Pancreas divisum

Pancreas divisum kuremara kwekuzvarwa uko zvikamu zvepancreas zvisingabatana pamwechete. Iyo pancreas inhengo refu, yakati sandara iri pakati pemudumbu nemuzongoza. Inobatsira mukudya kugaya.

Pancreas divisum ndiyo yakajairika kuberekwa kuremara kwepancreas. Muzviitiko zvakawanda, hurema uhwu hunoenda husingaonekwe uye hunokonzeresa matambudziko. Chikonzero chekuremara hachizivikanwe.

Sezvo mwana anokura mudumbu, zvidimbu zviviri zvakasiyana zenyama zvinobatana kuita pancreas. Chikamu chimwe nechimwe chine chubhu, inonzi dhayeti. Kana zvikamu zvacho zvabatana, duct yekupedzisira, inonzi pancreatic duct, inoumbwa. Mvura inoyerera uye yekugaya (ma enzymes) anogadzirwa nepancreas anowanzoyerera nenzira iyi.

Pancreas divisum inoitika kana ducts ikasabatana apo mwana anokura. Mvura inoyerera ichibva muzvikamu zviviri zvepancreas inoyerera ichienda munzvimbo dzakasiyana dzechikamu chepamusoro chemuura mudiki (duodenum). Izvi zvinoitika mu5% kusvika pa15% yevanhu.

Kana iyo pancreatic duct ikavharwa, kuzvimba uye kukuvara kwemashuga (pancreatitis) kunogona kukura.

Vanhu vazhinji havana chero zviratidzo. Kana iwe uine pancreatitis, zviratidzo zvinosanganisira:

• Kurwadziwa mumimba, kazhinji mudumbu repamusoro kunogona kunzwika kumashure
• Abdominal kuzvimba (distension)
• Kusvotwa kana kurutsa

Unogona kuve nemiedzo inotevera:

• Abdominal ultrasound
• Abdominal CT scan
• Amylase uye lipase ropa bvunzo
• Endoscopic kudzokorora cholangiopancreatography (ERCP)
• Magnetic resonance cholangiopancreatography (MRCP)
• Endoscopic ultrasound (EUS)

Iyi yekurapa inotevera inogona kudikanwa kana iwe uine zviratidzo zvechiitiko, kana kana pancreatitis ichiramba ichidzoka:

• ERCP ine akacheka kuti awedzere iyo yekuvhurika iyo iyo pancreatic duct inodonha
• Kuiswa kweiyo stent kudzivirira iyo nzira kubva pakuvharika

Unogona kuda kuvhiyiwa kana mishonga iyi isinga shande.

Kazhinji yenguva, mhedzisiro yakanaka.

Iko kunetseka kukuru kwepancreas divisum ipascreatitis.

Fonera wako mupi wezvehutano kana iwe ukaita zviratidzo zvechirwere ichi.

Nekuti iyi mamiriro aripo pakuzvarwa, hapana nzira inozivikanwa yekudzivirira.

Pancreatic divisum

• Pancreas divisum
• Kugaya chirongwa
• Endocrine masero
• Pancreas

Adams DB, Cote GA. Pancreas divisum uye zvimwe zvakasiyana zveakanyanya dorsal duct anatomy. Mune: Cameron AM, Cameron JL, eds. Parizvino Kuvhiya Therapy. 13 ed. Philadelphia, PA: Elsevier; 2020: 515-521.

Barth BA, Husain SZ. Anatomy, histology, embryology uye kusimudzira anomalies epancreas. Muna: Feldman M, Friedman LS, Brandt LJ, eds. Sleisenger uye Fordtran's Gastrointestinal uye Chirwere Chirwere: Pathophysiology / Diagnosis / Management. 10th ed. Philadelphia, PA: Elsevier Saunders; 2016: chits. 55.

Kumar V, Abbas AK, Astre JC. Pancreas. Mune: Kumar V, Abbas AK, Aster JC, eds. Robbins Basic Pathology. 10th ed. Philadelphia, PA: Elsevier; 2018: chits. 17.