MIBG scintiscan

Ko te MIBG scintiscan he momo whakamatautau atahanga. Whakamahia ai he taonga irirangi (e kiia ana ko te kaiwhaiwhai) Ka kitea e tetahi kaitirotiro te whakamana ranei i te puta mai o te pheochromocytoma me te neuroblastoma. Koinei nga momo pukupuku e awe ana i te kiko o te io.

He radioisotope (MIBG, iodine-131-meta-iodobenzylguanidine, iodine-123-meta-iodobenzylguanidine ranei) ka werohia ki roto i te uaua. Ko tenei whakahiato e piri ana ki nga puku puku tumo.

Ka whai koe i te karapa i muri mai i taua ra, i te ra ranei i muri. Mo tenei waahanga o te whakamatautau, kei te takoto koe i runga i te teepu i raro o te ringa o te matawai. Ka tirotirohia to kopu. Akene me hoki mai koe mo nga matawai tukurua mo te 1 ki te 3 ra. E 1 ki te 2 haora te roa o ia karapa.

I mua atu i te wa ranei o te whakamatautau, ka hoatu pea ki a koe te ranunga iodine. Ma tenei ka aukati i to repe repe totoro mai i te ngongo nui o te reo irirangi.

Me haina e koe tetahi puka whakaae whakaae. Ka tonoa koe ki te whakakakahu i te koroka hohipera, kia whakakakahu ranei i nga kakahu taera. Me tango e koe nga mea whakapaipai, nga mea whakarewa ranei i mua i ia karapa. He maha nga raau taero e pokanoa ana ki te whakamatautau. Patai ki to kaiwhakarato hauora ko tehea o rongoa auau ka mate pea koe i mua i te whakamatautau.

Ka ite koe i te koikoi o te ngira koi ka werohia te rauemi. He matao, he uaua ranei te teepu. Me takoto marie koe i te waa o te matawai.

Ka mahia tenei whakamatautau hei awhina i te tohu pheochromocytoma. Ka mahia ina kaore e kitea he whakautu whakautu i te tirotiro CT puku, i te tirohanga ranei o te kopu MRI. Ka whakamahia hoki hei awhina i te taatai ​​i te neuroblastoma ka taea te whakamahi mo te pukupuku pukupuku carcinoid.

Kaore he tohu o te puku.

Ko nga hua kaore e taea te tohu:

• Pheochromocytoma
• Neoplasia endocrine maha (MEN) II
• Te puku Carcinoid
• Neuroblastoma

Kei te kitea etahi atu ki te rauropi mai i te reo irirangi. He teitei ake te radiation mai i tenei radioisotope i etahi atu. Akene me whai tupato koe mo etahi ra i muri i te whakamatautau. Ma to kaiwhakarato e whakaatu ki a koe nga mahi hei mahi.

I mua atu i te wa ranei o te whakamatautau, ka hoatu pea ki a koe he otinga iodine. Ma tenei ka aukati i to repe repe tairoiro mai i te ngote iodine nui rawa atu. Te tikanga ka mau te iwi iodide potassium mo te 1 ra i mua, me te 6 nga ra i muri mai. Ka aukati tenei i te tiroro mai i te tango i te MIBG.

Kaua tenei whakamatautau e mahia ki nga wahine hapu. Ka raru te peepi i te peepi.

Whakaahua haurongo Adrenal; Meta-iodobenzylguanidine scintiscan; Pheochromocytoma - MIBG; Neuroblastoma - MIBG; Carcinoid MIBG

• Weronga MIBG

Bleeker G, Tytgat GAM, Adam JA, et al. 123I-MIBG scintigraphy me te whakaahua 18F-FDG-PET mo te taatai ​​i te neuroblastoma. Cochrane Database Syst Rev.. 2015; (9): CDC009263. PMID: 26417712 pubmed.ncbi.nlm.nih.gov/26417712/.

Cohen DL, Fishbein L. Te whakaheke toto tuarua: pheochromocytoma me te paraganglioma. I roto i: Bakris GL, Sorrentino MJ, eds. Takawhita: He Hoa ki te Mate Ngakau a Braunwald. Ed 3. Philadelphia, PA: Elsevier; 2018: chap 15.

Oberg K. Neuroendocrine pukupuku me nga mate e pa ana. I Melmed S, Auchus RJ, Goldfine AB, Koenig RJ, et al. Pukapuka Pukapuka a Williams mo te Endocrinology. 14th ed. Philadelphia, PA: Elsevier; 2020: chap 45.

Yeh MW, Livhits MJ, Duh Q-Y. Nga repe repe adrenal. I roto i: Townsend CM Jr, Beauchamp RD, Evers BM, Mattox KL, eds. Pukapuka Tuhinga Sabiston o te Taatai. Ed 20 Philadelphia, PA: Elsevier; 2017: chap 39.