He aha te HIDA Scan? Te Whāinga, te Hātepe & ngā Hua

He whakamātautau whakaahua motuhake te HIDA scan e āwhina ana i ngā tākuta ki te kite i te pai o te mahi o tō puku me ngā ngongo pāpā. Whakaarohia he kiriata taipitopito o tō pūnaha kūnatu e mahi ana, e arotahi ana ki te rere o te pāpā mai i tō ate mā tō puku me te uru ki tō whekau iti.

E whakamahi ana tēnei whakamātautau i tētahi wāhanga iti o te rauemi iraruke he haumaru tonu, ka whakakorea mai i tō tinana i te ara māori. Ka tango whakaahua te karapa i te wā ki te whakaatu ki tō tākuta i te mea e tupu ana i roto, e āwhina ana i a rātou ki te tātai i ngā raruraru e pā ana ki ō tohumate.

He aha te HIDA scan?

Ko te HIDA scan, e kīia ana ko te hepatobiliary scintigraphy, he whakamātautau rongoā karihi e aroturuki ana i te rere o te pāpā mā tō ate, puku, me ngā ngongo pāpā. Nō te tohu iraruke i whakamahia i huaina ko te waikawa hepatobiliary iminodiacetic te ingoa.

I te wā o te whakamātautau, ka werohia e te tohunga hangarau tētahi wāhanga iti o te tohu iraruke ki roto i tō uaua ringa. Ka haere tēnei tohu mā tō toto ki tō ate, ka whakaranu ki te pāpā. Ka tango tētahi kāmera motuhake i ngā whakaahua i te wā e haere ana te tohu mā ngā ngongo pāpā me te puku, e whakaatu ana i te pai o te mahi o ēnei okana.

He kore mamae te karapa, ā, e whā haora te roa ki te whakaoti. Ka takoto koe i runga i te tēpu i te wā e neke ana te kāmera i a koe, engari kāore koe e rongo i te iraruke, i te tohu rānei e haere ana mā tō tinana.

He aha te take i mahia ai te HIDA scan?

Ka tono tō tākuta i te HIDA scan i te wā e pā ana ō tohumate ki ngā raruraru o tō puku, o ngā ngongo pāpā rānei. E āwhina ana tēnei whakamātautau ki te tautuhi i te mea e pā ana ki tō raruraru, e ārahi ana i ngā whakatau maimoatanga.

Ko te take tino nui mō tēnei karapa he tirotiro mō te mate o te pūpū, ina koa kāore anō ētahi atu whakamātautau pērā i te ultrasound i whai whakautu mārama. Ka whakapae pea tō tākuta i te cholecystitis, arā, te mumura o te pūpū, i ngā raruraru rānei ki te pēhea te kirimana me te whakawātea o tō pūpū.

Koinei ngā āhuatanga nui ka āwhina te karapa HIDA ki te tātai:

• Cholecystitis acute (mumura ohorere o te pūpū)
• Cholecystitis chronic (mumura pūpū wā-roa)
• Te kore mahi o te pūpū, te kore rānei e pai te whakawātea o te pūpū
• Te aukati, te pōti rānei o te ngongo pāpā
• Te rerenga pāpā i muri i te pokanga
• Biliary dyskinesia (kāore te pūpū e kirimana tika ana)

I ētahi wā ka whakamahi hoki ngā tākuta i ngā karapa HIDA ki te arotake i ngā āhuatanga kāore i te pōturi pērā i te sphincter of Oddi dysfunction, kei te kore te uaua e whakahaere ana i te rere o te pāpā e mahi tika ana. Ka āwhina hoki te whakamātautau ki te arotake i ngā raruraru i muri i te pokanga pūpū, ate rānei.

He aha te tikanga mō te karapa HIDA?

He tika te tikanga karapa HIDA, ā, ka puta i roto i te tari rongoā karihi o te hōhipera. Ka mahi koe me ngā tohunga hangarau kua whakangungua motuhake, mā rātou koe e ārahi i ia wāhanga, ā, ka whakautu i ngā pātai katoa kei a koe.

Tuatahi, ka huri koe ki te kākahu hōhipera, ka takoto ki runga i tētahi tēpu whai urunga. Ka whakauru tētahi tohunga hangarau i tētahi raina IV iti ki tō ringa, he rite tēnei ki te tīpōpō tere. Mā tēnei IV, ka werohia e rātou te tohu iraruke, he torutoru noa hēkona te roa.

Koinei te mea ka puta i te wā o te karapa:

1. Ka takoto tonu koe ki runga i te tēpu i te wā e neke ana tētahi kāmera nui i a koe
2. Ka tango te kāmera i ngā pikitia i ia meneti torutoru mō te hāora tuatahi
3. Mēnā ka ki tō pūpū i te tohu, ka whiwhi pea koe i tētahi rongoā e kiia nei ko CCK hei kirimana
4. Ka tangohia ētahi atu pikitia hei kite i te pai o te whakawātea o tō pūpū
5. Ko te katoa o te tukanga e 1-4 hāora te roa i runga i te pēhea te urupare o tō tinana

I te wā o te karapa, ka taea e koe te manawa noa, me te kōrero pūru, engari me noho pūmau tonu koe. Kāore te kāmera e pā ana ki a koe, ā, he iti noa te haruru. He maha ngā tāngata e kite ana i te whakamātau he whakangāwari, ahakoa te takoto pūmau mō ngā wā roa ka kore e pai.

Mēnā kāore tō pūkahukahu e whakakiia ki te tohu i roto i te hāora tuatahi, ka hoatu pea e tō tākuta te morphine ki a koe hei āwhina i te whakakaha i te tohu. Ka taea e tēnei te whakaroa i te wā o te whakamātau engari ka whai hua ngā hua tika ake.

Me pēhea te whakarite mō tō karapa HIDA?

Ko te whakarite tika ka whakarite kia whai hua te karapa HIDA i ngā hua tika rawa atu. Ka hoatu e te tari o tō tākuta ngā tohutohu motuhake, engari koinei ngā whakaritenga noa e hiahia ana koe ki te whai.

Ko te mahi whakarite nui rawa atu ko te nohopuku mō te whā hāora i mua i tō whakamātau. Ko te tikanga kāore he kai, he inu (haunga te wai), te kapia, te monamona rānei. Ka āwhina te nohopuku i tō pūkahukahu ki te whakakaha i te wai pāpā, kia māmā ake te kite i te wā o te karapa.

I mua i tō whakaritenga, whakamōhio atu ki tō rōpū hauora mō ēnei kōrero nui:

• Ngā rongoā katoa e tango ana koe, tae atu ki ngā rongoā i runga i te kaute
• Ngā mate pāwera katoa e pā ana ki a koe
• Mēnā kei te hapū koe, kei te whāngai ū rānei
• Ngā mate tata, ētahi atu whakamātau hauora rānei
• Ngā urupare o mua ki ngā rauemi rerekē, ki ngā rongoā rānei

Me haere tonu koe ki te tango i ō rongoā noa mēnā kāore tō tākuta e kī atu ki a koe kia mutu. Heoi, ka taea e ētahi rongoā te pā ki ngā hua o te whakamātau, nō reira ka tono pea tō tākuta ki a koe kia mutu mō te wā poto i ētahi rongoā pēnei i ngā rongoā mamae narcotic.

Mau i ngā kākahu pai, ngā kākahu whānui kāore he rānei konganuku, he pātene rānei tata ki tō puku. Ka huri pea koe ki te kākahu hōhipera, engari ko ngā kākahu pai ka pai ake te wheako.

Me pēhea te pānui i ō hua karapa HIDA?

E whakaatu ana ngā hua o tō HIDA i te pai o te rere o te pākae ki tō ate, te pūpū, me ngā ara pākae. Mā tētahi tohunga rongoā karihi, he kaiwhakaahua e kīia ana he kaiwhakaahua, e tātari ana i ō whakaahua, ā, ka tukuna he pūrongo taipitopito ki tō tākuta.

E whakaatu ana ngā hua noa i te neke mārire o te tohu mai i tō ate ki tō pūpū i roto i te 30-60 meneti. Me whakaki katoa tō pūpū, ā, me whakawātea i te iti rawa 35-40% o ōna ihirangi i te wā e whakahihiritia ana ki te rongoā CCK.

Koinei te tikanga o ngā hua rerekē:

• He mātai noa: Ka whakaki te tohu i te pūpū, ā, ka whakawātea tika, e tohu ana i te mahi hauora
• Kāore he whakakī i te pūpū: E whakaatu ana i te cholecystitis koi, i te mumura rānei o te pūpū
• Whakakī roa: Ka tohu pea i te cholecystitis tawhito, i te aukati wāhanga rānei
• Te whakawātea kino: Ka taea te tikanga o te kore mahi o te pūpū, i te dyskinesia biliary rānei
• Kāore te tohu e tae ki ngā whekau: E whakaatu ana i te aukati ara pākae

Ko tō hautanga pana he ine matua e whakaatu ana i te ōrau o te pākae e whakawātea ana tō pūpū. Ko te hautanga pana noa he 35% neke atu rānei, ahakoa e whakamahi ana ētahi taiwhanga i te 40% hei tohu tapahi.

Mēnā kei raro iho i te noa tō hautanga pana, ka tohu pea i te mate pūpū mahi ahakoa te ahua noa o ētahi atu whakamātautau. Heoi, ka whakaaro tō tākuta ki ō tohu katoa me ngā hua whakamātautau i mua i te whakatau i ngā tūtohutanga maimoatanga.

He aha ngā āhuatanga tūpono mō ngā hua HIDA rerekē?

He maha ngā āhuatanga ka whakanui i ō tūponotanga ki te whai mātai HIDA rerekē, ahakoa kāore te nuinga o te hunga whai āhuatanga tūpono e whakawhanake i ngā raruraru pūpū. Mā te māramatanga ki ēnei āhuatanga ka āwhina i a koe me tō tākuta ki te whakatau i ngā whakatau mō tō hauora.

He mea nui te pakeke me te ira tangata ki te mate o te pūpū. He nui ake te tūponotanga o ngā wāhine ki te whakawhanake i ngā raruraru o te pūpū, ina koa i te wā e hapū ana, e tango ana rānei i te rongoā whakakapi hormone. Ka piki ake te tūponotanga i te pakeke, ina koa i muri i te 40 tau.

Ko ēnei āhuatanga o te oranga me te rongoā ka piki ake te tūponotanga:

• Te whakaheke taumaha tere, te kai rānei i ngā kai rerekē
• He kai momona, he iti te muka
• Te momomo, te taumaha rānei
• Te mate huka, te aukati rānei i te insulin
• He hītori o te whānau mō te mate o te pūpū
• Ētahi rongoā pēnei i ngā pire whakawhānau
• Te mate mumura o te whekau
• He pokanga puku i mua

Ka whakawhanake ētahi tāngata i ngā raruraru o te pūpū kāore he āhuatanga tūpono e kitea ana. He mea nui te ira, ā, ko ētahi rōpū iwi, tae atu ki ngā Māori me ngā Amerikana o Mexico, he nui ake te reiti o te mate o te pūpū.

He mea nui te hapū nā te mea ka pā ngā huringa hormone ki te mahi o te pūpū. Mēnā kei te hapū koe, ā, e hiahia ana koe ki te karapa HIDA, ka āta whakatau tō tākuta i ngā painga ki ngā tūponotanga ka puta.

He aha ngā raruraru ka puta mai i ngā hua karapa HIDA kōaro?

Ahakoa kāore te karapa HIDA kōaro e whai raruraru, ko ngā raruraru o te pūpū e whakaatu ana ka taea te arahi ki ngā raruraru hauora nui mēnā kāore i rongoatia. Mā te māramatanga ki ēnei raruraru ka āwhina koe ki te mōhio he aha te mea nui o te tiaki whai muri.

Ko te cholecystitis whakapeka, e whakaatuhia ana e te pūpū kāore i whakakiia ki te tohu, ka taea te haere ki ngā raruraru kino. Ka kaha te mumura o te pakitara o te pūpū, ka pangia, ka pakaru rānei, e hiahia ana ki te pokanga ohorere.

Ko ēnei ngā raruraru nui ka puta mai i te mate o te pūpū kāore i rongoatia:

• Te werohanga o te pūpū: Ka pakaru te pakitara o te pūpū, ka maringi te wai paitini ki tō puku
• Te pirau: Ka mate te kiko o te pūpū i te kore o te toto
• Te hanganga o te puku: Ka puta ngā pūpū o te mate ki te taha o te pūpū
• Ngā kōhatu i roto i ngā ngongo pāpā: Ka neke ngā kōhatu mai i te pūpū, ka aukati i ngā ngongo pāpā
• Te mumura o te pūpū: Te mumura o te pūpū i pā mai i ngā ngongo pāpā kua aukatia
• Cholangitis: He mate kino i roto i ngā ngongo pāpā

Ko te mate pūpū mahi, e kore ai te pūpū e whakawātea tika, ka puta te mamae tonu me ngā raruraru kūnatu. Ahakoa kāore i te whakatuma i te ora i te wā tonu, ka pā kaha tō kounga o te ora, ā, tērā pea ka hiahiatia he pokanga.

Ko te rongo pai ko te nuinga o ngā raruraru pūpū ka taea te rongoā pai ina kitea wawe. Ka mahi tō tākuta ki a koe ki te whakawhanake i tētahi mahere rongoā e aro ana ki tō āhuatanga motuhake me te ārai i ngā raruraru.

Āhea ahau e kite ai i te tākuta mō ngā tohu pūpū?

Me whakapā atu koe ki tō tākuta mēnā ka pā mai ngā tohu e tohu ana i ngā raruraru pūpū, ina koa mēnā kei te mau tonu, kei te kino haere rānei. Mā te arotake wawe ka ārai i ngā raruraru, ā, ka āwhina i a koe kia pai ake ai te tū.

Ko te tohu pūpū tino noa ko te mamae i tō puku matau o runga, e kīia ana ko te biliary colic. Ko tēnei mamae te tikanga ka tīmata ohorere, ka roa i te 30 meneti ki te maha haora, ā, ka horapa ki tō tuara, ki tō pōtae pakihiwi matau rānei.

Anei ngā tohu e tika ana kia tirohia e te tākuta:

• Te mamae nui i te puku e kore e pai ake i te huri tūnga
• Te whakapairuaki me te ruaki, ina koa me te mamae o te puku
• Te kirika me te mamae o te puku
• Te kōwhai o te kiri, o ngā kanohi rānei (te kōura)
• Ngā tūtae he rite ki te paru, te mimi pouri rānei
• Te korenga o te ngākau, te pupuhi rānei i muri i ngā kai momona
• Te mamae e ara ai koe i te moe

Rapua tonu te āwhina hauora mēnā ka pū te mamae o tō puku me te kirika, te wiri, te ruaki rānei. E tohu ana ēnei tohumate i te cholecystitis nui, i ētahi atu raruraru nui rānei e hiahia ana kia tere te rongoā.

Kaua e whakawātea i ngā tohumate ngawari e hoki mai ana. Ko te korenga o te ngākau, te pupuhi, te raruraru rānei i muri i te kai i ngā kai momona, e tohu ana i te mate pūkahukahu mahi e whai hua ana i te wawaotanga wawe.

Ngā pātai e pātai pinepine ana mō ngā karapa HIDA

Q1: He haumaru te karapa HIDA i te wā e hapū ana?

Ko te tikanga, ka karo i ngā karapa HIDA i te wā e hapū ana, ki te kore e tino tika, nā te mea kei roto he rauemi iraruke. He iti te nui o te iraruke, engari he pai ake ki ngā tākuta te whakamahi i ngā huarahi haumaru ake pēnei i te ultrasound i te mea ka taea.

Mēnā kei te hapū koe, ā, ka tūtohu tō tākuta i te karapa HIDA, ko te tikanga he nui ake ngā painga i ngā tūponotanga. Ka whakamahia e rātou te horopeta iti rawa o te tohu iraruke, ā, ka whai i ngā whakatūpato motuhake hei tiaki i a koe me tō pēpi.

Q2: E tohu ana te hautanga pana iti me hiahia au ki te pokanga?

Kāore pea. E tohu ana te hautanga pana iti i raro i te 35-40% kāore te pūkahukahu e putu tika ana, engari kei runga i ō tohumate me tō hauora whānui te pokanga. Kāore ētahi tāngata he tohumate, ā, kāore e hiahia ana ki te rongoā.

Ka whakaarohia e tō tākuta ō tauira mamae, me pēhea te pānga o ngā tohumate ki tō oranga o ia rā, me ētahi atu hua whakamātautau i mua i te tūtohu i te pokanga. He pai te nuinga o ngā tāngata he mate pūkahukahu mahi ki ngā huringa kai me ngā rongoā.

Q3: Ka pānga ngā rongoā ki ngā hua o taku karapa HIDA?

Āe, he maha ngā rongoā ka pā ki ngā hua o te HIDA scan. Ka taea e ngā rongoā mamae narcotic te whakaputa i ngā hua teka pai mā te aukati i te pūkahukahu kia kore e ki tika. Ka taea hoki e ētahi paturopi me ētahi atu rongoā te pā ki te rere o te wai pā.

Me kōrero tonu ki tō tākuta mō ngā rongoā katoa e inu ana koe, tae atu ki ngā rongoā kore-whakahaere me ngā taapiri. Ka tono pea rātou ki a koe kia whakamutu i ētahi rongoā mō tētahi wā i mua i te whakamātautau kia mōhio ai he tika ngā hua.

Q4: Kia pēhea te roa o te tohu iraruke e noho ana i tō tinana?

He wā poto te haurua-ora o te tohu iraruke e whakamahia ana i ngā HIDA scan, ā, ka puta mai i tō tinana i roto i te 24-48 haora. Ko te nuinga ka whakakorea mā tō wai pā ki ō whekau, ā, i roto i ō nekehanga whekau.

Kāore koe e hiahia ki te whai i ngā whakatūpato motuhake i muri i te whakamātautau, engari ko te inu i te wai nui ka āwhina i te horoi i te tohu i te tere ake. Ko te nui o te pānga iraruke he rite ki te mea ka whiwhi koe mai i te hihi-X o te pouaka.

Q5: He aha te mea ka pā mai ki te kore e puta mai taku pūkahukahu i te scan?

Mēnā kāore tō pūkahukahu e ki ana i te tohu i te wā o te scan, te tikanga he cholecystitis koi, he mumura pūkahukahu nui rānei. E kiia ana tēnei he hua pai mō te mate pūkahukahu koi.

Ka hoatu pea e tō tākuta te morphine ki a koe i te wā o te whakamātautau hei āwhina i te whakakao i te tohu me te whai i tētahi pikitia mārama ake. Mēnā kāore anō tō pūkahukahu e ki ana, ka hiahia pea koe ki te rongoā hauora tere, e maha ana ngā paturopi me te pokanga pea.