Impilo yesibindi isoloko ibonakaliswa ngobukhulu bayo. Ngona uninzi lweentsholongwane zentsholongwane kunye ne-bacteriological, eli lungu landa ngenxa yezinto ezivuthayo kunye neenkqubo zokuhlaziya kwi-parenchyma. Ngako oko, kubalulekile ukwazi kakuhle ubungakanani besibindi - isilumko kumntu omdala sele sisungulwe kwindlela yokwenza unyango, naziphi na ukuphambuka kwezi zikhombisi zibonisa ukuba khona kwesi sifo.
Ngaba isiqhelo sesibindi siyahluka ngokwabesetyhini kunye namadoda?
Iimpawu zengcaciso kubantu abadala azixhomekeke kwisondo, ngoko ubungakanani obuqhelekileyo beli candelo elibhekiselwe kumabhinqa namadoda lilingana. Kubalulekile ukuba uqaphele ukuba izibonisi azichaphazeli ubudala, ubunzima, okanye ukuphakama kwesigulane.
Isiqhamo sesibindi sesibindi kumntu omdala
Ukuchonga ixabiso elichazwe, kufuneka kwenziwe i- ultrasound .
Imilinganiselo yesibindi iqhelekileyo kwi-lobe efanelekileyo yelungu ngale ndlela:
- ubungakanani oblique obunzima-ukuya kwi-15 cm;
- ubude - ukusuka kwi-11 ukuya kwi-15 cm;
- ubukhulu - ukusuka ku-11.2 ukuya ku-12.6 cm.
Ubungakanani obuninzi besibindi kufuneka kube ngu-14, kodwa kungabi ngaphezu kwe-18 cm kunye nobubanzi-ukusuka kwi-20.1 ukuya kwi-22.5 cm.
Isiqhelo sobukhulu besibindi kwi-ultrasound kwi-lobe yesobunxele:
- ubukhulu - malunga no-7 cm;
- ubukhulu be-cranio-caudal - ukuya kwi-10 cm;
- usayizi we-sagittal - ukususela kwi-9 kuya kwi-12 cm.
Kubalulekile ukuphawula ukuba kubalulekile ukumisa iiparitha ezongezelelweyo ngexesha lophando:
- ububanzi be-vein engaphezulu-ukuya kwi-15 mm;
- ubukhulu be-bile duct livela kwi-6 ukuya ku-8 mm;
- ububanzi be-portal vein - ukuya kwi-13 mm ebandakanya;
- Umgama phakathi kwemilomo kunye nemisipha ye-hepatic ifike kwi-2 cm;
- umzobo onobungozi kwimimandla yesango sesibindi - ukusuka kwi-4 ukuya kwi-7 mm;
- ububanzi beethambo ze-hepatic - 6-10 mm.
Iimpawu zamanqanaba ezibonisiweyo zinikezelwa izifundo zokuphefumlela. Ngethuba lokuphefumula, bancinci.
Ngexesha le-ultrasound, kubalulekile ukuvavanya nje ubungakanani besibindi, kodwa kwakhona nesakhiwo seesisu, imeko ye- parenchyma , ukucaca kweendlela kunye nendawo yendawo.
Isiqhelo sesayizi yesibindi ngokwe-Kurlov
Ubuchule obuchazwe bubandakanya ukuhlolwa kwesibindi (umunwe) wesibindi, esibizwa ngokuba sisivivinyo sobunzima be-hepatic. Ekuqaleni, yonke indawo yelungu lendawo lifakwe, xa isandi esisisithulu sitholwa, umgama phakathi kwamacandelo amabini ophantsi kunye nomda ophezulu wokubumba kwesibindi kulinganiswa. Umele usebenzise imigca eqondekileyo.
Ubungakanani bukaM.G. Kurlov:
- kwi-arch ekhohlakeleyo ekhohlo - ukusuka kwi-5 ukuya kwi-9 cm;
- kumgca we-median-clavicular line-7 ukuya kwi-11 cm;
- kumgca we-median - ukusuka ku-6 kuya kwi-10 cm.