Isibindi sakho kanye nobende zinjani? (I-Liver and Spleen Scan)

Sawubona! Kungenzeka ukuthi uzizwe ukhathazekile futhi wesaba kancane lapho udokotela ekutshela ukuthi wenze i-scan ekhethekile ukuhlola isibindi sakho kanye nobende, "i-Liver and Spleen Scan", akunjalo? Noma mhlawumbe ubunelukuluku kakhulu lokuthi lokhu kumayelana nani. Ngakho-ke, ungakhathazeki. Ake sixoxe ngalokhu ngokuningiliziwe, kalula kakhulu, namuhla. Ngizochaza konke ngendlela ongayiqonda.

Kuyini ukuhlolwa kwesibindi kanye ne-spleen?

Kalula nje, lokhu ukuhlolwa okukhethekile kokuhlolwa kwezithombe zemithi yenuzi . Kubheka kakhulu izitho ezimbili ezibizwa ngokuthi isibindi sakho kanye ne-spleen. Zombili lezi zitho zitholakala engxenyeni engenhla yesisu sethu. Into ebalulekile ukuthi uma kunenkinga ngesinye salezi zitho, ingathinta nesinye. Bafana nabangane ababili abakhulu.

Kulesi sivivinyo, inani elincane lezinto ezinemisebe (i-radioactive tracer) lifakwa emzimbeni wakho. Bese, kusetshenziswa idivayisi ekhethekile ebizwa ngokuthi ikhamera ye-gamma ukubuka ukuthi le nto imuncwa kanjani yisibindi sakho kanye ne-spleen. Lokhu kuvumela odokotela ukuthi babone ukuthi izitho zakho ezimbili zisebenza kahle kangakanani nokuthi kukhona yini umonakalo kuzo. Akuyona yini ubuchwepheshe obumangalisayo?

Kungani kungadingeka ngenze iskena esinjengalesi?

Manje ungase ucabange, "Kungani ngicelwa ukuba ngenze lolu hlobo lokuskena?" Kunezinye izinhlobo zokuskena ukuze kubhekwe isibindi kanye nobende. Kodwa okukhethekile ngalokhu `(Ukuskena Kwesibindi kanye Nobende)` ukuthi kungabona ukuthi amangqamuzana asezingxenyeni ezahlukene zezitho zomzimba asebenza kangakanani nokuthi asabela kahle kangakanani .

Lokhu kungakusiza ukuthola noma yiziphi izindawo ezingavamile esibindini sakho noma espleen, ezibizwa ngokuthi 'izilonda', lapho izicubu zishintshile khona futhi zingasebenzi kahle. Kungabheka nezinto ezifana ne-fibrosis, ukuvuvukala, izinguquko ekugelezeni kwenyongo, kanye nezinguquko ekugelezeni kwegazi. Ngakho-ke, kubaluleke kakhulu ukuhlola umonakalo ezithweni zomzimba.

Kusetshenziselwani lokhu kuskena?

Udokotela wakho angase akuncome lokhu kuskena ngezizathu eziningana. Ake sibheke ukuthi ziyini:

• Bheka ukuthi isimo sesifo sesibindi esidala (`(isifo sesibindi esingamahlalakhona)` sinjani.
• Uma welapha isifo, bheka ukuthi siyaselapha noma siyasithuthukisa yini isimo.
• Uma isibindi noma udende lonakele, njengasengozini, hlola ubukhulu bomonakalo.
• Thola ukuthi kukhona yini ukulimala noma izicubu ezingavamile (izilonda) kulezi zitho.
• Ngezinye izikhathi siba nobuhlungu esiswini esingaphezulu, kodwa asikwazi ukuthola imbangela. Kulezo zimo, lokhu kuzosisiza ukuthola imbangela.
• Hlola noma yiziphi izinkinga zomzimba ezithinta isibindi kanye ne-spleen.

Yiziphi izinhlobo zezimo zezokwelapha ezingabonakala ngalesi sikeni?

Imiphumela yalokhu kuskena inganikeza izinkomba mayelana nezimo zezokwelapha ezahlukahlukene. Nazi izibonelo ezimbalwa:

• Ukuvuvukala kwesibindi, yilesi simo esisibiza ngokuthi "i-hepatitis".
• Ukulimala kwesibindi, i-fibrosis, kanye ne-cirrhosis okungenzeka.
• Isifo sesibindi esinamafutha yikuqongelela kwamafutha esibindini.
• Ingabe isibindi sisanda kukhula?
• Ingabe udende lukhulisiwe?
• Ingabe i-spleen isebenza kanzima kakhulu, okusho ukuthi kukhona isimo esibizwa ngokuthi "i-hypersplenism"?
• Ukwanda komfutho wegazi emithanjeni yesibindi, okwaziwa ngokuthi "i-Portal hypertension".
• Isimo esibizwa ngokuthi "i-Budd-Chiari syndrome" lapho imithambo yesibindi ivalekile noma incipha khona.
• Ingabe kukhona i-aneurysm ye-splenic artery (`(i-aneurysm ye-splenic artery)`)?
• Ingabe kukhona udende oluqhekekile?
• Ingabe kukhona izicubu ezithile esinqeni esifile (`(Splenic infarction)`)?
• Ingabe ukusebenza kwesibindi kuyaphazamiseka (`(Ukwehluleka kwesibindi)`)?
• Noma yisiphi isigaxa noma ukukhula kwesibindi. Isibonelo, ithumba, isimila esingenabungozi, i-hemangioma yesibindi, noma i-cyst yesibindi.
• Umdlavuza wesibindi noma ubende.
• Ingabe umdlavuza owaqala kwenye indawo emzimbeni ususakazekele kulezi zitho zomzimba (umdlavuza osakazekile)?
• Izifo zofuzo ezifana nesifo seGaucher ezithinta lezi zitho zomzimba.

Okubalulekile: Ungesabi ngalolu hlu, kulungile? Lokhu kuskena akwenziwa ukuze kubonakale ukuthi unazo zonke lezi zifo. Kwenziwa ngokusekelwe ezimpawu zakho kanye nokusola kukadokotela.

Lokhu kuskena kwesibindi kanye nobende kusebenza kanjani? Kulula kakhulu!

Cabanga "ngenhloli" encane efakwa emzimbeni wakho. Lena akuyona inhloli yangempela. Inani elincane lomuthi, i-radioactive tracer, lifakwa emthanjeni osengalweni yakho. Nakuba liyi-radioactive, akukho okufanele ukwesabe, liyinani elincane kakhulu, elilawulwayo lemisebe , futhi liphuma emzimbeni wakho ngemva kwesikhashana.

Lomuthi uhamba egazini lakho bese umuncwa esibindini sakho nasesinqeni. Bese kuthi, leyo khamera ye-gamma engikhulume ngayo ekuqaleni "ifunde" imisebe ye-gamma ekhishwa yilo muthi. Okusho ukuthi, ithola ukuthi umuthi ukuphi nokuthi ungakanani kuwo.

Izithombe ezithathwe yikhamera ye-gamma zibe sezihlanganiswa nezithombe zezitho zakho ezinobukhulu obuthathu (`3D`). Lezi zithombe ezinobukhulu obuthathu zithathwa kusetshenziswa inqubo ebizwa ngokuthi ``SPECT/CT scan``. ``(SPECT)`` imele ``(single-photon emission computed tomography)`` kanye ``(CT)`` imele ``(computed tomography)``. Uma konke lokhu kuhlanganiswa, odokotela bathola isithombe esicacile sesibindi sakho kanye ne-spleen.

Kufanele ngilungiselele kanjani ngaphambi kokuskena?

Lokhu akudingi ukulungiselela okuningi.

• Udokotela uzokuchazela lokhu kuhlolwa, bese ucelwa ukuthi usayine imvume yakho.
• Kuzodingeka ugqoke ingubo ekhethekile yesibhedlela.
• Kuzodingeka ususe noma yibuphi ubucwebe bensimbi obunabo emzimbeni wakho, njengemigexo, amasongo, namacici, njengoba kungathathwa yiskena.
• Uma ukhathazekile kancane noma ukhathazekile ngalokhu, ungacela udokotela ukuthi akunike umuthi wokudambisa. Lokho kuzokusiza uphumule kancane.

Kuthatha isikhathi esingakanani lokhu kuskena?

Isivivinyo sonke sivame ukuthatha cishe ihora .

Ngemva komjovo, ulinda cishe imizuzu eyi-15 kuya kwengama-30 ukuze umuthi umunceke esibindini nasesinqeni. Kulapho-ke uqala khona ukuthatha izithombe. Kungathatha cishe imizuzu eyi-15-20 ukuthatha izithombe ngekhamera ye-gamma, kanye neminye imizuzu eyi-15-20 ukuthatha izithombe ngeskena se-`(CT)`.

Kwenzekani ngesikhathi sokuskena?

Kulungile, manje ake sibone ukuthi kwenzekani ngempela lapho kwenziwa ukuskena.

1. Okokuqala, uchwepheshe we-radiologic uzofaka i-tracer ekhethekile ye-radioactive (ngokuvamile i-Tc-99m sulfur colloid) emthanjeni osengalweni yakho ngomjovo omncane (ngokusebenzisa i-IV). Uzozwa umuzwa omncane wokuhlaba lapho inaliti ifakwa, okuyinto evamile.

2. Ngemuva kwalokho, udinga ukulinda isikhashana (cishe imizuzu eyi-15-30) ukuze umuthi umunceke emzimbeni wakho.

3. Okulandelayo, uzolaliswa embhedeni kuskena. Isikena esimise okwedonathi sizobekwa ngendlela yokuthi silingane kahle esiswini sakho.

4. Ikhamera iqala ngokuskena umzimba wakho wonke ngemisebe ye-gamma. Bese ijikeleza kancane kancane nxazonke zakho, ithatha izithombe ezinezinhlangothi ezintathu (3D).

5. Uchwepheshe angase akucele ukuthi uphenduke uthathe izithombe ukuze ikhamera ibukeke kahle. Into ebaluleke kakhulu ukuhlala unganyakazi kuzo zonke izikhundla. Lokhu kuzokusiza ukuthi uthole izithombe ezicacile.

6. Uma ukuskena sekuqediwe, i-IV izosuswa. Ungavuka ugqoke izingubo zakho.

Ingabe kukhona izingozi kulokhu?

Izingozi ezinkulu zalokhu kuhlolwa ziphansi kakhulu. Kodwa-ke, kubalulekile ukwazisa udokotela wakho ngalokhu okulandelayo:

• Uma ukhulelwe: Ngisho noma inani lemisebe esetshenziswayo lincane kakhulu, lingathinta ingane engakazalwa.
• Uma ungumama oncelisayo: Izinto ezikhipha imisebe zingadlulela obisini lwakho. Ngakho udokotela wakho uzokutshela ukuthi uyeke ukuncelisa izinsuku ezimbalwa.
• Uma une-allergy ezintweni ezikhipha imisebe (sulfur-colloid). Lokhu akuvamile kakhulu, kodwa uma unayo, kufanele usitshele kusenesikhathi.

Ingabe kukhona engizokuzwa?

• Uma ufaka i-IV esandleni sakho, kuba sengathi kufakwa inaliti encane.
• Ngeke uzwe lutho ngesikhathi sokuskena, kodwa abanye abantu bangase bazizwe bengakhululekile uma behlala bethule isikhashana.
• Ngeke uzizwe izinto ezikhipha imisebe emzimbeni wakho zifakwa. Kodwa-ke, ukuze usize uphume emzimbeni wakho ngokushesha, udinga ukuphuza amanzi amaningi emahoreni angama-24 alandelayo ngemva kokuskena.

Uyibonisa kanjani imiphumela? Ziyini lezi "zindawo ezishisayo" kanye "nezindawo ezibandayo"?

Ngemva kokuba into ekhipha imisebe (`i-radionucleotide`) ingene emthanjeni wakho, iya ngqo esibindini sakho nasesinqeni. Lezi zitho ezimbili zimunca into ekhipha imisebe.

Manje ezithombeni,

• Kunezindawo ezithile ezibonakala zikhanya kakhulu kunezinye. Lezi zibizwa ngokuthi “ama-hot spots.” Lokho kusho ukuthi into imuncwe kahle kakhulu kulezo zindawo.
• Kunezindawo ezithile ezibonakala zimnyama . Lezi zibizwa ngokuthi "amabala abandayo." Lokhu kusho ukuthi into ayimuncwanga kahle kulezo zindawo.

Uchwepheshe uphinde aqhathanise ukuthi ingakanani into emuncwe yilezi zitho ezimbili. Ngokuvamile, isibindi yisona okufanele simunce into eningi kunespleen.

Kodwa-ke, uma isibindi simunca kancane kunalokho okufanele futhi i-spleen simunca okuningi, kubizwa ngokuthi "ukushintsha kwe-colloid." Lokhu kubonisa ukuthi ukusebenza kwesibindi kwehlile.

Kwenzekani ngemva kokufika kwemiphumela yami?

Uma imiphumela ye-"Liver and Spleen Scan" yakho isifikile, udokotela uzoyibheka bese efika esiphethweni ngesimo sakho.

• Le miphumela ingase ikwazi ukunikeza ukuxilongwa okuqondile . Uma kunjalo, udokotela uzoxoxa nawe ngezinyathelo ezilandelayo zokwelapha.
• Ngezinye izikhathi, kungase kwenziwe ezinye izivivinyo ukuqinisekisa ulwazi olutholakale kulokhu kuskena.

Kodwa-ke, udokotela uzochaza konke kuwe.

Yiziphi ezinye izinhlobo zokuskena ezikhona ukuze kubhekwe izinkinga zesibindi?

Ngaphezu kwalokhu `(Ukuskena Kwesibindi Nesinqe)`, kunezinye izinhlobo zokuhlolwa kwezithombe ukuze kubhekwe isimo sesibindi nesinqe. Ezinye izibonelo yilezi:

• Ukuskena kwe-CT yesibindi (`(Ukuskena kwe-CT yesibindi)`)
• Ukuskena kwe-spleen CT (`(Ukuskena kwe-spleen CT)`)
• Ukuskena kwe-ultrasound yesisu (`(i-ultrasound yesisu)`)
• I-elastography yesibindi (eyaziwa nangokuthi i-MRE noma i-FibroScan® ultrasound).
• Ukuskena kwe-MRI yesibindi/ubende (`(i-MRI yesibindi/ubende)`)

Udokotela wakho uzonquma ukuthi yikuphi ukuhlolwa okufaneleka kakhulu kuwe.

Okokugcina, izinto okufanele uzikhumbule (Umyalezo Wokuya Ekhaya)

Lokhu kuskena kwesibindi kanye ne-spleen yokwelapha nge-nuclear kuyithuluzi eliwusizo elisiza odokotela ukuthi babheke lezi zitho ezimbili ezibambisene ngendlela entsha futhi baqonde ukuthi zisebenza kanjani. Lokhu kuskena kungasiza ekuboneni izimo ezithinta zombili izitho, kuhlole umonakalo, kubone ukuthi isifo siyathuthuka noma siyehla, futhi kuqaphe inqubekela phambili yokuphulukiswa.

Uma unemibuzo noma ukukhathazeka mayelana nalolu vivinyo noma imiphumela,Ungesabi ukukhuluma nodokotela wakho. Ngemuva kwalokho ungacacisa konke. Hlala uphilile!

Isibindi , ubende, iskeni, umuthi wenuzi, ukuxilongwa, isifo sesibindi, isisu