Uphawu Courvoisier: ukubonakaliswa nosizo

Isimiso sokugaya ukudla bungene wenza umsebenzi obalulekile - kusinikeza msebenzi obalulekile. Ama-ejensi wokugaya ukudla uhlelo lula ukufunda njengoba kuqhathaniswa nezinye, kodwa yinkimbinkimbi eliphezulu kakhulu ukunikeza ukusebenza yabo ngokugcwele. Kukhona okuningi ayikaqondwa wafunda pathologies kwezitho zomzimba kohlelo. Enye yalezi kwezinso iyisifo ngokuthi "uphawu Courvoisier".

Uyini uphawu Courvoisier?

Lokhu uphawu, ochwepheshe abaningi kungaba azimisele ngaphandle kobunzima, ngoba ukubonakaliswa emitholampilo awukwazi kudidaniswe lutho. Lesi sifo libhekene i lakhulisiwe nenyongo sesinye. Into eyangimangaza kunazo zonke ukuthi kuba kobuhlungu futhi okukhulu uma uyithinta. Futhi uphawu esihambisana nalo jaundice. Isikhathi esining impela, abantu bamane nje unake has tinge ophuzi isikhumba nokwanda emzimbeni yangaphakathi. Thina zijwayele yokuthi uma lokho akusho ubuhlungu ke ungakhathazeki. Kodwa ukuvela kwalesi uphawu angase abe okuningi ukwazisa.

Izimbangela isifo

Uphawu Courvosier wabonakaliswa ngenxa ukuvaleka main Bile imbobo izimila eduze papilla ezinkulu duodenal (papilla ka Vater), noma isimila ikhanda amanyikwe. Ngokuvamile le Ithumba ebulalayo. Kulokhu singaphetha ngokuthi uphawu Courvoisier - lena kuphela ngenxa isifo oyinhloko abantu. Lokhu isimo umzimba akuyona ejwayelekile lesi sifo njengoba choledocholithiasis.

Kungani nenyongo sesinye akusho yokwelula?

Ukwanda gallbladder kanye jaundice kubangelwa ukusebenza engafanele umzimba ekuqaleni. Lapho uphawu Courvoisier-Terje, isizathu salokhu abakwazi kuphela isimila esibulalayo (nakuba kwenzeka ezimweni eziningi). Kungase kube amatshe atholakala enyongweni. Vele okwamanje useba kalowo yena. Yin'indaba, kungani lokhu umzimba akuyona welulela, okuvumela Bile ukuhamba, futhi nje ixhunyiwe? Lapha lo mshini kanje: kakhulu nenyongo sesinye iba "isizinda" ngoba okuvela kuyo amatshe, kanyekanye lapho kumiswa izakhi pathogenic, ehlupheka kusukela cholecystitis okungamahlalakhona. Lokhu kuphakamisa kwezicubu esinyeni cystic kanye nezibazi phambili yokuthi kuba eqinile inextensible. Ngenxa yalesi sizathu, ngesikhathi ukuphazamiseka kancane - isimila noma itshe - gallbladder ivinjelwe, futhi akakwazi ukuqhubeka isebenze ngokugcwele.

Yini enye ezihambisana lokhu uphawu?

Izici Main yokuphila kwabantu, lapho Courvosier wabonakaliswa uphawu kuchaziwe ngenhla. Kodwa kukhona idatha emayelana nezikhalazo iziguli eziningana kwamanye amazwe isifo. Iziguli eziningi babika ukuthi ngokuvamile silume, ngezinye izikhathi kukhona umuzwa wobukhulu ku epigastric nesokudla quadrant engenhla. Ngaphezu kwalokho, ezinye iziguli ukuthi kukhona izimo ezifana ngobuthakathaka umchamo onombala. Konke lokhu kungenxa ezisebenzayo lokudakwa ngenxa indinyana avaliwe Bile.

Ukuhlanganisa zonke lezi uthi ibe uphawu olulodwa, onguchwepheshe kufanele wenze ukuhlolwa emitholampilo kakhudlwana futhi ukuhlolwa khona nezinye izimpawu. Lokhu kubaluleke kakhulu, njengoba lokhu kuzoya okunye ukwelashwa lomuntu. Made ukuhlolwa ukuthi ukuthola khona kwalezi zimpawu: Ortner, eSt George-Musso, Murphy. Uma, ngemva ukuhlaziya imiphumela ukusebenza kwabo azizinhle, kuba umbuzo kuphela lomkhuba njengoba uphawu Courvoisier.

Lapho isiqinisekiso zokugula kungaba kwenziwe zinyathelo zokulungisa njengoba holetsistoektomiya, transduodenalnym papillosphincterotomy noma choledochotomy.