Senyongo: isakhiwo, umsebenzi, isifo

Senyongo - eliphakathi kwe-emile okanye etsobhileyo umzimba umngxuma leyo phezu isibindi nasekunene phakathi sikwere isithinzi yayo. Umsebenzi ophambili senyongo - nokwanda ekwakugquba ngayo ibile ducts, kwakunye ngamaxesha ayo 'ukuthumela "ngenxa duct jikelele kunye esinganyangekiyo kungena duodenum.

Abantu ezahlukeneyo senyongo ineenkalo ezahlukeneyo, Ibanga ubude bayo ukusuka ku-5 ukuya 13-14 cm, ububanzi - ukusuka iisentimitha-2 ukuya ku-4, kunye namandla ka 30-70 ml. Phambi iimeko zophendlo lwezifo ezi parameters zisenokwahluka kakhulu. Ubume umzimba senyongo zizakubalulwa, a ezantsi kwaye intamo, apho kuya duct esinganyangekiyo. Iindonga luqulathe iintlobo ezintathu amaqokobhe: izihlunu, isifo kunye nokuqina. Umphezulu esezantsi inshorensi serosa inyongo lwesinye. Le inwebu yangaphakathi iquka nobuninzi ezibayeni, enye apho, ibekwe entanyeni waza wabiza heister vana, iifomu kunye imicu sphincter kwezihlunu Lyutkensa. Ijwabu esingxotyeni nokuqina naphakathi kwimicu kwezihlunu amalungiselelo amajelo tubular ukuba akukho wayenelizwi em- esinyini, zibizwa kuvunyelwane Luschka.

Isibindi senyongo ibekwe ikota yesangqa eliphezulu ekunene, kodwa ilungiselelo inyongo isinyi zisenokwahluka ngandlel, ekubeni kuxhomekeke emzimbeni kunye nobudala. igazi ivela senyongo bile-vesical kwimithambo, nto leyo edla lisuka kwisebe lasekunene kwemithambo hepatic, iphuma kunye multiple wabumba ukusuka plexus lwemithambo, ingena isebe le Kwangale portal, ngaphakathi isibindi.

Emva kokufumana ukutya senyongo lifinyele kunye nale xi liphuma kuyo, esenokuba ikholam amanzi 200-300 mm. Emva koko, kwi bile duct eqhelekileyo engena enyongweni wamandla. Ngaphezulu kakhulu irisithi yayo yathi emva kokusetyenziswa zamaqanda, izilwanyana kunye amafutha yemifuno. Yindibanisela senyongo na indawo yokuphumla kunye ngokuzalisa inyongo yakhe esibindini. Umfutho omkhulu yale nkqubo lwenzeka ebusuku.

iimeko yezifo kunye nesifo senyongo luphawulwa iintlungu kwindawo ekunene subcostal, ngamanye amaxesha lo epigastrium kunye zokukhanya kwamanani kule collarbone, nomlenze edibeneyo kunye maliwe wasekunene. Ukuvela ukugxininiswa iintlungu waphawula emva ulawulo kutya etsolo uyadinga, amaqanda, ukutya, nowento ekroqiweyo, ibhiya, iwayini, iziselo ezibandayo, kwakunye emva onzima kunye amandla omzimba phantsi lokungcangcazela ngexesha lokuqhuba kunye overvoltage neuropsychological. Nangona kunjalo, kunye nesifo gallstone unakho ngokuzenzekelayo, ngaphandle kwesizathu, ukwenzeka intlungu. Xa zeDyskinesia eqhelekileyo intlungu senyongo kunye ngumbhodamo yawo, iimpawu ezo ukubila kuyabanda, yalityatya ngokwamathambo antsi, isikhumba pallor, intloko ebuhlungu kunye nabanye. Amaxesha amaninzi, ezi zifo zenzeka kunye belching, isicaphucaphu, ubukrakra emlonyeni, kunye nabanye.

Xa ukudumba nokoyika inyongo lwesinye Ngokucofa kwi ikota yesangqa ephezulu ngasekunene kabukhali buhlungu. Pain, mandundu ukuphefumla, ekuthiwa uphawu Kera, kwindawo ehleli - iliphawu Murphy, efakwe kwi effleurage ezisezantsi ekunene arch costal - uphawu Ortner. Iimpawu aphazamiseke esiswini khona kwimeko peritonitis. In akenzi ubukho ukudumba ezingapheliyo lwesinye inyongo ubukho balo owaziva ngayo Ngokucofa kwi ikota yesangqa ephezulu ngasekunene, kwakunye amanqaku uxinzelelo, kwaye akukho zimpawu cholecystitis.

Ukwahlula iziphene alandelayo senyongo: aplasia - ukungabikho kwalo, hypoplasia - ukunciphisa ubungakanani bayo, atresia - ukunqongophala kwendawo, kabini ekuboneni. Ukongeza, kukho malformations ezahlukeneyo (umz, inyongo isinye kunye ukugoba) ezenzeka kubukho cholelithiasis nazimpawu okanye lwezonyango okanye cholecystitis engapheliyo.