Sidee loo sameeyaa qanjirka 'thyroid scintigraphy'

Qanacsan

• Maxaa loogu talagalay
• Sidee imtixaanka loo sameeyaa
• Sida loogu diyaar garoobo imtixaanka

Thyroid scintigraphy waa baaritaan u adeega qiimeynta shaqada qanjirka 'thyroid'. Tijaabadan waxaa lagu sameeyaa iyadoo la qaadanayo dawo leh awood shucaac leh, sida Iodine 131, Iodine 123 ama Technetium 99m, iyo qalab lagu sawirayo sawirada la sameeyay.

Waxaa loo muujiyey si loo qiimeeyo jiritaanka qanjira tayroodhka, kansarka, baaritaanka sababaha hyperthyroidism ama hypothyroidism ama bararka qanjirka, tusaale ahaan. Iska hubi waa maxay cudurrada ugu waaweyn ee saameeya qanjirka 'thyroid' iyo waxa la sameeyo.

Baadhitaanka qanjirka 'thyroid scintigraphy' waxaa si bilaash ah ku sameeya SUS, ama si gaar ah, iyadoo celcelis ahaan qiimaha uu ka bilaabmayo 300 reais, taas oo aad u kala duwan marka loo eego meesha lagu qabtay. Qalliinka ka dib, sawirrada ugu dambeeya ee qanjirka 'thyroid' ayaa lagu sifeyn karaa sida ku cad sawirka hoose:

• Natiijada A: bukaanku wuxuu leeyahay tayroodh caafimaad qaba, sida muuqata;
• Natiijada B: waxay muujin kartaa faafitaanka goiter sunta ama jirro halis ah, taas oo ah cudur isdifaaca jirka oo kordhiya firfircoonida tayroodh ee keena hyperthyroidism;
• Natiijada C: waxaa laga yaabaa inay muujiso sumowga qanjirka 'gutter goiter' ama 'plummer disease', taas oo ah cudur soo saara qanjirro qanjirka 'thyroid' oo keena hyperthyroidism.

Sawirada la sameeyay waxay kuxirantahay qaadashada walaxda shucaaca ee tayroodhka, iyo, guud ahaan, qaadashada weyn ee sameynta sawirro aad uqurux badan waxay calaamad u tahay qanjirada weyn ee shaqeyneysa, sida ku dhici karta hyperthyroidism, iyo qaadashada aan caadiga aheyn waa calaamadda hypothyroidism.

Maxaa loogu talagalay

Thyroid scintigraphy waxaa loo isticmaali karaa in lagu aqoonsado cudurada sida:

• Qanjirka 'ectopic thyroid', oo ah marka qanjidhku ku yaal meel ka baxsan goobtiisa caadiga ah;
• Dheef-shiid qanjirka 'thyroid', oo ah marka qanjidhku weynaado oo xabad ku dhici karo;
• Qanjira qanjidhada;
• Hyperthyroidism, oo ah marka qanjidhada ay soo saaraan hormoonno xad-dhaaf ah. Ogow waa maxay astaamaha iyo siyaabaha loo daaweeyo hyperthyroidism;
• Hypothyroidism, marka qanjidhada ay soo saaraan hormoonno ka yar kan caadiga ah. Fahmaan sida loo aqoonsado loona daaweeyo hypothyroidism;
• Qanjirka 'Thyroiditis', oo ah caabuq ku dhaca qanjirka 'thyroid';
• Kansarka qanjirka 'thyroid' iyo in la hubiyo unugyada burooyinka ka dib ka saarista qanjirka 'thyroid' inta lagu jiro daaweynta.

Scintigraphy waa mid ka mid ah baaritaanada lagu qiimeeyo qanjirka 'thyroid', dhakhtarka ayaa sidoo kale laga yaabaa inuu codsado kuwa kale inay ka caawiyaan baaritaanka, sida baaritaanada dhiigga ee qiimeynaya xaddiga hoormoonka tayroodhka, ultrasound, dalool ama biopsy ee tayroodhka, tusaale ahaan. Soo ogow tijaabooyinka loo isticmaalo qiimeynta qanjirka 'thyroid'.

Sidee imtixaanka loo sameeyaa

Thyroid scintigraphy waxaa lagu samayn karaa kaliya 1 maalmood ama marxalado loo qaybiyay 2 maalmood waxayna u baahan tahay soon ugu yaraan 2 saacadood ah. Marka lagu sameeyo kaliya 1 maalin, walaxda tiknoolajiyadda shucaaca, oo lagu mudayo xididka, ayaa loo isticmaalaa in lagu sameeyo sawirrada qanjirka 'thyroid'.

Marka baaritaanka lagu sameeyo 2 maalmood gudahood, maalinta ugu horreysa bukaanku wuxuu qaataa iodine 123 ama 131, kaabsol ama caws buu ku jiraa. Kadib, sawirrada tayroodhka waxaa la helaa 2 saacadood ka dib iyo 24 saacadood ka dib bilowga hawsha. Inta lagu jiro muddooyinka, bukaanku wuu bixi karaa oo wuxuu qaban karaa howlihiisa caadiga ah ee maalinlaha ah, iyo guud ahaan natiijooyinka baaritaanka ayaa diyaar ah ka dib 3 ilaa 5 maalmood.

Iodine iyo technetium labadaba waa la isticmaalaa maxaa yeelay waa maaddooyin xiriir la leh qanjirka 'thyroid', waxayna si sahal ah ugu nuuxnuuxsan karaan qanjirkaan. Foomka isticmaalka ka sokow, farqiga u dhexeeya isticmaalka iodine ama technetium ayaa ah in iodineku uu ku habboon yahay qiimeynta isbeddelada ku yimaada shaqada tayroodh, sida hyperthyroidism ama hypothyroidism. Technetium, dhanka kale, waa mid aad waxtar u leh in lagu garto jiritaanka qanjira.

Sida loogu diyaar garoobo imtixaanka

U diyaargarowga scintigraphy-ka tayroodhka waxay ka kooban tahay ka fogaanshaha cunnooyinka, daawooyinka iyo baaritaannada caafimaad ee ka kooban ama isticmaalaya iodine ama wax ka beddelaya shaqada qanjirka 'thyroid', sida:

• Cuntooyinka: Ha cunin cuntooyinka leh iodine muddo dhan 2 toddobaad, iyadoo laga mamnuucayo cunista kalluunka biyaha milixdu ku jirto, cuntada badda, haleyga, kalluunka badda, wiskeyga, waxyaabaha qasacadaysan, saliidan lagu daro ama ay ku jiraan, kalluunka nooca loo yaqaan 'soyo, tofu iyo soy'. caano;

Fiiri fiidiyaha soo socda oo arag cuntada ugu habboon ee iodotherapy:

• Imtixaannada: 3-dii bilood ee la soo dhaafay, ha sameynin imtixaannada sida istiraatiijiyadda kombiyuutarka xisaabeed, urograafyada ka soo baxa, cholecystography, bronchography, colposcopy iyo hysterosalpingography;
• Daawooyin: daawooyinka qaar baa faragalin kara baaritaanka, sida fitamiinada nafaqada leh, hormoonada tayroodhka, daawooyinka ay kujiraan iodine, daawooyinka wadnaha ee walaxda Amiodarone, sida Ancoron ama Atlansil, ama sharoobada qufaca, marka waa muhiim inaad lahadasho dhaqtarka si loo qiimeeyo hakintooda ;
• Kiimikooyinka: bisha ka horreysa baaritaanka, ma matali kartid timahaaga, ma isticmaali kartid lipstick madow ama ciddiyaha, saliida maqaarka, iodine ama khamriga iodized ee maqaarkaaga.

Waxaa muhiim ah in la xasuusto in haweenka uurka leh ama naas nuujinaya aysan lahayn baaritaanka qanjirka 'thyroid'. Xaaladda tiknoolajiyada 'scetigraphy', naasnuujinta waa in la joojiyaa 2 maalmood baaritaanka ka dib.

Imtixaanka PCI - baaritaanka jirka oo dhan wuxuu ka kooban yahay baaritaan aad u la mid ah, si kastaba ha noqotee, waa qalab la isticmaalay oo soo saara sawirrada jirka oo dhan, oo si gaar ah loo muujiyo haddii ay dhacdo baaritaanka metastasis ee burooyinka ama unugyada tayroodhka ee qaybaha kale ee jirka. Ka baro wax badan oo ku saabsan sawirka jirka oo buuxa halkan.