Zizindikiro Courvoisier maonekedwe ndi thandizo

Dongosolo m'mimba imagwira ntchito yofunika - amatipatsa ntchito kwambiri. Mabungwe m'mimba dongosolo kophweka poyerekeza ndi ena, koma kwambiri Kuvuta ndi kupereka ntchito zawo zonse. Pali zambiri akadali bwino kuphunzira pathologies ziwalo za kachitidwe. Mmodzi wa kuvutika awa ndi nthenda yotchedwa "chizindikiro Courvoisier".

ndi chizindikiro Courvoisier chiyani?

Chizindikiro chimenechi, akatswiri ambiri zingadziŵike popanda vuto, chifukwa mawonetseredwe matenda sangakhoze kusokonezedwa ndi chilichonse. matenda yodziwika ndi kukula chikhodzodzo ndulu. Chinthu chodabwitsa kwambiri n'chakuti sabweretsa chisoni ndi chachikulu kukhudza. Komanso chizindikiro motsatana ndi matenda a chikasu ndiyo. Nthawi zambiri, anthu chabe samapereka tcheru kuti ali ndi kum'chitira zachikasu khungu ndi kuwonjezeka mu thupi mkati. Ife anazolowera chakuti ngati zilibe kupweteka, ndiye musati mudandaule. Koma kuoneka chizindikiro zimenezi kwambiri kudziŵitsa.

Zimayambitsa matenda

Zizindikiro Courvosier akuwonetseredwa chifukwa blockage wa waukulu ya ndulu ritsa zotupa pafupi lalikulu mmatumbo papilla (papilla wa Vater), kapena chotupa cha kapamba mutu. Nthawi zambiri chotupa ndi zilonda. Kuchokera pamenepa tinganene kuti chizindikiro Courvoisier - ichi ndi chifukwa cha matenda makamaka anthu. Izi boma la thupi si mmene kwa matenda monga choledocholithiasis.

Chifukwa ndulu si kutambasula?

Kuwonjezeka mu ndulu ndi matenda a chikasu ndiyo chifukwa cha zosayenera kugwira ntchito kwa thupi poyamba. Pamene chizindikiro Courvoisier-Terje, chifukwa cha izi silingakhoze kokha kukhala chotupa zilonda (ngakhale izo zimachitika nthawi zambiri). Pangakhale gallstones. Monga panthawi ino iye amakhala akapolo yekha. Chavuta, chifukwa thupi ili si anatambasula, kulola ya ndulu kupita, ndipo monga plugged? Apa limagwirira ndi motere: kwambiri ndulu amakhala "m'munsi" chifukwa pakutchulidwa miyala, imodzi ndi mapangidwe zinthu tizilombo, amadwala cholecystitis aakulu. Izi zinagwira zimakhala chikhodzodzo fibrosis ndipo amamuyambitsa timabala kutsogolera chakuti amakhala okhwima, inextensible. Pachifukwa ichi, pa chosokoneza pang'ono - chotupa kapena mwala - ndulu ali oletsedwa, ndipo sangathe kupitiriza ntchito kwathunthu.

Kodi wina angathe ayende chizindikiro ichi?

Main makhalidwe a moyo wa munthu, pamene iye Courvosier akuwonetseredwa chizindikiro tafotokozazi. Koma pali deta pa madandaulo a anthu odwala inati ena matenda. odwala ambiri amanena kuti nthawi zambiri kuyabwa, nthawizina pali kumverera kwa kulemera mu epigastric ndi ufulu nusu chapamwamba. Komanso, odwala ena kuti pali zinthu monga kufooka ndi mdima mkodzo. Zonsezi chifukwa akuthamanga njira kuledzera chifukwa ndimeyi chatsekedwa wa ya ndulu.

Yonseyi onse limati izi mu chizindikiro limodzi, katswiri ayenera kuchita mayesero ambiri matenda ndi mayesero pamaso pa zizindikiro zina. Izi ndi zofunika kwambiri, monga izi kudzadalira mankhwala zina la munthu. Anapanga mayesero kudziwa masiku ano zizindikiro: Ortner, ndi St George-Musso, Murphy. Ngati, pambuyo kusanthula zotsatira za ntchito yawo ndi zoipa, ndi funso la chodabwitsa monga chizindikiro Courvoisier.

Pa chitsimikiziro cha kudwala angathe kuchitidwa kukhwimitsa kukonza holetsistoektomiya, transduodenalnym papillosphincterotomy kapena choledochotomy.