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3.DIGESTIV

3.DIGESTIV

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Published by Iulia Pascutoi

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Published by: Iulia Pascutoi on Sep 27, 2010
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03/06/2013

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Radiodiagnosticul tubului digestiv
CATEDRA DE RADIOLOGIE SI IMAGISTICA MEDICALAA SUUBUMF CAROL DAVILA
 
Examenul radiologic ±una dintre cele mai valoroase metode de diagnostic
Indicatii:
Orice suferinta clinica sugestiva pentru o afectare a tubului digestiv
Tehnici de examinare
Radioscopia sau radiografia pulmonaraRadioscopia si radiografia abdominala simpla
-
Pneumoperitoneu
-
 Nivele hidroaerice
-
Ansa santinela
-
Aerobilie
-
Calcificari pancreatice
-
Chisturi hidatice calcificate
Radioscopia cu suspensie baritata administrata peroralIrigoscopia si irigografiaExamenele cu dublu contrast
:-aer sau gaz cu subst. de contrast opaca
Investigatia cu substante farmacodinamice
-modifica tonusul, peristaltica, secretia-permite evidentierea:
-
modificarilor functionale;
-
modificarilor morfologice;
-
sediul si natura leziunii;
-
evolutia in timp a leziunii.se face
-
in strat subtire
-
in semirepletie
-
in repletie completa
 
Modificari elementare functionale
-
de tonus
-hipotonia
-marirea calibrului, evacuare intirziata
-atonia
-dilatare si suprimare peristaltism
-spasmu
l-local sau segmentar= contractia prelungita a unui grup de fibre muscularecirculare, cu suprimarea totala a tranzitului
-hipertonia
-ingustarea calibrului, evacuare rapida a continutului
-
de peristaltica
-
hiperkinezia
-unde cu amplitudine mare, frecvente,propagate rapid-
hipokinezia
-unde cu amplitudine redusa, rare, propagate lent-
akinezia
-absenta totala a peristaltismului prin:-epuizarea fibrelor secundar uneistenoze, infiltrarea peretelui inflamator sau tumoral, medicamentos-
dischinezia
-determina depresiuni ale conturului-
de tranzit
-
accelerare
= hipertonie+hiperkinezie
-staza-
cu dilatarea segmentuluiTimpi normali de evacuare:-Esofag-5-7 sec-Stomac-2,5-3 ore-Dd.-60-90 sec-Ajunge la valva Bauhin in 3-4 ore-In flexura hepatica in 8 ore-In sigmoid in 12-18 ore-
de secretie-
hipersecretie
MODIFICARI RADIOLOGICE ELEMENTARE

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