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Yashoda Hospitals > Okukhethekile > I-Nuclear Medicine

Thola Umbono Wesibili Wamahhala

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Odokotela

Imithi yenyukliya iwubungcweti obuhilela izindlela ezingangenisi ubuhlungu, eziphephile nezingabizi kakhulu zokuxilonga nokwelapha ngezokwelapha. Ukuthwebula izithombe kanye nokwelashwa ngemithi yenyukliya kanye neyama-molecule kuye kwavula izindlela zokunikeza ukunakekelwa kwezokwelapha okungcono kakhulu ezimweni ezibucayi ezifana nezimila ezingengozini kanye nomdlavuza, yegilo kanye nezinye izinkinga ze-endocrine, kanye nezifo ze-neurodegenerative.

Izithombe zemithi yenuzi:

Izinqubo zokuxilonga zanamuhla zihlola ukusetshenziswa kwemisebe kanye nemithi yomsakazo ukuze kutholakale ukuxilongwa isinyathelo esisodwa phambili.

Emithini yenuzi, ama-tracers anemisebe asetshenziswa ngobuningi obuncane (anikezwa isiguli nge-IV noma ngomlomo noma ngokuphefumula) ukuze abone umsebenzi womzimba ngesikhathi sangempela. Lawa ma-radiopharmaceuticals, uma enikezwa isiguli, angaqoshwa kusetshenziswa amakhamera akhethekile. Izithombe ezivelayo zinikeza imininingwane enembile kanye nomehluko wezindawo ezithintekile emzimbeni. Imithi yenuzi kanye ne-molecular imaging kusiza ukudala izithombe ezisezingeni eliphezulu zeziphambeko, ezijulile noma ezifihliwe. Ngakho-ke, ukuthwebula izithombe zokwelapha kwenuzi kususa isidingo sezinqubo zokuxilonga ezibizayo kanye nokuhlinzwa okungenayo.

Ukuthwebula izithombe ngemithi yenuzi (noma ukuthwebula nge-radionuclide) kukhomba ukungasebenzi kahle kokusebenza njengezindawo zomsebenzi ohlukahlukene ebuchosheni, ukugeleza kwegazi esithweni esithile, ukusebenza kahle kwenhliziyo, izindawo zokuphulukiswa kwamathambo, inqubekela phambili yomdlavuza.

Izithombe zingakhomba amaphutha ezingeni lama-molecule, okuyizimpawu zokuqala zezifo. Ngakho-ke, ukuthwebula izithombe ngemithi yenuzi kuba yingxenye ebalulekile yokuxilonga umdlavuza njengoba kusiza ekuqalisweni komdlavuza kanye nokutholakala kokuqala kwama-metastases (ukusabalala komdlavuza).

Ukwelashwa ngemithi yenuzi:

Odokotela bemithi yenuzi basebenzisa ne-radionucleotides (imithi ye-radiopharmaceuticals) ukwelapha umdlavuza nezinye izimo zezokwelapha ezifana nezifo ze-thyroid. Imithi ye-radiopharmaceuticals iyatholakala njengemithi yomlomo, imijovo kanye nemithi yokufutha. Le mithi ye-radiopharmaceuticals ihlukile kuleyo esetshenziselwa ukuthwebula izithombe zemithi yenuzi (imithi ye-gamma), ngendlela enikeza usizo olungcono lwezinto eziphilayo kanye nokungena okufushane kwezicubu (imithi ye-alpha noma ye-beta).

Izimila ezingenobungozi (ezitholakala endaweni ethile) kanye nomdlavuza osuvele ususukile kungahloswa ngama-radionucleotide agcwele ama-molecule amaprotheni njenge-antigen, ama-receptor emzimbeni. Ngakho-ke ukwelashwa ngemithi yenuzi kunikeza ukusebenza okukhulu ngaphandle kokuthinta izicubu nezitho ezinempilo kusetshenziswa inani elincane kakhulu lama-radionucleotide.

Izindlela zokwelapha eziqondiwe ze-radionucleotide ezifana ne-peptide receptor radionucleotide therapy (PRPT) ziletha ama-radionucleotide anamandla okubhubhisa amangqamuzana athile omdlavuza ngaleyo ndlela zisindise amangqamuzana avamile.

Ukwelashwa ngemisebe (i-RIT) kuyinhlanganisela yama-radionucleotide kanye ne-immunotherapy. Kuwumjovo onikezwa ngaphandle kweziguli ezinomdlavuza ezingaphenduli ku-chemotherapy. Le ndlela inikeza ukulethwa okuqondiwe lapho ama-antibodies athile ehlanganiswe nama-radionucleotide aletha imisebe ye-cytotoxic eqondiwe ezicutshini ezinomdlavuza noma ezinye izicubu eziqondiwe.

Hlangana nethimba lethu lochwepheshe bezokwelapha i-nuclear

UDkt. Hrushikesh Aurangabadkar

I-MBBS, i-DRM, i-DNB, uFebhuwari

Umeluleki Wezokwelapha Zenuzi

IsiNgisi, IsiHindi, IsiMarathi, IsiTelugu
Iminyaka engu-15
Idolobha laseHitec

UDkt. Madhuvijay P

I-MBBS, i-DNB (Imithi Yenuzi), i-MNAMS

Umeluleki Wezokwelapha Zenuzi

IsiNgisi, isiHindi, isiTelugu
Iminyaka engu-13
I-Malakpet

UDkt. Vankadari Kousik

I-MBBS, DNB (Nuclear Medicine)

Umeluleki Wezokwelapha Zenuzi

IsiNgisi, isiHindi, isiTelugu
Secunderabad
Buka All

Ubuchwepheshe nezinsiza ezingcono kakhulu zekilasi:

Ikhamera ye-Gamma (SPECT): Ikhamera yeGamma inikeza ukuskena okusebenzayo kwe-2D ngokuthwebula imisebe ye-gamma ekhishwa yi-radionucleotides ejoviwe. I-SPECT inikeza izithombe zokusebenza kwe-3D empeleni eziyizingcezu emzimbeni. Le ndlela ingasetshenziswa ukuskena ubuchopho, inhliziyo, i-thyroid, amaphaphu, isibindi, inyongo, izinso kanye namathambo. 

I-PET-CT enencazelo ephezulu: Izikena ze-PET-CT hlangabezana nencazelo ephezulu ngalobu buchwepheshe futhi unikeze izithombe ezinesisombululo esithuthukisiwe, ukucaca, kanye nokunciphisa umsindo okuthuthukisiwe. Isetshenziswa ngokukhethekile ukuthola izilonda ezicacile, ukutholwa kwangaphambi kwesikhathi kwezimila ezincane kakhulu, ukucaciswa okubukhali kwama-node ngamanye nokunye okuningi.

Ubuchwepheshe kanye nezinsizakalo:

Ukuxilongwa:

  • Ukuthwebula izithombe ze-Ubiquicidin ukuthola ukutheleleka kwe-implant yethambo
  • Ukuthwebula izithombe ze-DAT ukuhlola ukungasebenzi kahle kwamakhemikhali okuhilelekile ezinkingeni zokunyakaza njengesifo sikaParkinson
  • I-scintigraphy yesibindi esebenzayo ukuhlola ikhwalithi yesibindi ngaphambi kokucabanga ngokuhlinzwa okukhulu kwesibindi
  • I-Gallium – isikeni se-DOTANOC esingu-68 ukuze kutholakale izimila ze-neuroendocrine
  • I-Gallium – ukuhlolwa kwe-PSMA okungu-68 komdlavuza wendlala yesinye
  • I-PET-CT scan ukuhlola ukusabalala komdlavuza ezingxenyeni ezahlukene zomzimba
  • I-PET-CT scan ukuthola nokufaka isigaba somdlavuza nayo iyasiza ekutholeni ukuphinda komdlavuza
  • I-PET-CT scan ukuhlola ukutheleleka okusemzimbeni kanye nomkhuhlane ongaziwa ukuthi uvelaphi
  • Ukuhlukanisa i-radiation necrosis kanye nokuphindaphinda ngemva kokuhlinzwa
  • Ukuhlolwa kwabasolwayo ebuchosheni ukuphindaphinda kanye nendawo lapho kwenziwa khona i-biopsy
  • Ukuhlela ukwelashwa komdlavuza nokuhlola impendulo
  • Ukuthola ukungasebenzi kahle kwe-reflux yomchamo, ukuvaleka, ukugeleza kwegazi kanye nomfutho wegazi ezinso
  • Ukuhlonza umsebenzi ongavamile we-gallbladder
  • Ukuthola ukukhubazeka kwe-thyroid
  • Ukuhlola ukuphuma kwegazi esiswini kanye nokopha emathunjini
  • Ukuhlola ukuvuvukala kanye nokuvinjelwa ohlelweni lwe-lymphatic (i-lymphedema)
  • Ukuhlola ukugeleza koketshezi lomgogodla kanye nokuvuza koketshezi lomgogodla okungenzeka
  • Ukuhlola amalunga okufakelwa abuhlungu

Ukwelashwa:

Ukwelashwa ngemithi yenuzi okuhlinzekwa eYashoda Institute of Nuclear Medicine kufaka phakathi:

  • Ukwelashwa kwe-Yittrium 90 komdlavuza wesibindi njenge-hepatocellular carcinoma – i-Transarterial radioembolization (TARE)
  • Ukwelashwa nge-radioactive iodine (I-131) kwezinkinga ze-thyroid – okusetshenziselwa i-hyperthyroidism, isifo sikaGraves kanye nomdlavuza we-thyroid.
  • Izinto ezisebenzisa imisebe ye-bonemetastases ezibuhlungu kusetshenziswa i-samarium 153 radioisotope.
  • I-I-131 MIBG (i-iodine enomsebe-enelebula le-metaiodobenzylguanidine) yamathumba e-adrenal gland kanye namathumba ezicubu zemizwa.
  • I-Lutetium - Ukwelashwa kwe-DOTA-TATE okungu-177 kwamathumba e-neuroendocrine
  • I-Lutetium - Ukwelashwa kwe-PSMA okungu-177 komdlavuza we-prostate

Ochwepheshe Abahle Kakhulu Bezokwelapha Zenuzi eHyderabad

Izibhedlela zaseYashoda zinabanye ochwepheshe bezokwelapha ngenyukliya abaphambili eNdiya. Ithimba lethu lisebenzisa amasu okuthola imisebe yesimanje kanye namasu okuthwebula izithombe ukuze lixilonge futhi lelaphe izifo eziningi, okuhlanganisa umdlavuza, izinkinga ze-thyroid, isifo senhliziyo, kanye nokukhubazeka kwamathambo. Sihlanganisa ubuchwepheshe obusezingeni eliphezulu nokuqonda okujulile kwezokwelapha ukuze sinikeze imiphumela enembile nezinzile.

Odokotela bethu bezokwelapha ngenyukliya eHyderabad basebenzisana nodokotela bezifo zomdlavuza, odokotela bezifo zenhliziyo, odokotela bezifo ze-endocrinologists, kanye nabanye ochwepheshe ukuze banikeze izinsizakalo zokuxilonga nokwelapha ezihlanganisiwe. Sihlanganisa ukuchayeka okuncane kakhulu kwemisebe nokucaca okuphezulu kokuxilonga kukho konke ukuskena sisebenzisa ubuchwepheshe obuthuthukisiwe bokuthwebula izithombe.

Izikhungo Nezobuchwepheshe Zemithi Yenuzi Ethuthukisiwe

Izibhedlela zaseYashoda zihlonyiswe ngezikhungo zezokwelapha zenuzi zesimanje. Isigaba sethu sihlanganisa kokubili izithombe zokuxilonga kanye nokwelashwa nge-radionuclide okuqondisiwe kuzo zonke izifo eziningi zezokwelapha.

  • Iskena se-PET-CT: I-positron emission tomography enesinqumo esiphezulu ehlanganiswe ne-CT imaging yokulinganisa umdlavuza, okuhlonza noma yimaphi amathuba okuphinda umdlavuza, kanye nokuqapha ukwelashwa.
  • Ukuthwebula izithombe kwe-SPECT: I-CT yokukhipha i-photon eyodwa yokuhlolwa kwamathambo, ukuhlolwa kokufakwa kwegazi enhliziyweni, kanye nokuhlolwa kwe-thyroid.
  • I-Radioiodine Therapy Suite: Isikhungo esinikezelwe ukwelashwa nge-iodine ekhishwa ngemisebe yomdlavuza we-thyroid kanye ne-hyperthyroidism.
  • Izinqubo Zokuphepha Kwemisebe: Ukunamathela ngokuqinile emithethweni yokuphepha kwemisebe kazwelonke neyamazwe ngamazwe evikela iziguli zethu kanye nochwepheshe bezokwelapha.
  • Ukuhlanganiswa Kwebhodi Lezicubu Ezihlukahlukene: Okutholakele kwemithi yenuzi kuhlolwa ngokubambisana ne-oncology, i-radiology, kanye namaqembu okuhlinzwa.

Yiziphi Izinsizakalo Zemithi Yenuzi Esizihlinzekayo?

  • Iskeni se-PET-CT sokuhlaziya izigaba zomdlavuza kanye nempendulo yokwelashwa.
  • Ukuskena amathambo ukuze kutholakale ukuhlonza okusabalele kanye nokuhlolwa kwamathambo.
  • Ukuskena kwe-thyroid kanye nokwelashwa nge-radioiodine kwezifo ze-thyroid.
  • I-Myocardial Perfusion Imaging (MPI) ukuze kuhlolwe isifo semithambo yenhliziyo.
  • Ukuskena kwezinso ukuze kuhlolwe ukusebenza kwezinso.
  • Ukuhlela i-lymph node ye-sentinel kusiza ukuhlela ukuhlinzwa komdlavuza.
  • Izithombe ze-SPECT zezifo zobuchopho, zenhliziyo kanye nezamathambo.
  • Izikena ze-Gallium ne-indium ukuthola ukutheleleka nokuvuvukala.
  • Ukwelashwa nge-radionuclide ukunciphisa ukungakhululeki kwamathambo kumdlavuza osakazeke kabanzi.
  • Ukuthwebula izithombe zesimila se-neuroendocrine kanye nokwelashwa kwe-PRRT.

Kungani Kufanele Ukhethe Izibhedlela ZaseYashoda Zochwepheshe Bemithi Yenuzi eHyderabad?

  • Ochwepheshe Abanekhono Eliphezulu: Ochwepheshe bethu abaphezulu bezokwelapha ngenyukliya eNdiya banokuhlangenwe nakho okukhulu ekuthathweni kwezithombe zokuxilonga kanye nemithi yenyukliya yokwelapha, benikeza imiphumela enembile kanye nokwelashwa okuphumelelayo.
  • Ubuchwepheshe Bezithombe Ezithuthukisiwe: Izinhlelo zethu ze-PET-CT kanye ne-SPECT-CT zikhiqiza izithombe ezinekhwalithi ephezulu yokuxilonga ukugula ezigabeni zokuqala, okwandisa kakhulu imiphumela yokwelashwa.
  • Ukunakekelwa Komdlavuza Okuhlanganisiwe: Imithi yenuzi eYashoda ihlanganiswe ngokuphelele nomnyango wethu we-oncology, ukuhlinzwa, kanye ne-radiology, ukuqinisekisa ukuthi yonke imiphumela iphenduka ngokushesha ibe uhlelo lokunakekelwa olusebenzayo.
  • Ukwelashwa Okuqondiwe Nge-Radionuclide: Sinikeza izindlela zokwelapha ezintsha, njengokwelashwa nge-radioiodine kanye ne-PRRT, eziqondisa ngqo amangqamuzana agulayo ngenkathi zinciphisa umonakalo ezicutshini ezinempilo eziseduze.
  • Indawo Ephephile Nenobungane Nesiguli: Landela ngokuqinile iziqondiso zokuphepha kwemisebe futhi uqinisekise ukuthi isiguli ngasinye sinolwazi olufanele, sikhululekile, futhi siyasekelwa kulo lonke ulwazi lwaso lwezokwelapha ngenyukliya.
  • Izindawo Eziningi Ezilula: Izibhedlela zaseYashoda zikhona eSecunderabad, eSomajiguda, eHi-Tech City, naseMalakpet, zinikeza ukwelashwa okukhethekile kwemithi yenuzi okutholakala kalula kulo lonke elaseHyderabad.

I-FAQ's

Isetshenziselwani imithi yenuzi?

 Imithi yenyukliya isebenzisa izinto ezikhipha imisebe ukuxilonga nokwelapha izimo ezahlukahlukene ngokuhlola ukusebenza kwezitho zomzimba, ukuthola umdlavuza ofana nesifo se-thyroid kanye nezimila ze-neuroendocrine, ukunciphisa ubuhlungu (isb., ubuhlungu be-arthritis), kanye nokuxazulula izinkinga ebuchosheni, emathanjeni, enhliziyweni, ezinso, emaphashini, kanye nase-thyroid. Kuphinde kusize ekuhloleni ukugeleza kwegazi kanye nokusebenza kwezitho zomzimba ezifana nenhliziyo.

Izifo ziyalashwa ngemithi yenuzi?

Imithi ye-nyukliya inikeza ukwelashwa okuphumelelayo kwezimo ezahlukahlukene, okuhlanganisa nezifo ze-thyroid, lapho kusetshenziswa khona ukwelashwa nge-iodine enemisebe ye-hyperthyroidism kanye nomdlavuza we-thyroid. Iphinde inciphise ubuhlungu bamathambo obusakazeka kanye nokungakhululeki kwe-arthritis. Ngaphezu kwalokho, ibhekana nezimila ze-neuroendocrine—ukukhula okungajwayelekile okutholakala ku-pancreas), amathumbu amancane, noma i-rectum—ngamasu okwelapha athuthukile.

Ingabe i-MRI imithi yenuzi?

Nakuba i-MRI ingahlukaniswa njengomuthi we-nuclear, isebenza ngezimiso ze-nuclear magnetic resonance (NMR).

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