Loaʻa iā ʻoe i kekahi manawa kahi ʻeha nui a ʻeha paha ma kou ʻōpū ʻākau, ma lalo pono o kou mau iwi ʻaoʻao? Malia paha ua kānalua kāu kauka i kahi pilikia o ka gallbladder a ua manaʻo ʻo ia i kahi 'HIDA scan'? ʻOiai paha he mea weliweli iki ka inoa, ʻaʻole ia he mea weliweli loa. ʻAʻole ia he ʻoki kino, ʻaʻole hoʻi he hoʻāʻo ʻeha loa. No laila i kēia lā, e kamaʻilio kākou e pili ana i nā mea āpau e pili ana i kēia HIDA scan, me ka maʻalahi loa.
He aha wale nō ka HIDA scan?
He hoʻāʻo kiʻi ka HIDA scan. I ka pololei, he hoʻāʻo lāʻau lapaʻau nukelea ia. ʻAe, mai makaʻu i kēlā mau huaʻōlelo nui. I ka ʻōlelo maʻalahi, nānā ia i ke ʻano o ka hana ʻana o kāu gallbladder a me nā ʻōnaehana pili.
E hoʻomaopopo mua kākou i kahi mea e pili ana i kēia ʻōnaehana. E noʻonoʻo penei.
1. Hoʻopuka ko kākou akepaʻa i kahi wai hoʻoheheʻe i kapa ʻia ʻo bile . Kōkua kēia i ka hoʻoheheʻe ʻana i nā momona i loko o nā meaʻai a kākou e ʻai ai.
2. ʻO ka bile i hana ʻia ma kēia ʻano ua mālama ʻia i loko o kahi ʻano liʻiliʻi e like me ka ʻeke ma lalo o ke akepaʻa i kapa ʻia ʻo ka gallbladder.
3. Ke ʻai kākou, ʻūmiʻi kēia ʻōpū a hoʻouna i ka bile i loko ma o nā ducts i loko o ka ʻōpū liʻiliʻi.
I kēia manawa, ʻo ka hana a kēia scan HIDA, ʻo ia ke nānā inā e hana pono ana ke ala bile, inā paha he mea paʻa ma kekahi wahi, a inā paha e liki ana ke ala bile .
No ka hana ʻana i kēia, hoʻokomo lākou i kahi kemika liʻiliʻi loa a ʻino ʻole i kapa ʻia ʻo 'radioactive tracer' i loko o kou aʻa. Hele pololei kēia mea ma ke ala o ka bile. A laila, lawe kahi kāmela kūikawā (kahi 'gamma camera') i nā kiʻi o ka mea i kona hele ʻana. Ma ka nānā ʻana i nā kiʻi, hiki i nā kauka ke loaʻa kahi manaʻo maikaʻi o ke ʻano o ka hana ʻana o kou gallbladder.
ʻO nā inoa ʻē aʻe no kēia ʻo 'cholescintigraphy' a me 'hepatobiliary scintigraphy'.
He aha nā maʻi e hiki ke ʻike ʻia me kēia scan?
E kauoha ke kauka i kahi scan HIDA inā kānalua ʻo ia i kekahi mau maʻi e pili ana i ka ʻōpū. E nānā kākou i ke ʻano o ia mau mea.
| Kūlana olakino | I ka ʻōlelo maʻalahi... |
|---|---|
| ʻO ka Cholecystitis koʻikoʻi | He kūlana koke kēia. Hiki i nā pōhaku gall ke hoʻoulu i ka pehu ʻana o ka gallbladder, e hōʻeha nui ana i ka ʻaoʻao ʻākau o ka ʻōpū a me ke kuni. Hiki ke ʻike pololei ʻia kēia me kahi scan HIDA. |
| ʻO ka Cholecystitis mau loa | ʻO kēia ka manawa e pehu hou ai ka ʻōpū o ka ʻōpū ma muli o nā pōhaku ʻōpū. ʻAʻole paha e like ka nui o ka ʻeha me ma mua, akā e mau pinepine nō ia. |
| Ka hana ʻino ʻana o ka sphincter o Oddi | He mea paʻakikī iki kēia. Aia kahi ʻiʻo e kāohi ana i ke kahe ʻana o ka bile a me ka wai pancreatic i loko o ka ʻōpū liʻiliʻi. Ke wehe pono ʻole kēia, piʻi hou nā wai a hoʻoulu i ka ʻeha nui. |
| ʻO ka Atresia Biliary | He kūlana kakaikahi kēia akā weliweli e kū mai ana i nā pēpē hānau hou. Ua ālai ʻia nā ala bile o ka pēpē. ʻO kēia ke kumu o ka melemele o ke kino o ka pēpē (newborn jaundice). Inā ʻaʻole hana koke ʻia ke ʻoki ʻana, hiki ke hōʻino ʻia ke akepaʻa. |
| Ka Leaka ʻana o ka Biliary | Hiki i ka bile ke kahe mai nā ʻauwai bile, e like me ma hope o ke ʻoki ʻana i ka ʻōpū, kahi ulia, a i ʻole kahi hoʻoili ʻana o ke ake. Hiki i kēia ke hoʻoulu i ka pehu ʻana o nā ʻiʻo a puni a alakaʻi i ka maʻi. |
I ka manawa hea ʻoe e pono ai i kahi scan HIDA?
Aia kekahi mau kumu nui e kuhikuhi ai kāu kauka iā ʻoe no kēia hoʻokolohua:
- ʻEha nui ma ka ʻaoʻao ʻākau o ka ʻōpū: ʻOi loa inā hoʻomaka koke ka ʻeha a mau loa, hiki ke lilo i mumū o ka gallbladder (cholecystitis). ʻO kēia ke kumu nui o ka loaʻa ʻana o kahi scan HIDA.
- ʻEha a me ke kuni ma hope o ke ʻoki ʻana: Inā ua loaʻa iā ʻoe kahi ʻoki wehe ʻana i ka gallbladder, ka hoʻoili ʻana i ke ake, a i ʻole kekahi ʻoki pili ʻē aʻe a ke ʻike nei ʻoe i ke kuni a me ka ʻeha ma hope, hana ʻia kēia scan e nānā i ka leakage bile.
- ʻO ka jaundice nui i loko o kahi pēpē hānau hou: Inā lilo kahi pēpē i jaundice nui i loko o kekahi mau lā o ka hānau ʻana, he mea nui kēia hoʻāʻo e hoʻoholo ai inā he biliary atresia ke kumu.
- No ka nānā ʻana i kahi stent i kau ʻia i loko o nā ʻāpana bile:I kekahi manawa ke ālai ʻia kahi ʻauwai bile, hoʻokomo ʻia kahi ʻōmole liʻiliʻi (stent) e wehe ai. Hiki ke hana ʻia kahi scan HIDA e ʻike inā e hana pono ana kēia.
Pehea ʻoe e hoʻomākaukau ai ma mua o ke scan?
He mea nui loa kēia. I mea e pololei ai nā hopena o ka hoʻāʻo, pono ʻoe e hahai pololei i kēia mau kuhikuhi.
ʻO ka mea nui loa: Inā hāpai ʻoe, e hoʻāʻo ana e hāpai, a i ʻole e hānai waiū ana, e hōʻoia e haʻi i ke limahana lapaʻau ma mua o ke scan. He mea nui loa kēia.
- E haʻi i kāu kauka e pili ana i nā lāʻau lapaʻau āu e lawe ai (me nā huaora a me nā lāʻau lapaʻau lāʻau). Hiki i kekahi mau lāʻau lapaʻau (ʻoi aku ka ʻeha pain) ke hoʻopilikia i nā hopena hoʻāʻo, no laila e noi ʻia paha ʻoe e hoʻōki i ka lawe ʻana iā lākou i kekahi mau hola ma mua o ke scan.
- Hoʻokē ʻai: Pono ʻoe e hoʻokē ʻai no 4 mau hola ma mua o ke kiʻi ʻana. He mea maikaʻi ke inu i kahi wai. Hiki ke noi ʻia ʻoe e hoʻokē ʻai no ka manawa lōʻihi. E aʻo ʻia ʻoe e pili ana i kēia ma mua.
- Wehe i nā mea hoʻonani: Mai komo i nā mea hoʻonani a i ʻole nā mea hao i ka wā o ke scan.
- Mai makaʻu: Makaʻu kekahi poʻe i ka noho ʻana i loko o kahi paʻa e like me ka MRI scan. ʻAʻole he ʻōmole pani ʻia ke kāmela ma kēia. He kāmela wale nō ia e hāmama ana ma nā ʻaoʻao ʻelua a kau ʻia ma luna o kou ʻōpū. No laila, ʻaʻole pono ʻoe e hopohopo e pili ana i ka paʻa ʻana.
He aha ka mea e hana ʻia i ka wā o ke scan?
He hana maʻalahi loa ka hana ʻana i ke scan.
1. ʻO ka mea mua, e hāʻawi ʻia ʻoe i kahi lole haukapila e ʻaʻahu ai. Pono e hōʻike ʻia kou ʻōpū.
2. E hoʻomoe ʻia ʻoe ma ka papa hoʻokolokolo.
3. A laila e hoʻokomo kekahi kahu maʻi a loea paha i kahi catheter liʻiliʻi (IV catheter) i loko o kahi aa koko ma kou lima. E hoʻokomo lākou i kahi kemika i kapa ʻia ʻo "radiotracer" ma o ia mea. I kēia manawa, e ʻike ʻoe i kahi manaʻo ʻeha, e like me kahi ʻanuʻu liʻiliʻi.
4. Ua kau mālie ʻia ke kāmela ma luna o kou ʻōpū.
5. A laila e hoʻomaka e kiʻi i nā kiʻi. ʻO ka mea nui loa i kēia manawa, ʻaʻole ʻoe e neʻe iki. A laila wale nō e hiki ai iā ʻoe ke kiʻi i nā kiʻi maopopo.
6. Ma hope o ke kiʻi ʻana i kekahi mau kiʻi, i kekahi manawa hiki ke hāʻawi ʻia kekahi lāʻau lapaʻau ʻē aʻe ma o ka IV e kōkua i kou gallbladder e ʻūlū (ʻole). Hiki paha iā ʻoe ke ʻeha iki i ka ʻōpū i kēia manawa. ʻO kēia no ka mea ke paʻa nei ka gallbladder. Ma hope o ka hāʻawi ʻana iā ʻoe i kēlā lāʻau lapaʻau, e kiʻi ʻia nā kiʻi hou aku.
7. Hiki i ka hoʻāʻo holoʻokoʻa ke lōʻihi mai 1 a 4 mau hola . I kekahi mau hihia kakaikahi, e noi ʻia paha ʻoe e hoʻi mai ma hope o 24 mau hola e kiʻi i nā kiʻi hou aku.
ʻAʻole ʻeha ka scan. Eia nō naʻe, inā ua loaʻa iā ʻoe ka ʻeha o ka ʻōpū, hiki nō iā ʻoe ke ʻeha i ka wā o ka scan.
He aha kaʻu e hana ai ma hope o ke scan?
Ke pau ka nānā ʻana, hiki iā ʻoe ke hoʻi i ka home a i ʻole e hele i ka lumi haukapila. A laila e hana i kēia mau mea.
- E inu i ka wai nui: E inu i ka wai a me nā wai he nui no nā hola 24 e hiki mai ana. E kōkua kēia i ka radiotracer e haʻalele koke i kou kino ma o kou mimi a me ka ʻōpala.
- Ma hope o ka hoʻohana ʻana i ka lua: E holoi pono i ka lua ma hope o ka hoʻohana ʻana, a holoi pono i kou mau lima me ke kopa. He haʻahaʻa loa ka radioactivity o ka kemika, no laila ʻaʻohe pilikia i ka poʻe a puni ʻoe.
- No nā makuahine hānai waiū: He mea nui loa kēia. Mai hānai i kāu pēpē no 24 mau hola ma hope o ke scan. E hoʻolei i kekahi waiū umauma i hoʻopuka ʻia i loko o ia manawa. ʻO kēia no ka mea hiki i ka radioactivity mai ka radiotracer ke komo i loko o ka waiū umauma a hōʻeha i ka pēpē. No laila, he mea kōkua nui ka hoʻopuka ʻana i ka waiū umauma ma mua o ke scan.
Aia kekahi pilikia i loko o kēia?
He haʻahaʻa loa nā pilikia o kahi scan HIDA.
- Hiki ke ʻeha iki ka IV ma kahi i hoʻokomo ʻia ai.
- He liʻiliʻi loa ka nui o ka radiation i loaʻa i ko mākou kino mai ke kaiapuni i hoʻokahi makahiki maʻamau.
- He mea kākaʻikahi loa ka loaʻa ʻana o kahi hopena alerika i nā kemika i hoʻohana ʻia.
ʻAʻole paha e loaʻa ka ʻike i loaʻa mai kēia hoʻāʻo mai nā hoʻokolohua ʻē aʻe, e like me ka ultrasound. No laila, no kekahi mea hāpai ʻole, ʻoi aku ka nui o nā pono o ka loaʻa ʻana o kēia scan ma mua o nā pilikia liʻiliʻi loa.
Pehea e loaʻa ai iaʻu ka hōʻike? He aha nā mea i loko?
E nānā kekahi radiologist i kāu mau scan a kākau i kahi hōʻike, kahi e hoʻouna ʻia i kāu kauka lapaʻau. Loaʻa pinepine nā hopena i loko o 24 mau hola. E wehewehe kāu kauka i ka hōʻike iā ʻoe.
| Nā ʻoiaʻiʻo hiki ke loaʻa ma ka hōʻike | He aha ke ʻano o ia mea |
|---|---|
| Maʻamau | ʻAʻohe mea keakea i ke ala kahe o ka bile. Hele mālie ka bile mai ke akepaʻa a i ka gallbladder a mai laila aku a i ka ʻōpū liʻiliʻi. |
| Ka neʻe lohi o ke kemika | Hiki paha iā ia ke hōʻike i kahi ālai ʻana i nā ʻauwai bile a i ʻole kekahi nāwaliwali o ka hana o ke akepaʻa. |
| ʻAʻole ʻike ʻia ka kemika i loko o ka gallbladder | Hōʻike pinepine kēia i kahi kūlana i kapa ʻia ʻo cholecystitis acute, ʻo ia hoʻi ua ālai ʻia ke ala bile i loko o ka gallbladder. |
| ʻĀpana hoʻokuʻu haʻahaʻa o ka gallbladder | Hoʻopaʻa ʻia ka nui o ka bile i hoʻokuʻu ʻia mai ka gallbladder ma hope o ka hāʻawi ʻana i ka lāʻau lapaʻau. Inā emi ia ma mua o 30%-35%, he hōʻailona paha ia o ka cholecystitis mau loa. |
| Ke alo o ke kemika ma nā wahi ʻē aʻe | Inā ʻike ʻia ke kemika ma nā wahi ʻē aʻe ma waho o ka ʻōnaehana bile duct, hiki paha iā ia ke hōʻike i kahi leaka biliary. |
ʻOiai ka hopena, e wehewehe pono ana kāu kauka iā ʻoe a e aʻo aku iā ʻoe i ka mea e hana ai ma hope.
Leka Lawe-Home
- He hoʻāʻo palekana a ʻeha ʻole ka HIDA scan e nānā i ka hana o kāu gallbladder a me ka ʻōnaehana bile duct.
- He mea nui loa e hahai i nā ʻōlelo kuhikuhi i hāʻawi ʻia ma mua o ke scan, ʻoiai e pili ana i ka hoʻokē ʻai ʻana a me ka hoʻomaopopo ʻana i ke kauka inā hāpai ʻoe a hānai waiū paha.
- He liʻiliʻi loa ka nui o ka radiation i loaʻa i kou kino. Mai hopohopo nui no ia mea.
- E inu i ka wai he nui ma hope o ke scan. Inā he makuahine hānai ʻoe, e pale i ka hānai ʻana i kāu pēpē no 24 mau hola.
- E kamaʻilio ākea me kāu kauka e pili ana i kāu hōʻike hoʻāʻo a me nā nīnau āu e pili ana i ia mea.
💬 Comments (0)
ʻAʻohe manaʻo i kau ʻia. Hoʻohui i kāu manaʻo ma ʻaneʻi no ka manawa mua.
Hoʻohui i kāu manaʻo