Kapa o ka pancreas

ʻO ka pancreas kahi ʻāpana koʻikoʻi i loko o ke kanaka o ke kuleana no ke kō koko, hoʻoponopono i ka metabolism, a hoʻoulu i nā enzymes no ka hoʻāʻo ʻana i ka meaʻai. Aia ia ma nā ʻāpana hohonu o ka ʻōpū o ka ʻōpū, no laila aneane hiki ʻole ke nānā pono i ke kino i ka hoʻohana ʻana i nā hana non-instrumental, no ka laʻana, ma ka palpation. Hiki wale ke nānā i ka mea wale nō inā he hoʻonui nui ʻia. No laila, kokoke ke ala hoʻokahi e hiki ai iā ʻoe ke hōʻoia pololei i kona ʻano he ultrasound o ka pancreas.

ʻO ka ultrasound kahi ala hou o nāʻike ʻike kino a me nā ʻili e hoʻohana ana i nā nalu kani.

Nā hōʻailona no ka ultrasound

Ma lalo o ka mana o nā kumu he nui (ke ola kūpono ole, ka uahi ʻana, ka luhi maʻamau), hiki ke hana ʻia nā hana a me nā hana. I ka wā e hoʻomaka ai, hoʻomaka ka mea hopohopo e pili ana i ka ʻehaʻeha koʻikoʻi, nā kui nui a me ka luaʻi. No ka mea ua kūpaʻa ʻia kēia mau maʻi i nā maʻi nui o ka ʻōnaehana a me ka pēpē o ka gastrointestinal, ua ʻōlelo ʻia ka ultrasound o ka pancreas a me nā ʻōpū o ka ʻōpū i nā maʻi.

ʻO nā hōʻailona nui no ka ultrasound o ka pancreas:

• ʻeha ka ʻeha ma ka ʻaoʻao hema hema a me ka ʻaoʻao hema;
• ʻeha i ka wā o ka palpation o ka ʻōpū;
• hana ʻeha i ʻike ʻia e ka gastroscopy;
• mau ke ʻana o ka ʻāhaʻi a me ka luaʻi;
• maʻi a me nā maʻi ate;
• hoʻomāweliweli a me ka huʻa;
• nā ʻōpū o ka ʻōpū;
• nā kānalua a i ʻole pancreatitis;
• nā hōʻike hōʻike hōʻike e hōʻike ana i nā maʻi maʻi kino;
• jaundice.

ʻO ka Ultrasound ka māmā a me ka maʻalahi o ke ala no ka nānā ʻana i ka pancreas.

Hoʻomākaukau mākeke

I mea e loaʻa ai ka hopena ʻoi loa, pono e hoʻomākaukau pono no ka nānā ʻana i ka ultrasound. Ma mua o ke aʻo ʻana, ʻōlelo ʻia nā maʻi āpau e nānā i kēia mau lula:

• ʻEkolu mau lā ma mua o ka pā ʻana i ka ultrasound, e nānā pono i kahi meaʻai paʻa, ʻaʻole ka waiho ʻana i nā ʻai ʻai, nā huaʻai, ka limu, sodas, ka waiū, nā huahana palaoa a me nā huahana ʻē aʻe mai kāu kīʻaha e hoʻonāukiuki i ka hoʻomake ʻana o ka ʻaina i loko o ka ʻawa.
• Hana i kahi ultrasound ʻaʻole ma mua o 12 mau hola ma hope o ka pāʻina hope.
• I ka lā o ke aʻo ʻana, mai inu i ka hoʻohana ʻana i ka lāʻau lapaʻau a me ka waiʻona.
• I ka hihia o ka hoʻonui ʻana i ke kinoea a me nā maʻi kīwaha, pono e hōʻoluʻolu ʻia ka ʻōpū a me nā ʻōpū ma o ka lawe ʻana i nā lāʻau lapaʻau kūikawā.

ʻAʻole paʻa ka manawa no ka ultrasound a hiki iā ʻoe ke hoʻonui i ka ʻike o ka ʻike

Pehea e hana ai ka ultrasound pancreatic a he aha ia e hōʻike ai?

ʻO nā hoʻokolohua ultrasound o ka pancreas e hana maʻalahi me ka wikiwiki. ʻAʻole hana ʻoi ʻia nā kaʻina hana ma mua o 10 mau minuke.

I ka wā o ke aʻo ʻana, kau ʻia ka mea maʻi ma luna o kahi moena a hoʻopili ʻia kahi gel kūikawā i loko o kahi ʻōpū. A laila, e hoʻohana ana i ka hōʻaiʻu ʻōiwi kūpono, ʻike ʻia kahi huelo, nā hopena e hōʻike ʻia ana ma kahi mākaʻi kūikawā. I kekahi mau manawa, hana ʻia kahi scan ultrasound ke kū ana a i ʻole e noho ana, akā hoʻi a laila ʻaʻole i hōʻoluʻolu ʻia ke kanaka.

Mahalo i kaʻenehana loea hou, hiki i ke kauka ke ʻike i ka pancreas i nā ʻōkuhi like ʻole a hoʻomaopopo pono i kona ʻano.

Hoʻomaʻi pinepine ʻia ke kūlana o ka pancreas i ka uhai ʻana i nā hana o nā ʻōiwi ʻē aʻe (ate, ʻōpū, ʻōpū). No laila, i ka wā o ke aʻo ʻana, hiki i ke kauka ke hoʻolōʻihi i nā ʻokoʻa ʻē aʻe.

Nānā i nā pancreas i kahi sonogram

Ma lalo o ka kaohi o ka ultrasound, hiki iā ʻoe ke hoʻomaopopo i kēia mau ʻano pilikia a me nā maʻi.

• lōkohu
• nā cyst a me nā pseudocysts;
• lipomatosis;
• fibrosis;
• ka hoʻomaikaʻi ʻana i ka mānoanoa pālua.

ʻO ka ultrasound o ka pancreas hiki ke hōʻike wale i ka hele ʻana o nā cysts a me nā puka hou i ke ʻano o ke kino, hiki ke hoʻomau ʻia ke kūpaʻa ʻana o ka maʻi o ka maʻi ma hope o ka biopsy a me ka loiloi histological o nā kiko.

ʻO ka laweʻana i ka ultrasound o ka pancreas i nā pākeke

I ka pau ʻana o ka ultrasound, ua kuhikuhi ke kauka i kahi sonogram - kahi kiʻi paʻi paʻi kiʻi o ka ʻōpū o ka ʻōpū, kahi e ʻike ʻia ai nā contours, ke ʻano a me nā hiʻona o ka pancreas. Hoʻopili mau ʻia kahi wehewehe ma ka sonogram, e hōʻike ana i nā ʻano piha o ke kino. Ma kahi kikoʻī:

MRI ʻO pancreatic

• kahi o nā wahi o ka pancreas i pili i nā ʻokoʻa ʻē aʻe;
• kona kumu a me kona nui;
• ka hele ʻana o nā cyst a me nā hana ʻē aʻe i ke kino;
• echogenicity o nā lau;
• hangangaʻi poʻo a me ke poʻo.

E kamaʻilio e pili ana i nā hana o ka pancreas, ʻike nā kauka i ka mea mua, ʻo ka mea mua, pono ke kino i nā contours a me nā pākaʻi. Eia kekahi, i ka nānā ʻana i kona ʻano, pono e ʻike ʻia nā ʻōnaehana, a pono ka homogeneous i nā ʻoka huapalapala.

Papa "Hōʻike i nā kumu o ka pancreatic i nā wahine a me nā kāne"

ʻO ka nui maʻamau o ka pancreas i nā pākeke he 12-22 cm ka nui, a ʻo ke kaupaona o ke kino ma waena o 70-80 g.

Nā hōʻailona nui i nā keiki

I mua o nā hōʻailona, ​​hiki ke hoʻokō ʻia kahi ultrasound o ka pancreas a i loko o nā pēpē pēpē.

Me ke kōkua o ka nānā ʻana i ka ultrasound o ka ʻōpū o ka pūpū, hiki ke hoʻomaopopo i nā ʻōlaʻi congenital i ka wā ʻōpiopio, a no laila, e hoʻomaka i ka mālama ʻana i ka manawa

Kūlike nā kumu maʻamau i nā keiki i ka makahiki, ka wahine a me ke kiʻekiʻe o ke keiki.

Papa "ʻO ka nui o ka pancreas he maʻamau i nā keiki"

Hoʻokuʻu mai ka maʻamau a me nā kumu hiki

Ma hope o ka pau ʻana o ka ultrasound, loaʻa i kēlā me kēia maʻi ka hopena. ʻAe, ke pau nā mea a pau. Akā aia mau mau hihia i ka hopena o kahi kuhi ʻia kekahi hewa. ʻO ka laʻana, hoʻololi i ka palaka a pakanui parenchymal paha.

Hoʻolaha i nā loli

ʻO ka hoʻololi i nā loli he maʻamau ka maʻi maʻamau i ʻike ʻia i ka wā e nānā ai i kahi ultrasound. Aia i ka pae a me ke ʻano o nā patology, hiki ke loli ka hoʻololi ʻana i nā hoʻololi o ka pancreas, akā ʻo ka mea pinepine loa ia i ʻike ʻia i loko o ke ʻano o nā hoʻololi i ke ʻano o ka nui a me nā contours o ke kino.

ʻO nā kumu kumu nui o nā hano hoʻohālikelike nā maʻi a me nā ala o ke kino o ke kino, naʻe, hiki hoʻi i kahi mea hoʻonāukiuki ke:

• hoʻomanawanui;
• diabetes mellitus;
• hoʻokaʻa hana;
• nā cystic fibrosis;
• siderophilia;
• ala helehelena ʻole.

Hoʻololi i nā loli - ʻaʻole kēia he maʻi maʻi, akā ʻo kekahi o nā hōʻailona hiki i ka maʻi

ʻO nā ʻōhumu palupalu o ka pancreas he hōʻailona pinepine ia o ke kuni ʻana. Hiki nō hoʻi i ka Edema ke hana hewa i kahi ʻōpala i kahi kokoke, no ka laʻana, ka ʻōpū.

Eia nō kekahi, ʻo nā kumu o nā contourven hiki ʻole ke liʻiliʻi liʻiliʻi (cysts a me nā pihi interstitial) e noho ana i loko o ke ana kino. Akā ʻo ka hoʻopiʻi kūloko o nā ʻāpana o ke kino o ke kino - ke poʻo, ka ʻili a me ke kino paha - hiki ke hoʻokuʻi ʻia e kahi ʻōpū. ʻO ka palaka ke hōʻeha a hōʻeha paha. Inā pū me ka sila hōʻailona, ​​e hōʻike ana i kahi ultrasound o ka pancreas, loaʻa kahi hoʻonui o nā papa, hoʻonui i ka echogenicity, ke hoʻololi ʻana i kekahi mau wahi me ka kiko fibrous, pono ia e hana i kekahi mau haʻawina hou e haʻalele ai i ka oncology.

Ma kahi o ka ʻike ʻana o ka cyst, ka hoʻoulu ʻana i ka pume, polyps, ua hāʻawi ʻia nā mea maʻi i ka hoʻokipa endoskopika o ka pancreas, kahi e hiki ai iā ʻoe ke hōʻike pololei i kahi o ka lesion a hana i ka puncture kiko

I ka mea i hoʻomohala ai i kahi cyst, abscess, ka haʻalele ʻana i ka kahe o nā enzymes, e hōʻike ka nalu ultrasonic i kahi pae echo-negative, aia i ka papa ke kū like me kahi wahi keʻokeʻo. Inā hoʻomaʻemaʻe keʻokeʻo ka pancreas ma ka ultrasound, hōʻike kēia i ka hoʻomohala ʻana o ka maʻi pancreatitis maʻa.

Hoʻololi nā Parenchymal

ʻAʻole e like me ka hoʻokaʻawale ʻana, me nā loli parenchymal, ʻaʻole i hoʻonui ʻia ka nui o ka nui a me ka hele ʻana o nā ʻanoʻano like ʻole i ka pankreas I kēia hihia, ke kamaʻilio nei mākou e pili ana i ka loli homogeneous o nā kaila o ke kino, ke kumu o ia paha:

• ka huʻi a i ʻole ke ʻano paʻakikī o ka pancreatitis;
• diabetes mellitus;
• Lipomatosis.

ʻO kekahi mākaʻikaʻi ʻē aʻe ka mea nui o ka waiwai nui ʻo ia ka echogenicity. ʻO ka hoʻololi ʻana i ka echogenicity i loko o nā kiko o ka pancreas kekahi o nā hana koʻikoʻi koʻikoʻi, kahi e hōʻike ana i ka loaʻa ʻana o nā pathologies a me nā maʻi. Inā hāpai ʻia, a laila e hōʻailona pinepine ʻia kēia:

• fibrolipotamosis;
• ka maʻi ʻaʻeha mau a paʻa paha;
• nā hana neoplastic;
• hoʻonāukiuki me ka hiki o ka fibrosis.

Nā maʻi pancreatic

ʻOiai ka mea nui o nā hopena o ka ultrasound i ka hoʻomaka ʻana o ka hoʻokalakupua ʻana i ka pancreas, hiki i ke kauka ke hana i kahi maʻi kūkaʻi wale nō ma hope o kahi loiloi piha ʻana o kahi maʻi maʻi, ka hoʻohui pū ʻana o ka mōʻaukala olakino, nā loiloi o ka make, ka ultrasound endo, a me ka tomography hoʻopiʻi.