Chitsime cha Radionuclide

Cisternogram ya radionuclide ndiyeso loyesa nyukiliya. Amagwiritsidwa ntchito kuzindikira mavuto ndi kutuluka kwa msana wamtsempha.

Mpopi wamtsempha (kubowola lumbar) kumachitika koyamba. Zinthu zochepa zamagetsi, zotchedwa radioisotope, zimalowetsedwa mumadzimadzi mkati mwa msana. Singanoyo imachotsedwa nthawi yomweyo pambuyo pa jakisoni.

Kenako mudzayesedwa maola 1 mpaka 6 mutalandira jakisoni. Kamera yapadera imatenga zithunzi zomwe zimawonetsa momwe zida za radioactive zimayendera ndi cerebrospinal fluid (CSF) kudzera msana. Zithunzizi zikuwonetsanso ngati madzimadzi akutuluka kunja kwa msana kapena ubongo.

Mudzayesedwanso patatha maola 24 mutalandira jakisoni. Mungafunike zowunikira zina mwina pa maola 48 ndi 72 mutalandira jakisoni.

Nthawi zambiri, simusowa kukonzekera mayesowa. Wothandizira zaumoyo wanu akhoza kukupatsani mankhwala oti muchepetse nkhawa zanu ngati muli ndi nkhawa kwambiri. Mukasaina fomu yovomerezeka asanayesedwe.

Mudzavala chovala cha kuchipatala nthawi ya sikani kuti madotolo azitha kupeza msana wanu. Muyeneranso kuchotsa zodzikongoletsera kapena zinthu zachitsulo musanachitike.

Mankhwala ogulitsira mankhwala adzaikidwa kumunsi kwanu msana usanafike. Komabe, anthu ambiri samapeza kubowola lumbar pang'ono. Izi nthawi zambiri zimakhala chifukwa cha kupanikizika kwa msana pamene singano imayikidwa.

Kujambulaku sikumva kupweteka, ngakhale tebulo likhoza kukhala lozizira kapena lolimba. Palibe vuto lomwe limapangidwa ndi radioisotope kapena sikani.

Kuyesaku kumachitika kuti mupeze zovuta zakutuluka kwa msana wamtsempha ndi zotupa za msana. Nthawi zina, pakhoza kukhala nkhawa kuti madzi amtundu wa cerebrospinal fluid (CSF) akutuluka pambuyo povulala pamutu kapena kuchitidwa opaleshoni pamutu. Kuyesaku kudzachitika kuti mupeze kutuluka.

Mtengo wabwinobwino umawonetsa kuzungulira kwa CSF m'malo onse aubongo ndi msana.

Zotsatira zosazolowereka zikuwonetsa kusokonezeka kwa kufalikira kwa CSF. Matendawa atha kuphatikiza:

• Hydrocephalus kapena malo ocheperako muubongo wanu chifukwa chakulephera
• Kutulutsa kwa CSF
• Kupanikizika kwapadera hydrocephalus (NPH)
• Kaya CSF shunt ndiyotsegula kapena yotsekedwa kapena ayi

Zowopsa zomwe zimalumikizidwa ndi lumbar ndi monga:

• Ululu pamalo obayira jekeseni
• Magazi
• Matenda

Palinso mwayi wosowa kwambiri wa kuwonongeka kwa mitsempha.

Kuchuluka kwa radiation yomwe imagwiritsidwa ntchito pakuwunika nyukiliya ndikochepa kwambiri. Pafupifupi ma radiation onse apita masiku ochepa. Palibe milandu yodziwika bwino yapa radioisotope yomwe imavulaza munthu yemwe akutenga sikani. Komabe, monga momwe zimakhalira ndi radiation, chenjezo limalangizidwa ngati muli ndi pakati kapena mukuyamwitsa.

Nthawi zambiri, munthu amatha kukhala ndi vuto la radioisotope yomwe imagwiritsidwa ntchito sikani. Izi zitha kuphatikizira kuchitapo kanthu kwa anaphylactic.

Muyenera kugona mosabisa pambuyo pobowola lumbar. Izi zitha kuthandiza kupewa mutu kuchokera kubowola lumbar. Palibe chisamaliro china chofunikira.

Kuwunikira kwa CSF; Chitsime

• Lumbar kuboola

Bartleson JD, DF Wakuda, Swanson JW. Kupweteka kwapakhosi ndi nkhope. Mu: Daroff RB, Fenichel GM, Jankovic J, Mazziotta JC, olemba. Neurology ya Bradley mu Kuchita Zachipatala. Wachisanu ndi chiwiri. Philadelphia, PA: Elsevier; 2016: chap 20.

Mettler FA, Guiberteau MJ. Mitsempha yapakati. Mu: Mettler FA, Guiberteau MJ, olemba., Eds. Zofunikira pa Kujambula Mankhwala a Nuclear. Wachitatu ed. Philadelphia, PA: Elsevier; 2019: chaputala 3.