Kujambula kwa MRI paphewa

Kujambula pamapewa a MRI (magnetic resonance imaging) ndiyeso yojambula yomwe imagwiritsa ntchito mphamvu kuchokera kumaginito amphamvu ndikupanga zithunzi za paphewa.

Sigwiritsa ntchito radiation (x-ray).

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

Mayeso ofanana ndi awa:

• MRI Yankhondo
• MRI

Mutha kupemphedwa kuvala chovala chaku chipatala kapena chovala chopanda zomata zachitsulo kapena zipi (monga buluku 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 chubu chachikulu ngati ngalande.

Mayeso ena amafuna utoto wapadera (kusiyanitsa). Utoto nthawi zambiri umaperekedwa musanayezedwe kudzera mumitsempha (IV) yomwe ili m'manja mwanu kapena m'manja. Utoto amathanso kubayidwa phewa. 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 zimatha kutenga nthawi yayitali.

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

Uzani dokotala wanu ngati mukuwopa malo oyandikira (khalani ndi claustrophobia). Mutha kupatsidwa mankhwala okuthandizani kuti mukhale ndi tulo komanso kuti musamakhale ndi nkhawa (sedative). Dokotala wanu amathanso kunena za MRI "yotseguka", pomwe makinawo sali pafupi ndi thupi.

Asanayesedwe, uzani wothandizira zaumoyo wanu ngati muli:

• 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 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. Kusuntha kwambiri kumatha kuyambitsa zolakwika.

Gome likhoza kukhala lolimba kapena lozizira, koma mutha kupempha bulangeti kapena pilo. Makinawo amapanga phokoso lalikulu ndikumveketsa mukatsegulidwa. Mutha kuvala mapulagi amakutu kuti muchepetse phokoso.

Intakomu m'chipindamo imakulolani kuti muzilankhula ndi munthu nthawi iliyonse. Ma MRIs ena amakhala ndi ma televizioni ndi mahedifoni apadera okuthandizani kupititsa nthawiyo.

Palibe nthawi yochira, pokhapokha mutalandira mankhwala oti mupumule. Mukayesa MRI, mutha kubwereranso ku zomwe mumadya, zochita zanu, komanso mankhwala anu.

MRI imathandiza pakuwunika ndikuwunika kuvulala kwamasewera. Ikhoza kupereka zithunzi zomveka bwino za magawo amapewa (monga zofewa) zomwe zimakhala zovuta kuziwona bwino pa CT scans.

Wothandizira anu atha kuyitanitsa mayeso ngati muli ndi:

• Unyinji womwe ungamveke mukamayesedwa
• Kupeza kwachilendo pa x-ray kapena fupa
• Kupweteka pamapewa ndi malungo
• Kuchepetsa kuyenda kwa phewa
• Kutulutsa kwamadzimadzi paphewa
• Kufiira kapena kutupa kwa phewa
• Kusakhazikika kwamapewa
• Kufooka kwamapewa
• Kupweteka pamapewa komanso mbiri ya khansa
• Kupweteka pamapewa komwe sikumakhala bwino ndi chithandizo

Zotsatira zabwinobwino zikutanthauza kuti palibe zovuta zomwe zidawoneka paphewa panu ndi minofu yoyandikana nayo pazithunzizo.

Zina mwazomwe zingayambitse zovuta zitha kukhala:

• Zosintha zosintha chifukwa cha msinkhu
• Chilonda
• Matenda a mafupa (osteomyelitis)
• Fupa lophwanyika kapena losweka
• Bursitis m'dera lamapewa
• Biceps akung'amba
• Zachilendo Osteonecrosis (vascular necrosis)
• Kapeti ya Rotator imang'amba
• Makina oyendetsa Rotator tendinitis
• Kutupa kwamapewa (phewa lachisanu)
• Chotupa (kuphatikizapo khansa)
• Labral misozi
• Cyst paphewa

Mndandandawu mulibe mavuto onse omwe angakhalepo. Lankhulani ndi omwe akukuthandizani ndi mafunso aliwonse komanso nkhawa.

MRI ilibe ma radiation. Palibe zoyipa zomwe zimachitika kuchokera kumaginito ndi mafunde a wailesi omwe adanenedwa.

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 sizichitika kawirikawiri. 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 yamaginito yomwe imapangidwa mu MRI imatha kupangitsa kuti mtima uzikhala wolimba komanso zopangira zina kuti zisagwire ntchito. Zitha kupanganso chitsulo mkati mwathupi kusuntha kapena kusintha. Chonde onetsetsani kuti simukubweretsa chilichonse chomwe chili ndi chitsulo m'chipinda chojambulira, chimatha kukhala chowopsa komanso chowopsa kwa inu.

Mayeso omwe angachitike m'malo mwa MRI yamapewa ndi awa:

• Kujambula pamapewa
• X-ray paphewa

Makina ojambulidwa ndi CT atha kusankhidwa nthawi zina, chifukwa imathamanga ndipo nthawi zambiri imapezeka mchipinda chadzidzidzi.

MRI - phewa; Kujambula kwa maginito - paphewa

• Zochita za Rotator
• Makapu a Rotator - kudzisamalira
• Phewa m'malo - kumaliseche
• Opaleshoni yamapewa - kutulutsa
• Kugwiritsa ntchito phewa lanu mutachitidwa opaleshoni ina

Anderson MW, Fox MG. MRI ya phewa. Mu: Anderson MW, Fox MG, olemba., Eds. Gawo laling'ono la MRI ndi CT. Wolemba 4. Philadelphia, PA: Elsevier; 2017: mutu 2.

[Adasankhidwa] Hanypsiak B, DeLong JM, Lowe WR. Matenda a Scapulothoracic. Mu: Miller MD, Thompson SR, olemba. DeLee ndi Drez's Orthopedic Sports Medicine. Wolemba 4. Philadelphia, PA: Elsevier Saunders; 2015: chap 57.

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