ọdịnaya
Nkọwa nke fibroscan
N'adịghị ka ihe aha ya na-egosi, nke fibroscan ọ bụghị fiberoptic, ma ọ bụ nyocha. Nke a bụ ule na-agụnye ọnụọgụgụ imeju fibrosis, site n'ịchọpụta ike nke anụ ahụ imeju. Ihe bara uru bụ na ị gaghị abanye n'ime ahụ: fibroscan bụ nyocha na-enweghị mgbu na nke na-adịghị emerụ ahụ. A na-akpọkwa fibroscan (nke bụ aha teknụzụ nke ụlọ ọrụ French, Echosens) nwere ikike nke ultrasonic impulse elastometry.
Fibrosis imeju bụ nsonaazụ nke otutu nsogbu imeju na-adịghị ala ala : a .ụrụma, malitere ịrịa ịba ọcha n'anya, wdg. Ndị a na-eduga n'ichebe anụ ahụ nke na-anọchi anya mkpụrụ ndụ imeju mebiri emebi: nke a bụ fibrosis. Ọ na-akpaghasị ihe owuwu imeju ma na-arụ ọrụ ma na-arụ ọrụ, na ọganihu ya nwere ike ibute cirrhosis (akpụkpọ anụ ahụ dị n'ime imeju dum).
Kedu ihe kpatara eji eme fibroscan?
Dọkịta na-eme fibroscan iji chọpụta ịdị njọ nke fibrosis imeju. Nyocha ahụ na-emekwa ka o kwe omume inyocha ọganihu ya.
Enwere ike iji ule a maka:
- nlekota nke ịba ọcha n'anya n'okpuru ọgwụgwọ
- nyochaa nsogbu nke cirrhosis
- chọpụta nsogbu mgbe imeju imeju
- mara etuto imeju
Rịba ama na nyocha nke fibrosis imeju nwekwara ike ime ya imeju umeji (na-ewere mkpụrụ ndụ imeju) ma ọ bụ site na nyocha ọbara, mana nyocha ndị a na-emerụ ahụ, n'adịghị ka fibroscan.
Ntinye aka ahụ
Usoro ahụ enweghị ihe mgbu ma jiri ya tụnyere ultrasound.
The fibroscan mejupụtara ijielastometry (ma ọ bụ elastography) ịma jijiji na-achịkwa mkpali: usoro a na-eji nyochaa mgbasa nke ujo ujo na imeju na ịlele ngbanwe ya. Ka ebili mmiri na-agbasa ngwa ngwa, imeju na-esiwanye ike, ya mere fibrosis na-abawanye.
Iji mee nke a, dọkịta na-etinye nyocha n'etiti ọgịrịga n'elu akpụkpọ anụ onye ọrịa mgbe ị dinara azụ na ogwe aka nri na-etinye n'azụ isi. Ihe nyocha ahụ na-ewepụta ebili mmiri dị ala (50 Hz) nke na-agafe na imeju wee ziga ifeghachi azụ na nyocha. Ngwaọrụ na-agbakọ ọsọ na ike nke nkwughachi a iji chọpụta ngbanwe nke imeju.
A ga-emerịrị ihe dị ka nha iri ziri ezi n'oge nyocha.
Kedu nsonaazụ anyị nwere ike ịtụ anya n'aka fibroscan?
Ule a na-ewe naanị nkeji ise ruo iri na ise ma nsonaazụ ya na-apụta ozugbo.
A na-atụle ngbanwe nke imeju na kilopascal (kPa). Uru enwetara kwekọrọ na etiti nke nha 10 na ọnụ ọgụgụ ahụ na-emegharị n'etiti 2,5 na 75 kPa.
Ya mere, dabere na mmebi nke imeju, ọnụ ọgụgụ ngbanwe dị iche iche, fibrosis na-akawanye ma ọ bụ na-erughị akara ma kọwaa ọkwa dị iche iche:
- n'etiti 2,5 na 7, anyị na-ekwu maka ogbo F0 ma ọ bụ F1: enweghị fibrosis ma ọ bụ obere fibrosis.
- N'etiti 7 na 9,5, anyị na-ekwu maka ogbo F2: fibrosis na-agafeghị oke
- N'etiti 9,5 na 14, anyị na-ekwu maka ogbo F3: fibrosis siri ike
- gafere 14, anyị na-ekwu maka ogbo F4: anụ ahụ dị n'ime imeju, na cirrhosis dị
Iji mezue nchoputa ya, dọkịta nwere ike ịtụnye nyocha ndị ọzọ dị ka a imeju umeji ma ọ bụ a nyocha ọbara.
Gụọ kwa: Ihe niile gbasara ụdị ịba ọcha n'anya dị iche iche Mụtakwuo maka ọrịa cirrhosis |