Lumbar MRI scan

Kujambula kwa lumbar magnetic resonance imaging (MRI) kumagwiritsa ntchito mphamvu kuchokera kumaginito amphamvu kuti apange zithunzi zakumunsi kwa msana (lumbar spine).

MRI sigwiritsa ntchito radiation (x-ray).

Zithunzi za MRI zosakwatiwa zimatchedwa magawo. Zithunzizo zimatha kusungidwa pakompyuta kapena kusindikizidwa pafilimu. Kuyesa kumodzi kumatulutsa zithunzi zambiri.

Mayeso okhudzana ndi awa:

• Cervical MRI scan (khosi la MRI)
• MRI

Mudzavala chovala cha kuchipatala kapena zovala zopanda zingwe kapena zingwe (monga thukuta ndi t-sheti). Onetsetsani kuti mwavula wotchi yanu, zodzikongoletsera ndi mawotchi. Mitundu ina yachitsulo imatha kubweretsa zithunzi zosalongosoka.

Mudzagona pa tebulo laling'ono lomwe limalowa mu chubu chachikulu ngati ngalande.

Mayeso ena amafuna utoto wapadera (kusiyanitsa). Nthawi zambiri, mumatenga utoto kudzera mu mtsempha (IV) womwe uli m'manja kapena mkono musanayesedwe. Muthanso kutenga utoto kudzera mu jakisoni. Utoto umathandiza radiologist kuwona madera ena bwino lomwe.

Pa MRI, munthu amene amagwiritsa ntchito makinawo amakuwonerani kuchokera kuchipinda china. Mayeso nthawi zambiri amatenga mphindi 30 mpaka 60, koma amatenga nthawi yayitali.

Mutha kupemphedwa kuti musadye kapena kumwa chilichonse kwa maola 4 kapena 6 musanajambulitse.

Uzani wothandizira zaumoyo wanu ngati mukuwopa malo otsekedwa (khalani ndi claustrophobia). Mutha kupatsidwa mankhwala okuthandizani kuti mukhale ogona komanso osakhala ndi nkhawa. Wopereka wanu atha kunena za MRI "yotseguka", pomwe makinawo samayandikira thupi.

Asanayesedwe, uzani omwe akukuthandizani ngati muli ndi:

• Zithunzi za ubongo
• Mitundu ina yamavavu amtima wopangira
• Mtetezi wamtima kapena pacemaker
• Zodzala zamakutu zamkati (cochlear)
• Matenda a impso kapena dialysis (mwina simungathe kusiyanitsa)
• Zowayika posachedwa
• Mitundu ina yamatenda am'mimba
• Ankagwira ntchito ndi chitsulo m'mbuyomu (mungafunike kuyesa kuti muwone ngati zidutswa zazitsulo zili m'maso mwanu)

Chifukwa MRI imakhala ndi maginito amphamvu, zinthu zachitsulo siziloledwa kulowa mchipindacho ndi sikani ya MRI:

• Zolembera, zotchinga matumba, ndi magalasi amaso zitha kuwuluka mchipinda chonse.
• Zinthu monga zodzikongoletsera, mawotchi, ma kirediti kadi, ndi zothandizira kumva zimatha kuwonongeka.
• Pini, zikhomo zopangira tsitsi, zipi zachitsulo, ndi zinthu zina zachitsulo zofananira zimatha kupotoza zithunzizi.
• Ntchito yochotsa mano iyenera kutulutsidwa pang'ono isanakwane.

Kuyeza kwa MRI sikumapweteka. Muyenera kugona chonchi chifukwa kuyenda kochulukirapo kumatha kusokoneza zithunzi za MRI ndikupanga zolakwika.

Gome likhoza kukhala lolimba kapena lozizira, koma mutha kufunsa bulangeti kapena pilo. Makinawo amapanga phokoso lalikulu ndikumveketsa akamatsegulidwa. Mutha kuvala mapulagi amakutu kuti muthane ndi phokoso.

Intakomu m'chipindamo imakulolani kuti muzilankhula ndi munthu nthawi iliyonse. Ma MRIs ena amakhala ndi ma TV komanso mahedifoni apadera omwe mungagwiritse ntchito kuti muthane ndi nthawi.

Palibe nthawi yochira, pokhapokha mutapatsidwa mankhwala oti musangalale. Mukatha kusanthula MRI, mutha kubwereranso ku zomwe mumadya, zochita zanu, komanso mankhwala anu.

Mungafunike lumbar MRI ngati muli:

• Kupweteka kumbuyo kapena kupweteka kwa m'chiuno komwe sikumakhala bwino mutalandira chithandizo
• Kufooka kwa mwendo, dzanzi, kapena zizindikiro zina zomwe sizikukula kapena kukulira

Wothandizira anu amathanso kuyitanitsa lumbar MRI ngati muli:

• Ululu wammbuyo ndi malungo
• Zolepheretsa kubadwa msana
• Kuvulala kapena kupsinjika msana
• Kupweteka kwakumbuyo kochepa komanso mbiri kapena zizindikilo za khansa
• Multiple sclerosis
• Mavuto owongolera kapena kutulutsa chikhodzodzo
• Diski herniation

Zotsatira zabwinobwino zimatanthauza kuti msana wanu komanso mitsempha yoyandikira imawoneka bwino.

Nthawi zambiri, zotsatira zosazolowereka zimachitika chifukwa cha:

• Diski ya Herniated kapena "yotumphuka" (lumbar radiculopathy)
• Kuchepetsa kwa msana (spinal stenosis)
• Kuvala modabwitsa pamafupa ndi khungu pamsana (spondylitis)

Zotsatira zina zachilendo zitha kukhala chifukwa cha:

• Zosintha zosintha chifukwa cha msinkhu
• Ankylosing spondylitis, mtundu wa nyamakazi
• Matenda a mafupa
• Matenda a Cauda equina
• Kutha kwam'munsi kumbuyo chifukwa cha kufooka kwa mafupa
• Kutupa kwa disk (diskitis)
• Msana wa abscess
• Msana wovulala
• Chotupa msana
• Syringomyelia

Lankhulani ndi omwe akukuthandizani za mafunso ndi nkhawa zanu.

MRI ilibe ma radiation. Sipanakhalepo zotsatira zoyipa kuchokera kumaginito ndi mafunde a wailesi.

Ndizotetezanso kuti MRI izichita nthawi yapakati. Palibe zovuta kapena zovuta zomwe zatsimikiziridwa.

Mtundu wosiyana kwambiri (utoto) womwe umagwiritsidwa ntchito ndi gadolinium. Ndi otetezeka kwambiri. Thupi lawo siligwirizana ndi utoto uwu ndi lachilendo. Komabe, gadolinium itha kuvulaza anthu omwe ali ndi mavuto a impso omwe amafunikira dialysis. Ngati muli ndi vuto la impso, chonde uzani omwe amakupatsani chithandizo asanayesedwe.

Mphamvu zamaginito zomwe zimapangidwa mu MRI zimatha kupangitsa kuti mtima uzikhala wolimba komanso zopangira zina kuti zisagwire ntchito. Itha kupangitsanso zidutswa zazitsulo mkati mwathupi kusuntha kapena kusintha. Pazifukwa zachitetezo, chonde musabweretse chilichonse chomwe chili ndi chitsulo m'chipinda chojambulira.

Kujambula kwa maginito - lumbar msana; MRI - kumbuyo kwenikweni

Chou R, Qaseem A, Owens DK, Shekelle P; Clinical Guidelines Committee ya American College of Physicians. Kuzindikira kujambula kwakumva kupweteka kwakumbuyo: upangiri wazithandizo zamtengo wapatali kuchokera ku American College of Physicians. Ann Intern Med. 2011; 154 (3): 181-189. PMID: 21282698 www.ncbi.nlm.nih.gov/pubmed/21282698. (Adasankhidwa)

Curry BP, Rosner MK. Kuwunika ndi chithandizo cha matenda a lumbar disk. Mu: Winn HR, mkonzi. Opaleshoni ya Youmans ndi Winn Neurological. Wachisanu ndi chiwiri. Philadelphia, PA: Elsevier; 2017: mutu 286.

Gardocki RJ, Park AL. Matenda osachiritsika a thoracic ndi lumbar msana. Mu: Azar FM, Beaty JH, Canale ST, eds. Opaleshoni ya Campbell. Wolemba 13. Philadelphia, PA: Elsevier; 2017: mutu 39.

Sayah A, Berkowitz F. Mutu ndi kulingalira kwa msana. Mu: Miller MD, Thompson SR, olemba. DeLee ndi Drez's Orthopedic Sports Medicine. Wolemba 4. Philadelphia, PA: Elsevier Saunders; 2015: chaputala 124.

ID ya Wilkinson, Manda MJ. Kujambula kwama maginito. Mu: Adam A, Dixon AK, Gillard JH, Schaefer-Prokop CM, olemba. Grainger & Allison's Diagnostic Radiology: Buku Lophunzirira Kujambula Kwazachipatala. Lachisanu ndi chimodzi. Philadelphia, PA: Elsevier Churchill Livingstone; 2015: mutu 5.