E aʻo kākou e pili ana i kahi MIBG Scan. Ua haʻi aku anei ke kauka iā ʻoe e hana i kēia hoʻokolohua? (MIBG Scan)

Ua hopohopo iki anei ʻoe i ka wā i haʻi aku ai kāu kauka iā ʻoe e pono ʻoe e hana i kahi scan MIBG? He mea maʻamau loa ia no ka nui o nā nīnau e hiki mai ana i ka noʻonoʻo, e like me "Um, he aha kēia scan hou? No ke aha e hana ʻia ai kēia?" ʻOi loa aku i ka wā e kamaʻilio nei mākou e pili ana i kahi hoʻokolohua lapaʻau a mākou i lohe pinepine ʻole ai, manaʻo mākou i ka makaʻu a me ka hoihoi. Akā, mai makaʻu iki. I kēia lā, e kamaʻilio mākou e pili ana i nā mea āpau e pili ana i kēia scan MIBG, mai ka mea liʻiliʻi a i ka mea nui loa, ma ka ʻōlelo Sinhala maʻalahi loa hiki iā ʻoe ke hoʻomaopopo. E like me kāu hoaaloha e wehewehe nei iā ʻoe.

I ka ʻōlelo maʻalahi, he aha kēia MIBG Scan?

E noʻonoʻo wale, aia kekahi mau mea i loko o ko kākou kino i hiki ʻole ke kiʻi ʻia me kahi kāmela maʻamau. Pēlā nō, aia kekahi mau pilikia i hiki ʻole ke hopu ʻia e nā mea e like me nā X-ray a me nā CT scan. ʻO ia ka manawa a mākou e hoʻohana ai i nā ʻano hana kūikawā. ʻO ka MIBG scan kahi hoʻāʻo e hoʻohana ana i kēlā ʻenehana kāmela kūikawā. I ka lāʻau lapaʻau, kapa mākou i kēia he 'hoʻāʻo kiʻi nuklea'.

Eia ka mea e hana ʻia:

Hoʻokomo ʻia kahi mea radioactive liʻiliʻi loa a palekana i loko o kou kino. Mai hopohopo, he ʻuʻuku wale nō kēia ʻaʻole e hōʻeha iā ʻoe, ʻo ia wale nō ka mea e pono ai no ka hoʻāʻo. Kāhea mākou i kēia mea he "iodine meta-iodobenzylguanidine". No laila, no ka mea he paʻakikī ke haʻi ʻana i kēia inoa lōʻihi, kapa mākou iā ia he MIBG no ka pōkole.

ʻO kēia mea, i kapa ʻia ʻo MIBG, hele ma kou koko a hoʻopili i kekahi mau ʻano cell i loko o kou kino. A laila, me ka hoʻohana ʻana i kahi kāmela kūikawā (kāmela gamma), hiki iā ʻoe ke ʻike i kahi i hōʻiliʻili ai ka mea. Ua like ia me ka loaʻa ʻana o nā ilo ʻālohilohi i ka pouli.

Ua kapa ʻia kēia hoʻāʻo e kekahi mau inoa ʻē aʻe, no laila mai hopohopo inā ʻike ʻia kēia mau inoa ma kāu hōʻike.

• ʻO ka nānā ʻana o Iobenguane
• ʻO ka nānā ʻana o Metaiodobenzylguanidine
• ʻO ka ʻikepili MIBG
• ʻO ka MIBG scintiscan

No ke aha e ʻōlelo ai nā kauka e hana i kēia MIBG scan?

Hoʻohana pinepine ʻia kahi scan MIBG e ʻike i nā ʻano kikoʻī o nā puʻupuʻu i loko o ke kino, e ʻike i ka mamao o ko lākou laha ʻana, a loiloi i ka pono o ka lāʻau. Kū mai kēia mau puʻupuʻu mai nā pūnaewele i loko o ko mākou kino i kapa ʻia ʻo nā pūnaewele neuroendocrine e hana ana i nā hormones.

I kēia manawa, e nānā kākou i nā ʻano nui o nā nati e hiki ke loaʻa me kēia scan.

No laila, maopopo paha iā ʻoe ʻaʻole kēia he hoʻāʻo maʻamau, akā he mea i hana ʻia e ʻike ai i nā kūlana kikoʻī loa.

Pehea e hoʻomākaukau ai no kēia scan?

Aia kekahi mau mea e noi ʻia ʻoe e hana ma mua o ke scan. He mea nui loa ka hahai pololei ʻana i kēia mau mea no ka pololei o ka hoʻāʻo.

1. Aia kekahi lāʻau lapaʻau kūikawā e lawe ai.

Ma kahi o hoʻokahi lā ma mua o ke scan, e haʻi aku kāu kauka iā ʻoe e lawe i kahi lāʻau lapaʻau i loaʻa ka iodine (i kekahi manawa i kapa ʻia ʻo Lugol's solution). Pono paha ʻoe e lawe i kēia no kekahi mau lā ma hope o ke scan. ʻIke anei ʻoe i ke kumu i hāʻawi ʻia ai kēia? ʻO ka iodine radioactive i loko o ka inikini MIBG e kāohi iā ia mai ka hōʻiliʻili ʻana i loko o kou kelepa thyroid. ʻO ke ʻano kēia ua hoʻohana ʻia kēia lāʻau lapaʻau e pale i kou kelepa thyroid.

2. Pono paha e hoʻōki ʻia kekahi mau lāʻau lapaʻau no kekahi manawa.

Hiki i kekahi mau lāʻau lapaʻau āu e lawe mau ai ke hoʻopilikia i nā hopena o ka MIBG scan. No laila, e haʻi aku kāu kauka iā ʻoe e hoʻōki i ka lawe ʻana i kēlā mau lāʻau lapaʻau no kekahi mau lā a i ʻole hoʻokahi pule ma mua o ka hoʻāʻo.

Ua papa inoa ka papa ma lalo nei i kekahi o nā lāʻau lapaʻau i ʻōlelo pinepine ʻia e hoʻōki.

He aha ka mea e hana maoli ana i nā lā o ke scan?

ʻAʻole hiki ke hoʻopau ʻia kahi scan MIBG i hoʻokahi lā. He hana ia e hana ʻia ma luna o kekahi mau lā. ʻO ka maʻamau, pono ʻoe e hele i ka haukapila i ʻelua a ʻehā manawa.

• KaʻAnuʻu Hana ʻEkahi: Ke Hoʻokomo ʻana i ka Lāʻau Lapaʻau

I ka lā mua, e hoʻokomo ke kauka a kahu maʻi paha ma ka haukapila i kahi mea hoʻāʻo i kapa ʻia ʻo MIBG i loko o kahi aa koko ma kou lima a lima paha. Ua like kēia me kahi mea hoʻāʻo maʻamau. A laila hiki iā ʻoe ke hoʻi i ka home. He 24 mau hola ka lōʻihi no ka mea hoʻāʻo e kaʻapuni i loko o kou kino.

• KaʻAnuʻu Hana ʻElua: Scan Mua

I kekahi lā aʻe, pono ʻoe e hoʻi i ka haukapila no kāu scan mua. Pono ʻoe e wehe i nā mea āpau āu e ʻaʻahu nei, e like me kou mau lole, nā wati, a me nā lei, a e komo i kahi lole haukapila kūikawā a lākou e hāʻawi ai iā ʻoe. A laila e hoʻomoe ʻia ʻoe ma luna o kahi moe ma lalo o ka mīkini scan. ʻO kāu wale nō e hana ai, ʻo ia ke noho mālie loa , me ka neʻe ʻole ʻana. E neʻe ana ke kāmela scan a puni kou kino a lawe i nā kiʻi. ʻAʻole ʻoe e ʻeha i kēia manawa.

• KaʻAnuʻu Hana ʻEkolu: Nānā Hou

Pono paha kekahi poʻe e hoʻi hou mai no kekahi scan ʻē aʻe i hoʻokahi a ʻelua paha lā ma hope. E hoʻoholo ʻia kēia e kāu kauka a me ka radiologist. Hiki i kēlā me kēia scan ke hala ma kahi o hoʻokahi a ʻelua paha hola.

He aha kāu e hana ai ma hope o ka pau ʻana o ke scan?

ʻOiai he hoʻokolohua outpatient kēia, hiki iā ʻoe ke hoʻi i ka home ma hope o kēlā me kēia scan. Eia nō naʻe, pono ʻoe e kōkua i kou kino e hoʻopau i nā mea radioactive ma hope o kou hoʻi ʻana i ka home.

Eia kekahi, he mea nui loa e holoi pono i kou mau lima me ke kopa ma hope o ka hoʻohana ʻana i ka lua.

Nā ʻōlelo aʻoaʻo kūikawā no nā makuahine hānai waiū:

Inā he makuahine hānai ʻoe, e pale i ka hānai ʻana i kāu pēpē no hoʻokahi lā ma hope o ka inikini MIBG. E mākaukau e hāʻawi i kāu pēpē i ka waiū waiū i loko o ia manawa. E nīnau i kāu kauka no ka ʻike hou aku e pili ana i kēia.

Aia kekahi mau pilikia me kēia scan?

He nīnau kēia a ka poʻe he nui. ʻO ka ʻoiaʻiʻo, he hoʻāʻo palekana loa ka MIBG scan. He haʻahaʻa loa nā pilikia e pili ana.

• Hiki i kekahi poʻe ke ʻike i kahi piʻi iki o ke koko ma hope o ka loaʻa ʻana o ka inikini MIBG. Eia nō naʻe, hoʻi pinepine kēia i ka maʻamau i loko o hoʻokahi a ʻelua paha lā. No laila, e mālama ʻia ʻoe ma ka haukapila no kahi o 30 mau minuke ma hope o ka inikini, a e nānā ʻia kou koko ma mua o kou hoʻouna ʻia ʻana i ka home.
• ʻAʻole kūpono kēia hoʻāʻo no nā wahine hāpai, no ka mea, hiki i ka mea radioactive ke hoʻopilikia i ka pēpē i hānau ʻole ʻia. No laila, inā hāpai ʻoe a i ʻole he kānalua iki paha ʻoe ua hāpai ʻoe, pono ʻoe e haʻi i kāu kauka ma mua o ka hoʻāʻo ʻana.

ʻEhia ka lōʻihi e hiki ai iaʻu ke loaʻa nā hopena?

Ma hope o ka pau ʻana o ke scan hope loa, maʻamau ma kahi o ʻelua a ʻekolu mau lā e loaʻa ai nā hopena.

ʻO ka mea e hana ʻia, ʻo ia ke nānā pono ʻana o kahi radiologist i kāu mau scan āpau. Ke ʻimi nei ʻo ia i nā wahi i hōʻiliʻili ai ka mea MIBG i ka ʻano ʻē, i kapa ʻia ʻo 'nā wahi wela.' Hiki i kēia mau wahi ke hōʻike i ke alo o kahi puʻupuʻu.

A laila e hoʻomākaukau ke kauka loea i kahi hōʻike piha a hoʻouna aku i kāu kauka nāna i kauoha i ka hoʻāʻo. A laila e kūkākūkā kāu kauka i ka hōʻike me ʻoe a wehewehe i nā ʻanuʻu e pono ai ʻoe e hana ma hope. ʻO ka MIBG scan ma kahi o 85% pololei, ʻo ia hoʻi he hoʻāʻo hilinaʻi loa ia.