Dɛn ne HIDA Scan? Momma yɛnka ho asɛm tiawa.

So ɛtɔ mmere bi a, wo yafunu nifa mu yɛ wo yaw anaa ɛyɛ wo yaw denneennen, titiriw wɔ wo mpampam ase? Ebia wo duruyɛfo susuwii sɛ ɔwɔ gallbladder haw bi na ɔhyɛɛ nyansa sɛ wɔnyɛ ‘HIDA scan’? Ɛwom mpo sɛ ebia edin no bɛyɛ te sɛ nea ɛyɛ hu kakra de, nanso nokwarem no, ɛnyɛ hu saa. Ɛnyɛ oprehyɛn, na saa ara nso na ɛnyɛ sɔhwɛ a ɛyɛ yaw kɛse. Enti ɛnnɛ, momma yɛnka HIDA scan no ho asɛm wɔ ɔkwan a ɛyɛ mmerɛw yiye so.

Dɛn ne HIDA scan kɛkɛ?

HIDA scan yɛ mfoninitwa sɔhwɛ. Sɛ yɛbɛka no pɛpɛɛpɛ a, ɛyɛ nuklea aduruyɛ ho sɔhwɛ. Okay, mma saa nsɛm akɛse no nnsuro. Sɛ yɛbɛka no tiawa a, ɛhwɛ sɛnea wo gallbladder ne nhyehyɛe ahorow a ɛfa ho no reyɛ adwuma.

Momma yenni kan nte nhyehyɛe yi ase kakra. Susuw ho saa kwan yi so.

1. Yɛn mmerɛbo no ma nsu bi a ɛwɔ aduan mu a wɔfrɛ no bile . Eyi boa ma srade a ɛwɔ nnuan a yedi mu no tew.

2. Wɔde bile a ɛba saa kwan yi so no sie akwaa ketewaa bi a ɛte sɛ kotoku mu wɔ mmerɛbo no ase a wɔfrɛ no akisikuru.

3. Sɛ yedidi a, saa akisikuru yi twetwe (ɛpia) na ɛde bile a ɛwɔ mu no fa ntini no mu kɔ dwensɔtwaa ketewa no mu.

Afei, nea HIDA scan yi yɛ ne sɛ ɛbɛhwɛ sɛ ebia bile duct no reyɛ adwuma yiye, sɛ ebia biribi asiw baabi, ne sɛ ebia bile retu anaa .

Nea ɛbɛyɛ na wɔayɛ eyi no, wɔde nnuru ketewaa bi a ɛnyɛ asiane biara a wɔfrɛ no ‘radioactive tracer’ gu wo ntini mu. Saa ade yi fa bile no kwan so pɛpɛɛpɛ. Afei, mfoninitwa afiri soronko bi (`gamma mfoninitwa afiri`) twa ade no mfonini bere a ɛretu kwan no. Ɛdenam mfonini ahorow no a wɔbɛhwɛ so no, nnuruyɛfo no betumi anya sɛnea wo akisikuru no yɛ adwuma no ho adwene pa.

Edin afoforo a wɔde frɛ eyi ne `cholescintigraphy` ne `hepatobiliary scintigraphy`.

Nyarewa bɛn na wobetumi de saa scan yi ahu?

Oduruyɛfo bi bɛkra sɛ wɔnyɛ HIDA scan titiriw sɛ osusuw sɛ ɔwɔ nyarewa pii a ɛfa akisikuru ho a. Ma yɛnhwɛ nea wɔyɛ.

Bere bɛn na wubehia HIDA scan?

Nneɛma atitiriw pii nti na ebia wo duruyɛfo de wo bɛkɔ akɔyɛ nhwehwɛmu yi:

• Ɛyaw a emu yɛ den wɔ yafunu no nifa so: Titiriw sɛ ɛyaw no fi ase mpofirim na ɛkɔ so tra hɔ a, ebetumi ayɛ akisikuru a ɛyɛ hyew (cholecystitis). Eyi ne ade titiriw nti a wɔyɛ HIDA scan.
• Ɛyaw ne atiridiinini a ɛba wɔ oprehyɛn akyi: Sɛ wɔayɛ wo oprehyɛn a wɔde yi akisikuru, wɔde mmerɛbo foforo ama wo, anaa oprehyɛn foforo a ɛfa ho na worenya atiridii ne ɛyaw wɔ ɛno akyi a, wɔyɛ saa nhwehwɛmu yi de hwɛ sɛ mogya mu nsu no retu anaa.
• Jaundice a ɛboro so wɔ akokoaa a wɔawo no foforo mu: Sɛ akokoaa bi ho yɛ no yaw kɛse wɔ nna kakraa bi mu wɔ awo akyi a, nhwehwɛmu yi ho hia na ama wɔahu sɛ ebia nea ɛde ba ne biliary atresia anaa.
• Sɛ wopɛ sɛ wohwɛ stent a wɔde ahyɛ bile ducts no mu a:Ɛtɔ mmere bi a, sɛ bile ntini bi siw a, wɔde afiri ketewaa bi (stent) si hɔ na ama atumi abue. Wobetumi nso ayɛ HIDA scan de ahwɛ sɛ eyi reyɛ adwuma yiye anaa.

Wobɛyɛ dɛn asiesie wo ho ansa na wɔayɛ scan?

Eyi ho hia paa. Sɛ sɔhwɛ no mu aba bɛyɛ nokware a, ɛsɛ sɛ wudi akwankyerɛ ahorow yi akyi pɛpɛɛpɛ.

• Ka nnuru biara a wobɛnom (a vitamin ne nhabannuru ka ho) kyerɛ wo duruyɛfo. Nnuru bi (titiriw nnuru a wɔde kum ɛyaw) betumi aka nea efi nhwehwɛmu no mu ba no, enti ebia wɔbɛka akyerɛ wo sɛ gyae nom nnɔnhwerew kakraa bi ansa na wɔayɛ scan no.
• Mmuadadi: Anyɛ yiye koraa no, ebehia sɛ wudi mmuada nnɔnhwerew 4 ansa na wɔayɛ scan. Ɛnyɛ hwee sɛ wobɛnom nsu kakra. Ebia wɔbɛka akyerɛ wo sɛ mmuada nkyɛ. Wobedi kan atu wo fo wɔ eyi ho.
• Yi agude: Nhyɛ agude anaa dade nneɛma biara bere a woreyɛ scan no.
• Nsuro: Nnipa binom suro sɛ wɔbɛtra baabi a wɔatoto te sɛ MRI scan. Camera a ɛwɔ eyi mu no nyɛ tube a wɔato mu. Ɛyɛ mfoninitwa afiri a ɛbue wɔ afã abien no nyinaa na wɔde si wo yafunu so kɛkɛ. Enti ɛnsɛ sɛ wohaw wo ho sɛ wobɛkɔ akɔfa wo ho.

Dɛn na ɛba bere a wɔreyɛ scan no?

Scan no a wɔbɛyɛ no yɛ adeyɛ a ɛyɛ mmerɛw yiye.

1. Nea edi kan no, wɔbɛma wo ayaresabea atade a wobɛhyɛ. Ɛsɛ sɛ wo yafunu no da adi.

2. Wɔbɛma woada sɔhwɛ pon so.

3. Afei ɔyarehwɛfo anaa mfiridwumayɛfo bi de catheter ketewaa bi (IV catheter) bɛhyɛ ntini bi a ɛwɔ wo basa mu mu. Wɔde nnuru bi a wɔfrɛ no ``radiotracer'' bɛfa mu. Saa bere yi de, wobɛte nka sɛ wo ho yɛ wo yaw, te sɛ ntɛtea ketewaa bi.

4. Wɔde mfoninitwa afiri no si wo yafunu so nkakrankakra na wɔde ahwɛyiye yɛ.

5. Afei fi ase twa mfonini. Ade a ɛho hia sen biara wɔ saa bere yi mu ne sɛ worentu koraa. Saa kwan no so no wubetumi anya mfonini ahorow a emu da hɔ.

6. Sɛ wotwa mfonini bi wie a, ɛtɔ mmere bi a wobetumi de aduru foforo ama wo denam IV so de aboa wo gallbladder no ma ayɛ mmerɛw (a ɛda mpan). Ebia wobɛte yafunu mu yaw kakra nka saa bere yi. Nea enti a ɛte saa ne sɛ akisikuru no reyɛ den. Sɛ wɔma wo saa aduru no wie a, wɔbɛtwa mfonini pii.

7. Sɔhwɛ no nyinaa betumi agye nnɔnhwerew 1 kosi 4 . Wɔ nsɛm bi a ɛntaa nsi mu no, ebia wɔbɛka akyerɛ wo sɛ san bra wɔ nnɔnhwerew 24 akyi na woatwa mfonini pii.

Dɛn na ɛsɛ sɛ meyɛ bere a wɔayɛ scan no awie no?

Sɛ wowie scan no a, wubetumi akɔ fie anaasɛ wobɛkɔ ayaresabea dan mu. Afei yɛ saa nneɛma yi.

• Nom nsu pii: Nom nsu ne nsu pii nnɔnhwerew 24 a edi hɔ no. Eyi bɛboa radiotracer no ma afi wo nipadua mu ntɛmntɛm afa wo nsu ne wo nsu mu.
• Sɛ wode tiafi di dwuma wie a: Bere nyinaa hohoro tiafi no yiye bere a wode adi dwuma awie no, na fa samina hohoro wo nsa yiye. Nnuru no mu radioactivity sua koraa, enti asiane biara nni hɔ mma wɔn a wɔatwa wo ho ahyia no.
• Wɔ ɛnanom a wɔma wɔn nufu fam no: Eyi ho hia paa. Mma wo ba no nufu nnɔnhwerew 24 wɔ scan no akyi. Tow nufusu biara a ɛda adi wɔ saa bere no mu no gu. Nea enti a ɛte saa ne sɛ radioactivity a efi radiotracer no mu no betumi akɔ nufusu no mu na apira akokoaa no. Enti, ɛboa kɛse sɛ wobɛyi nufusu adi ansa na wɔayɛ scan.

So asiane bi wɔ eyi mu?

Asiane a ɛwɔ HIDA scan mu no sua koraa.

• Ebia IV no bɛpirapira kakra wɔ baabi a wɔde hyɛɛ mu no.
• Mframa a wɔde ma no sua koraa. Eyi bɛyɛ mframa dodow a yɛn nipadua nya fi nneɛma a atwa yɛn ho ahyia mu wɔ afe biako mu no ara pɛ.
• Ɛntaa nsi koraa, koraa sɛ wobenya nnuru a wɔde di dwuma no ho adwenemhaw.

Ebia nsɛm a wonya fi sɔhwɛ yi mu no rentumi mfi nhwehwɛmu afoforo te sɛ ultrasound mu. Enti, wɔ obi a onnyinsɛn fam no, mfaso a ɛwɔ saa scan yi a wɔbɛyɛ so no boro asiane nketenkete a ɛwɔ mu no so koraa.

Mɛyɛ dɛn anya amanneɛbɔ no? Dɛn na ɛwɔ mu?

Oduruyɛfo a ɔhwɛ mframa a wɔde hwɛ nneɛma so no bɛhwɛ wo mfonini ahorow no mu na wakyerɛw amanneɛbɔ, na wɔde akɔma oduruyɛfo a ɔresa wo yare no. Mpɛn pii no, wonya nea efi mu ba no wɔ nnɔnhwerew 24 ntam. Wo duruyɛfo bɛkyerɛkyerɛ amanneɛbɔ no mu akyerɛ wo.

Ɛmfa ho nea ebefi mu aba biara no, wo duruyɛfo no bɛkyerɛkyerɛ mu akyerɛ wo yiye na watu wo fo wɔ nea ɛsɛ sɛ woyɛ akyi.