Zojambulajambula

Zamkati

• Kodi elastography ndi chiyani?
• Amagwiritsidwa ntchito yanji?
• Chifukwa chiyani ndikufuna zolemba?
• Kodi chimachitika ndi chiyani pa elastography?
• Kodi ndiyenera kuchita chilichonse kukonzekera mayeso?
• Kodi pali zoopsa zilizonse pamayeso?
• Kodi zotsatirazi zikutanthauza chiyani?
• Kodi pali china chilichonse chomwe ndiyenera kudziwa chokhudza zojambulajambula?
• Zolemba

Kodi elastography ndi chiyani?

Elastography, yomwe imadziwikanso kuti chiwindi elastography, ndi mtundu wa mayeso oyerekeza omwe amayang'ana chiwindi ngati ali ndi fibrosis. Fibrosis ndimavuto omwe amachepetsa magazi kupita mkati ndi mkati mwa chiwindi. Izi zimayambitsa kuchuluka kwa minofu yofiira. Ngati samalandira chithandizo, fibrosis imatha kubweretsa zovuta zazikulu m'chiwindi. Izi zimaphatikizapo matenda a chiwindi, khansa ya chiwindi, komanso kulephera kwa chiwindi. Koma kuzindikira koyambirira ndi chithandizo kumatha kuchepetsa kapena kusinthiratu zotsatira za fibrosis.

Pali mitundu iwiri ya mayeso a elastography a chiwindi:

• Ultrasound zojambulajambula, wotchedwanso Fibroscan, dzina la chida cha ultrasound. Kuyesaku kumagwiritsa ntchito mafunde akumveka kuti aone kuuma kwa minofu ya chiwindi. Kuuma ndi chizindikiro cha fibrosis.
• MRE (maginito omveka bwino), mayeso omwe amaphatikiza ukadaulo wa ultrasound ndi kujambula kwa maginito (MRI). MRI ndi njira yomwe imagwiritsa ntchito maginito amphamvu ndi mafunde a wailesi kupanga zithunzi za ziwalo ndi ziwalo mkati mwa thupi. Muyeso la MRE, pulogalamu yamakompyuta imapanga mapu owonetsa kuwuma kwa chiwindi.

Kuyezetsa kwa Elastography kungagwiritsidwe ntchito m'malo mwa chiwindi cha chiwindi, mayeso owopsa kwambiri omwe amaphatikizapo kuchotsa chidutswa cha ziwindi kuti ayesedwe.

Mayina ena: elastography ya chiwindi, elastography yosakhalitsa, Fibroscan, MR elastography

Amagwiritsidwa ntchito yanji?

Chojambula chimagwiritsidwa ntchito pozindikira matenda amtundu wa chiwindi (FLD) ndi fibrosis. FLD ndi momwe mafuta abwinobwino amaloŵedwa m'malo ndi mafuta. Mafutawa amatha kubweretsa kufa kwa cell ndi fibrosis.

Chifukwa chiyani ndikufuna zolemba?

Anthu ambiri omwe ali ndi fibrosis alibe zizindikiro. Koma osachira, fibrosis ipitilizabe kuwononga chiwindi ndipo pamapeto pake imasanduka chiwindi.

Cirrhosis ndi mawu omwe amagwiritsidwa ntchito pofotokoza za kufooka kwakukulu kwa chiwindi. Cirrhosis nthawi zambiri imayamba chifukwa chomwa mowa mopitirira muyeso kapena matenda a chiwindi. Zikakhala zovuta, matenda a chiwindi amatha kupha moyo. Matenda enaake amachititsa zizindikiro. Chifukwa chake mungafunike kuyesedwa ngati muli ndi zizindikiro za matenda enaake kapena matenda ena a chiwindi.

Zizindikiro za matenda a chiwindi ndi matenda ena a chiwindi ndi ofanana ndipo mwina ndi awa:

• Chikasu pakhungu. Izi zimadziwika kuti jaundice.
• Kutopa
• Kuyabwa
• Kulalata mosavuta
• Kutuluka magazi m'mphuno
• Kutupa m'miyendo
• Kuchepetsa thupi
• Kusokonezeka

Kodi chimachitika ndi chiyani pa elastography?

Pakati pa ultrasound (Fibroscan) elastography:

• Mudzagona pa tebulo loyesa kumbuyo kwanu, m'mimba mwanu moonekera poyera.
• Katswiri wa ma radiation adzafalitsa gel pakhungu lanu m'derali.
• Adzaika chida chonga wandende, chotchedwa transducer, pamalo akhungu omwe amaphimba chiwindi chanu.
• Kafukufukuyu apereka mafunde angapo amawu. Mafundewo amapita pachiwindi chanu ndikubweranso. Mafunde amakhala okwera kwambiri osamva.
• Mutha kumangomva pang'ono pang'ono izi zitachitika, koma siziyenera kukupweteketsani.
• Mafunde amvekedwe, kuyesedwa, ndikuwonetsedwa pa polojekiti.
• Kuyeza kumawonetsa kukula kwa chiwindi.
• Njirayi imangotenga pafupifupi mphindi zisanu, koma kusankhidwa kwanu konse kumatha kutenga theka la ola kapena apo.

MRE (magnetic resonance elastography) imachitika ndimakina amtundu womwewo ndimayendedwe ofanana ndi mayeso achikhalidwe a MRI (magnetic resonance imaging). Panthawi ya MRE:

• Mudzagona pagome laling'ono lofufuzira.
• Katswiri wa ma radiation adzaika pedi yaying'ono pamimba panu. Padiyo imatulutsa kunjenjemera komwe kumadutsa pachiwindi.
• Tebulo lidzalowa mu makina a MRI, omwe ndi makina ooneka ngati ngalande omwe amakhala ndi maginito. Mutha kupatsidwa ma khutu kapena mahedifoni musanayesedwe kuti muthane ndi phokoso la sikani, lomwe ndi lokwera kwambiri.
• Mukalowa mkati mwa sikani, pediyo imatsegula ndikutumiza mayendedwe amchiwindi chanu. Miyesoyi idzajambulidwa pamakompyuta ndikusandulika mapu owonetsera kuwuma kwa chiwindi chanu.
• Kuyesaku kumatenga pafupifupi mphindi 30 mpaka 60.

Kodi ndiyenera kuchita chilichonse kukonzekera mayeso?

Simukusowa kukonzekera kulikonse kwa elastography ya ultrasound. Ngati muli ndi MRE, onetsetsani kuti mukuchotsa zodzikongoletsera zonse zachitsulo musanayezedwe.

Kodi pali zoopsa zilizonse pamayeso?

Palibe zoopsa zodziwika pokhala ndi elastography ya ultrasound. Palibe chiopsezo chokhala ndi MRE kwa anthu ambiri. Anthu ena amanjenjemera kapena kuchita mantha mkati mwa sikani. Ngati mukumva motere, mutha kupatsidwa mankhwala musanayesedwe kuti ikuthandizeni kupumula.

Kodi zotsatirazi zikutanthauza chiyani?

Mitundu yonse iwiri ya elastography imayesa kuuma kwa chiwindi. Chowuma chiwindi, mumakhala ndi fibrosis yambiri. Zotsatira zanu zitha kukhala zopanda mabala, zofewa, kapena zotupa chiwindi. Kuphulika kwapamwamba kumatchedwa cirrhosis. Wothandizira zaumoyo wanu akhoza kuyitanitsa zoyezetsa zowonjezerapo, kuphatikiza kuyesa kwa chiwindi kapena magazi a chiwindi, kuti atsimikizire matenda.

Ngati mutapezeka kuti muli ndi fibrosis yofatsa mpaka pang'ono, mutha kuchitapo kanthu kuti musiyenso mabala ndipo nthawi zina mumatha kusintha thanzi lanu. Izi ndi monga:

• Osamwa mowa
• Osamwa mankhwala osokoneza bongo
• Kudya chakudya chopatsa thanzi
• Kuchulukitsa masewera olimbitsa thupi
• Kumwa mankhwala. Pali mankhwala omwe ali othandiza pochiza mitundu ina ya matenda a chiwindi.

Ngati mudikira nthawi yayitali kuti mulandire chithandizo, minofu yambiri imakula m'chiwindi. Izi zitha kuyambitsa matenda a chiwindi. Nthawi zina, chithandizo chokhacho cha matenda enaake owopsa ndi kumuika chiwindi.

Ngati muli ndi mafunso pazotsatira zanu, lankhulani ndi omwe amakuthandizani.

Kodi pali china chilichonse chomwe ndiyenera kudziwa chokhudza zojambulajambula?

Kuyesa kwa MRE sikungakhale chisankho chabwino kwa anthu omwe ali ndi zida zachitsulo zopangidwa m'matupi awo. Izi zikuphatikiza zopanga pacem, mavavu amtima opangira, ndi mapampu olowerera. Maginito omwe ali mu MRI atha kukhudza momwe zinthuzi zimagwirira ntchito, ndipo nthawi zina, zitha kukhala zowopsa. Kulimbitsa mano ndi mitundu ina ya ma tattoo omwe ali ndi chitsulo amathanso kubweretsa zovuta panthawiyi.

Mayesowa salimbikitsidwenso kwa amayi omwe ali ndi pakati kapena akuganiza kuti angakhale ndi pakati. Sizikudziwika ngati maginito ali ovulaza ana osabadwa.

Zolemba

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Zomwe zili patsamba lino siziyenera kugwiritsidwa ntchito m'malo mwa chithandizo chamankhwala kapena upangiri. Lumikizanani ndi othandizira azaumoyo ngati muli ndi mafunso okhudzana ndi thanzi lanu.