ʻO ka hoʻomanawanui ʻana o nā maʻi me nā maʻi e pili ana i ka hōʻiliʻili o ka mōʻaukala moʻolelo olakino, ka hoʻokolokolo hoʻokolokolo o ka mea maʻi, instrumental and laboratory diagnostic pamaagi.
Hāʻawi kēlā me kēlā me kēia kauka i ka ʻike kikoʻī loa e pili ana i ka mea maʻi a me kāna mau maʻi, hiki iā ʻoe ke koho i nā ʻano loiloi ʻoi loa ka maikaʻi loa.
Hiki ke hoʻokaʻawale i nā hana diagnostic kaha i loko o ka invasive, non-invasive a me kāwili ʻia.
Hoʻokomo ka invasive i nā fibrogastroduodenoscopy, colonoscopy, laparoscopy diagnostika, angiography (a me ka coronarography), ka cholangiopancreatography endoscopic.
Non-invasive diagnostic nā hana:
- X-rayā
- pākuʻina huaʻolelo;
- magnetic resonance imaging;
- Nā maʻi ultrasound (sonication).
ʻO ka Endosonography kahi hana i hoʻohui ʻia e hiki ai iā ʻoe ke noʻonoʻo i nā kino kūwili mai loko, a loaʻa i kahi kiʻi ultrasound o nā hana i ʻike ʻole ʻia ai ke kāmeʻa.
Kahi pono hoʻohana no ka endosonography kahi wikiō wikiō - kahi apana i pili ʻia o ka neʻe, a ma ka hopena kahi i kau ʻia ai kahi kāmeʻa, a me kahi sensor ultrasonic.
He aha nā mea e pono ai nā endosonography ma luna o ka ultrasound maʻamau? Hiki i kēia ala ke hiki iā ʻoe ke hoʻonohonoho i ke kākele i mea kokoke i ka mea hoihoi i ke kauka. E pili ana i nā ʻenehana kūlohelohe wale nō, ua lanakila kēia ala diagnostic ma muli o nā hoʻopiʻi liʻiliʻi.
Nā hōʻailona no ka endreonography pancreatic
Endosonography hiki iā ʻoe ke noi i ke ʻano o ka aneane ʻokoʻa holoʻokoʻa.
Akā inā hiki i ka ʻikepili e pili ana i ka ʻōpū a me ka duodenum hiki ke loaʻa me ka hoʻohana ʻana i ka endoscopy maʻalahi, a laila ʻoi aku ka paʻakikī o nā mea me ka pancreas.
ʻO ka endosonography Pancreatic kahi ʻano i ʻike ʻole ʻia ai kona ʻano nui. No ka mea ke kau ʻia kēia ʻōpū, no laila ʻaʻole ʻike nā wahi āpau i ʻike ʻia i ka sonography konvensional, ʻona ka hoʻohana ʻana o ka endoscopic a me ka pancreas i ka ʻike ʻana i nā wahi hiki ʻole ke loaʻa.
ʻO ka hoʻohana ʻana o ka ultrnoscopic ultrasonika o ka pancreas i nā hōʻailona ʻike ʻia:
- ʻO ka hele ʻana o nā ʻōmaʻomaʻo e ʻoluʻolu nei, ka mea e pili ai i ka ʻeha o ke kāʻei ma luna o ka ʻōpū a me ka ʻākau, hema a me ka luaʻi.
- Hoʻololi maikaʻi a hoʻoemi paha ke kaumaha.
- ʻO nā hoʻololi i ke ʻano o ka heʻe.
- ʻO ka hele ʻana o ka jaundice.
- ʻO Palpatory painless palakela hoʻonui ʻia i kahi ʻōpū he hōʻailona o Courvoisier. ʻO kēia hōʻailona ka hiʻohiʻona o ka maʻi poʻo o ka pancreatic.
- ʻO ka heleʻana o nā pūpili a i ʻole nā hoʻopili ʻana. ʻO ka Endo ultrasound o nā papa pancreatic e hiki ai iā ʻoe ke ʻike i nā mea liʻiliʻi loa a me nā calculi.
- Ke koho nei i ka heleʻana o metastases ma kahi ʻanoʻano maʻamau maʻamau.
Eia kekahi, ʻo kēia ʻano maʻi hoʻokolohua e hōʻike ana i ke kiʻekiʻe o nā loli pathological i ka pancreas e pili ana i nā maʻi maʻi e like me ka pancreatitis.
Pehea e hoʻomākaukau ai no ka endosonography?
Ma mua o ke aʻo ʻana, kūkākūkā mua ke kauka i ka mea maʻi e pili ana i ka hiki ʻana o nā alaka, a kuhikuhi pū kekahi i ka coagulogram. Pono kēia e hoʻoholo i ke koikoi koko a i ʻole ka huhū o ka mea maʻi i ka wā o ke aʻo ʻana. He mea koʻikoʻi kēia mea inā inā i ke kaʻina hana e pono ke lawe i ka biopsy, pili i ka trauma i ke kino me ka pā o kāna ʻāpana.
Paipai ʻia ʻole ʻoe e ʻai a inu ʻole ma mua o ka endosonography ʻewalu hola ma mua o ka haʻawina, ʻoiai mea he mea pōʻino o ka luaʻi. Ma ke alo o kahi endoscope i loko, hiki i kēia ke hoʻonāukiuki i ka makemake ma o ka vomit. Manaʻo ʻia nō hoʻi e loaʻa kahi enema hoʻomaʻemaʻe i ke ahiahi ma mua o ke kaʻina hana.
ʻAʻole lākou e hōʻike i ka lawe ʻana i nā lāʻau lapaʻau ma mua o ka hoʻopaʻa ʻana, ʻoi aku ka hoʻomākaukau ʻana o ka hao a me ke kalepa hoʻōla, e hiki ai ke kīnā i ka ʻili o ka wahī, e hoʻopāʻumu i ka maʻi kūpono. Akā naʻe, inā he maʻi maʻi ka poʻe e koi mau i ka lāʻau lapaʻau, hiki iā lākou ke hoʻohana, akā e holoi ʻia me ka wai liʻiliʻi.
Ma mua o kēia ʻano maʻi, hiki nō ke hoʻokaʻawale, mai ka wā e māhuahua ai ka lawena, kahi e hiki ai ke hōʻole i ka hoʻomaka ʻana o kahi endoscope.
Hana ʻia ka ultrasonography pancreatic ma lalo o ka anesthesia aoao, a i ʻole nā mea hoʻonaninani kūikawā e hāʻawi ʻia i ka mea maʻi ma mua o ka hoʻokolohua. Ma mua o ka hoʻomaka ʻana i ke kaʻina, lawe ke kanaka i kahi kūlana ma kona ʻaoʻao hema a alakaʻi i nā wāwae kūwili i kāna ʻōpū.
- Hoʻomoʻa ʻia ka lāʻau i loko o ka lumen o ka esophagus, a ʻike ʻia kona mau paia. I ka manawa like, loaʻa i ke kauka ka hana e hana ultrasonography o nā limu lymph ma kēia wahi a me ka maʻi māmā. ʻO ka hōʻike ʻana i nā kūkulu hohonu he kumu nui nui o ke ʻano kaila;
- A laila e lawe ʻia ana ka mea huli ʻikepili a ʻike ʻia nā paia o ka ʻōpū, a me ka mākaʻi a me nā pancreas;
- ʻO kahi hana hope o ke kaʻina hana i ka wahi o ka duodenum. ʻO ka Ultrasonography o kēia pūnaewele e hāʻawi i ke kauka e noiʻi i nā dile bile, nā kumu a me ke poʻo pancreatic. Inā pono, e hōʻiliʻili ʻia nā mea biopsy no ka hoʻokau moʻolelo ʻana.
Hiki i ke kaʻina hana ke manawa - mai 30 mau minuke i hoʻokahi hola.
He aha nā helu o ka pancreas e aʻo ai ke kauka i ka endosonography?
I ka wā o ke aʻo ʻana, loiloi ke kauka i ke ʻano o nā ʻano o ka pancreatic.
Lawe ʻia nā mea nui he nui no kēia kumu.
I waena o kēia mau mea loiloi, ʻo ia ka mea nui:
- ke ʻano o ka huila (i loko o nā kānaka he nui, ka ʻano o ke anatomical o nā kumulāʻau paha, he mea paha e hoʻonāukiuki i ka hana o ia mea);
- nā kinikini o ka pāʻai nui a me nā ʻāpana ponoʻī nāna e hāʻawi i ka ʻike i ke kauka e pili ana i ka loaʻa ʻana o nā pona nui i loko o ke kinipōpō - cysts, tumors, calculi;
- ka mālamalama o nā contours (nā pōkole a me nā hopena ākea hiki ke hōʻike i ka mumū i loko o nā kelepona a i ʻole nā ʻāpana e kokoke kokoke ana, nā abscesses a me nā cysts i nā alani ākea, akā, e ala aʻe i ke ʻano o ka bulge);
- Nā hiʻohiʻona hiʻohiʻona (ʻo ka pancreas he organ i loaʻa ka ʻano o ka nui o ka palaoa, echogenicity o ka gland e hui pono, ʻike ʻia ka hyperechoicity i ka pancreatitis maʻi, i ka manawa o ka nui o nā mea hoʻohui i ke kō i loko o ka hoʻopili wai.
- ka hoʻohaʻahaʻa i ka echogenicity he ʻano ʻano o ka pancreatitis akene, ka mea i hui pū ʻia e ka edema o ka lepa, akā, ʻo ka nui o ka volumetric he pinepine ka hyperechoic, ʻoi loa ka calculi, a, ʻoiaʻiʻo hoʻi, ka nui o nā cystic e nānā i ka echo-negatif a loaʻa nā kihi;
- kūlana o nā kumu pihi pancreatic.
ʻO pinepine ke kumu o ka pancreatitis ʻaʻole ia he kulekele o ka pancreas ponoʻī, akā he maʻi o ka tractary tract. I ka maʻi gallstone, nā pōhaku, ka mea nui o nā mea liʻiliʻi, e neʻe i ka papa. Hiki i kēlā neʻe ke hana i ka pale ʻana i ka puka o ka bile i kekahi pae. Inā hele ka mea ma luna o ka kahe o ka papa pancreatic, hele kahi kanaka i ka jaundice, akā inā i pau ka pōhaku ma hope o ke kumu ʻo ka pancreatic a me ka umauma bile maʻamau, pili nā pankīpile.
No laila, ʻo ka nānā ʻana i ka manawa kūpono o ka hiki ʻana o nā puka pancreatic, me nā pōhaku i loko o nā kumu o ka ʻōnaehana biliary, e kōkua i ka pale ʻana i ka hōʻeha hou i ka pili ʻana i ka lula.
Nā maʻi a me nā hoʻopiʻi o ka endosonography pancreatic
Inā paʻa nā mea maʻi i ka ʻōnaehana o ka digestive, hiki ʻole ke kaʻina hana, no ka mea, ʻaʻole i hele ke kaʻina sonication ma kēia ʻili.
Ke komo pū nei nā contraindens me ka decompensated kūlana o ka mea maʻi, ka aʻa a i loaʻa i nā maʻi koko, ka mea i hōʻike ʻia e kahi hoʻokūkū o ka coagulation a me ka trauma i ka spervical spine.
ʻO nā contraindications āpau ma muli o ka hiki ʻole ke hoʻolauna i ka mīkini ma lalo o kekahi mau kūlana o ka mea maʻi.
ʻO nā pane o ka endosonography e komo:
- huki ʻana ma muli o ka trauma i ka paia ʻāpana e ka mea;
- perfor of the hollow organ;
- nā pilikia o ka ʻōnaehana cardiovascular (arrhythmias a me ka maʻi conduction);
- kūlohelohe;
- maʻi, hōʻemi ka mea i piʻi me ka biopsy.
Hiki ke loli nui ke kumukūʻai o kēia kaʻina hana. Aia ia i ke kūlanakauhale, kaila, ka loaʻa o nā mea hana, a me ka mea loea. ʻAʻole maʻamau nā noiʻi ʻana i ka mea ʻoi aku e hewa. Ma ka mea e koho ai i ke wahi o ka hoʻokolohua, hiki i ke alakaʻi ʻia e nā loiloi o nā maʻi ʻē aʻe, ʻo ka pilina o ka haukapila i ka hale, a me ke ʻano o ke kikowaena histopathological.
ʻO kekahi loea i ka wikiō ma kēia ʻatikala e kamaʻilio e pili ana i ka maʻi a me ka mālama ʻana o ka pancreatitis.
