Bvunzo reElastography: Zvese zvaunoda kuziva usingatyi

Chiremba wako akakuudza kuti uite rudzi rutsva rwekuskena here? Inogona kunzi 'Elastography'. Zita racho ringanzwika serisinganzwisisike, asi chaizvoizvo ibvunzo iri nyore, isingarwadzi, uye inokosha zvikuru. Zvakafanana ne ultrasound scan. Saka ngatirege kutya izvi, uye ngatitaurei nezvese zviri nyore.

Chii chinonzi Elastography?

Muchidimbu, Elastography ibvunzo inoyera "kupfava" kana kupfava/kuoma kwenhengo dzemuviri wedu, dzakadai sechiropa. Inoshandisa kudedera kushoma-frequency uko kusingarwadzi uye kudiki kwazvo uye kusinganzwike nesu.

Funga nezvazvo nenzira iyi. Chiropa chine hutano chakafanana nechipanji chitsva chakanyorova mvura. Chinopfava uye chinochinjika. Asi kana chiropa chikakuvadzwa nechirwere, chinotanga kuoma zvishoma nezvishoma uye chinooma. Zvinoita sekunge chipanji chaoma uye chashanduka kuita dombo. Elastography inoongorora kuti chakaoma sei. Kana nhengo yaoma zvakanyanya, inogona kunge iri chiratidzo chechirwere.

Ndedzipi mhando huru dzebvunzo iyi?

Kune mhando mbiri huru dze elastography. Chiremba wako ndiye achasarudza rudzi rwakakunakira.

Chii chinonzi Shear Wave Elastography?

Iyi imwe nzira itsva inobva kuUltrasound technology. Mune izvi, imwe mhando yemafungu (shear waves) inoshandiswa kuyera kuomarara kwenyama. Izvi zvinoita kuti pave nemufananidzo wakajeka. Kunyangwe tekinoroji iyi ichiri kugadzirwa, yatove kushandiswa kuongorora zvinhu zvakaita semazamu, chiropa, tsandanyama, prostate, uye thyroid nodules.

Sei uchikurudzira kuita bvunzo iyi yeElastography?

Chikonzero chikuru chekuita bvunzo ye elastography ndechekutarisa chirwere chinonzi liver fibrosis .

Fungidzira kuti chiropa chedu chinoramba chichikuvara nekuda kwezvikonzero zvakasiyana-siyana (semuenzaniso, kunwa doro zvakanyanya, hutachiona hwehepatitis, chiropa chine mafuta). Ipapo chiropa chinoedza kuzvirapa chega. Munguva iyi yekupora, sezvinoita vanga rinoumbwa kana ronda paganda redu richipora, mavanga anoumbwa muchiropa. Izvi ndizvo zvatinodaidza kuti Fibrosis .

Sezvo chirwere ichi chichiwedzera, chinokanganisa kufamba kweropa muchiropa. Kana chikasarapwa, chiropa chinogona kuoma zvachose uye kuonda, zvichikonzera chirwere chinonzi cirrhosis . Izvi zvinogona kukonzera matambudziko makuru ehutano akadai sekenza yechiropa uye kutadza kwechiropa.

Saka, kana uri panjodzi yekubatwa nechirwere chechiropa (semuenzaniso chiropa chine mafuta, hepatitis) kana kuti uri kuratidza zviratidzo zvezvirwere zvakafanana, chiremba wako anogona kukurudzira kuti uedze Elastography test. Izvi zvinotevera:

• Unogona kuziva kuti une fibrosis yakadii.
• Saka, unogona kusarudza kuti ndeipi nzira yakanakisisa yekurapa.
• Zvinokwanisika kutarisa kuti chiropa chinopindura sei pakurapwa kwakapihwa.

Ndiani anoita bvunzo iyi? Yakarurama zvakadii?

Bvunzo iyi inowanzoitwa na radiologist , chiremba ane hunyanzvi mukutora mifananidzo yezvekurapa. Iye achashanda nachiremba wemhuri yenyu pamwe nachiremba wehepatologist kuti vasarudze nezvekurapa kwenyu.

Kuongororwa uku kunoonekwa sekwakarurama zvikuru pakuongorora fibrosis yechiropa. Kare, biopsy yaidiwa kuti chirwere ichi chiongororwe nemazvo. Zvisinei, nekuda kweElastography, ruzivo urwu runogona kuwanikwa pasina kurwadziwa kana kukuvara kwemuviri.

Maitiro ekuita bvunzo nhanho nhanho

Maitiro aunoita izvi achasiyana zvishoma zvichienderana nerudzi rwemishonga yawakapihwa.

Maitiro ekuita Transient Elastography (Ultrasound):

Izvi zvinongotora maminetsi mashoma chete.

1. Kutanga, chiremba weX-ray achaisa gel yakaita semvura paganda rako, munzvimbo ine chiropa chako (kurudyi rwedumbu rako, pasi pembabvu dzako). Izvi zvichaita kuti mudziyo wekuongorora ufambiswe zviri nyore pamusoro peganda rako.

2. Zvadaro, mudziyo mudiki wekubata nemaoko (transducer) unoiswa panzvimbo yacho wofambiswa zvishoma nezvishoma.

3. Mudziyo uyu unotuma kuvhunduka kudiki kuchiropa kwatisingakwanise kunzwa.

4. Kumhanya uko mafungu ekuvhunduka anorova chiropa obva adzokororwa kumashure kunoyerwa nekombiyuta. Chiropa pachinooma, kumhanya kunoita mafungu aya kunowedzera.

5. Ichishandisa ruzivo urwu, kombiyuta inoyera kuoma kwechiropa uye inochiratidza semufananidzo.

Maitiro ekuita MRE (Magnetic Resonance Elastography):

Izvi zvinowanzotora maminetsi mashanu, asi kana zvikaitwa neMRI yakazara, zvinogona kutora maminetsi makumi mana nemashanu.

1. Uchaiswa patafura. Unogona kupihwa rutsigiro rwakadai setambo kuti zvikubatsire kuramba wakadzikama.

2. Pane kamuchina kadiki (kanodhiraivha) muchikamu chezasi cherudyi chechipfuva chako (pamusoro pechiropa).

3. Mimwe michina yakati wandei inotumira uye inogamuchira mafungu eredhiyo inoiswa paganda riri pedyo.

4. Dzimwe nguva (kwete nguva dzose) kannula kadiki kanopinzwa mutsinga iri muruoko rwako uye mvura yakakosha (inosiyanisa - gadolinium) inopinzwa nayo. Izvi zvinoita kuti mifananidzo ijeke.

5. Tafura yauri pairi ichapinda zvishoma nezvishoma mumuchina weMRI, unotaridzika sechubhu hombe.

6. Chiremba weX-ray anogara pakombuta iri kunze kwemuchina uye anotungamira bvunzo.

7. Uchakumbirwa kuti ubatisise mweya wako kwemasekonzi mashoma. Panguva iyoyo, mutyairi achatumira kudedera kudiki kuchiropa otora mifananidzo.

Unofanira kugadzirira sei bvunzo isati yaitwa?

Zvakakosha kutevedzera mirairo yaunopihwa nachiremba wako usati waongororwa elastography. Kazhinji, unogona kutarisira zvinhu zvakaita se:

• Chikafu: Usadye kana kunwa chero chinhu chinotapira (tii inotapira, kofi, zvinwiwa zvisina kupfava, muto wemichero) usati waongororwa. Shuga inogona kuchinja zvishoma chiyero chekuoma kwechiropa. Ungangokumbirwa kutsanya kwemaawa mashoma usati waongororwa. Bvunza chiremba wako kuti akupe mirairo chaiyo.
• Zvipfeko:Pazuva rekuongororwa, siya zvishongo zvako, mawachi, nemapini ebvudzi kumba. Pfeka mbatya dzisina kusimba uye dzinonyaradza. Ungangoda kupfeka rokwe rakakosha rakapihwa nechipatara.
• Zvinhu zvesimbi (zveMRE): Kana uine zvinhu zvesimbi zvakaiswa muchipatara (semuenzaniso pacemakers, hearing aid, artificial joints), iva nechokwadi chekuti wazivisa chiremba we radiology pachine nguva. Izvi zvinogona kukanganiswa nesimba guru remagineti remuchina weMRI.
• Kubata Pamuviri: Udza chiremba wako nenyanzvi ye radiation kana uine pamuviri kana kuti uchifungidzira kuti une pamuviri. Ultrasound elastography yakachengeteka panguva yekuzvitakura. Zvisinei, MRI scans haiwanzoitwa mukati memwedzi mitatu yekutanga yekuzvitakura.

Ndeipi njodzi iripo mune izvi?

MRE inowanzo chengetedzwa kana ukanyatsotevera mirairo yekuchengetedza. Simba remagineti harikuvadzi muviri. Zvisinei, mune zvisingawanzoitiki, allergy reaction kune contrast agent (gadolinium) inoshandiswa inogona kuitika. Zvakare, kana ukapihwa mushonga wekunyaradza kuti udzikame panguva yekuedzwa, panogona kunge paine njodzi dzinoenderana nekudarika mwero. Zvisinei, izvi hazviwanzoitiki.

Zvakabuda muongororo zvinoti chii?

Kuongororwa kwako kweElastography kunoburitsa mufananidzo wechiropa chako. Nyanzvi yeX-ray inoongorora mufananidzo wacho kuti ione kuomarara kwechiropa chako. Nhamba iyi inowanzo ongororwa kubva paF0 kusvika paF4.

Mukati memazuva mashoma mushure mekuongororwa, chiremba weX-ray achagadzira mushumo wezvabuda uye outumira kuna chiremba wako ari kukurapa. Chiremba achakufonera kuti akutsanangurire zvabuda uye okurukura zvaunoda kuita.