Yini i-Bone Scan? Inhloso, Inqubo & Imiphumela

I-bone scan iwukuhlolwa kwesithombe senuzi okusiza odokotela ukuthi babone ukuthi amathambo akho asebenza kahle kangakanani emzimbeni wakho wonke. Isebenzisa inani elincane lezinto ezinomsakazo ukudala izithombe ezinemininingwane yozime lwakho, okubonisa izindawo lapho amathambo akho azakhela khona kabusha noma lapho izinkinga zingase zikhona.

Cabanga ngayo njengekhamera ekhethekile engabheka ngaphakathi emathanjeni akho ukuze ihlole impilo yawo. Ngokungafani nama-X-ray avamile abonisa kuphela isakhiwo samathambo, i-bone scan yembula umsebenzi wamathambo kanye nokucutshungulwa komzimba. Lokhu kuyenza ibe wusizo olukhulu ekutholeni izinkinga ezingase zingaveli kwezinye izivivinyo.

Yini i-bone scan?

I-bone scan iwukuhlolwa kwemithi yenuzi ephephile elandela ukuthi amathambo akho amunca kanjani i-tracer enomsakazo. I-tracer iyinani elincane lezinto ezinomsakazo ezifakwa egazini lakho futhi zihambe ziye emathanjeni akho.

Amathambo akho ngokwemvelo amunca le tracer, futhi izindawo ezinomsebenzi wamathambo owandisiwe zizomunca okwengeziwe. Ikhamera ekhethekile ibe isithatha izithombe lapho i-tracer iqoqwe khona, idala imephu yempilo yamathambo akho. Inqubo yonke ayinabuhlungu futhi ukuchayeka emisebeni kuncane.

Lolu vivinyo lubizwa nangokuthi i-bone scintigraphy noma i-skeletal scintigraphy. Lihluke kwezinye izivivinyo zamathambo ngoba libonisa ukuthi amathambo akho asebenza kanjani kunokuthi avele abukeke kanjani.

Kungani kwenziwa i-bone scan?

Odokotela bancoma ama-bone scan ukuthi baphenye ubuhlungu bamathambo obungachazeki, bathole ukusabalala komdlavuza emathanjeni, noma baqaphe izifo zamathambo. Ingenye yezivivinyo ezizwelayo kakhulu zokuthola izinkinga emzimbeni wakho wonke ngesikhathi esisodwa.

Udokotela wakho angase asikisele lolu vivinyo uma unobuhlungu bamathambo obuqhubekayo obungenayo imbangela ecacile. Ingaveza ukuqhekeka kokucindezeleka, izifo, noma ezinye izinkinga ezingase zingabonakali kuma-X-ray avamile. Lolu vivinyo luyasiza ikakhulukazi ngoba luhlola wonke umzimba wakho eseshini eyodwa.

Nazi izizathu eziyinhloko odokotela abahlela ngazo ama-bone scan:

• Ukuthola umdlavuza osabalale emathanjeni (i-bone metastases)
• Ukuthola ukuqhekeka okufihliwe, ikakhulukazi ukuqhekeka ngenxa yokucindezeleka
• Ukuxilonga izifo zamathambo (i-osteomyelitis)
• Ukuqapha ukuqhubeka kwe-arthritis
• Ukuhlola ubuhlungu bamathambo obungachazeki
• Ukuhlola izifo zamathambo ezinjenge-Paget's disease
• Ukuhlola ukuphola kwamathambo ngemva kokuhlinzwa noma ukulimala

Lolu vivinyo lubaluleke kakhulu ezigulini ezinomdlavuza ngoba lungathola ukuhileleka kwamathambo ngaphambi kokuba izimpawu zivele. Ukutholwa kwasekuqaleni kuvame ukuholela emiphumeleni engcono yokwelashwa.

Yini inqubo ye-bone scan?

Inqubo ye-bone scan yenzeka ezigabeni ezimbili eziyinhloko ezihlukaniswe amahora amaningana. Okokuqala, uzothola umjovo we-radioactive tracer, bese uzolinda ngenkathi ihamba emzimbeni wakho iye emathanjeni akho.

Ingxenye yokuskena yangempela ikhululekile futhi idinga ukuthi ulale unganyakazi etafuleni ngenkathi ikhamera enkulu izungeza umzimba wakho. Inqubo yonke ngokuvamile ithatha amahora angu-3-4, kodwa isikhathi esiningi salokho silindela ukuthi i-tracer imuncwe.

Nakhu okwenzekayo ngesikhathi se-bone scan yakho:

1. Uzothola umjovo omncane we-radioactive tracer emthanjeni engalweni yakho
2. Uzolinda amahora angu-2-3 ukuze i-tracer ihambe ngegazi lakho iye emathanjeni akho
3. Uzocelwa ukuthi uphuze amanzi amaningi ngesikhathi sokulinda
4. Uzokhipha umchamo wakho ngaphambi nje kokuthi ukuskena kuqale
5. Uzolala etafuleni lokuskena ngenkathi ikhamera ithatha izithombe
6. Inqubo yokuskena ithatha imizuzu engu-30-60
7. Kungase kudingeke ushintshe izikhundla ngesikhathi sokuskena ukuze uthole imibono ehlukene

Umjovo uzizwa njenganoma yisiphi isibhamu esivamile, futhi ukuskena ngokwako akunabuhlungu nhlobo. Kuzodingeka uhlale unganyakazi ngesikhathi sokuthwebula izithombe ukuze uthole izithombe ezicacile.

Ungalungiselela kanjani i-bone scan yakho?

Ukulungiselela ukuskena kwamathambo kulula futhi kudinga izinguquko ezincane emsebenzini wakho wansuku zonke. Ungadla ngokujwayelekile futhi uthathe imithi yakho ejwayelekile ngaphandle uma udokotela wakho ekutshela ngokuqondile ngenye indlela.

Ukulungiselela okuyinhloko kuhilela ukuhlala unamanzi kahle futhi ususa izinto zensimbi ngaphambi kokuskena. Udokotela wakho uzokunikeza imiyalelo ethile ngokusekelwe esimweni sakho, kodwa abantu abaningi bangagcina imisebenzi yabo ejwayelekile.

Nansi indlela yokulungiselela ukuskena kwamathambo akho:

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• Qhubeka udla futhi uphuze ngokujwayelekile ngaphambi kokuhlolwa
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• Thatha imithi yakho ejwayelekile ngaphandle uma utshelwe ngenye indlela
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• Gqoka izingubo ezikhululekile, ezikhululekile
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• Susa ubucwebe, amawashi, nezinto zensimbi
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• Tshela udokotela wakho uma ukhulelwe noma uncelisa
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• Tshela udokotela wakho ngezifundo zakamuva ze-barium noma izivivinyo zomuthi we-nuclear
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• Hlela ukuqokwa kwamahora angu-3-4
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Uma unesifo se-claustrophobic, yazisa udokotela wakho ngaphambili. Imishini yokuskena ivulekile, ngakho abantu abaningi bazizwa bekhululekile, kodwa ithimba lakho lezokwelapha lingasiza uma unokukhathazeka.

Ungawafunda kanjani imiphumela yakho yokuskena kwamathambo?

Imiphumela yokuskena kwamathambo ibonisa izindawo zokuthatha i-tracer eyengeziwe noma encishisiwe, evela njengezindawo

• Imiphumela ejwayelekile: Ukusatshalaliswa okulinganayo kwe-tracer kuwo wonke amathambo akho
• Izindawo ezishisayo: Izindawo ezinomsebenzi wamathambo owandisiwe (kungase kubonise ukuphola, ukutheleleka, noma umdlavuza)
• Izindawo ezipholile: Izindawo ezinomsebenzi wamathambo owehlisiwe (kungase kusikisela ukuhlinzekwa kwegazi okunganele)
• Ukuthathwa okugxilile: I-tracer egxilile ezindaweni ezithile
• Ukuthathwa okusabalalisiwe: Umsebenzi owandisiwe osabalale kabanzi

Udokotela wakho uzochaza ukuthi imiphumela yakho ethile isho ukuthini nokuthi ngabe udinga ezinye izivivinyo. Khumbula ukuthi imiphumela engajwayelekile ayisho ngokuzenzakalelayo ukuthi kukhona okungathi sína - ivele ikhomba izindawo ezidinga ukuhlolwa okuseduze.

Uyini umphumela omuhle kakhulu wokuhlolwa kwamathambo?

Umphumela omuhle kakhulu wokuhlolwa kwamathambo ubonisa ukusatshalaliswa okujwayelekile, okulinganayo kwe-tracer enomsakazo kuwo wonke amathambo akho. Lokhu kubonisa ukuthi amathambo akho anempilo futhi asebenza kahle ngaphandle kwezindawo zomsebenzi owedlulele noma umonakalo.

Ukuhlolwa okujwayelekile kusho ukuthi amathambo akho amunca i-tracer emazingeni alindelekile, okusikisela i-metabolism yamathambo enhle nokugeleza kwegazi. Ngeke ubone noma yiziphi izindawo ezishisayo noma izindawo ezipholile ezingase zibonise izinkinga.

Nokho, kubalulekile ukuqonda ukuthi ukuhlolwa kwamathambo kuyizivivinyo ezizwelayo kakhulu. Ngezikhathi ezithile zingathola izinqubo ezijwayelekile njengokuphola noma izinguquko ezihlobene nobudala ezingakhathazi kodwa ezingase zivele njengokungajwayelekile okuncane.

Yiziphi izici eziyingozi zokuhlolwa kwamathambo okungajwayelekile?

Izici eziningana zingakhuphula amathuba akho okuba nokuhlolwa kwamathambo okungajwayelekile. Ubudala buyisici esibalulekile, njengoba abadala bangase babe namathambo ashintshayo ngenxa yokuguga noma izimo ezingaphansi.

Umlando wakho wezokwelapha udlala indima ebalulekile ekunqumeni ingozi yakho. Abantu abanomdlavuza othile, izifo zamathambo, noma ukulimala kwangaphambilini maningi amathuba okuba nemiphumela engajwayelekile.

Izici eziyingozi ezivamile zokuhlolwa kwamathambo okungajwayelekile zihlanganisa:

• Umlando womdlavuza, ikakhulukazi umdlavuza wamabele, wendlala yesinye, wamaphaphu, noma womdlavuza wezinso
• Ukuphuka kwamathambo noma ukulimala kwangaphambilini
• Ubuhlungu obungapheli bamathambo noma amalunga
• Iminyaka engaphezu kwengama-50
• Umlando womndeni wezifo zamathambo
• Imithi ethile ethinta impilo yamathambo
• Izifo zamathambo ze-metabolic
• Ukuhlinzwa kwamathambo noma izinqubo zakamuva

Ukuba nalezi zici eziyingozi akusho ukuthi nakanjani uzoba nokuskena okungajwayelekile, kodwa udokotela wakho uzozicabangela lapho echaza imiphumela yakho.

Ziyini izinkinga ezingaba khona zokuskena kwamathambo?

Ukuskena kwamathambo kuyizinqubo eziphephile kakhulu ezinzima ezimbalwa kakhulu. Inani lemisebe oyitholayo lincane futhi lifana nezinye izivivinyo zokuthwebula izithombe zezokwelapha njengokuskena kwe-CT.

I-tracer enomsakazo isuka emzimbeni wakho ngokwemvelo ngomchamo wakho ezinsukwini ezimbalwa. Abantu abaningi ababi naziphumela ezivela kule nqubo.

Izinkinga ezingavamile ezingaba khona zihlanganisa:

• Ukuphendula komzimba ku-tracer (okungavamile kakhulu)
• Ukulimaza okuncane noma ubuhlungu endaweni yokujova
• Ingozi encane kakhulu evela ekuchayekeni emisebeni
• Ukunethezeka ekuqambeni ngesikhathi sokuskena

Ukwambulwa emisebeni evela ekuskeneni kwamathambo kuncane futhi kubhekwa njengokuphephile kubantu abaningi. Umzimba wakho uqeda i-tracer ngokushesha, futhi ngeke ube nomsakazo ngokwanele ukuthinta abanye abakuzungezile.

Kufanele ngibone nini udokotela ngemiphumela yokuskena kwamathambo?

Kufanele ulandele udokotela wakho njengoba kuhlelelwe ukuxoxa ngemiphumela yakho yokuskena kwamathambo, kungakhathaliseki ukuthi ijwayelekile noma ayijwayelekile. Udokotela wakho uzokuchazela ukuthi okutholakele kusho ukuthini ngesimo sakho esithile.

Uma imiphumela yakho ikhombisa ukungajwayelekile, ungesabi. Okutholakele okuningi okungajwayelekile kudinga ezinye izivivinyo ukunquma ukubaluleka kwazo. Udokotela wakho uzokuqondisa ngezinyathelo ezilandelayo, ezingase zihlanganise izithombe ezinemininingwane eyengeziwe noma izivivinyo zegazi.

Xhumana nodokotela wakho ngokushesha uma uhlangabezana:

• Ubuhlungu obukhulu noma obuqhubukayo emathanjeni ngemva kokuskena
• Izimpawu zokutheleleka endaweni yokujova
• Izimpawu ezingavamile ezikukhathazayo
• Imibuzo mayelana nemiphumela yakho noma ukunakekelwa okulandelayo

Khumbula ukuthi ukuskena kwamathambo kuyizindlela zokuxilonga ezisiza odokotela ukuthi benze izinqumo ezinolwazi mayelana nokunakekelwa kwakho. Ukwenza lolu vivinyo kuyisinyathelo esihle sokuqonda nokugcina impilo yamathambo akho.

Imibuzo evame ukubuzwa mayelana nokuskena kwamathambo

Q1: Ingabe ukuhlolwa kokuskena kwamathambo kulungile ekutholeni i-osteoporosis?

Ukuskena kwamathambo akuyona indlela engcono kakhulu yokuxilonga i-osteoporosis. Ngenkathi bengakhombisa izinguquko ezithile emathanjeni, ukuskena kwe-DEXA (i-dual-energy X-ray absorptiometry) kuyindlela ejwayelekile yokukala ukuminyana kwamathambo nokuxilonga i-osteoporosis.

Ukuskena kwamathambo kungcono ekutholeni izinqubo zamathambo ezisebenzayo njengokuqhekeka, ukutheleleka, noma ukusabalala komdlavuza. Uma udokotela wakho esola i-osteoporosis, cishe bazokuncoma ukuskena kwe-DEXA esikhundleni salokho, okukala ngokuqondile ukuminyana kwamaminerali amathambo.

Q2: Ingabe ukuskena kwamathambo okungavamile ngaso sonke isikhathi kusho umdlavuza?

Cha, ukuskena kwamathambo okungavamile akusho ngaso sonke isikhathi umdlavuza. Izimo eziningi ezingenasici zingabangela imiphumela engavamile, okuhlanganisa i-arthritis, ukuqhekeka, ukutheleleka, noma izinqubo ezijwayelekile zokuphulukisa.

Izindawo ezishisayo ekuskeneni kwamathambo zingabonisa izimo ezihlukahlukene njengokuqhekeka kokucindezeleka, ukutheleleka kwamathambo, noma izindawo zokwanda kokuguqulwa kwamathambo. Udokotela wakho uzocabangela izimpawu zakho, umlando wezokwelapha, neminye imiphumela yokuhlolwa ukuze anqume ukuthi yini ebangela ukungavamile.

Q3: Kuthatha isikhathi esingakanani ukuthi i-tracer enomsakazo ihlale emzimbeni wami?

I-tracer enomsakazo esetshenziswa ekuskeneni kwamathambo inesigamu sokuphila esifushane futhi isuka emzimbeni wakho ngokwemvelo phakathi kwezinsuku ezi-2-3. Okuningi kwayo kuqedwa ngomchamo wakho emahoreni okuqala angama-24.

Ungasiza ukusheshisa inqubo yokuqeda ngokuphuza amanzi amaningi nokuchama njalo ngemva kokuhlolwa. Ukuvezwa ngemisebe kuncane futhi kubhekwa njengokuphephile ngezinhloso zokuxilonga.

Umbuzo 4: Ngingathola yini ukuskena kwamathambo uma ngikhulelwe?

Ukuskena kwamathambo ngokuvamile akukhuthazwa ngesikhathi sokukhulelwa ngenxa yokuchayeka emisebeni kumntwana osakhulayo. Uma ukhulelwe noma ucabanga ukuthi ungase ukhulelwe, tshela udokotela wakho ngaphambi kwenqubo.

Ezimweni eziphuthumayo lapho ukuskena kwamathambo kudingeka ngempela, udokotela wakho uzoqhathanisa izinzuzo nezingozi. Kodwa-ke, izindlela zokuthwebula ezinye zivame ukukhethwa ngesikhathi sokukhulelwa.

Umbuzo 5: Ngizoba nomoya oyingozi ngemva kokuskena kwamathambo?

Uzoba nenani elincane lezinto ezinomoya oyingozi emzimbeni wakho ngemva kokuskena, kodwa amazinga aphansi kakhulu futhi awanangozi kwabanye. Umoya oyingozi uyancipha ngokushesha futhi usuke unyamalele cishe phakathi kwamahora angu-24-48.

Akudingeki ukuthi ugweme ukuxhumana namalungu omndeni noma izilwane ezifuywayo ngemva kokuhlolwa. Kodwa-ke, ezinye izikhungo zezokwelapha zincoma ukunciphisa ukuxhumana okuseduze nabesifazane abakhulelwe kanye nezingane ezincane amahora ambalwa okuqala njengesinyathelo sokuzivikela.