Imizimba yethu yindalo emangalisayo ngokwenene, akunjalo? Kodwa ngamanye amaxesha, xa sizalwa, kunokubakho utshintsho oluncinci kumalungu ethu omzimba. Uninzi lwale mizimba alunabungozi kwaye asazi nokuba lunjani ubomi bethu bonke. Esiza kuthetha ngayo namhlanje yi-'Pancreas Divisum', utshintsho oluncinci lolwakhiwo olunxulumene nepancreas olukhoyo ukususela ekuzalweni. Musa ukoyika xa usiva eli gama, masithethe ngalo ngokulula.
Yintoni kanye kanye iPancreas Divisum?
Ngamafutshane, i-'Pancreas Divisum' yinto engaqhelekanga eyenzeka kwisakhiwo, oko kukuthi, imo, yepancreas yethu. Ngoku usenokuba uzibuza ukuba yintoni le pancreas. Lilungu elibaluleke kakhulu elingaphakathi kwesisu sethu, kufutshane nesisu. Imisebenzi yalo emibini ephambili kukuvelisa ii-enzymes ezinceda ekugayeni ukutya esikutyayo, kunye nokulawula amanqanaba eswekile egazini lethu.
Khawuthelekelele ukuba xa umntwana ekhula esibelekweni sikanina, kukho imibhobho emibini ephambili apho kuphuma khona ijusi yepancreas. Ngokwesiqhelo, ngaphambi kokuba umntwana azalwe, le mibhobho mibini iyadibana ukuze yenze umbhobho omnye omkhulu, oyintloko.
Kodwa kumntu onesifo esithi `Pancreas Divisum`, la mapayipi mabini awadibani. Ahlala ahlukene kwaye ezimeleyo.
Oku kubangela ukuba uninzi lweejusi zokugaya eziveliswa yipancreas zidlule kumjelo omncinci novuleko kunokuba kuqhelekile. Uninzi lwexesha, oku akubangeli ngxaki . Nangona kunjalo, kunqabile kakhulu, kukho ithuba elincinci lokuba le mijelo ivaleke kwaye ibangele ukudumba kwepancreas, imeko ebizwa ngokuba yi-'acute pancreatitis'.
Ngaba le yinto edluliselwa kwizizukulwana ngezizukulwana? Ngaba simele soyike?
Ewe, le yimeko yokuzalwa, oko kuthetha ukuba ikhona emzimbeni xa umntu ezalwa. Ngoko ke kunokubakho impembelelo ethile yemfuza. Ngokwezibalo, malunga ne-10% yabemi ngokubanzi, okanye malunga nomntu omnye kwabalishumi, banokuba nale meko, `iPancreas Divisum`.
Kodwa eyona nto ibalulekileyo nethuthuzelayo apha kukuba uninzi lwaba bantu alusoze lubone naziphi na iimpawu ebomini babo bonke . Abadingi nyango okanye ulwazi ngale nto.
Umngcipheko ongaqhelekanga yi-pancreatitis. Kulapho i-pancreas ivuvukala kwaye ibe buhlungu. Le pancreatitis yinto ekufuneka siyilumkele kancinci. Kuba ukuba ayinyangwa kakuhle, inokukhokelela kwiimeko ezinzulu ezifana nokungasebenzi kakuhle kwezintso. Kodwa ndiyaphinda, oku akwenzeki kubo bonke abantu abane-'Pancreas Divisum'. Le yingxaki engaqhelekanga kakhulu .
Zithini iimpawu zePancreas Divisum?
Mandiphinde ndithethe into ebendiyithethile ngaphambili. Abantu abaninzi abanazo iimpawu! Nokuba unale meko, kusenokwenzeka ukuba awuzukuyazi ubomi bakho bonke. Yinto eqhelekileyo leyo.
Nangona kunjalo, kwiimeko ezingaqhelekanga apho umntu eba neempawu, zisenokuba zezo zikwitheyibhile engasezantsi.
| Uphawu |
|---|
| Intlungu esiswini, ingakumbi esiswini esingaphezulu |
| Isicaphucaphu |
| Ukuhlanza |
| I-pancreatitis ebukhali ephindaphindayo |
| I-pancreatitis engapheliyo |
Ugqirha uyifumana njani le nto?
Ukuba uneempawu ezifana neentlungu zesisu ezingapheliyo, ugqirha wakho unokurhanela iPancreas Divisum aze akucebise ukuba wenze iimvavanyo ezininzi ukuqinisekisa ukuba unesifo. Kukho iiskeni ezininzi ezisetyenziswa rhoqo koku.
| Igama lovavanyo | Ngamagama alula... |
|---|---|
| I-Magnetic Resonance Cholangiopancreatography (MRCP) | Olu luvavanyo olukhethekileyo lwe-MRI. Lusebenzisa amandla emagnethi ukuthatha imifanekiso ecacileyo yepancreas yakho kunye nemibhobho yenyongo eyijikelezileyo. Akukho kuvezwa kwi-X-ray. Le yeyona ndlela ixhaphakileyo neyona ilungileyo yokufumana iPancreas Divisum. |
| I-Computed Tomography (i-CT scan) | I-CT scan idibanisa ii-X-reyi kunye netekhnoloji yekhompyutha ukuze ithathe imifanekiso yamalungu omzimba ngaphakathi emzimbeni. Ineenkcukacha ezingaphezulu kune-X-reyi eqhelekileyo. |
| Umzobo weMagnetic Resonance (MRI) | Olu luvavanyo olusebenzisa amandla emagnethi. Ungena ngaphakathi kumatshini ofana nombhobho omkhulu. Usebenzisa amasuntswana amanzi emzimbeni ukwenza imifanekiso eneenkcukacha zezitho zomzimba. |
Zithini iindlela zonyango zoku?
Nantsi eyona nto ibalulekileyo: Ukuba awunazo iimpawu, iPancreas Divisum ayifuni naluphi na unyango. Ungayityeshela nje uze uqhubeke nobomi bakho njengesiqhelo.
Nangona kunjalo, ukuba uyaqhubeka uneempawu ezifana neentlungu kwaye oogqirha bakho baqinisekisa ukuba unobangela yiPancreas Divisum, unokufuna ukuqwalasela iindlela zonyango.
- Unyango lwe-ERCP: Olona nyango luqhelekileyo yinkqubo ebizwa ngokuba yi -Endoscopic Retrograde Cholangiopancreatography (ERCP) . Kule nto, i-endoscope, ityhubhu encinci enekhamera eqhotyoshelweyo, ifakwa ngomlomo, ingene kumjelo onciphileyo kwi-pancreas, kwaye ukuvulwa komjelo kwandiswa kancinci (i-sphincterotomy encinci ye-papilla). Ngamanye amaxesha umjelo omncinci (i-stent) unokufakwa ukugcina umjelo uvulekile.
- Iingozi: Nangona kunjalo, le nkqubo ye-ERCP inobungozi kancinci. Ngamanye amaxesha inokubangela okanye iyenze mandundu i-pancreatitis. Ke ngoko, oogqirha bacebisa olu nyango kuphela emva kokucingisisa ngononophelo kwaye ukuba kuyimfuneko ngokwenene.
- Ezinye iindlela zotyando: Kwezinye iimeko ezinzima, ezinye iintlobo zotyando (umz., inkqubo kaPuestow okanye kaFrey) zinokucetyiswa ukuze kuvulwe umbhobho wepancreas kwaye kuvunyelwe ulwelo ukuba luphume.
Konke oku kugqitywa ngugqirha wakho emva kokuba ehlolisise imeko yakho ngononophelo. Ngoko ke, musa ukwenza nantoni na ovakalelwa kukuba ufuna ukuyenza, soloko uthetha nogqirha wakho ngaphambi kokuba wenze naziphi na izigqibo.
Ungayithintela njani imiphumo yePancreas Divisum kwimpilo?
Ekubeni esi sisifo sokuzalwa, asinakukuthintela ukwenzeka kwale meko ibizwa ngokuba yi-'Pancreas Divisum.' Nangona kunjalo, eyona ndlela ilungileyo yokuphepha iingxaki ezinokubangela oku kukugcina indlela yokuphila esempilweni .
Ngamafutshane, ukuba awunazo iimpawu, impilo yakho ayizukuchaphazeleka. Okufuneka ukwenze kukuhlala usempilweni.
Izinto onokuzenza zezi:
- Yitya ukutya okunesondlo esifanelekileyo.
- Zilolonge rhoqo.
- Nciphisa okanye uyeke ngokupheleleyo ukusela utywala (njengoko utywala bunyusa umngcipheko we-pancreatitis).
- Okubaluleke kakhulu, ukuba uyaqhubeka nokubona naziphi na iimpawu esizikhankanyileyo ngaphambili (intlungu yesisu, isicaphucaphu), musa ukuchitha ixesha uye kugqirha.
Fumana uvavanyo oluyalelwe ngugqirha wakho uze ulandele unyango alunikayo ngokuchanekileyo. Khumbula, uninzi lwabantu abane-'Pancreas Divisum' baphila ubomi obusempilweni ngaphandle kweengxaki.
Umyalezo Wokuya Ekhaya
- I-Pancreas Divisum sisifo esingaqhelekanga esiqhelekileyo sokuzalwa kwepancreas.
- Uninzi lwabantu abanale meko abanazo iimpawu kwaye abadingi naluphi na unyango.
- Kwiimeko ezingaqhelekanga, ukuba kukho iimpawu ezifana nentlungu yesisu engapheliyo kunye nesicaphucaphu, funa ingcebiso kagqirha ngokukhawuleza.
- Oku kunokufunyanwa lula ngeskeni efana neMRCP.
- Unyango lufuneka kuphela kwabo baneempawu. Ugqirha wakho uya kugqiba ukuba loluphi unyango olulungele wena.
- Ukugcina indlela yokuphila esempilweni yeyona ndlela ilungileyo yokuthintela naziphi na iingxaki ezinokuvela ngenxa yesi sifo.
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