Elastography

Zoo Siab

• Elastography yog dab tsi?
• Nws siv rau dab tsi?
• Vim li cas kuv thiaj xav tau elastography?
• Yuav ua li cas thaum lub sij hawm elastography?
• Kuv puas yuav tau ua ib yam dab tsi txhawm rau npaj rau qhov kev xeem?
• Puas muaj kev pheej hmoo rau kev kuaj?
• Cov txiaj ntsig li cas?
• Puas muaj lwm yam ntxiv uas kuv xav paub txog elastography?
• Ua tim khawv

Elastography yog dab tsi?

Elastography, tseem hu ua daim siab elastography, yog ib hom kev kuaj mob uas kuaj lub siab ua rau daim siab. Fibrosis yog ib yam mob uas txo cov ntshav ntws mus rau hauv thiab sab hauv lub siab. Qhov no ua rau kev tsim ntawm caws pliav. Yog tias tsis kho, fibrosis tuaj yeem ua rau muaj teeb meem hnyav hauv daim siab. Cov no suav nrog kab mob ua paug, mob qog noj ntshav, thiab daim siab mob. Tab sis kev kuaj mob ntxov thiab kho tuaj yeem txo qis lossis thim rov qab cov txiaj ntsig ntawm fibrosis.

Muaj ob txoj kev kuaj mob siab elastography:

• Ultrasound elastography, tseem hu ua Fibroscan, cov khoom lag luam lub npe ntawm cov cuab yeej ultrasound. Txoj kev ntsuam xyuas siv cov suab sib luag los ntsuas seb qhov mob ua kom lub siab npaum li cas. Lub cev tawv yog qhov qhia ntawm fibrosis.
• MRE (sib nqus resonance elastography), ib qho kev sim ua ke nrog cov thev naus laus zis ultrasound nrog kev sib nqus resonance imaging (MRI). MRI yog txheej txheem uas siv cov hlau nplaum muaj zog thiab xov tooj cua sib zog los tsim cov duab ntawm cov khoom nruab nrog thiab cov qauv hauv lub cev. Hauv kev ntsuas MRE, lub koos pij tawj tsim cov qauv duab qhia uas pom tias daim siab tawv.

Kev siv tshuaj ntsuam xyuas Elastography tuaj yeem siv los hloov lub siab kuaj mob rau daim siab, kuaj ntxiv uas muaj feem cuam tshem tawm ib qho nqaij daim siab rau kev sim.

Lwm lub npe: daim siab elastography, hloov pauv ntawm elastography, Fibroscan, MR elastography

Nws siv rau dab tsi?

Tus elastography tau siv rau kev kuaj mob daim siab ua rog (FLD) thiab fibrosis. FLD yog ib qho mob uas kev hloov lub siab ua haujlwm yog hloov los ntawm rog. Cov rog no tuaj yeem ua rau lub cell tuag thiab mob caj dab.

Vim li cas kuv thiaj xav tau elastography?

Coob leej neeg mob fibrosis tsis muaj cov tsos mob. Tab sis yog tsis kho, fibrosis yuav mob caws pliav thiab thaum kawg tig mus ua mob qog ntshav.

Kab mob cirrhosis yog ib lo lus siv los piav txog kev ua pob txuv ntau heev hauv lub siab. Kab mob txhav feem ntau tshwm sim los ntawm kev haus cawv lossis kab mob siab. Nyob rau hauv cov mob hnyav, mob hlab ntshaws tuaj yeem yog txoj sia taus. Cov mob cirrhosis ua rau cov tsos mob. Yog li koj yuav xav tau qhov kev kuaj mob no yog tias koj muaj tsos mob rau mob hlab ntshaws lossis lwm yam kab mob siab.

Cov tsos mob ntawm tus mob cirrhosis thiab lwm tus kab mob siab kuj zoo ib yam thiab tej zaum yuav suav nrog:

• Yis tawv nqaij. Qhov no paub tias mob daj.
• Nkees
• Khaus
• Bruising tau yooj yim
• Hnyav ntswg
• O o hauv ceg
• Lub cev yuag
• Tsis meej pem

Yuav ua li cas thaum lub sij hawm elastography?

Thaum lub caij hluav taws xob (Fibroscan) elastography:

• Koj yuav pw saum lub rooj tshuaj ntsuam ntawm koj sab nraub qaum, nrog koj lub ntsej muag raug mob hauv plab.
• Tus kws tshaj lij hluav taws xob yuav nthuav dav gel rau koj cov tawv nqaij ntawm thaj chaw.
• Nws yuav tso cov khoom siv zoo li wand, hu ua tus hloov pauv, ntawm thaj chaw ntawm daim tawv nqaij uas npog koj lub siab.
• Kev sojntsuam yuav xa tawm hauv lub suab tsis muaj zog. Cov nthwv dej yuav taug kev mus rau koj lub siab thiab rov qab los. Cov vuag muaj ntau heev, koj tsis tuaj yeem hnov ​​lawv.
• Tej zaum koj yuav hnov ​​lub flick maj thaum ua tiav no, tab sis nws yuav tsum tsis raug mob.
• Lub suab nrov nrov tau sau cia, ntsuas, thiab tso tawm kom pom ntawm cov ntsuas.
• Qhov ntsuas qhia pom theem ntawm cov neeg tawv ncauj hauv lub siab.
• Cov txheej txheem tsuas siv sijhawm li tsib feeb, tab sis koj kev teem caij tag nrho yuav siv sijhawm li ib nrab teev lossis siv sijhawm.

MRE (sib nqus resonance elastography) yog ua nrog tib lub tshuab thiab muaj ntau cov kauj ruam ib yam li ib txwm kuaj MRI (kev sib nqus resonance imaging). Thaum tus txheej txheem MRE:

• Koj yuav tau pw saum lub rooj nqaim.
• Tus kws tshaj xo hluav taws xob yuav tso ntawv me me tso rau ntawm koj lub plab. Daim ntawv yuav tso tawm deeg uas kis tau los ntawm koj lub siab.
• Lub rooj yuav swb rau hauv MRI scanner, uas yog lub tshuab ua pa uas muaj lub nplhaib. Koj yuav raug muab pob ntseg pob ntseg lossis lub mloog pob ntseg ua ntej qhov kev kuaj mob los pab thaiv cov suab nrov ntawm lub scanner, uas yog suab nrov.
• Thaum nyob sab hauv lub ntsuas phoo, lub ntsuas phoo yuav qhib thiab xa cov kev ntsuas ntawm deeg los ntawm koj lub siab. Cov kev ntsuas yuav raug kaw rau hauv lub khoos phis tawm thiab tig mus rau hauv daim duab qhia uas pom tias lub siab ntawm koj lub siab.
• Qhov kuaj yuav siv li 30 mus rau 60 feeb.

Kuv puas yuav tau ua ib yam dab tsi txhawm rau npaj rau qhov kev xeem?

Koj tsis tas yuav muaj kev npaj tshwj xeeb rau kev ntsuas elastography. Yog tias koj muaj MRE, nco ntsoov tshem tag nrho cov hlau hniav nyiaj hniav kub thiab cov khoom ntxiv ua ntej sim.

Puas muaj kev pheej hmoo rau kev kuaj?

Tsis muaj qhov paub tias yuav ua kom muaj ultrasound elastography. Nws muaj feem me me uas yuav muaj MRE rau cov neeg feem coob. Qee tus neeg yuav hnov ​​mob siab lossis txhawm rau hauv lub scanner. Yog koj xav li no, koj yuav tau muab tshuaj ua ntej qhov kev kuaj ntawd kom pab koj so.

Cov txiaj ntsig li cas?

Ob hom elastography ntsuas qhov nruj ntawm lub siab. Lub siab ua lub siab, ntau cov leeg koj muaj. Koj cov txiaj ntsig yuav tshwm sim los ntawm tsis muaj qhov caws pliav mus rau mob ib nyuag, ib nrab lossis qib siab daim siab. Advanced caws pliav yog lub npe hu ua cirrhosis. Koj tus kws kho mob yuav yuam kom kuaj ntxiv, suav nrog kev kuaj ntshav ua lub siab lossis kuaj daim siab ua kom lub siab puas paub tseeb.

Yog tias koj kuaj pom tias muaj mob me me mus rau mob fibrosis, koj tuaj yeem ua cov kauj ruam los mus txwv qhov tawv nqaij ntxiv thiab qee zaum tseem txhim kho koj tus mob. Cov theem no muaj xws li:

• Tsis haus dej haus cawv
• Tsis txhob haus cov tshuaj txhaum cai
• Noj zaub mov zoo
• Nce kev tawm dag zog
• Noj tshuaj. Muaj tshuaj kho mob uas siv los kho qee hom mob siab.

Yog tias koj tos ntev rau kev kho, ntau thiab ntau qhov caws pliav yuav tsim tau hauv koj lub siab. Qhov no tuaj yeem ua tus kab mob siab ntsws. Qee zaum, tsuas yog kho cov kab mob siab kawg nkaus xwb yog kev hloov lub siab.

Yog koj muaj lus nug txog koj cov txiaj ntsig, nrog koj tus kws kho mob tham.

Puas muaj lwm yam ntxiv uas kuv xav paub txog elastography?

Kev kuaj MRE yuav tsis yog qhov kev xaiv zoo rau cov neeg uas muaj cov khoom siv hlau txuas rau hauv lawv lub cev. Cov no suav nrog cov tshuab ua pa nrawm, lub plawv dhia, thiab txoj kev lis ntshav. Cov hlau nplaum hauv MRI tuaj yeem cuam tshuam rau kev ua haujlwm ntawm cov khoom siv no, thiab qee qhov xwm txheej, nws yuav muaj xwm txheej. Hniav zawm hniav thiab qee hom kev zas tawv tawv uas muaj hlau kuj tseem ua teeb meem thaum txheej txheem.

Qhov kev sim no kuj tsis pom zoo rau cov poj niam cev xeeb tub lossis xav tias lawv tuaj yeem cev xeeb tub. Kuj tsis paub meej tias thaj teb sib nqus yuav muaj kev phom sij rau cov menyuam hauv plab.

Ua tim khawv

1. Miskas Foundation. [Is Taws Nem]. New York: Miskas daim siab Foundation; c2017. Kev kuaj mob rau tus kab mob siab C [hais tawm 2019 Jan 24]; [txog 4 ntxaij]. Muaj los ntawm: https://liverfoundation.org/for-patients/about-the-liver/diseases-of-the-liver/hees-c/diagnosing-hees-c/#who-should-get-tested-for- mob rau daim siab-c
2. Foucher J, Chanteloup E, Vergniol J, Castéra L, Qiv B, Adhoute X, Bertet J, Couzigou P, de Lédinghen, V. Kev kuaj mob ntawm tus mob khaub thuas hloov chaw elastography (FibroScan): kev kawm yav tom ntej. Lub plab [Internet]. 2006 Mar [raug suav 2019 Jan 24]; 55 (3): 403–408. Muaj los ntawm: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC1856085
3. Huron Gastro [Internet]. Ypsilanti (MI): Huron Gastroenterology; c2015. Fibroscan (Mob Nqaij Mob Hlav) [raug tshem tawm 2019 Jan 24]; [txog 5 ntxaij]. Muaj los ntawm: https://www.hurongastro.com/fibroscan-liver-elastrography
4. Mayo Clinic [Internet]. Mayo Foundation for Medical Education thiab Tshawb Fawb; c1998–2019. Kab mob siab C: Kev kuaj mob thiab kho mob; 2018 Mar 6 [qhia tawm 2019 Jan 24]; [txog 4 ntxaij]. Muaj los ntawm: https://www.mayoclinic.org/diseases-conditions/heem-c/diagnosis-tau-/drc-20354284
5. Mayo Clinic [Internet]. Mayo Foundation for Medical Education thiab Tshawb Fawb; c1998–2019. Kab mob siab C: Cov tsos mob thiab ua rau; 2018 Mar 6 [qhia tawm 2019 Jan 24]; [txog 3 ntxaij]. Muaj los ntawm: https://www.mayoclinic.org/diseases-conditions/hees-cus-c/suab mob-causes/syc-20354278
6. Mayo Clinic [Internet]. Mayo Foundation for Medical Education thiab Tshawb Fawb; c1998–2019. Magnetic resonance elastography: Txheej txheem cej luam; 2018 Lub Tsib Hlis 17 [hais tawm 2019 Jan 24]; [txog 3 ntxaij]. Muaj los ntawm: https://www.mayoclinic.org/tests-procedures/magnetic-resonance-elastography/about/pac-20385177
7. Memorial Sloan Kettering Cancer Center [Internet]. New York: Memorial Sloan Kettering Cancer Center; c2019. Nkag siab Koj Fibroscan Tshawb Tau [kho tshiab 2018 Feb 27; raug nplua 2019 Jan 24]; [txog 4 ntxaij]. Muaj los ntawm: https://www.mskcc.org/cancer-care/patient-education/understanding-your-fibroscan-results
8. Merck Los Ntawm Cov Neeg Siv Khoom Siv [Internet]. Kenilworth (NJ): Merck & Co., Inc .; c2019. Cirrhosis ntawm daim siab [raug tshem tawm 2019 Jan 24]; [txog 2 ntxaij]. Muaj los ntawm: https://www.merckmanuals.com/home/liver-and-gallbladder-disorders/fibrosis-and-cirrhosis-of-the-liver/cirrhosis-of-the-liver
9. Merck Los Ntawm Cov Neeg Siv Khoom Siv [Internet]. Kenilworth (NJ): Merck & Co., Inc .; c2019. Fibrosis ntawm daim siab [raug tshem tawm 2019 Jan 24]; [txog 2 ntxaij]. Muaj los ntawm: https://www.merckmanuals.com/home/liver-and-gallbladder-disorders/fibrosis-and-cirrhosis-of-the-liver/fibrosis-of-the-liver
10. Michigan Cov Tshuaj: University of Michigan [Internet]. Ann Arbor (MI): Regents ntawm University of Michigan; c1995–2019. Daim Siab Mob Hlwb Mob Tawm [hais tawm 2019 Jan 24]; [txog 5 ntxaij]. Muaj los ntawm: https://www.uofmhealth.org/conditions-treatments/digestive-and-liver-health/liver-elastography
11. NorthShore University Health System [Is Taws Nem]. NorthShore University Kev Noj Qab Haus Huv; c2019. Nplooj Siab Fibroscan [hais tawm 2019 Jan 24]; [txog 3 ntxaij]. Muaj los ntawm: https://www.northshore.org/gastroenterology/procedures/fibroscan
12. Cov Xov Xwm Hluav Taws Xob (Internet). Radiological Society ntawm North America, Inc .; c2019. Cirrhosis ntawm daim siab [raug tshem tawm 2019 Jan 24]; [txog 3 ntxaij]. Muaj los ntawm: https://www.radiologyinfo.org/en/info.cfm?pg=cirrhosisliver
13. Cov Xov Xwm Hluav Taws Xob (Internet). Radiological Society ntawm North America, Inc .; c2019. Cov Kab Mob Rog Rog thiab Kab Mob Rog Fibrosis [raug tshem tawm 2019 Jan 24]; [txog 3 ntxaij]. Muaj los ntawm: https://www.radiologyinfo.org/en/info.cfm?pg=fatty-liver-disease
14. University of Rochester Medical Center [Internet]. Rochester (NY): Tsev kawm qib siab Rochester Medical Center; c2019. Txoj Kev Noj Qab Nyob Zoo: Cov Mob Kab Mob Hlav / Kab Mob Hlwb Zoo [Suav 2019 Jan 24]; [txog 2 ntxaij]. Muaj los ntawm: https://www.urmc.rochester.edu/encyclopedia/content.aspx?ContentTypeID=85&ContentID=P00662
15. Kev Noj Qab Haus Huv UF: University of Florida Health [Is Taws Nem]. Gainesville (FL): University of Florida; c2019. MRI: Cov ntsiab lus tawm [tshiab 2019 Jan 24; raug nplua 2019 Jan 24]; [txog 2 ntxaij]. Muaj los ntawm: https://ufhealth.org/mri
16. Kev Noj Qab Haus Huv UF: University of Florida Health [Is Taws Nem]. Gainesville (FL): University of Florida; c2019. Ultrasound: Txheej txheem cej luam [hloov kho 2019 Jan 24; raug nplua 2019 Jan 24]; [txog 2 ntxaij]. Muaj los ntawm: https://ufhealth.org/ultrasound
17. UW Kev Noj Qab Haus Huv [Is Taws Nem]. Madison (WI): University of Wisconsin Cov Tsev Kho Mob thiab Chaw Kho Mob; c2019. Kab mob ntsws: Cov tsos mob [kho tshiab 2018 Mar 28; raug nplua 2019 Jan 24]; [txog 4 ntxaij]. Muaj los ntawm: https://www.uwhealth.org/health/topic/mini/cirrhosis/aa67653.html#aa67668
18. UW Kev Noj Qab Haus Huv [Is Taws Nem]. Madison (WI): University of Wisconsin Cov Tsev Kho Mob thiab Chaw Kho Mob; c2019. Magnetic Resonance Imaging (MRI): Nws Ua Li Cas [kho dua 2018 Jun 26; raug nplua 2019 Jan 24]; [txog 5 ntxaij]. Muaj los ntawm: https://www.uwhealth.org/health/topic/medicaltest/magnetic-resonance-imaging-mri/hw214278.html#hw214314
19. UW Kev Noj Qab Haus Huv [Is Taws Nem]. Madison (WI): University of Wisconsin Cov Tsev Kho Mob thiab Chaw Kho Mob; c2019. Magnetic Resonance Imaging (MRI): Yuav Npaj Li Cas [kho tshiab 2018 Jun 26; raug nplua 2019 Jan 24]; [txog 4 ntxaij]. Muaj los ntawm: https://www.uwhealth.org/health/topic/medicaltest/magnetic-resonance-imaging-mri/hw214278.html#hw214310
20. UW Kev Noj Qab Haus Huv [Is Taws Nem]. Madison (WI): University of Wisconsin Cov Tsev Kho Mob thiab Chaw Kho Mob; c2019. Magnetic Resonance Imaging (MRI): Kev Ntsuam Xyuas Cov Ntsiab Lus [kho tshiab 2018 Jun 26; raug nplua 2019 Jan 24]; [txog 2 ntxaij]. Muaj los ntawm: https://www.uwhealth.org/health/topic/medicaltest/magnetic-resonance-imaging-mri/hw214278.html

Cov ntaub ntawv ntawm lub xaib no yuav tsum tsis txhob siv los hloov chaw kho mob lossis tswv yim kho mob. Hu rau kws kho mob yog tias koj muaj lus nug txog koj txoj kev noj qab haus huv.