Me tirotiro koe i tō ate mā te ultrasound!

Tērā pea kua kīia atu ki a koe e te tākuta kia tirotirohia te ate mā te ultrasound, tika? Kua rongo pea koe i tētahi wāhi mō tēnei. He whakamātautau tino māmā, kāore he mamae, he ngāwari hoki te mahi. He maha ngā tākuta e kī ana i tēnei whakamātautau i te tuatahi kia kitea ai mēnā he raruraru kei te ate. Nō reira, me kōrero tātou mō tēnei ultrasound ate i roto i te huarahi mārama, ngāwari hoki, e tika ana?

He aha te take e taunaki ai te tākuta i te tirotiro ultrasound o te ate?

Whakaarohia kei a koe ētahi tohu e pā ana ki te mate ate, kua kite rānei tō tākuta i tētahi panonitanga iti i roto i ngā hua o tētahi whakamātautau toto i mahia e koe. I roto i tēnei āhuatanga, ko tēnei whakamātautau ultrasound te huarahi māmā ki te kimi wawe mēnā he hē kei roto i te ate. Waihoki, ka whakamahia e ngā tākuta tēnei whakamātautau hei aroturuki mēnā kei te whakahaeretia te āhua, ā, mēnā kei te pai te mahi a te ate i roto i tētahi kua pāngia e te mate ate. Ki te kī ngāwari, koinei te taahiraa tuatahi me te mea nui rawa atu ki te tirotiro i te ate.

He aha ngā raruraru e whakaatuhia ana e te ultrasound i roto i te ate?

Ka taea e te ultrasound ate te kite i ngā huringa maha o roto i tō tātou ate. Hei tauira:

• Te mate ate pūkahukahu - E kiia ana hoki tēnei ko te "ate momona ".
• Te mumura me te pupuhi o te ate (Hepatitis)
• Mēnā kua puta he kiko koha i roto i te ate (Fibrosis, Cirrhosis rānei) - Koinei te mōrearea o te ngoikore haere o te ate.
• Mēnā he ira rerekē, he puku rānei kei roto i te ate (ngā whara o te ate).

Koinei ngā wāhanga matua e toru o te mate ate mō te wā roa. Hei tāpiri, ka taea hoki te whakamahi i ngā momo ultrasound motuhake hei tirotiro i ngā mea pēnei i te rere o te toto ki te ate me te pakari o te kiko ate.

He aha ngā momo mate ka taea te whakamahi i te ultrasound ate hei tautuhi?

He taputapu tino nui te tirotiro i te ate mā te whakamahi i te ultrasound hei tātaritanga i ngā mate maha. Engari kia maumahara, kāore pea e taea e ia anake te whakaū i ngā mate katoa. Heoi, he āwhina nui ki te tohu i te tākuta ki te huarahi tika. I runga i ngā hua o te tirotiro ultrasound, me whai whakamātautau anō pea. Hei tauira, ki te kite koe i tētahi puku i roto i tō ate, ka tonoa pea koe kia mahi i tētahi koiora hei rapu i te āhua o te puku.

Anei ētahi āhuatanga ka taea e te ultrasound te āwhina ki te tautuhi:

• Ngā wāhanga o te mate ate mō te wā roa:
• Hepatitis
• Te whakapūnga ngako (steatosis)
• Te mate ate
• Ngā puku/ngā ira o te ate:
• Ngā Pūwero Ate
• Hemangioma o te ate (he pukupuku kore kino i hangaia mai i ngā oko toto)
• Matepukupuku ate
• Ngā āhuatanga e pā ana ki ngā oko toto o te ate:
• Te ischemia (te whakahekenga o te rere o te toto)
• Te Mate Budd-Chiari
• Te toto toto tiketike (te pikinga o te pēhanga i roto i ngā oko toto e kawe ana i te toto ki te ate)
• Ētahi atu āhuatanga e pā ana ki tō pūnaha biliary:
• Ascites (te kohi wai i roto i te puku)
• Cholecystitis (mumura o te gallbladder)
• Choledocholithiasis (ngā kōhatu o te awa au)

He aha ngā momo o te ultrasound ate?

He rerekē ngā momo whakamātautau ultrasound ate. Mā te tākuta e whakatau ko tēhea momo hei mahi i runga i te hiahia motuhake. Me titiro tātou ki ētahi o ngā momo matua.

1. Te Whakamātautau Uira Paerewa

Koinei te tuatahi o ngā wā ka mahia he tirotiro oro-ā-ringa. I ētahi wā ka kiia ko te "Uri-ā-ringa o te Puku o te Hauwhā Matau o Runga" nā te mea kei taua wāhanga o te puku te ate. Ahakoa e titiro ana ki te ate te nuinga, ka taea hoki e ia te titiro ki te pūkahukahu, ngā awa waikura, te whatukuhu matau, me te wāhanga o te repeure. Nā te mea he hononga tahi ēnei katoa.

2. Te Whakamātautau Ā-Iwi / Te Whakamātautau Doppler

Ka tirohia motuhaketia e tēnei ngā oko toto i roto i te ate me te rere o te toto i roto i aua oko. Ka kiia hoki tēnei he Doppler Ultrasound . Haunga ngā whakaahua ultrasound auau, ka whakaatuhia hoki e te hangarau Doppler te tere me te ahunga o te nekehanga o ngā pūtau toto. Nō reira, ka taea te whakamahi hei whakatau pai ake mēnā he raruraru kei ngā uaua e tuku toto ana ki te ate.

3. Te Whakamātautau Elastography

He momo motuhake tēnei o te ultrasound. Ka kiia hoki ko te transient elastography . Ka ine i te nui o te pakari, te fibrosis rānei, i roto i te ate. Ka puta te fibrosis ina hanga te kiko whara i roto i te ate. Ki te kino rawa, ka arahi pea ki te cirrhosis . I roto i tēnei whakamātautau, ka tukuna e te taputapu motuhake e kiia nei ko te transducer ngā ngaru ru mā roto i te ate. Ko te tere o te haere o ngā ngaru ka whakatau i te taumata o te fibrosis. Ko te tere o te tere, ko te nui ake o te fibrosis.

4. Te Whakamātautau Ira-Whakarei (CEUS)

Mena ka kitea he whara o te ate i te wā o te tirotiro ultrasound auau, ka tono pea te tākuta i tētahi whakamātautau CEUS hei tirotiro mārama ake. I roto i tēnei whakamātautau , ka werohia he rongoā rerekē ki roto i tētahi uaua. Heoi, ehara tēnei i te tae, engari he mirumiru hau ririki.Ētahi. Ina tae ēnei ki te ate mā te toto, ka kitea mārama aua ira. Kāore ēnei mirumiru hau e kino ki te tinana, ā, he iti rawa te tūponotanga o te mate pāwera.

Me pēhea te whakarite mō te ultrasound ate?

Ko tētahi painga o tēnei whakamātautau, kāore e hiahiatia he nui o te whakarite . Heoi, ki te taea, ka tono tō tākuta kia nohopuku koe mō ngā haora 6 ki te 12. Mā tēnei ka whakawāteahia tō ara nakunaku, ka whakaitihia hoki te nui o te kai me te hau ka taea te whakararuraru i ngā ngaru ultrasound. Ka whakanuia hoki te pūkahukahu, ā, ka kitea mārama.

Me pātai atu ki tō tākuta mō te inu wai. E taunaki ana hoki ētahi kia mutu te inu wai i mua i te matawai. I ētahi wā, ka āwhina pea te pūkahukahu kī tonu i te matawai.

He aha te mea ka tupu i te wā o te tirotiro ultrasound o te ate?

Ka whakahaerehia tēnei whakamātautau ki tētahi hōhipera, ki tētahi pokapū whakaahua motuhake rānei. Ka tonoa koe kia takoto ki runga i tētahi tēpu whakamātautau, me te anga whakarunga o tō ringa. He mata rorohiko tō te mīhini ultrasound me tētahi taputapu iti rite ki te tokotoko e kiia nei ko te tokotoko transducer. Ka tukuna e tēnei transducer ngā ngaru oro auau teitei e kore e taea te whakarongo ki roto i tō ate.

Kātahi ka pania e te kaiwhakaahua oro he tiēre mārama, kore-mate pāwera ki tō puku. Ka hangaia e tēnei tiēre he hononga pai i waenga i te ine me tō kiri, me te kore he āputa. Kātahi ka nekehia e ia te ine ki mua, ki muri i runga i te tiēre. Kāore koe e rongo i te pēhanga, i te mamae rānei, ki te kore koe e tino mamae i te wāhi. I te nekehia o te ine, ka whakaaturia ngā whakaahua o te ate me ngā whekau e karapoti ana i te mata rorohiko i te wā tūturu.

Ka tangohia e te tākuta ngā whakaahua, me ētahi ataata poto pea, o ngā mea e kitea ana e rātou. I ētahi wā ka tono pea rātou kia hurihia tō tū, kia hurihia tō āhua manawa, kia mārama ake hoki te pikitia. Mēnā ka kite rātou i tētahi mea rerekē, ka tūtohu pea rātou i ētahi atu mahi tonu, pērā i te Doppler Ultrasound, te Elastography, te Contrast Enhancement rānei.

Kia pehea te roa o te mahi i te ultrasound ate?

E 30 meneti te roa o te tirotiro i te ate mā te ultrasound. Mēnā me kite koe i ētahi atu taipitopito, mēnā rānei kei te mahi koe i tētahi momo tirotiro ultrasound motuhake, tera pea ka roa ake te wā. He pai ake te whakarite kia kotahi te hāora mai i te tīmatanga ki te mutunga.

He aha te mea hei tumanakohia i muri i te ultrasound?

Ka tukuna ngā whakaahua e te kaiwhakamātautau oro i mahi i te whakamātautau ki tētahi tākuta tohunga e kiia nei ko te tohunga hihi-X . Ka āta tirotirohia e taua tākuta ngā whakaahua, ā, ka tuhia he pūrongo taipitopito. I ētahi wā, ka tukuna ngā whakaahua e te tohunga hihi-X .Ki te taea, ka kōrero tonu atu ia ki a koe mō āna kitenga tuatahi. Ki te kore, ka tukuna atu e ia te pūrongo ki te tākuta matua nāna koe i tuku. Kia oti te whakamātautau, ka taea e koe te hoki ki te kāinga, te kai, te inu, me te mahi i ō mahi katoa pērā i te tikanga.

He aha ngā painga o te whiriwhiri i tētahi taputapu ultrasound hei tirotiro i te ate?

He maha ngā take matua e whiriwhiri ai te tākuta i te ultrasound hei tirotiro tuatahi i te ate:

• Haumaru: E kore tēnei e pā kino ki te tinana.
• Kore-whakaekenga: Kāore he mea e tukuna ki roto i te tinana (me te kore he mea pērā i te werohanga).
• Kore mamae: Kāore rawa he mamae.
• Kāore he pānga o te irahiko: Ehara i te mea he irahiko pērā i te hihi-X.
• Ahakoa taua "(Kaihoko Whakarerekētanga)" kāore i te kino. Nā te mea ehara i te tae engari he hau, he tino iti te tūponotanga o ngā mate pāwera.
• Ka taea te mahi tere: Tere ake i ētahi atu whakamātautau (Whakaahua).

Koia te take he kōwhiringa tino whai hua tēnei.

He tūponotanga, he pānga taha rānei kei te puta mai i te tirotiro i te ate mā te whakamahi i te ultrasound?

Kāore he pānga taha o tēnei whakamātautau. Ko te mōrearea iti anake ko te kore pea e mahi tika. Arā, kāore pea e puta he whakaahua mārama. Nā te mea ka mahia ā-ringa e te kaiwhakamātautau oro, ā, i runga i tana wheako, ka taea e ngā mea o roto i tō tinana te whakararuraru i ngā ngaru oro. Ko ngā mea pēnei i te hau, te kiko ngako, te putunga konupūmā rānei (ngā whakapūkara) i roto i te puku ka taea te whakararu i te ultrasound i ētahi wā. He iti hoki te tūponotanga ka hē te whakamaoritanga o ngā whakaahua.

Kaua e manukanuka! Ko te tirotiro i te ate te whakamātautau tuatahi a te tākuta hei rapu i ngā raruraru ate. Nō reira, ahakoa he aha ngā hua, tera pea ka tono tō tākuta i ētahi atu whakamātautau hei whakaū i ngā hua, hei rapu atu rānei i ētahi atu mōhiohio.

He aha te āhua o te ate noa me te ate rerekē i runga i te ultrasound?

I te tirotiro ultrasound, ka rite te rahi, te āhua, me te tae o te ate noa (he maha ngā atarangi hina). Ka taea e te tohunga hihi-X te whakataurite i te rahi me te kaha o te tae o te ate ki ētahi atu okana tata. Me maeneene, me ngawari te mata o te ate, kaua e pupuhi, kaua hoki e taratara. Mena he wāhi teitei, he ira rānei kei runga i te mata, he pūwero, he puranga totoka rānei. Ka rapua hoki e te tohunga hihi-X ngā oko toto kua whānui, ngā awa wai rānei i roto i te ate.

Ko ngā āhuatanga rerekē ka taea:

• He tohu te ate nui, te ate mimiti rānei o te ate.
• MataMena he puku, he koha pea (cirrhosis) he mate pukupuku rānei (puku).
• Ahakoa he mea noa ētahi whara, ehara i te mea pai mēnā he nui rawa.
• Ko te kanapa, te pōuri rānei o te tae e tohu ana i te āhua o te kiko. Mena he ate momona, ka piki ake pea te kanapa, ā, ki te mumura, ka matotoru pea te kiko, ka pōuri. Mā tō pūrongo ultrasound ēnei mea e whakamārama.

He aha ngā hua o te ultrasound ate e whakaatuhia ana?

Tērā pea kei roto i tō pūrongo ultrasound ngā kupu pēnei i:

• "Echogenicity" "Echotexture" rānei: E pā ana tēnei ki te kanapa o te kiko ate. Ka nui ake te whakaata o ngā ngaru ultrasound, ka kanapa ake te ahua (ka kiia ko "Echogenic" ). Mēnā ka mimitia ngā ngaru, ka pōuri ake te ahua (ka kiia ko "Hypoechoic" ). Ka taea e te "Echotexture" o te ate te whakaatu i te aroaro o ngā whara, te pupuhi, ngā putunga ngako, ngā para pākia rānei.
• Ngā whara: He whara, he tipu rānei ēnei i roto i te ate. He maha ngā wā ka taea e te tohunga hihi -X te kite i te āhua o te whara mai i te ultrasound. Ka taea e te Echotexture te wehewehe i waenga i te cyst kī tonu i te wai me te pukupuku totoka. Ka taea e ngā whakamātautau Doppler, CEUS rānei te āwhina ki te whakatau i te momo pukupuku mā te titiro ki tōna rere toto.

Tērā pea kei roto i tō pūrongo:

• Te ascites: Koinei te kohikohinga o te wai i roto i te kōhao puku e karapoti ana i te ate. He tohu tēnei o te mate ate kino.
• Ngā kōhatu: He kōhatu ēnei i hangaia e ngā putunga konupūmā. He kōhatu au, he kōhatu tākihi rānei.
• Ngā oko toto tāpiri, ngā awa wai rānei: Ki te kore e mahi tika ngā awa taketake, ka taea e te ate te hanga ara tāpiri.
• Fibrosis: Ka ine te elastography i te nui o te kiko whara i roto i te ate mā te whakamahi i te ultrasound. Mā tēnei ka āwhina ki te whakatau i te wāhanga o te mate ate.

Kia pēhea te roa ka tae mai taku "Pūrongo"?

Tērā pea ka roa te wā e rua, e toru rānei wiki hei whakarite mā te tohunga hihi-X i te pūrongo o te ultrasound, ā, ka tukuna atu ki tō tākuta e tuku mai ana. Ko reira anake ka taea e tō tākuta te kōrero ki a koe mō ngā hua.

Hei whakamutunga, he karere hei kawe ki te kāinga

Nō reira, kāore he mea e wehi ai koe i te tirotiro i te ate mā te ultrasound. He whakamātautau tino māmā, tere, ā, kāore he mamae. Ka taea e tēnei whakamātautau iti te whakarato i ngā mōhiohio whai hua mō tō ate. I ētahi wā, mā te whakamahi i ngā tikanga motuhake,Ka taea e ia te āwhina ki te tautuhi i ngā mate kino pērā i te cirrhosis, te toto toto tiketike, te mate ate momona, me te mate pukupuku ate me te tika rite tonu ki ētahi atu whakamātautau uaua ake. Ka taea hoki e ia te āwhina ki te whakakore i aua mate i mua i te tukunga atu i a koe ki ngā whakamātautau uaua ake, ki ngā whakamātautau whakaeke rānei.

Nō reira, ki te tono te tākuta kia whakamātauria tēnei whakamātautau ki a koe, he mea tino nui kia whai koe i ngā tohutohu mō tō hauora me te kore e wehi nui mōna.