Kuunika kwa Ultrasound ndi njira imodzi yodziwira matenda a kapamba. Njira yothandizira siigwira ntchito kwenikweni, komabe, imachitika nthawi zambiri poyerekeza ndi mayeso okwera mtengo: maginidwe a maginito a michere ndi CT.
Ultrasound imatha kuzindikira kusintha kwa kapamba. Izi siziri matenda, koma kusintha komweko mu minofu yofewa. Kusinthaku ndikosafunikira kapena kwakukulu, komwe kumayimira kukula kwa zovuta zazikulu za pathologies.
Phunziroli limatengera kuwonjezeka kapena kuchepa kwa kuchuluka kwa ziwalo zamkati, zomwe zimakupatsani mwayi wofufuza zovuta. Ngati kapamba ali wathanzi, ndiye kuti echo ndizabwinobwino. Pamene kuwonjezeka kwa kachulukidwe ka parenchyma kumawonedwa, m'malo mwake ndi minyesi yolumikizana, echogenicity imachulukana; ndi kuchepa kwa kachulukidwe - amachepetsa.
Zizindikiro za Echo zimathandizira kuzindikira pancreatitis yayikulu komanso yopweteka, kuphwanya shuga m'mimba, shuga, zotupa, zotupa, chotupa, ndi zina zotere.
Etiology ya kusinthitsa kwakusintha
Kusintha kovutikira mu gland sikukutchulidwa pokhudzana ndi matenda odziyimira pawokha, ndiye chizindikiro cha njira ina yopanda pake. Kuwonjezeka / kuchepa kwa kukula kwa chiwalo, kapena kachulukidwe kakakulu ka minofu ndi kapangidwe kake, ndi chisonyezo cha njira zamatumbo, kusintha kokhudzana ndi zaka, sclerosis yamitsempha yamagazi yaying'ono.
Kapangidwe kamakomawo kakuphatikiza magawo atatu - mutu, thupi ndi mchira. Kusintha kungakhudze gawo lina la thupi kapena lonse. Zomwe zimayambitsa matenda amtunduwu ndizosiyanasiyana. Muzojambula zambiri, etiology imachitika chifukwa cholephera pama metabolic metabol.
Mwa anthu okalamba gulu la odwala matenda ashuga omwe ali ndi vuto locheperako minofu ya glandular. Ndipo voliyumu yosowa imapezanso kupangika kwa minofu ya lipid. Kusintha kotereku si matenda; chithandizo sichofunikira.
Komabe, pazotsatira za kuyesa kwa ultrasound kwalembedwa: DIPI ndi kuchulukana kwa echogenicity motsutsana ndi maziko abwinobwino mkati mwa mkati.
Kusintha koteroko kumatha kuzindikiridwa ndikusinthira minofu yowonongeka ndi chivundikiro chowonekera cha chikhalidwe chofanana. Chitsulo sichimasintha kukula kwake, kapena kuchepera pang'ono. Chipatala choterocho chimakhala chokhazikika munjira za thupi kapena zimapezeka mgawo la kapamba. Ngati matenda omaliza sanatsimikizidwe, ndiye kuti chithandizo sichofunikira.
Zifukwa zosintha:
- Zizolowezi zoyipa kudya, kuchuluka kwa zotsekemera, zonunkhira, ufa, mafuta komanso zakudya zamchere.
- Makamaka.
- Kupanikizika kosalekeza, neurosis.
- Matenda am'mimba.
- Kumwa mankhwala.
DIPI imakonda kupezeka mwa odwala matenda a shuga. Zomwe zimayambitsa posachedwa ndizoperewera kwa mahomoni ena - insulin. Odwala, kuchuluka kwa shuga kumawonjezeka, shuga amapezeka mu mkodzo.
Zosintha ku dongosolo ili zimafuna chithandizo chamankhwala chomwe chimayang'ana pakuchotsa gwero loyambira - matenda ashuga.
Clinic of tumizani kusintha kwa kapamba
Matenda akuwonekera kwa kusintha kwa chiwalo chimodzi chifukwa cha njira inayake yomwe imawakhumudwitsa. Zizindikiro zikuluzikulu zimaphatikizapo kusokonezeka kwa chakudya cham'mimba - kutsekula m'mimba, mpweya wowonjezera, kusanza, kusanza, kugona, kuchepa kwa chakudya, kusasangalala m'mimba.
Mu chifuwa chachikulu cha pancreatitis, kuwonjezeka kwamankhwala kumawonedwa ndi ma ducts a chiwalo, komwe kumayambitsa kuwonongeka mkati, ndipo chimbudzi chimatuluka mu minofu ya tinyezi. Zotsatira zake, zimawonongeka pang'onopang'ono, zomwe zimabweretsa kuledzera.
Zizindikiro: tachycardia yayikulu, kuchepa kwambiri kwakanema kozungulira, kusanza mobwerezabwereza, kupweteka kwambiri. Ndi chithunzichi, chithandizo chikufunika kuchipatala, nthawi zina kuchitidwa opaleshoni ndikofunikira.
Zizindikiro zakusintha kwamatenda kutengera matenda:
- Ngati chifukwa chake ndi mtundu wa kapamba, ndiye kuti chipatalacho chimakhala ndi nthawi yayitali. Kutupa kwachitsulo, zotupa pang'ono zimawonedwa. Popita nthawi, chiwalo chimayamba kuchepa, kupanga ma enzyme kusokoneza. Matendawa akamakula, ululu umakulirakulira.
- Zomwe zimayambitsa ndi fibrosis, poyamba zizindikilo sizikuwoneka. Ndi kutupa uku, minofu imasinthidwa ndikumalumikiza malo. Kupanga kwa michere yam'mimba ndi mahomoni kumachepetsedwa. Gawo loyamba lili ndi zizindikiro za kapamba. Mtsogolomo, thupi limagwirizanitsa, kuchepa kwa insulin kaphatikizidwe kamene kamayambitsa kukula kwa matenda a shuga.
- Pamene chifukwa cha lipomatosis sichingasinthe. Matenda amoyo wathanzi amasinthidwa kukhala lipid. Popeza maselo amafuta sangathe kuchita michere ya m'mimba, izi zimayambitsa matenda am'mimba, mavuto a chopondapo, nseru, komanso kusanza.
Ngati lipomatosis imadziwika ndi kufalitsa kochepa, ndiye kuti zizindikiro zake sizikupezeka, zimasokonezeka mosavuta ndi kukhumudwa pang'ono.
Ndi chotupa chachikulu, parenchyma imapanikizidwa ndi minofu ya lipid, yomwe imatsogolera ku ululu komanso matenda opuwala.
Zosintha za makolo
Kusintha kwamphamvu mu pancreatic parenchyma - zolembedwa zotere zimakonda kupezeka pakutha kwa ultrasound. Mzerewu mu mawonekedwe a zotsatira sizitanthauza kuzindikira, koma kungowunika mayeso.
Poyerekeza maziko amasinthidwe amisempha parenchyma, palinso kusintha kosiyanasiyana kwa ziwalozo, palibenso ma calculi, komwe kumayang'ana kutupa, kowona kapena pseudocysts, chotupa neoplasms.
Matenda omwe amabweretsa kusintha parenchyma:
- The pachimake mawonekedwe a kapamba. Pathology imayamba ngati vuto la kutuluka kwazobisalira ndi zotupa m'thupi.
- Matenda apakhungu a pancreatitis amapezeka chifukwa cha njira ya pathological mu gallbladder (cholecystitis), chiwindi (steatosis).
- Matenda a shuga amaphatikizika ndi njira yonyansa - minofu yathanzi imasinthidwa ndi lipid minofu, kulowa kwa mafuta kumayamba.
Kuphatikiza pa kukulitsa kwa ndulu, katswiri wa zamankhwala pa ultrasound anena echogenicity. Ichi ndi chimodzi mwamapulogalamu ofunikira kwambiri omwe amakupatsani mwayi wowunika ukulu ndi kufanana kwa ziwalo. Ngati mawonekedwe apansi kapena apamwamba apezeka, njira zina zodziwikitsira zimafunikiranso.
Kuchulukana kwa echogenicity kumawonetsa lipomatosis - minofu ya parenchymal imasinthidwa ndi minofu ya adipose; za pancreatitis yovuta komanso yopweteka - kutupa kumayambitsa edema, komwe kumabweretsa kusintha kwa kachulukidwe ka parenchyma; kutupa ndi kukhalapo kwa fibrosis.
Kuwongolera koyambirira kwa kakhazikikidwe ka kapamba kumawonetsa kuchepa kwa maselo omwe amayang'anira ntchito ya exocrine ndi intrasecretory. Tumor neoplasms imatha kupangidwa kuchokera kumaselo amimba.
Chikhalidwe chogonjetsedwa
Mlingo wa DIPA ndiwosiyana. Mosasamala izi, kukhalapo kwa kusintha kumawonetsa njira ya pathological - chotupa, chotupa, miyala mu kapamba, njira zoyambira zotupa, ndi zina zambiri.
Kusintha kwakung'ono kumawonetsa mbiri ya kutupa, kudya pang'ono, komanso kupsinjika kwakanthawi. Ngati zinthu zoyambitsa zichotsedwa, ndiye kuti chithunzicho chitha kuchotsedwa. Kulephera kutsatira malingaliro awa kumatha kudzetsa matenda obwera mtsogolo.
Kusintha kwapang'onopang'ono kumapezeka mwa akulu ndi kutupa, komwe kunayambitsa edema ya organ. Choyambitsa chake ndi kapamba. Ngati palibe zisindikizo, ndiye kusintha kosinthika.
DIPI yopanda njira ndi njira yodabwitsika yomwe sikukhudza kugwira ntchito kwa chiwalo. Chiwalo chathanzi chimakhala ndi malire osalala, pali kufanana kwa minofu. Heterogeneity ikapezeka, imasinthidwa minofu yathanzi ndi adipose kapena minofu yolumikizika. Kuphatikiza apo, kapangidwe ka granular chilipo.
Zomwe zimayambitsa kusinthika kosadziwika bwino ndi kapangidwe kake kapamba kapenanso matenda osokoneza bongo. Matenda a mtima ndi ziwalo, kugaya kwamitsempha yama cell, kugaya kwamitsempha yamagetsi, panthawi yogonana. Etiology ikhoza kugwirizanitsidwa ndi mtundu wakubadwa, matenda opatsirana.
Kusintha kwa chizindikiro ndi chizindikiro chachikulu. Zimakwiya ndi ma pathologies ena kapena kutupa. Mwakutero, ultrasound iyenera kuchititsa maphunziro owonjezera am'mimba.
DIP yowonetsedwa zambiri ndi zotsatira za matenda:
- Pachimake kapamba kumabweretsa kusayenda kwa pancreatic madzi. Wodwala amadwala ululu waukulu, kusanza, nseru. Kuti muchepetse kuwonongeka kwa zizindikiro, ndikofunikira kupumitsa minofu yam'mimba, kupondereza ntchito ya zoloza. Akatswiri azachipatala amapereka mankhwala omwe ali ndi anti-yotupa kapena mawonekedwe a mapiritsi okhala ndi mankhwala. Chithandizo cha opareshoni sichimachotsedwa.
- Mu chifuwa chachikulu, DI imatchulidwa komanso kupweteka kwakukulu - gawo la chikhululukiro. Chithandizo ndi ofanana ndi pachimake mawonekedwe. Kuphatikiza apo, mutha kugwiritsa ntchito wowerengeka azitsamba - mankhwala opangira mankhwala azitsamba.
Zosintha kwa zovuta za dystrophic - lipodystrophy. Matendawa amagwirizanitsidwa ndi kuchepa kwa minofu ya lipid, yomwe imatsogolera kusintha kwa ziwalo zathupi.
Zizindikiro za matenda pa ultrasound
Nthawi zambiri, kuyezetsa kwa ultrasound kumawonetsa kuti kapangidwe ka chiwalo sikamakhala kopanda tanthauzo, zizindikiro zopanda pake sizikupezeka. Echogenicity ndi wofanana ndi chiwindi, ndulu. Mutha kuwona m'magawo onse a chiwalocho, chonsecho chili ndi kukula wamba, kachulukidwe.
DIPI pa ultrasound imathandizira nthawi kuti adziwe kusintha kwakachulukirapo, motero, kuti ayambe njira yochiritsira yokwanira. Pa kafukufukuyu, adokotala amawunika kukula, mawonekedwe amkati, mawonekedwe ofanana / heterogeneity ya minofu yofewa, kukhalapo / kusakhalapo kwa chotupa neoplasms.
Ultrasound imakhala ndi zovuta zina zomwe zimakhudzana ndi kufalikira kwa mkati. Chowonadi ndi chakuti ili mkati mwa m'mimba ndi matumbo, omwe ali ndi mipweya. Kuti mupeze zotsatira zodalirika, wodwalayo ayenera kutsatira zakudya asanafike mayeso, zomwe zimathandiza kuchepetsa mapangidwe a mpweya.
Ultrasound imawunika kukula kwa kapangidwe ka kapamba. Itha kuchulukitsidwa kapena kuchepetsedwa. Dziwani kuti limba limakhudzana kwambiri ndi ntchito ya chiwindi ndi chikhodzodzo, yomwe imatha kukhala "echo" yophwanya magwiridwe awo. Kuti mumvetse bwino za matenda omwe amadziwika ndi DIP, muyenera kuyezetsa magazi, ndowe, mkodzo, ndikuwunika mayeso am'mimba.
Zizindikiro zazikulu za ultrasound:
- Kusasangalala m'mimba mutatha kudya.
- Kudzimbidwa kwa nthawi ndi nthawi.
- Ululu mu quadrant yapamwamba kumanzere.
- Kuchulukitsa kwa mpweya.
- Kuchulukitsa kwa magazi.
- Kukongoletsa khungu, mucous nembanemba.
Mu chifuwa chachikulu cha pancreatitis, mawonekedwe a ultrasound amawonetsa kukula, malire amalire, kuwonjezeka kwa ngalande yayikulu. Kusintha kwachidziwikire mu ziwalo zina zamkati nthawi zambiri kumadziwika. Ndiwokhazikika komanso kwathunthu mwachilengedwe. Ultrasound yotupa chotupa cha chosaopsa chikhalidwe chikuwonetsa kusintha kwakukulu. Mwa kapangidwe kake, zisindikizo ndizofanana ndi minofu ya tinyezi, zimakhala ndi kukula kochepa.
Ultrasound yokhala ndi vuto loyipa imawulula zotupa, zimayikidwa - mutu wa CI kapena mchira kapena kuwonongeka kwa thupi. Ndi mainchepa pang'ono a neoplasm, ma contours a kapamba ndi omwewo. Ndi zotupa zazikulu, defuction imawonedwa. Ngati njiru yoyipa ikayikiridwa, mtundu wa biopsy uyenera kutengedwa kuti ukalandire histology ina.
Zambiri zomwe zimapezeka chifukwa cha kuwunika kwa ultrasound zimasulidwa ndi dokotala kapena gastroenterologist. Ndi chidziwitso chosakwanira, zowunikira zowonjezera zimayikidwa. Poganizira mayeso onse, kufufuza kumapangidwa, chithandizo choyenera chimayikidwa.
Pafupifupi kusintha kwamatumba omwe afotokozedwera mu kanema m'nkhaniyi.
