Elastometry yechiropa. Fibroscanning ye chiropa

Imwe yenhengo dzinokosha zvikuru mumunhu chiropa, nokuti inoshanda inenge ichipfeka, zuva nezuva ichiita nhamba yakawanda yemabasa panguva imwe chete. Izvo zvinokonzera kusakanganisika kwezvakatipoteredza uye kushanduka kwepakati kwehutano kunokanganisa mamiriro ezvinhu epamuviri rinokosha.

Pane zvipi zvemuviri zvinenge zvakakodzera kumhanyira kune unyanzvi uye izvo zvipi zvinotarisirwa kuendeswa kuitira kutarisa chiropa, funga pasi apa.

Chimiro chenhengo

Nharaunda yekodzero ye hypochondrium, iyo chiropa ichiitika, inodzivirirwa kubva kunze uye mukati memaitiro. Muviri uyu mumunhu mukuru unogona kusvika pakuyera kusvika kune imwe nehafu haki kilogram. Chiropa ndeyezvipembenene zvekunze kwekunze.

Zvikamu zveprismatic ndezvokugadzirwa kwechirongwa. Icho chiduku chiduku chechiropa chairo. Chimwe chee-lobules ine ropa rayo pachayo inenge yakafanana neyenyunyanzvi. Mitsara ye gland inobereka bile, inodiwa pakugadzirwa kwezvokudya chyme.

Chakavanzika che-bile ducts chinopinda mu-gallbladder-ganda rinokosha, iro dope re bile. Uye ikozvino kubva pano inopinda mu duodenum, inobatanidzwa mberi mukugadzirwa kwemvura. Kunyangwe iine bile uye yakabereka nguva dzose, asi inopinda mumukati mutsara chikamu.

Izvozvo zvinoshandiswa pachiropa zvakanyanya zvakaoma uye zvinomiririrwa nenhamba yakawanda yepakatikati yemapapuriri. Mitsara mikuru ye gland ndiyo arter hepatic uye mbira, iyo inotakurisa ropa kubva kune aorta kuenda kune nhengo dzechipfuva uye mushure. Kushamwaridzana kwepedyo nemidziyo pamwe ne bile ducts kunoita kuti metabolism iri kumusoro.

Kushanda "mabasa" echiropa

Mutumbi unobatanidzwa mumatambudziko akawanda panguva imwe chete, kuita mabasa akaoma:

• Kubudirira kwechakavanzika chekudya (bile);
• Inactivation yexikisi, zvinhu zvine chepfu uye zvinokonzera zvose;
• Mutemo wemaginhahydrate metabolism uyezve kugadziriswa kwemagetsi emvura;
• Kubviswa kubva mumuviri wezvigadzirwa zvemagetsi;
• Kubatanidzwa mu gluconeogenesis;
• Kuderedza mavhithamini.

Mukuwedzera pakubatanidzwa mukugadzirwa kwekudya, chiropa chinorwisana nekunze kwezvinhu zvekunze zvakapinda mumuviri womunhu. Mushure mekudzivirira kwezvinhu zvinosvibisa, kunowedzera kuwanikwa kwekutsinhanisa migumisiro (acetone, ketone miviri, ammonia, nezvimwewo). Nekukosha kukuru ibasa rekushandiswa. Chiropa chinogadzira mahomoni akawanda, mapuroteni, cholesterol, bilirubin, bile acid uye enzymes.

Chimwe chinhu chemuviri ndechokuzvipodza. Iyi ndiyo chete yezvinyorwa zvemuviri womunhu zvinogona kudzorera hukuru hwayo kune chepakutanga, ine chikamu chechina chezvisikwa zvayo.

Ndezvipi zviratidzo zvinoratidza kukosha kwekuongorora?

Vakawanda varwere vanotsvaka rubatsiro apo chirwere chacho chave chapfuura muchikwata chenguva refu.

Kuwana mazano eyanzvi kunokosha pakuonekwa kwekliniki inotevera:

1. Kunzwa kunorwadza mukanani hypochondrium ari kunetseka, kucheka, kana kuputika mu hepatic colic.
2. Kukundikana mukugadzikana nenzira yezvirwere zvekuvaraidza (kurutsa, kushungurudza, kuchera, kubvisa).
3. Kushambidzika kana kukwirira kwakadzika kusvika kumazinga akakwirira.
4. Kuonekwa kweganda rakasvibirira kana kuti kuwanikwa kwechivara chinonzi yellowish hue.
5. "Zvinyorwa zvepaHepatic" - chiratidzo muhutachidzo hwechiropa kana chisingaperi chehepatitis. Ganda riri pamichindwe rinova rakatsvuka. Paunenge uchinyanya kutaura pamusoro penzvimbo inotenderera, kubwinya kunopera, asi gare gare kunooneka zvakare.
6. Kuonekwa kwemavara matsvuku.
7. Kuchengeta kweganda uye maratidziro ekutsvaira.

Ndeipi miedzo yandinofanira kutora kuti ndione chiropa?

Izvo zvinoshanda zvechirongwa zvinogona kutambura nekuda kwezvirwere zvakasiyana-siyana, zvichibva kune zvirwere zvepachirwere chinotapukira uye kupera nemararamiro anoita. Mushure mokunge taudza mumwe muongorori uye achiita kuongororwa, murwere anopiwa sarudzo yezvigadziriswa kuti agadzirise chirwere chakakodzera.

Ndeapi miedzo yandinofanira kutora kuti ndiongorore chiropa:

• Kuongorora ropa uye urini;
• Elastometry yechiropa;
• Hepatology;
• Kuongorora kwechiropa;
• Biochemistry yeropa uye enzymes ALT, AST ;
• Zvimwe zviratidzo zveropa - bilirubin, cholineterase, puroteni yakazara, phosphatase;
• Ultrasound yechiropa.

Fibroscanning - inyanzvi mumunda wekuongororwa

Elastometry yechiropa ndiyo nzira yemazuva ano yekuongororwa, iyo inorayirirwa kuti inofungidzirwa fibrosis. Pamberi pekuuya kweiyo nzira, kuongorora kwemaitiro emasero ehepatic zvingangoitwa chete nekubatsirwa kwe histology.

Iyi nzira ine zita rechipiri - chiropa che fibroscans. Nguva yakanaka yekuongororwa ndeyokuchengetedzwa kwayo nekusavapo kwekupinda mumuviri wemurwere. Izvi zvinoita kuti zvive nyore kugadzirisa nzira yechirwere mumasimba.

Elastometric kuongororwa kwechiropa kunoitwa pamwe nekubatsirwa kwezvinhu zvakagadzirirwa zvine sensor. Kupfurikidza nekupfuura kwekushandiswa kwemhepo, iyo inoratidzirwa nehutachiona hwechirongwa. Chigumisiro chinoratidzwa pachitarisiko nenzira yakatove yakagadziridzwa ruzivo, uko uwandu hwehutano hweglandu hunoratidzwa.

Iko yehuwandu hwekutsvaga kwemigumisiro yacho yakakwirira kwazvo, uye nguva inotorwa kuti igamuchire mhinduro isingakoshi. Kana ichienzaniswa nechaopsy maererano nemagadzirirwo ayo anoita, chiropa che elastometry chiri kutungamirira. Mutengo weiyi nzira inenge 4000 rubles.

Zviratidzo zve

Iyi nzira yakachengeteka yekuongorora inoshandiswa kunyange yekuongororwa kwezvirwere muvana, nokuti haibviri kugadzirirwa kwakakwana kwomurwere, hakuiti kukonzera kubva mumuviri.

Elastometry yechiropa inoratidzwa kuvarwere vanotevera:

• Vanhu vanotambura nezvirwere zvisingaperi zvechiropa;
• Varwere vane viral hepatitis;
• Varwere vane chirwere chechirwere chechiropa;
• Varwere vanorapwa nemishonga inorwisa maitiro kuti vaongorore mamiriro ekusimba kwechigunwe chechigunhi asati asvika uye shure kwehutano;
• Varwere vanodhakwa zvinodhaka.

Iyo nzira inoitwa pamwe nekubatsirwa kwe "Fibroscana". Murwere ari munzvimbo isina tsvina, maoko akarambana, asina chifuva uye mudumbu. Iyo sensor inogadziriswa pakatarisana nechokurudyi kwechiropa chiripo. Mushure mokusarudza nzvimbo inofanira kuongororwa, chigadzirwa chinogadzira zviyero zvakawanda, izvo zvinoshandiswa uchishandisa purogiramu yemakombiyuta. Chigumisiro chinoratidzwa pane chekuona.

Nokudaro, elastometry yechiropa inobvumira kukurumidza uye kunyanzvi kuongororwa kwebasa rinoshanda rechirongwa.