Ultrasound ya kapamba mu shuga: chiwalo chimasintha mu kapamba

Pancreatic ultrasound ya matenda ashuga nthawi zambiri siziwonetsa kusintha kwa iye. Chifukwa chake, malingaliro onse omwe akuwonetsedwa kumapeto kwa kafukufuku atatanthauziridwa ndi dokotala wanu. Katswiriyu amakanikira zomwe zikuwonetsa ndi chithunzi cha matenda, mbiri yakale ndi zotsatira za kufufuza kwachipatala. Mbiri ya kusinthika kwakusiyana ndi kudzipatula ku deta yina sikuwonetsa matenda. Wodwala sangakhale ndi madandaulo. "Zotupa za Bv zimafunikiranso chidziwitso. Amaphatikizanso magawo omwe amagawidwa mofananamo: zotupa, cysts, hemorrhage, fibrosis ndi ena.

Zizindikiro za shuga mellitus pa ultrasound ya kapamba zimasiyana malinga ndi zaka za wodwalayo, nthawi yayitali ya matendawa, matenda a concomitant ndi zina zina. Nthawi zambiri, kuyezetsa magazi ndi ma pancreas kumaonetsa kusintha kwake:

• lipomatosis
• mlangizi
• njira zoyipa.

Ndi kuzindikira koyambirira kwa kuchepa kwa insulin mwa ana, palibe zopatuka. Ndi matenda atakhala zaka ziwiri, kuphatikizika kumapezeka, kukula kwa kutulutsa timakhala mkati mwabwinobwino. Njira yotalikirapo - madera ambiri akuthinikizika mu nsalu. Zowoneka bwino kwambiri zili mumutu. Zikondazo zimachepa.

Kupatuka komwe kwawonetsedwa ndi ultrasound kumatha kukhala chifukwa cha pachimake kapena kupweteka kwamatumbo - matenda otupa. Kuwonongeka kwa kapamba kumachitika chifukwa cha kuvulala kwake, zilonda zam'mimba kapena duodenum, kuledzera, amyloidosis. Zomwe zapezedwa sizili zachidziwikire, motero, zili mumachitidwe owonjezera. Ndikwabwino ngati pancreatic ultrasound ikukayikiridwa ndi matenda a shuga nthawi yomweyo kuchititsa kuwunika kwa ndulu ndi chiwindi, popeza ziwalo zimalumikizana bwino. Matenda osagwirizana ndi insulin:

• biliary dyskinesia,
• cholecystitis
• mafuta kulowa chiwindi.

Nthawi zambiri amakhala otakataka. Ngati ma ultrasound akuwonetsa kusintha kwa gland ndi chiwindi, ndiye kuti zingathenso kuonetsa matenda a shuga.

Gulu la zinthu limatitsogolera pakukula kwa njira ya pathological, kutengera kwa chibadwa ndikofunikira kwambiri. Matendawa akangopezeka ndi matendawa, amakhala ndi mwayi wokhala ndi ziwopsezo zambiri za insulin. Ngati m'mabanja mwanu wina ali ndi vutoli, ndiye kuti muyenera kupeza kaye matenda anu. A endocrinologist ku Solntsevo kuchipatala chathu adzalemba zofunikira zochepa zoyeserera chidziwitso cha ntchito ya pancreatic ndi kutsimikiza kwa shuga.

Matenda a shuga ndi Ultrasound

Maphunziro a Ultrasound amagwiritsidwa ntchito kwambiri ngati mankhwala kuzindikira matenda ambiri. Mwa zina zosasinthika za njirayi: chitetezo chokwanira, kupezeka ndi chidziwitso chambiri. Kuyesedwa kwa ziwalo zam'mimba monga chiwindi, kapamba, impso zimapereka chidziwitso cha zomwe zimachitika mu ziwalo izi, chotupa chachiwiri, kapena kupezeka kwa ma pathologies ambiri.

Chifukwa chiyani ultrasound ya matenda ashuga?

Ultrasound yokhala ndi matenda a shuga nthawi zina imatha kuzindikira chomwe chimayambitsa matendawa pakuwonekera, ma virus kapena chotupa. Kuphatikiza apo, mayesowa akuwonetsedwa kuti awone momwe chiwindi chilili, momwe kagayidwe kazakudya kamapangidwira, kuphatikizapo kuwonongeka ndi kaphatikizidwe ka shuga kuchokera ku glycogen. Ndikothekanso kuwunika momwe impso zimakhalira, kupezeka kapena kusakhalapo kwa zilonda, kusintha kapena kuvuta kwazinthu mwa iwo.Komanso, ma ultrasound amawonetsa mkhalidwe wamakoma a ziwiya zazikulu, zomwe zimakhudzidwanso ndi matenda ashuga.

Zisonyezo za kafukufuku wapamtima wa matenda a shuga ndi awa:

• mimba
• amaganiza kuti kapamba
• kusintha kwamkodzo,
• maphunziro a minofu ya kapamba, chiwindi ndi katemera wa chinsinsi amatulutsa,
• kuyesa kukula kwa chiwindi ndi ndulu,
• mawonekedwe a impso,
• kuwunika njira ya matenda ashuga,
• kuwunika mayendedwe a chiwindi
• kukhalapo kwa zotupa m'mimba,
• thrombophlebitis kapena thrombosis,
• matenda ashuga
• kusintha kwa thupi
• zilonda zam'mimba
• pang'onopang'ono claudication syndrome,
• matenda a chiwindi
• insulinomas.

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Kukonzekera njirayi

Magawo akulu pokonzekera ndi:

Pamaso pa njirayi, ndi bwino kupewa kusuta.

• Ultrasound yamimba yam'mimba imachitidwa nthawi zonse pamimba yopanda kanthu.
• Makanda amayesedwa maola 4 atadyetsedwa.
• Sitikulimbikitsidwa kugwiritsa ntchito caramel ndi chingamu.
• Osasuta.
• Kutengera ndi njirayi, onetsetsani momwe amadzimadzi amadzimadzi akumwa.
• Odwala omwe ali ndi matenda ashuga amatha kumwa tiyi wopanda mafuta ndikuyamba kudya pang'ono.
• Kufufuza mwadzidzidzi sikufuna kukonzekera.
• Pambuyo pochita njira monga colonoscopy, X-ray maphunziro kapena FGS, kafukufukuyo sayenera kuchitika pasanadutse masiku 5 pambuyo pake.
• Chenjezani akatswiri za mankhwalawa.
• Ndi kuchuluka kwa kupanga kwa gasi, gwiritsani ntchito Espumisan kapena analogues.

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Zotsatira

Ultrasound ikuwonetsa kusintha kwamapangidwe amtundu wa pancreatic, omwe amathandiza kudziwa kutalika kwa nthawi ya matendawa ndikulosera kukonzekera kwazovuta. Mu shuga mellitus, kuchuluka kwa ziwopsezo za thupilo, kusakanikirana komanso malire osagwirizana kumadziwika.

Panthawi ya ndudu, cystic pancreatic misa imatha kupezeka.

Kuunika kumapangidwa ndi kukula kwa ziwalo, kufanana kwa kapangidwe kake, kupezeka kwa ma pathological inclusions, mawanga, cysts, abscesses, zotupa. Kutengera ndi malo omwe aphunziridwa, kusintha kotere kumawonedwa:

• Kapamba Atrophy, kusintha kwa parenchyma ndi zinthu zotumphukira kapena adipose minofu, edema, kuvuta kwamawonedwe kungawonedwe.
• Zotengera. Chombocho chikuwoneka ndi maso, makulidwe, makulidwe, kukhazikika kwa makoma, kupendekera, kukoka, mabatani, kukuthira kapena kuwoneka kwa makoma, kuwundana kwa magazi, kusintha chifukwa chakuchita. Kuphatikiza apo, kuwunika kuthamanga ndi kuwongolera kwa magazi kumachitika.
• Chiwindi. Kusintha kwa kapangidwe ka zinthu mu parenchyma, Zizindikiro zakuchulukirachulukira kwa mitsempha yamitsempha yamagazi, bysary dyskinesia, kutupa kwa gallbladder ndi kupezeka kwa miyala, kufalikira kwa mafuta m'thupi ndi mapangidwe a cirrhosis.
• Tumors Kufanana kwa kapangidwe kake, kuthekera kwanyumba, komanso kukula kwake ndikuyerekeza.
• Mesenteric lymph node. Zitha kuchuluka mu zotupa, zotupa kapena ma metastases.
• Impso. Mutha kuwona kusintha kwa lumen, kapangidwe kake, kupezeka kwa calculi.

Phunziroli silitenga nthawi yambiri, silifunikira kuyesayesa kwapadera kuchokera kwa odwala ndipo silimayendera limodzi ndi kusasangalala kapena kupweteka. Komabe, kuchuluka kwake kophunzitsa kudzapatsa adotolo mayeso azomwe zimachitika osati kapamba, koma, ngati kuli kotheka, ziwalo zina. Kuphatikiza apo, dongosololi likuthandizani kusintha chithandizo chamankhwala. Kuti muwonjezere njira yake, tsatirani malamulo okonzekera.

Ndani adayikiridwa ndipo chifukwa chiyani ndi ultrasound ya kapamba

Kwa kapamba, njira yodziwira matenda a ultrasound ndi yofunika kwambiri. Ndikulimbikitsidwa poyambira mayeso.

Makina a Ultrasound akuwonetsedwa Ndi kuvulala pamimba, kupezeka kwa shuga kapena magazi ambiri m'magazi, shuga mumkodzo, kusintha kwa ntchito ya michere ya m'mimba.Phunziro lingafunike kumveketsa bwino matendawa ngati nthendayi imapezeka mukuzindikira matenda am'mimba, matenda omwe amamuganizira, matenda a shuga, kapenanso kapangidwe ka chotupa.

Kuzindikiridwa pafupipafupi kumaperekedwa kwa odwala omwe akuvutika:

• onenepa
• kutupa kwa chiwindi, chikhodzodzo, m'mimba kapena duodenum, kapamba,
• miyala m'miyala yamavuto.

Ultrasound ya kapamba

Zizindikiro zadzidzidzi zimawonekera mukakayikira:

• kupempha, kutulutsa,
• fistula
• necrosis (minofu necrosis),
• kuvulala kapena kupasuka kwa chiwalo,
• kuphwanya kutuluka kwa ndulu chifukwa cha kuponderezedwa kwa duct ndi mutu wa England.

Kukonzekera kwa Dianostic:

• kwa masiku 3-5, nyemba, kabichi, mkaka wonse, buledi wa bulauni, maswiti, confectionery samachotsedwa pakudya.
• wokhala ndi chizolowezi chodzimbira dzulo mutangomwa mankhwalawa, Fortrans ndiyabwino koposa,
• chakudya chamadzulo chizikhala chopepuka
• ngati ukufalikira kumasokoneza, ndiye musanapite kukagona muyenera kutenga Espumisan kapena makala adamulowetsa,
• Pamaso pa ultrasound (patsiku) amaloledwa kumwa madzi oyera okha.

Espumisan Owonjezera Granules 125 mg N14 Sachet

Ndikofunika pang'onopang'ono kusaka kuti musamwe kapu yamadzi kudzera mu udzu, kuthamangitsa mpweya womwe udalipo m'matumbo.

Makina a Ultrasound

1. Udindo waukulu pakamayesedwa wagona pamimba.
2. Dokotala amagwiritsa ntchito gel osakaniza ndikumasuntha sensa mu hypochondrium yamanzere. Kuti musinthe mawonekedwe, muyenera kutulutsa ndi kupuma.

Ultrasound yopanda vuto lililonse komanso yopanda ululu, nthawi yovomerezeka ndi mphindi 10-15.

Kukula kwa chithokomiro si gawo lalikulu lomwe kupezeka kwa matenda amawunika. Mu ana, kukula kwa abale kumakhala kwakukulu, ndipo okalamba, kuchepa kwa gland kumadziwika.

Makulidwe wamba amutu ndi 3 cm (kuchokera kutsogolo mpaka kumbuyo), gawo lalikulu (thupi) - 2 cm, ndi mchira 1.5 - 3. cm. Mng'aluwo ungaoneke ngati chubu loonda kapena mzere wosaposa 1.5 mm, m'mutuwo ndi owirikiza kawiri.

Ultrasound ya kapamba

Khalidwe lofunikira ndi echogenicity. Zimatengera kakulidwe ka minofu ndi kukhalapo kwa koyang'ana kapena kusinthasintha (wamba) mwa iko. Pomaliza, adotolo akuwonetsa mawonekedwe ake monga isoechogenic. Tishutiyi imayenera kukhala yopanda pake (yopanda pake), ma contour ali ngakhale ndikuwoneka bwino, duct silikukulitsidwa.

Makamaka:

• Zizindikiro zakusintha kwofananira. Izi zikufotokozera kuchepa kapena kuwonjezeka kwa kuphatikizana kwa kapamba. Nthawi zambiri amayamba chifukwa cha zakudya zosowa kapena zowonjezera, mowa, zakudya zamafuta kapena shuga, komanso kusuta. Amakhalanso ndi matupi awo sagwirizana ndi matenda, matenda, kugwiritsa ntchito antibacterial agents, matenda a ziwalo zina zam'mimba. Zomwe zimapangitsa kuchepa kapena kuwonjezeka kwa kupsinjika kwa minofu yogwira ntchito kumalumikizidwa ndi kupsinjika kwamanjenje, kupsinjika, ndi matenda a shuga.
• Khansa, chotupa, mseru. Ma pancreatic neoplasms ali ndi machitidwe awa: mawonekedwe a volumetric, mapangidwe opizira, nthawi zambiri otsika echogenicity, heterogeneous. Kukula kwa ziwalo zonse kumachitika pokhapokha mochedwa. Nthawi zambiri, chotupacho chimakhala cham'mutu, thupi ndi mchira ndizovuta kuzikhudza. Kukula kwa kabowo kungakhale chizindikiro chosamveka (nthawi zina chokhacho) cha chotupa chaching'ono. Ndi khansa m'mutu, m'mimba mwake mwa ndulu ya gallbladder imachuluka nthawi yomweyo. M'mapangidwe a kapamba pali zisumbu za Langerhans, zomwe zimatulutsa mahomoni. Kuposa 70 peresenti ya ma neoplasms omwe amapezeka m'malo amenewa ndi insulomas-kumasula insulomas; zotupa zopanda ntchito zamahomoni komanso gastrinomas (secreting gastrin) ndizovuta kupeza. Mapangidwe onsewa ali ndi kukula pang'onopang'ono, kusowa kwenikweni.

• Chips Ndi zovuta za kutupa pachimake, kudzikundikira kwamadzi komwe kumakhala ndi ma enzymes kumatha kupanga.Mpanda wa cyst umakhala wowuma pakapita nthawi, ukhoza kuwonongeka.
• Pancreatitis Poyamba kapena ndi chitsulo chazitsulo, zimakhala zowoneka bwino. Mu kupweteka kwapafupipafupi, zizindikiro zotsatirazi zikuwonekera: kachulukidwe kakang'ono kamachepa, ma contour amatayika kumveka, minyewa ya m'maso ikuwonekera bwino, ikhoza kukhala yopanga zovuta, duct imakulirakulira, pali kusunthika kapena kusuntha kwakukulu ndi kuphatikiza kwawo. Kuchulukana kumawonjezeka pakapita nthawi yayitali, magawo apakati komanso apamwamba akachulukidwe mosasinthika, malire awo amakhala operewera. Ma calcium a calcium amapezeka mu minofu yoyenda ndi duct. Mu magawo apambuyo, chiwalo chimafota, atrophies, ndi minofu yolumikizana imamera m'menemo. Choyezera chikukula, chimakhala ngati mawonekedwe a mikanda.

Matenda a shuga sazindikira ndi a ultrasound, chifukwa zosintha zomwe zapezeka sizikudziwika mwatsatanetsatane ndipo sizikuwonetsa kusalinganika kwa mahomoni.. Zizindikiro za ultrasound zimawoneka ngati kuli kofunikira kupatula kuwonjezeka kwachiwiri kwa shuga wamagazi chifukwa cha pachimake kapena pancreatitis yayikulu, chotupa. Ma sctr Ultrasound amathandizanso kudziwa kusintha kwa minyewa ya chiwindi.

Popeza atha kudwala matenda ashuga, amapeza:

• Kuchepetsa kukula (atrophy), pang'onopang'ono imakhala ngati tepi,
• mawonekedwe amadzimadzi amaso ndipo minyewa imawonekera ngati fayilo yozungulira,
• kuchuluka kwa minyewa yolumikizana ndi minofu yama cell (lipomatosis).

Werengani nkhaniyi

Zisonyezero zosankhidwa ndi ultrasound ya kapamba

Kwa kapamba, njira yodziwira matenda a ultrasound ndi yofunika kwambiri. Ndizopanda contraindication, sizimayendera ndi radiation kapena kufunikira koyambitsa zida, sing'anga yapakati. Chifukwa chake, tikulimbikitsidwa koyambirira kwa mayeso pamaso pa madandaulo otsatira:

• M'mimba mutatha kudya, makamaka ngati ali ndi lamba,
• kuchepa kwamtima
• kupindika
• kusanza, kusanza mobwerezabwereza,
• kusintha matendawa ndi kudzimbidwa,
• chikasu pakhungu.

Ultrasound ikuwonetsedwa pakuvulala kwam'mimba, kupezeka kwa shuga m'magazi, shuga mumkodzo, komanso kusintha kwa ntchito yam'mimba michere. Phunziro lingafunike kumveketsa bwino matendawa ngati nthendayi imapezeka mukuzindikira matenda am'mimba, matenda omwe amamuganizira, matenda a shuga, kapenanso kapangidwe ka chotupa.

Kuzindikiridwa pafupipafupi kumaperekedwa kwa odwala omwe akuvutika:

• onenepa
• kutupa kwa chiwindi, chikhodzodzo, m'mimba kapena duodenum, kapamba,
• miyala m'miyala yamavuto.

Zizindikiro zadzidzidzi zimawonekera mukakayikira:

• kupempha, kutulutsa,
• fistula
• necrosis (minofu necrosis),
• kuvulala kapena kupasuka kwa chiwalo,
• kuphwanya kutuluka kwa ndulu chifukwa cha kuponderezedwa kwa duct ndi mutu wa England.

Ndipo pali zambiri za khansa ya chithokomiro.

Momwe mungakonzekerere matenda

Kupezeka kwa mpweya m'matumbo kumapangitsa kuti chiwalo chisawonekere. Chifukwa chake, kukonzekera kuzindikirika kwa masiku 3-5 kuchokera pazakudya musatchule:

• nyemba
• kabichi
• mkaka wonse
• mkate wopanda bulawuni
• maswiti
• Confectionery

Ndi chizolowezi chodzimbidwa, ndikulimbikitsidwa kuti muchepetse khansa usiku, Fortrans ndiye njira yabwino kwambiri.

Chakudya chamadzulo chizikhala chopepuka - nsomba yophika kapena tchizi tchizi, tiyi ndi timbewu ndi fennel. Ngati kufalikira kumasokoneza, ndiye musanagone muyenera kutenga Espumisan kapena makala adamulowetsa.

Kuyeserera kumakonzekera m'mawa, pomwe matumbo ali ndi mpweya wocheperako. Pamaso pa ultrasound (patsiku loyesedwa), madzi oyera okha ndi amene amaloledwa. Ndikofunika pang'onopang'ono kusaka kuti mumwe kapu yamadzi kudzera muudzu kuti mutulutsiremo mpweya wopezeka m'matumbo a matumbo.

Makina a Ultrasound

Udindo waukulu pakamayesedwa wagona pamimba. Dokotala amagwiritsa ntchito gel osakaniza ndikumasuntha sensa mu hypochondrium yamanzere.Kuti musinthe mawonekedwe, muyenera kutulutsa ndi kupuma, mungafunikire kukulira kumanja ndi kumanzere.

Ultrasound yopanda vuto lililonse komanso yopanda ululu, nthawi yovomerezeka ndi mphindi 10-15. Munthawi imeneyi, adotolo amalandira zokhudzana ndi mapangidwe a gland, kukula kwa ziwalo zake, kapangidwe ka minofu.

Mulingo wofanana kukula, kuchuluka kwa akulu mwa akulu

Kukula kwa zodutsamo si gawo lalikulu lomwe kupezeka kwa matenda kumayesedwa, chifukwa kumalumikizidwa ndi mtundu wamtundu wa nkhani, kulemera, zaka, zakudya. Mu ana, kukula kwa abale kumakhala kwakukulu, ndipo okalamba, kuchepa kwa gland kumadziwika.

Magawo pafupifupi a mutu ndi 3 cm (kuchokera kutsogolo mpaka kumbuyo), gawo lalikulu (thupi) - 2 cm, ndi mchira 1.5 - 3 cm. Doko limatha kuwoneka ngati chubu yopyapyala kapena mzere wosaposa 1.5 mm, m'mutuwo ndi lofanana kutalika kawiri.

Kapangidwe ka kapamba

Khalidwe lofunikira ndi echogenicity. Ili ndiye dzina la kuthekera kwa minofu kuwonetsa ultrasound. Zimatengera kakulidwe ka minofu ndi kukhalapo kwa koyang'ana kapena kusinthasintha (wamba) mwa iko. Maso athanzi amakhala ndi mphamvu zofanana ndi chiwindi. Pomaliza, adotolo akuwonetsa mawonekedwe ake monga isoechogenic. Tishutiyi imayenera kukhala yopanda pake (yopanda pake), ma contour ali ngakhale ndikuwoneka bwino, duct silikukulitsidwa.

Zizindikiro zakusintha kwofananira

Izi zikufotokozera kuchepa kapena kuwonjezeka kwa kuphatikizana kwa kapamba. Nthawi zambiri amayamba chifukwa cha zakudya zosowa kapena zowonjezera, mowa, zakudya zamafuta kapena shuga, komanso kusuta. Kusintha kwakukuru kumachitikanso ndimomwe thupi limagwirira ntchito, matenda, kugwiritsa ntchito antibacterial, matenda a ziwalo zina zam'mimba.

Kusintha kwachidziwikire mu gland ya endocrine (pituitary, hypothalamus, chithokomiro, adrenal gland) kumakhalanso ndi vuto lofananalo. Zomwe zimapangitsa kuchepa kapena kuwonjezeka kwa kupsinjika kwa minofu yogwira ntchito kumalumikizidwa ndi kupsinjika kwamanjenje, kupsinjika, ndi matenda a shuga.

Khansa, kutupa, mseru

Ma pancreatic neoplasms ali ndi izi:

• kapangidwe ka volumetric
• masamba opindulitsa
• Nthawi zambiri zachilengedwe
• zopatsa chidwi.

Potere, kuwonjezeka kwa kukula kwa ziwalo zonse kumachitika pokhapokha mochedwa. Nthawi zambiri, chotupacho chimakhala cham'mutu, thupi ndi mchira ndizovuta kuzikhudza. Pankhaniyi, mawonekedwewo amatha kudutsa ndipo kapamba amayamba, ndiye kuti, kutupa ndi khansa zimapezeka mwa wodwala m'modzi.

Kusintha kwamphamvu kwa kapamba wamankhwala - kapangidwe kazinthu - kuchuluka, kapangidwe, kapangidwe ka kapamba

Kukula kwa kabowo kungakhale chizindikiro chosamveka (nthawi zina chokhacho) cha chotupa chaching'ono. Ndi khansa m'mutu, m'mimba mwake mwa ndulu ya gallbladder imachuluka nthawi yomweyo.

M'mapangidwe a kapamba pali zisumbu za Langerhans, zomwe zimatulutsa mahomoni. Kuposa 70 peresenti ya ma neoplasms omwe amapezeka m'malo amenewa ndi insulomas-kumasula insulomas; zotupa zopanda ntchito zamahomoni komanso gastrinomas (secreting gastrin) ndizovuta kupeza. Mapangidwe onsewa ali ndi kukula pang'onopang'ono.

Ndi zovuta za kutupa pachimake, kudzikundikira kwamadzi komwe kumakhala ndi ma enzymes kumatha kupanga. Mpanda wa cyst umakhala wowuma pakapita nthawi, ukhoza kuwonongeka. Choopsa chachikulu ndikuwonjezerapo.

Pancreatitis

Sizowonetsedwa nthawi zonse ndi kusintha kwamatchulidwe, poyambira kapena poyambira kutsika kwazitsulo kumakhala kowoneka bwino. Mu kupweteka kwamankhwala kapamba, zimayamba kuchitika:

• kachulukidwe kamachepa
• ma contour amasiya kumveka
• minofu ya gland ikuwoneka bwino, itha kukhala yopambana,
• dontho likukula,
• pali zosokoneza kapena zosintha zina komanso kuphatikiza kwake.

Zizindikiro za matenda osatha:

• zochulukitsa
• osagwirizana
• maziko a zisindikizo,
• kuponderezana kwa zombo zapafupi,
• Mikwingwirima ili yopanda pake komanso yopumira.

Kuwonetsedwa kwa kapamba kapamba mwa amuna

Kuchulukana kumawonjezeka pakapita nthawi yayitali, magawo apakati komanso apamwamba akachulukidwe mosasinthika, malire awo amakhala operewera. Ma calcium a calcium amapezeka mu minofu yoyenda ndi duct. Mu magawo apambuyo, chiwalo chimafota, atrophies, ndi minofu yolumikizana imamera m'menemo. Densi limakulitsa ndikuwoneka ngati mikanda chifukwa cha zigawo zingapo zopendekera.

Zomwe pancreatic ultrasound imawonetsa mu shuga

Matenda a shuga sapezeka ndi a ultrasound, chifukwa zosintha zomwe zapezeka sizikupezeka mwatsatanetsatane ndipo sizikuwonetsa kusokonezeka kwa mahomoni. Zizindikiro za ultrasound zimawoneka ngati kuli kofunikira kupatula kuwonjezeka kwachiwiri kwa shuga wamagazi chifukwa cha pachimake kapena pancreatitis yayikulu, chotupa.

Ma sctr Ultrasound amathandizanso kudziwa kusintha kwa minyewa ya chiwindi. Popeza chiwindi chimakhala ndi chakudya chamagulu ochulukirapo (glycogen) ndikupanga ma molekyulu atsopano a glucose (gluconeogeneis), kugonjetsedwa kwake kungafotokozere zovuta zovuta pochiza matenda ashuga.

Onani vidiyo yokhudza momwe ma ultrasound a kapamba amayendera:

Chizindikiro chodziwika bwino cha chotupa choyipa komanso chododometsa cha metabolism mu matenda ashuga ndikuchepetsa thupi, motero, ultrasound imagwiritsidwa ntchito kusiyanitsa matenda awa.

Tiyenera kukumbukira kuti kusintha koyamba kwa kapangidwe kake ka shuga kumayambira pafupifupi chaka chachisanu cha matenda. Pa gawo loyamba, kukula, kufalikira kwa kapangidwe kazinthu ndi kapangidwe kazikhala m'malo owoneka bwino. Popeza atha kudwala matenda ashuga, amapeza:

• Kuchepetsa kukula (atrophy), pang'onopang'ono imakhala ngati tepi,
• mawonekedwe amadzimadzi amaso ndipo minyewa imawonekera ngati fayilo yozungulira,
• kuchuluka kwa minyewa yolumikizana ndi minofu yama cell (lipomatosis).

Mwa kuopsa kwa zizindikirozi za ma ultrasound, titha kukhazikitsa mankhwala omwe ali ndi matenda a shuga ndikuwonetsa kuti pali zovuta zina.

Ndipo izi ndizambiri pazakupezeka kwa matenda a chithokomiro.

Ultrasound ya kapamba imapangidwira matenda am'mimba, mawonekedwe a zodandaula za kupweteka komanso matenda a shuga. Nthawi zambiri, mawonekedwe a isoechoic, minofu yolumikizika imatsimikizika, ndipo kukula kwa kutulutsa ndi kutulutsa kumafanana ndi zaka komanso mtundu wa thupi. Ndikusintha kwa pathological, kusinthasintha kapena kusuntha kwawonekera.

Njira imazindikira bwino ma cysts ndi zotupa, pachimake komanso kutupa kwamatumbo. Ndi matenda a shuga, ili ndi phindu lothandiza.

Ambiri amasokoneza matendawa ndi matenda ake a Itsenko-Cushing, komabe zifukwa zake ndizabwino, mankhwalawa amakhalanso. Zizindikiro zimawonekera kunja, kusokonezeka kwa ntchito ya ziwalo zonse. Kuzindikira kumakhala kovuta, kudalirika sikumakhala koyenera, ngakhale kwa ana.

Kuboola chithokomiro ndikofunikira mukazindikira ma nys, cysts. Imachitika moyang'aniridwa ndi ultrasound. Kukonzekera kuzindikira sikofunikira. Kusanthula kwa zotsatira ndi kusanja kumapereka kwa dokotala. Kodi zimachitika bwanji?

Kuzindikira kwathunthu kwa matenda a chithokomiro kumaphatikizapo njira zingapo - ultrasound, labotale, masiyanidwe, morphological, cytological, radiation. Pali mawonekedwe a mayeso mu amayi ndi ana.

Ngakhale sichachilendo kwambiri, khansa ya chithokomiro imachitika, zizindikiritso zoyambira zimayamba kusokonekera. Zizindikiro za medullary, papillary, follicular zimasiyana. Kukula kwa amayi ndi abambo kumadalira mtundu ndi zaka.

Ngati kachilombo kamene kamakula mofulumira kakuyamba kupezeka, muyenera kulingalirabe zabwino ndi zochotsa, chifukwa zotsatira zake zimakhala zazikulu. Zizindikiro zothandizira pakuchita opareshoni ndikuchepa kwa mayankho a chithokomiro. Pambuyo kuyambiranso kumachitika.

Pancreatic ultrasound mu shuga: chiwalo chimasintha mu kapamba

Nthenga za kapamba m'thupi zimakhala ndi mbali ziwiri - zimapanga ma enzyme oyimbira chakudya ndi mahomoni kuti azilamulira kuchuluka kwa shuga m'magazi. Chifukwa chake, imakhudzidwa pafupifupi mu njira zonse za metabolic.

Chifukwa cha malo ndi kukula kwake, ndizovuta kudziwa nthawi yam'mimba, chifukwa imakhala m'mimba ndi matumbo aang'ono.

Chifukwa chake, kuti mupeze mawonekedwe a chiwalochi ndikuwunika ntchitoyo mosagwirizana, kuphatikizidwa kwa kapamba kumayikidwa kwa matenda osokoneza bongo.

Zisonyezero zam'mimba ultrasound

Nthawi zambiri, pamimba pamakhala ma ultrasound omwe amachititsa kuti pakhale kafukufuku wokhudza odwala matenda a shuga, chifukwa izi zimathandiza kuwona kusintha kwa chiwindi, m'mimba ndi matumbo, chikhodzodzo. Pozindikira matenda ashuga, kuphunzira koteroko kungagwiritsidwe ntchito ngati njira yothandizira kuwunika nthawi yamaphunzirowa.

Pogwiritsa ntchito ultrasound, mutha kudziwa zotupa ndi njira zotupa m'matumbo, ziwonetsero za kapamba, cholecystitis, zilonda zam'mimba, mafuta a chiwindi, cirrhosis, zomwe zimatha kupangika chithandizo cha matenda a shuga ndikuwongolera.

Nthawi zambiri, kuzindikira koteroko kumachitika kuti mudziwitse kupweteka kwam'mimba, komwe kulibe chithunzi chowonekera cha matenda ndi pafupipafupi zomwe zimachitika, kulumikizana ndi kudya. Ndikulimbikitsidwa kuti mawonekedwe a jaundice, kuchepa thupi mwadzidzidzi, kusakhazikika m'matumbo, kutentha kosachokera.

Kafukufuku wa ultrasound angakwaniritse kutsimikizira matendawo m'mikhalidwe yotere:

1. Kuzindikira kwa chizindikiro cha radiological cha kutupa kapena zilonda zam'mimba m'mimba kapena matumbo.
2. Zosintha kapangidwe ka khoma la m'mimba nthawi ya fibrogastroscopy.
3. Kukhalapo kwa zodabwitsazi pakuwunika: kusinthidwa kwa mayesero a chiwindi, kuchuluka kwa shuga wamagazi kapena bilirubin.
4. Ngati kupenda kumawonetsa kusokonezeka kwa khoma lakunja kwam'mimba.

Pathology ya kapamba ndi ultrasound

Poyamba, kafukufuku amadziwa kukula kwa kapamba. Kwa akulu, ndizabwinobwino ngati chiwalo chomangira mutu-mutu ndi 35, 25, 30 mm, ndipo kutalika kwake ndi 16-23 cm.Mwana wakhanda, gland amatalika 5 cm.

Gawo lachiwiri ndi echogenicity, nthawi zambiri limangokulira mwa okalamba, pomwe minofu yabwinobwino imalowetsedwa ndi minyewa yolumikizana, pomwe chindacho chimachepera kukula, kotero chizindikiro ichi (kukula) chimataya kufunika kwake ndi zaka. Pancreatic echogenicity nthawi zambiri imakhala yolingana ndi hepatic, ma contour ake ayenera kukhala ngakhale.

Mtundu woyamba wa matenda ashuga a mellitus, mzaka zoyambirira za matendawa, kusintha kwa ma ultrasound sikuwonekera: kukula kwake kumakhalabe mkati mwazinthu zathupi lanyama, minofu imakhala ndi ngakhale tirigu, echogenicity sichidasweka, mawonekedwe ake ndi osalala komanso omveka.

Pambuyo pazaka zisanu ndi zinayi, mwa odwala otere, mapangidwe a kapamba amatsanulidwa, ndulu imafota, ndikupeza mawonekedwe okhala ngati nthiti. Mtundu wachiwiri wa matenda ashuga, chizindikiro chokhacho cha ultrasound m'magawo oyambira chikhoza kukhala chokulirapo, makamaka pamutu.

Ndi nthawi yayitali matenda a shuga, mutha kuwona zotere:

• Zikondazo zimachepa kukula.
• M'malo mwa minofu yowonekera, cholumikizira chovuta chimafotokozedwa.
• Mkati mwa gland, kuchuluka kwa maselo amafuta kumaonekera - pancreatic lipomatosis.

Pamaso pa vuto la kutupa kwamatumbo mu kapamba, limakula kukula, ndipo echogenicity imachepa, cysts ndi madera a necrosis amatha kupezeka. Pancreatitis yosatha imawonetsedwa ndi kuchuluka kwa echogenicity, duct ya Wirsung ikukula, miyala imawoneka. Kukula kumatha kuwonjezeka, ndipo ndi njira yayitali - kuchepetsedwa.

Mu shuga mellitus, kafukufuku wa chiwindi amafunikiradi, chifukwa amatenga nawo gawo muzochitika za kagayidwe kazakudya - glucose amapangidwa mmalo mwake ndipo glycogen amasungidwa.Chizindikiro chosadziwika cha insulin ikhoza kukhala kuchepa kwamafuta m'thupi la chiwindi - steatosis.

Kuphatikiza apo, ma ultrasound amatha kuthandizira pakuwona njira za chotupa, muzochitika zotere, ma contours a membala amakhala osagwirizana, mawonekedwe amasintha, madera omwe ali ndi mawonekedwe osiyanasiyana a echogenicity, mawonekedwe a chotupacho nthawi zambiri amakhala operewera, mosiyana ndi cysts ndi miyala.

Zotupa zing'onozing'ono sizitha kusintha kukula ndipo sizingakhudze zovuta za kapamba.

Momwe mungakonzekerere ndi ultrasound

Lamulo lalikulu lothandiza kuti muchite bwino pamimba ndi kutulutsa kwa mpweya m'matumbo, chifukwa chifukwa cha iwo simatha kuwona kapangidwe ka ziwalo. Pachifukwa ichi, musanazindikire, kwa masiku 3-5, chakudya chilichonse chomwe chimapititsa patsogolo kudya sichimaperekedwa kuchakudya.

Mulinso buledi wonyezimira, mkaka, kabichi wamtundu uliwonse, masamba abwino ndi zipatso, mizimu, madzi otumphuka, makeke onse, mafuta oundana, ayisikilimu, zopangidwa ndi matenda ashuga okhala ndi shuga m'malo mwake, kuchepetsa mbewu monga mbewu, mtedza, mbewu, masamba yophika, maphunziro oyamba ndi masamba kapena chimanga.

Mutha kudya zakudya zama protein ochepa - nyama, nsomba, tchizi, tchizi chofufumitsa, zikondamoyo zosafunikira shuga, zakumwa za mkaka wowawasa wopanda zina, mankhwala azitsamba ndi timbewu tonunkhira, katsabola, anise ndi fennel. Madzulo, chakudya chomaliza chimayenera kukhala chopepuka. Ndipo khofi wam'mawa ndi m'mawa uyenera kusiyidwa kwathunthu.

Ngati matumbo akuyenda pang'onopang'ono, tikulimbikitsidwa kuti madzulo, tsiku loyambirira la mayeso, liperekedwe kwa enema, mwaulemu, Espumisan kapena mankhwala ofanana. Ngati kunalibe chopondapo kwa maola makumi awiri ndi awiri, ndiye kuti mankhwala othandizirana ochiritsira komanso kuyeretsa enemas sangakhale othandiza.

Odwala oterewa amalimbikitsidwa kuti amwe mankhwala osokoneza bongo a osmotic - Photrtans. Imapezeka m'matumba. Mlingo wa mankhwalawa kwa munthu wamkulu uzikhala paketi imodzi pa 15-20 kg yolemera.

Musanagwiritse ntchito, zomwe zili phukusi zimatsanuliridwa mu lita imodzi ya madzi owiritsa, kusungunuka. Voliyumu yonse itha kugawidwa m'magawo awiri - imodzi yoti itenge madzulo, ndipo yachiwiri m'mawa 3 maola pamaso pa ultrasound. Kuti muchepetse kukoma, mutha kuwonjezera mandimu. M'malo mwa Fortrans, Endofalk ndi Fleet phospho-solo ikhoza kutumikiridwa.

Kuti mupange kafukufuku wopambana, muyenera kuganizira malamulo otsatirawa:

1. Maola 8 musanachitike ultrasound, simungathe kudya.
2. Madzi amathanso kuledzera pang'ono, khofi ndi tiyi zichotsedwe.
3. Patsiku la ultrasound, simungathe kusuta, gwiritsani ntchito chingamu.
4. Kulandila kapena kufafaniza mankhwala kuyenera kuvomerezana ndi dokotala.
5. Kukhazikitsidwa kwa insulini kuyenera kuchitika pokhapokha kudziwa kuchuluka kwa glycemia.
6. Muyenera kukhala ndi zinthu zamafuta pang'ono: shuga, shuga m'magome, uchi, msuzi wa zipatso.

Nthawi zambiri sizikulimbikitsidwa kuchita njira zina zofufuzira tsiku lomwelo ndi ultrasound. Malinga ndi zadzidzidzi, kuyeserera kumatha kukonzedwa popanda nthawi yokonzekera.

Ndi mayeso ati, kuphatikiza pa ultrasound ya kapamba, muyenera kutenga matenda ashuga, kanema wino.

Sonyezani shuga yanu kapena sankhani jenda kuti muyimikize.

Ultrasound ya kapamba: kukonzekera, kutanthauzira kwa zotsatira, zomwe zimayambitsa kupatuka

Dongosolo lakafukufuku wapachaka wazaka 25 zakubadwa limaphatikizira ndi ziwalo zamkati (sonography), kuphatikiza ndi kuphipha kwa kapamba. Izi sizachilendo, chifukwa munthu wooneka wathanzi amatha kudziwa matenda osiyanasiyana mwanjira iyi. Kuphatikiza apo, pali zisonyezo zina za ultrasound.

Udindo wa zikondamoyo m'thupi la munthu ndizovuta kuzidalira. Mmenemo mumakhala ma insulin, omwe amachititsa kuti shuga azikhala ndi maselo ambiri, amapangidwa. Chifukwa cha njirayi, thupi limapatsidwa mphamvu, yofunikira kwambiri pakulimbitsa thupi lonse.

Ma pancreatic enzymes amapangidwa mu kapamba omwe amathandizira kuphwanya chakudya muzinthu zosavuta zomwe zitha kugwiritsidwa ntchito. Ndi kulephera mu unyolo uwu, njira yokumba imasokonekera.

Zisonyezero za ultrasound ya kapamba

Zisonyezero zakuchipatala:

1. Kupweteka kwam'mimba mu hypochondrium yamanzere, pansi pa supuni, mbali yakumanzere.
2. Zizindikiro za Dyspeptic, kufalikira pafupipafupi.
3. Kusokonezeka kwa chopondapo (kudzimbidwa, kutsekula m'mimba), kuzindikira kwa zatsalira za chakudya chosasinthika pakuwunika kwa fecal.
4. Kuchepetsa thupi osafotokoza.
5. Osayankhula pamimba.
6. Matenda a shuga a mtundu uliwonse.
7. Kukongoletsa khungu ndi mucous nembanemba.
8. Kukayikira kwa chotupa.

Kukonzekera kuwerenga

Momwe mungakonzekerere ultrasound? Mimba yake ili pafupi ndi m'mimba ndi matumbo. Mpweya womwe umapezeka mu ziwalozi umatha kusokoneza tanthauzo la zotsatira. Zomwe zili m'matumbo - chakumaso cha chakudya, ndowe pamene zimayatsidwa pazithunzithunzi zomwe zimapezeka ndi ultrasound, zimayalanso chithunzicho.

Ntchito yayikulu ya gawo lokonzekera ndikuyeretsa matumbo momwe mungathere, kuchepetsa kupangika kwa mpweya kukhala kochepa. Kuti muchite bwino pokonzekera ma pancreas, muyenera kutsatira malamulo osavuta:

• Usiku wapitawu (kuzungulira 18,00), phunzirolo lisanayikemo nyimbo yotsuka. Kuti muchite izi, mumafunika mugamu ya Esmarch ndi malilogalamu 1.5-2 a madzi ofunda. Chiphuphuchi chimadzozedwa ndimfuta wonunkhira kapena mafuta odzola ndikuyikidwa mu anus. Mukakweza chikwama cha Esmarch, madzi kuchokera pamenepo, malinga ndi malamulo a sayansi, amasunthira m'matumbo ndikuwadzaza. Mukamayambitsa enema, ndikofunikira kuti muchepetse kutuluka kwa madzi kunja ndi kukakamiza kozungulira kwa anal sphincter. Zitatha izi, wodwalayo amapita kuchimbudzi, komwe matumbo amayenda.

Mutha kukwaniritsa kuthira kwamatumbo munjira inanso: kugwiritsa ntchito mankhwala othandizira mankhwala monga Senade (mapiritsi 2-3), foloko, mafoloko (1 sachet pa kapu yamadzi), guttalax (madontho 15) kapena microclyster Mikrolaks, Norgalaks.

Mankhwala ozikidwa pa lactulose (Dufalac, Normase, Prelaxan) sagwiritsidwa ntchito ngati mankhwala ofewetsa thupi musanakonzekere kupanga ma ultrasound, chifukwa amathandizira kupanga magesi. Izi zidzasokoneza kutanthauzira kwa zotsatira.

• Phunziroli liyenera kuchitika pamimba yopanda kanthu (osapitirira maola 12 mutatha kudya), makamaka m'mawa. Zimatsimikiziridwa kuti m'maola m'matumbo mumakhala mpweya wocheperako.

Pamaso pa insulin yodalira matenda a shuga, jakisoni wa insulin sangasiyidwe wopanda chakudya. Izi zitha kupangitsa munthu kukhala ndi vuto lalikulu.

Pofuna kuti izi zisachitike, kujambula kwa ultrasound kumachitika m'mawa kwambiri, ndipo jakisoni wa insulini amaimitsidwa kwakanthawi pambuyo pa mayeso kuti pasakhale chilichonse chosokoneza kudya.

Kwa odwala matenda ashuga, mutha kuthandizanso mukadya kadzutsa.

• Kuti muchepetse kupangika kwa mpweya masiku awiri asanakwane maphunziro, muyenera kukonzekera monga espumisan, meteospamil kapena sorbents (makala oyambitsa, enterosgel, smecta).
• Masiku atatu musanayambe phunziroli, musamwe zakumwa zochokera ku kaboni, mowa, champagne, komanso zinthu zomwe zimapangitsa kuti pakhale mphamvu, kupangira kwa gasi (mkate wopanda bulauni, nyemba, mkaka ndi mkaka wowawasa, maswiti, ufa, masamba ndi zipatso). Osamamwa mowa. Amaloledwa kudya nyama yopendekera, nsomba, phala pamadzi, mazira owiritsa, mkate woyera. Chakudya panthawiyi sichikhala chambiri.
• Simungathe kusuta, kutafuna chingamu, kuyamwa maswiti, kumwa ma 2 maola musanayambe kuphunzira, chifukwa izi zitha kuyambitsa kuyamwa kwadzidzidzi, ndipo kuwira kwam'mimba kumadodometsa kuwerenga kwazotsatira.
• Ndikofunikira kudziwitsa dokotala zamankhwala onse omwe wodwala amatenga nthawi zonse pokhudzana ndi matenda omwe alipo.Ena mwa iwo akhoza kuti aletsedwe kwakanthawi.
• Osachepera masiku awiri ayenera kuchitika pambuyo popenda matumbo am'mimba (radiography, irrigoscopy) ndi zosiyana pakati, monga barium. Ino nthawi ndiyokwanira kuti kusiyana kungochoke m'thupi. Ngati mukuchititsa kafukufukuyu poyambirira, ndiye kuti kujambula kwa ultrasound kukuwonetsa chiwalo chodzazidwa ndi barium, chomwe chidzaphimba kapamba.

Pazinthu zadzidzidzi, kufufuza kwa ultrasound kumachitika popanda kukonzekera usanachitike. Zambiri pazambiri zomwe zapezedwa zimachepetsedwa ndi 40%.

Ndondomeko

Kudzinyenga pawokha kumatenga mphindi 10-15. Wodwalayo amagona pansi, ngakhale pamtunda, nthawi zambiri kama, pogona pake, kenako kumanja kwake (kumanja ndi kumanzere). Gel yapadera imagwiritsidwa ntchito pamimba, yomwe imawonetsetsa kutsikira kwa sensor ndikuwonjezera kukonzanso kwa akupanga. Katswiri amayendetsa pamimba poyerekeza ndi kapamba. Pakadali pano, zithunzi zingapo zimawonekera pazenera la makina a ultrasound.

Kufotokozera kwa zizindikiro

Kuunikira zotsatira za ultrasound ya kapamba imachitika malinga ndi chiwembu china. Iyenera kuphatikiza chidziwitso cha kapangidwe ka chiwalo, malo ake, mawonekedwe ake, echogenicity, ma contours, kukula kwake. Chikhalidwe cha ultrasound cha kapamba:

• S - mawonekedwe
• kapangidwe kake ndi koyeserera, kapangidwe kamodzi ka 1.5 - 3 mm ndizovomerezeka,
• kuchuluka kwa ziphuphu zakumaso zili pafupi ndi kuchuluka kwa chiwindi ndi ndulu,
• The contours of the organ is clear, mu chithunzicho mutha kudziwa zigawo za kapamba (mutu, isthmus, thupi, mchira),
• kukula kwa kapamba molingana ndi ultrasound ndikwabwinobwino mwa akulu: mutu 32 mm, thupi 21 mm, mchira 35 mm, duct awiri 2 mm.

Dotolo amakonzera chidziwitso chonsechi ngati lipoti la ultrasound, lomwe, pamodzi ndi zithunzizo, limabwezereredwa pa khadi lochokera kapena mbiri yakale yazachipatala. Kupatuka kwakang'ono kwa zizindikiro pena mbali iliyonse ndikovomerezeka.

Kujambula koyeserera kumathandizira kuwona momwe zombo zimakhalira pafupi ndi kapamba. Pogwiritsa ntchito njirayi, kuthamanga kwa magazi mu vena cava, mu mesenteric artery and vein, thunthu la celiac ndi mtsempha wa splenic kungathe kuwerengeka.

Chofunika kwambiri ndi mkhalidwe wa pancreatic duct (Wirsung duct). Pankhani yovulala patency, pamakhala kukayikirana kwa kutupa kwa kapamba (kapamba), chotupa cha mutu wapa pancreatic.

Kodi masinthidwe otulutsa pancreatic ndi ati?

Kuzindikira kwa kusintha kwa kapangidwe kake mu kapamba wa chodabwitsachi kumatanthawuza zimachitika ndi matenda am'mimba inayake yomwe ili m'mphepete mwa England. Zitha kukhala: chiwindi, chikhodzodzo, m'mimba, matumbo ochepa. Matenda awo amatsogolera pakusintha kwa chithokomiro ndipo amayambitsa kugwira ntchito kwa kapamba. Awa ndimapulogalamu oyaka aseptic omwe amapezeka m'mapapo, pomwe, mankhwala atayamba, zimapangitsa kuti masinthidwe amtundu wa matenda asokonezeke. Siri matenda odziyimira pawokha.

Kodi ma ultrasound amawonetsa pancreatitis?

Kuti mupeze kafukufuku woyenerera wa kapamba, ziwalo zoyandikana zimawunika, pankhaniyi, chifukwa Kuzindikira koyenera kumafuna kukonzekera bwino (kupatula zomwe zachitika mwadzidzidzi zomwe zikufuna kuchitapo kanthu mwachangu). Kuti pancreatitis iwoneke pa ultrasound, ndikofunikira:

• Masiku angapo phunzirolo lisanachitike, zinthu zomwe zimapangidwa ndi mpweya wambiri (mkaka, zakumwa zozizilitsa kukhosi, zipatso / ndiwo zamasamba) zimaphatikizidwa muzakudya
• Chakudya chomaliza zikuyenera kukhala maola 10-12 nthawi yoikika ya ultrasound isanachitike.
• Ndi zoletsedwa kumwa mowa, kusuta ndi kumwa mankhwala (muyenera kukambirana ndi dokotala za izi)
• Pomwe phunziroli lisanachitike, ndikofunikira pangani enema yotsuka kuyenda kwathunthu kwamatumbo,
• Pofuna kuthetsa chisokonezo, mutha khalani ndi makala kapena espumisan.

Zofunika! Ultrasound nthawi zambiri imachitika m'mawa, pomwe chimbudzi chimapanda kanthu.

Kodi ziwonetsero zachilendo zimawoneka bwanji?

Kuti muzindikire matenda a kapamba panthawi ya ultrasound, ndikofunikira kudziwa kukula kwachilengedwe.

Zikondazo zimagawidwa kumutu, thupi ndikudzitama. Miyezi imakonda kuonedwa:

• Kutalika kwa chithokomiro chonse ndi 16-22 cm, makulidwe ake ndi 2-3 masentimita, misa ndi 80-90 g.
• Thupi 1.75-2.5 masentimita, mutu 1.8-3.2 masentimita, mchira wa 2.2-3.5 cm,
• Mphedwe zoonekera,
• Dambo la Wirsung limakhala ndi makulidwe ofika mpaka 2 mm,
• Kapangidwe ka ndulu ndi kofanana.

Chizindikiro chimodzi chofunikira kwambiri cha kapamba ndi echogenicity. (kuthekera kwa kuperekera ultrasound). Nthawi zambiri, chizindikirochi chimagwirizana ndi chiwindi komanso ndulu.

Yang'anani! Kukula kwa kutulutsa zimatengera zaka, jenda komanso kutalika kwa munthu. Ndi zaka, chitsulo chimayamba kuchepa, ndipo echogenicity imakulanso.

Zizindikiro za kapamba pamimba

Pali mitundu itatu yayikulu ya kapamba - pachimake (kufalikira mwachangu kwa matendawa), chifuwa chamtundu (chotenga nthawi yayitali ngakhale chitukuko cha matendawa ndi kupweteka kwakanthawi) ndi pancreatic necrosis (gawo lowononga la kapamba). Monga kapamba pa ultrasound amawonetsa mosiyanasiyana, timaganizira pansipa.

Zizindikiro za kapamba kapamba:

• Chitsulo chakulitsidwa,
• Madzi ozizira ndi opindika,
• M'malo otupa, echogenicity imachulukitsidwa,
• Bungwe lamapangidwe opanga,
• Wuctung duct yawonjezeka,
• Kukhalapo kwa madzimadzi m'matumbo, zovuta zamagulu oyandikana nawo,
• Cysts kapena zovuta zina ndizotheka.

Mu chifuwa chachikulu cha pancreatitis, zizindikiro zotsatirazi ndizodziwika:

• Kufotokozedwa, kupweteka kwakukulu, kosalekeza kwa chikhalidwe chosakhazikika kapena chodula. Ngati simukulandila chithandizo chanthawi yake, mutha kudwala ululu. Kutengera ndi komwe kuli pancreatic lesion, ululu umatha kuwoneka pansi pa supuni, mu hypochondrium mbali zonse ziwiri. ndi zotupa zonse za m'mimba, zowawa zidzakhala herpes zoster.
• Kuchulukitsa kutentha ndi kuthamanga kwa magazi. kupanikizika kumatha kukhala kokwezeka kwambiri kapena kotsika kwambiri, kutentha kumatha kukwera mpaka 40 ° C. thanzi lathunthu likuipiraipira.
• Kusintha kwa mawonekedwe, kuchokera pakufika pakubala kwa utoto wamtundu, mawonekedwe a nkhope amatha kuwongola.
• Kusanza, kupindika, hiccups, pakamwa kowuma, nthawi zina kusanza, komwe sikubweretsa mpumulo.
• Matenda a Stool (kudzimbidwa / kutsegula m'mimba). Mpando ndi thovu, uli ndi fungo la fetid. Kudzimbidwa, kutumphuka ndi kuwumitsa minofu.
• Kuwoneka kufupika, thukuta lomata, chikwangwani chachikaso pamalilime chifukwa chakuwonongeka kwa dongosolo la mtima.
• Khungu labuluu, mawanga m'dera lumbar kapena navel, dera la inguinal limatha kukhala mtundu wobiriwira. Izi zimachitika chifukwa cholowera magazi kuchokera ku zodutsa pansi pa khungu.

Zizindikiro za chifuwa chachikulu pakompyuta yosanja:

• Kukula kopitilira mpanda wa Wirsung.
• Ubwino wabwino, kusinthana kwa maonekedwe a zoumba,
• Kuchepetsa zachilengedwe
• Makulidwe ochulukirapo.

Zofunika! Matendawa akapita patsogolo, ziwalo zimafalikira ndipo zimayang'ambika ndi fibrosis, minofu ya minyewa, imasinthidwa ndi minyewa yolumikizana, yomwe imapangitsa kuchuluka kwa echogenicity. Zikondazo zimachepetsedwa kukula kwake, mawonekedwewo amakhalabe amadzipaka.

Kodi pancreatic necrosis imawoneka bwanji pakompyuta ya ultrasound?

Pancreatic necrosis ndi matenda oopsa a kapamba omwe amabwera chifukwa chakuchulukana kwa pachimake kwa kapamba. Ngati matendawa apezeka, munthu akhoza kudwala matenda osiyanasiyana.

Matenda a pancreatic necrosis ndi akulu kwambiri ndipo ali ndi zizindikiro zotsatirazi:

• Ululu wam'mimba wowalira kumbuyo, kutulutsa kwachitika.
• Kusanza kopanda mpumulo, nseru,
• Zizindikiro zakutha kwamadzi ndi pakamwa pouma, ludzu, kukodza kwaposachedwa,
• Kudzimbidwa, kusefukira,
• Thupi
• Timalimba khoma lam'mimba.
• Amawoneka buluu mu navel komanso mbali zam'mimba,
• Kupezeka kwa bile kapena magazi m'masanzi (kumatanthauza kuledzera kwa thupi),
• Kutsitsa magazi
• Kutulutsa khungu ndi mapuloteni a maso,
• Dera la hypochondrium lamanja limakhala ndi mtundu wa bulauni, mawanga a violet amawoneka pankhope,
• Chikumbumtima chosokonezeka.

Mwa anthu ambiri, mawonekedwe a gland sasintha, koma ndi kwathunthu kapena subtotal pancreatic necrosis, chizindikiro ichi chimapezeka mwa onse odwala. Ngati mukukayikira kuti pancreatic necrosis, dokotala wanu akupatsani mtundu woyesa wa ultrasound, mayeso a labotale, ndi njira zina zodziwira matenda.

Mawonekedwe owononga a pancreatitis pachimake pa ultrasound zotchulidwa ndi izi:

• Kuchulukitsa,
• Madzimadzi amadziunjikira m'bokosi laling'ono,
• Kapangidwe ka nduluyo ndi heterogeneous (chimodzi mwazizindikiro zazikulu kwambiri za pancreatic necrosis),
• Mikwingwirima yathupi siyofanana.
• Pamalo obwezera pamakhala kuchuluka kwa madzi. Kuyipa kwa zovuta zamthupi.

Anthu ambiri omwe dokotala yemwe amapita amawatumiza kuti akamupangire mawonekedwe a ultrasound ali ndi chidwi ndi funsoli: Kodi ma pancreatic ultrasound amawonetsa chiyani pancreatitis. Chifukwa cha ultrasound ndikotheka kudziwa osati dera lokhala ndi vuto la chimbudzi, komanso chidwi chimodzi. Izi zikutanthauza kuti muyenera kuyamba kulandira chithandizo munthawi yake komanso kuti musayambitse matendawa musanafike poonjezera.

Zomwe zimapangitsa kuti masinthidwe a pancreatic asinthe

Mkhalidwe wogwira ntchito kapamba uli ndi zifukwa zambiri. Poyamba pali matenda a ziwalo zoyamwa. Mu 30 40% ndimatenda a gallstone (cholelithiasis), omwe amapezeka kwambiri mwa akazi. Ndiye chifukwa chake, ali ndi pancreatitis yotakasika. Kuvulala kwamphamvu pancreatic kumayamba chifukwa cha matenda am'mimba, chiwindi, matumbo, ndi zotupa zamavuto.

Kusintha kwa tiziwalo timene timayambitsa:

• mowa
• mavuto azakudya (zamafuta ndi mafuta osenda),
• kumwa mankhwala ena mwangozi
• poyizoni
• thupi lawo siligwirizana
• mabala am'mimba
• helminthiases.

Iatrogenic yogwira pancreatitis yomwe imayambitsidwa ndi mankhwalawa azachipatala amakhalanso payokha: imatha kukhala pambuyo pa ERCP - endoscopic retrograde cholangiopancreatography.

Pancreatitis ultrasound

Ultrasound ya kutupa kwa kapamba ali ndi chithunzi chosiyana malingana ndi gawo la matendawa. Pali mitundu itatu yodziwika ya kapamba: yonse, yokhazikika komanso segawo.

• Kumayambiriro kwa matenda a zam'mimba, zimadziwika kuti: kuwonjezeka kwa kukula kwa chithokomiro, kuzizira kumawonekera, kusakanizika kwa ma contours, kukulitsa kwa dambo la Wirsung.
• Zosintha zimatha kukhudza ziwalo zapafupi. Pali kuwonjezeka kwa echogenicity yawo (kuchuluka kwa kupsinjika kwa mafunde a ultrasound).
• Chifukwa cha kuchuluka kwa kapamba, zombo zazikulu zimapanikizika, zomwe zimatha kuwonekera bwino pakuyang'ana kopanga.
• Ndi kusintha kwa kapamba mpaka gawo la necrotic, pancreatic pseudocysts amapangidwa.
• Zinthu zotsogola, ma abscesses amapezeka ndi madzi m'mimba.

Mukuchita kutupa kosagwiritsidwa ntchito pogwiritsa ntchito ultrasound, ndizotheka kudziwa malo omwe ali ndi calcified (ma calcified) mu kapamba. Amatanthauzidwa ngati madera owonjezera kuchuluka. Ndi kutupa kwanthawi yayitali, minyewa ya m'magazi imalowetsedwa ndi minofu yolumikizana, mawonekedwe a zipsera. Mothandizidwa ndi ultrasound, ndizotheka kuzindikira kukula kwa minofu ya adipose mu kapamba - lipomatosis.

Ultrasound yokhala ndi zotupa za kapamba

Ndi ma pancreatic neoplasms, kufalikira kwa ziwalo poyambirira posintha, malo omwe amapangika ndi osagwirizana, ma contours akuwonekera. Mu chithunzichi, akufotokozedwa kuti ndi mawonekedwe owala ozungulira. Malinga ndi ultrasound, mutha kudziwa kukula ndi malo a chotupacho.

Ndi zotupa matenda a kapamba, kusintha kwa ziwalo zina kumachitika. Chifukwa chake, kuyezetsa kwa chifuwa cha kapamba kumachitika nthawi zambiri limodzi ndi ma ultrasound a ziwalo zina (chiwindi, ndulu, ndulu).Mwachitsanzo, mwachitsanzo, ndi chotupa pamutu wapakhungu, chotupa (chotchinga) chamtundu wa biliary chimachitika ndipo jaundice yovuta imayamba.

Pankhaniyi, kuchuluka kwa chiwindi, ndulu ya ndulu.

Ndikosatheka kudziwa mtundu wa neoplasm (kaya ndi yoyipa kapena yoyipa) ndi ultrasound. Izi zimafunikira kuyesa kwa mbiriyakale ya chotupacho. Pachifukwa ichi, biopsy imachitika - kachidutswa kakang'ono ka minofu kamadulidwa kuchokera ku neoplasm, chidutswa chimakonzedwa ndikuyesedwa pansi pa microscope.

Kuphatikiza pa chotupacho, ultrasound imatha kuzindikira kukhalapo kwa miyala, zikondamoyo za canc, michere yokhala ndi mawonekedwe (kuwirikiza, kugawa, kusintha kwa mawonekedwe) ndi malo.

Matenda oopsa kwambiri a pancreatic omwe amapezeka ndi ultrasound

1. Kukula kwathunthu kapena pang'ono (agenesis) Pa ultrasound, chiwalocho sichiwonetsedwa kapena chimatsimikiza kuyambira ukhanda. Mtheradi agenesis sigwirizana ndi moyo. Ndi matenda amtunduwu, imfa ya mwana akadali achichepere imachitika. Gawo agenesis limaphatikizidwa ndi matenda osokoneza bongo, kupatsirana kwa mapangidwe a mtima, komanso kapamba.