Wakambonzwa kutya here chiremba wako paakakuudza kuti unofanira kuongororwa MIBG? Zvakajairika kuti mibvunzo yakawanda iuye mupfungwa dzako, yakaita sekuti "Um, chii ichi chitsva chekuongorora? Sei izvi zvichiitwa?" Kunyanya kana tichitaura nezvebvunzo yekurapa yatisingawanzonzwa nezvayo, tinonzwa kutya uye kuda kuziva. Asi usatya zvachose. Nhasi, tichataura nezvese nezve MIBG scan iyi, kubva padiki kusvika pakuru, muchiSinhala chiri nyore chaunogona kunzwisisa. Sekunge shamwari yako iri kukutsanangurira.
Zvichitaurwa zviri nyore, chii chinonzi MIBG Scan iyi?
Chimbofungai, kune zvimwe zvinhu zviri mukati memiviri yedu zvisingakwanise kutorwa mifananidzo nekamera yakajairika. Saizvozvowo, kune zvimwe zvinetso zvisingagone kutorwa nezvinhu zvakaita seX-rays neCT scans. Ndipo patinoshandisa nzira dzakakosha. MIBG scan ibvunzo inoshandisa tekinoroji yakakosha yekamera. Mukurapa, tinodana izvi kuti 'bvunzo yekufungidzira kwenyukireya'.
Izvi ndizvo zvinoitika:
Chinhu chidiki kwazvo, chakachengeteka chine mwaranzi chinopinzwa mumuviri wako. Usazvidya moyo, ichi chinhu chidiki chisingazokukuvadze, ndicho chinodiwa pakuongorora. Tinodana chinhu ichi kuti ``iodine meta-iodobenzylguanidine``. Saka nekuti zvakaoma kutaura zita iri refu, tinoridaidza kuti MIBG muchidimbu.
Chinhu ichi, chinonzi MIBG, chinofamba nemuropa rako uye chinonamatira kune mamwe marudzi emasero mumuviri wako. Zvadaro, uchishandisa kamera yakakosha (gamma camera), unogona kuona kuti chinhu chacho chaungana kupi. Zvakafanana nekuwana magonye ari murima.
Bvunzo iyi inodanwa nemamwe mazita akati wandei, saka musazvidya mwoyo kana mazita aya akaonekwa mumushumo wenyu.
- Kuskena kweIobenguane
- Kuskena kweMetaiodobenzylguanidine
- MIBG scintigraphy
- MIBG scintiscan
Sei vanachiremba vachikurudzira kuita MIBG scan iyi?
Kuongororwa kweMIBG kunowanzo shandiswa kuona mhando dzakasiyana dzemamota mumuviri, kuona kuti apararira kusvika papi, uye kuongorora kushanda kwekurapa. Mamota aya anobva mumasero ari mumiviri yedu anonzi neuroendocrine cells anogadzira mahormone.
Iye zvino ngationei kuti ndedzipi mhando huru dzenzungu dzinogona kuwanikwa nekuongorora uku.
| Rudzi rwebundu | Tsananguro Iri Nyore |
|---|---|
| Neuroblastoma | Iyi imhando yegomarara isingawanzoitiki inowanzo tanga mumasero etsinga evana vari pasi pemakore mashanu. |
| Pheochromocytoma | Rudzi rwebundu rinokura muadrenal glands, riri pamusoro peitsvo dzedu, kana kune imwe nzvimbo mumuviri. Izvi zvinogona kukonzera zviratidzo zvakaita seBP. |
| Matumbu ecarcinoid (neuroendocrine bundu) | Idzi imhando yebundu rinokura zvishoma nezvishoma rinowanzoitika muhurongwa hwekufema kana muhurongwa hwematumbu (mudumbu). |
| Kansa ye thyroid yeMedullary | Iyi imhando chaiyo yegomarara rinokura mugland re thyroid riri mumutsipa wedu. |
Saka, pamwe unonzwisisa kuti iyi haisi bvunzo yakajairika, asi chimwe chinhu chinoitwa kuti uone mamiriro chaiwo ezvinhu.
Ndinofanira kugadzirira sei scan iyi?
Pane zvinhu zvishoma zvauchakumbirwa kuita usati waskena. Kutevera izvi kwakakosha zvikuru kuti bvunzo ive yakarurama.
1. Pane mushonga wakakosha wekunwa.
Zuva rimwe chete usati waongororwa, chiremba wako achakuudza kuti utore mushonga une iodine (dzimwe nguva unonzi Lugol's solution). Ungangoda kuitora kwemazuva mashoma mushure mekuongororwa. Unoziva here kuti nei ichipihwa? Iyo iodine ine radioactive iri mujekiseni reMIBG inoimisa kuungana mugland rako re thyroid. Izvi zvinoreva kuti mushonga uyu unoshandiswa kuchengetedza gland rako re thyroid.
2. Mimwe mishonga ingada kumira kwenguva yakati.
Mimwe mishonga yaunowanzo tora inogona kukanganisa mhedzisiro yeMIBG scan. Saka, chiremba wako achakuudza kuti urege kutora mishonga iyoyo kwemazuva mashoma kana vhiki imwe bvunzo isati yaitwa.
Asi yeuka izvi: Usamborega kutora chero mushonga wega. Udza chiremba wako nezvemishonga yese yaunotora, kusanganisira mishonga yakanyorerwa nachiremba, mishonga inotengeswa kunze kwemutero, mavhitamini, uye mishonga yemiti. Iye achakuudza chaizvo kuti ndeipi mishonga yaunofanira kurega kutora uye kwenguva yakareba sei.
Tafura iri pazasi inoratidza mimwe yemishonga inowanzo kurudzirwa kuti irege kushandiswa.
| Rudzi rweMishonga | Inowanzoshandiswa pa |
|---|---|
| Mishonga inodzivirira ACE | Kukwira Kweropa |
| Mishonga yeAllergy uye dzihwa | Kurwara nezvirwere zvepfungwa uye dzihwa |
| Amiodarone | Matambudziko emwoyo (arrhythmia) |
| Mishonga yekuderedza kushushikana | Kuora mwoyo nezvimwe zvirwere zvepfungwa |
| Zvinodzivirira calcium channel | Kune chirwere cheBP nechirwere chemwoyo |
| Maopioid | Mamwe marudzi emishonga inonyaradza marwadzo yakasimba |
Chii chaizvo chinoitika pamazuva ekuongorora?
Kuongororwa kweMIBG hakusi chinhu chinogona kuitwa nezuva rimwe chete. Inzira inoitika kwemazuva akati wandei. Kazhinji, unofanira kuenda kuchipatara kaviri kana kana.
- Danho Rokutanga: Kubaya Mushonga Nejekiseni
Pazuva rekutanga, chiremba kana mukoti muchipatara achabaya chirauro chinonzi MIBG mutsinga iri muruoko rwako kana muruoko. Izvi zvakafanana nekubaiwa jekiseni nguva dzose. Unogona kudzokera kumba. Zvinotora maawa angangoita makumi maviri nemana kuti chirauro chitenderere mumuviri wako wese.
- Danho Rechipiri: Kutanga Kuskena
Zuva rinotevera uchafanira kudzokera kuchipatara kuti uongorore kekutanga. Uchafanira kubvisa zvese zvawakapfeka, zvakaita sembatya dzako, wachi, nemutsipa, wopfeka gown rechipatara ravanokupa. Wobva waitwa kuti urare pamubhedha pasi pemuchina wekuskena. Chaunofanira kuita kungoramba wakanyarara , usingafambi zvachose. Kamera yekuskena ichafamba-famba mumuviri wako yotora mifananidzo. Hauzonzwi kurwadziwa panguva iyi.
- Danho Rechitatu: Kuskenazve
Vamwe vanhu vangada kudzoka kuzoongororwazve mushure mezuva rimwe kana maviri. Izvi zvichasarudzwa nachiremba wako nenyanzvi yeX-ray. Kuongororwa kwega kwega kunogona kutora awa imwe kana maviri.
Unoitei kana scan yapera?
Sezvo iyi iri bvunzo yekuongororwa kwekunze, unogona kuenda kumba mushure mekuongororwa kwega kwega. Zvisinei, uchafanira kubatsira muviri wako kubvisa zvinhu zvine mwaranzi mushure mekunge waenda kumba.
Chinhu chinorapwa mumuviri wako chichabviswa zvachose mumuviri wako mumazuva mashoma. Kuti zvikubatsire , inwa mvura yakawanda, senge mvura nezvinwiwa zvemichero. Zvadaro chinhu ichi chichakurumidza kubuda mumuviri wako netsvina.
Zvakare, zvakakosha zvikuru kugeza maoko ako nesipo zvakanaka mushure mekushandisa chimbuzi.
Mazano akakosha kune vanaamai vanoyamwisa:
Kana uri amai vanoyamwisa, usayamwisa mwana wako kwezuva rimwe chete mushure mekubayiwa jekiseni reMIBG. Gadzirira kupa mwana wako mukaka wemukaka panguva iyoyo. Bvunza chiremba wako kuti akupe rumwe ruzivo nezveizvi.
Pane njodzi here nekuongorora uku?
Uyu mubvunzo unobvunzwa nevanhu vazhinji. Kutaura zvazviri, kuongorora MIBG scan inzira yakachengeteka zvikuru. Njodzi dzinobatanidzwa dzakaderera zvikuru.
- Vamwe vanhu vanogona kuwedzera BP mushure mekubaiwa jekiseni reMIBG. Zvisinei, izvi zvinowanzodzoka zvakajairika mukati mezuva rimwe kana maviri. Saka, uchachengetwa muchipatara kwemaminitsi angangoita makumi matatu mushure mekubaiwa jekiseni, uye BP yako ichaongororwa usati waendeswa kumba.
- Bvunzo iyi haina kukodzera vakadzi vane pamuviri, sezvo zvinhu zvine mwaranzi zvinogona kukanganisa mwana asati aberekwa. Saka, kana uine pamuviri kana kuti uine fungidziro diki yekuti une pamuviri, unofanira kuudza chiremba wako usati waongororwa.
Zvichatora nguva yakareba sei kuti ndiwane mhinduro?
Mushure mekunge scan yekupedzisira yaitwa, zvinowanzotora mazuva maviri kusvika matatu kuti uwane mhedzisiro.
Chinoitika ndechekuti chiremba weX-ray anonyatsoongorora zvese zvaunoongorora. Anotsvaga nzvimbo dzine chinhu cheMIBG chinoungana zvisina kujairika, chinonzi 'hot spots.' Nzvimbo idzi dzinogona kuratidza kuvapo kwebundu.
Nyanzvi ichabva yagadzirira mushumo wakazara youtumira kuna chiremba wako akaraira bvunzo. Chiremba wako achakurukura newe mushumo wacho uye otsanangura matanho aunofanira kutora anotevera. MIBG scan ndeyechokwadi ne85%, zvinoreva kuti bvunzo iyi yakavimbika zvikuru.
Mharidzo Yekuenda Nayo Kumba
- Kuongororwa kweMIBG inzira yakachengeteka uye chaiyo inoshandiswa kuona mamwe marudzi emabundu. Usatye izvi.
- Usati waongororwa, tora piritsi re iodine rawakanyorerwa kuti udzivirire gland rako re thyroid.
- Udza chiremba wako nezvemishonga yese yauri kutora (kusanganisira mavhitamini). Usatange kana kurega kutora chero mishonga usina kurairwa nachiremba wako.
- Maitiro ekuskena anotora mazuva akati wandei, uye zvakakosha kuti munhu arambe akadzikama panguva yekuskena.
- Mushure mekuskena, inwa mvura yakawanda nemvura kuti ubvise tsvina mumuviri wako.
- Kana uine pamuviri kana kuti uchifungidzira kuti une pamuviri, zivisa chiremba wako nekukasika.
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