He pēnei tō repeure? Me ako tātou mō (Pancreas Divisum) !

Kua whiwhi koe i tētahi matawai CT o tō puku mō tētahi atu take, ā, i kī mai te tākuta he iti noa te rerekētanga o tō repe taiaki e kiia nei ko te Pancreas Divisum? Tērā pea kua pāngia koe e te mamae puku me te whakapairuaki, ā, kua mōhio koe ki tēnei mea. He aha tonu te Pancreas Divisum? He mea tēnei hei āwangawanga māu? Me kōrero taipitopito tātou mō tēnei mea i tēnei rā.

He aha te (Pancreas Divisum)? He māmā noa iho...

He whakarāpopototanga noa iho, he mea iti te Pancreas Divisum, he mea kāore e kino, he mea whānau mai i roto i tō repeure. E kiia ana hoki e ngā tākuta he mate whānau mai, arā, he mea nō te whānautanga mai.

Ka whakaputahia e tō tātou repe taiaki ngā wai nakunaku nui (ngā wai repe taiaki). Ka haere ēnei wai mai i te repe taiaki mā roto i tētahi ngongo iti (te awa repe taiaki) ki te tīmatanga o tō tātou whekau iti. I roto i te tangata e pāngia ana e te Pancreas Divisum, kāore anō kia tino hangaia te awa matua. Nō reira, he maha ngā wā ka rere te wai repe taiaki i roto i tētahi pūaha iti ake (te papilla iti) kaua i tētahi pūaha nui (te papilla nui). Ka kore pea e pai te rere o te wai.

Heoi, kāore te nuinga o te tangata e pāngia e ngā tohumate nā tēnei. Heoi, mō ētahi tāngata, nā ngā raruraru o te rere o te wai, ka puta pea ngā tohumate pēnei i te "Pankreatitis" me te mumura o te repe taiaki.

He pēhea te noa o tēnei?

I mōhio koe? Ko tēnei mate, e kiia nei ko te "Pancreas Divisum", te mate whānau tino noa e pā ana ki te repeure. E kiia ana tata ki te 10% o te taupori whānui e pāngia ana e tēnei mate. Tata ki te kotahi i roto i te tekau tāngata. Nō reira, ehara tēnei i te mea onge.

He mate kino te Pancreas Divisum?

I te nuinga o te wā, kāore. Ko te nuinga o te hunga e pāngia ana e te Pancreas Divisum kāore he raruraru. Kāore e whakararuraru i te huarahi e āwhina ai tō repeure ki te nakunaku kai.

Heoi, he iti noa iho te ōrau, arā, he tokoiti noa iho o te hunga whai (Pancreas Divisum), ka pāngia pea e ngā tohu o te (Pancreatitis), te mumura rānei o te repe taiaki i kōrerotia i mua ake nei. Heoi, i te nuinga o te wā, kāore aua tohu i te tino kino hei hiahia ki te pokanga.

He aha ngā tohu o te Pancreas Divisum?

Ko te rongo pai, neke atu i te 95% o te hunga e pāngia ana e te Pancreas Divisum kāore he tohu . Ka taea e koe te ora i tō oranga katoa me te kore e mōhio kei a koe te mate.

Heoi, i ētahi wā onge, ka rite pea ngā tohu ki ērā o te pancreatitis. Kei roto i ēnei:

• Te mamae o te puku (koinei te mea tino noa). Ka pāngia tēnei e ētahi tāngata i te puku o runga, i ētahi wā ka horapa ki te tuara.
• Whakapairuaki me te ruaki.
• Te āhua o te kirika.
• Ngā āhuatanga pēnei i te raruraru nakunaku, te pupuhi, me ētahi atu.
• Kāore he reka o te kai.
• Ngā paru momona.
• Ngā tere o te ngakau.
• Ka tere, ka poto te manawa.
• Pōuriuri (tērā pea nā te toto toto iti).

Ko te mea nui, ahakoa kei te kitea ēnei tohu, kāore e taea te kī ko te (Pancreas Divisum) te take. Nō reira, he pai ake te toro atu ki te tākuta kia kitea ai te tino take.

He aha tēnei (Pancreas Divisum) ka puta ai?

Ka puta tēnei nā te mea he iti noa te panonitanga o te whanaketanga o te repeure i a tātou e noho ana i roto i te kōpū, arā, i mua i tō tātou whānautanga.

I te nuinga o te wā, ka whanakehia tō tātou repe taiaki mai i ngā wāhanga e rua e kiia nei ko ngā "puku". Ko tētahi ko te puku o te puku i mua, ko tētahi ko te puku o te tuara i muri. He rerekē ngā awaawa o ēnei puku e rua. Tata ki te whitu wiki ki te haputanga, ka honoa ēnei puku e rua hei hanga i te repe taiaki hei okana kotahi. Ka honoa ngā awaawa e rua hei hanga i te awaawa matua o te repe taiaki.

Whakaarohia he rite ki tētahi paipa wai nui. Koinei te wāhi e haere ai ngā wai nakunaku e hangaia ana i roto i te repeure ki te wāhanga tuatahi o tō tātou whekau iti (te 'duodenum') hei āwhina i te nakunaku kai.

Engari, mō te (Pancreas Divisum), ko te mea ka tupu ko aua puku e rua, ko ō rāua awaawa e rua, kāore e hono tahi kia hanga i taua (awaawa pancreatic) matua. Engari, tera pea e rua ō awaawa iti ake, motuhake e tango ana i ngā wai mai i tō repeure. Kātahi, kāore ngā wai matua e rere mai i taua pūaha nui (major papilla), engari i tētahi atu pūaha iti (minor papilla) e hono ana ki te whekau iti.

He maha ngā rerekētanga o te hanganga me te tukunga o te wai mai i te repe taiaki i te mutunga iho.

Ngā raruraru ka puta mai i te Pancreas Divisum

Ko te raruraru nui rawa atu ka puta i tēnei ko te mumura o te repe taiaki, e kiia nei ko te (Pancreatitis). Engari he mea nui rawa te kupu "tērā pea" i konei. He pono ko te hunga whai (Pancreas Divisum) ka pāngia e ngā tohu o te (Pancreatitis). Engari kei te rangahau tonu ngā kaipūtaiao i te hononga i waenganui i ngā mea e rua.

Ko tētahi ariā, ki te kore e taea e te wai te rere tika mā roto i te pūaha iti (minor papilla), ka taea e te wai te kohikohi, ka āraia. Ka taea e tēnei ārai te whakapūpū i te mumura. Ko tētahi atu, i ētahi wā ka puta ngātahi ēnei āhuatanga e rua. Nā te mea, ahakoa ka pāngia ētahi tāngata e te (Pancreas Divisum) e te (Pancreatitis), ko te nuinga kāore. Ko tētahi atu ariā, ka piki ake pea te mōrearea o te (Pancreas Divisum) e te (Pancreatitis), engari kāore i te pērā tonu i ngā wā katoa, engari i ētahi wā anake.

Nō reira, me nui ake ngā rangahau hei mōhio tika ai ki tēnei mea.

Me pēhea koe e mōhio ai ki tēnei?

I te nuinga o te wā, ka kitea noatia e ngā tākuta te noho mai o te Pancreas Divisum i te wā e whakahaerehia ana he matawai CT, he matawai Computed Tomography rānei, o te puku mō tētahi atu raruraru kāore e pā ana.

Engari ki te whai tohu koe, ka tono pea tō tākuta i ngā whakamātautau penei:

• (Te Kōlangiopancreatography Āhua Aukume - MRCP)Mā tēnei whakamātautau ka taea e te tākuta te kite i tō pūnaha awa repeure i runga i te mata. Tērā pea ka werohia koe kei roto he homoni e kiia nei ko (Secretin). Ka āwhina tēnei (Secretin) ki te kite mārama i ngā āhuatanga rerekē o te repeure, pērā i te (Pancreas Divisum). I ētahi wā ka mahia tēnei whakamātautau me te kore werohanga (Secretin).
• Te oro-matawai endoscopic : Ko te whakamahi i tētahi karu tirotiro, he ngongo me tētahi kāmera iti, hei tiro i ngā whakaahua oro-matawai o ō whekau i runga i te mata. Ka āwhina tēnei ki te whakatau mēnā kei te mumura tō repe taiaki.
• Te Kōparapara Retrograde Endoscopic (ERCP) : Ka whakamahia e tēnei whakamātautau he karu tirotiro me ngā hihi-X hei tango pikitia o ō awa pancreatic. Ka whakaurua e te tākuta te karu tirotiro ki raro i tō korokoro, ki roto hoki i tō pancreas. Ka tukuna e te karu tirotiro he tae kore kino, ka kitea ai ngā awa i runga i te mata. He rite ki te MRCP, engari he ahua urutomo ake. Nō reira, he maha ngā wā ka whakamahia e ngā tākuta tēnei tikanga mēnā kei te whakamahere rātou ki te rongoā i te mate mā te endoscopy. Ka whakamahia hoki he karu tirotiro i te wā endoscopy ana.

He aha ngā maimoatanga mō (Pancreas Divisum)?

Ko te nuinga o te hunga e pāngia ana e te Pancreas Divisum kāore e hiahia ki tētahi maimoatanga.

Engari, ki te mea he ngawari, he āhua rānei ō tohu o te pancreatitis, ka tūtohu pea tō tākuta i ngā huarahi hei whakahaere i aua tohu. Hei tauira:

• Te huri ki tētahi kai iti-ngako: Ki te iti iho te ngako e kainga ana e koe, me iti ake te mahi a te repe taiaki ki te nakunaku i te ngako.
• Te tango rongoā: Me tango pea e koe tētahi mea pēnei i te rongoā mamae.
• Te tango i ngā tāpiringa: Me tango pea koe i ngā tāpiringa whākōkī repeure hei āwhina i te nakunaku.

Mena he maha ngā tohu kino, he maha hoki ōu pānga (pēnei i te mamae nui o te puku), me mahi pea koe i tētahi mahi iti hei whakawhanui i te awa repeure.

Ngā maimoatanga motuhake

Koinei ngā maimoatanga e whakawhānui ana i te papilla iti:

• Endoscopy: Ka taea e te tākuta te tapahi i tētahi wāhi iti, ka whakanui i te pūaha i te wā o te ERCP. Tērā pea ka whakauruhia e ia he ngongo whakarewa e kiia nei ko te stent hei pupuri i te pūaha kia tuwhera tonu.
• Pokanga: Kāore te nuinga o te tangata e hiahia ki te pokanga mō te Pancreas Divisum. Heoi, ki te kore e taea e koe te whai i tētahi endoscopy, ki te kore rānei i angitu te endoscopy, me pokanga pea. Ko te tikanga o tēnei ko te hanga i tētahi tapahi iti ki roto i tō puku me te uru atu ki te awa pancreatic. Anō, ko te tikanga ko te whakawhānui i te awa e kawe ana i te wai pancreatic ki te whekau iti.

He raruraru kei roto i te maimoatanga?

Ka tirotirohia tō hauora e tō tākuta i mua i te tūtohutanga i tētahi maimoatanga. I te nuinga o te wā, he onge ngā raruraru.

Ko ētahi atu raruraru pea ko:

• Te hokinga mai o te mate (Pankreatitis).
• Ka whaiti anō taua pūaha iti ('minor papilla').
• Te poka, te toto rānei.

He aha te āhua o te mate mō te tangata e pāngia ana e te Pancreas Divisum?

He tino pai tō tirohanga, ina koa mēnā kāore he tohu. Kāore pea te Pancreas Divisum e pā ki tō oranga i tētahi ara.

He tokomaha ngā tāngata whai tohu ka taea te whakahaere i ō rātou tohu me te kore he maimoatanga hauora. Mena me hiahia koe ki te maimoatanga, e kiia ana ko te endoscopy me te pokanga he kōwhiringa haumaru, he whai hua hoki. He tino whai hua ēnei mena kei a koe ngā tohu o te pancreatitis whakapeka, te pancreatitis hoki. Kāore i te tino whai hua mō te rongoā i te pancreatitis mau tonu.

He aha ngā pātai me pātai atu e au ki taku tākuta?

Ka taea e koe te pātai i ngā pātai penei:

• He aha ngā pānga o te mate Pancreas Divisum ki tōku hauora?
• He aha ngā tūponotanga ka pāngia ahau e te (Pankreatitis)?
• He aha ngā tohu me tirotiro e au?
• Nā te Pancreas Divisum rānei aku tohumate, nā tētahi atu raruraru rānei?
• Me whai maimoatanga ahau hei whakahaere i aku tohumate?

Ki te kitea e koe mā te whakamātautau kei a koe te (Pancreas Divisum), kaua e mataku. He mate whānau noa tēnei. Ki te kore he tohu i a koe i nāianei, tera pea kāore he raruraru mōu a muri ake nei.

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

Āe, kua mārama ake koe ināianei ki tā tātou i kōrero ai, arā, ko te (Pancreas Divisum). Ko te mea nui, i te nuinga o te wā, kāore he take e manukanuka ai.

• Ko te Pancreas Divisum he hapa iti, he hanganga whānau mai i roto i te pancreas.
• Ko te nuinga o te iwi kāore e pāngia e tetahi tohu.
• He onge pea te puta o ngā tohu pēnei i te (Pankreatitis).
• I te nuinga o te wā, ka kitea tēnei mā te tūponotanga, i te wā o te matawai i mahia mō tētahi atu take.
• Ki te kore he tohu, kāore e hiahiatia he maimoatanga.
• Mena kei te kitea ngā tohu, ka taea te whakahaere mā te whakarerekē i te momo noho, mā te rongoā, mā te maimoatanga rānei pēnei i te endoscopy.

Ki te kitea e koe kei a koe te (Pancreas Divisum), kaua e mataku, engari me kōrero ki tō tākuta mō tēnā. Māna koe e hoatu ki a ia ngā mōhiotanga katoa e hiahiatia ana e koe. Kia maumahara, ehara i te mea he rite te tinana o te katoa, nō reira ko tō tākuta anake ka taea te hoatu i ngā tohutohu pai rawa atu ki a koe.