Ipancreas divisum

I-Pancreas divisum sisiphene sokuzalwa apho iinxalenye zepancreas zingadibani kunye. Ipancreas yindawo ende, ethe tyaba ephakathi kwesisu kunye nomqolo. Inceda ekutyeni ukutya.

I-Pancreas divisum sisiphene sokuzalwa esixhaphakileyo kwiipancreas. Kwiimeko ezininzi, esi siphene asihambi kwaye asibangeli ngxaki. Unobangela wesiphene awaziwa.

Njengokuba umntwana ekhula esibelekweni, iziqwenga ezibini ezahlukileyo zethishu ziyadibana zenze i-pancreas. Icandelo ngalinye linombhobho, obizwa ngokuba ngumbhobho. Xa amalungu ehlangana kunye, kwenziwa umzila wokugqibela, obizwa ngokuba ngumbhobho wepancreatic. Ulwelo kunye neencindi zokwetyisa (ii-enzymes) eziveliswa yipancreas zihlala zihamba ngale ndlela.

I-Pancreas divisum yenzeka ukuba imibhobho ayijoyini ngelixa usana lukhula. Ulwelo oluvela kumacandelo amabini epancreas luye lwaya kwiindawo ezahlukileyo zenxalenye ephezulu yamathumbu amancinci (duodenum). Oku kwenzeka nge-5% ukuya kwi-15% yabantu.

Ukuba i-pancreatic duct iyavalwa, ukudumba kunye nomonakalo wethishu (pancreatitis) inokukhula.

Abantu abaninzi abanazimpawu. Ukuba une-pancreatitis, iimpawu zibandakanya:

• Iintlungu zesisu, ngokufuthi kwisisu esingasentla esingaziva emva
• Ukudumba kwamathumbu (isisu)
• Isihlunu okanye ukugabha

Unokuba nale mvavanyo ilandelayo:

• I-ultrasound yesisu
• Ukuskena kwe-CT esiswini
• Uvavanyo lwegazi lwe-Amylase kunye ne-lipase
• I-Endoscopic retrograde cholangiopancreatography (ERCP)
• Imagnetic resonance cholangiopancreatography (MRCP)
• I-endoscopic ultrasound (i-EUS)

Olu nyango lulandelayo lunokufuneka xa unempawu zeso sifo, okanye ukuba isifo sepancreatitis siqhubeka nokubuyela:

• I-ERCP ngokusika ukwandisa ukwandiswa kokuvula apho i-pancreatic duct drains
• Ukubekwa kwe-stent ukukhusela i-duct ekubeni ivalwe

Ungadinga utyando ukuba ezi zonyango azisebenzi.

Uninzi lwexesha, isiphumo silungile.

Eyona ngxaki iphambili yepancreas divisum yipancreatitis.

Tsalela umnxeba umboneleli wakho ukuba ukhulisa iimpawu zesi sifo.

Ngenxa yokuba le meko ikhona ekuzalweni, akukho ndlela yaziwayo yokuthintela.

Ipancreatic divisum

• Ipancreas divisum
• Inkqubo yokwetyisa
• Amadlala endocrine
• Iipancreas

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IBarth BA, uHusain SZ. I-Anatomy, i-histology, i-embryology kunye nokuchasana nokukhula kwepancreas. Ku: UFeldman M, uFriedman LS, uBrandt LJ, ii-eds. Sleisenger kunye neFordtran's Amathumbu kunye nezifo zesibindi: iPathophysiology / Diagnosis / Management. Ngomhla we-10. IPhiladelphia, PA: Elsevier Saunders; 2016: isahluko 55.

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