Gallbladder radionuclide scan

Gallbladder radionuclide scan ndi mayeso omwe amagwiritsa ntchito zinthu zowononga ma radiation kuti aone ngati ndulu ikuyenda bwino. Amagwiritsidwanso ntchito kuyang'ana kutsekeka kwa bile kapena kutuluka.

Wopereka chithandizo chamankhwala adzalowetsa mankhwala a radioactive otchedwa gamma emitting tracer mumtsempha. Nkhaniyi imasonkhanitsa makamaka m'chiwindi. Idzayenda ndi bile kulowa mu ndulu kenako ku duodenum kapena m'matumbo ang'onoang'ono.

Mayeso:

• Mumagona chafufumimba patebulo pansi pa sikani yotchedwa gamma camera. Chojambuliracho chimazindikira cheza chochokera kumtengowo. Kompyutayo imawonetsa zithunzi za komwe tracer imapezeka m'ziwalo.
• Zithunzi zimatengedwa mphindi 5 kapena 15 zilizonse. Nthawi zambiri, mayeso amatenga pafupifupi ola limodzi. Nthawi zina, zimatha kutenga maola anayi.

Ngati wothandizirayo sangathe kuwona ndulu pakatha nthawi, mutha kupatsidwa morphine pang'ono. Izi zitha kuthandiza kuti zinthu zowononga radio zilowe mu ndulu. Morphine atha kukupangitsani kumva kuti mwatopa pambuyo pa mayeso.

Nthawi zina, mutha kupatsidwa mankhwala panthawi yoyesayi kuti muwone momwe ndulu yanu imafinyira (mapangano). Mankhwalawa atha kubayidwa mumtsempha. Kupanda kutero, mungafunsidwe kuti muzimwa zakumwa zozama kwambiri monga Boost zomwe zingakuthandizeni mgwirizano wanu wa ndulu.

Muyenera kudya china chake patsiku la mayeso. Komabe, muyenera kusiya kudya kapena kumwa maola 4 mayeso asanayambe.

Mukumva kubaya kwakuthwa kuchokera ku singano pomwe tracer imalowetsedwa mumtsempha. Tsambalo limatha kukhala lowawa pambuyo pa jakisoni. Nthawi zambiri sipamakhala kupweteka pakamawunika.

Kuyesaku ndikwabwino kwambiri kuti mupeze matenda mwadzidzidzi a ndulu kapena kutsekeka kwa ndulu ya bile. Zimathandizanso kudziwa ngati pali vuto la chiwindi choikidwa kapena kutuluka pambuyo poti ndulu yachotsedwa opaleshoni.

Chiyesocho chingagwiritsidwenso ntchito kuthana ndi mavuto a nthawi yayitali.

Zotsatira zachilendo zitha kukhala chifukwa cha:

• Matenda achilendo amtundu wa bile (biliary anomalies)
• Kutsekeka kwa ma buleki
• Kutuluka kwamatayala kapena ma ducts osazolowereka
• Khansa ya hepatobiliary system
• Matenda a gallbladder (cholecystitis)
• Miyala
• Matenda a ndulu, ducts, kapena chiwindi
• Matenda a chiwindi
• Kusakaniza zovuta (mutatha kuika chiwindi)

Pali chiopsezo chochepa kwa amayi apakati kapena oyamwitsa. Pokhapokha ngati kuli kofunikira, sikaniyo ichedwa kufikira pomwe simudzakhalanso ndi pakati kapena kuyamwitsa.

Kuchuluka kwa radiation ndi kocheperako (kocheperako ka X-ray wamba). Pafupifupi zonse zidachoka mthupi mkati mwa masiku amodzi kapena awiri. Chiwopsezo chanu kuchokera ku radiation chikhoza kukulirakulira ngati muli ndi zowunikira zambiri.

Nthawi zambiri, kuyezetsa kumachitika pokhapokha ngati munthu akumva kupweteka mwadzidzidzi komwe kumatha kukhala chifukwa cha matenda am'mimba kapena ndulu. Pachifukwa ichi, anthu ena angafunike chithandizo mwachangu potengera zotsatira zoyesa.

Mayesowa amaphatikizidwa ndi kujambula kwina (monga CT kapena ultrasound). Pambuyo pofufuzira ndulu, munthuyo akhoza kukhala wokonzeka kuchitidwa opaleshoni, ngati kuli kofunikira.

Radionuclide - ndulu; Kujambula kwa ndulu; Biliary jambulani; Cholescintigraphy; HIDA; Kujambula koyerekeza kwamphamvu kwanyukiliya

• Chikhodzodzo
• Gallbladder radionuclide scan

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Fogel EL, Sherman S. Matenda a ndulu ndi ma ducts. Mu: Goldman L, Schafer AI, olemba. Mankhwala a Goldman-Cecil. Wolemba 25. Philadelphia, PA: Elsevier Saunders; 2016: chap 155.

Grajo JR. Kujambula kwa chiwindi. Mu: Sahani DV, Samir AE, olemba. Kujambula M'mimba. Wachiwiri ed. Philadelphia, PA: Elsevier; 2017: mutu 35.

Wang DQH, Afdhal NH. Matenda amtundu. Mu: Feldman M, Friedman LS, Brandt LJ, olemba. Sleisenger ndi Matenda a Mimba ndi a Fordtran Amatenda a Chiwindi. 10th ed. Philadelphia, PA: Elsevier Saunders; 2016: chap 65.