Utano hwechiropa hunogara huchiratidzwa muhukuru hwahwo. Nehuwandu hwehutachiwana hwehutachiona uye hwebhakitiriya, ichi chinhengo chinowedzera nekuda kwekuvhiringidza uye kupera kwekugadzirisa zvirongwa mu parenchyma. Saka, zvinokosha kuziva zvakaenzana nehuwandu hwechiropa - zvinowanzoitika kune munhu mukuru zvave zvichisimbiswa mukurapa, chero kukanganisa kunobva kune zviratidzo izvi kunoratidza kuvapo kwechirwere.
Icho chimiro chechiropa chakakura zvakasiyana nevakadzi nevarume here?
Nheyo dzehutano kuvanhu vakuru hazvirevi pane zvepabonde, saka hukuru hunowanikwa hwechirongwa chinotaridzirwa muvakadzi nevarume hunenge hwakafanana. Zvakakosha kuziva kuti zviratidzo hazvibatsiri zera, uremu, kana urefu hwomurwere.
Chiremera cheropa chakakura mumunhu mukuru
Kuti uone hutsika hunotsanangurwa, ultrasound inofanira kuitwa.
Izvo zviyero zvechiropa zvinowanzoenderana nekodzero yakarurama yechirongwa sezvinotevera:
- vertical oblique ukuru - kusvika 15 cm;
- kureba - kubva pa11 kusvika ku15 cm;
- kuwanda - kubva ku11.2 kusvika ku12.6 cm.
Zvose zvakakwana zvechiropa zvinofanira kunge zvingada kusvika 14, asi zvisati zvasvika masendimita makumi matanhatu, uye hupamhi-kubva pa20.1 kusvika ku 22.5 cm.
Chimiro chechiropa chinokura pa ultrasound kune lobe kuruboshwe:
- kuwanda - kwakapoteredza masendimita 7;
- cranio-caudal size - kusvika 10 cm;
- sagittal size - kubva pa9 kusvika ku12 cm.
Zvakakosha kuziva kuti zvakakosha kuisa mimwe mitengo panguva yekuongorora:
- hupamhi hwemhangura isina kuvhuvhuta - kusvika pamamiriyoni 15;
- hukuru hwe bile bile duct inobva 6 kusvika 8 mm;
- hupamhi hwehutachiona hwemukova - kusvika 13 mm inosanganisira;
- kureba pakati pemiromo nemhepa yepamusoro kune 2 cm;
- ariti yehepatic munharaunda yemasuo echiropa - kubva 4 kusvika ku7 mm;
- hupamhi hweshepatic veins - 6-10 mm.
Izvo zvakaratidzwa hukuru hukuru hunopiwa nokuda kwekudzidzira kudzidza. Munguva yekudzimara, inoderera.
Munguva ye ultrasound, zvakakosha kuongororesa kwete ukuru hwechiropa, asiwo chimiro chemuviri waro, chimiro cheparenchyma , kujekesa kwemavara uye nzvimbo yechiri.
Chimiro chechiropa chinokura maererano neKurlov
Nzira yakatsanangurwa inosanganisira palpation (munwe) kuongororwa kwechiropa, iyo inonziwo kuongororwa kwehuputi hwemhepo. Pakutanga, nharaunda yose yechipimo chekugara iyo inotorwa, kana inzwi rekutema richionekwa, kureba pakati pemapandi maviri ezasi uye kumucheto wepamusoro wehuputi hwechiropa hunotaridzirwa. Iwe unofanirwa kushandisa mitsara yakananga yakananga.
Kuenzaniswa naM.G. Kurlov:
- pamubhedha wekodzero unobereka - kubva pa5 kusvika ku 9 cm;
- pamuganhu wakarurama we-median-clavicular - kubva pa7 kusvika ku11 cm;
- pamwe nechepakati pemukati mutsara-kubva pa6 kusvika ku10 cm.