Elastography na hanta: menene menene, menene don kuma yadda ake aikata shi

Wadatacce

• Menene don
• Yadda ake yin jarabawa
• Fa'idodi akan biopsy
• Yadda za a fahimci sakamakon
• Shin sakamakon zai iya yin kuskure?
• Wanene bai kamata ya ci jarabawar ba?

Elastography na hanta, wanda aka fi sani da Fibroscan, jarrabawa ce da ake amfani da ita don tantance kasancewar fibrosis a cikin hanta, wanda ke ba da damar gano lalacewar da cututtuka masu ɗorewa ke haifarwa a cikin wannan ɓangaren, kamar su ciwon hanta, cirrhosis ko kasancewar mai.

Wannan gwaji ne mai sauri, wanda za'a iya yin shi a cikin minutesan mintuna kaɗan kuma baya haifar da ciwo, kamar yadda ake yin sa ta duban dan tayi, ba buƙatar allura ko cuts. Hakanan za a iya amfani da elastography na Hanta, a wasu yanayi, don tantance cututtuka, maye gurbin tsarin biopsy, inda ya zama dole a girbi ƙwayoyin hanta.

Kodayake wannan nau'in aikin bai riga ya kasance a cikin duk hanyar sadarwar SUS ba, ana iya aiwatar da shi a ɗakunan shan magani masu zaman kansu da yawa.

Menene don

Ana amfani da elastography na hanta don tantance darajar hanta fibrosis a cikin mutanen da ke fama da cutar hanta mai ciwuwa, kamar su:

• Ciwon hanta;
• Hanta mai;
• Ciwon hanta mai giya;
• Primary sclerosing cholangitis;
• Hemochromatosis;
• Cutar Wilson.

Baya ga yin amfani da shi don ganowa da gano tsananin waɗannan cututtukan, ana iya amfani da wannan gwajin don kimanta nasarar maganin, domin tana iya tantance ci gaban ko ɓarkewar ƙwayoyin hanta.

Duba alamun 11 wanda zai iya nuna matsalolin hanta.

Yadda ake yin jarabawa

Hantaccen elastography ya yi kama da na duban dan tayi, inda mutum yake kwance a bayansa tare da daga rigarsa don fallasar ciki. Bayan haka, likita, ko ƙwararren masani, yana sanya gel mai shafawa kuma ya wuce bincike ta fata, yana sanya matsi mai sauƙi. Wannan binciken yana fitar da ƙananan raƙuman ruwa na duban dan tayi wanda ya ratsa hanta kuma ya rubuta maki, wanda likita zai tantance shi.

Jarabawar tana ɗaukar kimanin mintuna 5 zuwa 10 kuma yawanci baya buƙatar kowane shiri, kodayake a wasu lokuta, likita na iya ba da shawarar a yi azumi na awa 4. Dogaro da na'urar da ake amfani da ita don aiwatar da cututtukan hanta, ana iya kiranta transient duban dan tayi ko ARFI.

Fa'idodi akan biopsy

Da yake bincike ne mara ciwo kuma baya bukatar shiri, elastography baya haifar da hadari ga mara lafiya, sabanin abin da zai iya faruwa a yayin binciken hanta, wanda sai an kwantar da mara lafiya a asibiti don a cire wani yanki na gabobin don nazari.

Kwayar halittar tana haifar da ciwo a wurin aikin da kuma hematoma a cikin ciki, kuma a cikin mawuyacin yanayi kuma yana iya haifar da rikitarwa kamar zubar jini da pneumothorax. Sabili da haka, abin da ya fi dacewa shi ne yin magana da likita don tantance wanne ne mafi kyawun gwaji don ganowa da kuma lura da cutar hanta da ake tambaya.

Yadda za a fahimci sakamakon

Sakamakon elastography na hanta an gabatar dashi a cikin hanyar ci, wanda zai iya bambanta daga 2.5 kPa zuwa 75 kPa. Mutanen da suka sami matakan ƙasa da 7 kPa galibi suna nufin cewa ba su da wata matsala ta gabobi. Mafi girman sakamakon da aka samu, mafi girman matakin fibrosis a cikin hanta.

Shin sakamakon zai iya yin kuskure?

Kadan daga cikin sakamakon gwajin elastography na iya zama abin dogaro, matsalar da ke faruwa galibi a yanayin kiba, kiba da tsufan mai haƙuri.

Bugu da kari, jarabawar na iya faduwa yayin da aka yi ta akan mutanen da ke da BMI na kasa da 19 kg / m2 ko kuma lokacin da mai zana jarabawar ba shi da kwarewa a jarabawar.

Wanene bai kamata ya ci jarabawar ba?

Binciken elastography na hanta yawanci ba a ba da shawarar ga mata masu ciki, marasa lafiya tare da bugun zuciya da kuma mutanen da ke fama da matsanancin ciwon hanta, matsalolin zuciya da matsanancin ciwon hanta.