Cutar duban dan tayi wani nau'in sikirin ne wanda za'a iya amfani dashi don ganin kwayar halittar.
A matsayinka na mai mulki, ba a tsara duban dan tayi na hanjin kansa ba, amma ana yin cikakken bincike game da dukkan bangarorin cikin jijiyoyin ciki: ana yin hanji, hanji, hanji da hanta, koda.
Don gudanar da duban dan tayi na ƙwayar cuta, ya zama dole a shirya yadda yakamata, saboda tare da cikakken ciki da hanji, waɗannan gabobin ba za'a bincika su ba.
Alamu na duban dan tayi
- m ko na kullum pancreatitis;
- neoplasms da cysts;
- pancreatic necrosis - lalata necrotic na sashin jiki;
- cututtukan da ke cikin yankin pancreatoduodenal - rigakafin jaundice, papillitis, duodenitis, cholelithiasis, ciwon daji na nono na Vater;
- rauni a cikin rami na ciki;
- shiryayyen tiyata;
- cututtuka na narkewa.
Shirye-shiryen duban dan tayi
Ana amfani da hanyar duban dan tayi don kawai a kan komai a ciki kuma domin shirya shi yadda yakamata, yakamata a kiyaye shawarwarin da ke gaba:
- Wata rana kafin duban dan tayi na cutar huhu, kuci abinci mai yada abinci.
- Lokaci na ƙarshe da za ku iya ci da dare kafin karfe shida.
- Da maraice da safe kafin a aiwatar, zaku iya sha 1 kwamfutar hannu na Espumisan don rage samuwar gas a cikin hanji da inganta gani na sassan jikin mutum, tunda feces da gaban gas din ba su yarda da bincike na yau da kullun.
- Don jarrabawa, kuna buƙatar ɗaukar ƙaramin tawul da zanen diaper tare da ku. Za a buƙaci a ɗora diaper a kan kujera kuma a kwance a kai, sannan a goge gel da tawul a ƙarshen aikin.
- Shirya don duban dan tayi ya shafi aikin safe, kuma kafin hakan ana bada shawara a sha gilashin ruwa ta amfani da bututu don inganta yanayin binciken kwayoyin.
Cutar koda a jiki tana da masu girma dabam:
- tsawon kamar 14-18 cm;
- nisa daga 3 zuwa 9 cm;
- matsakaicin kauri shine 2 - 3 cm.
A cikin balagaggen, ƙwayar amarons tana yin kimanin gram 80.
Tsarin aiki
Mai haƙuri yana buƙatar yin shimfiɗa a kan babban kujera daidai a bayansa kuma cire tufafi daga ciki. Wani lokacin irin wannan duban dan tayi na ƙwayar cuta na kama hancin ciki. Bayan haka, likitan ya shafa wani gel na musamman akan fatar kuma ya sanya mai tantance firikwensin a wani matsayi don hango kocin.
Na farko, binciken yana farawa lokacin da mara lafiya ya kwanta a bayansa, sannan ya bukaci ɗaukar wasu matsayi.
Don kyakkyawan hangen nesa ga wutsiyar gungun, mai haƙuri ya kamata ya juya ta hagunsa. A wannan matsayi, gas na ciki na ciki yana motsawa zuwa ga pylorus. An shigar da firikwensin a cikin yankin maɓallin hagu na sama, latsa kaɗan a kai.
A cikin wurin zama-mutum rabin-mutum, zaku iya samun damar shiga jiki da kuma kansar hancin, tunda akwai dan karamin hanji da ke hanun hanjin hanta da hagu na hanta.
Lokacin gudanar da duban dan tayi, likitoci suna amfani da alamun ƙasan sonographic (mesereric arteries, inferior vena cava da sauransu) don hango fargaba da ƙwayar cuta, wannan ya zama dole don yadda ƙididdigar ta kasance daidai.
Don tantance girman ƙwayar, ana amfani da wani shiri na musamman. Dangane da bayanan da aka samo, an rubuta ƙarshe tare da cikakkiyar takarda, koda binciken ya nuna cewa komai al'ada ne.
Wasu na'urori suna ba ku damar ɗaukar hoto na canje-canje, daidaita girman glandon, wanda yake da matukar muhimmanci lokacin da ake shirin yin aiki ko hujin, kuma suna ɗaukar cewa ƙudurin zai zama daidai. Wannan nau'in jarrabawa bashi da lafiya kuma mara jin zafi, mai haƙuri kawai yana jin matsin lamba a wasu wuraren da motsin firikwensin akan fata.
Abinda za'a iya gani akan duban dan tayi tare da al'ada da nakuda
Bayanin al'ada.
Girman ƙamshi na ciki yana iya bambanta dangane da nauyin mutum da kan adadin kitse na ƙiba. Tare da shekaru, akwai raguwa a cikin sashin jiki tare da haɓaka haɓakar echogenicity.
Decryption na matsakaicin kauri daga cikin gland shine yake (ko kuma tsayayyun girma):
- tsayin kai a tsakanin 2.5 - 3.5 cm;
- tsawon jikin 1.75 - 2.5 cm;
- tsawon wutsiya daga 1.5 zuwa 3.5 cm.
Wirsung duct na glandon (tsakiya) yana kama da bututu na bakin ciki girman shi 2 mm a diamita tare da rage ƙira. Girman dutsen a cikin sassan daban daban na iya bambanta, alal misali, a cikin wutsiya tana da 0.3 mm, kuma a cikin kai zai iya kai milimita uku.
Halin echogenicity na gland yana kama da na hanta, yayin da a cikin yara ana rage yawanci, kuma a cikin 50% na manya har ma ana iya ƙaruwa koyaushe. Cutar fitsari mai lafiya tana da tsari irin na jikinta, ana iya ganin sassanta daban bisa tsarin shiri.
Matsaloli masu yiwuwa
Tsarin kumburi a cikin gland a cikin duban dan tayi kama da mai da hankali ko yada canje-canje a cikin tsarin. Saboda edema, girman sashin jiki yana ƙaruwa, kuma diamita na bututun yana ƙaruwa.
Yawan girman glandon yake raguwa, kuma yawo ya zama mai yalwataccen yanayi. Sakamakon haka, a cikin ƙarshe, masanin ilimin likita ya rubuta cewa: yaduwar canje-canje a cikin farji. Dangane da bayanan binciken da korafe-korafen marasa lafiya, likitan da ke halartar zai binciki cututtukan cututtukan fata.
Cutar ƙwayar cuta mai saurin cutar mutum na iya haifar da wannan mummunan rikicewa kamar samuwar cysts da foci na necrosis, wanda a nan gaba zai haifar da cututtukan ƙwaƙwalwar ƙwayar cuta - cikakkiyar narkewar kyallen kwayoyin jikin mutum. Yankunan da ba su da matsala suna da ƙarancin yanayin karaya da daskararru mai duhu.
Rashin bacci na farji (ƙurji) - wani rami ne mai rauni wanda ya cika da ruwa mai zurfi da kuma sequesters. Tare da canji a jikin mutum, matakin ruwan shima yana canzawa.
Pseudocysts akan gani suna kama da rijiyoyin da ba su da echogenic dauke da ruwa.
Tare da cututtukan ƙwaƙwalwar ƙwayar ƙwayar cuta, akwai babban adadin ƙurucin a cikin kyallen na gland shine yake haɗuwa tare don samar da manyan cavities cike da purulent massage, da rashin alheri, da mutuwa daga cututtukan ƙwaƙwalwar ƙwayar cuta shine mafi yawan sakamakon wannan rikitarwa.
Tumor neoplasms ana iya ganinsa azaman zagaye ko abubuwa masu ado tare da tsari mai ma'ana da rage haɓakar haɓaka, ingantaccen ba shi izini. Idan ana zargin oncology, ana buƙatar yin nazarin ƙwayar cuta gaba ɗaya, saboda sau da yawa ciwon kansa yana tasowa a cikin wutsiya, wanda yake da wuya a bincika.
Idan an cutar da sashin jikin, to jaundice ya bayyana, yana da alaƙa da gaskiyar cewa ɓoye ƙwayar bile a cikin lumen na duodenum yana da illa. Likita na iya tantance nau'in ciwan ta hanyar wasu fasalolin da aka gano ta hanyar duban dan tayi.
