Chii chinonzi Magnetic Resonance Elastography? Chinangwa, Miviri/Maitiro & Mhedzisiro

Magnetic resonance elastography (MRE) imuedzo wekufananidza wakakosha unoyera kuti nhengo dzako dzakasimba sei kana kuti dzakapfava sei, kunyanya chiropa chako. Funga nezvazvo semukana wakapfava we "kunzwa" nhengo dzako kubva kunze, zvakafanana nemaitiro angaita chiremba pakudzvanya dumbu rako panguva yekuongorora muviri, asi zvakanyatsojeka uye zvakadzama.

Muedzo uyu usina kupinda unobatanidza kujairika kweMRI imaging nemafungu eruzha kuti agadzire mapi akadzama ekuoma kwetishu. Ruzivo runobatsira vanachiremba kuona mavanga, kuzvimba, kana dzimwe shanduko munhengo dzako dzingasaratidza pamiedzo yakajairika yekufananidza.

Chii chinonzi Magnetic Resonance Elastography?

MRE inzira yekufananidza yepamberi inoshandisa minda yemagineti nemafungu eruzha kuyera elasticity yetishu. Muedzo unoshanda nekutumira vibration dzakapfava kuburikidza nemuviri wako paunenge uri mukati memuchina weMRI, wobva watora kuti mafungu aya anofamba sei kuburikidza nenhengo dzako.

Kana matishu ari hutano, anowanzo kuva akapfava uye anochinjika. Zvisinei, kana mavanga kana fibrosis achikura, matishu anova akaoma uye asina elastic. MRE inogona kuona shanduko idzi kunyange mumatanho ekutanga, kazhinji miedzo isati yaratidza kusagadzikana.

Muedzo uyu unowanzo shandiswa kuongorora hutano hwechiropa, asi unogona zvakare kuongorora dzimwe nhengo dzakaita seuropi, moyo, itsvo, uye tsandanyama. Izvi zvinoita kuti ive chishandiso chinokosha chekuongorora mamiriro akasiyana-siyana pasina kudiwa kwemaitiro anopinda.

Nei Magnetic Resonance Elastography ichiitwa?

Chiremba wako angakurudzira MRE kuti aongorore kuoma kwenhengo uye aone kufambira mberi kwechirwere. Muedzo uyu unonyanya kubatsira pakuongorora mamiriro echiropa, sezvo ichigona kuziva mavanga (fibrosis) anobva kuzvirwere zvakasiyana-siyana zvechiropa.

Zvikonzero zvinowanzoitika zveMRE zvinosanganisira kuongorora mamiriro echirwere chechiropa chakaita sehepatitis, chirwere chechiropa chine mafuta, kana cirrhosis. Zvinobatsira vanachiremba kuziva kuti kuparara kwakawanda kwakaitika uye kana kurapwa kuri kushanda zvakanaka.

Kunze kwekuongorora chiropa, MRE inogona kubatsira kuongorora mamiriro ehuropi, matambudziko emoyo, uye zvirwere zvemuviri. Heano mamiriro makuru ayo MRE inopa ruzivo rwakakosha:

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• Chronic hepatitis B kana C
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• Non-alcoholic fatty liver disease (NAFLD)
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• Alcoholic liver disease
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• Primary biliary cholangitis
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• Autoimmune hepatitis
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• Tumors yehuropi kana mamiriro ekuvhiya
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• Heart muscle stiffness
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• Kidney fibrosis
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• Muscle disorders
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Mune zvimwe zviitiko, vanachiremba vanoshandisa MRE kuti vatarise mhinduro yekurapa kana kuronga maitiro ekuvhiya. Muedzo uyu unogonawo kubatsira kudzivirira maitiro anopinda zvakanyanya sekuongororwa kwechiropa mune dzimwe nguva.

Ndeipi nzira yeMagnetic Resonance Elastography?

Maitiro eMRE akafanana neMRI scan yenguva dzose ine musiyano mumwe chete: mudziyo wakakosha unogadzira vibration dzakapfava panguva yekufungidzira. Iwe uchavata patafura inotsvedza muchina weMRI, uye maitiro ese anowanzo tora maminitsi makumi mana nemashanu kusvika kumakumi matanhatu.

Muedzo usati watanga, nyanzvi yezvekurapa ichaisa padiki, yakapfava inonzi

1. Uchachinja kupinda nguo yechipatara uye kubvisa chero zvinhu zvesimbi
2. Nyanzvi yezve tekinoroji inokuisa patafura yeMRI
3. Padhi rekutyaira rinopfuura rinomiswa pamuviri wako
4. Uchagamuchira maearplugs kana mahedhifoni kuderedza ruzha
5. Tafura inotsvedza muchina weMRI
6. Kudedera kwakapfava kunotanga apo mifananidzo inotorwa
7. Uchada kubata mweya wako kwenguva pfupi (10-20 masekonzi)
8. Maitiro ese anopedzwa mumaminitsi angangoita 45-60

Munguva yese yemaitiro, unogona kukurukura nenyanzvi yezve tekinoroji kuburikidza nehurongwa hweintercom. Kana iwe ukasanzwa wakasununguka chero nguva, unogona kukumbira kumira kana kutora zororo.

Maitiro ekugadzirira yako Magnetic Resonance Elastography?

Kugadzirira MRE kwakananga uye kwakafanana nekugadzirira MRI yenguva dzose. Uchada kudzivisa kudya kwemaawa 4-6 usati waita bvunzo kana uri kuita mufananidzo wechiropa, sezvo izvi zvinobatsira kupa mifananidzo yakajeka.

Kugadzirira kwakakosha kunosanganisira kutarisa chero zvinhu zvesimbi mumuviri wako. Sezvo MRE inoshandisa magineti ane simba, simbi dzakasiyana dzinogona kuva nenjodzi kana kukanganisa mhedzisiro yebvunzo.

Usati wagadzwa, ita shuwa yekuzivisa timu yako yehutano nezve chero izvi zvinhu:

• Pacemakers kana defibrillators
• Cochlear implants
• Metal joint replacements
• Surgical clips kana staples
• Intrauterine devices (IUDs)
• Tattoos ine metallic inki
• Permanent makeup
• Body piercings

Pazuva rekuedzwa kwako, pfeka mbatya dzakanaka, dzakasununguka dzisina zvisungo zvesimbi. Unogona kuchinja kupinda nguo yechipatara, asi mbatya dzakanaka dzinoita kuti chiitiko chive chinonakidza.

Kana iwe uine claustrophobia kana kushushikana nezve nzvimbo dzakavharika, taura nachiremba wako pachine nguva. Vanogona kunyora mushonga wakapfava wekukubatsira kuzorora panguva yemaitiro.

Maitiro ekuverenga mhedzisiro yako yeMagnetic Resonance Elastography?

Mhedzisiro yeMRE inoyerwa mumakilopascals (kPa), izvo zvinoratidza kuoma kwematishu. Matishu akajairika, ane hutano anowanzo yerwa pakati pe2-3 kPa, nepo matishu akaoma, ane mavanga anoratidza kukosha kwakakwira.

Chiremba wako achadudzira kuyerwa uku pamwe chete nenhoroondo yako yekurapa nemimwe mhedzisiro yekuedzwa. Zvikamu zvakatarwa zvinogona kusiyana zvichienderana nekuti ndeupi nhengo yakaongororwa uye nzira yekufungidzira yakashandiswa.

Yechiropa MRE, hezvino zvinoratidzwa nemakukosha akasiyana ekuoma:

• Chiropa chakajairika: 2.0-3.0 kPa
• Fibrosis yakapfava: 3.0-4.0 kPa
• Fibrosis yepakati: 4.0-5.0 kPa
• Fibrosis yakakomba: 5.0-6.0 kPa
• Cirrhosis: Pamusoro pe6.0 kPa

Zvakakosha kuyeuka kuti izvi zvinongova gwarawo zvaro, uye chiremba wako achafunga nezvemamiriro ako ega paanodudzira mhedzisiro. Zvimwe zvirwere zvinogona kukonzera kuoma kwenguva pfupi izvo zvisingarevi kukuvadzwa zvachose.

Mhedzisiro inosanganisirawo mifananidzo yakadzama inoratidza maitiro ekuoma mukati menhengo yakaongororwa. Ruzivo urwu rwemunzvimbo runobatsira madhokotera kuziva nzvimbo dzakatarwa dzekunetseka uye kuronga kurapwa kwakakodzera.

Ndeipi nhanho yakanakisa yeMagnetic Resonance Elastography?

Nhanho yakanakisa yeMRE inoenderana nhengo iri kuongororwa uye mamiriro ako ehutano ega. Yehutano hwechiropa, kukosha kwakaderera kwekuoma kunowanzo ratidza matishu ane hutano ane mavanga mashoma kana kuzvimba.

Kuverenga kwakajairika kwechiropa MRE kunowira pakati pe2.0-3.0 kPa, zvichiratidza matishu ane hutano, anochinjika. Kukosha kuri muchikamu ichi kunowanzo ratidza fibrosis shoma uye basa rakanaka rechiropa.

Zvisinei, zvinoonekwa zvakanaka zvinogona kusiyana zvichienderana nezera rako, mamiriro ari pasi, nezvimwe zvinhu. Vamwe vanhu vanowanzo kuva nekuoma kwakakwira zvishoma nekuda kwejenetikisi kana zvirwere zvakapfuura zvakagadziriswa.

Chiremba wako achasarudza chiyero chako zvichienderana nemamiriro ako chaiwo. Chinangwa chinowanzo kuva kuchengetedza kuverenga kwakagadzikana kana kuona kuvandudzika nekufamba kwenguva, panzvimbo pokuwana nhamba chaiyo.

Ndezvipi zvinhu zvine njodzi zvekuti mhedzisiro yeMagnetic Resonance Elastography isina kujairika?

Zvimwe zvinhu zvinogona kukonzera kuwedzera kwekuoma kwemuviri kunoonekwa neMRE. Kunzwisisa izvi zvinhu zvine njodzi kunobatsira kutsanangura kuti nei chiremba wako angakurudzira bvunzo iyi uye kuti mhedzisiro ingarevei.

Zvinhu zvine njodzi zvakanyanya zvine chekuita nemamiriro anokonzera kuzvimba kana mavanga mumuviri nekufamba kwenguva. Maitiro aya anoita kuti matishu aome zvishoma nezvishoma uye asanyanya kuchinjika.

Zvinowanzoitika zvinhu zvine njodzi zvinogona kutungamirira kumhedzisiro yeMRE isina kujairika zvinosanganisira:

• Chronic viral hepatitis (B kana C)
• Kunwa doro zvakanyanya
• Kufutisa uye metabolic syndrome
• Chirwere cheshuga
• Mazinga epamusoro echolesterol
• Mamiriro eAutoimmune
• Mishonga yakati wandei
• Zvirwere zvechiropa zvemajini
• Zvirwere zvemuviri zvakapfuura

Zera rinogonawo kuita basa, sezvo nhengo dzemuviri dzichingooma zvishoma nezvishoma nekufamba kwenguva. Zvisinei, kuoma kwakakura kunowanzo ratidza mamiriro ari pasi pezera pane kuchembera kwakajairika.

Mamwe mamiriro asingawanzoitiki anogonawo kukanganisa mhedzisiro yeMRE, kusanganisira chirwere chaWilson, hemochromatosis, uye alpha-1 antitrypsin kushomeka. Izvi zvirwere zvemajini zvinokonzera mhando dzakasiyana dzekukuvadzwa kwemuviri kunoratidza sekuwedzera kwekuoma.

Ndezvipi zvingaitika zvinetso zveMRE isina kujairika?

Mhedzisiro yeMRE isina kujairika pachayo haina kukonzera matambudziko, asi inogona kuratidza mamiriro ari pasi anogona kutungamirira kumatambudziko makuru ehutano kana akasiiwa asina kurapwa. Matambudziko acho anoenderana nekuti ndeupi muviri unoratidza kuwedzera kwekuoma uye chikonzero chiri pasi.

Kana paine zvisina kufamba zvakanaka zvine chekuita nechiropa, chinhu chikuru chinonetesa ndiko kuwedzera kuoma kwechiropa uye kutadza kushanda kwechiropa. Kana tishu yechiropa ikawedzera kuoma nekuda kwekukuvadzwa, haigoni kuita mabasa ayo akakosha nemazvo.

Zvingaitika kana chiropa chakaoma zvichionekwa neMRE zvinosanganisira:

• Portal hypertension (kuwedzera kweropa mumidzi yeropa rechiropa)
• Varices (midzi yeropa yakakura inogona kubuda ropa)
• Ascites (kuunganidzwa kwemvura mudumbu)
• Hepatic encephalopathy (kusashanda zvakanaka kwehuropi nekuda kwematambudziko echiropa)
• Kuwedzera njodzi yekenza yechiropa
• Kutadza kushanda zvachose kwechiropa kuchida kuchinjirwa

Muzvimwe zvikamu zvemuviri, kuoma kusinganzwisisike kunogona kukonzera matambudziko akasiyana. Kuoma kwetishu yehuropi kunogona kuratidza bundu kana zvirwere zvehuropi, nepo kuoma kwemhasuru yemoyo kunogona kukanganisa kushanda kwekupomba.

Mashoko akanaka ndewekuti kuongorora nekukurumidza kuburikidza neMRE kazhinji kunobvumira kupindira matambudziko aya asati atanga. Zvirwere zvakawanda zvinokonzera kuoma kwemuviri zvinogona kurapwa kana kutarisirwa zvakanaka kana zvawanikwa nekukurumidza.

Ndinofanira kuona chiremba rini kuti nditeverwe Magnetic Resonance Elastography?

Unofanira kuronga misangano yekutevera zvichienderana nemigumisiro yako yeMRE uye mazano echiremba wako. Nguva yacho inoenderana nekuti zvisina kufamba zvakanaka zvawanikwa here uye nekukurumidza sei mamiriro ako angawedzere.

Kana migumisiro yako yeMRE yakajairika, chiremba wako angakurudzira kudzokorora bvunzo mumakore 1-2, kunyanya kana uine njodzi yezvirwere zvemuviri. Kuongorora nguva dzose kunobatsira kubata shanduko nekukurumidza vasati vava vakakomba.

Kana paine migumisiro isina kujairika, ungangoda misangano yekutevera kakawanda. Chiremba wako achagadzira chirongwa chekutarisa zvichienderana nekukomba kwemamiriro ako uye nekukurumidza sei kwaanogona kuchinja.

Unofanira kubata chiremba wako nekukurumidza kana ukaona zviratidzo zvitsva, zvisinei nemigumisiro yako yeMRE:

• Kurwadziwa mudumbu kunoramba kuripo kana kuzvimba
• Kuneta kana kushaya simba kusingatsanangurike
• Kusvava kweganda kana maziso (jaundice)
• Weti yakasviba kana tsvina yakachenuruka
• Nyonganyonga kana kushaya chido chekudya
• Kukuvadzwa nyore kana kubuda ropa
• Kuvhiringika kana kuomerwa nekufunga

Usamirira kusvikira nguva yako yekutariswa inotevera kana uri kusangana nezviratidzo zvinonetesa. Kupindira nekukurumidza kunogona kuita mutsauko mukuru mumigumisiro yekurapa.

Mibvunzo inowanzo bvunzwa nezve Magnetic Resonance Elastography

Q.1 Ko bvunzo yeMRE yakanaka pakuona liver fibrosis here?

Hongu, MRE yakanakira kuona liver fibrosis uye inoonekwa seimwe yenzira dzisiri dzekupinda dzakarurama dziripo. Zvidzidzo zvinoratidza kuti MRE inogona kuona fibrosis ine kupfuura 90% kururama, zvichiita kuti ive yakavimbika kupfuura bvunzo dzeropa kana imaging yakajairika.

MRE inogona kuziva fibrosis mumatanho ayo ekutanga, kazhinji isati yaonekwa zviratidzo kana dzimwe bvunzo dzichiratidza kusanzwisisika. Iyi kuona nekukurumidza kunobvumira kurapwa nekukurumidza kunogona kunonotsa kana kutokurumidza kudzosa maitiro ekuvharika mune dzimwe nguva.

Q.2 Kuoma kwakanyanya kwechiropa kunogara kuchireva cirrhosis here?

Kwete, kuoma kwakanyanya kwechiropa hakugari kuchiratidza cirrhosis. Nepo kukosha kwakaoma kwakanyanya (pamusoro pe6.0 kPa) kazhinji kunoratidza kuvharika kwepamberi, mamiriro akati wandei anogona kukonzera kuwedzera kwekuoma kwenguva pfupi kana kunodzokera shure.

Kuvhiringidzika kwakanyanya kubva kuhepatitis, kukundikana kwemoyo, kana kunyange kudya usati waita bvunzo kunogona kuwedzera kuoma kwechiropa kwenguva pfupi. Chiremba wako achafunga nezve mufananidzo wako wekurapa wakakwana, kwete nhamba dzeMRE chete, pakuita chiyero.

Q.3 Ndingaita bvunzo yeMRE kakawanda sei?

Kuwanda kwekudzokorora bvunzo yeMRE kunoenderana nemigumisiro yako yekutanga uye mamiriro ari pasi. Kana mhedzisiro yako yakajairika uye usina njodzi, kuyedzwa muna 2-3 years kunogona kukwana.

Kune vanhu vane zvirwere zvechiropa zvisingaperi kana mhedzisiro isina kujairika, vanachiremba vanowanzo kuraira MRE mwedzi 6-12 yega yega kuti vatarise kufambira mberi kwechirwere uye kushanda zvakanaka kwemishonga. Chiremba wako achagadzira chirongwa chekutarisa chakagadzirirwa iwe zvichienderana nemamiriro ako chaiwo.

Q.4 MRE inogona kutsiva biopsy yechiropa here?

Muzviitiko zvakawanda, MRE inogona kupa ruzivo rwakafanana nebiopsy yechiropa pasina njodzi uye kusagadzikana kwekuvhiya. Zvisinei, biopsy ichiri dzimwe nguva inodiwa kuti iwanikwe chirwere chacho, kunyanya kana chikonzero chechirwere chechiropa chisina kujeka.

MRE inoshanda zvakanaka pakuyera fibrosis uye kutarisisa shanduko nekufamba kwenguva, asi biopsy inogona kupa rumwe ruzivo nezve maitiro ekuputika uye mhando dzechirwere. Chiremba wako achasarudza kuti ndeipi bvunzo yakakodzera mamiriro ako.

Q.5 Pane zvimwe zvinokonzeresa kubva kuMRE here?

MRE yakachengeteka zvikuru uye haina mhedzisiro inozivikanwa kune vanhu vazhinji. Kudedera kunoshandiswa panguva yebvunzo kwakapfava uye hakuna kurwadza, kufanana nekumasa zvinyoro nyoro. Minda yemagineti yakasimba seiyo yeMRI scans dzenguva dzose.

Vamwe vanhu vanganzwa kusagadzikana zvishoma nekurara vakanyarara kwemaminitsi 45-60 kana kuona claustrophobia mumuchina weMRI. Izvi hazvisi mhedzisiro yebvunzo pachayo, asi mhinduro dzakajairika kumamiriro ekuedzwa anogona kubatwa nekugadzirira kwakakodzera.