Ana o maʻamau akepaʻa ultrasonography (transcript)

Ho oholo i ka alo ake pilikia o i e iʻike mau ultrasoundʻike. Kēia like apono 'i ka loiloi i ke ano o ka maʻi, e loaa ka ike e pili ana i kona waikahe e, e like me ka pono me ka lanakila, a hoʻomaʻa i ka iapaau ana.

like

Kēlā me kēia hana kūikawā ana kauka ma ka ultrasonography, ua ike no ka mea e pono nō ia e lohe i loko o ka wahi mua. Pela, ke diagnostician loiloi i nuʻa, kino 'ole, E kaha makau i, ina paha he'āno'ē inclusions. Eia hou, eʻoiaʻiʻo, e nana i ka nui o ke akepaʻa ultrasound. Ke kūmau no nā mākua ua kau no kela mea keia mea o kona mahele. Ua Ua hoi oaeuiinoe kona kēlā transverse Ana. Ka like kauka nana moku'āina o ka biliary'āpana a me ka nui o na moku maalo ae la oia ma ke akepaʻa.

Kēia anamanaʻo e leie aku oe i ke koho 'ia i kaʻike, ina e manao kekahi helu o okoa ka maʻi. Akā, no ka hookupaa kūmau nui o ke akepaʻa ma ka ultrasoundʻo ia ka mea hiki e hooholo i ke alo a kaawale o pathological loli ma ka hoakaka hui, a deviations mai kona physiological kūpono 'ana ma kekahi mau makahiki o ke keiki.

Nā Māka Hoʻohālike

Mau loea, i meaʻikepili pono e kālele ana ma ka hookolokolo a me kaʻike, o ka mea hoʻonoho. Akā, ināʻoe e makemake, e loaʻa mai paha oe i ka pilikia, a laila, e pono e ike i ka nui o ke akepaʻa mea maʻamau ma ultrasound. Ua mea i nui kahi o keia kino e maopopo.

I ka lalo kae o ka lobe akau ua aia ma ka akau costal e pio. Akā, ma ke alo o ka hoʻoʻino akemāmā maʻi, ma lalo naehana'āpana, ia mea hiki he hōʻemi iki lalo naeaeaa. Akā, ma hope o akemāmā resection, flatulence, a hikoko ma ka hakuʻala, ka mea hiki iaʻu ke alaʻe.

I mea e Loiloi i ina pau ka OK me ka mea mana, e pono i ka mea a ka uku o ke akepaa ultrasound, mea maʻamau ake kiko'î. It e e he homogeneous 'ole, unsealed, nui aa koko e e hoopuni visualized. Kona contours pono e hala ole a me ka laumania. No hoi, oe e ike i ka gallbladder a me ducts. Ma e visualized wahi emi mahope vena Vienna, kona anawaena e ia mai ka 9 a hiki i 15 mm. Akā, i ka intrahepatic ducts maʻamau e Hahai I wale.

hae nui like 'ole

Ma waho aʻeo ia ke kālailaiʻana i ka 'ole a me ka wahi o ka nui loa gland o ke kino, ka mea mea nui e hooholo aku ai a me kona' ē aʻe kiko'î. No ka mea he nui, ake nui mea maʻamau ma ultrasound e e like penei:

- ka haʻalele kaʻana like 'ana - 6-8 knm;

- laula - 20 knm, ka mea ana mea ulu i 22,5 knm;

- ka'ākau lobe - 12,5 knm;

- Kino laula (ana ua hana mai ka akau i ka hema,) 23-27 knm;

- lōʻihi (mai ka hope a hiki i ka mua kae o ka obtuse huʻi) papa koa mai ka 14 a hiki i 20 knm.

Nō hoʻi, ke kahuna lapaau e loiloi i ke anawaena o ka hepatic na leki uea: maʻamau ia mea 3-5 mm o.

Ke kauka pono e ike ole wale na rula o ka ultrasound akepaʻa. Eia hou, i ka oaeuiinoe hoi a me ka gallbladder. Ka lōʻihi o kekahi kanaka makua mea 7-10 knm, akea 3-5 a me anawaena -. 3-3.5 knm anawaena bile leki uea e ia 6-8 mm o, ka mānoanoa o ka kino pā - i 4 mm o a me ka loko anawaena o ke kaulike bile ducts - mai i 3 mm o. Maʻamau, aole e ole e kekahi ē aʻei kūpono.

ʻike, i loko o Keiki

Loiloi i ka ano o ke akepaʻa ola o ke keiki ke i hana ultrasound. He nui e ike i ka nui o ke kino, ua pololei kalele iho ma luna o kona mau makahiki i ke keiki ka. No laila, i ka lobe pono i na keiki ma lalo o hoʻokahi makahiki e e 60 mm o, ka mea, ua mahuahua ka 6 mm o no ka makahiki. I ka 15 makahiki, kona waiwai, he 10 knm a me 18 -. About 12 knm akau lobe i na keiki ma lalo o hoʻokahi makahiki e e 32-40 mm o, ka mea ulu ma 2 mm o kēlā me kēia makahiki. I 15-18 makahiki, i ka nui o keia wahi e pili ana i 5 knm. Mai ho'āʻo e hookupaa aku i kaʻike, o ke keiki, a hiki ina oe i ike, mea e ia i ka nui o ke akepaʻa mea maʻamau ma ultrasound. Deciphering ka Hola Pūnaewele E e hana e kou kauka. He e mahalo i na nā hoailona a pau, a me ka wā e haule ana na deviations i hoakaka ia kūpono lapaau.

Ua mea, e ike i ole ka makahiki mea ia e ia i kaʻaʻahu, a me nā hale e keʻakeʻa ma ka i nui Ka nū aa koko a me kona lālā. Bile ducts E hoi e pono visualized.

ana manaʻo

Inā 'oe makemake i kaʻike, Ua hana like pololei i hiki, alaila, e pono e hoomakaukau ai no ka ultrasound. He pono i na la ekolu ma mua i ka hana ana o ke ao, e hahai i kekahiʻai. E aho e hoʻopau kiʻekiʻe-calorieʻai, ai i ia mea, māhuahua kinoea? Iecaianoaaiiuo. I ka overweight, lōʻihi-makahiki constipation, bloating maikaʻi ma mua o ka US, e hana i ka enema.

Nō hoʻi, ma mua o kaʻike, o ka adsorbent, ia mea i makemake loa ia i ka inu. Ua hiki e ka smectite, ho'ā 'charcoal a camomile kī.

Ke anamanaʻo Ua lawelawe 'ia, e like me ka rula, ma luna o ka nele'ōpū. Kaʻoi loa ma mua US e mai ai ma ka liʻiliʻi loa no ka 8 hola. Ka wā e manao ea ae e inu ano o ka wai maʻemaʻe.

No kaʻike, e moe i ka hoʻomanawanui ma luna o kona kua. Ke Kauka e waiho ana ma ka akau hypochondrium kūikawā tuko pīlali, a hiki aku ia ma luna o ka mīkiniʻimi noonoo. Ke kaʻina hana ka loa painless. Children hiki makaikai i ole wale i loko o ka supine kulana, akā, ma kaʻaoʻao'ākau,ʻaʻole hema, i kekahi manawa ke kauka noi e pepehi i ke keiki, e aho visualize kiʻi.

Nāʻikepili no ka ninaninau

Aia nō i ka helu o ka pilikia, ma i ke akepaʻa ultrasound o kekahi o ka OAXA ka nānā 'ana. E hoʻomaka i ka lapaʻau 'ka pono, ina oe a me ke keiki.

- Ua ikea mai icteric coloration o ka ili a me ka 'oiaʻiʻo ma loko o ka maka;

- he mau eha ma ka hypochondrium akau;

- kauka hāʻupu i ke alo o ka hikoko ma ke ake;

- abnormalities i loko o ke koko e ho'āʻo ai, ae hōʻike ana i ka pathology o keia kino;

- au i ka poino, a me ka hiki poho i ka abdominal nā loko.

Ua ua i haawiia'ku ai i kekahi manawa nānā i ke akepaʻa ka wā e lawe i kekahi mau ai 'ole ka waiʻona hainā, maʻi pilikia i keia kino, i ka laau make bladder paha pancreas.

Inā 'oe i, mea e ia i ka nui o ke akepaʻa mea maʻamau ma ultrasound, e hiki no hoi e maopopo i ua kākau i loko o nā minuke o ka anamanaʻo.

Loaʻaʻia pilikia

Kekahi haiahū kūmau mai ke kūmau o ke kumu i ke kahuna lapaau e pono ke hookupaa nui ae i ka definiteʻike, ma muli o ka moku'āina o ke kumuhana kino. Me ka ultrasound hiki ho oholo ilo infestation (giardiasis ma ke akepaʻa), momoma degeneration o Ka maʻi 'aʻai, ike hikoko, cysts. No hoi diagnoses e like me cirrhosis, hiki ke hookupaa hepatitis me ke kōkua o kēia manaʻo. Kēlā me kēia no kēia mau nīnūnē ua e kauoha ana i kekahi typical loli i loko o ke kino.

ʻike, o ka maʻi

I hepatitis ake hoʻomaka e hōʻike 'ana i ka lanakila ia nalu ma luna o ka pale, ka mea nana poeleele. Eia hou, i ka maʻi ua wehewehe aku ma ka mea i ka mea, ua hoʻokōʻia i ke kino kihi, hoʻokahi a 'elua o kona kaʻana like' ana e māhuahua ma ka nui. Kona 'ole i inhomogeneous, like visualized Hoʻonui i ke splenic aa koko a me ka nū.

No ka laʻana, ua ike mea e ia i ka nui o ke akepaʻa i ka uku o ka ultrasoundʻike, ka mea hiki ke kau like cirrhosis. Ma keia maʻi, maoli ka lobe hema a me ke kino holoʻokoʻa me ka a pau. Ma ka hope o ke kahua o ka mea, ma ka mea ku ole, ka mea emi iho ka hoʻopiʻi ai i ka nui, e hoike i ke keena e make. Eia hou kekahi, mahuahua'aʻaʻa nuʻa, kā lākou 'ole i ka politika-ʻaʻahu. An ultrasound hōʻike i ke akepaʻa ku pono e like me ka mosaic. Kēia kiʻi hele mai, mai ke alo aku o nā kiko kahi o ka loaʻa hou'aʻaʻa. Ke kihi o ke akepaʻa mea e malimali a me ka lumpy, Ka nū aa koko anawaena, piʻi pū.

About helminthic infestation kena ae la ia e giardia, hōʻike pouli mau kiko ma ke akepaʻa - o ka wahi ma ka ilo, a me na o ka Naauao - ia calcifications eʻikea au i loko o nā kuʻina ma hope o ka maʻi.

Hikoko hou like pouli (hypoechoic) a me ka malamalama (hyperechoic) mau kiko. ¶ A i loko o malignant me ka ho okumu puni ia hiki ke ike i ka pouli Park. No hoi, ka wā hikoko 'oni iki i ka laau make bladder, lymph aka wahi mahuahua.

I ka momoma degeneration o ke akepaʻa, aia ua mahuahua echogenicity, i ke kiʻi ma luna o ke kanaka hoʻoponopono ultrasound nakeke olinolino mottled kino 'ole. Ua ua no hoi kaulana he mahuahua ma ke kino nui, blurred contours, ua hoʻokōʻia lua penei.