Kev kuaj pob txha yog kev kuaj duab uas pab txheeb xyuas kab mob pob txha thiab raug mob. Koj tus kws kho mob yuav pom zoo kom kuaj pob txha yog tias lawv xav tias koj muaj pob txha (pob txha txha), pob txha tawg, mob qog noj ntshav, mob pob txha, lossis mob pob txha. Cov txheej txheem cuam tshuam nrog kev txhaj qee yam khoom siv hluav taws xob (hluav taws xob hluav taws xob) rau hauv koj cov leeg thiab tom qab ntawd thaij duab ntawm koj lub cev nrog lub koob yees duab tshwj xeeb uas nkag siab rau hluav taws xob. Koj tus kws kho mob yuav piav qhia qhov kev tshawb pom rau koj, tab sis nws muaj txiaj ntsig zoo kom kawm paub ntau ntxiv txog nws kom koj tuaj yeem nkag siab zoo dua qhov txiaj ntsig ntawm kev kuaj pob txha.
Cov kauj ruam
Ntu 1 ntawm 3: Txhais Qhov Ntsuas Kab Mob
Kauj Ruam 1. Tau txais ib daim qauv ntawm koj cov pob txha scan
Tus kws kho mob tshwj xeeb hauv kev nyeem cov pob txha (kws kho hluav taws xob) yuav xa lawv cov lus txhais ntawm koj cov txiaj ntsig mus rau koj tus kws kho mob hauv tsev uas yuav piav qhia lawv rau koj - vam tias, hauv cov lus yooj yim. Yog tias koj xav ua tib zoo saib, koj tuaj yeem nug kom pom thawj qhov luam theej duab ntawm koj tus kws kho mob lub chaw haujlwm lossis nug kom luam daim ntawv nqa mus tsev.
- Txawm hais tias koj tus kws kho mob yuav zoo li tsis kam muab koj thawj cov pob txha txhawm rau nqa mus tsev, nws yuav tsum raug cai muab daim ntawv theej rau koj yog tias koj nug. Lub chaw haujlwm yuav tsub nqi tus nqi luam me me rau koj.
- Kev kuaj pob txha tau ua tiav los qhia teeb meem nrog cov metabolism hauv pob txha - txheej txheem tsim thiab rov ua cov nqaij pob txha. Qee yam kev ua haujlwm yog ib txwm muaj, tab sis kev kho pob txha ntau dhau lossis tsawg dhau yog ib qho qhia tias muaj kab mob lossis raug mob.
Kauj Ruam 2. Txheeb xyuas cov pob txha hauv koj qhov scan
Feem ntau cov pob txha kuaj pom cov duab ntawm tag nrho cov pob txha, tab sis qee zaum lawv tau tsom mus rau qhov raug mob lossis mob, xws li lub dab teg lossis pob txha. Yog li ntawd, kawm me ntsis txog lub cev yooj yim, tshwj xeeb yog cov npe ntawm feem ntau ntawm cov pob txha hauv koj cov pob txha scan. Tshawb nrhiav hauv online rau cov ntaub ntawv lossis qiv phau ntawv los ntawm koj lub tsev qiv ntawv hauv zos.
- Koj tsis tas yuav kawm ntxaws ntxaws txog lub cev lossis lub cev, tab sis koj yuav tsum paub tias cov pob txha kws kho hluav taws xob hais txog dab tsi hauv nws daim ntawv sau qhia txog koj li kev kuaj mob pob txha.
- Feem ntau cov pob txha uas tau sau tseg ntawm kev kuaj pob txha yog pob txha pob txha (pob txha txha caj qaum), lub plab (ilium, ischium, thiab pubis), tav tav, dab teg (pob txha carpal), thiab pob txha pob txha (femur thiab tibia).
Kauj Ruam 3. Tau txais kev qhia kom raug
Thaum koj muaj lub tswv yim ntawm cov pob txha uas muaj teeb meem ntawm koj cov pob txha scan, koj kuj yuav tsum paub ntawm sab twg ntawm koj lub cev nws yog. Koj feem ntau tsis tuaj yeem qhia tsuas yog saib ntawm koj lub cev duab, tab sis txhua qhov kev kuaj mob suav nrog kev kuaj cov pob txha yuav tsum tau sau lo lus hais tias sab twg yog tus neeg mob txoj cai thiab sab laug. Xws li, saib cov lus xws li sab laug, sab xis, pem hauv ntej lossis sab nraub qaum ntawm daim duab kom tau txais kev taw qhia.
- Cov duab pob txha tuaj yeem nqa los ntawm koj sab xub ntiag lossis nraub qaum. Saib ntawm lub taub hau, qee zaum koj tuaj yeem pom los ntawm txoj kev uas nws tau coj, tab sis tsis tas li.
- Hloov chaw ntawm cov lus, kuaj cov pob txha thiab lwm yam duab ntsuas tuaj yeem qhia los ntawm cov cim cim, xws li L (sab laug), R (sab xis), F (pem hauv ntej), lossis B (rov qab).
Kauj Ruam 4. Txiav txim siab lub sijhawm
Yog tias koj muaj ntau dua ib qho kev kuaj pob txha dhau sijhawm, uas yog ib qho tshwm sim thaum ua raws qhov mob ntawm pob txha lossis mob, tom qab ntawd txiav txim siab hnub (thiab sijhawm) uas txhua tus tau ua los ntawm saib daim ntawv lo. Kawm ua ntej ib zaug ua ntej, tom qab ntawd sib piv nws rau tom qab thiab nco ntsoov txhua qhov kev hloov pauv. Yog tias tsis muaj qhov sib txawv ntau, tom qab ntawd nws zoo li koj tus mob tsis tau nce qib (lossis txhim kho).
- Yog tias koj muaj pob txha pob txha, piv txwv li, koj tus kws kho mob yuav pom zoo kom kuaj pob txha txhua xyoo lossis ob xyoos los saib xyuas kev mob ntawm tus kab mob.
- Yog tias xav tias muaj kab mob pob txha, cov duab yuav raug coj los sai tom qab lub xov tooj cua-tracer tau txhaj rau hauv koj thiab ntxiv peb txog plaub teev tom qab thaum nws tau sau rau hauv koj cov pob txha-qhov no hu ua 3-phase bone scan.
Kauj Ruam 5. Saib rau "qhov chaw kub
" Cov txiaj ntsig kev sim ntawm kev kuaj pob txha raug suav hais tias yog ib txwm thaum cov xov tooj cua tawg tau kis thiab nqus tau tusyees thoob plaws hauv koj lub cev pob txha; txawm li cas los xij, kev kuaj pob txha raug txiav txim siab tsis txawv txav thaum nws qhia pom xim tsaus nti "qhov kub" hauv koj cov pob txha. Cov chaw kub kub qhia thaj chaw hauv koj lub cev pob txha uas muaj cov xim ntau dhau, uas tuaj yeem qhia txog kev puas tsuaj ntawm pob txha, mob o, pob txha tawg lossis qog loj tuaj.
- Cov kab mob uas ua rau cov pob txha puas tsuaj muaj xws li mob qog noj ntshav, mob pob txha pob txha, thiab mob pob txha (ua rau tsis muaj zog thiab pob txha puas).
- Qee cov pob txha tuaj yeem tshwm sim me ntsis tsaus dua li lwm cov pob txha vim tias lawv cov kev ua haujlwm metabolic nce ntxiv. Piv txwv suav nrog koj lub hauv caug (pob txha lub mis) thiab ib feem ntawm koj lub plab. Tsis txhob yuam kev cov kab mob no.
- Qee qhov xwm txheej, zoo li muaj qhov txhab tshwm sim los ntawm ntau yam myeloma, qhov kub kub yuav tsis tshwm rau ntawm pob txha scan. Kev kuaj CT lossis PET tej zaum yuav pab tau zoo dua los txheeb xyuas cov tsos mob ntawm hom mob qog noj ntshav no.
Kauj Ruam 6. Nrhiav "qhov chaw txias
" Cov txiaj ntsig ntsuas kuj tseem suav tias yog qhov txawv txav thaum muaj xim sib dua "qhov txias" hauv koj cov pob txha. Cov khaub thuas txias qhia txog thaj chaw uas nqus tau cov xim muaj xim tsawg dua (lossis tsis muaj) piv rau cov pob txha ib puag ncig vim kev ua haujlwm qis thiab kho dua tshiab. Feem ntau, qhov txias txias feem ntau yog qhov qhia tias txo qis ntshav ntws mus rau thaj chaw vim qee yam.
- Cov kab mob Lytic - cuam tshuam nrog ntau yam mob myeloma, kab mob hauv pob txha, thiab qee yam mob pob txha - tuaj yeem pom ua qhov txias.
- Cov khaub thuas txias tuaj yeem qhia pom tsis zoo vim yog cov hlab ntshav txhaws (atherosclerosis) lossis cov qog nqaij hlav.
- Qhov chaw txias thiab qhov kub tuaj yeem tshwm sim ib txhij ntawm kev kuaj pob txha thiab sawv cev sib txawv tab sis cov kab mob lossis xwm txheej xwm yeem.
- Txawm hais tias qhov txias txias me me yog qhov txawv txav, lawv ib txwm sawv cev rau cov xwm txheej uas tsis hnyav dua li cov sawv cev los ntawm qhov kub dua.
Kauj Ruam 7. Nkag siab cov txiaj ntsig
Tus kws kho hluav taws xob yuav txhais koj cov txiaj ntsig kev kuaj pob txha thiab xa daim ntawv tshaj qhia rau koj tus kws kho mob, uas yuav siv cov ntaub ntawv ntawd nrog rau lwm qhov kev tshawb fawb kuaj mob thiab/lossis kuaj ntshav txhawm rau tsim kev kuaj mob. Kev kuaj mob ib txwm uas tshwm sim los ntawm kev kuaj pob txha txawv txav suav nrog: txha pob txha, pob txha tawg, mob qog nqaij hlav pob txha, mob pob txha, mob caj dab, Paget tus kab mob (pob txha tsis zoo cuam tshuam nrog ua kom tawv nqaij thiab ua kom cov pob txha) thiab avascular necrosis (tuag ntawm pob txha vim tsis muaj ntshav txaus).
- Nrog qhov tshwj xeeb tshwj xeeb ntawm avascular necrosis, uas pom zoo li qhov chaw txias ntawm pob txha scan, txhua qhov xwm txheej saum toj no tau hais los ua qhov kub.
- Cov pob txha pob txha nquag pom hauv pob txha txhawm rau suav nrog lub nraub qaum sab nraub qaum (nruab nrab sab nraub qaum), pob qij txha pob qij txha thiab/lossis lub dab teg. Osteoporosis ua rau pob txha puas thiab mob pob txha.
- Cov qog nqaij hlav cancer tuaj yeem pom hauv txhua qhov pob txha. Mob qog noj ntshav feem ntau kis tau (metastasizes) los ntawm lwm qhov chaw mob qog noj ntshav, xws li lub mis, lub ntsws, lub siab, tus txiav, thiab qog nqaij hlav qog nqaij hlav.
- Paget tus kab mob ua rau kub kub nyob ntawm tus nqaj qaum, lub plab, pob txha ntev thiab pob txha taub hau.
- Kev kis kab mob hauv pob txha feem ntau yog txhais ceg, taw, txhais tes, thiab pob txha caj dab.
Ntu 2 ntawm 3: Npaj rau Kev Tshawb Fawb Pob
Kauj Ruam 1. Tshem cov hniav nyiaj hniav kub thiab lwm yam khoom siv hlau
Txawm hais tias koj tsis tas yuav tau npaj tshwj xeeb ua ntej yuav kuaj lub pob txha, koj yuav tsum hnav khaub ncaws kom xis nyob, tshem tawm cov khaub ncaws yooj yim thiab tsis txhob hnav cov hniav nyiaj hniav kub. Cov hniav nyiaj hniav kub hlau thiab saib, tshwj xeeb, yuav tsum nyob hauv tsev lossis tshem tawm ua ntej ua ntej kuaj pob txha vim tias lawv tuaj yeem cuam tshuam rau qhov tshwm sim.
- Zoo li lwm qhov kev kuaj mob kuaj mob, xws li xoo hluav taws xob, ib qho hlau ntawm koj lub cev yuav ua rau cov pob txha kuaj pom cov duab zoo li dawb lossis sib zog dua ib puag ncig.
- Qhia tus kws kho hluav taws xob thiab/lossis tus kws tshaj lij yog tias koj muaj cov hlau ntim hauv koj lub qhov ncauj lossis cog cov hlau hauv koj lub cev, yog li ntawd lawv tuaj yeem sau tseg ntawm nws thiab tsis txhob cuam tshuam nrog cov txheej txheem kab mob.
- Hnav khaub ncaws uas tshem tau yooj yim yog lub tswv yim zoo vim tias tej zaum koj yuav raug hais kom hnav khaub ncaws hauv tsev kho mob.
Kauj Ruam 2. Qhia koj tus kws kho mob yog tias koj cev xeeb tub
Qhia rau koj tus kws kho mob yog tias koj cev xeeb tub lossis muaj peev xwm cev xeeb tub vim tias cov hluav taws xob kis los ntawm lub tshuab hluav taws xob tuaj yeem ua rau menyuam yaus raug mob. Yog li ntawd, kev kuaj pob txha feem ntau tsis ua rau cov poj niam cev xeeb tub lossis cov niam laus - cov kua mis tuaj yeem dhau los ua cov tshuaj muaj kuab lom me me thiab ua mob rau tus menyuam ib yam.
- Muaj lwm qhov kev ntsuas duab rau pob txha uas muaj kev nyab xeeb rau poj niam cev xeeb tub, xws li kev tshawb fawb MRI thiab kuaj mob ultrasound.
- Kev mob pob txha luv luv tsis yog ib qho nyuaj rau cov poj niam cev xeeb tub uas tsis muaj zaub mov noj vim cov zaub mov tau los ntawm lawv cov pob txha txhawm rau txhawm rau txhim kho menyuam yaus.
Kauj Ruam 3. Tsis txhob noj tshuaj uas muaj bismuth
Txawm hais tias koj tuaj yeem noj thiab haus ib txwm ua ntej koj kuaj pob txha, qhia rau koj tus kws kho mob txog cov tshuaj uas koj tab tom noj, vim tias cov no yuav cuam tshuam rau koj qhov kev xeem. Piv txwv, cov tshuaj uas muaj barium lossis bismuth cuam tshuam rau kev kuaj pob txha, yog li koj yuav tsum zam kev noj yam tsawg li plaub hnub ua ntej koj mus ntsib.
- Bismuth muaj nyob hauv ntau yam khoom siv tshuaj, xws li Pepto-Bismol, Kaopectate, Devrom, thiab De-Nol.
- Bismuth thiab barium tuaj yeem ua rau thaj tsam ntawm koj lub cev zoo li lub teeb pom ntawm pob txha
Ntu 3 ntawm 3: Nkag Siab Risks
Kauj Ruam 1. Nkag siab qhov teeb meem hluav taws xob
Tus nqi hluav taws xob txhaj tshuaj rau hauv koj cov hlab ntshav ua ntej yuav kuaj lub pob txha tsis ntau heev, tab sis nws tseem tsim hluav taws xob hauv koj lub cev mus txog 3 hnub. Kev tawg hluav taws xob ua rau muaj kev pheej hmoo ntawm kev noj qab haus huv zoo ntawm tes hloov mus rau hauv cov qog nqaij hlav cancer, yog li ua kom ntseeg tau tias koj hnyav txhua qhov zoo thiab qhov tsis zoo nrog koj tus kws kho mob ua ntej tau txais kev kuaj pob txha.
- Nws kwv yees tias kev kuaj pob txha nthuav tawm koj kom tsis muaj hluav taws xob ntau dua li x-ray lub cev tag nrho ua thiab tsawg dua ib nrab ntawm CT scan.
- Kev haus dej ntau thiab cov kua dej pib tam sim tom qab kuaj pob txha rau 48 teev tuaj yeem pab yaug tawm cov tshuaj uas muaj kab mob hauv koj lub cev.
- Yog tias koj yuav tsum tau kuaj pob txha thaum pub niam mis, tso dej thiab muab koj lub mis tso pov tseg li ob rau peb hnub kom koj tus menyuam tsis raug mob.
Kauj Ruam 2. Saib rau qhov ua xua
Kev ua xua uas cuam tshuam nrog cov tshuaj tua hluav taws xob tsis tshua muaj, tab sis lawv tshwm sim thiab tuaj yeem ua rau muaj kev phom sij rau lub neej. Feem ntau, cov tshuaj tiv thaiv me me thiab ua rau qee qhov mob thiab mob ntawm qhov chaw txhaj tshuaj thiab muaj qhov txhab ntawm daim tawv nqaij. Hauv cov xwm txheej hnyav, ua rau anaphylaxis ua rau thiab ua rau muaj kev tsis haum tshuaj ntau ntxiv ua rau o, ua pa nyuaj, khaus khaus, thiab txo ntshav siab.
- Hu rau koj tus kws kho mob tam sim yog tias muaj cov tsos mob ntawm kev ua xua ua rau pom tseeb thaum koj mus txog tsev tom qab koj teem sijhawm.
- Cov xov tooj cua siv hluav taws xob siv sijhawm ntawm ib mus rau plaub teev kom nqus tau los ntawm koj cov pob txha, txawm hais tias feem ntau cov kev tsis haum tshwm sim tsis pub dhau 30 feeb ntawm kev txhaj tshuaj.
Kauj Ruam 3. Saib seb puas muaj peev xwm kis tau
Muaj qhov pheej hmoo me me ntawm kev kis tus kab mob lossis tso ntshav ntau dhau thaum rab koob tso rau hauv koj cov hlab ntshav txhawm rau txhaj tshuaj zas xim. Kev kis kab mob feem ntau siv ob peb hnub los txhim kho thiab suav nrog mob, liab, thiab o tuaj ntawm qhov chaw txhaj tshuaj. Hu rau koj tus kws kho mob tam sim yog tias koj pom cov cim no. Tej zaum koj yuav tsum tau siv tshuaj tua kab mob txhawm rau tiv thaiv kev kis tus kab mob.
- Cov cim ntawm tus mob tseem ceeb muaj xws li mob hnyav heev thiab tso kua paug tawm ntawm qhov chaw txhaj tshuaj, loog thiab tingling ntawm koj txhais caj npab, qaug zog, thiab kub cev.
- Xyuas kom tus kws kho mob lossis kws kho mob ntxuav koj txhais tes nrog cawv cawv lossis so ua ntej txhaj tshuaj.
Lub tswv yim
- Kev kuaj pob txha yog ua tiav ntawm lub chaw kuaj hluav taws xob lossis lub chaw tshuaj nuclear ntawm tsev kho mob lossis chaw kho mob sab nrauv. Koj yuav xav tau kev xa mus los ntawm koj tus kws kho mob.
- Thaum lub sijhawm kuaj pob txha, koj pw ntawm koj nraub qaum thiab lub koob yees duab txav qeeb ib ncig ntawm koj lub cev, thaij duab ntawm tag nrho koj cov pob txha.
- Koj yuav tsum tau dag ntau heev thaum lub sijhawm kuaj pob txha, txwv tsis pub cov duab yuav tsis meej. Tej zaum koj yuav tau hloov txoj haujlwm thaum lub sijhawm kuaj xyuas.
- Kev kuaj pob txha ntawm koj lub cev tag nrho yuav siv sijhawm li ib teev los ua kom tiav.
- Yog tias koj tau kuaj pob txha uas qhia qee qhov kub, yuav muaj kev sim ntau dua los txiav txim qhov ua rau nws.
