Myocardial scintigraphy: nkọwa nke usoro, contraindications na-atụ aro

Na elu-tech ụwa banyere a oge mgbe sayensị na nkà mmụta ọgwụ na-aga ọnụ ma na-enyere onye ọ bụla ọzọ mma. Ihe ọ bụ na ụzọ ọhụrụ nke ọrịa nchoputa, ịchọputa ha n'oge mbụ ogbo. Ugbu a onye ọ bụla nke si n'egbugbere ọnụ magnetik resonance Onyonyo (MRI), nuclear magnetik resonance (NMR), agbakọrọ tomography (CT) na ọbụna positron emission tomography (PITA). Ma, ruo ogologo oge, e nwere ụzọ ọzọ na-anya nke uche esịtidem gburugburu ebe obibi nke ahụ mmadụ - myocardial scintigraphy.

kọwaa

Myocardial scintigraphy - a na n'ime ime obodo ndị na-abụghị invasive nnyocha nke obi iji redioaktivu ahụ. N'ezie, a na-ekesa data ntinye isotopes ke idem na usoro nke na gwara ha emission.

Myocardial perfusion scintigraphy - bụ nnoo otu nnyocha ahụ, dị ka akọwara n'elu, ma na-eji redioaktivu thallium. Ọ na-emepụta dị ka a nchegbu ule, na-enweghị ka ha. Ọ-enye gị ohere n'ụzọ ziri ezi ka ndị na-elekwasị anya nke ischemia, nke-eme ka ọ dị oké mkpa na nchoputa nke CHD (ịrịa ọrịa obi).

Onye ọ bụla - dị ka mkpa ya

Ebe ọ bụ na 2007 na US, Western Europe na ndị ọzọ na mba ndị mepere emepe scintigraphy nile. Nke a ọgwụ ọrụ e ji ihe karịrị iri na ise nde mmadụ. E nwere ihe a pụtara na-eme usoro na dịghị ewe oge na mgbalị.

The bụbu Soviet Union, ọnọdụ bụ radically dị iche iche. N'oge na Russia, e nwere ihe abụọ na narị abụọ na ime ihe nke gamma ese foto maka scintigraphy (tụnyere US iri na atọ na puku). Na ha dị naanị n'ogo nke tertiary elekọta.

Olee otú ọ na-arụ ọrụ?

Kwadebere usoro nke onye ọrịa ọgwụ na-ndinọ na a akwara-tracers nke mejupụtara a vector molekul, na redioaktivu isotopes. Ọrụ ha na-jikọrọ n'ihi na vector nwere a tropism chemical (ebe) na a kpọmkwem ngwa ma ọ bụ anụ ahụ nke ahụ mmadụ. A isotope ewepụtarịrị na ohere ha gburugburu gamma ụzarị. Deba aha ụdị ebili mmiri na-ekpebi ebe ndị kasị mma na ndị kasị njọ ọbara ọkọnọ.

Nke na-egosi scintigraphy?

N'ihi nke a na usoro nke anya nwere ike juputara nyochaa ma chọpụta inweta ọbara obi muscle, dị ka a dum ma ọ bụ dị iche iche akụkụ. Chọta ebe erughị eru ọbara, nakwa dị ka ka ọdịiche dị n'etiti ebe ndị nwụrụ anwụ obi anụ ahụ, ndị na-na nwere ike ka na--azọpụta. Na post-infarction ọrịa ndị mfe ịchọpụta scars na ebe nke ischemia. Ke adianade do, ọkachamara nwere ike ikwu ihe nchoputa, ọ dịghị nsogbu kwesịrị ịtụ anya na otú anya.

egosi usoro

Ebe ọ bụ na a na usoro - nnọọ oké ọnụ ụtọ, na nzube ya ga-agu n'onye ezi omume. Ọ rụrụ na-esonụ mgbe:

1. N'ihi na ndị ahụ siri ike tupu mkpa Sporting ihe na ogologo usoro ịwa ahụ n'okpuru general ná Nkụnwụ iwepụ ihe ize ndụ nke nsogbu ma ọ bụ mmerụ.

2. N'ihi na nchoputa nke ịrịa ọrịa obi, ma ọ bụrụ na i nwere niile prerequisites maka Nwa nke ndị dị otú ahụ a nchoputa.

3. Dị ka a usoro nke ịlele irè nke ọgwụgwọ: akwara akwara wasịrị, angioplasty, aṅụ ọgwụ.

4. Iji ịlele n'obi ọrụ mgbe myocardial infarction (ma ọ bụghị ozugbo ya, dị ka a ntighari nkụchi obi nwere ike ime).

Dị ka a na-achị, nke a na usoro-enye gị ohere n'ụzọ ziri ezi-anapụta Nde nchoputa na nyochaa ya.

Akwadebe ndidi maka usoro

Tupu ọ bụla omume ma ọ bụ na-achọpụta ọrịa usoro, onye ọrịa na-enweta a dọkịta nkwanye, idebe nke ga-enyere na-eduzi nnyocha ọzọ zuru ezu ma na-erughị traumatic onye:

- research a na-eme na ihe efu afo;
- ụbọchị tupu ya ike na-aṅụ kọfị, "Coca-Cola", tii, rie chocolate;
- mkpa ka ị kwụsị ịṅụ ọgwụ ọjọọ na-akawanye n'obi ọrụ;
- eme ihe ultrasound na achị si afọ ime, na-enye nwa ara nne kwesịrị mmiri ara iji kwadebe n'ọdịnihu, dị ka nwatakịrị na agaghi-enye obi maka ụbọchị abụọ;
- a nwoke ụbọchị tupu ọmụmụ ekwesịghị iji ọgwụ ọjọọ eme ihe ka mma erections;
- ijide n'aka na-agwa dọkịta gị ma ị nwere ihe ọ bụla ụkwara ume ọkụ.

preparations nke radionuclides

Scintigraphy nke myocardium bụ na-enweghị ojiji nke redioaktivu mmadụ. Ha ugbu a dị ọtụtụ, dabere na nzube nke ọmụmụ:

- MIBI ma ọ bụ sestamibi na-eji maka ọmụmụ nke obi, nwere a tropism n'obi muscle.

- mono- na bisphosphonates nwere ihe mmekọrita maka ọkpụkpụ anụ ahụ, na-eji maka nchoputa nke cancer na ya nsogbu, nakwa dị ka unan.

- diethylenetriaminepentaacetic acid, na-ekpughe gbasara akụrụ daa ọrịa.

- pertechnate eji na-amụ thyroid gland.

- ayodiin-123 e mere maka Onyonyo na thyroid gland.

N'oge ugbu pharmacological ahịa ama pụtara ọgwụ na pụrụ inyere gị aka ịchọpụta kpọmkwem ụdị nke cancer. Na ahụ mmadụ ndị a ogige na-ndinọ intravenously, otú i kwesịrị ịchọpụta n'ọdịnihu ma ndidi nwere anataghi.

Mgbatị ule

Nchegbu myocardial scintigraphy a rụrụ n'otu ụzọ ahụ dị ka analogical ọmụmụ na electrocardiography. Ka ịmepụta a nrụgide ọnọdụ, ndị ọrịa na-ume na-egosipụta na-amụ (igwe ịgba ọsọ, bike). The egosi maka a usoro na-ịrịba ECG mgbanwe, mkpesa, e ji mara nke ịrịa ọrịa obi. Otu nke siri ike akụkụ nke usoro bụ iji nweta elu-edu Onyonyo nke ekpe ventricle. The ibiere a mma sample bụ:

1. ekpe ventricular ejection nta erughị 35%.
2. The abawanye ejection nta n'oge ọzọ kpụ ọkụ n'ọnụ na-arụ ọrụ karịa 5%.
3. Ịrịba Ama okwu nke motility ọrịa.
4. Obodo disturbances nke contractility nke cardiomyocytes na di ntakiri ibu.

nsonaazụ scintigraphy

Myocardial scintigraphy enye a ole na ole iche nke ihe oyiyi nke obi muscle. Firstly, ọ bụ ka a na-akpọ static oyiyi. Nke a bụ a abụọ akụkụ (ewepụghị) ahu nkewa. Ọtụtụ mgbe, ya mere, na-enyocha ọkpụkpụ, na endocrine glands, na na. D.

Nke abuo, e nwere ike ma ọ bụ na-akpụ akpụ ihe oyiyi, na-amata ọrụ nke oghere akụkụ. Ha na-nwetara dị ka a N'ihi nke na mgbakwunye na nke a ole na ole ka na-foto. Ha na-eji imeju nnyocha, akụrụ, obi, ọbara arịa.

Nke atọ ụdị nke aha nke ọmụmụ - ECG mmekọrịta. Ọzọ mwepụ nke ECG-enye gị ohere ekenye a ọrụ, na ọdịdị ala nke lesion ahu.

Ụfọdụ ndị ọkachamara na, na-eduzi myocardial scintigraphy, na jikọọ OFEKT (otu photon emission agbakọrọ tomography) nweta atọ akụkụ oyiyi nke na-enyocha ngwa. Ọtụtụ mgbe a na-eme na ikpe nke-enyo enyo na ọrịa obi na ọrịa ma ọ bụ ụbụrụ.

ma usoro bụ nchebe?

Na Russia, naanị na ahụkebe ikpe, a myocardial scintigraphy. Contraindications nchọpụta a dị mfe: enweghị onye uche ọgwụ radioisotope. Ọzọkwa, usoro a na-contraindicated na:

- ụmụ nwaanyị dị ime na nwa ara na nne;

- ndị na oké ọrịa nke ndị ọzọ na akụkụ na usoro (o nwere ike nsogbu n'oge ọmụmụ eji a ibu);

- ọrịa na sepsis na fever;

- na myocarditis, ọnụnọ nke ọrịa obi, na-adịbeghị anya myocardial infarction.

The usoro onwe ya bụ enweghi mgbu na ihe fọrọ nke nta na-adịghị njọ. Mgbe ụfọdụ, ọrịa na-enwe mmetụta ọgwụ ọjọọ ma ọ bụ site na ihe omumu, ma dị ka a na-achị, ndị erughị ala na-aga ngwa ngwa, na ndị na-alaghachi kwesịrị ndụ.

Ka esi na-amụ ihe

Ebe eme myocardial scintigraphy? Nzọụkwụ mbụ bụ na-atụle ọgwụ ma ọ bụ na a ọgwụgwọ n'ụlọ ọgwụ, iji chọpụta ma e nwere mkpa maka ndị dị otú ahụ dị oké ọnụ nnyocha. Ọtụtụ ọrịa obi na ọrịa nwere ike achọpụtara ihe ngwa ngwa dị ụzọ.

Dị ka e kwuru n'elu, bụbu Soviet Union ohere na-eduzi ndị dị otú ahụ a ule bụ nanị dị na nnukwu obodo. Myocardial scintigraphy na Moscow ẹkenịmde ke ọtụtụ onwe clinics nakwa na Center nke Interventional Cardiology na RNII Gerontology Eshtemo RF, NC obi Surgery ha. A. N. Bakuleva na na ngalaba radieshon nchọpụta nsogbu Emmanuel Clinical Center. I. M. Sechenova.

Ịnye ọnụahịa iwu na ọha na onwe n'ụlọ ọgwụ nwere ike iche, mgbe ụfọdụ, budata. Ya mere, ọ na-eme uche na-nlezianya tụlee ọrụ awa site a akpan akpan ụlọ ọgwụ na mgbe anyị na-ekpebi ma ị nwere afọ ojuju na ego rịọrọ maka ndị dị otú ahụ a na-amụ dị ka myocardial scintigraphy. Price na Moscow nwere ike ịdị iche dabere na usoro na akporo mgbakọ. The na-eri bụ ebe na mpaghara nke n'etiti asaa na puku mmadụ asatọ na. Nke a bụ nnọọ maka mfe nnyocha. Ma, e nwere ndị ọrịa na-achọ myocardial scintigraphy ibu. Ya price ga-dịkarịa ala ugboro abụọ ka elu. Iri na ise na puku rubles, karị. Otú ọ dị, usoro a na-enye ndị dọkịta na a mma echiche banyere ọnọdụ ahụ ike nke onye ọrịa na-enyere aka họrọ Pọnseti iwu.

Myocardial scintigraphy - a dịtụ ọhụrụ, na-abụghị invasive, mma ma enweghi mgbu usoro nnyocha nke obi muscle. Site na ijikọta rụzuru nke oge a na nkà na ụzụ kọmputa na nchoputa na ubi nke redioaktivu bekee ọ na-ekwe omume na-ịchọpụta ischemic akpa ume na ọrịa na ya mbụ nkebi.