So wotee ehu anaa ehu nka kakra bere a oduruyɛfo no ka kyerɛɛ wo sɛ ɛsɛ sɛ wɔyɛ ‘asaabo mu nhwehwɛmu’ no? Yɛn mu pii ho yeraw yɛn kakra bere a yɛte asɛmfua "scan" no. "Dɛn na eyi behu?", "So eyi yɛ biribi a ɛyɛ den?", "Wɔde nneɛma a ɛma radioactive gu wo nipadua mu, ɛnte saa?" Nsɛmmisa pii ba w’adwenem. Nanso nokwarem no, eyi nyɛ hu sɛnea wususuw no. Eyi yɛ sɔhwɛ a ahobammɔ wom yiye, a wɔyɛ no daa. Enti ɛnnɛ, momma yɛnsiesie w’adwenem naayɛ nyinaa wɔ saa Renal Scan, anaa Kidney Scan yi ho.
Sɛ yɛbɛka no tiawa a, dɛn ne Renal Scan?
Fa w’asaabo sɛ nsu a wɔde yiyi mu abien wɔ yɛn fie. Wɔn adwuma titiriw ne sɛ wɔbɛyi nwura a ɛwɔ nipadua no mu no mu na wɔahohoro mu na wɔayi afi mu sɛ nsu. Enti, Renal Scan yɛ nhwehwɛmu titiriw bi a wɔyɛ de hwɛ sɛ saa asaabo yi reyɛ n’adwuma yiye, sɛ mogya retu yiye, ne sɛ ebia ne nsusuwii, ne kɛse, ne ne gyinabea teɛ anaa.
Eyi nyɛ X-ray anaa CT scan a wɔyɛ no daa. Eyi yɛ sɔhwɛ a wɔfrɛ no Nuklea Aduruyɛ. Nea ɛkɔ so wɔ ha ne sɛ wɔde ade ketewaa bi a ɛyɛ radioactive (radioisotope anaa radiotracer) gu ntini bi a ɛwɔ wo basa mu mu. Nsuro, ɛwom sɛ ɛyɛ "radioactive" de, nanso ɛnyɛ asiane mma wo nipadua. Ɛte sɛ "dye" soronko bi a ɛboa wɔ sɔhwɛ no mu nkutoo na efi wo nipadua mu bere tiaa bi akyi.
Sɛ aduru yi fa ntini no mu kɔ asaabo no mu a, wɔde mfoninitwa afiri soronko bi a wɔfrɛ no gamma camera , di dwuma de twa asaabo no mfonini. Aduru no ma wotumi hu asaabo no yiye wɔ kɔmputa so. Eyi ma oduruyɛfo no hu asaabo mu yare biara anaa nea asɛe no ntɛm.
Dɛn nti na oduruyɛfo bɛka akyerɛ wo sɛ yɛ saa scan yi?
Afei ebia worebisa wo ho sɛ, "Dɛn nti na na ɛsɛ sɛ meyɛ eyi bere a sɔhwɛ afoforo pii wɔ hɔ no?" Nneɛma pii nti na oduruyɛfo betumi de ɔyarefo bi akɔyɛ Renal Scan.
- Ɛgyina nea efi nhwehwɛmu afoforo mu ba so: Sɛ wo mogya mu nhwehwɛmu anaa wo nsu mu nhwehwɛmu kyerɛ sɛ ɔhaw bi wɔ w’asaabo dwumadi mu a, saa scan yi betumi aboa wo ma woasua ho ade akɔ akyiri.
- Allergy to X-ray dye: X-ray ne CT scan binom de dye soronko bi a wɔfrɛ no ``contrast dye.'' Nnipa binom betumi ayɛ allergy wɔ saa dyes yi ho. Sɛ ɛho hia sɛ wɔyɛ obi asaabo mu nhwehwɛmu a, Renal Scan yɛ ɔkwan a ahobammɔ wom yiye .
- Wɔ asaabo foforo akyi: Sɛ wɔde asaabo foforo ama wo a, wɔyɛ nhwehwɛmu yi daa de hwɛ sɛnea asaabo foforo no reyɛ adwuma wɔ nipadua no mu.
- Mogya mmoroso (Hypertension): .Ɛtɔ mmere bi a, mogya mmoroso a ɛyɛ den sɛ wobedi so no betumi afi asaabo mu haw bi mu aba. Saa scan yi ho hia na ama woahu nea ɛde ba ankasa.
- Nsuo kwan a ɛsiw: Sɛ wosusu sɛ biribi asiw nsuo a ɛsen no mu a, eyi bɛboa ma wɔahu baabi a asiw no wɔ ne sɛ ebia ɛreka asaabo no.
Ayaresa tebea bɛn na wobetumi de saa scan yi ahu?
Ɛnyɛ asaabo no dwumadi nko na adwene mu nhwehwɛmu betumi ama wɔanya nsɛm, na mmom nyarewa dodow bi a ɛfa ho nso. Momma yɛnhwɛ nea wɔyɛ.
| Aduruyɛ mu tebea | Wɔakyerɛkyerɛ mu tiawa |
|---|---|
| Renal Hypertension (Adwene mu Nkɔso). | Mogya mmoroso a ɛnam ntini atitiriw a ɛde mogya kɔ asaabo mu no a ɛyɛ teateaa so na ɛba. |
| Asaabo a ɛho ahonhon (Hydronephrosis) . | Esiane sɛ biribi asiw nsu kwan no mu nti, nsu no boaboa ano na asaabo no hohoro. |
| Asaabo mu Ntini, Akisikuru, anaa Akisikuru | Asaabo no mu nyin a ɛnteɛ a wobehu. |
| Adwene mu Ntini a Ɛyɛ Stenosis | Ntini a ɛde mogya kɔ asaabo mu no a esiw anaasɛ ɛyɛ teateaa. |
| Vesicoureteral Nkwammoaa a Ɛsan Fa Nsu Mu | Nsu fi akisikuru no mu kɔ akyi kɔ asaabo no mu. Eyi abu so wɔ mmofra nkumaa mu titiriw. |
So Renal Scan ahorow bi wɔ hɔ?
Yiw, Renal Scan ko a wo duruyɛfo kamfo kyerɛ no betumi ayɛ soronko a egyina wo haw no so. Ahorow atitiriw anan na ɛwɔ hɔ.
1. ACE Inhibitor Renal Scintigraphy: Wɔyɛ eyi de hwɛ sɛ ebia mogya ntini a ɛde mogya kɔ asaabo mu no a ɛyɛ teateaa na ɛde wo mogya mmoroso ba anaa. Ɛha yi, wɔyɛ scan ansa na wɔama wo mogya mmoroso aduru (ACE inhibitor) ne bere a wɔama wo akyi.
2. Diuretic Renal Scintigraphy: Sɛ wosusuw sɛ nsu a ɛkɔ nsu mu no asiw a, wɔyɛ eyi. Ɛha yi, wɔma nsuo a wɔde yi nsuo na wɔhwehwɛ sɛnea nsuo fa asaabo no mu.
3. Renal Cortical Scintigraphy: Eyi hwehwɛ asaabo no akyi fã a wɔfrɛ no renal cortical tissue no mu. Eyi boa ma wohu sɛ ebia asaabo no asɛe wɔ oprehyɛn akyi anaasɛ akuru bi wɔ hɔ esiane ɔyare mmoawa nti.
4. Renal Perfusion Scan: Eyi kyerɛ sɛnea mogya ma asaabo no yiye (perfusion). Wɔde susuw adwene mu ntini no trɛw ne sɛnea asaabo no yɛ adwuma.
Wo duruyɛfo nim saa ahorow yi mu nea ɛsɛ sɛ woyɛ no yiye, enti bisa no ho asɛm.
Ɔkwan bɛn so na ɛsɛ sɛ misiesie me ho ansa na wɔayɛ scan?
Eyi ho hia paa. Sɛnea ɛbɛyɛ a nea efi scan no mu ba no bɛyɛ pɛpɛɛpɛ no, ɛsɛ sɛ wudi kan siesie wo ho kakra.
- Ka nnuru a wonom nyinaa ho asɛm kyerɛ wo duruyɛfo, a vitamin, nhabannuru, ne nnuru a wɔde ka aduan ho ka ho. Ebia wɔbɛka akyerɛ wo sɛ gyae nnuru bi a wɔde kum ɛyaw, titiriw nnuru a ɛnyɛ steroid a ɛko tia ɔyare mmoawa (NSAID) te sɛ ibuprofen ne aspirin, nna kakraa bi ansa na wɔayɛ nhwehwɛmu no.
- Hu w’akwahosan tebea horow:
- Sɛ woanyinsɛn anaasɛ woreyɛ nhyehyɛe sɛ wubenyinsɛn a , hwɛ hu sɛ wobɛka akyerɛ wo duruyɛfo, efisɛ mframa a ɛbɔ no betumi aka akokoaa no.
- Sɛ woyɛ ɛna a ɔma nufu a , ka saa nso kyerɛ no. Esiane sɛ radioactive nneɛma no betumi akɔ nufusu no mu nti, wotu wo fo sɛ kwati sɛ wobɛma wo ba no nufu nnɔnhwerew kakraa bi wɔ scan no akyi.
- Sɛ wowɔ allergy biara (nnuru, latex, ne nea ɛkeka ho) a, yɛsrɛ sɛ ka ho asɛm.
- Sɛ wusuro mmeae nketewa a wɔato mu (claustrophobia) a, ka ho asɛm. Esiane sɛ mfoninitwa afiri no bɛbɛn wo nipadua kakra nti, wubetumi aka ɔkwan bi a wobɛfa so ama wo ho atɔ wo ho asɛm.
- Sɛ wowɔ suro a ɛfa nnade ho (trypanophobia) , ka saa nso kyerɛ adwumayɛfo no. Wɔbɛboa ma wo bo adwo.
- Nom nsu: Wɔbɛtu wo fo sɛ nom nsuo pii ansa na woayɛ scan.
- Tow: Wɔbɛka akyerɛ wo sɛ yi wo dwonku (tow) ansa na wɔafi ase ayɛ scan no.
- Ntade ne Agude: Hyɛ ntade a ɛyɛ fɛ na ɛnyɛ den. Yi dade agude anaa ahwehwɛ biara fi hɔ. Wobetumi asiw scan no kwan.
Dɛn na ɛba bere a wɔreyɛ scan no?
Sɛ wokɔ scanning dan mu a, eyinom ne anammɔn a wotaa di akyi.
1. Nuklea aduruyɛ ho ɔbenfo de kankyee ketewaa bi (IV line) bɛhyɛ ntini bi a ɛwɔ wo nsa anaa wo nsa mu mu.
2. Afei, wɔde aduru titiriw bi a ɛma anyinam ahoɔden (radiotracer) fa kankyee no mu gu nipadua no mu. Worente ɛyaw biara nka saa bere yi.
3. Wɔbɛma woada anaa woada sɔhwɛ pon so.
4. Afei wɔde gamma camera no si w’asaabo no so na wofi ase twa mfonini. Saa mfoninitwa afiri yi ntumi nkɔ wo nipadua mu . Ɛde nkakrankakra twa wo nipadua ho hyia anaasɛ ɛfa so kɛkɛ.
5. Mfiridwuma ho nimdefo no bɛhwɛ mfonini ahorow yi so wɔ kɔmputa so. Ɛtɔ da bi a wɔbɛka akyerɛ wo sɛ tra hɔ dinn, na mmere foforo nso wobetumi aka akyerɛ wo sɛ sesa wo gyinabea te sɛ wo ho a wode bɛto wo ho kakra.
Mpɛn pii no, saa adeyɛ yi nyinaa betumi agye simma 30 kosi nnɔnhwerew 2 , a egyina scan ko a woreyɛ so.
Dɛn na ɛba bere a wɔayɛ scan no akyi? So asiane ahorow bi wɔ hɔ?
Sɛ wɔyɛ scan no wie a, wobeyi cannula no na woatumi akɔ fie. Wubetumi akɔ so ayɛ wo dwumadi ahorow a wotaa yɛ da no.
Mma aduru a wode ahyɛ wo nipadua mu no nhaw wo. Bere a wonom nsu pii na wototo wo ho da mũ no nyinaa no, ɛkame ayɛ sɛ aduru no befi wo nipadua mu koraa.
Afei ma yɛnhwɛ asiane ahorow a ɛwom. Asiane ahorow no sua koraa . Nokwarem no, mframa a wɔde di dwuma no sua koraa sen nea efi X-ray a wɔyɛ no daa mu no.
Eyinom yɛ nsɛm a ɛntaa nsi koraa:
- Allergy: Ɛntaa mma koraa sɛ obi bɛnya allergy wɔ saa aduru no ho.
- Ɛyaw a ɛba baabi a kankyee no wɔ: Beae a kankyee no wɔ no betumi ayɛ kɔkɔɔ kakra, ɛho ahonhon, anaasɛ ɛbɛyɛ yaw. Sɛ eyi ankɔ fam wɔ nna kakraa bi mu a, ka kyerɛ wo duruyɛfo.
Afotu a ɛho hia: Kwati sɛ wo ne mmofra nkumaa ne mmea a wɔyem bedi nkitaho kɛse (sɛ nhwɛso no, wobɛkura mu) anyɛ yiye koraa no nnɔnhwerew 24 wɔ scan no akyi sɛ ahwɛyiye.
Sɛ wonya amanneɛbɔ no a, dɛn na ɛba?
Mfonini ahorow a efi scan no mu no, radiologist anaa nuklea aduruyɛ ho ɔbenfo na ɔhwɛ mu yiye, na ɔyɛ amanneɛbɔ na ɔde kɔma wo duruyɛfo. Afei oduruyɛfo no bɛfrɛ wo ma wakyerɛkyerɛ nea ɛwɔ amanneɛbɔ no mu ne nea ɛsɛ sɛ wɔyɛ akyi.
Sɛ amanneɛbɔ no kyerɛ sɛ ɔhaw bi wɔ hɔ a, oduruyɛfo no betumi ahyɛ sɛ wɔnyɛ nhwehwɛmu foforo na ama wɔahu tebea no pɛpɛɛpɛ. Nhwɛsoɔ:
- Ultrasound scan, MRI anaa CT scan
- Asaabo dwumadi ho nhwehwɛmu afoforo
- Asaabo mu nhwehwɛmu
Nsuro. Wɔyɛ eyi nyinaa de hu nea ɛyɛ wo haw no ankasa na wɔama wo ayaresa a eye sen biara.
Nkrasɛm a Wɔde Kɔ Fie
- Renal scan yɛ nhwehwɛmu a ahobammɔ wom yiye na ɛnyɛ yaw a ɛhwɛ sɛnea w’asaabo reyɛ adwuma yiye.
- Nneɛma a ɛma anyinam ahoɔden a wɔde di dwuma wɔ eyi mu no sua koraa, na ennu X-ray a wɔde di dwuma daa mpo.
- Ansa na wobɛyɛ scan , hwɛ hu sɛ wobɛka nnuru a wonom nyinaa, allergy biara a wowɔ, ne sɛ ebia woanyinsɛn/worema nufu ho asɛm akyerɛ wo duruyɛfo .
- Sɛ wonom nsu pii wɔ scan no akyi a, aduru a wode bedi dwuma no bɛfa wo nsu mu akɔ wo nipadua mu.
- Sɛ wowɔ nsɛmmisa anaa nsɛm bi a ɛhaw wo wɔ sɔhwɛ yi ho a, ntwentwɛn wo nan ase sɛ wubebisa oduruyɛfo anaa mfiridwuma ho nimdefo a ɔreyɛ nhwehwɛmu no.
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