ʻO Pancreas Divisum: He mea kēia e makaʻu ai? E ʻike pono kākou! (He aha ka Pancreas Divisum?)

He mau mea kupaianaha maoli ko kākou mau kino, ʻeā? Akā i kekahi manawa, i ko kākou hānau ʻia ʻana, aia paha he mau loli liʻiliʻi i loko o ko kākou mau ʻōkana kino. ʻO ka hapa nui o kēia mau mea he mea ʻino ʻole a ʻaʻole mākou i ʻike iā lākou no ke koena o ko mākou ola. ʻO ka mea a mākou e kamaʻilio ai i kēia lā ʻo 'Pancreas Divisum', kahi loli liʻiliʻi e pili ana i ka pancreas i loaʻa mai ka hānau ʻana. Mai makaʻu i kou lohe ʻana i kēia inoa, e kamaʻilio maʻalahi kākou e pili ana.

He aha maoli ka Pancreas Divisum?

I ka ʻōlelo maʻalahi, ʻo ka 'Pancreas Divisum' kahi ʻano hānau ʻole i ke ʻano, ʻo ia hoʻi ke ʻano o ko kākou pancreas. I kēia manawa ke noʻonoʻo nei paha ʻoe i ke ʻano o kēia pancreas. He ʻōkana koʻikoʻi loa ia i loko o ko kākou ʻōpū, kokoke i ka ʻōpū. ʻO kāna mau hana nui ʻelua ka hana ʻana i nā enzymes e kōkua i ka hoʻoheheʻe ʻana i ka meaʻai a kākou e ʻai ai, a me ka hoʻomalu ʻana i nā pae kō i loko o ko kākou koko.

E noʻonoʻo i ka wā e ulu ana kahi pēpē i loko o ka ʻōpū o kona makuahine, aia ʻelua mau ala nui e kahe ai ka wai pancreatic. ʻO ka maʻamau, ma mua o ka hānau ʻana o ka pēpē, hui pū kēia mau ala ʻelua e hana i hoʻokahi ala nui.

ʻO kēia ke kumu o ka nui o nā wai hoʻoheheʻe i hana ʻia e ka pancreas e kahe ma o kahi duct liʻiliʻi a me ka wehe ʻana ma mua o ka maʻamau. ʻO ka hapa nui o ka manawa, ʻaʻole kēia e hoʻopilikia . Eia nō naʻe, he mea kakaikahi loa, aia kahi manawa liʻiliʻi e ālai ʻia ai kēia mau ducts a hoʻoulu i ka mumū o ka pancreas, kahi kūlana i kapa ʻia ʻo 'acute pancreatitis'.

He mea anei kēia i hoʻoili ʻia mai nā hanauna mai? Pono anei kākou e makaʻu?

ʻAe, he maʻi hānau kēia, ʻo ia hoʻi, aia i loko o ke kino i ka wā hānau. No laila, aia paha kekahi mana hoʻoilina. Wahi a nā kuhi, ma kahi o 10% o ka heluna kanaka, a i ʻole hoʻokahi i kēlā me kēia 10 kānaka, loaʻa paha kēia maʻi, ʻo `Pancreas Divisum`.

Akā ʻo ka mea nui a hōʻoluʻolu hoʻi ma ʻaneʻi, ʻo ka hapa nui o kēia poʻe, ʻaʻole loa lākou e ʻike i kekahi mau hōʻailona i ko lākou ola a pau . ʻAʻole pono lākou i kekahi lāʻau lapaʻau a ʻike paha e pili ana i kēia.

ʻO ka pancreatitis kahi pilikia kakaikahi. ʻO kēia ka manawa e pehu ai ka pancreas a ʻeha. ʻO kēia pancreatitis kahi mea e pono ai mākou e makaʻala iki. No ka mea, inā ʻaʻole mālama pono ʻia, hiki iā ia ke alakaʻi i nā maʻi koʻikoʻi e like me ka hāʻule ʻana o ka puʻupaʻa. Akā ke haʻi hou nei au, ʻaʻole kēia e hana i nā mea āpau me ka 'Pancreas Divisum'. He pilikia kakaikahi loa kēia.

He aha nā hōʻailona o ka Pancreas Divisum?

E ʻae mai iaʻu e haʻi hou i kaʻu mea i ʻōlelo ai ma mua. ʻAʻohe hōʻailona o ka nui o ka poʻe! ʻOiai inā loaʻa iā ʻoe kēia maʻi, ʻaʻole paha ʻoe e ʻike iā ia no ke koena o kou ola. He mea maʻamau kēlā.

Eia nō naʻe, i ka hihia kakaikahi loa e loaʻa ai i kekahi nā hōʻailona, ​​​​aia paha lākou ma ka papa ma lalo nei.

Pehea e ʻike ai ke kauka i kēia?

Inā loaʻa iā ʻoe nā hōʻailona e like me ka ʻeha mau o ka ʻōpū, hiki i kāu kauka ke kānalua i ka Pancreas Divisum a paipai i kekahi mau hoʻokolohua e hōʻoia i ka hōʻailona. Aia kekahi mau scan i hoʻohana pinepine ʻia no kēia.

He aha nā lāʻau lapaʻau no kēia?

Eia ka mea nui loa: Inā ʻaʻohe ou hōʻailona, ​​ʻaʻole pono ka Pancreas Divisum i kekahi lāʻau lapaʻau. Hiki iā ʻoe ke hoʻokuke wale iā ia a hele i kou ola e like me ka maʻamau.

Eia nō naʻe, inā hoʻomau ʻoe i nā hōʻailona e like me ka ʻeha a hōʻoia kāu mau kauka ʻo ke kumu ʻo Pancreas Divisum, makemake paha ʻoe e noʻonoʻo i nā koho lapaʻau.

• Lapaʻau ERCP: ʻO ka lāʻau lapaʻau maʻamau he kaʻina hana i kapa ʻia ʻo Endoscopic Retrograde Cholangiopancreatography (ERCP) . Ma kēia, hoʻokomo ʻia kahi endoscope, kahi ʻōmole lahilahi me kahi kāmela i hoʻopili ʻia, ma o ka waha, i loko o ke kahawai haiki i loko o ka pancreas, a hoʻonui iki ʻia ka wehe ʻana o ke kahawai (minor papilla sphincterotomy). I kekahi manawa hiki ke hoʻokomo ʻia kahi ʻōmole liʻiliʻi (stent) e mālama i ka wehe ʻana o ke kahawai.
• Nā Pōʻino: Eia nō naʻe, he mea pōʻino iki kēia kaʻina hana ERCP. I kekahi manawa hiki iā ia ke hoʻoulu a hoʻonui paha i ka pancreatitis. No laila, paipai nā kauka i kēia lāʻau lapaʻau ma hope o ka noʻonoʻo pono ʻana a inā he mea pono maoli.
• Nā ʻoki kino ʻē aʻe: I kekahi mau hihia koʻikoʻi, hiki ke ʻōlelo ʻia nā ʻano ʻoki kino ʻē aʻe (e like me ke kaʻina hana ʻo Puestow a i ʻole Frey) e wehe i ka ʻauwai pancreatic a ʻae i ka wai e kahe.

Hoʻoholo ʻia kēia mau mea a pau e kāu kauka ma hope o ka nānā pono ʻana i kou kūlana. No laila, mai hana wale i nā mea āu e makemake ai e hana, e kamaʻilio mau me kāu kauka ma mua o ka hoʻoholo ʻana.

Pehea e pale ai i nā hopena olakino o ka Pancreas Divisum?

ʻOiai he maʻi hānau kēia, ʻaʻole hiki iā mākou ke pale aku i ka hiki ʻana mai o ke ʻano i kapa ʻia ʻo 'Pancreas Divisum.' Eia naʻe, ʻo ke ala maikaʻi loa e pale aku ai i nā pilikia e hiki ai ke hana, ʻo ia ka mālama ʻana i kahi nohona olakino .

ʻO nā mea hiki iā ʻoe ke hana:

• E ʻai i ka meaʻai kaulike.
• E hoʻoikaika kino i nā manawa a pau.
• E hōʻemi a hoʻōki loa paha i ka inu ʻona (no ka mea, hoʻonui ka waiʻona i ka pilikia o ka pancreatitis).
• ʻO ka mea nui loa, inā hoʻomau ʻoe i ka ʻike ʻana i kekahi o nā hōʻailona a mākou i kūkākūkā ai ma mua (ʻeha ʻōpū, nausea), mai hoʻonele i ka manawa a ʻike i ke kauka.

E kiʻi i nā hoʻokolohua a kāu kauka e kauoha ai a e hahai pololei i ka lāʻau āna e hāʻawi ai iā ʻoe. E hoʻomanaʻo, ʻo ka hapa nui o ka poʻe me ka 'Pancreas Divisum' e ola olakino me ka ʻole o nā pilikia.