He mea hanga whakamiharo ō tātou tinana, kāore? Engari i ētahi wā, ina whānau mai tātou, tera pea ka puta he panoni iti i roto i ō tātou whekau tinana. Ko te nuinga o ēnei kāore he kino, ā, kāore tātou e mōhio mō ēnei mea mō te toenga o ō tātou oranga. Ko te mea ka kōrerohia e tātou i tēnei rā ko 'Pancreas Divisum', he panoni hanganga iti e pā ana ki te repe taiaki e noho ana mai i te whānautanga. Kaua e mataku ina rongo koe i tēnei ingoa, me kōrero noa iho.
He aha rawa te Pancreas Divisum?
He whakarāpopototanga noa iho, ko te 'Pancreas Divisum' he āhua whānau mai i te hanganga, arā, te āhua, o tō tātou pancreas. Tērā pea kei te whakaaro koe he aha tēnei pancreas. He okana tino nui kei roto i tō tātou puku, e tata ana ki te puku. Ko āna mahi matua e rua ko te whakaputa i ngā whākōkī hei āwhina i te nakunaku i te kai e kainga ana e tātou, me te whakahaere i ngā taumata huka i roto i ō tātou toto.
Whakaarohia i te wā e whanake ana te pēpi i roto i te kōpū o tōna whaea, e rua ngā awa matua e rere ai te wai repeure. I mua i te whānautanga o te pēpi, ka honoa ēnei awa e rua hei hanga i tētahi awa nui, matua.
Engari mō te tangata e pāngia ana e te mate 'Pancreas Divisum', kāore ēnei awaawa e rua e hono tahi. Ka noho motuhake, ka tū motuhake hoki.
Nā tēnei ka nui ake ngā wai nakunaku i hangaia e te repe taiaki e rere ana mā roto i tētahi awaawa iti ake, me te whakatuwheratanga atu i te mea noa. I te nuinga o te wā, kāore tēnei e puta he raruraru . Heoi, he tino onge, he iti noa te tūponotanga ka aukatihia ēnei awaawa, ka puta te mumura o te repe taiaki, he āhuatanga e kiia nei ko te 'pancreatitis acute'.
He mea tuku iho tēnei i roto i ngā whakatipuranga? Me wehi tātou?
Ae, he mate whānau tēnei, arā, kei roto i te tinana i te whānautanga. Nō reira, tera pea he pānga ira. E ai ki ngā whakatau tata, tata ki te 10% o te taupori whānui, tata ki te kotahi i roto i te 10 tāngata, ka pāngia pea e tēnei mate, 'Pancreas Divisum'.
Engari ko te mea tino nui, tino whakamarie hoki i konei, ko te nuinga o ēnei tāngata kāore rawa e pāngia e tetahi tohu puta noa i ō rātou oranga . Kāore rātou e hiahia ki tetahi maimoatanga, ki tetahi mōhiotanga rānei mō tēnei.
He mōrearea onge te pancreatitis. Koinei te wā ka mumura, ka mamae hoki te pancreas. Me tūpato tātou ki tēnei pancreatitis. Nā te mea ki te kore e rongoatia tika, ka arahi pea ki ngā mate kino pēnei i te ngoikore o te whatukuhu. Engari ka kī anō ahau, kāore tēnei e pā ki te katoa e pāngia ana e te 'Pancreas Divisum'. He tino onge tēnei raruraru .
He aha ngā tohu o te Pancreas Divisum?
Me kōrero anō ahau i taku i kōrero ai i mua. He tokomaha te hunga kāore he tohu! Ahakoa kei a koe tēnei mate, kāore pea koe e mōhio mō te toenga o tō oranga. He mea noa tēnā.
Heoi, i roto i ngā āhuatanga tino onge ka puta he tohu i roto i te tangata, ko ngā tohu pea kei roto i te ripanga i raro nei.
| Tohu |
|---|
| Te mamae o te puku, ina koa i te puku o runga |
| Whakapairuaki |
| Ruaki |
| Te pancreatitis whakapeka auau |
| Te pancreatitis mau tonu |
Me pēhea te kitenga a te tākuta i tēnei?
Mena kei a koe ngā tohu pēnei i te mamae puku tonu, tera pea ka whakapae tō tākuta kei a koe te Pancreas Divisum, ā, ka tūtohu ia i ētahi whakamātautau hei whakaū i te mate. He maha ngā matawai e whakamahia whānuitia ana mō tēnei.
| Ingoa Whakamātautau | I roto i ngā kupu māmā noa iho... |
|---|---|
| Te Cholangiopancreatography Aukume (MRCP) | He matawai MRI motuhake tēnei. Ka whakamahia he papa aukume hei tango pikitia mārama o tō repe taiaki me ngā awaawa aukume e karapoti ana i a ia. Kāore he hihi-X e pāngia ana. Koinei te huarahi tino noa, ā, ko te huarahi pai rawa atu hoki hei kimi i te Pancreas Divisum. |
| Tomography Rorohiko (matawai CT) | Ka whakakotahi te matawai CT i ngā hihi-X me te hangarau rorohiko hei tango whakaahua whakawhiti-wāhanga o ngā whekau o roto i te tinana. He nui ake te taipitopito i te hihi-X noa. |
| Whakaahua Āhua Aukume (MRI) | He whakamātautau anō hoki tēnei e whakamahi ana i te papa aukume. Ka tomo koe ki roto i tētahi mīhini he rite ki te ngongo nui. Ka whakamahia e ia ngā matūriki wai i roto i te tinana hei hanga pikitia taipitopito o ngā whekau. |
He aha ngā maimoatanga mō tēnei?
Anei te mea nui rawa atu: Ki te kore he tohu, kāore he maimoatanga mō te Pancreas Divisum. Ka taea e koe te wareware noa, ka haere tonu i tō oranga pērā i te tikanga.
Heoi, ki te mea kei te mau tonu ngā tohu pēnei i te mamae, ā, ka whakaū mai ō tākuta ko te Pancreas Divisum te take, me whakaaro pea koe ki ngā kōwhiringa maimoatanga.
- Maimoatanga ERCP: Ko te maimoatanga tino noa ko te tikanga e kiia nei ko te Endoscopic Retrograde Cholangiopancreatography (ERCP) . I roto i tēnei, ka whakauruhia he endoscope, he ngongo angiangi me te kāmera e piri ana, mā te waha, ki roto i te awaawa whaiti i roto i te pancreas, ā, ka paku whakanuia te whakatuwheratanga o te awaawa (minor papilla sphincterotomy). I ētahi wā ka whakauruhia he ngongo iti (stent) hei pupuri i te awaawa kia tuwhera tonu.
- Ngā Tūponotanga: Heoi, he iti te tūponotanga o tēnei tikanga ERCP. I ētahi wā ka pā mai, ka kino ake rānei te mate pāwera. Nō reira, ka tūtohu ngā tākuta i tēnei maimoatanga i muri i te whakaaroaro tupato, ā, mēnā he tino tika.
- Ētahi atu pokanga: I ētahi wā tino kino, ka tūtohutia pea ētahi atu momo pokanga (hei tauira, te tikanga Puestow, te tikanga Frey rānei) hei whakatuwhera i te awa repeure me te tuku i te wai kia mimiti.
Mā tō tākuta ēnei e whakatau i muri i te tirotiro i tō āhua. Nō reira, kaua e mahi noa i tāu e hiahia ana, engari me kōrero tonu ki tō tākuta i mua i te whakatau.
Me pēhea te ārai i ngā pānga hauora o te Pancreas Divisum?
I te mea he mate whānau mai tēnei, kāore e taea te ārai i te putanga mai o te mate e kiia nei ko te 'Pancreas Divisum'. Heoi, ko te huarahi pai ki te karo i ngā raruraru ka puta ko te pupuri i te oranga hauora .
Ki te kore he tohu, kāore tō hauora e pāngia. Ko tāu noa he noho hauora.
Ko ngā mea ka taea e koe te mahi:
- Kai i tētahi kai taurite.
- Whakakorikori tinana i ia wā, i ia wā.
- Whakaitihia, kati rawatia rānei te inu waipiro (nā te mea ka piki ake te mōrearea o te mate pāwera i te waipiro).
- Ko te mea nui, ki te pā tonu mai ētahi o ngā tohu i kōrerotia e tātou i mua ake nei (mamae puku, whakapairuaki), kaua e moumou taima, engari me toro atu ki te tākuta.
Me whai i ngā whakamātautau e whakahaua ana e tō tākuta, ā, me whai i te maimoatanga e hoatu ana e ia ki a koe. Kia maumahara, ko te nuinga o te hunga whai `Pancreas Divisum` e ora hauora ana, kāore he raruraru.
Karere Tangohia ki te Kāinga
- Ko te Pancreas Divisum he mate whānau noa e pā ana ki te hanganga o te pancreas.
- Ko te nuinga o te hunga e pāngia ana e tēnei mate, kāore he tohu , ā, kāore e hiahiatia he maimoatanga.
- I ētahi wā onge, ki te puta ngā tohu pēnei i te mamae tonu o te puku me te whakapairuaki, rapua tonutia he tohutohu hauora.
- Ka taea te tautuhi ngāwari i tēnei mā te matawai pēnei i te MRCP.
- Ko te hunga anake e whai tohumate ana e hiahiatia ana he maimoatanga. Mā tō tākuta e whakatau ko tēhea te maimoatanga e pai ana māu.
- Ko te pupuri i tētahi momo noho hauora te huarahi pai rawa atu hei ārai i ngā raruraru ka puta mai i tēnei mate.
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