Isibindi sinoxanduva lweenkqubo ezininzi ezenzeka emzimbeni. Imisebenzi yayo ibandakanya ukulawulwa kwamafutha kunye ne-glucose, ukuzaliswa kwegazi kunye ne-enzymes efanelekileyo, ukungathathi kakuhle kweetekisi ezivela ngaphandle. Xa zibonakaliswe kwizinto ezimbi zangaphandle, kunye nangenxa yokuphazamiseka kwangaphakathi emzimbeni, utshintsho oluthile lunokuthi luvele kwiishubhu zesibindi.
Yintoni ishintsho sebindi?
Ngokuqhelekileyo, isibindi se-parrenchyma (isisombululo esisebenzayo esiphezulu esine-hepatocytes) sisakhiwo esingafaniyo, esinezinto ezinobuthakathaka, apho phakathi kwamanzi kunye nemithambo yegazi.
Ukutshintsha iinguqu kwisakhiwo sesibindi kubonisa ukuba i-parenchyma ishintshiwe ngokupheleleyo. Ngaphezu koko, iyakwazi ukubonakalisa iinguqu ezibalulekileyo zomsebenzi (utshintsho olulinganisiweyo kwi-pellyyma yesibindi) kunye nezilonda ezibi kakhulu (i-parenchyma yokwanda kwesibindi).
Ukutshintsha utshintsho kunokuba ngumntu ohlukileyo. Ngaloo ndlela, iindidi ezilandelayo zenguqu ziyahluka:
- i-fibrous;
- i-sclerotic;
- hypertrophic;
- dystrophic;
- ukuvuvukala.
Ukusabalalisa i-steatosis yesibindi isifo esihambelana nokuphazamiseka komzimba kwi-hepatocytes. Ngenxa yoko, utshintsho olunezitsholongwane kwisibindi lubonakala, kwaye ukuqokelela kwamanqina kuyenzeka kwiiyunithi ezinobungozi.
Nge-ultrasound, kukho ukunyuka okufanayo kwintsholongwane, ukunyuka kwe-echogenicity (ukunyaniseka kwesibonakaliso se-ultrasound) ngexesha lokulondoloza ukulingana kwesakhiwo sayo. Ngokuqhubela phambili kwenkqubo, "i-granularity" ye-parenchyma ibonakala, ebonisa ukuqala kophuhliso lwe-steatohepatitis kunye ne-hepatitis.
Izizathu zokusasazeka kwesibindi
Ukutshintsha kwimizimba yesibindi kungenzeka ngezizathu ezahlukahlukeneyo, kuba kukho izinto ezininzi ezinempembelelo embi kweli candelo. Ezi ziquka:
- ukusetyenziswa kakubi kotywala;
- ukuthatha amayeza;
- izifo zengxaki;
- ukusetyenziswa kweemveliso zokutya ezingalunganga;
- pathologies, kunye njl
Akusoloko kusasazeka utshintsho kwi-parenchyma yesibindi kubonisa isifo. Kodwa kwezinye iimeko ziba ngumphumo wale pathologi zilandelayo:
- i-hepatitis yentsholongwane;
- i-hepatitis yotywala ;
- ukuhlutha okunamafutha kwesibindi;
- i-hepatitis engapheliyo;
- i-cirrhosis;
- cholangitis , njl
Iimpawu zokutshintsha kwesibindi ishintsho
Ukutshintsha iinguqu ezinobuthi zesibindi kunokuqala ngaphandle kwempawu zeklinikhi, ngaphandle kokuphazamisa umntu. Ngokuqhelekileyo utshintsho lubhalwa ngexesha loviwo lokukhusela, olubandakanya ukuxilongwa kwe-ultrasound.
Isibindi, ngenxa yobukhulu bayo nobuxininiso, ngokufanelekileyo sibonakalisa amaza ase-ultrasonic, ngoko ichithwe kakuhle nge-ultrasound. Izibonakaliso zeezographic (i-echoes) zokutshintsha kweebindi zintsholongwane zibonakaliso ezilandelayo zifunyenwe ngexesha lokufunda:
- lwakhiwo lwezakhiwo;
- ukwandisa i-parenchyma echolarsity;
- ubukho beendawo zokunciphisa nokunyuka kwe-echogenicity;
- ubukhulu besibindi;
- utshintshe imodeli yegazi.
Unyango lweengcambu zokutshatyalaliswa kwesibindi
Utshintsho lweenguqu eziguqukayo luyenziwa emva kokucacisa isizathu esona siholele
- vavanyo lwegazi;
- ukucatshulwa kwemifanekiso emagnini;
- i-angiography;
- Ukuhlolwa kweengongoma zesibindi, njl njl
Ukongeza ekuhloleni isibindi, kunokufuneka ukuba uhlolisise zonke izitho zokugaya.
Izindlela zokonyango zixhomekeke kwiziphumo zemisebenzi yokuxilonga. Kwezinye iimeko, kuthotyelwa kuphela ukuthotyelwa kokutya kunye nokuphepha kwemikhwa emibi, kwabanye - ukuthatha imishanguzo kunye nokungenelelo okutyathwayo.