Gịnị bụ BDS? Secondary BDS ọrịa

Ọrịa nke digestive usoro akụkụ - a pụtara nkịtị ọrịa na-erukwa na ọgụgụ ka ukwuu nke mbara ala ndị bi. Otú ọ dị, ọ bụghị onye ọ bụla maara na ọtụtụ ọrịa na-kpatara eriri afọ ọrịa na-ekwu, isi duodenal papilla. Site ihe nke isiokwu na-agụ na-amụta na BDS bụ, ihe di iche iche nke ọrịa mara na nkà mmụta ọgwụ nke a Ọdịdị ka ịchọpụta enweghị nchịkwa na ọnọdụ na ọgwụ nke na nke a na-rụrụ.

The echiche BDS

Large duodenal papilla (BNS) na-anọchi anya anatomical Ọdịdị nke hemispherical udi, nke na-ewekarị na mucosa agbadata nke duodenum. Na ahụ ike na akwụkwọ BDS pụrụ ịchọta n'okpuru aha dị iche iche - isi duodenal papilla, na papilla nke Vater. Ma, ihe bụ BDS? Nke a size si 2 mm 2 cm Ọdịdị nke anamde a dị nnọọ mkpa ọrụ - ejikọ nkịtị bile duct, isi pancreatic duct na duodenum. BDS achịkwakwa eruba n'ime bile na pancreatic ihe ọṅụṅụ n'ime obere bowel na-egbochi nsia ọdịnaya n'ime ducts.

Na Ọdịdị OBD nwere ike ime enweghị nchịkwa mgbanwe n'okpuru nduzi nke dị iche iche ihe -. Iche Iche pathogenic microflora, nrụgide fluctuations na mgbanwe na acid-isi itule, ọnọdụ na-achọghị na uji eze, wdg Ke adianade do, ahu Ọdịdị nwere ike akwusila Mbugharị nke bile duct nkume ma ọ bụ ndị ọzọ siri ike owuwu.

daa ọrịa BDS

Ọrịa nke isi duodenal papilla bụ nnọọ iche iche. Na mmepe nke oge a na ụzọ nke nchọpụta nsogbu banyere ihe ọtọ ọrịa na a Ọdịdị bụ ihe ndị ọzọ na-ahụkarị ihe cheburu. Otú ọ dị, n'ihi na nnwụchu na kama mgbagwoju anya na-achọpụta ọrịa agwọ ọrịa ọ na-abụkarịkwa ndị a nnukwu ọnụ ọgụgụ nke ndị ogbenye na-arụpụta na ọgwụgwọ nke ọrịa na cholelithiasis ma ọ bụ pancreatitis na mepụtara na ndabere nke imebi na BDS Ọdịdị.

BDS nkịtị daa ọrịa na-ewere tumorous growths - hyperplastic polyps ruo 87% n'etiti benign neoplasms. Polyps emekarị adịghị agbanwe na ajọ anụ ahụ. Adenoma - bole obere ọrịa OBD cancer ruo 25% niile malignancies. BDS stenosis chọpụtara na 4-40% nke ọrịa. Dị ka a na-achị, ndị BDS daa ọrịa jikọrọ gallstone ọrịa (GSD), nke pụtara na ọ bụla iri-obibi.

Nhazi ọkwa nke Diseases BDS

Ọrịa nke isi duodenal papilla na nkewa n'ime abụọ isi iche iche:

• isi,
• sekọndrị.

The isi ọrịa na-agụnye ndị ọrịa na-erukwa na-metụtara nanị akụkụ ụfọdụ n'ime ihe owuwu OBD - papillitis (mkpali ọrịa); spastic OBD stenosis, nke nwere ike mgbe e mesịrị ghọọ papilloskleroz; OBD afọ mgbanwe; congenital anomalies; benign na ịza aza etuto ahụ - lipoma, melanoma, fibroma, adenoma, polyps, papillomas.

Secondary ọrịa BDS - stenosis e mere site gallstones. Mgbaàmà nke ọrịa na-emetụtachaghị ihe mere na ọ nọ na kpọrọ. N'ihi ya, ọ bụrụ na a-enweghị nchịkwa na usoro bụ n'ihi ọrịa nke biliary usoro, ọrịa yiri atụmatụ nke GSD - daa ọrịa, ji guzobe nkume na gallbladder ma ọ bụ opi mgbailu, Bilie a mmetụta nke arọ na elu quadrant, flatulence, nrekasi obi, na-abaghị uru oche.

E nwere a echiche nke jikọtara stenosis - a mebiri BNS ọrụ na-kpatara megide ndabere nke ihe ọnyá afọ nke duodenum. Na nke a, e nwere ụkọ nke BNS.

pancreatitis

Ọ bụrụ na-enweghị nchịkwa na Filiks na Ọdịdị mere site mbufụt OBD pancreatic ọrịa ngosipụta ndị yiri ihe mgbaàmà nke pancreatitis.

Pancreatitis - bụ ihe mgbu usoro ke pancreas. Ọ bụ ihe kwesịrị ịrịba ama na foto nke ọrịa nwere ike dị iche iche - daa ọrịa bụ enwe ike ịzụlite ngwa ngwa, na-ewere nnukwu ụdị, ma ọ bụ adịghị egosipụta onwe ha ruo ogologo oge, nke-ahụkarị nke-adịghị ala ala ụdị eruba.

Isi mgbaàmà nke nnukwu pancreatitis dị ike ọnwụ mgbu na elu afo ebe - nri ma ọ bụ n'aka ekpe elu quadrant. Pain nwere ike ibu herpes na akwụsịghị ọbụna mgbe na-ewere antispasmodics ma ọ bụ analgesics. Nke ahụ bụ ihe bụ BDS na ndị na-esi n'ihi imebi ya ọrụ.

Na mgbakwunye na ihe mgbu nke pancreatitis ime gag mpiaji, muscle adịghị ike, dizziness. Isi mgbaàmà nke pancreatitis site ultrasound na-agbanwe agbanwe na udi ma na roughness nke n'ọnụ nke pancreas. Na nchoputa nke cysts nwere ike achọpụtara ke idem. M ga-asị na ọrịa siri ike. Na na nnwụchu aka nwere ike ime ka ọnwụ.

Spastic stenosis BDS

Stenosis OBD - benign daa ọrịa nke Itie, nke e mere site mgbochi nke pancreatic duct na ńsí n'ihi mkpali mgbanwe na cicatricial mgbochi papillae. Olee otú ọ na-eme? Mpaghara akwukwo nkume na-emerụ papilla na-arụsi ọrụ ike ọrịa na folds-eduga ná mmepe nke fibrous anụ ahụ na stenotic mpaghara OBD ampoules.

Dị ka a maara, na Ọdịdị nke BDS ozugbo emetụta mmadụ afọ. People nke elu afọ na cholelithiasis ịta ahụhụ-sclerotic atrophic ụdị adịghị ala ala papillita. The nkeji, nke na-adịghị ahụ ruru afọ iri isii afọ ná mba ọzọ, n'okpuru hyperplastic mgbanwe BDS (adenomatous, adenomiomatoznye).

Adịbeghị anya, n'ihi na eziokwu na, nchoputa nke ọrịa BDS endoscopes na-eji, ọ bụ omume na-n'ụzọ doro anya ọdịiche dị n'etiti constrictive na catarrhal (nestenoziruyuschy) papillitis. The mbụ ụdị nke daa ọrịa metụtara na cholelithiasis. Ọ bụrụ na ahụ adịghị na-etolite nkume, mmepe nke ọrịa bụ a-adịghị ala ala ọrịa na-agbasa na Lymph ugbu a.

Bụla stenosis BDS

Dabere na morphological odide ndị atọ forms of stenosis:

• mkpali-sclerotic stenosis - a daa ọrịa nke e ji mgbanwe degrees nke fibrosis;
• fibrocystic stenosis - a mgbagwoju anya nke na e guzobere fibrosis na cysts kpụrụ obere - dịịrị glands n'ike n'ike enwekwukwa apịpụta muscle emep uta eri;
• adenomiomatozny Stenosis - daa ọrịa, na nke adenomatous hyperplasia glands, nakwa dị ka eriri hypertrophy nke ezigbo uru na fibrous overgrowth akwara, a mebiri nke ukwuu mgbe pụtara na ndị agadi.

Ke adianade do, onya stenosis BDS nkewa:

• bụ isi,
• sekọndrị.

Primary stenosis adịghị akpata mgbanwe opi mgbailu. Pathology mere site degenerative mgbanwe nke papilla, nke na-egosi na atrophy nke muscular oyi akwa. Mgbe ụfọdụ, isi stenosis bụ a congenital nkwarụ.

Secondary stenosis bụ a N'ihi ya nke ẹdude mgbanwe Ọdịdị n'ihi mmerụ papillae Mbugharị nkume ma ọ bụ ịwa ahụ.

Dabere na n'ókè nke mgbasa nke ọrịa stenosis BNS mbak:

• on dịpụrụ adịpụ,
• nkịtị.

nchọpụta nsogbu

Ka ụbọchị, na nkà mmụta ọgwụ na-eji nnọọ ole na ole ụzọ dị irè nke nchọpụta nsogbu OBD ọrịa. Ka anyị tụlee ụfọdụ n'ime ha. Endoscopic ultrasonography - a na Usoro nke na-eji ngwa anya ngwaọrụ - na endoscope - a ọmụmụ rụrụ OBD Ọdịdị. Photography papilla, mere na a yiri na-amụ, e hotara n'elu.

Transabdominal ultrasonography - screening ule usoro eji ultrasound, nke na-enye ohere n'ụzọ ziri nnọọ ezi mata bughi mgbanwe gallbladder, imeju, pancreas, na ducts. Ke adianade do, usoro-ekpebi homogeneity nke uji eze na ńsí eriri afo motility, ọnụnọ / enweghị intracavitary inclusions.

The ọzọ usoro Ịchọpụta Otú Nsogbu pathologies BDS - ultrasonic cholecystography - mkpachapụ, via nke nyochara moto-esi kpọpụ mmadụ nile ọrụ nke ńsí eriri afo ruo awa abụọ mgbe na-anata choleretic nri ụtụtụ.

Dynamic hepatobiliary scintigraphy - a usoro, nke dabeere - Assessment nke absorptive-excretory ọrụ nke imeju. Fractional chromatic duodenal probing ikpebi ụda olu nke ńsí eriri afo; colloidal kwụsie ike hepatic bile nta na ya bacteriological mejupụtara. Mgbe gastroduodenoscopy atụlekwa ala nke BDS, nakwa dị ka chọpụtara nke ọdịdị nke bile-aghọ dị. Tụkwasị na nke a ụzọ e a na kọmputa tomography na laabu nchọpụta nsogbu.

BDS: ọgwụgwọ

Ndabere nke ọgwụgwọ nke stenosis nke BDS nwere ọrụ iji weghachi nkịtị eruba nke bile na pancreatic ihe ọṅụṅụ n'ime duodenum. Dị na a na ebumnobi e nwere ọtụtụ ụkpụrụ, idebe nke ga-enyere iji nweta ihe ịga nke ọma na ọgwụgwọ nke:

• psychotherapy, ọgwụgwọ nke neuroses, akawanye mmiri ọgwụ na-etoju, ileda nchegbu, ntụrụndụ, na nri kwesịrị ekwesị;
• Ọgwụgwọ nke pathologies nke abdominal uji eze,
• mkpochapu dyspeptic ihe.

Iji kpochapụ koro ndị mmadụ n'elu ọrịa na-eji sedatives infusions ma ọ bụ decoctions dị iche iche herbs. Ke adianade do, ọrịa gosiri psychotherapy.

Otu ihe dị mkpa akụrụngwa nke ọma ọgwụgwọ bụ nri:

• fractional nri;
• abstinence ịṅụ mmanya na carbonated ọṅụṅụ, dị ka nke ọma dị ka na-ese siga na e ghere eghe ihe oriri;
• ịmachi mbanye egg yolks, mmiri, ude, ike kọfị na tii na;
• Ugboro eri kabeeji, wheat bran na buckwheat;
• anata antispasmodics, nke wepu mgbu ọgụ.

BDS stenosis a na-emeso site na ịwa ahụ ụzọ. Ịmata Ọdịiche nekorrigiruyuschie na-agbazi ọrụ. The mbụ gụnyere endoscopic PST, probing BDS.

Na oge nke ngbaghara na ọrịa na mgbakwunye na nke na-eri na-atụ aro mmezi ọgwụ - uru ndị kwa na-eje ije, ụtụtụ jimnazum, igwu mmiri.

Ná nchịkọta, o nwere ike chịkọtara na ọtụtụ digestive ọrịa ime megide ndabere nke a malfunction nke otu obere ụlọ. Dị otú ahụ imebi ịkpata oké nsogbu na ahu na bụ mgbe amenable ka mgbazi naanị site n'ịwa ahụ. Nke ahụ bụ ihe BDS.