Common Bile imbobo - kuyini? izici bokuphila nezinqubo sokugembula

Noma ubani uyazi lapho isibindi, ngendima yakhe ku physiology a eziphilayo. Pho uphi choledoch ukuthi ke? Kuyinto akubona bonke uyazi. Uphiko izinhlaka ukugaya iyona gallbladder. I encane ingxenye (intamo) uguqulwe uvule imbobo fibrosis futhi okuhlanganisiwe ne isibindi. Amapayipi Kwakheka choledochus ezivamile Bile imbobo, noma ukukhuluma nje, choledoch.

Lolo hide luqala ngo kanye emaphethelweni elingaphandle kwesibindi, phakathi amashidi ku peritoneal umsipha hepatoduodenal, ocwilayo phansi phakathi ikhanda kwamanyikwe kanye duodenum (12PK). Khona-ke elisukela ohlangothini engaphakathi, ngokusebenzisa ezingemuva odongeni 12PK futhi batheleka inesikhala ku papilla ka Vater.

Amapharamitha bokuphila begodu nesakhiwo ezivamile Bile imbobo

amazinga athile babe bokuphila choledoch. Kuyinsakavukela imelelwa izinkomba ezilandelayo: ubude kufanele kube 2-12 cm waphawula ukwencika izici confluence uvule imbobo fibrosis .. Uma imbobo hepatic yinde, kuyoba choledoch emifushane. Kusho ukuthini? Kuphela yokuthi ubude ukugeleza ngabanye. I ububanzi kuyahlukahluka kusuka enkulu ukuya sibalo ezincane ngokuhamba ukuphindaphinda. Ekuqaleni nguye 5-8 mm. Khona-ke kukhona ushintsho mafutha anciphisa isikhala esingaphakathi, futhi ukungena imbobo amathumbu unciphise ukuba 3mm. Udonga ukushuba 0.5 1.5 mm. Ezimweni sokugembula ngenxa ekwandeni ezicutshini choledoch kungase ukushwaqa kuze kufinyelele 3-4 mm.

Ubude Bile imbobo siqukethe 4 izigaba.

1. Supraduodenal. Ubude -. Undlulisa 4 cm kanye onqenqemeni elingaphandle hepatic-duodenal umsipha ingxenye imbobo fibrosis eliphezulu onqenqemeni 12PK.
2. Retroduodenalny. Ubude -. Undlulisa 1-2 cm for 12PK retroperitoneal ize ithinte kwamanyikwe.
3. Pancreatic. Ubude -. 3 cm nabo ikhanda kwamanyikwe futhi lizungezwe ke.
4. Intraduodenally. Ubude -. 12 cm Akhiwe 12PK udonga.

izinguquko sokugembula

Kunezindlela eziningana zezinguquko sokugembula enibaziyo nobabili Bile imbobo. Omunye wabo dilatation we ezivamile Bile imbobo. Ukuvuleka komlomo Latin dilatation - ukunwetshwa mafutha anciphisa isikhala esingaphakathi we imbobo. Kuyinto ngenxa umkhawulo mechanical ingxenye ezansi isitho.

Ubangela Ukuvuleka komlomo:

1. kombungu esizalweni futhi atholwe (hypoplasia, izinhlumba).
2. Benign gallbladder isifo (cholelithiasis, strictures of Bile Amapayipi).
3. izinqubo okuvuthayo (cholecystitis, cholangitis, pancreatitis).

Kukhona imibuzo eminingi esisemthethweni. Njengoba lokhu kuhluka choledoch? Lokho kungase kwakuhilelani? Ezimweni ezinjalo inikezwa inamba ka zokwelapha ukuze kutholakale imbangela yokushona ushintsho inesikhala bese ukhetha indlela okunye ukwelashwa.

izindlela inhlolovo

Indlela ejwayeleke kakhulu futhi onokwethenjelwa Ukuhlola isibindi iyona SPL. amadivaysi Modern uvumele ultrasound uthole isithombe esicacile sezimpawu Amapayipi hepatic. Ngeshwa, ubukhulu elincane calculi kule jikelele imbobo ultrasound ngokuvamile azikwazi ibukeke. Ezimweni ezinjalo kubalulekile asebenzise ezinye izindlela ukuxilongwa, ukuhlola wonke choledoch. Yiziphi lezi zindlela?

1. Bona umahluko okhona -X-ray luhlolo.
2. Izindlela staining oqondile (ipayipi duodenoscopy, wokubhoboza we ezivamile Bile imbobo by ultrasound).

Lezi zindlela enze kube nokwenzeka ukuba kutholakale imbangela okuvame imbobo isimiso ngokunembe kakhudlwana futhi kanzima ukuze afinyelele izindawo.

Kufanele kuqashelwe ukubaluleka jikelele kanye kwamakhemikhali kwegazi. Lezi ucwaningo lusikisela khona izinqubo ukuvuvukala.

Izimbangela zezifo we gallbladder futhi ezivamile Bile imbobo

Ushintsho E-ezivamile Bile imbobo ukubonisa ukuba khona izinqubo sokugembula esibindini futhi gallbladder. Kusukela lapho kuphakama isifo sesibindi? Imbangela njalo indlela yokuphila kanye nokudla, ukusetshenziswa njalo utshwala, ukubhema. Uthanda okunamafutha, ukudla okuthosiwe, kakhulu, kudlala indima, kanye engalawuliwe, ukusetshenziswa engenabulungisa nemithi. Ngezinye izikhathi izinkinga ngenxa izici esingokwemvelo yomuntu. Ngokuhamba kwesikhathi lokhu kuholela ukuvuvukala, ukwakheka amatshe. Ukuvaleka iqala futhi ukunwetshwa ezivamile Bile imbobo. Uma izinqubo sokugembula kukhona asymptomatic, isimo sibe sibi futhi kuholela emiphumeleni emibi kakhulu, kuze kube necrosis pancreatic.

zokwelapha

Ukwelashwa kufanele kube olunzulu. Uma imbangela eyinhloko khona ezivamile Bile imbobo amatshe, focus ukwelashwa ngokuvamile ihilela ukuhlinzwa. Amathuba wokuphila emkhakheni wamuva wezokwelapha enze kube nokwenzeka ukuba usebenzise izindlela ukuvuselelwa ezivamile umonakalo Bile imbobo, ukuhlinzwa kancane esibuhlungu.

Lapho izifo yisinanakazana futhi ukuvuvukala yokwelapha ngemithi elwa namagciwane kanye intubation duodenal, okuhloswe ngaso ukukhululwa kwe-common Bile imbobo ngu yokujama tsi. Indlela ephumelela kunazo kuyinto zokuvimbela. Ukudla okunempilo, umsebenzi ngokomzimba, nokuhlolwa odokotela ezinengqondo esifike ngesikhathi zokuvimbela ukusiza iminyaka eminingi ukuze ngizigcine ngiwumqemane.