Kujambula mafupa

Kuyeza kwa mafupa ndi mayeso ojambula omwe amagwiritsidwa ntchito pozindikira matenda am'mafupa ndikupeza momwe aliri olimba.

Kujambula fupa kumaphatikizira kulowetsa tizinthu tating'onoting'ono tating'onoting'ono (radiotracer) mumtsempha. Katunduyu amayenda m'magazi anu kupita m'mafupa ndi ziwalo. Pamene ikutha, imapereka ma radiation pang'ono. Minyewa imeneyi imadziwika ndi kamera yomwe imayang'ana pang'onopang'ono thupi lanu. Kamera imatenga zithunzi za kuchuluka kwa ma radiotracer omwe amasonkhanitsa m'mafupa.

Ngati kuwunika kwa mafupa kumachitika kuti muwone ngati muli ndi kachilombo ka mafupa, zithunzithunzi zimatha kujambulidwa atangobayidwa ndi radioactive ndipo kenaka patatha maola 3 kapena 4, itasonkhanitsidwa m'mafupa. Izi zimatchedwa gawo lachitatu la fupa.

Kuti muwone ngati khansa yafalikira mpaka fupa (metastatic bone disease), zithunzi zimatengedwa pokhapokha kuchedwa kwa maola 3 mpaka 4.

Gawo loyesa mayeso limatha pafupifupi ola limodzi. Kamera ya scanner ikhoza kuyenda pamwamba ndikukuzungulira. Mungafunike kusintha maudindo.

Mwina mudzafunsidwa kuti mumwe madzi owonjezera mukalandira radiotracer kuti zinthuzo zisatengere m'chikhodzodzo chanu.

Muyenera kuchotsa zodzikongoletsera ndi zinthu zina zachitsulo. Mutha kupemphedwa kuvala chovala chaku chipatala.

Uzani wothandizira zaumoyo wanu ngati muli ndi pakati kapena mungakhale ndi pakati.

Musamamwe mankhwala aliwonse ndi bismuth mmenemo, monga Pepto-Bismol, masiku anayi musanayezedwe.

Tsatirani malangizo aliwonse omwe mwapatsidwa.

Kumva kuwawa kumakhala pang'ono pokha singano ikalowetsedwa. Pakusanthula, palibe kupweteka. Muyenera kukhalabe chete pakuwunika. Katswiriyu angakuuzeni nthawi yomwe mungasinthire maudindo.

Mutha kukhala ndi vuto lina chifukwa chogona nthawi yayitali.

Kujambula fupa kumagwiritsidwa ntchito:

• Dziwani chotupa kapena khansa.
• Dziwani ngati khansara yomwe idayamba kwina mthupi lanu yafalikira mpaka mafupa. Khansa yomwe imafalikira m'mafupa imaphatikizapo mawere, mapapo, prostate, chithokomiro, ndi impso.
• Dziwani zophulika, pomwe sizingawonekere pa x-ray yanthawi zonse (nthawi zambiri mafupa am'chiuno, mafupa opsinjika m'mapazi kapena miyendo, kapena mafupa a msana).
• Dziwani za matenda am'mafupa (osteomyelitis).
• Dziwani kapena kudziwa chomwe chimayambitsa kupweteka kwa mafupa, pomwe palibe chifukwa china chazindikiritsidwa.
• Ganizirani zovuta zamagetsi, monga osteomalacia, hyperparathyroidism, kufooka kwa mafupa, zovuta zam'madera, komanso Paget matenda.

Zotsatira zoyeserera zimawonedwa ngati zabwinobwino ngati radiotracer ilipo mofanana m'mafupa onse.

Kujambula kosazolowereka kudzawonetsa "malo otentha" ndi / kapena "malo ozizira" poyerekeza ndi fupa lozungulira. Malo otentha ndi madera omwe mumakhala zinthu zambiri zowulutsa ma radio. Malo ozizira ndi madera omwe sanatengepo zambiri poyerekeza ndi ma radioactive.

Zotsatira zowunikira mafupa ziyenera kufananizidwa ndi maphunziro ena azithunzi, kuphatikiza pazidziwitso zamankhwala. Wothandizira anu adzakambirana nanu chilichonse chachilendo.

Ngati muli ndi pakati kapena mukuyamwitsa, mayesowo akhoza kusinthidwa kuti muteteze mwana ku radiation. Ngati mukuyenera kuyesedwa mukamayamwitsa, muyenera kupopera ndi kutaya mkaka wa m'mawere masiku awiri otsatira.

Kuchuluka kwa cheza cholowa mumtsinje wanu ndikochepa kwambiri. Ma radiation onse achoka m'thupi mkati mwa masiku awiri kapena atatu. Radiotracer yomwe imagwiritsidwa ntchito imakuwonetsani ku radiation yaying'ono kwambiri. Zowopsa mwina sizabwino kuposa ma x-ray wamba.

Zowopsa zokhudzana ndi mafupa a radiotracer ndizochepa, koma zimatha kuphatikiza:

• Anaphylaxis (yankho lalikulu)
• Kutupa
• Kutupa

Pali chiopsezo chochepa chotenga kachilombo kapena kutuluka magazi pamene singano imayikidwa mumtsempha.

Zojambulajambula - fupa

• Sakani nyukiliya

Chernecky CC, Berger BJ. Kujambula mafupa (scintigraphy bone) - kuzindikira. Mu: Chernecky CC, Berger BJ, olemba., Eds. Kuyesa Kwantchito ndi Njira Zakuzindikira. Lachisanu ndi chimodzi. St Louis, MO: Elsevier Saunders; 2013: 246-247.

Kapoor G, Toms AP. Mkhalidwe wapano wazithunzi zam'mafupa. Mu: Adam A, Dixon AK, Gillard JH, Schaefer-Prokop CM, olemba. Grainger & Allison's Diagnostic Radiology: Buku Lophunzirira Kujambula Kwazachipatala. Wachisanu ndi chiwiri. Philadelphia, PA: Elsevier; 2021: chaputala 38.

Ribbens C, Namur G. Bone scintigraphy ndi positron emission tomography. Mu: Hochberg MC, Gravallese EM, Silman AJ, Smolen JS, Weinblatt ME, Weisman MH, olemba. Zamatsenga. Wachisanu ndi chiwiri. Philadelphia, PA: Elsevier; 2019: mutu 49.