Chithokomiro ultrasound: St. Petersburg, North-West Center wa Endocrinology

matenda chilichonse chogwirizana ndi chithokomiro England, pali pafupifupi 8% ya anthu. Ikani matenda enieni imathandiza madokotala njira yodziwira ngati ultrasound. Ndi si olanda, otetezeka ndi nkhani zophunzira, anachititsa ndi ntchito mafunde akupanga. US a chithokomiro England (St. Petersburg), mukhoza kupita ku malo osiyanasiyana mankhwala. Mmodzi wa iwo - chakumadzulo Endocrinology Center. Ndi akatswiri otchuka ndi zida zamakono.

khansa US pamalowa zachipatala

Chakumadzulo Endocrinology Center ku St Petersburg - Russia ndi kutsogolera zachipatala bungwe m'munda wa kudziwika ndi mankhwala a matenda osiyanasiyana. Tsiku lililonse pano zachitika kuchuluka yaikulu njira yodziwira ndi ntchito mafunde akupanga. Mu maphunziro onse, ndi ntchito pokhapokha ano zipangizo. Ndi zipangizo zatsopano pakati pa Endocrinology limasonyeza ngakhale zotupa zazing'ono, anapezeka ndi matenda aakulu mu magawo oyambirira.

Chithokomiro ultrasound (St. Petersburg) odziwa bwino akatswiri popanda kutsogoleredwa zachipatala bungwe. Awa ndi anthu ndi maphunziro apamwamba, madokotala agwira. Pa ntchito yake ya udokotala iwo athera za kayendetsedwe matenda ophunzitsidwa ku mabungwe akuluakulu mankhwala a United States ndi ku Ulaya.

Mu endocrinology pakati akhoza kukumana ndi katswiri ultrasound. mtengo wake ndi 800 rubles. ultrasound Izi imagwiridwa ndi akatswiri zabwino za pakati mankhwala ndi katundu mkulu-yotsiriza. Mwina chizolowezi chithokomiro ultrasound (St. Petersburg). Price - 600 rubles. Mwina ndalama yodziwira. Avereji ya khansa kafukufuku ikuchitika pa ano zipangizo madokotala akupanga diagnostics wa wapamwamba ndi woyamba Choyenereza gulu.

Zikuonetsa kufufuza

Investigation England wapemphedwa kuti anthu amene ali ndi matenda a khalidwe, pali chimodzi kapena zingapo mwa zizindikiro zotsatirazi:

• zizindikiro monga chifuwa, kunachitika popanda chifukwa, mphumu, chodziwa mantha;
• zotupa zopezeka mu khosi pamene anayendera ndi palpation;
• kufufuza mphamvu ya mankhwala imachitika pa kudziwika matenda a chithokomiro England;
• amaganiziridwa aggravation matenda wogwila.

chithokomiro Research (US) ngati kuli kofunika pamene mpanda imagwiridwa ndi akatswiri zinthu chiwalo matenda. Pa ndondomeko, Kutsogoleredwa ndi gulu la puncture singano. Chifukwa amenewa kuzipenya kwathetsa chiopsezo zotheka zosokonezeka.

ultrasound

Anthu ambiri amene amapita ku North-West Center wa Endocrinology ku St. Petersburg, amaganiza za mmene zachipatala malo imagwiridwa ultrasound England. Tikumbukenso kuti mwachindunji tithe kufufuza ndi Sikuti. Matendawa amapangidwa mu supine malo. Pansi khosi ndi akachita khushoni imene mutu oponyedwa kumbuyo. Zimenezi amatipatsa zowonera yabwino ya kunsi kwa England lapansi.

Phunziro limba ndi ultrasound akhoza kuchitidwa ndi pamene munthu atakhala ndi mutu wake kuponyedwa kumbuyo. Zinthu ngati, akatswiri amavomereza akubwera kutenga udindo wa odwala US ngati ali ndi matenda aakulu (mphumu, congestive mtima kulephera).

England chindodo imagwiridwa ndi pafupipafupi mkulu. Ndi akonzedwa pa trachea (perpendicular kwa) angapo masentimita pamwamba pa sternal mapeto a clavicle. Jambulani Zimenezi zimatchedwa mtanda. Choyamba akatswiri visualized Korinto, kenako - mmodzi wa lobes. Pambuyo kutsetsereka ndi Korinto anayeza kachiwiri ndi zosiyana England nusu. Lotsatira gawo - kukhazikitsa anafufuza kotenga ndege. The kachipangizo yakwera kufanana kwa trachea ndi pa ngodya kwa izo.

Chithokomiro ultrasound (St. Petersburg), imene imachitika pakati endocrinology, amalola inu kupeza zofunika:

• malo a khansa, ake mawonekedwe, akalumikidzidwa, kukula, echogenicity, echostructure;
• pamaso intraorganic kusintha malo, chikhalidwe ndi kuchuluka kwawo mayunitsi;
• ubale wa khansa ndi nyumba yowazungulira izo;
• Mayendedwe a m'madera dera lymph ngalande.

Anatomical mbali England

Mabele England - ndi chimodzi mwa waukulu endocrine limba. Zinabala mahomoni monga thyroxine ndi calcitonin. The oyamba nawo malamulo wonse wa kagayidwe mu thupi, timapitiriza asafe kagayidwe mu zimakhala. Calcitonin nthawi kagayidwe calcium, umakhudza mapangidwe mafupa a.

England ili mu khosi (m'munsimu m'phuno ndi trachea kale). Mu mawonekedwe izo akufanana gulugufe. Limba ndi akutali chabwino ndi lobes kumanzere. Amawapatula ndi Korinto yopapatiza. Nthawi zina pyramidal anatsimikiza (ngati mukufuna) gawo England.

Akupanga makhalidwe thupi

Kuti matenda zolondola, muyenera kudziwa chimene mlingo wa chithokomiro ultrasound:

1. thupi ili likhoza kukhala dongosolo wabwinobwino, ndipo akhoza okondera. Mu chimake choyamba, chitsulo wapezeka mu khosi zapambuyo ya chithokomiro chichereŵechereŵe m'dera supraclavicular.
2. Thupi Chojambula ndi ochiritsira kapena asymmetrical. Mu mawonekedwe yachibadwa ya chitsulo mu gawo mtanda akufanana ndi dumbbell yokhota kumapeto. Iye visualized yopapatiza Korinto ndi awiri lobes.
3. chifuwa contours yosalala ndi losongoka, lakuthwa bwino. Iwo akhoza kusweka kapena sanalemberetu pa echogram lapansi. Mwachibadwa, ndi contours akalipo.
4. Sonographic chithokomiro kukula ndi ultrasonography payekha. Mwachibadwa iwo zimasiyanasiyana. The makulidwe a Korinto mwina osiyanasiyana monga 4 mpaka 6 mamilimita ndi makulidwe aliyense amachita mwa - kuchokera 16 mpaka 18 mm, m'lifupi - kuchokera 13 mpaka 18 mm, kutalika - kuchokera 40 mpaka 60 mm. Voliyumu ya thupi amuna ranges kuchokera 7,7 kuti 22,6 kiyubiki mamita. Akazi kuona mfundo imeneyi ndi zosakwana -. Kuchokera 4,55 kuti kiyubiki mamita 19,32. cm.
5. Echogenicity ya England pamwamba echogenicity yachibadwa minofu yozungulira izo. Izi ndi chifukwa peculiarities dongosolo thupi. Chithokomiro zikuphatikizapo ambiri follicles mwa zomwe ndi madzi. Chifukwa cha zimenezi, pafupifupi 95% ya mafunde akupanga ndi kudutsa thupi. Only 5% zikugwirizananso monga kumatikumbutsabe.
6. Ehostruktura thupi la thanzi ndi homogeneous. Iwo amakhala ndi yunifolomu kufalitsidwa kwa mawunikidwe kuti zofanana kukula ndi malo.

Nthenda chitukuko cha thupi

Chithokomiro ultrasound (St. Petersburg), anachita pakati endocrinology, nthawi zambiri amalola kudziwika malformations kobadwa nako. Mmodzi wa iwo - ndi hypoplasia (underdevelopment cha thupi). kudwala kumeneku kumaonekera mu echogram kuchepa kukula kwa prostate kapena mmodzi wa magawo ake.

Ndi malformations mulinso gemigeneziyu. Mawu amanena kuti, pakalibe chimodzi cha Fe okhutira. Pogwira ultrasound anawamasulira theka la thupi. Miyeso gawo alipo nthawi zonse pamwamba Kufunikila kwa yachibadwa.

Pa akatswiri a ultrasound nthawi zina gawo zina. Sititha kuitana kwawo makamaka malo, chifukwa iwo akhoza kukhala osiyana dongosolo. Monga ulamuliro, chiwerengero cha zina kuzindikiridwa ali mwana. Akuluakulu, iwo manja.

Nthawi zambiri, kobadwa nako khansa malformations satchula zizindikiro zilizonse zolakwika. matenda osiyanasiyana nthawi zambiri zinamuyendera kukhala mwachisawawa kupeza nthawi ultrasound lapansi.

Prostate hyperplasia

Ngati ndi kotheka, ndime ya matenda n'kofunika kuti akonze mu Endocrinology Center ku St Petersburg. Apa, ntchito mafunde akupanga matenda matenda osiyanasiyana prostate. The zambiri wapezeka mu ndondomeko ya thupi ili hyperplasia. Ndi chikhalidwe pathological imene kuwonjezeka khansa ndi kusokoneza ntchito zake. Pamene matenda a akatswiri ntchito gulu zotsatirazi:

• kuwonjezera kukula ndi 30% - akakufunsani hyperplasia Ine ndi madigiri II;
• chithokomiro kukulitsa pa 30-50% - III digiri (chonchi milandu, mawu akuti "akakufunsani khosi lotupa");
• kuenjezera oposa 50% - IV ndi digiri ya khosi lotupa.

Ndili ndi II digiri ku njira ya US akatswiri awulule osati kokha kuwonjezeka mu kukula ndi ukulu wa ulamuliro. Palinso nazo mizati Prostate lobes. Ehostruktura ndi homogeneous ndi bwino grained. Zimakhala zosiyana pamene kupitirira wa pathological ndondomeko.

Zotsatirazi ultrasound zizindikiro za khosi lotupa akakufunsani pa echogram a amakhala ndi:

• Thupi kuwonjezeka 30% kapena zambiri;
• sing'anga ndi coarse ehostruktura;
• kukhalapo kwa mabacteria anechoic ndi hypoechoic (m'madera ndi enaake alibe);
• Kuona hyperechoic liniya mbali kapena mabacteria wa mawonekedwe osasamba (Mbali amenewa kuwonetsera kukula kwa minofu connective).

thyroiditis England

Pakati pa endocrinology, kodi ultrasound ya chithokomiro England akhoza aliyense, akatswiri nthawi zina matenda thyroiditis. Mfundo imeneyi umabweretsa pamodzi matenda osiyanasiyana yotupa. Pa mtima wa pathologies onse autoimmune kapena zina njira cytotoxic zomwe zimachitika nthawi imodzi ndi njira ya alibe, yokonza ndi kusinthika kwa chithokomiro minofu.

Mothandizidwa ndi ultrasound Prostate kuli kovuta kudziwa maonekedwe a thyroiditis. Chindodo imagwiridwa kuti kuwunika kupitilira matenda. Pamene cytotoxic njira coarsen hypoechoic malo. Chithokomiro echogenicity amachepetsa. Ngati mphamvu zabwino m'madera hypoechoic kukhala ang'onoang'ono. Yafupika ndipo chiwerengero chawo. Pamene stihanii thyroiditis ultrasound chithunzi si osiyana mwakale.

Prostate adenoma

Mawu amenewa amanena zotupa chosaopsa zimene zimachitika mu thupi. Endocrinology Center akatswiri zambiri oterewa adenomas anthu akubwera mu chipinda ultrasound. Izi matenda nkhani pafupifupi 16,6-25,2% onse zotupa kuti amachotsedwa pa opaleshoni pa England.

Pakuti adenomas si yodziwika ndi aliyense zizindikiro zenizeni pathognomonic kuti tingaone mu njira ya chithokomiro ultrasound. Kodi ino ndi ofanana pathologies? Neoplasms akhoza visualized mu mawonekedwe a hyper-, iso- ndi hypoechoic nyumba. Mu kwambiri zina, iwo hyperechoic ndi homogeneous dongosolo. Mu adenomas, zambiri amatembenuzidwa wandiweyani hypoechoic felemu lolingana edema ozungulira parenchyma, histological kapisozi kapena ziwiya.

Kuti matenda zolondola ndi amaganiziridwa odwala khansa likufa Kupenda ku likulu la endocrinology, woikidwa biopsy. Only kuyamika cytology ophatikizana zipangizo amatha kusiyanitsa chosaopsa ku maselo a khansa.

zotupa zilonda

Pakati pa endocrinology mothandizidwa ndi ultrasound ndi bwino singano kukhumba biopsy a khansa akhoza matenda. chotupa ichi ndi zilonda chilengedwe zomwe lachokera ku maselo a mabele epithelium. matenda ankaona kuti n'chosoŵa.

Musanawerenge n'zotheka zakambidwa ultrasound ya chithokomiro England (lomwe limasonyeza kuti), Dziwani kuti khansa ya thupi lagawidwa papillary, follicular, medullary. Mu carcinoma papillary 90% ya zotupa yodziwika dongosolo hypoechoic. Iwo sichipezeka anechoic ndi dongosolo hyperechoic. Mu 85-90% milandu wapezeka microcalcifications Kukula kwa 1 mm. Iwo hyperechoic inclusions. Zina ultrasound zizindikiro - enaake M'mimbamo ndi lymph mfundo metastases.

Zotsatira za chithokomiro ultrasound zina zikhoza amaganiziridwa khansa follicular. Ndi ndondomeko zilonda, amene amaona chovuta kwambiri oterewa. Akufotokozera kuchokera adenomas alipo. Kwa chotupa chotupa yodziwika ndi contours osasamba, ndi nkombero zotumphukira, zizindikiro za nkhondo ya ozungulira nyumba akulu. khansa Follicular si yodziwika ndi microcalcifications ndi metastases lymph mfundo.

khansa Medullary limachokera ku maselo yotulutsa calcitonin. Matenda yodziwika ndi mwamakani Inde. Pamene odwala kuchititsa odwala ultrasound gipoehogennye wapezeka (mu nthawi zina hyperechoic) kapangidwe ndi contours m'goli ndi gipoehogennym felemu makulidwe m'goli. Pamene khansa medullary zambiri wapezeka microcalcifications ndi metastases okhudza okhometsa lymphatic wa mediastinum kumtunda ndi unyolo kubwerera lymph mfundo.

Endocrinology Center ku St Petersburg - malo kumene akhoza apezeke ndi aliyense matenda. zida zamakono angazindikire ngakhale matenda amene ali ovuta kuzindikira kokwanira. Pakatikati zachipatala mu US akatswiri khansa anafufuza ufulu lymph mfundo za khosi ndi timinofu. Ngati ndi kotheka, ndi biopsy liperekedwe. mudziwe analandira mwa njira zonse matenda imathandiza madokotala kuyika matenda zolondola.