I pancreas hi hetiang hi a ni em? (Pancreas Divisum) chungchang hi i zir chiang ang u!

I pum hi chhan dang vangin CT scan i nei tawh a, doctor chuan i pancreas-ah hian thil danglam te tak te, Pancreas Divisum an tih chu a awm tih a hrilh che em? A nih loh leh, pum na leh rilru hahna i tawk fo tawh a, chu chu i hre tawh mai thei bawk. Pancreas Divisum hi eng nge ni tak tak? Hei hi ngaihtuahawm tur thil a ni em? Vawiin hian chipchiar takin sawi ila.

(Pancreas Divisum) tih hi eng nge ni? A awlsam zawngin...

A awlsam zawngin Pancreas Divisum hi i pancreas-a pianpui thil danglam, a tlangpuiin hlauhawm lo, pianpui thil danglam tak a ni. Doctor te pawhin congenital disorder an ti a, kan pianpui thil a ni tihna a ni.

Kan pancreas hian chaw ei tur tui (digestive juices) pawimawh tak tak (pancreatic juices) a siam chhuak thin. Heng tui te hi pancreas atanga tube te tak te (pancreatic duct) kaltlangin kan small intestine bul tanna thlengin an kal thin. Pancreas Divisum vei tan chuan main duct hi a insiam kim lo. Chuvangin, pancreatic juice hi kawngkhar lian (major papilla) aiin kawngkhar tenau zawk (minor papilla) atang hian a luang chhuak fo thin. Hei hian juice chu a luang chhuak tha lo thei hle.

Mahse, mi tam zawk chuan hei vang hian symptom engmah an nei lo. Mahse, mi thenkhat tan chuan tui luang chhuak harsatna avang hian ``Pancreatitis'' emaw, pancreas inflammation emaw ang chi symptoms a awm thei.

Hei hi engtiang chiahin nge a hluar?

I hria em? He natna hi ``Pancreas Divisum'' tia koh hi nau piangsual zingah chuan pancreas tibuaitu ber a ni. Mipui zahawm zinga 10% velin he natna hi an nei niin an sawi. Chu chu mi sawm zinga pakhat vel a ni. Chuvangin hei hi chutiang thil mak a ni lo.

Pancreas Divisum hi a pawi em?

A tam zawkah chuan, ni lo. Pancreas Divisum vei tam zawk hian harsatna an nei lo. A tlangpuiin i pancreas-in chaw a ei theih dan a tibuai lo.

Mahse, za zela tlemte chauh, chu chu `(Pancreas Divisum)` vei tlemte chuan a hmaa kan sawi tawh ang khan `(Pancreatitis)` emaw, pancreas inflammation emaw symptoms an nei thei a ni. Mahse, a tam zawkah chuan chu natna lan chhuah dan chu a na lutuk lo va, operation pawh a ngai lo.

Pancreas Divisum natna lan chhuah dan chu engte nge ni?

Thu lawmawm tak chu Pancreas Divisum vei zinga 95% aia tam chuan symptoms an nei lo . Chu natna chu i nei tih pawh hre lovin i dam chhung zawng i hmang thei a ni.

Mahse, a tlem berah chuan a lan chhuah dan chu pancreatitis nen a inang thei. Chung zingah chuan:

• Pum na (hei hi a tam ber). Mi thenkhat chuan pum chunglam ah hetiang hian an hre thin a, a chang chuan hnungzang thlengin a darh thei bawk.
• Nausea leh luak chhuak.
• Khawsik (fever) awm dan.
• Thil ei leh in lama harsatna, puak, etc. te.
• Chaw chu a thlum lo.
• Fatty poops a awm bawk.
• Lung na tak tak.
• Thâwk hi a rang a, a tawi bawk.
• Luak chhuak (thisen hniam vang pawh a ni thei).

A pawimawh ber chu heng symptoms te hi awm mahse `(Pancreas Divisum)` avanga lo awm vek a ni thei lo. Chuvang chuan Doctor pan a, a chhan dik tak hriat chian a tha ber.

Engvangin nge hetiang (Pancreas Divisum) hi a lo awm?

Hei hi a chhan chu nausen pum chhunga kan awm lai, chu chu kan pian hmaa pancreas hmasawnnaah hian inthlak danglamna tlem a awm vang a ni.

A tlangpuiin kan pancreas hi "buds" an tih hmun hnih atanga lo piang a ni. Pakhat chu hmalam ventral bud a ni a, pakhat chu hnung lama dorsal bud a ni. Heng bud pahnih hian anmahni duct hrang hrang an nei a. Naupai atanga kar sarih vel a liam hnuah heng hnah pahnih hi an inzawm khawm a, pancreas chu taksa peng pakhat angin an siam ta a ni. Duct pahnih hi an inzawm khawm a, main pancreatic duct an siam ta a ni.

Tui pipe lian tak ang maiin han ngaihtuah teh. Hei hi pancreas-a digestive juices lo chhuakte chu kan small intestine part hmasa ber (the `duodenum`)-ah a kal a, ei tur digest-naah a pui thin.

Mahse, `(Pancreas Divisum)` chungchangah chuan thil thleng chu chu bud pahnih, an duct pahnih chu a pangngaiin an inzawm khawm lo va, chu main `(pancreatic duct) chu an siam ta zawk a ni.` Chu ai chuan, i pancreas atanga tui chhuak chhuak chhuaktu duct hrang hrang, te zawk pahnih i nei thei a ni. Tichuan, chu kawngkhar lian tak (`major papilla`) atang chuan tui lian ber berte chu a luang chhuak lo va, intestine te tak te nena inzawm hawnna te tak te dang (`minor papilla`) atang chuan a luang chhuak zawk a ni.

Heng juice duct te hian a tawpah chuan pancreas atanga juice an siam dan leh an chhuah danah hian danglamna tam tak a awm thei.

Pancreas Divisum avanga harsatna awm thei

Hemi avanga harsatna awm thei lian ber chu pancreas inflammation a ni a, chu chu `(Pancreatitis)` an ti a ni. Mahse hetah hian "can" tih thumal hi a pawimawh hle. `(Pancreas Divisum)` vei te hian a chang chuan `(Pancreatitis) symptoms an nei thin tih hi a dik a ni.` Mahse scientist te chuan heng pahnih inzawmna hi an la zirchiang mek a ni.

Theory pakhat chu a tui chu a hawnna te tak te (`minor papilla`) atanga a luang tha thei lo a nih chuan a tui chu a pungkhawm thei a, a block thei a ni. He blockage hian inflammation a thlen thei a ni. A dang pakhat chu a chang chuan heng dinhmun pahnih hi a awm dun thei tih hi a ni. A chhan chu, `(Pancreas Divisum)` vei thenkhatin `(Pancreatitis)` an vei laiin, a tam zawk erawh chuan an vei lo. Theory dang pakhat chu `(Pancreas Divisum)` hian `(Pancreatitis)` vei theihna a tipung thei a, mahse chutiang chu a ni ngai lo, a then phei chuan chauh a ni.

Chuvangin he thil hi chiang taka hriat theih nan zirchianna neih belh a ngai a ni.

Engtin nge hei hi i hriat chian?

A tam zawkah chuan doctor-te chuan Pancreas Divisum a awm tih hi thil dang nena inzawm lo, pum chhunga CT scan, emaw Computed Tomography scan emaw an tih hian an hmuchhuak mai mai a ni.

Mahse symptom i neih chuan i doctor chuan hetiang test hi a ti thei ang:

• `(Magnetic Resonance Cholangiopancreatography - MRCP) hmanga thil tih a ni: He test hian doctor chuan i pancreatic duct system chu screen-ah a hmu thei a. `(Secretin)` tih hormone awmna injection pek i ni thei bawk. He `(Secretin)` hian pancreas-a thil danglam awm zawng zawng chiang taka hmuh theih nan a pui thei a, chu chu `(Pancreas Divisum)` ang chi hi a ni. A chang chuan he test hi `(Secretin)` injection tel lovin an ti thin.
• Endoscopic ultrasound : Hei hian scope, camera te tak te nei tube hmanga i taksa peng hrang hrangte ultrasound image screen-a en theihna a huam a ni. Hei hian i pancreas chu a inflamed em tih hriat nan a pui thei a ni.
• Endoscopic Retrograde Cholangiopancreatography (ERCP) : He test hian scope leh X-ray hmangin i pancreatic ducts thlalak a la thin. Doctor chuan scope chu i rilru hnuaiah a dah lut a, i pancreas chhungah a dah lut bawk. Scope hian harmless dye a chhuah a, chu chuan duct te chu screen-ah a lang thei a ni. MRCP nen a inang a, mahse a invasive deuh zawk. Chuvangin, doctor-te chuan he natna hi endoscopy hmanga enkawl an tum a nih chauhvin an hmang fo thin. Endoscopy neih lai hian scope hman a ni bawk.

(Pancreas Divisum) enkawlna tur engte nge ni?

Dik tak chuan Pancreas Divisum vei tam zawk hian enkawlna engmah an mamawh lo.

Mahse pancreatitis symptoms na lo emaw, a hniam emaw i neih chuan i doctor chuan enkawl dan tur a rawn rawt thei ang. Entir nan:

• Thau tlem ei tur lama inthlak: Thau i ei tlem chuan pancreas hian thau a ei theih nan hna a thawk tlem a ngai a ni.
• Damdawi ei: Natna tidamtu ang chi thil i ei a ngai mai thei.
• Supplement ei: Chaw ei leh in lama tanpui nan pancreatic enzyme supplement i ei a ngai mai thei.

Symptoms na tak tak (abdominal na nasa tak ang chi) i neih fo chuan pancreatic duct tihzauh (widen) turin procedure tlemte i neih a ngai mai thei.

Enkawlna bikte

Hengte hi minor papilla tizau thei enkawlna te chu an ni:

• Endoscopy: ERCP neih laiin doctor chuan incision te tak te a siam thei a, a hawnna chu a ti lian thei bawk. A hawn reng theih nan stent an tih metal tube a dah thei bawk.
• Surgery: Mi tam zawk chuan Pancreas Divisum tan surgery an mamawh lo. Mahse, endoscopy i tih theih loh chuan emaw, endoscopy a hlawhtlin loh chuan zai a ngai mai thei. Hei hian i pum chhungah incision te tak te siam a, pancreatic duct thlenga luh a huam a ni. Hetah pawh hian, a tih danah chuan pancreatic juice chu small intestine-a phurtu duct chu tihzauh a ngai a ni.

Enkawlnaah hian harsatna a awm em?

I doctor chuan enkawlna a rawt hmain i hriselna uluk takin a enfiah ang. A tlangpuiin harsatna (complication) a awm tlem hle.

Harsatna awm thei te chu:

• `(Pancreatitis)` natna lo lang leh thin.
• Chu kawngkhar te tak te (`minor papilla`) chu a tawi leh ta a.
• Perforation emaw thisen chhuah emaw.

Pancreas Divisum vei tan chuan eng prognosis nge a awm?

Your outlook is very good , a bik takin symptoms i neih loh chuan. Pancreas Divisum hian i nunah nghawng a nei lo mai thei.

Symptom nei tam tak chuan damdawi in enkawl ngai lovin an symptoms chu an enkawl thei a ni. Enkawlna i mamawh chuan endoscopy leh surgery te hi duhthlan tur him leh tangkai takah ngaih a ni. Acute emaw recurrent pancreatitis emaw symptom i neih chuan an hlawk ber. Chronic pancreatitis enkawlna atan chuan an thawk tha tawk lo.

Doctor hnenah eng zawhna nge ka zawh ang?

Hetiang zawhna hi i zawt thei ang:

• Pancreas Divisum neih hian engtin nge ka hriselna a nghawng?
• `(Pancreatitis)` ka vei theihna chance engzat nge ni?
• Eng symptom nge ka fimkhur tur?
• Ka symptoms hi Pancreas Divisum vang nge harsatna dang vang?
• Ka natna lan chhuah dan control turin enkawlna ka mamawh dawn em?

Test hmanga `(Pancreas Divisum)` i nei tih i hriat chuan hlauthawng suh. Hei hi piansualna tlanglawn tak a ni. Tunah hian symptom i nei lo a nih chuan nakin lawkah harsatna i nei lo a rinawm.

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

Okay, chuti a nih chuan tunah chuan kan sawi thin kha, `(Pancreas Divisum)` tih hi i hre chiang zawk tawh ang. A pawimawh ber chu a tam zawkah chuan hei hi ngaihtuahawm tur a ni lo.

• Pancreas Divisum hi pancreas-a pianpui structural defect tenau tak a ni.
• Mi tam zawk chuan symptom engmah an nei lo.
• A tlem berah chuan `(Pancreatitis)` ang chi symptoms a awm thei.
• A tam zawkah chuan hei hi thil thleng mai maia hmuhchhuah a ni a, chhan dang avanga scan an tih lai hian a ni.
• Symptoms a awm loh chuan enkawl a ngai lo tlangpui.
• Symptoms a awm chuan nunphung thlak danglam emaw, damdawi emaw, a chang chuan endoscopy ang chi enkawlna hmanga enkawl theih a ni.

`(Pancreas Divisum)` i vei tih i hriat chuan hlauthawng suh la, i doctor hnenah hemi chungchang hi sawipui rawh. I mamawh zawng zawng a pe ang che. Mi zawng zawng taksa hi a inang vek lo tih hre reng la, chuvangin i doctor chauhvin thurawn tha ber a pe thei che a ni.

` Pancreas Divisum, Pancreatitis, Pancreatitis, Pum na, Chaw ei tha lo, Nau piangsual, MRCP, ERCP