Ingabe ngezinye izikhathi uba nobuhlungu obukhulu noma ubuhlungu esiswini sakho sokunene, ikakhulukazi ngaphansi kwezimbambo zakho? Mhlawumbe udokotela wakho usola inkinga yenyongo futhi wasikisela ukuthi kwenziwe i-'HIDA scan'? Ngisho noma igama lingase lizwakale lithusa kancane, empeleni aliyesabisi kangako. Akuyona ukuhlinzwa, futhi akulona ukuhlolwa okubuhlungu kakhulu. Ngakho-ke namuhla, ake sixoxe ngakho konke mayelana nalesi HIDA scan, kalula nje.
Kuyini ukuskena kwe-HIDA kalula?
Ukuskena kwe-HIDA kuwukuhlolwa kwesithombe. Uma sikhuluma iqiniso, kuwukuhlolwa kwemithi yenuzi. Kulungile, ungesabi lawo magama amakhulu. Kalula nje, kubheka indlela inyongo yakho kanye nezinhlelo ezihlobene ezisebenza ngayo.
Ake siqale siqonde kancane ngalolu hlelo. Cabanga ngalo ngale ndlela.
1. Isibindi sethu sikhiqiza ujusi wokugaya ukudla obizwa ngokuthi i-bile . Lokhu kusiza ekuncibilikiseni amafutha ekudleni esikudlayo.
2. Inyongo ekhiqizwa ngale ndlela igcinwa esithweni esincane esifana nesikhwama ngaphansi kwesibindi esibizwa ngokuthi i-gallbladder.
3. Uma sidla, le nyongo iyafinyela (iyacindezela) bese ithumela inyongo equkethwe yiyo ngemigudu iye emathunjini amancane.
Manje, okwenziwa yilolu cwaningo lwe-HIDA ukuhlola ukuthi ngabe i -bile duct isebenza kahle yini, ukuthi ngabe kukhona yini ukuvaleka endaweni ethile, nokuthi ngabe i-bile iyavuza yini .
Ukuze benze lokhu, bafaka ikhemikhali encane kakhulu, engenangozi ebizwa ngokuthi 'i-radioactive tracer' emthanjeni wakho. Lesi sici sihamba ngqo endleleni yenyongo. Bese, ikhamera ekhethekile ('ikhamera ye-gamma') ithatha izithombe zalesi sici njengoba sihamba. Ngokubheka izithombe, odokotela bangathola umbono omuhle wokuthi inyongo yakho isebenza kanjani.
Amanye amagama alokhu yi-'cholescintigraphy' kanye ne-'hepatobiliary scintigraphy'.
Yiziphi izifo ezingatholakala ngalesi sikeni?
Udokotela uzo-oda ukuhlolwa kwe-HIDA ikakhulukazi uma esola izifo eziningana ezihlobene nenyongo. Ake sibone ukuthi ziyini.
| Isimo sezokwelapha | Kalula nje... |
|---|---|
| I-Cholecystitis Ebukhali | Lesi yisimo esiphuthumayo. Amatshe enyongo angabangela ukuba inyongo ivuvuke, okubangela ubuhlungu obukhulu ohlangothini lwesokudla lwesisu kanye nomkhuhlane. Lokhu kungahlolwa ngokunembile nge-HIDA scan. |
| I-Cholecystitis Engapheli | Yilapho inyongo ivuvukala khona njalo ngenxa yamatshe enyongo. Ubuhlungu bungase bungabi bukhulu njengakuqala, kodwa buzoqhubeka buvamile. |
| Ukungasebenzi kahle kwe-Sphincter of Oddi | Lokhu kuyinkimbinkimbi kancane. Kukhona umsipha olawula ukugeleza kwe-bile kanye nejusi le-pancreatic emathunjini amancane. Uma lokhu kungavuli kahle, amajusi ayabuya futhi abangele ubuhlungu obukhulu. |
| I-Biliary Atresia | Lesi yisimo esingavamile kodwa esiyingozi esenzeka ezinganeni ezisanda kuzalwa. Imisele yenyongo yengane ivaliwe. Lokhu kubangela ukuthi umzimba wengane uphenduke ophuzi (i-jaundice esanda kuzalwa). Uma ukuhlinzwa kungenziwa ngokushesha, isibindi singalimala. |
| Ukuvuza Kwenyongo | Inyongo ingavuza emigudwini yenyongo, njengangemva kokuhlinzwa kokususwa kwenyongo, ingozi, noma ukufakelwa isibindi. Lokhu kungabangela ukuvuvukala kwezicubu ezizungezile futhi kuholele ekuthelelekeni. |
Uzodinga nini ukuskena kwe-HIDA?
Kunezizathu eziningana eziyinhloko zokuthi kungani udokotela wakho angakuthumela kulolu vivinyo:
- Ubuhlungu obukhulu ohlangothini lwesokudla lwesisu: Ikakhulukazi uma ubuhlungu buqala ngokuzumayo futhi buqhubeka, kungaba ukuvuvukala kwenyongo (i-cholecystitis). Lesi yisona sizathu esiyinhloko sokwenza i-HIDA scan.
- Ubuhlungu kanye nomkhuhlane ngemva kokuhlinzwa: Uma uke wahlinzwa ukususwa kwenyongo, ukufakelwa isibindi, noma olunye ukuhlinzwa okuhlobene futhi uzwa umkhuhlane kanye nobuhlungu ngemva kwalokho, lokhu kuskenwa kwenziwa ukuze kuhlolwe ukuvuza kwenyongo.
- I-jaundice eningi kakhulu enganeni esanda kuzalwa: Uma ingane iba ne-jaundice kakhulu zingakapheli izinsuku ezimbalwa izelwe, lokhu kuhlolwa kubalulekile ukuze kutholakale ukuthi imbangela iyi-biliary atresia.
- Ukuhlola i-stent efakwe emigudwini ye-bile:Ngezinye izikhathi lapho i-bile duct ivalekile, kufakwa ipayipi elincane (i-stent) ukuze lihlale livulekile. Kungenziwa ne-HIDA scan ukuze kubonakale ukuthi lokhu kusebenza kahle yini.
Ulungiselela kanjani ngaphambi kokuskena?
Lokhu kubaluleke kakhulu. Ukuze imiphumela yokuhlolwa ibe nembile, kufanele ulandele le miyalelo ngqo.
Okubaluleke kakhulu: Uma ukhulelwe, uzama ukukhulelwa, noma uncelisa, qiniseka ukuthi utshela abasebenzi bezokwelapha ngaphambi kokuskena. Lokhu kubaluleke kakhulu.
- Tshela udokotela wakho nganoma yimiphi imithi oyithathayo (kufaka phakathi amavithamini kanye nemithi yamakhambi). Eminye imithi (ikakhulukazi imithi yokubulala ubuhlungu) ingathinta imiphumela yokuhlolwa, ngakho-ke ungase ucelwe ukuthi uyeke ukuyithatha emahoreni ambalwa ngaphambi kokuskena.
- Ukuzila Ukudla: Kuzodingeka uzile ukudla okungenani amahora ama-4 ngaphambi kokuskena. Kulungile ukuphuza amanzi amancane. Ungase ucelwe ukuthi uzile ukudla isikhathi eside. Uzokwaziswa ngalokhu kusenesikhathi.
- Susa ubucwebe: Ungagqoki ubucwebe noma izinto zensimbi ngesikhathi sokuskena.
- Ungesabi: Abanye abantu besaba ukuba sendaweni evalekile njenge-MRI scan. Ikhamera ekulena akuyona ipayipi elivaliwe. Yikhamera nje evulekile nhlangothi zombili futhi ebekwe phezu kwesisu sakho. Ngakho akudingeki ukhathazeke ngokubhajwa.
Kwenzekani ngesikhathi sokuskena?
Ukwenza iskena kuyinqubo elula kakhulu.
1. Okokuqala, uzonikezwa ingubo yasesibhedlela ozoyigqoka. Indawo yesisu sakho kufanele ivele obala.
2. Uzolaliswa etafuleni lokuhlolwa.
3. Ngemuva kwalokho umhlengikazi noma uchwepheshe uzofaka i-catheter encane (i-catheter ye-IV) emthanjeni osengalweni yakho. Bazofaka ikhemikhali ebizwa ngokuthi "i-radiotracer" ngayo. Kuleli qophelo, uzozwa umuzwa wokuhlaba, njengentuthwane encane.
4. Ikhamera ibekwe kancane futhi ngokucophelela phezu kwesisu sakho.
5. Bese uqala ukuthatha izithombe. Into ebaluleke kakhulu kulesi sigaba ukuthi awunyakazi nhlobo. Ngaleyo ndlela ungathola izithombe ezicacile.
6. Ngemva kokuthatha izithombe, ngezinye izikhathi omunye umuthi unganikezwa nge-IV ukusiza inyongo yakho ukuthi inciphe (ingabi nalutho). Ungase uzizwe ubuhlungu besisu ngalesi sikhathi. Lokhu kungenxa yokuthi inyongo iyaqina. Ngemva kokunikeza lowo muthi, kuzothathwa izithombe ezengeziwe.
7. Isivivinyo sonke singathatha noma yikuphi kusukela ehoreni eli-1 kuya kwelesi-4 . Kwezinye izimo ezingavamile, ungase ucelwe ukuthi ubuye ngemva kwamahora angama-24 ukuze uthathe izithombe ezengeziwe.
Ukuskena akubuhlungu. Kodwa-ke, uma usuvele unobuhlungu benyongo, ungase usazizwa ubuhlungu ngesikhathi sokuskena.
Yini okufanele ngiyenze ngemva kokuskena?
Uma ukuskena sekuphelile, ungaya ekhaya noma uye ewadini yesibhedlela. Bese wenza lezi zinto.
- Phuza amanzi amaningi: Phuza amanzi amaningi kanye noketshezi emahoreni angama-24 alandelayo. Lokhu kuzosiza i-radiotracer ukuthi iphume ngokushesha emzimbeni wakho ngomchamo kanye nendle yakho.
- Ngemva kokusebenzisa indlu yangasese: Hlanza indlu yangasese kahle njalo ngemva kokuyisebenzisa, bese ugeza izandla zakho kahle ngensipho. Ukushisa kwamakhemikhali kuphansi kakhulu, ngakho-ke akukho bungozi kulabo abaseduze nawe.
- Kwabomama abancelisayo: Lokhu kubaluleke kakhulu. Ungamncelisi umntwana wakho ibele amahora angama-24 ngemva kokuskena. Lahla noma yiluphi ubisi lwebele olukhishwa phakathi naleso sikhathi. Lokhu kungenxa yokuthi i-radioactivity evela ku-radiotracer ingadlulela obisini lwebele futhi ilimaze umntwana. Ngakho-ke, kuyasiza kakhulu ukukhipha ubisi lwebele ngaphambi kokuskena.
Ingabe kukhona ingozi kulokhu?
Izingozi zokuskena kwe-HIDA ziphansi kakhulu.
- I-IV ingase iphuke kancane lapho ifakiwe khona.
- Ukuchayeka emisebeni kuncane kakhulu. Lokhu cishe kufana nenani lemisebe elitholwa yimizimba yethu emvelweni ngonyaka ojwayelekile.
- Kuyivelakancane kakhulu ukuba nokusabela kokungezwani komzimba namakhemikhali asetshenziswayo.
Ulwazi olutholwe kulolu vivinyo lungase lungatholakali kwezinye izivivinyo, njenge-ultrasound. Ngakho-ke, kumuntu ongakhulelwe, izinzuzo zokwenza lokhu kuskena zidlula kakhulu izingozi ezincane kakhulu.
Ngingawuthola kanjani umbiko? Uquketheni?
Udokotela we-X-ray uzobuyekeza ama-scan akho bese ebhala umbiko, ozothunyelwa kudokotela wakho okwelaphayo. Imiphumela ivame ukutholakala zingakapheli amahora angama-24. Udokotela wakho uzokuchazela umbiko.
| Amaqiniso angenzeka embikweni | Kungasho ukuthini |
|---|---|
| Okuvamile | Akukho zithiyo endleleni yokugeleza kwenyongo. Inyongo ihamba kahle isuka esibindini iye enyongweni bese isuka lapho iye emathunjini amancane. |
| Ukuhamba kancane kwamakhemikhali | Kungase kubonise ukuvaleka kwemisele yenyongo noma ubuthakathaka obuthile ekusebenzeni kwesibindi. |
| Amakhemikhali awabonakali enyongweni | Lokhu kuvame ukukhombisa isimo esibizwa ngokuthi i-acute cholecystitis, okusho ukuthi i-bile duct eya enyongweni ivaliwe. |
| Ingxenye ephansi yokukhipha inyongo | Inani lenyongo elikhishwa yinyongo ngemva kokunikezwa umuthi liyalinganiswa. Uma lingaphansi kuka-30%-35%, kungase kube uphawu lwe-cholecystitis engapheli. |
| Ukuba khona kwamakhemikhali kwezinye izindawo | Uma ikhemikhali libonakala kwezinye izindawo ezingaphandle kohlelo lwe-bile duct, kungase kubonise ukuvuza kwe-bile. |
Kungakhathaliseki ukuthi umphumela uba yini, udokotela wakho uzochaza kahle futhi akunikeze iseluleko ngalokho okufanele ukwenze ngokulandelayo.
Umlayezo Wokuya Nawe Ekhaya
- I-HIDA scan iyindlela ephephile kakhulu futhi engenabuhlungu yokuhlola ukusebenza kohlelo lwakho lwe-gallbladder kanye ne-bile duct.
- Kubaluleke kakhulu ukulandela imiyalelo enikezwe ngaphambi kokuskena, ikakhulukazi mayelana nokuzila ukudla nokwazisa udokotela uma ukhulelwe noma uncelisa.
- Inani lemisebe elitholwa ngumzimba wakho lincane kakhulu. Ungakhathazeki ngokungadingekile ngakho.
- Phuza amanzi amaningi ngemva kokuskena. Uma ungumama oncelisayo, gwema ukuncelisa ingane yakho amahora angama-24.
- Khuluma ngokukhululekile nodokotela wakho mayelana nombiko wakho wokuhlolwa kanye nanoma yimiphi imibuzo onayo ngawo.
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