Nws tshwm sim tias tus neeg mob mus ntsib kws kho mob, tsis paub piav qhia nws mob qhov twg. Cov kab lus hais tias lub plab tas li (feem ntau) mob tsis yog qhia rau tus kws kho mob tshwj xeeb. Txawm li cas los xij, nws yog ib qho tsim nyog yuav tsum paub txog qhov ua rau mob, thiab tus kws kho mob sau cov kev sim, nrog rau ultrasound ntawm tus po thiab lwm yam kab mob hauv plab.
ultrasound yog dab tsi?
Kev kuaj mob ultrasound yog ib txoj hauv kev tau txais cov ntaub ntawv hais txog lub xeev ntawm lub cev yam tsis muaj kev nkag mus rau hauv cov kab noj hniav hauv lub cev. Cov txheej txheem yog raws li cov nyhuv piezoelectric cuam tshuam nrog raug rau ultrasonic tsis. Cov txheej txheem tso cai rau koj los tso saib lub cev nyob rau hauv kev kawm, nrhiav nws qhov loj me, tshuaj xyuas qhov tsis xws luag thiab txiav txim siab qhov xwm txheej.
Vim li cas thiaj ua ultrasound ntawm tus po
Muaj ob peb yam qhia rau kev kuaj ultrasound ntawm tus po. Tus kws kho mob yuav tau sau cov txheej txheem yog tias muaj kev raug mob ntawm lub cev thiab tsis yog xwb. Muaj ib pab pawg neeg ntawm cov kab mob uas zoo li kev kuaj xyuas tas li. Nws yog nqa tawm nrog lub caij nyoog ntawm 6 lub hlis lossisxyoo.
Ultrasound ntawm daim siab thiab tus po yog tshuaj tsis tu ncua rau cov kab mob hauv qab no:
- tsis txaus ntseeg hauv kev loj hlob ntawm lub cev;
- ntshav leukemia;
- benign lossis malignant qog los yog xav tias lawv muaj;
- txiav txim siab qhov chaw tiag tiag ntawm kev tsim metastasis;
- cirrhosis;
- kab mob siab;
- ntau yam kab mob sib kis.
Cov txheej txheem tau ua yam tsis muaj kev cuam tshuam nyuaj, tab sis tseem muaj qee cov lus pom zoo kho mob rau kev npaj rau ultrasound ntawm daim siab thiab tus po.
Nws yog ib qho tsim nyog taw qhia tias nws yog tsis yooj yim sua kom nqa tawm ib txwm palpation ntawm tus po nyob rau hauv cov me nyuam. Yog li ntawd, rau ib qho kev tsis txaus siab ntawm kev raug mob los yog pathology, ultrasound yog tshuaj. Nov yog tib txoj hauv kev kom paub meej lossis tsis lees paub kev ntshai. Cov menyuam yaus tau npaj rau cov txheej txheem ntau npaum li cov neeg laus.
Npaj ntsuas
Yog tus neeg mob tau teem sijhawm rau kev kuaj ultrasound ntawm tus po, qhov kev npaj yog raws li hauv qab no:
- Nws yog qhov zoo dua rau npe rau ultrasound thaum sawv ntxov. Cov pluas noj zaum kawg tuaj yeem yog tsawg kawg 9 teev ua ntej kuaj. Cov neeg mob ntshav qab zib tuaj yeem haus tau qee cov tshuaj yej thiab noj qee cov khob cij qhuav, raws li kev yoo mov ntev yog contraindicated rau lawv.
- 2 hnub ua ntej ultrasound, kev noj zaub mov tshwj xeeb tau tsim. Nws tsis suav cov zaub nyoos, khoom noj siv mis, qhob cij thiab legumes. Cov kev txwv zoo li no tsis yog kev xav ntawm tus kws kho mob, lawv tso cai rau koj kom tsis txhob muaj fermentation hauv cov hnyuv, uas, thaum lub sij hawm ultrasound ntawm tus po, thaiv lub cev, tiv thaiv nws los ntawm kev kuaj xyuas.
- Nrog nce roj tsim rau ib tug neegTsis tas li ntawd xaiv qhov txais tos ntawm activated charcoal. Qhov ntau npaum yog xam tus kheej. Rau txhua 10 kg ntawm lub cev hnyav, 1 ntsiav tshuaj yog noj.
Nws nyuaj me ntsis los ua qhov kev xeem zoo hauv cov menyuam yaus. Cov menyuam yaus tsis zam kev tshaib kev nqhis, tshwj xeeb tshaj yog cov menyuam mos thiab cov menyuam yaus hnub nyoog qis dua peb xyoos. Nyob rau hauv kev npaj rau txoj kev kawm, ib tug so nyob rau hauv pub rau tus me nyuam yuav tsum muaj tsawg kawg yog peb teev. Ib tug me nyuam uas muaj hnub nyoog 2-3 xyoos yuav tsum ua siab ntev 4 teev, thiab cov me nyuam hnub nyoog tshaj peb xyoos - tsawg kawg yog 6 teev. Cov lus qhia ntxiv yog ua raws li tib yam li rau cov neeg laus.
Thaum muab tshuaj ultrasound ntawm tus po, kev npaj rau kev kuaj yuav zoo dua yog tias koj noj feem ntau 2 hnub ua ntej qhov txheej txheem. Ib feem ntawm cov zaub mov yuav tsum tsawg, nws yog qhov zoo dua noj txhua 4 teev.
Npaj rau lub siab ultrasound tsis txawv ntau ntawm cov kauj ruam saum toj no. Kev ntsuas ntxiv tsuas yog siv los ntawm cov neeg muaj kev rog rog. Lawv raug qhia kom ua kom huv enemas thaum sawv ntxov thiab yav tsaus ntuj ua ntej txheej txheem.
nyeem ib txwm, cov ntawv sau tseg
Yog tias daim ntawv ultrasound qhia qhov nruab nrab echogenicity, ib qho tsis tseem ceeb vascular network ntawm lub rooj vag ntawm lub cev, lub splenic vein yog hais txog 0.5 cm nyob rau hauv lub cheeb, cov duab ntawm lub cev yog smoothly nkhaus, thiab nws qhov chaw nyob yog sab laug. sab sauv ntawm lub plab kab noj hniav, ces koj yuav calm down. Cov no yog cov ntawv nyeem ib txwm.
Thaum lub sijhawm kuaj, nws yuav tsum tau txiav txim siab seb tus po yog qhov loj. Ultrasound txiav txim qhov luaj li cas ntawm lub cev nyob rau hauv ib tug oblique seem - nyob rau hauv12 cm, thiab nyob rau hauv lub transverse - nyob rau hauv 8 cm. Lub thickness ntawm lub cev yog hais txog plaub cm.
Kev txiav txim siab qhov loj me ntawm cov menyuam mos tus po
Yog tias tus kws kho mob tau hnov tus menyuam tus po thaum palpation, nws txhais tau tias lub cev loj dua yuav luag 2 zaug. Tsis tas li ntawd, muaj cov lus kwv yees txuas qhov siab ntawm tus menyuam thiab qhov loj ntawm nws tus po yuav tsum muaj. Ultrasound cov neeg laus txiav txim siab qhov loj me, thiab cov qauv rau cov menyuam yaus yuav tsum tau saib raws li lub rooj tshwj xeeb. Piv txwv li, nws qhia tau hais tias nrog qhov siab ntawm 60-69 cm, qhov ntev ntawm tus po tuaj yeem sib txawv ntawm 47.8 mus rau 61.3 mm. Lub thickness thiab dav ntawm lub cev kuj tau muab rau ntawm no. Cov kauj ruam rooj - txhua 10 cm ntawm kev loj hlob.
Pathological ntsuas ntawm tus po
Yog tias pom muaj tus kab mob leukemic infiltration hauv tus neeg mob, ces qhov kev kuaj mob ntawm tus po tuaj yeem pom cov kab mob hauv qab no:
- hloov pauv qhov loj ntawm lub cev (nce);
- ntse ntug ntawm tus po;
- bov ntau dhau raws qhov contour;
- nce nce;
- mob qog nqaij hlav hauv thaj tsam ntawm hilum ntawm tus po.
Yog tias muaj abscess, ces lub ultrasound yuav qhia:
- hloov pauv hauv echostructure (mixed lossis hypoechoic);
- zoo li lub cyst.
Yog tias muaj kev raug mob thiab muaj hematoma lossis lub cev tawg, qhov kev kuaj xyuas yuav qhia:
- hloov pauv hauv echostructure (mixed lossis anechoic);
- pawg, tsis sib xws;
- pom cov kua hauv lub peritoneum lossis hauv qab diaphragm.
sijhawm kuaj yuav tso cai tsoKev kuaj mob kom raug thiab pab txhawb tus neeg mob txoj kev kho mob.
Norm thiab pathological tsis ntawm daim siab ultrasound
Yog tias tus neeg mob tau txais ultrasound ntawm daim siab, ces qhov loj ntawm lub lobe sab xis - mus txog 12 cm, sab laug - txog 7 cm, cov kua tsib - txog li 8 hli tuaj yeem suav hais tias yog tus qauv. Cov npoo sab nraud ntawm lub cev yuav tsum sib npaug, thiab nws cov qauv yuav tsum tsis sib xws.
Nrog kev pab ntawm ultrasound, cirrhosis, kab mob siab, metastases, hemangioma, hepatoma, steatosis, cystic neoplasms thiab lwm yam pathologies raug kuaj pom.
Thiab tib lub sijhawm, cov ntsiab lus ntawm kev xeem rau tus kws kho mob siab heev. Nws tuaj yeem kos cov lus xaus raws li cov ntaub ntawv tau txais. Feem ntau, nws tsis tuaj yeem ua yam tsis muaj ultrasound ntawm lub siab thaum ua lossis qhia meej qhov kev kuaj mob.
Txhawm rau tswj koj txoj kev noj qab haus huv, koj yuav tsum saib xyuas koj lub cev kom zoo thiab yog tias muaj cov tsos mob, sab laj nrog kws kho mob. Tsuas yog ib tus kws kho mob tshwj xeeb tuaj yeem nkag siab qhov teeb meem. Tus kws kho mob yuav sau cov kev ntsuam xyuas, tej zaum yuav tsum tau kuaj ultrasound los txiav txim qhov kev kuaj mob. Tsis txhob tsis quav ntsej txog kev pab kho mob, vim tias kev noj tshuaj rau tus kheej tuaj yeem ua mob rau koj txoj kev noj qab haus huv.
