Elastography

Qanacsan

• Waa maxay elastography?
• Maxaa loo adeegsadaa?
• Maxaan ugu baahanahay elastography?
• Maxaa dhacaya inta lagu jiro elastography-ka?
• Ma u baahanahay inaan sameeyo wax walba si aan ugu diyaargaroobo imtixaanka?
• Ma jiraan wax khatar ah oo imtaxaanku leeyahay?
• Maxay natiijooyinka ka dhigan yihiin?
• Ma jiraan wax kale oo aan u baahanahay inaan ka ogaado elastography?
• Tixraacyo

Waa maxay elastography?

Elastography, oo sidoo kale loo yaqaan elastography beerka, waa nooc ka mid ah baaritaanka sawirada kaas oo ka hubiya beerka inuu jiro fibrosis. Fibrosta waa xaalad yaraynaysa socodka dhiigga ee ku dhaca gudaha iyo gudaha beerka. Tani waxay keentaa isugeynta unugyada nabarrada. Haddii aan la daaweynin, fibrosis wuxuu u horseedi karaa dhibaatooyin halis ah beerka. Kuwaas waxaa ka mid ah cirrhosis, kansarka beerka, iyo hawlgabka beerka. Laakiin ogaanshaha hore iyo daaweynta waxay yareyn kartaa ama xitaa rogi kartaa saameynta fibrosis.

Waxaa jira laba nooc oo ah baaritaanka elastography beerka:

• Ultrasound elastography, oo sidoo kale loo yaqaan Fibroscan, magaca sumadda qalabka ultrasound. Tijaabadu waxay isticmaashaa hirarka codka si loo cabbiro adkaanta unugyada beerka. Adkaysigu waa calaamadda cudurka loo yaqaan 'fibrosis'.
• MRE (elastography-ka magnetic resonance), tijaabo isku dhafan tiknoolajiyada 'ultrasound' iyo sawirka 'magnetic resonance imaging' (MRI). MRI waa nidaam adeegsanaya birlabyada xoogga leh iyo hirarka raadiyaha si loo abuuro sawirrada xubnaha iyo qaabdhismeedka jirka gudihiisa. Imtixaanka MRE, barnaamijka kumbuyuutarku wuxuu abuuraa khariidad muuqaal ah oo muujinaysa adkaanta beerka.

Tijaabada Elastography waxaa loo isticmaali karaa meeshii lagaa goyn lahaa beerka cad, oo ah baaritaan aad u fara badan oo ku lug leh ka saarista qayb ka mid ah unugyada beerka ee baaritaanka.

Magacyada kale: Elastography beerka, elastography kumeelgaar ah, Fibroscan, MR elastography

Maxaa loo adeegsadaa?

Elastography waxaa loo isticmaalaa in lagu baaro cudurka beerka dufanka badan (FLD) iyo fibrosis. FLD waa xaalad unugyada caadiga ah ee beerka lagu beddelo dufan. Dufankani wuxuu u horseedi karaa geerida unugyada iyo fibrosis.

Maxaan ugu baahanahay elastography?

Dad badan oo qaba cudurka fibrosis ma laha astaamo. Laakiin haddii aan la daaweynin, fibrosis wuxuu sii wadi doonaa inuu beerka nabar ku yeesho aakhirkiina isu beddelo cirrhosis.

Cirrhosis waa erey loo adeegsado in lagu sharaxo nabarrada xad dhaafka ah ee beerka. Cirrhosis badanaa waxaa sababa ku xadgudubka aalkolada ama cagaarshowga. Xaaladaha daran, cirrhosis wuxuu halis gelin karaa nolosha. Cirrhosis wuxuu keenaa astaamo. Marka waxaad u baahan kartaa baaritaankaan haddii aad leedahay astaamaha cirrhosis ama cudur kale oo beer ah.

Calaamadaha cudurka cirrhosis iyo cudurrada kale ee beerka ku dhaca waa isku mid waxaana ka mid noqon kara:

• Jaalaha maqaarka. Tan waxaa loo yaqaan cagaarshow.
• Daal
• Cuncun
• Dhaawac fudud
• Diiq sanka culus
• Barar lugaha ah
• Miisaanka oo yaraada
• Jahwareer

Maxaa dhacaya inta lagu jiro elastography-ka?

Inta lagu jiro ultrasound (Fibroscan) elastography:

• Waxaad ku jiifsan doontaa miiska baaritaanka ee dhabarkaaga, iyadoo aagga calooshaada midig u muuqaneyso.
• Farsamo yaqaan shucaaca ayaa ku faafin doona maqaarkaaga aagga.
• Isaga ama iyadu waxay ku ridi doonaan aalad u eg, oo loo yaqaan 'transducer' aagga maqaarka daboolaya beerkaaga.
• Baaritaanku wuxuu soo gudbin doonaa mowjado dhawaaq oo taxane ah. Mawjadaha ayaa u safri doona beerkaaga oo dib u soo laaban doona. Hirarku aad bay u sareeyaan mana maqli kartid.
• Waxaa laga yaabaa inaad dareento duufaan jilicsan sida tan la sameeyay, laakiin waa inaanay dhaawicin.
• Mowjadaha dhawaaqa ayaa la duubaa, la cabiraa, laguna soo bandhigaa shaashadda.
• Qiyaasta waxay muujineysaa heerka adkaanta beerka.
• Nidaamku wuxuu qaadanayaa kaliya shan daqiiqo, laakiin ballantaada oo dhan waxay qaadan kartaa nus saac ama sidaas.

MRE (elastography magnetic resonance elastography) waxaa lagu sameeyaa isla mashiinka noocyadiisa kala duwan iyo talaabooyin badan oo isku mid ah sida tijaabada MRI-ga (magnetic resonance imaging). Inta lagu gudajiro nidaamka MRE:

• Waxaad ku seexan doontaa miiska baaritaanka cidhiidhiga ah.
• Farsamo yaqaan raajo ayaa caloosha ku saari doona suuf yar. Suufka wuxuu soo saari doonaa gariir ka gudbaya beerkaaga.
• Jadwalka wuxuu ku siiban doonaa skaanka MRI, kaas oo ah mashiin qaabeeya kanaalka oo ay ku jiraan magnetka. Waxaa laga yaabaa in lagu siiyo dhegaha ama dhagaha dhagaha ka hor baaritaanka si ay kaaga caawiso xannibaadda buuqa iskaanka, oo aad u sarreeya.
• Isla gudaha skaanka, suufka ayaa dhaqaajin doona oo cabiraya cabirrada gariirka ka imanaya beerkaaga. Qiyaasaha waxaa lagu duubi doonaa kumbuyuutar waxaana loo rogi doonaa khariidad muuqaal ah oo muujinaysa adkaanta beerkaaga.
• Baaritaanku wuxuu qaadanayaa 30 ilaa 60 daqiiqo.

Ma u baahanahay inaan sameeyo wax walba si aan ugu diyaargaroobo imtixaanka?

Uma baahnid wax diyaargarow qaas ah oo loogu talagalay elastography ultrasound. Haddii aad leedahay MRE, hubi inaad ka saarto dhammaan waxyaabaha dahabka ah iyo agabyada kale ee baaritaanka ka horreeya.

Ma jiraan wax khatar ah oo imtaxaanku leeyahay?

Ma jiraan wax qatar ah oo la ogyahay in la yeesho qalabka elektarooniga ee 'elastography'. Khatar yar ayaa ku jirta in la helo MRE dadka badankood. Dadka qaar waxay dareemaan cabsi ama claustrophobic gudaha skaanka. Haddii aad sidan dareento, waxaa lagu siin karaa daawo baaritaanka ka hor si uu kaaga caawiyo inaad nasato.

Maxay natiijooyinka ka dhigan yihiin?

Labada nooc ee elastography-ku waxay cabiraan adkaanta beerka. Beerku wuu sii adkaanayaa, fibros-ka badan ayaa ku haya. Natiijooyinkaagu waxay u kala duwanaan karaan nabarro la'aan illaa nabar, dhexdhexaad, ama nabar nabar beerka ka sarreeya. Nabaro casri ah ayaa loo yaqaan cirrhosis. Bixiyaha xanaanada caafimaadkaaga ayaa laga yaabaa inuu dalbado baaritaan dheeri ah, oo ay ku jiraan baaritaanka dhiiga ee shaqada beerka ama biopsiga beerka, si loo xaqiijiyo ogaanshaha cudurka.

Haddii lagaa helo fibro-fudud ama dhexdhexaad, waxaad awoodi kartaa inaad tillaabooyin qaado si aad u joojiso nabarro dheeraad ah mararka qaarkoodna aad xitaa u hagaajiso xaaladdaada. Tallaabooyinkan waxaa ka mid ah:

• Inaadan cabin aalkolo
• Inaadan qaadan daroogada sharci darrada ah
• Cunista cunto caafimaad leh
• Jimicsi kordhaya
• Qaadashada daawo. Waxaa jira daawooyin waxtar u leh daaweynta noocyada cagaarshowga.

Haddii aad muddo dheer sugto daaweynta, unugyo nabarro badan ah ayaa ku soo kordha beerkaaga. Tani waxay u horseedi kartaa cirrhosis. Mararka qaarkood, daaweynta kaliya ee loogu talagalay cirrhosis-ka waa tallaal beerka laga beddelayo.

Haddii aad su'aalo ka qabtid natiijooyinkaaga, la hadal daryeel caafimaad bixiyahaaga.

Ma jiraan wax kale oo aan u baahanahay inaan ka ogaado elastography?

Tijaabinta 'MRE' ma noqon karto xulasho wanaagsan oo loogu talagalay dadka qalabka birta lagu beeray jirkooda. Kuwaas waxaa ka mid ah qalabka wadnaha ka shaqeeya, qalabka wadnaha ee farsamada gacanta, iyo bambooyin faleebo. Magnet-ka ku jira MRI wuxuu saameyn ku yeelan karaa howlaha aaladahaan, xaaladaha qaarkoodna, wuxuu noqon karaa mid khatar ah. Qalabka ilkaha iyo noocyo gaar ah oo loo yaqaan 'tattoos' oo ay ku jiraan bir ayaa sidoo kale sababi kara dhibaatooyin inta hawshu socoto.

Baaritaanka sidoo kale laguma talin haweenka uurka leh ama u maleynaya inay uur leeyihiin. Lama oga in meelaha birlabku ay waxyeelo u leeyihiin ilmaha aan dhalan.

Tixraacyo

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Macluumaadka ku yaal boggan waa in aan loo isticmaalin beddel daryeel caafimaad oo xirfad leh ama talo. La xiriir bixiye daryeel caafimaad haddii aad su'aalo ka qabtid caafimaadkaaga.