Mob plab yuav zoo tuaj yeem muaj keeb kwm yooj yim yog tias lawv tshwm sim los ntawm kev noj ntau dhau lossis mob me, tab sis qee zaum lawv yog cov tsos mob ntawm qhov mob hnyav dua thiab mob hnyav - mob plab hnyuv. Hauv qhov no, koj yuav tsum tau mus ntsib kws kho mob sai li sai tau, vim tias tus kab mob no txaus ntshai nrog qhov tshwm sim loj heev rau tib neeg lub cev thiab tuaj yeem ua rau tuag taus yog tias daim ntawv tso cai rau rupture. Ib qho ultrasound puas tuaj yeem ua rau mob appendicitis?
Tus kab mob kuaj tau li cas?
Kev kuaj mob appendicitis yog ua los ntawm ntau txoj kev tshawb fawb. Qee qhov xwm txheej, qhov mob latent ntawm qhov mob lossis qhov tsis muaj zog ntawm cov cim tseem ceeb yog ua tau. Cov xwm txheej zoo li no yuav tsum muaj ultrasound rau mob plab hnyuv, lub hom phiaj ntawm kev tshem tawm lwm yam kab mob uas muaj cov tsos mob zoo sib xws. Nws yuav tsum tau hais tias ultrasound ncav cuagcuaj caum feem pua muaj tseeb.
Ua rau mob plab hnyuv
Raws li txoj cai, kab mob appendicitis tshwm sim los ntawm kev cuam tshuam ntawm polymicrobial flora, uas yog sawv cev los ntawm staphylococci, Escherichia coli, anaerobes, strepto-, staphylo- thiab enterococci. Cov kab mob nkag mus rau ntawm phab ntsa ntawm cov hnyuv los ntawm lub lumen, uas yog, nyob rau hauv txoj kev enterogenic.
Tsis tas li ntawd, cov xwm txheej rau qhov tshwm sim ntawm cov kab mob appendicitis yog tsim thaum lub sij hawm stagnation ntawm cov hnyuv cov ntsiab lus nyob rau hauv lub appendix vim nws kink, nrog rau muaj hyperplasia ntawm lymphoid cov ntaub so ntswg, fecal pob zeb thiab txawv teb chaws lub cev nyob rau hauv lub lumen.
Ib lub luag haujlwm yog ua los ntawm qhov tshwj xeeb ntawm cov khoom noj khoom haus thiab qhov chaw ntawm cov txheej txheem, noj cov nqaij ntau dhau thiab ua rau cem quav, vim tias cov khoom noj protein ntau ntau tau sau rau hauv cov hnyuv., thiab qhov no tsim ib qho chaw zoo rau kev yug me nyuam ntawm ntau yam kab mob pathogenic microorganisms. Txawm hais tias ultrasound yuav pom cov kab mob appendicitis yog qhov txaus siab rau ntau tus.
Ntxiv rau qhov ua rau txhua yam, kab mob parasitic thiab kis kab mob, xws li kub taub hau typhoid, plab hnyuv tuberculosis, amoebiasis thiab yersiniosis, tuaj yeem ua rau mob plab hnyuv.
Nyob rau hauv cov poj niam cev xeeb tub, qhov kev pheej hmoo ntawm mob appendicitis nce vim qhov loj ntawm lub tsev menyuam thiab cov kev hloov ntawm txoj hauj lwm ntawm lub appendix thiab caecum. Lawv kuj muaj yam tseem ceeb uas ua rau mob plab hnyuv, xws li kev txhim kho ntawm lub cev tiv thaiv kab mob, cem quav, thiab kev hloov pauv hauv cov ntshav mus rau hauv lub plab mog.
Thaum twg yuav tsum tau kuaj ultrasound?
Appendicitis yog ib qho mob mob ntawm daim ntawv mob plab uas yuav tsum tau phaiskev kho mob. Txawm hais tias daim ntawv ntxiv no yog lub cev vestigial, nws tseem ua tau peb lub luag haujlwm tseem ceeb:
- sau thiab loj hlob thaj tsam ntawm cov plab hnyuv microflora;
- tsim ntau cov tshuaj hormones;
- ua qhov cuam tshuam uas thaiv kev txav ntawm ntau yam kab mob.
Txawm hais tias muaj ntau tus kws tshaj lij xav txog lub cev no muaj txiaj ntsig (txawm hais tias yav dhau los tau sib cav tias nws tsis muaj txiaj ntsig thiab muaj kev phom sij), thaum nws ua rau mob, nws yuav tsum tau tshem tawm ntawm kev phais. Txoj hauv kev zoo tshaj plaws uas pab txheeb xyuas cov kab mob appendicitis thaum tsis muaj daim duab kho mob pom zoo yog ultrasound. Koj tus kws kho mob yuav xaj kom kuaj plab yog:
- thaum tus neeg mob yws txog qhov mob ntawm ib qho kev siv zog, ua rau ntau qhov chaw ntawm lub plab (feem ntau appendicitis yog tus cwj pwm los ntawm qhov mob hauv plab plab lossis cheeb tsam iliac ntawm sab xis);
- tus kws kho mob muaj cov ntaub ntawv ua ntej ntawm kev kuaj mob thiab anamnesis, uas tso cai rau kev xav tias mob plab hnyuv;
- kuaj ntshav, nrog rau kev nce hauv leukocytes, qhia txog kev hloov pauv ntawm cov mis mus rau sab laug: qhov no, nws yuav tsum tsis suav nrog tus neeg mob qhov mob ntawm cov txheej txheem ntawm caecum lossis cov tsos mob tsis tshwj xeeb..
Atypical xwm txheej
Ultrasound rau appendicitis kuj tau ua rau cov xwm txheej tsis zoo, tshwj xeeb tshaj yog rau cov poj niam cev xeeb tub, menyuam yaus thiab cov neeg laus, nrog rau cov neeg mob uas tsis muaj zog los ntawm lwm yam kab mob. Tej zaum lawv yuav hnov mob hauv qhov chaw tsis ncaj ncees uas muaj feem cuam tshuam nrog mob plab hnyuv. Ua tsaug rau ultrasound, koj tuaj yeem tso tseg tsis ntseeg lub hauv paus chiv keeb ntawm qhov mob hauv cov neeg uas muaj qhov txawv txav ntawm lub appendix. Lub cev vestigial no yuav tsis nyob hauv cov neeg sib txawv raws li qhia hauv phau ntawv qhia anatomical. Txij li qhov no ntawm caecum yog tus cwj pwm los ntawm kev txav mus los, nws muaj peev xwm hloov nws cov kev taw qhia hauv lub plab kab noj hniav. Yog vim li cas qhov mob yuav tsis tshwm sim nyob rau hauv cov chaw uas yog cov yam ntxwv ntawm classical hom appendicitis. Hauv qhov xwm txheej no, txoj hauv kev xws li ultrasound thiab suav tomography feem ntau yog siv. Ultrasound rau appendicitis yog siv ntau dua vim nws pheej yig, nqi tsawg, thiab sai dua. Tsis tas li ntawd, tsis yog txhua lub tsev kho mob tau nruab nrog CT units.
txiaj ntsig Ultrasound
Yog tias mob plab hnyuv mob tshwm sim los ntawm cov teeb meem txaus ntshai, xws li perforation, sepsis thiab gangrenization, ces yuav tsum muaj kev phais tam sim ntawd. Thaum cov tsos mob qhia tau zoo, cov kws kho mob tshwj xeeb suav nrog daim duab kho mob tag nrho. Txawm li cas los xij, nrog qhov tshwm sim tsis zoo ntawm cov paib lossis cov kab mob atypical ntawm appendicitis, kev ncua sij hawm hauv kev ua haujlwm tuaj yeem ua rau tus neeg mob tuag taus. Nyob rau hauv cov ntaub ntawv no, nws yog ib qhov tsim nyog yuav tau ua ib qho ultrasound ntawm lub appendix. Ua tsaug rau cov txheej txheem no, nws tuaj yeem txheeb xyuas lub xeev tam sim no ntawm tus neeg. Tsis tas li ntawd, yuav luag ib nrab ntawm cov pathologies ntawm lub plab kab noj hniav yog cov tsos mob uas zoo li mob appendicitis. Complicates txhua yam uasqhov chaw ntawm daim ntawv ntxiv tuaj yeem sib txawv kiag li, vim tias muaj qhov sib txawv ntawm qhov mob thiab cov yam ntxwv ntawm qhov mob. Nws yog ultrasound ntawm lub plab kab noj hniav nrog appendicitis uas tso cai rau koj los txiav txim qhov tseeb thiab sau ntawv kho raws sij hawm thiab muaj peev xwm rau tus neeg mob.
Yuav ua li cas ua ntej?
Txog xyoo 1980, X-ray hluav taws xob los ntawm barium tau siv. Tam sim no ultrasound tau dhau los ua kev nyab xeeb thiab tuaj yeem siv nyab xeeb txawm tias kuaj cov menyuam yaus thiab cov poj niam cev xeeb tub. Ntau tus kws tshaj lij ntseeg tias suav tomography yog ib txoj hauv kev zoo dua. Txawm li cas los xij, ultrasound tsis yog qis dua rau nws txhua lub sijhawm thiab tib lub sijhawm nws txawv ntawm nws qhov muaj thiab tus nqi qis dua. Yog tias qhov xwm txheej ceev, lawv feem ntau mus rau ultrasound, vim nws tso cai rau koj kom tau txais cov ntaub ntawv ceev ceev txog tus neeg mob tus mob.
Yog li ntawd tus mob appendicitis tuaj yeem pom ntawm ultrasound.
Qhov no yog qhov tshwj xeeb tshaj yog txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhuam. Vim yog qhov tshwj xeeb ntawm anatomical, kev kuaj mob appendicitis siv cov txheej txheem classical yog qhov nyuaj heev. Tsis tas li ntawd, cov menyuam yaus feem ntau tsis tuaj yeem hais meej meej thiab sib koom ua ke piav qhia raws nraim qhov lawv hnov mob, uas ua rau nws nyuaj rau kev kuaj mob, uas txhais tau tias nws tsis tuaj yeem sau tshuaj kho kom raug.
Txawm li cas los xij, ultrasound muaj nws qhov tsis zoo. Piv txwv li, vim kev npaj tsis raug rau cov txheej txheem, tsam plab lossis rog dhau ntawm tus neeg mob, qee qhov chaw ntawm lub plab kab noj hniav yuav tsis cuam tshuam rau ntawm lub vijtsam saib. Txawm li cas losKev kuaj mob zaum kawg thiab kev txiav txim siab txog kev kho mob yog lub luag haujlwm ntawm tus kws phais, vim tias ultrasound tsuas yog ib qho kev sib sau cov ntaub ntawv xwb.
Puas ultrasound kuaj mob appendicitis, peb piav qhia.
Npaj rau txheej txheem thiab nws qhov kev siv
Kab mob appendicitis ultrasound tsis xav tau kev npaj tshwj xeeb. Tsis tas li ntawd, cov txheej txheem no feem ntau ua tiav raws li cov lus qhia tseem ceeb. Yog tias tus neeg mob raug coj mus rau qhov chaw kho mob uas muaj cov tsos mob hnyav, tsuas yog ultrasound yuav pab kom paub tseeb tias qhov kev kuaj mob sai li sai tau. Yog tias qhov kev ntsuam xyuas tau npaj tseg, nws yog ib qho tsim nyog yuav tsum tsis txhob noj ntau dhau, tsis txhob noj zaub mov uas ua rau meteorite, thiab tuaj ntawm lub plab khoob. Txoj kev tshawb no yog ua raws nraim tib yam li nyob rau hauv cov ntaub ntawv ntawm kev tsom xam ntawm lwm yam kabmob ntawm lub plab kab noj hniav. Feem ntau, lub plab zom mov yooj yim siv rau lub hom phiaj no, uas tso cai rau kev kuaj mob pathology los ntawm phab ntsa plab, nrog rau cov gel tshwj xeeb uas txhim kho kev sib cuag thiab txhim kho kev ua haujlwm. Tus neeg mob yuav tsum tuaj nrog daim ntaub qhwv thiab phuam (los yog daim ntaub so ntswg). Tsis tshua muaj, nyob rau hauv cov poj niam uas muaj qhov sib txawv los yog qhov txawv txav ntawm qhov chaw ntawm lub appendix, txoj kev tshawb fawb siv qhov chaw mos tshuaj ntsuam xyuas, ua tsaug rau cov kab mob extraneous thiab kab mob, xws li zes qe menyuam apoplexy, adnexitis, lossis ectopic cev xeeb tub, tuaj yeem txiav tawm.
Kab mob appendicitis yuav pom ntawm ultrasound. Kev sau kom raug yog qhov tseem ceeb.
Data decryption
Ultrasound tso cai rau koj kom tau txais cov duab tsis meej thiab meej ntawm tus kab mob. Lub monitor qhia cov kab mob tshwm sim hauv qhov pom loj, ncig los ntawm exudate. Yog ibcov theem yog gangrenous, ces kab ntawm cov ntsiab lus purulent yog pom, uas yog tso tawm los ntawm cov txheej txheem. Thaum qhov mob tsis cuam tshuam nrog mob plab hnyuv, cov txheej txheem yog qhov loj li niaj zaus thiab tsis muaj cov tsos mob ntawm qhov mob.
Zoo kawg
Qee zaum nws tsis tuaj yeem ua qhov kev kuaj mob kom meej. Qhov no feem ntau tshwm sim nyob rau hauv ciam teb ntawm cov ntawv ntxiv, thaum nws mob lossis loj, tab sis tsis muaj daim duab meej uas tso cai rau kev kuaj mob kom raug thiab xa tus neeg mob mus rau kev phais.
Cov ntaub ntawv tsis sib xws zoo ib yam tuaj yeem tau txais thaum kawm txog tus neeg rog rog lossis muaj roj ntau hauv cov hnyuv. Hauv qhov xwm txheej zoo li no, nws yog qhov zoo tshaj los ua CT scan thiab xa tus neeg mob mus kuaj ntxiv. Ua tsaug rau ib qho kev sib koom ua ke nyob rau hauv cov xwm txheej hnyav, koj tuaj yeem ntseeg siab lossis txiav txim tawm qhov muaj kab mob appendicitis.
Yuav ua li cas ultrasound qhia tau tias mob plab? Cov lus teb tsis meej - yog, nws yuav.
