So mpofirim ara ayɛ den ma wo sɛ wobɛhome anaasɛ wo koko ayɛ wo yaw na oduruyɛfo no aka akyerɛ wo sɛ yɛ VQ scan? Ebia wotee ehu nka kakra bere a ɔkaa saa no. "Dɛn ne saa VQ scan yi?" "Ɛte sɛn?" "So ɛyɛ yaw?" Ebia nsɛmmisa pii bɛba w’adwenem. Mma ɛnhaw wo, yɛbɛka eyi ho asɛm tiawa koraa nnɛ, wɔ ɔkwan a wubetumi ate ase so.
Sɛ yɛbɛka no tiawa a, dɛn ne VQ scan?
VQ scan yɛ sɔhwɛ a ɛnyɛ yaw, a ɛwɔ afã abien a ɛtwa w’ahurututu mu dwumadi ho mfonini. Ɛhwɛ sɛnea w'ahurututu reyɛ adwuma yiye ne sɛnea wo mogya fa mu yiye titiriw .
Eyi ne nea nkyerɛwde abien a ɛwɔ ne din mu no kyerɛ.
- Nkyerɛwde "V" gyina hɔ ma Ventilation . Ɛyɛ ɔkwan a mframa fa so hyɛn ahurututu no mu na efi mu bere a worehome no.
- Nkyerɛwde "Q" gyina hɔ ma Perfusion . Ɛkyerɛ mogya dodow ne sɛnea ɛkɔ mogya ntini nketenkete a ɛwɔ ahurututu mu no mu.
Sɛ yɛbɛka no tiawa a, eyi te sɛ nea wɔrehwɛ sɛ ebia akwan a ɛwɔ kurow bi mu (mframa akwan) no te yiye na sɛ ebia kar ahorow nni saa akwan no so (mogya a ɛkɔ nipadua no mu).
Dɛn nti na oduruyɛfo bɛkamfo akyerɛ sɛ wɔnyɛ VQ scan?
Ade titiriw a ɛtaa ma oduruyɛfo hyɛ sɛ ɔnyɛ nhwehwɛmu yi ne bere a wosusuw sɛ mogya atɔ ahurututu mu no. Wɔfrɛ saa tebea yi wɔ aduruyɛ mu sɛ ahurututu mu ntini a ɛma mogya tu (PE) . Eyi betumi ayɛ tebea a asiane wom kɛse , enti ɛho hia sɛ wuhu yare no na wosa no ntɛm ara sɛnea wubetumi.
Bio nso, wɔde VQ scan yi di dwuma wɔ tebea afoforo pii mu:
- Hu tebea a ɛne ``Chronic Thromboembolic Pulmonary Hypertension (CTEPH),`` a ɛyɛ yare a ɛma mogya mmoroso kɔ soro wɔ ahurututu mu.
- Hwɛ ahurututu mu dwumadi bere a wɔde ahurututu ama obi foforo akyi.
- Ansa na wobɛyɛ oprehyɛn ayi ahurututu no fã bi anaa ne nyinaa no, hwɛ sɛnea ahurututu a aka no yɛ adwuma.
- Hwɛ ahurututu mu dwumadi wɔ obi a ɔwɔ ahurututu mu nyarewa afoforo te sɛ COPD mu.
Dɛn na ɛba ankasa wɔ sɔhwɛ yi mu?
Okay, afei momma yɛnhwɛ nea ɛkɔ so wɔ sɔhwɛ yi mu. Wɔyɛ eyi wɔ afã abien da koro, wɔyɛ ɔfã biako bere a wɔawie biako no ara pɛ.
1. Ɔfa a Edi Kan (Mframa - mframa a ɛkɔ so hwɛ):Wɔ eyi mu no, wohyɛ afiri titiriw bi a wɔde home (te sɛ akataso). Wohome fa mu. Wɔde radioactive ade ketewaa bi a ahobammɔ wom a wɔfrɛ no ``tracer'' ka mframa a wohome no ho. Eyi te sɛ nea wode ''tag'' ketewaa bi ahyɛ wim. Afei mfoninitwa afiri titiriw bi twa mfonini. Esiane ''tag'' nti, mmeae a mframa fa w'ahurututu mu no, wobetumi ahu pefee wɔ mfonini ahorow no mu.
2. Ɔfã 2 (Perfusion): Wɔ eyi mu no, wɔde radioactive ade a ahobammɔ wom saa ara (tracer) gu ntini bi a ɛwɔ wo basa mu mu. Saa ‘tag’ yi ne mogya no tu kwan kɔ wo nipadua nyinaa mu na ɛkɔ w’ahurututu mu. Mfoninitwa afiri koro no ara a wɔde dii dwuma kan no san twa mfonini bio. Eyi kyerɛ baabi a mogya no sen wɔ w’ahurututu mu.
Sɛ oduruyɛfo no de mfonini abien yi toto ho a, obehu sɛ ɔhaw bi wɔ w’ahurututu mu anaa.
Ɔkwan bɛn so na VQ scan yɛ soronko wɔ CT scan ho?
Eyi yɛ asɛmmisa a nnipa pii wɔ. Ɛwom sɛ VQ scan ne CT scan nyinaa twa ahurututu no mfonini de, nanso nsonsonoe atitiriw bi wɔ abien no ntam.
| Su | VQ Scan a wɔde hwehwɛ nneɛma mu | CT Scan a wɔde yɛ nhwehwɛmu |
|---|---|---|
| Nea wɔde di dwuma | Wɔnam home ne injection so ma ade bi a ɛma radioactive (tracer). | Wɔnam aduru a wɔde twitwiw so so de aduru titiriw bi (Contrast Dye) ma. |
| Mframa a ɛbɔ no dodow | Mframa a ɛba fam sen CT scan. | Mframa a ɛbɔ no korɔn sen VQ scan. |
| Wɔ ayarefo a wɔwɔ asaabo mu fam | Ɛyɛ nea asiane biara nni ho kɛse ma nnipa a wɔn adwene mu yɛ wɔn naa. | Dye a wɔde yɛ CT scan no betumi ayɛ nea asiane wom efisɛ ebetumi aka asaabo no. |
| Wɔn a wɔn ho nyɛ wɔn den wɔ nnuru a wɔde yɛ nneɛma ho no fam | It is very safe , efisɛ wɔmfa aduru a wɔde yɛ CT scan no nni dwuma. | Sɛ wo ho nyɛ wo hyew wɔ nnuru a wɔde yɛ nneɛma ho a, wuntumi mfa nni dwuma. |
So ɛsɛ sɛ misiesie me ho ansa na sɔhwɛ no aba?
Eyi ne ade a eye sen biara. Ahosiesie titiriw biara nni hɔ a ɛho hia ma VQ scan. Wubetumi adi, anom, na woanom wo nnuru sɛnea wotaa yɛ no. Nanso, nneɛma kakraa bi wɔ hɔ a ɛsɛ sɛ woka kyerɛ wo duruyɛfo no ampa:
- Sɛ woanyinsɛn anaasɛ wususuw sɛ wonyinsɛn a: Ebia wo duruyɛfo bɛkamfo nhwehwɛmu foforo akyerɛ wo, efisɛ mframa a ano yɛ den betumi aka akokoaa no.
- Sɛ woyɛ ɛna a woma nufu a: Esiane sɛ mframa a ano yɛ den betumi afa nufusu mu akɔ wo ba no nkyɛn nti, wobetumi aka akyerɛ wo sɛ gyae nufu a woma no nnɔnhwerew kakraa bi anaa da koro wɔ sɔhwɛ no akyi na woayi nufusu no adi na woatow agu. Wo duruyɛfo bɛma wo akwankyerɛ wɔ eyi ho.
- Sɛ ɛyɛ den ma wo sɛ wobɛtra hɔ dinn bere tenten a: Ɛyɛ papa sɛ worenhinhim bere a woretwa mfonini no. Saa a wobɛyɛ no bɛma mfonini ahorow a ɛyɛ mmerɛw ne amanneɛbɔ a enye.
Mpɛn pii no, wɔyɛ koko X-ray nnɔnhwerew 24 ansa na wɔayɛ VQ scan. Nsɛm a wobenya afi eyi mu nso bɛboa ma yɛate VQ scan amanneɛbɔ no ase.
Dɛn na ɛba bere a wɔreyɛ sɔhwɛ no?
Sɔhwɛ no nyinaa gye simma 30 kosi 60.
Ɔfã a Edi Kan: Mframa a Wɔde Hwɛ
Wɔ eyi mu no, wobɛtra akongua so anaasɛ wobɛda pon so. Wɔbɛma wo akataso anaa ano aduru a wode bɛhome. Afei, mfoninitwa afiri bi betwa mfonini bere a worehome afa mu no. Ebia wɔbɛdan wo nso akɔ mmeae ahorow de atwa mfonini.
Ɔfã a Ɛto so Abien: Perfusion Scan
Eyi befi ase bere a ɔfã a edi kan no aba awiei ara pɛ. Nea ɛka eyi ho ne sɛ wode IV bɛhyɛ ntini bi mu wɔ wo basa mu na wode aduru bi a ɛma anyinam ahoɔden afa mu. Afei, sɛnea na ɛte kan no, wɔde mfoninitwa afiri twa mfonini.
Dɛn na ɛba wɔ sɔhwɛ no akyi? Dɛn na amanneɛbɔ no ka?
Sɛ sɔhwɛ no ba awiei a, wubetumi akɔ so ayɛ wo dwumadi ahorow a wotaa yɛ no. Nneɛma a ɛma anyinam ahoɔden a wɔde guu wo nipadua mu no befi awosu mu afi wo nipadua mu wɔ wo nsu ne wo nsu mu wɔ nnɔnhwerew anaa nna kakraa bi mu.
Mpɛn pii no, wonya amanneɛbɔ no wɔ nnɔnhwerew 24 ntam. Momma yɛnhwɛ nea amanneɛbɔ no mu nsɛm ka kɛkɛ.
| Nsɛmfua a ebia epue wɔ amanneɛbɔ no mu | Dɛn na ɛno kyerɛ? |
|---|---|
| Sɛ wuhu sɛ mogya biara ntumi nkɔ mu a... | |
| Normal / Low probability / PE nni hɔ | Mframa ne mogya a ɛkɔ ahurututu mu no yɛ nea ɛfata. Hokwan a ɛwɔ hɔ sɛ mogya bɛtɔ no sua koraa anaasɛ enni hɔ. |
| Sɛ w’adwene mu yɛ wo naa a... | |
| Mfinimfini a ebetumi aba / Nea wontumi nsi gyinae | Ɛrentumi nyɛ yiye sɛ wobefi saa mfonini ahorow yi mu aka no pen sɛ ebia mogya atɔ anaasɛ enni hɔ. Ebia ɛho behia sɛ wɔyɛ sɔhwɛ foforo. |
| Sɛ ebetumi aba sɛ mogya bɛtɔ a... | |
| High probability / PE a ɛwɔ hɔ / PE-a ɛyɛ papa | Ɛda adi yiye sɛ mogya atɔ w’ahurututu mu. Oduruyɛfo no bɛka ayaresa a wuhia ho asɛm akyerɛ wo. |
So asiane bi wɔ eyi mu?
Asiane ahorow a ɛwɔ VQ scan mu no sua koraa . Asiane ahorow a ebetumi aba ne:
- Mframa a wɔde hyɛ nipadua mu: Eyi de mframa kakraa bi a ahobammɔ wom na edi dwuma. Woyi fi nipadua no mu koraa wɔ nna kakraa bi mu.
- Allergic reaction: Hokwan a ɛwɔ hɔ sɛ obi bɛnya allergy wɔ vaccine no ho no sua koraa, nanso mpɛn pii no ɛnyɛ den.
- Ɔhaw ketewaa bi: Ebia ɛyaw kakra bɛba bere a wɔrehyɛ no na ɛsɛ sɛ ɔtra hɔ dinn bere a wɔreyɛ sɔhwɛ no.
Bere bɛn na ɛsɛ sɛ wokɔ oduruyɛfo nkyɛn ntɛm ara?
Sɛ wowɔ sɛnkyerɛnne ahorow a edidi so yi a, ebetumi ayɛ mogya a atɔ wɔ ahurututu mu (Pulmonary Embolism) ho sɛnkyerɛnne. Sɛ ɛba saa a , kɔ ayaresabea Emergency Department (ETU) a ɛbɛn wo no ntɛm ara.
- Ahome a ɛyɛ tiaa a emu yɛ den mpofirim
- Ɛyaw a ano yɛ den wɔ koko, abasa, mmati, kɔn, anaa anom
- Ɔfe a mogya wom anaasɛ enni mu
- Wora a ɛyɛ mmerɛw ne fifiri a ɛyɛ fifiri
- Honam ani, anofafa, anaa nsateaa nnadewa a ɛsakra bruu (Cyanosis) .
- Koma a ɛbɔ denneennen
- Fifiri a ɛboro so
Saa sɛnkyerɛnne ahorow yi yɛ aduruyɛ mu tebea a egye ntɛmpɛ, enti sɛ wohwehwɛ aduruyɛ mu afotu ntɛm ara a worensɛe bere a, ebetumi agye wo nkwa.
Nkrasɛm a Wɔde Kɔ Fie
- VQ scan yɛ sɔhwɛ a ɛnyɛ yaw, a ahobammɔ wom a ɛhwɛ mframa ne mogya a ɛkɔ ahurututu no mu.
- Wɔde eyi di dwuma titiriw de hu mogya a atɔ wɔ ahurututu mu (pulmonary embolism).
- Ɛde mframa kakraa bi na edi dwuma sen CT scan. Ɛfata kɛse ma nnipa a wɔwɔ asaabo mu yare ne wɔn a wɔn ho nyɛ wɔn den wɔ CT nnuru ho.
- Sɛ woanyinsɛn anaa worenom nufu a, hwɛ hu sɛ wobɛka akyerɛ wo duruyɛfo ansa na woayɛ nhwehwɛmu no.
- Sɛ wuhu sɛnkyerɛnne ahorow te sɛ ahome a ɛyɛ tiaa mpofirim ne wo koko mu yaw a, ɛyɛ ntɛmpɛ. Kɔ ayaresabea bi Dwumadibea a Ɛhwɛ Nneɛma a Ɛho Hia Ntɛmntɛm (ETU) ntɛm ara.











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