Koj tus kws kho mob puas tau hais kom koj ua qhov kev kuaj mob hu ua Lymphoscintigraphy? Tej zaum koj yuav ntshai me ntsis thaum koj hnov lub npe. Nws yog ib qho ib txwm muaj cov lus nug xws li, 'Qhov kev kuaj mob no yog hom twg? Puas yuav mob? Puas muaj kev pheej hmoo?' los rau hauv siab. Txawm hais tias cov npe ntawm cov kev kuaj mob no nyuaj me ntsis, qhov lawv ua yog qhov yooj yim heev. Yog li hnub no, cia peb tham txog Lymphoscintigraphy yog dab tsi, nws ua li cas, thiab vim li cas nws thiaj li tseem ceeb hauv txoj kev yooj yim heev uas koj tuaj yeem nkag siab.
Lymphoscintigraphy yog dab tsi?
Hais yooj yim xwb, qhov no yog ib qho kev luam theej tshwj xeeb uas saib cov kab mob lymphatic hauv peb lub cev. Tej zaum koj yuav tau hnov txog X-rays thiab CT scans. Lawv yog tib yam, tab sis qhov no tsis saib cov khoom xws li pob txha lossis lub hlwb, tab sis saib kev ua haujlwm ntawm cov kab mob lymphatic.
Xav txog peb lub cev zoo li ib lub nroog. Muaj ib lub tshuab uas tshem tawm thiab ntxuav cov khib nyiab hauv lub nroog ntawd. Yog li ntawd peb lub cev lub lymphatic system yog li cas. Nws tshem tawm cov khoom tsis xav tau, xws li cov kab mob, ntawm lub cev thiab tiv thaiv peb lub cev tiv thaiv kab mob. Muaj cov lim dej me me thoob plaws lub cev no. Peb hu lawv ua cov qog ntshav .
Hauv kev luam theej lymphoscintigraphy, koj tus kws kho mob txhaj ib qho me me, muaj kev nyab xeeb radioactive tshuaj (radiotracer) rau hauv koj lub cev. Tsis txhob txhawj, qhov ntau ntawm cov tshuaj radiation yog me me heev thiab yuav tsis ua rau koj lub cev puas tsuaj. Thaum cov tshuaj mus ncig los ntawm koj lub cev lymphatic, lub koob yees duab tshwj xeeb (gamma camera) thaij duab ntawm nws. Nws zoo li ntes ib tug firefly hauv qhov tsaus ntuj. Cov duab no pab koj tus kws kho mob pom tseeb qhov twg hauv koj lub cev lymphatic muaj kev thaiv, kab mob, lossis kev kis ntawm cov hlwb qog noj ntshav.
Vim li cas thiaj ua qhov kev xeem no? Nws pom dab tsi?
Muaj ntau yam tseem ceeb ua rau qhov kev xeem no. Cia peb saib seb lawv yog dab tsi.
| Qhov laj thawj tseem ceeb rau qhov kev xeem | Ib qho lus piav qhia yooj yim |
|---|---|
| Txhawm rau kuaj mob thiab faib ua pawg mob qog noj ntshav | Tshwj xeeb tshaj yog mob qog noj ntshav hauv lub mis thiab melanoma, ib hom mob qog noj ntshav ntawm daim tawv nqaij loj heev.Hauv cov xwm txheej zoo li no, qhov kev kuaj no pab txiav txim siab seb tus mob qog noj ntshav puas tau kis mus rau cov qog ntshav thiab mus txog qhov twg (staging). |
| Yuav nrhiav tau cov qog ntshav 'sentinel' | Xav txog seb yog ib tug tub sab tuaj rau hauv koj lub tsev, koj tus dev puas yuav yog thawj tus uas qw? Ib yam li ntawd, thaum cov qe ntshav qog pib kis mus rau hauv lub cev, thawj lub qog ntshav uas cov qe ntshav ntawd mus rau hu ua ' sentinel node.' Qhov kev kuaj no tuaj yeem nrhiav tau leej twg yog thawj 'sentinel'. Tom qab ntawd, thaum lub sijhawm phais, es tsis txhob tshem tawm ntau lub qog ntshav tsis tsim nyog, tsuas yog lub qog ntshav no thiaj li tuaj yeem tshem tawm thiab kuaj xyuas. |
| Txhawm rau kuaj mob lwm yam kab mob ntawm lub cev lymphatic | Qhov kev kuaj no kuj siv los kuaj mob xws li lymphedema, uas yog o ntawm ob txhais ceg vim yog kev thaiv ntawm cov hlab ntsha lymphatic. Nws tseem ceeb heev rau kev kuaj mob lwm yam mob tsis tshua muaj xws li lymphangiomatosis thiab chylothorax . |
| Txhawm rau saib xyuas kev vam meej ntawm kev kho mob | Tom qab kuaj pom tias muaj kab mob lawm, qee zaum yuav ua qhov kev ntsuas no kom pom tias kev kho mob tau tswj hwm lossis txhim kho tus kab mob zoo npaum li cas. |
Kuv yuav tsum npaj li cas rau qhov kev xeem no?
Qhov no tsis tas yuav npaj ntau, tab sis muaj ob peb yam uas yuav tsum nco ntsoov.
- Tshem cov hniav nyiaj hniav kub thiab tso nws tseg hauv tsev. Cov hlau xws li cov hlua caj dab, cov hlua tes, thiab cov pob ntseg tuaj yeem cuam tshuam rau cov txiaj ntsig ntawm kev luam theej duab. Yog li nws yog qhov zoo tshaj plaws kom tsis txhob hnav lawv rau hnub ntawd.
- Yog koj cev xeeb tub los yog pub niam mis, nco ntsoov qhia rau koj tus kws kho mob. Tus kws kho mob yuav txiav txim siab seb qhov kev kuaj no puas tsim nyog rau cov rooj plaub no.
- Nqa ib daim ntawv teev cov tshuaj, cov vitamins, thiab cov tshuaj ntxiv uas koj tab tom noj tam sim no tuaj. Nws yog ib qho tseem ceeb heev uas koj tus kws kho mob paub txog cov tshuaj uas koj tab tom noj.
Muaj dab tsi tshwm sim thaum lub sijhawm xeem?
Feem ntau qhov no yog kev kuaj mob sab nraud uas koj ua tau yam tsis tas yuav nyob hauv tsev kho mob. Qee zaum nws tuaj yeem ua tau tib hnub sawv ntxov thaum koj phais mob.
1. Mus rau chav kuaj mob:Ib tug kws kho mob hauv tsev kho mob yuav coj koj mus rau chav kuaj mob. Lawv yuav hais kom koj pw saum ib lub rooj. Lawv yuav hais kom koj hnav koj cov khaub ncaws, lossis lawv yuav hais kom koj hnav ib lub tsho hauv tsev kho mob.
2. Kev Txhaj Tshuaj: Tom qab ntawd, cov tshuaj radioactive uas kuv tau hais ua ntej (`(radiotracer)`) raug txhaj rau hauv qab koj daim tawv nqaij nrog ib rab koob me me. Qhov no feem ntau ua ze rau thaj chaw uas yuav kuaj xyuas. Piv txwv li, yog tias peb tab tom saib mob qog noj ntshav hauv lub mis, kev txhaj tshuaj raug muab rau hauv daim tawv nqaij ncig lub mis. Nws zoo li qhov kub hnyiab me ntsis, zoo li raug ntsaum tom, tab sis lwm yam tshaj li ntawd, nws tsis mob heev.
3. Thaij duab: Tsis ntev tom qab txhaj tshuaj tas, lub koob yees duab gamma tshwj xeeb (`(gamma camera)`) yuav pib thaij duab ntawm koj lub cev. Thaum lub sijhawm no, lub koob yees duab yuav tig ib ncig ntawm koj, lossis nws yuav nyob ib qho chaw. Tus kws kho mob yuav hais kom koj hloov chaw.
4. Tsis txhob txav: Nws yog ib qho tseem ceeb heev uas yuav tsum nyob twj ywm thaum thaij cov duab no. Yog tias koj txav mus los, cov duab yuav tsis meej. Tab sis qhov no tsis yog lub sijhawm ntev, koj yuav tsum nyob twj ywm rau lub sijhawm luv luv.
5. Kev sim ua tiav: Tom qab tag nrho cov duab tsim nyog tau thaij tiav lawm, tus kws kho tshuab yuav kuaj xyuas lawv qhov meej thiab cia koj mus tsev.
Tom qab qhov kev xeem thiab nws cov kev pheej hmoo
Tom qab kuaj tas, koj tuaj yeem ua koj tej dej num li qub. Tsis muaj dab tsi tshwj xeeb ua tshwj tsis yog tus kws kho mob muab lwm cov lus qhia rau koj.
Tsis txhob txhawj txog cov khoom siv radioactive uas tau txhaj rau hauv koj lub cev. Nws yuav raug tshem tawm tag nrho ntawm koj lub cev hauv ib lossis ob hnub los ntawm koj cov zis thiab quav. Yuav kom ua tiav qhov no sai dua, koj yuav tsum haus dej ntau.
Kev pheej hmoo thiab cov kev mob tshwm sim
Lymphoscintigraphy yog ib qho kev kuaj mob uas muaj kev nyab xeeb heev, tab sis zoo li txhua qhov kev kuaj mob, muaj qee qhov kev pheej hmoo.
| Kev Pheej Hmoo/kev phiv | Kev piav qhia |
|---|---|
| Kev tsis sib haum xeeb rau qee tus neeg | Yog tias koj cev xeeb tub, pub niam mis, lossis muaj qee hom mob qog noj ntshav hauv lub mis (mob qog noj ntshav hauv lub mis, DCIS)Los yog koj muaj cov qog loj dua 5 centimeters, qhov kev kuaj no yuav tsis yog rau koj. Koj tus kws kho mob yuav txiav txim siab zaum kawg. |
| Kev Ua Xua | Qhov kev pheej hmoo ntawm kev ua xua rau cov khoom siv radioactive (radiotracer) uas txhaj rau hauv lub cev yog tsawg heev . Uas yog, tsawg heev. Yog tias qhov no tshwm sim, cov neeg ua haujlwm hauv tsev kho mob yuav muab kev kho mob tsim nyog tam sim ntawd. |
Lwm cov lus nug uas koj muaj
Qhov no puas mob?
Tsis yog. Txawm hais tias koj yuav hnov qhov mob me ntsis thaum koj txhaj tshuaj ua ntej kuaj, koj yuav tsis hnov mob thaum lub sijhawm luam theej duab.
Koj puas siv hluav taws xob rau qhov no?
Yog. Tab sis qhov ntau ntawm cov hluav taws xob siv yog me me heev, muaj kev nyab xeeb. Nws yuav tsis ua rau muaj kev puas tsuaj rau koj lub cev mus sij hawm ntev. Thiab cov tshuaj yuav raug tshem tawm tag nrho ntawm koj lub cev hauv ob peb hnub.
Yuav siv sijhawm ntev npaum li cas?
Lub sijhawm uas nws siv yuav txawv ntawm ib tus neeg mus rau ib tus neeg. Rau qee tus neeg, nws yuav siv sijhawm li 30 feeb. Rau lwm tus, nws yuav siv sijhawm ntau teev. Nws nyob ntawm qhov laj thawj ntawm qhov kev xeem thiab thaj chaw ntawm lub cev uas raug kuaj.
Yuav siv sijhawm ntev npaum li cas rau daim ntawv qhia kom tuaj txog?
Feem ntau cov txiaj ntsig yuav pom tau hauv ib lub lim tiam. Tus kws kho mob uas tau thaij cov duab luam theej xa mus rau tus kws kho mob hluav taws xob. Nws yuav tshuaj xyuas cov duab thiab npaj ib daim ntawv qhia. Thaum tus kws kho mob uas xa koj mus kuaj tau txais daim ntawv qhia, nws yuav hu rau koj los tham txog cov ntsiab lus.
Yog tias muaj qee yam txawv txawv hauv daim ntawv qhia no, yuav ua li cas?
Yog tias daim ntawv qhia tias muaj qee yam txawv txawv, qhov yuav ua tom ntej yuav nyob ntawm seb vim li cas koj thiaj raug xa mus kuaj mob thaum xub thawj.
Piv txwv li, yog tias qhov no ua tiav los tshem tawm qhov mob qog noj ntshav, thiab pom tias lub qog nqaij hlav tsis zoo li qub, cov kauj ruam tom ntej feem ntau yog kev kuaj lub qog nqaij hlav . Qhov no suav nrog kev phais tshem tawm ib daim me me ntawm lub qog nqaij hlav thiab kuaj nws hauv qab lub tshuab microscope kom pom tias nws puas muaj cov hlwb qog noj ntshav.
Tsis txhob txhawj txog dab tsi li. Koj tus kws kho mob yuav piav qhia txhua yam rau koj, tham txog cov kev kho mob zoo tshaj plaws rau koj, thiab muab cov kev daws teeb meem zoo tshaj plaws rau koj.
Nrog rau txhua yam kab mob, kev kuaj pom thaum ntxov yog qhov tseem ceeb tshaj plaws. Lymphoscintigraphy yog ib qho cuab yeej muaj txiaj ntsig uas tuaj yeem pab nrhiav pom mob qog noj ntshav thiab cov kab mob lymphatic uas nyuaj rau nrhiav pom nrog lwm yam kev kuaj thaum ntxov. Qhov no ua rau koj muaj feem ntau dua los kho tau zoo.
Cov Lus Qhia Txog Kev Coj Mus Tsev
- Lymphoscintigraphy yog ib qho kev luam theej duab zoo los xyuas seb koj lub cev lymphatic ua haujlwm li cas.
- Qhov no feem ntau yog siv los kuaj mob qog noj ntshav xws li mob qog noj ntshav hauv lub mis, melanoma, thiab cov kab mob ntawm lub cev lymphatic.
- Txawm hais tias qhov kev txhaj tshuaj ua ntej qhov kev kuaj mob me ntsis los xij, tsis muaj mob thaum lub sijhawm luam theej duab.
- Cov tshuaj tua kab mob uas siv tsawg heev, thiab nws tawm hauv lub cev hauv ob peb hnub.
- Yog koj cev xeeb tub los yog pub niam mis, nco ntsoov qhia rau koj tus kws kho mob.
- Qhov kev kuaj no pab nrhiav tau cov kab mob thaum ntxov, ua rau koj muaj lub sijhawm zoo tshaj plaws los kho koj tus mob. Yog tias koj muaj lus nug ntxiv txog qhov no, tsis txhob yig nug koj tus kws kho mob.
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Tsis muaj lus teb tau muab tso tawm. Ntxiv koj cov lus tawm ntawm no thawj zaug.
Ntxiv koj cov lus