So wo duruyɛfo ka kyerɛɛ wo sɛ wuhia scan titiriw bi na ama woatumi ahwɛ wo mmerɛbo ne wo dwonku nyinaa? Ebia wotee ehu ne ehu kakra bere a wotee saa nsɛm no. Nanso mma ɛnhaw wo. Eyi yɛ biribi a nnipa dodow no ara yɛ na ɛnyɛ nea ɛyɛ den saa. Momma yɛnkɔ nsɛm no mu nkɔ akyiri nnɛ.
Dɛn ne mmerɛbo-Akisikuru Scan?
Sɛ yɛbɛka no tiawa a, eyi yɛ mfoninitwa sɔhwɛ titiriw bi a ɛyɛ nuklea nnuruyɛ dea. Susuw yɛn mmerɛbo ne yɛn akyi berɛmo ho sɛ nnamfo paa baanu a wɔbɛn wɔn ho wɔn ho pɛɛ. Sɛ ɔhaw bi wɔ biako ho a, ebetumi aka ɔfoforo no. Enti, nnuruyɛfo de saa scan yi di dwuma bere a wɔpɛ sɛ wohu wɔn baanu nyinaa akwahosan prɛko pɛ no.
Eyi ne nea ɛba:
Oduruyɛfo anaa mfiridwuma ho nimdefo a wɔatete no de radioactive nneɛma kakraa bi pɛ bɛhyɛ wo ntini mu. Mma ɛnhaw wo, ɛnyɛ nea epira wo nipadua. Saa ade yi fa wo mogya mu na wo mmerɛbo ne wo akyi berɛmo no twetwe. Afei, wɔde mfoninitwa afiri soronko bi a wɔfrɛ no gamma mfoninitwa afiri hwehwɛ gamma mframa a saa ade yi de ba no mu.
Ɔkwan a wo mmerɛbo ne wo akyi berɛmo fa so twetwe saa ade yi betumi ama wo duruyɛfo no ahu saa akwaa no akwahosan ho nsɛm pii. Mmeae a ɛtwetwe ade no yiye no bɛyɛ te sɛ nea ɛhyerɛn wɔ scan no so, bere a mmeae a ɛtwetwe kakraa bi no bɛyɛ te sɛ nea ɛyɛ sum .
Dɛn nti na ɛsɛ sɛ yɛyɛ scan te sɛ eyi?
Ebia nneɛma pii nti na wo duruyɛfo kamfo saa scan yi kyerɛ.
- Hwɛ sɛnea mmerɛbo mu yare a enni sabea te: Eyi boa wo ma wuhu baabi a wo mmerɛbo mu yare no kodu ne sɛ ebia ɛrekɔ soro anaasɛ ɛrekɔ fam.
- Hwɛ sɛ ayaresa no tu mpɔn anaa: Hwehwɛ sɛ ebia aduru a wonom no reyɛ adwuma yiye na yare no reyɛ yiye anaa.
- Hwɛ sɛ akwanhyia bi mu akwaa asɛe anaa: Hwɛ sɛ mmerɛbo anaa akyi berɛmo asɛe wɔ akwanhyia akyi.
- Hu akuru a ɛwɔ akwaa ahorow so: Hwehwɛ akuru, akisikuru, ne nneɛma afoforo.
- Hwɛ sɛ aduruyɛ mu tebea afoforo a ɛwɔ nipadua no mu rehaw akwaa ahorow yi anaa: Nyarewa bi ka nipadua no nyinaa. Hwɛ sɛ wɔreka mmerɛbo ne akyi berɛmo anaa.
- Hwehwɛ nea ɛde yafunu atifi yaw a wontumi nkyerɛkyerɛ mu ba.
Nea ɛyɛ soronko wɔ scan yi ho ne sɛ ɛnyɛ sɛnea akwaa no te nko na ɛkyerɛ, na mmom sɛnea nkwammoaa a ɛwɔ saa akwaa no mu no yɛ adwuma yiye nso . Ɛyɛ den sɛ wubehu ɛno denam scan a wɔyɛ no daa so.
Dɛn na ɛba da a wɔyɛ scan no?
Mɛma wo da a wɔbɛyɛ sɔhwɛ yi ho mfonini a emu da hɔ. Afei ɛho renhia sɛ wohaw wo ho wɔ biribiara ho.
1. Ahosiesie: Sɛ wokɔ ayaresabea a, wɔbɛma wo ayaresabea atade soronko bi a wobɛhyɛ. Ɛho behia sɛ wuyi dade nneɛma biara a ɛwɔ wo nipadua so, te sɛ asomuade, kɔnmuade, anaa nkaa. Sɛ wo ho yeraw wo kakra wɔ eyi ho a, wubetumi abisa aduru bi a ɛma wo ho dwo wo na aboa wo ma woagye w’ahome.
2. Injection: Afei, radiology mfiridwumayɛfo bi de radioactive tracer (mpɛn pii no Tc-99m sulphur colloid) no kakraa bi bɛhyɛ ntini bi mu wɔ wo basa mu denam IV so. Wobɛte nka sɛ wo ho ayɛ wo yaw kakra bere a wode ade no ahyɛ mu no, nanso ɛbɛtra hɔ sikɔne kakraa bi pɛ.
3. Ɛsɛ sɛ wotwɛn kakra: Ɛsɛ sɛ woma ade no bɛyɛ simma 15 na nipadua no atwe, titiriw mmerɛbo ne akyi berɛmo. Saa bere no mu no, ɛsɛ sɛ wotwɛn ara kwa.
4. Scanning: Afei wobɛda scanner mpa no so. Wɔde scanner a ɛte sɛ donut no asi hɔ sɛnea ɛbɛyɛ a ɛbɛsi wo yafunu atifi. Nea edi kan no, gamma mfoninitwa afiri bi hwehwɛ wo nipadua nyinaa mu. Afei, scanner soronko bi (SPECT/CT scan) a etumi twa 3D mfonini no di akɔneaba nkakrankakra twa wo nipadua ho hyia twa mfonini.
5. Tena hɔ dinn: Ɛho hia paa sɛ worentu koraa wɔ saa bere yi mu. Ebia mfiridwumayɛfo no bɛka akyerɛ wo sɛ tu kɔ gyinabea ahorow.
6. Awiei: Sɛ wowie scan no a, wobeyi IV a ɛwɔ wo nsa mu no afi hɔ. Wubetumi asɔre na woasan ahyɛ wo ntade. Ɛho hia paa sɛ wobɛnom nsu pii nnɔnhwerew 24 a edi hɔ no. Eyi bɛboa ma radioactive nneɛma no afi wo nipadua mu ntɛmntɛm wɔ wo nsu mu.
Eyi begye bere tenten ahe?
Mpɛn pii no, adeyɛ no nyinaa gye bɛyɛ dɔnhwerew biako. Ɛsɛ sɛ wotwɛn bɛyɛ simma 15-30 wɔ injection no akyi, na afei scan no gye bɛyɛ simma 30-40.
So asiane bi wɔ eyi mu?
Asiane a ɛwɔ eyi mu no sua koraa. Nanso, akyinnye biara nni ho sɛ ɛsɛ sɛ wudi kan bɔ wo duruyɛfo amanneɛ wɔ tebea horow a edidi so yi ho.
| Asiane a ebetumi aba | Nea ɛsɛ sɛ woyɛ |
|---|---|
| Sɛ wo nyinsɛn a (Nyinsɛn) . | Hwɛ hu sɛ wobɛka eyi ho asɛm akyerɛ wo duruyɛfo, efisɛ mframa kakraa bi a wode di dwuma no betumi aka akokoaa a ɔwɔ awotwaa no mu no. |
| Sɛ woyɛ ɛna a ɔma nufu a | Esiane sɛ nneɛma a ɛma anyinam ahoɔden betumi akɔ nufusu mu nti, ka eyi ho asɛm kyerɛ wo duruyɛfo. Ɔbɛma wo afotu a ɛfata. |
| Sɛ wowɔ allergy wɔ radioactive nneɛma ho a | Ɛntaa mma koraa sɛ obi betumi anya akisikuru. Sɛ wo ho nyɛ wo den wɔ biribiara ho a, di kan ka kyerɛ wo duruyɛfo. |
Dɛn na wubetumi asua afi scan amanneɛbɔ no mu?
Amanneɛbɔ no kura wo mmerɛbo ne wo akyi berɛmo ho mfonini a ɛwɔ afã abiɛsa (3D). Wɔkyerɛw gamma mframa gu wɔn so.
- "Hot Spots": Mmeae a agye radioactive nneɛma a ɛsen biara no da adi sɛ ɛhyerɛn kɛse.
- "Cold Spots": Mmeae a ade no nnyee yiye anaasɛ wɔannye koraa no te sɛ nea ɛyɛ sum.
Oduruyɛfo no nso de nneɛma dodow a akwaa abien no twetwe no toto ho. Mpɛn pii no, ɛsɛ sɛ mmerɛbo no twetwe saa ade yi pii sen akyi berɛmo no. Sɛ mmerɛbo no ntwe nsu kakraa bi na akyi berɛmo no twetwe pii a, ɛkyerɛ sɛ mmerɛbo no ntumi nyɛ adwuma pii. Nnuruyɛfo frɛ eyi ``colloid shift''.
Nyarewa a wobetumi de saa scan yi ahu
- Mmerɛbo mu ɔfe `(hepatitis)`
- Fibrosis ne/anaasɛ mmerɛbo mu ntini a ɛyɛ mmerɛw
- Mmɛn a entumi nyɛ adwuma yiye
- mmerɛbo mu akuru (te sɛ akisikuru, akisikuru, hemangioma anaa cyst) .
- Srade mmerɛbo mu yare (steatotic mmerɛbo mu yare) .
- Mogya mmoroso a ɛkɔ soro wɔ mmerɛbo mu (portal hypertension) .
- Hepatic ntini a ɛsiw `(Budd-Chiari syndrome)`
- Mmɛn anaa akyi berɛmo a ayɛ kɛse
- Akisikuru a ɛsɛe (splenic infarction anaa ahurututu a ɛpaapae) .
Dɛn na ɛba bere a wɔanya amanneɛbɔ no akyi?
Ebia ɛbɛyɛ yiye sɛ wubefi scan amanneɛbɔ yi mu de asɛm a edi mũ afa wo tebea no ho. Sɛ saa a, wo duruyɛfo no ne wo bɛkasa afa ayaresa ho. Ɛtɔ da bi a, wobetumi aka akyerɛ wo sɛ yɛ sɔhwɛ afoforo mfa nsi nea ɛwɔ amanneɛbɔ yi mu no so dua bio. Wo duruyɛfo bɛkyerɛkyerɛ eyinom nyinaa mu akyerɛ wo.
Nkrasɛm a Wɔde Kɔ Fie
- Liver-Spleen Scan yɛ sɔhwɛ a ahobammɔ wom yiye na ɛyɛ pɔtee a ɛhwɛ sɛnea mmerɛbo ne akyi berɛmo nyinaa yɛ adwuma .
- Adeyɛ no yɛ mmerɛw yiye. Nea ɛsɛ sɛ woyɛ ara ne sɛ wobɛtow aduru ketewaa bi na woada hɔ dinn wɔ scanner mu. Ɛnyɛ yaw.
- Sɛ woanyinsɛn, worenom nufu, anaasɛ wo ho yɛ wo hyew a, hwɛ hu sɛ wubedi kan aka akyerɛ wo duruyɛfo.
- Nom nsu pii da koro anaa nnanu wɔ scan no akyi.
- Mma wo nhaw wo ho wɔ sɔhwɛ no mu aba ho a ɛho nhia. Wo duruyɛfo bɛkyerɛkyerɛ biribiara mu na wama wo akwankyerɛ a wuhia.
💬 Comments (0)
Wɔnnya nyɛɛ nsɛm biara. Fa wo nsɛm no ka ho wɔ ha nea edi kan.
Fa wo nsɛm no ka ho