Nya ultrasound na hu wo mmerɛbo no ho asɛm!

Ebia oduruyɛfo bi aka akyerɛ wo sɛ yɛ mmerɛbo mu ultrasound, ɛnte saa? Anaasɛ ebia woate ho asɛm wɔ baabi. Nokwarem no, ɛyɛ sɔhwɛ a ɛyɛ mmerɛw yiye, ɛnyɛ yaw, na ɛnyɛ den sɛ wobɛyɛ. Nnuruyɛfo taa kamfo nhwehwɛmu yi kan kyerɛ sɛnea ɛbɛyɛ a wɔbɛhwɛ sɛ ɔhaw bi wɔ mmerɛbo no mu anaa. Enti, momma yɛnka mmerɛbo mu ultrasound yi ho asɛm wɔ ɔkwan a emu da hɔ na ɛnyɛ den so, ɛnte saa?

Dɛn nti na oduruyɛfo bɛkamfo akyerɛ sɛ wɔnyɛ mmerɛbo mu ultrasound?

Fa no sɛ wowɔ sɛnkyerɛnne ahorow bi a ɛfa mmerɛbo mu yare ho, anaasɛ wo duruyɛfo ahu nsakrae kakra wɔ nea efii mogya mu nhwehwɛmu a woyɛe mu bae no mu . Wɔ tebea a ɛte saa mu no, saa ultrasound nhwehwɛmu yi ne ɔkwan a ɛyɛ mmerɛw sen biara a wobɛfa so ahu ntɛm sɛ ebia biribi asɛe wɔ mmerɛbo no ho ankasa anaa. Afei nso, nnuruyɛfo de sɔhwɛ yi di dwuma de hwɛ sɛ ebia wɔatumi adi tebea no so ne sɛ ebia mmerɛbo no reyɛ adwuma yiye wɔ obi a ɔwɔ mmerɛbo mu yare dedaw mu anaa. Sɛ yɛbɛka no tiawa a, eyi ne ade a edi kan ne nea ɛho hia sen biara a ɛsɛ sɛ woyɛ de hwɛ mmerɛbo no mu.

Ɔhaw bɛn na ultrasound da no adi wɔ mmerɛbo no mu?

Berɛbo mu ultrasound tumi hu nsakrae ahorow a aba yɛn mmerɛbo mu. Nhwɛsoɔ:

• Steatotic Liver Disease - Wɔsan frɛ eyi " srade mmerɛbo".
• Mpɔtorɔ a ɛyɛ hyew na ɛhoa (Hepatitis) .
• Sɛ ebia akuru ntini ayɛ wɔ mmerɛbo no mu (Fibrosis anaa Cirrhosis) - Eyi ne asiane a ɛwɔ hɔ sɛ mmerɛbo no bedi huammɔ nkakrankakra.
• Sɛ́ ebia nsensanee anaa akuru bi a ɛnyɛ ne kwan so wɔ mmerɛbo no mu (Liver Lesions).

Eyinom ne nneɛma atitiriw abiɛsa a ɛde mmerɛbo mu yare a ɛtra hɔ kyɛ ba. Nea ɛka ho no, wobetumi de ultrasound ahorow soronko nso ahwɛ nneɛma te sɛ mogya a ɛkɔ mmerɛbo no mu ne sɛnea mmerɛbo no mu ntini no yɛ den no.

Tebea ahorow bɛn na mmerɛbo mu ultrasound betumi aboa ma wɔahu?

Berɛbo mu ultrasound yɛ adwinnade a ɛho hia yiye wɔ nyarewa pii a wohu mu. Nanso kae sɛ ebia ɛno nkutoo rentumi nsi yare biara so dua. Nanso, ebetumi aboa kɛse sɛ wobɛkyerɛ oduruyɛfo no kwan pa so. Ebia ɛho behia sɛ wɔyɛ nhwehwɛmu foforo a egyina nea efi ultrasound no mu ba so. Sɛ nhwɛso no, sɛ wuhu akisikuru bi wɔ wo mmerɛbo mu a, ebia wɔbɛka akyerɛ wo sɛ yɛ biopsy na ama woahu nea ɛyɛ ankasa.

Tebea horow bi a ultrasound betumi aboa ma wɔahu ni:

• Mmerewa mu yare a ɛtra hɔ kyɛ no fã ahorow:
• Hepatitis a ɛyɛ mmerɛbo mu yare
• Steatosis (srade a ɛwɔ nipadua no mu) .
• Cirrhosis a ɛma obi ho kyere no
• Mmerɛbo mu akisikuru/nsonsonoe:
• Mmerɛbo mu Nkwammoaa
• Liver Hemangioma (akisikuru a asiane biara nni ho a mogya ntini na ɛyɛ) .
• Mmɛn mu Kokoram
• Tebea horow a ɛfa mmerɛbo no mogya ntini ho:
• Ischemia (mogya a ɛso tew) .
• Budd-Chiari Nyarewa a Ɛyare no
• Portal hypertension (nhyɛso a ɛkɔ soro wɔ ntini a ɛde mogya kɔ mmerɛbo no mu) .
• Tebea afoforo a ɛka wo biliary nhyehyɛe no:
• Ascites (nsu a ɛboaboa ano wɔ yafunu mu) .
• Cholecystitis (akisikuru a ɛyɛ hyew) .
• Choledocholithiasis (Abo a ɛwɔ ntini a ɛma mogya tu) .

Dɛn ne mmerɛbo mu ultrasound ahorow?

Ɛsono sɛnea wɔyɛ mmerɛbo mu ultrasound nhwehwɛmu ahorow. Oduruyɛfo bi begyina ahiade pɔtee no so asi ɔkwan a ɔbɛfa so ayɛ no ho gyinae. Momma yɛnhwɛ ahorow atitiriw no mu kakraa bi.

1. Ultrasound a Wɔde Di Dwuma a Wɔde Di Dwuma

Mpɛn pii no eyi ne ultrasound a edi kan a wɔyɛ. Ɛtɔ da bi a wɔfrɛ no "Upper Right Quadrant Abdominal Ultrasound" efisɛ mmerɛbo no wɔ saa yafunu no fã no. Ɛwom sɛ ɛhwɛ mmerɛbo titiriw de, nanso etumi hwɛ akisikuru, ntini a ɛma mogya tu, asaabo nifa, ne dwensɔtwaa no fã bi nso. Efisɛ eyinom nyinaa wɔ abusuabɔ.

2. Ntini mu Nneɛma a Wɔde Yɛ Nneɛma / Doppler Ultrasound

Eyi hwɛ mogya ntini a ɛwɔ mmerɛbo no mu ne sɛnea mogya fa mu no pɔtee. Wɔsan frɛ eyi Doppler Ultrasound . Nea ɛka mfonini ahorow a wɔde ultrasound yɛ daa ho no, Doppler mfiridwuma nso kyerɛ ahoɔhare ne ɔkwan a mogya mu nkwammoaa fa so tu. Enti, wobetumi de adi dwuma yiye de ahu sɛ ɔhaw bi wɔ ntini a ɛde mogya kɔ mmerɛbo no mu no mu anaa.

3. Ɛlastography Ultrasound a Wɔde Yɛ Nneɛma

Eyi yɛ ultrasound soronko bi. Wɔsan frɛ no bere tiaa mu elastography . Ɛkyerɛ sɛnea mmerɛbo no mu yɛ den, anaasɛ ɛyɛ fibrosis . Fibrosis ba bere a akuru ntini boaboa ano wɔ mmerɛbo no mu no. Sɛ ɛyɛ bɔne dodo a, ebetumi ama obi anya akisikuru . Wɔ sɔhwɛ yi mu no, afiri titiriw bi a wɔfrɛ no transducer de asorɔkye a ɛyɛ hu fa mmerɛbo no mu. Ahoɔhare a asorɔkye no tu no na ɛkyerɛ sɛnea fibrosis no te. Dodow a ahoɔhare no yɛ ntɛmntɛm no, dodow no ara na fibrosis no yɛ kɛse.

4. Ultrasound a Wɔde Ma Nsonsonoe (CEUS) .

Sɛ wohu mmerɛbo mu akuru bi bere a wɔreyɛ ultrasound daa a, oduruyɛfo betumi ahyɛ sɛ wɔnyɛ CEUS nhwehwɛmu na wɔasua ho ade yiye. Wɔ sɔhwɛ yi mu no , wɔde aduru bi a ɛma nsonsonoe gu ntini bi mu. Nanso, eyi nyɛ ade a wɔde yɛ ade, na mmom mframa nketenkete a ɛyɛ ahurututu.Bi. Sɛ eyinom fa mogya no mu kɔ mmerɛbo no mu a, saa nsensanee no da adi pefee. Saa mframa a ɛyɛ hu yi nsɛe nipadua no biara, na hokwan a ɛwɔ hɔ sɛ obi ho bɛtɔ no no sua koraa.

Ɔkwan bɛn so na ɛsɛ sɛ misiesie me ho ma mmerɛbo mu ultrasound?

Mfaso biako a ɛwɔ sɔhwɛ yi so ne sɛ enhia sɛ wosiesie wɔn ho pii . Nanso, sɛ ɛbɛyɛ yiye a, wo duruyɛfo bɛka akyerɛ wo sɛ mmuada nnɔnhwerew 6 kosi 12 . Eyi bɛma wo menewam ntini no mu da mpan na ama aduan ne mframa dodow a ebetumi asiw ultrasound asorɔkye no kwan no so atew. Akisikuru no nso bɛyɛ kɛse na wɔahu no pefee.

Hwɛ hu sɛ wubebisa wo duruyɛfo no nsu a wobɛnom ho asɛm. Nnipa binom nso kamfo kyerɛ sɛ wonnyae nsu a wɔnom nnɔnhwerew kakraa bi ansa na wɔayɛ scan no. Ɛtɔ mmere bi a, akisikuru a ayɛ ma no betumi aboa ma wɔayɛ scan no.

Dɛn na ɛba bere a wɔreyɛ mmerɛbo mu ultrasound no?

Wobɛyɛ saa sɔhwɛ yi wɔ ayaresabea anaa beae titiriw bi a wɔyɛ mfoninitwa . Wɔbɛka akyerɛ wo sɛ da sɔhwɛ pon so, na mpɛn pii no wo nsa kyerɛ soro. Ultrasound afiri no wɔ kɔmputa so screen ne afiri ketewaa bi a ɛte sɛ poma a wɔfrɛ no transducer wand. Saa transducer yi de nnyigyei asorɔkye a ano yɛ den a yentumi nte kɔ wo mmerɛbo mu.

Afei, sonographer no de gel a emu da hɔ a ɛmma wo ho nyɛ wo hyew gu wo yafunu mu. Saa gel yi ma transducer no ne wo honam ani di nkitaho yiye, a nsonsonoe biara nni mu. Afei, ɔde transducer no kɔ anim ne akyi wɔ gel no so. Worente nhyɛso anaa ɛyaw biara nka, gye sɛ wowɔ ɛyaw a emu yɛ den wɔ beae hɔ. Bere a wɔde transducer no rekɔ no, wɔda mmerɛbo no ne akwaa a atwa ho ahyia no mfonini adi wɔ kɔmputa no so wɔ bere ankasa mu.

Oduruyɛfo no bɛtwe nea wohu no ho mfonini na ebia wayɛ video ntiantiaa . Ɛtɔ da bi a, ebia wɔbɛka akyerɛ wo sɛ sesa wo gyinabea, sesa sɛnea wohome, na twa mfonini a emu da hɔ. Sɛ wohu biribi a ɛyɛ soronko a, wobetumi ahyɛ nyansa sɛ wɔnyɛ anammɔn foforo ntɛm ara, te sɛ Doppler Ultrasound, Elastography, anaa Contrast Enhancement.

Bere tenten ahe na egye na wɔde ayɛ mmerɛbo mu ultrasound?

Mpɛn pii no mmerɛbo mu ultrasound gye bɛyɛ simma 30 . Sɛ ɛho hia sɛ wuhu nsɛm pii, anaasɛ woreyɛ ultrasound soronko bi a, ebia ebegye bere tenten kakra. Ɛyɛ papa sɛ wode bɛyɛ dɔnhwerew biako besi hɔ fi mfiase kosi awiei.

Dɛn na ɛsɛ sɛ yɛhwɛ kwan bere a wɔayɛ ultrasound awie no?

Sonographer a ɔyɛɛ nhwehwɛmu no de mfonini ahorow no kɔma oduruyɛfo titiriw bi a wɔfrɛ no radiologist . Saa oduruyɛfo no sua mfonini ahorow no yiye na ɔkyerɛw amanneɛbɔ a ɛkɔ akyiri. Ɛtɔ mmere bi a, radiologist noSɛ ɛbɛyɛ yiye a, ɔbɛka nea odii kan hui no ho asɛm akyerɛ wo ntɛm ara. Anyɛ saa a, ɔde amanneɛbɔ no bɛkɔ akɔma oduruyɛfo panyin a ɔde wo kɔe no. Sɛ wowie sɔhwɛ no a, wubetumi akɔ fie, adidi, anom, na woayɛ wo dwumadi afoforo nyinaa sɛnea wotaa yɛ no.

Mfaso bɛn na ɛwɔ so sɛ wobɛpaw ultrasound de ahwehwɛ mmerɛbo no mu?

Nneɛma atitiriw pii nti na oduruyɛfo betumi apaw ultrasound de adi kan ahwɛ mmerɛbo no mu:

• Ahobammɔ: Eyi rempira nipadua no.
• Noninvasive: Wɔmfa biribiara nhyɛ nipadua no mu (a wɔmfa biribiara te sɛ aduru a wɔde twitwiw nipadua no mu).
• Ɛyaw nnim: Ɛnyɛ yaw koraa.
• Radiation biara nni hɔ: Ɛnyɛ radioactive te sɛ X-ray.
• Saa ``(Contrast Agent)`` no mpo nyɛ asiane. Esiane sɛ ɛnyɛ ade a wɔde yɛ ade na mmom ɛyɛ mframa nti, asiane a ɛwɔ hɔ sɛ obi ho bɛtɔ no no sua koraa.
• Wobetumi ayɛ no ntɛmntɛm: Ɛyɛ ntɛmntɛm sen `(Imaging)` sɔhwɛ afoforo bi.

Eyi nti na eyi yɛ paw a mfaso wɔ so yiye no.

So asiane anaa nsunsuanso bɔne bi wɔ mmerɛbo mu ultrasound mu?

Nsunsuanso bɔne biara nni sɔhwɛ yi mu. Asiane ketewaa bi pɛ ne sɛ ebia ɛrenyɛ adwuma yiye. Ɛne sɛ, ebia ɛremma mfonini ahorow a emu da hɔ mma. Efisɛ sonographer no de nsa na ɛyɛ, na egyina ne suahu so no, nneɛma a ɛwɔ wo nipadua mu betumi asiw nnyigyei asorɔkye no kwan. Ɛtɔ mmere bi a nneɛma te sɛ gas, srade, anaa calcium a ɛwɔ yafunu mu (calcifications) betumi asiw ultrasound no kwan. Hokwan ketewaa bi nso wɔ hɔ sɛ ebia wɔbɛkyerɛ mfonini ahorow no ase wɔ ɔkwan a ɛnteɛ so.

Nanso mma ɛnhaw wo! Mpɛn pii no, mmerɛbo mu ultrasound ne nhwehwɛmu a edi kan a oduruyɛfo yɛ de hwehwɛ mmerɛbo mu haw ahorow. Enti, ɛmfa ho nea ebefi mu aba biara no, ɛda adi sɛ wo duruyɛfo no bɛhyɛ sɛ wɔnyɛ nhwehwɛmu afoforo de si nea efi mu ba no so dua anaasɛ obehu pii.

Bere a mmerɛbo a ɛteɛ ne mmerɛbo a ɛnteɛ te dɛn wɔ ultrasound mu?

Wɔ ultrasound mu no, mmerɛbo a ɛteɛ no benya ne kɛse, ne nsusuwii, ne kɔla a ɛkɔ so daa (a ɛyɛ fitaa ahorow ahorow). Oduruyɛfo a ɔhwɛ mframa a ano yɛ den no betumi de mmerɛbo no kɛse ne ne kɔla a ano yɛ den atoto akwaa afoforo a ɛbɛn ho no ho. Ɛsɛ sɛ mmerɛbo no ani yɛ torotoro na ɛyɛ mmerɛw , ɛnsɛ sɛ ɛyɛ kurukuruwa anaasɛ ɛyɛ mmerɛw. Sɛ mmeae bi a ɛkorɔn anaa nsensanee bi wɔ soro a, ebetumi ayɛ akisikuru anaasɛ nneɛma a ɛyɛ den. Oduruyɛfo a ɔhwɛ mframa a ano yɛ den no nso bɛhwehwɛ mogya ntini anaa bile ntini biara a atrɛw wɔ mmerɛbo no mu.

Tebea horow a ɛnyɛ ne kwan so betumi ayɛ:

• Berɛbo a ayɛ kɛse anaa atew no yɛ mmerɛbo mu yare ho sɛnkyerɛnne.
• AniSɛ akuru wɔ hɔ a, ebetumi ayɛ akuru (cirrhosis) anaa kokoram tebea (akisikuru).
• Ɛwom sɛ akuru bi yɛ nea ɛfata de, nanso sɛ wunya pii dodo a, ɛnyɛ papa.
• Kɔla no a ɛhyerɛn anaa ɛyɛ sum no kyerɛ sɛnea ntini no te. Sɛ mmerɛbo a srade wom wɔ hɔ a, hyerɛn no betumi ayɛ kɛse, na sɛ ɔfe wɔ hɔ a, ntini no betumi ayɛ den na ayɛ tumm. Wo ultrasound amanneɛbɔ no bɛkyerɛkyerɛ saa nneɛma yi mu.

Dɛn na nea efi mmerɛbo mu ultrasound mu ba no kyerɛ?

Ebia nsɛm te sɛ:

• "Echogenicity" anaa "Echotexture": Eyi kyerɛ sɛnea mmerɛbo no mu ntini no hyerɛn. Dodow a ultrasound asorɔkye no da adi no, dodow no ara na mfonini no yɛ hann (wɔfrɛ no "Echogenic" ). Sɛ asorɔkye no twetwe a, mfonini no yɛ tuntum (wɔfrɛ no "Hypoechoic" ). "Echotexture" a ɛwɔ mmerɛbo no mu no betumi ama wɔanya adwene sɛ akuru, ɛho ahonhon, srade a ɛwɔ hɔ, anaa nneɛma afoforo a ɛma nipadua no yɛ adwuma wɔ hɔ.
• Akuru: Eyinom yɛ akuru anaa nea enyin wɔ mmerɛbo no mu. Mpɛn pii no, radiologist betumi ahu sɛnea akuru bi te fi ultrasound mu. Echotexture betumi aboa ma wɔahu nsonsonoe a ɛda akisikuru a nsu ahyɛ mu ma ne akisikuru a ɛyɛ den ntam. Doppler anaa CEUS nhwehwɛmu betumi aboa ma wɔahu akisikuru ko denam ne mogya a wɔbɛhwɛ so.

Ebia w’amanneɛbɔ no nso bɛka:

• Ascites: Eyi ne nsu a ɛboaboa ano wɔ yafunu mu a atwa mmerɛbo no ho ahyia no mu. Eyi yɛ mmerɛbo mu yare a emu yɛ den ho sɛnkyerɛnne.
• Calculi: Eyinom yɛ abo a calcium a ɛwɔ mu na ɛyɛ. Ebetumi ayɛ akisikuru anaa asaabo mu abo.
• Mogya ntini anaa bile ntini foforo: Sɛ mfitiase ntini no anyɛ adwuma yiye a, mmerɛbo no betumi ama akwan foforo aba.
• Fibrosis: Elastography de ultrasound susuw akuru ntini dodow a ɛwɔ mmerɛbo no mu. Eyi boa ma wohu baabi a mmerɛbo mu yare no wɔ.

Bere tenten ahe na ebegye ansa na me nsa aka m’amanneɛbɔ?

Ebia ebegye nna kakraa bi kosi adapɛn kakraa bi ansa na radiologist no asiesie ultrasound amanneɛbɔ no na ɔde akɔma oduruyɛfo a ɔde wo rekɔma wo no. Ɛno ansa na wo duruyɛfo no betumi ne wo asusuw nea ebefi mu aba no ho.

Awiei koraa no, nkrasɛm a wɔde kɔ fie

Enti, woahu, mmerɛbo mu ultrasound nyɛ biribi a ɛsɛ sɛ wosuro . Ɛyɛ sɔhwɛ a ɛyɛ mmerɛw yiye, ɛyɛ ntɛm, na ɛnyɛ yaw. Saa sɔhwɛ ketewaa yi betumi ama woanya wo mmerɛbo ho nsɛm a ɛsom bo pii. Ɛtɔ mmere bi a, sɛ wɔde akwan titiriw bi di dwuma a, .Ebetumi aboa ma wɔahu tebea horow a emu yɛ den te sɛ akisikuru, mogya mmoroso a ɛwɔ apon ano, mmerɛbo mu yare a srade wom, ne mmerɛbo mu kokoram mpo pɛpɛɛpɛ te sɛ nhwehwɛmu afoforo a ɛyɛ den kɛse no. Ebetumi nso aboa ma wɔayi tebea horow a ɛtete saa afi hɔ ansa na wɔde wo akɔyɛ nhwehwɛmu a ɛyɛ den anaasɛ ɛyɛ hu.

Enti, sɛ oduruyɛfo bi ka kyerɛ wo sɛ yɛ nhwehwɛmu yi a, ɛho hia paa sɛ w’akwahosan di akwankyerɛ no akyi a ɛremma ehu a ɛho nhia mma wɔ ho.

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