Ubukhulu of isibindi ultrasonography evamile (okulotshiweyo)

Nquma khona izinkinga isibindi kungenzeka ezivamile ultrasound uphethwe. Lolu cwaningo ivumela ukuhlola ubunjalo isifo, ukuthola ulwazi mayelana esilazayo yayo, kanye sinikwe futhi ulungise ukwelashwa.

cwaningo

udokotela ngamunye onguchwepheshe ultrasonography, uyazi ukuthi yini edingekayo ukuze banake kwasekuqaleni. Ngakho, the diagnostician ihlola kwabantu, isakhiwo umzimba, ihlola ukuthi kukhona inclusions ongaphilile. Ngaphezu kwalokho, qiniseka ukubheka ubukhulu ultrasound isibindi. Sivamile abadala isethelwe ngamunye ukwabelana yayo. Liphinde kulinganiselwa ubukhulu bayo etshekile transverse. Udokotela cwaningo ubukeka isimo ipheshana biliary futhi imikhumbi emikhulu edabula isibindi.

Lokhu inhlolovo ikuvumela ukuba ucacise uphethwe uma usola eziningi izifo ezahlukene. Kodwa omisiwe usayizi kuyinsakavukela kwesibindi ngo-ultrasound kwenza kube nokwenzeka ukuba sithole khona noma ukungabi khona izinguquko sokugembula e isitho esibekiwe noma ngeziphambeko kusukela ukuthuthukiswa yayo bokuphila emazingeni ahlukene izingane.

zokubekisa

Ochwepheshe bayazazi okudingayo idatha ukugxila luhlolo kanye ukuxilongwa ukufakwa. Kodwa uma ungafuni ukuthola ukuthi unayo yini inkinga ke odinga ukukwazi ubukhulu kwesibindi kuvamile ku-ultrasound. Kubalulekile futhi ukuqonda ukuthi lapho lokhu umzimba.

Unqenqema engezansi Lobe kwesokudla itholakala ilungelo lwaleli costal. Kodwa khona izifo zamaphaphu ukuvuvukala, ipheshana zokuphefumula ephansi, kungenzeka shift kancane phansi. Kodwa ngemva wamaphaphu resection, ukubuyisa, noma izimila in the izinso, kungaba bavuke.

Ukuze ukuhlola ukuthi ingabe konke kuhamba kahle yini nge lelo gunya, kumele wazi ukuthi yini ngesilinganiso isibindi ultrasound, yini imingcele evamile isibindi. Kufanele ibe isakhiwo eyohlobo, selivaliwe, ezinkulu emithanjeni kufanele ibukeke kalula. wabuka layo kumele kube sobala futhi abushelelezi. Futhi, kufanele ubone gallbladder futhi mapayipi. Kuyo visualized vena phansi kunabaphostoli Vienna, ubukhulu bayo kungase kube kusuka 9 kuya ku-15 mm. Kodwa Amapayipi intrahepatic ngokuvamile zibangelwa kalula.

osayizi Standard

Ngaphezu ekuhloleni isakhiwo nendawo indlala elikhulu umzimba, kubalulekile ukucacisa kanye nemingcele yayo. Ngokwesibonelo, usayizi isibindi kuvamile ku ultrasound kufanele kube ngale ndlela:

- share kwesokunxele - 6-8 cm;

- ububanzi - 20 cm, ukwanda kuvunyelwe 22.5 cm;

- namanoni aphezu kwesokudla - 12.5 cm;

- ububanzi umzimba (nesilinganiso wenziwa kusuka kwesokudla kuya kwesokunxele) 23-27 cm;

- Ubude (kusukela ezingemuva ezibheke umphetho waphambili acute obtuse) zokhahlamba kusuka 14 kuya ku-20 cm.

Futhi, udokotela kufanele ahlaziye ububanzi we hepatic imbobo ezivamile: Ngokuvamile kuba 3-5 mm.

Udokotela udinga ukwazi hhayi kuphela imithetho ultrasound isibindi. Ngaphezu kwalokho, kulinganiselwa ukuthi okwamanje futhi gallbladder. Ubude omdala kuyinto 7-10 cm, nobubanzi 3-5 futhi ubukhulu -. 3-3.5 cm ububanzi Bile imbobo kufanele kube 6-8 mm, ukushuba of izindonga umzimba - 4 mm futhi ububanzi kwangaphakathi ukulingana Bile Amapayipi - kuze 3 mm. Ngokuvamile akufanele kube khona noma yimuphi izinhlangano.

Sifo Ezinganeni

Hlaziya isimo sezempilo isibindi wengane Ungaphinda usebenzise ultrasound. Kubalulekile ukuqonda ukuthi ubukhulu somzimba encike ngqo kwi eminyakeni yobudala yomntwana. Ngakho, namanoni aphezu okulungile izingane ezingaphansi konyaka kufanele kube 60 mm, it is kukhuphuke ngo-6 mm ngonyaka. Eminyakeni engu-15, inani layo ngu-10 cm begodu 18 -. Lobe kwesokudla Mayelana 12 cm izingane ezingaphansi konyaka kufanele kube 32-40 mm, likhula nge 2 mm unyaka ngamunye. Eminyakeni 15-18, ingakanani le ndawo kumele kube mayelana 5 cm. Ungazami ukusungula sitholakele ingane, ngisho uma wazi, yini okufanele ubukhulu kwesibindi kuvamile ku-ultrasound. Sokuqonda umthetho olandelwayo kumele kwenziwe ngudokotela wakho. Ngeke ngazise zonke izinkomba ndawonye, futhi uma kukhona ngeziphambeko linqume ukwelashwa okufanele.

Kubalulekile futhi ukwazi ukuthi kungakhathaliseki ukuthi ubudala kufanele kube isakhiwo iyunifomu futhi waphazanyiswa umthambo portal amagatsha awo. Bile Amapayipi futhi kufanele ibukeke kahle.

inhlolovo

Uma ufisa ukuthola uphethwe kwakwenziwa ngokunembe ngangokunokwenzeka, ke kudingeka balungiselele ultrasound. Kuyinto efiselekayo izinsuku ezintathu ngaphambi ukuziphatha cwaningo, ukulandela ukudla ukudla okuthile. Kungcono ukuqeda okunama-kilojoule amaningi ukudla, ukudla ukuthi babangela lenyuka production igesi. Lapho ukhuluphele, ukuqunjelwa eside, ukuvuvukala ngcono ngaphambi US ukwenza i enema.

Futhi, ngaphambi sitholakele adsorbent, kuyatuseka ukuba isiphuzo. Kungaba smectite, namalahle isebenze noma itiye camomile.

Ucwaningo lwenziwa, njengoba umthetho, esiswini esingenalutho. Ithanda phambi US ungadli okungenani amahora ayi-8. Uma ngizizwa ngomile uvunyelwe ukuphuza amanzi avamile ahlanzekile.

Ukuze uphethwe isiguli ukuba ulale emhlane wakhe. Udokotela esegqoka ijeli ekhethekile hypochondrium kwesokudla futhi kuholela yakhe ngedivayisi inzwa. Inqubo nakanjani kobuhlungu. Izingane kungaba ukuhlola hhayi kuphela isikhundla lisalele, kodwa ohlangothini lwesokudla noma kwesobunxele, ngezinye izikhathi udokotela ucela ingane ukuba ngeso lengqondo kangcono izithombe.

Izinkomba luhlolo

Kunezindlela eziningana izinkinga, lapho ultrasound isibindi ingenye ukuhlolwa saziso. Ukuze siqhube ukuhlola okunjalo kuyadingeka, uma wena noma ingane:

- uvele coloration icteric kwesikhumba nabamhlophe samehlo;

- kukhona ubuhlungu hypochondrium kwesokudla;

- Udokotela osola khona izimila esibindini;

- kwezinso e ukuhlolwa kwegazi, okubonisa zokugula walo mzimba;

- Ngafikelwa ukulimala, futhi umonakalo kungenzeka izitho besisu.

It is ibuye Kunconywa ukuthi ngezikhathi ezithile ahlole isibindi lapho imithi ethile noma ngokusebenzisa kabi utshwala, nezinkinga ezingamahlalakhona lokhu umzimba, esinyeni nenyongo noma amanyikwe.

Uma wazi, yini okufanele ubukhulu kwesibindi kuvamile ku-ultrasound, ungakwazi ngisho abaqondi okulotshwe amaminithi inhlolovo.

izinkinga ezingase zibe khona

Noma yimuphi ukuphambuka kusuka kuyinsakavukela isizathu ukuthi Udokotela angakwazi ukusungula uphethwe ocacile esekelwe isimo umzimba ndaba. Ukuba ultrasound kungacacisa ukuthi isihlava KWAMAGUNDANE (giardiasis esibindini), okunamafutha angakwazi umdlavuza, bheka izimila, izinhlumba. Futhi izifo ezifana ngokoma kwesibindi, ukusha kwesibindi kohlobo kungenziwa esisungulwe ngosizo lolu hlolo. Ngayinye yalezi zinkinga ibangela izinguquko ejwayelekile emzimbeni.

izifo

Ngo-hepatitis isibindi siqala ukubonisa amagagasi sibi esikrinini, kubukeka ngempela mnyama. Ngaphezu kwalokho, lesi sifo libhekene yokuthi emaphethelweni umzimba babanjwa, esisodwa noma zombili share yayo okwandisa ngosayizi. isakhiwo yayo iba inhomogeneous, njengoba libonwa ethuthukisiwe umthambo splenic futhi portal.

Ngokwesibonelo, ukwazi ukuthi yini kufanele kube ubukhulu kwesibindi ngesilinganiso of ultrasound uphethwe lingasethwa ezifana isifo sokusha. Kulesi isifo, kwandisa Lobe ngakwesokunxele noma umzimba wonke iyonke. Ezigabeni kwawo kwamuva, kunalokho, ke kunciphisa ngenxa yokuthi amaseli ziqala ukuba afe. Ngaphezu kwalokho, kukhuphuke izicubu kwabantu, isakhiwo sabo akunakudluliswa iyunifomu. Ultrasound libonisa ukuthi isibindi ifana KaMose. Lesi sithombe livela khona amabala lapho walulama izicubu. Emaphethelweni kwesibindi akuzona bushelelezi futhi lumpy, umthambo portal ubukhulu iyakhula.

Mayelana KWAMAGUNDANE helminthic kubangelwa giardia, bonisa amnyama kwesibindi - yindawo lapho izibungu, kanye avelele - ke calcifications ukuthi avele izigaba kamuva lesi sifo.

Izimila kuvele njengamadiski amnyama (hypoechoic) noma ukukhanya (hyperechoic) izindawo. Futhi nemiklamo abulalayo elibazungezile kungabonwa a usebe emnyama. Futhi, lapho izimila sigudluke esinyeni nenyongo, izindlala zamanzi ukwanda.

Lapho okunamafutha ukonakala kwesibindi kukhulile echogenicity, esithombeni qapha ultrasound apharathasi elikhanyayo nezinala ekwakhekeni nasekumeni komzimba. Kuyaqapheleka futhi ukwanda ubukhulu umzimba, wabuka esilufifi, imiphetho oyindilinga.