Ama-pancreas asemzimbeni anendima emibili - akhiqiza ama-enzyme okugaya ukudla nama-hormone okulawula amazinga kashukela egazini. Ngakho-ke, kubandakanyeka cishe kuzo zonke izinqubo ze-metabolic.
Ngenxa yendawo yayo nosayizi wayo, kunzima ukuthola ngesikhathi sokukhipha esiswini, ngoba itholakala ngemuva kwesisu namathumbu amancane.
Ngakho-ke, ukunquma ukwakheka kwalesi sitho futhi kuhlolwe ngokungaqondile umsebenzi, kusetshenziswa i-ultrasound yamanyikwe ngenxa yesifo sikashukela.
Izinkomba ze-ultrasound yesisu
Imvamisa, i-ultrasound esiswini imiselwe ukwenza inhlolokhono yeziguli ezinesifo sikashukela, ngoba lokhu kusiza ekuboneni ushintsho esibindini, esiswini namathumbu, esiswini senyongo. Ukwenza ukuxilongwa kwesifo sikashukela, isifundo esinjalo singasetshenziswa njengendlela yokusiza ukwahlulela isikhathi senqubo.
I-Ultrasound inganquma izinqubo zokuqubuka nokuvuvukala kwizitho zesisu, izimpawu ze-pancreatitis, cholecystitis, isifo se-peptic ulcer, isibindi esinamafutha, i-cirrhosis, engaphazamisa ukwelashwa kwesifo sikashukela futhi iholele ekubuyiselweni kwemali yayo.
Imvamisa, ukuxilongwa okunjalo kwenziwa ukwenza ukubonwa kobuhlungu besisu, obungenaso isithombe esicacile somtholampilo kanye nemvamisa yokwenzeka, ukuxhumana nokudla. Kunconywa ukubonakala kwe-jaundice, ukunciphisa umzimba ngokushesha, ukungakhululeki emathunjini, izinga lokushisa lemvelaphi engaziwa.
Ucwaningo lwe-ultrasound lungahambanisa ukutholwa ezimeni ezinjalo:
- Ukutholwa kwezimpawu zemisebe yokulimala noma isilonda se-peptic esiswini noma emathunjini.
- Izinguquko ekwakhekeni kodonga lwesisu ngesikhathi se-fibrogastroscopy.
- Ukuba khona kokuhlukumezeka ekuhlolweni kwe-biochemical: ukuhlolwa kokusebenza kwesibindi okuguquliwe, ukwanda koshukela wegazi noma i-bilirubin.
- Uma ngesikhathi sokuhlolwa kwembula ukungezwani kodonga lwangaphakathi lwesisu.
I-Pathology ye-pancreas yi-ultrasound
Ekuqaleni, izifundo zinquma usayizi wamanyikwe. Kwabadala, kuvamile uma isilinganiso somzimba-womsila wekhanda singama-35, 25, 30 mm, nobude baso singama-16-23 cm.Kwezinsana, indlala yinde cm 5.Izindlela zobudala zinqunywa ngamatafula akhethekile.
Ipharamitha yesibili yi-echogenicity, imvamisa inyuka kubantu asebekhulile kuphela, lapho izicubu ezijwayelekile zithathelwa indawo yizicubu ezithintekayo, ngenkathi indlala incipha ngosayizi, ngakho-ke lolu phawu (usayizi) luphelelwa ukubaluleka kwalo ngobudala. I-ecancgenicity ye-pancreatic imvama ilingana ne-hepatic, ukunqotshwa kwayo kufanele kube njalo.
Kuhlobo 1 sikashukela mellitus, phakathi neminyaka yokuqala yesifo, izinguquko ku-ultrasound azitholakali: osayizi bahlala ngaphakathi kwesimo somzimba womzimba, izicubu ziqukethe okusanhlamvu, i-echogenicity ayiphukile, izinhlaka ziyabonakala futhi zicacile.
Ngemuva kweminyaka eyi-4-6, ezigulini ezinjalo, iphethini ye-pancreatic isuliwe, indlala iyancipha, ithole ukwakheka okufana nobambo. Kuhlobo lwesifo sikashukela sohlobo 2, uphawu okukuphela kwalo lwe-Ultra esigabeni sokuqala kungaba usayizi okhulayo, ikakhulukazi endaweni yekhanda.
Nge-mellitus yesifo sikashukela yesikhathi eside, ungabona izinguquko ezinjalo:
- Amanyikwe ancishiswe ngosayizi.
- Esikhundleni sezicubu ezijwayelekile, kutholakala umuntu othinta inkani.
- Ngaphakathi kwe-gland, ukukhula kwamaseli wamafutha kuyabonakala - i-pancreatic lipomatosis.
Lapho kwenzeka kunenqubo ebandayo yokuvuvukala kuma-pancreas, iyanda ngosayizi, futhi i-echogenicity iyancipha, ama-cysts nezindawo ze-necrosis zingabonakala. I-pancreatitis engapheli ibonakaliswa yi-echogenicity eyandayo, i-Wirsung duct iyanda, amatshe ayabonakala. Ubukhulu bungandiswa, futhi ngenkambo ende - buncishisiwe.
Ku-mellitus yesifo sikashukela, ucwaningo lwesibindi luyenziwa ngempela, ngoba lubambiqhaza olusebenzayo ekudleni kwe-carbohydrate metabolism - kwakheka glucose kuyo futhi kugcinwa i-glycogen. Isibonakaliso esingaqondile sokushoda kwe-insulin kungaba ukonakala kwamafutha kwezicubu zesibindi - i-steatosis.
Ngaphezu kwalokho, i-ultrasound ingasiza ekuboneni izinqubo ze-tumor, ezimeni ezinjalo, ukunqotshwa kwesitho kungalingani, ukwakheka kwesimo, izindawo ezinokuhlukahluka okuhlukahlukene kokuvela, ukubonakala kwesimila kuvame ukushuba, ngokungafani namathumbu namatshe.
Ama-tumors amancane kungenzeka angashintshi usayizi futhi angeke athinte ukuvela kwamanyikwe.
Ungayilungiselela kanjani i-ultrasound
Isimiso esiyinhloko sokuphumelela kwe-ultrasound esiswini ukungabikho kwamagesi emathunjini, ngoba ngenxa yawo awukwazi ukubona ukwakheka kwezitho zomzimba. Ngale njongo, ngaphambi kokuxilongwa, ngezinsuku ezingama-3-5 noma yikuphi ukudla okuthuthukisa ukugcotshwa kwempahla kungafakwa ekudleni.
Kubandakanya isinkwa esinsundu, ubisi, noma uluphi uhlobo lwekhabishi, imifino entsha nezithelo, imimoya, amanzi acwebezelayo, wonke ama-pastry, ama-dessert, u-ayisikhilimu, imikhiqizo yesifo sikashukela ene-substitute ushukela, umkhawulo wokusanhlamvu kusuka okusanhlamvu okuphelele, amantongomane, imbewu, imifino kuya abilisiwe, izifundo zokuqala ngemifino noma okusanhlamvu.
Ungadla ukudla kwamaphrotheni anamafutha aphansi - inyama, inhlanzi, ushizi, ushizi we-cottage shizi, ushukela ngaphandle koshukela, iziphuzo zobisi olunoshukela ngaphandle kwezithasiselo, itiye le-herbal nge Mint, i-dill, i-anise ne-fennel. Kusihlwa, isidlo sokugcina kufanele sikhanye. Futhi ikhofi yasekuseni neyasekuseni kudingeka ishiywe ngokuphelele.
Uma ukunyakaza kwamathumbu kuhamba kancane, kunconyelwa ukuthi kunikezwe i-enema kusihlwa, ngaphambi kovivinyo, nge-flatulence, i-Espumisan noma isidakamizwa esifanayo. Uma kwakungekho sisekelo samahora angama-72, khona-ke laxatives evamile nokuhlanzwa kwe-enemas kungenzeka kungasebenzi ngokwanele.
Iziguli ezinjalo zinconywa ukuthatha i-osmotic laxative - ama-Photrtans. Iyatholakala ezikhwameni. Umthamo walo muthi kumuntu omdala uzoba iphakethe elilodwa ngesisindo esingu-15-20 kg.
Ngaphambi kokusetshenziswa, okuqukethwe kwephakeji kuthululelwa kwilitha lamanzi abilisiwe, ichithwe ngokuphelele. Lonke ivolumu lingahlukaniswa laba izingxenye ezimbili - eyodwa okufanele uyithathe kusihlwa, kanti eyesibili ekuseni amahora angama-3 ngaphambi kwe-ultrasound. Ukuthambisa ukunambitheka, ungangeza ujusi kalamula. Esikhundleni seFortrans, i-Endofalk neFleet phospho-soda ingabekwa.
Ukuze uthole isifundo esiphumelelayo, kufanele ucabangele le mithetho elandelayo:
- Amahora angu-8 ngaphambi kwe-ultrasound, awukwazi ukudla.
- Amanzi angadakwa ngamanani amancane, ikhofi netiye kufanele kulahlwe.
- Ngosuku lwe-ultrasound, awukwazi ukubhema, sebenzisa itshungamu.
- Ukwamukela noma ukwesulwa kwemithi kufanele kuvunyelwane nodokotela.
- Ukwethulwa kwe-insulin kufanele kwenziwe kuphela ngemuva kokunquma izinga le-glycemia.
- Udinga ukuba nemikhiqizo enama-carbohydrate alula nawe: ushukela, ushukela ematafuleni, uju, ujusi wezithelo.
Ngokuvamile akunconywa ukwenza ezinye izindlela ezinamandla zokucwaninga ngosuku olufanayo ne-ultrasound. Ngokwezinkomba eziphuthumayo, ukuhlolwa kungahlelelwa ngaphandle kwesikhathi sokuqala sokulungiselela.
Yiziphi izivivinyo, ngaphezu kwe-ultrasound yamanyikwe, udinga ukuthatha isifo sikashukela, ividiyo ekulesi sihloko izotshela.
