So wo duruyɛfo aka akyerɛ wo sɛ yɛ nhwehwɛmu bi a wɔfrɛ no Lymphoscintigraphy? Ebia sɛ wote din no a, ehu ka wo kakra. Ɛyɛ ade a ɛfata sɛ wobisa nsɛm te sɛ, ‘Sɔhwɛ bɛn na eyi yɛ? So ɛbɛyɛ yaw? So asiane ahorow bi wɔ hɔ?’ sɛ ɛbɛba w’adwene mu. Ɛwom sɛ aduruyɛ mu nhwehwɛmu ahorow yi din yɛ den kakra de, nanso nokwarem no, nea wɔyɛ no yɛ mmerɛw yiye. Enti ɛnnɛ, momma yɛnka nea Lymphoscintigraphy yɛ, sɛnea wɔyɛ no, ne nea enti a ɛho hia wɔ ɔkwan a ɛyɛ mmerɛw yiye a wubetumi ate ase so.
Dɛn ne Lymphoscintigraphy?
Sɛ yɛbɛka no tiawa a, eyi yɛ scan titiriw bi a ɛhwɛ ntini a ɛwɔ yɛn nipadua mu no. Ebia woate X-ray ne CT scan ho asɛm. Wɔyɛ ade koro, nanso eyi nhwɛ nneɛma te sɛ nnompe anaa amemene, na mmom sɛnea ntini a ɛma mogya tu no yɛ adwuma.
Susuw yɛn nipadua ho sɛ kurow. Nhyehyɛe bi wɔ hɔ a eyi nwura a ɛwɔ saa kurow no mu no fi hɔ na ɛho tew. Saa na yɛn nipadua no mu ntini a ɛma mogya tu no te. Eyi nneɛma a yɛmpɛ, te sɛ mmoawa, fi nipadua no mu na ɛbɔ yɛn nipadua mu tumi a ɛko tia nyarewa no ho ban. Nneɛma nketenkete a wɔde yiyi nneɛma mu wɔ nhyehyɛe yi nyinaa so. Yɛfrɛ wɔn ntini a ɛma mogya tu .
Wɔ lymphoscintigraphy scan mu no, wo duruyɛfo de aduru ketewaa bi a ahobammɔ wom a ɛma mframa bɔne (radiotracer) gu wo nipadua mu. Mma ɛnhaw wo, mframa a ɛbɔ no sua koraa na ɛrempira wo nipadua. Bere a ade no fa wo ntini a ɛma mogya tu no mu no, mfoninitwa afiri titiriw bi (gamma mfoninitwa afiri) twa ne mfonini. Ɛte sɛ nea worekyere ogyaframa wɔ sum mu. Saa mfonini ahorow yi boa wo duruyɛfo ma ohu baabi pɔtee a kokoram nkwammoaa asiw, yare, anaa ɛtrɛw wɔ wo ntini mu.
Dɛn nti na wɔreyɛ sɔhwɛ yi? Dɛn na ehu?
Nneɛma atitiriw pii nti na wɔyɛ sɔhwɛ yi. Ma yɛnhwɛ nea wɔyɛ.
| Ade titiriw nti a wɔyɛ sɔhwɛ no | Nkyerɛkyerɛmu a ɛnyɛ den |
|---|---|
| Sɛnea ɛbɛyɛ a wobehu kokoram na wɔakyekyɛ mu | Titiriw nufu mu kokoram ne melanoma, honam ani kokoram a emu yɛ den.Wɔ tebea horow a ɛte sɛɛ mu no, sɔhwɛ yi boa ma wohu sɛ ebia kokoram no atrɛw akɔ ntini a ɛma mogya tu no mu ne baabi a kodu (staging). |
| Sɛnea ɛbɛyɛ a wobehu ‘sentinel’ lymph node no | Wo de susuw ho hwɛ sɛ owifo bi ba wo fie a, so wo kraman na obedi kan abobom? Saa ara nso na sɛ kokoram nkwammoaa fi ase trɛw wɔ nipadua no mu a, wɔfrɛ ntini a edi kan a saa nkwammoaa no kɔ no ‘ sentinel node.’ Saa sɔhwɛ yi betumi ahu onii ko a saa ‘ɔwɛmfo’ a odi kan no yɛ. Afei, bere a wɔreyɛ oprehyɛn no, sɛ́ anka wobeyi ntini pii a ɛho nhia no, saa ɔwɛmfo ntini yi nkutoo na wobetumi ayi na wɔayɛ mu nhwehwɛmu. |
| Sɛnea ɛbɛyɛ a wobehu nyarewa afoforo a ɛwɔ lymphatic system no mu | Wɔde sɔhwɛ yi nso di dwuma de hu tebea horow te sɛ lymphedema a ɛyɛ akwaa a ɛho ahonhon esiane ntini a ɛma mogya tu no siw nti. Ɛho hia nso sɛ wohu tebea afoforo a wɔntaa nhu te sɛ lymphangiomatosis ne chylothorax . |
| Sɛnea ɛbɛyɛ a wɔbɛhwɛ sɛnea ayaresa ahorow no di yiye | Sɛ wohu yare bi wie a, ɛtɔ mmere bi a wɔyɛ saa scan yi de hwɛ sɛnea ayaresa no adi yare no so yiye anaasɛ ama atu mpɔn. |
Ɔkwan bɛn so na ɛsɛ sɛ misiesie me ho ma sɔhwɛ yi?
Eyi nhia ahosiesie pii, nanso nneɛma kakraa bi wɔ hɔ a ɛsɛ sɛ yɛma ɛtra yɛn adwenem.
- Yi agude na gyaw wɔ fie. Dade te sɛ kɔnmuade, nkapo, ne asomuade betumi asiw nea efi scan no mu ba no kwan. Enti ɛyɛ papa sɛ worenhyɛ da no.
- Sɛ woanyinsɛn anaa worenom nufu a, hwɛ hu sɛ wobɛka akyerɛ wo duruyɛfo. Oduruyɛfo no na obesi gyinae sɛ ebia nhwehwɛmu yi fata wɔ nsɛm yi mu anaasɛ ɛnte saa.
- Fa nnuru, vitamin, ne nnuru a wɔde ka aduan ho a worenom mprempren nyinaa ho kyerɛwtohɔ bra. Ɛho hia paa sɛ wo duruyɛfo no hu nnuru a worenom no.
Dɛn na ɛba bere a wɔreyɛ sɔhwɛ no?
Mpɛn pii no eyi yɛ nhwehwɛmu a wɔyɛ wɔ ayaresabea a wubetumi ayɛ a worentra ayaresabea. Ɛtɔ da bi a, wobetumi ayɛ no anɔpa koro no ara a wɔbɛyɛ wo oprehyɛn no.
1. Sɔhwɛ dan mu a wobɛkɔ:Ayaresabea ho ɔbenfo bi de wo bɛkɔ baabi a wɔyɛ nhwehwɛmu no. Wɔbɛka akyerɛ wo sɛ da pon so. Ebia wɔbɛka akyerɛ wo sɛ tra wo ntade mu, anaasɛ wɔbɛka akyerɛ wo sɛ hyɛ ayaresabea atade.
2. Injection: Afei, wɔde ade ketewaa bi a ɛyɛ radioactive a madi kan aka ho asɛm (`(radiotracer)`) no gu wo honam ani. Wɔtaa yɛ eyi wɔ baabi a ɛbɛn baabi a wɔbɛhwehwɛ mu no. Sɛ nhwɛso no, sɛ yɛrehwɛ nufu mu kokoram a, wɔde aduru no kɔ honam ani a atwa nufu no ho ahyia no mu. Ɛte sɛ nea ɛyɛ hyew kakra, te sɛ nea ntɛtea aka wo, nanso sɛ ɛnyɛ ɛno a, ɛnyɛ yaw kɛse.
3. Mfoninitwa: Wɔ injection no akyi bere tiaa bi no, gamma camera soronko bi (`(gamma camera)`) befi ase atwa wo nipadua no mfonini. Saa bere yi mu no, mfoninitwa afiri no betumi adi akɔneaba atwa wo ho ahyia, anaasɛ ebetumi atra baabi biako. Ebia mfiridwuma ho nimdefo no bɛka akyerɛ wo sɛ sesa wo gyinabea.
4. Ntu: Ɛho hia paa sɛ wobɛtra hɔ dinn bere a woretwa saa mfonini ahorow yi. Sɛ wutu a, ebia mfonini ahorow no mu nna hɔ. Nanso eyi nyɛ bere tenten, ɛsɛ sɛ wotra hɔ dinn bere tiaa bi.
5. Sɔhwɛ awie: Sɛ wɔtwa mfonini a ɛho hia nyinaa wie a, mfiridwumayɛfo no bɛhwɛ sɛnea emu da hɔ na wama wo kwan ma woakɔ fie.
Wɔ sɔhwɛ no ne asiane ahorow a ɛwom akyi
Sɔhwɛ no akyi no, wubetumi akɔ so ayɛ wo dwumadi ahorow a wotaa yɛ no. Biribiara titiriw biara nni hɔ a ɛsɛ sɛ woyɛ gye sɛ oduruyɛfo no de akwankyerɛ foforo ma wo.
Mma radioactive nneɛma a wɔde guu wo nipadua mu no nhaw wo. Ɛbɛfa wo nsuo ne wo nsuo mu afiri wo nipadua mu koraa wɔ da koro anaa nnanu mu. Nea ɛbɛyɛ na saa adeyɛ yi ayɛ ntɛmntɛm no, ɛsɛ sɛ wonom nsu pii.
Asiane ne nea efi mu ba
Lymphoscintigraphy yɛ nhwehwɛmu a ahobammɔ wom yiye, nanso te sɛ aduruyɛ mu nhwehwɛmu nyinaa no, asiane ahorow bi wɔ hɔ.
| Asiane/nsunsuanso bɔne | Nkyerɛmu |
|---|---|
| Nneɛma a ɛne ne ho nhyia ma nnipa binom | Sɛ woanyinsɛn, worema nufu, anaasɛ wowɔ nufu mu kokoram ahorow bi (nufu mu kokoram a ɛyɛ hyew, DCIS) .Anaasɛ sɛ wowɔ akisikuru a ɛsõ sen sɛntimita 5 a, ebia nhwehwɛmu yi remfata wo. Wo duruyɛfo na obesi gyinae a etwa to. |
| Nneɛma a ɛma obi ho yɛ no yaw | Asiane a ɛwɔ hɔ sɛ obi benya akisikuru wɔ ade a ɛma anyinam ahoɔden (radiotracer) a wɔde ahyɛ nipadua no mu no ho sua koraa . Ɛne sɛ, ɛba fam koraa. Sɛ eyi ba a, ayaresabea adwumayɛfo no de ayaresa a ɛho hia bɛma ntɛm ara. |
Nsɛmmisa afoforo a ebia wowɔ
So eyi yɛ yaw?
Dabi, ɛwom sɛ ebia wobɛte nka sɛ worebɔ wo kakra bere a wɔde aduru no ahyɛ wo mu ansa na woayɛ nhwehwɛmu no de, nanso worente ɛyaw biara bere a wɔreyɛ scan no.
So wode mframa a ano yɛ den di dwuma ma eyi?
Aane. Nanso mframa a wɔde di dwuma no sua koraa, na asiane biara nni ho. Ɛremfa ɔhaw biara mma wo nipadua no bere tenten. Na ade no befi wo nipadua mu koraa wɔ nna kakraa bi mu.
Bere tenten ahe na ebegye?
Bere a egye no betumi ayɛ soronko wɔ onipa biara ho. Wɔ nnipa binom fam no, egye bɛyɛ simma 30. Wɔ afoforo fam no, ebetumi agye nnɔnhwerew pii. Egyina nea enti a wɔreyɛ sɔhwɛ no ne nipadua no fã a wɔresɔ ahwɛ no so.
Bere tenten ahe na egye ansa na amanneɛbɔ no aba?
Mpɛn pii no, wonya nea efi mu ba no wɔ dapɛn biako mu. Mfiridwumayɛfo a ɔfaa scan mfonini ahorow no de kɔma oduruyɛfo a ɔhwɛ mframa a wɔde hwɛ nneɛma so. Ɔhwehwɛ mfonini ahorow no mu na ɔyɛ amanneɛbɔ. Sɛ oduruyɛfo a ɔde wo kɔyɛɛ nhwehwɛmu no nsa ka amanneɛbɔ no wie a, ɔbɛfrɛ wo abɛka ho asɛm.
Na sɛ biribi a ɛyɛ soronko wɔ amanneɛbɔ no mu nso ɛ?
Sɛ amanneɛbɔ no kyerɛ sɛ biribi a ɛyɛ soronko wɔ hɔ a, nea ɛsɛ sɛ woyɛ akyi no begyina nea enti a wɔde wo kɔɔ sɔhwɛ mu wɔ nea edi kan no so.
Sɛ nhwɛso no, sɛ wɔyɛ eyi de yi kokoram fi hɔ, na wohu sɛ sentinel node bi nyɛ nea ɛfata a, mpɛn pii no ade a edi hɔ ne sentinel node biopsy . Nea ɛka eyi ho ne oprehyɛn a wɔde yi sentinel node no fã ketewaa bi na wɔde afiri a wɔde hwɛ nneɛma nketenkete hwehwɛ mu hwɛ sɛ ebia kokoram nkwammoaa wɔ mu anaa.
Mma biribiara nnhaw wo. Wo duruyɛfo bɛkyerɛkyerɛ biribiara mu akyerɛ wo, asusuw ayaresa a eye sen biara a wobetumi afa so ama wo ho, na wama wo ano aduru a eye sen biara.
Wɔ yare biara mu no, ntɛm a wobehu no ne ade a ɛho hia sen biara. Lymphoscintigraphy yɛ adwinnade a ɛsom bo a ebetumi aboa ma wɔahu kokoram ne ntini mu nyarewa a ɛyɛ den sɛ wɔde nhwehwɛmu afoforo hu no ntɛm. Eyi ma hokwan a wowɔ sɛ wubenya ayaresa no yɛ kɛse.
Nkrasɛm a Wɔde Kɔ Fie
- Lymphoscintigraphy yɛ scan a ahobammɔ wom a wɔde hwɛ sɛnea wo nipadua mu ntini a ɛma mogya tu no yɛ adwuma.
- Wɔde eyi di dwuma titiriw de hu kokoram te sɛ nufu mu kokoram, melanoma, ne nyarewa a ɛwɔ ntini a ɛma mogya tu mu.
- Ɛwom sɛ injection a wɔde ma ansa na wɔayɛ nhwehwɛmu no yɛ yaw kakra de, nanso ɛyaw biara nni hɔ bere a wɔreyɛ scan no.
- Mframa a wɔde di dwuma no sua koraa, na efi nipadua no mu wɔ nna kakraa bi mu.
- Sɛ woanyinsɛn anaa worenom nufu a, hwɛ hu sɛ wobɛbɔ wo duruyɛfo amanneɛ.
- Saa sɔhwɛ yi boa ma wohu nyarewa ntɛm, na ɛma wunya hokwan a eye sen biara sɛ wobɛsa yare no yiye. Sɛ wowɔ nsɛmmisa foforo bi fa eyi ho a, ntwentwɛn wo nan ase sɛ wubebisa wo duruyɛfo.
💬 Comments (0)
No comments yet. Be the first to share your thoughts here.
Add Your Comment