Chiwindi cha elastography: ndi chiyani, ndi chiyani komanso momwe zimachitikira

Zamkati

• Ndi chiyani
• Momwe mayeso amachitikira
• Ubwino pa biopsy
• Momwe mungamvetsere zotsatira
• Kodi zotsatira zake zitha kusokonekera?
• Ndani sayenera kulemba mayeso?

Chiwindi elastography, chomwe chimadziwikanso kuti Fibroscan, ndimayeso omwe amagwiritsidwa ntchito poyesa kupezeka kwa fibrosis m'chiwindi, yomwe imalola kuzindikira kuwonongeka komwe kumayambitsidwa ndi matenda osachiritsika m'chiwalo ichi, monga hepatitis, cirrhosis kapena kupezeka kwa mafuta.

Uku ndikuyesa mwachangu, komwe kumatha kuchitika mumphindi zochepa ndipo sikumapweteka, chifukwa kumachitika ndi ultrasound, osasowa singano kapena mabala. Chiwindi cha elastography chingagwiritsidwenso ntchito kuzindikira matenda, m'malo mwa biopsy, komwe kumafunika kukolola maselo a chiwindi.

Ngakhale njira zamtunduwu sizinafikebe pamaneti onse a SUS, zitha kuchitidwa muzipatala zingapo zachinsinsi.

Ndi chiyani

Chiwindi cha elastography chimagwiritsidwa ntchito poyesa kuchuluka kwa chiwindi cha fibrosis mwa anthu omwe ali ndi matenda a chiwindi, monga:

• Chiwindi;
• Chiwindi mafuta;
• Mowa chiwindi matenda;
• Pulayimale sclerosing cholangitis;
• Chotsitsa;
• Matenda a Wilson.

Kuphatikiza pa kugwiritsidwa ntchito pofufuza ndikuzindikira kuopsa kwa matendawa, kuyezaku kumatha kugwiritsidwanso ntchito kuwunika kupambana kwa chithandizo, chifukwa kumatha kuwunika kusintha kapena kuwonjezeka kwa minofu ya chiwindi.

Onani zizindikiro za 11 zomwe zingasonyeze mavuto a chiwindi.

Momwe mayeso amachitikira

Chiwindi cha chiwindi chimafanana ndi mayeso a ultrasound, momwe munthuyo wagona chagada ndi malaya ake atakwezedwa kuti awulule pamimba. Kenako, adotolo, kapena wothandizira, amaika mafuta osakaniza ndikudutsa kafukufuku pakhungu, kupopera mphamvu. Kafukufukuyu amatulutsa mafunde ang'onoang'ono a ultrasound omwe amadutsa m'chiwindi ndikulemba alama, yomwe imayesedwa ndi dokotala.

Mayesowa amakhala pafupifupi mphindi 5 mpaka 10 ndipo nthawi zambiri safuna kukonzekera kulikonse, ngakhale nthawi zina, adotolo amalimbikitsa kusala kwa ola la 4. Kutengera ndi chida chomwe chimagwiritsidwa ntchito popanga elastography, chitha kutchedwa kuti ultrasound kapena ARFI.

Ubwino pa biopsy

Popeza kuyesa kosavutikira ndipo sikufunika kukonzekera, elastography siyimayika zoopsa kwa wodwalayo, mosiyana ndi zomwe zimachitika panthawi yomwe chiwindi chimafalikira, momwe wodwalayo amayenera kugonekedwa mchipatala kuti chidutswa chochepa cha chiwalo chichotsedwe kuti chifufuze.

Biopsy nthawi zambiri imapweteka pamalowo ndi hematoma m'mimba, ndipo nthawi zambiri imatha kuyambitsa mavuto monga kukha magazi ndi pneumothorax. Chifukwa chake, choyenera ndikulankhula ndi adotolo kuti awone mayeso omwe ali abwino kwambiri kuti azindikire ndikuyang'anira matenda a chiwindi omwe akukambidwa.

Momwe mungamvetsere zotsatira

Zotsatira za elastography ya hepatic imaperekedwa ngati mapikidwe, omwe amatha kusiyanasiyana kuchokera ku 2.5 kPa mpaka 75 kPa. Anthu omwe amakhala ndi milingo yochepera 7 kPa nthawi zambiri amatanthauza kuti alibe mavuto amthupi. Zotsatira zake zikukula, kuchuluka kwa fibrosis m'chiwindi kumakulanso.

Kodi zotsatira zake zitha kusokonekera?

Gawo lochepa chabe lazotsatira za mayeso a elastography ndi lomwe lingakhale losadalirika, vuto lomwe limachitika makamaka pakakhala onenepa kwambiri, kunenepa kwambiri komanso ukalamba wa wodwalayo.

Kuphatikiza apo, mayeso amathanso kulephera akachitika kwa anthu omwe ali ndi BMI yochepera 19 kg / m2 kapena pomwe woyesayo alibe chidziwitso pakuchita mayeso.

Ndani sayenera kulemba mayeso?

Kupenda elastography ya hepatic nthawi zambiri sikulimbikitsidwa kwa amayi apakati, odwala omwe ali ndi pacemaker komanso anthu omwe ali ndi chiwindi chachikulu, mavuto amtima komanso chiwindi chowawa.