Litšoantšo

Litaba

• Elastography ke eng?
• E sebelisetsoa eng?
• Hobaneng ha ke hloka elastography?
• Ho etsahalang nakong ea elastography?
• Na ke tla hloka ho etsa eng kapa eng ho itokisetsa tlhahlobo?
• Na ho na le likotsi tsa tlhahlobo?
• Liphetho li bolelang?
• Na ho na le eng kapa eng eo ke hlokang ho e tseba ka elastography?
• Litšupiso

Elastography ke eng?

Elastography, e tsejoang hape e le sebete elastography, ke mofuta oa tlhahlobo ea litšoantšo e hlahlobang sebete bakeng sa fibrosis. Fibrosis ke boemo bo fokotsang phallo ea mali ho ea le ka hare ho sebete. Sena se baka pokello ea lisele tse bohale. Ha e sa alafatsoe, fibrosis e ka baka mathata a maholo sebeteng. Tsena li kenyelletsa lefu la ho thatafala ha sebete, kankere ea sebete le ho hloleha ha sebete. Empa tlhahlobo ea pele le kalafo e ka fokotsa kapa ea fetola litlamorao tsa fibrosis.

Ho na le mefuta e 'meli ea liteko tsa elastography ea sebete:

• Ultrasound elastography, E tsejoang hape e le Fibroscan, lebitso la sesebelisoa sa sesebelisoa sa ultrasound. Teko e sebelisa maqhubu a molumo ho lekanya ho satalla ha lisele tsa sebete. Ho satalla ke letšoao la fibrosis.
• MRE (matla a khoheli a molumo oa matla a khoheli), teko e kopanyang theknoloji ea ultrasound le imaging resonance imaging (MRI). MRI ke ts'ebetso e sebelisang limakete tse matla le maqhubu a seea-le-moea ho etsa litšoantšo tsa litho le likarolo ka har'a mmele. Tekong ea MRE, lenaneo la k'homphieutha le etsa 'mapa o bonts'ang o tiisang sebete.

Ho hlahlojoa ha Elastography ho ka sebelisoa sebakeng sa biopsy ea sebete, e leng teko e hlaselang haholoanyane e kenyelletsang ho tlosa sekhechana sa lisele tsa sebete bakeng sa tlhahlobo.

Mabitso a mang: elastography ea sebete, elastography ea nakoana, Fibroscan, MR elastography

E sebelisetsoa eng?

Ho sebelisoa elastography ho hlahloba mafu a mafura a sebete (FLD) le fibrosis. FLD ke boemo boo lisele tse tloaelehileng tsa sebete li nkeloang sebaka ke mafura. Mafura ana a ka lebisa ho lefu la sele le fibrosis.

Hobaneng ha ke hloka elastography?

Batho ba bangata ba nang le fibrosis ha ba na matšoao. Empa ha e sa alafatsoe, fibrosis e tla tsoelapele ho hlaba sebete 'me qetellong e fetohe cirrhosis.

Cirrhosis ke lentsoe le sebelisetsoang ho hlalosa khaello e feteletseng ea sebete. Cirrhosis hangata e bakoa ke tšebeliso e mpe ea joala kapa lefu la sebete. Maemong a boima, ho thatafala ha sebete ho ka beha bophelo kotsing. Cirrhosis e baka matšoao. Kahoo o kanna oa hloka teko ena haeba o na le matšoao a lefu la ho thatafala ha pelo kapa lefu le leng la sebete.

Matšoao a cirrhosis le mafu a mang a sebete a ts'oana mme a ka kenyelletsa:

• Ho soeufala ha letlalo. Sena se tsejoa e le jaundice.
• Mokhathala
• Ho hlohlona
• Ho rohakana habonolo
• Ho tsoa mali a tsoang mali
• Ho ruruha maotong
• Ho fokotsa boima ba 'mele
• Pherekano

Ho etsahalang nakong ea elastography?

Nakong ea elastography ea ultrasound (Fibroscan):

• U tla robala tafoleng ea tlhatlhobo ka mokokotlo, karolo ea hau ea mpa e pepesitsoe.
• Setsebi sa radiology se tla ala gel ka letlalo la hau sebakeng seo.
• O tla beha sesebelisoa se ts'oanang le wand, se bitsoang transducer, sebakeng sa letlalo se koahelang sebete sa hau.
• Probe e tla fana ka letoto la maqhubu a molumo. Maqhubu a tla ea sebeteng sa hau mme a khutlele morao. Maqhubu a phahame hoo u ke keng ua a utloa.
• U kanna oa utloa ho phuthuloha ha bonolo ha sena se etsoa, ​​empa ha sea lokela ho utloisa bohloko.
• Maqhubu a molumo aa hatisoa, a metoa, 'me a hlahisoa mochining oa leihlo.
• Tekanyo e bonts'a boemo ba ho satalla sebeteng.
• Tsamaiso e nka feela metsotso e ka bang mehlano, empa kopano eohle ea hau e ka nka halofo ea hora kapa ho feta.

MRE (magnetic resonance elastography) e etsoa ka mofuta o tšoanang oa mochini le mehato e mengata e ts'oanang le teko ea moetlo oa MRI (magnetic resonance imaging). Nakong ea ts'ebetso ea MRE:

• U tla robala tafoleng e patisaneng ea tlhahlobo.
• Setsebi sa radiology se tla beha pad e nyane mpeng ea hau. Pedi e tla ntša litšisinyeho tse fetang sebeteng sa hau.
• Tafole e tla thella ka sekena sa MRI, e leng mochini o bopehileng ka kotopo o nang le makenete. U ka fuoa li-earplugs kapa li-headphone pele ho tlhahlobo ho thusa ho thibela lerata la scanner, e phahameng haholo.
• Ha o se o le ka hare ho sekena, pad e tla kenya tšebetsong le ho romella litekanyo tsa ho thothomela ho tsoang sebeteng sa hau. Litekanyo li tla ngoloa khomphuteng ebe li fetoloa 'mapa o bonts'ang ho tiea ha sebete sa hau.
• Teko e nka metsotso e ka bang 30 ho isa ho e 60.

Na ke tla hloka ho etsa eng kapa eng ho itokisetsa tlhahlobo?

Ha o hloke litokisetso tse khethehileng bakeng sa elastography ea ultrasound. Haeba u na le MRE, etsa bonnete ba hore u tlosa mabenyane le lisebelisoa tsohle tsa tšepe pele ho tlhahlobo.

Na ho na le likotsi tsa tlhahlobo?

Ha ho na likotsi tse tsebahalang tsa ho ba le elastography ea ultrasound. Ha ho na kotsi ea ho ba le MRE ho batho ba bangata. Batho ba bang ba ikutloa ba tšohile kapa ba le malala-a-laotsoe ka har'a sekena. Haeba u ikutloa ka tsela ena, u ka fuoa moriana pele ho tlhahlobo ho u thusa ho phomola.

Liphetho li bolelang?

Mefuta ka bobeli ea elastography e lekanya ho tiea ha sebete. Ha sebete se thatafala, o na le fibrosis e ngata. Liphetho tsa hau li kanna tsa fapana ho tloha ha ho na mabali ho isa bobeng bo bobebe, bo itekanetseng kapa bo tsoetseng pele ba sebete. Scaring e tsoetseng pele e tsejoa e le cirrhosis. Mofani oa hao oa tlhokomelo ea bophelo a ka laela liteko tse ling, ho kenyeletsoa liteko tsa mali tsa ts'ebetso ea sebete kapa biopsy ea sebete, ho netefatsa hore o fumanoe.

Haeba u fumanoa u e-na le fibrosis e bonolo ho isa ho e itekanetseng, u ka khona ho nka mehato ea ho emisa ho hlaseloa hape 'me ka linako tse ling u ntlafatse boemo ba hau. Mehato ena e kenyelletsa:

• Ho se noe joala
• Ho se sebelise lithethefatsi tse seng molaong
• Ho ja lijo tse nepahetseng
• Ho ikoetlisa ho eketsehileng
• Ho noa moriana. Ho na le meriana e sebetsang ho phekola mefuta e meng ea lefu la sebete.

Haeba u emela nako e telele hore u fumane kalafo, lisele tsa 'mele li tla eketseha sebeteng sa hao. Sena se ka lebisa ho cirrhosis. Ka linako tse ling, kalafo feela ea lefu la ho thatafala ha sebete ke ho kenyelletsa sebete.

Haeba u na le lipotso mabapi le liphetho tsa hau, bua le mofani oa tlhokomelo ea bophelo.

Na ho na le eng kapa eng eo ke hlokang ho e tseba ka elastography?

Teko ea MRE e kanna ea se khetho e ntle ho batho ba nang le lisebelisoa tsa tšepe tse kentsoeng 'meleng ea bona. Tsena li kenyelletsa li-pacemaker, li-valve tsa pelo tsa maiketsetso le lipompo tsa infusion. Makenete o ho MRI o ka ama tšebetso ea lisebelisoa tsena, 'me maemong a mang, e ka ba kotsi. Likhoele tsa meno le mefuta e meng ea li-tattoo tse nang le tšepe le tsona li ka baka mathata nakong ea ts'ebetso.

Teko ha e khothalletsoe hape bakeng sa basali ba nang le bakhachane kapa ba nahanang hore ba ka ima. Ha ho tsejoe hore na makenete a kotsi ho masea a e-song ho hlahe.

Litšupiso

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Tlhahisoleseling e fumanehang sebakeng sena sa marang-rang ha ea lokela ho sebelisoa ho nka sebaka sa tlhokomelo ea bongaka le likeletso. Ikopanye le mofani oa tlhokomelo ea bophelo haeba u na le lipotso ka bophelo ba hau.