Isibindi sinesibopho sezinqubo eziningi ezenzeka emzimbeni. Imisebenzi yayo ihlanganisa ukulawula amafutha kanye ne-glucose, ukugcwala kwegazi nge-enzymes ewusizo, ukungathathi hlangothi kwezinto ezinobuthi ezivela ngaphandle. Uma kuvezwa izimbangela ezingaphandle, futhi ngenxa yezifo zangaphakathi emzimbeni, izinguquko ezihlukahlukene zingase zenzeke ezimathangeni zesibindi.
Yini eguqukayo kwesibindi?
Ngokuvamile, i-parenchyma yesibindi (izicubu ezisetshenziswayo eziyinhloko ye-hepatocytes) isakhiwo esivumelana nesimo esibucayi, phakathi kwamaphi ama-bile emithini yegazi ahlukaniswa kahle.
Ukushintsha izinguquko kwisakhiwo sebindi kubonisa ukuthi i-parenchyma ishintshwe ngokuphelele. Ngaphezu kwalokho, kungabonisa izinguquko zomsebenzi ezingabalulekile (izinguquko ezilinganiselwe ezifweni zesibindi i-parenchyma) nezilonda ezinzima kakhulu (i-parenchyma ye-echogenicity yenyuka eyengeziwe).
Ukushintsha ushintsho kungaba nomlingiswa ohlukile. Ngakho-ke, lezi zinhlobo zenguquko ezilandelayo ziyahlukaniswa:
- i-fibrous;
- isikhombimsebenzisi;
- i-hypertrophic;
- i-dystrophic;
- ukuvuvukala.
Ukwehlukanisa isibindi kwesibindi isifo esihlotshaniswa nesifo se-metabolic ku-hepatocytes. Ngenxa yalokho, ukuguqulwa kwama-dystrophic esibindi kubonakala, futhi ukuqoqwa kwamafutha kwenzeka emaqenjini ase-hepatic.
Nge-ultrasound, kunyuke ukufaniswa kwesibindi, ukwanda okwehlukile kwe-echogenicity (ukuqina kwesignali ye-ultrasound) kuboniswa ukufaniswa kwesakhiwo salo. Ngokuqhubeka okuqhubekayo kwenqubo, "i-granularity" ye-parenchyma ibonakala, ekhombisa ukuqala kokuthuthukiswa kwe-steatohepatitis nesifo sofuba.
Izimbangela zokushintsha kwesibindi
Izinguquko ezinhlobonhlobo zesibindi zingenzeka ngezizathu ezihlukahlukene, ngoba kunezici eziningi ezinomthelela omubi kule nhlangano. Lokhu kufaka:
- ukuphathwa kabi kotshwala;
- ukuthatha imithi;
- ukuphazamiseka kwemithi;
- ukusetshenziswa kwemikhiqizo yokudla okungalungile;
- i-pathologies yefa, njll.
Akukhona njalo ukushintsha izinguquko ku-parenchyma yesibindi kubonisa isifo. Kodwa kwezinye izimo zingaba umphumela wezinkinga ezilandelayo:
- i-hepatitis yegciwane;
- isifo sofuba esibangelwa utshwala ;
- ukubola kwesibindi kwesibindi;
- i-hepatitis engapheli;
- i-cirrhosis;
- i-cholangitis , njll.
Izimpawu zokushintsha kwesibindi
Ukusakaza izinguquko ezinhlobonhlobo zesibindi kungaqala ngaphandle kwempawu zomtholampilo, ngaphandle kokuphazamisa umuntu. Ngokuvamile izinguquko zirekhodwa ngesikhathi sokuhlolwa kokuvimbela, okubandakanya ukuxilongwa kwe-ultrasound.
Isibindi, ngenxa yobukhulu bayo nobukhulu bayo, sibhekise kahle kahle amagagasi e-ultrasonic, ngakho sithwetshwe kahle nge-ultrasound. Izimpawu ze-Echographic (echoes) zokushintshashintsha kwesibindi yizibonakaliso ezilandelayo ezitholakala ngesikhathi sesifundo:
- isakhiwo sezindwangu ezingapheliyo;
- ukwandisa i-parenchyma echolarsity;
- ukutholakala kwezindawo ze-echogenicity encishisiwe futhi yanda;
- usayizi wesibindi ukwanda;
- shintsha iphethini yemithambo yegazi.
Ukwelashwa kokushintsha kwesibindi sokushintsha
Ukwelashwa kwezinguquko eziguqukayo kwenziwa emva kokucacisa imbangela eqondile eyayiholela
- ukuhlolwa kwegazi;
- imaging resonance magnetic;
- i-angiography;
- ukuhlolwa kwe-hetological tissue tishu, njll.
Ngaphandle kokuhlola isibindi, kungadingeka ukuxilonga zonke izitho zokugaya.
Izindlela zokwelashwa zixhomeke emiphumeleni yemisebenzi yokuxilonga. Kwezinye izimo, ukuhambisana nokudla nokugwema imikhuba emibi kuyodingeka, kwabanye - ukuthatha imithi ngisho nokungenelela kokuhlinzwa.