Gallbladder: 'ole, ho'āʻo, maʻi

Gallbladder - he ohia-hoʻokino 'ole conical puha kino i mea ma luna o ke ake' ilikai a me ka pono ma waena o ka hale o kona lobes. O ka papa kuhikuhi hana o ka gallbladder - ka hoʻomāhuahua a me ka lehulehu o ka bile, e like me kona papa'āweʻaweʻa kemika "hoʻouna '" ma mau a me ka cystic leki uea i loko o ka duodenum.

Kekahi mau kanaka gallbladder he okoa Ana, kona lōʻihi papa koa mai ka 5 a hiki i 13-14 knm, laula, - mai ka 2 a hiki i 4 mau kenimika, a me ka 'auhau o 30-70 ml. Ma ke alo o pathological rula mau mea kiko'î e ĸokoĸa ana nä pane me ka nui loa. Ka 'ole o ka gallbladder ike okoa ia kino, he lalo, a me ka'ā'ī, i ae i loko o ka cystic leki uea. komo i ka paia o ka ekolu ano o leho: Muscle, mucosa a me ka connective. Ka haahaa ili o ka laau make bladder serosa uhi. Ke mucousʻili lahilahi ninoieo o ka ai iiiaanoaa o nā pā, kekahi o ka a, aia i loko o ka'ā'ī, a kapa heister kiwikā,ʻano a kahi hookahi, me ka sphincter Muscle olona, Lyutkensa. Ke connective'aʻaʻa wahī, a ma waena o Muscle olona, hooponopono omo auwai a me kahi ole e kamaʻilio me ka lua o ka bladder, e kapaia ka mea, e neʻe aku Luschka.

Ke ake a me ka gallbladder e aia ma ka akau maluna quadrant, akā, me ka laau awaawa, bladder hoʻoponoponoʻana o Kamehameha i ĸokoĸa ana nä pane i kekahi mau mea, no ka mea, hilinaʻi nui ma luna o ke kino a me ka makahiki. Koko kokuaia mai e hele mai ana, mai ka gallbladder bile-vesical artery, a hookuu kŰlń ao mai i ka lala akau o ka hepatic artery, aa koko a me ka lau i hana mai venous plexus, kahe i loko o ka lālā o ka puka aa koko, maloko o ka akepaʻa.

Ma ka loaʻa 'ka gallbladder ai ua hoemi a me keia o ka pauma i loko o laila, a hiki e 200-300 mm o ka wai kia ao. Ma hope o ia, ma ka like bile leki uea komo i ke kiaʻana i kāna bile. More, pili kona loaa ana i ka malamaia ma hope o ka hoopau ana o ka hua manu yolks, holoholona, a me kaʻai i ka momona,. Contraction o ka gallbladder UAIAaIN ma ka hoʻomaha a me ka hoʻopiha i kona ake bile. Ka nui nui o kēia kaʻina ia lŘlŘ i ka po.

Pathological kūpono a me ka gallbladder maʻi wehewehe aku ma kaʻeha ma ka akau subcostal wahi, i kekahi manawa ma ka epigastrium me concomitant irradiation i loko o ka collarbone,'ūhā mua hui a me ka'ūhā mua'ākau huhui. Ka muli a me intensification o ka eha malama ma hope o aaieieno? O huʻi a me ka momoma ai, hua paha, palai ai, pia, ka waina, palupalu kea, e like me ma hope o kaumaha punohu a me ka physical exertion ma lalo o kamakawiwo ole i ka hoʻokukeʻana a me ka neuropsychological overvoltage. Eia naʻe, me ka gallstone maʻi e spontaneously, me ka nohoaliʻi kumu, ka hanana o ka eha. I ka dyskinesia typical gallbladder eha pu ma autonomic crises, hiʻona a i ke kaheʻana, lālā numbness, ili pallor, headache a me na mea e ae, He pinepine, i kēia mau maʻi ana me ka belching, nausea, ke kaumaha loa i loko o ka waha, a me na mea e ae.

Ma huʻi li nui o ka laau make bladder palpation ma ka akau maluna quadrant ia eha. Pain, ano hoomainoino ma ka hanu 'ana, i kapaia o symptom Kera, i loko o ka noho ana kulana - he symptom o Murphy, soreness ma haʻahaʻa effleurage ma ka akau costal e pio mai - he symptom Ortner. Symptoms o ka ae hookaawale abdominal no hoi e ala aʻeʻoe i loko o ka hihia o ka peritonitis. I ka ua ole ana i ke alo o ka maʻi li nui o ka laau make bladder kona alo i manao ai ma palpation ma ka akau maluna quadrant, e like me puʻe kumu, a ma laila nō i na hoailona o ka cholecystitis.

Hoomaopopo kēia mā o ka gallbladder: aplasia - kona wa e kaawale aku, hypoplasia - hoemi kona nui, atresia - nele o ka lewa, a pāpālua hoʻi dystopia. Eia hou kekahi, he mea likeʻole malformations (e laʻa me, ka laau awaawa, bladder me ka hoʻohei) 'ia a hiki i ke alo o asymptomatic ole lapaʻau cholelithiasis a maʻi cholecystitis.