Ultrasound maemong ya lisele tse bonolo tse molaleng le mathe litsoelesa

Ultrasonography (US) ke mokhoa ya dipatlisiso ea phelang e sebelisa maqhubu a galena. Ho 'nile ha ho pharaletseng jala ka moriana, ka lebaka la polokeho lona le boemo bo phahameng ba informativeness. Bakeng sa fumanoe tsa dithulaganyo pathological ho ntshetsa pele ka ho litsoelesa le mathe, hammoho le ka molala bonolo dinama tse nyenyane tse tsa ultrasound ho ka etsahala hore ebe ka tsela e atileng ka ho fetisisa. Ka nako e tšoanang khona ho senola mafu tse ngata ka mekhahlelo ea pele ea ntshetsopeleng bona.

Molala oa ultrasound ho bontšoa maemo a latelang:

• boteng ba palpable sebopeho sebakeng cervical;
• ea belaelloa ka ntshetsopele ya thulaganyou e pathologic ka le methapo carotid, tseo hangata li se lemoha ka lebaka la ho hlōleha ha matšoao a phallo ea mali ka ho bona, hammoho le mahoashe lerata nakong tšelang auscultation.

Re lokela ho hlokomela hore ka bobeli a sebetsa nyeoe ea ultrasound tse bonolo dinama tse nyenyane tse ka molaleng ke mokhoa tlatsetso ya tepelletse maikutlong. Ho hlakisa tepelletse maikutlong le tabeng leha e le efe e tla ba le ho qeta doplerografii carotid methapo.

Ka lebaka la ho oa ultrasound sebakeng molaleng e ka ba ka ho lekaneng kgolo habonolo le ka tsela e itseng e phahameng ea arabelang ho khetholla ka bobeli tsepamiso le diso diffuse:

tsepamiso:

• noute (tiileng) sebopeho (ba ba atileng ka ho fetisisa mphumanang mora hlahloba joalo, ha a ntse a boholo ba bona ba emela phetoho adenomatous thyroid, kotsi ya malignancy e tlaase);
• cyst (cysts ba 'nete ba ka seoelo, ba fumanoa ka ketsahalo eo e le hore ba ba le e hlakileng, e boreleli ea moeli le cavity anechogenic (ntle le maemong a moo ho neng ho cyst cavity hemorrhage));
• abscesses le hemorrhage (ultrasound tse hangata e shebahala joang echogenic sebopeho le contour lerotho le anechogenic cavity ka hare ha se hemorrhage);
• calcifications (hyperechoic dibopeho tsena hangata e bath ea adenomas thyroid, Leha ho le joalo, 'me ka' na ba e bontsha gore go ya malignancy).

diffuse:

• thyroid kholiso ka boholo, ha re be le junifomo ehostruktury;
• thyroid kholiso ka boholo le tlhaloso ehostruktury heterogeneity.

Pele mothofatso diffuse liphetoho rata mafu a kang goiter, kena bonneng kapa bosaling hyperplasia, hyperthyroidism, poso-resection vicarious thyroid hyperplasia. Tabeng ea bobeli hoa khoneha ho belaella ntshetsopele ya goiter multinodular le autoimmune thyroiditis.

Phetha mekgwa ya tshebetso joalo tekotshupo tse kang tsa ultrasound hlahloba litsoelesa le mathe, ha e le hantle e bohlale feela ha ho na le bonyane e mong oa matšoao a latelang:

• kholiso ea submandibular le parotid litsoelesa mathe feela ka nako ho hōlisa mocheso oa 'mele;
• lihlopha ka ho ba teng ha palpable submandibular, parotid le / kapa sebakeng sublingual;
• ho ba teng ha bohloko, boemong bo sa thabiseng le ho / kapa ho ruruha ka submandibular, parotid le / kapa sebakeng sublingual.

ka litsoelesa mathe tsa ultrasound tse dinama tse nyenyane tse bonolo e senola latelang dithulaganyo pathological:

• cysts;
• abscesses;
• nang kotsi le se bolaeang lihlahala;
• khutsufatso kapa difapho tjaleho litsoelesa;
• sialadenoz;
• sialodenit;
• sialolity.

A khanna ka mekhahlelo ba pele, dinama tse nyenyane tse bonolo tsa ultrasound hangata e etsa hore ho be bonolo ho tseba hore na lefu lena le ka mekhahlelo lona pele-pele ea ho hōla, 'me ho etsa litokisetso tsa kwalwang tsa tšoaro ea hae, e leng haholo eketsa menyetla ea mokuli oa hlaphoheloa.