Olina obuzibu mu nnyindo? Ka twogere ku HIDA Scan!

Wali owuliddeko obulumi ku ludda olwa waggulu olwa ddyo olw’olubuto lwo? Oba omusawo akugambye nti olina ekizibu eky’ekika ekimu ku nnywanto yo? Mu kiseera ekyo, oyinza okuba nga wasabibwa okukola `HIDA scan` (Hepatobiliary Immunodiacetic Acid Scan). Kale, oyinza okuwulira ng’otya katono ng’owulira bino, naye tofaayo. Leero, tugenda kwogera ku `HIDA scan` eno mu ngeri ennyangu, mu ngeri gy'osobola okutegeera.

Sikaani ya HIDA kye ki?

Mu ngeri ennyangu, sikaani ya HIDA kigezo kya njawulo ekitunuulira engeri ennywanto yo gy’ekola. Mu kino, akatono akayitibwa eddagala eriyitibwa radioactive tracer lifukibwa mu mubiri gwo. Olwo, kkamera ey’enjawulo ekozesebwa okulaba engeri gy’etambulamu mu mubiri gwo. Okukebera kuno kukolebwa mu kitongole ky’eddagala lya nukiriya mu ddwaaliro.

Okunnyonnyola ebisingawo katono, `HIDA scan` eno etunuulira engeri omusulo gye gukulukuta okuva mu kibumba kyo okutuuka mu kyenda kyo ekitono. Ekkubo lino ery’entuuyo tugiyita `enkola y’omusaayi`.

Lowooza ku kino, ekibumba kyo kikola amazzi gano agagaaya emmere agayitibwa bile. Entuuyo eno etuyamba okugaaya amasavu agali mu mmere gye tulya. Olwo, omusulo ogukolebwa guyita mu ntuuyo ez’enjawulo (emikutu gy’omusaayi) ne guterekebwa mu nnywanto. Ensigo nsawo ntono esangibwa wansi w’ekibumba kyo, ku ludda olwa ddyo, okumpi n’embavu zo eza wansi. Bw’olya, ennywanto eno ekwatagana (esika) n’esindika entuuyo eziterekeddwamu nga ziyita mu mifulejje okutuuka mu kitundu ekisooka eky’ekyenda kyo ekitono (duodenum), okuyamba okugaaya amasavu.

Otegedde kati? Singa wabaawo ekizibu ekitono awalala mu nkola eno, osobola okufuna obubonero obw’enjawulo. Wano `HIDA scan` eno w'esobola okuyamba okuzuula ekivaako. Kino era kiyitibwa `cholescintigraphy` ne `hepatobiliary scintigraphy`.

Endwadde ki eziyinza okuzuulibwa nga bakozesa HIDA scan?

Abasawo bakozesa `HIDA scan` eno okuzuula n'okukebera obunene bw'embeera zino:

• Acute cholecystitis: Eno mbeera ejja mu bwangu. Oyinza okufuna obulumi obw’amaanyi ku ludda olwa waggulu olwa ddyo olw’olubuto lwo n’obubonero ng’omusujja. Ebiseera ebisinga (nga 90%) kiva ku mayinja g’omu nnyindo okuzibikira omukutu gw’entuuyo.
• Obulwadde bw’ekibumba obutawona: Kino kye kiseera ekibumba kyo we kizimba n’okuzimba buli kiseera. Obulumi tebuba bwa maanyi nnyo okusinga mu mutendera ogw’amaanyi, naye obutabeera bulungi buyinza okujja ne bugenda. Kino kitera okuva ku mayinja g’omu nnyindo okuziba omukutu gw’omusaayi (cystic duct).
• Sphincter of Oddi dysfunction: Kino bwe kiba nga sphincter of Oddi, ekinywa ekikola ng’omulyango gw’entuuyo n’omubisi gw’olubuto (enzymes) tegguka bulungi. Kino kireeta omubisi gw’okugaaya emmere okudda emabega. Kino kiyinza okuvaako obulumi obw’amaanyi.
• Obulwadde bwa biliary atresia:Eno mbeera ebeerawo mu baana abaakazaalibwa. Kiziyiza okutambula kw’entuuyo okuva mu kibumba ky’omwana okutuuka mu kyenda ekitono. Kino kivaako nnyo obulwadde bwa jaundice mu balongo. Kino bwe kitatereezebwa n’okulongoosebwa mu myezi ebiri oba esatu egisooka ng’akyali mulamu, kiyinza okuviirako ekibumba okwonooneka.
• Biliary leak: Kino kye kiseera omusulo bwe gukulukuta okuva mu mifulejje. Kino bwe kibaawo, ebitundu ebibyetoolodde bisobola okuzimba, okuluma, n’okutuuka n’okukwatibwa obuwuka. Kino kitera okubaawo oluvannyuma lw’okulongoosebwa okuggyamu ennywanto, okulumwa oba okusimbibwa ekibumba.

Ddi lwe weetaaga sikaani ya HIDA?

Abasawo bagamba nti omuntu akebere HIDA scan okukebera oba waliwo obuzibu mu butoffaali bw’ekibumba, enkola y’omusaayi n’ennywanto. Omusawo ayinza okulagira okukeberebwa HIDA scan singa oba olina ekimu ku bubonero buno:

• Obulumi obw’amaanyi mu lubuto naddala ku ludda olwa ddyo: Kino kiyinza okuba nga kiva ku kuzimba okw’amangu mu nnywanto (cholecystitis). Eno y’ensonga esinga okuvaako okukeberebwa sikaani ya HIDA.
• Obulumi oba omusujja oluvannyuma lw’okulongoosebwa okumu: Bw’oba ​​olongooseddwa okuggyamu ennywanto, okulongoosebwa olubuto olwa waggulu oba okusimbuliza ekibumba, oyinza okwetaaga okukeberebwa HIDA scan singa oba olina omusujja n’obulumi oluvannyuma.
• Jaundice ey’amaanyi mu baana abaakazaalibwa: Kino kiyinza okuva ku mbeera eyinza okutta obulamu eyitibwa biliary atresia.

Ekirala, bw’oba ​​olina stent y’omusaayi (biliary stent) eteekeddwa mu mulyango gwo, oyinza okukeberebwa HIDA scan okulaba oba ekola bulungi. Stent y’omusaayi (biliary stent) ye ttanka ennyimpi eriko ebituli eteekebwa mu mudumu gwo okugikuuma nga nzigule singa eba ezibiddwa. Bw’oba ​​okyusiddwa ekibumba, oyinza okukola sikaani za HIDA eziwerako okulaba engeri ekibumba gye kikola oluvannyuma lw’okulongoosebwa.

Ani akola sikaani ya HIDA?

Waliwo abakugu mu by’obujjanjabi basatu abeenyigira mu kukola sikaani ya HIDA. Bayamba okuteekawo ebyuma ebikebera, okugaba eddagala eriyitibwa radiopharmaceuticals, n’okutaputa ebyava mu sikaani. Bbo bali:

• Omusawo mukugu mu `ddagala lya nuclear` oba `nuclear radiology`.
• Omukugu mu tekinologiya wa Nuclear.
• Omukugu mu bya physics mu by’obujjanjabi.

Sikaani ya HIDA ekola etya?

Sikaani ya HIDA (hepatobiliary immunodiacetic acid scan) ekozesa ebintu ebitonotono ebikola amasannyalaze agayitibwa radiopharmaceuticals oba radiotracers. Kino kitera okukikuba empiso mu musuwa gwo.

Olwo `radiotracer` eno eyita mu kibumba kyo, ekibumba kyo, n'ekyenda ekitono. `Radiotracer` eno efulumya ekika ky'amasoboza ekiyitibwa `gamma rays`. Kkamera ez’enjawulo zizuula amaanyi gano, era kompyuta egakozesa okukola ebifaananyi ebitegeerekeka obulungi engeri ebitundu byo n’ebitundu byo gye bikolamu.

Nteekateeka ntya okukola sikaani ya HIDA?

Ttiimu yo ey’abasawo ejja kukuwa ebiragiro ebitongole ku ngeri y’okwetegekera sikaani ya HIDA. Kikulu nnyo okugoberera ddala ebiragiro ebyo. Wano waliwo obulagirizi obw’awamu obw’okuteekateeka:

• Bw’oba ​​oli lubuto, olowooza nti oyinza okuba olubuto, oba ng’oyonsa , kikulu nnyo okutegeeza omusawo wo nga tonnaba kukeberebwa HIDA scan.
• Buulira ttiimu yo ey’abasawo eddagala lyonna ly’omira omuli vitamiini n’ebirungo ebiyamba mu muddo. Omusawo ayinza okukusaba okukomya okumira eddagala erimu nga tonnaba kukebera, kubanga liyinza okukosa ebiva mu sikaani.
• Bw’ojja okukola sikaani , ggyayo eby’okwewunda oba ebikozesebwa byonna obireke awaka, oba biggyemu nga tonnaba sikaani. Bino bisobola okutaataaganya okukeberebwa.
• Bwoba olina okutya ebifo ebizibiddwa (`claustrophobia`), tubuulire nga okugezesebwa tekunnatandika. Kino kiri bwe kityo kubanga okufuna ebifaananyi ebisinga obulungi, kkamera esika yeetaaga okukwatibwa okumpi katono n’omubiri gwo. Wabula kkamera eno tefaananako ttanka eggaddwa wonna, wabula ng’eggule ku njuyi zombi. Ebiseera ebisinga kiteekebwa waggulu ddala w’olubuto lwo, era tekibikka maaso go.
• For a HIDA scan , olina okusiiba waakiri essaawa nnya (tewali mmere oba kyakunywa okuggyako amazzi). Bw’oba ​​weetaaga okusiiba okumala ebbanga erisukka awo, omusawo ajja kukugamba.
• Abalongo abaakazaalibwa bayinza okwetaaga obujjanjabi obw’enjawulo nga wabulayo ennaku ssatu oba ttaano okukeberebwa. Abakozi mu waadi y’abaana bajja kukubuulirira ku nsonga eno.

Olina okuteekebwa mu tulo mu kiseera kya HIDA scan?

Totera kuweebwa ddagala lya kubudamya ku sikaani ya HIDA. Mu butuufu, sikaani ezimu zeetaaga okugenda mu bifo eby’enjawulo.

Wabula bw’oba ​​okaluubirirwa okusigala ng’osirise mu kiseera ky’okusika, oba omwana bw’aba asikaani, ggwe oba omwana wo muyinza okuweebwa eddagala erikkakkanya n’okuwulira nga yeebase. Kyokka tekijja kukuleetera kwebaka ddala, ojja kusigala ng’otunula.

Sikaani ya HIDA etwala bbanga ki?

Sikaani ya HIDA etera okutwala wakati w'essaawa emu n'ennya . Oluusi, oyinza okusabibwa okudda mu ssaawa 24 okuva ku sikaani esooka okufuna ebifaananyi ebirala.

Kiki ky’osuubira mu kiseera kya sikaani ya HIDA?

Wayinza okubaawo enjawulo entonotono mu ngeri sikaani ya HIDA gy’ekolebwamu, okusinziira ku kitundu ki eky’enkola yo ey’omusaayi ekikeberebwa. Naye okutwaliza awamu, bino by’oyinza okusuubira:

• Ojja kwetaaga okuggyako engoye ezibikka ekitundu ky’olubuto lwo. Eddwaaliro lijja kukuwa gomesi gy’oyambala mu kifo ky’ekyo.
• Ojja kwetaaga okugalamira ng’otunudde waggulu ku mmeeza y’ebigezo.
• Omusawo oba omukugu ajja kuyingiza ekyuma ekiyingiza mu misuwa (IV) mu musuwa mu mukono gwo oba mu ngalo, n’akuba empiso ya radiotracer.
• Omukugu ajja kuteeka kkamera esika ku lubuto lwo, okumpi n’omubiri gwo.
• Bw’otandika okukuba ebifaananyi, kkamera esika ebifaananyi ekwata ebifaananyi ebiddiriŋŋana. Kkamera esobola okukuzitoowerera oba okusigala mu kifo kimu.
• Bw’oba ​​okwata ebifaananyi, kikulu nnyo okukuuma kkamera mu kifo kimu nga tosenguka. Wano w’osobola okufuna ebifaananyi eby’omutindo ogusinga.
• Oyinza n’okusabibwa okukyusa ebifo wakati w’okukuba ebifaananyi. Ekyo omukugu mu tekinologiya ajja kukugamba.
• Oluvannyuma lw’okukuba ebifaananyi ebimu, omukugu mu tekinologiya ayinza okukuwa eddagala okufulumya amazzi mu nnyindo. Kino kiyinza okukuleetera obulumi obutonotono mu lubuto lwo olwa waggulu. Ennyindo yo bw’egenda efuluma, bajja kukuba ebifaananyi ebirala.
• Ebifaananyi byonna ebyetaagisa bwe bimala okukubiddwa (kino kiyinza okutwala essaawa nga nnya), sikaani eba ewedde.

Sikaani ya HIDA eruma?

Sikaani ya HIDA si bulumi bwetyo. Radiotracer bw’eweebwa ng’oyita mu IV, oyinza okuwulira ng’owunyiriza katono ng’empiso eyingiziddwa mu musuwa, ekyo kyokka.

Wabula bw’oba ​​okola sikaani ya HIDA okuzuula embeera y’obujjanjabi, oyinza okulumwa olw’embeera eyo. Okugeza embeera nga cholecystitis ne sphincter of Oddi dysfunction ziyinza okuleeta obulumi obw’amaanyi. Ekirala, tolina kumira ddagala erimu eriweweeza ku bulumi nga tonnaba ku sikaani, kubanga eddagala lino liyinza okukosa enkola y’enkola yo ey’omusaayi n’okukosa obutuufu bw’okukebera.

Okugeza, eddagala eriyitibwa opiates (nga morphine ne codeine) lirina okuyimirizibwa nga wabulayo waakiri essaawa mukaaga okukeberebwa HIDA scan.

Kiki ekibaawo oluvannyuma lwa sikaani ya HIDA?

Okusinziira ku nsonga lwaki wakola sikaani ya HIDA, oyinza okudda eka, oba oyinza okwetaaga okuddayo mu waadi y’eddwaliro.

Olina okunywa amazzi amangi okumala essaawa 24 eziddako oluvannyuma lw’okusika. Kino kijja kuyamba `radiotracer` okuva mu mubiri gwo amangu. Ebiseera ebisinga, `radiotracer` ejja kufulumizibwa mu mubiri gwo mu lunaku lumu, oba okuyita mu musulo oba omusulo.

Kaabuyonjo ginaaze bulungi ng’omaze okugikozesa, n’okunaaba bulungi mu ngalo ne ssabbuuni. Omuwendo gw’obusannyalazo mu tracer mutono nnyo, kale tewali bulabe eri abalala abakwetoolodde oluvannyuma lwa sikaani.

Bw’oba ​​maama ayonsa, olina okwewala okufulumya amata g’amabeere okumala essaawa 24 oluvannyuma lw’okusika. Kino kiri bwe kityo kubanga radiotracer esobola okwongera obusannyalazo mu mata go, ekiyinza okuba eky’obulabe eri omwana wo. N’olwekyo kirungi n’ofulumya amata g’amabeere ag’enjawulo nga tonnaba kukola sikaani n’ogakuuma nga tewali bulabe, oba ofune engeri endala gy’oyinza okuliisa omwana wo olunaku oluddirira okusika.

Obulabe ki n’ebizibu ebiva mu sikaani ya HIDA?

Obulabe obuli mu sikaani ya HIDA butono nnyo. Bbo bali:

• Ekitundu we baakubiddwa empiso ya radiotracer kiyinza okuba nga kifunye ebiwundu ebitonotono.
• Waliwo akatono akalaga obusannyalazo. Omuwendo gw’obusannyalazo bw’ofuna mu sikaani ya HIDA eya bulijjo gwe gumu n’omuntu wa bulijjo gw’ofuna okuva mu butonde mu mwaka gumu.
• Kisoboka okuba n’allergy ku radiotracers ezikozesebwa mu sikaani. Kyokka kino tekitera kubaawo nnyo .

Kikulu nnyo okutegeeza omusawo wo bw’oba ​​oli lubuto, olowooza nti oyinza okuba ng’oli lubuto oba ng’oyonsa. Emirundi egisinga, okukebera eddagala lya nukiriya, gamba nga HIDA scan, tekukolebwa ku bakyala ab’embuto kubanga kuyinza okukosa omwana ali mu lubuto.

Okukuba ebifaananyi mu ddagala lya nukiriya, omuli n’okukebera HIDA, kuwa amawulire ag’enjawulo okukebera okulala, gamba nga ultrasound, ge gatasobola. N’olwekyo, bw’oba ​​tolina lubuto, emigaso gya sikaani ya HIDA gisinga wala akabi akatono.

Kitwala bbanga ki okumanya ebyava mu sikaani ya HIDA?

Omusawo akola ku by’okukuba ebifaananyi ajja kutunuulira ebifaananyi okuva mu sikaani ya HIDA, awandiike lipoota, era ategeeze omusawo wo ebyavaamu. Olwo omusawo wo ajja kukubuulira ebivuddemu. Kino kitera okutwala essaawa ezitakka wansi wa 24 .

Biki ebyavudde mu sikaani ya HIDA?

Amawulire agali mu lipoota yo eyava mu sikaani ya HIDA gayinza okwawukana okusinziira ku nsonga lwaki wa sikaani. Mu budde obutuufu, lipoota ejja kunnyonnyola engeri radiotracer gye yatambulamu mu nkola yo ey’omusaayi.

Abasawo be bakola okuzuula ekisembayo nga bagatta ebyava mu sikaani ya HIDA n’okukeberebwa okulala, gamba ng’okukeberebwa omusaayi.

Ebinaava mu sikaani ya HIDA biyinza okuli:

• Normal: Radiotracer eyise okuva mu kibumba kyo okutuuka mu gallbladder yo n’ekyenda ekitono awatali kiziyiza kyonna.
• Okutambula mpola kwa radiotracer: Kino kiyinza okutegeeza nti waliwo okuzibikira oba okuzibikira awalala mu ntuuyo yo, oba nti ekibumba kyo tekikola bulungi.
• Tewali radiotracer elabibwa mu nnywanto: Kino kiyinza okutegeeza nti olina obulwadde bw’ekibumba obuyitibwa acute cholecystitis, okuzibikira mu ntuuyo.
• Ekitundu ekifulumya ennywanto ekitono mu ngeri etaali ya bulijjo: Kino kisalibwawo okusinziira ku bungi bw’entungo ennyindo yo z’esobola okufulumya (ekitundu ekifulumya) oluvannyuma lw’okusikirizibwa n’eddagala. Ekitundu ekifuluma mu nnyindo kya bitundu 30% ku 35% kya bulijjo. Singa omuwendo guno guba mutono mu ngeri etaali ya bulijjo, kiyinza okulaga nti obulwadde bw’ekibumba obutawona.
• Radiotracer ezuuliddwa mu bitundu ebirala:Singa sikaani eraga nti radiotracer eri bweru w’enkola yo ey’omusaayi, kiyinza okulaga nti omusaayi guvuddemu.

Jjukira nti ka kibe ki ebivuddemu, omusawo ajja kukunnyonnyola, n’olwekyo totya kubabuuza bibuuzo.

N’ekisembayo, kiki ky’olina okumanya

`HIDA scan` (Hepatobiliary Immunodiacetic Acid Scan) kigezo kikulu okuzuula ebizibu ebimu mu kibumba kyo, emikutu gy’omusaayi, n’ennywanto. Kiyinza okukuzitoowerera katono okubeera ng’olina okugezesebwa ng’okwo. Naye manya nti `HIDA scan` kigezo ekitaliimu bulumi ddala. Osobola okubuuza omusawo wo ku bibuuzo byonna oba ebikweraliikiriza by’olina. Teweeraliikiriranga, abasawo bali wano okukuyamba.

` HIDA scan, gallbladder, ekibumba, bile, ebintu ebikola amasannyalaze, okuzuula, okulumwa mu lubuto