Imvamisa, ngemuva kokuthola ukuxilongwa kwe-ultrasound kwezitho zesisu, iziguli zizwa esiphethweni sokuthi ama-pancreas awalingani futhi i-echogenicity iyanda.
Akusikhona njalo isiphetho esinjalo sibonisa i-pathology enkudlwana. Kwezinye izimo, lolu phawu luhamba kancane futhi kudlule isikhathi esithile.
Kepha lo mbuso awunakwa.
Noma yiziphi izimo ezisolisayo zidinga ucwaningo olunzulu nokuxilongwa, kufaka phakathi isiphetho sokuthi ama-pancreas angalingani futhi athambile.
Ukuxilongwa kwe-Ultrasound kuyindlela ethandwa kakhulu, engahambisani neze yokufunda nokucwaninga kwezitho eziningi, kanye nezinhlelo.
Lokhu kungenzeka kungenxa yomqondo we-echogenicity. Imelela ikhono lezitho zokubonisa i-ultrasound eqondiswe kusuka kunzwa.
Noma isiphi isitho sibonisa ngobuningi obuthile nesakhiwo. Ngokwakheka, isitho singaba sinobunono futhi sibe nobunzima. I-echogenic ye-evenly iyisici sesakhiwo esifanayo.
I-Hyperachogenicity ingasho ukukhuphuka kobukhulu besitho esaphenywa. Uma i-contour engalingani yomphetho wamanyikwe ivela ku-scan ye-ultrasound, lokhu kuvame ukuqinisekisa ushintsho lwesitho se-fibrotic.
Ngabe kwenzeka nini ushintsho lwesitho esifanayo?
Imvamisa, ama-pancreas kanye ne-organ parenchyma kubonwa kahle yi-ultrasound.
Kepha ngaphansi kwezimo ezithile nezifo, indawo ye-wavy, i-scalloped angle kanye nolunye ushintsho ku-echogenicity ingabonakala.
Izinguquko zingaba sendawo noma zisebenzise.
Lezi yizindlela zokuhlola ezibalulekile zokusetha ukwanda kwenqubo.
Inqubo yokuphamba kwenzeka ngezimpawu ezilandelayo:
- I-Puffiness noma i-masaarca. I-Edema yezitho zangaphakathi yenzeka ngomonakalo oqondile kuzo noma ngomonakalo wesibili esimweni sokugula kwesinye isitho. I-edema eyisisekelo yenzeka esimweni se-pancreatitis. Kulesi simo, ukuvuvukala kuyinkomba yokuqala ukwelashwa ngokushesha. I-Anasarca yi-edema yazo zonke izitho nezicubu zomzimba, kufaka namanyikwe. Lesi simo sikhula ngenxa yomonakalo omkhulu ohlelweni lwezinhliziyo noma esihlwini sezinso.
- I-Autolysis noma i-necrosis yezicubu ze-pancreatic. Le yi-pathology enzima kakhulu yokuhlinzwa, okuwumphumela we-pancreatitis oyingozi. Kulokhu, wonke amaseli asebenzayo esitho ayafa, futhi ama-pancreas awahlukanisi kahle. I-Autolysis ihambisana nokukhipha inani elikhulu lama-enzyme egazini. Ekuhlolweni kwegazi, udokotela uphawula ukuthi umsebenzi we-enzymatic wegazi wanda kanjani.
- Ukonakala kwamafutha kwezicubu ze-pancreatic. Kulokhu, amaseli asebenzayo athathelwa indawo izicubu ze-adipose ezingasebenzi. Le nqubo ayilapheki futhi ayihambisani nezimpawu ezinzima.
- Uhlobo 1 lwesifo sikashukela i-mellitus, yize sinjalo, kuyinto egxile ekuguleni. Kuhlobo lokuqala lwesifo, ukufa kwesiqithana seLangerhans kwenzeka ngokungafani kuso sonke isitho futhi lokhu kuyabonakala ku-scan ye-ultrasound.
- Inqubo yokuhlangana kwesimila noma i-metastatic lesion. Ukuze ungafaki umdlavuza, inani lezinye izifundo kufanele zenziwe, njenge-MRI, CT, ne-biopsy.
- I-Polycystic lesion noma ama-cysts amaningi e-organ. Ukugxila okunjalo kwe-pathological kunokubukeka okusobala kanye nomphetho obushelelezi, uphawu lwesifo esinjenge-cystic fibrosis.
Ngaphezu kwalokho, ukwvela kwenqubo yokuphamba kubhekwa nge-organ fibrosis. Lokhu kugula kubonakaliswa yi-echogenicity ephezulu, kepha futhi nokwehla kwesitho uqobo.
Kuyini hyperechoogenicity?
I-hyperechoogenicity yendawo yisifunda se-pancreatic esinobukhulu be-acoustic density.
Le nto yenzeka ezimweni eziningi.
Isici esivelele kakhulu ukubonakala kwe-hyperechoogenicity yendawo ngesikhathi kusungulwa i-cyst eyodwa, njengokubonakaliswa komlando wokuvuvukala kwesibindi.
Ngaphezu kwalokho, umphumela wokucwaninga onjalo uyatholakala lapho kutholakala isitho:
- calcification, indawo ye-petration, ngenxa yokungapheli kwe-pathology;
- indawo yokuqongelela izicubu ze-adipose;
- i-fibrous node eyakhiwe ngenxa yokuphulukiswa kwezicubu ze-necrotic;
- i-pancreolithiasis, noma ukwakhiwa kwamatshe esitho;
- umdlavuza we-pancreatic, unendawo enamanzi amaningi;
- ama-metastases wesibili ku-oncology, ajwayele ukufiphala ngesikhathi sokucabanga;
- ithumba ngenqubo yokuhlanzeka yesithako sesinye isitho, kuvame ukwenzeka nge-staphylococcal sepsis.
Isimo sokugcina siyingozi kakhulu emzimbeni.
Kuhle ukukhumbula ukuthi isiphetho sochwepheshe we-ultrasound akusona isifo futhi sidinga izeluleko ezengeziwe zezokwelapha. Ukungafani okunjalo kufaka ushintsho esimweni, isigaba esengeziwe, nokuphindeka kabili kwesitho. Ipharamitha ebaluleke kakhulu ukulondolozwa komsebenzi we-exocrine ne-endocrine organ.
Phakathi kokunye, kukhona okungajwayelekile komzimba wesitho okungabeki ingozi empilweni yesiguli.
Ukulungiselela i-Ultra nokuthi i-pancreas enempilo ibukeka kanjani
Ukuze uphenye futhi uhlole ukushintshwa kwezinguquko kumanyikwe, kubuyekezwa kuqoqwa ngokuhambisana nazo zonke izincomo zomhlaba wonke. Isiphetho esifanele ngumsebenzi osheshayo we-sonologist kanye nokuqokwa kokwelashwa kudokotela oya khona.
Kodwa ukulungiselela okungafanele kwesiguli kungaholela ekutheni uthole isixazululo esingalungile sokuxilonga nokwelashwa okungafanele.
Okokuqala, isiguli kufanele silandele uchungechunge lwezi zincomo ezilandelayo:
- Akunconywa ukuthi udle ukudla amahora ayi-12 ngaphambi kwenqubo.
- Ngosuku olwandulela ucwaningo kufanele kuthulule amathumbu.
- I-Ultrasound yenziwa esiswini esingenalutho nasekuseni.
- Izinsuku ezimbalwa ngaphambi kwenqubo, isiguli asifaki ekudleni yonke imikhiqizo enomthelela ekwakhekeni kwegesi ngokweqile.
- Uma isiguli sinokuthopha, khona-ke kufanele kuthathwe izangoma.
Ngokuhlolwa kwe-ultrasound, isitho sitholakala ngokuphelele ukuze sihlolwe. Zonke izingxenye zitholakala ngokubonakalayo.
Ngendlela, lesi sigaxa sifana nhlamvu lwegama lesiNgisi elithi "S".
Indlala enempilo inezici ezijwayelekile, izindonga ezijwayelekile ezishelelayo. Umjikelezo ulungile ngaphandle kokuphambuka kokujwayelekile.
Ngokwesakhiwo, lesi sitho ezimeni eziningi asinampilo, kepha kungenzeka ukuthi kukhona okubonakalayo kwe-hyperechoic.
Izitho eziseduze nazo ziyahlolwa, kufaka phakathi isibindi, amapheshana amathumbu, nezinso.
Imvamisa izinguquko kulezi zitho zingathinta isimo samanyikwe.
Kuhle ukukhumbula ukuthi noma ngabe kunezimpawu ezisolisayo ku-ultrasound, akufanele ungesabi. Ukuxilongwa ngokunembile kuvame ukudinga ukuhlolwa kwelabhoratri nokwamandla, okusuka ekuhlolweni kwegazi okulula kuya kwe-trepan biopsy yezicubu zomzimba.
Ngemuva kwenqubo, i-sonologist idala ukufundwa kwenzwa okwesikhashana bese ikhipha isiguli kumagama.
Izimpawu zesifo se-pancreatic kuxoxwa ngazo kule vidiyo kule ndatshana.
