Elastography

Anotusi

• O le a le elastography?
• O le a le mea e faʻaaoga ai?
• Aisea ou te manaʻomia ai se elastography?
• O le a le mea e tupu i le taimi o le elastography?
• Mata e tatau ona ou faia se mea e sauniuni ai mo le suʻega?
• E i ai ni lamatiaga i le suʻega?
• O le a le uiga o faʻaiuga?
• E i ai seisi mea e tatau ona ou iloa e uiga i se elastography?
• Faʻamatalaga

O le a le elastography?

O le elastography, e taʻua foi ole ate elastography, o se ituaiga faʻataʻitaʻiga o faʻataʻitaʻiga e siakiina le ate mo fibrosis. Fibrosis o se tulaga e faʻaititia ai le tafe o le toto i totonu ma i totonu o le ate. Lenei mafua ai le faʻaputuina o maʻila sela. A tuua le togafitia, fibrosis mafai ona taitai atu i matuia faafitauli i le ate. E aofia ai ma le cirrhosis, kanesa ole ate, ma le faaletonu ole ate. Ae o le vave suʻesuʻe ma togafitiga e mafai ona faʻaititia pe faʻafetaui ai aʻafiaga o fibrosis.

E lua ituaiga o suʻega elastography tofotofoga:

• Ultrasound elastography, e lauiloa foi o Fibroscan, o le igoa igoa o le ultrasound masini. O le suʻega e faʻaaogaina ai galu leo ​​e fua ai le maʻaʻa o le ate. Maʻaʻa o se faʻailoga o fibrosis.
• MRE (maneta resonance elastography), o se suʻega e tuʻufaʻatasia ai le tekonolosi o le ultrasound ma le magnetic resonance imaging (MRI). MRI o se faʻagaioiga e faʻaaogaina ai maneta malosi ma galu o leitio e fausia ai ata o totoga ma fausaga i totonu o le tino. I se faʻataʻitaʻiga MRE, o se polokalame komepiuta e fausia ai se faʻafanua vaʻaia e faʻaalia ai le maʻa o le ate.

Ole suʻega ole elastography e ono faʻaaoga e sui aʻi le biopsy ole ate, ose suʻega sili atu ona leaga e aʻafia ai le aveʻese ose fasi sela ole ate mo suʻega.

Isi igoa: ate elastography, le tumau elastography, Fibroscan, MR elastography

O le a le mea e faʻaaoga ai?

O le elastography e faʻaaogaina e faʻamaonia ai le gaʻo o le ate (FLD) ma le fibrosis. FLD o se tuutuuga e suia masani ai aano o le ate i gaʻo. O lenei gaʻo e mafai ona taitai atu ai i le oti sela ma fibrosis.

Aisea ou te manaʻomia ai se elastography?

Tele o tagata ma fibrosis leai ni faʻailoga. Ae a le togafitia, fibrosis o le a faʻaauau pea ona maʻila le ate ma iu ai ina liua i le cirrhosis.

Cirrhosis o se taimi faʻaaoga e faʻamatala ai soʻoga scarring o le ate. O le Cirrhosis e masani ona mafua mai i le faʻasuaʻava i le 'ava malosi poʻo le hepatitis. I tulaga ogaoga, o le cirrhosis e mafai ona lamatia ai le ola. Cirrhosis mafua ai auga. Ma oe ono manaʻomia lenei suʻega pe a fai oe maua faʻailoga o le cirrhosis poʻo se isi faʻamaʻi o le ate.

Faʻailoga o le cirrhosis ma isi faʻamaʻi o le ate e tutusa ma ono aofia ai:

• Lanu samasama o le paʻu. E taʻua lenei mea o le jaundice.
• Le lavava
• Mageso
• Maua gofie
• Foafoa mamafa isu
• Fula i vae
• Paʻu pauna
• Le mautonu

O le a le mea e tupu i le taimi o le elastography?

I le taimi o le ultrasound (Fibroscan) elastography:

• O le a e taʻoto i luga o le laulau suʻega i lou tua, ma lou itu taumatau manava faʻaali.
• E faʻasalalau e le tekinolosi leitio le gel i luga o lou paʻu ile vaega atoa.
• O le a ia tuʻuina se masini pei o le wand, ua taʻua o le transducer, i luga o le vaega o le paʻu e ufiufi ai lou ate.
• O le suʻesuʻega o le a tuʻuina atu ai le faʻasologa o leo galu. O galu o le a malaga i lou ate ma toe oso i tua. O galu e maualuga tele faʻatuina oe le mafai ona lagonaina i latou.
• Atonu e te lagonaina se paʻu malu a o faia lenei mea, ae le tatau ona tiga.
• O leo o galu e faʻamaumauina, fuaina, ma faʻaali i luga o le monitor.
• O le fuataga e faʻaalia ai le maualuga o le maʻaʻa i le ate.
• O le taualumaga e naʻo le lima minute le umi, ae o lau taimi atofaina uma e ono alu ai le 'afa itula pe a.

MRE (maneta resonance elastography) e faia i le tutusa ituaiga o masini ma le tele o tutusa laʻasaga e pei o se MRI masani (maneta resonance imaging) faʻataʻitaʻiga. I le taimi o le MRE taualumaga:

• Oe o le a taoto i luga o se lauitiiti laulau suʻega.
• O le tagata faʻatekonolosi e faʻaaogaina le leitio o le a tuʻuina se tamaʻi pa i lou manava. O le pad o le a faʻaluina gatete e pasi atu i lou ate.
• O le laulau o le a seʻe i totonu o se MRI scanner, o se auala faʻaʻofuʻofu masini o loʻo iai le maneta. E mafai ona tuʻuina atu ia oe ni taliga taliga poʻo ni mea faʻalogologo ao le i faia le suʻega e fesoasoani e poloka ai le pisapisao o le masini faʻataʻitaʻi, e leo tele.
• I totonu o le scanner, o le pad o le a faʻagaoioia ma lafoina fuataga o gatete mai lou ate. O fua o le a faʻamaumauina luga o se komepiuta ma liliu i totonu o se vaʻaia faʻafanua e faʻaalia ai le maʻaʻa o lou ate.
• O le suʻega e tusa ma le 30 i le 60 minute.

Mata e tatau ona ou faia se mea e sauniuni ai mo le suʻega?

E te le manaʻomia ni sauniuniga faʻapitoa mo se ultrasound elastography. Afai o loʻo ia te oe se MRE, ia mautinoa ia aveʻese uma uʻamea teuteu ma mea faʻaopoopo ao leʻi faia le suʻega.

E i ai ni lamatiaga i le suʻega?

E i ai le iloa lamatiaga i le i ai o le ultrasound elastography. E i ai se tulaga lamatia i le i ai o se MRE mo le tele o tagata. Nisi tagata lagona le fefefe pe claustrophobic totonu o le scanner. Afai e te faʻapea lagona, e ono avatua ia te oe ni vailaʻau ae le i faia le suʻega e fesoasoani ia te oe e malolo ai.

O le a le uiga o faʻaiuga?

Uma ituaiga o elastography fuaina le maʻaʻa o le ate. O le maʻaʻa o le ate, o le tele o lau fibrosis oe. O au iʻuga e mafai ona amata mai i le maʻila i le agamalu, feololo, poʻo le alualu i luma o le ate maʻila. O le maʻila o le maʻila e taʻua ole cirrhosis. E mafai ona faʻatonuina e lau fomaʻi le faʻaopopoina o suʻesuʻega, e aofia ai le faia ole ate le toto poʻo le biopsy ile ate, e faʻamaonia ai se faʻamaoniga.

Afai oe faʻamaonia e maua i le agamalu i le feololo fibrosis, oe ono mafai ona faia ni laʻasaga e taofi atili scarring ma nisi taimi e faʻaleleia atili ai lou tulaga. O nei laʻasaga e aofia ai:

• Le inu ava malosi
• Le tagofia o fualaʻau faʻasaina
• Taumafa i se soifua maloloina maloloina
• Faʻateleina le faʻamalositino
• Inuina o vailaʻau. E i ai vailaʻau e aoga i le togafitia o nisi ituaiga o hepatitis.

Afai e te faʻatali mo se taimi umi mo togafitiga, o le a atili ai ona tele maʻaʻaʻa o le a fausiaina i lou ate. Lenei mafai ona taitaiina atu i cirrhosis. O isi taimi, naʻo le pau togafitiga mo le alualu i luma cirrhosis o le fesuiaʻiga o le ate.

A iai ni au fesili e uiga i au iʻuga, talanoa i lau fomaʻi.

E i ai seisi mea e tatau ona ou iloa e uiga i se elastography?

MRE suʻega atonu e le o se filifiliga lelei mo tagata o loʻo i ai uʻamea masini totoina io latou tino. O loʻo iai ma vailaʻau, totoga faʻapipiʻi, ma pamu faʻasusuina. O le maneta i le MRI mafai ona aʻafia ai le faʻagaioiga o nei masini, ma i nisi tulaga, e ono mataʻutia. Nifo taofi ma nisi ituaiga o peʻa o loʻo i ai uʻamea mafai foi mafua ai faʻafitauli i le taimi o le taualumaga.

E le fautuaina foi le suʻega mo fafine ua maʻito pe manatu foi ua maʻito. E le o mailoa pe faʻamanuiaina e maneta ia pepe e leʻi fananau mai.

Faʻamatalaga

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O faʻamatalaga i luga o lenei 'upega tafaʻilagi e le tatau ona faʻaaogaina e fai ma sui o fomaʻi faʻapitoa togafitiga poʻo fautuaga. Faʻafesoʻotaʻi le au tausi soifua pe a iai ni au fesili e uiga i lou soifua maloloina.