Common bile duct - ntoni na? iimpawu bokuphila kunye neenkqubo zophendlo lwezifo

Nabani na uyazi apho isibindi, malunga nendima yakhe amalungu umntu esiphilayo. Kodwa uphi na choledoch ukuba kuyo? Yinto ukwazi oko akubantwini bonke. amabhunga ancedisayo of ukwetyisa lo senyongo. Inxalenye kwaza (intamo) uguqulwe ye bile esinganyangekiyo kwaye zidibana kunye esibindini. imibhobho senziwe choledochus bile duct eqhelekileyo, okanye ukuthetha nje, choledoch.

Nangabo ezigudle engaphandle ophezu kwesibindi, phakathi iimakhishithi kwi lungu hepatoduodenal peritoneal, wayetshona phantsi phakathi yintloko nepancreas kunye duodenum (12PK). Emva koko lisuka kwicala elingaphakathi, khawugqobhoze eludongeni 12PK diff kwaye agalelwa le mithambo kwi papilla ka Vater.

Bokuphila iparameters kunye nesakhiwo we bile duct wenziwamkhulu eqhelekileyo

imigangatho ethile abe nokomzimba kunye choledoch. Ummiselo limelwe zikhombisi zilandelayo: ubude kufuneka 2-12 cm waphawula uxhomekeko awayebalasele ekudibaneni duct esinganyangekiyo .. Ukuba duct hepatic liyatshona, kuya kuba choledoch elifutshane. Kuthetha ukuthini? into kuphela ukuba ubude flow ngamnye. Ubukhulu bepali yahluka ukusuka enkudlwana ukuya kwinani elincinci apha ekuhambeni phindo. Ekuqalekeni yena 5-8 mm. Ngoko kukho utshintsho le mithambo, kunye bangene bile emathunjini linciphise ku 3mm. Udonga zenza mm 0.5 ukuya 1.5. Xa iimeko yezifo ngenxa kunyebeleziso kwizicwili choledoch ukuze izokhula ukuya ku 3-4 mm.

Iyonke bile duct iqulathe yamacandelo 4.

1. Supraduodenal. Ubude -. Liyaluphumelela to cm 4 ezigudle olungaphandle hepatic-duodenal lungu inxalenye duct esinganyangekiyo ukuya kwikona 12PK eliphezulu.
2. Retroduodenalny. Ubude -. Liyaluphumelela 1-2 cm ukuze 12PK retroperitoneal de yarweca pancreas.
3. Pancreatic. Ubude -. 3 cm wadibana intloko zepancreas yaye lingqongwe kuyo.
4. Intraduodenally. Ubude -. 12 cm Elise 12PK eludongeni.

utshintsho yezifo

Kukho inani lotshintsho zophendlo lwezifo kwi bile duct eqhelekileyo. Omnye wabo ke dilatation we bile duct wenziwamkhulu eqhelekileyo. Komlomo ka dilatation Latin - ukwandiswa mithambo we bile. Kungenxa isithintelo yokugaya yinxalenye emazantsi omzimba.

Wenza komlomo:

1. malformations iziphene kwaye lufundiwe (hypoplasia, cysts).
2. isifo ebubonisayo senyongo (cholelithiasis, zingaxhomekekanga of bile duct).
3. iinkqubo ukudumba (cholecystitis, cholangitis, pancreatitis).

Kukho iqela lemibuzo esemthethweni. Njengoko oku kuyahluka choledoch? Ukuba kungadala? Kwiimeko ezinjalo babela Inani lweemvavanyo onyango ukukhangela unobangela utshintsho mithambo kwaye khetha unyango indlela ngakumbi.

iindlela survey

Eyona ndlela ziqhelekileyo kwaye enokuthenjwa zoviwo isibindi lo SPL. izixhobo Modern ukuvumela ultrasound ukufumana umfanekiso ocacileyo imibhobho hepatic. Ngelishwa, ubukhulu encinane calculi kwi bile ultrasound ngokubanzi badla ayikwazi libonwa. Kwiimeko ezinjalo kuyimfuneko ukuba asebenzise ezinye iindlela sifo, ukuba ukuhlola lonke choledoch. Ziziphi ezi ndlela?

1. Thelekisa zoviwo X-ray.
2. Iindlela bala ngqo (catheter duodenoscopy, okuhlatywa we bile duct wenziwamkhulu eqhelekileyo ultrasound).

Le ndlela yenza kube lula ukuseka unobangela isithintelo duct eqhelekileyo ngokucokisekileyo ngakumbi yaye kunzima ukufikelela iindawo.

Kufuneka kuqatshelwe ukubaluleka iimvavanyo zegazi jikelele kunye nemvelo. Ezi zifundo lubonisa ubukho iinkqubo arhabaxa.

Izinto ezibangela izifo senyongo kunye bile duct eqhelekileyo

Utshintsho kwi bile duct eqhelekileyo ukubonisa ubukho iinkqubo zophendlo lwezifo esibindini kunye senyongo. Ukusuka apho kuvela isifo sesibindi? ingcambu Unobangela usoloko indlela yobomi nesondlo, ukusetyenziswa rhoqo utywala, ukutshaya. Uthando ukuba ezinamanqatha, ukutya, nowento ekroqiweyo, kakhulu, lidlala indima, kwakunye okutyekisayo, ukusetyenziswa ngokungenabulungisa amayeza. Ngamanye amaxesha le ngxaki ngenxa iimpawu wendalo yomntu. Ekugqibeleni oku kukhokelela ukudumba, ukwakheka ngamatye. Ukuvaleka iqala nokwandiswa bile duct eqhelekileyo. Ukuba iinkqubo lwezidumbu ezi nazimpawu, le meko mandundu kwaye ikhokelela kwintlekele, ukuya necrosis pancreatic.

ayini

Unyango kufuneka comprehensive. Ukuba iingcambu unobangela kuba phambi ekukhangeleni amatye akwi common bile duct, ugxininiso unyango rhoqo zehla ukuba uqhaqho. Amathuba zezonyango namhlanje kwenza kube lula ukusebenzisa iindlela ngokutsha yomonakalo bile duct eqhelekileyo, uqhaqho ngaphantsi esibuhlungu.

Xa izifo olwaye lwamfimfitha kwaye ukudumba uthomalaliso kunye elwa ekumfakeni duodenal, ejoliswe ukukhululwa we bile duct wenziwamkhulu ngazo kungekho kukhula. Eyona ndlela isebenzayo luthintelo. Ukutya ngokusempilweni, umsebenzi bangaphandle, ngexesha leemviwo zonyango lokunqanda efanelekileyo ukunceda iminyaka emininzi ukuba ifanelekile.