He aha ka BDS? Secondary BDS maʻi

Maʻi o ka digestive'ōnaehana nā loko - he 'ano, he pono ole maʻi e ana i loko o ka uie kekahi hapanui hewahewa o ko ka Honua mau poʻe e noho ana. Eia naʻe,ʻaʻole mea ike i ka maʻi he nui i ke kumu ma ka gastrointestinal maʻi Hawaii nui duodenal papilla. Mai na mea o ka 'atikala i ka mea heluhelu e ao hou i BDS mea, i kela ano keia ano o ka maʻi iʻikeʻia a hiki i lapaau ana i kēia' ole e like me diagnose pathological kumu a me ka Inc a ma keia hihia ua lawe mai.

Ka manaʻo BDS

Nui duodenal papilla (BNS) ho i ka anatomical 'ole o hemispherical kinona, a ua hoolilo i ka mucosa e iho mai ana kekahi hapa o ka duodenum. Ma ka 'inikua moʻokalaleo BDS hiki ke loaʻa ma lalo o kekahi mau inoa - nui duodenal papilla, a me ka papilla o Vater. Oia la, aka, i mea BDS? Ua nui mai 2 mm o ia 2 knm 'ole i hanaʻia i ka papa loa nui - hoʻohuiʻia ka mea, he pono ole bile leki uea, i ka papa kuhikuhiE pancreatic leki uea, a me ka duodenum. BDS regulates ke kahe o ka bile, a pancreatic wai i loko o ka liilii, na naau oʻu, a ua ālai 'intestinal Contents i loko o ka ducts.

Ma ka 'ole OBD ke hana pathological loli ma lalo o ka aoao o ka okoa aʻe -. Like pathogenic microflora, puʻe fluctuations a me nā loli i kaʻakika-kumu koena, stagnation i loko o ka lua, etc. I hou, kino' ole i ke Nyos Polenekia o ka bile leki uea pohaku a me nā puaʻa hiwa paʻa nā hale.

pathology BDS

Maʻi o ka nui duodenal papilla ka loa like. Me ka hooulu ana o kēia ano o ka lapaʻau 'hopena a e pili ana i ka loiloi kāna hana i loko o kēia' ole ua ikaika nui ae, he pono ole ma mua o mua manaʻo. Eia naʻe, ma muli o ia ka untimely, a he oiaio, ua huikau PalekanaEND_LINK 'inikua me ka hana pono ka mea, ua pinepineʻalo me ka nui helu o kaʻilihune i nā hualoaʻa ma ka iapaau ana o nā mea maʻi me ka cholelithiasis a pancreatitis e hoʻomohala i ka kāʻei kua o ka' aʻe 'ana i loko o ka BDS' ole.

BDS like pathology noʻonoʻo tumorous ka ulu o ke - hyperplastic polyps i ka 87% i waena o benign neoplasms. Polyps pele mai regenerate ma malignant'aʻaʻa. Adenoma - B pohihihi keia maʻi OBD Ka maʻi 'aʻai i ka 25% o nā mea a pau malignancies. BDS stenosis diagnosed ma 4-40% o nā mea maʻi. E like me ka rula, o ka BDS pathology ua hoʻopili i ka gallstone maʻi (GSD), a ia lŘlŘ ma na umi o ka noho ana.

Mea Maluna o ka Maʻi BDS

Maʻi o ka nui duodenal papilla ua hoʻolaha i loko o nā nui pūʻulu:

• iniiaiie,
• kula kiʻekiʻe.

Ke iniiaiie maʻi loaʻa mau kāna hana i hana i IIeEeAIEUIeXAIIUE i loko o ka 'ole OBD - papillitis (hoʻoʻino maʻi); spastic OBD stenosis, i hiki hope e lilo iho la papilloskleroz; OBD makahiki hoʻololi; congenital anomalies; benign a malignant hikoko - lipoma, melanoma, fibroma, adenoma, polyps, papillomas.

Secondary maʻi BDS - stenosis ua kena ae la ia e gallstones. Symptoms o ka maʻi i pololei e pili ana i ke kumu o ke kumu ia i ua kiiia. Penei, ina he pathological kaʻina hana o kaʻilihune o ka maʻi o ka biliary'ōnaehana, i ka maʻi i like i ka hiʻona o GSD - pathology, wehewehe aku ma ke kahua o nā pōhaku i loko o ka gallbladder a bile ducts, pu ma ka manao o ka naau i loko o ke keena quadrant, flatulence, heartburn, erratic noho.

Aia He He manaʻo o ka hui stenosis - he 'aʻe' BNS oihana i ua kaua kipi ku e mai i ke kāʻei kua o ka ulcer o ka duodenum. Ma keia hihia, he mea he nele o BNS.

pancreatitis

Inā ka pathological keʻano o ka hanaʻana i loko o ka 'ole ke kumu ma ka li nui OBD pancreatic maʻi hoike ana e like me na symptoms o pancreatitis.

Pancreatitis - mea he hoʻoʻino kaʻina i loko o ka pancreas. Ua mea noteworthy i ke kiʻi o ka maʻi i e kekahi - pathology mea hiki ke hoʻoikaika i hoʻomaka koke, e lawe ana i ka huʻi palapala, a me ka mai e hoike ana ia lakou iho no ka lōʻihi manawa, i mea typical no ka maʻi ano o ka pele.

I ka papa kuhikuhiE symptom o ka huʻi pancreatitis mea he loa ikaika anaʻeha i loko o ke keena'ōpū āpana - akau, a haʻalele mauka quadrant. Pain e lawe herpes, a i ole ana e lawe antispasmodics a me analgesics ma hope. Ia ka leo o ka hala a BDS a me ka hopena kūpono 'aʻe' ana o kona hana.

Ma waho aʻeo ia i ka eha o ka pancreatitis ana gag reflex, Muscle nawaliwali, pōniuniu. I ka papa kuhikuhiE symptoms o pancreatitis ma ka ultrasound e hoʻololi i ke kinona a me roughness o na kihi o ka pancreas. Ma kaʻike, o cysts hiki ke 'akomi i loko o ke kino. Au pono aku nei au i ka maʻi mea pilikia. A ma untimely uao ke alakai i ka make.

Spastic stenosis BDS

Stenosis OBD - benign pathology o ka hooholo, a ua kena ae la ma iaʻi o ka pancreatic leki uea a me ka laau awaawa, ma muli o ka hoʻoʻino loli a me cicatricial constrictions papillae. Pehea ia ka hana? pohaku e hooholo ia ua'ōwili papilla a me kaʻeleu maʻiʻaʻai i loko o nā bipi hiki aku ai i ka ulu ana o fibrous'aʻaʻa a me stenotic wahi OBD ampoules.

E like me uaʻike, me ka 'ole o BDS pono e loli ai ke kanaka i ka makahiki. People o nā makahiki holomua ma ka cholelithiasis hoomanawanui-sclerotic atrophic ano o ka maʻi papillita. Ke contingent, i i ole ma ka makahiki o ka makahiki kanaono ma kahi e, pili i ka hyperplastic loli ma BDS (adenomatous, adenomiomatoznye).

Nā makahiki, ma muli o ia i ka mea e, ma kaʻike, a maʻi BDS endoscopes e hoʻohana ', e mea hiki i ka pono maopopo ma waena o constrictive a me ka catarrhal (nestenoziruyuschy) papillitis. Ka mua ano o ka pathology pili me ka cholelithiasis. Inā i ke kino, aole ia i hana i nā pōhaku, i ke kūpono 'ana o ka maʻi o ka maʻi maʻiʻaʻai e hohola ai i ka lymphʻikena.

'Ano apau loa stenosis BDS

Ke kaumaha ma muli o ka morphological huapalapala, he ekolu ano o ka stenosis:

• hoʻoʻino-sclerotic stenosis - he pathology i ua wehewehe aku e loli iki ana degere o ka fibrosis;
• fibrocystic stenosis - he kāna hana i loko o i ke kahua o ka fibrosis me cysts hana liʻiliʻi - mamuli glands dramatically hoʻokāʻoi'ōpā Muscle olona,;
• adenomiomatozny Stenosis - pathology, ma a ka adenomatous hyperplasia glands, e like me puluniu hypertrophy o malimali nāʻiʻo a me fibrous overgrowth o olona, he kue loa pinepine ia lŘlŘ ma mua kanaka.

Eia hou, i ka me ka makaʻu no stenosis BDS hoʻolaha:

• ka puke Paipala,
• kula kiʻekiʻe.

Helu stenosis Aʻole ole i loli i loko o ka bile ducts. Pathology kena ae la ia e degenerative loli o ka papilla, iʻikeʻia i loko o ka atrophy o ka muscular, ahu iho. I kekahi manawa, i ka iniiaiie stenosis mea he congenital kina.

Secondary stenosis mea heʻilihune o na loli i loko o ka 'ole ma muli o ka hewa papillae Polenekia pohaku aʻoki kino.

Ke kaumaha ma muli o ka loa o ka laha o ka maʻi stenosis BNS mahele:

• ma ka noho kaʻawale,
• he pono ole.

lapaʻau '

I ka lā, i ka lapaʻau hoʻohana loa he mau pono ka ano o ka lapaʻau 'OBD maʻi. E kekahi o ia iā mākou noʻonoʻo. Endoscopic ultrasonography - heʻano hana i loko o a ma ke kumu o ka'ōnohi mea - ka endoscope - he ao lawe OBD 'ole. For the papilla, i me ka like ao, kākau i nā luna.

Transabdominal ultrasonography - loiloi 'keia hookolokolo ana iaoia hoʻohana ultrasound, e leie loa pololei e hōʻike ana mall loli ma ka gallbladder, akepaa, pancreas, a me ducts. Eia hou, i ka papa hana e hoʻoholo i ka homogeneity o ka lua a me ka laau awaawa, bladder motility, imua / wa e kaawale aku o intracavitary inclusions.

ʻO kekahi hana o diagnosing pathologies BDS - kani ultrasonic cholecystography - manipulation, Via a hookolokolo aku la ia i ka Hawaii-ke piʻoloke hana o ka laau make bladder no, elua no hora mahope iho o ka loaa choleretic aina kakahiaka.

Hōʻeuʻeu hepatobiliary scintigraphy - he kaʻina hana, a ua nānā '- auhau o ka absorptive-excretory hana o ke akepaʻa. Fractional chromatic duodenal probing e hooholo i ka leo o ka laau make bladder; colloidal kumupaʻa hepatic bile hapa iki a me kona bacteriological haku mele 'ana. I ka gastroduodenoscopy assesses ka moku'āina o ka BDS, like hoʻi me ka nānāʻana i ke ano o ka bile i loaʻa. Ma waho aʻeo ia mau kiʻina hana aia mea he kamepiula tomography a me keʻena hoʻokolohua lapaʻau 'ana.

BDS: lapaʻau

Ke kumu o ka hana maikaʻiʻole o ka stenosis o ka BDS i ka hana, e hoihoi i ka maʻamau pele o ka bile, a pancreatic wai i loko o ka duodenum. I kulike ai me keia Pahuhopu loaʻa nō i ka helu o nā kumu, ke ana o ka a, e kōkua i loaʻa ai ka pomaikai ma ka iapaau ana o:

• psychotherapy, lapaʻau o neuroses, stabilize hormonal pae, minimizing stress, hoʻomaha, kuponoʻai;
• Lapaʻau o pathologies o ka abdominal lua,
• hoʻopau o dyspeptic aʻe.

I mea e hoʻopau neurotic kāna hana hoʻohana kiaha dala infusions a me decoctions o kekahi mau lau nahele. Eia hou, e hoomanawanui i hoike psychotherapy.

An nui ke keʻena o ka holomua lapaʻau kaʻai:

• fractional palaoa;
• ole ana, alaila mai ka waiʻona, a carbonated inu, e like me ka pono i ka paka a me ka palaiʻai;
• ke kaupalenaʻana komo hua manu yolks, baking, holika, ikaika kope a me ka kī;
• pinepine ai cabbage, palaoa bran a me ka buckwheat;
• ka loaa ana antispasmodics, a wehe i kaʻeha ho'āhewa wale.

BDS stenosis ua pinepineʻia eʻoki lāʻau lapaʻau ki ina hana like. Hoomaopopo nekorrigiruyuschie a? Ee hana. Ka mua pūʻulu kikowaena endoscopic PST, probing BDS.

I ka wā o ke kala i nā mea maʻi i hou i kaʻai paipai malama Inc - i na pomaikai o kela la i keia hele, kakahiaka gymnastics,ʻau.

I ka hōʻuluʻulu manaʻo, ka mea hiki ke ua hoʻoʻuluʻulu manaʻo i na mea he nui digestive maʻi ana e ku e ia i ke kāʻei kua o ka malfunction o kekahi liʻiliʻi 'ole. Ia 'aʻe' alakai i ka nui pilikia i loko o ke kino a me ka mea pinepine amenable e? Iaea wale nō eʻoki kino. A i ka BDS.