Elastography

Zvemukati

• Chii chinonzi elastography?
• Chii chinoshandiswa?
• Nei ndichida elastography?
• Chii chinoitika panguva ye elastography?
• Ndichafanira here kuita chero chinhu kugadzirira bvunzo?
• Pane here njodzi kune bvunzo?
• Zvinorevei mhedzisiro yacho?
• Pane chimwe chinhu here chandinofanira kuziva nezve elastography?
• Zvinyorwa

Chii chinonzi elastography?

Iyo elastography, inozivikanwawo sechiropa elastography, rudzi rwekufungidzira bvunzo inotarisa chiropa che fibrosis. Fibrosis mamiriro anoderedza kuyerera kweropa mukati uye mukati mechiropa. Izvi zvinokonzeresa kuwanda kwezvinyama zvevanga. Kuruboshwe kusarapwa, fibrosis inogona kutungamira kumatambudziko akakomba muchiropa. Izvi zvinosanganisira cirrhosis, gomarara rechiropa, uye kutadza kwechiropa. Asi kuongororwa kwekutanga uye kurapwa kunogona kudzikisira kana kutodzosera kumashure maitiro e fibrosis.

Kune maviri marudzi eropa elastography bvunzo:

• Ultrasound elastography, inozivikanwawo seFibroscan, iro zita rechiratidzo reiyo ultrasound mudziyo. Muedzo unoshandisa mafungu ezwi kuyera kuomarara kwechironda tishu. Kuomarara chiratidzo chefibrosis.
• MRE (magnetic resonance elastography), bvunzo inosanganisa tekinoroji yeultrasound nemagineti resonance imaging (MRI). MRI inzira inoshandisa magineti ane simba uye masaisai eredhiyo kugadzira mifananidzo yenhengo uye zvivakwa mukati memuviri. Mumuedzo weMRE, purogiramu yemakomputa inogadzira mepu inoonekwa inoratidza kuomarara kwechiropa.

Elastography kuyedzwa kunogona kushandiswa panzvimbo yechiropa biopsy, bvunzo inopindirana iyo inosanganisira kubvisa chimedu chechiropa maturu kuyedzwa.

Mamwe mazita: chiropa elastography, kwenguva pfupi elastography, Fibroscan, MR elastography

Chii chinoshandiswa?

An elastography inoshandiswa kuongorora mafuta echiropa chirwere (FLD) uye fibrosis. FLD ndiyo mamiriro ayo echinyakare chiropa tishu inotsiviwa nemafuta. Mafuta aya anogona kutungamira kuchitokisi kufa uye fibrosis.

Nei ndichida elastography?

Vanhu vazhinji vane fibrosis havana zviratidzo. Asi yakasiiwa isina kurapwa, fibrosis inoenderera ichipwanya chiropa uye pakupedzisira ichizoita cirrhosis.

Cirrhosis izwi rinoshandiswa kutsanangura kuwanda kwakanyanya kwechiropa. Cirrhosis inowanzo kukonzerwa nekushandisa doro zvisina kufanira kana hepatitis. Muzviitiko zvakakomba, cirrhosis inogona kutyisidzira hupenyu. Cirrhosis inokonzeresa zviratidzo. Saka iwe ungangoda bvunzo iyi kana iwe uine zviratidzo zvecirrhosis kana chimwe chirwere chechiropa.

Zviratidzo zvechirrhosis uye zvimwe zvirwere zveropa zvakafanana uye zvinogona kusanganisira:

• Yero yeganda. Izvi zvinozivikanwa sejaundice.
• Kuneta
• Itching
• Kutuka zviri nyore
• Rinoyerera mhino
• Kuzvimba mumakumbo
• Kuonda
• Kuvhiringidzika

Chii chinoitika panguva ye elastography?

Munguva ye ultrasound (Fibroscan) elastography:

• Iwe ucharara pamusoro petafura yekuongorora kumusana kwako, nedumbu rako rerudyi rakafumurwa.
• Nyanzvi ye radiology ichaparadzira gel paganda rako pamusoro penharaunda.
• Iye anozoisa chishandiso chakaita sewe wand, chinonzi transducer, panzvimbo yeganda inovhara chiropa chako.
• Probe ichaendesa akateedzana mafungu eruzha. Mafungu anozoenda kuchiropa chako uye obva adzoka. Iwo mafungu akakwirira kwazvo haukwanise kuanzwa.
• Iwe unogona kunzwa kupfava zvinyoro sezvo izvi zvaitwa, asi hazvifanirwe kukuvadza.
• Mafungu ezwi anorekodwa, kuyerwa, uye kuratidzwa pane tariso.
• Chiyero chinoratidza padanho rekuomarara muchiropa.
• Maitiro acho anongotora ingangoita maminetsi mashanu, asi kusarudzwa kwako kwese kunogona kutora hafu yeawa kana zvakadaro.

MRE (magnetic resonance elastography) inoitwa nemhando imwechete yemuchina uye mazhinji ematanho akafanana neyechinyakare MRI (magnetic resonance imaging) bvunzo. Munguva yeMRE maitiro:

• Iwe ucharara pamusoro petafura yekuongorora.
• Nyanzvi ye radiology ichaisa padiki padumbu rako. Iyo padhi ichaburitsa kudengenyeka kunopfuura nepachiropa chako.
• Tafura yacho inozotsvedza ichipinda muMRI scanner, unova muchina wakaita mutangi une magineti. Iwe unogona kupihwa ma earplugs kana mahedhifoni pamberi peyedzo kuti ubatsire kuvhara ruzha rweiyo scanner, irwo ruzha rukuru.
• Paunenge uchinge uri mukati meiyo scanner, iyo pad ichaita uye inotumira zviyero zvekudengenyeka kubva pachiropa chako. Izvo zviyero zvinonyorerwa pakombuta uye zvashandurwa kuita mepu inoonekwa inoratidza kuomarara kwechiropa chako.
• Muedzo unotora maminetsi makumi matatu kusvika makumi matanhatu.

Ndichafanira here kuita chero chinhu kugadzirira bvunzo?

Iwe haudi chero akakosha gadziriro yeiyo ultrasound elastography. Kana iwe uine MRE, ita shuwa yekubvisa zvese zvishongo zvesimbi uye zvishongedzo pamberi pekuyedzwa.

Pane here njodzi kune bvunzo?

Iko hakuna njodzi dzinozivikanwa dzekuve neine ultrasound elastography. Pane njodzi shoma yekuve neMRE kune vanhu vazhinji. Vamwe vanhu vanonzwa kutya kana claustrophobic mukati meiyo scanner. Kana iwe uchinzwa nenzira iyi, iwe unogona kupihwa mushonga pamberi peyedzo kuti ikubatsire kuzorora.

Zvinorevei mhedzisiro yacho?

Ese maviri marudzi eelastography anoyera kuomarara kwechiropa. Iyo inoomesa chiropa, iyo yakawanda fibrosis yaunayo. Mhedzisiro yako inogona kutangira pakureba kusvika kune zvinyoro, zvine mwero, kana zvemberi zvechironda. Kufungidzira kwepamberi kunozivikanwa se cirrhosis. Mutapi wako wezvehutano anogona kuraira kuwedzerwa kuyedzwa, kusanganisira chiropa chinoshanda kuongororwa kweropa kana chiropa biopsy, kuti usimbise kuongororwa

Kana iwe ukabatwa uine hunyoro kusvika pakuenzanisa fibrosis, iwe unogona kukwanisa kutora matanho ekumira kuwedzera kukuvara uye dzimwe nguva kunyange kugadzirisa mamiriro ako. Aya matanho anosanganisira:

• Kwete kunwa doro
• Kwete kutora zvinodhaka zvisiri pamutemo
• Kudya kudya kunovaka muviri
• Kuwedzera kurovedza muviri
• Kutora mushonga. Kune mishonga inoshanda pakurapa mamwe marudzi ehepatitis.

Kana iwe ukamirira kwenguva refu kuti uwane kurapwa, akawanda uye akawanda mavanga matema anovaka muropa rako. Izvi zvinogona kutungamira kune cirrhosis. Dzimwe nguva, iyo chete kurapwa kweiyo yepamberi cirrhosis ndiko kuchinjika kwechiropa.

Kana iwe uine mibvunzo nezve mhedzisiro yako, taura nemupi wako wezvehutano.

Pane chimwe chinhu here chandinofanira kuziva nezve elastography?

MRE kuyedza inogona kunge isiri sarudzo yakanaka kune vanhu vane michina yesimbi yakaiswa mumiviri yavo. Izvi zvinosanganisira pacemaker, zvekuisira moyo mavharuvhu, uye pombi yekumisira. Iyo magineti muMRI inogona kukanganisa mashandiro emidziyo iyi, uye mune dzimwe nguva, inogona kuve nenjodzi. Dental brace uye mamwe marudzi emaatato ane simbi zvinogona kukonzera matambudziko panguva yekuita.

Muedzo haukurudzirwe kune vakadzi vane nhumbu kana kufunga kuti vanogona kunge vaine nhumbu. Hazvizivikanwe kana magineti minda anokuvadza kune vacheche vasati vaberekwa.

Zvinyorwa

1. American Chiropa Nheyo. [Internet]. New York: American Chiropa Foundation; c2017. Kuongorora Hepatitis C [yakataurwa 2019 Jan 24]; [angangoita mana skrini. Inowanikwa kubva: https://liverfoundation.org/for-patients/about-the-liver/diseases-of-the-liver/hepatitis-c/diagnosing-hepatitis-c/#who-should-get-tested-for- hepatitis-c
2. Foucher J, Chanteloup E, Vergniol J, Castéra L, Le Bail B, Adhoute X, Bertet J, Couzigou P, de Lédinghen, V. Kuongororwa kwecirrhosis neyekupedzisira elastography (FibroScan): anotarisira kudzidza. Gut [Indaneti]. 2006 Mar [yakataurwa 2019 Jan 24]; 55 (3): 403-408. Inowanikwa kubva: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC1856085
3. Huron Gastro [Indaneti]. Ypsilanti (MI): Huron Gastroenterology; c2015. Fibroscan (Chiropa Elastography) [yakataurwa 2019 Jan 24]; [angangoita mashanu skrini. Inowanikwa kubva: https://www.hurongastro.com/fibroscan-liver-elastrography
4. Mayo Clinic [Indaneti]. Mayo Foundation Yekurapa Dzidzo uye Tsvagiridzo; c1998–2019. Hepatitis C: Kuongorora uye kurapwa; 2018 Mar 6 [yataurwa 2019 Jan 24]; [angangoita mana skrini. Inowanikwa kubva: https://www.mayoclinic.org/diseases-conditions/hepatitis-c/diagnosis-treatment/drc-20354284
5. Mayo Clinic [Indaneti]. Mayo Foundation Yekurapa Dzidzo uye Tsvagiridzo; c1998–2019. Hepatitis C: Zviratidzo uye zvikonzero; 2018 Mar 6 [yataurwa 2019 Jan 24]; [angangoita matatu skrini. Inowanika kubva: https://www.mayoclinic.org/diseases-conditions/hepatitis-c/symptoms-causes/syc-20354278
6. Mayo Clinic [Indaneti]. Mayo Foundation Yekurapa Dzidzo uye Tsvagiridzo; c1998–2019. Magnetic resonance elastography: Ongororo; 2018 May 17 [yataurwa 2019 Jan 24]; [angangoita matatu skrini. Inowanikwa kubva: https://www.mayoclinic.org/tests-procedures/magnetic-resonance-elastography/about/pac-20385177
7. Chirangaridzo Sloan Kettering Cancer Center [Internet]. New York: Chirangaridzo Sloan Kettering Cancer Center; c2019. Kunzwisisa Mhedzisiro Yako Fibroscan [yakarongedzwa 2018 Feb 27; yakataurwa 2019 Jan 24]; [angangoita mana skrini. Inowanikwa kubva: https://www.mskcc.org/cancer-care/patient-education/understanding-your-fibroscan-results
8. Merck Chinyorwa Chevatengi Vhezheni [Internet]. Kenilworth (NJ): Merck & Co, Inc .; c2019. Cirrhosis yeChiropa [yakataurwa 2019 Jan 24]; [angangoita maviri skrini. Inowanikwa kubva: https://www.merckmanuals.com/home/liver-and-gallbladder-disorders/fibrosis-and-cirrhosis-of-the-liver/cirrhosis-of-the-liver
9. Merck Chinyorwa Chevatengi Vhezheni [Internet]. Kenilworth (NJ): Merck & Co, Inc .; c2019. Fibrosis yeChiropa [yakataurwa 2019 Jan 24]; [angangoita maviri skrini. Inowanikwa kubva: https://www.merckmanuals.com/home/liver-and-gallbladder-disorders/fibrosis-and-cirrhosis-of-the-liver/fibrosis-of-the-liver
10. Michigan Mushonga: Yunivhesiti yeMichigan [Internet]. Ann Arbor (MI): Regents veYunivhesiti yeMichigan; c1995–2019. Chiropa Elastography [yakataurwa 2019 Jan 24]; [angangoita mashanu skrini. Inowanikwa kubva: https://www.uofmhealth.org/conditions-treatments/digestive-and-liver-health/liver-elastography
11. NorthShore University Hutano Sisitimu [Internet]. NorthShore University Hutano Sisitimu; c2019. Chiropa Fibroscan [yakataurwa 2019 Jan 24]; [angangoita matatu skrini. Inowanikwa kubva: https://www.northshore.org/gastroenterology/procedures/fibroscan
12. Radiology Info.org [Internet]. Radiological Society yeNorth America, Inc .; c2019. Cirrhosis yeChiropa [yakataurwa 2019 Jan 24]; [angangoita matatu skrini. Inowanikwa kubva: https://www.radiologyinfo.org/en/info.cfm?pg=cirrhosisliver
13. Radiology Info.org [Internet]. Radiological Society yeNorth America, Inc .; c2019. Fatty Chiropa Chirwere uye Chiropa Fibrosis [yakataurwa 2019 Jan 24]; [angangoita matatu skrini. Inowanikwa kubva: https://www.radiologyinfo.org/en/info.cfm?pg=fatty-liver-disease
14. Yunivhesiti yeRochester Medical Center [Internet]. Rochester (NY): Yunivhesiti yeRochester Medical Center; c2019. Health Encyclopedia: Chisingaperi Chiropa Chirwere / Cirrhosis [yakataurwa 2019 Jan 24]; [angangoita maviri skrini. Inowanikwa kubva ku: https://www.urmc.rochester.edu/encyclopedia/content.aspx?ContentTypeID=85&ContentID=P00662
15. UF Hutano: Yunivhesiti yeFlorida Hutano [Internet]. Gainesville (FL): Yunivhesiti yeFlorida; c2019. MRI: Ongororo [yakagadziridzwa 2019 Jan 24; yakataurwa 2019 Jan 24]; [angangoita maviri skrini. Inowanikwa kubva: https://ufhealth.org/mri
16. UF Hutano: Yunivhesiti yeFlorida Hutano [Internet]. Gainesville (FL): Yunivhesiti yeFlorida; c2019. Ultrasound: Ongororo [yakagadziridzwa 2019 Jan 24; yakataurwa 2019 Jan 24]; [angangoita maviri skrini. Inowanikwa kubva: https://ufhealth.org/ultrasound
17. UW Hutano [Internet]. Madison (WI): Yunivhesiti yeWisconsin Zvipatara uye Makiriniki Chiremera; c2019. Cirrhosis: Zviratidzo [yakagadziridzwa 2018 Kurume 28; yakataurwa 2019 Jan 24]; [angangoita mana skrini. Inowanikwa kubva: https://www.uwhealth.org/health/topic/mini/cirrhosis/aa67653.html#aa67668
18. UW Hutano [Internet]. Madison (WI): Yunivhesiti yeWisconsin Zvipatara uye Makiriniki Chiremera; c2019. Magnetic Resonance Imaging (MRI): Maitirwo Awo [akagadziridzwa 2018 Jun 26; yakataurwa 2019 Jan 24]; [angangoita mashanu skrini. Inowanikwa kubva: https://www.uwhealth.org/health/topic/medicaltest/magnetic-resonance-imaging-mri/hw214278.html#hw214314
19. UW Hutano [Internet]. Madison (WI): Yunivhesiti yeWisconsin Zvipatara uye Makiriniki Chiremera; c2019. Magnetic Resonance Imaging (MRI): Ungagadzirira Sei [yakagadziridzwa 2018 Jun 26; yakataurwa 2019 Jan 24]; [angangoita mana skrini. Inowanikwa kubva: https://www.uwhealth.org/health/topic/medicaltest/magnetic-resonance-imaging-mri/hw214278.html#hw214310
20. UW Hutano [Internet]. Madison (WI): Yunivhesiti yeWisconsin Zvipatara uye Makiriniki Chiremera; c2019. Magnetic Resonance Imaging (MRI): Ongororo Yekuongorora [yakagadziridzwa 2018 Jun 26; yakataurwa 2019 Jan 24]; [angangoita maviri skrini. Inowanikwa kubva: https://www.uwhealth.org/health/topic/medicaltest/magnetic-resonance-imaging-mri/hw214278.html

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