Uphawu Courvoisier: kubonakaliswa kunye noncedo

Inkqubo sokugaya wenza umsebenzi obalulekileyo - usinika umsebenzi obalulekileyo. Arhente yokugaya inkqubo lula ukufunda xa kuthelekiswa namanye, kodwa ukuntsonkotha ophezulu kakhulu kukubonelela ukusebenza ngokupheleleyo. Kukho okuninzi ayikaqondwa wafunda ezimbi kwizigqeba le nkqubo. Enye yezi makhwiniba sisifo ebizwa ngokuba 'uphawu Courvoisier ".

Yintoni uphawu Courvoisier?

Le nomphumela, iingcali ezininzi kumiselwa ngaphandle kobunzima, ngokuba wabonakala lwezonyango ayikwazi kubhidaniswe nantoni na. Esi sifo ebalasele inyongo lwesinye landile. Eyona nto ingumnqa kukuba yalula kwaye olunzulu ukuya ngaphandle kwebala. Kwakhona uphawu esimlandelayo senyongo. Amaxesha amaninzi, abantu bamane ukuhlawula ingqalelo ukuba unalo namona emthubi ukuba ulusu kunye nokwanda umzimba lwangaphakathi. Thina owoyamaniswe ekubeni ukuba ngaba buhlungu, ngoko ungakhathazeki. Ke ukubonakala kwalo uphawu inokuba eninzi ukwazisa.

Izinto ezibangela izifo

Uphawu Courvosier wabonisa ngenxa ukuvaleka nangezilonda bile duct iphambili kufuphi papilla enkulu duodenal (papilla of Vater), okanye ithumba yentloko pancreas. Isikakhulu thumba olubulalayo. Kule siyakwazi ukubona ukuba uphawu Courvoisier - oku ngenxa yoko kuphela yesifo samabanga ebantwini. Le imeko umzimba aziqhelekanga ukuba esi sifo ngokuthi choledocholithiasis.

Kutheni inyongo lwesinye ekuthini bhuma?

Ukunyuka senyongo kunye senyongo okubangelwa ukusebenza ngokungafanelekanga komzimba ekuqaleni. Xa uphawu Courvoisier-Terje, isizathu sokuba oku kuphela ukuba ithumba (nangona yenzeka kwiimeko ezininzi). Kusenokubakho enyongweni. Kanye kule ndawo uba nonesi ngokwakhe. Yintoni ingxaki, kutheni le umzimba soluliwe, singavumeli inyongo izokwazi ukuhamba, yaye nje eziplagwe? Apha lo mshini ngolu hlobo lulandelayo: inyongo isinyi kanye iba "isiseko" ngenxa kukuvela amatye, ngaxeshanye ukuyilwa izinto yayintsholongwane eyosulela, esiva ubunzima ukusuka cholecystitis esinganyangekiyo. Oku kuphakamisa tissue zesinye abanesigulo nezibhaxu kukhokelela yokuba iyaqina, inextensible. Ngenxa yesi sizathu, xa ukuphazamiseka encinane - ithumba okanye ilitye - senyongo ivaliwe, kwaye ayikwazi ukusebenza ngokupheleleyo.

Yintoni enye ihambe le uphawu?

Iimpawu eziphambili zale imeko yabantu, xa Courvosier wabonakalaliswa uphawu echazwe apha ngasentla. Kodwa kukho iinkcukacha malunga nezikhalazo zezigulane ukuba nabanye ithi izifo. Izigulane ezininzi ingxelo ukuba kudla sirhawuzele, maxa wambi kukho yimvakalelo ubunzima ikota yesangqa eliphezulu epigastric kunye tye. Ukongeza, ezinye izigulane bathi kukho iimeko ezifana buthathaka kunye nomchamo emnyama. Konke oku ngenxa yeenkqubo kunxilwe ebaleka ngenxa wawo ukuya kuvala ingxingwa okuvala inyongo.

Ukudibanisa zonke ezi amazwe zibe uphawu olulodwa, ingcaphephe kufuneka enze uvavanyo lonyango ngakumbi neemvavanyo ubukho nezinye iimpawu. Oku kubaluleke kakhulu, njengoko oku kuya kuxhomekeka unyango ngakumbi loo mntu. Wenza iimvavanyo ukuba lifumanisa ubukho ezi mpawu: Ortner, i-St George-Musso, Murphy. Ukuba, emva kokuba uhlahlelo lweziphumo intsebenzo yabo embi, ukuba ngumbuzo nje isenzeko njenge uphawu Courvoisier.

Phezu isiqinisekiso le ngezifo enokwenziwa amanyathelo okulungisa ezifana holetsistoektomiya, papillosphincterotomy transduodenalnym okanye choledochotomy.