Mene ne, yadda aka yi amfani dashi
Binciken MUGA (MUltiple Gated Acquisition scan) wani gwaji ne wanda ba a zubar ba don kimanta aikin zuciya. Hoto na MUGA yana haifar da hoto mai motsi na zuciya mai tawaye, kuma daga wannan hoton akwai wasu mahimman siffofin da za a iya ƙayyade game da lafiyar hagu da hagu na dama (ƙananan ɗakunan zuciya). Binciken MUGA yana da kyau a wajen ba da damar karanta komai na kullun zuciya.
Ta Yaya An Yi Binciken MUGA?
Idan kana da wata mahimmanci na MUGA, ƙananan ƙwayar Technetium 99 (abu mai rediyo) an allura shi cikin jini. Technetium 99 ya haɗa kai zuwa jinin jininku, kuma ya kewaya a cikin jini. Za a sanya ku a karkashin kyamara ta musamman (kyamarar kamara), wanda zai iya gano rawanin raguwar ƙananan da ake amfani da su a cikin kwayoyin jan ja-gorancin Technetium. Saboda jinin jinin ya cika ɗakunan katin zuciya, gamma kamara yana iya samar da abin da ya zama ainihin fim din zuciyar zuciya. Wannan "fim din" na dijital za'a iya nazari tare da algorithms daban-daban na kwamfutar, wanda zai iya ƙayyade yawancin bayanai masu amfani game da lafiyar lafiyar zuciyarka.
Menene Zamu Koyaswa Daga MUGA Scan?
Ana iya auna abubuwa da yawa na aikin zuciya ta MUGA. Idan mutum yana da ciwon zuciya sai MUGA zai iya faɗar wane ɓangare na zuciya tsoka yana aiki ba daidai ba.
Ta hanyar gano wuraren da lalacewar tsoka ta jiki, MUGA scan ya ba likita mahimmanci game da abin da za'a iya katange suturar jinin jijiyoyin ko atherosclerosis ya katange su.
Har ila yau, kallon MUGA yana da kyau a auna yawan aikin zuciya. Wannan yana da mahimmanci idan duk wani digiri na cardiomyopathy ya kasance ba.
MUGA scan yana bada cikakkiyar hanyar da za a iya daidaitawa don aunawa da kuma kula da "sashi na hakin jini" na ventricles na zuciya. Ƙananan haɗin gwanon hagu na hagu (LVEF) shine kyakkyawan ma'auni na aiki na zuciya, kuma yana da amfani sosai wajen taimaka wa likitoci su yi nazari da kuma kula da mutanen da suke da ciwon zuciya .
Yayin da MUGA yayi amfani da ƙari fiye da jarrabawar wasu?
Akwai wadata guda biyu na amfani da MUGA akan wasu fasahohi (irin su echocardiogram ) don tantance aikin zuciya.
Na farko, LVEF da aka samu tare da scan MUGA daidai ne, kuma an ɗauke shi a matsayin mafi daidai fiye da ma'auni na LVEF wanda wasu nau'o'in ƙwayoyin zuciya ke samo.
Na biyu, LVEF da aka auna ta kashi-kashi na MUGA mai aunawa ne mai saukewa sosai. Wannan yana nufin cewa idan MUGA ta gaba yayi la'akari da bambanci a cikin LVEF, wannan bambanci zai iya nuna ainihin canji a cikin yanayin zuciya (kuma ba wani abu ne na auna ba daidai ba). Tare da wasu gwaje-gwaje, canzawa a cikin ma'auni na LVEF akai-akai yana nuna girma.
Wadannan siffofi guda biyu suna yin amfani da MUGA musamman don amfani da canje-canje masu sauƙi a cikin aikin zuciya na mutum a cikin lokaci.
Misalin misali na lokacin da aka yi maimaita ta MUGA yana da amfani zai kasance a tantance aikin zuciya na mutum a yayin da ake amfani da shi na kariya ga ciwon daji.
Wasu magungunan chemotherapeutic ( Adriamycin shine mafi mashahuri) zai iya zama mai guba ga ƙwayar zuciya.
Tsarin MUGA yana da cikakke kuma yana iya samuwa don ganewa da sauƙi, canje-canje na farko a aikin zuciya na wanda wasu fasahohi zasu iya rasa. Ta ƙididdige LVEF tare da saurin MUGA lokaci-lokaci, masu ilimin halitta zasu iya ƙayyade ko yana da lafiya don ci gaba da chemotherapy, ko kuma wasu magunguna suna buƙatar tsayawa.
Ƙayyadaddun Bayanan MUGA
Kamar yadda duk wani jarrabawar gwajin da aka yi amfani da shi a cikin magani, akwai wasu alamu ga MUGA.
Saboda MUGA yana bukatar yin amfani da wani abu na rediyo, mutumin da ke da wannan samfurin yana nunawa wani ƙananan radiation.
Adadin radiation da ke da alaka da MUGA shine kimanin 6.2 mSv, wanda ya fi sau biyu sauyawar radiation ta al'ada wanda mutum ya karɓa a cikin shekara guda, kuma kimanin sau 10 radiation da aka samu tare da mammogram .
Bugu da ari, daidaitattun LVEF da aka samu tare da kallon MUGA yana nuna cewa an rage su a marasa lafiya tare da ƙwaƙwalwar ƙarancin zuciya, musamman ma fibrillation .
Har ila yau, ƙwayar MUGA ba ta ba da cikakken bayani game da aikin ƙwaƙwalwar zuciya ba, ko kuma yana da hypertrophy ventricular . Alamar echocardiogram, ta bambanta, yana da kyau ga samun bayanai kamar wannan. Saboda haka, saboda mutane da yawa da ake damu da damuwa na zuciya, dole ne a yi amfani da ƙwayar MUGA tare da haɗakar wasu ƙwaƙwalwar ƙwayar zuciya don samun cikakken cikakken hoton yanayin yanayin zuciya na mutum.
> Sources:
> Hendel RC, Berman DS, Di Carli MF, et al. ACCF / ASNC / ACR / AHA / ASE / SCCT / SCMR / SNM 2009 An Yi amfani da Abubuwan Kulawa na Cardiac Radionuclide Hotuna: Rahoton Cibiyar Kasuwancin Kwalejin Kwayoyin Kasuwanci ta Aminiya Mahimmanci Amfani da Abubuwan Hulɗa Ƙungiyar Ayyuka, Cibiyar Harkokin Kwayoyin Kwayoyin Kasa ta Amirka, Cibiyar Kasuwancin Amirka Radiology, Ƙungiyar Zuciya ta Amurka, Ƙungiyar Amurkan Ƙungiyar Echocardiography, Ƙungiyar Tomography da aka kirkiro da jijiyoyin jini, da Ƙungiyar Harkokin Tsarin Kwayoyin Tsarin Hoto da Tsarin Hoto, da Ƙungiyar Magungunan Nukiliya. Yanayi na 2009; 119: e561.