Rruget biliare Flashcards

1
Q

cilat jane rruget interhepatike?

A

Hepatocitet
Canaliculi Biliferi
Ductus Biliferi
Ductus Interlobularis Biliferi(Ne Canalis Portalis)

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2
Q

cilat jane rruget ekstrahepatike

A

Ductus Hepaticus Dexter/Sinister
Ductus Hepaticus Communis + Ductus Cysticus(Vesicae Biliaris)
Ductus Cholodochus

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3
Q

cilat jane rruget kryesore ekstrahepatike?

cilat jane rruget anesore?

A

kryesore:
Ductus Hepaticus Dexter/Sinister
Ductus Hepaticus Communis
Ductus Cholodocus

anesore/ndihmese:
Vesicae Biliaris
Ductus Cysticus

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4
Q

qka jane rruget biliare?

A

jane gypa ekskretore te melqise me ane te cilave temthi prej hepatociteve perqohet deri ne duodenum

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5
Q

qfare organi eshte fshikeza e temthit?
ajo perbehet nga?
cilat jane faqet e saj?

A

eshte qeske muskulomukozale, paraqet rezervar te biles, ku mblidhet temthi jashta procesit te tretjes dhe behet kocentrimi i tij

Fundus Vesicae Biliaris(i pergjigjet Incisura Vesicae Biliaris)
Corpus Vesicae Biliaris(Vendoset ne Fossa Vesicae Biliaris)
Collum Vesicae Biliaris (Vazhdon me Ductus Cysticus)

Ka:Facies Superior (i pergj. fossa vesica biliaris)
Facies Inferior (e lire, shkon ka cavitas peritonealis)
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6
Q

ku fillon ductus cysticus dhe deri ku shtrihet?

ne qfare menyre mund te bashkohet ductus cysticus me ductus hepaticus communis?

A

fillon nga collum vesica biliaris dhe deri te pjesa e poshtme e ductus hepaticus communis

ne tri menyra: tipi angular, paralel dhe spiral

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7
Q

kush e formon ductus cystohepaticus (calot)?

si perkufizohet ai?

A
Trigonum Cystohepaticus(Calot)
ductus cysticus + ductus hepaticus communis + melqia 

Larte:A.Cystica
Lateralisht:Ductus Cysticus
Medialisht:Ductus Hepaticus Communis

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8
Q

cilat jane pjeset topografike te ductus choledochus?

A

pars supraduodenale
pars retroduodenale
pars retropancreaticus
pars intramuralis

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9
Q

ku gjendet pars retroduodenale ductus choledochus?
me ke eshte ne raport intim ai?
po pars retropankreatika ku gjendet?

A

Gjendet:
Prapa:Pars Superior Duodeni
Lateralisht nga:V.Portae Hepatis

Ne raport intim me:
A.Gastroduodenalis
A.Pancreaticoduodenalis Superior Posterior

Pars Retropancreatica
Gjendet:
Prapa:Caput Pancreatis
Para:V.Cava Inferior       
A.Pancreaticoduodenalis Superior Posterior
Djathtas nga:V.Portae Hepatis
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10
Q

cilat shtresa e perbejne vesica biliaris?
cila arterie ben vaskularizimin e vesica biliaris?
cilat pjese i vaskularizon ajo?

A

tunica serosa, tela subserosa, tunica musularis, tunica mucosa

a.cystica: kolaterale e r.dexter - a.hepatia propria (ndahet ne nivel te trekendeshit te kalotit, i afrohet collum vesica biliaris shkon deri te fundus vesica biliaris

ductus hepaticus dexter/sinister, ductus hepaticus communis, ductus cysticus dhe vesica biliaris

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11
Q

ku derdhen venat e vesica biliaris?

qka formojne venat e rrugeve ekstrahepatike biliare?

A

derdhen ne deget intrahepatike te v.portae hepatis

formojne harkun venoz parabiliar

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12
Q
kush e ben nervezimin e rrugeve ekstrahepatike?
kush e ben inervimin e vesica biliaris?
qka ben simpatetikusi?
parasimpatetikusi?
ku perfundojne fijet aferente viscerale?
A

e rrugeve esktrahepatike - plexus hepaticus

ka gershetimin e vet nervor intramural

relakson vesica biliaris, tonizon sfinkterin e Oddi-t

kontraksionin e vesica biliaris, relaksimin e m.sphincter ampulla hepatopnacretica oddi-t

ne segmentin 7-9 torakal te palces kurrizore

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13
Q

kush e perben kufirin e siperm te melqise?
kufirin e poshtem?
kufiri i djathte i melqise?

A

kufiri i siperm:
Linea Medioclavicularis-Costa 5
Art.Xiphisternalis
Ictus Cordis(Spatium Intercostale 5)

kufiri i poshtem (margo inferior):
Djathtas-Cartilago Costae 10(Skaji i perparem)
Majtas-Cartilago Costae 8(Skaji i perparem)

i djathte:
ngjitet neper murin e djathte te pjeses se poshtme te krahrorit, kthen medialisht dhe kalon ne kufirin e siperm

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14
Q

projektimi i fundus vesica biliaris?

projektimi i ampulla hepatopancreatica?

A

fundus vesica biliaris: Projektohet ne piken e cila gjenden ne prerjen e Arcus Costalis Dexter me M.Rectus Abdominis

ampulla hepatopancreatica: 
Niveli i Discus Intervertebralis L2-L3
Linea Desjardins
5 Cm larte&djathtas nga Umbilicus
Ne simetralen e kendit te drejte qe e formon:
Linea Mediana Anterior
Vija Horizontale mbi Umbilicus
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15
Q

cilat jane raportet e facies diaphragmatica te melqise?

A
Lobus Dexter:
Pleura Diaphragmatis Dexter
Recessus Costodiaphragmatis Dexter
Lobus Sinister:
Pleura Diaphragmatis Sinister
Pericardium
Cor
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16
Q

faqja viscerale e melqise eshte ne raport me?

A
Lobus Dexter Hepatis:
Flexura Duodeni Superior
Flexura Coli Dexter
Ren Dexter(Skaji i siperm)
Gl.Suprarenalis Dexter
Lobus Quadratus:
Pars Pylorica
Omentum Minus
Lobus Caudatus:
Diaphragma(Ndahet permes saj me Recessus Superior Bursae Omentalis)
Lobus Sinister:
Pars Abdominalis Oesophagus(Facies Anterior)
Corpus/Fundus Gaster
17
Q

poziten normale te melqise e mundeson aparati fiksues qe e perbejne?

A
Lig.Falciforme Hepatis
Lig.Coronarium Hepatis
Lidhja mes Area Nuda dhe Diaphragma
Lidhja mes Hepar dhe V.Cava Inferior
Presioni negativ nen Diafragme