Urashaka gusuzuma tiroyide yawe? Noneho reka twige kuri (Gyroid Uptake & Scan)!

Ese hari igihe wibaza niba ako gatsina gato ka tiroyide kari mu ijosi ryawe kakora neza? Wenda muganga yagusabye gukora iki kizamini cyitwa "Thyroid Uptake & Scan". Cyangwa wenda warigeze kubyumva ahantu runaka. Rero, uyu munsi turabivugaho mu buryo bworoshye, mu buryo ushobora kumva. Nta kintu na kimwe cyo guhangayikishwa nacyo, iki ni ikizamini gisanzwe gikorerwa abantu benshi.

Uptake na Scan ya Thyroid ni iki?

Mu magambo make, iki ni ikizamini cyihariye kireba neza ibirimo kuba mu gasabo ka tiroyide, uburyo gakora neza, n'imiterere yako n'ingano yako. Ni nk'ifoto ya tiroyide yawe, ariko iduha ibisobanuro birambuye. Abaganga banayita "Ishusho y'imiti ya kirimbuzi". Ntutinye, izina rishobora kumvikana nk'ikintu gikomeye, ariko rikubiyemo gukoresha ikintu gito cyane, kitagira ingaruka mbi ku maraso (cyitwa "Radiotracer") no kureba gasabo ka tiroyide yawe ukoresheje kamera yihariye. Amakuru atanga arambuye kuruta ikintu gisanzwe "Ultrasound Scan".

Ni irihe tandukaniro riri hagati yo gupima indwara ya tiroyide no gupima indwara ya tezi?

Noneho ushobora kwibaza niba iyi "Scan" na "Uptake" ari ibintu bibiri bitandukanye, cyangwa ari ikintu kimwe. Mu by'ukuri, ibi ni ibintu bibiri bitandukanye. Ariko, abaganga bakunze gukora ibi byombi hamwe, kuko ari bwo babona ishusho yuzuye y'agahu ka tiroyide.

• Ukwirakwira kwa tiroyide: Iki kizamini kandi cyitwa ikizamini cyo gukuramo iyode mu maraso (RAIU). Iki kizamini gipima ingano n'uburyo tiroyide yawe yinjiza iyode mu maraso vuba. Muganga azabipima ashyizeho agakoresho kihariye ku ijosi ryawe, aho tiroyide yawe iherereye. Ibipimo bishobora gutanga igitekerezo cyiza niba tiroyide yawe ikora cyane (ikora cyane) cyangwa idakora neza (ikora nabi). Iki kizamini cyo gukuramo iyode ntigifata amafoto.

• Gupima Thyroid: Aha niho hafatirwa amashusho. Ukoresheje ibikoresho bya radiyo byavuzwe haruguru (Radiotracer), kamera yihariye, na mudasobwa, ushobora kubona neza imiterere, ingano, n'imiterere y'imbere y'agahu ka tiroyide kawe, ndetse n'aho tiroyide ikora cyane, idakora neza, cyangwa ifite utubyimba tudasanzwe.

Rero, iyo ubikoze byombi hamwe, urushaho gusobanukirwa neza uburyo tiroyide ikora n'uko isa.

Kuki nkeneye gupimwa no gupimwa na Tiroyide?

Noneho reka turebe zimwe mu mpamvu zishobora gutuma muganga agusaba gukora iki kizamini cya `(Gyroid Uptake & Scan)`.

• Menya neza ko tiroyide yawe ikora neza: Iyi scan ni ingenzi cyane cyane niba ufite ibimenyetso bya hyperthyroidism (urugero: umutima utera cyane, kugabanya ibiro, kubira ibyuya, guhangayika), cyangwa niba ibizamini by'amaraso bigaragaza ko ufite tiroyide ikora cyane.
• Menya byinshi ku bijyanye n'agahu ka tiroyide: Hari igihe iyo ukorewe isuzuma rya ultrasound mu ijosi ryawe ku mpamvu yindi, rigaragaza agahu gato mu gahu ka tiroyide. Iki kizamini gishobora kugufasha kumenya neza imiterere y'agahu ka tiroyide (niba gashyushye cyangwa gakonje, bivuze ko gatanga imisemburo cyangwa atari yo).
• Kugira ngo urebe impinduka muri tiroyide nyuma yo gufata imiti cyangwa kubagwa: Iyi scan ikoreshwa kugira ngo urebe niba ingingo zisigaye za tiroyide zikora neza n'uko zimeze nyuma yo gufata imiti yo kurwanya hyperthyroidism, cyangwa nyuma yo gukuraho igice cyangwa ingirabuzimafatizo yose ya tiroyide binyuze mu kubagwa.
• Menya indwara nka thyroiditis.
• Irashobora kandi gukoreshwa (gake cyane) mu kureba ikwirakwira rya kanseri zimwe na zimwe.

Ni nde ukora iyi gahunda yo gufata no gupima Thyroid?

Iki kizamini gikunze gukorwa n'inzobere mu by'imirasire ifite ubumenyi n'amahugurwa yihariye mu by'ubuvuzi mu bijyanye no "Gushushanya Imiti ya Nuclear." Ni we ukora ikizamini, agasesengura amashusho n'amakuru yabonetse, agategura raporo yerekeye uburwayi bwawe.

Iyi Thyroid Uptake & Scan ikora ite?

Tekereza muri ubu buryo, ni nko gushyira "agatambaro" gato mu gasabo ka tiroyide, ukareba inyuma uko "agatambaro" kagenda imbere muri tiroyide, aho gateranyirizwa, n'ingano yako.

Ibiba ni ibi gusa:

1. Uzahabwa ingano nto cyane kandi yizewe y'ikintu gifite imirasire (`(Radiotracer)`). Iki akenshi ni isotope ifite imirasire y'ingufu yitwa `(Iodine ikoresha imirasire)` cyangwa `(Technetium)`. Iki gishobora gutangwa nk'urushinge rwa IV, cyangwa nk'agapira gato cyangwa amazi yo kunywa mu kanwa. Ni gake cyane, gishobora gutangwa nk'umwuka wo guhumeka.

2. Iki kintu kinyura mu maraso yawe kikajya mu gasabo ka tiroyide. Kubera ko gasabo ka tiroyide gasanzwe gafata iyode kugira ngo gakore imisemburo, iyi iyode ikoresha imirasire (cyangwa ikindi kintu gisa nayo) yirundanya mu turemangingo twa tiroyide.

3. Hanyuma, `(Radiotracer)` yongewe kuri izi selile za tiroyide isohora ubwoko bwihariye bw'imirasire yitwa `(imirasire ya Gamma)`. Iyi mirasire ntabwo igaragara ku maso yacu, ariko ishobora kubonwa hakoreshejwe ibikoresho byihariye.

Noneho reka turebe uburyo `(Uptake)` na `(Scan)` bikoresha `(Gamma rays)`:

• Mu gihe cyo gupima umuntu ufata imiti: Muganga ashyira igikoresho cy’ubuhanga cyitwa gamma probe hafi y’ijosi ryawe, iruhande rw’ingirabuzimafatizo yawe ya tiroyide, maze agapima ingano y’imirasire ya gamma isohora. Ibi bitanga igitekerezo cy’uburyo ingirabuzimafatizo ya tiroyide ifata neza iyo miti, ari na yo imikorere yayo myiza.
• Mu gihe cyo gupima: Kamera yihariye yitwa kamera ya gamma imenya iyo mirasire ya gamma hanyuma yohereza amakuru kuri mudasobwa. Mudasobwa ikoresha ayo makuru kugira ngo ikore amashusho asobanutse neza (nk'ikarita) y'agatsi ka tiroyide. Aya mashusho agaragaza ibice bya tiroyide bikora cyane (udutsi dushyushye), bidakora neza (udutsi dukonje), cyangwa bifite imiterere idasanzwe. Urugero, agatsi ka tiroyide kose k'umuntu urwaye hyperthyroidism gashobora kugaragara neza cyane kuko gafata radiotracer nyinshi.

Ni gute nakwitegura iyi Thyroid Uptake & Scan?

Hari ibintu bike ugomba kumenya no kubwira muganga wawe mbere yo kwipimisha. Kubikurikiza neza ni ingenzi cyane kugira ngo ubone ibisubizo by'ibizamini nyabyo.

• Niba utwite, ukeka ko utwite, cyangwa wonsa: Ibi bigomba kuganirwaho na muganga wawe hamwe n'umuganga w'indwara z'imirasire uzakora ikizamini. Ibi biterwa nuko ingano y'ibikoresho bya radiation byakoreshejwe, nubwo byaba ari bito cyane, atari byiza ku mwana uri mu nda cyangwa wonsa. Muri ibyo bihe, muganga azafata icyemezo cyo gusuzuma ubundi buryo cyangwa gusubika ikizamini.
• Ibindi bintu by'ingenzi ugomba kubwira muganga:
• Niba uherutse kugira indwara, nk'umuriro cyangwa ibicurane.
• Izindi ndwara zose z'igihe kirekire ufite (urugero: diyabete, indwara z'umutima, indwara z'impyiko).
• Niba ufite allergie iyo ari yo yose (cyane cyane iyode cyangwa indi miti inyuranye mu bihe byashize).
• Imiti yose urimo gufata ubu. Ibi birimo imiti yandikiwe na muganga wawe gusa, ndetse n'imiti igurishwa ku giciro cya muganga, vitamine, ibyatsi, ndetse n'imiti gakondo.
• Waba warigeze gukora ibindi bizamini byakoresheje ibikoresho byo kugereranya birimo iyode (urugero, CT scan cyangwa angiogram hamwe na IV iodine contrast) mu mezi abiri ashize. Ibi bishobora guhindura urugero rwa iyode mu mubiri wawe kandi bikagira ingaruka ku bisubizo by'iyi scan.
• Niba ufata imiti ivura indwara ya tiroyide:Niba ufata imiti ivura indwara ya hyperthyroidism (thyroid ikora cyane) nka Methimazole cyangwa Propylthiouracil (PTU), cyangwa ibinini bya thyroid hormone (Thyroxine), muganga wawe azakubwira iminsi ingahe mbere yo gupimwa ugomba guhagarika gufata iyi miti. Kurikiza aya mabwiriza neza. Bitabaye ibyo, ibisubizo by'ibizamini bishobora kuba atari byo.
• Ku bijyanye n'ibyo kurya n'ibyo kunywa: Ushobora gusabwa kutarya cyangwa ngo unywe ikintu icyo ari cyo cyose (usibye kurya) amasaha make mbere yo kwipimisha (urugero: amasaha 4-6). Baza muganga wawe cyangwa laboratwari mbere y'igihe.

Icy'ingenzi ni ugukurikiza amabwiriza atangwa na muganga wawe cyangwa abakozi b'ibitaro neza. Niba hari ikintu utazi neza, ntutinye kubaza. Barahari kugira ngo bagufashe.

Ni iki kibaho mu gihe cyo gufata no gupima Thyroid?

Kubera ko ibice by'iki kizamini bya ``Uptake'' na ``Scan'' bikorwa mu buryo butandukanye gato, reka tubirebe ukwabyo.

Uburyo bwo gufata Tiroyide:

1. Ubwa mbere, uzahabwa agapfukamunwa gato cyangwa amazi arimo iyode ikoresha imirasire (`(Radiotracer)`) yo kunywa. Ibi nta buryohe bifite, bityo ntibigutera kumererwa nabi.

2. Umaze kuyinywa, uzabwirwa kujya mu rugo cyangwa kuruhuka gato. Ubusanzwe ugomba kugaruka aho wapimiwe nyuma y'amasaha 4 kugeza kuri 6 (rimwe na rimwe ndetse n'amasaha 24). Ibi biha thyroid gland umwanya wo kwinjiza radiotracer.

3. Nugaruka, uzashyirwa ku meza yo gusuzumwa (cyangwa wenda ku ntebe), maze umutekinisiye cyangwa umuganga azashyira igikoresho gito cyitwa "Gamma probe" hafi cyane y'agahu ka tiroyide yawe mu ijosi ryawe (ntagikoreho). Ibi bipima ingano y'imirasire iva muri tiroyide yawe.

4. Hari igihe ushobora gusabwa kugaruka nyuma y'amasaha 24 ufata "(Radiotracer)" hanyuma ugakorerwa ikindi gipimo muri ubu buryo. Ibi bizanagaragaza igihe tiroyide igumana iyode.

5. Iyi '(probe)' ifata iminota mike gusa kugira ngo ipimwe, wenda iminota 5 cyangwa munsi yayo. Nta bubabare burimo.

Uburyo bwo gukora Scan ya Thyroid:

1. Muri ibi, urugero ruto rw'ibintu bitera imirasire (`(Radiotracer)`) bikunze guterwa mu mitsi iri mu kuboko kwawe (`(IV injection)`). (Gake cyane, ishobora no gutangwa uyinyoye cyangwa uyihumeka, nk'uko bigenda muri `(Uptake)`, bitewe n'ubwoko bwa `(Radiotracer)` bwakoreshejwe.)

2. Hanyuma, ugomba gutegereza igihe (ubusanzwe iminota 20-30) kugira ngo tiroyide yawe yinjiremo iki kintu.

3. Hanyuma, uzashyirwa ku meza yihariye yo gusuzuma agufasha kugendagenda, ijosi ryawe rihindukiye gato inyuma (ku buryo ryagutse neza).

4. Hanyuma, kamera nini yitwa "Gamma Camera" ishyirwa mu ijosi ryawe, hejuru cyangwa hafi cyane y'agahu k'imitsi, maze hagafatwa amashusho menshi mu mpande zitandukanye.

5. Muri iki gihe, ni ngombwa cyane ko uguma uhagaze rwose kandi ntugire icyo ukora.Kuko iyo binyeganyega, amashusho ashobora kutagaragara neza. Nk'uko bimeze mu gihe ufata ifoto.

6. Ushobora gutegereza igihe gito kugeza igihe abakozi bazabona amashusho asobanutse neza. Hari igihe hashobora gufatwa andi mashusho kugira ngo hasobanuke neza ibice bimwe na bimwe bya tiroyide. Ariko, nta kintu na kimwe gikwiye guhangayikishwa nacyo, ibi ni ibisanzwe.

7. Ubu buryo bwose bwo gusuzuma busanzwe bumara iminota 30 cyangwa munsi yayo. Nta bubabare burimo.

Ni iki kibaho nyuma yo gufata no gupima Thyroid?

Iyo ikizamini kirangiye, ushobora gukomeza imirimo yawe ya buri munsi kugeza igihe muganga wawe agutegetse ukundi. Ushobora no gutaha.

Ariko, hari ikintu kimwe cy'ingenzi. Kugira ngo ufashe ibintu bikoresha imirasire (`(Radiotracer)`) byakoreshejwe mu isuzuma gusohoka vuba mu mubiri wawe mu nkari zawe, uzasabwa kunywa amazi menshi (nibura litiro 2-3 ku munsi) mu minsi ibiri nyuma yo gupimwa. Ni byiza gukurikiza ibi.

Ni izihe ngaruka n'ingaruka mbi z'iyi Thyroid Uptake & Scan?

Abantu benshi batinya ijambo "radioactive". Ariko mu by'ukuri, iki kizamini cya `(Thyroid Uptake & Scan)` gikoresha ingano nto cyane y'ibikoresho bya radioactive (`(Radiotracer)`). Kubwibyo, ingano y'imirasire ubona ni nto cyane. Mu by'ukuri, ishobora kuba iri munsi y'ingano y'imirasire yakiriwe mu bizamini bimwe na bimwe bya `(X-ray)`. Kubwibyo, ugereranije n'inyungu z'iki gipimo cyo kumenya amakuru y'ingirakamaro ku mikorere n'ubuzima bwa tiroyide, ingaruka nto cyane z'imirasire ni nto cyane ku buryo zishobora kwirengagizwa.

Ariko, nk'uko byavuzwe mbere, iyi mirasire ntabwo ikwiriye umwana uri mu nda niba utwite, cyangwa umwana unyuze mu mashereka niba wonsa. Niyo mpamvu ari ngombwa kubimenyesha muganga mbere y'igihe. Muganga ashobora kandi kugusaba guhagarika konsa iminsi mike.

Hariho izindi ngorane nkeya zishobora kubaho, ariko ni gake cyane:

• (Radiotracer) Ububabare buto, gutukura, cyangwa kubyimba aho imitsi yatewe: Ibi bizashira mu munsi umwe cyangwa ibiri. Ushobora kumva ushyushye.
• Uburyo bwo kurwara indwara ya aleriji ku cyuma gipima iyode: Ibi ni gake cyane . Akenshi, ni uburyo bwo kurwara gato nk'ubushye cyangwa akabyimba gato. Uburyo bwo kurwara indwara ya alerijiji bukabije ni gake cyane. Wibuke ko iyi aleriji atari iyode ubwayo, ahubwo ni ibindi bintu biri mu gicuruzwa kirimo iyode. Bwira muganga wawe niba warigeze kugira aleriji kuri iyode mbere.

Ni ryari nzashobora kumenya ibisubizo by'iyi Thyroid Uptake & Scan?

Igihe bitwara kugira ngo ubone ibisubizo by'ibizamini byawe gishobora gutandukana gato. Biterwa n'ibitaro wakoreyemo ikizamini, impamvu yo gupimwa, igihe bitwara kugira ngo usesengure amashusho, ndetse niba ushobora gukenera "igitekerezo cya kabiri" kivuye ku wundi muganga w'inzobere.

Ibi ni byo bikunze kubaho: Inzobere mu by'imirasire cyangwa undi muganga w’umuhanga ufite ubumenyi bwihariye mu gupima ingirabuzimafatizo za kirimbuzi yiga witonze amashusho ya scan n'ibipimo by'ibizamini, hanyuma agategura raporo yuzuye. Raporo yoherezwa kwa muganga wagutegetse ikizamini. Hanyuma muganga azahura nawe akagusobanurira icyo ibisubizo bivuze kuri wewe. Ibi bishobora gufata iminsi mike kugeza ku cyumweru kimwe cyangwa bibiri.

Iki kizamini cya `(Gyroid Uptake & Scan)` ni ikizamini cy’ubuvuzi cyizewe kandi gifite akamaro cyane gishobora gusuzuma imikorere n’ubuzima bw’agakoko ka tiroyide kawe. Niba ufite ikibazo cyangwa gushidikanya kuri iki kizamini, uko gikorwa, cyangwa ibisubizo, ntutinye kubaza muganga wawe. Wibuke ko bahari kugira ngo bagufashe kandi bakemure ibibazo byawe.

Amaherezo, ibuka (Ubutumwa bwo kujyana mu rugo)

Yego, rero, uhereye ku byo twavuze kugeza ubu, dore bimwe mu bintu by'ingenzi ugomba kwibuka:

• Iki kizamini `(Gyroid Uptake & Scan)` ni ingenzi cyane kandi cyizewe gikoreshwa mu kumenya neza uko gland ya tiroyide iri mu ijosi ryawe ikora, kandi niba hari ikibazo, ikibyimba (`(Nodule)`), cyangwa ikibazo nko gukora cyane (`(Hyperthyroidism)`).
• Ni ngombwa gukurikiza amabwiriza ya muganga witonze mbere yo kwipimisha (nk'ukurya no kunywa, guhagarika imiti, no kubabwira niba utwite) kugira ngo ubone ibisubizo nyabyo.
• Mu gihe cyo gupima, hakoreshwa ingano nto y'ibikoresho bikoresha imirasire (`(Radiotracer)`), ariko ntabwo bizangiza umubiri wawe cyane. Ingano y'imirasire isohora ni nke cyane.
• Nta bubabare bugaragara mu gihe cyo gupima. Ni ngombwa gusa kuguma uhagaze igihe gito mu gihe cyo gupima.
• Ibisubizo bimaze kugaragara, muganga wawe azabiganiraho nawe birambuye hanyuma afate umwanzuro ku bundi buryo bwo kuvura bukenewe.

Rero, niba muganga agusabye gukora iki kizamini cya `(Gyroid Uptake & Scan)`, ntugatinye cyangwa ngo ugire impungenge bitari ngombwa. Ubu ni uburyo bwiza bwo gupima mu buvuzi bwa none bushobora kugufasha kumenya amakuru menshi y'ingirakamaro ku buzima bwawe. Ni byiza kuganira na muganga wawe mu buryo bweruye, ukamubaza kandi ukamusobanurira ibibazo byose ufite mu mutwe.

" Gyroid", gusuzuma tiroyide, gufata tiroyide, iyode ikoresha imirasire, gland ya tiroyide, hyperthyroidism, utudomo twa tiroyide