Ikhamera ekhethekile ebheka ngaphakathi emzimbeni: Konke mayelana nokuthwebula izithombe zemithi yenyukliya!

Wake wezwa ngokuhlolwa okubizwa ngokuthi 'iNuclear Medicine Imaging'? Cishe wezwa ngakho lapho udokotela wakho ekutshela ukuthi wenze ukuhlolwa okunjalo. Kuzwakala kuyesabeka kancane uma uzwa leli gama, akunjalo? 'Nuclear' uma ulisho kanjalo. Kodwa ungakhathazeki, namuhla sizoxoxa ngakho ngokuningiliziwe, ngesiSinhala ongasiqonda, futhi kalula. Njengokukhuluma nomngane.

Kuyini lokhu okubizwa ngokuthi i-Nuclear Medicine Imaging?

Kalula nje, lena indlela ekhethekile esetshenziswa ukubheka izitho ezingaphakathi emizimbeni yethu. Kodwa ngokungafani nezinye izikena, lena inomehluko omncane. Nakhu okwenzekayo: Okokuqala, unikezwa inani elincane kakhulu 'le-radioactive tracer'. Lokhu kuvame ukunikezwa ngomjovo emthanjeni. Ngezinye izikhathi kunikezwa njengesiphuzo, kuye ngokuthi kwenziwani ukuhlolwa. Lokhu akuwona umuthi noma uketshezi oludaya umzimba, akunjalo? Uma kunikezwa, kuhamba ngegazi lethu, kuye esithweni noma esicutshini esifuna ukusihlola, bese kufakwa lapho.

Ngemuva kwalokho, ubekwa ngaphansi kwekhamera ekhethekile ebizwa ngokuthi 'ikhamera ye-gamma', ethola imisebe engabonakali ekhishwa yizinto ezifakwe emzimbeni wakho. Le khamera ibucayi kakhulu. Lolo lwazi lwemisebe luthunyelwa kukhompyutha bese luguqulwa lube izithombe ezinhle. Lufana 'nemephu' yesitho esingaphakathi emzimbeni wethu. Odokotela bangathola ngokubheka lezo zithombe ukuthi kukhona yini inkinga emzimbeni wakho noma ukuthi isitho sisebenza kahle.

Manje ungase ucabange, 'O, i-radioactive, iyesabeka, kumelwe ukuthi imbi emzimbeni wakho.' Kodwa iqiniso liwukuthi, inani lemisebe ezintweni ezisetshenziswe kulolu vivinyo liphansi kakhulu . Okusho ukuthi, inani elifanayo lemisebe esivame ukulibona endaweni yethu yansuku zonke, futhi ngezinye izikhathi lincane kakhulu. Futhi, lezi zinto ngokuvamile azibangeli noma yimiphi imiphumela emibi. Lezi zinto ziyasuswa emzimbeni ngemva kwesikhashana. Ngakho-ke asikho isizathu sokwesaba ngokungadingekile.

Kungani sidinga lolu hlobo lokuhlolwa (Ukuhlolwa Kokuthwebula Izithombe Zenuzi)?

Nokho, lokhu kuhlolwa kusetshenziselwa kakhulu ukuxilonga izifo ezahlukahlukene. Ngezinye izikhathi kusetshenziselwa nokwelapha nokubona ukuthi ukwelashwa kwamanje kusebenza kangakanani. Cabanga nje ukuthi lokhu kuhlolwa kungasiza kangakanani odokotela bethu ukuthola. Nazi ezinye zezifo nezimo lokhu kuhlolwa okungazithola:

• Ezinye izifo zegazi (isib., ezinye izinhlobo ze-anemia, izinkinga zokujiya kwegazi).
• Izifo ze-thyroid, ikakhulukazi izimo lapho i-thyroid gland ingasebenzi kahle (i-hypothyroidism).
• Isifo senhliziyo (isib., ukwehla kokugeleza kwegazi emisipheni yenhliziyo, ukulimala kwenhliziyo ngemva kokuhlaselwa yinhliziyo).
• Izifo zenyongo (isb., i-cholecystitis, ukuvaleka kwe-bile duct).
• Izinkinga zamaphaphu (isib., ukugoba kwegazi emaphashini, ukungasebenzi kahle kwamaphaphu).
• Izinkinga ezihlobene namathambo, njengokutheleleka kwamathambo, ukwaphuka okunzima ukukuthola, kanye nokuthi amaseli omdlavuza asesakazekele emathanjeni yini.
• Izifo zezinso, isibonelo, ukutheleleka kwezinso, izibazi, kanye nokuvaleka komgudu womchamo.
• Thola izinhlobo ezahlukene zomdlavuza bese ubona ukuthi umdlavuza ususabalale kangakanani (ukubeka izigaba).

Ngaphezu kwalokhu, njengoba ngishilo ekuqaleni, lobu buchwepheshe "bokuthwebula izithombe zemithi yenyukliya" busetshenziswa futhi ezindleleni zokwelapha. Isibonelo indlela yokwelapha "nge-Radioimmunotherapy". Kulokhu, imisebe kanye ne-immunotherapy kuyahlanganiswa, futhi imisebe ithunyelwa endaweni eqondiwe, njengamaseli omdlavuza, ukuze kwelashwe. Lokhu kusho ukuthi umonakalo kumaseli anempilo ungancishiswa.

Uyini umehluko phakathi kwalokhu kanye nezinye izivivinyo ze-radiological?

Lona umbuzo obaluleke kakhulu okufanele uwuqonde. Okunye `(Ukuhlolwa kwe-Radiologic)` noma njengoba sikwazi ``X-ray``, ``(CT scan)`` ikakhulukazi kubheka indlela izitho zomzimba wethu ezibukeka ngayo , okungukuthi, ukuma kwazo, usayizi, ubuningi, isakhiwo, njll. Odokotela bakubiza lokhu ngokuthi ukubheka ``i-anatomy`` yesitho.

Kodwa lokhu kuhlolwa "kokuthwebula izithombe zemithi yenyukliya" kubheka kakhulu ukuthi izitho zisebenza kanjani. Okungukuthi, ukuthi izitho zisebenza kahle yini, ukuthi izinqubo zazo zamakhemikhali zenzeka kahle yini, ukuthi ukujikeleza kwegazi kuhle yini, nokuthi kukhona yini izinguquko ezingeni lamaseli.

Uma sikhuluma iqiniso, kuyilapho ezinye izikena zithatha 'isithombe' sesitho, i-Nuclear Medicine Imaging ifana 'nokubuka bukhoma ukuthi leso sitho sisebenza kanjani'.

Inzuzo enkulu yokukwazi ukubona ukusebenza kwesitho ngale ndlela ukuthi ezinye izifo zingabonakala ngokushintsha kokusebenza kwazo ngaphambi kokuba kube nezinguquko ezinkulu esakhiweni sazo. Khona-ke odokotela bangasithola lesi sifo kusenesikhathi futhi baqale ukwelashwa ngokushesha. Lokhu kwandisa amathuba okuba ukwelashwa kuphumelele.

Kufanele sizilungiselele kanjani ngaphambi kwalolu vivinyo?

Lokhu futhi kuyinto okudingeka uyazi ngokuqinisekile. Kodwa njengoba kunezinhlobo eziningi kangaka zokuhlolwa "kweMithi Yenuzi", indlela okudingeka uzilungiselele ngayo ayifani. Kuzohluka kusukela ekuhlolweni kuya ekuhlolweni okuhlelelwe ukukwenza.

Isibonelo, kwezinye izivivinyo, ungase ucelwe ukuthi ungadli noma uphuze lutho ngaphandle kwamanzi amahora amane kuya kwayisithupha ngaphambi kokuhlolwa kuze kube yilapho ukuhlolwa sekuphelile (ukuzila ukudla). Kwezinye izivivinyo, ungase ucelwe ukuthi uyeke ukuthatha imithi ethile ezinsukwini ezimbalwa ngaphambi kokuhlolwa. Kodwa ezinye izivivinyo zingase zingadingi ukulungiswa okukhethekile.

Ngakho-ke, into ebaluleke kakhulu ukuthi uma unikezwa isivivinyo esinjengalesi, kufanele ubuze udokotela wakho noma umnyango ofanele wesibhedlela lapho kwenziwa khona isivivinyo ukuthi ungasilungiselela kanjani. Bazokunikeza imiyalelo eqondile yokuthi yini okufanele uyenze nokuthi yini okungafanele uyenze. Ukulandela leyo miyalelo kubaluleke kakhulu ukuthola imiphumela yokuhlolwa enembile.

Yini okufanele siyazi ngosuku lokuhlolwa?

Kunezinto ezimbalwa ezincane okudingeka uzikhumbule ngosuku lokuhlolwa. Lezi akuzona izinto ezinkulu, kodwa kuhle ukuzazi.

• Okokuqala, gwema ukuletha izinto zakho eziyigugu (njengobucwebe, amaparele), imali eningi, namakhadi esikweletu esibhedlela. Ngoba uma zilahleka, lokho kuyinkinga enye. Ngisho noma ngokuvamile kunezindawo zokugcina izinto, kungcono ukungazilethi.
• Ungase ucelwe ukuthi ugqoke ingubo ekhethekile yasesibhedlela. Lokhu kuzokwenza ukuhlolwa kube lula.
• Lokhu kuhlolwa kwenziwa ochwepheshe abaqeqeshwe ngokukhethekile nababhalisiwe. Izithombe nedatha etholakala ekuhlolweni bese kuhlaziywa futhi kuhlolwe odokotela be-Nuclear Radiologists. Ngakho-ke, ungaqiniseka ukuthi usezandleni eziphephile.

Kwenzekani ngesikhathi sokuhlolwa?

Kulungile, manje ake sibone ukuthi kwenzekani ngaphakathi kokuhlolwa. Ngemva kokuthi ungeniswe egumbini lokuhlolwa, uzocelwa ukuba ulale embhedeni ngaphansi kwekhamera ethi "Gamma". Le khamera inkulu kancane, kodwa ngeke ithinte umzimba wakho, ngakho akukho okufanele ukwesabe.

Ikhanda lekhamera lizohamba kancane phezu kwengxenye yomzimba wakho ehlolwayo, noma lizohlala endaweni eyodwa, lithatha uchungechunge lwezithombe. Kubaluleke kakhulu ukuthi uhlale unganyakazi isikhathi eside phakathi nalesi sikhathi. Kufana nokubamba umoya wakho ngenkathi uthatha isithombe. Uma uhamba, izithombe zingase zingacaci, futhi kungadingeka uphinde isivivinyo. Ngakho zama ukuhlala unganyakazi njengoba kuyalelwe abasebenzi. Ngezinye izikhathi ungase ucelwe ukubamba umoya wakho isikhashana.

Amakristalu akhethekile azwelayo ngaphakathi kwekhanda lekhamera athatha imisebe engabonakali evela ku-radioactive tracer emzimbeni wakho. Bese edala izithombe esikrinini sekhompyutha. Odokotela bahlaziya lezi zithombe ukuze bathole ukuxilongwa ngesimo sakho.

Kuthatha isikhathi esingakanani lokhu kuhlolwa?

Isikhathi esithathayo kulokhu siyahlukahluka kuye ngohlobo lokuhlolwa okwenzayo. Ngokuvamile, kuthatha imizuzu engama-30 kuya kwengama-60 ukwenza ukuskena ngekhamera, kungabandakanyi isikhathi esithathayo ukuze kunikezwe i-radioactive tracer nokuthi imuncwe kahle.

Kodwa-ke, kunezinye izivivinyo, njengokuskena kwamathambo, lapho kungathatha amahora amabili kuya kwamathathu ukuthi i-radioactive tracer ingene emzimbeni ngokugcwele. Ezimweni ezinjalo, uzonikezwa i-tracer, unikezwe ikhefu elifushane (mhlawumbe utshelwe ukuthi uphuze amanzi phakathi nalesi sikhathi), bese ucelwa ukuthi ubuye uzoskena ngesikhathi esihleliwe.

Kunezikhathi lapho ezinye izivivinyo `(zeMithi Yenuzi)` zingadinga ukwenziwa izinsuku eziningana. Isibonelo, kungase kube nezikhathi lapho unikezwa `(i-tracer)` namuhla, bese kuba khona ukuskena okukodwa namuhla, bese kuba nokunye ukuskena kusasa. Uzokwaziswa ngakho konke lokhu kusenesikhathi.

Yiziphi izingozi nezinzuzo zalokhu?

Abantu abaningi bayasaba kancane uma bezwa igama elithi 'radioactive', futhi lokho kuyinto evamile. Kodwa njengoba ngishilo ngaphambili, ama-tracer asetshenziswa kulezi zivivinyo akuzona izidakamizwa, futhi ngokuvamile awabangeli imiphumela emibi. Futhi, izinga lemisebe oyitholayo ngesikhathi sokuhlolwa okufana nalokhu liphansi kakhulu, ngakho akudingeki ukhathazeke ngezinto ezifana nengozi yomdlavuza.

Kodwa-ke, akuvamile kakhulu, okungukuthi, ngephesenti elincane kakhulu, abanye abantu bangase babe nokusabela kokungezwani komzimba ku-`(i-Radioactive tracer)`. Lokho kusho into efana nokuqubuka noma ukulunywa emzimbeni. Ngakho-ke, uma une-allergy kunoma yini (njengemithi, ukudla, uthuli), kufanele utshele udokotela wakho kanye nabantu abenza ukuhlolwa ngakho kusenesikhathi. Khona-ke bazobe beyiqaphela.

Manje ake sibheke izinzuzo. Lokhu kuskena '(Imithi Yenuzi)' kungasinika ulwazi olubaluleke kakhulu noluyingqayizivele esingenakuluthola kwezinye izivivinyo. Ngezinye izikhathi, into okudingeka yenziwe ngokuhlinzwa okukhulu ('ukuhlinzwa kokuhlola') ingatholakala ngokuskena okufana nalokhu, ngaphandle kokubangela umonakalo omkhulu emzimbeni ('okungenani okungavamile'). Okusho ukuthi, lokhu kuwusizo olukhulu ekuthuthukiseni ikhwalithi yokuxilongwa nokwelashwa. Ezimweni eziningi, kungabona nezifo ezigabeni zazo zokuqala, ngisho nasezigabeni ezincane ezingabanjwanga ezinye izivivinyo. Lokhu kunikeza ithuba elihle lokuqala ukwelashwa kusenesikhathi.

Ngemva kokuhlolwa?

Ngokuvamile, ngemva kokuphela kokuhlolwa, ungabuyela emisebenzini yakho evamile, udle futhi uphuze ukudla kwakho okuvamile. Akukho ukuphumula okukhethekile okudingekayo. Ngezinye izikhathi udokotela uzokutshela ukuthi uphuze amanzi engeziwe, ukuze asize i-``(tracer)`` iphume emzimbeni wakho ngokushesha. Ngaphandle kwalokho, akukho okukhethekile. Udokotela uzokhuluma nawe ngakho uma uthola umbiko wakho wokuhlolwa.

Okokugcina, izinto ezibaluleke kakhulu okufanele uzikhumbule (Umyalezo Wokuya Ekhaya)

Kulungile, sesikhulume kakhulu nge-"Nuclear Medicine Imaging" manje. Ngicabanga ukuthi usuyiqondile kahle. Nazi izinto ezibalulekile okudingeka uzikhumbule:

• Ukuhlolwa kweMithi Yenuzi kuyindlela ethuthukisiwe kakhulu, ephephile, futhi ephumelelayo esetshenziselwa ukuxilonga izifo eziningi nokwelapha ezinye.
• Lokhu akubanga monakalo omkhulu noma ubuhlungu emzimbeni (`okungenani kakhulu`). Inani lemisebe nalo liphansi kakhulu.
• Uma udokotela wakho ekutshela ngalolu hlobo lokuhlolwa, khuluma naye ngakho. Mbuze nganoma yimiphi imibuzo noma ukukhathazeka onakho. Ungagodli lutho.
• Landela imiyalelo ngqo, ikakhulukazi mayelana nokulungiselela ngaphambi kokuhlolwa.

"Khumbula, ngokuthuthuka kwesayensi yezokwelapha, ukuhlolwa okufana nalokhu kuyasiza kakhulu ekuvikeleni impilo yethu nasekutholeni izifo ngokushesha. Ngakho-ke, kubalulekile ukwazi ulwazi olufanele nokulandela iseluleko sezokwelapha ngaphandle kokudala ukwesaba okungadingekile."

Uma ufuna ukwazi okunye, qiniseka ukuthi ubuza udokotela wakho. Hlala uphilile!

Imithi yenuzi , ukuhlolwa kwemisebe, ukuxilonga, ama-tracer, amakhamera e-gamma, impilo, ukuhlolwa kwezokwelapha