Isibindi se-elastography: yintoni, yenzelwe ntoni kwaye yenziwa njani

Umxholo

• Yenzelwe ntoni
• Luqhutywa njani uviwo
• Izibonelelo ngaphezulu kwe-biopsy
• Usiqonda njani iziphumo
• Ngaba iziphumo zinokungahambi kakuhle?
• Ngubani ongafanele ukuthatha uviwo?

I-elastography yesibindi, ekwabizwa ngokuba yiFibroscan, luvavanyo olusetyenziselwa ukuvavanya ubukho be-fibrosis esibindini, evumela ukuba kuchongwe umonakalo obangelwe zizifo ezingapheliyo kweli lungu, njenge-hepatitis, i-cirrhosis okanye ubukho bamafutha.

Olu luvavanyo olukhawulezayo, olunokwenziwa kwimizuzu embalwa kwaye alubangeli zintlungu, njengoko lwenziwa yi-ultrasound, kungafuneki naliti okanye kusikwa. I-elastography yesibindi inokuthi, kwezinye iimeko, isetyenziselwe ukufumanisa isifo, ithathe indawo ye-biopsy yakudala, apho kufuneka kuvunwe khona iiseli zesibindi.

Nangona olu hlobo lwenkqubo alukabikho kuyo yonke inethiwekhi ye-SUS, inokwenziwa kwiiklinikhi zabucala ezininzi.

Yenzelwe ntoni

I-elastography yesibindi isetyenziselwa ukuvavanya inqanaba lesibindi se-fibrosis kubantu abanesifo esingapheliyo sesibindi, njenge:

• Hepatitis;
• Amafutha esibindi;
• Isifo sesibindi esinxilisayo;
• Isikali sclerosing cholangitis;
• I-Hemochromatosis;
• Isifo sikaWilson.

Ukongeza ekusebenziseni ukuxilonga kunye nokuchonga ubungqongqo bezi zifo, olu vavanyo lunokusetyenziselwa ukuvavanya impumelelo kunyango, njengoko lunokuvavanya ukuphuculwa okanye ukwanda kwethishu yesibindi.

Jonga iimpawu ezili-11 ezinokubonisa iingxaki zesibindi.

Luqhutywa njani uviwo

I-elastography yesibindi iyafana novavanyo lwe-ultrasound, apho umntu elele ngomqolo kwaye ihempe yakhe iphakanyisiwe ukuveza isisu. Emva koko, ugqirha, okanye uchwepheshe, ubeka i-gel yokuthambisa kwaye adlulise iphenyo ngesikhumba, esebenzisa uxinzelelo lokukhanya. Le probe ikhupha amaza amancinci e-ultrasound adlula esibindini kwaye abhale amanqaku, aze ke avavanywe ngugqirha.

Uvavanyo luhlala phakathi kwemizuzu emi-5 ukuya kweli-10 kwaye ngesiqhelo aludingi lungiselelo, nangona kwezinye iimeko, ugqirha unokucebisa ixesha lokuzila ukutya leyure ezi-4. Kuxhomekeka kwisixhobo esisetyenziselwa ukwenza i-hepatic elastography, inokubizwa ngokuba yi-ultrasound okanye i-ARFI emfutshane.

Izibonelelo ngaphezulu kwe-biopsy

Njengoko luvavanyo olungenazintlungu kwaye aludingi kulungiselelwa, i-elastography ayibeki mngcipheko kwisigulana, ngokungafaniyo nento enokwenzeka ngexesha lesibindi, apho isigulana kufuneka sibhedlele ukuze isuntswana lelungu lisuswe ukuze lihlalutywe.

I-biopsy ihlala ibangela iintlungu kwindawo yenqubo kunye ne-hematoma esiswini, kwaye kwiimeko ezinqabileyo kunokubangela iingxaki ezinje nge-hemorrhage kunye ne-pneumothorax. Ke, eyona nto ilungileyo kukuthetha nogqirha ukuvavanya ukuba loluphi olona vavanyo lubalaseleyo lokuchonga kunye nokujonga isifo sesibindi ekuthethwa ngaso.

Usiqonda njani iziphumo

Iziphumo ze-hepatic elastografi ziboniswa ngohlobo lwamanqaku, anokuhluka ukusuka ku-2.5 kPa ukuya kuma-75 kPa. Abantu abafumana amanqanaba angaphantsi kwe-7 kPa bahlala bethetha ukuba abanangxaki zomzimba. Isiphumo sokufunyanwa kokukhona sikhulu, iqondo le-fibrosis esibindini.

Ngaba iziphumo zinokungahambi kakuhle?

Inxalenye encinci kuphela yeziphumo zovavanyo lwe-elastography inokungathembeki, ingxaki eyenzeka ikakhulu kwiimeko zokutyeba kakhulu, ukutyeba kunye nokuba mdala kwesigulana.

Ukongeza, uviwo lunokungaphumeleli xa lwenziwe kubantu abane-BMI engaphantsi kwe-19 kg / m2 okanye xa umvavanyi engenamava ekuthatheni uviwo.

Ngubani ongafanele ukuthatha uviwo?

Ukuhlolwa kwe-elastography ye-hepatic kuhlala kungacetyiswa kwabasetyhini abakhulelweyo, abaguli abane-pacemaker kunye nabantu abane-hepatitis ebukhali, iingxaki zentliziyo kunye ne-hepatitis ebukhali.