US of spleen kunye nesibindi: iimpawu zokulungiselela, uphando, ukuchonga

Kwenzeka ukuba isigulane siphendule ugqirha, singayazi indlela yokuchaza apho ibuhlungu khona. Ibinzana elisoloko (rhoqo) isisu sibuhlungu, asinakho ulwazi oluninzi malunga neengcali. Nangona kunjalo, kubalulekile ukufumanisa imbangela yentlungu, kwaye ugqirha ubeka iimvavanyo, kunye ne-ultrasound yethleen nezinye izitho zangasese.

Yintoni i-ultrasound?

Uphando lwe-ultrasound yindlela yokufumana ulwazi malunga nelilungu lombutho ngaphandle kokungena kwesoxhobo kwisigxina sangaphakathi somzimba. Indlela esekelwe kwimpembelelo ye-piezoelectric ehambelana nentshukumo yamaza ase-ultrasonic isekelwe. Inkqubo ikuvumela ukuba ubonise iqumrhu phantsi kokufundwa, funda ubungakanani balo, qwalasela iziphene kwaye ubeke isigqibo ngokubanzi.

Kutheni i-ultrasound yerenti

Izibonakaliso zokwenza i-ultrasound yethleen zininzi kakhulu. Ugqirha uya kubeka inqubo ukuba uyayikrokra umonakalo kwiqumrhu kwaye kungekhona kuphela. Kukho lonke iqela lezifo apho uphando olunjalo lwenziwa rhoqo. Yenziwa ngexesha leenyanga ezintandathu okanye ngonyaka.

I-ultrasound yesibindi kunye nepen echanekileyo rhoqo kwi-pathologies elandelayo:

• Ama-Anomali kwiziko lophuhliso;
• Igazi legazi;
• Ubunzima okanye izihlamba ezibi okanye ukusola kobukho babo;
• Ukuqwalasela indawo echanekileyo ye-metastasis;
• I-Cirrhosis;
• I-hepatitis;
• Izifo ezithintekayo.

Iinkqubo zenziwa ngaphandle kweendlela eziyinkimbinkimbi, kodwa kukho ezinye iingcomo zonyango malunga nokulungiswa kwe-ultrasound yesibindi kunye nesantya.

Ngokukodwa kubalulekile ukucacisa, ukuba abantwana ukuba bachithe i- palpation evamile ye-link akunakwenzeka. Ngoko ke, nangona nasiphi na isikrokreko soxinzelelo okanye ukugula, i-ultrasound imiselwe. Le yodwa indlela yokuqinisekisa okanye ukuphika ukwesaba. Abantwana balungiselelwe inkqubo ngendlela efana nabadala.

Amanyathelo okulungiselela

Ukuba isigulane sinikwa i-spleen ultrasound, ukulungiswa kulandelayo:

1. Ukubhalwa phantsi kwe-US kungcono kusasa. Isidlo sokugqibela sinokubakho ubuncinane kwiiyure ezingama-9 phambi koviwo. Izigulane ezinesifo sikashukela zinokuyiphuza itiye encinci kwaye zidle isonka esincinane esomileyo, njengokuba yindlala yesikhathi eside iphikisana.
2. Kwiintsuku ezi-2 ngaphambi kokuba i-ultrasound isetyenziswe ukutya. Akubandakanyi imifuno eluhlaza, iimveliso zobisi, isonka kunye nemigqabi. Ukuthintela okunjalo akuyiyo ingqungquthela yogqirha, bavumela ukuphepha ukuvuthwa emathunjini, okuthi, xa ipeni i-ultrasound, ikhusela ilungu, ingavumeli ukuba lihlolwe.
3. Ukwandiswa kwegesi okwandisiweyo umntu ukongezwa ukuba afumane ikhabhoni esebenzayo. Isisombululo sibalwa ngabanye. Kuzo zonke i-10 kg zesisindo somzimba, ithebhulethi eli-1 ithathwa.

Kunzima kunzima ukuqhuba uviwo lwekhwalithi kubantwana. Abantwana abayinyamezeli indlala, ingakumbi iintsana kunye neentsana ezingaphantsi kweminyaka emithathu. Ekulungiseleleni isifundo, ukuphuka ekunceliseni umntwana kufuneka kube ubuncinane iiyure ezintathu. Umntwana, oneminyaka engama-2-3 ubudala, kufuneka ahlupheke iiyure ezingama-4, kunye nabantwana abangaphezu kweminyaka emithathu-ubuncinane iiyure ezingama-6. Iingcebiso ezisele zenziwa ngendlela efanayo nabantu abadala.

Xa kuqeshwe i-ultrasound yethleen, ukulungiselela uviwo kuya kuba nekhwalithi engaphezulu, ukuba iintsuku ezimbini ngaphambi kwenkqubo yokutya isahlulo. Iingxenye zokutya kufuneka zibe ziphantsi, zidle kangcono zonke iiyure ezine.

Ukulungiselela i-ultrasound yesibindi akufani kakhulu nezenzo ezingentla. Amanyathelo afanelekileyo athathwa kuphela ngabantu abanezinga eliphezulu lokukhuluphala. Ziyanconywa ukuba zihlambulule ukuhlaziywa ekuseni nakusihlwa ekupheleni kwenkqubo.

Izibonakaliso eziqhelekileyo, umbhalo

Ukuba i-echogenicity ephakathi ibonakaliswe kwifom ye-ultrasound yovavanyo, inetha elingasetyenzisiweyo elisezantsi kumasango omzimba, umvini we-splenic malunga ne-0.5 cm ububanzi, ukuma kweso sakhiwo kugobile, kwaye ukubekwa kwayo kuluhlu oluphezulu lwesigxina, ngoko omnye unokuhlaziya. Okuqhelekileyo.

Ngexesha leemviwo kuyimfuneko ukunquma ukuba i-spleen yanda. Ubungakanani bomzimba bunquma i-ultrasound kwi-oblique incision - ngaphakathi kwe-12 cm, kwaye kwi-transverse-ngaphakathi kwe-8 cm.

Ukuchonga ubungakanani obuqhelekileyo bentwana yabantwana

Ukuba ugqirha wakwazi ukuva utyana lomntwana ngethuba, ilungu liyakwandisa phantse amaxesha angama-2. Ukongezelela, kukho itafile eyisibonelo edibanisa ukukhula komntwana kunye nobukhulu ukuba ipenethi yakhe ifanele ibe nayo. Ubukhulu be-US abadala baqaphela ngokubonakalayo, kwaye umgangatho wabantwana kufuneka ukhangelwe ngetafile ekhethekileyo. Kulo, umzekelo, kuboniswa ukuba ngo kunyuka kwama-60-69 cm ubude beenteni buya kusuka kwi-47.8 ukuya kwi-61.3 mm. Nanku ubukhulu nobubanzi belilungu. Isinyathelo setafile - nganye 10 cm yokukhula.

Iimpawu zepathological of pen

Ukuba isigulane sinomdlavuza we-leukemia, ngoko uvavanyo lwe-spleen luyakubonisa oku:

• Ukuguqulwa kobukhulu bequmrhu (ukwanda);
• Umda ogqithiseleyo wepen;
• Ukugqithisa ngokweqile kwinqanaba;
• Ukwanda kwenani;
• Ukuvuvukala kwama-lymph nodes kummandla wamasango esite.

Ukuba kukho i-abscess, ukufundwa kwe-ultrasound kuya kubonisa:

• Utshintsho kwi-echostructure (ixutywe okanye i-hypoechoic);
• Ukubonakala kwe-cyst.

Ukuba ukulimala kubangelwa kwaye kukho i-hematoma okanye ukuphulwa kwelungu, uviwo luya kubonisa:

• Shintsha kwi-echostructure (ixutywe okanye i-anechogenous);
• Iingqungquthela ezingavumelekanga;
• Ukubonakala kwe-fluid kwi-peritoneum okanye ngaphantsi kwe-diaphragm.

Uvavanyo olufike ngexesha luya kukuvumela ukuba ufumane unyango oluchanekileyo kwaye uququzelele unyango lwesigulane.

Iimpawu zeNorm kunye neentsholongwane ze-ultrasound yesibindi

Ukuba isigulane sine-ultrasound yesibindi, ngoko ubukhulu be-lobe elungileyo-ukuya kwi-12 cm, i-left-up ukuya kwi-7 cm, i-bile duct-ukuya kwi-8 mm ingaqwalaselwa njengesiqhelo. Imida engaphandle yelungu kufuneka ibe, kwaye isakhiwo sayo - sihambelana.

Ukusebenzisa i-ultrasound, i-cirrhosis, i-hepatitis, i-metastasis, i-hemoma, i-hepatoma, i-steatosis, i-cystic neoplasms kunye nezinye izifo.

Ngethuba elifanayo, ixabiso lolwazi loviwo logqirha luphezulu kakhulu. Unako ukufumana izigqibo ezichanekileyo ngokusekelwe kwidata efunyenweyo. Kwiimeko ezininzi ngaphandle kwe-ultrasound yesibindi, akunakwenzeka ukukhupha nokuqulunqwa okanye ukulungiswa kokuxilongwa.

Ukugcina impilo, kufuneka unakekele umzimba wakho kwaye xa kukho iimpawu kufuneka udibane nodokotela. Ingcali kuphela yikwazi ukuqonda ingxaki. Ugqirha uya kunika ukunikezelwa kweemvavanyo, mhlawumbi i-ultrasound iyakufuneka ukucacisa ukuxilongwa. Musa ukunyamekela uncedo lwezonyango, njengoko unyango lunokulimaza impilo yakho.