Ukuskena kwamathambo

Ukuhlolwa kwamathambo ukuhlolwa kwesithombe okusetshenziselwa ukuxilonga izifo zamathambo nokuthola ukuthi zinzima kangakanani.

Ukuskena amathambo kuhilela ukujova inani elincane kakhulu lezinto ezinemisebe (i-radiotracer) emthanjeni. Into edabula igazi lakho iye emathanjeni nasezitho zomzimba. Njengoba iphela, ikhipha imisebe ethile. Le radiation itholwa yikhamera ehlola umzimba wakho kancane. Ikhamera ithatha izithombe zokuthi i-radiotracer iqoqa kangakanani emathanjeni.

Uma kwenziwa ukuskena kwamathambo ukuze kubonakale ukuthi unaleli gciwane yini, izithombe zingathathwa ngemuva nje kokujovwa kwento enemisebe futhi kuphindwe futhi emva kwamahora amathathu kuya kwayi-4, lapho isiqoqene emathanjeni. Le nqubo ibizwa ngokuthi yi-3-phase bone scan.

Ukuhlola ukuthi umdlavuza ususabalele yini emathanjeni (isifo se-metastatic bone), izithombe zithathwa kuphela ngemuva kokubambezeleka kwamahora amathathu kuya kwamane.

Ingxenye yokuskena kokuhlolwa izohlala cishe ihora elilodwa. Ikhamera yesithwebuli ingahamba ngaphezulu futhi izungeze wena. Ungadinga ukushintsha izikhundla.

Cishe uzocelwa ukuthi uphuze amanzi athe xaxa ngemuva kokuthola i-radiotracer ukugcina okokusebenza kungalandi esinyeni sakho.

Kufanele ususe ubucwebe nezinye izinto zensimbi. Ungacelwa ukuthi ugqoke ingubo yasesibhedlela.

Tshela umhlinzeki wakho wezempilo uma ukhulelwe noma ukhulelwe.

Ungathathi noma imuphi umuthi one-bismuth kuwo, njengePepto-Bismol, izinsuku ezine ngaphambi kokuhlolwa.

Landela noma imiphi eminye imiyalelo oyinikezwayo.

Kunobuhlungu obuncane lapho kufakwa inaliti. Ngesikhathi sokuskena, abukho ubuhlungu. Kufanele uhlale unganyakazi ngesikhathi sokuskena. Uchwepheshe uzokutshela ukuthi uzishintsha nini izikhundla.

Ungahle uzwe ukungakhululeki ngenxa yokulala unganyakazi isikhathi eside.

Ukuskena kwamathambo kusetshenziselwa:

• Hlonza isimila samathambo noma umdlavuza.
• Thola ukuthi umdlavuza owaqala kwenye indawo emzimbeni wakho ususabalele emathanjeni yini. Umdlavuza ovame ukusabalala emathanjeni uhlanganisa isifuba, amaphaphu, indlala, indlala yegilo nezinso.
• Thola ukuhlukana, lapho kungabonakali ku-x-ray ejwayelekile (imvamisa i-hip fractures, ukuphuka kwengcindezi ezinyaweni noma emilenzeni, noma ukuphuka komgogodla).
• Thola ukutheleleka kwamathambo (i-osteomyelitis).
• Xilonga noma unqume imbangela yobuhlungu bamathambo, lapho kungekho esinye isizathu esiveziwe.
• Hlola ukuphazamiseka komzimba, njenge-osteomalacia, i-hyperparathyroidism eyinhloko, i-osteoporosis, isifo esiyinkimbinkimbi sesifunda, kanye nesifo sePaget.

Imiphumela yokuhlolwa ibhekwa njengejwayelekile uma i-radiotracer ikhona ngokulinganayo kuwo wonke amathambo.

Iskena esingajwayelekile sizokhombisa "izindawo ezishisayo" kanye / noma "izindawo ezibandayo" uma kuqhathaniswa nethambo elizungezile. Izindawo ezishisayo yizindawo lapho kunokuqoqwa okwandisiwe kwezinto ezibonakalayo ezinemisebe. Izindawo ezibandayo yizindawo ezithathe kancane okokusebenza okukhipha imisebe.

Ukutholwa kwe-Bone scan kumele kuqhathaniswe nezinye izifundo ze-imaging, ngokungeziwe kulwazi lomtholampilo. Umhlinzeki wakho uzoxoxa nawe nganoma yikuphi okutholakele okungavamile.

Uma ukhulelwe noma unesi, ukuhlolwa kungahlehliswa ukuvimbela ukuveza ingane emisebeni. Uma kufanele uhlolwe ngenkathi uncelisa, kufanele upompe futhi ulahle ubisi lwebele izinsuku ezimbili ezilandelayo.

Inani lemisebe efakwe emthanjeni wakho lincane kakhulu. Yonke imisebe isukile emzimbeni kungakapheli izinsuku ezimbili kuya kwezintathu. I-radiotracer esetshenziswayo ikuvezela inani elincane kakhulu lemisebe. Ingozi kungenzeka ukuthi ayinkulu kune-x-ray ejwayelekile.

Izingozi ezihlobene ne-radiotracer yethambo azivamile, kepha zingafaka:

• I-Anaphylaxis (impendulo enamandla yokugula)
• I-Rash
• Ukuvuvukala

Kukhona ingozi encane yokutheleleka noma ukuphuma kwegazi lapho inaliti ifakwa emthanjeni.

I-Scintigraphy - ithambo

• Ukuskena kwenuzi

IChernecky CC, iBerger BJ. Ukuskena kwamathambo (bone scintigraphy) - ukuxilonga. Ku: IChernecky CC, iBerger BJ, ama-eds. Ukuhlolwa Kwelebhu kanye Nezinqubo Zokuxilonga. Umhlaka 6. ISt Louis, MO: Elsevier Saunders; 2013: 246-247.

UKapoor G, uToms AP. Isimo samanje sokucabanga kohlelo lwe-musculoskeletal. Ku: Adam A, Dixon AK, Gillard JH, Schaefer-Prokop CM, ama-eds. I-Grainger & Allison's Diagnostic Radiology: Incwadi Yokufunda Ngezithombe. Umhla wesi-7. IPhiladelphia, PA: Elsevier; 2021: isahluko 38.

URibbens C, uNamur G. Bone scintigraphy kanye ne-positron emission tomography. Ku: Hochberg MC, Gravallese EM, Silman AJ, Smolen JS, Weinblatt ME, Weisman MH, abahleli. I-Rheumatology. Umhla wesi-7. IPhiladelphia, PA: Elsevier; 2019: isahluko 49.