Takawhita Biliary: Whakaahuatanga, Take, Tohu me te rongoā

E ai ki te raraunga e wātea ana nuitia, inaianei nui haere te maha o mate o te pūnaha biliary. Ko e tika ana ki te whakahaere o te āhua hawata ana, kai e hawata ana, me predisposition tuku tenei. Katoa tau i reira ko te hua o mate tahi e te whanaketanga o te takawhita biliary. Ka kia kōrero tēnei mate nui, me te i roto i to tatou tuhinga.

Āhuatanga o te mate

takawhita Biliary Ko te faaiteraa tino noa o te pukupuku e amo ana repara e whakatika i roto i te ate, me te gallbladder. Tino maha, haere tahi tenei māuiuitanga e jaundice taunutia. Puta i te matenga o te puku taiaki tīmata ki te pēhi i te aerodynamics ate, me i reira he kohatu ranei polyps whakatairanga takanga o te pēhanga e kore nei e hoatu rere ate noa. Takawhita tukinotia na, ki te he mārire, me te awhina o endoscopy hāparapara.

take o

taea ki te whakawhanake i te tikanga pathological e whai ake Biliary āmai ko:

• puku mārire me te mārere puta i roto i tetahi o te wahi biliary, ārahi ki te rangirua o te matamua. I tua atu, i te ahua o tenei māuiuitanga kōpeketanga hua o tetahi o nga aerodynamics whakawhanake ki te neoplasm okana tata.
• Cholelithiasis me cholecystitis calculous. Kei te āhuatanga e te hanganga o kohatu rewakore i roto i ngā wāhanga ngā o taua mate i te pūnaha hepatobiliary me te ahua o te jaundice.
• Ko te aroaro o pirinoa i roto i te aerodynamics - helminths.

Hoki, kia whakawhanake i tika ki malformations congenital wahi biliary, e whai he āhua rereke me te diameter o te lumen tenei mate. I roto i tenei take, nga tohu o te mate faaite mai ratou i roto i te tamarikitanga.

tohu

Tohu o te takawhita biliary i te wāhanga tuatahi o tona whanaketanga, tino kore ara e kore e whakaatu ratou, i te mea he aha maha tūroro tīmata te mate. Heoi, kia tiakina ai ki te tohu e whai ake nei:

• ngoikore;
• flatulence;
• korere;
• mamae i roto i te hautahi o runga tika.

Ko mārama tohu o te syndrome takawhita biliary te tohu matua, ko te hua i roto i te rōrahi o te kōateate e pā ana ki te pēhanga i roto i te pūnaha tomokanga. I te wā i muri mai puta anemia, thrombocytopenia, leukopenia.

Ko te kupu i reira jaundice rite ki te hua o te pēhanga aunoa i runga i te gallbladder. kia kohikohi wai i roto i te kōhao puku (ascites), e āhuatanga ko tona ātete ki te therapy haere tonu. Ki te maka o te reira te tikanga e te wa roa. tīmata te manawanui ki te whakapiki ake i te rōrahi o te puku, waewae tetere, te roha e wahi i runga i te mua o nga uaua o te taiepa puku.

Ko te faaiteraa tino nui o te mate ko te toto i roto i te kopu, kopirua pū kai ranei. haere tahi tenei katoa e ruaki toto. Ki te puta toto i roto i te pū kai, ka hei toto te kumete.

tātaringa

kawea tikanga Instrumental o rangahau i roto i roto i te wā e whai ake nei:

• ki te whakaū i te aroaro o te takawhita biliary;
• ki te whakatū i mate, i meinga te takanga o taua māuiuitanga.

E whakaaro ana te kōrero tino ki hei raro te tikanga whakarārangitia.

ultrasound

Ko tētahi o nga ngā nui i roto i te kōwhiri i te maimoatanga mahere biliary takawhita ko ki te whakatau i te taumata o te ārai i te aerodynamics ate. I roto i tenei take, whakaaro te tikanga matua kore-urutomo te ultrasound whakamātautau o te kōhao puku, me te wāhi retroperitoneal. Nā ki taua tātaritanga heheu roha Faa- me aerodynamics ate intrahepatic, i te mea tohumate o te māuiuitanga.

āhuatanga Biliary takawhita taumata poraka distal e te roha o hepaticocholedochus, engari etahi wa i muri whakawhänui aerodynamics intrahepatic, a reira ko te hua i roto i te rahi o te gallbladder. Ko te diameter tau mahani, ko te neke atu i te 10 mm i roto i te take o neoplasms. Hoki wae wātea tiketike kitea moe gallbladder me te roha aerodynamics intrahepatic. kitea te puku i roto i 51,3% o te wā.

tomography computed

CT o te wāhi puku, me te retroperitoneal āwhina ki te sioloto te āhuatanga o te hanganga o whekau maha. Tenei ako whakarato ha faingamālie ki te tiki hua tika ki ngā nui, me te aromatawai te nui puta ratou germination i roto i te hanganga pātata.

tikanga rangahau Radiopaque

Ki te kahore he māharahara o te māuiuitanga pērā i takawhita biliary, maha noho nga tohunga retroholangiopankreatografiyu cholangiography endoscopic ranei. kawea Omuaraa o rauemi radiopaque mo taua tikanga i roto i roto i ngā ara, engari kua he pānga rite. Nā ki te taonga taua i roto i te radiograph taea whakatau tata i te tohu o patency o te pūnaha tau mahani.

unuhanga

whakaaro taua rangahau te ki kia urutomo, ka huihui ki reira anake i roto i te take matatini, ara i roto i te wā o whakapae puku mārere. Tikanga whakamana te whāinga ate trepanobiopsy raro arata'iraa ultrasound. He nui iti o te kikokiko tangohia i te puna o te māuiuitanga, i raro nei te ki whakamātautau histopathological. hanga ana tēnei hua reira taea ki te whakawa i te āhua o te neoplasm.

laparoscopy tātaritanga

Ki te kore nga tikanga tātaritanga runga ake i taea e te tautuhi i te take o te takawhita biliary, kei te mau ana i roto i te mahi. Ka taea te whakamana te reira i te laparoscopy laparotomy ranei, ki te whai wāhi i te wa ki te noho rite te ngā tukanga hāparapara tātaritanga, me te whakaora. whakamana Mā te tātaritanga tika atahanga intraoperative me te unuhanga. whakamana ngā tukanga hāparapara i rite ki te āhua o te māuiuitanga tūpono.

maimoatanga

Ki te i pāngia koe ki te takawhita biliary, maimoatanga he tikanga momo hāparapara ranei.

Kei te nuinga o te wā maimoatanga momo kawea atu i roto i disorders mahi, te whakakorenga o i whakaputaina e taua raau taero rite "Atenolol" "Nitroglycerin", "Monopril," "Inderal", "Nitrosorbide" "Sulodexide", "ednit".

kawea maimoatanga hāparapara te i roto i anake, ki te kahore i tukua nga taero tabulahia i tetahi hua. kawea te mahi i roto i na te rapunga o ascites, toto intestinal, puku me te pū kai, pera me te whanaketanga o te syndrome gipersplenicheskogo. tikanga Modern whai wāhi te whakamahi o te laparoscopy hāparapara, i te mea minimally pokanga urutomo ki whakataki ngawari roto vahi iti ngongo angiangi ki te kāmera, me te rama micromanipulators. I te aroturuki, i reira te mea he pikitia, e arotahi ana ki te rata hanga te tango o mau fifi.

I roto i kore take hei whaiaro medicate-a tango taero, me ngā matū ki te tango i te puku, te whakaiti i te rōrahi o te kohatu puku, me te tango i waho te whakahaunga. I tua atu, ki te te takawhita, ate me te au tōngāmimi biliary kitea, i mahi whai i ēnei maimoatanga:

• hoatu ratou he dropper ki mau tonu ngā taumata inu tino pai, me te kawehiko;
• te whakamahi i ngā rongoā e whakapai ake rere te toto me ngā pūtau kai tōtika ate;
• kawea therapy antibacterial;
• noho ara decompression biliary.

mutunga

Ko te kupu, whakaaro takawhita biliary te ki he mate tino nui. Fele e tukinotia mate e arahi ki tenei mate hāparapara. Otiia e kore e wehi, no te mea e taea e te maimoatanga wā ki te tākuta faaore te take pakiaka o tenei takawhita me māuiuitanga ano.