Elastometry isibindi. Fibroskanirovanie isibindi

Omunye izitho ezibaluleke kakhulu esibindini womuntu kubhekwa, kusukela lisebenza cishe ukugqoka, enza nsuku lenqwaba imisebenzi kanyekanye. Ukuchayeka enqabayo yizici zemvelo kanye okuthile okungahambi kahle emzimbeni nethonya elilimazayo isimo lesi sitho ezibalulekile.

Kungaphansi kwaziphi izimo umzimba kuyinto esiphuthumayo ukubona onguchwepheshe, futhi yini ukuhlolwa kudingeka kudlule ukuze uhlole isibindi, zichaziwe ngezansi.

Isakhiwo somzimba

Indawo hypochondrium kwesokudla, lapho isibindi senzeka, ukuvikelwa emathonyeni zangaphakathi nezangaphandle. Leli qembu omdala ongafinyelela Isisindo amakhilogremu nenxenye. Isibindi libhekisela nezindlala we uketshezi yangaphakathi.

izingxenye Prismatic - nezidingo zesakhiwo impahla umzimba. Ziyakwazi ikhophi ezincane kwesibindi uqobo. Ngamunye clove unendlela yawo liningi igazi ngesimo capillary encane. amangqamuzana omdlavuza ukukhiqiza Bile kwakudingeka ukubhekisiswa ukudla chyme.

Imfihlo Bile Amapayipi engena gallbladder - isikhwama esikhethekile, okuyinto idepho for Bile. Futhi lapha vele engena duodenum, iqhaza olwengeziwe ku inqubo ukugaya. Nakuba Bile futhi kukhiqizwa ngokuqhubekayo, kodwa ungena wokugaya ukudla ipheshana izingxenye.

Hepatic Ihlelo lokukhambisa iingazi kunalokho xaka futhi inikeza inombolo enkulu eduze okwakuthandelene nomunye capillary. imikhumbi emikhulu nezindlala kukhona Umthambo hepatic futhi portal Vienna, athwala igazi lisuka le-aorta izidumbu esiswini emuva. Vala ukuxhumana semithambo Bile imbobo inikeza umzimba ezingeni eliphezulu kakhulu.

"Imisebenzi" Functional kwesibindi

Lesi sigungu seziPhathimandla siyakuba babe nengxenye ezinqubweni eziningi kanyekanye ekwenzeni imisebenzi eziyinkimbinkimbi:

• isizukulwane secret for kokudla esiswini (Bile);
• Inactivation ubuthi, nomzimba namakhemikhali ayingozi;
• ukulawulwa carbohydrate umzimba amandla replenishment amasheya;
• excretion imikhiqizo umzimba;
• iqhaza gluconeogenesis;
• sebethule amavithamini.

Ngaphezu iqhaza kule nqubo ye ukugaya isibindi ngenkuthalo enqanda impahla yangaphandle wabanjwa emzimbeni womuntu. Ngemva inactivation of ezinobuthi ngesivinini ukususwa kwemiphumela exchange (acetone, ketones, i-ammonia, njll). Lokubaluleke kakhulu umsebenzi zamagama. Isibindi synthesizes inombolo yama-hormone, amaphrotheni, i-cholesterol, bilirubin, Bile acid kanye enzyme.

I engavamile somzimba futhi self-ukuphulukiswa. Lena enye yezinhlobo ezingu nezindlala zomzimba womuntu, okungenza ukubuyisela lingakanani original, kuphela ikota lendwangu yayo kuphela.

Yiziphi izimpawu zibonisa isidingo ucwaningo?

Iziguli eziningi bafune usizo uma isifo sesivele sidlulile ngokuhamba ezingamahlalakhona esiteji.

Ukulungiselela iseluleko kuchwepheshe kuyadingeka uma umtholampilo esilandelayo:

1. Ubuhlungu kwesokudla quadrant bezwe izinhlungu, cramping noma ukusika imvelo nge colic hepatic.
2. Ukwehluleka e Ukugaya izenzakalo sohudo (isicanucanu, ukuhlanza, uhudo, ukuvuvukala).
3. Low-grade imfiva noma ukunyuka kwezinga lokushisa yamazinga aphezulu.
4. Ukubukeka pallor kwesikhumba noma yokufuna abe luhlaza aphuzi.
5. "Isibindi izintende" - uphawu isibindi sibe sesomile noma kwesibindi kohlobo notshwala. Isikhumba ku izandla zayo zaba bomvu. Lapho ziqhubeka endaweni eminyene of ububomvu ubalekela, kodwa kamuva kuyabuya.
6. Ukubukeka izindawo yellow.
7. isikhumba ukulunywa futhi iminonjana ukunwaya.

Iluphi uvivinyo okudingeka badlule ngakhona ukuze uhlole isibindi?

Umzimba isimo Functional bangase bahlupheke ngenxa yezifo ezihlukahlukene ezisukela ezithathelwanayo izifo isimila genesis nezinqubo yokuqedela. Ngemva yokudluliselwa kuchwepheshe, futhi kuhlolwa nesineke inikezwe iqoqo izinyathelo ngoba uphethwe yini.

Yiluphi ucwaningo luyadingeka ukuze kudlule ukuze uhlole isibindi:

• ukuhlolwa evamile egazi noma omchamo;
• elastometry isibindi;
• gepatografiya;
• isibindi scan;
• igazi oyisazi samakhemikhali ezinto eziphilayo futhi enzyme ALT, AST ;
• Engeziwe igazi ibala - bilirubin, cholinesterase, inani amaprotheni phosphatase;
• Ultrasound isibindi.

Fibroskanirovanie - i emisha emkhakheni ukuhlola

Elastometry isibindi - indlela yesimanje of luhlolo, okuyinto ezinqunyiwe cystic okusolwayo. Ngaphambi kokufika le nqubo ukuphenya isimo amaseli ijwabu isibindi kwakunokwenzeka kuphela esebenzisa Histology.

Le nqubo unegama yesibili - isibindi fibroskanirovanie. A omuhle uphethwe Iphuzu liwukuthi nokuphepha yayo futhi ukungabi khona ukutheleleka emzimbeni wesiguli. Lokhu kwenza kube nokwenzeka ukulawula inkambo isifo ngokuhamba kwesikhathi.

Elastometricheskoe isibindi ucwaningo olwenziwe usebenzisa ama-apharathasi ekhethekile kokuba inzwa. Dlula kunyakaza ultrasonic, ezithinta ezicutshini zomzimba. Umphumela uboniswa ku-qapha ngesimo ulwazi seyihleliwe, okhombisa ezingeni kuyaqina we wendlala.

Amaphesenti ukunemba imiphumela kuphezulu kakhulu, futhi isikhathi kuthathwe ukuthi uthole impendulo incane. Uma kuqhathaniswa nokugcwaliseka biopsy e izici zayo obusebenzayo ehola elastometry isibindi. Intengo yale nqubo - ruble mayelana 4000.

izinkomba ngoba

Le ndlela ephephile of luhlolo isetshenziselwa ngisho ukuze kuhlonzwe izifo ezinganeni, ngoba ayidingi ukulungiselela okhethekile nesineke, akakubangeli yezinkinga emzimbeni.

Elastometry isibindi yabonisa iziguli ezilandelayo:

• nabantu isifo sesibindi esingelapheki kubantu;
• iziguli kwesibindi ezibangelwa amagciwane;
• iziguli ezine-isifo sokusha;
• iziguli ziphathwe izidakamizwa elwa namagciwane, ukuhlola isimo kwezicubu zomzimba kuyaqina ngaphambi nangemva izinyathelo ukwelashwa;
• iziguli ababusebenzisa kabi utshwala.

Kuphethe nqubo ithatha indawo ngosizo "Fibroscan". Isiguli osesimweni ovundlile, ezandleni abahlukene, esifubeni angenalutho nesisu. Inzwa igibele weyesi lapho Lobe kwesokudla isibindi. Ngemva kokukhetha le uphenyo endaweni unit uqhuba izilinganiso eziningana okwenziwa nguhlelo lwekhompyutha. Umphumela ibonakala qapha.

Ngakho, elastometry isibindi ikuvumela ukuba ngokushesha futhi ngokunembile ukuhlola isimo sokusebenza zomzimba.