Thyroid ultrasound: St. Petersburg, Center Te Tai Tokerau-Te Hau-ā-uru o te Endocrinology

Tetahi mate e pā ana ki te repe thyroid, i reira e āhua 8% o te iwi. Kuhua te tātaritanga tangohia taea tākuta he tikanga tātaritanga rite ultrasound. Ko reira kore-urutomo, haumaru me te mōhiohio ako, whakahaere ki te whakamahi o ngaru ultrasonic. US o te thyroid repe (St. Petersburg), ka taea e koe te haere ki te ngā whakaurunga hauora. Ko tētahi o ratou - Northwest Endocrinology Center. Ko ngā tohunga rongonui, me te taputapu hou.

mate pukupuku US i te pokapū hauora

Northwest Center Endocrinology i St Petersburg - institution hauora ārahi a Russia i te mara o te kite me te maimoatanga o te tini o nga mate. meatia katoa ra konei te he nui nui o ngā tukanga tātaritanga ki te whakamahi o ngaru ultrasonic. I roto i te akoranga katoa, he mea whai hua taputapu hou anake. Ki te nga whakaaro hou i roto i te pokapū o Endocrinology heheu ara nga pukupuku iti rawa, pāngia te ma'i rahi i roto i te tīmatanga o te wāhanga.

ultrasound thyroid (St. Petersburg) tohunga tino whakangungua mahi i roto i te whare ārahi hauora. He iwi ki nekehanga matatau, tākuta ki wheako whānui enei. I roto i tona mahi hauora pau ratou mano o ngā tukanga tātaritanga, whakangungua i ngā pūtahi hauora ārahi o te United States, a Europe.

I roto i te pokapū mātai repe e taea amohia e ultrasound tohunga. Ko tōna utu he 800 moni. whakamana ana tēnei ultrasound te ki nga tohunga pai o te pokapū hauora ki taputapu nui-mutunga. Mahalo ngā ultrasound thyroid (St Petersburg). Price - 600 moni. Tenei kōwhiringa economical tukanga tātaritanga. kawea rangahau mate pukupuku toharite i roto i runga i ngā pūrere hou nga kaiwhakaako o tātaritanga ultrasonic o te kāwai tino tohu me te tuatahi.

Tuhinga mō te whakamātautau

whakaritea Investigation repe te ki te hunga iwi e whai i te tātaritanga o te mahi, i reira he tetahi atu ranei o nga tohu e whai ake nei:

• tohu pērā i te mare, tupu kahore he take, huangō, nui haere pau te;
• pukupuku kitea i roto i te kaki i roto i te tirohanga, me te palpation;
• aro mātai o te whai huatanga o te maimoatanga whakahaere i te rapunga o mate o te repe thyroid;
• whakahōhā whakapae o mate tīariari.

thyroid Rangahau (US) rite tika ka whakamana te taiepa e tohunga rauemi i te okana turoro. I roto i te tukanga, te mana e te kaupapa o te ngira poka. Nā ki taua kitenga to'o te mōrea o pōauautanga taea.

he ultrasound

He tokomaha te iwi e haere ki te Center Te Tai Tokerau-Te Hau-ā-uru o Endocrinology i St. Petersburg, whakaaro e pā ana ki te āhua o whakamana tenei whare hauora te repe ultrasound. Me kï reira e āta te faaineine no te kahore te mea e tika ana te whakamātautau. hanga tātaritanga kua i roto i te tūranga te maungārongo. I raro i te kaki kopakia ana te urunga e i maka te matenga te hoki. whakarato ana tēnei āhuatanga i te mātakitaki pai o nga wahi o raro rawa o te repe.

ako ōkena ki ultrasound kia whakamana, me ka te noho i te tangata ki tona matenga maka hoki. he āhuatanga taua, tohunga tūtohu haere mai ki te noho i te tari o US tūroro ki te whai ratou i te mate nui (huangō, kore ngakau congestive).

whakamana matawai repe i te auautanga tiketike. Kei te whakaturia te reira i runga i te pukorokoro (hāngai ki) o henimita runga ake te mutunga sternal o te āhei te tokorua. huaina ana tēnei scan ko te ripeka. tohunga Tuatahi feruri Tāmaki, a ka - tetahi o nga matamata. I muri retireti i te Tāmaki whanganga ano me te hautanga repe ritenga. Ko te atamira i muri - whakatinanatanga o rangahau i roto i te manureva wä roa. eke te pūoko te whakarara ki te pukorokoro me i te koki ki reira.

Thyroid ultrasound (St. Petersburg), whakahaere nei i roto i te pokapū mātai repe, ka taea kitea e koe ngā mōhiohio nui:

• te wāhi o te mate pukupuku, tona āhua, ngā āhua, te rahi, echogenicity, echostructure;
• aroaro intraorganic huri ratou wāhi, āhua me te rahinga wae;
• te hononga o te mate pukupuku ki te hanganga e karapoti reira;
• tūnga o ngā wāhi waitinana pana i te wai-rohe.

ai ngā tohu repe

Ko te repe thyroid - ko tetahi o te okana endocrine nui rawa. whakaputaina te reira i hormones pērā i thyroxine me calcitonin. Ko te tuatahi o ratou whai wāhi i roto i te ture whānui o te pākia i roto i te tinana, whakarei ake pākia hauota i roto i te kopa. Calcitonin regulates te pākia e te konupūmā, pānga te hanganga o te tuahiwi.

Repe kei roto i te kaki (i raro i te paeoro me te pukorokoro i mua). I roto i te āhua rite te reira i te pūrerehua. Ko te okana he tika taratahi me mahue matamata. E wehea ratou e te kūititanga kuiti. I te tahi taime pyramidal whakaritea (kōwhiringa) hea repe.

āhuatanga tinana Ultrasonic

Hei hanga i te tātaritanga tika, me mohio koutou ki ta te tere o te thyroid ultrasound:

1. kia whai i te whakaritenga tonu tenei tinana, a kia tītaha ai. I roto i te whakatinanatanga tuatahi, kitea te rino i roto i te kaki mārōrō o te wheua ngohe thyroid ki wāhi supraclavicular.
2. Ko te tikanga asymmetrical ranei Hanga tinana. I roto i te puka noa o rino i roto i te wāhanga ripeka rite te dumbbell kōpiko. feruri ia he Tāmaki kuiti, me te rua matamata.
3. He maeneene me te koikoi, koi me te mārama takiwa uma. e taea te whakakahore ratou ranei e kore e whakaritea i runga i te echogram. Tikanga, He kitea nga takiwa.
4. rahi thyroid Sonographic i te takitahi ultrasonography. Te tikanga rerekē ratou whānui. pea te matotoru o te whenua kaki i 4 ki te 6 mm, te matotoru o ia hautau - i 16 ki te 18 mm, whanui - i 13 ki te 18 mm, roa - i 40 ki te 60 mm. Ko te rōrahi o te tinana i roto i te tangata pae i 7.7 ki te 22.6 mita pūtoru. kite Women enei uara he iti iho i te -. i 4,55 ki 19,32 mita pūtoru. cm.
5. Echogenicity o te repe runga ake echogenicity noa o nga uaua e karapoti i te reira. Ko e tika ana ki te peculiarities o hanganga tinana tenei. Thyroid ngā he maha nui o follicles roto i te mea he wai. Ka rite ki te hua, e pā ana ki 95% o te ngaru ultrasonic tika na waenganui i te tinana. E kitea anake 5% rite tavevo.
6. He ōrite Ehostruktura tinana hauora. Kei te āhuatanga i te reira e te tohatoha ōrite o te whakaaro huritao e he ōrite i roto i te rahi me te wāhi.

whanaketanga rerekē o te tinana

Thyroid ultrasound (St. Petersburg), whakamana i roto i te pokapū mātai repe, maha taea rapunga o malformations congenital. Ko tētahi o ratou - he hypoplasia (underdevelopment o te tinana). faaite tenei māuiuitanga ake i roto i te hekenga echogram i te rahi o te repeure o tetahi o ona hea ranei.

Na roto i te malformations hoki ngā gemigeneziyu. E pā ana tēnei wāhanga ki te ngaro o tetahi o te ihirangi Fe. I roto i te mau ana i roto i te ultrasound te whakautu a anake te hawhe o te tinana. Rahi wahi e wātea ana i nga wa katoa i runga i te uara noa.

I roto i te tohunga ultrasound ētahi wā kitea wahi atu. Kāore e taea te ki te karanga ratou wāhi ngā, no te mea kia whai ratou i te whakaritenga rerekē. Ka rite ki te tikanga, te rahi o te atu tāutuhia i te kuao tau. I roto i ngā pakeke, atrophy ratou.

E mea pinepine, e kore e mate pukupuku malformations congenital whakaatu i tetahi tohu hihira. Tini o nga mate i roto i nuinga o te wā tahuri atu ki te waiho i te kitenga tupurangi i roto i te ultrasound.

hyperplasia repeure

Ki te tika, he tika te wahi o te tātaritanga ki te whakatutuki i roto i te Center Endocrinology i St Petersburg. Here, pāngia te whakamahi i ngaru ultrasonic tini o nga mate repeure. Ko te tino maha kitea i roto i te tukanga o tenei tinana, ko te hyperplasia. Ko te huru pathological i roto i nei i te hua i roto i te mate pukupuku, me te rangirua o ona mahi. A, no te whakamahi i te tātaritanga o ngā tohunga te whakarōpūtanga e whai ake:

• ake i roto i te rahi me te 30% - E ruia ana hyperplasia ahau me II nekehanga;
• whakarahi thyroid i 30-50% - III tohu (i roto i ngā take pērā, te wā "haaparare i goiter");
• hua o neke atu i te 50% - IV me te tohu o te goiter.

A, no te whakakitea e ahau me te II tohu i roto i te akoranga o US tohunga kore anake te hua i roto i te rahi me te hōkai o te mana. He he ano hoki te amo whakaawhiwhi matamata repeure. He ōrite, me te pai-baked Ehostruktura. riro te reira i rerekē ka te ahunga whakamua o te tukanga pathological.

Ko te tohu ultrasound e whai ake nei o te goiter ruia ana i runga i te echogram āhuatanga e:

• hua Body o te 30% neke atu rānei;
• reo me te ehostruktura pokepoke;
• aroaro anehogennoe me ngā wāhi hypoechoic (wahi he e hōloa whēwhē);
• Kitenga hyperechoic wahi rārangi rohe o āhua kōhikohiko ranei (taua āhuatanga faaite tupu o kiko tūhonohono).

repe thyroiditis

I roto i te pokapū o te mātai repe, te wahi mahi ultrasound o te repe thyroid e taea te katoa, i ētahi wā pāngia tohunga thyroiditis. hopoi mai huihui tenei ariā tini o nga mate inflammatory. I te ngakau o nga pathologies katoa he tukanga cytotoxic autoimmune atu ranei e puta tukutahi ki te tukanga o e hōloa, te hanga me te mahi whakaora i o thyroid kiko.

Ki te awhina o ultrasound repeure e taea ki te whakatau i te ahua o te thyroiditis. whakamana matawai i roto i te tikanga ki te aromatawai i mate haereraa. A, no te tukanga cytotoxic coarsen wāhi hypoechoic. heke thyroid echogenicity. Ki te riro i te akiaki pai o ngā wāhi hypoechoic iti. Heke me ratou maha. A, no te kore he rerekē i te täkupu stihanii pikitia thyroiditis ultrasound.

adenoma repeure

E pā ana tēnei wā ki te pukupuku Koló e puta i roto i te tinana. maha whakatau tohunga Endocrinology Center adenomas i roto i te iwi e haere mai ana ki te ruma ultrasound. pūkete ēnei mate mo e pā ana ki 16,6-25,2% o te pukupuku katoa e kua nekehia atu i roto i te pokanga i runga i te repe.

e kore hoki adenomas e āhuatanga e tetahi tohu pathognomonic motuhake e taea te tāutuhia i roto i te akoranga o te thyroid ultrasound. He aha e tenei ako ki pathologies rite? Ka taea te feruri Neoplasms i te puka o ngā hanganga hyper-, iso- me hypoechoic. I roto i te nuinga o te wā, he hyperechoic ki te hanganga ōrite ratou. I roto i te adenomas, te tikanga i hurihia awhi hypoechoic matotoru ōrite edema a tawhio noa parenchyma, capsule histological oko ranei.

Hoki te tātaritanga tika me te tūroro mate pukupuku whakapae pangia whakamātautau i te pokapū o te mātai repe, i whakaritea unuhanga. whakawhetai anake ki rauemi cytology ngā taea wehewehe mārire i ngā pūtau matepukupuku.

pukupuku mārere

I roto i te pokapū o te mātai repe ki te awhina o ultrasound, me te pai-ngira wawata unuhanga o te mate pukupuku uma taea te pāngia. Tenei puku repara e putake mai i te pūtau epithelial thyroid. whakaaro ana tēnei mate te ki kia āhua onge.

I mua i whakaaro i te putanga ka taea ultrasound o te repe thyroid (e whakaatu reira), ko reira ia tapao e te wehewehea mate pukupuku o te tinana ki papillary, follicular, medullary. I roto i te mate pukupuku papillary 90% o te pukupuku te āhuatanga hanganga hypoechoic. Kei te uaua ka kitea te reira i anechoic me te hanganga hyperechoic. I roto i te kitea 85-90% o te wā rahi microcalcifications ake ki te 1 mm. Ko ratou inclusions hyperechoic. tohu atu ultrasound - kōhao whēwhē me metastases waitinana kōpuku.

taea ētahi wā te whakapae nga hua o te thyroid ultrasound pukupuku follicular. Ko he tukanga mārere, whakaaro nei ko te uaua tino ki te tātari. whakawhanake te reira i te adenomas tīariari. Hoki te puku mārere āhuatanga e takiwa kōhikohiko, he awhi piringa, tohu o te whakaekenga o tawhio noa hanganga uaua. e kore te mate pukupuku follicular āhuatanga e microcalcifications me metastases waitinana kōpuku.

Taketake mate pukupuku Medullary i ngā pūtau e hua calcitonin. Hoki te mate āhuatanga e te akoranga tukituki. A, no te gipoehogennye kitea whakahaere tūroro ultrasound tūroro (i roto i te onge wā hyperechoic) hanganga ki takiwa pāhiwihiwi, me te awhi gipoehogennym matotoru pāhiwihiwi. A, no te mate pukupuku medullary he maha kitea microcalcifications me metastases e pa nga kaikohikohi lymphatic o te mediastinum runga, me nga taikiri hoki mekameka.

Pokapū Endocrinology i St Petersburg - he wahi i reira e taea te pāngia tetahi mate. Ka taea e mea Modern kitea noa te hunga mate e te hunga uaua ki te tāutu i nui. Te pokapū hauora i roto i te US o tohunga mate pukupuku te uiui taikiri noa o te kaki me te aho waiata. Ki te tika, whakaekea te unuhanga te. Te mōhiohio i whiwhi e te tikanga o ngā tukanga tātaritanga katoa, taea tākuta ki te hoatu i tētahi tātaritanga tika.