Gallbladder: hanganga, mahi, mate

Gallbladder - he pea-āhua koeko ranei tinana tuwhera i te i runga i te mata ate, me te tika i waenganui i te tapawha o ona matamata. Ko te mahi matua o te gallbladder - te haaputuputuraa me kukū o te ate, me rite ona wā "unga" i roto i tau mahani whānui, me te whēwhē ki te duodenum.

He āhuatanga rerekē, ona awhe roa i te 5 ki te 13-14 cm, whanui iwi rerekē gallbladder - i 2 ki te 4 henimita, me te kaha o te 30-70 ml. I roto i te aroaro o ngā āhuatanga pathological, ka taea e enei tawhā rerekē tino. Ko te hanganga o te tinana gallbladder kitea, te raro, me te kaki, i haere ki te tau mahani whēwhē. ngā te taiepa o toru ngā momo o anga: uaua, mucosa me te tūhonohono. Ko te mata o raro o te taupoki serosa au tōngāmimi. Ko te membrane mucous ngā o te plurality o taiepa, tetahi o nei, kei roto i te kaki, me te huaina heister piha, puka tahi me nga weu sphincter uaua Lyutkensa. Ko te takotoranga kiko tūhonohono, me te i waenganui i muka te uaua whakaritea takere tubular te kore kōrero ki te kōhao o te tōngāmimi, kua karangatia e ratou nekehanga Luschka.

E kei te ate, me te gallbladder i roto i te hautahi o runga tika, engari i te whakaritenga au tōngāmimi kia rerekē ahua, mai tei reira ki runga ki te tinana me te tau. mai supply toto i te gallbladder ate-vesical iatuku, e te nuinga o atu i te peka ki matau o te iatuku ate, rua, me te maha i hanga i plexus venous, rere ki te peka o te rua tomokanga, i roto i te ate.

Ki runga ki te fariiraa i te kai gallbladder heke te haere ki tenei e whakatika te pēhanga i roto i reira, e ai kia 200-300 mm tīwae wai. I muri i taua, i roto i te tau mahani ate noa tomo te ate takiwa. More kaha kitea tona taenga i muri i te kai o yolks hua manu, kararehe me ngako huawhenua. whakakapia hukihuki o te gallbladder e whakangā me te whakakī tona ate ate. Ko te kaha nui o tenei tukanga puta i te po.

tikanga pathological me te mate gallbladder āhuatanga e mamae i roto i te rohe subcostal tika, i ētahi wā i roto i te epigastrium ki irradiation te rere i roto i te paewai, tahi pokohiwi me te huha mata matau. Ko te putanga, me te whakakahanga o te mamae kitea i muri i whakahaere o ngā kai whakapeka, me te fatty, hua, kai parai, pia, waina, inu ngawari, me te i muri i tou aranga ki taimaha, me te itoito tinana i raro i wiri i roto i peia me te overvoltage neuropsychological. Heoi, ki te mate gallstone kia noa, kahore take kitea, te takanga o te mamae. A, no te dyskinesia mamae gallbladder angamaheni tahi e mōrearea autonomic, āhuatanga e he werawera matao, e alangá te kōpā, ataahua kiri, ānini me etahi. Tino maha, enei mate puta ki te paowa, whakapairuaki, kawa i roto i te mangai, me ētahi atu.

I roto i te mumura whakapeka o te palpation au tōngāmimi i roto i te hautahi matau o runga koi mamae. Pain, hë i te manawa, ka karanga tohumate mo Kera, i roto i te tūranga e noho ana - he tohu o Murphy, tetahi raru i roto i effleurage iti haere te kikorangi costal tika - he tohu Ortner. whakatika hoki Tohu o ritenga te puku i roto i te take o te peritonitis. I roto i te kore te hanga i te aroaro o te mumura ma'i o te tōngāmimi au ua tona aroaro i runga i palpation i roto i te hautahi o runga tika, me te ngā pēhanga, me i reira ko kahore tohu o cholecystitis.

Wehewehe hē e whai ake nei o te gallbladder: aplasia - tona ngaro, hypoplasia - te whakaiti i tona rahi, atresia - kore o te wāhi, rearua dystopia. I tua atu, i reira e ngā malformations (hei tauira, te au tōngāmimi ki te piko) e puta ana ki te aroaro o te cholelithiasis asymptomatic haumanu ranei ranei cholecystitis ma'i.