Thola i-ultrasound ukuze wazi ngesibindi sakho!

Kungenzeka ukuthi utshelwe udokotela ukuthi wenze i-ultrasound yesibindi, akunjalo? Noma kungenzeka ukuthi uke wezwa ngakho ndawana thize. Empeleni kuyindlela elula kakhulu, engenabuhlungu, futhi elula ukuyenza. Odokotela bavame ukuncoma lokhu kuhlolwa kuqala ukuze babone ukuthi kukhona yini inkinga ngesibindi. Ngakho-ke, ake sixoxe ngale ultrasound yesibindi ngendlela ecacile nelula, akunjalo?

Kungani udokotela angancoma i-ultrasound yesibindi?

Ake sithi unezimpawu ezithile ezihlobene nesifo sesibindi, noma udokotela wakho uqaphele ushintsho oluncane emiphumeleni yokuhlolwa kwegazi okwenzile. Esimweni esinjalo, lokhu kuhlolwa kwe-ultrasound kuyindlela elula yokuthola ngokushesha ukuthi kukhona yini okungahambi kahle ngesibindi. Futhi, odokotela basebenzisa lokhu kuhlolwa ukuqapha ukuthi isimo silawulwa yini nokuthi isibindi sisebenza kahle yini kumuntu osevele enesifo sesibindi. Kalula nje, lesi yisinyathelo sokuqala nesibaluleke kakhulu sokuhlola isibindi.

Yiziphi izinkinga eziboniswa yi-ultrasound esibindini?

I-ultrasound yesibindi ingabona izinguquko ezahlukahlukene esibindini sethu. Isibonelo:

• Isifo Sesibindi Esiqinile - Lokhu kubizwa nangokuthi "isibindi esinamafutha ".
• Ukuvuvukala nokuvuvukala kwesibindi (i-Hepatitis)
• Kungakhathaliseki ukuthi izicubu zesilonda zakhekile esibindini (i-Fibrosis noma i-Cirrhosis) - Lena ingozi yokuthi isibindi siphele kancane kancane.
• Kungakhathaliseki ukuthi kukhona amabala noma izigaxa ezingavamile esibindini (Izilonda Zesibindi).

Lezi yizigaba ezintathu eziyinhloko zesifo sesibindi sesikhathi eside. Ngaphezu kwalokho, izinhlobo ezikhethekile ze-ultrasound zingasetshenziswa futhi ukuhlola izinto ezifana nokunikezwa kwegazi esibindini kanye nokuqina kwezicubu zesibindi.

Yiziphi izinhlobo zezimo ezingasiza ekuxilongweni kwesibindi nge-ultrasound?

I-ultrasound yesibindi iyithuluzi elibaluleke kakhulu ekuxilongweni kwezifo eziningi. Kodwa khumbula, yona yodwa ingase ingakwazi ukuqinisekisa zonke izifo. Kodwa-ke, kungaba usizo olukhulu ukuqondisa udokotela endleleni efanele. Kuye ngemiphumela ye-ultrasound, kungase kudingeke ukuhlolwa okwengeziwe. Isibonelo, uma ubona iqhubu esibindini sakho, ungase ucelwe ukuba wenze i-biopsy ukuze uthole ukuthi iyini ngempela.

Nazi ezinye izimo ezingasiza ekuxilongweni kwe-ultrasound:

• Izigaba zesifo sesibindi sesikhathi eside:
• I-Hepatitis
• I-Steatosis (ukufakwa kwamafutha)
• I-Cirrhosis
• Amaqhubu/amabala esibindi:
• Ama-Cysts Esibindi
• I-Hemangioma yesibindi (isimila esingenangozi esakhiwe yimithambo yegazi)
• Umdlavuza Wesibindi
• Izimo ezihlobene nemithambo yegazi yesibindi:
• I-Ischemia (ukuncipha kwegazi)
• I-Budd-Chiari Syndrome
• Umfutho wegazi ophezulu we-portal (ukwanda kwengcindezi emithanjeni ethwala igazi liye esibindini)
• Ezinye izimo ezithinta uhlelo lwakho lwe-biliary:
• Ama-Ascites (ukuqongelela koketshezi esiswini)
• I-Cholecystitis (ukuvuvukala kwenyongo)
• I-Choledocholithiasis (Amatshe e-Bile duct)

Yiziphi izinhlobo ze-ultrasound yesibindi?

Kunezinhlobo ezahlukene zokuhlolwa kwe-ultrasound yesibindi. Udokotela uzonquma ukuthi yiluphi uhlobo okufanele alwenze ngokusekelwe esidingweni esithile. Ake sibheke ezimbalwa zezinhlobo eziyinhloko.

1. I-Ultrasound Ejwayelekile

Lokhu kuvame ukuba yi-ultrasound yokuqala eyenziwayo. Ngezinye izikhathi ibizwa ngokuthi "i-Upper Right Quadrant Abdominal Ultrasound" ngoba isibindi sitholakala kuleyo ngxenye yesisu. Nakuba sibheka kakhulu isibindi, singabheka ne-gallbladder, i-bile ducts, izinso zangakwesokudla, kanye nengxenye ye-pancreas. Ngoba konke lokhu kuxhumene.

2. I-Vascular Ultrasound / I-Doppler Ultrasound

Lokhu kubheka ngqo imithambo yegazi engaphakathi kwesibindi nokuthi igazi ligeleza kanjani kuyo. Lokhu kubizwa nangokuthi i-Doppler Ultrasound . Kanye nezithombe ze-ultrasound ezivamile, ubuchwepheshe be-Doppler bukhombisa nesivinini kanye nesiqondiso samaseli egazi ahamba ngaso. Ngakho-ke, bungasetshenziswa ukunquma kangcono ukuthi ngabe kukhona yini izinkinga ngemithambo yegazi enikeza igazi esibindini.

3. I-Elastography Ultrasound

Lolu uhlobo olukhethekile lwe-ultrasound. Lubizwa nangokuthi i-transient elastography . Lulinganisa izinga lokuqina, noma i-fibrosis, esibindini. I-Fibrosis yenzeka lapho izicubu zesilonda ziqoqana esibindini. Uma iba yimbi kakhulu, ingaholela ku- cirrhosis . Kulolu vivinyo, idivayisi ekhethekile ebizwa ngokuthi i-transducer ithumela amaza okwesabisa esibindini. Isivinini amaza ahamba ngaso sinquma izinga le-fibrosis. Uma isivinini sishesha, i-fibrosis iba nkulu.

4. I-Ultrasound Ethuthukisiwe Ngokuqhathanisa (i-CEUS)

Uma kubonakala isilonda sesibindi ngesikhathi sokuhlolwa kwe-ultrasound okuvamile, udokotela angase ayale ukuhlolwa kwe-CEUS ukuze akufunde ngokucace kakhudlwana. Kulesi sivivinyo , i-contrast agent ifakwa emthanjeni. Kodwa-ke, lokhu akuyona idayi, kodwa amabhamuza amancane egesi.Ezinye. Uma lezi ziya esibindini ngegazi, lawo mabala abonakala kahle. Lawa mabhamuza egesi awabangeli monakalo emzimbeni, futhi amathuba okuba nokusabela kokungezwani komzimba aphansi kakhulu.

Ngingalungiselela kanjani i-ultrasound yesibindi?

Enye inzuzo yalolu vivinyo ukuthi aludingi ukulungiselela okuningi . Kodwa-ke, uma kungenzeka, udokotela wakho uzokucela ukuthi uzile ukudla amahora angu-6 kuya kwangu-12 . Lokhu kuzokhipha umgudu wakho wokugaya ukudla futhi kunciphise inani lokudla kanye negesi okungaphazamisa amaza e-ultrasound. Inyongo nayo izokhula futhi ibonakale kahle.

Qiniseka ukuthi ubuza udokotela wakho mayelana nokuphuza amanzi. Abanye abantu batusa futhi ukuyeka ukuphuza amanzi emahoreni ambalwa ngaphambi kokuskena. Ngezinye izikhathi isinyi esigcwele singasiza ekuskeni.

Kwenzekani ngesikhathi se-ultrasound yesibindi?

Uzohlolwa esibhedlela noma esikhungweni esikhethekile sokuthwebula izithombe . Uzocelwa ukuba ulale etafuleni lokuhlolwa, ngokuvamile ingalo yakho ibheke phezulu. Umshini we-ultrasound unesikrini sekhompyutha kanye nedivayisi encane efana nenduku ebizwa ngokuthi induku ye-transducer. Le transducer ithumela amaza omsindo avame kakhulu esingakwazi ukuwazwa esibindini sakho.

Ngemuva kwalokho, udokotela we-sonographer ufaka ijeli ecacile, engenazo izinto ezibangela ukungezwani komzimba esiswini sakho. Le jeli idala ukuxhumana okuhle phakathi kwe-transducer nesikhumba sakho, ngaphandle kwezikhala. Ngemuva kwalokho, uhambisa i-transducer emuva naphambili phezu kwejeli. Ngeke uzwe ukucindezeleka noma ubuhlungu, ngaphandle kokuthi unobuhlungu obukhulu endaweni. Njengoba i-transducer ihanjiswa, izithombe zesibindi nezitho ezizungezile ziboniswa esikrinini sekhompyutha ngesikhathi sangempela.

Udokotela uzothatha izithombe futhi mhlawumbe namavidiyo amafushane alokho abakubonayo. Ngezinye izikhathi bangase bakucele ukuthi ushintshe ukuma kwakho, ushintshe indlela ophefumula ngayo, futhi uthathe isithombe esicacile. Uma bebona noma yini engavamile, bangase basikisele izinyathelo ezengeziwe ngokushesha, njenge-Doppler Ultrasound, i-Elastography, noma i-Contrast Enhancement.

Kuthatha isikhathi esingakanani ukwenza i-ultrasound yesibindi?

I-ultrasound yesibindi ivame ukuthatha imizuzu engaba ngu-30 . Uma udinga ukubona imininingwane eyengeziwe, noma uma wenza uhlobo olukhethekile lwe-ultrasound, kungathatha isikhathi eside. Kungcono ukubekela eceleni cishe ihora kusukela ekuqaleni kuze kube sekupheleni.

Yini ongayilindela ngemva kokuhlolwa kwe-ultrasound?

Udokotela ohlola izithombe owenze ukuhlolwa uthumela izithombe kudokotela ochwepheshe obizwa ngokuthi i-radiologist . Lowo dokotela uhlola izithombe ngokucophelela futhi abhale umbiko onemininingwane. Ngezinye izikhathi, i-radiologistUma kungenzeka, uzokutshela ngalokho akutholile ekuqaleni ngokushesha. Ngaphandle kwalokho, uzothumela umbiko kudokotela oyinhloko okuthumele kuye. Ngemva kokuphela kokuhlolwa, ungaya ekhaya, udle, uphuze, futhi wenze yonke eminye imisebenzi yakho njengokujwayelekile.

Yiziphi izinzuzo zokukhetha i-ultrasound ukuhlola isibindi?

Kunezizathu eziningana eziyinhloko zokuthi kungani udokotela angakhetha i-ultrasound ukuze ahlole isibindi kuqala:

• Kuphephile: Lokhu ngeke kubangele noma yimuphi umonakalo emzimbeni.
• Ayihlaseli: Akukho lutho olufakwa emzimbeni (ngaphandle komjovo).
• Akubuhlungu: Akubuhlungu nhlobo.
• Akukho ukuchayeka emisebeni: Akuyona imisebe njenge-X-ray.
• Ngisho naleyo ``(i-Contrast Agent)`` ayilimazi. Njengoba ingeyona idayi kodwa iyigesi, ingozi yokusabela kokungezwani komzimba iphansi kakhulu.
• Kungenziwa ngokushesha: Kushesha kunezinye izivivinyo ze-`(Imifanekiso)`.

Yingakho lokhu kuyisinqumo esiwusizo kakhulu.

Ingabe zikhona izingozi noma imiphumela emibi evela ku-ultrasound yesibindi?

Akukho miphumela emibi evela kulolu vivinyo. Ingozi encane kuphela ukuthi kungase kungasebenzi kahle. Okusho ukuthi, kungase kungabi nemifanekiso ecacile. Ngoba kwenziwa ngesandla yi-sonographer, futhi kuye ngokuhlangenwe nakho kwakhe, izinto emzimbeni wakho zingaphazamisa amaza omsindo. Izinto ezifana negesi, izicubu zamafutha, noma ama-calcium deposits (calcifications) esiswini ngezinye izikhathi zingaphazamisa i-ultrasound. Kukhona futhi ithuba elincane lokuthi izithombe zingase ziqondwe kabi.

Kodwa ungakhathazeki! I-ultrasound yesibindi ivame ukuba ukuhlolwa kokuqala okwenziwa udokotela ukuze abheke izinkinga zesibindi. Ngakho-ke, kungakhathaliseki ukuthi imiphumela iyini, udokotela wakho cishe uzoyala ezinye izivivinyo ukuze aqinisekise imiphumela noma athole okwengeziwe.

Isibindi esijwayelekile nesibindi esingajwayelekile sibukeka kanjani ku-ultrasound?

Ku-ultrasound, isibindi esivamile sizoba nosayizi ojwayelekile, ukuma, nombala (imibala ehlukahlukene empunga). Udokotela we-radiologist angaqhathanisa ubukhulu kanye nokuqina kombala wesibindi nezinye izitho eziseduze. Ubuso besibindi kufanele bube bushelelezi futhi buthambile , kungabi namaqhubu noma ama-crook. Uma kukhona izindawo eziphakeme noma amabala ebusweni, kungaba ama-cyst noma ama-solid masses. Udokotela we-radiologist uzophinde abheke noma yimiphi imithambo yegazi evulekile noma imisele ye-bile esibindini.

Izimo ezingavamile zingaba:

• Isibindi esikhulu noma esinciphile siyisibonakaliso sesifo sesibindi.
• UbusoUma kukhona amaqhubu, kungaba amanxeba (i-cirrhosis) noma isimo somdlavuza (amaqhubu).
• Nakuba ezinye izilonda zivamile, ukuba nazo eziningi kakhulu akukuhle.
• Ukukhanya noma ubumnyama bombala bubonisa uhlobo lwezicubu. Uma kukhona isibindi esinamafutha, ukukhanya kunganda, futhi uma kukhona ukuvuvukala, izicubu zingase ziqine futhi zibe mnyama. Umbiko wakho we-ultrasound uzochaza lezi zinto.

Imiphumela ye-ultrasound yesibindi ibonisani?

Umbiko wakho we-ultrasound ungafaka amagama anjengokuthi:

• "I-Echogenicity" noma "I-Echotexture": Lokhu kubhekisela ekukhanyeni kwezicubu zesibindi. Uma amaza e-ultrasound ebonakala kakhulu, isithombe siba sikhanya kakhulu (sibizwa ngokuthi "i-Echogenic" ). Uma amaza emuncwa, isithombe siba mnyama (sibizwa ngokuthi "i-Hypoechoic" ). "I-Echotexture" yesibindi inganikeza umbono wokuba khona kwezibazi, ukuvuvukala, ama-fatty deposits, noma okunye ukungcola kwe-metabolic.
• Izilonda: Lezi yizilonda noma ukukhula esibindini. Udokotela we-radiologist angavame ukubona ukuthi izilonda zibukeka kanjani nge-ultrasound. I-Echotexture ingasiza ekuhlukaniseni phakathi kwe-cyst egcwele uketshezi kanye ne-tumor eqinile. Ukuhlolwa kwe-Doppler noma kwe-CEUS kungasiza ekunqumeni uhlobo lwe-tumor ngokubheka ukunikezwa kwegazi layo.

Umbiko wakho ungafaka futhi:

• Ama-Ascites: Lokhu kuwukuqongelela koketshezi esiswini esizungeze isibindi. Lokhu kuwuphawu lwesifo esibi sesibindi.
• I-Calculi: Lawa ngamatshe akhiwe yi-calcium deposits. Angaba amatshe enyongo noma amatshe ezinso.
• Imithambo yegazi eyengeziwe noma imisele yenyongo: Uma imisele yokuqala ingasebenzi kahle, isibindi singadala izindlela ezengeziwe.
• I-Fibrosis: I-Elastography ilinganisa inani lezicubu zesibazi esibindini kusetshenziswa i-ultrasound. Lokhu kusiza ekunqumeni isigaba sesifo sesibindi.

Kuzothatha isikhathi esingakanani ukuthola "Umbiko" wami?

Kungathatha izinsuku ezimbalwa kuya emavikini ambalwa ukuthi umbiko we-ultrasound ulungiswe ngudokotela we-radiologist bese uthunyelwa kudokotela wakho oqondisayo. Kulapho-ke udokotela wakho ezokwazi khona ukuxoxa nawe ngemiphumela.

Ekugcineni, umyalezo okufanele uwuthathe uye nawo ekhaya

Ngakho-ke, uyabona, i-ultrasound yesibindi akuyona into okufanele uyesabe . Kuwukuhlolwa okulula kakhulu, okusheshayo, futhi okungenabuhlungu. Lokhu kuhlolwa okuncane kunganikeza ulwazi oluningi olubalulekile mayelana nesibindi sakho. Ngezinye izikhathi, kusetshenziswa amasu akhethekile,Kungasiza ekuxilongeni ngisho nezimo ezingathi sína njenge-cirrhosis, umfutho wegazi ophakeme we-portal, isifo sesibindi esinamafutha, kanye nomdlavuza wesibindi ngokunemba okufanayo nezinye izivivinyo eziyinkimbinkimbi. Kungasiza futhi ekuvimbeleni izimo ezinjalo ngaphambi kokuba uthunyelwe ezivivinyweni eziyinkimbinkimbi noma ezihlaselayo.

Ngakho-ke, uma udokotela ekucela ukuthi wenze lokhu kuhlolwa, kubaluleke kakhulu ukuthi impilo yakho ilandele imiyalelo ngaphandle kokudala ukwesaba okungadingekile ngakho.

Isibindi , i-Ultrasound yesibindi, ukuskena kwesibindi, izifo zesibindi, ukuhlolwa kwesibindi, ukuhlolwa kwe-ultrasound, impilo yesibindi