So wo akwaa no te nka sɛ ɛyɛ den kakra wɔ wo mu? Momma yɛnka Elastography ho asɛm!

So woasusuw sɛnea ɛbɛyɛ kɛse sɛ ɔkwan bi wɔ hɔ a wobɛfa so ahu no yiye sɛ ebia akwaa a ɛho hia wɔ yɛn nipadua mu te sɛ mmerɛbo ne asaabo no wɔ apɔwmuden na ɛyɛ mmerɛw no ho pɛn? Ɛne sɛ, sɛ yebetumi ahwɛ saa nneɛma yi so a yɛrenyɛ oprehyɛn anaasɛ yɛn ho nyɛ yɛn dɛ pii a? Saa na sɔhwɛ a wɔfrɛ no elastography yi yɛ. Momma yɛnka eyi ho asɛm tiawa, wɔ ɔkwan a wubetumi ate ase so.

Sɛ yɛbɛka no tiawa a, dɛn ne elastography?

Sɛ yɛbɛka no tiawa a, elastography yɛ sɔhwɛ a ɛyaw nnim a ɛkyerɛ sɛnea yɛn nipadua mu akwaa ahorow te sɛ mmerɛbo no tumi yɛ nsakrae, anaasɛ "springiness." Fa no sɛ, sɛ yɛpaw aduaba bi a, yɛde yɛn nsa pia mu kakra hwɛ sɛ ɛyɛ den anaasɛ ɛyɛ spongy? Eyi yɛ ade koro no ara, nanso ɛwɔ mfiridwuma mu nimdeɛ a ɛkɔ anim kɛse.

Saa sɔhwɛ yi de wosow a ɛba fam na edi dwuma. Wɔde saa wosow yi fa yɛn akwaa ahorow mu na ɛsusuw sɛnea ɛyɛ den. Efisɛ ɛtɔ mmere bi a, sɛ yɛn akwaa ahorow no mu ntini yɛ den a ɛho nhia, kyerɛ sɛ, sɛ sɛnea ɛyɛ mmerɛw no so tew a, ebetumi ayɛ yare bi ho sɛnkyerɛnne. Saa akisikuru yi yɛ ade a ɛho hia a ɛkyerɛ, titiriw wɔ nyarewa a efi mmerɛbo mu ba mu.

So elastography ahorow bi wɔ hɔ?

Yiw, elastography ahorow abien titiriw na ɛwɔ hɔ.

1. Nnyigyei a Wɔde Yɛ Nneɛma a Ɛyɛ Fɛ (Elastography Ultrasound) anaa FibroScan®

Ebinom nso frɛ eyi sɛ transient elastography. Ebia woate FibroScan® ho asɛm. Ɛno ne nea ɛte. Ɛte sɛ ultrasound nhwehwɛmu titiriw bi ankasa .

• Wɔ eyi mu no, wɔde afiri ketewa bi a wɔde nsa kura (a `transducer`) ne nnyigyei asorɔkye di dwuma de nya w'akwaa no mfonini.
• Eyi nyɛ yaw koraa, na ɛyɛ ntɛm paa. Ɛyɛ biribi a wobetumi ayɛ wɔ flash mu.

2. M.R. Nneɛma a Wɔde Yɛ Nneɛma (MRE - Magnetic Resonance Elastography) .

Nea ɛka eyi ho ne sɛ wode nnyigyei asorɔkye a efi ultrasound mu ne magnet ne radio asorɔkye a efi MRI (Magnetic Resonance Imaging) scan mu bɛka abom na ama woanya w’akwaa ho mfonini a emu da hɔ.

• Nea ɛho hia sen biara ne sɛ wɔmfa mframa bɔne biara nni dwuma wɔ eyi mu.
• Ɛtɔ mmere bi a oduruyɛfo no betumi asi gyinae sɛ ɔno nkutoo bɛyɛ saa MRE nhwehwɛmu yi, anaasɛ ebia wɔde bɛka MRI nhwehwɛmu a edi mũ ho.

Dɛn ne saa ‘shear wave’ elastography yi?

Eyi yɛ mfiridwuma foforo a wɔde yɛ ultrasound. Wɔde susuw sɛnea akwaa no mu ntini a ɛyɛ den nso.

• Wokae saa nsaano mfiri (`transducer`) no? Ɛde pulses a ano yɛ den kɛse kɔ. Saa pulses yi ma asorɔkye soronko bi a wɔfrɛ no `shear waves`.
• Saa asorɔkye a ɛtwetwe yi ma wotumi yɛ mfonini ahorow a ɛkorɔn yiye na emu da hɔ .
• Ɛwom sɛ saa mfiridwuma yi da so ara renya nkɔso de, nanso wɔde redi dwuma dedaw wɔ ultrasound nhwehwɛmu ahorow bi mu. Nhwɛsoɔ:
• Nhwehwɛmu ahorow a ɛfa nufu ho
• Brɛboɔ
• Ntini ne nnompe nhyehyɛe
• Prostate a ɛwɔ nipadua no mu
• Hwɛ sɛ thyroid nodules wɔ hɔ anaa.

Enti, dɛn nti na wɔyɛ saa elastography sɔhwɛ yi?

Ade titiriw nti a wɔtaa yɛ nhwehwɛmu yi ne sɛ wobɛhwɛ sɛ wowɔ tebea bi a wɔfrɛ no fibrosis, anaasɛ mmerɛbo mu akuru anaa. Fibrosis yɛ mmerɛbo no mu akuru ara kwa. Eyi betumi aba mfiase no, na sɛ wɔansa no yiye a, awiei koraa no ebetumi ama obi anya tebea a emu yɛ den a wɔfrɛ no cirrhosis.

Sɛ wowɔ asiane ahorow a ɛbɛma woanya cirrhosis, anaasɛ woreda yare no ho sɛnkyerɛnne adi a, ebia wo duruyɛfo bɛkamfo akyerɛ sɛ wɔnyɛ elastography nhwehwɛmu.

Nea ɛho hia: Fibrosis betumi atew mogya a ɛfa mmerɛbo no mu no so. Bere kɔ so no, saa mogya no betumi afi ase aboaboa ano wɔ mmerɛbo no akyi. Sɛ wɔansa eyi yiye a, ebetumi de akwahosan ho haw a emu yɛ den aba.

Ɔhaw ahorow a ɛtete saa ne:

• Cirrhosis a ɛma obi ho kyere no
• mmerɛbo mu kokoram
• Mmɛn a entumi nyɛ adwuma yiye
• Mogya a ɛba yafunu mu

Enti, elastography boa nnuruyɛfo kɛse ma wohu ayaresa ko a ɛfata ma mmerɛbo mu ntini a ɛyɛ mmerɛw. Ɛnyɛ ɛno nko, sɛ woreyɛ ayaresa a, sɔhwɛ yi nso betumi aboa ma woahu sɛnea wo mmerɛbo reyɛ n’ade wɔ saa ayaresa ahorow no ho na woahyɛ nsɛnnennen te sɛ srade a ɛbɛboaboa ano wɔ mmerɛbo no mu a ebetumi aba ho nkɔm.

Hena na ɔyɛ saa elastography nhwehwɛmu ahorow yi?

Elastography Ultrasound ne MRE yɛ nea radiologist , oduruyɛfo a ne ho akokwaw wɔ aduruyɛ mu mfoninitwa mfiridwuma mu na ɔyɛ. Mpɛn pii no wɔne wo ɔyarehwɛfo titiriw, kokoram ho ɔyaresafo, ne mmerɛbo ho ɔyaresafo yɛ adwuma yiye.

mmerɛbo mu elastography yɛ pɛpɛɛpɛ dɛn?

Ɛwom sɛ wɔayɛ nhwehwɛmu ahorow wɔ eyi ho de, nanso nnuruyɛfo dodow no ara gye tom sɛ elastography yɛ sɔhwɛ a edi mu yiye a wɔde hu mmerɛbo mu ntini a ɛyɛ mmerɛw. Nokwarem no, nnuruyɛfo pii de nhwehwɛmu yi di dwuma de hu tebea yi. Nea ɛho hia sen saa no, wɔde di dwuma nso de hwɛ sɛnea yare no reyɛ kɛse anaasɛ bere kɔ so no, ɛredi so.

Ɔkwan bɛn so na wɔyɛ saa elastography sɔhwɛ yi?

Ɔkwan a wɔfa so yɛ eyi no gu ahorow kakra a egyina sɔhwɛ ko a wɔyɛ so.

Sɛnea wɔyɛ Transient Elastography:

Eyi gye simma kakraa bi pɛ. Ntɛmntɛm paa.

• Nea edi kan no, radiologist no de gel a nsu wom bɛhyɛ wo honam ani baabi a wɔbɛhwehwɛ mu no. Wei bɛma nsaano afiri (`transducer`) no atumi akɔ honam ani ntɛmntɛm.
• Afei radiologist no de transducer no fa wo honam ani de hu beae pɔtee a akwaa a wɔbɛhwehwɛ mu no wɔ.
• Afei, saa transducer no de wosow a ɛnyɛ yaw a ɛnyɛ den kɔ nipadua no mu.
• Saa wosow yi bɔ akwaa a ɛfa ho no na ɛdannan san kɔ akyi. Saa nsɛm no kɔ kɔmputa so.
• Kɔmputa no de saa nsɛm yi yɛ `mfonini` a ɛfa akwaa a ɛfa ho no ho.
• Ɛdenam mfonini yi a ɔhwɛ so no, radiologist no betumi ahu sɛnea akwaa no te pɛpɛɛpɛ, ne kɛse, ne nsusuwii, ne ne tebea – kyerɛ sɛ, sɛnea ɛyɛ den, sɛ ebia nsu ahyɛ mu ma, ne nea ɛkeka ho.

Sɛnea wɔyɛ MRE:

MRE taa gye bɛyɛ simma 5. Nanso, sɛ wode MRI scan a edi mũ reyɛ a, ebetumi agye kakra, bɛyɛ simma 45. Nea ɛba bere a woanya MRE no ni:

• Wɔbɛma woada pon so. Ebia wɔbɛma wo abɔso nso na aboa ma woakɔ so ayɛ dinn.
• Wɔde adwinnade ketewa bi a wɔfrɛ no `driver`, si honam ani wɔ wo moma so nifa so, wɔ ase pɛɛ (sɛ woreyɛ mmerɛbo no MRE a).
• Mfiri foforɔ bi wɔ hɔ, a ɛtumi de radio asorɔkye amena na ɛgye, a ɛwɔ `draiver` no nkyɛn.
• Sɛ wɔma wo aduru a ɛma wohu nsonsonoe (nsu titiriw bi te sɛ gadolinium) a wode bɛyɛ MRI a, wɔbɛfa IV nhama a wɔde ahyɛ ntini bi mu wɔ wo nsa mu no so.
• Afei wɔde wo kɔ MRI afiri no mu. Ɛyɛ afiri a ɛte sɛ tube ketewaa bi.
• Oduruyɛfo a ɔhwɛ mframa a ano yɛ den so no di eyi nyinaa so wɔ MRI afiri no akyi, na ɔte kɔmputa ho.
• Ofirikafo no de wosow nketenkete kɔ wo mmerɛbo mu, na bere a ɛretwa ne mfonini no, wɔka kyerɛ wo sɛ kura wo home mu sikɔne kakraa bi.

Wobɛyɛ dɛn asiesie wo ho ama eyi?

Nneɛma bi a ɛsɛ sɛ wususuw ho ansa na woayɛ elastography nhwehwɛmu ni:

• Aduan: Kwati nnuan ne anonne a asikre wom ansa na woayɛ nhwehwɛmu. Nnuan a asikre wom betumi aka sɛnea mmerɛbo no tumi yɛ adwuma. Ebia wɔbɛka akyerɛ wo sɛ mmuada nnɔnhwerew kakraa bi ansa na wɔayɛ sɔhwɛ no. Ɛyɛ papa sɛ wubebisa wo duruyɛfo bere tenten pɔtee a ɛsɛ sɛ wudi mmuada.
• Ntade: Da a wobɛyɛ sɔhwɛ no, gyaw w’agude, dɔn, wo ti nhwi, nneɛma a wɔde boa aso, ne sẽ a wotumi yi fi mu wɔ fie. Hyɛ ntade a ɛyɛ fɛ na ɛnyɛ den.Ebia ɛho behia nso sɛ wohyɛ aduruyɛ atade a ayaresabea no de ama wo.
• Dade: Sɛ wowɔ dade nneɛma biara wɔ wo nipadua mu – te sɛ atuo asinasin, koma mu defibrillators dedaw anaasɛ pacemakers – ɛsɛ sɛ woka ho asɛm kyerɛ radiologist no ampa , efisɛ saa dade nneɛma yi betumi asiw MRI afiri no magnetic field kwan.
• Nyinsɛn: Sɛ woanyinsɛn a, hwɛ hu sɛ wobɛka akyerɛ wo duruyɛfo ne radiologist. Mpɛn pii no wobu elastography sɛ asiane biara nni ho bere a wɔyem no. Nanso, eye sɛ wobɛkwati MRI mfonini wɔ ɔsram abiɛsa a edi kan no mu. Nanso, sɛ wo duruyɛfo hu sɛ mfaso a ɛwɔ scan no so no dɔɔso sen asiane ahorow no nkutoo a, wobetumi ayɛ MRI mfonini wɔ saa bere yi mu.

Osuahu bɛn na wunyae wɔ sɔhwɛ no mu?

Wo radiologist bɛkyerɛkyerɛ biribiara mu akyerɛ wo bere a wɔreyɛ nhwehwɛmu no. Elastography Ultrasound ne MRE nyinaa yɛ nhwehwɛmu a ɛnyɛ yaw, a ɛnyɛ nea wɔde hyɛ nipadua mu. Enti worente ɛyaw anaa ahotɔ biara nka.

Sɛ woreyɛ MRE a, ɛsɛ sɛ wotra baabi a ɛte sɛ tube no mu simma kakraa bi. Sɛ woreyɛ MRI a edi mũ a, egye bere tenten kakra, bɛyɛ simma 45. Sɛ wowɔ claustrophobia a, di kan ka kyerɛ wo duruyɛfo ne radiologist. Afei nso, siesie wo ho sɛ wobɛkura wo home mu bɛyɛ sikani 10-15 wɔ MRE no mu.

So asiane bi wɔ eyi mu?

• Elastography ultrasound mfa asiane biara mma sɛnea wɔahu no.
• Sɛ wowɔ MRE a, sɛ wodi ahobammɔ ho nhyehyɛe a ɛfata akyi a, asiane biara nni hɔ ma onipa a ɔte ase no. Magnetic field no nyɛ nea epira. Nanso, sɛ wɔma wo aduru bi a ɛbɛma woada (`sedation`) a, asiane ahorow betumi aba wɔ saa aduru no a wode bɛma wo dodo no mu. Afei nso, hokwan ketewaa bi wɔ hɔ sɛ wobɛnya akisikuru wɔ `contrast` nsuo a wɔfrɛ no `gadolinium`, a wɔde yɛ MRI nhwehwɛmu binom nko ara no ho.

Nneɛma bɛn na efi mu ba? Dɛn na wɔka kyerɛ yɛn?

Wo elastography nhwehwɛmu no gye wo mmerɛbo no mfonini. Oduruyɛfo a ɔhwɛ mframa so no betumi de mfonini no adi dwuma de akyerɛ wo sɛnea wo mmerɛbo no mu yɛ den. Saa akisikuru yi yɛ nea ɛkyerɛ sɛnea akuru dodow wɔ wo mmerɛbo mu. Sɛnea akuru no betumi afi nea emu nyɛ den so kosi nea emu yɛ den so:

• F0 kosi F1: Biara nni hɔ anaasɛ akuru a ɛnyɛ den.
• F2: Akuru a ɛkɔ fam.
• F3: 1 .Akuru a emu yɛ den.
• F4: Akuru a emu yɛ den yiye, a ɛyɛ cirrhosis. (Akuru a ɛkɔ akyiri) .

Bere tenten ahe na egye ansa na wɔahu nea efi mu ba?

Oduruyɛfo a ɔhwɛ mframa so no bɛkyerɛ nea ebefi wo elastography scan no mu aba wɔ nna kakraa bi mu. Wɔbɛka nea ebefi mu aba no akyerɛ nnuruyɛfo afoforo a wɔde wo kɔe no. Afei, wo nnuruyɛfo no mu biako bɛfrɛ wo ma wakyerɛkyerɛ nea afi mu aba no mu na wabua nsɛmmisa biara a ebia wowɔ.

Sɛ yɛbɛbɔ no mua a (Take-Home Message) .

Elastography yɛ sɔhwɛ a ɛnyɛ nea wɔde hyɛ yɛn nipadua mu a ɛkyerɛ sɛnea ntini a ɛwɔ yɛn nipadua mu no yɛ den. Wɔtaa de hwɛ sɛ mmerɛbo mu ntini a ɛyɛ mmerɛw, tebea a ɛma akuru ba mmerɛbo no mu. Wo duruyɛfo betumi ahyɛ saa nhwehwɛmu yi sɛ wo mmerɛbo ayɛ wo hyew anaasɛ asɛe, anaasɛ wowɔ sɛnkyerɛnne ahorow a ɛkyerɛ sɛ wowɔ mmerɛbo mu yare a.

Saa sɔhwɛ yi taa yɛ ntɛmntɛm na ɛnyɛ yaw, enti biribiara nni hɔ a ɛsɛ sɛ wohaw wo ho wɔ ho. Sɛ wopɛ sɛ wuhu eyi ho nsɛm pii a, wo ne wo duruyɛfo nkasa na bisa nsɛm pii. Saa kwan no so no, wubetumi ama nsɛmmisa biara a ebia wowɔ no mu ada hɔ.

` Elastography, Mmerɛbo a Ɛyɛ Den, Fibrosis, Cirrhosis, Ultrasound Scan, MRE, FibroScan, Mmerɛbo Yare, Nhwehwɛmu, Nhwehwɛmu a Ɛyaw Nni Mu