Ultrasound (ultrasound) inoratidzira nzira yekuongorora zvirwere zvechifuva. Madzimai ari pasi pemakore makumi matatu nemashanu, ichi ndicho chikuru uye kazhinji ndiyo nzira chete yekuona zvirwere zvezvipembenene zvinyuchi. Ultrasound zvakare inokosha inowedzera kuongororwa nzira yekucherechedza chero maitiro mukati memafupa emvere panguva yechirwere chekuongorora kana mammography. Izvozvo zvakadini ultrasound yezamu? - munyaya yacho.
Ultrasound of the breast
Iyo mammary gland inoratidzika pasi-yakasiyana-siyana, saka kuchinja kwehutachiona muhutachi hwayo haisi kuonekwa nguva dzose. Kuti uwane hutano hwakajeka, high-frequency ultrasound scanning inokosha. Murwere anorara shure mushure mekugadzirisa, asi hutema hwemapfupa emumusoro pasi pe sensor huderera kusvika pahuwandu hwemasendimita matatu. Chiremba anogona kunyatsoongorora gland rimwe nerimwe muzvirongwa zvakasiyana-siyana.
Kushandiswa kwe ultrasound mumakemikari kune zvimwe zvisingabatsiri:
- hazvigoneki kutendeseka zvakajeka chimiro chemaoplasm;
- kuoma kwekutarisa nzvimbo iri pasi pembiru;
- kuregererwa kwechidiki kuchinja nekusakwana kwechinhu chisarudzo;
- kusavapo kwekusiyana kwezvinhu zvakapoteredza, izvo zvinoita kuti dzimwe shanduko zvisingaonekwi;
- Kuvhiringidza kushandiswa sekuongorora kuongorora nekuda kwekunonoka kwemuitiro.
Izvo zvidimbu zvezvipembenene zvinoita mammary gland zvinogona kuonekwa ne-high-frequency ultrasound scanning.
• Ganda: kusiyana kwakasiyana-siyana kwepamusoro pepamusoro peglandu.
• Fati: inoratidzirwa muhutano hwezvikamu zvikamu kana pasi, zvinowanzova nehupamhi hwemasvimita matatu uye mamwe masvivheni kana achienzaniswa neganda uye pasi pezvinyorwa zveglandular.
• Cooper magwaro: anotsanangurwa sezvivako zvakakomba, izvo izvo zvinyorwa zvinoputika zvinosanganiswa neganda uye thoracic fascia.
• Kuora mwoyo (glandular tissue): Kusiyana kwezvisikwa zvinoputika mukati mehutu hwechifuva chechifuva, mamiriro acho anoenderana nehutachiona hwemashure evanhukadzi.
• Zvigadziriswa: zvinotaridzika nenzira yechirefu chakadzika-mitsara yakaenzana nehupamhi hwe 2-3 mm.
Benign Changes
Nhengo dzemazamu dzinokonzerwa nevedrogen uye dzinopindira pamigumisiro yadzo nekuwedzera huwandu hwezvinyama zvekucheka uye kuwedzera marucho. Cyclic benign shanduko dzorudzi urwu dzinofanirwa kuonekwa pakati pezviratidzo zvehutachiona hwemaperembudzi.
Simple cyst
Zvirwere zvisinganzwisisiki (zvisingabviri kana zvakawanda) zvinokonzerwa nehommone-inotenderera, iyo maitiro ayo anowanzobatanidzwa nekuvhara kwechikwata uye kuwedzerwa kwechibvumirano chemuti weglandu. Zvishongo zviduku zvinoshandura hukuru uye humiro panguva yekuenda kumwedzi. Makuru makuru anogona kukonzera kusagadzikana, izvo zvinoda kubvisa.
Fibroadenoma
Fibroadenoma ndiyo inonyanya kufanana nehutano hwepamuviri muvakadzi vaduku. Kazhinji inenge yakaderera kana yakasvibiswa echogenicity (kusiyana), inopa chiedza chakanaka mumvuri shure kwayo uye inogona kugoverwa muzvikwata zvakawanda.
Chirwere chepabonde
Kuvapo kwehutachiona hunogona kuva chiratidzo choga chekenza yemazamu kunyange musipo kwemaitiro akaoneka. Mammography ichacherechedza zviratidzo zvokutanga zve calcification, uye ultrasound inobatsira kutsvaga chiremera kana chinonyangadza chemuviri.
Doppler Scanning
Doppler scan inopa kuonekwa kwemitsipa yeropa mukati nepamapoteredza maitiro. Nzira yacho inobvumira kuziva kana ichipinda mukati memumarara kana inowanikwa pamwe chete, uyewo kudzivisa kukuvadza kwemudziyo munguva yehupopi. Kuti uone maitiro edzidzo, zvakakosha kutora mashoko ekuongorora. Ultrasound inowanzoshandiswa kusarudza nzvimbo chaiyo yekuumbwa panguva yebiopsy. Iyi nzira inobvumira kuwana zvigunwe zvezviviri zvezvose zviri pamusoro uye zvakadzika-zvisikwa. Zviitiko zvitsva mumunda we ultrasound teknolojia zvinosanganisira high-frequency uye Doppler scanning. Mazuva anhasi, zvakasikwa nokuda kwemammologists, ane zviduku zviduku zvakagadziriswa nemaoko anowanzoita 7.5 kusvika 20 MHz. Kushandiswa kwe-high-frequency ultrasound kunogona kuona hutachiona hutano hwakanaka nekururama kwakakwana. Kushandisa senjere neanowanzoita 10-13 MHz, chiremba anonyatsotsanangura kunyange zvidiki zviduku. Paiva nemukana wekunyatsonzwisisa miganhu yekuumbwa, iyo inobatsirawo kuongororwa. Iyi mifananidzo yakawanikwa nechepasi-uye-high-frequency ultrasound inoratidza lymph node mukati memvere.