Kan ei zawh hnua kan taksa chhunga thil thlengte hi ngun takin i ngaihtuah ngai em? Kan ei tur chu kan kâ atanga kan pum thlenga a kal hnuah, chu chu a ei theih nan, chakna siam chhuah nan leh kan taksa mamawh ei tur pe turin thil buaithlak tak a thleng a, chu chu rintlak tak a ni. Hetiang kawngah hian organ tin hian team angin an thawk ho thin. Vawiin hian kan digestive system-a hmun tenau tak, mahse pawimawh tak, rel inzawmna lian tak ang maia hnathawk chungchang kan sawi dawn a ni. Chu chu "Ampulla of Vater" tih chu a ni.
Vater khawpui Ampulla chu eng nge ni tak tak?
A awlsam zawngin, Vater ampulla hi kan small intestine (duodenum) hmun hmasa ber (duodenum) chhunga inhawng thei tur kawngkhar te tak te a ni. Mahse, eng hawnna pawh a ni lo. Kan chaw ei kawng atana pawimawh tui pahnih inzawmkhawmna hmunpui ber a ni a, ei tur nena inhmeh tak a ni.
Hetiang hian han ngaihtuah teh. Kan thin atanga bile phurtu common bile duct leh kan pancreas atanga ei tur min puitu enzyme phurtu pancreatic duct te chu an inzawm khawm a, bawm te tak te an siam a ni. Chu bawm chu Vater-a ampulla an ti a. Chumi hnuah chuan bile leh pancreatic enzyme te chu an inzawm khawm a, small intestine ah an lut ta a ni.
He hming hi thil mak tak atanga lak a ni. Rom hunlaia hman thin "ampulla" an tih bottle zungbun lem atanga an vuah a ni. Tin, a sawi hmasak bertu anatomist Abraham Vater chawimawina atan "of Vater" tia vuah a ni bawk.
A dik tak chuan hei hi kan digestive system-a "junction" buaithlak tak a ni. He junction hian hna a thawk tha lo a nih chuan kan chaw ei zawng zawng hi a buai thei a ni.
He taksa peng te tak te hi khawiah nge a awm?
Vater ampulla hi kan small intestine peng hmasa ber duodenum wall chhungah a awm a . Duodenum hi small intestine atanga pum hnua kal chhuak a ni a, inches 10 vel a sei a ni. Vater ampulla hi he duodenum lai takah hian a awm a.
He hmun hi damdawi lamah chuan a pawimawh hle. A chhan chu hetah hian chaw kawng chhunga chaw chhe tawh leh chhe tawh chu a hmin lehzual a, a chhunga ei tur awmte chu taksain a hip lut tan a ni. Hna thawh dun ang maiin, chaw ei tur tihchhiat hna chu pumin a thawh laiin, duodenum leh small intestine dangte chuan an la lut tan ta a ni. Chutiang kalphung chu he pum chhunga ampulla atanga tui lo chhuak te tel lo chuan thil theih a ni lo.
Ampulla of Waiter hian eng hna nge a thawh leh a hnathawh?
He junction te tak te chhungah hian system complex leh mak tak mai a awm a. A bulpui ber chu a chhehvela taksa peng hrang hrang network atanga siam a ni. Heng sphincter te hi kan ti a ni . Tui valve ang maiin heng ruhte hi an inhawng a, an khar a, chu chuan bile leh enzymes te chu small intestine-ah engzat nge an luh tih leh engtikah nge an luh tih control nan an hmang thin.
Heng taksa ruhte hi kan duh angin kan thunun thei lo. Kan nervous system atanga signal kan dawn angin automatic in an thawk a ni. Chaw thau tak kan ei hian a digest turin bile tam zawk kan mamawh a ni. Tichuan, kan thluak atang hian signal a lo chhuak a, heng ruh te hi an inhawng a, bile mamawh zat chu an chhuah tir ta a ni. Mak a ni lo maw?
A hnuaia table hian a bulpui ber leh a hnathawh dan awlsam zawka kan hriatthiam theih nan min pui dawn a ni.
| Bung hrang | Function mai mai a ni |
|---|---|
| Oddi-a sphincter-a awm | Hei hi control system pumpui hming tlangpui a ni. Hemi chhungah hian taksa peng te te dang engemaw zat a awm bawk. |
| Pancreatic duct a awm thin | Pancreas atanga enzyme luang chhuak chu a control a ni. |
| Bile duct a tikhawlo | Liver atanga bile luang chhuak chu a control a ni. |
| Ampoule hmanga siam a ni | Liquid pahnih hi small intestine-a an chhuah dun dan chu control a ni. |
| Vater khuaa Papilla a ni | Hei hi ampulla chu small intestine chhunga a inhawngna kawngkhar te tak te a ni. |
Eng natnain nge he hmun hi a nghawng thei?
He hmun tenau tak, mahse pawimawh tak takah hian thil a kal sual a nih chuan kan taksa pum pui a nghawng thei a ni. A chhan chu bile leh enzyme te a chhuak thei lo a, a chhungah a tang thei lo a nih chuan an back up thei a, liver leh pancreas a tichhia thei a ni.
A hnuaia tarlan te hi Vater ampulla nena inzawm damdawi lam harsatna lian ber berte chu an ni.
| Damdawi lam dinhmun | A sawifiahna awlsam tak |
|---|---|
| Adenoma a awm | Hei hi cancer ni lovin, cell (tumor) than dan pangngai lo, cancer lo ni thei tur a ni. A lo thang chhoh zel chuan thisen kalna kawng a tikhawlo thei a, harsatna a thlen thei bawk. |
| Ampullary Cancer natna a ni | A hmaa kan sawi tawh ang khan adenoma hi carcinoma-ah a chang thei a ni. Hei hi a pawi hle thei a, a tlangpuiin surgery hmanga lakchhuah a ngai thin. |
| Sphincter of Oddi hnathawh that lohna | Chumi awmzia chu kawngkhar ang maia thau (muscle) chu a inhawng tur hunah a inhawng tha lo tihna a ni. Tichuan tui te chu a chhungah a tang a, harsatna a siam thin. |
| Thil tihbuai | He junction hi chhan dang vangin a block thei bawk. A chhan ber chu he hmun zau takah hian gallstones a tang a ni. A chang chuan he hmun hi hliam hlui leh hliam hlui vangin a block thei bawk. |
Engtin nge ka ampulla of waiter ah hian harsatna a awm tih ka hriat theih ang? Eng nge a lan chhuah dan?
Vater ampulla chu tumor, lung emaw, harsatna dang emaw avanga block a nih chuan bile leh enzyme te chu a luang chhuak thei lo. Chu tui chu bile duct leh pancreas chhungah a lo awm khawm a, pressure a tisang a, system pumpui a tibuaitu a ni. Hei hian a hnuaia symptoms te hi a thlen thei a ni:
- Pum na: Natna, a bik takin pum dinglam chunglam.
- Biliary colic: Natna nasa tak, a lo awm nghal a, rei vak lo hnuah a reh leh thin.
- Jaundice: Mit leh vun var a sen. Hei hi bile chhuah theih loh lai a ni a, thisenah yellow pigment bilirubin a lo awm khawm a ni.
- Nausea leh vomiting: Hetiang dinhmun hi chaw ei loh vang a ni thei.
A pawimawh ber chu, heng symptoms te hi i nei nia i hriat chuan, a bik takin mit leh vun sen a nih chuan ngaihthah suh. Natna khirh tak chhinchhiahna a ni thei bawk. Chuvangin i doctor hmu nghal rawh.
Hei hi engtin nge doctor ten an test a, an enkawl?
Vanneihthlak takin tunlai damdawi lam thiamna sang tak nen chuan he Vater ampulla hi enfiah leh enkawl tur hian operation lian tham tih a ngai tawh lo. Doctor-te chuan hemi atan hian endoscopy an tih procedure an hmang tam ber.
A awlsam zawngin, hei hian a tawp berah camera te tak te awmna tube te tak te chu hmui atanga dahin, pum chhungah kal tlangin, gallbladder-a Vater ampulla thleng a huam a ni. Hetiang tih dan hi ERCP (Endoscopic Retrograde Cholangiopancreatography) kan ti a ni.
Hetiang method-a thil danglam bik chu:
1. Enfiah: Doctor chuan camera hmangin he hmun hi uluk takin a en thei a, a harsatna chu eng nge ni tih chiang takin a hre thei.
2. Enkawl dan: Chutih lai chuan gallbladder-a gallstone awm zawng zawng paih chhuah nan, a blockage zau zawka siam theih nan emaw, tissue te tak te (biopsy) enfiah nan emaw lak theih a ni. Tumor te tak te thenkhat pawh hetiang hian lakchhuah theih a ni.
Hei hian diagnosis leh treatment pahnih hi procedure pakhata tih theihna hun remchang a awm tihna a ni. Hei hi damlo tan chuan a remchang hle.
Vater ampulla hi kan taksaah hian speck te tak te a ni thei a, mahse hna ropui tak a thawk a ni. Kan chaw ei dan kawngkhar lian tak a ni. Doctor ten kan bile duct leh pancreas chhung lam an en nana an hman thin gateway ang chiah kha a ni bawk. He hming hi i hre ngai lo mai thei, mahse ni khat chu doctor in a sawi a nih chuan hlau suh. Tunah chuan a harsatna tam tak chu hmanraw changkang tak hmangin a enkawl thei tawh a ni.
Take-Home Thuchah a ni
- Ampulla of Vater hi kan chaw ei dan atana pawimawh bile leh pancreatic enzyme te chu small intestine-a an luhna hmunpui ber a ni.
- He hmuna blockage hian natna lan chhuahna a thlen thei a, chu chu pum na, luak chhuak, a bik takin jaundice (vun sen (yellowing of the skin)) te a ni.
- I mit emaw i vun emaw a sen tih i hriat chuan ngaihthah loh a pawimawh a, damdawi lam thurawn la nghal a pawimawh.
- He hmunah hian gallstones hi a tibuaitu a ni tlangpui.
- Tunlai endoscopic technique, ERCP ang chi hmangin he hmuna thil thleng tam tak hi operation lian tham nei lovin hriatchhuah leh enkawl theih a ni.











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