I-Bone Scan for Finding Metastases Ngomdlavuza
Yintoni yokutshekisha amathambo ngomhlaza? Uvavanyo lo luya kunconywa nini? Unokuthelekiswa njani nezinye iimvavanyo zethambo zesitastas ezifana ne-PET scan? Kwaye kwenzeka ntoni ukuba i-scan yakho engavamile?
Inkcazo: I-Bone Scan for Cancer
I-bone scan for cancer iyimvavanyo yamachiza enyukliya eyenza ukungaqhelekanga kwithambo. Isiphumo esingavumelekanga kwiskena seethambo singasetyenziselwa ukuba:
- Khangela ubukho besifo esithambo, zombini isifo somhlaza kunye nomhlaza wesifo samathambo
- Khangela izifucu kwithambo: Kwezinye iimeko, ezifana nokuhlukana koxinzelelo okanye ukungakwazi ukuphazamiseka, i-x-ray eqondileyo ayiyi kubonakalisa isahluko (okanye ingabonakali ukuphulwa kweeveki eziliqela) kwaye kufuneka i-scan scan
- Ukufumanisa izifo zethambo ezifana nesifo sePaget sesithambo
- Ukukhangela ukukhishwa emva kokutyunjwa kwe-hip esikhundleni
- Ukufumanisa izifo zethambo: Ukusuleleka kwethambo kuthiwa yi-osteomyelitis
Izizathu zokwenza i-Scan Scan
Ukuba ugqirha wakho ukhuthaze ukutyikitya kwethambo, cela ngokuqinisekileyo oko akufunayo nokuba kutheni ukuba ulandele uvavanyo. Ezinye zezizathu zokutsalwa kwethambo zingenziwa (zombini umhlaza kunye nezimo ezinobungozi) ziquka:
- Ukuvavanya intlungu emacaleni akho, iimbambo okanye umgudu
- Ukuphonononga ukuphuka okungalindelekanga - Xa ithambo libuthathaka ngenxa yobukho bomhlaza, nokuba ngumhlaza wesifo somfuyo, okanye umhlaza wesifo somhlaza kwisithambo, oku kubizwa ngokuba yintlupheko ye- pathologic
- Ukuvavanya ukuhlolwa kwegazi okungavamile: Ngokomzekelo, ukuba unamanqanaba okwandisa i-calcium egazini lakho ( hypercalcemia ) okanye ezinye izinto ezingaqhelekanga
- Ukunceda ukuxilonga kunye neengcambu zesifo esinokukhangela amathambo: I-scan scan isenziwa rhoqo emva kokuxilongwa komhlaza ukujonga i-boneastas. Ukuxhaswa kwezi ziko kuyadingeka ukufumanisa unyango olufanelekileyo
Inkqubo
Ngethuba lokuskena kwethambo, i-traceeractive actor (ngokuqhelekileyo i-Technetium 99m) ifakwe kwisitya emlonyeni wakho kwaye iqokelela kwithambo. Emva kwexesha elithile, ngokuqhelekileyo kwiiyure ezingama-3 ukuya kwi-4, i-scan iyenziwa.Izinto ezichanekileyo ezithintekayo kwiithambo zinika imitha ye-gamma enokuthi ithatyathwe ngekhamera ekhethekileyo. Ukutshekisha ngokwayo kuthatha malunga neyure ukugqiba.
Iziphumo
I-radiologist iya kuphinda ihlolisise ukukhangela ukukhangela ukungaqhelekanga. Ukutshekisha kunokuba kuyinto evamile, okanye kunokuthi kunokuba kunamabala ashushu okanye iindawo ezibandayo.
"Amabala atshisayo" kwithambo yimihlaba ethatha ngaphezulu kwerracer. Oku kunokubonisa ubukho bomhlaza, isifo (i-osteomyelitis), izifo zethambo, okanye i-arthritis.
"Iindawo ezinobumba" ziindawo zethambo ezithatha ngaphantsi komdlali. Ezi ziyakubonwa ngeendlela ezithile zomhlaza njengama- myeloma kunye nezinye izifo zethambo.
Iimpembelelo ezingasetyenziswayo zeSat Scan
Nangona imigaqo yamachiza enyukliya kunye ne-radioactive isenokuvakala ingesabisayo, le nkqubo ikhuselekile kakhulu kwaye iquka ukungathandeki kangako ngaphandle kwe-alex poke for injection.
I-Bone Scans vs i-PET Scans ye-Bone Metastases
Umbuzo oqhelekileyo kubantu abanoxhala lomhlaza xa kuthengwa kwithebhu kufuneka kwenziwe kunye ne- PET .
Kukho imiba emininzi ekufuneka uyiqwalasele kwaye kubalulekile ukuthetha nodokotela wakho malunga nokucinga kwakhe kukhetho. I-Bone scans ixabiso elincinci kunokuba i-PET ihlolwe, nangona i-PET i-scans ingenza ngezinye iinkcukacha inikezele ngolwazi olungakumbi kwaye ifumane i-metastases engayi kufumaneka kwi-scan kuphela.
I-Bone Metastases: Yiyiphi i-Cancers Spread to Bones?
Amanqwelana aqhelekileyo asasazeka kwithambo afaka umdlavuza wamaphaphu , umdlavuza webele , umdlavuza we- thyroid, umdlavuza weprotate , kunye nomhlaza wesifo . Xa umdlavuza usasazeka kumathambo kukho amaninzi ama-metastases amaninzi.
Indawo yeT Bone Metastases
Iidlingozi zamadala eziqhelekileyo zisasazeka "kwi-axial squke" echaza amathambo omgudu.
Amaphesenti angama-90 eethambo atholakala kwi-vertebrae, i-pelvis, i -kull, umlenze ophezulu (i-femer ehamba phambili) kunye nengalo engaphezulu (i-humerus ehamba phambili). ezi zifunyenwe, kwaye "indawo" yedwa iphakamisa ukuba inokubangelwa kwenye into.
I-Cancer ingafunyanwa kuqala ngokufumana i-boneastases ye-bone ngaphambi kokuba imvelaphi yomhlaza itholakale. Xa oku kwenzeka, ukuhlolwa okuqhubekayo kuyadingeka ukukhangela umdlavuza oyintloko . Ngamanye amaxesha indawo ye-metastases ingakhokelela oogqirha ukuba bakrokrele apho umhlaza waqala khona. Ngokomzekelo, umdlavuza wamaphaphu uyingqayizivele kwinto yokuba usasazeka emathanjeni ezandleni naseenyawo.
Ukujamelana neZiphumo ezingabonakaliyo zeSkimu zeSatriki
Ukukhathazeka ukuba umhlaza usasazeke emathanjeni, okanye ukufumanisa ukuba umdlavuza wakho usasazeke emathanjeni akho unokusongela. Kuthetha ntoni ngoku?
Ngokumalunga nalabo abanomdlavuza, i-bone scans ingenza i- scanxiety enkulu, igama eliye laqulunqwa ukuchaza uxhalaba oludla ngokuba luninzi xa ulindele iziphumo zokukhangela. Ukuba usanda kufumanisa ukuba, iziphumo zakho zokusasa amathambo zingasichazela ukuba umhlaza wakho uyisigaba 4; ukuba isasazeke emathanjeni akho kwaye utyando alusekho. Ukuba uhlala nomdlavuza, ingcinga yakho yokuqala ingaba yintoni, "ndingayenza njani kwakhona ukunyanga?"
Thetha nabahlobo kunye nabathandekayo uze ucele inkxaso. Ukuba unomdla wokuxhasa umdlavuza okanye uluntu lwenkxaso, bafikelele kubo. Ngokuqhelekileyo abo bahlala nomdlavuza ngokwabo banokuqonda ngakumbi ukuxhalaba malunga neziphumo zokuthatha amathambo. Nazi izicwangciso ezimbalwa zokujongana noloyiko lokuphindaphinda okanye ukuqhubela phambili komhlaza wakho.
Buza imibuzo eninzi uze uthethe kwi-oncologist yakho. Ziziphi iingonyango eziya kucebisa ngoku? Ingaba kukho naziphi na iimvavanyo zesikliniki eziza kukufaneleka? Gcina ukhumbule ukuba unyango lomhlaza-nokuba ngumhlaza ophezulu-uphucula. Iindidi ezitsha zamachiza ezinjengezonyango ezijoliswe kuzo kunye nama- immunotherapy ngamanye amaxesha banako ukulawula i-cancer ebenzima kakhulu ukuyiphatha.
Unyango lwe-Bone Metastases
Ukuba ufumanisa ukuba unethambo lwesifo, ungaphathwa unyango oluqhelekileyo lomhlaza we-metastatic kodwa unyango oluthile luyafumaneka. Kwezinye iimeko, ezinjengomdlavuza webele, ezi zonyango azikwazi ukunciphisa kuphela intlungu kunye neengozi yokuphulwa kwimizimba yamathambo kodwa ikhulise ixesha lokuphila.
Funda kabanzi malunga namathambo e-boneastases nomhlaza wamaphaphu kunye nesifo se- boneastases nomhlaza webele.
> Imithombo:
> UTomas, K., kunye noMnu Gould. Ubume bemiSebenzi yoVavanyo loQeqesho, ukuSasaza, kunye neSigxina sabathintekayo ngeCarcer Lung Cancer. Isemgangathweno. Updated 04/05/17. http://www.uptodate.com/contents/overview-of-initial--valuation-diagnosis-and-stage-patients-with-suspected-lung-cancer
> Ilayibrari yeSizwe ka-US yamayeza. MedlinePlus. Scan Scan. Ukuhlaziywa 08/16/17. https://medlineplus.gov/ency/article/003833.htm
Eyaziwayo njenge: Bone Scintigraphy
Imizekelo: UYakobi wayenentlungu entanyeni emva kokuba ehlinzwa ngenxa yomhlaza wakhe wamaphaphu, ngoko i-oncologist yakhe yayincoma ukuba ithente ithambo ukuze ibone ukuba umhlaza wakhe usasazeke emthonjeni.