Une dambudziko renduru here? Ngatikurukurei nezveHIDA Scan!

Wakambonzwa kurwadziwa kumusoro kurudyi kwedumbu rako here? Kana kuti chiremba akakuudza here kuti une dambudziko renduru yako? Panguva iyoyo, ungangove wakakumbirwa kuti uite `HIDA scan` (Hepatobiliary Immunodiacetic Acid Scan). Saka, ungangotya zvishoma paunonzwa izvi, asi usazvidya mwoyo. Nhasi, tichataura nezve `HIDA scan` iyi zviri nyore, nenzira yaunogona kunzwisisa.

Chii chinonzi HIDA scan?

Zvichitaurwa zviri nyore, HIDA scan inzira yakakosha yekuongorora mashandiro ari kuita gallbladder yako. Muizvi, makemikari mashoma anonzi radioactive tracer anopinzwa mumuviri wako. Zvadaro, kamera yakakosha inoshandiswa kuona kuti inofamba sei mumuviri wako. Iyi nzira yekuongorora inoitirwa mudhipatimendi remishonga yenyukireya rechipatara.

Kuti titsanangure zvishoma, iyi 'HIDA scan' inotarisa nzira iyo bile rinoyerera nayo kubva muchiropa chako kuenda muura hwako hudiki. Tinoidaidza nzira iyi yebile kuti 'biliary system'.

Funga nezvazvo, chiropa chako chinoita mvura iyi yekugaya inonzi bile. Bile iyi inotibatsira kugaya mafuta ari muchikafu chatinodya. Zvadaro, bile rinogadzirwa rinofamba nemumachubhu akakosha (ducts dzebiliary) uye rinochengetwa mugallbladder. Gallbladder isaki diki riri pasi pechiropa chako, kurudyi, pedyo nembabvu dzako dzepasi. Paunodya, gallbladder iyi inodzvinyirirwa (inodzvinyirirwa) uye inotumira bile rakachengetwa mariri kuburikidza neducts kuenda kuchikamu chekutanga cheura hwako hudiki (duodenum), kuti ribatsire kugaya mafuta.

Wanzwisisa here izvozvi? Kana paine dambudziko diki pane imwe nzvimbo mukuita uku, unogona kusangana nezviratidzo zvakasiyana-siyana. Ndipo panogona kubatsira kuwana chikonzero cheizvi ne "HIDA scan". Izvi zvinonziwo "cholescintigraphy" uye "hepatobiliary scintigraphy".

Ndezvipi zvirwere zvinogona kuonekwa neHIDA scan?

Vanachiremba vanoshandisa iyi `HIDA scan` kuona nekuongorora huwandu hwezvirwere izvi:

• Chirwere cheAcute Cholecystitis: Ichi chirwere chinowanzoitika kamwe kamwe. Unogona kurwadziwa zvakanyanya mudumbu uye zviratidzo zvakaita sefivha. Kazhinji (inenge 90%) zvinokonzerwa nematombo emunduru anovhara duct yenyongo.
• Chirwere checholecystitis chisingaperi: Apa ndipo apo nduru yako inozvimba uye inozvimba nguva nenguva. Marwadzo acho haanyanyi kurwadza kupfuura panguva yekukurumidza, asi kusagadzikana kunogona kuuya kwozopera. Izvi zvinowanzokonzerwa nematombo emunduru anovhara duct ye bile (cystic duct).
• Kusashanda zvakanaka kweOddi: Apa ndipo apo sphincter yeOddi, tsandanyama inoshanda semusuwo we bile nemuto wepancreatic (enzymes), isingavhurike zvakanaka. Izvi zvinokonzera kubuda kwemvura yekugaya. Izvi zvinogona kukonzera kurwadziwa kwakanyanya.
• Kupera kweBiliary:Ichi chirwere chinoitika muvana vacheche vachangoberekwa. Chinovhara kubuda kwenyongo kubva muchiropa chemwana kuenda muura hudiki. Ichi chikonzero chakakomba, asi chisingawanzoitiki, chejaundice muvana vacheche. Kana izvi zvikasagadziriswa nekuvhiyiwa mukati memwedzi miviri kusvika mitatu yekutanga yehupenyu, zvinogona kukonzera kukuvara kwechiropa.
• Kubuda kwenyongo: Apa ndipo panobuda nyongo kubva mumigero yenyongo. Kana izvi zvikaitika, nyama dzakapoteredza dzinogona kuzvimba, kurwadza, uye kutotapukirwa. Izvi zvinowanzoitika mushure mekuvhiyiwa kwenyongo, kukuvara, kana kuisirwa chiropa.

Nderini paunofanira kuskena HIDA?

Vanachiremba vanokurudzira kuti uongorore HIDA scan kuti vaone kana paine matambudziko mumasero echiropa, biliary system, uye gallbladder. Chiremba anogona kuraira kuti uongorore HIDA scan kana uine chimwe chezviratidzo izvi:

• Kurwadziwa kwakanyanya mudumbu, kunyanya kurudyi: Izvi zvinogona kunge zvichikonzerwa nekuzvimba kamwe kamwe kwegallbladder (cholecystitis). Ichi ndicho chikonzero chinowanzoitwa HIDA scan.
• Marwadzo kana fivha mushure mekuvhiyiwa kwakati: Kana wakambovhiyiwa kubviswa gallbladder, kuvhiyiwa kwedumbu rekumusoro, kana kuisirwa chiropa, ungangoda kuongororwa neHIDA kana ukava nefivha uye kurwadziwa mushure mekuvhiyiwa.
• Jaundice yakanyanya muvana vacheche vachangoberekwa: Izvi zvinogona kukonzerwa nechirwere chinotyisidzira hupenyu chinonzi biliary atresia.

Uyewo, kana uine stent yenyongori yakaiswa mu duct yako yenyongori, unogona kuiongorora kuti ione kana iri kushanda zvakanaka here. Stent yenyongori ichubhu yakatetepa, isina chinhu inoiswa mu duct yako yenyongori kuti igare yakavhurika kana yakavharwa. Kana wakamboisirwa chiropa, unogona kuiongorora kakawanda kuti uone kuti chiropa chako chiri kushanda sei mushure mekuvhiyiwa.

Ndiani anoita HIDA scan?

Kune nyanzvi nhatu dzezvehutano dzinoita basa rekuongorora chirwere cheHIDA. Dzinobatsira kugadzira michina yekuskena, kupa mishonga yekurapa inonzi radiopharmaceuticals, uye kududzira zvabuda muskena. Ndidzo:

• Chiremba ane hunyanzvi mu "mishonga yenyukireya" kana kuti "radiology yenyukireya".
• Nyanzvi yezve nyukireya.
• Nyanzvi yefizikisi yezvekurapa.

Kuongororwa kweHIDA kunoshanda sei?

Kuongororwa kweHIDA (hepatobiliary immunodiacetic acid scan) kunoshandisa zvinhu zvishoma zvinoshandisa radioactive zvinonzi radiopharmaceuticals kana radiotracers. Izvi zvinowanzoiswa mutsinga yako.

Iyi 'radiotracer' inobva yapfuura nemuchiropa chako, gallbladder, uye muura hudiki. Iyi 'radiotracer' inoburitsa rudzi rwesimba rinonzi 'gamma rays'. Makamera akakosha anoona simba iri, uye komputa inorishandisa kugadzira mifananidzo yakajeka yekushanda kwenhengo dzako nematishu.

Ndingagadzirira sei HIDA scan?

Chikwata chenyu chezvekurapa chichakupai mirairo chaiyo yekuti mungagadzirira sei HIDA scan. Zvakakosha kutevedzera mirairo iyoyo nemazvo. Heino gwara rekugadzirira:

• Kana uine pamuviri, uchifunga kuti une pamuviri, kana kuti uri kuyamwisa , zvakakosha kuti uudze chiremba wako usati waongororwa neHIDA.
• Udza timu yako yezvekurapa nezvemishonga yese yaunotora, kusanganisira mavhitamini nezvimwe zvinovaka muviri. Chiremba wako anogona kukukumbira kuti urege kutora mimwe mishonga usati waongororwa, sezvo inogona kukanganisa mhedzisiro yekuongororwa.
• Kana mauya kuzoongororwa , bvisai zvishongo kana zvimwe zvinhu zvekushandisa mozvisiya kumba, kana kuti zvibvisei musati maongororwa. Izvi zvinogona kukanganisa kuongororwa.
• Kana uchitya nzvimbo dzakamanikana (`claustrophobia`), tiudze usati watanga bvunzo. Izvi zvinodaro nekuti kuti uwane mifananidzo yakanaka, kamera yekuskena inofanira kubatwa pedyo nemuviri wako. Zvisinei, kamera iyi haina kufanana nechubhu yakavharwa kwese kwese, asi yakavhurika kumativi ese. Inowanzoiswa pamusoro pedumbu rako, uye haifukidze kumeso kwako.
• Kana uchida kuongororwa neHIDA , unofanira kutsanya kwemaawa mana (hapana chikafu kana chinwiwa kunze kwemvura). Kana uchida kutsanya kwenguva yakareba kupfuura iyoyo, chiremba wako achakuudza.
• Vana vacheche vangada kurapwa kwakakosha mazuva matatu kusvika mashanu vasati vaongororwa. Vashandi vepawadhi yevana vachakuudza nezveizvi.

Unofanira kurara here panguva yeHIDA scan?

Hauwanzopihwa mushonga wekuti unzwe kurwadziwa kana uchiongororwa neHIDA. Kutaura zvazviri, mamwe ma scan anoda kuti upfuure munzvimbo dzakasiyana.

Zvisinei, kana zvichikuomera kuramba wakadzikama panguva yekuongororwa, kana kuti kana mwana wako ari kuongororwa, iwe kana mwana wako mungapiwa mushonga unonyaradza kuti uvabatsire kudzikama uye kunzwa hope. Zvisinei, hazvizokuiti kuti unzwe hope zvachose, ucharamba wakamuka.

Kuongororwa kweHIDA kunotora nguva yakareba sei?

Kuongororwa kweHIDA kunogona kutora pakati peawa imwe kusvika ina . Dzimwe nguva, ungakumbirwa kudzoka mukati memaawa makumi maviri nemana kubva pakuongororwa kwekutanga kuti uwane mimwe mifananidzo.

Chii chaunotarisira panguva yeHIDA scan?

Panogona kunge paine shanduko diki pamaitiro eHIDA scan, zvichienderana nekuti chikamu chipi che biliary system yako chiri kuongororwa. Asi kazhinji, hezvino zvaunogona kutarisira:

• Uchafanira kubvisa mbatya dzakafukidza dumbu rako. Chipatara chichakupa rokwe rekuti upfeke panzvimbo paro.
• Uchafanira kurara wakatarisa patafura yekuongororwa.
• Mukoti kana nyanzvi yezvehutano achaisa catheter yemutsinga (IV) mutsinga iri muruoko rwako kana muruoko, uye obaya radiotracer.
• Nyanzvi ichaisa kamera yekuskena pamusoro pedumbu rako, pedyo nemuviri wako.
• Paunotanga kutora mifananidzo, kamera inoskena inotora mifananidzo yakawanda. Kamera inogona kutenderera yakakupoteredza kana kugara panzvimbo imwe chete.
• Pakutora mifananidzo, zvakakosha kuchengetedza kamera panzvimbo imwe chete pasina kufamba. Ndipo paunokwanisa kuwana mifananidzo yemhando yepamusoro.
• Unogonawo kukumbirwa kuti uchinje nzvimbo pakati pekutora mifananidzo. Nyanzvi yetekinoroji ichakuudza izvozvo.
• Mushure mekutora mifananidzo, nyanzvi ye tekinoroji inogona kukupa mushonga wekuburitsa tsvina munduru yako. Izvi zvinogona kukonzera kurwadziwa kudiki mudumbu rako repamusoro. Sezvo nduru yako ichibuda, vachatora mimwe mifananidzo.
• Kana mifananidzo yese inodiwa yatorwa (izvi zvinogona kutora maawa mana), scan yacho yapera.

Kuongororwa kweHIDA kunorwadza here?

Kuongororwa kweHIDA hakurwadzi zvakanyanya. Kana radiotracer ikaiswa kuburikidza neIV, unogona kunzwa kunhuhwirira kudiki kana tsono ikaiswa mutsinga, ndizvo chete.

Zvisinei, kana uri kuvhenekwa neHIDA scan kuti uone kana paine chirwere, unogona kurwadziwa nekuda kwechirwere ichocho. Semuenzaniso, zvirwere zvakaita secholecystitis uye sphincter yeOddi dysfunction zvinogona kukonzera kurwadziwa kwakanyanya. Zvakare, haufanirwe kunwa mimwe mishonga inoderedza marwadzo usati waongororwa, sezvo mishonga iyi inogona kukanganisa mashandiro ehurongwa hwenyongo yako uye kukanganisa kururama kwebvunzo.

Semuenzaniso, maopiates (akadai semorphine necodeine) anofanira kumira maawa matanhatu HIDA isati yaongororwa.

Chii chinoitika mushure mekuongororwa kweHIDA?

Zvichienderana nechikonzero chawakaita HIDA scan, ungangokwanisa kuenda kumba, kana kuti ungangoda kudzokera kuchipatara.

Unofanira kunwa mvura yakawanda kwemaawa makumi maviri nemana anotevera mushure mekuongororwa. Izvi zvichabatsira `radiotracer` kuti ibude mumuviri wako nekukurumidza. Kazhinji, `radiotracer` inobuda mumuviri wako mukati mezuva rimwe chete, kungave kuburikidza neweti kana tsvina.

Sukurudza chimbuzi zvakanaka mushure mekuchishandisa, uye geza maoko ako nesipo zvakanaka. Huwandu hwemwaranzi mutracer hushoma kwazvo, saka hapana njodzi kune vamwe vakakupoteredza mushure mekuskena.

Kana uri amai vanoyamwisa, unofanira kudzivisa kuburitsa mukaka wemuzamu kwemaawa makumi maviri nemana mushure mekuskena. Izvi zvinodaro nekuti radiotracer inogona kuwedzera radioactivity mumukaka wako wemuzamu, izvo zvinogona kukuvadza mwana wako. Saka, zvakanaka kuburitsa mukaka wemuzamu wekuwedzera usati waskena wouchengetedza wakachengeteka, kana kutsvaga imwe nzira yekudyisa mwana wako kwezuva rinotevera rekuskena.

Ndezvipi njodzi nemigumisiro yeHIDA scan?

Njodzi dzeHIDA scan dzakaderera zvikuru. Ndedzi:

• Nzvimbo yakabayiwa radiotracer inogona kunge yakakuvara zvishoma.
• Pane huwandu hushoma hwemwaranzi. Huwandu hwemwaranzi hwaunosangana nahwo panguva yeHIDA scan yakajairika hwakafanana nehwemunhu anowanzosangana nahwo kubva kune zvakatipoteredza mugore.
• Zvinokwanisika kuti munhu anzwe allergy kana akashandisa radiotracers pakuongororwa kweropa. Zvisinei, izvi hazviwanzoitiki .

Zvakakosha kuudza chiremba wako kana une pamuviri, uchifunga kuti une pamuviri, kana kuti uri kuyamwisa. Kazhinji, bvunzo dzemishonga yenyukireya, dzakadai seHIDA scan, hadziitwe pamadzimai ane pamuviri nekuti dzinogona kukuvadza mwana asati aberekwa.

Kufungidzira mishonga yenyukireya, kusanganisira HIDA scan, kunopa ruzivo rwakasiyana rwusingakwanise kutariswa nedzimwe bvunzo, dzakadai se ultrasound. Saka, kana usina pamuviri, mabhenefiti eHIDA scan anopfuura njodzi diki.

Zvinotora nguva yakareba sei kuti uzive mhedzisiro yeHIDA scan?

Chiremba weX-ray achatarisa mifananidzo kubva kuHIDA scan, onyora mushumo, uye oudza chiremba wako zvabuda. Chiremba wako achakuudza zvabuda. Izvi zvinowanzotora maawa asingasviki makumi maviri nemana .

Ndeipi mhedzisiro yeHIDA scan?

Ruzivo rwuri mumushumo wako weHIDA scan runogona kusiyana zvichienderana nechikonzero chawakaita scan. Kazhinji, mushumo wacho unotsanangura kuti radiotracer yaifamba sei ne biliary system yako.

Vanachiremba vanoongorora chirwere ichi nekubatanidza mhedzisiro yeHIDA scan nedzimwe bvunzo, dzakadai sekuongororwa kweropa.

Mhedzisiro yeHIDA scan inogona kusanganisira:

• Zvakajairika: Chinorapwa ne radiotracer chabva pachiropa chako kuenda kugaro rako nedumbu diki pasina chipingamupinyi.
• Kufamba zvishoma nezvishoma kweradiotracer: Izvi zvinogona kureva kuti pane kuvharika kana kuvharika kweimwe nzvimbo mudura renyongo yako, kana kuti chiropa chako hachisi kushanda zvakanaka.
• Hapana radiotracer inowanikwa mugallbladder: Izvi zvinogona kureva kuti une acute cholecystitis, kuvharika kwemugero wenyongo.
• Chikamu chekubuda kwenyongo chisina kujairika: Izvi zvinoonekwa nekuti nyongo yakawanda sei inogona kuburitswa nenyongo mushure mekukurudzirwa nemishonga. Chikamu chekubuda kwenyongo kubva pa30% kusvika 35% chakajairika. Kana nhamba iyi yakaderera zvisingawanzoitiki, zvinogona kuratidza chirwere checholecystitis chisingaperi.
• Radiotracer yakawanikwa mune dzimwe nzvimbo:Kana scan ikaratidza kuti radiotracer iri kunze kwe biliary system yako, zvinogona kuratidza kuti biliary yabuda.

Yeuka, chero zvawawana, chiremba wako achakutsanangurira, saka usatya kuvabvunza mibvunzo.

Pakupedzisira, chii chekuziva

Kuongororwa kwe `HIDA scan` (Hepatobiliary Immunodiacetic Acid Scan) inzira yakakosha yekuona mamwe matambudziko muchiropa chako, mumigero ye bile, uye munyongo. Zvinogona kunetsa zvishoma kuita bvunzo yakadaro. Asi ziva kuti `HIDA scan` inzira isingarwadzi zvachose. Unogona kubvunza chiremba wako nezvemibvunzo kana zvinokunetsa. Usazvidya moyo, vanachiremba varipo kuti vakubatsire.

` HIDA scan, gallbladder, chiropa, bile, zvinhu zvine radioactive, kuongororwa, kurwadziwa mudumbu