Kodi ziwalo zanu zikumva zomangika pang'ono mkati? Tiyeni tikambirane za Elastography!

Kodi munayamba mwadzifunsapo kuti zikanakhala bwino bwanji ngati pakanakhala njira yodziwira bwinobwino ngati ziwalo zofunika kwambiri m'thupi lathu, monga chiwindi ndi impso, zinali zathanzi komanso zosinthasintha? Ndiko kuti, ngati tingathe kusamalira zinthuzi popanda opaleshoni kapena kusasangalala kwambiri? Ndicho chimene mayeso awa otchedwa elastography amachita. Tiyeni tikambirane za izi mosavuta, m'njira yomwe mungamvetse.

Mwachidule, kodi elastography ndi chiyani?

Mwachidule, elastography ndi njira yoyesera yopanda ululu yomwe imayesa kusinthasintha, kapena "kulimba," kwa ziwalo m'thupi lathu, monga chiwindi. Tangoganizirani, tikasankha chipatso, timachifinya pang'ono ndi manja athu kuti tiwone ngati chili cholimba kapena chofewa? Ichi ndi chinthu chomwecho, koma ndi ukadaulo wapamwamba kwambiri.

Kuyesaku kumagwiritsa ntchito kugwedezeka kochepa. Kugwedezeka kumeneku kumatumizidwa kudzera m'ziwalo zathu ndikuyesa kuuma kwawo. Chifukwa nthawi zina, ngati minofu ya ziwalo zathu ikhala yolimba mosafunikira, ndiko kuti, ngati kusinthasintha kwawo kumachepa, kungakhale chizindikiro cha matenda ena. Kuuma kumeneku ndi chizindikiro chofunikira, makamaka m'matenda okhudzana ndi chiwindi.

Kodi pali mitundu ya elastography?

Inde, pali mitundu iwiri ya elastography.

1. Ultrasound Elastography (Elastography Ultrasound) kapena FibroScan®

Izi zimatchedwanso transient elastography ndi ena. Mwina munamvapo za FibroScan®. Ndicho chimene chili. Zili ngati mayeso apadera a ultrasound .

• Mu izi, chipangizo chaching'ono chogwira ndi manja (chotchedwa `transducer`) ndi mafunde amawu zimagwiritsidwa ntchito kuti mupeze chithunzi cha ziwalo zanu.
• Izi sizipweteka konse, ndipo ndi zachangu kwambiri. Ndi chinthu chomwe chingachitike mwachangu.

2. M.R. Elastography (MRE - Magnetic Resonance Elastography)

Izi zikuphatikizapo kuphatikiza mafunde a phokoso ochokera ku ultrasound ndi maginito ndi mafunde a wailesi ochokera ku MRI (Magnetic Resonance Imaging) scan kuti mupeze zithunzi zomveka bwino za ziwalo zanu.

• Chofunika kwambiri ndichakuti palibe radiation yomwe imagwiritsidwa ntchito pa izi.
• Nthawi zina dokotala angasankhe kuchita mayeso a MRE okha, kapena angachitike limodzi ndi MRI scan yonse.

Kodi 'shear wave' elastography iyi ndi chiyani?

Uwu ndi ukadaulo watsopano wa ultrasound. Umagwiritsidwanso ntchito poyesa kuuma kwa minofu ya ziwalo.

• Kodi mukukumbukira chipangizo chogwiritsidwa ntchito m'manja chija (chotchedwa `transducer`)? Chimatumiza ma pulse amphamvu kwambiri. Ma pulse amenewa amapanga mtundu wapadera wa mafunde otchedwa `shear waves`.
• Mafunde otsetsereka awa amalola zithunzi zapamwamba kwambiri komanso zomveka bwino .
• Ngakhale kuti ukadaulo uwu ukupitirirabe kupangidwa, ukugwiritsidwa kale ntchito poyesa ma ultrasound. Mwachitsanzo:
• Mayeso okhudzana ndi bere
• Chiwindi
• Dongosolo la minofu ndi mafupa
• Prostate
• Yang'anani ngati pali timibulu ta chithokomiro.

Nanga, n’chifukwa chiyani mayeso a elastography amenewa amachitika?

Chifukwa chachikulu komanso chofala kwambiri chochitira mayesowa ndikuwona ngati muli ndi vuto lotchedwa fibrosis, kapena zipsera za chiwindi. Fibrosis ndi zipsera za chiwindi. Izi zimatha kuchitika pachiyambi ndipo, ngati sizikuthandizidwa bwino, pamapeto pake zimatha kubweretsa vuto lalikulu lotchedwa cirrhosis.

Ngati muli ndi zinthu zomwe zingakuchititseni kuti mukhale ndi matenda a chiwindi, kapena ngati mukuwonetsa zizindikiro za matendawa, dokotala wanu angakulangizeni kuti muyesedwe ndi elastography.

Chofunika: Fibrosis imatha kuchepetsa kuchuluka kwa magazi omwe amadutsa m'chiwindi. Pakapita nthawi, magazi amenewo amatha kuyamba kusonkhana kumbuyo kwa chiwindi. Ngati izi sizikuchiritsidwa bwino, zingayambitse mavuto aakulu azaumoyo.

Mavuto otere ndi awa:

• Matenda a chiwindi
• Khansa ya chiwindi
• Kulephera kwa chiwindi
• Kutuluka magazi m'mimba

Choncho, elastography ndi njira yabwino kwambiri yothandiza madokotala kusankha mtundu wa chithandizo choyenera cha matenda a chiwindi otchedwa fibrosis. Sikuti zokhazo, ngati mukumwa chithandizochi, mayesowa angathandizenso kuona momwe chiwindi chanu chikuyankhira ku mankhwala amenewo ndi kuneneratu kuthekera kwa mavuto monga kusonkhanitsa mafuta m'chiwindi.

Ndani amachita mayeso a elastography awa?

Elastography Ultrasound ndi MRE zimachitidwa ndi katswiri wa radiology , dokotala yemwe ndi katswiri wa ukadaulo wa kujambula zithunzi zachipatala. Nthawi zambiri amagwira ntchito limodzi ndi dokotala wanu wamkulu, katswiri wa khansa, komanso katswiri wa chiwindi.

Kodi elastography ya chiwindi ndi yolondola bwanji?

Ngakhale pali maphunziro osiyanasiyana pankhaniyi, madokotala ambiri amavomereza kuti elastography ndi njira yolondola kwambiri yodziwira matenda a chiwindi. Ndipotu, madokotala ambiri amagwiritsa ntchito njira iyi pozindikira matendawa. Chofunika kwambiri, imagwiritsidwanso ntchito poyang'anira momwe matendawa akukulirakulira kapena kulamuliridwa pakapita nthawi.

Kodi mayeso a elastography amenewa amachitidwa bwanji?

Njira yochitira izi imasiyana pang'ono kutengera mtundu wa mayeso.

Momwe Mungachitire Transient Elastography:

Izi zimatenga mphindi zochepa zokha. Mwachangu kwambiri.

• Choyamba, dokotala wa radiology adzagwiritsa ntchito gel yochokera m'madzi pamalo a khungu lanu omwe adzafufuzidwe. Izi zithandiza kuti chipangizo chogwiritsidwa ntchito m'manja (chotchedwa `transducer`) chiziyenda mosavuta pakhungu.
• Kenako katswiri wa radiology amasuntha transducer pamwamba pa khungu lanu kuti apeze malo enieni omwe chiwalocho chiyenera kufufuzidwa.
• Tsopano, transducer imeneyo imatumiza kugwedezeka kosapweteka komanso kosasinthasintha m'thupi.
• Kugwedezeka kumeneku kumagunda chiwalo choyenera ndipo kumabwereranso. Chidziwitso chimenecho chimapita ku kompyuta.
• Kompyuta imagwiritsa ntchito chidziwitsochi popanga `chithunzi` cha chiwalo choyenera.
• Poyang'ana chithunzichi, katswiri wa radiology amatha kuona bwino momwe chiwalocho chilili, kukula kwake, mawonekedwe ake, ndi momwe chilili - kutanthauza momwe chilili cholimba, ngati chadzazidwa ndi madzi, ndi zina zotero.

Momwe mungachitire MRE:

Kujambula MRE nthawi zambiri kumatenga mphindi 5. Komabe, ngati mukuchita izi ndi MRI scan yonse, zingatenge nthawi yayitali, pafupifupi mphindi 45. Izi ndi zomwe zimachitika mukalandira MRE:

• Mudzagonekedwa patebulo. Mungapatsidwenso zingwe kuti zikuthandizeni kukhala chete.
• Chipangizo chaching'ono, chotchedwa `driver`, chimayikidwa pansi pa khungu kumbali yakumanja ya chifuwa chanu, pansi pake (ngati mukuchita MRE ya chiwindi).
• Pali zipangizo zina, zomwe zimatha kutumiza ndi kulandira mafunde a wailesi, zomwe zili pafupi ndi `driver`.
• Ngati mwapatsidwa mankhwala osiyanitsa (madzi apadera, monga gadolinium) a MRI, adzabayidwa kudzera mu mzere wa IV womwe umayikidwa mumtsempha womwe uli m'dzanja lanu.
• Kenako mumatumizidwa mu makina a MRI. Ndi makina omwe amaoneka ngati chubu chaching'ono.
• Katswiri wa radiology amawongolera zonsezi kunja kwa makina a MRI, atakhala pa kompyuta.
• Dalaivala amatumiza kugwedezeka pang'ono ku chiwindi chanu, ndipo pamene chikujambula zithunzi zake, mukupemphedwa kuti mupume mpweya wanu kwa masekondi angapo.

Kodi mumakonzekera bwanji izi?

Nazi zinthu zina zomwe muyenera kuganizira musanayambe mayeso a elastography:

• Chakudya: Pewani zakudya ndi zakumwa zokhala ndi shuga musanayesedwe. Zakudya zokhala ndi shuga zingakhudze momwe chiwindi chimagwirira ntchito. Mungapemphedwe kuti musale kudya kwa maola angapo musanayesedwe. Ndi bwino kufunsa dokotala wanu nthawi yeniyeni yomwe muyenera kusala kudya.
• Zovala: Pa tsiku la mayeso, siyani zodzikongoletsera zanu, mawotchi, mapini a tsitsi, zothandizira kumva, ndi mano opangidwa ndi mano opangidwa ndi mano ochotsedwa kunyumba. Valani zovala zabwino komanso zomasuka.Mungafunikenso kuvala diresi lachipatala loperekedwa ndi chipatala.
• Chitsulo: Ngati muli ndi zinthu zachitsulo m'thupi lanu - monga zidutswa za zipolopolo, zida zakale zoziziritsira mtima kapena makina oyeretsera mtima - muyenera kuuza dokotala wa radiology za izo, chifukwa zinthu zachitsulozi zimatha kusokoneza mphamvu ya maginito ya makina a MRI.
• Mimba: Ngati muli ndi pakati, onetsetsani kuti mwauza dokotala wanu ndi katswiri wa radiation. Nthawi zambiri elastography imaonedwa kuti ndi yotetezeka panthawi ya mimba. Komabe, ndi bwino kupewa MRI scans mu trimester yoyamba. Komabe, MRI scans ikhoza kuchitika panthawiyi pokhapokha ngati dokotala wanu atsimikiza kuti ubwino wa scan ndi woposa zoopsa zake.

Kodi munakumana ndi zotani panthawi ya mayeso?

Katswiri wanu wa radiation adzakufotokozerani zonse panthawi yoyezetsa. Mayeso onse awiri a Elastography Ultrasound ndi MRE ndi opanda ululu komanso osavulaza. Chifukwa chake simudzamva kupweteka kapena kusasangalala.

Ngati mukuchitidwa opaleshoni ya MRE, muyenera kukhala pamalo ofanana ndi chubu kwa mphindi zingapo. Ngati mukuchitidwa opaleshoni ya MRI yonse, zimatenga nthawi yayitali, pafupifupi mphindi 45. Ngati muli ndi vuto la claustrophobia, uzani dokotala wanu ndi katswiri wa radiology pasadakhale. Komanso, khalani okonzeka kupumula kwa masekondi pafupifupi 10-15 panthawi ya opaleshoni ya MRE.

Kodi pali zoopsa zilizonse pa izi?

• Kutengera ndi zomwe zapezeka, elastography ultrasound siimabweretsa mavuto aliwonse.
• Mukachita opaleshoni ya MRE, ngati njira zoyenera zotetezera zikutsatiridwa, palibe chiopsezo kwa munthu wamba. Mphamvu ya maginito si yovulaza. Komabe, ngati mutapatsidwa mankhwala oti akupangitseni kugona (`kugona`), pakhoza kukhala zoopsa zokhudzana ndi kupereka mankhwala ochulukirapo. Komanso, pali mwayi wochepa kwambiri wokhala ndi vuto la ziwengo ku madzi a `contrast` otchedwa `gadolinium`, omwe amagwiritsidwa ntchito pongoyesa MRI.

Kodi zotsatira zake zimapezeka bwanji? Kodi zimatiuza chiyani?

Mayeso anu a elastography amajambula chiwindi chanu. Katswiri wa radiology angagwiritse ntchito chithunzicho kukuuzani momwe chiwindi chanu chilili cholimba. Kuuma kumeneku ndi muyeso wa kuchuluka kwa zipsera zomwe zili m'chiwindi chanu. Mlingo wa zipsera ukhoza kusiyana kuyambira pang'ono mpaka kufika pamlingo waukulu:

• F0 mpaka F1: Palibe kapena pali zipsera zochepa.
• F2: Zilonda zochepa.
• F3:Zilonda zoopsa.
• F4: Zilonda zoopsa kwambiri, zomwe ndi cirrhosis. (Zilonda zapamwamba)

Zimatenga nthawi yayitali bwanji kuti mudziwe zotsatira zake?

Dokotala wa radiology adzafufuza zotsatira za elastography scan yanu pasanathe masiku angapo. Adzagawana zotsatira zake ndi madokotala ena omwe adakutumizirani. Kenako, m'modzi mwa madokotala anu adzakuyimbirani foni kuti afotokoze zotsatira zake ndikuyankha mafunso aliwonse omwe mungakhale nawo.

Mwachidule (Uthenga Wopita Nawo Kunyumba)

Elastography ndi njira yoyesera yosalowa m'thupi yomwe imayesa kuuma kwa minofu mkati mwa matupi athu. Nthawi zambiri imagwiritsidwa ntchito poyesa chiwindi cha fibrosis, chomwe chimayambitsa zipsera m'chiwindi. Dokotala wanu akhoza kulamula mayesowa ngati muli ndi kutupa kapena kuwonongeka kwa chiwindi chanu, kapena ngati muli ndi zizindikiro za matenda a chiwindi.

Mayesowa nthawi zambiri amakhala achangu komanso osapweteka, kotero palibe chodetsa nkhawa nacho. Ngati mukufuna kudziwa zambiri za izi, lankhulani ndi dokotala wanu ndikupempha zambiri. Mwanjira imeneyi, mutha kuyankha mafunso aliwonse omwe mungakhale nawo.

` Elastography, Kuuma kwa Chiwindi, Fibrosis, Cirrhosis, Ultrasound Scan, MRE, FibroScan, Matenda a Chiwindi, Kuzindikira, Mayeso Opanda Ululu