Isibindi elastography: siyini, senzelwa ini futhi senziwa kanjani

-Delile

• Yenzelwe ini
• Kwenziwa kanjani ukuhlolwa
• Izinzuzo ngaphezu kwe-biopsy
• Uwuqonda kanjani umphumela
• Ingabe imiphumela ingahamba kabi?
• Ngubani okungafanele athathe isivivinyo?

Isibindi elastography, esaziwa nangokuthi i-Fibroscan, yisivivinyo esisetshenziselwa ukuhlola ubukhona be-fibrosis esibindini, esivumela ukukhomba umonakalo odalwe yizifo ezingamahlalakhona kulesi sitho, njenge-hepatitis, i-cirrhosis noma ukuba khona kwamafutha.

Lokhu ukuhlolwa okusheshayo, okungenziwa ngemizuzu embalwa futhi kungabangeli ubuhlungu, njengoba kwenziwa nge-ultrasound, kungadingi nezinaliti noma ukusikeka. I-liver elastography nayo, kwezinye izimo, ingasetshenziselwa ukuxilonga izifo, esikhundleni se-biopsy yakudala, lapho kudingeka khona ukuvuna amaseli wesibindi.

Yize lolu hlobo lwenqubo lungakatholakali kuyo yonke inethiwekhi ye-SUS, lungenziwa emitholampilo eminingi yangasese.

Yenzelwe ini

I-liver elastography isetshenziselwa ukuhlola izinga lesibindi se-fibrosis kubantu abanezifo ezithile ezingapheli zesibindi, njenge:

• I-hepatitis;
• Amafutha wesibindi;
• Isifo sesibindi sokuphuza utshwala;
• I-primary sclerosing cholangitis;
• I-Hemochromatosis;
• Isifo sikaWilson.

Ngaphezu kokusetshenziselwa ukuxilonga nokukhomba ubucayi balezi zifo, lokhu kuhlolwa kungasetshenziswa futhi ukuhlola impumelelo yokwelashwa, njengoba ikwazi ukuhlola ukwenziwa ngcono noma ukuwohloka kwezicubu zesibindi.

Bheka izimpawu eziyi-11 ezingakhombisa izinkinga zesibindi.

Kwenziwa kanjani ukuhlolwa

I-liver elastography iyefana nokuhlolwa kwe-ultrasound, lapho umuntu elele khona ngomhlane nehembe lakhe liphakanyisiwe ukuveza isisu. Bese kuthi, udokotela, noma uchwepheshe, afake i-gel ethambisa bese edlulisa uphenyo esikhunjeni, esebenzisa umfutho omncane. Le probe ikhipha amagagasi amancane e-ultrasound adlula esibindini bese iqopha amaphuzu, abuye ahlolwe ngudokotela.

Ukuhlolwa kuthatha isilinganiso semizuzu emi-5 kuye kwayi-10 futhi imvamisa akudingi ukulungiswa, noma kwezinye izimo, udokotela angancoma isikhathi sokuzila samahora ama-4. Ngokuya ngedivayisi esetshenziselwa ukwenza i-elastography ye-hepatic, ingabizwa nge-transient ultrasound noma i-ARFI.

Izinzuzo ngaphezu kwe-biopsy

Njengoba kungukuhlolwa okungenabuhlungu futhi okungadingi ukulungiswa, i-elastography ayibeki ubungozi esigulini, ngokungafani nalokho okungenzeka ngesikhathi sokuhlolwa kwesibindi, lapho isiguli kufanele silaliswe esibhedlela ukuze kukhishwe isiqeshana somzimba ukuze sihlaziywe.

I-biopsy ivame ukudala ubuhlungu endaweni yenqubo kanye ne-hematoma esiswini, futhi ezimweni ezingavamile kakhulu kungadala nezinkinga ezinjenge-hemorrhage ne-pneumothorax. Ngakho-ke, okuhle ukukhuluma nodokotela ukuze ahlole ukuthi yikuphi ukuhlolwa okuhle kakhulu ukukhomba nokuqapha isifo sesibindi okukhulunywa ngaso.

Uwuqonda kanjani umphumela

Umphumela we-elastography ye-hepatic uvezwa ngesimo samaphuzu, angahluka kusuka ku-2.5 kPa kuye ku-75 kPa. Abantu abathola amazinga angaphansi kuka-7 kPa ngokuvamile basho ukuthi abanazinkinga zomzimba. Lapho umphumela utholakala mkhulu, izinga le-fibrosis elikhulu esibindi liyanda.

Ingabe imiphumela ingahamba kabi?

Ingxenye encane kuphela yemiphumela yokuhlolwa kwe-elastography engathembeki, inkinga eyenzeka ikakhulukazi ezimweni zokukhuluphala ngokweqile, ukukhuluphala ngokweqile nokuguga kwesiguli.

Ngaphezu kwalokho, ukuhlolwa kungabuye kwehluleke uma kwenziwa kubantu abane-BMI engaphansi kuka-19 kg / m2 noma lapho umhloli engenalo ulwazi ekuthatheni isivivinyo.

Ngubani okungafanele athathe isivivinyo?

Ukuhlolwa kwe-elastography ye-hepatic kuvame ukunganconywa kwabesifazane abakhulelwe, iziguli ezinama-pacemaker nabantu abane-hepatitis ebukhali, izinkinga zenhliziyo kanye ne-hepatitis ebukhali.