Kei te paku piri ō whekau i roto? Me kōrero tātou mō te Elastography!

Kua whakaaro kē koe me pēhea te pai o te whai huarahi hei mōhio māu mēnā he hauora, he ngāwari hoki ngā whekau nui o roto i ō tātou tinana, pērā i te ate me ngā whatukuhu? Arā, mēnā ka taea e tātou te tiaki i ēnei mea me te kore pokanga, me te kore mamae nui rānei? Koinei te mahi a tēnei whakamātautau e kiia nei ko te elastography. Me kōrero noa iho tēnei, i roto i tētahi huarahi e mārama ai koe.

He aha te elastography, i roto i ngā kupu māmā noa iho?

He whakarāpopototanga noa iho, he whakamātautau kore mamae te elastography e ine ana i te ngāwari, te "pūangitanga" rānei o ngā whekau o roto i ō tātou tinana, pērā i te ate. Whakaarohia, ina whiriwhiria e tātou tētahi hua, ka pēhia e tātou ki ō tātou ringa kia kite ai mēnā he mārō, he hautai rānei? He rite tonu tēnei, engari he hangarau matatau ake.

Ka whakamahia e tēnei whakamātautau ngā wiri auau-iti. Ka tukuna ēnei wiri mā roto i ō tātou whekau, ā, ka ine i tō rātou pakari. Nā te mea i ētahi wā, ki te pakari rawa ngā kiko o ō tātou whekau, arā, ki te heke te ngāwari, he tohu pea tēnei mō tētahi mate. He tohu nui tēnei pakari, inā koa i roto i ngā mate e pā ana ki te ate.

He momo elastography kei reira?

Ae, e rua ngā momo elastography matua.

1. Te Whakamātautau Ultrasound (Elastography Ultrasound) FibroScan® rānei

E kiia ana hoki tēnei ko te transient elastography e ētahi. Kua rongo pea koe i te FibroScan®. Koinā te tikanga. He rite tonu ki tētahi whakamātautau ultrasound motuhake .

• I tēnei, ka whakamahia he taputapu iti e puritia ana e te ringa (he 'whakawhiti') me ngā ngaru oro hei tango whakaahua o ō whekau.
• Kāore tēnei i te mamae rawa, ā, he tino tere. He mea ka taea te mahi i roto i te wā poto.

2. M.R. Elastography (MRE - Elastography Āhua Aukume)

Ko te tikanga o tēnei ko te whakakotahi i ngā ngaru oro mai i te ultrasound me ngā aukume me ngā ngaru reo irirangi mai i te matawai MRI (Magnetic Resonance Imaging) hei tiki whakaahua mārama o ō whekau.

• Ko te mea nui , kāore he hihi e whakamahia ana i tēnei.
• I ētahi wā ka whakatau pea te tākuta ki te mahi i tēnei whakamātautau MRE ko ia anake, ka taea rānei te mahi tahi me te matawai MRI katoa.

He aha tēnei elastography 'shear wave'?

He hangarau hou tēnei mō te ine i te pūmau o ngā kiko o ngā whekau.

• Kei te mahara koe ki taua taputapu ringaringa (te 'whakawhiti')? Ka tukuna e ia he pāorooro kaha-teitei. Ka hangaia e ēnei pāorooro he momo ngaru motuhake e kiia nei ko ngā 'ngaru kutikuti'.
• Mā ēnei ngaru kutikuti ka puta he whakaahua mārama, kounga teitei hoki .
• Ahakoa kei te whanake tonu tēnei hangarau, kua whakamahia kētia mō ētahi whakamātautau ultrasound. Hei tauira:
• Ngā whakamātautau e pā ana ki te ū
• Ate
• Pūnaha uaua-angiwi
• Repeure
• Tirohia mēnā he pona tairoi.

Nā, he aha i mahia ai tēnei whakamātautau elastography?

Ko te take matua, ko te take tino noa mō te mahi i tēnei whakamātautau , he tirotiro mēnā kei a koe tētahi mate e kiia nei ko te fibrosis, arā, ko te whara o te ate. Ko te fibrosis he whara noa iho o te ate. Ka taea tēnei te puta i ngā wāhanga tōmua, ā, ki te kore e rongoatia tika, ka taea te arahi ki tētahi mate kino e kiia nei ko te cirrhosis.

Mena he take mōrearea tōu mō te mate ate cirrhosis, kei te whakaatu rānei koe i ngā tohu o te mate, ka tūtohu pea tō tākuta i tētahi whakamātautau elastography.

He mea nui: Ka taea e te fibrosis te whakaiti i te nui o te toto e rere ana i roto i te ate. I roto i te wā, ka tīmata te kohikohi o taua toto i muri i te ate. Ki te kore e rongoatia tika, ka pā mai he raruraru hauora nui.

Ko ngā raruraru penei:

• Te mate ate
• Matepukupuku ate
• Te ngoikore o te ate
• Te toto o te puku

Nō reira, he āwhina nui te elastography mō ngā tākuta ki te whakatau ko tēhea momo maimoatanga e tika ana mō te fibrosis ate. Haunga tēnā, ki te mea kei te rongoatia koe, ka taea hoki e tēnei whakamātautau te āwhina ki te kite i te urupare a tō ate ki aua maimoatanga, me te matapae i te tūponotanga o ngā raruraru pēnei i te kohikohinga ngako i roto i te ate.

Ko wai mā ēnei whakamātautau elastography e mahi?

Ka mahia te Elastography Ultrasound me te MRE e te tohunga radiology , he tākuta e tohunga ana ki te hangarau whakaahua hauora. I te nuinga o te wā ka mahi tahi rātou me tō kaiwhakarato tiaki tuatahi, te tohunga pukupuku, me te tohunga hepatology.

He pēhea te tika o te elastography ate?

Ahakoa he maha ngā rangahau mō tēnei, e whakaae ana te nuinga o ngā tākuta he tino tika te whakamātautau elastography hei tātaritanga i te fibrosis ate. Inaa, he maha ngā tākuta e whakamahi ana i tēnei whakamātautau hei tātaritanga i tēnei āhuatanga. He mea nui ake, ka whakamahia hoki hei aroturuki i te kino haere o te mate, te whakahaere rānei i roto i te wā.

Me pēhea te whakahaere i tēnei whakamātautau elastography?

He paku rerekē te huarahi e mahia ai tēnei, i runga anō i te momo whakamātautau.

Me pēhea te mahi i te Elastography Poto:

He torutoru meneti noa iho tēnei. He tino tere.

• Tuatahi, ka pania e te tohunga hihi-X he kirimi wai-wai ki te wāhi o tō kiri ka tirohia. Mā tēnei ka taea e te taputapu ringaringa (te 'whakawhiti') te neke ngāwari i runga i te kiri.
• Kātahi ka nekehia e te tohunga hihi-X te ira whakawhiti ki runga i tō kiri kia kitea ai te wāhi tika o te okana e tirotirohia ana.
• Ināianei, ka tukuna e taua ira whakawhiti ngā wiri auau iti, kore mamae ki roto i te tinana.
• Ka pā ēnei wiri ki te okana e tika ana, ā, ka whakaatahia anō. Ka tukuna aua mōhiohio ki te rorohiko.
• Ka whakamahia e te rorohiko ēnei mōhiohio hei hanga i tētahi `ahua` o te okana e tika ana.
• Mā te titiro ki tēnei whakaahua, ka taea e te tohunga hihi-X te kite tika i te āhua o te okana, tōna rahi, tōna āhua, me tōna āhua – arā, tōna pakari, mēnā kei roto i te wai, me ērā atu mea.

Me pēhea te mahi i tētahi MRE:

E rima meneti te roa o te MRE. Heoi, ki te mea he matawai MRI katoa tāu e mahi ana, ka roa ake pea, arā, e 45 meneti pea. Anei ngā mea ka puta ina whiwhi koe i te MRE:

• Ka meinga koe kia takoto ki runga i tētahi tēpu. Tērā pea ka hoatu he whitiki ki a koe hei āwhina i a koe kia noho marino.
• Ka whakatakotoria he taputapu iti, e kiia nei ko te 'taraiwa', ki raro i te kiri i te taha matau o tō uma, i raro iho (mēnā kei te mahi koe i tētahi MRE o te ate).
• Tērā atu anō ētahi atu taputapu, ka taea te tuku me te whiwhi i ngā ngaru reo irirangi, kei te taha tonu o te 'taraiwa'.
• Ki te hoatu he rongoā ārai ira (he wai motuhake, pērā i te gadolinium) ki a koe mō te MRI, ka werohia mā te aho IV ka whakanohoia ki roto i te uaua o tō ringa.
• Kātahi ka tukuna koe ki te mīhini MRI. He mīhini e rite ana ki te ngongo iti.
• Ka whakahaerehia ēnei katoa e te tohunga hihi-X i waho o te mīhini MRI, e noho ana i mua i te rorohiko.
• Ka tukuna e te taraiwa ngā wiri iti ki tō ate, ā, i a ia e tango whakaahua ana i taua mea, ka tonoa koe kia pupuri i tō manawa mō ētahi hēkona.

Me pēhea tāu whakarite mō tēnei?

Anei ētahi mea hei whakaaroaro māu i mua i te whakamātautau elastography:

• Kai: Āta karohia ngā kai me ngā inu huka i mua i te whakamātautau. Ka pāngia te kaha o te ate e ngā kai huka ki te mahi. Tērā pea ka tonoa koe kia nohopuku mō ētahi haora i mua i te whakamātautau. He pai ake te pātai atu ki tō tākuta kia pēhea te roa me nohopuku koe.
• Kākahu: I te rā o te whakamātautau, waiho ō whakapaipai, wati, pine makawe, taputapu whakarongo, me ngā niho rūpahu tango ki te kāinga. Kia mau ki ngā kākahu whakamarie, ngāwari hoki.Me mau pea hoki koe i tētahi kākahu hauora i whakaratohia e te hōhipera.
• Mea whakarewa: Mena he mea whakarewa kei roto i tō tinana – pērā i ngā maramara matā, ngā taputapu whakaiti i te ngākau tawhito, ngā taputapu whakatere rānei – me kōrero koe ki te tohunga hihi-X , nā te mea ka taea e ēnei mea whakarewa te whakararuraru i te papa aukume o te mīhini MRI.
• Hapūtanga: Ki te mea kei te hapu koe, me whakamōhio atu ki tō tākuta me tō tohunga hihi-X. E kiia ana he haumaru te whakaahua-X i te wā e hapu ana. Heoi, he pai ake te karo i ngā matawai MRI i te toru marama tuatahi. Heoi, ka taea te mahi i ngā matawai MRI i tēnei wā mēnā ka whakatauhia e tō tākuta he nui ake ngā painga o te matawai i ngā mōrearea.

He aha te momo wheako i pā ki a koe i te wā o te whakamātautau?

Mā tō tākuta hihi-X e whakamārama ngā mea katoa ki a koe i te wā o te whakamātautau. He whakamātautau kore mamae, kore pokanga hoki te Elastography Ultrasound me te MRE. Nō reira, kāore koe e rongo i te mamae, i te kore whakamarie rānei.

Ki te mea kei te whiwhi koe i te MRE, me noho koe i roto i te wāhi rite ki te ngongo mō ētahi meneti. Ki te mea kei te whiwhi koe i te MRI katoa, ka roa ake te wā, tata ki te 45 meneti. Ki te mea he mataku koe ki te noho tata, kōrero atu ki tō tākuta me tō tohunga hihi-X i mua. Kia rite hoki ki te pupuri i tō manawa mō te 10-15 hēkona i te wā o te MRE.

He tūponotanga kei roto i tēnei?

• Ki ngā kitenga kua kitea, kāore he mōrearea o te whakamahi i te ultrasound elastography.
• Ina whai i ngā tikanga haumaru tika mō te MRE, kāore he mōrearea ki te tangata noa. Kāore te papa aukume e kino. Heoi, ki te hoatu he rongoā hei whakamoe i a koe ('whakamoe'), tera pea he mōrearea e pā ana ki te hoatu nui rawa o taua rongoā. Waihoki, he iti noa te tūponotanga ka pāngia koe e te mate pāwera ki te wai 'whakawhiti' e kiia nei ko te 'gadolinium', e whakamahia ana mō ētahi whakamātautau MRI anake.

He aha ngā momo hua ka puta? He aha tā rātou e kī mai ana ki a tātou?

Ka tangohia he whakaahua o tō ate e tō whakamātautau elastography. Ka taea e te tohunga hihi-X te whakamahi i te whakaahua hei whakaatu ki a koe te pakari o tō ate. Ko tēnei pakari he ine i te nui o te whara kei roto i tō ate. Ka rerekē te nui o te whara mai i te ngawari ki te kino:

• F0 ki te F1: Kāore he kōhatu, he iti noa rānei te āhua.
• F2: He mātārae ngawari.
• F3:He whara kino.
• F4: He whara tino kino, arā, he cirrhosis. (He whara matatau)

Kia pēhea te roa ka mōhiotia ai ngā hua?

Ka whakatauhia e te tohunga hihi-X ngā hua o tō matawai elastography i roto i ētahi rā. Ka tohaina e rātou ngā hua ki ngā tākuta kē atu i tuku mai i a koe. Kātahi ka waea atu tētahi o ō tākuta ki a koe ki te whakamārama i ngā hua me te whakautu i ō pātai.

Hei whakarāpopototanga (Karere hei tango ki te kāinga)

He whakamātautau kore-whakaeke te elastography e ine ana i te pakari o ngā kiko i roto i ō tātou tinana. He maha ngā wā ka whakamahia hei tirotiro i te fibrosis ate, he āhuatanga e puta ai he kowhatu i roto i te ate. Ka tono pea tō tākuta i tēnei whakamātautau mēnā he mumura, he kino rānei tō ate, mēnā rānei he tohu o te cirrhosis kei a koe.

He tere, he kore mamae hoki tēnei whakamātautau, nō reira kāore he mea hei manukanuka. Ki te hiahia koe ki te mōhio atu mō tēnei, kōrero ki tō tākuta me te tono atu mō ētahi atu kōrero. Pērā ai, ka taea e koe te whakamārama i ō pātai katoa.

` Elastography, Pakari o te Ate, Fibrosis, Cirrhosis, Matawai Ultrasound, MRE, FibroScan, Mate Ate, Tātaritanga, Whakamātautau Kore Mamae