Pancreas divisum

Pancreas divisum ke sekoli sa tsoalo moo likarolo tsa manyeme li sa kopaneng. Manyeme ke setho se selelele, se sephara se pakeng tsa mpa le mokokotlo. E thusa tšilong ea lijo.

Pancreas divisum ke phoso e tloaelehileng ka ho fetisisa ea tsoalo ea manyeme. Maemong a mangata, sekoli sena ha se bonahale 'me ha se bake mathata. Ha ho tsejoe sesosa sa phoso eo.

Ha lesea le hlaha ka popelong, likarolo tse peli tse arohaneng tsa lisele lia kopana ho etsa manyeme. Karolo ka 'ngoe e na le phaephe, e bitsoang phala. Ha likarolo li kopana, ho theoa kotopo ea hoqetela, e bitsoang sephahla sa pancreatic. Maro a lero le a silang lijo (enzyme) a hlahisoang ke manyeme hangata a phalla ka har'a kotopo ena.

Pancreas divisum e hlaha haeba methapo e sa kenelle ha lesea le ntse le hola. Maro a tsoang likarolong tse peli tsa manyeme a tšolohela libakeng tse arohaneng tsa karolo e kaholimo ea mala a manyane (duodenum). Sena se etsahala ho 5% ho 15% ea batho.

Haeba pente ea pancreatic e koaloa, ho ruruha le tšenyo ea lisele (pancreatitis) e ka hlaha.

Batho ba bangata ha ba na matšoao. Haeba u na le pancreatitis, matšoao a kenyeletsa:

• Mahlaba a mpeng, hangata ka mpeng e ka utloang mokokotlong
• Ho ruruha ka mpeng (distension)
• Ho nyekeloa kapa ho hlatsa

U kanna oa ba le liteko tse latelang:

• Mpa ea ka mpeng
• Tlhaloso ea mpa ea mpa
• Teko ea mali ea Amylase le lipase
• Endoscopic retrograde cholangiopancreatography (ERCP)
• Magnetic resonance cholangiopancreatography (MRCP)
• Endoscopic ultrasound (EUS)

Litlhare tse latelang li ka hlokahala haeba u na le matšoao a boemo boo, kapa haeba pancreatitis e lula e khutla:

• ERCP ka sehiloeng ho holisa monyako moo pompo ea pancreatic e tsoang
• Ho beoa ha stent ho thibela tsela hore e se ke ea koaloa

U kanna ua hloka ho buuoa haeba liphekolo tsena li sa sebetse.

Boholo ba nako, sephetho se setle.

Bothata bo boholo ba pancreas divisum ke ho fokola ha masapo.

Bitsa mofani oa tlhokomelo ea bophelo haeba u ba le matšoao a lefu lena.

Hobane boemo bona bo teng nakong ea tsoalo, ha ho na mokhoa o tsebahalang oa ho bo thibela.

Pancreatic divisum

• Pancreas divisum
• Tsamaiso ea ho sila lijo
• Litšoelesa tsa endocrine
• Mekhanya

Adams DB, Cote GA. Pancreas divisum le mefuta e meng e fapaneng ea li-anatomy tsa dorsal ductal. Ka: Cameron AM, Cameron JL, bahlophisi. Phekolo ea Hajoale ea Ts'ebetso. 13th ed. Philadelphia, PA: Elsevier; 2020: 515-521.

Barth BA, Husain SZ. Anatomy, histology, embryology le kholo ea kholo ea manyeme. Ka: Feldman M, Friedman LS, Brandt LJ, bahlophisi. Sleisenger le Fordtran's Mafu a ka Mpeng le a Sebete: Pathophysiology / Diagnosis / Management. 10th ed. Philadelphia, PA: Elsevier Saunders; 2016: khaolo ea 55.

Kumar V, Abbas AK, Astre JC. Mekhanya. Ka: Kumar V, Abbas AK, Aster JC, bahlophisi. Robbins Basic Pathology. 10th ed. Philadelphia, PA: Elsevier; 2018: khaolo ea 17.