Uma udokotela wakho esikisela 'i-Nuclear Bone Scan,' kungokwemvelo ukuzizwa ukhathazekile kancane. Igama elithi 'nuclear' livame ukuzwakala lesabisa, kodwa empeleni, akukho okufanele ukwesabe. Lena inqubo yokuxilonga ephephile kakhulu futhi ebaluleke kakhulu esetshenziselwa ukuhlola impilo yamathambo akho. Ake sihlukanise konke okudingeka ukwazi ngamagama alula, aqinisekisayo ukuze uzizwe unolwazi oluphelele.
Kuyini ngempela i-Nuclear Bone Scan?
Ukuskena kwamathambo enuzi kuyindlela ekhethekile yokuhlola impilo yamathambo akho, eyaziwa nangokuthi 'i-Skeletal Scintigraphy.' Ngesikhathi senqubo, inani elincane neliphephile lento enomsebe (ebizwa ngokuthi 'i-tracer' noma 'i-radionuclide') lifakwa emzimbeni wakho.
Ungase uzibuze, " Kuphephile yini ukuba nezinto ezikhipha imisebe emzimbeni wami? " Qiniseka, lokhu kuyinani elincane elilawulwa ngokwezokwelapha, eliphephile ngokuphelele. Uma selivele lisesimisweni sakho, leli gciwane lihamba ngqo liye emathanjeni akho. Liqoqana ngqo ezindaweni lapho kukhona khona umsebenzi ongavamile wamathambo, njengokuvuvukala, ukutheleleka, ukulimala, noma ezinye izinguquko zomzimba.
Ngemva kwalokho, isithwebuli esikhethekile sithola lezi zindawo bese sakha isithombe esifana nemephu. Ngokubukeza le mephu, udokotela wakho angakhomba ngqo ukuthi inkinga ikuphi futhi anqume uhlobo lwesimo esithinta amathambo akho.
Kungani ngidinga i-Bone Scan?
Kunezizathu eziningana zokuthi udokotela wakho angancoma ukuthi kuhlolwe amathambo. Kuyakwazi ukubona izinkinga ezincane kakhulu ezingase zingabonakali ku-X-ray ejwayelekile. Nazi izizathu eziyinhloko zalokhu kuhlolwa:
| Isimo noma Isizathu | Incazelo Elula |
|---|---|
| Ukuphuka kwamathambo | Ukuthola ukulimala okuncane njengokuphuka kwe-hip noma ukuphuka kwe-stress kubasubathi okuvame ukungabonakali kuma-X-ray ajwayelekile. |
| Isifo samathambo | Ukuhlola ukuthi isifo samathambo sithinta kanjani amathambo akho futhi sibangela ubuhlungu noma ukuvuvukala kwamalunga. |
| Isifo sikaPaget | Ukuthola isimo lapho umjikelezo ojwayelekile wokuphuka nokuvuselelwa kwamathambo uphazamiseka khona. |
| Umdlavuza | Ukuhlola umdlavuza wamathambo oyinhloko noma umdlavuza osakazeke emathanjeni usuka kwenye indawo. |
| Izifo | Ukuthola izifo zamathambo (i-osteomyelitis) noma izinkinga ezihlobene namalunga okwenziwa (ukufakelwa izinqe noma idolo). |
| I-necrosis ye-Avascular | Ukuhlola ukufa kwezicubu zamathambo okubangelwa ukuntuleka kwegazi . |
Kufanele ngilungiselele kanjani ukuskena?
Akukho ukulungiselela okukhulu okudingekayo. Ungadla futhi uphuze ngendlela evamile. Kodwa-ke, ezinye izici zingaphazamisa ukusebenza kahle kwe-tracer. Ngakho-ke, qiniseka ukuthi wazisa udokotela wakho uma:
- Muva nje usanda kuphuza noma yimuphi umuthi oqukethe i-bismuth (isb., eminye imithi yokwelapha isisu).
- Muva nje uke wabhekana nanoma yikuphi ukuhlolwa kwezokwelapha okuhilela i-barium (isb., i-Barium swallow, i-Barium enema).
Ngaphambi kokuskena, uzocelwa ukuthi ususe ubucwebe nanoma yiziphi izinto zensimbi. Unganikezwa nengubo yasesibhedlela ozoyigqoka.
Injani inqubo?
Le nqubo yenzeka ngezigaba, futhi ayikho neyodwa yazo ebuhlungu.
1. Umjovo
Okokuqala, ilungu lethimba lezokwelapha lizofaka umuthi we-tracer emthanjeni osengalweni noma esandleni sakho. Uzozwa ukugwazwa okuncane kuphela, okufana nokuhlolwa kwegazi okuvamile.
2. Isikhathi Sokulinda
Ngemva komjovo, kufanele ulinde cishe amahora amabili kuya kwamane ukuze i-tracer ihambe egazini lakho futhi iqoqeke emathanjeni akho. Phakathi nalesi sikhathi, ukhululekile ukuphumula, ukufunda, noma ukusebenzisa ifoni yakho. Sincoma ukuphuza izingilazi zamanzi ezi-4 kuya kwezi-6 phakathi nalokhu kulinda. Lokhu kusiza ukukhipha i-tracer engasetshenziswanga emzimbeni wakho ngomchamo. Kufanele ukhiphe i-bladder yakho ngaphambi kokuskena; ngaphandle kwalokho, i-tracer eqoqeke esinyeni sakho ingase ifihle izithombe.
3. Ukuskena
Lena yingxenye eyinhloko yenqubo. Uzolala etafuleni lokuskena ngenkathi ikhamera enkulu ihamba nxazonke zakho noma ima ezindaweni ezithile. Kubalulekile ukuthi uhlale unganyakazi ngesikhathi sokuskena. Abasebenzi bangakucela ukuthi ushintshe izikhundla ngezikhathi ezithile. Ukuskena kungathatha cishe imizuzu engama-60. Nakuba kungeyona into ebuhlungu, ukuhlala unganyakazi isikhathi eside kangako kungaba yinto engakhululekile.
Ngezinye izikhathi, udokotela wakho angase acele ukuskena kwe -SPECT (Single-Photon Emission-Computed Tomography) . Kulesi simo, ikhamera ijikeleza umzimba wakho ukuze ithwebule izithombe ezinemininingwane eminingi, ze-3D.
Kwenzekani ngemva kokuskena?
Uma ukuskena sekuqediwe, akukho mingcele emisebenzini yakho. Ungazishayela uye ekhaya. Udokotela wakho angase akuphakamise ukuthi uqhubeke nokuphuza amanzi amaningi usuku olulodwa noma ezimbili ukuze usize ukususa i-tracer esele emzimbeni wakho.
Ukukhathazeka okuvamile ukuthi, "Ingabe ngizoba nomdlavuza kwabanye?" Awunalutho nhlobo lokukhathazeka ngalo. Awubeki ingozi kwabanye, kuhlanganise nalabo abasekhaya lakho.
Ingabe ikhona ingozi?
Uma usakhathazekile ngemisebe, khumbula ukuthi ukuvezwa okuvela ekuhlolweni kwethambo kufana ne-X-ray ejwayelekile. Kuyizinga eliphansi kakhulu futhi eliphephile.
Kodwa-ke, amaphuzu amabili abaluleke kakhulu:
- Uma ukhulelwe noma ucabanga ukuthi kungenzeka ukuthi ukhulelwe, yazisa udokotela wakho ngokushesha, njengoba imisebe ingase ithinte ingane.
- Uma uncelisa , sicela usazise. Ungathola imiyalelo ethile yokuthi ungabhekana kanjani nokuncelisa ngemva kokuskena ukuqinisekisa ukuthi ingane yakho ivikelekile.
I-tracer ivame ukuphuma emzimbeni wakho zingakapheli izinsuku ezimbili. Akufanele ube nemiphumela emibi. Kodwa-ke, uma indawo yomjovo iba bomvu noma ibuhlungu, sicela uxhumane nodokotela wakho.
Ngiyithola kanjani imiphumela?
Ezithombeni zokuskena, izindawo ezinezinga eliphezulu le-tracer zibonakala zikhanya, ezaziwa ngokuthi "izindawo ezishisayo." Izindawo lapho i-tracer ingaqongeleli khona zibukeka zimnyama, ezaziwa ngokuthi "izindawo ezibandayo." Lezi zindawo ezishisayo zibonisa izindawo zomsebenzi ongavamile wamathambo.
Lezi zithombe zithunyelwa kudokotela we-radiologist, ozihlaziyayo bese ethumela umbiko kudokotela wakho. Udokotela wakho uzobe esexoxa nawe ngalezi zithombe futhi achaze ukuthi zisho ukuthini ngokunakekelwa kwakho.
Ngezinye izikhathi, ukuskena kwamathambo kukodwa akukwazi ukunquma imbangela eqondile yesimo esingavamile ngokuqiniseka okungu-100%. Ezimweni ezinjalo, udokotela wakho angase ancome ukuhlolwa okwengeziwe kokuxilonga ukuze aqoqe ulwazi olwengeziwe.
Izinto Ezibalulekile Okufanele Uzicabangele
- I-Nuclear Bone Scan iyithuluzi lokuxilonga eliwusizo kakhulu neliphephile lokuhlonza izimo zamathambo.
- Inani lezinto ezisebenzisa imisebe lincane kakhulu; ungabi novalo olungadingekile.
- Uma ukhulelwe noma uncelisa, yazisa udokotela wakho ngaphambi kokuskena.
- Nakuba ukuhlolwa kungeyona into ebuhlungu, ukuhlala unganyakazi kubalulekile ukuze kubonakale izithombe ezicacile.
- Ukuphuza amanzi amaningi ngemva kokuhlolwa kusiza ukususa i-tracer emzimbeni wakho.
- Udokotela wakho uzoxoxa nawe mathupha ngemiphumela kanye nanoma yiziphi izinyathelo ezilandelayo ezidingekayo.
Ukuskena Kwamathambo Enuzi, ukuskena kwamathambo, ukuthwebula amathambo, i-skeletal scintigraphy, ukuhlolwa kwempilo yamathambo, ukuphepha kwemisebe, isifo samathambo, ukuxilongwa komdlavuza, uphenyo lwezokwelapha
