Fotoɖemɔ̃ tɔxɛ aɖe si léa ŋku ɖe ŋutilãa me: Nusianu si ku ɖe Nuklia Atikewɔwɔ ƒe Nɔnɔmetatawo Ŋu!

Èse dodokpɔ aɖe si woyɔna be ‘Nuclear Medicine Imaging’ ŋu nya kpɔa? Anɔ eme be èse eŋu nya esime wò ɖɔkta gblɔ na wò be nàwɔ dodokpɔ ma tɔgbe. Le nyateƒe me la, eɖina vɔvɔ̃ vie ne èse ŋkɔ sia, alo? ‘Nuklia’ ne ègblɔe nenema. Gake megatsi dzi o, egbea míaƒo nu tso eŋu tsitotsito, le Sinhalagbe me si gɔme nàte ŋu ase, eye wòanɔ bɔbɔe ŋutɔ. Abe alesi nèle nu ƒom na xɔ̃wò ene.

Nukae nye nusi woyɔna be Nuklia Atikewɔwɔ ƒe Nɔnɔmetata sia?

Kpuie ko la, esia nye mɔnu tɔxɛ aɖe si wozãna tsɔ léa ŋku ɖe ŋutinu siwo le míaƒe ŋutilã me ŋu. Gake to vovo na scan bubuwo la, vovototo sue aɖe le esiawo dome. Nusi dzɔna enye si: Gbã la, wonaa ‘radioactive tracer’ sue aɖe ŋutɔ wò. Zi geɖe la, wodoa esia to atike si wodona ɖe ʋuka me dzi. Ɣeaɖewoɣi la, wonanɛ abe aha ene, le dodokpɔ si wɔm wole nu. Esia menye atike alo tsi si dea ama ŋutilãa o, alo? Ne wona esia la, ezɔna toa míaƒe ʋu me, yia ŋutinu alo lãkusi si míedi be míado kpɔ la gbɔ, eye wòdana ɖe afima.

Emegbe, wotsɔa wò dea fotoɖemɔ̃ tɔxɛ aɖe si woyɔna be ‘gamma camera’ te, si dea dzesi keklẽŋusẽ si menya kpɔna dzea sii bɔbɔe o si nusi wotsɔ de wò ŋutilã me dona. Fotoɖemɔ̃ sia sea veve ŋutɔ. Woɖoa keklẽŋusẽ ŋuti nyatakaka ma ɖe kɔmpiuta hetrɔa wo wozua nɔnɔmetata dzeaniwo. Ele abe ŋutinu aɖe si le míaƒe ŋutilã me ƒe ‘anyigbatata’ ene. Ne ɖɔktawo lé ŋku ɖe nɔnɔmetata mawo ŋu la, woate ŋu anya ne kuxi aɖe le wò ŋutilã me alo ne ŋutinu aɖe le dɔ wɔm nyuie.

Fifia ɖewohĩ ànɔ eŋu bum be, ‘Oo, keklẽŋusẽ, evɔ̃ɖi, anya gblẽ na wò ŋutilã.’ Gake nyateƒeae nye be keklẽŋusẽ si le nusi wozã tsɔ do dodokpɔ sia me la le sue ŋutɔ . Eyae nye be enye keklẽŋusẽ si míedoa goe zi geɖe le míaƒe gbesiagbegbenɔnɔ me, eye ɣeaɖewoɣi la, medea nenema kura gɔ̃ hã. Azɔ hã, zi geɖe la, nu siawo mehea nugbegblẽ aɖeke vɛ o. Woɖea nu siawo ɖa le ŋutilãa me le ɣeyiɣi aɖe megbe. Eyata susu aɖeke meli si ta wòle be míavɔ̃ madzemadzee o.

Nukatae míehiã dodokpɔ sia ƒomevi (Nuclear Imaging Test)?

Enyo, dodokpɔ sia koŋue wozãna tsɔ dea dzesi dɔléle vovovowo. Ɣeaɖewoɣi la, wozãnɛ hã tsɔ daa dɔe hekpɔa alesi atikewɔwɔ si li fifia wɔa dɔe. Bu alesi gbegbe dodokpɔ sia ate ŋu akpe ɖe míaƒe ɖɔktawo ŋu be woake ɖe wo ŋui ŋu kpɔ. Dɔléle kple nɔnɔme siwo dodokpɔ sia ate ŋu ade dzesii dometɔ aɖewoe nye esi:

• Ʋudɔ aɖewo (e.g., ʋusɔgbɔdɔ ƒomevi aɖewo, ʋu ƒe sisi ƒe kuxiwo).
• Thyroid dɔlélewo, vevietɔ nɔnɔme siwo me thyroid gland mele dɔ wɔm nyuie o (hypothyroidism).
• Dzidɔ (e.g., ʋu ƒe sisi yi dzitodzito me dzi ɖeɖe kpɔtɔ, dzia ƒe gbegblẽ le dzidɔ megbe).
• Aɖuɖɔtoedɔlélewo (e.g., ʋumenugbagbeviɣidɔ, ʋumenugbagbeviɣidɔ ƒe xexe).
• Aklã ƒe kuxiwo (e.g., ʋu ƒe sisi le lãkusi me, lãkusi ƒe dɔwɔwɔ dzi ɖe kpɔtɔ).
• Kuxi siwo do ƒome kple ƒuwo, abe ƒumeŋuɖui, ƒu gbagbã siwo kpɔkpɔ sesẽ, kple ne kansa lãmenugbagbeviwo kaka ɖe ƒuwo me ene.
• Le kpɔɖeŋu me, ayikudɔlélewo, ayiku me dɔlékuiwo, abi, kple aɖuɖɔtoewo ƒe xexe.
• De dzesi kansa ƒomevi vovovowo eye nàkpɔ afisi kansa la kaka ɖo (staging).

Tsɔ kpe ɖe esia ŋu la, abe alesi megblɔe va yi ene la, wozãa ``Nuclear Medicine Imaging'' mɔ̃ɖaŋununya sia hã na atikewɔwɔmɔnu. Kpɔɖeŋu aɖee nye ``Radioimmunotherapy'' dɔdamɔnu. Le esia me la, wotsɔa keklẽŋusẽ kple dɔlélenutsiŋutete ƒe dɔdamɔnu ƒoa ƒui, eye woɖoa keklẽŋusẽ ɖe teƒe si woɖo taɖodzinu na, abe kansa lãmenugbagbeviwo ene, hena atikewɔwɔ. Esia fia be woate ŋu aɖe nusiwo gblẽ le lãmenugbagbevi siwo le lãmesẽ me ŋu dzi akpɔtɔ.

Vovototo kae le dodokpɔ sia kple keklẽŋusẽ ƒe dodokpɔ bubuwo dome?

Esia nye biabia vevi aɖe ŋutɔ si gɔme nàse. Bubu `(Radiologic tests)` alo abe alesi míenyae ene la ``X-ray``, ``(CT scan)`` koŋ léa ŋku ɖe alesi míaƒe ŋutilã ƒe ŋutinuwo le , si nye, woƒe nɔnɔme, lolome, kpekpeme, wɔwɔme, kple bubuawo Ðɔktawo yɔa esia ŋkuléle ɖe ŋutinu aɖe ƒe ``anatomy`` ŋu.

Gake ``Nuclear Medicine Imaging'' dodokpɔ sia koŋ léa ŋku ɖe alesi ŋutinuawo le dɔ wɔme ŋu . Eyae nye ne ŋutinuawo le dɔ wɔm nyuie, ne woƒe atikewo ƒe dɔwɔwɔ le edzi yim nyuie, ne ʋu ƒe sisi nyo, kple ne tɔtrɔ aɖewo le lãmenugbagbeviwo ƒe ɖoɖo nu.

Ne míagblɔe tututu la, togbɔ be scan bubuwo ɖea ŋutinu aɖe ƒe ‘foto’ hã la, Nuclear Medicine Imaging le abe ‘le ŋku lém ɖe alesi ŋutinu ma wɔa dɔe ŋu le agbe’ ene.

Viɖe gãtɔ kekeake si le ŋutinu aɖe ƒe dɔwɔwɔ kpɔkpɔ alea ŋue nye be woate ŋu ade dzesi dɔléle aɖewo to tɔtrɔ siwo va le woƒe dɔwɔwɔ me hafi tɔtrɔ gãwo va woƒe wɔwɔme me. Emegbe ɖɔktawo ate ŋu axɔ dɔlélea le eƒe gɔmedzedze eye woadze edada gɔme kaba. Esia dzia mɔnukpɔkpɔ si li be atikewɔwɔ nakpɔ dzidzedze ɖe edzi.

Aleke wòle be míadzra ɖo hafi dodokpɔ sia nava?

Esia hã nye nusi wòle be nànya kple kakaɖedzi. Gake esi wònye be ``Nuclear Medicine'' dodokpɔ ƒomevi geɖe li ta la, mɔ si dzi wòle be nàdzra ɖo ɖe wo dometɔ ɖesiaɖe ŋu la mesɔ o. Ato vovo tso dodokpɔ ɖeka me yi bubu si woɖo be nàwɔ.

Le kpɔɖeŋu me, le dodokpɔ aɖewo me la, woate ŋu abia tso asiwò be mègaɖu nu alo ano naneke o negbe tsi ko gaƒoƒo ene va ɖo ade hafi dodokpɔa nawu enu vaseɖe esime dodokpɔa nawu enu (nutsitsidɔ). Le dodokpɔ bubuwo gome la, woate ŋu abia tso asiwò be nàdzudzɔ atike aɖewo nono ŋkeke ʋɛ aɖewo do ŋgɔ na dodokpɔa. Gake ɖewohĩ dodokpɔ bubuwo mahiã dzadzraɖo tɔxɛ aɖeke o.

Eyata nusi le vevie wue nye be ne woŋlɔ dodokpɔ sia tɔgbe na wò la, ele be nàbia wò ɖɔkta alo kɔdzi ƒe dɔwɔƒe si ku ɖe afisi wole dodokpɔa wɔm le be aleke tututu nàdzra ɖo ɖe eŋu hã. Woana mɔfiame siwo sɔ pɛpɛpɛ wò ku ɖe nu si nàwɔ kple nu si màwɔ o ŋu. Mɔfiame mawo dzi wɔwɔ pɛpɛpɛ le vevie ŋutɔ be woakpɔ dodokpɔa me tsonu siwo de pɛpɛpɛ.

Nukae wòle be míanya le dodokpɔgbea?

Nu suesuesue ʋɛ aɖewo li siwo wòle be wòanɔ susu me na wò le dodokpɔgbea. Esiawo menye nu gãwo o, gake enyo be woanya.

• Gbã la, ƒo asa na wò nu xɔasiwo (abe atsyɔ̃ɖonuwo, dzonu), ga gbogbo, kple gaxɔgbalẽviwo tsɔtsɔ yi kɔdzi. Elabena ne wobu la, ema hã nye kuxi bubu. Togbɔ be zi geɖe la, nudzraɖoƒewo nɔa anyi hã la, anyo wu be màtsɔ wo vɛ o.
• Woate ŋu abia tso asiwò be nàdo kɔdziwu tɔxɛ aɖe. Esia ana dodokpɔa nanɔ bɔbɔe wu.
• Mɔ̃ɖaŋudɔwɔla siwo xɔ hehe etɔxɛe, siwo woŋlɔ ŋkɔ na ye wɔa dodokpɔ sia. Emegbe Nuklia Kekeliŋutinunyalawo kple atikewɔlawo daa nɔnɔmetatawo kple nyatakaka siwo woxɔ tso dodokpɔa me la kpɔna hekpɔa dɔlélea le wo ŋu. Eyata, àte ŋu aka ɖe edzi be yele asi siwo le dedie me.

Nukae dzɔna le dodokpɔa wɔɣi?

Enyo, azɔ na míakpɔ nusi dzɔna le dodokpɔa me ɖa. Ne wokplɔ wò yi dodokpɔxɔa me vɔ la, woabia tso asiwò be nàmlɔ aba dzi le ``Gamma fotoɖemɔ̃ te.'' Fotoɖemɔ̃ sia lolo vie, gake maka asi wò ŋutilã ŋu o, eyata naneke meli nàvɔ̃ o.

Fotoɖemɔ̃a ƒe ta azɔ blewuu le wò ŋutilã ƒe akpa si wole dom kpɔ la dzi, alo anɔ teƒe ɖeka, anɔ foto ɖem ɖe wo nɔewo yome. Ele vevie ŋutɔ be nànɔ anyi kpoo ɣeyiɣi didi aɖe le ɣeyiɣi sia me. Ðeko wòle abe alesi nèlé wò gbɔgbɔ ɖe asi esime nèle foto ɖem ene. Ne èʋu la, ɖewohĩ nɔnɔmetataawo me mekɔ o, eye ahiã be nàgawɔ dodokpɔa ake. Eyata dze agbagba nànɔ anyi kpoo abe alesi dɔwɔlawo gblɔe ene. Woate ŋu abia tso asiwò ɣeaɖewoɣi be nàlé gbɔgbɔ ɖe te hena ɣeyiɣi aɖe.

Kristal tɔxɛ siwo sea nu gɔme le fotoɖemɔ̃a ƒe ta me la xɔa keklẽŋusẽ si menya kpɔna dzea sii bɔbɔe o si dona tso keklẽŋusẽ ƒe mɔ̃ si le wò ŋutilã me la me. Emegbe wowɔa nɔnɔmetatawo le kɔmpiuta dzi. Ðɔktawo dzroa nɔnɔmetata siawo me be yewoakpɔ dɔléle si le ŋuwò.

Ɣeyiɣi didi kae dodokpɔ sia xɔa?

Ɣeyiɣi si wòxɔna hafi esia wɔwɔ toa vovo le dodokpɔ si ƒomevi wɔm nèle nu. Zi geɖe la, exɔa abe miniti 30 va ɖo 60 ene hafi wotsɔa fotoɖemɔ̃a wɔa fotoɖeɖea ko, eye ɣeyiɣi si wòxɔna hafi wodoa radioactive tracer la eye wòxɔa nyuie hã kpenɛ.

Gake dodokpɔ aɖewo li, abe ƒuwo me toto ene, afisi ate ŋu axɔ gaƒoƒo eve va ɖo etɔ̃ hafi radioactive tracer la nage ɖe ŋutilãa me bliboe. Le nɔnɔme mawo me la, woana tracer la wò, woana nàgbɔ ɖe eme vie (ɖewohĩ woagblɔ na wò be nàno tsi le ɣeyiɣi sia me), eye emegbe woabia tso asiwò be nàtrɔ ava hena scan la le ɣeyiɣi si woɖo ɖi dzi.

Ɣeyiɣi aɖewo li siwo me wòahiã be woawɔ `(Nuclear Medicine)` dodokpɔ aɖewo le ŋkeke geɖe me. Le kpɔɖeŋu me, ɣeyiɣi aɖewo ateŋu anɔ anyi si me woana `(tracer)` wò egbea, eye emegbe ateŋu awɔ scan ɖeka egbea, eye scan bubu etsɔ. Woana nya siawo katã na wò do ŋgɔ.

Afɔku kple viɖe kawoe le esia me?

Ame geɖe tsia dzodzodzoe vie ne wose nya ‘radioactive’, eye esia sɔ. Gake abe alesi megblɔe va yi ene la, tracer siwo wozãna le dodokpɔ siawo me menye atikewo o, eye zi geɖe la, womehea nugbegblẽ le ame ŋu vɛ o. Azɔ hã, keklẽŋusẽ si nèxɔna le dodokpɔ sia tɔgbe me la le sue ŋutɔ, eyata mehiã be nàtsi dzi ɖe nuwo abe kansa ƒe afɔku ene ŋu o.

Ke hã, ƒã ŋutɔ, si fia be le alafa memamã sue aɖe ŋutɔ me la, ame aɖewo ate ŋu awɔ nulɔdɔ le `(Radioactive tracer)` ŋu. Ema fia nane abe ʋuʋudedi alo ʋuʋudedi le ŋutilã ŋu ene. Eyata ne naneke melɔ̃a nu le ŋuwò o (abe atikewo, nuɖuɖuwo, ke ene) la, ele be nàgblɔe na wò ɖɔkta kple amesiwo le dodokpɔa wɔm do ŋgɔ godoo. Ekema woalé to ɖe eŋu.

Azɔ na míalé ŋku ɖe viɖe siwo le eme ŋu. `(Nuclear Medicine)` scan siawo ateŋu ana nyatakaka vevi ŋutɔ kple etɔxɛ siwo míate ŋu akpɔ tso dodokpɔ bubuwo me o la mí. Ɣeaɖewoɣi la, woate ŋu akpɔ nane si wòle be woawɔ na amekoko gã (`exploratory surgery`) kple scan abe esia ene, evɔ womagblẽ nu boo aɖeke le ŋutilãa ŋu o (`least-invasive`). Eyae nye be esia nye kpekpeɖeŋu gã aɖe le dɔlélewo didi kple wo dada ƒe nyonyome me. Le go geɖe me la, ate ŋu ade dzesi dɔlélewo hã le woƒe gɔmedzedze, le ɣeyiɣi siwo menya kpɔna dzea sii bɔbɔe o siwo dodokpɔ bubuwo meléna o gɔ̃ hã me. Esia naa mɔnukpɔkpɔ gã aɖe be woadze atikewɔwɔ gɔme kaba.

Le dodokpɔa megbea?

Zi geɖe la, ne dodokpɔa wu enu la, àte ŋu atrɔ ayi wò dɔwɔna siwo nèwɔna ɖaa gbɔ, aɖu nu ahano wò nuɖuɖu si nèɖuna ɖaa. Gbɔɖeme tɔxɛ aɖeke mehiã o. Ɣeaɖewoɣi la, ɖɔkta agblɔ na wò be nàno tsi vi aɖe, be wòakpe ɖe ``(tracer)`` ŋu wòado le wò ŋutilã me kaba. Ne menye ema o la, naneke mele etɔxɛ o. Ðɔktaa aƒo nu tso eŋu na wò ne èxɔ wò dodokpɔ ŋuti nyatakaka.

Mlɔeba la, nu vevitɔ kekeake siwo dzi wòle be woaɖo ŋkui (Take-Home Message) .

Enyo, míeƒo nu geɖe tso ``Nuclear Medicine Imaging'' ŋu fifia. Mesusu be èse egɔme nyuie. Nu vevi siwo dzi wòle be nàɖo ŋkui lae nye esi:

• Nuklia Atikewɔwɔ dodokpɔwo nye mɔnu si de ŋgɔ ŋutɔ, si le dedie, eye wòwɔa dɔ nyuie si wozãna tsɔ dea dzesi dɔléle geɖe hedaa ɖewo.
• Esiawo mewɔa nuvevi ame alo vea ame boo o (`least-invasive`). Kekeli ƒe agbɔsɔsɔ hã le sue ŋutɔ.
• Ne wò ɖɔkta gblɔ dodokpɔ sia ƒomevi na wò la, ƒo nu tso eŋu nɛ. Biae tso nya alo nya ɖe sia ɖe si ŋu nètsi dzi ɖo ŋu. Mègalé naneke ɖe megbe o.
• Wɔ ɖe mɔfiameawo dzi pɛpɛpɛ, vevietɔ le dzadzraɖo do ŋgɔ na dodokpɔa gome.

"Miɖo ŋku edzi be esi atikewɔwɔ ŋuti dzɔdzɔmeŋutinunya le ŋgɔ yim ta la, dodokpɔ siawo tɔgbe kpena ɖe mía ŋu ŋutɔ le míaƒe lãmesẽ takpɔkpɔ kple dɔlélewo didi kaba me. Eyata ele vevie be míanya nyatakaka siwo sɔ eye míawɔ ɖe atikewɔwɔ ƒe aɖaŋuɖoɖowo dzi evɔ míahe vɔvɔ̃ si mehiã o vɛ o."

Ne èdi be yeanya nu bubu aɖe la, kpɔ egbɔ be yebia yeƒe ɖɔkta. Nɔ lãmesẽ me!

` Nuklia atikewɔwɔ, keklẽŋusẽ dodokpɔwo, dɔlélewo didi, tracers, gamma fotoɖemɔ̃wo, lãmesẽ, atikewɔwɔ dodokpɔwo