Momma yensua MUGA Scan a ɛhwɛ sɛnea koma no yɛ adwuma no ho ade.

Fa wo koma sɛ nsu pɔmpɛ. N’adwuma titiriw ne sɛ ɛbɛma mogya akɔ nipadua no nyinaa mu. Enti, wɔfrɛ sɔhwɛ titiriw bi a ɛkyerɛ sɛnea koma no yɛ adwuma yiye yi, kyerɛ sɛ, sɛnea koma no reyɛ adwuma yiye no MUGA scan. Ebia saa din yi yɛ ade foforo ma wo. Enti ɛnnɛ, momma yɛnka ho asɛm tiawa, wɔ ɔkwan a wubetumi ate ase so.

Dɛn ne MUGA scan?

Sɛ yɛbɛka no tiawa a, MUGA scan yɛ mfoninitwa nhwehwɛmu titiriw bi a ɛhwɛ, anaasɛ ɛkyerɛ sɛnea wo koma rebɔ mogya yiye. Nea ɛka ho ne sɛ wode ade ketewaa bi a ɛyɛ radioactive a wɔfrɛ no ``radionuclide'' bɛhyɛ wo ntini biako mu. Afei, wɔde mfoninitwa afiri soronko bi twa wo koma mfonini bere a saa ade yi ne wo mogya fa wo koma mu no.

Saa sɔhwɛ yi betumi ama woahu sɛnea wo koma ntini twetwe na ɛyɛ mmerɛw bere a woregye w’ahome ne bere a woreyɛ apɔw-mu-teɛteɛ no ho mfonini pefee. Edin afoforo a wɔde frɛ sɔhwɛ yi ne `radionuclide ventriculography (RNVG)` ne `equilibrium radionuclide angiocardiography (ERNA)`.

Dɛn ankasa na saa scan yi kyerɛ?

Ade titiriw a eyi susuw ne wo Ejection Fraction (EF) . Afei ebia woresusuw nea EF kyerɛ ho.

Fa no sɛ mogya ahyɛ wo koma ma, afei ɛtwetwe (ɛpia) na ɛde saa mogya no kɔ nipadua no mu. Nea yɛfrɛ no EF ne mogya dodow a ɛwɔ koma no mu nyinaa a wɔtwe fi mu bere a ɛtwetwe biara no ɔha biara mu nkyem 100.

Sɛ nhwɛso no, sɛ wo EF yɛ 70% a, ɛkyerɛ sɛ sɛ wo koma hyɛ mogya ma na ɛbɔ pɛnkoro a, ɛbɔ mogya dodow nyinaa mu 70% kɔ nipadua no mu. Obi a ɔwɔ apɔwmuden EF a ɛfata no yɛ 50% kosi 75%.

Bere bɛn na ɛho hia sɛ wɔyɛ MUGA scan?

Ebia wo duruyɛfo bɛkamfo nhwehwɛmu yi akyerɛ sɛ wowɔ komayare ho sɛnkyerɛnne ahorow a. Koma a entumi nyɛ adwuma yiye ne bere a koma no ntumi mfa mogya nkɔ yiye. Wɔakyerɛw sɛnkyerɛnne ahorow a ɛtaa ba a ebetumi aba wɔ saa bere yi mu no bi wɔ pon a ɛwɔ ase ha no so.

Afei nso, wo duruyɛfo betumi ahyɛ sɛ saa nhwehwɛmu yi ansa na wɔayɛ kokoram ayaresa bi anaasɛ bere a woawie no. Nea enti a ɛte saa ne sɛ kokoram ayaresa ahorow bi betumi asɛe koma no. Saa ayaresa ahorow yi bi ne:

• Nnompe mu ntini a wɔde si ananmu
• Nnuru a wɔde sa yare
• Nnuru a ɛko tia nyarewa
• Mframa a wɔde sa yare a wɔde ma koko

Nsonsonoe bɛn na ɛda MUGA scan ne Echo sɔhwɛ ntam?

Saa sɔhwɛ abien yi nyinaa ma wonya mfoniniyɛ ho nsɛm a ɛfa sɛnea koma no yɛ adwuma ho, nanso ɛsono akwan a wɔfa so yɛ no.

• Echocardiogram: Wɔde nnyigyei asorɔkye a ɛte sɛ ultrasound scan a wɔde hwɛ ɔbea a onyinsɛn ba no na edi dwuma wɔ sɔhwɛ yi mu. Oduruyɛfo na ɔtwe mfonini ahorow no bere a ɔde afiri titiriw bi (transducer) fa wo moma so no.
• MUGA scan: Eyi yɛ nuklea mfoniniyɛ ho sɔhwɛ. Ɛde radioactive tracer na edi dwuma.

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

Wo duruyɛfo bɛma wo akwankyerɛ pɔtee ansa na wɔayɛ nhwehwɛmu yi. Ɛho hia paa sɛ wubedi saa akwankyerɛ ahorow no akyi pɛpɛɛpɛ. Mpɛn pii no, eyinom bi ne:

• Kwati sɛ wubedidi anaa wobɛnom bɛyɛ nnɔnhwerew asia ansa na woayɛ sɔhwɛ no.
• Kwati caffeine (kɔfe, tii, anonne a ɛyɛ dɛ bi) nnɔnhwerew kakraa bi ansa na woayɛ nhwehwɛmu no, efisɛ caffeine betumi ama wo koma abɔ kɛse na aka nea efi nhwehwɛmu no mu ba no.
• Ka nnuru a worenom nyinaa kyerɛ wo duruyɛfo . Ebia ɛho behia sɛ wogyae koma mu nnuru bi (te sɛ nitrates anaa digoxin) da koro anaa nnanu ansa na wɔayɛ nhwehwɛmu no.

Dɛn na ɛba bere a wɔreyɛ sɔhwɛ no?

Adeyɛ no nyinaa betumi agye nnɔnhwerew biako kosi abiɛsa. Saa bere yi mu no, wobɛda sɔhwɛ pon so na wɔde mfoninitwa afiri titiriw bi asi wo moma so. Afei, mfiridwumayɛfo bi bedi anammɔn yi akyi:

1. Wɔde electrode ahorow pii (sticker te sɛ nea wɔde yɛ ECG) bɛhyɛ wo moma so. Eyinom bɛsusuw anyinam ahoɔden dwumadi a ɛwɔ wo koma mu.

2. Wɔde radioactive substance ``(radiotracer)`` a yɛadi kan aka ho asɛm no gu wo ntini biako mu.

3. Mfoninitwa afiri no twa wo koma mfonini fi mmeae ahorow.

Ɛtɔ da bi a, wɔbɛka akyerɛ wo sɛ yɛ apɔw-mu-teɛteɛ bi bere a wɔretwa mfonini ahorow no. Sɛ nhwɛso no , sɛ obi nantew wɔ afiri a wɔde tu mmirika so . Wɔyɛ eyi na ama wɔahu sɛnea wo koma yɛ n’ade wɔ adwennwen ho.

Dɛn na ɛba wɔ sɔhwɛ no akyi?

Asɛmpa no ne sɛ, sɛ sɔhwɛ no ba awiei pɛ a, wubetumi asan afi wo dwumadi ahorow a woyɛ daa, a karka ka ho no ase. Nanso kae ade biako: Nom nsu pii, a nsu ka ho , da koro anaa nnanu wɔ sɔhwɛ no akyi. Eyi bɛboa ma radioactive nneɛma no afi wo nipadua mu ntɛm.

So asiane bi wɔ eyi mu?

MUGA scan yɛ sɔhwɛ a ahobammɔ wom yiye ma nnipa dodow no ara. Nneɛma a ɛma anyinam ahoɔden a wɔde gu nipadua mu no sua koraa, enti ɛnyɛ nea epira. Na mpɛn pii no, woyi fi nipadua no mu koraa wɔ nnɔnhwerew 24 ntam.

Nanso, sɛ woanyinsɛn, wususuw sɛ ebia woanyinsɛn, anaasɛ worenom nufu a, akyinnye biara nni ho sɛ ɛsɛ sɛ woka eyi ho asɛm kyerɛ wo duruyɛfo , efisɛ wɔntaa nkamfo nhwehwɛmu yi nkyerɛ wɔ nsɛm a ɛtete saa mu.

Nneɛma a ɛsɛ sɛ wubisa wo duruyɛfo

Sɛ wowɔ nsɛmmisa foforo bi fa sɔhwɛ yi ho a, nsuro sɛ wubebisa wo duruyɛfo. Wubetumi abisa nneɛma te sɛ:

• Dɛn nti na mihia MUGA scan?
• Bere tenten ahe na sɔhwɛ yi gye?
• So biribi wɔ hɔ a ɛsɛ sɛ meyɛ pɔtee na ama masiesie me ho ama sɔhwɛ no?
• Mfaso bɛn na ɛwɔ sɔhwɛ yi so?
• Dɛn na nhwehwɛmu amanneɛbɔ no ka?
• Dɛn ne anammɔn a edi hɔ a mɛfa so wɔ sɔhwɛ yi akyi?