Ua haʻi aku kāu kauka iā ʻoe e hana i kahi ʻano scan hou? Hiki ke kapa ʻia ʻo 'Elastography'. He mea ʻē paha ke kani ʻana o ka inoa, akā he hoʻāʻo maʻalahi loa ia, ʻeha ʻole, a koʻikoʻi loa. Ua like ia me kahi scan ultrasound. No laila, mai makaʻu kākou i kēia, a e kamaʻilio kākou e pili ana i nā mea āpau me ka maʻalahi.
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He aha ka Elastography maʻalahi?
I ka ʻōlelo maʻalahi, ʻo ka Elastography kahi hoʻāʻo e ana i ka "elasticity" a i ʻole ka palupalu/paʻakikī o nā ʻōpū i loko o ko mākou kino, e like me ke akepaʻa. Hoʻohana ia i nā haʻalulu alapine haʻahaʻa ʻaʻohe ʻeha a liʻiliʻi loa a ʻaʻole hiki ke ʻike ʻia e mākou.
E noʻonoʻo i kēia ʻano. Ua like ke akepaʻa olakino me kahi huʻahuʻa hou i omo i ka wai. He palupalu a palupalu hoʻi. Akā, i ka wā e hōʻino ʻia ai ke akepaʻa e kahi maʻi, hoʻomaka mālie ia e paʻakikī a lilo i ʻoʻoleʻa. Me he mea lā ua maloʻo ka huʻahuʻa a lilo i pōhaku. Ana pololei ka Elastography i kona ʻoʻoleʻa. Inā ʻoʻoleʻa loa kekahi ʻōkana, he hōʻailona paha ia o kahi maʻi.
He aha nā ʻano nui o kēia hoʻāʻo?
ʻElua ʻano nui o ka elastography. Na kāu kauka e koho i ke ʻano kūpono loa iā ʻoe.
| ʻAno hoʻāʻo | He wehewehe maʻalahi |
|---|---|
| ʻO ka Elastography Ultrasound (Elastography Kuikawa a i ʻole FibroScan®) | ʻO kēia ke ʻano hana i hoʻohana nui ʻia. Ua like ia me kahi scan maʻamau. Hoʻohana kahi mea liʻiliʻi, lima lima (transducer) i nā nalu kani e hana i kahi kiʻi o ke kino. He hoʻāʻo wikiwiki loa kēia a ʻeha ʻole. ʻAʻole ia e hana i kekahi ʻoki a i ʻole punctures i ke kino. |
| ʻO ka Elastography Resonance Magnetic (MRE) | Pili kēia i ka hoʻohui ʻana i nā nalu kani i ʻōlelo ʻia ma luna me nā nalu magnetic a me nā lekiō mai kahi scanner MRI e hana i kahi kiʻi maopopo. ʻAʻohe radiation i hoʻohana ʻia. I kekahi manawa, hoʻoholo paha kāu kauka e hana i kahi MRE me kahi scan MRI piha. |
He aha ka Shear Wave Elastography?
ʻO kēia kekahi ʻano hana hou i loaʻa mai ka ʻenehana Ultrasound. Ma kēia, hoʻohana ʻia kekahi ʻano nalu kūikawā (nā nalu shear) e ana i ka paʻakikī o nā ʻiʻo. ʻO ka hopena, he kiʻi maopopo aʻe. ʻOiai ke hoʻomohala ʻia nei kēia ʻenehana, ua hoʻohana mua ʻia e nānā i nā mea e like me nā umauma, ke akepaʻa, nā ʻiʻo, ka prostate, a me nā nodules thyroid.
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Check Availability →No ke aha ʻoe e ʻōlelo aku ai e hana i kēia hoʻāʻo Elastography?
ʻO ke kumu nui o ka hana ʻana i kahi hoʻokolohua elastography ʻo ia ka nānā ʻana i kahi kūlana i kapa ʻia ʻo fibrosis ate .
E noʻonoʻo ʻoe ua hōʻino mau ʻia ko kākou akepaʻa ma muli o nā kumu like ʻole (no ka laʻana, ka inu nui ʻana i ka waiʻona, ka maʻi hepatitis, ke akepaʻa momona). A laila hoʻāʻo ke akepaʻa e ho'ōla iā ia iho. I loko o kēia kaʻina hana ho'ōla, e like me ka puka ʻana o kahi ʻeha i ka wā e ho'ōla ai kahi ʻeha ma ko kākou ʻili, puka mai nā ʻiʻo ʻeha i loko o ke akepaʻa. ʻO kēia ka mea a mākou e kapa nei ʻo Fibrosis .
I ka ʻōlelo maʻalahi, ʻo ka fibrosis ka paʻakikī a me ka ʻōpala o ke akepaʻa. ʻO kēia ke kahua mua ma mua o ka holomua ʻana o ke akepaʻa i ke kūlana koʻikoʻi i kapa ʻia ʻo cirrhosis.
I ka holomua ʻana o kēia fibrosis, hoʻopilikia ia i ke kahe koko ma o ke akepaʻa. Inā ʻaʻole mālama ʻia, hiki i ke akepaʻa ke lilo i ʻoʻoleʻa loa a ʻūlū, e alakaʻi ana i kahi maʻi i kapa ʻia ʻo cirrhosis . Hiki i kēia ke alakaʻi i nā pilikia olakino koʻikoʻi e like me ke kanesa o ke akepaʻa a me ka hāʻule ʻana o ke akepaʻa.
No laila, inā ʻoe e pilikia ana i ka loaʻa ʻana o nā maʻi akepaʻa (e like me ke akepaʻa momona, hepatitis) a i ʻole ke hōʻike nei i nā hōʻailona o nā maʻi like, hiki i kāu kauka ke paipai i kahi hoʻāʻo Elastography.
- Hiki iā ʻoe ke ʻike pono i ke kiʻekiʻe o ka fibrosis āu.
- Ma muli o ia mea, hiki iā ʻoe ke hoʻoholo i ka mea e hāʻawi ai i ka lāʻau lapaʻau maikaʻi loa.
- Hiki ke nānā ʻia ke ʻano o ka pane ʻana o ke akepaʻa i nā lāʻau i hāʻawi ʻia.
ʻO wai ka mea nāna e hana i kēia hoʻāʻo? Pehea ka pololei?
Hana pinepine ʻia kēia hoʻāʻo e kahi radiologist , he kauka loea i ke kiʻi ʻana i nā kiʻi lapaʻau. E hana pū ʻo ia me kāu kauka ʻohana a me kahi hepatologist e hoʻoholo i kāu lāʻau lapaʻau.
Ua manaʻo ʻia kēia hoʻāʻo he pololei loa ia i ka ʻike ʻana i ka fibrosis ake. I ka wā ma mua, pono kahi biopsy e ʻike pololei i kēia kūlana. Eia nō naʻe, mahalo i ka Elastography, hiki ke loaʻa kēia ʻike me ka ʻole o ka ʻeha a i ʻole ka pōʻino i ke kino.
Pehea e hana ai i ka hoʻāʻo ma kēlā me kēia ʻanuʻu
E ʻokoʻa iki ke ʻano o kāu hana ʻana i kēia ma muli o ke ʻano i kauoha ʻia iā ʻoe.
Pehea e hana ai i ka Transient Elastography (Ultrasound):
He mau minuke wale nō kēia e lawe ai.
1. ʻO ka mea mua, e hoʻopili ke kauka radiology i kahi gel e like me ka wai i kou ʻili, ma kahi o kou akepaʻa (ma ka ʻaoʻao ʻākau o kou ʻōpū, ma lalo o kou mau iwi ʻaoʻao). E ʻae kēia i ka mea nānā e neʻe maʻalahi ma luna o kou ʻili.
2. A laila, kau ʻia kahi mea liʻiliʻi lima (transducer) ma luna o ka ʻāpana a neʻe mālie i mua a i mua.
3. Hoʻouna kēia mea hana i kahi haʻalulu liʻiliʻi i ke akepaʻa a mākou e ʻike ʻole ai.
4. Ua ana ʻia ka wikiwiki o ka pā ʻana o nā nalu haʻalulu i ke akepaʻa a hoʻihoʻi ʻia e kahi kamepiula. Ke paʻakikī ke akepaʻa, piʻi ka wikiwiki o ka holo ʻana o kēia mau nalu.
5. Ma ka hoʻohana ʻana i kēia ʻike, ana ke kamepiula i ka paʻakikī o ke akepaʻa a hōʻike iā ia ma ke ʻano he kiʻi.
Pehea e hana ai i ka MRE (Magnetic Resonance Elastography):
ʻO ka maʻamau, he 5 mau minuke kēia, akā inā hana ʻia me kahi MRI piha, hiki ke hala ma kahi o 45 mau minuke.
1. E hoʻomoe ʻia ʻoe ma luna o kahi papaʻaina. Hiki ke hāʻawi ʻia ke kākoʻo e like me nā kaula e kōkua iā ʻoe e noho mālie.
2. Aia kahi mea liʻiliʻi (mea hoʻokele) ma ka ʻaoʻao ʻākau haʻahaʻa o kou umauma (ma luna o ke akepaʻa).
3. Ua kau ʻia kekahi mau mea hana ʻē aʻe e hoʻouna a loaʻa i nā nalu lekiō ma ka ʻili kokoke.
4. I kekahi manawa (ʻaʻole mau) hoʻokomo ʻia kahi cannula liʻiliʻi i loko o kahi aa koko i kou lima a hoʻokomo ʻia kahi wai kūikawā (contrast - gadolinium) ma o ia mea. Hoʻomaopopo kēia i nā kiʻi.
5. A laila e neʻe mālie ka papa ʻaina āu e noho nei i loko o ka mīkini MRI, kahi mea e like me kahi ʻōmole nui.
6. Noho ka radiologist ma kahi kamepiula ma waho o ka mīkini a kāohi i ka hoʻokolohua.
7. E noi ʻia ʻoe e paʻa i kou hanu no kekahi mau kekona. I kēlā manawa, e hoʻouna ka mea hoʻokele i nā haʻalulu liʻiliʻi i ke akepaʻa a lawe i nā kiʻi.
Pehea ʻoe e hoʻomākaukau ai ma mua o ka hoʻokolohua?
He mea nui loa ia e hahai i nā ʻōlelo a kāu kauka e hāʻawi ai iā ʻoe ma mua o kāu hoʻāʻo elastography. ʻO ka maʻamau, hiki iā ʻoe ke manaʻo i nā mea e like me:
- ʻAi: Mai ʻai a inu paha i kekahi mea ʻono (kī ʻono, kofe, mea inu palupalu, wai huaʻai) ma mua o ka hoʻāʻo ʻana. Hiki i ke kō ke hoʻololi iki i ke ana ʻana o ka paʻakikī o ke ake. Hiki ke noi ʻia ʻoe e hoʻokē ʻai no kekahi mau hola ma mua o ka hoʻāʻo ʻana. E noi i kāu kauka no nā kuhikuhi kikoʻī.
- Nā lole:I ka lā o ka hoʻokolohua, e waiho i kāu mau mea hoʻonani, nā wati, a me nā pine lauoho ma ka home. E ʻaʻahu i nā lole palupalu a ʻoluʻolu hoʻi. Pono paha ʻoe e ʻaʻahu i kahi lole kūikawā i hāʻawi ʻia e ka haukapila.
- Nā mea hao (no ka MRE): Inā he mau mea hao i hoʻokomo ʻia i loko o ke ʻoki kino (e like me nā pacemakers, nā mea kōkua lohe, nā hono hana), e hoʻomaopopo pono i ka radiologist ma mua. Hiki ke hoʻopilikia ʻia kēia mau mea e ke kahua magnetic ikaika o ka mīkini MRI.
- Hāpai: E haʻi i kāu kauka a me ke kauka radiology inā hāpai ʻoe a manaʻo paha ʻoe ua hāpai ʻoe. Palekana ka ultrasound elastography i ka wā hāpai. Eia nō naʻe, ʻaʻole hana pinepine ʻia nā scan MRI i ka wā mua o ka hāpai ʻana.
He aha ke ʻano o ka pilikia ma kēia?
ʻO ka nūhou maikaʻi loa, ʻaʻohe pilikia a i ʻole nā hopena ʻaoʻao i ʻike ʻia mai ka hoʻāʻo Elastography Ultrasound (FibroScan).
Palekana ka MRE inā ʻoe e hahai pono i nā ʻōlelo kuhikuhi palekana. ʻAʻole hōʻino ke kahua magnetic i ke kino. Eia nō naʻe, i nā hihia kakaikahi, hiki ke loaʻa kahi hopena maʻi i ka mea hoʻohālikelike (gadolinium) i hoʻohana ʻia. Eia kekahi, inā hāʻawi ʻia ʻoe i kahi mea hoʻomaha e hōʻoluʻolu iā ʻoe i ka wā o ka hoʻāʻo ʻana, aia paha nā pilikia e pili ana i ka overdose. Eia naʻe, he kakaikahi loa kēia.
He aha ka ʻōlelo a nā hopena o ka hoʻāʻo?
Hoʻopuka kāu hoʻāʻo Elastography i kahi kiʻi o kou ake. Hoʻopili ka radiologist i ke kiʻi e hoʻoholo i ke kiʻekiʻe o ka paʻakikī, a i ʻole ka ʻeha, o kou ake. Hoʻokaʻawale pinepine ʻia kēia pae mai F0 a i F4.
| Kahua Fibrosis | Manaʻo |
|---|---|
| F0 a i F1 | ʻAʻohe ʻeha a i ʻole ka liʻiliʻi o ka ʻeha (kūlana olakino) |
| F2 | Aia kahi ʻeha waena. |
| F3 | He ʻeha nui ke kino. |
| F4 | ʻO ka ʻeha koʻikoʻi (cirrhosis) |
I loko o kekahi mau lā o ka hoʻāʻo ʻana, e hoʻomākaukau ke kauka radiology i kahi hōʻike o nā hopena a hoʻouna aku i kāu kauka lapaʻau. A laila e kāhea hou aku ke kauka iā ʻoe e wehewehe i nā hopena iā ʻoe a kūkākūkā i nā mea e pono e hana ʻia ma hope.
Leka Lawe-Home
- He scan palekana a ʻeha ʻole ka Elastography e ana i ka paʻakikī o nā ʻōpū e like me ke akepaʻa.
- Hoʻohana nui ʻia kēia no ka nānā ʻana a me ka nānā ʻana i nā kūlana e like me ka fibrosis ate a me ka cirrhosis.
- He hoʻāʻo invasive ʻole kēia, e lilo ia i mea koho maikaʻi i ka biopsy akepaʻa ma mua.
- E hahai pono i nā ʻōlelo a ke kauka ma mua o ka hoʻāʻo ʻana, ʻoiai e pili ana i ka ʻai a me ka meaʻai.
- Inā he mau nīnau kāu, makaʻu, a kānalua paha e pili ana i kēia hoʻokolohua, mai hilahila a kamaʻilio ākea e pili ana me kāu kauka.
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