Kodi dokotala wanu wakuuzani kuti muyesedwe ndi Lymphoscintigraphy? Mungakhale ndi mantha pang'ono mukamva dzinalo. Ndizachilendo kufunsa mafunso monga, 'Kodi mayeso awa ndi a mtundu wanji? Kodi adzapweteka? Kodi pali zoopsa zilizonse?'. Ngakhale mayina a mayeso azachipatala awa ndi ovuta pang'ono, zomwe amachita ndizosavuta kwenikweni. Chifukwa chake lero, tiyeni tikambirane za tanthauzo la Lymphoscintigraphy, momwe imachitikira, komanso chifukwa chake ndi yofunika m'njira yosavuta yomwe mungamvetse.
Kodi Lymphoscintigraphy ndi chiyani?
Mwachidule, iyi ndi scan yapadera yomwe imayang'ana dongosolo la lymphatic m'thupi lathu. Mwina mudamvapo za X-ray ndi CT scans. Ndi chinthu chomwecho, koma iyi siyang'ana zinthu monga mafupa kapena ubongo, koma momwe dongosolo la lymphatic limagwirira ntchito.
Taganizirani za thupi lathu ngati mzinda. Pali dongosolo lomwe limachotsa ndi kuyeretsa zinyalala mumzinda umenewo. Umu ndi momwe dongosolo la lymphatic la thupi lathu lilili. Limachotsa zinthu zosafunikira, monga majeremusi, m'thupi ndipo limateteza chitetezo chathu chamthupi. Pali zosefera zazing'ono m'dongosolo lonseli. Timazitcha kuti lymph nodes .
Mu lymphoscintigraphy scan, dokotala wanu amaika mankhwala ochepa kwambiri komanso otetezeka a radioactive (radiotracer) m'thupi lanu. Musadandaule, kuchuluka kwa ma radiation ndi kochepa kwambiri ndipo sikuvulaza thupi lanu. Pamene mankhwalawa akuyenda m'thupi lanu, kamera yapadera (kamera ya gamma) imajambula zithunzi zake. Zili ngati kugwira ntchentche mumdima. Zithunzizi zimathandiza dokotala wanu kuona komwe kuli lymphatic system yanu komwe kuli kutsekeka, matenda, kapena kufalikira kwa maselo a khansa.
N’chifukwa chiyani mayesowa akuchitika? Kodi akupeza chiyani?
Pali zifukwa zingapo zazikulu zochitira mayesowa. Tiyeni tiwone zifukwa zake.
| Chifukwa chachikulu cha mayesowa | Kufotokozera kosavuta |
|---|---|
| Kuzindikira ndi kugawa khansa m'magulu | Makamaka khansa ya m'mawere ndi melanoma, mtundu woopsa wa khansa ya pakhungu.Muzochitika ngati izi, mayesowa amathandiza kudziwa ngati khansa yafalikira ku ma lymph nodes komanso kuti yafalikira bwanji (staging). |
| Kuti mupeze 'guard' lymph node (Sentinel Node) | Tangoganizirani ngati wakuba abwera kunyumba kwanu, kodi galu wanu sangakhale woyamba kukuwa? Mofananamo, maselo a khansa akayamba kufalikira m'thupi, lymph node yoyamba yomwe maselowo amapita imatchedwa ' sentinel node.' Kuyesa kumeneku kungapeze kuti 'sentinel' yoyambayo ndi ndani. Kenako, panthawi ya opaleshoni, m'malo mochotsa lymph nodes zambiri mosafunikira, sentinel node yokhayo ndi yomwe ingachotsedwe ndikuwunikidwa. |
| Kuzindikira matenda ena a dongosolo la lymphatic | Kuyesaku kumagwiritsidwanso ntchito pozindikira matenda monga lymphedema, yomwe ndi kutupa kwa miyendo chifukwa cha kutsekeka kwa mitsempha ya lymphatic. Ndikofunikanso kuzindikira matenda ena osowa monga lymphangiomatosis ndi chylothorax . |
| Kuwunika kupambana kwa chithandizo | Pambuyo poti matenda apezeka, nthawi zina scan iyi imachitika kuti ione momwe chithandizocho chathandizira kapena kuchiritsira matendawa. |
Kodi ndiyenera kukonzekera bwanji mayesowa?
Izi sizikufuna kukonzekera kwambiri, koma pali zinthu zingapo zomwe muyenera kukumbukira.
- Chotsani zodzikongoletsera ndi kuzisiya kunyumba. Zitsulo monga mikanda, zibangili, ndi ndolo zimatha kusokoneza zotsatira za scan. Choncho ndi bwino kusazivala tsiku limenelo.
- Ngati muli ndi pakati kapena mukuyamwitsa, onetsetsani kuti mwauza dokotala wanu. Dokotalayo adzasankha ngati mayesowa ndi oyenera pazochitika izi.
- Bweretsani mndandanda wa mankhwala onse, mavitamini, ndi zowonjezera zomwe mukumwa panopa. Ndikofunikira kwambiri kuti dokotala wanu adziwe za mankhwala omwe mukumwa.
Kodi chimachitika ndi chiyani panthawi ya mayeso?
Kawirikawiri iyi ndi mayeso oti munthu apite kuchipatala omwe amachitika popanda kukhala m'chipatala. Nthawi zina amatha kuchitika m'mawa womwewo monga momwe opaleshoni yanu imachitikira.
1. Kupita ku chipinda choyezetsera:Katswiri wa zachipatala adzakutengerani ku chipinda choyezetsera matenda. Mudzapemphedwa kugona patebulo. Mudzapemphedwa kuti mukhalebe mutavala zovala zanu, kapena mudzapemphedwa kuvala diresi lachipatala.
2. Jakisoni: Kenako, mankhwala owopsa omwe ndatchula kale (`(radiotracer)`) amabayidwa pansi pa khungu lanu ndi singano yaying'ono kwambiri. Izi nthawi zambiri zimachitika pafupi ndi malo oti mufufuze. Mwachitsanzo, ngati tikuyang'ana khansa ya m'mawere, jakisoniyo amaperekedwa pakhungu lozungulira bere. Zimamveka ngati kutentha pang'ono, ngati kulumidwa ndi nyerere, koma kupatula apo, sizopweteka kwambiri.
3. Kujambula zithunzi: Pambuyo pa jakisoni, kamera yapadera ya gamma (`(gamma camera)`) iyamba kujambula zithunzi za thupi lanu. Panthawiyi, kamera ikhoza kuzungulira mozungulira inu, kapena ikhoza kukhala pamalo amodzi. Katswiri angakufunseni kuti musinthe malo.
4. Osasuntha: Ndikofunikira kwambiri kukhala chete pamene mukujambula zithunzizi. Ngati musuntha, zithunzi sizingakhale zomveka bwino. Koma ino si nthawi yayitali, muyenera kukhala chete kwa kanthawi kochepa.
5. Mayeso atha: Zithunzi zonse zofunika zitatengedwa, katswiri adzayang'ana bwino momwe zilili ndikukulolani kuti mupite kunyumba.
Pambuyo pa mayeso ndi zoopsa zake
Mukamaliza mayeso, mutha kupitiriza ndi zochita zanu zachizolowezi. Palibe chapadera choti muchite pokhapokha ngati dokotala atakupatsani malangizo ena.
Musadandaule ndi zinthu zowononga zomwe zinalowetsedwa m'thupi lanu. Zidzachotsedwa kwathunthu m'thupi lanu patatha tsiku limodzi kapena awiri kudzera mu mkodzo ndi ndowe zanu. Kuti izi zitheke mwachangu, muyenera kumwa madzi ambiri.
Zoopsa ndi zotsatira zake
Lymphoscintigraphy ndi mayeso otetezeka kwambiri, koma monga mayeso onse azachipatala, pali zoopsa zina.
| Zoopsa/zotsatira zake | Kufotokozera |
|---|---|
| Kusagwirizana kwa anthu ena | Ngati muli ndi pakati, mukuyamwitsa, kapena muli ndi mitundu ina ya khansa ya m'mawere (khansa ya m'mawere yotupa, DCIS)Kapena ngati muli ndi zotupa zazikulu kuposa masentimita 5, mayesowa sangakhale oyenera kwa inu. Dokotala wanu ndiye adzapanga chisankho chomaliza. |
| Matenda a ziwengo | Chiwopsezo chokhala ndi vuto la ziwengo ku zinthu zotulutsa ma radioactive (radiotracer) zomwe zimalowetsedwa m'thupi ndi chosowa kwambiri . Izi zikutanthauza kuti, ndizochepa kwambiri. Ngati izi zitachitika, ogwira ntchito kuchipatala apereka chithandizo chofunikira nthawi yomweyo. |
Mafunso ena omwe mungakhale nawo
Kodi izi zimapweteka?
Ayi. Ngakhale kuti mungamve kupweteka pang'ono mukalandira jakisoni musanayesedwe, simudzamva kupweteka kulikonse panthawi yojambula.
Kodi mumagwiritsa ntchito radiation pa izi?
Inde. Koma kuchuluka kwa kuwala komwe kumagwiritsidwa ntchito ndi kochepa kwambiri, kotetezeka. Sichidzavulaza thupi lanu kwa nthawi yayitali. Ndipo chinthucho chidzachotsedwa kwathunthu m'thupi lanu patatha masiku ochepa.
Kodi zitenga nthawi yayitali bwanji?
Nthawi yomwe imatenga imatha kusiyana malinga ndi munthu. Kwa anthu ena, imatenga pafupifupi mphindi 30. Kwa ena, ingatenge maola angapo. Zimatengera chifukwa chomwe mayesowo adachitikira komanso dera la thupi lomwe likuyesedwa.
Kodi zimatenga nthawi yayitali bwanji kuti lipotilo lifike?
Zotsatira zake nthawi zambiri zimapezeka mkati mwa sabata imodzi. Katswiri amene adatenga zithunzi zojambulidwa amazitumiza kwa katswiri wa radiology. Iye amafufuza zithunzizo ndikukonzekera lipoti. Dokotala amene adakutumizani kuti mukayesedwe akalandira lipotilo, adzakuyimbirani foni kuti mukambirane za tsatanetsatane.
Nanga bwanji ngati pali china chake chachilendo mu lipotilo?
Ngati lipotilo likusonyeza kuti pali chinthu chachilendo, choti muchite pambuyo pake chidzadalira chifukwa chomwe mudatumizidwira kukayezetsa poyamba.
Mwachitsanzo, ngati izi zachitika kuti tipewe khansa, ndipo node ya sentinel ikapezeka kuti si yachilendo, gawo lotsatira nthawi zambiri ndi biopsy ya node ya sentinel . Izi zimaphatikizapo kuchotsa kachidutswa kakang'ono ka node ya sentinel ndikukayang'ana pansi pa maikulosikopu kuti tiwone ngati kali ndi maselo a khansa.
Musadandaule ndi chilichonse. Dokotala wanu adzakufotokozerani zonse, adzakambirana njira zabwino kwambiri zochiritsira, ndikukupatsani yankho labwino kwambiri.
Pa matenda aliwonse, kuzindikira msanga ndiye chinthu chofunikira kwambiri. Lymphoscintigraphy ndi chida chamtengo wapatali chomwe chingathandize kuzindikira khansa ndi matenda am'thupi omwe ndi ovuta kuwazindikira ndi mayeso ena akadali aang'ono. Izi zimawonjezera mwayi wanu wopeza chithandizo chabwino.
Uthenga Wopita Nawo Kunyumba
- Lymphoscintigraphy ndi njira yodziwira bwino momwe dongosolo la lymphatic m'thupi lanu limagwirira ntchito.
- Izi zimagwiritsidwa ntchito makamaka pozindikira khansa monga khansa ya m'mawere, melanoma, ndi matenda a lymphatic system.
- Ngakhale kuti jakisoni woperekedwa musanayesedwe ndi wopweteka pang'ono, palibe ululu womwe umachitika panthawi yowunikira.
- Kuchuluka kwa kuwala komwe kumagwiritsidwa ntchito ndi kochepa kwambiri, ndipo kumachoka m'thupi mkati mwa masiku ochepa.
- Ngati muli ndi pakati kapena mukuyamwitsa, onetsetsani kuti mwadziwitsa dokotala wanu.
- Kuyezetsa kumeneku kumathandiza kuzindikira matenda pachiyambi, kukupatsani mwayi wabwino wopeza chithandizo chopambana. Ngati muli ndi mafunso ena okhudza izi, musazengereze kufunsa dokotala wanu.
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