Indium-sau lo rau WBC scan
Qhov xoo hluav taws xob yuav kuaj pom kev hem lossis kis tau mob hauv lub cev los ntawm kev siv cov khoom siv hluav taws xob. Qaug quav yuav tshwm sim thaum uas muaj kua paug vim yog ib tus mob.
Cov ntshav tau kos tawm los ntawm cov hlab ntsha, feem ntau nyob rau sab hauv ntawm lub luj tshib lossis sab caj npab tes.
- Lub xaib yog huv nrog tshuaj tua kab mob (antiseptic).
- Tus kws kho mob qhwv ib txoj hlua khi nyob ib ncig ntawm caj npab sab saud los thov nias rau thaj chaw thiab ua kom txoj leeg ntshav nrog ntshav.
- Tom ntej no, tus kws kho mob maj mam muab rab koob tso rau hauv txoj leeg. Cov ntshav sau rau hauv cov raj muaj pa lossis lub raj uas txuas rau ntawm rab koob.
- Elastic band tshem tawm ntawm koj caj npab.
- Qhov chaw puncture yog them kom tsis txhob los ntshav.
Cov ntshav ntsuas ces raug xa mus kuaj. Muaj cov qe ntshav dawb yog dai nrog lub zog tshuaj (radioisotope) hu ua indium. Cov qog ntshav yuav tom qab txhaj rov qab mus rau txoj leeg ntshav los ntawm lwm rab koob.
Koj yuav tsum tau rov qab mus rau hauv chaw ua haujlwm 6 rau 24 teev tom qab. Lub sijhawm ntawd, koj yuav muaj qhov ntsuas lub nuclear coj los saib seb cov qe ntshav dawb tau sib sau hauv thaj chaw ntawm koj lub cev uas lawv tsis nyob qhov twg.
Feem ntau koj tsis tas yuav npaj tshwj xeeb. Koj yuav tsum kos npe rau tsab ntawv tso cai.
Rau kev sim, koj yuav tsum tau hnav khaub ncaws tsev kho mob lossis ris tsho xoob. Koj yuav tsum tau hle tag nrho cov hniav nyiaj hniav kub.
Qhia koj tus kws kho mob yog tias koj xeeb tub. Qhov txheej txheem no TSIS tau pom zoo yog tias koj cev xeeb tub lossis sim cev xeeb tub. Cov poj niam ntawm lub hnub nyoog yug menyuam (ua ntej lub hnub lawm) yuav tsum siv qee hom kev tswj tsis pub muaj thaum lub sijhawm ua qhov txheej txheem no.
Qhia rau koj tus kws kho mob yog tias koj muaj lossis muaj qee yam mob, kev ua haujlwm lossis kev kho mob raws li lawv tuaj yeem cuam tshuam nrog cov txiaj ntsig sim:
- Gallium (Ga) luam tawm tsis pub dhau lub hli dhau los
- Hemodialysis
- Qog Ntshav
- Lub sij hawm ntev siv tshuaj tua kab mob
- Kev kho steroid
- Tag nrho cov khoom noj niam txiv (dhau ntawm IV)
Qee tus neeg hnov mob me ntsis thaum koob tso rau kom kos cov ntshav. Lwm cov ho hnov mob xwb los sis plev. Tom qab ntawd, yuav muaj qee qhov throbbing.
Lub tshuaj tua kab mob nuclear yog qhov tsis muaj mob. Tej zaum nws yuav tsis yooj yim me ntsis kom pw ncaj thiab tseem nyob rau ntawm lub rooj scanning. Qhov no feem ntau siv sijhawm ntev li ib teev.
Qhov kev sim no tsis tshua muaj siv nyob rau niaj hnub no.Muaj qee kis, nws tuaj yeem pab tau yog tias cov kws kho mob tsis tuaj yeem tsim kab mob hauv zos. Qhov laj thawj feem ntau nws tau siv yog los nrhiav tus pob txha sib kis hu ua osteomyelitis.
Nws kuj tseem siv los saib xyuas lub voos uas tuaj yeem tsim tom qab kev phais lossis nws tus kheej. Cov tsos mob ntawm qog ntawd nyob ntawm qhov chaw uas nws pom, tab sis yuav suav nrog:
- Ua npaws uas tau nyob ntev li ob peb lub lis piam tsis muaj lus piav qhia
- Tsis xis nyob (malaise)
- Mob
Lwm yam kev ntsuam xyuas xws li ntsuas ultrasound lossis CT scan feem ntau ua ntej.
Kev tshawb pom ib txwm yuav qhia tsis muaj kev sib sau ntawm cov qe ntshav dawb.
Kev sib sau ntawm cov qe ntshav dawb nyob sab nraud ntawm thaj chaw ib txwm muaj cim ntawm kev ua qog lossis lwm yam kev kis mob.
Cov txiaj ntsig tsis zoo yuav suav nrog:
- Mob pob txha
- Plab plab
- Tsis pom kev lawm
- Qaug quav ua paug
- Peritonsillar rwj
- Pyogenic mob siab daim siab
- Daim tawv muag qog
- Hnoos qog
Cov phom sij ntawm qhov kev ntsuas no muaj xws li:
- Qee qhov nqaij ntuag yuav tuaj yeem nyob ntawm qhov chaw txhaj tshuaj.
- Yeej ib txwm muaj me me nrog kev sib kis thaum daim tawv nqaij tawg.
- Muaj feem tsawg-tawg raug hluav taws xob.
Kev ntsuam xyuas yog tswj tau kom koj tau txais tsuas yog tsawg tshaj plaws ntawm kev ntsuas hluav taws xob xav tau los tsim cov duab.
Cov poj niam cev xeeb tub thiab cov menyuam yaus yuav tsum paub zoo txog kev pheej hmoo ntawm hluav taws xob.
Tshawb nrhiav kev voos ntau; Kev kuaj sab hauv; Indium scan; Indium-daim ntawv lo ntshav dawb rau lub cev ntsuas; WBC scan
Chacko AK, Shah RB. Kev kub ceev hluav taws xob hluav taws xob. Hauv: Soto JA, Lucey BC, eds. Radiology Thaum Muaj Xwm Ceev: Cov Yuav Tsum MuajCov. 2nd ed. Philadelphia, PA: Elsevier; 2017: chap 12.
Cleveland KB. Cov ntsiab cai dav dav ntawm kev kis mob. Hauv: Azar FM, Beaty JH, Canale ST, eds. Campbell's Kev Ua Haujlwm OrthopedicsCov. 13th ed. Philadelphia, PA: Elsevier; 2017: chap 20.
Matteson EL, Osmon DR. Kev kis mob ntawm bursae, pob qij txha, thiab pob txha. Hauv: Goldman L, Schafer AI, eds. Goldman-Cecil TshuajCov. 26th ed. Philadelphia, PA: Elsevier; Xyoo 2020: chap 256.