Ngaba ngamanye amaxesha ukhe ube nentlungu ebukhali okanye iintlungu esiswini sakho sasekunene, ngakumbi phantsi kweembambo zakho? Mhlawumbi ugqirha wakho urhanele ingxaki yenyongo waza wacebisa ukuba kwenziwe 'i-HIDA scan'? Nangona igama lisenokuvakala lisoyikisa kancinci, eneneni aloyiki kangako. Asikotyando, kwaye asilulo uvavanyo olubuhlungu kakhulu. Ngoko ke namhlanje, masithethe ngayo yonke into malunga nale HIDA scan, ngokulula.
Ngokulula nje, yintoni i-HIDA scan?
I-HIDA scan luvavanyo lomfanekiso. Ngokuchanekileyo, luvavanyo lwamayeza enyukliya. Kulungile, musa ukoyika loo magama makhulu. Ngamafutshane, ijonga indlela esebenza ngayo inyongo yakho kunye neenkqubo ezinxulumene nayo.
Masiqale siqonde kancinci ngale nkqubo. Cinga ngayo ngolu hlobo.
1. Isibindi sethu sivelisa ijusi yokugaya ukutya ebizwa ngokuba yi-bile . Oku kunceda ekunyibilikiseni amafutha ekutyeni esikutyayo.
2. Inyongo eveliswa ngale ndlela igcinwa kwilungu elincinci elifana nengxowa phantsi kwesibindi elibizwa ngokuba yi-gallbladder.
3. Xa sisitya, le gallbladder iyafinyela (iyacudiswa) ize ithumele inyongo equlethwe yiyo ngemibhobho iye emathunjini amancinci.
Ngoku, into eyenziwa lolu vavanyo lwe-HIDA kukujonga ukuba ingaba i -bile duct isebenza kakuhle na, ukuba kukho ukuvaleka kwenye indawo, nokuba i-bile iyavuza na .
Ukuze benze oku, bafaka ikhemikhali encinci kakhulu, engenabungozi ebizwa ngokuba yi-'radioactive tracer' emthanjeni wakho. Le nto ihamba ngqo endleleni yenyongo. Emva koko, ikhamera ekhethekileyo ('ikhamera ye-gamma') ithatha imifanekiso yento njengoko ihamba. Ngokujonga imifanekiso, oogqirha banokufumana umbono olungileyo wendlela esebenza ngayo inyongo yakho.
Amanye amagama ale nto yi-'cholescintigraphy' kunye ne-'hepatobiliary scintigraphy'.
Zeziphi izifo ezinokufunyaniswa ngolu vavanyo?
Ugqirha uza kuyalela i-HIDA scan ikakhulu ukuba urhanela ukuba kukho izifo ezininzi ezinxulumene nenyongo. Masibone ukuba zeziphi.
| Imeko yezonyango | Kalula nje... |
|---|---|
| I-Acute Cholecystitis | Le yimeko eyenzeka ngequbuliso. Amatye enyongo anokubangela ukuba inyongo idumbe, nto leyo ebangela iintlungu eziqatha kwicala lasekunene lesisu kunye nomkhuhlane. Oku kunokuxilongwa ngokuchanekileyo nge-HIDA scan. |
| I-Cholecystitis engapheliyo | Kulapho inyongo iphinda ivuvuke ngenxa yamatye enyongo. Intlungu isenokungabi nkulu njengangaphambili, kodwa iya kuhlala ixhaphakile. |
| Ukungasebenzi kakuhle kwe-Sphincter ye-Oddi | Oku kunzima kancinci. Kukho umsipha olawula ukuhamba kwenyongo kunye nejusi yepancreatic ukuya emathunjini amancinci. Xa oku kungavuleki kakuhle, iijusi ziyabuya zize zibangele iintlungu eziqatha. |
| I-Biliary Atresia | Le yimeko engaqhelekanga kodwa eyingozi eyenzeka kwiintsana ezisandul’ ukuzalwa. Imibhobho yenyongo yomntwana iyavaleka. Oku kubangela ukuba umzimba womntwana ujike ube tyheli (i-jaundice esandul’ ukuzalwa). Ukuba utyando alwenziwanga ngokukhawuleza, isibindi sinokonakala. |
| Ukuvuza kweBiliary | Inyongo ingavuza kwimibhobho yenyongo, njengasemva kotyando lokususa inyongo, ingozi, okanye ukufakelwa isibindi. Oku kunokubangela ukudumba kwezicubu ezingqongileyo kwaye kukhokelele kusulelo. |
Ungasidinga nini iskeni se-HIDA?
Kukho izizathu ezininzi eziphambili zokuba ugqirha wakho angakuthumela kolu vavanyo:
- Intlungu ebuhlungu kwicala lasekunene lesisu: Ingakumbi ukuba intlungu iqala ngequbuliso kwaye ihlala ihleli, isenokuba kukudumba kwenyongo (i-cholecystitis). Esi sesona sizathu siphambili sokwenza i-HIDA scan.
- Intlungu kunye nomkhuhlane emva kotyando: Ukuba ukhe wenziwa utyando lokususa inyongo, ukufakelwa isibindi, okanye olunye utyando oluhambelanayo kwaye ufumana umkhuhlane kunye nentlungu emva koko, olu vavanyo lwenziwa ukujonga ukuvuza kwenyongo.
- I-jaundice egqithisileyo kusana olusandul’ ukuzalwa: Ukuba umntwana uba ne-jaundice kakhulu kwiintsuku ezimbalwa emva kokuzalwa, olu vavanyo lubalulekile ukuze kuchongwe ukuba ingaba imbangela yi-biliary atresia.
- Ukujonga i-stent ebekwe kwimibhobho yenyongo:Ngamanye amaxesha xa umbhobho wenyongo uvalekile, kufakwa ityhubhu encinci (i-stent) ukuze ihlale ivulekile. I-HIDA scan inokwenziwa ukuze kubonwe ukuba oku kusebenza kakuhle na.
Ulungiselela njani ngaphambi kokuba uskene?
Oku kubaluleke kakhulu. Ukuze iziphumo zovavanyo zibe zezichanekileyo, kufuneka ulandele le miyalelo ngokuchanekileyo.
Eyona nto ibalulekileyo: Ukuba ukhulelwe, uzama ukukhulelwa, okanye uncancisa, qiniseka ukuba uxelele abasebenzi bezonyango ngaphambi kokuba uhlolwe. Oku kubaluleke kakhulu.
- Xelela ugqirha wakho ngayo nayiphi na imithi oyithathayo (kuquka iivithamini kunye namayeza esintu). Amanye amayeza (ingakumbi amayeza okudambisa iintlungu) anokuchaphazela iziphumo zovavanyo, ngoko ke unokucelwa ukuba uyeke ukuwasebenzisa kwiiyure ezimbalwa ngaphambi kokuba kuhlolwe.
- Ukuzila Ukutya: Kuya kufuneka uzile ukutya ubuncinane iiyure ezi-4 ngaphambi kokuba uhlolwe. Kulungile ukusela amanzi amancinci. Ungacelwa ukuba uzile ukutya ixesha elide. Uya kwaziswa ngale nto kwangaphambili.
- Susa ubucwebe: Musa ukunxiba naziphi na ubucwebe okanye izinto zesinyithi ngexesha lokuskena.
- Musa ukoyika: Abanye abantu bayoyika ukuba kwindawo evalekileyo njenge-MRI scan. Ikhamera ekule ayilotyhubhu evaliweyo. Yikhamera nje evulekileyo kumacala omabini kwaye ibekwe phezu kwesisu sakho. Ngoko ke akufuneki ukhathazeke ngokubhajwa.
Kwenzeka ntoni ngexesha leskeni?
Ukwenza iskeni yinkqubo elula kakhulu.
1. Okokuqala, uza kunikwa ilokhwe yesibhedlele oza kuyinxiba. Indawo yesisu sakho kufuneka ibonakale.
2. Uza kulaliswa etafileni yovavanyo.
3. Emva koko umongikazi okanye ingcali iza kufaka i-catheter encinci (i-IV catheter) emthanjeni osengalweni yakho. Baza kufaka ikhemikhali ebizwa ngokuba yi-"radiotracer" ngayo. Kule ndawo, uza kuziva urhawuzelelwa, njengembovane encinci.
4. Ikhamera ibekwe kancinci nangononophelo phezu kwesisu sakho.
5. Emva koko qala ukuthatha imifanekiso. Eyona nto ibalulekileyo ngeli xesha kukuba ungashukumi konke konke. Ngale ndlela unokufumana imifanekiso ecacileyo.
6. Emva kokuthatha imifanekiso, ngamanye amaxesha unokunikwa elinye iyeza nge-IV ukunceda inyongo yakho iqine (ingabi nanto). Usenokuziva uqaqanjelwa sisisu ngeli xesha. Oku kungenxa yokuba inyongo iyaqina. Emva kokukunika elo yeza, kuza kuthathwa eminye imifanekiso.
7. Lonke uvavanyo lungathatha naphi na ukusuka kwiyure e-1 ukuya kwezi-4 . Kwezinye iimeko ezingaqhelekanga, unokucelwa ukuba ubuye emva kweeyure ezingama-24 ukuze uthathe eminye imifanekiso.
Iskeni ayibuhlungu. Nangona kunjalo, ukuba sele unentlungu yenyongo, usenokuziva iintlungu ngexesha leskeni.
Ndingenza ntoni emva kokuskena?
Nje ukuba iskeni iphelile, ungaya ekhaya okanye uye ewadini yesibhedlele. Emva koko yenza ezi zinto.
- Sela amanzi amaninzi: Sela amanzi amaninzi kunye nolwelo kwiiyure ezingama-24 ezizayo. Oku kuya kunceda i-radiotracer ukuba iphume ngokukhawuleza emzimbeni wakho ngokusebenzisa umchamo kunye nendle yakho.
- Emva kokusebenzisa indlu yangasese: Soloko uhlamba indlu yangasese kakuhle emva kokuyisebenzisa, kwaye uhlambe izandla zakho kakuhle ngesepha. I-radioactivity yekhemikhali iphantsi kakhulu, ngoko akukho mngcipheko kwabo bakungqongileyo.
- Kwabomama abancancisayo: Oku kubaluleke kakhulu. Musa ukuncancisa umntwana wakho iiyure ezingama-24 emva kokuskena. Lahla naluphi na ubisi lwebele oluvezwa ngelo xesha. Oku kungenxa yokuba i-radioactivity evela kwi-radiotracer ingadlula iye kubisi lwebele kwaye yonakalise umntwana. Ke ngoko, kunceda kakhulu ukukhama ubisi lwebele ngaphambi kokuskena.
Ngaba kukho umngcipheko koku?
Iingozi zokuhlolwa kwe-HIDA ziphantsi kakhulu.
- I-IV isenokuba ikruqukile kancinci apho ifakwe khona.
- Ukuvezwa kwemitha kuncinci kakhulu. Oku kuphantse kube ngumlinganiselo ofanayo wemitha efunyanwa yimizimba yethu kwindalo esingqongileyo ngonyaka oqhelekileyo.
- Kunqabile kakhulu ukuba ne-allergy kwiikhemikhali ezisetyenzisiweyo.
Ulwazi olufunyenwe kolu vavanyo lusenokungafumaneki kwezinye iimvavanyo, ezifana ne-ultrasound. Ke ngoko, kumntu ongakhulelwanga, iingenelo zokwenza olu vavanyo zingaphezulu kakhulu kuneengozi ezincinci.
Ndingayifumana njani ingxelo? Iqulethe ntoni?
Ingcali ye-radiology iza kuhlola iiskeni zakho ize ibhale ingxelo, eya kuthunyelwa kugqirha wakho onyangayo. Iziphumo zihlala zifumaneka kwiiyure ezingama-24. Ugqirha wakho uza kukuchazela ingxelo.
| Amaqiniso anokwenzeka kwingxelo | Oko kunokuthetha ukuthini |
|---|---|
| Eqhelekileyo | Akukho zithintelo kwindlela yokuhamba kwenyongo. Inyongo ihamba kakuhle isuka esibindini iye kwinyongo ize isuke apho iye emathunjini amancinci. |
| Ukuhamba kancinci kweekhemikhali | Oku kungabonisa ukuvaleka kwemibhobho yenyongo okanye ubuthathaka obuthile ekusebenzeni kwesibindi. |
| Iikhemikhali azibonakali kwi-gallbladder | Oku kudla ngokubonisa imeko ebizwa ngokuba yi-acute cholecystitis, nto leyo ethetha ukuba i-bile duct eya kwi-gallbladder ivaliwe. |
| Inxalenye yokukhupha i-gallbladder ephantsi | Ubungakanani benyongo ekhutshwa kwinyongo emva kokuba iyeza linikwe buyalinganiswa. Ukuba ingaphantsi kwama-30%-35%, oko kunokubonisa i-cholecystitis engapheliyo. |
| Ubukho bekhemikhali kwezinye iindawo | Ukuba le khemikhali ibonwa kwezinye iindawo ezingaphandle kwenkqubo ye-bile duct, oko kunokubonisa ukuvuza kwe-bile. |
Nokuba yintoni na isiphumo, ugqirha wakho uza kukuchazela kakuhle aze akucebise ngento omawuyenze emva koko.
Umyalezo Wokuya Ekhaya
- I-HIDA scan luvavanyo olukhuselekileyo nolungenabuhlungu lokujonga ukusebenza kwenkqubo yakho ye-gallbladder kunye ne-bile duct.
- Kubaluleke kakhulu ukulandela imiyalelo enikiweyo ngaphambi kokuhlolwa, ingakumbi malunga nokuzila ukutya nokwazisa ugqirha ukuba ukhulelwe okanye uncancisa.
- Ubungakanani bemitha efunyanwa ngumzimba wakho buncinci kakhulu. Musa ukukhathazeka ngokungeyomfuneko ngayo.
- Sela amanzi amaninzi emva kokuhlolwa. Ukuba ungumama oncancisayo, kuphephe ukuncancisa umntwana wakho iiyure ezingama-24.
- Thetha ngokukhululekileyo nogqirha wakho malunga nengxelo yakho yovavanyo kunye nayo nayiphi na imibuzo onayo ngayo.
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