Thyroid ultrasound: St. Petersburg, North-West Centre of hormone

Naziphi na zifo kwaye udibanise ndlala ndlala, Kukho malunga ne-8% zabantu. Beka uphethwe ngqo ivumela koogqirha indlela noxilongo ultrasound. It is non-invasive test, ekhuselekileyo kunye ulwazi uphando olwaqhutywa kunye nokusetyenziswa cuke ngamaza. US of a ndlala nobubovu (St. Petersburg), ungaya kwi izibonelelo zonyango ezahlukeneyo. Omnye wabo - Northwest hormone Centre. Kuyinto iingcali adumileyo kunye nezixhobo mihla.

US umhlaza kwiziko lonyango

Northwest hormone Centre e-St Petersburg - iziko ephambili zonyango eRashiya kwicandelo ucupho kunye nonyango lwezifo ezahlukeneyo. Yonke imihla apha kwenziwa isixa esikhulu yeenkqubo zokuxilonga kunye nokusetyenziswa kwamaza cuke. Kuzo zonke izifundo, kuba izixhobo olusebenzayo kuphela mihla. Ngenxa yakutshanje izixhobo embindini hormone utyhila nokuba incinane nangezilonda, kwafunyaniswa a kakhulu ngokugula ekuqaleni ngokwamanqanaba.

Ndlala ultrasound (St. Petersburg) kakhulu aqeqeshiwe iingcali zisebenza ngendlela ehamba yempilo kwiziko. Aba bantu kunye neziqu eziphambili, oogqirha anolwazi. Ebudeni boLawulo lwakhe medical practice bachitha amawaka lokuxilonga lweenkqubo, waqeqesha kwi ohamba yezonyango amaziko United States naseYurophu.

Xa iziko hormone nga baye ultrasound ingcali. Its Iindleko 800 engange. Le ultrasound lwenziwa kunye neengcali ilungileyo iziko lonyango kunye nokusetyenziswa kwezixhobo obuphezulu. Mhlawumbi routine thyroid ultrasound (St. Petersburg). Ixabiso - 600 engange. Olu khetho enoqoqosho inkqubo yoxilongo. uphando umhlaza Umyinge yenziwa kwizixhobo mihla oogqirha of kuxilongo cuke bakumgangatho wemfundo nqanaba liphezulu nowokuqala.

Ezibonisa luhlolo

Uphando ndlala esabelwa kwabo bantu abathe bafumana isifo wokuziphatha, kukho enye okanye ngaphezulu kwezi okukhomba zilandelayo:

• iimpawu ezifana ukukhohlela, zisenzeka ngelize, isifuba, ukwanda uvalo;
• yamathumba efumaneka entanyeni ngexesha uhlolo kunye Ngokucofa;
• nokuvavanya ukusebenza unyango oluqhutywe efumanise kwezifo ze ingaba lengqula;
• ukuqhubela orhanelwa lokugula okhoyo.

ndlala Research (US) njengoko kuyimfuneko xa ucingo lwenziwa yi izinto iingcali ezivela ilungu zizifo. Ngexesha inkqubo, olawulwa yi intshukumo yenaliti okuhlatywa. Ngenxa yoko bakuqwalaseleyo ezinjalo basuswe ingozi kubunzima kunokwenzeka.

ultrasound

Abantu abaninzi baye North-West Centre of hormone e St. Petersburg, cinga ngendlela le kwindawo yonyango luyenziwa ingaba ultrasound. Kufuneka kuqatshelwe ukuba ukulungiselela ngokukodwa ukulungiselela uviwo ayikho imfuneko. Uxilongo senziwa kwindawo lisalele. Phantsi entanyeni livalelwe ababetheki ngawo intloko iphoswe umva. Le meko inika nokuthelekelela ilungileyo kutshona kwezisezantsi iindawo le ndlala.

umbutho ukufunda ultrasound ingaqhutywa, kwaye xa umntu ohleli ne zakhe entloko kuphoswa umva. Loo meko, iingcali Sicebisa esiza lokuba kweyona ofisi izigulane US ukuba babe ukugula kakhulu (isifuba, ukusilela intliziyo congestive).

ayisuse ndlala lwenziwa kunye aqhelelkileyo. Kokuba imisiwe kwi uqhoqhoqho (aa) isibini ngeesentimitha eziyi-ngaphezu ekupheleni sternal le clavicle. Le scan kuthiwa kwasemnqamlezweni. iingcali Okokuqala libonwa kwisiqwenga somhlaba, yaye emva koko - enye uqabe isithinzi. Emva zisa siqwenga kulinganiswa kwakhona malunga gland lwamaqhezu. Inqanaba elilandelayo - ukuphunyezwa yophando kwi moya longitudinal. Woluvo ifakwe enxuseneyo noqhoqhoqho kwaye kwi-engile kuyo.

Thyroid ultrasound (St. Petersburg), esiqhutywa kwiziko hormone, ikuvumela ufumanise inkcazelo ebalulekileyo:

• indawo umhlaza, zayo imilo, iimilo, ubukhulu, echogenicity, echostructure;
• phambi intraorganic utshintsho wendawo yabo, nohlobo nobungakanani imivo;
• ukuzalana somhlaza kunye nezakhiwo eziyijikelezileyo;
• imo kwiindawo nkovu yokuhambisa amanzi lwengingqi.

features yokwakheka ndlala

Ndlala ndlala - yenye yezona zinkulu ezidalwe iqumrhu. Yavelisa iihomoni ezifana thyroxine kunye calcitonin. Eyokuqala kuzo inxaxheba ngokupheleleyo ukulawulwa emzimbeni emzimbeni, nelikhuthaza initrojeni yokucolwa zomzimba. Calcitonin ilawula ukutya ikhalsiyam, iphembelela ukusekwa amathambo.

Ndlala ibekwe apha entanyeni (ngezantsi kwingqula kunye noqhoqhoqho phambi). Shape kufana ibhabhathane. Sakhiwo ayinabantu ekunene nangasekhohlo isithinzi. Bona ezahlulwe sisithuba a siqwenga elimxinwa. Ngamanye amaxesha ebekwe iphiramidi (ozikhethelayo) nesabelo endlaleni.

Cuke umzimba Izimilo

Ukuze bayaqikelela ilungile isifo, kufuneka wazi ukuba umyinge yendlala ultrasound:

1. Lo mzimba unokuba eqhelekileyo lungiselelo, kwaye edlelelelayo. In lwalo yokuqala, intsimbi ibonakele entanyeni Icipande ndlala intlala kwindawo supraclavicular.
2. IQumrhu sibizwa a eqhelekileyo okanye azilingani. Xa uhlobo eqhelekileyo yentsimbi kwicandelo emnqamlezweni ufana dumbbell egosogoso. Yena libonwa a siqwenga emxinwa kunye isithinzi ezimbini.
3. incum, imisele ulalisa ojikojiko, ezibukhali nolucacileyo. Bangakwazi baphuke okanye hayi kumiselwa phezu echogram. Ngokwesiqhelo, yakhiwe ziyabonakala.
4. Sonographic ndlala ngokobukhulu ultrasonography ngamnye. Ngokwesiqhelo ziyashiyana ngokubanzi. Zenza kwisiqwenga somhlaba inokuba 4 ukuya kowe-6 mm, Ebubanzini iqhezu nganye - ukususela nge-16 ukuya kwi-18 mm, ububanzi - ukususela nge-13 ukuya kwi-18 mm, ubude - ukusuka mm-40 ukuya kuma-60. Umthamo we umzimba ngabantu isusela ukususela 7.7 ukuya 22,6 cubic metres. Abafazi bona ezi amaxabiso lingaphantsi kwe -. Ukusuka 4,55 ukuya 19.32 cubic metres. cm.
5. Echogenicity le ndlala ngentla yesiqhelo echogenicity kwemisipha eziphakathi kwayo. Oku kungenxa awohluke lwesakhiwo komzimba. Thyroid iquka inani elikhulu zoboya, apho ibekwe ngaphakathi ulwelo. Ngenxa yoko, malunga nama-95% kwamaza cuke kucanda umzimba. Kuphela 5% ziboniswe njengoba unembeza.
6. Ehostruktura umzimba onempilo eyohlobo olulodwa. Lubonakala yi kunikezelo efanayo le mbongi ukuba twatse xa ubungakanani kunye nendawo.

Uphuhliso ezingahambi yomzimba

Thyroid ultrasound (St. Petersburg), lwenziwa kwiziko hormone, ngokufuthi ivumela silubone malformations bekhubazekile. One of them - hypoplasia (umba wokungaphuhliswa emzimbeni). Oku leengxaki eziboniswa ngokwayo kwi echogram ukuhla ubungakanani endlaleni okanye omnye zawo kwizabelo.

Ngu malformations nazo zibandakanya gemigeneziyu. Eli gama libhekisela kungekho omnye umxholo Fe. Ekuqhubeni ultrasound ezinikezelwa kuphela isiqingatha yomzimba. Nobukhulu share bekulungele ngaphezu amaxabiso eziqhelekileyo.

Ngexesha iingcali ultrasound maxa wambi kufumana isabelo olongezelelweyo. Ayikwazi ukubiza indawo yabo ethile, kuba kusenokwenzeka ukuba ilungiselelo eyahlukileyo. Njengoko umthetho, umyinge we-ezongezelelweyo ezichongiweyo eselula. Xa abadala, bona yome.

Amaxesha amaninzi, umhlaza malformations naso musani ukubonisa nayiphi na iimpawu ekrokrisayo. izifo eziliqela kwiimeko ezininzi benawo ukuba kufumaniseke ukuba ngobekuphandwa random ngexesha ultrasound.

yesinye hyperplasia

Ukuba kuyimfuneko, ngecala elingaphesheya uphethwe kuyimfuneko ukuba idilesi kwi hormone Centre eSt Petersburg. Apha, esebenzisa cuke amaza kwafunyaniswa ezahlukeneyo wendlala izifo. Kakhulu kwakho ukubonakala kwinkqubo yalo umzimba hyperplasia. It is a lwezidumbu imeko apho ukwanda umhlaza nokuphazamiseka yayo imisebenzi. Xa lokufunyaniswa basebenzisa ngokuhlelwa kulandelayo:

• ukwanda ubukhulu ne-30% - kwentamo hyperplasia I degree II;
• wawandisa kwidlala lengqula kwi malunga ne30-50% - degree III (kwiimeko ezinjalo, ibinzana elithi "kuyenye goiter");
• ukwanda abangaphezu kwe-50% - IV kunye neqondo goiter.

I no II isidanga ngethuba ziingcali US Xa zibonisa nje ukwanda kubungakanani nobubanzi igunya. Kukho kwakhona sondeza izibonda wendlala isithinzi. Ehostruktura yi eyohlobo nezeenkcukacha-olungisiweyo. Iba ezahlukeneyo xa ukuqhubela phambili inkqubo yezifo.

Imiqondiso ultrasound zilandelayo goiter ehlasela kwi echogram uphawuleka:

• ukhulise umzimba ka-30% okanye ngaphezulu;
• eliphakathi indawo ehostruktura;
• phambi anehogennoe kunye neendawo hypoechoic (izabelo into yamehlo esinganyangekiyo);
• Ukubona ngeso hyperechoic izabelo linear okanye imimandla ngokwemilo engagunyaziswanga (enjalo ibonisa ukukhula kwizicwili).

thyroiditis ndlala

Embindini hormone, apho ukwenza ultrasound ye esinobubovu lengqula unako bonke abantu, maxa wambi iingcali unesifo thyroiditis. Le mbono lidibanisa zizifo ezahlukahlukeneyo arhabaxa. Embindini zonke ezimbi Bakhona samathambo okanye ezinye cytotoxic iinkqubo ezithi zenzeke ngaxeshanye kunye neenkqubo ukonakala, zokulungiswa kunye nokuvuselelwa ngokutsha ndlala kwithishyu.

Ngoncedo lwe ultrasound prostate akunakwenzeka ukuba amisele uhlobo thyroiditis. Uvavanyo lwenziwa ukuze kuhlolwe ukuqhubela phambili kwesifo. Xa iinkqubo cytotoxic coarsen iindawo hypoechoic. ndlala echogenicity kunciphisa. Ukuba Dynamics ezintle kwiindawo hypoechoic kuba lincinane. Sinciphile kwaye inani labo. Xa stihanii thyroiditis ultrasound umfanekiso ayahlukanga kwisiqhelo.

yesinye adenoma

Eli gama libhekisela yamathumba ebubonisayo ukuba kwenzeka emzimbeni. Iingcali hormone Centre badla nokuxilonga adenomas kubantu esiza egumbini ultrasound kulo. Ezi zifo akhawunti malunga 16,6-25,2% yazo zonke yamathumba ukuba asuswe ngexesha utyando kwi le ndlala.

Kuba adenomas alupheleli naziphi na iimpawu pathognomonic angqalileyo aya kuqatshelwa ekuhambeni yendlala ultrasound. Yintoni le isifundo ezimbi efanayo? Neoplasms nga libonwa ngohlobo kwezakhiwo hyper-, za kunye hypoechoic. Kwiimeko ezininzi, ukuba hyperechoic kunye nesakhiwo eyohlobo olulodwa. Xa adenomas, ngokuqhelekileyo eliguqulelwe ngokuthi ungqameko enkulu hypoechoic ehambelanayo nokudumba engqonge parenchyma, capsule histological okanye iimpahla.

Ukuxilongwa kunye izigulane ezinomhlaza okukrokrelwayo liphantsi kwenkqubo yoviwo embindini hormone, onyulwe biopsy. Bulelani kuphela cytology edityaniswe izinto ezikwaziyo ukwahlula ebubonisayo kwiiseli ngumhlaza.

ngamathumba amabi

Kumbindi hormone encediswa ultrasound kunye ecikizekileyo-inaliti njengeminqweno biopsy komhlaza webele ukuba yintoni na unobangela. Le Ithumba indalo onobungozi, ethatyathwe kwiiseli ze epithelium lengqula. Esi sifo ithathwa ngokuba kunqabile kakhulu.

Phambi kokuba kuqwalaselwe iziphumo kunokwenzeka ultrasound esinobubovu lengqula (leyo ebonisa oko), kubalulekile ukuqaphela ukuba umhlaza umzimba yahlulwe papillary, follicular, medullary. Xa carcinoma papillary 90% yamathumba olwenze isakhiwo hypoechoic. Kakhulu enqabile anechoic kunye nesakhiwo hyperechoic. Ngowe-85-90% amatyala bekubona microcalcifications ubukhulu ukuya ku-1 mm. Yokuba inclusions hyperechoic. Olongezelelweyo ultrasound imiqondiso - esinganyangekiyo ukusetshwa nkovu Lendawo metastases.

Iziphumo yendlala ultrasound maxa wambi ingakrokreleka umhlaza follicular. Yinkqubo onobungozi, egqalwa kakhulu kunzima ukubona. Sibangelwa ezikhoyo adenomas. Ngokuba ithumba luphawulwa yakhiwe mgaqweni, undi peripheral, iimpawu lokuhlasela ngqongile izakhiwo dystrophy. umhlaza Follicular akukho zimpawu microcalcifications kunye metastases nkovu node.

Medullary komhlaza asuka kwiiseli olubangela calcitonin. Isifo ebalasele ndlongondlongo ikhosi. Xa izigulane eqhuba izigulane ultrasound gipoehogennye kubonakele (in ezinqabileyo iimeko hyperechoic) isakhiwo kunye yakhiwe engalinganiyo umphetho gipoehogennym ubukhulu olungalinganiyo. Xa umhlaza medullary kudla bekubona microcalcifications kunye metastases ezichaphazela abaqokeleli emithanjeni le mediastinum ongentla kunye chain nokubuya ezalathelwe nkovu.

Centre hormone e St Petersburg - indawo apho nasiphi na isifo ukuba yintoni na unobangela. izixhobo Modern uyakwazi ukubona nabo nezifo kunzima ukuchonga ngokwaneleyo. I-Medical Centre e-US zomhlaza iingcaphephe ndimncinile ivideo nkovu zizazulu intamo kunye yezwi nezintya. Ukuba kukho imfuneko, biopsy enikezelwa. Kwingcaciso efunyenwe ngabo bonke diagnostic iinkqubo, likuvumela oogqirha ukubeka oluchanileyo ukuxilongwa.