Pitani ku ultrasound kuti mudziwe zambiri za chiwindi chanu!

Mwina dokotala anakuuza kuti ukachite ultrasound ya chiwindi, sichoncho? Kapena mwina unamvapo za izi kwinakwake. Ndi mayeso osavuta, osapweteka, komanso osavuta kuchita. Madokotala nthawi zambiri amalimbikitsa mayesowa kaye kuti aone ngati pali vuto lililonse ndi chiwindi. Chifukwa chake, tiyeni tikambirane za ultrasound ya chiwindi iyi momveka bwino komanso mosavuta, sichoncho?

N’chifukwa chiyani dokotala angalimbikitse kuti chiwindi chizichitidwa ultrasound?

Tangoganizani kuti muli ndi zizindikiro zina zokhudzana ndi matenda a chiwindi, kapena kuti dokotala wanu waona kusintha pang'ono mu zotsatira za mayeso a magazi omwe mudachita. Pachifukwa ichi, mayeso a ultrasound awa ndi njira yosavuta yodziwira mwachangu ngati pali vuto lenileni ndi chiwindi. Komanso, madokotala amagwiritsa ntchito mayesowa kuti ayang'anire ngati vutoli likuyendetsedwa bwino komanso ngati chiwindi chikugwira ntchito bwino mwa munthu amene ali kale ndi matenda a chiwindi. Mwachidule, iyi ndi sitepe yoyamba komanso yofunika kwambiri pofufuza chiwindi.

Kodi ndi mavuto otani omwe ultrasound imasonyeza m'chiwindi?

Kujambula kwa ultrasound pachiwindi kungathe kuzindikira kusintha kosiyanasiyana m'chiwindi chathu. Mwachitsanzo:

• Matenda a Chiwindi cha Steatotic - Izi zimatchedwanso "chiwindi chamafuta ".
• Kutupa ndi kutupa kwa chiwindi (Hepatitis)
• Kaya minofu ya chilonda yapangidwa m'chiwindi (Fibrosis kapena Cirrhosis) - Ichi ndi chiopsezo chakuti chiwindi chizilephera kugwira ntchito pang'onopang'ono.
• Kaya pali mawanga kapena zotupa zosazolowereka m'chiwindi (Chiwindi Lesions).

Izi ndi magawo atatu akuluakulu a matenda a chiwindi kwa nthawi yayitali. Kuphatikiza apo, mitundu yapadera ya ultrasound ingagwiritsidwenso ntchito kuyang'ana zinthu monga magazi omwe amalowa m'chiwindi ndi kuuma kwa minofu ya chiwindi.

Ndi matenda amtundu wanji omwe angathandize kuzindikira matenda a chiwindi pogwiritsa ntchito ultrasound?

Kuyeza chiwindi pogwiritsa ntchito ultrasound ndi chida chofunikira kwambiri pozindikira matenda ambiri. Koma kumbukirani kuti sikungathe kutsimikizira matenda onse. Komabe, kungakhale kothandiza kwambiri kudziwitsa dokotala njira yoyenera. Kutengera zotsatira za ultrasound, mayeso ena angafunike. Mwachitsanzo, ngati muwona chotupa m'chiwindi chanu, mungapemphedwe kuti muchite biopsy kuti mudziwe chomwe chili.

Nazi zina mwa matenda omwe ultrasound ingathandize kuzindikira:

• Magawo a matenda a chiwindi a nthawi yayitali:
• Matenda a chiwindi
• Steatosis (kuchuluka kwa mafuta m'thupi)
• Matenda a chiwindi
• Mabala/mabala a chiwindi:
• Zilonda za Chiwindi
• Hemangioma ya Chiwindi (chotupa chopanda vuto chopangidwa ndi mitsempha yamagazi)
• Khansa ya Chiwindi
• Matenda okhudzana ndi mitsempha ya magazi ya chiwindi:
• Ischemia (kuchepa kwa magazi m'thupi)
• Matenda a Budd-Chiari
• Kuthamanga kwa magazi m'mitsempha yamagazi (kuwonjezeka kwa kuthamanga kwa magazi m'mitsempha yomwe imanyamula magazi kupita ku chiwindi)
• Matenda ena omwe amakhudza dongosolo lanu la biliary:
• Ascites (madzimadzi omwe amasonkhana m'mimba)
• Cholecystitis (kutupa kwa ndulu)
• Choledocholithiasis (miyala ya ndulu)

Kodi mitundu ya ultrasound ya chiwindi ndi iti?

Pali mitundu yosiyanasiyana ya mayeso a ultrasound a chiwindi. Dokotala adzasankha mtundu wa mayeso oti achite kutengera zosowa zake. Tiyeni tiwone mitundu ingapo yayikulu.

1. Ultrasound Yokhazikika

Iyi nthawi zambiri imakhala ultrasound yoyamba yochitidwa. Nthawi zina imatchedwa "Upper Right Quadrant Abdominal Ultrasound" chifukwa chiwindi chili m'mbali imeneyo ya mimba. Ngakhale kuti imayang'ana kwambiri chiwindi, imathanso kuyang'ana ndulu, ndulu, impso zakumanja, ndi gawo la kapamba. Chifukwa zonsezi zimalumikizana.

2. Mitsempha ya Ultrasound / Doppler Ultrasound

Izi zimayang'ana makamaka mitsempha yamagazi mkati mwa chiwindi ndi momwe magazi amayendera kudzera mwa iyo. Izi zimatchedwanso Doppler Ultrasound . Pamodzi ndi zithunzi za ultrasound nthawi zonse, ukadaulo wa Doppler umawonetsanso liwiro ndi njira yomwe maselo amagazi amayenda. Chifukwa chake, ungagwiritsidwe ntchito kudziwa bwino ngati pali mavuto aliwonse ndi mitsempha yomwe imapereka magazi ku chiwindi.

3. Elastography Ultrasound

Uwu ndi mtundu wapadera wa ultrasound. Umatchedwanso transient elastography . Umayesa kuchuluka kwa kuuma, kapena fibrosis, m'chiwindi. Fibrosis imachitika pamene minofu ya chilonda ikuwunjikana m'chiwindi. Ngati yakula kwambiri, ingayambitse matenda a cirrhosis . Mu mayesowa, chipangizo chapadera chotchedwa transducer chimatumiza mafunde odabwitsa m'chiwindi. Liwiro lomwe mafunde amayenda limatsimikizira kuchuluka kwa fibrosis. Liwiro likathamanga, fibrosis imakula.

4. Ultrasound Yowonjezera Kusiyana (CEUS)

Ngati chilonda cha chiwindi chaoneka panthawi ya ultrasound yokhazikika, dokotala angalamule kuti ayesedwe ndi CEUS kuti aphunzire bwino. Mu mayesowa , mankhwala osiyanitsa amabayidwa mumtsempha. Komabe, uwu si utoto, koma thovu laling'ono la mpweya.Zina. Izi zikapita ku chiwindi kudzera m'magazi, madontho amenewo amaonekera bwino. Ma thovu a mpweya awa savulaza thupi, ndipo mwayi wokhala ndi vuto la ziwengo ndi wochepa kwambiri.

Kodi ndiyenera kukonzekera bwanji ultrasound ya chiwindi?

Ubwino umodzi wa mayesowa ndi wakuti safuna kukonzekera kwambiri . Komabe, ngati n'kotheka, dokotala wanu adzakufunsani kuti musale kudya kwa maola 6 mpaka 12. Izi zidzachotsa chakudya m'mimba mwanu ndikuchepetsa kuchuluka kwa chakudya ndi mpweya zomwe zingasokoneze mafunde a ultrasound. Chiwindi chidzakulanso ndikuwoneka bwino.

Onetsetsani kuti mwafunsa dokotala wanu za kumwa madzi. Anthu ena amalangizanso kuti asiye kumwa madzi maola angapo musanachite scan. Nthawi zina chikhodzodzo chonse chingathandize pa scan.

Kodi chimachitika ndi chiyani pa ultrasound ya chiwindi?

Mudzayesedwa kuchipatala kapena ku malo ochitira zithunzi apadera. Mudzapemphedwa kugona patebulo lofufuzira, nthawi zambiri mkono wanu ukuyang'ana mmwamba. Makina a ultrasound ali ndi chophimba cha kompyuta ndi chipangizo chaching'ono chonga ndodo chotchedwa ndodo ya transducer. Transducer iyi imatumiza mafunde amphamvu omwe sitingamve m'chiwindi chanu.

Kenako, katswiri wa sonographer amapaka gel yowoneka bwino, yopanda ziwengo pamimba panu. Gel iyi imapangitsa kuti transducer igwirizane bwino ndi khungu lanu, popanda mipata. Kenako, amasuntha transducer kumbuyo ndi mtsogolo pamwamba pa gel. Simudzamva kupsinjika kapena kupweteka kulikonse, pokhapokha mutakhala ndi ululu waukulu m'derali . Pamene transducer ikusunthidwa, zithunzi za chiwindi ndi ziwalo zozungulira zimawonetsedwa pazenera la kompyuta nthawi yomweyo.

Dokotala adzajambula zithunzi ndipo mwina mavidiyo afupiafupi a zomwe akuwona. Nthawi zina angakufunseni kuti musinthe kaimidwe kanu, musinthe kapumidwe kanu, ndikujambula bwino. Ngati awona china chake chachilendo, angakupatseni njira zina nthawi yomweyo, monga Doppler Ultrasound, Elastography, kapena Contrast Enhancement.

Kodi zimatenga nthawi yayitali bwanji kuti munthu achite ultrasound ya chiwindi?

Kujambula kwa chiwindi (ultrasound) nthawi zambiri kumatenga mphindi 30. Ngati mukufuna kuwona zambiri, kapena ngati mukuchita mtundu wapadera wa ultrasound, zingatenge nthawi yayitali. Ndi bwino kupatula ola limodzi kuyambira pachiyambi mpaka kumapeto.

Kodi mungayembekezere chiyani pambuyo pa ultrasound?

Wojambula zithunzi amene anachita mayesowa amatumiza zithunzizo kwa dokotala waluso wotchedwa radiologist . Dokotala ameneyo amafufuza zithunzizo mosamala ndikulemba lipoti latsatanetsatane. Nthawi zina, katswiri wa radiologist amatumiza zithunzizo kwa dokotala waluso.Ngati n'kotheka, adzakuuzani zomwe adapeza poyamba nthawi yomweyo. Apo ayi, adzatumiza lipotilo kwa dokotala wamkulu amene anakutumizirani. Mukamaliza kufufuza, mutha kupita kunyumba, kudya, kumwa, ndikuchita zinthu zina zonse monga mwachizolowezi.

Kodi ubwino wosankha ultrasound kuti muone chiwindi ndi wotani?

Pali zifukwa zingapo zazikulu zomwe dokotala angasankhire ultrasound kuti ayambe kufufuza chiwindi:

• Otetezeka: Izi sizingavulaze thupi.
• Chosalowa m'thupi: Palibe chomwe chimayikidwa m'thupi (popanda jakisoni).
• Chopanda ululu: Sichipweteka konse.
• Palibe kuwala kwa dzuwa: Si kuwala kwa dzuwa ngati X-ray.
• Ngakhale ``(Chosakaniza Chosakaniza)`` chimenecho sichili chovulaza. Popeza si utoto koma mpweya, chiopsezo cha ziwengo ndi chochepa kwambiri.
• Zitha kuchitika mwachangu: Mofulumira kuposa mayeso ena a `(Images)`.

Ichi ndichifukwa chake iyi ndi njira yothandiza kwambiri.

Kodi pali zoopsa kapena zotsatirapo zilizonse kuchokera ku ultrasound ya chiwindi?

Palibe zotsatirapo zoyipa kuchokera ku mayesowa. Choopsa chokhacho ndichakuti sichingagwire ntchito bwino. Izi zikutanthauza kuti, sichingapange zithunzi zomveka bwino. Chifukwa chakuti zimachitika ndi katswiri wa sonographer, ndipo kutengera zomwe wakumana nazo, zinthu m'thupi lanu zimatha kusokoneza mafunde a phokoso. Zinthu monga mpweya, minofu yamafuta, kapena calcium deposits (calcifications) m'mimba nthawi zina zimatha kusokoneza ultrasound. Palinso mwayi wochepa woti zithunzizo zitha kumasuliridwa molakwika.

Koma musadandaule! Kuyeza chiwindi ndi ultrasound nthawi zambiri ndi mayeso oyamba omwe dokotala amachita kuti aone mavuto a chiwindi. Chifukwa chake, mosasamala kanthu kuti zotsatira zake ndi zotani, dokotala wanu mwina angakupatseni mayeso ena kuti atsimikizire zotsatira zake kapena kuti adziwe zambiri.

Kodi chiwindi chabwinobwino ndi chiwindi chosazolowereka zimaoneka bwanji pa ultrasound?

Pa ultrasound, chiwindi chabwinobwino chidzakhala ndi kukula kofanana, mawonekedwe, ndi mtundu (mitundu yosiyanasiyana ya imvi). Katswiri wa radiology amatha kuyerekeza kukula ndi mtundu wa chiwindi ndi ziwalo zina zapafupi. Pamwamba pa chiwindi payenera kukhala kosalala komanso kofewa , osati kotupa kapena kolimba. Ngati pali malo okwera kapena madontho pamwamba, akhoza kukhala ma cysts kapena ma thick busses. Katswiri wa radiology adzafufuzanso mitsempha yamagazi yotambasuka kapena ndulu m'chiwindi.

Zochitika zachilendo zingakhale:

• Chiwindi chokulirapo kapena chofooka ndi chizindikiro cha matenda a chiwindi.
• PamwambaNgati pali zotupa, zitha kukhala zipsera (cirrhosis) kapena matenda a khansa (zotupa).
• Ngakhale kuti zilonda zina zimakhala zachibadwa, kukhala nazo zambiri sikwabwino.
• Kuwala kapena mdima wa mtunduwo umasonyeza mtundu wa minofu. Ngati pali chiwindi chonenepa, kuwalako kungawonjezeke, ndipo ngati pali kutupa, minofuyo ingakulire ndikukhala yakuda. Lipoti lanu la ultrasound lidzafotokoza zinthu izi.

Kodi zotsatira za ultrasound ya chiwindi zimasonyeza chiyani?

Lipoti lanu la ultrasound likhoza kuphatikizapo mawu monga:

• "Echogenicity" kapena "Echotexture": Izi zikutanthauza kuwala kwa minofu ya chiwindi. Mafunde ambiri a ultrasound akamaonekera, chithunzicho chimakhala chowala kwambiri (chimatchedwa "Echogenic" ). Ngati mafundewo atengedwa, chithunzicho chimakhala chakuda kwambiri (chimatchedwa "Hypoechoic" ). "Echotexture" ya chiwindi ingapereke lingaliro la kukhalapo kwa zipsera, kutupa, mafuta, kapena zinyalala zina za kagayidwe kachakudya.
• Zilonda: Izi ndi zilonda kapena zotupa m'chiwindi. Katswiri wa radiology nthawi zambiri amatha kudziwa momwe chilondacho chimawonekera pogwiritsa ntchito ultrasound. Echotexture ingathandize kusiyanitsa pakati pa chotupa chodzaza ndi madzi ndi chotupa cholimba. Mayeso a Doppler kapena CEUS angathandize kudziwa mtundu wa chotupacho poyang'ana momwe magazi ake amayendera.

Lipoti lanu lingaphatikizeponso:

• Ascites: Uku ndi kuchulukana kwa madzi m'mimba mozungulira chiwindi. Ichi ndi chizindikiro cha matenda oopsa a chiwindi.
• Calculi: Iyi ndi miyala yopangidwa ndi calcium deposits. Ikhoza kukhala miyala ya ndulu kapena miyala ya impso.
• Mitsempha yowonjezera ya magazi kapena ndulu: Ngati ndulu yoyambirira sigwira ntchito bwino, chiwindi chingapangitse njira zina.
• Fibrosis: Elastography imayesa kuchuluka kwa minofu ya chilonda m'chiwindi pogwiritsa ntchito ultrasound. Izi zimathandiza kudziwa siteji ya matenda a chiwindi.

Zitenga nthawi yayitali bwanji kuti ndilandire "Lipoti" langa?

Zingatenge masiku angapo mpaka milungu ingapo kuti lipoti la ultrasound likonzedwe ndi katswiri wa radiology ndikutumizidwa kwa dokotala wanu woti akuthandizeni. Pokhapokha dokotala wanu adzatha kukambirana nanu zotsatira zake.

Pomaliza, uthenga wopita nawo kunyumba

Kotero, mukuona, ultrasound ya chiwindi si chinthu choopa . Ndi mayeso osavuta, achangu, komanso osapweteka. Mayeso ang'onoang'ono awa angapereke zambiri zofunika zokhudza chiwindi chanu. Nthawi zina, pogwiritsa ntchito njira zapadera,Zingathandize kuzindikira matenda aakulu monga cirrhosis, kuthamanga kwa magazi m'thupi, matenda a chiwindi onenepa, ndi khansa ya chiwindi molondola mofanana ndi mayeso ena ovuta kwambiri. Zingathandizenso kuthetsa matenda otere musanatumizidwe ku mayeso ovuta kwambiri kapena olowa m'thupi.

Choncho, ngati dokotala akukupemphani kuti muyesedwe, ndikofunikira kwambiri kuti thanzi lanu litsatire malangizowo popanda kuopa chilichonse.

Chiwindi , Ultrasound ya Chiwindi, Kujambula Chiwindi, Matenda a Chiwindi, Kufufuza Chiwindi, Kuyesa Ultrasound, Thanzi la Chiwindi