Ultrasound Kelyaha - qaanuunka kelmadaha: meesha, size

Xaaladaha intooda badan, ultrasound waxaa loo yeedhi karaa hab lagu ogaanayo si buuxda wargelin ah oo ku filan si loo ogaado cudurka kalyaha iyo meeleeyo daaweyn ku filan, oo ay ku jiraan cudurada tirtirka lagu jiro baaritaanka. Price ultrasound kelyaha la aqbali karo, waxaa lagama maarmaan ah in la qeexo in diiwaanka hay'adaha caafimaadka.

Qalab for ultrasound ogolaanaya dhakhtarka inta lagu jiro baaritaanka si loo ogaado dhowr koobin oo muhiim ah: gobolka ee socodka dhiigga, size jirka, calaamadaha caabuq, xaaladda dhismaha parenchyma ah, joogitaanka dhagaxyo oo godadka ah, iyo sidoo kale neoplasms malignant ama benign.

Maxaa tilmaamayaasha u helno?

• Number of burooyinkoodii.
• size jirka.
• Its deegaamaynta.
• Qaabaynta iyo contours.
• Dhismaha parenchyma ee kelyaha.
• Dawladdu waxay of socodka dhiigga.

Ka fiirso kuwan fursadaha si faahfaahsan.

tirada

Maqaalkani waxa uu garan doontaa sida kelmadaha la sameeyaa ultrasound kelyaha.

Norm waa joogitaanka lammaane kelyaha aadanaha, laakiin sidoo kale waxaa laga heli karaa cillado. Waxaa laga yaabaa in maqnaanshaha lagu dhasho ee mid ka mid ah, iskaanka waxa loogu yeero (aplasia gooni). Ama kelyaha lagu saari karaa qaliin. Waxa kale oo aad ka heli kartaa labanlaabka jirka la dhalin, inta badan waa gooni.

goobta

goobta Normal kelyaha waxaa loo yeedhi karaa ay joogaan heerar kala duwan marka loo eego midba midka kale. Right, D, waxa uu ku yaalaa at araxda ka lumbar 2aad iyo thoracic 12aad oo ka tagay, L, waxa uu ku yaalaa at araxda lumbar 1-aad iyo 11-thoracic.

cilmi kelyaha Ultrasound in haweenka ka caawisaa si ay u aqoonsadaan nephroptosis (ptosis) ama dystopia, in uu yahay, halka ay taalo atypical ee miskaha. foomka caadiga ah ee kelyaha - bean-qaabeeya leh dusha siman iyo aragti cad oo kaabsolka buunshada ku, taas oo qolof jirka dibadda ah. Cabirka in haweenka uurka leh ee caadiga ah oo dheeraad ah, sababtoo ah muddo la joogo ma jiro kordhin kelyaha laba sentimitir ah. Waxa kale oo loo oggol yahay inuu qabto yar miskaha kordhin iyo ureter.

Cabirka dadka waaweyn

size jir kelyaha caadi in dadka waaweyn waa 40-50 mm in dhumucda 50-60 mm in width of 100-120 mm dherer. Si kastaba ha ahaatee, tirooyinkan yar kala duwanaan karaan ku xiran tahay jinsiga uu bukaan-socodka iyo koritaanka.

oo dhumucdiisuna waxay daaha of parenchyma waa dhimaya kale oo muhiim ah kelmadaha ultrasound kelyaha. Norm - waa 18-25 mm. Si kastaba ha ahaatee, tiradaasi ku xiran tahay da'da qofka. Waayo, dadka waayeelka ah waxaa suurtagal ah in hoos ilaa 11 mm, taas oo la xidhiidha isbedelka sclerotic. Parenchyma - unugyada ah oo ku yaalaan nephron, unugyada dhismaha iyo functional. Haddii tilmaame ah oo dhumucdiisuna waxay u korodho, tan waxay muujin kartaa caabuq ama barar ee jirka, iyo haddii ay hoos u, ka dibna waxaan kala hadli kartaa waxa Dystrophy.

Cabirka carruurta

QABASHADA ultrasound ilmaha dhasha waa in ay noqdaan in ay dhacdo itimaalka sare ee horumarka aan caadi ahayn xubnaha uu gudaha ay sabab u tahay hiddo, uurka iyo dhalmada daran, isbeddel ah ee kaadida ilmaha. ultrasound Kelyaha ee carruurta da 'weyn waxaa loo magacaabay ka dib markii la ogaado ee aan caadiga ahayn ee falanqaynta, cabashooyinka of xanuun caloosha dhabarka hoose ama, sababo la xiriira dhaawac, xadgudub ku ah kaadi.

In carruurta size kelyaha waxay ku xiran tahay dhererka iyo da'da. Haddii koritaanka ugu yaraan 80 cm, cabbiro laba keliya oo xuduudaheedu: ee width iyo dhererka ee jirka. Ilmuhu of 100 cm waxaa la qiyaasay, marka lagu daro, oo dhumucdiisuna waxay of parenchyma ah.

Kelyaha waxaa sii kordhaya ee size inta lagu guda jiro glomerulonephritis ba'an ama hurgumada kilyaha iyo sidoo kale khasaaraha ka mid ah qabiirada, sida ay dhacdo in this, jidhka la kulmi doonaan load functional ah u kordhay.

In deciphering caadi ultrasound kelyaha waa aqoonsi cad ah ee xuduudaha, lakabka Silanyo parenchymal ah. Waa in echogenicity inuu ka hooseeyaa in parenchyma ah. Haddii kala duwan ee sahanka sida aan la ogaan, waxaa laga yaabaa inay calaamad u hydronephrosis.

echogenicity parenchymal

Tilmaamahan waxaa lagu go'aamiyaa gobolka iyo qaab-dhismeedka nudaha kelyaha, kaas oo sida caadiga ah waa dhqaalaha.

Echogenicity waa heerka uu xooga milicsiga oo ka mid ah unugyada loomana baahno la ruxruxo. xoojinta Milicsi, iyo image dhalaal monitor markii parenchyma waa denser ku. In yar cufnaanta echogenicity unugyada daciif ah, la muuqaalaynta qaab meelaha mugdiga ah.

Air iyo anehogennoe dareere ah. Tusaale ahaan, wax ka soo baxa caloosha ku jiraan dareere ku tilmaamay ku takhasusay sida anehogennoe waxbarashada. Waayo, geedi socodka sclerotic waxaa lagu gartaa, on lid ku ah, hyperechogenicity.

CHSL

nidaamka Pyelocaliceal ama nidaamka caloosha ayaa mas'uul ka ah fulinta shaqo ururinta kaadida. Iyada oo taageero ka ultrasound kelyaha ragga laga helay ka dib markii isbedel ku jira: joogitaanka calculi (ciid, dhagaxyada), hurgumada kilyaha (an xuubka miskaha seal bararka). Sidoo kale CHLS kordhin waxay muujin kartaa calycectasis, pyeloectasia, burooyinka, xirma ureteral iyo hydronephrosis.

Norm nidaamka pyelocaliceal waa ay anehogennoe. Stones, oo size waa 4-5 mm ama ka badan, in ultrasound gabagabo ku tilmaami formation sida echogenic, ka mid noqoshada hyperechoic echogenicity. Joogitaanka cammuudda ee jirka loo yaqaan mikrokalkulezom.

socodka dhiigga renal

Si aad u arki xididdada dhiigga xubnaha, iyadoo la isticmaalayo iskaanka dabaq, kuna waari dhexdeeda scanner ultrasound waxay bixisaa macluumaad ee garaafka spectral ama image midabka ah. Farsamadan waa xanuun iyo noninvasive. Sidaa darteed, waxa loo isticmaali karaa in baaritaan of kelyaha ee carruurta. Ultrasound go'aamisa gobolka ee darbiyada markabka, joogitaanka stenosis intravascular oo xirma iyo heerka socodka dhiigga. Its kala duwanaansho caadi ah u dhaxeysa 50 ilaa 150 cm / sec.

Waayo, nidaamka midab metrik mugdi ah waxaa loo arkaa wax caadi ah iyo midabka dhalaalaya fadhiya degdegsiimada socodka dhiigga, taasoo muujinaysa jiritaanka stenosis, feature ugu muhiimsan kuwaas oo - korodhka xawaare ee halbowlaha kelyaha (200 cm / sec). Sidoo kale ogaado index iska caabin socodka dhiigga, taas oo si toos ah ay ku xiran tahay da'da qofka. Waxa uu ka sareeyo, ee ka weyn bukaanka. Waayo, kelyaha index iska caabin ah oo halbowle ah index waa loo siman yahay si caadi ah ee 0.7, halka halbowlayaasha interlobar ah - 0,34-0,74.

Aqoonsiga ka mid ah lesions bahal ah

Si loo xaqiijiyo kelyaha ku dhaawacmeen, sidoo kale loo isticmaalaa ultrasound. Waxaa jira 5 qaybood ee dhaawaca ah xubin this. Waxay ku kala duwan yihiin heerka uu xadgudubyada:

• yar ay waxyeello goydey xubin aan (aqoonsado hematoma subcapsular kelyaha);
• kiliyaha jaray;
• kiliyaha jebiyey badan centimitir ah, halka farqiga u ektravazatsiya aan arkay;
• Isgoyska jabtay qeybta mochetochny;
• pedicle dhaawacan ama vascular waxaa go'doonka ka ah xididdada dhiigga iyo ureter ah.

natiijooyinka kelmadaha

Sharaxaada ultrasonography kelyaha, taas oo sharciga kor ku siiyey waa in la qabtaa kaadimareenka. Gunaanad inta badan la socda ama sonogram codsatay photo ultrasound on taas oo ka dhigan arrow barta halkaas oo isbedel bahal la helay. Haddii la ogaado in isbedelka vascular ama burooyin waxaa laga codsadaa ultrasound video, waxa ay kaa caawin doona ogaado saxda ah.

Duwanaanta ogaado by ultrasound

Waa kan ugu wada wargelin ah marka lagu ogaadaa cudurka ultrasound of cudurada sida nabar kelyaha vascular, nephroptosis, amyloidosis, gaabiso bax Dystrophy ureters xubin, fiix, burooyinka, hydronephrosis, formation dhagax, caabuq (glomerulonephritis, baylonfiritis).

Marka hal dhibic ee ultrasound soo gunaanaday "waxaa loogu dhawaaqaa pneumatosis xiidmaha," ma waxay ka dhigan tahay sahan wargelineed ee yaaqyaaqsi. Xaaladdan oo kale, ultrasound waxaa looga baahan doonaa inuu ku soo celiyo ee hore loo diyaariyey, ie xoojinaya oo daroogo carminative.

ultrasonography Kelyaha: qiimaha

Qiimaha daraasaddan gabi ahaanba waa ku xiran tahay xarunta caafimaadka iyo gobolka. Haddii dhaqanka of jihada ultrasound dhakhtar, waxay noqon kartaa lacag la'aan ah. In xarunta gaar ah gaar ah ee Moscow, celceliska qiimaha kala duwan tahay 500 rubles in 3500. In gobollada, kharashka noqon doonaa wax yar ka hooseeya, laakiin aan si weyn u. Waxaad ku bixin kartaa waxbarasho ka 350 rubles 2,500.

In this article aad baratay Maraykanka, oo ku saabsan xeerarka ay waxqabadka, iyo sidoo kale cudurada kelyaha in lagu ogaan karaa inta lagu guda jiro baadhitaanka.