I-pancreas ngesinye sezitho ezibaluleke kakhulu zokugaya ukudla. Kuyadingeka kumuntu ukugaya ukudla, ngoba kukhiqiza ama-enzyme anjengokuthi: amylase, lipase, proteinase kanye ne-nuclease.
Omunye umsebenzi obalulekile we-pancreas yi-endocrine, uqukethe ukukhiqizwa kwama-hormone afana ne-insulin, i-glucagon ne-somatostatin, esiza ukugcina izinga elizinzile le-glucose esegazini.
Kuyenzeka ukuthi amanyikwe ahluleka, ukuze uqonde ukuthi iyini imbangela yako, udinga ukwenza izifundo eziningi, kufaka phakathi:
- isifundo se-elebhu somsebenzi we-pancreatic - izinga eliphakeme le-amylase yegazi, i-diastase yomchamo ingaba ngumphumela we-pancreatic pathology;
- i-ultrasound, esiza ukubona ngeso lengqondo zonke izakhiwo zama-pancreas kanye nesakhiwo saso (ikhanda, umzimba, umsila);
- I-Tomography eyenziwe nge-compact noma ngaphandle kokuqhathanisa, le ndlela ikulungele kahle ukubona izicubu ze-gland, i-pancreatic duct, kanye nokwakheka okuhlukahlukene kuzo.
- i-biopsy elandelwa ukuhlolwa kwe-histological kuyindlela ebuhlungu esetshenziswa kakhulu uma kunokusolwa kwenqubo ye-oncological.
Zonke lezi zindlela ezenziwayo zinikeza isithombe esibanzi sesimo salesi sitho se-endocrine, kepha izifundo zaselabhorathri azihlali zifundisa ngokwanele, futhi izindlela eziyinkimbinkimbi ziyadingeka. Ngakho-ke, indlela enhle kunazo zonke, ukusindisa izicubu zomzimba, ukunganikezeli ukuvezwa kwemisebe, kuyindlela yokuhlolwa kwe-pancreas, esetshenziswa kakhulu lapho kwenziwa udokotela wezitho zangasese.
Kuboniswa obani i-ultrasound of pancreas?
Kuhlolwa ukuhlolwa kwe-Ultra kulabo abaguli abanokusolwa kwesifo se-pancreas noma i-hepatobiliary (isibindi, i-choleretic bladder kanye nesistimu ye-duct duct).
Lama-pathologies angabangelwa yizimbangela eziningi: izifo, ukulimala, ukuphazamiseka kokudla, ukusetshenziswa kabi kotshwala.
Imvamisa, lolu cwaningo lunqunywa yi-gastroenterologist noma i-Therapist.
I-pancreatic ultrasonography ifanele labo bantu abanezimpawu ezilandelayo:
- Ubuhlungu noma usizi ngakwesokudla noma kwesobunxele kwe-hypochondrium.
- Ubuhlungu be-Tinea esiswini sangaphezulu.
- Ukugcwaliswa okusheshayo okubhaliwe ngevolumu encane.
- Ukunambitheka okushubile emlonyeni.
- Isicanucanu nokuhlanza ngemuva kokudla ukudla okunamafutha noma okusindayo.
- Ukwehla kwesisindo.
- Izinkinga zokugaya ezibonakala kaningi: ukuqunjelwa kanye nesifo sohudo, ukuqhuma.
Lezi yizimpawu ezivame ukuhambisana nezifo ze-pancreatic, futhi zenze udokotela ukuthi acabange ngokugula okuthile. Kuyiqiniso, i-ultrasound of pancreas ayinikezi imininingwane ephelele, futhi ukuxilongwa akwenziwa, kususelwa kuyo kuphela.
Kulokhu, sidinga ukubonisana okwesibili nodokotela okwathi uma eqhathanisa nomtholampilo futhi athole izinguquko ze-ultrasound kumanyikwe, azokwenza ukuxilongwa futhi anikeze ukwelashwa okuyikho.
Yini ngempela udokotela we-ultrasound angayibona futhi aqonde ngokubheka amanyikwe?
Uzokwazi ukusho ngobukhulu bawo (ukukhuphuka, ukuncipha), ukwakheka kwezakhiwo, ukwakheka, ubumbano, noma okunye - i-echogenicity (inyuke noma inciphise), mayelana nokuba khona kwama-volumetric formations, tumors and cysts in pancreas.
Zonke lezi zinguquko zingabangelwa: i-trauma, izinqubo zokuvuvukala, ezifana ne-pancreatitis, esigabeni esibuhlungu noma esivele sikhona, ukubekwa kwe-calcium kwizicubu zepancreas, inqubo ye-oncological.
Ungayilungiselela kanjani i-ultrasound yezitho zesisu?
Ukungabikho kwezikhalazo akusona isizathu sokwenqaba ukuhlolwa kwe-Ultra, ngoba izinqubo eziningi ezinesihluku kungenzeka zinganikeli isithombe sasemtholampilo ngaphambi kokuba zithinteke zonke izinhlaka zomzimba, kanti nokwelashwa kwezigaba zokuqala kwanoma yisiphi isifo kuyinto ebuhlungu kakhulu futhi iphephe.
Kulokhu, kunconywa ukuthi uhlolwe njalo ngonyaka ngonyaka nge-ultrasound yezitho zesisu. Kubalulekile ukuthi ungazinaki izimpawu ezesabekayo zomzimba, ngoba ukugaya akuyona njalo ngenxa yokutheleleka kwamathumbu noma ukudla okudala.
Ukuqiniseka ukuthi lesi akusona isifo se-pancreatic, indlela engcono yokuqinisekisa yi-ultrasound yayo.
Ukulungiselela okufanele isifundo kuthulisa imininingwane yayo.
Kuyafaneleka ukubheka imithetho embalwa elula ukuze udokotela akwazi ukubona kahle ukuthi konke kuhambisana namanyikwe yini.
- I-Ultrasound yenziwa esiswini esingenalutho, imvamisa i-sutra, ukuze isiguli singalambi usuku lonke. Lapho isisu namathumbu kungenalutho, ama-pancreas angabonakala kangcono kakhulu. Uma umuntu omdala engenalo ithuba lokuqhuba isifundo se-sutra, kunconywa ukuthi ungadli amahora ayi-6 ngaphambi kwenqubo. Futhi amahora amabili ngaphambi kwe-ultrasound, udinga ukulahla amanzi.
- Isonto ngaphambi kocwaningo, kubhekwa ukudla okuvimbela ukuvela kwamagesi - lokhu kuyinto engafani nokudla kubhontshisi, imifino eluhlaza neziphuzo zekhabhoni.
Lezi zimo ezilula zibaluleke kakhulu futhi zilungiselela kakhulu umsebenzi kadokotela, ngoba akulula ngaso sonke isikhathi ukuthola inzwa kuzo zonke izingxenye zamanyikwe.
Ucwaningo lwenziwa ngokushesha ngokwanele - akukho ngaphezulu kwemizuzu engamashumi amabili kuzo zonke izitho zesisu. Kulokhu, isiguli silele emhlane wakhe, nodokotela, esebenzisa inzwa ekhombisa isithombe esikrinini, enza isifundo.
Ukuhlolwa kwe-Ultrasound kususelwa ekuhambeni kwemisebe ye-Ultra ngokusebenzisa izitho. Zonke izakhiwo zomzimba zinobuntu obuhlukile besici. Ngesikhathi se-ultrasound, ukukhombisa noma ukumunyanisa igagasi le-Ultra kusuka esitho esifundwayo kwenzeka, okuhambisana nobunzima baso. Kulezo zithombe, ukuphakama kokuqina kwesitho, kuphakama nobukhulu bawo.
Uketshezi lwe-ultrasound iyi-anechoic ngokuphelele. Lokho kukuvumela ukuthi ubone izitho ezigcwele ngawo, kanye nama-cysts ahlukahlukene kanye namathumba.
Lezi zici zenza ukuthi sikwazi ukuqonda ukuthi isitho sikhulu kangakanani uma siqhathaniswa nezinkomba ezijwayelekile.
Ukuxilonga kwama-pancreas ahambisanayo we-hyperechoic
Kuyini ukukhula kwezimpawu zamanyikwe? Lokhu kusho ukuthi i-parenchyma yalesi sakhi inesakhiwo sokudonsela amanzi. Lokhu kukhuphuka kungenzeka kube okwasendaweni futhi kukuphazamise. Ukuvela kwe-hyperechoicity yendawo kungaholela ekufakwa kukasawoti we-calcium, ukwakheka okuncane kwe-volumetric. Ngisho nekhonkwane elincanyana kakhulu lingabonakala kwi-Ultra ngenxa ye-echogenicity yayo ephezulu. I-Diffuse hyperechoogenicity yenzeka ngezinguquko ze-fibrotic, okunamafutha nokuvuvukala.
Kukhona futhi izimo lapho i-hyperechoogenicity ingakhuphuka ngenxa yokubanda. Futhi, ukwanda kobunzima kungahle kuhlotshaniswe nobudala, izinguquko ezinjalo azidingi ukwelashwa.
Nge-heterogeneity ye-parenchyma kwi-ultrasound, isithombe sizoba nomlingiswa ohlanganisiwe.
I-pancreatic hypoechogenicity ingabonisa i-edema ye-pancreatic, engadala i-pancreatitis eyingozi kanye nezifo zesitho esiseduze. Futhi, ukwehla kobukhulu kungabonakala nge-gland hyperplasia.
I-echogenicity ye-pancreas yanda ezifweni ezifana ne-pancreatitis engapheli, ngenxa yokuqhuma kokusa kwethambo ngamathishu ahlobene, onobukhulu obuphakeme kakhulu kunezicubu ze-pancreas. Kepha ungacabangi ngokushesha ngalokhu kutholwa. I-pancreas yisitho esisebenzayo esiphendulayo kunoma yiluphi ushintsho emzimbeni womuntu. Ukucindezela, ukwephula ekudleni, umkhuhlane ungavusa i-edema encane yokugcwala.
Uma, ngaphezu kwe-hyperechoogenicity, azikho ezinye izinguquko, ezinjengokwanda kosayizi wamanyikwe, ubukhona be-inclusions, khona-ke kungaba nezinguquko ezisebenzayo noma isifo esifana ne-lipomatosis. Umsuka wayo ukuhluma kwezicubu ze-gland ngezicubu ze-adipose. Uma, ngaphezu kwe-hyperechoogenicity, ukwehla ngosayizi wamapancreas kujoyina, lokhu kuyisibonakaliso se-fibrosis yayo.
I-pancreas iyisitho esinciphile futhi esisengcupheni esidlala indima ebalulekile emzimbeni womuntu, ngakho-ke kubaluleke kakhulu ukuqapha impilo yayo futhi kwesinye isikhathi yenza i-ultrasound yokuvimbela. Futhi ukulonda impilo enempilo nokudla okufanele kuzosiza ukususa umthwalo owengeziwe kulo mzimba futhi usebenze umsebenzi wawo.
Imininingwane ngezimpawu zesifo se-pancreatic inikezwe kuvidiyo kule ndatshana.
