Shaka ultrasound kugira ngo umenye ibijyanye n'umwijima wawe!

Ushobora kuba warabwiwe na muganga gukora ultrasound y'umwijima, si byo se? Cyangwa ushobora kuba warigeze kubyumva ahantu runaka. Mu by'ukuri ni ikizamini cyoroshye cyane, kidatera ububabare, kandi cyoroshye gukora. Abaganga bakunze gutanga inama yo kubanza gukora iki kizamini kugira ngo barebe niba hari ikibazo kiri ku mwijima. Noneho, reka tuvuge kuri iyi ultrasound y'umwijima mu buryo bwumvikana kandi bworoshye, si byo se?

Kuki muganga yagira inama yo gukora ultrasound mu mwijima?

Tekereza ko ufite ibimenyetso bimwe na bimwe bijyanye n'indwara y'umwijima, cyangwa ko muganga wawe yabonye impinduka nto mu bisubizo by'isuzuma ry'amaraso wakoze. Muri icyo gihe, iki kizamini cya ultrasound ni bwo buryo bworoshye bwo kumenya vuba niba hari ikibazo mu mwijima. Nanone, abaganga bakoresha iki kizamini kugira ngo barebe niba ikibazo kiri mu nzira nziza kandi niba umwijima ukora neza ku muntu usanzwe afite indwara y'umwijima. Muri make, iyi ni intambwe ya mbere kandi y'ingenzi mu gusuzuma umwijima.

Ni ibihe bibazo ultrasound igaragaza mu mwijima?

Ultrasound y'umwijima ishobora kumenya impinduka zitandukanye mu mwijima wacu. Urugero:

• Indwara y'umwijima ya Steatotic - Iyi nanone yitwa "umwijima urimo ibinure ".
• Kubyimba no kubyimba umwijima (Hepatitis)
• Niba inkovu zaravutse mu mwijima (Fibrosis cyangwa Cirrhosis) - Iyi ni yo ngaruka z'uko umwijima ugenda unanirwa buhoro buhoro.
• Niba hari utudomo cyangwa ibibyimba bidasanzwe mu mwijima (Ibisebe by'umwijima).

Izi ni ibyiciro bitatu by'ingenzi by'indwara y'umwijima igihe kirekire. Byongeye kandi, ubwoko bwihariye bwa ultrasound bushobora no gukoreshwa mu kugenzura ibintu nk'uko amaraso anyura mu mwijima ndetse n'ubukana bw'imitsi y'umwijima.

Ni ubuhe bwoko bw'indwara umwijima ushobora gusuzuma hakoreshejwe ultrasound?

Ultrasound y'umwijima ni igikoresho cy'ingenzi cyane mu gusuzuma indwara nyinshi. Ariko ibuka ko ari yo yonyine ishobora kutabasha kwemeza indwara zose. Ariko, bishobora gufasha cyane kwerekeza muganga mu cyerekezo gikwiye. Bitewe n'ibisubizo bya ultrasound, hashobora gukenerwa ibindi bipimo. Urugero, niba ubonye ikibyimba mu mwijima wawe, ushobora gusabwa gukora biopsy kugira ngo umenye neza icyo ari cyo.

Dore zimwe mu ndwara ultrasound ishobora gufasha mu gusuzuma:

• Ibyiciro by'indwara y'umwijima y'igihe kirekire:
• Hepatite
• Steatosis (gushyira ibinure mu mubiri)
• Kurwara Cirrhose
• Uduheri/uduheri tw'umwijima:
• Ibibyimba by'umwijima
• Hemangioma y'umwijima (ikibyimba kitagira ingaruka mbi kigizwe n'imitsi y'amaraso)
• Kanseri y'umwijima
• Indwara zijyanye n'imitsi y'amaraso y'umwijima:
• Ischemia (kugabanuka kw'amaraso atangwa)
• Indwara ya Budd-Chiari
• Umuvuduko ukabije w'amaraso mu muyoboro w'amaraso (umuvuduko wiyongera mu miyoboro ijyana amaraso mu mwijima)
• Izindi ndwara zigira ingaruka ku mikorere y'inyo yawe:
• Ascites (amazi yiyongera mu nda)
• Kolecystite (kubyimba k'agasabo k'inkari)
• Koledocholithiasis (Amabuye y'imiyoboro y'ibinure)

Ni ubuhe bwoko bwa ultrasound y'umwijima?

Hari ubwoko butandukanye bw'ibizamini bya ultrasound mu mwijima. Umuganga ni we uzagena ubwoko bw'ibipimo azakoresha bitewe n'icyo akeneye. Reka turebe bumwe mu bwoko bw'ingenzi.

1. Ultrasound isanzwe

Akenshi iyi ni yo ultrasound ya mbere ikorwa. Rimwe na rimwe yitwa "Ultrasound yo mu cyiciro cyo hejuru cy'iburyo" kuko umwijima uba uri muri icyo gice cy'inda. Nubwo ahanini ireba umwijima, ishobora no kureba agasabo k'inkari, imiyoboro y'indyo, impyiko zo mu buryo bw'iburyo, n'igice cya pancreas. Kubera ko ibi byose bifitanye isano.

2. Ultrasound y'imitsi / Ultrasound ya Doppler

Ibi bireba by’umwihariko imitsi y’amaraso iri mu mwijima n’uburyo amaraso anyuramo. Ibi kandi byitwa Doppler Ultrasound . Hamwe n’amashusho asanzwe ya ultrasound, ikoranabuhanga rya Doppler rinagaragaza umuvuduko n’icyerekezo cy’uturemangingo tw’amaraso. Kubwibyo, rishobora gukoreshwa mu kumenya neza niba hari ibibazo ku mitsi itanga amaraso mu mwijima.

3. Ultrasound yo mu bwoko bwa Elastography

Ubu ni ubwoko bwihariye bwa ultrasound. Bunakwitwa transient elastography . Bupima urwego rwo gukomera, cyangwa fibrosis, mu mwijima. Fibrosis ibaho iyo inkovu zirundanyije mu mwijima. Iyo ibaye mbi cyane, ishobora gutera cirrhose . Muri iki kizamini, igikoresho cyihariye cyitwa transducer cyohereza shock waves mu mwijima. Umuvuduko iyo miraba inyuramo ugena urwego rwa fibrosis. Uko umuvuduko wihuta, niko fibrosis iba nyinshi.

4. Ultrasound yongerewe ubushobozi bwo gupima (CEUS)

Iyo hagaragaye igisebe mu mwijima mu gihe cyo gupimwa ultrasound, muganga ashobora gutegeka ikizamini cya CEUS kugira ngo akige neza kurushaho. Muri iki kizamini , umuti ugabanya imiterere y'umubiri uterwa mu mitsi. Ariko, iyi si irangi, ahubwo ni utubumbe duto tw'umwuka.Bimwe. Iyo bigeze mu mwijima binyuze mu maraso, ibyo bitonyanga bigaragara neza. Utwo duheri tw’imyuka ntabwo twangiza umubiri, kandi amahirwe yo kugira allergie ni make cyane.

Ni gute nakwitegura gukora ultrasound y'umwijima?

Imwe mu nyungu z'iki kizamini ni uko kidasaba kwitegura cyane . Ariko, nibishoboka, muganga wawe azagusaba kwiyiriza ubusa amasaha 6 kugeza kuri 12. Ibi bizakuraho inzira y'igifu yawe kandi bigabanye ingano y'ibiryo n'imyuka bishobora kubangamira imiraba ya ultrasound. Agasabo k'inkari kazakura kandi kakagaragara neza.

Menya neza ko ubaza muganga wawe ibijyanye no kunywa amazi. Hari n'abantu bakugira inama yo kureka kunywa amazi amasaha make mbere yo gupimwa. Hari igihe uruhago rwuzuye rushobora gufasha gupimwa.

Ni iki kibaho mu gihe cyo gupima umwijima hakoreshejwe ultrasound?

Uzakora iki kizamini mu bitaro cyangwa mu kigo cyihariye gipima amashusho . Uzasabwa kuryama ku meza yo gupimisha, akenshi ukuboko kwawe kwerekeza hejuru. Imashini ya ultrasound ifite ecran ya mudasobwa n'agakoresho gato kameze nk'agakoni kitwa transducer wand. Iyi transducer yohereza amajwi menshi cyane tudashobora kumva mu mwijima wawe.

Hanyuma, umuganga w’indwara z’umwijima ashyira gel isobanutse neza kandi idatera ubwivumbure ku nda yawe. Iyi gel ituma transducer ikora neza ku ruhu rwawe, nta cyuho na kimwe. Hanyuma, ajyana transducer hejuru ya gel. Ntuzumva igitutu cyangwa ububabare, keretse ufite ububabare bukabije muri ako gace. Uko transducer igendanwa, amashusho y’umwijima n’ingingo ziwukikije agaragara kuri ecran ya mudasobwa ako kanya.

Muganga azafata amafoto ndetse wenda na videwo ngufi z'ibyo abona. Hari igihe bashobora kugusaba guhindura uko uhagaze, guhindura uburyo bwo guhumeka, no gufata ishusho isobanutse neza. Iyo babonye ikintu kidasanzwe, bashobora kukugira inama y'inyongera ako kanya, nko gupimwa Doppler Ultrasound, Elastography, cyangwa Contrast Enhancement.

Bitwara igihe kingana iki kugira ngo umuntu akore ultrasound y'umwijima?

Gupima umwijima (ultrasound) akenshi bifata iminota 30. Niba ukeneye kureba ibisobanuro birambuye, cyangwa niba urimo gukora ubwoko bwihariye bwa ultrasound, bishobora gufata igihe kirekire. Ni byiza kugena isaha imwe kuva utangiye kugeza urangije.

Ni iki wakwitega nyuma yo gukorerwa ultrasound?

Umuganga ukora ikizamini cyo gupima amashusho yohereza amashusho ku muganga w’inzobere witwa radiologist . Uwo muganga abyigaho witonze kandi akandika raporo irambuye. Hari igihe umuganga ukora radiologistNiba bishoboka, azakubwira ibyo yabonye bwa mbere ako kanya. Bitabaye ibyo, azohereza raporo kwa muganga mukuru wagutumyeho. Nyuma yo gusuzuma, ushobora gutaha, ukarya, ukanywa, kandi ugakora indi mirimo yawe yose nk'uko bisanzwe.

Ni izihe nyungu zo guhitamo ultrasound kugira ngo usuzume umwijima?

Hari impamvu nyinshi z'ingenzi zishobora gutuma umuganga ahitamo gukoresha ultrasound kugira ngo abanza gusuzuma umwijima:

• Umutekano: Ibi ntibizangiza umubiri.
• Ntibitera: Nta kintu na kimwe gishyirwa mu mubiri (hadakoreshejwe ikintu nk'urushinge).
• Nta bubabare: Nta na gato bibabaza.
• Nta mirasire iterwa n'imirasire: Ntabwo ari imirasire iterwa n'imirasire nka X-ray.
• Nubwo iyo "(Contrast Agent)" ntacyo itwaye. Kubera ko atari irangi ahubwo ari umwuka, ibyago byo kugira allergie ni bike cyane.
• Bishobora gukorwa vuba: Birushaho kwihuta kurusha ibindi bizamini bya `(Imaging)`.

Niyo mpamvu iyi ari amahitamo afatika cyane.

Ese hari ingaruka cyangwa ingaruka mbi zishobora guterwa na ultrasound y'umwijima?

Nta ngaruka mbi zikomoka kuri iki kizamini. Ingaruka ntoya ni uko gishobora kudakora neza. Ni ukuvuga ko gishobora kudatanga amashusho asobanutse neza. Kubera ko bikorwa n'umuhanga mu gupima imiterere y'umubiri, kandi bitewe n'uburambe bwe, ibintu biri mu mubiri wawe bishobora kubangamira amajwi. Ibintu nk'umwuka , ibinure, cyangwa calcium (calcifications) mu nda rimwe na rimwe bishobora kubangamira ultrasound. Hari n'amahirwe make ko amashusho ashobora gusobanurwa nabi.

Ariko ntugire ikibazo! Isuzuma rya ultrasound mu mwijima ubusanzwe ni ryo suzuma rya mbere muganga akora kugira ngo arebe ibibazo by'umwijima. Rero, uko ibisubizo byaba bimeze kose, muganga wawe ashobora gutegeka ibindi bipimo kugira ngo yemeze ibisubizo cyangwa amenye byinshi.

Umwijima usanzwe n'umwijima udasanzwe bigaragara bite kuri ultrasound?

Kuri ultrasound, umwijima usanzwe uzaba ufite ingano, imiterere, n'ibara risanzwe (amabara atandukanye y'imvi). Umuganga w'imirasire ashobora kugereranya ingano n'ubukana bw'umwijima n'izindi ngingo zegereye. Ubuso bw'umwijima bugomba kuba bworoshye kandi bworoshye , butari ibibyimba cyangwa ibinure. Niba hari ahantu hazamutse cyangwa utudomo ku buso, bishobora kuba ari ibibyimba cyangwa uduce duto. Umuganga w'imirasire azashakisha kandi imitsi y'amaraso yagutse cyangwa imiyoboro y'amaraso mu mwijima.

Ibintu bidasanzwe bishobora kuba:

• Umwijima wagutse cyangwa wagabanutse ni ikimenyetso cy'indwara y'umwijima.
• UbusoIyo hari ibibyimba, bishobora kuba inkovu (cirrhosis) cyangwa indwara ya kanseri (ibibyimba).
• Nubwo hari ibisebe bimwe na bimwe bisanzwe, kugira byinshi muri byo si byiza.
• Umucyo cyangwa umwijima w'ibara bigaragaza imiterere y'ingingo. Iyo hari umwijima urimo ibinure, urumuri rushobora kwiyongera, kandi iyo hari ububyimbirwe, ingingo zishobora gukomera no kwijima. Raporo yawe ya ultrasound izasobanura ibi bintu.

Ibisubizo bya ultrasound y'umwijima bigaragaza iki?

Raporo yawe ya ultrasound ishobora kuba irimo amagambo nk'aya:

• "Echogenicity" cyangwa "Echotexture": Ibi bivuga urumuri rw'imitsi y'umwijima. Uko imiraba ya ultrasound igaragara cyane, niko ishusho irushaho kuba ndende (byitwa "Echogenic" ). Iyo imiraba yinjijwemo, ishusho irushaho kuba umwijima (byitwa "Hypoechoic" ). "Echotexture" y'umwijima ishobora gutanga igitekerezo cy'uko hariho inkovu, kubyimba, ibinure byinshi, cyangwa indi myanda ya metabolisme.
• Ibisebe: Ibi ni ibisebe cyangwa ibyimbirwa mu mwijima. Inzobere mu by'imirasire ikunze kumenya uko igisebe gisa binyuze muri ultrasound. Echotexture irashobora gufasha gutandukanya cyst yuzuye amazi n'ikibyimba gikomeye. Ibipimo bya Doppler cyangwa CEUS bishobora gufasha kumenya ubwoko bw'ikibyimba urebye aho amaraso yacyo aturuka.

Raporo yawe ishobora kandi kuba irimo:

• Ascites: Iki ni ukwirundanya kw'amazi mu nda ikikije umwijima. Iki ni ikimenyetso cy'indwara ikomeye y'umwijima.
• Kalisiyumu: Aya ni amabuye akozwe n'ibinure bya kalisiyumu. Ashobora kuba amabuye y'agahinda cyangwa amabuye y'impyiko.
• Imiyoboro y'amaraso cyangwa imiyoboro y'amaraso: Iyo imiyoboro y'amaraso idakora neza, umwijima ushobora gukora izindi nzira.
• Fibrose: Elastography ipima ingano y'inkovu mu mwijima hakoreshejwe ultrasound. Ibi bifasha kumenya icyiciro cy'indwara y'umwijima.

Bizatwara igihe kingana iki kugira ngo mbone "Raporo" yanjye?

Bishobora gufata iminsi mike cyangwa ibyumweru bike kugira ngo raporo ya ultrasound ikohererezwe na radiyo kandi ikohererezwe muganga wawe. Icyo gihe ni bwo muganga wawe azabasha kuganira nawe ku bisubizo.

Amaherezo, ubutumwa bwo kujyana mu rugo

Rero, urabona, ultrasound y'umwijima nta mpamvu yo gutinya . Ni ikizamini cyoroshye cyane, cyihuse kandi kidatera ububabare. Iki kizamini gito gishobora gutanga amakuru menshi y'agaciro ku mwijima wawe. Rimwe na rimwe, hakoreshejwe uburyo bwihariye,Bishobora gufasha gusuzuma indwara zikomeye nka cirrhose, umuvuduko ukabije w’amaraso mu muyoboro w’amaraso, indwara y’umwijima w’ibinure, na kanseri y’umwijima mu buryo bunoze nk’uko bigenda ku bindi bipimo bigoye. Bishobora kandi gufasha mu gusuzuma izo ndwara mbere yuko woherezwa mu bipimo bigoye cyangwa bidasanzwe.

Kubwibyo, niba muganga agusabye gukora iki kizamini, ni ngombwa cyane ko ubuzima bwawe bukurikiza amabwiriza nta gutera ubwoba butari ngombwa.

` Umwijima, Ultrasound y'umwijima, Gupima umwijima, Indwara z'umwijima, Isuzuma ry'umwijima, Isuzuma rya Ultrasound, Ubuzima bw'umwijima