Uma ngesikhathi sokuhlolwa kwe-ultrasound ngesikhathi sokuhlolwa ngokomzimba noma ukuvakashelwa kudokotela ohambisana nezikhalazo ezithile, kwatholakala ukuthi amanyikwe akhuphuke ngokuqina kwezimpawu, ke lesi yisizathu sokuqwashisa, kungaba nezinguquko esimweni se-parenchyma yesitho.
Wonke umuntu uyazi ukuthi izitho ezibalulekile kumuntu yinhliziyo, isisu, isibindi nobuchopho, futhi bayaqonda ukuthi impilo futhi ekugcineni impilo incike emsebenzini wabo.
Kepha ngaphandle kwabo, umzimba ubuye ube nezitho ezincane kakhulu, kepha ezibaluleke kakhulu. Lokhu kufaka phakathi i-gland of secretion yangaphandle neyangaphakathi, enza umsebenzi wayo ngamunye. Ama-pancreas ayadingeka ekugayweni kokudla, akha umgodi okhethekile wokugaya ukudla futhi awufake ku-duodenum.
Iphinde ihlanganise ama-hormone amabili aphikisanayo esenzweni: i-insulin, esehlisa ushukela wegazi kanye ne-glucagon, okuwukhulisayo. Uma ibhalansi yala ma-hormone iphikisana nokufinyeleleka kwe-glucagon, lapho-ke kuvela ukuthi isifo sikashukela.
Ngakho-ke, ngaso sonke isikhathi kufanele unakekele isimo se-pancreas ejwayelekile, futhi noma iziphi izinguquko, ezinjenge-echogenicity ye-pancreas, izinguquko esimweni se-paprenchyma, yisikhathi sokuhlolwa ngokuphelele kwezokwelapha.
Kuyini i-echogenicity
Ezinye izitho zomuntu zinesakhiwo esingenangqondo ngakho-ke amaza e-ultrasonic angena ngokukhululeka kuwo ngaphandle kokukhonjiswa.
Phakathi kwale mizimba:
- Isinye
- isigaxa senyongo
- izindlala ze-endocrine
- ama-cysts ahlukahlukene nezinye izakhiwo ezinamamanzi.
Noma ngamandla akhulayo we-Ultra, amandla abo okuguquguqukayo awashintshi, Ngakho-ke, lapho ukutholwa okuthe xaxa kwe-pancreas kutholakala, lokhu akuyona isikhangiso esivumayo ngokuphelele.
Isakhiwo sezinye izitho, kunalokho, siminyene, ngakho amagagasi e-ultrasound ngawo awangeni, kepha abonakala ngokuphelele. Lesi sakhiwo sinamathambo, ama-pancreas, izinso, izindlala ze-adrenal, isibindi, indlala yegilo kanye namatshe akhelwe izitho zomzimba.
Ngakho-ke, ngokwezinga le-echogenicity (ukubonakaliswa kwamagagasi omsindo), singaphetha ngokuthi ubukhulu besinye isitho noma izicubu, ukubonakala kokufakwa obukhulu. Uma sithi i-echogenicity ye-pancreas iyanda, khona-ke izicubu ze-parenchyma ziye zaba mnene ngokwengeziwe.
Isimo esijwayelekile siyi-echogenicity yesibindi, futhi lapho sihlola izitho zangaphakathi, isimo sazo se-echogenicity siqhathaniswa ngokuqondile ne-parenchyma yalesi sitho esithile.
Ungakuchaza kanjani ukuphambuka kwale nkomba kusuka kokujwayelekile
I-Pancreas Ultrasound
Ukwanda kwe-echogenicity, noma ngisho nezinkomba zayo ze-hyperechoic, kungakhombisa i-pancreatitis ebi kakhulu noma engamahlalakhona, noma sikhulume nge-edema. Ushintsho olunjalo ku-echogenicity lungaba nalokhu:
- ukwanda kwegesi;
- isimila se-etiologies ehlukahlukene;
- ukulinganiswa kwe-gland;
- umfutho wegazi we-portal.
Esimweni esijwayelekile sezindlala, kuzobhekwa i-echogenicity efanayo ye-parenchyma, futhi ngezinqubo ezingenhla, kuzokwanda. Futhi, i-ultrasound kufanele inake usayizi wendlala, uma kunezimpawu zokuphazamiseka kwezinguquko kumanyikwe, i-gland. Uma zivamile, futhi ukuzikhandla kwe-parenchyma kuphezulu, khona-ke lokhu kungakhombisa ukushintshwa kwezicubu ze-gland ngamaseli wamafutha (lipomatosis). Lokhu kungahle kube kubantu asebekhulile abanesifo sikashukela.
Uma kwehla usayizi wamanyikwe, khona-ke lokhu kusikisela ukuthi izicubu zalo zithathelwa indawo izicubu ezithintekayo, okungukuthi, i-fibrosis iyakhula. Lokhu kwenzeka ngesifo se-metabolic noma ngemuva kokuhlaselwa i-pancreatitis, okuholela kwezinguquko ku-parenchyma nokubukeka.
I-Echogenicity akuyona into eqhubekayo futhi ingahluka ngaphansi kwethonya lezinto ezilandelayo:
- ukuhamba kwezinyawo;
- isikhathi sonyaka;
- isifiso
- uhlobo lokudla oluthathiwe;
- indlela yokuphila.
Lokhu kusho ukuthi ukuhlola ama-pancreas, awukwazi ukuncika kulesi sikhombisi kuphela. Kuyadingeka ukuthi ucabangele ubukhulu kanye nokwakheka kwendlala, ukusungula ubukhona bezimpawu, ama-neoplasms, kanye namatshe.
Uma umuntu enomkhuba wokwanda ukwakheka kwegesi, khona-ke izinsuku ezimbalwa ngaphambi kokuhlolwa kwe-ultrasound, udinga ukukhipha ubisi, iklabishi, i-legumes noketshezi oluvela ekudleni kwakhe ukuze izinkomba zithembeke.
Ngemuva kokunquma ukwanda kwe-echogenicity futhi enze ezinye izivivinyo zama-pancreas, udokotela angakwazi ukusungula noma iyiphi i-pathologies ngokushesha futhi anikeze ukwelashwa okuyikho.
Ukwelashwa kwama-pancreas nge-echogenicity ekhulayo
Uma ukuskena kwe-ultrasound kwembula ukwanda kwe-echogenicity, khona-ke kufanele nakanjani ubonane nodokotela we-gastroenterologist. Ngokunikezwa iqiniso lokuthi le nkomba ingashintsha ngaphansi kwezimo ezahlukahlukene, ngokuqinisekile udokotela uzoqondisa i-ultrasound yesibili, futhi anikeze nenombolo yokuhlolwa okwengeziwe ukuthola ukuxilongwa okuyikho.
Ngemuva kokuthola imbangela ye-echogenicity ekhulayo, ungaqhubeka nokwelashwa. Uma imbangela iyi-lipomatosis, khona-ke imvamisa ayidingi ukwelashwa futhi ayiveli.
Uma ushintsho ku-echogenicity lubangele i-pancreatitis eqatha noma engamahlalakhona, khona-ke isiguli kufanele silaliswe esibhedlela. Ngenqubo ebabazekayo, kubuhlungu ubuhanguhangu obuqinile ku-hypochondrium yangakwesobunxele, ifinyelela emuva, lezi yizimpawu zokuqala zokukhuculula i-pancreatitis engapheli.
Imvamisa, isifo sohudo, isicanucanu, nokuhlanza kwenzeka. Isiguli sizizwa sibuthakathaka, umfutho wegazi lakhe uyawa. Ukwelashwa kweziguli ezinjalo kwenziwa emnyangweni wokuhlinzwa, ngoba ukuhlinzwa kungadingeka nganoma yisiphi isikhathi.
Ukwelashwa okwanda kwe-pancreatitis engapheli kwenzeka emnyangweni wezokwelapha. Isiguli akufanele sihlale ekhaya, ngoba ngaso sonke isikhathi sidinga imijovo yokuhlinza noma ama-droppers ngemithi. Lesi sifo sibi kakhulu, ngakho-ke kufanele siphathwe ngokuphelele, futhi isiguli kufanele sibe nesibopho.
Enye into ekhulisa i-echogenicity endle ukuthuthukiswa kwesimila, ngendlela yokufakwa kwe-onco. Ezinqubweni eziyingozi (i-cystadenocarcinoma, adenocarcinoma), isifunda se-exocrine se-gland siyathinteka.
I-Adenocarcinoma iba kaningi emadodeni aneminyaka engama-50 kuye kwengama-60 futhi inezimpawu ezinjengokuncipha okukhulu kwesisindo nobuhlungu besisu. Ukwelashwa kwenziwa ngokusebenza, futhi basebenzisa futhi i-chemotherapy ne-radiotherapy.
ICystadenocarcinoma iyivelakancane. Kubonakaliswa kobuhlungu esiswini esingenhla, kuthi lapho kukhulunywa ngesisu esiswini, kuzwakale imfundo. Lesi sifo sincane futhi sinokucabanga okuhle kakhulu.
Ezinye izinhlobo zamathumbu e-endocrine nazo zingavela.
Kubalulekile ukuqonda ukuthi noma ngabe yiziphi izizathu ezibangele ukwanda kwe-echogenicity, isiguli kufanele sikuthathe ngokungathi sína lokhu. Ukutholakala kokuhlukumezeka okusheshayo kutholakala, kuzoba lula inqubo yokwelashwa.
