Celiac umboko: anatomy, ebangela of stenosis

Celiac umboko (lat. Truncus coeliacus) yeyona umthambo enkulu otyisa onke amalungu kwisisu, okanye ngaphezulu kanye kumgangatho zayo ngaphezulu. Isuka ukusuka aorta kwinqanaba le vertebra thoracic yeshumi kummandla emngxunyeni aortic. Yinto kakhulu elifutshane, malunga-2 cm, kodwa Umthambo kakhulu zamafu. Emva ekubhobhozeni kwakhe buti yahlulwe yangamacandelo amathathu esesiphelweni eliphezulu pancreas.

Isebe lokuqala - kwemithambo esiswini ekhohlo (lat a gastrica sinistra ..). Le inqanawa safakwa isisu, ugobile yayo encinane, ukondla yaye uthumela ukuba amasebe kuvuleke iminxunya esiswini.

Ngaphezu koko, lo buti celiac iba enye - kwemithambo eqhelekileyo hepatic (lat a communis hepatica ..). Yena uya duodenum, apho, emva ukubuya gastro-duodenal umfula (lat A. Gastroduodenalis.) Uqhubeka umdla yayo ngohlobo (lat. A. Hepatica propria) self-hepatic yaye ifikelela isango esibindini. Le kwemithambo na lungu hepatoduodenal apho abamelwane yayo esangweni eVienna kunye, Kakade ke, enyongweni duct eqhelekileyo. Isitya isango isibindi yahlulwe kwamasebe amabini, ngokulandelelanayo isithinzi zesibindi: ekunene nasekhohlo. Ukususela isebe ekunene kuphuma Umthambo esinganyangekiyo (lat. A. Cystica), nto leyo uya senyongo. Ukongeza, sengqhele ekunene (lat. A. Gastrica dextra) iqala kwemithambo ekwabelwana okanye yabucala hepatic, elibamba umendo isisu, okanye mandithi ugobile yayo encinane, uyidibanise ngecala elifanayo ekhohlo le nqanawa. Uthe Umthambo ngaphambili gastro-duodenal bangela kwamasebe amabini: i pancreatic-duodenal ephezulu (lat a pancreatoduodenalis ophezulu ..) Yaye Umthambo ekunene gastroepiploic (lat a gastroepiploica dextra ..). Eyokuqala iya esiswini, ugobile yayo enkulu, kwaye ulunika amasebe namatywina. Eyesibini i ngakumbi izikhondo iqela leyo yesebe injeke kananjalo kwi duodenum.

Ke ekugqibeleni, isebe sesithathu - kwemithambo splenic (lat a lienalis ..). Yena uya udakada, enika indlela amasebe zepancreas. Ekusondeleni esangweni udakada, yahlulelwe kwii imithambo ezincinane 5-8 ukuba isetyana kweli candelo. Phambi kokuba yokwahlukana ngasekhohlo kwakhe esahlula kwemithambo ingaba yokwetyisa (lat. A. Gastroepiploica sinistra), nto leyo ke anastomoses ugobile enkulu kunye isitya enye kwicala lasekunene. Ukongeza, ukuba isisu ukususela kwemithambo splenic zimfutshane (breves lat. Aa. Gastricae) umthambo esiswini.

isiqu Celiac, enkosi anastomoses amaninzi amasebe awo, inikeza unikezelo igazi eyaneleyo amalungu uze ugqibezele umgangatho ophezulu. Ngelishwa, le inqanawa ebalulekileyo ekufumaneni iingxaki. Enye yazo stenosis. isiqu Celiac, nangona balo babulingana nesandla, phantsi kwempembelelo ezithile ezenza ukuvala umsantsa, leyo unobangela iingxaki zempilo. Umda kungabangela kucothe eludongeni engaphakathi Umphanda umonakalo atherosclerotic. Le ngezifo ibonakala intlungu ayicacanga esiswini, ukuqumba kunye nezinye iziganeko isici. Axilonge angiography. Ayikwazi kuphela yoko stenosis lo buti celiac. Kukho sisifo, eyaziwa ngokuba Dunbar engqondweni. Ngenxa anomaly naso yomnye nemisipha le ucinezelo uvalo kwenzeka eli sebe ebalulekileyo aorta. Angiography kuboniswe stenosis kwisiza ucinezelo kunye nokwandiswa ngoko nangoko emva kwayo. Celiac umboko, ixhoba le anomaly, unika umfanekiso lwezonyango ilandelayo. Izigulane ingxelo intlungu zifutha esiswini, isicaphucaphu, flatulence, ukugabha, urhudo kuyenzeka. Ukongeza, ezi mpawu kunokwenzeka obekwayo pancreatitis ludlule: elibukhali iintlungu, ukugabha, nomkhuhlane.

Stenosis kwemithambo kuyingozi kakhulu, kuba ondla amalungu abalulekileyo :. Isibindi, udakada, isisu, njl Ukungabikho igazi kunokubangela neziphumo ezimandundu lakho, nkqu nokufa. Ngoko ke, wonke umntu kufuneka aphathe kunye ingqalelo kakhulu kwi intlungu phaku esiswini.