Yintoni BDS? isifo BDS Secondary

Izifo amalungu ometyiso - isifo eliqhelekileyo ukuba kwenzeka kuninzi loluntu olungabemi balo mhlaba lowo. Noko ke, asinguye wonke umntu uyazi ukuba izifo ezininzi zibangelwa zesisu isifo amazwe papilla enkulu duodenal. Ukususela izinto senqaku umfundi ufunda ukuba BDS kukuthi, yintoni iintlobo izifo ezaziwayo amayeza esi sakhiwo njengoko nokuxilonga iimeko zophendlo lwezifo kunye nonyango leyo kule meko ikhutshwa phandle.

The concept BDS

papilla ezinkulu duodenal (BNS) imele isakhiwo yokwakheka isimo hemispherical, nto leyo zilahlwa kwi isifo esihla yinxalenye duodenum. Kule ncwadi lonyango BDS zingafunyanwa phantsi amagama ahlukeneyo - papilla enkulu duodenal, kunye papilla ka Vater. Kanti ke, yintoni na BDS? Le ubungakanani ukusuka-2 mm ukuya 2 structure cm leyo ezisebenza umsebenzi ebaluleke kakhulu - inxulumanisa bile duct eqhelekileyo, ye bile engundoqo pancreatic kunye duodenum. BDS ilawula ukuhamba duct juice pancreatic kungena kwamathumbu amancinci kwaye uthintele imixholo namathumbu waya imibhobho.

Xa isakhiwo OBD nga kwenzeka utshintsho zophendlo lwezifo phantsi kwempembelelo yeemeko ezahlukeneyo -. Microflora ezahlukahlukeneyo yayintsholongwane eyosulela, ukuhla uxinzelelo kunye notshintsho balance esiti-base, nangenxa yokudodobala em-, njl Ukongeza, isakhiwo umzimba ukuze kuphazanyiswe yokufuduka amatye bile duct okanye ezinye izakhiwo eziqinileyo.

zokugula BDS

Izifo papilla ezinkulu duodenal nto zahlukahlukene kakhulu. Ngophuhliso iindlela zale mihla kuxilongo izigqibo malunga ukuphazamiseka ezisebenzayo kwesi sakhiwo kakhulu eqhelekileyo kunokuba wacinga ngaphambili ngakumbi. Nangona kunjalo, ngenxa yezonyango diagnostic ngesiquphe yaye kunokuba nzima ukuba badla ngokujongana inani elikhulu iziphumo kakubi unyango kwezigulane cholelithiasis okanye pancreatitis ukuba iphuhliswe imvelaphi ukuhlukunyezwa ngesakhiwo BDS.

BDS zoxilongo eqhelekileyo ingqalelo Amahlathi tumorous - polyp hyperplastic ukuya kwi-87% phakathi neoplasms ebubonisayo. Iipolyps ngokuqhelekileyo musa ubunokuzihlaziya ngayo inyama amabi. Adenoma - bole onge umhlaza OBD sifo ukuya kwi-25% yabo bonke ezinezigulo. BDS stenosis sifo e 4-40% kwizigulane. Ngokuqhelekileyo, le ngezifo BDS ezinxulumene nesifo gallstone (GSD), nto leyo eyenzeka kuzo zonke ummi yeshumi.

Ukwahlukanisa Diseases BDS

Izifo papilla ezinkulu duodenal ihlelwa zibe ngamaqela amabini ezinkulu:

• zamabanga aphantsi,
• zamabanga aphakamileyo.

Ezi zifo ephambili ziquka ezo ukuphazamiseka ukuba zenzeka abekiwe phakathi isakhiwo OBD - papillitis (isifo arhabaxa); stenosis OBD yiSpasticity, leyo kamva uguqulwe ube papilloskleroz; utshintsho yobudala OBD; okungahambi bekhubazekile; yamathumba ebubonisayo ebulalayo - lipoma, wolusu, fibroma, adenoma, polyp, papillomas.

Izifo Secondary BDS - stenosis ibangwa enyongweni. iimpawu zesifo ezinxulumene ngqo isizathu sokuba sele wabiza. Ngoko ke, ukuba kukho inkqubo zophendlo lwezifo ke ngenxa yezifo kwenkqubo biliary, esi sifo iyafana imisebenzi GSD - ngezifo, luphawulwa ukuyilwa yamatye senyongo okanye inyongo imibhobho, sikhatshwe imvakalelo ubunzima eliphezulu ikota yesangqa, flatulence, heartburn, isitulo ngqiqweni.

Kukho ingqiqo stenosis edityanisiweyo - ephula imisebenzi BNS ezithe zavela ngokuchasene nentsukaphi isilonda le duodenum. Kulo mzekelo, kukho ukunqongophala BNS.

pancreatitis

Ukuba iinkqubo zophendlo lwezifo kubume okubangelwa ukudumba OBD obubonakala isifo pancreatic ezifanayo iimpawu pancreatitis.

Pancreatitis - yinkqubo yokukrala kwi pancreas. Kuyaphawuleka ukuba umfanekiso sifo inokuba nomahluko - ngezifo iyakwazi ukuphuhlisa ngokukhawuleza, ukuthatha ifomu etsolo, okanye musa azibonakalisa ixesha elide, nto leyo eqhelekileyo ukuba uhlobo ezingapheliyo uhuhamba.

Uphawu olungundoqo pancreatitis etsolo yi buhlungu kakhulu nangokukrola kwindawo nesisu eliphezulu - ekunene okanye ekhohlo ikota yesangqa eliphezulu. Iintlungu afeze herpes yaye akazange ayeke emva kokuthatha antispasmodics okanye analgesics. Nantso into BDS kunye neziphumo ngenxa lunyhasho imisebenzi yayo.

Ukongeza intlungu pancreatitis zenzeka reflex gag, buthathaka kwezihlunu, ukuba nesiyezi. Iimpawu eziphambili pancreatitis ultrasound ezingqingqwa imilo kunye uburhabaxa kungqameko zepancreas. Xa lokufunyaniswa cysts sivakala emzimbeni. Ndimele ndithi ukuba sifo kunzima. Yaye yokungenelela ngesiquphe kunokukhokelela ekufeni.

stenosis yiSpasticity BDS

Stenosis OBD - ngezifo nabungozi yindima, nto leyo ebangelwe ekuphazamiseni ye bile pancreatic nenyongo ngenxa yotshintsho ukudumba kunye constrictions cicatricial papillae. Njani kwenzeka? ilitye ndima nxeba papilla nosuleleko inxaxheba isondo kukhokelela kuphuhliso yethishyu ezinezikhondo kunye nemimandla stenotic ampoules OBD.

Njengoko yaziwa, ubume BDS kuchaphazela ngqo iminyaka yomntu. Abantu zeminyaka obubalaseleyo cholelithiasis ubunzima-sclerotic uhlobo atrophic of papillita ezigulo ezondeleyo. Le anokuvela, nto leyo eye bengekafiki kwiminyaka imashumi mathandathu phesheya, ngokuxhomekeke kutshintsho hyperplastic e BDS (adenomatous, adenomiomatoznye).

Kwiminyaka yakutshanje, ngenxa yokuba, xa ukubonwa kwezifo BDS endoscopes asetyenziswa, kunokwenzeka ukuba ukwahlula ngokucacileyo phakathi (nestenoziruyuschy) papillitis constrictive kunye catarrhal. Ifomu yokuqala ngezifo ezinxulumene cholelithiasis. Ukuba umzimba aluyiyo amatye, uphuhliso sifo kukho usuleleko esingapheliyo ukuba kuye kwanwenwa nkovu yangoku.

Forms stenosis BDS

Kuxhomekeka abalinganiswa morphological kukho iintlobo ezintathu stenosis:

• stenosis yokukrala-sclerotic - a ngezifo ukuba iphawulwa namaqondo awohlukeneyo abanesigulo;
• stenosis fibrocystic - kuphazamiseka apho ukusekwa abanesigulo cysts encane - ngenxa amadlala kakhulu eyomeleziweyo ukucudisa imicu kwezihlunu;
• Stenosis adenomiomatozny - ngezifo, apho kwamadlala hyperplasia adenomatous, kwakunye ifayibha hypertrophy of izihlunu anencasa imithana ezinezikhondo Imisonto, lunyhasho rhoqo kwenzeka kubantu abadala.

Ukongeza, ezi BDS kukuqulungana stenosis ezithathwa:

• primary,
• zamabanga aphakamileyo.

stenosis Primary akubangi utshintsho bile duct. Pathology okubangelwa utshintsho sisiba mandundu le papilla, evela kule yoma esibekwa dystrophy. Maxa wambi stenosis lokuqala onesiphene naso.

stenosis Secondary i ngenxa yeenguqu ezikhoyo isakhiwo ngenxa amatye imfuduko ukwenzakala papillae okanye uqhaqho.

Ngokuxhomekeke kubungakanani ukusasazeka stenosis sifo BNS izabelo:

• ku zodwa,
• eqhelekileyo.

ekuxilongweni

Ukuza kuthi ga ngoku, le iyeza kusetyenziswa kakhulu ezimbalwa iindlela ezisebenzayo izifo uxilongo OBD. Makhe sihlolisise ezinye zazo. ultrasonography Endoscopic - njengobuchule apho esebenzisa isixhobo woqondo - lo mbhobho - isifundo olwenziwe isakhiwo OBD. Photography papilla, kwenziwe uphando efanayo, ezicatshulwe ngasentla.

ultrasonography Transabdominal - sokuhluza indlela uviwo usebenzisa ultrasound, evumela kakhulu ngokuchanileyo ukuchonga utshintsho kumaziko senyongo, isibindi, injeke, kunye imibhobho. Ukongeza, indlela imisela ukufana kwe lweHo- nenyongo isinyi motility, ubukho / ukungabikho inclusions intracavitary.

Indlela elandelayo zokufumanis ezimbi BDS - cholecystography abaphucuke - ukuxhaphaza, nge leyo evavanya motor-ngobungxamo umsebenzi lwesinye inyongo iiyure ezimbini emva kokufumana isidlo choleretic.

Dynamic scintigraphy hepatobiliary - nkqubo, nto leyo esekelwe - Uhlolo lomsebenzi absorptive-excretory kwesibindi. Fraction chromatic duodenal zokuhlola ukufumanisa ithowuni lwesinye inyongo; uzinzo colloidal hepatic duct iqhekeza nokubunjwa kwayo bacteriological. Xa gastroduodenoscopy luvavanya imeko BDS, kwakunye mkhanya yohlobo enyongweni lufumaneka. Ukongeza kwezi ndlela kukho Itomography ikhompyutha kunye uxilongo elebhu.

BDS: unyango

Isiseko ukunyanga stenosis le BDS babe umsebenzi ukubuyisela ukuhamba eqhelekileyo duct juice pancreatic kungena duodenum. Ngokuhambelana kunye nale njongo kukho iqela imigaqo, ukugcinwa leyo eza kunceda ukuba ukuphumelela unyango:

• Unyango, unyango nezifo, lagxila amanqanaba hormone, kuncitshiswe uxinzelelo, ukuphumla, ukutya ngendlela efanelekileyo;
• Unyango lwe ezimbi ze kwisisu,
• kubulawe izinto dyspeptic.

Ukwenzela ukuphelisa iingxaki bangonwabi kusetyenziswa nadlamkisayo infusions okanye decoctions zezityalo ezahlukeneyo. Ukongeza, izigulane yabonisa nonyango lwengqondo.

Izakhi ebalulekileyo unyango uphumelele yokudla;

• isidlo fraction;
• ndizila neziselo utywala kunye nezihlwahlwazayo, kwakunye ukutya etshaya kunye neziqhamo;
• umda izikhupha zokwamkelwa iqanda, ukubhaka, cream, ikofu eyomeleleyo kunye neti;
• ikhaphetshu ukutya rhoqo, ingqolowa kunye buckwheat;
• abafumana antispasmodics, leyo ukususa ukuhlaselwa intlungu.

BDS stenosis kudla iphathwa ngeendlela zotyando. Ukwahlula nekorrigiruyuschie kunye nokusebenza ukulungisa. Iqela lokuqala luquka endoscopic PST, neliso elitsolo ekujongeni BDS.

Xa ixesha ibonke izigulane ukongeza ukutya ekhuthazwayo unyango yesondlo - iingenelo ukuhamba imihla ngemihla, imithambo kusasa, yokuqubha.

Ngamafutshane, zingashwankathelwa ukuba abaninzi izifo yokusila kwenzeka ngokuchasene nentsukaphi sibangelwa nesakhiwo elinye elincinane. komgomo ezinjalo kungakhokelela kwiingxaki kakhulu emzimbeni kwaye kudla efanele ilungiswe kuphela uqhaqho. Nantso into BDS.