Positron Emission Tomography, kapena PET kuunika, ndiyeso yowonongeka yomwe imasonyeza kuti maselo a maselo amachititsa kuti thupi likhale ndi thupi komanso zimathandiza kudziwa khungu la khansa. Mtundu wambiri wa PET mawotchi omwe amagwiritsidwa ntchito masiku ano ndi FDG-PET, ndipo nthawi zambiri amagwiritsidwa ntchito limodzi ndi CT, momwe ziwerengero zimatchedwa FDG-PET / CT.
Nkhani yamakono yonena za mtundu uwu.
Kufufuza kwa PET kumathandiza gulu lanu la thanzi labwino kuti lidziwe njira zabwino zothetsera chithandizo kwa inu ndi kuyesa yankho la mankhwala omwe mwalandira.
Zindikirani, mitundu ina ya zolemba za PET zimagwiritsidwa ntchito. Mwachitsanzo, tsamba la Gallium-68 DOTATOC PET-CT likugwiritsidwa ntchito kwa mitundu yambiri ya khansa yosazolowereka, yotchedwa neuroendocrine tumors. Ndiyeneranso kuzindikira kuti sikuti khansa yonse ikuwonetsedwa ndi FDG-PET-CT.
Mitundu yambiri ya mtundu wa lymphoma ikhoza kuwonetsedwa pogwiritsa ntchito FDG-PET / CT.
Kodi PET amagwira ntchito bwanji?
Pakati pa mawonekedwe a FDG-PET, shuga pang'ono, kapena radiotracer, imayambitsidwa thupi lanu. Izi kawirikawiri zimachitika kudzera mu jekeseni, koma nthawi zina mungapemphedwe kuti amwe kapena kuwonetsa ma radiotracer. Shuga imeneyi idzaphatikizidwa m'matenda anu ndikuwonetseratu maselo a maselo. Mpweya wochokera kwa wojambula umatengedwa ndi zipangizo zojambula zithunzi, kupereka chithunzi cha ntchito yamagetsi mkati.
Popeza mitundu ina ya maselo a khansa imakhala ndi mphamvu yambiri yamagetsi kuposa maselo wamba ndipo motero imatenga shuga wochulukirapo, madokotala amatha kuwazindikira ndi kuchuluka kwa ma radiotracer omwe amatha. Pali mitundu yambiri ya khansa yomwe imakhala yochepa kwambiri ya shuga yomwe sichikuwoneka pa kachitidwe kake ka FDG-PET.
Kwenikweni, kuthandizira kwa FDG-PET kumatha kupeza maselo a khansa yowonjezeredwa ndi shuga.
Kodi PET / CT Scan ndi chiyani?
Tomography yamakompyuta , kapena CT, imatha kupereka zambiri zokhudza zinyama mkati mwa thupi lanu. Masiku ano, zipatala zambiri zamagwiritsidwe ntchito zimagwiritsanso ntchito PET ndi CT scans kuti apeze zithunzi zolondola komanso zolondola. Kuphatikiza mayeserowa ali ndi mapindu angapo:
- PET kufufuza amasonyeza maselo osadziwika m'thupi lanu, ndipo CT scan imasonyeza malo awo enieni
- PET yowunikira ingathandize kudziwa ngati masewera omwe amawoneka pa khungu la CT ali ndi khansa kapena ayi
- kansalu ya CT ingawathandize kudziwa ngati maselo omwe amasonyeza ntchito zamagetsi pamtambo wa PET kwenikweni ndi maselo osadziwika, kapena ngati ali maselo achilendo omwe amagwiritsira ntchito shuga kwambiri monga minofu kapena maselo oyera a magazi
Kukonzekera Maphunziro Anu
Kuti akatswiri adziwe zithunzi zeniyeni, adzakupatsani zambiri zokhudza kukonzekera PET yanu. Kawirikawiri malangizo awa adzasonyeza kuti muyenera kukonzekera:
- Mofulumira (musadye kanthu) kwa maola 4-6 musanayese kuyesa kuti maselo anu ali ndi njala yokwanira kuti adziwe shuga ya shuga. Izi zikuphatikizapo kusakhala khofi kapena tiyi, kutafuna chingamu kapena maswiti.
- Imwani madzi ochuluka omwe amakupangitsani kuyesa.
- Mankhwala opweteka ngati mukuwafuna musanayese. Mudzafunsidwa kuti mukhale chete kwa nthawi yayitali, kotero mutha kuonetsetsa kuti kusokonezeka kulikonse kumayang'aniridwa bwino.
- Tengani mankhwala aliwonse monga mwachizolowezi tsiku la mayeso anu, kupatula mankhwala a shuga kapena mankhwala osokoneza bongo.
- Siyani zinthu zonse zitsulo monga zodzikongoletsera, kapena zipangizo zothandizira, kunyumba. Pa nthawi ya mayesero, mukhoza kupemphedwa kuti muchotse magalasi a maso kapena kumvetsera chifukwa zitsulo zingasokoneze zithunzizo.
Muyenera kudziwitsa dipatimenti ya mankhwala a nyukiliya ngati:
- Wakhala ndi mankhwala osokoneza bongo, opaleshoni, kapena mankhwala opatsirana pogwiritsa ntchito mankhwala a radiation masiku 10 musanayambe kusankhidwa
- Khalani ndi matenda a mtundu uliwonse musanayambe kusankhidwa kwanu
- Sinthani maganizo anu ndikusankha kuti musayese
- Kodi claustrophobic kapena mantha mu malo ang'onoang'ono. Mutha kutero mankhwala osokoneza bongo kapena odetsa nkhawa kuti muwone bwinobwino.
- Khalani ndi zilonda zamtundu uliwonse kapena zochitika zam'mbuyo poyerekeza dyes.
- Angakhale ndi pakati kapena ngati mukuyamwitsa
- Ali ndi shuga
Kodi Chimachitika Piti Phunziroli?
Mukafika pa PET kufufuza, mbiri yanu ndi chidziwitso zidzawerengedwa, ndipo mudzakhala ndi mwayi wopempha mafunso ena omwe mungakhale nawo. Mwinanso mungafunsidwe kuti mulembe fomu yobvomerezera musanayese. Malo osokoneza (IV) angayambe, makamaka ngati muli ndi kanema wa CT pamodzi ndi PET.
Magazi anu a shuga amagazi angayang'ane pa nthawi ino. Ngati ndi choncho, mudzakhala ndi chokopa chala, ndipo mchere wanu umayang'aniridwa pogwiritsira ntchito makina osungirako mankhwala omwe amatchedwa glucometer . Ngati mamembala anu ali apamwamba kwambiri, mungafunikirenso kuyesa mayeso anu.
Panthawiyi, mudzasungidwa mu malo ozizira, ofunda, ndipo radiotracer idzaperekedwa kwa inu. Zingatengere nthawi kuti ma radiotracer ayende mumthupi mwako ndikudziunjikira m'matumba anu, kotero mudzafunsidwa kunama kapena kukhala chete panthawi ino. Malingana ndi malo omwe thupi lanu likujambulidwa, ndi malangizo otsatiridwa ndi chipatala chanu, mukhoza kuwerengedwa kuti musamawerenge, kumvetsera nyimbo, kapena kuyankhula kuti mupewe kuyenda konse.
Nthawi ikadzafika, mudzagona pa tebulo losasunthika lomwe limakulowetsani kupyolera muzithunzithunzi zomwe zimatenga zithunzizo. Muyenera kukhala otetezeka panthawi yopenda; Nthawi zambiri zimatenga mphindi pakati pa 20 ndi 60 kuti PET ndi CT ziwoneke.
Akatswiriwa adzaonetsetsa kuti ali ndi zithunzi zonse zomwe amafunikira, ndipo ngati zili choncho, amachotsa malo anu a IV ndipo mudzakhala omasuka kusiya zotsatirazi. Ngati mutagwiritsa ntchito mankhwala osokoneza bongo musanayambe kufufuza, mwina simungathe kufooka, choncho muyenera kukhala ndi wina akukuyendetsa kwanu.
Zonsezi, muyenera kuyembekezera kuti muli pa dipatimenti yosungira mafano kwa maola awiri, kuchokera pachiyambi mpaka kumapeto.
Pambuyo pa Phunziro
Pambuyo poyezetsa PET kukwanira, mudzatha kudya ndi kumwa. Ndipotu kumwa zakumwa zambiri kumalimbikitsa kuthana ndi mafilimu anu. Kuchuluka kwa ma radiation omwe mumalandira panthawi yofufuza PET ndi ofanana ndi a CT kapena fupa la fupa .
Mazirawa amatha kutaya ntchito yake m'thupi mwathu ndipo akhoza kupitsidwira m'thumba lanu ndi / kapena mkodzo mkati mwa maola omwe mukutsata PET. Zina mwazinthu zimalimbikitsa kuti mukhale kutali ndi makanda kapena amayi apakati kwa maola angapo mutatha. Radiyo yotchedwa radiotracer iyenera kukhala yopanda dongosolo lanu patatha tsiku limodzi kapena limodzi.
Katswiri wa zamankhwala a nyukiliya adzayang'ana mafano kuchokera pawunikira yanu, ndikutumizira kutanthauzira kwa dokotala wanu. Funsani ngati mungafunse dokotala wanu zotsatira, kapena ngati angakufunseni.
Kuwongolera Iwo
Kufufuza kwa PET kumatha kuona maselo osalongosoka pokhapokha momwe amachitira ndi kusakaniza shuga. Makamaka pamene amagwiritsidwa ntchito kuphatikizapo CT scan, PET yowunikira imatha kupereka ndondomeko yeniyeni yokhudza khansa monga lymphoma ndi myeloma, ndikuthandizira madokotala kupanga ndi kuyesa chithandizo.
Musanayambe kupanga PET yowonongeka, onetsetsani kuti mwapatsidwa, ndipo mumvetsetse, malangizo onse operekedwa kukuthandizani kukonzekera.
Zotsatira
Bredella, M., Steinbach, L., Caputo, G., Segall, G., Hawkins, R. Value wa FDG PET mu Kuunika kwa Odwala ndi Multieloma Yambiri. American Journal of Roentgenology 2005. 184: 1199- 1204.
Burton, C., Ell, P., Linch, D. Udindo wa kujambula PET mu lymphoma. British Journal of Hematology 2004. 126: 772-84.
Seam, P., Juweid, M., Cheson, B. Udindo wa FDG-PET umawerengera odwala omwe ali ndi lymphoma. Magazi. 2007. 110: 3507-3516.
American College of Radiology Imaging Network. About Pet Scans. Inapezeka mu April 2016.