ʻO Ampulla o Vater: ʻO ka hui liʻiliʻi akā ikaika o kā mākou ʻōnaehana hoʻoheheʻe!

Ua noʻonoʻo hohonu paha ʻoe i nā mea e hana ʻia ana i loko o ko kākou kino ma hope o kā kākou ʻai ʻana? Ma hope o ka hele ʻana o ka meaʻai a kākou e ʻai ai mai ko kākou waha a i ko kākou ʻōpū, hana ʻia kahi hana paʻakikī loa e hoʻoheheʻe iā ia, hana i ka ikehu, a hāʻawi i ka meaʻai e pono ai ko kākou kino. Ma kēia hana, hana pū kēlā me kēia ʻōkana ma ke ʻano he hui. I kēia lā, e kamaʻilio kākou e pili ana i kahi wahi liʻiliʻi loa, akā koʻikoʻi loa i loko o kā kākou ʻōnaehana hoʻoheheʻe e hana ana e like me kahi hui kaʻaahi nui. ʻO ia ka "Ampulla of Vater".

He aha maoli ka Ampulla o Vater?

I ka ʻōlelo maʻalahi, ʻo ka ampulla o Vater kahi puka liʻiliʻi e wehe ana i ka ʻāpana mua o ko kākou ʻōpū liʻiliʻi (ka duodenum). Akā, ʻaʻole ia he puka wale nō. ʻO ia kahi nui e hui pū ai nā wai ʻelua e pono ai no kā kākou hana hoʻoheheʻe ʻana a hui pū me ka meaʻai.

E noʻonoʻo i kēia ʻano. ʻO ke kahawai bile maʻamau, ka mea e lawe ana i ka bile mai ko kākou ake, a me ke kahawai pancreatic, ka mea e lawe ana i nā enzymes mai ko kākou pancreas e kōkua iā kākou e ʻeli i ka meaʻai, e hui pū e hana i kahi ʻeke liʻiliʻi. Ua kapa ʻia kēlā ʻeke ʻo ka ampulla o Vater. A laila hui pū ka bile a me nā enzymes pancreatic a hele i loko o ka ʻōpū liʻiliʻi.

Ua loaʻa kēia inoa mai kahi mea kupanaha. Ua kapa ʻia ʻo ia ma muli o ke ʻano o kahi ʻōmole poepoe i kapa ʻia ʻo "ampulla" i hoʻohana ʻia i ka wā Roma . Ua kapa ʻia hoʻi ʻo "of Vater" no ka hoʻohanohano ʻana i ka anatomist ʻo Abraham Vater, nāna i wehewehe mua.

Aia ma hea kēia ʻōkana liʻiliʻi?

Aia ka ampulla o Vater i loko o ka paia o ka duodenum, ʻo ia ka ʻāpana mua o ko kākou ʻōpū liʻiliʻi . ʻO ka duodenum ka ʻāpana o ka ʻōpū liʻiliʻi e hele ana ma hope o ka ʻōpū, ma kahi o 10 ʻīniha ka lōʻihi. Aia ka ampulla o Vater ma waenakonu o kēia duodenum.

He mea nui loa kēia wahi i ka lāʻau lapaʻau. No ka mea, ʻo kēia kahi e hoʻoheheʻe hou ʻia ai ka meaʻai i wāwahi ʻia a wāwahi ʻia i loko o ka ʻōpū a hoʻomaka ke kino e omo i nā meaʻai i loko. Me he mea lā e kaʻana like ana i ka hana, ʻoiai ka ʻōpū e hana ana i kāna hana o ka wāwahi ʻana i ka meaʻai, hoʻomaka ka duodenum a me ke koena o ka ʻōpū liʻiliʻi e omo iā ia. ʻAʻole hiki ke hana ʻia kēlā kaʻina hana me ka ʻole o nā wai e puka mai ana mai kēia ampulla o ka ʻōpū.

He aha nā ʻāpana a me nā hana o ka Ampulla o Waiter?

I loko o kēia hui liʻiliʻi, aia kahi ʻōnaehana paʻakikī a kupaianaha hoʻi. Hana nui ʻia ia me kahi pūnaewele o nā ʻiʻo a puni ia. Kāhea mākou i kēia mau sphincters . E like me ka valve wai, wehe a pani kēia mau ʻiʻo e kāohi i ka nui o ka bile a me nā enzymes e komo i loko o ka ʻōpū liʻiliʻi, a me ka manawa hea.

ʻAʻole hiki iā mākou ke kāohi i kēia mau ʻiʻo e like me kā mākou makemake. Hana koke lākou e like me nā hōʻailona a mākou e loaʻa ai mai kā mākou ʻōnaehana nerve. Ke ʻai mākou i kahi meaʻai momona, pono mākou i ka bile hou aʻe e hoʻoheheʻe iā ia. A laila, puka mai kahi hōʻailona mai ko mākou lolo, a wehe kēia mau ʻiʻo a hoʻokuʻu i ka nui o ka bile e pono ai. ʻAʻole anei he mea kupaianaha?

E kōkua ka papa ma lalo nei iā mākou e hoʻomaopopo i kāna mau ʻāpana nui a me kā lākou mau hana me ka maʻalahi.

He aha nā maʻi e hiki ke hoʻopilikia i kēia ʻāpana?

Inā hewa kekahi mea ma kēia wahi liʻiliʻi akā koʻikoʻi loa, hiki iā ia ke hoʻopilikia i ko mākou kino holoʻokoʻa. No ka mea, inā ʻaʻole hiki i ka bile a me nā enzymes ke puka i waho a paʻa i loko, hiki iā lākou ke hoʻi hou a hōʻino i ke ake a me ka pancreas.

Eia nā kūlana olakino nui e hiki ke hana e pili ana me ka ampulla o Vater.

Pehea e ʻike ai inā he pilikia me kaʻu ampulla o ka waiter? He aha nā hōʻailona?

Inā paʻa ka ampulla o Vater i kahi puʻupuʻu, pōhaku, a i ʻole kekahi pilikia ʻē aʻe, ʻaʻole hiki i ka bile a me nā enzymes ke kahe i waho. A laila hōʻiliʻili kēia wai i loko o nā ʻauwai bile a me ka pancreas, e hoʻonui ana i ke kaomi a hoʻopilikia i ka ʻōnaehana holoʻokoʻa. Hiki i kēia ke hana i nā hōʻailona penei:

• ʻEha ʻōpū: ʻEha, ʻoi aku hoʻi ma ka ʻaoʻao ʻākau o luna o ka ʻōpū.
• Biliary colic: He ʻeha nui e hiki koke mai ana a nalowale ma hope o kekahi manawa.
• Jaundice: Melemele o nā keʻokeʻo o nā maka a me ka ʻili. Hana ʻia kēia ke hiki ʻole ke hoʻokuʻu ʻia ka bile, a hōʻiliʻili ka pigment melemele bilirubin i loko o ke koko.
• Ka luaʻi a me ka luaʻi: ​​Hiki ke hana ʻia kēia ʻano ma muli o ka indigestion.

Pehea e hoʻāʻo ai a mālama ai nā kauka i kēia?

ʻO ka mea pōmaikaʻi, me ka ʻenehana lapaʻau holomua o kēia wā, ʻaʻole pono e hana i ke ʻoki kino nui e nānā a mālama i kēia ampulla o Vater. Hoʻohana pinepine nā kauka i kahi kaʻina hana i kapa ʻia ʻo endoscopy no kēia kumu.

I ka ʻōlelo maʻalahi, pili kēia i ke komo ʻana i kahi ʻōmole lahilahi me kahi kāmela liʻiliʻi ma ka hopena ma o ka waha, e hele ana ma ka ʻōpū, a hiki i ka ampulla o Vater i loko o ka gallbladder. Kāhea mākou i kēia kaʻina hana ʻo ERCP (Endoscopic Retrograde Cholangiopancreatography) .

ʻO ka hiʻohiʻona kūikawā o kēia ʻano hana:

1. Hoʻokolokolo: Hiki i ke kauka ke nānā pono i kēia wahi me kahi kāmela a ʻike pono i ke kumu o ka pilikia.

2. Lapaʻau: I kēlā manawa, hiki ke hoʻokomo ʻia nā mea hana liʻiliʻi ma o ka ʻōmole e wehe i nā pōhaku gall i paʻa i loko o ka gallbladder, hoʻonui i ka mea paʻa, a lawe paha i kahi ʻāpana liʻiliʻi o ka ʻiʻo (biopsy) no ka hoʻokolokolo ʻana. Hiki ke wehe ʻia kekahi mau puʻupuʻu liʻiliʻi ma kēia ʻano.

ʻO ke ʻano kēia, aia kahi manawa kūpono e hana ai i ka ʻike a me ka mālama ʻana i hoʻokahi kaʻina hana. He mea kūpono loa kēia no nā mea maʻi.

ʻOiai paha he ʻāpana liʻiliʻi loa ka ampulla o Vater i loko o ko kākou kino, he hana nui kāna. He puka nui ia i ko kākou ʻōnaehana hoʻoheheʻe. ʻO ia nō hoʻi ka puka like a nā kauka e hoʻohana ai e nānā i loko o kā kākou mau ʻāpana bile a me ka pancreas. ʻAʻole paha ʻoe e lohe i kēia inoa, akā inā e ʻōlelo kekahi kauka iā ia i kekahi lā, mai makaʻu. Hiki ke mālama ʻia ka nui o kona mau pilikia me nā ʻenehana holomua.