I-Elastometry yesibindi. I-Fibroscanning yesibindi

Enye yezona zibalulekileyo ebomini kumntu yi-isibindi, kuba isebenza phantse kwiingubo, iqhuba imihla ngemihla emininzi yemisebenzi ngexesha elifanayo. Igalelo lemiba engqongileyo kunye noshintsho lwangaphakathi lwegazi luyingozi kwimeko yale nxalenye ebalulekileyo.

Kwimaphi amabhunga omzimba kubalulekile ukuba uphendule ngokukhawuleza kwingcali kwaye yiziphi iimvavanyo ezifunekayo ukuze zihlolwe isibindi, cinga ngezantsi.

Ulwakhiwo lombutho

Ummandla we-hypochondrium ekunene, apho isibindi senzeke khona, ukhuselwe kwimpembelelo yangaphandle nangaphakathi. Lo mzimba kumntu omdala unako ukufikelela kwisisindo ukuya kwisikhilomitha enye nesiqingatha. Isibindi sisezintanjeni zangasese zangaphakathi.

Amacandelo aPrmmatic zixhobo zokwakha zelungu. Ziyikopi encinci yesibindi ngokwawo. I-nganye ye-loble inegazi layo linikezelwe ngeendlela ezincinci ze-capillaries. Iiseli ze-gland zivelisa i-bile, eziyimfuneko ekusebenziseni i-chyme yokutya.

Imfihlelo yamathambo e-bile iya kwi-gallbladder-isigxobo esikhethekileyo, esiyi-depot ye-bile. Kwaye sele sele iphuma apha i-duodenum, ithatha inxaxheba ngakumbi kwinkqubo yokugaya. Nangona i-bile kwaye iveliswa ngokuqhubekayo, kodwa ingena kwi-intestinal tract portion portion.

Inkqubo ye-circulatory yesibindi iyinkimbinkimbi kwaye imelelelwa kwinani elikhulu lama-capillari ephakathi. Iinqanawa ezinkulu zegland ziyi-hepatic artery kunye ne- portal vein, ephethe igazi ukusuka kwi-aorta ukuya kwiimpawu zesisu esiswini nasemva. Ukuqhagamshelana okufutshane kweempahla kunye ne-bile ducts kuqinisekisa ukusetyenziswa kwe-metabolism kwinqanaba eliphezulu.

Imisebenzi "yokusebenza" yesibindi

Umzimba uthatha inxaxheba kwiinkqubo ezininzi ngexesha elifanayo, ukwenza imisebenzi enzima:

• Ukuphuhlisa imfihlelo yokugonywa (bile);
• Ukungasebenzi kwee-toxins, izinto ezinobuthi kunye nezifo;
• Ummiselo we-carbohydrates metabolism kunye nokuzaliswa kwamanzi okugcina;
• Ukususwa emzimbeni weemveliso ezinobungakanani;
• Ukuthatha inxaxheba kwi-gluconeogenesis;
• Ukunyuswa kwamavithamini.

Ukongeza kokuthatha inxaxheba kwinkqubo yokugaya, isibindi sisilwa ngokukhawuleza nakwezinto zangaphandle ezingene emzimbeni womntu. Emva kokungasebenzi kwezinto ezinobuthi, kukhawuleza ukufumana iziphumo zokutshintshiselana (i-acetone, i- bodyone ketone, i- ammonia, njl.). Kubaluleke kakhulu kukusebenza komsebenzi. Isibindi sidibanisa inani lamahomoni, iiprotheni, i-cholesterol, i-bilirubin, i- bile acid kunye ne-enzymes.

Umzimba womzimba uphinde uphilise. Le yodwa yimizimba yomzimba womntu, inokubuyisela ubungakanani bayo kwi-original, ibe nekota kuphela yeethambo zayo.

Ziziphi iimpawu ezibonisa ukuba kufuneka iimviwo?

Uninzi lwezigulane zifuna uncedo xa isifo sele sidlulile kwisigaba sesifundo esingapheliyo.

Ukufumana iingcebiso zeengcali kuyimfuneko xa iklinikhi elandelayo ibonakala:

1. Ukuziva okubuhlungu kwi-hypochondrium efanelekileyo iyakhupha, iyakunqumla, okanye idibanise kwi- colic hepatic.
2. Ukungaphumeleli kwisigxina ngendlela yokubonakalisa i-dyspeptic (ukuhlanza, isicupunu, isifo sohudo, ukubhubhisa).
3. Ukugqithisa okanye ukushisa okuphakamileyo ukuya kumazinga aphakamileyo.
4. Ukubonakala kwesikhumba esiluhlaza okanye ukufumana i-hue ephuzi.
5. "Iintendelezo ezithembekileyo" - uphawu kwi-cirrhosis yesibindi okanye imeko engapheliyo yesifo se-hepatitis. Ulusu eentendeni luba lubomvu. Xa ugxininisa kwindawo ye-hypermicic, ubomvu bubonakala, kodwa kamva buya kubonakala kwakhona.
6. Ukubonakala kwimibala ephuzi.
7. Ukutshitshiswa kwesikhumba kunye neendlela zokutshiza.

Ziziphi iimvavanyo endingazithatha ukuba ndikhangele isibindi?

Umbuso osebenzayo lombutho unokubangelwa zizifo ezahlukahlukeneyo, ezivela kwizifo zentsholongwane ezithathelwanayo kunye nokuphelisa iinkqubo zesisu. Emva kokuqhagamshelana neengcali kunye nokuqhuba uviwo, isigulane sinikezelwe isicwangciso semilinganiselo yokuseka ukuxilongwa ngokuchanekileyo.

Ziziphi iimvavanyo ekufuneka ndizithabathe ukuhlola isibindi:

• Uvavanyo jikelele lwegazi kunye nomchamo;
• I-Elastometry yesibindi;
• Hepatology;
• Ukukhangela kwesibindi;
• I-biochemistry yegazi ne-enzymes ALT, AST ;
• Iinkcukacha ezongezelelweyo zegazi - i-bilirubin, i-cholineterase, iprotheni epheleleyo, i-phosphatase;
• I-Ultrasound yesibindi.

I-Fibroscanning - into entsha kummandla woxilongo

I-Elastometry yesibindi yindlela yokuhlaziywa kwamhlanje, enqunyelwe ukukhankanywa kwe-fibrosis. Ngaphambi kokuba kufike le nkqubo, ukufundwa kwimeko yeeseli zezicubu ze-hepatic kwakungenziwa kuphela ngoncedo lwe-histology.

Le nkqubo inegama lesibini - iibroscope zesibindi. Umzuzu ochanekileyo wokuxilongwa kukukhusela nokungabikho kokuhlasela emzimbeni wesigulane. Oku kwenza kube lula ukulawula inkqubo yesifo kwi-dynamics.

Ukuhlolwa kwe-Elastometric yesibindi kwenziwa ngokuncedisa i-app ekhethekileyo ene-sensor. Ngoku kudlula ukunyakaza kwama-ultrasonic, okubonakaliswa ngamancuba ebhunga. Isiphumo siboniswa kweso sithuthi ngendlela yeenkcukacha esele zicutshulwe, apho i-elasticity of gland iboniswa khona.

Ipesenteji yokuchaneka kweziphumo ziphezulu kakhulu, kwaye ixesha elithatyathweyo lokufumana impendulo alincinci. Xa kuthelekiswa ne-biopsy ngokwempawu zayo zokusebenza, i-elastometry yesibindi ikhokela. Ixabiso le nkqubo li malunga nama-ruble angama-4000.

I zi boniso

Indlela ekhuselekileyo yoviwo isetyenziselwa ukuxilongwa kwezifo kubantwana, kuba ayifuni ukulungiswa okhethekileyo kwesigulane, akangabangela iingxaki ezivela emzimbeni.

I-Elastometry yesibindi iboniswa kwezi zi gulane zilandelayo:

• Abantu abanezifo ezingasigxina;
• Izigulane ezine-viral hepatitis;
• Izigulane ezine-cirrhosis zesibindi;
• Izigulane eziphathwe ngamachiza e-antiviral ukuvavanya imeko yokunyaniseka kweethambo zomzimba phambi nangemva kwonyango;
• Izigulane ezixhaphaza utywala.

Inkqubo eyenziwa ngosizo lwe "Fibroscana". Isigulane sisesimweni esingasigxina, iingalo zihlukanisile, zibophe isifuba nesisu. Inzwa ifakwe kwindawo apho ilungelo lokubamba kwesibindi lifumaneka khona. Emva kokukhetha indawo ekufuneka ihlolwe ngayo, ifowuni yenza amanani amaninzi, aqhutyelwayo usebenzisa inkqubo yecomputer. Isiphumo siboniswa kweso sithuthi.

Ngaloo ndlela, i-elastometry yesibindi ivumela uvavanyo olukhawulezayo nolungqinelanayo noluntu olusebenzayo lombutho.