ʻO pancreas Annular

ʻO ka pancreas annular kahi apo o kaʻiʻo pancreatic e hoʻopuni ana i ka duodenum (ka ʻāpana mua o ka ʻōpū liʻiliʻi). ʻO ke kūlana maʻamau o ka pancreas kahi kokoke, akā ʻaʻole puni i ka duodenum.

ʻO ka pancreas Annular ka pilikia i kēia manawa i ka wā hānau (hemahema congenital). Kū nā ʻōuli ke kaomi a kani ke apo o ka pancreas i ka ʻōpū liʻiliʻi i hiki ʻole i ka meaʻai ke hele maʻalahi a i ʻole.

Loaʻa i nā keiki hānau hou nā ʻōuli o ka paʻa piha o ka ʻōpū. Eia nō naʻe, ʻaʻole i loaʻa i kahi hapalua o ka poʻe me kēia ʻano nā ʻōuli a hiki i ka wā makua. Aia kekahi mau hihia ʻaʻole i ʻike ʻia no ka mea akahai nā ʻōuli.

ʻO nā kūlana i pili pū me nā pancreas annular pū me:

• Down syndrome
• ʻO ka wai amniotic nui i ka wā hāpai (polyhydramnios)
• Nā pilikia gastrointestinal ʻōnaehana ʻē aʻe
• ʻO Pancreatitis

ʻAʻole hānai maikaʻi nā keiki hānau hou. E kuha paha lākou i nā mea ʻoi aku ma mua o ka maʻamau, ʻaʻole inu i ka waiū umauma a i ʻole ka haʻihaʻi, a uē.

Pākuʻi ʻia paha nā ʻōuli o nā mākua:

• Hoʻopiha ma hope o ka ʻai ʻana
• Nausea a i ʻole ka luaʻi

Loaʻa i nā hoʻāʻo:

• ʻO ke ultrasound ʻōpū
• Hihi x ʻōpū
• CT scan
• ʻO GI luna a me nā pūʻali ʻōpū liʻiliʻi

Hoʻopili pinepine ka mālama ʻana i ke ʻoki e kāpae i ka ʻāpana o ka duodenum.

ʻO ka hopena pinepine maikaʻi loa me ke kahakaha. ʻO nā mākua me ka pancreas annular i ka nui o ka makaʻu no ka maʻi pancreatic a i ʻole biliary tract cancer.

Komo pū nā pilikia:

• Jaundice ālai
• Maʻi ʻaʻai Pancreatic
• Pancreatitis (li nui o ka pancreas)
• Ulcer peptic
• Perforation (haehae i kahi puka) o ka ʻōpū ma muli o ka ālai
• Peritonitis

Kāhea i kāu kahu mālama ola inā ʻoe a ʻo kāu keiki paha kekahi mau ʻōuli o ka pancreas annular.

• ʻŌnaehana Digestive
• Nānā Endocrine
• ʻO pancreas Annular

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.

Maqbool A, Bales C, Liacouras CA. Intestinal atresia, stenosis, a me malrotation. I: Kliegman RM, St. Geme JW, Blum NJ, Shah SS, Tasker RC, Wilson KM, eds. ʻO Puka Textbook of Pediatrics ʻo Nelson. 21st ed. Piladelapia, PA: Elsevier; 2020: chap 356.

Semrin MG, Russo MA. ʻO Anatomy, histology, a me nā anomalies ulu o ka ʻōpū a me ka duodenum. 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 48.