He aha ka HIDA Scan? Ke Kumu, ke Kaʻina Hana & nā Hōʻike

He hoʻokolohua kiʻi kūikawā ka HIDA scan e kōkua ana i nā kauka e ʻike i ka maikaʻi o ka hana ʻana o kou ʻōpū a me nā ʻaʻa bile. E noʻonoʻo iā ia he kiʻiʻoniʻoni kikoʻī o kāu ʻōnaehana digestive i ka hana, e kālele ana i ke ʻano o ka holo ʻana o ka bile mai kou ate ma kou ʻōpū a i loko o kou ʻōpū liʻiliʻi.

Hoʻohana kēia hoʻokolohua i kahi mea liʻiliʻi o ka mea radioactive i palekana loa a hoʻopau ʻia mai kou kino ma ke ʻano maoli. Lawe ka scan i nā kiʻi i ka manawa e hōʻike pololei i kāu kauka i ka mea e hana nei i loko, e kōkua ana iā lākou e ʻike i nā pilikia e hoʻoulu ana i kāu mau hōʻailona.

He aha ka HIDA scan?

ʻO ka HIDA scan, i kapa ʻia hoʻi ʻo hepatobiliary scintigraphy, he hoʻokolohua lāʻau lapaʻau nuklea e nānā ana i ke kahe ʻana o ka bile ma kou ate, ʻōpū, a me nā ʻaʻa bile. No ka mea radioactive tracer i hoʻohana ʻia i kapa ʻia ʻo hepatobiliary iminodiacetic acid ka inoa.

I ka wā o ka hoʻokolohua, hoʻokomo ka mea loea i kahi mea liʻiliʻi o ka radioactive tracer i loko o kou vein lima. Hele kēia tracer ma kou kahe koko i kou ate, kahi e hui pū ai me ka bile. A laila, lawe kahi kamera kūikawā i nā kiʻi i ka wā e hele ai ka tracer ma kou mau ʻaʻa bile a me ka ʻōpū, e hōʻike ana i ka maikaʻi o ka hana ʻana o kēia mau ʻōkana.

ʻAʻole ʻeha loa ka scan a maʻamau ka lōʻihi ma waena o hoʻokahi a ʻehā hola e hoʻopau ai. E moe ana ʻoe ma luna o kahi papaʻaina i ka wā e neʻe ai ke kamera a puni ʻoe, akā ʻaʻole ʻoe e ʻike i ka radiation a i ʻole ka tracer e hele ana i kou kino.

No ke aha e hana ʻia ai ka HIDA scan?

Kauoha kāu kauka i ka HIDA scan ke loaʻa iā ʻoe nā hōʻailona e hōʻike ana i nā pilikia me kou ʻōpū a i ʻole nā ​​ʻaʻa bile. Kōkua kēia hoʻokolohua e kuhikuhi pololei i ka mea e hoʻoulu ai i kou ʻoluʻolu a alakaʻi i nā hoʻoholo lapaʻau.

ʻO ke kumu maʻamau no kēia scan, ʻo ia ka nānā ʻana i ka maʻi o ka ʻōpū bile, ʻoi aku hoʻi i ka wā i hāʻawi ʻole ai nā hoʻokolohua ʻē aʻe e like me ka ultrasound i nā pane maopopo. Hiki i kāu kauka ke manaʻo i ka cholecystitis, ʻo ia ka mumū o ka ʻōpū bile, a i ʻole nā pilikia me ke ʻano o ka ʻōpū bile e ʻaelike a hakahaka.

Eia nā kūlana nui e hiki ai i ka scan HIDA ke kōkua i ka ʻike ʻana:

• ʻO ka cholecystitis koʻikoʻi (mumū koke o ka ʻōpū bile)
• ʻO ka cholecystitis maʻi (mumū lōʻihi o ka ʻōpū bile)
• ʻO ka hana ʻino o ka ʻōpū bile a i ʻole ka hakahaka ʻole o ka ʻōpū bile
• ʻO ka pale ʻana a i ʻole ka ālaina ʻana o ka duct bile
• Ka kahe ʻana o ka bile ma hope o ke ʻoki ʻana
• ʻO ka biliary dyskinesia (ʻaʻole ʻaelike pono ka ʻōpū bile)

I kekahi manawa hoʻohana nā kauka i nā scan HIDA e loiloi i nā kūlana maʻamau ʻole e like me ka sphincter of Oddi dysfunction, kahi e hana ʻole ai ka ʻiʻo e kāohi ana i ke kahe bile. Hiki i ka hoʻokolohua ke kōkua i ka loiloi ʻana i nā pilikia ma hope o ke ʻoki ʻana i ka ʻōpū bile a i ʻole ke ake.

He aha ke kaʻina hana no ka scan HIDA?

He maʻalahi ke kaʻina hana scan HIDA a hana ʻia i loko o ke keʻena lāʻau lapaʻau nukelea o ka haukapila. E hana pū ʻoe me nā ʻenehana i hoʻomaʻamaʻa kūikawā ʻia nāna e alakaʻi iā ʻoe ma kēlā me kēia ʻanuʻu a pane i nā nīnau āu.

ʻO ka mea mua, e hoʻololi ʻoe i ka ʻaʻahu haukapila a moe i lalo ma luna o kahi papa i hoʻopaʻa ʻia. E hoʻokomo kahi ʻenehana i kahi laina IV liʻiliʻi i loko o kou lima, e like me ka ʻūlū wikiwiki. Ma o kēia IV, e hoʻokomo lākou i ka mea huli radioactive, e lawe ana i kekahi mau kekona.

Eia ka mea e hana ʻia i ka wā o ka scan:

1. E moe mālie ʻoe ma luna o ka papa i ka wā e neʻe ai kahi kamera nui a puni ʻoe
2. Lawe ke kamera i nā kiʻi i kēlā me kēia mau minuke no ka hola mua
3. Inā hoʻopiha kou ʻōpū bile me ka mea huli, hiki iā ʻoe ke loaʻa i ka lāʻau lapaʻau i kapa ʻia ʻo CCK e hana ai i ka ʻaelike
4. Lawe ʻia nā kiʻi hou e ʻike i ka maikaʻi o ka hakahaka ʻana o kou ʻōpū bile
5. ʻO ka hana holoʻokoʻa e lawe maʻamau i 1-4 mau hola e pili ana i ke ʻano o kou kino

I ka wā o ka scan, hiki iā ʻoe ke hanu maʻamau a kamaʻilio mālie, akā pono ʻoe e noho mālie e like me ka hiki. ʻAʻole pili ka pahupaʻikiʻi iā ʻoe a hana i ka walaʻau liʻiliʻi. ʻIke ka hapa nui o nā kānaka i ka hoʻāʻo ʻana he mea hoʻomaha, ʻoiai ʻo ka moe ʻana no nā manawa lōʻihi hiki ke hōʻoluʻolu ʻole.

Inā ʻaʻole i piha kou gallbladder me ka tracer i loko o ka hola mua, hiki i kāu kauka ke hāʻawi iā ʻoe i ka morphine e kōkua i ka hoʻopaʻa ʻana i ka tracer. Hiki i kēia ke hoʻolōʻihi i ka manawa hoʻāʻo akā hāʻawi i nā hopena pololei.

Pehea e hoʻomākaukau ai no kāu scan HIDA?

ʻO ka hoʻomākaukau kūpono e hōʻoia i kāu scan HIDA e hāʻawi i nā hopena pololei loa. E hāʻawi ke keʻena o kāu kauka i nā ʻōlelo kikoʻī, akā eia nā koi maʻamau e pono ai ʻoe e hahai.

ʻO ka hana hoʻomākaukau nui loa ʻo ka hoʻokē ʻai ʻana no ka liʻiliʻi o ʻehā hola ma mua o kāu hoʻāʻo. ʻO ia hoʻi, ʻaʻohe meaʻai, nā mea inu (koe ka wai), ka ʻōpala, a i ʻole ke kanakē. Kōkua ka hoʻokē ʻai ʻana i kou gallbladder e hoʻopaʻa i ka bile, e maʻalahi ai ke ʻike i ka wā o ka scan.

Ma mua o kāu manawa, e haʻi i kāu hui lapaʻau e pili ana i kēia mau kikoʻī nui:

• ʻO nā lāʻau lapaʻau a pau āu e lawe nei, me nā lāʻau lapaʻau ma luna o ka pāʻani
• ʻO nā maʻi āpau āu i loaʻa
• Inā hāpai ʻoe a hānai paha
• Nā maʻi hou a i ʻole nā hoʻokolohua lapaʻau ʻē aʻe
• Nā hopena mua i nā mea ʻokoʻa a i ʻole nā lāʻau lapaʻau

Pono ʻoe e hoʻomau i ka lawe ʻana i kāu mau lāʻau lapaʻau maʻamau ke ʻole e haʻi pololei kāu kauka iā ʻoe e hooki. Eia naʻe, hiki i kekahi mau lāʻau lapaʻau ke hoʻopilikia i nā hopena hoʻāʻo, no laila e noi paha kāu kauka iā ʻoe e hooki i kekahi mau lāʻau lapaʻau e like me nā lāʻau lapaʻau ʻeha narcotic.

E ʻaʻahu i nā lole ʻoluʻolu, kūpono ʻole me ka ʻole o nā zippers metala a i ʻole nā pihi kokoke i kou ʻōpū. E loli paha ʻoe i loko o kahi ʻaʻahu haukapila, akā ʻo nā lole ʻoluʻolu e ʻoluʻolu ai ka ʻike.

Pehea e heluhelu ai i kāu mau hopena scan HIDA?

Hōʻike nā hopena o kāu scan HIDA i ka maikaʻi o ke kahe ʻana o ka bile ma kou ate, ka ʻōpū, a me nā ʻaʻa bile. E kālailai ana kekahi loea lāʻau lapaʻau nukelea i kapa ʻia he radiologist i kāu mau kiʻi a e hoʻouna aku i kahi hōʻike kikoʻī i kāu kauka.

Hōʻike nā hopena maʻamau i ka neʻe maʻalahi ʻana o ka tracer mai kou ate i loko o kou ʻōpū i loko o 30-60 mau minuke. Pono e piha loa kou ʻōpū a laila e hakahaka ma ka liʻiliʻi he 35-40% o kāna mau mea i ka wā e hoʻoulu ʻia me ka lāʻau CCK.

Eia ke ʻano o nā hopena like ʻole:

• Scan maʻamau: Hoʻopiha ka tracer i ka ʻōpū a hakahaka pono, e hōʻike ana i ka hana olakino
• ʻAʻole i piha ka ʻōpū: Hōʻike i ka cholecystitis acute a i ʻole ka mumū o ka ʻōpū
• Hoʻopaneʻe ka hoʻopiha ʻana: Hiki ke hōʻike i ka cholecystitis maʻi a i ʻole ka ālaina hapa
• ʻAʻole maikaʻi ka hakahaka ʻana: Hiki ke manaʻo i ka hana ʻino o ka ʻōpū a i ʻole ka dyskinesia biliary
• ʻAʻole hiki i ka tracer i nā ʻōpū: Hōʻike i ka ālaina ʻana o ka ʻaʻa bile

ʻO kāu ejection fraction kahi ana nui e hōʻike ana i ka pākēneka o ka bile e hakahaka ai kou ʻōpū. ʻO ka ejection fraction maʻamau he 35% a i ʻole ke kiʻekiʻe, ʻoiai ke hoʻohana nei kekahi mau labs i ka 40% ma ke ʻano he wahi ʻoki.

Inā haʻahaʻa kāu ejection fraction ma mua o ka maʻamau, hiki iā ia ke hōʻike i ka maʻi ʻōpū hana ʻoiai inā maʻamau nā hoʻokolohua ʻē aʻe. Eia naʻe, e noʻonoʻo kāu kauka i kāu mau hōʻailona a me nā hopena hoʻokolohua a pau ma mua o ka hana ʻana i nā ʻōlelo aʻoaʻo lapaʻau.

He aha nā mea pilikia no nā hopena scan HIDA maʻamau ʻole?

Hiki i kekahi mau mea ke hoʻonui i kou manawa e loaʻa ai kahi scan HIDA maʻamau ʻole, ʻoiai ʻaʻole nui ka poʻe me kēia mau mea pilikia e hoʻomohala i nā pilikia ʻōpū. ʻO ka hoʻomaopopo ʻana i kēia mau mea e kōkua iā ʻoe a me kāu kauka e hana i nā hoʻoholo i ʻike ʻia e pili ana i kou olakino.

He mea nui ka makahiki a me ke kāne i ka maʻi ʻōpū. ʻOi aku ka maʻi o nā wāhine i ka maʻi ʻōpū, ʻoiai i ka wā o ka hāpai ʻana a i ʻole ka lawe ʻana i ka lāʻau lapaʻau hormone. Piʻi ka pilikia me ka makahiki, ʻoiai ma hope o 40.

Hiki i kēia mau mea ola a me nā mea lapaʻau ke hoʻonui i kou pilikia:

• Ka lilo wikiwiki o ke kaumaha a i ʻole ka ʻai yo-yo
• ʻAi nui momona, ʻai liʻiliʻi fiber
• Ka momona a i ʻole ke kaumaha nui
• Diabetes a i ʻole ke kūʻē ʻana i ka insulin
• Mōʻaukala ʻohana o ka maʻi ʻōpū
• Nā lāʻau lapaʻau e like me nā pila hānau
• Maʻi ʻōpū mumū
• ʻO ka ʻoki ʻana i ka ʻōpū ma mua

Hoʻomohala kekahi poʻe i nā pilikia ʻōpū me ka ʻole o nā mea pilikia maopopo. He mea nui ka genetics, a ʻo kekahi mau hui lāhui, me nā ʻAmelika ʻAmelika a me nā ʻAmelika Mekiko, he kiʻekiʻe ka maʻi ʻōpū.

He mea kūikawā ka hāpai ʻana no ka mea hiki i nā loli hormonal ke hoʻopilikia i ka hana ʻōpū. Inā hāpai ʻoe a pono i ka scan HIDA, e noʻonoʻo pono kāu kauka i nā pōmaikaʻi e kūʻē i nā pilikia hiki ke loaʻa.

He aha nā pilikia hiki ke loaʻa i nā hopena scan HIDA maʻamau ʻole?

ʻOiai ʻaʻole i hana ka scan HIDA maʻamau i nā pilikia, hiki i nā pilikia ʻōpū e hōʻike ʻia ke alakaʻi i nā pilikia olakino koʻikoʻi inā ʻaʻole i mālama ʻia. ʻO ka hoʻomaopopo ʻana i kēia mau pilikia hiki ke kōkua iā ʻoe e mahalo i ke kumu e koʻikoʻi ai ka mālama ʻana.

Hiki i ka cholecystitis acute, i hōʻike ʻia e ka ʻōpū ʻaʻole i piha i ka tracer, hiki ke holomua i nā pilikia weliweli. Hiki i ka paia ʻōpū ke mumū nui, maʻi, a i ʻole ka haki ʻana, e koi ana i ka ʻoki ulia pōpilikia.

Eia nā pilikia nui e hiki ke hoʻomohala mai ka maʻi ʻōpū i mālama ʻole ʻia:

• Puka ʻōpū: Nahā ka pā o ka ʻōpū, e ninini ana i ka ʻaila ʻino i loko o kou ʻōpū.
• Gangrene: Make nā ʻiʻo o ka ʻōpū ma muli o ka nele o ke kahe koko.
• Hoʻokumu ʻia ʻana o ka ʻōpū: Hoʻomohala ʻia nā ʻeke o ka maʻi maʻi a puni ka ʻōpū.
• Nā pōhaku ʻōpū bile: Neʻe nā pōhaku mai ka ʻōpū a ālai i nā ʻōpū bile.
• Pancreatitis: ʻO ka mumū o ka pancreas i hoʻokumu ʻia e nā ʻōpū bile i ālai ʻia.
• Cholangitis: Maʻi koʻikoʻi o nā ʻōpū bile.

Hiki i ka maʻi ʻōpū hana, kahi e hakahaka ʻole ai ka ʻōpū, ke kumu i ka ʻeha mau a me nā pilikia digestive. ʻOiai ʻaʻole ia e hoʻoweliweli i ke ola i kēia manawa, hiki iā ia ke hoʻopilikia nui i kou maikaʻi o ke ola a hiki ke koi i ke ʻoki ma hope.

ʻO ka nūhou maikaʻi, hiki ke mālama pono ʻia ka hapa nui o nā pilikia ʻōpū ke hopu ʻia i ka wā mua. E hana pū kāu kauka me ʻoe e hoʻomohala i kahi hoʻolālā lapaʻau e pili ana i kāu kūlana kikoʻī a pale i nā pilikia.

I ka manawa hea e ʻike ai au i ke kauka no nā hōʻailona ʻōpū?

Pono ʻoe e hoʻokaʻaʻike i kāu kauka inā ʻike ʻoe i nā hōʻailona e hōʻike ana i nā pilikia ʻōpū, ʻoiai inā e hoʻomau ana a i ʻole e ʻino ana. Hiki i ka loiloi mua ke pale i nā pilikia a kōkua iā ʻoe e ʻoi aku ka maikaʻi i ka wā mua.

ʻO ka hōʻailona ʻōpū maʻamau ka ʻeha ma kou ʻōpū ʻākau luna, i kapa pinepine ʻia ʻo biliary colic. Hoʻomaka koke kēia ʻeha, mau mai 30 mau minuke a i kekahi mau hola, a hiki ke pāhola i kou kua a i ʻole ka pahi ʻākau.

Eia nā hōʻailona e pono ai ka nānā ʻana i ka lāʻau lapaʻau:

• He ʻeha nui o ka ʻōpū ʻaʻole e hoʻomaikaʻi me ka hoʻololi ʻana i ke kūlana
• Ka luaʻi a me ka luaʻi ʻana, ʻoi loa me ka ʻeha o ka ʻōpū
• Ka wela me ka ʻeha o ka ʻōpū
• Melemele o ka ʻili a i ʻole nā maka (jaundice)
• Nā ʻōpala i ke kala lepo a i ʻole ka mimi ʻeleʻele
• ʻAʻole e pau ka ʻai ʻana a i ʻole ka pehu ʻana ma hope o nā meaʻai momona
• ʻEha e ala ai ʻoe mai ka hiamoe

E ʻimi koke i ka lāʻau lapaʻau inā loaʻa iā ʻoe ka ʻeha nui o ka ʻōpū me ke kuni, nā anu, a i ʻole ka luaʻi ʻana. Hiki i kēia mau hōʻailona ke hōʻike i ka cholecystitis acute a i ʻole nā pilikia koʻikoʻi ʻē aʻe e pono ai ka mālama koke.

Mai mālama ʻole i nā hōʻailona maʻalahi e hana hou ana. ʻO ka ʻai pinepine ʻana, ka pehu ʻana, a i ʻole ka ʻoluʻolu ʻole ma hope o ka ʻai ʻana i nā meaʻai momona e hōʻike paha i ka maʻi gallbladder hana e hiki ke pōmaikaʻi mai ka hana mua.

Nā nīnau i nīnau pinepine ʻia e pili ana i nā scans HIDA

Q1: He palekana anei ka scan HIDA i ka wā e hāpai ana?

Hoʻomaʻamaʻa ʻia nā scans HIDA i ka wā e hāpai ana ke ʻole he mea pono loa no ka mea e pili ana i nā mea radioactive. He liʻiliʻi ka nui o ka radiation, akā makemake nā kauka e hoʻohana i nā koho palekana e like me ka ultrasound ke hiki.

Inā hāpai ʻoe a ʻōlelo kāu kauka i kahi scan HIDA, ʻo ia hoʻi, ʻoi aku ka maikaʻi ma mua o nā pilikia. E hoʻohana lākou i ka haʻahaʻa haʻahaʻa o ka mea radioactive tracer a e mālama kūikawā e pale iā ʻoe a me kāu pēpē.

Q2: ʻO ka haʻahaʻa haʻahaʻa o ka ejection fraction ke manaʻo mau nei e pono wau i ke ʻoki?

ʻAʻole pono. ʻO ka haʻahaʻa haʻahaʻa o ka ejection fraction ma lalo o 35-40% e hōʻike ana ʻaʻole e hakahaka pono ana kāu gallbladder, akā pili ke ʻoki i kāu mau hōʻailona a me ke olakino holoʻokoʻa. ʻAʻohe hōʻailona o kekahi poʻe me ka haʻahaʻa haʻahaʻa o ka ejection fraction a ʻaʻole pono i ka lāʻau lapaʻau.

E noʻonoʻo kāu kauka i kāu mau ʻano ʻeha, pehea e pili ai nā hōʻailona i kou ola i kēlā me kēia lā, a me nā hopena hoʻāʻo ʻē aʻe ma mua o ka ʻōlelo ʻana i ke ʻoki. Nui ka poʻe me ka maʻi gallbladder hana e hana maikaʻi me nā loli meaʻai a me nā lāʻau lapaʻau.

Q3: Hiki i nā lāʻau lapaʻau ke hoʻopilikia i kaʻu mau hopena scan HIDA?

ʻAe, hiki i kekahi mau lāʻau lapaʻau ke hoʻopilikia i nā hopena o ka HIDA scan. Hiki i nā lāʻau ʻeha narcotic ke hana i nā hopena maikaʻi ʻole ma ka pale ʻana i ka ʻōpū mai ka hoʻopiha pono ʻana. Hiki i kekahi mau lāʻau antibiotic a me nā lāʻau ʻē aʻe ke hoʻopilikia i ke kahe bile.

E haʻi mau i kāu kauka e pili ana i nā lāʻau lapaʻau a pau āu e lawe nei, me nā lāʻau lapaʻau a me nā mea hoʻohui. Hiki iā lākou ke noi iā ʻoe e hooki i kekahi mau lāʻau lapaʻau ma mua o ka hoʻāʻo ʻana e hōʻoia i nā hopena pololei.

Q4: Pehea ka lōʻihi o ka noho ʻana o ka mea ʻike radioactive i loko o koʻu kino?

He pōkole ka hapalua o ke ola o ka mea ʻike radioactive i hoʻohana ʻia i nā scans HIDA a haʻalele maoli i kou kino i loko o 24-48 mau hola. Hoʻopau ʻia ka hapa nui o ia mea ma o kou bile i loko o kou ʻōpū a laila i loko o kāu neʻe ʻana o ka ʻōpū.

ʻAʻole pono ʻoe e hana i nā hana kūikawā ma hope o ka hoʻāʻo ʻana, akā hiki i ka inu ʻana i ka wai nui ke kōkua i ka holoi ʻana i ka mea ʻike i waho. Ua like ka nui o ka ʻike ʻana i ka radiation me ka mea āu e loaʻa ai mai kahi X-ray umauma.

Q5: He aha ka mea e hana ai inā ʻaʻole ʻike ʻia koʻu ʻōpū ma ka scan?

Inā ʻaʻole i piha kou ʻōpū i ka mea ʻike i ka wā o ka scan, hōʻike pinepine ia i ka cholecystitis acute a i ʻole ka mumū ʻana o ka ʻōpū. Manaʻo ʻia kēia he hopena maikaʻi no ka maʻi ʻōpū acute.

Hiki i kāu kauka ke hāʻawi iā ʻoe i ka morphine i ka wā o ka hoʻāʻo ʻana e kōkua i ka noʻonoʻo ʻana i ka mea ʻike a loaʻa ke kiʻi maopopo. Inā ʻaʻole i piha kou ʻōpū, pono paha ʻoe i ka lāʻau lapaʻau wikiwiki, e komo pinepine ana i nā antibiotics a me ke ʻoki ʻana.