Mālama lime gallium
ʻO ka scan lung gallium kahi ʻano o ka scan nukilika e hoʻohana ana i ka gallium radioactive e hoʻomaopopo ai i ka pehu (mumū) i loko o nā akemāmā.
Hoʻokomo ʻia ʻo Gallium i kahi aa. Lawe ʻia ka scanning i 6 a i 24 mau hola ma hope o ke kiki ʻia ʻana o ka gallium. (Pili ka manawa hoʻokolohua inā paha he koʻikoʻi a koʻikoʻi paha kou ʻano.)
I ka wā o ka hoʻāʻo, moe ʻoe ma ka pākaukau e neʻe ana ma lalo o kahi scanner i kapa ʻia he kāmela gamma. ʻIke ka pahu paʻi kiʻi i ka radiation i hana ʻia e ka gallium. Hōʻike ʻia nā kiʻi ma ka papapihi kamepiula.
I ka wā o ka scan, he mea nui e hoʻomau ʻoe e kiʻi i kahi kiʻi kikoʻī. Hiki i ka ʻenehana ke kōkua iā ʻoe e hōʻoluʻolu ma mua o ka hoʻomaka ʻana o ka scan. Lawe ʻia ka hōʻike ma kahi o 30 a 60 mau minuke.
Nā hola he nui i ka 1 lā ma mua o ka scanner, e loaʻa iā ʻoe kahi injection o ka gallium ma kahi e hoʻokolokolo ʻia ai.
Ma mua pono o ka scanner, hemo i nā mea hoʻonaninani, nā niho ʻāpala, a i ʻole nā mea hao e hiki ke hoʻopili i ka scan. Wehe i ka lole ma ka hapa kiʻekiʻe o kou kino a kau i ke kapa komo haukapila.
E ʻū ke kuikui o ka gallium, a ʻeha paha ka pūnaewele puncture no kekahi mau hola a mau lā ke pā.
ʻAʻole ʻeha ka scanner, akā pono ʻoe e noho mālie. Hiki paha i kēia ke hōʻoluʻolu no kekahi poʻe.
Hana pinepine ʻia kēia hōʻike ke loaʻa nā hōʻailona o ka mumū ma nā akemāmā. ʻO kēia pinepine ma muli o ka sarcoidosis a i ʻole kekahi ʻano pneumonia. ʻAʻole hana pinepine ʻia i kēia mau makahiki.
E ʻike ʻia nā māmā o ka nui maʻamau a me ke ʻano, a pono e lawe i ka gallium liʻiliʻi loa.
Inā ʻike ʻia ka nui o ka gallium i loko o nā akemāmā, ʻo ia paha kekahi o nā pilikia aʻe:
- Sarcoidosis (maʻi i loaʻa ai ka mumū ma nā akemāmā a me nā mea ʻē aʻe o ke kino)
- ʻO nā maʻi hanu ʻē aʻe, ʻo ka manawa pinepine kahi ʻano o ka maʻi pneumonia i hoʻokumu ʻia e ka fungus ʻO Pneumocystis jirovecii
Aia kekahi pilikia i nā keiki a i ʻole nā pēpē i hānau ʻole ʻia. Ma muli o ka hala ʻana o kahi wahine hāpai a hānai paha i ka radiation, pono e mālama ʻia nā hana kūikawā.
No nā wahine hāpai ʻole a hānai a no nā kāne, ʻaʻohe mea liʻiliʻi loa mai ka pāhawewe ʻana i ka gallium, no ka mea heʻuʻuku ka nui. Nui aʻe nā makaʻi inā ʻike ʻia ʻoe i ka radiation (e like me x-ray a me nā scans) i nā manawa he nui. Kūkākūkā i kāu mau hopohopo e pili ana i ka radiation me ke kahu mālama ola nāna e paipai i ka hōʻike.
ʻO ka manawa maʻamau e paipai ka mea hāʻawi i kēia scan e pili ana i nā hopena o ka x-ray umauma. ʻAʻole ʻike ʻia nā hemahema liʻiliʻi ma ka scan. No kēia kumu, ʻaʻole hana pinepine ʻia kēia hōʻike.
Gallium 67 ʻimi mākala; ʻImi scan Lung; Gallium scan - lung; Scanner - lung
- Pākuʻi ʻia ʻo Gallium
ʻO Gotway MB, Panse PM, Gruden JF, Elicker BM. Thoracic radiology: kiʻi noninvasive diagnostics. I: Broaddus VC, Mason RJ, Ernst JD, et al, eds. ʻO Murray a me Nadel's Textbook of Respiratory Medicine. ʻElua huaʻōlelo Piladelapia, PA: Elsevier Saunders; 2016: chap 18.
Harisinghani MG, Chen JW, Weissleder R. Chest kiʻi. I: Harisinghani MG, Chen JW, Weissleder R, eds. ʻO ka Primer o ke kiʻi Diagnostic. ʻElua huaʻōlelo Piladelapia, PA: Elsevier; 2019: chap 1.