Iqhawe elincane lesimiso sethu sokugaya ukudla: Ake sifunde nge-Ampulla yaseVater.

Wake wazibuza ukuthi sikugaya kanjani ukudla esikudlayo? Kuyinqubo eyinkimbinkimbi kakhulu, kodwa asicabangi kakhulu ngezingxenye ezincane ezingaphakathi kwemizimba yethu ezikusizayo, akunjalo? Namuhla sizokhuluma ngesitho esingaziwa kakhulu esidlala indima enkulu ngokuthula ohlelweni lwethu lokugaya ukudla. Yi-"Ampulla of Vater." Nakuba igama laso lingase lizwakale lingavamile, umsebenzi waso ubaluleke kakhulu.

Ngakho-ke, ubani lo Ampulla waseVater? Uphi?

Kalula nje, i-ampulla ye-Vater iyingxenye yesimiso sethu sokugaya ukudla . Ukuze sibe neqiniso, itholakala phakathi kwesisu sethu, eduze kakhulu nezitho ezibalulekile eziningana njenge -pancreas , isibindi , amathumbu amancane, kanye ne-gallbladder . Cabanga ngayo njengendawo lapho kuhlangana khona imigwaqo emibili. Ngaleyo ndlela, i-ampulla ye-Vater yakhiwa lapho kuhlangana khona i-duct yethu evamile ye-bile ( ithubhu elithwala i-bile kusuka esibindini kanye ne-gallbladder ) kanye ne-duct ye-pancreatic (ithubhu elithwala ujusi wokugaya ukudla kusuka ku-pancreas). Uketshezi oluvela kulezi zindlela ezimbili, okuyi -bile (esiza ekugayeni amafutha) kanye nejusi ye-pancreatic (esiza ekugayeni amaprotheni nama-carbohydrate ekudleni), luhlangana bese luya engxenyeni yokuqala yamathumbu ethu amancane . Silubiza ngokuthi i-duodenum . Ngakho-ke le ampulla yamanzi ifana nendawo lapho lawa manzi abalulekile ehlala khona isikhashana bese evula indlela yokuya e-duodenum lapho kudingeka. Ngezinye izikhathi odokotela bayibiza nangokuthi i-ampulla ye-hepatopancreatic.

Isebenza kanjani le Ampulla yaseVater?

Kulungile, manje ake sibone ukuthi le ngxenye encane isebenza kanjani. Ekupheleni kwale ampulla ye-Vater, lapho ixhuma khona ne-duodenum, kukhona imbobo encane. Lokhu kubizwa ngokuthi i -papilla enkulu ye-duodenal noma i-papilla ye-Vater. Cabanga ngakho njengompompi wamanzi. Kukhona indandatho ekhethekile yemisipha elawula le mbobo. Ibizwa ngokuthi i-sphincter ye-Oddi . Yilokhu okusebenza njengomlindi wesango. Lapho ukudla kungena kwi-duodenum, le sphincter ye-Oddi iyavuleka, ivumela i-bile kanye nejusi le-pancreatic eliqoqene ku-ampulla ukuthi lingene kwi-duodenum. Yilapho lokhu kuhlangana nokudla kanye nokugaya okufanele kuqala khona. Bese, le valve iyavala, ivimbele ukudla ukuthi kugeleze ku-ampulla. Kuyinqubo elawulwa ngobuhlakani kakhulu.

Ngakho-ke uyini umsebenzi oyinhloko walesi sigaba se-hepatopancreatic ampulla?

Umsebenzi wayo oyinhloko ukusebenza njengomxhumanisi phakathi kwezingxenye ezahlukene zesimiso sethu sokugaya ukudla. Ngokuqondile:

• Isebenza njengendawo encane yesikhashana yokugcina i-bile kanye nejusi le-pancreatic.
• Lezi zinhlayiya, ezisiza umzimba wethu ukugaya ukudla futhi zimunce izakhamzimba zakho, zivula indlela yokuthi i-duodenum izikhiphe ngesikhathi esifanele nangenani elifanele .

Kalula nje, ukuze umzimba uthole amandla ekudleni esikudlayo, lo mngane omncane obizwa ngokuthi i-Ampulla of Vater kudingeka asebenze kahle.

Iyini isimo sale ampulla yamanzi?

Igama elithi "Ampoule" liyigama lesiLatini. Lisho "ibhodlela elincane" noma into efana ne-"flask." Cishe uke wabona amabhodlela abanzi phansi futhi anciphile phezulu. Yilokho i-Ampulla ye-Vater eyikho. Isikhwama esincane, esinomoya omncane, esimise okweflask . Siyindilinga kolunye uhlangothi futhi siyindilinga kolunye.

Yiziphi izifo ezingathinta i-ampulla ye-Vater?

Ngokuvamile, wenza umsebenzi wakhe ngokulahlekelwa. Kodwa ngezinye izikhathi izinkinga zingavela. Ake sibone ukuthi ziyini:

I-adenoma ye-ampullary

Lokhu kuyisimila esincane esakheka ngaphakathi kwe-ampulla. Uma sikhuluma iqiniso, kuyi -polyp . Lezi zivame ukuba yizimo ezingezona umdlavuza. Azibonisi zimpawu ezikhethekile. Zivame ukutholakala ngengozi ngesikhathi se-endoscopy yenkinga yesisu. Kodwa-ke, ngezinye izikhathi le adenoma ingaba umdlavuza. Uma lokho kwenzeka, odokotela batusa ukuthi isuswe ngokuhlinzwa (ukususwa).

Umdlavuza we-ampullary

Ama-polyp okukhulunywe ngawo ekuqaleni ngezinye izikhathi angaphenduka umdlavuza. Lolu uhlobo lomdlavuza olungavamile kakhulu . Luvame ukubonakala kubantu abaseminyakeni yabo-70. Uma othile emndenini enesifo esifana ne -polyposis syndrome, noma uma enomlando womndeni wezinhlobo ezithile zomdlavuza we-colorectal (umdlavuza we-colorectal ongeyona i-polyposis ozalwa nefa), ingozi yokuthola lo mdlavuza iphakeme kancane. Uma kutholakala kusenesikhathi, ukuhlinzwa kungenziwa ukuze kususwe isimila. Ezimweni lapho sisakazeke khona kancane, kungadingeka ukwelashwa ngamakhemikhali kanye nemisebe .

Amatshe enyongo

Ngezinye izikhathi amatshe enyongo angabhajwa ku-ampulla ye-Vater. Lesi yisimo esiyingozi futhi esingasongela impilo. Uma lokhu kwenzeka, udokotela ohlinzayoAmatshe asuswa nge-endoscopy.

Uma kukhona uhlobo oluthile lwenkinga nge-ampulla, yiziphi izimpawu ezizoboniswa?

Cabanga nje, kwenzekani uma i-polyp, isimila esinomdlavuza, noma itshe lenyongo libhajwa ngaphakathi kwe-ampulla? Khona-ke inyongo evela emgudwini wenyongo kanye nojusi wokugaya ukudla ovela emgudwini wenyongo akukwazi ukugeleza kahle. Lokho kusho ukuthi indlela ivaliwe . Yilapho izimpawu ezahlukahlukene ziqala khona ukuvela. Isibonelo:

• Ungase ube nobuhlungu besisu .
• Ukutheleleka ngamagciwane emigudwini yenyongo (i-cholangitis) kungabangela umkhuhlane kanye ne -jaundice (ukuphuzi kwamehlo nesikhumba).
• Kungase kube nesicanucanu nokuhlanza .
• Ukuvuvukala kwe-pancreas, noma i-pancreatitis , kungenzeka.
• Ungase uqaphele ukwehla kwesisindo somzimba .

Uma unesinye noma ngaphezulu salezi zimpawu, kubaluleke kakhulu ukufuna iseluleko sezokwelapha.

Siyigcina kanjani le ampulla yamanzi iphilile?

Uma sikhuluma iqiniso, ochwepheshe abakakazi kahle ukuthi bangakuvimbela kanjani ukuthuthukiswa kwama-polyps e-ampullary noma umdlavuza. Kodwa-ke, kunezinto ezimbalwa esingazenza ukuvimbela amatshe enyongo nokugcina uhlelo lwethu lokugaya ukudla luphilile ngokujwayelekile.

• Gwema ukudla okunama -carbohydrate amaningi acwengisisiwe. Lokho kusho ukunciphisa ukudla okwenziwe ngofulawa wesinkwa kanye nokudla okunoshukela omningi ngangokunokwenzeka.
• Esikhundleni sokudla okuthosiwe namaswidi, khetha amafutha anempilo. Isibonelo, izinto ezifana namafutha enhlanzi namafutha omnqumo zilungile.
• Yidla ukudla okuningi okune -fiber eningi. Izithelo, imifino, ubhontshisi, amantongomane, kanye nokusanhlamvu okuphelele kuyizibonelo ezinhle. I-fiber ibaluleke kakhulu ohlelweni lwethu lokugaya ukudla.
• Nciphisa ukusetshenziswa kukashukela ngangokunokwenzeka.

Ngokulandela lezi zinto, uzothola imiphumela emihle kakhulu hhayi nje kuphela kwi-Ampulla ye-Vater, kodwa nasempilweni yakho yonke.

Okokugcina, okufanele ukukhumbule (Umyalezo Wokuya Ekhaya)

Manje cishe usuyaqonda ukuthi le Ampulla yaseVater iyiqhawe elincane elenza umsebenzi obaluleke kakhulu, kodwa othule ohlelweni lwethu lokugaya ukudla. Itholakala lapho kuhlangana khona i-common bile duct kanye ne-pancreatic duct, iqoqa i-bile kanye nejusi le-pancreatic futhi isize ukuyithumela emathunjini amancane (i-duodenum) uma kudingeka. Yingakho ukudla esikudlayo kugaywa kahle futhi umzimba uthola ukudla okunomsoco.

Ngakho-ke, sidinga ukucabanga ngempilo yakhe. Ukudla ukudla okunempilo nokuphila ngendlela enempilo kuzosiza kakhulu ekuvikeleni leli qhawe elincane ekuguleni nasekulisizeni lenze umsebenzi walo ngendlela efanele. Ngoba, uma liphilile, nathi siphilile!