Fumana i-ultrasound ukuze wazi ngesibindi sakho!

Usenokuba uxelelwe ngugqirha ukuba wenze i-ultrasound yesibindi, akunjalo? Okanye usenokuba ukhe weva ngayo ndaweni ithile. Ngokwenene luvavanyo olulula kakhulu, olungenabuhlungu, nolulula ukulwenza. Oogqirha badla ngokucebisa olu vavanyo kuqala ukuze babone ukuba kukho ingxaki na ngesibindi. Ngoko ke, masithethe ngale ultrasound yesibindi ngendlela ecacileyo nelula, akunjalo?

Kutheni ugqirha angacebisa ukuba kwenziwe i-ultrasound yesibindi?

Khawucinge ukuba uneempawu ezinxulumene nesifo sesibindi, okanye ugqirha wakho uqaphele utshintsho oluncinci kwiziphumo zovavanyo lwegazi olwenzileyo. Kwimeko enjalo, olu vavanyo lwe-ultrasound yeyona ndlela ilula yokufumanisa ngokukhawuleza ukuba kukho into engalunganga ngesibindi. Kwakhona, oogqirha basebenzisa olu vavanyo ukujonga ukuba imeko ilawulwa na kwaye nokuba isibindi sisebenza kakuhle na kumntu osele enesifo sesibindi. Ngamafutshane, eli linyathelo lokuqala nelibalulekileyo lokujonga isibindi.

Zeziphi iingxaki eziboniswa yi-ultrasound esibindini?

I-ultrasound yesibindi ingabona utshintsho olwahlukeneyo kwisibindi sethu. Umzekelo:

• Isifo sesibindi esibizwa ngokuba yi-" fatty liver".
• Ukudumba nokudumba kwesibindi (iHepatitis)
• Nokuba izicubu zesilonda zakheke esibindini (iFibrosis okanye iCirrhosis) - Le yingozi yokuba isibindi siyeke ukusebenza kakuhle kancinci kancinci.
• Nokuba kukho amabala okanye amaqhuma angaqhelekanga esibindini (iLiver Lesions).

La ngamanqanaba amathathu aphambili esifo sesibindi esihlala ixesha elide. Ukongeza, iintlobo ezikhethekileyo ze-ultrasound zingasetyenziswa ukujonga izinto ezifana nokuhanjiswa kwegazi esibindini kunye nokuqina kwezicubu zesibindi.

Ziziphi iintlobo zezifo ezinokuthi zixilongwe nge-ultrasound yesibindi?

I-ultrasound yesibindi sisixhobo esibaluleke kakhulu ekuxilongweni kwezifo ezininzi. Kodwa khumbula, yona yodwa isenokungakwazi ukuqinisekisa zonke izifo. Nangona kunjalo, kunokuba luncedo kakhulu ukukhomba ugqirha kwicala elifanelekileyo. Ngokuxhomekeke kwiziphumo ze-ultrasound, kunokufuneka uvavanyo olongezelelekileyo. Umzekelo, ukuba ubona iqhuma esibindini sakho, unokucelwa ukuba wenze i-biopsy ukuze ufumane ukuba yintoni kanye kanye.

Nazi ezinye zeemeko ezinokunceda ekuxilongweni nge-ultrasound:

• Amanqanaba esifo sesibindi sexesha elide:
• I-Hepatitis
• I-Steatosis (ukugcinwa kwamafutha)
• Isifo sokuqina kwesibindi
• Amaqhuma/amabala esibindi:
• Iintsholongwane zesibindi
• I-Hemangioma yesibindi (ithumba elingenabungozi elenziwe ngemithambo yegazi)
• Umhlaza wesibindi
• Iimeko ezinxulumene nemithambo yegazi yesibindi:
• I-Ischemia (ukuncipha kwegazi)
• Isifo sikaBudd-Chiari
• Uxinzelelo lwegazi oluphezulu (uxinzelelo olongezelelekileyo kwimithambo yegazi ethwala igazi ukuya esibindini)
• Ezinye iimeko ezichaphazela inkqubo yakho ye-biliary:
• Ii-Ascites (ukuqokelelana kolwelo esiswini)
• I-Cholecystitis (ukudumba kwenyongo)
• I-Choledocholithiasis (amatye e-bile duct)

Ziziphi iintlobo ze-ultrasound yesibindi?

Kukho iintlobo ezahlukeneyo zovavanyo lwe-ultrasound yesibindi. Ugqirha uya kugqiba ukuba loluphi uhlobo oluza kwenziwa ngokuxhomekeke kwimfuno ethile. Makhe sijonge ezimbalwa zezona ntlobo ziphambili.

1. I-Ultrasound esemgangathweni

Le idla ngokuba yi-ultrasound yokuqala eyenziwayo. Ngamanye amaxesha ibizwa ngokuba yi-"Upper Right Quadrant Abdominal Ultrasound" kuba isibindi sikwindawo yesisu. Nangona ikakhulu sijonga isibindi, sinokujonga ne-gallbladder, i-bile ducts, izintso zasekunene, kunye nenxalenye ye-pancreas. Kuba zonke ezi zinto zidibene.

2. I-Vascular Ultrasound / i-Doppler Ultrasound

Oku kujonga ngokukodwa imithambo yegazi engaphakathi kwesibindi kunye nendlela igazi elihamba ngayo kuyo. Oku kukwabizwa ngokuba yiDoppler Ultrasound . Kunye nemifanekiso eqhelekileyo ye-ultrasound, iteknoloji yeDoppler ikwabonisa isantya kunye necala leeseli zegazi ezihamba ngalo. Ke ngoko, ingasetyenziselwa ukufumanisa ngcono ukuba kukho naziphi na iingxaki ngemithambo yegazi ehambisa igazi esibindini.

3. I-Elastography Ultrasound

Olu luhlobo olukhethekileyo lwe-ultrasound. Lukwabizwa ngokuba yi -transient elastography . Lulinganisa ukuqina, okanye i-fibrosis, esibindini. I-Fibrosis yenzeka xa izicubu zesilonda ziqokelelana esibindini. Ukuba iba mandundu kakhulu, inokukhokelela kwi- cirrhosis . Kolu vavanyo, isixhobo esikhethekileyo esibizwa ngokuba yi-transducer sithumela amaza othuko esibindini. Isantya ahamba ngaso amaza simisela inqanaba le-fibrosis. Okukhona isantya sikhawuleza, kokukhona i-fibrosis iba nkulu.

4. I-Ultrasound ephuculweyo yoMbane (i-CEUS)

Ukuba isilonda sesibindi sibonwa ngexesha le-ultrasound eqhelekileyo, ugqirha unokuyalela uvavanyo lwe-CEUS ukuze lufundwe ngokucacileyo. Kolu vavanyo , i-contrast agent ifakwa emthanjeni. Nangona kunjalo, le ayisiyodayi, kodwa ngamaqamza amancinci egesi.Ezinye. Xa ezi zisiya esibindini ngegazi, loo mabala abonakala ngokucacileyo. La maqamza egesi awabangeli monakalo emzimbeni, kwaye amathuba okuba ne-allergy aphantsi kakhulu.

Ndingayilungiselela njani i-ultrasound yesibindi?

Enye inzuzo yolu vavanyo kukuba aludingi kulungiselela okuninzi . Nangona kunjalo, ukuba kunokwenzeka, ugqirha wakho uya kukucela ukuba uzile ukutya iiyure ezi-6 ukuya kwezili-12 . Oku kuya kukhupha ukutya kunye negesi enokuthi iphazamise amaza e-ultrasound. Inyongo nayo iya kukhula kwaye ibonakale ngokucacileyo.

Qiniseka ukuba ubuza ugqirha wakho malunga nokusela amanzi. Abanye abantu bacebisa ukuba uyeke ukusela amanzi kwiiyure ezimbalwa ngaphambi kokuba kwenziwe iskeni. Ngamanye amaxesha isinyi esipheleleyo sinokunceda kwiskeni.

Kwenzeka ntoni ngexesha le-ultrasound yesibindi?

Uza kwenza olu vavanyo esibhedlele okanye kwiziko elikhethekileyo lokujonga imifanekiso . Uza kucelwa ukuba ulale etafileni yovavanyo, ingalo yakho isoloko ijonge phezulu. Umatshini we-ultrasound unesikrini sekhompyutha kunye nesixhobo esincinci esifana nenduku ebizwa ngokuba yi-transducer wand. Le transducer ithumela amaza esandi aqhelekileyo esingenakuwava esibindini sakho.

Emva koko, i-sonographer ifaka ijeli ecacileyo, engenazo izinto ezibangela ukuba umntu angabi naso isifo esiswini sakho. Le jeli idala unxibelelwano oluhle phakathi kwe-transducer nolusu lwakho, ngaphandle kwezithuba. Emva koko, ihambisa i-transducer phambili nangaphambili phezu kwejeli. Awuyi kuva naluphi na uxinzelelo okanye intlungu, ngaphandle kokuba unentlungu enkulu kuloo ndawo. Njengoko i-transducer ishukunyiswa, imifanekiso yesibindi kunye namalungu angqongileyo iboniswa kwiscreen sekhompyutha ngexesha langempela.

Ugqirha uza kuthatha imifanekiso kwaye mhlawumbi neevidiyo ezimfutshane zezinto azibonayo. Ngamanye amaxesha banokukucela ukuba utshintshe indlela oma ngayo, utshintshe indlela ophefumla ngayo, kwaye uthathe umfanekiso ocacileyo. Ukuba babona into engaqhelekanga, banokucebisa amanyathelo ongezelelweyo ngoko nangoko, njengeDoppler Ultrasound, i-Elastography, okanye i-Contrast Enhancement.

Kuthatha ixesha elingakanani ukwenza i-ultrasound yesibindi?

I-ultrasound yesibindi idla ngokuthatha malunga nemizuzu engama-30 . Ukuba ufuna ukubona iinkcukacha ezithe vetshe, okanye ukuba wenza uhlobo oluthile lwe-ultrasound, kungathatha ixesha elide. Kungcono ukubekela ecaleni malunga neyure ukusuka ekuqaleni ukuya ekupheleni.

Yintoni enokuyilindela emva kokuhlolwa kwe-ultrasound?

Ugqirha osebenzisa i-sonographer owenze uvavanyo uthumela imifanekiso kugqirha okhethekileyo obizwa ngokuba yi-radiologist . Loo gqirha uyifunda ngononophelo imifanekiso aze abhale ingxelo eneenkcukacha. Ngamanye amaxesha, i-radiologist iyisebenzisa.Ukuba kunokwenzeka, uza kukuxelela ngoko nangoko ngeziphumo zakhe zokuqala. Kungenjalo, uza kuthumela ingxelo kugqirha oyintloko owakuthumelele yona. Emva kokuba uhlolisiso lugqityiwe, ungaya ekhaya, utye, usele, kwaye wenze yonke eminye imisebenzi yakho njengesiqhelo.

Zithini iingenelo zokukhetha i-ultrasound ukuze uhlole isibindi?

Kukho izizathu ezininzi eziphambili zokuba ugqirha angakhetha i-ultrasound ukuze ahlole isibindi kuqala:

• Ikhuselekile: Oku akuyi kubangela monakalo emzimbeni.
• Ayihlaseli: Akukho nto ifakwa emzimbeni (ngaphandle kwenaliti).
• Ayibuhlungu: Ayibuhlungu konke konke.
• Akukho kuvezwa kwimitha: Ayinamitha njenge-X-ray.
• Kwanaloo ``(Contrast Agent)`` ayinabungozi. Ekubeni ingeyodayi kodwa yigesi, umngcipheko weempendulo ze-allergy uphantsi kakhulu.
• Ingenziwa ngokukhawuleza: Ikhawuleza kunezinye iimvavanyo ze-`(Imaging)`.

Yingakho olu khetho luluncedo kakhulu.

Ngaba kukho naziphi na iingozi okanye iziphumo ebezingalindelekanga ezivela kwi-ultrasound yesibindi?

Akukho ziphumo ebezingalindelekanga kolu vavanyo. Umngcipheko omncinci kuphela kukuba lusenokungasebenzi kakuhle. Oko kukuthi, lusenokungavelisi imifanekiso ecacileyo. Kuba lwenziwa ngesandla yi-sonographer, kwaye kuxhomekeke kumava akhe, izinto ezisemzimbeni wakho zinokuphazamisana namaza esandi. Izinto ezifana negesi, izicubu ezinamafutha, okanye i-calcium deposits (calcifications) esiswini ngamanye amaxesha zinokuphazamisana ne-ultrasound. Kukwakho nethuba elincinci lokuba imifanekiso inokutolikwa gwenxa.

Kodwa ungakhathazeki! I-ultrasound yesibindi idla ngokuba luvavanyo lokuqala oluqhutywa ngugqirha ukukhangela iingxaki zesibindi. Ngoko ke, nokuba zithini na iziphumo, ugqirha wakho usenokuyalela ezinye iimvavanyo ukuqinisekisa iziphumo okanye afumane ulwazi oluthe kratya.

Isibindi esiqhelekileyo nesibindi esingaqhelekanga zibonakala njani kwi-ultrasound?

Kwi-ultrasound, isibindi esiqhelekileyo siya kuba nobukhulu obuqhelekileyo, imilo, kunye nombala (imibala eyahlukeneyo engwevu). Ingcali ye-radiology inokuthelekisa ubukhulu kunye nobukhali bombala wesibindi kunye nezinye izitho ezikufutshane. Umphezulu wesibindi kufuneka ube bushelelezi kwaye uthambile , ungabi namaqhuqhuva okanye ube rhabaxa. Ukuba kukho iindawo eziphakamileyo okanye amabala kumphezulu, zinokuba zii-cysts okanye ii-solid masses. Ingcali ye-radiology iya kujonga nayiphi na imithambo yegazi evulekileyo okanye i-bile ducts esibindini.

Iimeko ezingaqhelekanga zinokuba zezi:

• Isibindi esikhulu okanye esinciphileyo luphawu lwesifo sesibindi.
• UmphezuluUkuba kukho amaqhuma, isenokuba ngamanxeba (i-cirrhosis) okanye imeko yomhlaza (ii-tumor).
• Nangona ezinye izilonda ziqhelekile, ukuba nazo ezininzi kakhulu akulunganga.
• Ukukhanya okanye ubumnyama bombala bubonisa uhlobo lwezicubu. Ukuba kukho isibindi esinamafutha, ukukhanya kunokwanda, kwaye ukuba kukho ukudumba, izicwili zinokuqina zibe mnyama. Ingxelo yakho ye-ultrasound iya kuzichaza ezi zinto.

Zibonisa ntoni iziphumo ze-ultrasound yesibindi?

Ingxelo yakho ye-ultrasound ingaquka amagama anje:

• "Echogenicity" okanye "Echotexture": Oku kubhekisa ekukhanyeni kwezicubu zesibindi. Okukhona amaza e-ultrasound ebonakala ngakumbi, kokukhona umfanekiso ukhanya ngakumbi (ubizwa ngokuba yi "Echogenic" ). Ukuba amaza ayafunxwa, umfanekiso uba mnyama (ubizwa ngokuba yi "Hypoechoic" ). "Echotexture" yesibindi inokunika umbono wokuba kukho amanxeba, ukudumba, amafutha, okanye enye inkunkuma ye-metabolic.
• Izilonda: Ezi zizilonda okanye ukukhula kwesibindi. Ingcali ye-radiologist idla ngokubona ukuba izilonda zibonakala njani kwi-ultrasound. I-Echotexture inokunceda ukwahlula phakathi kwe-cyst egcwele ulwelo kunye nethumba eliqinileyo. Uvavanyo lwe-Doppler okanye lwe-CEUS lunokunceda ekufumaneni uhlobo lwethumba ngokujonga ukuhanjiswa kwegazi.

Ingxelo yakho ingabandakanya oku:

• Ii-Ascites: Oku kukuqokelelana kolwelo kwisisu esijikeleze isibindi. Olu luphawu lwesifo sesibindi esinzima.
• I-Calculi: La ngamatye enziwe yi-calcium deposits. Angaba ngamatye enyongo okanye amatye ezintso.
• Imithambo yegazi eyongezelelweyo okanye imibhobho yenyongo: Ukuba imibhobho yokuqala ayisebenzi kakuhle, isibindi sinokudala iindlela ezongezelelweyo.
• I-Fibrosis: I-Elastography ilinganisa ubungakanani bezicubu zesilonda esibindini kusetyenziswa i-ultrasound. Oku kunceda ekufumaneni inqanaba lesifo sesibindi.

Kuza kuthatha ixesha elingakanani ukufumana "iNgxelo" yam?

Kungathatha iintsuku ezimbalwa ukuya kwiiveki ezimbalwa ukuba ingxelo ye-ultrasound ilungiswe yingcali ye-radiology kwaye ithunyelwe kugqirha wakho oza kukuthumela kuye. Kulapho kuphela apho ugqirha wakho aza kukwazi ukuxoxa nawe ngeziphumo.

Okokugqibela, umyalezo oya ekhaya

Ngoko ke, uyabona, i-ultrasound yesibindi ayisiyonto yokoyika . Luvavanyo olulula kakhulu, olukhawulezayo, nolungabuhlungu. Olu vavanyo luncinci lunokubonelela ngolwazi oluninzi oluxabisekileyo malunga nesibindi sakho. Ngamanye amaxesha, usebenzisa iindlela ezikhethekileyo,Inokunceda ekuxilongeni neemeko ezinzulu ezifana ne-cirrhosis, i-portal hypertension, isifo sesibindi esinamafutha, kunye nomhlaza wesibindi ngokuchanekileyo njengolunye uvavanyo oluntsonkothileyo. Inokukunceda nasekuthinteleni ezo meko ngaphambi kokuba uthunyelwe kuvavanyo oluntsonkothileyo okanye olungena emzimbeni.

Ngoko ke, ukuba ugqirha ucela ukuba wenze olu vavanyo, kubaluleke kakhulu ukuba impilo yakho ilandele imiyalelo ngaphandle kokudala uloyiko olungeyomfuneko ngayo.

Isibindi , i-Ultrasound yesibindi, ukuSkena isibindi, izifo zesibindi, uviwo lwesibindi, uvavanyo lwe-ultrasound, impilo yesibindi