Virsungov pancreatic duct. Ịmụba Wirsung duct

The ọrụ nke pancreas bụ unusually nnukwu. Nke a ahu n'èzí (exocrine) na esịtidem (endocrine) secretion bụ idem ke digestive usoro na iwu nke ahụ bụ nke lipid, carbohydrate na protein metabolism. Nsogbu ahu nke na-arụ ọrụ na-egosipụta na ala nke Wirsung duct. Nnukwu mbufụt nke prostate na-egosipụta ya mgbasa, na na-adịghị ala ala pancreatitis hụrụ ya mgbasa, interspersed na ebe nke stenosis (ibelata). Na ọrịa gland excretory duct mgbanwe ime ahụrụ iji oge a na -achọpụta ọrịa ụzọ.

Virsungov duct

Isi pancreatic duct gbatịrị tinyere dum ogologo nke pancreas, eru n'azụ elu-ya nile. Virsungov duct akpụ anọ na nke nta ductal lobular ahu nwere ihe nkezi ogologo 20 cm. Nke a ọwa bụ mgbe rụchara na duodenum, na saịtị nke guzobere ndị dị otú ahụ a ahụ, dị ka a sphincter. Bara uru mmekọrịta ductless gland na na duodenum ọtọ ezu, ọ bụ n'ihi nke nhazi na-emepụta site na pancreatic ihe ọṅụṅụ content gootu revenue.

The size na udi nke duct Wirsung ọtụtụ ndị na-abụghị otu na-adabere na onye Ọdịdị nke ahụ organism. Ọtụtụ n'ime ya na-achọkwa na nkịtị bile duct (nkịtị bile duct) na-abatakwa duodenum. The ruru nke ya na nsọtụ na a nkịtị duct nwere ike dị iche iche. Igbunye 4 ha ụdị:

• Joint ma inflow duct n'ime eriri afọ, ebe ha na-etolite mbụ mkpọ. Sphincter nke Oddi na nke a, na-ekpuchi ma na-eruba, kpamkpam na-emechi ha na ya Mbelata. Nke a na ụdị pụtara na 55% nke ikpe.
• Onyinye ma ducts nso duodenum enweghị guzobere general ampoules. Nke a na ụdị e ji 33,6%.
• Iche iche na-ada n'ime duodenum nke ọ bụla nke ducts. Nke a bụ a obere ụdị ruru pụtara na 4%.
• Merging duct na a bukwanu anya si papilla nke Vater. Ma na-emeghe ka ndị duodenum na-emetụ ha mgbidi. Odika 8.5% nke ikpe na-egosi na mmakọ iche iche.

Ndị a anatomical atụmatụ ndị dị mkpa iji na mgbe ohere nke enweghị nchịkwa mgbanwe Wirsung duct. Mmekọrịta nke ndị nkịtị bile duct isi duct na isi glands, mmekọrịta ha na duodenum arụ a ịrịba mkpa ná nghọta na mmepe nke a ọnụ ọgụgụ nke pathologies na mgbaàmà nke pancreatic cancer.

ultrasound picture

Mgbanwe nke pancreas (isi ngwa parenchyma) nwere ike mere site na ihe dị iche iche. Ha na-ahụ anya n'okpuru ultrasound ule, nke-enye anyị ohere na-eme atụmatụ na-size na Ọdịdị nke parenchyma, lee contours nke enweghị nchịkwa ọnọdụ, nakwa dị ka ala nke prostate ducts. Atụmatụ nke kpọmkwem ọrịa, diagnosable na nnyocha, na-egosi puru ọdịiche nwere ike ịmakụ virsungov pancreatic duct.

Na mberede, ọ bụ uru arịba ama na ọtụtụ ndị ahụ siri ike nwere ike mgbaàmà nke asị ibe mgbanwe metụtara na gburugburu ebe obibi na ọnọdụ na-na ojiji nke ngwaahịa dị iche iche na nchekwa na stabilizers.

Ịrịba ama nke abnormalities site ultrasound

Kasị mata ọrịa ndị dị ka pancreatitis, nnukwu na-adịghị ala ala iche-iche pankreolitiaz, cysts na ndị ọzọ pathologies.

Asị ibe parenchyma abawanye gland ugboro ugboro na-eme nnukwu pancreatitis. The nnyocha ahụ contours bịara ikiri, pụrụ hụrụ na ya Ọdịdị ìsì tụrụ nke ahụ nwere ike ịbụ n'ihi hemorrhage ma ọ bụ necrosis gland. Kpebisie mgbasa Wirsung eruba ducts na ndị ọzọ na glands.

Na-adịghị ala ala ụdị pancreatitis ahu size ghara ata mgbanwe. Ya contours adịghị aghọ ajị ajị na mkpumkpu. Echo gland anụ ahụ na-ebelata. Na ọnụnọ nke fibrosis hụrụ akara parenchyma virsungov duct na-narrowed na oruru, na mgbidi ya na-anọkwasị. Ọtụtụ mgbe ahụrụ mebiri ductal patency. Yiri mkpali mgbanwe ndị a n'ihi na e guzobere cysts, na calcification.

The guzobere nkume na parenchyma ma ọ bụ pankreolitiaz, bụ n'ihi mkpali Filiks nke prostate, ma ọ bụ imebi nke outflow nke enzymes. Ná mmalite hụrụ ọnọdụ na-achọghị na ducts nke ahụ, n'ihi mmụba Wirsung duct. Na ọzọ ogbo nke-enweghị nchịkwa na ọnọdụ emee ọdịda nke protein na pancreatic ihe ọṅụṅụ na shelving calcifications na ultrasound a na-egosipụta dị ka ihe-ọmume nke asị ibe parenchymal echogenicity. Advanced forms nke ọrịa na-eduga pankreolitiazu.

Na gland Ọdịdị nwere ike imetụta ndị ọzọ enweghị nchịkwa ọnọdụ nke esịtidem akụkụ (adịghị ala ala obi ọdịda, ịba ọcha n'anya, imeju).

Deviations ahụrụ na pancreas, o nwere ike ịbụ n'ihi na ndị dị iche iche ọrịa, ma ọtụtụ mgbe causative ihe na-eme pankreolitiaz na pancreatitis.

pancreatitis

Site a na-adakarị ele ihe anya pancreatitis (mbufụt nke pancreas) bụ ike igba na nnukwu ma ọ bụ ala ala ụdị. The akpata ọrịa nwere ike ịbụ nchupu ihe ọṅụṅụ ụtụ N'ịbụ ahu na duodenum ruru ka mkpọchi nke duct. Na protracted mbufụt nke prostate enzymes amalite gbara ha cell. The akpata mbufụt nwekwara ike ịbụ mmebi nke prostate, ruru ya ọzịza.

Nnukwu pancreatitis, mgbe mgbe n'ihi ọnụnọ nke gallstones, nke ngọngọ ducts ma ọ bụ ndị aṅụrụma, dapụtara na ahụrụ occlusion Isi obere ducts.

Pankreolitiaz

Pankreolitiazom akpọ a-enweghị nchịkwa na ọnọdụ ji guzobe nkume Wirsung duct cancer ma ọ bụ ya ramifications. Ịrịba ama nke ọrịa na-cramping mgbu na epigastric region, radiating na lumbar mpaghara.

Ọnụnọ nke nkume, na-egbochi outflow nke pancreatic ihe ọṅụṅụ na-eduga digestive nsogbu. Dị otú ahụ na a ọnọdụ na-achọghị na US kpughere na virsungov eruba abawanye na hụrụ Tensile obere duct mgbidi.

Otú ọ dị, ọ ga-eti na ultrasound picture adịghị enye ihe ọmụma zuru ezu iji mee ka a nchoputa. Mkpa iji rụọ ọzọ inspections. Ebe ọ bụ na ọtụtụ mgbe nchọpụta nke asị ibe mgbanwe pancreas ma ọ bụ imeju, n'ihi na ihe atụ, virsungov duct na-adịghị visualized. Nyochaa ya na ndị ọzọ zuru ezu na-enyere ndị ọzọ na-achọpụta ọrịa ụzọ.

The mgbagwoju anya nke nchoputa

The mgbagwoju anya nke nchoputa nke a daa ọrịa a na-ejikọta ya na anyịnya odude. Ọ bụ miri ezu n'ime ahụ mmadụ. Ya nnyocha ga-rụrụ site etozu naanị na-agụnye merela agadi instrumentation na laabu usoro. Nke a nke ọma mụụrụ ọmụmụ etoju nke pancreatic enzymes (pancreatic isoamylase, lipase, trypsin na mmamịrị, ọbara na duodenal ọdịnaya). Iji guzosie ike insufficiency nke exocrine glands dị mkpa iji kọwaa egosi Nsị elastase na na nsị. Otu ihe dị mkpa nkịtị ọbara ule, nwale nke glucose, abdominal sonography, Doppler.

N'ihi axial Mpekere nke afo MRI họpụtara.

Na a pụtara ọnọdụ rụkwara achọpụta ọrịa laparoscopy. N'ihi na pancreatic ọrụ mgbe nwekwara mmetụta daa ọrịa nke pancreatic duct na biliary tract, nlezianya rụrụ ERCP.

MR cholangiography

Magnetik resonance cholangiopancreatography na okpo ụdị pancreatitis na-enye ohere na-amụ zuru ezu banyere ọnọdụ Wirsung duct. Nke a bụ otu n'ime ndị kasị oge a na ụzọ nke na-abụghị ionizing nnyocha nke gallbladder na ya ducts na pancreatic duct. Ọ na-enye ohere nweta ọtụtụ ihe ọmụma ziri ezi banyere ọnọdụ ndị a ozu, chọpụta ihe na-ọnụnọ ha nke polyps, nkume, strictures, iji anya nke uche mgbanwe na arịa na Lymph.

ọgwụgwọ

Ọgwụgwọ ahụrụ na pancreas asị ibe mgbanwe nwere ike rụrụ mgbanwe na arụmọrụ ụzọ. Ahọpụta ndị ziri ezi omume atụmatụ na-adabere n'ụzọ dị ukwuu na ọdịdị nke ọrịa, ọnụnọ nke concomitant ọrịa na izugbe ọnọdụ nke onye ọrịa.

Ọtụtụ mgbe ruru ka mbubreyo na ịgwọ echogenic ịrịba ama nke irreversible, bụghị regress.

Mweghachi nke nkịtị ahụ owuwu-ekwe omume nanị ma ọ bụrụ na-rụrụ a-adọ ha n'ụzọ kwesịrị ekwesị ọgwụ na nnabata na niile na-atụ aro nke ọkachamara.