Amekae nye keklẽŋusẽŋutinunyala sia? Mina míakpɔe ɖa pɛpɛpɛ!

Anɔ eme be wowɔ X-ray, CT scan, alo MRI scan na wò kpɔ. Alo ɖewohĩ wò ɖɔkta bia tso asiwò be nàxɔ ɖeka. Eyata ènya amesi nye amesi léa ŋku ɖe fotoɖemɔ̃ siawo ŋu hegblɔa nusi tututu le edzi yim le wò ŋutilã me na wòa? Emae nye keklẽŋusẽŋutinunyala si ŋu míaƒo nu tsoe egbea.

Amekae nye amesi woyɔna be keklẽŋusẽŋutinunyala sia?

Kpuie ko la, keklẽŋusẽŋutinunyala nye ɖɔkta bibi. Eƒe dɔ vevitɔe nye be wòazã fotoɖemɔ̃ vovovowo , siwo míeyɔna be scan machines, atsɔ alé ŋku ɖe míaƒe ŋutilã ƒe ememe, akpɔ dɔlélewo kple abi siwo míexɔ, eye ɣeaɖewoɣi gɔ̃ hã akpe asi ɖe dɔdamɔnu ŋu. Bu eŋu kpɔ, míaƒe ŋutilã ƒe ememe medzena tso egodo o, eyata ɖɔkta siawo tsɔa dɔwɔnu tɔxɛwo léa ŋku ɖe ŋutilãa me hekpɔnɛ ɖa be nane gblẽ le afima hã.

Nukae nye nɔnɔmetatawo ɖeɖe ƒe dɔwɔnu sia si wozãna?

Dɔwɔnu ƒomevi vovovowoe wozãna. Ðewohĩ èse ŋkɔ siawo kpɔ. Mina míalé ŋku ɖe nusiwo wonye ŋu:

• CT scan ( computed tomography - CT) : Ame aɖewo hã yɔa esia be ``CAT scan''. Esia ate ŋu aɖe ŋutilãa ƒe akpa si le eme ƒe foto siwo wotso ɖe wo nɔewo ŋu tsitotsito ŋutɔ. Ate ŋu alé ŋku ɖe ŋutilãa ƒe akpa aɖewo ŋu ƒuƒoƒo ɖesiaɖe, abe abolo lãɖeɖe ene.
• Fluoroscopy : Esia le abe X-ray si le ʋuʋum ene. Enaa nèkpɔa alesi ŋutinu siwo le ŋutilãa me le dɔ wɔm le ɣeyiɣi ŋutɔŋutɔ me , abe video ene. Le kpɔɖeŋu me, wozãnɛ tsɔ kpɔa alesi tsi aɖe ʋãna ne èmie.
• Fusion Imaging : Esia bia be woatsɔ nɔnɔmetata siwo tso scan ƒomevi vovovo eve, abe ``(PET)`` scan kple ``(CT)`` scan, aƒo ƒui be woakpɔ nyatakaka siwo me kɔ wu, siwo me kɔ wu. Woate ŋu akpɔ nane si womekpɔna le scan ɖeka me o le evelia me, eye ne woƒo wo ame evea nu ƒu la, wokpɔa nɔnɔmetata blibo.
• MRI Scan (Magnetic Resonance Imaging - MRI) kple Magnetic Resonance Angiography - MRA : MRI ate ŋu awɔ nɔnɔmetata siwo me kɔ ŋutɔ, siwo me kɔ nyuie. MRI ɖea vi ŋutɔ na ŋkuléle ɖe lãkusi falɛfalɛwo abe ahɔhɔ̃, aklã, ƒunukpeƒewo, kple lãmekawo ene ŋu. Mezãa keklẽŋusẽ o, ke boŋ ezãa magnet-ŋusẽ. MRA nye MRI ƒomevi tɔxɛ aɖe si léa ŋku ɖe ʋukawo ŋu.
• Mammography : Ðewohĩ èse esia, ``(X-ray)`` dodokpɔ tɔxɛ aɖe si wozãna tsɔ dea dzesi no me dɔdzẽ kaba. Esia nye dodokpɔ vevi aɖe ŋutɔ na nyɔnuwo.
• Nuklia Atikewɔwɔ ƒe Nɔnɔmetata: Esia bia be woana keklẽŋusẽ si megblẽa nu le ame ŋu o (`radioactive tracer`) ƒe agbɔsɔsɔ sue aɖe ŋutɔ ŋutilãa (to nu me alo atike dodo me), eye woatsɔ fotoɖemɔ̃ tɔxɛ aɖe (`gamma camera`) akpɔe wòanɔ zɔzɔm to ŋutilãa me. Esia ate ŋu ana míanya alesi ŋutinuawo le dɔ wɔm kple alesi wole dɔ wɔm nyuie. Kpɔɖeŋu aɖewoe nye thyroid scan kple ƒu ƒe scan.
• PET scan ( Positron Emission Tomography - PET) : Esia hã nye scan ƒomevi tɔxɛ aɖe si dze le ``Nuclear Medicine Imaging'' ƒe hatsotso me. Wozãnɛ koŋ tsɔ kpɔa ne kansa lãmenugbagbeviwo le wo me, ne wokaka, kple alesi wole nu wɔm le atikewɔwɔ me. Ate ŋu alé ŋku ɖe lãmenugbagbeviwo ƒe dɔwɔwɔ le ŋutilãa me hã ŋu.
• Ultrasound : Esia zãa gbeɖiɖi ƒe ƒutsotsoe siwo ƒe tsɔtsɔme sesẽ tsɔ wɔa ŋutilãa ƒe akpa si le eme ƒe nɔnɔmetatawo. Esia hã mezãa keklẽŋusẽ o. Zi geɖe la, wozãnɛ tsɔ léa ŋku ɖe vidzĩa ŋu le fufɔɣi eye woléa ŋku ɖe ƒodo ƒe ŋutinuwo (abe aklã, ayiku, kple dɔgbo ene) ŋu.
• X-ray : Esiae nye dodokpɔ si mí katã míenya, eye zi geɖe la, eyae nye gbãtɔ si wowɔna. Wozãnɛ tsɔ dia nuwo abe akɔta ƒe gbagbã ene, eye wowɔa akɔta ƒe X-ray tsɔ dia nɔnɔmewo abe aklãdɔ ene le lãkusi me.

Nukawoe nye keklẽŋusẽdɔdamɔnu ƒe akpa veviwo?

Akpa vevi etɔ̃e li le keklẽŋusẽdɔdamɔnu me . Eyae nye nu vevi etɔ̃ siwo me keklẽŋusẽŋutinunyalawo bi ɖe.

1. Radiology si Kpɔa Dɔlélewo Gbɔ

2. Kekeliŋutinunya si Wotsɔ Dea Nu Nyawo Me

3. Kekeli ƒe Dɔdzẽŋutinunya

Subspecialti bubuwo le nuto siawo dometɔ ɖesiaɖe te. Azɔ mina míaƒo nu tso nu vevi etɔ̃ siawo ŋu tsitotsito vie .

1. Nukae Nye Diagnostic Radiology?

Esiae nye agble si ŋu míese nu tsoe zi geɖe, eye eyae nye esi míenya nyuie wu. Diagnostic Radiologists léa ŋku ɖe scan siwo míeyɔ va yi ŋu, si fia be , wodzroa wo me (ɖea wo gɔme) , eye wokpɔa alesi ŋutilãa ƒe wɔwɔme kple ŋutinu siwo le ŋutilãa me le. Le nɔnɔmetata siawo me la, woate ŋu:

• De dzesi nɔnɔme siwo me wole. Le kpɔɖeŋu me, ne kɔdzidɔ le ŋuwò eye wowɔ X-ray na wò la, àte ŋu akpɔe ɖa be aklãdɔ le ŋuwò hã. Alo, ne ta le ɖum na wò la, àte ŋu awɔ MRI atsɔ akpɔe ɖa be nane abe ahɔhɔ̃ me dɔdzẽ ene le ŋuwò hã.
• Ne wole dɔléle aɖe dam na wò fifia la, ke lé ŋku ɖe alesi dɔdamɔnua wɔa dɔe ŋu.Kpɔe ɖa le susu me be yewɔ CT-dɔdamɔnu aɖe na ame aɖe si wole dɔ wɔm na le kansa ta eye nèkpɔe ɖa be dɔdzẽa dzi ɖe kpɔtɔ, lolo ɖe edzi, alo wònɔ nenema hã.
• Dodokpɔ hena nɔnɔme vovovowo. Esia fia be woalé ŋku ɖe dɔléle aɖe ŋu hafi dzesiawo nadze. Le kpɔɖeŋu me, no me dɔdzẽ ɖeɖeɖa be woatsɔ ade dzesi no me dɔdzẽ kaba, dodokpɔ siwo wowɔna tsɔ léa ŋku ɖe dɔgbo me dɔdzẽ ŋu, alo dodokpɔ siwo wowɔna tsɔ léa ŋku ɖe dzi ƒe nɔnɔmewo ŋu.

2. Nukae Nye Nudede Numedzodzro ƒe Kekeliŋutinunya?

Esia nye agble si to vovo eye wòdoa dzidzɔ na ame ŋutɔ. Kekeliŋutinunyala siwo dea nu nyaa me zãa nɔnɔmetatawo ɖeɖe ƒe mɔ̃ɖaŋunuwo abe CT scan, ultrasound, kple MRI tsɔ wɔa dɔdamɔnu siwo menye amekoko o. Kpuie ko la, woléa ŋku ɖe fotoɖemɔ̃ siawo ŋu eye wotsɔa dɔwɔnu suesuesuewo abe catheters (tube tsɛwo) kple ka ene dea ŋutilãa me tsɔ wɔa dɔdamɔnuawoe. Esia mehiã be woatsoe gãwo o, ke boŋ mehiã be woatsoe suetɔ kekeake . Esia wɔnɛ be ɣeyiɣi kpuiwo ƒe hayahaya kple kuxi ʋɛ aɖewo koe dona tso eme.

Bu eŋu kpɔ ko, abe alesi ɖɔkta siawo zãa GPS tsɔ dia wò mɔ ene la, ɖɔkta siawo zãa scan nɔnɔmetatawo tsɔ yia teƒe nyuitɔ le ŋutilãa me hedaa dɔ na wò.

Nɔnɔme siwo wotsɔ mɔnu sia da dɔe dometɔ aɖewoe nye:

• Kansa alo dɔdzẽwo. Wodaa dɔdzẽ aɖewo to atikewo dodo ɖe wo me tẽ (`chemoembolization`), alo to ʋuka siwo naa wo la xexe (`embolization`) be woatsɔ atsrɔ̃ dɔdzẽa, alo to dzoxɔxɔ zazã me (`ablation`).
• Ʋukawo alo ʋukawo ƒe xexe. Le kpɔɖeŋu me, ne ʋuka aɖe si le afɔa me xe la, woate ŋu atsɔ ʋuƒo (angioplasty) aʋui alo woate ŋu ade ʋuka si me ʋu sina tona (mesh tube sue aɖe) eme be ʋua nagaɖoe.
• Vidzidɔ me fibroids. Woateŋu atsɔ ``embolization`` hã ada esia.
• Akɔtave. Le akɔtave aɖewo gome la, woate ŋu ana nuwo abe steroid dodo ene le teƒe nyuitɔ le fotoɖeɖea nu.
• Aklã kple ayiku ƒe nya aɖewo. Le kpɔɖeŋu me, wozãa mɔnu sia tsɔ wɔa lãmenugbagbeviwo ƒe dɔwɔwɔ (woɖea lãkusi aɖe hena dodokpɔ) alo tsɔa mɔ̃wo dea ʋuka alo aɖuɖɔtoe siwo xe me.

3. Nukae nye Radiation Oncology?

Míegblɔna be nɔnɔmetatawo ɖeɖe ƒe mɔnu aɖewo lɔ keklẽŋusẽ ɖe eme. Gake ne wozãe tsɔ di dɔlélea la, womate ŋu azã keklẽŋusẽ ma atsɔ ada dɔléle o. Gake eŋutinunyala bibi aɖewo li siwo woyɔna be Radiation Oncologists siwo wɔa keklẽŋusẽdɔdamɔnu.Wozãnɛ tsɔ daa kansa kple dɔléle aɖewo siwo menye kansa o (siwo me dɔlékui mele o).

Kekeli ƒe dɔdamɔnu nye kansa dada si zãa ŋusẽ sesẽwo abe X-ray alo keklẽŋusẽ ƒomevi bubuwo ene tsɔ wua kansa lãmenugbagbeviwo alo xea mɔ na wo be woagatsi ahama o. Ewɔa dɔ to kansa lãmenugbagbeviwo ƒe DNA gbegblẽ me.

Kekeli ƒe dɔdzẽŋutinunyala siawoe wɔa ɖoɖo ɖe keklẽŋusẽ ƒe agbɔsɔsɔme nyuitɔ kekeake na kansa ƒomevi ɖesiaɖe ŋu heɖoa wo, alesi woawɔ akpɔ ŋusẽ ɖe kansa lãmenugbagbeviwo dzi wòade edeƒe evɔ woaɖe nusiwo agblẽ le lãmenugbagbevi siwo le lãmesẽ ŋu dzi akpɔtɔ. Wonya atike si nyo wu na wò kansa ƒomevi, kansa ƒe nɔnɔme, kple wò lãmesẽ bliboa hã.

Ðe Kekeliŋutinunyalawo nye ɖɔktawoa?

Ẽ, keŋkeŋ! Kekeliŋutinunyalawo nye ɖɔktawo. Kekeliŋutinunyala siwo katã si mɔɖegbalẽ le wu atikewɔsuku nu eye woxɔ atikewɔwɔ ŋuti ɖaseɖigbalẽ, eɖanye Atikewɔwɔ ƒe Ðɔkta (MD) alo Ƒumeŋutinunya ƒe Ðɔkta (DO) . Eyata atikewɔwɔ ŋuti sidzedze deto le wo si ku ɖe ŋutilã kple dɔlélewo ŋu.

Vovototo kae le Kekeliŋutinunyala kple Kekeliŋutinunyala dome?

Esia nye teƒe si ame geɖe tɔtɔna le. Gake ame eve siawo nye ame eve siwo to vovo, eye woƒe akpa si wowɔna hã to vovo.

• Kekeliŋutinunyala nye ɖɔkta si wona hehee be wòaxlẽ nu ahaɖe wo gɔme , si fia be wòada nɔnɔmetata mawo siwo woɖe le scan me la kpɔ eye wòana woakpɔ dɔlélea .
• Radiologic Technologist , si woyɔna ɣeaɖewoɣi be Radiographer , nye atikewɔla si wɔa scan.

Kpuie ko la, ne èyi ɖawɔ X-ray la, keklẽŋusẽdɔdala lae ɖoa wò teƒe nyuie, ʋua mɔ̃a, eye wòɖea X-ray la. Ekpena ɖe ŋuwò nèsena le ɖokuiwò me be yeƒe dzi dze eme, eye wòkpɔa egbɔ be nɔnɔmetataawo le nyonyome nyuitɔ me. Ke hã, meléa ŋku ɖe nɔnɔmetataawo ŋu hegblɔa nusi gblẽ le ŋuwò na wò o. Menye eƒe dɔe nye ema o.

Kekeliŋutinunyala la léa ŋku ɖe nɔnɔmetata la ŋu, nɔa te ɖe nusi le eme dzi nyaa nenye be dɔléle aɖe le ŋuwò, eye wòŋlɔa nyatakaka tso eŋu. Èse vovototo si le wo dome gɔmea? Wo ame evea siaa le vevie, gake woƒe dɔwo ya to vovo.

Eyata nuka tututue keklẽŋusẽŋutinunyala wɔna?

Dɔ vevi geɖe li siwo wòle be keklẽŋusẽŋutinunyala nawɔ. Esiawo nye agbanɔamedzi sesẽ ŋutɔ.

• Wò atikewɔwɔ ŋutinya me toto be nàkpɔe ɖa be nɔnɔmetatawo dodokpɔa agblẽ nu le ŋuwò hã. Le kpɔɖeŋu me, ne nane ƒe nulɔdɔ aɖe le ŋuwò.Ne nenemae la, ke amadede ƒomevi aɖe si wozãna na fotoɖeɖe aɖewo masɔ na wò o.
• Atikewɔwɔ me nɔnɔmetatawo dodokpɔ me tsonu gɔmeɖeɖee nye nusi bia woƒe nunya.
• Nusiwo ŋu woke ɖo le nɔnɔmetata dodokpɔ mawo me tsɔtsɔ sɔ kple dodokpɔ kple dodokpɔ bubu siwo nèwɔ kpɔ.
• Dzeɖoɖo kple lãmesẽdɔwɔla si woɖo ɖe wò be wòakpe ɖe ŋuwò nàtia nɔnɔmetata dodokpɔ si sɔ na wò wu, eye wòakpe ɖe ŋuwò nàwɔ nyametsotsowo le wò atikewɔwɔ le etsɔme ŋu le dodokpɔa me tsonu nu.
• Nyatakaka siwo me emetsonuwo kple dɔléle siwo wokpɔ le ame ŋu le ŋɔŋlɔ. Nyatakaka siae nèɖona ɖe wò ɖɔkta.
• Ne ehiã la, dodokpɔ alo atikewɔwɔ bubuwo kafukafu.
• Dɔlélewo dada to keklẽŋusẽ zazã me (wowɔa esia le `(Radiation Oncology)`) alo atikewɔwɔ siwo nɔnɔmetatawo fiafia (wowɔa esia le `(Interventional Radiology)` me).
• Mɔfiame nana keklẽŋusẽdɔdalawo be woawɔ nɔnɔmetatawo dodokpɔ alo woawo ŋutɔwo nawɔ dodokpɔ aɖewo (vevietɔ le teƒewo abe Interventional Radiology ene).

Ðe wòle be nàyi atikewɔsuku hafi azu keklẽŋusẽŋutinunyala?

Ẽ, keŋkeŋ. Abe alesi megblɔe va yi ene la, keklẽŋusẽdɔdala ɖesiaɖe si si mɔɖegbalẽ le la yi atikewɔsuku eye wòwu enu. Ema nye dzeside vevi aɖe.

Aleke ame awɔ azu keklẽŋusẽŋutinunyala?

Kekeliŋutinunyala nyenye menye mɔzɔzɔ bɔbɔe o. Ebia ɖokuitsɔtsɔna, ɣeyiɣi, kple hehexɔxɔ geɖe. Kpɔ afɔɖeɖe siawo ɖa:

1. Gbã la, ele be nàwu atikewɔwɔ ŋuti hehexɔxɔ do ŋgɔ eye nàxɔ ɖaseɖigbalẽ le yunivɛsiti alo kɔledzi.

2. Emegbe ele be nàxɔ atikewɔwɔ ŋuti ɖaseɖigbalẽ le atikewɔsuku si ŋu woda asi ɖo (anɔ abe ƒe 4-5 ene).

3. Ele be nàto atikewɔwɔ ƒe mɔɖegbalẽ dodokpɔa me (le kpɔɖeŋu me, le United States la, United States ƒe Atikewɔwɔ ƒe Mɔɖegbalẽ dodokpɔ - USMLE).

4. Emegbe, ele be woawu ƒe ene ya teti ƒe hehexɔxɔ nu le keklẽŋusẽdɔdamɔnu me. Ɣeyiɣi sia mee woxɔa hehe ŋutɔŋutɔ le keklẽŋusẽdɔdamɔnu ƒe akpa vovovowo ŋu.

Emegbe keklẽŋusẽŋutinunyala geɖe wu ƒe ɖeka alo eve bubu ƒe hehe tɔxɛ (hadede) , si wɔnɛ be wokpɔa sidzedze kple aɖaŋu deto geɖe wu le keklẽŋusẽdɔdamɔnu ƒe dɔ sue aɖe me. Kpɔɖeŋu aɖewoe nye:

• Kekeli ƒe dɔdzẽŋutinunya
• Ðeviwo ƒe keklẽŋusẽŋutinunya (si fia be edo ƒome kple ɖeviwo ƒe dɔlélewo) .
• Nudede nyawo me ƒe keklẽŋusẽdɔdamɔnu
• No ƒe nɔnɔmetatawo ɖeɖe
• Dzitodzito me keklẽŋusẽ (dzi kple ʋukawo) .
• Neuroradiology (ahɔhɔ̃, aklã, lãmekawo) .
• Nuklia ƒe atikewɔwɔ

Ɣeyiɣi didi kae wòxɔna hafi wozua keklẽŋusẽŋutinunyala?

Zi geɖe la, exɔa ƒe 13 ya teti hafi wozua keklẽŋusẽŋutinunyala. Esia lɔ:

• Do ŋgɔ na ɖaseɖigbalẽ (ƒe 3-4) .
• Atikewɔwɔ Suku (ƒe 4-5) .
• Ƒe ene ƒe hehexɔxɔ le afima nɔnɔ ŋu
• Ƒe ɖeka alo eve ƒe hehe tɔxɛ (togbɔ be esia menye sedziwɔwɔ o hã la, ame geɖe ya wɔe) .

Eyata àte ŋu akpɔ alesi mɔzɔzɔ sia ate ŋu adidi eye wòanye adzɔgbeɖeɖee. Esia tae nunya le keklẽŋusẽŋutinunyalawo si be woalé ŋku ɖe wò fotoɖemɔ̃wo ŋu ahake ɖe nyatakaka veviwo ŋu ɖo. Wole abe "detectives" siwo le atikewɔnyawo me ene.

Mlɔeba la, gbedasi sue aɖe si nàtsɔ ayi aƒemee na wò.

Tsɔe be èsusu be dɔléle aɖe le ŋuwò, alo ɖeko wòle be woawɔ scan na wò abe dodokpɔ ene. Enye nusi sɔ be vɔvɔ̃ kple vɔvɔ̃ vi aɖe nase le ɖokuiwò me ɣemaɣi. Gake ɖo ŋku edzi be ame aɖe li si si sidzedze kple hehe tɔxɛ le be wòalé ŋku ɖe wò scan nɔnɔmetatawo ŋu ahaxlẽ emetsonuwo pɛpɛpɛ. Emae nye keklẽŋusẽŋutinunyala .

Woawɔ wò dodokpɔa me tsonu ŋuti nyatakaka tsitotsito eye woaɖoe ɖe wò ɖɔkta alo atikewɔha si le dɔ wɔm na wò. Ema ko hafi woatso nya me le atikewɔwɔ si nyo na wò ŋu.

Vevietɔ wu la, ne nya aɖe le asiwò ku ɖe wò dodokpɔa me tsonu ŋu la, mègavɔ̃ gbeɖe be yeabia wò ɖɔkta o. Gome le asiwò be nànya nu tso wò lãmesẽ ŋu. Ðewohĩ keklẽŋusẽŋutinunyala mado go wò tẽ o, gake wonye wò lãmesẽnyawo gbɔ kpɔha me tɔ vevi aɖe ŋutɔ.

` Kekeliŋutinunyala, scans, diagnostics, CT scans, MRI scans, X-rays, keklẽŋusẽdɔdamɔnu