Scaligraphy yamphongo: ndi chiyani, momwe mungakonzekerere komanso momwe zimachitikira

Zamkati

• Momwe mungakonzekerere mayeso
• Momwe scintigraphy ya impso yachitidwira
• Momwe scintigraphy imachitikira pa khanda

Renal scintigraphy ndi mayeso omwe amachitika ndi kujambula kwa maginito komwe kumakupatsani mwayi wowunika mawonekedwe ndi impso zake. Pachifukwa ichi, ndikofunikira kuti mankhwala opangira ma radio, otchedwa radiopharmaceutical, aperekedwe mwachindunji mumtsinje, womwe umanyezimira pachithunzi chomwe chimapezeka pakuyesa, kulola kuwona kwa impso mkati.

Zojambulajambula zimatha kusankhidwa malinga ndi momwe zithunzizi zimapezekera:

• Zojambula zolimba zaimpso, momwe zithunzizo zimapezeka mu mphindi imodzi ndi munthu wopuma;
• Kujambula kwamphamvu kwamphamvu, momwe zithunzi zozizwitsa zimapezeka kuchokera pakupanga mpaka kuthetseratu mkodzo.

Kuyesaku kumawonetsedwa ndi urologist kapena nephrologist pomwe kusintha kwamayeso amtundu wa 1 mkodzo kapena kuyesa kwa mkodzo kwa ola la 24 kumadziwika komwe kumatha kuwonetsa kusintha kwa impso. Umu ndi momwe mungazindikire zizindikiro za vuto la impso.

Momwe mungakonzekerere mayeso

Kukonzekera kwa scintigraphy yaimpso kumasiyana malinga ndi mtundu wa mayeso ndi zomwe adokotala akufuna kuyesa, komabe, ndizodziwika kuti ndikofunikira kuti chikhodzodzo chikhale chodzaza kapena chopanda kanthu. Ngati chikhodzodzo chikuyenera kukhala chodzaza, adokotala amatha kuwonetsa kumwa madzi asanayese mayeso kapena kuyika seramu mwachindunji mumtsempha. Kumbali ina, ngati kuli kofunikira kukhala ndi chikhodzodzo chopanda kanthu, adokotala atha kuwonetsa kuti munthuyo akukodza asanakayezetse.

Palinso mitundu ina ya chikhodzodzo chomwe chikhodzodzo nthawi zonse chimakhala chopanda kanthu ndipo, pakakhala izi, pangafunike kuyika chikhodzodzo chikhodzodzo kuti muchotse mkodzo uliwonse womwe uli mkati mwa chikhodzodzo.

Ndikofunikanso kuchotsa zodzikongoletsera zamtundu uliwonse kapena zida zachitsulo musanayambe mayeso, chifukwa zimatha kusokoneza zotsatira za scintigraphy. Kawirikawiri kuti azitha kugwiritsira ntchito mankhwala osokoneza bongo, dokotala amalamula kuti asiye mankhwala opatsirana pogonana maola 24 asanayese mayeso kapena tsiku lomwelo.

Momwe scintigraphy ya impso yachitidwira

Njira yochitira renal scintigraphy imasiyana malinga ndi mtundu wake:

Zithunzi zosasunthika:

1. Radiopharmaceutical DMSA imayikidwa mumtsinje;
2. Munthuyu amadikirira pafupifupi maola 4 mpaka 6 kuti radiopharmaceutical ipezeke mu impso;
3. Munthuyo amaikidwa mu makina a MRI ngati atapeza zithunzi za impso.

Zojambula zamphamvu zamphongo:

• Munthuyo amakodza kenako amagona pabedi;
• Radiopharmaceutical DTPA imayikidwa kudzera mumitsempha;
• Mankhwala amaperekedwanso kudzera mumitsempha kuti ipangitse mkodzo kupanga;
• Zithunzi za impso zimapezeka pogwiritsa ntchito kujambula kwa maginito;
• Wodwalayo amapita kuchimbudzi kukakodza ndipo chithunzi chatsopano cha impso chimapezeka.

Pomwe mayeso akuchitika ndipo zithunzi zikusonkhanitsidwa ndikofunikira kuti munthuyo akhalebe wosasunthika momwe angathere. Pambuyo pa jakisoni wa radiopharmaceutical, ndikotheka kumva kumva kulira pang'ono mthupi komanso kukoma kwachitsulo pakamwa. Pambuyo pofufuzidwa, amaloledwa kumwa madzi kapena zakumwa zina kupatula zakumwa zoledzeretsa komanso kukodza pafupipafupi kuti muchotse ma radiopharmaceutical onse.

Momwe scintigraphy imachitikira pa khanda

Kujambula kwa impso mwa mwana kumachitika pambuyo poti mwana kapena mwana ali ndi matenda amkodzo kuti awone momwe impso iliyonse imagwirira ntchito komanso kupezeka kapena kupezeka kwa zipsera za impso zomwe zimadza chifukwa cha matenda amkodzo. Kuti muchite zoziziritsa kukhosi, kusala kudya sikofunikira ndipo pafupifupi mphindi 5 mpaka 10 mayeso asanayese mwanayo ayenera kumwa magalasi awiri kapena anayi kapena 300 - 600 ml ya madzi.

Scintigraphy sayenera kuchitidwa kwa amayi apakati ndipo omwe akuyamwitsa ayenera kusiya kuyamwitsa ndikupewa kulumikizana ndi mwanayo kwa maola osachepera 24 atayesedwa.