Impilo yesibindi ibonakala njalo ngobukhulu bayo. Njengoba iningi lezifo ezibangelwa amagciwane kanye ne-bacteriological, le nhlangano yanda ngenxa yezinqubo zokuvuvukala nezokukhubazeka ku-parenchyma. Ngakho-ke, kubalulekile ukwazi kahle ubukhulu besibindi - okujwayelekile kumuntu omdala sekusekwe isikhathi eside ekusebenzeni kwezokwelapha, noma yikuphi ukwehlukana okuvela kulezi zikhombisi kubonisa ukuthi kukhona isifo.
Ingabe ukujwayelekile kwesibindi kuqhathaniswa nabesifazane nabesilisa?
Izindinganiso zokubhekisela kubantu abadala azixhomeki ocansini, ngakho-ke isayizi evamile yelungu elicatshangelwa abesifazane nabesilisa lilingana. Kufanele kuqaphele ukuthi izinkomba azithinti iminyaka, isisindo, noma ukuphakama kwesiguli.
Isilinganiso sobukhulu besibindi kumuntu omdala
Ukuze unqume amanani achaziwe, i- ultrasound kufanele yenziwe.
Ubukhulu besibindi buvamile okwenziwe i-lobe elungile yelungu kanje:
- usayizi we-oblique oqondile - kuze kufinyelele ku-15 cm;
- ubude - kusuka ku-11 ukuya ku-15 cm;
- ubukhulu - kusuka ku-11.2 kuya ku-12.6 cm.
Ubude obuphelele besibindi kufanele bube okungenani 14, kodwa hhayi ngaphezu kwe-18 cm, nobubanzi - kusuka ku-20.1 kuya ku-22.5 cm.
Umkhuba wesibindi sesibindi ku-ultrasound ku-lobe kwesobunxele:
- ubukhulu - obunga-7 cm;
- Usayizi we-cranio-caudal - kufika ku-10 cm;
- usayizi we-sagittal - kusuka ku-9 ukuya ku-12 cm.
Kubalulekile ukuqaphela ukuthi kubalulekile ukusungula imingcele eyengeziwe phakathi nohlolo:
- ububanzi bemifino engavundi - kufika ku-15 mm;
- ubukhulu be-bile duct livela ku-6 ukuya ku-8 mm;
- ububanzi be-portal vein - kufika ku-13 mm ehlanganisiwe;
- ibanga emkhatsini wemilomo nemisipha ye-hepatic lifika ku-2 cm;
- umshini ophikisayo esifundeni samasango esibindi - kusuka ku-4 ukuya ku-7 mm;
- ububanzi bemisipha ye-hepatic - 6-10 mm.
Amanani amancane akhonjisiwe anikezwa izifundo zokuphefumulelwa. Ngesikhathi sokuphefumula, kancane kancane.
Ngesikhathi se-ultrasound, kubalulekile ukuhlola hhayi ubukhulu besibindi, kodwa futhi nesakhiwo sesisindo sayo, isimo se- parenchyma , ukucaca kwemigqa kanye nendawo yesigungu.
Umkhuba wesibindi sesibindi ngokusho kukaKurlov
Inqubo echazwe kuhilela ukuhlolwa kwe-palpation (umunwe) kwesibindi, okubizwa nangokuthi ukuhlolwa kokunyakaza kwe-hepatic. Okokuqala, yonke indawo yendawo yendawo isetshenziswa ngayo, uma umsindo wezithulu utholakala, ibanga eliphakathi kwamaphoyinti amabili omngcele ophansi nomngcele wokubamba kwesibindi kulinganiswa. Kumele usebenzise imigqa eqondile.
Ubukhulu bukaM.G. I-Kurlov:
- engxenyeni yesobunxele ekhohlo - kusuka ku-5 kuya ku-9 cm;
- emgqeni we-median-clavicular - kusuka ku-7 ukuya ku-11 cm;
- eduze komgwaqo wangaphakathi - kusuka ku-6 ukuya ku-10 cm.