Elastography dodokpɔ: Nusianu si wòle be nànya vɔvɔ̃manɔmee

Ðe wò ɖɔkta gblɔ na wò be nàwɔ scan ƒomevi yeye aɖea? Woateŋu ayɔe be 'Elastography'. Ŋkɔa aɖi nusi wɔ nuku vie, gake le nyateƒe me la, enye dodokpɔ bɔbɔe ŋutɔ, si me vevesese mele o, eye wòle vevie ŋutɔ. Ele abe ultrasound scan ene. Eyata mina míagavɔ̃ esia o, eye míaƒo nu tso nusianu ŋu bɔbɔe.

Nukae nye Elastography dzro ko?

Kpuie ko la, Elastography nye dodokpɔ si dzidzea ŋutinu siwo le míaƒe ŋutilã me, abe aklã ene ƒe "elasticity" alo woƒe fafɛ/sesẽ. Ezãa ʋuʋudedi siwo mebɔ o siwo me vevesese mele o eye wole sue ŋutɔ eye míate ŋu ase wo gɔme o.

Bu eŋu ale. Aklã si le lãmesẽ me le abe ƒumebɔbɔ yeye si xɔ tsi ene. Efa eye wòte ŋu trɔna ɖe nɔnɔmewo ŋu. Gake ne dɔléle aɖe gblẽ nu le aklãa ŋu la, edzea sesẽ gɔme vivivi eye wòsẽna. Ðeko wòle abe ɖe ƒumebɔbɔa ƒu hetrɔ zu kpe ene. Elastography dzidzea alesi tututu wòsesẽe. Ne ŋutinu aɖe sesẽ akpa la, ate ŋu anye dɔléle aɖe ƒe dzesi.

Nukawoe nye dodokpɔ sia ƒomevi veviwo?

Elastography ƒomevi vevi evee li. Wò ɖɔkta atia ƒomevi si anyo na wò.

Nukae nye Shear Wave Elastography?

Esia nye mɔnu yeye bubu si tso Ultrasound mɔ̃ɖaŋununya me. Le esia me la, wozãa ƒutsotsoe tɔxɛ bubu (shear waves) tsɔ dzidzea lãkusiwo ƒe sesẽme. Esia wɔnɛ be nɔnɔmetata si me kɔ wu. Togbɔ be wogale mɔ̃ɖaŋununya sia tom vɛ hã la, wozãnɛ xoxo tsɔ léa ŋku ɖe nuwo abe no, aklã, lãmeka, ʋuka, kple thyroid nodules ene ŋu.

Nukatae nèɖo aɖaŋu be nàwɔ Elastography dodokpɔ sia?

Susu vevitɔ si ta wowɔa elastography dodokpɔ enye be woalé ŋku ɖe nɔnɔme aɖe si woyɔna be aklã me fibrosis ŋu .

Tsɔe be míaƒe aklã nɔa gbegblẽm ɣesiaɣi le susu vovovowo ta (le kpɔɖeŋu me, ahanono fũu akpa, aklãdɔlékui, aklã si me ami le). Emegbe aklãa dzea agbagba be yeada gbe le eɖokui ŋu. Le dɔyɔyɔ sia me la, abe alesi ko abi dzɔna ne abi si le míaƒe ŋutigbalẽ ŋu haya ene la, abi ƒe lãkusi hã va nɔa aklã me. Esiae nye nusi míeyɔna be Fibrosis .

Ne fibrosis sia le ŋgɔ yim la, edoa kplamatse ʋu ƒe sisi to aklãa me. Ne womewɔ atike na aklãa o la, ate ŋu asẽ keŋkeŋ eye wòatsi, si ana woaxɔ dɔléle aɖe si woyɔna be cirrhosis . Esia ate ŋu ahe lãmesẽkuxi sesẽwo abe aklã me kansa kple aklã ƒe dɔmawɔmawɔ nyuie ene vɛ.

Eyata, ne èle afɔku me be aklãdɔ nadze dziwò (e.g. aklã si me ami le, aklãdɔ) alo èle dɔléle mawo tɔgbe ƒe dzesiwo ɖem fia la, wò ɖɔkta ate ŋu aɖo aɖaŋu na wò be nàwɔ Elastography dodokpɔ. E:

• Àte ŋu anya fibrosis ƒe agbɔsɔsɔ si tututu le ŋuwò.
• Le esia nu la, àte ŋu atso nya me le atike nyuitɔ si woawɔ na wò ŋu.
• Ate ŋu adzɔ be woalé ŋku ɖe alesi aklã wɔa nui ɖe atikewɔwɔ siwo wona ŋui ŋu.

Amekae doa dodokpɔ sia kpɔna? Aleke gbegbee wòde pɛpɛpɛe?

Zi geɖe la, keklẽŋusẽŋutinunyala , si nye ɖɔkta si bi ɖe atikewɔwɔ me nɔnɔmetatawo ɖeɖe me ye wɔa dodokpɔ sia. Awɔ dɔ kple wò ƒomea ƒe ɖɔkta kple aklãdɔdala aɖe awɔ nyametsotsowo le wò atikewɔwɔ ŋu.

Wobu dodokpɔ sia be ede pɛpɛpɛ ŋutɔ le aklã me ʋu ƒe sisi didi me. Tsã la, ehiãna be woaɖe ŋutilã ƒe akpa aɖewo ɖa hafi woate ŋu anya dɔléle sia pɛpɛpɛ. Gake le Elastography ta la, woate ŋu akpɔ nyatakaka siawo azɔ vevesese alo nuveviwɔame aɖeke manɔmee le ŋutilãa ŋu.

Alesi woawɔ dodokpɔa afɔɖeɖe ɖesiaɖe

Alesi nàwɔ esiae ato vovo vie le ƒomevi si woŋlɔ na wò nu.

Alesi woawɔ Transient Elastography (Ultrasound) ƒe dɔwɔwɔ:

Aɖabaƒoƒo ʋɛ aɖewo koe esia axɔ.

1. Gbã la, keklẽŋusẽŋutinunyala la atsɔ gel si le abe tsi ene asisi ɖe wò ŋutigbalẽ ŋu, le teƒe si wò aklã le (le wò ƒodo ƒe ɖusime, wò akɔta te). Esia ana be mɔ̃ si léa ŋku ɖe nu ŋu la nate ŋu azɔ ɖe wò ŋutigbalẽ dzi bɔbɔe.

2. Emegbe, wotsɔa asimɔ̃ sue aɖe (transducer) dana ɖe teƒea eye wotsɔa eʋuʋuna blewuu yia ŋgɔ kple megbe.

3. Mɔ̃ sia ɖoa ʋuʋudedi sue aɖe ɖe aklã si míate ŋu ase o.

4. Kɔmpiuta dzidzea duƒuƒu si ƒutsotsoe siwo ƒona ɖe aklãa dzi eye wogbugbɔna trɔna ɖe megbe. Ne aklãa le sesẽm ɖe edzi la, alesi ƒutsotsoe siawo zɔna kabakabae dzina ɖe edzi.

5. Kɔmpiutaa zãa nyatakaka siawo tsɔ dzidzea aklãa ƒe sesẽ eye wòɖenɛ fiana abe nɔnɔmetata ene.

Alesi woawɔ MRE (Magnetic Resonance Elastography) ƒe mɔnu:

Zi geɖe la, esia xɔa abe miniti 5 ene, gake ne wowɔe kple MRI blibo la, ate ŋu axɔ abe miniti 45 ene.

1. Woatsɔ wò aɖo kplɔ̃ dzi. Woate ŋu ana kpekpeɖeŋu wò abe ka ene be wòakpe ɖe ŋuwò nànɔ anyi kpoo.

2. Mɔ̃ sue aɖe (ʋukula) le wò akɔta ƒe ɖusime ƒe akpa si le anyime (le aklãa tame).

3. Wotsɔa mɔ̃ bubu geɖe siwo ɖoa radio ƒe ƒutsotsoewo ɖa hexɔa wo ɖe ŋutigbalẽ si te ɖe wo ŋu la dzi.

4. Ɣeaɖewoɣi (menye ɣesiaɣie o) wotsɔa ʋuka sue aɖe dea ʋuka aɖe me le wò alɔnu eye wodoa tsi tɔxɛ aɖe (contrast - gadolinium) to eme. Esia na nɔnɔmetataawo me kɔ nyuie wu.

5. Emegbe kplɔ̃ si dzi nèle la aʋu vivivi ayi MRI-mɔ̃a me, si le abe mɔ̃ gã aɖe ene.

6. Kekeliŋutinunyala la nɔa kɔmpiuta aɖe si le mɔ̃a godo gbɔ eye wòkpɔa dodokpɔa dzi.

7. Woabia tso asiwò be nàlé wò gbɔgbɔ ɖe te sɛkɛnd ʋɛ aɖewo. Ɣemaɣi la, ʋukulaa aɖo ʋuʋudedi suesuesuewo ɖe aklãa eye wòaɖe fotowo.

Aleke wòle be nàdzra ɖo hafi adze dodokpɔa gɔmee?

Ele vevie ŋutɔ be nàwɔ ɖe mɔfiame siwo wò ɖɔkta na wò dzi hafi awɔ wò elastography dodokpɔ. Zi geɖe la, àte ŋu akpɔ mɔ na nusiwo le abe:

• Nuɖuɖu: Mègaɖu alo ano nu vivi aɖeke (tii vivi, kɔfi, aha fafɛ, atikutsetse me tsi) hafi nàdoe kpɔ o. Sukli ate ŋu atrɔ aklã ƒe sesẽme ƒe dzidzenua vie. Woate ŋu abia tso asiwò be nàtsi nu adɔ gaƒoƒo ʋɛ aɖewo hafi dodokpɔa nadze egɔme. Bia wò ɖɔkta be wòana mɔfiame tɔxɛwo.
• Nudodowo:Gbesigbe nàwɔ dodokpɔa la, gblẽ wò atsyɔ̃ɖonuwo, gaƒoɖokuiwo, kple ɖaƒoƒo ɖe aƒeme. Do awu siwo me mekɔ o, siwo me nànɔ bɔbɔe. Ðewohĩ ahiã be nàdo awu tɔxɛ aɖe si kɔdzia na wò.
• Ganuwo (na MRE): Ne ganuwo aɖewo le asiwò siwo wotsɔ amekoko de eme (e.g. dzitodzito ƒe mɔ̃wo, tomemɔ̃wo, ƒunukpeƒe siwo wowɔ kple asi) la, kpɔ egbɔ be yena keklẽŋusẽŋutinunyala nanya do ŋgɔ. MRI-mɔ̃a ƒe magnet-ŋusẽ sesẽ ate ŋu akpɔ ŋusẽ ɖe esiawo dzi.
• Fufɔfɔ: Gblɔe na wò ɖɔkta kple keklẽŋusẽŋutinunyala ne èfɔ fu alo nèsusu be yefɔ fu. Ultrasound elastography le dedie le fufɔɣi. Gake zi geɖe la, womewɔa MRI-dɔdamɔnu le fufɔfɔ ƒe ɣleti etɔ̃ gbãtɔ me o.

Afɔku ka ƒomevie le esia me?

Zi geɖe la, MRE le dedie ne èwɔ ɖe dedienɔnɔ ŋuti mɔfiamewo dzi nyuie. Magnet-ŋusẽa megblẽa nu le ŋutilãa ŋu o. Gake le go siwo mebɔ o me la, nulɔdɔ ate ŋu adzɔ ɖe atike si wozãna tsɔ dea vovototo nu (gadolinium) ŋu. Azɔ hã, ne wona atike si naa ame ƒe dzi dzea eme le dodokpɔa wɔɣi la, afɔku ate ŋu anɔ eme ne ènoe wògbɔ eme. Ke hã, nusiawo mebɔ kura o.

Nukae dodokpɔa me tsonu gblɔ?

Wò Elastography dodokpɔa naa wò aklã ƒe nɔnɔmetata. Kekeliŋutinunyala la dzroa nɔnɔmetata la me be yeanya alesi gbegbe wò aklã sesẽ, alo abi le eŋu. Zi geɖe la, woɖoa dzidzenu sia tso F0 va ɖo F4.

Le ŋkeke ʋɛ aɖewo me tso esime wowɔ dodokpɔa la, keklẽŋusẽŋutinunyala la awɔ dodokpɔa me tsonu ŋuti nyatakaka eye wòaɖoe ɖe ɖɔkta si le dɔ wɔm na wò. Emegbe ɖɔktaa aƒo ka na wò ake be wòaɖe emetsonuwo me na wò eye wòadzro nusi wòle be woawɔ emegbe me.