ʻO ka elastography Liver: he aha ia, he aha ia a pehea e hana ai

Anter

• No ke aha ia
• Pehea e pau ai ka hōʻike
• Nā mea maikaʻi ma luna o ka biopsy
• Pehea e maopopo ai i ka hopena
• Hiki i ka hopena ke hele hewa?
• ʻO wai ka mea pono ʻole e lawe i ka hōʻike?

ʻO ka elastography ate, ʻike ʻia ʻo Fibroscan, kahi hōʻike i hoʻohana ʻia e loiloi i ke alo o fibrosis i ke akepaʻa, e ʻae ai e ʻike i ka poino i hoʻokumu ʻia e nā maʻi maʻi mau i loko o kēia koina, e like me ka hepatitis, cirrhosis a i ʻole ke kū ʻana o ka momona.

He hōʻike wikiwiki kēia, hiki ke hana ʻia i loko o kekahi mau minuke a ʻaʻole ia e ʻeha i ka ʻeha, e like me ka mea e hana ʻia ai e ultrasound, ʻaʻole hoʻi e pono ana nā nila a ʻokiʻoki paha. Hiki i nā elastography ke ake, i kekahi mau hihia, ke hoʻohana ʻia e ʻike pono i nā maʻi, e pani ana i ka biopsy kuʻuna, kahi e pono ai e ʻohi i nā hunaola ate.

ʻOiai ʻaʻole kēia ʻano hana i kēia manawa i ka pūnaewele SUS holoʻokoʻa, hiki ke hana ʻia i kekahi mau keʻena pilikino.

No ke aha ia

Hoʻohana ʻia ka ate elastography e loiloi i ke kekelē o ke ake fibrosis i ka poʻe me kekahi maʻi maʻi akepau, e like me:

• Hepatitis;
• Momona kōpaʻa;
• Maʻi maʻi ʻalekohola;
• ʻO cholangitis sclerosing mua;
• Hemochromatosis;
• Ka maʻi o Wilson.

Ma waho aʻe o ka hoʻohana ʻia e kuhikuhi a ʻike i ke koʻikoʻi o kēia mau maʻi, hiki ke hoʻohana ʻia kēia hōʻike e loiloi i ka kūleʻa o ka lapaʻau, no ka mea hiki ke loiloi i ka hoʻomaikaʻi a i ʻole ke ʻino ʻana o nā kiko o ke ake.

E nānā i nā hōʻailona he 11 e hōʻike ai i nā pilikia o ke ake.

Pehea e pau ai ka hōʻike

ʻAno like ka elastography Liver me kahi hōʻike ultrasound, kahi e moe nei ke kanaka ma kona kua a me kāna pālule i hāpai ʻia e hōʻike i ka ʻōpū. A laila, kau ke kauka, a i ʻole ka ʻenehana, i kahi gel lubricating a hele i kahi ʻimi i loko o ka ʻili, e noi ana i ke kaomi māmā. Kuhi kēia probe i nā nalu liʻiliʻi o ka ultrasound e hele ma ke akepaʻa a hoʻopaʻa i kahi helu, a laila loiloi ʻia e ke kauka.

Lōʻihi ka hōʻike ma waena o 5 a 10 mau minuke a ʻaʻohe pono i kahi hoʻomākaukau, ʻoiai i kekahi mau hihia, hiki i ke kauka ke koi i kahi wā hoʻokē ʻai he 4 mau hola. Kaukaʻi ʻia i ka hāmeʻa i hoʻohana ʻia e hoʻokō i ka elastography hepatic, hiki ke kapa ʻia he ultrasound transient a i ʻole ARFI.

Nā mea maikaʻi ma luna o ka biopsy

ʻOiai he nānā ʻeha ʻole ia a ʻaʻole pono ka hoʻomākaukau, ʻaʻole pilikia ka elastography i ka mea maʻi, ʻokoʻa ka mea e hiki ke hana ʻia i ka wā o ka biopsy ate, kahi e hoʻokipa ʻia ai ka mea maʻi a lawe ʻia kahi ʻāpana o ke kolo no ke kālailai.

ʻO ke biopsy ke kumu o ka ʻeha ma ke kahua hana a me ka hematoma i loko o ka ʻōpū, a i nā hihia rarer hiki ke hana pū i nā pilikia e like me ka hemorrhage a me ka pneumothorax. No laila, ʻo ka mea maikaʻi e kamaʻilio me ke kauka e nānā i kahi hōʻike maikaʻi loa e ʻike a nānā i ka maʻi ate i nīnau ʻia.

Pehea e maopopo ai i ka hopena

Hōʻike ʻia ka hopena o ka hepatic elastography ma ke ʻano o ka helu, i hiki ke ʻokoʻa mai 2.5 kPa a i 75 kPa. ʻO ka poʻe i loaʻa nā pae ma lalo o 7 kPa ka manaʻo maʻamau ʻaʻohe o lākou pilikia pilikia o ke kino. ʻO ka nui o ka hopena i loaʻa, ʻo ka nui o ka fibrosis i ke ake.

Hiki i ka hopena ke hele hewa?

ʻO kahi ʻāpana liʻiliʻi wale nō o nā hopena o nā hoʻokolohua elastography i hiki ʻole ke hilinaʻi ʻia, kahi pilikia e loaʻa pinepine i nā hihia o ke kaupaona, ka momona a me ka ʻelemakule o ka mea maʻi.

Eia hou, hiki i ka hoʻokolokolo ke hāʻule ʻole ke hana ʻia i ka poʻe me kahi BMI ma lalo o 19 kg / m2 a i ʻole inā ʻaʻohe ʻike ka mea loiloi i ka lawe ʻana i ka hoʻokolokolo.

ʻO wai ka mea pono ʻole e lawe i ka hōʻike?

ʻAʻole koi ʻia ka ninaninau ʻana i nā elastography hepatic i nā wahine hāpai, nā mea maʻi me nā pacemaker a me nā kānaka me ka maʻi hepitis nui, nā pilikia puʻuwai a me ka hepatitis huehue.