Uma udokotela wakho ekutshela ukuthi wenze i-'Nuclear Bone Scan', kumelwe ukuthi ukhathazekile kancane, akunjalo? Empeleni, lapho sizwa igama elithi 'Nuclear', kufika into eyethusayo engqondweni. Kodwa empeleni lokhu akuyona into okufanele uyesabe. Lokhu ukuhlolwa kwezokwelapha okubaluleke kakhulu futhi okuphephile okusetshenziselwa ukuhlola isimo samathambo akho. Namuhla, sizoxoxa ngalokhu ngendlela elula ukuze yonke imibuzo yakho nokwesaba kwakho kususwe.
Kalula nje, kuyini i-Nuclear Bone Scan?
I-Nuclear Bone Scan iyisivivinyo esikhethekile sokuhlola izithombe esihlola impilo yamathambo akho. Ibizwa nangokuthi 'i-Skeletal Scintigraphy'. Kuhilela ukufaka into encane kakhulu, ephephile enemisebe (esiyibiza ngokuthi 'i-tracer' noma 'i-radionuclide') emzimbeni wakho. Manje ungase ucabange, "
O, ngifaka into enemisebe emzimbeni wami?" Ungakhathazeki. Lena inani elincane kakhulu, elilawulwa kakhulu, neliphephile lomuthi. Ukuze kube sobala, lapho le nto ingena emzimbeni wakho, iya ngqo ohlelweni lwakho lwamathambo. Ngokuqondile, le nto iqoqana ezindaweni lapho kukhona khona ushintsho oluthile lwamakhemikhali noma lomzimba, umonakalo, ukutheleleka, noma inqubo engavamile emathanjeni. Ngemuva kwalokho, ikhamera ekhethekile (isithwebuli) ithola izindawo lapho le nto enemisebe eqongelelekile ikhona khona bese idala isithombe, njengemephu. Ngokubheka le mephu, udokotela wakho angakhomba ngqo ukuthi inkinga yakho yamathambo ikuphi nokuthi hlobo luni lwenkinga.
Kungani sicelwa ukuthi senze lokhu kuskena amathambo?
Kunezizathu eziningana zokuthi kungani ukuskena kwamathambo kungenziwa. Kungabona ngisho nezinkinga ezicashile kakhulu okunzima ukuzithola nge-X-ray evamile. Ake sibheke izizathu eziyinhloko.
| Isimo noma imbangela | Incazelo elula |
|---|
| Ukuphuka kwamathambo | Ikakhulukazi ukuthola izinto ezingabonakali kuma-X-ray, njengokuphuka kwemisipha njengokuphuka kwemisipha yethanga kanye nokuqhekeka kwengcindezi okuvamile kubadlali. |
| Isifo samathambo | Bheka ukuthi isifo samathambo, isimo esibangela ukuvuvukala nobuhlungu bamalunga, sithinta kanjani amathambo. |
| Isifo se-Paget sethambo | Okwenzekayo kulokhu ukuthi inqubo yomzimba yokususa izicubu ezindala zamathambo nokwakha ithambo elisha iyaphazamiseka. Thola lesi simo. |
| Umdlavuza | Hlola umdlavuza oqale emathanjeni noma umdlavuza osusakazekele emathanjeni ( umdlavuza osakazeke kakhulu ) . |
| Izifo | Hlola ukutheleleka kwamathambo (i-osteomyelitis) noma ukutheleleka okuhlobene namalunga okwenziwa (izinqe, amadolo). |
| I-Avascular necrosis (ukufa kwezicubu zamathambo) | Izicubu zamathambo ziyafa ngenxa yokuvaleka kwemithambo yegazi ehambisa igazi emathanjeni. Hlola ukuthi unalesi simo yini. |
Ulungiselela kanjani ngaphambi kokuskena?
Lokhu akudingi ukulungiswa okukhethekile. Ungadla futhi uphuze ngendlela evamile. Kodwa-ke, ezinye izinto zingathinta indlela i-tracer esetshenziswa ngayo ekuskeni esebenza ngayo. Ngakho-ke,
qiniseka ukuthi utshela udokotela wakho ngalokhu okulandelayo:- Uma usanda kusebenzisa umuthi oqukethe i-bismuth (isb., umuthi wesisu esibuhlungu njenge-Pepto-Bismol).
- Uma usanda kuhlolwa ngezokwelapha okusebenzisa i-barium (isb., i-barium swallow, i-barium enema).
Ngaphambi kokuskena, uzocelwa ukuthi ususe noma yibuphi ubucwebe noma
izinto zensimbi. Ungase futhi ucelwe ukuthi ugqoke ingubo ekhethekile ehlinzekwe yisibhedlela.
Isebenza kanjani inqubo yokuskena?
Le nqubo yenzeka ngezigaba eziningana, kodwa asikho nesisodwa esibuhlungu.
1. Ukujova umuthi
Okokuqala, ilungu labasebenzi bezokwelapha lizofaka umjovo omncane oqukethe i-tracer emthanjeni osengalweni noma esandleni sakho. Akukho ubuhlungu ngaphandle kokuzwa okuncane okuhlabayo lapho umjovo unikezwa.
2. Isikhathi sokulinda
Ngemva komjovo, kuthatha amahora amabili kuya kwamane ukuthi i-tracer ihambe egazini lakho futhi iqoqeke emathanjeni akho. Phakathi nalesi sikhathi, ungenza noma yini oyifunayo. Ungafunda incwadi, uhlole ifoni yakho, noma uhlale endaweni yokulinda esibhedlela. Phakathi nalesi sikhathi, uzocelwa
ukuthi uphuze cishe izingilazi ezine kuya kweziyisithupha zamanzi . Lokhu kuzosiza ekukhipheni noma iyiphi i-tracer eyengeziwe engamuncwanga amathambo akho. Kufanele futhi uchame futhi ukhiphe isinye sakho ngaphambi kokuskena. Ngaphandle kwalokho, i-tracer eqoqeka esinyeni sakho ingenza isithombe sokuskena singacaci.
3. Ukuskena
Manje sekuza umsebenzi
wangempela . Uzolala etafuleni elikhethekile. Ngemuva kwalokho ikhamera enkulu izohambahamba emzimbeni wakho bese ima ezindaweni ezithile ukuze uthathe izithombe.
Kubaluleke kakhulu ukuthi unganyakazi nhlobo phakathi nalesi sikhathi. Abasebenzi bazokucela ukuthi ushintshe izikhundla ngezikhathi ezithile. Lokhu kuskena kungathatha cishe imizuzu engama-60. Nakuba kungebuhlungu, kungaba nzima ukuhlala endaweni eyodwa. Ngezinye izikhathi udokotela wakho angase a-ode olunye uhlobo olukhethekile lokuskena olubizwa ngokuthi
i-SPECT (Single-Photon Emission-Computed Tomography) . Lokhu kuhilela ikhamera ehambahamba emzimbeni wakho ukuze ithathe izithombe ezinemininingwane eminingi, ezinezinhlangothi ezintathu (3D).
Kwenzekani ngemva kokuskena?
Ngemva kokuphela kokuskena, awunayo imingcele. Ungashayela uye ekhaya ngendlela evamile. Udokotela uzokutshela ukuthi uphuze amanzi amaningi ngosuku olulandelayo noma ezimbili. Lokhu kuzosiza ukuthi izinto ezisele emzimbeni wakho zisuswe ngokuphelele.
Enye yezinto abantu abaningi abesabayo ukuthi, "Ingabe ngizoba nomdlavuza kwabanye?" Ungesabi nhlobo. Ngeke ulimaze abanye, ikakhulukazi labo abasekhaya.
Ingabe kukhona ingozi kulokhu?
Uma usakhathazekile ngemisebe, cabanga ngalokhu. Inani lemisebe umzimba wakho elitholayo ngokuskena kwethambo lifana nele-X-ray evamile. Lincane kakhulu futhi liphephile. Kodwa-ke, kunezinto
ezimbili ezibaluleke kakhulu okufanele uzikhumbule :
- Uma ukhulelwe noma ungase ukhulelwe, qiniseka ukuthi wazisa udokotela wakho ngaphambi kokwenza lokhu kuhlolwa, njengoba imisebe ingathinta ingane esibelethweni.
- Uma ungumama oncelisayo , qiniseka ukuthi uyakusho nalokhu. Ngemva kokuskena , kuzodingeka ulandele imiyalelo ethile ekhethekile ukuvimbela ukuthi izinto ezikhipha imisebe zingadluleli enganeni yakho ngobisi lwakho.
I-tracer ivame ukuphuma emzimbeni wakho ngokuphelele zingakapheli izinsuku ezimbili. Akufanele ube nemiphumela emibi. Kodwa-ke, uma indawo yomjovo iba bomvu noma ibuhlungu, khuluma nodokotela wakho.
Uthola kanjani imiphumela?
Ezithombeni zesikeni, izindawo lapho isikeni siqoqe khona kakhulu zibonakala zikhanya. Sibiza lezi ngokuthi “izindawo ezishisayo”. Izindawo lapho isikeni singaqoqekanga khona zibonakala zimnyama, futhi zibizwa ngokuthi “izindawo ezibandayo”. Lezi ‘zindawo ezishisayo’ zibonisa izindawo lapho kukhona khona ukungajwayelekile emathanjeni. Lezi zithombe zithunyelwa kuqala kuchwepheshe (udokotela we-radiologist) ukuze azifunde. Uhlaziya izithombe bese edala umbiko othunyelwa kudokotela wakho. Udokotela wakho uzobe esexoxa nawe ngombiko futhi achaze imiphumela. Ngezinye izikhathi, ukuskena kwamathambo kukodwa kungase kungabi nesiqiniseko esingu-100% ngembangela yokungajwayelekile emathanjeni. Ezimweni ezinjalo, udokotela wakho angase ancome ezinye izivivinyo ukuze athole ulwazi olwengeziwe.
Umlayezo Wokuya Nawe Ekhaya
- I-Nuclear Bone Scan iyisivivinyo esibaluleke kakhulu nesiphephile esithola izifo zamathambo.
- Inani lezinto ezisebenzisa imisebe ezisetshenziswa kulokhu lincane kakhulu. Ungakwesabi ngokungadingekile.
- Uma ukhulelwe noma uncelisa, qiniseka ukuthi wazisa udokotela wakho ngaphambi kokuhlolwa.
- Nakuba ukuhlolwa kungeyona into ebuhlungu, kubalulekile ukuhlala unganyakazi ngesikhathi sokuskena.
- Ukuphuza amanzi amaningi ngemva kokuhlolwa kungasiza ekukhipheni noma yiziphi izinto ezisele emzimbeni.
- Udokotela wakho uzokhuluma nawe ngokucacile ngemiphumela kanye nezinyathelo ezilandelayo.
Ukuskena Kwamathambo Enuzi, ukuskena kwamathambo i-sinhala, ukuskena kwamathambo, i-skeletal scintigraphy, ukuhlolwa kwamathambo, i-radiological, izifo zamathambo, umdlavuza, uphenyo lwezokwelapha i-sinhala
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