Ufuna ukujonga i-thyroid yakho? Masifunde nge-(Ukuthathwa kunye nokuSkena kweThyroid)!

Ngaba ngamanye amaxesha ukhe uzibuze ukuba ingaba elo gland lincinci le-thyroid elisentanyeni yakho lisebenza kakuhle na? Mhlawumbi ugqirha ukucelile ukuba wenze olu vavanyo lubizwa ngokuba yi-"Thyroid Uptake & Scan". Okanye mhlawumbi ukhe weva ngalo ndaweni ithile. Ngoko ke, namhlanje siza kuthetha ngalo ngokulula, ngendlela onokuyiqonda. Akukho nto inokubangela ixhala, olu luvavanyo oluqhelekileyo olwenziwa ngabantu abaninzi.

Yintoni i-Thyroid Uptake kunye neSkena?

Ngamafutshane, olu luvavanyo olukhethekileyo olujonga kanye okwenzekayo ngaphakathi kwi-thyroid gland yakho, ukuba isebenza kakuhle kangakanani, kunye nokuba imilo kunye nobukhulu bayo bunjani. Kufana 'nefoto' ye-thyroid yakho, kodwa isinika iinkcukacha ezininzi. Oogqirha bakwabiza oku ngokuthi "yiNuclear Medicine Imaging". Musa ukoyika, igama lisenokuvakala ngathi yinto enkulu, kodwa libandakanya ukusebenzisa into encinci kakhulu, engenabungozi ene-radioactive (ebizwa ngokuba yi-"Radiotracer") kunye nokujonga i-thyroid gland yakho ngekhamera ekhethekileyo. Ulwazi olunika lona luneenkcukacha ezingaphezulu kunento efana ne-"Ultrasound Scan" eqhelekileyo.

Yintoni umahluko phakathi kwe-thyroid scan kunye ne-uptake?

Ngoku usenokuba uzibuza ukuba ngaba le "Scan" kunye ne "Uptake" zizinto ezimbini ezahlukeneyo, okanye ziyafana. Ngokwengcali, ezi ziinkqubo ezimbini ezahlukeneyo. Nangona kunjalo, oogqirha badla ngokwenza zombini ezi zinto kunye, kuba kulapho bafumana khona umfanekiso opheleleyo we-thyroid gland.

• Ukuthathwa kweGyroid: Oku kukwabizwa ngokuba yiRadioactive Iodine Uptake Test (RAIU). Olu vavanyo lulinganisa ukuba i-thyroid gland yakho ifunxa kangakanani i-radioactive iodine kwaye ikhawuleza kangakanani. Ugqirha uya kulinganisa oku ngokubeka iprobe ekhethekileyo entanyeni yakho, apho i-thyroid gland yakho ikhoyo. Ukulinganiswa kunokunika umbono olungileyo wokuba i-thyroid gland yakho isebenza kakhulu (isebenza kakhulu) okanye ayisebenzi ngokwaneleyo (ingasebenzi kakuhle). Olu vavanyo lokuthathwa aluthathi mifanekiso.

• I-Thyroid Scan: Kulapho kuthathwa khona imifanekiso. Usebenzisa izinto ezisebenzisa i-radioactive (Radiotracer) ezikhankanyiweyo apha, ikhamera ekhethekileyo, kunye nekhompyutha, ungayibona ngokucacileyo imilo, ubungakanani, kunye nolwakhiwo lwangaphakathi lwe-thyroid gland yakho, kunye nalapho i-thyroid isebenza kakhulu, ingasebenzi kakuhle, okanye ineziqhuma ezingaqhelekanga.

Ngoko ke, xa nizenza zombini ezi zinto kunye, niyaqonda ngcono indlela esebenza ngayo i-thyroid gland kunye nendlela ebonakala ngayo.

Kutheni ndifuna i-Thyroid Uptake & Scan?

Kaloku, makhe sibone ukuba zeziphi ezinye zezizathu zokuba ugqirha angacebisa ukuba wenze olu vavanyo lwe-`(Thyroid Uptake & Scan)`.

• Qinisekisa ukuba i-thyroid yakho isebenza kakuhle: Olu vavanyo lubaluleke kakhulu ukuba uneempawu ze-hyperthyroidism (umz., ukunyuka kwesantya sentliziyo, ukwehla kobunzima, ukubila, ixhala), okanye ukuba uvavanyo lwegazi lubonisa ukuba i-thyroid yakho isebenza kakhulu.
• Fumana ulwazi oluthe kratya malunga neqhubu le-thyroid: Ngamanye amaxesha, xa usenza i-ultrasound scan yentamo yakho ngesizathu esinye, ibonisa iqhubu elincinci kwi-thyroid gland yakho. Olu vavanyo lunokukunceda ubone uhlobo oluchanekileyo lweqhubu (nokuba 'lishushu' okanye 'libanda', oko kuthetha ukuba livelisa iihomoni okanye akunjalo).
• Ukubona utshintsho kwi-thyroid emva konyango okanye utyando: Olu vavanyo lusetyenziselwa ukubona ukuba izicubu ze-thyroid eziseleyo zisebenza kakuhle na kwaye ziqhuba njani emva kokuthatha amayeza e-hyperthyroidism, okanye emva kokususa inxalenye okanye yonke i-thyroid gland ngotyando.
• Chonga izifo ezifana ne-thyroiditis.
• Ingasetyenziswa (ngokungafane) ukubona ukusasazeka kweminye imingxunya.

Ngubani owenza le Thyroid Uptake & Scan?

Olu vavanyo ludla ngokwenziwa yingcali ye-radiologist enolwazi olukhethekileyo kunye noqeqesho kwicandelo lezonyango le-"Nuclear Medicine Imaging." Nguye owenza uvavanyo, ahlalutye imifanekiso kunye nedatha efunyenweyo, aze alungiselele ingxelo malunga nemeko yakho.

Isebenza njani le Thyroid Uptake & Scan?

Cinga ngale ndlela, kufana nokufaka 'ithegi' encinci kwi-thyroid gland yakho, uze ujonge ngaphandle indlela loo 'thegi' ehamba ngayo ngaphakathi kwi-thyroid, apho iqokelelana khona, kunye nokuba iqokelelana kangakanani.

Okwenzekayo yile:

1. Uza kunikwa isixa esincinci kakhulu nesikhuselekileyo sento ene-radioactive (`(Radiotracer)`). Esi sihlala siyi-isotope ene-radioactive yento ebizwa ngokuba yi-`(Radioactive Iodine)` okanye `(Technetium)`. Oku kunokunikwa njenge-IV injection, okanye njenge-capsule encinci okanye ulwelo olufanele luthathwe ngomlomo. Kunqabile kakhulu, kunokunikwa njengegesi ekufanele iphefumlwe.

2. Le nto ihamba ngegazi lakho ize iye kwi-thyroid gland. Ekubeni i-thyroid gland ifunxa i-iodine ngokwendalo ukuze yenze iihomoni, le iodine ene-radioactive (okanye into efanayo) iqokelelana kwiiseli ze-thyroid.

3. Emva koko, i-`(Radiotracer)` eyongeziweyo kwezi seli ze-thyroid ikhupha uhlobo oluthile lwemitha ebizwa ngokuba yi-`(Gamma rays)`. Le mitha ayibonakali emehlweni ethu, kodwa inokubonwa ngezixhobo ezikhethekileyo.

Ngoku makhe sibone indlela `(Uptake)` kunye `(Scan)` ezisebenzisa ngayo `(Gamma rays)`:

• Ngexesha lovavanyo lokuthathwa kwe-automation: Ugqirha ubeka isixhobo esinobuthathaka esibizwa ngokuba yi-gamma probe kufutshane nentamo yakho, ecaleni kwe-thyroid gland yakho, aze alinganise ubungakanani bemitha ye-gamma ephumayo. Oku kunika umbono wokuba i-thyroid gland iyifunxa njani le nto ngempumelelo, nto leyo ebonisa ukuba isebenza kakuhle kangakanani.
• Ngexesha lokuskena: Ikhamera ekhethekileyo ebizwa ngokuba yikhamera ye-gamma ibona le mitha ye-gamma ize ithumele ulwazi kwikhompyutha. Ikhompyutha isebenzisa idatha ukwenza imifanekiso ecacileyo (njengemephu) ye-thyroid gland. Le mifanekiso ibonisa iindawo ze-thyroid ezisebenza kakhulu (ii-hot nodules), ezingasebenzi kakuhle (ii-cold nodules), okanye ezineemilo ezingaqhelekanga. Umzekelo, yonke i-thyroid gland yomntu one-hyperthyroidism inokubonakala ikhanya kakhulu kuba ifunxa uninzi lwe-radiotracer.

Ndingayilungiselela njani le Thyroid Uptake & Scan?

Kukho izinto ezimbalwa ekufuneka uzazi kwaye uxelele ugqirha wakho ngaphambi kolu vavanyo. Ukulandela ezi zinto kubaluleke kakhulu ukuze ufumane iziphumo zovavanyo ezichanekileyo.

• Ukuba ukhulelwe, urhanela ukuba ukhulelwe, okanye uncancisa: Oku kufuneka kuxoxwe nogqirha wakho kunye nengcali ye-radiology eza kwenza uvavanyo. Oku kungenxa yokuba ubungakanani bezinto ezisebenzisa i-radioactive, nokuba zincinci kakhulu, abukhuselekanga kumntwana ongekazalwa okanye oncanciswayo. Kwiimeko ezinjalo, ugqirha uya kugqiba ukuba acinge ngezinye iindlela okanye ahlehlise uvavanyo.
• Ezinye izinto ezibalulekileyo omele uzixelele ugqirha:
• Ukuba usandul’ ukuba nesifo, esifana nomkhuhlane okanye umkhuhlane.
• Naziphi na ezinye izifo onazo ixesha elide (umz. isifo seswekile, isifo sentliziyo, isifo sezintso).
• Ukuba unayo nayiphi na i-allergies (ingakumbi kwi-iodine okanye nakweyiphi na into ebangela ukungafani kwezinto ngaphambili).
• Onke amayeza owasebenzisayo okwangoku. Oku akubandakanyi kuphela amayeza amiselwe ngugqirha wakho, kodwa namayeza athengiswa ngaphandle kwemvume kagqirha, iivithamini, imifuno, kwanamayeza emveli.
• Nokuba ukhe wenza naluphi na olunye uvavanyo olusebenzise izinto ezibonisa umahluko eziqulethe i-iodine (umzekelo, i-CT scan okanye i-angiogram ene-IV iodine contrast) kwiinyanga ezimbini ezidlulileyo. Oku kunokutshintsha amanqanaba e-iodine emzimbeni wakho kwaye kuchaphazele iziphumo zolu vavanyo.
• Ukuba uthatha amayeza esifo se-thyroid:Ukuba uthatha amayeza e-hyperthyroidism (i-thyroid esebenzayo kakhulu) afana ne-Methimazole okanye i-Propylthiouracil (PTU), okanye iipilisi ze-thyroid hormone (i-Thyroxine), ugqirha wakho uya kukuxelela ukuba zingaphi iintsuku ngaphambi kokuba kuskeniwe ekufuneka uyeke ukuwathatha la mayeza. Landela le miyalelo ngokuchanekileyo. Ngaphandle koko, iziphumo zovavanyo zisenokungachanekanga.
• Ngokuphathelele ukutya nokusela: Ungacelwa ukuba ungatyi okanye ungaseli nantoni na (uzila ukutya) iiyure ezimbalwa ngaphambi kovavanyo (umz. iiyure ezi-4-6). Buza ugqirha wakho okanye ilabhoratri malunga noku kwangaphambili.

Eyona nto ibalulekileyo kukulandela imiyalelo oyinikwe ngugqirha wakho okanye abasebenzi basesibhedlele ngokuchanekileyo. Ukuba kukho into ongaqinisekanga ngayo, ungoyiki ukuyibuza. Bakho ukukunceda.

Kwenzeka ntoni ngexesha lokuthathwa kunye nokuskena kwe-thyroid?

Ekubeni iindawo zovavanyo lwe-"Uptake" kunye ne-"Scan" zenziwa ngokwahlukileyo kancinci, makhe sizijonge ngokwahlukeneyo.

Indlela yokwenza i-thyroid ithatheke:

1. Okokuqala, uza kunikwa i-capsule encinci okanye ulwelo olune-radioactive iodine (`(Radiotracer)`) ukuze ulusele. Olu hlobo alunancasa kangako, ngoko ke alunangxaki.

2. Emva kokuyisela, uza kuxelelwa ukuba uye ekhaya okanye uphumle okwethutyana. Ngokuqhelekileyo kuya kufuneka ubuyele kwindawo yovavanyo emva kweeyure ezi-4 ukuya kwezi-6 (ngamanye amaxesha ukuya kuthi ga kwiiyure ezingama-24). Oku kuya kunika i-thyroid gland ixesha lokufunxa i-radiotracer.

3. Xa ubuya, uza kulaliswa etafileni yokuhlolwa (okanye mhlawumbi esitulweni), kwaye ingcali okanye ugqirha uza kubeka isixhobo esincinci esibizwa ngokuba yi-"Gamma probe" kufutshane kakhulu ne-thyroid gland yakho entanyeni yakho (engayichukumisi). Oku kulinganisa ubungakanani bemitha ekhutshwa yi-thyroid yakho.

4. Ngamanye amaxesha, unokucelwa ukuba ubuye emva kweeyure ezingama-24 emva kokuthatha i-``(Radiotracer)'' ukuze ufumane olunye umlinganiselo ngendlela efanayo. Oku kuya kubonisa nokuba i-thyroid igcina ixesha elingakanani i-iodine.

5. Le `(probe)` ithatha imizuzu embalwa kuphela ukuthatha imilinganiselo, mhlawumbi imizuzu emi-5 okanye ngaphantsi. Akukho ntlungu.

Indlela yokwenza i-Thyroid Scan:

1. Kule nto, isixa esincinci sento ene-radioactive (`(Radiotracer)`) sidla ngokufakwa emthanjeni osengalweni yakho (`(IV injection)`). (Akuqhelekanga ukuba inikwe ngokuyisela okanye ngokuyiphefumla, njengoko kusenziwa kwi-`(Uptake)`, kuxhomekeke kuhlobo lwe-`(Radiotracer)` olusetyenzisiweyo.)

2. Emva koko, kuya kufuneka ulinde ixesha elithile (ngesiqhelo malunga nemizuzu engama-20-30) ukuze i-thyroid gland yakho ifunxe esi sithako.

3. Okulandelayo, uza kubekwa kwitafile yovavanyo ekhethekileyo ekuvumela ukuba ujikeleze, intamo yakho ityeke kancinci ngasemva (ukuze yolulwe ngokupheleleyo).

4. Emva koko, ikhamera enkulu ebizwa ngokuba yi-"Gamma Camera" ifakwa entanyeni yakho, phezulu okanye kufutshane kakhulu ne-thyroid gland, kwaye uthotho lwemifanekiso luthathwa kwiikona ezahlukeneyo.

5. Ngeli xesha, kubaluleke kakhulu ukuba uhlale uthule ngokupheleleyo kwaye ungashukumi.Kuba ukuba iyanyikima, imifanekiso isenokungacaci. Njengaxa uthatha ifoto.

6. Kusenokufuneka ulinde ixesha elithile de abasebenzi bafumane imifanekiso ecacileyo kangangoko. Ngamanye amaxesha, kunokuthathwa eminye imifanekiso ukuze kucaciswe ngakumbi iindawo ezithile ze-thyroid. Nangona kunjalo, akukho nto inokubangela ixhala, oku kuqhelekile.

7. Olu vavanyo lonke ludla ngokuthatha malunga nemizuzu engama-30 okanye ngaphantsi. Akukho ntlungu ibandakanyekileyo.

Kwenzeka ntoni emva kokuthathwa kunye nokuskena kwe-thyroid?

Nje ukuba uvavanyo lugqityiwe, ungaqhubeka nemisebenzi yakho yemihla ngemihla de ugqirha wakho akuxelele ngenye indlela. Ungagoduka.

Nangona kunjalo, kukho into enye ebalulekileyo. Ukuze uncede into ene-radioactive (`(Radiotracer)`) esetyenziswe kuvavanyo iphume emzimbeni wakho ngokukhawuleza emchameni wakho, uya kucelwa ukuba usele amanzi amaninzi (ubuncinane iilitha ezi-2-3 ngosuku) kangangeentsuku ezimbini emva kovavanyo. Kungumbono omhle ukulandela oku.

Zithini iingozi kunye neziphumo ebezingalindelekanga zale Thyroid Uptake & Scan?

Abantu abaninzi bayaloyika igama elithi "radioactive". Kodwa eneneni, olu vavanyo lwe-`(Thyroid Uptake & Scan)` lusebenzisa inani elincinci kakhulu lezinto ezine-radioactive (`(Radiotracer)`). Ke ngoko, idosi ye-radiation oyifumanayo iphantsi kakhulu. Enyanisweni, isenokuba ngaphantsi kobungakanani be-radiation efunyenwe kwezinye iimvavanyo ze-`(X-ray)`. Ke ngoko, xa kuthelekiswa neenzuzo zolu vavanyo lokufunda ulwazi oluxabisekileyo malunga nokusebenza kunye nempilo ye-thyroid gland, umngcipheko omncinci kakhulu we-radiation mncinci kangangokuba unokungahoywa.

Nangona kunjalo, njengoko bekutshiwo ngaphambili, olu chaphazeleko lwemitha alufanelekanga kumntwana osesiswini ukuba ukhulelwe, okanye kumntwana onceliswa ubisi ukuba uncancisa. Yiyo loo nto kubalulekile ukwazisa ugqirha ngalo mba kwangethuba. Ugqirha angakucela ukuba uyeke ukuncancisa kangangeentsuku ezimbalwa.

Kukho ezinye iingxaki ezincinci ezinokwenzeka, kodwa azifane zenzeke:

• (I-Radiotracer) Intlungu encinci, ukubomvu, okanye ukudumba apho umthambo ufakwe khona: Oku kuya kuphela emva kosuku olunye okanye ezimbini. Ungaziva ubushushu.
• Ukusabela kwi-radiotracer: Oku kunqabile kakhulu . Uninzi lwexesha, yimpendulo nje encinci efana nokurhawuzelelwa okanye ukudumba okuncinci. Ukusabela okukhulu kwe-allergy akuqhelekanga. Khumbula, oku kubangelwa kukunganyamezelani ne-iodine ngokwayo, kodwa kubangelwa zezinye izithako ezikwimveliso equlethe i-iodine. Xelela ugqirha wakho ukuba ukhe waba ne-allergy kwi-iodine ngaphambili.

Ndiza kukwazi nini ukwazi iziphumo zale Thyroid Uptake & Scan?

Ixesha elithathayo ukuze ufumane iziphumo zovavanyo lwakho linokwahluka kancinci. Kuxhomekeke kwisibhedlele apho wenze khona uvavanyo, isizathu sokwenziwa kweskeni, ixesha elithathayo ukuhlalutya imifanekiso, kunye nokuba ungadinga "uluvo lwesibini" oluvela kwenye ingcali.

Oku kuqhele ukwenzeka: Ingcali ye-radiology okanye omnye ugqirha oqeqeshiweyo oqeqeshwe ngokukodwa kwi-nuclear scans uphonononga ngononophelo imifanekiso ye-scan kunye nomlinganiselo wokuthathwa kwe-automation aze alungiselele ingxelo epheleleyo. Ingxelo emva koko ithunyelwa kugqirha oku-odolele uvavanyo. Ugqirha uya kudibana nawe aze akuchazele ukuba iziphumo zithetha ukuthini kuwe. Oku kunokuthatha naphi na ukusuka kwiintsuku ezimbalwa ukuya kwiveki okanye ezimbini.

Olu `(Ukuthathwa kunye nokuSkena kweThyroid)` luvavanyo lwezonyango olukhuselekileyo noluluncedo kakhulu olunokuvavanya ukusebenza kunye nempilo yegland yakho ye-thyroid. Ukuba unemibuzo okanye amathandabuzo malunga nolu vavanyo, indlela oluqhutywa ngayo, okanye iziphumo, ungoyiki ukubuza ugqirha wakho. Khumbula, bakhona ukukunceda nokusombulula iingxaki zakho.

Okokugqibela, khumbula (Umyalezo Wokuya Ekhaya)

Kulungile, ngoko ke, ngokwezinto ebesithetha ngazo ukuza kuthi ga ngoku, nazi ezinye zezinto ezibaluleke kakhulu ekufuneka uzikhumbule:

• Olu vavanyo `(Ukuthathwa kunye nokuSkena kweThyroid)` luvavanyo olubaluleke kakhulu nolukhuselekileyo olusetyenziselwa ukufumanisa indlela esebenza ngayo i-thyroid gland entanyeni yakho, kunye nokuba kukho nasiphi na isiphako, iqhuma (`(I-Nodule)`), okanye ingxaki efana nokusebenza ngokugqithisileyo (`(I-Hyperthyroidism)`).
• Kubalulekile ukulandela imiyalelo kagqirha ngononophelo ngaphambi kovavanyo (njengokutya nokusela, ukuyeka amayeza, nokubaxelela ukuba ukhulelwe) ukuze ufumane iziphumo ezichanekileyo.
• Kusetyenziswa inani elincinci lezinto ezinemisebe (`(Radiotracer)`) ngexesha lovavanyo, kodwa aziyi kubangela monakalo mkhulu emzimbeni wakho. Ubungakanani bemisebe ekhutshwayo buphantsi kakhulu.
• Akukho ntlungu ngexesha lovavanyo. Kubalulekile ukuhlala ungashukumi okwethutyana ngelixa kusenziwa iskeni.
• Nje ukuba iziphumo zifumaneke, ugqirha wakho uza kuxoxa nawe ngokweenkcukacha aze agqibe ukuba uza kunyangwa na ngakumbi.

Ngoko ke, ukuba ugqirha ucebisa ukuba wenze olu vavanyo lwe-`(Thyroid Uptake & Scan)`, musa ukoyika okanye ukhathazeke ngokungeyomfuneko ngalo. Le yindlela elungileyo yovavanyo kwizonyango zanamhlanje enokukunceda ufumane ulwazi oluninzi oluxabisekileyo malunga nempilo yakho. Kungcono ukuthetha ngokukhululekileyo nogqirha wakho kwaye ubuze kwaye ucacise yonke imibuzo onayo engqondweni.

I- thyroid, i-thyroid scan, ukufunxwa kwe-thyroid, i-radioactive iodine, i-thyroid gland, i-hyperthyroidism, ii-thyroid nodules