnkyerɛnne ahorow no mu nyɛ den sɛnea ɛbɛyɛ a ebehia sɛ wɔyɛ no oprehyɛn.

Dɛn ne Pancreas Divisum ho sɛnkyerɛnne ahorow?

Asɛmpa no ne sɛ nnipa a wɔwɔ Pancreas Divisum no mu bɛboro 95% nhu sɛnkyerɛnne biara . Wubetumi atra ase w’asetra nyinaa a wunnim mpo sɛ wowɔ tebea no.

Nanso, wɔ tebea horow a ɛntaa nsi mu no, yare no ho sɛnkyerɛnne betumi ayɛ te sɛ dwensɔtwaa mu yare. Nea ɛka ho ne:

• Yafunu mu yaw (eyi ne nea abu so sen biara). Nnipa binom te eyi nka wɔ yafunu atifi, ɛtɔ da bi a ebetumi atrɛw akɔ akyi.
• Akisikuru ne ɔfe.
• Sɛnea atiridiinini te.
• Nneɛma te sɛ aduan mu haw, akisikuru, ne nea ɛkeka ho.
• Aduan no nyɛ dɛ.
• Nsu a srade wom.
• Koma a ɛbɔ denneennen.
• Ɔhome yɛ ntɛmntɛm na ɛyɛ tiaa.
• Adwene a ɛyɛ basaa (ebia efi mogya mmoroso a ɛba fam).

Adeɛ a ɛho hia paa ne sɛ ɛwom sɛ saa nsɛnkyerɛnneɛ yi wɔ hɔ deɛ, nanso ne nyinaa ntumi mfa `(Pancreas Divisum)`. Enti, ɛbɛyɛ papa sɛ wobɛkɔ oduruyɛfo nkyɛn na woahu nea ɛde ba ankasa.

Dɛn nti na eyi (Pancreas Divisum) ba?

Eyi ba efisɛ nsakrae kakra ba dwensɔtwaa no nkɔso mu bere a yɛwɔ awotwaa mu, kyerɛ sɛ, ansa na wɔrewo yɛn.

Mpɛn pii no, yɛn dwensɔtwaa no fi afã abien a wɔfrɛ no "buds" mu. Baako ne ventral bud a ɛwɔ anim, na biako nso yɛ dorsal bud a ɛwɔ akyi. Saa nkorabata abien yi nyinaa wɔ wɔn ankasa ntini ahorow a ɛsono emu biara. Bɛyɛ adapɛn ason wɔ nyinsɛn akyi no, saa nkorabata abien yi bom yɛ dwensɔtwaa no sɛ akwaa biako. Ntini abien no bom yɛ dwensɔtwaa mu ntini titiriw no.

Fa no sɛ ɛte sɛ nsu afiri kɛse bi. Eyi ne baabi a aduan mu nsu a wɔyɛ wɔ dwensɔtwaa mu no tu kɔ yɛn dwensɔtwaa ketewa no fã a edi kan (`duodenum`) kɔboa ma wɔyam aduan.

Nanso, wɔ `(Pancreas Divisum)` fam no, nea ɛba ne sɛ saa nkorabata abien no, wɔn ntini abien no, nkabom sɛnea ɛsɛ na ɛnyɛ saa `(pancreatic duct) titiriw no.` Mmom no, ebia wubenya ntini abien a ɛsono emu biara, nketewa a ɛma nsu no fi wo dwensɔtwaa mu. Afei, nsu titiriw no nsen mfi saa bue kɛse no mu (`major papilla`), na mmom efi abue ketewa foforo (`minor papilla`) a ɛne dwensɔtwaa ketewa no di nkitaho no mu.

Nsonsonoe pii betumi aba sɛnea awiei koraa no saa nsu nhama yi yɛ nsu fi dwensɔtwaa no mu na woyi fi mu no mu.

Nsɛnnennen a ebetumi aba esiane Pancreas Divisum nti

Ɔhaw kɛse a ebetumi aba wɔ eyi mu ne dwensɔtwaa mu ɔfe, a wɔfrɛ no `(Pancreatitis)`. Nanso asɛmfua "betumi" ho hia yiye wɔ ha. Ɛyɛ nokware sɛ ɛtɔ mmere bi a nnipa a wɔwɔ `(Pancreas Divisum)` no nya `(Pancreatitis) ho sɛnkyerɛnne.` Nanso nyansahufo da so ara reyɛ nhwehwɛmu wɔ abusuabɔ a ɛda abien no ntam.

Nsusuwii biako ne sɛ sɛ nsu no ntumi mfa ɔkwan ketewaa a wɔabue (`minor papilla`) no mu yiye a, nsu no betumi aboaboa ano na asiw ano. Saa akwanside yi betumi ama obi ho ayɛ hyew. Foforo nso ne sɛ ɛtɔ mmere bi a tebea abien yi nyinaa tumi bom ba. Efisɛ, bere a nnipa binom a wɔwɔ `(Pancreas Divisum)` nya `(Pancreatitis)` no, dodow no ara nnya bi. Nsusuwii foforo ne sɛ `(Pancreas Divisum)` betumi ama asiane a ɛwɔ hɔ sɛ obi benya `(Pancreatitis)` no ayɛ kɛse, nanso ɛnyɛ bere nyinaa na ɛte saa, wɔ tebea horow bi mu nkutoo.

Enti nhwehwɛmu foforo ho hia na ama wɔahu eyi ho asɛm pɛpɛɛpɛ.

Wobɛyɛ dɛn ahu eyi?

Mpɛn pii no, nnuruyɛfo hu sɛ Pancreas Divisum wɔ hɔ kwa bere a wɔreyɛ CT scan, anaa Computed Tomography scan, wɔ yafunu no mu ama ɔhaw foforo bi a ɛne no nni abusuabɔ no.

Nanso sɛ wowɔ sɛnkyerɛnne ahorow a, wo duruyɛfo betumi ahyɛ sɛ wɔnyɛ nhwehwɛmu te sɛ eyinom:

• `(Magnetic Resonance Cholangiopancreatography - MRCP)`: Saa nhwehwɛmu yi ma oduruyɛfo no tumi hu wo dwensɔtwaa mu ntini nhyehyɛe no wɔ screen so. Ebia wɔbɛma wo aduru bi a hormone bi a wɔfrɛ no `(Secretin)` wom. Saa `(Secretin)` yi betumi aboa ma woahu pefee sɛ biribiara a ɛnteɛ wɔ dwensɔtwaa no mu, te sɛ `(Pancreas Divisum)`. Ɛtɔ da bi a wɔyɛ sɔhwɛ yi a wɔmfa `(Secretin)` injection no nka ho.
• Endoscopic ultrasound : Nea ɛka eyi ho ne sɛ wode scope, tube a mfoninitwa afiri ketewaa bi wom, bedi dwuma de ahwɛ w’akwaa ahorow ho mfonini a wɔde ultrasound ayɛ wɔ screen so. Eyi betumi aboa ma woahu sɛ ebia wo dwensɔtwaa no ayɛ hyew anaa.
• Endoscopic Retrograde Cholangiopancreatography (ERCP) : Saa sɔhwɛ yi de afiri a wɔde hwɛ ade ne X-ray di dwuma de twa wo dwensɔtwaa mu ntini ahorow no mfonini. Oduruyɛfo no de scope no hyɛ wo menewam kɔ ​​wo dwensɔtwaa mu. Scope no ma aduru bi a ɛnyɛ asiane biara fi adi, na ɛma wotumi hu ntini no wɔ screen no so. Ɛte sɛ MRCP, nanso ɛyɛ nea ɛyɛ hu kakra. Enti, sɛ wɔreyɛ nhyehyɛe afa endoscopy so asa yare no nkutoo a, mpɛn pii no nnuruyɛfo de saa kwan yi di dwuma. Wɔde scope nso di dwuma bere a wɔreyɛ endoscopy no.

Dɛn ne ayaresa ahorow a wɔde sa (Pancreas Divisum)?

Nokwarem no, nnipa dodow no ara a wɔwɔ Pancreas Divisum no nhia ayaresa biara.

Nanso sɛ wowɔ dwensɔtwaa mu yare ho sɛnkyerɛnne a emu nyɛ den anaasɛ ɛkɔ fam a, ebia wo duruyɛfo bɛkamfo akwan horow a wobɛfa so adi ho dwuma. Nhwɛsoɔ:

• Sɛ wobɛdan akɔ aduan a srade nnim so: Sɛ wudi srade kakraa bi a, ɛsɛ sɛ dwensɔtwaa no nyɛ adwuma pii na ama srade atumi ayɛ.
• Nnuru a wobɛnom: Ebia ebehia sɛ wonom biribi te sɛ aduru a wɔde kum ɛyaw.
• Nnuru a wɔde ka aduan ho a wobɛnom: Ebia ebehia sɛ wofa nnuru a wɔde ka aduan ho wɔ dwensɔtwaa mu na aboa ma woatumi ayam.

Sɛ wotaa nya sɛnkyerɛnne ahorow a emu yɛ den (te sɛ yafunu mu yaw a emu yɛ den) a, ebia ebehia sɛ woyɛ oprehyɛn ketewaa bi de trɛw (trɛw) dwensɔtwaa no mu.

Ayaresa pɔtee bi

Eyinom ne ayaresa ahorow a ɛma papilla ketewaa no trɛw:

• Endoscopy: Oduruyɛfo no betumi atwa ketewaa bi na wama ɔkwan a wɔabue no ayɛ kɛse bere a wɔreyɛ ERCP no. Obetumi nso de dade afiri bi a wɔfrɛ no stent ahyɛ mu na ama abue.
• Oprehyɛn: Nnipa dodow no ara nhia oprehyɛn ma Pancreas Divisum. Nanso, sɛ wuntumi nyɛ endoscopy, anaasɛ endoscopy antumi anyɛ yiye a, ebia ɛho behia sɛ wɔyɛ oprehyɛn. Nea ɛka eyi ho ne sɛ wobɛtwa wo yafunu mu ketewaa bi na woakɔ dwensɔtwaa no mu. Bio nso, nea ɛka adeyɛ no ho ne sɛ wɔtrɛw ɔkwan a ɛde dwensɔtwaa mu nsu no kɔ dwensɔtwaa ketewa no mu no mu.

So nsɛnnennen bi wɔ ayaresa no mu?

Wo duruyɛfo bɛhwɛ w’akwahosan mu yiye ansa na wakamfo ayaresa akyerɛ wo. Mpɛn pii no, nsɛnnennen ntaa mma.

Nsɛnnennen a ebetumi aba no bi ne:

• Tebea `(Pancreatitis)` a ɛsan ba bio.
• Saa bue ketewaa (`minor papilla`) no san yɛ teateaa bio.
• Tokuru anaa mogya a ɛtɔ.

Dɛn ne nkɔmhyɛ a ɛwɔ hɔ ma obi a ɔwɔ Pancreas Divisum?

W’adwene ye paa , titiriw sɛ wunni sɛnkyerɛnne biara a. Ɛda adi sɛ Pancreas Divisum rennya w’asetra so nkɛntɛnso biara.

Nnipa pii a wɔwɔ sɛnkyerɛnne ahorow no betumi adi wɔn sɛnkyerɛnne ahorow no ho dwuma a wonni ayaresa. Sɛ wuhia ayaresa a, wobu endoscopy ne oprehyɛn nyinaa sɛ akwan a ahobammɔ wom na etu mpɔn. Sɛ wowɔ dwensɔtwaa mu yare a emu yɛ den anaasɛ ɛsan ba bio ho sɛnkyerɛnne a, etu mpɔn kɛse. Wɔnnyɛ adwuma yiye wɔ dwensɔtwaa mu yare a enni sabea ayaresa mu.

Nsɛm bɛn na ɛsɛ sɛ mibisa me duruyɛfo?

Wubetumi abisa nsɛm te sɛ eyinom:

• Ɔkwan bɛn so na Pancreas Divisum a mewɔ no ka m’akwahosan?
• Dɛn ne hokwan ahorow a mewɔ sɛ menya `(Pancreatitis)`?
• Nsɛnkyerɛnne bɛn na ɛsɛ sɛ mehwɛ yiye?
• So Pancreas Divisum anaa ɔhaw foforo na ɛde me sɛnkyerɛnne ahorow no ba?
• So mehia ayaresa na ama matumi adi me yare no ho sɛnkyerɛnne ahorow so?

Sɛ wofa sɔhwɛ bi so hu sɛ wowɔ `(Pancreas Divisum)` a, mma wo ho nnyɛ wo hu. Eyi yɛ awo mu dɛmdi a ɛtaa ba. Sɛ wunni yare no ho sɛnkyerɛnne mprempren a, ɛda adi sɛ worenhyia ɔhaw biara daakye.

Nea etwa to no, nneɛma a ɛsɛ sɛ wokae (Take-Home Message) .

Okay, enti seesei woanya adwene pa wɔ nea yɛaka ho asɛm no ho, `(Pancreas Divisum)`. Nea ɛho hia ne sɛ, mpɛn pii no, eyi nyɛ biribi a ɛsɛ sɛ ɛhaw yɛn ho.

• Pancreas Divisum yɛ sintɔ ketewaa bi a efi awosu mu wɔ dwensɔtwaa no mu.
• Nnipa dodow no ara nhu sɛnkyerɛnne biara.
• Ɛntaa mma sɛ sɛnkyerɛnne te sɛ `(Pancreatitis)` betumi aba.
• Mpɛn pii no, wohu eyi ara kwa, bere a wɔyɛ scan esiane biribi foforo nti no.
• Sɛ yare no ho sɛnkyerɛnne biara nni hɔ a, mpɛn pii no ɛho nhia sɛ wɔsa yare.
• Sɛ sɛnkyerɛnne ahorow no wɔ hɔ a, wobetumi de asetra mu nsakrae, nnuru, anaa ɛtɔ mmere bi a ayaresa te sɛ endoscopy adi ho dwuma.

Sɛ wohu sɛ wowɔ `(Pancreas Divisum)` a, mma wo ho nnyɛ wo hu na wo ne wo duruyɛfoɔ nkasa ho asɛm. Ɔbɛma wo nsɛm a wuhia nyinaa. Kae sɛ ɛnyɛ obiara nipadua na ɛyɛ pɛ, enti wo duruyɛfo nkutoo na obetumi de afotu a eye sen biara ama wo.

` Pancreas Divisum, Pancreatitis, Pancreatitis, Yafunu mu yaw, Nnuan a wɔyam, Awo mu dɛmdi, MRCP, ERCP