Thaum koj tus kws kho mob hais rau koj tias koj yuav tsum tau kuaj 'Nuclear Medicine Scan', tej zaum koj yuav ntshai me ntsis lossis xav paub. Thaum peb hnov lo lus 'nuclear', ntau yam sib txawv los rau hauv siab. Tab sis qhov no tsis yog dab tsi yuav tsum ntshai. Qhov no yog ib qho kev kuaj mob tseem ceeb thiab muaj kev nyab xeeb uas pab nrhiav tau ntau yam kab mob thaum ntxov. Cia peb saib nws yog dab tsi, nws ua li cas, thiab qhov zoo thiab qhov tsis zoo yog dab tsi. Cia peb tham txog txhua yam hauv cov lus yooj yim.
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Nuclear Medicine Imaging yog dab tsi hauv cov lus yooj yim?
Hais yooj yim xwb, qhov no yog ib txoj kev ntsuas tshwj xeeb uas siv los saib cov kab mob hauv peb lub cev. Tab sis qhov tshwj xeeb txog qhov no yog tias nws tsis yog tsuas pom cov duab ntawm ib lub cev xwb, tab sis kuj pom tias nws ua haujlwm zoo npaum li cas .
Nov yog yuav ua li cas:
1. Ua ntej, koj yuav tau txais ib qho me me ntawm cov tshuaj radioactive Tracer). Qhov no feem ntau ua los ntawm cov leeg ntshav. Qee zaum koj kuj yuav tau haus dej.
2. Cov 'tracer' no tsis yog tshuaj los yog xim pleev. Yog li ntawd , tsis muaj kev phiv . Nws zoo li ib pob khoom. Thaum nws nkag mus rau hauv lub cev, nws mus ncaj qha rau lub cev uas peb xav pom (piv txwv li, lub plawv, lub raum, lub qog thyroid).
3. Muaj ib qho me me ntawm lub zog (radiation) tawm los ntawm 'tracer' uas tau nkag mus rau hauv lub cev ntawd. Peb tsis hnov nws.
4. Tom qab ntawd, lawv muab koj tso rau hauv lub tshuab luam theej duab uas muaj lub koob yees duab tshwj xeeb hu ua 'gamma camera'. Lub koob yees duab no ntes tau cov teeb liab los ntawm lub cev ntawd thiab siv lub khoos phis tawj los tsim ib daim duab zoo nkauj thiab meej ntawm lub cev ntawd.
Los ntawm kev saib cov duab no, tus kws tshwj xeeb tuaj yeem qhia tau seb koj lub cev puas ua haujlwm zoo lossis yog tias muaj teeb meem.
Qhov no txawv li cas ntawm kev kuaj xws li X-rays thiab CT scans?
Qhov no yog ib lo lus nug uas ntau tus neeg muaj. Thaum koj nkag siab txog qhov txawv tseem ceeb ntawm ob qho kev kuaj no, qhov tseem ceeb ntawm kev kho mob nuclear yuav ua rau koj pom tseeb dua.
Xav txog lub cav ntawm koj lub tsheb. Thaum koj qhib lub hau ntawm lub tsheb thiab saib lub cav, koj tuaj yeem pom nws cov khoom. Ntawd yog cov qauv (Anatomy) . Qhov no yog yam uas kev luam theej duab xws li X-ray, CT, MRI ua. Ntawd yog, lawv saib cov duab thiab qhov loj ntawm lub cev, thiab seb puas muaj dab tsi nyob hauv nws, xws li qog lossis pob txha tawg.
Tam sim no xav txog seb koj puas pib lub tsheb thiab mloog lub suab ntawm lub cav khiav. Ua li ntawd peb thiaj li nkag siab tias lub cav puas ua haujlwm zoo lossis puas muaj kab mob nyob qhov twg. Ntawd yog lub luag haujlwm . Qhov no yog qhov kev tshuaj ntsuam xyuas tshuaj nuclear ua. Ntawd yog, nws saib seb lub cev ua haujlwm tau zoo npaum li cas.
| Feature | Kev Tshuaj Xyuas Tshuaj Nuclear | X-ray / CT scan |
|---|---|---|
| Feem ntau yog kuaj xyuas | Kev ua haujlwm ntawm lub cev - uas yog, lub cev ua haujlwm li cas. | Anatomy - uas yog, cov duab thiab qhov loj ntawm lub cev. |
| Kev Siv Tshuab | Siv lub koob yees duab ntes cov hluav taws xob (los ntawm lub cuab yeej taug qab) uas tawm hauv lub cev. | Ib lub tshuab xa cov teeb ci ntsa iab hla lub cev thiab thaij duab ntawm sab tod. |
| Cov ntaub ntawv tau txais | Cov ntaub ntawv xws li lub plawv nqus ntshav zoo npaum li cas? Lub raum ntxuav cov ntshav zoo npaum li cas? | Cov ntaub ntawv xws li pob txha puas tawg lawm? Puas muaj qog nyob hauv lub ntsws? |
Vim tias qhov kev ua ub no tuaj yeem pom tau, kev ntsuas tshuaj nuclear tuaj yeem pom kev ua haujlwm tsis zoo ntawm cov kab mob hauv qee yam kab mob, txawm tias ua ntej lub cev hloov pauv.
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Check Availability →Vim li cas peb thiaj yuav tsum ua qhov kev xeem zoo li no?
Cov kev ntsuas tshuaj nuclear siv los kuaj mob ntau yam kab mob, saib xyuas kev kho mob kom zoo, thiab qee zaum txawm kho lawv.
| Mob/lub cev | Piv txwv ntawm tej yam uas yuav tsum paub |
|---|---|
| Kab mob plawv | Tom qab koj lub plawv nres, mus saib seb cov leeg nqaij ntawm lub plawv puas puas lawm, cov hlab ntsha uas xa ntshav mus rau lub plawv puas raug thaiv, thiab seb lub plawv nqus ntshav tau zoo npaum li cas. |
| Teeb Meem Pob Txha | Nrhiav cov pob txha tawg me me uas pom tsis tau ntawm daim duab X-ray, cov kab mob, lossis cov qog nqaij hlav uas tau kis mus rau cov pob txha. |
| Kab Mob Thyroid | Yog xav paub tseeb tias cov thyroid caj pas ua haujlwm ntau dhau (hyperthyroidism) lossis tsis ua haujlwm ntau (hypothyroidism), mus saib seb puas muaj cov qog. |
| Kab mob raum | Xyuas seb lub raum ntxuav cov ntshav zoo npaum li cas, seb puas muaj dab tsi thaiv cov zis ntws, thiab seb puas muaj cov qhov txhab los ntawm kev kis kab mob. |
| Mob qog noj ntshav | Txhawm rau nrhiav seb tus mob qog noj ntshav puas tau kis mus rau lwm qhov ntawm lub cev (metastasis) thiab saib seb kev kho mob ua tau zoo npaum li cas. Kev ntsuas PET kuj yog ib hom kev ntsuas tshwj xeeb. |
| Lwm tus | Txheeb xyuas cov ntshav txhaws hauv lub ntsws, kev ua haujlwm ntawm lub zais zis, qee yam mob hauv lub hlwb, thiab cov kab mob ntshav. |
Ntxiv mus, cov thev naus laus zis no kuj siv los kho qee hom mob qog noj ntshav. Nws hu ua "Radioimmunotherapy." Hauv qhov no, cov khoom siv radioactive raug xa ncaj qha mus rau cov hlwb qog noj ntshav thiab rhuav tshem.
Ua ntej thiab hnub uas kuv yuav xeem, kuv yuav tsum ua li cas?
Qhov no yuav yog ib lo lus nug loj uas koj xav txog, tab sis koj tsis tas yuav npaj ntau dhau rau qhov no.
Kev npaj ua ntej qhov kev xeem
Tsis muaj txoj cai dav dav rau qhov no. Txoj kev uas koj yuav tsum npaj yuav txawv nyob ntawm hom kev luam theej duab uas koj muaj .
- Rau qee qhov kev luam theej, koj yuav raug hais kom tsis txhob noj lossis haus lwm yam dab tsi tsuas yog dej xwb rau 6 teev ua ntej qhov kev kuaj.
- Qee qhov kev luam theej lwm yam yuav tsis muaj kev txwv rau kev noj mov lossis haus dej.
Yog li ntawd, nws yog qhov zoo tshaj plaws kom tau txais cov lus qhia meej txog qhov no los ntawm koj tus kws kho mob lossis tsev kho mob / chaw luam theej duab uas tab tom ua qhov kev kuaj mob. Ua raws li lawv hais.
Muaj dab tsi tshwm sim thaum lub sijhawm xeem?
Koj yuav raug txhaj tshuaj tracer thiab hais kom tos ib lub sijhawm kom nws nqus tau rau hauv lub cev. Lub sijhawm no txawv ntawm kev luam theej mus rau kev luam theej. Nws yuav siv sijhawm ob peb feeb. Rau qee yam zoo li kev luam theej pob txha, nws yuav siv sijhawm 2-3 teev.
Tom qab ntawd lawv yuav coj koj mus rau chav luam theej duab thiab kom koj pw rau ntawm ib feem zoo li txaj ntawm lub tshuab. Lub koob yees duab gamma yuav raug tso rau saum qhov chaw ntawm koj lub cev thiab pib thaij duab.
- Qhov tseem ceeb tshaj plaws uas koj ua tau rau lub sijhawm no yog nyob twj ywm thiab nyob twj ywm . Ib yam li thaum thaij duab, yog tias koj txav mus los, daim duab yuav tsis meej.
- Feem ntau, kev luam theej duab yuav siv sijhawm li 30-60 feeb.
- Qee zaum muaj tej lub sij hawm uas cov duab raug thaij ntau tshaj ib hnub, dhau ob peb hnub.
Puas muaj tej yam txaus ntshai rau qhov no? Cov txiaj ntsig yog dab tsi?
Nws yog ib qho ib txwm muaj kev ntshai thaum koj hnov lo lus 'radioactive', tab sis qhov kev pheej hmoo yeej tsawg heev.
- Kev siv tshuaj tua kab mob: Qhov ntau ntawm cov tshuaj tua kab mob uas koj lub cev tau txais thaum lub sijhawm luam theej no yog tsawg heev. Nws tej zaum yuav tsawg dua li ntawm CT luam theej. Cov tshuaj tua kab mob yuav tawm hauv lub cev hauv ob peb teev lossis ob peb hnub.
- Kev Ua Xua: Qhov kev pheej hmoo ntawm kev ua xua rau cov tshuaj tracer yog qis heev. Txawm li cas los xij, yog tias koj muaj kev ua xua rau ib yam dab tsi, nws yog ib qho tseem ceeb uas yuav tsum qhia rau koj tus kws kho mob ua ntej.
Muaj ntau yam zoo rau qhov kev xeem no:
- Tsis mob: Qhov no tsis mob npaum li kev phais. Tsis muaj mob dab tsi tsuas yog muab koob me me ntxig rau hauv xwb.
- Kev kuaj pom cov kab mob thaum ntxov: Raws li tau hais ua ntej lawm, kev hloov pauv hauv kev ua haujlwm ntawm lub cev tuaj yeem kuaj pom thaum ntxov, ua rau pom tau tus kab mob ua ntej nws hnyav zuj zus.
- Cov ntaub ntawv tseeb: Koj tuaj yeem tau txais cov ntaub ntawv tseeb thiab ntxaws ntxaws uas tsis tuaj yeem tau los ntawm lwm qhov kev xeem.
- Tiv thaiv kev phais mob tsis tsim nyog: Qee zaum yuav tsum tau phais mob los kuaj mob. Tab sis kev luam theej duab zoo li no tuaj yeem tshem tawm qhov xav tau ntawd.
Tom qab qhov kev xeem
Feem ntau, koj tuaj yeem rov ua koj cov dej num ib txwm tom qab kev luam theej duab. Tsis muaj kev txwv rau yam koj noj lossis haus. Koj tus kws kho mob yuav qhia koj kom haus dej ntau ntau thoob plaws hnub. Qhov no yuav pab cov tshuaj tracer uas tseem tshuav hauv koj lub cev kom raug ntxuav tawm sai sai los ntawm koj cov zis.
Koj cov kev luam theej yuav raug kuaj los ntawm ib tug kws tshwj xeeb thiab yuav npaj ib daim ntawv qhia. Thaum koj tus kws kho mob tau txais daim ntawv qhia, nws yuav hu rau koj thiab piav qhia txog cov txiaj ntsig.
Cov Lus Qhia Txog Kev Coj Mus Tsev
- Tsis txhob ntshai lo lus 'nuclear'. Tus nqi ntawm cov tshuaj radioactive tracer siv rau hauv qhov no yog me me heev, thiab nws muaj kev nyab xeeb.
- Daim kev tshuaj xyuas no tsis yog saib cov duab ntawm koj lub cev, tab sis nws 'kev ua haujlwm' . Qhov no tso cai rau kev kuaj pom kab mob thaum ntxov.
- Qhov no tsis yog kev kuaj mob. Txhua yam koj yuav tsum ua yog pw twj ywm thiab tsis txav mus los hauv qab lub tshuab ntsuas.
- Nug koj tus kws kho mob lossis tsev kho mob kom paub cov lus qhia tshwj xeeb txog yam yuav tsum ua ua ntej kev kuaj. Tsis yog txhua qhov kev luam theej yuav tsum tau npaj tib yam.
- Koj tus kws kho mob yuav piav qhia cov txiaj ntsig rau koj. Tsis txhob yig nug cov lus nug lossis kev txhawj xeeb uas koj muaj thaum ntawd.
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