samanya pitt nalika

pitt nalika (purvi samanya pitt nalika mhanoon olakhali jaanari) haah pittmargacha eka bhag aahe. samanya yakrutachi nalika aanee cystic nalika yanchya sanyogane heey tayar hote. hepatopancreatic ampullah tayar karnyasathi swadupindachya nalishi ekatra yeuun teey sampate. pitt pravahache niyaman saksham karnyasathi tyachyakade swatache sphinktar aahe.
shareer rachnashastra.
pittavahini sumare 6-8 centimeter lamb asate aanee samanyatah 8 miimii vyasachi asate.
tyacha nikatcha supraduodenal bhag qamee omentamchya mukt kathamadhye sthit aahe. tyacha madhya punarutpadak bhag khalchya aanee ujavya dishene aahe aanee too duodenumchya pahilya bhagachya mageel bajus aanee khalchya veena kavachya purvela sthit aahe. tyacha durcha paradudenal bhag adhik ujavya dishene aahe, swadupindachya dokyachya mageel bajus (kadhikadhi aat eka vahini) khambadware samavoon ghetala jaato aanee ujavya mutrapindachya shirechya purvela sthit asato.
pitt nalika swadupindachya nalikeshi (sumare 60° konat) ekatra yeuun hepatopancreatic ampullah tayar karoon samapt hote.
pitt vahinichya durchya tokala nehmich swatacha sphinktarik snayu asato (swadupindachya nalika aanee hepatopancretic ampulamadhye samanyatah sphinktar asatat jyamule swadupindachya rasacha pravah swatantrapane niyantrit keela jaau shakato, tathapi, heey donhi anupasthit asoo shakatat).
vaidyakeey mahatva.
samanya pitt vahinimadhye anek samasya udbhavu shakatat, jyaa samanyatah tyachya adthalyashi sambandhit asatat. samanya see. bii. dii. chya kamal kshamatevar matey thodishi badaltat, parantu 6 miimii hii samanyatechi eka swikarleli uchch maryada aahe, jyat 60 varshanpeksha jaast pratyek dashkasathi aanakhi 1 miimii vyasas parvanagi aahe.
kahee mahinyanantar, hii samanyatah pittashay vichchedananantar kinchit vistarte, aanee kamal maryada (95 takke andaj madhyantar) sumare 10 miimii asate.
potachya ultrasonographivar, samanya pitt nalika porta hepetismadhye (jethe see. bii. dii. portal vhen aanee yakrutachya dhamanichya purvela asate) sarvat sahajpane disate. doppler signalchi anupasthiti tyala portal vhen aanee yakrutachya dhamanipasoon vegale karate.
adthala.
swadupindachya dokyatil gathee distal bayal ductmadhye adthala aanoo shakatat.
pittashayatil dagadamule adthala aala tarr, coledocolithiasis navachi sthitee houu shakate. yaa badhit sthiteet, naal visheshtah aarohi colangitis navachya sansargas asurakshit asate. pittashayatil raktastrav haah upcharacha eka prakar aahe. samanya pitt vahinichya durmil vikrutinmadhye cystic dialation (4 seey. mea.), coledococelles (veterchya ampulache cystic dialation (3-8 seey. mea.)) aanee pitt eteshiya yancha samavesh hoto.
itihas.
samanya pitt vahini aanee sambandhit kaveel yanche adthale kiman irresistrates kalapasoon nondavale gele aahet.

