Yuav ua li cas cov thyroid scintigraphy tiav

Zoo Siab

• Dab tsi yog nws rau
• Txoj kev kuaj mob li cas
• Yuav npaj li cas rau kev kuaj mob

Cov thyroid scintigraphy yog qhov kev tshuaj xyuas uas ua haujlwm los ntsuam xyuas cov haujlwm ntawm cov thyroid. Qhov kev ntsuas no yog ua tiav los ntawm kev noj tshuaj nrog cov tshuaj muaj peev xwm, xws li Iodine 131, Iodine 123 lossis Technetium 99m, thiab nrog lub cuab yeej los ntes cov duab tsim.

Piv txwv tias yog txheeb xyuas qhov muaj cov thyroid nodules, mob qog noj ntshav, tshawb xyuas qhov ua rau hyperthyroidism lossis hypothyroidism lossis mob qog ua rau cov thyroid mob, piv txwv. Tshawb xyuas seb yog dab tsi cov kab mob tseem ceeb uas cuam tshuam rau lub qog thiab yuav ua li cas.

Kev kuaj cov thyroid scintigraphy yog ua tiav dawb los ntawm SUS, lossis hauv ntiag tug, nrog tus nqi nruab nrab pib ntawm 300 reais, uas nws txawv heev raws li qhov chaw ua tiav. Tom qab cov txheej txheem, cov duab kawg ntawm cov thyroid tuaj yeem piav raws li hauv daim duab hauv qab no:

• Tshwm sim A: tus neeg mob tau mob qog noj qab nyob zoo, cuam tshuam;
• Tshwm sim B: qhia tau hais tias diffuse toxic nkag mus lossis mob hnyav, uas yog tus kabmob autoimmune uas ua rau cov thyroid ua haujlwm ntau ntxiv ua rau hyperthyroidism;
• Cov C: tej zaum yuav qhia cov muaj mob nodular goiter lossis plummer tus kab mob, nws yog ib tus kabmob uas tsim cov thyroid nodules ua rau hyperthyroidism.

Cov duab tsim nyob ntawm qhov tseeb ntawm lub zog ntawm lub qog los ntawm lub qog, thiab, feem ntau, kev coj los ntau dua nrog kev tsim cov duab ntau dua yog qhov pom ntawm ntau dua lub qog ua haujlwm, raws li tuaj yeem tshwm sim hauv hyperthyroidism, thiab ib qho kev hloov pauv tsis sib xws yog lub cim ntawm hypothyroidism.

Dab tsi yog nws rau

Kev siv cov thyroid scintigraphy tuaj yeem siv los txheeb xyuas cov kab mob xws li:

• Ectopic lub qog, uas yog thaum lub caj pas nyob sab nraum nws qhov chaw nyob;
• Tso cov qog, uas yog thaum lub caj pas ua kom loj tuaj yeem thiab tuaj yeem nkag rau hauv siab;
• Lub qog ua ntshav;
• Hyperthyroidism, uas yog thaum lub qog tsim cov tshuaj hormones ntau heev. Paub dab tsi yog cov tsos mob thiab cov hau kev ntawm kev kho hyperthyroidism;
• Kev mob hlwb, thaum lub caj pas ua cov tshuaj hormones tsawg dua li ib txwm muaj. Nkag siab yuav ua li cas paub thiab kho hypothyroidism;
• Mob ua cov thyroiditis, uas yog mob ntawm cov thyroid;
• Mob qog noj ntshav thiab mus saib cov qog cov qog ntshav tom qab cov thyroid raug tshem tawm thaum kho.

Scintigraphy yog ib qho kev ntsuam xyuas uas ntsuas cov thyroid, thiab tus kws kho mob kuj tuaj yeem thov lwm tus los pab hauv kev kuaj mob, xws li kev kuaj ntshav uas ntsuas qhov ntsuas cov thyroid hormones, ultrasound, puncture lossis biopsy ntawm lub qog, piv txwv. Tshawb xyuas seb qhov kev ntsuam xyuas twg yog siv rau hauv kev ntsuas thyroid.

Txoj kev kuaj mob li cas

Cov thyroid scintigraphy tuaj yeem ua tau hauv 1 hnub lossis hauv theem tau muab faib ua 2 hnub thiab xav tau nrawm nrawm tsawg kawg 2 teev. Thaum ua tiav nyob rau hauv tsuas yog 1 hnub, xov tooj cua radioet technetium, uas tuaj yeem raug txhaj ntawm cov leeg ntshav, yog siv los tsim cov duab ntawm lub qog.

Thaum ntsuas tiav hauv 2 hnub, nyob rau thawj hnub tus neeg mob siv tshuaj iodine 123 lossis 131, hauv tshuaj ntsiav lossis nrog quav nyab. Tom qab ntawd, cov duab ntawm lub qog tau txais tom qab 2 teev thiab 24 teev tom qab pib txheej txheem. Lub sijhawm nyob nruab nrab, tus neeg mob tuaj yeem tawm mus thiab ua nws cov haujlwm txhua hnub, thiab feem ntau cov qauv ntsuas tau npaj txhij tom qab txog 3 txog 5 hnub.

Ob lub tshuaj iodine thiab technetium tau siv vim tias lawv yog cov tshuaj uas muaj kev cuam tshuam rau lub qog, thiab tuaj yeem mloog cov qog no yooj yim dua. Ntxiv nrog rau daim ntawv ntawm kev siv, qhov sib txawv ntawm kev siv iodine lossis technetium yog tias iodine zoo dua rau kev txheeb xyuas cov kev hloov pauv hauv kev ua haujlwm ntawm cov thyroid, xws li hyperthyroidism lossis hypothyroidism. Technetium, ntawm qhov tod tes, yog qhov tseem ceeb heev los txheeb xyuas lub xub ntiag ntawm nodules.

Yuav npaj li cas rau kev kuaj mob

Kev npaj rau cov thyroid scintigraphy muaj xws li zam kev noj zaub mov, tshuaj noj thiab tshuaj ntsuam mob uas muaj los yog siv iodine lossis hloov cov thyroid muaj nuj nqi, xws li:

• Cov Khoom Noj: tsis txhob noj zaub mov nrog iodine rau 2 lub lis piam, raug txwv tsis pub noj ntsev dej, nqaij ntses, nqaij ntses, cw, seaweed, whiskey, cov kaus poom, cov khoom xyaw nrog caij nyoog lossis muaj cov tardines, tuna, qe lossis kua thiab cov txiaj ntsig, xws li shoyo, tofu thiab soy mis;

Saib cov yees duab hauv qab no thiab pom tias kev noj zaub mov twg zoo rau kev kho mob iodotherapy:

• Cov Kev Xeem: hauv 3 lub hlis dhau los, tsis txhob ua qhov kev kuaj xyuas xws li kev sib piv ntawm tomography, excretory urography, cholecystography, bronchography, colposcopy thiab hysterosalpingography;
• Cov tshuaj kho mob: qee cov tshuaj yuav cuam tshuam nrog kev kuaj mob, xws li tshuaj pab vitamin, thyroid hormones, noj tshuaj uas muaj iodine, tshuaj mob plawv nrog cov tshuaj Amiodarone, xws li Ancoron lossis Atlansil, lossis hnoos ntshav, yog li yuav tsum tham nrog kws kho mob txhawm rau tshuaj xyuas lawv qhov kev ncua ;
• Tshuaj lom neeg: Hauv lub hli ua ntej kev kuaj mob, koj tsis tuaj yeem zas koj cov plaub hau, siv cov kua pleev xim tsaus lossis pleev rau cov ntsia thawv, pleev roj, iodine lossis iodized cawv ntawm koj cov tawv nqaij.

Nws yog ib qho tseem ceeb kom nco ntsoov tias cov poj niam cev xeeb tub lossis pub niam mis rau lub cev yuav tsum tsis txhob muaj tus ntsuas qog. Nyob rau hauv rooj plaub ntawm technetium scintigraphy, kev pub mis niam yuav tsum raug tshem tawm 2 hnub tom qab kuaj xyuas.

Kev tshuaj ntsuam PCI - tag nrho kev tshawb nrhiav lub cev muaj qhov ntsuas zoo sib xws, txawm li cas los xij, nws yog cov cuab yeej siv uas tsim cov duab ntawm tag nrho lub cev, raug qhia tshwj xeeb tshaj yog muaj kev soj ntsuam metastasis ntawm cov qog lossis cov qog ntshav hauv lwm qhov chaw ntawm lub cev. Kawm ntxiv txog scintigraphy lub cev tag nrho ntawm no.