Ingabe ama-pancreas akho anje? Ake sifunde nge- (Pancreas Divisum) !

Wake wahlolwa isisu sakho nge-CT scan nganoma yisiphi esinye isizathu futhi udokotela wakutshela ukuthi kukhona ukukhubazeka okuncane ku-pancreas yakho okubizwa ngokuthi i-Pancreas Divisum? Noma mhlawumbe ubulokhu uzwa ubuhlungu besisu njalo kanye nesicanucanu futhi usuyazi ngakho. Iyini ngempela i-Pancreas Divisum? Ingabe lokhu kuyinto okufanele ukhathazeke ngayo? Ake sixoxe ngakho ngokuningiliziwe namuhla.

Kuyini (i-Pancreas Divisum)? Kalula nje...

Kalula nje, i-Pancreas Divisum iyisifo esincane, esivame ukungabi nangozi, esizalwa naso kuma-pancreas akho. Odokotela basibiza nangokuthi isifo sokuzalwa, okusho ukuthi yinto esizalwa nayo.

Ama-pancreas ethu akhiqiza amajusi okugaya ukudla abalulekile (amajusi e-pancreatic). Lawa majusi ahamba esuka kuma-pancreas ngepayipi elincane (i-pancreatic duct) aye ekuqaleni kwamathumbu ethu amancane. Kumuntu one-Pancreas Divisum, i-duct eyinhloko ayikakhiwa ngokugcwele. Ngakho-ke, ijusi le-pancreatic livame ukugeleza liphuma embobeni encane (i-papilla encane) kunembobo enkulu (i-papilla enkulu). Lokhu kungenza ijusi ligeleze kancane kahle.

Kodwa-ke, abantu abaningi ababi nazo izimpawu ngenxa yalokhu. Kodwa-ke, kwabanye abantu, ngenxa yezinkinga ngokugeleza kwamajusi, izimpawu ezifana ne-"Pancreatitis" noma ukuvuvukala kwe-pancreas zingase zibe khona.

Kuvamile kangakanani lokhu?

Ubuwazi? Lesi simo, esibizwa ngokuthi "i-Pancreas Divisum", yisona sici esivame kakhulu sokuzalwa esithinta ama-pancreas. Kuthiwa cishe u-10% wabantu bonke unalesi simo. Lokho cishe umuntu oyedwa kwabayishumi. Ngakho-ke lokhu akuyona into engavamile kangako.

Ingabe i-Pancreas Divisum iyingozi?

Esikhathini esiningi, cha. Iningi labantu abane-Pancreas Divisum abanazo izinkinga. Ngokuvamile ayiphazamisi indlela i-pancreas yakho esiza ngayo ekugayeni ukudla.

Kodwa-ke, iphesenti elincane kakhulu, okungukuthi, inani elincane labantu abane-(Pancreas Divisum), bangase babe nezimpawu ze-(Pancreatitis) noma ukuvuvukala kwe-pancreas esikhulume ngakho ekuqaleni. Kodwa-ke, isikhathi esiningi, lezo zimpawu azizimbi ngokwanele ukuthi zidinga ukuhlinzwa.

Ziyini izimpawu ze-Pancreas Divisum?

Izindaba ezinhle ukuthi abantu abangaphezu kuka-95% abane-Pancreas Divisum abanazo izimpawu . Ungaphila impilo yakho yonke ungazi nokuthi unalesi simo.

Kodwa-ke, ezimweni ezingavamile, izimpawu zingase zifane neze-pancreatitis. Zihlanganisa:

• Ubuhlungu besisu (lokhu kuvame kakhulu). Abanye abantu bakuzwa lokhu esiswini esingaphezulu, ngezinye izikhathi kungasakazekela emhlane.
• Isicanucanu nokuhlanza.
• Uhlobo lomkhuhlane.
• Izinto ezifana nezinkinga zokugaya ukudla, ukuqunjelwa, njll.
• Ukudla akunambitheki.
• Amakaka akhuluphele.
• Ukushaya kwenhliziyo.
• Ukuphefumula kuba ngokushesha futhi kube kufushane.
• Isiyezi (kungase kube ngenxa yomfutho wegazi ophansi).

Into ebaluleke kakhulu ukuthi noma lezi zimpawu zikhona, azikwazi ukubangelwa yi-(Pancreas Divisum). Ngakho-ke, kungcono ukubona udokotela bese uthola imbangela eqondile.

Kungani lokhu (i-Pancreas Divisum) kwenzeka?

Lokhu kwenzeka ngoba kukhona ushintsho oluncane ekukhuleni kwe-pancreas ngesikhathi sisesibelethweni, okungukuthi, ngaphambi kokuba sizalwe.

Ngokuvamile, ama-pancreas ethu akhula ezingxenyeni ezimbili ezibizwa ngokuthi “ama-bud.” Enye yi-ventral bud ngaphambili, kanti enye yi-dorsal bud ngemuva. Womabili la ma-bud anemigudu yawo ehlukile. Cishe emavikini ayisikhombisa okukhulelwa, la ma-bud amabili ayahlangana ukuze akhe i-pancreas njengesitho esisodwa. Ama-duct amabili ayahlangana ukuze akhe i-pancreatic duct eyinhloko.

Cabanga ngakho njengepayipi elikhulu lamanzi. Yilapho amajusi okugaya ukudla akhiqizwa yi-pancreas eya engxenyeni yokuqala yamathumbu ethu amancane (i-'duodenum') ukusiza ekugayeni ukudla.

Kodwa, uma kwenzeka (i-Pancreas Divisum), okwenzekayo ukuthi lawo mahlumela amabili, imigudu yawo emibili, awahlangani ngokujwayelekile ukuze akhe lowo (umsele we-pancreatic) oyinhloko. Kunalokho, ungase ube nemigudu emibili ehlukene, emincane ekhipha amanzi ku-pancreas yakho. Ngemuva kwalokho, amanzi ayinhloko awaphumi kulowo mgodi omkhulu (i-papilla enkulu), kodwa aphume komunye umgodi omncane (i-papilla encane) exhuma emathunjini amancane.

Kungaba nokwehlukahluka okuningi endleleni la mapayipi ejusi agcina ngayo futhi ekhipha ujusi kuma-pancreas.

Izinkinga ezingase zivele ngenxa ye-Pancreas Divisum

Inkinga enkulu engenzeka kulokhu ukuvuvukala kwe-pancreas, okubizwa ngokuthi (Pancreatitis). Kodwa igama elithi "can" libaluleke kakhulu lapha. Kuyiqiniso ukuthi abantu abane-(Pancreas Divisum) ngezinye izikhathi babhekana nezimpawu ze-(Pancreatitis). Kodwa ososayensi basacwaninga ngokuxhumana phakathi kwalokhu okubili.

Enye inkolelo-mbono iwukuthi uma ijusi lingakwazi ukugeleza kahle ngembobo encane (i-papilla encane), ijusi lingaqongelela futhi livaleke. Lokhu kuvinjelwa kungabangela ukuvuvukala. Enye inkolelo-mbono iwukuthi ngezinye izikhathi zombili lezi zimo zingenzeka ndawonye. Ngoba, ngenkathi abanye abantu abane-(Pancreas Divisum) beba ne-(Pancreatitis), iningi labo alibi njalo. Enye inkolelo-mbono iwukuthi (Pancreas Divisum) ingandisa ingozi yokuba ne-(Pancreatitis), kodwa lokho akunjalo ngaso sonke isikhathi, kuphela kwezinye izimo.

Ngakho-ke kudingeka ucwaningo olwengeziwe ukuze wazi kahle ngalokhu.

Ukubona kanjani lokhu?

Esikhathini esiningi, odokotela bathola ukuba khona kwe-Pancreas Divisum ngengozi lapho benza i-CT scan, noma i-Computed Tomography scan, yesisu ngenxa yenkinga ethile engahlobene.

Kodwa uma unezimpawu, udokotela wakho angase akucele ukuthi uhlolwe kanje:

• (I-Magnetic Resonance Cholangiopancreatography - MRCP): Lokhu kuhlolwa kuvumela udokotela ukuthi abone uhlelo lwakho lwe-pancreatic duct esikrinini. Ungase unikezwe umjovo oqukethe i-hormone ebizwa ngokuthi (Secretin). Lokhu (Secretin) kungasiza ekuboneni ngokucacile noma yikuphi ukukhubazeka ku-pancreas, njenge (Pancreas Divisum). Ngezinye izikhathi lokhu kuhlolwa kwenziwa ngaphandle komjovo we (Secretin).
• I-Endoscopic ultrasound : Lokhu kuhilela ukusebenzisa i-scope, ithubhu enekhamera encane, ukubuka izithombe ze-ultrasound zezitho zakho esikrinini. Lokhu kungasiza ekunqumeni ukuthi i-pancreas yakho ivuvukele yini.
• I-Endoscopic Retrograde Cholangiopancreatography (ERCP) : Lokhu kuhlolwa kusebenzisa i-scope kanye ne-X-rays ukuthatha izithombe zemigudu yakho ye-pancreatic. Udokotela ufaka i-scope phansi emphinjeni wakho bese e-pancreas yakho. I-scope ikhipha udayi ongenangozi, okwenza imigudu ibonakale esikrinini. Ifana ne-MRCP, kodwa ihlasela kancane. Ngakho-ke, odokotela bavame ukusebenzisa le nqubo kuphela uma behlela ukwelapha lesi sifo nge-endoscopy. I-scope isetshenziswa futhi ngesikhathi se-endoscopy.

Yiziphi izindlela zokwelapha (i-Pancreas Divisum)?

Eqinisweni, abantu abaningi abane-Pancreas Divisum abadingi ukwelashwa.

Kodwa uma unezimpawu ezincane noma eziphakathi ze-pancreatitis, udokotela wakho angase ancome izindlela zokuzilawula. Isibonelo:

• Ukushintshela ekudleni okunamafutha amancane: Uma udla amafutha amancane, i-pancreas kufanele isebenze kancane ukuze igaye amafutha.
• Ukuthatha imithi: Kungase kudingeke ukuthi uthathe into efana nomuthi wokudambisa ubuhlungu.
• Ukuthatha izithasiselo: Kungase kudingeke ukuthi uthathe izithasiselo zama-enzyme e-pancreatic ukuze usize ekugayeni ukudla.

Uma unezimpawu ezivamile nezinzima (njengobuhlungu obukhulu besisu), kungadingeka ukuthi wenze inqubo encane yokwandisa (ukwandisa) umsele we-pancreatic.

Ukwelashwa okuqondile

Lezi izindlela zokwelapha ezandisa i-papilla encane:

• I-Endoscopy: Udokotela angenza ukusika okuncane futhi akhulise imbobo ngesikhathi se-ERCP. Angase futhi afake ithubhu lensimbi elibizwa ngokuthi i-stent ukuze lihlale livulekile.
• Ukuhlinzwa: Abantu abaningi abadingi ukuhlinzwa kwe-Pancreas Divisum. Kodwa-ke, uma ungakwazi ukwenza i-endoscopy, noma uma i-endoscopy ingaphumelelanga, ukuhlinzwa kungadingeka. Lokhu kuhilela ukwenza i-incision encane esiswini sakho nokufinyelela emgudwini we-pancreatic. Futhi, inqubo ihilela ukwandisa umgudwi othwala ijusi le-pancreatic uye emathunjini amancane.

Ingabe kukhona izinkinga ekwelashweni?

Udokotela wakho uzohlola impilo yakho ngokucophelela ngaphambi kokuncoma ukwelashwa. Ngokuvamile, izinkinga azivamile.

Izinkinga ezingaba khona zingafaka:

• Ukuphinda kwesimo (i-pancreatitis).
• Leyo mbobo encane (i-papilla encane) iyancipha futhi.
• Ukubhoboka noma ukuphuma kwegazi.

Kuyini ukubikezela kokugula komuntu one-Pancreas Divisum?

Umbono wakho muhle kakhulu , ikakhulukazi uma ungenazo izimpawu. I-Pancreas Divisum cishe ngeke ibe nomthelela empilweni yakho.

Abantu abaningi abanezimpawu bangakwazi ukulawula izimpawu zabo ngaphandle kokwelashwa. Uma udinga ukwelashwa, kokubili i-endoscopy kanye nokuhlinzwa kubhekwa njengezinketho eziphephile nezisebenzayo. Zisebenza kahle kakhulu uma unezimpawu ze-pancreatitis ebukhali noma ephindaphindayo. Azisebenzi kahle ekwelapheni i-pancreatitis engamahlalakhona.

Yimiphi imibuzo okufanele ngiyibuze udokotela wami?

Ungabuza imibuzo efana nale:

• Ukuba ne-Pancreas Divisum kuyithinta kanjani impilo yami?
• Angakanani amathuba ami okuthola (i-pancreatitis)?
• Yiziphi izimpawu okufanele ngiziqaphele?
• Ingabe izimpawu zami zibangelwa yi-Pancreas Divisum noma enye inkinga?
• Ingabe ngizodinga ukwelashwa ukulawula izimpawu zami?

Uma uthola ngokuhlolwa ukuthi une-(Pancreas Divisum), ungesabi. Lokhu kuyiphutha elivamile lokuzalwa. Uma ungenazo izimpawu manje, kungenzeka ukuthi ngeke ube nezinkinga esikhathini esizayo.

Okokugcina, izinto okufanele uzikhumbule (Umyalezo Wokuya Ekhaya)

Kulungile, manje usunombono ongcono ngalokho ebesikhuluma ngakho, (Pancreas Divisum). Into ebalulekile ukuthi isikhathi esiningi, lokhu akusikho okufanele ukhathazeke ngakho.

• I-Pancreas Divisum iyisici esincane esizalwa naso esakhiweni se-pancreas.
• Iningi labantu alibi nazo izimpawu.
• Akuvamile ukuthi kube nezimpawu ezifana nokuthi (i-pancreatitis).
• Esikhathini esiningi, lokhu kutholakala ngengozi, ngesikhathi sokuskena okwenziwe ngesinye isizathu.
• Uma kungekho zimpawu, ukwelashwa ngokuvamile akudingeki.
• Uma izimpawu zikhona, zingalawulwa ngokushintsha indlela yokuphila, imithi, noma ngezinye izikhathi ukwelashwa okufana ne-endoscopy.

Uma uthola ukuthi une-(Pancreas Divisum), ungesabi futhi ukhulume nodokotela wakho ngakho. Uzokunikeza lonke ulwazi oludingayo. Khumbula, akuwona wonke umzimba womuntu ofanayo, ngakho udokotela wakho kuphela ongakunikeza iseluleko esingcono kakhulu.

Ukwahlukana Kwe - Pancreas, I-Pancreatitis, I-Pancreatitis, Ubuhlungu besisu, Ukugaya ukudla, Ukukhubazeka kokuzalwa, I-MRCP, I-ERCP