Gịnị ka ọ bụ maka na mgbe ahụ dum scintigraphy mere?
Ndinaya
Ihe nyocha zuru oke ma ọ bụ nyocha ahụ dum (PCI) bụ nyocha ihe oyiyi nke dọkịta gị rịọrọ ka ị nyochaa ọnọdụ akpụ, ọrịa na-aga n'ihu, na metastasis. Maka nke a, a na-eji ihe redio, akpọrọ radiopharmaceuticals, dị ka iodine-131, octreotide ma ọ bụ gallium-67, dabere na nzube nke scintigraphy, nke akụkụ ahụ na-achịkwa ma na-etinye uche ya, na-emepụta radieshon nke akụrụngwa ahụ. Mara ihe ayodiin iodine bụ maka.
Ihe oyiyi ahụ nwetara site na iji ngwaọrụ, nke na-eso ahụ dum, mgbe otu ụbọchị ma ọ bụ abụọ nke nchịkwa nke ihe ahụ gasịrị. Ya mere, ọ ga-ekwe omume ịchọpụta otu esi ekesasị radiopharmaceutical n'ime ahụ. Ekwuru na nsonaazụ ule ahụ bụ ihe nkịtị mgbe ekesara ihe ahụ n'ụzọ zuru oke na ahụ, ma na-egosi ọrịa mgbe a na-ahụ nnukwu uche nke radiopharmaceutical na ngalaba ma ọ bụ mpaghara nke ahụ.
Mgbe emere scintigraphy zuru oke
Isi scintigraphy na-ezube ịchọpụta isi saịtị nke etuto ahụ, mmalite na ma enwere usoro mgbochi. Ihe eji eme ihe eji eme ihe na-adabere na usoro ma obu aru nke ichoro:
- PCI na ayodiin-131: ebumnuche ya bụ thyroid, ọkachasị ndị nke nwebururị iwepụ ya;
- Gallium-67 PCI: a na-eme ya iji chọpụta mmalite nke lymphomas, chọọ metastasis ma nyochaa ọrịa;
- PCI nwere octreotide: a na-eme ya iji nyochaa usoro ọgwụgwọ nke mmalite nke neuroendocrine, dị ka thyroid, tumo pancreatic na pheochromocytoma. Hụ otu esi amata ma gwọọ pheochromocytoma.
A na-eme scintigraphy niile n'okpuru nduzi ahụike ma ọ naghị anọchite anya ihe ize ndụ nye onye ọrịa, ebe ọ bụ na a na-ewepụ ihe ndị na-eme redio na-apụ n'ahụ.
Etu esi eme PCI
A na-eme nyocha ozu zuru oke na usoro anọ:
- Nkwadebe nke ihe redioactive na dose a ga-enye;
- Nchịkwa nke ọgwụ ahụ nye onye ọrịa ahụ, ma ọ bụ ọnụ ma ọ bụ ozugbo banye n'ime akwara;
- Inweta onyonyo ahụ, site na ọgụgụ nke akụrụngwa mere;
- Nhazi ihe onyonyo.
Scintigraphy nke ahụ dum anaghị achọ ka onye ọrịa mee ngwa ngwa, mana enwere ụfọdụ ndụmọdụ a ga-agbaso dabere na ihe a ga-enye.
N'ihe banyere iodine-131, a na-atụ aro ka ị zere nri ndị jupụtara na ayodiin, dị ka azụ na mmiri ara ehi, na mgbakwunye ịkwụsịtụ ọgwụ ụfọdụ, dị ka ihe mgbakwunye vitamin na hormones thyroid tupu ịme ule ahụ. Ọ bụrụ na emeghị scintigraphy zuru oke, mana ọ bụ naanị thyroid scintigraphy, ị ga-ebu ọnụ ọ dịkarịa ala awa 2. Hụ otu esi eme thyroid scintigraphy na nri ndị nwere ọgaranya na ayodiin nke kwesịrị izere maka ule ahụ.
Nyocha a na - eme onye ọrịa dina n’elu afọ ya ma were ihe dịka nkeji iri atọ rue iri anọ. Na PCI na iodine-131 na gallium-67, a na-ewere ihe oyiyi 48h mgbe nchịkwa nke radiopharmaceutical, mana ọ bụrụ na a na-enyo enyo ọrịa, PCI nwere gallium-67 kwesịrị iwere n'etiti 4 na 6h mgbe nchịkwa nke ihe ahụ. Na PCI na octreotide, a na-ewere ihe oyiyi ahụ ugboro abụọ, otu ugboro na ihe dịka 6 awa na otu ugboro na 24 awa nke nchịkwa ihe.
Mgbe nyochachara, onye ahụ nwere ike ịlaghachi na arụmọrụ ọ kwesịrị ị drinkụ ọtụtụ mmiri iji nyere aka wepu ngwa ọrụ redioịvu ngwa ngwa.
Lezie anya tupu ule
Tupu etinye ya na nyocha ahụ zuru oke, ọ dị mkpa ka onye ahụ gwa dọkịta ma ọ bụrụ na ha nwere ụdị nfụkasị ọ bụla, ma ọ bụrụ na ha na-eji ọgwụ ọ bụla nwere Bismuth, dị ka Peptulan, dịka ọmụmaatụ, nke a na-eji gastritis, ma ọ bụ ọ bụrụ na ị dị ime ma ọ bụ na-enye nwa ara, dịka ụdị nyocha a adịghị atụ aro ya, n'ihi na ọ nwere ike imetụta nwa ahụ.
Mmetụta ndị metụtara nchịkwa nke radiopharmaceuticals dị obere, ọ bụghị ma ọ dịkarịa ala n'ihi na a na-eji doses dị ala, ma mmeghachi omume nfụkasị, ọkụ anụ ma ọ bụ ọzịza nwere ike ime na mpaghara ebe enyere ihe ahụ. Ya mere, ọ dị mkpa ka dọkịta mara ọnọdụ onye ọrịa ahụ.