Chii chinonzi HIDA Scan? Chinangwa, Maitiro & Mhedzisiro

HIDA scan imuedzo wekufananidza wakakosha unobatsira vanachiremba kuona kuti gallbladder yako nemagetsi ebhairi ari kushanda sei. Fungidzira semufirimu wakadzama wemaitiro ako ekugaya, kunyanya achitarisa kuti bile inoyerera sei kubva muchiropa chako ichipfuura negallbladder yako ichienda mudumbu rako diki.

Muedzo uyu unoshandisa huwandu hudiki hwezvinhu zvinobva mumwaranzi zvakachengeteka zvachose uye zvinobviswa mumuviri wako zvakasikwa. Iyo scan inotora mifananidzo nekufamba kwenguva kuti iratidze chiremba wako chaizvo zviri kuitika mukati, ichivabatsira kuongorora matambudziko anogona kunge achikonzera zviratidzo zvako.

Chii chinonzi HIDA scan?

HIDA scan, inonziwo hepatobiliary scintigraphy, imuedzo wemushonga wenyukiriya unotevera kuyerera kwebile kuburikidza nechiropa chako, gallbladder, uye bile ducts. Zita rinobva kune radioactive tracer rinoshandiswa rinonzi hepatobiliary iminodiacetic acid.

Munguva yemuedzo, nyanzvi inojekesa huwandu hudiki hwe radioactive tracer mutsinga yeruoko rwako. Iyi tracer inofamba kuburikidza neropa rako ichienda kuchiropa chako, uko inosangana ne bile. Kamera yakakosha inobva yatora mifananidzo sezvo iyo tracer ichifamba kuburikidza nemagetsi ako ebhairi uye gallbladder, ichiratidza kuti nhengo idzi dziri kushanda sei.

Iyo scan haina kurwadza zvachose uye inowanzo tora pakati peimwe kusvika kumaawa mana kuti ipedze. Ucharara patafura apo kamera ichikufambira, asi hauzonzwa radiation kana iyo tracer ichifamba mumuviri wako.

Sei HIDA scan ichiitwa?

Chiremba wako anoraira HIDA scan kana uine zviratidzo zvinoratidza matambudziko ne gallbladder yako kana bile ducts. Muedzo uyu unobatsira kuziva chaizvo zviri kukonzera kusagadzikana kwako uye inotungamira sarudzo dzekurapa.

Chikonzero chikuru chekuongorora uku ndechokuongorora chirwere chegallbladder, kunyanya kana mamwe maedzo akadai se ultrasound asina kupa mhinduro dzakajeka. Chiremba wako angangofungidzira cholecystitis, iyo kuzvimba kwegallbladder, kana matambudziko nekuti gallbladder yako inoshanda sei uye inobuda.

Heano mamiriro makuru ayo HIDA scan inogona kubatsira kuongorora:

• Acute cholecystitis (kuzvimba kwegallbladder kamwe kamwe)
• Chronic cholecystitis (kuzvimba kwegallbladder kwenguva refu)
• Gallbladder dysfunction kana kusabuda kwegallbladder zvakanaka
• Bile duct obstruction kana kuvharika
• Bile inobuda mushure mekuvhiyiwa
• Biliary dyskinesia (gallbladder haina kushanda zvakanaka)

Dzimwe nguva vanachiremba vanoshandisawo HIDA scans kuongorora mamiriro asingawanzoitiki akadai se sphincter of Oddi dysfunction, uko tsandanyama inodzora kuyerera kwebile haishande nemazvo. Muedzo uyu unogonawo kubatsira kuongorora matambudziko mushure mekuvhiyiwa kwegallbladder kana chiropa.

Ndeipi nzira yeHIDA scan?

Nzira yeHIDA scan yakatwasuka uye inoitika mudhipatimendi remishonga yenyukireya yechipatara. Iwe uchashanda nevanachiremba vakadzidziswa zvakakosha avo vachakutungamira kuburikidza nhanho imwe neimwe uye kupindura chero mibvunzo yaunayo.

Kutanga, iwe uchanzvenga mune gown rechipatara uye kurara patafura yakazadzwa. Nyanzvi ichaisa mutsetse mudiki weIV muruoko rwako, izvo zvinonzwa sekubaya nekukurumidza. Kuburikidza neIV iyi, vachaisa radioactive tracer, iyo inotora masekondi mashoma.

Zvinoitika panguva yekutarisa:

1. Iwe ucharara wakanyarara patafura apo kamera hombe inokutenderera
2. Kamera inotora mifananidzo maminitsi mashoma ega ega kweawa rekutanga
3. Kana gallbladder yako ikazadzwa ne tracer, unogona kugamuchira mushonga unonzi CCK kuti uishandise
4. Mifananidzo yekuwedzera inotorwa kuti uone kuti gallbladder yako inobuda sei
5. Nzira yese inowanzo tora maawa 1-4 zvichienderana nekuti muviri wako unopindura sei

Munguva yekuskena, unogona kufema zvakajairika uye kunyange kutaura zvinyararire, asi uchafanirwa kugara wakanyarara sezvinobvira. Kamera haikubati uye inoita ruzha rushoma. Vanhu vazhinji vanowana bvunzo iyi ichizorodza, kunyangwe kurara wakanyarara kwenguva yakareba kunogona kusagadzikana.

Kana gallbladder yako isingazadzwi ne tracer mukati meawa rekutanga, chiremba wako angangokupa morphine kuti ibatsire kuisa tracer. Izvi zvinogona kuwedzera nguva yekuedzwa asi inopa mhedzisiro yakarurama.

Maitiro ekugadzirira HIDA scan yako?

Kugadzirira kwakakodzera kunovimbisa kuti HIDA scan yako inopa mhedzisiro yakarurama sezvinobvira. Hofisi yachiremba wako ichapa mirairo chaiyo, asi hezvino zvinodiwa zvaunofanirwa kutevera.

Nhanho yakakosha yekugadzirira ndeyekutsanya kwemaawa anenge mana usati waita bvunzo. Izvi zvinoreva kuti hapana chikafu, zvinwiwa (kunze kwemvura), chingamu, kana zvihwitsi. Kutsanya kunobatsira gallbladder yako kuisa bile, zvichiita kuti zvive nyore kuona panguva yekuskena.

Usati waenda kumusangano wako, zivisa timu yako yezvokurapa nezve ruzivo urwu rwakakosha:

• Mishonga yese yaunotora, kusanganisira zvinodhaka zvisingatengwi
• Chero maallergies aunayo
• Kana iwe une pamuviri kana uchiyamwisa
• Kurwara kwemazuva ano kana mamwe bvunzo zvekurapa
• Zvakaitika kare kune zvinhu zvakasiyana kana mishonga

Unofanirwa kuramba uchitora mishonga yako yenguva dzose kunze kwekunge chiremba wako akakuudza zvakananga kuti umire. Zvisinei, dzimwe mishonga inogona kukanganisa mhedzisiro yebvunzo, saka chiremba wako angangokukumbira kuti umise zvishoma zvinodhaka zvakaita semishonga yekurwadziwa.

Pfeka mbatya dzakanaka, dzakasununguka dzisina zipi dzemetal kana mabhatani pedyo nedumbu rako. Iwe ungangochinja kuita gown rechipatara, asi mbatya dzakanaka dzinoita kuti chiitiko chifadze.

Maitiro ekuverenga mhedzisiro yako yeHIDA scan?

Mhedzisiro yako yeHIDA scan inoratidza kuti bile inoyerera sei kuburikidza nechiropa chako, gallbladder, uye bile ducts. Nyanzvi yemishonga yenyukiriya inonzi radiologist ichaongorora mifananidzo yako uye ichatumira mushumo wakadzama kuna chiremba wako.

Mhedzisiro yakajairika inoratidza tracer ichifamba zvakanaka kubva muchiropa chako ichienda mugallbladder yako mukati memaminitsi makumi matatu kusvika makumi matanhatu. Gallbladder yako inofanira kuzara zvakakwana uye yobva yabuda zvishoma 35-40% yezviri mukati mayo kana yakurudzirwa nemushonga weCCK.

Hezvino zvinoreva mhedzisiro dzakasiyana:

• Normal scan: Tracer inozadza gallbladder uye inobuda zvakanaka, ichiratidza basa rine hutano
• Hapana kuzadzwa kwegallbladder: Inoratidza acute cholecystitis kana kuzvimba kwegallbladder
• Kuzadzwa kwakanonoka: Kunogona kuratidza chronic cholecystitis kana kuvharika zvishoma
• Kubuda kwakashata: Kungareva gallbladder dysfunction kana biliary dyskinesia
• Tracer haina kusvika mumatumbo: Inoratidza bile duct obstruction

Ejection fraction yako ndiyo chiyero chakakosha chinoratidza kuti gallbladder yako inobudisa bile yakawanda sei. Ejection fraction yakajairika inowanzoita 35% kana kupfuura, kunyangwe mamwe marabhu achishandisa 40% sechiyero chavo.

Kana ejection fraction yako iri pasi peyakajairika, inogona kuratidza chirwere chegallbladder chinobata kunyangwe kana mamwe maedzo achioneka akajairika. Zvisinei, chiremba wako achafunga nezvezvose zviratidzo zvako uye mhedzisiro yekuongorora pamwe chete asati aita kurudziro yekurapa.

Ndezvipi zvinhu zvine njodzi zvekusajairika HIDA scan mhedzisiro?

Zvimwe zvinhu zvinogona kuwedzera mikana yako yekuva neHIDA scan isina kujairika, kunyangwe vanhu vazhinji vane izvi zvinhu zvine njodzi vasina kumbobvira vawana matambudziko e gallbladder. Kunzwisisa izvi zvinhu kunobatsira iwe nachiremba wako kuita zvisarudzo zvine ruzivo nezvehutano hwako.

Zera uye bonde zvinotamba mabasa akakosha muzvirwere zvegallbladder. Vakadzi vanowanzoita matambudziko e gallbladder, kunyanya panguva yekuzvitakura kana vachitora mushonga wehormone replacement therapy. Njodzi inowedzera nezera, kunyanya mushure memakore makumi mana.

Izvi zvehupenyu uye zvezvokurapa zvinogona kuwedzera njodzi yako:

• Kurasikirwa uremu nekukurumidza kana kudya kweyo-yo
• High-fat, low-fiber diet
• Kufutisa kana kuve uremu zvakanyanya
• Chirwere cheshuga kana insulin resistance
• Nhoroondo yemhuri yechirwere chegallbladder
• Mishonga yakati wandei senge mapiritsi ekudzivirira pamuviri
• Inflammatory bowel disease
• Kuvhiyiwa kwemudumbu kwakapfuura

Vamwe vanhu vanowana matambudziko e gallbladder vasina chero zvinhu zvinooneka zvinokonzera njodzi. Genetics inotamba basa, uye mamwe mapoka emadzinza, kusanganisira Native Americans uye Mexican Americans, vane huwandu hwepamusoro hwechirwere chegallbladder.

Kuzvitakura chinhu chakakosha nekuti shanduko dzehomoni dzinogona kukanganisa basa re gallbladder. Kana iwe wakazvitakura uye uchida HIDA scan, chiremba wako achanyatsoongorora mabhenefiti achipesana nenjodzi ipi neipi inogona kuitika.

Ndezvipi zvipingamupinyi zvinogona kuitika zvemhedzisiro yeHIDA scan isina kujairika?

Nepo HIDA scan isina kujairika pachayo isingakonzeri matambudziko, matambudziko e gallbladder ari pasi ayo anoratidza anogona kutungamira kumatambudziko makuru ehutano kana akasiiwa asina kurapwa. Kunzwisisa izvi zvinogona kuitika zvinokubatsira kukoshesa nei kutarisirwa kunotevera kwakakosha.

Acute cholecystitis, inoratidzwa ne gallbladder isingazadzwi ne tracer, inogona kufambira mberi kumatambudziko ane njodzi. Rusvingo rwegallbladder runogona kuzvimba zvakanyanya, kuva nehutachiona, kana kutoputika, zvichida kuvhiyiwa kwemamiriro ekukurumidzira.

Heano matambudziko makuru anogona kukura kubva kuchirwere chegallbladder chisina kurapwa:

• Kuparara kwechibereko chemumuviri: Rusvingo rwechibereko chemumuviri runovhura, ruchidurura bile ine hutachiona mudumbu rako
• Gangrene: Nyama yechibereko chemumuviri inofa nekuda kwekushaya ropa
• Kuumbwa kweabscess: Mapoka ehutachiona anokura akapoteredza chibereko chemumuviri
• Matombo emuchubvu we bile: Matombo anobva muchibereko chemumuviri uye anovhara machubvu e bile
• Pancreatitis: Kuzvimba kwepancreas kunokonzerwa nemachubvu e bile akavharika
• Cholangitis: Hutachiona hwakakomba hwemachubvu e bile

Chirwere chechibereko chemumuviri chinoshanda, uko chibereko chemumuviri hachina kubuda zvakanaka, chinogona kukonzera kurwadziwa kusingaperi uye matambudziko ekugaya. Kunyange zvisiri zvekukurumidza kuisa hupenyu panjodzi, zvinogona kukanganisa zvakanyanya hupenyu hwako uye zvinogona kuda kuvhiyiwa.

Nhau dzakanaka ndedzekuti matambudziko mazhinji echibereko chemumuviri anogona kurapwa zvinobudirira kana akabatwa nekukurumidza. Chiremba wako achashanda newe kuti agadzire chirongwa chekurapa chinotarisana nemamiriro ako chaiwo uye chinodzivirira matambudziko.

Ndingatarisana riini nachiremba nezve zviratidzo zvechibereko chemumuviri?

Unofanira kutaurirana nachiremba wako kana uine zviratidzo zvinogona kuratidza matambudziko echibereko chemumuviri, kunyanya kana ari echigarire kana kuipa. Kuongororwa kwekutanga kunogona kudzivirira matambudziko uye kukubatsira kunzwa zviri nani nekukurumidza.

Chiratidzo chakajairika chechibereko chemumuviri kurwadziwa mudumbu rako rekurudyi repamusoro, rinowanzozivikanwa se biliary colic. Kurwadziwa uku kunowanzo kutanga kamwe kamwe, kunotora maminitsi makumi matatu kusvika maawa akati wandei, uye kunogona kupararira kumusana wako kana bapiro rekurudyi repafudzi.

Heano zviratidzo zvinoda kutariswa kwekurapa:

• Kurwadziwa kwakanyanya mudumbu kusingavanduki nekuchinja nzvimbo
• Kusvotwa nekurutsisa, kunyanya pamwe chete nekurwadziwa mudumbu
• Fivha pamwe chete nekurwadziwa mudumbu
• Kusvava kweganda kana maziso (jaundice)
• Matope-mavara echituru kana weti yakasviba
• Kusagaya zvakanaka kana kuzvimba kunoramba kuripo mushure mekudya chikafu chine mafuta
• Kurwadziwa kunokumutsa kubva pakurara

Tsvaga rubatsiro rwekurapa nekukurumidza kana ukaona kurwadziwa kwakanyanya mudumbu pamwe chete nefivha, kutonhora, kana kurutsa. Zviratidzo izvi zvinogona kuratidza acute cholecystitis kana dzimwe matambudziko akakomba anoda kurapwa nekukurumidza.

Usaregeredza zviratidzo zvinyoro zvinodzokororwa zvakare. Kusagaya zvakanaka kakawanda, kuzvimba, kana kusagadzikana mushure mekudya chikafu chine mafuta zvinogona kuratidza chirwere chebiliary chinogona kubatsirwa nekupindira kwekutanga.

Mibvunzo inowanzo bvunzwa nezve HIDA scans

Q1: Iyo HIDA scan yakachengeteka panguva yekuzvitakura here?

HIDA scans inowanzo dziviswa panguva yekuzvitakura kunze kwekunge zvichidikanwa zvachose nekuti zvinosanganisira radioactive material. Huwandu hweradiation hudiki, asi vanachiremba vanosarudza kushandisa dzimwe nzira dzakachengeteka senge ultrasound pazvinogoneka.

Kana iwe wakazvitakura uye chiremba wako akakurudzira HIDA scan, zvinoreva kuti mabhenefiti anogona kukunda njodzi. Vachashandisa yakaderera dose ye radioactive tracer uye vachatora matanho ekukudzivirira iwe nemwana wako.

Q2: Iyo ejection fraction yakaderera inogara ichireva kuti ndinoda kuvhiyiwa here?

Kwete hazvo. Iyo ejection fraction yakaderera iri pasi pe35-40% inoratidza kuti gallbladder yako haina kubuda zvakanaka, asi kuvhiyiwa kunoenderana nezviratidzo zvako uye hutano hwako hwese. Vamwe vanhu vane ejection fractions yakaderera havana zviratidzo uye havadi kurapwa.

Chiremba wako achafunga nezve maitiro ako ekurwadziwa, kuti zviratidzo zvinokanganisa sei hupenyu hwako hwezuva nezuva, uye mamwe mhedzisiro yekuedzwa usati waraira kuvhiyiwa. Vanhu vazhinji vane functional gallbladder disease vanoita zvakanaka nekuchinja kudya uye mishonga.

Q3: Mishonga inogona kukanganisa mhedzisiro yangu yeHIDA scan here?

Hongu, mishonga yakati wandei inogona kukanganisa mhedzisiro yeHIDA scan. Mishonga yekurwadziwa yeNarcotic inogona kukonzera mhedzisiro yechokwadi nekudzivirira gallbladder kuzadzwa zvakanaka. Mamwe maantibiotics nemimwe mishonga inogonawo kukanganisa kuyerera kwebile.

Nguva dzose udza chiremba wako nezve mishonga yose yaunotora, kusanganisira mishonga isingatengwi uye zvinowedzerwa. Vanogona kukukumbira kuti umise zvishoma mishonga isati yaitwa bvunzo kuti uve nechokwadi chemhedzisiro yechokwadi.

Q4: Chii chinotora nguva yakareba sei tracer yeradioactive kuti igare mumuviri wangu?

Iyo radioactive tracer inoshandiswa muHIDA scans ine hafu-hupenyu hupfupi uye inobuda mumuviri wako zvakasikwa mukati me24-48 maawa. Yakawanda inobviswa kuburikidza nebile yako ichienda mumatumbu ako uye ipapo mukufamba kwematumbu ako.

Haufaniri kutora matanho akakosha mushure mebvunzo, asi kunwa mvura yakawanda kunogona kubatsira kubvisa tracer nekukurumidza. Huwandu hwekuratidzwa kwemwaranzi hwakafanana nezvaungawana kubva kuX-ray yechipfuva.

Q5: Chii chinoitika kana gallbladder yangu isingaratidzike pane scan?

Kana gallbladder yako isingazadzwi ne tracer panguva ye scan, zvinowanzo ratidza acute cholecystitis kana kuzvimba kwakanyanya kwegallbladder. Izvi zvinoonekwa semhedzisiro yakanaka yechirwere cheacute gallbladder.

Chiremba wako angakupa morphine panguva yebvunzo kuti abatsire kuisa pfungwa pa tracer uye kuwana mufananidzo wakajeka. Kana gallbladder yako isingazadzwi, iwe ungangoda kurapwa nekukurumidza, izvo zvinowanzo sanganisira maantibiotics uye pamwe kuvhiyiwa.