Kan chaw ei leh in lama mi huaisen tlemte: Vater-a Ampulla chungchang hi i zir dawn nia.

Kan chaw ei hi engtin chiah nge kan digest tih hi i ngaihtuah ngai em? Thil kalphung buaithlak tak a ni a, mahse kan taksa chhunga thil tenawm tak tak, a kal zelna tura puitu te hi kan ngaihtuah vak lo a ni lawm ni? Awle, vawiin hian kan chaw ei leh in (digestive system)-a ngawi rengin hmun pawimawh tak thawktu taksa peng hriat tlem tak chungchang kan sawi dawn a ni. "Vater-a Ampulla" a ni. A hming chu mak tak angin lang mah se, a hna hi a pawimawh hle.

Chuti a nih chuan, he Vater-a Ampulla hi tu nge ni? Khawiah nge a awm?

A awlsam zawngin, Vater-a ampulla hi kan chaw ei dan (digestive system) -a tel a ni . A dik tak chuan kan pum lai takah a awm a, taksa peng pawimawh engemaw zat, pancreas , liver , small intestine, leh gallbladder te nen a inhnaih hle. Kawngpui pahnih inzawmkhawmna hmun ang maiin han ngaihtuah teh. Chutiang chiah chuan Vater ampulla chu kan common bile duct ( liver leh gallbladder atanga bile phurtu tube ) leh pancreatic duct (pancreas atanga digestive juices phur tube) te inzawmna hmunah a lo piang a ni. Heng duct pahnih atanga tui lo chhuak, bile (thau ei tur siamtu) leh pancreatic juice (chaw chhunga protein leh carbohydrates ei tur siamtu) te hi an inzawm khawm a, chutah chuan kan small intestine hmun hmasa berah an kal ta a ni Duodenum kan ti a . Chuvangin he tui ampulla hi heng tui pawimawh tak takte hi rei vak lo awm a, a tul huna duodenum-a kal theihna tur hmun siamsakna hmun ang a ni. A châng chuan doctor-te pawhin hepatopancreatic ampulla an ti bawk.

He Ampulla of Vater hian engtin nge hna a thawh?

Okay, tunah chuan he part tlemte hian engtin nge hna a thawh tih i en ang u. He Vater ampulla tawp lamah hian duodenum nen a inzawm a, kawngkhar te tak te a awm a. Hei hi major duodenal papilla emaw Vater papilla emaw an ti a. Tui tap ang maiin han ngaihtuah teh. He hawnna hi control tu special muscle ring a awm a. Oddi sphincter an ti a . Hei hi kawngkhar vengtu ang maia che thin chu a ni. Chaw ei tur chu duodenum chhunga a luh chuan he Oddi sphincter hi a inhawng a, chu chuan ampulla chhunga bile leh pancreatic juice lo awm tawh chu duodenum chhungah a lut thei a ni. Hei hi hengte hi ei tur nen an inhmeh a, chaw ei dan dik tak a tan hun a ni. Tichuan, he valve hi a khar a, chu chuan ei tur chu ampulla chhungah a luang lut leh thei lo. Fing taka control theih a ni.

Chuti a nih chuan he hepatopancreatic ampulla hian eng hna nge a thawh ber?

A hna ber chu kan chaw ei leh in (digestive system) peng hrang hrangte inkara coordinator hna thawk hi a ni. A dik zawka sawi chuan:

• Bile leh pancreatic juice dahna hmun te tak te angin a thawk a ni.
• Heng tui, kan taksain ei tur a ei theih nan leh a nutrients a hip lut thei a, duodenum-in a hun takah leh a zat dik taka a chhuah theihna tur kawng a hawng a ni

A awlsam zawngin sawi ila, kan ei leh in atanga taksain chakna a hmuh theih nan he thian te tak te Ampulla of Vater tia koh hian hna a thawk tha a ngai a ni.

He tui ampulla hi eng ang pian nge ni?

"Ampoule" tih hi Latin tawng a ni. "Bottle te tak te" emaw "flask" ang chi emaw tihna a ni. Bottle thenkhat chu a hnuai lam a zau a, a chung lamah a tawi deuh tih i hmu tawh ngei ang. Chutiang chu he Ampulla of Vater hi a ni. Bag te tak te, a inflated deuh, flask ang maia siam a ni . A sir khatah chuan spherical a ni a, a sir lehlamah conical a ni.

Eng natnain nge Vater ampulla a nghawng theih?

A tlangpuiin a hna chu hlohin a thawk thin. Mahse, a châng chuan buaina a lo chhuak thei a. Eng nge an nih i en ang u:

Ampullary adenoma a awm thin

Hei hi ampulla chhunga lo piang chhuak te tak te a ni. A dik tak chuan polyp a ni . Hengte hi cancer ni lo dinhmun a ni fo thin. Symptom bik an lantir lo. Gastrointestinal problem dang endoscopy an neih laiin accident-a hmuhchhuah an ni fo. Mahse, a chang chuan he adenoma hi cancer-ah a chang thei a ni. Chutiang a nih chuan doctor-te chuan surgery hmanga lakchhuah (resection) an rawt a ni.

Ampullary cancer a ni

A hmaa kan sawi tawh polyp te hi a chang chuan cancer ah a chang thei bawk. Hei hi cancer chi khat hmuh tur awm lo tak a ni . Kum 70 vel miah hmuh tur a awm tlangpui. Chhungkaw zinga mi pakhatin polyposis syndrome ang chi natna a neih chuan, emaw, chhungkaw history-a colorectal cancer chi hrang hrang (hereditary nonpolyposis colorectal cancer) a neih chuan, he cancer vei theihna hi a sang deuh hlek a ni. A hmaa hmuhchhuah a nih chuan surgery hmangin tumor lakchhuah theih a ni. Tlemte a darh tawhna hmunah chuan chemotherapy leh radiation te pawh a ngai thei bawk.

Gallstones a awm

A châng chuan Vater-a ampulla-ah hian gallstone a awm thei bawk. Hei hi thil hlauhawm tak leh nunna atana hlauhawm tak a ni. Chutiang a nih chuan surgeonLungte hi endoscopy hmangin an la chhuak thin.

Ampulla-ah hian harsatna eng emaw a awm chuan eng symptoms nge a lan ang?

Ngaihtuah teh, polyp emaw, cancer natna emaw, gallstone emaw chu ampulla chhungah a tlakbuak chuan eng nge thleng ang? Tichuan bile duct atanga bile leh pancreatic duct atanga digestive juices te chu a luang tha thei lo. Chu chu passage chu block a ni tihna a ni . Chutah chuan symptom hrang hrang a lo lang tan ta a ni. Entir nan:

• I pum a na thei .
• Bile ducts-a bacteria infection (cholangitis) hian khawsik leh jaundice (mit leh vun sen (yellowing of the mit and skin) a thlen thei a ni.
• Nausea leh luak chhuak a awm thei.
• Pancreas inflammation, a nih loh leh pancreatitis , a awm thei.
• Taksa rihna tlahniam i hmu mai thei .

Heng symptoms pakhat emaw a aia tam emaw i neih chuan doctor thurawn lak a pawimawh hle.

Engtin nge he tui ampulla hi kan hrisel theih ang?

Dik tak chuan mithiamte chuan ampullary polyps emaw cancer emaw lo awm tur ven dan tur dik tak an la hre lo. Mahse, gallstones venna tur leh kan ei leh in zawng zawng hi a tlangpuiin hrisel taka awm tir turin thil tlemte kan tih theih a awm.

• Refined carbohydrates tamna ei tur ei loh tur . Chu chu chhangphut chi atanga siam ei tur leh sugar tamna ei tur a theih ang anga tihtlem tihna a ni.
• Chaw hmin leh thlum ai chuan thau hrisel thlang zawk rawh. Entirnan, sangha hriak leh olive hriak ang chi thil hi a tha hle.
• Fiber tamna ei tur ei tam rawh . Thei, thlai, legumes, nut, leh whole grains te hi entirnan tha tak a ni. Fiber hi kan chaw ei leh in (digestive system) atan a pawimawh hle.
• Sugar ei tam thei ang ber tihtlem.

Heng thilte hi zawm hian Vater-a Ampulla tan chauh ni lovin, i hriselna zawng zawng tan pawh result tha tak tak i hmu ang.

A tawp berah chuan hriat reng tur (Take-Home Message) .

Tunah chuan he Ampulla of Vater hi kan chaw ei leh in lama rawngbawlna pawimawh tak, mahse ngawi renga thawk thin mi huaisen te tak te a ni tih i hrethiam mai thei. Common bile duct leh pancreatic duct inzawmna hmunah a awm a, bile leh pancreatic juice te a khawlkhawm a, a tul hunah small intestine (duodenum)-ah a thawn chhuak thei a ni. Hei vang hian kan eitur te hi a hmin tha a, taksain nutrition a dawng thin.

Chuvangin, a hriselna pawh kan ngaihtuah a ngai a ni. Ei leh in inthlau tak ei leh nun hrisel tak neih hian he mi huaisen te tak te hi natna laka humhimna leh a hna dik taka thawk tura puih kawngah kawng thui tak a zawh dawn a ni. A chhan chu, a hrisel a nih chuan keini pawh kan hrisel!