Imvamisa, lapho wenza i-ultrasound yamanyikwe, kufakwa izinguquko kuwo, kutholakala ukuthi kungaba nezinguquko ezimaphakathi kumanyikwe. Abantu abaningi bayakhathazeka ngombuzo wokuthi lokhu kungalimaza ini empilweni.
Udinga ukwazi ukuthi izinguquko ezinjalo aziwona ukuxilonga, kepha ukuphela kwesiphetho se-ultrasound. Ngaphansi kwethonya lezinto ezahlukahlukene, ukwakheka kwe-ultrasonic yesitho sonke kungahluka ngokulandelana. Ubukhulu balezi zinqubo buhlukile.
Ushintsho olunzima kumanyikwe libonisa ukuthi azikho izinqubo ezigxile ku-gland, okungukuthi, amatshe, amathumba noma ama-cysts. Ukuxilongwa kokugcina kungenziwa kuphela ngudokotela ohambelayo, ngokususelwa esithombeni somtholampilo, izikhalazo zesiguli, imiphumela ye-ultrasound nokunye ukuhlaziya.
Ama-pancreas ayisitho sezinhlelo ze-endocrine nezokugaya ukudla. Itholakala odongeni olungasemuva lwesisu ngemuva kwesisu futhi ingena kancane esifundeni se-hypochondrium yangakwesobunxele. Izingxenye ezintathu ze-gland zihlukaniswa ngokwejwayelekile - ikhanda, umzimba nomsila. Ingxenye eyinhloko yesitho yenza umsebenzi wesitho sokutholwa kwangaphandle sama-enzyme wokugaya ukudla ku-duodenum ngokusebenzisa imisele ebekiwe.
Ingxenye ye-endocrine iqukethe iziqhingi ze-pancreatic, ezitholakala ikakhulu emsileni we-gland, futhi zikhiqize ama-hormone alandelayo:
- i-glucagon ne-insulin - zinomphumela oqondile ohlukile, ngenxa yawo alawula ukugcwala kweglucose egazini;
- somatostatin - kuvimbela umsebenzi oyimfihlo wezinye izindlala;
- i-pancreatic polypeptide - ikhuthaza ukwakheka kwejusi yesisu, futhi icindezela umsebenzi we-enzymatic wamanyikwe;
- i-ghrelin - kukhulisa isifiso sokudla.
Ngesikhathi sokuhlolwa kwe-Ultra, ubukhulu bama pancreas, ukwakheka kwayo, ukuba khona kwezinhlaka ze-volumetric, ukufana kwezicubu, kanye nezinguquko ezenziwa kumanyikwe zihlolwa. I-Ultrasound inzima impela, ngoba indlala itholakala ngemuva kwesisu namathumbu aqukethe amagesi. Ngakho-ke, ngosuku olwandulela ucwaningo, udinga ukulandela ukudla okuhlose ukunciphisa ukwakheka kwegesi.
Ngesikhathi sokuhlolwa, udokotela uhlola ubungako besakhiwo se-echo gland, (echogenicity), esingakhuphuka ngokufana, noma, ngakolunye uhlangothi, sincishiswe.
Ezimweni ezinjalo, kuyaphawuleka ukuthi kuma-pancreas shintsha izinguquko kanye nezinguquko ku-parenchyma zaqala. Ngenxa yokuthi inobudlelwano obusondelene nesinye senyongo nesibindi, lonke ushintsho esakhiweni sazo luyasithinta kakhulu isimo salo, okuphambene nalokho kungahle kubonakale kuzo.
Ukuze ucacise ukutholakala kokutholwa kokuqala, futhi uqaphele nezimpawu zokushintshwa kwamanyikwe nokuqina kwebele, kubalulekile ukuthatha umchamo, indle nokuhlolwa kwegazi, kanye nokwenza i-endoscopy yendlela yokugaya ukudla.
Ushintsho olunzima kumanyikwe kanye ne-parenchyma, izimbangela eziphambili:
- ukudla okungafanele nokudla okuqukethe inamba yokudla okunosawoti, okunamafutha, okunezipayisi, ufulawa nokudla okumnandi;
- ukuphuza ngokweqile utshwala, ukubhema, kuholela eqinisweni lokuthi kukhona uphawu;
- ukucindezeleka okungapheli;
- ukusetshenziswa kwezidakamizwa okungalawulwa;
- isici sefa
- izifo zezinye izitho zomgudu wesisu, lapho ukudla kungalandelwa khona;
- ukuguga.
Izinguquko eziguquguqukayo ze-pancreatic, kanye nemisindo, kuvame ukubonakala kubantu abanesifo sikashukela, esinciphisa ukukhiqizwa kwe-insulin. Lezi zinqubo ziholela ekwandeni kashukela wegazi nokutholakala kwe-glucose kumchamo, kungakhathalekile ukuthi ngabe kukhona yini ukudla, futhi lokho kukhombisa i-echo.
Ushintsho olunjalo nokuhlanganiswa kwendlela ethile yokwelashwa ayinalo, ngoba ukwelashwa kufanele kuhloswe ngalo ukulungisa lesi sifo esingaphansi, futhi lokhu kudla nezinye izindlela.
Kungani ukuguqulela izinguquko pancreatic kungaqala?
Kubantu asebekhulile, i-atrophy ye-gland kanye nokwehla kosayizi bayo kungabonakala. Kulokhu, i-echogenicity yesitho ihlala ijwayelekile, futhi ingandiswa noma inciphe. Iziguli azikhonondi ngalutho futhi azidingi ukwelashwa.
Ukushintshwa kobunzima kungenzeka futhi nge-pancreatitis, kuyini - isifo sokuvuvukala samanyikwe. Ngalesi sifo, ama-enzyme wokugaya akhombisa umsebenzi wawo ngaphakathi kwesitho uqobo futhi usigaya. By indlela. kuyasiza ukwazi ukuthi zingaba yini izimpawu zesifo sikashukela, kanye nokucabanga kwezinkinga zepancreatic.
Ngale nqubo, kudedelwa izinto ezinobuthi nama-enzyme angena egazini elijwayelekile futhi kuholele ekubhujisweni kwezinye izitho nezinhlelo, isibonelo, amaphaphu, izinso, ubuchopho, inhliziyo, nalapha ekudleni akusasizi.
Ingozi enkulu kunazo zonke i-pancreatitis eyingozi, enqunywa yizimpawu kanye ne-echo. Iziguli zikhononda ngobuhlungu bebhande elibukhali ngaphansi kwezimbambo, ukugabha, izinga lokushisa kwazo kuyenyuka, ukushaya kwenhliziyo kuyaphumela obala, futhi kuvela amabala aluhlaza esiswini.
Lapho ukhunta lungena emgodini wesisu, umuntu alahlekelwa ukwazi, uba nesifo sepsis, esingaholela ekufeni. Amacala anjalo adinga ukwelashwa okuphuthumayo.
Kwi-pancreatitis eyingozi esikrinini se-ultrasound, kuyacaca ukuthi indlala iyandisiwe, inesakhiwo esinehaba futhi sinciphile okokuncipha, okusho ukuthi kwesinye isikhathi imicu iyadedelwa, uketshezi luvele nxazonke zesitho, kanye nezindawo ze-necrosis.
I-pancreatitis engapheli iveze ukubonakaliswa. Imvamisa, iziguli ezinje zizizwa zisinda ngemuva kokudla nobuhlungu ku-hypochondrium yangakwesobunxele, ziba nokuthokomala, isicanucanu kanye nomunyu emlonyeni kuvela, uma ukudla kungalandelwa. Esikhathini sokuqala, i-ultrasound ikhombisa ukuthi indlala inamasayizi ajwayelekile, okusho ukuthi i-echo yayo iyancipha. Imiphetho yesitho ayilingani, kanti umsele uyaqina futhi unwebeke, bese kuthi ukuvela kube nzima.
Uma inqubo iqala ukuthuthuka, khona-ke ama-cysts nokubala kutholakala ezicutshini zesitho se-parenchymal sesitho, bese kuvela izingxenye ezithile ze-fibrosis ezingenasici ezinama-echoes anda.
Ukwelashwa kwe-pancreatitis kumele kuhambisane nokushintshwa kwendlela yokuphila, ukudla nakho kuyadingeka. Ukwelashwa kwezidakamizwa kuhloselwe ukuqeda izinhlungu, ukunquma izidakamizwa ze-antispasmodics kanye ne-antienzyme, ukwenziwa kwemizwa emzimbeni kuyenziwa. Uma kunesidingo, ukuhlinzwa kuyenziwa.
Njengomphumela wezinqubo ezingapheli zokuvuvukala kuma-pancreas, ukukhula kwe-fibrosis kuqala. Ngakho-ke, kuleli cala, ukukhula kwezicubu ezithintekayo kwenzeka, okufika esikhundleni se-parenchyma eyonakele.
I-Fibrosis ye-parenchyma ingaqala nge-cystic fibrosis, i-pancreatitis engapheli, i-siderophilia eyinhloko. Ngasikhathi sinye, ukuhlolwa kwe-Ultra kukhombisa ukuthi ubukhulu be-gland buyinto evamile, kepha i-echo yayo iyakhula nobuningi be-parenchyma buyanda. Uma isiguli singakhombisi izikhalazo, khona-ke ukwelashwa akudingekile.
Enye into edala ukuthi kube noshintsho ku-parenchyma yi-lipomatosis. Lokhu kubizwa ngokuthi ukukhula kwezicubu ze-adipose ngaphandle komkhawulo ocacile, kuyilapho kuthathelwa indawo izicubu zomzimba wakhe. I-Lipomatosis inokwenzeka kubantu asebekhulile noma ezigulini ezinesifo sikashukela i-mellitus. Ubukhulu bama-pancreas ngenkathi kugcinwa okwejwayelekile, kanye ne-echogenicity kuyanda, kepha ukusebenza komzimba okukhulu akubonwa.
