He pilikia kou i ka ʻōpū? E kamaʻilio kākou e pili ana i ka HIDA Scan!

Ua ʻike anei ʻoe i ka ʻeha ma ka ʻaoʻao ʻākau o luna o kou ʻōpū? A i ʻole ua haʻi aku kekahi kauka iā ʻoe he pilikia kou me kou gallbladder? I kēlā manawa, ua noi ʻia paha ʻoe e hana i kahi `HIDA scan` (Hepatobiliary Immunodiacetic Acid Scan). No laila, e makaʻu iki paha ʻoe ke lohe ʻoe i kēia, akā mai hopohopo. I kēia lā, e kamaʻilio maʻalahi mākou e pili ana i kēia `HIDA scan`, ma ke ʻano hiki iā ʻoe ke hoʻomaopopo.

He aha ka scan HIDA?

I ka ʻōlelo maʻalahi, he hoʻāʻo kūikawā ka HIDA scan e nānā ana i ke ʻano o ka hana ʻana o kou gallbladder. Ma kēia, ua hoʻokomo ʻia kahi liʻiliʻi o kahi kemika i kapa ʻia he radioactive tracer i loko o kou kino. A laila, hoʻohana ʻia kahi kāmela kūikawā e nānā i ke ʻano o kona neʻe ʻana ma kou kino. Hana ʻia kēia hoʻāʻo ma ka ʻoihana lāʻau lapaʻau nukelea o ka haukapila.

No ka wehewehe hou aku, nānā kēia `HIDA scan` i ke ala e kahe ai ka bile mai kou akepaʻa a i kou ʻōpū liʻiliʻi. Kāhea mākou i kēia ala o ka bile ʻo `biliary system`.

E noʻonoʻo e pili ana i ia mea, hana kou akepaʻa i kēia wai hoʻoheheʻe i kapa ʻia ʻo bile. Kōkua kēia bile iā mākou e hoʻoheheʻe i nā momona i loko o ka meaʻai a mākou e ʻai ai. A laila, hele ka bile i hana ʻia ma o nā ʻōmole kūikawā (nā ʻāpana biliary) a mālama ʻia i loko o ka gallbladder. He ʻeke liʻiliʻi ka gallbladder ma lalo o kou akepaʻa, ma ka ʻaoʻao ʻākau, kokoke i kou mau iwi ʻaoʻao haʻahaʻa. Ke ʻai ʻoe, ʻūlū kēia gallbladder (ʻomi) a hoʻouna i ka bile i mālama ʻia i loko ma o nā ducts i ka ʻāpana mua o kou ʻōpū liʻiliʻi (duodenum), e kōkua i ka hoʻoheheʻe ʻana i nā momona.

Ua maopopo iā ʻoe i kēia manawa? Inā he pilikia iki ma kekahi wahi o kēia kaʻina hana, hiki iā ʻoe ke ʻike i nā ʻano hōʻailona like ʻole. ʻO ia ka manawa e hiki ai i kēia `HIDA scan` ke kōkua i ka loaʻa ʻana o ke kumu. Ua kapa ʻia kēia ʻo `cholescintigraphy` a me `hepatobiliary scintigraphy`.

He aha nā maʻi e hiki ke ʻike ʻia me kahi scan HIDA?

Hoʻohana nā kauka i kēia 'HIDA scan' e ʻike a loiloi i ka nui o kēia mau kūlana:

• ʻO ka cholecystitis koʻikoʻi: He kūlana kēia e hiki koke mai ana. Hiki iā ʻoe ke ʻike i ka ʻeha nui ma ka ʻaoʻao ʻākau o luna o kou ʻōpū a me nā hōʻailona e like me ke kuni. ʻO ka hapa pinepine (ma kahi o 90%) ua hana ʻia e nā pōhaku gall e ālai ana i ke ala bile.
• ʻO ka cholecystitis mau loa: ʻO kēia ka wā e pehu ai kou gallbladder a pehu pinepine. ʻAʻole ʻoi aku ka ʻeha ma mua o ke kahua koʻikoʻi, akā hiki ke hele mai a hele aku ka ʻeha ʻole. Hoʻokumu pinepine ʻia kēia e nā pōhaku gallstones e ālai ana i kahi ʻauwai bile (cystic duct).
• Ka hana pono ʻole o ka sphincter o Oddi: ʻO kēia ka wā e wehe pono ʻole ai ka sphincter o Oddi, kahi ʻiʻo e hana ana ma ke ʻano he puka no ka bile a me ka wai pancreatic (nā enzymes). Hoʻoulu kēia i ke kahe hou ʻana o nā wai ʻai. Hiki i kēia ke hōʻeha nui.
• ʻO ka atresia biliary:He kūlana kēia e kū mai ana i nā pēpē hānau hou. Hoʻopaʻa ia i ke kahe ʻana o ka bile mai ke akepaʻa o ka pēpē a i ka ʻōpū liʻiliʻi. He kumu koʻikoʻi kēia, akā he mea kakaikahi, o ka jaundice i nā pēpē hānau hou. Inā ʻaʻole i hoʻoponopono ʻia kēia me ke ʻoki ʻana i loko o nā mahina ʻelua a ʻekolu mua o ke ola, hiki iā ia ke hōʻino i ke akepaʻa.
• Ka leaka biliary: ʻO kēia ka wā e leaka ai ka bile mai loko mai o nā ʻauwai bile. Ke hana ʻia kēia, hiki i nā ʻiʻo a puni ke pehu, ʻeha, a hiki ke maʻi ʻia. Hana pinepine ʻia kēia ma hope o ke ʻoki ʻana i ka gallbladder, ka trauma, a i ʻole ka hoʻoili ʻana i ke ake.

I ka manawa hea ʻoe e pono ai i kahi scan HIDA?

Paipai nā kauka i kahi scan HIDA e nānā i nā pilikia me nā hunaola akepaʻa, ka ʻōnaehana biliary, a me ka gallbladder. Hiki i ke kauka ke kauoha i kahi scan HIDA inā loaʻa iā ʻoe kekahi o kēia mau hōʻailona:

• ʻEha nui o ka ʻōpū, ʻoi aku hoʻi ma ka ʻaoʻao ʻākau: Hiki ke kumu kēia o ka mumū koke o ka gallbladder (cholecystitis). ʻO kēia ke kumu maʻamau no ka nānā ʻana o HIDA.
• ʻEha a kuni paha ma hope o kekahi mau ʻoki kino: Inā ua loaʻa iā ʻoe ke ʻoki ʻana i ka gallbladder, ke ʻoki ʻana i ka ʻōpū o luna, a i ʻole kahi hoʻoili ate, pono paha ʻoe i kahi scan HIDA inā loaʻa iā ʻoe ke kuni a me ka ʻeha ma hope.
• ʻO ka jaundice koʻikoʻi i nā pēpē hānau hou: Hiki ke hana ʻia kēia e kahi maʻi hoʻoweliweli i ke ola i kapa ʻia ʻo 'biliary atresia'.

Eia kekahi, inā he stent biliary kāu i kau ʻia i loko o kou ʻauwai bile, loaʻa paha iā ʻoe kahi scan HIDA e ʻike ai inā e hana pono ana ia. ʻO ka stent biliary he ʻōmole lahilahi a hakahaka i kau ʻia i loko o kou ʻauwai bile e mālama iā ia i waho inā ua ālai ʻia. Inā ua loaʻa iā ʻoe kahi hoʻoili ate, loaʻa paha iā ʻoe kekahi mau scan HIDA e ʻike ai pehea e hana ai kou ate ma hope o ke ʻoki ʻana.

ʻO wai ka mea e hana i ka nānā ʻana o HIDA?

ʻEkolu mau loea lapaʻau e komo ana i ka hana ʻana i kahi scan HIDA. Kōkua lākou i ka hoʻonohonoho ʻana i nā lako scan, hoʻokele i nā radiopharmaceuticals, a wehewehe i nā hopena scan. ʻO lākou kēia:

• He kauka loea i ka 'lāʻau lapaʻau nukelea' a i ʻole 'radiology nukelea'.
• ʻIke loea nukelea.
• He kanaka loea i ke kino lapaʻau.

Pehea e hana ai ke kiʻi HIDA?

Hoʻohana kahi scan HIDA (hepatobiliary immunodiacetic acid scan) i nā ʻāpana liʻiliʻi o nā mea radioactive i kapa ʻia ʻo radiopharmaceuticals a i ʻole radiotracers. Hoʻokomo pinepine ʻia kēia i loko o kou aʻa.

A laila hele kēia `radiotracer` ma kou akepaʻa, ka ʻōpū gallbladder, a me ka ʻōpū liʻiliʻi. Hoʻopuka kēia `radiotracer` i kahi ʻano ikehu i kapa ʻia ʻo `gamma rays`. ʻIke nā kāmela kūikawā i kēia ikehu, a hoʻohana kahi kamepiula iā ia e hana i nā kiʻi maopopo o ke ʻano o ka hana ʻana o kāu mau ʻōkana a me nā ʻiʻo.

Pehea e hoʻomākaukau ai no kahi scan HIDA?

E hāʻawi aku kāu hui lapaʻau iā ʻoe i nā kuhikuhi kikoʻī no ke ʻano o ka hoʻomākaukau ʻana no ka HIDA scan. He mea nui loa ia e hahai pololei i kēlā mau kuhikuhi. Eia kahi alakaʻi laulā no ka hoʻomākaukau ʻana:

• Inā hāpai ʻoe, manaʻo ʻoe ua hāpai paha ʻoe, a i ʻole e hānai waiū ana , he mea nui e haʻi aku i kāu kauka ma mua o ka hana ʻana i kahi scan HIDA.
• E haʻi i kāu hui lapaʻau e pili ana i nā lāʻau lapaʻau āpau āu e lawe ai, me nā huaora a me nā mea hoʻohui lāʻau. Hiki i kāu kauka ke noi iā ʻoe e hoʻōki i ka lawe ʻana i kekahi mau lāʻau lapaʻau ma mua o ke scan, no ka mea hiki iā lākou ke hoʻopilikia i nā hopena o ke scan.
• Ke hele mai ʻoe no ke scan , e wehe i nā mea hoʻonani a i ʻole nā ​​mea komo a waiho iā lākou ma ka home, a i ʻole e wehe iā lākou ma mua o ke scan. Hiki i kēia ke hoʻopilikia i ka hoʻokolokolo ʻana.
• Inā he makaʻu kou i nā wahi paʻa (`claustrophobia`), e haʻi mai iā mākou ma mua o ka hoʻomaka ʻana o ka hoʻāʻo. ʻO kēia no ka mea e loaʻa ai nā kiʻi maikaʻi loa, pono e hoʻopaʻa ʻia ke kāmela scan i kahi kokoke iki i kou kino. Eia naʻe, ʻaʻole like kēia kāmela me kahi ʻōmole i pani ʻia a puni, akā ua hāmama ma nā ʻaoʻao ʻelua. Hoʻonoho pinepine ʻia ma luna pono o kou ʻōpū, a ʻaʻole uhi i kou maka.
• No kahi scan HIDA , pono ʻoe e hoʻokē ʻai no ʻehā hola ma ka liʻiliʻi (ʻaʻohe meaʻai a mea inu koe wale nō ka wai). Inā pono ʻoe e hoʻokē ʻai no ka lōʻihi ma mua o kēlā, e haʻi aku kāu kauka iā ʻoe.
• Pono paha nā pēpē hānau hou i ka mālama kūikawā ʻekolu a ʻelima mau lā ma mua o ke scan. E aʻo aku nā limahana ma ka lumi pediatric iā ʻoe e pili ana i kēia.

Pono anei ʻoe e hoʻohiamoe ʻia i ka wā o ka HIDA scan?

ʻAʻole ʻoe e hāʻawi pinepine ʻia i ka anesthesia no kahi scan HIDA. ʻO ka ʻoiaʻiʻo, koi kekahi mau scan iā ʻoe e neʻe i nā kūlana like ʻole.

Eia nō naʻe, inā pilikia ʻoe e noho mālie i ka wā o ke scan, a inā paha e scan ʻia ana kāu pēpē, hiki ke hāʻawi ʻia iā ʻoe a i ʻole kāu pēpē i kahi mea hoʻomaha e kōkua iā lākou e mālie a hiamoe. Eia naʻe, ʻaʻole ia e hoʻohiamoe loa iā ʻoe, e ala mau ʻoe.

ʻEhia ka lōʻihi o ka hana ʻana o kahi scan HIDA?

Hiki i ka maʻamau ke hala ma waena o hoʻokahi a ʻehā hola ka nānā ʻana o ka HIDA. I kekahi manawa, e noi ʻia paha ʻoe e hoʻi mai i loko o 24 mau hola o ka nānā mua ʻana no nā kiʻi hou aku.

He aha ka mea e manaʻo ai i ka wā o kahi scan HIDA?

Aia paha he mau ʻokoʻa iki i ke ʻano o ka hana ʻana o ka HIDA scan, ma muli o ka ʻāpana o kāu ʻōnaehana biliary e nānā ʻia nei. Akā ma ke ʻano laulā, eia ka mea hiki iā ʻoe ke manaʻo:

• Pono ʻoe e wehe i nā lole e uhi ana i kou ʻōpū. E hāʻawi ka haukapila iā ʻoe i kahi lole e ʻaʻahu ai.
• Pono ʻoe e moe i luna ma ka papa hoʻokolokolo.
• E hoʻokomo kahi kahu maʻi a mea loea paha i kahi catheter intravenous (IV) i loko o kahi aa koko ma kou lima a lima paha, a e hoʻokomo i ka radiotracer.
• E kau ke loea i ke kāmela scan ma luna o kou ʻōpū, kokoke i kou kino.
• Ke hoʻomaka ʻoe e kiʻi i nā kiʻi, lawe ke kāmela scan i kahi moʻo o nā kiʻi. Hiki i ke kāmela ke hoʻohuli a puni ʻoe a noho paha ma kahi hoʻokahi.
• I ke kiʻi ʻana i nā kiʻi, he mea nui loa ia e waiho i ke kāmela ma kahi hoʻokahi me ka neʻe ʻole. ʻO ia ka manawa e hiki ai iā ʻoe ke kiʻi i nā kiʻi maikaʻi loa.
• E noi ʻia paha ʻoe e hoʻololi i nā kūlana ma waena o ke kiʻi ʻana i nā kiʻi. E haʻi aku ka mea loea iā ʻoe i kēlā.
• Ma hope o ke kiʻi ʻana i kekahi mau kiʻi, hāʻawi paha ke kauka ʻenehana iā ʻoe i ka lāʻau lapaʻau e hoʻokahe i kou ʻōpū. Hiki i kēia ke hana i kahi ʻeha iki ma kou ʻōpū luna. I ka wā e hemo ai kou ʻōpū, e lawe lākou i nā kiʻi hou aku.
• Ke pau ka lawe ʻia ʻana o nā kiʻi a pau e pono ai (hiki ke hala ma kahi o ʻehā hola), ua pau ka scan.

Ua ʻeha anei ke kiʻi HIDA?

ʻAʻole ʻeha loa ke kiʻi HIDA. Ke hāʻawi ʻia ka radiotracer ma o ka IV, hiki iā ʻoe ke manaʻo i kahi ʻano ʻūlū iki ke hoʻokomo ʻia ka nila i loko o ke aʻa, ʻo ia wale nō.

Eia nō naʻe, inā ʻoe e loaʻa ana i kahi scan HIDA no kahi maʻi, hiki iā ʻoe ke ʻeha ma muli o kēlā ʻano. No ka laʻana, ʻo nā kūlana e like me ka cholecystitis a me ka sphincter o Oddi dysfunction hiki ke hōʻeha nui. Eia kekahi, ʻaʻole pono ʻoe e lawe i kekahi mau lāʻau ʻeha ma mua o ke scan, no ka mea hiki i kēia mau lāʻau ke hoʻopilikia i ka hana o kāu ʻōnaehana biliary a hoʻopilikia i ka pololei o ka hoʻāʻo.

Eia kekahi laʻana, pono e hoʻōki ʻia nā opiates (e like me ka morphine a me ke codeine) ma ka liʻiliʻi he ʻeono hola ma mua o kahi scan HIDA.

He aha ka mea e hana ʻia ma hope o ka nānā ʻana o ka HIDA?

Ma muli o ke kumu i loaʻa ai iā ʻoe ka HIDA scan, hiki paha iā ʻoe ke hoʻi i ka home, a i ʻole pono paha ʻoe e hoʻi i ka lumi o ka haukapila.

Pono ʻoe e inu i ka wai nui no nā hola 24 e hiki mai ana ma hope o ke scan. E kōkua kēia i ka `radiotracer` e haʻalele koke i kou kino. I ka hapanui o nā hihia, e hoʻokuʻu ʻia ka `radiotracer` mai kou kino i loko o hoʻokahi lā, ma o ka mimi a i ʻole ka ʻōpala.

E holoi pono i ka lua ma hope o ka hoʻohana ʻana, a holoi pono i kou mau lima me ke kopa. He liʻiliʻi loa ka nui o ka radiation i loko o ka tracer, no laila ʻaʻohe pilikia i nā poʻe ʻē aʻe a puni ʻoe ma hope o ke scan.

Inā he makuahine hānai ʻoe, pono ʻoe e pale i ka hoʻopuka ʻana i ka waiū umauma no 24 mau hola ma hope o ke scan. ʻO kēia no ka mea hiki i ka radiotracer ke hoʻohui i ka radioactivity i kāu waiū umauma, kahi mea e hōʻino ai i kāu pēpē. No laila, ʻoi aku ka maikaʻi o ka hoʻopuka ʻana i kahi waiū umauma hou ma mua o ke scan a mālama pono iā ia, a i ʻole e ʻimi i kahi ala ʻē aʻe e hānai ai i kāu pēpē no ka lā ma hope o ke scan.

He aha nā pilikia a me nā hopena ʻaoʻao o ka HIDA scan?

He haʻahaʻa loa nā pilikia o kahi scan HIDA. ʻO lākou kēia:

• Hiki ke ʻeha iki kahi i hoʻokomo ʻia ai ka radiotracer.
• He liʻiliʻi ka nui o ka radiation i hōʻike ʻia iā ʻoe i ka wā o kahi scan HIDA maʻamau ua like ia me ka awelika o ke kanaka i hōʻike ʻia mai ke kaiapuni i hoʻokahi makahiki.
• Hiki ke loaʻa kahi hopena alerika i nā radiotracers i hoʻohana ʻia i ke scan. Eia nō naʻe, he mea kakaikahi loa kēia.

He mea nui loa e haʻi i kāu kauka inā hāpai ʻoe, manaʻo paha ʻoe ua hāpai ʻoe, a i ʻole e hānai waiū ana. I ka hapanui o nā hihia, ʻaʻole i hana ʻia nā hoʻokolohua lāʻau lapaʻau nukelea, e like me ka HIDA scan, ma nā wahine hāpai no ka mea hiki iā lākou ke hōʻeha i ka pēpē i hānau ʻole ʻia.

Hāʻawi ke kiʻi ʻana i ka lāʻau lapaʻau nukelea, me kahi scan HIDA, i ka ʻike kūikawā ʻaʻole hiki i nā hoʻokolohua ʻē aʻe, e like me ke ultrasound. No laila, inā ʻaʻole ʻoe hāpai, ʻoi aku ka nui o nā pono o kahi scan HIDA ma mua o nā pilikia liʻiliʻi.

ʻEhia ka lōʻihi e ʻike ai i nā hopena o ka scan HIDA?

E nānā kekahi radiologist i nā kiʻi mai ka HIDA scan, kākau i kahi hōʻike, a haʻi i kāu kauka i nā hopena. A laila e haʻi aku kāu kauka iā ʻoe i nā hopena. ʻO ka maʻamau, ʻaʻole iʻoi aku ma mua o 24 mau hola kēia.

He aha nā hopena o ka nānā ʻana o ka HIDA?

ʻOkoʻa paha ka ʻike ma kāu hōʻike hopena scan HIDA ma muli o ke kumu i loaʻa ai iā ʻoe ka scan. ʻO ka maʻamau, e wehewehe ka hōʻike pehea i neʻe ai ka radiotracer ma o kāu ʻōnaehana biliary.

Hana nā kauka i ka hōʻoia hope loa ma ka hoʻohui ʻana i nā hopena o ka HIDA scan a me nā hoʻokolohua ʻē aʻe, e like me nā hoʻokolohua koko.

Hiki i nā hopena o kahi scan HIDA ke komo pū me:

• Maʻamau: Ua hala ka radiotracer mai kou akepaʻa a i kou gallbladder a me ka ʻōpū liʻiliʻi me ka ʻole o ke ālai ʻia.
• Neʻe lohi o ka radiotracer: ʻO ke ʻano paha kēia he poloka a pale paha i kekahi wahi i loko o kāu ʻauwai bile, a i ʻole ʻaʻole hana pono kou ake.
• ʻAʻohe radiotracer i ʻike ʻia i loko o ka gallbladder: ʻO ke ʻano paha he cholecystitis nui kou, kahi poloka i ke ala bile.
• ʻO ka hapa hoʻokuʻu ʻana o ka gallbladder haʻahaʻa loa: Hoʻoholo ʻia kēia e ka nui o ka bile e hiki i kou gallbladder ke hoʻokuʻu (ejection fraction) ma hope o ka hoʻoulu ʻia ʻana me ka lāʻau lapaʻau. ʻO ka hapa hoʻokuʻu ʻana o ka gallbladder o 30% a 35% he mea maʻamau. Inā haʻahaʻa loa kēia helu, hiki paha ke hōʻike i ka cholecystitis mau.
• Ua ʻike ʻia ka Radiotracer ma nā wahi ʻē aʻe:Inā hōʻike ka scan aia ka radiotracer ma waho o kāu ʻōnaehana biliary, hiki paha iā ia ke hōʻike i kahi leaka biliary.

E hoʻomanaʻo, ʻoiai nā hopena āu e loaʻa ai, e wehewehe ana kāu kauka iā ʻoe, no laila mai makaʻu e nīnau iā lākou.

ʻO ka mea hope loa, he aha kāu e ʻike ai

He hoʻāʻo koʻikoʻi ka `HIDA scan` (Hepatobiliary Immunodiacetic Acid Scan) no ka ʻike ʻana i kekahi mau pilikia i loko o kou ake, nā ʻauwai bile, a me ka gallbladder. Hiki ke lilo i mea kaumaha iki ke hana ʻia ia ʻano hoʻāʻo. Akā e ʻike ʻoe he hoʻāʻo ʻeha ʻole loa ka `HIDA scan`. Hiki iā ʻoe ke nīnau i kāu kauka e pili ana i nā nīnau a hopohopo paha āu. Mai hopohopo, eia nā kauka e kōkua iā ʻoe.

ʻO ke kiʻi HIDA, ka ʻōpū ʻōpū, ke akepaʻa, ka bile, nā mea radioactive, ka ʻike ʻana, ka ʻeha o ka ʻōpū