Umsebenzi we gallbladder

I-Anatomy yesibindi kunye ne-gallbladder

Enye yezona zimbutho ezona zikhulu kunesibindi. Ukudlala indima enkulu ekugungxeni, esekwe phezulu kwesigxina sokunqanda kwesisu phantsi kwesiqhekeza, isibindi sinemisebenzi eninzi. Ukufikelela kwisayizi malunga neekhilogram ezimbini, ihlanganiswe kumacala onke nge-peritoneum. Isibindi senza imisebenzi yaso kunye ne-gall bladder.

Umsebenzi we gallbladder kunye nesakhiwo sayo

Okokuqala, makhe sijonge kwisakhiwo se gallbladder. Ubume bawo bunemibala. Ubukhulu bomzimba buyaguquka kwaye ngokuqhelekileyo ixabiso lithelekiswa neqanda elincinci lekhukhu:

• Ubude - ukususela kwi sixhenxe ukuya kwezilishumi okanye ezilishumi elinesine centimitha;
• Ububanzi - ukusuka kumabini amabini ukuya kumane-amahlanu ububanzi;
• Isikhundla singama-30-70ml.

Iindonga ze gallbladder zincinci kwaye zinokulula. Ngokukodwa, ukunweba okunamandla kwenzeka kwiindawo zokuhlala. Kukho iindonga ezimbini kuphela. Inxalenye ephezulu isondelene nesibindi, kwaye isezantsi sijoliswe kwisigxina se-peritoneum. Ziqukethe imisipha, i-mucous ne-connective tissue membranes. I-gallbladder ibandakanya amasebe amathathu:

• Umgangatho ophantsi-ekubeni ngumnyango wamahhala, umele umgca wezantsi wesibindi.
• Intamo yecala elincinane elibhekiselele ekupheleni kwe-gallbladder, ekuqhubekeni kwi-cystic duct.
• Umzimba uyindawo ephakathi kwe gallbladder.

Zonke ezi masebe zifihla i-peritoneum kumacala amathathu.

Umsebenzi we gallbladder kukuba yindawo yamanzi ye-bile, eveliswa sisibindi. Ibhili yenziwa kwi-bile acids. Ezi zi:

• Glycocholic acid,
• Glycodeoxycholic,
• Glycoheneodeoxycholic,
• Taurodeoxycholic kunye nezinye iicidi.

Ukuqokelelwa kwimibhobho ye-bindi yesibindi, eveliswe kwisibindi, ukufihla i-bile ibe ne-gallbladder kunye ne-duodenum (duodenum), ebandakanyeka kwinkqubo yokugaya, kunye nomsebenzi oyintloko we-gallbladder yi- brick storage. Ngoncedo lwe duodenum ngexesha lokugaya okusebenzayo kunikezelwa ngumlinganiselo omkhulu we-bile. Ngalesi sikhathi i- duodenum igcwele ukutya esele ichanekile kwisisu.

Iifom zesimo se gallbladder

• Kukho i-gallbladder phakathi kwe-lobes yesibindi (isikwere kunye nesobunxele) kwindawo ephantsi yesibindi. Ihlanganiswe ne-peritoneum kumacala amathathu.
• Ukuba ne-ownentery yayo, isebenzayo, ngoko ke, ngokushenxisa, kuvuselela i-pathologies. Kubandakanya i-necrosis.
• Ngendawo ye-intrahepatic, kukho ii-dystopia - ngokuphindwe kabini kwe-gallbladder.

Iphepha leBiliary

Umzila oqhelekileyo we-hepatic uxhunyiwe entanyeni ngethambo lokukhangela, ubude balo buba malunga no-4 cm. Amathanga e-lobar hepatic adibanisa kwisango lesibindi ukuya kwelinye i-hepatic conduit. Umzila wesisu, owehla kakhulu, uncedisa ekwakheni i-buct ye-bony efanayo, leyo leyo, eyona indala kakhulu, iqulethwe ngamacandelo amane:

• Supraduodenal,
• Retroduodenal,
• Pancreatic,
• Phakathi.

Ngokutya okungaqhelekanga ngexesha eliphambili phakathi kokutya, umsebenzi we gallbladder uphazamisekile. Ngaloo ndlela, i-bile igxotha i-bile, ichukumisa ukuphuhliswa kwesibindi, kwaye emva koko kwakhiwa kwamatshe. Ngako oko, ukunqunyulwa kweendonga ze-gallbladder kwenzeka, oko kukuthi, kubangelwa ukuphuka kwelungu kunye nenani elaneleyo le-bile eqokelelwe. Le ntsholongwane ihamba kunye ne-ingress ye-bile kwisigxina esiswini. Usulelekile, kunokukhokelela ekufeni.

Ukuze ugweme iingxaki kwiimeko ezifana ne-cholecystectomy imiselwe - ukususwa kwe-gallbladder. Isigulane emva kokusebenza okunjalo siya kunyanzelwa ukuba silandele ukutya okukhethekileyo. Ekubeni umsebenzi we gallbladder, njengenkonkxa ye-bile, engekho, ukukhutshwa rhoqo kwephepha lebhiliyari kuyimfuneko. Oku kwenzeka xa udla. Ngenxa yoko, i-bile iyancipha xa ukutya kuthathwa ngumntu ngokuphindaphindiweyo kunokuqhelekileyo. Ngoko kufuneka wenze okungenani amahlanu ngosuku.