Fufuzani Fupa Kuti Mupeze Metastases Ndi Khansa
Kodi chingwe cha fupa cha khansa n'chiyani? Kodi mayeserowa angakonzedwe liti? Zimayesedwa bwanji ndi mayesero ena a metastases monga fupa la PET? Ndipo chimachitika ndi chiyani ngati osakanizidwa ndi osalimba?
Tanthauzo: Kugwiritsira Ntchito kwa Khansa
Kufufuza kwa fupa kwa khansa ndi mankhwala a nyukiliya omwe amawoneka kuti ndi osowa mu fupa. Zotsatira zosazolowereka za fupa lamagetsi zingagwiritsidwe ntchito:
- Dziwani kupezeka kwa chotupa m'phfupa, khansa yapakhungu yoyamba ndi khansara ya mafupa
- Zindikirani fractures m'mfupa: Nthawi zina, monga kupweteka kwapopeni kapena kuperewera kwa mafupa, ma X-ray osamveka sangasonyeze kupasuka (kapena sangathe kuwulula kupuma kwa milungu ingapo) ndipo fufuzani fupa
- Pezani matenda a mafupa monga Paget's bone of bone
- Kufuna kumasulidwa pambuyo pa opaleshoni yotsatizidwa
- Zindikirani mafupa: Matenda a mafupa amatchedwa osteomyelitis
Zifukwa zopangira Fufuzani
Ngati dokotala wanu wakulimbikitsani kuwonetsa fupa, funsani zomwe akuyang'ana komanso chifukwa chake akukonza mayeso. Zina mwazifukwa zomwe fupa lamapiko likhoza kupangidwira (chifukwa cha khansa ndi chikhalidwe choipa) ndi monga:
- Kuti muyese kupweteka pamapeto anu, nthiti, kapena msana
- Kufufuza kupasuka kosayembekezereka - Pamene fupa lafooka chifukwa cha khansara, kaya khansara ya mfupa, kapena khansara ya metastases ku fupa, izi zimatchulidwa ngati kupweteka kwa matenda
- Kufufuza mayesero osapaka magazi: Mwachitsanzo, ngati muli ndi calcium yambiri mu magazi anu ( hypercalcemia ) kapena zina zolakwika
- Pofuna kuthandizira kupeza khansa yomwe ingapangitse mafupa: Katundu wa fupa amachitika kawirikawiri pambuyo pozindikira kuti khansara imayang'ana mitsempha ya mafupa. Kuyika pa malo awa ndikofunika kuti mudziwe mankhwala oyenera kwambiri
The Procedure
Pogwiritsa ntchito phokoso, fupa la radioactive (kawirikawiri Technetium 99m) limalowetsedwa mu mitsempha m'manja mwako ndipo limasonkhanitsa mumphongo. Patapita nthawi, kawirikawiri maola 3 kapena 4, sewero lachitidwa.Zomwe zimagwira ntchito m'mafupa zimapereka mazira a gamma omwe angatengeke ndi kamera yapadera. Kuwongolera kokha kumatenga pafupifupi ola limodzi kuti litsirize.
Zotsatira
Katswiri wa zamagetsi adzayang'ana kafukufukuyo akuyang'ana zosavuta.Thekoyi ikhoza kukhala yachibadwa, kapena ikhoza kukhala ndi malo otentha kapena ozizira.
"Mawanga otentha" mu fupa ndi malo omwe amatenga zambiri zamatsenga. Izi zikhoza kusonyeza kukhalapo kwa khansa, matenda (osteomyelitis), matenda ena a mafupa, kapena nyamakazi.
"Mawanga ozizira" ndi malo mu fupa lomwe limatenga ochepera. Izi zimawoneka ndi mitundu ina ya khansara monga matenda ambiri a myeloma ndi mafupa ena.
Zotsatira Zowonongeka Zogwiritsira Ntchito Thupi
Ngakhale kuti mankhwala a nyukiliya ndi radioactive angawopsyeze, njirayi ndi yotetezeka kwambiri ndipo imakhudza zovuta zina kusiyana ndi singano ya jekeseni ya jekeseni.
Bone Scans vs PET Scans for Bone Metastases
Funso lodziwika pakati pa anthu omwe ali ndi khansa ndizofunika kudziwa ngati pulogalamu ya fupa iyenera kuchitidwa komanso pamene PET imafunika kuyeza .
Pali zifukwa zingapo zomwe muyenera kuziganizira ndipo ndikofunikira kuti muyankhule ndi dokotala wanu chifukwa cha kulingalira kwake. Mafupa a mafupa ndi otsika mtengo kuposa momwe PET imawerengera, ngakhale kuti PET imawunika nthawi zina imapereka zambiri zowonjezera ndikupeza zitsulo zomwe sizikupezeka pang'onopang'ono.
Matenda a Matenda: Kodi Khansa Imene Imafalikira Ku Mitsinje?
Khansa yambiri yomwe imafalikira pfupa ndi khansa ya m'mapapo , kansa ya m'mawere , kansa ya kansa , kansa ya prostate , ndi khansa ya impso . Pamene khansa imafalikira ku mafupa nthawi zambiri amatha kusokonezeka.
Malo a Metastases a Bone
Mankhwala akuluakulu amayamba kufalikira ku "axial mafupa" omwe amatanthauza mafupa a msana.
Pafupifupi 90 peresenti ya mafupa a metastases amapezeka mumtundu wa vertebrae, pakhosi, chigaza, phazi lakumwamba (chiwerengero cha femur) komanso mkono wapamwamba (wotchuka humerus). Monga tanenera poyamba, nthawi zambiri pamakhala masastas ndi mafupa ambiri izi zimapezeka, ndipo "malo" okhawo amasonyeza kuti zikhoza kukhala chifukwa cha chinthu china.
Khansara ikhoza kuyamba kuzindikiridwa mwa kupeza mafupa amtundu musanafike kumene kansalu imayambira. Izi zikachitika, kuyesetseratu kwina n'kofunika kuyang'ana khansara yoyamba . Nthawi zina malo a metastases amachititsa madokotala kuganiza kuti khansa inayamba. Mwachitsanzo, khansa ya m'mapapo ndi yosiyana kwambiri chifukwa imafala ku mafupa m'manja ndi mapazi.
Kulimbana ndi Zotsatira Zabwino Zopangira Matenda
Kuda nkhawa kuti khansara yafalikira ku mafupa, kapena kudziwa kuti khansara yako yafalikira mafupa anu ingakhale yoopsa. Kodi izi zikutanthauza chiyani tsopano?
Ponena za anthu omwe ali ndi khansara, fupa la fupa lingapangitse kuti likhale lopweteka kwambiri, lomwe limatanthawuza kufotokozera kuti nthawi zambiri nkhawa imakhalapo podikirira zotsatira zowunikira. Ngati mwatulukira kale, zotsatira zanu zowona mafupa zingatanthauze kuti khansa yanu ndi siteji 4; kuti yafalitsidwa ku mafupa anu ndi opaleshoni sizingatheke. Ngati mudakhala ndi khansa, maganizo anu oyamba angakhale, "Ndingatani kuti ndithane ndi mankhwala?"
Lankhulani ndi abwenzi ndi okondedwa ndikupempha thandizo. Ngati muli ndi gulu lothandizira khansa kapena gulu lothandizira, khalani nawo. Kawirikawiri awo amene akhala ndi khansa okha amatha kuzindikira kwambiri nkhawa za zotsatira za mafupa. Pano pali malangizo othandizira kuthana ndi mantha a kubwereza kapena khansara yanu.
Funsani mafunso ambiri ndikuyankhula ndi oncologist wanu. Kodi ndi mankhwala ati omwe angapereke tsopano? Kodi pali mayesero alionse omwe mungakhale nawo? Kumbukirani kuti mankhwala opatsirana khansa, ngakhale khansara yakula kwambiri. Mitundu yatsopano ya mankhwala monga mankhwala ochiritsira ndi immunotherapy nthawi zina amatha kuletsa khansa omwe kale anali ovuta kuchiza.
Kuchiza kwa Matenda a Matenda
Ngati mwapezeka ndi mafupa a metastases, mukhoza kuchiritsidwa ndi chithandizo chachikulu cha khansa ya m'magazi koma mankhwala ochiritsira a mafupa amapezeka. Nthawi zina, monga khansa ya m'mawere, mankhwalawa sangathe kuchepetsa kupweteka komanso kupweteka kwa mitsempha ya mafupa koma kuwonjezera nthawi ya moyo.
Phunzirani zambiri za masastases a mafupa ndi khansa yamapapo ndi metastases ya mafupa ndi khansa ya m'mawere.
> Zotsatira:
> Thomas, K., ndi M. Gould. Mwachidule cha Kuunika koyambirira, Kuzindikira, ndi Kuyika odwala omwe ali ndi khansa yokhala ndi mimba. Zaposachedwa. Kusinthidwa 04/05/17. http://www.uptodate.com/contents/overview-of-the-initial-evaluation-diagnosis-and-staging-of-patients-with-suspected-lung-cancer
> National Library of Medicine. MedlinePlus. Bone Scan. Kusinthidwa 08/16/17. https://medlineplus.gov/ency/article/003833.htm
Komanso: Bone Scintigraphy
Zitsanzo: James anali ndi ululu m'khosi mwake atatha kuchitidwa opaleshoni ya khansara yake yamapapu, motero a oncologist analimbikitsa fupa la fupa kuti awone ngati kansa yake yayamba kufalikira msana wake.