Ngatidzidzei nezvegamba diki remudumbu medu: Ampulla yeVater.

Wakambozvibvunza here kuti tinogaya sei chikafu chatinodya? Inzira yakaoma kwazvo, asi hatifungi zvakanyanya nezvezvikamu zvidiki zviri mukati memiviri yedu zvinoibatsira, handiti? Nhasi tichataura nezvenhengo isinganyanyozivikanwa iyo inoshanda chinyararire mubasa guru mukugaya kwedu. Ndiyo "Ampulla yeVater." Kunyangwe zita rayo ringanzwika serisinganzwisisike, basa rayo rinokosha zvikuru.

Saka, ndiani uyu Ampulla weVater? Ari kupi?

Zvichitaurwa zviri nyore, ampulla yeVater chikamu chegadziriro yedu yekugaya . Kutaura chokwadi, iri pakati pedumbu redu, pedyo zvikuru nenhengo dzinokosha dzakadai sepancreas , chiropa , ura hudiki, uye gallbladder . Funga nezvazvo senzvimbo inosangana migwagwa miviri. Saizvozvo, ampulla yeVater inoumbwa panosangana duct yedu yebile ( chubhu inotakura bile kubva pachiropa negallbladder ) uye duct yepancreatic (chubhu inotakura muto wekugaya kubva kupancreas). Mvura inobva mumaducts maviri aya, kureva bile (inobatsira kugaya mafuta) uye muto wepancreatic (inobatsira kugaya mapuroteni nemacarbohydrates muchikafu), inosanganiswa yozoenda kuchikamu chekutanga cheura hwedu hudiki . Tinoidana kuti duodenum . Saka ampulla iyi yemvura yakafanana nenzvimbo iyo mvura idzi dzinokosha dzinogara kwenguva yakati uye dzobva dzaita kuti dziende kuduodenum kana zvichidikanwa. Dzimwe nguva vanachiremba vanoidanawo kuti hepatopancreatic ampulla.

Ampulla iyi yeVater inoshanda sei?

Zvakanaka, ngationei kuti chikamu ichi chidiki chinoshanda sei. Pakupera kweampulla iyi yeVater, painobatanidza neduodenum, pane kaburi kadiki. Iyi inonzi major duodenal papilla kana papilla yeVater. Funga nezvayo sepombi yemvura. Pane mhete yakakosha yemhasuru inodzora kaburi aka. Inonzi sphincter yeOddi . Izvi ndizvo zvinoita semuchengeti wegedhi. Kana chikafu chikapinda muduodenum, iyi sphincter yeOddi inovhurika, ichibvumira bile nemuto wepancreatic zvakaunganidzwa muampulla kupinda muduodenum. Apa ndipo panotanga kusanganiswa kwezvikafu uye kugaya kwakakodzera. Zvadaro, vharuvhu iyi inovhara, ichidzivirira chikafu kuti chisadzokere muampulla. Inzira inodzorwa neunyanzvi.

Saka basa guru reiyi hepatopancreatic ampulla nderei?

Basa rayo guru nderekubatanidza zvikamu zvakasiyana zvegadziriro yedu yekugaya chikafu. Kutaura chokwadi:

• Inoshanda senzvimbo diki yekuchengetera nyongo nejusi repancreas kwenguva pfupi .
• Mvura idzi, dzinobatsira muviri wedu kugaya chikafu uye kunwa zvinovaka muviri, dzinoita kuti duodenum ikwanise kuburitsa chikafu ichi panguva yakakodzera uye nehuwandu hwakakodzera .

Zvichitaurwa zviri nyore, kuti muviri uwane simba kubva muchikafu chatinodya, shamwari iyi diki inonzi Ampulla yeVater inofanira kunge ichishanda nemazvo.

Chimiro cheampulla iyi yemvura chakaita sei?

"Ampoule" izwi rechiLatin. Rinoreva "bhodhoro diki" kana chimwe chinhu chakaita se "chirongo." Pamwe wakamboona mamwe mabhodhoro akafara pasi uye akatetepa kumusoro. Ndizvo zvakaita iyi Ampulla yeVater. Ibhegi diki, rakafuridza zvishoma, rakaita sechirongo . Rakaita denderedzwa kune rimwe divi uye rakaita sekona kune rimwe.

Ndezvipi zvirwere zvinogona kukanganisa ampulla yeVater?

Kazhinji, anoita basa rake asina zvaanokwanisa kuita. Asi dzimwe nguva matambudziko anogona kumuka. Ngationei kuti ndeapi:

Adenoma yeAmpullary

Iri ibundu diki rinoumbwa mukati meampulla. Kutaura chokwadi, ipolyp . Izvi zvinowanzova zvirwere zvisina kenza. Hazviratidzi zviratidzo zvakakosha. Zvinowanzoonekwa netsaona panguva ye endoscopy yeimwe dambudziko remudumbu. Zvisinei, dzimwe nguva adenoma iyi inogona kukura kuita kenza. Kana izvozvo zvikaitika, vanachiremba vanokurudzira kuibvisa nekuvhiyiwa (resection).

Kenza yemudumbu

Mapolyps ataurwa pakutanga dzimwe nguva anogona kuchinja kuita kenza. Iyi imhando yekenza isingawanzoitiki . Inowanzoonekwa kuvanhu vane makore ekuma70. Kana mumwe munhu mumhuri aine chirwere chakadai sepolyposis syndrome, kana kuti ane nhoroondo yemhuri yemhando dzakasiyana dzekenza yemudumbu (hereditary nonpolyposis colorectal cancer), njodzi yekubatwa nekenza iyi yakanyanya kukwira. Kana ikaonekwa nekukurumidza, kuvhiyiwa kunogona kuitwa kubvisa bundu. Kana rapararira zvishoma, chemotherapy nemwaranzi zvinogonawo kudiwa.

Matombo eGallstone

Dzimwe nguva matombo emunduru anogona kunamirwa muampulla yeVater. Ichi chirwere chine njodzi uye chinogona kuisa hupenyu pangozi. Kana izvi zvikaitika, chiremba anovhiyaMatombo anobviswa kuburikidza ne endoscopy.

Kana paine dambudziko rakati remushonga we ampulla, zviratidzo zvipi zvaucharatidza?

Fungidzira, chii chinoitika kana polyp, bundu rekenza, kana dombo remunduru zvikanamatira mukati meampulla? Ipapo nyongo inobva mumugero wenyongo uye muto wekugaya kubva mumugero wenyongo usingakwanise kuyerera zvakanaka. Izvi zvinoreva kuti nzira yacho yakavharwa . Ndipo panotanga kuoneka zviratidzo zvakasiyana-siyana. Semuenzaniso:

• Unogona kurwadziwa nemudumbu .
• Utachiona hwebhakitiriya hwemumaburi enyongo (cholangitis) hunogona kukonzera fivha uye jaundice (kutsvuka kwemaziso neganda).
• Kusvotwa nekurutsa zvinogona kuitika.
• Kuzvimba kwepancreas, kana kuti pancreatitis , kunogona kuitika.
• Unogona kuona kudzikira kwehuremu hwemuviri .

Kana uine chimwe chezviratidzo izvi kana kupfuura, zvakakosha kuti utsvage rubatsiro kubva kuna chiremba.

Tingachengetedza sei ampulla iyi yemvura iine hutano?

Kutaura chokwadi, nyanzvi hadzisati dzaziva kuti tingadzivirira sei kukura kweampullary polyps kana kenza. Zvisinei, pane zvinhu zvishoma zvatinogona kuita kudzivirira matombo emudumbu uye kuchengetedza kugaya kwedu kwese kwakasimba.

• Dzivisa zvekudya zvine makabhohaidhiretsi akacheneswa. Izvi zvinoreva kuderedza zvekudya zvakagadzirwa neupfu hwechingwa nezvikafu zvine shuga yakawanda sezvinobvira.
• Pane kudya zvakakangwa nezvinotapira, sarudza mafuta ane hutano. Semuenzaniso, zvinhu zvakaita semafuta ehove nemafuta emuorivhi zvakanaka.
• Idya zvekudya zvakawanda zvine fiber yakawanda. Michero, miriwo, nyemba, nzungu, uye zviyo zvakakwana mienzaniso yakanaka. Fiber inokosha zvikuru kudumbu redu.
• Deredza kudyiwa kweshuga zvakanyanya sezvinobvira.

Nekutevera zvinhu izvi, uchawana mhedzisiro yakanaka kwete chete kuAmpulla yeVater, asiwo kuhutano hwako hwese.

Pakupedzisira, zvekurangarira (Mharidzo Yekuenda Kumba)

Zvino pamwe wava kunzwisisa kuti iyi Ampulla yeVater igamba diki rinoita basa rakakosha, asi risinganyarari mudumbu medu. Iri panosangana duct yenyongori neduct yenyongori, inounganidza muto wenyongori nepancreatic uye inobatsira kuatumira kudumbu diki (duodenum) kana zvichidikanwa. Ndokusaka chikafu chatinodya chichigayiwa zvakanaka uye muviri unowana zvinovaka muviri.

Saka, tinofanirawo kufunga nezvehutano hwake. Kudya chikafu chakakwana uye kurarama hupenyu hune hutano kunobatsira zvikuru mukudzivirira gamba iri kubva kuzvirwere uye kumubatsira kuita basa rake nemazvo. Nekuti, kana aine hutano, nesuwo tine hutano!