Transrectal ultrasound o ka prostate: i ka hōʻike, e hoʻomākaukau ai, a aʻo

Ma nā makahiki, ka mea hiki wale mai o ka maʻi 'aʻai o ka pelvic nā loko ua ulu hikiwawe loa. Kēia mea manawa ole wale no ka mea i oncological maʻi i oi, he pono ole ma mua o ka manawa a pau ma mua. Ke kumu mua o ka morbidity ulu mea e hoʻoikaika 'PalekanaEND_LINK ki ina hana like. Ano, kokoke i na kanaka maluna o 50 makahiki i? Ieaoa kekahi manawa e ho'āʻo ai i ka hoʻoholo 'ana i ka maʻi' aʻai hōʻailona. Eia hou, i ka manawa o kēia maʻi e holo e like me ka mea e like ai mea kani lapaʻau 'ana. Kekahi hana mea transrectal ultrasound. Ua Ua mālama 'ia no nā kānaka a me nā wāhine a me kēia maʻi' aʻai, a hoʻoʻino keʻano o ka hanaʻana i loko o ka pelvic nā loko. Ke hoʻohālikelike me abdominal ultrasound, keia iaoia ua noʻonoʻo hou ike loea, no ka mea, o ka mīkiniʻimi mea kokoke i ka pathological keʻano o ka hanaʻana. Nolaila, noonoo na Aupuni mālama maikaʻi.

He aha ka transrectal ultrasound?

Kēia papa hana ua ma muli o ka ultrasonic nä hana. E like me oe i ike, i kēia kiʻi papa hana pili i ke pili-invasive kaʻina hana. e hiki ke loli i nā nā'aʻaʻa o ke kino o ke kanaka, e like me kekahi, ma Ultrasound eʻe. Transrectal ultrasound (TRUS) mea i kekahiʻano papa hana o ka hana, mai nā ano o nā haʻawina. Ka mea wale nō like moe ana ma ka oiaio i ka mīkiniʻimi ua hookomoia i loko o ka rectum, a ua ole hoʻouka kekahi ma luna o ka ili o ka'ōpū.

Aie i ka mea i na fabrics a pau i okoa küpinaʻi nuʻa, he kauka hooponopono iho i ke visualize nā loko ma luna o ka pale. Ma ke alo o ka hoʻoʻino loli ole kekahi sila (me ka ho okumu), ultrasound kiʻi hoʻololi. Ia mea, he hui, a me kekahi hapa o ia pa apŘ okoa mai ke kūmau. Ua hypo- a hyperechogenicity hōʻike i ke alo o ka pathological kaʻina i ke hoʻololi i ka 'ole o ka'aʻaʻa.

TRUS hana no ka visualization o ka prostate, AeXIeAaOIePEAaI, Douglas wa, ke bladder. A pau kēia mau kino i hōʻike 'ia ma luna o ke kanaka hoʻoponopono a me nā' ano o ka ultrasound (abdominal, na wahine - transvaginal). Naʻe, i ka wa a hoonoho iho la i ka mīkiniʻimi i loko o ka rectum kiʻi maikaʻi, ma ka hoemi i ka mamao ma waena o ka manaʻo a me ka'aʻaʻa.

Nāʻikepili no ka transrectal prostate ultrasonography

Transrectal ultrasonography o ka prostate mea he ike loea iaoia no diagnosing prostate maʻi. He ka pahuhopu i ka hana o ka noiʻi, ka oi ana ma na hihia o kēia oncologic kaʻina. Aka hoi, i ka hookohu o TRUS aʻole i manaʻo 'ia he mea he maʻi' aʻai. No laila, mai panic ma ka mua, a e wikiwiki hopena. Oe e ike i ka wa a ka loaʻa'an ka abdominal ultrasound mau hawewe i kekahi ma keʻano o nā'aʻaʻa (ʻili, momona, nāʻiʻo). Wale ma hope e haule ka mea, ma luna o ka prostate gland. No ia mea, pathologiesʻike, paakiki, loa ina ka hoʻomanawanui mea overweight. Transrectal prostate ultrasonography e leie aku kekahi mau manawa, e emi i ka mamao mai ka mīkiniʻimi i ka hoao kino. Ma hope o ka prostate gland ua moe i ka rectum. Nāʻikepili no TRUS mea na kēia Hawaii:

1. Benign prostatic hoʻonaʻauao. Kēia pathology Ua like ma mua nā kānaka. Wahi a ka 'ikepili helu, ua loaʻa prostate adenoma ma kaʻaneʻane na nā' elele o ka ikaika ke keka ma hope o 50 makahiki.
2. Prostate Ka maʻi 'aʻai. No kēia TRUS oncological maʻi o ka papa kuhikuhiE iaoia o kaʻike,. O ke kumu ho i ka mea i lalo o ka hooponopono ana o ka ultrasound kuka nei lakou i hana puncture kino. Pela, ke kahuna lapaau loiloi i ka ultrasound kiʻi a me ka hanaʻia he biopsy. A laila produces paʻia (fabrics) o lesions.
3. Makaukau no kaʻoki kino ma ka prostate.
4. Male infertility. Pinepine i ka hikiʻole, e fertilize e hoʻomōhala ana i ma luna o ke kāʻei kua o ka maʻi li nui - prostatitis.

ua hana Transrectal ultrasound o ka prostate ina ka hoʻomanawanui complains o kaʻeha ma ka pubic a me ka groin wahi, hiki aku i ka anus. Nō hoʻi, ka hoʻopaʻa 'ana i lawe mai i ka' aʻe 'ana o urination a me ka ejaculation, impotence.

Nāʻikepili no ka transrectal ultrasonography i loko o nā wāhine

Transrectal ultrasound ua hana emi pinepine ia i loko o nā wāhine ma mua i loko o nā kānaka. Loa pinepine, i kēia hana o kaʻike, ua hana ia ma na hihia o kēia maʻi 'aʻai. Eia hou kekahi, TRUS hana ina he mea ka likelihood o hoʻoʻino keʻano o ka hanaʻana i loko o ka Douglas makahiki, abscesses, a no laila, ma luna o. D. E like me uaʻikeʻia, i ka 'ole o ka pelvis i loko o na wahine a me na kanaka o kekahi okoa. Ua haawiia i ka hookolokolo ana o ka uterus a me appendages ua hana hou pinepine ia, ma ka hapanui o na hihia, ua waiho aku i ka transvaginal ultrasound. Eia naʻe, ma kekahi hihia, visualization o nā loko ma ka rectum haawi 'ike hou aku e pili ana i ka maʻi.

Ke PAaIEN no transrectal ultrasound i ka wahine mea e noiʻi i ka Douglas makahiki. Ua ho i ka peritoneum eke aia ma waena o ka rectum a me ka uterus. Pela, e loiloi i ka moku'āina TRUS adrectal puluniu a me ka hope 'ia paha o reproductive nā loko. Ua ua lawe mai ma lalo o ka ana ma lalo nei:

1. Kēia abscess Douglas ka lewa. Pinepine keia aat mea heʻilihune o complications o appendicitis a me ka peritonitis.
2. Uterine Ka maʻi 'aʻai pathology o ka rectum.
3. Kēia metastases adrectal puluniu. Ua lŘlŘ ka wā gastric hikoko.
4. Li nui o ka rectum.
5. Benign ka ulu o ke ana ma ka paia hoʻi o ka uterus.

Nā wāhine a me nā kānaka TRUS ua hoʻohana 'ia e Loiloi i ka ano o ka urogenital nā loko. Aka hoi, ma ka hapanui o na hihia, ka mea, e hookolokolo ma kekahi transabdominal kokoke loa i kahi.

ʻike, o ka bladder maʻi ma TRUS

Kaawale mai ka luna nā loko ma ka pelvic lua o ka bladder. Ua Ua Aia ma ke alo o ka rectum. Women ia e nānā i ka mea uhi i ka uterus. Nolaila, transrectal ultrasound o ka bladder pinepine lawe na kanaka. Ua Ua lawe mai i ka hihia o kēiaʻeho, benign a me ka hoʻoʻino infiltrates. Women TRUS bladder hana ina ka lina kaʻina hana i loko o ka pelvis ole loa obesity. Nō hoʻi, i kēia papa hana ua hoʻohana 'ia e pale poino i na hymen, hookomoia i loko o ka vagina mīkiniʻimi.

Contraindications i transrectal ultrasonography

i haawiia Ma kekahi mau hihia, transrectal ultrasonography. Loa contraindication i keia PalekanaEND_LINK iaoia mea atresia anus. Kēia congenital malformation, ai ke kahi waiho anus. Similar anomalies o diagnose i loko o nā lā kakahiaka o ke ola. Other contraindications i pili. Kēia 'o ia hoʻi i loko o ka pōpilikia e noiʻi me ka mākaʻi. Aka hoi, e aho e puku'ē aʻe PalekanaEND_LINK ki ina hana like. No ka pili contraindications loaʻa:

1. Hou Hi ohia rectum. Ma keia maʻi, i kekahi manipulation alakaʻi transrectal ole. Eia naʻe, ma hope o ka lapaau ana o ka māwae, (ke kokua o ka huʻi ana), ae hana i na TRUS hiki.
2. Ke alo o ka wela ai hemorrhoids mawaho, a ma loko o ka rectum. Ma keia hihia, i ka hoike o transrectal ultrasoundʻimi ka mea,ʻaʻole e hōʻike 'ia ma muli o ka pilikia o vascular eha.
3. ʻoki lāʻau lapaʻau manipulation o ka rectum, alakaʻi koke ma mua o ka mākaʻikaʻi o ka mahele. Mau nā kekahiʻoki kino: wehe a me ka nōkahea o momoma'aʻaʻa, sinus apana, a pela aku ...

Transrectal ultrasound: e hoomakaukau ana no ka ao

E like me kekahi ao, hana transrectal, TRUS pono e hoʻomākaukau ai. E kū ai i ka maʻamau visualization o ka pelvic nā loko, i ka rectum pono e mālama '-ua holoiʻia. No keia hopena, he mau hola ma mua o ka kaʻina hana e lawe i ka laxative a he enema. Inā ka PAaIEN no ka hoʻopaʻa 'ana i nā maʻi o ka rectum, E ke hoʻokoe' ia mai i kaʻai o ka spicy ka ai, a me ka pahee kanakaʻona mau inu. Mamua o ka lawelawe TRUS prostate mālama '-ʻai ua i koi' ia. Inā i ka makemake o ke ao o ka bladder, ia mea pono e hoʻopiha. No keia mea, he PalekanaEND_LINK hana mua o ka hoʻomanawanui, e inu 1-2 nā lika o ka wai.

hana noiʻi lako a

Transrectal ultrasonography hana ma kekahi kulana. I ka nana pono i ka prostate gland, i ka hoʻomanawanui ua noi e moe ma kouʻaoʻao hema. Kona mau wawae i ka ia manawa e ke lena ma na kuli, a kaomi ma luna o kona'ōpū. Transrectal pelvic ultrasound i loko o nā wāhine ua loa pinepine hana i ka proctology noho (ole gynecological). Ma ka mea no hoi i ke ao me ka mākaʻi bladder. Ma kekahi mau hihia, i ka hoʻomanawanui kaumaha, e lawe Bozeman ka wahi. Pinepine - no kēia pathology o ka rectum.

Ma mua o ka mea kani ultrasonic mīkiniʻimi e komo i ka loira Canal, ka mea, ua haukaʻe me ka Vaseline a kūikawā lubricant. Ka mea ua hoʻolauna i loko o ka lumen i ka hohonu o ka 6 knm. Nānā i ke loira Canal, sphincters, hui, kēia pā. Next mākou noiʻi ana prostate a me seminal vesicles. Ma na wahine, mahope o keia hookolokolo ana o ka rectum ua visualized posterior fornix o ka uterus a me Douglas makahiki, laila, - i ka bladder. A pau i nā hualoaʻa i paʻahau ma luna o ka pale. A laila, i ka mīkini akahele wehe 'ia mai ke rectum.

Pono o transrectal ultrasonography

Nā pono o TRUS nā:

1. E kaawale aku ai ka pāhawewe waiū.
2. Painless.
3. Informativeness.
4. Ka hoʻomaikaʻi visualization o ka pelvic nā loko. High ike ultrasound i ma ka rectum, ua loaʻa ma ka pili koke ana o ka prostate a me ka wa e kaawale ana o kekahi ao ahu iho la ka momona'aʻaʻa i mea i loaʻa i loko o ka abdominal paia.

Nā hualoaʻa o transrectal ultrasound

Aie i ke ano o TRUS ia mea hiki ke diagnose hikoko o ka pelvic nā loko, a metastases adrectal puluniu. Eia kekahi, a me keia hana, haʻawina manaʻo nui, mānoanoa a me ka wahi o ka prostate, bladder. Hoʻoʻino keʻano o ka hanaʻana a me ka hoʻonaʻauao 'ia ma luna o ke kanaka hoʻoponopono like me ka hypo- a hyperechoic'aʻaʻa pauku. Ka Hopena ma ka ultrasound-kiʻi hanaʻia ooieoeiiaeuiuo lapaʻau 'ana, urologist, gynecologist.