Mea Kākau: Joan Hall
Lā O Ka Hana: 1 Pepeluali 2021
HōʻAno Hou I Ka Lā: 2 Pepeluali 2025
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Principles of Elastography
Wikiō: Principles of Elastography

Anter

He aha ka elastography?

ʻO kahi elastography, i ʻike ʻia he elastography ate, kahi ʻano o ka hoʻokolohua kiʻi e nānā ana i ke akepaʻa no fibrosis. ʻO Fibrosis kahi kūlana e hōʻemi ana i ke kahe o ke koko a i loko o ke ake. ʻO kēia ke kumu o ke kūkulu ʻia ʻana o nāʻiʻo makaʻu. Inā haʻalele ʻole ʻia, hiki i ka fibrosis ke alakaʻi i nā pilikia koʻikoʻi i ke ake. Hoʻopili kēia i ka cirrhosis, ka maʻi ʻaʻai ate, a me ka holo pono ʻole o ke ake. Akā hiki i ka hōʻailona mua a me ka lāʻau lapaʻau ke hōʻemi a i ʻole hoʻohuli i nā hopena o fibrosis.

ʻElua ʻano o nā hoʻokolohua elastography ate:

  • Kukuna ultrasound elastogaphy, ʻo Fibroscan hoʻi, ka inoa inoa o ka hāmeʻa ultrasound. Hoʻohana ka hoʻāʻo i nā nalu kani e ana i ka ʻoʻoleʻa o ke ake o ke ake. ʻO ka ʻoʻoleʻa kahi hōʻailona o fibrosis.
  • MRE (ʻume mākenēki resasance elastography), kahi hōʻike e hoʻohui i ka ʻenehana ultrasound me ke kiʻi ʻana o ka resonance magnet (MRI). ʻO MRI kahi hana e hoʻohana ai i nā mākēneki mana a me nā nalu lekiō e hana i nā kiʻi o nā meaola a me nā kūkulu i loko o ke kino. I kahi hōʻike MRE, hana kahi papahana kamepiula i kahi palapala ʻāina e hōʻike ana i ka paʻakikī o ke ake.

Hiki ke hoʻohana ʻia ka hoʻāʻo Elastography ma kahi o kahi biopsy ate, kahi hoʻāʻo hou e pili ana i ka lawe ʻana i kahi ʻāpana o ke akepaʻa no ka hoʻāʻo ʻana.


Nā inoa ʻē aʻe: elastography akepaʻa, elastography kuewa, Fibroscan, MR elastography

No ke aha ia e hoʻohana ai?

Hoʻohana ʻia kahi elastography e hōʻoia i ka maʻi momona o ka ate (FLD) a me fibrosis. ʻO FLD kahi kūlana kahi i hoʻololi ʻia ai nāʻiʻo o ke ake e ka momona. Hiki i kēia momona ke alakaʻi i ka make a me ka fibrosis.

No ke aha wau e pono ai i kahi elastography?

ʻAʻole nui nā poʻe me ka fibrosis i nā ʻōuli. Akā haʻalele ʻole ʻia, e hoʻomau ka fibrosis i ka makaʻu o ke ake a huli aʻe i cirrhosis.

ʻO Cirrhosis kahi manawa i hoʻohana ʻia e wehewehe i ka scarring nui o ke ake. Hoʻokumu pinepine ʻia ʻo Cirrhosis e ka hōʻino waiona a i ʻole hepatitis. I nā hihia koʻikoʻi, hiki i ka cirrhosis ke hoʻoweliweli i ke ola. Hana ʻo Cirrhosis i nā ʻōuli. No laila pono ʻoe i kēia hōʻoia inā loaʻa iā ʻoe nā ʻōuli o ka cirrhosis a i ʻole kekahi maʻi ate.

ʻO nā ʻōuli o ka cirrhosis a me nā maʻi ate ʻē aʻe a like pū paha:

  • Melemele o ka ʻili. ʻIke ʻia kēia ʻo jaundice.
  • Ka luhi
  • Kāwili
  • Māmā maʻalahi
  • ʻEbwi ihu kaumaha
  • ʻO ka pehu i nā wāwae
  • Kaumaha emi
  • Huikau

He aha ka hana i ka wā o ka elastography?

Ma kahi ultrasound (Fibroscan) elastography:


  • E moe ʻoe ma ka papa hōʻike ma kou kua, me ka hōʻike ʻia o kou wahi ʻōpū ʻākau.
  • E hoʻolaha ka mea loea radiology i kou ʻili ma luna o kou ʻili.
  • E hoʻonoho ʻo ia i kahi hāmeʻa like me ka wand, i kapa ʻia he transducer, ma kahi o ka ʻili e uhi i kou ake.
  • E hāʻawi ka probe i kahi o nā nalu kani. E hele ka nalu i kou ake a hoʻi i hope. Kiʻekiʻe loa nā nalu ʻaʻole hiki iā ʻoe ke hoʻolohe iā lākou.
  • ʻIke paha ʻoe i kahi flick akahai e like me kēia e hana ai, akā ʻaʻole pono e ʻeha.
  • Hoʻopaʻa ʻia nā ana hawewe, ana ʻia, a hōʻike ʻia ma kahi monitor.
  • Hōʻike ke ana i ke kiʻekiʻe o ka ʻoʻoleʻa i ke ake.
  • Ma kahi o ʻelima mau minuke ke kaʻina hana, akā ʻo ka lōʻihi o kāu manawa e koho ai he hapalua hola paha ia.

Hana ʻia ʻo MRE (magnet resonance elastography) me ka mīkini ʻano like a me nā ʻanuʻu like like me kahi hōʻike MRI kuʻuna (magnetic resonance imaging) hōʻike. Ma ke kaʻina hana MRE:

  • E moe ʻoe ma ka papa hōʻike lohi.
  • E kau kahi ʻenehana radiology i kahi pad liʻiliʻi ma kou ʻōpū. E hoʻokuʻu ka pad i nā haʻalulu e hele ma waena o kou ake.
  • E paheʻe ka pākaukau i kahi scanner MRI, kahi mīkini a ke ʻano o ke ana i piha i ka magnet. Hāʻawi ʻia ʻoe i nā earplugs a i ʻole nā ​​pepeiao pepeiao ma mua o ka hoʻāʻo e kōkua i ke kāohi ʻana i ka walaʻau o ka scanner, ka mea nui loa.
  • Ke komo i loko o ka scanner, e hoʻoulu ka pad a hoʻouna i nā ana o nā haʻalulu mai kou ake. E hoʻopaʻa ʻia nā ana i kāu kamepiula a lilo i palapala ʻāina e hōʻike ana i ka ʻoʻoleʻa o kou ake.
  • Lawe ʻia ka hōʻike ma kahi o 30 a 60 mau minuke.

Pono wau e hana i kekahi mea e hoʻomākaukau ai no ka hoʻāʻo?

ʻAʻole pono ʻoe i kahi hoʻomākaukau kūikawā no kahi elastography ultrasound. Inā loaʻa iā ʻoe kahi MRE, e nānā pono e hemo i nā mea hao a pau a me nā mea pono i mua o ka hoʻāʻo.


Aia kekahi mau pilikia i ka hoʻāʻo?

ʻAʻohe pilikia i ʻike ʻia i ka loaʻa ʻana o kahi elastography ultrasound. ʻAʻohe pilikia iki i ka loaʻa ʻana o kahi MRE no ka hapanui o ka poʻe. Manaʻo kekahi poʻe hopohopo a i ʻole claustrophobic i loko o ka scanner. Inā manaʻo ʻoe pēlā, hāʻawi ʻia ʻoe i ka lāʻau i mua o ka hoʻāʻo e kōkua ai iā ʻoe e hoʻomaha.

He aha ke ʻano o nā hopena?

Ana nā ʻano ʻelua elastography i ka ʻoʻoleʻa o ke ake. ʻO ke akepaʻa o ke ake, ʻoi aku ka nui o ka fibrosis iā ʻoe. Loaʻa paha kāu mau hualoaʻa mai kahi scarring a i ʻole, akahai, a i ʻole nā ​​maʻi ʻōiwi holomua. ʻIke ʻia ka scarring holomua e like me ka cirrhosis. E kauoha paha kāu mea mālama ola i nā hoʻokolohua hou aku, e like me nā hoʻokolohua ʻana o ke kahe o ke ake a i ʻole kahi biopsy ate, e hōʻoia i kahi kuhi.

Inā kuhi ʻia ʻoe me ka fibrosis akahai a kaulike paha, hiki iā ʻoe ke hana i nā ʻanuʻu e hōʻoki hou i ka scarring a i kekahi manawa hoʻomaikaʻi i kou ʻano. Aia kēia mau ʻanuʻu i:

  • ʻAʻole inu lama
  • ʻAʻole lawe i nā lāʻau kū ʻole
  • ʻO ka ʻai ʻana i ka papaʻai olakino
  • Hoʻonui i ka hoʻoikaika kino
  • Ke lawe lā i ka lāʻau. Aia kekahi mau lāʻau i kūpono i ka mālama ʻana i kekahi ʻano hepatitis.

Inā lōʻihi ʻoe e kali no ka hoʻomaʻamaʻa ʻana, e kūkulu hou ʻia nāʻiʻo ʻōniʻoniʻo i kou ake. Hiki i kēia ke alakaʻi i ka cirrhosis. I kekahi manawa, ʻo ka lāʻau wale nō no ka cirrhosis holomua kahi transplantna akepaʻa.

Inā he mau nīnau kāu e pili ana i kāu hopena, e kamaʻilio me kāu kauka olakino.

Aia kekahi mea ʻē aʻe e pono iaʻu e ʻike e pili ana i kahi elastography?

ʻAʻole paha he koho maikaʻi ka hoʻāʻo ʻana MRE no ka poʻe i paʻa nā mea hao i loko o ko lākou mau kino. Hoʻopili kēia i nā pacemaker, nā valves puʻuwai puʻuwai, a me nā pauma infusion Hiki i ka Mākēneki i ka MRI ke hoʻopili i ka hana o kēia mau hāmeʻa, a i kekahi mau manawa, weliweli ia. ʻO nā kūloko niho a me kekahi mau ʻano peʻa e paʻa ana i ka mea hiki ke hoʻopaʻa ʻia i nā pilikia i ke kaʻina hana.

ʻAʻole hōʻike ʻia ka hōʻoia no nā wahine hāpai a noʻonoʻo paha e hāpai lākou. ʻAʻole ʻike ʻia inā weliweli nā māla magnet i nā pēpē i hānau ʻole ʻia.

Nā kūmole

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ʻAʻole pono e hoʻohana i ka ʻike ma kēia pūnaewele i pani no ka mālama olakino ʻoihana a ʻōlelo aʻoaʻo paha. Kāhea aku i ka mea mālama ola inā he nīnau kāu e pili ana i kou olakino.

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