I taksa peng hrang hrangte chu a chhungah a tight deuh niin i hria em? Elastography chungchang hi han sawi ila!

Kan taksa chhunga taksa peng pawimawh tak tak, thin leh kal ang chi te hi a hrisel a, a inthlak danglam thei em tih chiang taka hriat theihna tur awm ta se, eng ang taka ropui nge ni ang tih i ngaihtuah ngai em? Chu chu, heng thilte hi operation emaw, hrehawmna tam tak emaw awm lovin kan enkawl thei a nih chuan? Chu chu he test, elastography an tih hian a ti a ni. Hemi chungchang hi awlsam takin, i hriatthiam theih dan tur angin sawi ila.

Elastography chu eng nge ni, a awlsam zawngin?

A awlsam zawngin, elastography hi kan taksa chhunga taksa peng hrang hrang, liver ang chi te flexibility, a nih loh leh "springiness" tehna, natna nei lo test a ni. Ngaihtuah teh, thei kan thlan hian kan kut hmangin tlem kan hrual a, a nghet nge spongy tih kan en thin? Hei hi thil inang a ni a, mahse technology hmasawn zawk nen.

He test hian low-frequency vibrations a hmang a. Heng vibrations te hi kan taksa peng hrang hrang kaltlangin an thawn chhuak a, an khauhzia an teh thin. A chhan chu a chang chuan kan taksa peng hrang hrangte hi a tul lovah a nghet lo a nih chuan, chu chu an insiamrem theihna a tlahniam a nih chuan natna engemaw chhinchhiahna a ni thei a ni. He stiffness hi indicator pawimawh tak a ni a, a bik takin liver kaihhnawih natnaah chuan.

Elastography chi hrang hrang a awm em?

Ni e, elastography hi chi hnih a awm ber.

1. Ultrasound Elastography (Elastography Ultrasound) emaw FibroScan® emaw hmanga tih theih a ni

Hei hi mi thenkhat chuan transient elastography an ti bawk. FibroScan® tih hi i hre tawh mai thei. Chu chu a ni. Specialized ultrasound test ang mai a ni tak zet .

• Hemiah hian kut hmanga hman theih thil te tak te (`transducer`) leh sound wave hmangin i taksa peng hrang hrangte lem i hmu thei a ni.
• Hei hi a hrehawm lo tak zet a, a rang hle bawk. Flash-a tih theih thil a ni.

2. M.R. Elastography (MRE - Magnetic Resonance Elastography) hmanga thil tih dan tur (M.R. Elastography) tih a ni.

Hei hian ultrasound atanga sound wave lo chhuak chu magnet leh MRI (Magnetic Resonance Imaging) scan atanga radio wave te nen inzawmkhawmin i taksa peng hrang hrangte thlalak chiang tak i hmu thei a ni.

• A pawimawh ber chu he thilah hian radiation hman a ni lo.
• A châng chuan doctor chuan he MRE test hi amah chauhin tih a rel thei a, a nih loh leh MRI scan kimchang nen tih dun a ni thei bawk.

He ‘shear wave’ elastography hi eng nge ni?

Hei hi ultrasound technology thar a ni. Tin, taksa peng hrang hranga taksa peng hrang hrangte a nghet leh nghet loh tehna atan pawh hman a ni.

• Chu kut zungtang (`transducer`) chu i hre reng em? High-intensity pulse a thawn chhuak thin. Heng pulse te hian wave chi khat bik `shear waves` an siam a.
• Heng shear wave te hian quality sang tak tak, chiang tak tak thlalak a siam thei a ni .
• He technology hi la thang zel mah se, ultrasound exam thenkhat atan hman a ni tawh a ni. Entir nan:
• Hnute nena inzawm test te
• Thin
• Musculoskeletal system hmanga taksa peng hrang hrang
• Prostate a ni
• Thyroid nodules a awm leh awm loh enfiah thin ang che.

Chuti a nih chuan, engvangin nge he elastography test hi tih a nih?

He test hi tih chhan ber leh hman tlanglawn ber chu fibrosis, emaw, liver-a hliam (scarring of the liver) tih ang chi natna i neih leh neih loh en a ni. Fibrosis hi liver-a hliam awm mai a ni. Hei hi a tir lamah a lo awm thei a, enkawl tha a nih loh chuan a tawpah chuan natna khirh tak, cirrhosis an tih chu a thlen thei a ni.

Cirrhosis vei theihna tur risk factor i neih chuan, emaw, natna lan chhuahna i neih chuan i doctor chuan elastography test neih a rawt thei ang.

Pawimawh: Fibrosis hian thin (liver) kal tlanga thisen kal chu a ti tlem thei a ni. Hun a kal zel a, chu thisen chu liver hnung lamah a inzawm khawm tan thei a ni. Hei hi uluk taka enkawl a nih loh chuan hriselna lama harsatna lian tak a thlen thei a ni.

Chutiang harsatna chu:

• Cirrhosis natna (Cirrhosis) a awm
• Liver cancer a ni
• Liver a tha lo
• Gastrointestinal atanga thisen chhuak

Chuvangin, elastography hi doctor-te tan chuan liver fibrosis tan eng ang enkawlna nge tha ang tih an hriat theih nan a pui hle a ni. Chu mai pawh ni lovin, enkawlna i la a nih chuan he test hian chutiang enkawlnate chu i liver-in a chhan dan tur a hriat theih bakah, liver-a thau tam lutuk ang chi harsatna a awm theih dan tur a hrilhfiah thei bawk.

Heng elastography test te hi tuin nge ti thin?

Elastography Ultrasound leh MRE hi radiologist , doctor, medical imaging technology lama tui takin a ti thin. I primary care provider, oncologist leh hepatologist te nen an thawk dun tlangpui.

Engtiang chiahin nge liver elastography hi a dik?

Hemi chungchangah hian zirchianna hrang hrang awm mah se, doctor tam zawk chuan elastography hi liver fibrosis hriat theihna atana test dik tak a ni tih hi an pawm a ni. Dik tak chuan doctor tam tak chuan he test hi he natna hi hriat theih nan an hmang thin. Chu aia pawimawh zawk chu, hun kal zelah natna a zual zel emaw, a thunun dan emaw enfiahna atan pawh hman a ni.

Engtin nge he elastography test hi an tih thin?

Hei hi test chi hrang hrang a zirin a tih dan hi a inang lo deuh hlek a ni.

Transient Elastography tih dan tur: 1.1.

Hei hian minute tlemte chauh a la a ni. A rang hle mai.

• A hmasa berin radiologist chuan i vun enfiahna tur hmunah tui hmanga siam gel a hnawih ang. Hei hian handheld device (the `transducer`) chu vun chungah awlsam takin a kal thei dawn a ni.
• Chumi hnuah chuan radiologist chuan i vun chungah transducer chu a sawn a, enfiah tur organ awmna dik tak chu a zawng chhuak a ni.
• Tunah chuan, chu transducer chuan taksa chhungah natna nei lo, frequency hniam tak vibration a thawn lut ta a ni.
• Heng vibrations te hian a kaihhnawih organ a hit a, a reflect leh thin. Chu information chu computer-ah a kal a.
• Computer chuan he information hmang hian a kaihhnawih organ `image` a siam thin.
• He thlalak hi a en hian radiologist chuan chu taksa peng chu eng ang nge a nih tih chiang takin a hmu thei a, a lian leh te, a pianzia te, a dinhmun te – chu chu a nghet em em tih te, tuiin a khat em tih te, etc. a hmu thei a ni.

MRE tih dan tur:

MRE hi minute 5 vel a ni tlangpui. Mahse, full MRI scan hmanga i tih chuan a rei deuh thei a, minute 45 vel a ni thei. MRE i hmuh huna thil thleng chu hetiang hi a ni:

• Dawhkan chunga mu turin siam i ni ang. I awm reng theih nan strap pawh pek i ni thei bawk.
• Instrument te tak te, `driver` an tih chu i rilru dinglam sir vun hnuaiah, a hnuai chiah (liver MRE i tih chuan) dah a ni.
• Device dang, radio wave thawn thei leh dawng thei, `driver` bulah a awm bawk.
• MRI atan contrast agent (tui bik, gadolinium ang chi) pek i nih chuan i kut vein pakhata IV line dah hmangin inject a ni ang.
• Tichuan MRI machine chhungah i rawn lut ta a. Tube te tak te ang maia lang machine a ni.
• Heng zawng zawng hi radiologist hian MRI machine pawnah a control a, computer bulah a thu a ni.
• Driver hian i liver-ah vibration te te a thawn a, a thlalak a lak lai hian second tlemte chhung chu i thawk khap tlat turin an ti che a ni.

Hemi atan hian engtin nge i inbuatsaih?

Elastography test neih hmaa i ngaihtuah tur thenkhat chu hetiang hi a ni:

• Chaw: Test hmain chaw leh in tur thlum tamna ei loh tur a ni. Sugary foods hian liver hnathawh theihna a nghawng thei a ni. Test hma darkar engemaw zat chaw nghei tura tih i ni mai thei. Eng chen nge chaw nghei tur tih chiang takin doctor zawt la a tha ber.
• Thawmhnaw: Test ni hian i jewelry, darthlalang, hairpin, hearing aid leh ha lem lakchhuah theih te chu in lamah dah la. Thawmhnaw nuam tak, loose-fitting ha rawh.Hospital-in a pek medical gown pawh i ha a ngai mai thei bawk.
• Metal: I taksa chhungah hian thir thil i neih chuan – bullet fragment, old-style cardiac defibrillator emaw pacemaker emaw te hi – chu chu radiologist hnenah i hrilh ngei tur a ni , heng thir thilte hian MRI machine magnetic field a tibuai thei a ni.
• Naupai: Naupai i nih chuan i doctor leh radiologist hnenah hrilh ngei ngei tur a ni. Naupai lai hian elastography hi a him nia ngaih a ni tlangpui. Mahse, first trimester chhung hian MRI scan lak loh a tha ber. Mahse, he hun chhung hian MRI scan hi i doctor-in scan hlawkna chu a hlauhawmna aiin a tam zawk tih a hriat phawt chuan tih theih a ni.

Test neih chhung khan eng ang experience nge i neih?

I radiologist chuan test neih chhungin engkim a hrilhfiah vek ang che. Elastography Ultrasound leh MRE pahnih hi natna nei lo, noninvasive test a ni. Chuvangin hrehawmna leh lungawi lohna i nei lovang.

MRE i neih chuan tube ang chi hmunah minute engemaw zat i awm a ngai dawn a ni. MRI kimchang i neih chuan a rei deuh a, minute 45 vel a ni. Claustrophobia i neih chuan i doctor leh radiologist hnenah hrilh hmasa phawt ang che. Tin, MRE neih chhung hian second 10-15 vel thawk khap turin inpeih rawh.

Hei hian risk a nei em?

• Elastography ultrasound hian thil hlauhawm a thlen lo tih hmuhchhuah a nih angin.
• MRE neih hian himna dan mumal tak zawm a nih chuan mi pangngai tan chuan hlauhawmna a awm lo. Magnetic field hian a tichhe lo. Mahse, i mut theih nan damdawi (`sedation`) pek i nih chuan, chu damdawi pek tam lutuk chuan hlauhawmna a awm thei. Tin, MRI test thenkhatah chauh hman thin `gadolinium` an tih `contrast` fluid allergic reaction neih theihna chance a tlem hle bawk.

Eng ang result nge kan hmuh? Engtin nge min hrilh?

I elastography test hian i liver thlalak a la a. Radiologist chuan chu thlalak hmangin i liver a khauh zia a hrilh thei che a ni. He stiffness hi i liver-a scarring awm zat tehna a ni. Scarring degree hi a na lo atanga a nasat thlengin a awm thei:

• F0 atanga F1: A awm lo emaw, a hliam na lo emaw.
• F2: Scarring tlemte.
• F3: 1.1.Scarring na tak a awm.
• F4: Scarring na tak, chu chu cirrhosis a ni. (Advanced scarring) a awm bawk.

A result hriat nan eng chen nge hun a duh?

Radiologist chuan ni engemaw zat chhungin i elastography scan result chu a hre thei ang. Refer tu doctor dangte hnenah result chu an share ang. Tichuan, i doctor pakhatin a rawn call ang che a, result a hrilhfiah ang che a, zawhna i neih apiang a chhang ang che.

A tawi zawngin (Take-Home Message) .

Elastography hi noninvasive test a ni a, kan taksa chhunga tissue awmte chu a nghet leh nghet loh tehna a ni. Liver fibrosis, liver-a hliam awm leh awm loh enfiah nan hman a ni fo. I doctor chuan i liver inflammation emaw chhiatna emaw i neih chuan, emaw, cirrhosis symptoms i neih chuan he test hi a ti thei ang.

He test hi a tlangpuiin a rang a, a na lo bawk a, chuvang chuan ngaihtuah tur a awm lo. Hemi chungchang hi hriat belh i duh chuan i doctor nen inbia la, thu belhchian dawl zawk zawt rawh. Chutiang chuan zawhna i neih apiang chu i tichiang thei ang.

` Elastography, Liver Stiffness, Fibrosis, Cirrhosis, Ultrasound Scan, MRE, FibroScan, Liver Natna, Diagnosis, Natna awm lo Test