Common ya ndulu ritsa - ndichiyani? makhalidwe thupi ndi njira pathological

Aliyense kudziwa kumene chiwindi, za udindo wake mu Maphunziro Akakhalidwe Kazolengedwa wa zamoyo. Koma kodi choledoch kuti izo? Ndi si aliyense amadziwa. Wocheperapo ziwalo chimbudzi ndi ndulu. The narrowest gawo (khosi) adziwonetsa ndi ritsa enaake ndi merges ndi chiwindi. Anapanga ducts choledochus wamba ya ndulu ritsa, kapena kungofuula, choledoch.

Munthu wotere pamodzi m'mphepete kunja kwa chiwindi, pakati pa mapepala mu peritoneal mitsempha hepatoduodenal, likumira pansi pakati pa mutu wa kapamba ndi duodenum (12PK). Ndiye chochokera mbali mkati, mwa kumbuyo khoma 12PK nawatsanulira mu lumen mu papilla wa Vater.

magawo thupi ndi kapangidwe ka wamba ya ndulu ritsa

Ena mfundo ndi thupi ndi choledoch. mwakale ukufanizidwa ndi zizindikiro zotsatirazi: kutalika ayenera 2-12 masentimita anati kudalira za makhalidwe a confluence wa ritsa enaake .. Ngati kwa chiwindi ritsa lengthened, zidzakhala wamfupi choledoch. Kodi zikutanthauza chiyani? Only chakuti kutalika kwa otaya payekha. awiri The zimasiyanasiyana wina waukulu ku chithunzi ang'onoang'ono m'kupita kwa kubwerezabwereza. Pachiyambi iye ndi 5-8 mm. Ndiye pali kusintha lumen, ndi kulowa mu intestine ritsa itsekeke pang'ono kuti 3mm. Khoma makulidwe a mamilimita 0.5 kuti 1.5. Mu zikhalidwe pathological chifukwa cha kuchuluka kwa minofu connective choledoch mwina thicken kwa 3-4 mm.

Total ya ndulu ritsa tichipeza zigawo 4.

1. Supraduodenal. Utali -. Wapambana cm 4 pamodzi m'mphepete lakunja la kwa chiwindi-mmatumbo mitsempha gawo la ritsa enaake kuti chapamwamba m'mphepete 12PK.
2. Retroduodenalny. Utali -. Wapambana masentimita 1-2 kwa 12PK retroperitoneal mpaka limachitira kapamba.
3. Pancreatic. Utali -. 3 cm pokhudzana ndi mutu wa kapamba ndipo paliponse.
4. Intraduodenally. M'litali -. Masentimita 12 ili la mpanda 12PK.

kusintha pathological

Pali zinthu zingapo zimene zasintha pathological ofanana ya ndulu ritsa. Mmodzi wa iwo ndi dilatation a wamba ya ndulu ritsa. Dilation wa Latin dilatation - yowonjezera lumen wa ritsa lapansi. Ndi chifukwa chowaletsa makina a gawo pambuyo pake wa limba.

Amachititsa dilation:

1. Kobadwa nako ndipo anaphunziranso malformations (hypoplasia, cysts).
2. Chosaopsa ndulu matenda (cholelithiasis, strictures wa ducts ya ndulu).
3. njira yotupa (cholecystitis, cholangitis, kapamba).

Pali mafunso angapo yovomerezeka. Pamene ichi zimasiyanasiyana choledoch? Kuti mwina zikuphatikizapo chiyani? Zikatero anatumizidwa angapo mayesero kuchipatala kudziwa chifukwa cha kusintha lumen ndi kusankha njira chithandizo zina.

njira kafukufuku

The njira ambiri ndi odalirika Kupenda chiwindi ndi SPL. zipangizo zamakono kulola ultrasound kuti chithunzi chooneka bwino cha ducts kwa chiwindi. Mwatsoka, kukula ka calculi mu ambiri ritsa ultrasound zambiri sangathe visualized. Zikatero m'pofunika kugwiritsa ntchito njira zina za matenda, kufufuza choledoch lonse. njira zimenezi?

1. Siyanitsani X-ray bwino.
2. Njira kudetsa mwachindunji (duodenoscopy catheter, puncture a wamba ya ndulu ritsa ndi ultrasound).

Njirazi n'zotheka kukhazikitsa chifukwa cha wamba ritsa kutsekeka molondola kwambiri ndipo mwakhama kufika malo.

Tisaiwale kufunika mayesero ambiri ndi amuzolengedwa magazi. Maphunziro awa akusonyeza pamaso pa njira yotupa.

Zimayambitsa matenda a ndulu ndi wamba ya ndulu ritsa

Kusintha wamba ya ndulu ritsa zimasonyeza kuti kuli njira pathological mu chiwindi ndi ndulu. Kumene uka chiwindi matenda? Muzu ndi zonse moyo ndi zakudya, kawirikawiri mowa, kusuta fodya. Chikondi kwa mafuta, yokazinga zakudya, nayenso, n'chofunikira, komanso kusalankhula, popanda kugwiritsa ntchito mankhwala. Nthawi zina mavuto ena chifukwa chakuti makhalidwe titadziwa wa munthu. Posakhalitsa kapena kenako umenewu umatipatsa kutupa, mapangidwe miyala. Blockage akuyamba ndi kukula kwa wamba ya ndulu ritsa. Ngati njira pathological ndi asymptomatic, zinthu zikuchitika ndipo kumayambitsa mavuto aakulu, mpaka necrosis pancreatic.

zochiritsira

Chithandizo akhale mabuku. Ngati muzu uli pamaso pa wamba ya ndulu ritsa miyala, mankhwala cholinga zimadza pansi opaleshoni. The mwayi wa mankhwala amakono n'zotheka kuti ntchito njira yomanga wamba ya ndulu ritsa kuwonongeka, kupatula zoopsa opaleshoni.

Pamene matenda parasitic ndi yotupa ndi mankhwala ndi mankhwala ndi mmatumbo intubation, umalimbana amasulidwe wamba ya ndulu ritsa ndi stagnation. The njira yabwino kwambiri ndi kupewa. kudya wathanzi, masewera olimbitsa thupi ndi wololera, panthawi yake mayeso podziteteza kuthandiza kwa zaka zambiri kusunga zoyenera.