ʻImi thyroid
Hoʻohana kahi scanaki thyroid i kahi tracer iodine radioactive e nānā i ke ʻano a me ka hana o ka gland thyroid Hana pinepine ʻia kēia hōʻike me kahi hoʻāʻo o ka iodine radioactive.
Hana ʻia kēia hōʻike ma kēia ʻano:
- Hāʻawi ʻia ʻoe i kahi pila i loaʻa i kahi iodine radioactive. Ma hope o ka ale ʻana iā ia, kakali ʻoe i ka hōʻuluʻulu ʻana o ka iodine i kāu thyroid.
- Hana pinepine ʻia ka scanning mua he 4 a 6 mau hola ma hope o kou lawe ʻana i ka iodine pill. Hana pinepine ʻia kahi scan hou he 24 mau hola ma hope. I ka wā o ka scan, moe ʻoe ma kou kua i kahi papa hoʻoneʻe. Hoʻonoho ʻia kou ʻāʻī a me kou umauma ma lalo o ka scanner. E moe wahaheʻe ʻoe i mea e loaʻa ai i kahi scanner kahi kiʻi maopopo.
ʻIke ka mea scanner i kahi a me ka ikaika o nā kukuna i hāʻawi ʻia e nā mea radioactive. Hōʻike kahi kamepiula i nā kiʻi o ka gland thyroid. Hoʻohana nā scans ʻē aʻe i kahi mea i kapa ʻia ʻo technetium ma kahi o iodine radioactive.
E hāhai i nā ʻōkuhi e pili ana i ka ʻai ʻole ma mua o ka hoʻāʻo. ʻ belelo ʻia ʻoe ʻaʻole e ʻai ma hope o ke aumoe ma mua o kāu scan i ke kakahiaka aʻe.
E haʻi i kāu mea mālama ola inā lawe ʻoe i kekahi mea i loko o ka iodine no ka mea e hoʻopili paha ia i kāu hopena hōʻike. Hoʻopili kēia i kekahi mau lāʻau, e like me nā lāʻau thyroid a me nā lāʻau naʻau. Loaʻa nā iodine i nā mea hoʻohui e like me kelp.
E haʻi pū i kāu mea hāʻawi inā loaʻa iā ʻoe:
- Diarrhea (e hoʻoliʻiliʻi paha i ka lawe ʻana o ka iodine radioactive)
- Inā nānā ʻo CT i kēia manawa me ka hoʻohana ʻana i ka hoʻohālikelike iodine intravenous (i loko o 2 mau pule i hala)
- Liʻiliʻi a i ʻole nui loa iodine i kāu papaʻai
Wehe i nā mea hoʻonaninani, nā niho ʻāpala, a i ʻole nā mea hao ʻē aʻe no ka mea hiki iā lākou ke hoʻopilikia i ke kiʻi.
ʻIke kekahi poʻe ʻaʻole hōʻoluʻolu e noho mālie i ka wā o ka hoʻāʻo.
Hana ʻia kēia hōʻike iā:
- Loiloi i nā nodule thyroid a i ʻole ka goiter
- E ʻike i ke kumu o kahi kaona thyroid overactive
- E hōʻoia no ka maʻi ʻaʻai thyroid (kākaʻikahi, ʻoiai ʻoi aku ka pololei o nā hoʻokolohua ʻē aʻe no kēia)
E hōʻike nā hualoaʻa maʻamau o ka thyroid ke ʻano o ka nui, ke ʻano, a me kahi kūpono. He kala hina ia ma ke kiʻi kamepiula me ka ʻole o nā wahi ʻeleʻele a māmā hoʻi.
ʻO kahi thyroid i hoʻonui ʻia a i ʻole kīkaha ʻia i kekahi ʻaoʻao kahi hōʻailona o ka tumo.
Hoʻokomo ʻo Nodules i ka iodine ʻoi aku a emi paha a e nānā lākou i ka pouli a i ʻole ka māmā o ka scan. ʻOi aku ka māmā o kahi nodule inā ʻaʻole ia i lawe i ka iodine (i kapa ʻia he nodule 'anu'). Inā ʻoi aku ka māmā o kahi o ka thyroid, hiki i kahi pilikia thyroid. Ua lawe nā nodod i ʻoi aku ka pouli i nā iodine hou (i kapa ʻia he nodule 'wela'). Hiki iā lākou ke lilo i ka overactive a i ʻole ke kumu o ka thyroid overactive.
E hōʻike pū ke kamepiula i ka pākēneka o ka iodine i hōʻiliʻili i loko o kāu kelu thyroid (lawe radioiodine). Inā ʻohiʻohi nui kāu iodine i kāu gland, pili paha ia i kahi thyroid overactive. Inā hōʻiliʻili kāu ʻōiwi i ka iodine liʻiliʻi, pili paha ia i ka mumū a i ʻole nā mea ʻino ʻē aʻe i ka thyroid.
Loaʻa nā hopena ʻaoʻao āpau i nā radiation. Liʻiliʻi loa ka nui o ka radioactivity, a ʻaʻohe hopena ʻaoʻao i kākau ʻia.
ʻAʻole pono nā wahine hāpai a hānai hānai paha i kēia hōʻike.
E kamaʻilio i kāu mea hāʻawi inā he hopohopo kāu e pili ana i kēia hōʻike.
Haʻalele ka iodine radioactive i kou kino ma o kou mimi. ʻAʻole pono ʻoe e hana i nā akaʻi kūikawā, e like me ke kahe ʻana i ʻelua mau manawa ma hope o ka mimiki ʻana, no 24 a 48 mau hola ma hope o ka hoʻāʻo ʻana no ka mea haʻahaʻa loa ka lāʻau iodine radioactive. E noi i kāu mea lawelawe a i ʻole ka radiology / nukila lapaʻau e hana nei i ka scan e pili ana i ka mālama pono ʻana.
Scanner - thyroid; Lawe ʻia ka iodine radioactive a hoʻāʻo i ka hoʻāʻo - thyroid; Nuclear scan - thyroid; Nānā thyroid - scan; ʻO Goiter - scan Hyperthyroidism - scan
- Hoʻonui ka thyroid - scintiscan
- Kelepaʻi thyroid
Blum M. Kiʻi thyroid. I: Jameson JL, De Groot LJ, de Kretser DM, et al, eds. Endocrinology: Makua a Pediatric. ʻEpekema 7 Piladelapia, PA: Elsevier Saunders; 2016: chap 79.
ʻO Salvatore D, Cohen R, Kopp PA, Larsen PR. ʻO ka thyroid pathophysiology a me ka loiloi diagnostic. I: Melmed S, Auchus RJ, Goldfine AB, Koenig RJ, Rosen CJ, eds. ʻO Williams Textbook of Endocrinology. 14th ed. Piladelapia, PA: Elsevier; 2020: chap 11.