Whakaahuatanga

Toka Te Manawa

• He aha te koorero?
• Hei aha te whakamahi?
• He aha i hiahia ai ahau ki tetahi kupu whakarite?
• Ka ahatia i te waa o te tuhingaroa?
• Me mahi e au tetahi mea hei whakareri mo te whakamatautau?
• He raru pea mo te whakamatautau?
• He aha te tikanga o nga hua?
• Kei tetahi atu mea e hiahia ana ahau kia mohio mo te koorero?
• Tohutoro

He aha te koorero?

Ko te elastography, e mohiotia ana ko te ate elastography, he momo whakamatautau whakaahua e tirotiro ana i te ate mo nga fibrosis. Ko te Fibrosis tetahi ahuatanga e whakaiti ana i te rere o te toto ki roto hoki o te ate. Ma tenei ka nui ake te hanga kiko kiko. Ki te kore e rongoa, ka taea e te fibrosis te raru nui i roto i te ate. Kei roto hoki ko te cirrhosis, te mate pukupuku ate, me te ngoikore o te ate. Engari ko te maatauranga wawe me te maimoatanga ka taea te whakaiti, te whakahoki mai ranei i nga paanga o te fibrosis.

E rua nga momo whakamātautau elastography ate:

• Ultrasound whakamāramatanga, e mohiotia ana ko Fibroscan, te ingoa waitohu o te taputapu ultrasound. Ka whakamahia e te whakamatautau nga ngaru oro hei ine i te pakeke o te kiko ate. Ko te maro te tohu o te fibrosis.
• MRE (elastography resonance aukume), he whakamatautau e honohono ana i te hangarau ultrasound me te whakaahua haumanu aukume (MRI). Ko te MRI he tikanga e whakamahi ana i nga aukume kaha me nga ngaru irirangi hei hanga whakaahua i nga okana me nga hanganga o roto o te tinana. I roto i te whakamātautau MRE, ka hangaia e te hotaka rorohiko he mahere tirohanga e whakaatu ana i te pakari o te ate.

Ka taea te whakamahi i te whakamatautau Elastography hei whakakapi i te koiora ate, he whakamatautau nui ake ka uru atu ki te tango i tetahi kiko o te ate hei whakamatautau.

Othertahi atu ingoa: elastography ate, elastography poto, Fibroscan, MR elastography

Hei aha te whakamahi?

Ka whakamahia te elastography hei tirotiro i nga mate ate momona (FLD) me te fibrosis. Ko te FLD tetahi ahuatanga e whakakapihia ana nga kiko o te ate e te momona. Ma tenei momona ka mate te mate o te pūtau me te fibrosis.

He aha i hiahia ai ahau ki tetahi kupu whakarite?

He maha nga taangata whai fibrosis kaore he tohu. Engari ki te kore e rongoa, ka ngau tonu te fibrosis ki te ate, ka mutu ka huri hei cirrhosis.

Ko te Cirrhosis he kupu hei whakaahua i te kaha o te mate o te ate. Ko te Cirrhosis e pa ana ki te waipiro te mate pukupuku ranei. I nga keehi kino, ko te mate ate cirrhosis he morearea mo te ora. Ko te Cirrhosis he tohu tohu. No reira ka hiahia pea koe ki tenei whakamatautau mena ka kitea e koe nga tohu o te cirrhosis tetahi atu mate ate ranei.

Ko nga tohu o te cirrhosis me etahi atu mate ate he rite ano pea ka uru pea ki:

• Te kowhai o te kiri. E mohiotia ana tenei ko te jaundice.
• Ngenge
• Ngatata
• Ngawari te maru
• He ihu taimaha
• Te pupuhi i nga waewae
• Te whakaheke taumaha
• Raruraru

Ka ahatia i te waa o te tuhingaroa?

I te wa o te ultrasound (Fibroscan) elastography:

• Ka takoto koe ki runga i te teepu whakamātautau i to tua, ka kitea to rohe puku o te taha matau.
• Ka horahia e tetahi tohunga hangarau radiology te kiri ki to kiri i taua takiwa.
• Ka whakanohoia e ia tetahi taputapu peera-rite, e kiia ana he transducer, ki te rohe o te kiri e hipoki ana i to ate.
• Ma te tirotirohanga e tuku etahi ngaru oro. Ka haere nga ngaru ki to ate ka hoki whakamuri. He tiketike rawa nga ngaru kaore e taea te whakarongo.
• Akene he ahua ngawari to peke ka oti tenei, engari kaua e mamae.
• Ko nga ngaru oro ka tuhia, ka whangangahia, ka whakaatuhia ki runga i te pouaka whakaari.
• Ko te inenga e whakaatu ana i te taumata pakari o te ate.
• Ko te tikanga ka rima meneti pea, engari ko to huihuinga katoa akene he hawhe haora neke atu ranei.

Ko te MRE (magnet resonance elastography) ka mahia me te momo miihini me te maha o nga taahiraa rite ki te MRI tuku iho (whakaahua atahanga resonance) he whakamatautau. I te wa o te mahinga MRE:

• Ka takoto koe i runga i te teepu whakamatau kuiti.
• Ka whakanohoia e tetahi tohunga hangarau irirangi he papa iti ki to puku. Ka tukuna e te papa nga wiri e haere ana ki roto i to ate.
• Ka retireti te teepu ki te matawai a te MRI, he miihini ahua-rite kei roto te aukume. Ka whakawhiwhia pea ki a koe nga taringa taringa taringa ranei i mua i te whakamatautau kia aukati i te haruru o te matawai, he tino pakari.
• Ka uru ana ki te karapa, ka whakahohe te papa ka tukuna he inenga wiri mai i to ate. Ka tuhia nga inenga ki runga i te rorohiko ka huri hei mahere tirohanga e whakaatu ana i te pakeke o to ate.
• E 30 ki te 60 meneti te roa o te whakamatautau.

Me mahi e au tetahi mea hei whakareri mo te whakamatautau?

Kaore koe e hiahia ki etahi whakaritenga motuhake mo te ultrasound elastography. Mena he MRE kei a koe, kia mahara ki te tango i nga whakapaipai whakarewa katoa me nga taputapu i mua o te whakamatautau.

He raru pea mo te whakamatautau?

Kaore he raru e mohiotia ana mo te whai kupu whakarite ultrasound. He iti noa te tuponotanga ki te whai MRE mo te nuinga o te iwi. Ko etahi e ohorere ana, e koretake ana ranei i roto i te karapa. Mena he penei ke koe, ka hoatu he rongoa ki a koe i mua o te whakamatautau kia pai ai to noho.

He aha te tikanga o nga hua?

Ko nga momo elastography e rua e whanganga ana i te pakeke o te ate. Ko te kaha o te ate, ka nui ake to fibrosis. Ko o hua ka puta mai i te parani ki te ngawari, ngawari, ngawari ranei o te ate. Ko te marau o mua e mohiotia ana ko te cirrhosis. Ka tono pea to kaiwhakarato hauora ki etahi atu whakamatautau, tae atu ki nga whakamatautau toto mo te ate, ki te koiora ate ranei, hei whakaū i te tohu mate.

Mena kua tohua koe he ngawari ki te fibrosis ngawari, akene ka taea e koe te whai i nga huarahi ki te whakamutu i te pehanga o te kiri ka whakapai ake ano i to ahua. Ko enei mahi e whai ake nei:

• Kaore e inu waipiro
• Kaore i te tango i nga raau taero kore ture
• Te kai i te kai pai
• Te whakanui i te mahi
• Te tango rongoa. He rongoa e whaihua ana ki te whakaora i etahi momo hepatitis.

Mena ka roa koe e tatari ana kia rongoa koe, ka maha ake nga kiko o te kaawana ka puea ake ki to ate. Ma tenei ka arai atu ki te mate hika. I etahi wa, ko te rongoa anake mo te cirrhosis matatau ko te whakawhitinga ate.

Mena he paatai ​​taau mo o hua, korero ki to kaiwhakarato hauora.

Kei tetahi atu mea e hiahia ana ahau kia mohio mo te koorero?

Ko te whakamatautau MRE kaore pea i te pai te kowhiri mo nga taangata he taputapu rino i roto i o ratau tinana. Kei roto i enei ko nga kaitautoko, nga potae ngakau horihori, me nga papu e whaowhia ana. Ko te aukume kei roto i te MRI ka pa ki te mahinga o enei taputapu, ana i etahi waa, he kino pea. Ko nga taatai ​​niho me etahi momo moko e mau ana te maitai ka raru pea i te waa e puta ana te mahi.

Kaore hoki i te taunakitia te whakamatautau mo nga waahine e hapu ana, e whakaaro ana ranei kua hapu ratou. Kaore e mohiotia mena ko nga papa aukume te mea kino ki nga peepi kaore i whanau.

Tohutoro

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2. Foucher J, Chanteloup E, Vergniol J, Castéra L, Le Bail B, Adhoute X, Bertet J, Couzigou P, de Lédinghen, V. Taatari i te cirrhosis na te waatea elastography (FibroScan): he rangahau whai waahi. Whakaweto [Ipurangi]. 2006 Maehe (i whakahuahia i te 2019 Hanu 24]; 55 (3): 403–408. Wātea mai i: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC1856085
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Ko nga korero kei tenei papaanga kaua e whakamahia hei whakakapi mo te tiaki ngaio ngaio, tohutohu ranei. Whakapa atu ki te kaiwhakarato hauora mena he paatai ​​taau mo to hauora.