MIBG scintiscan

MIBG scintiscan ndi mtundu wamayeso ojambula. Amagwiritsa ntchito mankhwala a radioactive (otchedwa tracer). Chojambulira chimapeza kapena kutsimikizira kupezeka kwa pheochromocytoma ndi neuroblastoma. Izi ndi mitundu ya zotupa zomwe zimakhudza minofu ya mitsempha.

Radioisotope (MIBG, iodine-131-meta-iodobenzylguanidine, kapena ayodini-123-meta-iodobenzylguanidine) imalowetsedwa mumtsempha. Izi zimaphatikizika ndi maselo am'mimba.

Mudzakhala ndi scan tsiku lomwelo kapena tsiku lotsatira. Pa gawo ili la mayeso, mumagona patebulo pansi pa mkono wa sikani. Mimba yanu imayesedwa. Mungafunike kubwerera kuti muwonenso mobwerezabwereza kwa masiku 1 mpaka 3. Kujambula kulikonse kumatenga maola 1 mpaka 2.

Asanayese kapena poyesa, atha kupatsidwa mankhwala osakaniza ayodini. Izi zimathandiza kuti chithokomiro chanu chisamamwe ma radioisotope ambiri.

Muyenera kusaina chikalata chovomerezeka. Mudzafunsidwa kuvala chovala chaku chipatala kapena zovala zokutambulani. Muyenera kuchotsa zodzikongoletsera kapena zinthu zachitsulo musanayese. Mankhwala ambiri amasokoneza mayeso. Funsani wothandizira zaumoyo wanu kuti ndi mankhwala ati omwe mungafunike kusiya kumwa musanayesedwe.

Mukumva kulasa kwa singano pakabayidwa. Gome likhoza kukhala lozizira kapena lolimba. Muyenera kugona chonchi panthawi yojambulira.

Kuyesaku kwachitika kuti zithandizire kupeza pheochromocytoma. Zimachitika ngati m'mimba mwa CT scan kapena pamimba pa MRI sikupereka yankho lolondola. Amagwiritsidwanso ntchito kuthandizira kupeza matenda a neuroblastoma ndipo atha kugwiritsidwa ntchito pazotupa za khansa.

Palibe zizindikiro za chotupa.

Zotsatira zachilendo zitha kuwonetsa:

• Pheochromocytoma
• Angapo endocrine neoplasia (MEN) II
• Chotupa cha khansa
• Matenda a Neuroblastoma

Pali ma radiation ena ochokera ku radioisotope. Mphamvu yochokera ku radioisotope iyi ndiyokwera kuposa ena ambiri. Mungafunike kusamala kwambiri masiku angapo mutayesedwa. Wopereka wanu angakuuzeni zomwe muyenera kuchita.

Asanayese kapena atayesedwa, atha kupatsidwa mankhwala a ayodini. Izi zimapangitsa kuti chithokomiro chanu chisamamwe ayodini wambiri. Nthawi zambiri anthu amatenga ayodini wa potaziyamu tsiku limodzi asanadutse masiku 6 atadutsa. Izi zimalepheretsa chithokomiro kutenga MIBG.

Mayesowa sayenera kuchitidwa kwa amayi apakati. Minyewa ingayambitse ngozi kwa mwana wosabadwa.

Kulingalira kwa Adrenal medullary; Meta-iodobenzylguanidine scintiscan; Pheochromocytoma - MIBG; Neuroblastoma - MIBG; Carcinoid MIBG

• MIBG jakisoni

Bleeker G, Tytgat GAM, Adam JA, ndi al. Kujambula kwa 123I-MIBG ndi kujambula kwa 18F-FDG-PET pozindikira matenda a neuroblastoma. Dongosolo La Cochrane Syst Rev. 2015; (9): CDC009263. PMID: 26417712 pubed.ncbi.nlm.nih.gov/26417712/.

Cohen DL, Fishbein L. Matenda oopsa a sekondale: pheochromocytoma ndi paraganglioma. Mu: Bakris GL, Sorrentino MJ, olemba. Matenda oopsa: Wothandizana ndi Matenda a Mtima a Braunwald. Wachitatu ed. Philadelphia, PA: Elsevier; 2018: mutu 15.

Zotupa za Oberg K. Neuroendocrine ndi zovuta zina. Mwa Melmed S, Auchus RJ, Goldfine AB, Koenig RJ, et al. Buku la Williams la Endocrinology. Wolemba 14th. Philadelphia, PA: Elsevier; 2020: chap 45.

Yeh MW, Livhits MJ, Duh QY. Zilonda za adrenal. Mu: Townsend CM Jr, Beauchamp RD, Evers BM, Mattox KL, eds. Sabiston Buku Lopanga Opaleshoni. Wolemba 20th. Philadelphia, PA: Elsevier; 2017: mutu 39.