So wotee ehu nka kakra bere a wo duruyɛfo ka kyerɛɛ wo sɛ ɛsɛ sɛ woyɛ MIBG scan no? Ɛyɛ ade a ɛyɛ daa sɛ nsɛmmisa pii bɛba w'adwene mu, te sɛ "Um, dɛn ne scan foforo yi? Dɛn nti na wɔreyɛ eyi?" Titiriw sɛ yɛreka aduruyɛ mu nhwehwɛmu bi a yɛntee ho asɛm mpɛn pii ho asɛm a, yɛte ehu nka kakra na yɛpɛ sɛ yehu. Nanso mma wo ho nnsuro koraa. Ɛnnɛ, yɛbɛka biribiara a ɛfa MIBG scan yi ho, efi ketewaa so kosi kɛse so, wɔ Sinhala kasa a ɛnyɛ den koraa a wubetumi ate ase mu. Sɛnea w’adamfo no rekyerɛkyerɛ mu akyerɛ wo no ara pɛ.
Sɛ yɛbɛka no tiawa a, dɛn ne saa MIBG Scan yi?
Susuw ho hwɛ, nneɛma bi wɔ yɛn nipadua mu a wontumi mfa mfoninitwa afiri a ɛfata ntwa mfonini. Saa ara na ɔhaw ahorow bi wɔ hɔ a nneɛma te sɛ X-ray ne CT scan ntumi nkyere. Ɛno ne bere a yɛde akwan titiriw di dwuma. MIBG scan yɛ sɔhwɛ a wɔde mfoninitwa mfiri titiriw a ɛte saa di dwuma. Wɔ aduruyɛ mu no, yɛfrɛ eyi ‘nuklea mfoniniyɛ sɔhwɛ’.
Eyi ne nea ɛba:
Wɔde radioactive ade ketewaa bi a ahobammɔ wom gu wo nipadua mu. Mma ɛnhaw wo, eyi yɛ kakraa bi pɛ a ɛrempira wo, ɛyɛ nea ehia ma sɔhwɛ no ara kwa. Yɛfrɛ saa ade yi ``iodine meta-iodobenzylguanidine``. Enti esiane sɛ ɛyɛ den sɛ yɛbɛbɔ din tenten yi nti, yɛfrɛ no MIBG tiawa.
Saa ade yi a wɔfrɛ no MIBG no fa wo mogya mu na ɛbata nkwammoaa ahorow bi a ɛwɔ wo nipadua mu ho. Afei, sɛ wode mfoninitwa afiri soronko bi (gamma camera) di dwuma a, wubetumi ahu baabi a ade no aboaboa ano. Ɛte sɛ nea wuhu glowworms no wɔ sum mu.
Wɔde din afoforo pii frɛ sɔhwɛ yi, enti sɛ edin ahorow yi pue wɔ w’amanneɛbɔ mu a, mma ɛnhaw wo.
- Iobenguane a wɔde hwehwɛ nneɛma mu
- Metaiodobenzylguanidine a wɔde yɛ nhwehwɛmu
- MIBG scintigraphy a wɔde kyerɛw nsɛm
- MIBG scintiscan a wɔde kyerɛw nsɛm
Dɛn nti na nnuruyɛfo kamfo kyerɛ sɛ wɔnyɛ saa MIBG scan yi?
Wɔtaa de MIBG scan di dwuma de hu akisikuru ahorow pɔtee bi a ɛwɔ nipadua no mu, hwɛ baabi a atrɛw akodu, na wɔahwɛ sɛnea ayaresa no tu mpɔn. Saa akisikuru yi fi nkwammoaa a ɛwɔ yɛn nipadua mu a wɔfrɛ no neuroendocrine nkwammoaa a ɛma hormone ahorow mu.
Afei ma yɛnhwɛ nea wobetumi de scan yi ahu nnuaba ahorow atitiriw no.
| Tumor Type | Nkyerɛkyerɛmu a Ɛyɛ Mmerewa |
|---|---|
| Ntini mu ntini mu yare | Eyi yɛ kokoram a ɛntaa nsi a ɛtaa fi ase wɔ mmofra a wonnii mfe 5 ntini mu nkwammoaa mu. |
| Nkwammoaa mu nkwammoaa a wɔfrɛ no Pheochromocytoma | Akisikuru bi a ɛba adrenal glands, a ɛwɔ yɛn asaabo atifi, anaa nipadua no mu baabi foforo. Eyinom betumi de yare no ho sɛnkyerɛnne te sɛ mogya mmoroso aba. |
| Carcinoid tumors (ntini mu ntini mu akisikuru) . | Eyinom yɛ akisikuru bi a enyin brɛoo a ɛtaa ba wɔ ɔhome nhyehyɛe anaa yafunu mu (intestinal tract) mu. |
| Medullary thyroid kokoram a ɛma mogya tu | Eyi yɛ kokoram pɔtee bi a ɛba yɛn kɔn mu thyroid ntini no mu. |
Enti, ebia wobɛte ase sɛ eyi nyɛ sɔhwɛ a wɔyɛ no nyinaa, na mmom biribi a wɔyɛ de hu tebea horow pɔtee bi.
Ɔkwan bɛn so na ɛsɛ sɛ misiesie me ho ma scan yi?
Nneɛma kakraa bi wɔ hɔ a wɔbɛka akyerɛ wo sɛ yɛ ansa na wɔayɛ scan. Eyinom akyi di pɛpɛɛpɛ ho hia yiye ma sɔhwɛ no pɛpɛɛpɛ.
1. Aduru soronko bi wɔ hɔ a ɛsɛ sɛ wɔnom.
Bɛyɛ da koro ansa na wɔayɛ scan no, wo duruyɛfo bɛka akyerɛ wo sɛ fa aduru bi a iodine (ɛtɔ mmere bi a wɔfrɛ no Lugol’s solution) wom. Ebia ɛho behia sɛ wofa eyi nna kakraa bi wɔ scan no akyi. Wunim nea enti a wɔde eyi ma? Iodine a ɛyɛ radioactive a ɛwɔ MIBG injection no mu no mma ɛnboaboa ano wɔ wo thyroid gland no mu. Eyi kyerɛ sɛ wɔde saa aduru yi bɔ wo thyroid ntini ho ban.
2. Ebia ɛho behia sɛ wogyae nnuru bi kakra.
Nnuru bi a wotaa nom betumi aka nea efi MIBG scan no mu ba no. Enti, wo duruyɛfo bɛka akyerɛ wo sɛ gyae saa nnuru no nom nna kakraa bi anaa dapɛn biako ansa na woayɛ nhwehwɛmu no.
Nanso kae eyi: Mma w’ankasa nnnyae nnuru biara a wobɛnom da. Ka nnuru a wonom nyinaa ho asɛm kyerɛ wo duruyɛfo, a nnuru a wɔkyerɛw ma wo, nnuru a wɔtɔn, vitamin, ne nhabannuru ka ho. Ɔbɛkyerɛ wo nnuru a ɛsɛ sɛ wugyae nom ne bere tenten a ɛsɛ sɛ wonom.
Wɔakyerɛw nnuru a wɔtaa tu fo sɛ wonnyae no bi din wɔ pon a ɛwɔ ase ha no so.
| Nnuru a Wɔde Di Dwuma Ho Ɔfã | Wɔtaa De Di Dwuma Ma |
|---|---|
| Nnuru a esiw ACE ano | Mogya Nhyɛso a Ɛkɔ Anim |
| Nnuru a wɔde sa akisikuru ne atiridiinini | Allergies ne atiridiinini |
| Amiodarone a wɔde yɛ aduru | Koma mu ntini a ɛyɛ den (Arrhythmia) . |
| Nnuru a wɔde kum adwenemhaw | Adwenemhaw ne adwene mu tebea afoforo |
| Nnuru a esiw calcium kwan | Wɔ mogya mmoroso ne komayare ho |
| Opioid ahorow a wɔde di dwuma | Nnuru ahorow bi a ano yɛ den a wɔde kum ɛyaw |
Dɛn ankasa na ɛba wɔ nna a wɔyɛ scan no?
MIBG scan nyɛ biribi a wobetumi awie da koro. Ɛyɛ adeyɛ a ɛkɔ so nna pii. Mpɛn pii no, ɛsɛ sɛ wokɔ ayaresabea mprenu kosi anan.
- Anamɔn a Edi Kan: Aduru no a Wɔde bɛhyɛ nipadua no mu
Da a edi kan no, oduruyɛfo anaa ɔyarehwɛfo bi a ɔwɔ ayaresabea no de tracer a wɔfrɛ no MIBG bɛhyɛ ntini bi a ɛwɔ wo nsa anaa wo nsa mu mu. Eyi te sɛ aduru a wɔde twitwiw nipadua no daa. Afei wubetumi akɔ fie. Egye bɛyɛ nnɔnhwerew 24 ansa na tracer no adi akɔneaba wɔ wo nipadua nyinaa mu.
- Anamɔn a Ɛto so Abien: Scan a Edi Kan
Ade kyee no, ɛsɛ sɛ wosan ba ayaresabea hɔ ma wo scan a edi kan. Ɛho behia sɛ wuyi biribiara a wohyɛ, te sɛ wo ntade, dɔn, ne kɔnmuade, na wohyɛ ayaresabea atade soronko bi a wɔde ma wo. Afei wɔbɛma woada mpa bi so wɔ afiri a wɔde hwehwɛ nneɛma mu no ase. Nea ɛsɛ sɛ woyɛ ara ne sɛ wobɛtra hɔ dinn paa , a wuntu koraa. Scanning camera no bɛkyinkyin wo nipadua no mu na atwa mfonini. Worente ɛyaw biara nka wɔ saa bere yi mu.
- Anamɔn a Ɛto so Abiɛsa: San Yɛ Scan
Ebia ɛho behia sɛ nnipa binom san ba ma wɔyɛ scan foforo da koro anaa nnanu akyi. Wo duruyɛfo ne radiologist na wobesi eyi ho gyinae. Scan biara betumi agye bɛyɛ dɔnhwerew biako anaa abien.
Sɛ wowie scan no a, dɛn na woyɛ?
Esiane sɛ eyi yɛ nhwehwɛmu a wɔyɛ wɔ ayaresabea nti, wubetumi akɔ fie bere a woayɛ scan biara awie no. Nanso, ebehia sɛ woboa wo nipadua no ma woyi radioactive nneɛma no fi hɔ bere a woakɔ fie awie no.
Tracer ade a ɛwɔ wo nipadua mu no befi wo nipadua mu koraa wɔ nna kakraa bi mu. Nea ɛbɛboa wɔ eyi mu no , nom nsu pii, te sɛ nsu ne nnuaba a wɔnom. Afei ade no befi wo nipadua mu ntɛm ara a nsu ne nsu a ɛyɛ fĩ wom.
Afei nso, ɛho hia paa sɛ wode samina hohoro wo nsa yiye bere a wode tiafi adi dwuma awie no.
Afotu titiriw a wɔde ma ɛnanom a wɔma wɔn nufu:
Sɛ woyɛ ɛna a ɔma nufu a, kwati sɛ wobɛma wo ba no nufu anyɛ yiye koraa no da koro wɔ MIBG aduru no akyi. Siesie wo ho sɛ wobɛma wo ba no aduannuru wɔ saa bere no mu. Bisa wo duruyɛfo ma ɔmma no eyi ho nsɛm pii.
So asiane bi wɔ saa scan yi mu?
Eyi yɛ asɛmmisa a nnipa pii wɔ. Nokwarem no, MIBG scan yɛ sɔhwɛ a ahobammɔ wom yiye. Asiane ahorow a ɛwɔ mu no sua koraa.
- Ebia nnipa binom mogya mmoroso bɛkɔ soro kakra bere a wɔde MIBG aduru no ahyɛ wɔn mu akyi. Nanso, eyi taa san kɔ sɛnea na ɛte kan no mu wɔ da koro anaa nnanu mu. Enti, wɔde wo bɛto ayaresabea bɛyɛ simma 30 wɔ aduru no akyi, na wɔbɛhwɛ wo mogya mmoroso ansa na wɔde wo akɔ fie.
- Saa sɔhwɛ yi mfata mmaa a wɔyem, efisɛ radioactive nneɛma no betumi aka akokoaa a ɔhyɛ yafunu mu no. Enti, sɛ woanyinsɛn anaasɛ wowɔ adwenem naayɛ ketewaa bi mpo sɛ woanyinsɛn a, akyinnye biara nni ho sɛ ɛsɛ sɛ woka kyerɛ wo duruyɛfo ansa na woayɛ nhwehwɛmu no.
Bere tenten ahe na ebegye ansa na manya nea afi mu aba no?
Sɛ wɔyɛ scan a etwa to no wie a, ɛtaa gye bɛyɛ nna abien kosi abiɛsa ansa na wɔanya nea efi mu ba no.
Nea ɛba ne sɛ radiologist bi sua wo scan ahorow no nyinaa yiye. Ɔhwehwɛ mmeae a MIBG ade no boaboa ano wɔ ɔkwan a ɛnteɛ so, a wɔfrɛ no ‘mmeae a ɛyɛ hyew.’ Saa mmeae yi betumi akyerɛ sɛ akisikuru bi wɔ hɔ.
Afei oduruyɛfo titiriw no bɛyɛ amanneɛbɔ a edi mũ na ɔde akɔma wo duruyɛfo a ɔhyɛɛ sɛ wɔnyɛ nhwehwɛmu no. Afei wo duruyɛfo no ne wo besusuw amanneɛbɔ no ho na wakyerɛkyerɛ anammɔn a ɛsɛ sɛ woyɛ akyi. MIBG scan no yɛ bɛyɛ 85% pɛpɛɛpɛ, a ɛkyerɛ sɛ ɛyɛ sɔhwɛ a wotumi de ho to so yiye.
Nkrasɛm a Wɔde Kɔ Fie
- MIBG scan yɛ sɔhwɛ a ahobammɔ wom yiye na ɛyɛ pɔtee a wɔde hu akisikuru ahorow bi. Nsuro eyi.
- Ansa na wobɛyɛ nhwehwɛmu no, nom iodine aduru a wɔakyerɛw ama wo de abɔ wo thyroid ntini ho ban no.
- Ka nnuru a worenom nyinaa (a vitamin ka ho) kyerɛ wo duruyɛfo. Mfi ase anaasɛ nnyae nnuru biara a wonom a wunnyaa wo duruyɛfo afotu.
- Scanning no gye nna pii, na ɛho hia yiye sɛ wobɛtra hɔ dinn bere a wɔreyɛ scan no.
- Sɛ woyɛ scan wie a, nom nsu ne nsu pii na aboa ma woayi tracer no afi wo nipadua mu.
- Sɛ woanyinsɛn anaa wususuw sɛ woanyinsɛn a, ka kyerɛ wo duruyɛfo ntɛm ara.
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