Zomwe zimabisidwa ndikuwonjezereka kwa khunyu

Tsopano nthawi zambiri mumatha kuzindikira kuti ndi ultrasound, yomwe imati kuchuluka kwa kapamba kumachulukirachulukira. Anthu ena, atatha kuwerenga izi pokhudzana ndi chiwalo chawo, amayamba kufunafuna chithandizo pa intaneti, pomwe ena, m'malo mwake, amawona kuti ndizosafunika kwenikweni. Pakalipano, chizindikiro cha ultrasound chotere chikhoza kuwonetsa matenda oopsa a gland. Sichidziwitso ndipo pamafunika kuonana ndi a gastroenterologist.

Lingaliro la echogenicity

Hyperechogenic kapamba amawoneka chonchi

Echogenicity ndi mawu omwe amangogwira ntchito pofotokoza chithunzi cha ultrasound. Zimatanthauzira kuthekera kwa minofu yomwe ma ultrasound amayang'aniridwa (i.e., high frequency sound) kuti awonetse. Mawonedwe akuwonetseredwa a ultrasound amawonedwa ndi sensor yomweyo yomwe imatulutsa mafunde. Pakusiyana pakati pa mfundo ziwiri izi, chithunzi chimapangidwa kuchokera pazithunzi zosiyanasiyana za imvi zomwe zimawonekera pazowunikira pulogalamuyi.

Chiwalo chilichonse chimakhala ndi chizindikiritso chake, pomwe chimatha kukhala chosawoneka bwino kapena ayi. Kudalira uku kumawonedwa: kukalimba kwa limba, kumakhala kochulukirapo (kuwonetsedwa ndi mthunzi wopepuka wa imvi). Madzi a Ultrasound samawonetsa, koma kufalitsa. Izi zimatchedwa "echo negativity", ndipo mawonekedwe amadzimadzi (cysts, hemorrhages) amatchedwa anechogenic. Kwa chikhodzodzo ndi ndulu, milomo ya mtima, matumbo ndi m'mimba, mitsempha yamagazi, zotupa za ubongo, "machitidwe" awa ndi omwe amapezeka.

Chifukwa chake, tidasanthula momwe kuphatikizika kwa kapamba kumakhalira - kuthekera kwa minofu yaying'ono iyi kuti iwonetse mawu omveka pafupipafupi otulutsidwa ndi ultrasound transducer. Zimayerekezedwa ndi mphamvu ya chiwindi (ziyenera kukhala zofanana, kapena kapamba azikhala wopepuka pang'ono), ndipo pamaziko a chithunzi chomwe adachipeza, amalankhula za kusintha kwa kufalikira kwa kutulutsa thumbo. Komanso pa chizindikirochi chiziunikira homogeneity wa thupi.

Kuwonjezeka kwa kuphatikizika kwa kapamba kumafotokozedwa ngati minyewa ya chiwalo itakhala yocheperako kuposa maselo abwinobwino a glandular (monga momwe timakumbukira, madzimadzi amachepetsa kuchepa kwa chilengedwe, ndipo maselo a glandular amakhala olemera mkati mwake). Kusintha koteroko kumawonedwa mderalo komanso mosiyanasiyana. Kuphatikiza apo, zinthu zingapo zingakhudze chizindikirochi kwakanthawi.

Chenjezo! Kutanthauzira kwa echogenicity kokha sikukuzindikira.

Pamene kufalikira kwa kutulutsa konse kumamera

Kusintha kovuta mu kupezekanso kwa zotulutsa za pancreatic kwa ultrasound kumatha kukhala chizindikiro cha matenda, komanso kungawonedwe muzochitika. Izi sizinganenedwe za foci ndi kuchulukana kwachilengedwe - nthawi zambiri ndimakhala matenda.

Owerenga athu amalimbikitsa izi!

Pofuna kupewa komanso kuchiza matenda am'mimba, owerenga athu amalimbikitsa tiyi wa Monastic. Uwu ndi njira yapadera yomwe imaphatikizapo zitsamba 9 zamafuta zothandiza kugaya, zomwe sizongokomera, komanso kuwonjezera zochita za wina ndi mnzake. Tiyi wa monastic sangangochotsa zisonyezo zonse za m'mimba ndi ziwalo zam'mimba, komanso umathandizira kwathunthu kuzomwe zimachitika.
Maganizo a owerenga. "

Kutulutsa kumakhala ndi miyeso yofananira, koma kupindika kwake kumakulitsidwa (izi zitha kuwoneka pazithunzi ziwiri zomwe zikuwonetsa kupindika kwa chiwindi)

Echogenicity ya pancreatic parenchyma imakulitsidwa ndi zotumphukira zotere:

Hyper-echogenic pancreas ikhoza kukhalanso chinthu chosakhalitsa, chowonetsedwa:

• chifukwa chotupa chotupa mu matenda opatsirana ambiri: chimfine, chibayo, matenda a meningococcal. Izi zimafuna chithandizo cha matenda oyambitsidwa,
• posintha mtundu wa chakudya chomwe mumadya
• ndikusintha kwamoyo
• nthawi zina pachaka (nthawi zambiri mumnyengo yophukira ndi yophukira),
• nditatha kudya zolemetsa zaposachedwa.

Muzochitika zosakhalitsa, kuphatikizika kwa kapamba kumachulukitsidwa pang'ono, mosiyana ndi ma pathologies, pomwe chidwi chachikulu cha hyperechoogenicity chimadziwika.

Kuchulukana kwapaderalo

Mafuta omwe amapezeka m'matumbo a pancreatic adzawoneka ngati hyperechoic

Kodi ma hyperechoic inclusions ndi kapamba ndi chiyani? Itha kukhala:

• ma pseudocysts ndi mawonekedwe amadzimadzi omwe amapezeka chifukwa cha pancreatitis pachimake, ndi matendawa pancreatic contour amakhala osagwirizana, osagwirizana, osokonekera,
• kuwerengetsa zamasamba amisempha - zowerengera, zimapangidwanso chifukwa cha kutupa kosunthidwa (komwe nthawi zambiri kumatulutsa),
• madera a minyewa ya adipose, amasintha maselo abwinobwino a minyewa komanso kunenepa kwambiri kwa zakudya zamafuta,
• Madera owoneka ndi ululu - momwe madera a maselo abwinobwino adasinthidwa ndi minofu yam'mimba, izi zimachitika nthawi zambiri chifukwa cha pancreatic necrosis,
• miyala m'makola a ndulu,
• fibrocystic gland alibe mwina ndi matenda odziyimira pawokha, kapena zotsatira za chifuwa chachikulu,
• zotupa metastatic.

Chithandizo cha pathological hyperecho

Chithandizo cha machitidwe pamene kuchuluka kwa kapamba kumachulukitsidwa kumangotchulidwa ndi dokotala wa gastroenterologist yemwe ayenera kupeza chomwe chimayambitsa chizindikiro ichi cha ultrasound:

1. ngati chifukwa ndi pachimake kapamba, mankhwala amachitika ndi mankhwala omwe amachepetsa kupanga hydrochloric acid m'mimba ndikuletsa enzymatic ntchito ya kapamba,
2. ngati hyperechoogenicity imayamba ndi lipomatosis, zakudya zomwe zimachepetsa mafuta ochulukirapo mu nyama zimayikidwa,
3. Ngati ma calcication, ma fibrosis kapena miyala mu ducts yakhala chinthu choyambitsa kudya, zakudya zimayikidwa, funso la kufunika kwa opaleshoni ya opaleshoni laganiza,
4. yogwira pancreatitis amafuna chithandizo cha matenda oyamba, chakudya.

Uphungu! Palibe katswiri yemwe amakhulupirira kuti ndikofunikira kuchitira mayeso, osati munthu. Kuwonjezeka kwa kuphatikizika kwa kapamba ndi chizindikiro cha ultrasound, osati kuzindikira. Zimafunikanso kuyesedwa, pokhapokha malinga ndi data yotsatira ndi yomwe mankhwala amadziwika.

Kodi mawu oti echogenicity amatanthauza chiyani?

Njira yofufuzira Ultrasound imakhazikika pa Doppler athari. Pafupifupi zochitika zakuthupi izi zitha kufotokozedwa motere: sensor imatulutsa mafunde pafupipafupi, iwo, akamadutsa zopanga (ziwalo ndi ziwalo) za munthu, amawonetsa mafunde awa. Zotsatira zake, mafunde amabwerera kale mosinthasintha, chipangizocho chimakonza zochitikazo, chifukwa chomwe adokotala amawona chithunzi china pazenera chomwe chikufanana ndi mawonekedwe a ziwalo zamkati mwa malo oyesedwawo.

Mawu akuti "echogenicity" amatanthauza mphamvu ya minofu yowonetsera ngati mafunde a ultrasound. Kuchuluka kwachulukidwe, kumachepetsa chiwalo. Organs omwe ali ndi madzimadzi mkati (mwachitsanzo, chikhodzodzo kapena ndulu), ziwalo zopanda pake (matumbo, m'mimba), komanso ma cysts amatchedwa echo-negative. Chifukwa chake, kupanga chithunzithunzi cholondola cha ziwalo izi, ma ultrasound adzathandizidwanso ndi mayeso ena.

Chiwindi, m'malo mwake, chimakhala chochulukirapo. Ndi echogenicity yake, chizindikirochi chimafaniziridwa ndi ziwalo zina zomwe siziri m'mimba (kapamba, ndulu).

Kodi kapamba ndi chiyani?

Ichi ndi chida chofunikira kwambiri cha katulutsidwe wakunja (komanso chiwalo cha endocrine chophatikizika), ndi matenda omwe palibe chiwalo china, zida kapena mankhwala omwe angalowe m'malo mwake. Amatulutsa ma enzyme ambiri omwe amathandizira kugaya. Monga gawo la katulutsidwe wamkati, kapambayu ndi amene amachititsa kuti pakhale insulini, glucagon ndi mahomoni ena ndi zinthu zina zokhala ndi mahomoni.

Popeza pamwambapa, matenda a kapamba amayenera kuthandizidwa mwachangu, zizindikilo zawo zoyambirira zitangowonekera. Acute pancreatitis ndi owopsa makamaka pamenepa, pomwe chifukwa cha kutukusira kwa gawo la tiziwalo timatulutsa timadzi tambiri tomwe timadula minyewa yonse ya ziwalo zapathupi ndi ziwalo zapafupi, ndipo tikalowa m'magazi, zimayambitsa zowopsa.

Kuchulukana kwachilendo kwa kapamba

Malingaliro oterowo si kuzindikira kwa ultrasound. Musafufuze pa intaneti yonse kuti mupeze momwe mungathandizire kuchulukana. Mukungoyenera kukaonana ndi katswiri wazachipatala, kumapititsa mayeso ena, mumuuze madandaulo anu. Pokhapokha pazizindikiro zathunthu zomwe zingatheke kuti mudziwe zoyenera ndikuti apatseni mankhwala oyenera. Zikafika pancreas, kudzipereka nokha, monga kupanda chithandizo konse, kumatha kukhala koopsa.

Pancreatic echogenicity ikhoza kuchuluka kwanuko kapena mopusitsa .

Kuchulukitsa kwawonetseraku kukusonyeza kuti pali gawo lina la gland. Izi zitha kukhala chotupa, metastasis, mwala (iwo amathanso kupanga kapamba) kapena kuyika mchere wamchere (calcification) m'malo omwe nthawi ina panali kutupa.

Kuchulukana kwa echogenicity kukuwonetsa zotsatirazi:

• Gland lipomatosis: kuchotsa m'malo mwa minyewa yachilengedwe ndi minofu ya adipose. Poterepa, chitsulo sichikukulitsidwa. Nthawi zambiri sizimayenderana ndi madandaulo aliwonse, chithandizo sichofunikira.
• Pancreatitis: pachimake kapena chovuta. Ichi ndi vuto lalikulu lomwe likufuna kuti anthu azikakamizidwa kuchipatala: ovulala kwambiri, mu dipatimenti yochita opaleshoni (popeza kuti pakufunika opaleshoni pamafunika zina), komanso munthawi zina, mu dipatimenti yochiritsa. Pancreatitis sichichitika kawirikawiri popanda kudandaula. Nthawi zambiri pamakhala ululu wolimba m'chiuno, mpaka kumbuyo, kutsatana ndi mseru, kusanza, kutsekula m'mimba. Pakhoza kukhala kufooka kwakukulu, kuchepa kwapanthawi. N`zosatheka kuchiza kapamba, makamaka pachimake, kunyumba - nthawi zonse mtsempha wa magazi pamafunika.
• Zithaphwi za kapamba. Potere, chimbudzi chimasokonekera, munthu amazunzidwa ndi matenda otsegula m'mimba (kawirikawiri - kudzimbidwa), mapangidwe owonjezera a mpweya m'matumbo. Palinso kufooka, kuchepa kwa chilakolako cha kudya. Mutha kuwona kuti munthu akuchepetsa thupi.

Koma pamakhala zochitika zina pamene kuwonjezeka kwa kuphatikizika kwa kapamba kumachitika pang'onopang'ono komwe kumalumikizidwa ndi zakudya kapena matenda wamba (mwachitsanzo, kuzizira). Pankhaniyi, pakapita kanthawi muyenera kungoyesanso ndikuwunikira kwa ultrasound. Kutengera ndi zomwe tafotokozazi, titha kunena kuti mutalandira zotsatira zofananira za ultrasound, muyenera kufunsa dokotala, osathetsa vutolo.

Pancreatic parenchyma echogenicity kuchuluka: zikutanthauza chiyani?

Ngati pakuyesa kwa ultrasound panthawi yoyeserera thupi kapena kukaonana ndi dokotala wokhudzana ndi madandaulo ena, zidapezeka kuti kapamba wachita kuchulukana, ndiye chifukwa ichi muyenera kukhala atcheru, pakhoza kukhala kusintha pamachitidwe a ziwalo parenchyma.

Aliyense amadziwa kuti ziwalo zofunika mwa munthu ndi mtima, m'mimba, chiwindi ndi ubongo, ndipo amamvetsetsa kuti thanzi ndipo pamapeto pake moyo umadalira ntchito yawo.

Kupatula iwo, thupi lilinso ndi ziwalo zochepa kwambiri, koma zofunikira kwambiri. Izi zimaphatikizapo zotupa zakunja ndi zamkati, zimachita chilichonse payokha. Pancreas ndiyofunikira chimbudzi cha chakudya, imapanga chimbudzi chapadera ndikuchibisa mu duodenum.

Amapanganso mahomoni awiri omwe akutsutsana pochita: insulin, yomwe imatsitsa kuchuluka kwa glucose m'magazi ndi glucagon, yomwe imawonjezera. Ngati kuchuluka kwa mahomoniwa kukukondera kufalikira kwa glucagon, ndiye kuti matenda a shuga amayamba.

Chifukwa chake, muyenera kusamalira nthawi zonse za kapamba, ndipo kusintha kulikonse, monga kuchuluka kwa kapamba, kusintha kwam'kati mwa paprenchyma, ndi mwayi wopimidwa kuchipatala.

Kodi echogenicity ndi chiyani

Ziwalo zina zaumunthu zimakhala ndi gawo limodzi ndipo mafunde omwe akupanga amalowa momasuka kudzera mwa iwo osawunikira.

Mwa matupi awa:

• Chikhodzodzo
• chikhodzodzo
• zotupa za endocrine
• ma cysts osiyanasiyana ndi zida zina zokhala ndi madzimadzi.

Ngakhale ndi mphamvu yowonjezereka ya ultrasound, mawonekedwe awo samasinthika, chifukwa chake, pakawonekera kuchuluka kwa kapamba, ichi sichizindikiro chokomera.

Kapangidwe ka ziwalo zina, mmalo mwake, ndi makulidwe, chifukwa chake mafunde a ultrasound kudzera mwa iwo samalowa, koma amawonekera kwathunthu. Kapangidwe kameneka kamafupa, kapamba, impso, ma adrenal gland, chiwindi, chithokomiro, komanso miyala yopangidwa mu ziwalo.

Chifukwa chake, pamlingo wa echogenicity (chiwonetsero cha mafunde omveka), titha kunena kuti kachulukidwe ka chiwalo chilichonse kapena minofu, mawonekedwe a kuphatikizika kowirikiza. Tikati kuti zachuma cha kanyumba chikuwonjezereka, ndiye kuti minofu ya parenchyma yakhala wandiweyani.

Zitsanzo za chizolowezi ndizo kuphatikizika kwa chiwindi, ndipo poyang'ana ziwalo zamkati, momwe zimachitika ndi kuyerekeza ndendende ndi kupendekera kwa chinthuchi.

Momwe mungatanthauzire kupatuka kwa chizindikiro ichi kuchokera ku chizolowezi

Pancreas Ultrasound

Kuwonjezeka kwa echogenicity, kapena mawonekedwe ake a hyperechoic, amatha kuwonetsa pancreatitis yovuta kapena yosatha, kapena kunena za edema. Kusintha kotereku kumatha kukhala ndi:

• kuchuluka kwa mpweya,
• zotupa zamagulu osiyanasiyana,
• kuchulukitsa
• matenda oopsa a portal.

Munthawi yabwinobwino ya kutulutsa tulo, machitidwe amodzi a parenchyma adzawonedwa, ndipo machitidwe omwe ali pamwambawa, adzakulira. Komanso, ma ultrasound amayenera kuyang'anira kukula kwa ndulu, ngati pali chizindikiro cha kupindika kosintha kwa kapamba, England. Ngati zili zabwinobwino, ndipo kuchuluka kwa mawonekedwe a parenchyma ndikokwera, ndiye izi zitha kutanthauza kuti minyewa ya m'magazi ndindende ndi mafuta (lipomatosis). Izi zitha kukhala choncho mwa anthu achikulire omwe ali ndi matenda ashuga.

Ngati pakhala kuchepa kukula kwa kapamba, ndiye kuti izi zimapangitsa kuti minyewa yake imasinthidwa ndi minyewa yolumikizira, ndiye kuti, fibrosis imayamba. Izi zimachitika ndi vuto la metabolic kapena pambuyo povutika ndi kapamba, kamene kamayambitsa kusintha kwa parenchyma ndi mawonekedwe.

Echogenicity sikuti imakhala yokhazikika ndipo imatha kusiyanasiyana ndi zinthu zotsatirazi:

1. chopondapo pafupipafupi
2. nthawi ya chaka
3. kulakalaka
4. mtundu wa chakudya chomwe watengedwa
5. kakhalidwe.

Izi zikutanthauza kuti kuyesa kapamba, simungangodalira chizindikiro ichi. Ndikofunikira kulingalira kukula ndi kapangidwe ka nduluyo, kukhazikitsa kukhalapo kwa zisindikizo, neoplasms, komanso miyala.

Ngati munthu ali ndi chizolowezi chowonjezeka cha mapangidwe a gasi, ndiye kuti masiku angapo asanayang'anitsidwe ndi ultrasound, amafunika kupatula mkaka, kabichi, nyemba ndi zakumwa zochokera mu kaboni kuti adye.

Atatsimikiza kuwonjezereka kwa zachuma komanso atachita mayeso ena a kapamba, adotolo amatha kukhazikitsa ma pathologies aliwonse ndikupereka chithandizo choyenera.

Chithandizo cha kapamba ndi kuchuluka kwa echogenicity

Ngati kuwunika kwa ultrasound kukuwonetsa kuchuluka kwa zochitika, ndiye kuti muyenera kufunsa dokotala wa gastroenterologist. Popeza kuti cholembedwachi chimatha kusiyanasiyana munthawi zosiyanasiyana, dotolo adzayang'anitsanso kuti ayesere ultrasound yachiwiri, ndikuyeneranso kuyesa mayeso angapo kuti adziwe zoyenera.

Pambuyo pokhazikitsa chomwe chikuwonjezera kuchulukana, mutha kupita kuchipatala. Ngati choyambitsa ndi lipomatosis, ndiye kuti nthawi zambiri sichifunikira chithandizo ndipo sichimawonekanso.

Ngati kusintha kwa echogenicity kunayambitsa pancreatitis yovuta kapena yayikulu, ndiye kuti wodwalayo ayenera kuchipatala. Munthawi yovuta, ululu wolimba umamangika mu hypochondrium yamanzere, mpaka kumbuyo, izi ndi zizindikiro zoyambirira za kufinya kwa kapamba.

Nthawi zambiri, kutsegula m'mimba, nseru, ndi kusanza kumachitika. Wodwalayo akumva kufooka, kuthamanga kwa magazi ake kumatsika. Chithandizo cha odwala chotere chimachitika mu dipatimenti yopanga opaleshoni, chifukwa opaleshoni ingafunike nthawi iliyonse.

Chithandizo cha kukokomeza matenda kapamba chimachitika mu dipatimenti yochiritsa. Wodwala sayenera kukhala kunyumba, chifukwa amafunikira jakisoni wothandizila kapena obaya ndi mankhwala. Matendawa ndi oopsa kwambiri, motero ayenera kuthandizidwa mokwanira, ndipo wodwalayo ayenera kukhala ndi udindo.

Chinanso chomwe chimawonjezera echogenicity m'matumbo ndikukula kwa chotupa, mwa mawonekedwe a onco. Mu njira zoyipa (cystadenocarcinoma, adenocarcinoma), dera la gland limakhudzidwa.

Adenocarcinoma amakula pafupipafupi mwa amuna azaka 50 mpaka 60 ndipo amakhala ndi zodziwika monga kuchepa thupi komanso kupweteka kwam'mimba. Chithandizo chimachitidwa ndi opareshoni, ndipo chemotherapy ndi radiotherapy amagwiritsidwanso ntchito.

Cystadenocarcinoma ndi osowa. Imawonetsedwa ndi ululu pamimba, ndipo pakulimbitsa m'mimba, maphunziro amamveka. Matendawa ndi ofatsa ndipo ali ndi zotulukapo zabwino.

Mitundu ina ya zotupa za endocrine imathanso kuchitika.

Ndikofunikira kumvetsetsa kuti ngakhale zitakhala zifukwa ziti zomwe zinayambitsa kuchuluka kwa echogenicity, wodwalayo ayenera kutero mozama. Vutoli likapezeka msanga, njira yanu yochizira imakhala yosavuta.

Mitundu yosintha

Mukamayang'ana kapamba, kupindika kwake kumayerekezedwa ndi chiwindi chathanzi; munthawi yofanana, kachulukidwe kakang'ono kofanana ndi chiwindi, kapena kukwera pang'ono. Kusintha kumatha kukhala ndi magawo osiyanasiyana komanso kufalikira kwa thupi la chithokomiro. Kuvuta (chokhudza kuchuluka kwa ziwalo) kuwonjezereka kwa kuchuluka kwa kapamba sikutanthauza matenda, kupezeka kwa zisindikizo zakomweko nthawi zambiri kumasonyezera matenda.

Echogenicity imawonetsedwa pazenera la chipangizocho mu mawonekedwe a mitundu yaimvi, kukwera kachulukidwe ka minofu yophunzirayo, kumayandikira mthunzi mpaka kuyera.

Pang'ono

Ndi kuwonjezeka pang'ono kwa echogenicity, katswiri wa ultrasound akuwonetsa kukhalapo kwa kusintha, koma samapanga zotsimikizira. Kuwonjezeka pang'ono kwa kachulukidwe ka minofu ya pancreatic kuonedwa mwa anthu athanzi.

Ndi m'badwo, kachulukidwe ka kapamba kumachulukanso, chikhazikitso cha zomwe zimachitika nthawi zambiri ndi homogeneity (homogeneity) ya minofu, pomwe njira zake zotetezeka siziphatikizidwa. Komanso, mwa anthu okalamba, kudziwika kwa ma hyperechoic inclusions samadziwika ngati matenda.

Ndi kukomoka kwa ndulu komwe kwatetezedwa, kuwonjezeka kwa kupsinjika sikungatanthauze matenda. Potanthauzira zotsatirazi, zinthu zotsatirazi: zaka za wodwalayo, chakudya chake, mkhalidwe wa ziwalo zapafupi. Nthawi zina kusintha kumeneku ndi kwakanthawi chabe, ndikazolowanso chakudya, kuunikanso mobwerezabwereza sikutha kuzindikira komwe kukuchepa.

Kuchulukana kwakanthawi kachulukidwe ka minyewa ya minyewa kumawonetsa pathology ngakhale pang'ono kusintha.

Makamaka

Kuwonjezeka kwakukulu kwa kuphatikizika kwa kapamba kumawonetsa kuwonongeka kwa chiwalo. Ndi chiwonetsero chazaka zam'deralo chikwangwani cha echo, matenda oopsa amathanso kukayikiridwa. Zinthu zonsezi nthawi zambiri zimatsatiridwa ndi chiwonetsero chachikulu chachipatala ndipo zimafunikira njira zochizira.

Milandu yowonjezera kuchulukana

Kuchulukitsa pang'ono kwa kachulukidwe ka kapamba popanda chitukuko cha matenda ake kumawonedwa mu milandu yotsatirayi:

• kuperewera kwa zakudya m'thupi (kudya kwambiri),
• Maphunziro a mankhwala ena
• kupsinjika, kusowa tulo, nkhawa zina zamaganizidwe,
• uchidakwa
• ntchito ya chiwindi, chikhodzodzo,
• kukula kwa kuzizira kwa chapamwamba kupuma thirakiti.

Nthawi zambiri, omwe akupanga zizindikiro za zovuta zotere amatha pambuyo pa kuchepa kwa zakudya, chithandizo choyenera cha matenda ophatikizika ndikusintha kwazonse za thupi.

Hyperechoicity yakomweko kumafunikira kumvetsetsa kwa matendawo.

Maselo a pancreatic nthawi zambiri amakhala ndi madzimadzi ambiri, mafunde akupanga amafalikira mumadzi amadzimadzi osintha pang'ono, kotero kuwonjezereka kwa echogenicity kumatanthauza kuti kuchuluka kwa maselo abwinobwino mu minyewa ya glandular (parenchyma) ya chiwalo kwatsika.

Zikondazo zimadziwika ndi kusintha kokhudzana ndi zaka, zimawonetsedwa osati kuwonjezeka kachulukidwe kachulukidwe, komanso ndi kagawo kakang'ono ka mzere wowonjezereka wa echogenicity, zomwe zimatanthawuza kusintha kwa minofu ya michere (michere).

Ma mawonekedwe a hyperechoic amawonetsedwa pazenera kuti chiwonetsero cha calcium mchere (ma calcified).

Kuchulukitsa kwa kuchuluka kwa kapamba nthawi zambiri kumatanthawuza kusintha kwina mu thupi, komwe kumatha kukhala chifukwa cha kusokonezeka kwa magazi m'matumbo, endocrine ndi matenda a metabolic, uchidakwa, chiwindi ndi matenda opatsirana.

Njira yotupa yotupa imawonekera ndikuwonjezereka kwa kukula kwa kapamba, pomwe mawonekedwe a minyewa yake ya m'mimba amachepetsedwa chifukwa cha edema, ndipo m'mphepete mwa gawo limakhala ndi chidindo. Kutupa kumatha kukhala pancreatic necrosis, yomwe imawonetsedwa pazenera la makina a ultrasound mu mawonekedwe a heterogeneity ya pancreatic kapangidwe kake ndi kusagwirizana kwa zovuta zake.

Kukula kwake kuyenera kukhala kotani? Mutha kudziwa za izi apa.

Chinanso chomwe chimawonjezera kupsinjika kwa mbeuyo ndi matenda ashuga. Odwala omwe ali ndi matendawa, kuchuluka kwa minyewa ya pancreatic glandular kumachepetsedwa, malo aulere amadzaza ndi maselo amafuta. Kusintha kotero sikufuna chithandizo chapadera, koma kumaonekera pazotsatira za ultrasound.

Zomwe zimayambitsa kuchuluka kwa zachilengedwe m'derali zingakhale:

• miyala (miyala) m'miyala ya kuthengo,
• pseudocysts
• minofu yamafuta-michere
• ma metastases.

Gawo lalikulu mwa zosintha zotere ndi chifukwa cha kapamba.

Ngati kuopsa kwa zizindikiro zakuzindikira ndi ultrasound ya kapamba sikungathandize, zizindikiro zitha kusapezeka. Kusintha kwakukulu kumakonda kumayendera limodzi ndi zizindikiro zolemera.

Kusintha kwachilendo kwa kapamba, yemwe ali asymptomatic m'magawo oyamba, pambuyo pake amachititsa kuti ziwalo zina zisalephereke ndi mawonekedwe ammimba - matenda am'mimba (kudzimbidwa ndikotheka), kuwonekera, kupweteka kwam'mimba kumanzere kapena herpes zoster, kuwonda. Kuzindikira kosakonzeka ndi chakudya kumaphatikizira mawonekedwe a khungu - kuuma, kupendama. Tsitsi limakhala losakhala bwino, lokhalokha. Njira za metabolic, mavitamini ndi mchere wofunikira zimasokonekera, kufooka ndi kutopa kumachitika. Kukula kwa njirayi kumabweretsa kutopa kwathunthu.

Miyala mu ducts imatha kusokoneza kutulutsa kwa pancreatic madzi, muzochitika zoterezi zimatha kutukuka kwa chifuwa chachikulu cha kapamba.

Ngati mukumva ululu wam'mimba, muyenera kufunsa dokotala kuti mudziwe ngati ali ndi matendawa.

Pancreatic echogenicity

Kumbukirani kuti kusinthika kwa mawonekedwe osiyanasiyana si chizindikiro cha matenda, koma mawonekedwe a chiwalo. Ndipo ngati magawo ena sagwirizana ndi zomwe zikuchitika, izi zikuwonetsa kuti njira yopweteka ikuchitika m'thupi.

Chifukwa chake, chobadwa nacho ndi ma diagnostics a ultrasound, chizindikiritso cha echogenicity sichabwino. Palibe hyperplasia, zinthu zakunja, madera a fibrosis kapena necrosis. Chizindikiro chachikulu cha echogenicity chikuwonetsa kuti njira za pathological zimachitika m'matumbo.

Zomwe muyenera kudziwa za echogenicity yowonjezereka

Kuchulukana kwa zachilengedwe mu kapamba kumawonetsa ma pathologies monga chifuwa chachikulu cha m'mimba ndi zotupa. Hyperechoogenicity yakomweko ikuwonetsa kuti miyala, zochuluka zamchere kapena zotupa zimatha kukhala mu gland.

Odwala onsewa amapita kukawunika kuti awonjezere mayeso.

Zoyambitsa Hyperecho

Kuwonjezeka kwa echogenicity kumachitika pazifukwa zotsatirazi:

• zakudya zopanda thanzi
• cholowa m'mavuto
• kupsinjika
• kusuta fodya komanso kumwa mowa mwauchidakwa,
• Matenda a ziwalo zina zam'mimba,
• mankhwala osayenera.

Monga zikuwonetsedwa ndi hyperecho

Kuchulukana kwa echogenicity kumawonetsa chotupa kapena kapamba. Ndi zotupa, zizindikiro zotsatirazi zimakopa chidwi:

• kugaya chakudya
• Matenda a stool (pafupipafupi m'mimba),
• chisangalalo
• kuwonda, ndipo nthawi zina kulakalaka,
• kufooka wamba.

Pancreatitis, ma enzyme samataya chakudya, monga abwinobwino, koma parenchyma. Poizoni amatulutsidwa omwe amalowa m'magazi, umayambitsa chiwindi, impso, ndi ubongo. Choopsa kwambiri ndi pancreatitis yayikulu.

Pathology imadziwika ndi kupweteka kwambiri mu hypochondrium, nseru, kusanza. Mawonekedwe abuluu nthawi zina amawonekera pamimba.

Acute pancreatitis ali pachiwopsezo cha kufa, motero wodwala amafunika kuchitidwa opaleshoni yofunikira mwachangu. Ultrasound ikuwonetsa izi:

• kukulitsa ziwalo
• mizere yoyaka ndi kapangidwe,
• kukulitsa kwa duct
• kuchuluka kwa madzimadzi mozungulira chiwalo,
• kusowa kwa zachilengedwe m'malo ena (izi zikuonetsa kufa kwa minofu).

Zosintha zovuta zimadziwika ndi lipomatosis. Lipomatosis ndi vuto lomwe limalowa m'malo mwa ziwalo zina. Izi zimachitika, mwachitsanzo, ngati wodwala ali ndi matenda ashuga. Kukula kwa chiwalo mu shuga sikumasinthika, ndipo kuphatikizika kwa mitundu kumasiyana pang'ono.

Kodi zikuwonetsa kumaliza?

Ayi, kusinthira kwapakati kapena ngakhale kosakwera sikokhazikika. Kugwirizana kwa ziwalo zomwe zikufunsidwa kumatha kusintha pamikhalidwe yosiyanasiyana. Nthawi zambiri, chizindikiro cha pathological chimawoneka chifukwa cha kuperewera kwa zakudya m'thupi. Ndikofunika kuzisintha - ndipo kafukufuku wotsatira akuwonetsa zomwezo.

Ichi ndichifukwa chake madokotala samayang'ana pa zotsatira za ultrasound imodzi yokha, koma kupereka zina zowonjezera kwa wodwala. Munthu yemwe adadwala pancreatic pathology amayenera kuonedwa pafupipafupi ndi akatswiri.

Ndi kusintha kotani komwe kumachitika mu kapamba

Monga tanena kale, mitundu yosiyanasiyana yonyansa pa ultrasound imawonetsa kuti njira za pathological zimachitika mu gland. Ndi kusintha kwadzaza, thupilo limatha kukula kapena kuchepa.

Minofu imatha kukhala yofiyira, kapangidwe kake kamakhala kolemera. Nthawi zambiri, ma pancreas omwe amapangika amakhala opangika. Kutanthauzira kwa zotsatira zakuzindikira kumafotokozera mwatsatanetsatane zochitika zonsezi.

Izi ndizomwe zimachitika m'matumbo mwa kupezeka kwa ma pathologies ena:

1. Mu chifuwa chachikulu cha pancreatitis, kupanikizika kumawonjezeka. Tiziwalo timene timawonongeka, ndipo thupi limapatsidwa poizoni. Njira zoterezi zimadziwonetsa zowawa zawo.
2. Mu magawo oyamba a matenda kapamba, chitsulo chimakhala chambiri. Ndiye kuchepa kwake ndi kuperewera.
3. Ndi fibrosis, gawo lina la chiwalo limasinthidwa ndi minofu yolumikizana.
4. M'malo mwa chiwalo china ndi mafuta ndiye kuti sichingasinthe. Ndi ndondomeko yayikulu, pancreatic parenchyma imapanikizika.
5. Ndi kapamba kapena matenda ashuga, ma ultrasound amawonetsa zizindikiro zosiyanasiyana zosintha parenchyma, madera oopsa mu iwo amadziwika.
6. Kusintha kwazinthu zimakhudza parenchyma, chifukwa zimakhala ndi tiziwalo tambiri.
7. Mapangidwe a cysts ndi zotupa.
8. Kusintha kwina kumawonetsa kuti wodwalayo ali ndi vuto la chiwindi, chikhodzodzo.
9. Pomaliza, chifukwa cha kufa kwa maselo, ma ultrasound amawonetsa kuchepa kwamafuta.

Mwina kuwoneka kwa kusintha kosatchulika kwambiri komwe sikukhudza magwiridwe antchito.

Kodi kuchuluka kwa kapamba kumawonjezera chiyani?

Mwambiri, liwu loti "echogenicity" limadziwika kuti limatanthawuza kuthekera kwa ziwalo zosiyanasiyana kuwonetsera mafunde omwe akupanga okha, omwe amatsimikizidwa makamaka ndi kupindika kwawo. Mlingo wa echo umasiyanitsidwa pakati pa homogeneous ndi heterogenible, ndipo wowonda gawo palokha, wopepuka mamvekedwe ake pa polojekiti ya zida za ultrasound. Pamaso pa kapangidwe kamadzimadzi, kuphatikizika kwachilendo kumawonekera, izi ndichifukwa choti sangathe kuwonetsa phokoso lalikulu, chifukwa chake amatha kudutsa okha. Muzochita zamankhwala, mapangidwe a pathological mu mawonekedwe a cysts omwe ali ndi madzimadzi mkati kapena m'matumbo amatchedwa anechogenic, koma lingaliro ili limagwira ntchito kwa ziwalo zina zathanzi ndi madipatimenti awo, mwachitsanzo, matumbo, ndulu ndi chikhodzodzo, mapangidwe amitsempha yamagazi.

Ponena za kapamba (kapamba), imatha kuwonetsa mtanda wa ultrasound, popeza mawonekedwe ake, monga chiwindi, ali ndi kachulukidwe kakang'ono. Pankhaniyi, zithunzi zomwe zimapezedwa pa nthawi yayitali ya ziwalo ziwiri zimakhala zofanana: zimadziwika ndi kamvekedwe ka imvi, ndipo mukamayang'ana kapamba, kamvekedwe kamaloledwa kukhala kakang'ono pang'ono kuposa chiwindi. Mwanjira ina iliyonse, ndi mtundu mwa mawonekedwe ofananitsa ndi chiwindi omwe akatswiri amawona dziko momwe amapangidwira.

Ndi kuchepa kwa kuchuluka kwa zigamba za pancreatic glandular, zomwe zimakhala ndi madzi ambiri, kuchuluka kwa echogenicity: maselo athanzi amasinthidwa ndi kusintha kwa maselo kapena maselo a minofu ina. Zodabwitsazi zimatha kukhala zamderalo komanso zosokoneza. Focal echogenicity imawonetsa kukhalapo kwa mapangidwe a pathological mu thupi: miyala, cysts, zotupa ndi metastases, ma calcication, motero, kuti mudziwe chikhalidwe cha kupatuka mwatsatanetsatane, kufufuza molondola kwambiri, mwachitsanzo, CT kapena MRI, ndikofunikira. Kuvuta kwa echogenicity nthawi zambiri kumakhala kachitidwe kanthawi kochepa komwe kumachitika chifukwa cha kutentha kapena kufa ndi njala, malungo kapena kupezeka kwa matenda mthupi.

Echogenicity ya parenchyma ya kapamba

Chizindikirochi chimatsimikiziridwa ndi kupsinjika kwa gawo limodzi kapena chinthu china, ndipo ngati zoterezi zimawoneka ngati zabwinobwino pamimba yopindika, chikhodzodzo kapena ndulu, ndiye kuti kupatutsidwa kwapachifupikitsa. Selo yathanzi ikasinthidwa ndi khungu, maselo amafuta, kapena maselo okhala ndi madzi ambiri, kachulukidwe kachulukidwe kamachulukana. Chifukwa chake, kuchepa kwa kuchuluka kwa minofu ya glandular ndi hyperechoicity yomwe ikuwonetsedwa ndi izi ndi chizindikiro choyamba kuti china chake sichili bwino m'thupi. Monga tanena kale, sikuti nthawi zonse kuwunika kwa echogenicity kuyenera kuwunikira ngati chizindikiro cha alamu, munthu ayenera kungokhala ndi nkhawa ndi madera akutali, komanso ngakhale ndi vuto lakusokonekera kwa chizindikiro cha echo, nkoyenera kudandaula kenanso kuti mungopimidwa. Mwa njira, hyperechoogenicity sitingayang'ane ngati chizindikiro cha zovuta mu okalamba, m'malo mwake izi zitha kuphatikizidwa ndi kusintha kwokhudzana ndi zaka zomwe ma cell a pancreatic amasinthidwa ndi ena a fibrous patapita nthawi. Nthawi zambiri, milandu ngati imeneyi sikufuna maphunziro apadera.

Pamene kufupika kwa ndulu kumatuluka

Kodi zimatanthawuza chiyani kwa munthu pamene echogenicity mu kapamba imachuluka kwambiri ikawonetsedwa pa chipangizo cha ultrasound ndipo zimayambitsa chiyani? Kusintha kovuta kumawonedwa bwino pa nthawi yomwe amadziwika ndi ultrasound ndikuwonetsa kusintha kwa kapamba. Zowona, Zizindikiro izi zimapezekanso zikhalidwe. Chifukwa chake, amasamalira magawo amodzi a chiwalo chowunikirachi, ndipo pokhapokha pokhapokha ngati izi zachitika kapena ndiye mawu omaliza okhudza matenda. Kwa zopatuka ndi njira ziti zomwe masinthidwe akuwonetsa muzochitika zamatenda a kapamba:

1. Maonekedwe a lipomatosis a zodutsitsa. Pozindikira komanso kuchuluka kwa kapangidwe ka kapamba, tiziwalo tating'onoting'ono timaloledwa ndi mafuta. Mchitidwewo umachitika popanda zodziwikiratu, chifukwa chomwe mankhwalawo amapezeka mwatsatanetsatane.
2. Kuchulukana kwa chikhalidwe cha anthu, kumayankhula za edema ya chithokomiro. Ndi matenda awa, mawonekedwe owopsa a kapamba amachitika, kupweteka kwambiri mu peritoneum ndipo monga chizindikiro, mawonekedwe a matenda am'mimba, kusanza.
3. Kuwonjezeka kwa deta ya chizindikiro chakubwereranso kungawonetse kuchitika kwa foci of neoplasms. Pathology yokhala ndi echo conduction imayambitsa zotsatirazi:
   • khungu
   • kuwonda kwambiri
   • kutsegula m'mimba
   • kusowa kwa chakudya.
4. Kuchulukitsa kwa zidziwitso zam'mapapo a cancreas kudzanena za kupezeka kwa pancreatic necrosis. Pa bolodi yazida ya zida za ultrasound, tsamba loyang'aniralo likuwonetsedwa ndi mtundu wowala, osati monga mbali zina za kapamba. Ndi matenda, necrosis ya maselo a ziwalo zimachitika, ndipo ndi wamphamvu matenda, kumachitika kwa peritonitis maonekedwe a kwambiri zizindikiro:
   • kutentha kuwonjezeka
   • maonekedwe opweteka ndi kupweteka kwa kuthekera,
   • kusanza
   • kutsegula m'mimba
   • kuledzera kwa thupi.
5. Ndipo chiwonjezero chakuwonjezeka kwa chizindikiro chimachitika ndi matenda ashuga. Zizindikiro zoyipa za matendawa ndi:
   • ludzu
   • kukodza pafupipafupi
   • kuchuluka kwa mtima
   • kufooka palimodzi.
6. Chizindikiro chowonjezeranso pakubwera chimawoneka ngati ma pancreatic minofu fibrosis. Zizindikiro za matendawa: kutsekula m'mimba kapena chopondapo, ululu wammbuyo.

Ndi izi, minofu yathanzi imasinthidwa ndi mawonekedwe amtundu wa pathogenic kapena mawonekedwe. Nthawi yomweyo, ma contours amawonedwe azinthu zosintha pancreatic.

Pancreatic hyperechogenicity imachitika ngati chinthu chosakhalitsa. Zomwe zimayambitsa izi:

• chibayo
• ARI
• ARVI,
• chimfine
• meningitis
• matenda ena obwera ndi mabakiteriya kapena ma virus omwe amakhudza thupi la wodwalayo.

Kuti athetse vutoli, chithandizo cha zomwe zimayambitsa echogenic zotsatira zimachitika, pambuyo pake zisonyezo za zida za ultrasound ndi mkhalidwe wa wodwalayo zimabwezeretsa mwakale.

Zizindikiro

Gawo loyambirira limakhala ndikuwunika wodwalayo ndikupeza anamnesis.

Mulingo wodziwika wofufuzira matenda a pancreatic ndi kuphatikiza kwa ma ultrasound ndi mayeso a labotale magazi ndi mkodzo, njira yophatikizidwa imakupatsani mwayi wodziwikitsa.

Pakayezetsa magazi, chizindikiritso cha ntchito za alpha-amylase ndichofunikira. Chilolezo cha Amylase chimatsimikiziridwa poyerekeza ndi creatinine chilolezo, ndi kapamba, chiwopsezo cha woyamba mpaka chachiwiri ndichokwera kuposa 5. Mumkodzo, zomwe amylase zimawunikidwa, chizindikiro chowonjezera chikuwonetsa pancreatitis.

Pa ultrasound, katswiri amasanthula kapangidwe ka ndulu, mavu ndi mitsempha yamagazi. Ngati kutupika kwa chiwalo ndi kuchuluka kwa duct wa Wirsung kwapezeka, titha kulankhula za pancreatitis ya pachimake. Edema amapereka chithunzi cha kufupika kwa chidziwitso pazenera, izi zikuchitika chifukwa cha kuchuluka kwamadzi am'mimba. Gawo lomwe limapezeka m'matumbo limadziwika ndi echogenicity yotsika.

Kuchulukitsa kochulukirapo kwamatenda a kapamba sikutanthauza kuti munthu azindikirika, amafunika maphunziro ochulukirapo.

Kukhalapo kwa calculi, kuwerengetsa, kusintha kwamakhalidwe, pseudocysts, ndi kuphwanya kwina kwa homogeneity kumapangitsa kuti pakhale pancreatitis yayikulu.

Ndi kuchuluka kwa mpweya m'matumbo, mafunde a ultrasound samapangitsa kuti zitheke kuzindikira bwino komanso kupenyerera kwathunthu. Izi zimayika zofunikira pakudya pakukonzekera kwa ultrasound - zinthu zomwe zimapangitsa kupanga gasi siziyenera kuphatikizidwa.

Njira zochizira zimatengera kuzindikira.

Chithandizo cha matenda a shuga chimakhala chotsatira kudya komanso kulipirira kuchepa kwa mahomoni a pancreatic (insulin).

Ngati kuchuluka kwa kupanikizika kwa kapamba kumapezeka limodzi ndi magulu azizindikiro zakulephera kwa chiwalo, dokotala amakupatsani ntchito yokonzekera enzyme: Mezim, Panzinorm, Creon, etc.

Kupumula kwamatenda a pancreatitis pachimake ndikuwonjezereka kwa mawonekedwe ake osakanikirana kumathandizidwa ndi antispasmodics: No-shpa, Duspatalin, Odeston, etc. Mankhwalawa amatsitsimutsa minofu yosalala ya ma pancreatic, ndikuthandizira kutuluka kwa pancreatic madzi.

Munthawi yoyamba ya mankhwala a kapamba (masiku 1-2), kukana kwathunthu kwa chakudya kumawonetsedwa, ndiye kuti dokotala amakupatsani zakudya zochizira.

Chofunika kwambiri pa matenda a kapamba ndizakudya. Zakudya za tsiku ndi tsiku zimagawidwa m'magulu ang'onoang'ono a 5-6 m'magawo ang'onoang'ono. Zinthu zomwe siziyenera kuphatikizidwa kuchakudya:

Zakudya ziyenera kuphikidwa, ndikofunikira kuti ziziphika, pomwe mbale siziyenera kutentha kapena kuzizira. Kuphwanya kwakukulu ndikulimbikitsidwa.

Kuchuluka kwa mafuta akumwa (ma compotes, mankhwala azitsamba, infusions) akuwonetsedwa. Mukamagwiritsa ntchito mchere wa mchere wa carbonated, muyenera kumasula mpweya kuchokera pamenepo.

Zakudya za anthu odwala matenda ashuga zimakhazikitsidwa ndi kuletsa kwakukulu kapena kuphatikiza kwathunthu mafuta azakudya mosavuta komanso kuphatikizidwa ndi zovuta zamankhwala. Njira yothandizira matendawa imaphatikizapo kunenepa kwambiri.

Kodi ndimatenda otani omwe amatha ndi kuchuluka kwa echogenicity

Kuchulukana kwachulukidwe ka kapamba kumawonetsa zotsatirazi:

• lipomatosis (maselo ogwira ntchito a gland amasinthidwa ndi maselo amafuta omwe amakhala ndi madzi pang'ono),
• pancreatic necrosis (kufa kwa maselo a glandular),
• matenda ashuga
• Mitundu ina ya zotupa,
• pancreatic metastases mu khansa.

Tisaiwale kuti mawonekedwe a edema pancreatitis yacute, komanso zotupa zomwe zimakhala ndi madzimadzi, zimawonekera pazenera la makina a ultrasound ndikuchepa kwa echogenicity.

Zolemba mwa ana

Zisonyezero zoika kwa ultrasound ya kapamba mu ana:

• kupweteka kwam'mimba
• onjezerani chimbudzi, kusanza,
• kuchepa thupi msanga
• akuwonetseredwa zachilendo zachitukuko cha kapamba,
• ma cysts, calculi, necrosis kapena fibrosis
• matenda ashuga.

Kupima kwa mwana wovuta ndikovuta, pomwe zotsatira za ultrasound zimatha kupotozedwa, koma kuchuluka kwa zinthu monga kuchuluka kwa echo, kupezeka kwa edema, kapangidwe kazinthu zosafunikira koyenera kuti kazindikiritse matenda mwachangu.

Gulu la hyperechoic inclusions

Mitundu yotsatirayi ya hyperechoic inclusions mu kapamba imasiyanitsidwa:

1. Ma pseudocysts (awa ndi mawonekedwe amadzimadzi omwe amapezeka chifukwa cha pancreatitis pachimake). Ulusi wopangira nsalu umakhala wopepuka.
2. Zolembera, kapena zinthu zowerengedwa. Kuwoneka ngati munthu wadwala matenda osachiritsika ofunsidwa (nthawi zambiri pancreatitis).
3. Zinthu zamafuta zimatenga malo ena. Izi zimawonedwa ngati munthu adya mafuta ochulukirapo.
4. Fibrosis, momwe malo abwinobwino a minofu amasinthidwa ndi zipsera. Imapezeka pambuyo pancreatic necrosis.
5. Miyala imatha kudzikundana mumiyendo ya chiwalo.
6. Kuchepa kwa Fibrocystic nthawi zambiri kumakhala chifukwa cha kutupa kwakumiseche.
7. Pancreatic metastases.

Ngati matendawa akuwonetsa zotsatira zokayikitsa, wodwalayo amatumizidwa kukayesedwa kowonjezera. Pokhapokha ngati mutazindikira kuti matendawa ndi eni eni.

Zindikirika bwanji?

Asanayambe kuyesedwa, kukonzekera wodwala ndikofunikira. Amachitika pamimba yopanda kanthu, chakudya chomaliza chimayenera kukhala pafupifupi maola 12 isanachitike. Kwa masiku angapo, zinthu zomwe zimayambitsa kupangira mpweya ndizopanda chakudya.

Patsiku lomwe njirayi imachitidwa, wodwalayo amaletsedwa kusuta, kumwa mowa ndi mankhwala osokoneza bongo.

Kufufuza pawokha sikubweretsa ululu ndipo pamatenga mphindi 20. Wofufuzayo wagona pabedi kumbuyo kwake, kenako amatembenukira kumanja ndi kumanzere. Gel yovulaza imagwiritsidwa ntchito pamimba. Ngati pali chizolowezi chosambira, ndiye kuti muyenera kutenga magome ochepa a sorbent.

Njira zonse zikamalizidwa, adotolo amawunika zomwe adalandira ndikupanga matenda. Ultrasound imakhala yopanda vuto lililonse kwa wodwalayo, imatha kuchitidwa kangapo kofunikira.

Kodi matenda othandizira pancreas a pathological amathandizidwa bwanji?

Chithandizo cha zovuta zonse zokhudzana ndi hyperechoogenicity chimalangizidwa ndi dokotala wokha.

Therapy zimatengera chifukwa cha hyperechoogenicity:

• Mu chifuwa chachikulu cha pancreatitis, mankhwala amathandizidwa kuti achepetse kupanga kwa hydrochloric acid mu mucosa wa m'mimba. Zofunikira ndi ndalama zomwe zingachepetse enzymatic ntchito ya kapamba. Kumbukirani kuti chithandizo cha matenda pachimake chimachitika mu dipatimenti yopanga opaleshoni.
• Ndi lipomatosis, zakudya zomwe zimakhala ndi mafuta ochepa, makamaka zochokera ku nyama, zimasonyezedwa.
• Pamaso pa zowerengera ndi madera omwe ali ndi fibrosis, komanso kukhazikitsidwa kwa chakudya, funso lothandizira opaleshoni limathetsedwa.
• Ndi yogwira pancreatitis, zakudya zoyenera ndi chithandizo cha matenda oyambira ndizofunikira.
• Zowonjezera za chifuwa chachikulu chimagonekedwa kuchipatala. Amasonyezedwa ndi jekeseni wamkati ndi kulowetsedwa.
• Carcinoma amathandizidwa mwachangu; nthawi zambiri wodwala angafunike mankhwala othandizira.

Udindo wofunikira kwambiri pakuchepetsa pancreas ya hyperechoic ndi zakudya zoyenera. Wodwala ayenera kukana yokazinga, kusuta, mchere.

Kuletsedwa mwamphamvu fodya, kusuta. Ndikofunikanso kuchepetsa kugwiritsa ntchito maswiti.

Kumbukirani kuti kuwonjezeka kwa Hyperechoicity si matenda, koma mawonekedwe a chiwalo. Malinga ndi zotsatira za ultrasound, chithandizo choyenera chimasankhidwa. Mwina wodwalayo angafunikire zowonjezera maphunziro ndi kusanthula.

Zoyambitsa matenda

Pali zinthu zambiri zomwe zimayambitsa kuphatikizika kwa kapamba. Mndandanda wawo ndi zifukwa zingapo: kuchokera ku matenda a banal catarrhal kupita ku chotupa choyipa.

Zophwanya izi nthawi zambiri zimakhala zakanthawi. Chifukwa chake, onjezerani zachilengedwe zitha kuyambitsidwa ndi izi:

• Kusintha kwa nyengo
• Kusintha kwanyengo
• Ukalamba
• Kuzunza
• Kusala kudya kwanthawi yayitali,
• Nthawi yotupa pambuyo pake (pambuyo pa matenda opatsirana kapena kachilombo)
• Kuyesa mayeso osati pamimba yopanda kanthu.

Zomwe zimayambitsa chiwonetsero chachikulu cha echogenicity nthawi zambiri zimakhala za pathological inclusions. Nthawi zambiri, akapezeka, ma ultrasound omaliza amakhala ndi mawu akuti: “kuphatikiza ma hyperechoic mu kapamba”. Vuto lalikulu kwambiri lomwe lingabisidwe pansi pa mawu awa ndi kupangidwe koyipa. Komabe, musathamangire pazomwe mukunenazi, popeza kuchuluka kwachilengedwe komweko ndi umboni wa njira zingapo zomwe tikambirane mtsogolomo.

Kodi matendawa amachitika bwanji?

Palibe chovuta popanga mayeso a diagnostic a ultrasound, komabe, kukonzekereratu kwa wodwalabe ndikofunikira. Njira yoyamba komanso yofunika kwambiri yomwe iyenera kuonedwa ndi ultrasound isanachitike ndi njala. Izi zikusonyeza kuti chakudya chomaliza chikuyenera kuchitika maola 12 asanakudziwe, ndiye kuti, wodwalayo ayenera kubwera kuchipatala pamimba yopanda kanthu. Kuphatikiza apo, madzulo a chakudyacho, ndikofunikira kupatula zinthu zomwe zimayambitsa kupangidwa kwa mpweya ndi kutulutsa. Sitikulimbikitsidwanso kusuta, kumwa mowa ndi kumwa mankhwala.

Kuyesedwa kwa kapamba ndi ultrasound ndi njira yopweteka yopweteka yomwe imagwiritsidwa ntchito pogwiritsa ntchito gel osakaniza ndi zida zapakati pa mphindi 5 mpaka 10. Kuti achite mayeso othandizawa, munthu ayenera kuyimirira, pakufunika katswiri kuti atembenukire mbali ya kumanzere, kenako kumanja. Ndi chizolowezi chowoneka bwino, tikulimbikitsidwa kuti mutenge mapiritsi angapo a sorbent.

Kuunika kwa Ultrasound ndikotetezedwa, chifukwa chake, ngati kuli koyenera, kungathe kubwerezedwa kangapo.