Created at:1/13/2025
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I-Albumin iodinated I-131 iyimithi ekhethekile enomoya esetshenziselwa ukusiza odokotela ukuthi babone ukuthi igazi lakho lihamba kahle kangakanani emzimbeni wakho wonke. Kuyinhlanganisela ye-albumin (iprotein etholakala ngokwemvelo egazini lakho) ebekwe inani elincane le-iodine enomoya ebizwa nge-I-131.
Le mithi isebenza njengomkhondo omnene ohamba ngemithambo yakho yegazi, okuvumela imishini yezokwelapha ukuthi ilandele futhi ilinganise ukujikeleza kwegazi lakho. Cabanga ngayo njengophawu oluvikelekile, lwesikhashana olusiza odokotela ukuthi bathole umbono ocacile walokho okwenzeka ngaphakathi ohlelweni lwakho lwe-cardiovascular.
Odokotela ngokuyinhloko basebenzisa le mithi ukukala ukuthi inhliziyo yakho iphampa kangakanani igazi ngokuqina ngakunye nokuthi igazi lihamba kahle kangakanani ezingxenyeni ezihlukene zomzimba wakho. Kuyasiza ikakhulukazi lapho ithimba lakho lezempilo lidinga ukuqonda ukusebenza kwenhliziyo yakho noma ukuhlola ukujikeleza kwegazi lakho konke.
Leli thuluzi lokuxilonga livame ukusetshenziswa ngesikhathi sokucabanga nge-cardiac blood pool, ukuhlolwa okwenza izithombe ezinemininingwane yenhliziyo yakho isebenza. Udokotela wakho angase akuncome lokhu kuhlolwa uma uhlangabezana nezimpawu ezinjengokuphefumula kanzima, ubuhlungu besifuba, noma ukukhathala okungajwayelekile okungase kuhlobane nokusebenza kwenhliziyo.
Le mithi futhi ibalulekile ekutholeni amahlule egazi, ekuhloleni ukulimala kwenhliziyo ngemva kokuhlaselwa yinhliziyo, noma ekuqapheni ukuthi imithi ethile yenhliziyo isebenza kahle kangakanani. Ngenxa yokuthi ihamba ngokwemvelo ngemithambo yakho yegazi, inikeza odokotela ulwazi lwangempela mayelana nempilo yakho ye-cardiovascular.
Le mithi isebenza ngokusebenzisa izakhiwo zemvelo ze-albumin, esivele ikhona egazini lakho. Lapho i-iodine enomoya inamathiselwe ku-albumin, idala umkhondo ophephile ohlala emithanjeni yakho yegazi isikhathi esithile.
Ingxenye enomoya wemisebe imnene impela futhi yenzelwe ukukhipha amandla anele nje ukuthi imishini yokuthwebula yezokwelapha ikwazi ukuyithola. Njengoba i-albumin enamathelisiwe izungeleza emzimbeni wakho, amakhamera akhethekile angalandelela ukunyakaza kwayo futhi enze izithombe ezinemininingwane yamaphethini okuhamba kwegazi lakho.
Yonke inqubo imnene emzimbeni wakho ngoba i-albumin iyinto igazi lakho eliqukethe ngokwemvelo. I-iodine enomoya wemisebe ilahlekelwa kancane kancane umsebenzi wayo ngokuhamba kwesikhathi futhi ekugcineni iqedwa ohlelweni lwakho ngezindlela zomzimba ezijwayelekile.
Ngeke empeleni “uthatha” lo muthi ngomqondo wendabuko. Kunalokho, uchwepheshe wezempilo uzokunika wona ngokujova okuncane emthanjeni, ngokuvamile engalweni yakho.
Ngaphambi kokuqokwa kwakho, udokotela wakho angase akucele ukuthi ugweme ukudla amahora ambalwa, nakuba lokhu kungadingeki ngaso sonke isikhathi. Kufanele uqhubeke nokuthatha imithi yakho ejwayelekile ngaphandle uma ithimba lakho lezempilo likutshela ngokuqondile ngenye indlela.
Ukujova ngokwako kuthatha imizuzwana embalwa nje, futhi cishe uzodinga ukulinda isikhashana ngaphambi kokuthi inqubo yokuthwebula iqale. Lesi sikhathi sokulinda sivumela umuthi ukuthi ujikeleze kahle emzimbeni wakho.
Ngesikhathi senqubo, uzolala unganyakazi ngenkathi amakhamera akhethekile ethatha izithombe zenhliziyo yakho nemithambo yegazi. Yonke inqubo ayinabuhlungu, nakuba ungase uzwe ukuchofoza okuncane ngensingo yokujova.
Lo muthi unikezwa njengomthamo owodwa ngezinhloso zokuxilonga kuphela. Ngeke kudingeke ukuthi uyithathe ngokuphindaphindiwe noma ulandele isimiso sokulinganisa njengoba ungakwenza ngemithi yansuku zonke.
Ingxenye enomoya wemisebe yehla ngokwemvelo ngamandla ezinsukwini eziningana kuya emavikini. Umzimba wakho uzokhipha kancane kancane umuthi ngezindlela ezijwayelekile, futhi imithamo eyengeziwe ngokuvamile ayidingeki.
Uma udokotela wakho edinga ukuphinda isifundo sokuthwebula esikhathini esizayo, bazokunika umthamo omusha ngaleso sikhathi. Nokho, lokhu kuvame ukudingeka kuphela uma isimo sakho sezempilo sishintsha noma uma kuqashwa ukulandela.
Abantu abaningi abahlangabezani nemiphumela eminingi eceleni yalo muthi ngoba unikezwa ngamanani amancane futhi usetshenziswa kanye kuphela. Izindlela ezivamile kakhulu zithambile futhi zesikhashana.
Nansi imiphumela eceleni ongase uyithole, ukhumbula ukuthi izindlela ezinzima azivamile:
Imiphumela evamile, ethambile eceleni ihlanganisa:
Imiphumela eceleni engavamile ingahlanganisa:
Imiphumela eceleni engavamile kodwa eyingozi edinga ukunakekelwa kwezempilo ngokushesha:
Le miphumela eceleni ivame ukuba ithambile futhi iyazixazulula yona phakathi kwamahora ambalwa kuya osukwini olulodwa. Uma uhlangabezana nanoma yiziphi izimpawu ezikhathazayo, unganqikazi ukuxhumana nethimba lakho lezempilo.
Ngenkathi lo muthi ngokuvamile uphephile kubantu abaningi, kunezimo ezithile lapho udokotela wakho angakhetha khona indlela ehlukile yokuxilonga. Ukuphepha kwakho kuhlala kuyinto eza kuqala.
Kufanele wazise ithimba lakho lezempilo uma ngabe yiziphi lezi zimo ezisebenza kuwe:
Ukukhulelwa nokuncelisa:
Ukungezwani nokuzwela:
Izimo zezokwelapha ezidinga ukucatshangelwa okukhethekile:
Udokotela wakho uzobuyekeza ngokucophelela umlando wakho wezokwelapha kanye nesimo sakho sempilo samanje ukuze anqume ukuthi leli thuba likufanele yini. Kunezindlela eziningi zokuthwebula izithombe ezitholakalayo uma lo muthi ungafaneleki.
Lo muthi ngokuvamile utholakala ngaphansi kwamagama amaningi ebhrendi, nakuba amagama aqondile angahluka kuye ngendawo yakho kanye nesikhungo sezempilo. Amagama ebhrendi ajwayelekile afaka i-Megatope kanye nezindlela ezihlukahlukene ezilungiselelwe esibhedlela.
Ithimba lakho lezempilo lizosebenzisa uhlobo oluthile noma ukulungiswa okufanele kakhulu izidingo zakho zokuxilonga. Zonke izinguqulo ezivunyelwe ziqukethe izithako ezifanayo ezisebenzayo futhi zisebenza ngendlela efanayo.
Umuthi ngokuvamile ulungiswa ngokushesha ngamakhemisi akhethekile noma iminyango yezokwelapha yenuzi, ukuqinisekisa ukuthi uthola umthamo osebenzayo kakhulu ocwaningweni lwakho lokuthwebula izithombe.
Uma i-albumin iodinated I-131 ingakufanele, udokotela wakho unezinye izinketho eziningana zokuhlola ukusebenza kwenhliziyo yakho nokugeleza kwegazi. Lezi ezinye izindlela zingahlinzeka ngolwazi olufanayo lokuxilonga.
Ezinye izindlela ezingenawo umsakazo zihlanganisa i-echocardiography (i-ultrasound yenhliziyo), esebenzisa amaza omsindo ukudala izithombe ezinemininingwane yesakhiwo senhliziyo yakho nomsebenzi wayo. Lolu vivinyo luphephile ngokuphelele futhi lungaphindwa kaningi ngendlela edingekayo.
Ezinye izinketho zokucabanga zihlanganisa i-cardiac MRI, esebenzisa izinkambu zikazibuthe ukudala izithombe zenhliziyo ezinemininingwane, noma i-CT angiography, esebenzisa umbala ohlukile kanye nemisebe ye-X ukubonisa imithambo yegazi. Udokotela wakho uzokhetha inketho engcono kakhulu ngokusekelwe ezidingweni zakho ezithile zezokwelapha kanye nezimo.
Kokubili i-albumin iodinated I-131 ne-technetium-99m ziyithuluzi elibalulekile lokuxilonga, kodwa zisebenzela izinjongo ezehlukene kancane futhi zinezinzuzo ezihlukile. Ukukhetha kukadokotela wakho kuncike kulwazi oluthile abaludingayo ngenhliziyo yakho.
I-Technetium-99m ivame ukusetshenziselwa ukucabanga kwenhliziyo ngoba inesigamu sokuphila esifushane, okusho ukuthi umsakazo wehla ngokushesha. Lokhu kwenza kube lula ezifundweni zenhliziyo ezijwayelekile futhi kunciphisa ukuchayeka kwakho emisebeni.
I-Albumin iodinated I-131, ngakolunye uhlangothi, ihlala egazini lakho isikhathi eside, okungaba usizo ezinhlotsheni ezithile zezifundo ezidinga izikhathi zokubuka ezinwetshiwe. Ilusizo ikakhulukazi lapho odokotela bedinga ukulandelela ukuhamba kwegazi ngesikhathi eside.
Zombili le mithi zithathwa njengeziphephile futhi ziyasebenza. Ithimba lakho lezempilo lizokhetha lelo elinikeza ulwazi oluwusizo kakhulu esimweni sakho esithile ngenkathi kuncishiswa noma yiziphi izingozi ezingaba khona.
Yebo, i-albumin iodinated I-131 ngokuvamile iphephile kubantu abanesifo sikashukela. Umuthi awuthinti ngokuqondile amazinga kashukela egazini noma uphazamisa imithi eminingi yesifo sikashukela.
Noma kunjalo, kufanele uqhubeke nokuthatha imithi yakho yezifo zikashukela njengoba kunqunywe ngaphandle uma ithimba lakho lezempilo likuyala ngokuqondile ngenye indlela. Uma ucelwa ukuba uzile ngaphambi kwenqubo, udokotela wakho angase anikeze imiyalelo ekhethekile mayelana nesikhathi sokuthatha imithi yakho yesifo sikashukela.
Yazisa ithimba lakho lezempilo ngesifo sakho sikashukela nayo yonke imithi oyithathayo ukuze bakwazi ukukunakekela ngendlela efanele ngesikhathi senqubo yakho yokuxilonga.
Ukweqisa ngengozi akunakwenzeka ngoba lo muthi ulinganiswa ngokucophelela futhi unikezwa ochwepheshe bezempilo abaqeqeshiwe ezindaweni zezokwelapha ezilawulwayo. Imithamo esetshenziselwa izinjongo zokuxilonga isivele incane kakhulu.
Uma ukhathazekile ngobuningi obutholile, khuluma nethimba lakho lezempilo ngokushesha. Bangahlola isimo sakho futhi bakuqaphele nganoma yiziphi izimpawu ezingavamile.
Esimeni esingavamile sokweqisa, ithimba lakho lezokwelapha linganikeza ukunakekelwa okusekelayo futhi lingancoma ukuphuza uketshezi olwengeziwe ukusiza umzimba wakho ukuthi uqede umuthi ngokushesha.
Uma uphuthelwa ukuqokwa kwakho okuhleliwe, xhumana nehhovisi lomhlinzeki wakho wezempilo ngokushesha ngangokunokwenzeka ukuze uhlele kabusha. Njengoba lo muthi ulungiswa ngomusha kumuntu ngamunye, ukuphuthelwa ukuqokwa kwakho kusho ukuthi umthamo olungisiwe ngeke usetshenziswe.
Ungakhathazeki nganoma yimiphumela emibi yezempilo evela ekuphuthelweni ukuqokwa. Lokhu kuyisivivinyo sokuxilonga, hhayi ukwelashwa okudingeka ukuthi ukuthole ngeshejuli ethile.
Ithimba lakho lezempilo lizosebenza nawe ukuthola isikhathi sokuqokwa esisha esihambisana neshejuli yakho. Bangase badinge isaziso sezinsuku ezimbalwa ukuze balungiselele umthamo omusha womuthi.
Ngokuvamile ungaqhubeka nemisebenzi eminingi ejwayelekile ngokushesha ngemuva kokuthi inqubo yakho yokuthwebula isiqediwe. Umuthi ngeke ukutonyeze ikhono lakho lokushayela, ukusebenza, noma ukwenza imisebenzi yansuku zonke.
Ithimba lakho lezempilo lingase lincomende ukuthi uphuze uketshezi olwengeziwe ngosuku lokuqala noma ezimbili ukusiza umzimba wakho ukuthi uqede umuthi ngokushesha. Lesi yisinyathelo sokuzivikela esisekela izinqubo zomzimba wakho zemvelo.
Uma uncelisa, udokotela wakho uzokunikeza isiqondiso esiqondile mayelana nokuthi kuliphi ithuba eliphephile lokuqhubeka nokuncelisa, okuvame ukuba phakathi nezinsuku ezimbalwa kuya evikini elilodwa ngemuva kwenqubo.
Imithamo yokuxilonga ye-albumin iodinated I-131 incane kakhulu kunemithamo yokwelapha futhi akunakwenzeka ukuthi ithinte ukusebenza komdlavuza wakho. Inani le-iodine enomsakazo elisetshenziselwa ukuthwebula lincane uma liqhathaniswa nemithamo esetshenziselwa ukwelapha izimo zomdlavuza.
Kodwa-ke, uma unezinkinga zomdlavuza ezikhona noma usebenzisa imithi yomdlavuza, yazisa ithimba lakho lezempilo. Bangase bafune ukuqapha ukusebenza komdlavuza wakho ngokucophelela noma bacabange ezinye izindlela zokuthwebula.
Abantu abanomdlavuza osebenzayo ngokweqile (i-hyperthyroidism) bangase badinge ukulungiswa okukhethekile ngaphambi kokuthola noma yimiphi imithi equkethe i-iodine, ngisho nasemithamo emincane yokuxilonga.