Examination o te ate: he rārangi o ngā tikanga

Ki te timata koe ki te kite tetahi raru i roto i tona taha matau, puta tona mangai reka kawa, maha hoki haamata kore take ki te ite mate, na ko reira pea e ko te raruraru ki te ate tenei. Otiia e kore e tīmata ki te pānui i rau tea, me te tango i taero pānuitia. He pai ki te kōrero i te tohunga, me te noho te tirohanga o te ate. Anake i muri i te haapiiraa i te hua o whakamātautau o ultrasound, CT, MRI, ehu iratuke karapa unuhanga ranei, e koe e taea te tautapa i te maimoatanga tika.

Kia hia ngā toto Whakaoti

Ko te tikanga te taahiraa matamua i roto i te whakamātautau o te ate - tātari. Tuatahi o te katoa, whakahau tonu tākuta he whakamātautau toto noa. Ko te ako māmā e tohu ki te raruraru motuhake, engari ka meinga e taea ki te whakatau i te oraraa o te mumura tinana tenei. A ka tatau i te hekenga taua i roto i te mōtepe, taea ana te kī reira kakā viral no fakahohaasi pūtau ate.

matūora

Ka whai koe ki te ringa i runga i te toto i te rua, i roto i nei e whākōkī ate (aspartate aminotransferase me aminotransferase alanine) kia takoto. whakarato ana tēnei anga matou he tohu o kiriuhi pūtau pakaru, e tukua whākōkī pūtau motuhake i te ate ki te bloodstream. Norma enei whākōkī - iti iho i te 41 U / L ALT. Ki te hipa reira, kia waiho hei tohu o te kakā o puka rerekē tenei. huaina ana tēnei tātaritanga ko te mataora o te toto. reira e taea ai ki te whakatau i te ōwehenga o te ALT, AST, ki te tautuhi i kawakore phosphatase me bilirubin taumata whakatau, tata te kukū o te gamma-glutamyl transferase (GGT). E ai ki te tātaritanga takoto e neke atu i te 40 tohu.

ultrasound

He whakamātautau atamira ate nui - ultrasound. Ultrasonic tātaritanga taea ki whakaturia te rahi o te ate, me te kawa tōngāmimi. E whakaatu ana Tikanga huringa E ruia ana pērā i hepatotoxicity, nga mea katoa o te pancreatitis, cirrhosis. Hei tauira, i gepatoze i roto i te tinana, ka hei whai mai kitea o ngā pūtau ngako. Hepatocytes me te ngako i te kiato rerekē, e te tikanga e ka titiro te pikitia ultrasound kotingotingo. A ki te whanaketanga o te ate pūtau mate ka whakakapia e kiko tūhonohono, me te ultrasound whakaatu tohu o kakakīrehe.

Ki te whakaaro ki huringa wāhi, te ate ki te whakamātautau ultrasound mārama whakaatu nga wahi ki te kiato nui haere, e taea e hemangioma, adenoma, mate pukupuku metastatic, calcifications. tikanga ka taea tika hoki te whakatau heke wāhi echogenicity e kia tohu i te aroaro o te sarcoma, lymphoma, whēwhē kanokanototo ranei.

I muri ui ki nga raraunga, e kore e te tākuta e taea ki te hanga i te tātaritanga tika, engari tautuhi reira te aronga mo te whakamātautau atu o te ate, hāunga te kōwhiringa paopao.

Hoki te manawanui, he tino ongonoa he ako taua. Ko titau te reira iti whakangungu, te whakakore flatulence.

scintigraphy Rorohiko me te kanoirite matawai

tikanga hou o te whakamātautau o te ate ngā ehu iratuke matawai tinana atu hāngai ranei scintigraphy pūnaha rorohiko kei ate, gallbladder me aerodynamics. Kei te whānui whakamahia te tikanga tuatahi i roto i te mahi hauora mai i te tīmatanga o nga 60raa me kua ngaro etahi hāngaitanga. Ko ngā tata te tikanga tuarua, me te kua riro kē rongonui i roto i diagnosticians. E whakarato ana te ako i te mehua o te mahi o te tinana, ki te whakatau i tona rahi, ki te tāutu i te pukupuku, me te ki whakapumautia te aroaro o ngā tukanga ma'i.

whakamana Scintigraphy te whakamahi i colloidal whanariki (ranei atu mea organic), tapaina nei ki te Technetium iraruke 99. Kei te whakahaerea te kanoirite ira ki te manawanui e pâmuhia i inhalation ranei. Na, te whakamahi i kāmera kama kitea radiation, kua tahuri ai, ka tuku ki te rorohiko. Ko te whakapakoko tae mai hōhonu me te tae. Te rangahau e ki runga ki te 30 meneti, tuku i te tākuta ki te tirohia i te mahi tinana, me te whiwhi mōhiohio e pā ana ki te māuiuitanga.

Kei te hoki kawea matawai Isotopic i roto i mo te 30-40 meneti, engari titau te manawanui ki te whakaoti i immobility. whakaaturia image ahu i runga i te pepa, nui atu i runga i te mata. Tenei tae rārangi kaurukutia.

E kawea rua tikanga o ngā tirohanga i runga i te puku kau. e hiahiatia ana tētahi atu whakangungu motuhake te.

CT ko MRI

E rua atu hou, engari atu utu tikanga o whakamātautau ate - rorohiko me te tomography te kōwarotanga autō. CT te meatia e te whakamahi i X-hihi. Ko te hua o te tukanga he rite ki te kotahi tekau ma rua whakapakoko (poro whakapae) e taea ana ki te whakatau i te wāhi me te rahi o pāpaka. Haunga te tākuta e taea ki te aro mātai i te āhua o te raruraru, me te kia kite i te pānga o te reira i te kopa e karapoti ana. CT whakahaere hoki whakapae jaundice taunutia, cysts, ate whētuki, pakaruhanga toto, hematomas, cirrhosis me pukupuku.

MRI te deservedly whakaaro te tikanga tika te nuinga o te whakamātautau o te ate, me ētahi atu whēkau. atahanga te kōwarotanga autō kitea pukupuku rite tika rite taea, ara he rahi iti rawa. I roto i tenei take, i roto i te tukanga, ko reira taea e kore anake ki tātari i te puku, engari ano ki te whakapumautia tona huru, kitea metastases ki te aromatawai i te patency o oko, kitea huringa E ruia ana, ki te whakatū i te tohu o te cirrhosis me te ake. whakahaere te rangahau i roto i te taputapu motuhake pērā i te kauhanga. Ko te tukanga e 30 meneti, neke atu rānei.

Ka taea te whakamana tātaritanga ki waho rerekē reira ranei. Ko tino haumaru mō ngā tūroro te tikanga, engari titau te mana o ngā whakarewa. Me kopere koe nga mea katoa, me te whakapaipai, me taonga whakarongo, me niho more. MRI i te aroaro o te patunga ha kongokonga, ngā kōnae whakarewa ranei titi, me te pacemaker he taea i muri i anake kōrero anō ki te tākuta.

unuhanga

whakarato te unuhanga te taea o te whakatau i te aetiology o te mate, tona atamira, me te taumata o te kino okana. Hoki tātaritanga tangohia te he wahi o te kiko ora, ka tono tangata nei mo te histological (kiko), cytological (pūtau) ranei whakamātautau bacteriological.

He maha ngā momo o unuhanga o te ate:

• poka,;
• wawata ki ultrasound;
• transvenous;
• Laparoscopic.

Hoki ate ngā timata teuteu unuhanga i te 7 nga ra whakamutunga. Me mutu manawanui tango NSAIDs me ki te ārai i te whakauru o anticoagulants. ra 5 i te kai katia kai e whakanui i flatulence. timata 3 ra te fariiraa i "Espumizan". whakamana Hātepe i runga i te puku kau.

Ko te mea matua ko te e me matau te manawanui - i roto i te hui o te mamae me te tohu kino ki te whakaroa i te karanga ki te tākuta e taea. Ko reira e tika ana ki te kawe i roto i te tirohanga o te ate. Hea ki te timata ko ki te whakatau i te rata, pera ka hiahia ia te pikitia ki tonu o te huru o te okana. Kia mahara, ka taea e te nuinga o nga raruraru, ka ora ki te puritia wā.