Na woawɔ ultrasound na wò be nànya nu tso wò aklã ŋu!

Ðewohĩ ɖɔkta aɖe gblɔ na wò be nàwɔ aklã ƒe ultrasound, alo? Alo ɖewohĩ èse eŋu nya le afi aɖe kpɔ. Le nyateƒe me la, enye dodokpɔ bɔbɔe ŋutɔ, si me vevesese mele o, eye wòle bɔbɔe be woawɔ. Zi geɖe la, ɖɔktawo kafua dodokpɔ sia gbã be woakpɔe ɖa be kuxi aɖe le aklãa ŋu hã. Eyata mina míaƒo nu tso aklã ƒe ultrasound sia ŋu le mɔ si me kɔ eye wòle bɔbɔe nu, alo?

Nukatae ɖɔkta aɖo aɖaŋu be woawɔ aklã ƒe ultrasound?

Tsɔe be dzesi aɖewo le ŋuwò si do ƒome kple aklãdɔ, alo wò ɖɔkta de dzesi tɔtrɔ vi aɖe le ʋudodokpɔ si nèwɔ me tsonu me . Le nɔnɔme sia tɔgbe me la, ultrasound dodokpɔ siae nye mɔ bɔbɔetɔ kekeake si dzi woato anya kaba ne nane gblẽ le aklãa ŋu ŋutɔŋutɔ. Azɔ hã, ɖɔktawo zãa dodokpɔ sia tsɔ léa ŋku ɖe eŋu nenye be wote ŋu le nɔnɔmea dzi ɖum kple nenye be aklã le dɔ wɔm nyuie le amesi ŋu aklãdɔ le xoxo me. Kpuie ko la, esiae nye afɔɖeɖe gbãtɔ kple vevitɔ kekeake si woawɔ le aklãa me toto me.

Kuxi kawoe ultrasound ɖena fiana le aklã me?

Aklã me ultrasound ate ŋu ade dzesi tɔtrɔ vovovowo le míaƒe aklã me. Le kpɔɖeŋu me:

• Steatotic Liver Disease - Wogayɔa esia be " aklã si me ami le ".
• Aklã ƒe dɔdzẽ kple eƒe vuvu (Hepatitis) .
• Ne abi ƒe lãkusiwo va le aklã me (Fibrosis alo Cirrhosis) - Esia nye afɔku si le aklãa ƒe dɔmawɔmawɔ vivivi me.
• Eɖanye teƒe alo ƒunukpeƒetetedɔ aɖewo le aklãa me si mesɔ o (Liver Lesions).

Esiawoe nye aklãdɔléle si nɔa anyi didi ƒe akpa vevi etɔ̃. Tsɔ kpe ɖe eŋu la, woate ŋu azã ultrasound ƒomevi tɔxɛwo hã atsɔ akpɔ nuwo abe ʋu si yia aklãa me kple aklã ƒe lãkusi ƒe sesẽ ene.

Nɔnɔme kawo ƒomevie aklã me ultrasound ate ŋu akpe ɖe ame ŋu wòanya?

Aklã me ultrasound nye dɔwɔnu vevi aɖe ŋutɔ le dɔléle geɖe didi me. Gake ɖo ŋku edzi be ɖewohĩ eya ɖeɖe mate ŋu aɖo kpe dɔléle ɖesiaɖe dzi o. Ke hã, ate ŋu anye kpekpeɖeŋu gã aɖe ne èfia mɔ nyuitɔ ɖɔktaa. Le ultrasound la me tsonu nu la, ate ŋu ahiã be woagawɔ dodokpɔ bubuwo. Le kpɔɖeŋu me, ne èkpɔ ƒunukpeƒetetedɔ le wò aklã me la, woate ŋu abia tso asiwò be nàwɔ ŋutilã ƒe akpa aɖewo ŋuti numekuku be nànya nusi tututu wònye.

Nɔnɔme aɖewo siwo ultrasound ate ŋu akpe ɖe ame ŋu woakpɔ dɔléleae nye esi:

• Aklãdɔléle si nɔa anyi didi ƒe afɔɖeɖewo:
• Aklãdɔléle
• Steatosis (ami ƒe sisi) .
• Cirrhosis ƒe dɔléle
• Aklã ƒe ƒuƒoƒo/teƒeteƒewo:
• Aklã ƒe Ʋuʋudedi
• Liver Hemangioma (dɔdzẽ si megblẽa nu le ame ŋu o si wowɔ kple ʋukawo) .
• Aklã me Dɔdzẽ
• Nɔnɔme siwo do ƒome kple aklã ƒe ʋukawo:
• Ischemia (ʋu ƒe agbɔsɔsɔ si dzi ɖena kpɔtɔna) .
• Budd-Chiari ƒe Dɔléle
• Portal hypertension (ʋuka siwo tsɔa ʋu yia aklã me ƒe nyaƒoɖeamenu ƒe dzidziɖedzi) .
• Nɔnɔme bubu siwo gblẽa nu le wò ʋumenugbagbeviɣidɔ ŋu:
• Ascites (tsi si ƒoa ƒu ɖe ƒodo me) .
• Cholecystitis (aɖuɖɔtoe me dɔléle) .
• Choledocholithiasis (Kpe siwo le ʋuka me) .

Nukawoe nye aklã me ultrasound ƒomeviwo?

Aklã me ultrasound dodokpɔ ƒomevi vovovowo li. Ðɔkta aɖe atso nya me le ƒomevi si wòle be wòawɔ ŋu le hiahiã tɔxɛa nu. Mina míalé ŋku ɖe ƒomevi vevi ʋɛ aɖewo ŋu.

1. Ultrasound si wozãna ɖaa

Zi geɖe la, esiae nyea ultrasound gbãtɔ si wowɔna. Woyɔa esia ɣeaɖewoɣi be "Upper Right Quadrant Abdominal Ultrasound" elabena aklã le ƒodo ƒe akpa ma. Togbɔ be aklã koŋue wòléa ŋku ɖe hã la, ate ŋu alé ŋku ɖe aɖuɖɔtoe, ʋumenugbagbeviɣiwo, ɖusime ayiku, kple dɔgbo ƒe akpa aɖe hã ŋu. Elabena nusiawo katã do ƒome kple wo nɔewo.

2. Ʋukawo ƒe Ultrasound / Doppler Ultrasound

Esia léa ŋku ɖe ʋuka siwo le aklãa me kple alesi ʋu toa wo me ŋu koŋ. Wogayɔa esia be Doppler Ultrasound . Tsɔ kpe ɖe ultrasound foto siwo woɖena edziedzi ŋu la, Doppler mɔ̃ɖaŋununya ɖea ʋumenugbagbevi siwo le ʋuʋum kabakaba kple mɔ si dzi wole zɔzɔm ɖo hã fiana. Eyata woate ŋu azãe atsɔ anya nyuie wu nenye be kuxi aɖewo le ʋuka siwo naa ʋu yia aklãa me ŋu.

3. Elastography ƒe Ultrasound ƒe mɔ̃

Esia nye ultrasound ƒomevi tɔxɛ aɖe. Wogayɔnae be ɣeyiɣi kpui aɖe ƒe elastography . Edzidzea alesi gbegbe aklãa ƒe sesẽ, alo fibrosis, le. Fibrosis dzɔna ne abi ƒe lãkusiwo ƒo ƒu ɖe aklãa me. Ne egblẽ akpa la, ate ŋu ana ame naxɔ ʋumenugbagbeviɣidɔ . Le dodokpɔ sia me la, mɔ̃ tɔxɛ aɖe si woyɔna be transducer ɖoa ƒutsotsoe siwo ʋuʋuna to aklãa me. Alesi ƒutsotsoeawo zɔna kabakabae ye afia alesi gbegbe fibrosis le eme. Zi alesi duƒuƒua le du dzii la, zi nenemae fibrosis la lolonae.

4. Ultrasound si Doa Vovototodedeameme (CEUS) .

Ne wokpɔ aklã ƒe abi le ultrasound wɔwɔ edziedzi me la, ɖɔkta ate ŋu aɖe gbe be woawɔ CEUS dodokpɔ be woasrɔ̃ nu tso eŋu nyuie wu. Le dodokpɔ sia me la , wodoa nusi naa vovototodedeameme nɔa ʋuka aɖe me. Gake menye amadedee esia nye o, ke boŋ gas-ku suesuesuewoe.Ɖe. Ne amesiawo to ʋua me yi aklãa me la, teƒe mawo dzena nyuie. Gas siawo megblẽa nu le ŋutilãa ŋu o, eye mɔnukpɔkpɔ si li be nulɔdɔ nadze ame ŋu la le sue ŋutɔ.

Aleke wòle be madzra ɖo ɖe aklã ƒe ultrasound wɔwɔ ŋu?

Viɖe ɖeka si le dodokpɔ sia ŋue nye be mehiã dzadzraɖo geɖe o . Gake ne anya wɔ la, wò ɖɔkta abia tso asiwò be nàtsi nu adɔ gaƒoƒo 6 va ɖo 12 . Esia ana wò nuɖuɖumeŋusẽ naɖi ƒuƒlu eye wòaɖe nuɖuɖu kple gas si ate ŋu ado kplamatse ultrasound ƒe ƒutsotsoewo ƒe agbɔsɔsɔ dzi akpɔtɔ. Aɖuɖɔtoea hã alolo eye wòadze nyuie.

Kpɔ egbɔ be yebia yeƒe ɖɔkta tso tsinono ŋu. Ame aɖewo hã kafui be woadzudzɔ tsinono gaƒoƒo ʋɛ aɖewo hafi woawɔ fotoɖeɖedɔa. Ɣeaɖewoɣi la, tsinyegoe si yɔ fũ ate ŋu akpe ɖe ame ŋu le fotoɖeɖea me.

Nukae dzɔna ne wole aklã ƒe ultrasound wɔm?

Àwɔ dodokpɔ sia le kɔdzi alo nɔnɔmetatawo ɖeɖe ƒe dɔwɔƒe tɔxɛ aɖe . Woabia tso asiwò be nàmlɔ dodokpɔkplɔ̃ dzi, eye zi geɖe la, wò abɔ nadze ŋgɔ dzi. Kɔmpiuta ƒe screen kple mɔ̃ sue aɖe si le abe atikplɔ ene si woyɔna be transducer wand le ultrasound-mɔ̃a ŋu. Gbeɖiɖimɔ̃ sia ɖoa gbeɖiɖi ƒe ƒutsotsoe siwo ƒe tsɔtsɔme sesẽ siwo míate ŋu ase o la ɖe wò aklã me.

Emegbe, gbeɖiɖiŋutinunyala la tsɔa gel si me kɔ, si me nulɔdɔ mele o la dea wò ƒodo me. Gel sia nana kadodo nyui aɖe nɔa transducer kple wò ŋutigbalẽ dome, eye dometsotso aɖeke menɔa eŋu o. Emegbe, eʋuʋua nusi trɔa nu la yia ŋgɔ kple megbe le gelũhɛa dzi. Màse nyaƒoɖeamenu alo vevesese aɖeke o, negbe ɖe nèle veve sem vevie le teƒea hafi. Ne wole nusi trɔa nu la ʋum la, aklãa kple ŋutinu siwo ƒo xlãe ƒe nɔnɔmetatawo dzena le kɔmpiutaa dzi le ɣeyiɣi ŋutɔŋutɔ me.

Ðɔktaa aɖe nusiwo wokpɔ la ƒe foto eye ɖewohĩ wòaɖe video kpuiwo . Ɣeaɖewoɣi la, woate ŋu abia tso asiwò be nàtrɔ wò nɔnɔme, atrɔ wò gbɔgbɔ, eye nàɖe foto si me kɔ wu. Ne wokpɔ nane si mebɔ o la, woate ŋu aɖo aɖaŋu be woawɔ afɔɖeɖe bubuwo enumake, abe Doppler Ultrasound, Elastography, alo Contrast Enhancement ene.

Ɣeyiɣi didi kae wòxɔna hafi wowɔa aklã ƒe ultrasound?

Zi geɖe la , aklã ƒe ultrasound xɔa abe miniti 30 ene . Ne ehiã be nàkpɔ nu geɖe tsitotsito, alo ne èle ultrasound ƒomevi tɔxɛ aɖe wɔm la, ate ŋu axɔ ɣeyiɣi didi vie. Anyo wu be nàɖo abe gaƒoƒo ɖeka ene ɖi tso gɔmedzedze va se ɖe nuwuwu.

Nukae woakpɔ mɔ na le ultrasound wɔwɔ vɔ megbe?

Sonographer si wɔ dodokpɔa ɖoa nɔnɔmetataawo ɖe ɖɔkta bibi aɖe si woyɔna be keklẽŋusẽŋutinunyala . Ðɔkta ma srɔ̃a nu tso nɔnɔmetataawo ŋu nyuie eye wòŋlɔa nyatakaka tsitotsito. Ɣeaɖewoɣi la, keklẽŋusẽŋutinunyalaNe anya wɔ la, agblɔ nusiwo ŋu wòke ɖo le gɔmedzedzea me la na wò enumake. Ne menye nenema o la, aɖo nyatakakaa ɖe ɖɔkta ƒe tatɔ si ɖo wò ɖa. Ne dodokpɔa wu enu la, àte ŋu ayi aƒeme, aɖu nu, ano nu, ahawɔ wò dɔwɔna bubuawo katã abe alesi nèwɔnɛ ɖaa ene.

Viɖe kawoe le ultrasound tiatia be woatsɔ ado aklãa kpɔ me?

Susu vevi geɖewo li siwo tae ɖɔkta ate ŋu atia ultrasound atsɔ ado aklãa kpɔ gbã:

• Dedie: Esia magblẽ nu le ŋutilãa ŋu o.
• Noninvasive: Womedea naneke ŋutilãa me o (nane si le abe atike si wodona ene manɔmee).
• Vevesesemanɔmee: Mevea ame kura o.
• Kekeli aɖeke mele eŋu o: Menye keklẽŋusẽ abe X-ray ene o.
• ``(Contrast Agent)`` ma gɔ̃ hã megblẽa nu le ame ŋu o. Esi wònye be menye amadedee wònye o ke boŋ yae ta la, afɔku si le nulɔdɔwo me la le sue ŋutɔ.
• Woateŋu awɔe kabakaba: Kabakaba wu `(Imaging)` dodokpɔ bubu aɖewo.

Esia tae esia nye tiatia si ɖea vi ŋutɔ ɖo.

Ðe afɔku alo nugbegblẽ le ame ŋu le aklã me ultrasound mea?

Dodokpɔ sia megblẽa nu le ame ŋu o. Afɔku sue aɖe koe nye be ɖewohĩ mawɔ dɔ nyuie o. Eyae nye be ɖewohĩ mawɔ nɔnɔmetata siwo me kɔ o. Elabena gbeɖiɖiŋutinunyalae wɔa esia kple asi, eye le eƒe nuteƒekpɔkpɔ nu la, nusiwo le wò ŋutilã me ate ŋu ado kplamatse gbeɖiɖi ƒe ƒutsotsoeawo. Nuwo abe gas, ami, alo calcium si le ƒodo me (calcifications) ate ŋu ado kplamatse ultrasound la ɣeaɖewoɣi. Mɔnukpɔkpɔ sue aɖe hã li be woate ŋu aɖe nɔnɔmetataawo gɔme bubui.

Gake mègatsi dzi o! Zi geɖe la, aklã me ultrasound nye dodokpɔ gbãtɔ si ɖɔkta wɔna tsɔ dia aklã me kuxiwo. Eyata aleke kee wòɖado tso eme o, anɔ eme be wò ɖɔkta aɖe gbe be woawɔ dodokpɔ bubuwo atsɔ aɖo kpe dodokpɔa me tsonuawo dzi alo anya nu geɖe.

Aleke aklã si sɔ kple aklã si mesɔ o dzena le ultrasound me?

Le ultrasound me la, aklã si sɔ ƒe lolome, nɔnɔme, kple amadede anɔ esi edziedzi (aŋutiɖiɖi ƒe amadede vovovowo). Kekeliŋutinunyala ate ŋu atsɔ aklãa ƒe lolome kple amadede ƒe sesẽ asɔ kple ŋutinu bubu siwo te ɖe eŋu. Ele be aklãa ƒe anyime nanɔ gbadzaa eye wòafa , ke menye be wòanye ƒuƒoƒo alo ƒuƒlu o. Ne teƒe aɖewo siwo kɔ alo teƒe aɖewo le edzi la, ate ŋu anye ʋuʋudedi alo ʋuʋudedi sesẽwo. Kekeliŋutinunyala la adi ʋuka alo ʋumenugbagbeviɣidɔ ɖesiaɖe si keke le aklãa me hã.

Nɔnɔme siwo mesɔ o ate ŋu anye:

• Aklã si lolo alo le sue nye aklãdɔléle ƒe dzesi.
• ŊkumeNe ƒunukpeƒewo li la, ate ŋu anye abi (cirrhosis) alo kansa ƒe nɔnɔme (tumors).
• Togbɔ be abi aɖewo sɔ hã la, wo dometɔ geɖe ƒe amesinɔnɔ menyo o.
• Amadedea ƒe keklẽ alo viviti fia alesi lãkusia le. Ne aklã si me ami le la, eƒe keklẽ ate ŋu adzi ɖe edzi, eye ne dɔdzẽ le eŋu la, lãkusia ate ŋu aƒo eye wòado viviti. Wò ultrasound nyatakakaa aɖe nu siawo me.

Nukae nusiwo dona tso aklã me ultrasound me ɖena fiana?

Nyawo abe:

• "Echogenicity" alo "Echotexture": Esia fia aklã ƒe lãkusi ƒe keklẽ. Zi alesi ultrasound ƒutsotsoewo le keklẽm la, zi nenemae nɔnɔmetata la klẽnae (woyɔnae be "Echogenic" ). Ne woxɔ ƒutsotsoeawo la, nɔnɔmetata la doa viviti ɖe edzi (woyɔnae be "Hypoechoic" ). Aklã ƒe "Echotexture" ateŋu ana woakpɔ susu le abi, vuvu, ami ƒe ƒuƒoƒo, alo lãmenugbagbeviwo ƒe gbeɖuɖɔ bubuwo ƒe anyinɔnɔ ŋu.
• Abi: Esiawo nye abi alo tsitsi le aklã me. Zi geɖe la, keklẽŋusẽŋutinunyala ate ŋu anya alesi abi aɖe le ne wozã ultrasound. Echotexture ate ŋu akpe ɖe ame ŋu woade vovototo ʋuka si me tsi yɔ fũ kple ƒunukpeƒetetedɔ sesẽ dome. Doppler alo CEUS dodokpɔwo ate ŋu akpe ɖe ame ŋu woanya dɔdzẽ ƒe ƒomevi to ŋkuléle ɖe eƒe ʋu ŋu me.

Wò nyatakakaa ate ŋu alɔ:

• Ascites: Esia nye tsi ƒe ƒuƒoƒo ɖe ƒodo ƒe do si ƒo xlã aklãa me. Esia nye aklãdɔ sesẽ ƒe dzesi.
• Calculi: Esiawo nye kpe siwo calcium ƒe ƒuƒoƒo wɔ. Woate ŋu anye aɖuɖɔtoemekpewo alo ayiku me kpewo.
• Ʋuka bubuwo alo ʋuka siwo me ʋu sina tona: Ne ʋuka gbãtɔawo mewɔa dɔ nyuie o la, aklãa ate ŋu awɔ mɔ bubuwo.
• Fibrosis: Elastography tsɔa ultrasound dzidzea abi ƒe lãkusi ƒe agbɔsɔsɔ le aklãa me. Esia kpena ɖe ame ŋu wònyaa afisi aklãdɔlélea le.

Ɣeyiɣi didi kae wòaxɔ hafi maxɔ nye ``Nyatakaka''?

Ate ŋu axɔ ŋkeke ʋɛ aɖewo va ɖo kwasiɖa ʋɛ aɖewo hafi keklẽŋusẽŋutinunyala nawɔ ultrasound ƒe nyatakakaa eye wòaɖoe ɖe ɖɔkta si ɖoe ɖe wò. Ema ko hafi wò ɖɔkta ate ŋu adzro emetsonuwo me kpli wò.

Mlɔeba la, gbedasi si woatsɔ ayi aƒemee

Eyata èkpɔe be aklã me ultrasound menye naneke si ŋu woavɔ̃ ɖo o . Enye dodokpɔ bɔbɔe ŋutɔ, si wɔa dɔ kabakaba, eye vevesese aɖeke mele eme o. Dodokpɔ sue sia ate ŋu ana nyatakaka vevi geɖe tso wò aklã ŋu. Ɣeaɖewoɣi la, to aɖaŋu tɔxɛwo zazã me la, .Ate ŋu akpe ɖe ame ŋu woanya nɔnɔme sesẽwo abe ʋusɔgbɔdɔ, ʋusɔgbɔdɔ si le agbo nu, aklãdɔ si me ami le, kple aklã me kansa gɔ̃ hã pɛpɛpɛ abe dodokpɔ bubu siwo sesẽ wu ene. Ate ŋu akpe ɖe ŋuwò hã be nàɖe nɔnɔme mawo ɖa hafi woaɖo wò ɖe dodokpɔ siwo sesẽ wu alo esiwo me woawɔ nuvevi ame le wu.

Eyata ne ɖɔkta bia tso asiwò be nàwɔ dodokpɔ sia la, ele vevie ŋutɔ be wò lãmesẽ nawɔ ɖe mɔfiameawo dzi evɔ màhe vɔvɔ̃ si mehiã o vɛ ɖe eŋu o.

` Aklã, Aklã ƒe Ultrasound, Aklã ƒe Scan, Aklãdɔlélewo, Aklã Dodokpɔ, Ultrasound Dodokpɔ, Aklã ƒe Lãmesẽ