Ọkpụkpụ bile nkịtị na-ejikọ gallbladder na duodenum. Ọwa bile a na-ahụkarị bụ ọwa nke ọrụ ya bụ ịgbanye bile n'ime duodenum, akụkụ ahụ na-emepe usoro nri nri. Bile si otú a na-ekere òkè dị mkpa na mgbari nri. Ọkpụkpụ bile a na-ahụkarị, nke na-ebute bile a na akụkụ mbụ nke eriri afọ, na-etolite site na njikọta nke eriri afọ imeju na eriri cystic. Ọtụtụ nsogbu bile duct bụ ihe na-esi na nkume gallstones, obere okwute ndị a na-etolite mgbe ụfọdụ n'ihi na mgbochi gallbladder na gallstones, nke na-eme ka ọ ghọọ okwute.

A na-etolite eriri bile nkịtị site na njikọta nke eriri afọ imeju na eriri cystic. Ya mere, bile canaliculi, obere ducts ndị a na-anakọta bile nke mkpụrụ ndụ imeju na-emepụta (sel ndị a na-akpọkwa hepatocytes), jikọtara ọnụ na-emepụta bile ducts. Ọzọ, eriri afọ bile ndị a na-ejikọta ọnụ ma na-ebute ọnya imeju nke ọma yana eriri ime ime n'aka ekpe, nke n'aka nke ya na-ejikọta ọnụ na-etolite duct hepatic ducts. Ọ bụ eriri ịba ọcha n'anya nke a na-ejikọta ya na cystic duct, ụdị akpa nke na-esi na vesicle bilary, ga-etolite bile duct. Site na duct bile nkịtị, bile ga-enwe ike ịbanye duodenum, akụkụ mbụ nke eriri afọ nke na-esote afọ. Bile nke a na-esi na eriri bile a na-ahụkarị ga-eso na-arụ ọrụ mgbari nri nke ahụ.

N'ihe gbasara anụ ahụ, ọnya bile nkịtị na-eme ka o kwe omume ịpụpụ bile ahụ site na bọlbụ hepato-pancreatic n'ime duodenum. Na-abanye n'ime akụkụ ahụ nke sistemu digestive, bile ga-esonye na mgbari nri. N’ezie, a na-akpọ duct nke na-ebu bile nke imeju zoro ezo bụ isi bile duct nke na-ahapụ imeju, a na-akpọkwa ya bile duct mgbe e jikọtara ya na cystic duct, ya bụ nke gallbladder.

Ọrụ bile na mgbari nri

A na-emepụta bile n'ime imeju tupu ebufee ya site na bile ducts wee wepụ ya site na eriri bile nkịtị. Imeju na-emepụta ihe dị ka 500-600 ml nke bile kwa ụbọchị. Ihe mejupụtara bile a bụ mmiri na electrolytes, kamakwa nke ogige organic, na karịsịa bile salts. Nnụnụ bile ndị a, bụ ndị e zoro ezo na akụkụ mbụ nke obere eriri afọ, duodenum, na-enwekwa ọrụ dị mkpa nke ime ka vitamin na-edozi ahụ soluble, kamakwa abụba ndị a na-etinye: nke a na-eme ka mgbaze ha dịkwuo mma yana ntinye ha. . Tụkwasị na nke ahụ, bile ahụ nwekwara pigmenti bile, ogige ndị a na-esi na mbibi nke mkpụrụ ndụ ọbara uhie na obere akụkụ nke a ga-ewepụ n'ime ahụ site na stool.

Mgbakwụnye gallbladder

Iri nri na-ahapụ homonụ na eriri afọ. Na mgbakwunye, a na-akpali ụfọdụ irighiri akwara (a na-akpọ irighiri akwara cholinergic), nke na-eme ka eriri afọ na-agbakọta. Nke a ga-ewepụ 50 ruo 75% nke ọdịnaya ya na duodenum, site na eriri bile nkịtị. N'ikpeazụ, nnu bile si otú a na-esi na imeju banye n'ime eriri afọ wee laghachi na imeju ugboro iri ruo iri na abụọ n'ụbọchị.

Ọtụtụ nsogbu bile duct bụ ihe si na gallstones, obere okwute ndị ahụ na-etolite na bile ducts. N'ikpeazụ, a na-achọpụta ọrịa atọ bụ isi nke bile ducts: njide biliary, etuto ahụ na nkume.

• N'ọnọdụ nke njide biliary, bile adịghị enweta duodenum. Ọ na-adaba n'ime oghere bile nkịtị ma ọ bụ na eriri afọ. Mgbochi a na-ebute oke nrụgide na bile ducts. Nke a na-ebute mgbu nke colic imeju;
• Ihe a na-eme na njide biliary nwere ike kpatara etuto dị na bile ducts ma ọ bụ na bile nke pancreas. Ụbụrụ ndị a nwere ike ịdị njọ ma ọ bụ dị njọ. Na mgbakwunye, ha nwere ike imetụta bile ducts site n'ime ma n'èzí imeju;
• A na-ebute nkume gallbladder na-etolite n'ime eriri afọ site na iji apịtị nke gallbladder mechie gallbladder, nke na-eme ka ọ gbakọọ wee ghọọ okwute. Ya mere, lithiasis nke isi bile duct na-egosi ọnụnọ nke nkume na bile ducts. Nke a gallstones nwere ike, karịa kpọmkwem, n'ihi mpụta nke enweghị mgbaze cholesterol salts na bile ducts. Mgbe ụfọdụ, nkume gallstone a na-akwaga n'ime isi bile duct, nke na-ahụkarị bile duct. Mgbe ahụ ọ na-ebute ọgụ na-egbu mgbu, nke nwere ike iso ya ọkụ yana jaundice n'ihi nkwụsị nke bile duct.

Ọgwụgwọ nke lithiasis nke bile duct na-abụkarị multidisciplinary.

• N'otu aka ahụ, cholecystectomy (mwepụ nke gallbladder) na-eme ka o kwe omume ịkwụsị mmepụta nke gallstones;
• N'aka nke ọzọ, nkume dị na bile duct nwere ike iwepụ n'oge cholecystectomy a, ma ọ bụ ọbụna n'ụbọchị ndị ọkachamara gastroenterologist na-etinye aka na ya, n'oge a na-arụ ọrụ a na-akpọ endoscopic sphincterotomy.

Mwepụ nke gallbladder adịghị akpata nnukwu mgbanwe physiological ọ bụla. Na mgbakwunye, ọ gaghị adị mkpa ịgbaso nri pụrụ iche ma emesịa.

Choledochal lithiasis na-adị mgbe ụfọdụ asymtomatic: enwere ike ịchọpụta ya mgbe a na-enyocha ya. Mgbe ọ na-ebute mgbochi biliary, nke a na-akpọkwa cholestasis, ọ na-ebute jaundice (jaundice) yana mgbu nke ụdị colic imeju. Enwere ike na-enyo nchoputa a mgbe ụfọdụ site na nyocha nke dọkịta na-awa ahụ.

Nyocha omimi ga-adị mkpa:

• N'ọkwa dị ndụ, enwere ike ịnwe ihe ịrịba ama nke cholestasis, dị ka mmụba nke bilirubin, gamma GT (GGT ma ọ bụ Gammaglutamyl-transferase), na PAL (alkaline phosphatase) yana nke transaminases;
• Ihe ultrasound nke afọ nwere ike igosi mgbasa nke bile ducts;
• A na-eme ultrasound endoscopic, nke nwere ike jikọta ma ọ bụ na ọ bụghị na bili-MRI, n'ebumnuche nke ịhụ anya lithiasis na ya mere na-akwado nchoputa ahụ.

Etymologically, okwu cholédoque sitere na Grik "kholé" nke putara "bile", kamakwa "gall" na "iwe". N'akụkọ ihe mere eme, ekwesiri iburu n'uche na n'oge ochie, na ruo mgbe nchoputa na physiology nke mmadu mere ka ogwugwu sayensi n'ezie, obu omenala iji mata ihe a na-akpo "ihe ochi" anọ nke Hippocrates. Nke mbụ bụ ọbara: si n'obi pụta, ọ kọwapụtara agwa ọbara, nke na-akọwapụta agwa siri ike na nke nwere ụda olu, na-enwekwa oke mmekọrịta. Nke abụọ bụ pituitis nke, jikọtara na ụbụrụ, jikọtara ya na ọnọdụ lymphatic, nke a na-akpọkwa phlegmatic. Nke atọ nke ọchị ọchị nke Hippocrates tụrụ aro bụ bile edo edo, sitere na imeju, nke jikọtara ya na iwe iwe. N'ikpeazụ, bile ojii ma ọ bụ arabile, nke sitere na splin, bụ onye kpatara àgwà obi mgbawa.