Momwe scintigraphy ya chithokomiro yachitika

Zamkati

• Ndi chiyani
• Momwe mayeso amachitikira
• Momwe mungakonzekerere mayeso

Chithokomiro scintigraphy ndi mayeso omwe amawunika momwe chithokomiro chimagwirira ntchito. Kuyesaku kumachitika ndikumwa mankhwala okhala ndi ma radioactive, monga Iodine 131, Iodine 123 kapena Technetium 99m, komanso ndi chida chojambula zithunzi zopangidwa.

Amawonetsedwa kuti awonetse kupezeka kwa mitsempha ya chithokomiro, khansa, kufufuza zomwe zimayambitsa hyperthyroidism kapena hypothyroidism kapena kutupa kwa chithokomiro, mwachitsanzo. Onani matenda akulu omwe amakhudza chithokomiro komanso zoyenera kuchita.

Kuyezetsa kwa chithokomiro kumachitika kwaulere ndi SUS, kapena mwachinsinsi, pamtengo wokwanira kuyambira 300 reais, womwe umasiyanasiyana kwambiri kutengera komwe umachitikira. Pambuyo pa ndondomekoyi, zithunzi zomaliza za chithokomiro zitha kufotokozedwa monga zikuwonetsera pansipa:

• Zotsatira A: wodwalayo ali ndi chithokomiro chabwino, mwachiwonekere;
• Zotsatira B: Zitha kuwonetsa kufalikira kwa poizoni kapena matenda oopsa, omwe ndi matenda omwe amadzichititsa okha omwe amachulukitsa chithokomiro choyambitsa hyperthyroidism;
• Zotsatira C: itha kuwonetsa poizoni nodular goiter kapena plummer matenda, omwe ndi matenda omwe amatulutsa zotupa za chithokomiro zomwe zimayambitsa hyperthyroidism.

Zithunzi zomwe zimapangidwa zimadalira momwe chithokomiro chimatengera ndi chithokomiro, ndipo, makamaka, kuwonjezeka kwakukulu pakupanga zithunzi zowoneka bwino ndi chizindikiro cha kugwira ntchito kwambiri kwa gland, monga momwe zingachitikire mu hyperthyroidism, ndipo kutengera kwachilendo ndi chizindikiro cha hypothyroidism.

Ndi chiyani

Chithokomiro chitha kugwiritsidwa ntchito kuzindikira matenda monga:

• Chithokomiro cha Ectopic, ndipamene gland ili kunja kwa malo ake;
• Kuviika chithokomiro, ndipamene England imakulitsidwa ndipo imatha kulowerera pachifuwa;
• Mitsempha ya chithokomiro;
• Hyperthyroidism, ndipamene gland imatulutsa mahomoni owonjezera. Dziwani zomwe zizindikiro ndi njira zochizira hyperthyroidism;
• Hypothyroidism, pomwe gland imatulutsa mahomoni ochepa kuposa abwinobwino. Mvetsetsani momwe mungadziwire ndikuchizira hypothyroidism;
• Chithokomiro, komwe ndikutupa kwa chithokomiro;
• Khansa ya chithokomiro komanso kuyang'ana ma cell a chotupa pambuyo pochotsa chithokomiro mukamalandira chithandizo.

Scintigraphy ndiimodzi mwazomwe zimayesa chithokomiro, ndipo adotolo amathanso kufunsa ena kuti athandizire kupeza matendawa, monga kuyezetsa magazi komwe kumawunikira kuchuluka kwa mahomoni a chithokomiro, ultrasound, kuboola kapena biopsy ya chithokomiro, mwachitsanzo. Pezani mayesero omwe amagwiritsidwa ntchito poyesa chithokomiro.

Momwe mayeso amachitikira

Chizindikiro cha chithokomiro chimatha kuchitika tsiku limodzi kapena magawo angapo agawika masiku awiri ndipo amafunika kusala kudya kwa maola awiri. Mukamaliza tsiku limodzi lokha, mankhwala a radioactive technetium, omwe amatha kubayidwa kudzera mumitsempha, amagwiritsidwa ntchito popanga zithunzi za chithokomiro.

Mukamaliza kuyezetsa masiku awiri, tsiku loyamba wodwalayo amatenga ayodini 123 kapena 131, mu makapisozi kapena ndi udzu. Kenako, zithunzi za chithokomiro zimapezeka pambuyo pa maola awiri ndi maola 24 kuyambira pomwe ntchitoyi idayamba. Pakanthawi, wodwalayo amatha kutuluka kukachita zochitika zake zatsiku ndi tsiku, ndipo zotsatira zake zimakhala zokonzeka patadutsa masiku atatu kapena asanu.

Ayodini ndi technetium onse amagwiritsidwa ntchito chifukwa ndi zinthu zomwe zimagwirizana ndi chithokomiro, ndipo zimatha kuyang'ana pachithaphalachi mosavuta. Kuphatikiza pa momwe amagwiritsidwira ntchito, kusiyana pakati pa kugwiritsidwa ntchito kwa ayodini kapena technetium ndikuti ayodini ndi woyenera kuwunika momwe chithokomiro chimasinthira, monga hyperthyroidism kapena hypothyroidism. Technetium, kumbali inayo, ndiwothandiza kwambiri kuzindikira kupezeka kwa mitsempha.

Momwe mungakonzekerere mayeso

Kukonzekera scintigraphy ya chithokomiro kumakhala kupewa zakudya, mankhwala ndi mayeso azachipatala omwe amakhala ndi ayodini kapena omwe amasintha chithokomiro, monga:

• Zakudya: osadya zakudya ndi ayodini kwa milungu iwiri, akuletsedwa kumwa nsomba zamadzi amchere, nsomba, nsomba zam'madzi, nsomba zam'madzi, kachasu, zinthu zamzitini, zokometsera kapena zokhala ndi sardine, tuna, dzira kapena soya ndi zotumphukira, monga shoyo, tofu ndi soya mkaka;

Onerani vidiyo yotsatirayi kuti muwone zakudya zabwino zomwe zingagwiritsidwe ntchito ndi iodotherapy:

• Mayeso: m'miyezi itatu yapitayi, musayese mayeso monga computed tomography, excretory urography, cholecystography, bronchography, colposcopy ndi hysterosalpingography;
• Mankhwala: Mankhwala ena amatha kusokoneza mayeso, monga mavitamini owonjezera mavitamini, mahomoni a chithokomiro, mankhwala okhala ndi ayodini, mankhwala amtima ndi mankhwala Amiodarone, monga Ancoron kapena Atlansil, kapena mankhwala a chifuwa, motero ndikofunikira kulankhula ndi adotolo kuti awone kuyimitsidwa kwawo ;
• Mankhwala: M'mwezi umodzi mayeso asanafike, sungathe kudaya tsitsi, kugwiritsa ntchito milomo yakuda kapena kupukutira misomali, mafuta ofufuta, ayodini kapena mowa wokhala ndi ayodini pakhungu lako.

Ndikofunika kukumbukira kuti amayi apakati kapena oyamwitsa sayenera kuyesa chithokomiro. Pankhani ya technetium scintigraphy, kuyamwitsa kuyenera kuyimitsidwa kwa masiku awiri mutayesedwa.

Kufufuza kwa PCI - kusaka thupi lonse kumakhala ndi mayeso ofanana, komabe, ndi zida zomwe zimagwiritsidwa ntchito zomwe zimapanga zithunzi za thupi lonse, zomwe zimawonetsedwa makamaka pakafufuzidwa za zotupa kapena ma cell a chithokomiro m'malo ena amthupi. Phunzirani zambiri zamakina athunthu apa.