Celiac thunthu: thunthu, zimapangitsa stenosis

Celiac thunthu (balati. Truncus coeliacus) ndi mtsempha wamagazi lalikulu wakudya ziwalo zonse m'mimba, kapena yeniyeni pansi ake pamwamba. Inyamuka ku msempha pa mlingo wa akhumi thoracic linkawonongeka m'dera la kabowo kung'ambika. Ndi yochepa, za 2 cm, koma ndi mtsempha wamagazi wandiweyani ndithu. Pambuyo kumaliseche kwa thunthu ogaŵikana nthambi zitatu m'mphepete chapamwamba kapamba.

Woyamba nthambi - kumanzere chapamimba mtsempha wamagazi (balati ndi gastrica sinistra ..). chotengera ichi chimatsogoleredwa kwa m'mimba, kupindika wake wamng'ono, kudyetsa ndi amatumiza ku nthambi ya kum'mero m'mimba.

Komanso celiac thunthu amakhala gwero lina - wamba kwa chiwindi mtsempha wamagazi (balati ndi hepatica communis ..). Akapita duodenum, kumene, atabwerako mtsempha wamagazi gastro-mmatumbo (balati. A. Gastroduodenalis) akupitiriza kuyenda ake mu mawonekedwe a kudzikonda kwa chiwindi (balati. A. Hepatica propria) nufikira chipata cha chiwindi. mtsempha wamagazi Izi hepatoduodenal mitsempha kumene anansi ake ndi chipata Vienna ndipo, ndithudi, wamba ya ndulu ritsa. Chotengera chipata chiwindi lagawidwa nthambi ziwiri, motero chiwindi lobes: lamanja ndi lamanzere. Ku nthambi bwino zimachokera enaake mtsempha wamagazi (balati. A. Cystica), amene amapita ku ndulu ya. Komanso, chapamimba bwino (balati. A. Gastrica dextra) akuyamba ku nawo kapena pamalo obisika kwa chiwindi mtsempha wamagazi, amene anali nayo njira m'mimba, kapena m'malo kupindika wake wamng'ono, kulumikiza ndi kumbali imodzi yakumanzere ya chotengeracho. Anati mtsempha wamagazi kale gastro-mmatumbo zinagwira nthambi ziwiri: chapamwamba pancreatic-mmatumbo (balati ndi pancreatoduodenalis kuposa ..) Ndipo mtsempha wamagazi gastroepiploic (balati ndi gastroepiploica dextra ..). Woyamba amapita ku m'mimba, kupindika wake wamkulu, ndipo amaupereka nthambi ndi zisindikizo. Chachiwiri ndi zambiri mapesi gulu limene nthambi kapamba komanso duodenum ndi.

Ndipo potsiriza, lachitatu nthambi - womwe ndi mtsinje splenic (balati ndi lienalis ..). Akapita ndulu, kupereka njira ya nthambi kuti kapamba. Kupemphera chipata cha ndulu, ndi lagawidwa 5-8 mitsempha yaing'ono kuti nthambi pa limba. Isanafike kulekanitsidwa lamanzere lake alekanitsa m'mimba England mtsempha wamagazi (balati. A. Gastroepiploica sinistra), amene ali wamkulu kupindika anastomoses ndi chipangizo chomwecho kumanja. Komanso, m'mimba kwa mtsempha wamagazi ndi splenic ndi waufupi mtsempha wamagazi chapamimba (balati. AA. Gastricae breves).

Celiac thunthu, chifukwa cha anastomoses yambiri ya nthambi zake zikupereka okwanira kundipatsako magazi ziwalo ndipo malizitsani pansi chapamwamba. Mwatsoka, chotengera ichi zofunika amakumana ndi mavuto. Mmodzi wa iwo ndi stenosis. Celiac thunthu, ngakhale makulidwe ake, mchikakamizo cha zinthu zina akhoza kuchepetsa kusiyana, omwe chifukwa cha matenda. Lamulo angachotsedwe akuchedwa khoma mkati mwa mbiya ya mipukutuyi atherosclerotic. kudwala Zikuoneka ululu bwinobwino m'mimba, bloating ndi zochitika zina khalidwe. Matenda ndi angiography. Sikuti ichi stenosis wa thunthu celiac. Pali matenda, zodziwika matenda Dunbar a. Chifukwa cha kobadwa nako anomaly ya m'modzi wa Mitsemphayi ya psinjika zakulera amapezeka nthambi yofunika imeneyi kwa msempha. Angiography anasonyeza stenosis pa malo psinjika ndi kukula yomweyo pambuyo. Celiac thunthu, poona anomaly uyu, kumapereka zotsatirazi chithunzi matenda. Odwala lipoti kupweteka ululu m'mimba, kunyansidwa, flatulence, kusanza, kutsekula m'mimba zina zimachitika. Komanso, zizindikiro zotheka chibadidwe kapamba pachimake: lakuthwa ululu, kusanza, malungo.

Stenosis a mtsempha wamagazi ndi zoopsa kwambiri, chifukwa chakudya ziwalo zofunika :. Chiwindi, ndulu, m'mimba, etc. The kupanda kotunga magazi kungayambitse mavuto aakulu ndipo sizingasinthe, ngakhale imfa. Choncho, aliyense ayenera kuchitira ndi chidwi chilichonse chotheka kuti ululu osadziŵika m'mimba.