Common bile leki uea - He aha ka mea? Physiological 'ano a me keʻano o ka hanaʻana pathological

Kekahi i ike i kahi i ke akepaa, e pili ana i kona kūlana ma ke physiology o ka meaola ola. Akā, ma ka choledoch ia ia? It O ʻAʻole pau ike. Hui ma lalo nā loko o ka digestion o ka gallbladder. Ka narrowest loa ('ā'ī) ia iho i loko o ka cystic leki uea, a merges me ke akepaʻa. Hana ducts choledochus, he pono ole bile leki uea, a hoʻi e'ōlelo ana, choledoch.

Ua kŰlń ao ma ke kae o ke akepaa, ma waena o nā lahilahi i loko o ka peritoneal ligament hepatoduodenal, palemo ia ma waena o ke poʻo o ka pancreas, a me ka duodenum (12PK). A laila, kŰlń ao, mai kaʻaoʻao ma loko, ma ka hope pā 12PK, a ninini iho la i loko o ka lumen i loko o ka papilla o Vater.

Physiological kiko'î a me ka 'ole o ka mea pono bile leki uea

Kekahi hae i physiological a me ka choledoch. Ke kūmau ua poe ma ka hahai nā hoailona: o ka loa e e 2-12 knm malama kaukaʻi o nā 'ano o ka confluence o ka cystic leki uea .. Inā hepatic leki uea hooloihiia, ka mea, e ia pōkole choledoch. He aha aʻole ia ke ano o? Wale no ka mea i ka lōʻihi o ke kanaka pele. Ke anawaena loli aʻe mai ka nui a hiki i ka uuku huahelu i loko o ka papa o ka repetition. I ka hoʻomakaʻo ia mea 5-8 mm o. A laila, he mea he loli o ka lumen, a komo i loko o ka naʻau liʻiliʻi leki uea narrows i ka 3mm. Ka pa mānoanoa o ka 0.5 hiki i 1.5 mm o. Ma pathological rula aie i ka ka hoʻonuiʻana o connective'aʻaʻa choledoch e hanaʻia naʻe i ka 3-4 mm o.

Huina bile leki uea ninoieo o 4 pauku.

1. Supraduodenal. Lōʻihi -. Hele i 4 knm ma ke kae o ka hepatic-duodenal ligament hapa o ka cystic leki uea a hiki i ka luna lihi 12PK.
2. Retroduodenalny. Lōʻihi -. Hele 1-2 knm no retroperitoneal 12PK a e honi ai i ke pancreas.
3. Pancreatic. Lōʻihi -. 3 knm ma ka hui 'ana me ke poo o ka pancreas, a ua hoʻopuniʻia e ia.
4. Intraduodenally. Ka lōʻihi o -. 12 knm aia i loko o ka pā 12PK.

pathological hoʻololi

Aia nō i ka helu o ka pathological loli ma na bile leki uea. Kekahi o ia mea i ka dilatation o ka pono bile leki uea. Dilation o ka Roma dilatation -? Anoe o ka lumen o ka leki uea. He aie i ka me mechanical kapu o kekahi lalo iho hapa o ka hui,.

Ke kumu no dilation:

1. Congenital a loaa malformations (hypoplasia, cysts).
2. Benign gallbladder maʻi (cholelithiasis, strictures o ka bile ducts).
3. Hoʻoʻino keʻano o ka hanaʻana (cholecystitis, cholangitis, pancreatitis).

Aia nō i ka helu o ke kupono nīnau. E like me keia loli aʻe choledoch? I ka mea paha entail? Ma na hihia ia i ka helu o ka lapaʻau e hookolokolo ai, e hooholo i ke kumu o ka lumen loli, a koho i ka iaoia hou lapaau.

ana manaʻo ki ina hana like

Ka loa, he pono ole, a ike loea hana o ka hoike o ke akepaa o ka SPL. Hoikehonua, manaʻo ae ultrasound e kiʻi i akaka kiʻi o ka hepatic ducts. Eia naʻe, i ka nui uuku o calculi i loko o ka mau leki uea ultrasound pinepine hiki ole ke visualized. Ma na hihia ia mea pono e akoakoa ai i nā hakakā o kaʻike,, e makaikai i ka choledoch holoʻokoʻa. He aha nō kēia mau ano?

1. Akä naÿe X-Ray ninaninau.
2. Nā Papahana O Ka kauoha i hookohu aku i (duodenoscopy catheter, puncture o ka pono bile leki uea ma ka ultrasound).

Kēia mau kiʻina hana e ka mea hiki ke hookupaa aku i ke kumu o ka pono leki uea iaʻi hou pololei, a me ka hiki wawe i hiki wahi.

It E e hoʻomaopopo i ka nui o kekahi mau a me ka biochemical koko e ho'āʻo ai. Kēia mau haʻawina paipai i ke alo o ka hoʻoʻino keʻano o ka hanaʻana.

Nā kumu o ka maʻi o ka gallbladder a me na bile leki uea

Loli ma ka like bile leki uea ÷ ike i ke ola ana o pathological keʻano o ka hanaʻana i loko o ke ake, a gallbladder. Mai i ka haohao ana ake maʻi? Ka mole kumu Ua mau ke ala o ke ola a me ka kino, pinepine hoʻohana 'ana o ka waiʻona, e uwahi ana. Aloha i ka momoma, palai ai, hoi, Radio he kūlana, e like me kipi, manaʻo pono o nā lāʻau. I kekahi manawa, na pilikia i aie i ka innate ano o ke kanaka. Ma neia hope aku i kēia hiki aku i ka li nui, i ke kahua o ka pohaku. Blockage helu kuhi puke a? Anoe? O na bile leki uea. Inā ka pathological keʻano o ka hanaʻana i asymptomatic, ke kahua ua ano hoomainoino a hiki aku i ka mea hopena, i ka pancreatic necrosis.

therapies

Lapaʻau e e hulina. Inā ke kumu kumu o ke alo o na bile leki uea pohaku, i ka iapaau ana pulakaumaka pinepine hele i lalo i kaʻoki kino. ʻO nā papaha o kēia lapaau e ka mea e hiki ai ke hoʻohana i nā kiʻina hana o? Aeiino? O ka pono bile leki uea pōʻino, emi traumaticʻoki kino.

I ka parasitic a me ka hoʻoʻino maʻi i ka Inc me antibiotics a me duodenal intubation, nona ma ke kala ana o ka pono bile leki uea ma ka stagnation. Ka loa ka hoʻokō iaoia mea Kāohiʻana. Health, physical hana i kūpono, 'āwīwī kāohi' inikua examinations kōkua no na makahiki, e mālama pono.