Ngatidzidzei zvakawanda nezve nyongo yenyu. Izvi zvakakosha chaizvo!

Nhasi tichataura nezvehurongwa hunoshamisa huri mumuviri wedu hunotibatsira kugaya chikafu chatinodya. Hunonzi Biliary System . Ungave wakambonzwa zita iri kare. Zvichitaurwa zviri nyore, i network yenhengo dzakabatana uye nzira dziri mukati memuviri wedu. Zvakafanana nefekitori diki inobatsira muviri wedu.

Chii chinonzi Biliary System? Sei ichikosha kwatiri?

Zvakanaka, ngatitangei tatarisa kuti iyi nyonganiso yemudumbu chii. Iyi ndiyo nyonganiso inogadzira, inochengeta, uye inoburitsa nyonganiso mudumbu redu kana zvichidikanwa. Ungave uchishamisika kuti nyonganiso chii. Nyonganiso imvura yeruvara rweyero-girini inogadzirwa nechiropa chedu. Basa rayo guru nderekubatsira kugaya chikafu chatinodya, kunyanya chikafu chine mafuta.

Saka, sisitimu iyi ye bile ine rimwe basa rakakosha. Kureva kuti, inobatsira kubvisa mamwe marara mumuviri wedu kuburikidza nebile iyi. Kureva kuti, sisitimu iyi haingobatsiri mukugaya chikafu chete, asiwo inobatsira kuchengetedza muviri wedu wakachena. Unonzwisisa here? Ndosaka izvi zvichikosha kwatiri.

Sisitimu yenyongo iri kupi? Ndezvipi zvikamu zvayo zvikuru?

Iye zvino ngationei kuti chirongwa ichi che nyongo chiri kupi mumuviri wedu. Chiri kumusoro kwedumbu redu. Kuti zvive pachena, divi rekurudyi ndiro riri nhengo zhinji dzemuviri.

Kune zvikamu zvikuru zvehurongwa uhu:

Chiropa: Mubiki mukuru wemuviri wedu!

Chiropa ndicho chinhu chikuru muhurongwa uhwu. Chinogadzira bile . Kwete izvozvo chete, asi pakuchenesa ropa redu, chinoparadzanisawo marara akadai secholesterol yakawedzerwa nebilirubin (iyo inoita kuti bile ive neruvara rweyero) uye chinoawedzera mubile. Maacids ebile ari mubile anogadzirwawo nechiropa, icho chinoshandisawo cholesterol. Maacids aya ebile anobatsira ura hwedu hudiki kugaya chikafu. Bile, iyo inoungana kuburikidza nemaducts ebile akanaka kwazvo mukati mechiropa ('intrahepatic ducts'), inozowedzerwa kumaducts makuru ebile anobuda muchiropa ('extrahepatic ducts').

Mapaipi enyongo: nzira dzakanaka dzinotakura nyongo

Aya ndiwo maburi anounganidza bile rinogadzirwa muchiropa roendesa kune mamwe masisitimu. Maburi madiki anobatana pamwe chete uye pakupedzisira anobatana mugomba guru rinonzi common bile duct . Iri common bile duct rakabatana zvakananga nechikamu chekutanga cheura hwedu hudiki, duodenum . Iri common bile duct rakabatanawo negomba rehepatic duct rinobva muchiropa, gomba recystic rinobva munduru, uye gomba repancreatic rinobva mupancreas. Funga nezvazvo senzvimbo inoungana migwagwa.

Dundira: Imba diki yekuchengetera zvinhu

Inenge hafu yenyongo inobva muchiropa inoenda zvakananga kupancreas kuburikidza negwara guru renyongo, asi imwe hafu inoenda kunyongo . Iyi inhengo diki yakaita sesaki iri pasi pechiropa. Apa ndipo panochengetwa nyongo uye painoungana. Kana ura hwedu hudiki huchigamuchira chikafu chine mafuta nemapuroteni, hunoda nyongo yakawanda kuti hugaye. Ipapo ura hudiki hunotumira chiratidzo kunyongo, ichiti, "Zvakanaka, tumira nyongo izvozvi." Panguva iyoyo, nyongo inogumira uye inoburitsa nyongo yakawedzerwa kuburikidza negwara.

Pancreas: Mumwe mubatsiri akakosha

Pancreas yedu iri kuseri kwedumbu. Pancreas inopindurawo zviratidzo kubva kupancreas. Asi haiburitse bile. Inoburitsa musanganiswa wemaenzyme anobatsira kugaya makabhohaidhiretsi, mapuroteni, nemafuta. Maenzyme aya anofamba nemumugero wepancreas oungana apo mugero mukuru webile unosangana nepancreas. Dzimwe nguva muunganidzwa uyu, mugodhi mudiki uko maenzymes ebile nepancreas anoungana kwenguva pfupi, unonzi ampulla yeVater .

Ura hudiki - kunyanya duodenum: nzvimbo inoungana zvinhu zvese

Chikamu chekutanga cheura hwedu hudiki chinonzi duodenum . Apa ndipo panosangana sisitimu yenyongori nezvimwe zvese zvedumbu redu. Kana nyongori yasvika muura hudiki, nyongori dzirimo dzinoparadzaniswa. Tsvina yasara inoburitswa mutsvina. Nyongori dzinopatsanurwa dzinobatsira kuputsa mafuta ari muura. Zvadaro, nyongori dzinotorwazve kuburikidza nemadziro edumbu kuenda muropa dzodzoserwa kuchiropa. Izvi zvakafanana ne 'recycling'.

Ndezvipi zvirwere zvinowanzo kanganisa nyongo?

Nekuti nhengo dzese dzemuviri nemidziyo yeropa iri dzakabatana zvakanyanya, kana chirwere chikaitika munzvimbo imwe chete, chinogona kukanganisa dzimwe nzvimbo zviri nyore. Kunyanya, hutachiona nekuzvimba zvinogona kupararira kune nhengo dziri pedyo dziri mumidziyo yeropa. Zvakare, kana chimwe chinhu chikavhara kufamba kweropa, chinokanganisa system yese.

Heano mamwe ezvirwere zvakajairika zvinogona kuitika mune ino system:

• Matombo eGallstone: Ichi chirwere chinowanzoitika vanhu vazhinji vakanzwa nezvacho. Kana matombo akaumbwa mugallstone ogara mumigero ye bile, kunyanya mumigero ye bile, anogona kukonzera kurwadziwa kwakanyanya mudumbu, kuzvimba kwegallstone (cholecystitis), uye dzimwe nguva kunyange pancreatitis inogona kuzvimba, yatinodaidza kuti gallstone pancreatitis .
• Kuora kwecholestasis:Zvichitaurwa zviri nyore, apa ndipo apo kuyerera kwenyongo kunononoka kana kuvharika zvachose. Izvi zvinogona kunge zvichikonzerwa nekuti chiropa hachibudisi nyongo zvakanaka, kana kuti nzira dzemudumbu dzinogona kuvharika neimwe nzira.
• Kuoma kwenyongo: Kuzvimba kwenguva refu kwenyongo kunogona kukonzera mavanga kuumbwa, kuita kuti nyongo dzitete uye dzivhare nyongo. Izvi zvinogona kukonzerwa nezvirwere zvenhaka kana zvirwere zve autoimmune .
• Chirwere chechiropa: Chirwere chechiropa chinogara kwenguva refu chinogona kukonzera mavanga pachiropa, zvichikonzera kuti chiropa chisashande zvakanaka zvishoma nezvishoma. Chirwere ichi chinonzi cirrhosis . Chiropa hachizokwanisi kugadzira bile rakakwana.

Kuwedzera kune izvi, kune zvimwe zvirwere:

• Chirwere chepancreatitis chisingaperi
• Zvirwere zvepancreatic
• Biliary dyskinesia (kusashanda zvakanaka kwenyongo)
• Chirwere chekutanga che sclerosing cholangitis
• Chirwere chekutanga che biliary cholangitis
• Biliary atresia (chirwere chekuzvarwa nacho)
• Kusabatwa kweasidhi ye bile
• Kenza yemudumbu webhiri (`Kenza yemudumbu webhiri` / `Cholangiocarcinoma`)
• Kenza yechiropa
• Kenza yepancreatic
• Kenza yenyongo
• Kenza yemudumbu

Ndezvipi zviratidzo zvechirwere che biliary system? Ziva izvi!

Kana paine dambudziko nehurongwa hwenyongo, muviri wedu unotipa zviratidzo zvakawanda. Zvakakosha kuti uzive zviratidzo izvi.

• Jaundice: Ichi chirwere apo machena emaziso neganda anoshanduka kuita yero. Izvi zvinoitika kana bile risingakwanise kuyerera zvakanaka, rovharika mumuviri, uye roungana muropa. Bile rinopihwa ruvara rwaro rweyero neruvara runonzi bilirubin .
• Biliary colic: Uku kurwadziwa kwakanyanya. Kunowanzoitika nguva pfupi mushure mekudya. Kurwadziwa uku kunoitika kana gallbladder yabatana yoburitsa bile mudura guru rebile, uye panenge paine kuvharika (sedombo). Kurwadziwa kunowedzera zvishoma nezvishoma, kusvika padanho repamusoro, uye kwozodzikira zvishoma nezvishoma.
• Kusvotwa nekurutsa: Zviratidzo izvi zviviri zvinowanzoenderana nekurwadziwa kwenyongo. Dzimwe nguva, pamwe chete nejaundice, kuda kurutsa kunoramba kuripo uye kurutsa zvinogona kuitika. Izvi zvinokonzerwa nehupfu hwenyongo hunoungana muropa.
• Steatorrhea: Kana bile kana bile acids zvikasasvika muura hudiki zvakanaka nekuda kwechimwe chikonzero, mafuta ari muchikafu chatinodya haagayiwe kana kutorwa nemuviri. Zvadaro, mafuta acho anobuda pamwe chete netsvina. Tsvina inogona kunge ine mafuta uye inoyangarara pamusoro.

Kuwedzera kune izvi, panogona kunge kune zvimwe zviratidzo:

• Kurwadziwa kwemudumbu repamusoro.
• Weti ine ruvara rwakasviba.
• Kuvhiringidzika kana kutadza kunzwisisa zvishoma.

Zvakakosha: Kana uine chimwe chezviratidzo izvi kana kupfuura, iva nechokwadi chekutsvaga mazano kuna chiremba. Kana chirwere ichi chikaonekwa nekukurumidza, zvinova nyore kurapa.

Ndezvipi zviedzo zvinogona kubatsira kuona hutano hwe biliary system yangu?

Kana uine zviratidzo zvataurwa pamusoro apa, chiremba wako anogona kuraira bvunzo dzakasiyana-siyana kuti aone hutano hwehurongwa uhwu.

• Kuongororwa kweropa: Kuongororwa kwebasa rechiropa (LFTs) uye kuongororwa kwebasa repancreas kunotsvaga ma enzymes echiropa nepancreas akakwira. Kuongororwa kweropa kwakazara (CBC) kunogona kutsvaga huwandu hwemasero machena eropa akakwira. Kuongororwa kwemasero machena eropa kwakakwira kunogona kuratidza hutachiona kana kuzvimba.
• Miedzo yekufungidzira: Miedzo yekutanga yakaita se ultrasound yemudumbu kana CT scan inogona kubatsira kuona kana paine kuvharika kana kuzvimba chero kupi zvako mu nyongori.
• Kuongororwa kwemifananidzo kwakasarudzika: Kune bvunzo dzakasarudzika dzinogona kutarisa zvakadzama muhurongwa hwenyongo. Mimwe mienzaniso ndeiyi:
• Ultrasound yeEndoscopic (EUS)
• Kuongororwa kweHepatobiliary (HIDA scan)
• Magnetic resonance cholangiopancreatography (MRCP)
• Endoscopic retrograde cholangiopancreatography (ERCP). Izvi zvinoshandiswa sekuyedza uye kune mamwe marapirwo.

Ndezvipi zvinorapwa zvezvirwere zve biliary system?

Chinhu chakanaka ndechekuti pari zvino kwava nemishonga inoshanda yezvirwere zvakawanda zvemudumbu. Nzira yekurapa inosiyana zvichienderana nerudzi rwechirwere uye kuoma kwacho.

• Kuburitsa tsvina yemudumbu: Iyi inzira iri nyore. Inoitirwa kubvisa tsvina yakawandisa yakaungana mumigero yemudumbu. Chiremba anoisa chubhu tete (catheter) nepamadziro edumbu rako muhurongwa hwemudumbu wako uye anoburitsa tsvina yemudumbu nepairi.
• Kurapa neEndoscopic: Munguva yeERCP , mamwe marapirwo anogona kuitwa kuburikidza ne endoscope (chubhu diki ine kamera yakabatanidzwa). Semuenzaniso, kana paine chakavharika, chinogona kubviswa, sampuli yenyama (biopsy) inogona kutorwa, kana chubhu diki ( stent ) inogona kuiswa kuti duct irambe yakavhurika.

Mune zvimwe zviitiko, kunyanya kune zvirwere zvakaita sematombo emunduru, kuvhiyiwa kubvisa gallbladder (cholecystectomy) kunogona kudiwa. Kune kenza, kurapwa kwakaomarara kwakadai sekuvhiyiwa, radiotherapy, kana chemotherapy kunogona kudiwa.

Chii chatingaita kuti nyongo yedu irambe iine hutano?

"Kudzivirira kuri nani pane kurapa." Kureva kuti, zviri nani kudzivirira chirwere chisati chaitika pane kuchirapa mushure mekunge chaitika. Saka, pane zvinhu zvishoma zviri nyore zvatingaita kuti nyongo yedu irambe iine hutano.

• Ramba uchidya zvine hutano: Idya zvekudya zvechisikigo zvakawanda zvisina kugadzirwa (zvekudya zvese) sezvinobvira. Deredza kudya zvine shuga yakawanda nemafuta akazara. Izvi zvichaita kuti chiropa chako chigare chine hutano uye kudzora huwandu hwecholesterol yako. Yeuka kuti cholesterol yakawandisa inogona kukonzera matombo emunduru uye chirwere chechiropa chine mafuta akawanda.
• Deredza kushandisa doro nemishonga zvisina kufanira: Kushandisa doro zvakanyanya uye zvisina kufanira uye mishonga, senge mimwe mishonga inoderedza marwadzo, ndizvo zvinonyanya kukonzera matombo emudumbu uye chirwere chechiropa. Kana uine chirwere che biliary system, zvinhu izvi zvinogona kuita kuti zvinhu zviwedzere kuipa.
• Wana nguva yekuongororwa nachiremba: Zvimwe zvirwere zvemudumbu zvinogona kugara mumuviri kwenguva yakareba pasina kuratidza zviratidzo zvikuru. Saka, usapotsa kuongororwa nachiremba nguva dzose ('kuongororwa kwehutano'). Zvadaro, kana paine chirwere, chinogona kuonekwa pakutanga. Zvakare, taura nachiremba wako nezvemishonga yauri kutora uye ona kana ichikuvadza chiropa.

Saka, chinhu chekupedzisira chakakosha kurangarira! (Mharidzo Yekuenda Kumba)

Sisitimu yedu yenyonganiso chikamu chakakosha chegadziriro yedu yekugaya chikafu pamwe chete nehurongwa hwedu hwekufamba kweropa. Kana ikasashanda zvakanaka, inogona kukanganisa zvese kubva pakugaya chikafu kusvika pakudya kwedu. Inogonawo kubvumira chepfu kuungana mumiviri yedu uye kudzokera muropa redu.

Nhengo dziri muhurongwa uhwu, dzakadai sechiropa nepancreas, dzine mamwe mabasa akawanda. Saka, kana nhengo idzi dzikarwara, hazvizongokanganisi chete hurongwa hwenyongori, asiwo mamwe masisitimu ane chekuita nenhengo idzi. Saka, usakanganwa kuti hurongwa hwenyongori hwakanaka hwakakosha kuti muviri uve neutano hwakanaka. Chengetedza muviri wako, uye kana ukaona chimwe chinhu chisingawanzoitiki, usave neusimbe hwekutsvaga mazano echiremba.

` Sisitimu yenyongori, gallbladder, chiropa, ducts yenyongori, kugaya chikafu, jaundice, matombo enyongori