ʻO Pancreas divisum

ʻO Pancreas divisum kahi kīnā hānau kahi o nā ʻāpana o ka pancreas i hui ʻole ʻole ʻia. ʻO ka pancreas kahi lālā lōʻihi, pālahalaha aia ma waena o ka ʻōpū a me ka iwi kuamoʻo. Kōkua ia i ka meaʻai digestion.

ʻO Pancreas divisum ka maʻi hānau maʻamau o ka pancreas. I nā manawa he nui, hele hewa ʻole kēia hemahema a ʻaʻole pilikia. ʻAʻole ʻike ʻia ke kumu o ka hemahema.

Ke ulu nei kahi pēpē i loko o ka ʻōpū, ʻelua ʻāpana ʻokoʻa o nā kiko i hui pū e hana i ka pancreas. Loaʻa i kēlā me kēia ʻāpana kahi paipu, i kapa ʻia he duct. Ke hui pū nā ʻāpana, hana ʻia kahi kaula hope loa, i kapa ʻia ka muliwai pancreatic. ʻO nā wai inu a me nā digestive (nā enzyme) i hana ʻia e ka pancreas e kahe maʻamau ma o kēia kahe.

Hana ʻia ʻo Pancreas divisum inā ʻaʻole pili nā duct i ka ulu ʻana o ka pēpē. Fluid mai nā ʻāpana ʻelua o ka pancreas kahe i nā ʻāpana ʻokoʻa o ka ʻāpana kiʻekiʻe o ka ʻōpū liʻiliʻi (duodenum). Hana ʻia kēia ma 5% a 15% o ka poʻe.

Inā kūpaka kahi aʻa pancreatic, ulu paha ka pehu a me nā ʻino (pancreatitis).

ʻAʻole nui nā kānaka i kekahi mau ʻōuli. Inā loaʻa iā ʻoe ka pancreatitis, hoʻopili ʻia nā ʻōuli me:

• ʻO ka ʻeha o ka ʻōpū, pinepine i ka ʻōpū o luna e ʻike ʻia ma ka hope
• Pahu ʻōpū (distention)
• Nausea a i ʻole ka luaʻi

Loaʻa paha iā ʻoe nā hōʻike aʻe:

• ʻO ke ultrasound ʻōpū
• Scanner CT ʻōpū
• Hōʻike koko Amylase a me lipase
• Endoscopic retrograde cholangiopancreatography (ERCP)
• Mākēneki resonance cholangiopancreatography (MRCP)
• Endoscopic ultrasound (EUS)

Pono paha nā mālama aʻe inā ʻoe he mau ʻōuli o ke ʻano, a i ʻole inā hoʻi mau ka pancreatitis:

• ERCP me kahi ʻoki e hoʻonui i ka puka ma kahi e kahe ai ke kahe pancreatic
• Ke kau ʻana i kahi stent e pale ai i ke duct mai ka pale ʻia ʻana

Pono ʻoe i ke ʻoki inā ʻaʻole holo pono kēia mau ʻano hana.

ʻO ka hapanui o ka manawa, maikaʻi ka hopena.

ʻO ka pilikia nui o ka pancreas divisum ka pancreatitis.

Kāhea i kāu lawelawe mālama ola inā hoʻomohala ʻoe i nā ʻōuli o kēia maʻi.

Ma muli o kēia ʻano i ka wā hānau, ʻaʻohe ala i ʻike ʻia e pale aku ai.

Divisum Pancreatic

• ʻO Pancreas divisum
• ʻŌnaehana Digestive
• Nānā Endocrine
• ʻO Pancreas

Adams DB, Cote GA. ʻO Pancreas divisum a me nā ʻano ʻē aʻe o ka anatomy ductal ductal dactal distral. I: Cameron AM, Cameron JL, eds. ʻO ke kaʻoki lāʻau lapaʻau o kēia manawa. 13th ed. Piladelapia, PA: Elsevier; 2020: 515-521.

ʻO Barth BA, Husain SZ. ʻO Anatomy, histology, embryology a me nā anomalies hoʻomohala o ka pancreas. I: Feldman M, Friedman LS, Brandt LJ, eds. ʻO Sleisenger a me Fordtran's Gastrointestinal a me ka maʻi Liver: Pathophysiology / Diagnosis / Management. 10 o ka lā. Piladelapia, PA: Elsevier Saunders; 2016: chap 55.

Kumar V, Abbas AK, Astre JC. ʻO Pancreas. I: Kumar V, Abbas AK, Aster JC, eds. ʻO Robbins Basic Pathology. 10 o ka lā. Piladelapia, PA: Elsevier; 2018: chap 17.