Pehea kou akepaʻa a me kou spleen? (Liver and Spleen Scan)

Aloha! Ua hopohopo iki paha ʻoe a makaʻu hoʻi i ka wā i haʻi aku ai ke kauka iā ʻoe e hana i kahi scan kūikawā e nānā i kou ake a me kou spleen, he "Liver and Spleen Scan", ʻeā? A i ʻole ua hoihoi nui paha ʻoe i ke ʻano o kēia. No laila, mai hopohopo. E kamaʻilio kākou e pili ana i kēia me ka kikoʻī, me ka maʻalahi loa, i kēia lā. E wehewehe wau i nā mea āpau ma ke ʻano hiki iā ʻoe ke hoʻomaopopo.

He aha ka Scan no ke Ake a me ka Spleen?

I ka ʻōlelo maʻalahi, he hoʻāʻo kiʻi lāʻau lapaʻau nukelea kūikawā kēia. Nānā nui ia i ʻelua mau ʻāpana i kapa ʻia ʻo kou akepaʻa a me ka spleen. Aia kēia mau ʻāpana ʻelua ma ka ʻaoʻao o luna o ko kākou ʻōpū. ʻO ka mea nui, inā he pilikia me kekahi o kēia mau ʻāpana, hiki iā ia ke hoʻopilikia i kekahi. Ua like lāua me nā hoaaloha maikaʻi loa ʻelua.

Ma kēia hoʻāʻo ʻana, ua hoʻokomo ʻia kahi liʻiliʻi o ka mea radioactive (kahi radioactive tracer) i loko o kou kino. A laila, hoʻohana ʻia kahi mea kūikawā i kapa ʻia he kāmela gamma e nānā i ke ʻano o ka omo ʻia ʻana o ka mea e kou akepaʻa a me ka spleen. Hiki i kēia i nā kauka ke ʻike i ka maikaʻi o ka hana ʻana o kāu mau ʻōkana ʻelua a inā he pōʻino iā lākou. ʻAʻole anei he ʻenehana kupaianaha?

No ke aha e pono ai iaʻu e hana i kahi scan e like me kēia?

I kēia manawa, ke noʻonoʻo nei paha ʻoe, "No ke aha wau e noi ʻia nei e hana i kēia ʻano scan?" Aia kekahi mau ʻano scan ʻē aʻe e nānā i ke akepaʻa a me ka spleen. Akā ʻo ka mea kūikawā e pili ana i kēia `(Liver and Spleen Scan)` ʻo ia ka hiki ke ʻike i ke ʻano o ka hana ʻana o nā cell ma nā ʻāpana like ʻole o nā ʻōpū a me ke ʻano o kā lākou pane ʻana .

Hiki i kēia ke kōkua iā ʻoe e ʻike i nā wahi ʻē i loko o kou ake a i ʻole ka spleen, i kapa ʻia ʻo 'lesions', kahi i loli ai ke kino a ʻaʻole hana pono. Hiki iā ia ke nānā i nā mea e like me ka fibrosis, ka pehu ʻana, nā loli i ke kahe ʻana o ka bile, a me nā loli i ke kahe koko. No laila, he mea nui loa ka loiloi ʻana i ka pōʻino i nā ʻōkana.

He aha ka mea e hoʻohana ʻia ai kēia scan?

Hiki i kāu kauka ke ʻōlelo aku i kēia scan no kekahi mau kumu. E nānā kākou i ke ʻano o lākou:

• E ʻike i ke ʻano o kahi maʻi akepaʻa lōʻihi (`(maʻi akepaʻa mau loa)`).
• I ka mālama ʻana i kahi maʻi, e ʻike inā e ho'ōla ia a hoʻomaikaʻi paha i ke kūlana.
• Ke hōʻino ʻia ke akepaʻa a i ʻole ka spleen, e like me kahi ulia, e loiloi i ka nui o ka pōʻino.
• E ʻike inā he mau ʻeha a i ʻole nā ​​​​ʻiʻo ʻē aʻe (nā lesions) i loko o kēia mau ʻōpū.
• I kekahi manawa, loaʻa iā mākou ka ʻeha ma ka ʻōpū o luna, akā ʻaʻole hiki iā mākou ke loaʻa ke kumu. I kēlā mau hihia, e kōkua kēia iā mākou e loaʻa ke kumu.
• E nānā i nā pilikia ʻōnaehana e hoʻopilikia ai i ke akepaʻa a me ka spleen.

He aha nā ʻano kūlana olakino e hiki ke ʻike ʻia me kēia scan?

Hiki i nā hopena o kēia scan ke hāʻawi i nā hōʻailona e pili ana i nā ʻano maʻi like ʻole. Eia kekahi mau laʻana:

• ʻO ka mumū o ke akepaʻa, ʻo ia ke ʻano a mākou e kapa nei he "hepatitis".
• ʻO ka ʻeha o ke akepaʻa, ka fibrosis, a me ka maʻi cirrhosis paha.
• ʻO ka maʻi akepaʻa momona ka hōʻiliʻili ʻana o ka momona i loko o ke ake.
• Ua hoʻonui wale ʻia ke akepaʻa?
• Ua hoʻonui ʻia ka ʻōpū?
• Ke hana ikaika nei anei ka spleen, ʻo ia hoʻi aia kahi kūlana i kapa ʻia ʻo "hypersplenism"?
• ʻO ka piʻi ʻana o ke koko i loko o nā aʻa koko o ke akepaʻa, i ʻike ʻia ʻo "Portal hypertension".
• ʻO ke ʻano i kapa ʻia ʻo "Budd-Chiari syndrome", kahi i ālai ʻia ai a i ʻole e hoʻohaiki ʻia ai nā aʻa koko o ke akepaʻa.
• Aia kekahi aneurysm o ke aʻa splenic (`(Splenic artery aneurysm)`)?
• Ua haki anei kahi ʻōpū o ka ʻōpū?
• Aia kekahi ʻiʻo i loko o ka spleen i make (`(Splenic infarction)`)?
• Ua pilikia anei ka hana o ke akepaʻa (`(Liver failure)`)?
• Kekahi puʻupuʻu a ulu paha i loko o ke ake. No ka laʻana, he abscess, he tumor benign, he hemangioma ake, a i ʻole he cyst ake.
• Ka maʻi ʻaʻai o ke akepaʻa a i ʻole ka spleen.
• Ua laha anei kahi maʻi ʻaʻai i hoʻomaka ma kahi ʻē aʻe o ke kino i kēia mau ʻōkana (maʻi ʻaʻai metastatic)?
• Nā maʻi hoʻoilina e like me ka maʻi Gaucher e hoʻopilikia nei i kēia mau ʻōpū.

Mea nui: Mai makaʻu i kēia papa inoa, ʻeā? ʻAʻole hana ʻia kēia scan e ʻike inā loaʻa iā ʻoe kēia mau maʻi āpau. Hana ʻia ia ma muli o kāu mau hōʻailona a me nā kānalua o ke kauka.

Pehea e hana ai kēia scan akepaʻa a me ka spleen? Maʻalahi loa!

E noʻonoʻo i kahi "kiu" liʻiliʻi e hoʻokomo ʻia ana i loko o kou kino. ʻAʻole kēia he kiu maoli. Hoʻokomo ʻia kahi lāʻau lapaʻau liʻiliʻi, kahi mea hoʻāʻo radioactive, i loko o kahi aʻa koko ma kou lima. ʻOiai he radioactive ia, ʻaʻohe mea e makaʻu ai, he liʻiliʻi wale nō ia o ka radiation i kāohi ʻia , a haʻalele ia i kou kino ma hope o kekahi manawa.

Ke hele nei kēia lāʻau lapaʻau ma o kou koko a komo i loko o kou akepaʻa a me kou spleen. A laila, ʻo kēlā kāmela gamma aʻu i ʻōlelo ai ma mua "heluhelu" i nā kukuna gamma i hoʻopuka ʻia e kēia lāʻau lapaʻau. ʻO ia hoʻi, ʻike ia i kahi o ka lāʻau lapaʻau a me ka nui o ia mea ma laila.

A laila hoʻohui ʻia nā kiʻi i lawe ʻia e ke kāmela gamma me nā kiʻi ʻekolu-dimensional (`3D`) o kou mau kino. Lawe ʻia kēia mau kiʻi ʻekolu-dimensional me ka hoʻohana ʻana i kahi ʻano hana i kapa ʻia ʻo ``SPECT/CT scan``. ʻO ``(SPECT)`` ke kū nei no ``(single-photon emission computed tomography)`` a ʻo ``(CT)`` ke kū nei no ``(computed tomography)``. Ke hui pū ʻia kēia mau mea a pau, loaʻa i nā kauka kahi kiʻi maopopo loa o kou ake a me kou spleen.

Pehea e hoʻomākaukau ai ma mua o ke scan?

ʻAʻole pono kēia i ka hoʻomākaukau nui ʻana.

• E wehewehe ke kauka i kēia hoʻāʻo iā ʻoe, a laila e noi ʻia ʻoe e kau inoa i kāu ʻae.
• Pono ʻoe e komo i kahi lole haukapila kūikawā.
• Pono ʻoe e wehe i nā mea hoʻonani metala āu ma kou kino, e like me nā lei, nā kūpeʻe lima, a me nā apo pepeiao, no ka mea hiki ke ʻohi ʻia e ka scanner.
• Inā hopohopo iki ʻoe a hopohopo paha no kēia, hiki iā ʻoe ke noi i ke kauka no kahi lāʻau hoʻomaha. E kōkua kēlā iā ʻoe e hoʻomaha iki.

ʻEhia ka lōʻihi o kēia scan?

ʻO ka maʻamau, ma kahi o hoʻokahi hola ka lōʻihi o ka hoʻāʻo holoʻokoʻa .

Ma hope o ke kuʻi ʻana, kali ʻoe ma kahi o 15 a 30 mau minuke no ka hoʻopili ʻia ʻana o ka lāʻau lapaʻau e ke akepaʻa a me ka spleen. A laila wale nō ʻoe e hoʻomaka ai e kiʻi i nā kiʻi. Hiki ke hala ma kahi o 15-20 mau minuke e kiʻi i nā kiʻi me ke kāmela gamma, a me kekahi 15-20 mau minuke e kiʻi i nā kiʻi me ka scanner `(CT)`.

He aha ka mea e hana ʻia i ka wā o ke scan?

ʻAe, e nānā kākou i ka mea e hana maoli ana ke hana ʻia ke scan.

1. ʻO ka mea mua, e hoʻokomo kahi loea radiological i kahi tracer radioactive kūikawā (ʻo ka maʻamau ʻo Tc-99m sulfur colloid) i loko o kahi aa koko ma kou lima me kahi inikini liʻiliʻi (ma o ka IV). E ʻike ʻoe i kahi ʻeha iki ke hoʻokomo ʻia ka nila, he mea maʻamau ia.

2. A laila, pono ʻoe e kali i kekahi manawa (ma kahi o 15-30 mau minuke) no ka komo ʻana o ka lāʻau i loko o kou kino.

3. A laila, e hoʻomoe ʻia ʻoe ma luna o kahi moe i loko o ka mīkini nānā. E hoʻonoho ʻia ka mīkini nānā ʻano donut i kūpono ia ma luna o kou ʻōpū.

4. Hoʻomaka mua ke kāmela e scan i kou kino holoʻokoʻa me nā kukuna gamma. A laila e hoʻohuli mālie ia a puni ʻoe, e lawe ana i nā kiʻi ʻekolu-dimensional (3D).

5. E noi paha ke loea iā ʻoe e huli a lawe i nā kiʻi i hiki i ke kāmela ke nānā pono. ʻO ka mea nui loa, ʻo ia ke noho mālie ma nā kūlana āpau. E kōkua kēia iā ʻoe e loaʻa nā kiʻi maopopo.

6. Ke pau ka nānā ʻana, e wehe ʻia ka IV. A laila hiki iā ʻoe ke ala aʻe a komo i kou mau lole.

Aia kekahi mau pilikia i loko o kēia?

He haʻahaʻa loa nā pilikia nui o kēia hoʻāʻo. Eia nō naʻe, he mea nui e hoʻomaopopo i kāu kauka e pili ana i kēia mau mea:

• Inā hāpai ʻoe: ʻOiai he liʻiliʻi loa ka nui o ka radiation i hoʻohana ʻia, hiki iā ia ke hoʻopilikia i ka pēpē i hānau ʻole ʻia.
• Inā he makuahine hānai waiū ʻoe: Hiki i ka mea radioactive ke komo i loko o kāu waiū. No laila e haʻi aku kāu kauka iā ʻoe e hoʻōki i ka hānai waiū no kekahi mau lā.
• Inā he maʻi ʻaleka kou i ka mea radioactive (sulfur-colloid). He mea kākaʻikahi loa kēia, akā inā loaʻa iā ʻoe kekahi, pono ʻoe e haʻi mua mai iā mākou.

E manaʻo anei au i kekahi mea?

• Ke hoʻokomo ʻoe i kahi IV i loko o kou lima, ua like ia me he mea lā e hoʻokomo ʻia ana kahi nila liʻiliʻi.
• ʻAʻole ʻoe e manaʻo i kekahi mea i ka wā o ke kiʻi ʻana, akā hiki i kekahi poʻe ke manaʻo iki i ka ʻoluʻolu ʻole ke noho mālie lākou no kekahi manawa.
• ʻAʻole ʻoe e ʻike i ka mea radioactive e hoʻokomo ʻia ana i loko o kou kino. Eia nō naʻe, i mea e kōkua ai iā ia e haʻalele koke i kou kino, pono ʻoe e inu i ka wai nui no nā hola 24 e hiki mai ana ma hope o ke scan.

Pehea ʻoe e hōʻike ai i nā hopena? He aha kēia mau "wahi wela" a me nā "wahi anu"?

Ma hope o ke komo ʻana o ka mea radioactive (`radionucleotide`) i loko o kou aa koko, hele pololei ia i kou akepaʻa a me ka spleen. Hoʻopili kēia mau ʻōkana ʻelua i ka mea.

I kēia manawa ma nā kiʻi,

• Aia kekahi mau wahi i ʻike ʻia he ʻoi aku ka mālamalama ma mua o nā wahi ʻē aʻe. Ua kapa ʻia kēia mau mea he "nā wahi wela." ʻO ia hoʻi, ua komo maikaʻi loa ka mea ma ia mau wahi.
• Aia kekahi mau wahi i ʻike ʻia he ʻeleʻele . Ua kapa ʻia kēia mau mea he "mau wahi anu." ʻO ke ʻano kēia, ʻaʻole i komo pono ka mea i loko o kēlā mau wahi.

Hoʻohālikelike pū ka mea loea i ka nui o ka mea i omo ʻia e kēia mau kino ʻelua. ʻO ka maʻamau, ʻo ke akepaʻa ka mea e omo i ka nui o ka mea ma mua o ka spleen.

Eia nō naʻe, inā emi ka omo ʻana o ke akepaʻa ma mua o ka mea e pono ai a ʻoi aku ka nui o ka omo ʻana o ka spleen, ua kapa ʻia ia he "colloid shift." Hōʻike kēia ua emi ka hana o ke akepaʻa.

He aha ka mea e hana ma hope o ka hiki ʻana mai o kaʻu mau hopena?

Ke loaʻa nā hopena o kāu "Liver and Spleen Scan", e nānā ke kauka iā lākou a hoʻoholo i kahi hopena e pili ana i kou kūlana.

• Hiki paha i kēia mau hopena ke hāʻawi i kahi hōʻailona paʻa . Inā pēlā, e kūkākūkā ke kauka i nā ʻanuʻu aʻe i ka mālama ʻana me ʻoe.
• I kekahi manawa, hiki ke hana ʻia nā hoʻokolohua ʻē aʻe e hōʻoia hou aku i ka ʻike i loaʻa mai kēia scan.

Eia naʻe, e wehewehe ke kauka i nā mea āpau iā ʻoe.

He aha nā ʻano scan ʻē aʻe e ʻike ai i nā pilikia o ke akepaʻa?

Ma waho aʻe o kēia `(Liver and Spleen Scan)`, aia kekahi mau ʻano hoʻāʻo kiʻi ʻē aʻe e nānā i ke kūlana o ke akepaʻa a me ka spleen. Eia kekahi mau laʻana:

• ʻO ke kiʻi CT o ke akepaʻa (`(ʻO ke kiʻi CT o ke akepaʻa)`)
• ʻO ke scan CT Spleen (`(Spleen CT scan)`)
• ʻO ke kiʻi ʻana o ka ʻōpū ultrasound (`(ʻŌmole ultrasound)`)
• ʻO ka elastography o ke ake (ʻike ʻia hoʻi ʻo MRE a i ʻole FibroScan® ultrasound).
• ʻO ke kiʻi MRI o ke akepaʻa/spleen (`(MRI o ke akepaʻa/spleen)`)

Na kāu kauka e hoʻoholo i ka hoʻokolohua kūpono loa iā ʻoe.

ʻO ka mea hope loa, nā mea e hoʻomanaʻo ai (Leka Lawe-Home)

He mea hana waiwai nui kēia scan ate a me ka spleen lāʻau lapaʻau nukelea e kōkua ana i nā kauka e nānā i kēia mau ʻōkana hoa ʻelua ma ke ʻano hou a hoʻomaopopo i ke ʻano o kā lākou hana. Hiki i kēia scan ke kōkua i ka ʻike ʻana i nā kūlana e pili ana i nā ʻōkana ʻelua, loiloi i ka pōʻino, ʻike inā e holomua ana ka maʻi a lohi paha, a nānā i ka holomua o ka ho'ōla ʻana.

Inā he mau nīnau a hopohopo paha kāu e pili ana i kēia hoʻokolohua a i ʻole nā ​​​​hopena,Mai kānalua e kamaʻilio me kāu kauka. A laila hiki iā ʻoe ke wehewehe i nā mea āpau. E noho olakino!

ʻAkepaʻa , ʻōpū, scan, lāʻau lapaʻau nukelea, hōʻailona, ​​maʻi akepaʻa, ʻōpū