I-pancreas yisitho esibalulekile emzimbeni womuntu esibhekele ushukela wegazi, silawula imetabolism, futhi sikhiqize ama-enzyme okugaya ukudla. Itholakala ezingxenyeni ezijulile zesisu esiswini, ngakho-ke cishe akunakwenzeka ukuhlola lesi sitho sisebenzisa izindlela ezingezona ezinsimbi, ngokwesibonelo, nge-palpation. Kungenzeka uzizwe isitho kuphela uma sikhulisiwe kakhulu. Ngakho-ke, cishe indlela kuphela evumela ukuthi wena uhlole isimo sayo ngokuqinisekile yi-ultrasound yamanyikwe.
I-Ultrasound indlela yesimanje yokubona ngamehlo izitho nezicubu zisebenzisa amaza omsindo.
Izinkomba ze-ultrasound
Ngaphansi kwethonya lezinto eziningi (indlela yokuphila engalungile, ukubhema, ukucindezelwa okungapheli), umsebenzi nemisebenzi yamanyikwe ingaphazamiseka. Lapho lokhu kwenzeka, umuntu uqala ukukhathazeka ngobuhlungu obukhulu, ukukhishwa isicanucanu nokuhlanza. Njengoba lezi zimpawu zihambisana nezifo eziningi zesistimu yokugaya ukudla kanye ne-gastrointestinal, i-ultrasound yamanyikwe kanye nezitho zesisu ibekelwe iziguli.
Izinkomba eziphambili ze-ultrasound yamanyikwe yilezi:
- Ubuhlungu ku-hypochondrium ephezulu kwesokunxele kanye nohlangothi lwesobunxele;
- Ubuhlungu ngesikhathi sokuhlinzwa kwesisu;
- ukungasebenzi kahle kwesisu kutholwe yi-gastroscopy;
- ukuphefumula okuphikelelayo kocanucanu nokuhlanza;
- isifo se-pathology nesifo sesibindi;
- ukuphazamiseka kokugaya kanye nesitulo;
- ukulimala kwesisu;
- ukusolwa kwesifo sikashukela noma i-pancreatitis;
- ukuhlolwa kwelabhoratri okubonisa izifo zesitho;
- jaundice.
I-Ultrasound yindlela elula futhi ebiza kakhulu yokuhlola amanyikwe.
Ukulungiselela i-Ultrasound
Ukuthola umphumela onokwethenjelwa kakhulu, kuyadingeka ukulungiselela kahle ukuhlolwa kwe-Ultra. Ngaphambi kocwaningo, zonke iziguli ziyelulekwa ukuthi zigcine le mithetho elandelayo:
- Izinsuku ezintathu ngaphambi kwe-ultrasound, gcina ukudla okuqinile, ngaphandle kwemifino, izithelo, ama-legamu, ama-sodas, ubisi, imikhiqizo kafulawa neminye imikhiqizo evela ekudleni kwakho okuvusa ukwakheka kwegesi emathunjini.
- Yenza i-ultrasound ngaphambi kwamahora ayi-12 ngemuva kokudla kokugcina.
- Ngosuku locwaningo, ungabhemi, uyeke ukusetshenziswa kwezidakamizwa notshwala.
- Uma kwenzeka ukwanda kokukhiqizwa kwegesi nokuphazamiseka kwesitulo, isisu namathumbu kufanele kudambiswe ngokuthatha imithi ekhethekile.
Ukulungiselela i-ultrasound akuthathi isikhathi esiningi futhi kukuvumela ukuthi ukhuphule kaningana okuqukethwe ucwaningo
Kwenziwa kanjani i-pancreatic ultrasound futhi kukhombisa ini?
Ukuhlolwa kwe-Ultrasound kwama-pancreas akwenzi kubuhlungu futhi ngokushesha. Imvamisa inqubo ayithathi imizuzu eyi-10.
Ngesikhathi sokufunda, isiguli sibekwa embhedeni bese kufakwa ijeli ekhethekile esiswini. Ngemuva kwalokho, kusetshenziswa iphenyi efanelekile ye-ultrasound, isitho siyaskenwa, imiphumela yaso iboniswe kuqapha elikhethekile. Kwezinye izimo, ukuskena kwe-ultrasound kwenziwa ngenkathi umi noma uhleli, kepha noma kunjalo umuntu akazizwa nakancane ukungakhululeki.
Ngenxa yobuchwepheshe besimanje, udokotela angabona ama-pancreas emibonweni ehlukahlukene futhi akhombe kalula i-pathology yayo.
Isimo se-pancreas sivame ukuthinteka kakhulu ukwephulwa kwemisebenzi yezinye izitho (isibindi, izinso, isisu). Ngakho-ke, ngesikhathi sokufunda, udokotela angakwazi ukuskena ngasikhathi sinye ezinye izitho zomzimba.
Ukubuka kwamanyikwe ku-sonogram
Ngaphansi kokulawulwa kwe-ultrasound, ungakhomba ama-pathologies kanye nezifo:
- i-pancreatitis
- ama-cysts nama-pseudocysts;
- lipomatosis;
- i-fibrosis;
- ukwanda kwezicubu zesilonda.
I-Ultrasound yama-pancreas ingakhombisa kuphela ubukhona be-cysts nokunye ukwakheka esitho, ukutholakala komdlavuza kungasungulwa kuphela ngemuva kokuhlolwa kwezitho zomzimba kanye nezomlando zezicubu zomzimba.
Ukuqonda i-Ultra ye-pancreas kubantu abadala
Ekupheleni kwe-ultrasound, udokotela uprinta i-sonogram - isithombe sedijithali sendawo yesisu, lapho kubonakala khona ama-contours, isakhiwo nobukhulu be-pancreas. Incazelo ihlala inamathiselwe kwi-sonogram, ekhombisa izici ezigcwele zesitho. Ikakhulu:
- indawo yama-pancreas ehambisana nezinye izitho;
- ukwakheka nosayizi wayo;
- ukuba khona kwama-cysts kanye nezinye izindlela ezakhiweni;
- i-echogenicity yezicubu;
- isakhiwo se-duct nekhanda.
Ekhuluma ngemikhuba yamanyikwe, odokotela baphawula ukuthi, okokuqala, umzimba kufanele ube nemikhawulo ebonakalayo nezinhlaka ezishiwoyo. Futhi, lapho kuhlolwa ukwakheka kwayo, ama-ducts kufanele abonwe ngokucacile, futhi izicubu zezitho kufanele zingabi nhlobo.
Ithebula "Izinkomba zesimo se-pancreatic kwabesifazane nakwabesilisa"
Isikhombi | Amanani inkomba |
Ububanzi bomzimba | 21-25 mm |
Ububanzi bemisila | 30-35 mm |
Ububanzi bekhanda | 32-35 mm |
Ubukhulu be-Wirsung duct | 1.5-2 mm |
Ubungako obujwayelekile bama-pancreas kubantu abadala buyi-12-22 cm, futhi isisindo sesitho sisuka ku-70-80 g.
Izinkomba ezibalulekile ezinganeni
Lapho kukhona izinkomba, i-ultrasound of pancreas ingenziwa ngisho nasezinganeni ezisanda kuzalwa.
Ngosizo lokuhlolwa kwe-ultrasound of the patity esiswini, kungenzeka ukubona i-pathologies yokuzalwa isencane, ngakhoke, iqala ukwelashwa ngesikhathi
Amanani ajwayelekile ezinganeni ancike eminyakeni yobudala, ubulili nokuphakama kwengane.
Ithebula "Usayizi wamanyikwe webele uvamile ezinganeni"
Ukuchezuka kwizimbangela ezijwayelekile nezingaba khona
Ngemuva kokuphothulwa kwe-Ultra, isiguli ngasinye sithola isiphetho. Yebo, lapho konke sekuhlelekile. Kepha kunezimo lapho esiphethweni ezinye izindlela zokuphambuka kusuka esivamile ziphawulwe. Isibonelo, phazamisa noma i-parenchymal organ changes.
Izinguquko
Ukushintshwa kobunzima kuyisijeziso esivame kakhulu esingaxilongwa ngesikhathi sokuhlolwa kwe-ultrasound. Ngokuya ngezinga nohlobo lwe-pathology, ukuguquguquka kokuphamba kungashintshana ngokuhlukahluka, kepha esikhathini esiningi kuvela kwesimo sezinguquko ngosayizi nokuma kwesitho.
Izimbangela ezinkulu zokushintshwa kokuguquguquka yizifo nama-pathologies wesitho, noma kunjalo, into edabukisayo nayo ingaba yilokhu:
- iminyaka yesineke;
- isifo sikashukela mellitus;
- imisebenzi edlulisiwe;
- i-cystic fibrosis;
- i-siderophilia;
- indlela yokuphila engalungile yeziguli.
Ukushintshwa kobunzima - lokhu akuyona isifo, kepha kungenye yezimpawu zesifo
Ukuhlangana okungalingani kwamanyikwe kuvame kakhulu uphawu lokuvuvukala. I-Edema nayo ingadalwa ukungasebenzi kahle kwesitho esiseduze, isibonelo, isisu.
Futhi, imbangela yokushintshana okungalingani kungaba ukwakheka okuncane (ama-cysts kanye nama-tumor angaphakathi) asendaweni yomzimba. Kepha ukuhlangana kwendawo kwezitho ezithile zesitho - inhloko, umsila noma umzimba - kungaqalwa yisimila. Isimila kungenzeka sibe sibi noma sibe sibi. Uma kanye nokwenziwa, okubonisa i-ultrasound yamanyikwe, kunwetshiswa kwemisele, ukuqina kokuqina, ukufakwa kwezinye izindawo ngezicubu ze-fibrous, izifundo eziningi ezingeziwe ziyadingeka ukukhipha i-oncology.
Uma kwenzeka kutholakala i-cyst, ukwakheka kwesimila, ama-polyps, iziguli zinikezwe ukuhlolwa kwe-pancreas endosheni, okukuvumela ukuthi ukhombise ngokunembile indawo lesion bese wenza izicubu ukubhoboza
Endabeni yokwakhiwa kwe-cyst, ithumba, ukwephula ukuphuma kwe-enzymes, igagasi le-ultrasonic lizokhombisa indawo engasasebenzi kahle, okuthi esibukweni sokuqapha ibukeke njengebala elimhlophe. Uma ama-pancreas ku-ultrasound emhlophe ngokuphelele, lokhu kukhombisa ukuthuthukiswa kwe-pancreatitis ebukhali.
Ushintsho lwabazali
Ngokungafani nokusabalalisa, ngezinguquko ze-parenchymal, ukukhuphuka kosayizi noma ukuba khona kwama-tumor-like formor in pancreas akubonwa. Kulokhu, sikhuluma ngoguquko olungenangqondo lwezicubu zezitho, imbangela yazo okungaba:
- uhlobo olubi noma olungamahlalakhona lwe-pancreatitis;
- isifo sikashukela mellitus;
- lipomatosis.
Enye inqubo engabalulekanga kangako yi-echogenicity. Ushintsho lwe-echogenicity kwezicubu zamanyikwe kungenye yokuphambuka okungathi sína, okungakhombisa ubukhona be-pathologies nezifo eziningi. Uma iphakanyisiwe, khona-ke lokhu kuvame ukuba uphawu:
- i-fibrolipotamosis;
- i-pancreatitis engapheli noma eyingozi;
- izinqubo ze-neoplastic;
- ukuvuvukala ngokuba khona kwe-fibrosis.
Izilonda pancreatic
Buka | Isici | Izizathu |
Ukuguqulwa okuncane | Ukhuphuka okuncane kwesayizi yesitho, ukumukelwa okuthe xaxa | Ukwehluleka ukudla, ukuvama ukudla ngokweqile, ukucindezela |
Ushintsho olulinganiselayo | Ukuntuleka kokuhlanganiswa, i-heterogeneity yezindwangu, isakhiwo se-granular | Izinguquko ezihlobene nobudala, i-pancreatitis, izifo zesisu, ukuzalwa kofuzo, ukungalingani kwe-hormonal |
Izinguquko eziveziwe | Ukwanda ngosayizi wesitho, ushintsho kumakhompiyutha alo, ukwanda kwe-echogenicity | I-pancreatitis, lipomatosis, isifo sikashukela |
Ukuguqulwa kwendlela | Ushintsho ekwakhekeni kwezicubu zezitho, ukwanda okukhulu ngosayizi walo, ukuba khona kwezindawo nezindawo zokubumbana, ukuguqulwa okungahambi kahle kwamanyikwe | I-Fibrosis, umdlavuza, isimila se-benign |
Ngaphandle kokuthi imiphumela ye-ultrasound ibalulekile enqubweni yokuhlolwa kwamanyikwe, udokotela angenza ukuxilongwa okuyiqiniso ngemuva kokuhlolwa okuphelele kwesitho esinegciwane, okubandakanya ukuqoqa umlando wezokwelapha, ukuhlolwa kwegazi elebhu, i-endo ultrasound, kanye ne-compact tomography.