Mene ne BDS? Secondary BDS cuta

Cututtuka na narkewa kamar tsarin gabobin - fairly na kowa cuta da faruwa a cikin Mafiya yawa na duniya ta mazaunan. Duk da haka, ba kowa da kowa ya san cewa da yawa cututtuka suna lalacewa ta hanyar gastrointestinal cuta jihohin babbar duodenal papilla. Daga cikin kayan da labarin da karatu Yakan koyi cewa BDS ne, abin da iri cututtuka da aka sani ga magani na wannan tsarin a matsayin gane asali pathological yanayi da kuma far wanda a cikin wannan yanayin ne da za'ayi.

A ra'ayi BDS

Manyan duodenal papilla (BNS) wakiltar ilimin Halittar Jiki tsarin hemispherical siffar, wanda an zubar a kan mucosa saukowa ɓangare na duodenum. A likita adabi BDS za a iya samu a karkashin sunaye daban-daban - manyan duodenal papilla, kuma papilla na Vater. Kuma duk da haka, abin da yake BDS? Wannan size daga 2 mm to 2 cm Gininsu, wanda ya yi aikin mai da muhimmanci sosai aiki - haɗu da kowa bile bututu, babban pancreatic bututu da kuma duodenum. BDS shirya kwarara daga bile da pancreatic ruwan 'ya'yan itace a cikin kananan hanji da kuma hana hanji abinda ke ciki a cikin ducts.

A tsarin OBD iya faruwa pathological canje-canje a ƙarƙashin rinjayar daban-daban dalilai -. Bambancin pathogenic microflora, matsa lamba hawa da sauka da kuma canje-canje a cikin acid-balance tushe, stagnation a cikin kogo, da dai sauransu Bugu da kari, jiki tsarin iya lalace hijirarsa na bile bututu duwatsu ko wasu m Tsarin.

Pathology BDS

Cututtuka daga cikin manyan duodenal papilla ne sosai bambancin. Tare da ci gaban hanyoyin zamani na bincikowa da karshe game da aikin cuta a cikin wannan tsarin ne yafi kowa fiye da baya tsammani. Duk da haka, saboda da untimely da kuma wajen rikitarwa bincike likita yi shi ne sau da yawa fuskantar wata babbar yawan matalauta da sakamakon da magani na marasa lafiya da cholelithiasis ko pancreatitis cewa ci gaba a kan bango na take hakki a cikin BDS tsarin.

BDS na kowa Pathology dauke tumorous growths - hyperplastic polyps up to 87% tsakanin benign neoplasms. Polyps yawanci ba su regenerate a m nama. Adenoma - Bole rare cuta OBD ciwon daji har zuwa 25% na dukkan malignancies. BDS stenosis kamu a 4-40% da marasa lafiya. Matsayin mai mulkin, da BDS Pathology nasaba da gallstone cuta (GSD), wanda ya auku a kowane goma mazauni.

Nau'in Cututtuka BDS

Cututtuka daga cikin manyan duodenal papilla ta kasu biyu manyan kungiyoyin:

• farko,
• sakandare.

A farko cututtuka sun hada da wadanda cuta cewa faruwa ake sarrafa a cikin tsarin OBD - papillitis (kumburi cuta). spastic OBD stenosis, wanda zai iya daga baya a canza kama zuwa papilloskleroz. OBD shekaru canje-canje. nakasar anomalies. benign kuma m marurai - lipoma, melanoma, fibroma, adenoma, polyps, papillomas.

Secondary cututtuka BDS - stenosis ne ya sa ta gallstones. Bayyanar cututtuka da cutar suna tsaye alaka da dalilin da ya sa ya yi da aka kira su. Saboda haka, idan wani pathological tsari ne sakamakon cututtuka na biliary tsarin, cutar ne kama da siffofin na GSD - Pathology, halin da samuwar duwatsu a cikin gallbladder ko bile ducts, tare da ji na wani nauyi a cikin sama quadrant, flatulence, ƙwannafi, erratic kujera.

Akwai manufar hada stenosis - wani take hakkin BNS ayyuka da cewa sun taso a kan bango na wani miki da duodenum. A wannan yanayin, akwai wani rashin BNS.

pancreatitis

Idan pathological tafiyar matakai a cikin tsarin sa da kumburi OBD pancreatic cutar manifestations ne kama da bayyanar cututtuka na pancreatitis.

Pancreatitis - shi ne wani kumburi tsari a cikin pancreas. Abin lura shi ne cewa hoto da cutar na iya zama daban-daban - Pathology ne su iya ci gaba cikin sauri, shan m tsari, ko ba bayyana kansu na dogon lokaci, wanda shi ne na hali da kullum irin na kwarara.

Babban alama na m pancreatitis ne mai matukar karfi sabon zafi a cikin sama ciki yankin - dama ko hagu na sama quadrant. Pain iya kawo herpes kuma bai daina har bayan shan antispasmodics ko analgesics. Wannan abin da ke BDS da sakamakon sakamakon take hakkin da ayyuka.

Bugu da kari ga zafi na pancreatitis faruwa gag reflex, tsoka rauni, juwa. Babban bayyanar cututtuka na pancreatitis da duban dan tayi ne canza siffar da roughness na gefuna da pancreas. A ganewar asali cysts za a iya gano a cikin jiki. Dole ne in ce cewa cutar ne wuya. Kuma a untimely baki iya kai ga mutuwa.

Spastic stenosis BDS

Stenosis OBD - benign Pathology da nassi, wanda aka sa ta toshewa da pancreatic bututu da kuma gall saboda kumburi canje-canje da kuma cicatricial constrictions papillae. Ta yaya wannan ya faru? Nassi dutse aka rauni papilla da kuma aiki kamuwa da cuta a cikin folds take kaiwa zuwa cin gaban fibrous nama da kuma stenotic yankuna OBD ampoules.

Kamar yadda aka sani, tsarin BDS kai tsaye rinjayar mutum shekaru. Mutane na ci-gaba da shekaru a cholelithiasis sha-sclerotic atrophic nau'i na kullum papillita. A contingent, wanda bai kai shekaru sittin da shekaru kasashen waje, batun hyperplastic canje-canje a BDS (adenomatous, adenomiomatoznye).

'Yan shekarun nan, saboda gaskiyar cewa, a cikin ganewar asali da cututtuka BDS endoscopes ake amfani da shi, shi ne mai yiwuwa a fili rarrabe tsakanin constrictive da catarrhal (nestenoziruyuschy) papillitis. A farko nau'i na Pathology dangantawa da cholelithiasis. Idan jiki ba ya samar da duwatsu, da ci gaban da cutar ne a kullum kamuwa da cuta da cewa shimfidawa da Lymph halin yanzu.

Siffofin stenosis BDS

Dangane da morphological haruffa uku ne, siffofin stenosis:

• kumburi-sclerotic stenosis - a Pathology cewa halin da sãɓãwar launukansa digiri na fibrosis.
• fibrocystic stenosis - wani cuta a cikin abin da samuwar fibrosis da cysts kafa kananan - anta gland da cika fuska inganta squeezing tsoka zaruruwa.
• adenomiomatozny Stenosis - Pathology, a da adenomatous hyperplasia gland, kazalika da fiber hypertrophy na m tsokoki da kuma fibrous overgrowth na zaruruwa, a take hakkin sau da yawa sosai auku a mazan mutane.

Bugu da kari, da tabo stenosis BDS classified:

• da farko,
• sakandare.

Primary stenosis ba sa canje-canje a cikin bile ducts. Pathology lalacewa ta hanyar degenerative canje-canje na papilla, wanda ya bayyana a cikin atrophy na murdede Layer. Wani lokaci da farko stenosis ne a nakasar lahani.

Secondary stenosis ne saboda abin da data kasance canje-canje a cikin tsarin saboda rauni papillae hijirarsa duwatsu ko tiyata.

Dangane da irin nisan da yaduwar cutar stenosis BNS hannun jari:

• a kan ruwan dare,
• kowa.

bincikowa da

A ranar, da magani amfani quite 'yan tasiri hanyoyin da bincikowa da OBD cututtuka. Bari mu bincika wasu cikin su. Endoscopic ultrasonography - wata dabara a wadda ta wajen Tantancewar na'urar - da endoscope - wani binciken kwashe OBD tsarin. Photography papilla, tare da sanya wani irin binciken, kawo sunayensu a sama.

Transabdominal ultrasonography - nunawa jarrabawa Hanyar yin amfani da duban dan tayi, wanda damar sosai daidai gane tsarin canje-canje a cikin gallbladder, hanta, pancreas, kuma ducts. Bugu da kari, da hanyar da kayyade homogeneity na kogo da kuma gall mafitsara motility, gaban / rashi na intracavitary inclusions.

A gaba Hanyar diagnosing pathologies BDS - ultrasonic cholecystography - magudi, via wanda yayi nazari da mota-fitarwa aiki na gall mafitsara sa'o'i biyu bayan samun choleretic karin kumallo.

Dynamic hepatobiliary scintigraphy - wata hanya, wanda dogara ne - Ƙimar na absorptive-excretory aiki na hanta. Fractional chromatic duodenal probing domin sanin sautin na gall mafitsara. colloidal kwanciyar hankali hanta bile sulusi da murabba'i kuma ta bacteriological abun da ke ciki. Lokacin da gastroduodenoscopy assesses jihar na BDS, kazalika da kallo na yanayin da bile zama available. Bugu da kari a wadannan hanyoyi akwai wani kwamfuta tomography da dakin gwaje-gwaje bincikowa.

BDS: magani

Dalili na lura da stenosis na BDS da aiki don mayar da al'ada kwarara daga bile da pancreatic ruwan 'ya'yan itace a cikin duodenum. A daidai da wannan haƙiƙa akwai wani yawan ka'idoji, da kiyaye abin da zai taimaka wajen cimma nasara a lura da:

• psychotherapy, magani na neuroses, dattako hormonal matakan, minimizing danniya, shakatawa, da ta dace rage cin abinci.
• Jiyya na pathologies daga cikin kogon ciki,
• kawar da dyspeptic dalilai.

Domin kawar neurotic cuta amfani sedatives infusions ko decoctions na tsirũruwa dabam-dabam. Bugu da kari, marasa lafiya nuna psychotherapy.

An muhimmin bangaren nasara magani ne rage cin abinci:

• fractional abinci.
• abstinence daga barasa da Carbonated drinks, kazalika da kyafaffen da soyayyen abinci.
• iyakance m kwai yolks, yin burodi, cream, da karfi kofi da shayi.
• m cin kabeji, alkama bran da buckwheat.
• samun antispasmodics, wanda cire zafi harin.

BDS stenosis ne sau da yawa bi da da m hanyoyin. Rarrabe nekorrigiruyuschie kuma gyara aiki. Na farko da kungiyar hada endoscopic PST, probing BDS.

A lokacin da gafarar ga marasa lafiya a Bugu da kari a cikin abinci da shawarar goyon baya far - ne amfanin yau da kullum na tafiya, safe gymnastics, yin iyo.

A takaice, ana iya takaita da cewa da yawa narkewa kamar cututtuka faruwa kan bango na wani matsalar aiki na samfur na daya kananan tsarin. Wannan take hakki ta kai ga tsanani matsaloli a cikin jiki da kuma sau da yawa amenable don gyara kawai da aikin tiyata. Wannan abin da BDS.