Imizimba yethu iyindalo emangalisayo ngempela, akunjalo? Kodwa ngezinye izikhathi, lapho sizalwa, kungase kube nezinguquko ezincane ezithweni zethu zomzimba. Iningi lalezi azinangozi futhi asazi ngisho ngazo impilo yethu yonke. Esizokhuluma ngazo namuhla yi-'Pancreas Divisum', ushintsho oluncane lwesakhiwo oluhlobene ne-pancreas olukhona kusukela ekuzalweni. Ungesabi uma uzwa leli gama, ake sixoxe ngalo kalula.
Iyini ngempela i-Pancreas Divisum?
Kalula nje, i-'Pancreas Divisum' iyisimo esingavamile sokuzalwa esakhiweni, okungukuthi, ukuma kwe-pancreas yethu. Manje ungase uzibuze ukuthi iyini le-pancreas. Iyisitho esibaluleke kakhulu esitholakala ngaphakathi esiswini sethu, eduze nesisu. Imisebenzi yaso emibili eyinhloko ukukhiqiza ama-enzyme asiza ekugayeni ukudla esikudlayo, nokulawula amazinga kashukela egazini lethu.
Cabanga ukuthi lapho umntwana ekhula esibelethweni sikanina, kunemibhobho emibili eyinhloko lapho kugeleza khona ijusi le-pancreatic. Ngokuvamile, ngaphambi kokuba umntwana azalwe, le mibhobho emibili iyahlangana ukuze yakhe umbhobho owodwa omkhulu, oyinhloko.
Kodwa kumuntu onesifo esithi `Pancreas Divisum`, lawa mapayipi amabili awahlangani. Ahlala ehlukene futhi ezimele.
Lokhu kubangela ukuthi amanzi amaningi okugaya ukudla akhiqizwa yi-pancreas ageleze ngomsele omncane nokuvula kunokuvamile. Esikhathini esiningi, lokhu akubangeli izinkinga . Kodwa-ke, akuvamile kakhulu, kunethuba elincane lokuthi la mapayipi azovaleka futhi abangele ukuvuvukala kwe-pancreas, isimo esibizwa ngokuthi 'i-acute pancreatitis'.
Ingabe lokhu kuyinto edluliselwa ezizukulwaneni ngezizukulwane? Ingabe kufanele sesabe?
Yebo, lesi yisimo sokuzalwa, okusho ukuthi sikhona emzimbeni lapho uzalwa. Ngakho-ke kungase kube nethonya elithile lezakhi zofuzo. Ngokusho kwezilinganiso, cishe u-10% wabantu bonke, noma cishe oyedwa kubantu abayi-10, angaba nalesi simo, `i-Pancreas Divisum`.
Kodwa into ebaluleke kakhulu neduduzayo lapha ukuthi iningi lalaba bantu ngeke liphinde libe nezimpawu kukho konke ukuphila kwabo . Abadingi ukwelashwa noma ukuqwashiswa ngalokhu.
Ingozi engavamile yi-pancreatitis. Yilapho i-pancreas ivuvukala futhi iba buhlungu. Le pancreatitis yinto okudingeka siyiqaphele kancane. Ngoba uma ingelashwa kahle, ingaholela ezimweni ezimbi njengokwehluleka kwezinso. Kodwa ngiyaphinda, lokhu akwenzeki kuwo wonke umuntu one-'Pancreas Divisum'. Lokhu kuyinkinga engavamile kakhulu .
Ziyini izimpawu ze-Pancreas Divisum?
Ake ngiphinde engikushilo ekuqaleni. Abantu abaningi abanazo izimpawu! Ngisho noma unalesi simo, cishe ngeke ukwazi ukuphila kwakho konke lokho. Lokho kuvamile.
Kodwa-ke, esimweni esingavamile kakhulu lapho othile eba nezimpawu, kungaba yilezo ezisetafuleni elingezansi.
| Isibonakaliso |
|---|
| Ubuhlungu besisu, ikakhulukazi esiswini esingaphezulu |
| Isicanucanu |
| Ukuhlanza |
| I-pancreatitis ebukhali ephindaphindayo |
| I-pancreatitis engapheli |
Udokotela ukuthola kanjani lokhu?
Uma unezimpawu ezifana nobuhlungu besisu obuqhubekayo, udokotela wakho angase asole i-Pancreas Divisum futhi ancome ukuhlolwa okuningana ukuqinisekisa ukuxilongwa. Kunezikrini eziningana ezivame ukusetshenziswa kulokhu.
| Igama Lokuhlolwa | Ngamagama alula... |
|---|---|
| I-Magnetic Resonance Cholangiopancreatography (MRCP) | Lesi yi-MRI scan ekhethekile. Sisebenzisa insimu yamagnetic ukuthatha izithombe ezicacile ze-pancreas yakho kanye ne-bile ducts ezizungezile. Akukho ukuchayeka kuma-X-ray. Lena yindlela evame kakhulu futhi engcono kakhulu yokuthola i-Pancreas Divisum. |
| I-Computed Tomography (i-CT scan) | I-CT scan ihlanganisa ama-X-ray kanye nobuchwepheshe bekhompyutha ukuze kuthathwe izithombe zezitho zomzimba ngaphakathi emzimbeni. Inemininingwane eminingi kakhulu kune-X-ray evamile. |
| Isithombe Sokuzwakala Kwe-Magnetic (MRI) | Lokhu futhi kuyindlela yokuhlola esebenzisa insimu yamagnetic. Ungena ngaphakathi komshini ofana nepayipi elikhulu. Usebenzisa izinhlayiya zamanzi emzimbeni ukudala izithombe ezinemininingwane yezitho zomzimba. |
Yiziphi izindlela zokwelapha lokhu?
Nansi into ebaluleke kakhulu: Uma ungenazo izimpawu, i-Pancreas Divisum ayidingi ukwelashwa. Ungamane ungayinaki bese uqhubeka nokuphila kwakho njengokujwayelekile.
Kodwa-ke, uma uqhubeka nokuba nezimpawu ezifana nobuhlungu futhi odokotela bakho beqinisekisa ukuthi imbangela yi-Pancreas Divisum, ungase uthande ukucabangela izinketho zokwelapha.
- Ukwelashwa nge-ERCP: Ukwelashwa okuvamile kakhulu inqubo ebizwa ngokuthi i-Endoscopic Retrograde Cholangiopancreatography (ERCP) . Kulokhu, i-endoscope, ipayipi elincane elinekhamera enamathiselwe, ifakwa ngomlomo, ingene emgudwini oncishisiwe ku-pancreas, bese ukuvulwa komgudwini kukhula kancane (i-sphincterotomy encane ye-papilla). Ngezinye izikhathi ipayipi elincane (i-stent) lingafakwa ukuze kugcinwe umgudwini uvulekile.
- Izingozi: Kodwa-ke, le nqubo ye-ERCP iyingozi kancane. Ngezinye izikhathi ingabangela noma ibhebhethekise i-pancreatitis. Ngakho-ke, odokotela batusa lokhu kwelashwa kuphela ngemva kokucabangisisa kahle futhi uma kudingeka ngempela.
- Okunye ukuhlinzwa: Kwezinye izimo ezinzima, ezinye izinhlobo zokuhlinzwa (isib., inqubo kaPuestow noma kaFrey) zingase zinconywe ukuvula ipayipi le-pancreatic futhi kuvunyelwe uketshezi ukuthi luphume.
Konke lokhu kunqunywa udokotela wakho ngemva kokuhlola ngokucophelela isimo sakho. Ngakho-ke, ungenzi noma yini ozizwa uthanda ukuyenza, khuluma nodokotela wakho njalo ngaphambi kokwenza noma yiziphi izinqumo.
Ungayivimbela kanjani imiphumela yezempilo ye-Pancreas Divisum?
Njengoba lesi kuyisimo sokuzalwa, asikwazi ukuvimbela ukwenzeka kwalesi simo esibizwa ngokuthi 'i-Pancreas Divisum.' Kodwa-ke, indlela engcono kakhulu yokugwema izinkinga ezingabangelwa yiso ukugcina indlela yokuphila enempilo .
Kalula nje, uma ungenazo izimpawu, impilo yakho ngeke ithinteke. Okudingeka ukwenze nje ukuhlala uphilile.
Izinto ongazenza yilezi:
- Yidla ukudla okunempilo.
- Vivinya umzimba njalo.
- Nciphisa noma uyeke ngokuphelele ukuphuza utshwala (njengoba utshwala bukhulisa ingozi ye-pancreatitis).
- Okubaluleke kakhulu, uma uqhubeka nokuzwa noma yiziphi izimpawu esixoxe ngazo ekuqaleni (ubuhlungu besisu, isicanucanu), ungachithi isikhathi bese ubona udokotela.
Thola izivivinyo udokotela wakho aziyalayo bese ulandela ukwelashwa akunikeza khona ngqo. Khumbula, iningi labantu abane-'Pancreas Divisum' baphila impilo enempilo ngaphandle kwezinkinga.
Umlayezo Wokuya Nawe Ekhaya
- I-Pancreas Divisum iyisifo esivamile sokuzalwa kwe-pancreas.
- Iningi labantu abanalesi simo abanazo izimpawu futhi abadingi ukwelashwa.
- Ezimweni ezingavamile, uma kuvela izimpawu ezifana nobuhlungu besisu obuqhubekayo kanye nesicanucanu, funa iseluleko sezokwelapha ngokushesha.
- Lokhu kungatholakala kalula ngokuskena okufana ne-MRCP.
- Ukwelashwa kuyadingeka kuphela kulabo abanezimpawu. Udokotela wakho uzonquma ukuthi yikuphi ukwelashwa okungcono kakhulu kuwe.
- Ukulondoloza indlela yokuphila enempilo kuyindlela engcono kakhulu yokuvimbela noma yiziphi izinkinga ezingase zivele ngenxa yalesi simo.
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