He aha ka Bone Scan? Ke Kumu, ke Kaʻina Hana & Nā Hōʻikeʻike

He hoʻokolohua kiʻi nuklea ka bone scan e kōkua ana i nā kauka e ʻike i ka maikaʻi o ka hana ʻana o kou mau iwi ma kou kino holoʻokoʻa. Hoʻohana ia i kahi mea liʻiliʻi o ka mea radioactive e hana i nā kiʻi kikoʻī o kou iwi, e hōʻike ana i nā wahi kahi e hana hou ai kou mau iwi iā lākou iho a i ʻole kahi e loaʻa ai nā pilikia.

E noʻonoʻo iā ia he kamera kūikawā e hiki ke nānā i loko o kou mau iwi e nānā i ko lākou olakino. ʻAʻole like me nā X-ray maʻamau e hōʻike wale ana i ke ʻano o ka iwi, hōʻike ka bone scan i ka hana a me ka metabolism o ka iwi. ʻO kēia ka mea e pono ai no ka ʻike ʻana i nā pilikia i ʻike ʻole ʻia ma nā hoʻokolohua ʻē aʻe.

He aha ka bone scan?

He hoʻokolohua lāʻau nuklea palekana ka bone scan e nānā ana i ka hana ʻana o kou mau iwi i kahi mea radioactive. ʻO ka tracer he mea liʻiliʻi o ka mea radioactive i hoʻokomo ʻia i loko o kou kahe koko a hele i kou mau iwi.

Hoʻopili maoli kou mau iwi i kēia tracer, a ʻo nā wahi me ka hana iwi nui e komo hou aku. A laila, hopu kahi kamera kūikawā i nā kiʻi o kahi i hōʻiliʻili ai ka tracer, e hana ana i palapala ʻāina o kou olakino iwi. ʻAʻole ʻeha ke kaʻina hana holoʻokoʻa a he liʻiliʻi ka ʻike ʻana i ka radiation.

Kapa ʻia ka hoʻokolohua ʻo bone scintigraphy a i ʻole skeletal scintigraphy. He ʻokoʻa ia mai nā hoʻokolohua iwi ʻē aʻe no ka mea e hōʻike ana i ka hana ʻana o kou mau iwi ma mua o ko lākou nānā ʻana.

No ke aha e hana ʻia ai ka bone scan?

Manaʻo nā kauka i nā bone scans e noiʻi i ka ʻeha iwi i wehewehe ʻole ʻia, e ʻike i ka laha ʻana o ka maʻi maʻi i nā iwi, a i ʻole e nānā i nā maʻi iwi. ʻO ia kekahi o nā hoʻokolohua koʻikoʻi loa no ka loaʻa ʻana o nā pilikia ma kou iwi holoʻokoʻa i ka manawa hoʻokahi.

Hiki i kāu kauka ke ʻōlelo i kēia hoʻokolohua inā loaʻa iā ʻoe ka ʻeha iwi mau ʻaʻohe kumu maopopo. Hiki iā ia ke hōʻike i nā haʻihaʻi, nā maʻi, a i ʻole nā ​​pilikia ʻē aʻe i hiki ʻole i nā X-ray maʻamau ke ʻike. He mea kōkua nui ka hoʻokolohua no ka mea e nānā ana i kou kino holoʻokoʻa i hoʻokahi kau.

Eia nā kumu nui e kauoha ai nā kauka i nā bone scans:

• Ka ʻike ʻana i ka maʻi ʻaʻai i hohola i nā iwi (bone metastases)
• Ka loaʻa ʻana o nā haʻi iwi huna, ʻoiai nā haʻi iwi ma muli o ke kaumaha
• Ka ʻike ʻana i nā maʻi iwi (osteomyelitis)
• Ke nānā ʻana i ka holomua o ka maʻi ʻāʻī
• Ke loiloi ʻana i ka ʻeha iwi i wehewehe ʻole ʻia
• Ke nānā ʻana i nā maʻi iwi e like me ka maʻi o Paget
• Ke loiloi ʻana i ka hoʻōla iwi ma hope o ke ʻoki ʻana a i ʻole ka ʻeha

He mea waiwai nui ka hoʻokolohua no nā maʻi maʻi ʻaʻai no ka mea hiki iā ia ke ʻike i ke komo ʻana o nā iwi ma mua o ka ʻike ʻia ʻana o nā hōʻailona. ʻO ka ʻike mua ʻana e alakaʻi pinepine i nā hopena lapaʻau maikaʻi aʻe.

He aha ke kaʻina hana no ka nānā iwi?

Hana ʻia ke kaʻina hana nānā iwi i ʻelua mau ʻāpana nui i hoʻolaha ʻia ma luna o kekahi mau hola. ʻO ka mea mua, e loaʻa iā ʻoe kahi injection o ka radioactive tracer, a laila e kali ʻoe i ka wā e hele ai i kou kino i kou mau iwi.

He mea ʻoluʻolu ka ʻāpana scanning maoli a pono ʻoe e moe mālie ma luna o kahi papaʻaina i ka wā e neʻe ai kahi kamera nui a puni kou kino. ʻO ka hana holoʻokoʻa e lawe maʻamau i 3-4 mau hola, akā ʻo ka hapa nui o ia manawa e kali ana i ka tracer e komo.

Eia ka mea e hana ʻia i ka wā o kāu nānā iwi:

1. E loaʻa iā ʻoe kahi injection liʻiliʻi o ka radioactive tracer i loko o ke aʻa i kou lima
2. E kali ʻoe i 2-3 mau hola no ka tracer e hele i kou kahe koko i kou mau iwi
3. E noi ʻia ʻoe e inu i ka wai nui i ka wā e kali ana
4. E hoʻokahe ʻoe i kou ʻōpū ma mua o ka hoʻomaka ʻana o ka scan
5. E moe ʻoe ma luna o kahi papaʻaina scanning i ka wā e kiʻi ai ke kamera i nā kiʻi
6. Lawe ka hana scanning i 30-60 mau minuke
7. Pono paha ʻoe e hoʻololi i nā kūlana i ka wā scanning no nā hiʻohiʻona like ʻole

Ua like ka manaʻo o ka injection me kekahi pana maʻamau, a ʻaʻohe ʻeha o ka scanning. Pono ʻoe e noho mālie loa i ka wā o ke kiʻi ʻana e kiʻi i nā kiʻi maopopo.

Pehea e hoʻomākaukau ai no kāu scan iwi?

He maʻalahi ka hoʻomākaukau ʻana no ka nānā ʻana i ka iwi a koi i nā hoʻololi liʻiliʻi i kāu hana maʻamau. Hiki iā ʻoe ke ʻai maʻamau a lawe i kāu mau lāʻau maʻamau ke ʻole e haʻi pololei kāu kauka iā ʻoe.

ʻO ka hoʻomākaukau nui e pili ana i ka noho ʻana i ka wai a me ka wehe ʻana i nā mea metala ma mua o ka nānā ʻana. E hāʻawi kāu kauka iā ʻoe i nā ʻōlelo kikoʻī e pili ana i kou kūlana pilikino, akā hiki i ka hapa nui o nā kānaka ke mālama i kā lākou hana maʻamau.

Eia pehea e hoʻomākaukau ai no kāu nānā ʻana i ka iwi:

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• E hoʻomau i ka ʻai a me ka inu maʻamau ma mua o ka hoʻāʻo
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• E lawe i kāu mau lāʻau maʻamau ke ʻole i haʻi ʻia
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• E ʻaʻahu i nā lole ʻoluʻolu a me ka lole
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• Wehe i nā mea nani, nā wati, a me nā mea metala
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• E haʻi i kāu kauka inā hāpai ʻoe a i ʻole e hānai ana i ka waiū
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• E haʻi i kāu kauka e pili ana i nā haʻawina barium hou a i ʻole nā hoʻokolohua lāʻau lapaʻau nuklea
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• E hoʻolālā no kahi manawa 3-4 hola
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Inā claustrophobic ʻoe, e haʻi i kāu kauka ma mua. Wehe ʻia nā mea hana scanning, no laila ʻoluʻolu ka hapa nui o nā kānaka, akā hiki i kāu hui lapaʻau ke kōkua inā he hopohopo kāu.

Pehea e heluhelu ai i kāu hopena nānā iwi?

Hōʻike nā hopena nānā iwi i nā wahi o ka lawe ʻana i ka tracer i hoʻonui ʻia a i ʻole i hoʻemi ʻia, e ʻike ʻia e like me

• Nā hopena maʻamau: Hoʻokaʻawale like ʻia ka mea huli ma waena o kou mau iwi
• Nā wahi wela: Nā wahi me ka hana iwi nui (hiki ke hōʻike i ka hoʻōla, ka maʻi, a i ʻole ka maʻi ʻaʻai)
• Nā wahi anuanu: Nā wahi me ka hana iwi liʻiliʻi (hiki ke hōʻike i ka lako koko maikaʻi ʻole)
• Lawe ʻia ka focal: Hoʻopaʻa ʻia ka mea huli ma nā wahi kikoʻī
• Lawe ʻia ka diffuse: Hoʻonui ʻia ka hana

E wehewehe kāu kauka i ke ʻano o kāu mau hopena kikoʻī a inā pono ʻoe i nā hoʻokolohua hou. E hoʻomanaʻo ʻaʻole ia he manaʻo maʻalahi nā hopena maʻamau i kahi mea koʻikoʻi - hōʻike wale lākou i nā wahi e pono ai ka nānā ʻana.

He aha ka hopena maikaʻi loa o ka scan iwi?

Hōʻike ka hopena scan iwi maikaʻi loa i ka maʻamau, ka hāʻawi like ʻana o ka mea huli radioactive ma waena o kou iwi. Hōʻike kēia i ke olakino a me ka hana pono o kou mau iwi me ka ʻole o nā wahi o ka hana nui a i ʻole ka pōʻino.

ʻO ka scan maʻamau ke ʻano o ka lawe ʻana o kou mau iwi i ka mea huli ma nā pae i manaʻo ʻia, e hōʻike ana i ka maikaʻi o ka metabolism iwi a me ke kahe koko. ʻAʻole ʻoe e ʻike i nā wahi wela a i ʻole nā ​​wahi anuanu e hōʻike ana i nā pilikia.

Eia naʻe, he mea nui e hoʻomaopopo he mau hoʻokolohua koʻikoʻi loa nā scans iwi. I kekahi manawa hiki iā lākou ke ʻike i nā kaʻina hana maʻamau e like me ka hoʻōla ʻana a i ʻole nā ​​hoʻololi e pili ana i ka makahiki ʻaʻole hopohopo akā hiki ke ʻike ʻia he mau mea maʻamau.

He aha nā mea pilikia no nā scans iwi maʻamau?

Hiki i kekahi mau mea ke hoʻonui i kou hiki ke loaʻa i kahi scan iwi maʻamau. He mea nui ka makahiki, no ka mea, ʻoi aku ka nui o nā mākua kahiko i nā loli iwi mai ka ʻaʻahu a me ka waimaka a i ʻole nā ​​kūlana ma lalo.

He kuleana koʻikoʻi ka mōʻaukala olakino i ka hoʻoholo ʻana i kou pilikia. ʻOi aku ka nui o ka poʻe me kekahi mau maʻi ʻaʻai, nā maʻi iwi, a i ʻole nā ​​ʻeha mua e loaʻa i nā hopena maʻamau.

ʻO nā mea pilikia maʻamau no nā scans iwi maʻamau e pili ana:

• Mōʻaukala o ka maʻi 'aʻai, ʻo ka umauma, ka prostate, ka māmā, a i ʻole ka maʻi 'aʻai puʻupaʻa
• Nā haʻihaʻi iwi a i ʻole nā ʻeha i hala
• ʻEha iwi a i ʻole hui mau
• Ma luna o 50 mau makahiki
• Mōʻaukala ʻohana o nā maʻi iwi
• Nā lāʻau lapaʻau e pili ana i ke olakino o ka iwi
• Nā maʻi iwi metabolic
• ʻO ka ʻoki ʻana i ka iwi a i ʻole nā hana i hala koke

ʻAʻole ia he manaʻo e loaʻa ana iā ʻoe kahi scan maʻamau inā loaʻa kēia mau mea pilikia, akā e noʻonoʻo kāu kauka iā lākou i ka wā e wehewehe ai i kāu mau hopena.

He aha nā pilikia hiki ke loaʻa i nā scan iwi?

He mau hana palekana loa nā scan iwi me nā pilikia liʻiliʻi loa. He liʻiliʻi ka nui o ka radiation āu e loaʻa ai a hiki ke hoʻohālikelike ʻia me nā hoʻokolohua kiʻi lapaʻau ʻē aʻe e like me nā scan CT.

Haʻalele ka mea huli radioactive i kou kino ma ke ʻano maoli ma o kou mimi i loko o kekahi mau lā. ʻAʻole ʻike ka hapa nui o nā kānaka i nā hopena ʻaoʻao mai ke kaʻina hana.

ʻO nā pilikia hiki ke loaʻa:

• Ka hopena maʻi i ka mea huli (ʻaʻole maʻamau)
• He liʻiliʻi ka ʻeha a i ʻole ka ʻeha ma kahi i hoʻokomo ʻia ai
• He pilikia liʻiliʻi loa mai ka radiation
• Ka hōʻoluʻolu mai ka moe ʻana i ka wā e scan ana

He liʻiliʻi ka radiation mai ka scan iwi a ua manaʻo ʻia he palekana no ka hapa nui o nā kānaka. Hoʻopau kou kino i ka mea huli i ka wikiwiki, a ʻaʻole ʻoe e radioactive e pili ana i nā poʻe ʻē aʻe a puni ʻoe.

I ka manawa hea wau e ʻike ai i ke kauka e pili ana i nā hopena scan iwi?

Pono ʻoe e hahai me kāu kauka e like me ka mea i hoʻonohonoho ʻia e kūkākūkā i kāu mau hopena scan iwi, me ka nānā ʻole inā he maʻamau a i ʻole. E wehewehe kāu kauka i ke ʻano o nā mea i loaʻa no kāu kūlana.

Inā hōʻike kāu mau hopena i nā mea maʻamau, mai hopohopo. Nui nā mea i loaʻa ʻole e koi ana i nā hoʻokolohua hou e hoʻoholo ai i ko lākou koʻikoʻi. E alakaʻi kāu kauka iā ʻoe ma nā ʻanuʻu aʻe, e komo paha i nā kiʻi kikoʻī a i ʻole nā hoʻokolohua koko.

E hoʻokaʻaʻike koke i kāu kauka inā ʻoe e ʻike:

• He ʻeha iwi nui a i ʻole e ʻino nei ma hope o ka scan
• Nā hōʻailona o ka maʻi ma kahi i hoʻokomo ʻia ai ka lāʻau
• Nā hōʻailona ʻano ʻē e hopohopo nei iā ʻoe
• Nā nīnau e pili ana i kāu mau hopena a i ʻole ka mālama ʻana i ka wā e hiki mai ana

E hoʻomanaʻo he mau mea hana diagnostic nā scan iwi e kōkua i nā kauka e hana i nā hoʻoholo kūpono e pili ana i kāu mālama ʻana. ʻO ka hana ʻana i ka hoʻāʻo he hana maikaʻi ia i ka hoʻomaopopo ʻana a me ka mālama ʻana i kou olakino iwi.

Nā nīnau i nīnau pinepine ʻia e pili ana i nā scan iwi

Q1: He maikaʻi anei ka hoʻāʻo scan iwi no ka ʻike ʻana i ka osteoporosis?

ʻAʻole nā scan iwi ka hoʻāʻo maikaʻi loa no ka ʻike ʻana i ka osteoporosis. ʻOiai hiki iā lākou ke hōʻike i kekahi mau loli iwi, ʻo ka scan DEXA (dual-energy X-ray absorptiometry) ke kūlana gula no ke ana ʻana i ka paʻa o ka iwi a me ka ʻike ʻana i ka osteoporosis.

ʻOi aku ka maikaʻi o nā scan iwi i ka ʻike ʻana i nā hana iwi ikaika e like me nā haʻihaʻi, nā maʻi, a i ʻole ka laha ʻana o ka maʻi maʻi. Inā manaʻo kāu kauka i ka osteoporosis, e ʻōlelo lākou i kahi scan DEXA ma kahi, e ana pono ana i ka paʻa mineral iwi.

Q2: ʻO ke ʻano o ka scan iwi maʻamau ke ʻano mau o ka maʻi maʻi?

ʻAʻole, ʻaʻole ke ʻano o ka scan iwi maʻamau ke ʻano mau o ka maʻi maʻi. Nui nā kūlana maikaʻi e hiki ke hana i nā hopena maʻamau, me ka arthritis, nā haʻihaʻi, nā maʻi, a i ʻole nā hana hoʻōla maʻamau.

Hiki i nā wahi wela ma nā scan iwi ke hōʻike i nā kūlana like ʻole e like me nā haʻihaʻi koʻikoʻi, nā maʻi iwi, a i ʻole nā wahi o ka hoʻololi iwi nui. E noʻonoʻo kāu kauka i kāu mau hōʻailona, ​​ka mōʻaukala olakino, a me nā hopena hoʻāʻo ʻē aʻe e hoʻoholo ai i ke kumu o ka maʻamau.

Q3: Pehea ka lōʻihi o ka noho ʻana o ka mea hoʻopaʻa radioactive i loko o koʻu kino?

He pōkole ka hapalua o ke ola o ka mea hoʻopaʻa radioactive i hoʻohana ʻia i nā scan iwi a haʻalele i kou kino maoli i loko o 2-3 mau lā. Ua hoʻopau ʻia ka hapa nui o ia mea ma o kou mimi i loko o nā hola 24 mua.

Hiki iā ʻoe ke kōkua i ka wikiwiki ʻana i ke kaʻina hana hoʻopau ʻana ma ka inu ʻana i ka wai nui a me ka mimi pinepine ʻana ma hope o ka hoʻāʻo. He liʻiliʻi ka ʻike ʻana i ka radiation a ua manaʻo ʻia he palekana no nā kumu diagnostic.

Nīnau 4: Hiki iaʻu ke loaʻa i ka nānā ʻana i ka iwi inā hāpai au?

ʻAʻole maʻamau ka ʻōlelo ʻia ʻana o nā nānā ʻana i ka iwi i ka wā hāpai ma muli o ka ʻike ʻana i ka radiation i ka pēpē e ulu nei. Inā hāpai ʻoe a i ʻole manaʻo paha ʻoe e hāpai ana, e haʻi i kāu kauka ma mua o ke kaʻina hana.

I nā kūlana pilikia kahi e pono loa ai ka nānā ʻana i ka iwi, e ana kāu kauka i nā pōmaikaʻi e kūʻē i nā pilikia. Eia naʻe, ʻoi aku ka makemake o nā ʻano hana kiʻi ʻē aʻe i ka wā hāpai.

Nīnau 5: E lilo anei au i radioactive ma hope o ka nānā ʻana i ka iwi?

E loaʻa iā ʻoe kahi mea radioactive liʻiliʻi i loko o kou kino ma hope o ka nānā ʻana, akā he haʻahaʻa loa nā pae a ʻaʻole pilikia i nā poʻe ʻē aʻe. E emi koke ana ka radioactivity a ua hala loa i loko o 24-48 mau hola.

ʻAʻole pono ʻoe e pale i ka pilina me nā lālā o ka ʻohana a i ʻole nā holoholona ma hope o ka hoʻokolohua. Eia naʻe, ʻōlelo kekahi mau keʻena lapaʻau e kaupalena i ka pilina pili me nā wahine hāpai a me nā keiki liʻiliʻi no nā hola mua ma ke ʻano he mālama.