Ulungelelwaniso lobugcisa

Umxholo

• Yintoni ilografi?
• Isetyenziselwa ntoni?
• Kutheni ndifuna i-elastography?
• Kwenzeka ntoni ngexesha lobugcisa?
• Ngaba kuya kufuneka ndenze nantoni na ukulungiselela uvavanyo?
• Ngaba bukhona ubungozi kuvavanyo?
• Zithetha ntoni iziphumo?
• Ngaba ikhona enye into endifuna ukuyazi malunga ne-elastography?
• Izalathiso

Yintoni ilografi?

I-elastography, ekwabizwa ngokuba sisibindi, luhlobo lovavanyo lokucinga olujonga isibindi kwi-fibrosis. I-Fibrosis yimeko enciphisa ukuhamba kwegazi kuye nangaphakathi kwesibindi. Oku kubangela ulwakhiwo lwezihlunu ezibomvu. Ukushiya kunganyangwa, i-fibrosis inokukhokelela kwiingxaki ezinkulu esibindini. Oku kubandakanya i-cirrhosis, umhlaza wesibindi, kunye nokusilela kwesibindi. Kodwa ukuxilongwa kwangoko kunye nonyango kunokunciphisa okanye kuguqule iziphumo ze-fibrosis.

Zimbini iintlobo zovavanyo lwe-elastography yesibindi:

• I-Ultrasound elastography, ekwabizwa ngokuba yiFibroscan, igama lophawu lwesixhobo se-ultrasound. Uvavanyo lusebenzisa amaza esandi ukulinganisa ukuqina kwethishu yesibindi. Ukuqina luphawu lwefibrosis.
• I-MRE (i-magnetic resonance elastography)Uvavanyo oludibanisa itekhnoloji ye-ultrasound kunye nemagnetic resonance imaging (MRI). I-MRI yinkqubo esebenzisa iimagnethi ezinamandla kunye namaza erediyo ukwenza imifanekiso yamalungu kunye nolwakhiwo ngaphakathi komzimba. Kuvavanyo lwe-MRE, inkqubo yekhompyuter yenza imephu ebonakalayo ebonisa ukuqina kwesibindi.

Ukuvavanywa kwe-Elastografi kunokusetyenziswa endaweni yesibindi se-biopsy, uvavanyo olungenayo ngakumbi olubandakanya ukususa isiqwenga sesibindi sokuvavanya.

Amanye amagama: i-elastography yesibindi, i-elastography edlulayo, i-Fibroscan, i-MR elastography

Isetyenziselwa ntoni?

I-elastography isetyenziselwa ukufumanisa isifo sesibindi esinamafutha (FLD) kunye ne-fibrosis. I-FLD yimeko apho izicubu zesibindi eziqhelekileyo zithathelwa indawo ngamanqatha. Amafutha anokukhokelela ekufeni kweseli kunye nefibrosis.

Kutheni ndifuna i-elastography?

Abantu abaninzi abane-fibrosis abanazo iimpawu. Kodwa xa inganyangwa, i-fibrosis iya kuqhubeka isenza isibindi kwaye ekugqibeleni ibe yi-cirrhosis.

I-Cirrhosis ligama elisetyenziselwa ukuchaza ukonakala okugqithisileyo kwesibindi. I-Cirrhosis ihlala ibangelwa kukusetyenziswa gwenxa kotywala okanye i-hepatitis. Kwiimeko ezinzima, i-cirrhosis inokusongela ubomi. I-Cirrhosis ibangela iimpawu. Ke unokulufuna olu vavanyo ukuba uneempawu zesifo sokuqina kwesibindi okanye esinye isifo sesibindi.

Iimpawu zesifo sokuqina kwesibindi kunye nezinye izifo zesibindi ziyafana kwaye zinokubandakanya:

• Mthubi ulusu. Oku kwaziwa ngokuba yi-jaundice.
• Ukudinwa
• Ukurhawuzelela
• Ukukrala ngokulula
• Ukuphuma ngamandla kwempumlo
• Ukudumba emilenzeni
• Ukuhla ukusinda
• Ukudideka

Kwenzeka ntoni ngexesha lobugcisa?

Ngexesha le-ultrasound (Fibroscan) elastography:

• Uya kulala etafileni yoviwo emqolo, kunye nendawo yakho yesisu yasekunene evezwayo.
• Ingcali ye-radiology iyakusasaza ijeli kulusu lwakho kuloo ndawo.
• Uya kubeka isixhobo esinjenge-wand, esibizwa ngokuba yi-transducer, kwindawo yolusu egubungela isibindi sakho.
• Iprojekhthi iya kuhambisa uthotho lwamaza esandi. Amaza aya kuhamba kwisibindi sakho kwaye abuyele umva. Amagagasi aphakame kakhulu ungeva.
• Unokuziva ngathi uthambile njengoko kusenziwa, kodwa ayifanele ikwenzakalise.
• Amaza esandi arekhodwa, alinganiswa, kwaye aboniswa kwimonitha.
• Umlinganiso ubonakalisa inqanaba lokuqina kwesibindi.
• Inkqubo ithatha kuphela malunga nemizuzu emihlanu, kodwa yonke ingqesho yakho ingathatha isiqingatha seyure okanye njalo.

I-MRE (i-magnetic resonance elastography) yenziwa ngohlobo olufanayo lomatshini kunye namanyathelo afanayo kuvavanyo lweMRI yemveli (imaging resonance imaging). Ngexesha lenkqubo ye-MRE:

• Uya kulala kwitafile emxinwa yoviwo.
• Ingcali ye-radiology iya kubeka iphedi encinci esiswini sakho. Iphedi iya kukhupha ukungcangcazela okudlula kwisibindi sakho.
• Itheyibhile iya kutyibilika kwisikena se-MRI, esingumatshini omilise okwetonela onemagnethi. Unokunikwa ii-earplugs okanye ii-headphone ngaphambi kovavanyo ukunceda ukubamba ingxolo yeskena, esingxola kakhulu.
• Nje ukuba ungene ngaphakathi kwiskena, iphedi iya kusebenza kwaye ithumele imilinganiselo yokungcangcazela kwisibindi sakho. Imilinganiselo iya kurekhodwa kwikhompyuter kwaye iguqulwe ibe yimephu ebonakalayo ebonisa ukuqina kwesibindi sakho.
• Uvavanyo luthatha malunga nemizuzu engama-30 ukuya kwengama-60.

Ngaba kuya kufuneka ndenze nantoni na ukulungiselela uvavanyo?

Awudingi naluphi na ulungiselelo olukhethekileyo lwe-ultrasound elastography. Ukuba une-MRE, qiniseka ukuba ususa bonke ubucwebe bentsimbi kunye nezinto zoncedo ngaphambi kovavanyo.

Ngaba bukhona ubungozi kuvavanyo?

Akukho bungozi baziwa ngokuba ne-ultrasound elastography. Kukho umngcipheko omncinci wokuba ne-MRE kubantu abaninzi. Abanye abantu baziva benovalo okanye i-claustrophobic ngaphakathi kwesikena. Ukuba uziva ngolu hlobo, unganikwa amayeza phambi kovavanyo ukukunceda uphumle.

Zithetha ntoni iziphumo?

Zombini ezi ntlobo ze-elastography zilinganisa ukuqina kwesibindi. Ukuqina kwesibindi, ngakumbi i-fibrosis onayo. Iziphumo zakho zinokuthi ziqale ukusuka ekunqobeni ukuya kubumnene, ngokulinganayo, okanye ekuqhubekeni kwesibindi. Ukutshatyalaliswa okugqithisileyo kwaziwa ngokuba yi-cirrhosis. Umboneleli wakho wokhathalelo lwempilo unokuyalela kuvavanyo olongezelelekileyo, kubandakanya uvavanyo lwegazi lokusebenza kwesibindi okanye i-biopsy yesibindi, ukuqinisekisa isifo.

Ukuba ufunyaniswe une-fibrosis emnene ukuya kwelinganiselweyo, unokukwazi ukuthatha amanyathelo okunqanda ukonakala ngakumbi kwaye ngamanye amaxesha ukuphucula imeko yakho. La manyathelo abandakanya:

• Ukungaseli tywala
• Ukungathathi iziyobisi ezingekho mthethweni
• Ukutya ukutya okusempilweni
• Ukwandisa umthambo
• Ukuthatha amayeza. Kukho amayeza asebenzayo ekunyangeni ezinye iintlobo ze-hepatitis.

Ukuba ulinda ixesha elide kunyango, ngakumbi nangakumbi izicwili ezibomvu ziya kwakha esibindini sakho. Oku kunokukhokelela kwisifo sokuqina kwesibindi. Ngamanye amaxesha, unyango kuphela lwe-cirrhosis ephezulu kukufakelwa kwesibindi.

Ukuba unemibuzo malunga neziphumo zakho, thetha nomboneleli wakho wezempilo.

Ngaba ikhona enye into endifuna ukuyazi malunga ne-elastography?

Uvavanyo lwe-MRE alunakuba lukhetho olufanelekileyo kubantu abanezixhobo zetsimbi ezifakwe emzimbeni wabo. Oku kubandakanya iicacemaker, iivali zentliziyo ezingezizo, kunye neempompo zokumnika Imagnethi kwi-MRI inokuchaphazela ukusebenza kwezi zixhobo, kwaye kwezinye iimeko, kunokuba yingozi. Ukuqiniswa kwamazinyo kunye neentlobo ezithile zeetatto ezinesinyithi kunokubangela iingxaki ngexesha lenkqubo.

Uvavanyo alukhuthazwanga nakwabasetyhini abakhulelweyo okanye bacinga ukuba banokukhulelwa. Ayaziwa nokuba imagnethi yomhlaba iyingozi kwiintsana ezingekazalwa.

Izalathiso

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Ulwazi olukule ndawo akufuneki lusetyenziswe endaweni yonyango okanye iingcebiso. Nxibelelana nomboneleli wezempilo ukuba unemibuzo malunga nempilo yakho.