Wo mmerɛbo ne wo akyi berɛmo te dɛn? (Mmerɛbo ne Akyi berɛmo mu Nhwehwɛmu) .

Hɛlo! Ebia wotee ehu nka kakra na ehu aka wo bere a oduruyɛfo bi ka kyerɛɛ wo sɛ yɛ scan titiriw bi mfa nhwɛ wo mmerɛbo ne wo akyi berɛmo, ``Mmerɛbo ne Akisikuru Scan'', ɛnte saa? Anaasɛ ebia na w’ani gye ho kɛse sɛ wubehu nea eyi nyinaa fa ho. Enti, mma ɛnhaw wo. Momma yɛnka eyi ho asɛm nkɔ akyiri, tiawa koraa, nnɛ. Mebɛkyerɛkyerɛ biribiara mu wɔ ɔkwan a wobɛtumi ate aseɛ so.

Dɛn ne Mmerɛbo ne Akisikuru a Wɔde Hwɛ?

Sɛ yɛbɛka no tiawa a, eyi yɛ nuklea nnuruyɛ ho mfoniniyɛ ho sɔhwɛ titiriw bi . Ɛhwɛ akwaa abien a wɔfrɛ no wo mmerɛbo ne wo akyi berɛmo titiriw. Saa akwaa abien yi nyinaa wɔ yɛn yafunu no atifi. Nea ɛho hia ne sɛ, sɛ ɔhaw bi wɔ saa akwaa yi biako ho a, ebetumi aka ɔfoforo no nso. Wɔte sɛ nnamfo paa baanu.

Wɔ sɔhwɛ yi mu no, wɔde radioactive nneɛma kakraa bi (a ɛyɛ radioactive tracer) gu wo nipadua mu. Afei, wɔde afiri titiriw bi a wɔfrɛ no gamma camera di dwuma de hwɛ sɛnea wo mmerɛbo ne wo dwensɔtwaa twetwe ade no. Eyi ma nnuruyɛfo hu sɛnea w’akwaa abien no reyɛ adwuma yiye ne sɛ ebia biribi asɛe no anaa. So ɛnyɛ mfiridwuma ho nimdeɛ a ɛyɛ nwonwa?

Dɛn nti na ebehia sɛ meyɛ scan te sɛ eyi?

Afei ebia woredwene sɛ, "Dɛn nti na wɔreka akyerɛ me sɛ menyɛ scan a ɛte sɛɛ?" Scan ahorow afoforo wɔ hɔ a wɔde hwɛ mmerɛbo ne akyi berɛmo. Nanso nea ɛyɛ soronko wɔ `(Liver and Spleen Scan)` yi ho ne sɛ etumi hu sɛnea nkwammoaa a ɛwɔ akwaa ahorow no afã horow no yɛ adwuma ne sɛnea wɔreyɛ ho biribi yiye .

Eyi betumi aboa wo ma woahu mmeae biara a ɛnyɛ ne kwan so wɔ wo mmerɛbo anaa wo akyi berɛmo mu, a wɔfrɛ no `akuru`, baabi a ntini no asesa na ɛnyɛ adwuma yiye. Ebetumi nso ahwehwɛ nneɛma te sɛ fibrosis, ɔfe, nsakrae a ɛba mogya mu, ne nsakrae a ɛba mogya mu. Enti, ɛho hia yiye sɛ wobɛhwɛ sɛnea akwaa ahorow no asɛe no.

Dɛn na wɔde saa scan yi di dwuma?

Ebia wo duruyɛfo bɛkamfo saa scan yi akyerɛ esiane nneɛma ahorow bi nti. Momma yɛnhwɛ nea wɔyɛ:

• Hwɛ sɛnea mmerɛbo mu yare a akyɛ (`(mrɛbo mu yare a enni sabea)`) tebea te.
• Sɛ woresa yare bi a, hwɛ sɛ ɛsa yare no anaasɛ ɛma tebea no tu mpɔn anaa.
• Sɛ mmerɛbo anaa akyi berɛmo no asɛe, te sɛ akwanhyia bi a, hwɛ baabi a asɛe no kodu.
• Hwehwɛ sɛ ebia apirakuru anaa ntini (akuru) bi a ɛnteɛ wɔ saa akwaa yi mu anaa.
• Ɛtɔ da bi a, yɛte yaw wɔ yɛn yafunu atifi, nanso yentumi nhu nea ɛde ba. Wɔ saa nsɛm no mu no, eyi bɛboa yɛn ma yɛahu nea ɛde ba.
• Hwɛ sɛ ebia nhyehyɛe mu ɔhaw biara a ɛka mmerɛbo ne akyi berɛmo nyinaa wɔ hɔ anaa.

Ayaresa tebea horow bɛn na wobetumi de saa scan yi ahu?

Nea efi saa scan yi mu ba no betumi ama yɛanya aduruyɛ mu tebea horow ho nsɛnkyerɛnne. Nhwɛso kakraa bi ni:

• Mmerɛbo mu ɔfe, ɛno ne tebea a yɛfrɛ no ``hepatitis''.
• mmerɛbo mu akuru, fibrosis, ne ebia mmerɛbo mu akisikuru.
• Srade mmerɛbo mu yare yɛ srade a ɛboaboa ano wɔ mmerɛbo no mu.
• So mmerɛbo no ayɛ kɛse ara kwa?
• So akyi berɛmo no ayɛ kɛse?
• So akyi berɛmo no yɛ adwumaden dodo, a ɛkyerɛ sɛ tebea bi wɔ hɔ a wɔfrɛ no ``hypersplenism''?
• Mogya mmoroso a ɛkɔ soro wɔ mmerɛbo no ntini mu, a wɔfrɛ no ``Portal hypertension''.
• Tebea bi a wɔfrɛ no ``Budd-Chiari syndrome``, a ɛma ntini a ɛwɔ mmerɛbo no mu no siw anaasɛ ɛyɛ teateaa.
• So ntini a ɛwɔ akyi berɛmo mu (`(Splenic artery aneurysm)`) wɔ hɔ?
• So akyi berɛmo a apaapae wɔ hɔ?
• So ntini bi wɔ akyi berɛmo no mu a awu (`(Splenic infarction)`)?
• So mmerɛbo no dwumadi asɛe (`(Mmerɛbo a entumi nyɛ adwuma yiye)`)?
• Akuru anaa nyini biara a ɛwɔ mmerɛbo no mu. Sɛ nhwɛso no, akisikuru, akisikuru a ɛnyɛ hu, mmerɛbo mu hemangioma, anaa mmerɛbo mu akisikuru.
• Kokoram a ɛba mmerɛbo anaa akyi berɛmo mu.
• So kokoram a efii ase wɔ nipadua no mu mmeae afoforo no atrɛw akɔ saa akwaa ahorow yi mu (kokoram a ɛtrɛw kɔ mmeae afoforo)?
• Awosu mu nyarewa te sɛ Gaucher yare a ɛka saa akwaa ahorow yi.

Nea ɛho hia: Mma wo ho nnyɛ wo hu wɔ saa list yi ho, ɛyɛ? Wɔnyɛ saa scan yi mfa nhwɛ sɛ wowɔ nyarewa yi nyinaa anaa. Wogyina wo yare no ho sɛnkyerɛnne ne oduruyɛfo no adwenem naayɛ so na ɛyɛ.

Ɔkwan bɛn so na saa mmerɛbo ne akyi berɛmo mu nhwehwɛmu yi yɛ adwuma? Ɛnyɛ den koraa!

Fa no sɛ wɔde "spy" kakra ahyɛ wo nipadua mu. Eyi nyɛ akwansrafo ankasa. Wɔde nnuru kakraa bi, radioactive tracer, gu ntini bi a ɛwɔ wo basa mu mu. Ɛwom sɛ ɛyɛ radioactive de, nanso biribiara nni hɔ a ɛsɛ sɛ wusuro, ɛyɛ radiation ketewaa bi a wɔahyɛ so ara kwa , na efi wo nipadua mu bere tiaa bi akyi.

Saa aduru yi fa wo mogya mu na ɛkɔ wo mmerɛbo ne wo dwensɔtwaa mu. Afei, saa gamma camera a madi kan aka ho asɛm no "kenkan" gamma mframa a saa aduru yi de ba no. Ɛne sɛ, ɛhwehwɛ baabi a aduru no wɔ ne emu dodow a ɛwɔ hɔ.

Afei wɔde mfonini ahorow a gamma mfoninitwa afiri no twa no ne w’akwaa ahorow ho mfonini a ɛwɔ afã abiɛsa (`3D`) bom. Wɔde ɔkwan bi a wɔfrɛ no ``SPECT/CT scan`` na ɛtwa saa mfonini ahorow a ɛwɔ afã abiɛsa yi. ``(SPECT)`` gyina hɔ ma ``(single-photon emission computed tomography)`` na ``(CT)`` gyina hɔ ma ``(computed tomography)``. Sɛ wɔka eyinom nyinaa bom a, nnuruyɛfo no nya wo mmerɛbo ne wo dwensɔtwaa ho mfonini a emu da hɔ yiye.

Ɔkwan bɛn so na ɛsɛ sɛ misiesie me ho ansa na wɔayɛ scan?

Eyi nhia ahosiesie pii.

• Oduruyɛfo no bɛkyerɛkyerɛ sɔhwɛ yi mu akyerɛ wo, na afei wɔbɛka akyerɛ wo sɛ fa wo nsa hyɛ wo pene ase.
• Ɛho behia sɛ wohyɛ ayaresabea atade soronko bi.
• Ɛho behia sɛ wuyi dade agude biara a wowɔ wɔ wo nipadua so, te sɛ kɔnmuade, nkapo, ne asomuade, efisɛ scanner no betumi agye.
• Sɛ eyi ho asɛm haw wo kakra anaasɛ wo ho yeraw wo a, wubetumi abisa oduruyɛfo no sɛ ɔmma wo aduru a ɛma wo ho dwo wo. Ɛno bɛboa wo ma woagye w’ahome kakra.

Bere tenten ahe na saa scan yi gye?

Mpɛn pii no sɔhwɛ no nyinaa gye bɛyɛ dɔnhwerew biako .

Sɛ wohyɛ aduru no wie a, wotwɛn bɛyɛ simma 15 kosi 30 ansa na mmerɛbo ne akyi berɛmo no atwe aduru no. Ɛno ansa na wufi ase twa mfonini. Ebetumi agye bɛyɛ simma 15-20 na wode gamma mfoninitwa afiri no atwa mfonini, ne simma 15-20 foforo na wode `(CT)` scanner no atwa mfonini.

Dɛn na ɛba bere a wɔreyɛ scan no?

Okay, afei momma yɛnhwɛ nea ɛba ankasa bere a wɔayɛ scan no.

1. Nea edi kan no, radiologic technologist de radioactive tracer soronko bi (mpɛn pii no Tc-99m sulfur colloid) bɛhyɛ ntini bi mu wɔ wo basa mu denam injection ketewaa bi so (ɛnam IV so). Wobɛte nka sɛ wo ho ayɛ wo yaw kakra bere a wode ade no ahyɛ mu no, na ɛno yɛ ade a ɛfata.

2. Afei, ɛsɛ sɛ wotwɛn kakra (bɛyɛ simma 15-30) ansa na aduru no akɔ wo nipadua mu.

3. Afei, wɔbɛma woada mpa bi so wɔ scanner no mu. Wɔde scanner a ɛte sɛ donut no besi baabi a ɛbɛfata wo yafunu so yiye.

4. Mfoninitwa afiri no di kan de gamma mframa hwehwɛ wo nipadua nyinaa mu. Afei ɛde nkakrankakra twa wo ho hyia, na ɛtwa mfonini ahorow a ɛwɔ afã abiɛsa (3D).

5. Ebia mfiridwumayɛfo no bɛka akyerɛ wo sɛ dan wo ho na twa mfonini sɛnea ɛbɛyɛ a mfoninitwa afiri no betumi ahwɛ yiye. Ade a ɛho hia sen biara ne sɛ wobɛtra hɔ dinn wɔ gyinabea ahorow nyinaa mu. Eyi bɛboa wo ma woanya mfonini ahorow a emu da hɔ.

6. Sɛ wɔyɛ scan no wie a, wobeyi IV no afi hɔ. Afei wubetumi asɔre ahyɛ wo ntade.

So asiane bi wɔ eyi mu?

Asiane atitiriw a ɛwɔ sɔhwɛ yi mu no sua koraa. Nanso, ɛho hia sɛ wobɔ wo duruyɛfo amanneɛ wɔ nea edidi so yi ho:

• Sɛ woanyinsɛn a: Ɛwom sɛ mframa a wɔde di dwuma no sua koraa de, nanso ebetumi aka akokoaa a ɔhyɛ yafunu mu no.
• Sɛ woyɛ ɛna a ɔma nufu a: Nneɛma a ɛma radioactive no betumi akɔ wo nufusu mu. Enti wo duruyɛfo bɛka akyerɛ wo sɛ gyae nufu a woma no nna kakraa bi.
• Sɛ wowɔ allergy wɔ radioactive material (sulphur-colloid) no ho a. Eyi ho yɛ na koraa, nanso sɛ wowɔ bi a, ɛsɛ sɛ wudi kan ka kyerɛ yɛn.

So mɛte biribi nka?

• Sɛ wode IV hyɛ wo nsa mu a, ɛte sɛ nea wɔde ade ketewaa bi rehyɛ mu.
• Worente biribiara nka bere a wɔreyɛ scan no, nanso ebia nnipa binom bɛte nka sɛ wɔn ho nyɛ wɔn dɛ kakra bere a wɔtra hɔ dinn kakra no.
• Worente nka sɛ wɔde radioactive nneɛma no rehyɛ wo nipadua mu. Nanso, sɛnea ɛbɛyɛ a ɛbɛboa ma afi wo nipadua mu ntɛm no, ɛsɛ sɛ wonom nsu pii nnɔnhwerew 24 a edi hɔ wɔ scan no akyi.

Woyɛ dɛn kyerɛ nea afi mu aba? Dɛn ne saa "nneɛma a ɛyɛ hyew" ne "mmeae a ɛyɛ nwini" yi?

Sɛ radioactive ade (`radionucleotide`) no kɔ wo ntini mu wie a, ɛkɔ wo mmerɛbo ne wo akyi berɛmo mu tẽẽ. Saa akwaa abien yi twetwe ade no.

Afei wɔ mfonini ahorow mu no, .

• Mmeae bi wɔ hɔ a ɛte sɛ nea ɛhyerɛn sen afoforo. Wɔfrɛ eyinom "mmeae a ɛhɔ yɛ hyew." Ɛno kyerɛ sɛ wɔatwe ade no yiye wɔ saa mmeae no.
• Mmeae bi wɔ hɔ a ɛte sɛ nea ɛyɛ sum . Wɔfrɛ eyinom "nneɛma a ɛyɛ nwini." Eyi kyerɛ sɛ wɔannye ade no ankɔ saa mmeae no yiye.

Mfiridwuma ho nimdefo no nso de nneɛma dodow a akwaa abien yi agye no toto ho. Mpɛn pii no, mmerɛbo no na ɛsɛ sɛ ɛtwe ade no pii sen akyi berɛmo no.

Nanso, sɛ mmerɛbo no twetwe nsu kakraa bi sen sɛnea ɛsɛ sɛ ɛtwetwe na akyi berɛmo no twetwe pii a, wɔfrɛ no "colloid shift." Eyi kyerɛ sɛ mmerɛbo no dwumadi so atew.

Dɛn na ɛba bere a nea efi mu ba no aba akyi?

Sɛ wo ``Liver and Spleen Scan'' no mu aba no ba wie a, oduruyɛfo no bɛhwɛ na waba awiei wɔ wo tebea no ho.

• Ebia nea afi mu aba yi betumi ama wɔahu yare no yiye . Sɛ saa a, oduruyɛfo no ne wo besusuw nneɛma a edi hɔ a wɔbɛyɛ wɔ ayaresa mu ho.
• Ɛtɔ da bi a, wobetumi ayɛ nhwehwɛmu afoforo de asi nsɛm a wonya fi saa scan yi mu no so dua bio.

Nanso, oduruyɛfo no bɛkyerɛkyerɛ biribiara mu akyerɛ wo.

Scan ahorow afoforo bɛn na ɛwɔ hɔ a wɔde hwehwɛ mmerɛbo mu haw ahorow?

Wɔ saa `(Liver and Spleen Scan)` yi akyi no, mfoniniyɛ sɔhwɛ ahorow afoforo wɔ hɔ a wɔde hwɛ mmerɛbo ne akyi berɛmo tebea. Nhwɛso ahorow bi ne:

• Mmerɛbo CT scan (`(Mmerɛbo CT scan)`) .
• Akisikuru CT scan (`(Akisikuru CT scan)`) .
• Yafunu mu ultrasound scan (`(Yafunu mu ultrasound)`) .
• mmerɛbo mu elastography (a wɔsan frɛ no MRE anaa FibroScan® ultrasound).
• mmerɛbo/akisikuru MRI scan (`(Mmerɛbo/akisikuru MRI)`) .

Wo duruyɛfo na obesi nhwehwɛmu a ɛfata wo kɛse ho gyinae.

Nea etwa to no, nneɛma a ɛsɛ sɛ wokae (Take-Home Message) .

Saa nuklea aduruyɛ mmerɛbo ne akyi berɛmo mu nhwehwɛmu yi yɛ adwinnade a ɛsom bo a ɛboa nnuruyɛfo ma wɔhwɛ saa ahokafo akwaa abien yi wɔ ɔkwan foforo so na wɔte sɛnea ɛyɛ adwuma no ase. Saa scan yi betumi aboa ma wɔahu tebea horow a ɛka akwaa abien no nyinaa, asusuw nneɛma a asɛe ho, ahwɛ sɛ yare no rekɔ so anaasɛ ɛrebrɛ ase, na wɔahwɛ sɛnea ayaresa no rekɔ so.

Sɛ wowɔ nsɛmmisa anaa nsɛm bi a ɛhaw wo wɔ sɔhwɛ yi anaa nea efii mu bae ho a, .Mma ntwentwɛn wo nan ase sɛ wo ne wo duruyɛfo bɛkasa. Afei wubetumi ama biribiara mu ada hɔ. Kɔ so nya apɔwmuden!

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