Ukukhangela isibindi

Ukuvavanywa kwesibindi kusetyenziswa izinto ezinemitha ye-radio ukujonga ukuba isibindi okanye udakada lusebenza kakuhle kangakanani kwaye kuvavanya ubunzima esibindini.

Umboneleli wokhathalelo lwempilo uya kufaka into enemitha yeathom ebizwa ngokuba yiradioisotope komnye wemithambo yakho. Emva kokuba isibindi simanzile izinto, uya kucelwa ukuba ulale etafileni phantsi kwesikena.

Iskena sinokuxela apho izinto ze-radioactive ziqokelele khona emzimbeni. Imifanekiso iboniswa kwikhompyuter. Unokucelwa ukuba uhlale uthule, okanye utshintshe indawo ngexesha lokuskena.

Uya kucelwa ukuba usayine ifom yemvume. Uya kucelwa ukuba ususe ubucwebe, amazinyo okufakelwa, kunye nezinye izinyithi ezinokuchaphazela imisebenzi yesikena.

Kuya kufuneka unxibe ilokhwe yasesibhedlele.

Uyakuva ukuhlaba okubukhali xa inaliti ifakwa emthanjeni wakho. Akufanele uve nantoni na ngexesha lokuskena okwenyani. Ukuba unengxaki yokungqengqa okanye uxhalabile, unganikwa iyeza elincinci (lokuthomalalisa) ukukunceda uphumle.

Uvavanyo lunokunika ulwazi malunga nokusebenza kwesibindi kunye nepeni. Isetyenziselwa ukunceda ukuqinisekisa ezinye iziphumo zovavanyo.

Olona hlobo lusetyenziswayo lokuvavanywa kwesibindi kukufumanisa imeko ebizwa ngokuba yi-benign focal nodular hyperplasia, okanye i-FNH, ebangela ubunzima obungenomhlaza esibindini.

Isibindi kunye ne-spleen kufuneka kubonakale kuqhelekileyo ngobukhulu, ukuma kunye nendawo. Irediyo ithathe ngokulinganayo.

Iziphumo ezingaqhelekanga zingabonisa:

• Ingqwalaselo ye-nodular hyperplasia okanye i-adenoma yesibindi
• Ithumba
• Isifo sikaBudd-Chiari
• Usulelo
• Isifo sesibindi (njenge-cirrhosis okanye i-hepatitis)
• Umgangatho ophezulu we-vena cava
• I-Splenic infarction (ukufa kwethishu)
• Amathumba

Imitha evela kuyo nayiphi na i-scan ihlala ikhathaza kancinci. Inqanaba lokusasazeka kwemitha kule nkqubo lingaphantsi kunelo le-x-reyi ezininzi. Ayithathwa njengeyaneleyo yokwenza ingozi kumndilili.

Abafazi abakhulelweyo okanye abancancisayo kufuneka babonisane nomnikezeli wabo ngaphambi kokuvezwa yimitha.

Olunye uvavanyo lunokufuneka ukuze kuqinisekiswe iziphumo zolu vavanyo. Oku kunokubandakanya:

• I-ultrasound yesisu
• Ukuskena kwe-CT esiswini
• Isibindi se-biopsy

Olu vavanyo lusetyenziswa rhoqo. Kunoko, i-MRI okanye i-CT scans zihlala zisetyenziselwa ukuvavanya isibindi kunye ne-spleen.

Ukuskena kweTechnetium; Isibindi se-technetium sulphur colloid scan; Isibindi-udakada radionuclide scan; Ukuskena kwenyukliya - i-technetium; Ukuskena kwenyukliya- isibindi okanye udakada

• Ukukhangela isibindi

IChernecky CC, iBerger BJ. Ukuskena i-hepatobiliary scan (i-HIDA Scan) -ukuchonga isifo. Ku: IChernecky CC, iBerger BJ, ii-eds. Iimvavanyo zaselebhu kunye neenkqubo zokuqonda isifo. Umhla wesi-6. IPhiladelphia, PA: Elsevier Saunders; Ngo-2013: 635-636.

IMadoff SD, iBurak JS, iMathematics KR, iWalz DM. Iindlela zokucinga ngamadolo kunye ne-anatomy yesiqhelo. Ku: Scott NW, ed. Utyando lwe-Insall kunye ne-Scott lweKnee. Umhla wesi-6. IPhiladelphia, PA: Elsevier; I-2018: isahluko 5.

IMettler FA, iGuiberteau MJ. Iphetshana lesisu. Ku: Mettler FA, Guiberteau MJ, ii-eds. Iimfuneko zoNyango lweNyukliya yokuNyanga. Umhla wesi-7. IPhiladelphia, PA: Elsevier; I-2019: isahluko 7.

UNarayanan S, Abdalla WAK, Tadros S. Izinto ezisisiseko zeradiology yabantwana. Ku: Zitelli BJ, McIntire SC, Nowalk AJ, ii-eds. UZitelli no-Davis ’Atlas of Pediatric Physical Diagnosis. Umhla wesi-7. IPhiladelphia, PA: Elsevier; I-2018: isahluko 25.

I-Tirkes T, iSandrasegaran K.Ukucinga ngemeko yesibindi. Ku: Saxena R, ed. I-Hepatic Pathology esebenzayo: Indlela yokuChonga. Ngomhla wesi-2. IPhiladelphia, PA: Elsevier; I-2018: isahluko 4.