Fibroskanirovanie beerka - casri ah, hab neinvaziny cilmi beerka

beerka waxaa loo yaqaan in ay shaybaarka ugu waaweyn ee jirka oo ay gobolka ku xiran tahay dhererka iyo tayada nolosha. keydka Alcohol, daroogada, dawooyinka been abuurka ah, cuntada oo liita, cunto degdeg ah iyo sababo kale imperceptibly, si tartiib tartiib ah aad bay u waxyeelada u leh caafimaadka, saameeya jidhka.

Bararka beerka waxaa loo yaqaan hepatitis. Ujeedada ugu weyn ee daaweynta waa in lagula dagaallamo hepatitis koror tartiib ah unugyada astaantii (cystic) ee beerka. Haddii nabar noocan oo kale ah aan la daawayn, isbedel karin in beerka - cirrhosis kuwaas oo mararka qaarkood keenta in la dilaa. Nasiib darro, formation of cirrhosis waa hufan, si qof kasta, dad caafimaad qaba, kadib markii 35 sano, waxaa lagu talinayaa waqti ka waqti in la sameeyo baadhitaan ah oo ay beerka.

Illaa dhowaan, sida kaliya si ay u qiimeeyaan xaaladda xinjirta beerka ka ahaa in ka dhigtay in ay suurto gal si loo ogaado heerka barar iyo fibrosis xubin. farsamo cusub - elastography beerka - waa non-invasive iyo jirka cilmi ammaan gebi ahaanba la isticmaalayo qalab ah ee wax soo saarka Faransiis "Fibroscan". Fibroskanirovanie beerka ogolaanaya macno 5-10 daqiiqadood si loo ogaado heerka uu dhaawaca ku barti fibrosis of unugyada iyada. Qiyaasaha in la qabtaa isku mar in daraasiin ka mid ah dhibco la oggol yahay si ay u falanqeeyaan xaaladda dhismeedka beerka, si ay u qiimeeyaan indices ay functional iyo morphological ee cudurada kala duwan.

In a biopsy, waxaa jira qaar ka mid ah xadeyn ku saabsan codsiga, sida bukaanka maskax ahaan raaxo, xanuun daaweynta iyo suurtagalnimada of yar oo qaybta ka mid ah sahanka oo ka mid ah beerka nudaha, kaas oo aan had iyo jeer ka tarjumaya dhabta ah sawir oo ka mid ah gobolka oo ka mid ah jidhka sida a oo dhan. Elastometry awood degdeg ah oo raaxo leh qofka bukaanka ah si ay ujeeddo loo ogaado heerka uu fibrosis iyo, sidaas awgeed, wakhtiga si ay u bilaabaan therapy fayruska.

Fibroskanirovanie beerka daacad ah u qasac la barbar dhigi la caadiga ultrasonography (US). Diyaarinta ee nidaamka looma baahna raaxo waxa sababa. Daraasad fuliyay in booska la jiifo la caloosha iyo xabadka qaawan hoose.

Iskaanka beerka - hab ka mid ah ammaan, atraumatic, waxaa loo isticmaalaa in cudurrada carruuta, oo uusan u baahdaan in isbitaal ee bukaanka. Habka loo soo celin karaa dhawr jeer, taas oo ah mid aad u muhiim ah marka la socodka waxtarka daawada inta lagu guda jiro kormeerka kiliinikada. Baadhitaanka ayaa keenta bukaan isla markiiba ka heli kartaa ka dib wada tashiga.

Fibroskanirovanie beerka ku talinaynaa qaybaha soo socda ka mid ah dadka:

• bukaan qaba dhaawacyo ka soo hepatitis chronic - hepatitis B iyo hepatitis C,

• bukaanka qaba cirrhosis,

• dadka la qorsheeyey in therapy fayruska (si ay u qiimeeyaan heerka uu fibrosis daaweynta ka hor, inta lagu guda jiro habka daaweynta iyo wixii ka dambeeya);

• bukaan qaba sabab u maleeyaan in ay leeyihiin chronic cudurka beerka ,

• dadka cayilan cabanaya cudurrada bararka non-chronic ee dabiiciga ah beerka iyo aflagaadeeyay khamriga.

Muhiimsan, baaritaanka caadiga ah (ALT, AST) iyo ultrasound mar walba ma muujiyaan darnaanta dhabta ah ee fibrosis. Marar badan, heerka caadiga ah waxaa laga helaa oo Heer sare ah ee cudurka fibrosis. Xaaladaha noocan oo kale ah waxay keeni kartaa in ay go'aamo qaldan, ie baxsi ah ee daaweynta, taasoo ugu dambaynta waxay keeni doontaa in formation of cirrhosis.

Sidoo kale muhiim ah waa arrin ah in fibroskanirovanie beerka - habka ka raqiisan yahay biopsy ah, waxaa aad u dhakhso badan oo aan raaxo, iyo natiijooyinka wargelin dhigma la data biopsy ah.