So woate lymphoscintigraphy nhwehwɛmu bi ho asɛm pɛn? Momma yɛnka ho asɛm nkɔ akyiri!

Ɛtɔ mmere bi a nnuruyɛfo ka nhwehwɛmu ahorow a yɛntee ho asɛm da ho asɛm, ɛnte saa? Lymphoscintigraphy yɛ emu biako. Ebia edin no bɛyɛ te sɛ nea ɛyɛ nwonwa kakra, nanso nokwarem no eyi yɛ sɔhwɛ a ɛho hia yiye a ɛboa ma yenya ntini a ɛwɔ yɛn nipadua mu no ho mfonini pa. Enti, momma yɛnka eyi ho asɛm tiawa, wɔ ɔkwan a wubetumi ate ase so?

Dɛn ne Lymphoscintigraphy?

Sɛ yɛbɛka no tiawa a, lymphoscintigraphy yɛ nuklea aduruyɛ mu mfoniniyɛ ho sɔhwɛ titiriw bi . Ɛma yɛn akwahosan ho adwumayɛfo te sɛ nnuruyɛfo ne ayarehwɛfo tumi twa wo ntini a ɛma mogya tu no ho mfonini a ɛkɔ akyiri . Saa mfonini ahorow yi betumi aboa wɔn ma wɔahu baabi pɔtee a wo ntini ahorow no wɔ, ahu sɛnea mogya mu nsu no sen, na mpo wɔahu sɛ ebia wowɔ nyarewa bi anaa.

Edin foforo a wɔde frɛ eyi ne "lymph node mapping." Ebia wɔfrɛ no saa efisɛ ɛte sɛ asase mfonini, na ɛboa ma wohu mmeae a ntini a ɛma mogya tu no wɔ.

Bere bɛn na wɔyɛ saa lymphoscintigraphy nhwehwɛmu yi?

Nnuruyɛfo de sɔhwɛ yi di dwuma titiriw esiane nneɛma kakraa bi nti. Ma yɛnhwɛ nea wɔyɛ:

• Sɛnea ɛbɛyɛ a wobehu kokoram ahorow bi na wɔayɛ no gyinabea: Wɔde eyi di dwuma titiriw de hu nufu mu kokoram ne melanoma, honam ani kokoram a emu yɛ den . Sɛ nhwɛso no, sɛ obi susuw sɛ ɔwɔ nufu mu kokoram a, nhwehwɛmu yi betumi aboa ma wɔasi so dua na wɔahu baabi a kokoram no atrɛw akodu.
• Hwehwɛ na fa oprehyɛn yi sentinel nodes: Afei ebia woresusuw nea sentinel node yɛ ho. Eyi ne ntini a kokoram nkwammoaa a efi akisikuru titiriw bi mu di kan trɛw kɔ mu. Ɛtɔ da bi a, sentinel node bɛboro biako betumi aba. Enti, sɛ nhwehwɛmu yi hu saa ntini a edi kan no a, nnuruyɛfo betumi ayi saa biako no ara afi hɔ ahwɛ sɛ kokoram no atrɛw anaa. Afei enhia sɛ woyi ntini afoforo a ɛte apɔw no fi hɔ.
• Hwehwɛ nyarewa a ɛwɔ ntini a ɛma mogya tu mu: Saa sɔhwɛ yi betumi aboa ma woahu tebea horow te sɛ lymphangiomatosis, lymphedema (akwaa a ɛho ahonhon esiane nsu a ɛmma mogya no nkɔ yiye nti), ne chylothorax .
• Hwɛ sɛnea ayaresa no rekɔ so: Wobetumi de lymphoscintigraphy nso ahwɛ sɛ ebia ayaresa a wɔde ma bere a wɔahu yare bi akyi no reyɛ adwuma yiye na sɛ yare no ano abrɛ ase anaa.

Ɔkwan bɛn so na lymphoscintigraphy nhwehwɛmu yi yɛ adwuma?

Ebia eyi bɛyɛ te sɛ nea nyansahu mu de kakra, nanso ma menkyerɛkyerɛ mu tiawa. Lymphoscintigraphy yɛ nuklea mfoniniyɛ ho sɔhwɛ. Eyi kyerɛ sɛ wo duruyɛfo de ade ketewaa bi a ɛma anyinam ahoɔden a wɔfrɛ no radiotracer di dwuma . Mma ɛnhaw wo, ɛyɛ ketewaa bi na ahobammɔ wom.

Sɛ wɔde saa `(radiotracer)` yi gu honam ani a, ɛkɔ na "ɛboaboa ano" wɔ mmeae a kokoram anaa ɔhaw afoforo wɔ. Saa `(radiotracer)` yi ma biribi a wɔfrɛ no `(gamma rays). Mfoninitwa mfiri soronko bi wɔ hɔ `(gamma mfoninitwa mfiri)` a ebetumi ahu saa mframa yi. Saa mfoninitwa afiri yi de saa data no kɔ kɔmputa bi so, na ɛyɛ nea ɛwɔ wo nipadua mu no ho mfonini. Mfaso kɛse biako a ɛwɔ saa kwan yi so ne sɛ etumi hu nyarewa ntɛm, ansa na mfoninitwa nhwehwɛmu afoforo atumi akyere.

Wɔtaa de saa `(radiotracer)` injection yi ma da a wɔbɛyɛ sɔhwɛ no. Nanso ɛtɔ mmere bi a wobetumi de ama da a edi kan no. Wɔde injection no ma wɔ wo honam ani, a ɛbɛn baabi a wɔbɛsɔ ahwɛ no. Nanso, ebetumi ayɛ soronko a egyina sɔhwɛ a woreyɛ no su so. Wo duruyɛfo no bedi kan aka eyi ho asɛm akyerɛ wo.

Ɔkwan bɛn so na ɛsɛ sɛ wusiesie wo ho ansa na sɔhwɛ yi aba?

Wo duruyɛfo bɛkyerɛ wo sɛnea wubesiesie wo ho ama lymphoscintigraphy, nanso mpɛn pii no, ma nneɛma yi ntra w’adwenem:

• Gyaw w’agude wɔ fie: Dade betumi atwetwe w’adwene bere a woretwa mfonini no, enti ɛbɛyɛ papa sɛ wubeyi nneɛma te sɛ asomuade ne kɔnmuade afi hɔ.
• Sɛ wonyinsɛn anaa worenom nufu a, ka kyerɛ wo duruyɛfo : Eyi ho hia yiye. Esiane sɛ wɔde nneɛma a ɛma anyinam ahoɔden di dwuma nti, ɛsɛ sɛ wɔhwɛ yiye titiriw wɔ nsɛm a ɛtete saa mu.
• Fa nnuru, vitamin, ne nnuru a wɔde ka aduan ho a worenom ho nsɛm a ɛyɛ foforo bra: Saa nsɛm yi ho hia nnuruyɛfo yiye.

Dɛn na ɛba bere a wɔreyɛ sɔhwɛ no?

Mpɛn pii no, lymphoscintigraphy yɛ ayaresa a wɔde kɔ ayaresabea. Eyi kyerɛ sɛ wubetumi akɔ fie da koro no ara wɔ sɔhwɛ no akyi. Nanso, ɛtɔ mmere bi a wobetumi ayɛ no da koro no ara a wɔbɛyɛ wo oprehyɛn no.

Sɛ wudu hɔ sɛ wobɛyɛ sɔhwɛ no a, akwahosan ho dwumayɛni bi de wo bɛkɔ sɔhwɛ dan bi mu na waka akyerɛ wo sɛ da pon so. (Ebia wobɛtumi ahyɛ w’ankasa wo ntadeɛ, anaasɛ wɔbɛka akyerɛ wo sɛ hyɛ atadeɛ soronko bi a wɔde bɛma wo.)

Afei, wɔde ade ketewaa bi na ɛde saa ``radiotracer'' a madi kan aka ho asɛm no gu wo honam ani.

Eyi ne nea ɛba bere a wɔde `(Radiotracer)` aka ho akyi:

• Saa ``gamma camera`` soronko no twa mfonini ahorow a ɛtoatoa so. Ɛdenam baabi a wopɛ sɛ wotwa mfonini no wɔ wo nipadua so so no, mfoninitwa afiri no betumi atra baabi biako, anaasɛ ebetumi adi akɔneaba atwa wo ho ahyia.
• Ebia mfiridwuma ho ɔbenfo no bɛka akyerɛ wo sɛ sesa gyinabea ahorow wɔ mfoninitwa ntam.
• Sɛ wode `(Gamma camera)` retwa mfonini aƐsɛ sɛ wotra hɔ dinn kakra. Ebia eyi bɛyɛ te sɛ nea ɛyɛ den kakra, nanso ɛho hia yiye sɛ wubenya mfonini ahorow a emu da hɔ.
• Mfiridwumayɛfo no bɛhwɛ sɛ wɔanya mfonini ahorow a wohia nyinaa anaa na afei wagyae wo ma woakɔ.

Kae sɛ wɔbɛboa wo ma saa adeyɛ yi nyinaa ayɛ mmerɛw sɛnea wubetumi. Nsuro sɛ wubebisa sɛ wowɔ nsɛmmisa bi a.

Dɛn na ɛsɛ sɛ yɛhwɛ kwan wɔ sɔhwɛ no akyi?

Gye sɛ wo duruyɛfo tu fo sɛ ɛnte saa, wubetumi asan afi wo dwumadi ahorow a woyɛ daa no ase ntɛm ara wɔ nhwehwɛmu no akyi. Radiotracer no bɛyi afiri wo nipadua mu wɔ wo nsuo ne wo nsuo mu wɔ nna mmienu kɔsi mmiɛnsa ntam. Nom nsu pii na aboa wɔ saa adeyɛ yi mu.

So asiane bi wɔ sɔhwɛ yi mu?

Ebia lymphoscintigraphy mfata obiara, titiriw wɔ nsɛm a edidi so yi mu:

• Sɛ woanyinsɛn anaa worenom nufu a.
• Sɛ wowɔ nufu mu kokoram a ɛyɛ hyew a .
• Sɛ akuru pii wɔ nufu no mu anaasɛ akuru a ne kɛse boro sɛntimita 5 wɔ hɔ a .
• Sɛ wowɔ tebea bi a wɔfrɛ no Ductal carcinoma in situ (DCIS) a .

Sɛ wowɔ biribi te sɛ eyi a, ɛho hia paa sɛ wudi kan ka kyerɛ oduruyɛfo no .

So nsunsuanso bɔne bi wɔ hɔ?

Lymphoscintigraphy yɛ sɔhwɛ a ɛntaa nsi koraa a ɛde ɔhaw ahorow ba. Nanso, ɛntaa mma koraa sɛ nnipa binom betumi anya radiotracer no ho akisikuru. Sɛ ɛba saa a, wo duruyɛfo de ayaresa a ɛho hia bɛma wo.

Bere tenten ahe na egye ansa na wɔahu nea efi sɔhwɛ no mu ba?

Mpɛn pii no wubenya wo lymphoscintigraphy nhwehwɛmu no mu aba wɔ dapɛn biako mu . Mfiridwuma ho nimdefo a ɔtwee mfonini ahorow no de bɛkɔ akɔma radiologist (oduruyɛfo a ne ho akokwaw wɔ nyarewa a wohu denam mfonini ahorow no a ɔbɛhwɛ so). Afei radiologist no ne oduruyɛfo a ɔkamfoo nhwehwɛmu no kyerɛɛ wo mfiase no nkyɛn ma wo ne nea ebefi mu aba no asusuw ho. Ebia eyi begye nna kakraa bi, nanso wo duruyɛfo no bɛfrɛ wo bere a wɔanya nea afi mu aba no ara pɛ.

Sɛ nea efi mu ba no nyɛ nea ɛfata a, dɛn na ɛba akyi?

Egyina tebea a wo duruyɛfo reyɛ ho nhwehwɛmu so. Nanso sɛ yɛbɛka no ɔkwan biara so a, sɛ wɔrehwehwɛ kokoram a, ade a edi hɔ a wɔbɛtaa ayɛ ne sentinel node biopsy. Ɛne sɛ, wogye ntini ketewaa bi fi sentinel node no mu na wɔsɔ hwɛ.

Nanso, wo duruyɛfo no ne wo bɛkasa na wakyerɛkyerɛ nea nea efi mu ba no kyerɛ ne nea ɛfata a edi hɔ a wobɛyɛ no mu, enti mma ɛnhaw wo.

So sɔhwɛ yi yɛ yaw?

Ɛnyɛ yaw sɛ wobɛsɔ wo ahwɛ.Wobɛte sɛ ade ketewaa bi abɔ wo bere a wɔde radiotracer no ahyɛ wo mu no. Ɛte sɛ nea wɔde aduru a wɔde twitwiw obi daa. Sɛ ɛnyɛ ɛno a, worente ɛyaw biara nka wɔ sɔhwɛ no mu.

So Lymphoscintigraphy de mframa a ano yɛ den na edi dwuma?

Yiw, lymphoscintigraphy nhwehwɛmu de nneɛma nketenkete bi a ɛma mogya tu (radiotracers) di dwuma de hwehwɛ wo ntini a ɛma mogya tu no na wohu sɛnea wo ntini a ɛma mogya tu no reyɛ adwuma. Sɛnea madi kan aka no, saa sika yi sua koraa na asiane biara nni ho. Mpɛn pii no, saa radiotracer ahorow yi fi wo nipadua mu koraa wɔ da koro anaa nnanu mu.

Bere tenten ahe na sɔhwɛ yi gye?

Ɛsono nea egyina nea enti a wɔyɛɛ sɔhwɛ no ne beae a ɛka no kɛse so. Wɔ nnipa binom fam no, ebia lymphoscintigraphy begye bɛyɛ simma 30. Wɔ afoforo fam no, ebetumi agye nnɔnhwerew pii. Wo duruyɛfo betumi ama woahu bere tenten a wo nhwehwɛmu no begye.

Enti, nneɛma bɛn na etwa to a ɛsɛ sɛ yɛkae?

Ɛmfa ho sɛnea w’akwahosan tebea te biara no, sɛ wubehu ntɛm no yɛ ade titiriw. Saa sɔhwɛ yi a wɔfrɛ no lymphoscintigraphy no betumi aboa nnuruyɛfo ma wɔahu kokoram ne nyarewa bi a ɛwɔ lymphatic system no mu ansa na wɔde nhwehwɛmu afoforo ahu. Eyi betumi ama hokwan a wowɔ sɛ wubenya ayaresa no ayɛ kɛse.

Sɛ wowɔ nsɛmmisa bi fa lymphoscintigraphy anaa nea wobɛyɛ akyi a, ntwentwɛn wo nan ase sɛ wubebisa wo duruyɛfo. Wɔn ani gye sɛ wɔbɛboa wo.

Kae sɛ, sɔhwɛ ahorow yi wɔ hɔ sɛ ɛbɛboa wo. Enti nsuro wɔn a ɛho nhia. Wo ne wo duruyɛfo nsusuw biribiara ho na yi adwenem naayɛ biara fi hɔ.

` Lymphoscintigraphy, Lymph nhyehyɛe, Lymph nodes, Sentinel nodes, Kokoram a wohu, Nufu mu kokoram, Melanoma, Nuklea aduruyɛ