Kuzviongorora chiropa: mazita nzira

Kana ukatanga kuona soreness murutivi rwake rworudyi, muromo wake akazviratidza shungu kuravira, kazhinji pasina chikonzero anotanga kunzwa kurwara, ipapo zvingangoita kuti iri idambudziko chete chiropa. Asi musatanga kuverenga tii mashizha uye zvinodhaka kuzoona. Zviri nani kubvunza nyanzvi uye vanopedza rokuongorora chiropa. Chete pashure pokudzidza migumisiro miedzo Ultrasound, CT, MRI, radioisotope Scan kana biopsy, unogona kuvapa yakarurama kurapwa.

Complete ropa count

Kazhinji danho rokutanga iri kuongorora chiropa - inoongorora. Chokutanga, vanachiremba nguva dzose aisirwe nezvamunobvumirana bvunzo ropa. Ndicho chidzidzo nyore kuti anotaura dambudziko chairo, asi zvichaita kuti tikwanise kuona kuvapo muviri kuzvimba. Uye kana zvakadaro kuti kuderera platelet uverenge, rinogona vaifungidzira nemavhairasi chiropa nekuti kwakakanganiswa chiropa masero.

nemakemikari omuviri

Uchazoti mumaoko ropa kubva tsinga, kuburikidza icho chiropa makemikari (aspartate aminotransferase uye alanine aminotransferase) achazviisa. munhu akaidza iyi inopa kunoratidza ukama muchitokisi membranes, izvo anobvumidza dzakananga cellular makemikari kubva chiropa kupinda muropa. Norma makemikari izvi - asingasviki 41 U / L alt. Kana kupfuura, izvi kungava chiratidzo nehepatitis dzakasiyana siyana. Ongororo iyi inonzi nemakemikari omuviri ropa. Inoita kuona nhamba alt, AST, kuziva alkaline phosphatase uye bilirubin yomuropa kuona, kufungidzira wevasungwa kuti wegamma-glutamyl transferase (GGT). Maererano nenyaya kunotemwa neinopfuura 40 zviratidzo.

Ultrasound

An chinokosha Danho chiropa kuongororwa - Ultrasound. Ultrasonic chirwere kunoita kuti kuisa kukura chiropa uye nenduru dundira. Nzira inoratidza diffuse kuchinja akadai hepatotoxicity, mhando dzose pfungwa nomuviri zvemwana asati, cirrhosis. Somuenzaniso, panguva gepatoze mumuviri uchava blotches zvinoonekwa masero mafuta. Hepatocytes uye mafuta akasiyana arambe achirema, izvo zvinoreva kuti Ultrasound mufananidzo vachatarira gaudy. Uye kukura chiropa chirwere masero kuchatsiviwa connective zvinyama, uye Ultrasound zviratidzo fibrosis.

Panyaya zvatichiri kuchinja, chiropa pamwe Ultrasound kuongororwa pachena migove ane wakawedzera arambe achirema, izvo zvinogona hemangioma, adenoma, metastatic kenza, calcifications. nzira inokupai zvakarurama kusarudza ungaderedza echogenicity nzvimbo zvingaratidza kuvapo sarcoma, rwekenza yelymphoma, pute kana hematoma.

Mushure tikaongorora data, chiremba havazokwanisi kuti kuongororwa zvakarurama, asi inorondedzera mirayiridzo mberi kuzviongorora chiropa, dzakakudzingai kuti vakaramba nzira.

Nokuti murwere, zvakadai kudzidza chose nyarara. Asi kunoda dzidzo shoma, kubvisa flatulence.

Computer scintigraphy uye isotope kushanda pakuvheneka

Modern nzira kuzviongorora chiropa zvinosanganisira radioisotope kushanda pakuvheneka kana kupfuura akakodzera miviri scintigraphy yekombiyuta dzine chiropa, gallbladder uye ducts. nzira yokutanga iri zvinowanzoshandiswa okurapa kubvira pakutanga 60s uye hachisisina vamwe kushanda. nzira wechipiri wacho ichangopfuura uye akatotanga akawana mukurumbira pakati diagnosticians. Kudzidza inopa chiyero kushanda kwemuviri, kuti asarudze kukura kwayo, kuona mapundu uye kumisa pamberi chisingaperi kwendangariro.

Scintigraphy rinoitwa kushandisa colloidal sarufa (kana zvimwe makemikari nyaya), riri kunzi pamwe radioactive technetium 99. The radioactive isotope chinotarisirwa kuti murwere nomutsinga kana inhalation. Zvadaro, achishandisa wegamma makamera kuona mwaranzi, zvinonzi vagotendeuka uye chakasvitswa nekombiyuta. The mufananidzo anouya layering uye ruvara. The Ongororo zvinotora kusvika maminitsi 30, vachibvumira chiremba kuti aone muviri basa uye kuwana ruzivo pamusoro zvokurwara.

Isotopic kushanda pakuvheneka chiri kuitwa kwemaminitsi 30-40, asi kunoda murwere kupedzisa kutadza kufamba. Ndeiya yakaita mufananidzo unoratidzwa pamusoro papepa, pane chidzitiro. ruvara ichi shaded mitsetse.

Vose nzira kuferefeta zviri kuitwa usina chawadya. Chimwe dzidzo chaiyo inodiwa.

CT uye MRI

Pane vaviri ano, asi chinodhura nzira chiropa bvunzo - kombiyuta uye rinobva resonance tomography. CT rinoitwa uchishandisa X-ray. Mubayiro nzira akagadzirira gumi mifananidzo (chinjikira zvidimbu) unobvumira kuziva nzvimbo uye kukura maronda. Kunze chiremba anokwanisa kuongorora yezvakaita dambudziko uye kuti tione sei sei akapoteredza munyama. CT raitongwa nokuti vanofungidzirwa obstructive jaundice, cysts, chiropa kunotevera, hemorrhages, hematomas, cirrhosis uye anomera.

MRI ari chakakodzera kunzi nzira yakarurama kwazvo kuzviongorora chiropa uye dzimwe nhengo. Magnetic resonance kuri anoona mapundu zvakarurama sezvingakwanisika, kunyange chiduku duku saizi. Panyaya iyi, panguva nzira, zvinokwanisika kwete chete rokuongorora bundu, asiwo kumisa hunhu waro, wanikidza metastases rokuongorora patency midziyo, wanikidza kuchinja diffuse, kuti asimbise ukuru cirrhosis uye zvakawanda. Ongororo iri kuitwa mu chaiyo midziyo yakadai mugero. The nzira anotora maminitsi 30 kana kupfuura.

Chirwere chinogona kuitwa nemashoko kana pasina musiyano nayo. Nzira zirokwazvo ngozi varwere, asi kunoda kuti kudzorwa simbi zvinhu. Unofanira kupfura zvose uye Kushongedzwa uye zvinobatsira kunzwa, uye dentures. MRI pamberi shrapnel maronda, simbi clip kana nembambo uye chinodzora kurova zvinogoneka chete pashure mamwe zano chiremba.

biopsy

A biopsy inopa mukana Pakusarudza aetiology kwechirwere chacho, ayo chikuva, uye padanho kukuvara nenyere. Nokuti ongororo chinobviswa chimedu zvinyama mupenyu, iro akatuma histological (zvinyama), cytological (sero) kana bacteriological kuzviongorora.

Kune akawanda mhando biopsy chiropa:

• kuponjesa;
• chido pamwe Ultrasound;
• transvenous;
• Laparoscopic.

For urongwa chiropa biopsy gadziriro dzichitanga okupedzisira 7. Patient vanofanira kurega kutora NSAIDs uye kudzivisa kubvuma anticoagulants. 5 Mazuva kubva kudya inosiya zvokudya zvinowedzera flatulence. 3 Mazuva vanotanga kugamuchira "Espumizan". Procedure rinoitwa usina chawadya.

The chikuru ndechokuti murwere unofanira kunzwisisa - iri chiitiko kurwadziwa uye zvisingafadzi zviratidzo kunonoka chikumbiro kuna chiremba hazvibviri. Zvakakosha kuita rokuongorora chiropa. kutanga kupi kusarudza chiremba, sezvo iye achada zvizere mufananidzo ezvinhu nenyere. Yeuka, vakawanda matambudziko zvinogona kurapwa pamwe nenguva kupiwa mukana wokuzvidzivirira.