Ultrasound Transrectal we wendlala: incazelo, ukulungiselela kanye nezeluleko

Eminyakeni yamuva, lokuhlasela kwesifo somdlavuza kwezitho okhalo likhula ngokushesha. Lokhu kungenxa nje kuphela yokuthi izifo oncological ijwayeleke kakhulu kunanini ngaphambili. Imbangela lokuqala yokugula ukukhula ukuthuthukisa izindlela zokuxilonga. Manje, nezintela iminyaka cishe wonke umuntu phezu 50 ubudala ngezikhathi ihlola ukunquma izimpawu umdlavuza. Ngaphezu kwalokho, e ezifo esolwa siphela efana ukuhlola izinga ithuluzi. Enye indlela iwukuba transrectal ultrasound. It is olwenziwa kokubili abesilisa nabesifazane umdlavuza esolwa nezinqubo ukuvuvukala kwezitho okhalo. Kuqhathaniswa ultrasound besisu, le ndlela kubhekwa eziqinile, ngoba inzwa is closer kuze izinqubo sokugembula. Ngakho-ke, cabanga iziphathimandla ukuphatha kangcono.

Kuyini transrectal ultrasound?

Le ndlela isekelwe isinyathelo ultrasonic. Njengoba wazi, le ndlela imaging kubhekisela esenzakalweni esiyisimangaliso izinqubo non-koda. amaza e-ultrasound bayakwazi kuthinte izicubu zomzimba womuntu, kanye idlule. ultrasound Transrectal (TRUS) kungekho indlela ezahlukene isinyathelo kusuka kwezinye izinhlobo izifundo. Umehluko nje itholakala lokuthi ukuthi inzwa ufakwa ingemuva, futhi ayifakiwe phezu esiswini.

Ngenxa yokuthi zonke izindwangu ehlukile echo ukuminyana, udokotela ekwazile ngeso lengqondo izitho esikrinini. Ephambi kwezinduna izinguquko ukuvuvukala noma iyiphi lwezimpawu (zokwakheka), ukwenza i-ultrasound isithombe sishintsha. Lokho ukuthi, isitho noma ingxenye yayo kwabantu kuhlukile kuyinsakavukela. Bobabili hypo- futhi hyperechogenicity ibonisa inqubo sokugembula ukuthi uyashintsha nokwakheka kwezicubu.

TRUS wawenzela ngeso we wendlala yabesilisa, ikholoni, Douglas isikhala, esinyeni. Zonke lezi zindikimba ayaboniswa ukutjheja kanye nezinye izinhlobo ultrasound (besisu, abesifazane - transvaginal). Nokho, uma usetha inzwa phakathi imaging ingemuva kangcono, ngokunciphisa ibanga phakathi idivayisi nezicubu.

Izimpawu I-transrectal wendlala ultrasonography

Transrectal ultrasonography we wendlala indlela enokwethenjelwa ekuxilongeni izifo wendlala. Kuyinto engcono ucwaningo, ikakhulukazi ezimweni okusolakala inqubo oncologic. Noma kunjalo, wokuqoka TRUS akusho ukuthi kukhona umdlavuza. Ngakho ningatatazeli kusengaphambili futhi wenze iziphetho ngokuphamazela. You azi ukuthi lapho ufinyelela besisu amaza e-ultrasound idlule ezihlukahlukene kwezicubu (isikhumba, amafutha, nemisipha). Kwaze kwaba yilapho sebeshiye ukuthi bawe phezu endlaleni engasesinyeni. Ngakho-ke pathologies uphethwe nzima, ikakhulukazi uma isiguli sifuna ukhuluphele. Transrectal wendlala ultrasonography ivumela izikhathi eziningana ukunciphisa ibanga kusuka inzwa emzimbeni test. Ngemva endlaleni engasesinyeni inomngcele kuya ingemuva. Izinkomba ngoba TRUS kukhona uthi ezilandelayo:

1. Benign imfundo Prostatic. Lokhu zokugula akuve kuvamile ukuba amadoda amadala. Ngokwezibalo, wendlala adenoma itholakala cishe kuwo wonke omunye ummeli wobulili namandla ngemva kweminyaka engu-50.
2. umdlavuza wendlala. Ukuze esolwa TRUS isifo oncological iyona ndlela eyinhloko uphethwe. Lokhu kungenxa yokuthi ngaphansi kokulawulwa ultrasound cwaningo lwenziwa wokubhoboza umzimba. Ngakho, udokotela ihlola isithombe ultrasound futhi yenza biopsy. Okuyi ukhiqiza kocingo impahla (izindwangu) ka izilonda.
3. Ukulungiselela ukuhlinzwa phezu wendlala.
4. ukungazali Owesilisa. Ngokuvamile ukungakwazi zalisa eba ku ngemuva ukuvuvukala ezingamahlalakhona - prostatitis.

ultrasound Transrectal we wendlala wenziwa uma isiguli ekhononda zobuhlungu endaweni pubic futhi imbilapho, asinikeze le ingquza. Futhi, ucwaningo olwenziwe ayephuli ukuchama futhi ejaculation, nokuvusa induku.

Izimpawu I-transrectal ultrasonography kwabesifazane

ultrasound Transrectal wenziwa ngaphansi njalo kubantu besifazane kunabesilisa. Ngokuvamile, le ndlela ukuxilongwa wenziwa amacala umdlavuza okusolwayo. Ngaphezu kwalokho, TRUS kwenziwe uma kukhona amathuba izinqubo ukuvuvukala esikhaleni Douglas, abscesses, nokunye. D. Njengoba yaziwa, isakhiwo ukhalo e abesifazane futhi amadoda Kuthi ezahlukene. Njengoba sazi ukuthi ukuhlolwa kwesibeletho futhi ezihlobene wenziwa kaningi, ezimweni eziningi, sincoma a ultrasound transvaginal. Nokho, kwezinye izimo, ukubona ngeso kwezitho ngokusebenzisa ingemuva inikeza ukwaziswa okwengeziwe ngalesi sifo.

Inkomba ngoba ultrasound transrectal kwabesifazane ukutadisha isikhala Douglas. Limelela ephaketheni peritoneum elise phakathi ingemuva kanye esibelethweni. Ngakho, ukuhlola isimo TRUS fibre adrectal futhi isethi ezingemuva Izitho zokuzala. It wenziwa khona ngaphansi kwezimo ezilandelayo:

1. Okusolwayo ithumba Douglas isikhala. Ngokuvamile lokhu ukuvuvukala is phetho yezinkinga appendicitis futhi peritonitis.
2. Lesizalo umdlavuza zokugula we ingemuva.
3. metastases okusolwayo fibre adrectal. Kwenzeka izimila lapho esiswini.
4. Ukuvuvukala ingemuva.
5. neziqu Benign ebodeni emuva kwesibeletho.

Bobabili laba besifazane futhi amadoda TRUS isetshenziswa ukuhlola isimo kwezitho urogenital. Noma kunjalo, ezimweni eziningi, zihlolwa ngumuntu indlela transabdominal.

Ukuxilongwa izifo esinyeni ngu TRUS

Ngaphandle izitho ngenhla ingaphakathi okhalo kuyinto esinyeni. Itholakala phambi ingemuva. Abesifazane ukufinyelela basibekele kwesibeletho. Ngakho-ke, transrectal ultrasound esinyeni ngokuvamile eyenziwa amadoda. It wenziwa amacala isimila okusolakala, ingozi kanye lingene ukuvuvukala. Abesifazane TRUS esinyeni umsebenzi uma inqubo ingcina e ukhalo noma ukukhuluphala ezinzima. Futhi, le ndlela isetshenziswa kuvimbele ukulimala hymen, ifakwe inzwa esithweni sakho sangasese.

Izimo ultrasonography transrectal

hhayi Kunconywa Kwezinye izimo, transrectal ultrasonography. contraindication Ingabe Ohulumeni Banalo Lonke ukuba le ndlela Kuhlolisisa atresia ingquza. Lokhu malformation azalwa naso, lapho ingquza ku-intanethi. anomalies okufanayo ukuxilonga ezinsukwini zakuqala zokuphila. Okunye Izimo kukhona isihlobo. Lokhu kusho ukuthi i-ucwaningo oluphuthumayo olwenziwa. Noma kunjalo, kungcono esikhundleni ezinye izindlela zokuxilonga. Ukuze Izimo isihlobo zihlanganisa:

1. Fresh ingemuva aqhephukile. Kulesi isifo, noma yikuphi ukuxhaphaza olwenziwa transrectal akuvumelekile. Nokho, ngemva ekwelapheni ufa (ngempumuzo isimo sibi), enza TRUS kungenzeka.
2. Ukuba khona hemorrhoids avuvukele ngaphandle ngaphakathi ingemuva. Kulokhu, ukwethulwa transrectal ultrasound Uphenyo awaboniswa ngenxa ubungozi bokulimala semithambo.
3. zokukhwabanisa Steel we ingemuva, olwenziwa ngokushesha ngaphambi uya khona cwaningo. Lezi zihlanganisa yimuphi ukuhlinzwa: ukuvulwa kanye amanzi ka okunamafutha izicubu, amapheshana itheku, njll ...

ultrasound Transrectal: ukulungiselela isifundo

Njenganoma iyiphi cwaningo, lwenziwa transrectal, TRUS kudinga ukulungiselela. Ukuze kuzuzwe ngeso evamile kwezitho okhalo, le ingemuva kumele pre-bahlanza. Kuze kube yimanje, amahora ambalwa ngaphambi kokuba inqubo kufanele uthathe laxative noma enema. Uma inkomba for cwaningo yezifo ingemuva, kufanele ngaphandle kusukela ekudleni ukudla okubabayo, soft futhi iziphuzo ezidakayo. Ngaphambi kokwenza TRUS wendlala zangaphambi Ukudla ayidingekile. Uma into cwaningo iwukuba isinye, kubalulekile ukugcwalisa. Ngenxa yale njongo, nenqubo ethile yokuthola isifo nangaphambi kokuba isiguli ukuba baphuze 1-2 amalitha amanzi.

enza imishini ucwaningo

ultrasonography Transrectal lwenziwa ezahlukene. Ukuze ukubhekisisa kahle le ndlala wendlala yabesilisa, isiguli ucele oyakulala ngazo ngohlangothi lwakho ngakwesokunxele. izinyawo zakhe ngesikhathi esifanayo kufanele ibheke emadolweni futhi yayicindezele esiswini sakhe. Transrectal ultrasound okhalo kwabesifazane uvame kwenziwe proctology esihlalweni (noma izifo zabesifazane). Ngendlela efanayo Isifundo siqhutshwa esinyeni. Kwezinye izimo, lo sipho nesineke ukuthatha isikhundla Bozeman sika. Ngokuvamile - I-pathology esolwa le ingemuva.

Ngaphambi inzwa ultrasonic ukungena emgudwini bendunu it is ezigcotshwe ngovaselina noma igrisi ekhethekile. I kwensimbi busuka inesikhala kumuntu ka 6 cm ukujula. Hlola anal emseleni, sphincters, isitho izindonga. Okulandelayo sesenze uphenyo wesinye vesicles kwesidoda. Ngo abesifazane, ngemva Ukuhlola ingemuva libonakala fornix posterior kwesibeletho futhi Douglas isikhala ke - esinyeni. Zonke imiphumela zivaliwe esikrinini. Khona-ke umshini isuswe ngokucophelela ukusuka ingemuva.

Izinzuzo ultrasonography transrectal

Izinzuzo TRUS zihlanganisa:

1. Ukungabi njalo yokuchayeka emisebeni ye.
2. Buhlungu.
3. Informativeness.
4. Ukuthuthukisa ngeso kwezitho okhalo. Imininingwane High ultrasound enziwa ngesigaba ingemuva, kufezwa ngokusebenzisa yokusondelana kwezindawo wendlala kanye ukungabikho ungqimba obukhulu izicubu fat elitholakala odongeni kwamathumbu.

Imiphumela of ultrasound transrectal

Ngenxa indlela TRUS kungenzeka ukuxilonga izimila kwezitho okhalo futhi metastases fibre adrectal. Ngaphezu kwalokho, ngale ndlela, izifundo ukulinganisa usayizi, ukujiya kanye indawo wendlala yabesilisa, esinyeni. izinqubo okuvuthayo nemfundo ukuboniswa qapha njengoba hypo- noma izicubu izigaba hyperechoic. Isiphetho phezu ultrasound-isithombe wenza ukuhlola ukusebenza, Urologist, udokotela wezifo zabesifazane.