Ua like anei kou pancreas me kēia? E aʻo kākou e pili ana i (Pancreas Divisum)!

Ua loaʻa anei iā ʻoe kahi scan CT o kou ʻōpū no kekahi kumu ʻē aʻe a ua haʻi aku ke kauka iā ʻoe he ʻano ʻē iki i loko o kou pancreas i kapa ʻia ʻo Pancreas Divisum? A i ʻole ua ʻike pinepine ʻoe i nā ʻeha ʻōpū a me ka nausea a ua ʻike ʻoe e pili ana i ia mea. He aha maoli ka Pancreas Divisum? He mea anei kēia e hopohopo ai? E kamaʻilio kākou e pili ana i kēia lā.

He aha ka (Pancreas Divisum)? I ka ʻōlelo maʻalahi...

I ka ʻōlelo maʻalahi, he ʻano liʻiliʻi ʻo Pancreas Divisum, ʻaʻole ia he mea ʻino, he ʻano hānau ma kou pancreas. Ua kapa pū nā kauka iā ia he maʻi hānau, ʻo ia hoʻi he mea ia i hānau ʻia ai mākou.

Hoʻopuka ko kākou pancreas i nā wai hoʻoheheʻe koʻikoʻi (nā wai pancreatic). Hele kēia mau wai mai ka pancreas ma o kahi ʻōmole liʻiliʻi (duct pancreatic) a i ka hoʻomaka ʻana o ko kākou ʻōpū liʻiliʻi. I ke kanaka me Pancreas Divisum, ʻaʻole i hoʻokumu piha ʻia ke duct nui. No laila, kahe pinepine ka wai pancreatic mai kahi puka liʻiliʻi (minor papilla) ma mua o kahi puka nui (major papilla). Hiki i kēia ke hoʻolilo i ka wai i kahe maikaʻi ʻole.

Eia nō naʻe, ʻaʻole ʻike ka hapa nui o ka poʻe i kekahi mau hōʻailona ma muli o kēia. Eia nō naʻe, no kekahi poʻe, ma muli o nā pilikia me ke kahe ʻana o ka wai, hiki ke loaʻa nā hōʻailona e like me ka "Pancreatitis" a i ʻole ka mumū o ka pancreas.

Pehea ka maʻamau o kēia?

Ua ʻike anei ʻoe? ʻO kēia maʻi, i kapa ʻia ʻo "Pancreas Divisum", ʻo ia ke kīnā hānau maʻamau e hoʻopilikia ana i ka pancreas. Ua ʻōlelo ʻia ma kahi o 10% o ka heluna kanaka maʻamau i loaʻa i kēia maʻi. ʻO ia hoʻi ma kahi o hoʻokahi i loko o ka ʻumi kānaka. No laila, ʻaʻole kēia he mea maʻamau ʻole.

He mea koʻikoʻi anei ka Pancreas Divisum?

ʻO ka hapa nui o ka manawa, ʻaʻole. ʻO ka hapa nui o ka poʻe me Pancreas Divisum ʻaʻohe pilikia. ʻAʻole ia e hoʻopilikia i ke ʻano o kāu pancreas e kōkua ai i ka hoʻoheheʻe ʻana i ka meaʻai.

Eia nō naʻe, he hapa liʻiliʻi loa, ʻo ia hoʻi, he helu liʻiliʻi o ka poʻe me ka `(Pancreas Divisum)`, e ʻike paha i nā hōʻailona o ka `(Pancreatitis)` a i ʻole ka mumū o ka pancreas a mākou i ʻōlelo ai ma mua. Eia naʻe, ʻo ka hapa nui o ka manawa, ʻaʻole i koʻikoʻi kēlā mau hōʻailona e pono ai ke ʻoki ʻana.

He aha nā hōʻailona o ka Pancreas Divisum?

ʻO ka nūhou maikaʻi, ʻoi aku ma mua o 95% o ka poʻe me Pancreas Divisum ʻaʻole i ʻike i kekahi mau hōʻailona . Hiki iā ʻoe ke ola i kou ola holoʻokoʻa me ka ʻike ʻole he loaʻa iā ʻoe ke ʻano.

Eia nō naʻe, i nā hihia kakaikahi, hiki ke like nā hōʻailona me nā pancreatitis. ʻO lākou pū kekahi:

• ʻEha ʻōpū (ʻo kēia ka mea maʻamau). Manaʻo kekahi poʻe i kēia ma ka ʻōpū o luna, i kekahi manawa hiki ke laha i ke kua.
• Ka luaʻi a me ka luaʻi.
• Ke ʻano o ke kuni.
• ʻO nā mea e like me nā pilikia o ka ʻōpū, ka bloating, etc.
• ʻAʻohe ʻono o ka meaʻai.
• Nā ʻōpala momona.
• Nā palpitations o ka puʻuwai.
• Lilo ka hanu ʻana i mea wikiwiki a pōkole.
• ʻO ka poniuniu (hiki paha ma muli o ke koko haʻahaʻa).

ʻO ka mea nui loa, ʻoiai ke loaʻa nei kēia mau hōʻailona, ​​ʻaʻole hiki ke kumu ʻia e ka `(Pancreas Divisum)`. No laila, ʻoi aku ka maikaʻi o ke ʻike ʻana i ke kauka a ʻike i ke kumu pololei.

No ke aha e hana ʻia ai kēia (Pancreas Divisum)?

Hana ʻia kēia ma muli o kahi loli iki i ka ulu ʻana o ka pancreas i ko kākou wā i loko o ka ʻōpū, ʻo ia hoʻi, ma mua o ko kākou hānau ʻia ʻana.

ʻO ka maʻamau, ulu kā mākou pancreas mai ʻelua ʻāpana i kapa ʻia ʻo "nā ʻōpuʻu." ʻO kekahi ka ʻōpuʻu ventral ma mua, a ʻo kekahi ka ʻōpuʻu dorsal ma hope. Loaʻa i kēia mau ʻōpuʻu ʻelua kā lākou mau ducts ponoʻī. Ma kahi o ʻehiku pule o ka hāpai ʻana, hui pū kēia mau ʻōpuʻu ʻelua e hana i ka pancreas ma ke ʻano he ʻōkana hoʻokahi. Hoʻohui pū nā ducts ʻelua e hana i ka duct pancreatic nui.

E noʻonoʻo e like me kahi paipu wai nui. Maanei e hele ai nā wai hoʻoheheʻe i hana ʻia i loko o ka pancreas i ka ʻāpana mua o ko kākou ʻōpū liʻiliʻi (ka 'duodenum') e kōkua i ka hoʻoheheʻe ʻana i ka meaʻai.

Akā, i ke ʻano o `(Pancreas Divisum)`, ʻo ka mea e hana ʻia ana, ʻaʻole e hui pū kēlā mau ʻōpuʻu ʻelua, ko lākou mau ducts ʻelua, e hana i kēlā `(pancreatic duct)` nui. Akā, loaʻa paha iā ʻoe ʻelua mau ducts liʻiliʻi kaʻawale e hoʻokahe i nā wai mai loko mai o kou pancreas. A laila, ʻaʻole e kahe nā wai nui mai loko mai o kēlā puka nui (`major papilla`), akā, mai loko mai o kekahi puka liʻiliʻi ʻē aʻe (`minor papilla`) e pili ana i ka ʻōpū liʻiliʻi.

Nui nā ʻano like ʻole i ke ʻano o ka hoʻokumu ʻana o kēia mau kahawai wai a hoʻokuʻu i ka wai mai ka pancreas.

Nā pilikia e hiki mai ana ma muli o ka Pancreas Divisum

ʻO ka pilikia nui loa e hiki ke hana ʻia ma kēia, ʻo ia ka mumū o ka pancreas, i kapa ʻia ʻo `(Pancreatitis)`. Akā, he mea nui loa ka huaʻōlelo "hiki" ma ʻaneʻi. He ʻoiaʻiʻo nō i kekahi manawa e ʻike ka poʻe me `(Pancreas Divisum)` i nā hōʻailona o `(Pancreatitis).` Akā, ke noiʻi nei nā kānaka ʻepekema i ka pilina ma waena o nā mea ʻelua.

ʻO kekahi kumumanaʻo, inā ʻaʻole hiki i ka wai ke kahe pono ma o ka puka liʻiliʻi (`minor papilla`), hiki i ka wai ke hōʻiliʻili a paʻa. Hiki i kēia paʻa ke hoʻoulu i ka mumū. ʻO kekahi, i kekahi manawa hiki i kēia mau kūlana ʻelua ke hana pū. No ka mea, ʻoiai kekahi poʻe me `(Pancreas Divisum)` e ulu ana `(Pancreatitis)`, ʻaʻole ka hapa nui. ʻO kekahi kumumanaʻo, ʻo `(Pancreas Divisum)` e hoʻonui paha i ka pilikia o ka ulu ʻana `(Pancreatitis)`, akā ʻaʻole ia ka hihia mau, i kekahi mau hihia wale nō.

No laila, pono ka noiʻi hou aku e ʻike pono i kēia.

Pehea ʻoe e ʻike ai i kēia?

ʻO ka hapa nui o ka manawa, ʻike nā kauka i ka loaʻa ʻana o Pancreas Divisum ma kahi ulia i ka wā e hana ai i kahi CT scan, a i ʻole Computed Tomography scan, o ka ʻōpū no kekahi pilikia ʻē aʻe pili ʻole.

Akā inā he mau hōʻailona kou, hiki i kāu kauka ke kauoha i nā hoʻokolohua e like me kēia:

• `(Hoʻohālikelike ʻana o ka Magnetic Resonance Cholangiopancreatography - MRCP)`ʻO kēia hoʻāʻo e hiki ai i ke kauka ke ʻike i kāu ʻōnaehana duct pancreatic ma kahi pale. Hiki ke hāʻawi ʻia iā ʻoe kahi injection e loaʻa ana kahi hormone i kapa ʻia ʻo `(Secretin)`. Hiki i kēia `(Secretin)` ke kōkua i ka ʻike maopopo ʻana i nā ʻano ʻē i loko o ka pancreas, e like me `(Pancreas Divisum)`. I kekahi manawa hana ʻia kēia hoʻāʻo me ka ʻole o ka injection `(Secretin)`.
• ʻO ka ultrasound Endoscopic : Pili kēia i ka hoʻohana ʻana i kahi scope, kahi paipu me kahi kāmela liʻiliʻi, e nānā i nā kiʻi ultrasound o kou mau kino ma kahi pale. Hiki i kēia ke kōkua i ka hoʻoholo ʻana inā ua pehu kou pancreas.
• ʻO Endoscopic Retrograde Cholangiopancreatography (ERCP) : Hoʻohana kēia hoʻāʻo i kahi scope a me nā X-ray e kiʻi i nā kiʻi o kāu mau ducts pancreatic. Hoʻokomo ke kauka i ka scope i lalo o kou puʻu a i loko o kou pancreas. Hoʻokuʻu ka scope i kahi dye ʻino ʻole, ka mea e ʻike ʻia ai nā ducts ma ka pale. Ua like ia me MRCP, akā ʻoi aku ka invasive. No laila, hoʻohana pinepine nā kauka i kēia kaʻina hana inā lākou e hoʻolālā ana e mālama i ka maʻi ma o ka endoscopy. Hoʻohana ʻia kahi scope i ka wā endoscopy.

He aha nā lāʻau lapaʻau no (Pancreas Divisum)?

ʻO kaʻoiaʻiʻo, ʻaʻole pono ka hapa nui o ka poʻe me Pancreas Divisum i kekahi lāʻau lapaʻau.

Akā inā he mau hōʻailona iki a kaulike paha kou o ka pancreatitis, hiki i kāu kauka ke kuhikuhi i nā ala e mālama ai iā lākou. Eia kekahi laʻana:

• Ke hoʻololi nei i ka papaʻai haʻahaʻa momona: Ke ʻai ʻoe i ka momona liʻiliʻi, pono ka pancreas e hana emi iho e hoʻoheheʻe i ka momona.
• Ke lawe nei i nā lāʻau lapaʻau: Pono paha ʻoe e lawe i kahi mea e like me ka analgesic.
• Ke lawe nei i nā mea hoʻopihapiha: Pono paha ʻoe e lawe i nā mea hoʻopihapiha enzyme pancreatic e kōkua ai i ka ʻeli ʻana.

Inā loaʻa iā ʻoe nā hōʻailona pinepine a koʻikoʻi (e like me ka ʻeha nui o ka ʻōpū), pono paha ʻoe e hana i kahi hana liʻiliʻi e hoʻonui (hoʻonui) i ke ala pancreatic.

Nā lāʻau lapaʻau kūikawā

ʻO kēia nā lāʻau lapaʻau e hoʻonui ai i ka papilla liʻiliʻi:

• Endoscopy: Hiki i ke kauka ke hana i kahi ʻoki liʻiliʻi a hoʻonui i ka puka i ka wā o ka ERCP. Hiki iā ia ke hoʻokomo i kahi paipu metala i kapa ʻia he stent e mālama iā ia e wehe.
• ʻOki kino: ʻAʻole pono ka hapa nui o ka poʻe i ke ʻoki kino no ka Pancreas Divisum. Eia nō naʻe, inā ʻaʻole hiki iā ʻoe ke hana i kahi endoscopy, a inā ʻaʻole i holomua kahi endoscopy, pono paha ke ʻoki kino. Pili kēia i ka hana ʻana i kahi ʻoki liʻiliʻi i loko o kou ʻōpū a me ke komo ʻana i ke kahawai pancreatic. Eia hou, pili ke kaʻina hana i ka hoʻonui ʻana i ke kahawai e lawe ana i ka wai pancreatic i ka ʻōpū liʻiliʻi.

Aia kekahi mau pilikia i ka mālama ʻana?

E nānā pono kāu kauka i kou olakino ma mua o ka ʻōlelo ʻana i ka lāʻau lapaʻau. Ma keʻano laulā, he kakaikahi nā pilikia.

ʻO nā pilikia e hiki ke komo pū me:

• Ka hoʻi hou ʻana o ke kūlana `(Pancreatitis)`.
• Hoʻololi hou ʻia kēlā puka liʻiliʻi ('minor papilla`).
• Ka puka ʻana a i ʻole ke kahe ʻana o ke koko.

He aha ka wānana no kekahi me ka Pancreas Divisum?

Maikaʻi loa kou kūlana, ʻoiai inā ʻaʻohe ou hōʻailona. ʻAʻole paha he hopena o ka Pancreas Divisum i kou ola.

Hiki i nā poʻe he nui me nā hōʻailona ke hoʻokele i ko lākou mau hōʻailona me ka ʻole o ka mālama ʻana i ke kauka. Inā makemake ʻoe i ka lāʻau lapaʻau, ua manaʻo ʻia ʻo ka endoscopy a me ke ʻoki ʻana he mau koho palekana a maikaʻi hoʻi. ʻOi aku ka maikaʻi o lākou inā loaʻa iā ʻoe nā hōʻailona o ka pancreatitis ʻoi a i ʻole ka pancreatitis hou. ʻAʻole lākou i like ka maikaʻi me ka mālama ʻana i ka pancreatitis mau loa.

He aha nā nīnau e pono iaʻu e nīnau aku i kaʻu kauka?

Hiki iā ʻoe ke nīnau i nā nīnau e like me kēia:

• Pehea ka hopena o ka maʻi Pancreas Divisum i koʻu olakino?
• He aha koʻu manawa kūpono e loaʻa ai ka `(Pancreatitis)`?
• He aha nā hōʻailona e pono iaʻu e makaʻala?
• Ua hoʻokumu ʻia koʻu mau hōʻailona e Pancreas Divisum a i ʻole kekahi pilikia ʻē aʻe?
• E pono anei iaʻu ka lāʻau lapaʻau e kāohi i koʻu mau hōʻailona?

Inā ʻike ʻoe ma o kahi hoʻāʻo ua loaʻa iā ʻoe ka `(Pancreas Divisum)`, mai hopohopo. He kīnā hānau maʻamau kēia. Inā ʻaʻohe ou hōʻailona i kēia manawa, ʻaʻole paha ʻoe e loaʻa i kekahi pilikia i ka wā e hiki mai ana.

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

ʻAe, i kēia manawa ua loaʻa iā ʻoe kahi manaʻo maikaʻi aʻe o ka mea a mākou i kamaʻilio ai, ʻo `(Pancreas Divisum)`. ʻO ka mea nui, ʻo ka hapa nui o ka manawa, ʻaʻohe mea e hopohopo ai.

• He kīnā liʻiliʻi ko ka Pancreas Divisum i loko o ka pancreas mai ka wā hānau mai.
• ʻAʻole ʻike ka hapa nui o ka poʻe i kekahi mau hōʻailona.
• I ka manawa pinepine ʻole, hiki ke ʻike ʻia nā hōʻailona e like me `(Pancreatitis)`.
• ʻO ka hapa nui o ka manawa, ʻike ʻia kēia ma kahi hanana, i ka wā o kahi scan i hana ʻia no kekahi kumu ʻē aʻe.
• Inā ʻaʻohe hōʻailona, ​​ʻaʻole pono ka lāʻau lapaʻau.
• Inā loaʻa nā hōʻailona, ​​​​hiki ke mālama ʻia me nā loli o ke ʻano o ka nohona, nā lāʻau lapaʻau, a i ʻole kekahi mau lāʻau lapaʻau e like me ka endoscopy.

Inā ʻike ʻoe he `(Pancreas Divisum)` kou, mai hopohopo a kamaʻilio me kāu kauka e pili ana i ia mea. E hāʻawi ʻo ia iā ʻoe i ka ʻike āpau āu e pono ai. E hoʻomanaʻo, ʻaʻole like ke kino o kēlā me kēia kanaka, no laila ʻo kāu kauka wale nō ke hāʻawi iā ʻoe i ka ʻōlelo aʻoaʻo maikaʻi loa.

ʻO ka Pancreas Divisum, Pancreatitis, Pancreatitis, ʻEha ʻōpū, ʻAi ʻana, Nā kīnā hānau, MRCP, ERCP