Wake wezwa ngokuhlolwa kwe-lymphoscintigraphy? Ake sixoxe ngakho ngokuningiliziwe!

Ngezinye izikhathi odokotela bakhuluma ngezivivinyo esingakaze sizizwe, akunjalo? I-Lymphoscintigraphy ingenye yazo. Igama lingase lizwakale lingavamile, kodwa empeleni lokhu ukuhlolwa okubaluleke kakhulu okusiza ukuthola isithombe esihle sohlelo lwe-lymphatic emzimbeni wethu. Ngakho-ke, ake sixoxe ngalokhu kalula, ngendlela ongayiqonda?

Kuyini i-Lymphoscintigraphy?

Kalula nje, i-lymphoscintigraphy uhlobo olukhethekile lokuhlolwa kwezithombe zemithi yenuzi . Ivumela abahlinzeki bethu bezempilo, njengodokotela nabahlengikazi, ukuthi bathathe izithombe ezinemininingwane zesistimu yakho ye-lymphatic . Lezi zithombe zingabasiza bathole indawo eqondile yama-lymph node akho, babone ukugeleza koketshezi lwe-lymph, futhi banqume ukuthi unezifo ezithile yini.

Elinye igama lalokhu "ukwenza imephu yama-lymph node." Cishe kubizwa kanjalo ngoba kufana nemephu, okusiza ukuthola izindawo zama-lymph node.

Lolu vivinyo lwe-lymphoscintigraphy lwenziwa nini?

Odokotela basebenzisa kakhulu lolu vivinyo ngezizathu ezimbalwa. Ake sibone ukuthi luyini:

• Ukuhlola nokuhlola izinhlobo ezithile zomdlavuza: Lokhu kusetshenziselwa ikakhulukazi ukuhlonza umdlavuza webele kanye ne-melanoma, uhlobo olubi kakhulu lomdlavuza wesikhumba . Isibonelo, uma othile esola ukuthi unomdlavuza webele, lokhu kuhlolwa kungasiza ekuqinisekiseni lokho futhi kubone ukuthi umdlavuza ususakazeke kangakanani.
• Thola futhi ususe ama-node e-sentinel ngokuhlinzwa: Manje ungase uzibuze ukuthi iyini i-sentinel node. Lena yi -lymph node lapho amangqamuzana omdlavuza avela esimila esiyinhloko asakazeka khona okokuqala. Ngezinye izikhathi kungaba nama-node e-sentinel angaphezu kweyodwa. Ngakho-ke, lapho lokhu kuhlolwa kuthola leyo lymph node yokuqala, odokotela bangasusa leyo eyodwa ukuze babone ukuthi umdlavuza ususakazeke yini. Khona-ke abadingi ukususa amanye ama-lymph node aphilile.
• Ukuhlonza izifo zesimiso se-lymphatic: Lokhu kuhlolwa kungasiza ekuhlonzeni izimo ezifana ne -lymphangiomatosis, i-lymphedema (ukuvuvukala kwamalungu ngenxa yokugeleza kahle kwe-lymphatic), kanye ne-chylothorax .
• Qapha inqubekela phambili yokwelashwa: I-Lymphoscintigraphy ingasetshenziswa futhi ukubona ukuthi ukwelashwa okunikezwayo ngemva kokuxilongwa kwesifo kusebenza kahle yini nokuthi isifo sesiphelile yini.

Lolu vivinyo lwe-lymphoscintigraphy lusebenza kanjani?

Lokhu kungase kuzwakale kungokwesayensi kancane, kodwa ake ngikuchaze kalula. I-Lymphoscintigraphy ukuhlolwa kwesithombe senuzi. Lokhu kusho ukuthi udokotela wakho usebenzisa inani elincane kakhulu lento enemisebe ebizwa ngokuthi i-radiotracer . Ungakhathazeki, incane kakhulu futhi iphephile.

Uma le `(radiotracer)` ifakwa ngaphansi kwesikhumba, iyahamba futhi "iqoqe" ezindaweni lapho kunomdlavuza noma ezinye izinkinga. Le `(radiotracer)` ikhipha okuthile okubizwa ngokuthi `(gamma rays). Kunezikhamera ezikhethekile `(gamma cameras)` ezingakwazi ukubona le misebe. Le khamera ithumela leyo datha kukhompyutha, eyenza izithombe zalokho okungaphakathi emzimbeni wakho. Enye yezinzuzo ezinkulu zale ndlela ukuthi ingakwazi ukubona izifo zisesesigabeni sokuqala, ngaphambi kokuba ezinye izivivinyo zezithombe zingazibamba.

Lo mjovo we-`(radiotracer)` uvame ukunikezwa ngosuku lokuhlolwa. Kodwa ngezinye izikhathi unganikezwa ngosuku olwandulelayo. Umjovo unikezwa ngaphansi kwesikhumba sakho, eduze nendawo okufanele ihlolwe. Kodwa-ke, ungahluka kuye ngohlobo lokuhlolwa okwenzayo. Udokotela wakho uzokutshela ngalokhu kusengaphambili.

Kufanele uzilungiselele kanjani ngaphambi kwalolu vivinyo?

Udokotela wakho uzokutshela ukuthi ungayilungiselela kanjani i-lymphoscintigraphy, kodwa ngokuvamile, khumbula lezi zinto:

• Shiya ubucwebe bakho ekhaya: Insimbi ingaba yisiphazamiso lapho uthatha izithombe, ngakho-ke kuwumqondo omuhle ukususa izinto ezifana namacici nemigexo.
• Tshela udokotela wakho uma ukhulelwe noma uncelisa: Lokhu kubaluleke kakhulu. Ngenxa yokuthi kusetshenziswa izinto ezinemisebe, kufanele kuqashelwe ngokukhethekile ezimweni ezinjalo.
• Letha uhlu olusha lwemithi, amavithamini, kanye nezithasiselo ozithathayo: Lolu lwazi lubaluleke kakhulu kodokotela.

Kwenzekani ngesikhathi sokuhlolwa?

I-Lymphoscintigraphy ivame ukuba inqubo yokulaliswa esibhedlela. Lokhu kusho ukuthi ungaya ekhaya ngosuku olufanayo ngemva kokuhlolwa. Kodwa-ke, ngezinye izikhathi kungenziwa ngosuku olufanayo nokuhlinzwa kwakho.

Uma ufika ukuzohlolwa, isisebenzi sezempilo sizokuyisa ekamelweni lokuhlolwa bese sikucela ukuthi ulale etafuleni. (Ungase ukwazi ukugqoka izingubo zakho, noma ungase ucelwe ukuthi ugqoke ingubo ekhethekile abazokunikeza yona.)

Okulandelayo, bafaka inaliti encane kakhulu ngaphansi kwesikhumba sakho leyo "radiotracer" engikhulume ngayo ekuqaleni.

Yilokhu okwenzekayo ngemva kokuthi `(i-Radiotracer)` ingeziwe:

• Leyo khamera ekhethekile ethi "gamma camera" ithatha uchungechunge lwezithombe. Kuye ngokuthi ufuna ukuthatha izithombe kuphi emzimbeni wakho, ikhamera ingase ihlale endaweni eyodwa, noma ingase ikuzungeze.
• Uchwepheshe angakucela ukuthi ushintshe izikhundla phakathi kokuthatha izithombe.
• Uma uthatha izithombe nge-`(ikhamera ye-Gamma)`Kufanele uhlale unganyakazi isikhashana. Lokhu kungase kubonakale kunzima kancane, kodwa kubaluleke kakhulu ukuthola izithombe ezicacile.
• Uchwepheshe uzohlola ukuthi banazo zonke izithombe abazidingayo bese ekukhulula ukuthi uhambe.

Khumbula, bazokusiza ukuthi wenze yonke le nqubo ibe lula ngangokunokwenzeka. Ungesabi ukubuza uma unemibuzo.

Yini ongayilindela ngemva kokuhlolwa?

Ngaphandle kokuthi udokotela wakho akutshele ngenye indlela, ungaqhubeka nemisebenzi yakho evamile ngokushesha ngemva kokuhlolwa. I-radiotracer izokhishwa emzimbeni wakho ngomchamo wakho kanye nendle zingakapheli izinsuku ezimbili kuya kwezintathu. Phuza amanzi amaningi ukusiza kule nqubo.

Ingabe zikhona izingozi zalolu vivinyo?

I-Lymphoscintigraphy ingase ingafaneleki kuwo wonke umuntu, ikakhulukazi ezimweni ezilandelayo:

• Uma ukhulelwe noma uncelisa.
• Uma unomdlavuza webele ovuvukalayo .
• Uma kunezigaxa eziningi esifubeni noma isigaxa esikhulu kunamasentimitha angu-5 .
• Uma unesifo esibizwa ngokuthi i-Ductal carcinoma in situ (DCIS) .

Uma unesifo esifana nalesi, kubaluleke kakhulu ukutshela udokotela kusenesikhathi.

Ingabe ikhona imiphumela emibi?

I-Lymphoscintigraphy ukuhlolwa okungavamile kakhulu okubangela imiphumela emibi. Kodwa-ke, akuvamile kakhulu, abanye abantu bangase babe nokusabela kokungezwani komzimba ne-radiotracer. Uma lokho kwenzeka, udokotela wakho uzokunikeza ukwelashwa okudingekayo.

Kuthatha isikhathi esingakanani ukwazi imiphumela yokuhlolwa?

Ngokuvamile uzothola imiphumela yokuhlolwa kwakho kwe-lymphoscintigraphy zingakapheli isonto . Uchwepheshe othathe izithombe uzozithumela kudokotela we-radiologist (udokotela ochwepheshe ekuxilongeni izifo ngokubuka izithombe). Udokotela we-radiologist uzoxhumana nodokotela owakuncoma ekuqaleni ukuhlolwa ukuze baxoxe ngemiphumela. Lokhu kungathatha izinsuku ezimbalwa, kodwa udokotela wakho uzokushayela ucingo ngokushesha nje lapho ethola imiphumela.

Uma imiphumela ingavamile, kuzokwenzekani ngokulandelayo?

Kuya ngokuthi udokotela wakho uhlola isimo esinjani. Kodwa ngokuvamile, uma befuna umdlavuza, into elandelayo abazoyenza ngokuvamile ukuhlinzwa kwe-sentinel node biopsy. Okusho ukuthi, bathatha ucezu oluncane lwezicubu ku-sentinel node bese beluhlola.

Kodwa-ke, udokotela wakho uzokhuluma nawe futhi akuchazele ukuthi imiphumela isho ukuthini nokuthi yiziphi izinyathelo ezilandelayo ezifanele, ngakho ungakhathazeki ngakho.

Ingabe lokhu kuhlolwa kubuhlungu?

Akubuhlungu ukuhlolwa.Uzozwa ukuhlatshwa kwenaliti encane lapho kujovwa i-radiotracer. Kufana nokuthola umjovo ojwayelekile. Ngaphandle kwalokho, ngeke uzwe ubuhlungu ngesikhathi sokuhlolwa.

Ingabe i-Lymphoscintigraphy isebenzisa imisebe?

Yebo, ukuhlolwa kwe-lymphoscintigraphy kusebenzisa inani elincane kakhulu lezinto ezinemisebe (ama-radiotracer) ukuthola ama-lymph node akho nokubona ukuthi uhlelo lwakho lwe-lymphatic lusebenza kanjani. Njengoba ngishilo ngaphambili, la manani mancane kakhulu futhi aphephile. Lawa ma-radiotracer avame ukushiya umzimba wakho ngokuphelele phakathi nosuku olulodwa noma ezimbili.

Kuthatha isikhathi esingakanani lokhu kuhlolwa?

Kuyahlukahluka kuye ngesizathu sokuhlolwa kanye nobukhulu bendawo ethintekile. Kwabanye abantu, i-lymphoscintigraphy ingathatha cishe imizuzu engama-30. Kwabanye, kungathatha amahora amaningana. Udokotela wakho angakunikeza umbono oqondile wokuthi ukuhlolwa kwakho kuzothatha isikhathi esingakanani.

Ngakho-ke, yiziphi izinto zokugcina okufanele uzikhumbule?

Kungakhathaliseki ukuthi isimo sakho sempilo sinjani, ukutholwa kusenesikhathi kubalulekile. Lokhu kuhlolwa, okubizwa ngokuthi i-lymphoscintigraphy, kungasiza odokotela ukuthola eminye imidlavuza nezifo zesistimu ye-lymphatic ngaphambi kokuba zitholakale ngezinye izivivinyo. Lokhu kungandisa kakhulu amathuba akho okwelashwa ngempumelelo.

Uma unemibuzo mayelana ne-lymphoscintigraphy noma ukuthi yini okufanele uyenze ngokulandelayo, ungangabazi ukubuza udokotela wakho. Bayajabula ukukusiza.

Khumbula, lezi zivivinyo zikhona ukuze zikusize. Ngakho-ke ungesabi ngokungadingekile. Xoxa ngakho konke nodokotela wakho futhi uqede noma yikuphi ukungabaza.

I- Lymphoscintigraphy, Uhlelo lwe-lymph, Ama-lymph node, Ama-sentinel node, Ukuxilongwa komdlavuza, Umdlavuza webele, i-Melanoma, Umuthi we-nuclear