Kodi dokotala wanu wakuuzani kuti muchite 'kujambula chithokomiro'? Mutha kuchita mantha pang'ono mukamva dzinalo. Ndizachibadwa kuchita mantha mukamva mawu ngati 'radioactive'. Koma kwenikweni ndi mayeso otetezeka kwambiri, omwe amachitidwa kawirikawiri. Lero, tiyeni tikambirane za momwe Thyroid Uptake and Scan iyi ilili, chifukwa chake imachitikira, komanso momwe mungakonzekerere.
Kodi Kutenga ndi Kujambula kwa Chithokomiro (Thyroid Uptake and Scan) n'chiyani?
Mwachidule, iyi ndi njira yapadera yojambulira zithunzi yomwe imawona momwe chithokomiro cha thyroid chili m'khosi mwanu. Timachitcha kuti ndi njira yojambulira mankhwala a nyukiliya. Musachite mantha ndi dzinalo. Zimaphatikizapo kubaya mankhwala ang'onoang'ono komanso otetezeka (radiotracer) m'thupi lanu ndikujambula zithunzi za chithokomiro chanu ndi kamera yapadera.
Tangoganizirani, ultrasound ya chithokomiro nthawi zonse ingayang'ane mawonekedwe ndi kukula kwa chithokomiro. Koma ndi Thyroid Uptake and Scan iyi, mutha kupeza zambiri, monga momwe chithokomiro chimagwirira ntchito . Zili ngati kuyang'ana zomwe zikuchitika mkati mwa injini ya galimoto, m'malo moyang'ana kunja.
'Kutenga' ndi 'Kusanthula' - kusiyana kotani pakati pa ziwirizi?
Izi ndi njira ziwiri, koma nthawi zambiri zimachitika pamodzi. Ngati mumvetsetsa kusiyana pakati pa ziwirizi, mantha anu a mayeso adzatha.
| Gawo la mayeso | Mwachidule... |
|---|---|
| Kutengedwa kwa Chithokomiro | Izi zimayesa momwe chithokomiro chanu chilili ndi njala. Izi zikutanthauza kuchuluka kwa ayodini wochuluka wa radioactive womwe waperekedwa womwe 'umadyedwa' (womwe umayamwa) ndi chithokomirocho. Izi zitha kudziwa ngati chithokomirocho chili ndi mphamvu yochulukirapo kapena yocheperako . Palibe zithunzi zomwe zajambulidwa pano, koma muyeso wokha. |
| Kujambula Chithokomiro | Iyi ndi 'sewero lojambula zithunzi'. Chifukwa chakuti gland yatenga zinthu zotulutsa ma radiation, mawonekedwe ndi kukula kwa gland, komanso magawo a gland omwe akugwira ntchito kwambiri ndi omwe sagwira ntchito kwambiri, zitha kuwoneka pazithunzi. Zili ngati 'mapu ogwirira ntchito' a gland. |
Mwachidule, 'Uptake' imayesa ntchito yonse ya gland, pomwe 'Scan' imajambula chithunzi cha ntchitoyo yomwe yafalikira mu gland yonse.
N’chifukwa chiyani tiyenera kuchita mayeso amenewa?
Pali zifukwa zingapo zomwe dokotala angalamule mayesowa. Zifukwa zazikulu ndi izi:
- Onani ngati chithokomiro chanu chikugwira ntchito bwino: Kujambula kumeneku kungathandize kudziwa chomwe chimayambitsa vuto lenileni, makamaka ngati mwapezeka ndi hyperthyroidism.
- Dziwani zambiri zokhudza timibulu ta chithokomiro: Pambuyo poti ultrasound yawonetsa chotupa pakhosi, ndikofunikira kudziwa ngati chotupacho ndi chotupa 'chotentha' chomwe chimapanga mahomoni, kapena chotupa 'chozizira' chomwe sichipanga mahomoni.
- Onani zotsatira za chithandizo: Kuyezetsaku kumachitikanso kuti muwone ngati pakhala kusintha kwa ntchito ya gland mutagwiritsa ntchito mankhwala a matenda a chithokomiro kapena mutachita opaleshoni.
Kodi tiyenera kukonzekera bwanji mayeso asanayambe?
Pali zinthu zingapo zomwe muyenera kudziwa ndikuuza dokotala wanu musanayese mayesowa. Kutsatira malangizo awa ndikofunikira kwambiri kuti mayesowo akhale olondola.
- Chofunika Kwambiri: Ngati muli ndi pakati, mukukonzekera kutenga pakati, kapena kuyamwitsa, muyenera kuuza dokotala wanu ndi munthu amene akuyesa mayeso musanayesedwe.
- Uzani dokotala wanu za mankhwala onse omwe mukumwa: Ngati mukumwa mankhwala aliwonse, makamaka mankhwala a chithokomiro, monga Methimazole kapena Propylthiouracil (PTU), dokotala wanu adzakuuzani masiku angati omwe muyenera kusiya kumwa mankhwalawo musanayesedwe.
- Tiuzeni za matenda ena ndi ziwengo: Tiuzeni za matenda ena aliwonse omwe muli nawo komanso ziwengo zilizonse zomwe muli nazo.
- Tiuzeni za ma scan aliwonse omwe mwakhala mukuchita posachedwapa: Ngati mwakhala mukuchita CT scan posachedwapa, kutanthauza kuti mkati mwa miyezi iwiri yapitayi, zomwe zimaphatikizapo kubaya jekeseni wa zinthu zotsutsana ndi ayodini, onetsetsani kuti mwatiuzanso za zimenezo. Ayodini ikhoza kusokoneza mayesowa.
- Kusala Kudya: Mungalangizidwe kuti musadye kapena kumwa kwa maola angapo musanayesedwe.
Ngati muli ndi mafunso okhudza izi, musaope kufunsa dokotala wanu. Tsatirani malangizo awo molondola.
Kodi chimachitika ndi chiyani panthawi ya mayeso?
Monga tafotokozera kale, 'Uptake' ndi 'Scan' ndi njira ziwiri. Tiyeni tiwone momwe tingachitire izi padera.
Momwe Mungachitire Kutenga Chithokomiro
Iyi ndi njira yosavuta kwambiri komanso yopanda ululu.
| Masitepe | Chikuchitika ndi chiyani? |
|---|---|
| Gawo 1 | Mudzapatsidwa piritsi kapena madzi oti mumwe omwe ali ndi ayodini wowopsa (radiotracer). Izi sizili ndi kukoma kulikonse. |
| Gawo 2 | Mukatha kumwa, mutha kupita kunyumba. Mudzapemphedwa kuti mubwerere kuchipatala pakatha maola 4 mpaka 6. |
| Gawo 3 | Mudzagonekedwa pabedi, ndipo chipangizo chaching'ono chotchedwa gamma probe chidzayikidwa pakhosi panu kuti muyeze kuchuluka kwa kuwala komwe kumayamwa ndi chithokomiro chanu. Izi zitenga mphindi zosakwana 5. |
| Gawo 4 | Nthawi zina, mungapemphedwe kuti mubwererenso patatha maola 24 ndikuyezera izi. |
Momwe Mungachitire Kujambula Chithokomiro
'Scan' iyi ikhoza kuchitika mutayesa 'Uptake' kapena patsiku lina.
| Masitepe | Chikuchitika ndi chiyani? |
|---|---|
| Gawo 1 | Kawirikawiri, mankhwala otulutsa ma radioactive (radiotracer) amalowetsedwa mu mtsempha womwe uli m'dzanja lanu. |
| Gawo 2 | Mukapatsa mankhwalawa nthawi yochepa kuti alowe mu chithokomiro, mudzagonekedwa pabedi. Muyenera kusunga khosi lanu kumbuyo pang'ono. |
| Gawo 3 | Kamera yapadera imayikidwa pakhosi panu ndipo imajambula zithunzi kuchokera mbali zosiyanasiyana. Ndikofunikira kwambiri kukhala chete panthawiyi. |
| Gawo 4 | Ntchito yonseyi ingatenge pafupifupi mphindi 30. Nthawi zina, ngati mukufuna zithunzi zomveka bwino, mungafunike kujambula zithunzi zina zingapo. Musadandaule nazo, ndi zachilendo. |
Kodi mumatani mukamaliza mayeso?
Pambuyo pa mayeso, pokhapokha ngati dokotala wanu atakuuzani zosiyana, mutha kuchita zinthu zanu zachizolowezi. Chofunika kwambiri ndikumwa madzi ambiri . Kuchita izi kudzakuthandizani kutulutsa zinthu zochepa kwambiri zomwe zili m'thupi lanu mwachangu kudzera mu mkodzo wanu.
Kodi pali chiopsezo pa izi?
Mawu oti 'radioactive' amachititsa aliyense kukhala ndi mantha. Koma zoona zake n'zakuti, kuchuluka kwa zinthu zowononga zomwe zagwiritsidwa ntchito poyesa uku ndi kochepa kwambiri. Kuchuluka kwa kuwala komwe thupi lanu likukumana nako ndi kochepa kwambiri.
Kumbukirani, kuchuluka kwa zinthu zowononga mphamvu zomwe zagwiritsidwa ntchito poyesa uku ndi kochepa kwambiri, kotero ubwino wodziwa bwino thanzi la chithokomiro chanu umaposa chiopsezo chaching'onochi.
Komabe, monga tanenera kale, kuwala kumeneku kungakhudze mwana m'mimba mwa mayi wapakati kapena mwana wobadwa kwa mayi woyamwitsa, choncho ndikofunikira kuwadziwitsa za izi.
Mavuto ena omwe angatheke, koma osowa kwambiri, ndi awa:
- Pakhoza kukhala ululu pang'ono pamene mankhwala adabayidwa. Izi zitha pakatha tsiku limodzi kapena awiri.
- Kusamvana ndi zinthu zotulutsa ma radiation. Izi sizichitika kawirikawiri, koma nthawi zambiri zimakhala zosamvana pang'ono.
Kodi ndilandira liti lipotilo?
Zithunzi ndi muyeso womwe watengedwa panthawi yoyezetsa umawunikidwanso ndi katswiri wa zamankhwala a nyukiliya (radiologist) ndipo lipoti limakonzedwa. Lipotilo limatumizidwa kwa dokotala wanu amene adalamula mayesowo. Dokotala wanu adzakufotokozerani tsatanetsatane wa lipotilo.
Uthenga Wopita Nawo Kunyumba
- Kuyeza ndi Kujambula Chithokomiro (Thyroid Uptake and Scan) ndi njira yotetezeka komanso yothandiza kwambiri yodziwira momwe chithokomiro chanu chimagwirira ntchito komanso thanzi lake.
- Musanachite mayesowa, onetsetsani kuti mwadziwitsa dokotala wanu ngati muli ndi pakati kapena mukuyamwitsa.
- Uzani dokotala wanu za mankhwala onse omwe mukumwa komanso ma CT scans omwe mwachita posachedwapa.
- Ndikofunikira kwambiri kukhala chete panthawi ya mayeso kuti mupeze zithunzi zomveka bwino.
- Imwani madzi ambiri mukamaliza kuyezetsa.
- Ngati muli ndi mafunso kapena nkhawa zokhudzana ndi mayesowa, musazengereze kulankhula ndi dokotala wanu za izi.
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