Koj tus kws kho mob puas tau hais kom koj ua Meckel's Scan vim koj pom ntshav hauv koj tus menyuam cov quav, lossis vim koj tus menyuam pheej yws tias mob plab? Tej zaum koj yuav ntshai me ntsis thaum koj hnov lub npe. Nws yog ib qho ib txwm muaj cov lus nug xws li, 'Qhov scan no yog dab tsi? Nws puas yuav ua rau kuv tus menyuam mob?' los rau hauv siab. Yog vim li cas hnub no peb yuav tham txog Meckel's Scan no hauv txoj kev yooj yim heev uas koj tuaj yeem nkag siab.
Hauv lwm lo lus, Meckel's Scan yog dab tsi?
Kev kuaj Meckel's Scan yog ib qho kev kuaj duab tshwj xeeb uas feem ntau xyuas seb koj tus menyuam puas muaj mob hu ua Meckel's diverticulum .
Tam sim no koj yuav xav tias, "Qhov no yog dab tsi Meckel's diverticulum?"
Xav txog nws, peb muaj ib txoj hnyuv me me hauv peb lub plab, puas yog? Thaum qee tus menyuam yug los, lawv muaj ib feem ntxiv ntawm txoj hnyuv me me uas zoo li lub hnab me me uas tawm ntawm phab ntsa. Qhov ntawd yog qhov peb hu ua Meckel's diverticulum. Tsis yog txhua tus neeg muaj qhov no. Thiab tsis yog txhua tus neeg uas muaj nws yuav muaj cov tsos mob.
Daim Meckel's Scan no yog kev kuaj mob nuclear . Tsis txhob ntshai lub npe. Hais yooj yim xwb, nws yog txhaj me me ntawm cov tshuaj radioactive uas tsis muaj teeb meem (radiotracer) rau hauv lub cev thiab siv lub koob yees duab tshwj xeeb (gamma camera) los thaij duab sab hauv lub cev.
Daim scan no tsuas yog nrhiav tau ib yam mob hu ua Meckel's diverticulum xwb. Nws nrhiav tsis tau lwm yam kab mob hauv plab hnyuv.
Yuav tsum tau ua qhov kev luam theej no thaum twg?
Ib txhia neeg uas muaj Meckel's diverticulum yuav tsis muaj tsos mob thoob plaws lawv lub neej, tab sis rau qee tus, tshwj xeeb tshaj yog cov menyuam yaus, nws tuaj yeem ua rau muaj teeb meem.
Cov tsos mob tseem ceeb yog:
- Mob plab: Mob plab tas li.
- Ntshav hauv cov quav: Qhov no yog cov tsos mob feem ntau. Qee zaum cov quav tuaj yeem liab tsaus lossis dub tsaus.
Kwv yees li 50% ntawm cov neeg uas muaj cov tsos mob no yog cov menyuam yaus hnub nyoog qis dua 10 xyoo. Yog li ntawd, yog tias koj tus menyuam muaj cov tsos mob no, koj tus kws kho mob yuav pom zoo kom kuaj qhov no kom paub tseeb tias nws puas yog Meckel's diverticulum.
Koj puas ua qhov kev luam theej no rau cov menyuam yaus thiab cov neeg laus?
Qhov no yog ib lo lus nug tseem ceeb heev. Kev ntsuas Meckel ua tau zoo heev rau cov menyuam yaus . Kev tshawb fawb pom tias nws yog li ntawm 90% raug rau cov menyuam yaus.
Tab sis rau cov neeg laus, qhov tseeb ntawm qhov no txo qis mus txog li 50%.Yog li ntawd, yog tias ib tug neeg laus raug xav tias muaj Meckel's diverticulum, tus kws kho mob feem ntau yuav xa lawv mus rau lwm yam kev kuaj mob tshwj xeeb dua.
Cia peb saib daim ntawv teev lus hauv qab no kom yooj yim nkag siab txog qhov sib txawv no.
| Pawg | Qhov tseeb ntawm Meckel's Scan | Lwm yam kev ntsuam xyuas uas feem ntau siv |
|---|---|---|
| Cov menyuam yaus | Siab heev (kwv yees li 90%) | Qhov no feem ntau yog siv ua qhov kev xeem thawj zaug. |
| Cov neeg laus | Tsawg heev (kwv yees li 50%) |
|
Koj npaj koj tus menyuam li cas rau kev soj ntsuam?
Ua ib tug niam txiv, qhov no tseem ceeb heev rau koj. Kev npaj koj tus menyuam rau qhov no yam tsis muaj kev ntxhov siab yuav ua rau qhov kev xeem yooj yim dua.
- Kev Yoo Mov: Tsis txhob pub koj tus menyuam noj mov lossis haus dej li 4 txog 6 teev ua ntej kev luam theej duab. Lub plab khoob pab kom tau cov duab meej dua.
- Qhia txog lwm yam kev kuaj mob: Yog tias koj tus menyuam tau kuaj mob siv barium (piv txwv li, barium meal) hauv ob hnub dhau los, nco ntsoov qhia rau koj tus kws kho mob.
- Tham nrog koj tus menyuam: Piav qhia txog yam uas yuav tshwm sim los ntawm cov lus yooj yim uas koj tus menyuam nkag siab. Hais tej yam xws li, "Peb yuav thaij duab koj lub plab nrog lub koob yees duab loj hauv tsev kho mob," lossis "Koj yuav tsum nyob twj ywm ib pliag."
- Koj hais tias koj nyob ntawd:Qhia rau koj tus menyuam paub tias koj nyob ze. Qee zaum koj yuav mus tsis tau rau hauv chav uas tab tom ua qhov kev soj ntsuam. Tab sis qhia rau koj tus menyuam paub tias koj nyob ze ntawm sab nraud tuaj yeem pab txo lawv qhov kev ntshai.
Muaj dab tsi tshwm sim tiag tiag thaum lub sijhawm luam theej duab?
Cov txheej txheem no tsis nyuaj li koj xav. Feem ntau tus me nyuam tseem sawv thaum lub sijhawm no. Txawm li cas los xij, yog tias koj xav tias tus me nyuam tsis so thiab nyuaj nyob hauv ib qho chaw, qhia rau tus kws kho mob ua ntej. Koj yuav tau txais tshuaj loog me me kom tus me nyuam nyob twj ywm.
Nov yog qhov tshwm sim thaum lub sijhawm luam theej duab, raws li kev txiav txim:
1. Ntxig ib lub cannula: Ua ntej, ib lub raj me me, hu ua txoj kab IV, raug ntxig rau hauv ib txoj hlab ntshav me me hauv tus menyuam caj npab, tes, lossis ceg. Qhov no yog qhov chaw muab cov tshuaj tshwj xeeb (radiotracer).
2. Pw saum txaj: Tom qab ntawd muab tus menyuam tso rau ntawm lub rooj kuaj mob. Tom qab ntawd muab lub koob yees duab gamma loj tso rau saum lub plab.
3. Muab tshuaj: Tam sim no cov tshuaj raug txhaj rau hauv lub cev los ntawm txoj kab IV. Qhov no yuav tsis ua rau tus menyuam mob.
4. Thaij duab: Tom qab txhaj tshuaj tas, tus kws kho mob yuav thaij duab ntau daim. Tag nrho cov txheej txheem yuav siv sijhawm 30 txog 60 feeb. Nws yog ib qho tseem ceeb heev uas tus menyuam tsis txhob txav thaum lub sijhawm no.
Tom qab ua tiav qhov kev luam theej duab, tus menyuam tuaj yeem mus tsev tib hnub ntawd thiab tuaj yeem noj thiab haus dej li qub.
Puas muaj kev pheej hmoo rau tus menyuam los ntawm qhov kev ntsuas no?
Qhov no tej zaum yog lo lus nug loj tshaj plaws uas koj muaj ua niam txiv. Qhov xov xwm zoo yog tias qhov kev pheej hmoo ntawm Meckel's Scan yog tsawg heev .
- Tej zaum yuav muaj mob me ntsis, mob nqaij, lossis los ntshav me ntsis rau qhov chaw uas tau ntxig lub cannula. Qhov no yuav ploj mus tom qab ib pliag.
- Tsis txhob txhawj txog qhov kev siv hluav taws xob. Qhov ntau ntawm kev siv hluav taws xob yog me me heev. Yog hais kom meej, nws yog kwv yees li tib qhov ntau ntawm kev siv hluav taws xob uas koj raug thaum lub sijhawm thaij duab X-ray hauv siab.
Tus kws kho mob pom zoo kom ua qhov kev kuaj no vim tias cov txiaj ntsig ntawm qhov kev kuaj thiab qhov tseem ceeb ntawm kev kuaj mob muaj ntau dua li qhov kev pheej hmoo me me no.
Tom qab tau txais cov txiaj ntsig lawm, yuav muaj dab tsi tshwm sim?
Feem ntau tus kws kho mob xoo hluav taws xob yuav muab daim ntawv qhia rau koj tus menyuam tus kws kho mob rau tib hnub ntawd lossis hauv ob peb hnub tom qab kev luam theej duab.
Muaj ob qho txiaj ntsig tau:
1. Yog tias qhov tshwm sim yog qhov zoo: Yog tias daim duab scan qhia tias koj muaj Meckel's diverticulum, koj tus kws kho mob yuav ua ib qho kev phais me me kom tshem nws tawm.Lawv hais tias yuav tsum tau ua. Tom qab qhov no raug tshem tawm, tus menyuam cov tsos mob ploj mus tag.
2. Yog tias qhov tshwm sim tsis muaj dab tsi: Yog tias daim duab scan tsis qhia dab tsi, nws txhais tau tias qhov ua rau tus menyuam cov tsos mob yog lwm yam. Tom qab ntawd tus kws kho mob yuav pom zoo kom ua qee qhov kev kuaj ntxiv kom nrhiav tau qhov ua rau.
Txawm li cas los xij, koj tus kws kho mob yuav piav qhia meej txog cov txiaj ntsig thiab yuav ua li cas tom ntej.
Cov Lus Qhia Txog Kev Coj Mus Tsev
- Ib qho kev kuaj Meckel's Scan yog ib qho kev kuaj tshwj xeeb uas ua los nrhiav ib qho mob uas muaj txij thaum yug los hu ua Meckel's diverticulum .
- Qhov no feem ntau yog ua rau cov menyuam yaus hnub nyoog qis dua 10 xyoo uas mob plab ntau zaus lossis muaj ntshav hauv lawv cov quav.
- Qhov no yog ib qho kev kuaj mob uas muaj kev nyab xeeb heev, thiab qhov ntau ntawm cov hluav taws xob siv yog me me heev.
- Kev npaj xws li tsis pub tus menyuam noj mov lossis haus dej li 4-6 teev ua ntej qhov kev kuaj mob yog qhov tseem ceeb.
- Tus kws kho mob yuav txiav txim siab seb tus menyuam xav tau kev kho mob dab tsi raws li cov txiaj ntsig ntawm kev kuaj.
- Yog tias koj muaj lus nug, kev txhawj xeeb, lossis kev tsis ntseeg txog qhov no, tsis txhob yig los tham nrog koj tus kws kho mob .
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Tsis muaj lus teb tau muab tso tawm. Ntxiv koj cov lus tawm ntawm no thawj zaug.
Ntxiv koj cov lus