Pehea e hana ai i ka thyroid scintigraphy
Anter
ʻO ka thyroid scintigraphy kahi hōʻike e lawelawe ai e loiloi i ka hana o ka thyroid. Hana ʻia kēia ho'āʻo ma ka lawe ʻana i kahi lāʻau me nā mana radioactive, e like me Iodine 131, Iodine 123 a i ʻole Technetium 99m, a me kahi hāmeʻa e kiʻi i nā kiʻi i hana ʻia.
Hōʻike ʻia e loiloi i ke kū ʻana o ka thyroid nodules, maʻi ʻaʻai, e ʻimi i nā kumu o hyperthyroidism a i ʻole hypothyroidism a i ʻole mumū o ka thyroid. E nānā he aha nā maʻi nui e hoʻopili i ka thyroid a me nā mea e hana ai.
Hana ʻia ka hoʻokolohua thyroid scintigraphy me ka uku ʻole e SUS, a i ʻole ma kahi pilikino, me kahi kumukūʻai maʻamau e hoʻomaka ana mai 300 reais, kahi e loli nui e like me kahi i hana ʻia ai. Ma hope o ke kaʻina hana, hiki ke wehewehe ʻia nā kiʻi hope loa o ka thyroid e like me ka mea i hōʻike ʻia ma ke kiʻi ma lalo:
- Hualoaʻa A: he thyroid olakino ka mea maʻi, me he mea lā;
- Nā hopena B: hiki ke kuhikuhi i ka goiter ʻawahia diffuse a i ʻole maʻi koʻikoʻi, kahi maʻi autoimmune e hoʻonui i ka hana thyroid e hana ana i ka hyperthyroidism;
- Nā hopena C: hiki ke hōʻike i ka maʻi nodular goiter a i ʻole ka maʻi plummer, kahi maʻi e hoʻopuka i nā nodule thyroid e hana ana i ka hyperthyroidism.
Pili nā kiʻi i ka lawe ʻia o ka mea radioactive e ka thyroid, a, ma ka laulā, ʻoi aku ka nui o ka lawe ʻana me nā kiʻi kikoʻī he hōʻailona o ka nui o ka hana gland, e like me ka mea e hiki ai i ka hyperthyroidism, a ʻo kahi subnormal uptake kahi hōʻailona o hypothyroidism.
No ke aha ia
Hiki ke hoʻohana ʻia i ka scintigraphy thyroid e ʻike i nā maʻi e like me:
- ʻO ka thyroid Ectopic, ʻo ia ka manawa ke waiho ka gland ma waho o kona wahi maʻamau;
- Kahe ka thyroid, ʻo ia ka manawa e hoʻonui ʻia ai ke gland a hiki ke hoʻouka i ka pahu;
- ʻO nā nodule thyroid;
- ʻO Hyperthyroidism, ʻo ia ka manawa e hana ai ka gland i nā hormoni nui. ʻIke he aha nā hōʻailona a me nā ala o ka mālama ʻana i ka hyperthyroidism;
- ʻO ka hypothyroidism, ke hana ka gland i nā hormoni liʻiliʻi ma mua o ka maʻamau. Hoʻomaopopo pehea e ʻike ai a mālama ai i ka hypothyroidism;
- ʻO ka thyroiditis, ʻo ia ka lū o ka thyroid;
- Ka maʻi ʻaʻai thyroid a e nānā no nā hunaola tumora ma hope o ka hemo ʻana o ka thyroid i ka wā o ka mālama ʻana.
ʻO Scintigraphy kekahi o nā hoʻokolohua e loiloi i ka thyroid, a noi paha ke kauka i nā mea ʻē aʻe e kōkua i ke kuhi ʻana, e like me nā hoʻokolohua koko e loiloi i ka nui o nā hormone thyroid, ultrasound, puncture a biopsy paha o ka thyroid. E ʻike i nā hōʻike hea e hoʻohana ai i ka loiloi thyroid.
Pehea e pau ai ka hōʻike
Hiki ke hana ʻia ka scintigraphy thyroid i hoʻokahi lā a i ʻole ma nā pae i hoʻokaʻawale ʻia i 2 mau lā a koi i ka wikiwiki o 2 mau hola. Ke hana ʻia i hoʻokahi lā wale nō, hoʻohana ʻia ka mea radioactive technetium, i hiki ke injected ʻia ma o ka aa, e hoʻohana i nā kiʻi o ka thyroid.
Ke hoʻopau ʻia ka hōʻoia ma nā lā 2, i ka lā mua e lawe ka mea maʻi i iodine 123 a i ʻole 131, i nā capsule a i ʻole me ka mauʻu. A laila, loaʻa nā kiʻi o ka thyroid ma hope o 2 mau hola a me 24 mau hola ma hope o ka hoʻomaka o ke kaʻina hana. I loko o nā wā, hiki i ka mea hoʻomanawanui ke hele i waho a hana i kāna hana maʻamau i kēlā me kēia lā, a ma ka laulā ua mākaukau nā hopena hōʻike ma hope o 3 a 5 mau lā.
Hoʻohana ʻia nā iodine a me technetium no ka mea he mau mea ia i pili i ka thyroid, a hiki ke noʻonoʻo maʻalahi i kēia gland. Ma waho o ke ʻano o ka hoʻohana, ka ʻokoʻa ma waena o ka hoʻohana ʻana o iodine a i ʻole technetium ʻoi aku ka maikaʻi o ka iodine no ka loiloi i nā loli i ka hana thyroid, e like me hyperthyroidism a i ʻole hypothyroidism. ʻO Technetium, ma ka ʻaoʻao ʻē aʻe, he mea pono loa e ʻike i ke alo o nā nodule.
Pehea e hoʻomākaukau ai no ka hoʻokolokolo
ʻO ka hoʻomākaukau no ka scidigraphy thyroid ka ʻae ʻana i nā meaʻai, nā lāʻau a me nā hoʻokolohua olakino i loaʻa a i ʻole hoʻohana iodine a i ʻole hoʻololi i kāu hana thyroid, e like me:
- Nā meaʻai: mai ʻai i ka meaʻai me ka iodine no 2 mau pule, pāpā ʻia ka ʻai ʻana o ka iʻa wai paʻakai, ka iʻa iʻa, ʻōpae, limu, wiski, nā huahana kēpau, nā waʻa a i ʻole nā sardine, tuna, hua moa a me nā soy a me nā mea ulu, e like me shoyo, tofu a me soy waiū;
E nānā i ke wikiō e hiki mai ana a ʻike i ke ʻano o ka papaʻai maikaʻi loa no iodotherapy.
- Nā hoʻāʻo: i nā mahina 3 i hala iho nei, mai hana i nā hoʻokolohua e like me ka hoʻohālikelike compute tomography, excretory urography, cholecystography, bronchography, colposcopy a me hysterosalpingography;
- Nā Lapaʻau: hoʻopilikia paha kekahi mau lāʻau i ka hoʻokolohua, e like me nā huaora vitamin, thyroid hormones, nā lāʻau i loko o iodine, nā puʻuwai puʻuwai me ka lāʻau Amiodarone, e like me Ancoron a i ʻole Atlansil, a i ʻole nā syrups mare, no laila he mea nui e kamaʻilio me ke kauka e nānā i kā lākou hoʻomaha ;
- Nā kemika: i ka mahina ma mua o ka hoʻokolohua, ʻaʻole hiki iā ʻoe ke kala i kou lauoho, e hoʻohana i ka lipstick pouli a i ʻole ka poli kui, ka aila tanning, iodine a i ʻole ka wai ʻona iodized ma kou ʻili.
He mea nui e hoʻomanaʻo i ka wahine hāpai a hānai ʻole paha i nā wahine ʻaʻole pono e loaʻa kahi scan thyroid. I ke kumu o ka scintigraphy technetium, pono e kāpae i ka hānai ʻana no 2 mau lā ma hope o ka hoʻokolokolo ʻana.
ʻO ka hoʻokolohua PCI - ʻimi like ke kino holoʻokoʻa i kahi hōʻike like loa, akā naʻe, he mea hoʻohana i hoʻohana ʻia e hana i nā kiʻi o ke kino holoʻokoʻa, e hōʻike nui ʻia ana inā e hoʻokolokolo ʻia ka metastasis o nā tumors a i ʻole nā kikoʻī thyroid i nā ʻāpana ʻē aʻe o ke kino. E aʻo hou aʻe e pili ana i ka scintigraphy kino holoʻokoʻa ma aneʻi.