Ndulu ntchito

The thunthu la chiwindi ndi ndulu

Mmodzi wa limba waukulu anthu - chiwindi ndi. Masewero kwambiri chimbudzi, pokhala ili pa pamwamba pomwe pamimba pansipa zakulera, chiwindi ali ndi yaikulu zosiyanasiyana ntchito zothandiza. Akufika pa mlingo wa pafupifupi makilogalamu, ndi kumbali zonse aphimbidwa ndi peritoneum. Chiwindi amagwira ntchito yake pamodzi ndi chikhodzodzo ndulu.

Ntchito ya ndulu ndi matabwa ake

Choyamba, tikambirana kapangidwe ka ndulu ya. Mawonekedwe a peyala woboola ake. Thupi zamitundu zosiyanasiyana ndi zambiri mtengo wake ndi poyerekeza ndi yaing'ono nkhuku dzira:

• Utali - kuchokera seveni mpaka masentimita khumi kapena khumi ndi inayi;
• M'lifupi - awiri kuti masentimita anayi kapena asanu;
• Mphamvu - 30-70ml.

Ndulu khoma ali wochepa thupi akhoza kutambasula. Makamaka, ndi kwamakokedwe amphamvu amapezeka pathologies. awiri okha makoma. Akunja anthu pafupi chiwindi, ndi pansi walangizidwa M'mimbamo peritoneal. Iwo amakhala ndi minofu minofu connective ndipo zimagwira ntchito zosiyanasiyana mucous. Ndulu limapangidwa m'magulu atatu:

• Pansi - kukhala mfulu dipatimenti mutuluka kupitirira m'mphepete m'munsi chiwindi.
• Chiberekero - yopapatiza zosiyana mapeto a chikhodzodzo ndulu, anakafika ku ritsa enaake.
• Thupi - gawo pakati ndulu ya.

m'madipatimenti onsewa ndi mbali zitatu ataphimbidwa ndi peritoneum lapansi.

ndulu ntchito kwagona kuti ndi mgodi chifukwa ya ndulu, amene amapangidwa ndi chiwindi. Ya ndulu aumbike zidulo ya ndulu. Ali:

• asidi glycocholic,
• glycodeoxycholic,
• glycochenodeoxycholic,
• asidi taurodeoxycholic ndi zina zotero.

Pamodzi ducts kwa chiwindi ya ndulu, lopangidwa mu katulutsidwe chiwindi ya ndulu ndiye zimalowa ndi ndulu ndi duodenum (ndi duodenum), amene watenga mbali mu ndondomeko ya chimbudzi, ndi Ntchito yaikulu ya ndulu ya - cholandirira ya ndulu. Mothandizidwa ndi mzimuwo duodenum pa chimbudzi yogwira kupereka chiwerengero chachikulu cha ya ndulu. Duodenum pa nthawi ino ladzala ndi kale pang'ono m'mimba chakudya mmimba.

Kupanga makonzedwe a ndulu ya

• Ndulu inali pakati pa lobes chiwindi (kumanzere ndi lalikulu) padziko m'munsi chiwindi. Iwo ali ndi peritoneum mbali zitatu.
• Kukhala mesentery yake, ndi mafoni ndipo angathe chake, kupotokola, kuutsa matenda. Kuphatikizapo necrosis.
• Ngati pali milandu intrahepatic malo dystopia - ndi anawaonjezera kuwirikiza kawiri a ndulu ya.

thirakiti biliary

Common kwa chiwindi ritsa chikugwirizana m'khosi enaake ritsa amene kutalika pafupifupi masentimita anayi. Lopita kwa chiwindi ducts kuphatikiza ku chipata chiwindi ritsa wina kwa chiwindi. Enaake ritsa, kugwa pang'ono pansipa, amalimbikitsa mapangidwe wamba ya ndulu ritsa, umene kukhala motalika, tichipeza zigawo zinayi:

• supraduodenal,
• retroduodenalny,
• pancreatic,
• interstitial.

Ndi zakudya osasamba ndi mipata yaikulu pakati pa chakudya ndulu ntchito kukhumudwa. Motero, chikhodzodzo ya ndulu stagnates, kuchititsa chitukuko cha kutupa, ndipo kenako mapangidwe miyala. Choncho, pali kupatulira a linga la ndulu, amene nawonso, ndi zinadzala ndi chotupa thupi pa nambala mokwanira lalikulu anasonkhana ya ndulu. kudwala Izi limodzi ndi kugunda kwa ya ndulu mu M'mimbamo peritoneal. N'kudziwa kachilombo, zikhoza kuyambitsa imfa.

Pofuna kupewa mavuto imeneyi Amasankhidwa cholecystectomy - kuchotsa ndulu ya. Wodwala pambuyo opareshoni sakanachitira mwina kutsatira ndi kudya zakudya zapadera. Popeza ntchito ya ndulu ya, ya ndulu monga chidebe akusowa zimafuna nthawi zonse katundu biliary thirakiti. Izi zimachitika pamene yambiri chakudya. Choncho, kupatula ya ndulu stagnates pamene chakudya atengedwa ndi munthu zambiri kuposa masiku. Izi zichitike nthawi osachepera asanu pa tsiku.