Ka ninaninau ana i ke akepaʻa: he papa inoa o nā kiʻina hana

Inā e hoʻomaka e hai soreness ma konaʻaoʻao'ākau, i kona waha ikea mai awaawa ono, pinepine noʻaʻohe kumu hoʻomaka e haha maʻi, laila, e hoʻoneʻe 'ia paha i keia mea he pilikia i ke akepaʻa. Akā, mai olalo i ka heluhelu i kī lau a me ka lawe ai 'hoolaha. Ua mea maikaʻi, e kukakuka lakou i ka hoʻomalu, a pana aku au i nana i ke akepaʻa. Wale këia i ka hopena o nā ho'āʻo ma o ka ultrasound ma hope, HI, MRI, radioisotope scan NineManga.com a biopsy, e hiki puni waiwai me ka pololei lapaau.

Piha koko helu

I hookuu i ka mua mua i loko o ka hookolokolo ana o ke akepaʻa - kālailai. Mua o nā mea a pau, kauka mau hoakaka ia i kekahi, he pono ole koko hōʻike. 'O kēia ka simplest study e kuhikuhi mai la lakou i ka kekahi pilikia, akā, e hana ka mea hiki e hooholo i ke ola ana o ke kino li nui. A i ka wā e like me ka emi ana ma ka platelet helu, ka mea hiki ke ea mea hoʻomaʻi hepatitis no ka mea, o Nyos ake keena.

biochemistry

Oe, e loaʻa, e haawi aku ma luna o kekahi koko, mai ke aa koko, ma i ake nā'ūhū (aspartate aminotransferase a alanine aminotransferase) e e nānā '. Kēia mea o loko hoʻolako ka PAaIEN o ka poino aeea membranes, i ae ho'ākāka 'ia ke kelepona hele nā'ūhū mai ke akepaʻa, i loko o ke koko. Norma mau nā'ūhū - emi o 41 U / L Alt. Inā ka mea, ua oi, e hiki ia he hoailona o ka hepatitis o kekahi mau 'ano apau loa. Kēia Ka Ikepili ua kapaia ka biochemistry o ke koko. Ua mau hiʻohiʻona nō e hoʻoholo i ka lākiō o ka Alt, AST, e hōʻike 'ākilikai phosphatase a me ka bilirubin pae hooholo, manaʻo o ka lehulehu o ka gamma-glutamyl transferase (GGT). E like me ka Ka Ikepili ua nānā 'ia e oi aku mamua o 40 nā hoailona.

ultrasound

An nui ke kahua ake ninaninau - ultrasound. Kani ultrasonicʻike, apono 'ia i ka nui o ke ake a me ka laau awaawa, bladder. Ano O hōʻike eiei? Loli e like me hepatotoxicity, a pau ka violaʻumi o ka pancreatitis, cirrhosis. No ka laʻana, ma gepatoze i loko o ke kino, e e hiki blotches o momona keena. Hepatocytes a me ka momona i he okoa nuʻa, a 'o ia hoʻi i ka ultrasound kiʻi, e nana gaudy. A me ka hooulu ana o ke akepaʻa maʻi aeee e auou caiaiai e connective'aʻaʻa, a me ka ultrasound hōʻike hoailona o ka fibrosis.

Me ka pili ana i ka mea nui loli, ke akepaʻa, me ka ultrasound ninaninau maopopo hōʻike i nā haʻawina a me ka mahuahua nuʻa, a hiki e hemangioma, adenoma, metastatic Ka maʻi 'aʻai, calcifications. hana pū E ho oku ui pololei ho oholo ma ua hoʻemi echogenicity mau mea i ke hōʻike i ke alo o ka sarcoma, lymphoma, abscess paha hematoma.

Hope nana i nā ikepili, ke kauka eʻaʻole e hiki ke hana i ka pololeiʻike, akā, e Ho'ākāka 'i ka olelo no ka mea hou ninaninau o ke akepaa, Ma waho aʻeo ka ka hooleia koho.

No ka mea hoomanawanui, e like me ke ao o pau painless. Akā, e pono iki aʻo, ke kāpaeʻana flatulence.

Kamepiula scintigraphy a me nā kālaiōewe kaʻimiʻana

Hoikehonua, ano o ka hoike ana o ke akepaʻa nā radioisotope kaʻimiʻana a oi pili kino scintigraphy kamepiula'ōnaehana ec ake, gallbladder a me ducts. Ka papa hana mua ua hoʻomano hoʻohana 'ia ma ka' inikua me ka hana pono mai ke kakahiaka nui 60s, a ua nalowale kekahi pilina. Ka lua o ka papa hana, kŘpa a hou, a ua loaa mua hiʻona i waena o diagnosticians. Ua like eaaaony i ka ana o ka functioning o ke kino, e hooholo kona nui, e hōʻike hikoko, a, e hookupaa aku i ka alo o ka maʻi keʻano o ka hanaʻana.

Scintigraphy ua hana ka hoʻohana colloidal luaipele ( 'ole' ē aʻe ke aloha mea), a ua 'ae' ia me ka radioactive technetium 99. Ma ka kālaiōewe ua lawelawe i ka hoomanawanui intravenously paha ma ka inhalation. A laila, hoʻohana 'gamma Panel huai ae pāhawewe, ka mea, ua hoohuliia mai, a i hiki ai i ke kamepiula. Ke kiʻi hele mai layering a me ka waihoʻoluʻu. Ke anamanaʻo lawe mai i ka 30 minuke, hiki i ke kauka e kaha i ke kino hana, a loaa ka 'ike e pili ana i ka pathology.

Isotopic kaʻimiʻana lawe ua hoi mai no 30-40 minuke, akā, pono ke hoʻomanawanui, e ho ok ÷ immobility. Dimensional kiʻi ua hōʻike ma ka pepa, ma mua ma luna o ka pale. Kēia waihoʻoluʻu malu laina.

He mau ki ina hana like o ka hoʻokolokolo 'ana i ka poʻe i lawe mai ma luna o ka nele'ōpū. Kekahi kūikawā aʻo ua pono.

HI a me MRI

Aia he mau hou ke kālā no, akā, nui ke kumukuai iaoia o ke akepaʻa examinations - kamepiula a me kaʻume mākenēki resonance tomography. HI Ua hana hoʻohana X-kukuna. I ka hopena o ke kaʻina hana i makaukau i ka umikumamalua kiʻi (papamoe slices) e leie aku e hooholo i ka henua a me ka nui o lesions. Ma waho o ka kauka mea hiki ke loiloi i ke 'ano o ka pilikia, a no ka ike ana ia loli ana i ka puni nā'aʻaʻa. HI lawelawe no kēia obstructive jaundice, cysts, ake trauma, hemorrhages, hematomas, cirrhosis a me ka hikoko.

MRI ua deservedly noʻonoʻo i ka loa pololei ano o ka hoike ana o ke ake, a me nā loko. ʻume mākenēki resonance kiʻi huai ae hikoko like pololei i hiki, a he uuku loa ka nui. Ma keia hihia, i ka kaʻina hana, he mea hiki ole wale e diagnose i kaʻeho, akā, no hoi, e hookupaa aku i kona ano, huai ae metastases e Loiloi i ka patency o na moku, huai ae eiei? Loli, e hookupaa aku i ka degere o ka cirrhosis a oi. Ke anamanaʻo Ua mālama 'ia i loko o ka kūikawā i hoʻomākaukauʻia e like me ka tunnel. Ke kaʻina hana i 30 minuke a oi.

ʻike, hiki ke hana ia me me Akä naÿe ia paha. Ka papa hana Ua loa palekana no nā mea maʻi, akā, pono ai i ka mana o ka mea hiki ke hooheheeia mea. Oe Pono e pana nā mea a pau a me nā mea hoʻonani, a me ka lohe kōkua iā ia,, a me dentures. MRI ma ke alo o ka shrapnel eha, metala pakalōlō a makia, a me ka pacemaker mea hiki hope hou kūkā me ke kauka wale.

biopsy

A biopsy hoʻolako i ka manawa kūpono o ka hoomaopopo ana i ka aetiology o ka maʻi, kona ke kahua, a me ka nui o ka hui, ka pōʻino. No Ka Ikepili ua ia i kekahi'āpana o ke'aʻaʻa e ola ana, a ua hoouna mai no ka histological ('aʻaʻa), cytological (aeea) a bacteriological ninaninau.

He nui na ano o ka biopsy o ke akepaʻa.

• puncture;
• wehena me ka ultrasound;
• transvenous;
• Laparoscopic.

No ka oaeouee ake biopsy hoomakaukau ae hoʻomaka ana ma ka hope 7 lā. Hoomanawanui pono lawe NSAIDs hooki aku a me ke pale aku i ke komo ana o anticoagulants. 5 mau lā, mai kaʻai e nele ka neʻeʻai i mahuahua ai flatulence. 3 mau lā hoʻomaka loaa "Espumizan". Ke Kaʻina Hana i hana ma luna o ka nele'ōpū.

Ke kumu nui mea mea i ka hoʻomanawanui pono ike - i loko o ka hanana o ka eha a me kaʻawaʻawa loa symptoms e hookaulua i ke kahea i ke kauka mea hiki ole. He mea pono e lawe mai nana o ke akepaʻa. Where e hoʻomaka mea e olelo ke kahuna lapaau, e like me ia e pono ai i ka piha kiʻi o keʻano o ka hui,. Hoomanao, ka hapanui o ka pilikia hiki ke hoola iho la oia me ka 'eleu' āinana apau.