Yu gɛt prɔblɛm wit yu gal blad? Mek wi tok abaut di HIDA Scan!

Yu dɔn ɛva fil pen na di ɔp rayt say na yu bɛlɛ? Ɔ dɔktɔ dɔn tɛl yu se yu gɛt sɔm kayn prɔblɛm wit yu gal blad? Da tɛm de, dɛn kin dɔn aks yu fɔ mek dɛn du `HIDA skan` (Hepatobiliary Immunodiacetic Acid Scan). So, yu kin fil smɔl frayd we yu yɛri dis, bɔt nɔ wɔri. Tide, wi go tok abaut dis `HIDA scan` simpul, fo we we yu go andastan.

Wetin na HIDA skan?

Fɔ tɔk am simpul wan, HIDA skan na spɛshal tɛst we de luk aw yu gal blad de wok. Insay dis, dɛn kin put smɔl kemikal we dɛn kɔl redioaktiv traysa insay yu bɔdi. Dɔn, dɛn kin yuz spɛshal kamɛra fɔ wach aw i de muv na yu bɔdi. Dɛn kin du dis tɛst na di nyuklia mɛrɛsin dipatmɛnt na wan ɔspitul.

fכ εksplen sכm mכr, dis `HIDA skan` de luk di we aw di bayl de fכm frכm yu liva to yu sכmכl intestכn. wi kכl dis pat fכ bayl di `biliary system`.

Tink bɔt am, yu liva de mek dis dijestiv wata we dɛn kɔl bayl. Dis bayl de ɛp wi fɔ dayjɛst di fat dɛn we de insay di it we wi de it. afta dat, di bayl we dεn mek de travul tru spεshal tכb dεm (biliary ducts) εn i de stכr insay di gal blad. di gal blad na sכmכl sak we de כnda yu liva, na di rayt say, nia yu lכw rib dεm. we yu de it, dis gal blad de kכntrakt (swεl) εn i de sεnd di bayl we dεn stכr insay am tru di dakt dεm to di fכs pat pan yu sכmכl intestכn (duodenum), fכ εp fכ digεst di fεt dεm.

Yu ɔndastand naw? If smɔl prɔblɛm de sɔmsay na dis prɔses, yu kin gɛt difrɛn sayn dɛm. Na da tɛm de dis `HIDA scan` kin ɛp fɔ fɛn di kɔz. dis dεn kin kכl am bak `cholescintigraphy` εn `hepatobiliary scintigraphy`.

Us sik dɛn kin no wit HIDA skan?

Dɔktɔ dɛn kin yuz dis `HIDA skan` fɔ no ɛn asɛs di kayn we aw dɛn sik ya de:

• Akyu kɔlesistaytis: Dis na wan sik we kin kam wantɛm wantɛm. Yu kin gɛt siriɔs pen na di ɔp rayt say na yu bɛlɛ ɛn yu kin gɛt sɔm sayn dɛn lɛk fiva. bכku tεm (bכt 90%) i kin kכz fכ gal ston dεm we de blכk di bayl dakt.
• Kronik kolεsistaytis: Dis na we yu gal blad kin inflamεns εn swεla כltεm. De pen nɔr kin tranga pas di akyu stej, bɔt de diskɔmfɔt kin kam ɛn go. dis kin kכz fכ di gal ston dεm we de blכk wan bayl dakt (sistik dakt).
• di sphincter of Oddi dysfunction: Dis na we di sphincter of Oddi, we na mכsul we de wok lεk get fכ bayl εn pankrεas jus (enzymes), nכ de opin fayn fayn wan. Dis kin mek di dijestiv jus dɛn bakflɔ. Dis kin mek pɔsin fil pen bad bad wan.
• Atresia we de na di biliari: .Dis na wan sik we kin apin to pikin dɛn we dɛn jɔs bɔn. i de blok di fכ fכlכ di bayl frכm di pikin in liva to di sכmכl intestin. Dis na siriɔs tin we kin mek pikin dɛn we dɛn jɔs bɔn gɛt jaundice, bɔt i nɔ kin apin so ɔltɛm. If dɛn nɔ kɔrɛkt dis wit ɔpreshɔn insay di fɔs tu to tri mɔnt we pɔsin de liv, i kin mek di liva pwɛl.
• biliary leak: Dis na we di bayl de lik kכmכt na di bayl dakt dεm. We dis kin apin, di tisu we de rawnd kin swel, i kin fil pen, ɛn ivin gɛt di sik. Bɔku tɛm dis kin apin afta dɛn dɔn du ɔpreshɔn fɔ pul di gal blad, we dɛn dɔn gɛt trauma, ɔ we dɛn dɔn transplant di liva.

Ustɛm yu nid fɔ du HIDA skan?

Dɔktɔ dɛn kin se dɛn fɔ du HIDA skan fɔ chɛk if prɔblɛm de wit di liva sɛl dɛn, di biliary system, ɛn di gal blad. Dɔktɔ kin ɔda fɔ mek dɛn du HIDA skan if yu gɛt ɛni wan pan dɛn sik ya:

• Bɔrku pen na yu bɛlɛ, mɔ na di rayt say: Dis kin bi bikɔs di gal blad de inflamɛns wantɛm wantɛm (kɔlesistaytis). Dis na di rizin we kin mek dɛn du HIDA skan.
• Pen ɔ fiva afta sɔm ɔpreshɔn dɛn: If dɛn dɔn du ɔpreshɔn fɔ pul yu gal blad, ɔpreshɔn fɔ pul yu bɛlɛ ɔp, ɔ fɔ transplant yu liva, yu kin nid fɔ gɛt HIDA skan if yu gɛt fiva ɛn pen afta dat.
• Sivεr janda na nyu bכbi pikin dεm: Dis kin kכz fכ wan kכndyushכn we de mek yu layf de pan denja we dεn kכl `biliary atresia`.

Dɔn bak, if yu gɛt biliary stent we dɛn put na yu bayl dakt, yu kin gɛt HIDA skan fɔ si if i de wok fayn. biliary stent na wan tin, olo tiub we dɛn kin put insay yu bayl dakt fɔ mek i opin if i blok. If yu dɔn gɛt liva transplant, yu kin gɛt bɔku HIDA skan fɔ si aw yu liva de wok afta di ɔpreshɔn.

Udat de du di HIDA skan?

Tri mɛdikal pɔblisha dɛn de we de du HIDA skan. Dɛn kin ɛp fɔ mek di skan ikwipmɛnt, gi di redio famasitik, ɛn ɛksplen di skan rizɔlt. Dɛn na:

• Dɔktɔ we spɛshal pan `nyuklia mɛrɛsin` ɔ `nyuklia raydiɔlɔji`.
• Nyuklia teknɔlɔjis.
• Wan man we sabi bɔt fiziks pan mɛrɛsin.

Aw di HIDA skan de wok?

HIDA skan (hepatobiliary immunodiacetic acid scan) de yuz smɔl smɔl redioaktiv tin dɛn we dɛn kɔl redio famasitik ɔ rediotrasa. Bɔku tɛm, dɛn kin injɛkt dis na yu vein.

dis `radiotracer` de pas tru yu liva, gal blad, εn sכmכl intestin. dis `radiotracer` de mek wan kayn enεji we dεn kכl `gamma rays`. Speshal kamɛra dɛn kin no dis ɛnaji, ɛn kɔmpyuta kin yuz am fɔ mek klia pikchɔ dɛn bɔt aw yu ɔgan ɛn tisu dɛn de wok.

Aw a go pripia fɔ HIDA skan?

Yu mɛdikal tim go gi yu patikyula instrɔkshɔn bɔt aw fɔ pripia fɔ di HIDA skan. I rili impɔtant fɔ fala dɛn instrɔkshɔn dɛn de di rayt we. Na dis na wan jenɛral gayd fɔ pripia:

• If yu gɛt bɛlɛ, yu tink se yu gɛt bɛlɛ, ɔ yu de gi pikin in bɛlɛ , i impɔtant fɔ mek yu tɛl yu dɔktɔ bifo yu du HIDA skan.
• Tɛl yu mɛdikal tim bɔt ɔl di mɛrɛsin dɛn we yu de tek, lɛk vaytamɛn ɛn ɛbul sɔpɔtmɛnt dɛn. Yu dɔktɔ kin aks yu fɔ stɔp fɔ tek sɔm mɛrɛsin bifo di skan, bikɔs dɛn kin afɛkt di rizɔlt fɔ di skan.
• We yu kam fɔ di skan , pul ɛni jɔyri ɔ aksesɔri ɛn lɛf am na os, ɔ pul am bifo di skan. Dɛn tin ya kin ambɔg di ɛgzam.
• If yu gɛt frayd fɔ kɔnfyus ples (`claustrophobia`), tɛl wi bifo di tɛst bigin. Dis na bikɔs fɔ mek yu gɛt di bɛst pikchɔ dɛn, yu nid fɔ ol di skan kamɛra nia yu bɔdi smɔl. Bɔt dis kamɛra nɔ tan lɛk tiub we dɛn lɔk ɔlsay, bɔt i opin na ɔl tu di say dɛn. Dɛn kin put am rayt ɔp yu bɛlɛ, ɛn i nɔ kin kɔba yu fes.
• Fɔ HIDA skan , yu fɔ fast fɔ at le 4 awa (nɔ it ɔ drink pas wata). If yu nid fɔ fast fɔ lɔng tɛm pas dat, yu dɔktɔ go tɛl yu.
• Nyu bɔn pikin dɛn kin nid spɛshal tritmɛnt tri to fayv dez bifo dɛn du di skan. Di wan dɛn we de wok na di say usay dɛn de mɛn pikin dɛn go advays yu bɔt dis.

Yu fɔ put yu slip di tɛm we dɛn de du di HIDA skan?

Dɛn nɔ kin gi yu anestezi fɔ mek dɛn du HIDA skan. Infakt, sɔm skan dɛn kin mek yu muf go na difrɛn say dɛn.

Bɔt if i nɔ izi fɔ yu fɔ de stil we dɛn de skan yu pikin, ɔ if dɛn de skan yu pikin, dɛn kin gi yu ɔ yu pikin wan mɛrɛsin we de mek i fil fayn fɔ ɛp dɛn fɔ kol ɛn fil se dɛn de slip. Bɔt, i nɔ go mek yu slip ɔl, yu go kɔntinyu fɔ wek.

Aw lɔng HIDA skan kin tek?

HIDA skan kin tek bitwin wan ɛn 4 awa . Sɔntɛnde, dɛn kin aks yu fɔ kam bak insay 24 awa afta dɛn dɔn skan yu fɔ di fɔstɛm fɔ si ɔda pikchɔ dɛn.

Wetin fɔ ɛkspɛkt we dɛn de du HIDA skan?

Smɔl difrɛns kin de pan di we aw dɛn de du HIDA skan, i kin dipen pan us pat pan yu biliary sistɛm dɛn de ɛgzamin. Bɔt in jɔnal, na wetin yu kin ɛkspɛkt:

• Yu go nid fɔ pul di klos dɛn we de kɔba yu bɛlɛ eria. Di ɔspitul go gi yu wan gɔn fɔ wɛr insted.
• Yu go nid fɔ ledɔm fes ɔp pan ɛgzam tebul.
• Nɔs ɔ tɛknishian go put wan intravenɔs (IV) kateshɔn insay wan vein na yu an ɔ yu an, ɛn injɛkt di redio traysa.
• Di tɛknishian go put di skan kamɛra oba yu bɛlɛ, nia yu bɔdi.
• We yu bigin fɔ tek pikchɔ, di kamɛra we de skan kin tek sɔm pikchɔ dɛn. Di kamɛra kin rɔta rawnd yu ɔ i kin de na wan ples.
• We yu de tek pikchɔ, i rili impɔtant fɔ kip di kamɛra na wan ples we yu nɔ go muf. Na da tɛm de yu kin gɛt di bɛst kwaliti pikchɔ dɛn.
• Dɛn kin aks yu bak fɔ chenj di pozishɔn bitwin we yu de tek pikchɔ. Di teknɔlɔjis go tɛl yu dat.
• Afta yu tek sɔm pikchɔ dɛn, di pɔsin we sabi bɔt tɛknɔlɔji kin gi yu mɛrɛsin fɔ ɛmti yu gal blad. Dis kin mek yu gɛt smɔl kramp pen na yu bɛlɛ we de ɔp. As yu gal blad de ɛmti, dɛn go tek mɔ pikchɔ dɛn.
• We dɛn dɔn tek ɔl di pikchɔ dɛn we dɛn nid (dis kin tek lɛk 4 awa so), di skan kin dɔn.

Yu tink se di HIDA skan de at?

Di HIDA skan nɔ de mek pɔsin fil pen so. we dεn gi di rεdyutraysa tru IV, yu kin fil sכm sכm tingling we dεn put di nidul insay di vein, na כl dat.

Bɔt if yu de du HIDA skan fɔ wan mɛrɛsin, yu kin gɛt pen bikɔs ɔf da sik de. fכ egzampl, kכndishכn dεm lεk kolεsistaytis εn sphincter of Oddi dysfunction kin mek yu fil bad bad wan. Dɔn bak, yu nɔ fɔ tek sɔm pen kil bifo dɛn skan, bikɔs dɛn mɛrɛsin ya kin afɛkt di wok we yu biliary sistɛm de du ɛn afɛkt di kɔrɛkt we aw dɛn de du di tɛst.

Fɔ ɛgzampul, dɛn fɔ stɔp di opiate (lɛk mɔfin ɛn kɔdin) fɔ at le siks awa bifo dɛn du HIDA skan.

Wetin kin apin afta di HIDA skan?

Dipen pan di rizin we mek yu gɛt di HIDA skan, yu kin ebul fɔ go na os, ɔ yu kin nid fɔ go bak na di ɔspitul wɔd.

Yu fɔ drink bɔku wata fɔ di nɛks 24 awa afta di skan. Dis go ɛp di `radiotracer` fɔ kɔmɔt na yu bɔdi kwik kwik wan. bכku tεm, di `radiotracer` go kכmכt na yu bכdi insay wan de, i go bi tru urine כ stכl.

Flush di tɔylɛt fayn fayn wan afta yu dɔn yuz am, ɛn was yu an dɛn fayn fayn wan wit sop. Di raytin we de na di traysa rili smɔl, so no risk nɔ de fɔ ɔda pipul dɛn we de rawnd yu afta di skan.

If yu na mama we de gi pikin in mama in bɛlɛ, yu fɔ avɔyd fɔ ɛksprɛs di mama in milk fɔ 24 awa afta di skan. Dis na bikɔs di redio traysa kin ad redioaktiviti to yu mama in milk, we kin ambɔg yu pikin. So, i bεst fכ εksprεs sכm εkstra bכbi milk bifo di skan εn kip am sef, כ fכ fכn כda we fכ gi yu pikin fכ di de afta di skan.

Wetin na di risk ɛn sayd ɛfɛkt dɛm we di HIDA skan kin gɛt?

Di risk dɛm fɔ HIDA skan rili smɔl. Dɛn na:

• Di say we dɛn injɛkt di redio traysa kin gɛt smɔl brus.
• Na smɔl smɔl raytin de we pɔsin kin gɛt. Di amount of redyushɔn we yu de gɛt we yu de du tipik HIDA skan na lɛk di sem we aw di avɛrej pɔsin de gɛt frɔm di envayrɔmɛnt insay wan ia.
• I pɔsibul fɔ mek yu gɛt alɛji to di redio traysa dɛn we dɛn yuz fɔ skan. Bɔt dis nɔ kin apin so ɔltɛm .

I rili impɔtant fɔ tɛl yu dɔktɔ if yu gɛt bɛlɛ, yu tink se yu go gɛt bɛlɛ, ɔ yu de gi pikin in bɛlɛ. Bɔku tɛm, dɛn nɔ kin du nyuklia mɛrɛsin tɛst, lɛk HIDA skan, pan uman dɛn we gɛt bɛlɛ bikɔs i kin ambɔg di pikin we nɔ gɛt bɛlɛ.

Nyuklia mɛrɛsin imej, inklud HIDA skan, de gi spɛshal infɔmeshɔn we ɔda tɛst dɛn lɛk ɔltra saund nɔ kin gi. So, if yu nɔ gɛt bɛlɛ, di bɛnifit dɛn we HIDA skan kin gɛt pas di smɔl smɔl prɔblɛm dɛn we kin apin.

Aw lɔng i kin tek fɔ no di rizɔlt fɔ di HIDA skan?

Wan dɔktɔ we de mɛn di raytin go luk di pikchɔ dɛn frɔm di HIDA skan, rayt wan ripɔt, ɛn tɛl yu dɔktɔ di rizɔlt. Dɔn yu dɔktɔ go tɛl yu di rizɔlt. Dis kin tek lɛs 24 awa .

Wetin na di rizɔlt fɔ di HIDA skan?

Di infɔmeshɔn we de na yu HIDA skan rizɔlt ripɔt kin difrɛn difrɛn wan bay di rizin we mek yu gɛt di skan. כltu, di ripot go dεskrεb aw di rεdyutrayz de muv tru yu biliary sistεm.

Dɔktɔ dɛn kin mek di las diagnosis bay we dɛn kin jɔyn di rizɔlt dɛn we dɛn kin gɛt frɔm di HIDA skan ɛn ɔda tɛst dɛn lɛk blɔd tɛst.

Di rizulyt fɔ wan HIDA skan kin inklud:

• Nɔmal: di redio traysa dɔn pas frɔm yu liva to yu gal blad ɛn smɔl intestin we nɔ gɛt ɛnitin fɔ ambɔg am.
• Slow muvmεnt fכ rεdyutraysa: Dis kin min se blכk כ obstrכkshכn de sכmsay na yu bayl dakt, כ yu liva nכ de wok fayn.
• Nɔ raydiotrasa we dɛn si na di gal blad: Dis kin min se yu gɛt akyu kɔlɛsistaytis, we na wan blɔk na di bayl dakt.
• abnכmal lכw gal blad ejekshכn frakshכn: dis de ditarmin bay aw mכch bayl yu gal blad kin ejekshכn (ejection fraction) afta dεn stimul am wit mεdikeshכn. wan gal blad ejekshכn frakshכn we de 30% to 35% na nכmal tin. If dis nɔmba nɔr nɔrmal, i kin sho se yu gɛt kɔlesistaytis we nɔr de dɔn.
• Radiotracer we dɛn dɔn detekt na ɔda eria dɛn:If di skan sho se di redio traysa de ausayd yu biliary system, i kin sho se biliary lik.

Mɛmba se ilɛk wetin yu gɛt, yu dɔktɔ go ɛksplen am to yu, so nɔ fred fɔ aks dɛn kwɛstyɔn.

Fɔ dɔn, wetin fɔ no

`HIDA skan` (Hepatobiliary Immunodiacetic Acid Scan) na impɔtant tɛst fɔ no sɔm prɔblɛm dɛn na yu liva, bayl dakt, ɛn gal blad. I kin tranga smɔl fɔ gɛt fɔ du dis kayn tɛst. Bɔt no se `HIDA scan` na tɛst we nɔ gɛt pen atɔl. Yu kin aks yu dɔktɔ bɔt ɛni kwɛstyɔn ɔ tin we de mɔna yu. Nɔ wɔri, dɔktɔ dɛn de ya fɔ ɛp yu.

` HIDA skan, gal blad, liva, bayl, redioaktiv matirial, diagnosis, bɛlɛ pen