Ingabe uzizwe ukhathazekile kancane lapho udokotela wakho ekutshela ukuthi udinga ukwenza i-MIBG scan? Kuvamile kakhulu ukuthi kuvele imibuzo eminingi engqondweni, njengokuthi "Um, kuyini lokhu kuskena okusha? Kungani kwenziwa lokhu?" Ikakhulukazi uma sikhuluma ngokuhlolwa kwezokwelapha esingakaze sikuzwe njalo, sizizwa sesaba futhi sinelukuluku. Kodwa ungesabi nhlobo. Namuhla, sizoxoxa ngakho konke mayelana nalokhu kuskena kwe-MIBG, kusukela kokuncane kuya kokukhulu, ngesiSinhala esilula kakhulu ongasiqonda. Njengoba nje umngane wakho ekuchazela.
Kalula nje, iyini le MIBG Scan?
Cabanga nje, kunezinto ezithile ngaphakathi emizimbeni yethu ezingenakuthwetshulwa ngekhamera evamile. Ngokufanayo, kunezinkinga ezithile ezingenakubanjwa yizinto ezifana ne-X-ray kanye ne-CT scans. Yilapho sisebenzisa khona izindlela ezikhethekile. I-MIBG scan iyisivivinyo esisebenzisa ubuchwepheshe bekhamera obukhethekile. Kwezokwelapha, lokhu sikubiza ngokuthi 'ukuhlolwa kwe-nuclear imaging'.
Yilokhu okwenzekayo:
Kufakwa into encane kakhulu, ephephile enemisebe emzimbeni wakho. Ungakhathazeki, lokhu kumane kuyinani elincane elingeke likulimaze, yilokho kanye okudingekayo esivivinyweni. Lokhu sikubiza ngokuthi ``iodine meta-iodobenzylguanidine``. Ngakho-ke ngoba kunzima ukubiza leli gama elide, silibiza ngokuthi i-MIBG ngamafuphi.
Lesi sici, esibizwa ngokuthi i-MIBG, sihamba egazini lakho futhi sinamathele ezinhlotsheni ezithile zamaseli emzimbeni wakho. Bese, usebenzisa ikhamera ekhethekile (ikhamera ye-gamma), ungabona ukuthi lesi sici siqongelelene kuphi. Kufana nokuthola izimpethu ezikhanyayo ebumnyameni.
Lolu vivinyo lubizwa ngamanye amagama amaningana, ngakho ungakhathazeki uma la magama evela embikweni wakho.
- Ukuskena kwe-Iobenguane
- Ukuskena kwe-Metaiodobenzylguanidine
- I-MIBG scintigraphy
- I-MIBG scintiscan
Kungani odokotela bencoma ukwenza lokhu kuskena kwe-MIBG?
I-MIBG scan ivame ukusetshenziselwa ukuthola izinhlobo ezithile zezimila emzimbeni, ukubona ukuthi zisakazeke kangakanani, nokuhlola ukusebenza kahle kokwelashwa. Lezi zimila zivela kumaseli emizimbeni yethu abizwa ngamaseli e-neuroendocrine akhiqiza ama-hormone.
Manje ake sibone ukuthi yiziphi izinhlobo eziyinhloko zamantongomane ezingatholakala ngalesi sikeni.
| Uhlobo Lwesimila | Incazelo Elula |
|---|---|
| I-Neuroblastoma | Lolu uhlobo lomdlavuza olungavamile oluvame ukuqala emangqamuzaneni ezinzwa zezingane ezingaphansi kweminyaka emi-5. |
| I-Pheochromocytoma | Uhlobo lwesimila esikhula ezindlaleni ze-adrenal, ezitholakala ngaphezu kwezinso zethu, noma kwenye indawo emzimbeni. Lokhu kungabangela izimpawu ezifana nomfutho wegazi ophakeme. |
| Izimila ze-carcinoid (izimila ze-neuroendocrine) | Lezi uhlobo lwesimila esikhula kancane esivame ukwenzeka ohlelweni lokuphefumula noma ohlelweni lokugaya ukudla (indlela yamathumbu). |
| I-Medullary thyroid carcinoma | Lolu uhlobo oluthile lomdlavuza oluvela endlaleni ye-thyroid entanyeni yethu. |
Ngakho-ke, cishe uyaqonda ukuthi lokhu akulona ukuhlolwa okuvamile, kodwa kuyinto eyenziwa ukuthola izimo ezithile.
Ngingakulungiselela kanjani lokhu kuskena?
Kunezinto ezimbalwa ozocelwa ukuba uzenze ngaphambi kokuskena. Ukulandela lokhu kubaluleke kakhulu ukuze kuqinisekiswe ukunemba kokuhlolwa.
1. Kukhona umuthi okhethekile okufanele uwuthathe.
Cishe ngosuku ngaphambi kokuskena, udokotela wakho uzokutshela ukuthi uthathe umuthi oqukethe i-iodine (ngezinye izikhathi obizwa ngokuthi isixazululo sikaLugol). Kungase kudingeke ukuthi uwuthathe izinsuku ezimbalwa ngemva kokuskena. Uyazi ukuthi kungani unikezwa lokhu? I-iodine enemisebe emjovweni we-MIBG iyawuvimba ukuthi ungaqongelelani endlaleni yakho ye-thyroid. Lokhu kusho ukuthi lo muthi usetshenziselwa ukuvikela indlala yakho ye-thyroid.
2. Eminye imithi kungadingeka iyekwe isikhashana.
Eminye imithi ovame ukuyithatha ingathinta imiphumela ye-MIBG scan. Ngakho-ke, udokotela wakho uzokutshela ukuthi uyeke ukuthatha leyo mithi izinsuku ezimbalwa noma isonto ngaphambi kokuhlolwa.
Kodwa khumbula lokhu: Ungalokothi uyeke ukuthatha noma yimiphi imithi wedwa. Tshela udokotela wakho ngayo yonke imithi oyithathayo, okuhlanganisa imithi kadokotela, imithi ethengwa ngaphandle kwemithi kadokotela, amavithamini, kanye nemithi yamakhambi. Uzokutshela ngqo ukuthi yimiphi imithi okufanele uyeke ukuyisebenzisa nokuthi isikhathi esingakanani.
Ithebula elingezansi libala eminye yemithi evame ukwelulekwa ukuthi iyekwe.
| Isigaba Semithi | Ivame Ukusetshenziswa Ku- |
|---|---|
| Izithibi ze-ACE | Umfutho Wegazi Ophakeme |
| Imithi yokungezwani komzimba kanye nomkhuhlane | Ukungezwani komzimba kanye nemikhuhlane |
| I-Amiodarone | Ukuphazamiseka kwesigqi senhliziyo (i-Arrhythmia) |
| Imithi yokucindezeleka | Ukucindezeleka kanye nezinye izimo zengqondo |
| Ama-blocker eziteshi ze-calcium | Ngomfutho wegazi ophakeme kanye nesifo senhliziyo |
| Ama-opioid | Ezinye izinhlobo zemithi yokubulala izinhlungu enamandla |
Kwenzekani ngempela ngezinsuku zokuskena?
Ukuskena kwe-MIBG akuyona into engaqedwa ngosuku olulodwa. Kuyinqubo eyenzeka izinsuku eziningana. Ngokuvamile, kuzodingeka uye esibhedlela izikhathi ezimbili kuya kwezine.
- Isinyathelo Sokuqala: Ukujova Umuthi
Ngosuku lokuqala, udokotela noma umhlengikazi esibhedlela uzofaka i-tracer ebizwa ngokuthi i-MIBG emthanjeni osesandleni sakho. Lokhu kufana nomjovo ojwayelekile. Ungabe usuya ekhaya. Kuthatha cishe amahora angama-24 ukuthi i-tracer ijikeleze emzimbeni wakho wonke.
- Isinyathelo Sesibili: Ukuskena Kokuqala
Ngosuku olulandelayo kuzodingeka ubuye esibhedlela ukuze uskene okokuqala. Kuzodingeka ukhumule konke okugqokile, njengezingubo zakho, amawashi, nemigexo, bese ugqoka ingubo ekhethekile yesibhedlela abakunika yona. Ngemuva kwalokho uzolaliswa embhedeni ngaphansi komshini wokuskena. Okumele ukwenze nje ukuhlala uthule , unganyakazi nhlobo. Ikhamera yokuskena izohambahamba emzimbeni wakho futhi ithathe izithombe. Ngeke uzwe ubuhlungu phakathi nalesi sikhathi.
- Isinyathelo Sesithathu: Ukuskena Kabusha
Abanye abantu kungadingeka babuye ukuze bazoskena futhi ngemva kosuku noma ezimbili. Lokhu kuzonqunywa udokotela wakho kanye nodokotela we-radiology. Ukuskena ngakunye kungathatha cishe ihora noma amabili.
Wenzani ngemva kokuqeda ukuskena?
Njengoba lokhu kuwukuhlolwa kwangaphandle, ungaya ekhaya ngemva kokuskena ngakunye. Kodwa-ke, kuzodingeka usize umzimba wakho ukhiphe izinto ezikhipha imisebe ngemva kokuya ekhaya.
Into elandela umkhondo emzimbeni wakho izosuswa ngokuphelele emzimbeni wakho ezinsukwini ezimbalwa. Ukuze usize ngalokhu , phuza uketshezi oluningi, njengamanzi neziphuzo zezithelo. Khona-ke into elandela umkhondo izoshiya umzimba wakho nomchamo nendle ngokushesha.
Futhi, kubaluleke kakhulu ukugeza izandla zakho kahle ngensipho ngemva kokusebenzisa indlu yangasese.
Iseluleko esikhethekile komama abancelisayo:
Uma ungumama oncelisayo, gwema ukuncelisa ingane yakho okungenani usuku olulodwa ngemuva komjovo we-MIBG. Lungela ukunikeza ingane yakho ubisi lwebele phakathi naleso sikhathi. Buza udokotela wakho ngolwazi olwengeziwe ngalokhu.
Ingabe zikhona izingozi ngalesi sikeni?
Lona umbuzo abantu abaningi abanawo. Eqinisweni, ukuskena kwe-MIBG kuwukuhlolwa okuphephile kakhulu. Izingozi ezihilelekile ziphansi kakhulu.
- Abanye abantu bangase bazizwe benokwenyuka okuncane komfutho wegazi ngemva kokuthola umjovo we-MIBG. Kodwa-ke, lokhu kuvame ukubuyela esimweni esijwayelekile phakathi nosuku olulodwa noma ezimbili. Ngakho-ke, uzogcinwa esibhedlela cishe imizuzu engama-30 ngemva komjovo, futhi umfutho wegazi wakho uzohlolwa ngaphambi kokuba uthunyelwe ekhaya.
- Lokhu kuhlolwa akufanele abesifazane abakhulelwe, njengoba izinto ezikhipha imisebe zingathinta ingane engakazalwa. Ngakho-ke, uma ukhulelwe noma unesinsolo esincane sokuthi ukhulelwe, kufanele utshele udokotela wakho ngaphambi kokuhlolwa.
Kuzongithatha isikhathi esingakanani ukuthola imiphumela?
Ngemva kokwenziwa kokuskena kokugcina, kuvame ukuthatha cishe izinsuku ezimbili kuya kwezintathu ukuthola imiphumela.
Okwenzekayo ukuthi udokotela we-radiologist ahlole ngokucophelela zonke izikena zakho. Ubheka izindawo lapho into ye-MIBG iqoqana khona ngendlela engavamile, ebizwa ngokuthi 'ama-hot spots.' Lezi zindawo zingabonisa ukuthi kukhona isimila.
Uchwepheshe uzobe eselungiselela umbiko ogcwele bese ewuthumela kudokotela wakho o-ode ukuhlolwa. Udokotela wakho uzobe esexoxa nawe ngombiko bese echaza ukuthi yiziphi izinyathelo okudingeka uzithathe ngokulandelayo. I-MIBG scan inembe cishe ngo-85%, okusho ukuthi iyisivivinyo esithembeke kakhulu.
Umlayezo Wokuya Nawe Ekhaya
- I-MIBG scan iyisivivinyo esiphephile kakhulu nesiqondile esisetshenziselwa ukuthola izinhlobo ezithile zezimila. Ungesabi lokhu.
- Ngaphambi kokuhlolwa, thatha iphilisi le-iodine elinikezwe udokotela ukuze uvikele indlala yakho yegilo.
- Tshela udokotela wakho ngayo yonke imithi oyithathayo (kufaka phakathi amavithamini). Ungaqali noma uyeke ukuthatha noma yimiphi imithi ngaphandle kweseluleko sikadokotela wakho.
- Inqubo yokuskena ithatha izinsuku eziningana, futhi kubaluleke kakhulu ukuhlala unganyakazi ngesikhathi sokuskena.
- Ngemva kokuskena, phuza amanzi amaningi kanye noketshezi ukuze usize ekususeni i-tracer emzimbeni wakho.
- Uma ukhulelwe noma usola ukuthi ukhulelwe, yazisa udokotela wakho ngokushesha.
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