Jarrabawa na hanta: jerin hanyoyin

Idan ka fara zuwa lura soreness a gefen dama, bakinsa ya bayyana m dandano, sau da yawa ba dalili fara jin rashin lafiya, to, shi ne wata ila cewa wannan shi ne matsalar da hanta. Amma ba a fara karanta shayi ganye da kuma daukar kwayoyi talla. Shi ne mafi alhẽri tuntubar wani gwani, kuma ku ciyar dubawa na hanta. Kawai bayan nazarin sakamakon gwaje-gwaje na duban dan tayi, CT, MRI, radioisotope scan ko biopsy, za ka iya sanya daidai magani.

Complete jini count

Yawancin lokaci na farko mataki a cikin jarrabawa na hanta - nazarin. Da farko, likitoci ko da yaushe rubũta na kowa jini gwajin. Wannan shi ne mafi sauki nazari da nuna wani takamaiman matsala, amma zai yiwu domin sanin kasancewar wani jiki kumburi. Kuma a lokacin da irin wannan karu a platelet ƙidaya, shi iya zaci kwayar hepatitis saboda lalace hanta Kwayoyin.

Biochemistry

Za ka yi mika wani jini daga jijiyar, ta hanyar abin da hanta enzymes (aspartate aminotransferase da alanine aminotransferase) za a m. Wannan kima samar da wani nuni ne na lalace cell membranes, wanda yarda takamaiman salula enzymes daga cikin hanta cikin jini. Norma wadannan enzymes - kasa da 41 U / L Alt. Idan an wuce, wannan na iya zama wata ãyã daga hepatitis na daban-daban siffofin. Wannan bincike ne da ake kira Biochemistry na jini. Yana damar domin sanin da rabo daga Alt, AST, don gano alkaline phosphatase da bilirubin matakan ƙayyade, kimanta da taro na gamma-glutamyl transferase (GGT). Bisa ga bincike da aka ƙaddara da fiye da 40 Manuniya.

duban dan tayi

An muhimmanci mataki hanta jarrabawa - duban dan tayi. Ultrasonic ganewar asali damar kafa girman da hanta da kuma gall mafitsara. Hanyar nuna yaxuwa canje-canje, kamar hepatotoxicity, kowane irin pancreatitis, cirrhosis. Alal misali, a gepatoze a cikin jiki zai zama a bayyane blotches na kitse Kwayoyin. Hepatocytes da kitsen da daban-daban yawa, wanda ke nufin cewa duban dan tayi hoto zai duba gaudy. Kuma tare da ci gaban da cutar hanta Kwayoyin za a maye gurbinsu da connective nama, da kuma duban dan tayi nuna alamun fibrosis.

Game da mai da hankali canje-canje, da hanta da duban dan tayi jarrabawa a fili ya nuna da rabo tare da wani ƙara yawa, wanda na iya zama hemangioma, adenoma, metastatic ciwon daji, calcifications. Hanyar ma damar daidai ƙayyade rage echogenicity yankunan da za su iya nuna gaban sarcoma, lymphoma, ƙurji ko hematoma.

Bayan nazarin data, likita ba zai iya yin wani cikakken ganewar asali, amma shi ma'anar da shugabanci ga m jarrabawa na hanta, banda gam? Aryata zabin.

Domin da haƙuri, da irin wannan binciken ne gaba daya m. Amma shi na bukatar kadan horo, kawar da flatulence.

Computer scintigraphy da isotope scanning

Hanyoyin zamani na jarrabawa na hanta hada radioisotope scanning ko fiye dacewa jikinsu scintigraphy kwamfuta tsarin hada da hanta, gallbladder da ducts. Na farko hanya ne yadu amfani a cikin likita yi tun farkon 60s da ya rasa wasu dacewar. Na biyu Hanyar ne in mun gwada kwanan nan kuma ya riga ya tsiwirwirinsu Popularity tsakanin diagnosticians. A binciken da na samar da wani gwargwado na aiki na jiki, domin sanin ta size, don gano marurai kafa gaban kullum tafiyar matakai.

Scintigraphy aka yi amfani da colloidal sulfur (ko wasu kwayoyin halitta), wanda aka labeled da rediyoaktif technetium 99. The rediyoaktif isotope aka gudanar a wani haƙuri intravenously ko da inhalation. Sa'an nan, ta amfani gamma kyamarori gane radiation, shi ne tuba da kuma daukar kwayar cutar zuwa kwamfuta. Hoton zo layering da kuma launi. A binciken da daukan up to 30 minutes, kyale likita don duba jiki na yin aiki da kuma samun bayanai game da Pathology.

Isotopic scanning kuma an za'ayi domin 30-40 minti, amma na bukatar haƙuri don kammala immobility. Girma image aka nuna a kan takarda, maimakon a kan allo. Wannan launi shaded Lines.

Duka hanyoyin da bincike suna da za'ayi a kan komai a ciki. Wani horo na musamman da ake bukata.

CT da kuma MRI

Akwai biyu more zamani, amma mafi m Hanyar hanta Nazarin - kwamfuta da Magnetic rawa tomography. CT aka yi amfani da X-haskoki. A sakamakon da hanya ne shirye zuwa goma sha biyu images (kwance yanka) da damar domin sanin wuri da kuma girman da raunuka. Bayan likita ne iya kimanta yanayin matsalar da kuma ganin yadda ya shafa da kewaye kyallen takarda. CT gudanar mutanen da ake zargin obstructive jaundice, cysts, hanta rauni, hemorrhages, hematomas, cirrhosis da siffofin maruran.

MRI yana wajaba a dauki mafi m Hanyar jarrabawa na hanta da kuma sauran gabobin. Magnetic rawa Dabarar detects marurai kamar yadda suka fade, ko da wani sosai kananan size. A wannan yanayin, a lokacin hanya, yana yiwuwa ba ne kawai don gane asali da ƙari, amma kuma kafa ta hali, gane metastases tantance da patency na tasoshin, gane yaxuwa canje-canje, kafa mataki na cirrhosis kuma mafi. A binciken da aka gudanar a wani musamman inji kamar bĩga. A hanya daukan minti 30 ko fiye.

Ganewar asali za a iya yi da ko ba tare da bambanci ba. A Hanyar shi ne cikakken aminci ga marasa lafiya, amma na bukatar kula daga karfe abubuwa. Dole ne ka harba kome da kuma kayan ado, da kuma ƙara ji, kuma hakoran roba. MRI a gaban shrapnel raunuka, karfe shirye-shiryen bidiyo ko dari da pacemaker mai yiwuwa ne kawai bayan da kara tare da shawara da likita.

biopsy

A biopsy na samar da yiwuwar kayyade aetiology da cutar, ta mataki, da kuma matakin na sashin jiki lalacewa. Domin bincike da aka dauka a yanki na rayuwa nama, wanda aka aiko domin histological (nama), cytological (cell), ko bacteriological jarrabawa.

Akwai da dama iri biopsy na hanta:

• huda.
• tsammãni tare da duban dan tayi.
• transvenous.
• Laparoscopic.

Domin yau da kullum da hanta biopsy shirye-shirye za a fara a karshen kwanaki 7. Haƙuri dole ne a daina shan NSAIDs da kuma hana shiga da anticoagulants. 5 kwanaki daga cikin abinci zame abinci da kara flatulence. 3 kwanaki fara samun "Espumizan". Hanya yi a kan komai a ciki.

Babban abu ne cewa haƙuri dole ne fahimci - a taron na zafi da m bayyanar cututtuka da su jinkirta kiran ga likita ne ba zai yiwu ba. Wajibi ne a gudanar da dubawa na hanta. Inda za a fara shi ne a yanke shawara da likita, kamar yadda ya bukatar cikakken hoto na da yanayin zuciya da sauransu. Ka tuna, mafi yawan matsalolin da za a iya warke tare dace makõma.