Momma yensua Cisternogram Scan ho ade: sɔhwɛ titiriw bi a ɛhwɛ nsu a ɛsen wɔ amemene no mu!

Hɛlo! Ɛnnɛ yɛrebɛka sɔhwɛ bi a ɛyɛ den kakra wɔ ne din mu, nanso ɛho hia paa ma yɛn amemene ne yɛn akyi berɛmo ho asɛm. Wɔfrɛ eyi Cisternogram Scan. Ebia oduruyɛfo bi aka eyi ho asɛm akyerɛ wo, anaasɛ woate ho asɛm wɔ baabi. Enti, momma yɛmfa nsɛm a ɛnyɛ den nhwɛ nea ɛyɛ, nea enti a wɔyɛ, ne sɛnea wɔyɛ? Mma ɛnhaw wo, mɛkyerɛkyerɛ mu wɔ ɔkwan a wobɛtumi ate aseɛ so.

Dɛn ne cisternogram?

Sɛ yɛbɛka no tiawa a, nsu soronko bi wɔ hɔ a ɛte sɛ nsu a ɛsen kɔ yɛn ti mu ne yɛn akyi berɛmo mu. Wɔfrɛ saa nsu yi wɔ aduruyɛ mu sɛ Cerebrospinal Fluid (CSF tiawa). Saa CSF nsu yi yɛ nnwuma pii a ɛho hia yiye ma yɛn nipadua.

Susuw ho saa kwan yi so:

• Saa `CSF` yi te sɛ obi a ɔde aduan ne anonne, kyerɛ sɛ, aduannuru, ba yɛn amemene ne yɛn akyi berɛmo mu.
• Saa `CSF` nsuo yi boa yɛn central nervous system (CNS) ma ɛyɛ adwuma yie.
• Saa ara nso na saa nsu yi nso boa ma wɔtew nneɛma ne awuduru a wɔmpɛ fi amemene ne akyi berɛmo mu ntini ahorow mu na woyi fi hɔ .
• Ade foforo a ɛho hia ne sɛ, te sɛ nneɛma a ɛma obi ho popo wɔ kar mu no, ɛyɛ adwuma sɛ ade a ɛma obi ho dwiriw no na ɛbɔ amemene no ho ban , na ɛtew hokwan a ɛwɔ hɔ sɛ biribi te sɛ akisikuru bɛba sɛ wɔbɔ yɛn amemene no wɔ baabi a.

Enti, wɔyɛ sɔhwɛ yi a wɔfrɛ no cisternogram de hwɛ sɛ ebia CSF nsu no sen yiye wɔ w’amemene mu ne w’akyi berɛmo no ho, sɛ ebia biribi asiw baabi, anaasɛ ebia nsu bi retu wɔ baabi anaa.

Eyi yɛ nokwarem no scan bi a wɔfrɛ no ``Nuclear Medicine Imaging''. Ɛno nti na ɛtɔ da bi a wɔfrɛ no ``Radionuclide Cisternogram.'' Nea ɛba wɔ eyi mu ne sɛ wɔde radioactive nneɛma kakraa bi pɛ gu w'akyi berɛmo mu. Mma ɛnhaw wo, ɛrempira wo kɛse, wɔde di dwuma wɔ dodow a ahobammɔ wom nkutoo mu . Ɛyɛ saa nneɛma yi nti na oduruyɛfo no tumi hu ɔkwan a ``CSF'' nsu no fa so pefee bere a wɔreyɛ scan no.

Bere bɛn na ɛho hia sɛ wɔyɛ saa scan yi?

Afei ebia wobɛdwene sɛ, "Okay, enti ɔhaw bɛn na obi a ɔwɔ saa tebea yi bɛnya cisternogram?" Mpɛn pii no, sɛ oduruyɛfo bi susuw sɛ CSF nsu retu w’amemene anaa w’akyi berɛmo mu (CSF leak) (a ɛkyerɛ sɛ nhyɛso a ɛwɔ w’amemene/akyi berɛmo so no so atew), anaasɛ saa CSF nsu yi aboaboa ano dodo, a ɛkyerɛ sɛ asiw ano (a ɛkyerɛ sɛ nhyɛso a ɛwɔ w’amemene/akyi berɛmo so no akɔ soro) a, ɛnde wɔkamfo scan yi kyerɛ.

Hwɛ sɛ wo nso wowɔ saa sɛnkyerɛnne ahorow yi anaa:

• So wote nka sɛ worehwere wo kari pɛ bere a wonam no?
• So wotaa te nka sɛ w’adwene tu fra ?
• Nea wontumi nsusuw hoSo wo ti yɛ wo yaw? Ebia wobɛte nka sɛ ɛyaw no mu yɛ den bere a wosɔre gyina hɔ no.
• So wote nka sɛ w'aso yɛ den kakra ? Anaasɛ wote biribi te sɛ nea ɛrebɔ w’aso?
• So wowɔ akisikuru ne ɔfe ?
• So wote nka sɛ wo kɔn mu yɛ wo yaw anaasɛ wo ho yɛ wo den?
• So wowɔ nkate wɔ hann a ano yɛ den anaa dede a ano yɛ den ho?
• So wote nka sɛ worehyia ɔhaw sɛ wubesusuw nneɛma ho yiye anaasɛ wode w’adwene besi biribi so ? So ɛte sɛ nea wo nkae asɛe kakra?

Sɛ wowɔ saa sɛnkyerɛnne ahorow yi mu biako anaa nea ɛboro saa a, wo duruyɛfo betumi asusuw ho sɛ ɔbɛyɛ cisternogram scan.

Mɛyɛ dɛn asiesie me ho ama eyi? Dɛn na ɛsɛ sɛ meka kyerɛ oduruyɛfo no?

Mpɛn pii no, biribiara nni hɔ a ɛsɛ sɛ wusiesie ma da a edi wo cisternogram scan no anim no. Nanso, ɛtɔ mmere bi a wo duruyɛfo bɛma wo akwankyerɛ titiriw bi a ɛfa nea wubedi ne nea ɛsɛ sɛ wonom ansa na wɔayɛ scan no ho (sɛ nhwɛso no, mmuadadi nnɔnhwerew kakraa bi). Ɛsɛ sɛ wodi eyinom akyi pɛpɛɛpɛ.

Nanso nea ɛho hia sen biara ne sɛ wobɛma obi de wo akɔ fie bere a wɔayɛ scan no awie no . Efisɛ ɛtɔ mmere bi a ebia wobɛte nka sɛ wo ho nyɛ wo dɛ kakra wɔ sɔhwɛ no akyi, te sɛ tiyɛ, enti ɛnyɛ papa sɛ wo nkutoo wobɛka kar.

Ade foforo nso ne sɛ, akyinnye biara nni ho sɛ ɛsɛ sɛ wo ne wo duruyɛfo kasa fa saa nneɛma yi ho, a womfa biribiara nsie :

• So woanya nnuru a ɛma wo ho yɛ wo hyew te sɛ nnuru a wɔde kum wo yare anaa nnuru a wɔde kum wo yare pɛn?
• Sɛ woanyinsɛn anaasɛ ebia woanyinsɛn a, akyinnye biara nni ho sɛ ɛsɛ sɛ woka kyerɛ wo duruyɛfo efisɛ nhwehwɛmu yi de aduru bi a ɛma anyinam ahoɔden di dwuma.
• Ka nnuru a worenom nyinaa ho asɛm kyerɛ wo duruyɛfo (ɛnyɛ nea wo duruyɛfo akyerɛw ama wo nkutoo, na mmom nnuru a wɔde kum ɛyaw, vitamin, nhabannuru, ne nnuru a wɔde ka aduan ho a wotɔ fi nnurutɔnbea nso). Ɛho hia titiriw sɛ woka kyerɛ wo duruyɛfo sɛ worenom nnuru a ɛma mogya yɛ mmerɛw te sɛ aspirin anaa warfarin a. Nnuru bi betumi ama asiane a ɛwɔ hɔ sɛ mogya bɛtɔ wo no ayɛ kɛse. Sɛ eyi ba a, ebia wo duruyɛfo bɛka akyerɛ wo sɛ gyae nom nna kakraa bi ansa na wɔayɛ scan no.

Ɔkwan bɛn so na wɔyɛ saa cisternogram scan yi? Momma yɛnhwɛ mu nkɔ akyiri kakra.

Okay, afei momma yɛnhwɛ sɛnea yɛbɛyɛ sɔhwɛ yi. Mma ɛnhaw wo, mɛkyerɛkyerɛ mu tiawa. Wɔde anammɔn kakraa bi na ɛyɛ.

Anamɔn a Edi Kan: Ɛte sɛ nea worenom nsu afi w’akyi - ɛno ne nea akyi berɛmo a wɔtow gu.

Adeɛ a ɛdi kan a ɛsɛ sɛ woyɛ ne `Spinal Tap`. Yɛsan frɛ no `Lumbar Puncture`. Nnipa binom nso frɛ eyi ``nsu a wogye fi akyi berɛmo mu.`` Nanso ha, wɔmfa nsu, wɔde saa nsu titiriw no gu mu kɛkɛ.

Eyi ne nea ɛba:

• Nea edi kan no, wɔbɛhohoro w’akyi ase, baabi a wɔde ade no bɛhyɛ mu no yiye na wɔde aduru bi a ɛma obi dwensɔ bɛhyɛ w’akyi . Eyi remma worente ɛyaw biara. Ebia wɔbɛma nnipa binom aduru bi a ɛma wɔn ho dwo nso na aboa wɔn ma wɔagye wɔn ahome na wɔatew wɔn dadwen so. Ɛntaa mma koraa, na wɔ tebea horow titiriw mu nkutoo na wɔde aduru a wɔde kum nipadua no nyinaa bedi dwuma de ayɛ wɔn mmerɛw koraa.
• Afei wɔbɛka akyerɛ wo sɛ da sɔhwɛ pon so a w’ani kyerɛ fam, anaasɛ da w’afã a wo nkotodwe atwe akɔ wo moma so, ɛkame ayɛ sɛ woabɔ wo ho ban . Eyi ma kwan pii da w’akyi berɛmo ntam.
• Afei, oduruyɛfo no de ade a ɛyɛ tratraa paa a ɛyɛ tokuru hyɛ w’akyi berɛmo mu. Wɔkyerɛ eyi kwan fa akyi berɛmo no mu, kɔ baabi a CSF nsu no wɔ (a wɔfrɛ no subarachnoid ahunmu). Wɔde ɔkwan bi a wɔfrɛ no fluoroscopy (ɔkwan a ɛma wutumi hu X-ray mfonini a ɛte ase) na ɛyɛ eyi. Enti ɛho nhia sɛ wohaw wo ho sɛ ade no bɛkɔ baabi a ɛnteɛ.
• Ɛnam saa ade no so na wɔde radioactive ade a yɛadi kan aka ho asɛm no kakra gu wo CSF ​​nsu mu .
• Sɛ wɔyɛ saa adwuma no a, wɔde ahwɛyiye yi ade a wɔde hyɛ mu no, na wɔde plaster ketewaa bi gu saa beae no.

Afei scanning

Sɛ wɔtow akyi berɛmo no na wɔde nneɛma a ɛma anyinam ahoɔden no guu mu wie a, ɛsɛ sɛ woma no bere kakra na ama afa CSF no mu akɔ amemene no mu. Enti ɛsɛ sɛ woda mpa so bɛyɛ dɔnhwerew biako na wotra hɔ dinn sɛnea wubetumi . Ɛtɔ da bi a, wobetumi atu wo fo sɛ mma ɛnsɛ sɛ wodan wo ti nkɔ nkyɛnkyɛn.

Afei, mpɛn pii no, wɔ dɔnhwerew biako kosi asia akyi no , oduruyɛfo no befi ase ahwɛ w’akyi berɛmo ne wo ti. Eyi de mfoninitwa afiri soronko bi (`Gamma Camera`) a ebetumi ahu beae a radioactive ade no wɔ di dwuma. Saa mfonini ahorow yi betumi afi `CT scan (Computed Tomography)` anaa `MRI (Magnetic Resonance Imaging`. Eyi ne nea ɛkyerɛ pefee sɛ `CSF` nsu a ɛsen fa mu.

Sɛ woyɛ scan a edi kan wie a, wubetumi akɔ fie. Nanso, mpɛn pii no, ɛsɛ sɛ wosan ba ayaresabea nnɔnhwerew 24 akyi ma wosan ba scan bio . Nea enti a ɛte saa ne sɛ egye bɛyɛ da koro ansa na radioactive nneɛma no atrɛw wɔ amemene no nyinaa mu (ventricles ne cisterns). Ebia nnipa binom bɛsan ayɛ scan bio wɔ nnɔnhwerew 48 anaa 72 akyi . Wo duruyɛfo na obesi gyinae. Nanso mma ɛnhaw wo, ɛho renhia sɛ woto wo akyi ansa na woayɛ scan biara . Wɔbɛyɛ no da a edi kan no nkutoo.

Sɛ woyɛ eyi a, ɛyɛ yaw?

Asɛmmisa ne suro kɛseɛ a nnipa pii wɔ ne sɛ "So ɛbɛyɛ yaw?". Sɛ yɛbɛka nokware a, sɛ wɔde aduru a ɛma obi dwensɔ a ɛwɔ mpɔtam hɔ no gu w’akyi berɛmo mu a , ebia ɛbɛyɛ te sɛ nea ɛyɛ hyew kakra, anaasɛ ɛte sɛ nea ntɛtea aka wo, sikɔne kakraa bi . Ɛno akyi no, beae no bɛyɛ mmerɛw, enti sɛ wɔde ade no hyɛ akyi berɛmo no mu a, wobɛte nhyɛso kakra nka, nanso ɛyaw ankasa biara nni hɔ.Ebia nnipa binom nte nka koraa.

Ɛyaw biara nni hɔ koraa bere a wɔreyɛ scan no. Ɛsɛ sɛ woda scanner no mpa so kɛkɛ.

So nsunsuanso bɔne bi wɔ hɔ?

Sɛnea ɛte wɔ aduruyɛ mu nhwehwɛmu biara ho no, nneɛma nketenkete bi wɔ hɔ a ebetumi aba wɔ cisternogram akyi. Nanso, wɔnyɛ aniberesɛm. Nneɛma bɔne a ɛtaa ba ne:

• Ebia ɛyaw kakra anaa akuru bɛba baabi a wɔde aduru no guu no (akyi) nna kakraa bi.
• Tipaeɛ . Titiriw sɛ CSF kakra fi baabi a wɔtow akyi berɛmo no (wɔfrɛ eyi ti a ɛyɛ yaw wɔ akyi berɛmo akyi anaasɛ akyi berɛmo mu tiyɛ) a, ebia nhyɛso a ɛwɔ ti no mu no so bɛtew kakra, na ama obi ti ayɛ no yaw kɛse. Mpɛn pii no, eyi brɛ ase bere a woda fam no na ɛkɔ soro bere a wosɔre anaa wosɔre gyina hɔ no. Mma ɛnhaw wo, eyi yɛ bere tiaa mu de . Sɛ wonom nsu pii na wogye w’ahome a, ɛno ankasa bɛbrɛ ase wɔ nnɔnhwerew anaa nna kakraa bi mu. Sɛ wuntumi nnyina ano a, ka kyerɛ wo duruyɛfo, nnuru wɔ hɔ ma no.

Asiane bɛn na ɛwɔ mu?

Nsɛnnennen a emu yɛ den a ɛba wɔ cisternogram akyi no ntaa mma, a ɛkyerɛ sɛ ɛntaa mma . Nanso, eye sɛ wubehu asiane nketenkete mpo a ebetumi aba. Afei ehu a ɛho nhia biara remma.

• Allergic reactions (te sɛ ɛyaw, akisikuru) betumi aba wɔ radioactive ade anaa nnuru a ɛma ɛyɛ mmerɛw/ɛyaw ano aduru no ho. Nanso, eyi nso ho yɛ na koraa.
• Ɛntaa mma sɛ tebea bi a wɔfrɛ no `Brainstem Herniation` (a ɛkyerɛ sɛ wɔpia amemene no ntini no fi adi esiane nhyɛso a ɛwɔ ti no mu nti) betumi aba esiane ɔhaw bi a ɛwɔ nhyɛso a ɛwɔ amemene no so nti. Eyi haw nnuruyɛfo.
• Mogya a ɛbɛtɔ afi baabi a wɔde ade no ahyɛ mu no betumi aba amemene anaa akyi berɛmo mu. Eyi yɛ biribi a ɛsɛ sɛ nnipa a wɔnom nnuru a ɛma mogya yɛ mmerɛw no hwɛ yiye wɔ ho.
• Ɔyare mmoawa betumi akɔ baabi a wɔde ade no hyɛɛ mu no. Ɔkwan pa a wobɛfa so asiw eyi ano ne sɛ wobɛhohoro ho yiye.
• Very rarely , ntini nketenkete betumi asɛe.

Wɔde ade bi a ɛma anyinam ahoɔden di dwuma wɔ sɔhwɛ yi mu, enti woda mframa kakraa bi mu . Nanso ɛyɛ dodow a ɛba fam koraa, bɛyɛ sɛ X-ray kakraa bi a wɔyɛ no daa no yɛ pɛ . Asiane a ɛwɔ hɔ sɛ obi bepira bere tenten no sua koraa. Ɛno nti na wotu mmea a wɔyem fo sɛ ɛnsɛ sɛ wonya bi no.

Bere tenten ahe na egye ansa na nea efi mu ba no aba? Dɛn na wɔka?

Sɛ wo scan a etwa to wie a, oduruyɛfo titiriw bi (`Radiologist` anaa `Nuclear Medicine Physician`) bɛhwɛ mfonini ahorow no mu yiye na wakyerɛw amanneɛbɔ. Eyi betumi agye nna kakraa bi anaa dapɛn biako . Wo duruyɛfo bɛkyerɛ wo bere a ɛsɛ sɛ woba mu na woanya nea efi mu ba no.

Afei ma yɛnhwɛ nea nea afi mu aba yi ka.

Sɛ nea efi mu ba a ɛyɛ daa...

Fa no sɛ wo cisternogram aba no san bae sɛ ``Normal''. Ɛno yɛ asɛmpa kɛse! Ɛkyerɛ sɛ wo ``CSF'' nsuo no resen yie, ahoɔhare a ɛfata, fa w'amemene ne w'akyi berɛmo mu . Ɛno kyerɛ sɛ ``CSF'' leaks biara nni hɔ, blockages biara nni hɔ, na blockages biara nni hɔ.

Dɛn na ebetumi afi mu aba a ɛnyɛ ne kwan so?

Afei, sɛ nea efi mu ba no san ba sɛ ``Abnormal,'' ɛboa wo duruyɛfo ma ohu nea ɛde wo sɛnkyerɛnne ahorow no ba. Nea efi mu ba a ɛnyɛ ne kwan so betumi akyerɛ nea edidi so yi mu biako anaa nea ɛboro saa:

• CSF leak: Sɛ scan no kyerɛ sɛ radioactive nneɛma no retu afi CSF nhyehyɛe no mu a, wɔfrɛ no CSF ​​leak. Eyi taa ba bere a amemene mu opira a ɛyɛ hu (TBI), ti nhwi a abubu, anaasɛ akyi berɛmo no akyi kataso (a wɔfrɛ no dura mater) asɛe akyi. Ɛntaa mma koraa nso wɔ amemene mu oprehyɛn bi anaa aduruyɛ mu akwan foforo te sɛ akyi berɛmo a wɔato mu akyi.
• Ɔhaw ahorow a ɛwɔ CSF shunt ahorow mu: Wɔde afiri ketewaa bi (shunt) gu amemene no mu de twe CSF nsu kɔ baabi foforo sɛ aduru a wɔde sa hydrocephalus (nsu a ɛwɔ amemene no so). Sɛ shunt no ntumi nyɛ adwuma yiye, te sɛ nea wɔasiw ano anaasɛ ɛwɔ ɔhaw afoforo a, saa scan yi nso betumi ahu saa.
• Hydrocephalus: Eyi ne bere a amemene no mu nsu (CSF) no boaboa ano wɔ amemene no mu ntini ahorow no mu, na ɛma ɛyɛ kɛse na ɛde nhyɛso ba amemene no so. Yɛfrɛ no kɛkɛ sɛ "hydrocephalus." Yebetumi asi eyi so dua denam sɛnea CSF no sen no a wɔbɛhwɛ wɔ cisternogram so no so.
• `Normal-Pressure Hydrocephalus (NPH): Wɔ saa tebea yi mu no, `CSF` nsu nso boaboa ano wɔ amemene no mu abura mu, amemene no mu abura no yɛ akɛse, nanso nhyɛso a ɛwɔ amemene no mu no nkɔ soro sɛnea wɔkae no. Sɛnea edin no kyerɛ no, ɛyɛ "Normal-Pressure". Wohu tebea yi wɔ nnipa a wɔn mfe akɔ anim mu. Nsɛnkyerɛnne te sɛ nantew a ɛyɛ den, nsu a ɛyɛ den sɛ wobedi so, ne nkae a ɛyɛ den betumi aba.
• `Pseudotumor Cerebri`: Nnipa binom nso frɛ eyi `atoro amemene mu akisikuru`. Ɛne sɛ, nhyɛso a ɛkɔ soro wɔ amemene no mu a akisikuru ankasa nni mu, na ntease biara nni mu. Nnuruyɛfo nso frɛ eyi `Idiopathic Intracranial Hypertension`. Wɔ eyi mu nso, cisternogram betumi ama adwene bi wɔ `CSF` nsu a ɛsen no ho.

Enti, wo duruyɛfo no de nea efi mu ba yi, wo sɛnkyerɛnne ahorow, ne nhwehwɛmu amanneɛbɔ afoforo bɛka abom de ahu nea wo tebea no yɛ ne nea ɛsɛ sɛ wɔyɛ wɔ ho.

Nkrasɛm a Wɔde Kɔ Fie

Okay, enti momma yɛnsan nsusuw nsɛntitiriw a ɛho hia sen biara no ho mfi nea yɛaka ho asɛm no mu:

• Cisternogram scan yɛ sɔhwɛ soronko a ɛhwɛ sɛnea nsuo a ɛho hia a wɔfrɛ no `CSF` (amemene mu nsuo) no sen wɔ yɛn amemene ne yɛn akyi berɛmo mu, ne sɛ ebia nsuo bi a ɛretu anaasɛ asiw wɔ baabiara anaa.
• Sɛ oduruyɛfo ka kyerɛ wo sɛ yɛ eyi a, ebetumi aba sɛ esiane sɛ wosusuw sɛ CSF retu anaasɛ nsu bi ayɛ kɛse nti. Ebia wowɔ sɛnkyerɛnne ahorow a ɛfa saa asɛm no ho.
• Saa sɔhwɛ yi hwehwɛ sɛ wɔtow akyi berɛmo mu (ade a wɔde hyɛ akyi berɛmo no mu) na wɔde da koro anaa nea ɛboro saa yɛ mfonini ahorow a ɛtoatoa so.
• Ɛwom sɛ ɔhaw nketenkete ne nsunsuanso bɔne betumi aba de, nanso asiane a emu yɛ den ntaa mma koraa.

Sɛ wowɔ nsɛmmisa foforo biara, dadwen, anaa adwenem naayɛ bi wɔ sɔhwɛ yi ho a, nkura biribiara mu, nsuro sɛ wubebisa wo duruyɛfo. Wɔbɛkyerɛkyerɛ biribiara mu akɔ akyiri akyerɛ wo.

Sɛ worebɛyɛ sɔhwɛ a ɛte sɛɛ a, mepɛ sɛ wo ho tɔ wo ntɛm!

` Cisternogram, Cisternogram Scan, CSF, Amemene mu Nsuo, Amemene mu Nhwehwɛmu, Akyi berɛmo, Ntini