Ingaba ipancreas yakho inje? Masifunde nge (Pancreas Divisum)!

Ngaba wakha wenziwa i-CT scan yesisu sakho ngenxa yesinye isizathu waza ugqirha wakuxelela ukuba kukho into encinci engaqhelekanga kwi-pancreas yakho ebizwa ngokuba yiPancreas Divisum? Okanye mhlawumbi ubusoloko uneentlungu zesisu kunye nesicaphucaphu waza wayazi loo nto. Yintoni kanye kanye iPancreas Divisum? Ngaba le yinto ekufuneka ixhalatyelwe? Masithethe ngayo ngokweenkcukacha namhlanje.

Yintoni (iPancreas Divisum)? Ngamafutshane...

Ngamafutshane, iPancreas Divisum yinto encinci, edla ngokuba nengozi, engaqhelekanga kwipancreas yakho. Oogqirha bakwabiza ngokuba yingxaki yokuzalwa, oko kuthetha ukuba yinto esizalwa nayo.

I-pancreas yethu ivelisa iijusi ezibalulekileyo zokugaya ukutya (iijusi ze-pancreatic). Ezi jusi zihamba ukusuka kwi-pancreas ngetyhubhu encinci (i-pancreatic duct) ukuya ekuqaleni kwamathumbu ethu amancinci. Kumntu one-Pancreas Divisum, i-duct ephambili ayikakhiwa ngokupheleleyo. Ke ngoko, ijusi ye-pancreatic idla ngokuphuma kwisithuba esincinci (i-papilla encinci) endaweni yesithuba esikhulu (i-papilla enkulu). Oku kunokwenza ukuba ijusi ingaphumi kakuhle.

Nangona kunjalo, uninzi lwabantu alubonakali zimpawu ngenxa yoku. Nangona kunjalo, kwabanye abantu, ngenxa yeengxaki zokuhamba kweejusi, iimpawu ezifana ne-"Pancreatitis" okanye ukudumba kwepancreas zinokubakho.

Kuqheleke kangakanani oku?

Ubusazi? Le meko, ebizwa ngokuba yi-"Pancreas Divisum", yeyona nto ixhaphakileyo ekuzalweni echaphazela ipancreas. Kuthiwa malunga ne-10% yoluntu ngokubanzi lunale meko. Oko kukuthi malunga nomntu omnye kwabalishumi. Ngoko ke oku akuqhelekanga kangako.

Ngaba iPancreas Divisum iyingozi kakhulu?

Ixesha elininzi, hayi. Uninzi lwabantu abanePancreas Divisum abanazo naziphi na iingxaki. Ngokuqhelekileyo ayiphazamisi indlela ipancreas yakho enceda ngayo ekugayeni ukutya.

Nangona kunjalo, ipesenti encinci kakhulu, oko kukuthi, inani elincinci labantu abane `(Pancreas Divisum)`, banokubona iimpawu ze `(Pancreatitis)` okanye ukudumba kwepancreas esikukhankanyileyo ngaphambili. Nangona kunjalo, uninzi lwexesha, ezo mpawu azikho nzulu ngokwaneleyo ukuba zifune utyando.

Zithini iimpawu zePancreas Divisum?

Iindaba ezimnandi zezokuba abantu abangaphezu kwama-95% abanePancreas Divisum abanazo naziphi na iimpawu . Ungaphila ubomi bakho bonke ungazi nokuba unayo le meko.

Nangona kunjalo, kwiimeko ezingaqhelekanga, iimpawu zinokufana nezo ze-pancreatitis. Ziquka:

• Intlungu yesisu (le yeyona ixhaphakileyo). Abanye abantu baziva oku kwisisu esingaphezulu, ngamanye amaxesha kunokusasazeka ngasemva.
• Isicaphucaphu nokuhlanza.
• Uhlobo lomkhuhlane.
• Izinto ezifana neengxaki zokugaya ukutya, ukudumba, njl.
• Ukutya akunancasa.
• Indle etyebileyo.
• Ukubetha kwentliziyo.
• Ukuphefumla kuba mfutshane kwaye kube ngokukhawuleza.
• Ukudinwa (kusenokwenzeka ukuba kubangelwa kukwehla koxinzelelo lwegazi).

Eyona nto ibalulekileyo kukuba nangona ezi mpawu zikhona, azinakubangelwa yi-`(Pancreas Divisum)`. Ngoko ke, kungcono ukubona ugqirha uze ufumane unobangela ochanekileyo.

Kutheni le nto (iPancreas Divisum) isenzeka?

Oku kwenzeka kuba kukho utshintsho oluncinci ekukhuleni kwepancreas ngelixa sisesesibelekweni, oko kukuthi, ngaphambi kokuba sizalwe.

Ngokwesiqhelo, ipancreas yethu ikhula kwiindawo ezimbini ezibizwa ngokuba yi "buds." Enye yi-ventral bud ngaphambili, kwaye enye yi-dorsal bud ngasemva. Zombini ezi buds zinemijelo yazo eyahlukileyo. Malunga neeveki ezisixhenxe zokukhulelwa, ezi buds zimbini ziyadibana ukuze zenze i-pancreas njengelungu elinye. Ezi ducts zimbini ziyadibana ukuze zenze i-pancreatic duct ephambili.

Cinga ngayo njengombhobho omkhulu wamanzi. Kulapho iijusi zokugaya ukutya eziveliswa kwi-pancreas zihamba khona ziye kwinxalenye yokuqala yamathumbu ethu amancinci (i-'duodenum') ukuze zincede ekugayeni ukutya.

Kodwa, kwimeko ye-`(Pancreas Divisum)`, okwenzekayo kukuba loo maqhuqhuva mabini, imibhobho yawo emibini, ayidibani ngokuqhelekileyo ukuze yenze loo `(umbhobho wepancreatic)` oyintloko. Endaweni yoko, usenokuba nemibhobho emibini eyahlukeneyo, emincinci ekhupha ijusi kwi-pancreas yakho. Emva koko, ijusi ephambili ayiphumi kuloo mngxuma mkhulu (`i-papilla enkulu`), kodwa iphuma kwenye imingxuma emincinci (`i-papilla encinci`) edibanisa namathumbu amancinci.

Kukho umahluko omkhulu kwindlela ezi ducts zejusi ezithi ekugqibeleni zakhe kwaye zikhuphe ijusi kwi-pancreas.

Iingxaki ezinokubakho ngenxa yePancreas Divisum

Eyona ngxaki inkulu enokwenzeka koku kukudumba kwepancreas, okubizwa ngokuba yi-`(Pancreatitis)`. Kodwa igama elithi "can" libaluleke kakhulu apha. Liyinyani elokuba abantu abane-`(Pancreas Divisum)` ngamanye amaxesha bafumana iimpawu ze-`(Pancreatitis). Kodwa izazinzulu zisaphanda ngonxibelelwano phakathi kwezi zimbini.

Enye ingcamango kukuba ukuba ijusi ayikwazi ukuhamba kakuhle ngomngxuma omncinci (`i-papilla encinci`), ijusi inokuqokelelwa ize ivalwe. Oku kuthinteleka kunokubangela ukudumba. Enye kukuba ngamanye amaxesha zombini ezi meko zinokwenzeka kunye. Kuba, ngelixa abanye abantu abane `(Pancreas Divisum)` bekhula `(Pancreatitis)`, uninzi lwabo alubi njalo. Enye ingcamango kukuba `(Pancreas Divisum)` inokunyusa umngcipheko wokukhula `(Pancreatitis)`, kodwa oko akusoloko kunjalo, kuphela kwezinye iimeko.

Ngoko ke uphando olongezelelekileyo luyadingeka ukuze kukwaziwe kakuhle ngale nto.

Uyibona njani le nto?

Izihlandlo ezininzi, oogqirha bafumanisa ukuba kukho iPancreas Divisum ngengozi xa besenza i-CT scan, okanye i-Computed Tomography scan, yesisu ngenxa yengxaki ethile engadibaniyo.

Kodwa ukuba uneempawu, ugqirha wakho unokuyalela iimvavanyo ezifana nezi:

• `(I-Magnetic Resonance Cholangiopancreatography - MRCP)`: Olu vavanyo luvumela ugqirha ukuba abone inkqubo yakho ye-pancreatic duct kwisikrini. Usenokunikwa inaliti equlethe i-hormone ebizwa ngokuba yi-`(Secretin)`. Le `(Secretin)` inokunceda ukubona ngokucacileyo naziphi na iingxaki kwi-pancreas, ezifana ne-`(Pancreas Divisum)`. Ngamanye amaxesha olu vavanyo lwenziwa ngaphandle kwenaliti ye-`(Secretin)`.
• I-Endoscopic ultrasound : Oku kuquka ukusebenzisa i-scope, ityhubhu enekhamera encinci, ukujonga imifanekiso ye-ultrasound yamalungu akho kwisikrini. Oku kunokunceda ekuqinisekiseni ukuba i-pancreas yakho ivuvukile na.
• I-Endoscopic Retrograde Cholangiopancreatography (ERCP) : Olu vavanyo lusebenzisa i-scope kunye ne-X-reys ukuthatha imifanekiso yemibhobho yakho yepancreatic. Ugqirha ufaka i-scope ezantsi emqaleni wakho nakwi-pancreas yakho. I-scope ikhupha idayi engenabungozi, eyenza imibhobho ibonakale kwisikrini. Ifana ne-MRCP, kodwa ingena kancinci. Ke ngoko, oogqirha badla ngokusebenzisa le nkqubo kuphela ukuba baceba ukunyanga esi sifo nge-endoscopy. I-scope ikwasetyenziswa ngexesha le-endoscopy.

Ziziphi iindlela zonyango ze (Pancreas Divisum)?

Enyanisweni, uninzi lwabantu abanePancreas Divisum abadingi naluphi na unyango.

Kodwa ukuba uneempawu ze-pancreatitis ezingephi okanye eziphakathi, ugqirha wakho unokucebisa iindlela zokulawula ezo mpawu. Umzekelo:

• Ukutshintshela ekutyeni okunamafutha aphantsi: Xa usitya amafutha amancinci, ipancreas kufuneka isebenze kancinci ukuze ikwazi ukugaya amafutha.
• Ukusela amayeza: Kusenokufuneka uthathe into efana neyeza lokuthomalalisa iintlungu.
• Ukuthatha izongezo: Kusenokufuneka uthathe izongezo ze-enzyme zepancreas ukunceda ekugayweni kokutya.

Ukuba uneempawu ezixhaphakileyo neziqatha (ezifana neentlungu zesisu eziqatha), kunokufuneka wenze inkqubo encinci yokwandisa (ukwandisa) umbhobho wepancreas.

Unyango oluthile

Ezi ziindlela zonyango ezandisa i-papilla encinci:

• I-Endoscopy: Ugqirha angenza umngxuma omncinci aze awandise umngxuma ngexesha le-ERCP. Angafaka netyhubhu yesinyithi ebizwa ngokuba yi-stent ukuze ihlale ivulekile.
• Utyando: Uninzi lwabantu aludingi utyando lwePancreas Divisum. Nangona kunjalo, ukuba awukwazi ukwenza i-endoscopy, okanye ukuba i-endoscopy ayiphumelelanga, utyando lunokufuneka. Oku kubandakanya ukwenza umngxuma omncinci esiswini sakho kunye nokufikelela kwi-pancreatic duct. Kwakhona, inkqubo ibandakanya ukwandisa i-duct ethwala ijusi ye-pancreatic iye emathunjini amancinci.

Ngaba kukho naziphi na iingxaki kunyango?

Ugqirha wakho uza kuyihlola impilo yakho ngononophelo ngaphambi kokuba akucebise ngonyango. Ngokubanzi, iingxaki azixhaphakanga.

Iingxaki ezinokubakho zingabandakanya:

• Ukuphinda-phinda kwemeko `(iPancreatitis)`.
• Loo mngxuma mncinci (`i-papilla encinci`) uyancipha kwakhona.
• Ukugqobhoka okanye ukopha.

Ithini ingqikelelo yomntu onePancreas Divisum?

Imbono yakho ilungile kakhulu , ingakumbi ukuba awunazo iimpawu. I-Pancreas Divisum ayinakuba nafuthe kubomi bakho.

Abantu abaninzi abaneempawu banokuzilawula iimpawu zabo ngaphandle konyango lwezonyango. Ukuba ufuna unyango, zombini i-endoscopy kunye notyando zithathwa njengezikhetho ezikhuselekileyo nezisebenzayo. Zisebenza kakhulu ukuba uneempawu ze-pancreatitis ebukhali okanye ephindaphindayo. Azisebenzi kangako ekunyangeni i-pancreatitis engapheliyo.

Ndingayibuza yiphi imibuzo ugqirha wam?

Ungabuza imibuzo efana nale:

• Ukuba nePancreas Divisum kuyichaphazela njani impilo yam?
• Angakanani amathuba am okufumana `(iPancreatitis)`?
• Zeziphi iimpawu ekufuneka ndizijonge?
• Ingaba iimpawu zam zibangelwa yiPancreas Divisum okanye yenye ingxaki?
• Ngaba ndiza kufuna unyango lokulawula iimpawu zam?

Ukuba ufumanisa ngovavanyo ukuba unayo `(Pancreas Divisum)`, ungoyiki. Esi sisiphene esiqhelekileyo sokuzalwa. Ukuba awunazo iimpawu ngoku, kusenokwenzeka ukuba awuyi kuba nangxaki kwixesha elizayo.

Okokugqibela, izinto ekufuneka uzikhumbule (Umyalezo Wokuya Ekhaya)

Kulungile, ngoku unombono ongcono wento ebesithetha ngayo, `(Pancreas Divisum)`. Into ebalulekileyo kukuba uninzi lwexesha, oku akuyonto yokukhathazeka ngayo.

• I-Pancreas Divisum sisiphene esincinci esizalwa naso kwi-pancreas.
• Uninzi lwabantu alunazo naziphi na iimpawu.
• Amaxesha amaninzi, iimpawu ezifana ne-`(Pancreatitis)` zinokwenzeka.
• Ixesha elininzi, oku kufunyanwa ngengozi, ngexesha lokuskena okwenziwe ngesinye isizathu.
• Ukuba akukho zimpawu, unyango alusoloko luyimfuneko.
• Ukuba kukho iimpawu, zinokulawulwa ngokutshintsha indlela yokuphila, amayeza, okanye ngamanye amaxesha unyango olufana ne-endoscopy.

Ukuba ufumanisa ukuba unayo `(iPancreas Divisum)`, ungoyiki uze uthethe nogqirha wakho ngayo loo nto. Uza kukunika lonke ulwazi olufunayo. Khumbula, ayingomzimba womntu wonke ofanayo, ngoko ke ngugqirha wakho kuphela onokukunika icebiso elifanelekileyo.

I- Pancreas Divisum, i-Pancreatitis, i-Pancreatitis, iintlungu zesisu, ukugaywa kokutya, iziphene zokuzalwa, i-MRCP, i-ERCP