Izinso simila. ukwelashwa

Lapho umuntu ngemva ultrasound uthi ayezithola endlini kwi simila izinso in zikhathi okokuqala ihlanganisa ukukhathazeka bedidekile ukuthi ngokushesha esiholela suspiciousness ezibuhlungu. Nokho, eminyakeni yamuva nje babe abantu, ikakhulukazi asebekhulile, ngokuvamile kwenzeka nginesimila izinso. Ukwelashwa kule nesineke akakwazanga ngisho onalo, njengoba babengazi ukuthi ngaphambi eziphathelene nokugula. Lesi sifo akuphazamisi inhlalakahle kanye akuyona ingozi empilweni. Umcabango nginesimila izinso njengoba yahlatshwa ku lohlupho lwesintu isungule ngenxa ukwethulwa okwandile ultrasound ngo ezibhedlela nasemitholampilo.

Ezimweni eziningi, simila kwezinso - kumiswa zokucabanga okubangelwa isifo umgodi eyindilinga enezindonga obukhulu egcwele okuqukethwe ketshezi. Ngamafuphi nje, kungcono isikhwama sezicubu zezinzwa nge uketshezi esobala aphuzi. Simila izinso ngokuvamile uba yesifo azalwa naso, futhi kungenzeka kwakhiwa ngenxa ukuvuvukala eside futhi unekhono kancane kancane ukwandisa (ongafinyelela 10 cm ububanzi).

Iminyaka, kwesifo ngokwaso akukwazi ngisho. Afihliwe phakathi ukuthuthukiswa izinhlumba kwezinso kubonakala cishe ingxenye yesine ka iziguli. Nokho, ukucabanga ukuthi ukwelapha nginesimila ku izinso, kuphela siqale ukuthola izimpawu okuyinto ziyabonakala lapho izinhlumba ukwandisa (ngokuvamile mkhulu kunezinhliziyo 4 cm) noma suppuration:

- abuzwa e hypochondria noma okhalweni ohlangothini lapho izinso kuthintwa;

- colic kwezinso ;

- ukunyuka komfutho wegazi (hypertension).

Ngokungafani umdlavuza, simila kwezinso - isimila kungavamile ukuba ingozi. Yingakho, uma udokotela ethola ukuthi isiguli simila kwezinso, impatho akuyona esabela njalo. Ngo-70% amacala, kulandele nje owodwa ungamthinta ingayigcina, ngaphandle asebenzise izinyathelo kuhlinzwa. Uma izinhlumba usayizi ingenkulu (ubukhulu ezingekho ngaphezu 5-6 cm), futhi ekugcineni kancane kancane kwandisa, noma ukhushulelwa kancane, kodwa lokhu akusho neqhaza ukuphazamiseka kwezinso ukugeleza kwegazi kanye nomchamo outflow, kulesi simo ngokuvamile akudingi ngokuphelele Asilapheki. Kuyinto kanye kuphela ngonyaka zigcina ibhekane cwaningo ultrasound.

Ngokuvamile kufanele ukuthi noma yimuphi umuntu simila kwezinso itholiwe, ukwelashwa kufanele kukhethwe ngokuqinile ngamunye, ngaphandle-ke, ukuba khona izinhlumba ayinayo nomphumela, okungukuthi, Akukona ukuzibonakalisa, futhi akukho lapho kuboniswa khona ukuze kususwe kuhlinzwa. Endabeni khona amaprotheni ku umchamo noma erythrocyte nge outflow kahle umchamo kanye nobuhlungu, nabakhwelwe umbuzo sendlela yokuphatha abanye nginesimila ku izinso sibe esingathi sina ngokwengeziwe.

Indlela Okuvame kakhulu kanti esetshenziswa njalo nokwelashwa olulodwa izinso izinhlumba (kungabi kukhulu ukudlula 5 cm) - wokubhoboza percutaneous wenziwa khona ngaphansi ultrasound isiqondiso kusetshenziswa inaliti esihle, izinhlumba amanzi, okungukuthi ukuthuthwa kwabantu ngenxa yengozi okuqukethwe kanye yethula ingaphakathi sclerosing yayo izindlela (ejenti gluing), okuholela simila odongeni induku ndawonye. Ngo kwezinso izicubu izinhlumba kule ndawo ayisekho kukhiqizwa.

Nokho, le ndlela yokukhuluma kwelashwa awokuthi Ukuphinda lesi sifo. Ngaphezu kwalokho, kusukela iphuzu lobuchwepheshe umbono, akubona bonke izinhlumba kungenziwa punctured (kuncike kwasendaweni yayo izinso).

asetshenziswa Ezinye izindlela, uma kutholakala ukuthi nginesimila esikhulu kakhulu ifinyelele nezinso. Ukwelashwa kulokhu kwenziwa imisebenzi percutaneous ngokusebenzisa nefrakskopa elawulwa x-ray noma ultrasound - kususa okuqukethwe simila nodonga lwawo. ukuhlinzwa Vula wenziwa ezimweni ezingajwayelekile: Breaking noma iqhubeka simila, ukuguqulwa yayo ibe isimila noma izinso ekubhujisweni, kanye nokuthola izinhlumba ekujuleni izinso. Izinkomba ukuhlinzwa evulekile (ikakhulukazi uma simila noma multi-ekamelweni has izindonga), kumele kwenziwe hhayi kuphela e-US, kodwa-CT scan izitho elise esikhaleni retroperitoneal, nge ukukhishelwa siphawula ngoba ephethwe umdlavuza.