M'mapapo scintigraphy: Zisonyezero ndi takambirana

Mu m'badwo uwu wa mankhwala zina zamakono akuyesa kukhala ndi nthawi ndi kupeza njira zatsopano kafukufuku thupi. I waukulu kwambiri nkhani, chitetezo chomasuka ntchito ndi mtengo wotsika. Njira amenewa ndi scintigraphy m'mapapo mwanga. Zikuonetsa kuti njirayi ndi lonse ndithu, choncho ntchito monga internists ndi madokotala. Izi zimathandiza kudziwa njira za mankhwala ndi molondola kupeza malo vuto.

M'mapapo scintigraphy: ndichiyani?

Scintigraphy - njira ya diagnostics X-ray, ntchito kuwunika ntchito ya ziwalo ndipo zimakhala. Iwo limapangidwa yopereka kwa m'thupi, ndi phwando la isotopes nyukiliya ndi kujambula chithunzi dzuwa, zomwe iwo zimatulutsa. Ndondomeko palokha wochititsidwa mothandizidwa ndi zida zenizeni zimene angathe kugwila kuwala ndi muzione izo.

M'mapapo scintigraphy imagwiridwa kuphunzira mitsempha ya magazi a m'mapapo ndi kudziwa kuyan'anila za mpweya wabwino. Monga ulamuliro, kenako kupeza kuundana kapena emboli kuti kusokoneza otaya yachibadwa magazi. Pa ndondomeko, njira ziwiri za kuwunika chikhalidwe cha thupi angagwiritsidwe ntchito kutengera ntchito patsogolo dokotala:

- mpweya wabwino;
- perfusion.

Mpweya wabwino ndi perfusion scintigraphy

Mpweya m'mapapo scintigraphy m'pofunika kuti aone ntchito kupuma, izo zikusonyeza otaya mpweya dongosolo kupuma. Kuti tichite zimenezi, odwala akulimbikitsidwa pokoka mpweya ndi aerosol kuti lili radioisotopes, kenako ntchito Popanga madzi a gamma kamera akupita patsogolo awo mu thupi. Cold zigawo amasonyeza kuti aerosol kuti sangachite zimenezi. dokotala angawauze zimayambitsa mwina zodabwitsazi: stenosis, chotupa kukhalapo kwa madzi kapena atelectasis.

Perfusion m'mapapo scintigraphy ndi embolism m'mapapo mwanga ndi matenda ena a magazi walola zowonera ziwiya m'mapapo mwanga ndi kuwona patsogolo magazi kuchokera ventricle lamanja la mtsempha wamagazi ndi m'mapapo mwanga. Pamaso kuyang'ana mtima m'nsinga kutumikiridwa "Technetium 99" imene amaola mu isotopes ang'onoang'ono ndi kutentha kwa ndondomeko akaundula a Popanga madzi a gamma kamera. Ngati thupi anapezeka m'dziko, amene sanalandire chinthu nyukiliya, ndi zambiri kuti lumen wa chotengeracho watsekedwa ndi thrombus kapena embolus.

zikuonetsa ndondomeko

Pamene anamuika m'mapapo scintigraphy? Zizindikiro - kwambiri mtsempha thrombophlebitis ya nthambi m'munsi, matenda a embolism m'mapapo mwanga ndi zazikulu kuwunika mankhwala ake, kudziwa zimene zimayambitsa wa matenda oopsa m'mapapo mwanga , ndi zambiri. Kuwonjezera pa mavuto mtima, pogwiritsa ntchito scintigraphy akhoza kudziwa boma la zinchito kuwala pamaso ntchito nthawi yambiri, onani pamaso pa matenda interstitial m'mapapo, komanso pamaso pa matenda obadwa nawo a mtima ndi mapapo. Madokotala mankhwala m'mapapo scintigraphy kuti achotse kapena kutsimikizira aakulu obstructive m'mapapo mwanga matenda ndi matenda a mtima, ndiko kumayambitsa infarction m'mapapo mwanga, khansa.

contraindications

M'mapapo scintigraphy sikutanthauza mtima maphunziro mwachindunji, mosiyana ndi njira kwambiri olanda, monga transesophageal echocardiography kapena bronchoscopy.

Koma pamaso ndondomeko n'kofunika kwambiri kuti allergoproby ndi mankhwala nyukiliya kugwiritsidwa ntchito pa phunziroli. Izi pofuna kupewa nkhondo ya anaphylaxis mu nthawi pamene wodwala adzakhala mkati kamera Popanga madzi a gamma. Kusiya zimene thupi siligwirizana ndi ovuta kwambiri kuposa kukuletsa.

Ngati ndisanabadwe adzakhala mkazi, iye ayenera kuyezedwa ndi gynecologist kuti akatsimikizire ndi mimba nkotheka, kapena kuuza dokotala kuti mwana breastfed, monga radioisotopes kufika zakumwa onse, kuphatikizapo mkaka.

Iwo ali osavomerezeka kwa maola anayi pamaso ndondomeko, kutenga mankhwala kapena bismuth, barium, izi zimakhudza zotsatira za phunzirolo.

The ndondomeko ya scintigraphy

Malinga ndi ndemanga, m'mapapo scintigraphy amatenga mphindi makumi awiri okha. Kuti phunziro perfusion, mtima linafunsidwa kutengera udindo ofukula (monga chithunzi zidzakuyenderani bwino). Wodwala m'nsinga kutumikiridwa mankhwala, muli isotopes nyukiliya, kenako kuyamba jambulani kuwona patsogolo particles magazi. Iwo ang'onoang'ono kwambiri motero kuti apeza ngakhale ziwiya yopapatiza kwambiri.

Pogwira mpweya wabwino scintigraphy, wodwalayo inhales ndi aerosol bola ngati kuwala osati kukhazikitsa bwino mpweya. particles nyukiliya anayamba udzangotha, ndi kamera akhoza analanda cheza kuchokera m'madera amene mpweya imayenera. Ngati njira awiriwa anasonyeza m'dera limene pali chilema cha perfusion, koma mpweya wabwino anakhalabe bwinobwino, ndi zambiri mtima m'mapapo mwanga embolism.

zosokonezeka

Ngati munthu ali siligwirizana ndi, isotopes wa zolembera, ululu ndi kusapeza adzamvera kokha pamene kuboola khungu. Paphunziro ukupeza wodwalayo kukhala zogwira mtima. Nseru, mutu, chizungulire ndi zolakwika mwakale, lomwe ndi bwino kudziwitsa dokotala.

Usachite mantha ndi poizoni chifukwa kangapo poyerekeza zofanana pa tomography yopangidwa kapena chapamwamba kwambiri. Kumene, sangathe kunena kuti kuphunzira Baibulo mwangwiro otetezedwa, koma asayansi ntchito pa mafunso awa lero.

Reviews kusonyeza: Nthawi zina zimachitika kuti zotsatira za m'mapapo scintigraphy angathe kutanthauziridwa poyamba osiyana. Zikatero, kutsimikiza matenda m'pofunika angiopulmonography. Pansi pa ulamuliro wa CT mu otaya magazi kwa wodwala (zambiri pambuyo m'mapapo mwanga mtsempha wamagazi catheterization) kutumikiridwa Mosiyana wothandizira amene akuyenderera ziwiya mapapo, nadzaza malo onse alipo. Ndiye, mndandanda wa zithunzi za mphamvu kuwala. Ngati dotolo amaona malo pamene palibe chitsanzo mtima, ndiye, osalephera, pali embolus.

надежным методом диагностики. Odwala kuti m'mapapo scintigraphy nkhani, wodalirika ndipo sabweretsa chisoni matenda njira.