ʻImi iwi

ʻO kahi scan iwi kahi hōʻike kiʻi i hoʻohana ʻia e ʻike pono ai i nā maʻi iwi a ʻike i ko lākou koʻikoʻi.

Hoʻopili kahi scan iwi i ka hoʻokomo ʻana i kahi mea liʻiliʻi o nā mea radioactive (radiotracer) i kahi aa. Hele ka mea ma o kou koko i nā iwi a me nā lālā. Ke pau nei ia, hāʻawi ia i kahi radiation. ʻIke ʻia kēia pāhawewe e kahi kāmela e nānā lohi i kou kino. Lawe ka pahu paʻi kiʻi i nā kiʻi o ka nui o ka radiotracer e hōʻiliʻili ai i nā iwi.

Inā hana ʻia kahi scan iwi e ʻike inā loaʻa ʻoe i ka maʻi iwi, hiki ke kiʻi ʻia nā kiʻi ma hope koke iho o ka hōʻino ʻia ʻana o ka mea radioactive a he 3 a 4 mau hola paha ma hope, ke ʻohiʻohi ʻia i nā iwi. Kapa ʻia kēia kaʻina hana he scan-iwi 3-pae.

No ka loiloi inā ua pālahalaha ka maʻi ʻaʻai i ka iwi (metastatic iwi maʻi), kiʻi wale ʻia nā kiʻi ma hope o ka hoʻopanee ʻana o ka 3 a 4 mau hola.

E mau ana ka ʻāpana scanning o ka hoʻāʻo ma kahi o 1 hola. Hiki ke neʻe ke kāmela o ka scanner ma luna a puni iā ​​ʻoe. Pono paha ʻoe e hoʻololi i nā kūlana.

E noi paha ʻoe e inu i ka wai keu ma hope o ka loaʻa ʻana o ka radiotracer e mālama i nā mea mai ka hōʻiliʻili ʻana i kāu pale.

Pono ʻoe e hemo i nā mea hoʻonaninani a me nā mea hao ʻē aʻe. Nonoi ʻia ʻoe e ʻaʻahu i ke kapa komo i ka haukapila.

E haʻi i kāu mea mālama ola inā hāpai a hāpai paha ʻoe.

Mai lawe i kahi lāʻau me ka bismuth i loko, e like me Pepto-Bismol, no 4 mau lā ma mua o ka hoʻāʻo.

E hāhai i nā ʻōkuhi ʻē aʻe i hāʻawi ʻia iā ʻoe.

Aia kahi liʻiliʻi o ka ʻeha ke hoʻokomo ʻia ka nila. I ka wā o ka scan, ʻaʻohe ʻeha. Pono ʻoe e noho mālie i ka nānā ʻana. E haʻi ka ʻenehana iā ʻoe i ka manawa e hoʻololi ai i nā kūlana.

Hiki paha iā ʻoe ke ʻike i kahi hōʻoluʻolu ma muli o ka moe ʻana no kekahi manawa lōʻihi.

Hoʻohana ʻia kahi scan iwi i:

• ʻIʻike i kahi tumo iwi a i ʻole kanesa.
• E hoʻoholo inā ua hele a maʻi ka maʻi ʻaʻai i hoʻomaka ma kahi ʻē o kou kino i nā iwi. ʻO nā maʻi ʻino maʻamau i hohola i nā iwi me ka umauma, ka māmā, ka prostate, ka thyroid, a me ka puʻupaʻa.
• Kuhi i kahi haʻihaʻi, ke hiki ʻole ke ʻike ʻia ma kahi x-ray maʻamau (ʻo ka hapanui o nā haki pinepine, nā haʻihaʻi koʻikoʻi i nā wāwae a i ʻole nā ​​wāwae, a i ʻole nā ​​haki iwi kuamoʻo).
• Kuhi i kahi maʻi iwi (osteomyelitis).
• Kuhi a hoʻoholo paha i ke kumu o ka ʻeha o ka iwi, ke ʻike ʻole ʻia kekahi kumu ʻē aʻe.
• Loiloi i nā maʻi metabolic, e like me osteomalacia, hyperparathyroidism mua, osteoporosis, maʻi ʻehaʻeha kūpanaha paʻakikī, a me nā maʻi Paget.

Manaʻo ʻia nā hopena hōʻike inā maʻamau ka radiotracer ma nā iwi āpau.

E hōʻike ana kahi scan neʻe hewa ʻia i nā "wahi wela" a me / a i ʻole "nā kiko anuanu" i ka hoʻohālikelike ʻia me ka iwi pili. ʻO nā wahi wela nā wahi i hoʻonui ʻia ka hōʻiliʻili o nā mea radioactive. ʻO nā kiko anuanu nā wahi i lawe i ka mea liʻiliʻi o ka mea radioactive.

Pono e hoʻohālikelike ʻia nā ʻike loiloi iwi me nā ʻike kiʻi ʻē aʻe, i ka hoʻohui ʻia o ka ʻike maʻi. E kūkākūkā kāu mea hāʻawi i nā hopena kūlike ʻole me ʻoe.

Inā hāpai ʻoe a hānai paha, e hoʻopaneʻe ʻia paha ka hoʻokolohua e pale ai i ka hōʻike ʻana i ka pēpē i ka radiation. Inā pono ʻoe e hōʻoia i ka hānai ʻana, pono ʻoe e pauma a hoʻolei i ka waiū o ka waiū no nā lā ʻelua e hiki mai ana.

ʻO ka nui o ka radiation i hoʻopili ʻia i loko o kou aa he mea liʻiliʻi loa ia. Pau ka pāhawewe i ke kino ma waena o 2 a 3 mau lā. ʻO ka radiotracer e hoʻohana ʻia e hōʻike iā ʻoe i kahi liʻiliʻi loa o ka pāhawewe. ʻAʻole paha iʻoi aku ka nui o ka makaʻi ma mua o nā x-ray maʻamau.

Kākaʻikahi nā pilikia e pili ana i ka radiotracer iwi, akā hiki ke hoʻopili ʻia:

• Anaphylaxis (pane maʻi ʻaʻai nui)
• Rash
• ʻŌhū

Aia kekahi pilikia iki o ka maʻi a i ʻole ke kahe ʻana ke hoʻokomo ʻia ka nila i loko o kahi aa.

Scintigraphy - iwi

• Nukelea scan NineManga.com

Chernecky CC, Berger BJ. ʻImi iwi (iwi scintigraphy) - diagnostic. I: Chernecky CC, Berger BJ, hua. Nā Hoʻokolohua Laboratory a me nā kaʻina hana Diagnostic. ʻElua huaʻōlelo St Louis, MO: Elsevier Saunders; 2013: 246-247.

Kapoor G, Toms AP. Ke kūlana o kēia manawa o ke kiʻi ʻana o ka ʻōnaehana musculoskeletal. I: Adam A, Dixon AK, Gillard JH, Schaefer-Prokop CM, eds. ʻO Grainger & Allison's Diagnostic Radiology: He puke aʻo ʻike kiʻi. ʻEpekema 7 Piladelapia, PA: Elsevier; 2021: chap 38.

Ribbens C, Namur G. Bone scintigraphy a me ka positron emission tomography. I: Hochberg MC, Gravallese EM, Silman AJ, Smolen JS, Weinblatt ME, Weisman MH, eds. Rheumatology. ʻEpekema 7 Piladelapia, PA: Elsevier; 2019: chap 49.