Scintigraphy myocardial: whakaahuatanga o te tukanga, contraindications me tūtohutanga

I roto i te ao nui-tech kua tomo te wā ka pūtaiao me te rongoā haere tahi me te āwhina ia atu te whakapai ake. Fele he reira ki tikanga hou o te mate tātaritanga, kimi ratou i te wā mua. Na ngutu o te katoa atahanga autō te kōwarotanga (MRI), karihi te kōwarotanga autō (NMR), tomography computed (CT) me tae noa positron tukunga tomography (PET). Ko mo te wa roa, i reira he ara tetahi ki te sioloto te taiao ā-o te tinana tangata - scintigraphy myocardial.

tautuhi

scintigraphy myocardial - he whakamātautau kore-urutomo mamao o te ngakau te whakamahi i matūriki iraruke. I roto i te meka, tenei tohatoha o urunga raraunga kanoirite i te tinana i roto i te tukanga o te whakatika ratou paheke.

scintigraphy perfusion myocardial - ko tino te ako taua, te whakaahuatanga i runga, engari te whakamahi i thallium iraruke. whakaputaina te reira i rite te whakamātautau ahotea, a kahore a ratou. āhei te reira ki a koutou whakaturia tika te arotahi o ischemia, e hanga mahuinga reira i roto i te tātaritanga o te CHD (mate ngakau coronary).

Ia - rite ki tona hiahia

Mai 2007 i roto i te US, Western Europe me ētahi atu whenua whakawhanakehia he whānui scintigraphy. I whakamahia tenei mahi hauora e neke atu i te rima miriona iwi. He te te tukanga tika ngā kore e tangohia nui te wā me te kaha.

Ko te mua Soviet Union, Ko radically rerekē te āhuatanga. I te kau i roto i Russia reira e pā ana ki e rua rau me te mahi o ngā kāmera kama hoki scintigraphy (whakaritea ki US ma toru mano). A e wātea ana ratou anake i te taumata o te tiaki wānanga.

Pehea e mahi i te reira?

Rite e te tukanga o te manawanui faaterehia te tarukino e i roto i te rua-tracers e Kei roto i te rāpoi ngota pere, me kanoirite iraruke. hono o ratou mahi e no te mea te pere kua he matū tropism (wāhi) ki te okana motuhake ranei kikokiko o te tinana tangata. He kanoirite E faatae mai i roto i te wāhi huri noa ratou kama hihi. Rēhita tenei momo o ngaru ki te whakatau i te wahi o te supply toto pai me kino.

E whakaatu ana scintigraphy?

Ngā mihi ki tenei tikanga o te mātakitaki tino e taea te arotake me te aromātai i te supply toto ki te uaua ngakau, kia rite ki te katoa ranei i roto i ngā wāhanga motuhake. Kimihia ngā wāhi ki te rere toto takarepa, me te ki te rerekëtanga i waenganui i te wahi i reira te kiko ngakau mate, i te hunga e taea tonu te ora. I roto i te pou-infarction e ngāwari ki te kitea tohu me ngā wāhi o te ischemia tūroro. I tua atu, ka taea e te mātanga matapae i te hua o te ako, kia mahara kahore pōauautanga me pehea hohoro.

Tuhinga tukanga

Mai tenei tukanga - pai rawa utu, me tona whakaaro kia whakatikaia. Kei te kawea te reira i roto i roto i te wā e whai ake nei:

1. No te iwi hauora i mua i ngā mahi hākinakina nui, me te roa ngā tukanga hāparapara i raro i rehunga whānui ki te whakakore i te mōrea o pōauautanga wharanga ranei.

2. hoki te tātaritanga o te mate ngakau coronary, ki te whai koe i nga hiahiatanga katoa mo te waihanga o te tātaritanga taua.

3. Ka rite ki te tikanga o arowhai te tōtika o te maimoatanga: coronary pokanga iatuku karo, angioplasty, tarukino therapy.

4. Ki te tirohia i te mahi ngakau i muri i infarction myocardial (engari e kore e muri tonu reira, i rite te whakaeke ngakau recurrent kia puta).

Ka rite ki te tikanga, ka taea tenei tikanga ki a koutou te whakaora tika tātaritanga wā, me te manatoko i te reira.

Teuteu te manawanui mo te tukanga

I mua ia maimoatanga tukanga tātaritanga ranei, e tango te manawanui tūtohutanga o te tākuta, te haapa'oraa o e e tauturu i ki te whakahaere oti ake rangahau, me te iti iho ngaukino mo te tangata:

- Kei te mahi rangahau i runga i te puku kau;
- te ra i mua i kore ia e taea te inu kawhe, "Coca-cola", tea, kai tiakarete;
- Me koe ki te mutu tango raau taero e te ū mahi ngakau;
- mahi he ultrasound ki te whakahaere tikanga i roto i hapūtanga, a kia waiu ki te faaineine i roto i mua, pera kore te tamaiti e kia hoatu te uma hoki e rua nga ra te u,;
- he tangata te ra i mua i te ako kore e whakamahi i taero ki te whakapai ake ure;
- kia mohio ki te korero i tō tākuta mehemea whai koe i tetahi huangō.

taka o radionuclides

e kore he Scintigraphy o te myocardium waho te whakamahi o āpiha iratuki. inaianei vai ratou maha momo, i runga i te whakaaro o te ako rānei:

- Kei te whakamahia MIBI sestamibi ranei mo te ako o te ngakau, kua he tropism ki te uaua ngakau.

- ki Pālesi me bisphosphonates i te marena mo te wheua kikokiko, e whakamahia hoki te tātaritanga o te mate pukupuku, me ona pōauautanga, me te whara.

- waikawa diethylenetriaminepentaacetic, heheu māuiuitanga tākihi.

- pertechnate whakamahia ki ako i te repe thyroid.

- Kei te hangaia Iodine-123 mō te atahanga i te repe thyroid.

I te mākete pharmacological reira puta kē rongoā e taea te āwhina te tātari e koe momo motuhake o te mate pukupuku. I roto i te tinana tangata e whakahaerea e pâmuhia enei pūhui, na e hiahia ana koe ki te kitea i roto i roto i mua ranei i te manawanui he mate pāwera.

whakamātautau Mahinga

whakamana Stress scintigraphy myocardial te i roto i te ara ano rite te ako analogical i electrocardiography. Hei waihanga i tētahi āhuatanga taumaha, e ākina tūroro ki te faaohipa i te omaoma (wīra, pahikara). Ko te tohu hoki tenei tukanga he huringa ECG nui, amuamu, āhuatanga o te mate ngakau coronary. Ko tētahi o nga āhuatanga uaua o te tukanga ko te ki te whiwhi-te kounga teitei atahanga o te mānawanawa maui. Ko te paearu mō te tauira pai ko:

1. maui hautanga ejection ventricular iti iho i te 35%.
2. Te hautanga pana hua i roto i te mahi kaha ake i te 5%.
3. Nui te faaiteraa o disorders motility.
4. raruraru Local o contractility o cardiomyocytes ki kawenga iti.

hua scintigraphy

scintigraphy myocardial whakarato i te torutoru momo o whakapakoko o te uaua ngakau. Tuatahi, ko reira tonu nga whakapakoko pateko pera-ka karanga. Ko te rua-ahu (flat) whakamahere tinana tenei. Nuinga o ngā wā, kia titiro nga wheua, nga repe endocrine, a na i runga i. D.

Tuarua, i reira e hihiri neke ranei whakapakoko, ki te aromatawai i te mahi o nga whekau tuwhera. E whiwhi ratou rite te hua o te tua o te torutoru pikitia tonu. E whakamahia ratou mo te ate whakamātautau, whatukuhu, ngakau, oko toto.

momo Tuatoru o rēhita o te ako - ECG tukutahitanga. tango atu o te ECG taea ki a koe tautapa i te mahi, me te mahere whenua o te tinana lesion.

Ētahi tohunga, whakahaere scintigraphy myocardial, ka hono OFEKT (tukunga pūaho kotahi computed tomography) ki te whiwhi whakapakoko toru-ahu o te okana te uiui. E mea pinepine i meatia tenei i roto i te wā o te mate ngakau whakapae roro ranei.

ahakoa he haumaru te tikanga?

I roto i Russia, anake i roto i te wā rawa, he scintigraphy myocardial. Contraindications ki tenei rangahau, ko te ohie: kore o te tūtohutanga takitahi ki te ehu iratuke tarukino. I tua atu, contraindicated te hātepe kei te roto:

- hapu wahine me te u,;

- te iwi ki mate nui o te tahi atu whēkau me ngā pūnaha (ka taea te reira te hanga i raruraru i roto i te ako mā te whakamahi i te kawenga);

- tūroro ki sepsis me te kirika;

- ki myocarditis, te aroaro o te mate ngakau, me te tata infarction myocardial.

Ko te tikanga ano he ongonoa, me te tata kinokore. He wā, wheako tūroro pānga taha i taero ranei i mahi, engari kia rite ki te tikanga, hohoro te hūhi haere, a ka hoki mai te iwi ki te ora noa.

Me pēhea te ki te tiki ki te ako

Hea te mahi scintigraphy myocardial? Ko te taahiraa matamua, ko te ki te kia te uiui i roto i te whare hauora ranei i roto i te hōhipera whakaora, ki te whakatau mehemea i reira he he hiahia mo te taua rangahau utu. Ka taea te kitea maha mate ngakau atu ohie tikanga e wātea ana.

Ka rite ki whakahuatia i runga ake, he wātea anake i roto i nga pa nui te mua Soviet Union te whai wāhi ki te whakahaere i te whakamātautau taua. scintigraphy myocardial i roto i Moscow tū i roto i te maha haumanu tūmataiti rite te pai rite i roto i te Center o Interventional Cardiology i RNII Gerontology MOH RF, NC Cardiovascular Surgery ratou. A. N. Bakuleva me i te tari o tātaritanga radiation MMA Center Haumanu. I. M. Sechenova.

kaupapa here Pricing i roto i ngā hōhipera tūmatanui, me te tūmataiti kia rerekē, i ētahi wā tino. Na reira, hanga ana e ia te tikanga ki te āta whakaaro i te ratonga tapaea e te hōhipera ngā, me te ka whakatau tatou ranei e makona ki te nui tonoa mo te ako pēnei i scintigraphy myocardial koe. Price i roto i Moscow kia rerekē i runga i te tikanga me te hōkai o te wāhi rānei. Ko tetahi wahi te utu i roto i te rohe o waenganui i whitu me waru mano. Ko tenei tika hoki te rangahau ohie. Ko reira he tūroro e rapu kawenga scintigraphy myocardial. ka waiho Ko tōna utu i te iti rawa e rua rite tiketike. Rima mano moni, aua. Heoi, homai tenei tikanga te tākuta he whakaaro pai e pā ana ki te āhua o te hauora o te manawanui, me te āwhina hoki tīpako i te kaupapa here maimoatanga tino pai.

scintigraphy myocardial - he tikanga āhua hou, kore-urutomo, haumaru me te ongonoa o te whakamātautau o te uaua ngakau. Na roto i te whakakotahi i nga whakatutukitanga o te hangarau rorohiko hou me te āhuatanga i roto i te mara o te matū iratuki kua meinga reira taea ki te tātari mate pūkahukahu rere pūroto i roto i ona wāhanga tuatahi.