Kev hloov pauv hauv lub siab yog ib qho mob hnyav uas cuam tshuam rau tag nrho lub plab hnyuv thiab, qhov tseeb, tib neeg lub cev. Tsis xav tsis thoob, vim hais tias peb tab tom tham txog feem ntau voluminous parenchymal thiab glandular organ. Yog tias kev hloov pauv tshwm sim hauv nws cov ducts, dhau los ntawm qhov zais cia ntawm lub cev tawm mus rau qhov chaw sab nraud, ces tus neeg mob yuav hloov.
Vim li cas lawv tshwm sim? Yog vim li cas? Tus mob no puas kho tau? Txog qhov no thiab ntau ntxiv hauv kev nthuav dav hauv kab lus.
Lub luag haujlwm ntawm lub cev
Ua ntej tham txog kev hloov pauv hauv lub siab, koj yuav tsum xav txog nws lub hom phiaj. Lub luag haujlwm ntawm lub cev tuaj yeem paub qhov txawv hauv cov npe hauv qab no:
- Kev tshem tawm cov khoom txawv teb chaws (lawv tseem hu ua xenobiotics). Lub siab hloov cov co toxins, tshuaj lom thiab ua xua rau hauv cov tshuaj tsis muaj teeb meem uas yooj yim tshem tawm ntawm lub cev.
- Tshem tawm cov vitamins ntau dhau, cov neeg nruab nrab thiab cov tshuaj hormones, nrog rau cov khoom kawg ntawm cov metabolism. Cov no suav nrog acetone, ethanol, phenol, ammonia thiab lwm yam.
- Muab lub zog xav tau nrog qabzib thiab hloov pauv cov rog thiab lactic acids, glycerol rau hauv nws. Cov txheej txheem no hu ua gluconeogenesis.
- Kev koom tes hauv cov txheej txheem ntawm hematopoiesis (tab sis qhov no tsuas yog hauv lub embryo).
- Kev rov ua dua thiab ntxiv kev khaws cia ntawm cov peev txheej ceev ceev, cov vitamins, macronutrients thiab kev tswj hwm ntawm carbohydrates thiab lipid metabolism.
- Kev koom tes hauv cov metabolism ntawm cov vitamins PP, K, E, D, C, B, A thiab folic acid.
- Y Synthesis of cholesterol, phospholipids, lipoproteins, bilirubin, bilirubin, bile acids, hormones, as well as zus tau tej cov kua tsib.
Ntxiv rau qhov saum toj no, lub cev ua lub luag haujlwm ntawm lub depot rau ntshav. Tau kawg, kev hloov pauv hauv lub siab yuav tsis ua rau muaj qhov zoo.
anatomical nta
Yog li, cov txheej txheem ntawm lub caj pas yog lobules. Muaj txog 500,000 ntawm lawv, qhov chaw nruab nrab ntawm lawv muaj cov ntaub so ntswg sib txuas. Thiab nws tsuas muaj cov ducts tsis zoo, nrog rau cov hlab ntsha thiab cov hlab ntsha.
Lub lobules ntawm lub siab yog sib txuas los ntawm ob kab teeb zoo li tubules. Nyob nruab nrab ntawm lawv yog ib tug capillary network uas sau cov hlab ntsha lobular nrog cov ntshav los ntawm periphery mus rau qhov chaw.
Thiab cov ducts (nyob rau hauv lwm yam lus, microducts) originate precisely nyob rau hauv hepatocytes. Lawv ua ke nrog cov tubules interlobular,ua rau tsim cov kua tsib ducts. Cov khoom no txav raws lawv.
Zhkb
Nrog cholelithiasis, kev hloov pauv pathological ib txwm tshwm sim hauv daim siab. Cov laj thawj yuav txawv:
- Hereditary predisposition.
- Txhua yam kab mob metabolic.
Txhua yam tuaj yeem ua rau qhov pib ntawm cov txheej txheem ntawm cov kua tsib nrog kev tsim cov pob zeb calcium-cholesterol. Ib qho exacerbation nrog kub taub hau, xeev siab, ntuav, nrog rau colic nyob rau hauv lub cheeb tsam ntawm lub cev nyob rau hauv kev kawm, radiating rau sab nraub qaum thiab caj npab.
txhawm rau kuaj xyuas qhov hloov pauv hauv lub siab, ua ntej sau cov anamnesis, thiab tom qab ntawd sib txawv cov duab kho mob. Lawv kuj tau sau ntawv sau cov kev ntsuam xyuas (feem, zis thiab ntshav), x-rays nrog tus neeg sawv cev sib txawv, tomography thiab ultrasound.
Nyob rau hauv cov ntaub ntawv no, o ntawm cov ducts yuav ua rau deformation thiab ntxiv necrosis ntawm cov ntaub so ntswg ntawm lub gallbladder, nrog rau cov abscess, cirrhosis, pericholecystitis thiab txawm cancer..
Kev kho mob tshwj xeeb thiab tus kheej, tab sis feem ntau tus kws kho mob tau sau tshuaj antispasmodics thiab kev kho mob txhawm rau txhawm rau txhawm rau pob zeb. Raws li qhov chaw kawg, kev phais yog qhia.
Dyskinesia
Lub ntsiab tshwm sim ntawm cov kab mob no yog hypotonicity ntawm cov kab mob siab. Feem ntau qhov ua rau dyskinesia yog kev ua xua, psychoneuralgia, kev nyuaj siab, los yog cov txheej txheem mob ntev. Cov pathology yog nrog insomnia, tsis qab los noj mov thiab mob nyob rau hauv txoj cai hypochondrium.
Kev kuaj mob ntawm dyskinesia yuav tsum tau kuaj zis, ntshav thiab ultrasound. Tag nrho ua ke tuaj yeem ua kom pom tseeb ntawm qhov txo qis hauv cov kua tsib.
Yog tias dyskinesia tsis kho, nws yuav mob ntev. Kev kho mob kuj tau sau tseg rau ntawm tus kheej, tab sis feem ntau nws muaj cov txheej txheem hauv qab no, txoj hauv kev thiab txhais tau tias:
- massage hauv plab.
- Kev siv tshuaj choleretic. Nrov tshaj plaws: Allohol, Galstena, Holosas.
- Kev noj zaub mov (ntau ntau ntawm zaub, txiv hmab txiv ntoo, kua txiv hmab txiv ntoo thiab cereals).
- Txais tos ntawm infusions thiab decoctions ntawm cov tshuaj ntsuab (nettle, dandelion thiab pob kws stigmas yog qhov zoo tshaj plaws).
- Ntxiv Essentuki ntxhia dej rau koj noj.
Kev kho mob tuaj yeem thim rov qab cov kev hloov pauv hauv lub siab, nrog rau kev kho lub cev.
Cholecystitis
Cov kab mob no, nrog rau kev hloov pauv hauv lub siab, yog tshwm sim los ntawm kev kis kab mob los ntawm cov kab mob pathogenic, kab mob thiab kab mob.
Thawj muaj mob, ces tsis xis nyob. Raws li tus kab mob no zuj zus, tus neeg pib raug mob los ntawm qhov mob cramping, ntuav thiab hyperthermia. Yav tom ntej, nws daim tawv nqaij pib daj thiab lwm yam tsos mob tshwm sim.
txhawm rau kuaj tus kab mob no, ua ultrasound thiab cholecystography.
Yog tias kev kho cov kab mob hloov pauv hauv lub siab tsis pib raws sijhawm, cov ntaub so ntswg ntawm lub gallbladder yuav deformed, thiab qhov no yog fraught nrog necrosis. Cov txiaj ntsig tau zoo ib yam li cov kab mob gallstone.
Kho kom tshem tawmpathologies muab tshuaj kho nrog tshuaj tua kab mob, antispasmodics, antiparasitic thiab tshuaj tua kab mob, nrog rau kev noj zaub mov. Nws yog ib qho tseem ceeb kom tshem tawm cov khoom noj uas muaj rog, qaub, haus luam yeeb thiab ntsim, pib noj tshuaj ntsuab infusions ntawm yarrow, calendula thiab burdock.
Tumors
Lawv feem ntau tshwm sim raws li cov teeb meem ntawm cov kab mob ntev ntev. Thiab kuj nrog los ntawm kev hloov ductal hauv daim siab. Nws txhais li cas? Qhov tseeb hais tias, tsis hais txog ntawm etiology ntawm cov qog, kev ua haujlwm tsis zoo ntawm txoj hauv kev nrog kev txhim kho tom qab ntawm cov tsos mob mob, lub cev yuav kov yeej.
Koj tuaj yeem txiav txim siab nws muaj nyob hauv ultrasound lossis tomography. Yog tias nws hloov tawm tias nws tsis cuam tshuam rau tus neeg mob txhua txoj hauv kev, tsuas yog qhov uas yuav tsum tau muaj yog kev tiv thaiv thiab kev kuaj mob tsis tu ncua los ntawm tus kws kho mob oncologist thiab kws kho mob gastroenterologist.
Txwv tsis pub, kev kho radical yog qhia - kev phais tshem tawm cov qog.
Nyob rau me nyuam
Qhov ua rau ntawm qhov hloov pauv hauv lub cev ntawm tus menyuam lub siab yuav tsum tau piav qhia nyias. Qhov tseeb, lawv yog cov theem pib - feem ntau txhua yam tshwm sim vim muaj kab mob congenital. Los yog vim muaj cov ductal hloov pauv hauv niam lub siab.
Cov cim ceeb toom tias tus poj niam yuav muaj tus menyuam muaj mob tuaj yeem kwv yees tau. Yog tias thaum cev xeeb tub cov kws kho mob tau tswj xyuas tus kab mob siab, ces nws yog qhov zoo dua kom rho menyuam. Vim txoj hauv kev muaj tus me nyuam noj qab nyob zoo yog qhov yuag heev.
Yog tus me nyuam yug los xwb ces yog nwsreactive hloov nyob rau hauv daim siab parenchyma, qhov no qhia tau hais tias pathological txheej txheem tshwm sim nyob rau hauv lub sab hauv nruab nrog cev.
Diffuse hloov pauv
Thiab koj yuav tsum paub txog lawv. Qhov tseeb, kev hloov pauv tsis yog ib qho kab mob sib cais. Lawv lub xub ntiag qhia tsuas yog kev loj hlob parenchyma ntawm lub cev, thiab qhov no yog yam ntxwv ntawm ntau yam kab mob.
Hloov pauv yog qhov sib txawv, thiab yog li ntawd, txhawm rau txhawm rau paub meej qhov kev kuaj mob, nws yuav tsum tau ua kom paub meej txog kev kuaj mob. Raws li qib kev siv zog, lawv yog:
- Nrhiav. Lawv yog qhov tshwm sim ntawm intoxication ntawm lub cev nrog tshuaj, khoom noj rog thiab cawv.
- Qhia tawm. Lawv yog nrog los ntawm kev nce hauv lub cev thiab o. Feem ntau yog vim ntshav qab zib, cirrhosis, kab mob siab thiab rog.
- Muaj. Cov yam ntxwv rau cov theem pib ntawm cov txheej txheem inflammatory thiab pathologies tshwm sim los ntawm qhov tsis zoo.
Thaum txheeb xyuas cov ductal thiab diffuse hloov pauv hauv daim siab, nws yuav tsum tau sau tseg tias tom kawg tuaj yeem txhim kho raws li qee yam. Tsuas muaj peb leeg xwb. Kev hloov pauv feem ntau tshwm sim nyob rau hauv daim ntawv ntawm hepatosis, steatosis thiab fatty infiltration.
Kev hloov pauv hauv pancreas
Lawv kuj yuav tsum muab sib cais. Feem ntau ductal hloov hauv daim siab thiab pancreas tshwm sim ib txhij. Vim tias cov xwm txheej no yog qhov tshwm sim ntawm cov kab mob uas cuam tshuam rau lub plab zom mov.
Txawm tias, yog tias nws hloov tawm tias lawv muaj qhov thib ob ntawm keeb kwm, ces muaj lwm qhov ua tau: heevNws yog qhov ua tau tias cov kev hloov pauv no qhia txog kab mob ntawm lwm lub cev thiab lub cev.
Cov kev hloov pauv hauv lub txiav txiav ib txwm nrog qhov mob. Vim li cas? Vim tias muaj qhov txhaws ntawm cov kab mob pancreatic. Qhov no yog fraught nrog nce siab. Yog li ntawd, cov ducts nthuav. Mob receptors nyob rau hauv lub txiav yog khaus los ntawm digestive enzymes, thiab qhov no ua rau mob unbearable rau ib tug neeg.
Nws yog ib qho tseem ceeb uas yuav tau xyuam xim rau ib qho nuance. Kev hloov pauv theem nrab thiab nruab nrab tuaj yeem kho tau los ntawm kev kho mob lossis txawm tias tiv thaiv lawv qhov tshwm sim. Tab sis hnub nyoog yuav tsis ua hauj lwm nyob rau hauv ib txoj kev. Lawv tsis nyob ntawm tej yam. Nws tsuas yog tshwm sim qhov kev laus ntawm lub cev, uas yog fraught nrog txo qis ntawm cov tshuaj insulin hauv lub cev thiab. Raws li, carbohydrate kam rau ua.
Cov tsos mob dav dav
Yog li, qhov hloov pauv hauv lub siab txhais li cas, kom meej meej. Tam sim no nws tsim nyog teev cov tsos mob uas qhia tias lawv muaj. Koj tuaj yeem ua cov npe zoo li no:
- Tom qab noj mov, tshwj xeeb tshaj yog cov zaub mov muaj roj lossis ntsim, muaj qhov hnyav hauv qhov ncauj.
- Ib saj iab tshwm. Feem ntau tom qab noj mov lossis thaum sawv ntxov.
- Xav qaug zog. Ib tug neeg raug kev txom nyem los ntawm kev qaug zog ntxiv, uas ua rau nws tus kheej hnov txawm tias tom qab kev tawm dag zog me me.
- Ntau migraine tshwm.
- Ib tug npau taws yam tsis muaj laj thawj, nws muaj lub siab hloov.
- Ntshai tshwm sim, thiab tsis yog los ntawm kev qaug cawv.
Raws li koj ua tiavkab mob, cov neeg mob pib hnov mob ntawm sab xis nyob rau hauv lub tav. Tej zaum yuav tig daj nplaig thiab sclera.
Nyob ntawm cov kab mob dab tsi uas ua rau pom kev hloov pauv hauv lub siab hauv daim siab, lwm yam cim tshwm sim. Qee lub sij hawm qhov muag tsis pom kev (xim kev nkag siab raug cuam tshuam), nqhis dej tas li thiab khaus tshwm sim hauv thaj chaw uas muaj cov tawv nqaij rhiab, kev txawj ntse txo qis, thiab kub nce.
Huab cua
Nws nyuaj rau hais tias yuav ua li cas kho tus kab mob nrog kev hloov pauv hauv lub siab yuav xaus li cas. Txhua yam yog tus kheej heev, thiab qhov ua tau zoo ntawm txhua txoj kev kho mob ncaj qha nyob ntawm pathology uas ua rau qhov tshwm sim no.
Yog tias, piv txwv li, peb tab tom tham txog kab mob siab ntev lossis kev hloov pauv hauv parenchyma hauv daim ntawv me me, uas tshwm sim vim kev noj zaub mov tsis raug thiab kev ua neej nyob, ces cov ntaub so ntswg tuaj yeem rov qab yog tias koj mus ntsib kws kho mob hauv lub sijhawm.. Kev xaiv kev kho kom raug yuav pab rov qab ua haujlwm ntawm cov kabmob hauv lub cev.
Tab sis nrog lipomatosis, fatty degeneration ntawm daim siab cov ntaub so ntswg plays lub luag haujlwm. Yog tias feem ntau ntawm nws puas lawm, ces nws yuav tsis muaj peev xwm rov qab kho lub cev. Hauv cov xwm txheej zoo li no, tsuas yog kev txhawb siab ntawm kev ua haujlwm ntawm lub siab uas tsis cuam tshuam yog ua tau.
Nrog kev tswj tsis tau cov rog rog, pancreatic steatosis, cirrhosis thiab fulminant kab mob siab, qhov kev tshwm sim kuj tsis zoo. Tom qab tag nrho, cov kab mob no yog fraught nrog kev hloov pauv sai hauv parenchyma. Lub siab tsuas nres ua haujlwm. Yog li ntawd, kev tuag muaj ntau heevtshwm sim vim kev kis tus kab mob.
Kev Tiv Thaiv
Ua kom tiav lub ntsiab lus nrog kev sib tham ntawm txoj hauv kev yooj yim thiab siv tau los pab ua kom lub siab noj qab haus huv. Ntawm no yog yuav ua li cas:
- Txo koj cov rog kom tsawg, tshwj xeeb tshaj yog cov khoom ua kom zoo. Feem ntau, qhov piv ntawm b / w / y yuav tsum yog raws li nram no: 1/1/4.
- Cia cawv. Los yog tsawg kawg tsis tshua siv nws. Nws yog qhov zoo dua los hloov mus rau qhuav cawv (natural nkaus xwb), vim tias nws muaj resveratrol, uas muaj cardioprotective, anti-inflammatory thiab antitumor teebmeem.
- Ua haujlwm. Vim tsis muaj kev txav mus los, cov rog tau tso rau hauv daim siab hlwb.
- Noj cov roj polyunsaturated fatty acids. Lawv muaj cov roj txias txias - walnut, linseed, sesame, thiab tseem nyob rau hauv cov noob, nqaij nruab deg thiab ntses.
- Noj cov tshuaj hepatoprotectors raws li qhov tseem ceeb phospholipids. Tab sis tsuas yog tom qab sab laj nrog kws kho mob.
Zoo kawg
Kev tiv thaiv tseem ceeb heev. Ntau tus neeg txawm tsis xav tias lawv muaj teeb meem rau daim siab, vim muaj ntau yam kab mob asymptomatic nyob rau theem pib.
Yog li ntawd, nws yog qhov zoo dua los tswj xyuas lub cev noj qab haus huv ntawm koj lub cev tsis tu ncua tshaj li qhov xav tsis thoob los ntawm cov xov xwm uas txhua tus kab mob tau txhim kho mus rau theem mob.
