E aʻo kākou i nā mea āpau e pili ana i ka Liver-Spleen Scan!

Ua haʻi aku anei kāu kauka iā ʻoe e pono ʻoe i kahi scan kūikawā e nānā i kou ake a me kou spleen? Ua manaʻo paha ʻoe i kahi makaʻu a me ka hopohopo i kou lohe ʻana i kēlā mau ʻōlelo. Akā, mai hopohopo. He mea kēia a ka hapa nui o ka poʻe e hana ai a ʻaʻole ia he mea paʻakikī. E komo kākou i nā kikoʻī i kēia lā.

He aha ka Scan Ake a me ka Spleen?

I ka ʻōlelo maʻalahi, he hoʻāʻo kiʻi kūikawā kēia no ka lāʻau lapaʻau nukelea. E noʻonoʻo i ko kākou akepaʻa a me ka spleen e like me ʻelua mau hoaaloha maikaʻi loa e pili pono ana kekahi i kekahi. Ke pilikia kekahi, hiki iā ia ke hoʻopilikia i kekahi. No laila, hoʻohana nā kauka i kēia scan ke makemake lākou e ʻike i ke olakino o lāua ʻelua i ka manawa hoʻokahi.

Eia ka mea e hana ʻia:

E hoʻokomo ke kauka a i ʻole kekahi loea i aʻo ʻia i kahi liʻiliʻi loa o ka mea radioactive i loko o kou aa. Mai hopohopo, ʻaʻole ia he mea ʻino i kou kino. Hele kēia mea ma o kou koko a komo ʻia e kou akepaʻa a me ka spleen. A laila, ua scan ʻia nā kukuna gamma i hoʻopuka ʻia e kēia mea me kahi kāmela kūikawā, i kapa ʻia he kāmela gamma.

ʻO ke ʻano o ka omo ʻana o kou akepaʻa a me kou spleen i kēia mea hiki ke haʻi i kāu kauka i nā mea he nui e pili ana i ke olakino o kēlā mau ʻōkana. ʻO nā wahi e omo maikaʻi ana i ka mea e ʻike ʻia he mālamalama ma ke kiʻi, ʻoiai ʻo nā wahi e omo iki ana e ʻike ʻia he pouli .

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

Aia paha kekahi mau kumu e ʻōlelo ai kāu kauka i kēia scan.

• E nānā i ke kūlana o ka maʻi akepaʻa mau loa: Kōkua kēia iā ʻoe e ʻike i ka nui o kou maʻi akepaʻa a inā paha e hoʻonui ana a e emi ana paha.
• E nānā inā kūpono ka lāʻau lapaʻau: E ʻike inā ke hana pono nei ka lāʻau lapaʻau āu e lawe nei a inā e hoʻomaikaʻi ana ka maʻi.
• E nānā no ka hōʻino ʻana o nā kino mai kahi ulia: E nānā no ka hōʻino ʻana o ke akepaʻa a i ʻole ka spleen ma hope o kahi ulia.
• E ʻike i nā ʻeha ma nā ʻōpū: E nānā i nā puʻupuʻu, nā ʻōpū, a me nā mea ʻē aʻe.
• E nānā e ʻike inā he mau maʻi ʻē aʻe i loko o ke kino e hoʻopilikia nei i kēia mau ʻōkana: Hoʻopilikia kekahi mau maʻi i ke kino holoʻokoʻa. E nānā e ʻike inā he mau maʻi lākou e hoʻopilikia nei i ke akepaʻa a me ka spleen.
• E ʻimi i ke kumu o ka ʻeha o luna o ka ʻōpū i wehewehe ʻole ʻia.

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

E hāʻawi aku wau iā ʻoe i kahi kiʻi maopopo o ka lā o kēia hoʻokolohua. A laila, ʻaʻole ʻoe e hopohopo no kekahi mea.

1. Hoʻomākaukau: Ke hele ʻoe i ka haukapila, e hāʻawi ʻia ʻoe i kahi lole haukapila kūikawā e ʻaʻahu ai. Pono ʻoe e wehe i nā mea hao ma kou kino, e like me nā apo pepeiao, nā lei, a i ʻole nā ​​apo. Inā hopohopo iki ʻoe no kēia, hiki iā ʻoe ke noi i kahi lāʻau hoʻomaha e kōkua iā ʻoe e hoʻomaha.

2. Hoʻokomo: ʻO ka mea aʻe, e hoʻokomo kahi loea radiology i kahi liʻiliʻi o ka tracer radioactive (ʻo ka maʻamau ʻo Tc-99m sulfur colloid) i loko o kahi aa koko ma kou lima ma o kahi IV. E ʻike ʻoe i kahi ʻeha iki ke hoʻokomo ʻia ka nila, akā he mau kekona wale nō ia.

3. Pono ʻoe e kali iki: Pono ʻoe e hāʻawi i ka mea ma kahi o 15 mau minuke e omo ʻia e ke kino, ʻoiai ke akepaʻa a me ka spleen. I loko o kēlā manawa, pono ʻoe e kali.

4. Ke nānā ʻana: A laila e moe ʻoe ma luna o ka moena scanner. Hoʻonoho ʻia ka scanner ʻano donut i kau ʻia ma luna o kou ʻōpū o luna. ʻO ka mea mua, e nānā kahi kāmela gamma i kou kino holoʻokoʻa. A laila, e hoʻohuli mālie kahi scanner kūikawā (SPECT/CT scan) hiki ke lawe i nā kiʻi 3D a puni kou kino e lawe i nā kiʻi.

5. E noho mālie: He mea nui loa ʻaʻole ʻoe e neʻe iki i kēia manawa. E noi paha ke loea iā ʻoe e neʻe i nā kūlana like ʻole.

6. Pau: Ke pau ka nānā ʻana, e wehe ʻia ka IV ma kou lima. Hiki iā ʻoe ke ala a hoʻokomo hou i kou mau lole. He mea nui loa ka inu ʻana i ka wai he nui no nā hola 24 e hiki mai ana. E kōkua kēia i ka mea radioactive e haʻalele koke i kou kino i loko o kou mimi.

Pehea ka lōʻihi o kēia?

ʻO ka maʻamau, hoʻokahi hola ka lōʻihi o ke kaʻina hana holoʻokoʻa. Pono ʻoe e kali ma kahi o 15-30 mau minuke ma hope o ka inikini ʻana, a laila ma kahi o 30-40 mau minuke ka lōʻihi o ke scan.

Aia kekahi pilikia i loko o kēia?

He haʻahaʻa loa ka pilikia o kēia. Eia nō naʻe, pono ʻoe e hoʻomaopopo mua i kāu kauka e pili ana i nā kūlana aʻe.

He aha kāu e aʻo ai mai ka hōʻike scan?

Aia i loko o ka hōʻike nā kiʻi ʻekolu-dimensional (3D) o kou ake a me kou spleen. Hoʻopaʻa ʻia nā kukuna gamma ma luna o lākou.

• "Nā Wahi Wela": ʻIke ʻia aku ka mālamalama o nā wahi i omo i ka nui o nā mea radioactive.
• "Nā Wahi Anu": ʻO nā wahi i komo maikaʻi ʻole ʻia ai ka mea a ʻaʻole paha i komo iki ʻia e ʻike ʻia he pouli.

Hoʻohālikelike pū ke kauka i ka nui o ka mea i omo ʻia e nā ʻōkana ʻelua. ʻO ka maʻamau, pono ke omo ke akepaʻa i ka nui o kēia mea ma mua o ka spleen. Inā emi ka omo ʻana o ke akepaʻa a ʻoi aku ka omo ʻana o ka spleen, ʻo ia hoʻi, ʻaʻole hana nui ke akepaʻa. Kāhea nā kauka i kēia he "colloid shift".

Nā maʻi i hiki ke ʻike ʻia me kēia scan

• Ka mumū o ke akepaʻa (hepatitis)
• ʻO ka fibrosis a me/a i ʻole ka cirrhosis o ke akepaʻa
• Ka hemahema o ke akepaʻa
• Nā ʻeha o ke ake (e like me ka abscess, tumor, hemangioma a cyst paha)
• ʻO ka maʻi ake momona (maʻi ake steatotic)
• Ke koko kiʻekiʻe i loko o ke akepaʻa (portal hypertension)
• Ka pale ʻana o nā aʻa hepatic `(Budd-Chiari syndrome)`
• ʻO ke akepaʻa a i ʻole ka spleen i hoʻonui ʻia
• Ka hōʻino ʻana i ka spleen (splenic infarction a i ʻole ka spleen ruptured)

He aha ka mea e hana ma hope o ka loaʻa ʻana o ka hōʻike?

Hiki paha ke kahakiʻi i kahi hopena paʻa e pili ana i kou kūlana mai kēia hōʻike scan. Inā pēlā, e kamaʻilio kāu kauka me ʻoe e pili ana i ka lāʻau lapaʻau. I kekahi manawa, e noi ʻia paha ʻoe e hana i nā hoʻokolohua ʻē aʻe e hōʻoia hou i ka mea i loko o kēia hōʻike. E wehewehe kāu kauka i kēia mau mea āpau iā ʻoe.