Ingabe udokotela wakho ukutshelile ukuthi wenze uhlobo olusha lokuskena? Kungase kubizwe ngokuthi 'i-Elastography'. Igama lingase lizwakale lingavamile, kodwa empeleni liwukuhlolwa okulula kakhulu, okungenabuhlungu, futhi okubaluleke kakhulu. Kufana nokuskena kwe-ultrasound. Ngakho-ke masingakwesabi lokhu, futhi ake sixoxe ngakho konke kalula.
Kuyini i-Elastography kalula?
Kalula nje, i-Elastography iwukuhlolwa okulinganisa "ukunwebeka" noma ukuthamba/ukuqina kwezitho zomzimba wethu, njengesibindi. Isebenzisa ukudlidliza okuphansi okungenabuhlungu futhi okuncane kakhulu futhi esingenakukuzwa.
Cabanga ngale ndlela. Isibindi esinempilo sifana nesiponji esisha esimunce amanzi. Sithambile futhi siyaguquguquka. Kodwa lapho isibindi sonakaliswa yisifo, kancane kancane siqala ukuqina futhi sibe lukhuni. Kunjengokungathi isiponji somile futhi saphenduka itshe. I-Elastography ilinganisa kahle ukuthi siqine kangakanani. Uma isitho siqine kakhulu, kungaba uphawu lwesifo.
Yiziphi izinhlobo eziyinhloko zalolu vivinyo?
Kunezinhlobo ezimbili eziyinhloko ze-elastography. Udokotela wakho uzokhetha uhlobo olukufanele kakhulu.
| Uhlobo lokuhlola | Incazelo elula |
|---|---|
| I-Ultrasound Elastography (I-Transient Elastography noma i-FibroScan®) | Lena yindlela evame ukusetshenziswa kakhulu. Ifana nokuskena okuvamile. Idivayisi encane, ephathwa ngesandla (i-transducer) isebenzisa amaza omsindo ukudala isithombe sesitho. Lokhu kuwukuhlolwa okusheshayo kakhulu, okungenabuhlungu. Akukhiphi ukusikeka noma ukubhoboza emzimbeni. |
| I-Magnetic Resonance Elastography (MRE) | Lokhu kuhilela ukuhlanganisa amaza omsindo okukhulunywe ngawo ngenhla namaza kazibuthe kanye nawomsakazo avela kusikena se-MRI ukuze kudalwe isithombe esicacile. Akukho misebe esetshenziswayo. Ngezinye izikhathi, udokotela wakho angase anqume ukwenza i-MRE kanye nesikena esigcwele se-MRI. |
Kuyini i-Shear Wave Elastography?
Lena enye indlela entsha evela kubuchwepheshe be-Ultrasound. Kulokhu, kusetshenziswa olunye uhlobo olukhethekile lwamagagasi (ama-shear wave) ukukala ukuqina kwezicubu. Lokhu kuphumela esithombeni esicacile. Nakuba lobu buchwepheshe busathuthukiswa, sebuvele busetshenziswa ukuhlola izinto ezifana namabele, isibindi, imisipha, i-prostate, kanye nama-nodule e-thyroid.
Kungani uncoma ukwenza lolu vivinyo lwe-Elastography?
Isizathu esiyinhloko sokwenza isivivinyo se-elastography ukuhlola isimo esibizwa ngokuthi i-liver fibrosis .
Ake sithi isibindi sethu siyalimala njalo ngenxa yezizathu ezahlukahlukene (isibonelo, ukuphuza utshwala ngokweqile, igciwane le-hepatitis, isibindi esinamafutha). Bese isibindi sizama ukuzelapha. Phakathi nale nqubo yokuphulukiswa, njengoba nje kwakheka isilonda lapho inxeba esikhumbeni sethu liphola, kwakheka izicubu zesilonda esibindini. Yilokhu esikubiza ngokuthi i-Fibrosis .
Kalula nje, i-fibrosis ukuqina nokubopha kwesibindi. Lesi yisigaba sokuqala ngaphambi kokuba isibindi siqhubekele esimweni esibi kakhulu esibizwa ngokuthi i-cirrhosis.
Njengoba le fibrosis iqhubeka, iphazamisa ukuhamba kwegazi esibindini. Uma ingelashwa, isibindi singaqina ngokuphelele futhi sinciphe, okuholela esimweni esibizwa ngokuthi i-cirrhosis . Lokhu kungaholela ezinkingeni ezinkulu zempilo njengomdlavuza wesibindi kanye nokwehluleka kwesibindi.
Ngakho-ke, uma usengozini yokuthola isifo sesibindi (isib. isibindi esinamafutha, i-hepatitis) noma ubonisa izimpawu zezifo ezifanayo, udokotela wakho angase akuncomele ukuhlolwa kwe-Elastography.
- Ungazi kahle ukuthi unalo izinga le-fibrosis elingakanani.
- Ngakho-ke, unganquma ukuthi yikuphi ukwelashwa okungcono kakhulu ongakunikeza kona.
- Kungenzeka ukuqapha indlela isibindi esisabela ngayo ekwelashweni okunikezwayo.
Ubani owenza lokhu kuhlolwa? Kunembile kangakanani?
Lokhu kuhlolwa kuvame ukwenziwa yi-radiologist , udokotela ogxile ekuthathweni kwezithombe zezokwelapha. Uzosebenzisana nodokotela womndeni wakho kanye nodokotela wezifo zesibindi ukuze benze izinqumo mayelana nokwelashwa kwakho.
Lokhu kuhlolwa kubhekwa njengokunembe kakhulu ekuxilongeni i-fibrosis yesibindi. Esikhathini esidlule, kwakudingeka i-biopsy ukuze kuhlolwe ngokunembile lesi simo. Kodwa-ke, ngenxa ye-Elastography, lolu lwazi lungatholakala manje ngaphandle kobuhlungu noma ukulimala emzimbeni.
Indlela yokwenza isivivinyo isinyathelo ngesinyathelo
Indlela ozokwenza ngayo lokhu izohluka kancane kuye ngohlobo olunikezwe lona.
Indlela yokwenza i-Transient Elastography (i-Ultrasound):
Lokhu kuzothatha imizuzu embalwa kuphela.
1. Okokuqala, udokotela we-radiologist uzofaka ijeli efana namanzi esikhumbeni sakho, endaweni lapho isibindi sakho sikhona (ngakwesokudla kwesisu sakho, ngaphansi kwezimbambo zakho). Lokhu kuzovumela idivayisi yokuskena ukuthi ihambe kalula phezu kwesikhumba sakho.
2. Bese kubekwa idivayisi encane ephathwa ngesandla (i-transducer) endaweni bese ihanjiswa kancane kancane iye phambili naphambili.
3. Le divayisi ithumela ukushaqeka okuncane esibindini esingakuzwa.
4. Isivinini lapho amaza okushaqeka eshaya khona isibindi bese ebuyela emuva silinganiswa yikhompyutha. Njengoba isibindi siba siqinile, isivinini la maza ahamba ngaso siyanda.
5. Isebenzisa lolu lwazi, ikhompyutha ilinganisa ukuqina kwesibindi bese isibonisa njengesithombe.
Indlela yokwenza i-MRE (Magnetic Resonance Elastography):
Lokhu kuvame ukuthatha cishe imizuzu emi-5, kodwa uma kwenziwa nge-MRI ephelele, kungathatha cishe imizuzu engama-45.
1. Uzobekwa etafuleni. Ungase unikezwe ukwesekwa okufana nezintambo ukuze kukusize uhlale unganyakazi.
2. Kukhona idivayisi encane (umshayeli) engxenyeni engezansi kwesokudla yesifuba sakho (ngaphezu kwesibindi).
3. Amanye amadivayisi amaningana athumela futhi amukele amaza omsakazo abekwa esikhumbeni esiseduze.
4. Ngezinye izikhathi (hhayi njalo) i-cannula encane ifakwa emthanjeni ongalweni yakho bese kufakwa uketshezi olukhethekile (umehluko - i-gadolinium). Lokhu kwenza izithombe zicace.
5. Itafula okulo lizongena kancane kancane emshinini we-MRI, obukeka njengepayipi elikhulu.
6. Udokotela we-radiologist uhlala kukhompyutha ngaphandle komshini futhi ulawula ukuhlolwa.
7. Uzocelwa ukuba ubambe umoya imizuzwana embalwa. Ngaleso sikhathi, umshayeli uzothumela ukudlidliza okuncane esibindini bese ethatha izithombe.
Kufanele uzilungiselele kanjani ngaphambi kokuhlolwa?
Kubaluleke kakhulu ukulandela imiyalelo udokotela wakho akunika yona ngaphambi kokuhlolwa kwakho kwe-elastography. Ngokuvamile, ungalindela izinto ezinjengalezi:
- Ukudla: Ungadli noma uphuze noma yini emnandi (itiye elinoshukela, ikhofi, iziphuzo ezibandayo, ijusi yezithelo) ngaphambi kokuhlolwa. Ushukela ungashintsha kancane isilinganiso sokuqina kwesibindi. Ungase ucelwe ukuba uzile ukudla amahora ambalwa ngaphambi kokuhlolwa. Cela udokotela wakho imiyalelo ethile.
- Izingubo:Ngosuku lokuhlolwa, shiya ubucwebe bakho, amawashi, kanye nezikhonkwane zezinwele ekhaya. Gqoka izingubo ezikhululekile nezikhululekile. Kungase kudingeke ugqoke ingubo ekhethekile enikezwe yisibhedlela.
- Izinto zensimbi (ze-MRE): Uma unezinto zensimbi ezifakwe ngokuhlinzwa (isib. i-pacemakers, izinsiza zokuzwa, amalunga okwenziwa), qiniseka ukuthi wazisa udokotela we-radiologist kusenesikhathi. Lokhu kungathinteka yinsimu enamandla yamagnetic yomshini we-MRI.
- Ukukhulelwa: Tshela udokotela wakho kanye nodokotela we-radiology uma ukhulelwe noma usola ukuthi ukhulelwe. I-ultrasound elastography iphephile ngesikhathi sokukhulelwa. Kodwa-ke, ama-MRI scan avame ukwenziwa ngesikhathi se-trimester yokuqala yokukhulelwa.
Hlobo luni lwengozi olukhona kulokhu?
Izindaba ezinhle kakhulu ukuthi azikho izingozi noma imiphumela emibi eyaziwayo evela ekuhlolweni kwe-Elastography Ultrasound (FibroScan).
I-MRE ngokuvamile iphephile uma ulandela imiyalelo yokuphepha ngokucophelela. Insimu yamagnetic ayilimazi umzimba. Kodwa-ke, ezimweni ezingavamile, ukusabela kokungezwani komzimba ne-contrast agent (i-gadolinium) esetshenziswayo kungase kwenzeke. Futhi, uma unikezwa umuthi wokudambisa ukuze uthule ngesikhathi sokuhlolwa, kungase kube nezingozi ezihlobene nokweqisa izidakamizwa. Kodwa-ke, lokhu akuvamile kakhulu.
Ithini imiphumela yokuhlolwa?
Ukuhlolwa kwakho kwe-Elastography kuveza isithombe sesibindi sakho. Udokotela we-X-ray uhlaziya isithombe ukuze anqume izinga lokuqina, noma izibazi, zesibindi sakho. Leli zinga livame ukuhlukaniswa kusukela ku-F0 kuya ku-F4.
| Isigaba se-Fibrosis | Incazelo |
|---|---|
| F0 kuya ku-F1 | Akukho zibazi noma izibazi ezincane (isimo esinempilo) |
| F2 | Kukhona izibazi eziphakathi nendawo. |
| F3 | Kukhona izibazi ezinkulu. |
| F4 | Izibazi ezinkulu (i-cirrhosis) |
Ezinsukwini ezimbalwa emva kokuhlolwa, udokotela we-radiologist uzolungisa umbiko wemiphumela bese ewuthumela kudokotela wakho okwelaphayo. Udokotela uzobe esekushayela ucingo ukuze akuchazele imiphumela futhi axoxe ngalokho okudingeka kwenziwe ngokulandelayo.
Umlayezo Wokuya Nawe Ekhaya
- I-Elastography iyi -scan engenabuhlungu nephephile elinganisa ukuqina kwezitho zomzimba ezifana nesibindi.
- Lokhu kusetshenziselwa kakhulu ukuxilonga nokuqapha izimo ezifana ne-fibrosis yesibindi kanye ne-cirrhosis.
- Lokhu ukuhlolwa okungangenisi umdlavuza, okwenza kube yindlela enhle yokwelapha isibindi esidlule.
- Landela imiyalelo kadokotela ngokucophelela ngaphambi kokuhlolwa, ikakhulukazi maqondana nokudla kanye nokudla okunempilo.
- Uma unemibuzo, ukwesaba, noma ukungabaza ngalolu vivinyo, ungabi namahloni futhi ukhulume ngakho ngokukhululekile nodokotela wakho.
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