{"id":60,"date":"2015-12-26T18:30:03","date_gmt":"2015-12-26T18:30:03","guid":{"rendered":"http:\/\/wp12612379.server-he.de\/?page_id=60"},"modified":"2020-04-05T14:14:39","modified_gmt":"2020-04-05T14:14:39","slug":"deutsch-entzundungen-darm-niere","status":"publish","type":"page","link":"https:\/\/scholbach.de\/ar\/wissenschaft\/deutsch-ultraschalldiagnostik\/deutsch-durchblutungsmessung\/deutsch-entzundungen-darm-niere","title":{"rendered":"Inflammation Diagnostics"},"content":{"rendered":"<p class=\"qtranxs-available-languages-message qtranxs-available-languages-message-ar\">\u0639\u0641\u0648\u0627\u060c \u0647\u0630\u0647 \u0627\u0644\u0645\u062f\u062e\u0644\u0629 \u0645\u0648\u062c\u0648\u062f\u0629 \u0641\u0642\u0637 \u0641\u064a <a href=\"https:\/\/scholbach.de\/en\/wp-json\/wp\/v2\/pages\/60\" class=\"qtranxs-available-language-link qtranxs-available-language-link-en\" title=\"English\">English<\/a>, <a href=\"https:\/\/scholbach.de\/de\/wp-json\/wp\/v2\/pages\/60\" class=\"qtranxs-available-language-link qtranxs-available-language-link-de\" title=\"Deutsch\">Deutsch<\/a>, <a href=\"https:\/\/scholbach.de\/es\/wp-json\/wp\/v2\/pages\/60\" class=\"qtranxs-available-language-link qtranxs-available-language-link-es\" title=\"Espa\u00f1ol\">Espa\u00f1ol<\/a>, <a href=\"https:\/\/scholbach.de\/pl\/wp-json\/wp\/v2\/pages\/60\" class=\"qtranxs-available-language-link qtranxs-available-language-link-pl\" title=\"Polski\">Polski<\/a>, <a href=\"https:\/\/scholbach.de\/el\/wp-json\/wp\/v2\/pages\/60\" class=\"qtranxs-available-language-link qtranxs-available-language-link-el\" title=\"\u0395\u03bb\u03bb\u03b7\u03bd\u03b9\u03ba\u03ac\">\u0395\u03bb\u03bb\u03b7\u03bd\u03b9\u03ba\u03ac<\/a>, <a href=\"https:\/\/scholbach.de\/pt\/wp-json\/wp\/v2\/pages\/60\" class=\"qtranxs-available-language-link qtranxs-available-language-link-pt\" title=\"Portugu\u00eas\">Portugu\u00eas<\/a> \u0648 <a href=\"https:\/\/scholbach.de\/ja\/wp-json\/wp\/v2\/pages\/60\" class=\"qtranxs-available-language-link qtranxs-available-language-link-ja\" title=\"\u65e5\u672c\u8a9e\">\u65e5\u672c\u8a9e<\/a>.<\/p><p>Inflammation increases the perfusion of the affected organs and tissues. Body is reacting on the inflammaiton by widening the blood vessels in order to transport more immune cells to the location of the inflammation.<\/p>\n<h1>Crohn Disease<\/h1>\n<p>Chronic inflammatory bowel diseases like Crohn Disease and Ulcerative Colitis come in phases. Here the measurement of bowel wall perfusion in Crohn Disease is demonstrated: red column \u2013 healthy colon; green column \u2013 actively inflamed part of the same intestinal segment.<\/p>\n<p><img decoding=\"async\" class=\"alignnone size-full wp-image-469\" src=\"http:\/\/wp12612379.server-he.de\/wp-content\/uploads\/2015\/12\/morbus_crohn_2.jpg\" alt=\"morbus_crohn_2\" width=\"100%\" height=\"auto\" srcset=\"https:\/\/scholbach.de\/wp-content\/uploads\/2015\/12\/morbus_crohn_2.jpg 640w, https:\/\/scholbach.de\/wp-content\/uploads\/2015\/12\/morbus_crohn_2-300x169.jpg 300w\" sizes=\"(max-width: 640px) 100vw, 640px\" \/><\/p>\n<p><img decoding=\"async\" class=\"alignnone size-large wp-image-470\" src=\"http:\/\/wp12612379.server-he.de\/wp-content\/uploads\/2015\/12\/morbus_crohn.jpg\" alt=\"morbus_crohn\" width=\"100%\" height=\"auto\" srcset=\"https:\/\/scholbach.de\/wp-content\/uploads\/2015\/12\/morbus_crohn.jpg 640w, https:\/\/scholbach.de\/wp-content\/uploads\/2015\/12\/morbus_crohn-300x169.jpg 300w\" sizes=\"(max-width: 640px) 100vw, 640px\" \/><\/p>\n<p>Chronic inflammatory bowel diseases (IBD) like Crohn Disease (CD) and Ulcerative Colitis (UC) often\u00a0 have an intermittend course. During an acute phase of inflammation the intestinal perfusion is increased and pain is stronger. But pain in IBD may also have different sources which must be ruled out. Perfusion measurement of the bowel wall is then a decisive tool.<\/p>\n<p>The video below shows acutely inflamed bowel in CD. The thickening of the wall alone cannot decide if the inflammation is active or not since the wall thickening lasts much longer &#8211; weeks or months &#8211; than the acute hyperperfusion. With PixelFlux measurements of the wall its perfusion can be measured exactly. It is strongly increased. So the diagnosis of an acute exacerbation in CD can be made and &#8211; most important for steering the treatment &#8211; quantified.<\/p>\n<p>&nbsp;<\/p>\n<div style=\"width: 640px;\" class=\"wp-video\"><video class=\"wp-video-shortcode\" id=\"video-60-3\" width=\"640\" height=\"360\" preload=\"metadata\" controls=\"controls\"><source type=\"video\/mp4\" src=\"http:\/\/wp12612379.server-he.de\/wp-content\/uploads\/2015\/12\/Crohn-RJ-aktiv-CD.mp4?_=3\" \/><a href=\"http:\/\/wp12612379.server-he.de\/wp-content\/uploads\/2015\/12\/Crohn-RJ-aktiv-CD.mp4\">http:\/\/wp12612379.server-he.de\/wp-content\/uploads\/2015\/12\/Crohn-RJ-aktiv-CD.mp4<\/a><\/video><\/div>\n<p>The video below is from a Crohn patient with abdominal pain. PixelFlux-measurements do not show an enhanced perfusion. Thus, no increased inflammatory activity of Crohn disease can be demonstrated. This makes clear that the abdominal pain must be related to another reason than activation of Crohn diesease. To discriminate inflammatory from non-inflammatory causes of pain is crucial for the decision how to treat an individual patient.<\/p>\n<div style=\"width: 640px;\" class=\"wp-video\"><video class=\"wp-video-shortcode\" id=\"video-60-4\" width=\"640\" height=\"360\" preload=\"metadata\" controls=\"controls\"><source type=\"video\/mp4\" src=\"http:\/\/wp12612379.server-he.de\/wp-content\/uploads\/2015\/12\/Crohn-ruhend-RJ-CD.mp4?_=4\" \/><a href=\"http:\/\/wp12612379.server-he.de\/wp-content\/uploads\/2015\/12\/Crohn-ruhend-RJ-CD.mp4\">http:\/\/wp12612379.server-he.de\/wp-content\/uploads\/2015\/12\/Crohn-ruhend-RJ-CD.mp4<\/a><\/video><\/div>\n<h1>Appendicitis<\/h1>\n<p>The inflammation of the vermiform appendix of the cecum can be simply and unambiguously diagnosed by color Doppler sonography. The perfusion measurement with PixelFlux helps much to be sure and to decide, whether operative or conservative treatment is adequate.<\/p>\n<p><img decoding=\"async\" class=\" size-full wp-image-254 aligncenter\" src=\"http:\/\/wp12612379.server-he.de\/wp-content\/uploads\/2016\/06\/Appendicitis.jpg\" alt=\"Appendicitis\" width=\"100%\" height=\"auto\" srcset=\"https:\/\/scholbach.de\/wp-content\/uploads\/2016\/06\/Appendicitis.jpg 397w, https:\/\/scholbach.de\/wp-content\/uploads\/2016\/06\/Appendicitis-300x175.jpg 300w\" sizes=\"(max-width: 397px) 100vw, 397px\" \/><\/p>\n<h1>Inflammatory renal diseases\u00a0 &#8211;<\/h1>\n<h1>Pyelonephritis, Glomerular Nephritis<\/h1>\n<p>Rapid detection of inflammatory bouts in renal diseases are the prerequisite to prevent them from becoming a chronic disorder. PixelFlux-perfusion measurements pinpoint localisation as well as extent of the inflammation. The image below shows a healthy kidney with a normal coloration and a normal perfusion diagram.<\/p>\n<p><img decoding=\"async\" class=\" size-full wp-image-338 aligncenter\" src=\"http:\/\/wp12612379.server-he.de\/wp-content\/uploads\/2015\/12\/Nierentzuendung-gesund.jpg\" alt=\"Nierentzuendung-gesund\" width=\"100%\" height=\"auto\" srcset=\"https:\/\/scholbach.de\/wp-content\/uploads\/2015\/12\/Nierentzuendung-gesund.jpg 482w, https:\/\/scholbach.de\/wp-content\/uploads\/2015\/12\/Nierentzuendung-gesund-300x250.jpg 300w\" sizes=\"(max-width: 482px) 100vw, 482px\" \/><\/p>\n<p>The image below contrasts starkly from the healthy kidney above. Here a massive increase of perfusion unmasks an acute nephritis.<\/p>\n<p><img decoding=\"async\" class=\" size-full wp-image-339 aligncenter\" src=\"http:\/\/wp12612379.server-he.de\/wp-content\/uploads\/2015\/12\/Nierentzuendung-krank.jpg\" alt=\"Nierentzuendung-krank\" width=\"100%\" height=\"auto\" srcset=\"https:\/\/scholbach.de\/wp-content\/uploads\/2015\/12\/Nierentzuendung-krank.jpg 591w, https:\/\/scholbach.de\/wp-content\/uploads\/2015\/12\/Nierentzuendung-krank-300x204.jpg 300w\" sizes=\"(max-width: 591px) 100vw, 591px\" \/><\/p>","protected":false},"excerpt":{"rendered":"<p>\u0639\u0641\u0648\u0627\u060c \u0647\u0630\u0647 \u0627\u0644\u0645\u062f\u062e\u0644\u0629 \u0645\u0648\u062c\u0648\u062f\u0629 \u0641\u0642\u0637 \u0641\u064a English, Deutsch, Espa\u00f1ol, Polski, \u0395\u03bb\u03bb\u03b7\u03bd\u03b9\u03ba\u03ac, Portugu\u00eas \u0648 \u65e5\u672c\u8a9e.Inflammation increases the perfusion of the affected organs and tissues. Body is reacting on the inflammaiton by widening the blood vessels in order to transport more immune cells to the location of the inflammation. Crohn Disease Chronic inflammatory bowel diseases like Crohn [&hellip;]<\/p>\n","protected":false},"author":4,"featured_media":0,"parent":74,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"om_disable_all_campaigns":false,"footnotes":""},"class_list":["post-60","page","type-page","status-publish","hentry"],"_links":{"self":[{"href":"https:\/\/scholbach.de\/ar\/wp-json\/wp\/v2\/pages\/60","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/scholbach.de\/ar\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/scholbach.de\/ar\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/scholbach.de\/ar\/wp-json\/wp\/v2\/users\/4"}],"replies":[{"embeddable":true,"href":"https:\/\/scholbach.de\/ar\/wp-json\/wp\/v2\/comments?post=60"}],"version-history":[{"count":44,"href":"https:\/\/scholbach.de\/ar\/wp-json\/wp\/v2\/pages\/60\/revisions"}],"predecessor-version":[{"id":4429,"href":"https:\/\/scholbach.de\/ar\/wp-json\/wp\/v2\/pages\/60\/revisions\/4429"}],"up":[{"embeddable":true,"href":"https:\/\/scholbach.de\/ar\/wp-json\/wp\/v2\/pages\/74"}],"wp:attachment":[{"href":"https:\/\/scholbach.de\/ar\/wp-json\/wp\/v2\/media?parent=60"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}