ʻO ke kiʻi ʻana o Gallbladder radionuclide scan

ʻO Gallbladder radionuclide scan kahi hōʻike e hoʻohana i nā mea radioactive e nānā i ka hana o ka gallbladder. Hoʻohana ʻia ia e nānā no ka palaka ʻana o ka bile duct a i ʻole ka liu.

E hoʻopili ka mea mālama ola i kahi kemika radioactive i kapa ʻia he gamma e hoʻokuʻu ana i ka tracer i kahi aa. Hōʻiliʻili kēia mea i ka hapa nui i ke ake. E kahe ana ia me ka bile i loko o ka hipa a laila a hiki i ka duodenum a i ʻole ka ʻōpū liʻiliʻi.

No ka hōʻike:

• Moe ʻoe i ka maka ma ka papa ma lalo o kahi scanner i kapa ʻia he kāmela gamma. ʻIke ka mea scanner i nā kukuna e hele mai ana mai ka mea tracer. Hōʻike kahi kamepiula i nā kiʻi o kahi e loaʻa ai ka mea tracer i nā meaola.
• Lawe ʻia nā kiʻi i kēlā me kēia 5 a 15 mau minuke. ʻO ka hapa nui o ka manawa, ma kahi o 1 hola ka hoʻāʻo. I kekahi manawa, hiki ke hala i 4 mau hola.

Inā ʻaʻole hiki i ka mea hāʻawi ke ʻike i ka gallbladder ma hope o kekahi manawa, hiki ke hāʻawi ʻia iā ʻoe i kahi morphine liʻiliʻi. Hiki i kēia ke kōkua i ka mea radioactive e komo i loko o ka pahu hānai. Hoʻokumu paha ka morphine iā ʻoe e luhi ma hope o ka hōʻike.

I kekahi mau hihia, hāʻawi ʻia ʻoe i ka lāʻau i kēia hōʻike e ʻike ai i ka maikaʻi o ka paʻi ʻana o kāu gallbladder (ʻaelike). Hoʻokomo ʻia ka lāʻau i loko o ke aa koko. Inā ʻole, noi ʻia ʻoe e inu i kahi mea inu kiʻekiʻe e like me Boost e kōkua ai i kāu ʻaelike gallbladder.

Pono ʻoe e ʻai i kekahi mea i loko o kahi lā o ka hoʻāʻo. Eia nō naʻe, pono ʻoe e haʻalele i ka ʻai ʻana a i ʻole ka inu ʻana i 4 mau hola ma mua o ka hoʻomaka ʻana o ka hōʻike.

E ʻike ʻoe i kahi kui ʻoi loa mai ka nila mai i ka wā e hoʻokomo ʻia ai ka tracer i ke aa koko. ʻEha paha ka pūnaewele ma hope o ka hoʻopili ʻana. ʻAʻohe maʻamau ʻeha i ka scan.

Maikaʻi loa kēia hoʻokolohua no ka ʻike ʻana i kahi maʻi hikiwawe o ka gallbladder a i ʻole ka paʻa ʻana o ke kahena o ka bile. He mea kōkua nō hoʻi ia i ka hoʻoholo ʻana inā he pilikia o ke ake transplanted a i ʻole kahi kulu ma hope o ka hemo ʻana o ka gallbladder.

Hiki nō ke hoʻohana i ka hoʻāʻo e ʻike ai i nā pilikia o ka gallbladder wā lōʻihi.

Nā hopena kūpono ʻole ma muli o:

• Anatomia maʻamau o ka ʻōnaehana bile (biliary anomalies)
• ʻO ke keʻakeʻa aʻa bili
• ʻO nā kahe o ka bile a i ʻole nā ​​aʻa ʻokoʻa
• Ka maʻi ʻaʻai o ka ʻōnaehana hepatobiliary
• ʻO ka maʻi maʻi Gallbladder (cholecystitis)
• Nā Pohaku
• ʻO ka maʻi o ka gallbladder, dences, a me ke ake
• Maʻi maʻi ate
• Transaction complication (ma hope o ke ake transplant)

Aia kekahi pilikia iki i nā makuahine hāpai a hānai paha. Inā ʻaʻole pono ia, e hoʻopaneʻe ʻia ka scan a hiki i kou hāpai hou ʻole ʻana a i ʻole hānai.

Liʻiliʻi ka nui o ka pāhawewe (ʻoi aku ma mua o ka x-ray maʻamau). ʻAneʻane pau i ke kino mai loko o 1 a i ʻole 2 mau lā. E hoʻonui paha kou makaʻu mai ka pāhawewe inā he nui kāu nānā.

ʻO ka hapanui o nā manawa, hana ʻia kēia hōʻike inā loaʻa koke ke kanaka i ka ʻeha hiki ʻole mai ka maʻi gallbladder a i ʻole nā ​​gallstones. No kēia kumu, pono i kekahi poʻe i ka lāʻau lapaʻau wikiwiki ma muli o nā hopena hōʻike.

Hoʻohui ʻia kēia hōʻike me nā kiʻi ʻē aʻe (e like me CT a i ʻole ultrasound). Ma hope o ka ʻimi ʻana o ka gallbladder, mākaukau paha ke kanaka no ke ʻoki ʻana, inā pono.

Radionuclide - pā paʻi; ʻImi i ka gallbladder; Biliary scan; Cholescintigraphy; HIDA; Hepatobiliary kiʻi kiʻi nukelea

• Pākuʻi
• ʻO ke kiʻi ʻana o Gallbladder radionuclide scan

Chernecky CC, Berger BJ. Hōʻike Hepatobiliary (HIDA Scan) - diagnostic. I: Chernecky CC, Berger BJ, hua. Nā Hoʻokolohua Laboratory a me nā kaʻina hana Diagnostic. ʻElua huaʻōlelo Piladelapia, PA: Elsevier Saunders; 2013: 635-636.

ʻO Fogel EL, Sherman S. Nā maʻi o ka gallbladder a me nā dile bile. I: Goldman L, Schafer AI, eds. ʻO ka lāʻau lapaʻau Goldman-Cecil. 25th hua. Piladelapia, PA: Elsevier Saunders; 2016: chap 155.

ʻO Grajo JR. Kiʻi o ke ake. I: Sahani DV, Samir AE, eds. Imaging ʻōpū. ʻElua ed. Piladelapia, PA: Elsevier; 2017: chap 35.

Wang DQH, Afdhal NH. ʻO ka maʻi Gallstone. I: Feldman M, Friedman LS, Brandt LJ, eds. ʻO Sleisenger a me Fordtran's Gastrointestinal a me ka maʻi ate. 10 o ka lā. Piladelapia, PA: Elsevier Saunders; 2016: chap 65.