Amapancreas divisum

I-Pancreas divisum ukukhubazeka kokuzalwa lapho izingxenye zamanyikwe zingahlangani ndawonye. Ama-pancreas isitho eside, esiyisicaba esiphakathi kwesisu nomgogodla. Kuyasiza ekugayeni ukudla.

I-Pancreas divisum yisona sifo esivame kakhulu sokuzalwa kwamanyikwe. Ezimweni eziningi, lokhu kukhubazeka kungabonakali futhi kungabangeli zinkinga. Imbangela yale nkinga ayikaziwa.

Njengoba ingane ikhula esibelethweni, izingcezu ezimbili ezihlukene zezicubu ziyahlangana zenze amanyikwe. Ingxenye ngayinye ineshubhu, ebizwa ngomsele. Lapho izingxenye zihlangana ndawonye, ​​kwakheka umgudu wokugcina, obizwa ngokuthi umgudu wepancreatic. Iziphuzo eziwuketshezi nezokugaya ukudla (ama-enzyme) akhiqizwa amanyikwe ngokuvamile zigeleza ngale ndlela.

Ama-pancreas divisum ayenzeka uma amapayipi angajoyini ngenkathi ingane ikhula. Uketshezi oluvela ezingxenyeni ezimbili zamanyikwe ludonsela ezindaweni ezihlukene zengxenye ephezulu yamathumbu amancane (i-duodenum). Lokhu kwenzeka kubantu abangu-5% kuya ku-15%.

Uma umgudu wepancreatic uvinjelwa, ukuvuvukala nokulimala kwezicubu (i-pancreatitis) kungahle kuvele.

Abantu abaningi abanazo izimpawu. Uma une-pancreatitis, izimpawu zifaka:

• Ubuhlungu besisu, imvamisa esiswini esingaphezulu esingazwakala ngemuva
• Ukuvuvukala kwesisu (distension)
• Isicanucanu noma ukuhlanza

Ungaba nokuhlolwa okulandelayo:

• I-ultrasound yesisu
• Iskena se-CT esiswini
• Ukuhlolwa kwegazi kwe-Amylase ne-lipase
• I-Endoscopic retrograde cholangiopancreatography (ERCP)
• Imagnetic resonance cholangiopancreatography (MRCP)
• I-endoscopic ultrasound (EUS)

Izindlela zokwelashwa ezilandelayo zingadingeka uma unezimpawu zalesi simo, noma uma i-pancreatitis iqhubeka ibuya:

• I-ERCP ngokusika ukukhulisa ukuvuleka lapho umsele wepancreatic ugeleza khona
• Ukubekwa kwe-stent ukuvimbela ukuthi umgudu ungavinjelwa

Ungadinga ukuhlinzwa uma lezi zindlela zokwelapha zingasebenzi.

Isikhathi esiningi, umphumela muhle.

Inkinga enkulu ye-pancreas divisum yi-pancreatitis.

Shayela umhlinzeki wakho wezokunakekelwa kwezempilo uma uba nezimpawu zalesi sifo.

Ngoba lesi simo sikhona ngesikhathi sokuzalwa, ayikho indlela eyaziwayo yokusivikela.

I-Pancreatic divisum

• Amapancreas divisum
• Uhlelo lokugaya ukudla
• Izindlala ze-Endocrine
• Amapancreas

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UBarth BA, uHusain SZ. I-anatomy, i-histology, i-embryology kanye nokukhubazeka kokuthuthuka kwamanyikwe. Ku: Feldman M, Friedman LS, Brandt LJ, ama-eds. ISleisenger neFordtran's Gastrointestinal and Liver Disease: IPathophysiology / Diagnosis / Management. Umhlaka 10. IPhiladelphia, PA: Elsevier Saunders; 2016: isahluko 55.

UKumar V, Abbas AK, u-Astre JC. Amapancreas. Ku: Kumar V, Abbas AK, Aster JC, ama-eds. I-Robbins Basic Pathology. Umhlaka 10. IPhiladelphia, PA: Elsevier; 2018: isahluko 17.