Common bile bututu - abin da yake da shi? Physiological halaye da kuma pathological tafiyar matakai

Duk san inda hanta, game da aikin ta a cikin Physiology na wani rai gabar. Amma inda ne choledoch cewa shi? Yana ba kowa da kowa ya sani. Na biyu gabobin da narkewa ne gallbladder. A narrowest part (wuyansa) an canza kama zuwa da cystic bututu da kuma shigar da hanta. Kafa ducts choledochus kowa bile bututu, ko kuma kawai magana, choledoch.

Yana kara tare da m baki na hanta, tsakanin zanen gado a cikin peritoneal jijiya hepatoduodenal, nitsewa saukar tsakanin shugaban na pancreas da duodenum (12PK). Sa'an nan kara daga ciki gefen, ta hanyar da raya bango 12PK da kuma zuba a cikin lumen a papilla na Vater.

Physiological sigogi da tsarin da na kowa bile bututu

Wasu matsayin da physiological da choledoch. A kullum yana wakilta da wadannan Manuniya: da tsawon kasance 2-12 cm lura dogara da halaye na mahaɗar tsakãninsu da cystic bututu .. Idan hanta bututu tsawo, shi zai zama guntu choledoch. Abin da ake nufi? Kawai da cewa da tsawon da mutum ya kwarara. A diamita dabam daga wani ya fi girma to da karami adadi a cikin shakka daga maimaitawa. A farkon ya ne 5-8 mm. To, akwai wani canji na lumen, kuma ƙofar zuwa cikin hanji bututu Narrows zuwa 3mm. A bango kauri daga 0.5 zuwa 1.5 mm. A pathological yanayi saboda da yaduwa na connective nama choledoch iya thicken har zuwa 3-4 mm.

Total bile bututu kunshi 4 sassan.

1. Supraduodenal. Tsawon -. Kafa zuwa 4 cm tare da m baki na hanta-duodenal jijiya rabo daga cystic bututu zuwa babba baki 12PK.
2. Retroduodenalny. Tsawon -. Kafa 1-2 cm for retroperitoneal 12PK har shi ya shãfe da pancreas.
3. Pancreatic. Tsawon -. 3 cm a lamba tare da shugaban na pancreas da aka kewaye da shi.
4. Intraduodenally. A tsawon -. 12 cm dake a cikin bango 12PK.

pathological canje-canje

Akwai da dama daga pathological canje-canje a na kowa bile bututu. Daya daga cikinsu shi ne dilatation da na kowa bile bututu. Dilation na Latin dilatation - fadada daga cikin lumen na bututu. Shi ne saboda da inji ƙuntatawa na wani nisa da tushe na sashin jiki.

Sa dilation:

1. Nakasar da kuma samu malformations (hypoplasia, cysts).
2. Yãfẽwa gallbladder cuta (cholelithiasis, strictures na bile ducts).
3. Kumburi tafiyar matakai (cholecystitis, cholangitis, pancreatitis).

Akwai da dama daga istinbadi tambayoyi. Kamar yadda wannan dabam choledoch? Wannan shi zai iya haifar? A irin haka sanya wani yawan gwajinsu domin gano dalilin da lumen canji kuma zaɓi hanyar kara magani.

duba hanyoyin

Mafi na kowa ne kuma abin dogara Hanyar jarrabawa na hanta ne SPL. Modern na'urorin damar duban dan tayi don samun bayyananne hoto na hanta ducts. Abin baƙin ciki, da kananan size of calculi a general bututu duban dan tayi sau da yawa ba za a iya visualized. A irin haka wajibi ne a yi riko da sauran hanyoyin da ganewar asali, don gano dukan choledoch. Mene ne wadannan hanyoyin?

1. Bambanci X-ray jarrabawa.
2. Hanyar na kai tsaye batawa (duodenoscopy catheter, huda da na kowa bile bututu da duban dan tayi).

Wadannan hanyoyin sa shi yiwuwa a kafa dalili da na kowa bututu toshewa more daidai da a wuya a kai wuraren.

Ya kamata a lura da muhimmancin janar da kuma biochemical jini gwaje-gwaje. Wadannan nazarin bayar da shawarar gaban kumburi tafiyar matakai.

A Sanadin cututtuka na gallbladder da kowa bile bututu

Canje-canje a cikin kowa bile bututu nuna wanzuwar pathological tafiyar matakai a cikin hanta da kuma gallbladder. Daga wadda bayyana hanta da cutar? Da tushen ne ko da yaushe a hanyar rayuwa da kuma abinci mai gina jiki, m yin amfani da barasa, shan taba. Son zuwa m, soyayyen abinci, ma, taka wata rawa, kazalika da uncontrolled, m yin amfani da magunguna. Wani lokaci da matsaloli ne saboda m halaye na mutum. Jima ko daga baya wannan take kaiwa zuwa kumburi, da samuwar duwatsu. Blockage fara da kuma fadada na kowa bile bututu. Idan pathological tafiyar matakai ne asymptomatic, halin da ake ciki an aggravated da take kaiwa zuwa tsanani sakamakon, har zuwa pancreatic necrosis.

kwantar da hankali

Jiyya ya zama m. Idan da tushen ne a gaban kowa bile bututu duwatsu, da lura da mayar da hankali sau da yawa zo saukar zuwa tiyata. A yiwuwa na zamani magani sa shi yiwuwa a yi amfani da hanyoyin da maimaitawa na kowa bile bututu lalacewa, kasa traumatic tiyata.

Lokacin da parasitic da kuma kumburi cututtuka da far da maganin rigakafi da kuma duodenal intubation, da nufin a saki da na kowa bile bututu da stagnation. A mafi inganci Hanyar ne rigakafin. Healthy cin abinci, jiki aiki ne m, dace m likita Nazarin taimaka shekaru da yawa don kiyaye Fit.