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Ka wehewehe ʻana o ka scintigraphy māmā
La scintigraphy māmā he ho'āʻo e nānā ana i ka puʻunaue ʻana o ka ea a me ke koko i loko o ka māmā a me ka ʻike ʻana i kahi pulmonary embolism. Ke kamaʻilio pū nei mākou no ka scintigraphy pulmonary o ka ea (ea) a me ka perfusion (koko).
ʻO Scintigraphy kahi kiʻi ʻenehana ʻo ia ka lawelawe ʻana i ka mea maʻi a mea hoʻopaʻa radioactive, e laha ana ma ke kino a ma na okana paha e nanaia. No laila, ʻo ka mea maʻi e "hoʻokuʻu" i ka radiation e kiʻi ʻia e ka mea hana (ʻaʻole like me ka radiograph, kahi i hoʻokuʻu ʻia ai ka radiation e ka hāmeʻa).
No ke aha e hana ʻia ai kahi ʻula?
Hoʻohana ʻia kēia hoʻāʻo i ka hihia o i manaʻo ʻia he pulmonary embolism, e hōʻoia a hōʻole paha i ka hōʻailona.
Hoʻokumu ʻia ka pulmonary embolism e a ʻōpū koko (thrombus) keakea koke a māomo pākaukau. ʻAʻole kikoʻī loa nā hōʻailona: ʻeha ʻeha o ka umauma, malaise, maloʻo maloʻo, a me nā mea ʻē aʻe. No laila he ulia pōpilikia.
No ka hōʻoia ʻana a i ʻole ka pale ʻana i ka maʻi maʻi, hiki i nā kauka ke hoʻohana i nā hoʻokolohua kiʻi, ʻoi aku ka CT angiography a i ʻole ka lung scintigraphy.
Hiki ke kuhikuhi ʻia kēia hoʻokolokolo:
- i cas o maʻi māmā mau, e loiloi i ka pono o kahi lapaʻau a i ʻole e hahai i ka evolution;
- e hoʻopaʻa i ka wā o kaka hanu ʻole i wehewehe ʻia.
Ka hoʻāʻo
ʻAʻole pono ka scintigraphy lung i ka hoʻomākaukau kūikawā a ʻaʻohe ʻeha. Eia nō naʻe, pono e hoʻomaopopo i ke kauka i ka hiki ke hāpai.
Ma mua o ka hoʻokolokolo ʻana, hoʻokomo ka limahana lapaʻau i kahi huahana radioactive liʻiliʻi i loko o kahi vein ma ka lima o ka mea maʻi. Hoʻohui ʻia ka huahana me nā pūmua aggregates (albumin) e hoʻokomo i loko o nā moku pulmonary, e ʻae iā lākou e ʻike ʻia.
No ke kiʻi ʻana i nā kiʻi, e noi ʻia ʻoe e moe i lalo ma kahi papa hoʻokolokolo. E neʻe wikiwiki ana kahi pahupaʻikiʻi kūikawā (gamma-camera a i ʻole scintillation camera) ma luna ou: pono ʻoe e hanu i ke kinoea me ka mask (radioactive krypton i hui pū ʻia me ka oxygen) e ʻae iā ʻoe e ʻike pū i ka pulmonary alveoli. Ma kēiaʻano, hiki i ke kauka ke nānā i ka māheleʻana o ka ea a me ke koko i loko o ka māmā.
Ua lawa ka noho neoneo ʻole ʻana no XNUMX mau minuke i ka loaʻa ʻana o nā kiʻi.
Ma hope o ka hoʻokolokolo ʻana, pono ia e inu i ka wai he nui e kōkua i ka hoʻopau ʻana i ka huahana.
He aha nā hopena e hiki iā mākou ke manaʻo mai ka scan lung?
Hiki i ka scintigraphy māmā ke hōʻike i nā mea ʻino o ka ka ea a me ke koko i ka opu.
Ma muli o nā hopena, e kuhikuhi ke kauka i ka mālama kūpono a me ka hahai ʻana. I ka hihia o ka pulmonary embolism, pono e mālama koke ʻia, kahi e hāʻawi ʻia ai ʻoe a lāʻau anticoagulant e hoopau i ke koko.
Pono paha nā hoʻokolohua ʻē aʻe no ka loaʻa ʻana o ka ʻike hou aku (x-ray, CT scan, PET scan, functional respiratory examinations, etc.).