MIBG scintiscan
MIBG scintiscan nau'in gwajin hoto ne. Yana amfani da sinadarin rediyo (wanda ake kira mai sihiri). Wani na'urar daukar hotan takardu ya samo ko ya tabbatar da kasancewar pheochromocytoma da neuroblastoma. Waɗannan nau'ikan ciwace-ciwace ne da ke shafar jijiyoyin jijiyoyi.
An sanya na'urar rediyo (MIBG, iodine-131-meta-iodobenzylguanidine, ko iodine-123-meta-iodobenzylguanidine) a cikin jijiya. Wannan mahaɗin yana haɗuwa da takamaiman ƙwayoyin cuta.
Za ku sami hotunan binciken daga baya a wannan ranar ko gobe. Don wannan ɓangaren gwajin, kuna kwance akan tebur a ƙarƙashin hannun na'urar daukar hotan takardu. Ana duba ciki. Kila iya buƙatar dawowa don maimaita sikanin kwanaki 1 zuwa 3. Kowane hoto yana ɗaukar awa 1 zuwa 2.
Kafin ko yayin gwajin, za'a iya baka hadin iodine. Wannan yana hana glandar thyroid daga yawan ɗaukar rediyo.
Kuna buƙatar sa hannu kan takardar izinin da aka sanar. Za a umarce ku da ku saka rigar asibiti ko kuma kayan da suka dace. Kuna buƙatar cire kayan ado ko na ƙarfe kafin kowane hoton. Yawancin kwayoyi suna tsoma baki tare da gwajin.Tambayi mai ba ku kiwon lafiya wane magani ne na yau da kullun da za ku buƙaci dakatar da shi kafin gwajin.
Za ku ji ƙarar allura mai kaifi lokacin da aka yi allurar abu. Tebur na iya zama mai sanyi ko mai wuya. Dole ne ku yi kwance har yanzu yayin binciken.
Ana yin wannan gwajin don taimakawa wajen gano pheochromocytoma. Ana yin sa yayin binciken CT na ciki ko hoton MRI na ciki ba ya ba da tabbatacciyar amsa. Hakanan ana amfani dashi don taimakawa wajen bincikar neuroblastoma kuma ana iya amfani dashi don ciwan ƙwayar carcinoid.
Babu alamun ƙari.
Sakamako mara kyau na iya nuna:
- Pheochromocytoma
- Yawancin endoprine neoplasia (MEN) II
- Ciwon daji na Carcinoid
- Neuroblastoma
Akwai ɗan ɗanɗanawa ga radiation daga rediyo. Radiyon wannan radiyo ya fi na sauran mutane yawa. Kila iya buƙatar yin ƙarin kariya don 'yan kwanaki bayan gwajin. Mai ba ku sabis zai gaya muku ayyukan da za ku yi.
Kafin ko yayin gwajin, za'a iya baka maganin iodine. Wannan zai kiyaye glandar ka daga shan iodine da yawa. Yawancin lokaci mutane suna shan potassium iodide na kwana 1 kafin kwana 6 bayan haka. Wannan yana toshe thyroid daga karɓar MIBG.
Kada a yi wannan gwajin a kan mata masu ciki. Radiyon na iya haifar da haɗari ga jaririn da ba a haifa ba.
Hoto na adrenal; Meta-iodobenzylguanidine scintiscan; Pheochromocytoma - MIBG; Neuroblastoma - MIBG; Carcinoid MIBG
- Allurar MIBG
Bleeker G, Tytgat GAM, Adam JA, et al. 123I-MIBG scintigraphy da 18F-FDG-PET hoton don bincikar neuroblastoma. Cochrane Database Syst Rev.. 2015; (9): CDC009263. PMID: 26417712 pubmed.ncbi.nlm.nih.gov/26417712/.
Cohen DL, Fishbein L. Secondary hauhawar jini: pheochromocytoma da paraganglioma. A cikin: Bakris GL, Sorrentino MJ, eds. Hawan jini: Abokin Cutar Braunwald na Ciwon Zuciya. 3rd ed. Philadelphia, PA: Elsevier; 2018: babi na 15.
Oberg K. Neuroendocrine ciwace-ciwace da cuta masu alaƙa. A cikin Melmed S, Auchus RJ, Goldfine AB, Koenig RJ, et al. Littafin Williams na Endocrinology. 14th ed. Philadelphia, PA: Elsevier; 2020: babi na 45.
Yeh MW, Livhits MJ, Duh Q-Y. A adrenal gland. A cikin: Townsend CM Jr, Beauchamp RD, Evers BM, Mattox KL, eds. Littafin Sabiston na tiyata. 20th ed. Philadelphia, PA: Elsevier; 2017: babi na 39.