He aha te mea BDS? mate BDS Tuarua

Diseases o nga whekau pūnaha kūnatu - he mate tika noa e puta i roto i te nuinga o nga tangata o te ao nui. Heoi, e mohio e kore katoa e e meinga maha mate e āhua mate gastrointestinal nui papilla duodenal. Mai i te rauemi o te tuhinga ki te kaipānui ako e BDS ko, he aha momo o mate mohiotia ki rongoa o tenei hanganga rite whakatau tikanga pathological me te therapy i roto i tenei take kawea nei i roto.

Ko te ariā BDS

Nui papilla duodenal (BNS) e tohu ana i te hanganga kikokiko o te āhua hemispherical, tikanga nei kei runga i te mucosa heke wahi o te duodenum. I roto i te tuhinga hauora e taea e kitea BDS i raro i ngā ingoa rerekē - nui papilla duodenal, me papilla o Vater. Na ano, he aha te mea BDS? Tenei te rahi i 2 mm ki 2 cm hanganga i mahi he mahi tino nui - hono te tau mahani ate noa, te tau mahani pancreatic matua me te duodenum. regulates BDS te rere o te ate, me te wai pancreatic ki te whēkau iti me ārai tirotiro intestinal ki te aerodynamics.

I roto i te hanganga e taea OBD puta huringa pathological i raro i te mana o ngā āhuatanga rerekē -. Microflora pathogenic Kanorau, rerekē te pēhanga me huringa i roto i te waikawa-turanga toenga, stagnation i te kōhao, etc. I tua atu, kia fakahohaasi ai hanganga tinana hekenga o kohatu tau mahani ate atu hanganga mārō ranei.

māuiuitanga BDS

Diseases o te papilla duodenal nui ko te tino kanorau. Ki te whanaketanga o ngā tikanga hou o tātaritanga whakatau e pā ana ki te disorders mahi i roto i tenei hanganga e nui atu noa atu i whakaaro i mua. Heoi, e tika ana ki te mahi hauora tātaritanga materoto, me te pai uaua te maha fehangahangai reira ki te maha nui o hua rawakore i roto i te maimoatanga o te tūroro ki te cholelithiasis pancreatitis ranei e whakawhanakehia i runga i te whakamārama o maumaui i roto i te hanganga BDS.

BDS māuiuitanga noa whakaaro growths tumorous - polyps hyperplastic ki runga ki te 87% i roto i neoplasms mārire. Polyps kore te nuinga e whakaora i roto i te kiko mārere. Adenoma - bole onge mate pukupuku te mate OBD ki runga ki te 25% o malignancies katoa. BDS stenosis pāngia i roto i 4-40% o tūroro. Ka rite ki te tikanga, e hono ana te māuiuitanga BDS ki te mate gallstone (GSD), e puta i roto i te tekau o nga tangata noho.

Whakarōpū o mate BDS

whakarōpūtia ngā Diseases o te papilla duodenal nui ki ngā rōpū matua e rua:

• tuatahi,
• tuarua.

Ko te mate tuatahi ngā hunga disorders e puta e paetata i roto i te OBD hanganga - papillitis (mate inflammatory); stenosis OBD mate hukihuki, e taea muri nei kia puta ki papilloskleroz; huringa tau OBD; kōhikohiko congenital; puku mārire me te mārere - lipoma, tonapuku, fibroma, adenoma, polyps, papillomas.

mate Tuarua BDS - meinga stenosis e gallstones. E pā ana tika Tohu o te mate ki te take he aha i karanga ia. Ko te kupu, ki te ko te tukanga pathological te hopearaa o mate o te pūnaha biliary, he rite ki te āhuatanga o GSD te mate - māuiuitanga, āhuatanga e te hanganga o kohatu i roto i te gallbladder ate ranei aerodynamics, haere tahi e te mana'o o te pouri i roto i te hautahi, flatulence, tokopā, heamana Horehore runga.

He he he ariā o te stenosis ngā - i te ofatiraa BNS mahi e kua ara ake ki te whakamārama o te whewhe o te duodenum. I roto i tenei take, i reira he he kore o BNS.

pancreatitis

Ki te he rite ki nga tohu o pancreatitis te tukanga pathological i roto i te hanganga meinga e mumura OBD faaiteraa mate pancreatic.

Pancreatitis - Ko he tukanga inflammatory i roto i te repe taiaki. Ko reira taa'eraa kia rerekē te pikitia o te mate - e taea ki te whakawhanake tere, mau ki te ahua whakapeka, ranei e kore e faaite mai ratou mo te wa roa, e te mea angamaheni mo te ahua ma'i o te rere māuiuitanga ko.

Ko te tohu matua o te pancreatitis whakapeka ko te mamae rawa kaha whakairo i roto i te rohe puku runga - matau ranei mahue hautahi runga. kia Pain kawe herpes me kihai i mutu noa i muri i tango antispasmodics Pë ranei. Ko te aha te BDS me nga mau hopearaa hua takahi o ona mahi.

I tua atu i te mamae o te pancreatitis ki puta pūpū purua, uaua ngoikore, whanoke. Kei te huri i te tohu matua o te pancreatitis i ultrasound te āhua me te roughness o nga taha o te repe taiaki. I roto i te tātaritanga o cysts taea te kitea i roto i te tinana. Me mea e ahau e he uaua te mate. A i wawaotanga materoto e taea arahi ki te mate.

stenosis mate hukihuki BDS

Stenosis OBD - māuiuitanga Koló o te wahi, meinga nei e arai o te tau mahani pancreatic me au e tika ana ki ngā huringa inflammatory me constrictions cicatricial papillae. Pehea tupu te reira? maru ia i te kohatu irava te papilla me te mate kaha i roto i te taiepa arata'i ki te whanaketanga o te kiko kaiota me rohe stenotic ampoules OBD.

Ka rite ki mohiotia te, te hanganga o BDS tika pānga tau o te tangata. Iwi o nga tau matatau i roto i cholelithiasis mamae-sclerotic ahua atrophic o papillita ma'i. Te ope, e kore i nei i tae te tau o ono tekau tau noa atu, i raro ki huringa hyperplastic i BDS (adenomatous, adenomiomatoznye).

tau tata nei, e tika ana ki te meka e, i roto i te tātaritanga o mate e whakamahia BDS endoscopes, he reira taea ki te mārama te wehewehe i waenganui i constrictive me catarrhal (nestenoziruyuschy) papillitis. Ko te puka tuatahi o te māuiuitanga e pā ana ki cholelithiasis. Ki te kore e hanga i te tinana kohatu, te whanaketanga o te mate ko te mate ma'i e horahia ki te nāianei waitinana.

Puka stenosis BDS

Tei runga i te pūāhua morphological e toru puka o stenosis:

• stenosis inflammatory-sclerotic - he māuiuitanga āhuatanga e te mā te taumata o te kakakīrehe;
• stenosis fibrocystic - he mate i roto i nei te hanganga o te kakakīrehe ki cysts i hanga iti - nama repe tino whakarei pēpēhinga muka uaua;
• Stenosis adenomiomatozny - māuiuitanga, i nei te repe hyperplasia adenomatous, me te muka hypertrophy o uaua maeneene me te ururua hoki kaiota o muka, rawa maha puta he takahi i roto i te iwi pakeke.

I tua atu, i te BDS nawe stenosis whakarōpūtia:

• te tuatahi,
• tuarua.

e kore e stenosis Paraimere meinga huringa i roto i te aerodynamics ate. Māuiuitanga meinga e huringa degenerative o te papilla, e kitea i roto i te atrophy o te paparanga uaua. I te tahi taime te stenosis tuatahi ko te koha congenital.

stenosis Tuarua ko te putanga o huringa ngā i roto i te hanganga e tika ana ki te kohatu hekenga wharanga papillae tafa ranei.

Tei runga i te whānuitanga o te horapa o te mate stenosis BNS hea:

• i runga i taratahi,
• noa.

tātaringa

Ki te rā, whakamahia te rongoā he torutoru rawa tikanga whai hua o tātaritanga OBD mate. Kia whakaaro tatou etahi o ratou. ultrasonography Endoscopic - he tikanga i roto i nei i te tikanga o te pūrere whatu - te endoscope - kawea te ako hanganga OBD. Photography papilla, hanga ki he ako rite, faahitihia i runga.

ultrasonography Transabdominal - tātari tikanga whakamātautau mā te whakamahi i ultrasound, e taea te tino tika te tautuhi i ngā rerekētanga hanganga i roto i te gallbladder, ate, repe taiaki, me aerodynamics. I tua atu, whakatau te tikanga te homogeneity o te kōhao me au tōngāmimi motility, aroaro / ngaro o inclusions intracavitary.

Ko te tikanga i muri o te Tātarihia te pathologies BDS - cholecystography ultrasonic - whawhe, mā i te korenga i te pūkaha-hōneatanga mahi o te tōngāmimi au mō te rua haora i muri i te fariiraa i parakuihi choleretic.

scintigraphy hihiri hepatobiliary - he tukanga, e hāngai ana nei ko - aromatawai o absorptive-puha mahi o te ate. chromatic hautanga duodenal pūkenga ki te whakatau i te āhua o te tōngāmimi au; pūmautanga colloidal hautanga ate ate, me tona hanganga bacteriological. A, no te aromatawai gastroduodenoscopy te āhua o te BDS, me te mātakitaki o te āhua o te ate riro wātea. I tua atu ki enei tikanga i reira ko te tomography rorohiko me tātaritanga taiwhanga.

BDS: maimoatanga

Ko te pūtake o te maimoatanga o stenosis o te BDS i te mahi ki te whakahoki i te rere noa o te ate, me te wai pancreatic ki te duodenum. I roto i runga ki tenei whāinga reira ko te maha o te mau parau tumu, te haapa'oraa o e e te āwhina ki te whakatutuki angitu i roto i te maimoatanga o:

• hinengaro, maimoatanga o neuroses, e faaau taumata hormonal, whakaiti ahotea, whakangā, kai tika;
• Maimoatanga o pathologies o te kōhao puku,
• whakakorenga o ngā āhuatanga dyspeptic.

I roto i te tikanga ki te whakakore disorders pōhewahewa whakamahia sedatives infusions decoctions o ngā otaota ranei. I tua atu, whakakitea tūroro hinengaro.

He wae nui o maimoatanga angitu ko te kai:

• kai hautanga;
• nohopuku, i te waipiro, me te koropupū inu, me te paowa, ka tunua kai;
• whāiti yolks whakauru hua manu, tunu, kirīmi, kawhe kaha, me te tea;
• kāpeti kai auau, witi parani me te Buckwheat;
• te fariiraa i antispasmodics, e tango patua mamae.

Kei te maha tukinotia BDS stenosis e tikanga hāparapara. Te wehe nekorrigiruyuschie me te faatitiaifaroraa i mahi. Ko te rōpū tuatahi ngā endoscopic PST, pūkenga BDS.

I roto i te wā o te murunga ki tūroro i roto i te tua ki te kai tūtohutia tiaki therapy - ko nga hua o te haere rā, taka porepore ata, te kauhoe.

I roto i te whakarāpopototanga, e taea te whakarāpopoto i te reira e maha mate kūnatu puta ki te whakamārama o te arā o tetahi hanganga iti. Peheé maumaui arahi ki raruraru nui i roto i te tinana, me te he maha Nireaha ki te ako anake i te pokanga. Ko te aha te BDS.