Ultrasound Transrectal of endlaleni: a inkcazelo, nokulungiselela kunye nengcebiso

Kwiminyaka yakutshanje, izehlo lomhlaza amalungu zangasese ikhula ngokukhawuleza. Oku kungenxa nje yokuba izifo oncological zixhaphakile ngakumbi kunanini na ngaphambili. Unobangela lokuqala lokukhula okugula kukuphucula iindlela diagnostic. Ngoku, yezindlu kweminyaka phantse wonke umntu phezu-50 ubudala ngamathuba athile kuvavanya ukumisela ngabamakishi somhlaza. Ukongeza, kwiimeko izifo olukrokrelwayo ubaleka ngathi uxilongo isixhobo esemgangathweni. Enye indlela yokwenza transrectal ultrasound. Luqhutywa kokubini kumadoda nabafazi kumhlaza kunye neenkqubo ukudumba kwi amalungu zangasese. Xa kuthelekiswa ultrasound esiswini, le ndlela ingaqwalaselwa njengemeleyo ngakumbi, kuba woluvo ikufutshane kwiinkqubo zophendlo lwezifo. Ngoko ke, cinga abasemagunyeni ukuphatha ngcono.

Yintoni transrectal ultrasound?

Le ndlela isekelwe inyathelo cuke. Njengoko usazi, le ndlela umfanekiso libhekisela nkqubo non-invasive test. amaza ultrasound bayakwazi kuchaphazela nezihlunu umzimba womntu, ngokunjalo adlule. ultrasound Transrectal (TRUs) akukho ndlela ezahlukeneyo amanyathelo kwezinye iintlobo izifundo. Umahluko kuphela kuxhomekeke kwinto yokuba woluvo lifakwa isikali, kwaye ayifakwanga phezu esiswini.

Ngenxa yokuba zonke amalaphu kufuneka ezahlukeneyo echo uxinano, ugqirha uyakwazi ukubona amalungu kwikhusi. Phambi utshintsho ukudumba okanye naziphi amatywina (iimanyano), litshintsha ultrasound picture. Oko kukuthi, iqumrhu okanye inxalenye yayo ingxinano ezahlukeneyo kwisiqhelo. Zombini esihanahanisa- kunye hyperechogenicity lubonisa ubukho inkqubo zophendlo lwezifo ukuba utshintsha isakhiwo kwithishyu.

TRUs ukwenziwa ngenxa yomfanekiso we endlaleni, ikholoni, indawo Douglas, isinye. Zonke ezi imizimba eboniswe kwi esweni kunye nezinye iintlobo ultrasound (esiswini, abafazi - transvaginal). Noko ke, xa icwangcisa woluvo kulo umfanekiso ezinqeni ngcono, ngokunciphisa umgama phakathi kwefowni kwithishyu.

Ubungqina obubonakalayo buxela ukuba transrectal prostate ultrasonography

Transrectal ultrasonography ye endlaleni yindlela ethembekileyo ukuba zokufumanis izifo wendlala. Yeyona ndlela ekhethwayo zophando, ingakumbi kwiimeko kwinkqubo oncologic olukrokrelwayo. Noko ke, ukuqeshwa TRUs akuthethi ukuba kukho umhlaza. Ngoko musani ukuphakuzela kwangaphambili kwaye wenze izigqibo ngokungxama. Kufuneka bazi ukuba xa ungena kudlule amaza ultrasound esiswini ngenxa ezahlukeneyo izicwili (eluswini, nenqatha, izihlunu). Kuphela emva koko babawela le ndlala wendlala. Ngoko ke ezimbi nzima sifo, ingakumbi xa isigulane ukuba utyebile. Transrectal prostate ultrasonography ivumela izihlandlo eziliqela ukunciphisa umgama ukusuka woluvo emzimbeni uvavanyo. Emva kokuba ndlala prostate leyo erhangqwe ukuya isikali. Ubungqina obubonakalayo buxela ukuba TRUs ezi ithi zilandelayo:

1. imfundo ebubonisayo prostatic. Le ngezifo akuve kuvamile namadoda amakhulu. Ngokutsho manani, prostate adenoma ifumaneka phantse zonke ezinye ummeli sex ngokomelela emva kweminyaka engama-50.
2. somdlavuza wendlala. Bethengisa TRUs isifo oncological yeyona ndlela iphambili kokuxilongwa. Oku kungenxa yokuba phantsi kolawulo ultrasound phando lwenziwa umzimba okuhlatywa. Ngoko ke, ugqirha ivavanya umfanekiso ultrasound kwaye yenza a biopsy. Ngamanye kuvelisa izinto ucingo (amalaphu) of izilonda.
3. Ukulungiselela ukuhlinza endlaleni.
4. nenzalo Male. Amaxesha amaninzi kukungakwazi umgquba ukuvela imvelaphi ukudumba ezigulo ezondeleyo - prostatitis.

ultrasound Transrectal ye endlaleni lwenziwa xa isigulane ikhalazela iintlungu kwindawo zikawonke wonke kunye nasemiphakathweni, uqhebeke empundwini. Kwakhona, uphononongo olwenziwe nokunyhashwa ukuchama ukuchama, induku.

Ubungqina obubonakalayo buxela ukuba transrectal ultrasonography kwabasetyhini

ultrasound Transrectal wenziwa ngaphantsi rhoqo abasetyhini ngaphezu kwamadoda. Amaninzi, le ndlela sifo lwenziwa kwiimeko kumhlaza. Ukongeza, TRUs wenza ukuba kukho amathuba iinkqubo ukudumba kwisithuba Douglas, amathumba, njalo njalo. D. Njengokuba yaziwa, isakhiwo isinqe kwabasetyhini kunye namadoda Kuthi ezahlukeneyo. Sisazi ukuba zoviwo wesibeleko kunye ezihlobene lwenziwa rhoqo, kwiimeko ezininzi, sicebisa ukuba ultrasound transvaginal. Noko ke, kwezinye iimeko, nokuthelekelela amalungu ngokusebenzisa isikali sinika ingcaciso engaphezulu malunga nesi sifo.

Le inkomba ultrasound transrectal kwabasetyhini kukuba ukufunda isithuba Douglas. Umele epokothweni peritoneum ibekwe phakathi isikali kunye esibelekweni. Ngenxa yoko, ukuba ukuvavanya urhulumente TRUs ifayibha adrectal kunye iseti sekugqibeleni zokuzala. Kuliwa phantsi kwale miqathango ilandelayo:

1. ithumba okusolwayo Douglas isithuba. Amaxesha amaninzi lo ukudumba nto ngenxa iingxaki appendicitis kunye peritonitis.
2. umhlaza ngezifo wesizalo ye isikali.
3. metastases okusolwayo ifayibha adrectal. Oku kwenzeka yamathumba xa esiswini.
4. Ukudumba isikali.
5. Amahlathi ebubonisayo phezu kodonga elingasemva wesibeleko.

TRUs Omabini abasetyhini kunye namadoda isetyenziselwa ukuvavanya imeko amalungu enzala. Nakuba kunjalo, kwiimeko ezininzi, ukuba eziviwa indlela transabdominal.

Uxilongo kwezifo zesinye ngu TRUs

Ngaphandle amalungu ngasentla kwisisu zangasese ke isinye. Le ibekwe phambi isikali. Abasetyhini bayafikelela babugubungela wesibeleko. Ngoko ke, transrectal ultrasound esinyini ndandingohlukani abantu. Kuliwa kwiimeko ithumba kukrokrelwa, ingozi kunye lingene arhabaxa. Women TRUs lwesinye umsebenzi ukuba inkqubo ngcina kwi isinqe okanye ukutyeba kakhulu. Kwakhona, le ndlela isetyenziswa ukuthintela umonakalo nenwebu ebonisa ubuntombi nto, lifakwa woluvo ikuku.

Izimo ukuba ultrasonography transrectal

akunconywa Kwezinye iimeko, transrectal ultrasonography. contraindication Absolute kule ndlela diagnostic yi atresia ezinqeni. Le malformation azalwa, apho ingquza intanethi. mgaqweni ezifanayo ukufumanisa ngemihla yokuqala yobomi. Ezinye Izimo ungumzalwana. Oku kuthetha ukuba uphando kaxakeka yenziwe. Noko ke, kubhetele ukubuyisela ezinye iindlela diagnostic. Kuba Izimo isihlobo ziquka:

1. ezinqeni Fresh aqhekekileyo. Kulo sifo, nayiphi na ukuxhaphaza ziqhutywe transrectal akuvumelekanga. Noko ke, emva kokuba unyango lwe nditshaye (isiqabu of imeko etsolo), performing TRUs kunokwenzeka.
2. Ukubakho hemorrhoids asha ngaphandle ngaphakathi isikali. Kulo mzekelo, ukuqaliswa transrectal ultrasound probe engaveli ngenxa umngcipheko yokwenzakala yegazi.
3. izakhi zoqhaqho isikali, oluqhutywa nje phambi kokuba indawo ye sifundo. Ezi ziquka naluphi na utyando: ukuvulwa kunye kutsalwe okunamafutha izihlunu, amaphecana sinus, etc ...

ultrasound Transrectal: ukulungiselela isifundo

Njengaso nasiphi na isifundo, wenza transrectal, TRUs ifuna ukulungiswa. Ukuze kufikelelwe nokuthelekelela eqhelekileyo amalungu zangasese, isikali kufuneka pre-cleaner. Ukuza kuthi ga ngoku, iiyure ezimbalwa phambi kokuba inkqubo kufuneka athathe isisu okanye enema. Ukuba ebonisa isifundo izifo ze isikali, kufuneka ngaphandle ezityiwa ukutya okuneziqholo, ezithambileyo kunye neziselo ezinxilisayo. Phambi kokwenza TRUs prostate pre-ukutya ingafuneki. Ukuba into phando esinyini, kuyimfuneko ukuba ukugcwalisa na. Ukulungiselela le njongo, kukho inkqubo yoxilongo phambi kokuba isigulane ukuba asele iilitha 1-2 zamanzi.

enza izixhobo zophando

ultrasonography Transrectal eyenziwa kwiindawo ezahlukileyo. Ukuze bazijongisise esinobubovu yesinye, isigulane ucelwa ukuba lala ngecala lakho lasekhohlo. iinyawo zakhe ngexesha elinye kufuneka maxa emadolweni kwaye licinezelwe nxamnye esiswini sakhe. ultrasound zangasese Transrectal kwabasetyhini amaninzi kwenziwa nguSihlalo proctology (okanye izifo). Ngendlela efanayo esi sifundo siqhutywa isinye. Kwezinye iimeko, le sipho umguli ukuba indawo Bozeman kaThixo. Kudla - kuba ngezifo ekucingelwa isikali.

Phambi kokuba woluvo cuke ukuba angene emjelweni ezimpundu, kuba lingcoliswa vaseline okanye igrisi okhethekileyo. Isixhobo yaziswa le mithambo ukuya kubunzulu-6 cm. Hlola emjelweni, sphincters, iindonga ilungu ezimpundu. Okulandelayo senza uphando wesinye vesicles ZakwaLizwi Zehlabathi. Kwabasetyhini, emva kokuba iimviwo isikali leyo libonwa fornix ngomva ye wesibeleko kunye nesithuba Douglas, ngoko - isinye. Zonke iziphumo engumkhenkce kwi PMFA. Emva koko ke umatshini isuswe ngenyameko isikali.

Izinto eziluncedo ze ultrasonography transrectal

Izinto eziluncedo ze TRUs ziquka:

1. Ukungabikho sesichengeni kwemitha.
2. Elula.
3. Informativeness.
4. Ukuphucula ngeso amalungu zangasese. ulwazi High ultrasound eyenziwe ngokusebenzisa isikali, luya kufikelelwa ngokusebenzisa kufutshane endlaleni kunye nokungabikho ngomaleko omkhulu womhlaba ze izihlunu elityebileyo ziyafumaneka eludongeni esiswini.

Iziphumo ultrasound transrectal

Ngenxa indlela TRUs kunokwenzeka ukuba ukufumanisa yamathumba amalungu zangasese kunye metastases nefayibha adrectal. Ngapha koko, le ndlela, izifundo ukuqikelela ubungakanani, ubukhulu kunye nendawo yesinye, isinye. iinkqubo ezithintela ukosuleleka kunye nemfundo sibekwe esweni njenge esihanahanisa- okanye kumacandelo zeethishu hyperechoic. Isiphelo kwi ultrasound-mfanekiso owenza uxilongo ezisebenzayo, womchamo, ugqirha.