Ngaba uzive unexhala kancinci xa ugqirha wakho ekuxelela ukuba kufuneka wenze i-MIBG scan? Kuqhelekile ukuba kuvele imibuzo emininzi engqondweni, efana nokuthi "Um, yintoni le scan intsha? Kutheni le nto yenziwa?" Ingakumbi xa sithetha ngovavanyo lwezonyango esingaluva rhoqo, siziva sisoyika kwaye sinomdla. Kodwa ungoyiki konke konke. Namhlanje, siza kuthetha ngayo yonke into malunga nale MIBG scan, ukusuka kweyona incinci ukuya kweyona inkulu, ngesiSinhala esilula onokusiqonda. Kanye njengokuba umhlobo wakho ekuchazela.
Ngamafutshane, yintoni le MIBG Scan?
Khawucinge nje, kukho izinto ezithile ngaphakathi emizimbeni yethu ezingenakuthathwa zithombe ngekhamera eqhelekileyo. Ngokufanayo, kukho iingxaki ezithile ezingenakuthathwa zizinto ezifana ne-X-ray kunye ne-CT scans. Kulapho sisebenzisa khona iindlela ezikhethekileyo. I-MIBG scan luvavanyo olusebenzisa ubuchwepheshe bekhamera obukhethekileyo. Kwezonyango, oku sikubiza ngokuba 'luvavanyo lwe-nuclear imaging'.
Nantsi into eyenzekayo:
Isixhobo esincinci kakhulu nesikhuselekileyo se-radioactive sifakwa emzimbeni wakho. Ungakhathazeki, esi sixa sincinci kakhulu esingazukukwenzakalisa, yiloo nto kanye ifunekayo kuvavanyo. Esi sixhobo sibizwa ngokuba yi-"iodine meta-iodobenzylguanidine". Ngoko ke kuba kunzima ukubiza eli gama lide, sibizwa ngokuba yi-MIBG ngokufutshane.
Le nto, ebizwa ngokuba yi-MIBG, ihamba ngegazi lakho ize inamathele kwiintlobo ezithile zeeseli emzimbeni wakho. Emva koko, usebenzisa ikhamera ekhethekileyo (ikhamera ye-gamma), ungabona apho le nto iqokelele khona. Kufana nokufumana iimpethu ezikhanyayo ebumnyameni.
Olu vavanyo lubizwa ngamanye amagama aliqela, ngoko ungakhathazeki ukuba la magama ayavela kwingxelo yakho.
- Iskeni ye-Iobenguane
- iskeni ye-Metaiodobenzylguanidine
- I-MIBG scintigraphy
- I-MIBG scintiscan
Kutheni oogqirha becebisa ukwenza olu vavanyo lwe-MIBG?
I-MIBG scan idla ngokusetyenziswa ukubona iintlobo ezithile zeethumba emzimbeni, ukubona ukuba zisasazeke kangakanani, kunye nokuvavanya ukusebenza kakuhle konyango. Ezi thumba zivela kwiiseli emizimbeni yethu ezibizwa ngokuba zii-neuroendocrine cells ezivelisa iihomoni.
Ngoku makhe sibone ukuba zeziphi iintlobo eziphambili zeenati ezinokufumaneka ngolu vavanyo.
| Uhlobo lwethumba | Ingcaciso Elula |
|---|---|
| I-Neuroblastoma | Olu luhlobo lomhlaza olungaqhelekanga oludla ngokuqala kwiiseli zemithambo-luvo zabantwana abangaphantsi kweminyaka emi-5 ubudala. |
| I-Pheochromocytoma | Uhlobo lwethumba olukhula kwi-adrenal glands, ezikwindawo engaphezulu kwezintso zethu, okanye kwenye indawo emzimbeni. Ezi zinokubangela iimpawu ezifana noxinzelelo lwegazi oluphezulu. |
| Iithumba zeCarcinoid (iithumba ze-neuroendocrine) | Ezi luhlobo lwethumba elikhula kancinci elidla ngokuvela kwinkqubo yokuphefumla okanye kwinkqubo yesisu (indlela yamathumbu). |
| I-Medullary thyroid carcinoma | Olu luhlobo oluthile lomhlaza olukhula kwi-thyroid gland entanyeni yethu. |
Ngoko ke, mhlawumbi uyaqonda ukuba olu asilovavanyo oluqhelekileyo, kodwa yinto eyenziwayo ukuze kufunyanwe iimeko ezithile.
Ndingayilungiselela njani le scan?
Kukho izinto ezimbalwa oza kucelwa ukuba uzenze ngaphambi kokuba uskene. Ukulandela ezi zinto kubaluleke kakhulu ukuze uvavanyo luchaneke.
1. Kukho iyeza elikhethekileyo ekufuneka ulisebenzise.
Malunga nosuku ngaphambi kokuskena, ugqirha wakho uza kukuxelela ukuba uthathe iyeza eliqulethe i-iodine (ngamanye amaxesha elibizwa ngokuba yisisombululo sikaLugol). Kusenokufuneka ulithathe kangangeentsuku ezimbalwa emva kokuskena. Uyazi ukuba kutheni linikwa oku? I-iodine ene-radioactive kwi-MIBG injection iyayithintela ukuba iqokelele kwi-thyroid gland yakho. Oku kuthetha ukuba eli yeza lisetyenziselwa ukukhusela i-thyroid gland yakho.
2. Amanye amayeza anokufuneka amiswe okwethutyana.
Amanye amayeza oqhele ukuwasebenzisa anokuchaphazela iziphumo ze-MIBG scan. Ngoko ke, ugqirha wakho uya kukuxelela ukuba uyeke ukuwasebenzisa loo mayeza kangangeentsuku ezimbalwa okanye iveki ngaphambi kovavanyo.
Kodwa khumbula oku: Ungaze uyeke ukuthatha amayeza wedwa. Xelela ugqirha wakho ngawo onke amayeza owasebenzisayo, kuquka amayeza kagqirha, amayeza athengiswa ngaphandle kwemvume kagqirha, iivithamini, kunye namayeza esintu. Uza kukuxelela ngokuthe ngqo ukuba zeziphi amayeza omele uyeke ukuwasebenzisa kwaye ixesha elingakanani.
Itheyibhile engezantsi idwelisa amanye amayeza adla ngokucetyiswa ukuba ayeke.
| Udidi lwamayeza | Isetyenziswa Ngokuqhelekileyo |
|---|---|
| Izithinteli ze-ACE | Igazi elonyukayo |
| Amayeza okubangela i-aleji kunye nomkhuhlane | Ii-aleji kunye nokubanda |
| I-Amiodarone | Ukuphazamiseka kwentliziyo (i-Arrhythmia) |
| Amayeza okudakumba | Ukudakumba kunye nezinye iimeko zengqondo |
| Izithinteli zemijelo yecalcium | Xa unexinzelelo lwegazi oluphezulu kunye nesifo sentliziyo |
| Ii-opioids | Ezinye iintlobo zeentlungu eziqatha |
Kwenzeka ntoni kanye kanye ngeentsuku zokuskena?
I-MIBG scan ayisiyonto enokwenziwa ngosuku olunye. Yinkqubo eyenzeka kwiintsuku ezininzi. Ngokwesiqhelo, kuya kufuneka uye esibhedlele izihlandlo ezibini ukuya kwezine.
- Inyathelo Lokuqala: Ukutofa Amayeza
Ngosuku lokuqala, ugqirha okanye umongikazi esibhedlele uza kufaka i-tracer ebizwa ngokuba yi-MIBG emthanjeni osesandleni sakho okanye esandleni sakho. Oku kufana nokujova rhoqo. Emva koko ungaya ekhaya. Kuthatha malunga neeyure ezingama-24 ukuba i-tracer ijikeleze emzimbeni wakho.
- Inyathelo lesiBini: Ukuskena kokuqala
Ngosuku olulandelayo kuya kufuneka ubuye esibhedlele ukuze uskene okokuqala. Kuya kufuneka ukhulule yonke into oyinxibileyo, njengempahla yakho, iiwotshi, kunye neentsimbi zomqala, kwaye unxibe ilokhwe ekhethekileyo yesibhedlele abakunika yona. Emva koko uya kulaliswa ebhedini phantsi komatshini wokuskena. Okufuneka ukwenze kukuhlala uthule , unganyakazi konke konke. Ikhamera yokuskena iya kuhambahamba emzimbeni wakho ize ithathe imifanekiso. Awuyi kuva ntlungu ngeli xesha.
- Inyathelo Lesithathu: Ukuskena Kwakhona
Abanye abantu banokufuna ukubuya ukuze baphinde bahlolwe emva kosuku okanye ezimbini. Oku kuya kugqitywa ngugqirha wakho kunye nengcali ye-radiology. I-scan nganye ingathatha malunga neyure okanye ezimbini.
Wenza ntoni emva kokuba iskeni igqityiwe?
Ekubeni olu luvavanyo lokuya esibhedlele, ungaya ekhaya emva kovavanyo ngalunye. Nangona kunjalo, kuya kufuneka uncede umzimba wakho ukuba ukhuphe izinto ezibangela i-radioactive emva kokuba ubuyele ekhaya.
Into elandelwayo emzimbeni wakho iya kususwa ngokupheleleyo emzimbeni wakho kwiintsuku ezimbalwa. Ukuze uncede koku , sela ulwelo oluninzi, olufana namanzi kunye neziselo zeziqhamo. Emva koko le nto iya kushiya umzimba wakho nomchamo kunye nendle ngokukhawuleza.
Kwakhona, kubaluleke kakhulu ukuhlamba izandla zakho kakuhle ngesepha emva kokusebenzisa indlu yangasese.
Iingcebiso ezikhethekileyo koomama abancancisayo:
Ukuba ungumama oncancisayo, kuphephe ukuncancisa umntwana wakho ubuncinane usuku emva kokufakwa inaliti ye-MIBG. Lungela ukunika umntwana wakho ubisi lwebele ngelo xesha. Buza ugqirha wakho ukuba akunike ulwazi oluthe kratya malunga noku.
Ngaba kukho naziphi na iingozi ngolu vavanyo?
Lo ngumbuzo abantu abaninzi abanawo. Enyanisweni, i-MIBG scan luvavanyo olukhuselekileyo kakhulu. Iingozi ezibandakanyekileyo ziphantsi kakhulu.
- Abanye abantu banokufumana ukunyuka okuncinci koxinzelelo lwegazi emva kokufumana inaliti ye-MIBG. Nangona kunjalo, oku kudla ngokubuyela kwisiqhelo kungekapheli usuku okanye ezimbini. Ke ngoko, uza kugcinwa esibhedlele malunga nemizuzu engama-30 emva kwenaliti, kwaye uxinzelelo lwakho lwegazi luya kuhlolwa ngaphambi kokuba uthunyelwe ekhaya.
- Olu vavanyo alufanelekanga kubafazi abakhulelweyo, njengoko izinto ezisebenzisa i-radioactive zinokuchaphazela usana olungekazalwa. Ke ngoko, ukuba ukhulelwe okanye uneengcinga ezincinci zokuba ukhulelwe, ngokuqinisekileyo kufuneka uxelele ugqirha wakho ngaphambi kovavanyo.
Kuza kuthatha ixesha elingakanani ukuba ndifumane iziphumo?
Emva kokuba kugqitywe ukuskena kokugqibela, kudla ngokuthatha malunga neentsuku ezimbini ukuya kwezintathu ukufumana iziphumo.
Okwenzekayo kukuba ingcali ye-radiology ihlolisise ngononophelo zonke iiskeni zakho. Ikhangela iindawo apho into ye-MIBG iqokelelana khona ngendlela engaqhelekanga, ebizwa ngokuba 'ziindawo ezishushu.' Ezi ndawo zinokubonisa ukuba kukho ithumba.
Ingcali iza kulungiselela ingxelo epheleleyo ize iyithumele kugqirha wakho oye wayalela uvavanyo. Ugqirha wakho uza kuxoxa nawe ngale ngxelo aze akuchazele amanyathelo ekufuneka uwathathe ngokulandelayo. I-MIBG scan ichaneke malunga ne-85%, oko kuthetha ukuba luvavanyo oluthembekileyo kakhulu.
Umyalezo Wokuya Ekhaya
- I-MIBG scan luvavanyo olukhuselekileyo nolucacileyo olusetyenziselwa ukubona iintlobo ezithile zeethumba. Musa ukoyika oku.
- Ngaphambi kovavanyo, thatha ipilisi ye-iodine echazwe ngugqirha ukuze ukhusele i-thyroid gland yakho.
- Xelela ugqirha wakho ngazo zonke iiyeza ozisebenzisayo (kuquka neevithamini). Musa ukuqala okanye ukuyeka ukuthatha naziphi na iiyeza ngaphandle kwengcebiso kagqirha wakho.
- Inkqubo yokuskena ithatha iintsuku ezininzi, kwaye kubaluleke kakhulu ukuhlala ungashukumi ngexesha lokuskena.
- Emva kokuskena, sela amanzi amaninzi kunye nolwelo ukunceda ukususa i-tracer emzimbeni wakho.
- Ukuba ukhulelwe okanye ukrokrela ukuba ukhulelwe, yazisa ugqirha wakho ngoko nangoko.
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