ʻO ka pancreas kekahi o nā kino nui o ka ʻōpala. Pono ke kanaka i ka hoʻokaʻawale ʻana i ka meaʻai, no ka mea ke hoʻopuka i nā enzyme e like me: amylase, lipase, protease a me ka nuclease.
ʻO kekahi hana nui pono ʻole o ka pancreas o ka endocrine, ua paʻa ia i ka hana o nā hormones e like me ka insulin, glucagon a me somatostatin, e kōkua pono ana i ka pae o ka glucose i loko o ke koko.
Hōʻike ia i ka holomua o ka pancreas, i mea e hoʻomaopopo i ke kumu o kona kumu, pono ʻoe e hana i kahi mau o nā haʻawina, e komo pū ana:
- kahi hoʻopaʻa noi lāʻau o ka hana pancreatic - kahi kiʻekiʻe o ke amylase o ke koko, hiki i ka urine diastase ke hopena o ka pancreatic pathology;
- ʻO ka ultrasound, kahi e kōkua ai i ke ʻano o nā hana āpau o ka pancreas a me kāna ʻoihana (poʻo, ke kino, ʻili);
- 'ographylelo ʻia ka tomography' ōlelo a i ʻole kūlike ʻole, ua kūpono hoʻi kēia ala e ʻike i nā kiko gland, pancreatic duct, a me nā ʻano like ʻole i loko o lākou.
- kahi biopsy i ukali ʻia e ka hoʻokolohua hīmole kahi hana traumatic i hoʻohana pinepine ʻia inā he kānalua ka hana o ka hana oncological.
ʻO kēia mau ala āpau i ka hana e hāʻawi i kahi kiʻi nui o ka mokuʻina o kēia ʻano endocrine, akā, ʻaʻole ʻike nā loiloi laboratori i nā kumu ʻike a nui loa, a he mea pono e ʻike ʻia nā hana paʻakikī. No laila, ʻo ka ala maikaʻi loa e kuʻi nei, ka mālama ʻana i nā ʻili o ke kino, ʻaʻole hāʻawi i ka ʻike radiation, ʻo ia ke ʻano o ke ʻano loiloi ultrasound o ka pancreas, i hoʻohana pinepine ʻia i ka hana ma kahi gastroenterologist.
No wai ka mea i hōʻike ʻia ke kaona o ka pancreas?
Ua hōʻike ʻia kahi loiloi ultrasound no kēlā mau mea maʻi i loaʻa ka maʻi o ka pancreas a hepatobiliary tract (ate, choleretic bladder a me nā ʻano huhū wai).
Hiki i kēia mau ala ke hoʻomaka i nā kumu he nui: nā maʻi, nā hōʻeha, nā maʻi ʻaʻai, ka hōʻemi ʻana i ka wai inu.
ʻO ka maʻamau, ʻokoʻa kēia noiʻi e nā gastroenterologist a me ke kauka.
Pono ka ultrasonography pancreatic i kēlā mau kānaka i loaʻa i kēia mau hōʻailona:
- ʻO ka ʻeha a kaumaha paha i ka ʻoka ʻākau a hema paha.
- Nā ʻeha ʻeha i loko o ka ʻōpū o luna.
- Pākuʻi wikiwiki me ka liʻiliʻi helu kākau.
- ʻO ka mea ʻala ʻono ma ka waha.
- Pahu a luwale ma hope o ka ʻai ʻana i ka momona momona a me nā mea kaumaha.
- ʻO ka lilo kaumaha.
- Hōʻike pinepine ʻia i nā mea kūwī pālua: constipation a me nā maʻi o ka maʻi, bloating.
ʻO ia nā hōʻailona nei ka mea maʻamau me ka maʻi maʻi pancreatic, a koi aku i ke kauka e noʻonoʻo e pili ana i kahi maʻi maʻi. ʻOiaʻiʻo, ʻaʻole hāʻawi ka ultrasound o ka pancreas i ka ʻike piha, a ʻaʻole hana ʻia ka maʻi, e pili wale ana ma luna.
Ma kēia noʻonoʻo, pono mākou i kūkākūkā lua me kahi kauka nāna, i hoʻohālikelike ʻia i ke haukapila a me ka wehe ʻana i nā loli ultrasound i loko o ka pancreas, e hana i kahi maʻi maʻi a kuhikuhi i ka hana kūpono.
He aha nā mea e hiki ai i ke kauka ultrasound ke ʻike a maʻemaʻe e ke nānā ʻana i ka pancreas?
Hiki iā ia ke ʻōlelo e pili ana i kona nui (hoʻonui, hoʻemi,), pāʻai, ke ʻano, nā ʻano a me nā mea'ē aʻe - echogenicity (hoʻonui a hoʻoneʻe paha), e pili ana i ka loaʻa ʻana o nā volumetric formations, nā ʻōpū a me nā cysts i ka pancreas.
Hiki ke hoʻololi ʻia kēia mau loli āpau e: trauma, nā hana ʻeha, e like me ka pancreatitis, i ka ʻāʻī a i ʻole ke kani ʻana i ka maʻi, ke kanalula o nā calcium ma nā kiko o ka pancreas, ka hana oncological.
Pehea e hoʻomākaukau ai no ka ultrasound o nā ʻōpū o ka ʻōpū?
ʻO ke kau ʻole ʻana i nā hoʻopiʻi ʻaʻole kumu ke hōʻole i ka nānā ʻana i ka ultrasound, no ka mea, he nui nā hana ʻino e hiki ʻole ke hāʻawi i kahi kiʻi maʻi ma mua o nā mea maʻi āpau, a me ka mālama ʻana i nā hana mua o nā maʻi he nui loa ka traumatic a me ka palekana.
Ma kēia mea, pono ke hoʻomaʻamaʻa ʻia i ka hoʻomaʻamaʻa maʻamau ʻana i hoʻokahi makahiki i ka makahiki me ka ultrasound o nā ʻōpū o ka ʻōpū. He mea nui ia e pale ʻole i nā hōʻailona hōʻeuʻeu i ke kino, no ka mea, ʻaʻole i kū ʻole ka digestion ma muli o ka maʻi ʻawa a i ʻole nā meaʻaiʻaiʻai.
Ke maopopo i kēia ʻaʻole he maʻi maʻi pancreatic kēia, ʻo ke ala maikaʻi loa o ka hōʻoia i kona ultrasound.
Hoʻonui ka mākaukau kūpono no ka aʻo ʻana i kāna ʻike ʻike.
He mea kūpono ke nānā i kekahi mau kapu maʻalahi e hiki ai i ke kauka ke wehewehe maopopo inā pono nā mea āpau me ka pancreas.
- Hana ʻia ka ultrasound ma kahi ʻōpū ʻole, maʻamau i kahi sutra, i ʻole pono ai ka mea maʻi e pōloli i ka lā a pau. Ke nele ka ʻōpū a me ka ʻōpū, ʻike ʻia ka maikaʻi loa o ka pancreas. Inā ʻaʻoheʻelima ka mea pākahi e hana i kahi hoʻopaʻa sutra, pono ia e ʻai i nā hola 6 i mua o ke kaʻina hana. A i ʻelua mau hola ma mua o ka ultrasound, pono e haʻalele i ka wai.
- Ma kahi hebedoma ma mua o ke aʻo ʻana, ʻike ʻia kahi papaʻai e pale ana i ka loaʻa ʻana o nā hēa - eia kahi kūʻokoʻa i ka ʻai o nā pī, nā mea kanu huaʻai a me nā mea inu carbonated.
He mea koʻikoʻi kēia mau kūlana maʻalahi a maʻalahi i ka hana a ke kauka, no ka mea ʻaʻole maʻalahi ke kiʻi i ka sensor i nā ʻāpana āpau o ka pancreas.
No ka wikiwiki ka hoʻokolokolo ʻana - ʻaʻole ma mua o iwakālua mau minuke i nā kino o ke ana o ka ʻōpū. I kēia hihia, e kau ana ka mea maʻi ma kona kua, a me ke kauka, me ka hoʻohana ʻana i kahi hōʻike e hōʻike ana i ke kiʻi ma ka maka, ke hana nei i kahi noiʻi.
Hoʻokumu ʻia ka nānā ʻana i ka ultrasound e hōʻike ʻia ana i ke kaila o ka ultrasound ma o nā huina. Loaʻa nā ʻōiwi a pau o nā ʻāpana āpau. I ka wā hana o ka ultrasound, noʻonoʻo a i ʻole ka heʻe ʻana o ka neʻe ka ultrasound mai ke kino i lalo o ke aʻo ʻana, e pili pū ana me kona oho. I kēlā mau kiʻi, ʻoi aku ka kiʻekiʻe o ka echogenicity o kahi mea maʻi, ʻoi aku ka kiʻekiʻe o kona ʻokoʻa.
ʻO ka wai kapa i ka anechoic piha. E hiki nō iā ʻoe ke ʻike i nā ʻenehana i piha me ia, a me nā ʻona āpau a me nā abscesses.
ʻO ia mau hiʻohiʻona e hoʻomaopopo i ka hohonu o ke kino i ka hoʻohālikelike ʻana i nā hōʻailona maʻamau.
Nā maʻi o ka pankeras e pili ana i ka maʻi
He aha ka mea e hoʻonui ai i ka echogenicity o ka pancreas? ʻO kēia ke kumu he kumu ʻoi aku ka parenchyma o kēia ʻano. ʻO kēia ulu e ulu a kūlohelohe. Hiki i ke koʻikoʻi o ka hyperechoicity kūloko ke alakaʻi i ka hoʻopili ʻana o ka paʻakai kalima, kahi hoʻolālā volumetric liʻiliʻi. Hiki ke ʻike ʻia ka lāʻau liʻiliʻi ma ka ultrasound ma muli o kona echogenicity kiʻekiʻe. Hoʻolaha ka hyperechoogenicity me nā loli fibrotic, momona a me nā hoʻololi.
Aia kekahi mau hihia i hiki ke hoʻonui ʻia ka hyperechoogenicity ma muli o nā anuanu. Eia kekahi, ʻo ka nui o ka neʻe me ka pili me ka makahiki, ʻaʻole pono e mālama ʻia ia mau loli.
Me ka heterogeneity o ka parenchyma ma ka ultrasound, ʻo ke kiʻi i kāua i kāwili ʻia.
ʻO ka pancreatic hypoechogenicity e hōʻike paha i ka edema pancreatic, kahi e hiki ai i ka maʻi pancreatitis a me nā maʻi o kahi kokoke. Eia kekahi, ʻo ka hōʻemi o ka lahilahi ke ʻike ʻia me ka hyperplasia gland.
Hoʻonui ʻia ka echogenicity o ka pancreas i nā maʻi e like me ka pancreatitis kūloko, ma muli o ka hōʻola ʻana o ka ʻaila ma o ka hoʻopili hoʻohui, i loaʻa kahi kūʻokoʻa nui aʻe ma mua o ka pūnaewele glandular o ka pancreas. Akā, mai noʻonoʻo koke e pili ana i kēia maʻi maʻi. ʻO ka pancreas kahi lālā react e pane ana i kekahi loli i ke kino o ke kanaka. ʻO ke koʻikoʻi, ʻo ka hala ʻole o ka meaʻai, hiki i ke anu ke hoʻowalewale i ka edema pancreatic liʻiliʻi.
Inā hoʻohui i ka hyperechoogenicity ʻaʻohe loli ʻē aʻe, e like me ka hoʻonui ʻana i ka nui o ka pancreas, ka loaʻa ʻana o nā inclusions, a laila hiki i ka loli a i ʻole kahi maʻi e like me ka lipomatosis hiki ke hāpai ʻia. ʻO kona hana nui ka hiki ʻana o ke kāwele laupili me ka kiko adipose. Inā, ma kahi o ka hyperechoogenicity, ke emi ʻana o ka nui o ka pankreas e hui pū, ʻo ia kahi hōʻailona o kāna fibrosis.
ʻO ka pancreas kahi iwi ʻōpala a palupalu i lilo i mea koʻikoʻi i ke kino o ke kanaka, no laila he mea nui loa ia e nānā i kona olakino a me kekahi manawa hana i ka ultrasound pale. A ʻo ka mālama ʻana i ke olakino olakino a me ka meaʻai kūpono e kōkua i ka lawe ʻana i ka ukana i nui mai kēia kino a e hoʻoikaika i ka hana ʻana.
Hāʻawi ʻia nā ʻike e pili ana i nā hōʻailona o ka maʻi pancreatic i ke wikiō ma kēia ʻatikala.
