Tiyeni tiphunzire zonse zokhudza Liver-Spleen Scan!

Kodi dokotala wanu anakuuzani kuti mukufunika kujambulidwa mwapadera kuti muwone chiwindi chanu ndi ndulu yanu? Mwina munachita mantha pang'ono komanso mantha mutangomva mawu amenewo. Koma musadandaule. Ichi ndi chinthu chomwe anthu ambiri amachita ndipo sichovuta kwambiri. Tiyeni tikambirane mwatsatanetsatane lero.

Kodi Kujambula Chiwindi ndi Spleen ndi Chiyani?

Mwachidule, iyi ndi njira yapadera yojambulira zithunzi yomwe ndi ya mankhwala a nyukiliya. Ganizirani chiwindi ndi ndulu yathu ngati mabwenzi awiri apamtima omwe ali pafupi. Ngati pali vuto ndi limodzi, lingakhudze linalo. Chifukwa chake, madokotala amagwiritsa ntchito njira iyi yojambulira zithunzi akafuna kuona thanzi la onse awiri nthawi imodzi.

Izi ndi zomwe zimachitika:

Dokotala kapena katswiri wodziwa bwino ntchito adzaika mankhwala ochepa kwambiri a radioactive m'mitsempha yanu. Musadandaule, si owopsa kwa thupi lanu. Mankhwalawa amayenda m'magazi anu ndipo amatengedwa ndi chiwindi ndi ndulu yanu. Kenako, kuwala kwa gamma komwe kumachokera ku mankhwalawa kumayesedwa ndi kamera yapadera, yotchedwa kamera ya gamma.

Mmene chiwindi chanu ndi ndulu zimayamwira mankhwalawa zingadziwitse dokotala wanu zambiri zokhudza thanzi la ziwalo zimenezo. Malo omwe amayamwira mankhwalawa bwino amaoneka owala kwambiri pa scan, pomwe malo omwe amayamwira pang'ono amaoneka amdima .

N’chifukwa chiyani tiyenera kuchita scan ngati imeneyi?

Pakhoza kukhala zifukwa zingapo zomwe dokotala wanu angakulimbikitseni kusanthula kumeneku.

• Yang'anirani momwe matenda a chiwindi alili: Izi zimakuthandizani kuona kukula kwa matenda a chiwindi chanu komanso ngati akuwonjezeka kapena kuchepa.
• Onani ngati mankhwalawo ndi othandiza: Dziwani ngati mankhwala omwe mukumwa akugwira ntchito bwino komanso ngati matendawo akuchira.
• Yang'anani ngati ziwalo zawonongeka chifukwa cha ngozi: Yang'anani ngati chiwindi kapena ndulu zawonongeka pambuyo pa ngozi.
• Dziwani zilonda m'ziwalo: Yang'anani ziphuphu, zotupa, ndi zina.
• Yang'anani ngati matenda ena m'thupi akukhudza ziwalo izi: Matenda ena amakhudza thupi lonse. Yang'anani ngati akukhudza chiwindi ndi ndulu.
• Pezani chomwe chimayambitsa kupweteka kwa m'mimba kosaneneka.

Kodi chimachitika ndi chiyani tsiku la scan?

Ndikukupatsani chithunzi chomveka bwino cha tsiku la mayeso awa. Mukatero simudzadandaula chilichonse.

1. Kukonzekera: Mukapita kuchipatala, mudzapatsidwa diresi lapadera la kuchipatala kuti muvale. Muyenera kuchotsa zinthu zilizonse zachitsulo pathupi lanu, monga ndolo, mikanda, kapena mphete. Ngati muli ndi mantha pang'ono ndi izi, mutha kupempha mankhwala ochepetsa ululu kuti akuthandizeni kupumula.

2. Jakisoni: Kenako, katswiri wa radiology adzabaya pang'ono mankhwala ochepetsa mphamvu ya radioactive tracer (nthawi zambiri Tc-99m sulfur colloid) mu mtsempha womwe uli m'dzanja lanu kudzera mu IV. Mudzamva kupweteka pang'ono singano ikalowetsedwa, koma idzakhalapo kwa masekondi ochepa okha.

3. Muyenera kudikira pang'ono: Muyenera kupereka mankhwalawa kwa mphindi pafupifupi 15 kuti thupi lizigwira ntchito, makamaka chiwindi ndi ndulu. Panthawi imeneyo, muyenera kungodikira.

4. Kujambula: Kenako mudzagona pa bedi la chojambula. Chojambula chooneka ngati donati chimayikidwa kuti chikhale pamwamba pa mimba yanu yakumwamba. Choyamba, kamera ya gamma imajambula thupi lanu lonse. Kenako, chojambula chapadera (SPECT/CT scan) chomwe chingatenge zithunzi za 3D chimazungulira pang'onopang'ono thupi lanu kuti chijambule zithunzi.

5. Khalani chete: Ndikofunikira kwambiri kuti musasunthe konse panthawiyi. Katswiri angakupempheni kuti musunthe m'malo osiyanasiyana.

6. Mapeto: Kujambulako kukatha, chotupa cha m'manja mwanu chidzachotsedwa. Mutha kudzuka ndikuvalanso zovala zanu. Ndikofunikira kwambiri kumwa madzi ambiri kwa maola 24 otsatira. Izi zithandiza kuti zinthu zotulutsa ma radiation zichoke mwachangu m'thupi lanu mumkodzo wanu.

Kodi izi zitenga nthawi yayitali bwanji?

Ntchito yonseyi nthawi zambiri imatenga pafupifupi ola limodzi. Muyenera kudikira pafupifupi mphindi 15-30 mutalandira jakisoni, kenako scan imatenga pafupifupi mphindi 30-40.

Kodi pali chiopsezo chilichonse pa izi?

Chiwopsezo cha izi n'chochepa kwambiri. Komabe, muyenera kudziwitsa dokotala wanu pasadakhale za zochitika zotsatirazi.

Kodi mungaphunzire chiyani kuchokera ku lipoti la scan?

Lipotilo lili ndi zithunzi za magawo atatu (3D) za chiwindi chanu ndi ndulu. Miyezo ya gamma imajambulidwa pa izo.

• "Malo Otentha": Malo omwe atenga zinthu zowononga kwambiri amaoneka owala kwambiri.
• "Madontho Ozizira": Malo omwe chinthucho sichinalowedwe bwino kapena sichinalowe konse amaoneka amdima.

Dokotala amayerekezeranso kuchuluka kwa chinthu chomwe chimayamwa ndi ziwalo ziwirizi. Nthawi zambiri, chiwindi chiyenera kuyamwa chinthu ichi chochuluka kuposa ndulu. Ngati chiwindi chikuyamwa pang'ono ndipo ndulu ikuyamwa kwambiri, zikutanthauza kuti chiwindi chikugwira ntchito pang'ono. Madokotala amatcha izi kuti "colloid shift".

Matenda omwe angapezeke ndi scan iyi

• Kutupa kwa chiwindi `(hepatitis)`
• Fibrosis ndi/kapena cirrhosis ya chiwindi
• Kulephera kwa chiwindi
• Zilonda za chiwindi (monga abscess, chotupa, hemangioma kapena cyst)
• Matenda a chiwindi onenepa (steatotic liver disease)
• Kuthamanga kwa magazi m'chiwindi (portal hypertension)
• Kutsekeka kwa mitsempha ya chiwindi `(Budd-Chiari syndrome)`
• Chiwindi chachikulu kapena ndulu
• Kuwonongeka kwa ndulu (kutsekeka kwa ndulu kapena ndulu yosweka)

Kodi chimachitika ndi chiyani mutalandira lipotilo?

Zingatheke kupeza yankho lomveka bwino la vuto lanu kuchokera ku lipoti la scan ili. Ngati ndi choncho, dokotala wanu adzakulankhulani za chithandizo. Nthawi zina, mungapemphedwe kuti muchite mayeso ena kuti mutsimikizire zomwe zili mu lipotili. Dokotala wanu adzakufotokozerani zonsezi.