ʻO nā mea i hūnā ʻia ma lalo o ka echogenicity o ka pancreas
ʻĀnō pinepine hiki iā ʻoe ke hōʻea i kahi hopena o kahi ultrasound, ka mea e ʻōlelo ana, ua hoʻonui ʻia ka echogenicity o ka pancreas. ʻO kekahi poʻe i ka heluhelu ʻana i kēia e pili ana i kā lākou ʻōpala, hoʻomaka koke e ʻimi i ka mālama ʻana ma ka Pūnaewele, ʻoiai ʻo kekahi, ʻo ia hoʻi, ʻaʻole manaʻo ʻia he mea ʻole ka manaʻo. I kēia manawa, hiki i kēlā me kēia maʻi ultrasound ke hōʻike nei i kahi kikoʻī koʻikoʻi nui o ka kelepa. ʻAʻole ia he maʻi a koi aku i ka ʻōlelo ʻana a kahi gastroenterologist.
ʻO ka manaʻo o ka echogenicity
ʻO ka Hyperechogenic pancreas e like me kēia
ʻO ka Echogenicity kahi huaʻōlelo e pili wale i ka wehewehe ʻana o ke kiʻi ultrasound. E pili ana i ka hiki o ke kiko i kuhikuhi ʻia ai ka ultrasound (i.e., kani kani nui kiʻekiʻe) e noʻonoʻo ai. ʻIke ʻia ka ultrasound e ka sensor e like me nā mea i kū i ka neʻe. Ma ka ʻokoʻa ma waena o kēia mau kumu ʻelua, kūkulu ʻia kahi kiʻi mai nā aniani o nā kala ʻē aʻe i nānā ʻia ma ka pale kāʻei o ka hāmeʻa.
Aia kēlā me kēia papa i kona hōʻailona ponoʻī o ka echogenicity, ʻoiai he homogeneous a i ʻole. Hoʻomaopopo kēia hilinaʻi: ʻo ka ʻoi aku ke koena o ka mea ola, ʻoi aku ka nui o ka echogenic (i hōʻike ʻia e kahi mālamalama keu aku o ka hina). ʻAʻole ʻike nā ʻano o nā kaila uila, akā e hoʻouna. Ua kapa ʻia kēia "echo negativity", a me nā ʻōnaehana wai (cysts, hemorrhages) i kapa ʻia ʻo anechogenic. No ka lālau a me ka ʻōpū, ka ʻāpana o ka naʻau, ka pūpū a me ka ʻōpū, nā moku koko, ka holo ʻana o ka ʻili, ʻo ia "ʻano" ʻo ia ka mea maʻamau.
No laila, ua nānā mākou i ke ʻano o ka echogenicity o ka pancreas - ka hiki i kēia ʻano keola e ʻike ai i ke kani kiʻekiʻe e hoʻopā ʻia e kahi transducer ultrasound. Hoʻohālikelike ʻia me nā ʻano o nā ʻōpū (pono lākou paha, a i ʻole ka liʻiliʻi o ka pancreas) paha, a ma ke kumu o ke kiʻi i loaʻa, ʻōlelo lākou i kahi mea e hoʻololi ai i ka echogenicity o ka lolo. Eia kekahi ma kēia hōʻailona e loiloi i ka homogeneity o ke kino.
Ua hoʻonui ʻia ka hoʻonui ʻana o ka echogenicity o ka pancreas i ka wā i lilo ai ka mahele o ke kino i ʻoi aku ka liʻiliʻi ma mua o nā cell glandular maʻamau (e hoʻomanaʻo ana iā mākou, hoʻemi ka wai i ka echogenicity, a waiwai hoʻi nā pili kelepona i loko). Hiki ke ʻike ʻia kēlā mau loli i ka wahi ma waena a me ka maʻamau. Eia kekahi, hiki i kekahi mau mea ke hoʻopili pilikino i kēia hōʻailona.
Ke pāpā ʻana! ʻO kahi wehewehe o ka echogenicity wale nō ʻaʻole he maʻi maʻi.
Ke kū nei ka echogenicity o nā kelepona holoʻokoʻa
ʻO ka hoʻohālikelike i nā loli i ke kaila o ka pancreatic kiko no ka ultrasound he hōʻailona paha o nā patology, akā hiki ke mālama ʻia ma ke ʻano. ʻAʻole hiki ke haʻi i kēia e pili ana i ka foci me ka hoʻonui echogenicity - ua aneane pinepine ia i kahi pathology.
Paʻa ʻia e kā mākou poʻe heluhelu!
No ka pale ʻana a me ka mālama ʻana i nā maʻi o ka pēpē gastrointestinal, ʻōlelo aku ko mākou mea heluhelu e pili ana i ka ʻōpala Monastic He lāʻau maikaʻi kēia e kū pono ai i nā lāʻau lapaʻau no 9 e pono ai no ka hoʻoneʻe ʻana, ʻaʻole wale nō e hoʻopiha pū, akā e hoʻomaikaʻi nō hoʻi i nā hana o kēlā me kēia. ʻAʻole e hoʻopau wale ka ʻona Monastic i nā hōʻailona a pau o ka pēpē a me ka hana o ka digestive, akā e hoʻomau mau ʻia hoʻi i ke kumu o kona hiki ʻana mai.
ʻO ka manaʻo o ka poʻe heluhelu. "
Aia ka gland i nā mea maʻamau, akā e hoʻonui ʻia kona echogenicity (hiki ke ʻike i kēia ma ke ʻano ʻelua ʻāpana ʻelua e hōʻike ana i ke ʻano o ka pohuʻā)
Ua hoʻonui ʻia ke ʻano o ka echogenicity o ka parenchyma pancreatic me ia mau ala:
Hiki i ka pancreas Hyper-echogenic hiki ke lilo i kahiʻano pōkole o ka maʻi, i hōʻike ʻia:
- ma muli o kahi hana react i nā maʻi maʻi he nui: maʻi, ka maʻi pīpī, nā maʻi meningococcal. Koi kēia i ka mālama ʻana no ka maʻi lalo,
- ke loli nei ke ʻano o ke ʻano o nā meaʻai,
- ma hope o ka loli hoʻololi,
- i kekahi mau manawa o ka makahiki (maʻamau i ke kō a me ka ʻohi)
- ma hope o kahi kau paina kaumaha hou.
I kēlā mau kūlana lewa, e hoʻonui maoli ʻia ka echogenicity o ka pancreas, i ʻole hoʻohālikelike ʻia i nā pathologies, i ka wā e ʻike ʻia ai ka hyperechoogenicity koʻikoʻi.
Hoʻonui kūloko kūloko ma echogenicity
ʻO nā hōʻiliʻili momona i ka kiko o ka pancreatic e ʻike i ka hyperechoic
He aha nā inclusions hyperechoic i ka pancreas? Hiki iā ia:
- ʻO nā pseudocysts nā hana wai e hoʻomohala ma muli o ka maʻi pancreatitis, me kēia maʻi me ka pale o ka pancreatic, ʻaʻole i kūlike, ka mākaʻi, ka hyperechoic,
- ka hae ʻana i nā pūnaewele kiko - calcization, ʻano pū ʻia lākou i ke ʻano o ka neʻe ʻana i ka mumū (maʻa mau ke ʻano maʻamau),
- nā wahi o ka kiko adipose, ke hoʻololi nei lākou i nā aila kelepa maʻamau me ka momona a me ka nui o ka ʻai ʻana i nā momona momona.
- nā pili momona - kahi i hoʻololi ʻia nā wahi maʻamau o nā ʻōpala maʻamau, e kū pinepine ʻia kēia mea ma muli o ka pancreatic necrosis,
- nā pōhaku i nā kumu o ka ea,
- ka fenerocystic gland degeneration he hopena kūʻokoʻa, a i ʻole ka hopena o ka pancreatitis maʻi,
- hōʻano metastatic.
Ke mālama nei i ka hyperecho pathological
ʻO ka mālama ʻana i nā kūlana inā hoʻonui ʻia ka echogenicity o ka pancreas e kahi gastroenterologist wale nō e pono ke loaʻa i ke kumu o kēia hōʻailona ultrasound:
- inā he kumu pancreitis ka kumu, e lawe ʻia ka hana me nā lāʻau lapaʻau e hōʻemi ana i ka hana o ka waikila hydrochloric i loko o ka ʻōpū a hoʻoneʻe i ka hana o ka enzyme o ka pancreas,
- inā hoʻokomo ʻia ka hyperechoogenicity e ka lipomatosis, kahi mea ʻai me kahi mea hoʻemi iki o ka momona o ka holoholona i loko o ka papa mea i kauoha ʻia ai,
- inā ka lilo ʻana o nā kala, fibrosis a i ʻole nā pōhaku i loko o nā papa i mea etiological, ua kuhikuhi ʻia kahi meaʻai, ua hoʻoholo ʻia ke nīnau no ka pono o ka lapaʻau ʻana.
- pono ka pancreatitis react pono ka mālama ʻana o ka maʻi ma lalo, kaʻai ʻai.
Paki! ʻAʻole ʻaʻohe loea e manaʻoʻiʻo he pono e mālama i nā hoʻokolohua, a ʻaʻole he kanaka. ʻO ka hoʻonui nui aʻe o ka echogenicity o ka pancreas he hōʻailona ultrasound, ʻaʻole he maʻi maʻi. Ka pono i ka hoʻokolohua hou, a ma ke kumu wale o ka ikepili ma hope, ua kau ʻia ka maʻi lapaʻau.
He aha ka manaʻo o ka hua'ōlelo echogenicity?
ʻO ke kaʻina noiʻi ultrasound ua hoʻokumu ʻia ma ka hopena Doppler. ʻO ka paʻakikī iki hiki ke wehewehe e like me kēia: ka hoʻoiho ʻana i ka nalu i ka neʻe o kekahi, a hele lākou ma nā ʻano (nā kele a me nā ʻāpana o ke kanaka), e hoʻohālike i kēia mau nalu. I ka hopena, ua hoʻi ka nalu i ka maʻamau i hoʻololi ʻia, hoʻoili ka mīkini i ka ʻikepili, ma muli o ke ʻano e ʻike ai ke kauka i kekahi kiʻi ma ka ʻaoʻao e pili ana i ka hiʻohiʻona o nā ʻālo o ke kino o ka wahi i ʻike ʻia.
ʻO ka huaʻōlelo "echogenicity" e pili ana i ka hiki ke kūleʻa e hōʻike i kahi nalu ultrasound. ʻOi aku ka kiʻekiʻe o ka echogenicity, ʻo ka ʻoi aku ka nui o ke kino. ʻO nā ʻū me ka wai i loko o ka maʻi (no ka laʻana, ka uradi a i ʻole ʻulaʻa), nā ʻōpū ona (nā ʻōpū, ʻōpū), a me nā cysts i kapa ʻia he e-negative. No laila, e hōʻiliʻili i kahi kiʻi kūpono o kēia mau wahī, e hoʻopili ʻia ka ultrasound e nā hoʻokolohua ʻē aʻe.
ʻO ka puʻu, i ke kū ʻē, he echopositive. Me kāna echogenicity, ua hoʻohālikelike kēia hōʻailona i nā hana maʻamau ʻole o ka ʻōpū (pancreas, spleen).
He aha ka maʻi pancreas?
He kumumuhumu koʻikoʻi loa kēia o ka ʻimi kikowaena waho (a pū kekahi pū me ka endocrine i hui pū ʻia), me ka maʻi o kekahi mea e hiki ai kekahi mea ola, kahi mea hana a mea lapaʻau paha ke hoʻololi i kāna hana. Hoʻokō nui ia i nā helu o nā enzyme e pili ai i ka hoʻoweliweli ʻana. Ma keʻano he mea huna o loko, ʻo ka pancreas ke kuleana no ka hoʻokumu ʻana i ka insulin, glucagon a me kekahi mau ʻano like a me nā mea e like me ka hormone.
Hāʻawi ʻia i luna ma luna nei, pono e mālama koke ʻia nā maʻi pancreatic. ʻO ka pancreatitis akoe he mea pōʻino loa kēia i kēia mea, ma ka hopena o ka mumū o kahi ʻāpana o ke kelepona he nui ke hoʻokuʻu ʻana i nā enzyme e wāwahi i ka umauma pancreatic ponoʻī a me nā ʻāpana kokoke, a komo i ka koko, hoʻohele lākou i nā hopena koʻikoʻi catastrophically.
Hoʻonui nā echogenicity o ka pancreas
ʻO kēlā hopena ka manaʻo, ʻaʻole ia he hopena o ka ultrasound. Mai huli i ka pūnaewele holoʻokoʻa e ʻimi nei i ka pehea e mālama ai i ka echogenicity i hoʻonui ʻia. Pono ʻoe e kamaʻilio i kahi gastroenterologist hoʻokūkū, e hāʻawi i nā hoʻokolohua hou, e haʻi iā ia i kāu hoʻopiʻi. Aia wale nō ke kumu o ka huina o nā hōʻailona nā mea e hiki ai ke hana i kahi maʻi kūpono a kuhikuhi i ka hana kūpono. I ka wā e hiki aku ai i ka pancreas, ka lāʻau lapaʻau pilikino, e like me ka nele o ka mālama ʻana i ka make āpau, hiki ke make.
Hiki ke hoʻonui ʻia ka echogenicity pancreatic kamaʻāina a i ʻole aʻokoʻa loa .
Hōʻike ʻia kahi hoʻonui kūloko e pili ana i kēia mahele o ke kīʻaha. Hiki i kēia mea he maʻi, metastasis, pōhaku (hiki iā lākou ke hana i ka pancreas) a i ʻole ka haʻalele ʻana i nā paʻakai kalaiwa (kalama) ma kahi i loaʻa ai ka mumū.
Ka hoʻonui ʻia ʻana o ka echogenicity e hōʻike i nā kaʻina hana i lalo:
- ʻO ka lipomatosis Gland: hoʻololi i ka kiko maʻamau me ka kiko adipose. I kēia hihia, ʻaʻole ka hoʻonui ʻia ka hao. ʻO ka maʻamau, ʻaʻole ia e hele pū me kekahi hoʻopiʻi, ʻaʻole pono hoʻi ke mālama.
- ʻO ka pancreatitis: ʻoi a i ʻole ka maʻi nui. He kūlana koʻikoʻi koʻikoʻi kēia e koi ana i ka mālama ʻana ma loko o kahi haukapila: i nā hihia koʻikoʻi, i ka ʻoihana hoʻomalu (ʻoiai e pono ke lawelawe ʻia), a i nā hihia maʻi, ma ka ʻoihana therapeutic. Loaʻa pinepine ʻia ka pancreatitis me ka ʻole o ka hoʻopiʻi. ʻO ka manawa pinepine ʻo ia ka maʻi kāʻei ikaika i loko o ka ʻōpū, e pihi ana i ke kua, i hele pū me ka ʻuʻuku, huʻi, ka maʻi maʻi. Hiki paha i kahi palupalu koʻikoʻi, hoʻemi ʻia ke kaumaha. ʻAʻole hiki ke mālama i ka pancreatitis, ʻoi aku ka maʻi koʻikoʻi, ma ka home - e pono ke koi ʻia nei ka ʻoihana intravenous o nā lāʻau lapaʻau.
- Hoʻokumu o nā pancreas. Ma kēia hihia, ke hoʻopilikia nei ka hana ʻana, e hōʻeha ʻia kahi kanaka e ka maʻi ʻeha (hōʻemi pinepine - constipation), hoʻonui i ka hoʻokumu ʻana i ka wahie i loko o nā ʻāpana. Aia kekahi nāwaliwali, nele ka makemake. Hoʻomaopopo pinepine iā ʻoe e nalowale ana kekahi mea kaumaha.
Akā aia kahi mau kūlana i ka manawa o ka hoʻonui i ka echogenicity o ka pancreas he mea transient kahi mea i pili me ka meaʻai a i ʻole kahi maʻi maʻamau (no ka laʻana, he anu). I kēia hihia, ma hope o kahi manawa āu e hele pono ai e nānā i ka nānā ʻana o ka ultrasound hou. Ma muli o ke kau i luna iho nei, hiki iā mākou ke manaʻo i ka loaʻa ʻana o ka hopena ultrasound like, pono ʻoe e ʻōlelo mua i ke kauka, ʻaʻole hoʻi i hoʻonā i ka pilikia iā ʻoe iho.
Hoʻonui ka pancreatic parenchyma echogenicity: he aha ka manaʻo?
Inā ma kahi loiloi ultrasound i ka wā o ka hoʻokolokolo kino a i ʻole kahi kipa ʻana i kahi kauka i pili pū me kekahi mau hoʻopiʻi, ua ʻike ʻia ka nui o ka pancreas i hoʻonui i ka echogenicity, a laila ke kumu kēia e makaʻala ai, hiki i nā loli ke ʻano o ka organ parenchyma.
ʻIke ka poʻe i ka mana nui i ke kanaka ma ke kanaka, ka puʻuwai, ka ʻōpū, ka puʻuwai a me ka lolo, a ke ʻike nei lākou e pili ana ke olakino a me ka ola hope loa i kā lākou hana.
Akā ma kahi o lākou, heʻuʻuku loa ka kino, akā he mea nui loa nā kino. Hoʻopili kēia ma nā kikina o waho a me ka hana huna o loko, e hana ana i kēlā me kēia o kona kuleana. Pono ke pancreas no ka hoʻokaʻawale ʻana o ka meaʻai, hana ia i kahi mea hoʻohuihui kūikawā a huna ʻo ia i loko o ka duodenum.
E hoʻomoʻa hoʻi i nā hormones ʻelua i kūʻokoʻa i ka hana: ʻo ka insulin, e hoʻohaʻahaʻa i ka nui o ka glucose i ke koko a me ka glucagon, e hoʻonui ana iā ia. Inā hoʻokomo ka paia o kēia mau hormones i ka nui o ka glucoseagon, a laila hele mai ka maʻi mellitus.
No laila, e mālama mau ʻoe i ke kūlana maʻamau o ke pancreas, a me nā loli, e like me ka hoʻonui ʻana i ka echogenicity o nā pancreas, nā loli i ke ʻano o ka paprenchyma, he manawa ia no ka nānā ʻana i kahi kauka olakino maikaʻi.
He aha ia echogenicity
Loaʻa i kekahi mau lālā kanaka kahi ʻano homogeneous a no laila ke kaʻe kahe a kaalu ma o lākou me ka ʻole o ka noʻonoʻo.
I waena o kēia mau kino:
- ʻO ka moemoe
- humuhumu kalaiwa
- nā momona endocrine
- nā cyst
ʻOiai me ka hoʻonui nui o ka ultrasound, ʻaʻole e loli ko lākou echogenicity, no laila ke ʻike ʻia ka nui o ka echogenicity o ka pancreas, ʻaʻole kēia he hōʻailona maikaʻi loa.
He koʻokoʻo ka paʻahana o nā kino ʻē aʻe, no laila, pohō, no laila ʻaʻole i komo nā nika o ka ultrasound ma o lākou lā, akā e hōʻike aniani. I kēia ʻano he iwi, pancreas, nā ʻōpū, nā kelepaʻi adrenal, nā ate, nā kelepa thyroid, a me nā pōhaku i hoʻokumu ʻia i nā ʻāpana.
No laila, e ke ʻano o ka echogenicity (ka hoʻohalike ʻana i nā nalu kani), hiki iā mākou ke hopena i ke kaawale o kekahi mea ʻai a me ʻole o nā ʻano, ke ʻano o ke komo piha. Inā mākou e ʻōlelo nei e hoʻonui nui ka echogenicity o ka pancreas, a laila ua lilo ka nui o ka parenchyma i lalo.
ʻO kahi hoʻohālike o ka maʻamau ka echogenicity o ka pepē, a ke nānā nei i nā ʻāpana o loko, ua hoʻohālikelike ko lākou echogenicity me ka parenchyma o kēia mea kikoʻī.
Pehea e ho'ākāka ai i nā ʻōmeʻa o kēia kaha mai ka maʻamau
Pākuʻi Pancreas
ʻO ka hoʻonui ʻana ma ka echogenicity, a i ʻole nā hōʻailona hoʻohālikelike hyperechoic e hōʻike i ka pancreatitis aʻeha paha a i ʻole ke kamaʻilio e pili ana i ka edema. Hiki i ke ʻano o kahi loli i ka echogenicity:
- ua ulu
- nā pua o nā ʻano etiology,
- nā huapalapala eleele
- hōʻano hypertension.
Ma ke kūlana maʻamau o ke kīpē, e nānā ʻia kahi echogenicity o ka parenchyma, a me nā hana i luna aʻe, e pono e hoʻonui. Eia kekahi, pono e nānā ka ultrasound i ka nui o ka hoʻopiha, inā he mau hōʻailona echo o nā loli o ka pancreas, kelepona. Inā he mea maʻamau lākou, a kiʻekiʻe loa ka echogenicity o ka parenchyma, a laila e hōʻike i kēia ke kaila o nā kiko kelepa me nā momona momona (lipomatosis). ʻO kēia paha ka hihia i ka poʻe kahiko me ka maʻi diabetes.
Inā aia ka emi ʻana o ka nui o ka pancreas, a laila e hōʻike ai i kēia mea pono ke hoʻopuni ʻia ana kāna kino i nā kiko, ʻo ia hoʻi, ua ulu ka fibrosis. Hoʻopilikia kēia me ka maʻi metabolic a ma hope o ka ʻeha ʻana o ka pancreatitis, ka mea e alakaʻi ai i nā loli i loko o ka parenchyma a me ka ʻano.
ʻAʻole mau ka echogenicity a hiki ke loli ma lalo o ka mana o kēia mau mea:
- ʻaʻano maʻamau
- manawa o ka makahiki
- mea momona
- ʻano meaʻai
- kūlohelohe.
ʻO kēia ke ʻano o ka nānā ʻana i ka pancreas, ʻaʻohe hiki iā ʻoe ke hilinaʻi wale i kēia kuhikuhi. Pono e noʻonoʻo pono i ka nui a me ke ʻano o nā kūlima, e hoʻokūkū ai i ke alo o nā sila, nā neoplasms, a me nā pōhaku.
Inā makemake kekahi kanaka i ka hoʻonui ʻana i ka mīkini hana, a laila he mau lā ma mua o kahi hiʻona ʻana i ka ultrasound, pono ia e kāpae i ka waiū, kāpeti, kaʻula a me nā wai o ka carbonated mai kāna meaʻai i hiki ai nā hōʻailona ke hilinaʻi.
Ka hoʻoholo ʻana i ka hoʻonui echogenicity a hana i nā ʻano hoʻokolohua ʻē aʻe o ka pancreas, hiki i ke kauka ke hoʻonohonoho koke i kekahi mau ʻōiwi a kuhikuhi i ka mālama kūpono.
Hoʻohana ʻia o ka pancreas me ka echogenicity hoʻonui
Inā hōʻike ʻia kahi scan ultrasound e hoʻonui ai i ka echogenicity, a laila pono ʻoe e nīnau me ka gastroenterologist. Kuhi i ka ʻike hiki i kēia hōʻailona ke hoʻololi i lalo o nā kūlana like ʻole, e hoʻouna maoli ke kauka no ke kaona lua lua, me ke kau ʻana i kekahi mau hōʻike hou e hana ai i kahi maʻi kūpono.
Ma hope o ka hoʻokumu ʻana i ke kumu o ka hoʻonui echogenicity, hiki iā ʻoe ke hoʻomau i ka mālama ʻana. Inā he lipomatosis ke kumu, a laila ma ka maʻamau ʻaʻole ia e koi i ka lāʻau a ʻike hou.
Inā hoʻololi i ka echogenicity i hōʻeha a i ʻole pancreatitis kūloko, a laila pono ke mālama ʻia ka mea maʻi. Ma ka hana ʻoi, kū mai ka ʻāʻī o ke kāʻei ikaika i ka hypochondrium hema, e pā ana i ke kua, ʻo ia nā hōʻailona mua o ka exacerbation o ka maʻi pancreatitis.
ʻO ka manawa pinepine, nā maʻi maʻamau, ka nausea, a me ka luaʻi. Hōʻeha ka mea maʻi, ua hāʻule kona koko. Ke lawe ʻia ka mālama ʻia o nā mea maʻi ma ka ʻaha keʻena hoʻokō, ʻoiai pono paha ke kaʻina i kēlā me kēia manawa.
Hoʻomaʻamaʻa ka hoʻomaʻamaʻa o nā exacerbations o ka pancreatitis maʻi i ka ʻoihana therapeutic. ʻAʻole noho ka mea maʻi i ka home, no ka mea e mālama mau ʻo ia i nā injections intravenous a i nā droppers me nā lāʻau lapaʻau. He koʻikoʻi loa kēia maʻi, no laila e mālama pono ʻia, me ke kanaka maʻi e pono.
ʻO kekahi kumu nui e hoʻonui ai i ka echogenicity i ka līkona ke hoʻomohala ʻana i kahi oʻa, i ke ʻano o kahi hoʻopono onco. I nā hana palignant (cystadenocarcinoma, adenocarcinoma), hoʻopilikia ʻia ke wahi o ka exocrine o ka nui.
Hoʻonui pinepineʻo Adenocarcinoma i nā kāne i nā makahiki he 50 a 60 mau makahiki a loaʻa iā ia kahi mau ʻano e like me ka hōʻemi ʻana o ke kaumaha a me ka ʻeha ʻeha. Hoʻopili ʻia ka hana maʻi e nā mea hana, a hoʻohana ʻia nō hoʻi ka chemotherapy a me ka radiotherapy.
He mea kupaianaha loa ʻo Cystadenocarcinoma. He mea i hōʻike ʻia e ka ʻeha ma ka ʻōpū o ka puʻuwai, a i ka wā e palpating ai i loko o ka ʻōpū, ʻike ʻia ka hoʻonaʻauao. Māmā ka maʻi a loaʻa ka prognosis makemake nui ʻia.
Hiki i kekahi mau ʻano o ke tumelu endocrine e holo pū.
He mea nui ia e hoʻomaopopo i nā mea a pau i ke kumu i hoʻonui ai i ka echogenicity, pono e hoʻomanawanui ka mea maʻi. Loaʻa ka wikiwiki o nā mea ponoʻole, ʻoi aku ka maʻalahi o ka ʻano lāʻau lapaʻau.
Nā ʻano hoʻololi
I ka hoʻokolohua ʻana i ka pancreas, ua hoʻohālikelike ʻia kona echogenicity me ke ʻano o ke kūkaʻi olakino, ma kahi kūlana maʻamau, ʻehā like ka pancreatic ma ka ʻāʻī, a i ʻole nā kiʻekiʻe. Hiki i nā loli ke hoʻololi i nā ʻokoʻa a me ka prevalence i ke kino o ka iʻa. Ka hoʻonui ʻia ʻana (e uhi ana i ka nui holoʻokoʻa o ke kino) i ka echogenicity o nā pancreas ʻaʻole ia ke kapa i kahi maʻi, ʻo ka hele ʻana o nā keli kūloko e hōʻike pinepine nei i nā kulekele.
Hōʻike ʻia ka Echogenicity i ka ʻaoʻao o ka hāmeʻa ma ke ʻano o ka nui o nā hina o ka hina, ʻoi aku ka kiʻekiʻe o nā ʻāpana o nā ʻili i noiʻi ʻia, ʻo ka kokoke o ka pale i ka keʻokeʻo.
Laulua
Me ka hoʻonui iki o ka echogenicity, kahi paona ultrasound e hōʻike ana i ka noho ʻana o nā loli, akā ʻaʻole hana i ka hopena diagnostic. Hiki ke ʻike ʻia ka liʻiliʻi o ka ʻoi ʻana ma ka pancreatic.
Me ka nui o ka wā, hoʻonui ʻia ka mānoanoa o ka pancreas, ka ʻike ʻana o ka pālākiō i kēlā mau kūlana i ka homogeneity (homogeneity) o nā kopa, me kona ʻano palekana hoʻomalu ka waiho ʻia ʻana. Eia kekahi, i nā poʻe kahiko, ʻaʻole i manaʻo ʻia ka ʻike ʻana i nā hōʻuluʻulu ʻo ka hyperechoic liʻiliʻi.
Me ka homogeneity o nā kola i mālama ʻia, kahi nui o ka hoʻonui ʻana i ke kaawale me ke ʻano ʻole o nā maʻi. No ka wehewehe i ka hopena, penei: Nā makahiki ka mea maʻi, ka mea ʻai, ke kūlana o nā ʻala kokoke. ʻO kekahi manawa hele iki kēia hoʻololi i ke ʻano, me ka hana mau o ka meaʻai, ʻaʻole e ʻike ʻia kahi hoʻokolohua pinepine i ka mau kū ʻana mai ka maʻamau.
Hoʻonui ka mahele ʻāpana i nā kūloko paladahi i nā maʻi me ka nui o ka loli.
Hoʻohāʻuleʻa
ʻO ka hoʻonui hoʻonui nui i ka echogenicity o ka pancreas e hōʻike ana i kahi hōʻeha kino o ka degenerative. Me kahi hoʻonui kūloko o ka home i ka hōʻailona o ka echo, hiki i ka maʻi ʻona hoʻi ke kahalua. ʻO nā ʻano ʻelua ke hele pinepine ʻia e nā hōʻike maʻi koʻikoʻi a koi i nā hana hoʻomehana.
Nā hihia o ka echogenicity hoʻonui
Ke hoʻonui iki nei kekahi hoʻonui liʻiliʻi i ka pancreatic density me ka ʻole o ka hoʻomohala ʻana o kāna ʻano patele i ʻike ʻia ma nā hopena:
- pono (eʻai),
- ka papa hoʻokele o kekahi mau lāʻau lapaʻau
- kaumaha, nele i ka hiamoe, ʻoi aku ka hopia-psycho-kaumaha
- inu waiʻawa
- pehu ka hana ʻaihue, humuhumu,
- ka hooulu ʻana o nā hau o ka ʻōpū o ka ʻōpū kiʻekiʻe.
Hoʻomaʻamaʻa pinepine nā hōʻailona o nā maʻi like ma hope o ka hoʻōlikelike o ka meaʻai, ka hoʻomaikaʻi kūleʻa ʻana o nā maʻi me ka hoʻomaikaʻi ʻana i ke ʻano nui o ke kino.
Pono ka hyperechoicity kūloko i ka hoʻomaʻamaʻa ʻana i ka maʻi maʻi.
ʻO nā maʻi pancreatic e loaʻa ka nui o nā ka wai, ma ka hoʻoneʻe ʻana o nā hawewe ultrasonic i kahi mehana wai me nā loli liʻiliʻi, no laila, ua hōʻemi ka nui o ka echogenicity i ke ʻano o ka nui o nā sela maʻamau i nā loiloi glandular (parenchyma) o nā mea i hōʻemi.
Hōʻike ʻia ka pancreas e nā loli e pili ana i ka makahiki, e hōʻike ʻia lākou ʻaʻole wale e ka nui o ka hoʻonui ʻana i ke kūpaʻa, akā e nā ʻōpū liʻiliʻi liʻiliʻi o ka echogenicity, ʻo ia ke ʻano o ka scarring local (fibrotic).
Hōʻike ʻia nā puka formechoic point ma ka ʻaoʻao o ka wā o ka hoʻohemo ʻana o nā kalima o nā calcium (calization).
ʻO ka hoʻonui ʻana i ka hoʻonui ʻia ʻana o ka hoʻonaninani o ka papa pancreas i ke ʻano nui o nā kaʻina degenerative a me dystrophic i ke kino, ʻo ia paha ma muli o ke kahe o ke koko i loko o ka aila, endocrine a me nā maʻi metabola, ʻalowa, hoʻonaninani ka huina a me ka biliary tract.
Hoʻomaʻamaʻa ʻia ke kaʻina mākuhā mākaʻi e ka nui o ka nui o ka pancreas, aʻo ka echogenicity o kāna ʻano kelepaʻi i hōʻemi ʻia ma muli o ka edema, a me nā kihi o ke kino he hōʻailona hōʻailona. Hiki i ka mumū ke ulu i loko o ka necrosis pancreatic, ka mea i hōʻike ʻia ma ka papa o kahi mīkini ʻona me ke ʻano o ka heterogeneity o ke ʻano papa pancreatic a me ka ʻokoʻa ʻole o kona mau ʻāpana.
He aha ke ʻano o ka pancreas i mea maʻamau? E hiki no oe e ike i keia mea.
ʻO kekahi kumu nui e hoʻonui ai i ka pane o ke kelepona ʻo ka maʻi maʻi. I nā maʻi e loaʻa ana i kēia maʻi, ua hoʻemi iki ʻia ka nui o ka palu glandular o ka pancreatic, ua piha ka wahi manuahi me nā mea momona. ʻAʻole pono kēlā mau loli i ka mālama kūikawā, akā e hōʻike ʻia ana i nā hopena o ka ultrasound.
ʻO nā kumu o kahi hoʻonui kūloko i nā echogenicity paha:
- nā pōhaku (nā pōhaku) i nā kīkā o ka kelepona,
- kahilau
- helee
- metastases.
ʻO ka mea nui o ia mau hoʻololi he hopena o ka pancreatitis.
Inā he hōʻeha koʻikoʻi nā hōʻailona hōʻailona me ka ultrasound o ka pancreas, hala ʻole nā hōʻailona. ʻO ka loli kiʻekiʻe o ka loli ka mea maʻamau me ka hōʻailona mau loa.
Nā loli hoʻololi i ka pancreas, ka mea like asymptomatic i nā manawa mua, ma hope ke kumu ʻana o ka hana ʻana o nā mea ola me nā hōʻailona o ke aʻowehiwehi - hōʻeha ʻeha (constipation hiki), ʻulaʻula, ʻeha o ka ʻōpū ma ka hema a i ʻole herpes zoster, hōʻemi ka momona. Hoʻohui maikaʻi ʻia ka meaʻai ʻana i nā hōʻike i ke kino - maloʻo, ʻalohi. Hoʻolālā maikaʻi ʻole ka lauoho, palupalu. Hoʻopilikia nā kaʻina o ka metabola, kahi palupalu a me ke kōpaʻa mineral. ʻO ka holomua o ke kaʻina e alakaʻi i ka hoʻopau piha.
Hiki i nā mea ke waiho i ka wai o ka pancreatic wai, ma ia mau ʻano, hiki i ka hoʻomohala ʻana o ka maʻi pancreatitis.
No kahi ʻeha o ka ʻōpū, pono e nīnau koke ʻoe i ke kauka no ka maʻi a me ka mālama ʻana.
Echogenicity Pancreatic
Pono e hoʻomanaʻo ʻia ʻo ka loli echogenicity he hōʻailona ʻole ia o kahi maʻi, akā he ʻano ʻano o kahi mea maʻi. A inā ʻaʻole i kūpono kekahi mau kaulike i ka pākaukau, ʻo ia ka mea e hōʻike nei ka hana hōʻeha i ke kino.
No laila, ʻo nā mea me ka diagnostics ultrasound, ka hōʻailona echogenicity i homogeneous. ʻAʻohe hyperplasia, nā mea haole, nā wahi o ka fibrosis a i ʻole narosrosis. Hōʻike kahi hōʻailona echogenicity kiʻekiʻe e hele a kaʻina hana loiloi i ka luhi.
ʻO kāu e ʻike pono ai e pili ana i ka hoʻonui echogenicity
Hoʻonui ka echogenicity i ka pancreas e hōʻike i nā pathologies e like me ka pancreatitis maʻi a me nā maʻi tumors. Hōʻike ka hyperechoogenicity kūloko i nā pōhaku, nā hōʻuluʻulu o nā paʻakai a i ʻole nā leʻaleʻa i loko o ka pili.
Kahi ʻia nā maʻi āpau āpau no ka hōʻike hōʻike hoʻāʻo hou aʻe.
ʻO nā kumu o ka hyperecho
Hoʻonui ʻia ka echogenicity no nā kumu penei:
- ʻai maikaʻi ʻole
- pili hōʻano
- manaʻo kaumaha
- i ka ulaula a me ka inu hewa,
- Nā alahele o nā kino ʻē aʻe o ka gastrointestinal tract,
- lāʻau lapaʻau kūpono.
E like me ka hōʻike ʻana e ka hyperecho
ʻO kahi hoʻonui hoʻonui i ka echogenicity e hōʻike i kahi koikoi a pancreatitis. Me nā pīpī, hoʻohālikelike i nā hōʻailona me kēia:
- ʻai kikowaena
- ʻO nā maʻi a pau (ʻoi aku ka maʻi maʻamau)
- he ʻano hūnā
- waiho kaumaha, a i kekahi manawa,
- nāwaliwali laulā.
I ka pancreatitis, ʻaʻole i hoʻāʻo nā enzymes i ka meaʻai, me ka mea maʻamau, akā ka parenchyma. Hoʻokuʻu ʻia nā momona e komo ai i ke kahe, hoʻonanā i ka ate, ʻōpū a me ka lolo. ʻO ka mea e weliweli loa e pili ana i ka maʻi pancreatitis.
Hōʻike ʻia ka pathology i ka ʻeha koʻikoʻi i ka hypochondrium, nausea, luaʻi. ʻO nā wahi ʻeleʻele e kū wale i ka ʻōpū.
ʻO ka maʻi pancreatitis ka hopena i ka make, no laila e pono ana ka mea maʻi e hoʻohana wikiwiki. Hōʻike ka ultrasound i kēia mau hōʻailona:
- halehau ʻia
- nā hiʻohiʻona māmā a me ke ʻano,
- hoʻonui hoʻonui
- hoʻopili ʻana i nā ʻōpū a puni ke kō,
- ka nele o ka echogenicity i kekahi mau wahi (hōʻike kēia i ka make o ke kino).
Kūkā ʻia nā hoʻololi kūʻokoʻa me ka lipomatosis. ʻO ka lipomatosis kahi ʻano i ka wā e hoʻololi ʻia ai ke kino o ke kino. Hana kēia, no ka laʻana inā he maʻi maʻi ka mea maʻi. ʻAʻole nui ka nui o ke kino i ka maʻi diabetes, a ʻokoʻa iki ka echogenicity.
Ua hopena paha nā hōʻailona?
ʻAʻole, ʻaʻole mau loa kahi loli me ka kiʻekiʻe a i ʻole. Hiki i nā echogenicity o ke kino i ke nīnau me kahi ʻano o nā kūlana like ʻole. Hoʻomaʻa pinepine, ʻike ʻia kahi hōʻailona pathological ma muli o ka maluhia. He kūpono ia e hoʻoponopono iā ia - a ma ke aʻo hope aʻe e hōʻike i ke ʻano.
ʻO ia ke kumu i nānā ʻole ai nā kauka i nā hopena o hoʻokahi ultrasound wale nō, akā e kuhikuhi ana i nā mea hou aku i ka mea maʻi. ʻO kahi mea i loaʻa i ka papa maʻi pancreatic i mālama mau ʻia e kahi lāʻau lapaʻau.
ʻO nā loli e ulu ana i loko o ka pancreas
E like me ka mea i hōʻike ʻia, ua ʻano like ʻole nā abnormalities ma ka ultrasound e hōʻike ana i nā kaʻina pili me nā kelepa. Me nā loli loli, hiki ke hoʻonui a hōʻemi paha ke ʻano i ka make.
Hiki i nā maʻi ke lilo i kumu pālahalaha, lilo ko lākou ulu ʻana i ka heterogeneous. ʻO ka pinepine, ua lilo nā ala o nā pancreas. ʻO ka ho'ākāka o nā hopena diagnostic ka mea kikoʻī o ka ʻike āpau i kēlā me kēia mau hiʻohiʻona.
Eia ka mea e hana ai i ka lepa i mua o kekahi mau ʻōmole.
- Ma ka maʻi pancreatitis, hoʻonui i ke kaomi ma ke duct. Ua luku ʻia nā ʻōnaehana, a ua aʻa ke kino. ʻO kēlā mau ʻōhua e hōʻailona iā lākou iho me ka ʻeha weliweli.
- I nā hui mua o ka pancreatitis maule, ʻo ka hao he edematous. A laila aia ka emi a me ka sclerotization.
- Me ka fibrosis, kahili ʻia kekahi mau māhele o ka mea kino i ka ʻili hoʻohui.
- ʻO ka hoʻololi ʻana i nā ʻāpana o kahi hoʻokalakupua me kahi momona momona kahi hana kūlohelohe ʻole. Me kahi kaʻina hana nui, e hoʻopili ʻia ka parenchyma pancreatic.
- Me ka pancreatitis a i ʻole ka maʻi maʻi, hōʻike ka ultrasound i nā hōʻailona like ʻole o ka loli i ka parenchyma, nā wahi hyperechoic i loko o ia helu.
- Hoʻopilikia ka hoʻololi i ka hoʻololi i ka parenchyma, ʻo ka mea i loaʻa nā kipi he nui.
- Hiki i ka loli ʻana o nā cysts a me nā kani.
- Hōʻike nā hana hoʻololi e loaʻa ana i ka mea maʻi i nā pilikia me ka palakiopeka, ka lolo.
- ʻO ka mea hope loa, ma muli o ka make ʻana o nā pū, hōʻike ka ultrasound i ka hoʻoneʻeneʻe momona.
ʻO ka ʻano paha o ka hoʻākāka ʻole ʻana i nā loli ʻaʻole i hoʻopilikia i ka hana o ke kelepona.
ʻO ka mea i hoʻonui nui i ka echogenicity o ka pancreas
Ma keʻano holoʻokoʻa, ua hoʻomaopopo ʻia ka huaʻōlelo "echogenicity" i ka hoʻākāka ʻana o nā ʻili o nā ʻāpana ʻē aʻe e hōʻike ai i nā nalu ultrasonic mai a lākou iho, ka mea i hoʻoholo 'ia e kā lākou hiʻona. He hoʻokaʻawale ka mana o ka Echo ma waena o ka homogeneous a me ka heterogeneous, a ʻo ka me ke koena o ka iwi ponoʻī, ʻoi aku ka mālamalama i kona leo ma ke kāʻei ʻana o ka mea ʻike ultrasound. Ma ke alo o nā puka wai, ʻike ʻia ka leo o ka echo, ʻo ia ka mea, ʻaʻole hiki iā lākou keʻike i ke kani o ka leo kiʻekiʻe, a no laila e pāʻalo iā lākou iho. Ma ka hoʻomaʻamaʻa lāʻau lapaʻau, nā hana lapaʻau i loko o ke ʻano o nā cysts me ka wai i loko o nā ʻōpū a i ʻole nā ʻōpū e kapa ʻia ʻo anechogenic, akā pili kēia manaʻo i kekahi mau kino olakino a me kā lākou mau keʻena, no ka laʻana, ka ʻōpala, nā puʻu ʻōpala, ventricles o ka lolo, mau puʻu naʻau a me nā kīʻaha koko.
A ʻo ka pancreas (pancreas), hiki iā ia ke hoʻohālikelike i ka beena ultrasound, ʻoiai ʻo kona kāpili ʻana, e like me ka pepeke, he kaona pili pili. Ma kēiaʻano, aneane like nā kiʻi i loaʻa i ka wā o ka ultrasound o nā kino ʻelua: e hōʻike ʻia ana e ka mālamalama hina hina, a i ka loiloi ʻana i ka pancreas, hoʻāla ʻia ka leo maʻa iki o ka maʻa o ka ate. Ma hoʻokahi ala a i ʻole kekahi, ʻo ka mea kūpono e ke kala i kahi ʻano hoʻohālikelike me ke akea i hoʻoholo ʻia e nā loea kūikawā i ke ʻano o ka pancreas.
Me ka hoʻohaʻahaʻa ʻana i ka nui o nā kumuwaiwai papaʻi pancreatic, kahi nui o nā wai, e hoʻonui ai i ka echogenicity: ke hoʻololi nei nā ʻona olakino i nā hoʻololi ʻana i nā pathologically a i ʻole nā ʻāpana o nā ʻili ʻē aʻe. Hiki i kēlā ʻano hanana ke ʻano a me ka hilahila. Hōʻike ka echogenicity i ka noho ʻana o nā puka pathological i loko o ke kino: nā pōhaku, cysts, tumors a me metastases, calcization, no laila, i mea e ʻike ai i ke ʻano o ke kūleʻa ʻana ma ka kikoʻī, ʻoi aku ka pololei o ka loiloi pololei loa, no ka laʻana, CT a MRI paha. ʻO ka diffuse echogenicity ka mana maʻamau ma ke ʻano he wela a me ka pololi, ke kuni a me ka hele ʻana o ka maʻi ma ke kino.
ʻO ka mana o ka parenchyma o ka pancreas
Hoʻoholo ʻia kēia ʻāpana e ka mānoanoa o kekahi o nā mea ʻokoʻa, a inā i manaʻo ʻia kēlā ʻano ʻano maʻamau no ka ʻōpū o ka ʻōpū, urinary a i ʻole gall, a laila no ka maʻi pancreatic parenchyma kahi kaʻawale loa kēia. Ke hoʻololi ʻia kahi hāleʻa olakino o kahi mea maʻi i nā scar, nā momona momona, a i ʻole nā mea i loaʻa nā nui nui o nā wai, e hoʻonui ka nui o ka echo. No laila, ʻo ka hoʻokaʻawaleʻana i ka nui o ka lipula o ka a me ka hyperechoicity e mālama ʻia me kēia hanana, ʻo ia ka hōʻailona mua ka mea i hewa i loko o ke kino. E like me ka mea i ʻōlelo ʻia ma mua, ʻaʻole mau ʻia ka nui o ka hoʻonui ʻia ʻana o ka echogenicity e lilo i hōʻailona hōʻala, pono wale nō e hopohopo kekahi i nā wahi i kūloko, hoʻokahi a me ka ʻano like ʻole o ka hōʻailona echo, pono e hopohopo hou a hoʻopuni wale ʻia, ma ka ʻai ʻana. Ma ke ala, hiki ʻole ke noʻonoʻo ʻia ka hyperechoogenicity he hōʻailona no nā pilikia o nā pākeke, akā hiki i kēia hanana ke pili me nā loli maoli e pili ana i nā makahiki o ke kumu o ke kumu o ka pancreatic i hoʻololi ʻia e nā fibrous i ka manawa. ʻO ka maʻamau, ʻaʻole pono nā hihia i kumu i kahi papa lapaʻau kūikawā.
Ke kū ka ʻā o ka echogenicity o nā kohu
He aha ke ʻano o kahi kanaka no ka nui o ka echogenicity i ka pancreas i hoʻonui nui ʻia i ka wā e hōʻike ʻia ana ma kahi polokalamu ultrasound a he aha nā kumu o ka pathology? Hōʻike pololei nā hoʻololi i ka wā o ke kaʻina e ka ultrasound a hōʻike i kahi hoʻololi o ka pathological i ka pancreas. ʻO kaʻoiaʻiʻo, ʻike ʻia kēia mau hōʻailona i ke ʻano maʻamau. No laila, hoʻolohe pono lākou i nā ʻāpana pilikino o ka mea i nānā ʻia, a ma o ke ʻano wale nō o ka ʻae i kēia a i kēlā hopena i hana ʻia e pili ana i ka loaʻa ʻana o ka maʻi maʻi. No nā mea kuʻuna a me nā ala āpau he loli i nā hōʻailona o ka echogenicity o nā pancreas:
- ʻO ka hiʻohiʻona o ka lipomatosis o nā kohu. I ka maʻi a hoʻonui i ke kūlana echogen o ka pancreas, ua hoʻopili ʻia ke kōpuna o ka glandular i ka momona momona. Hana ʻia ke kaʻina hana me nā hōʻailona ʻole, no ka mea ʻo ia ka mea i ʻike ʻia ai ka ʻimi i kahi kuʻuna.
- Hoʻohui i ka'āina echogenic, e ʻōlelo i ka edema o nā kumulā o nā kelepona. Me kēia noʻonoʻo ʻana, ʻano maʻamau ka ʻano o ka pancreatitis, ka ʻeha nui loa i ka peritoneum a me kahi hōʻailona lā, ka ʻano o ke ʻano o ka maʻi o ka maʻi, hoʻopuka.
- ʻO ka hoʻonui ʻana i ka ʻikepili o ka hōʻailona hoʻi e hōʻike ai i ka hiki ʻana o nā foci o nā neoplasms. ʻO ke kuʻuna me ka hoʻonui ʻia e e hoʻokau i kēia mau hōʻailona:
- a me ka ili o ka ʻili,
- Kaumaha kaumaha
- nā ninia
- nele i ka momona.
- ʻO ka hoʻonui pinepine o ka ʻikepili ma ka mokuʻāina echogenic o ka pancreas e haʻi e pili ana i ka ulu ʻana o ka necrosis pancreatic. Ma ka scoreboard o ka ultrasound apparatus, hōʻike ʻia ka pūnaewele o ka makaʻala i ke kukui māmā, ʻaʻole e like me nā wahi ʻē aʻe o ka pancreas. Me ka hopena o ka maʻi maʻi, ua kū ka necrosis o nā pūpuna o nā io, a me kahi patologi ikaika, ka loaʻa ʻana o peritonitis me ka ʻike hou ʻana i nā hōʻailona koʻikoʻi:
- hoʻonui ka ʻai
- ke hiʻohiʻona o kahi maʻi hōʻeha me ke kaumaha ʻoi paha,
- utuka
- nā ninia
- hoʻonāukiuki i ke kino.
- A he nui aʻe hoʻi ka hopena o ka hoʻi ʻana i ka maʻi me ka maʻi diabetes. ʻO nā hōʻailona hōʻailona o ka maʻi:
- makewai
- nā hoʻomaʻa pinepine ʻana
- mahuahua ka puʻuwai naʻau
- nāwaliwali ʻokoʻa.
- Hāʻawi ʻia kahi hōʻailona hoʻihoʻi hou ʻana i nā hiʻohiʻona o ka fibrosis tissue pancreatic. Nā hōʻailona o ka maʻi.
Me kēia hoʻolālā, ua hoʻololi ʻia ke kino olakino i kahi ʻano pathogenic a i ʻole paha. I ka manawa like, ʻo nā contours of the visualization of the pancreatic organ change.
Hiki mai ka pancreatic hyperechogenicity ma ke ʻano he wā kaʻawale. He aha ke kumu o kēia hōʻike:
- wahi maʻi pneumonia
- ARI
- ARVI,
- maʻi uila
- meningitis
- manuahi a maʻi 'ē aʻe paha e hoʻopilikia ai i ke kino o ka mea maʻi.
E hoʻopau i ka pilikia, lawe ʻia ka mālama ʻana i ke kumu o ka māhuahua o ka hopena echogenic, a ma hope o ka hōʻike ʻana i ka ʻikepili ultrasound a me ke ʻano o ka mea maʻi e hoʻi hou i ka maʻamau.
Naʻi hoʻolika
Hana ka hana mua i ka nānā ʻana i ka mea maʻi a hōʻiliʻili i kahi anamnesis.
ʻO ke paona no ka loaʻa ʻana o nā maʻi pancreatic ka hui ʻana o ka hoʻohana ʻana a me ka hoʻāʻo ʻana o ka laboratorium i ka koko a me ka urine, kahi hana hoʻohui e hiki ai iā ʻoe ke hana i kahi maʻi kūpono.
I nā hōʻike koko, he mea nui o ka hana alpha-amylase he mea nui. Hoʻoholo ʻia ka hoʻomaʻemaʻe Amylase i ka hoʻohālikelike ʻana me ka clearance creatinine, me ka pancreatitis, ʻoi ke kiʻekiʻe o ka helu mua i ka lua ma mua o ka 5. I ka pāʻai, ʻike ʻia nā ʻike amylase, kahi mākaʻina e hōʻike i ka pancreatitis.
I ka wā o ka ultrasound, ua noiʻi kahi mea loea i ka hoʻolālā o ka lula, nā ona a me nā kīʻaha koko. Inā ʻike ʻia ka ʻū ʻana o ke kumulāʻau a me ka hoʻonui ʻana o ke anawaena o ka waiʻo Wirsung, hiki iā mākou ke kamaʻilio e pili ana i ka maʻi pancreatitis. Hāʻawi ʻo Edema i ke kiʻi o ka hōʻemi i ka echogenicity ma ka pale, ʻo ia ka mea no ka hoʻonui ʻana i ka ʻike o ka wai i loko o ke aʻa. ʻO ka hōʻailona ka mana o nā tumors e hōʻike i ka echogenicity haʻahaʻa.
ʻO kahi hoʻonui hoʻonui haʻahaʻa o echogenicity o ka pancreas ʻaʻole i hoʻopili i kahi maʻi maʻi, ʻoi aku ka nui o nā noiʻi.
ʻO ka heleʻana o nā kalā, ka hoʻololi ʻana, nā loli cicatricial, pseudocysts, a me nā mea ʻokoʻa ʻē aʻe o ka homogeneity i hōʻike i kahi papa maʻi o ka pancreatitis.
Me ka nui o ka hōʻuluʻulu ʻana i ka wai ma loko o ka ʻōpū, ʻaʻole e hoʻolōʻihi ʻia nā neʻe o ka ultrasound i ka pancreas. Hoʻokomo kēia hiʻohiʻona i nā koi pono o ka meaʻai i ka wā e hoʻomākaukau ai no ka ultrasound - nā huahana e hoʻonui ai i ka hana ʻenehana.
Hoʻokomo i nā lāʻau Therapeutic i ka hopena o ka maʻi.
Hoʻokomo ʻia ka hopena no ka maʻi maʻi ma hope o kahi meaʻai a me ka uku ʻana no ka nele o nā hormone pancreatic (insulin).
Inā loaʻa nā echogenicity o ka pancreas i ʻike pū ʻia me kahi pūlima o nā hōʻailona lapaʻau o ka hoʻonaninani a exocrine organ, ke kauka nei ke kauka i ka hoʻohana ʻana i ka hoʻomākaukau o ka enzyme: Mezim, Panzinorm, Creon, etc.
ʻO ka hōʻeha ʻana i ka ʻeha ma ka pancreitis a me ka hoʻōla o kona ʻano aʻeha hoʻi e hoʻomaʻamaʻa ʻia e nā antispasmodics: No-shpa, Duspatalin, Odeston a me nā mea ʻē aʻe.
I ka manawa mua o ka maʻi pancreatitis (1-2 mau lā), ke hōʻike piha ʻia ʻana o ka meaʻai, a laila hōʻike ʻia ke kauka i kahi mea lapaʻau therapeutic.
ʻO ka mea nui o ka mālamaʻana i nā maʻi pancreatic ka mea ʻai. Hoʻokaʻawale ka meaʻai i kēlā me kēia lā i loko o ka 5 mau hopena i nā wahi liʻiliʻi. ʻO nā huahana pono e hoʻokaʻawale loa i ka meaʻai:
Pono e kuke ʻia ka meaʻai, ʻoi aku ka ʻoi aku o loko, ʻoiai ʻaʻole wela nui a papa ʻole. Hoʻoikaika ʻia ke oki uʻi.
Hoʻohui ʻia ka hoʻonui ʻana i ka wai (compotes, herbal teas, infusions). Ke hoʻohana nei i ka wai kahe kalima, pono ʻoe e hoʻokuʻu mua i nā mea o ka hau.
Hoʻokumu ʻia ka ʻaʻai no ka maʻi diabetes i kahi palena nui a i ʻole ka hoʻopiha piha ʻana i nā kalepona maʻalahi mai ka papaʻai a me ke komo ʻana o nā mea paʻakikī paʻakikī. ʻO ka papahana mālama no kēia maʻi ua komo i ka momona kaumaha.
ʻO nā maʻi e hiki ai me ka hoʻonui echogenicity
Hoʻonui ka echogenicity o ka pancreas i kēia mau ala:
- Hoʻopili ʻia ka lipomatosis (nā hana ʻehā o nā kelepona i nā sela momona e loaʻa i nā kinipona liʻiliʻi),
- Nāneka (pancreatic nano koena)
- maʻi mellitus maʻiʻi
- kekahi mau ʻano ʻoʻe,
- nā metastases o ka pancreatic i ka maʻi kanesa.
ʻAʻole hiki ke hoʻopoina i ka ʻano o ka edema o ka pancreatitis o ka maʻi, a me nā nika e loaʻa ana ke kahe, ka puka ma ka pā o ka mīkini ultrasound me ka hoʻohaʻahaʻa ʻana i ka echogenicity.
Nā hiʻohiʻona i nā keiki
Nā hōʻailona no ka koho ʻana i ka ultrasound o ka pancreas i nā keiki.
- ʻeha ka ʻōpū
- ʻuselelo wahaheʻe
- kaumaha kaumaha wikiwiki
- Ua kuhihewa ʻia ka pōkole o ka ulu ʻana o ka pancreatic,
- nāʻaihalihue keu, calculi, necrosis a fibrosis o nā lepa,
- maʻi mellitus maʻiʻi.
He paʻakikī ka nānā ʻana o kahi keiki liʻiliʻi, ʻoiai e hiki ke hoʻokaʻawale ʻia nā hopena o ka ultrasound, akā, ʻo ka ʻikepili e like me ke echo density, ka loaʻa ʻana o edema, ka ʻano inhomogeneous o ke kino i mea e loaʻa ai ka wikiwiki wikiwiki.
Ka helu ʻana o nā manaʻo helu hyperechoic
ʻO nā ʻano ʻokoʻa o nā inclusions hyperechoic i ka pancreas i hoʻokaʻawale:
- ʻO ka pseudocysts (he mau wai iki kēia i ʻike ʻia ma muli o ka maʻi pancreatitis). E maloʻo ka contour lole.
- Kūlike, a i ʻole mea i wae ʻia. ʻIke ʻia inā ua loaʻa kekahi maʻi i ka maʻi maʻamau o ke kino i nīnau ʻia (ʻo ka pancreatitis pinepine).
- Hoʻopili nā mea momona i nā wahi maʻamau. Hoʻomaopopo ʻia kēia inā e ʻai nui kekahi i nā meaʻai momona.
- ʻO nā Fibrosis, kahi i nā wahi maʻamau o ke kino e hoʻololi ʻia e nā kīʻī. Ua hōʻike ʻia ma hope o ka necrosis pancreatic.
- Hiki i nā maʻa ke hōʻiliʻili i nā papa o kahi mea.
- ʻO ka hoʻonui pinepineʻana i ka momona o ka fibrocystic.
- Nā metastases Pancreatic.
Inā hōʻike ka lolo i nā hopena kānalua, ua ʻōlelo ka mea maʻi no nā hoʻokolohua hou. Ma kēia ala wale nō i hiki ke loaʻa kahi maʻi kūpono.
Pehea ka maʻi o ka maʻi
Ma mua o ka nānā ʻana, pono ke hoʻomākaukau o ka mea maʻi. Hoʻoholo ʻia ia ma kahi ʻōpū ʻole, ʻo ka papa ʻaina hope ma kahi o 12 mau hola ma mua o kahi ultrasound. I kekahi mau lā, pono nā huahana e alakaʻi i ka hoʻokumu ʻana i nā hoʻomehana mai ka meaʻai.
I ka lā e hana ʻia ai ke kaʻina hana, ua pāpā ʻia ka mea maʻi e ulaula, inu i ka waiʻona a me nā lāʻau lapaʻau.
ʻO ka hōʻike ʻana iho ʻaʻole ia i hōʻeha a lawe i ka 20 mau minuke. E waiho ana ka mea hoʻomaʻū ma luna o kahi moena ma kona kua, a laila huli ma ka ʻaoʻao hema a hema. Hoʻopili ʻia kahi gel pōʻino i ka ʻōpū. Inā aia kekahi maʻa i ka flatulence, a laila pono ʻoe e lawe i kekahi mau papa o ka sorbent.
Ma hope o ka pau ʻana o nā kaʻina hana, hoʻokuʻi ke kauka i ka ʻikepili i loaʻa a hana i kahi maʻi maʻi. ʻAʻole hōʻeha kino ka ultrasound i ka mea maʻi, hiki ke hana ʻia i nā manawa āpau e like me ka mea e pono ai.
Pehea e mālama ʻia ai ka pancreas pathology?
ʻO ka mālama ʻana i nā kūlana āpau i pili me ka hyperechoogenicity e kuhikuhi wale ia e ke kauka.
Hoʻokumu ka Therapy i ke kumu o ka hyperechoogenicity:
- I ka pancreatitis hoʻonā, ua hoʻonā ʻia nā lāʻau lapaʻau e hōʻemi i ka hana o ka waikila hydrochloric i ka mucosa gastric. Pono a me nā kālā e hiki ai ke hōʻemi i ka hana enzymatic o ka pancreas. Pono e hoʻomanaʻo ʻia ka mālama ʻia ʻana o ka maʻi maʻa ʻia o nā ʻoihana ma ke keʻena.
- Me ka lipomatosis, he mea ʻai me kahi momona momona i hoʻoneʻe ʻia, maʻa mau o nā ʻano holoholona, hōʻike ʻia.
- Ke hele nei i nā kalaki a me nā wahi me ka fibrosis, me ka koho ʻana o ka meaʻai, ua hoʻonā ʻia ka nīnau no ke kaʻina hana.
- Me ka pancreatitis reactive, pono kaʻai kūpono a me ka mālama ʻana o ka maʻi ma lalo.
- Hanaʻia nā exacerbations o ka maʻi pancreatitis i kahi haukapila. Hōʻike ʻia e ka intravenous injection a me ka infusion.
- Hoʻohana koke ʻia ka Carcinoma; pinepine paha i ka mea maʻi e pono ai i ka chemotherapy.
ʻO ka hana koʻikoʻi i ka hoʻemi ʻana i ka pancreas hyperechoic e pono ai ka meaʻai pono. Pono ka mea maʻi e hōʻole i ka palaoa, iʻa, paʻilima.
Kūʻai ikaika i ka inu wai, ulaula. He mea kūpono hoʻi ia e kau i ka hoʻohana ʻana i nā pale.
Pono e hoʻomanaʻo ʻia ʻo ka hoʻonui ʻia ʻana o ka hyperechoicity he maʻi, akā he ʻano maʻamau o kahi mea ʻai. Wahi a nā hualoaʻa o ka ultrasound, ua kau ʻia ke ʻano kūpono. Malia paha e koi paha ka mea maʻi i nā haʻawina hoʻokolohua hou a me nā hoʻopaʻa ʻana.
Nā kumu kumu o ke kuʻuna
Nui nā ʻano kumu e hiki ai ke hoʻonui i nā echogenicity o nā pancreas. ʻO kā lākou papa inoa he kumu o nā kumu: mai kahi maʻi banal catarrhal i kahi maʻi maʻi luhi.
Nui mau manawa ka hewa ʻole. No laila, hiki i ka diffuse echogenicity ke hoʻowalewale i nā ʻano e like me kēia:
- ʻO nā loli hoʻololi
- Hoʻololi ke ʻano hoʻohuli
- Mamua
- Naawai
- Hoʻololi kūleʻa,
- Ma hope o ka maʻi maʻi (ma hope o kahi maʻi ʻeha a maʻi maʻi ʻole paha)
- Ke hana nei i kahi hoʻokolohua diagnostic ʻaʻole ma kahi ʻōpū ʻole.
ʻO nā kumu o kahi hōʻailona echogenicity kiʻekiʻe e hōʻike pinepine i nā incological incological. ʻO ka maʻamau, inā loaʻa a lākou, ʻo ka hopena ʻana o ka ultrasound e hoʻopau: "ʻo ka hoʻopili hyperechoic i loko o ka pancreas". ʻO ka pilikia koʻikoʻi e hūnā ʻia ma lalo o kēia huaʻōlelo ʻo ka malignant form. Eia naʻe, mai wikiwiki e hoʻolilo i ka hoʻoholo ʻana, no ka mea e hoʻonui ka echogenicity kūloko i mea hōʻike nō kekahi nui o nā ala ʻē aʻe, a mākou e kamaʻilio ma hope.
Pehea e hoʻokō ai ka maʻi maʻi?
ʻAʻohe mea paʻakikī i ka hoʻokō ʻana i kahi hoʻokolokolo diagnostic ultrasound, akā naʻe, ʻo ka hoʻomākaukau mua ʻana o ka mea maʻi. ʻO ke kūlana mua a koʻikoʻi loa e pono e kiaʻi ma mua o ka ultrasound ua pōloli. Hōʻike kēia e hana i ka ʻai hope loa he 12 mau hola ma mua o ke kaʻe ʻana, ʻo ia hoʻi, pono i ka mea maʻi e hele i ka haukapila ma kahi ʻōpū ʻole. Eia kekahi, ma ka lā o ka meaʻai, pono ke kāpae i nā huahana e hoʻokauwī ai i ka hoʻomoe ʻana a me ka pua. ʻAʻole ia e hōʻike ʻia i ka puhi, inu i ka waiʻona a lawe i nā lāʻau lapaʻau.
ʻO ka nānā ʻana i ka pancreas ma ka ultrasound he hana hōʻeha ʻole e hana ʻia me ka hoʻohana ʻana i kahi gel kūikawā a me ka apparatus no 5-10 mau minuke. No ka hana ʻana i kēia loiloi mea pono, pono ke kahina i kahi kanaka ma kahi o ka hoʻopunipuni, ma ke kaʻina hana e koi ʻia e ka mea loea e hoʻohuli mua ma ka ʻaoʻao hema hema, a laila ma ka ʻākau. Me ka pīhoihoi i ka flatulence, ʻoi ʻia e lawe i kekahi mau papa o ka sorbent.
Pono ka palekana ultrasound, no laila, inā pono, hiki ke ʻōlelo hou ʻia i kekahi mau manawa.