Wopɛ sɛ wuhu lymphangiography nhwehwɛmu a ɛtwa wo lymphatic nhyehyɛe no ho mfonini no ho asɛm?

Ɛtɔ da bi a, ɛsɛ sɛ yɛyɛ sɔhwɛ titiriw bi na ama yɛahu nea ɛrekɔ so wɔ yɛn nipadua mu pɛpɛɛpɛ, ɛnte saa? Wiɛ, eyi yɛ sɔhwɛ a ɛho hia a wɔfrɛ no Lymphangiography, a wɔyɛ de hu sɛ ebia mfomso bi wɔ yɛn lymphatic system no ho anaa (yɛbɛka eyi ho asɛm kakra). Mma ɛnhaw wo, yɛbɛka eyi ho asɛm tiawa, wɔ ɔkwan a wubetumi ate ase so.

Dɛn ne Lymphangiography? Dɛn na ɛka ho?

Sɛ yɛbɛka no tiawa a, (Lymphangiography) yɛ mfoninitwa nhwehwɛmu a ɛtwa wo ntini a ɛma mogya tu no mfonini . Susuw ho hwɛ, yɛwɔ ntini a ɛma mogya tu wɔ yɛn nipadua mu, te sɛ mogya ntini ahorow no ara pɛ? Saa lymph vessels, lymph nodes (mɛka eyinom nso ho asɛm) ne nea eyi hwɛ pefee. Wɔ eyi mu no, wɔde aduru soronko bi gu wo nipadua mu. Wɔsan frɛ saa aduru yi ( Lipoidal). Afei, wɔde (X-ray) afiri anaa (MRI) afiri di dwuma de twa ntini a ɛma mogya tu no ho mfonini. Sɛ wɔde (MRI) di dwuma a, wɔfrɛ ɔkwan no (Magnetic Resonance Lymphangiography) anaa (MR Lymphangiography).

Seesei ebia woresusuw nea ntini a ɛma mogya tu no yɛ ho . Ɛyɛ yɛn nipadua mu tumi a ɛko tia nyarewa (nhyehyɛe a ɛbɔ yɛn ho ban fi nyarewa ho) ne mogya a ɛkɔ nipadua no mu (nhyehyɛe a ɛde mogya kɔ nipadua no mu nyinaa) no fã titiriw. Wɔ mu no, ntini ahorow bi wɔ hɔ a ɛde nsu a emu da hɔ a wɔfrɛ no lymph kɔ nipadua no nyinaa mu. Saa ntini yi yɛ adwuma te sɛ nea wɔde yiyi mu, na ɛboaboa nsu ne nwura a ɛboro so a ɛboaboa ano wɔ nipadua no mu ano. Afei nso, ntini ahorow a wɔfrɛ no lymph nodes ka nhyehyɛe yi ho. Eyinom na ɛma nkwammoaa a ɛko tia ɔyare mmoawa. Wɔte sɛ mmeae nketewa a wɔhwɛ ahobammɔ so wɔ yɛn nipadua mu.

Wonhu ntini a ɛma mogya tu no afã horow yi pefee wɔ mfoninitwa nhwehwɛmu a ɛfata mu. Ɛno nti na wɔde aduru titiriw bi di dwuma wɔ lymphangiography mu no. Saa aduru yi ma wotumi hu ntini a ɛma mogya tu ne ntini a ɛma mogya tu no pefee wɔ mfonini ahorow mu, a wɔfrɛ no lymphangiograms. Wɔsan frɛ saa sɔhwɛ yi lymphography.

Dɛn nti na wɔyɛ saa (Lymphography) sɔhwɛ yi?

Nnuruyɛfo de nhwehwɛmu yi (Lymphangiography) di dwuma esiane nneɛma kakraa bi nti. Momma yɛnhwɛ nea wɔyɛ:

• Hwɛ sɛ wowɔ yare bi wɔ wo ntini a ɛma mogya tu no mu anaa.
• Hwehwɛ sɛ yare no atrɛw akɔ nipadua no afã afoforo anaa.
• Sɛ woresa a, kyerɛ mmeae a wobetumi ayɛ no yiye (ayaresa ho akwankyerɛ). Ɛte sɛ nea wode nnuru rema nea wɔde asi wɔn ani so no.
• Ansa na wobɛyɛ wo oprehyɛn anaa aduruyɛ foforo bi a wɔde wɔn ho bɛhyɛ mu no, yɛ wo ntini a ɛma mogya tu no ho mfonini . Eyi bɛyɛ mmoa kɛse ama oduruyɛfo a ɔyɛ oprehyɛn no.
• Hwɛ sɛ ayaresa ahorow no boa anaa na etu mpɔn anaa .

Saa sɔhwɛ yi boa ma wohu tebea horow te sɛ:

• Nsu a efi ntini a ɛma mogya tu mu ((Lymphatic leak)) anaasɛ opira.
• Lymphedema yɛ tebea a ɛma ntini a ɛma mogya tu no hohoro, na ɛma mmeae te sɛ akwaa ho ahonhon.
• Kokoram bi a wɔfrɛ no Hodgkin lymphoma.
• Kokoram bi a wɔfrɛ no Non-Hodgkin lymphoma.

Hena na ɔyɛ saa (Lymphangiography) nhwehwɛmu yi?

Mpɛn pii no , oduruyɛfo a ɔde ne ho hyɛ mu na ɔyɛ lymphangiography . Ɔyɛ oduruyɛfo a ne ho akokwaw wɔ nyarewa a wɔde aduruyɛ mu mfoniniyɛ ne akwan a wɔmfa nni dwuma pii a wɔde hwehwɛ nyarewa na wɔsa mu. Ɛne sɛ, obi a ɔde nnwinnade fa ntokuru nketewa mu, sen sɛ ɔbɛyɛ ntwitwiridii akɛse.

Ɔkwan bɛn so na ɛsɛ sɛ misiesie me ho ansa na wɔayɛ sɔhwɛ no?

Wo duruyɛfo bɛma wo akwankyerɛ a emu da hɔ wɔ sɛnea wubesiesie wo ho ama nhwehwɛmu yi ho. Ebia akwankyerɛ ahorow yi bi ne:

• Kwati sɛ wubedi anaa wobɛnom nnɔnhwerew kakraa bi ansa na woayɛ sɔhwɛ no, mpɛn pii no bɛyɛ nnɔnhwerew 6 kosi 8.
• Ansa na wobɛkɔ sɔhwɛ no mu no kɔ aguaree na hyɛ wo akisikuru mu .
• Sɛ woanyinsɛn anaasɛ wowɔ mogyatɔw ho haw biara (te sɛ mogya a ɛtwetwe mogya) a, ka kyerɛ wo duruyɛfo).
• Ebia wɔbɛma wo aduru a ɛma wo ho dwo wo na aboa wo ma woagye w’ahome , na ɛbɛboa ma ehu biara a ebia wubenya wɔ sɔhwɛ no ho no so atew.
• Sɛ wo ho yɛ wo hyew wɔ iodine anaa aduruyɛ mu nhwehwɛmu afoforo ho bere bi a atwam a, akyinnye biara nni ho sɛ ɛsɛ sɛ woka kyerɛ wo duruyɛfo.
• Sɛ wowɔ komayare , titiriw tebea bi a wɔfrɛ no Patent Foramen Ovale (PFO) (a ɛyɛ tokuru ketewaa bi a ɛwɔ koma no mu) a, ka ho asɛm nso kyerɛ wo duruyɛfo.

Ɛtɔ mmere bi a, wobetumi ayɛ lymph node biopsy, a nea ɛka ho ne sɛ woyi lymph node ketewaa bi de yɛ nhwehwɛmu no wɔ nhwehwɛmu yi mu. Sɛ ɛba saa a, ebia wɔbɛma wo nnuru a wɔde kum wo na amma woante ɛyaw biara.

Dɛn na ɛba bere a wɔreyɛ lymphangiography nhwehwɛmu no?

Okay, afei momma yɛnhwɛ nea ɛkɔ so wɔ sɔhwɛ no mu.

Nea edi kan no, oduruyɛfo no bɛka akyerɛ wo sɛ tena anaa da nhwehwɛmu nkongua anaa pon so. Afei, wɔbɛhohoro wo honam ani fã ketewaa bi na wɔde aduru bruu kakraa bi ahyɛ mu. Ebia wobɛte nka sɛ wo ho ayɛ wo yaw kakra bere a wɔde saa aduru yi ama wo no, nanso ɛbɛtra hɔ bere tiaa bi.

Wɔtaa de saa aduru a wɔde twitwiw nipadua no mu yi ma wɔ mmeae yi:

• Ɛbɛn wo srɛ mu (eyi ne nea wɔtaa yɛ).
• Nsateaa ntam (wɔnyɛ eyi mpɛn pii kakra).
• Wɔ nansoaa ntam (wɔnyɛ eyi nso mpɛn pii).

Saa aduru bruu yi ma nsensanee bruu pue . Eyinom ne ntini a ɛma mogya tu a wotumi hu no pefee. Afei oduruyɛfo no de aduru bi a ɛma obi ho tɔ no gu baabi a nsensanee bruu no wɔ no. Wɔtwa ketewaa bi wɔ saa beae no, .Wɔde afiri a ɛyɛ tratraa a ɛyɛ mmerɛw te sɛ kankyee ketewaa bi hyɛ mu.

Wɔde aduru titiriw foforo (te sɛ Lipoidal) fa saa afiri yi mu de nkakrankakra gu nipadua no mu bɛyɛ dɔnhwerew biako. Ebia wobɛte nhyɛso bi nka anaasɛ wobɛte nka sɛ wo ho ayɛ wo ma bere a aduru no kɔ wo nipadua mu no.

Ɛtɔ mmere bi a oduruyɛfo no de afiri a wɔde yɛ ultrasound di dwuma de hyɛ saa afiri yi mu pɛpɛɛpɛ. Eyi kyerɛ sɛ wode nnyigyei asorɔkye bɛhwɛ nipadua no mu. Mmere foforo nso, wɔde pɔmpɛ bi a wɔfrɛ no insufflator di dwuma de boa ma wɔde saa aduru yi gu nipadua no mu.

Afei, oduruyɛfo no de X-ray kwan titiriw bi a wɔfrɛ no fluoroscopy anaa MRI afiri bɛtwa wo nipadua no mu mfonini. Fluoroscopy te sɛ X-ray mfonini ahorow a ɛkɔ baabiara.

Saa afiri yi de wo ntini a ɛma mogya tu no mfonini ahorow gu screen so. Ebetumi ahwɛ sɛ ebia aduru no redi akɔneaba wɔ wo nipadua nyinaa mu yiye, te sɛ nea worehwɛ kar ahorow wɔ kwan so.

Sɛ wɔde aduru no gu wo nipadua mu na atrɛw wɔ wo nipadua nyinaa mu a, oduruyɛfo no beyi afiri no na ɔde nhama biako anaa abien ahyɛ nea wɔatwa no so. Afei, wɔbɛtwa wo nan, wo hwene, wo yafunu, wo moma so, ne mmeae afoforo biara a ɛyɛ hu ho mfonini. Ebia ɛho behia nso sɛ wotwa mfonini kakraa bi bio akyiri yi na ama woahu sɛnea aduru no atrɛw.

Wo ho te dɛn wɔ sɔhwɛ no akyi?

(Lymphangiography) Ebia baabi a wɔatwa no bɛyɛ yaw kakra na ayɛ mmerɛw nna kakraa bi wɔ nhwehwɛmu no akyi. Oduruyɛfo no bɛma wo nnuru a wɔde kum ɛyaw ama eyi.

Ade a ɛho hia sen biara ne sɛ kosi sɛ aduru no befi wo nipadua mu koraa no, wo honam ani kɔla (titiriw wo nsateaa ne wo nan ase), wo nsu, ne wo nsu nso betumi adan bruu/ahabammono kakra . Eyi yɛ ade a ɛfata, mma ɛnhaw wo. Eyi befi hɔ wɔ nna kakraa bi akyi. Nanso, ebia aduru bi bɛkɔ so atra wo ntini a ɛma mogya tu no mu akosi mfe abien. Ɛno nso nyɛ hwee.

Sɛ wubetumi a, gye w’ahome kakra da a wɔbɛyɛ sɔhwɛ no. Kwati dwumadi a emu yɛ den. Ma baabi a wɔatwa no ho ntew sɛnea wo duruyɛfo ka kyerɛ wo no.

So asiane ahorow bi wɔ sɔhwɛ yi mu?

Mpɛn pii no , lymphangiography yɛ nhwehwɛmu a ahobammɔ wom . Te sɛ X-ray nhwehwɛmu afoforo no, ɛde mframa a ano yɛ den na edi dwuma. Nanso mframa dodow a ɛwɔ mu no nkɔ soro sɛnea ɛbɛyɛ a ɛde ɔhaw biara bɛba wo so. Nanso, sɛ yare no ho sɛnkyerɛnne bi ba a, ebia nea ɛka ho ne:

• Nea ɛma obi ho yɛ no hyew wɔ aduru no anaa biribi foforo ho (te sɛ ɛyaw, akisikuru, ahome a ɛyɛ den) .
• Mogya a ɛretu fi nea wɔatwa mu.
• Nyarewa a ɛwɔ baabi a wɔatwa no (ɛyɛ kɔkɔɔ, ɛho ahonhon, ɛho ayɛ kurukuruwa, atiridiinini) .
• Ntini a ɛma mogya tu no mu ɔfe, kyerɛ sɛ, ɛho ahonhon.

"Nanso bio, asiane ahorow yi ho yɛ na yiye. ""Wo duruyɛfo no bedi kan aka eyinom nyinaa akyerɛ wo. Sɛ wowɔ biribi a ɛhaw wo a, nsuro sɛ wubebisa."

Bere bɛn na mɛhu nea efi sɔhwɛ no mu aba?

Mpɛn pii no, wobetumi abɔ nea efi lymphangiography nhwehwɛmu no mu aba no ho amanneɛ akyerɛ oduruyɛfo no da koro no ara . Ɛtɔ mmere bi a, sɛ ɛho hia a, wobetumi de ayaresa ama bere a wɔreyɛ lymphangiography nhwehwɛmu no.

Nanso, wɔ tebea horow bi mu no, animdefo kuw bi, sɛ nhwɛso no, radiologist a ɔde ne ho hyɛ mu ne oncologist, bom susuw nea efi mu ba yi ho na wosi gyinae. Sɛ ɛba saa a, ebetumi agye da koro anaa nnanu ansa na woanya nea efi mu ba.

Wo duruyɛfo no ne wo bɛkasa afa nea afi mu aba yi ho na wakyerɛkyerɛ nea ɛkyerɛ mu. Sɛ nhwɛso no, sɛ aduru no ntumi mfa baabi bi a, ebetumi akyerɛ sɛ biribi asiw ano. Ebetumi ayɛ akisikuru, opira, anaa ɔyare mmoawa. Afei nso, sɛ ntini a ɛma mogya tu no yɛ kɛse, ɛsono sɛnea ɛte, anaasɛ ɛte sɛ ahurututu a, ebetumi ayɛ ntini mu kokoram ho sɛnkyerɛnne.

Sɛ minya nhwehwɛmu no akyi a, sɛnkyerɛnne bɛn na ɛsɛ sɛ mehu oduruyɛfo?

Sɛ woyɛ nhwehwɛmu wie a, sɛ wowɔ saa nsɛnkyerɛnne yi bi a ɛkyerɛ sɛ wo ho yɛ wo hyew anaa ɔyare mmoawa a, frɛ wo duruyɛfo anaa kɔ ayaresabea ntɛm ara:

• Atiridii anaa atiridiinini .
• Ɛyaw a emu yɛ den wɔ baabi a wɔatwa no (titiriw ɛyaw a ɛkɔ soro na ɛnbrɛ ase ɛmfa ho sɛ wɔnom nnuru no).
• Sɛ baabi a wɔatwa no yɛ kɔkɔɔ, ɛho ahonhon, sɛ woka a, ɛyɛ hyew, na sɛ nsu bi a ɛte sɛ akisikuru fi mu ba a .
• Honam ani akisikuru , a ɛkyerɛ sɛ ɛyɛ kɔkɔɔ, akisikuru, anaa ɛho hohoro, pue wɔ nipadua no baabi foforo.
• Sɛ ɛyɛ den ma wo sɛ wobɛhome anaasɛ wo koko yɛ wo yaw a.

Hwɛ saa nneɛma yi so yiye.

Enti, dɛn na ɛsɛ sɛ yɛkae fi eyinom nyinaa mu?

Lymphangiography yɛ X-ray nhwehwɛmu titiriw bi a ɛboa nnuruyɛfo ma wohu tebea horow te sɛ akisikuru, ɔfe, ɔyare mmoawa, ne nsu a ɛtwetwe wɔ lymphatic system no mu na wɔsa.

Wo duruyɛfo bɛkyerɛkyerɛ nea enti a ɛsɛ sɛ woyɛ nhwehwɛmu yi mu kɔ akyiri ne nea ebefi mu aba. Biribiara nni hɔ a enti ɛsɛ sɛ yesuro. Eyi yɛ nea ɛbɛma w’akwahosan atu mpɔn na ama woanya ayaresa a ɛfata sen biara. Bisa wo duruyɛfo nsɛm anaa nsɛm biara a ɛhaw wo.

` Ntini a ɛma mogya tu, lymphangiography, ntini a ɛma mogya tu, ntini a ɛma mogya tu, nhwehwɛmu, aduruyɛ mu nhwehwɛmu, aduru a wɔde yɛ nhwehwɛmu