Ese wagize ubwoba gato ubwo muganga wawe yakubwiraga ko ugomba gupimwa MIBG? Ni ibisanzwe ko ibibazo byinshi biza mu mutwe, nka "Um, iyi scan nshya ni iki? Kuki ibi bikorwa?" Cyane cyane iyo tuvuga ikizamini cy'ubuvuzi tutakunze kumva, twumva dufite ubwoba kandi dufite amatsiko. Ariko ntugire ubwoba na gato. Uyu munsi, turaganira kuri buri kimwe kuri iyi scan ya MIBG, kuva ku ntoya kugeza ku nini, mu rurimi rworoheje cyane rwa Sinhala ushobora kumva. Nk'uko inshuti yawe igusobanurira.
Mu magambo make, iyi MIBG Scan ni iki?
Tekereza gato, hari ibintu bimwe na bimwe biri mu mibiri yacu bidashobora gufotorwa hakoreshejwe kamera isanzwe. Mu buryo nk'ubwo, hari ibibazo bimwe na bimwe bidashobora gufatwa n'ibintu nka X-rays na CT scans. Ni bwo dukoresha uburyo bwihariye. MIBG scan ni ikizamini gikoresha ikoranabuhanga ridasanzwe rya kamera. Mu buvuzi, ibi tubyita 'ikizamini cyo gufata amashusho ya kirimbuzi'.
Ibi ni byo bibaho:
Umubiri wawe uterwamo ibintu bito cyane kandi byizewe birimo imirasire. Ntugahangayike, ibi ni bike cyane bitazagutwara, ni byo bikenewe mu isuzuma. Ibi bintu tubyita ``iyode meta-iodobenzylguanidine``. Kubera ko bigoye kuvuga iri zina rirerire, tubyita MIBG mu magambo ahinnye.
Iyi ngirabuzimafatizo, yitwa MIBG, inyura mu maraso yawe igafata ubwoko bumwe na bumwe bw'uturemangingo mu mubiri wawe. Hanyuma, ukoresheje kamera yihariye (kamera ya gamma), ushobora kubona aho iyo ngirabuzimafatizo yikusanyirije. Ni nko gushaka inzoka zo mu mwijima.
Iki kizamini cyiswe n'andi mazina menshi, bityo ntugahangayike niba aya mazina agaragara muri raporo yawe.
- Isuzuma rya Iobenguane
- Isuzuma rya Metaiodobenzylguanidine
- Ishusho ya MIBG
- MIBG scintiscan
Kuki abaganga basaba gukora ubu buryo bwo gupima MIBG?
Isuzuma rya MIBG rikunze gukoreshwa mu gupima ubwoko runaka bw'ibibyimba mu mubiri, kureba aho byakwirakwiriye, no gusuzuma uburyo ubuvuzi bukora. Ibi bibyimba bikomoka ku turemangingo two mu mibiri yacu twitwa neuroendocrine cells zikora imisemburo.
Noneho reka turebe ubwoko bw'ingenzi bw'imbuto zishobora kuboneka muri ubu buryo bwo gupima.
| Ubwoko bw'ikibyimba | Ibisobanuro Byoroshye |
|---|---|
| Neuroblastoma | Iyi ni kanseri idakunze kugaragara ikunze gutangirira mu turemangingo tw’imitsi y’abana bari munsi y’imyaka 5. |
| Pheochromocytoma | Ubwoko bwa kanseri ivuka mu ndurwe z'intanga, ziri hejuru y'impyiko zacu, cyangwa ahandi hantu mu mubiri. Ibi bishobora gutera ibimenyetso nko kuzamuka k'umuvuduko w'amaraso. |
| Ibibyimba bya kanseri (utubyimba tw’ubwonko) | Ibi ni ubwoko bw'ikibyimba gikura buhoro gikunze kugaragara mu myanya y'ubuhumekero cyangwa mu nzira y'igifu (amara). |
| Kanseri ya tiroyide iterwa n'indwara ya Medullary | Iyi ni ubwoko bwihariye bwa kanseri itera mu gasabo ka tiroyide mu ijosi ryacu. |
Rero, ushobora kuba usobanukiwe ko iki atari ikizamini rusange, ahubwo ari ikintu gikorwa kugira ngo hamenyekane indwara runaka.
Ni gute nakwitegura iyi scan?
Hari ibintu bike uzasabwa gukora mbere yo gupimwa. Gukurikiza ibi ni ingenzi cyane kugira ngo ikizamini kibe cyiza.
1. Hari umuti wihariye ugomba gufatwa.
Hafi umunsi umwe mbere yo gupimwa, muganga wawe azakubwira gufata umuti urimo iyode (rimwe na rimwe witwa umuti wa Lugol). Ushobora kuwufata iminsi mike nyuma yo gupimwa. Ese uzi impamvu utangwa? Iyode irimo imirasire iri mu inshinge za MIBG ibuza ko ikomeza kwirundanya mu ngirabuzimafatizo yawe ya tiroyide. Ibi bivuze ko uyu muti ukoreshwa mu kurinda ngirabuzimafatizo yawe ya tiroyide.
2. Hari imiti ishobora gukenera guhagarikwa igihe runaka.
Imiti imwe n'imwe usanzwe ufata ishobora kugira ingaruka ku bisubizo bya MIBG scan. Kubwibyo, muganga wawe azakubwira guhagarika gufata iyo miti iminsi mike cyangwa icyumweru mbere yo gupimwa.
Ariko ibuka ibi: Ntukareke gufata imiti iyo ari yo yose wenyine. Bwira muganga wawe imiti yose ufata, harimo imiti yanditswe na muganga, imiti igurishwa mu kigo, vitamine, n'imiti y'ibimera. Azakubwira neza imiti ukwiye guhagarika gufata n'igihe uzamara.
Imbonerahamwe iri hepfo igaragaza imwe mu miti ikunze kugirwa inama yo guhagarika.
| Icyiciro cy'imiti | Ikoreshwa cyane kuri |
|---|---|
| Ibinini bya ACE | Umuvuduko ukabije w'amaraso |
| Imiti ivura aleriji n'ibicurane | Indwara z'ubwivumbure n'ibicurane |
| Amiodarone | Indwara z'umutima (Arrhythmia) |
| Imiti igabanya kwiheba | Ihungabana n'izindi ndwara zo mu mutwe |
| Ibikoresho bifunga imiyoboro ya kalisiyumu | Ku ndwara z'umutima n'umuvuduko ukabije w'amaraso |
| Opioid | Amwe mu moko y'imiti igabanya ububabare ikomeye |
Ni iki kibaho mu by'ukuri ku minsi yo gupima?
Gupima MIBG si ikintu gishobora gukorwa mu munsi umwe. Ni igikorwa kibaho mu minsi myinshi. Ubusanzwe, ugomba kujya kwa muganga inshuro ebyiri cyangwa enye.
- Intambwe ya Mbere: Gutera umuti inshinge
Ku munsi wa mbere, umuganga cyangwa umuforomo mu bitaro azatera umuti witwa MIBG mu mutsi uri ku kuboko kwawe cyangwa ku kuboko kwawe. Ibi ni nk'urushinge rusanzwe. Hanyuma ushobora gutaha. Bifata amasaha agera kuri 24 kugira ngo umuti utembera mu mubiri wawe wose.
- Intambwe ya Kabiri: Gusuzuma bwa Mbere
Ku munsi ukurikiyeho uzagomba gusubira mu bitaro kugira ngo upimwe bwa mbere. Uzagomba kwiyambura ibintu byose wambaye, nk'imyenda yawe, amasaha yawe, n'imikufi, hanyuma wambare ikanzu yihariye yo mu bitaro baguhaye. Hanyuma uzategekwa kuryama ku buriri munsi y'imashini ipima. Icyo ugomba gukora ni uguhagarara ntugire icyo ukora na gato. Kamera ipima izazenguruka umubiri wawe ifate amafoto. Nta bubabare uzumva muri iki gihe.
- Intambwe ya Gatatu: Gusubiramo Gusuzuma
Hari abantu bashobora kuzagaruka gupimwa indi sura nyuma y'umunsi umwe cyangwa ibiri. Ibi bizagenwa na muganga wawe n'inzobere mu by'imirasire. Buri sura ishobora gufata isaha imwe cyangwa ebyiri.
Ukora iki nyuma yo kurangiza gushakisha?
Kubera ko iki ari ikizamini cyo kwa muganga utaragera mu rugo, ushobora kujya mu rugo nyuma ya buri scan. Ariko, uzakenera gufasha umubiri wawe gukuraho ibintu birimo imirasire nyuma yo kujya mu rugo.
Ibintu biri mu mubiri wawe bizakurwaho burundu mu minsi mike. Kugira ngo ubigereho , nywa ibinyobwa byinshi, nk'amazi n'ibinyobwa by'imbuto. Hanyuma ibyo bintu bizava mu mubiri wawe vuba hamwe n'inkari n'amase.
Nanone, ni ingenzi cyane gukaraba intoki zawe neza n'isabune nyuma yo kuva mu bwiherero.
Inama zihariye ku babyeyi bonsa:
Niba uri umubyeyi wonsa, irinde konsa umwana wawe nibura umunsi umwe nyuma yo guterwa urushinge rwa MIBG. Itegure guha umwana wawe amata y'ifu muri icyo gihe. Baza muganga wawe amakuru arambuye kuri ibi.
Ese hari ingaruka zishobora guterwa n'iyi scan?
Iki ni ikibazo abantu benshi bibaza. Mu by’ukuri, gupima MIBG ni ikizamini cyizewe cyane. Ingaruka zishobora kubaho ni nke cyane.
- Hari abantu bashobora kugira ukwiyongera gato k'umuvuduko w'amaraso nyuma yo guterwa urushinge rwa MIBG. Ariko, ibi bikunze kugaruka uko bisanzwe mu munsi umwe cyangwa ibiri. Kubwibyo, uzaguma mu bitaro mu gihe cy'iminota 30 nyuma yo guterwa urushinge, kandi umuvuduko w'amaraso yawe uzasuzumwa mbere yo koherezwa mu rugo.
- Iki kizamini ntikibereye abagore batwite, kuko ibintu bikoresha imirasire bishobora kugira ingaruka ku mwana uri mu nda. Kubwibyo, niba utwite cyangwa ufite amakenga make ko utwite, ugomba kubimenyesha muganga wawe mbere yo gupimwa.
Bizantwara igihe kingana iki kugira ngo mbone ibisubizo?
Nyuma yo gupima bwa nyuma, akenshi bifata iminsi ibiri cyangwa itatu kugira ngo haboneke ibisubizo.
Icyaba gihari ni uko umuganga w’imirasire yiga witonze ibyakozwe byose. Ashakisha ahantu ibintu bya MIBG byirundanya mu buryo budasanzwe, byitwa 'ahantu hashyushye.' Utu duce dushobora kugaragaza ko hari ikibyimba.
Hanyuma inzobere izategura raporo yuzuye hanyuma ikoherereze umuganga wawe wagutegetse ikizamini. Hanyuma umuganga wawe azaganira nawe kuri iyo raporo kandi akusobanurire intambwe ugomba gutera nyuma. Isuzuma rya MIBG ni ryiza ku kigero cya 85%, bivuze ko ari ikizamini cyizewe cyane.
Ubutumwa bwo kujyana mu rugo
- Isuzuma rya MIBG ni ikizamini cyizewe kandi cyihariye gikoreshwa mu gupima ubwoko bumwe na bumwe bw'ibibyimba. Ntugatinye ibi.
- Mbere yo kwipimisha, fata ikinini cya iyode cyanditswe na muganga kugira ngo urinde thyroid gland yawe.
- Bwira muganga wawe imiti yose ufata (harimo na vitamine). Ntugatangire cyangwa ngo uhagarike gufata imiti iyo ari yo yose muganga wawe atabikubwiye.
- Igikorwa cyo gupima bifata iminsi myinshi, kandi ni ngombwa cyane kuguma uhagaze mu gihe cyo gupima.
- Nyuma yo gupimwa, nywa amazi menshi n'ibindi binyobwa kugira ngo bigufashe gukuramo agakoresho k'umubiri.
- Niba utwite cyangwa ukeka ko utwite, menyesha muganga wawe ako kanya.











💬 Comments (0)
Kwipimisha kanseri y'ibere, kwisuzuma no kwirinda byakozwe byoroshye. Kanseri y'ibihaha
Ishyirireho intego ya calorie hanyuma ubare itariki yo kugabanya ibiro.