I-Echogenicity ingesinye sezimpawu zezicubu ezifundwayo ngokuxilongwa kwe-ultrasound. Le nkomba ikuvumela ukuthi uhlole ubungako besitho, futhi uma kwenzeka kuphambuka endaweni eyodwa noma kwenye, ukubonisana nochwepheshe kuyadingeka. Ekuphetheni, udokotela angakhombisa ukuthi i-echogenicity ye-pancreas iyanda. Izincazelo zalokhu kwakhiwa zizochazwa ngezansi.
Inani le-echogenicity
Ukuhlolwa kwe-Ultrasound kususelwa ezimisweni ze-echolocation - ikhono lezicubu lokubonisa i-ultrasound. Ngesikhathi senqubo, udokotela ubona isithombe esimnyama nomhlophe, ngoba izitho ezahlukene zibonisa amaza e-ultrasound ngezindlela ezihlukile. I -ensensens indwangu, igqamile esibukweni.
Uma kukhona uketshezi ngaphakathi kwesitho (inyongo kanye nesinye), khona-ke isithombe sabo simnyama. Ngakho-ke, umqondo we-echogenicity ejwayelekile wezinhlaka ezihlukene uyimpikiswano kakhulu. Udokotela okuxilonga uyazi ukuthi yini okufanele ibe yinto evamile yesitho esithile, futhi ngokushesha ubona izinguquko.
Lapho kuhlolwa ubumbano be-pancreatic parenchyma, kuqhathaniswa ngokuqhathaniswa kwesibindi, okusebenza njengesampula. Ngokuvamile, lezi zitho zinobungako obufanayo, ngaphandle kwalokho singafunga ukuthuthukiswa kwe-pathology.
Kodwa-ke, kufanele kuphawulwe ukuthi umehluko omncane wombala wamukelekile. Uma isiguli singakhali nganoma yini, futhi azikho ezinye izimpawu zokuphambuka, khona-ke lokhu kubhekwa njengokujwayelekile. Ngaphezu kwalokho, ukwakheka kwento nama-contours awo kuyabhekwa.
Imvamisa, ukwakheka kwezitho akunamizwa. Uma kukhona noma yikuphi ukubuka okukhona, khona-ke lokhu kukhonjisiwe embikweni we-ultrasound. Ukuhlangana okungalingani kwamanyikwe kungakhombisa ukuthuthuka kwenqubo yokuvuvukala.
Uma ama-pancreas enempilo, khona-ke igama elithi "isoechogenicity" lisetshenzisiwe encazelweni, okusho ukuthi isakhiwo esingenangqondo.
I-Lipomatosis inqubo engenakuphikwa yokuguqulwa kwamaseli we-pancreatic anempilo abe ngamafutha
Izizathu zokuphila
I-echogenicity ekhulayo yamanyikwe ingaba yendawo (egxile) noma yokuhambisa. Izinguquko ezinobunzima zingavusa izinto ezifana nokushintsha okubukhali kokudla, ukudla okuqinile noma isidlo esiminyene ngaphambi kocwaningo. Ukuhlanekezela kwemiphumela kuvame ukubonwa kusizini ethile - njengomthetho, ukuqina kwabantu kuqina phakathi nesikhathi sonyaka esika off, entwasahlobo nasekwindla.
I-hyperechoogenicity elinganiselayo nayo ingadala isifo esithathelwanayo. Ngaphezu kwalokho, ukwanda okuncane kwe-echogenicity ye-pancreas kuyinto evamile kubantu asebekhulile. Lokhu kungenxa yokuguga komzimba kanye nokulahleka okuyingxenye kwamaseli e-glandular aqukethe uketshezi.
Izimbangela zePathological
Isakhiwo esine-heptgenenti ephazamisayo singaba wuphawu lwezifo ezahlukahlukene, kepha esikhathini esiningi sibonwa ngezindlela ezahlukahlukene ze-pancreatitis. Lokhu kusho ukuthi izibazi sezakhe kwisitho, futhi izicubu ezisebenzayo (fibrous) ziyakhula.
I-hyperechoogenicity yendawo ikhombisa ukuba khona kwama-cysts, ukubalwa kanye nama-neoplasms ahlukahlukene.
Ezinye izizathu zifaka lokhu okulandelayo:
- lipomatosis (fat lipomatosis, steatosis, hepatosis, fibrolimatosis). Kuthuthukiswa ikakhulu ngemuva kwesizinda inkambo ende ye-pancreatitis noma i-pancreatic necrosis, ebonakala ngokufakwa kwamaseli we-gland ngezicubu ezihlangene namaseli wamafutha;
- i-pancreatitis e-acute, ehambisana nokudumba nokwanda kwamanyikwe;
- i-pancreatic necrosis - ukuhlanganiswa kwepancreatitis yesimo esonakalisayo, okuhambisana nokufa kwamaseli esitho;
- isifo sikashukela mellitus;
- I-fibrosis (sclerosis) - ukuvuvukala okungapheli kwamanyikwe, lapho amaseli enempilo aguqulwa ngokuphelele noma ngokwengxenye yi-connective izicubu izicubu;
- ama-neoplasms amabi.
Ukuthola imiphumela efanele, ezinsukwini ezingama-2-3 ngaphambi kocwaningo, imikhiqizo eyakha igesi (i-legamu, amagilebhisi, iklabishi) nokudla okuphezulu ngamaprotheni akufanele kudliwe.
Izinga lokunyuka kwe-echogenicity lingalingana, liphakathi neliphezulu. Ngokwesinkomba esilinganiselwe, imbangela ivame kakhulu ngokomzimba, kepha kwezinye izimo ukuvuvukala okungapheli kungenzeka.
Ukweqisa okujwayelekile, njengomthetho, kubonisa ukwanda kwamaseli abe ngamafutha. Izinga eliphakeme lokukhuphuka libonakala ku-pancreatitis eyingozi. Uma i-inclusions eqinile (i-calculi, ukubala) ikhona kuma-pancreas, khona-ke singakhuluma ngohlobo oluxubile lwe-echogenicity kanye nesakhiwo esinamandla amakhulu.
Kwesinye isikhathi, nge-pancreatitis ebukhali noma engamahlalakhona, i-echogenicity, kunalokho, iyancishiswa. Le nto ichazwa ukwanda okunamandla kwe-pancreatic duct enkulu, ukumboza ngokuphelele indlala ngenxa ye-atrophy yayo. Imbangela ezimweni eziningi kuyindlela engapheli yesifo se-pancreatitis.
Izindawo ze-Hypoechoic zitholakala kwi-pancreatitis ye-hemorrhagic, lapho kukhona i-edema ekwakhekeni kwe-gland. Lapho usebenzisa imishini enezinto eziphakeme, i-duct main ye-gland nayo ibonwa ngesimo sesifunda se-hypoechoic, esikhuphuka ngeminyaka.
Izimpawu
Uma i-ultrasound ikhombisa ukufakwa kwe-hyperechoic kuma-pancreas, khona-ke ukusebenza kwayo kuyaphazamiseka. Ebuchotsheni obuningi bamacala, ukushoda kwama-enzymes wokugaya kanye nezimpawu ezithile kuyenzeka:
I-Pancreatic Exacerbation- ukuzithoba nokuqhakaza;
- isihlalo sokucasuka;
- ukulahleka kwesifiso sokudla nesisindo;
- umfutho wegazi ophansi;
- i-tachycardia (inhliziyo palpitations);
- ubuhlungu besisu elingaphezulu, ngaphansi kwezimbambo;
- isicanucanu, ukuhlanza
- umuzwa wokugcwala esiswini;
- umkhuhlane.
Uma i-echogenicity yama-pancreas kusana ikhuphuka, khona-ke amathuba okungaqondani ekuthuthukisweni kwesitho kuphezulu.
Uma kungekho zimpawu eziphawuliwe, i-hyperechoogenicity ingabangelwa amaphutha kokudla okunempilo. Ngokulungiswa okufanele kanye nokususwa kokudla okuthile ekudleni, isifundo esilandelayo sizokhombisa okujwayelekile.
Ukwelashwa
Ngokuqina kokuqina kwama-pancreas, isiguli kufanele sihlolwe futhi sithathe igazi, umchamo nezinduku. Ukuxilongwa nokwelashwa kwenziwa nge-gastroenterologist. Umgomo oyisisekelo wokwelashwa kwe-pancreatitis eyingozi umthetho: "ukubanda, ukulamba nokuphumula." Ezinsukwini zokuqala zesifo, isiguli kufanele sibheke ukuphumula kombhede futhi senqabe noma yikuphi ukudla.
Amaqhinga okwelapha angahlukahluka ngokuya ngesimo sesiguli, ukwanda kanye nokuqina kwenqubo ye-pathological. Ezinye izindlela zesifo zidinga ukuhlinzwa.
Ukuze uthole ukukhululeka kobuhlungu, ama-analgesics nama-antispasmodics anqunyelwe, kanye nezidakamizwa ezingezona ze-steroidal anti-inflammatory - Diclofenac, Ketoprofen, Papaverin, No-shpa, Drotaverin.
Amathebhulethi e-pancreatin yindinganiso yegolide yokwelapha izifo ze-pancreatic ezihambisana nokuntuleka kwama-enzyme.
Njengoba ukukhiqizwa kwama-enzyme kukhuphuka kakhulu kwi-pancreatitis eyingozi, ama-ejenti asetshenziselwa ukucindezela umsebenzi we-pancreatic (somatostatin). Ama-antibiotic ayadingeka ukuvikela ukutheleleka ngegciwane.
Uma ukuxilongwa "i-lipomatosis", ngakho-ke ukwelapha ngezindlela zokwelapha kungenzeka kuphela ngosayizi omncane wama-inclusions wamafutha. Endabeni yokuqongelela okukhulu, iziqhingi ezinamafutha zigxobhoza imisele yamanyikwe futhi ziphazamise namanyikwe. Ngemuva kwalokho ama-lipomas asuswa ngokuhlinzwa.
Ukwelashwa kwe-lipomatosis ukulandela ukudla nokunciphisa isisindo somzimba. Imithi ayisizi ukuqeda ukwakheka kwamafutha, ngakho-ke zonke izindlela kuhloswe ngazo ukuvimba ukukhula kwazo okuthe xaxa.
Ngokuntuleka kwe-enzyme, okuhambisana nokuqina kwesikhumba okungaxhunyiwe ku-pancreatitis, izinqubo zesimila kanye nezinye izifo ezithile, kunqunywa ukwelashwa kwe-enzyme. Ukulungiselela kukhethwe ngokuqinile ngawodwana, okusetshenziswa kakhulu yiMezim, iPancreatin neCreon. Ngesikhathi sokulashwa, kunconywa ukulandela ukudla okuyi-5 futhi ungabuphuzi utshwala.
Kubalulekile ukukhumbula ukuthi inkomba ekhulayo ye-echogenicity isibonakaliso nje somzimba mayelana nokulimala okungenzeka. Kodwa-ke, akunakwa, futhi kunoma yikuphi, kufanele uthintane nochwepheshe.
