Yu dɔktɔ dɔn tɛl yu fɔ du nyu kayn skan? Dɛn kin kɔl am ‘Elastography’. Di nem kin tan lɛk se i strenj smɔl, bɔt fɔ tru, na tɛst we rili simpul, we nɔ de mek pɔsin fil pen, ɛn we rili impɔtant. I tan lɛk we dɛn de du ɔltra saund skan. So lɛ wi nɔ fred dis, ɛn lɛ wi tɔk bɔt ɔltin simpul wan.
Wetin na Ɛlastografi simpul wan?
Fɔ tɔk am simpul wan, Ɛlastografi na tɛst we de mɛzhɔ di "elasticity" ɔ di sɔft/stiffness fɔ di ɔgan dɛn na wi bɔdi, lɛk di liva. I de yuz low-frequency vibrations we nɔ de pen ɛn we rili smɔl ɛn wi nɔ go ebul fɔ fil.
Tink bɔt am dis we. Liva we gɛt wɛlbɔdi tan lɛk nyu spɔnj we dɔn sok wata. I saf ɛn i kin chenj chenj. Bɔt we sik dɔn pwɛl di liva, smɔl smɔl i kin bigin fɔ at ɛn stif. I tan lɛk se di spɔnj dɔn dray ɛn tɔn to ston. Ɛlastografi de mɛzhɔ ɛksaktɔli aw i stif. If wan ɔgan tu stif, i kin bi sayn fɔ se pɔsin gɛt sik.
Wetin na di men kayn we dɛn fɔ du dis tɛst?
Tu men kayn elastografi de. Yu dɔktɔ go pik di kayn we we go fayn fɔ yu.
| Test tayp | Simpul ɛksplen |
|---|---|
| Ɔltrasɔund Ɛlastografi (Transiɛnt Ɛlastografi ɔ FibroSkan®) | Dis na di we aw dɛn kin yuz mɔ. I tan lɛk we dɛn kin skan ɔltɛm. Wan smɔl tin we pɔsin kin ol wit an (transducer) kin yuz sawnd wev fɔ mek wan pikchɔ bɔt di ɔgan. Dis na tɛst we kin rili kwik ɛn we nɔ kin mek pɔsin fil pen. I nɔ de mek ɛni kɔt ɔ pank na di bɔdi. |
| Magnɛtik Rɛsɔnans Ɛlastografi (MRE) . | Dis min se dɛn fɔ jɔyn di sawnd wev dɛn we wi dɔn tɔk bɔt wit di magnɛtik ɛn redio wev dɛn we de kɔmɔt na wan MRI skan fɔ mek dɛn gɛt klia pikchɔ. Dɛn nɔ de yuz ɛni raytin. Sɔntɛnde, yu dɔktɔ kin disayd fɔ du MRE wit ful MRI skan. |
Wetin na Shia Wev Ɛlastografi?
Dis na ɔda nyu we we kɔmɔt frɔm Ultrasound teknɔlɔji. insay dis, dεn de yuz כda spεshal tכp wev (shia wev) fכ mכsu di stiffness fכ di tisu dεm. Dis kin mek di pikchɔ klia. Pan ɔl we dɛn stil de mek dis teknɔlɔji, dɛn dɔn ɔlrɛdi yuz am fɔ chɛk tin dɛn lɛk bɔdi, liva, mɔsul, prɔstat, ɛn tayroyd nodul.
Wetin mek yu se yu fɔ du dis Elastography tɛst?
Di men rizin fɔ du ɛlastografi tɛst na fɔ chɛk fɔ wan kɔndishɔn we dɛn kɔl liva fibrosis .
Imajin se wi liva de kɔntinyu fɔ pwɛl bikɔs ɔf difrɛn rizin dɛn (fɔ ɛgzampul, we wi de drink pasmak, epataytis vayrɔs, liva we gɛt fat). Dɔn di liva kin tray fɔ wɛl insɛf. Insay dis we aw wi de wɛl, jɔs lɛk aw ska de fɔm we wund na wi skin wɛl, na so ska tisu de fɔm na di liva. Dis na wetin wi kin kɔl Fibrosis .
Fɔ tɔk am simpul wan, fibrosis na we di liva de at ɛn gɛt skata. dis na di fכs stej bifo di liva go bifo to di mכr siriכs kכndyushכn we dεn kכl sirosis.
As dis fibrosis de go bifo, i de ambɔg di blɔd flɔ tru di liva. If dɛn nɔ trit di liva, i kin stif ɔl ɛn i kin smɔl, ɛn dis kin mek i gɛt wan sik we dɛn kɔl sirosis . Dis kin mek yu gɛt siriɔs wɛlbɔdi prɔblɛm lɛk liva kansa ɛn liva we nɔ de wok fayn.
So, if yu de pan risk fɔ gɛt liva sik (e.g. fat liva, epataytis) ɔ yu de sho sayn dɛm fɔ di sem kayn sik dɛm, yu dɔktɔ kin tɛl yu fɔ du Elastography tɛst. I:
- Yu kin no εksεkεkt us lεvεl fכ fibrosis yu gεt.
- Fɔ du dat, yu kin disayd wetin na di bɛst tritmɛnt fɔ gi yu.
- I pɔsibul fɔ wach aw di liva de ansa di tritmɛnt dɛn we dɛn gi am.
Udat de du dis tɛst? Aw i kɔrɛkt?
Bɔku tɛm, na wan dɔktɔ we de mɛn pipul dɛn we gɛt raytin , we na dɔktɔ we sabi fɔ tek pikchɔ dɛn, kin du dis tɛst. I go wok wit yu famili dɔktɔ ɛn ɛpatɔlɔjis fɔ disayd bɔt yu tritmɛnt.
Dɛn kin tek dis tɛst se i rili kɔrɛkt fɔ no if pɔsin gɛt liva fibrosis. Trade, dɛn bin nid fɔ tek bayɔpsi fɔ no dis sik kɔrɛkt wan. Bɔt bikɔs ɔf Elastography, dɛn kin gɛt dis infɔmeshɔn naw ɛn nɔ gɛt ɛni pen ɔ bad to di bɔdi.
Aw fɔ du di tɛst stɛp bay stɛp
Di we aw yu de du dis go difrɛn smɔl fɔ di kayn we aw dɛn tɛl yu fɔ du am.
Aw fɔ du Transiɛnt Ɛlastografi (Ultrasound):
Dis go jɔs tek sɔm minit dɛn.
1. Fɔs, di raydiɔlɔjis go put wan jel we tan lɛk wata pan yu skin, na di say we yu liva de (na di rayt say na yu bɛlɛ, ɔnda yu rib dɛn). Dis go mek di skan divays ebul fɔ muv izi wan oba yu skin.
2. Dɔn, dɛn kin put wan smɔl tin we dɛn kin ol wit an (transducer) na di say ɛn muv am sloslo bak ɛn biɛn.
3. Dis divays de sɛn smɔl shɔk to di liva we wi nɔ kin fil.
4. Na kɔmpyuta de mɛzhɔ di spid we di shɔk wev dɛn de hit di liva ɛn riflɛkt bak. As di liva de stif, di spid we dɛn wef ya de travul de go ɔp.
5. We di kɔmpyuta de yuz dis infɔmeshɔn, i de mɛzhɔ aw di liva stif ɛn sho am lɛk pikchɔ.
Aw fɔ du MRE (Magnetik Rizɔnans Ɛlastografi):
Dis kin tek lɛk 5 minit, bɔt if dɛn du am wit ful MRI, i kin tek lɛk 45 minit.
1. Dɛn go le yu na tebul. Dɛn kin gi yu sɔpɔt lɛk strap fɔ ɛp yu fɔ de stil.
2. Sכmכl divais (drayva) de na di lכw rayt pat na yu chεst (abov di liva).
3. Dɛn kin put bɔku ɔda tin dɛn we de sɛn ɛn gɛt redio wev na di skin we de nia de.
4. sכmtεm (nכto כltεm) dεn kin put sכmכl kanula insay wan vein na yu an εn dεn injεkt spεshal likwid (kכntrast - gadolinium) tru am. Dis kin mek di pikchɔ dɛn klia mɔ.
5. Dɔn di tebul we yu de pan go muf smɔl smɔl insay di MRI mashin, we tan lɛk big tiub.
6. Di raydiɔlɔjis de sidɔm nia kɔmpyuta we de na do na di mashin ɛn kɔntrol di ɛgzam.
7. Dɛn go aks yu fɔ ol yu briz fɔ sɔm sɛkɔn. Da tɛm de, di drayva go sɛn smɔl smɔl vaybreshɔn dɛn to di liva ɛn tek pikchɔ dɛn.
Aw yu fɔ pripia bifo di tɛst?
I rili impɔtant fɔ fala di instrɔkshɔn dɛn we yu dɔktɔ gi yu bifo yu du yu ɛlastografi tɛst. Tipikli, yu kin ɛkspɛkt tin dɛn lɛk:
- Fɔ it: Nɔ it ɔ drink ɛnitin we swit (swit ti, kɔfi, sɔft drink, frut jus) bifo yu du di tɛst. Shuga kin chenj di liva stiffness measurement smɔl. Dɛn kin aks yu fɔ fast fɔ sɔm awa bifo di tɛst. Aks yu dɔktɔ fɔ patikyula instrɔkshɔn dɛn.
- Klos:Di de we dɛn go du di tɛst, lɛf yu jɔy, wach, ɛn hairpin na os. Wear klos we nɔ gɛt natin ɛn we fayn fɔ yu. Sɔntɛm yu go nid fɔ wɛr spɛshal klos we di ɔspitul dɔn gi yu.
- Mɛtal tin dɛn (fɔ MRE): If yu gɛt ɛni mɛtal tin we dɛn dɔn ɔspitul (e.g. pesmɛka, ɛp fɔ yɛri, atifishal jɔyn), mek shɔ se yu tɛl di raydiɔlɔjis bifo tɛm. Dɛn tin ya kin afɛkt di strɔng magnɛtik fil we di MRI mashin gɛt.
- Bɛlɛ: Tɛl yu dɔktɔ ɛn raydiɔlɔjis if yu gɛt bɛlɛ ɔ yu tink se yu gɛt bɛlɛ. Ultrasound elastography na sef we uman gɛt bɛlɛ. Bɔt dɛn nɔ kin du MRI skan insay di fɔs tri mɔnt we uman gɛt bɛlɛ.
Us kayn risk de pan dis?
Di bɛst nyus na dat, dɛn nɔ no ɛni risk ɔ sayd ɛfɛkt frɔm di Elastography Ultrasound (FibroScan) tɛst.
MRE kin jɔs sef if yu fala di sef instrɔkshɔn dɛn fayn fayn wan. Di magnɛtik fil nɔ de ambɔg di bɔdi. Bɔt, insay sɔm kayn kes dɛm, alɛji riakshɔn to di kɔntrast ɛjɛn (gadolinium) we dɛn yuz kin apin. Dɔn bak, if dɛn gi yu wan mɛrɛsin we de mek yu fil fayn we yu de du di tɛst, prɔblɛm dɛn kin de we yu tek am pasmak. Bɔt, dɛn tin ya nɔ kin apin so ɔltɛm.
Wetin di tɛst rizɔlt dɛn se?
Yu Elastography test de mek yu liva pikchɔ. Di dɔktɔ we de mɛn di raydio kin analayz di pikchɔ fɔ no aw yu liva stif ɔ gɛt skata. Dis lεvεl kin gεt grεd frכm F0 to F4.
| Fibrosis Stej we pɔsin kin gɛt | Minin |
|---|---|
| F0 to F1 | Nɔ skata ɔ smɔl skata (hɛlth kɔndishɔn) . |
| F2 | Na smɔl smɔl skata dɛn de. |
| F3 | Na big big skata de de. |
| F4 | Siriɔs skata (sirosis) . |
Insay sɔm dez afta di tɛst, di raydiɔlɔjis go pripia wan ripɔt bɔt di rizɔlt ɛn sɛn am to yu dɔktɔ we de trit yu. Dɔn di dɔktɔ go kɔl yu bak fɔ ɛksplen di rizɔlt to yu ɛn tɔk bɔt wetin fɔ du nɛks.
Mɛsej we dɛn kin kɛr go na os
- Ɛlastografi na skan we nɔ gɛt pen ɛn we nɔ gɛt wan prɔblɛm ɛn we de mɛzhɔ aw di ɔgan dɛn lɛk di liva stif.
- dis na dεn kin yus mεntal fכ no εn mכnitor kכndishכn dεm lεk liva fibrosis εn sirosis.
- Dis na tεst we nכ de invayv, we de mek i bi gud כda we fכ di liva bayopsi we dεn bin de du bifo.
- Fɔ fala di dɔktɔ in instrɔkshɔn dɛn gud gud wan bifo yu du di tɛst, mɔ we i kam pan it ɛn it.
- If yu gɛt ɛni kwɛstyɔn, fred, ɔ dawt bɔt dis tɛst, nɔ shem ɛn tɔk bɔt am opin wan wit yu dɔktɔ.
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