Ebia wo duruyɛfo akyerɛw wo ‘Cisternogram Scan’. Ebia wosuro kakra bere a wotee din no, ɛnte saa? "Dɛn na wɔde din ato scan yi wɔ ɔkwan a ɛyɛ nwonwa so? Dɛn nti na wɔreyɛ? So ɛyɛ den?" Ebia woresusuw ho. Nha wo ho. Ɛyɛ ade a ɛfata sɛ wubenya nsɛmmisa te sɛ eyinom. Ɛnnɛ, yɛbɛka sɔhwɛ yi ho asɛm wɔ ɔkwan a ɛyɛ mmerɛw yiye so, wɔ ɔkwan a wubetumi ate ase so, te sɛ nea wo ne w’adamfo paa bi rekasa.
Dɛn ankasa ne Cisternogram Scan?
Ansa na yɛbɛte eyi ase no, momma yensua biribi a ɛho hia paa wɔ yɛn nipadua mu ho ade kakra. Fa no sɛ yɛn amemene ne yɛn akyi berɛmo te sɛ ahwehwɛ nneɛma a ɛsom bo. Nea ɛbɛyɛ na wɔabɔ saa nneɛma a ɛsom bo yi ho ban no, wɔde nsu akata so, akataso, atwa ho ahyia. Wɔ nnuruyɛ mu no, yɛfrɛ eyi ‘amemene mu nsu’ anaa Amemene mu Nsu (CSF) . Saa CSF nsu yi yɛ nnwuma pii a ɛho hia yiye ma yɛn nipadua no.
- Ɛma aduannuru: Saa nsu yi ma yɛn amemene ne akyi berɛmo a ɛnam akyi berɛmo no so no nya aduannuru.
- Ɛboa ma ɛyɛ adwuma: Eyi ho hia na ama yɛn Central Nervous System (CNS) no ayɛ adwuma yiye.
- Yi awuduru fi hɔ: Ɛboa ma woyi awuduru a wɔmpɛ a ɛboaboa ano wɔ ntini a atwa ho ahyia no mu na ɛho tew.
- Ɛbɔ yɛn ho ban: Sɛ yetu mmirika, yehuruw, anaa yɛbɔ yɛn ti wɔ baabi a, ɛyɛ adwuma te sɛ ntama a ɛbɔ amemene no ho ban fi ahodwiriw ho.
Enti, nea cisternogram scan yi yɛ ne sɛ ɛbɛhwɛ sɛ ebia CSF nsu a ɛwɔ wo nipadua mu no resen yiye, sɛ ebia biribi asiw baabi, anaasɛ nsu bi a ɛretu wɔ baabi.
Eyi yɛ sɔhwɛ bi a wɔfrɛ no nuklea aduruyɛ mu mfoninitwa . Eyi kyerɛ sɛ wɔde radioactive nneɛma kakraa bi gu w’akyi berɛmo mu. Mma ɛnhaw wo, ɛrempira wo. Saa ade yi ma wotumi hu CSF nsu kwan no pefee, wɔ kɔla mu, wɔ scan mfonini ahorow no so.
Wɔ tebea horow bɛn mu na sɔhwɛ yi ho hia?
Sɛ yɛbɛka no tiawa a, sɛ wo duruyɛfo susuw sɛ wo CSF nsu no retu afi baabi (CSF a ɛretu) anaasɛ ɛdɔɔso dodo wɔ w’amemene mu (CSF buildup) a, wɔhyɛ nhwehwɛmu yi. Tebea abien no nyinaa betumi de sɛnkyerɛnne a ɛte saa ara aba.
Hwɛ pon a ɛwɔ aseɛ ha no mu hwɛ sɛ wowɔ saa nsɛnkyerɛnneɛ yi bi anaa.
| Nsɛnkyerɛnne a ɛkyerɛ | Eyi te nka dɛn? |
|---|---|
| Ti a ɛyɛ yaw | Tiyɛ a emu yɛ den a emu yɛ den, titiriw bere a wogyina hɔ anaa wosɔre no. Ebia ɛbɛyɛ te sɛ nea ɛyɛ mmerɛw kakra bere a woada hɔ no. |
| Dizziness & Balance haw ahorow | Sɛ wote nka sɛ wuntumi nnyina hɔ na worehinhim, wote nka sɛ wo ho ayɛ wo hyew. |
| Akisikuru ne ɔfe | Te a wote nka sɛ yafunu no reyɛ ayɛ wo yaw na woafe. |
| Kɔn mu yaw | Kɔn akyi a ɛyɛ den anaa ɛyaw. |
| Nkate a ɛkɔ soro | Hann ne nnyigyei a ɛnyɛ den mpo a wobɛte nka dodo. Eyi kyerɛ sɛ hann a ano yɛ den anaa nnyigyei ketewaa bi mpo betumi ayɛ den sɛ wobegyina ano. |
| Aso a ɛyɛ mmerɛw | Aso a ɛyɛ mmerɛw anaa nnyigyei ahorow a wɔte wɔ aso mu. |
| Ɔhaw adwene | Ɛyɛ den sɛ wode w’adwene besi biribi so, ate nka sɛ w’adwene mu nna hɔ. |
Sɛ wowɔ saa sɛnkyerɛnne ahorow yi a, ebia wo duruyɛfo bɛkamfo nhwehwɛmu yi akyerɛ wo na ama woahu nea ɛde ba ankasa.
Ɔkwan bɛn so na ɛsɛ sɛ misiesie me ho ansa na wɔayɛ sɔhwɛ no?
Mpɛn pii no, eyi nhia ahosiesie titiriw biara. Nanso, ɛho hia paa sɛ wudi akwankyerɛ a wo duruyɛfo anaa ayaresabea de ama wo no akyi pɛpɛɛpɛ.
Ade a ɛho hia sen biara ne sɛ wo ne wo duruyɛfo bɛkasa afa wo haw ne wo suro nyinaa ho. Mfɛre sɛ wobɛka sɛ, "Me suro eyi, oduruyɛfo."
Ansa na wobɛyɛ nhwehwɛmu no, hwɛ hu sɛ wobɛbɔ wo duruyɛfo amanneɛ wɔ nneɛma yi ho:
- Nneɛma a ɛma obi dwensɔ: Sɛ wo ho yɛ wo hyew wɔ nnuru a wɔde kum nipadua no mu anaa nnuru afoforo a wɔde kum nipadua no ho a, hwɛ hu sɛ wobɛka ho asɛm.
- Nyinsɛn: Sɛ ebia woanyinsɛn anaasɛ worenom nufu a, ɛho hia yiye sɛ wudi kan ka kyerɛ wo duruyɛfo, efisɛ nhwehwɛmu yi de aduru bi a ɛma anyinam ahoɔden di dwuma.
- Nnuru a worenom: Ka nnuru, vitamin, nhabannuru, ne nnuru a wɔde ka ho a worenom nyinaa ho asɛm kyerɛ wo duruyɛfo . Ebia ɛho behia sɛ wogyae nnuru bi te sɛ nnuru a ɛma mogya tu (te sɛ aspirin ne warfarin) , nna kakraa bi ansa na wɔayɛ nhwehwɛmu no.
- Afotu a mfaso wɔ so: Ebia ɛbɛyɛ den ama wo sɛ wobɛka kar wɔ sɔhwɛ no akyi. Enti, ɛbɛyɛ papa sɛ wode obi bɛka wo ho. Afei nso, esiane sɛ sɔhwɛ no kɔ so nna pii nti, yɛ wo dwumadi ahorow ho nhyehyɛe sɛnea ɛfata.
Dɛn na ɛba bere a wɔreyɛ sɔhwɛ no?
Saa sɔhwɛ yi wɔ anammɔn atitiriw abien: nea edi kan no, wɔde ade bɛhyɛ akyi berɛmo no mu, na afei wɔatwa mfonini ahorow a wɔde scan ayɛ.
Ade a edi kan: Wɔtow akyi berɛmo mu
Ɛwom mpo sɛ bere a metee eyi no, ehu kaa me de, nanso oduruyɛfo bi a ne ho akokwaw paa na ɔyɛ eyi yiye.
1. Nea edi kan no, wɔbɛma woada pon so, a w’ani kyerɛ fam anaa w’afã a wo nkotodwe atwe akɔ wo moma so.
2. Afei, wɔbɛhohoro baabi a wɔde aduru a wɔde twitwiw w’akyi no ho yiye na wɔde aduru bi a ɛma obi dwensɔ bɛhyɛ baabi a ɛwɔ hɔ no. Eyi bɛma beae no ayɛ mmerɛw. Ebia wɔbɛma nnipa binom aduru ketewaa bi a ɛma wɔn ho dwo nso na ama wɔn ho adwo wɔn.
3. Afei oduruyɛfo no de ahwɛyiye kɛse de ade teateaa bi bɛhyɛ nnompe abien a ɛwɔ w’akyi berɛmo a ɛwɔ fam no ntam. Saa bere yi de, wɔde bere ankasa mu X-ray kwan a wɔfrɛ no fluoroscopy bedi dwuma de ahwɛ ahu sɛ ade no wɔ baabi a ɛfata.
4. Sɛ ade no si baabi a ɛfata wie a, wɔde ade a ɛma mframa bɔne a yɛadi kan aka ho asɛm no fa ade no mu de nkakrankakra gu wo CSF nsu mu.
5. Afei wɔde ahwɛyiye yi ade no na wɔde plaster ketewaa bi gu beae no.
Anamɔn a Ɛto so Abien: Mfonini a Wɔayɛ no Scan a Wobɛtwe
1. Sɛ wɔde ade no hyɛ mu wie a, wɔbɛka akyerɛ wo sɛ da hɔ dinn bɛyɛ dɔnhwerew biako. Eyi yɛ nea ɛbɛma nneɛma a ɛma mframa bɔne no afa CSF nsu no mu.
2. Wo scan a edi kan no begye nnɔnhwerew biako kosi asia. Wobɛda scanner bi a gamma mfoninitwa afiri soronko bi wom ase. Ɛtɔ mmere bi a, wobetumi ayɛ CT scan anaa MRI bere koro mu.
3. Wubetumi akɔ fie bere a woayɛ scan a edi kan no awie no. Nanso, ebehia sɛ wosan ba ma wosan ba scan bio wɔ nnɔnhwerew 24 akyi , efisɛ egye bɛyɛ da koro ansa na radioactive nneɛma no adu amemene no mu amena nyinaa mu.
4. Ebia ɛho behia sɛ wɔyɛ nnipa binom scan wɔ nnɔnhwerew 48 anaa 72 akyi . Wo duruyɛfo na ɔbɛkyerɛ eyi.
Ade a ɛho hia sen biara ne sɛ ɛnsɛ sɛ wode nnade bɛhyɛ w’akyi bere biara a wobɛyɛ saa scan yi. Wɔde ade no hyɛ mu da a edi kan no nkutoo. Nna foforo no, nea ɛsɛ sɛ woyɛ ara ne sɛ wobɛba abɛda scanner no ase.
So eyi yɛ yaw? So nsunsuanso bɔne bi wɔ hɔ?
- Ɛyaw: Ebia wobɛte nka sɛ wo ho yɛ wo yaw kakra bere a wɔde aduru a ɛma wo ho yɛ wo yaw no gu wo mu no. Ebia wobɛte nka sɛ wo ho ayɛ wo yaw bere a wɔde ade no ahyɛ w’akyi no, nanso ɛnsɛ sɛ ɛyɛ yaw dodo . Sɛ wote ɛyaw biara a, ka kyerɛ oduruyɛfo anaa ɔyarehwɛfo no ntɛm ara. Scan no ankasa nyɛ yaw koraa.
- Nsunsuanso bɔne: Nsunsuanso bɔne a ɛtaa ba ne ɛyaw a emu nyɛ den ne ti a ɛyɛ yaw wɔ baabi a wɔde aduru no guu no. Ɛtɔ mmere bi a, CSF kakraa bi betumi afi baabi a wɔde ade no guu akyi berɛmo no mu no. Eyi betumi ama amemene no mu nhyɛso so atew kakra na ama ne ti ayɛ no yaw kɛse. Mpɛn pii no, eyi ankasa siesie wɔ nnɔnhwerew kakraa bi anaa nnansa kosi nnansa mu. Nsu pii a wobɛnom ne ahomegye betumi aboa.
Asiane bɛn na ɛwɔ cisternogram nhwehwɛmu mu?
Nsɛnnennen a emu yɛ den a efi sɔhwɛ yi mu ba no ntaa mma koraa . Nanso, sɛnea ɛte wɔ aduruyɛ mu nhwehwɛmu biara ho no, asiane nketenkete bi wɔ hɔ, enti ɛsɛ sɛ yɛma yɛn ani da hɔ.
- Nneɛma a ɛma mogya tu anaa nnuru a ɛma obi dwensɔ ho a ɛma obi ho yɛ no hyew.
- Mogya a ɛtɔ wɔ amemene anaa akyi berɛmo mu (mogya a ɛtɔ) .
- Nyarewa a ɛwɔ baabi a wɔde ade no ahyɛ mu no.
- Ntini a ɛsɛe no ho yɛ na koraa.
- Brainstem herniation (eyi yɛ tebea a ɛntaa nsi koraa. Ɛyɛ tebea a wɔpia amemene no mu ntini fi mu esiane nhyɛso a ɛwɔ ti nhwi no mu nti).
Ɛwom mpo sɛ wɔde ade a ɛma anyinam ahoɔden di dwuma de, nanso wobɛma mframa kakraa bi pɛ . Nsuro no a ɛho nhia.
Dɛn na nea efi mu ba no ka?
Wubetumi anya wo aba (amanneɛbɔ) wɔ nna kakraa bi anaa dapɛn biako mu wɔ wo scan a etwa to no akyi. Sɛ wo nsa ka a, wo duruyɛfo bɛkyerɛkyerɛ nea ɛkyerɛ ma wo mu.
- Nea efi mu ba a ɛyɛ daa: Sɛ w’amanneɛbɔ no san ba sɛnea ɛte daa a, ɛkyerɛ sɛ wo CSF nsu no sen sɛnea ɛsɛ wɔ w’amemene ne w’akyi berɛmo ho a biribiara nsiw wo kwan anaasɛ ɛretu.
- Nea Efi Mu Ba a Ɛnyɛ Ne kwan so: Sɛ nea efi mu ba no nyɛ nea ɛfata a, ebetumi akyerɛ tebea horow a edidi so yi mu biako anaa nea ɛboro saa.
| Tebea a ɛnteɛ (Tebea) . | Wɔakyerɛkyerɛ mu tiawa |
|---|---|
| CSF a ɛretu | CSF nsu fi baabi pue. Eyi betumi aba bere a obi apira ne ti kɛse, ne ti nhwi abubu, anaa wɔayɛ no oprehyɛn akyi. |
| Nsu a ɛwɔ amemene mu | CSF nsu a ɛboaboa ano dodo wɔ amemene no mu, na ɛde nhyɛso ba amemene no so. |
| Nsu a ɛma obi nya nhyɛso a ɛfata (NPH) . | Tebea titiriw a nhyɛso a ɛwɔ amemene no mu no nkɔ soro ɛwom mpo sɛ CSF nsu boaboa ano de. |
| CSF shunt ho haw ahorow | Ɔhaw bi a ɛfa sɛnea afiri ketewaa bi (shunt) a wɔde ahyɛ amemene no mu sɛ aduru a wɔde sa tebea a ɛne hydrocephalus no yɛ adwuma ho. |
| Pseudotumor amemene mu akisikuru | Nhyɛso a ɛkɔ soro wɔ amemene no so a ntease biara nnim. Wɔsan frɛ eyi sɛ ‘pseudo-brain tumor’. |
Nkrasɛm a Wɔde Kɔ Fie
- Cisternogram scan yɛ scan titiriw a ɛhwɛ sɛnea CSF nsu a ɛtwa w’amemene ne w’akyi berɛmo ho hyia no.
- Eyi boa ma wohu sɛ ebia sɛnkyerɛnne ahorow te sɛ tiyɛ ne adwenemhaw a ɛyɛ kɛse bere a wogyina hɔ no fi CSF a ɛtwetwe anaasɛ ɛboaboa ano.
- Wɔ sɔhwɛ yi mu no, wɔde ade teateaa bi hyɛ akyi berɛmo no mu na wɔde ade titiriw bi gu mu. Afei, wɔfa scan mfonini ahorow nnɔnhwerew kakraa bi ne nna kakraa bi akyi.
- Eyi nyɛ yaw kɛse, na nsɛnnennen a anibere wom ntaa mma koraa.
- Sɛ wowɔ nsɛmmisa anaa nsɛm bi a ɛhaw wo wɔ sɔhwɛ yi ho a, wo ne wo duruyɛfo nka ho asɛm pefee. Sɛ wuhu nsɛm a ɛfata a, ebetumi aboa ma ehu a ɛho nhia no so atew.

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