I-Elastography

-Delile

• Yini i-elastography?
• Kusetshenziselwa ini?
• Kungani ngidinga i-elastography?
• Kwenzekani ngesikhathi se-elastography?
• Ngabe kukhona engizodinga ukukwenza ukulungiselela isivivinyo?
• Ingabe zikhona izingozi esivivinyweni?
• Isho ukuthini imiphumela?
• Ngabe kukhona okunye engidinga ukukwazi nge-elastography?
• Izinkomba

Yini i-elastography?

I-elastography, eyaziwa nangokuthi i-liver elastography, uhlobo lokuhlolwa kwe-imaging oluhlola isibindi i-fibrosis. I-Fibrosis yisimo esinciphisa ukugeleza kwegazi kuye nangaphakathi kwesibindi. Lokhu kubangela ukwakheka kwezicubu ezibomvu. Uma ingalashwa, i-fibrosis ingaholela ezinkingeni ezinkulu esibindini. Lokhu kufaka phakathi i-cirrhosis, umdlavuza wesibindi, nokwehluleka kwesibindi. Kepha ukuxilongwa nokwelashwa kusenesikhathi kunganciphisa noma kuguqule imiphumela ye-fibrosis.

Kunezinhlobo ezimbili zokuhlolwa kwesibindi se-elastography:

• I-Ultrasound izithombe, eyaziwa nangokuthi i-Fibroscan, igama lomkhiqizo ledivayisi ye-ultrasound. Isivivinyo sisebenzisa amagagasi omsindo ukukala ukuqina kwezicubu zesibindi. Ukuqina kuyisibonakaliso se-fibrosis.
• I-MRE (i-magnetic resonance elastography), isivivinyo esihlanganisa ubuchwepheshe be-ultrasound ne-magnetic resonance imaging (MRI). I-MRI inqubo esebenzisa ozibuthe abanamandla namagagasi omsakazo ukudala izithombe zezitho nezakhiwo ngaphakathi komzimba. Esivivinyweni se-MRE, uhlelo lwekhompyutha lwakha imephu ebonakalayo ekhombisa ukuqina kwesibindi.

Ukuhlolwa kwe-Elastography kungasetshenziswa esikhundleni se-biopsy yesibindi, ukuhlolwa okuthe xaxa okubandakanya ukususa ucezu lwesicubu sesibindi ukuze kuhlolwe.

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

Kusetshenziselwa ini?

Kusetshenziswa i-elastography ukuthola isifo sesibindi esinamafutha (FLD) kanye ne-fibrosis. I-FLD yisimo lapho izicubu ezijwayelekile zesibindi zithathelwa indawo ngamafutha. La mafutha angaholela ekufeni kweseli kanye ne-fibrosis.

Kungani ngidinga i-elastography?

Abantu abaningi abane-fibrosis abanazo izimpawu. Kepha uma ingalashwa, i-fibrosis izoqhubeka nokulimaza isibindi futhi ekugcineni iphenduke isifo sokuqina kwesibindi.

I-Cirrhosis igama elisetshenziselwa ukuchaza ukusikeka ngokweqile kwesibindi. I-cirrhosis ivame ukubangelwa ukusetshenziswa kabi kotshwala noma i-hepatitis. Ezimweni ezinzima, i-cirrhosis ingasongela impilo. I-cirrhosis idala izimpawu. Ngakho-ke ungadinga lokhu kuhlolwa uma unezimpawu zesifo sokuqina kwesibindi noma esinye isifo sesibindi.

Izimpawu zesifo sokuqina kwesibindi nezinye izifo zesibindi ziyefana futhi zingafaka:

• Ukuphuzi kwesikhumba. Lokhu kwaziwa njenge-jaundice.
• Ukukhathala
• Ukulunywa
• Ukulimaza kalula
• Ukuphuma kwegazi elinzima
• Ukuvuvukala emilenzeni
• Ukwehla kwesisindo
• Ukudideka

Kwenzekani ngesikhathi se-elastography?

Ngesikhathi se-elastography ye-ultrasound (Fibroscan):

• Uzolala etafuleni lokuhlola ngemuva, indawo yakho yesisu yangakwesokudla ivezwe.
• Uchwepheshe we-radiology uzosabalalisa ijeli esikhunjeni sakho endaweni.
• Uzofaka ithuluzi elinjengenduku, elibizwa ngokuthi i-transducer, endaweni yesikhumba emboze isibindi sakho.
• Uphenyo luzokwethula uchungechunge lwamagagasi omsindo. Amagagasi azohambela esibindini sakho abuyele emuva. Amagagasi aphakeme kakhulu awukwazi ukuwezwa.
• Ungazizwa upholile njengoba lokhu kwenziwa, kepha akufanele kulimaze.
• Amagagasi omsindo ayarekhodwa, alinganiswe, futhi akhonjiswe kumonitha.
• Isilinganiso sikhombisa izinga lokuqina kwesibindi.
• Inqubo ithatha kuphela imizuzu engaba mihlanu, kepha ukuqokwa kwakho konke kungathatha isigamu sehora noma ngaphezulu.

I-MRE (i-magnetic resonance elastography) yenziwa ngohlobo olufanayo lomshini nezinyathelo eziningi ezifanayo njengokuhlolwa kwendabuko kwe-MRI (magnetic resonance imaging). Ngesikhathi senqubo ye-MRE:

• Uzolala etafuleni elincane lokuhlola.
• Uchwepheshe we-radiology uzobeka iphedi encane esiswini sakho. Iphedi lizokhipha ukudlidliza okudlula esibindini sakho.
• Itafula lizosheleleka kuskena seMRI, okuwumshini omise okwethaneli oqukethe uzibuthe. Unganikwa ama-earplugs noma ama-headphone ngaphambi kokuhlolwa ukusiza ukuvimba umsindo wesithwebuli, esinomsindo omkhulu.
• Uma usungaphakathi kwesithwebuli, iphedi izosebenza futhi ithumele izilinganiso zokudlidliza kwesibindi sakho. Izilinganiso zizoqoshwa kukhompyutha bese ziguqulwa zibe imephu ebonakalayo ekhombisa ukuqina kwesibindi sakho.
• Ukuhlolwa kuthatha imizuzu engaba ngu-30 kuye kwengu-60.

Ngabe kukhona engizodinga ukukwenza ukulungiselela isivivinyo?

Awudingi noma yimaphi amalungiselelo akhethekile e-ultrasound elastography. Uma une-MRE, qiniseka ukuthi ususa konke ubucwebe bensimbi nezesekeli ngaphambi kokuhlolwa.

Ingabe zikhona izingozi esivivinyweni?

Azikho izingozi ezaziwayo zokuba ne-ultrasound elastography. Kukhona ingozi encane yokuba ne-MRE kubantu abaningi. Abanye abantu bazizwa benovalo noma i-claustrophobic ngaphakathi kwesithwebuli. Uma uzizwa ngale ndlela, unganikezwa umuthi ngaphambi kokuhlolwa ukukusiza uphumule.

Isho ukuthini imiphumela?

Zombili lezi zinhlobo ze-elastography zikala ukuqina kwesibindi. Ukuqina kwesibindi, i-fibrosis eyengeziwe onayo. Imiphumela yakho ingahle isuke kungabi khona ukusikeka kuya kwesibazi esimaphakathi, esilinganiselayo, noma esithuthukile. Isibazi esithuthukile saziwa njenge-cirrhosis. Umhlinzeki wakho wokunakekelwa kwezempilo anga-oda ukuhlolwa okwengeziwe, kufaka phakathi ukuhlolwa kwegazi kokusebenza kwesibindi noma i-biopsy yesibindi, ukuqinisekisa ukuxilongwa.

Uma kutholakala ukuthi une-fibrosis emnene kuya kokulingene, ungakwazi ukuthatha izinyathelo zokuyeka ukuqhubeka nokulimala futhi kwesinye isikhathi wenze ngcono isimo sakho. Lezi zinyathelo zifaka:

• Ukungaphuzi utshwala
• Ukungathathi izidakamizwa ezingekho emthethweni
• Ukudla ukudla okunempilo
• Ukuvivinya umzimba okwandayo
• Ukuthatha umuthi. Kunemithi ephumelelayo ekwelapheni ezinye izinhlobo zesifo sokusha kwesibindi.

Uma ulinda isikhathi eside ukwelashwa, izicubu eziningi ezibomvu zizokwakha esibindini sakho. Lokhu kungaholela ku-cirrhosis. Kwesinye isikhathi, ukuphela kokwelapha kwe-cirrhosis esezingeni eliphakeme ukufakelwa kwesibindi.

Uma unemibuzo ngemiphumela yakho, khuluma nomhlinzeki wakho wezokunakekelwa kwempilo.

Ngabe kukhona okunye engidinga ukukwazi nge-elastography?

Ukuhlolwa kwe-MRE kungenzeka kungabi ukukhetha okuhle kubantu abanamadivayisi wensimbi afakwe emzimbeni wabo. Lokhu kufaka phakathi ama-pacemaker, ama-valve enhliziyo okufakelwa, namaphampu wokumnika. Uzibuthe oku-MRI ungathinta ukusebenza kwalawa madivayisi, futhi kwezinye izimo, kungaba yingozi. Ama-brace amazinyo nezinhlobo ezithile zama-tattoos aqukethe insimbi nakho kungadala izinkinga ngesikhathi senqubo.

Ukuhlolwa akuphakanyiswa nakwabesifazane abakhulelwe noma bacabanga ukuthi kungenzeka ukuthi bakhulelwe. Akwaziwa ukuthi amandla kazibuthe ayingozi yini ezinganeni ezingakazalwa.

Izinkomba

1. I-American Liver Foundation. [Inthanethi]. ENew York: I-American Liver Foundation; c2017. Ukuhlonza i-Hepatitis C [icashunwe ngo-2019 Jan 24]; [cishe izikrini ezi-4]. Kutholakala kusuka: https://liverfoundation.org/for-patients/about-the-liver/diseases-of-the-liver/hepatitis-c/diagnosing-hepatitis-c/#who-should-get-tested-for- hepatitis-c
2. UFoucher J, Chanteloup E, Vergniol J, Castéra L, Le Bail B, Adhoute X, Bertet J, Couzigou P, de Lédinghen, V. Ukuxilongwa kwesifo sokuqina kwesibindi nge-elastography yesikhashana (i-FibroScan): isifundo esizoba khona. Gut [Inthanethi]. I-2006 Mar [icashunwe ngo-2019 Jan 24]; 55 (3): 403-408. Kutholakala kusuka: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC1856085
3. UHuron Gastro [Inthanethi]. I-Ypsilanti (MI): I-Huron Gastroenterology; c2015. I-Fibroscan (Isibindi Elastography) [icashunwe ngo-2019 uJan 24]; [cishe izikrini ezi-5]. Kutholakala kusuka: https://www.hurongastro.com/fibroscan-liver-elastrography
4. IMayo Clinic [Inthanethi]. IMayo Foundation for Medical Education and Research; c1998–2019. I-Hepatitis C: Ukuxilongwa nokwelashwa; I-2018 Mar 6 [icashunwe 2019 Jan 24]; [cishe izikrini ezi-4]. Kutholakala kusuka: https://www.mayoclinic.org/diseases-conditions/hepatitis-c/diagnosis-treatment/drc-20354284
5. IMayo Clinic [Inthanethi]. IMayo Foundation for Medical Education and Research; c1998–2019. I-Hepatitis C: Izimpawu nezimbangela; I-2018 Mar 6 [icashunwe ngo-2019 uJan 24]; [cishe izikrini ezi-3]. Kutholakala kusuka: https://www.mayoclinic.org/diseases-conditions/hepatitis-c/symptoms-causes/syc-20354278
6. IMayo Clinic [Inthanethi]. IMayo Foundation for Medical Education and Research; c1998–2019. I-elastography yamagnetic resonance: Ukubuka konke; 2018 Meyi 17 [kucashunwe 2019 Jan 24]; [cishe izikrini ezi-3]. Kutholakala kusuka: https://www.mayoclinic.org/tests-procedures/magnetic-resonance-elastography/about/pac-20385177
7. Isikhungo Somdlavuza Se-Memorial Sloan Kettering [Internet]. ENew York: Isikhungo Somdlavuza SeKettering Cancering Memorial; c2019. Ukuqonda Imiphumela Yakho Ye-Fibroscan [kubuyekezwe ngo-2018 Feb 27; kucashunwe ngo-2019 uJan 24]; [cishe izikrini ezi-4]. Kutholakala kusuka: https://www.mskcc.org/cancer-care/patient-education/understanding-your-fibroscan-results
8. Uhlobo Lokuthengwa Kwamakhasimende we-Merck [Internet]. IKenilworth (NJ): IMerck & Co, Inc .; c2019. I-Cirrhosis yesibindi [icashunwe ngo-2019 Jan 24]; [cishe izikrini ezi-2]. Kutholakala kusuka: https://www.merckmanuals.com/home/liver-and-gallbladder-disorders/fibrosis-and-cirrhosis-of-the-liver/cirrhosis-of-the-liver
9. Uhlobo Lokuthengwa Kwamakhasimende we-Merck [Internet]. IKenilworth (NJ): IMerck & Co, Inc .; c2019. I-Fibrosis Yesibindi [icashunwe ngo-2019 Jan 24]; [cishe izikrini ezi-2]. Kutholakala kusuka: https://www.merckmanuals.com/home/liver-and-gallbladder-disorders/fibrosis-and-cirrhosis-of-the-liver/fibrosis-of-the-liver
10. UMichigan Medicine: IYunivesithi yaseMichigan [i-Intanethi]. U-Ann Arbor (MI): Abaphathi be-University of Michigan; c1995–2019. Isibindi Elastography [icashunwe ngo-2019 Jan 24]; [cishe izikrini ezi-5]. Kutholakala kusuka: https://www.uofmhealth.org/conditions-treatments/digestive-and-liver-health/liver-elastography
11. INorthShore University Health System [i-Intanethi]. Uhlelo lwezeMpilo eNorthShore University; c2019. I-Liver Fibroscan [icashunwe ngo-2019 Jan 24]; [cishe izikrini ezi-3]. Kutholakala kusuka: https://www.northshore.org/gastroenterology/procedures/fibroscan
12. Radiology Info.org [Inthanethi]. I-Radiological Society yaseNyakatho Melika, Inc .; c2019. I-Cirrhosis yesibindi [icashunwe ngo-2019 Jan 24]; [cishe izikrini ezi-3]. Kutholakala kusuka: https://www.radiologyinfo.org/en/info.cfm?pg=cirrhosisliver
13. Radiology Info.org [Inthanethi]. I-Radiological Society yaseNyakatho Melika, Inc .; c2019. Isifo Sesibindi Esinamafutha kanye Nesibindi Fibrosis [kucashunwe ngo-2019 Jan 24]; [cishe izikrini ezi-3]. Kutholakala kusuka: https://www.radiologyinfo.org/en/info.cfm?pg=fatty-liver-disease
14. I-University of Rochester Medical Center [i-Inthanethi]. URochester (NY): Isikhungo Sezokwelapha sase-University of Rochester; c2019. I-Health Encyclopedia: Izifo Ezingapheli Zesibindi / Isifo Sokuqina Kwesibindi [icashunwe ngo-2019 uJan 24]; [cishe izikrini ezi-2]. Kutholakala kusuka: https://www.urmc.rochester.edu/encyclopedia/content.aspx?ContentTypeID=85&ContentID=P00662
15. Impilo ye-UF: University of Florida Health [Internet]. IGainesville (FL): Inyuvesi yaseFlorida; c2019. I-MRI: Ukubuka konke [kuvuselelwe i-2019 Jan 24; kucashunwe ngo-2019 uJan 24]; [cishe izikrini ezi-2]. Kutholakala ku: https://ufhealth.org/mri
16. Impilo ye-UF: University of Florida Health [Internet]. IGainesville (FL): Inyuvesi yaseFlorida; c2019. I-Ultrasound: Ukubuka konke [kubuyekezwe ngo-2019 Jan 24; kucashunwe ngo-2019 uJan 24]; [cishe izikrini ezi-2]. Kutholakala kusuka: https://ufhealth.org/ultrasound
17. I-UW Health [Inthanethi]. UMadison (WI): Izibhedlela zase-University of Wisconsin kanye neGunya Lemitholampilo; c2019. I-Cirrhosis: Izimpawu [zibuyekezwe ngo-2018 Mashi 28; kucashunwe ngo-2019 uJan 24]; [cishe izikrini ezi-4]. Kutholakala kusuka: https://www.uwhealth.org/health/topic/mini/cirrhosis/aa67653.html#aa67668
18. I-UW Health [Inthanethi]. UMadison (WI): Izibhedlela zase-University of Wisconsin kanye neGunya Lemitholampilo; c2019. Ukufanekisa iMagnetic Resonance (MRI): Kwenziwa Kanjani [kubuyekezwe ngo-2018 Juni 26; kucashunwe ngo-2019 uJan 24]; [cishe izikrini ezi-5]. Kutholakala kusuka: https://www.uwhealth.org/health/topic/medicaltest/magnetic-resonance-imaging-mri/hw214278.html#hw214314
19. I-UW Health [Inthanethi]. UMadison (WI): Izibhedlela zase-University of Wisconsin kanye neGunya Lemitholampilo; c2019. Ukufanekisa iMagnetic Resonance (MRI): Ungazilungiselela Kanjani [kubuyekezwe ngo-2018 Juni 26; kucashunwe ngo-2019 uJan 24]; [cishe izikrini ezi-4]. Kutholakala kusuka: https://www.uwhealth.org/health/topic/medicaltest/magnetic-resonance-imaging-mri/hw214278.html#hw214310
20. I-UW Health [Inthanethi]. UMadison (WI): Izibhedlela zase-University of Wisconsin kanye neGunya Lemitholampilo; c2019. Ukufanekisa iMagnetic Resonance (MRI): Ukubuka konke kokuhlolwa [kubuyekezwe ngo-2018 Juni 26; kucashunwe ngo-2019 uJan 24]; [cishe izikrini ezi-2]. Kutholakala kusuka: https://www.uwhealth.org/health/topic/medicaltest/magnetic-resonance-imaging-mri/hw214278.html

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