Nthawi zambiri, atayang'aniridwa ndikuwonetsetsa kuti ali ndi ziwalo zam'mimba, odwala amamva kuti zomwe zimachitika chifukwa cha kapamba ndizopanda pake komanso kuchuluka kwa matendawa kumawonjezereka.
Sikuti nthawi zambiri mawu oterowo amatanthauza zoonadi. Nthawi zina, chizindikiro ichi chimakhala chochepa ndipo pakapita nthawi.
Koma boma silinganyalanyazidwe.
Zinthu zilizonse zokayikitsa zimafunika kufufuza mwatsatanetsatane ndikuzindikira, kuphatikiza kuti mapangidwe a kapamba ndi osiyana komanso opanda chiyembekezo.
Ma diagnostics a Ultrasound ndi njira yotchuka kwambiri, yosagwiritsa ntchito pophunzira ndi kuwunika ziwalo zambiri, komanso machitidwe.
Izi mwina ndi chifukwa chodabwitsa cha echogenicity. Zimayimira kuthekera kwa ziwalo kuwonetsa ultrasound yowongoleredwa kuchokera ku sensor.
Chiwalo chilichonse chimadziwika ndi ukali komanso mawonekedwe. Mwapangidwe, chiwalo chimatha kukhala chopanda pake komanso kuzikulitsa. Evenly echogenic ndi gawo limodzi la mawonekedwe.
Hyperachogenicity ikhoza kutanthauza kuwonjezeka kwa kachulukidwe ka ziwalo zomwe zikufufuzidwa. Ngati gawo losagwirizana la m'mphepete mwa kapamba limapezeka pa chosakanizira cha ultrasound, izi zimatsimikizira kusintha kwa chiwalo cha fodya.
Kodi kusintha kofanana ka chiwalo kumachitika liti?
Nthawi zambiri, kapamba ndi ziwalo parenchyma zimawonekera bwino ndi ultrasound.
Koma pazochitika zina ndi matenda, malo a wavy, malo osokonekera komanso kusintha kwina kumatha kuwonekera.
Zosintha zimatha kukhala zakomweko kapena zosokoneza.
Izi ndi njira zofunika kuzizindikira pofalitsa kufalikira kwa njirayi.
Njira zosiyanitsira zimachitika ndi zotsatirazi:
- Kuthwa kapena masasa. Edema ya ziwalo zamkati imachitika ndi kuwonongeka mwachindunji kwa iwo kapena ndi kuwonongeka kwachiwiri kwa matenda a chiwalo china. Edema yoyamba imachitika pancreatitis. Pankhaniyi, kutupa ndi chizindikiro cha kuyamba kwa mankhwalawa. Anasarca ndi edema ya ziwalo zonse ndi thupi lathu, kuphatikiza zikondamoyo. Vutoli limayamba chifukwa cha kuwonongeka kwambiri kwa mtima ndi chida cha impso.
- Autolysis kapena necrosis ya pancreatic minofu. Ichi ndi chipatala chovuta kwambiri kuchita opaleshoni, chomwe ndi zotsatira za pancreatitis pachimake. Mwanjira imeneyi, maselo onse ogwira ntchito a chiwalo amafa, ndipo kapamba sikasiyanitsa bwinobwino. Autolysis imayendera limodzi ndi kutulutsidwa kwa michere yambiri m'magazi. Pakuwunika magazi, adotolo amawonetsa momwe ntchito ya enzymatic ya magazi imachulukira.
- Kuwonongeka kwamafuta kwamatenda apancreatic. Poterepa, maselo yogwira amasinthidwa ndi minofu ya adipose. Mchitidwewu ndi wodwala ndipo sutsagana ndi zizindikiro zowopsa.
- Mtundu woyamba wa matenda a shuga 1, ngakhale uli ndi mahomoni, umakhala ndi chidwi cha matenda. Mu mtundu woyamba wamatenda, kufa kwa kachigawo ka Langerhans kumachitika mosiyanasiyana mchiwalo chonsecho ndipo izi zikuwonekera pang'onopang'ono.
- Organ tumor process kapena metastatic lesion. Kupatula khansa, maphunziro ena angapo ayenera kuchitidwa, monga MRI, CT, ndi biopsy.
- Polycystic lesion kapena angapo organ cysts. Zinthu zoterezi zimawoneka bwino komanso m'maso osalala, zochitika za matenda monga cystic fibrosis.
Kuphatikiza apo, kupezeka kwa njira yophatikizira kumawonedwa ndi organrosrosis. Matenda awa amadziwika osati ndi kuchuluka kwa mphamvu, komanso kuchepa kwa thupi lokha.
Kodi hyperechoogenicity m'deralo ndi chiani?
Hyperechoogenicity yapachiderali ndi dera lodziwika bwino lomwe lomwe limakhazikika kwambiri.
Izi zimachitika kangapo.
Chodziwika kwambiri ndikuwonekera kwa hyperechoogenicity yam'deralo pakapangidwa cyst imodzi, monga chiwonetsero cha mbiri ya kutupa kwa gland.
Kuphatikiza apo, zotsatira zofufuzira zotere zimapezeka ndikapezeka mu chiwalo:
- calcation, tsamba lodzithandizira, chifukwa cha zovuta zamatenda;
- dera kudzikundikira minofu ya adipose;
- fibrous node wopangidwa chifukwa cha machiritso a minofu ya necrotic;
- pancreolithiasis, kapena kapangidwe ka miyala mu limba;
- khansa ya kapamba, ili ndi malo ambiri oterera;
- metastases yachiwiri mu oncology, nthawi zambiri imakhala yolakwika pakuganiza;
- abscess ndi matenda opatsirana oyera a chiwalo china, nthawi zambiri chimachitika ndi staphylococcal sepsis.
Mkhalidwe wotsirizawu ndiowopsa kwa thupi.
Ndikofunika kukumbukira kuti kumaliza kwa katswiri wa ultrasound sikukuwonetsa matenda ndipo amafunika upangiri wina wakuchipatala. Kusiyanitsa koteroko kumaphatikizapo kusintha mawonekedwe, gawo lowonjezera, ndi kuphatikiza chiwalo. Chofunikira kwambiri ndikusungidwa kwa ntchito ya exocrine ndi endocrine.
Mwa zina, pali zodabwitsika zachiberekero zomwe sizimabweretsa chiopsezo pamoyo wa wodwalayo.
Kukonzekera kwa ultrasound ndi momwe kapamba wabwino amakhalira
Kuti mufufuze ndikusintha momwe masinthidwe amasinthira zikondamoyo, zowunika zimasonkhanitsidwa malinga ndi malingaliro onse apadziko lonse lapansi. Mapeto ake ndi ntchito yomweyo ya sonologist ndikusankhidwa kwa madokotala opezekapo.
Koma kukonzekera molakwika kwa wodwalayo kungayambitse yankho lolakwika lazachipatala ndi kulandira chithandizo chosayenera.
Choyamba, wodwalayo ayenera kutsatira zotsatirazi:
- Iwo ali osavomerezeka kudya chakudya maola 12 isanachitike.
- Madzulo a phunzirolo azitsuka matumbo.
- Ultrasound imachitika pamimba yopanda kanthu komanso m'mawa.
- Masiku angapo njira isanachitike, wodwalayo sapatula muzakudya zonse zomwe zimathandizira kupanga mpweya wambiri.
- Ngati wodwalayo ali ndiulemu, ndiye kuti anamwino azigwiritsidwanso ntchito.
Ndi kuyeserera kwa ultrasound, chiwalocho chimakhala chokwanira kupimidwa. Magawo onse ndiwofikirika.
Mwanjira, chiwalochi chimafanana ndi chilembo cha Chichewa "S".
Gland yathanzi imakhala ndi miyeso yabwinobwino, makoma osalala okhazikika. Zoyendayenda ndizolondola popanda kupatuka kwina kulikonse.
Mu mawonekedwe, chiwalocho nthawi zambiri chimakhala chopanda pake, koma ma hyperechoic inclusions atha kukhalapo.
Ziwalo zoyandikana nazonso zimawunikiridwa, kuphatikizapo chiwindi, mapepala amatumbo, ndi impso.
Nthawi zambiri kusintha kwa ziwalo izi kumakhudza kapangidwe kanu kapamba.
Ndikofunika kukumbukira kuti ngakhale mutakhala ndi malingaliro okayikitsa pa ultrasound, simuyenera kuchita mantha. Kuzindikira moyenera nthawi zambiri kumafunikira kuyezetsa kachipatala kambiri komanso kothandiza, kuyezetsa magazi osavuta kufika pa minyewa yambiri.
Pambuyo pa njirayi, sonologist imasinthira zowerenga sensor kwakanthawi ndipo imapereka mawu kwa wodwalayo.
Zizindikiro za matenda a kapamba zimakambidwa mu kanema munkhaniyi.
