CT besisu nge umehluko: ukulungiselela, inqubo, imiphumela

CT we komgodi ongaphakathi kwamathumbu nge Ngokuphambene angabelwa ukuba ezihlukahlukene izifo futhi izinkomba, kodwa isiguli kubalulekile ukwazi ngokuthe ngqó ukuthi inqubo wenziwa. Ikakhulukazi, isidingo ukuqonda kahle kanjani ukuba asilungise ukuze athole imiphumela enokwethenjelwa kakhulu.

Kunini lapho kufanele ngithinte ukubona udokotela?

Kaningi kuyenzeka ukuthi ngaphambi umuntu oqokwe CT besisu nge Nokho, wabe ekhononda zobuhlungu esiswini noma ukhathazekile yimuphi omunye izimpawu ezivela komgodi ongaphakathi kwamathumbu. Ngesikhathi esifanayo njengoba umuntu ngokwakhe, futhi udokotela wakhe awukwazi nje unqume on imbangela kungenzeka yenkinga. Standard nenqubo ethile yokuthola isifo esibandakanya enifeza zonke izinhlobo zovivinyo, Radiology kanye ultrasound, ngokuvamile nzima ukuthola ukuthi imbangela yalesi sifo, nokuthi usesimweni esinjalo uqokwa CT besisu nge umehluko.

Eminyakeni engaba ngu-20 edlule, odokotela abazange ngisho ukuthi yini okumele uyenze uma zindlela ezingenhla akangayiletha yi efanele. Nokho, namuhla, ubuchwepheshe uye walungiselela izindlela kakhulu zanamuhla futhi kakhulu ulwazi zokuxilonga. Omunye wabo - a computed tomography , noma njengoba ibizwa, CT besisu nge umehluko.

Eqinisweni, CT inguqulo kakhulu olwesimanje standard ze-X ray, okuvumela ngemiphumela eqonde kakhulu futhi ngesikhathi esifanayo kuyinto oda ezidlula ivikeleke nakakhulu. Kodwa, noma kunjalo, eliyifa layo Kwenziwa namuhla kuphela endabeni udokotela ekwelapheni.

Lapho wamiswa?

Kukhona izinkomba ezimbalwa ezingathinta udokotela aqokwe besisu CT ne umehluko. Ukulungiselela kungaba kwenziwe uma kukhona izimo elandelayo:

• izifo ezihlukahlukene kwesibindi noma uhlelo biliary okuhlanganisa isakhiwo imbobo anomalies, isimila, cholelithiasis, cholangitis, nabanye abaningi.
• izifo ezihlukahlukene kwamanyikwe, ezifana izimila negative, izinhlumba, kanye nezinguquko ukuvuvukala.
• Pathology kwamathumbu nasesiswini. Kulokhu ngokuyisisekelo kuphela zokuba uchwepheshe wokuhlola izimila odokotela babelwe CT besisu nge umehluko. Amalungiselelo le nqubo ingase usuqalile kakade cishe ngokushesha ngemva kwalokhu isifo.
• Umonakalo ngaphakathi komgodi ongaphakathi kwamathumbu.
• Izifo kanye umonakalo ubende.
• Mezhpetelnye abscesses kanye abscesses kwezitho ahlukahlukene.

Lena kuphela uhlu eziyisisekelo izizathu ukuthi kungenziwa abelwe kule nqubo, ngakho noma kunjalo kungcono ukuthi ufune iseluleko professional kusuka kwezempilo lwakho professional.

Kusho ukuthini ukubonisa lo?

Uma lwenziwe ukulungiselela efanele, kanye ihlonishwe Ukudla ezikhethekile phambi besisu CT Ngokuphambene, ngokuhamba le nqubo, ungathola impela eningi imininingwane ewusizo. Inqubo ngokwaso kuhilela ukudalwa inqwaba izithombe, ngamunye elibonisa ehlukile Indwangu ungqimba. Zonke lezi zithombe zihlukile kungenzeka ngezinga eliphezulu ngokuningiliziwe futhi ukuba uthole isithombe esiphelele salokho izinqubo zenzeka izibilini isiguli.

Kunezici eziningi okhombisa CT besisu nge umehluko. Waba yini umphumela walesi inqubo e iningi labantu amacala ivumela ukuthola idatha mayelana nokusebenza izidumbu ezilandelayo:

• lymph node;
• amanyikwe;
• isibindi;
• izitsha;
• nezinzwa;
• ubende;
• Bile Amapayipi;
• gallbladder.

Kubalulekile futhi ukuthi ngokuhamba kulolu cwaningo kuyabonakala the nokwakheka kwezitho eziyize, kuhlanganise amathumbu esiswini, lapho akunakwenzeka ejwayelekile MRI ubuchwepheshe. Phakathi kwezinye izinto, by izithombe udokotela ungenza isiphetho mayelana nesimo kanye amathambo lumbar kanye CT inikeza ukubona ngeso esihle ijwabu ithambo.

izinzuzo

Udokotela kufanele uchaze ulwazi oluningi uma uthumela isiguli phezu CT Ngokuphambene besisu: indlela ukulungiselela kanjani ukudla, kanjani oyokwenziwa inqubo ngokwalo, nokunye okuningi. Kodwa noma kunjalo, ukuhlola izizathu ezinjalo iqinisekisa ukwaziswa okunokwethenjelwa kakhulu mayelana nesimo yimuphi izakhiwo esiswini, ngisho noma kukhona izinguquko sokugembula sina noma izinqubo kufihlwe, zisatshalaliswe kanyekanye kwezitho zomzimba eziningi.

Ngakho, i-CT besisu nge Ngokuphambene wokubuyekezwa okuvumelekile kwesokunxele njengoba iziguli engibathandayo kunemidanti njengoba elula futhi ngaphandle kobuhlungu futhi odokotela bathola yonke imininingwane edingekayo adingekayo ukuxilongwa kanye nokwelashwa okwalandela ukuqokwa nesineke.

Kungani kusetshenziswa?

Ngo iningi labantu amacala besisu CT ne Ngokuphambene ubambile. Ngosizo Ngokuphambene ejenti ihlinzeka ncono lemininingwane isibhamu kanye jikelele ikhwalithi yesithombe, okuyinto ngokulandelana, kuba nomphumela omuhle imiphumela ukuhlola. Ngakho kubalulekile ukuba ukuqonde ukuthi besisu CT Ngokuphambene ungalilahli njalo, njengoba kwezinye izimo inhlolovo ezisekelweni ezikhethekile multislice ukusetshenziswa kwalo aluphoqelekile (kodwa kangcono kulokhu kuka ngaxoxa nodokotela wakho).

Icala kuphela lapho ukusetshenziswa okungafani ngampela - kuyinto izinsolo isiguli ukwethula yisiphi isifo sokugembula. CT besisu nge nokuqhathanisa kwenziwe kuye ngohlobo oluthile ukuze elingelakwaJuda isithwebuli ngoba ucwaningo ejwayelekile noma kunjalo kuba kahle njengoba kuqhathaniswa unomkhuhlane.

Ngu uqobo, umehluko ikhono ezahlukene kancane kancane buthelela nezicubu isimila, lapho amaseli isimila ku izithombe izikhungo baye kuzobonakala kakhulu. Nale udokotela uthola ulwazi oluphelele mayelana imingcele izimila eyinhloko futhi metastatic, kanye lemali yabo, esiza kakhulu ekwelashweni yokuhlela. Ochwepheshe bayazazi kungani olwenziwa CT besisu nge Ngokuphambene ebonisa ukuthi lesi sithombe bese indlela yokuphatha kulo. Ekugcineni, udokotela ithuba linqume inqubo yokwelapha ngokwamaqiniso kutfotjelwa ukuthembeka ukuzimisela isigaba ohlelweni, ezingasetshenziswa kakade ukubala ngokuphumelela emhlanganweni.

Indlela ukulungiselela?

Kunoma ikuphi, isiguli kumele ngokuzimela ukulungiselela ukuba tomography ngekhompyutha, kanye nenqubo kumele wasondela ngendlela efanele, uma ekugcineni ufuna ukuthola imiphumela esinembile ngempela.

Injongo eyinhloko yawo uqeqesho ukufeza ngeso oyinhloko isibhamu. Lapho kuziwa ekuziphatheni luhlolo lesisu, izinga imaging kungenziwa sina, lithintwa ukuba khona kwe-ophithizelayo, ukubuyisa. Kungenxa yalesi sizathu ukuthi elungiswa uzodinga anakekele ukusebenza evamile ipheshana wokugaya ukudla ngesikhathi esifundweni. Ukuze kuzuzwe lokhu, izinsuku 2-3 ngaphambi kokuba aphethwe CT besisu (ngaphandle Ngokuphambene noma Ngokuphambene), kwenziwe inqubo ekhethekile injongo yakho eyinhloko ukuvimbela ukuvela anda igesi kumiswa noma ukuqunjelwa.

Phakathi nale nkathi, isiguli kufanele kube indlela wemfanelo kakhulu yamandla. Ikakhulukazi, kubalulekile ukuba aluqede ngokuphelele kusukela Ukudla ukudla yakho ezibangela ukubuyisa noma sezinyawo nokugcinwa. Uma umuntu isetshenziswa ukwenza imenyu akho ngokuhambisana imithetho ukudla okunempilo, ngeke uba nenkinga ukuze ulungise ukudla, kulula ukuze uthumele nanoma yokudla kwikhompyutha tamografiya esiswini yabonisa umphumela olunembile kakhulu.

amalungiselelo

Kubalulekile ukuphawula ukuthi ngalesi sikhathi belulekwa ukuba adle izidakamizwa ezikhethekile, adsorbents, futhi ezimweni eziningi, odokotela linqume izinga isebenze namalahle, okumele abe esiphuza kabili ngosuku, amaphilisi amabili. kanye nezinye izidakamizwa ingasetshenziswa njengoba oyifunayo. Ikakhulukazi, njengoba sorbent futhi ejenti ngempela okuhle "Smekta" izidakamizwa Kungasetshenziswa ukubuyisa.

Uma kwenzeka uma umuntu kwakukhona ezinye izinkinga ezinkulu ngempela nge lomgudu wokugaya ukudla bese izici zayo ngazinye, uhlelo belungiselela CT esiswini kumele ngaphambilini wavumelana udokotela ukuba khona. Ukuze izinkomba ezahlukene kungase kudingeke laxatives, antispasmodics, noma ngisho nokubamba enema.

Woza ukufunda badinga kuphela esiswini esingenalutho, nesikhathi sokudla nangemva kwaso zokugcina kufanele kuthathe amahora mayelana 6-8. Ngenxa yalesi sizathu, eqhuba ukuhlola iyona elula kunazo ekuseni, ke ingakamiswa ezamukelwe ngu ibhulakufesi. Futhi hhayi Kunconywa ukuba kudle iyiphi uketshezi amahora amabili ngaphambi kwenziwa le nqubo, njengoba kungaba avuse peristalsis ethakazelisayo, okuyinto kuvimbela uphethwe zokuziphatha ezifanele.

Kungenzeka yini ukuba sifeze inqubo izingane?

CT esiswini wenziwa namuhla kokubili abadala kanye nezingane, njengoba umthamo ngemisebe etholwe isiguli in inqubo ukuskena sincane kakhulu futhi awukwazi zisongele impilo yengane. Ezimweni eziningi, le mitholampilo oyithandayo yesimanje ukuthatha ukuba bafeze lo inqubo, izingane ezineminyaka engu-14, kodwa kwezinye izikhungo umkhawulo yobudala ezinjalo kuyehla kube 10, futhi kwezinye izimo ngisho kuze iminyaka 7. Abantwana abasebancane Ungase futhi, uma kunesidingo, ibhekane scan CT, kodwa ucwaningo kulezi ziguli wenziwa izikhungo ezikhethekile noma emitholampilo enkulu ngokwanele ezingane.

Lapha iphuzu lapha liwukuthi ngokuhamba cwaningo, iziguli kumele agcinwe baxhashazwe ephelele, futhi lokhu kunzima ukufeza yizingane ezincane kakhulu. Kule ndaba, luhlolo yabo kwenziwe imithi ubuthongo ezikhethekile usebenzisa imikhiqizo ephephile futhi ngaphansi kokuqondisa abasondelelne obulala izinzwa okhokhelwayo.

Yini esiphethweni?

Ngokusho imiphumela inqubo, udokotela wenza umbiko, equkethe lonke ulwazi mayelana nesimo se-nempilo yabantu, okuyinto eyatholakala ngokuhamba umcimbi. Udokotela engachazi nje ukuhlala iziguli kodwa izitho okunempilo, kuhlanganise nokwakheka eziyisisekelo zabo, usayizi kanye neminye imininingwane. Isiphetho inikezwe isiguli kanye egcwele ukuphrinta izithombe.

Ngakho kubalulekile ukuba ukuqonde ukuthi imiphumela CT scan - lokhu akukona uphethwe, abakubonisayo kuphela incazelo izinguquko ezinkulu izitho zangaphakathi. Kumele kuqashelwe ukuthi lezi zithombe ngempela usizo olukhulu lapho befeza uphethwe. Kaningi, le nqubo uqeda uphethwe, njengoba nokuqaliswa kwalo ivumela udokotela ukuthola lonke ulwazi oludingekayo ukunquma isifo ngqo futhi ukwelashwa okufanele.

Inani

Ngu uqobo, ngekhompyutha tomography ngeluhlelo lolwehlukile ezidlula engabizi kuka-MRI, kodwa namanje hhayi inqubo nengabizi. Kudingeka nokuba baqonde ukuthi izindleko encike ngqo kwi isiqondiso oyicelelayo ngokuqondile umtholampilo.

Ngokuyinhloko, intengo kunqunywa kuzinto eziningana. Okokuqala lapha udlala indima iyunithi, okuyinto lokhu kuhlola. Ngamanye amazwi, inqubo ejwayelekile kungadla kancane njengoba kuqhathaniswa kungakanani abakwaziyo kanye nokuhlola multislice Kuvunguza amadivaysi. Futhi, intengo liphume, uma i-contrast sizosetshenziswa esifundweni. Phakathi kwezinye izinto, indima nakho kufeza isakhiwo we imitholampilo uNowa, ziqu odokotela iqhaza kulolu cwaningo, kanye nendathane yezinye izinkinga.

Ngo iningi labantu amacala ukubaluleka CT ngokuqondile wakhona izinga layo, kodwa eqinisweni lo mthetho usebenza ngaso sonke isikhathi. Abaningana impela izikhungo eziphambili ukunikela impesheni, abafundi, ngisho eziningi abanye abantu eziningi izaphulelo. Liphinde ngokuvamile eyenziwa izenzo ezihlukahlukene, okuyinto ngesikhathi ukudlula uphethwe iyatholakala ngentengo ehlisiwe bonke comers.