When you, unfortunately, get sick and go to a hospital, it is routine to be examined by the doctor. He or she may request some extra investigations – some of those may be painful as they involve pricking the skin. Other examinations may not be as painful and are more readily accepted by patients.

The “gold standard” of diagnosing chronic liver diseases has been through a core biopsy. This is an invasive procedure where the doctor pricks your liver through the skin and gets a little tissue which is then taken to the laboratory for assessment. After a few days, the results are availed.

There is a new non-invasive method that combines the power of ultrasound and mechanical vibration on the skin – this is what is termed transient elastography. TE is very useful in the assessment of patients with chronic liver disease, including chronic hepatitis C, chronic hepatitis B, chronic alcohol abuse and fatty liver. Because of the prominence of the Fibroscan brand, many clinicians simply refer to transient elastography (TE) as “Fibroscan” – it is now available in Kenya for the first time and can be done at the MP Shah Hospital by an experienced Radiologist.

How does it differ from conventional ultrasound? You may already know that many mothers in their antenatal visit are also done an ultrasound examination to check on the baby in their womb. This is the conventional ultrasound. It is also used to asses other organs as the thyroid, breasts, muscle and the spleen among others. Fibroscan uses both ultrasound as well as mechanical vibration on the skin.

When a patient has chronic liver disease, the liver tends to become hard or stiff. This is because the underlying disease affecting the liver causes small scars to form in the whole organ. As the disease progresses this stiffening of the liver tissue increases.

By estimating the stiffness of the liver, we can then classify the seriousness of the liver condition of the patient. This will then allow the doctor to then formulate a plan for the management of the disease. You may be referred to a gastroenterologist (a doctor specialized in diseases affecting the digestive system) for further specialized care.

How is transient elastography (TE) examination done? Usually the patient comes to the imaging department when they have starved for at least 4 hours. Then while lying on the couch, the special probe with a small stubby end is placed against the body on the right side where the liver is located – the cross-sectional area of this probe is equivalent to a fingertip and can therefore be comfortably placed between the patient’s ribs. The patient will feel a sensation akin to a gentle tap on the skin. This is repeated at least 10 times to ensure that the estimation of the liver stiffness is valid, with at least a 60% success rate needed.

Why is liver stiffness measurement important? The end stage of chronic liver disease is cirrhosis and is irreversible. This means that most of the liver has been replaced by scar tissue – it shrinks in size and cannot do its normal function. Stopping further deterioration becomes urgent or else liver failure ensues – only a liver transplant from a donor can help the patient.

The liver is an amazing organ – it is the second largest organ in the body and the only one that has the capability to grow back if a section of it is cut, through a process called liver regeneration. It normally takes the nutrients absorbed from the intestine and coverts them to other useful substances. It also helps to detoxify chemicals that we ingest or are produced by our bodies. In fact, estimates regarding the organ’s total number of functions may be as high as 500.

If the doctor becomes concerned about the health of your liver and you are diagnosed early, it is of great benefit to you.

The whole FibroScan examination takes approximately 10 to 15 minutes. Not only does the FibroScan examination obviate pain, it takes a short time while saving you money. It costs almost 1/3 to 1/2 of the actual cost of a liver biopsy.

The FibroScan examination can be repeated later and can reliably tell us whether the stiffness of the liver has reduced (improvement), has remained the same or the stiffness has increased (worsening).

Are there shortcomings of this TE technique? Transient elastography does not directly measure fibrosis and hence, over-estimation of liver fibrosis may be observed for several reasons: active liver inflammation or tumour within the liver or heart failure. Therefore, liver stiffness readings need to be interpreted carefully, and with consideration to these likely scenarios. That is why at the imaging department, the Radiologist (a doctor who is specialised in diagnostic imaging) also assesses the liver with conventional ultrasound to check for these factors with consideration of the laboratory results the patient may have done to avoid these pitfalls. The commonest cause of failure of Fibroscan examination is seen in obese patients. We however employ other techniques to ensure that we acquire valid results for the benefit of the patient.

This groundbreaking technology is new here in Kenya and we at MP Shah are the first to use it. It has been used in other countries for over 10 years now with a lot of research supporting its reliability.

By Dr. James Thuku, Consultant Radiologist at the MP Shah Hospital

436 thoughts on “MP Shah Hospital Makes Detection of Liver Diseases Easy and Painless”
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  139. Vibracion mecanica
    Dispositivos de calibración: clave para el desempeño uniforme y efectivo de las máquinas.

    En el campo de la innovación moderna, donde la efectividad y la estabilidad del sistema son de alta importancia, los aparatos de balanceo tienen un tarea esencial. Estos sistemas específicos están concebidos para balancear y regular elementos giratorias, ya sea en herramientas productiva, vehículos de traslado o incluso en dispositivos hogareños.

    Para los expertos en conservación de equipos y los especialistas, operar con sistemas de calibración es importante para garantizar el operación estable y fiable de cualquier sistema giratorio. Gracias a estas alternativas innovadoras sofisticadas, es posible reducir sustancialmente las movimientos, el sonido y la carga sobre los cojinetes, extendiendo la longevidad de elementos caros.

    Igualmente relevante es el tarea que tienen los sistemas de balanceo en la asistencia al usuario. El apoyo experto y el mantenimiento regular empleando estos dispositivos posibilitan dar servicios de gran calidad, elevando la satisfacción de los usuarios.

    Para los responsables de empresas, la financiamiento en sistemas de balanceo y medidores puede ser fundamental para mejorar la productividad y desempeño de sus dispositivos. Esto es particularmente relevante para los dueños de negocios que administran pequeñas y medianas emprendimientos, donde cada detalle es relevante.

    Además, los equipos de equilibrado tienen una gran implementación en el área de la seguridad y el monitoreo de estándar. Habilitan identificar posibles problemas, previniendo intervenciones caras y averías a los equipos. Además, los resultados recopilados de estos equipos pueden utilizarse para perfeccionar métodos y incrementar la visibilidad en sistemas de consulta.

    Las zonas de utilización de los equipos de balanceo incluyen variadas industrias, desde la elaboración de bicicletas hasta el seguimiento del medio ambiente. No interesa si se considera de enormes producciones manufactureras o modestos talleres caseros, los equipos de calibración son esenciales para promover un operación efectivo y sin riesgo de fallos.

  140. Reparación de maquinaria agrícola
    Balanset-1A – Tu companero para el equilibrado rapido en el campo

    ?Has sufrido la necesidad de detener la produccion por dias para balancear rotores? Comprendemos tu frustracion. Por eso, hace ya algunos anos decidimos desarrollar una solucion que permitiera seguir trabajando evitando interrupciones. Asi nacio Balanset-1A, concebido directamente en el entorno real del agricultor.

    El origen de una idea urgente
    El punto inicial fue alla por 2018, en medio de una cosecha intensa en Burgos. Nuestro companero Javier, tecnico experimentado y apasionado del mundo rural, observo una y otra vez como los usuarios veian afectada su productividad por largos procesos de mantenimiento.

    Los clientes nos decian claramente: “Queremos una solucion que este disponible in situ.”

    Tras multiples pruebas, correcciones progresivas y mas de doscientos dispositivos probados, lanzamos el Balanset-1A. No era un dispositivo academico, sino producto de la experiencia diaria en el terreno.

    Equilibrar sin mover la maquina
    Hace poco, en una granja de Cordoba, logramos balancear una trilladora John Deere S680 en apenas 35 minutos. Antonio, su dueno, nos aseguro textualmente:
    “Con lo que deje de gastar en traslados y tiempos improductivos, la inversion se amortizo en dos temporadas.”

    Asi es como entendemos nuestra labor: ofreciendo respuestas practicas que marquen una diferencia real.

    ?Que ofrece?
    Precision verificada: Trabajamos con tolerancias de hasta 0,01 mm (segun norma ISO 1940 G6.3)
    Resistencia comprobada en condiciones reales: desde lluvias persistentes en Galicia hasta temperaturas extremas en Sevilla
    Muy baja incidencia de averias: los usuarios notan reducciones superiores al 70 % en problemas por vibraciones
    Casos que marcan la diferencia
    Durante la campana de maiz en 2022 en Lleida, ayudamos a evitar una interrupcion clave.

    El ano anterior, un contratista en Salamanca logro equilibrar 12 cosechadoras en una semana… ?sin moverlas del lugar donde operaban!

    Disenado para durar, pensado para ti
    No nos conformamos con lo basico. Incorporamos detalles que facilitan el trabajo en el dia a dia.

    Sensores magneticos extrafuertes aptos para superficies no uniformes
    Programa facil de usar con representaciones visuales del estado de vibracion
    Funcionamiento prolongado mediante bateria que resiste hasta 14 horas de trabajo
    Como afirma Maria, la coordinadora encargada del contacto directo:
    “No ofrecemos dispositivos llamativos. Proveemos eficiencia y seguridad en cada segundo.”

    ?Por que elegirnos?
    Ocho de cada diez clientes repiten al siguiente ciclo.
    Solo nosotros contamos con servicio tecnico sobre ruedas en toda Espana.
    Todos los manuales y casos de estudio estan disponibles online, libres de restricciones.
    Pruebalo por ti mismo
    Te damos la oportunidad de evaluar el Balanset-1A en tu propiedad sin coste alguno durante tres dias.

    Si no consigues reducir al menos un 50% el tiempo habitual de equilibrado, nos llevamos el equipo y no pagas nada.

    Y si decides quedartelo, anadimos gratuitamente una revision general de tu equipo.

    Porque creemos firmemente en lo que hacemos.
    Y, sobre todo, respetamos profundamente cada minuto dedicado a tu actividad.

  141. Vibración de motor
    ¡Vendemos dispositivos de equilibrado!
    Producimos nosotros mismos, construyendo en tres ubicaciones al mismo tiempo: Portugal, Argentina y España.
    ✨Contamos con maquinaria de excelente nivel y al ser fabricantes y no intermediarios, nuestro precio es inferior al de nuestros competidores.
    Disponemos de distribución global en cualquier lugar del planeta, consulte los detalles técnicos en nuestra plataforma digital.
    El equipo de equilibrio es portátil, liviano, lo que le permite ajustar cualquier elemento giratorio en diversos entornos laborales.

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