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