Bhutu Rinoongorora Kuwana Metastases NeKenza
Chii chinonzi bone yekenza yekenza? Ndeipi nguva iyi ingaedzwa? Iyo inofananidzwa sei nedzimwe mimwe miedzo yemafupa emagetsi akaita sePET scan? Uye chii chinoitika kana scan yako isingaiti?
Tsanangudzo: Kuongorora Nechirwere cheKenza
Pfupa scan for cancer ndiyo nuclear nuclear test iyo inotarisa kusagadzikana mune pfupa. Chimwe chiitiko chisina kujairika chepfupa rinogona kushandiswa ku:
- Tsvaga kuvapo kwechirwere mumapfupa, zvose zvepakutanga mapfupa emukenza uye kenza metastatic kumapfupa
- Tsvaga fractures mufupa: Mune zvimwe zviitiko, zvakadai sekunetseka kwepfungwa kana kusagadzikana kwemafupa, x-ray yakarurama haisi kuratidza kuputsika (kana kuti haingazoratidzi kuputsika kwevhiki dzinoverengeka) uye kupona kweropa kunodiwa
- Tsvaga mafupa ezvirwere zvakadai saPaget's disease of bone
- Kutarisa kusunungura mushure mekuvhiyiwa kwekuputira
- Tsvaga mapfupa emapfupa: Chirwere chepfupa chinonzi osteomyelitis
Zvikonzero zvokuita Bone Scan
Kana chiremba wako akakurudzira kupona kwepafupa, bvunza chaizvo zvaari kutsvaga uye kuti nei ari kuronga muedzo. Zvimwe zvezvikonzero zvinoita kuti pfupa ringave rakaitwa (zvose zvinokonzerwa nekenza uye zvirwere zvinosuruvarisa) zvinosanganisira:
- Kuongorora marwadzo pamigumo yako, nenyundo, kana musana
- Kuongorora kuputsika kusingatarisirwi - Kana pfupa risina simba nekuvapo kwekenza, kana kenza yepfupa yemapfupa, kana kenza yemasitasasa kune pfupa, izvi zvinotumidzwa sechirwere chechipatara
- Kuti uongorore kusapisa kwekuongorora ropa: Somuenzaniso, kana wakawedzera marashiamu muropa rako ( hypercalcemia ) kana zvimwe zvakashata
- Kubatsira kutsvaga uye shato zvekenza zvinogona kukwira kumapfupa: Pfupa scan rinowanzoitwa mushure mekuongororwa kwekenza kutsvaga masetasti emapfupa. Kufambisa mumamiriro ezvinhu aya kunoda kuziva zvirwere zvakakodzera
Nzira
Munguva yechipfupa chepfupa, mutengesi wemagetsi (kazhinji Technetium 99m) inopindwa muvheti mukoko rwako uye inounganidza mune pfupa. Mushure menguva yenguva, kazhinji maawa matatu kusvika ku4, kuverenga kunenge kwaitwa.Izvinhu zvakasvibiswa zvakanyanyisa zvakakonzerwa mumapfupa zvinopa gamma rays inogona kutorwa nekamera yakakosha. Iko scan iwe pachako inotora nguva inenge awa yekupedzisa.
Mhinduro
A radiologist achazoongorora kuongorora kutarisa kusagadzikana.Svinga inogona kuva yakasununguka, kana kuti inogona kunge ine nzvimbo inotonhora kana inotonhora.
"Mahara akanaka" mumapfupa ndiyo nzvimbo dzinotora huwandu hwemhepo inotyisa. Izvi zvinogona kuratidza kuvapo kwekenza, utachiona (osteomyelitis), zvimwe zvirwere zvepfupa, kana arthritis.
"Mavara akaoma" inzvimbo mune pfupa inotora zvishoma pasi. Izvi zvinogona kuonekwa pamwe nedzimwe mhando dzekenza dzakadai sevamwe myeloma uye dzimwe zvirwere zvepfupa.
Migumisiro Yemugumo Inogona Kuitika yeBat Scan Scan
Kunyange zvazvo mishonga ye nyukireya uye inonzi radioactive inogona kutinhira inotyisa, iyo nzira yakachengeteka uye inosanganisira zvisinganzwisisiki zvishoma kunze kwetsono yehomwe yejojo.
Bone Scans vs PET Scans for Bone Metastases
Mubvunzo wakawanda kubva kune vanhu vane kenza zvinoshungurudza apo pfupa rekupona rinofanira kuitwa uye apo PET scan inofanira kuitwa.
Pane zvikonzero zvakasiyana-siyana zvokufungisisa uye zvakakosha kutaurirana nachiremba wako pamusoro pekufunga kwake sarudzo. Tora zviyero zvinodhura zvakanyanya kudarika PET inoongorora, kunyange zvazvo PET inoongorora dzimwe nguva inogona kupa ruzivo rwepamusoro uye inoona zvirwere zvisingagoni kuwanikwa pfupa scan chete.
Bone Metastases: Ndeipi Cancers Inopararira Kumakona?
Kanzera inowanzopararira kune pfupa inosanganisira kenza yemapapu , kenza yemazamu , kenza yekameti , kenza yeprotate , uye kenza yempfungwa . Kana zvirwere zvinopararira kumapfupa pane kazhinji kazhinji metastases.
Nzvimbo yeTat Metastases
Kanzura dzevanhu vakuru dzinowanzopararira kune "axial skeleton" zvinoreva mapfupa emumusana.
Inenge 90 muzana yemapfupa emasitasi inowanikwa mubatanidzwa we vertebrae, mapepa, dhehenya, gumbo rekumusoro (inonzi femur proximal) uye nechokumusoro (iyo inotyisa humerus.) Sezvambotaurwa, kazhinji kazhinji masitasita kufupa kana izvi zvinowanikwa, uye oga "nzvimbo" inoratidza kuti inogona kunge yakakonzerwa nechimwe chinhu.
Kanzira inogona kutanga kuonekwa nekuwana mapfupa emasasa asati kutanga kwekenza ichiwanikwa. Kana izvi zvikaitika, humwe huongorori hunodiwa kuti utarise kenza yekutanga . Dzimwe nguva nzvimbo yemasitasita inogona kutungamirira vanachiremba kuti vafungire kuti kenza yakatanga kupi. Semuenzaniso, mutanho wemapapu unenge wakaenzana pakuti unowanzopararira kumapfupa mumaoko nemakumbo.
Kurwisana neAsmalmal Bone Scan Results
Kunetseka kuti kenza yakapararira kumapfupa, kana kuziva kuti kenza yako yakapararira kumapfupa ako inogona kutyisa. Izvozvo zvinorevei zvino?
Nezvevaya vane kenza, mapfupa emapfupa anogona kuumba zvakanyanya kufungidzika , izwi rakagadzirirwa kurondedzera kushungurudzika kunowanzonzwa pavanenge vakamirira kuwanikwa. Kana iwe uchangobva kuongororwa, mhinduro yako yepafupa inogona kureva kuti kenza yako iri danho rechina; kuti yakapararira kumapfupa ako uye kuvhiyiwa hazvikwanisi. Kana iwe wave uchirarama nekenza, pfungwa dzako dzekutanga dzinogona kunge dziri, "Ndingaita sei zvakare kurarama nemishonga?"
Taura neshamwari nevanodiwa uye bvunza rubatsiro. Kana uine boka rekutsigira kenza kana sangano rekutsigira, svika kwavari. Kazhinji avo vave vachirarama nekenza ivo vanogona kunzwisisa zvakanyanya kunyanya kufunganya pamusoro pemagetsi ekutsvaga mapfupa. Heano mazano mashomanana ekubata nekutya kudzokorora kana kufambira mberi kwekenza yako.
Bvunza mibvunzo yakawanda uye taura neo oncologist yako. Ndeapi marapirwo aizokurudzira iye zvino? Pane here kliniki miedzo inenge yakakodzera iwe? Ramba uchiyeuka kuti kurapwa kwekenza-kunyange yakakonzera kenza-iri kuwedzera. Mitsva mitsva yemishonga yakadai seyakarongwa nemishonga uye immunotherapy dzimwe nguva inokwanisa kudzora kanzira dzaimbova dzakaoma zvikuru kubata.
Kurapa kweBetas Metastases
Kana iwe uine chirwere chetema metastases, unogona kurapwa nemishonga yakawanda yekenza yemasitini asi mishonga-mafupa inoshandiswa inowanikwawo. Mune zvimwe zviitiko, zvakadai sekenza yepazamu, kurapwa uku hakugone kuderedza marwadzo uye kuparara kwepasitema kubva kumafupa emapfupa asi kuwedzera mararamiro ehupenyu pamwe chete.
Dzidza zvakawanda pamusoro pemasitasase emapfupa nemukenza wemapapu uye masasisita emapfupa ane kenza yemazamu.
> Sources:
> Thomas, K., naM. Gould. Kuratidzwa kweAkutanga Kuongororwa, Kuongororwa, uye Kuronga Kwevarwere Vanopomerwa Mumuviri weLung Cancer. Kusvika pari zvino. Updated 04/05/17. http://www.uptodate.com/contents/overview-of-the-initial-evaluation-diagnosis-and-staging-of-patients-with-suspected-lung-cancer
> US National Library of Medicine. MedlinePlus. Bone Scan. Yashandurwa 08/16/17. https://medlineplus.gov/ency/article/003833.htm
Uyewo Anozivikanwa Se: Bone Scintigraphy
Mienzaniso: James akanga achirwadziwa mumutsipa mushure mokunge avhiyiwa nokuda kwekenza yemapapu ake, saka oncologist wake akarayira kuongorora pfupa kuti aone kana kenza yake yainge yapararira kumucheto.