Yala aw farikolo yɔrɔw bɛ ka gɛlɛya dɔɔni kɔnɔ wa? An ka kuma Elastography kan!

Yala i delila k’i yɛrɛ ɲininka a bɛna kɛ koba ye cogo min na ni fɛɛrɛ dɔ tun bɛ yen k’a dɔn tiɲɛ na ni farikolo yɔrɔ nafama minnu bɛ an farikolo kɔnɔ, i n’a fɔ sugunɛ ni sugunɛ, olu kɛnɛyara ani ni u bɛ se ka fɛn caman kɛ wa? O kɔrɔ ye ko n’an tun bɛ se k’an janto o fɛnw na k’a sɔrɔ opereli ma kɛ walima k’a sɔrɔ an ma dusu tiɲɛ kosɛbɛ wa? Nin sɛgɛsɛgɛli in min bɛ wele ko elastography, o de bɛ o de kɛ. An ka kuma o kan cogo nɔgɔman na, cogo la min bɛ se ka faamuya.

Elastografi ye mun ye, n’an y’a fɔ cogo nɔgɔman na?

N’an y’a fɔ cogo nɔgɔman na, elastography ye sɛgɛsɛgɛli ye min tɛ dimi sɔrɔ, min bɛ an farikolo yɔrɔw, i n’a fɔ sugunɛ, olu ka sɛgɛsɛgɛli , walima u “springiness” suman. Miiri k’a filɛ, n’an ye jiriden dɔ sugandi, an b’a sɔgɔ dɔɔnin n’an bolow ye k’a lajɛ n’a jɔlen don walima n’a bɛ i n’a fɔ ɛponji? Nin ye o ko kelen ye, nka ni fɛɛrɛ kuraw ka ca kosɛbɛ.

Nin sɛgɛsɛgɛli in bɛ kɛ ni yɛrɛyɛrɛw ye minnu ka dɔgɔn. O yɛrɛyɛrɛw bɛ ci an farikolo yɔrɔw fɛ k’u gɛlɛya suman. Bari tuma dɔw la, ni an farikolo yɔrɔw bɛ gɛlɛya kun tɛ, o kɔrɔ ye ko ni u ka ladamuni dɔgɔyara, o bɛ se ka kɛ bana dɔw taamasyɛn ye. O gɛlɛya in ye taamasiɲɛ nafama ye, kɛrɛnkɛrɛnnenya la bana minnu bɛ sɔrɔ sugunɛ fɛ.

Yala elastography suguya dɔw bɛ yen wa?

Ɔwɔ, elastografi suguya fila de bɛ yen kɛrɛnkɛrɛnnenya la.

1. Ɲɛgɛnɛsiraw sɛgɛsɛgɛli (Elastography Ultrason) walima FibroScan®

O fana bɛ Weele ko transient elastography dɔw fɛ. N’a sɔrɔ aw ye FibroScan® ko mɛn. O de ye o ye. Tiɲɛ na, a bɛ i n' a fɔ ultrasound sɛgɛsɛgɛli kɛrɛnkɛrɛnnen .

• O la, bololafɛn fitinin dɔ (`transducer`) ani mankan-minɛnw bɛ Kɛ walasa k'i farikolo yɔrɔw ja Sɔrɔ.
• Nin tɛ dimi ye fewu, wa a bɛ teliya kosɛbɛ. O ye fɛn ye min bɛ se ka kɛ flash kɔnɔ.

2. M.R. Elastografi (MRE - Elastografie de résonance magnétique) .

O ye ka mankanw fara ɲɔgɔn kan minnu bɛ bɔ ultrasound la ni magnɛtiw ni arajo fiɲɛw ye minnu bɛ bɔ MRI (Magnetic Resonance Imaging) scan na walasa ka i farikolo yɔrɔw ja jɛlenw sɔrɔ.

• Min nafa ka bon kosɛbɛ, o ye ko fiɲɛ si tɛ kɛ o la.
• Tuma dɔw la, dɔgɔtɔrɔ bɛ se k’a latigɛ ka nin MRE sɛgɛsɛgɛli in kɛ a kelen na, walima a bɛ se ka kɛ ka fara MRI sɛgɛsɛgɛli dafalen kan.

Nin ‘shear wave’ elastography ye mun ye?

Nin ye ultrasound fɛɛrɛ kura ye. A bɛ kɛ fana ka farikolo yɔrɔw gɛlɛya suman.

• Aw hakili bɛ o bololaminɛn (`transducer`) la wa? A bɛ wulikanw ci minnu fanga ka bon. O 'sènw bɛ 'yɔrɔ kɛrɛnkɛrɛnnen dɔ Dabɔ min bɛ Weele ko `shear waves`.
• O sɔgɔsɔgɔninjɛw bɛ sira di jaw ma minnu ka ɲi kosɛbɛ, minnu jɛlen don .
• Hali n’o fɛɛrɛ in bɛ ka yiriwa hali bi, a bɛ ka baara kɛ ni a ye kaban ultrasound sɛgɛsɛgɛli dɔw la. I n'a fo:
• Sɛgɛsɛgɛli minnu bɛ kɛ ni sinji ye
• Biɲɛ
• Farikolo ni kolotugudaw ka sigida
• Prostate (banakisɛfagalanw).
• Aw bɛ a lajɛ ni thyroïde nodules tɛ a la.

O la, mun na nin elastography sɛgɛsɛgɛli in bɛ kɛ?

Kunba min ka teli ka nin sɛgɛsɛgɛli in kɛ, o ye ka a lajɛ ni bana dɔ bɛ aw la min bɛ wele ko fibrose, walima sugunɛbilenni. Fibrose ye sugunɛbilenni dɔrɔn ye. O bɛ se ka kɛ a daminɛ na, ni a ma furakɛ ka ɲɛ, a laban bɛ se ka kɛ sababu ye ka bana jugu dɔ lase mɔgɔ ma min bɛ wele ko cirose.

Ni farati bɛ aw la ka sirozi sɔrɔ, walima ni aw bɛ bana taamasiɲɛw jira, aw ka dɔgɔtɔrɔ bɛ se ka a fɔ aw ye ko aw ka elastography sɛgɛsɛgɛli kɛ.

Nafama: Fiɲɛbana bɛ se ka dɔ bɔ joli hakɛ la min bɛ tɛmɛ sugunɛ fɛ. Waati tɛmɛnen kɔfɛ, o joli bɛ se ka daminɛ ka ɲɔgɔn lajɛ sugunɛ kɔfɛ. Ni o ma furakɛ ka ɲɛ, o bɛ se ka kɛnɛya gɛlɛyabaw lase mɔgɔ ma.

O gɛlɛya suguw ye:

• Cirrhose (banakisɛfagalan).
• Sugunɛ kansɛri
• Sugunɛbilenni
• Kɔnɔbara basigilen joli

O la, elastografi ye dɛmɛba ye dɔgɔtɔrɔw bolo walasa ka a latigɛ furakɛli suguya min bɛnnen don sugunɛbilenni ma. O dɔrɔn tɛ, ni aw bɛ furakɛli kɛ, nin sɛgɛsɛgɛli in bɛ se ka dɛmɛ fana ka a dɔn aw ka sugunɛ bɛ o furakɛli ninnu jaabi cogo min na ani ka gɛlɛyaw kofɔ i n’a fɔ tulumafɛnw falenni sugunɛ na.

Jɔn de bɛ o elastography sɛgɛsɛgɛliw kɛ?

Elastography Ultrasound ni MRE bɛ kɛ radiyolozi dɔ fɛ , dɔgɔtɔrɔ min ka baara ɲɛsinnen bɛ furakɛli ja lajɛcogo ma. A ka ca a la, u ni aw ka furakɛli fɔlɔ kɛbaga, kansɛri furakɛla ani sugunɛ furakɛla bɛ baara kɛ ɲɔgɔn fɛ.

Sugunɛbilenni sɛgɛsɛgɛli bɛ kɛ cogo di?

Hali ni sɛgɛsɛgɛli suguya caman kɛra o kan, dɔgɔtɔrɔ fanba sɔnna a ma ko elastography ye sɛgɛsɛgɛli ye min bɛ kɛ ka ɲɛ kosɛbɛ walasa ka sugunɛbilenni dɔn. Tiɲɛ na, dɔgɔtɔrɔ caman bɛ baara kɛ ni nin sɛgɛsɛgɛli in ye walasa ka nin bana in dɔn. Min nafa ka bon kosɛbɛ, a bɛ kɛ fana ka bana in juguya walima a kunbɛncogo kɔlɔsi waati tɛmɛnen kɔfɛ.

Nin elastography sɛgɛsɛgɛli in bɛ kɛ cogo di?

O kɛcogo bɛ danfara dɔɔni ka kɛɲɛ ni sɛgɛsɛgɛli suguya ye.

Transient Elastography (Elastografie transitoire) kɛcogo:

O bɛ miniti damadɔ dɔrɔn de ta. Teliya kosɛbɛ.

• Fɔlɔ, kɛnɛyabaarakɛla bɛna jeli min bɛ kɛ ni ji ye, o kɛ aw fari yɔrɔ la min bɛna sɛgɛsɛgɛ. O bɛna a to bololabaarakɛminɛn (`transducer`) ka se ka lamaga nɔgɔya la fari kan.
• O kɔfɛ, kɛnɛyabaarakɛla bɛ fɛnɲɛnamafagalan lamaga i fari kan walasa ka farikolo yɔrɔ tigitigi dɔn min ka kan ka sɛgɛsɛgɛ.
• Sisan, o fɛn caman tigɛlikɛlan bɛ yɛrɛyɛrɛli kɛ farikolo la, dimi tɛ minnu na, minnu ka dɔgɔn.
• O yɛrɛyɛrɛw bɛ farikolo yɔrɔ min bɛ o ko la, o gosi, wa u bɛ segin kɔ. O kunnafoni bɛ taa ɔridinatɛri dɔ la.
• Ɔridinatɛri bɛ baara kɛ ni o kunnafoniw ye walasa ka `ja` dɔ dilan farikolo yɔrɔ min ɲɛsinnen bɛ o ma.
• Ni kɛnɛyabaarakɛla ye nin ja in lajɛ, a bɛ se k’a ye tigitigi farikolo yɔrɔ in bɛ cogo min na, a bonya, a cogoya, ani a cogoya – o kɔrɔ ye ko a jɔlen don cogo min na, ni a falen don ji la, a ɲɔgɔnnaw.

MRE kɛcogo:

A ka ca a la, MRE bɛ miniti 5 ɲɔgɔn ta. Nka, ni aw bɛ a kɛ ni MRI sɛgɛsɛgɛli dafalen ye, a bɛ se ka mɛn dɔɔni, miniti 45 ɲɔgɔn. Fɛn min bɛ kɛ ni i ye MRE sɔrɔ, o filɛ nin ye:

• I bɛna i da tabali kan. Aw bɛ se ka sirilanw fana di aw ma walasa ka aw dɛmɛ ka aw jɔ.
• Minɛn fitinin dɔ, n’o bɛ wele ko `driver`, o bɛ bila fari jukɔrɔ i disi kinin fɛ, a duguma dɔrɔn (n’i bɛ sugunɛ MRE kɛ).
• Minɛn wɛrɛw bɛ yen, minnu bɛ se ka arajo-fɔkanw ci ani k’u sɔrɔ, minnu bɛ `sotigi` kɛrɛ fɛ.
• Ni aw ye danfaralan (ji kɛrɛnkɛrɛnnen dɔ, i n’a fɔ gadoliniyɔmu) di aw ma MRI kama, o bɛ pikiri kɛ IV sira fɛ min bilalen don aw bolokɔni jolisira dɔ la.
• O kɔ, i bɛ ci ka don MRI masin kɔnɔ. O ye masin ye min bɛ i n’a fɔ tubabukan fitinin.
• Radiologist bɛ o bɛɛ kɔlɔsi MRI masin kɔfɛ, a sigilen bɛ ɔridinatɛri da la.
• Sotigi bɛ yɛrɛyɛrɛ misɛnninw ci i ka sugunɛ ma, wa k’a sɔrɔ a bɛ a jaw ta, a ɲininen bɛ i fɛ i ka i ninakili minɛ fo segin damadɔ.

I b’i labɛn o kama cogo di?

Aw ka kan ka fɛn minnu jateminɛ sani aw ka elastography sɛgɛsɛgɛli kɛ, olu dɔw filɛ nin ye:

• Dumuni: Aw bɛ aw yɛrɛ tanga sukaromafɛnw ni minfɛnw ma sani aw ka sɛgɛsɛgɛli kɛ. Sukaro bɛ dumuni minnu na, olu bɛ se ka nɔ bila sugunɛ ka baarakɛcogo la. A bɛ se ka ɲini aw fɛ aw ka sunɔgɔ lɛri damadɔ kɔnɔ sani sɛgɛsɛgɛli ka kɛ. A ka fisa aw ka dɔgɔtɔrɔ ɲininka tigitigi aw ka kan ka sunɔgɔ fo waati jumɛn.
• Finiw: Sɛgɛsɛgɛli don na, aw bɛ aw ka biyew, watɛsiw, kunsigiw, mɛnnikɛminɛnw ani ɲinw bɔlenw to so kɔnɔ. Aw bɛ finiw don minnu bɛ mɔgɔ lafiya, minnu tɛ don ɲɔgɔn na.Aw bɛ se ka furakɛli fini dɔ fana don min dira aw ma dɔgɔtɔrɔso fɛ.
• Nɛgɛ : Ni nɛgɛfɛn dɔw bɛ aw fari kɔnɔ – i n’a fɔ marifakisɛw, dusukun tantannikɛlan kɔrɔw walima dusukun tantannikɛlanw – aw ka kan k’u fɔ kɛnɛyabaarakɛla ye siga t’a la , barisa o nɛgɛfɛnw bɛ se ka MRI masin ka magnɛti fanga bali.
• Kɔnɔmaya: Ni aw kɔnɔma don, aw ye aw jija ka o fɔ aw ka dɔgɔtɔrɔ ni kɛnɛyabaarakɛla ye. A ka ca a la, elastografi bɛ jate ko farati tɛ kɔnɔmaya waati. Nka, a ka fisa aw ka aw yɛrɛ tanga MRI sɛgɛsɛgɛli ma kɔnɔmaya kalo saba fɔlɔ kɔnɔ. Nka, MRI sɛgɛsɛgɛli bɛ se ka kɛ o waati kɔnɔ dɔrɔn ni dɔgɔtɔrɔ y’a ye ko sɛgɛsɛgɛli nafa ka bon ni farati ye.

I ye ko sugu jumɛn sɔrɔ kɔrɔbɔli senfɛ?

Aw ka kɛnɛyabaarakɛla bɛna fɛn bɛɛ ɲɛfɔ aw ye sɛgɛsɛgɛli senfɛ. Elastography Ultrasound ni MRE fila bɛɛ ye sɛgɛsɛgɛliw ye minnu tɛ dimi sɔrɔ, minnu tɛ mɔgɔ minɛ. O la, aw tɛna dimi walima dusukasi si sɔrɔ.

Ni aw bɛ MRE kɛ, aw bɛ to yɔrɔ la min bɛ i n’a fɔ tubabukan na miniti damadɔ kɔnɔ. Ni aw bɛ MRI dafalen kɛ, a bɛ mɛn dɔɔni, miniti 45 ɲɔgɔn. Ni siran bɛ aw la, aw bɛ kɔn ka o fɔ aw ka dɔgɔtɔrɔ ni kɛnɛyabaarakɛla ye. Ani fana, aw bɛ aw labɛn ka aw ninakili minɛ fo sekɔndi 10-15 ɲɔgɔn MRE kɛtuma na.

Yala farati dɔw bɛ o la wa?

• Elastography ultrasound tɛ farati foyi lase mɔgɔ ma ka se a dan na i n’a fɔ a sɔrɔla cogo min na.
• Ni MRE bɛ mɔgɔ la, ni lakana taabolo ɲumanw tugura, farati tɛ mɔgɔ gansan ma. Magɛnni-yɔrɔ tɛ kojugu kɛ. Nka, ni fura dɔ dira aw ma walasa ka aw sunɔgɔ (`sedation`), farati bɛ se ka sɔrɔ o fura caman tali la. Ani fana, faritanabana sɔrɔli sababu ka dɔgɔn kosɛbɛ `contrast` ji la min bɛ wele ko `gadolinium`, o min bɛ kɛ MRI sɛgɛsɛgɛli dɔw dɔrɔn de la.

O nɔ sugu jumɛnw bɛ sɔrɔ? U bɛ mun fɔ an ye?

Aw ka elastography sɛgɛsɛgɛli bɛ aw ka sugunɛ ja ta. Radiologist bɛ se ka baara kɛ ni ja in ye walasa k’a fɔ aw ye aw ka sugunɛ gɛlɛyara cogo min na. O gɛlɛya in ye joli hakɛ sumanikɛlan ye min bɛ aw ka sugunɛ na. Joli hakɛ bɛ se ka bɔ a nɔgɔman na ka taa a bila a jugumanba la:

• F0 ka se F1 ma: A tɛ yen walima a bɛ kɛ ni nɔ misɛnniw ye.
• F2: Joli hakɛ danmadɔ.
• F3: 1 .Joli jugumanba.
• F4: Joginni jugumanba, o ye cirose ye. (Scarring avancé) .

A bɛ waati joli ta walasa ka o nɔw dɔn?

Radiologist bɛna aw ka elastography scan jaabiw dɔn tile damadɔ kɔnɔ. U bɛna o jaabiw tila dɔgɔtɔrɔ tɔw cɛ minnu ye aw bila ka taa. O kɔ, aw ka dɔgɔtɔrɔ dɔ bɛna aw wele walasa ka jaabiw ɲɛfɔ aw ye ani ka ɲininkali o ɲininkali kɛ aw la.

Kuma surun na (Take-Home Message) .

Elastography ye sɛgɛsɛgɛli ye min tɛ kɛ ni fɛn ye min bɛ an farikolo kɔnɔna yɔrɔw gɛlɛya jateminɛ. A ka ca a la, a bɛ kɛ ka sugunɛbilenni lajɛ, bana min bɛ kɛ sababu ye ka ŋɛɲɛ bila sugunɛ na. Aw ka dɔgɔtɔrɔ bɛ se ka nin sɛgɛsɛgɛli in yamaruya ni funu walima a tiɲɛna aw ka sugunɛ na, walima ni sirozi taamasiɲɛw bɛ aw la.

A ka ca a la nin sɛgɛsɛgɛli in bɛ teliya ani dimi tɛ a la, o la foyi tɛ hami. Ni aw b’a fɛ ka fɛn caman dɔn o ko la, aw bɛ kuma aw ka dɔgɔtɔrɔ fɛ ka kunnafoni wɛrɛw ɲini. O cogo la, ɲininkali o ɲininkali bɛ se ka kɛ i fɛ, i bɛ se k’o jɛya.

` Elastography, Sugunɛ gɛlɛya, Fibrose, Cirrhose, Ultrasound Scan, MRE, FibroScan, Sugunɛbana, Sɛgɛsɛgɛli, Dimi tɛ minnu na