Wigeze wumva ikizamini cya lymphoscintigraphy? Reka tubiganireho birambuye!

Hari igihe abaganga bavuga ku bipimo tutigeze twumva, si byo se? Lymphoscintigraphy ni imwe muri zo. Izina rishobora kumvikana nk'aho ritangaje gato, ariko mu by'ukuri iki ni ikizamini cy'ingenzi cyane gifasha kubona ishusho nziza y'urusobe rw'imitsi mu mubiri wacu. None se, reka tubiganireho mu buryo bworoshye, mu buryo ushobora kumva?

Lymphoscintigraphy ni iki?

Muri make, lymphoscintigraphy ni ubwoko bwihariye bw'ikizamini cyo gusuzuma ubuvuzi bwa kirimbuzi . Gituma abakora mu buvuzi bacu, nk'abaganga n'abaforomo, bafata amafoto arambuye y'urusobe rw'imitsi yawe . Aya mafoto ashobora kubafasha kubona aho imitsi yawe iherereye, kureba aho amazi y'imitsi anyura, ndetse no kumenya niba ufite indwara zimwe na zimwe.

Irindi zina ry'ibi ni "gupima node za lymph." Birashoboka ko byitwa gutyo kuko bimeze nk'ikarita, bifasha kubona aho node za lymph ziherereye.

Iki kizamini cya lymphoscintigraphy gikorwa ryari?

Abaganga bakoresha iki kizamini ahanini kubera impamvu nke. Reka turebe ibyo ari byo:

• Gupima no gupima ubwoko bumwe na bumwe bwa kanseri: Ibi bikoreshwa cyane cyane mu gusuzuma kanseri y'ibere na melanoma, ubwoko bukomeye bwa kanseri y'uruhu . Urugero, niba umuntu akeka ko arwaye kanseri y'ibere, iki kizamini gishobora kumufasha kwemeza no kureba aho kanseri yakwirakwiriye.
• Shaka kandi ubage uduce tw’umusenyi: Noneho ushobora kuba wibaza icyo agace k’umusenyi ari cyo. Aka ni agace k’umusenyi aho uturemangingo twa kanseri dukomoka ku kibyimba cy’ibanze dukwirakwira bwa mbere. Hari igihe hashobora kubaho utundi duce tw’umusenyi turenze kamwe. Rero, iyo iki kizamini kibonye agace ka mbere k’umusenyi, abaganga bashobora gukuramo ako kamwe gusa kugira ngo barebe niba kanseri yarakwirakwiriye. Icyo gihe ntibakeneye gukuraho utundi duce tw’umusenyi tuzima.
• Gusuzuma indwara zo mu mitsi: Iki kizamini gishobora gufasha mu gusuzuma indwara nka lymphangiomatosis, lymphedema (kubyimba kw'ingingo bitewe no kubura amazi meza y'imitsi), na chylothorax .
• Kugenzura aho ubuvuzi bugeze: Lymphoscintigraphy ishobora kandi gukoreshwa kugira ngo harebwe niba ubuvuzi butangwa nyuma yo gupimwa indwara bukora neza kandi niba indwara yaragabanutse.

Iki kizamini cya lymphoscintigraphy gikora gite?

Ibi bishobora kumvikana nk'ibya siyansi gato, ariko reka mbisobanure mu buryo bworoshye. Lymphoscintigraphy ni ikizamini cya nuclear imaging. Ibi bivuze ko muganga wawe akoresha ingano nto cyane y'ibintu bifite imirasire yitwa radiotracer . Ntugahangayike, ni nto cyane kandi nta kibazo kirimo.

Iyo iyi '(radiotracer)' itewe munsi y'uruhu, iragenda "ikusanyiriza" ahantu hari kanseri cyangwa ibindi bibazo. Iyi '(radiotracer)' itanga ikintu cyitwa '(imirasire ya gamma). Hariho kamera zidasanzwe '(gamma cameras)' zishobora kubona iyi mirasire. Iyi kamera yohereza ayo makuru kuri mudasobwa, ikora amashusho y'ibiri mu mubiri wawe. Imwe mu nyungu zikomeye z'ubu buryo ni uko ishobora kumenya indwara hakiri kare, mbere y'uko izindi suzuma zibasha kuzifata.

Uru rushinge rwa `(radiotracer)` rukunze gutangwa ku munsi w'ikizamini. Ariko rimwe na rimwe rushobora gutangwa umunsi ubanziriza uwo. Urushinge rutangwa munsi y'uruhu rwawe, hafi y'aho ugomba gupimwa. Ariko, rushobora gutandukana bitewe n'ubwoko bw'ikizamini urimo gukora. Muganga wawe azabikubwira mbere y'igihe.

Wakwitegura ute mbere y'iki kizamini?

Muganga wawe azakubwira uko wakwitegura lymphoscintigraphy, ariko muri rusange, zirikana ibi bintu:

• Siga imitako yawe mu rugo: Ibyuma bishobora kubangamira umuntu mu gihe ufata amafoto, bityo ni byiza gukuramo ibintu nk'amaherena n'imikufi.
• Bwira muganga wawe niba utwite cyangwa wonsa: Ibi ni ingenzi cyane. Kubera ko hakoreshwa ibikoresho bifite imirasire, muri bene ibyo bihe hagomba kwitabwaho cyane.
• Zana urutonde rugezweho rw'imiti, vitamine, n'inyongeramusaruro ufata: Aya makuru ni ingenzi cyane ku baganga.

Ni iki kibaho mu gihe cy'ikizamini?

Ubusanzwe isuzuma rya Lymphoscintigraphy ni igikorwa gikorerwa hanze y'ibitaro. Ibi bivuze ko ushobora gutaha umunsi umwe nyuma y'ikizamini. Ariko, rimwe na rimwe bishobora gukorwa ku munsi umwe n'uwo kubagwa kwawe.

Ukigera kwipimisha, umukozi w’ubuzima azagujyana mu cyumba cy’ibizamini akagusaba kuryama ku meza. (Ushobora kuba wambara imyenda yawe bwite, cyangwa ugasabwa kwambara ikanzu yihariye azaguha.)

Hanyuma, batera urushinge ruto cyane muri iyo "radiotracer" navuze mbere munsi y'uruhu rwawe.

Ibi ni byo bibaho nyuma yo kongerwaho `(Radiotracer)`:

• Iyo "kamera ya gamma" yihariye ifata amafoto menshi. Bitewe n'aho ushaka gufata amafoto ku mubiri wawe, kamera ishobora kuguma ahantu hamwe, cyangwa ikakuzunguruka.
• Umuhanga mu ikoranabuhanga ashobora kugusaba guhindura imiterere hagati yo gufata amafoto.
• Iyo ufata amafoto ukoresheje `(kamera ya Gamma)`Ugomba kuguma uhagaze igihe gito. Ibi bishobora gusa nkaho bigoye gato, ariko ni ingenzi cyane kubona amashusho asobanutse neza.
• Umutekinisiye azareba niba yabonye amashusho yose akeneye hanyuma akakurekura ngo ugende.

Wibuke ko bazagufasha koroshya iki gikorwa cyose. Ntutinye kubaza niba ufite ikibazo.

Ni iki wakwitega nyuma y'ikizamini?

Keretse muganga wawe agusabye ukundi, ushobora gukomeza imirimo yawe isanzwe ako kanya nyuma yo gupimwa. Udukoresho two gupima amaraso tuzava mu mubiri wawe mu nkari no mu mwanda wawe mu minsi ibiri cyangwa itatu. Nywa amazi menshi kugira ngo bigufashe muri iki gikorwa.

Ese hari ingaruka zishobora guterwa n'iki kizamini?

Isuzuma rya Lymphoscintigraphy rishobora kuba ridakwiriye buri wese, cyane cyane mu bihe bikurikira:

• Niba utwite cyangwa wonsa.
• Niba ufite kanseri y'ibere ibyimbirwa .
• Iyo hari utubyimba twinshi mu ibere cyangwa ikibyimba kinini kirenze santimetero 5 .
• Niba ufite indwara yitwa Ductal carcinoma in situ (DCIS) .

Niba ufite ikibazo nk'iki, ni ngombwa cyane kubibwira muganga mbere y'igihe.

Hari ingaruka mbi zibaho?

Lymphoscintigraphy ni ikizamini kidakunze kugaragara gitera ingaruka mbi. Ariko, ni gake cyane, hari abantu bashobora kugira ubwivumbure kuri radiyo tracer. Iyo bibaye, muganga wawe azaguha ubuvuzi bukenewe.

Bitwara igihe kingana iki kugira ngo umuntu amenye ibisubizo by'ikizamini?

Ubusanzwe uzabona ibisubizo by'ikizamini cyawe cya lymphoscintigraphy mu cyumweru kimwe . Inzobere mu ikoranabuhanga ryafashe ayo mafoto izayoherereza inzobere mu by'imirasire (umuganga w'inzobere mu gupima indwara areba ayo mashusho). Hanyuma inzobere mu by'imirasire izahamagara umuganga wagusabye ikizamini mbere kugira ngo baganire ku bisubizo. Ibi bishobora gufata iminsi mike, ariko umuganga wawe azaguhamagara akimara kubona ibisubizo.

Niba ibisubizo bitari bisanzwe, ni iki gikurikiraho?

Biterwa n'indwara umuganga wawe arimo gupima. Ariko muri rusange, niba bashaka kanseri, ikintu gikurikiraho bakunze gukora ni ugupima uduce tw'umusenyi. Ni ukuvuga ko bafata agace gato k'urugingo rw'umusenyi bakagapima.

Ariko, umuganga wawe azaganira nawe akagusobanurira icyo ibisubizo bivuze n'intambwe zikwiye zikurikiraho, bityo ntugahangayike.

Ese iki kizamini cyaba kibabaza?

Ntabwo bibabaza kwipimisha.Uzumva urushinge ruto rukubiswe iyo utewemo radiotracer. Ni nko guterwa urushinge buri gihe. Uretse ibyo, ntuzumva ububabare ubwo aribwo bwose mu gihe cyo gupimwa.

Ese Lymphoscintigraphy ikoresha imirasire?

Yego, ikizamini cya lymphoscintigraphy gikoresha ingano nto cyane y’ibintu bitera imirasire (radiotracers) kugira ngo hamenyekane imiterere y’uturemangingo tw’amaraso mu mubiri wawe kandi harebwe uko sisitemu yawe y’amaraso ikora. Nkuko nabivuze mbere, ibi bipimo ni bike cyane kandi ni byiza. Ibi bitera imirasire akenshi biva mu mubiri wawe burundu mu munsi umwe cyangwa ibiri.

Iki kizamini kimara igihe kingana iki?

Bihinduka bitewe n'impamvu y'ikizamini n'ingano y'agace kagize ikibazo. Kuri bamwe, lymphoscintigraphy ishobora gufata iminota 30. Ku bandi, ishobora gufata amasaha menshi. Muganga wawe ashobora kuguha igitekerezo cy'igihe ikizamini cyawe kizamara.

None se, ni ibihe bintu bya nyuma ugomba kwibuka?

Uko ubuzima bwawe bwaba bumeze kose, kumenya indwara hakiri kare ni ingenzi. Iki kizamini, cyitwa lymphoscintigraphy, gishobora gufasha abaganga kumenya kanseri n'indwara zimwe na zimwe zo mu ruhu mbere yuko zigaragazwa n'ibindi bizamini. Ibi bishobora kongera cyane amahirwe yawe yo kuvurwa neza.

Niba ufite ikibazo icyo ari cyo cyose kijyanye na lymphoscintigraphy cyangwa icyo wakora nyuma yaho, ntutindiganye kubaza muganga wawe. Bishimiye kugufasha.

Wibuke ko ibi bizamini bihari kugira ngo bigufashe. Ntukabitinye bitari ngombwa. Ganira na muganga wawe byose kandi ukemure gushidikanya.

Lymphoscintigraphy , Sisitemu y'imitsi, Uduce twa lymph, Uduce tw'inyuma, Gusuzuma kanseri, Kanseri y'ibere, Melanoma, Ubuvuzi bwa Nuklea