Chiwindi chimadziwika kuti ndi chiwongolero cha thupi la munthu ndipo nthawi zambiri zimanenedwa kuti 'kudyetsa chiwindi ndi moyo wopatsa thanzi', zomwe zimasonyeza kugwirizana kwapakati pakati pa chiwindi ndi thanzi la munthu.
Monga katswiri wa ultrasonographer, amodzi mwa mayina omwe amapezeka pafupipafupi a cysts amabwera pakuwunika kwa odwala.
Ma cysts omwe amapezeka m'chiwindi amagawidwa m'magulu awiri: obadwa nawo komanso omwe amapezeka.Choyambitsa chenicheni sichidziwika ndipo ma cysts amatha kukhala amodzi kapena angapo, mosiyanasiyana kukula kuchokera ku mamilimita ochepa chabe.
Chotupa cha chiwindi chikhoza kuwoneka ngati malo amodzi kapena angapo ozungulira kapena ozungulira ngati anechoic, odziwika bwino, okhala ndi envelopu yosalala ndi yopyapyala komanso m'mphepete mwa hyperechoic, ndi zizindikiro za kutayika kwa lateral khoma echogenicity ndi kupititsa patsogolo echogenicity kumbuyo kwa chotupa.
Echo-free mkatikati mwa chiwindi cyst
Ngati wodwala ali ndi matenda a parasitic, ma cysts omwe amayamba chifukwa cha tizirombo nthawi zina amatha kuwonedwa ngati mawerengedwe.
Ndikofunikiranso kudziwa kuti ma cysts akulu amatha kukhala ndi makoma okhuthala ndi kuchuluka kwa echogenicity komanso zoonda, zopatukana mwamphamvu mkati mwa chotupacho.Pamene chotupa ndi hemorrhagic kapena kachilombo, pangakhale ang'onoang'ono madontho echogenicity mkati chotupa, amene akhoza kusintha malo ndi kusintha kwa thupi.
Mtundu wa Doppler:
Nthawi zambiri palibe chizindikiro chamtundu wamagazi m'chiwindi, ndipo m'mitsempha yayikulu, khoma la cyst limatha kuwonetsa madontho ochepa kapena zoonda zamtundu wamtundu wamagazi, ndipo kuzindikira kwa Doppler ultrasound nthawi zambiri kumakhala kutuluka kwa venous kapena kutsika kwa magazi. chizindikiro cha magazi.
Kuzindikira kosiyana:
Kodi tingakhale bwanji otsimikiza ndi kuzindikira matenda monga chiwindi cysts, zomwe zimafuna ife kusiyanitsa matenda ena ofanana ndi ultrasound ulaliki kwa chiwindi chotupa.Sonographically, chiwindi cysts ayenera kusiyanitsidwa ndi abscesses chiwindi, chiwindi encapsulation ndi intrahepatic ziwiya.
1. Kutupa kwa chiwindi.
Pa 2D ultrasound nthawi zambiri imakhala ngati hypoechoic mass-ngati, mafinya osungunuka mkati mwake amatha kusuntha ndikusintha kwa malo, ndipo khoma la chotupa limakhala lokhuthala ndipo lazunguliridwa ndi bwalo lozungulira pang'ono la kutupa.
2. Hepatic encystment.
Nthawi zambiri pamakhala mbiri yodziwika kudera la mliri, ndipo ngakhale imatha kuwoneka ngati chotupa cha cystic pa sonogram, imatha kuwonetsa mawonetseredwe monga kapisozi mkati mwa kapisozi kapena chizindikiro cha gulu la mphesa, ndipo khoma lalitali la kapisozi limatha kuwonetsa kawiri. -kusintha kosiyanasiyana.
3. Mitsempha ya intrahepatic.
Palibe posterior echogenic kuwongola ndi morphology zimasiyanasiyana ndi ultrasound mtanda gawo.Chotupacho, pokhala chozungulira, chimakhala ndi gawo lozungulira kapena lozungulira, mosasamala kanthu za momwe mbali ya probe imasinthira, pamene ziwiya za intrahepatic zimakhala zozungulira, ndipo kafukufukuyo atazunguliridwa ndi madigiri 90, khoma la chotengera chachitali. zitha kuwoneka.Chiwiya cha intrahepatic chodutsa chimadzazidwa ndi zizindikiro zamtundu wamagazi pogwiritsa ntchito mtundu wa Doppler.
Izi ndi zomwe mukugawana lero, ndikukhulupirira kuti ndizothandiza kwa inu.Komanso makina abwino kwambiri a Ultrasound, MCI0580 ndi MCI0581 omwe amapezeka ku MeCan , apa pali zithunzi zawo zachiwindi.
