Bone Scan for Finding Metastases Nge Cancer
Kuyini ukukhipha amathambo ngomdlavuza? Ngabe lokhu kuhlolwa kunganconywa nini? Ingaqhathaniswa kanjani nezinye izivivinyo ze-metastases ye-bone njenge-PET scan? Futhi kwenzekani uma ukuskena kwakho kungavamile?
Incazelo: I-Bone Scan yeCanscer
Ukuskena amathambo emdlavuza kuyisimo semithi yamandla enyukliya esibheka ukungajwayelekile emathini. Umphumela ongavamile wokukhipha amathambo ungasetshenziswa uku:
- Thola ukutholakala kwesisu emathanjeni, kokubili amathrekhi asemathambo ayisisekelo kanye nomdlavuza we-metastatic kuya amathambo
- Thola izintambo emathanjeni: Kwezinye izimo, njengokunye ukuphazamiseka kokucindezeleka noma ukungasebenzi kahle, i-x-ray eqondile ngeke ibonise ukwehlukana (noma ingase ingabonakali ukuphulwa kwamasonto amaningana) futhi kudingeke ukuthi kuthathwe ukuskena kwethambo
- Thola izifo zethambo ezifana nesifo sePaget sesithambo
- Ukufuna ukuxoshwa ngemuva kokuhlinzwa kokuqashwa kwe-hip
- Thola ukutheleleka kwamathambo: Ukutheleleka kwethambo kubizwa ngokuthi i-osteomyelitis
Izizathu zokwenza i-Scan Scan
Uma udokotela wakho ekhuthaze ukuskena kwamathanga, cela kahle ukuthi yini ayifunayo nokuthi kungani eyala ukuhlolwa. Ezinye zezizathu zokukhenwa kwamathambo kungenziwa (kokubili umdlavuza kanye nezimo ezinobungozi) zihlanganisa:
- Ukuhlola ubuhlungu emaphethelweni akho, izimbambo, noma umgogodla
- Ukuhlola ukwehluleka okungalindelekile - Uma ithambo libuthakathaka ngenxa yokuba khona komdlavuza, kungaba umdlavuza wamathambo oyinhloko, noma umdlavuza we-metastases kuya ethuneni, lokhu kubhekwa njengokuhlukana kwe- pathologic
- Ukuhlola ukuhlolwa okungavamile kwegazi: Isibonelo, uma unamazinga amaningi we-calcium egazini lakho (i- hypercalcemia ) noma ezinye izinto ezingavamile
- Ukusiza ukuxilongwa nesifo se-cancer esingaba nomthelela emathanjeni: Ukukhishwa kwethambo kuvame ukwenziwa ngemuva kokuxilongwa komdlavuza ukufuna amathambo ayisithupha. Ukuthungatha kulokhu kulungiselelwa kuyadingeka ukuze kunqume ukwelashwa okufanele kakhulu
Inqubo
Phakathi ne-scan scan, i-tracer radioactive (ngokuvamile i-Technetium 99m) ifakwe ku-vein engalweni yakho bese iqoqa ithambo. Ngemva kwesikhathi esithile, ngokuvamile amahora angu-3 kuya kwangu-4, iskena senziwe.Ukusebenza okusakazwayo okuqoqene esitokisini kunika imisebe ye-gamma engathathwa ngekhamera ekhethekile. I-scan yona ngokwayo isithatha cishe ihora ukuqedela.
Imiphumela
I-radiologist izobe ibukeze ukuskena kubheka okungajwayelekile.I-scan ingaba evamile, noma ingabe kunokuba ibe nezindawo ezishisayo noma izindawo ezibandayo.
"Izindawo ezishisayo" emathanjeni yizindawo ezithatha ngaphezulu kwe-tracer radioactive. Lokhu kungabonisa ukuthi kukhona umdlavuza, ukutheleleka (i-osteomyelitis), ezinye izifo zethambo, noma i-arthritis.
"Izindawo ezibandayo" yizindawo ezithatha ithambo eliphansi. Lezi zingabonakala ngezinye izinhlobo zomdlavuza ezifana nezifo eziningi ze-myeloma nezinye zezifuba.
Imiphumela engase ibe khona ye-Scan Scan
Yize imigomo ye-nyukliya ne-radioactive ingase ibonakale isabisa, inqubo iphephile kakhulu futhi ihilela ukungathandeki okuncane ngaphandle kwesigqoko senaliti yomjovo.
Bone Scans vs PET Scans for Bone Metastases
Umbuzo ovamile kubantu abanesifo somdlavuza uma ukukhipha amathambo kufanele kwenziwe futhi uma iskena se- PET kufanele senziwe.
Kunezici eziningana okufanele uzicabangele futhi kubalulekile ukukhuluma nodokotela wakho mayelana nokucabanga kwakhe kokukhetha. Ama-bone scans ashibhile kakhulu kunezingqinamba ze-PET, nakuba ukubuka kwe-PET kungase kutholakale ngezinye izikhathi ulwazi oluthe xaxa futhi kutholakale imithi esingazitholakali kuthebhulethi yedwa.
I-Bone Metastases: Yikuphi I-Cancer Okusabalala Emanzini?
Amanqamu ajwayelekile asakaze etheni ahlanganisa umdlavuza wamaphaphu , umdlavuza webele , umdlavuza wegciwane , umdlavuza wesifo sofuba , nomdlavuza wezinso . Lapho amagciwane asakazeka emathanjeni kaningi ngokuvamile ama-metastase amaningi.
Indawo ye-Bone Metastases
Amakhansela omdala avame ukusabalala "emathambo axial" okusho amathambo omgogodla.
Amaphesenti angama-90 amathambo asetshenziselwa i-vertebrae, i-pelvis, i-skull, umlenze wesigqila (i-femer ehamba phambili) nengalo engenhla (i-humerus ehamba phambili). Njengoba kuphawuliwe ngaphambili, ngokuvamile kunezibalo eziningana ezithinta amathambo lapho lokhu kutholakala, futhi "indawo" yedwa yikhombisa ukuthi kungenzeka ngenxa yenye into.
I-Cancer ingatholwa kuqala ngokuthola i-bone metastase ngaphambi kokuba kutholakale umdlavuza. Uma lokhu kwenzeka, ukuhlolwa okuqhubekayo kuyadingeka ukuze ubukeke umdlavuza oyinhloko . Ngezinye izikhathi indawo ye-metastases ingabangela odokotela ukuthi basuke beqala ukuthi umdlavuza waqala kuphi. Isibonelo, umdlavuza wamaphaphu uhlukile kakhulu ngoba uvame ukusabalalisa amathambo ezandleni nasezinyaweni.
Ukubhekana nemiphumela engavamile ye-Bone Scan
Ukukhathazeka ukuthi umdlavuza usakaze emathanjeni, noma ukuthola ukuthi umdlavuza wakho usakazeke emathanjeni akho ungasabisa. Kusho ukuthini lokho manje?
Ngokuqondene nalabo abanomdlavuza, ama-bone scans angakha ukuxubusha okukhulu, igama eliye lahlelwa ukuchaza ukukhathazeka okuvame ukuzwa ngenkathi kulindele imiphumela yokuskena. Uma usanda kutholakala, imiphumela yakho yokuskena amathambo ingasho ukuthi umdlavuza wakho isiteji sesi-4; ukuthi isakaze emathanjeni nasekuhlinzeni kwakho akusekho. Uma ngabe uhlala nomdlavuza, imicabango yakho yokuqala ingase ibe, "ngingabhekana kanjani nokubhekana nezinkinga?"
Khuluma nabangani nabathandekayo bese ucela ukwesekwa. Uma uneqembu lokusekela umdlavuza noma umphakathi wokusekela, finyelela kubo. Ngokuvamile labo abaye bahlala nomdlavuza ngokwabo bangakwazi ukuqonda kakhulu ukukhathazeka ngemiphumela yokuskena kwamathanga. Nazi amathiphu ambalwa okubhekana nokumesaba ukuphindaphinda noma ukuqhubeka komdlavuza wakho.
Buza imibuzo eminingi bese ukhuluma ne-oncologist yakho. Yimiphi imithi ayengayiphakamisa manje? Zikhona yini izivivinyo zemitholampilo ezizofaneleka kuwe? Khumbula ukuthi ukwelashwa komdlavuza-ngisho nomdlavuza ophakeme-uyathuthuka. Izigaba ezintsha zezidakamizwa ezinjengezokwelapha ezithintekile kanye nokuzivikela ngezinye izikhathi zikwazi ukulawula ukwelashwa okwakunzima kakhulu ukuwaphatha ngaphambilini.
Ukwelashwa kwe-Bone Metastases
Uma uthola ukuthi une-metastase yamathambo, ungase uphathwe ngemithi ejwayelekile yomdlavuza we-metastatic kodwa ukwelashwa okhethekile kwethambo nakho kuyatholakala. Kwezinye izimo, ezifana nesifo somdlavuza webele, lezi zindlela zokwelashwa azikwazi ukunciphisa ubuhlungu kanye nokwehluleka kwezinkinga ezivela emasethini we-bone kodwa zandisa isikhathi sokuphila.
Funda kabanzi ngamathambo ayisifo somdlavuza nomdlavuza wamaphaphu kanye nemetastase yamathambo ngomdlavuza webele.
> Imithombo:
> UThomas, K., noMnu Gould. Sibutsetelo sokuHlola okuQala, UkuHlola, nokuHlelwa kweziguli ezineNgculazi Yengculaza Esolwa. Kusesikhathini. Kubuyekezwe 04/05/17. http://www.uptodate.com/contents/overview-of-the-initial-evaluation-diagnosis-and-staging-of-patients-with-suspected-lung-cancer
> I-Library Kazwelonke Kazwelonke Yezokwelapha. I-MedlinePlus. I-Bone scan. Kubuyekezwe 08/16/17. https://medlineplus.gov/ency/article/003833.htm
Futhi eyaziwa njenge: Bone Scintigraphy
Izibonelo: UJakobe wayebuhlungu entanyeni ngemuva kokuhlinzwa ngenxa yomdlavuza wakhe wamaphaphu, ngakho-ke i-oncologist yakhe yakhuthaza ukukhenwa kwethambo ukubona ukuthi umdlavuza wakhe usakaze yini emthonjeni wakhe.