Isibindi sakho kunye ne-spleen zinjani? (I-Liver kunye ne-Scan ye-Spleen)

Molo! Usenokuba uzive uxhalabile kwaye usoyika xa ugqirha ekuxelele ukuba wenze i-scan ekhethekileyo ukujonga isibindi sakho kunye ne-spleen, "i-Liver and Spleen Scan", akunjalo? Okanye mhlawumbi ubunomdla kakhulu malunga nokuba oku kumalunga nantoni na. Ngoko ke, ungakhathazeki. Makhe sithethe ngale nto ngokweenkcukacha, ngokulula, namhlanje. Ndiza kuchaza yonke into ngendlela onokuyiqonda.

Yintoni iSikeni sesibindi ne-spleen?

Ngamafutshane, olu luvavanyo olukhethekileyo lokujonga amayeza enyukliya . Lujonga ikakhulu amalungu amabini abizwa ngokuba sisibindi sakho kunye ne-spleen. Zombini ezi zitho zikwinxalenye ephezulu yesisu sethu. Into ebalulekileyo kukuba ukuba kukho ingxaki kwenye yezi zitho, inokuchaphazela nenye. Bafana nabahlobo ababini abasenyongweni.

Kolu vavanyo, kufakwa inani elincinci lezinto ezinemisebe (i-radioactive tracer) emzimbeni wakho. Emva koko, kusetyenziswa isixhobo esikhethekileyo esibizwa ngokuba yi-gamma camera ukujonga indlela ezifunxwa ngayo ezi zinto sisibindi sakho kunye ne-spleen. Oku kuvumela oogqirha ukuba babone ukuba amalungu akho omabini asebenza kakuhle kangakanani na kwaye ukuba kukho nawuphi na umonakalo kuwo. Ayilobuchwepheshe bumangalisayo na obu?

Kutheni kufuneka ndenze iskena esinje?

Ngoku usenokuba ucinga, "Kutheni ndicelwa ukuba ndenze olu hlobo lweskeni?" Kukho ezinye iintlobo zeskeni zokujonga isibindi kunye nespleen. Kodwa into ekhethekileyo ngale `(iLiver and Spleen Scan)` kukuba iyakwazi ukubona indlela esebenza ngayo iiseli kwiindawo ezahlukeneyo zezitho kunye nendlela ezisabela ngayo .

Oku kunokukunceda ufumane naziphi na iindawo ezingaqhelekanga kwisibindi sakho okanye kwi-spleen, ezibizwa ngokuba yi-'lesions', apho izicubu zitshintshile kwaye zingasebenzi kakuhle. Kungakhangela nezinto ezifana ne-fibrosis, ukudumba, utshintsho ekuhambeni kwenyongo, kunye notshintsho ekuhambeni kwegazi. Ngoko ke, kubaluleke kakhulu ukuvavanya umonakalo kwizitho zomzimba.

Isetyenziselwa ntoni le scan?

Ugqirha wakho unokucebisa olu vavanyo ngezizathu ezahlukeneyo. Makhe sijonge ukuba zeziphi ezi zinto:

• Jonga indlela imeko yesifo sesibindi esidala (`(isifo sesibindi esingapheliyo)`) enjani.
• Xa unyanga isifo, khangela ukuba siyasinyanga na okanye siyayiphucula na imeko.
• Xa isibindi okanye i-spleen yonakele, njengakwingozi, jonga ubungakanani bomonakalo.
• Fumanisa ukuba kukho na ukwenzakala okanye izicubu ezingaqhelekanga (izilonda) kwezi zitho.
• Ngamanye amaxesha siba neentlungu esiswini esingaphezulu, kodwa asikwazi ukufumana unobangela. Kwezo meko, oku kuya kusinceda sifumane unobangela.
• Jonga naziphi na iingxaki zomzimba ezichaphazela isibindi kunye ne-spleen.

Zeziphi iintlobo zezifo ezinokuchongwa ngolu vavanyo?

Iziphumo zolu vavanyo zinokunika izikhokelo malunga neemeko ezahlukeneyo zonyango. Nazi imizekelo embalwa:

• Ukudumba kwesibindi, yiloo meko esiyibiza ngokuba yi-`(hepatitis)`.
• Ukuvaleka kwesibindi, i-fibrosis, kwaye mhlawumbi ne-cirrhosis.
• Isifo sesibindi esinamafutha kukuqokelelana kwamafutha esibindini.
• Ingaba isibindi sisanda kukhula?
• Ingaba i-spleen ikhulisiwe?
• Ingaba i-spleen isebenza nzima kakhulu, oko kuthetha ukuba kukho imeko ebizwa ngokuba yi-"hypersplenism"?
• Ukunyuka koxinzelelo lwegazi kwimithambo yesibindi, okwaziwa ngokuba yi-"Portal hypertension".
• Imeko ebizwa ngokuba yi-"Budd-Chiari syndrome", apho imithambo yesibindi ivalekile okanye incipha.
• Ingaba kukho i-aneurysm ye-splenic artery (`(i-aneurysm ye-splenic artery)`)?
• Ingaba kukho i-spleen eqhumayo?
• Ingaba kukho izicubu ezithile kwi-spleen ezifileyo (`(Splenic infarction)`)?
• Ingaba ukusebenza kwesibindi kuyaphazamiseka (`(Ukusilela kwesibindi)`)?
• Nasiphi na iqhuma okanye ukukhula kwesibindi. Umzekelo, ithumba, ithumba elingenobungozi, i-hemangioma yesibindi, okanye i-cyst yesibindi.
• Umhlaza wesibindi okanye ipleen.
• Ngaba umhlaza oqale kwenye indawo emzimbeni usasazeke kwezi zitho zomzimba (umhlaza osasazekayo)?
• Izifo zemfuza ezifana nesifo seGaucher ezichaphazela la malungu omzimba.

Kubalulekile: Musa ukoyika olu luhlu, kulungile? Olu vavanyo alwenziwanga ukuze kubonwe ukuba unazo zonke ezi zifo. Lwenziwa ngokusekelwe kwiimpawu zakho kunye nezinto ezirhanelwayo ngugqirha.

Isebenza njani le nkqubo yokuhlolwa kwesibindi kunye ne-spleen? Kulula kakhulu!

Khawucinge nje "ngentlola" encinci efakwa emzimbeni wakho. Le ayisiyontlola yokwenyani. Incinci iyeza, i-radioactive tracer, ifakwa emthanjeni osengalweni yakho. Nangona ine-radioactive, akukho nto yokoyika, yimitha encinci kakhulu, elawulwayo , kwaye iphuma emzimbeni wakho emva kwexesha elithile.

Eli yeza lihamba ngegazi lakho lize lifunxwe sisibindi sakho kunye ne-spleen. Emva koko, loo matshini endikhankanye ngawo ngaphambili obizwa ngokuba yi-gamma camera "ufunda" imitha ye-gamma ekhutshwa leli yeza. Oko kukuthi, ifumanisa ukuba liphi iyeza kwaye lingakanani na elikhoyo.

Imifanekiso ethathwe yikhamera ye-gamma emva koko idityaniswa nemifanekiso yezitho zakho zomzimba enamacala amathathu (`3D`). Le mifanekiso inamacala amathathu ithathwa kusetyenziswa indlela ebizwa ngokuba yi-`SPECT/CT scan``. `(SPECT)`` imele i-`(single-photon emission computed tomography)`` kwaye `(CT)`` imele i-`(computed tomography)``. Xa konke oku kudityanisiwe, oogqirha bafumana umfanekiso ocacileyo wesibindi sakho kunye ne-spleen.

Ndingazilungiselela njani ngaphambi kokuba ndiskene?

Oku akudingi lungiselelo lungako.

• Ugqirha uza kukuchazela olu vavanyo, aze emva koko acelwe ukuba usayine imvume yakho.
• Kuya kufuneka unxibe ilokhwe ekhethekileyo yesibhedlele.
• Kuya kufuneka ususe naziphi na izacholo zesinyithi onazo emzimbeni wakho, ezifana neentsimbi zomqala, izacholo, kunye namacici, njengoko zinokuthathwa sisikena.
• Ukuba ukhathazekile kancinci okanye uxhalabile ngale nto, ungacela ugqirha ukuba akunike iyeza lokuthomalalisa. Oko kuya kukunceda uphumle kancinci.

Kuthatha ixesha elingakanani oku kuskena?

Lonke uvavanyo ludla ngokuthatha malunga neyure .

Emva kokufakwa kwenaliti, ulinda malunga nemizuzu eli-15 ukuya kwengama-30 ukuze iyeza lifunxwe sisibindi kunye ne-spleen. Kuphela emva koko uqala ukuthatha imifanekiso. Kungathatha malunga nemizuzu eli-15-20 ukuthatha imifanekiso ngekhamera ye-gamma, kunye neminye imizuzu eli-15-20 ukuthatha imifanekiso ngeskena se-`(CT)`.

Kwenzeka ntoni ngexesha leskeni?

Kulungile, ngoku masibone ukuba kwenzeka ntoni kanye kanye xa iskeni yenziwe.

1. Okokuqala, ingcali ye-radiologic iza kufaka i-radioactive tracer ekhethekileyo (edla ngokuba yi-Tc-99m sulfur colloid) emthanjeni osengalweni yakho nge-injection encinci (nge-IV). Uza kuziva uvakalelwa kancinci xa inaliti ifakwa, into eqhelekileyo.

2. Emva koko, kufuneka ulinde ixesha elithile (malunga nemizuzu eli-15-30) ukuze iyeza lingene emzimbeni wakho.

3. Okulandelayo, uza kulaliswa ebhedini kwiskena. Iskena esimile okwedonathi siza kubekwa ngendlela yokuba silingane kakuhle nesisu sakho.

4. Ikhamera iqala ngokuskena umzimba wakho wonke ngemitha ye-gamma. Emva koko ijikeleza kancinci ikujikeleze, ithatha imifanekiso enemilinganiselo emithathu (3D).

5. Ingcali ingakucela ukuba ujike uze uthathe imifanekiso ukuze ikhamera ibonakale kakuhle. Eyona nto ibalulekileyo kukuhlala ungashukumi kuzo zonke iindawo. Oku kuya kukunceda ufumane imifanekiso ecacileyo.

6. Nje ukuba iskeni igqityiwe, i-IV iya kususwa. Emva koko ungavuka unxibe impahla yakho.

Ngaba kukho naziphi na iingozi koku?

Iingozi ezinkulu zolu vavanyo ziphantsi kakhulu. Nangona kunjalo, kubalulekile ukwazisa ugqirha wakho ngezi zinto zilandelayo:

• Ukuba ukhulelwe: Nangona ubungakanani bemitha esetyenzisiweyo buncinci kakhulu, bunokuchaphazela usana olungekazalwa.
• Ukuba ungumama oncancisayo: Izinto ezisebenzisa i-radioactive zingangena ebisini lakho. Ngoko ke ugqirha wakho uza kukuxelela ukuba uyeke ukuncancisa iintsuku ezimbalwa.
• Ukuba une-allergy kwizinto ezisebenzisa i-radioactive (sulfur-colloid). Oku kunqabile kakhulu, kodwa ukuba unayo, kufuneka usixelele kwangaphambili.

Ngaba kukho into endiya kuyiva?

• Xa ufaka i-IV esandleni sakho, kuvakala ngathi kufakwa inaliti encinci.
• Awuyi kuva nto ngexesha lokuskena, kodwa abanye abantu banokuziva bengakhululekanga xa behlala bezolile okwethutyana.
• Awuyi kuva izinto ezine-radioactive zifakwa emzimbeni wakho. Nangona kunjalo, ukuze ziphume emzimbeni wakho ngokukhawuleza, kufuneka usele amanzi amaninzi kwiiyure ezingama-24 ezilandelayo emva kokuhlolwa.

Uzibonisa njani iziphumo? Zithini ezi "hot spots" kunye "ne cold spots"?

Emva kokuba into enokutsha ('i-radionucleotide') ingene emthanjeni wakho, iya ngqo esibindini sakho nakwipleyini. La malungu mabini ayayifunxa le nto.

Ngoku kwimifanekiso,

• Kukho iindawo ezithile ezibonakala zikhanya ngakumbi kunezinye. Ezi zibizwa ngokuba "ziindawo ezishushu." Oko kuthetha ukuba le nto ifunxwe kakuhle kwezo ndawo.
• Kukho iindawo ezibonakala zimnyama . Ezi zibizwa ngokuba "ziindawo ezibandayo." Oku kuthetha ukuba le nto ayifunxwanga kakuhle kwezo ndawo.

Ingcali yezobuchwepheshe ikwathelekisa ukuba ingakanani into efunxwe zezi zitho zimbini. Ngokwesiqhelo, isibindi seso sifanele sifunxe into engaphezulu kunespleen.

Nangona kunjalo, ukuba isibindi sifunxa ngaphantsi kunokuba kufanele kwaye i-spleen ifunxa ngaphezulu, oko kubizwa ngokuba yi-"colloid shift." Oku kubonisa ukuba ukusebenza kwesibindi kuye kwehla.

Kuza kwenzeka ntoni emva kokuba iziphumo zam zifikile?

Nje ukuba iziphumo ze-"Liver and Spleen Scan" yakho zifike, ugqirha uza kuzijonga aze afikelele kwisigqibo malunga nemeko yakho.

• Ezi ziphumo zinokukwazi ukubonelela ngoxilongo oluchanekileyo . Ukuba kunjalo, ugqirha uza kuxoxa nawe ngamanyathelo alandelayo onyango.
• Ngamanye amaxesha, ezinye iimvavanyo zinokwenziwa ukuqinisekisa ulwazi olufunyenwe kolu vavanyo.

Nangona kunjalo, ugqirha uza kukuchazela yonke into.

Ziziphi ezinye iintlobo zeeskeni ezikhoyo ukujonga iingxaki zesibindi?

Ukongeza koku `(I-Liver and Spleen Scan)`, kukho ezinye iintlobo zovavanyo lwemifanekiso ukujonga imeko yesibindi kunye ne-spleen. Eminye imizekelo yile:

• Iskeni ye-CT yesibindi (`(Iskeni ye-CT yesibindi)`)
• Iskeni se-CT se-Spleen (`(Iskeni se-CT se-Spleen)`)
• Iskeni se-ultrasound yesisu (`(i-ultrasound yesisu)`)
• I-elastography yesibindi (ekwaziwa ngokuba yi-MRE okanye i-FibroScan® ultrasound).
• Iskeni se-MRI yesibindi/i-spleen (`(i-MRI yesibindi/i-spleen)`)

Ugqirha wakho uya kugqiba ukuba loluphi uvavanyo olufanele wena.

Okokugqibela, izinto ekufuneka uzikhumbule (Umyalezo Wokuya Ekhaya)

Olu vavanyo lwe-nuclear liver and spleen scan sisixhobo esibalulekileyo esinceda oogqirha bajonge la malungu mabini angamaqabane ngendlela entsha baze baqonde indlela asebenza ngayo. Olu vavanyo lunokunceda ekuchongeni iimeko ezichaphazela amalungu omabini, kuhlolwe umonakalo, kubonwe ukuba isifo siyaqhubeka okanye siyehla, kwaye kujongwe inkqubela yokuphiliswa.

Ukuba unemibuzo okanye iinkxalabo malunga nolu vavanyo okanye iziphumo,Ungoyiki ukuthetha nogqirha wakho. Emva koko ungacacisa yonke into. Hlala uphilile!

Isibindi , ipleyini, iskeni, amayeza enyukliya, ukuxilongwa, isifo sesibindi, isisu