Celiac isiqu: anatomy, izimbangela stenosis

Celiac isiqu (lat. Truncus coeliacus) kuyinto Umthambo ezinkulu feeds zonke izitho zomzimba ngalo ingaphakathi lesisu, noma ngaphezulu ngokunembile phansi yayo phezulu. Isuka kusukela aorta ezingeni nambili vertebra thoracic endaweni ye beso yomthambo i-aorta. Sekuyinto okufutshane, ngayo 2 cm, kodwa Umthambo ngempela obukhulu. Ngemva osenyameni yakhe isiqu ihlukaniswe amagatsha amathathu onqenqemeni engenhla kwamanyikwe.

Leli igatsha lokuqala - kwesokunxele Umthambo esiswini (lat a gastrica sinistra ..). Lokhu isikepe safakwa esiswini, ugobile yayo elincane, yiso futhi ithumela namagatsha emphinjeni besisu.

Ngaphezu kwalokho, isiqu celiac iba komunye umthombo - okuvame Umthambo hepatic (lat a communis hepatica ..). Uya duodenum, lapho, ngemva kokubuya Umthambo gastro-duodenal (lat. A. Gastroduodenalis) uyaqhubeka travel yayo ngendlela self-hepatic (lat. A. Hepatica propria) futhi ifinyelela esangweni kwesibindi. Lokhu Umthambo ungaphakathi umsipha hepatoduodenal lapho Omakhelwane bayo uma esangweni Vienna, yebo, okuvame Bile imbobo. Lo mkhumbi esangweni isibindi sehlukaniswe amagatsha amabili, ngokulandelana iyizingxenye isibindi: sokunene nesobunxele. Kusukela legatsha kwesokudla kuvela Umthambo fibrosis (lat. A. Cystica), okuyinto eya gallbladder. Ngaphezu kwalokho, esiswini kwesokudla (lat. A. Gastrica Dextra) iqala kusukela ngekuhlanganyela nobe wangasese Umthambo hepatic, elibamba indlela eya esiswini, noma kunalokho ugobile yayo elincane, yokuxhuma ke ngohlangothi efanayo esinxeleni isitsha. Wathi Umthambo ngaphambilini gastro-duodenal kuphakamisa kwamagatsha amabili: i pancreatic-duodenal engenhla (lat a pancreatoduodenalis aphakeme ..) Futhi kwesokudla Umthambo gastroepiploic (lat a gastroepiploica Dextra ..). Eyokuqala uya esiswini, ugobile yayo enkulu, futhi ulunika amagatsha nezimpawu. Eyesibili iqembu ngaphezulu umoba okuyinto legatsha e kwamanyikwe futhi kule duodenum.

Futhi ekugcineni, igatsha yesithathu - umfula splenic (lat a lienalis ..). Uya ubende, enikeza indlela Amahlumela ukuze kwamanyikwe. Esondela esangweni ubende, ihlukaniswe yaba 5-8 kwemithambo emincane ukuthi azikhandle ucime isitho. Ngaphambi ukuhlukana kwesokunxele wakhe ehlukanisa wokugaya ukudla Umthambo indlala (lat. A. Gastroepiploica sinistra), okuyinto enkulu ugobile anastomoses nge isitsha efanayo ohlangothini lwesokudla. Ngaphezu kwalokho, ukuba esiswini kusukela Umthambo splenic zimfushane Umthambo esiswini (lat. Aa. Gastricae breves).

isiqu Celiac, sibonga anastomoses eziningi bamagatsha awo, kunikeza ezanele kwegazi izitho bese uqedela phansi engenhla. Ngeshwa, le isitsha okubalulekile okuzivikela izinkinga. Omunye wabo stenosis. isiqu Celiac, naphezu Uhlonze lwalo, ngaphansi kungase kwethonya ezinye izici ukuvala igebe, okuyinto imbangela yezinkinga zempilo. Umkhawulo kungaholela ukubambezeleka odongeni engaphakathi esekhonjwe zingcwecwe atherosclerotic. Lokhu zokugula livela okungacaci ubuhlungu besisu, ukuvuvukala kanye nezinye izenzakalo isici. Ngomshini angiography. Akukhona nje unga yalesi sizathu stenosis isiqu celiac. Kukhona isifo, eyaziwa ngokuthi Dunbar Syndrome. Ngenxa anomaly azalwa naso we omunye emisipheni kokucindezelwa diaphragm kwenzeka lokhu legatsha ebalulekile le-aorta. Angiography wabonisa stenosis endaweni kokucindezelwa nokwanda ngokushesha ngemva kokuba. Celiac isiqu, isisulu lokhu anomaly, kunikeza isithombe esilandelayo emtholampilo. Iziguli ukubika ngiyaqaqanjelwa ubuhlungu besisu, isicanucanu, ukubuyisa, ukuhlanza, ukukhishwa isisu ngezinye izikhathi zenzeka. Ngaphezu kwalokho, izimpawu kungenzeka esivela pancreatitis acute: ebukhali ubuhlungu, ukuhlanza, imfiva.

Stenosis we Umthambo kuyingozi kakhulu, ngoba uyasondla izitho ezibalulekile :. Isibindi, ubende, isisu, njll Ukungabonakali liningi igazi kungabangela nemiphumela engathi sína futhi engelapheki, ngisho nokufa. Ngakho-ke, wonke umuntu kufanele baphathwe ukunakwa konke okusemandleni ukuba simbe ubuhlungu besisu.