E kiʻi i kahi ultrasound e ʻike ai e pili ana i kou akepaʻa!

Ua ʻōlelo ʻia paha ʻoe e ke kauka e hana i kahi ultrasound ate, ʻeā? A i ʻole ua lohe paha ʻoe e pili ana i ia mea ma kekahi wahi. He hoʻāʻo maʻalahi loa ia, ʻaʻohe ʻeha, a maʻalahi hoʻi e hana. Paipai pinepine nā kauka i kēia hoʻāʻo ma mua e ʻike inā he pilikia me ke akepaʻa. No laila, e kamaʻilio kākou e pili ana i kēia ultrasound ate ma ke ʻano maopopo a maʻalahi hoʻi, ʻeā?

No ke aha e ʻōlelo ai ke kauka i ka ultrasound o ke akepaʻa?

E noʻonoʻo ua loaʻa iā ʻoe kekahi mau hōʻailona e pili ana i ka maʻi akepaʻa, a i ʻole ua ʻike kāu kauka i kahi loli iki i nā hopena o kahi hoʻāʻo koko āu i hana ai. I kēlā hihia, ʻo kēia hoʻāʻo ultrasound ke ala maʻalahi loa e ʻike koke ai inā he hewa maoli kekahi mea me ke akepaʻa. Eia kekahi, hoʻohana nā kauka i kēia hoʻāʻo e nānā inā ua kaohi ʻia ke kūlana a inā paha e hana maikaʻi ana ke akepaʻa i kahi mea i loaʻa mua i ka maʻi akepaʻa. I ka ʻōlelo maʻalahi, ʻo ia ka hana mua a koʻikoʻi loa i ka nānā ʻana i ke akepaʻa.

He aha nā pilikia e hōʻike ʻia e ka ultrasound i loko o ke akepaʻa?

Hiki i ka ultrasound ate ke ʻike i nā loli like ʻole i loko o ko kākou ake. Eia kekahi laʻana:

• ʻO ka maʻi akepaʻa Steatotic - Ua kapa ʻia hoʻi kēia ʻo " fatty liver".
• Ka mumū a me ka pehu ʻana o ke akepaʻa (Hepatitis)
• Inā ua hana ʻia kahi ʻiʻo palapū i loko o ke akepaʻa (Fibrosis a i ʻole Cirrhosis) - ʻO kēia ka pilikia o ka hāʻule mālie ʻana o ke akepaʻa.
• Inā he mau kiko a puʻupuʻu paha i loko o ke akepaʻa (Liver Lesions).

ʻO kēia nā pae nui ʻekolu o ka maʻi akepaʻa lōʻihi. Eia kekahi, hiki ke hoʻohana ʻia nā ʻano ultrasound kūikawā e nānā i nā mea e like me ke kahe koko i ke akepaʻa a me ka paʻakikī o nā ʻiʻo akepaʻa.

He aha nā ʻano maʻi e hiki ai i ka ultrasound o ke akepaʻa ke kōkua i ka ʻike ʻana?

He mea hana koʻikoʻi loa ka ultrasound ate i ka ʻike ʻana i nā maʻi he nui. Akā e hoʻomanaʻo, ʻaʻole hiki iā ia wale nō ke hōʻoia i kēlā me kēia maʻi. Eia nō naʻe, hiki ke kōkua nui i ke kuhikuhi ʻana i ke kauka i ke ala kūpono. Ma muli o nā hopena o ka ultrasound, pono paha nā hoʻokolohua hou aʻe. No ka laʻana, inā ʻike ʻoe i kahi puʻupuʻu i loko o kou ate, e noi ʻia paha ʻoe e hana i kahi biopsy e ʻike pono ai i ke ʻano o ia mea.

Eia kekahi mau kūlana e hiki ai i ka ultrasound ke kōkua i ka ʻike ʻana:

• Nā pae o ka maʻi akepaʻa lōʻihi:
• Hepatitis
• Steatosis (waiho ʻana o ka momona)
• ʻO ka maʻi ʻōpū
• Nā puʻupuʻu/nā kiko o ke akepaʻa:
• Nā Kista Ake
• ʻO ka Hemangioma o ke ake (ʻōpū ʻino ʻole i hana ʻia me nā kīʻaha koko)
• Ka maʻi ʻaʻai ate
• Nā kūlana e pili ana i nā kīʻaha koko o ke akepaʻa:
• Ischemia (hoʻemi ʻia ke kahe koko)
• ʻO ka maʻi Budd-Chiari
• ʻO ke koko kiʻekiʻe o ka puka (ka piʻi ʻana o ke kaomi i loko o nā kīʻaha koko e lawe ana i ke koko i ke akepaʻa)
• Nā kūlana ʻē aʻe e hoʻopilikia i kāu ʻōnaehana biliary:
• ʻO ka Ascites (ka hōʻiliʻili ʻana o ka wai i loko o ka ʻōpū)
• ʻO Cholecystitis (ka mumū o ka gallbladder)
• Choledocholithiasis (nā pōhaku ʻauwai bile)

He aha nā ʻano o ka ultrasound o ke akepaʻa?

Aia nā ʻano hoʻāʻo ultrasound ate like ʻole. E hoʻoholo ke kauka i ke ʻano e hana ai ma muli o ka pono kikoʻī. E nānā kākou i kekahi o nā ʻano nui.

1. Ultrasound Maʻamau

ʻO kēia ka ultrasound mua i hana ʻia. I kekahi manawa ua kapa ʻia ʻo ia he "Upper Right Quadrant Abdominal Ultrasound" no ka mea aia ke akepaʻa ma kēlā ʻāpana o ka ʻōpū. ʻOiai ke nānā nui nei ia i ke akepaʻa, hiki iā ia ke nānā i ka gallbladder, nā ʻauwai bile, nā puʻupaʻa ʻākau, a me kahi ʻāpana o ka pancreas. No ka mea, ua pili pū kēia mau mea a pau.

2. ʻO ke kani ʻana o nā aʻa koko / ʻO ke kani ʻana o ka Doppler

Nānā pono kēia i nā kīʻaha koko i loko o ke akepaʻa a pehea e holo ai ke koko ma o lākou. Ua kapa ʻia hoʻi kēia he Doppler Ultrasound . Me nā kiʻi ultrasound maʻamau, hōʻike pū ka ʻenehana Doppler i ka wikiwiki a me ke kuhikuhi o ka neʻe ʻana o nā hunaola koko. No laila, hiki ke hoʻohana ʻia e hoʻoholo maikaʻi inā he mau pilikia me nā aa koko e hoʻolako ana i ke koko i ke akepaʻa.

3. ʻO ka Elastography Ultrasound

He ʻano ultrasound kūikawā kēia. Ua kapa ʻia hoʻi he transient elastography . Ana ia i ke kiʻekiʻe o ka paʻakikī, a i ʻole fibrosis, i loko o ke ake. Hana ʻia ka fibrosis ke hōʻiliʻili ʻia nā ʻiʻo ʻeha i loko o ke ake. Inā ʻoi aku ka ʻino, hiki iā ia ke alakaʻi i ka cirrhosis . Ma kēia hoʻāʻo, hoʻouna kahi mea kūikawā i kapa ʻia he transducer i nā nalu haʻalulu ma o ke ake. ʻO ka wikiwiki o ka hele ʻana o nā nalu e hoʻoholo ai i ke kiʻekiʻe o ka fibrosis. ʻO ka wikiwiki o ka wikiwiki, ʻoi aku ka nui o ka fibrosis.

4. Ultrasound Hoʻonui ʻia i ka Hoʻohālikelike (CEUS)

Inā ʻike ʻia kahi ʻeha o ke akepaʻa i ka wā o ka ultrasound maʻamau, hiki i ke kauka ke kauoha i kahi hoʻāʻo CEUS e aʻo pono iā ia. Ma kēia hoʻāʻo , ua hoʻokomo ʻia kahi mea hoʻohālikelike i loko o kahi aʻa. Eia naʻe, ʻaʻole kēia he kala, akā he mau pehu kinoea liʻiliʻi.Kekahi. Ke hele kēia mau mea i ke akepaʻa ma o ke koko, ʻike maopopo ʻia kēlā mau kiko. ʻAʻole hōʻeha kēia mau pehu kinoea i ke kino, a he haʻahaʻa loa ka manawa kūpono o kahi hopena alerika.

Pehea e hoʻomākaukau ai no ka ultrasound o ke akepaʻa?

ʻO kahi pōmaikaʻi o kēia hoʻāʻo ʻana, ʻaʻole ia e koi nui i ka hoʻomākaukau ʻana . Eia nō naʻe, inā hiki, e noi aku kāu kauka iā ʻoe e hoʻokē ʻai no 6 a 12 mau hola . E hoʻokaʻawale kēia i kou ʻōpū hoʻoheheʻe a hoʻemi i ka nui o ka meaʻai a me ke kinoea e hiki ke hoʻopilikia i nā nalu ultrasound. E hoʻonui ʻia hoʻi ka gallbladder a ʻike maopopo ʻia.

E hōʻoia e nīnau i kāu kauka e pili ana i ka inu ʻana i ka wai. Manaʻo pū kekahi poʻe e hoʻōki i ka inu ʻana i ka wai i kekahi mau hola ma mua o ke scan. I kekahi manawa hiki i ka ʻōpū piha ke kōkua i ka scan.

He aha ka mea e hana ai i ka wā o ka ultrasound o ke akepaʻa?

E loaʻa iā ʻoe kēia hoʻāʻo ma kahi haukapila a i ʻole ke kikowaena kiʻi kūikawā. E noi ʻia ʻoe e moe ma kahi papa hoʻokolokolo, pinepine me kou lima e kū pono ana i luna. Loaʻa i ka mīkini ultrasound kahi pale kamepiula a me kahi mea liʻiliʻi e like me ka wand i kapa ʻia he transducer wand. Hoʻouna kēia transducer i nā nalu leo ​​alapine kiʻekiʻe i hiki ʻole iā mākou ke lohe i loko o kou ake.

A laila, hoʻopili ke sonographer i kahi gel maopopo a hypoallergenic i kou ʻōpū. Hoʻokumu kēia gel i kahi pilina maikaʻi ma waena o ka transducer a me kou ʻili, me ka ʻole o nā hakahaka. A laila, hoʻoneʻe ʻo ia i ka transducer i mua a i hope ma luna o ka gel. ʻAʻole ʻoe e manaʻo i kekahi kaomi a ʻeha paha, ke ʻole ʻoe e loaʻa ka ʻeha nui ma ia wahi. Ke hoʻoneʻe ʻia ka transducer, hōʻike ʻia nā kiʻi o ke akepaʻa a me nā ʻōpū a puni ma ka pale kamepiula i ka manawa maoli.

E kiʻi ke kauka i nā kiʻi a me nā wikiō pōkole paha o nā mea a lākou e ʻike ai. I kekahi manawa e noi paha lākou iā ʻoe e hoʻololi i kou kūlana, hoʻololi i kou ʻano hanu, a lawe i kahi kiʻi maopopo aʻe. Inā ʻike lākou i kekahi mea ʻē, hiki iā lākou ke kuhikuhi koke i nā ʻanuʻu hou aʻe, e like me ka Doppler Ultrasound, kahi Elastography, a i ʻole kahi Contrast Enhancement.

Pehea ka lōʻihi e hana ai i ka ultrasound o ke akepaʻa?

ʻO ka maʻamau, he 30 mau minuke ka lōʻihi o ka ultrasound ate. Inā pono ʻoe e ʻike i nā kikoʻī hou aku, a inā ʻoe e hana ana i kahi ʻano ultrasound kūikawā, hiki ke lōʻihi iki. ʻOi aku ka maikaʻi o ka hoʻokaʻawale ʻana ma kahi o hoʻokahi hola mai ka hoʻomaka a hiki i ka hopena.

He aha ka mea e manaʻo ai ma hope o ka ultrasound?

Hoʻouna ka sonographer nāna i hana i ka hoʻāʻo i nā kiʻi i ke kauka loea i kapa ʻia he radiologist . Hoʻopaʻa pono kēlā kauka i nā kiʻi a kākau i kahi hōʻike kikoʻī. I kekahi manawa, ʻo ka radiologistInā hiki, e haʻi koke aku ʻo ia iā ʻoe e pili ana i kāna mau ʻike mua. A i ʻole, e hoʻouna aku ʻo ia i ka hōʻike i ke kauka poʻo nāna ʻoe i kuhikuhi. Ma hope o ka pau ʻana o ka hoʻokolokolo ʻana, hiki iā ʻoe ke hoʻi i ka home, ʻai, inu, a hana i kāu mau hana ʻē aʻe e like me ka maʻamau.

He aha nā pono o ke koho ʻana i kahi ultrasound e nānā i ke akepaʻa?

Aia kekahi mau kumu nui e koho ai ke kauka i kahi ultrasound e nānā mua i ke akepaʻa:

• Palekana: ʻAʻole kēia e hōʻeha i ke kino.
• ʻAʻohe invasive: ʻAʻohe mea i hoʻokomo ʻia i loko o ke kino (me ka ʻole o kekahi mea e like me ka injection).
• ʻEha ʻole: ʻAʻole ʻeha iki.
• ʻAʻohe hōʻike ʻana i ka radiation: ʻAʻole ia he radioactive e like me ka X-ray.
• ʻOiai ʻo kēlā "(Contrast Agent)" ʻaʻole ia he mea ʻino. ʻOiai ʻaʻole ia he kala akā he kinoea, ua haʻahaʻa loa ka pilikia o nā maʻi allergies.
• Hiki ke hana koke ʻia: ʻOi aku ka wikiwiki ma mua o kekahi mau hoʻokolohua `(Imaging)` ʻē aʻe.

ʻO ia ke kumu he koho pono loa kēia.

Aia kekahi mau pilikia a i ʻole nā ​​​​hopena ʻaoʻao mai ka ultrasound ate?

ʻAʻohe hopena ʻaoʻao mai kēia hoʻāʻo. ʻO ka pilikia liʻiliʻi wale nō, ʻaʻole paha e hana pono. ʻO ia hoʻi, ʻaʻole paha e hana i nā kiʻi maopopo. No ka mea, hana lima ʻia e ka sonographer, a ma muli o kona ʻike, hiki i nā mea i loko o kou kino ke hoʻopilikia i nā nalu kani. ʻO nā mea e like me ke kinoea, ka ʻiʻo momona, a i ʻole nā ​​waihona calcium (calcifications) i loko o ka ʻōpū ke hoʻopilikia i ka ultrasound i kekahi manawa. Aia kekahi manawa liʻiliʻi e hiki ke kuhihewa ʻia nā kiʻi.

Akā, mai hopohopo! ʻO ka ultrasound ate ka hoʻāʻo mua a ke kauka e hana ai e ʻimi i nā pilikia ate. No laila, ʻaʻohe mea he aha nā hopena, e kauoha paha kāu kauka i nā hoʻokolohua ʻē aʻe e hōʻoia i nā hopena a i ʻole e ʻike hou aku.

Pehea ke ʻano o ke akepaʻa maʻamau a me ke akepaʻa ʻē aʻe ma ka ultrasound?

Ma ka ultrasound, e loaʻa i ke akepaʻa maʻamau ka nui, ke ʻano, a me ke kala maʻamau (nā ʻano hina like ʻole). Hiki i ka radiologist ke hoʻohālikelike i ka nui a me ka ikaika o ke kala o ke akepaʻa me nā ʻōpū kokoke ʻē aʻe. Pono ka ʻili o ke akepaʻa e laumania a palupalu , ʻaʻole puʻupuʻu a ʻāʻī paha. Inā he mau wahi i hoʻokiʻekiʻe ʻia a i ʻole nā ​​kiko ma ka ʻili, hiki ke lilo i cysts a i ʻole nā ​​​​puʻupuʻu paʻa. E nānā pū ka radiologist i nā kīʻaha koko i hoʻonui ʻia a i ʻole nā ​​​​​​ʻauwai bile i loko o ke akepaʻa.

Hiki i nā kūlana maʻamau ʻole ke:

• ʻO ka ate i hoʻonui ʻia a ʻūmiʻi ʻia paha he hōʻailona ia o ka maʻi ate.
• ʻIliInā he mau puʻupuʻu, hiki ke lilo i ka ʻōpala (cirrhosis) a i ʻole he maʻi kanesa (tumors).
• ʻOiai he mea maʻamau kekahi mau ʻeha, ʻaʻole maikaʻi ka nui loa o lākou.
• ʻO ka ʻōlinolino a i ʻole ka pouli o ke kala e hōʻike ana i ke ʻano o ke kino. Inā he akepaʻa momona, e piʻi aʻe paha ka ʻōlinolino, a inā he mumū, e mānoanoa paha ka kino a lilo i pouli. E wehewehe ana kāu hōʻike ultrasound i kēia mau mea.

He aha nā hōʻike e hōʻike ai i nā hopena o ka ultrasound o ke akepaʻa?

Hiki i kāu hōʻike ultrasound ke komo pū me nā huaʻōlelo e like me:

• "Echogenicity" a i ʻole "Echotexture": Pili kēia i ka ʻōlinolino o nā ʻiʻo o ke akepaʻa. ʻO ka nui o nā nalu ultrasound e hōʻike ʻia ana, ʻoi aku ka mālamalama o ke kiʻi (ua kapa ʻia ʻo "Echogenic" ). Inā komo nā nalu, lilo ke kiʻi i ʻeleʻele (ua kapa ʻia ʻo "Hypoechoic" ). Hiki i ka "Echotexture" o ke akepaʻa ke hāʻawi i kahi manaʻo o ke alo o ka ʻeha, ka pehu ʻana, nā waihona momona, a i ʻole nā ​​​​​​ʻōpala metabolic ʻē aʻe.
• Nā ʻeha: He mau ʻeha a ulu paha kēia i loko o ke ake. Hiki i kahi radiologist ke haʻi pinepine i ke ʻano o kahi ʻeha mai kahi ultrasound. Hiki i ka Echotexture ke kōkua i ka hoʻokaʻawale ʻana ma waena o kahi cyst piha i ka wai a me kahi puʻupuʻu paʻa. Hiki i nā hoʻokolohua Doppler a i ʻole CEUS ke kōkua i ka hoʻoholo ʻana i ke ʻano o ka puʻupuʻu ma ka nānā ʻana i kona lako koko.

Hiki i kāu hōʻike ke komo pū me:

• Ascites: ʻO kēia ka hōʻiliʻili ʻana o ka wai i loko o ka lua ʻōpū a puni ke akepaʻa. He hōʻailona kēia o ka maʻi akepaʻa koʻikoʻi.
• Calculi: He mau pōhaku kēia i hana ʻia e nā waihona calcium. Hiki iā lākou ke lilo i mau pōhaku gall a i ʻole nā ​​​​pōhaku puʻupaʻa.
• Nā kīʻaha koko keu a i ʻole nā ​​​​​​ʻauwai bile: Inā ʻaʻole hana pono nā ʻauwai mua, hiki i ke akepaʻa ke hana i nā ala keu.
• Fibrosis: Ke ana ʻo Elastography i ka nui o nā ʻiʻo ʻeha i loko o ke akepaʻa me ka hoʻohana ʻana i kahi ultrasound. Kōkua kēia i ka hoʻoholo ʻana i ke kahua o ka maʻi akepaʻa.

ʻEhia ka lōʻihi e loaʻa ai kaʻu hōʻike?

Hiki ke hala kekahi mau lā a i kekahi mau pule no ka hoʻomākaukau ʻana o ka hōʻike ultrasound e ka radiologist a hoʻouna ʻia i kāu kauka kuhikuhi. A laila wale nō e hiki i kāu kauka ke kūkākūkā i nā hopena me ʻoe.

ʻO ka mea hope loa, leka lawe i ka home

No laila, ʻike ʻoe, ʻaʻohe mea e makaʻu ai ka ultrasound ate. He hoʻāʻo maʻalahi loa, wikiwiki, a ʻeha ʻole. Hiki i kēia hoʻāʻo liʻiliʻi ke hāʻawi i ka ʻike waiwai nui e pili ana i kou ake. I kekahi manawa, me ka hoʻohana ʻana i nā ʻano hana kūikawā,Hiki iā ia ke kōkua i ka ʻike ʻana i nā maʻi koʻikoʻi e like me ka cirrhosis, portal hypertension, maʻi momona o ke akepaʻa, a me ke kanesa o ke akepaʻa me ka pololei like me nā hoʻokolohua paʻakikī ʻē aʻe. Hiki iā ia ke kōkua i ka kāpae ʻana i kēlā mau kūlana ma mua o kou kuhikuhi ʻia ʻana no nā hoʻokolohua paʻakikī a invasive paha.

No laila, inā noi ke kauka iā ʻoe e hana i kēia hoʻokolohua, he mea nui loa ia no kou olakino e hahai i nā ʻōlelo kuhikuhi me ka ʻole o ka hoʻokumu ʻana i ka makaʻu pono ʻole e pili ana i ia mea.

ʻAkepaʻa , Ultrasound Ake, Scan Ake, Nā Maʻi Ake, Hoʻokolokolo Ake, Hoʻāʻo Ultrasound, Ola Kino Ake