Odee: Charles Brown
OfbọChị Okike: 8 Februari 2021
DatebọChị Mmelite: 19 Novemba 2024
Anonim
ESI Symposium on Controversies in Endocrinology 1
Vidio: ESI Symposium on Controversies in Endocrinology 1

Ndinaya

Thyroid scintigraphy bụ ule nke na-enyocha iji nyochaa ọrụ nke thyroid. Emere ule a site na ị medicationụ ọgwụ na ikike redioactive, dịka Iodine 131, Iodine 123 ma ọ bụ Technetium 99m, yana iji ngwaọrụ iji weghara ihe oyiyi emepụtara.

A na-egosiputa ya iji nyochaa ọnụnọ nke thyroid nodules, cancer, nyochaa ihe kpatara hyperthyroidism ma ọ bụ hypothyroidism ma ọ bụ mbufụt nke thyroid, dịka ọmụmaatụ. Lelee ihe ndị bụ isi ọrịa na-emetụta thyroid na ihe ị ga-eme.

A na-enyocha ule scintigraphy thyroid na-akwụghị ụgwọ site na SUS, ma ọ bụ na nzuzo, na ọnụahịa ọnụahịa na-amalite site na 300 reais, nke dịgasị ọtụtụ dịka ọnọdụ ebe emere ya. Mgbe usoro ahụ gasịrị, enwere ike ịkọwa ihe osise ikpeazụ nke thyroid dị ka egosiri na ọnụ ọgụgụ dị n'okpuru:

  • N'ihi A: onye ọrịa nwere ahụ ike thyroid, o doro anya;
  • N'ihi B: nwere ike igosi mgbasa ma ọ bụ ọrịa siri ike na-agbasa, nke bụ ọrịa autoimmune nke na-eme ka ọrụ thyroid na-eme ka hyperthyroidism;
  • N'ihi C: nwere ike igosi nsị nodular goiter ma ọ bụ ọrịa plummer, nke bụ ọrịa na-emepụta nodules thyroid na-akpata hyperthyroidism.

Ihe onyonyo a guzobere na-adabere na nnabata nke ihe na-eme redio site na thyroid, yana, n'ozuzu ya, nnabata nke ukwuu na ịmepụta ihe onyonyo doro anya bụ ihe ịrịba ama nke ọrụ gland ka ukwuu, dị ka enwere ike ime na hyperthyroidism, na ịmalite ịmalite ọrụ bụ ihe ịrịba ama nke hypothyroidism.


Gịnị ka ọ bụ maka

Enwere ike iji thyroid scintigraphy mata ọrịa ndị dịka:

  • Ectopic thyroid, nke bụ mgbe gland dị na mpụga ọnọdụ ya;
  • Na-azọnye thyroid, nke bụ mgbe gland na-ebuwanye ibu ma nwee ike ịwakpo obi;
  • Nodules thyroid gị;
  • Hyperthyroidism, nke bụ mgbe gland na-emepụta oke homonụ. Mara ihe bụ ihe mgbaàmà na ụzọ nke ịgwọ hyperthyroidism;
  • Hypothyroidism, mgbe gland na-emepụta obere homonụ karịa ka ọ dị. Ghọta otu esi achọpụta ma gwọọ hypothyroidism;
  • Thyroiditis, nke bụ mbufụt nke thyroid;
  • Ọrịa thyroid na ịlele maka mkpụrụ ndụ tumo mgbe iwepụ thyroid n'oge ọgwụgwọ.

Scintigraphy bụ otu n'ime nyocha nke na-enyocha thyroid, dọkịta nwekwara ike ịrịọ ndị ọzọ ka ha nyere aka na nchoputa ahụ, dịka nyocha ọbara nke na-enyocha ọnụọgụ homonụ thyroid, ultrasound, mgbapu ma ọ bụ biopsy nke thyroid, dịka ọmụmaatụ. Chọpụta nke anwale iji nyocha gị.


Kedu ka esi eme nyocha ahụ

Enwere ike ime thyroid scintigraphy naanị na ụbọchị 1 ma ọ bụ na nkebi ekebere ụbọchị abụọ ma chọọ ọsịsọ opekata mpe 2 awa. Mgbe emechara naanị ụbọchị 1, ihe eji redio technetium redio, nke enwere ike ịgbanye site na akwara ahụ, iji mepụta onyogho nke thyroid.

Mgbe a nwalere ule ahụ n'ime ụbọchị abụọ, n'ụbọchị nke mbụ onye ọrịa na-ewere ayodiin 123 ma ọ bụ 131, na capsules ma ọ bụ ahihia. Mgbe ahụ, ihe oyiyi nke thyroid na-enweta mgbe awa 2 na 24 awa mgbe mmalite nke usoro ahụ. N'ime oge ahụ, onye ọrịa ahụ nwere ike ịpụ ma na-eme ihe ọ na-eme kwa ụbọchị, yana n'ozuzu, nsonaazụ ule ahụ adịla njikere mgbe ihe dị ka ụbọchị 3 ruo 5.

A na-eji ayodiin na technetium eme ihe n'ihi na ha bụ ihe ndị nwere njikọta maka thyroid, ma nwee ike itinye uche na gland a n'ụzọ dị mfe. Na mgbakwunye na ụdị ojiji, ọdịiche dị n'etiti ojiji nke ayodiin ma ọ bụ technetium bụ na ayodiin dị mma maka ịtụle mgbanwe nke ọrụ thyroid, dị ka hyperthyroidism ma ọ bụ hypothyroidism. Technetium, n'aka nke ọzọ, bara ezigbo uru iji mata ọnụnọ nke nodules.


Otu esi akwado maka ule

Pkwadebe maka ịmịkọrọ ahụ na-agụnye ịzere nri, ọgwụ na ule ahụike nke nwere ma ọ bụ jiri iodine ma ọ bụ nke gbanwee ọrụ gị, dị ka:

  • Oriri: erila nri nwere ayodiin n'izu abụọ, ebe amachibidoro ị ofụ nnu mmiri nnu, nri mmiri, ahịhịa, ahịhịa mmiri, whiskey, ngwaahịa mkpọ, ahịhịa amị ma ọ bụ nwere sardines, tuna, egg ma ọ bụ soy na ihe ndị ọzọ, dị ka shoyo, tofu na soy mmiri ara;

Lelee vidiyo na-esonụ ma hụ ụdị nri kacha mma maka iodotherapy:

  • Nyocha: n'ime ọnwa atọ gara aga, emela ule dị ka ihe atụ eserese dị iche, urography excretory, cholecystography, bronchography, colposcopy na hysterosalpingography;
  • Ọgwụ: ọgwụ ụfọdụ nwere ike igbochi ule ahụ, dị ka mgbakwunye vitamin, homonụ thyroid, ọgwụ nwere ayodiin, ọgwụ obi na ihe Amiodarone, dịka Ancoron ma ọ bụ Atlansil, ma ọ bụ syrups ụkwara, yabụ ọ dị mkpa ịgwa dọkịta ka ọ nyochaa nkwusioru ha. ;
  • Chemicals: n'ime ọnwa tupu ule ahụ, ị ​​nweghị ike ịcha ntutu gị, jiri lipstick gbara ọchịchịrị ma ọ bụ mbọ mbọ, mmanụ tanning, ayodiin ma ọ bụ mmanya iodized na akpụkpọ gị.

Ọ dị mkpa icheta na ụmụ nwanyị dị ime ma ọ bụ ndị na-enye ara ara ekwesịghị inwe nyocha thyroid. N'ihe banyere technetium scintigraphy, a ghaghị ịkwụsị nwa ara maka ụbọchị 2 mgbe nyochachara.

Nnyocha nke PCI - nyocha ahụ dum nwere nyocha yiri nke ahụ, agbanyeghị, ọ bụ akụrụngwa eji eme ihe na-ewepụta onyonyo nke ahụ dum, na-egosipụtakarị na nyocha nke metastasis nke etuto ahụ ma ọ bụ mkpụrụ ndụ thyroid n'akụkụ ndị ọzọ nke ahụ. Muta ihe banyere ozuzu scintigraphy Ebe a.

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