Transrectal duban dan tayi na prostate: bayanin, shiri da kuma shawara

A cikin 'yan shekarun nan, da ya faru na ciwon daji na pelvic gabobin da aka girma cikin sauri. Wannan shi ne saboda ba kawai ga cewa oncological cututtuka ne fiye da na kowa, fiye da da. A farko hanyar wajen kisa girma shi ne don inganta bincike hanyoyin. Yanzu, kusan kowane mutum fiye da shekaru 50 da haihuwa rents lokaci zuwa lokaci gwaje-gwaje domin sanin ko ciwon daji saka alama. Bugu da kari, a lokuta da ake zargi da cuta gudanar kamar ingancin kayan aiki bincikowa. Daya hanyar ita ce transrectal duban dan tayi. An gudanar da duka biyu maza da mata tare da zargin ciwon daji da kuma kumburi tafiyar matakai a cikin pelvic gabobin. Idan aka kwatanta da na ciki duban dan tayi, wannan hanya yana dauke mafi abin dogara, saboda haska ne mafi cancanta ga pathological tafiyar matakai. Saboda haka, ka yi la'akari da hukumomin gudanar da kyau.

Mene ne transrectal duban dan tayi?

Wannan hanyar dogara ne a kan ultrasonic mataki. Kamar yadda ka sani, wannan Dabarar Hanyar tana nufin wani ba cin zali hanyoyin. Duban tãguwar ruwa ne iya shafar tsokoki na jikin mutum, kazalika wuce ta. Transrectal duban dan tayi (TRUS) ba daban-daban inji na mataki daga sauran nau'o'in karatu. Iyakar abin da bambanci ta'allaka ne da cewa haska aka saka a cikin dubura, da kuma ba a shigar a farfajiya na ciki.

Saboda da cewa duk da yadudduka da daban-daban amsa kuwwa yawa, wani likita kulawa don ganin gabobin a kan allo. A gaban mai kumburi canje-canje ko wani like (tsarin), duban dan tayi hoto canza. Wannan shi ne, wani sashin jiki ko wani rabo daga gare yawa daban-daban daga na kullum. Dukansu hypo- da hyperechogenicity nuna kasancewar wani pathological aiwatar da cewa an canza tsarin da nama.

TRUS yi ga na gani na prostate, ciwon, Douglas sarari, mafitsara. Duk waɗannan jikuna an nuna a kan duba da kuma sauran iri duban dan tayi (ciki, mata - transvaginal). Duk da haka, a lõkacin da kafa da Na'urar haska a cikin dubura Dabarar mafi alhẽri, ta rage tazarar dake tsakanin na'ura da gangar jiki.

Alamomi ga transrectal prostate ultrasonography

Transrectal ultrasonography na prostate ne abin dogara hanya domin diagnosing prostate cututtuka. Shi ne da aka fi so Hanyar bincike, musamman a lokuta na zargin oncologic tsari. Duk da haka, da nada TRUS ba ya nufin cewa akwai wani ciwon daji. Saboda haka ba su tsoro a gaba da kuma sanya gaggãwa karshe. Ya kamata ka san cewa a lokacin da samun dama da na ciki duban dan tayi tãguwar ruwa ratsa wani iri-iri daga kyallen takarda (fata, mai, tsokoki). Kawai bayan da suka fada a kan prostate gland shine yake. Saboda haka pathologies ganewar asali wuya, musamman idan haƙuri ne kiba. Transrectal prostate ultrasonography damar sau da yawa don rage nesa daga haska ga gwajin jiki. Bayan da prostate gland shine yake aka kẽwayesu zuwa dubura. Alamomi ga TRUS ne cikin wadannan jihohi:

1. Yãfẽwa prostatic ilimi. Wannan Pathology ne quite na kowa a mazan maza. Bisa kididdigar da, prostate adenoma da aka samu a kusan kowane sauran wakilin karfi jima'i bayan shekaru 50.
2. Prostate ciwon daji. Mutanen da ake zargin TRUS oncological cuta shi ne babban Hanyar ganewar asali. Wannan shi ne saboda gaskiyar cewa a karkashin iko da wani duban dan tayi nazarin yin huda jiki. Saboda haka, likita bincika duban dan tayi hoto da aikin wani biopsy. Ina nufin samar da shinge abu (yadudduka) na raunuka.
3. Shiri for tiyata a kan prostate.
4. Namiji rashin haihuwa. Sau da yawa rashin takin tasowa a kan bango na kullum kumburi - prostatitis.

Transrectal duban dan tayi na prostate aka yi idan haƙuri tanã kai ƙãra na jin zafi a cikin pubic da kuma makwancin gwaiwa yankin, har ya zuwa dubura. Har ila yau, binciken ya za'ayi a take hakkin urination da kawowa, rashin ƙarfi.

Alamomi ga transrectal ultrasonography a mata

Transrectal duban dan tayi ne ya yi kasa akai-akai a mata fiye da a cikin maza. Mafi sau da yawa, wannan hanya na ganewar asali aka yi a lokuta da ake zargi da ciwon daji. Bugu da kari, TRUS yi idan akwai alama na kumburi tafiyar matakai a cikin Douglas sarari, abscesses, da sauransu. D. Kamar yadda aka sani, tsarin da kafafuwa a mata da maza ne da ɗan daban-daban. Ganin cewa jarrabawa na zauna cikin mahaifa, kuma appendages aka yi akai akai, a mafi yawan lokuta, mu bayar da shawarar a transvaginal duban dan tayi. Duk da haka, a wasu lokuta, na gani na gabobin ta hanyar dubura ba ƙarin bayani game da cutar.

A nuni ga transrectal duban dan tayi a cikin mata ne don nazarin Douglas sarari. Yana wakiltar peritoneum aljihu dake tsakanin dubura da kuma mahaifa. Saboda haka, don kimanta jihar TRUS adrectal fiber da kuma raya sa na haihuwa gabobin. Yana yana da za'ayi a karkashin wadannan yanayi:

1. Mayakan ƙurji Douglas sarari. Sau da yawa da wannan kumburi ne saboda abin da rikitarwa na appendicitis da peritonitis.
2. Igiyar ciki ciwon daji Pathology daga cikin dubura.
3. Mayakan metastases adrectal fiber. Yana faruwa a lokacin ciki siffofin maruran.
4. Kumburi daga cikin dubura.
5. Yãfẽwa growths a kan mayar da bango na mahaifa.

Da maza da mata TRUS ake amfani da su tantance yanayin urogenital gabobin. Duk da haka, a mafi yawan lokuta, suna nazari da wani transabdominal m.

Ganewar asali mafitsara cututtuka da TRUS

Baya daga sama gabobin a cikin pelvic rami ne mafitsara. An located a gaban dubura. Mata suna da damar yin amfani da shi rufe da mahaifa. Saboda haka, transrectal duban dan tayi na mafitsara sau da yawa dauki maza. Yana yana da za'ayi a lokuta da ake zargi da ƙari, benign da kuma kumburi infiltrates. Mata TRUS mafitsara aiki idan m tsari a cikin kafafuwa ko tsanani kiba. Har ila yau, wannan hanya da ake amfani da su hana lalacewar da bata da wannan fatar, saka a cikin farji haska.

Contraindications zuwa transrectal ultrasonography

ba da shawarar A wasu lokuta, transrectal ultrasonography. Cikakkar contraindication ga wannan bincike Hanyar ne atresia dubura. Wannan nakasar malformation, cikinsa da offline dubura. Similar anomalies na gane asali a farkon kwanaki na rayuwa. Sauran contraindications ne zumunta. Wannan yana nufin cewa a gaggawa bincike da aka gudanar. Duk da haka, shi ne mafi alhẽri maye gurbin wasu bincike hanyoyin. Domin zumunta contraindications sun hada da:

1. Fresh fashe dubura. A wannan cuta, wani magudi gudanar transrectal haramta. Duk da haka, bayan da magani daga crack (da taimako na m yanayin), yin TRUS yiwu.
2. A gaban inflamed basur waje da kuma cikin dubura. A wannan yanayin, da gabatarwar transrectal duban dan tayi bincike ba su nuna saboda hadarin jijiyoyin bugun gini rauni.
3. M magudi da dubura, gudanar jim kadan kafin manufa da binciken. Wadannan sun hada da duk wani aikin tiyata: bude da kuma magudanun ruwa na m nama, sinus takardunsu, da dai sauransu ...

Transrectal duban dan tayi: shirya domin binciken

Kamar yadda da wani nazari, yin transrectal, TRUS bukatar shirye-shiryen. Don cimma al'ada na gani na pelvic gabobin, dubura dole ne a pre-tsabtace. Don wannan karshen, 'yan sa'o'i kafin hanya ya riƙi wani laxative ko wani enema. Idan nuni ga nazari ne cututtuka na dubura, ya kamata a cire daga cikin abinci da abinci mai kayan yaji, taushi da kuma giya. Kafin yin TRUS prostate pre-rage cin abinci da aka ba da ake bukata. Idan abu da binciken ne cikin mafitsara, shi wajibi ne don cika. A saboda wannan dalili, a diagnostic hanya kafin haƙuri sha 1-2 lita na ruwa.

yin bincike kayan aiki

Transrectal ultrasonography yi a wurare mabambanta. Don mai kyau look at prostate gland shine yake, da haƙuri da aka tambaye su karya a kan gefen hagu. Ƙafafunsa a lokaci guda ya kamata a lankwashe à a gwiwoyinku da guga man da ya ciki. Transrectal pelvic duban dan tayi a cikin mata ne mafi sau da yawa yi wa proctology kujera (ko gynecological). A wannan hanya da binciken da aka gudanar mafitsara. A wasu lokuta, da haƙuri tayin dauki Bozeman ta matsayi. Sau da yawa - mutanen da ake zargin Pathology daga cikin dubura.

Kafin ultrasonic haska shiga cikin tsuliya canal, shi ne smeared da Vaseline ko musamman man shafawa. Da kayan aiki da aka gabatar a cikin lumen zuwa zurfin 6 cm. Duba da tsuliya canal, sphincters, sashin jiki katangu. Next mu bincika prostate da seminal vesicles. A mata, bayan jarrabawa daga cikin dubura da aka visualized na baya fornix na zauna cikin mahaifa, kuma Douglas sarari, sa'an nan - da mafitsara. Duk da sakamakon da daskarewa a kan allo. Sa'an nan da na'ura a hankali cire daga dubura.

Abũbuwan amfãni daga transrectal ultrasonography

A abũbuwan amfãni daga TRUS sun hada da:

1. Rashin radiation daukan hotuna.
2. M.
3. Informativeness.
4. Inganta na gani na pelvic gabobin. High bayanai duban dan tayi sanya ta cikin dubura, da aka samu ta hanyar da kusa da kusanci na prostate kuma babu wani lokacin farin ciki Layer mai tsoka wanda shi ne samuwa a cikin ciki bango.

A sakamakon transrectal duban dan tayi

Saboda Hanyar TRUS yana yiwuwa a gane asali marurai na pelvic gabobin da kuma metastases adrectal fiber. Bugu da ƙari, tare da wannan hanya, nazarin kimanta size, kauri da kuma wuri na prostate, mafitsara. Kumburi tafiyar matakai da kuma ilimi nuna a kan wani duba matsayin hypo- ko hyperechoic nama sassan. Kammalawa a kan duban dan tayi-hoto aikin aikin ganowa, urologist, likitan mata.