I-scintigraphy yegilo yenziwa kanjani

-Delile

• Yenzelwe ini
• Kwenziwa kanjani ukuhlolwa
• Ungasilungiselela kanjani isivivinyo

I-thyroid scintigraphy ukuhlolwa okusetshenziselwa ukuhlola ukusebenza kwe-thyroid. Lokhu kuhlolwa kwenziwa ngokuthatha umuthi onamandla okukhipha imisebe, njenge-Iodine 131, Iodine 123 noma i-Technetium 99m, kanye nedivayisi yokuthwebula izithombe ezakhiwe.

Kuboniswa ukuhlola ubukhona bezinhlayiya ze-thyroid, umdlavuza, ukuphenya izimbangela ze-hyperthyroidism noma i-hypothyroidism noma ukuvuvukala kwe-thyroid, isibonelo. Bheka ukuthi yiziphi izifo eziyinhloko ezithinta i-thyroid nokuthi yini okufanele uyenze.

Ukuhlolwa kwe-thyroid scintigraphy kwenziwa mahhala yi-SUS, noma ngasese, ngenani elijwayelekile eliqala kusuka kuma-reais angama-300, ahluka kakhulu ngokuya ngendawo okwenziwa kuyo. Ngemuva kwenqubo, izithombe zokugcina ze-thyroid zingachazwa njengoba kukhonjisiwe kumfanekiso ongezansi:

• Umphumela A: isiguli sine-thyroid enempilo, ngokusobala;
• Umphumela B: ingakhombisa ukusabalala kwe-goiter enobuthi noma ukugula okungathi sína, okuyisifo se-autoimmune esandisa umsebenzi we-thyroid obangela i-hyperthyroidism;
• Umphumela C: ingakhombisa i-goular nodular goiter enobuthi noma isifo se-plummer, okuyisifo esikhiqiza amaqhuqhuva e-thyroid abangela i-hyperthyroidism.

Izithombe ezakhiwe zincike ekuthathweni kwezinto ezinemisebe yegilo yi-thyroid, futhi, ngokuvamile, ukutholwa okukhulu ngokwakhiwa kwezithombe ezicace bha kuwuphawu lomsebenzi omkhulu wezindlala, njengoba kungenzeka kwi-hyperthyroidism, futhi ukutholwa okungajwayelekile kuyisibonakaliso i-hypothyroidism.

Yenzelwe ini

I-scintigraphy yegilo ingasetshenziselwa ukukhomba izifo ezinjenge:

• I-Ectopic thyroid, okuyilapho indlala itholakala ngaphandle kwendawo ejwayelekile;
• Ukucwilisa i-thyroid, okuyilapho indlala ikhulisiwe futhi ingahlasela isifuba;
• Amaqhubu endlala yegilo;
• I-Hyperthyroidism, okuyilapho indlala ikhiqiza ama-hormone amaningi. Yazi ukuthi yiziphi izimpawu nezindlela zokwelapha i-hyperthyroidism;
• I-Hypothyroidism, lapho indlala ikhiqiza ama-hormone amancane kunokujwayelekile. Qonda ukuthi ungabona kanjani futhi welaphe i-hypothyroidism;
• I-Thyroiditis, okuwukuvuvukala kwendlala yegilo;
• Umdlavuza wegilo nokuhlola amaseli wesimila ngemuva kokususwa kwe-thyroid ngesikhathi sokwelashwa

I-Scintigraphy ingenye yezivivinyo ezihlola i-thyroid, futhi udokotela angacela futhi abanye ukuthi basize ekuxilongweni, njengokuhlolwa kwegazi okuhlola inani lamahomoni e-thyroid, i-ultrasound, ukubhoboza noma i-biopsy ye-thyroid, isibonelo. Thola ukuthi iziphi izivivinyo ezisetshenziswa ekuhloleni i-thyroid.

Kwenziwa kanjani ukuhlolwa

I-scintigraphy yegilo ingenziwa ngosuku olungu-1 noma ngezigaba ezihlukaniswe ngezinsuku ezimbili futhi idinga ukuzila ukudla okungenani amahora amabili. Uma kwenziwa ngosuku olungu-1 kuphela, i-radioactive technetium substance, engafakwa ngomjovo, isetshenziselwa ukwakha izithombe zendlala yegilo.

Lapho ukuhlolwa kwenziwa ezinsukwini ezimbili, ngosuku lokuqala isiguli sithatha i-iodine 123 noma 131, ngamaphilisi noma ngotshani. Ngemuva kwalokho, izithombe ze-thyroid zitholakala ngemuva kwamahora amabili namahora angama-24 ngemuva kokuqala kwenqubo. Ngezikhathi, isiguli singaphuma siyokwenza imisebenzi yaso ejwayelekile yansuku zonke, futhi ngokuvamile imiphumela yokuhlolwa isikulungele ngemuva kwezinsuku ezi-3 kuye kwezingu-5.

Kokubili i-iodine ne-technetium kuyasetshenziswa ngoba yizinto ezinobudlelwano be-thyroid, futhi ezingagxila kule ndlala kalula. Ngaphezu kohlobo lokusetshenziswa, umehluko phakathi kokusetshenziswa kwe-iodine noma i-technetium ukuthi iodine ifaneleka kakhulu ekuhloleni izinguquko ekusebenzeni kwe-thyroid, njenge-hyperthyroidism noma i-hypothyroidism. Ngakolunye uhlangothi, iTechnetium iyasiza kakhulu ukukhomba ukuthi kukhona yini amaqhuqhuva.

Ungasilungiselela kanjani isivivinyo

Ukulungiselela i-scintigraphy yegilo kuqukethe ukugwema ukudla, imithi kanye nokuhlolwa kwezokwelapha okuqukethe noma ukusebenzisa iodine noma okuguqula ukusebenza kwe-thyroid, njenge:

• Ukudla: ungakudli ukudla okune-iodine amaviki ama-2, uvinjelwe ukusetshenziswa kwezinhlanzi zamanzi anosawoti, izinhlanzi zasolwandle, imfanzi, izimila zasolwandle, i-whisky, imikhiqizo ekheniwe, okunongwe noma okuqukethe ama-sardine, i-tuna, iqanda noma isoya kanye nezinye izinto ezifana ne-shoyo, i-tofu kanye ne-soy ubisi;

Buka le vidiyo elandelayo bese ubona ukuthi yikuphi ukudla okungcono kakhulu kwe-iodotherapy:

• Izivivinyo: ezinyangeni ezi-3 ezedlule, ungenzi izivivinyo ezifana ne-computed tomography ehlukile, i-excretory urography, i-cholecystography, i-bronchography, i-colposcopy ne-hysterosalpingography;
• Imithi: eminye imithi ingaphazamisa isivivinyo, njengezithasiselo zamavithamini, ama-hormone e-thyroid, imishanguzo equkethe iodine, imithi yenhliziyo enento eyi-Amiodarone, efana ne-Ancoron noma i-Atlansil, noma ama-syrups okukhwehlela, ngakho-ke kubalulekile ukukhuluma nodokotela ukuze ahlole ukumiswa kwabo. ;
• Amakhemikhali: enyangeni eyandulela isivivinyo, awukwazi ukudaya izinwele zakho, usebenzise i-lipstick emnyama noma i-nail polish, uwoyela wokushuka, iodine noma i-iodized alcohol esikhunjeni sakho.

Kubalulekile ukukhumbula ukuthi abesifazane abakhulelwe noma abancelisayo akufanele bahlole i-thyroid. Endabeni ye-technetium scintigraphy, ukuncelisa ibele kumele kumiswe izinsuku ezimbili ngemuva kokuhlolwa.

Ukuhlolwa kwe-PCI - ukuseshwa komzimba wonke kuqukethe ukuhlolwa okufana kakhulu, kepha, kuyimishini esetshenzisiwe ekhiqiza izithombe zawo wonke umzimba, ekhonjiswa ikakhulukazi uma kwenzeka uphenyo lwe-metastasis lwezicubu noma amaseli wegilo akwezinye izingxenye zomzimba. Funda kabanzi mayelana ne-scintigraphy ephelele yomzimba lapha.