Uma udokotela wakho ekutshela ukuthi udinga ukwenza i-'Whole-Body Bone Scan', ungase uzizwe wesaba futhi ukhathazekile. Kuvamile kakhulu ukuthi kuvele imibuzo eminingi engqondweni yakho, njengokuthi, "Luhlobo luni lwe-scan lolu? Kungani kwenziwa lokhu? Ingabe lokhu kuzolimaza? Ingabe kukhona okubi kakhulu?" Kodwa ungesabi nhlobo. Lokhu akukukhulu noma akukwesabisi njengoba ucabanga. Empeleni lena indlela enhle kakhulu, ethuthukisiwe yokwazi kahle impilo yamathambo akho. Ngakho-ke namuhla, ake sixoxe ngalokhu ngokuningiliziwe, siphendula yonke imibuzo onayo engqondweni yakho, ngendlela elula kakhulu, kulungile?
Kalula nje, kuyini lokhu kuskena kwamathambo omzimba wonke?
Lesi isikeni esikhethekile esihlola impilo yamathambo akho kuwo wonke umzimba wakho. Uma sikhuluma iqiniso, siyisikeni sokuthwebula izithombe zemithi yenuzi. Kodwa ungesabi lelo gama. Nakuba ubuchwepheshe obusetshenziswayo buyinkimbinkimbi kancane, lesi sivivinyo asibuhlungu futhi siphephile kakhulu kubantu abaningi .
Odokotela bavame uku-oda lokhu kuskena ukuqinisekisa ukuthi umdlavuza usuphenduke umdlavuza emathanjeni. Kuphinde kusize ekutholeni isigaba somdlavuza, noma ukuthi ususakazeke kangakanani.
Ngaphambi kwalokhu kuskena, inani elincane lomuthi lifakwa emthanjeni ongalweni yakho. Lokhu kubizwa ngokuthi 'i-radiotracer'. Uqukethe inani elincane kakhulu, eliphephile lezinto ezikhipha imisebe. Uma lo muthi ungena emzimbeni wakho, uya ezindaweni lapho kukhona ushintsho oluthile, umonakalo, noma ukusebenza okungavamile emathanjeni akho. Ngemuva kwalokho, uma uwubheka kuskena, lezo zindawo zizobonakala zikhanya kakhulu. Kufana nokukhanyisa ithoshi ekamelweni elimnyama bese ubona indawo ethile ngokucacile kuphela. Lokhu kusiza udokotela ukuthola indawo eqondile yesifo.
Yini ngempela le scan engayithola?
I-Whole-Body Bone Scan ingabona umonakalo noma izinguquko emathanjeni akho. Kodwa into ebaluleke kakhulu okufanele uyikhumbule ukuthi lokhu kuskena akukutsheli ngokuqondile ukuthi yini ebangele umonakalo noma ushintsho. Kubonisa kuphela ukuthi inkinga ikuphi.
Ngakho-ke, udokotela usebenzisa lokhu kuskena njengethuluzi lokuxilonga kuphela. Uzosebenzisa ulwazi oluvela kulokhu kuskena kanye nezinye izivivinyo ukuze afinyelele esiphethweni sokugcina.
Bheka ithebula elingezansi ukuze ubone ukuthi yiziphi izinhlobo zezimo zezokwelapha lokhu kuskena okungasiza ekuxilongeni.
| Isimo sezokwelapha esingaxilongwa | Incazelo elula |
|---|---|
| Umdlavuza Wamathambo | Ukuthola umdlavuza oqala emathanjeni noma osusakazeke usuka kwenye indawo. |
| Ukuphuka Kwamathambo | Ukuthola ngisho nokuqhekeka okucashile kakhulu okungabanjwa yi-X-ray evamile. |
| Ukutheleleka kwamathambo (i-Osteomyelitis) | Ukuthola izifo ezibangelwa amagciwane angena emathanjeni. |
| Ubuhlungu bethambo obungaziwa imbangela | Ukuthola imbangela yobuhlungu bethambo ukuthi ezinye izivivinyo azikwazanga ukuthola imbangela. |
| Isifo Samathambo (i-Osteoarthritis) | Ukubona isimo sokuguguleka kwamalunga kanye nomthelela wawo. |
| Isifo se-Paget sethambo | Ukuhlonza ukukhubazeka enqubweni yokwakheka nokuqhekeka kwamathambo. |
| I-necrosis ye-Avascular | Ukuthola isimo lapho izicubu zethambo zifa khona ngenxa yokuncipha kokunikezwa kwegazi emathanjeni. |
Kufanele ngilungiselele kanjani ngaphambi kokuskena?
Lena yingxenye engcono kakhulu. Esikhathini esiningi, akukho ukulungiselela okukhethekile okudingekayo kulokhu kuskena. Ithimba lakho lezokwelapha lizokunikeza ngqo imiyalelo oyidingayo.
- Ngokuvamile ungadla futhi uphuze njengenjwayelo .
- Ungayithatha imithi yakho njengokujwayelekile . Kodwa uma udokotela wakho ekweluleka ngenye indlela, kufanele wenze kanjalo.
- Ngosuku lokuskena, ungagqoki lutho olunensimbi . Isibonelo, kuzodingeka ususe ubucwebe, amabhande anezikhonkwane zensimbi, namawashi.
- Uma unezingxenye zensimbi emzimbeni wakho (isib. amalunga okwenziwa, izifakelo zamazinyo, ama-pacemaker) , qiniseka ukuthi utshela udokotela wakho noma uchwepheshe . Bazobe sebenquma ukuthi lokhu kuskena kuphephile yini kuwe.
Kwenzekani ngesikhathi sokuskena?
Ngosuku lokuskena, kuzodingeka ulinde amahora ambalwa esibhedlela noma esikhungweni sokuskena. Ngakho-ke lungela nalokho. Nansi inqubo ephelele yokwenza ukuskena isinyathelo ngesinyathelo.
Into ebaluleke kakhulu ukuthi ngeke uzwe ubuhlungu phakathi nanoma yiziphi zalezi zinyathelo. Ngaphandle kokuzwa okuncane okubuhlungu lapho ujova, akukho ukungakhululeki.
| Izinyathelo | Kwenzekani? |
|---|---|
| 1. Ukufaka umjovo | Uchwepheshe uzofaka umuthi 'we-radiotracer' engikhulume ngawo ekuqaleni emthanjeni ongalweni yakho. Kuzozwakala sengathi intuthwane encane iyakuluma, yilokho kuphela. |
| 2. Isikhathi sokulinda | Ngemuva kwalokho kufanele ulinde ihora eli-1 kuya kweli-4 . Lesi sikhathi siyadingeka ukuze umuthi uhambe egazini lakho futhi umunceke emathanjeni akho. Phakathi nalesi sikhathi, ngeke uwuzwe umuthi ungena emzimbeni wakho. |
| 3. Ukuphuza amanzi nokuchama | Phakathi namahora ambalwa olindile, uzocelwa ukuthi uphuze izingilazi eziningana zamanzi . Uzocelwa nokuthi uchame njalo. Lokhu kuzosiza ekukhipheni noma iyiphi i-radiotracer eningi engakangeni emathanjeni akho. |
| 4. Ukuskena | Uma isikhathi sesiphelile, uzoyiswa ekamelweni lokuskena. Uzolala ubheke phezulu embhedeni. Ikhamera enkulu (ebizwa ngokuthi 'ikhamera ye-gamma') izohamba kancane phezu komzimba wakho bese ithatha izithombe. |
| 5. Ukushintsha ukuma komzimba | Ukuze uthole izithombe ezicacile nezingenamafiphali, ungase ucelwe ukuba ubambe umoya imizuzwana embalwa . Ungase ucelwe futhi ukuthi ushintshe indawo yakho kancane ukuze uthathe izithombe ngezindlela ezahlukene. |
Ukuskena ngokwako kuthatha imizuzu engama-30 kuya kwengama-60 , kodwa yonke inqubo ithatha amahora amaningana, okuhlanganisa nesikhathi esithathwayo ukuze umuthi umunceke emzimbeni.
Ingabe kukhona izingozi noma imiphumela emibi kulokhu?
Lokhu kuhlolwa okuphephile kakhulu kubantu abaningi. Umthamo wemisebe ku-radiotracer mncane kakhulu kangangokuthi akudingeki ukhathazeke ngokusabalalisa imisebe kwabanye.
Kodwa-ke, njengesinyathelo esincane sokuqapha, ungase welulekwe ukuthi uhlale kude nabantu abasengozini enkulu (isib. izinsana, izingane ezincane, nabesifazane abakhulelwe ) cishe amahora angama-24 ngemva kokuskena.
Khumbula ikakhulukazi!
Kufanele nakanjani utshele udokotela wakho uma ukhulelwe, ungase ukhulelwe, noma uncelisa. Lokhu kuskena akuphephile komama abakhulelwe nabancelisayo.
Iningi labantu alibi nemiphumela emibi ngemva kwalokhu kuskena. Kungase kube nokuklwebheka noma ukuvuvukala lapho kujovwe khona. Lokhu kuzophela ngokwako ezinsukwini ezimbalwa. Ngemva kokuskena, ungaya ekhaya, ushayele, futhi wenze imisebenzi yakho evamile. Udokotela wakho uzokweluleka ukuthi uphuze amanzi amaningi emahoreni angu-48 alandelayo. Lokhu kuzosiza ukukhipha noma iyiphi i-radiotracer esele emzimbeni wakho.
Uthini umbiko weskeni? Kwenzekani ngokulandelayo?
Ngeke uthole imiphumela yokuskena ngokushesha. Ngokuvamile kungathatha isonto noma amabili ukuthi udokotela athole umbiko futhi akuchazele wona.
Umbiko ukhombisa lokho okubizwa ngokuthi “ama-hot spots” emathanjeni akho. Lezi yizindawo lapho i-radiotracer iqongelele khona kakhulu, noma lapho kukhona khona ukungajwayelekile okuthile.
Ngakho-ke uma umbiko uthi kukhona "izindawo ezishisayo" ezinjalo, kusho ukuthi kunenkinga ethile kulezo zindawo. Kodwa isizathu esiyisisekelo salokhoLokhu kuskena kukodwa akukwazi ukusho ukuthi kwenzekani. Ngakho-ke, udokotela wakho cishe uzoyala ukuhlolwa okumbalwa ukuze athole imbangela eqondile. Lokhu kuhlolwa kufaka phakathi:
- I-Biopsy - Ukuthatha ingxenye encane yezicubu endaweni bese uyihlola.
- I-CT scan (CT - i-computed tomography scan)
- Ukuskena kwe-MRI (i-MRI - i-magnetic resonance imaging)
- Ukuskena kwe-PET (ukuskena kwe-positron emission tomography)
'Ukuskena Kwamathambo', 'Ukuskena Kwe-DEXA', 'I-MRI'... Ingabe lokhu kuyinto efanayo?
Lokhu kuyinto edida abantu abaningi. Ake sikucacise lokho.
- Ukuskena Kwamathambo Nokuskena Kwamathambo Omzimba Wonke: Ngokuvamile la magama amabili asetshenziswa ngokushintshana. Kodwa-ke, ngezinye izikhathi, lapho kuhlolwa ilungu elilodwa noma ithambo elilodwa kuphela, kunokuba kuhlolwe umzimba wonke, kubizwa ngokuthi "Ukuskena Kwamathambo."
- I-DEXA Scan: Lokhu futhi kuyi-bone scan. Kodwa-ke, kubheka ubuningi bamathambo akho . Isetshenziswa kakhulu ukuhlola izifo zokuncipha kwamathambo njenge-osteoporosis. Lokhu kuyivivinyo elihluke ngokuphelele kune-Whole-Body Body Bone Scan.
- I-MRI Scan: Lokhu kuhluke ngokuphelele. I-MRI ayisebenzisi 'i-radiotracer', kodwa isebenzisa i-magnet enamandla namagagasi omsakazo. Ingakhiqiza izithombe ezinezinhlangothi ezintathu (3D) zangaphakathi komzimba.
Ngiyethemba ukuthi usuyaqonda kangcono ngalesi sikeni. Kuvamile ukuzizwa ukhathazekile lapho udokotela wakho eyalela ukuhlolwa okunjengalokhu. Kodwa khumbula, lokhu ukuhlolwa okubaluleke kakhulu futhi okuthuthukile okuzokusiza wazi kahle ukuthi amathambo akho aphilile kangakanani futhi kukusize unqume ukwelashwa okungcono kakhulu. Uma uneminye imibuzo, ungagodli lutho futhi ukhulume nodokotela wakho obala.
Umlayezo Wokuya Nawe Ekhaya
- I-Whole-Body Bone Scan iyisivivinyo esiphephile kakhulu nesingenabuhlungu esihlola impilo yamathambo akho.
- Ngenxa yalokhu, inani elincane, eliphephile lomuthi obizwa ngokuthi 'i-radiotracer' lifakwa emthanjeni.
- Ukuskena kubonisa kuphela izindawo zenkinga yamathambo ("izindawo ezishisayo"), kodwa hhayi imbangela eqondile yenkinga. Kungadingeka ukuhlolwa okwengeziwe ukuze kutholakale lokhu.
- Uma ukhulelwe noma uncelisa, qiniseka ukuthi wazisa udokotela wakho.
- Ukuphuza amanzi amaningi cishe izinsuku ezimbili ngemva kokuskena kungasiza ekukhipheni i-radiotracer emzimbeni wakho.
- Ungalokothi unqikaze ukukhuluma nodokotela wakho nganoma yimiphi imibuzo noma ukukhathazeka ongase ube nakho.
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