Lub txiav ua kab mob hauv lub cev muaj ob lub luag haujlwm - nws tsim cov enzymes rau kev zom zaub mov thiab cov tshuaj hormones rau kev tswj cov ntshav hauv qabzib. Yog li ntawd, nws tau koom nrog yuav luag txhua qhov kev zom zaub mov.
Vim nws qhov chaw thiab loj me, nws nyuaj rau kuaj tau thaum lub sijhawm palpation ntawm lub plab, txij li nws nyob tom qab lub plab thiab plab hnyuv me.
Yog li no, txhawm rau txiav txim siab cov qauv ntawm no hloov khoom nruab nrog thiab ntsuas ntsuas kev ua haujlwm, ib qho ultrasound ntawm tus txiav yog kho rau ntshav qab zib mellitus.
Kev taw qhia rau kev mob plab ultrasound
Feem ntau, kev kuaj mob plab hauv plab yog tsim los ua qhov kev tshawb fawb ntawm cov neeg mob ntshav qab zib mellitus, vim tias qhov no yuav pab pom kev hloov pauv hauv daim siab, lub plab thiab plab hnyuv, lub zais zis. Txhawm rau ntsuas tus kab mob ntshav qab zib, kev tshawb fawb no tuaj yeem siv los ua txoj hauv kev pabcuam los txiav txim lub sijhawm ua haujlwm.
Ultrasound tuaj yeem txiav txim siab cov qog thiab cov txheej txheem ua haujlwm nyob rau hauv plab, mob tshwm sim ntawm pancreatitis, cholecystitis, peptic rwj kab mob, rog ua haujlwm, mob ntsws, uas tuaj yeem ua rau kev kho mob ntshav qab zib thiab ua rau nws decompensation.
Feem ntau, xws li kev kuaj mob yog nqa tawm los ua kom pom kev mob plab, uas tsis muaj cov duab hauv tsev kho mob meej meej thiab ntau zaus tshwm sim, txuas nrog kev noj mov. Nws raug nquahu rau qhov pom ntawm jaundice, cia li poob ceeb thawj, tsis xis nyob hauv cov hnyuv, qhov kub tsis paub lub hauv paus pib.
Kev kawm ultrasound tuaj yeem ua tiav qhov kev kuaj mob hauv qhov xwm txheej zoo li no:
- Kev kuaj mob ntawm lub cev radiological ntawm o los yog mob peptic ua rau lub plab lossis plab hnyuv.
- Hloov pauv ntawm tus qauv ntawm phab ntsa ntawm lub plab thaum lub sij hawm fibrogastroscopy.
- Qhov tshwm sim ntawm kev txawv txav hauv kev tshawb nrhiav kab mob biochemical: hloov daim siab hloov kho lub siab ua haujlwm, nce ntshav qab zib lossis bilirubin.
- Yog hais tias thaum lub sij hawm tshuaj ntsuam qhia tawm nro ntawm anterior plab phab ntsa.
Pathology ntawm tus txiav los ntawm ultrasound
Thaum pib, cov kev tshawb fawb txiav txim siab qhov loj ntawm lub txiav. Rau cov neeg laus, nws yog qhov ib txwm yog hais tias lub taub hau-lub cev-pob tw piv yog 35, 25, 30 mm, thiab nws qhov ntev yog 16-23 cm. Hauv cov menyuam mos, lub caj pas ntev li 5 cm.
Qhov tseem ceeb thib ob yog echogenicity, feem ntau nws nce tsuas yog nyob rau hauv cov neeg laus, thaum cov ntaub so ntswg ib txwm hloov los ntawm cov ntaub so ntswg sib txuas, thaum lub qog poob qis rau qhov loj me, yog li daim paib no (loj) poob nws qhov tseem ceeb nrog lub hnub nyoog. Pancreatic echogenicity feem ntau sib npaug ntawm hepatic, nws cov contours yuav tsum yog.
Hauv hom 1 mob ntshav qab zib mellitus, nyob rau thawj xyoo ntawm tus kab mob, kev hloov pauv hauv ultrasound tsis pom: qhov ntau thiab tsawg nyob rau hauv lub cev qhov tseem ceeb ntawm lub cev, cov ntaub so ntswg muaj txawm tias tseem grain, echogenicity tsis tawg, cov ntsiab lus tawm kuj tseem meej thiab meej.
Tom qab 4-6 xyoo, nyob rau hauv cov neeg mob zoo li no, tus qauv ua tiav lub nraub qaum yog smoothed tawm, lub qog ua qog, kis cov pob txha-zoo li lub cev. Ntawm hom 2 Ntshav Qab Zib, tsuas yog cov ultrasound kos npe hauv thawj theem yuav yog qhov loj me me, tshwj xeeb tshaj yog nyob hauv thaj chaw taub hau.
Nrog tus mob ntshav qab zib ntev mellitus, koj tuaj yeem pom cov kev hloov pauv zoo li no:
- Qhov txiav ua rau txiav siab me me.
- Hloov ntawm cov ntaub so ntswg zoo tib yam, ib qho ntxhib sib txuas tau txiav txim siab.
- Sab hauv lub qog, qhov kev loj hlob ntawm cov rog ua haujlwm yog pom tau - pancreatic lipomatosis.
Nyob rau hauv muaj cov kev mob tshwm sim hauv cov txiav ua ke, nws nce ntxiv hauv qhov loj me, thiab echogenicity poob qis, hlwv thiab thaj chaw ntawm necrosis tuaj yeem kuaj tau. Mob txhaws hauv pob txha yog ua los ntawm ntau zuj zus pom, cov kab mob Wirsung duct nthuav dav, pob zeb pom tau. Qhov loj tuaj yeem nce ntxiv, thiab nrog chav kawm ntev - txo qis.
Ntawm cov ntshav qab zib mellitus, ib qho kev tshawb fawb ntawm daim siab yog tsim nyog nqa tawm, txij li nws yog ib tus neeg koom nrog hauv cov khoom noj metabolism hauv pluas mov - cov piam thaj yog tsim nyob rau hauv nws thiab kev muab glycogen yog khaws cia. Qhov kos npe tsis ncaj ncees ntawm insulin tsis txaus yuav ua rau lub ntsej muag rog ntawm daim siab nqaij - steatosis.
Tsis tas li, ultrasound tuaj yeem pab tshawb pom cov txheej txheem qog, nyob rau hauv cov xwm txheej zoo li no, cov khoom sib kis ntawm cov khoom nruab nrog ua tsis sib xws, cov duab hloov, thaj chaw nrog echogenicity sib txawv tshwm sim, qhov qhia txog ntawm cov qog feem ntau tsis meej, tsis zoo li hlwv thiab pob zeb.
Cov hlav me me yuav tsis hloov qhov loj me thiab yuav tsis cuam tshuam qhov contours ntawm tus txiav.
Yuav npaj rau ib qho ultrasound
Txoj cai tseem ceeb rau kev ua tiav lub plab hauv plab yog qhov tsis muaj roj av hauv cov hnyuv, vim tias vim lawv tsis tuaj yeem pom cov qauv ntawm cov khoom nruab nrog cev. Rau lub hom phiaj no, ua ntej kev kuaj mob, nyob rau hauv 3-5 hnub ib qho khoom noj twg uas ua kom muaj kev nyuaj siab ntau yog tsis suav nrog kev noj haus.
Nws suav nrog qhob cij xim av, mis, txhua hom zaub qhwv, zaub tshiab thiab txiv hmab txiv ntoo, ntsuj plig, dej muaj zog, txhua yam khoom qab zib, khoom qab zib, mis nyuj khov, khoom noj qab zib nrog rau cov piam thaj hloov, txwv cov zaub mov ntawm cov nplej, noob txiv, noob, zaub rau hau, thawj cov hoob kawm nrog zaub lossis zaub mov.
Koj tuaj yeem noj cov zaub mov muaj protein tsawg - nqaij, ntses, tshij, tsev cheese, tsis muaj qab zib, qaub haus tsis muaj cov tshuaj ntxiv, tshuaj ntsuab tshuaj ntsuab nrog mint, dill, anise thiab fennel. Nyob rau yav tsaus ntuj, pluas mov kawg yuav tsum pom lub teeb. Thiab noj tshais thiab kas fes thaum sawv ntxov yuav tsum tau tso pov tseg txhua nrho.
Yog tias qhov hnyuv txav qeeb, nws tau pom zoo tias yuav tsum tau tso ib qho tshuaj tawm hws thaum yav tsaus ntuj, nyob rau Hmo ua ntej qhov kev kuaj mob, nrog flatulence, Espumisan lossis cov tshuaj zoo ib yam tuaj yeem tsim tshuaj. Yog tias tsis muaj quav nyob hauv 72 teev, tom qab ntawd cov tshuaj tso quav thiab tshuaj tso quav yuav tsis zoo txaus.
Cov neeg mob zoo li no tau pom zoo kom noj cov tshuaj hnoos qeev - Photrtans. Nws muaj nyob hauv hnab. Cov tshuaj ntawm cov tshuaj rau cov laus no yuav 1 ntim ib 15-20 kg ntawm qhov hnyav.
Ua ntej siv, cov ntsiab lus ntawm pob ntawv yog hliv rau hauv ib lub taub hau ntawm cov dej rhaub, yaj kom huv. Tag nrho lub ntim tuaj yeem raug faib ua ob ntu - ib qho coj mus rau yav tsaus ntuj, thiab zaum ob thaum sawv ntxov 3 teev ua ntej ultrasound. Txhawm rau ua kom saj qab, koj tuaj yeem ntxiv cov kua txiv qaub. Hloov ntawm Fortrans, Endofalk thiab Fleet phospho-dej qab zib tuaj yeem raug kho.
Txhawm rau txoj kev kawm tiav, koj yuav tsum xav txog cov cai hauv qab no:
- 8 teev ua ntej ultrasound, koj tsis tuaj yeem noj.
- Cov dej tuaj yeem yuav qaug dej me me hauv kas fes, haus kas fes thiab tshuaj yej yuav tsum tau muab pov tseg.
- Hnub ntawm ultrasound, koj tsis tuaj yeem haus luam yeeb, siv cov zom nqaij.
- Kev lees txais lossis tshem tawm cov tshuaj yuav tsum pom zoo nrog kws kho mob.
- Cov lus qhia ntawm insulin yuav tsum tau nqa tawm tsuas yog tom qab txiav txim siab txog qib ntawm glycemia.
- Koj yuav tsum muaj cov khoom lag luam nrog cov carbohydrates yooj yim nrog koj: qab zib, piam thaj hauv cov ntsiav tshuaj, zib ntab, kua txiv.
Nws feem ntau tsis pom zoo kom ua lwm yam kev qhia ntawm kev tshawb fawb ntawm tib hnub li ultrasound. Raws li cov cim qhia thaum muaj xwm ceev, kev soj ntsuam tuaj yeem tau teem sijhawm yam tsis muaj lub sijhawm npaj ua ntej.
Qhov kev ntsuam xyuas twg, ntxiv rau qhov ntsuas ultrasound ntawm tus txiav, koj yuav tsum tau noj rau ntshav qab zib, cov yeeb yaj kiab hauv tsab xov xwm no yuav qhia.
