Ngaba ugqirha wakho ukuxelele ukuba wenze uhlobo olutsha lweskeni? Ingabizwa ngokuba yi-'Elastography'. Eli gama lisenokuvakala lingaqhelekanga, kodwa eneneni luvavanyo olulula kakhulu, olungenabuhlungu, nolubaluleke kakhulu. Kufana neskeni ye-ultrasound. Ngoko ke masingoyiki oku, kwaye masithethe ngayo yonke into ngokulula.
Yintoni i-Elastography ngokulula?
Ngamafutshane, i-Elastography luvavanyo olulinganisa "ukuthamba" okanye ukuthamba/ukuqina kwamalungu omzimba wethu, njengesibindi. Isebenzisa ukungcangcazela okuphantsi okungenabuhlungu kwaye kuncinci kakhulu kwaye asinakukuva.
Cinga ngale ndlela. Isibindi esisempilweni sifana nesiponji esitsha esifunxe amanzi. Sithambile kwaye siyaguquguquka. Kodwa xa isibindi sonakaliswe sisifo, siqala ukuqina kancinci size siqine. Kufana nokuba isiponji somile saza sajika saba lilitye. I-Elastography ilinganisa ngqo ukuba siqine kangakanani. Ukuba isitho siqinile kakhulu, sinokuba luphawu lwesifo.
Ziziphi iintlobo eziphambili zolu vavanyo?
Kukho iintlobo ezimbini eziphambili ze-elastography. Ugqirha wakho uza kukhetha uhlobo olulungele wena.
| Uhlobo lovavanyo | Ingcaciso elula |
|---|---|
| I-Ultrasound Elastography (I-Transient Elastography okanye i-FibroScan®) | Le yeyona ndlela isetyenziswa kakhulu. Ifana nokuskena rhoqo. Isixhobo esincinci esiphathwayo (i-transducer) sisebenzisa amaza esandi ukwenza umfanekiso wesitho. Olu luvavanyo olukhawulezayo nolungenabuhlungu. Alwenzi mingxunya okanye ukugqobhoza emzimbeni. |
| I-Magnetic Resonance Elastography (MRE) | Oku kuquka ukudibanisa amaza esandi akhankanywe apha ngasentla kunye namaza emagnethi kunye nerediyo avela kwi-MRI scanner ukuze kwenziwe umfanekiso ocacileyo. Akukho mitha isetyenziswayo. Ngamanye amaxesha, ugqirha wakho unokugqiba ekubeni enze i-MRE kunye ne-MRI scan epheleleyo. |
Yintoni iShear Wave Elastography?
Le yenye indlela entsha evela kwitekhnoloji ye-Ultrasound. Kule ndlela, kusetyenziswa olunye uhlobo olukhethekileyo lwamaza (amaza okusika) ukulinganisa ukuqina kwezicubu. Oku kubangela umfanekiso ocacileyo. Nangona le teknoloji isaphuhliswa, sele isetyenziswa ukuhlola izinto ezifana namabele, isibindi, izihlunu, iprostate, kunye namaqhuqhuva e-thyroid.
Kutheni ucebisa ukuba wenze olu vavanyo lwe-Elastography?
Eyona sizathu sokwenza uvavanyo lwe-elastography kukujonga imeko ebizwa ngokuba yi-liver fibrosis .
Khawuthelekelele ukuba isibindi sethu sihlala sonakala ngenxa yezizathu ezahlukeneyo (umzekelo, ukusela utywala kakhulu, intsholongwane ye-hepatitis, isibindi esinamafutha). Emva koko isibindi sizama ukuziphilisa. Ngexesha lokuphiliswa, njengokuba inxeba lesikhumba liphola, izicubu zenxeba ziyavela esibindini. Oku sikubiza ngokuba yi-Fibrosis .
Ngamafutshane, i-fibrosis kukuqina nokuqhekeka kwesibindi. Eli linqanaba lokuqala ngaphambi kokuba isibindi sifikelele kwimeko embi kakhulu ebizwa ngokuba yi-cirrhosis.
Njengoko le fibrosis iqhubeka, iphazamisa ukuhamba kwegazi esibindini. Ukuba ayinyangwa, isibindi sinokuqina ngokupheleleyo size sinciphe, nto leyo ekhokelela kwimeko ebizwa ngokuba yi-cirrhosis . Oku kunokukhokelela kwiingxaki zempilo ezinzulu ezifana nomhlaza wesibindi kunye nokungasebenzi kakuhle kwesibindi.
Ngoko ke, ukuba usemngciphekweni wokuba nesifo sesibindi (umz. isibindi esinamafutha, i-hepatitis) okanye ubonisa iimpawu zezifo ezifanayo, ugqirha wakho unokucebisa uvavanyo lwe-Elastography.
- Ungayazi kakuhle inqanaba le-fibrosis onayo.
- Ngoko ke, ungakhetha ukuba loluphi unyango olungcono onokulunikwa.
- Kunokwenzeka ukujonga indlela isibindi esisabela ngayo kunyango olunikiweyo.
Ngubani owenza olu vavanyo? Luchane kangakanani?
Olu vavanyo ludla ngokwenziwa yingcali ye-radiologist , ugqirha ogxile kwimifanekiso yezonyango. Uza kusebenza nogqirha wosapho lwakho kunye nengcali ye-hepatologist ukwenza izigqibo malunga nonyango lwakho.
Olu vavanyo luthathwa njengoluchanekileyo kakhulu ekuxilongeni i-fibrosis yesibindi. Ngaphambili, bekufuneka i-biopsy ukuze kuchongwe ngokuchanekileyo le meko. Nangona kunjalo, ngenxa ye-Elastography, olu lwazi ngoku lunokufunyanwa ngaphandle kwentlungu okanye ukwenzakalisa umzimba.
Indlela yokwenza uvavanyo inyathelo ngenyathelo
Indlela oyenza ngayo le nto iya kwahluka kancinci ngokuxhomekeke kuhlobo olunikwe lona.
Indlela yokwenza i-Transient Elastography (i-Ultrasound):
Oku kuza kuthatha imizuzu embalwa kuphela.
1. Okokuqala, ingcali ye-radiology iza kusebenzisa ijeli efana namanzi eluswini lwakho, kwindawo apho isibindi sakho sikhona (kwicala lasekunene lesisu sakho, phantsi kweembambo zakho). Oku kuya kuvumela isixhobo sokuskena ukuba sihambe ngokulula phezu kolusu lwakho.
2. Emva koko, isixhobo esincinci esiphathwayo (i-transducer) sibekwa kuloo ndawo size sishukunyiswe kancinci sibuyele umva nangaphambili.
3. Esi sixhobo sithumela umothuko omncinci kwisibindi esingawuvayo.
4. Isantya apho amaza othuko abetha khona isibindi aze abuyele umva silinganiswa yikhompyutha. Njengoko isibindi siqina, isantya ahamba ngaso la maza siyanda.
5. Isebenzisa olu lwazi, ikhompyutha ilinganisa ukuqina kwesibindi ize isibonise njengomfanekiso.
Indlela yokwenza i-MRE (i-Magnetic Resonance Elastography):
Oku kudla ngokuthatha malunga nemizuzu emi-5, kodwa ukuba kwenziwa nge-MRI epheleleyo, kungathatha malunga nemizuzu engama-45.
1. Uza kubekwa etafileni. Usenokunikwa inkxaso efana neebhanti zokukunceda uhlale ungashukumi.
2. Kukho isixhobo esincinci (umqhubi) kwinxalenye esezantsi ngasekunene yesifuba sakho (ngaphezulu kwesibindi).
3. Ezinye izixhobo ezininzi ezithumela kwaye zamkele amaza erediyo zibekwe eluswini olukufutshane.
4. Ngamanye amaxesha (akusoloko kunjalo) i-cannula encinci ifakwa emthanjeni osengalweni yakho kwaye kufakwe ulwelo olukhethekileyo (umahluko - i-gadolinium). Oku kwenza imifanekiso icace ngakumbi.
5. Emva koko itafile ophezu kwayo iya kuhamba kancinci iye kumatshini we-MRI, ofana nombhobho omkhulu.
6. Ingcali ye-radiology ihleli kwikhompyutha ngaphandle komatshini kwaye ilawula uvavanyo.
7. Uza kucelwa ukuba ubambe umphefumlo wakho imizuzwana embalwa. Ngelo xesha, umqhubi uza kuthumela iintshukumo ezincinci esibindini aze athathe imifanekiso.
Ufanele uzilungiselele njani ngaphambi kovavanyo?
Kubaluleke kakhulu ukulandela imiyalelo ugqirha wakho akunika yona ngaphambi kokuba wenze uvavanyo lwe-elastography. Ngokwesiqhelo, unokulindela izinto ezinje:
- Ukutya: Musa ukutya okanye ukusela nantoni na emnandi (iti emnandi, ikofu, iziselo ezibandayo, ijusi yeziqhamo) ngaphambi kovavanyo. Iswekile ingayitshintsha kancinci indlela esilinganisa ngayo ukuqina kwesibindi. Ungacelwa ukuba uzile ukutya iiyure ezimbalwa ngaphambi kovavanyo. Cela ugqirha wakho ukuba akunike imiyalelo ethile.
- Iimpahla:Ngomhla wovavanyo, shiya ubucwebe bakho, iiwotshi, kunye neentsimbi zokulungisa iinwele ekhaya. Nxiba impahla ekhululekileyo nekhululekileyo. Kusenokufuneka unxibe ilokhwe ekhethekileyo ebonelelwe yisibhedlele.
- Izinto zesinyithi (ze-MRE): Ukuba unezixhobo zesinyithi ezifakwe ngotyando (umz. i-pacemakers, izixhobo zokuva, amalungu okwenziwa), qiniseka ukuba wazisa ugqirha we-radiologist kwangaphambili. Ezi zinokuchaphazeleka yi-magnetic field enamandla yomatshini we-MRI.
- Ukukhulelwa: Xelela ugqirha wakho kunye nengcali ye-radiology ukuba ukhulelwe okanye ukrokrela ukuba ukhulelwe. I-ultrasound elastography ikhuselekile ngexesha lokukhulelwa. Nangona kunjalo, ii-MRI scans aziqhelekanga ukwenziwa ngexesha le-trimester yokuqala yokukhulelwa.
Luhlobo luni lomngcipheko olukhoyo koku?
Iindaba ezimnandi zezokuba akukho zingozi okanye iziphumo ebezingalindelekanga ezivela kuvavanyo lwe-Elastography Ultrasound (FibroScan).
I-MRE ikhuselekile ngokubanzi ukuba ulandela imiyalelo yokhuseleko ngononophelo. I-magnetic field ayinabungozi emzimbeni. Nangona kunjalo, kwiimeko ezingaqhelekanga, impendulo ye-allergy kwi-contrast agent (gadolinium) esetyenzisiweyo inokwenzeka. Kwakhona, ukuba unikwa isithomalalisi sokuthomalalisa umsindo ngexesha lovavanyo, kunokubakho iingozi ezinxulumene nokugqithisela. Nangona kunjalo, ezi azixhaphakanga kakhulu.
Zithini iziphumo zovavanyo?
Uvavanyo lwakho lwe-Elastography luvelisa umfanekiso wesibindi sakho. Ingcali ye-radiology ihlalutya umfanekiso ukuze ibone ubungakanani bokuqina, okanye amanxeba, esibindi sakho. Eli nqanaba lidla ngokulinganiswa ukusuka kwi-F0 ukuya kwi-F4.
| Inqanaba leFibrosis | Intsingiselo |
|---|---|
| Ukusuka kwi-F0 ukuya kwi-F1 | Akukho zibazi okanye zibazi ezincinci (imeko esempilweni) |
| F2 | Kukho amanxeba aphakathi. |
| F3 | Kukho amanxeba aqatha. |
| F4 | Amanxeba aqatha (i-cirrhosis) |
Kwiintsuku ezimbalwa emva kovavanyo, ingcali ye-radiology iza kulungiselela ingxelo yeziphumo ize iyithumele kugqirha wakho onyangayo. Ugqirha uza kukuphinda akubize ukuze akuchazele iziphumo aze axoxe ngezinto ekufuneka zenziwe emva koko.
Umyalezo Wokuya Ekhaya
- I-Elastography siskeni esingenabuhlungu nesikhuselekileyo esilinganisa ukuqina kwamalungu anjengesibindi.
- Oku kusetyenziselwa kakhulu ukuxilonga nokujonga iimeko ezifana ne-liver fibrosis kunye ne-cirrhosis.
- Olu luvavanyo olungangenisi ntsholongwane, nto leyo eyenza ukuba lube lolunye uhlobo olufanelekileyo kunovavanyo lwesibindi lwangaphambili.
- Landela imiyalelo kagqirha ngononophelo ngaphambi kovavanyo, ingakumbi malunga nokutya.
- Ukuba unemibuzo, uloyiko, okanye amathandabuzo malunga nolu vavanyo, ungabi nazintloni kwaye thetha ngalo ngokukhululekileyo nogqirha wakho.
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