Loaʻa nā palaki pancreatic i ka ultrasound: he aha ia?

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ʻO ka pinepine, ma hope o ke kau ʻana i ka diagnostics ultrasound o nā ʻōpū o ka ʻōpū, lohe nā mea maʻi i ka hopena ʻo ke ala ʻole o nā contre o ka pancreas i palaka like ʻole a hoʻonui ʻia ka echogenicity.

ʻAʻole mau kēlā hopena hoʻonā i hōʻike i kahi maʻa nui. I kekahi mau hihia, ua loli iki kēia hōʻailona a ma hope o ka hala ʻana o kekahi manawa.

Akā hiki ʻole ke kahuli ʻia kēia mokuʻāina.

ʻO kekahi mau kūlana kānalua e koi ʻia kahi noiʻi a me ka maʻi maʻi, me ka hopena o ka contours o nā pancreas me ka ʻoluʻolu a i ʻole.

ʻO ka diagnostic Ultrasound ka mea kaulana loa, ʻano kumu ʻole non-invasive no ke aʻo ʻana a me nā maʻi o nā waihona he nui, a ʻo nā ʻōnaehana pū kekahi.

ʻO kēia hiki i ke ʻano o ke ʻano o echogenicity. Hōʻike ia i ka hiki o nā kino ke hōʻike i ka ultrasound i kuhikuhi ʻia mai ka sensor.

Hoʻokomo ʻia kekahi ʻano mele e kekahi ʻano kauhā a me ke ʻano. Ma ka hoʻolālā, hiki i kahi mea maʻi ke homogeneous a heterogeneous. ʻO ke ʻano echogenic kahi o ka pae like.

Hiki i ke Hyperachogenicity ke hoʻonui he nui i ka maʻa o ke kino ma lalo o ka hoʻokolokolo. Inā kūlike ka ʻōmaʻomaʻo o ka ʻaoʻao o ka papa pancreas ma kahi ka nānā ʻana i ka ultrasound scan, e hōʻoia pinepine kēia i nā loli o ka fibrotic.

I ka manawa hea e kū like ai kahi hoʻololi like ʻole?

ʻO ka maʻamau, ʻo nā pancreas a me nā organ parenchyma e ʻike maʻalahi i ka ultrasound.

Akā ma lalo o kekahi mau kūlana a me nā maʻi, kahi wavy ākea, scalloped sudut a me nā hoʻololi hou i ka echogenicity hiki ke hōʻike.

Hiki i nā hoʻololi ke kūloko a ʻokoʻa paha.

ʻO kēia nā kuhikuhi koʻikoʻi koʻikoʻi no ka hoʻonohonoho ʻana i ka prevalence o kahi kaʻina.

Ka neʻe ʻana ka hana pālahalaha me nā ʻaoʻao penei:

  1. Puffiness a anasarca paha. ʻO ka Edema o nā mea kūloko e hoʻopau me ka pōʻino maoli iā lākou a i ʻole ka pōʻino kalepa ma ka hihia o ke ʻano o ke kino o kekahi meaola. Hele ka edema maʻamau i ka hihia o ka pancreatitis. I kēia hihia, ʻo ka huehue kahi hōʻailona no ka hoʻomaka koke o ka mālama. ʻO Anasarca kahi edema o nā kino āpau a me nā lau o ke kino, me ka pancreas. Hoʻopilikia kēia ʻano ma muli o nā hōʻino koʻikoʻi o ka ʻōnaehana cardiovascular a i ʻole ka hoʻoponopono molalela.
  2. Autolysis a i ʻole necrosis o ka nui o ka pancreatic. He hōʻano paʻakikī loa kēia, ʻo ka hopena o ka maʻi pancreatitis. I kēia hihia, make nā mea ola a pau o nā mea make, a ʻaʻole maopopo ka ʻē aʻe o ka pancreas. Hoʻololi ʻia ʻo Autolysis me ka hoʻokuʻu ʻana o ka nui o nā huina i loko o ke kahe wai. Ma ka hōʻike koko, ʻike ke kauka pehea e hoʻonui ai ka hana o ka enzymatic i ke koko.
  3. ʻO ka momona momona i hoʻonā ʻia o ka maʻi pancreatic. I kēia hihia, hoʻowalewale ʻia nā sela hana e ka lālā adipose kahe ʻole. Kūleʻa ke kaʻina hana a ʻaʻole i hele ʻia me nā hōʻailona koʻikoʻi.
  4. ʻO ka maʻi diabetes mellitus type 1, ʻoiai ʻo ia ke ʻano o ka hormonal, he alakaʻi pathological. I ke ʻano o nā maʻi mua, pili maoli ka make o ka mokupuni o Langerhans ma waena o ke kumumanaʻo a he mea ʻike ʻia kēia ma ka scan ultrasound.
  5. ʻŌnaehana ʻōnaehana a ʻālaʻi metastatic paha. E hoʻokaʻawale i ke kanesa, pono e hana ʻia kekahi mau haʻawina e like me ka MRI, CT, a me ka biopsy.
  6. Palapala ʻole nā ​​Polycystic a i ʻole he nui nā okoa organstst. Kūpono ka nānā ʻana i kēlā me kēia kulekele ʻano a me kahi aniani kūpono, ʻike ʻia i ka maʻi o ka maʻi e like me ka cystic fibrosis.

ʻO ka hoʻohui, ʻike ʻia ka ulu ʻana o kahi kaʻina hoʻokaʻawale ʻia me nā fibrosis organ. Hōʻike ʻia kēia maʻi ʻaʻole wale e ka echogenicity kiʻekiʻe, akā akā ma ka hoʻemi ʻana i ke kino ponoʻī.

He aha ka hyperechoogenicity kūloko?

ʻO ka hyperechoogenicity kūloko he wahi pancreatic me ka kiʻekiʻe acoustic density.

Hōʻike kēia hanana i nā hihia.

ʻO ka hiʻohiʻona maʻamau ka hiʻohiʻona o ka hyperechoogenicity kūloko i ka wā o kahi hoʻokumu o kahi pōpiki hoʻokahi, kahi hōʻailona o kahi mōʻaukala o ke kino gland.

Eia kekahi, ua loaʻa kahi hopena noiʻi i ka wā e ʻike ʻia ai ka ʻōpū:

  • kalakalia, ke kahua o ke gasification, ma muli o ke ʻano o ka maʻi o ka pathology;
  • ka hōʻiliʻili o ka kiko adipose;
  • nā hopena momona i hoʻokumu ʻia ma muli o ka ho'ōla ʻana o ka io necrotic;
  • pancreolithiasis, ai ʻole ka hoʻonohonoho ʻana i ka pōhaku i loko o ke kino;
  • maʻi pākaukau pancreatic, he tuberous papa;
  • metastases kekona ma oncology, pinepine nā pōmela i ka wā o ka imaging;
  • ka hemo ʻana me kahi kaʻina purulent infectious o kekahi mea ʻokoʻa, pinepine me ka staphylococcal sepsis.

ʻO ke kūlana hope loa he mea weliweli loa no ke kino.

He mea kūpono hoʻi no ka hoʻomanaʻo ʻana o ka hopena o kahi loea ultrasound ʻaʻole he maʻi a koi hou i nā ʻōlelo lapaʻau hou aʻe. Hoʻokomo ʻia nā ʻano like ʻole i nā loli i ke ʻano, kahi ʻāpana hou, a me ka pālua ʻana o ke kino. ʻO ka mea nui ka hana koʻikoʻi o ka mālama ʻana i ka hana exocrine a me ka endocrine.

I waena o nā mea ʻē aʻe, aia ka abnormalities congenital o ke kino ʻaʻole i manaʻo i kahi pōpilikia i ke ola o ka mea maʻi.

Ka hoʻomākaukau ana no kahi ultrasound a he aha ke ʻano o ka pancreas maloloina

I mea e noiʻi ai a loiloi i nā loli like ʻole o ka pancreas, hōʻiliʻili ʻia nā loiloi e like me nā ʻōlelo aʻoaʻo a pau. ʻO ka hopena kūpono ka hana koke o ka sonologist a me ke koho ʻana i ka mālama ʻana i ke kauka hele mai.

Akā ʻo kahi hoʻomākaukau kūpono ʻole o ka mea maʻi e alakaʻi i kahi hopena diagnostic pono ʻole a me ka mālama kūpono ʻole.

ʻO ka mea mua, pono ke maʻi e hahai i nā ʻano o nā ʻōlelo aʻo aʻe:

  1. ʻAʻole koi ʻia e ʻai i ka meaʻai 12 mau hola ma mua o ke kaʻina hana.
  2. Ma ka pō o ke aʻo ʻana e hoʻokaʻawale i nā ʻāpana.
  3. Hana ʻia ka Ultrasound ma kahi ʻōpū ʻole a i ke kakahiaka.
  4. I kekahi mau lā ma mua o ke kaʻina hana, ʻaʻole haʻalele ka mea maʻi mai ka meaʻai i nā huahana āpau i kōkua i ka hoʻokumu kino kino.
  5. Inā palupalu nui ka mea maʻi, a laila pono pono e lawe i ka ʻōpū.

Me ka nānā ʻana o ka ultrasound, ua komo kūpono ka hui no ka nānā ʻana. Loaʻa ʻia nā ʻāpana āpau.

Ma ke ʻano, hoʻohālikelike ke kiko i ka hua o ka ʻōlelo Pelekane "S".

ʻO ka kelepa olakino ʻē aʻe i nā hana maʻamau, hoʻōla ʻia nā paia maʻamau. Ua pololei ke kaapuni me ka ʻole o nā keke mai ke ʻano.

I ka hana, homogeneous ke kumukanawai i ka nui o nā hihia, akā aia kekahi mau inclusions hyperechoic i loaʻa.

ʻO nā mea kokoke ke hele aku, ua ʻike ʻia, ʻo ia hoʻi nā puʻuwai, nā pākīpī, a me nā puʻuwai.

Hiki pinepine ke loli i kēia mau ʻōpū i ke kālai ʻana o ke ʻano o ka pancreas.

He mea kūpono no ka hoʻomanaʻo a inā paha he mau hōʻailona kānalua i ka ultrasound, pono ʻoe e makaʻu. Kū pinepine kekahi maʻi ʻoi loa i ka nui o nā hoʻokolohua a me nā hoʻokolohua, mai kahi hoʻāʻo ʻana i ke koko maʻalahi a hiki i ka trepan biopsy o ke kīpē.

Ma hope o ke kaʻina hana, kāpili ka sonologist i ka heluhelu ʻana o ka sensor no kahi manawa pōkole a hoʻolaha i ka ʻōlelo i ka mea maʻi.

Kūkā ʻia nā hōʻailona o ka maʻi pancreatic i loko o ke wikiō ma kēia ʻatikala.

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