Dzimwe nguva unombonzwa kurwadziwa kwakanyanya kana kurwadziwa mudumbu rako rekurudyi, kunyanya pasi pembabvu dzako here? Pamwe chiremba wako aifungidzira dambudziko renduru ndokukurudzira kuti uite 'HIDA scan'? Kunyangwe zita racho ringanzwika serinotyisa zvishoma, harisi kutyisa zvakadaro. Haisi kuvhiyiwa, uye harisi bvunzo inorwadza zvikuru. Saka nhasi, ngatitaurei nezvese nezveHIDA scan iyi, zviri nyore.
Chii chinonzi HIDA scan, kana tichichitsanangura zviri nyore?
Kuongororwa kweHIDA ibvunzo yekufungidzira. Kutaura chokwadi, ibvunzo yemishonga yenyukireya. Zvakanaka, usatye nemashoko makuru iwayo. Zvichitaurwa zviri nyore, inotarisa mashandiro ari kuita gallbladder yako nehurongwa hwayo.
Ngatitangei tanzwisisa zvishoma nezvehurongwa uhwu. Funga nezvazvo nenzira iyi.
1. Chiropa chedu chinoburitsa muto wekugaya unonzi bile . Izvi zvinobatsira kunyungudutsa mafuta ari muchikafu chatinodya.
2. Nyoro inogadzirwa nenzira iyi inochengetwa munhengo diki yakaita sebhegi iri pasi pechiropa inonzi gallbladder.
3. Patinodya, nduru iyi inodzvinya (inodzvinya) yotumira nyongo iri mukati memigero ichienda muura hudiki.
Zvino, chinoitwa neHIDA scan iyi ndechekutarisa kana duct ye bile iri kushanda nemazvo, kana paine kuvharika pane imwe nzvimbo, uye kana bile iri kubuda .
Kuti vaite izvi, vanoisa kemikari diki, isingakuvadzi inonzi 'radioactive tracer' mutsinga yako. Chinhu ichi chinofamba nenzira chaiyo ye bile. Zvadaro, kamera yakakosha ('gamma camera') inotora mifananidzo yechinhu ichi painofamba. Nekutarisa mifananidzo, vanachiremba vanogona kuwana pfungwa yakanaka yekuti gallbladder yako iri kushanda sei.
Mamwe mazita eizvi ndeanoti `cholescintigraphy` uye `hepatobiliary scintigraphy`.
Ndezvipi zvirwere zvinogona kuonekwa nekuongorora uku?
Chiremba acharaira kuti chirwere cheHIDA chiongororwe kunyanya kana achifungidzira kuti chirwere chenduru chine chekuita nezvirwere zvakasiyana-siyana. Ngationei kuti chii.
| Dambudziko rehutano | Zvichitaurwa zviri nyore... |
|---|---|
| Cholecystitis Yakanyanya | Ichi chirwere chinowanzoitika kamwe kamwe. Matombo emunduru anogona kukonzera kuzvimba kwenduru, zvichikonzera kurwadziwa kwakanyanya kurudyi kwedumbu uye fivha. Izvi zvinogona kuongororwa nemazvo neHIDA scan. |
| Chirwere cheCholecystitis Chisingaperi | Apa ndipo apo nduru inozvimba kakawanda nekuda kwematombo emunduru. Marwadzo acho anogona kunge asina kunyanya kuipa sepakutanga, asi acharamba achiitika kakawanda. |
| Kusashanda zvakanaka kweSphincter yeOddi | Izvi zvakaoma zvishoma. Pane tsandanyama inodzora kuyerera kwenyongo nemuto wepancreas muura hudiki. Kana izvi zvikasavhurika zvakanaka, muto wacho unodzokera shure wokonzera kurwadziwa kwakanyanya. |
| Biliary Atresia | Ichi chirwere chisingawanzoitiki asi chine njodzi chinoitika muvana vacheche vachangoberekwa. Maburi enyongo emwana anovharika. Izvi zvinoita kuti muviri wemwana ushanduke kuita yero (jaundice yemwana achangoberekwa). Kana kuvhiyiwa kukasaitwa nekukurumidza, chiropa chinogona kukuvara. |
| Kubuda kweBiriary | Dumbu rinogona kubuda kubva mumigero yedumbu, senge mushure mekuvhiyiwa kwedumbu, tsaona, kana kuisirwa chiropa. Izvi zvinogona kukonzera kuzvimba kwenyama yakapoteredza uye kutungamira kuhutachiona. |
Ndeipi nguva yaungada kuongororwa kweHIDA?
Pane zvikonzero zvikuru zvakawanda nei chiremba wako angakutumira kuti uedze bvunzo iyi:
- Kurwadziwa kwakanyanya kurudyi kwedumbu: Kunyanya kana kurwadziwa kukatanga kamwe kamwe uye kukaramba kuripo, kungave kuzvimba kwenyongori (cholecystitis). Ichi ndicho chikonzero chikuru chekuongororwa kweHIDA.
- Marwadzo nefivha mushure mekuvhiyiwa: Kana wakambovhiyiwa kubviswa nduru, kuisirwa chiropa, kana kumwe kuvhiyiwa kwakafanana uye uchinzwa fivha nekurwadziwa mushure mekuvhiyiwa, scan iyi inoitirwa kutarisa kana nyongo yabuda.
- Jaundice yakawandisa mumwana achangoberekwa: Kana mwana akanyanya kurwara nejaundice mukati memazuva mashoma ekuzvarwa, bvunzo iyi inokosha kuti ione kana chikonzero chacho chiri biliary atresia.
- Kuti utarise stent iri mu ducts dze bile:Dzimwe nguva kana duct yenyongo ikavharika, chubhu diki (stent) inoiswa kuti irambe yakavhurika. HIDA scan inogonawo kuitwa kuti ione kana izvi zvichishanda nemazvo.
Unogadzirira sei usati waskena?
Izvi zvakakosha zvikuru. Kuti mhinduro dzebvunzo dzive dzechokwadi, unofanira kutevedzera mirairo iyi nemazvo.
Chinonyanya kukosha: Kana uine pamuviri, uchiedza kubata pamuviri, kana kuyamwisa, iva nechokwadi chekuudza vashandi vezvehutano usati waongororwa. Izvi zvakakosha zvikuru.
- Udza chiremba wako nezvemishonga yaunotora (kusanganisira mavhitamini nemishonga yemishonga). Mimwe mishonga (kunyanya mishonga inoderedza marwadzo) inogona kukanganisa mhedzisiro yebvunzo, saka unogona kukumbirwa kuti urege kuitora maawa mashoma usati waongororwa.
- Kutsanya: Uchafanira kutsanya kwemaawa mana usati waongororwa. Hazvina kuipa kunwa mvura shoma. Ungangokumbirwa kutsanya kwenguva yakareba. Uchaziviswa nezveizvi pachine nguva.
- Bvisa zvishongo: Usapfeke zvishongo kana zvinhu zvesimbi panguva yekuskena.
- Usatya: Vamwe vanhu vanotya kuva munzvimbo yakamanikana seMRI scan. Kamera iri mune iyi haisi chubhu yakavharwa. Ingori kamera yakavhurika kumativi ese uye yakaiswa pamusoro pedumbu rako. Saka haufanirwe kunetseka nezvekunamirwa.
Chii chinoitika panguva yekuskena?
Kuita scan iri nyore kwazvo.
1. Kutanga, uchapihwa gown rekuchipatara rekupfeka. Dumbu rako rinofanira kunge rakaonekwa.
2. Uchaitwa kuti urare patafura yekuongorora.
3. Ipapo mukoti kana nyanzvi yezvehutano achaisa katheta kadiki (IV catheter) mutsinga iri muruoko rwako. Vachaisa kemikari inonzi ``radiotracer'' kuburikidza nayo. Panguva iyi, uchanzwa kurwadza, sesvosve diki.
4. Kamera inoiswa zvishoma nezvishoma uye nokungwarira pamusoro pedumbu rako.
5. Wobva watanga kutora mifananidzo. Chinhu chakakosha panguva ino ndechekuti haufambe zvachose. Nenzira iyi unogona kuwana mifananidzo yakajeka.
6. Mushure mekutora mifananidzo, dzimwe nguva mumwe mushonga unogona kupihwa kuburikidza neIV kuti ubatsire gallbladder yako kunyungudika (isina chinhu). Unganzwa kurwadziwa mudumbu panguva ino. Izvi zvinokonzerwa nekuti gallbladder iri kuoma. Mushure mekukupa mushonga iwoyo, mimwe mifananidzo ichatorwa.
7. Bvunzo yese inogona kutora chero nguva kubva paawa imwe kusvika ku4 . Mune dzimwe nguva, ungakumbirwa kudzoka mushure memaawa makumi maviri nemana kuti utore mimwe mifananidzo.
Kuongororwa uku hakurwadzi. Zvisinei, kana uchitova nekurwadziwa kwenduru, unogona kunge uchiri kunzwa kurwadziwa panguva yekuongororwa.
Chii chandinofanira kuita mushure mekuskena?
Kana scan yapera, unogona kuenda kumba kana kuenda kuchipatara. Wobva waita zvinhu izvi.
- Inwa mvura yakawanda: Inwa mvura yakawanda uye zvinwiwa kwemaawa makumi maviri nemana anotevera. Izvi zvichabatsira radiotracer kuti ibude mumuviri wako nekukurumidza kuburikidza neweti yako netsvina.
- Mushure mekushandisa chimbuzi: Gara uchigeza chimbuzi zvakanaka mushure mekuchishandisa, uye geza maoko ako nesipo zvakanaka. Kupisa kwemakemikari kwakaderera zvikuru, saka hapana njodzi kune avo vakakupoteredza.
- Kune vanaamai vanoyamwisa: Izvi zvakakosha zvikuru. Musayamwisa mwana wenyu kwemaawa makumi maviri nemana mushure mekuongororwa. Rasai mukaka wezamu upi zvawo unobuda panguva iyoyo. Izvi zvinodaro nekuti radioactivity kubva kuradiotracer inogona kupinda mumukaka wezamu yokuvadza mwana. Saka, zvinobatsira zvikuru kuburitsa mukaka wezamu usati waongororwa.
Pane njodzi here mune izvi?
Njodzi dzeHIDA scan dzakaderera zvikuru.
- IV inogona kunge yakakuvara zvishoma payakaiswa.
- Kuratidzwa kwemwaranzi kudiki kwazvo. Izvi zvinenge zvakaenzana nehuwandu hwemwaranzi hunowanikwa nemiviri yedu kubva kunharaunda mugore rega rega.
- Kashoma kwazvo kuva ne allergic reaction kumakemikari anoshandiswa.
Ruzivo rwakawanikwa kubva muongororo iyi runogona kusawanikwa kubva kune dzimwe bvunzo, dzakadai se ultrasound. Saka, kune munhu asina pamuviri, mabhenefiti ekuita scan iyi anopfuura njodzi diki diki.
Ndingawana sei mushumo wacho? Unei?
Chiremba weX-ray achaongorora ma scan enyu onyora mushumo, uyo uchatumirwa kuna chiremba wenyu ari kurapa. Mhedzisiro yacho inowanzo kuwanikwa mukati memaawa makumi maviri nemana. Chiremba wenyu achakutsanangurirai mushumo wacho.
| Zvinogona kuitika mumushumo | Zvazvinogona kureva |
|---|---|
| Zvakajairika | Hapana zvinokanganisa kufamba kwenyongo. Nyongo inofamba zvakanaka kubva pachiropa kuenda kunyongo uye kubva ipapo ichienda kudumbu diki. |
| Kufamba zvishoma nezvishoma kwekemikari | Zvinogona kuratidza kuvharika kwenzira dzemudumbu kana kusashanda zvakanaka kwechiropa. |
| Kemikari isingaonekwe munduru | Izvi zvinowanzoratidza chirwere chinonzi acute cholecystitis, zvinoreva kuti nzira yekupinda munyongo inoenda kugallbladder yakavharwa. |
| Chikamu chidiki chekubuda kwegallbladder | Huwandu hwenyongo hunobuda munduru mushure mekupiwa mushonga hunoyerwa. Kana huri pasi pe30%-35%, zvinogona kureva cholecystitis isingaperi. |
| Kuvapo kwekemikari mune dzimwe nzvimbo | Kana kemikari iyi ikaonekwa kune dzimwe nzvimbo dziri kunze kwenzira yemugero wenyongo, zvinogona kuratidza kuti nyongo yabuda. |
Chero zvingaitika, chiremba wako achakutsanangurira zvakakwana uye achakupa mazano ezvekuita zvinotevera.
Mharidzo Yekuenda Nayo Kumba
- Kuongororwa kweHIDA inzira yakachengeteka uye isingarwadzi yekutarisa mashandiro ehurongwa hwemudumbu nedumbu.
- Zvakakosha kutevedzera mirairo yakapihwa usati waongororwa, kunyanya maererano nekutsanya uye kuzivisa chiremba kana uine pamuviri kana kuti uchiyamwisa.
- Huwandu hwemwaranzi hunowanikwa mumuviri wako hushoma kwazvo. Usazvidya mwoyo zvisina basa nezvazvo.
- Inwa mvura yakawanda mushure mekuongororwa. Kana uri amai vanoyamwisa, usayamwisa mwana wako kwemaawa makumi maviri nemana.
- Taura pachena nachiremba wako nezve mushumo wako wekuongororwa uye chero mibvunzo yauinayo nezvazvo.
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