Kia ako tātou mō tētahi toa iti o tō tātou pūnaha nakunaku: te Ampulla o Vater.

Kua whakaaro kē koe me pēhea te nakunaku o te kai e kainga ana e tātou? He tukanga tino uaua, engari kāore tātou e whakaaro nui ki ngā wāhanga iti o roto i ō tātou tinana e āwhina ana i a ia, e tika ana? Āe, i tēnei rā ka kōrero tātou mō tētahi okana kāore i te tino mōhiotia e mahi puku ana i tētahi mahi nui i roto i tō tātou pūnaha nakunaku. Ko te "Ampulla of Vater." Ahakoa he rerekē te ahua o tōna ingoa, he tino nui tana mahi.

Nā, ko wai tēnei Ampulla o Vater? Kei hea ia?

He kupu ngāwari noa iho, ko te ampulla o Vater he wāhanga o tā tātou pūnaha nakunaku . Hei whakamārama, kei waenganui o tō tātou puku, e tata ana ki ētahi okana nui pērā i te pancreas , te ate , te whekau iti, me te pūkahukahu . Whakaarohia he rite ki te hononga e tūtaki ai ngā ara e rua. Pērā tonu, ka hangaia te ampulla o Vater ki te wāhi e tūtaki ai tō tātou awa au ( te ngongo e kawe ana i te au mai i te ate me te pūkahukahu ) me te awa pancreatic (te ngongo e kawe ana i ngā wai nakunaku mai i te pancreas). Ka honoa ngā wai e puta mai ana i ēnei awa e rua, arā, te au (e āwhina ana ki te keri i ngā ngako) me te wai pancreatic (e āwhina ana ki te keri i ngā pūmua me ngā warowaihā i roto i te kai), kātahi ka haere ki te wāhanga tuatahi o tō tātou whekau iti . Ka kiia e tātou ko te duodenum . Nō reira, ko tēnei ampulla wai he rite ki te wāhi e noho ai ēnei wai nui mō tētahi wā, kātahi ka waiho hei ara mō rātou ki te duodenum ina hiahiatia. I ētahi wā ka kiia e ngā tākuta ko te ampulla hepatopancreatic.

He pēhea te mahi a tēnei Ampulla o Vater?

Āe, me titiro tātou ki te mahi a tēnei wāhanga iti. I te pito o tēnei ampulla o Vater, te wāhi e hono ana ki te duodenum, he pūaha iti. Ka kiia tēnei ko te papilla duodenal nui, ko te papilla rānei o Vater. Whakaarohia he rite ki te puna wai. He mowhiti uaua motuhake kei reira e whakahaere ana i tēnei pūaha. Ka kiia ko te sphincter o Oddi . Koinei te mea e mahi ana hei kaitiaki kuaha. Ina uru te kai ki te duodenum, ka tuwhera tēnei sphincter o Oddi, ka tukuna te au me te wai pancreatic kua kohia i roto i te ampulla kia uru ki te duodenum. Koinei te wā e whakaranua ai ēnei ki te kai, ā, ka tīmata te nakunaku tika. Kātahi ka kati tēnei takirere, ka ārai i te rere o te kai ki roto i te ampulla. He tukanga tino mohio te whakahaere.

Nā, he aha te mahi matua o tēnei ampulla hepatopancreatic?

Ko tana mahi matua he mahi hei kaiwhakarite i waenga i ngā wāhanga rerekē o tō tātou pūnaha nakunaku. Hei whakamārama tika:

• He rite ki tētahi puna iti rangitahi mō te au me te wai o te repeure.
• Mā ēnei wai, e āwhina ana i te tinana ki te nakunaku i te kai me te mimiti i ōna matūkai, ka taea e te duodenum te tuku i aua matūkai i te wā tika me te nui tika .

Hei whakarāpopototanga, kia whiwhi ai te tinana i te pūngao mai i te kai e kainga ana e tātou, me mahi tika tēnei hoa iti e kiia nei ko te Ampulla o Vater.

He aha te āhua o tēnei ampulla wai?

He kupu Latina te kupu "Ampoule". Ko tōna tikanga he "pounamu iti" he rite rānei ki te "flask." Kua kite pea koe i ētahi pounamu he whānui te raro, he whaiti te tihi. Koinei te āhua o tēnei Ampulla of Vater. He putea iti, he paku pupuhi, he āhua rite ki te pounamu . He porowhita te taha kotahi, he kōniko te taha kē.

He aha ngā mate ka pā ki te ampulla o Vater?

I te nuinga o te wā, ka mahi ia i tana mahi me te kore e mōhio. Engari i ētahi wā ka puta he raruraru. Kia titiro tātou he aha ēnei:

Adenoma āmpulari

He tipu iti tēnei e puta ana i roto i te ampulla. Hei whakamārama, he polyp . He maha ngā wā ehara i te mate pukupuku ēnei. Kāore e whakaatu i ngā tohu motuhake. He maha ngā wā ka kitea tūpono i te wā o te endoscopy mō tētahi atu raruraru o te puku. Heoi, i ētahi wā ka taea e tēnei adenoma te whanake hei mate pukupuku. Mena ka tupu tēnā, ka tūtohu ngā tākuta kia tangohia mā te pokanga (resection).

Matepukupuku āmpulary

Ka taea e ngā polyp i whakahuatia ake nei te huri hei mate pukupuku i ētahi wā. He momo mate pukupuku tino onge tēnei. He mea kitea i roto i te hunga e 70 tau te pakeke. Mena he mate pēnei i te polyposis syndrome tō tetahi o te whānau, he hītori whānau rānei nō ētahi momo mate pukupuku colorectal (mate pukupuku colorectal kore-polyposis tuku iho), he paku teitei ake te mōrearea o te whakawhanake i tēnei mate pukupuku. Mena ka kitea wawe, ka taea te mahi pokanga hei tango i te pukupuku. Mena kua horapa paku, me whakamahi pea te chemotherapy me te radiation .

Ngā kōhatu o te pūhā

I ētahi wā ka piri ngā kōhatu o te pūhā ki roto i te ampulla o Vater. He āhuatanga morearea tēnei, ā, ka mate pea. Mēnā ka tupu tēnei, me toro atu ki te taote pokanga.Ka tangohia ngā kōhatu mā te endoscopy.

Mena he raruraru kei te ampulla, he aha ngā tohu ka puta?

Whakaarohia, he aha te mea ka tupu mēnā ka mau te polyp, te pukupuku matepukupuku, te kohatu rānei ki roto i te ampulla? Kātahi ka kore e taea e te au mai i te awa au me ngā wai nakunaku mai i te awa pancreatic te rere tika. Ko te tikanga ka āraia te ara . Ko te wā tēnā ka tīmata te puta mai o ngā tohu maha. Hei tauira:

• Tērā pea ka mamae tō puku .
• Ka pā te kirika me te kōwhai o ngā kanohi me te kiri i te mate kitakita o ngā awaawa au (cholangitis).
• Tērā pea ka pā te whakapairuaki me te ruaki .
• Tērā pea ka puta te mumura o te repe taiaki, te pancreatitis rānei.
• Tērā pea ka kite koe i te hekenga o te taumaha o te tinana .

Mena kei a koe tētahi, neke atu rānei o ēnei tohu, he mea tino nui kia rapu tohutohu hauora koe.

Me pēhea tātou e pupuri ai i te hauora o tēnei puna wai?

He pono, kāore anō ngā tohunga kia tino mōhio me pēhea te ārai i te whanaketanga o ngā polyp ampullary, te mate pukupuku rānei. Heoi, he iti noa ngā mea ka taea e tātou te mahi hei ārai i ngā kohatu pūkahukahu, hei pupuri hoki i te hauora o tō tātou pūnaha nakunaku katoa.

• Āta karohia ngā kai he nui te warowaihā kua whakatikatikaina. Arā, me whakaiti i ngā kai i hangaia mai i te paraoa paraoa me ngā kai he nui te huka ki te nui rawa e taea ana.
• Engari i ngā kai parai me ngā mea reka, whiriwhiria ngā ngako hauora. Hei tauira, he pai ngā mea pēnei i te hinu ika me te hinu oriwa.
• Kai atu i ngā kai he nui te muka . He tauira pai ngā hua rākau, ngā huawhenua, ngā pīni, ngā nati, me ngā witi katoa . He mea tino nui te muka mō tā tātou pūnaha nakunaku.
• Whakaitihia te kai huka i te nui e taea ana.

Mā te whai i ēnei mea, ka whiwhi koe i ngā hua tino pai, ehara i te mea mō te Ampulla o Vater anake, engari mō tō hauora katoa hoki.

Hei whakamutunga, ngā mea hei maumahara (Karere hei tango ki te kāinga)

Kua mārama pea koe ko tēnei Ampulla o Vater he toa iti e mahi ana i tētahi mahi tino nui, engari he mahi puku i roto i tā tātou pūnaha nakunaku. Kei te hononga o te awa au me te awa pancreatic, ka kohia e ia te au me te wai pancreatic, ā, ka āwhina i te tuku atu ki te whekau iti (duodenum) ina hiahiatia. Koinei te take e nakunaku tika ai te kai e kainga ana e tātou, ā, ka whiwhi te tinana i te matūkai.

Nō reira, me whakaaro tātou ki tōna hauora. Mā te kai i tētahi kai taurite me te noho i tētahi momo noho hauora ka nui te āwhina ki te tiaki i tēnei toa iti mai i te mate, ā, ka āwhina i a ia ki te mahi tika i tana mahi. Nā te mea, ki te ora ia, ka ora hoki tātou!