Ngokuphikisana nalokho okushiwo yigama layo, i- i-fibroscan akuyona i-fiberoptic, noma isithwebuli. Lesi isivivinyo esibandakanya ukulinganisa inani le- i-fibrosis yesibindi, Ngokuthola ubunzima be izicubu zesibindi. Inzuzo ukuthi awudingi ukungena ngaphakathi emzimbeni: i-fibroscan wukuhlolwa okungenabuhlungu futhi okungangenisi. I-fibroscan (empeleni igama lobuchwepheshe obunelungelo lobunikazi yinkampani yaseFrance, i-Echosens) ibizwa nangokuthi i-ultrasonic impulse elastometry.

Isibindi i-fibrosis ingumphumela wokuphindaphindeka izinkinga ezingapheli zesibindi : utshwala, i-hepatitis yegciwane, njll. Lokhu kuholela ekwakhekeni kwezicubu ezibomvu ezithatha indawo yamangqamuzana wesibindi alimele: lena yi-fibrosis. Iphazamisa ukwakheka kwesibindi kokubili ngokomzimba nangokwemisebenzi, futhi ukuqhubeka kwaso kungaholela ekuqhumeni kwesibindi (izicubu ezibomvu ezikhona kuso sonke isibindi).

Udokotela wenza i-fibroscan ukuhlola ubunzima be-fibrosis yesibindi. Ukuhlolwa kwenza futhi ukuthi kubhekwe ukuqhubeka kwayo.

Lokhu kuhlolwa kungasetshenziselwa:

• ukuqapha i-hepatitis ngaphansi kokwelashwa
• ukuqapha izinkinga ze i-cirrhosis
• thola izinkinga ngemuva ukufakelwa kwesibindi
• izici izimila zesibindi

Qaphela ukuthi ukuhlolwa kwe-hepatic fibrosis nakho kungenziwa ngu i-biopsy yesibindi (ukuthatha amaseli wesibindi) noma ukuhlolwa kwegazi, kepha lezi zivivinyo ziyahlasela, ngokungafani ne-fibroscan.

Inqubo ayinabuhlungu futhi ifana ne-ultrasound.  

I-fibroscan iqukethe ukusebenzisa i-i-elastometry (noma i-elastography) ukudlidlizela okulawulwayo: inqubo esetshenziselwa ukuhlola ukusabalala kwegagasi lokushaqeka esibindini nokukala ukuqina kwalo. Lapho igagasi lisakazeka ngokushesha, isibindi siqina ngokwengeziwe, ngakho-ke i-fibrosis iyanda.

Ukwenza lokhu, udokotela ubeka iphenyo phakathi kwezimbambo ebusweni besikhumba sesiguli ngenkathi elele ngemuva ngengalo yangakwesokudla ibekwe ngemuva kwekhanda. Uphenyo lwenza igagasi eliphansi lemvamisa (50 Hz) elidlula esibindini bese lithumela igagasi emuva kuphenyo. Umshini ubala ijubane namandla alo mqondo wokuhlola ukuqina kwesibindi.

Cishe kufanele kuthathwe izilinganiso eziyishumi ezifanele ngesikhathi sokuhlolwa.

Isivivinyo sithatha imizuzu emi-5 kuya kwengu-15 kuphela futhi umphumela uba khona manjalo.

Ukuqina kwesibindi kukalwa nge-kilopascal (kPa). Inani elitholakele lihambelana nemaphakathi lezilinganiso eziyi-10 nesibalo sisuka phakathi kuka-2,5 no-75 kPa.

Ngakho-ke, ngokuya ngomonakalo wesibindi, izikolo zokuqina ziyahlukahluka, i-fibrosis imakwe kakhulu noma incane futhi kuchazwa izigaba ezahlukahlukene:

• phakathi kuka-2,5 no-7, sikhuluma ngesigaba F0 noma i-F1: ukungabikho kwe-fibrosis noma i-fibrosis encane

• phakathi kuka-7 no-9,5, sikhuluma ngesigaba F2: i-fibrosis elinganiselayo

• phakathi kuka-9,5 no-14, sikhuluma ngesigaba F3: i-fibrosis enamandla

• ngale kwe-14, sikhuluma ngesigaba F4: izicubu ezibomvu zikhona kuso sonke isibindi, futhi i-cirrhosis ikhona

Ukuqedela ukuxilongwa kwakhe, udokotela anga-oda ezinye izivivinyo ezifana ne- i-biopsy yesibindi noma ukuhlaziywa kwegazi.