Mayeso a Elastography: Zonse zomwe muyenera kudziwa popanda mantha

Kodi dokotala wanu wakuuzani kuti muchite mtundu watsopano wa scan? Ingatchedwe 'Elastography'. Dzinalo lingamveke lachilendo pang'ono, koma kwenikweni ndi mayeso osavuta, osapweteka, komanso ofunikira kwambiri. Ali ngati scan ya ultrasound. Chifukwa chake tisachite mantha ndi izi, ndipo tiyeni tikambirane chilichonse mosavuta.

Kodi Elastography ndi chiyani kwenikweni?

Mwachidule, Elastography ndi mayeso omwe amayesa "kukhuthala" kapena kufewa/kuuma kwa ziwalo m'thupi lathu, monga chiwindi. Imagwiritsa ntchito kugwedezeka kochepa komwe sikupweteka komanso kochepa kwambiri ndipo sitingathe kumva.

Taganizirani izi motere. Chiwindi chathanzi chili ngati siponji yatsopano yomwe yanyowa madzi. Ndi chofewa komanso chosinthasintha. Koma chiwindi chikawonongeka ndi matenda, pang'onopang'ono chimayamba kuuma ndi kuuma. Zimakhala ngati siponji yauma ndipo yasanduka mwala. Elastography imayesa bwino momwe ilili yolimba. Ngati chiwalo chili cholimba kwambiri, chikhoza kukhala chizindikiro cha matenda.

Kodi mitundu ikuluikulu ya mayesowa ndi iti?

Pali mitundu iwiri ikuluikulu ya elastography. Dokotala wanu adzasankha mtundu womwe ukukuyenererani.

Kodi Shear Wave Elastography ndi chiyani?

Iyi ndi njira ina yatsopano yomwe imachokera ku ukadaulo wa Ultrasound. Mu izi, mtundu wina wapadera wa mafunde (mafunde ofiira) umagwiritsidwa ntchito poyesa kuuma kwa minofu. Izi zimapangitsa kuti pakhale chithunzi chomveka bwino. Ngakhale kuti ukadaulo uwu ukupangidwabe, umagwiritsidwa ntchito kale pofufuza zinthu monga mabere, chiwindi, minofu, prostate, ndi timitsempha ta thyroid.

N’chifukwa chiyani mukulimbikitsa kuchita mayeso a Elastography awa?

Chifukwa chachikulu chochitira mayeso a elastography ndikuwunika matenda otchedwa liver fibrosis .

Tangoganizani kuti chiwindi chathu chimawonongeka nthawi zonse chifukwa cha zifukwa zosiyanasiyana (monga kumwa mowa mopitirira muyeso, kachilombo ka chiwindi, chiwindi chamafuta). Kenako chiwindi chimayesetsa kudzichiritsa chokha. Panthawi yochira iyi, monga momwe chilonda chimapangikira pamene bala pakhungu lathu limachira, minofu ya chilonda imapangika m'chiwindi. Ichi ndi chomwe timachitcha Fibrosis .

Pamene fibrosis iyi ikupita patsogolo, imasokoneza kuyenda kwa magazi m'chiwindi. Ngati sichichiritsidwa, chiwindi chimatha kuuma kwathunthu ndikuchepa, zomwe zimapangitsa kuti munthu akhale ndi matenda otchedwa cirrhosis . Izi zingayambitse mavuto aakulu azaumoyo monga khansa ya chiwindi ndi kulephera kwa chiwindi.

Choncho, ngati muli pachiwopsezo chotenga matenda a chiwindi (monga chiwindi chamafuta, chiwindi cha chiwindi) kapena mukuwonetsa zizindikiro za matenda ofanana, dokotala wanu angakulangizeni kuti muyesedwe Elastography.

• Mukhoza kudziwa bwino kuchuluka kwa matenda a fibrosis omwe muli nawo.
• Motero, mutha kusankha chithandizo chabwino kwambiri chomwe mungapatsidwe.
• N'zotheka kuyang'anira momwe chiwindi chimayankhira mankhwala omwe aperekedwa.

Ndani amachita mayesowa? Kodi ndi olondola bwanji?

Mayeso amenewa nthawi zambiri amachitidwa ndi katswiri wa radiology , dokotala yemwe ndi katswiri pa kujambula zithunzi zachipatala. Iye adzagwira ntchito ndi dokotala wa banja lanu komanso katswiri wa chiwindi kuti apange zisankho zokhudzana ndi chithandizo chanu.

Kuyezetsa kumeneku kumaonedwa kuti ndi kolondola kwambiri pozindikira matenda a chiwindi. Kale, biopsy inkafunika kuti izindikire matendawa molondola. Komabe, chifukwa cha Elastography, tsopano izi zitha kupezeka popanda kupweteka kapena kuvulaza thupi.

Momwe mungachitire mayeso sitepe ndi sitepe

Momwe mumachitira izi zimasiyana pang'ono kutengera mtundu womwe mudapatsidwa.

Momwe Mungachitire Transient Elastography (Ultrasound):

Izi zingotenga mphindi zochepa chabe.

1. Choyamba, dokotala wa radiology adzapaka jeli wofanana ndi madzi pakhungu lanu, pamalo pomwe chiwindi chanu chili (kumanja kwa mimba yanu, pansi pa nthiti zanu). Izi zithandiza kuti chipangizo chowunikira chiziyenda mosavuta pakhungu lanu.

2. Kenako, chipangizo chaching'ono chogwiritsidwa ntchito m'manja (transducer) chimayikidwa pamalopo ndikusunthidwa pang'onopang'ono kumbuyo ndi kumbuyo.

3. Chipangizochi chimatumiza kugwedezeka pang'ono ku chiwindi komwe sitingathe kumva.

4. Liwiro limene mafunde ogwedezeka amagunda chiwindi n’kubwereranso m’mbuyo limayesedwa ndi kompyuta. Pamene chiwindi chikulimba, liwiro limene mafunde amenewa amayenda limawonjezeka.

5. Pogwiritsa ntchito izi, kompyuta imayesa kuuma kwa chiwindi ndikuchiwonetsa ngati chithunzi.

Momwe mungapangire MRE (Magnetic Resonance Elastography):

Izi nthawi zambiri zimatenga pafupifupi mphindi 5, koma ngati zitachitika ndi MRI yonse, zimatha kutenga pafupifupi mphindi 45.

1. Mudzaikidwa patebulo. Mungapatsidwe chithandizo monga zingwe kuti zikuthandizeni kukhala chete.

2. Pali chipangizo chaching'ono (choyendetsera) m'munsi mwa chifuwa chanu (pamwamba pa chiwindi).

3. Zipangizo zina zingapo zomwe zimatumiza ndi kulandira mafunde a wailesi zimayikidwa pakhungu lapafupi.

4. Nthawi zina (osati nthawi zonse) kansalu kakang'ono kamalowetsedwa mu mtsempha womwe uli m'dzanja lanu ndipo madzi apadera (osiyana - gadolinium) amalowetsedwa kudzera mmenemo. Izi zimapangitsa kuti zithunzi zimveke bwino.

5. Kenako tebulo lomwe muli patebulolo lidzalowa pang'onopang'ono mu makina a MRI, omwe amawoneka ngati chubu chachikulu.

6. Katswiri wa radiology amakhala pa kompyuta kunja kwa makina ndipo amayang'anira mayeso.

7. Mudzapemphedwa kuti mupume kwa masekondi angapo. Panthawiyo, dalaivala adzatumiza kugwedezeka pang'ono ku chiwindi ndikujambula zithunzi.

Kodi muyenera kukonzekera bwanji musanayese mayeso?

Ndikofunikira kwambiri kutsatira malangizo omwe dokotala wanu amakupatsani musanayese mayeso a elastography. Nthawi zambiri, mutha kuyembekezera zinthu monga:

• Chakudya: Musadye kapena kumwa chilichonse chotsekemera (tiyi wotsekemera, khofi, zakumwa zoziziritsa kukhosi, madzi a zipatso) musanayesedwe. Shuga ingasinthe pang'ono muyeso wa kuuma kwa chiwindi. Mungapemphedwe kuti musale kudya kwa maola angapo musanayesedwe. Funsani dokotala wanu kuti akupatseni malangizo enieni.
• Zovala:Pa tsiku la mayeso, siyani zodzikongoletsera zanu, mawotchi, ndi mapini a tsitsi kunyumba. Valani zovala zomasuka komanso zomasuka. Mungafunike kuvala diresi lapadera loperekedwa ndi chipatala.
• Zinthu zachitsulo (za MRE): Ngati muli ndi zinthu zachitsulo zomwe zaikidwa opaleshoni (monga makina oletsa kupweteka kwa mtima, zothandizira kumva, mafupa opangidwa), onetsetsani kuti mwadziwitsa dokotala wa radiology pasadakhale. Izi zitha kukhudzidwa ndi mphamvu yamphamvu ya maginito ya makina a MRI.
• Mimba: Uzani dokotala wanu ndi katswiri wa radiology ngati muli ndi pakati kapena mukuganiza kuti muli ndi pakati. Ultrasound elastography ndi yotetezeka panthawi ya mimba. Komabe, MRI scans nthawi zambiri siimachitika mkati mwa trimester yoyamba ya mimba.

Kodi pali chiopsezo chotani pamenepa?

Kawirikawiri MRE ndi yotetezeka ngati mutsatira malangizo achitetezo mosamala. Mphamvu ya maginito si yovulaza thupi. Komabe, nthawi zina, vuto la ziwengo ku mankhwala osiyanitsa (gadolinium) omwe amagwiritsidwa ntchito limatha kuchitika. Komanso, ngati mupatsidwa mankhwala ochepetsa nkhawa kuti muchepetse nkhawa panthawi yoyezetsa, pakhoza kukhala zoopsa zokhudzana ndi kumwa mankhwala opitirira muyeso. Komabe, izi sizichitika kawirikawiri.

Kodi zotsatira za mayeso zikuti chiyani?

Mayeso anu a Elastography amakupatsani chithunzi cha chiwindi chanu. Katswiri wa radiology amafufuza chithunzicho kuti adziwe kuchuluka kwa kuuma, kapena zipsera, za chiwindi chanu. Mlingo uwu nthawi zambiri umakhala kuyambira F0 mpaka F4.

Patangopita masiku ochepa kuchokera pamene mayeso achitika, katswiri wa radiology adzakonza lipoti la zotsatira zake ndikulitumiza kwa dokotala wanu. Kenako dokotalayo adzakuyimbirani foni kuti akufotokozereni zotsatira zake ndikukambirana zomwe ziyenera kuchitika pambuyo pake.