Ðe wobia tso asiwò hã be woawɔ MRCP-dɔdamɔnua? (Magnetic Resonance Cholangiopancreatography) Mina míasrɔ̃ nu tso esia ŋu bɔbɔe!

Eɖanye esi nèle ƒodo me veve si me mekɔ o ta alo esi nèsusu be kuxi aɖe le wò dɔgbo alo aɖuɖɔtoe ŋu tae o, ɖewohĩ wò ɖɔkta bia tso asiwò be woawɔ scan si woyɔna be MRCP. Ŋkɔ sia ate ŋu aɖi nya si xɔ aƒe ɖe ame me vie. Gake mègatsi dzi o, mina míaƒo nu tso eŋu bɔbɔe.

Nukae nye MRCP? Nukae wòdia?

Kpuie ko la, MRCP nye MRI-dɔdamɔnu tɔxɛ aɖe si léa ŋku ɖe wò dɔgbo kple ʋumenugbagbeviɣidɔ, alo ʋuka siwo me ʋu sina tona ŋu. Wotsɔa IV-ka sue aɖe dea wò ʋuka me eye wodoa tsi tɔxɛ aɖe si woyɔna be nusi naa vovototo dea ame me la wò ŋutilã me. Tsi sia nana MRI-mɔ̃a te ŋu kpɔa wò dɔgbo, aɖuɖɔtoe, kple ʋuka siwo do ƒome kpli wo nyuie. Ele abe akaɖi si wotsɔ klẽna ɖe xɔ si me do viviti me ene. Ðɔktawo zãa nɔnɔmetata siawo siwo me kɔ tsɔ nyaa nusi tututu wò nɔnɔmea nye eye wowɔa ɖoɖo ɖe wò atikewɔwɔ ŋu.

Dɔléle kawoe woate ŋu akpɔ to MRCP scan dzi?

Ne ƒodo le veve sem atraɖii, si womate ŋu aɖe o la, wò ɖɔkta ate ŋu aɖo aɖaŋu na wò be nàwɔ MRCP. (contrast MRI) ƒe fotoɖeɖe tɔxɛ sia ate ŋu akpe ɖe ame ŋu woanya nɔnɔmewo abe:

• Nɔnɔmewo abe ʋumenugbagbeviɣidɔ (cholangiocarcinoma) ene.
• Eɖanye kpe alo ʋuʋudedi le ʋumenugbagbeviɣiwo me o.
• Ðe ʋuka si me ʋu sina tona la xe alo xaxa (biliary stricture)?
• Eɖanye be dɔgboa ƒe ʋukawo xe, woxe, alo wokeke o.
• Ðe ʋumenugbagbeviɣiwo kekea?
• Ðe aɖuɖɔtoewo lia?
• Nɔnɔmewo abe dɔgbo ƒe dɔléle alo dɔgbo ƒe dɔléle ene.
• Ðe dɔdzẽ le dɔgboa mea?
• Nenye be dɔgbo ƒe ʋuʋudedi kple pseudocysts le dɔgboa me.

Bu eŋu kpɔ ko, ɣeaɖewoɣi ne mète ŋu nya nusi tututu gbɔ wò dɔgbo le veve sem o la, fotoɖeɖe abe esia ene le abe akaɖi aɖe klẽ ɖe teƒe nyuitɔ ene.

Amekae wɔa MRCP dodokpɔa? Afikae wowɔa esia le?

Zi geɖe la, keklẽŋusẽŋutinunyalae wɔa `(MRCP)` dodokpɔ sia . Azɔ hã, ɖɔkta aɖe si bi ɖe atikewɔwɔ me nɔnɔmetatawo ɖeɖe me, si woyɔna be keklẽŋusẽŋutinunyala , nɔa anyi le dodokpɔa wɔɣi eye wòdzroa nɔnɔmetataawo me le dodokpɔa megbe hedzraa nyatakakaa ɖo. Zi geɖe la, `(MRCP)` nye dodokpɔ si woateŋu awɔ le kɔdzi alo atikewɔƒe ƒe dɔnɔdzikpɔƒe. Esia fia be àte ŋu ayi aƒeme gbemagbe ke le dodokpɔa megbe.

MRI-mɔ̃ ƒomevi kawoe wozãna na MRCP?

Wozãa MRI-mɔ̃ ƒomevi vovovowo le kɔdzi kple atikewɔƒe vovovowo. Wole ƒomevi vevi eve:

• `(MRI si wotu ɖe do)`:Le esia me la, èmlɔa dodokpɔkplɔ̃ dzi, si woɖo ɖe ɖoɖo nu ale be wòayi ɖe mɔ̃ gã aɖe si ƒe nɔnɔme le abe tsilindo ene me. Magnet sesẽ aɖe ƒo xlã mɔ̃ sia. Wò ta kple ƒodo ƒe akpa aɖe gena ɖe mɔ̃ sia me. Ke hã, le ``closed-bore MRI`` mɔ̃ yeye aɖewo me la, wowɔa mɔ̃ sia ƒe ʋuʋu wòkeke vie (``wide-bore MRIs``), eyata mesena le eɖokui me be yexaxa abe tsã ene o.
• MRI si me woɖea do le: Magnet siwo le wò tame kple ete la le MRI-mɔ̃ sia ƒomevi ŋu. Esi wònye be woʋu le akpa eveawo ta la, esɔ ŋutɔ na amesiwo vɔ̃na na teƒe siwo woxe, si fia be amesiwo vɔ̃na na xɔmenuwo. Enye tiatia nyui aɖe hã na amesiwo mevona le wo ɖokui me be yewoanɔ teƒe siwo woxe o le lãmesẽnya bubuwo ta.

Ne nɔnɔme aɖe abe ``claustrophobia'' le ŋuwò la, gblɔe na wò ɖɔkta do ŋgɔ. Emegbe woakpe ɖe ŋuwò nàtia scanner si sɔ na wò wu.

Aleke wòle be madzra ɖo hafi woawɔ MRCP?

Ele vevie ŋutɔ be nàwɔ ɖe wò ɖɔkta ƒe mɔfiamewo dzi nyuie hafi awɔ MRCP dodokpɔa. Zi geɖe la, esia lɔ nusiwo gbɔna ɖe eme:

• Nutsitsidɔ (menye nuɖuɖu alo nunono o) gaƒoƒo ʋɛ aɖewo hafi dodokpɔa nadze egɔme. Esia fia be mele be nàɖu nu alo ano naneke tso esime wò ɖɔkta gblɔ na wò o.
• Ne wona atike si naa ame ƒe dzi dzea eme le dodokpɔa wɔɣi la, na wò ƒometɔ alo xɔ̃wò aɖe naku wò ayi aƒeme le dodokpɔa megbe, elabena atikeawo ƒe ŋusẽkpɔɖeamedzi ate ŋu ana wòasesẽ na wò be nàku ʋu.
• Ne gawɔmɔ̃ aɖewo le asiwò (le kpɔɖeŋu me, ƒunukpeƒe ɖɔliɖɔli, dzitodzito ƒe mɔ̃, tomeka) la, ele be nàna wò ɖɔkta nanya nu tso wo ŋu do ŋgɔ godoo.
• Ele be nàɖe ga ɖesiaɖe si nèdo ɖa. Esia lɔ atsyɔ̃ɖonuwo abe togɛ, kɔgɛ, asigɛ (esiwo ŋu woto gɔ̃ hã), tomemɔ̃, kple aɖuwɔwɔe ɖe eme. Esia le alea elabena magnet sesẽ si le MRI-mɔ̃a me ate ŋu ahe ga siawo.
• Woate ŋu abia tso asiwò be nàdzudzɔ atike aɖewo, abe nonsteroidal anti-inflammatory drugs (NSAIDs), vitaminwo, kple gbetikewo zazã ŋkeke ʋɛ aɖewo hafi dodokpɔa nadze egɔme. Bia wò ɖɔkta tso esia hã ŋu.
• Ne claustrophobia le ŋuwò la, woate ŋu ana atike si naa ame ƒe dzi dzea eme alo atike si wodona ɖe ʋuka me (IV) si naa ame ƒe dzi dzea eme. Woate ŋu afia wò hã be nàmiã ŋku le fotoɖeɖea me.
• Ne nɔnɔme aɖewo abe hay fever (allergic rhinitis), asrã, nuɖuɖu ƒe nulɔdɔ, alo urticaria ene le ŋuwò la, gblɔ wo hã na wò ɖɔkta. Elabena anɔ eme be ame siawo tɔgbe ƒe nulɔdɔ fafɛ aɖe nanɔ amadede si to vovo na wo nɔewo si ŋu míeƒo nu tsoe va yi la ŋu. Gake mègatsi dzi o, ɖɔktawo dzra ɖo ɖe ema ŋu.

Ðo ŋku edzi be esia katã nye wò dedienɔnɔ ta eye be nàkpɔ egbɔ be dodokpɔa de pɛpɛpɛ. Eyata wɔ ɖe mɔfiameawo dzi nyuie.

Nukae dzɔna le MRCP dodokpɔ me?

Le MRCP dodokpɔa wɔɣi la, atikewɔlawo ƒe ƒuƒoƒoa awɔ:

• Gbã la, woana tomeka alo toɖoɖomɔ̃ wò be wòaɖe toɣliɖeɖe si dona tso scanner la me dzi akpɔtɔ eye wòakpɔ wò towo ta. Gake àte ŋu ase nya si atikewɔlawo ƒe ƒuƒoƒoa le gbɔgblɔm.
• Emegbe, woatsɔ wò aɖo dodokpɔkplɔ̃ dzi eye wò abɔwo nadze ŋgɔ dzi. Ne mète ŋu mlɔ anyi nyuie o la, woazã ka kple gavi siwo wotsɔ blaa nu be woakpe ɖe ŋuwò nànɔ nɔnɔme ma me, ne ehiã.
• Mɔ̃ tɔxɛ aɖewo li siwo ƒoa xlã wò ŋutilã siwo ate ŋu aɖo radio ƒe ƒutsotsoewo ɖa ahaxɔ wo.
• Eyome wodoa amadede si nye IV la ɖe ʋukaa me. Àte ŋu ase vuvɔ vie ɣemaɣi. Esia sɔ.
• Emegbe la, dziɖuɖu ƒe abɔtawo aɖo wò ɖe dodokpɔ kplɔ̃a dzi eye nàge ɖe ``Closed-bore MRI`` mɔ̃a me (alo ne èle ``Open-bore`` aba dzi la, dodokpɔa adze egɔme nenema ke).
• Mɔ̃ɖaŋudɔwɔla la doa go le xɔa me, gake ete ŋu kpɔa wò to fesre nu eye wòtoa mɔ eve dzi kaƒomɔ̃ dzi doa ka kpli wò.
• Emegbe MRI-mɔ̃a dzea fotoɖeɖe ɖe wo nɔewo yome gɔme. Ðewohĩ àse le ɖokuiwò me be yeƒe dzi dze eme vie le ɣeyiɣi sia me. Esia sɔ. Nu vevitɔe nye be nànɔ anyi kpoo esime scanner la le fotoawo ɖem, eye woate ŋu abia tso asiwò be nàlé gbɔgbɔ ɖe te hena ɣeyiɣi aɖe. Esia akpe ɖe ŋuwò nàkpɔ nɔnɔmetata siwo me kɔ.

Mègatsi dzi o, mɔ̃ɖaŋudɔwɔla la aɖe nusianu me na wò, eye àte ŋu agblɔe na mí hã ne èse le ɖokuiwò me be yeƒe dzi dze eme.

Ɣeyiɣi didi kae MRCP xɔa?

Zi geɖe la, MRCP-dɔdamɔnua xɔa abe miniti 15 ene hafi woxɔa. Gake ɣeaɖewoɣi la, woate ŋu awɔ ƒodoa ƒe MRI edziedzi le ɣeyiɣi ɖeka me. Ne edzɔ alea la, ate ŋu axɔ abe miniti 30 ene kpee.

Nukae dzɔna le MRCP la megbe?

Ne wò dzesi veviwo nyo eye wona atike si naa ame ƒe dzi dzea eme la, àte ŋu ayi aƒeme ne nusiwo wògblẽna la nu yi. Nu gbegblẽ siwo dona tso amadedea alo dodokpɔa me mebɔ kura o. Gake ne èse le ɖokuiwò me be yeƒe lãme le ƒoƒom, ta le ɖum, alo nulɔdɔ ƒe dzesi aɖe le ŋuwò la, ele be nàgblɔe na atikewɔlawo. Ame aɖe aku ʋu na wò ayi aƒeme le dodokpɔa megbe. Àte ŋu aɖu nu ahano nu le mɔ si sɔ nu ne èyi aƒeme.

Viɖe kawoe le MRCP dodokpɔ me?

`(contrast MRI)` dodokpɔ tɔxɛ sia naa wò ŋutinuwo kple ʋukawo ƒe nɔnɔmetata siwo me kɔ ŋutɔ, siwo me kɔ nyuie evɔ womezãa `(X-ray radiation) aɖeke o.`Eli. Wozãa MRI scanner tsɔ wɔa MRCP. Esia naa magnet-ŋusẽ sesẽ ŋutɔ eye wòzãa radiofrequency ƒutsotsoewo kple kɔmpiuta mɔ̃ɖaŋununya tsɔ wɔa nɔnɔmetatawo. Radio ƒe ƒutsotsoe siwo wozãna tsɔ wɔa MRI la le abe FM radio ƒe ƒutsotsoe siwo nèsena le wò ʋu me ene. Esia fia be keklẽŋusẽ aɖeke mele ame ŋu o. Esia nye viɖe gã aɖe.

Ðe afɔku aɖewo le MRCP ŋua?

MRCP nye dɔdamɔnu si le dedie vie. Gake afɔku aɖewo li siwo ate ŋu adzɔ ƒã ŋutɔ:

• Nulɔdɔ: Ƒã ŋutɔ be nulɔdɔ sesẽ aɖe, abe anaphylaxis ene, nanɔ IV ƒe vovototodedeameme ƒe atike si nye amadede si wozãna le MRCP me ŋu. Wozãa nusi woyɔna be gadolinium tsɔ wɔa amadede siae. Gadolinium mehea nulɔdɔ vɛ boo o wu iodine.
• Aƒemenɔƒe ƒe vɔvɔ̃: Teƒe si woxe, abe MRI-mɔ̃ ene, me nɔnɔ ate ŋu asesẽ ŋutɔ, ne menye nenema o la, manya wɔ o hã, na amesi ŋu alɔ̃dɔdɔ ƒe vɔvɔ̃ le. Wobu akɔnta be vɔvɔ̃ sia le ame siwo ade ɖeka le enyi ɖesiaɖe me. Eyata ɖɔkta siwo wɔa MRCP la nya esia nyuie. Ne vɔvɔ̃ sia le ŋuwò la, woana atike si naa ame ƒe dzi dzea eme be wòakpe ɖe ŋuwò nànɔ anyi kpoo le dodokpɔa wɔɣi.

Amekawoe mele be woaxɔ MRCP o?

Le MRCP megbe la, wò ayikuwo ɖea amadedea ɖa le wò ŋutilã me. Gake numekukuwo ɖee fia be amadedea ƒe akpa sue aɖe ate ŋu anɔ wò ŋutilã me ɣleti geɖe, ƒe geɖe gɔ̃ hã. Ame akpa gãtɔ mekpɔa eƒe nugbegblẽ le ame ŋu aɖeke o. Gake ɖewohĩ amesiwo ŋu ayikudɔ alo ayiku ƒe dɔmawɔmawɔ nyuie le mate ŋu awɔ MRCP o. Azɔ hã, ne èfɔ fu alo nèle ɖoɖo wɔm be yeafɔ fu le ƒe si gbɔna me la, manyo be nàwɔ MRCP o. Ðo dze kple wò ɖɔkta tso esia ŋu.

Ɣekaɣie maxɔ dodokpɔa ƒe akɔntabubua?

Kekeliŋutinunyala la alé ŋku ɖe nɔnɔmetata siwo woɖe le fotoa me ŋu eye wòaɖo nyatakakaa ɖe wò ɖɔkta. Ate ŋu axɔ kwasiɖa ɖeka alo eve hafi ɖɔktaa naxɔ nyatakakaa. Emegbe aƒo nu tso nyatakakaa ŋu na wò. Le nyatakaka siwo le nyatakakaa me nu la, ate ŋu ahiã be woawɔ dɔ na wò alo awɔ atike bubu na wò.

Ɣekaɣie wòle be makpɔ ɖɔkta? (Le dodokpɔa megbe)

Ne nulɔdɔ ƒe dzesiwo, abe aɖuɖɔtoe ene, dze le ŋuwò le aƒeme yiyi megbe, alo ne dzesiwo, abe dɔgbo ƒe vevesese ene, nu sẽ ɖe edzi la, ele be nàƒo ka na wò ɖɔkta enumake.

Vovototo kae le ERCP kple MRCP dome?

Endoscopic Retrograde Cholangiopancreatography (ERCP) kple MRCP siaa léa ŋku ɖe kuxi mawo ke siwo le dɔgboa kple ʋumenugbagbeviɣidɔ me ŋu. Gake la,ERCP nye dɔdamɔnu si xɔa ame me wu MRCP eye wòhiã be woana atike si naa alɔ̃dɔdɔ ame. Dɔgboŋutinunyalawo nye ɖɔkta siwo bi ɖe nuɖuɖumeŋusẽ me.

Esiae nye nusi dzɔna le ERCP wɔɣi:

• Ðɔktaa tsɔa mɔ̃ si te ŋu trɔna bɔbɔe (endoscope) si me fotoɖemɔ̃ kple kekeli le la toa wò nu me, toa wò nuɖuɖutome, kple wò dɔgbo suea me.
• Emegbe to endoscope la dzi la, wotsɔa mɔ̃ (catheter) bubu si le tsɛ si te ŋu trɔna bɔbɔe la toa ʋukawo kple dɔgbo ƒe ʋukawo me.
• Wodoa amadede aɖe to ka ma me.
• Emegbe wozãa X-ray nɔnɔmetata siwo le ʋuʋum (fluoroscopy) tsɔ léa ŋku ɖe amadedea ŋu esime wòle zɔzɔm to mɔ̃awo me.

Woate ŋu awɔ ERCP le ɣeyiɣi ɖeka me kple endoscopy si le etame. Vevietɔ la, ɖɔkta ate ŋu awɔ atike aɖewo le ERCP wɔɣi. Le kpɔɖeŋu me, ate ŋu agbã kpewo, ade ʋuka siwo me ʋu sina tona be woaʋu mɔ siwo xe la, alo axɔ lãkusiwo atsɔ ado wo kpɔ. Womate ŋu awɔ esiawo kple MRCP o. MRCP nye dodokpɔ si wozãna tsɔ dia dɔlélewoe koŋ.

Mlɔeba la, nusiwo dzi wòle be woaɖo ŋkui (Take-Home Message) .

Ate ŋu ate ɖe dziwò ne mènya nusi tututu le edzi yim le wò ŋutilã me o. Gake dodokpɔ abe MRCP ene ate ŋu ana ŋuɖoɖo si me kɔ na wò. Esia nye MRI si me afɔku mele boo o. Ate ŋu akpe ɖe wò ɖɔkta ŋu wòakpɔ kuxi geɖe, abe dɔgbo ƒe dɔdzẽ, dɔdzẽ si le dɔgboa me, kple aɖuɖɔtoemekpewo ene. MRI-mɔ̃ ƒomevi vovovowo li, le wò hiahiãwo kple nusiwo nèlɔ̃ nu. Ne èxɔ dodokpɔa ƒe nyatakaka vɔ la, wò ɖɔkta aƒo nu na wò tso nusi nàwɔ azɔ ŋu le nyatakaka siwo le nyatakakaa me nu.

Eyata ne wobia tso asiwò be nàwɔ MRCP la, mègavɔ̃e madzemadzee o. Esia nye afɔɖeɖe vevi aɖe si ana nàse wò lãmesẽnyawo gɔme ahawɔ atike nyuitɔ. Bia nya alo nya ɖe sia ɖe si ŋu nètsi dzi ɖo la wò ɖɔkta.

` MRCP, MRI, dɔgbo, aɖuɖɔtoe, ʋumenugbagbeviɣimɔ̃wo, scan, radiology