I-thyroid scintigraphy yenziwa njani

Umxholo

• Yenzelwe ntoni
• Luqhutywa njani uviwo
• Ungazilungiselela njani iimviwo

I-thyroid scintigraphy luvavanyo olusebenza ukuvavanya ukusebenza kwe-thyroid. Olu vavanyo lwenziwa ngokuthatha iyeza elinamandla okusasazeka ngemitha, njenge-Iodine 131, Iodine 123 okanye iTechnetium 99m, kunye nesixhobo sokubamba imifanekiso eyenziwe.

Kuyaboniswa ukuvavanya ubukho be-nodules ye-thyroid, umhlaza, ukuphanda oonobangela be-hyperthyroidism okanye i-hypothyroidism okanye ukudumba kwe-thyroid, umzekelo. Jonga ukuba zeziphi izifo eziphambili ezichaphazela idlala lengqula kunye nokuba wenze ntoni.

Uvavanyo lwe-thyroid scintigraphy lwenziwa simahla yi-SUS, okanye ngasese, ngexabiso eliphakathi eliqala kwi-300 reais, eyahluka kakhulu ngokwendawo eyenziwa kuyo. Emva kwenkqubo, imifanekiso yokugqibela ye-thyroid inokuchazwa njengoko kubonisiwe kumzobo ongezantsi:

• Iziphumo A: isiguli sidlala idlala lengqula elinempilo, ngokucacileyo;
• Iziphumo B: inokubonisa ukusasazeka kwe-goiter enetyhefu okanye isifo esibuhlungu, esisifo esizenzekelayo esonyusa umsebenzi we-thyroid obangela i-hyperthyroidism;
• Iziphumo C: Ingabonisa i-goular nodular goiter okanye isifo se-plummer, esisifo esivelisa amaqhuqhuva e-thyroid abangela i-hyperthyroidism.

Imifanekiso equlunqwe ixhomekeke ekuthathweni kwento ene-radioactive yi-thyroid, kwaye, ngokubanzi, ukuthotyelwa okukhulu kwemifanekiso eqingqiweyo ngakumbi luphawu lomsebenzi omkhulu wedlala, njengoko kunokwenzeka kwi-hyperthyroidism, kunye nokuthathwa okungaqhelekanga luphawu hypothyroidism.

Yenzelwe ntoni

I-scintigraphy ye-Thyroid ingasetyenziselwa ukuchonga izifo ezinje:

• I-Ectopic thyroid, kulapho le ndlala ibekwe ngaphandle kwendawo yayo yesiqhelo;
• Ukuntywila idlala lengqula, kulapho idlala likhulisiweyo kwaye linokuhlasela isifuba;
• Amaqhuqhuva e-thyroid;
• I-Hyperthyroidism, kulapho i-gland ivelisa khona iihormoni ezigqithileyo. Yazi ukuba zintoni iimpawu kunye neendlela zonyango lwe-hyperthyroidism;
• I-Hypothyroidism, xa le ndlala ivelisa iihomoni ezingaphantsi kwesiqhelo. Qonda indlela yokuchonga nokunyanga i-hypothyroidism;
• I-Thyroiditis, kukudumba kwedlala lengqula;
• Umhlaza wedlala lengqula kunye nokujonga iiseli zethumba emva kokususwa kwe-thyroid ngexesha lonyango.

I-Scintigraphy lolunye lovavanyo oluvavanya idlala lengqula, kwaye ugqirha unokucela abanye ukuba bancede ekuchongeni isifo, ezinje ngovavanyo lwegazi oluvavanya isixa sehomoni ye-thyroid, i-ultrasound, i-puncture okanye i-biopsy ye-thyroid, umzekelo. Fumana ukuba zeziphi iimvavanyo ezisetyenziselwa uvavanyo lwe-thyroid.

Luqhutywa njani uviwo

I-scintigraphy ye-Thyroid inokwenziwa ngosuku olu-1 okanye ngokwamanqanaba ahlukaniswe ngeentsuku ezi-2 kwaye ifuna ukuzila okungenani iiyure ezi-2. Xa yenziwe ngosuku olunye nje kuphela, isixhobo se-radioactive technetium, esinokujova ngomthambo, sisetyenziselwa ukwenza imifanekiso yedlala lengqula.

Xa uvavanyo lwenziwa kwiintsuku ezi-2, kusuku lokuqala isigulana sithatha iodine eyi-123 okanye 131, njengee-capsules okanye nge-straw. Emva koko, imifanekiso ye-thyroid ifunyenwe emva kweeyure ezingama-2 kunye neeyure ezingama-24 emva kokuqala kwenkqubo. Ngexesha lokuphumla, isiguli singaphuma siye kwenza imisebenzi yaso yesiqhelo yemihla ngemihla, kwaye ngokubanzi iziphumo zovavanyo zilungile emva kweentsuku ezi-3 ukuya kwezi-5.

Zombini iodine kunye neeteketium zisetyenziswa kuba zizinto ezinxulumene ne-thyroid, kwaye zinokugxila ngokulula kule ndlala. Ukongeza kwindlela yokusetyenziswa, umahluko phakathi kokusetyenziswa kwe-iodine okanye i-technetium kukuba iodine ilunge ngakumbi kuvavanyo lomsebenzi we-thyroid, njenge-hyperthyroidism okanye i-hypothyroidism. I-Technetium, kwelinye icala, iluncedo kakhulu ekuchongeni ubukho bamaqhuqhuva.

Ungazilungiselela njani iimviwo

Ukulungiselela i-scintigraphy ye-thyroid kubandakanya ukuphepha ukutya, amayeza kunye neemvavanyo zonyango eziqulethe okanye ezisebenzisa iodine okanye eziguqula umsebenzi we-thyroid, njenge:

• Ukutya: ungatyi ukutya nge-iodine iiveki ezi-2, kuthintelwe ukusetyenziswa kwentlanzi yamanzi etyuwa, ukutya kwaselwandle, i-shrimp, ulwandle, i-whisky, iimveliso ezinkonkxiweyo, ezinongwe okanye ezineesardadi, ityhuna, iqanda okanye isoya kunye nezinye izinto, ezinjenge-shoyo, tofu kunye nesoya ubisi;

Bukela le vidiyo ilandelayo kwaye ubone ukuba yeyiphi indlela yokutya efanelekileyo ye-iodotherapy:

• Uviwo: kwiinyanga ezi-3 zokugqibela, musa ukwenza iimviwo ezinje nge-computed tomography, i-urography engaphandle, i-cholecystography, i-bronchography, i-colposcopy kunye ne-hysterosalpingography;
• Amayeza: amanye amayeza anokuphazamisa uvavanyo, ezinje ngeevithamin supplements, iihomoni ze-thyroid, amayeza ane-iodine, amayeza entliziyo kunye ne-Amiodarone, efana ne-Ancoron okanye i-Atlansil, okanye iisiraphu zokukhohlela, ke kubalulekile ukuba uthethe nogqirha ukuvavanya ukumiswa kwabo ;
• Imichiza: kwinyanga engaphambi koviwo, awunakudaya iinwele zakho, usebenzise i-lipstick emnyama okanye i-nail polish, i-oyile yokususa, iodine okanye i-iodized alcohol kulusu lwakho.

Kubalulekile ukukhumbula ukuba abasetyhini abakhulelweyo okanye abancancisayo akufuneki benze uvavanyo lwe-thyroid. Kwimeko ye-technetium scintigraphy, ukuncancisa kufuneka kumiswe kangangeentsuku ezi-2 emva koviwo.

Uvavanyo lwe-PCI-ukhangelo lomzimba luphela luqukethe uvavanyo olufanayo, nangona kunjalo, sisixhobo esisetyenzisiweyo esenza imifanekiso yomzimba uphela, ibonakaliswe ngakumbi kwimeko yophando lwe-metastasis yamathumba okanye iiseli ze-thyroid kwezinye iindawo zomzimba. Funda ngakumbi malunga ne-scintigraphy yomzimba epheleleyo apha.