Ingabe udokotela wakho ukutshelile ukuthi wenze 'i-thyroid scan'? Ungase wesabe kancane uma uzwa igama. Kuvamile ukuzizwa wesaba uma uzwa amagama anjengokuthi 'i-radioactive'. Kodwa empeleni kuwukuhlolwa okuphephile kakhulu, okwenziwa njalo. Ngakho-ke namuhla, ake sixoxe ngokuthi iyini le Thyroid Uptake and Scan, ukuthi kungani yenziwa, nokuthi ungayilungiselela kanjani.
Kuyini Ukuthathwa Nokuskenwa Kwe-Thyroid?
Kalula nje, lokhu ukuhlolwa kwesithombe okukhethekile okuhlola ukusebenza kwe-thyroid gland entanyeni yakho. Lokhu sikubiza ngokuthi ukuthwebula izithombe zemithi yenuzi. Ungesabi ngegama. Kuhilela ukufaka into encane kakhulu, ephephile enemisebe (i-radiotracer) emzimbeni wakho bese uthatha izithombe ze-thyroid gland yakho ngekhamera ekhethekile.
Cabanga nje, i-ultrasound ejwayelekile ye-thyroid ingabheka ukuma nobukhulu be-gland. Kodwa ngale Thyroid Uptake and Scan, ungathola ulwazi olwengeziwe, okungukuthi i-gland isebenza kanjani . Kufana nokubheka okwenzekayo ngaphakathi kwenjini yemoto, kunokubheka ingaphandle.
'Ukuthatha' kanye 'nokuskena' - uyini umehluko phakathi kwalokhu okubili?
Empeleni lezi ezimbili ziyizinqubo ezimbili, kodwa ngokuvamile zenziwa ndawonye. Uma uqonda umehluko phakathi kwalezi ezimbili, ukwesaba kwakho ukuhlolwa kuzonyamalala.
| Isigaba sokuhlola | Kalula nje... |
|---|---|
| Ukumuncwa kwe-thyroid | Lokhu kulinganisa ukuthi indlala yakho yegilo 'ilambile' kangakanani. Okusho ukuthi, ingakanani i-iodine ekhishwa ngemisebe ekhishwa yindlala 'edliwa' (emuncwa) yindlala. Lokhu kungabona ukuthi indlala isebenza ngokweqile noma ayisebenzi kahle . Azikho izithombe ezithathwe lapha, ukulinganisa nje. |
| Ukuskena kwe-thyroid | Lokhu ngempela 'kuyiseshini yesithombe'. Ngenxa yokuthi indlala imunce izinto ezikhipha imisebe, ukuma nobukhulu bendlala, kanye nokuthi yiziphi izingxenye zendlala ezisebenza kakhulu nokuthi yiziphi ezisebenza kancane, kungabonakala ezithombeni. Kufana 'nemephu yokusebenza' yendlala. |
Kalula nje, i-'Uptake' ilinganisa umsebenzi wonke wendlala, kuyilapho i-'Scan' ithatha isithombe salowo msebenzi osakazeke kuyo yonke indlala.
Kungani kufanele senze lokhu kuhlolwa?
Kunezizathu eziningana zokuthi kungani udokotela engase acele lokhu kuhlolwa. Izizathu eziyinhloko yilezi:
- Hlola ukuthi indlala yakho yegilo isebenza kahle yini: Lokhu kuskena kungasiza ekutholeni imbangela eqondile, ikakhulukazi uma utholakale une-hyperthyroidism.
- Thola okwengeziwe ngamaqhubu e-thyroid: Ngemva kokuba ukuhlolwa kwe-ultrasound kuveze iqhubu entanyeni, kubalulekile ukwazi ukuthi iqhubu liyiqhubu 'elishisayo' elikhiqiza ama-hormone, noma iqhubu 'elibandayo' elingakhiqizi ama-hormone.
- Bheka imiphumela yokwelashwa: Lokhu kuhlolwa kwenziwa futhi ukuze kubonakale ukuthi kube noshintsho yini ekusebenzeni kwendlala ngemuva kokusebenzisa umuthi wesifo se-thyroid noma ngemuva kokuhlinzwa.
Kufanele sizilungiselele kanjani ngaphambi kokuhlolwa?
Kunezinto ezimbalwa okudingeka uzazi futhi utshele udokotela wakho ngaphambi kwalokhu kuhlolwa. Ukulandela le miyalelo kubaluleke kakhulu ukuze ukuhlolwa kube nokunemba.
- Kubaluleke kakhulu: Uma ukhulelwe, uhlela ukukhulelwa, noma uncelisa, kufanele utshele udokotela wakho kanye nomuntu oqhuba ukuhlolwa ngaphambi kokuhlolwa.
- Tshela udokotela wakho ngayo yonke imithi oyithathayo: Uma uthatha noma yimiphi imithi, ikakhulukazi imithi ye-thyroid, njenge-Methimazole noma i-Propylthiouracil (PTU), udokotela wakho uzokutshela ukuthi kufanele uyeke ukuthatha leyo mithi ezinsukwini ezingaki ngaphambi kokuhlolwa.
- Sitshele ngezinye izimo zezokwelapha kanye nokungezwani komzimba: Sitshele nganoma yiziphi ezinye izimo zezokwelapha onazo kanye nanoma yikuphi ukungezwani komzimba onakho.
- Sitshele nganoma yiziphi izikena zakamuva oke wazithola: Uma uke waba nento efana ne-CT scan muva nje, okusho ukuthi ezinyangeni ezimbili ezedlule, ehilela ukufaka i-contrast material equkethe i-iodine, qiniseka ukuthi usitshela nangalokho. I-iodine ingaphazamisa lokhu kuhlolwa.
- Ukuzila Ukudla: Ungase welulekwe ukuthi ungadli noma uphuze amahora ambalwa ngaphambi kokuhlolwa.
Uma unemibuzo ngalokhu, ungesabi ukubuza udokotela wakho. Landela imiyalelo yakhe ngqo.
Kwenzekani ngesikhathi sokuhlolwa?
Njengoba sixoxile ngaphambili, 'Uptake' kanye 'nokuSkena' kuyizinqubo ezimbili. Ake sibone ukuthi zingenziwa kanjani lezi ezimbili ngokwehlukana.
Indlela Yokuthola Ukwelashwa Kwe-Thyroid
Lena inqubo elula kakhulu, engenabuhlungu.
| Izinyathelo | Kwenzekani? |
|---|---|
| Isinyathelo 1 | Uzonikezwa iphilisi noma uketshezi ozoluphuza oluqukethe i-radiotracer (i-radiotracer). Lokhu akunambitheki nhlobo. |
| Isinyathelo sesi-2 | Ngemva kokuyiphuza, ungaya ekhaya. Uzocelwa ukuthi ubuye esibhedlela emahoreni amane kuya kwayisithupha. |
| Isinyathelo 3 | Uzolaliswa embhedeni, bese kufakwa idivayisi encane ebizwa ngokuthi i-gamma probe entanyeni yakho ukuze kulinganiswe inani lemisebe emuncwa yi-thyroid gland yakho. Lokhu kuzothatha imizuzu engaphansi kwemi-5. |
| Isinyathelo 4 | Ngezinye izikhathi, ungase ucelwe ukuthi ubuye ngemva kwamahora angu-24 bese uthatha lesi sikalo. |
Indlela Yokwenza I-Thyroid Scan
Lokhu 'kuskena' kungenziwa ngemva kokulinganisa 'kokukhuphula' noma ngosuku oluhlukile.
| Izinyathelo | Kwenzekani? |
|---|---|
| Isinyathelo 1 | Ngokuvamile, into enemisebe (i-radiotracer) ifakwa emthanjeni osengalweni yakho. |
| Isinyathelo sesi-2 | Ngemva kokunikeza umuthi isikhathi esincane sokumuncwa yi-thyroid gland, uzolaliswa embhedeni. Kuzodingeka ugcine intamo yakho igobile kancane. |
| Isinyathelo 3 | Ikhamera ekhethekile ibekwa entanyeni yakho futhi ithatha izithombe ngezindlela ezahlukene. Kubaluleke kakhulu ukuhlala unganyakazi phakathi nalesi sikhathi. |
| Isinyathelo 4 | Lonke lolu hlelo lungathatha cishe imizuzu engama-30. Ngezinye izikhathi, uma udinga izithombe ezicacile, kungadingeka ukuthi uthathe ezinye izithombe ezimbalwa. Ungakhathazeki ngalokho, kuvamile. |
Wenzani ngemva kokuhlolwa?
Ngemva kokuhlolwa, ngaphandle uma udokotela wakho ekutshele ngenye indlela, ungenza imisebenzi yakho evamile. Into ebaluleke kakhulu ukuphuza amanzi amaningi . Ukwenza kanjalo kuzosiza ekukhipheni inani elincane kakhulu lezinto ezikhipha imisebe emzimbeni wakho ngokushesha ngomchamo wakho.
Ingabe kukhona ingozi kulokhu?
Igama elithi 'radioactive' lenza wonke umuntu esaba. Kodwa empeleni, inani lezinto ezisebenzisa imisebe ezisetshenziswa kulolu vivinyo lincane kakhulu. Inani lemisebe umzimba wakho obhekene nayo lincane kakhulu.
Khumbula, inani lezinto ezisebenzisa imisebe ezisetshenziswa kulolu vivinyo lincane kakhulu, ngakho-ke izinzuzo zokwazi impilo yakho ye-thyroid ngokunembile zidlula kakhulu le ngozi encane.
Kodwa-ke, njengoba kushiwo ngaphambili, lokhu kukhishwa kwemisebe kungathinta ingane esibelethweni sikamama okhulelwe noma ingane ezelwe ngumama oncelisayo, ngakho-ke kubalulekile ukubazisa ngakho.
Ezinye izinkinga ezingenzeka, kodwa ezingavamile kakhulu, zifaka:
- Kungase kube nobuhlungu obuncane lapho umuthi ujovwe khona. Lokhu kuzophela ngosuku olulodwa noma ezimbili.
- Ukusabela kokungezwani komzimba nezinto ezikhipha imisebe. Lokhu akuvamile kakhulu, kodwa ngokuvamile kuba ukusabela okuncane kokungezwani komzimba.
Ngizowuthola nini umbiko?
Izithombe nezilinganiso ezithathwe ngesikhathi sokuhlolwa zibuyekezwa nguchwepheshe wezokwelapha ngenyukliya (i-radiologist) bese kulungiswa umbiko. Umbiko uthunyelwa kudokotela wakho oye wayala ukuhlolwa. Udokotela wakho uzobe esekuchazela imininingwane esembikweni.
Umlayezo Wokuya Nawe Ekhaya
- Ukuhlolwa kwe-Thyroid Uptake and Scan kuyindlela ephephile kakhulu futhi ewusizo yokufunda ngomsebenzi kanye nempilo ye-thyroid gland yakho.
- Ngaphambi kokwenza lokhu kuhlolwa, qiniseka ukuthi utshela udokotela wakho uma ukhulelwe noma uncelisa.
- Yazisa udokotela wakho ngayo yonke imithi oyithathayo kanye nanoma yimiphi i-CT scans oye wayenza muva nje.
- Kubaluleke kakhulu ukuhlala unganyakazi ngesikhathi sokuhlolwa ukuze uthole izithombe ezicacile.
- Phuza amanzi amaningi ngemva kokuhlolwa.
- Uma unemibuzo noma ukukhathazeka ngalolu vivinyo, ungangabazi ukukhuluma nodokotela wakho ngakho.
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