He meʻe liʻiliʻi o kā mākou ʻōnaehana hoʻoheheʻe: E aʻo kākou e pili ana i ka Ampulla o Vater.

Ua noʻonoʻo paha ʻoe pehea mākou e hoʻoheheʻe ai i ka meaʻai a mākou e ʻai ai? He hana paʻakikī loa ia, akā ʻaʻole mākou e noʻonoʻo nui i nā ʻāpana liʻiliʻi i loko o ko mākou kino e kōkua iā ia, ʻeā? ʻĀ, i kēia lā e kamaʻilio mākou e pili ana i kahi ʻano i ʻike ʻole ʻia e hana mālie ana i kahi kuleana nui i kā mākou ʻōnaehana hoʻoheheʻe. ʻO ia ka "Ampulla o Vater." ʻOiai he mea ʻē paha kona inoa, he mea nui loa kāna hana.

No laila, ʻo wai kēia Ampulla o Vater? Aia i hea ʻo ia?

I ka ʻōlelo maʻalahi, ʻo ka ampulla o Vater kekahi ʻāpana o kā mākou ʻōnaehana hoʻoheheʻe . I ka pololei, aia ia ma waenakonu o ko mākou ʻōpū, kokoke loa i kekahi mau ʻōkana koʻikoʻi e like me ka pancreas , ke akepaʻa , ka ʻōpū liʻiliʻi, a me ka gallbladder . E noʻonoʻo e like me kahi hui ʻana kahi e hui ai nā alanui ʻelua. E like me kēlā, ua hoʻokumu ʻia ka ampulla o Vater kahi e hui ai kā mākou ʻōnaehana bile maʻamau ( ka paipu e lawe ana i ka bile mai ke akepaʻa a me ka gallbladder ) a me ka ʻōnaehana pancreatic (ka paipu e lawe ana i nā wai hoʻoheheʻe mai ka pancreas). ʻO nā wai e puka mai ana mai kēia mau ʻōnaehana ʻelua, ʻo ia hoʻi ka bile (e kōkua ana i ka hoʻoheheʻe ʻana i nā momona) a me ka wai pancreatic (e kōkua ana i ka hoʻoheheʻe ʻana i nā protein a me nā carbohydrates i ka meaʻai), e hui pū a laila hele i ka ʻāpana mua o ko mākou ʻōpū liʻiliʻi . Kapa mākou ia he duodenum . No laila, ʻo kēia ampulla o ka wai ua like ia me kahi e noho ai kēia mau wai koʻikoʻi no kekahi manawa a laila hana i ke ala no lākou e hele ai i ka duodenum i ka wā e pono ai. I kekahi manawa kapa pū nā kauka ia hepatopancreatic ampulla.

Pehea ka hana ʻana o kēia Ampulla o Vater?

ʻAe, e nānā kākou pehea e hana ai kēia ʻāpana liʻiliʻi. Ma ka hopena o kēia ampulla o Vater, kahi e pili ai i ka duodenum, aia kahi puka liʻiliʻi. Ua kapa ʻia kēia ʻo ka papilla duodenal nui a i ʻole ka papilla o Vater. E noʻonoʻo e like me ka piula wai. Aia kahi apo ʻiʻo kūikawā e kāohi ana i kēia puka. Ua kapa ʻia ʻo ia ʻo ka sphincter o Oddi . ʻO kēia ka mea e hana ana e like me ke kiaʻi puka. Ke komo ka meaʻai i loko o ka duodenum, wehe kēia sphincter o Oddi, e ʻae ana i ka bile a me ka wai pancreatic i hōʻiliʻili ʻia i loko o ka ampulla e komo i loko o ka duodenum. ʻO kēia ka manawa e hui pū ai kēia mau mea me ka meaʻai a hoʻomaka ka ʻai pono. A laila, pani ʻia kēia valve, e pale ana i ka meaʻai mai ke kahe hou ʻana i loko o ka ampulla. He hana akamai loa ia i kāohi ʻia.

No laila he aha ka hana nui o kēia ampulla hepatopancreatic?

ʻO kāna hana nui ka hana ma ke ʻano he mea hoʻonohonoho ma waena o nā ʻāpana like ʻole o kā mākou ʻōnaehana hoʻoheheʻe. I mea e pololei ai:

• Hana ia e like me kahi waihona liʻiliʻi no ka bile a me ka wai pancreatic.
• ʻO kēia mau wai, e kōkua ana i ko mākou kino e ʻeli i ka meaʻai a omo i kāna mau meaola, e hoʻomākaukau i ke ala no ka duodenum e hoʻokuʻu iā lākou i ka manawa kūpono a me ka nui kūpono .

I ka ʻōlelo maʻalahi, i mea e loaʻa ai i ke kino ka ikehu mai ka meaʻai a kākou e ʻai ai, pono e hana pono kēia hoaaloha liʻiliʻi i kapa ʻia ʻo Ampulla of Vater.

Pehea ke ʻano o kēia ampulla wai?

He huaʻōlelo Latina ʻo "Ampoule". ʻO ia hoʻi "ʻōmole liʻiliʻi" a i ʻole kekahi mea e like me "flask." Ua ʻike paha ʻoe i kekahi mau ʻōmole ākea ma lalo a haiki ma luna. Pēlā ke ʻano o kēia Ampulla o Vater. He ʻeke liʻiliʻi, i hoʻonui iki ʻia, e like me ka ʻōmole . He poepoe ma kekahi ʻaoʻao a he conical ma kekahi.

He aha nā maʻi e hiki ke hoʻopilikia i ka ampoule o Vater?

ʻO ka maʻamau, hana ʻo ia i kāna hana me ka nalowale. Akā i kekahi manawa hiki ke kū mai nā pilikia. E nānā kākou i ke ʻano o ia mau mea:

ʻO ka adenoma ampulary

He ulu liʻiliʻi kēia e kū mai ana i loko o ka ampulla. ʻO ka pololei, he polyp ia. ʻAʻole pinepine kēia mau kūlana maʻi kanesa. ʻAʻole lākou e hōʻike i kekahi mau hōʻailona kūikawā. ʻIke pinepine ʻia lākou i ka wā o ka endoscopy no kekahi pilikia gastrointestinal ʻē aʻe. Eia nō naʻe, i kekahi manawa hiki i kēia adenoma ke lilo i kanesa. Inā hana ʻia kēlā, paipai nā kauka e wehe iā ia ma ke ʻoki kino (resection).

Ka maʻi ʻaʻai ampullary

Hiki i nā polyps i ʻōlelo ʻia ma mua ke lilo i ka maʻi kanesa i kekahi manawa. He ʻano maʻi kanesa kakaikahi loa kēia. ʻIke pinepine ʻia i nā poʻe i ko lākou mau makahiki 70. Inā loaʻa i kekahi o ka ʻohana kahi maʻi e like me ka polyposis syndrome, a inā he moʻolelo ʻohana ko lākou no kekahi mau ʻano maʻi kanesa colorectal (hereditary nonpolyposis colorectal cancer), ʻoi aku ka kiʻekiʻe o ka pilikia o ka loaʻa ʻana o kēia maʻi kanesa. Inā ʻike mua ʻia, hiki ke hana ʻia ke ʻoki ʻana e wehe i ka puʻupuʻu. I nā hihia i pālahalaha iki ai, pono paha ka chemotherapy a me ka radiation .

Nā pōhaku ʻōpū

I kekahi manawa hiki ke paʻa nā pōhaku gall i loko o ka ampulla o Vater. He kūlana weliweli kēia a hiki ke hoʻoweliweli i ke ola. Inā hana kēia, e hana ke kauka lapaʻauHoʻokuʻu ʻia nā pōhaku ma o ka endoscopy.

Inā he pilikia kekahi me ka ampulla, he aha nā hōʻailona e hōʻike ʻia?

E noʻonoʻo, he aha ka mea e hana ai inā paʻa kahi polyp, kahi puʻupuʻu kanesa, a i ʻole kahi pōhaku gall i loko o ka ampulla? A laila ʻaʻole hiki i ka bile mai ke kahawai bile a me nā wai ʻai mai ke kahawai pancreatic ke kahe pono. ʻO ia hoʻi, ua ālai ʻia ke ala . ʻO ia ka manawa e hoʻomaka ai nā hōʻailona like ʻole e ʻike ʻia. Eia kekahi laʻana:

• E ʻeha paha kou ʻōpū .
• ʻO ka maʻi bacteria o nā ʻauwai bile (cholangitis) hiki ke hoʻoulu i ke kuni a me ka jaundice (melemele o nā maka a me ka ʻili).
• Hiki ke loaʻa ka luaʻi a me ka luaʻi .
• Hiki ke kū mai ka mumū ʻana o ka pancreas, a i ʻole ka pancreatitis .
• E ʻike paha ʻoe i ka emi ʻana o ke kaumaha o ke kino .

Inā loaʻa iā ʻoe kekahi a ʻoi aku paha o kēia mau hōʻailona, ​​​​he mea nui loa e ʻimi i ke aʻo lapaʻau.

Pehea lā e mālama ai i kēia ampulla o ka wai i ke olakino?

ʻO kaʻoiaʻiʻo, ʻaʻole maopopo loa i nā loea pehea e pale aku ai i ka ulu ʻana o nā polyps ampullary a i ʻole ke kanesa. Eia nō naʻe, aia kekahi mau mea hiki iā mākou ke hana e pale aku i nā pōhaku gall a mālama i ke olakino o kā mākou ʻōnaehana hoʻoheheʻe holoʻokoʻa.

• E hōʻalo i nā meaʻai kiʻekiʻe i nā kalapona i hoʻomaʻemaʻe ʻia. ʻO ia hoʻi ka hōʻemi ʻana i nā meaʻai i hana ʻia mai ka palaoa berena a me nā meaʻai kiʻekiʻe i ke kō i ka hiki.
• Ma kahi o nā meaʻai palai a me nā mea ʻono, e koho i nā momona olakino. Eia kekahi laʻana, he mea maikaʻi nā mea e like me ka ʻaila iʻa a me ka ʻaila ʻoliva.
• E ʻai i nā meaʻai kiʻekiʻe i ka fiber . ʻO nā huaʻai, nā mea kanu, nā legumes, nā nati, a me nā palaoa holoʻokoʻa he mau laʻana maikaʻi. He mea nui loa ka fiber no kā mākou ʻōnaehana hoʻoheheʻe.
• E hōʻemi i ka ʻai ʻana i ke kō i ka hiki.

Ma ka hahai ʻana i kēia mau mea, e loaʻa iā ʻoe nā hopena maikaʻi loa ʻaʻole wale no ka Ampulla o Vater, akā no kou olakino holoʻokoʻa.

ʻO ka mea hope loa, nā mea e hoʻomanaʻo ai (Leka Lawe-Home)

I kēia manawa, ua maopopo paha iā ʻoe he koa liʻiliʻi kēia Ampulla o Vater e hana ana i kahi lawelawe koʻikoʻi loa, akā he leo ʻole i loko o kā mākou ʻōnaehana hoʻoheheʻe. Aia ma ka hui ʻana o ke ala bile maʻamau a me ke ala pancreatic, hōʻiliʻili ia i ka bile a me ka wai pancreatic a kōkua i ka hoʻouna ʻana iā lākou i ka ʻōpū liʻiliʻi (duodenum) i ka wā e pono ai. ʻO ia ke kumu e hoʻoheheʻe pono ʻia ai ka meaʻai a mākou e ʻai ai a loaʻa i ke kino ka meaʻai.

No laila, pono kākou e noʻonoʻo i kona olakino pū kekahi. ʻO ka ʻai ʻana i ka meaʻai kaulike a me ke ola ʻana i kahi nohona olakino e kōkua nui i ka pale ʻana i kēia koa liʻiliʻi mai ka maʻi a kōkua iā ia e hana pono i kāna hana. No ka mea, inā olakino ʻo ia, olakino pū kākou!