Alama Courvoisier: manifestations da kuma taimako

Narkewa kamar tsarin aikin wani muhimmin aiki - ba mu da m aiki. Hukumomin narkewa kamar tsarin da sauki koyi yadda idan aka kwatanta da sauran, amma sosai high mawuyaci ne don samar da cikakken aiki. Akwai da yawa har yanzu talauci karatu pathologies a gabobin da tsarin. Daya daga cikin wadannan munanan yake akwai wata cuta da ake kira "alama Courvoisier".

Mene ne alama Courvoisier?

Wannan alama, da yawa kwararru za a iya ƙaddara ba tare da wata matsala, domin na asibiti manifestations ba za a iya rikita batun tare da wani abu. Wannan cutar halin wani kara girman gall mafitsara. A mafi ban mamaki shi ne cewa shi ne m, kuma m ga tabawa. Har ila yau rakiyar alama ne jaundice. Sau da yawa sosai, mutane kawai ba biya da hankali ga yana da wani rawaya tinge da fata da kuma wani karuwa a ciki jiki. Mun saba wa gaskiyar cewa idan ba ciwo, to, kada ka damu. Amma bayyanar da wannan alama iya da yawa su lãbãri.

Sanadin cutar

Alama Courvosier bayyana saboda blockage na babban bile bututu marurai a kusa da manyan duodenal papilla (papilla na Vater), ko wani ƙari na pancreas kai. Mafi sau da yawa ƙari ne m. Daga wannan za mu iya cewa da alama Courvoisier - wannan shi ne kawai a sakamakon wani primary cuta a cikin mutane. Wannan jiha na jiki ba na hali ga wannan cuta a matsayin choledocholithiasis.

Me gall mafitsara ba mai shimfiɗa?

A karuwa a cikin gallbladder kuma jaundice lalacewa ta hanyar m aiki na jiki da farko. Lokacin da wani alama Courvoisier-Terje, dalilin wannan zai iya ba kawai ya zama m ƙari (ko da yake shi ya faru a mafi yawan lokuta). Akwai iya zama gallstones. Just a wannan lokaci ya zama wata garkuwa da kansa. Abin da ke a cikin al'amarin, me ya sa wannan jiki ba miƙa, kyale bile je, kuma kawai plugged? Ga ginshikai ne kamar haka: da sosai gall mafitsara zama "tushe" ga abin da ya faru na duwatsu, lokaci guda tare da samuwar pathogenic abubuwa, ya shan wahala daga matsananciyar cholecystitis. Wannan ya ba Yunƙurin zuwa kyallen takarda mafitsara fibrosis da scarring gubar da cewa shi ya zama m, inextensible. A saboda wannan dalili, a wata 'yar alamar tashin hankali - ƙari, ko ta dutse - gallbladder ana katange, kuma ba zai iya ci gaba da aiki da cikakken.

Abin da kuma zai iya bi wannan alama?

Main halaye na mutum yanayin, a lõkacin da ya Courvosier bayyana alama bayyana a sama. Amma akwai bayanai a kan koken da marasa lafiya da dama sauran cuta jihohi. Mutane da yawa marasa lafiya bayar da rahoton cewa shi ne sau da yawa itchy, wani lokacin akwai wani ji daga nauyi a cikin epigastric da dama babba quadrant. Bugu da kari, wasu marasa lafiya ce cewa akwai yanayi kamar wani rauni da duhu fitsari. Duk wannan shi ne saboda a guje tafiyar matakai na maye saboda da rufaffiyar nassi na bile.

Hada dukkan wadannan jihohi cikin wani aure alama, wani gwani ya kamata su yi karin gwaje-gwaje na asibiti da kuma gwaje-gwaje ga gaban sauran cututtuka. Wannan yana da muhimmanci sosai, kamar yadda wannan zai dogara ne a kan m jiyya na mutum. Sanya gwaje-gwaje da cewa gane gaban wadannan cututtuka: Ortner, da St George-Musso, Murphy. Idan, bayan bincike na da sakamakon abin da suka yi ne, a'a, shi ne mai tambaya kawai na sabon abu a matsayin alama Courvoisier.

A kan tabbatar da Pathology za a iya za'ayi irin wannan remedial matakan kamar yadda holetsistoektomiya, transduodenalnym papillosphincterotomy ko choledochotomy.