He aha ka Technetium Tc-99m Disofenin: Nā hoʻohana, ka nui o ka lāʻau, nā hopena ʻaoʻao a me nā mea hou aku

ʻO Technetium Tc-99m disofenin he mea hōʻailona radioactive kūikawā e kōkua ana i nā kauka e ʻike i ka maikaʻi o ka hana ʻana o kou ate a me ka ʻōpū. Hāʻawi ʻia ma o ka IV i ka wā o kahi hoʻokolohua kiʻi lapaʻau i kapa ʻia he HIDA scan, hiki ke ʻike i nā pilikia e like me nā pōhaku gall, nā poloka bile duct, a i ʻole ka hana ʻole o ke ake.

Aia i loko o kēia lāʻau lapaʻau kahi mea radioactive liʻiliʻi loa i palekana loa no nā kumu diagnostic. E noʻonoʻo e like me ke kukui mālie e hoʻomālamalama ana i kāu ʻōnaehana digestive i hiki i nā kauka ke kiʻi i nā kiʻi kikoʻī a hoʻomaopopo i ka mea e hana nei i loko o kou kino.

He aha ka Technetium Tc-99m Disofenin?

ʻO Technetium Tc-99m disofenin he radiopharmaceutical, ʻo ia hoʻi he lāʻau lapaʻau i loaʻa nā mea radioactive i hoʻolālā ʻia no ke kiʻi lapaʻau. ʻO ka ʻāpana

ʻO nā kumu maʻamau e ʻōlelo ai kāu kauka i kēia hoʻokolohua, ʻo ia ka noiʻi ʻana i ka ʻeha o ka ʻōpū mau, ʻoi aku hoʻi ma ka ʻaoʻao ʻākau luna kahi e noho ai kou gallbladder. Hiki iā ia ke ʻike i nā pōhaku ʻōpū, ka mumū o ka gallbladder (cholecystitis), a i ʻole nā ​​pāpā i nā paipu e lawe ana i ka bile mai kou ate i kou ʻōpū.

He mea waiwai nō hoʻi kēia mea huli no ka nānā ʻana i ka maikaʻi o ka hana ʻana o kou ate, ʻoiai ma hope o ke ʻoki ʻana a i ʻole i nā hihia o ka maʻi ate i manaʻo ʻia. Hiki iā ia ke hōʻike inā e kahe pono ana ka bile ma kāu ʻōnaehana, he mea nui ia no ka ʻai ʻana i ke olakino a me ke olakino ate holoʻokoʻa.

I kekahi mau hihia, hoʻohana nā kauka iā ia e loiloi i nā pilikia ma hope o ke ʻoki ʻana i ka gallbladder a i ʻole e loiloi i nā leaka bile. Hiki i nā kiʻi kikoʻī e hāʻawi ai ke kōkua i nā hoʻoholo lapaʻau a me ka nānā ʻana i kāu holomua hoʻōla.

Pehea e hana ai ʻo Technetium Tc-99m Disofenin?

Hana kēia lāʻau lapaʻau ma ka hoʻohana ʻana i ka hiki maoli o kou ate e hana a hoʻopau i kekahi mau mea. Ke komo ka mea huli i loko o kou kahe koko, e komo koke nā cell ate iā ia, e like me kā lākou e hana ai me nā mea bile maoli.

I ka manawa i loko o kou ate, e hahai ka mea huli i ke ala like e lawe ai ka bile. Neʻe ia mai nā cell ate i loko o nā ducts bile liʻiliʻi, a laila i loko o nā ducts nui, a i ka hopena i loko o kou gallbladder no ka mālama ʻana a i ʻole pololei i loko o kou ʻōpū liʻiliʻi no ka ʻai ʻana.

Hoʻopuka ka mea radioactive i nā kukuna gamma e hiki i nā kamera kūikawā ke ʻike a hoʻololi i nā kiʻi kikoʻī. Hōʻike kēia mau kiʻi i kāu kauka i kahi e waiho ai ka mea huli i nā manawa like ʻole, e hōʻike ana i ka maikaʻi o ka hana ʻana o kēlā me kēia ʻāpana o kāu ʻōnaehana biliary.

Ua manaʻo ʻia he mea hana diagnostic maʻalahi i hoʻohālikelike ʻia me nā kaʻina hana lapaʻau ʻē aʻe. ʻO ka nui o ka ʻike ʻana i ka radiation e like me ka mea āu e loaʻa ai mai ka X-ray umauma, e palekana ai no ka hapa nui o nā kānaka ke pono i ka lāʻau lapaʻau.

Pehea wau e lawe ai iā Technetium Tc-99m Disofenin?

ʻAʻole ʻoe e "lawe" maoli i kēia lāʻau lapaʻau ma ke ʻano kuʻuna. Akā, e hāʻawi aku kekahi kanaka loea lapaʻau nukelea i hoʻomaʻamaʻa ʻia iā ʻoe ma o ka pahu IV pololei i loko o ke aʻa, maʻamau i kou lima.

Ma mua o kāu manawa, e noi paha kāu kauka iā ʻoe e hoʻokē ʻai no kekahi mau hola, maʻamau 4-6 hola ma mua o ke kaʻina hana. Kōkua kēia hoʻokē ʻai i ka hōʻoia ʻana ua piha pono kou ʻōpū bile, e maopopo ai nā kiʻi a pololei.

Pono ʻoe e inu i ka wai nui ma mua o ka hoʻomaka ʻana o ka hoʻokē ʻai, no ka mea, ʻo ka noho ʻana i ka wai e kōkua i kou mau puʻupaʻa e hana a hoʻopau i ka mea huli me ka maikaʻi. E pale i ka waiʻona no ka liʻiliʻi o 24 mau hola ma mua o ka hoʻokolohua, no ka mea, hiki iā ia ke hoʻopilikia i ke ʻano o ka hana ʻana o kou ate i ka lāʻau lapaʻau.

I ka lā o kāu hoʻokolohua, e ʻaʻahu i nā lole ʻoluʻolu a wehe i nā mea nani a i ʻole nā mea metala e hiki ke hoʻopilikia i nā mea hana kiʻi. He mau kekona wale nō ka paʻi ʻana, ʻoiai ʻo ke kaʻina hana kiʻi holoʻokoʻa e mau ana 1-4 mau hola.

Pehea ka lōʻihi e lawe ai au i ka Technetium Tc-99m Disofenin?

He hana diagnostic hoʻokahi kēia, ʻaʻole he lapaʻau e hoʻomau nei. E loaʻa iā ʻoe kahi paʻi hoʻokahi i ka wā o kāu manawa scan HIDA, a ʻo ia ka mea e pono ai no kāu kauka e loaʻa i ka ʻike a lākou e ʻimi nei.

Noho ka mea huli radioactive i loko o kou kino no ka manawa pōkole wale nō. Hoʻopau ʻia ka hapa nui ma o kou mimi a me ka waihona i loko o 24-48 mau hola, ʻoiai ka hapa nui e haʻalele i kāu ʻōnaehana ma mua o kēlā.

I nā hihia kakaʻikahi, hiki i kāu kauka ke ʻōlelo aku i kahi scan hou inā ʻaʻole i hāʻawi ka mea mua i nā hopena maopopo a i ʻole inā pono lākou e nānā i nā loli i kou kūlana i ka manawa. Eia naʻe, e pili ana kēia i kahi manawa kaʻawale a me ka paʻi, ʻaʻole ka hoʻohana mau ʻana i ka lāʻau lapaʻau.

He mau manawa pōkole nā hopena o ka mea hōʻailona a ua hoʻolālā ʻia e hāʻawi i nā kauka i kahi kiʻi o ke ʻano o ka hana ʻana o kāu ʻōnaehana biliary i kēlā manawa. Ma hope o ka pau ʻana o ka hoʻokolohua, hoʻopau maoli kou kino i ka mea me ka ʻole o nā hopena e hoʻomau ana.

He aha nā hopena ʻaoʻao o Technetium Tc-99m Disofenin?

ʻAʻole ʻike ka hapa nui o nā kānaka i nā hopena ʻaoʻao mai kēia lāʻau lapaʻau. He liʻiliʻi loa ka mahele radioactive a ua hoʻolālā ʻia e palekana no nā hana diagnostic, no laila he mea maʻamau ʻole nā hopena koʻikoʻi.

Ke loaʻa nā hopena ʻaoʻao, he maʻalahi a he manawa pōkole. Eia nā mea maʻamau loa e hiki iā ʻoe ke ʻike:

• He ʻoluʻolu iki a i ʻole ka ʻeha ma kahi o ka injection
• He nausea maʻalahi, e hoʻoponopono wikiwiki ana
• He ʻono metala i kou waha e mae ana i loko o kekahi mau minuke
• He ʻulaʻula manawa a i ʻole ka manaʻo mahana

Nalo maʻamau kēia mau hopena liʻiliʻi i loko o kekahi mau hola a ʻaʻole pono i kekahi lapaʻau kūikawā. Hiki ke ʻoluʻolu ke kahua injection no hoʻokahi a ʻelua paha lā, e like me nā kaʻina hana IV ʻē aʻe.

He mea maʻamau loa nā hopena maʻi koʻikoʻi akā hiki ke komo i ka pilikia o ka hanu ʻana, ka ʻōpala koʻikoʻi, a i ʻole ka pehu ʻana o kou maka, nā lehelehe, a i ʻole ka ʻāʻī. Inā ʻike ʻoe i kekahi o kēia mau hōʻailona, e ʻimi koke i ka lāʻau lapaʻau.

Hopohopo kekahi poʻe e pili ana i ka ʻike ʻana i ka radiation, akā he liʻiliʻi ka nui āu e loaʻa ai a ua manaʻo ʻia he palekana no nā hana diagnostic. E wāwahi koke ka mea radioactive a hoʻopau ʻia mai kou kino.

ʻO wai ka mea pono ʻole e lawe iā Technetium Tc-99m Disofenin?

He palekana maʻamau kēia lāʻau lapaʻau no ka hapa nui o nā mākua, akā aia kekahi mau kūlana koʻikoʻi kahi e hoʻomaʻamaʻa ai nā kauka i ka mālama hou a i ʻole e koho i nā ʻano hoʻokolohua ʻē aʻe.

ʻO ka hāpai ʻana ka mea nui loa e hopohopo ai no ka mea pono e pale ʻia ka hōʻike ʻana i ka radiation pono ʻole i kēia manawa. Inā hāpai ʻoe a i ʻole manaʻo paha ʻoe, e haʻi koke i kāu kauka i hiki iā lākou ke kūkākūkā i nā koho palekana no ka ʻike ʻana i kou maʻi.

Hiki i nā makuahine e hānai ana i ka waiū ke loaʻa kēia lāʻau lapaʻau, akā pono ʻoe e mālama kūikawā ma hope. E ʻōlelo paha kāu kauka e pauma a hoʻolei i ka waiū umauma no 12-24 mau hola ma hope o ka injection e hōʻoia ʻaʻole i hōʻike ʻia kāu pēpē i nā mea i koe o ka mea radioactive.

Pono paha ka poʻe me ka maʻi kīkī koʻikoʻi i ka manawa i hoʻoponopono ʻia a i ʻole ka nānā ʻana hou ʻana no ka mea e hoʻopau ʻia ka tracer ma o ka mimi. E noʻonoʻo kāu kauka i kāu hana kīkī i ka wā e hoʻolālā ai i ke kaʻina hana.

Inā he maʻi ʻoe i ka technetium a i ʻole i loaʻa nā hopena koʻikoʻi i nā radiopharmaceuticals ʻē aʻe i ka wā ma mua, e hōʻoia i ka ʻike o kāu hui lapaʻau. Hiki iā lākou ke mālama hou aʻe a i ʻole e noʻonoʻo i nā ʻano hana diagnostic ʻē aʻe.

Nā inoa inoa o Technetium Tc-99m Disofenin

Loaʻa kēia lāʻau lapaʻau ma lalo o nā inoa inoa like ʻole, ʻo Hepatolite kekahi o nā hoʻomākaukau i hoʻohana pinepine ʻia. ʻO nā inoa inoa ʻē aʻe e pili ana iā Disofenin a me nā ʻano generic like ʻole i loaʻa ka mea hana like.

ʻAʻole pili pinepine ka inoa inoa kikoʻī e hoʻohana ai kāu haukapila a i ʻole ke kikowaena kiʻi no ka pono o kāu hoʻāʻo. Loaʻa i nā mana i ʻae ʻia ka tracer radioactive like a hana like i ke ala like e hana ai i nā kiʻi maopopo o kāu ʻōnaehana biliary.

E hoʻohana kāu kauka a i ʻole ka loea lāʻau lapaʻau nukelea i ka inoa inoa i loaʻa ma kā lākou keʻena. ʻO ka koho maʻamau e pili ana i ka mea i ʻaelike ai kāu ʻōnaehana mālama ola me nā mea hoʻolako ma mua o nā ʻokoʻa nui ma waena o nā huahana.

Inā he mau hopohopo kāu e pili ana i nā hōʻailona a i ʻole nā mea ʻai, e kūkākūkā me kāu hui olakino ma mua o kāu manawa. Hiki iā lākou ke hāʻawi i ka ʻike kikoʻī e pili ana i ka hana pololei a lākou e hoʻohana ai no kāu hoʻokolohua.

Nā Koho ʻē aʻe o Technetium Tc-99m Disofenin

Nui nā koho diagnostic ʻē aʻe e hiki ke hāʻawi i ka ʻike e pili ana i kāu hana ate a me ka ʻōpū, ʻoiai he mau pono a me nā palena ko lākou i hoʻohālikelike ʻia me ka scan HIDA.

ʻO ka ultrasound ka hoʻokolohua mua a nā kauka e hoʻāʻo ai no ka mea ʻaʻole ia he invasive a ʻaʻole pili i ka radiation. He mea maikaʻi loa ia no ka ʻike ʻana i nā pōhaku ʻōpū a hiki ke hōʻike i nā pilikia structural, akā ʻaʻole hiki iā ia ke loiloi i ka maikaʻi o ka hana ʻana o kāu ʻōnaehana biliary.

Hāʻawi nā scan CT i nā kiʻi structural kikoʻī a hiki ke ʻike i nā pilikia e like me nā maʻi a i ʻole nā ​​pilikia o ka bile duct. Eia naʻe, hōʻike lākou iā ʻoe i ka radiation ʻoi aku ma mua o ka scan HIDA a ʻaʻole hōʻike i ka ʻike hana e pili ana i ke kahe bile.

Hiki i ka MRI me ka ʻokoʻa (MRCP) ke hana i nā kiʻi kikoʻī o kāu bile ducts me ka ʻole o ka radiation. He mea maikaʻi loa ia no ka ʻike ʻana i nā anomalies structural akā lōʻihi ka manawa e hoʻopau ai a ʻaʻole kūpono paha inā he metala implants a i ʻole claustrophobia koʻikoʻi.

Hiki i nā kaʻina hana endoscopic e like me ERCP ke ʻike a mālama i nā pilikia bile duct, akā ʻoi aku ka invasive a lawe i nā pilikia kiʻekiʻe ma mua o nā hoʻokolohua kiʻi. E koho kāu kauka i ke koho maikaʻi loa e pili ana i kāu mau hōʻailona kikoʻī a me ka mōʻaukala olakino.

ʻOi aku ka maikaʻi o Technetium Tc-99m Disofenin ma mua o MRCP?

He mau ikaika kūʻokoʻa nā hoʻokolohua ʻelua, a ʻo ke koho

He mea nui ka nānā HIDA i ka wā e manaʻo ai nā kauka i nā pilikia hana e like me ka hana ʻole o ka ʻōpū a i ʻole nā pilikia o ke kahe ʻana o ka bile. Hiki iā ia ke hōʻike inā e ʻaelike pono ana kou ʻōpū a me ka maikaʻi o ka neʻe ʻana o ka bile ma kou ʻōnaehana, he ʻike ʻaʻole hiki i ka MRCP ke hāʻawi.

Hiki ke makemake ʻia ka MRCP inā hāpai ʻoe, ua loaʻa iā ʻoe nā hoʻokolohua kiʻi hou e pili ana i ka radiation, a i ʻole inā ʻoi aku ka nui o nā kikoʻī structural ma mua o ka loiloi hana. ʻOi aku ka maikaʻi no ka ʻike ʻana i nā pōhaku liʻiliʻi loa a i ʻole nā ​​mea ʻino structural.

ʻOi aku ka wikiwiki a me ka ʻoluʻolu o ka nānā HIDA no ka hapa nui o nā kānaka, maʻamau mai 1-4 mau hola i hoʻohālikelike ʻia me 30-60 mau minuke o ka MRCP. Eia naʻe, ʻaʻole pili ka MRCP i ka radiation, kahi mea e makemake ai kekahi poʻe maʻi.

E noʻonoʻo kāu kauka i kāu mau hōʻailona, ​​ka mōʻaukala olakino, a me nā mea i hōʻike ʻia e nā hoʻokolohua mua i ka wā e hoʻoholo ai i ke ala e hāʻawi ai i ka ʻike kōkua nui loa no kou kūlana.

Nā Nīnau i Nīnau pinepine ʻia e pili ana i ka Technetium Tc-99m Disofenin

He palekana anei ka Technetium Tc-99m Disofenin no ka poʻe me ka maʻi diabetes?

ʻAe, palekana kēia lāʻau lapaʻau no ka poʻe me ka maʻi diabetes. ʻAʻole pili ka tracer me nā lāʻau lapaʻau diabetes a i ʻole e hoʻopilikia nui i nā pae kōpaʻa koko, no laila hiki iā ʻoe ke hoʻomau i kāu hana maʻamau i ka mālama ʻana i ka maʻi diabetes.

Eia naʻe, hiki i ka pono o ka ʻai ʻole ma mua o ka hoʻokolohua ke hoʻopilikia i kāu kaohi kōpaʻa koko. E hana pū me kāu kauka e hoʻoponopono i ka manawa o kāu lāʻau lapaʻau inā pono, ʻoi aku ka nui inā ʻoe e lawe i ka insulin a i ʻole nā ​​lāʻau lapaʻau e hiki ke hoʻohaʻahaʻa i ke kōpaʻa koko.

E lawe mai i kāu mau lako hoʻāʻo kōpaʻa koko i kāu manawa a e haʻi i ka hui lapaʻau e pili ana i kāu maʻi diabetes. Hiki iā lākou ke nānā iā ʻoe i ka wā o ke kaʻina hana a kōkua i ka mālama ʻana i nā hopohopo kōpaʻa koko e kū mai.

He aha kaʻu e hana ai inā loaʻa iaʻu ka nui o Technetium Tc-99m Disofenin?

He pinepine ʻole nā mea i ʻoi aku ka nui o ka lāʻau lapaʻau no ka mea ua ana pono ʻia a hāʻawi ʻia kēia lāʻau lapaʻau e nā poʻe loea lapaʻau nukelea i aʻo ʻia. He liʻiliʻi loa nā lāʻau i hoʻohana ʻia a ua hoʻolālā ʻia me nā palena palekana i kūkulu ʻia.

Inā hopohopo ʻoe no ka loaʻa ʻana o ka nui loa, ʻo ka mea nui e noho mālie. E nānā pono kāu hui lapaʻau iā ʻoe a hiki ke hāʻawi i ke kākoʻo inā pono. Hiki i ka inu ʻana i nā wai hou ke kōkua i kou mau puʻupaʻa e hoʻopau i ka mea huli wikiwiki.

ʻO nā hōʻailona o ka loaʻa ʻana o ka nui loa e komo paha i ka nausea lōʻihi, ka luhi ʻole, a i ʻole ka ʻono metala mau. Eia naʻe, ʻoiai ʻo ka nui o nā lāʻau lapaʻau i ʻoi aku ka nui, ʻaʻole pinepine lākou e hana i nā hopena koʻikoʻi i ka wā lōʻihi no ka mea e wāwahi koke ka mea radioactive i loko o kou kino.

Loaʻa i kāu hui lapaʻau nā protocols e mālama ai i kēia mau kūlana kakaʻikahi a e hana lākou i nā hana kūpono e hōʻoia i kou palekana a me kou hōʻoluʻolu.

He aha kaʻu e hana ai inā ʻaʻole hana a i ʻole e kahe ka IV Injection?

Hiki i ka IV infiltration, kahi e kahe ai ka lāʻau lapaʻau i loko o nā ʻiʻo a puni ma mua o ke komo ʻana i kou kahe koko, ke hana i kekahi manawa me kekahi injection IV. Inā hana kēia, e haʻi koke i kāu ʻenehana i hiki iā lākou ke hoʻoponopono i ke kūlana.

E komo ka lāʻau lapaʻau i kahe i loko o kou kino i ka manawa a e hoʻopau ʻia ma ke ʻano maoli. Hiki i kāu hui lapaʻau ke hoʻopili i ka hau e hōʻemi i ka pehu ʻana a e nānā i ke kahua injection no ka manawa pōkole.

I ka hapanui o nā hihia, pono ʻoe e loaʻa i kahi injection hou i loko o kahi vein ʻē aʻe e hoʻopau i kāu hoʻāʻo. ʻAʻole kēia e hoʻonui nui i kou ʻike ʻana i ka radiation a ua manaʻo ʻia he ʻāpana maʻamau o ka hōʻoia ʻana e loaʻa iā ʻoe nā hopena hoʻāʻo pololei.

ʻO ka mea nui e kamaʻilio me kāu hui lapaʻau e pili ana i kekahi ʻoluʻolu a i ʻole nā hopohopo āu i loaʻa i ka wā o ke kaʻina hana injection.

I ka manawa hea e hiki ai iaʻu ke hoʻomau i nā hana maʻamau ma hope o Technetium Tc-99m Disofenin?

Hiki iā ʻoe ke hoʻomau i nā hana maʻamau a pau ma hope koke o ka pau ʻana o kāu hoʻokolohua. ʻAʻohe palena i ka hoʻokele, ka hana, a i ʻole ka hana kino ke pau ka hana kiʻi.

No nā hola 24 mua ma hope o kāu injection, e inu i ka wai nui e kōkua i ka holoi ʻana i ka tracer mai kāu ʻōnaehana. ʻOi aku kēia no kou hōʻoluʻolu ma mua o ka pono olakino, no ka mea, e hoʻopau kou kino i ka mea maoli.

Inā ʻoe e hānai ana i ka waiū, e hahai i nā ʻōlelo a kāu kauka e pili ana i ka manawa e hoʻomau ai i ka hānai ʻana. Manaʻo ka hapa nui e kali i 12-24 mau hola a hoʻolei i kekahi waiū i pauma ʻia i ia manawa.

ʻAʻole pono ʻoe e pale i ka launa pū ʻana me nā poʻe ʻē aʻe, me nā keiki a i ʻole nā ​​wahine hāpai, ma hope o kāu hoʻokolohua. He liʻiliʻi ka nui o ka radiation āu e hoʻopuka ai a ʻaʻole ia he pilikia i nā poʻe ʻē aʻe a puni ʻoe.

Pehea ka pololei o Technetium Tc-99m Disofenin no ka ʻike ʻana i nā pilikia o ka gallbladder?

He pololei loa nā scans HIDA me ka hoʻohana ʻana i kēia tracer no ka ʻike ʻana i ka hana ʻino o ka gallbladder, me nā helu pololei ma luna o 95% no ka ʻike ʻana i ka cholecystitis acute (inflammation gallbladder). ʻO kēia kekahi o nā hoʻokolohua hilinaʻi loa no kēia maʻi.

He maikaʻi loa ka hoʻokolohua i ka ʻike ʻana i nā pilikia hana kahi e ʻole ai kāu gallbladder e hakahaka pono, ʻoiai ke nānā maʻamau ma nā hoʻokolohua kiʻi ʻē aʻe. Hiki nō hoʻi ke ʻike i nā poloka bile duct me ka pololei kiʻekiʻe.

Eia naʻe, e like me nā hoʻokolohua lapaʻau a pau, ʻaʻole 100% kūpono. I kekahi manawa, hiki i ka mumū i nā ʻōkana a puni a i ʻole kekahi mau lāʻau lapaʻau ke hoʻopilikia i nā hopena. E wehewehe kāu kauka i nā hopena ma ke ʻano o kāu mau hōʻailona a me nā hopena hoʻokolohua ʻē aʻe.

Aia ka pololei ma ka hoʻomākaukau kūpono, me ka hoʻokē ʻai e like me ke kuhikuhi ʻia a me ka pale ʻana i kekahi mau lāʻau lapaʻau e hiki ke hoʻopilikia i ka hoʻokolohua. ʻO ka hahai ʻana i nā ʻōlelo a kāu kauka ma mua o ka hoʻokolohua e kōkua i ka hōʻoia ʻana i nā hopena pololei loa.