Virsungov pancreatic bututu. Fadada Wirsung bututu

Da muhimmancin da pancreas ne unusually manyan. Wannan jiki a waje (exocrine) da kuma ciki (endocrine) mugunya ne da hannu a cikin narkewa kamar tsari da kuma tsari na jiki ta lipid, carbohydrate da kuma gina jiki metabolism. Matsaloli a cikin jikin aikin nuna a kan Jihar Wirsung bututu. M kumburi da prostate nuna ta fadada, kuma a kullum pancreatitis kiyaye ta fadada, cike da koyaswa yankunan stenosis (takaita). A cututtuka gland shine yake excretory bututu canje-canje faruwa gano yin amfani da zamani bincike hanyoyin.

Virsungov bututu

Babban pancreatic bututu kara tare da dukan tsawon na pancreas, kai da raya surface daga gare ta. Virsungov bututu kafa Fusion na karami ductal lobular jiki yana da wani talakawan tsawon na 20 cm. Wannan tashar ne sau da yawa terminates a duodenum, a shafin na samuwar irin wannan jiki, kamar wani sphincter. Sanyata dangantaka ductless gland shine yake zuwa da duodenum aikin isa, shi ne sakamakon aiki ne samar da pancreatic ruwan ciki Gut kudaden shiga.

A size da kuma siffar da bututu Wirsung mutane da yawa ba su guda da kuma dogara a kan mutum tsarin da kwayoyin. Mafi yawa daga shi ne a hade tare da na kowa bile bututu (na kowa bile bututu) da kuma shiga cikin duodenum. A rabo daga ta extremities da na kowa bututu iya zama daban-daban. Ware 4 da irin:

• Hadin gwiwa biyu inflow bututu a cikin hanji, inda suka samar da asali vial. Sphincter na Oddi a cikin wannan harka, rufe duka biyu da ya kwarara, gaba daya rufe su a ta raguwa. Wannan irin na faruwa a 55% na lokuta.
• Fili biyu ducts kusa da duodenum ba tare da samuwar janar ampoules. Wannan irin halin da 33,6%.
• Raba fadowa cikin duodenum na kowane daga cikin ducts. Wannan shi ne wani rare irin rabo ya auku a 4%.
• Tattara abubuwa masu kyau bututu a wani babba nesa daga papilla na Vater. Dukansu suna bude zuwa duodenum kuma shãfe su katangu. Aƙalla 8.5% daga cikin lokuta nuna cewa hadakar dabam.

Wadannan sifofin suna da muhimmanci da isasshen lokacin da alama na pathological gyare-gyare Wirsung bututu. Dangantaka da na kowa bile bututu zuwa babban bututu da kuma shugaban gland, da dangantaka da duodenum taka muhimmiyar muhimmancin a cikin fahimtar da kuma ci gaban mai yawan pathologies da kuma cututtuka na ciwon daji na pancreas.

duban dan tayi hoto

Gyare-gyare na pancreas (sosai Gabar parenchyma) za a iya lalacewa ta hanyar daban-daban dalilai. Su ne bayyane a karkashin duban dan tayi jarrabawa, wanda ya yale mu mu kimanta girman da kuma tsarin da parenchyma, ganin contours na pathological yanayi, kazalika da jihar na prostate ducts. The fasali na musamman cututtuka, diagnosable a dubawa, kuma ya nuna m bambancin da zai iya rungumi virsungov pancreatic bututu.

Ba zato ba tsammani, shi ya kamata a lura cewa mutane da yawa lafiya da mutane zai iya fuskanci bayyanar cututtuka na yaxuwa canje-canje hade da muhalli halin da ake ciki da kuma yin amfani da kayayyakin da daban-daban magungunan adana da kuma cakosoban.

Ãyõyin munanan ta hanyar duban dan tayi

Mai gano cututtuka kamar pancreatitis, m kuma na kullum siffofin pankreolitiaz, cysts da sauran pathologies.

Yaxuwa parenchyma karuwa gland shine yake akai-akai wanzar da matsananciyar pancreatitis. A jarrabawa jiki contours Heart, za a iya lura a tsarinta makafi spots cewa zai iya zama da sakamakon hemorrhage ko necrosis gland shine yake. M fadada Wirsung kwarara ducts da sauran gland.

A kullum irin pancreatitis jiki size iya ba sha canje-canje. Its contours ba zama mai hazo da kuma m. Echo gland shine yake nama yana rage. A gaban fibrosis lura da hatimi parenchyma virsungov bututu da aka quntata kuma maras kyau, da kuma ganuwar ta an shãfe haske. Sau da yawa ya bayyana a take hakkin giciye-bututu ciwon daji. Similar kumburi canje-canje ne a sakamakon samuwar cysts, kuma calcification.

Da samuwar duwatsu a cikin parenchyma ko pankreolitiaz, shi ne sakamakon da kumburi tafiyar matakai na prostate, ko keta da outflow na enzymes. Da farko ya lura stagnation a cikin ducts na jiki, sakamakon fadada Wirsung bututu. A na gaba mataki na pathological jihar na shaida na gina jiki a cikin pancreatic ruwan 'ya'yan itace da kuma jinkiri na calcifications cewa duban dan tayi ne da aka bayyana a cikin wani nau'i na yaxuwa karuwa a echogenicity na parenchyma. Advanced siffofin da cutar take kaiwa zuwa pankreolitiazu.

A cikin gland shine yake tsarin na iya shafar wasu pathological yanayi na ciki gabobin (na kullum zuciya maye, hepatitis, cirrhosis).

Sabawa gano a cikin pancreas, shi yana iya zama saboda daban-daban cututtuka, amma sau da yawa causative dalilai aiki pankreolitiaz da pancreatitis.

pancreatitis

Daga wani asibiti bisa pancreatitis (kumburi da pancreas) ne iya gudãna daga ƙarƙashinsu, a cikin m ko na kullum form. A sabili da cuta na iya zama ƙarshe na ruwan kudaden shiga generated da jiki a cikin duodenum saboda da blockage na bututu. A doguwar kumburi da prostate enzymes fara zuwa nike nasu cell. A sabili da kumburi iya zama lalacewar da prostate, saboda da kumburi.

M pancreatitis ne sau da yawa saboda da gaban gallstones, wanda block ducts ko shan barasa, sakamakon gano occlusion Jiki kananan ducts.

Pankreolitiaz

Pankreolitiazom kira wani pathological yanayin halin da samuwar duwatsu a Wirsung bututu ciwon daji ko ta ramifications. ÃyõyinSa da cutar suna cramping zafi a cikin epigastric yankin, haskakawa da lumbar yankin.

A gaban duwatsu, da hana outflow na pancreatic ruwan 'ya'yan itace take kaiwa zuwa narkewa kamar matsaloli. Tare da irin wannan stagnation a Amurka ya bayyana cewa virsungov kwarara kara girman da kuma lura Tensile kananan bututu katangu.

Duk da haka, ya kamata a tuna da cewa duban dan tayi hoto ba ya bayar da cikakken bayani ga yin ganewar asali. Dole a gudanar da wani ƙarin dubawa. Tun sau da yawa ganewa na yaxuwa gyare-gyare pancreas ko hanta, misali, virsungov bututu ba visualized. Bincika da shi a cikin mafi daki-daki, ga taimaka sauran bincike hanyoyin.

Haduwar ganewar asali

The wuya daga cikin ganewar asali na wannan Pathology ake dangantawa da pancreas located. Shi ne zurfi isa a jikin mutum. Ta gudanar da bincike kamata a da za'ayi ta Ƙwararren ma'aikaci ne kawai, kuma sun hada da ci gaba instrumentation da dakin gwaje-gwaje dabaru. Wannan a hankali gudanar da binciken matakan da pancreatic enzymes (pancreatic isoamylase, lipase, trypsin a fitsari, jini a cikin duodenal abinda ke ciki). Domin su tsayar da insufficiency na exocrine gland wajibi ne a ayyana Manuniya na fecal elastase a cikin tumbi. An muhimmanci kowa jini gwajin, kimantawa na glucose, ciki sonography, Doppler.

Domin axial yanka na ciki MRI nada.

A wani fairly hadaddun yanayi kuma yi bincike laparoscopy. Saboda pancreatic aiki sau da yawa ma tasiri da Pathology na pancreatic bututu da kuma biliary fili, a hankali kwashe ERCP.

MR cholangiography

Magnetic rawa cholangiopancreatography a obstructive nau'i na pancreatitis damar zuwa karatu a cikin daki-daki, da yanayin Wirsung bututu. Wannan shi ne daya daga cikin mafi hanyoyin zamani na ba-ionizing jarrabawa na gallbladder kuma ta ducts da pancreatic bututu. Yana samar da wata dama don samun mafi m bayani game da jihar na wadannan gawawwaki, domin sanin da kasancewar a cikin su na polyps, duwatsu, strictures, ganin gyare-gyare a cikin tasoshin da kuma Lymph nodes.

magani

Jiyya gano a cikin pancreas yaxuwa canje-canje iya za'ayi ra'ayin mazan jiya da kuma na sarrafawa hanyoyin. Zabi daidai magani dabarun dogara sun fi mayar a kan yanayin da cutar, kasancewar concomitant cututtuka da kuma janar yanayin haƙuri.

Sau da yawa saboda marigayi ganewar asali da kuma lura da echogenic ãyõyin komowar, ba ci baya.

Restoration of al'ada jiki Tsarin mai yiwuwa ne kawai idan za'ayi a cikin wani dace hanya dace far da kuma yarda da duk shawarwari da gwani.