Ðe wò ŋutinuwo le sesem le ɖokuiwò me be wole sesẽm vie le ememea? Mina míaƒo nu tso Elastography ŋu!

Èbu alesi gbegbe wòaloloe ne mɔ aɖe li si dzi míato anya kple kakaɖedzi nenye be ŋutinu vevi siwo le míaƒe ŋutilã me, abe aklã kple ayiku ene, le lãmesẽ me eye woate ŋu atrɔ ɖe nɔnɔmewo ŋu la ŋu kpɔa? Eyae nye be ne ɖe míate ŋu akpɔ nusiawo dzi amekoko alo vevesese geɖe manɔmee? Nu mae dodokpɔ sia si woyɔna be elastography wɔna. Mina míaƒo nu tso esia ŋu bɔbɔe, le mɔ si gɔme nàte ŋu ase nu.

Nukae nye elastography, ne míagblɔe kpuie ko?

Kpuie ko la, elastography nye dodokpɔ si me vevesese mele o si dzidzea míaƒe ŋutilã ƒe ŋutinuwo abe aklã ene ƒe asitɔtrɔ le nɔnɔmewo ŋu, alo "springiness." Bu eŋu kpɔ, ne míetia atikutsetse aɖe la, míetsɔa míaƒe asiwo mimiae vie be míakpɔe ɖa be eli ke loo alo wòle ƒuƒlu hã? Esia nye nu ma ke, gake mɔ̃ɖaŋununya deŋgɔ wu sã le eme.

Dodokpɔ sia zãa ʋuʋudedi siwo mebɔ o. Woɖoa ʋuʋudedi siawo to míaƒe ŋutinuwo me eye wodzidzea woƒe sesẽme. Elabena ɣeaɖewoɣi la, ne míaƒe ŋutinuwo ƒe lãkusiwo sẽna madzemadzee, si fia be ne woƒe asitɔtrɔ le nɔnɔmewo ŋu dzi ɖe kpɔtɔ la, ate ŋu anye dɔléle aɖe ƒe dzesi. Kpekpeme sia nye dzesi vevi aɖe, vevietɔ le dɔléle siwo do ƒome kple aklã me.

Ðe elastography ƒomevi aɖewo li?

Ẽ, elastography ƒomevi eve koŋue li.

1. Ultrasound Elastography (Elastography Ultrasound) alo FibroScan® ƒe dɔwɔwɔ le mɔ̃ dzi

Ame aɖewo yɔa esia hã be transient elastography. Ðewohĩ èse FibroScan® ŋkɔ kpɔ. Emae nye nusi wònye. Ele abe ultrasound dodokpɔ tɔxɛ aɖe ene ŋutɔŋutɔ .

• Le esia me la, wozãa mɔ̃ sue aɖe si wotsɔ asi léna (a `transducer`) kple gbeɖiɖi ƒe ƒutsotsoewo tsɔ xɔa wò ŋutinuwo ƒe nɔnɔmetata.
• Esia mevea ame kura o, eye wòwɔa nu kabakaba ŋutɔ. Enye nusi woate ŋu awɔ le ɣeyiɣi kpui aɖe ko me.

2. M.R. ƒe ʋuʋudedi (MRE - Magnetic Resonance Elastography) .

Esia bia be nàtsɔ gbeɖiɖi ƒe ƒutsotsoe siwo tso ultrasound me kple magnetwo kpakple radio ƒutsotsoe siwo tso MRI (Magnetic Resonance Imaging) scan me aƒo ƒui be nàkpɔ wò ŋutinuwo ƒe nɔnɔmetata siwo me kɔ.

• Nu vevitɔ kekeakee nye be womezãa keklẽŋusẽ aɖeke le esia me o.
• Ɣeaɖewoɣi la, ɖɔkta ate ŋu atso nya me be ye ɖeka yeawɔ MRE dodokpɔ sia, alo woate ŋu awɔe kpe ɖe MRI dodokpɔ bliboa ŋu.

Nukae nye ‘shear wave’ elastography sia?

Esia nye ultrasound mɔ̃ɖaŋununya yeye aɖe. Wozãnɛ hã tsɔ dzidzea ŋutinuwo ƒe lãkusiwo ƒe sesẽ.

• Èɖo ŋku asitelefon ma (si nye `transducer`) dzia? Eɖoa ʋuʋudedi siwo nu sẽ ŋutɔ ɖa. Pulse siawo wɔa ƒutsotsoe ƒomevi tɔxɛ aɖe si woyɔna be `shear waves`.
• Ƒutsotsoe siawo siwo wotsɔ lãa lãe la ɖea mɔ be woate ŋu akpɔ nɔnɔmetata siwo le nyonyome nyuitɔ kekeake ŋutɔ, siwo me kɔ .
• Togbɔ be mɔ̃ɖaŋununya sia gakpɔtɔ le ŋgɔ yim hã la, wole ezãm xoxo le ultrasound dodokpɔ aɖewo wɔwɔ me. Le kpɔɖeŋu me:
• Dodokpɔ siwo ku ɖe no ŋu
• Aklã
• Lãmetsiŋusẽ ƒe ɖoɖo
• Prostate ƒe ʋuka
• Kpɔe ɖa be thyroid nodules hã le eme hã.

Eyata nukatae wowɔa elastography dodokpɔ sia?

Susu vevitɔ kple esi bɔ wu si ta wowɔa dodokpɔ siae nye be woakpɔe ɖa be dɔléle aɖe si woyɔna be fibrosis, alo aklã ƒe abi le ŋuwò hã. Ðeko fibrosis nye abi si le aklãa ŋu. Esia ate ŋu adzɔ le eƒe gɔmedzedze eye ne womedae nyuie o la, ate ŋu ahe dɔléle sesẽ aɖe si woyɔna be cirrhosis vɛ mlɔeba.

Ne afɔkuwo le ŋuwò be nàxɔ ʋumenugbagbeviɣidɔ, alo ne èle dɔlélea ƒe dzesiwo ɖem fia la, wò ɖɔkta ate ŋu aɖo aɖaŋu be nàwɔ elastography dodokpɔ.

Vevietɔ: Fibrosis ate ŋu aɖe ʋu si to aklãa me dzi akpɔtɔ. Le ɣeyiɣi aɖe megbe la, ʋu ma ate ŋu adze ƒoƒo ɖe aklãa megbe. Ne womekpɔ esia gbɔ nyuie o la, ate ŋu ahe lãmesẽkuxi sesẽwo vɛ.

Kuxi mawoe nye:

• Cirrhosis ƒe dɔléle
• Aklã me dɔdzẽ
• Aklã ƒe dɔmawɔmawɔ nyuie
• Ʋu si dona le dɔgboa me

Eyata elastography kpena ɖe ɖɔktawo ŋu ŋutɔ be woatso nya me le atikewɔwɔ ƒomevi si sɔ na aklã me fibrosis ŋu. Menye ema ɖeɖeko o, ne èle atike zãm la, dodokpɔ sia ate ŋu akpe ɖe ŋuwò hã be nàkpɔ alesi wò aklã le nu wɔm ɖe atike mawo ŋu eye nàgblɔ kuxi siwo ate ŋu ado mo ɖa abe ami ƒe ƒoƒo ɖe aklã me ene ɖi.

Amekae wɔa elastography dodokpɔ siawo?

Elastography Ultrasound kple MRE nye esiwo keklẽŋusẽŋutinunyala , si nye ɖɔkta si bi ɖe atikewɔwɔ me nɔnɔmetatawo ɖeɖe ƒe mɔ̃ɖaŋununya me. Zi geɖe la, wowɔa dɔ kplikplikpli kple wò dɔnɔdzikpɔla vevitɔ, kansaŋutinunyala, kple aklãŋutinunyala.

Aleke gbegbee aklã ƒe elastography de pɛpɛpɛe?

Togbɔ be wowɔ numekuku vovovowo tso esia ŋu hã la, ɖɔkta akpa gãtɔ lɔ̃ ɖe edzi be elastography nye dodokpɔ si de pɛpɛpɛ ŋutɔ tsɔ dea dzesi aklã me fibrosis. Le nyateƒe me la, ɖɔkta geɖe zãa dodokpɔ sia tsɔ dea dzesi dɔléle sia. Vevietɔ wu la, wozãnɛ hã tsɔ léa ŋku ɖe alesi dɔlélea le sesẽm ɖe edzi alo le edzi ɖum le ɣeyiɣi aɖe megbe ŋu.

Aleke wowɔa elastography dodokpɔ siae?

Alesi wowɔa esiae la toa vovo vie le dodokpɔ si ƒomevi wowɔ nu.

Alesi woawɔ Transient Elastography:

Aɖabaƒoƒo ʋɛ aɖewo koe esia xɔa. Ewɔa dɔ kabakaba ŋutɔ.

• Gbã la, keklẽŋusẽŋutinunyala la atsɔ gel si me tsi le asisi ɖe wò ŋutigbalẽ ƒe akpa si woadoe kpɔ. Esia ana asimɔ̃a (`transducer`) nate ŋu aʋuʋu le ŋutigbalẽa dzi bɔbɔe.
• Emegbe keklẽŋusẽŋutinunyala la tsɔa nusi trɔa ame ƒe ŋutigbalẽ toa wò ŋutigbalẽ dzi be yeakpɔ afisi tututu ŋutinu si woado kpɔ la le.
• Fifia, mɔ̃ ma ɖoa ʋuʋudedi siwo me vevesese mele o, siwo ƒe ɣeyiɣi mede o la ɖe ŋutilãa me.
• Ʋuʋudedi siawo ƒoa ŋutinu si ŋu nya ku ɖo la eye woɖea wo fiana ɖe megbe. Nyatakaka ma yia kɔmpiuta dzi.
• Kɔmpiuta zãa nyatakaka siawo tsɔ wɔa ŋutinu si ŋu nya ku ɖo ƒe `nɔnɔmetata`.
• To nɔnɔmetata sia kpɔkpɔ me la, keklẽŋusẽŋutinunyala ateŋu akpɔ alesi tututu ŋutinua le, eƒe lolome, eƒe nɔnɔme, kple eƒe nɔnɔme – si nye alesi wòsẽe, nenye be tsi yɔe fũ, kple bubuawo.

Alesi woawɔ MRE:

Zi geɖe la, MRE xɔa abe miniti 5 ene. Gake ne èle ewɔm kple MRI-dɔdamɔnu bliboa la, ate ŋu axɔ ɣeyiɣi didi vie, anɔ abe miniti 45 ene. Nusi dzɔna ne èxɔ MRE enye si:

• Woana nàmlɔ kplɔ̃ dzi. Woate ŋu ana ka hã wò be wòakpe ɖe ŋuwò nànɔ anyi kpoo.
• Wotsɔa dɔwɔnu sue aɖe, si woyɔna be `ʋukula`, dana ɖe ŋutigbalẽa te le wò akɔta ƒe ɖusime, le ete tututu (ne èle aklã ƒe MRE wɔm).
• Mɔ̃ bubuwo li, siwo ateŋu aɖo radio ƒe ƒutsotsoewo ɖa ahaxɔ wo, siwo le `ʋukula` la xa.
• Ne wona atike si naa vovototodedeameme (tsi tɔxɛ aɖe, abe gadolinium ene) wò hena MRI la, woadoe to IV-ka si woda ɖe ʋuka aɖe me le wò alɔnu me.
• Emegbe woɖoa wò ɖe MRI-mɔ̃a me. Enye mɔ̃ si le abe mɔ̃ sue aɖe ene.
• Kekeliŋutinunyala la kpɔa nusiawo katã dzi le MRI-mɔ̃a godo, eye wòbɔbɔ nɔ kɔmpiuta gbɔ.
• Ʋukulaa ɖoa ʋuʋudedi suesuesuewo ɖe wò aklã, eye togbɔ be eɖea eƒe nɔnɔmetatawo hã la, wobia tso asiwò be nàlé wò gbɔgbɔ ɖe te sɛkɛnd ʋɛ aɖewo.

Aleke nèdzrana ɖo ɖe esia ŋu?

Nu aɖewo siwo ŋu wòle be nàbu hafi awɔ elastography dodokpɔe nye esi:

• Nuɖuɖu: Ƒo asa na nuɖuɖu kple nunono siwo me sukli le hafi nàdoe kpɔ. Nuɖuɖu siwo me sukli le ate ŋu akpɔ ŋusẽ ɖe aklã ƒe dɔwɔwɔ ƒe ŋutete dzi. Woate ŋu abia tso asiwò be nàtsi nu adɔ gaƒoƒo ʋɛ aɖewo hafi dodokpɔa nadze egɔme. Anyo wu be nàbia wò ɖɔkta ɣeyiɣi didi kae tututu wòle be nàtsi nu dɔ.
• Awudodo: Gbesigbe dodokpɔa wɔ ge la, gblẽ wò atsyɔ̃ɖonuwo, gaƒoɖokuiwo, ɖaƒoƒomɔ̃wo, tomemɔ̃wo, kple aɖuwɔwɔe siwo woate ŋu aɖe ɖa la ɖe aƒeme. Do awu siwo me kɔ, siwo me mekɔ o.Ðewohĩ ahiã hã be nàdo atikewu si kɔdzia na wò.
• Ga: Ne ganuwo le wò ŋutilã me – abe tu kakɛwo, dzitodzito me ʋu ƒe ʋuʋu alo dzitodzito ƒe mɔ̃ xoxowo ene – ele be nàgblɔ wo ŋu nya na keklẽŋusẽŋutinunyala godoo , elabena ga nu siawo ate ŋu ado kplamatse MRI-mɔ̃a ƒe magnet-ŋusẽ.
• Fufɔfɔ: Ne èfɔ fu la, kpɔ egbɔ be yegblɔe na wò ɖɔkta kple keklẽŋusẽdɔdala. Zi geɖe la, wobua elastography be ele dedie le fufɔɣi. Gake anyo wu be nàƒo asa na MRI-dɔdamɔnu le vidzidɔ ƒe ɣleti etɔ̃ gbãtɔ me. Gake ne wò ɖɔkta kpɔe be viɖe siwo le fotoɖeɖea me sɔ gbɔ wu afɔku siwo le eme ko hafi woate ŋu awɔ MRI-dɔdamɔnu le ɣeyiɣi sia me.

Nuteƒekpɔkpɔ ka ƒomevie su asiwò le dodokpɔa wɔɣi?

Wò keklẽŋusẽŋutinunyala aɖe nusianu me na wò le dodokpɔa wɔɣi. Elastography Ultrasound kple MRE siaa nye dodokpɔ siwo me vevesese mele o, siwo me womewɔa nuvevi ame o. Eyata màse veve alo vevesese aɖeke o.

Ne MRE le dɔ wɔm na wò la, ele be nànɔ teƒe si le abe mɔ̃ ene la me aɖabaƒoƒo ʋɛ aɖewo. Ne èle MRI bliboa wɔm la, exɔa ɣeyiɣi didi vie wu, anɔ abe miniti 45 ene. Ne claustrophobia le ŋuwò la, gblɔe na wò ɖɔkta kple keklẽŋusẽŋutinunyala do ŋgɔ. Azɔ hã, nɔ klalo be yealé gbɔgbɔ ɖe te abe sɛkɛnd 10-15 ene le MRE la wɔɣi.

Ðe afɔku aɖewo le esia mea?

• Elastography ultrasound mehea afɔku aɖeke vɛ abe alesi woke ɖe eŋu ene o.
• Ne wowɔ MRE la, ne wowɔ ɖe dedienɔnɔ ŋuti ɖoɖo nyuiwo dzi la, afɔku aɖeke mele ame mamã dedie ŋu o. Magnet-ŋusẽa megblẽa nu le ame ŋu o. Ke hã, ne wona atike aɖe wò be wòana nàdɔ alɔ̃ (`sedation`) la, afɔku ate ŋu anɔ atike ma nana fũu akpa me. Azɔ hã, mɔnukpɔkpɔ sue aɖe ŋutɔ li be nulɔdɔ nanɔ tsi si woyɔna be `vovototo` si woyɔna be `gadolinium`, si wozãna na MRI dodokpɔ aɖewo ko ŋu.

Nu ka ƒomevie wokpɔna tso eme? Nukae wogblɔna na mí?

Wò elastography dodokpɔa ɖea wò aklã ƒe nɔnɔmetata. Kekeliŋutinunyala ate ŋu azã nɔnɔmetata la atsɔ agblɔ alesi wò aklã sesẽe na wò. Sesẽ sia nye alesi gbegbe abi le wò aklã me ƒe dzidzenu. Afisi abi le ate ŋu atso esi nu mesẽ o dzi va ɖo esi nu sẽ dzi:

• F0 vaseɖe F1: Ðeke meli o alo abi si nu mesẽ o.
• F2: Abi siwo le lãme na ame le mɔ si sɔ nu.
• F3: .Abi siwo nu sẽ ŋutɔ.
• F4: Abi si nu sẽ ŋutɔ, si nye cirrhosis. (Abidede si de ŋgɔ) .

Ɣeyiɣi didi kae wòxɔna hafi míenyaa emetsonuwo?

Kekeliŋutinunyala la anya nusiwo do tso wò elastography scan me le ŋkeke ʋɛ aɖewo megbe. Woagblɔ emetsonuwo na ɖɔkta bubu siwo ɖo wò ɖe dɔa me. Emegbe, wò ɖɔktawo dometɔ ɖeka aƒo ka na wò be wòaɖe emetsonuwo me na wò eye wòaɖo nyabiase ɖesiaɖe si anɔ asiwò ŋu.

Kpuie ko la (Take-Home Message) .

Elastography nye dodokpɔ si me womewɔa nuvevi ame o si dzidzea lãkusi siwo le míaƒe ŋutilã me ƒe sesẽme. Zi geɖe la, wozãnɛ tsɔ léa ŋku ɖe aklã me fibrosis, si nye nɔnɔme si nana abi nɔa aklã me ŋu. Wò ɖɔkta ate ŋu adɔ dodokpɔ sia ne wò aklã xɔ dɔ alo gblẽ, alo ne ʋumenugbagbeviɣidɔ ƒe dzesiwo le ŋuwò.

Zi geɖe la, dodokpɔ sia yia edzi kabakaba eye vevesese aɖeke mele eme o, eyata naneke meli si ŋu nàtsi dzi ɖo o. Ne èdi be yeanya nu geɖe tso esia ŋu la, ƒo nu kple wò ɖɔkta eye nàbia nyatakaka bubuwo. To mɔ sia dzi la, àte ŋu akɔ nyabiase ɖesiaɖe si anɔ asiwò la me.

` Elastography, Aklã ƒe Sesẽ, Fibrosis, Cirrhosis, Ultrasound Scan, MRE, FibroScan, Aklã ƒe Dɔléle, Dɔlélewo Didi, Dodokpɔ Siwo Me Vevesese O