Elastography sɔhwɛ: Biribiara a ɛsɛ sɛ wuhu a wunsuro

So wo duruyɛfo aka akyerɛ wo sɛ yɛ scan foforo? Ebia wɔbɛfrɛ no ‘Elastography’. Ebia edin no bɛyɛ te sɛ nea ɛyɛ nwonwa kakra, nanso nokwarem no ɛyɛ sɔhwɛ a ɛyɛ mmerɛw yiye, ɛnyɛ yaw, na ɛho hia yiye. Ɛte sɛ nea wɔde ultrasound scan ayɛ. Enti mommma yennsuro eyi, na yɛnka biribiara ho asɛm tiawa.

Dɛn ne Elastography kɛkɛ?

Sɛ yɛbɛka no tiawa a, Elastography yɛ sɔhwɛ a ɛkyerɛ sɛnea akwaa ahorow a ɛwɔ yɛn nipadua mu te sɛ mmerɛbo mu "elasticity" anaasɛ ɛyɛ mmerɛw/ɛyɛ den. Ɛde wosow a ɛba fam a ɛnyɛ yaw na ɛyɛ ketewaa koraa na yentumi nte nka na edi dwuma.

Susuw ho saa kwan yi so. Mmerɛbo a ɛte apɔw te sɛ ɔpon foforo a akɔ nsu mu. Ɛyɛ mmerɛw na ɛyɛ mmerɛw. Nanso sɛ yare bi sɛe mmerɛbo no a, ɛde nkakrankakra fi ase yɛ den na ɛyɛ den. Ɛte sɛ nea ɔpon no ayow na adan ɔbo. Elastography susuw sɛnea ɛyɛ den no pɛpɛɛpɛ. Sɛ akwaa bi yɛ den dodo a, ebetumi ayɛ yare bi ho sɛnkyerɛnne.

Dɛn ne sɔhwɛ yi ahorow atitiriw?

Elastography ahorow atitiriw abien na ɛwɔ hɔ. Wo duruyɛfo bɛpaw nea eye ma wo.

Dɛn ne Shear Wave Elastography?

Eyi yɛ ɔkwan foforo foforo a efi Ultrasound mfiridwuma mu ba. Wɔ eyi mu no, wɔde asorɔkye soronko foforo (shear waves) di dwuma de susuw sɛnea ntini ahorow no yɛ den. Eyi ma wonya mfonini a emu da hɔ. Ɛwom sɛ wɔda so ara reyɛ saa mfiridwuma yi de, nanso wɔde di dwuma dedaw de hwehwɛ nneɛma te sɛ nufu, mmerɛbo, ntini, prostate, ne thyroid nodules mu.

Dɛn nti na wokamfo kyerɛ sɛ yɛ Elastography sɔhwɛ yi?

Ade titiriw nti a wɔyɛ elastography nhwehwɛmu ne sɛ wɔbɛhwɛ sɛ tebea bi a wɔfrɛ no mmerɛbo mu ntini mu yare anaa .

Fa no sɛ yɛn mmerɛbo kɔ so sɛe esiane nneɛma ahorow nti (sɛ nhwɛso no, nsa a yɛnom boro so, hepatitis virus, mmerɛbo a srade wom). Afei mmerɛbo no bɔ mmɔden sɛ ɛbɛsa ne ho yare. Wɔ saa ayaresa yi mu no, sɛnea akuru ba bere a kuru bi a ɛwɔ yɛn honam ani no sa no, saa ara na akuru ntini ba mmerɛbo no mu. Eyi ne nea yɛfrɛ no Fibrosis .

Bere a fibrosis yi kɔ so no, ɛmma mogya nkɔ mmerɛbo no mu. Sɛ wɔansa mmerɛbo no yare a, ebetumi ayɛ den koraa na ayɛ ketewaa, na ɛde tebea bi a wɔfrɛ no cirrhosis . Eyi betumi de akwahosan ho haw ahorow a emu yɛ den te sɛ mmerɛbo mu kokoram ne mmerɛbo a entumi nyɛ adwuma yiye aba.

Enti, sɛ wowɔ asiane mu sɛ wubenya mmerɛbo mu yare (e.g. mmerɛbo mu yare a srade wom, mmerɛbo mu yare) anaasɛ woreda nyarewa a ɛte saa ara ho sɛnkyerɛnne adi a, wo duruyɛfo betumi akamfo akyerɛ sɛ wɔnyɛ Elastography nhwehwɛmu. Ɛno:

• Wubetumi ahu fibrosis dodow a wowɔ no pɛpɛɛpɛ.
• Nea ɛne eyi hyia no, wubetumi asi ayaresa a eye sen biara a wɔde bɛma wo ho gyinae.
• Wobetumi ahwɛ sɛnea mmerɛbo no yɛ n’ade wɔ ayaresa ahorow a wɔde ma no ho.

Hena na ɔyɛ sɔhwɛ yi? Ɛyɛ nokware dɛn?

Mpɛn pii no , radiologist , oduruyɛfo a ne ho akokwaw wɔ aduruyɛ mu mfoninitwa mu na ɔyɛ nhwehwɛmu yi. Ɔne w’abusua oduruyɛfo ne mmerɛbo ho ɔyaresafo bɛyɛ adwuma de asi w’ayaresa ho gyinae.

Wobu sɔhwɛ yi sɛ ɛyɛ pɛpɛɛpɛ kɛse wɔ mmerɛbo mu ntini a ɛyɛ mmerɛw a wobehu mu. Bere bi a atwam no, na ɛsɛ sɛ wɔyɛ nipadua mu nhwehwɛmu na ama wɔahu tebea yi pɛpɛɛpɛ. Nanso, esiane Elastography nti, mprempren wobetumi anya saa nsɛm yi a ɛyaw biara anaasɛ ɛrempira nipadua no.

Sɛnea wɔyɛ sɔhwɛ no anammɔn biara

Ɔkwan a wobɛfa so ayɛ eyi no bɛsono kakra a egyina ɔkwan a wɔkyerɛw maa wo so.

Sɛnea wɔyɛ bere tiaa mu Elastography (Ultrasound):

Eyi begye simma kakraa bi pɛ.

1. Nea edi kan no, radiologist no de gel a ɛte sɛ nsu bɛpete wo honam ani, wɔ baabi a wo mmerɛbo no wɔ (wɔ wo yafunu nifa so, wo mpampam ase). Eyi bɛma afiri a wɔde hwehwɛ nneɛma mu no atumi akɔ wo honam ani ntɛmntɛm.

2. Afei, wɔde nsaano afiri ketewaa bi (transducer) si beae no na wɔde brɛoo kɔ anim ne akyi.

3. Saa afiri yi de ahodwiriw ketewaa bi kɔ mmerɛbo no mu a yentumi nte nka.

4. Wɔde kɔmputa susuw ahoɔhare a asorɔkye a ɛyɛ hu no bɔ mmerɛbo no na ɛdannan no san kɔ akyi. Bere a mmerɛbo no mu yɛ den no, ahoɔhare a asorɔkye yi tu kɔ soro.

5. Kɔmputa no de saa nsɛm yi di dwuma de susuw sɛnea mmerɛbo no mu yɛ den na ɛda no adi sɛ mfonini.

Sɛnea wɔyɛ MRE (Magnetic Resonance Elastography) no:

Eyi taa gye bɛyɛ simma 5, nanso sɛ wɔde MRI a edi mũ yɛ a, ebetumi agye bɛyɛ simma 45.

1. Wɔde wo bɛto pon so. Ebia wɔbɛma wo mmoa te sɛ ahama a ɛbɛboa wo ma woatra hɔ dinn.

2. Afiri ketewa bi (driver) wɔ wo moma so nifa fam (wɔ mmerɛbo no atifi).

3. Wɔde mfiri afoforo pii a ɛde radio asorɔkye mena na wogye gu honam ani a ɛbɛn hɔ no so.

4. Ɛtɔ da bi a (ɛnyɛ bere nyinaa) wɔde kankyee ketewaa bi hyɛ ntini bi mu wɔ wo basa mu na wɔde nsu titiriw bi (contrast - gadolinium) fa mu. Eyi ma mfonini ahorow no mu da hɔ.

5. Afei pon a wowɔ so no bɛkɔ MRI afiri a ɛte sɛ afiri kɛse bi mu nkakrankakra.

6. Oduruyɛfo a ɔhwɛ mframa so no tra kɔmputa bi a ɛwɔ afiri no akyi ho na ɔhwɛ sɔhwɛ no so.

7. Wɔbɛka akyerɛ wo sɛ kura wo home mu sikani kakraa bi. Saa bere no, ofirikafo no de wosow nketenkete bɛkɔ mmerɛbo no mu na watwa mfonini.

Ɔkwan bɛn so na ɛsɛ sɛ wusiesie wo ho ansa na woayɛ sɔhwɛ?

Ɛho hia yiye sɛ wudi akwankyerɛ a wo duruyɛfo de ma wo no akyi ansa na woayɛ wo elastography nhwehwɛmu no. Mpɛn pii no, wubetumi ahwɛ nneɛma te sɛ:

• Aduan: Nni anaa nnom biribiara a ɛyɛ dɛ (tii, kɔfe, anonne a ɛyɛ dɛ, nnuaba mu nsu) ansa na woayɛ sɔhwɛ no. Asikre betumi asakra mmerɛbo a ɛyɛ den no kakra. Ebia wɔbɛka akyerɛ wo sɛ mmuada nnɔnhwerew kakraa bi ansa na wɔayɛ sɔhwɛ no. Bisa wo duruyɛfo ma ɔmma wo akwankyerɛ pɔtee.
• Ntoma:Da a wobɛyɛ sɔhwɛ no, gyaw w’agude, dɔn, ne wo ti nhwi a wode bɛbɔ wo ti nhwi wɔ fie. Hyɛ ntade a ɛnyɛ den na ɛyɛ fɛ. Ebia ɛho behia sɛ wohyɛ atade soronko bi a ayaresabea no de ama wo.
• Dade nneɛma (ma MRE): Sɛ wowɔ dade nneɛma biara a wɔde oprehyɛn ahyɛ mu (e.g. pacemakers, afiri a wɔde boa aso, nkwaa a wɔde ayɛ) a, hwɛ hu sɛ wubedi kan abɔ radiologist no amanneɛ. Ebia MRI afiri no magnetic field a emu yɛ den no bɛka eyinom.
• Nyinsɛn: Sɛ wonyinsɛn anaa wususuw sɛ woanyinsɛn a, ka kyerɛ wo duruyɛfo ne radiologist. Ultrasound elastography yɛ nea asiane biara nni ho wɔ nyinsɛn mu. Nanso, wɔntaa nyɛ MRI mfonini wɔ nyinsɛn no fã a edi kan no mu.

Asiane bɛn na ɛwɔ eyi mu?

Mpɛn pii no, MRE yɛ nea asiane biara nni ho sɛ wudi ahobammɔ ho akwankyerɛ no akyi yiye a. Magnetic field no nsɛe nipadua no. Nanso, wɔ tebea horow a ɛntaa nsi mu no, obi a ne ho nyɛ no hyew wɔ aduru a wɔde ma nneɛma a ɛne ne ho bɔ abira (gadolinium) a wɔde di dwuma no ho betumi aba. Afei nso, sɛ wɔma wo aduru a ɛma wo ho dwo wo na ama wo ho adwo wo bere a wɔreyɛ nhwehwɛmu no a, asiane ahorow betumi aba bere a wobɛnom boro so no mu. Nanso, eyinom ho yɛ na koraa.

Dɛn na sɔhwɛ no mu aba ka?

Wo Elastography sɔhwɛ no ma wonya wo mmerɛbo no mfonini. Oduruyɛfo a ɔhwɛ mframa so no hwehwɛ mfonini no mu hwɛ sɛnea wo mmerɛbo no ayɛ den, anaasɛ akuru ayɛ no. Wɔtaa de saa gyinabea yi to F0 kosi F4.

Wɔ nna kakraa bi mu wɔ nhwehwɛmu no akyi no, radiologist no bɛyɛ nea efii mu bae no ho amanneɛbɔ na ɔde akɔma wo duruyɛfo a ɔresa wo yare no. Afei oduruyɛfo no bɛsan afrɛ wo abɛkyerɛkyerɛ nea afi mu aba no mu akyerɛ wo na wasusuw nea ɛsɛ sɛ wɔyɛ akyi no ho.