Pancreas divisum

Pancreas divisum ndi vuto lobadwa nalo lomwe magawo ake amaphatikizana. Mphunoyi ndi chiwalo chachitali, chofewa chomwe chili pakati pamimba ndi msana. Amathandiza mu chakudya chimbudzi.

Pancreas divisum ndi vuto lobadwa kwambiri la kapamba. Nthawi zambiri, vuto ili limadziwika ndipo silimabweretsa mavuto. Zomwe zimayambitsa vutoli sizikudziwika.

Mwana akamakula m'mimba, timagulu tiwiri tating'onoting'ono timalumikizana ndikupanga kapamba. Gawo lirilonse liri ndi chubu, chotchedwa ngalande. Ziwalozo zikalumikizana, kotchira komaliza kotchedwa pancreatic ruct, kumapangidwa. Timadzimadzi timadzimadzi timadzimadzi timene timapangidwa ndi kapamba nthawi zambiri timadutsa munjira imeneyi.

Pancreas divisum imachitika ngati ducts sizilumikizana pomwe mwana amakula. Zamadzimadzi zochokera mbali ziwiri za kapamba zimatulukira m'malo osiyana ak kumtunda kwamatumbo ang'ono (duodenum). Izi zimachitika mwa 5% mpaka 15% ya anthu.

Ngati chotupa cha pancreatic chimatsekedwa, kutupa ndi kuwonongeka kwa minofu (kapamba) kumatha.

Anthu ambiri alibe zizindikiro zilizonse. Ngati muli ndi kapamba, zizindikiro zimaphatikizapo:

• Kupweteka m'mimba, nthawi zambiri pamimba pamimba komwe kumamveka kumbuyo
• Kutupa m'mimba (kutalika)
• Nseru kapena kusanza

Mutha kukhala ndi mayeso otsatirawa:

• M'mimba ultrasound
• M'mimba mwa CT scan
• Kuyesa magazi kwa Amylase ndi lipase
• Endoscopic retrograde cholangiopancreatography (ERCP)
• Magnetic resonance cholangiopancreatography (MRCP)
• Endoscopic ultrasound (EUS)

Mankhwalawa angafunike ngati muli ndi zizindikilo za matendawa, kapena ngati kapamba akupitilizabe kubwerera:

• ERCP yokhala ndi mdulidwe wokulitsa kutsegulira komwe phula la pancreatic limatuluka
• Kukhazikitsidwa kwa stent kuteteza kuti njirayo isatsekedwe

Mungafunike kuchitidwa opaleshoni ngati mankhwalawa sakugwira ntchito.

Nthawi zambiri, zotsatira zake zimakhala zabwino.

Vuto lalikulu la kapamba divisum ndi kapamba.

Itanani omwe akukuthandizani mukakhala ndi zodwala.

Chifukwa vutoli limakhalapo pobadwa, palibe njira yodziwira kuti lingapezeke.

Pancreatic divisum

• Pancreas divisum
• Dongosolo m'mimba
• Matenda a Endocrine
• Miphalaphala

Adams DB, Cote GA. Pancreas divisum ndi mitundu ina yayikulu yamatenda am'mbali. Mu: Cameron AM, Cameron JL, olemba., Eds. Chithandizo Chamakono Cha Opaleshoni. Wolemba 13. Philadelphia, PA: Elsevier; 2020: 515-521.

Barth BA, Husain SZ. Anatomy, histology, embryology ndi zolakwika pakukula kwa kapamba. Mu: Feldman M, Friedman LS, Brandt LJ, olemba. Sleisenger ndi Fordtran's Mimba ndi Matenda a Chiwindi: Pathophysiology / Diagnosis / Management. 10th ed. Philadelphia, PA: Elsevier Saunders; 2016: chap 55.

Kumar V, Abbas AK, Astre JC. Miphalaphala. Mu: Kumar V, Abbas AK, Aster JC, olemba, eds. Matenda Akuluakulu a Robbins. 10th ed. Philadelphia, PA: Elsevier; 2018: mutu 17.