I-Renal scintigraphy: kuyini, kanjani ukulungiselela nokuthi kwenziwa kanjani

-Delile

• Ungasilungiselela kanjani isivivinyo
• Kwenziwa kanjani i-scintigraphy yezinso
• I-scintigraphy yenziwa kanjani enganeni

I-Renal scintigraphy ukuhlolwa okwenziwa ngemifanekiso yamagnetic resonance ekuvumela ukuthi uhlole ukwakheka nokusebenza kwezinso. Ngalokhu, kuyadingeka ukuthi into efakwa ngemisebe, ebizwa nge-radiopharmaceutical, ifakwe ngqo emthanjeni, ocwebezelayo esithombeni esitholwe ngesikhathi sokuhlolwa, okuvumela ukubonwa ngaphakathi kwezinso.

I-Renal scintigraphy ingahlukaniswa ngokuya ngokuthi izithombe zitholakala kanjani ku:

• I-static scintigraphy yezinso, lapho izithombe zitholakala khona ngomzuzwana owodwa nomuntu ophumule;
• I-scintigraphy yezinso ezinamandla, lapho kutholakala khona izithombe ezinamandla kusuka ekukhiqizeni kuze kube sekuqedeni umchamo.

Lokhu kuhlolwa kukhonjiswa udokotela wezidumbu noma we-nephrologist lapho kutholakala ushintsho ekuhlolweni kochamo lohlobo 1 noma ukuhlolwa komchamo wamahora angama-24 okungakhombisa ushintsho ezinso. Nakhu ukuthi ungazibona kanjani izimpawu zenkinga yezinso.

Ungasilungiselela kanjani isivivinyo

Ukulungiswa kwe-renal scintigraphy kuyehluka ngohlobo lokuhlolwa nokuthi yini udokotela ahlose ukukuhlola, noma kunjalo, kujwayelekile ukuthi kuyadingeka ukugcina isinye sigcwele noma singenalutho. Uma isinye sidinga ukugcwala, udokotela angakhombisa ukuphuza amanzi ngaphambi kokuhlolwa noma afake i-serum ngqo emthanjeni. Ngakolunye uhlangothi, uma kunesidingo sokuba nesinye esingenalutho, udokotela angakhombisa ukuthi lowo muntu uchama ngaphambi kokuhlolwa.

Kunezinhlobo ezithile ze-scintigraphy lapho i-bladder kufanele ihlale ingenalutho futhi, ezimweni ezinjalo, kungadingeka ukufaka iphenyi yesinye ukukhipha noma yimuphi umchamo ongaphakathi kwesinye.

Kubalulekile futhi ukususa noma yiluphi uhlobo lobucwebe noma izinto zensimbi ngaphambi kokuqala ukuhlolwa, ngoba zingaphazamisa umphumela we-scintigraphy. Ngokuvamile nge-scintigraphy ye-renal enamandla, udokotela uyala ukumisa imithi yokwelapha amahora angama-24 ngaphambi kokuhlolwa noma ngosuku olufanayo.

Kwenziwa kanjani i-scintigraphy yezinso

Indlela yokwenza i-renal scintigraphy iyehluka ngohlobo lwayo:

I-static scintigraphy:

1. I-radiopharmaceutical DMSA ijojowe emthanjeni;
2. Umuntu ulinda cishe amahora amane kuya kwayisithupha ukuze i-radiopharmaceutical iqoqane ezinso;
3. Umuntu ufakwa emshinini we-MRI uma ethola izithombe zezinso.

I-scintigraphy yezinso ezinamandla:

• Umuntu uyachama bese elala ohlakeni;
• I-radiopharmaceutical DTPA ijojowe ngomthambo;
• Umuthi uphinde uhanjiswe ngomthambo ukukhuthaza ukwakheka komchamo;
• Izithombe zezinso zitholakala ngokusebenzisa i-magnetic resonance imaging;
• Isiguli bese siya endlini encane siyochama bese kutholwa isithombe esisha sezinso.

Ngenkathi ukuhlolwa kusenziwa futhi izithombe ziqoqwa kubaluleke kakhulu ukuthi umuntu ahlale enganyakazi ngangokunokwenzeka. Ngemuva komjovo we-radiopharmaceutical, kungenzeka ukuthi uzwe ukuhayiza okuncane emzimbeni ngisho nokunambitheka kwensimbi emlonyeni. Ngemuva kokuhlolwa, kuvunyelwe ukuphuza amanzi noma ezinye iziphuzo ngaphandle kweziphuzo ezidakayo futhi uchame kaningi ukuqeda yonke imisebe ye-radiopharmaceutical.

I-scintigraphy yenziwa kanjani enganeni

I-scintigraphy yezinso enganeni ivame ukwenziwa ngemuva kokutheleleka komchamo kwengane noma kwengane ukuhlola ukusebenza kwenso ngalinye nokuba khona noma ukungabikho kwezibazi zezinso okuwumphumela wokutheleleka komchamo. Ukwenza i-renal scintigraphy, ukuzila ukudla akudingekile futhi cishe imizuzu eyi-5 kuya kwengu-10 ngaphambi kokuhlolwa ingane kufanele iphuze izingilazi ezi-2 kuye kwezi-4 noma ama-300 - 600 ml wamanzi.

I-Scintigraphy akufanele yenziwe kwabesifazane abakhulelwe futhi labo abancelisayo kufanele bayeke ukuncelisa futhi bagweme ukuxhumana nengane okungenani amahora angama-24 ngemuva kokuhlolwa.