Chiropa chako netsvina zviri sei? (Chiropa netsvina)

Mhoroi! Ungave wakatya zvishoma apo chiremba akakuudza kuti uite scan yakakosha yekutarisa chiropa chako nespleen, "Liver and Spleen Scan", handiti? Kana kuti pamwe waida kuziva kuti izvi zvinorevei. Saka, usazvidya mwoyo. Ngatitaurei nezvazvo zvakadzama, zviri nyore, nhasi. Ndichatsanangura zvese nenzira yaunogona kunzwisisa.

Chii chinonzi Chiropa neSpleen Scan?

Zvichitaurwa zviri nyore, iyi iongororo yakakosha yekurapa nekushandisa nyukireya . Inonyanya kutarisa nhengo mbiri dzinonzi chiropa chako nespleen. Nhengo idzi dzese dziri muchikamu chepamusoro chedumbu redu. Chinhu chakakosha ndechekuti kana paine dambudziko neimwe yenhengo idzi, rinogonawo kukanganisa imwe. Dzakaita seshamwari mbiri dzepamwoyo.

Mukuedzwa uku, huwandu hushoma hwezvinhu zvine mwaranzi (radioactive tracer) hunopinzwa mumuviri wako. Zvadaro, mudziyo unonzi gamma camera unoshandiswa kuona kuti zvinhu izvi zvinopinzwa sei nechiropa chako nespleen. Izvi zvinoita kuti vanachiremba vaone kuti nhengo dzako mbiri dziri kushanda zvakanaka sei uye kana paine kukuvara kwadzo. Haisi tekinoroji inoshamisa here?

Sei ndichifanira kuita scan yakadai?

Zvino ungave uchifunga kuti, "Sei ndichikumbirwa kuita rudzi urwu rwekuskena?" Kune mamwe marudzi ekuskena ekutarisa chiropa nespleen. Asi chinoshamisa pane iyi `(Chiropa neSpleen Scan)` ndechekuti inogona kuona kuti masero ari muzvikamu zvakasiyana zvenhengo dzemuviri anoshanda sei uye kuti ari kupindura zvakanaka sei .

Izvi zvinogona kukubatsira kuwana nzvimbo dzisina kujairika muchiropa chako kana muspleen, dzinonzi `lesions`, uko nyama yakachinja uye isiri kushanda zvakanaka. Zvinogonawo kutsvaga zvinhu zvakaita se fibrosis, kuzvimba, shanduko mukuyerera kwenyongo, uye shanduko mukuyerera kweropa. Saka, zvakakosha zvikuru kuongorora kukuvara kwenhengo dzemuviri.

Chii chinoshandiswa pakuongorora uku?

Chiremba wako anogona kukurudzira kuti uiongorore nekuda kwezvikonzero zvakasiyana-siyana. Ngationei kuti ndezvipi:

• Ona kuti chirwere chechiropa chagara kwenguva refu (`(chirwere chechiropa chisingaperi)`) chakaita sei.
• Pakurapa chirwere, tarisa kana chichirapa kana kuti chichivandudza chirwere chacho.
• Kana chiropa kana chirwatata zvakuvara, sepakaitika tsaona, ongorora kuti kukuvara kwacho kwakakura sei.
• Tsvaga kana paine kukuvara kana maronda asina kujairika munhengo idzi.
• Dzimwe nguva tinorwadziwa mudumbu repamusoro, asi hatikwanise kuwana chikonzero. Muzviitiko izvozvo, izvi zvichatibatsira kuwana chikonzero.
• Tarisa kana paine matambudziko emuviri anokanganisa chiropa nespleen.

Ndezvipi zvirwere zvinogona kuonekwa nekuongorora uku?

Zvakabuda muongororo iyi zvinogona kupa zviratidzo zvezvirwere zvakasiyana-siyana. Heano mimwe mienzaniso:

• Kuzvimba kwechiropa, ndicho chirwere chatinodaidza kuti `(hepatitis)`.
• Mavanga echiropa, fibrosis, uye pamwe cirrhosis.
• Chirwere chechiropa chine mafuta akawanda (fatty liver disease) ndiko kuunganidzwa kwemafuta muchiropa.
• Chiropa chakangokura here?
• Chiropa chakakura here?
• Chiropa chinoshanda zvakanyanya here, zvichireva kuti pane chirwere chinonzi "hypersplenism"?
• Kuwedzera kweBP mutsinga dzechiropa, kunozivikanwa se "Portal hypertension".
• Chirwere chinonzi ``Budd-Chiari syndrome``, apo tsinga dzemuchiropa dzinovharika kana kutetepa.
• Pane aneurysm yemutsinga we splenic (`(Splenic artery aneurysm)`) here?
• Pane chiropa chakaputika here?
• Pane here nyama iri muspleen yakafa (`(Splenic infarction)`)?
• Chiropa hachina kushanda zvakanaka here (`(Chiropa chakakundikana)`)?
• Chero bundu kana kukura kwechiropa. Semuenzaniso, dumbu, bundu risina njodzi, hemangioma yechiropa, kana chiropa chine kenza.
• Kenza yechiropa kana chiropa.
• Ko kenza yakatangira kune imwe nzvimbo mumuviri yakapararira kunhengo idzi here (kenza inopararira mumuviri)?
• Zvirwere zvemajini zvakaita sechirwere cheGaucher chinokanganisa nhengo idzi.

Zvakakosha: Usatye nerunyorwa urwu, zvakanaka here? Kuongororwa uku hakuitwe kuti uone kana uine zvirwere izvi zvese. Kunoitwa zvichienderana nezviratidzo zvako uye zvauri kufungira chiremba.

Kuongororwa kwechiropa netsvina uku kunoshanda sei? Zviri nyore kwazvo!

Fungidzira "musori" mudiki achiiswa mumuviri wako. Uyu haasi musori chaiye. Mushonga mudiki, muchina unorapwa nemwaranzi, unopinzwa mutsinga iri muruoko rwako. Kunyangwe uine mwaranzi, hapana chekutya, ingori mwaranzi diki, inodzorwa , uye inobuda mumuviri wako mushure mechinguva.

Mushonga uyu unofamba nemuropa rako wopinda muchiropa chako nepaburi. Zvadaro, muchina wandambotaura kare unonzi kamera ye gamma "unoverenga" gamma rays inoburitswa nemushonga uyu. Kureva kuti, unoona kuti mushonga wacho uri kupi uye kuti wakawanda sei.

Mifananidzo inotorwa nekamera ye gamma inobva yabatanidzwa nemifananidzo yezvikamu zvitatu (`3D`) zvenhengo dzako. Mifananidzo iyi yezvikamu zvitatu inotorwa uchishandisa nzira inonzi ``SPECT/CT scan``. ``(SPECT)`` inomirira ``(single-photon emission computed tomography)`` uye ``(CT)`` inomirira ``(computed tomography)``. Kana zvese izvi zvabatanidzwa, vanachiremba vanowana mufananidzo wakajeka wechiropa chako nespleen.

Ndinofanira kugadzirira sei ndisati ndaskena?

Izvi hazvidi kugadzirira kwakawanda.

• Chiremba achakutsanangurira bvunzo iyi, wobva wakumbirwa kusaina chibvumirano chako.
• Uchafanira kupfeka gown rechipatara rakakosha.
• Uchafanira kubvisa zvishongo zvesimbi zvaunazvo pamuviri wako, zvakaita semakenduru, zvishongo zvemaoko, uye mhete, sezvo zvichigona kutorwa neskena.
• Kana uchinetseka kana kunetseka nezveizvi, unogona kukumbira chiremba kuti akupe mushonga wekunyaradza. Izvozvo zvichakubatsira kuti uzorore zvishoma.

Kuongororwa uku kunotora nguva yakareba sei?

Bvunzo yese inowanzotora inenge awa imwe .

Mushure mekubaiwa jekiseni, unomirira kwemaminitsi angangoita gumi nemashanu kusvika makumi matatu kuti mushonga unyure muchiropa netsvina. Ndipo paunotanga kutora mifananidzo. Zvinogona kutora maminitsi angangoita gumi nemashanu kusvika makumi maviri kutora mifananidzo nekamera ye gamma, uye mamwe maminitsi gumi nemashanu kusvika makumi maviri kutora mifananidzo ne `(CT)` scanner.

Chii chinoitika panguva yekuskena?

Zvakanaka, ngationei kuti chii chaizvo chinoitika kana scan yaitwa.

1. Kutanga, nyanzvi yemagetsi inobaya tsinga yeradioactive tracer (kazhinji Tc-99m sulfur colloid) mutsinga iri muruoko rwako nejekiseni diki (kuburikidza neIV). Uchanzwa kurwadza kudiki kana tsono yaiswa, izvo zvakajairika.

2. Zvadaro, unofanira kumirira kwechinguva (anenge maminetsi gumi nemashanu kusvika makumi matatu) kuti mushonga upinde mumuviri wako.

3. Zvadaro, uchaitwa kuti urare pamubhedha uri mu scanner. Scanner yakaita sedonati ichaiswa panzvimbo yekuti ikwane zvakanaka pamusoro pedumbu rako.

4. Kamera inotanga yaongorora muviri wako wese ne gamma rays. Yobva yatenderera zvishoma nezvishoma yakakupoteredza, ichitora mifananidzo ye three-dimensional (3D).

5. Nyanzvi inogona kukukumbira kuti utendeuke wotora mifananidzo kuitira kuti kamera ionekwe zvakanaka. Chinhu chakakosha ndechekuramba wakadzikama munzvimbo dzese. Izvi zvichakubatsira kuti uwane mifananidzo yakajeka.

6. Kana scan yapera, IV ichabviswa. Unogona kumuka wopfeka mbatya dzako.

Pane njodzi here mune izvi?

Njodzi huru dzebvunzo iyi dzakaderera zvikuru. Zvisinei, zvakakosha kuzivisa chiremba wako nezvezvinotevera:

• Kana uine pamuviri: Kunyangwe huwandu hwemwaranzi hunoshandiswa huri hushoma, hunogona kukanganisa mwana asati aberekwa.
• Kana uri amai vanoyamwisa: Zvinhu zvine mwaranzi zvinogona kupinda mumukaka wako. Saka chiremba wako achakuudza kuti urege kuyamwisa kwemazuva mashoma.
• Kana uine allergy nezvinhu zvinosvibisa (sulfur-colloid). Izvi hazviwanzoitiki, asi kana uine, unofanira kutiudza pachine nguva.

Pane chandichanzwa here?

• Paunoisa IV muruoko rwako, unonzwa sekunge pane tsono diki iri kuiswa.
• Hauzonzwi chero chinhu panguva yekuskena, asi vamwe vanhu vanogona kunzwa kusagadzikana kana vakagara vakanyarara kwenguva yakati.
• Hauzonzwi zvinhu zvine mwaranzi zvichipinzwa mumuviri wako. Zvisinei, kuti zvibude mumuviri wako nekukurumidza, unofanira kunwa mvura yakawanda kwemaawa makumi maviri nemana anotevera mushure mekuongororwa.

Unoratidza sei mhedzisiro yacho? Ndezvipi "nzvimbo dzinopisa" uye "nzvimbo dzinotonhora" izvi?

Kana chinhu chine radioactive ('radionucleotide') chapinda mutsinga yako, chinoenda zvakananga kuchiropa chako nepleen. Nhengo mbiri idzi dzinotora chinhu ichi.

Iye zvino mumifananidzo,

• Kune dzimwe nzvimbo dzinoita sedzakajeka kupfuura dzimwe. Idzi dzinonzi "hot spots." Izvi zvinoreva kuti chinhu ichi chakanyudzwa zvakanaka munzvimbo idzodzo.
• Kune dzimwe nzvimbo dzinoita sedzakasviba . Idzi dzinonzi "mapopoma anotonhora." Izvi zvinoreva kuti chinhu ichi hachina kunyudzwa zvakanaka munzvimbo idzodzo.

Nyanzvi yezvemichina inoenzanisawo kuti nhengo mbiri idzi dzakatora chikamu chakadii chechinhu ichi. Kazhinji, chiropa ndicho chinofanira kutora chikamu chakawanda chechinhu ichi kupfuura chirebvu.

Zvisinei, kana chiropa chikanwa zvishoma pane zvachinofanira kuita uye chiropa chikanwa zvakawanda, zvinonzi "colloid shift." Izvi zvinoratidza kuti mashandiro echiropa aderera.

Chii chinoitika kana mhinduro dzangu dzabuda?

Kana zvabuda muongororo yako ye "Liver and Spleen Scan", chiremba achazvitarisa obva asvika pakuziva mamiriro ako ezvinhu.

• Mhedzisiro iyi inogona kupa ruzivo rwakakwana . Kana zvakadaro, chiremba achakurukura newe matanho anotevera ekurapwa.
• Dzimwe nguva, mimwe miedzo inogona kuitwa kusimbisa ruzivo rwakawanikwa kubva mukuongorora uku.

Zvisinei, chiremba achakutsanangurira zvese.

Ndedzipi dzimwe mhando dzekuongorora dziripo kuti uone matambudziko echiropa?

Pamusoro peizvi `(Chiropa neSpleen Scan)`, kune dzimwe mhando dzekuongorora mifananidzo yekutarisa mamiriro echiropa nespleen. Mimwe mienzaniso ndeiyi:

• Kuongororwa kweCT yechiropa (`(Kuongororwa kweCT yechiropa)`)
• Kuongororwa kweCT yeSpleen (`(Kuongororwa kweCT yeSpleen)`)
• Kuongororwa kweultrasound yedumbu (`(ultrasound yedumbu)`)
• Kuongororwa kwechiropa (kunozivikanwawo seMRE kana FibroScan® ultrasound).
• Kuongororwa kweMRI yechiropa/chirwatata (`(MRI yechiropa/chirwatata)`)

Chiremba wako ndiye achasarudza kuti ndeipi bvunzo yakakunakira.

Pakupedzisira, zvinhu zvekurangarira (Mharidzo Yekuenda Kumba)

Kuongororwa kwechiropa nespleen uku kwemishonga yenyukireya chishandiso chakakosha chinobatsira vanachiremba kutarisa nhengo mbiri idzi nenzira itsva uye kunzwisisa mashandiro adzo. Kuongororwa uku kunogona kubatsira kuona mamiriro ezvinhu anokanganisa nhengo dzese, kuongorora kukuvara, kuona kana chirwere chiri kuramba chichikura kana kuti chichinonoka, uye kutarisa kufambira mberi kwekupora.

Kana muine mibvunzo kana zvinokunetsai nezvebvunzo iyi kana zvabuda,Usatya kutaura nachiremba wako. Ipapo unogona kutsanangura zvese. Ramba uine hutano hwakanaka!

Chiropa , chirwatata, scan, mushonga wenyukireya, kuongororwa, chirwere chechiropa, dumbu