Klatskin puku: Tohu me te rongoā

Klatskin puku - he mate pukupuku o te tau mahani ate proximal. i hanga te puku o tenei momo i roto i te wahi o runga o te wahi biliary, te wahi e wehea e ratou i waenganui i te matamata ate. kia kia hanga e Klatskin puku i roto i aerodynamics e rua, ranei i te tetahi o ratou, kia rite ki te pai kia rite ki te putanga i te ate. Ki te mate e taea puku horapa ki nga oko ate toto.

ngā mōhiohio whānui e pā ana te mate

Ahakoa te meka e kua riro rongoā hou te rota o taputapu whai hua i roto i nei ka taea e koe kitea me hohoro tātari mate, mate pukupuku o te ate, me kua iti ako taiaki. I roto i ngā, Mo tenei āhuatanga vnepechennogo wāhanga o te pūnaha kūnatu. Te nuinga i haria ki te puku Klatskin rōpū etahi mōrea. Tuatahi - e kore e tamariki i raro i te 5 tau o tau mamae i abnormalities o te wahi gastrointestinal nei. Ko te tuarua - te iwi e kua takahia-tau 60 taumata, e ite tatou i tino biliary whakararuraru, wahi mahi.

Pukupuku taea whakatika mo te momo o take, engari rongoā hou tautuhi te whai ake: ururua paitini tukua ki te huru i roto i ngā rahinga nui; ahotea me ētahi atu disorders io; parahanga taiao; peu kino. I tua atu, i te take mo te hanganga Klatskin pukupuku taea mahi me te kai ta'etotonú:

• te whakamahi o ngā hua kai kaiao;
• te tūkino waipiro;
• kai nui o korotutu me tāpiritanga kai.

puta te mate rite ki te hua o nga raruraru matatini e hoatu ara ki disorders hauora. Ratou mutunga hanga pukupuku o ngā momo. Ki te kore koe e whakarongo ki te tohu, me te tīmata i te mate, kauneke reira tere, me te homai e hūhi nui.

pukupuku biliary Whakarōpū

1. Koló: papillomas, lipomas, adenomas.
2. Mārere: cholangiocellular mate pukupuku, te au tōngāmimi mate pukupuku, mate pukupuku o te ate aerodynamics.
3. Klatskin puku.

Whakarōpū o te mara o te localization

• E pa ana i te aerodynamics ate ki te marau ate.
• Hinga tetahi o nga aerodynamics.
• Ko te hinganga o te aerodynamics e rua.

amuamu manawanui

pāngia ana tēnei mate e rata rawa uaua. Tei maimoatanga angitu i runga i ngā āhuatanga maha, engari te tino nui - tenei wa, te maimoatanga o te manawanui ki te tākuta. Ki te ui tetahi tangata e he mātanga i roto i te wa, maimoatanga i roto i te nuinga o te wā he angitu, me te mea kei te rere te mate, he nui ake pea ki te kia tūmanakohia putanga angitu. Tikanga, pāngia Klatskin puku i roto i te whakamātautau hoki o te tahi atu disorders whakapeka ma'i ranei o te wahi kūnatu.

I roto i te tahi atu te wā, haere mai tūroro ki te gastroenterologist tākuta mo te tokoni ki tenei raruraru. Ko te amuamu tino noa o te tūroro i roto i tenei take:

• pouri i roto i tona taha;
• ngoikore whānui o te tinana, me te rohirohi;
• kāore reka kino, me te mouthfeel;
• ahuatanga.

pāngia e te tino taua matepukupuku te kore pera ohie. Ko te meka e Klatskin puku - jaundice, e kiia ana ko - he tohu rite ki tini o nga mate, pērā i ate parenchyma me wahi biliary.

tohu

I roto i ngā o tohu, kua nga āhuatanga e whai ake nei i te mate:

• he whakaiti nui i roto i te taimaha mo te wa poto;
• riro mimi kumete whakamarumaru mumura mama;
• ki puta hohe haereraa mate kiri oranga, ponana kiri;
• tipu puku ai sensations mauiui i roto i ngā wāhanga o te puku, i puta i ngā wāhanga i muri mai o te mate.

E tata unknown āhuatanga Etiological mo te whanaketanga o te āhua mārere o te mātauranga i roto i te aerodynamics ate extrahepatic. Engari kia rite ki predisposing ki te whanaketanga o te mate e taea te tukinotia e whai ake:

• maha i roto i te iwi te panga pakeke atu i te 60 Klatskin puku i roto i te taha ki te cholelithiasis;
• Ko reira o faufaa nui, me predisposition ira, rawa hoki paari iwi, engari e kore e tau tawhito;
• i roto tupuna mate e taea te whakaaro cholangitis sclerosing tuatahi ;
• Iti whakakōkī mate noa e taea te mahi huaketo kakā B me C.

Ka rite ki whakakitea te aroaro o te mate

Ka taea te whakamahi maha ngā tikanga ki te tāutu i puku Klatskin:

1. cholangiography transhepatic Transcutaneous - ki tenei tikanga, riro tākuta tonu X-ray o te tau mahani ate. Hoki te tikanga, rāhuitia te manawanui kei hoki 6 haora i mua timata reira ki te kai me te inu i te wa ano i hoatu e ia sedatives. haamata Hātepe ki te whakataki ki te rohe ki matau o te puku o te rongoā rohe, a ka i roto i te kiri ki te wahi biliary kawea te ngira angiangi i roto i nei patia tae te. Na, ko te X-hihi, e whakaatu ranei i reira e tetahi kōtītiti i roto i te wahi biliary. Ko te tukanga katoa mō te arowhai i te tika o nga täia ngira i mahi te whakamahi i mīhini ultrasound. I mua a muri tūroro cholangiography transhepatic percutaneous paturopi whakaritea i roto i te tikanga ki te ārai i te taea o te mate.
2. Angiography. whakaritea ana tēnei puka o te tātaritanga kua ki te kei te tau mahani kua tata oko toto nui o te ate. Ki te angiography whakaritea ahakoa patua e rerengia ana oko puku. Kei te mahi ana te reira e whai ake: i roto i te iatuku kopu whakamōhio te ngongo angiangi i roto i i puritia te tae te mō ngā take motuhake, i ka haere ki roto ki te pera.
3. Kei te whakamahia hoki Percutaneous cholangiography transhepatic i te hui o te mate pukupuku, he reira pai i roto i te puku tukuna ai. Kei te whakamana te reira ki atu tika te whakatau i te roanga o ngā tukanga pathological percolation i muri cholangiography transhepatic percutaneous.
4. therapy te kōwarotanga autō - tetahi o nga tikanga pai o te tūhuratanga o te puku. āhei te reira ki a koe te whakatau i te wāhi tangohia me visualizes te hanganga o nga oko o te ate.
5. Unuhanga - te tikanga whai hua tino. reira anake ka taea ki a koe tika te whakatau i te aroaro o te puku, tona hanganga, me te āhua o te kiko. Hoki ngā take o tenei tekiona tangohia poka papaka, ka e nei whakawakia e tātari microbiological. whakamana ana tēnei tukanga te roto i te taha ki te cholangiography transhepatic percutaneous.

maimoatanga o te mate

Ka rite ki kua whakahuatia, ko reira tino uaua ki te mohio ki te puku Klatskin. cholangitis maimoatanga - ko te whakatinanatanga o te mōkihi o mehua ki te pehea e o te mate. Ki te kore e timata wa maimoatanga, mate te taniwha, te manawanui e i roto i 4-6 marama. Cancer - he uaua ki te hamani mate e kua te taua āhuatanga, me te puku Klatskin. maha Ko tā maimoatanga o tenei mate te tango o nga kopa pāngia. I roto i tenei take, me te mea oti, ko, nekehia e te te kikokiko pānga ki te kakahu ma. meatia tenei e kia e mahue te wāhi kua pā te pūtau mārere, ētahi wā nekehia i tetahi taupa o te ate. Ki te kore e taea te nekehia atu te puku Klatskin, e nui whakawarenga te whanaketanga o te matapae hoki o te mate o te pūnaha reretoto o te tinana katoa whakamahia te radiation me hahau, engari te nuinga o, he reira hua.

Hea ki te titiro mo te poomosch

Ahakoa te meka e te mate i roto i te pātai kua roa i mohiotia, me i reira he huarahi ki te aro i te reira i roto i te tango o te kikokiko, i reira he tonu kahore huarahi noa ki te take o te pehea, ki te hamani i te puku Klatskin. Maimoatanga o te cholangitis suppurative rawa pai kawea atu i roto ia Iharaira i roto i haumanu motuhake mō te maimoatanga matepukupuku. roa kua reira i mea katoa e tika ana ki te hamani i te lesion o tenei ate natura. Ko te mea ngaro e Iharaira - he wahi o kukū o te ngaio kaha i roto i te mara hauora, pera he reira mahinongofua aha reira e pai te tukinotia me puku Klatskin. Reviews o nga tūroro tukinotia reira, tohu e te mahi i roto i haumanu matepukupuku Iseraela ko i te taumata teitei.