Waa maxay BDS? cudurka Secondary BDS

Cudurada oo ka mid ah xubnaha habka dheefshiidka - cudur si caddaalad ah wax caadi ah in ay dhacaan in tirada ugu badan ee deggan meeraha ee. Si kastaba ha ahaatee, qof kasta oo aan og yahay in cuduro badan waxaa sababa dalalka cudur mindhicirka papilla waaweyn ee dyspepsia. Laga soo bilaabo qalabka maqaalka akhristaha barto in BDS waa, noocyada cudurada lagu yaqaan in ay dawo ka mid ah qaab-dhismeedka sida ogaado xaaladaha bahal ah iyo therapy oo kiiskan waa la fuliyay.

Fikradda BDS

papilla dyspepsia Large (BNS) ka dhigan tahay qaab-dhismeedka jidh of qaab hemispherical, oo waxaa lagu tuuraa on qayb xabka degaya ee malawadka ah. In suugaanta ee caafimaad BDS waxaa laga heli karaa magacyada kala duwan - papilla waaweyn dyspepsia, iyo papilla of Vater. Oo weliba, waa maxay BDS? Tani size 2 mm 2 cm dhismeedka taas oo qabata shaqo aad u muhiim ah - isku xira koollo guud bile, koollo ugu weyn ganaca iyo malawadka. BDS dejisa socodka bile iyo juice ganaca mindhicirka yar iyo ka hortagtaa ku jira xiidmaha galay xididada u.

In dhismeedka OBD dhici kara isbedel bahal sarkhaansan arrimood oo kala duwan -. Microflora pathogenic kala duwan, isbedbedelka cadaadis iyo isbedel ku dheelitirka acid-saldhig, fadhiidka ah ee saabka, iwm Intaa waxaa dheer, qaab dhismeedka jirka waxaa lagu carqaladeeyey laga yaabaa in socdaalka oo dhagaxyo koollo bile ama dhismayaasha kale adag.

cudurada BDS

Cudurada of papilla ugu weyn ee dyspepsia waa mid aad u kala duwan. Iyadoo horumarinta hababka casriga ah ee Baadhista gunaanad ku saabsan cudurada functional in qaab-dhismeedka this waxay aad uga badan intii hore u maleeyay. Si kastaba ha ahaatee, ay sabab u tahay dhaqanka dhicis oo halkii adag ogaanshaha caafimaadka waxaa inta badan soo food saaray dhawr weyn natiijada saboolka ah ee daaweynta bukaannada qaba cholelithiasis ama ganaca in la horumariyo on asalka ah ee xadgudubyada in qaab-dhismeedka BDS ah.

BDS cudurada caadiga ah ay sameeyaan koritaan loo arkaa tumorous - polyps hyperplastic ilaa 87% ka mid ah neoplasms benign. Burooyinka inta badan ma cusboonaysiiyaan in unugyada malignant. Adenoma - kansarka Bole OBD cudur dhif ah ilaa 25% oo dhan carcinogenic. BDS stenosis ogaadaa in 4-40% bukaannada. Sida caadiga ah, cudurada BDS ee ku xiran cudurka qorsheysnaa (GSD), taas oo dhacda in dadka deggan kasta toban meelood.

Qoondaynta oo ah BDS Cudurada

Cudurada of papilla ugu weyn ee dyspepsia waxa lagu tilmaamay laba kooxood oo waaweyn:

• hoose,
• sare.

The cudurada aasaasiga ah waxaa ka mid ah kuwa xanuunada ku dhaca waxaa ku kooban gudahood OBD dhismeedka - papillitis (cudurka bararka); stenosis OBD caydi, taasi oo markii dambe loo badali karaa papilloskleroz; isbedel da'da OBD; cillado lagu dhasho, burooyin aan halis ahayn iyo malignant - lipoma, melanoma, fibroma, adenoma, polyps, papillomas.

cudurada Secondary BDS - stenosis waxaa keena soosaaray. Calaamadaha cudurka si toos ah oo la xidhiidha sababta uu la soo yeeray. Sidaas darteed, haddii habka a bahal waa cidhibta cudurada nidaamka biliary, cudurka la mid tahay sifooyinka of GSD - cudurada, lagu gartaa formation of dhagaxyo oo kaadi haysta ama bile marinnada, Ulasocto dareen ah u tiiraanyooday in Rubuca, yaaqyaaqsi, laab, guddoomiyaha goosgoos sare.

Waxaa jira fikradda ah stenosis isku daro - xadgudub hawlaha BNS in dhaawucu ka dhanka ah asalka ah oo ah boog ah ee malawadka. Xaaladdan oo kale, waxaa jira la'aanta BNS.

pankreatit

Haddii habka bahal ah ee qaab-dhismeedka sababa caabuq OBD daliilka cudurka ganaca la mid ah calaamadaha pankreatit yihiin.

Pankreatit - waa hab bararka ee beeryarada. Waxaa xusid mudan in sawirka cudurka waxaa laga yaabaa kala duwan - cudurada waa inay awoodaan inay si degdeg ah u horumariyaan, qaadashada foomka ba'an, ama ha isu mariyo muddo dheer, taas oo ah caadiga ah ee foomka chronic ee socodka.

Calaamadda ugu badan ee pankreatit ba'an waa xanuun aad u xoog badan goynta aagga caloosha sare - midigta ama xagga bidixda Rubuca sare. Xanuun qaadan karaan herpes iyo ma joojin xataa ka dib markii ay antispasmodics ama analgesics. Taasi waxa BDS iyo cawaaqibka ka dhalanaya xad gudub ku ah hawlaha ay.

Waxa intaa dheer in xanuunka pankreatit dhici reflex hungaaeada, tabar-dari muruq, wareer. Calaamadaha ugu muhiimsan ee pankreatit by ultrasound ayaa la beddelo qaabka iyo roughness ee cidhifyada beeryarada. In cudurka of fiix lagu ogaan karaa in jidhka. Waa inaan sheegaa in cudurka waa ay adag tahay. Oo faragelinta dhicis keeni kartaa dhimasho.

stenosis caydi BDS

Stenosis OBD - cudurada benign ee marinka, taas oo ay sababto xanibaadii koollo ah ganaca iyo xammeeti ay sabab u tahay isbedelka bararka iyo caqabadaha hor cicatricial papillae. Sida ay u dhacdo? dhagax maris la duubo papilla iyo cudurka firfircoon ee laalaabka ay keenaysaa in horumarka unugyada buunshada iyo gobollada stenotic ampoules OBD.

Sida la og yahay, qaab-dhismeedka BDS si toos ah u saameeyaa da'da qofka. Dadka of sano sare ee cholelithiasis xanuunsado-sclerotic foomka Atrophic of papillita chronic. Ciidamada, taas oo aan gaaray da'da iyo lixdan sannadood dibadda, ku xiran isbedel hyperplastic in BDS (adenomatous, adenomiomatoznye).

Sanadihii la soo dhaafay, ay sabab u tahay xaqiiqada ah in, in ogaanshaha cudurrada BDS endoscopes waxaa loo isticmaalaa, waxa suurto gal ah in si cad loo kala saaro (nestenoziruyuschy) constrictive iyo catarrhal papillitis. foomka koowaad ee cudurada la xiriira cholelithiasis. Haddii jidhka oo ma sameeyaan dhagaxyo, horumarinta cudurka waa caabuq ba'an oo ku faafa si lymph hadda.

Foomamka stenosis BDS

Iyadoo ku xiran ee characters morphological jira saddex nooc oo stenosis:

• stenosis bararka-sclerotic - cudurada ah in waxa lagu gartaa darajo of fibrosis kala duwan;
• stenosis kurximo - disorder ah oo formation of fibrosis la fiix sameeyay yar - lagugu qanjidhada u xuub wanaajiyey Tuujiya fiiloyin muruqa;
• Stenosis adenomiomatozny - cudurada, at taas oo qanjidhada kelyaha adenomatous, iyo sidoo kale hypertrophy fiber muruqyada siman iyo juqda buunshada macdantaa, xadgudub aad u badanaa ka dhacdaa dadka waayeelka ah.

Intaa waxaa dheer, ee BDS stenosis astaantii lagu tilmaamay:

• aasaasiga ah,
• sare.

stenosis Primary ma keento isbeddel ah ee laga shido bile ah. Pathology sababa isbedel side of papilla ah, taas oo u muuqdaan in atrophy ee lakabka muruqa ah. Mararka qaarkood stenosis koowaad waa cillad lagu dhasho.

stenosis Secondary waa natiijo ah oo isbedel ka jira qaab-dhismeedka ay sabab u tahay dhagaxyo socdaalka papillae dhaawac ama qaliin.

Iyadoo ku xiran heerka uu gaarsiisan yahay faafidda cudurka stenosis saamiyada BNS:

• on go'doon,
• caadi ah.

Baadhista xanuunada

Si aad u taariikhda, daawada loo isticmaalo garoomo dhowr ah habab wax ku ool ah ee cudurrada Baadhista OBD. Ha ka fikiro si aynu qaar ka mid ah. ultrasonography Endoscopic - farsamo taas oo macneheedu yahay qalab indhaha - endoscope ah - daraasad ku qaadeen qaab-dhismeedka OBD. papilla Photography, sameeyey daraasad la mid ah, kor xusay.

ultrasonography Transabdominal - baarista habka baaritaanka la isticmaalayo ultrasound, kaas oo u ogolaanaya aad si sax ah loo ogaado isbedel dhismaha ee kaadi haysta, beerka, beeryarada, iyo xididada. Intaa waxaa dheer, habka ay go'aamiso homogeneity ee saabka iyo xameetida motility, joogitaanka / maqnaanshaha inclusions intracavitary.

Habka ugu xiga ee baaritaanka BDS heley - cholecystography ultrasonic - salaysayn khalkhalgelinta, via kaas oo baaritaan motor-qaxidda shaqada xameetida laba saacadood ka dib markii la helo quraac choleretic.

scintigraphy Dynamic hepatobiliary - nidaam, kaas oo ku salaysan - Assessment of function absorptive-excretory beerka. chromatic jajab dyspepsia baadhayo si loo ogaado midab ah ee xameetida, xasiloonida Kolloidol jajab bile, cagaarshowga iyo inta ay ka kooban bakteeriyadda. Marka gastroduodenoscopy qiimeeyaa gobolka BDS ah, iyo sidoo kale daawashada ee dabiiciga ah ee bile uu noqdo mid la heli karo. Waxa intaa dheer in qaababkani ay jirto si raajito computer ah iyo Baadhista shaybaarka.

BDS: daaweynta

The salaysan daaweynta stenosis of BDS leeyihiin hawsha in la soo celiyo socodka caadiga ah ee bile iyo juice ganaca galay malawadka. Iyadoo la tixraacayo Ujeedada this waxaa jira tiro ka mid ah mabaadi'da, dhaqmayo kuwaas oo kaa caawin doona in ay gaaraan guul in daaweyn jiray:

• teraabiyada cilminafsiga, daaweynta neuroses, xasilinta heerarka hormoonnada ah, yareeyo walbahaarka, nasashada, cuntada ku habboon;
• Daaweynta heley ee saabka caloosha,
• tirtiridda arrimood dyspeptic.

Si aad u baabi'iyo xanuunada waalan isticmaalo daawada dajiyaha infusions ama decoctions dhigtee kala duwan. Intaa waxaa dheer, bukaan tusay teraabiyada cilminafsiga.

qayb muhiim ah oo ka daaweynta guul waa cunto:

• cuntada jajab;
• waayana ka khamriga iyo naqaska cabitaanka, iyo sidoo kale cuntada sigaar cabbin iyo shiilay,
• yareysey jaallo gelitaanka, soda, cream, kafeega iyo shaaha xoog leh;
• Kaabashka cunidda soo noqnoqda, buunshaha qamadiga iyo kaleh,
• qaata antispasmodics, taas oo meesha laga saaro weeraro xanuun.

BDS stenosis waxaa badanaa lagu daaweeyaa by hababka qalliinka. Kala nekorrigiruyuschie iyo hawlgalka saxo. Kooxdu waxay ugu horeysay ka mid ah endoscopic PST, baadhayo BDS.

In muddo ah ka mid ah dembidhaafka bukaanka ee intaa dheer in cunto lagu taliyey therapy dayactirka - yihiin faa'iidooyinka socodka maalinlaha ah, jimicsi subax, dabaasha.

In kooban, waxaa lagu soo koobi karaa in dad badan oo cudurro dheefshiidka dhacaan ka dhanka ah asalka ah oo ah cillad ka mid ah mid ka mid ah qaab-dhismeedka yar. xadgudubyada noocan oo kale ah u wadin dhibaatooyin dhab ee jirka oo badanaa waa kasteba in la saxo oo kaliya by qaliin. Taasi waxa ay BDS ah.