Kusanthula kwa Cervical MRI

Kujambula kwa khomo lachiberekero la MRI (magnetic resonance imaging) kumagwiritsa ntchito mphamvu kuchokera kumaginito amphamvu kuti apange zithunzi za msana womwe umadutsa m'khosi (khomo lachiberekero).

MRI sigwiritsa ntchito radiation (x-ray).

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

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

Mudzagona pa tebulo laling'ono lomwe limalowa mu sikani yoboola pakati.

Mayeso ena amagwiritsa ntchito utoto wapadera (kusiyanitsa). Nthawi zambiri, mutha kupaka utoto kudzera mumitsempha m'manja mwanu kapena m'manja musanayesedwe. Utoto amathanso kuperekedwa 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 kunama. Kuyenda kwambiri 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 imakupatsani mwayi wolankhula ndi munthu nthawi iliyonse. Ma MRIs ena amakhala ndi ma televizioni komanso mahedifoni apadera kuti athandizire kupitako.

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

Zifukwa zofala kwambiri za mayesowa ndi izi:

• Kupweteka kwambiri kwa khosi, phewa, kapena mkono komwe sikumakhala bwino mutalandira chithandizo
• Kupweteka kwa khosi limodzi ndi kufooka mwendo, kufooka, kapena zizindikilo zina

Kujambula kwa khomo lachiberekero la MRI kungapangidwenso kuti:

• Zolephera zobereka za msana
• Matenda omwe amakhudza msana wanu
• Kuvulala kapena kuvulala msana
• Multiple sclerosis
• Kuchuluka kwa scoliosis
• Chotupa kapena khansa pamsana
• Nyamakazi msana

MRI imagwira ntchito bwino kuposa CT scan pozindikira mavutowa nthawi zambiri.

MRI ya khomo lachiberekero imatha kuchitidwanso musanachite opaleshoni ya msana.

Zotsatira zabwinobwino zimatanthauza kuti gawo la msana lomwe limadutsa m'khosi mwanu ndipo mitsempha yoyandikira imawoneka yabwinobwino.

Zifukwa zofala kwambiri pazotsatira zosadziwika ndi izi:

• Diski ya Herniated kapena "yotumphuka" (radiculopathy ya khomo lachiberekero)
• Kuchepetsa kwa msana wamtsempha (spinal stenosis)
• Kuvala kwachilendo kwa mafupa ndi khungu m'khosi (cervical spondylosis)

Zotsatira zachilendo zitha kukhalanso chifukwa cha:

• Zosintha zosintha chifukwa cha msinkhu
• Matenda a mafupa (osteomyelitis)
• Kutupa kwa disk (diskitis)
• Matenda a msana
• Multiple sclerosis
• Msana wam'mimba kuvulala kapena kupsinjika
• Kutha msana
• Chotupa msana

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 zinthu ndizochepa. 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. Zitha kupanganso chitsulo mkati mwathupi kusuntha kapena kusintha. Pazifukwa zachitetezo, chonde musabweretse chilichonse chomwe chili ndi chitsulo m'chipinda chojambulira.

MRI - khomo lachiberekero msana; MRI - khosi

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)

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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.

Koerner JD, Vaccaro AR. Kuwunika, kugawa, ndi chithandizo cha kuvulala kwa khomo lachiberekero (C3-C7). Mu: Winn HR, mkonzi. Opaleshoni ya Youmans ndi Winn Neurological. Wachisanu ndi chiwiri. Philadelphia, PA: Elsevier; 2017: mutu 306.

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.