Kodi chiwindi chanu ndi ndulu yanu zili bwanji? (Chiwindi ndi ndulu Scan)

Moni! Mwina munamva mantha pang'ono komanso mantha pamene dokotala anakuuzani kuti muchite scan yapadera kuti muwone chiwindi chanu ndi ndulu yanu, "Liver and Spleen Scan", sichoncho? Kapena mwina munali ndi chidwi chofuna kudziwa kuti izi zikutanthauza chiyani. Chifukwa chake, musadandaule. Tiyeni tikambirane za izi mwatsatanetsatane, mwachidule, lero. Ndifotokoza chilichonse mwanjira yomwe mungamvetse.

Kodi Kujambula Chiwindi ndi Nsalu N'chiyani?

Mwachidule, iyi ndi njira yapadera yoyezera matenda a nyukiliya . Imayang'ana makamaka ziwalo ziwiri zotchedwa chiwindi chanu ndi ndulu. Ziwalo zonsezi zili kumtunda kwa mimba yathu. Chofunika kwambiri ndichakuti ngati pali vuto ndi chimodzi mwa ziwalozi, chingakhudzenso china. Ali ngati mabwenzi awiri apamtima.

Mu mayeso awa, thupi lanu limalandira zinthu zochepa zowononga ma radiation (chowunikira ma radiation) m'thupi lanu. Kenako, chipangizo chapadera chotchedwa kamera ya gamma chimagwiritsidwa ntchito kuyang'anira momwe zinthuzo zimayamwidwira ndi chiwindi ndi ndulu yanu. Izi zimathandiza madokotala kuona momwe ziwalo zanu ziwiri zikugwira ntchito komanso ngati pali kuwonongeka kulikonse. Kodi si ukadaulo wodabwitsa?

N’chifukwa chiyani ndiyenera kuchita scan ngati imeneyi?

Tsopano mwina mukuganiza kuti, "N’chifukwa chiyani ndikupemphedwa kuti ndichite mtundu uwu wa scan?" Pali mitundu ina ya scan yowonera chiwindi ndi ndulu. Koma chomwe chili chapadera pa `(Chiwindi ndi Spleen Scan)` iyi ndichakuti imatha kuwona momwe maselo m'zigawo zosiyanasiyana za ziwalo alili ogwira ntchito komanso momwe akuyankhira bwino .

Izi zingakuthandizeni kupeza malo aliwonse osazolowereka mu chiwindi kapena ndulu yanu, otchedwa `zilonda`, komwe minofu yasintha ndipo sikugwira ntchito bwino. Zingathenso kuyang'ana zinthu monga fibrosis, kutupa, kusintha kwa kayendedwe ka ndulu, ndi kusintha kwa kayendedwe ka magazi. Chifukwa chake, ndikofunikira kwambiri kuwunika kuwonongeka kwa ziwalo.

Kodi scan iyi imagwiritsidwa ntchito pa chiyani?

Dokotala wanu angakulangizeni kuti muyesedwe pazifukwa zingapo. Tiyeni tiwone zomwe zili:

• Onani momwe matenda a chiwindi omwe akhalapo kwa nthawi yayitali (`(matenda osatha a chiwindi)` alili.
• Mukachiza matenda, onani ngati akuchiritsa kapena akukonza vutoli.
• Chiwindi kapena ndulu zikawonongeka, monga ngozi, fufuzani kuchuluka kwa kuwonongekako.
• Fufuzani ngati pali kuvulala kulikonse kapena zilonda m'ziwalo izi.
• Nthawi zina timamva kupweteka m'mimba chapamwamba, koma sitingapeze chomwe chikuyambitsa. Pazochitika zimenezo, izi zingatithandize kupeza chomwe chikuyambitsa.
• Yang'anani ngati pali mavuto aliwonse okhudza chiwindi ndi ndulu.

Ndi mitundu iti ya matenda yomwe ingadziwike ndi scan iyi?

Zotsatira za scan iyi zingapereke chidziwitso chokhudza matenda osiyanasiyana. Nazi zitsanzo zingapo:

• Kutupa kwa chiwindi, ndiko matenda omwe timatcha `(hepatitis)`.
• Zilonda za chiwindi, fibrosis, komanso mwina cirrhosis.
• Matenda a chiwindi chamafuta ndi kuchuluka kwa mafuta m'chiwindi.
• Kodi chiwindi changokulirakulira?
• Kodi nduluyo yakula?
• Kodi ndulu ikugwira ntchito molimbika kwambiri, kutanthauza kuti pali vuto lotchedwa ``hypersplenism''?
• Kuwonjezeka kwa kuthamanga kwa magazi m'mitsempha ya chiwindi, komwe kumadziwika kuti "Portal hypertension".
• Matenda otchedwa ``Budd-Chiari syndrome``, pomwe mitsempha ya chiwindi imatsekeka kapena kuchepetsedwa.
• Kodi pali aneurysm ya mtsempha wa splenic (`(Splenic artery aneurysm)`)?
• Kodi pali ndulu yosweka?
• Kodi pali minofu ina mu ndulu yomwe yafa (`(Splenic infarction)`)?
• Kodi chiwindi chili ndi vuto la kugwira ntchito (`(kulephera kwa chiwindi)`)?
• Chotupa chilichonse kapena kukula kulikonse m'chiwindi. Mwachitsanzo, thumba, chotupa chosaopsa, hemangioma ya chiwindi, kapena chotupa cha chiwindi.
• Khansa ya chiwindi kapena ndulu.
• Kodi khansa yomwe inayambira kwina m'thupi yafalikira ku ziwalo izi (khansa yofalikira)?
• Matenda a majini monga matenda a Gaucher omwe amakhudza ziwalo izi.

Chofunika: Musachite mantha ndi mndandandawu, chabwino? Kujambula uku sikuchitidwa kuti muwone ngati muli ndi matenda onsewa. Kumachitika kutengera zizindikiro zanu komanso zomwe dokotala akukayikira.

Kodi kusanthula chiwindi ndi ndulu kumeneku kumagwira ntchito bwanji? Zosavuta kwambiri!

Tangoganizirani "kazitape" kakang'ono kakuyikidwa m'thupi lanu. Uyu si kazitape weniweni. Mankhwala ochepa, chofufuzira ma radioactive, amalowetsedwa mumtsempha womwe uli m'dzanja lanu. Ngakhale kuti ndi ma radioactive, palibe choopa, ndi ma radiation ochepa kwambiri, olamulidwa , ndipo amachoka m'thupi lanu pakapita kanthawi.

Mankhwalawa amayenda m'magazi mwanu ndipo amalowa m'chiwindi ndi ndulu yanu. Kenako, makina omwe ndatchula kale omwe amatchedwa kamera ya gamma "amawerenga" kuwala kwa gamma komwe kumachokera ku mankhwalawa. Ndiko kuti, amapeza komwe kuli mankhwalawo komanso kuchuluka kwake komwe kuli.

Zithunzi zomwe kamera ya gamma imajambula zimaphatikizidwa ndi zithunzi za ziwalo zanu za m'mbali zitatu (`3D`). Zithunzi za m'mbali zitatuzi zimajambulidwa pogwiritsa ntchito njira yotchedwa ``SPECT/CT scan``. ``(SPECT)`` imayimira ``(single-photon emission computed tomography)`` ndi ``(CT)`` imayimira ``(computed tomography)``. Zonsezi zikaphatikizidwa, madokotala amapeza chithunzi chomveka bwino cha chiwindi chanu ndi ndulu yanu.

Kodi ndiyenera kukonzekera bwanji ndisanajambule?

Izi sizifuna kukonzekera kwambiri.

• Dokotala adzakufotokozerani mayesowa, kenako adzakufunsani kuti musayine chilolezo chanu.
• Uyenera kuvala diresi lapadera la kuchipatala.
• Muyenera kuchotsa zodzikongoletsera zachitsulo zomwe muli nazo pathupi lanu, monga mikanda, zibangili, ndi ndolo, chifukwa zimatha kutengedwa ndi makina ojambulira.
• Ngati mukuda nkhawa pang'ono kapena mukuda nkhawa ndi izi, mutha kupempha dokotala kuti akupatseni mankhwala ochepetsa ululu. Zimenezi zingakuthandizeni kupumula pang'ono.

Kodi kusanthula kumeneku kumatenga nthawi yayitali bwanji?

Mayeso onse nthawi zambiri amatenga pafupifupi ola limodzi .

Mukamaliza jakisoni, mudikira mphindi 15 mpaka 30 kuti mankhwalawo alowe m'chiwindi ndi ndulu. Pamenepo zithunzizo zimayamba kutengedwa. Zingatenge mphindi 15-20 kuti mutenge zithunzizo ndi kamera ya gamma, ndi mphindi zina 15-20 kuti mutenge zithunzizo ndi `(CT)` scanner.

Kodi chimachitika ndi chiyani panthawi yojambula?

Chabwino, tsopano tiyeni tiwone zomwe zimachitikadi scan ikachitika.

1. Choyamba, katswiri wa zaukadaulo wa radiologic adzabaya jekeseni yapadera ya radioactive tracer (nthawi zambiri Tc-99m sulfur colloid) mumtsempha womwe uli m'dzanja lanu ndi jekeseni yaying'ono (kudzera mu IV). Mudzamva kupweteka pang'ono singano ikalowetsedwa, zomwe sizachilendo.

2. Kenako, muyenera kudikira kwakanthawi (pafupifupi mphindi 15-30) kuti mankhwalawo alowe m'thupi lanu.

3. Kenako, mudzagonekedwa pabedi mu skana. Skana yooneka ngati donati idzayikidwa kuti igwirizane bwino ndi mimba yanu.

4. Kamera imayamba yayang'ana thupi lanu lonse ndi ma gamma rays. Kenako imazungulira pang'onopang'ono mozungulira inu, ndikujambula zithunzi zamitundu itatu (3D).

5. Katswiri angakupempheni kuti mutembenuke ndikujambula zithunzi kuti kamera iwoneke bwino. Chofunika kwambiri ndikukhala chete m'malo onse. Izi zikuthandizani kuti mujambule zithunzi zomveka bwino.

6. Kujambulako kukatha, chotsukira m'mitsempha chidzachotsedwa. Kenako mutha kudzuka ndikuvala zovala zanu.

Kodi pali zoopsa zilizonse pa izi?

Zoopsa zazikulu za mayesowa ndi zochepa kwambiri. Komabe, ndikofunikira kuuza dokotala wanu za izi:

• Ngati muli ndi pakati: Ngakhale kuti kuchuluka kwa ma radiation omwe amagwiritsidwa ntchito ndi kochepa kwambiri, kungakhudze mwana wosabadwa.
• Ngati ndinu mayi woyamwitsa: Zinthu zowononga mpweya zimatha kulowa mu mkaka wanu. Choncho dokotala wanu adzakuuzani kuti musiye kuyamwitsa kwa masiku angapo.
• Ngati muli ndi vuto la ziwengo ndi zinthu zowononga mpweya (sulfur-colloid). Izi sizichitika kawirikawiri, koma ngati muli nazo, muyenera kutiuza pasadakhale.

Kodi ndimva chilichonse?

• Mukayika IV m'dzanja lanu, mumamva ngati singano yaying'ono ikulowetsedwa.
• Simudzamva chilichonse panthawi yojambula, koma anthu ena angamve kusasangalala akakhala chete kwa kanthawi.
• Simudzamva zinthu zowononga mphamvu ya dzuwa zikulowetsedwa m'thupi lanu. Komabe, kuti zithandize kutuluka m'thupi lanu mwachangu, muyenera kumwa madzi ambiri kwa maola 24 otsatira mutamaliza kujambulidwa.

Kodi mumasonyeza bwanji zotsatira zake? Kodi "malo otentha" ndi "malo ozizira" awa ndi ati?

Pambuyo poti mankhwala owopsa ('radionucleotide') alowa m'mitsempha yanu, amapita mwachindunji ku chiwindi ndi ndulu yanu. Ziwalo ziwirizi zimayamwa mankhwalawa.

Tsopano mu zithunzi,

• Pali malo ena omwe amawoneka owala kuposa ena. Izi zimatchedwa "malo otentha." Izi zikutanthauza kuti chinthucho chayamwa bwino kwambiri m'malo amenewo.
• Pali madera ena omwe amaoneka amdima . Izi zimatchedwa "malo ozizira." Izi zikutanthauza kuti chinthucho sichinalowe m'malo amenewo moyenera.

Katswiri wa ukadauloyu amayerekezeranso kuchuluka kwa chinthu chomwe ziwalo ziwirizi zatenga. Nthawi zambiri, chiwindi ndi chomwe chimayenera kutenga chinthucho kuposa ndulu.

Komabe, ngati chiwindi chimatenga zochepa kuposa momwe chiyenera kukhalira ndipo ndulu imatenga zambiri, imatchedwa "colloid shift." Izi zikusonyeza kuti ntchito ya chiwindi yachepa.

Kodi chimachitika ndi chiyani ndikamaliza kulandira zotsatira zanga?

Akamaliza kupeza zotsatira za "Liver and Spleen Scan", dokotala adzaziyang'ana ndikupeza yankho la vuto lanu.

• Zotsatirazi zingakuthandizeni kudziwa bwino matenda anu . Ngati ndi choncho, dokotala adzakambirana nanu njira zotsatirazi zochizira matendawa.
• Nthawi zina, mayeso ena angachitike kuti atsimikizire zambiri zomwe zapezeka kuchokera ku scan iyi.

Komabe, dokotala adzakufotokozerani zonse.

Ndi mitundu ina iti ya ma scan yomwe ilipo kuti muwone mavuto a chiwindi?

Kuwonjezera pa izi (Chiwindi ndi Spleen Scan)`, pali mitundu ina ya mayeso ojambulira kuti muwone momwe chiwindi ndi spleen zilili. Zitsanzo zina ndi izi:

• Kujambula kwa chiwindi (`(Kujambula kwa chiwindi (CT scan)`)
• Kujambula kwa Spleen CT (`(Kujambula kwa Spleen CT)`)
• Kujambula kwa ultrasound m'mimba (`(ultrasound ya m'mimba)`)
• Elastography ya chiwindi (yomwe imadziwikanso kuti MRE kapena FibroScan® ultrasound).
• Kujambula kwa MRI ya chiwindi/bengu (`(MRI ya chiwindi/bengu)`)

Dokotala wanu adzasankha mayeso oyenera kwambiri kwa inu.

Pomaliza, zinthu zoti muzikumbukira (Uthenga Wopita Nawo Kunyumba)

Kujambula chiwindi ndi ndulu pogwiritsa ntchito njira ya nyukiliya iyi ndi chida chamtengo wapatali chomwe chimathandiza madokotala kuyang'ana ziwalo ziwirizi m'njira yatsopano ndikumvetsetsa momwe zimagwirira ntchito. Kujambula kumeneku kungathandize kuzindikira matenda omwe akukhudza ziwalo zonse ziwiri, kuwunika kuwonongeka, kuwona ngati matendawa akukulirakulira kapena akuchedwa, ndikuwunika momwe machiritso akupitira patsogolo.

Ngati muli ndi mafunso kapena nkhawa zokhudzana ndi mayesowa kapena zotsatira zake,Musazengereze kulankhula ndi dokotala wanu. Mukatero mutha kufotokoza zonse. Khalani ndi thanzi labwino!

Chiwindi , ndulu, kusanthula, mankhwala a nyukiliya, kuzindikira matenda a chiwindi, mimba